code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
APC,1064,"I131 iodide cap, rx ",,,22.87,35.38,34
APC,1138,"Hepagam b intravenous, inj ",,,62.33,96.45,34
APC,1139,Protein c concentrate ,,,14.32,22.15,34
APC,1142,Supprelin LA implant ,,,35617.37,55113.2,34
APC,1150,"I131 iodide sol, rx ",,,19.73,30.53,34
APC,1168,"Inj, temsirolimus ",,,31.05,48.04,34
APC,1178,Busulfan injection ,,,0.98,1.52,34
APC,1203,Verteporfin injection ,,,10.81,16.72,34
APC,1207,"Octreotide injection, depo ",,,197.69,305.9,34
APC,1213,Antihemophilic viii/vwf co ,,,1.21,1.87,34
APC,1214,Inj IVIG privigen 500 mg ,,,48.66,75.29,34
APC,1232,Mitomycin injection ,,,32.4,50.14,34
APC,1235,Valrubicin injection ,,,1184.69,1833.16,34
APC,1237,Inj iron dextran ,,,18.04,27.92,34
APC,1238,Topotecan oral ,,,119.07,184.24,34
APC,1253,Triamcinolone a inj prs-fr ,,,18.23,28.2,34
APC,1263,Antithrombin iii injection ,,,3.97,6.14,34
APC,1268,Xyntha inj ,,,1.3,2.02,34
APC,1274,Edetate calcium disodium i ,,,5880.01,9098.55,34
APC,1281,Bevacizumab injection ,,,1.78,2.75,34
APC,1289,AbobotulinumtoxinA ,,,8.5,13.15,34
APC,1295,Sm 153 lexidronam ,,,3001.81,4644.91,34
APC,1296,Degarelix injection ,,,4.26,6.59,34
APC,1297,"Ferumoxytol, non-esrd ",,,0.35,0.54,34
APC,1311,Canakinumab injection ,,,148.71,230.12,34
APC,1312,Hizentra injection ,,,14.14,21.88,34
APC,1327,Imiglucerase injection ,,,41.16,63.69,34
APC,1340,"Collagenase, clost hist in ",,,74.38,115.1,34
APC,1352,Wilate injection ,,,1.26,1.95,34
APC,1353,Belimumab injection ,,,55.38,85.7,34
APC,1413,Lumizyme injection ,,,200.57,310.36,34
APC,1415,Glassia injection ,,,5.3,8.21,34
APC,1416,Factor xiii anti-hem facto ,,,10.67,16.52,34
APC,1417,Gel-one ,,,506.91,784.38,34
APC,1420,Aflibercept injection ,,,706.42,1093.1,34
APC,1421,Imported lipodox inj ,,,283.8,439.15,34
APC,1426,Eribulin mesylate injectio ,,,56.98,88.17,34
APC,1441,Dom nonHEU Tc99m add-on/do ,,,9.5,14.7,34
APC,1446,Visualization adjunct ,,,10.33,15.98,34
APC,1458,Phentolaine mesylate inj ,,,274.19,424.28,34
APC,1464,Factor viii (porcine) ,,,5.19,8.03,34
APC,1467,Factor ix recombinan rixub ,,,1.63,2.52,34
APC,1468,"Inj, abilify maintena, 1 m ",,,7.09,10.97,34
APC,1469,Inj filgrastim excl biosim ,,,0.96,1.48,34
APC,1471,"Injection, Pertuzumab, 1 m ",,,16.34,25.28,34
APC,1474,Certolizumab pegol inj 1mg ,,,3.27,5.06,34
APC,1475,Golimumab for iv use 1mg ,,,10.48,16.22,34
APC,1476,Obinutuzumab inj ,,,80.24,124.16,34
APC,1478,Inj human fibrinogen con n ,,,1.41,2.19,34
APC,1480,"Elosulfase alfa, injection ",,,303.54,469.69,34
APC,1482,"Darbepoetin alfa, esrd use ",,,2.77,4.29,34
APC,1485,"Ferumoxytol, esrd use ",,,0.35,0.54,34
APC,1486,Factor ix fc fusion recomb ,,,3.53,5.46,34
APC,1488,"Injection, ramucirumab ",,,72.74,112.55,34
APC,1489,Inj vedolizumab iv 1 mg ,,,20.54,31.78,34
APC,1490,Inj pembrolizumab ,,,57.61,89.15,34
APC,1491,New Technology  - Level 1A ,,,4.46,6.9,34
APC,1492,New Technology  - Level 1B ,,,13.83,21.4,34
APC,1493,New Technology  - Level 1C ,,,22.75,35.2,34
APC,1494,New Technology  - Level 1D ,,,31.67,49.0,34
APC,1495,New Technology  - Level 1E ,,,40.59,62.81,34
APC,1496,New Technology  - Level 1A ,,,4.46,6.9,34
APC,1497,New Technology  - Level 1B ,,,13.83,21.4,34
APC,1498,New Technology  - Level 1C ,,,22.75,35.2,34
APC,1499,New Technology  - Level 1D ,,,31.67,49.0,34
APC,1500,New Technology  - Level 1E ,,,40.59,62.81,34
APC,1502,New Technology - Level 2 ( ,,,67.35,104.22,34
APC,1503,New Technology - Level 3 ( ,,,134.26,207.75,34
APC,1504,New Technology - Level 4 ( ,,,223.47,345.79,34
APC,1505,New Technology - Level 5 ( ,,,312.68,483.83,34
APC,1506,New Technology - Level 6 ( ,,,401.89,621.87,34
APC,1507,New Technology - Level 7 ( ,,,491.09,759.9,34
APC,1508,New Technology - Level 8 ( ,,,580.3,897.94,34
APC,1509,New Technology - Level 9 ( ,,,669.51,1035.98,34
APC,1510,New Technology - Level 10 ,,,758.72,1174.02,34
APC,1511,New Technology - Level 11 ,,,847.93,1312.06,34
APC,1512,New Technology - Level 12 ,,,937.14,1450.1,34
APC,1513,New Technology - Level 13 ,,,1026.35,1588.14,34
APC,1514,New Technology - Level 14 ,,,1115.56,1726.18,34
APC,1515,New Technology - Level 15 ,,,1204.76,1864.21,34
APC,1516,New Technology - Level 16 ,,,1293.97,2002.25,34
APC,1517,New Technology - Level 17 ,,,1383.18,2140.29,34
APC,1518,New Technology - Level 18 ,,,1472.39,2278.33,34
APC,1519,New Technology - Level 19 ,,,1561.6,2416.37,34
APC,1520,New Technology - Level 20 ,,,1650.81,2554.41,34
APC,1521,New Technology - Level 21 ,,,1740.02,2692.45,34
APC,1522,New Technology - Level 22 ,,,2007.64,3106.57,34
APC,1523,New Technology - Level 23 ,,,2453.69,3796.76,34
APC,1524,New Technology - Level 24 ,,,2899.73,4486.95,34
APC,1525,New Technology - Level 25 ,,,3345.78,5177.15,34
APC,1526,New Technology - Level 26 ,,,3791.82,5867.34,34
APC,1527,New Technology - Level 27 ,,,4237.86,6557.54,34
APC,1528,New Technology - Level 28 ,,,4683.91,7247.73,34
APC,1529,New Technology - Level 29 ,,,5129.95,7937.93,34
APC,1530,New Technology - Level 30 ,,,5576.0,8628.12,34
APC,1531,New Technology - Level 31 ,,,6022.04,9318.32,34
APC,1532,New Technology - Level 32 ,,,6468.08,10008.51,34
APC,1533,New Technology - Level 33 ,,,6914.13,10698.7,34
APC,1534,New Technology - Level 34 ,,,7360.17,11388.9,34
APC,1535,New Technology - Level 35 ,,,7806.22,12079.09,34
APC,1536,New Technology - Level 36 ,,,8252.26,12769.29,34
APC,1537,New Technology - Level 37 ,,,8698.3,13459.48,34
APC,1539,New Technology - Level 2 ( ,,,67.35,104.22,34
APC,1540,New Technology - Level 3 ( ,,,134.26,207.75,34
APC,1541,New Technology - Level 4 ( ,,,223.47,345.79,34
APC,1542,New Technology - Level 5 ( ,,,312.68,483.83,34
APC,1543,New Technology - Level 6 ( ,,,401.89,621.87,34
APC,1544,New Technology - Level 7 ( ,,,491.09,759.9,34
APC,1545,New Technology - Level 8 ( ,,,580.3,897.94,34
APC,1546,New Technology - Level 9 ( ,,,669.51,1035.98,34
APC,1547,New Technology - Level 10 ,,,758.72,1174.02,34
APC,1548,New Technology - Level 11 ,,,847.93,1312.06,34
APC,1549,New Technology - Level 12 ,,,937.14,1450.1,34
APC,1550,New Technology - Level 13 ,,,1026.35,1588.14,34
APC,1551,New Technology - Level 14 ,,,1115.56,1726.18,34
APC,1552,New Technology - Level 15 ,,,1204.76,1864.21,34
APC,1553,New Technology - Level 16 ,,,1293.97,2002.25,34
APC,1554,New Technology - Level 17 ,,,1383.18,2140.29,34
APC,1555,New Technology - Level 18 ,,,1472.39,2278.33,34
APC,1556,New Technology - Level 19 ,,,1561.6,2416.37,34
APC,1557,New Technology - Level 20 ,,,1650.81,2554.41,34
APC,1558,New Technology - Level 21 ,,,1740.02,2692.45,34
APC,1559,New Technology - Level 22 ,,,2007.64,3106.57,34
APC,1560,New Technology - Level 23 ,,,2453.69,3796.76,34
APC,1561,New Technology - Level 24 ,,,2899.73,4486.95,34
APC,1562,New Technology - Level 25 ,,,3345.78,5177.15,34
APC,1563,New Technology - Level 26 ,,,3791.82,5867.34,34
APC,1564,New Technology - Level 27 ,,,4237.86,6557.54,34
APC,1565,New Technology - Level 28 ,,,4683.91,7247.73,34
APC,1566,New Technology - Level 29 ,,,5129.95,7937.93,34
APC,1567,New Technology - Level 30 ,,,5576.0,8628.12,34
APC,1568,New Technology - Level 31 ,,,6022.04,9318.32,34
APC,1569,New Technology - Level 32 ,,,6468.08,10008.51,34
APC,1570,New Technology - Level 33 ,,,6914.13,10698.7,34
APC,1571,New Technology - Level 34 ,,,7360.17,11388.9,34
APC,1572,New Technology - Level 35 ,,,7806.22,12079.09,34
APC,1573,New Technology - Level 36 ,,,8252.26,12769.29,34
APC,1574,New Technology - Level 37 ,,,8698.3,13459.48,34
APC,1575,New Technology - Level 38 ,,,11151.55,17255.55,34
APC,1576,New Technology - Level 39 ,,,15611.99,24157.49,34
APC,1577,New Technology - Level 40 ,,,20072.43,31059.44,34
APC,1578,New Technology - Level 41 ,,,24532.87,37961.38,34
APC,1579,New Technology - Level 42 ,,,31223.53,48314.3,34
APC,1580,New Technology - Level 43 ,,,40144.41,62118.19,34
APC,1581,New Technology - Level 44 ,,,49065.29,75922.07,34
APC,1582,New Technology - Level 45 ,,,57986.17,89725.96,34
APC,1583,New Technology - Level 46 ,,,66907.05,103529.85,34
APC,1584,New Technology - Level 47 ,,,75827.93,117333.74,34
APC,1585,New Technology - Level 48 ,,,84748.81,131137.63,34
APC,1589,New Technology - Level 38 ,,,11151.55,17255.55,34
APC,1590,New Technology - Level 39 ,,,15611.99,24157.49,34
APC,1591,New Technology - Level 40 ,,,20072.43,31059.44,34
APC,1592,New Technology - Level 41 ,,,24532.87,37961.38,34
APC,1593,New Technology - Level 42 ,,,31223.53,48314.3,34
APC,1594,New Technology - Level 43 ,,,40144.41,62118.19,34
APC,1595,New Technology - Level 44 ,,,49065.29,75922.07,34
APC,1596,New Technology - Level 45 ,,,57986.17,89725.96,34
APC,1597,New Technology - Level 46 ,,,66907.05,103529.85,34
APC,1598,New Technology - Level 47 ,,,75827.93,117333.74,34
APC,1599,New Technology - Level 48 ,,,84748.81,131137.63,34
APC,1609,"Rho(D) immune globulin h, ",,,34.0,52.61,34
APC,1613,Trastuzumab injection ,,,66.73,103.26,34
APC,1630,"Hep b ig, im ",,,130.1,201.32,34
APC,1643,"Y90 ibritumomab, rx ",,,53983.32,83532.09,34
APC,1656,Factor viii fc fusion reco ,,,2.45,3.79,34
APC,1658,"Injection, belinostat, 10m ",,,51.72,80.04,34
APC,1660,"Injection, oritavancin ",,,28.24,43.7,34
APC,1662,Inj tedizolid phosphate ,,,1.98,3.06,34
APC,1664,Florbetapir f18 ,,,1734.36,2683.69,34
APC,1670,Tetanus immune globulin in ,,,565.27,874.67,34
APC,1675,P32 na phosphate ,,,264.33,409.01,34
APC,1683,Basiliximab ,,,4659.8,7210.42,34
APC,1685,"Darbepoetin alfa, non-esrd ",,,2.77,4.29,34
APC,1686,"Epoetin alfa, non-esrd ",,,6.53,10.11,34
APC,1687,Digoxin immune fab (ovine) ,,,5114.15,7913.48,34
APC,1688,Ethanolamine oleate ,,,519.91,804.49,34
APC,1689,Fomepizole ,,,5.87,9.09,34
APC,1690,Hemin ,,,34.03,52.66,34
APC,1694,Ziconotide injection ,,,10.25,15.87,34
APC,1696,Palifermin injection ,,,36.76,56.87,34
APC,1700,Inj secretin synthetic hum ,,,40.85,63.21,34
APC,1701,Treprostinil injection ,,,52.0,80.47,34
APC,1704,"Humate-P, inj ",,,1.46,2.26,34
APC,1705,Factor viia recomb novosev ,,,2.63,4.07,34
APC,1710,Clofarabine injection ,,,15.43,23.88,34
APC,1712,Paclitaxel protein bound ,,,6.26,9.68,34
APC,1744,Zidovudine ,,,1.44,2.22,34
APC,1745,Radium ra223 dichloride th ,,,172.47,266.88,34
APC,1746,Factor xiii recomb a-subun ,,,18.16,28.1,34
APC,1747,Monovisc inj per dose ,,,537.01,830.95,34
APC,1748,Inj tbo filgrastim 1 micro ,,,0.22,0.35,34
APC,1809,"Injection, alemtuzumab ",,,2417.69,3741.06,34
APC,1822,"Injection, zarxio ",,,0.34,0.52,34
APC,1823,"Injection, dalbavancin ",,,10.73,16.6,34
APC,1824,Ceftaroline fosamil inj ,,,4.17,6.45,34
APC,1825,Ceftazidime and avibactam ,,,104.28,161.36,34
APC,1826,Hyqvia 100mg immuneglobuli ,,,17.43,26.97,34
APC,1827,Factor viii recomb obizur ,,,3.07,4.76,34
APC,1829,Penicillin g benzathine in ,,,30.96,47.91,34
APC,1832,Dimethyl sulfoxide 50% 50 ,,,711.44,1100.85,34
APC,1844,Factor viii pegylated reco ,,,2.01,3.11,34
APC,1846,Factor viii nuwiq recomb 1 ,,,1.16,1.79,34
APC,1847,"Injection, inflectra ",,,26.32,40.73,34
APC,1848,Artiss fibrin sealant ,,,138.39,214.14,34
APC,1850,Gamma globulin 1 cc inj ,,,46.43,71.84,34
APC,1851,Gamma globulin > 10 cc inj ,,,154.39,238.9,34
APC,1853,Minocycline hydrochloride ,,,2.6,4.02,34
APC,1854,Pentobarbital sodium inj ,,,18.33,28.37,34
APC,1856,Factor viii recomb novoeig ,,,1.37,2.12,34
APC,1857,"Inj, factor x, (human), 1i ",,,9.46,14.63,34
APC,1859,Argatroban nonesrd use 1mg ,,,0.82,1.27,34
APC,1861,"Inj., bendeka 1 mg ",,,11.91,18.42,34
APC,1862,Gelsyn-3 injection 0.1 mg ,,,0.55,0.86,34
APC,1901,New Technology - Level 49 ,,,95899.93,148392.53,34
APC,1902,New Technology - Level 49 ,,,95899.93,148392.53,34
APC,1903,New Technology - Level 50 ,,,109281.25,169098.36,34
APC,1904,New Technology - Level 50 ,,,109281.25,169098.36,34
APC,1905,New Technology - Level 51 ,,,122662.57,189804.2,34
APC,1906,New Technology - Level 51 ,,,122662.57,189804.2,34
APC,1907,New Technology - Level 52 ,,,136043.89,210510.03,34
APC,1908,New Technology - Level 52 ,,,136043.89,210510.03,34
APC,2041,"Cath, bladed, vasc prep ",,,,,0
APC,2042,"Endo, single, pulmonary ",,,,,0
APC,2043,Orth/matrx/bn fill drug-el ,,,,,0
APC,2044,"Ret dev, laser, ivc filter ",,,,,0
APC,2045,"Grft, trnsmurl/trnsvens by ",,,,,0
APC,2046,"Pmkr, dual, leadless ",,,,,0
APC,2047,"Adapter, us to endoscope ",,,,,0
APC,2049,"Suprt dev, a-v fistula, im ",,,,,0
APC,2050,Cath coronary drug-deliver ,,,,,0
APC,2051,Cath renal denerv radiofre ,,,,,0
APC,2052,Cath renal denerv ultrasnd ,,,,,0
APC,2053,Si&pelvis fusn&fixn dev ,,,,,0
APC,2054,Power endo us-guid bx dev ,,,,,0
APC,2055,"Tissue marker, detectable ",,,,,0
APC,2062,"Inj zanidatamab-hrii, 2 mg ",,,24.38,37.72,34
APC,2064,"Inj marstacim-hncq, 0.5 mg ",,,48.63,75.25,34
APC,2065,"Flurpiridaz f18, diag, 1 m ",,,503.5,779.1,34
APC,2066,Inj bortezomib boruzu 0.1 ,,,23.51,36.38,34
APC,2067,Afamitresgene autoleucel ,,,773269.03,1196532.08,34
APC,2068,"Inj, aflibercept-ayyh, 1 m ",,,763.09,1180.78,34
APC,2069,"Inj, testosterone, azmiro ",,,1.23,1.91,34
APC,2070,"Inj, eculizumab, 2 mg ",,,41.99,64.97,34
APC,2071,Inj ocrelizumab 1mg hya-oc ,,,45.66,70.65,34
APC,2072,"Inj, erzofri, 1 mg ",,,15.08,23.33,34
APC,2073,Inj atezolizumb 5mg hya-tq ,,,30.93,47.85,34
APC,2074,"Lt vent pacing syst, seque ",,,,,0
APC,2075,Inj acetaminoph 10mg/ibu 3 ,,,0.09,0.14,34
APC,2076,"Inj, pemetrexed dipotassiu ",,,69.99,108.29,34
APC,2077,Anchor/screw bone absorb ,,,,,0
APC,2078,"Pressure sens syst, cont i ",,,,,0
APC,2086,Neurostim integ rechg ,,,,,0
APC,2087,"Prosthesis, dual mob cmc1 ",,,,,0
APC,2088,Scafld endovas resrb drg e ,,,,,0
APC,2089,Vert dev motion-preserv ,,,,,0
APC,2616,"Brachytx, non-str,Yttrium- ",,,16882.46,26123.38,34
APC,2632,Iodine I-125 sodium iodide ,,,376.5,582.59,34
APC,2634,"Brachytx, non-str, HA, I-1 ",,,165.36,255.87,34
APC,2635,"Brachytx, non-str, HA, P-1 ",,,101.41,156.92,34
APC,2636,"Brachy linear, non-str,P-1 ",,,84.93,131.42,34
APC,2638,"Brachytx, stranded, I-125 ",,,33.5,51.83,34
APC,2639,"Brachytx, non-stranded,I-1 ",,,34.81,53.86,34
APC,2640,"Brachytx, stranded, P-103 ",,,83.85,129.74,34
APC,2641,"Brachytx, non-stranded,P-1 ",,,61.26,94.79,34
APC,2642,"Brachytx, stranded, C-131 ",,,113.15,175.09,34
APC,2643,"Brachytx, non-stranded,C-1 ",,,94.81,146.71,34
APC,2645,"Brachytx, non-str, Gold-19 ",,,487.89,754.95,34
APC,2646,"Brachytx, non-str, HDR Ir- ",,,339.62,525.51,34
APC,2647,"Brachytx, NS, Non-HDRIr-19 ",,,863.26,1335.79,34
APC,2648,"Brachytx planar, p-103 ",,,4.46,6.89,34
APC,2698,"Brachytx, stranded, NOS ",,,33.5,51.83,34
APC,2699,"Brachytx, non-stranded, NO ",,,34.81,53.86,34
APC,2731,"Immune globulin, powder ",,,76.91,119.01,34
APC,4017,Radiation tx delivery lvl ,,,70.91,109.73,34
APC,4018,Radiation tx delivery lvl ,,,283.36,438.47,34
APC,4019,Radiation tx delivery lvl ,,,349.22,540.37,34
APC,5012,Clinic Visits and Related ,,,121.34,187.76,34
APC,5021,Level 1 Type A ED Visits ,,,80.9,121.35,39
APC,5022,Level 2 Type A ED Visits ,,,147.31,220.96,39
APC,5023,Level 3 Type A ED Visits ,,,261.89,392.83,39
APC,5024,Level 4 Type A ED Visits ,,,400.31,600.47,39
APC,5025,Level 5 Type A ED Visits ,,,571.34,857.01,39
APC,5031,Level 1 Type B ED Visits ,,,71.31,106.97,39
APC,5032,Level 2 Type B ED Visits ,,,89.11,133.67,39
APC,5033,Level 3 Type B ED Visits ,,,164.9,247.36,39
APC,5034,Level 4 Type B ED Visits ,,,253.57,380.35,39
APC,5035,Level 5 Type B ED Visits ,,,394.04,591.06,39
APC,5041,Critical Care ,,,752.85,1164.94,34
APC,5045,Trauma Response with Criti ,,,1214.83,1879.79,34
APC,5051,Level 1 Skin Procedures ,,,182.86,282.95,34
APC,5052,Level 2 Skin Procedures ,,,370.5,573.3,34
APC,5053,Level 3 Skin Procedures ,,,673.6,1042.3,34
APC,5054,Level 4 Skin Procedures ,,,1880.49,2909.82,34
APC,5055,Level 5 Skin Procedures ,,,3229.79,4997.67,34
APC,5061,Hyperbaric Oxygen ,,,125.42,194.07,34
APC,5071,Level 1 Excision/ Biopsy/ ,,,645.4,998.67,34
APC,5072,Level 2 Excision/ Biopsy/ ,,,1505.28,2329.23,34
APC,5073,Level 3 Excision/ Biopsy/ ,,,2647.39,4096.48,34
APC,5091,Level 1 Breast/Lymphatic S ,,,3568.57,5521.89,34
APC,5092,Level 2 Breast/Lymphatic S ,,,6051.92,9364.54,34
APC,5093,Level 3 Breast/Lymphatic S ,,,7449.31,11526.83,34
APC,5094,Level 4 Breast/Lymphatic S ,,,12560.1,19435.11,34
APC,5101,Level 1 Strapping and Cast ,,,148.1,229.17,34
APC,5102,Level 2 Strapping and Cast ,,,254.91,394.45,34
APC,5111,Level 1 Musculoskeletal Pr ,,,224.82,347.87,34
APC,5112,Level 2 Musculoskeletal Pr ,,,1465.54,2267.73,34
APC,5113,Level 3 Musculoskeletal Pr ,,,2982.13,4614.46,34
APC,5114,Level 4 Musculoskeletal Pr ,,,6613.39,10233.35,34
APC,5115,Level 5 Musculoskeletal Pr ,,,11701.3,18106.23,34
APC,5116,Level 6 Musculoskeletal Pr ,,,15980.5,24727.72,34
APC,5117,Level 7 Musculoskeletal Pr ,,,24730.22,38266.76,34
APC,5151,Level 1 Airway Endoscopy ,,,181.92,281.5,34
APC,5152,Level 2 Airway Endoscopy ,,,356.47,551.59,34
APC,5153,Level 3 Airway Endoscopy ,,,1622.22,2510.17,34
APC,5154,Level 4 Airway Endoscopy ,,,3398.05,5258.04,34
APC,5155,Level 5 Airway Endoscopy ,,,6432.24,9953.05,34
APC,5161,Level 1 ENT Procedures ,,,215.87,334.03,34
APC,5162,Level 2 ENT Procedures ,,,491.55,760.61,34
APC,5163,Level 3 ENT Procedures ,,,1414.13,2188.18,34
APC,5164,Level 4 ENT Procedures ,,,3021.74,4675.75,34
APC,5165,Level 5 ENT Procedures ,,,5395.39,8348.66,34
APC,5166,Cochlear Implant Procedure ,,,30051.12,46500.16,34
APC,5181,Level 1 Vascular Procedure ,,,571.73,884.68,34
APC,5182,Level 2 Vascular Procedure ,,,1434.7,2220.01,34
APC,5183,Level 3 Vascular Procedure ,,,2877.76,4452.95,34
APC,5184,Level 4 Vascular Procedure ,,,5071.53,7847.52,34
APC,5191,Level 1 Endovascular Proce ,,,2954.73,4572.05,34
APC,5192,Level 2 Endovascular Proce ,,,5187.35,8026.74,34
APC,5193,Level 3 Endovascular Proce ,,,10521.49,16280.62,34
APC,5194,Level 4 Endovascular Proce ,,,16707.64,25852.88,34
APC,5200,Implantation Wireless PA P ,,,26142.3,40451.77,34
APC,5211,Level 1 Electrophysiologic ,,,1109.68,1717.08,34
APC,5212,Level 2 Electrophysiologic ,,,7108.69,10999.77,34
APC,5213,Level 3 Electrophysiologic ,,,23822.31,36861.9,34
APC,5221,Level 1 Pacemaker and Simi ,,,3405.9,5270.19,34
APC,5222,Level 2 Pacemaker and Simi ,,,7542.27,11670.68,34
APC,5223,Level 3 Pacemaker and Simi ,,,9526.06,14740.32,34
APC,5224,Level 4 Pacemaker and Simi ,,,17555.31,27164.53,34
APC,5231,Level 1 ICD and Similar Pr ,,,20273.02,31369.83,34
APC,5232,Level 2 ICD and Similar Pr ,,,28608.13,44267.32,34
APC,5241,Level 1 Blood Product Exch ,,,402.09,622.18,34
APC,5242,Level 2 Blood Product Exch ,,,1419.45,2196.42,34
APC,5243,Level 3 Blood Product Exch ,,,3969.65,6142.51,34
APC,5244,Level 4 Blood Product Exch ,,,57328.72,88708.65,34
APC,5301,Level 1 Upper GI Procedure ,,,826.64,1279.11,34
APC,5302,Level 2 Upper GI Procedure ,,,1748.91,2706.21,34
APC,5303,Level 3 Upper GI Procedure ,,,3513.92,5437.32,34
APC,5311,Level 1 Lower GI Procedure ,,,847.57,1311.51,34
APC,5312,Level 2 Lower GI Procedure ,,,1090.63,1687.61,34
APC,5313,Level 3 Lower GI Procedure ,,,2529.77,3914.48,34
APC,5331,Complex GI Procedures ,,,5533.08,8561.71,34
APC,5341,Level 1 Abdominal/Peritone ,,,3263.21,5049.39,34
APC,5342,Level 2 Abdominal/Peritone ,,,5900.31,9129.95,34
APC,5361,Level 1 Laparoscopy and Re ,,,5509.95,8525.93,34
APC,5362,Level 2 Laparoscopy and Re ,,,9688.14,14991.12,34
APC,5371,Level 1 Urology and Relate ,,,227.71,352.36,34
APC,5372,Level 2 Urology and Relate ,,,635.52,983.39,34
APC,5373,Level 3 Urology and Relate ,,,1905.2,2948.04,34
APC,5374,Level 4 Urology and Relate ,,,3212.7,4971.24,34
APC,5375,Level 5 Urology and Relate ,,,4886.8,7561.67,34
APC,5376,Level 6 Urology and Relate ,,,8627.83,13350.43,34
APC,5377,Level 7 Urology and Relate ,,,12024.65,18606.57,34
APC,5378,Level 8 Urology and Relate ,,,18890.0,29229.79,34
APC,5401,Dialysis ,,,625.51,967.9,34
APC,5411,Level 1 Gynecologic Proced ,,,184.26,285.12,34
APC,5412,Level 2 Gynecologic Proced ,,,277.73,429.76,34
APC,5413,Level 3 Gynecologic Proced ,,,839.45,1298.95,34
APC,5414,Level 4 Gynecologic Proced ,,,2950.35,4565.28,34
APC,5415,Level 5 Gynecologic Proced ,,,4559.28,7054.89,34
APC,5416,Level 6 Gynecologic Proced ,,,6758.5,10457.89,34
APC,5431,Level 1 Nerve Procedures ,,,1779.73,2753.9,34
APC,5432,Level 2 Nerve Procedures ,,,3113.51,4817.75,34
APC,5433,Level 3 Nerve Procedures ,,,7998.4,12376.47,34
APC,5441,Level 1 Nerve Injections ,,,279.76,432.89,34
APC,5442,Level 2 Nerve Injections ,,,643.35,995.5,34
APC,5443,Level 3 Nerve Injections ,,,806.12,1247.36,34
APC,5461,Level 1 Neurostimulator an ,,,3186.39,4930.51,34
APC,5462,Level 2 Neurostimulator an ,,,5808.41,8987.75,34
APC,5463,Level 3 Neurostimulator an ,,,10155.57,15714.4,34
APC,5464,Level 4 Neurostimulator an ,,,17681.46,27359.73,34
APC,5465,Level 5 Neurostimulator an ,,,28124.02,43518.22,34
APC,5471,Implantation of Drug Infus ,,,16427.12,25418.81,34
APC,5481,Laser Eye Procedures ,,,501.27,775.65,34
APC,5491,Level 1 Intraocular Proced ,,,2103.37,3254.69,34
APC,5492,Level 2 Intraocular Proced ,,,3767.24,5829.31,34
APC,5493,Level 3 Intraocular Proced ,,,4849.89,7504.57,34
APC,5494,Level 4 Intraocular Proced ,,,13221.01,20457.77,34
APC,5495,Level 5 Intraocular Proced ,,,12716.86,19677.67,34
APC,5496,Level 6 Intraocular Proced ,,,15002.56,23214.49,34
APC,5501,"Level 1 Extraocular, Repai ",,,289.29,447.63,34
APC,5502,"Level 2 Extraocular, Repai ",,,908.56,1405.88,34
APC,5503,"Level 3 Extraocular, Repai ",,,2166.86,3352.94,34
APC,5504,"Level 4 Extraocular, Repai ",,,3583.12,5544.4,34
APC,5521,Level 1 Imaging without Co ,,,79.32,122.73,34
APC,5522,Level 2 Imaging without Co ,,,95.28,147.44,34
APC,5523,Level 3 Imaging without Co ,,,217.46,336.5,34
APC,5524,Level 4 Imaging without Co ,,,498.01,770.6,34
APC,5571,Level 1 Imaging with Contr ,,,159.86,247.37,34
APC,5572,Level 2 Imaging with Contr ,,,317.97,492.01,34
APC,5573,Level 3 Imaging with Contr ,,,714.47,1105.55,34
APC,5591,Level 1 Nuclear Medicine a ,,,364.36,563.79,34
APC,5592,Level 2 Nuclear Medicine a ,,,494.87,765.74,34
APC,5593,Level 3 Nuclear Medicine a ,,,1179.96,1825.83,34
APC,5594,Level 4 Nuclear Medicine a ,,,1303.27,2016.64,34
APC,5611,Level 1 Therapeutic Radiat ,,,122.5,189.56,34
APC,5612,Level 2 Therapeutic Radiat ,,,341.26,528.05,34
APC,5613,Level 3 Therapeutic Radiat ,,,1261.51,1952.02,34
APC,5621,Level 1 Radiation Therapy ,,,92.99,143.89,34
APC,5622,Level 2 Radiation Therapy ,,,351.53,543.94,34
APC,5623,Level 3 Radiation Therapy ,,,503.59,779.24,34
APC,5624,Level 4 Radiation Therapy ,,,634.77,982.23,34
APC,5625,Level 5 Radiation Therapy ,,,1139.03,1762.49,34
APC,5626,Level 6 Radiation Therapy ,,,1629.65,2521.67,34
APC,5627,Level 7 Radiation Therapy ,,,6712.8,10387.18,34
APC,5661,Therapeutic Nuclear Medici ,,,212.66,329.07,34
APC,5671,Level 1 Pathology ,,,47.49,73.49,34
APC,5672,Level 2 Pathology ,,,155.28,240.27,34
APC,5673,Level 3 Pathology ,,,326.69,505.51,34
APC,5674,Level 4 Pathology ,,,734.3,1136.24,34
APC,5691,Level 1 Drug Administratio ,,,42.68,66.04,34
APC,5692,Level 2 Drug Administratio ,,,65.62,101.54,34
APC,5693,Level 3 Drug Administratio ,,,193.86,299.97,34
APC,5694,Level 4 Drug Administratio ,,,301.04,465.83,34
APC,5721,Level 1 Diagnostic Tests a ,,,117.27,181.47,34
APC,5722,Level 2 Diagnostic Tests a ,,,196.79,304.51,34
APC,5723,Level 3 Diagnostic Tests a ,,,340.1,526.26,34
APC,5724,Level 4 Diagnostic Tests a ,,,782.66,1211.07,34
APC,5731,Level 1 Minor Procedures ,,,26.36,40.79,34
APC,5732,Level 2 Minor Procedures ,,,34.04,52.68,34
APC,5733,Level 3 Minor Procedures ,,,53.77,83.2,34
APC,5734,Level 4 Minor Procedures ,,,121.26,187.64,34
APC,5735,Level 5 Minor Procedures ,,,407.15,630.01,34
APC,5741,Level 1 Electronic Analysi ,,,34.02,52.63,34
APC,5742,Level 2 Electronic Analysi ,,,86.65,134.08,34
APC,5743,Level 3 Electronic Analysi ,,,279.93,433.15,34
APC,5771,Cardiac Rehabilitation ,,,117.49,181.8,34
APC,5781,Resuscitation and Cardiove ,,,602.39,932.12,34
APC,5791,Pulmonary Treatment ,,,199.58,308.82,34
APC,5801,Ventilation Initiation and ,,,563.06,871.26,34
APC,5811,Manipulation Therapy ,,,19.68,30.45,34
APC,5821,Level 1 Health and Behavio ,,,34.15,52.84,34
APC,5822,Level 2 Health and Behavio ,,,92.59,143.27,34
APC,5823,Level 3 Health and Behavio ,,,161.77,250.32,34
APC,5851,Intensive Outpatient (3 se ,,,113.96,176.33,34
APC,5852,Intensive Outpatient (4 or ,,,149.32,231.05,34
APC,5853,Partial Hospitalization (3 ,,,113.96,176.33,34
APC,5854,Partial Hospitalization (4 ,,,149.32,231.05,34
APC,5861,Intensive Outpatient (3 se ,,,284.92,440.87,34
APC,5862,Intensive Outpatient (4 or ,,,373.29,577.62,34
APC,5863,Partial Hospitalization (3 ,,,284.92,440.87,34
APC,5864,Partial Hospitalization (4 ,,,373.29,577.62,34
APC,5871,Dental Procedures ,,,589.22,911.73,34
APC,5881,Ancillary Outpatient Servi ,,,12693.42,19641.39,34
APC,6000,PMA Skin Substitute Produc ,,,113.42,175.5,34
APC,6001,510K Skin Substitute Produ ,,,113.42,175.5,34
APC,6002,HCT/P Skin Substitute Prod ,,,113.42,175.5,34
APC,701,Sr89 strontium ,,,3939.02,6095.11,34
APC,702,"Inj, human-lans, per i.u ",,,1.65,2.55,34
APC,703,Inj daxibotulinumtoxina-la ,,,2.91,4.51,34
APC,704,"Inj, aflibercept hd, 1 mg ",,,283.75,439.06,34
APC,7043,Infliximab not biosimil 10 ,,,29.91,46.27,34
APC,7046,Doxorubicin inj 10mg ,,,110.77,171.41,34
APC,7048,Alteplase recombinant ,,,93.66,144.92,34
APC,705,Inj avacincaptad pegol 0.1 ,,,98.04,151.71,34
APC,706,Inj talquetamab-tgvs 0.25 ,,,72.88,112.78,34
APC,707,"Cantharidin top, applicato ",,,660.45,1021.96,34
APC,708,"Inj, elranatamab-bcmm, 1 m ",,,182.86,282.95,34
APC,709,Flortaucipir inj 1 millicu ,,,352.45,545.37,34
APC,710,Inj velmanase alfa-tycv 1 ,,,455.23,704.41,34
APC,711,"Inj, artesunate, 1mg ",,,49.24,76.19,34
APC,713,Inj roctavian ml 2x10^13vc ,,,11926.02,18453.95,34
APC,714,Inj delandistrogene mox ro ,,,3151052.15,4875838.59,34
APC,715,Pegunigalsidase alfa-iwxj ,,,214.38,331.73,34
APC,716,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,980.82,1517.68,34
APC,717,"Instill adstiladrin, tx do ",,,61115.03,94567.47,34
APC,719,Inj cyclophos frindovyx 5 ,,,8.48,13.12,34
APC,720,"Inj glofitamab gxbm, 2.5 m ",,,2721.44,4211.08,34
APC,721,Inj rozanolixizum-noli 1 m ,,,22.41,34.67,34
APC,723,Inj efgart-alfa 2mg hya-qv ,,,32.55,50.36,34
APC,725,Inj secukinumab intrav 1mg ,,,17.32,26.8,34
APC,726,Dexrazoxane HCl injection ,,,39.37,60.92,34
APC,727,"Inj, adzynma, 10 iu ",,,34.4,53.23,34
APC,728,"Inj, mirikizumab-mrkz, 1 m ",,,31.03,48.01,34
APC,729,"Inj, motixafortide, 0.25 m ",,,25.16,38.92,34
APC,730,Inj melphalan (hepzato) 1 ,,,761.41,1178.17,34
APC,7308,Aminolevulinic acid hcl to ,,,369.82,572.24,34
APC,731,Sargramostim injection ,,,59.35,91.84,34
APC,732,"Inj, brixadi, 7 days or le ",,,409.05,632.95,34
APC,733,"Inj brixadi, more than 7 d ",,,1636.19,2531.79,34
APC,734,"Inj, levothyroxine, freska ",,,6.49,10.05,34
APC,736,Amphotericin b liposome in ,,,18.85,29.17,34
APC,737,"Inj, cipaglucosidase, 5 mg ",,,91.49,141.56,34
APC,738,Rasburicase ,,,368.08,569.56,34
APC,739,"Inj, rykindo, 0.5 mg ",,,12.38,19.15,34
APC,740,Inj hydroxocobalamin iv 25 ,,,5.17,8.0,34
APC,741,Inj cyclophos dr reddys 5 ,,,0.47,0.73,34
APC,743,"Inj, cyclophosphamide, nos ",,,0.55,0.85,34
APC,744,Inst tauro 1.35mg/hep 100u ,,,4.0,6.18,34
APC,745,"Inj, toripalimab-tpzi, 1 m ",,,38.85,60.11,34
APC,746,"Inj, betibeglogene autotem ",,,2783747.0,4307482.2,34
APC,747,"Inj, zolbetuximab-clzb, 2 ",,,32.23,49.87,34
APC,748,"Inj, lovotibeglogene autot ",,,3073538.8,4755896.88,34
APC,749,Inj travoprost intra impl ,,,186.91,289.22,34
APC,750,"Inj, nithiodote, 3mg / 125 ",,,2.06,3.18,34
APC,752,Dactinomycin injection ,,,292.04,451.89,34
APC,755,Oral methotrexate (jylamvo ,,,15.64,24.21,34
APC,756,Oral methotrexate (xatmep) ,,,21.77,33.69,34
APC,757,"Docetaxel (docivyx), 1 mg ",,,43.97,68.04,34
APC,759,"Naltrexone, depot form ",,,4.3,6.65,34
APC,760,Tc-99m graphite crucible ,,,312.17,483.04,34
APC,761,"Inj, focinvez, 1mg ",,,2.33,3.61,34
APC,763,"Inj, bupivacaine liposome ",,,1.38,2.14,34
APC,764,Ketorolac tromethamine inj ,,,0.27,0.42,34
APC,765,"Inj, donanemab-azbt, 2 mg ",,,3.96,6.12,34
APC,767,"Inj, nogapendekin pmln 1 m ",,,89.59,138.63,34
APC,768,"Inj, tarlatamab-dlle, 1 mg ",,,1531.8,2370.26,34
APC,770,In111 oxyquinoline ,,,789.89,1222.25,34
APC,771,In111 pentetate ,,,708.34,1096.06,34
APC,772,"Inj, pegulicianine, 1 mg ",,,35.63,55.14,34
APC,774,Tc99m bicisate ,,,736.74,1140.01,34
APC,776,Technetium tc-99m auto wbc ,,,887.42,1373.17,34
APC,777,Indium in-111 auto wbc ,,,1048.03,1621.69,34
APC,778,"Inj, vasopressin (baxter) ",,,1.67,2.58,34
APC,779,Indium in-111 pentetreotid ,,,1900.89,2941.38,34
APC,780,Iodine i-123 iobenguane ,,,2201.63,3406.72,34
APC,781,Iodine i-123 ioflupane ,,,1318.35,2039.98,34
APC,782,"Inj, pemrydi rtu, 10 mg ",,,64.54,99.86,34
APC,784,"Inj, tyenne, 1 mg ",,,3.85,5.96,34
APC,785,"Inj, cyclophosphamd, sando ",,,3.27,5.05,34
APC,786,"Inj, tofidence, 1 mg ",,,4.76,7.37,34
APC,798,"Inj, sezaby, 1 mg ",,,1.06,1.64,34
APC,800,Leuprolide acetate ,,,1749.2,2706.65,34
APC,8004,Ultrasound Composite ,,,268.13,414.9,34
APC,8005,CT and CTA without Contras ,,,201.67,312.06,34
APC,8006,CT and CTA with Contrast C ,,,391.54,605.85,34
APC,8007,MRI and MRA without Contra ,,,479.81,742.44,34
APC,8008,MRI and MRA with Contrast ,,,773.51,1196.91,34
APC,8010,Mental Health Services Com ,,,373.29,577.62,34
APC,8011,Comprehensive Observation ,,,2509.26,4893.05,14
APC,802,Etoposide oral 50 mg ,,,83.65,129.44,34
APC,804,"Capecitabine, oral, 50 mg ",,,0.08,0.12,34
APC,805,"Hiv prep, inj, cabotegravi ",,,6.93,10.72,34
APC,806,"Hiv prep, ftc/tdf 200/300m ",,,0.43,0.67,34
APC,807,Aldesleukin injection ,,,3171.93,4908.14,34
APC,808,"Hiv prep, ftc/taf 200/25mg ",,,67.86,105.0,34
APC,811,"Inj, nyposi 1 mcg ",,,0.98,1.52,34
APC,812,Carmustine injection ,,,228.01,352.82,34
APC,813,"Injection, imetelstat, 1 m ",,,56.55,87.51,34
APC,814,"Inj, magtrace per study do ",,,1191.3,1843.38,34
APC,815,"Inj, palonosetron (posfrea ",,,52.47,81.19,34
APC,816,"Inj, tislelizumab-jsgr ",,,55.26,85.51,34
APC,818,"Inj, crovalimab-akkz, 10 m ",,,523.94,810.72,34
APC,819,"Inj, alyglo, 500 mg ",,,115.47,178.67,34
APC,821,Indigotindisulfonate sod 1 ,,,8.84,13.67,34
APC,822,"Inj, romiplostim 1 microgr ",,,11.04,17.08,34
APC,824,"Inj, exagamglogene autotem ",,,2185861.65,3382333.29,34
APC,825,Nelarabine injection ,,,62.14,96.15,34
APC,827,Floxuridine injection ,,,4176.67,6462.84,34
APC,831,Obecbtge autol up to 400 m ,,,264337.5,409027.5,34
APC,835,"Datopotamab deruxtecan, 1 ",,,49.87,77.17,34
APC,837,"Inj, treosulfan, 50 mg ",,,30.71,47.53,34
APC,839,Inj axatilimab-csfr 0.1 mg ,,,53.64,83.0,34
APC,840,Inj melpha hydroch nos 50 ,,,99.65,154.2,34
APC,841,"Inj, docetaxel (beizray) 1 ",,,44.47,68.81,34
APC,842,"Inj, melphalan (apotex) 1 ",,,61.54,95.22,34
APC,843,Pegaspargase injection ,,,28180.76,43606.02,34
APC,844,Pentostatin injection ,,,2563.09,3966.04,34
APC,845,"Inj, atidarsagene autotemc ",,,4279750.0,6622350.0,34
APC,846,"Inj, eculizumab-aeeb, 2 mg ",,,39.11,60.52,34
APC,847,Inj thiotepa nos 1 mg ,,,4.68,7.25,34
APC,848,Inj nivolumab 2 mg hyaluro ,,,26.73,41.37,34
APC,852,"Inj, eculizumab-aagh, 2 mg ",,,30.19,46.71,34
APC,853,Inj zenocutuzumab-zbco 1 m ,,,32.17,49.78,34
APC,854,In111 capromab ,,,1643.78,2543.53,34
APC,855,"Inj ustekinumab-stba, 1 mg ",,,2.92,4.52,34
APC,858,Inj cladribine per 1 mg ,,,7.78,12.04,34
APC,859,"Inj ustekinumab-aekn, 1 mg ",,,10.0,15.48,34
APC,860,"I131 iodobenguate, dx ",,,905.36,1400.92,34
APC,861,"I125 serum albumin, dx ",,,445.61,689.52,34
APC,862,Cr51 chromate ,,,1822.06,2819.4,34
APC,863,"I125 iothalamate, dx ",,,617.16,954.97,34
APC,864,Mitoxantrone hydrochl ,,,28.22,43.66,34
APC,865,"Inj, hercessi, 10 mg ",,,30.84,47.72,34
APC,866,"Inj, sod thiosulfate (hope ",,,0.8,1.23,34
APC,869,"Inj ustekinumab-kfce, 1 mg ",,,3.13,4.84,34
APC,870,Inj. calaspargase pegol-mk ,,,81.5,126.11,34
APC,871,Inj pemetrexed (bluepoint) ,,,10.07,15.58,34
APC,872,"Inj. denosumab-bbdz, 1 mg ",,,26.28,40.67,34
APC,874,Synvisc or synvisc-one ,,,5.72,8.85,34
APC,875,Euflexxa inj per dose ,,,93.23,144.26,34
APC,876,Gallium gozellix 1 millicu ,,,1112.73,1721.81,34
APC,877,Orthovisc inj per dose ,,,95.31,147.49,34
APC,878,Aztreonam/avibactam 10 mg ,,,1.68,2.61,34
APC,879,Inj ceftobipole medocarl 3 ,,,1.04,1.61,34
APC,880,"Hiv prep, inj, lenacapavir ",,,15.28,23.64,34
APC,881,"Hiv prep, oral lenacapavir ",,,589.86,912.74,34
APC,882,Inj glucagon (gvoke) 0.01 ,,,1.71,2.64,34
APC,883,"Inj, ethacrynate sod, 1 mg ",,,11.8,18.26,34
APC,884,"Inj, fosdenopterin, 0.1mg ",,,16.85,26.07,34
APC,885,"Inj, isoniazid, 1 mg ",,,0.29,0.45,34
APC,886,Inj. remestemcel-l-rknd/ t ,,,193476.81,299379.91,34
APC,887,Azathioprine parenteral ,,,242.02,374.49,34
APC,888,"Inj. concizumab-mtci, 0.5 ",,,81.85,126.65,34
APC,889,Injection fitusiran 0.04 m ,,,124.64,192.87,34
APC,890,Lymphocyte immune globulin ,,,5271.51,8156.97,34
APC,891,"Inj, denosumab-bmwo, 1 mg ",,,24.68,38.19,34
APC,892,"Inj, denosumab-bnht, 1 mg ",,,27.38,42.36,34
APC,893,"Inj, nipocalimab-aahu, 3 m ",,,30.94,47.87,34
APC,894,Telisotuzumab vedotin-tllv ,,,138.76,214.71,34
APC,895,Inj ustekinumab-aauz 1 mg ,,,12.5,19.34,34
APC,896,"Inj, carboprost, 0.1 mg ",,,15.56,24.07,34
APC,897,"Revakinagene, per implant ",,,248500.71,384522.16,34
APC,898,Inj meloxicam (azurity) 1m ,,,1.01,1.56,34
APC,900,"Inj, liothyronine, 1 mcg ",,,38.12,58.98,34
APC,9002,Tenecteplase injection ,,,206.55,319.61,34
APC,9003,Rsv mab im 50mg ,,,414.91,642.02,34
APC,9004,"Injection, inclisiran, 1 m ",,,12.26,18.97,34
APC,9006,Tacrolimus injection ,,,254.77,394.22,34
APC,9007,Inj cutaquig 100 mg ,,,13.33,20.62,34
APC,9008,"Inj tezepelumab-ekko, 1mg ",,,17.02,26.34,34
APC,9009,"Inj, vutrisiran, 1 mg ",,,4761.97,7368.52,34
APC,901,Alpha 1 proteinase inhibit ,,,4.88,7.55,34
APC,9010,Inj efgartigimod 2mg ,,,30.93,47.85,34
APC,9013,Inj risankizumab-rzaaÂ1 m ,,,13.8,21.36,34
APC,9014,"Inj., cerliponase alfa 1 m ",,,117.21,181.37,34
APC,9016,"Inj., triptorelin xr 3.75 ",,,3628.94,5615.3,34
APC,9017,"Inj. byooviz, 0.1 mg ",,,228.92,354.23,34
APC,9018,"Inj, rimabotulinumtoxinB ",,,12.62,19.53,34
APC,902,"Injection,onabotulinumtoxi ",,,6.18,9.56,34
APC,9020,Argatroban nonesrd (accord ,,,1.72,2.67,34
APC,9025,"Inj glucagon hcl, freseniu ",,,122.82,190.04,34
APC,9026,"Inj, bortezomib, dr. reddy ",,,3.29,5.09,34
APC,9027,"Inj, bortezomib freseniusk ",,,6.62,10.25,34
APC,9028,Inj inotuzumab ozogam 0.1 ,,,2729.45,4223.46,34
APC,9029,"Inj., guselkumab, 1 mg ",,,63.57,98.37,34
APC,903,Cytomegalovirus imm IV /vi ,,,1765.88,2732.47,34
APC,9031,"Inj, etelcalcetide, 0.1 mg ",,,2.34,3.63,34
APC,9032,Baclofen 10 MG injection ,,,176.8,273.58,34
APC,9033,Cidofovir injection ,,,508.95,787.53,34
APC,9034,"Inj cuvitru, 100 mg ",,,17.24,26.68,34
APC,9035,Axicabtagene ciloleucel ca ,,,534375.85,826876.32,34
APC,9036,"Injection, renflexis ",,,25.28,39.12,34
APC,9038,Inj estrogen conjugate ,,,381.43,590.21,34
APC,904,Testosterone pellet 75 mg ,,,69.16,107.01,34
APC,9042,Glucagon hydrochloride ,,,111.46,172.48,34
APC,9043,"Inj, afstyla, 1 i.u. ",,,1.54,2.38,34
APC,9044,Ibutilide fumarate injecti ,,,167.1,258.56,34
APC,9045,Idursulfase injection ,,,541.54,837.96,34
APC,9046,"Inj., fibryga, 1 mg ",,,1.17,1.81,34
APC,9048,"Inj, alymsys, 10 mg ",,,75.95,117.52,34
APC,905,"Inj, posaconazole, 1 mg ",,,0.32,0.5,34
APC,9050,"Leuprolide inj, camcevi, 1 ",,,39.96,61.83,34
APC,9051,"Inj, lanreotide, (cipla) 1 ",,,19.31,29.89,34
APC,9052,Fluciclovine f-18 ,,,306.16,473.74,34
APC,9053,Fluorodopa f-18 diag per m ,,,812.77,1257.66,34
APC,9054,Lutetium lu 177 vipivotide ,,,253.95,392.95,34
APC,9055,Gallium locametz 1 millicu ,,,344.38,532.88,34
APC,9056,Gallium ga-68 ,,,47.15,72.96,34
APC,9057,Inj nivol relatlimab 3mg/1 ,,,195.24,302.1,34
APC,9059,Vonvendi inj 1 iu vwf:rco ,,,1.72,2.66,34
APC,906,Inj elivaldogene autotemec ,,,3021000.0,4674600.0,34
APC,9063,Rh ig minidose im ,,,76.0,117.6,34
APC,9067,Lutetium lu 177 dotatat th ,,,332.7,514.8,34
APC,9068,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,34
APC,907,"Inj, cyclophos (baxter) 5m ",,,4.17,6.45,34
APC,9070,Inj luxturna 1 billion vec ,,,2916.16,4512.37,34
APC,9071,Capsaicin 8% patch ,,,3.33,5.16,34
APC,9073,Buprenorph xr 100 mg or le ,,,1964.75,3040.19,34
APC,9075,"Inj, kovaltry, 1 i.u. ",,,1.52,2.34,34
APC,9078,Testosterone undecanoate 1 ,,,2.04,3.16,34
APC,9079,"Genvisc 850, inj, 1mg ",,,3.62,5.6,34
APC,908,Topi adm prad zami per tre ,,,3121493.85,4830101.01,34
APC,9087,"Inj, clevidipine, 1 mg ",,,2.7,4.17,34
APC,9088,Peng benzathine/procaine i ,,,18.55,28.7,34
APC,909,Inj gemcitabin (avyxa) 200 ,,,380.32,588.49,34
APC,9094,Radiesse injection ,,,331.73,513.31,34
APC,9095,"Inj, sculptra, 0.5mg ",,,2.05,3.18,34
APC,9097,Inj retacrit non-esrd use ,,,7.57,11.71,34
APC,9099,"Inj fosnetupitant, palonos ",,,478.66,740.66,34
APC,9101,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,34
APC,9102,"Inj, fulvestrant (teva) ",,,39.59,61.25,34
APC,9103,"Inj, fulvestrant (freseniu ",,,25.76,39.85,34
APC,9104,Antithymocyte globuln rabb ,,,1004.9,1554.95,34
APC,9105,Inj pemetrexed (teva) 10mg ,,,10.44,16.15,34
APC,9108,Thyrotropin injection ,,,2050.73,3173.23,34
APC,9109,"Inj, elahere, 1 mg ",,,68.39,105.83,34
APC,911,"Inj pozelimab-bbfg, 1 mg ",,,87.14,134.84,34
APC,9110,"Inj, tremelimumab-actl, 1 ",,,139.55,215.93,34
APC,9111,Inj teclistamab cqyv 0.5 m ,,,33.56,51.92,34
APC,9112,Inj teplizumab mzwv 5 mcg ,,,37.26,57.65,34
APC,9113,Inj olipudase alfa-rpcp 1m ,,,384.7,595.27,34
APC,9114,Inj eflapegrastim-xnst 0.1 ,,,36.63,56.69,34
APC,9115,"Inj, spesolimab-sbzo, 1 mg ",,,62.44,96.62,34
APC,9117,"Inj, cimerli, 0.1 mg ",,,78.4,121.32,34
APC,9118,"Inj, fylnetra, 0.5 mg ",,,99.85,154.51,34
APC,9119,"Inj, pedmark, 100 mg ",,,91.94,142.27,34
APC,912,"Inj, wezlana, iv, 1 mg ",,,2.24,3.46,34
APC,9122,Triptorelin pamoate ,,,443.05,685.56,34
APC,9123,"Inj pemetrexed, hospira 10 ",,,2.8,4.33,34
APC,9125,"Risperidone, long acting ",,,10.55,16.32,34
APC,9126,Natalizumab injection ,,,23.19,35.88,34
APC,9127,Inj pemetrexed (accord) 10 ,,,9.25,14.31,34
APC,9129,"Inj, stimufend, 0.5 mg ",,,136.49,211.2,34
APC,913,Mitomycin intravesical ins ,,,260.62,403.28,34
APC,9130,"Inj, imm glob bivigam, 500 ",,,77.18,119.42,34
APC,9131,"Inj, Ado-trastuzumab Emt 1 ",,,41.44,64.13,34
APC,9132,Prothrombin complex kcentr ,,,1.91,2.96,34
APC,9133,"Rabies ig, im/sc ",,,267.13,413.34,34
APC,9134,"Rabies ig, heat treated ",,,334.82,518.09,34
APC,9135,"Varicella-zoster ig, im ",,,2372.85,3671.67,34
APC,9136,Inj leu acet lutr dpt 7.5 ,,,652.92,1010.31,34
APC,9138,"Inj, hemgenix, per tx dose ",,,3506877.5,5426431.5,34
APC,9139,"Rabies vaccine, im ",,,315.38,488.01,34
APC,914,Ustekinumab-ttwe iv inj 1 ,,,8.12,12.57,34
APC,9140,"Rabies vaccine, id ",,,225.02,348.18,34
APC,9141,Inj onase abepar-xioi trea ,,,2546036.1,3939655.86,34
APC,9142,FecalÂmicrobiota jslm 1 m ,,,62.32,96.44,34
APC,9144,"Inj, panzyga, 500 mg ",,,67.78,104.88,34
APC,9145,"Inj, invega hafyera/trinza ",,,12.6,19.5,34
APC,9146,"Inj, ixinity, 1 i.u. ",,,1.84,2.85,34
APC,9149,"Inj ublituximab-xiiy, 1 mg ",,,68.63,106.19,34
APC,915,"Inj cosibelimab-ipdl, 2 mg ",,,21.16,32.74,34
APC,9150,"Inj mosunetuzumab-axgb, 1 ",,,640.77,991.51,34
APC,9154,"Inj, vivimusta, 1 mg ",,,28.42,43.97,34
APC,9155,Inj lenacapavir (hiv tx) 1 ,,,21.79,33.72,34
APC,9157,"Lecanemab-irmb, for iv inj ",,,1.27,1.97,34
APC,9158,"Inj, pegcetacoplan, 1mg ",,,141.5,218.95,34
APC,9159,"Inj, vegzelma, 10 mg ",,,22.46,34.76,34
APC,916,Inj linvoseltamab-gcpt 1 m ,,,94.34,145.98,34
APC,9166,"Inj, fosaprepitant (teva) ",,,0.03,0.05,34
APC,917,"Inj, carboplatin (avyxa) ",,,4.94,7.65,34
APC,9171,Factor ix idelvion inj ,,,5.23,8.1,34
APC,9173,"Injection, fulphila ",,,63.67,98.53,34
APC,9174,"Inj, durolane 1 mg ",,,5.93,9.17,34
APC,9178,"Inj., meropenem, vaborbact ",,,2.11,3.27,34
APC,9179,"Inj., aristada initio, 1 m ",,,3.29,5.09,34
APC,918,"Inj, jobevne, 10 mg ",,,78.12,120.89,34
APC,9180,"Inj., patisiran, 0.1 mg ",,,95.97,148.51,34
APC,9181,"Inj., perseris, 0.5 mg ",,,11.59,17.94,34
APC,9182,"Inj mogamulizumab-kpkc, 1 ",,,245.61,380.05,34
APC,9183,"Inj., plazomicin, 5 mg ",,,3.34,5.17,34
APC,9186,"Inj., rituximab, 10 mg ",,,69.61,107.72,34
APC,9187,"Injection, burosumab-twza ",,,487.7,754.66,34
APC,9189,"Inj., ibalizumab-uiyk, 10 ",,,75.54,116.88,34
APC,9190,"Inj., vestronidase alfa-vj ",,,276.96,428.56,34
APC,9193,Nivestym ,,,0.31,0.47,34
APC,9194,Tisagenlecleucel car-pos t ,,,581108.54,899189.0,34
APC,9195,"Injection, udenyca 0.5 mg ",,,141.68,219.23,34
APC,9196,"Inj, trivisc 1 mg ",,,2.88,4.46,34
APC,9198,"Inj andexxa, 10 mg ",,,124.61,192.81,34
APC,9199,"Injection, caplacizumab-yh ",,,797.21,1233.58,34
APC,920,Tc99m succimer ,,,626.93,970.1,34
APC,9200,"Inj, remdesivir, 1 mg ",,,7.14,11.04,34
APC,9201,Rabies ig ht&sol human im/ ,,,231.04,357.5,34
APC,9203,Inj cyclophosphamd auromed ,,,0.47,0.72,34
APC,9204,"Inj tisotu vedotin-tftv, 1 ",,,186.31,288.3,34
APC,9205,Inj lon tesirin-lpyl 0.075 ,,,215.28,333.11,34
APC,9206,Inj plasminogen tvmh 1mg ,,,36.5,56.48,34
APC,9208,Agalsidase beta injection ,,,221.08,342.1,34
APC,9209,Laronidase injection ,,,39.41,60.99,34
APC,921,"Inj, tyruko, 1 mg ",,,23.27,36.01,34
APC,9213,Inj. pemetrexed nos 10mg ,,,6.6,10.22,34
APC,9214,Bevacizumab injection ,,,71.08,109.99,34
APC,9215,Cetuximab injection ,,,77.58,120.05,34
APC,9217,Leuprolide acetate suspnsi ,,,152.32,235.7,34
APC,9219,Procainamide hcl injection ,,,280.59,434.18,34
APC,922,Inj onase abepar-brve trea ,,,2531016.6,3916415.16,34
APC,9224,Galsulfase injection ,,,499.67,773.17,34
APC,9225,Fluocinolone acetonide imp ,,,321.86,498.04,34
APC,923,Inj yimmugo 100 mg ,,,22.94,35.49,34
APC,9230,Abatacept injection ,,,43.57,67.41,34
APC,9233,Ranibizumab injection ,,,48.54,75.1,34
APC,9235,Panitumumab injection ,,,173.08,267.82,34
APC,9237,"Inj, lanreotide acetate ",,,35.56,55.02,34
APC,9239,Buprenorphine xr over 100 ,,,1964.75,3040.19,34
APC,924,Inj zopapogene per ther do ,,,115805.0,179193.0,34
APC,9240,"Injection, ixabepilone ",,,132.77,205.44,34
APC,9241,Inj sirolimus prot part 1 ,,,86.48,133.81,34
APC,9243,"Inj, bendamustine hcl, 1mg ",,,2.81,4.35,34
APC,9246,"Inj, abilify asimtufii, 1 ",,,5.88,9.09,34
APC,9247,"Inj, amisulpride, 1 mg ",,,9.09,14.07,34
APC,925,Factor viii ,,,1.18,1.83,34
APC,9250,Inj epcoritamab-bysp 0.16 ,,,55.09,85.25,34
APC,9251,C1 esterase inhibitor inj ,,,63.42,98.13,34
APC,9252,Plerixafor injection ,,,27.06,41.88,34
APC,9253,Temozolomide injection ,,,9.89,15.3,34
APC,9254,Flotufolastat f18 diag 1 m ,,,691.18,1069.51,34
APC,9255,"Inj, invega sustenna, 1 mg ",,,14.66,22.68,34
APC,9256,Dexamethasone intra implan ,,,193.47,299.37,34
APC,9257,"Inj., emicizumab-kxwh 0.5 ",,,55.13,85.31,34
APC,9258,Telavancin injection ,,,7.11,11.0,34
APC,9259,Pralatrexate injection ,,,366.82,567.6,34
APC,926,Gemcitabine intravesical s ,,,69335.03,107286.83,34
APC,9260,Ofatumumab injection ,,,59.12,91.48,34
APC,9262,Inj tofersen intrathec 1 m ,,,156.58,242.28,34
APC,9263,Ecallantide injection ,,,566.15,876.04,34
APC,9264,Tocilizumab injection ,,,5.14,7.95,34
APC,9266,"Inj, uzedy, 1 mg ",,,24.87,38.49,34
APC,9267,"Inj, rezafungin, 1 mg ",,,10.45,16.17,34
APC,9268,Inj. acthar gel to 40 unit ,,,3926.78,6076.17,34
APC,9269,"C-1 esterase, berinert ",,,75.3,116.52,34
APC,927,Factor viii recombinant ,,,1.5,2.32,34
APC,9270,Gammaplex IVIG ,,,62.96,97.42,34
APC,9271,Velaglucerase alfa ,,,373.2,577.48,34
APC,9272,"Inj, denosumab ",,,28.6,44.25,34
APC,9273,Sipuleucel-T auto CD54+ ,,,53135.81,82220.67,34
APC,9274,Crotalidae Poly Immune Fab ,,,1811.56,2803.15,34
APC,9275,"Inj. (ani), up to 40 units ",,,3490.94,5401.78,34
APC,9276,Cabazitaxel injection ,,,222.04,343.58,34
APC,9277,Altuviiio per factor viii ,,,4.4,6.81,34
APC,9278,Incobotulinumtoxin A ,,,5.02,7.77,34
APC,928,Factor ix complex ,,,1.66,2.57,34
APC,9280,"Inj, retifanlimab-dlwr, 1 ",,,29.43,45.54,34
APC,9281,"Injection, pegloticase ",,,3732.87,5776.13,34
APC,9284,Ipilimumab injection ,,,180.91,279.94,34
APC,9285,Inj allopurinol sodium 1 m ,,,3.87,5.99,34
APC,9286,Belatacept injection ,,,3.69,5.71,34
APC,9287,Brentuximab vedotin inj ,,,265.25,410.43,34
APC,929,Anti-inhibitor ,,,2.32,3.6,34
APC,9293,"Injection, glucarpidase ",,,426.65,660.18,34
APC,9294,"Inj, taliglucerase alfa 10 ",,,40.54,62.73,34
APC,9295,"Injection, Carfilzomib, 1 ",,,57.28,88.63,34
APC,9296,"Inj, ziv-aflibercept, 1mg ",,,8.24,12.75,34
APC,9299,Inj. jivi 1 iu ,,,2.62,4.05,34
APC,930,Pembrolizumab 1mg berahyal ,,,30.34,46.95,34
APC,9300,Omalizumab injection ,,,44.26,68.48,34
APC,9301,"Aminolevulinic acid, 10% g ",,,1.76,2.72,34
APC,9302,"Inj daunorubicin, cytarabi ",,,259.24,401.14,34
APC,9304,"Inj., cemiplimab-rwlc, 1 m ",,,28.18,43.61,34
APC,9305,"Inj., lumoxiti, 0.01 mg ",,,22.22,34.39,34
APC,9306,"Inj., tildrakizumab, 1 mg ",,,118.06,182.68,34
APC,9308,Dexametha opth insert 0.1 ,,,85.52,132.33,34
APC,9309,Inj. tagraxofusp-erzs 10 m ,,,339.65,525.56,34
APC,931,Factor IX non-recombinant ,,,1.33,2.06,34
APC,9310,"Inj., emapalumab-lzsg, 1 m ",,,373.14,577.39,34
APC,9311,"Inj., omadacycline, 1 mg ",,,3.98,6.16,34
APC,9312,"Inj., ravulizumab-cwvz 10 ",,,215.57,333.57,34
APC,9313,Inj. belrapzo/bendamustine ,,,11.02,17.05,34
APC,9314,"Inj. herceptin hylecta, 10 ",,,55.43,85.77,34
APC,932,Factor ix recombinant nos ,,,1.77,2.74,34
APC,9320,Carbidopa levodopa ent 100 ,,,232.27,359.41,34
APC,9321,Fosphenytoin inj pe ,,,0.63,0.98,34
APC,9322,Bcg live intravesical 1mg ,,,3.21,4.96,34
APC,9323,Gallium ga-68 dotatoc ,,,3.43,5.31,34
APC,9324,Phenylep ketorolac opth so ,,,91.49,141.57,34
APC,9325,"Inj., eravacycline, 1 mg ",,,1.31,2.03,34
APC,9326,"Inj., lanadelumab-flyo, 1 ",,,83.81,129.68,34
APC,9327,Inj. romosozumab-aqqg 1 mg ,,,12.1,18.72,34
APC,9328,"Inj., yutiq, 0.01 mg ",,,503.39,778.94,34
APC,9329,Inj mvasi 10 mg ,,,23.31,36.06,34
APC,933,"Suzetrigine, orl, 1mg ",,,0.3,0.46,34
APC,9330,"Inj., kanjinti, 10 mg ",,,57.5,88.97,34
APC,9331,"Inj, polatuzumab vedotin 1 ",,,136.43,211.11,34
APC,9335,Oral busulfan ,,,9.61,14.88,34
APC,9336,Inj truxima 10 mg ,,,32.83,50.81,34
APC,9338,"Inj., triluron, 1 mg ",,,9.91,15.33,34
APC,934,"Inj, denosumab-nxxp, 1 mg ",,,14.88,23.02,34
APC,9340,"Inj, brolucizumab-dbll, 1 ",,,341.73,528.78,34
APC,9341,Inj  ogivri 10 mg ,,,30.35,46.96,34
APC,9343,Inj givosiran 0.5 mg ,,,114.87,177.75,34
APC,9345,Inj pegfilgrastim-bmez 0.5 ,,,125.49,194.18,34
APC,9346,Mometasone sinus sinuva ,,,10.78,16.68,34
APC,9347,Inj luspatercept-aamt 0.25 ,,,41.34,63.97,34
APC,9348,"Inj., zirabev, 10 mg ",,,24.59,38.06,34
APC,9349,Inj herzuma 10 mg ,,,52.19,80.76,34
APC,935,"Inj. ferumoxytol, 1 mg ",,,0.38,0.59,34
APC,9350,"Inj., trazimera, 10 mg ",,,12.38,19.16,34
APC,9351,Inj bimatoprost itc imp 1m ,,,203.07,314.22,34
APC,9353,Inj fam-trastu deru-nxki 1 ,,,31.23,48.32,34
APC,9354,Inj recombin esperoct per ,,,2.18,3.38,34
APC,9355,Inj. teprotumumab-trbw 10 ,,,360.9,558.45,34
APC,9357,Inj. eptinezumab-jjmr 1 mg ,,,20.05,31.02,34
APC,9358,Inj xipere 1 mg ,,,45.38,70.22,34
APC,9359,Inj crizanlizumab-tmca 5mg ,,,123.44,191.01,34
APC,936,"Inj, leucovorin cal (avyxa ",,,2.45,3.79,34
APC,9361,Inj. cetirizine hcl 0.5mg ,,,16.3,25.22,34
APC,9364,Inj enfort vedo-ejfv 0.25m ,,,34.83,53.89,34
APC,9367,"Inj ruxience, 10 mg ",,,15.35,23.76,34
APC,937,Inj fosfomycin disodium 20 ,,,0.6,0.92,34
APC,9370,Fluoroestradiol F 18 ,,,437.4,676.82,34
APC,9372,"Inj. xembify, 100 mg ",,,14.48,22.41,34
APC,9374,Mitomycin instillation ,,,313.44,485.01,34
APC,9375,"Inj., evomela, 1 mg ",,,17.14,26.52,34
APC,9376,Sacituzumab govitecan-hziy ,,,35.76,55.33,34
APC,9377,Inj. isatuximab-irfc 10 mg ,,,83.75,129.6,34
APC,9378,"Daratumumab, hyaluronidase ",,,54.2,83.86,34
APC,938,"Narsoplimab-wuug, 1 mg ",,,97.33,150.61,34
APC,9381,"Inj. avsola, 10 mg ",,,29.29,45.32,34
APC,9382,Inj ontruzant 10 mg ,,,19.94,30.85,34
APC,9383,Copper cu 64 dotatate diag ,,,564.57,873.59,34
APC,9385,"Inj., tafasitamab-cxix ",,,13.71,21.21,34
APC,9388,Inj. fe derisomaltose 10 m ,,,20.02,30.98,34
APC,9389,"Inj. lurbinectedin, 0.1 mg ",,,205.15,317.45,34
APC,939,"Inj, qivigy, 100mg ",,,28.11,43.49,34
APC,9390,"Pertuzu, trastuzu, 10 mg ",,,56.9,88.05,34
APC,9391,Brexucabtagene car pos t ,,,484598.71,749852.73,34
APC,9392,Inj. asceniv ,,,483.68,748.43,34
APC,9394,"Inj. inebilizumab-cdon, 1 ",,,485.12,750.66,34
APC,9395,Factor viia recomb sevenfa ,,,2.08,3.23,34
APC,9396,"Afamelanotide implant, 1 m ",,,2796.25,4326.83,34
APC,9398,Covid-19 Vaccine Administr ,,,37.04,57.31,34
APC,9399,"Pneumococcal, Influenza, H ",,,32.87,50.87,34
APC,940,Inj depemokimab-ulaa 1 mg ,,,254.41,393.67,34
APC,9406,"Inj, nyvepria ",,,130.07,201.26,34
APC,9407,"Inj. lumasiran, 0.5 mg ",,,320.13,495.35,34
APC,9408,"Inj. naxitamab-gqgk, 1 mg ",,,650.65,1006.8,34
APC,9409,Gallium ga-68 psma-11 ucsf ,,,522.62,808.69,34
APC,941,Riboflavin epioxa/hd<=2ml ,,,38406.13,59428.42,34
APC,9410,"Gallium ga-68 psma-11, ucl ",,,345.32,534.35,34
APC,9411,"Inj. riabni, 10 mg ",,,17.61,27.24,34
APC,9412,"Injection, casimersen, 10 ",,,157.86,244.27,34
APC,9413,lisocabtagene car pos t ,,,550592.07,851968.78,34
APC,9414,"Inj, cabote rilpivir 2mg 3 ",,,23.43,36.26,34
APC,9415,"Injection, trilaciclib, 1m ",,,5.19,8.03,34
APC,9416,"Inj, evinacumab-dgnb, 5 mg ",,,187.75,290.52,34
APC,9418,"Inj. margetuximab-cmkb, 5 ",,,53.62,82.97,34
APC,9419,Inj fensolvi 0.25 mg ,,,138.05,213.61,34
APC,942,Inj amivantamab 5mg hyalur ,,,38.71,59.89,34
APC,9420,Eptifibatide injection ,,,3.67,5.69,34
APC,9421,"Inj, granisetron, xr, 0.1 ",,,3.06,4.73,34
APC,9422,Idecabtagene vicleucel car ,,,539578.91,834927.37,34
APC,9426,"Inj, cefiderocol, 10 mg ",,,2.42,3.75,34
APC,9427,"Injection, oritavancin 10 ",,,45.04,69.69,34
APC,9428,Inj romidepsin non-lyo 0.1 ,,,31.91,49.37,34
APC,9429,Inj romidepsin lyophil 0.1 ,,,29.18,45.15,34
APC,943,Octagam injection ,,,44.7,69.17,34
APC,9430,"Piflu f-18, dia 1 millicur ",,,329.17,509.34,34
APC,9431,"Inj, dostarlimab-gxly, 10 ",,,238.73,369.41,34
APC,9432,"Inj, amivantamab-vmjw ",,,22.06,34.13,34
APC,9433,Inj aval alfa-nqpt 4mg ,,,79.75,123.4,34
APC,9434,Inj anifrolumab-fnia 1mg ,,,17.58,27.21,34
APC,9436,Inj pegfilgrast ex bio 0.5 ,,,136.07,210.55,34
APC,9437,"Inj, aspara, rylaze, 0.1 m ",,,55.76,86.29,34
APC,9439,"Inj, susvimo 0.1 mg ",,,71.06,109.95,34
APC,944,Gammagard liquid/erc inj ,,,46.84,72.48,34
APC,9440,"Instill, bupivac and melox ",,,0.8,1.25,34
APC,9441,Inj ferric carboxymaltos 1 ,,,1.08,1.66,34
APC,9442,"Inj. pemetrexed, 10 mg ",,,7.59,11.75,34
APC,9443,Gallium illuccix 1 millicu ,,,454.59,703.42,34
APC,9444,"Inj, sutimlimab-jome, 10 m ",,,18.66,28.87,34
APC,9445,"Injection, ruconest ",,,35.94,55.61,34
APC,9446,"Inj, tebentafusp-tebn, 1 m ",,,216.61,335.17,34
APC,9447,"Inj, releuko 1 mcg ",,,0.3,0.46,34
APC,9448,"Oral netupitant, palonoset ",,,450.34,696.84,34
APC,9449,"Injection, blinatumomab ",,,164.25,254.16,34
APC,9450,Fluocinol acet intravit im ,,,490.59,759.12,34
APC,9451,"Injection, peramivir ",,,1.59,2.47,34
APC,9452,Inj ceftolozane tazobactam ,,,9.54,14.76,34
APC,9453,"Injection, nivolumab ",,,32.51,50.31,34
APC,9454,"Inj, pasireotide long acti ",,,585.87,906.56,34
APC,9455,"Injection, siltuximab ",,,165.36,255.88,34
APC,9456,"Injection, isavuconazonium ",,,0.97,1.51,34
APC,9458,Florbetaben f18 diagnostic ,,,1505.44,2329.46,34
APC,9459,Flutemetamol f18 diagnosti ,,,1846.81,2857.69,34
APC,946,Hepagam b im injection ,,,62.33,96.45,34
APC,9460,"Injection, cangrelor ",,,19.26,29.8,34
APC,9461,Choline c-11 ,,,2390.61,3699.15,34
APC,9463,"Inj., aprepitant, 1 mg ",,,1.51,2.34,34
APC,9466,"Inj., benralizumab, 1 mg ",,,157.28,243.38,34
APC,9467,"Inj rituximab, hyaluronida ",,,34.57,53.49,34
APC,9468,Factor ix recomb gly rebin ,,,4.44,6.87,34
APC,9469,Inj triamcinolone ace xr 1 ,,,18.32,28.34,34
APC,947,Flebogamma injection ,,,86.2,133.39,34
APC,9470,Aripirazole lauroxil 1 mg ,,,3.38,5.23,34
APC,9471,"Hyaluronan, hymo or hymo o ",,,17.22,26.65,34
APC,9472,Inj talimogene laherparepv ,,,73.47,113.69,34
APC,9473,"Injection, mepolizumab, 1m ",,,30.67,47.45,34
APC,9474,Inj irinotecan liposome 1 ,,,62.57,96.82,34
APC,9475,"Injection, necitumumab, 1 ",,,5.44,8.42,34
APC,9476,"Injection, daratumumab 10 ",,,70.08,108.44,34
APC,9477,"Injection, elotuzumab, 1mg ",,,7.78,12.04,34
APC,9478,Inj sebelipase alfa 1 mg ,,,512.62,793.21,34
APC,948,Gamunex-C/Gammaked ,,,46.56,72.05,34
APC,9480,Injection trabectedin 0.1m ,,,389.96,603.4,34
APC,9481,"Injection, reslizumab ",,,11.14,17.24,34
APC,9483,"Inj, atezolizumab,10 mg ",,,91.72,141.92,34
APC,9484,"Inj, eteplirsen, 10 mg ",,,159.05,246.11,34
APC,9487,"Ustekinumab, iv inject,1 m ",,,10.79,16.69,34
APC,9489,"Inj, nusinersen, 0.1mg ",,,1266.78,1960.17,34
APC,949,"Inj, denosumab-qbde, 1 mg ",,,3.91,6.06,34
APC,9490,"Inj, bezlotoxumab, 10 mg ",,,37.83,58.54,34
APC,9491,"Injection, avelumab, 10 mg ",,,103.2,159.69,34
APC,9492,"Inj., durvalumab, 10 mg ",,,83.55,129.29,34
APC,9493,"Injection, edaravone, 1 mg ",,,6.14,9.5,34
APC,9494,"Injection, ocrelizumab ",,,57.92,89.63,34
APC,9495,Gemtuzumab ozogamicin inj ,,,235.0,363.63,34
APC,9496,"Inj, faricimab-svoa, 0.1mg ",,,30.76,47.6,34
APC,9498,Ciltacabtagene car-pos t ,,,558578.91,864327.37,34
APC,950,"Inj, tocilizumab-anoh, 1 m ",,,4.46,6.9,34
APC,9500,"Platelets, irradiated ",,,373.32,577.67,34
APC,9501,Platelet pheres leukoreduc ,,,486.01,752.04,34
APC,9502,Platelet pheresis irradiat ,,,901.67,1395.22,34
APC,9503,Fr frz plasma donor retest ,,,50.59,78.28,34
APC,9504,RBC deglycerolized ,,,297.35,460.11,34
APC,9505,RBC irradiated ,,,137.96,213.47,34
APC,9507,"Platelets, pheresis ",,,293.51,454.17,34
APC,9508,Plasma 1 donor frz w/in 8 ,,,81.68,126.39,34
APC,9509,"Frozen plasma, pooled, sd ",,,53.16,82.26,34
APC,951,"Inj, denosumab-kyqq, 1 mg ",,,13.3,20.58,34
APC,9510,Whole blood for transfusio ,,,180.35,279.06,34
APC,9511,Cryoprecipitate each unit ,,,68.35,105.77,34
APC,9512,RBC leukocytes reduced ,,,175.66,271.82,34
APC,9513,"Plasma, frz between 8-24ho ",,,70.08,108.44,34
APC,9514,"Plasma protein fract,5%,50 ",,,7.7,11.92,34
APC,9515,"Platelets, each unit ",,,50.51,78.16,34
APC,9516,Plaelet rich plasma unit ,,,531.8,822.89,34
APC,9517,Red blood cells unit ,,,143.04,221.34,34
APC,9518,Washed red blood cells uni ,,,350.15,541.81,34
APC,9519,"Plasmaprotein fract,5%,250 ",,,33.55,51.92,34
APC,952,"Inj ustekinumab-srlf, 1 mg ",,,10.97,16.98,34
APC,9520,Blood split unit ,,,148.05,229.08,34
APC,9521,Platelets leukoreduced irr ,,,180.11,278.7,34
APC,9522,RBC leukoreduced irradiate ,,,252.14,390.15,34
APC,9523,Cryoprecipitatereducedplas ,,,125.45,194.11,34
APC,9524,"Blood, l/r, cmv-neg ",,,144.0,222.82,34
APC,9525,"Platelets, hla-m, l/r, uni ",,,672.66,1040.85,34
APC,9526,Platelets leukocytes reduc ,,,137.05,212.06,34
APC,9527,"Blood, l/r, froz/degly/was ",,,251.93,389.83,34
APC,9528,"Plt, aph/pher, l/r, cmv-ne ",,,237.97,368.22,34
APC,9529,"Blood, l/r, irradiated ",,,80.32,124.29,34
APC,953,Ibuprofen injection ,,,3.09,4.78,34
APC,9530,Plate pheres leukoredu irr ,,,646.58,1000.5,34
APC,9531,"Plt, pher, l/r cmv-neg, ir ",,,478.28,740.07,34
APC,9532,"RBC, frz/deg/wsh, l/r, irr ",,,401.56,621.35,34
APC,9533,"RBC, l/r, cmv-neg, irrad ",,,236.93,366.62,34
APC,9534,Pathogen reduced plasma po ,,,52.99,82.0,34
APC,9535,Pathogen reduced plasma si ,,,279.76,432.89,34
APC,9536,Platelets pheresis path re ,,,577.06,892.92,34
APC,9537,Blood component/product no ,,,33.55,51.92,34
APC,9538,Plasma cryo redu path each ,,,127.07,196.63,34
APC,9539,Cryo fib comp path redu ea ,,,521.82,807.44,34
APC,9540,Covid-19 convalescent plas ,,,646.03,999.64,34
APC,9541,Rbc o2 co2 reduced ,,,486.01,752.04,34
APC,957,Inj belantamab mafodot blm ,,,34.44,53.29,34
APC,961,"Albumin (human),5%, 50ml ",,,10.09,15.61,34
APC,963,"Albumin (human), 5%, 250 m ",,,50.43,78.03,34
APC,964,"Albumin (human), 25%, 20 m ",,,20.26,31.36,34
APC,965,"Albumin (human), 25%, 50ml ",,,50.66,78.39,34
CDM,100343,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",423.16,423.16,33.02,220.11,49
CDM,100343,F5 GENE LEIDEN VARIANT,423.16,423.16,77.9,423.16,28
CDM,100345,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",4114.12,4114.12,250.47,2817.55,49
CDM,100345,CFTR COMMON VARIANTS,4114.12,4114.12,757.41,4114.12,28
CDM,100347,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",449.94,449.94,29.56,197.07,49
CDM,100347,F2 GENE 20210G>A VARIANT,449.94,449.94,82.83,449.94,28
CDM,100349,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",965.55,965.55,29.41,196.08,49
CDM,100349,HFE COM VAR C282Y H63D,965.55,965.55,177.76,965.55,28
CDM,100351,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",2574.0,2574.0,41.25,274.98,49
CDM,100351,JAK2 V617F VARIANT,2574.0,2574.0,473.87,2574.0,28
CDM,100353,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",905.91,905.91,29.4,196.02,49
CDM,100353,MTHFR COMMON VARIANTS,905.91,905.91,166.78,905.91,28
CDM,100358,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",1809.0,1809.0,65.18,434.52,49
CDM,100358,BCR/ABL1 MINOR BREAKPT,1809.0,1809.0,333.04,1809.0,28
CDM,100365,PML/RARA COMMON BREAKPT,2807.26,2807.26,516.82,2807.26,28
CDM,100365,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",2807.26,2807.26,93.29,621.93,49
CDM,100367,CHIMERISM W/OUT CELL SEL,983.39,983.39,181.04,983.39,28
CDM,100367,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",983.39,983.39,93.36,622.38,49
CDM,100368,CHIMERISM W/ CELL SELECT,1160.0,1160.0,213.56,1160.0,28
CDM,100368,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",1160.0,1160.0,117.36,782.37,49
CDM,100374,HLA 1&2 TYPE VERIFY LR,983.39,983.39,181.04,983.39,28
CDM,100374,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",983.39,983.39,109.68,1213.56,49
CDM,100375,HLA 1 TYPING COMPLETE HR,2580.75,2580.75,475.12,2580.75,28
CDM,100375,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",2580.75,2580.75,150.92,1006.14,49
CDM,100376,HLA 1 TYPING COMPLETE LR,1230.76,1230.76,226.58,1230.76,28
CDM,100376,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",1230.76,1230.76,149.9,1210.77,49
CDM,100377,HLA 2 TYPE 1 LOCUS HR EA,983.39,983.39,181.04,983.39,28
CDM,100377,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",983.39,983.39,55.66,481.33,49
CDM,100381,T VULGARIS,140.06,140.06,25.79,140.06,28
CDM,100382,T SACCHARI,140.06,140.06,25.79,140.06,28
CDM,100437,C-TELOPEPTIDE CTX,280.0,280.0,51.55,280.0,28
CDM,100445,HLA 1 TYP 1 AG EQV LR EA,315.9,315.9,58.16,315.9,28
CDM,100445,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",315.9,315.9,33.45,288.8,49
CDM,100624,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",992.35,992.35,25.67,288.8,49
CDM,100624,FMR1 DETECT ABN ALLELES,992.35,992.35,182.69,992.35,28
CDM,100652,HLA CLASS 2 TYPING LR,678.63,678.63,124.94,678.63,28
CDM,100652,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",678.63,678.63,99.33,662.22,49
CDM,100663,ONDANSETRON 8 MG PO,851.01,851.01,127.65,851.01,28
CDM,100664,CYSTATIN C,190.71,190.71,35.11,190.71,28
CDM,100664,Cystatin C ,190.71,190.71,8.33,55.56,50
CDM,100668,ONDANSETRON 4 MG PO,615.0,615.0,92.25,615.0,28
CDM,100671,GRANISETRON HCL 1 MG PO,1073.68,1073.68,161.05,1073.68,28
CDM,100671,"Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) ",1073.68,1073.68,3.91,4.4,2
CDM,100693,Antibody; HIV-1 ,175.0,175.0,4.0,50.69,52
CDM,100693,HIV-1 AB QUAL,175.0,175.0,32.22,175.0,28
CDM,100695,Antibody; HIV-2 ,175.0,175.0,6.08,61.82,50
CDM,100695,HIV-2 AB QUAL,175.0,175.0,32.22,175.0,28
CDM,100704,CARNITINE TOT & FREE QN,281.0,281.0,51.73,281.0,28
CDM,100704,"Carnitine (total and free), quantitative, each specimen ",281.0,281.0,7.59,50.61,50
CDM,100718,PROCALCITONIN PCT,2607.6,2607.6,480.06,2607.6,28
CDM,100718,Procalcitonin (PCT) ,2607.6,2607.6,12.25,81.66,50
CDM,100720,CALPROTECTIN FECAL,2574.78,2574.78,474.02,2574.78,28
CDM,100720,"Calprotectin, fecal ",2574.78,2574.78,8.83,64.39,50
CDM,100722,RUSSELL VIPER DILUTED,1150.32,1150.32,211.77,1150.32,28
CDM,100722,Russell viper venom time (includes venom); diluted ,1150.32,1150.32,4.31,57.16,50
CDM,100724,HIV 1 RNA QN,4435.0,4435.0,816.48,4435.0,28
CDM,100724,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",4435.0,4435.0,38.3,255.3,50
CDM,100742,CAFFEINE QN,116.18,116.18,21.39,116.18,28
CDM,100742,Caffeine ,116.18,116.18,17.36,115.71,50
CDM,100744,CLOZAPINE QN,891.04,891.04,164.04,891.04,28
CDM,100744,Clozapine ,891.04,891.04,9.07,60.45,50
CDM,100746,EVEROLIMUS QN,1919.92,1919.92,353.46,1919.92,28
CDM,100746,Everolimus ,1919.92,1919.92,6.18,118.73,50
CDM,100748,GABAPENTIN NEURONTIN QN,2416.81,2416.81,444.93,2416.81,28
CDM,100748,"Gabapentin, whole blood, serum, or plasma ",2416.81,2416.81,9.75,65.01,50
CDM,100750,LAMOTRIGINE LAMICTAL QN,1233.74,1233.74,227.13,1233.74,28
CDM,100750,Lamotrigine ,1233.74,1233.74,5.96,42.48,50
CDM,100752,LEVETIRACETAM QN,1087.72,1087.72,200.25,1087.72,28
CDM,100752,Levetiracetam ,1087.72,1087.72,5.96,42.48,50
CDM,100754,OXCARBAZEPINE QN,911.89,911.89,167.88,911.89,28
CDM,100754,Oxcarbazepine ,911.89,911.89,5.96,42.48,50
CDM,100756,ZONISAMIDE ZONEGRAN QN,321.83,321.83,59.25,321.83,28
CDM,100756,Zonisamide ,321.83,321.83,5.96,42.48,50
CDM,100762,VERY LONG CHAIN FATTY AC,2559.91,2559.91,471.28,2559.91,28
CDM,100762,Very long chain fatty acids ,2559.91,2559.91,8.89,91.01,50
CDM,100774,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,5030.38,5030.38,5.19,34.59,50
CDM,100774,NEUROMYELIT OPT AB IA QN,5030.38,5030.38,926.09,5030.38,28
CDM,100778,NMDA RECEPTOR AB TIT FA,7170.11,7170.11,1320.02,7170.11,28
CDM,100779,NMDA RECEPTOR NR1 IFA,4422.45,4422.45,814.17,4422.45,28
CDM,100784,ALK PHOS BONE SPECIFIC,357.56,357.56,65.83,357.56,28
CDM,100788,TB TEST CMIA EGIP T-CELL,733.06,733.06,134.96,733.06,28
CDM,100788,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",733.06,733.06,45.0,300.0,50
CDM,100790,"Antibody; herpes simplex, type 1 ",220.0,220.0,5.94,46.41,50
CDM,100790,HERPES SIMPLEX 1 AB IGG,220.0,220.0,40.5,220.0,28
CDM,100792,"Antibody; herpes simplex, type 2 ",232.0,232.0,8.71,62.83,50
CDM,100792,HERPES SIMPLEX 2 AB IGG,232.0,232.0,42.71,232.0,28
CDM,100800,BILIRUBIN TOT FL,336.0,336.0,61.86,336.0,28
CDM,100856,CHIKUNGUNYA AB IGG,1266.52,1266.52,233.17,1266.52,28
CDM,100857,CHIKUNGUNYA AB IGM,1266.52,1266.52,233.17,1266.52,28
CDM,100863,APOE GENOTYPING,4753.24,4753.24,875.07,4753.24,28
CDM,100865,PORPHYRINS UR QN + FRACT,128.0,128.0,23.56,128.0,28
CDM,100865,"Porphyrins, urine; quantitation and fractionation ",128.0,128.0,6.62,78.93,50
CDM,100871,VEGF IA QN,2679.11,2679.11,493.22,2679.11,28
CDM,100892,TESTOSTERONE BIOAVAL D M,640.71,640.71,117.95,640.71,28
CDM,100892,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",640.71,640.71,23.08,170.34,50
CDM,100894,IHC AB STAIN EA ADD,604.95,604.95,90.74,604.95,37
CDM,100894,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",604.95,604.95,40.96,138.58,12
CDM,100895,IHC AB STAIN,604.95,604.95,102.84,604.95,33
CDM,100895,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",604.95,604.95,13.5,157.73,15
CDM,100896,IHC EA MULTIPLEX AB PROC,604.95,604.95,102.84,604.95,33
CDM,100896,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",604.95,604.95,68.9,270.89,12
CDM,100899,TISS CULT CHROM BLD NM,1980.0,1980.0,364.52,1980.0,28
CDM,100899,Tissue culture for non-neoplastic disorders; lymphocyte ,1980.0,1980.0,52.42,456.74,50
CDM,100900,CHROM & KARY 15-20 2 KAR,1788.0,1788.0,329.17,1788.0,28
CDM,100900,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",1788.0,1788.0,56.47,642.68,50
CDM,100902,CHROM ADDTL KARYOTYPE,1788.0,1788.0,329.17,1788.0,28
CDM,100902,"Chromosome analysis; additional karyotypes, each study ",1788.0,1788.0,15.06,456.74,50
CDM,100908,CHROMIUM,831.0,831.0,152.99,831.0,28
CDM,100908,Chromium ,831.0,831.0,9.13,93.23,50
CDM,100909,COBALT QN,831.0,831.0,152.99,831.0,28
CDM,100909,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",831.0,831.0,9.88,95.02,50
CDM,100914,DONOR HLA 1 TYPING COMP,1080.63,1080.63,162.09,1080.63,42
CDM,100915,DONOR HLA 2 TYPE 1 LOCUS,713.22,713.22,106.98,713.22,42
CDM,100917,DONOR HLA 1&2 VERIFY,864.51,864.51,129.68,864.51,42
CDM,100924,IODINE MS QN EACH SPEC,655.0,655.0,120.59,655.0,28
CDM,100924,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",655.0,655.0,10.85,91.01,50
CDM,100933,BORRELIA BURGDORFERI AMP,750.98,750.98,138.26,750.98,28
CDM,100933,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",750.98,750.98,15.79,176.84,50
CDM,100949,HOMOVANILLIC ACID UR,120.0,120.0,22.09,120.0,28
CDM,100949,Homovanillic acid (HVA) ,120.0,120.0,10.08,109.76,50
CDM,100954,VMA URINE,53.0,53.0,9.76,53.0,28
CDM,100954,"Vanillylmandelic acid (VMA), urine ",53.0,53.0,6.98,81.27,50
CDM,101008,BETA2 TRNSFER OTH FLD IF,917.84,917.84,168.97,917.84,28
CDM,101012,ECHINOCOCCUS AB,1066.82,1066.82,196.4,1066.82,28
CDM,101013,ADENOVIRUS AMP QN,1007.24,1007.24,185.43,1007.24,28
CDM,101018,BORD PERTUSSIS AMP PR,1222.0,1222.0,224.97,1222.0,28
CDM,101022,LIGHT CHAINS KAP FREE,157.92,157.92,29.07,157.92,28
CDM,101023,LIGHT CHAINS LAM FREE,157.92,157.92,29.07,157.92,28
CDM,101028,ANGIOTENSIN CONV ENZ CSF,345.67,345.67,63.64,345.67,28
CDM,101029,HBSAG NEUTRALIZATION EIA,111.0,111.0,20.44,111.0,28
CDM,101029,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",111.0,111.0,4.65,30.99,50
CDM,101032,BETA 2 GLYCOPROT1 AB IGA,244.12,244.12,44.94,244.12,28
CDM,101033,BETA 2 GLYCOPROT1 AB IGM,244.12,244.12,44.94,244.12,28
CDM,101034,BETA 2 GLYCOPROT1 AB IGG,244.12,244.12,44.94,244.12,28
CDM,101039,B CELLS TOTAL COUNT,777.77,777.77,143.19,777.77,28
CDM,101039,"B cells, total count ",777.77,777.77,16.98,123.75,50
CDM,101042,NK CELLS TOTAL CT,777.77,777.77,143.19,777.77,28
CDM,101042,"Natural killer (NK) cells, total count ",777.77,777.77,16.98,123.75,50
CDM,101043,T CELLS TOTAL,777.77,777.77,143.19,777.77,28
CDM,101043,T cells; total count ,777.77,777.77,16.98,228.69,50
CDM,101046,PLT AGGREGATE P2Y12,1099.62,1099.62,202.44,1099.62,28
CDM,101047,BABESIOSIS IGG AB,378.47,378.47,69.68,378.47,28
CDM,101048,BABESIOSIS IGM AB,378.47,378.47,69.68,378.47,28
CDM,101059,HTLV 1 2 AB QL,1249.0,1249.0,229.94,1249.0,28
CDM,101064,DONOR HIV-1/HCV/HBV NAT,1299.32,1299.32,239.2,1299.32,28
CDM,101065,RA QN FL,50.62,50.62,9.32,50.62,28
CDM,101067,VITAMIN K,685.38,685.38,126.18,685.38,28
CDM,101067,Vitamin K ,685.38,685.38,6.17,77.74,50
CDM,101072,PLASMA CRYO REDUCED,358.06,358.06,60.87,358.06,35
CDM,101075,ORGANIC ACIDS TOTAL QN,1171.15,1171.15,215.61,1171.15,28
CDM,101075,"Organic acids; total, quantitative, each specimen ",1171.15,1171.15,10.62,72.42,50
CDM,101076,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",244.12,244.12,2.57,25.84,50
CDM,101076,INDIRECT COOMBS QL EA,244.12,244.12,44.94,244.12,28
CDM,101078,LYMPH TRANSFORM,1925.13,1925.13,354.42,1925.13,28
CDM,101078,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",1925.13,1925.13,22.06,228.69,50
CDM,101106,SACCHAROMYCES AB IGG,119.18,119.18,21.94,119.18,28
CDM,101107,SACCHAROMYCES AB IGA,119.18,119.18,21.94,119.18,28
CDM,101115,TB GAMMA INTERFERON RESP,384.42,384.42,70.77,384.42,28
CDM,101115,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",384.42,384.42,27.89,203.31,50
CDM,101128,ACYLCARNITINES QN EA SP,605.0,605.0,111.38,605.0,28
CDM,101128,"Acylcarnitines; quantitative, each specimen ",605.0,605.0,7.59,50.61,50
CDM,101134,ALLO CRYO PRES/STOR THER,7476.0,7476.0,1270.92,7476.0,33
CDM,101135,RBC REMOVE,4726.71,4726.71,803.54,4726.71,33
CDM,101135,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,4726.71,4726.71,1418.0,2550.0,5
CDM,101136,ALLO PLASMA VOL DEP,2453.45,2453.45,417.09,2453.45,33
CDM,101136,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,2453.45,2453.45,1418.0,2550.0,5
CDM,101137,ALLO CRYO PRES/STOR THER,7476.0,7476.0,1270.92,7476.0,33
CDM,101146,STRONGYLOIDES AB QL IGG,545.33,545.33,100.4,545.33,28
CDM,101163,SJOGRENS A AB (SSA),104.29,104.29,19.2,104.29,28
CDM,101164,SJOGRENS B AB (SSB),104.29,104.29,19.2,104.29,28
CDM,101177,Antibody; Coccidioides ,294.0,294.0,5.16,61.27,50
CDM,101177,COCCIDIOID AB QUAL,294.0,294.0,54.13,294.0,28
CDM,101182,T GONDII AMP PROBE,1790.0,1790.0,329.54,1790.0,28
CDM,101192,"Injection, topotecan, 0.1 mg ",5349.93,5349.93,1.21,5.59,6
CDM,101192,TOPOTECAN 4 MG MDV,5349.93,5349.93,802.49,5349.93,27
CDM,101195,AG SC DON BLD REA SER EA,1034.08,1034.08,190.37,1034.08,28
CDM,101195,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",1034.08,1034.08,2.86,19.05,50
CDM,101197,DESOXYCORTICOSTERONE,420.0,420.0,77.32,420.0,28
CDM,101197,"Desoxycorticosterone, 11- ",420.0,420.0,13.94,166.09,50
CDM,101199,THYROTROPIN REC AB QN IA,385.0,385.0,70.88,385.0,28
CDM,101202,VOLUME MEASUREMENT UR,86.41,86.41,15.91,86.41,28
CDM,101202,"Volume measurement for timed collection, each ",86.41,86.41,1.64,14.1,50
CDM,101203,ADMIN HEP B VACCINE,288.56,288.56,49.06,288.56,38
CDM,101205,IGG CSF EA,71.51,71.51,13.16,71.51,28
CDM,101216,SCHISTOSOMA AB QUAL,232.41,232.41,42.79,232.41,28
CDM,101218,ALPHA-FETOPROTEIN FLD QN,512.56,512.56,94.36,512.56,28
CDM,101219,INSULIN LIKE GFBP3 IA QN,522.14,522.14,96.13,522.14,28
CDM,101240,Antibody; histoplasma ,1063.0,1063.0,6.21,71.09,50
CDM,101240,HISTOPLASMA AB QL,1063.0,1063.0,195.7,1063.0,28
CDM,101244,ASPERGILLUS AG EIA,569.18,569.18,104.79,569.18,28
CDM,101244,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",569.18,569.18,5.39,37.6,50
CDM,101245,COCCIDIODES AG EIA QN,569.18,569.18,104.79,569.18,28
CDM,101246,HISTOPLASMA CAPS AG EIA,562.0,562.0,103.46,562.0,28
CDM,101246,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",562.0,562.0,5.96,57.71,50
CDM,101247,BLASTOMYCES AG EIA,569.18,569.18,104.79,569.18,28
CDM,101272,MONTELUKAST 4 MG PO,213.96,213.96,32.09,213.96,42
CDM,101273,OSELTAMIVIR 6MG PO,361.68,361.68,54.25,361.68,42
CDM,101274,PROPRANO 4MG/1ML LIQ PO,54.2,54.2,8.13,54.2,42
CDM,101281,LORATADINE 5 MG PO,52.26,52.26,7.84,52.26,42
CDM,101284,LORAZEPAM 2MG/ML LIQ PO,60.24,60.24,9.04,60.24,42
CDM,101286,CMPD CAPTOPRIL 1MG/MLPO,54.2,54.2,8.13,54.2,39
CDM,101287,BETHANECHOL 5 MG PO,57.25,57.25,8.59,57.25,42
CDM,101289,CMPD CLOPIDOG 5MG/ML PO,274.27,274.27,41.14,274.27,39
CDM,101290,CMPD ACETAZOL 25MG/ML PO,54.2,54.2,8.13,54.2,39
CDM,101343,VECURONIUM 1 MG/ML INJ,271.25,271.25,40.69,271.25,30
CDM,101359,DILTIAZEM 1MG/ML INJ,186.87,186.87,28.03,186.87,29
CDM,101371,ANTITHROMBIN 3 AG,80.45,80.45,14.81,80.45,28
CDM,101371,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",80.45,80.45,4.86,61.33,50
CDM,101372,ACETAMINOPHEN 80 MG PO,12.95,12.95,1.94,12.95,42
CDM,101375,ALPHA-2 ANTIPLASMIN,271.16,271.16,49.92,271.16,28
CDM,101375,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,271.16,271.16,3.47,23.13,50
CDM,101378,LDL CHOLESTEROL NMR BLD,878.0,878.0,161.64,878.0,28
CDM,101378,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",878.0,878.0,15.39,103.52,50
CDM,101418,DENGUE VIRUS AB IGM QL,184.76,184.76,34.01,184.76,28
CDM,101419,DENGUE VIRUS AB IGG QL,184.76,184.76,34.01,184.76,28
CDM,101420,HEPATITIS E AB QL IGM,348.63,348.63,64.18,348.63,28
CDM,101421,PARVOVIRUS IGM,953.0,953.0,175.45,953.0,28
CDM,101422,PARVOVIRUS IGG,953.0,953.0,175.45,953.0,28
CDM,101425,MORPH ANAL CMP INI PROBE,604.95,604.95,102.84,604.95,33
CDM,101425,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",604.95,604.95,84.11,291.26,15
CDM,101426,IHC QN/SQN EA AB COMP,1068.64,1068.64,181.67,1068.64,33
CDM,101426,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",1068.64,1068.64,88.33,291.26,15
CDM,101429,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",1068.64,1068.64,23.5,656.15,15
CDM,101429,TOUCH PREP INITIAL SITE,1068.64,1068.64,181.67,1068.64,33
CDM,101430,FC ADD,482.0,482.0,72.3,482.0,37
CDM,101430,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",482.0,482.0,16.33,51.79,11
CDM,101431,FC 1ST MARK,482.0,482.0,81.94,482.0,33
CDM,101431,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",482.0,482.0,49.27,291.26,11
CDM,101432,DNA CELL CYCLE FC,604.95,604.95,102.84,604.95,33
CDM,101432,"Flow cytometry, cell cycle or DNA analysis ",604.95,604.95,19.82,247.33,15
CDM,101433,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",187.73,187.73,6.62,21.93,15
CDM,101433,FNA ADEQUACY IMM ADDL,187.73,187.73,28.16,187.73,37
CDM,101434,CYTO INSITU HYB 3-5 COMP,1913.18,1913.18,325.24,1913.18,33
CDM,101434,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",1913.18,1913.18,291.26,751.28,15
CDM,101435,CYTO INSITU HYB 3-5 MAN,2397.51,2397.51,407.58,2397.51,33
CDM,101435,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",2397.51,2397.51,149.16,1008.8,15
CDM,101436,MORPH ANAL MAN INI PROBE,1068.64,1068.64,181.67,1068.64,33
CDM,101436,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",1068.64,1068.64,99.54,291.26,15
CDM,101437,HERPES 6 DNA QN,1916.2,1916.2,352.77,1916.2,28
CDM,101437,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",1916.2,1916.2,18.79,218.77,50
CDM,101438,BETA HYDROXYBUTYRATE,232.41,232.41,42.79,232.41,28
CDM,101438,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",232.41,232.41,3.68,48.47,52
CDM,101445,TOXOCARA C AB,250.31,250.31,46.08,250.31,28
CDM,101450,T WHIPPLEI AMP PROBE,2137.0,2137.0,393.42,2137.0,28
CDM,101472,SOLUTION IRR 1.5% 3000CC,231.5,231.5,34.73,231.5,42
CDM,102159,MICRODISSECTION MANUAL,564.0,564.0,84.6,564.0,37
CDM,102159,"Microdissection (ie, sample preparation of microscopically identified target); manual ",564.0,564.0,94.76,343.73,15
CDM,102162,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",1068.0,1068.0,14.38,42.65,15
CDM,102162,TOUCH PREP EA ADD SITE,1068.0,1068.0,160.2,1068.0,37
CDM,102185,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",747.0,747.0,3.48,43.75,50
CDM,102185,KB STAIN (FETAL BLEED),747.0,747.0,137.52,747.0,28
CDM,102220,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",1755.26,1755.26,73.78,491.88,49
CDM,102220,BCR/ABL1 MAJOR BREAKPT,1755.26,1755.26,323.14,1755.26,28
CDM,102221,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",1755.26,1755.26,78.93,526.2,49
CDM,102221,BRAF V600 VARIANTS,1755.26,1755.26,323.14,1755.26,28
CDM,102283,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",1755.26,1755.26,146.06,973.74,49
CDM,102283,EGFR COMMON VARIANTS,1755.26,1755.26,323.14,1755.26,28
CDM,102284,IGH REARRANGE AMPLIFIED,1755.26,1755.26,323.14,1755.26,28
CDM,102284,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",1755.26,1755.26,89.1,716.11,49
CDM,102286,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",1755.26,1755.26,86.96,579.75,49
CDM,102286,KRAS VAR EXN2 CODON12&13,1755.26,1755.26,323.14,1755.26,28
CDM,102287,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",1755.26,1755.26,60.93,626.76,49
CDM,102287,TRB@REARRANGE AMPLIFY,1755.26,1755.26,323.14,1755.26,28
CDM,102288,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",1755.0,1755.0,90.67,604.5,49
CDM,102288,TRG@REARRANGE ABNCLONAL,1755.0,1755.0,323.1,1755.0,28
CDM,102884,CMV DNA QN,1159.26,1159.26,213.42,1159.26,28
CDM,102884,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",1159.26,1159.26,19.28,218.77,50
CDM,102941,ACTIN ASMA AB IGG QN IA,92.37,92.37,17.01,92.37,28
CDM,102941,"Actin (smooth muscle) antibody (ASMA), each ",92.37,92.37,5.42,36.15,50
CDM,102959,CMV AB QL SQN,580.0,580.0,106.78,580.0,28
CDM,102963,RPR QUANT,193.7,193.7,35.66,193.7,28
CDM,102972,CHAGAS SCN EIA,697.32,697.32,128.38,697.32,28
CDM,103077,IMMUNOFIX ELECTRO CSF,119.18,119.18,21.94,119.18,28
CDM,103079,IGM CSF EA,71.51,71.51,13.16,71.51,28
CDM,103084,A-1-ANTITRYPSIN PHENO,80.45,80.45,14.81,80.45,28
CDM,103084,Alpha-1-antitrypsin; phenotype ,80.45,80.45,6.51,190.25,50
CDM,103103,ADAMTS-13,1230.76,1230.76,226.58,1230.76,28
CDM,103103,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",1230.76,1230.76,13.89,92.58,50
CDM,103111,PM SCL (PM1) AB,220.49,220.49,40.59,220.49,28
CDM,103124,MAGNESIUM RBC,119.18,119.18,21.94,119.18,28
CDM,103134,Antibody; Toxoplasma ,995.1,995.1,6.48,122.51,50
CDM,103134,TOXOPLASMA IGG QUAL,995.1,995.1,183.2,995.1,28
CDM,103345,DEF DRUG ALCOHOLS,80.79,80.79,12.12,80.79,39
CDM,103346,NICOTINE BLD,305.85,305.85,45.88,305.85,39
CDM,103355,"Antidepressants, tricyclic and other cyclicals; 1 or 2 ",196.6,196.6,0.01,0.01,2
CDM,103355,DEF DRUG ANTIDEP TRI 1-2,196.6,196.6,29.49,196.6,39
CDM,103357,"Antidepressants, tricyclic and other cyclicals; 6 or more ",130.0,130.0,0.01,0.01,2
CDM,103357,DEF DRUG ANTIDEP TRI 6+,130.0,130.0,19.5,130.0,39
CDM,103375,LORAZEPAM,724.14,724.14,108.62,724.14,39
CDM,103392,NICOTINE URINE,55.0,55.0,8.25,55.0,39
CDM,103488,"Clotting; factor VIII, VW factor, ristocetin cofactor ",924.0,924.0,10.32,119.15,50
CDM,103488,FACTOR 8 RISTOCETIN,924.0,924.0,170.11,924.0,28
CDM,103489,"Clotting; factor VIII, VW factor antigen ",408.22,408.22,10.32,129.1,50
CDM,103489,FACTOR 8 VW AG,408.22,408.22,75.15,408.22,28
CDM,103507,CMV GENOTYPE ANAL,29301.88,29301.88,5394.48,29301.88,28
CDM,103507,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,29301.88,29301.88,115.85,772.35,50
CDM,103516,BUSULFAN MYLERAN QN,3184.98,3184.98,586.35,3184.98,28
CDM,103520,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",3956.06,3956.06,187.55,1331.71,50
CDM,103520,NAT GI MULT 12-25 TARGET,3956.06,3956.06,728.31,3956.06,28
CDM,103529,ALPHA 2 MACRO NEPHELOM,201.45,201.45,37.09,201.45,28
CDM,103529,"Nephelometry, each analyte not elsewhere specified ",201.45,201.45,6.12,46.21,50
CDM,103545,VENIPUNCTURE,61.0,61.0,11.23,61.0,29
CDM,103548,BMP TOTAL CALCIUM,1135.4,1135.4,209.03,1135.4,28
CDM,103549,ELECTROLYTE PANEL,1671.82,1671.82,307.78,1671.82,28
CDM,103550,COMP METABOLIC PANEL,4815.0,4815.0,886.44,4815.0,28
CDM,103552,LIPID PANEL,203.0,203.0,37.37,203.0,28
CDM,103553,RENAL FUNCTION PANEL,1057.93,1057.93,194.76,1057.93,28
CDM,103555,HEPATIC FUNCTION PANEL,2354.26,2354.26,433.42,2354.26,28
CDM,103561,DIGOXIN QN,1284.4,1284.4,236.46,1284.4,28
CDM,103575,PHENYTOIN DILANT TOT QN,1144.35,1144.35,210.67,1144.35,28
CDM,103714,UA W MICRO AUTO,649.63,649.63,119.6,649.63,28
CDM,103717,UA W O MICRO AUTO,649.63,649.63,119.6,649.63,28
CDM,103723,PREG URINE QUAL BY DOO,920.81,920.81,169.52,920.81,28
CDM,103751,ACETONE BLD QL,518.53,518.53,95.46,518.53,28
CDM,103780,AMMONIA,1710.0,1710.0,314.81,1710.0,28
CDM,103782,AMYLASE BLD,920.81,920.81,169.52,920.81,28
CDM,103799,BILIRUBIN TOT BLD,336.0,336.0,61.86,336.0,28
CDM,103800,BILIRUBIN DIRECT,411.21,411.21,75.7,411.21,28
CDM,103803,OCC BLD PEROX OTH SOURCE,452.95,452.95,83.39,452.95,28
CDM,103809,CALCIUM TOTAL,518.53,518.53,95.46,518.53,28
CDM,103816,CARBOXYHEMOGLOBIN QN,1633.06,1633.06,300.65,1633.06,28
CDM,103832,CHOLESTEROL BLD,1773.14,1773.14,326.44,1773.14,28
CDM,103858,CREAT KINASE (CK) TOTAL,959.57,959.57,176.66,959.57,28
CDM,103860,CREATININE BLD,673.5,673.5,123.99,673.5,28
CDM,103919,BG WITH CALC O2 SAT,1633.06,1633.06,300.65,1633.06,28
CDM,103926,GLUCOSE BLD QN,747.0,747.0,137.52,747.0,28
CDM,103953,HEMOGLOBIN A1C,158.22,158.22,29.13,158.22,28
CDM,104033,LACTIC ACID,878.0,878.0,161.64,878.0,28
CDM,104035,LDH (LD),673.5,673.5,123.99,673.5,28
CDM,104044,LIPASE,673.5,673.5,123.99,673.5,28
CDM,104052,MAGNESIUM BLD,959.57,959.57,176.66,959.57,28
CDM,104098,PHOSPHORUS BLD,777.77,777.77,143.19,777.77,28
CDM,104106,POTASSIUM BLD,552.0,552.0,101.62,552.0,28
CDM,104128,MA TA AB WB-BD,2473.45,2473.45,455.36,2473.45,28
CDM,104145,SODIUM BLD,468.0,468.0,86.16,468.0,28
CDM,104169,T4 FREE,1311.21,1311.21,241.39,1311.21,28
CDM,104171,TSH,1880.41,1880.41,346.18,1880.41,28
CDM,104178,TRIGLYCERIDES,774.0,774.0,142.49,774.0,28
CDM,104184,TROPONIN QUANT,881.0,881.0,162.19,881.0,28
CDM,104190,URIC ACID BLD,587.04,587.04,108.07,587.04,28
CDM,104208,HCG BETA QUANTITATIVE,1546.66,1546.66,284.74,1546.66,28
CDM,104210,HCG QUALITATIVE SERUM,843.32,843.32,155.26,843.32,28
CDM,104215,CBC AUTOMATED,628.75,628.75,115.75,628.75,28
CDM,104271,PROTIME,646.0,646.0,118.93,646.0,28
CDM,104276,SED RATE AUTO,649.63,649.63,119.6,649.63,28
CDM,104280,PTT,801.63,801.63,147.58,801.63,28
CDM,104307,C-REACTIVE PROTEIN,747.97,747.97,137.7,747.97,28
CDM,104365,MONO SCR (HETEROPHILE),730.11,730.11,134.41,730.11,28
CDM,104655,SMEAR WET MOUNT,587.0,587.0,108.07,587.0,28
CDM,104679,GIARDIA AG EIA,1394.67,1394.67,256.76,1394.67,28
CDM,104679,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1394.67,1394.67,5.39,37.6,50
CDM,104847,CELL COUNT CSF,891.04,891.04,164.04,891.04,28
CDM,104884,IF PER SPEC EA ADDL AB S,604.95,604.95,90.74,604.95,37
CDM,104884,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",604.95,604.95,39.23,165.1,15
CDM,104900,AGNA-1 AB BY FA,1846.07,1846.07,339.86,1846.07,28
CDM,104903,"Phlebotomy, therapeutic (separate procedure) ",401.94,401.94,20.13,168.97,4
CDM,104903,THERAPEUTIC PHLEB,401.94,401.94,68.33,401.94,37
CDM,104905,METHANOL DOA,335.25,335.25,50.29,335.25,39
CDM,104908,HERPES SIMP DNA QN,1661.44,1661.44,305.87,1661.44,28
CDM,104908,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",1661.44,1661.44,19.28,218.77,50
CDM,104910,ISOPROPYL ALCOHOL DOA,335.25,335.25,50.29,335.25,39
CDM,104918,NEUTRP FNCT OXI BRST NRS,632.92,632.92,116.52,632.92,28
CDM,104922,DRUG TEST DEF 1-7 CLASS,1796.0,1796.0,330.64,1796.0,30
CDM,104922,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",1796.0,1796.0,51.49,343.29,47
CDM,104944,VOLTAGE-GATED C C AB RIA,1450.49,1450.49,267.04,1450.49,28
CDM,104944,"Voltage-gated calcium channel antibody, each ",1450.49,1450.49,5.42,43.21,50
CDM,104945,FACTOR 8 INHIBITOR,795.1,795.1,146.38,795.1,28
CDM,104946,FACTOR 9 INHIBITOR ASSAY,1463.66,1463.66,269.46,1463.66,28
CDM,104965,BASIC METABOLIC CALC ION,1376.79,1376.79,253.47,1376.79,28
CDM,104966,ENTEROVIRUS AMP/REVERS T,3923.0,3923.0,722.22,3923.0,28
CDM,104966,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",3923.0,3923.0,15.79,115.17,50
CDM,104972,PLATELET AB HLA CLASS,264.38,264.38,48.67,264.38,28
CDM,104974,ZINC TRANSP 8 AB QN IA,1630.0,1630.0,300.08,1630.0,28
CDM,104978,ANNA-1 (ANTI-HU) SCR FA,2088.68,2088.68,384.53,2088.68,28
CDM,104979,AMPHIPHYSIN AB FA,2339.0,2339.0,430.61,2339.0,28
CDM,104987,ENCPH WST NIL AB IGM CSF,383.0,383.0,70.51,383.0,28
CDM,104988,ENCPH WST NIL AB IGG CSF,383.0,383.0,70.51,383.0,28
CDM,105000,Antibody; Treponema pallidum ,219.0,219.0,5.96,44.53,52
CDM,105000,TREPONEMA PALLIDUM AB,219.0,219.0,40.32,219.0,28
CDM,105019,VARICELLA ZOSTER DNA QN,3502.3,3502.3,644.77,3502.3,28
CDM,105022,INOMAX PER HOUR INH,1572.64,1572.64,235.9,1572.64,31
CDM,105051,CMV AMP PROBE,1035.0,1035.0,190.54,1035.0,28
CDM,105051,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",1035.0,1035.0,15.79,176.84,50
CDM,105061,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",1356.0,1356.0,74.48,496.53,49
CDM,105061,FLT3 INTERNAL TANDEM DUP,1356.0,1356.0,249.64,1356.0,28
CDM,105062,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",628.12,628.12,37.35,249.0,49
CDM,105062,FLT3 TYROSINE KINASE DOM,628.12,628.12,115.64,628.12,28
CDM,105063,MICROSATELLITE INSTABILI,2975.3,2975.3,547.75,2975.3,28
CDM,105063,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",2975.3,2975.3,156.85,1045.68,49
CDM,105064,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",1862.84,1862.84,60.93,739.56,49
CDM,105064,NPM1 EXON 12 VARIANTS,1862.84,1862.84,342.95,1862.84,28
CDM,105065,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",4526.49,4526.49,149.9,1800.0,49
CDM,105065,PTEN FULL SEQ ANALYSIS,4526.49,4526.49,833.33,4526.49,28
CDM,105067,MORPH ANAL CMP MLP PROBE,2030.68,2030.68,345.22,2030.68,33
CDM,105067,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",2030.68,2030.68,143.07,465.44,12
CDM,105068,MORPH ANAL MAN MLP PROBE,2342.35,2342.35,398.2,2342.35,33
CDM,105068,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",2342.35,2342.35,133.11,652.64,12
CDM,105070,M A IHC QT/SQT EA AB MAN,347.61,347.61,59.09,347.61,33
CDM,105070,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",347.61,347.61,52.36,158.4,15
CDM,105140,PRO-BNP QT,1141.18,1141.18,210.09,1141.18,28
CDM,105141,PRO-BNP QT,1141.18,1141.18,210.09,1141.18,28
CDM,105163,INFLIXIMAB AB QN CLA,1834.09,1834.09,337.66,1834.09,28
CDM,105164,TC99M TILMANOC DX 0.5MCI,1447.44,1447.44,217.12,1447.44,33
CDM,105164,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",1447.44,1447.44,793.88,971.72,3
CDM,105167,LACTOFERRIN FECAL QN,435.92,435.92,80.25,435.92,28
CDM,105167,"Lactoferrin, fecal; quantitative ",435.92,435.92,8.83,64.39,50
CDM,105169,GA68 DOTATATE DX 0.1MCI,487.74,487.74,89.26,487.74,29
CDM,105169,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",487.74,487.74,66.67,131.52,6
CDM,105173,MACRO EXAM PARASITE,362.88,362.88,66.81,362.88,28
CDM,105173,Macroscopic examination; parasite ,362.88,362.88,1.94,13.32,50
CDM,105179,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",1279.0,1279.0,78.66,524.43,47
CDM,105179,TPMT COMMON VARIANTS,1279.0,1279.0,235.46,1279.0,28
CDM,105185,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",3823.01,3823.01,91.08,607.2,47
CDM,105185,HBA1/HBA2 DUP/DEL VARS,3823.01,3823.01,703.82,3823.01,28
CDM,105188,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",3502.3,3502.3,23.09,153.93,50
CDM,105188,ZIKA VIRUS AMP PR ANY SO,3502.3,3502.3,644.77,3502.3,28
CDM,105190,PLATELETS PATH RED EA UN,5545.53,5545.53,942.74,5545.53,36
CDM,105190,"Platelets, pheresis, pathogen-reduced, each unit ",5545.53,5545.53,1094.12,1094.12,6
CDM,105194,APP ONBODY INJ,105.84,105.84,17.99,105.84,38
CDM,105198,HLA CX NONCYTOTOXIC,762.83,762.83,140.44,762.83,28
CDM,105198,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",762.83,762.83,49.27,328.47,52
CDM,105221,OP VISIT LEVEL 5 NP,779.0,779.0,116.85,779.0,34
CDM,105222,OP VISIT LEVEL 4 NP,737.0,737.0,110.55,737.0,34
CDM,105223,OP VISIT LEVEL 3 NP,452.0,452.0,67.8,452.0,34
CDM,105224,OP VISIT LEVEL 2 NP,505.0,505.0,75.75,505.0,34
CDM,105226,OP VISIT LEVEL 5 EST,769.0,769.0,115.35,769.0,34
CDM,105227,OP VISIT LEVEL 4 EST,623.0,623.0,93.45,623.0,34
CDM,105228,OP VISIT LEVEL 3 EST,306.0,306.0,45.9,306.0,34
CDM,105229,APIXABAN (ELIQUIS) QN,1574.12,1574.12,289.8,1574.12,28
CDM,105231,BORDETELL PARAPERTUS AMP,211.92,211.92,39.01,211.92,28
CDM,105238,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",211.92,211.92,15.79,176.84,50
CDM,105238,MYCOPLASMA PNEU AMP PR,211.92,211.92,39.01,211.92,28
CDM,105240,CHLAMYDIA P AMP PROBE,212.0,212.0,39.03,212.0,28
CDM,105240,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",212.0,212.0,15.79,176.84,50
CDM,105242,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",131.19,131.19,15.79,115.17,50
CDM,105242,STAPH AUREUS MRSA AMP,131.19,131.19,24.15,131.19,28
CDM,105253,FINE NDL ASP WUS 1ST LSN,6327.54,6327.54,949.13,6327.54,36
CDM,105254,FINE NDL ASP W US E ADD,3164.2,3164.2,474.63,3164.2,36
CDM,105257,FINE NDL ASP W CT 1ST,6327.54,6327.54,949.13,6327.54,36
CDM,105266,INS/REPL LDLS PPM VENT,63065.2,63065.2,9459.78,63065.2,36
CDM,105267,REM LEADLESS PPM VENT,40610.61,40610.61,6091.59,40610.61,36
CDM,105268,INS SQ CARD RHYTHM MONTR,61423.28,61423.28,9213.49,61423.28,36
CDM,105269,REM SQ CARD RHYTHM MONTR,59274.34,59274.34,8891.15,59274.34,36
CDM,105275,INS PICC WO P W IMG=>5Y,13221.36,13221.36,1983.2,13221.36,36
CDM,105277,INS PICC WO P W IMG=>5Y,13221.36,13221.36,1983.2,13221.36,36
CDM,105285,DIL EX TRACT ENDUR NW AC,28876.71,28876.71,4331.51,28876.71,36
CDM,105287,MRI BREAST WO CONT BI,7934.26,7934.26,1460.7,7934.26,25
CDM,105287,"Magnetic resonance imaging, breast, without contrast material; bilateral ",7934.26,7934.26,179.33,345.67,12
CDM,105289,MRI WO FOL W/CON BRST BI,8624.18,8624.18,1587.71,8624.18,27
CDM,105289,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",8624.18,8624.18,616.1,616.1,3
CDM,105290,CAD MRI BREAST,133.45,133.45,20.02,133.45,31
CDM,105294,LU177 DOTATATE TX 1MCI,800.55,800.55,136.09,800.55,31
CDM,105294,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",800.55,800.55,358.85,847.84,6
CDM,105295,PER CLOS PARA LEAK EA A,27589.68,27589.68,4138.45,27589.68,36
CDM,105296,PER CLOS PARA LEAK AOR,55179.37,55179.37,8276.91,55179.37,36
CDM,105297,PER CLOS PARA LEAK MIT,55179.37,55179.37,8276.91,55179.37,36
CDM,105302,BASIC PHASE 1 SERVICES,872.0,872.0,130.8,872.0,42
CDM,105307,IMP WRLS P-ART PRES SNSR,163305.8,163305.8,24495.87,163305.8,36
CDM,105330,T-CELL CAR-T ADMN INF,1880.24,1880.24,319.64,1880.24,34
CDM,105331,TC EXT VERT ART STNT INI,51850.07,51850.07,7777.51,51850.07,36
CDM,105332,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",605.43,605.43,56.09,373.92,49
CDM,105332,MGMT PROMOTER METHLATED,605.43,605.43,111.46,605.43,28
CDM,105333,VENIPUNCTURE 3+YRS DX/TX,1085.92,1085.92,162.89,1085.92,30
CDM,105333,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",1085.92,1085.92,11.64,3435.0,7
CDM,105335,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",938.43,938.43,86.96,579.75,50
CDM,105335,IDH1 COMMON VARIANTS,938.43,938.43,172.76,938.43,28
CDM,105336,MORPH ANAL MAN EA PROBE,347.12,347.12,52.07,347.12,37
CDM,105336,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",347.12,347.12,43.53,195.89,12
CDM,105337,ISH/FISH EA ADDL PROBE,429.86,429.86,64.48,429.86,37
CDM,105337,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",429.86,429.86,62.8,193.23,12
CDM,105338,TISSUE CULT SKIN SOL BX,758.8,758.8,139.7,758.8,28
CDM,105338,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,758.8,758.8,63.33,456.74,50
CDM,105339,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",143.28,143.28,11.97,83.17,50
CDM,105339,PAP AUTO W MAN RESCN TLP,143.28,143.28,26.38,143.28,28
CDM,105340,Calculus; infrared spectroscopy ,76.09,76.09,5.81,69.27,50
CDM,105340,STONE ANALYSIS INFRARED,76.09,76.09,14.01,76.09,28
CDM,105341,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",23567.45,23567.45,1313.82,8758.8,49
CDM,105341,TGET >51 G SEQ COPYOR RE,23567.45,23567.45,4338.77,23567.45,28
CDM,105342,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",4827.31,4827.31,269.06,1793.73,49
CDM,105342,TRGET 5-50G SEQ COPY/REA,4827.31,4827.31,888.71,4827.31,28
CDM,105343,MOLPATH TIER 2 LEVEL 9,16144.86,16144.86,2972.27,16144.86,28
CDM,105344,MOLPATH TIER 2 LEVEL 7,2284.5,2284.5,420.58,2284.5,28
CDM,105344,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",2284.5,2284.5,127.3,1526.15,49
CDM,105345,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",1596.32,1596.32,148.28,988.53,49
CDM,105345,PDGFRA TARGET GEN SEQAN,1596.32,1596.32,293.88,1596.32,28
CDM,105346,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",1430.84,1430.84,133.11,887.37,49
CDM,105346,NRAS EXON 2&3 VARIANTS,1430.84,1430.84,263.42,1430.84,28
CDM,105347,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",938.43,938.43,86.96,579.75,49
CDM,105347,KRAS ADDL VARS TO EXON 2,938.43,938.43,172.76,938.43,28
CDM,105348,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",1596.32,1596.32,148.28,988.53,49
CDM,105348,KIT TARGET SEQ ANAL GIST,1596.32,1596.32,293.88,1596.32,28
CDM,105349,IGH VAR REG SOMATIC MUT,1586.0,1586.0,291.98,1586.0,28
CDM,105349,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",1586.0,1586.0,132.53,883.56,49
CDM,105350,CYTOGEN MA COPY NO & SNP,17960.45,17960.45,3306.52,17960.45,28
CDM,105350,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",17960.45,17960.45,522.0,6809.07,49
CDM,105351,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",655.0,655.0,54.73,389.02,49
CDM,105351,CALR COMMON VAR IN EXON9,655.0,655.0,120.59,655.0,28
CDM,105352,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",1301.71,1301.71,108.86,773.68,49
CDM,105352,CEBPA FULL GENE SEQ ANAL,1301.71,1301.71,239.64,1301.71,28
CDM,105353,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",1453.04,1453.04,135.0,900.0,50
CDM,105353,ABL1 VARS KINASE DOMAIN,1453.04,1453.04,267.5,1453.04,28
CDM,105354,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",1430.84,1430.84,133.11,887.37,50
CDM,105354,IDH2 COMMON VARIANTS,1430.84,1430.84,263.42,1430.84,28
CDM,105357,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",6457.94,6457.94,341.79,2278.59,49
CDM,105357,TGET SEQ COPY/REA/ISF/MR,6457.94,6457.94,1188.91,6457.94,28
CDM,105358,MOLPATH TIER 2 LEVEL 6,1463.15,1463.15,269.37,1463.15,28
CDM,105358,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",1463.15,1463.15,135.61,1056.58,49
CDM,105359,MOLPATH TIER 2 LEVEL 4,897.0,897.0,165.14,897.0,28
CDM,105359,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",897.0,897.0,83.34,555.6,49
CDM,105360,MOLPATH TIER 2 LEVEL 3,728.53,728.53,134.12,728.53,28
CDM,105360,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",728.53,728.53,67.65,481.33,49
CDM,105366,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",2454.01,2454.01,78.93,526.2,47
CDM,105366,MYD88 GENE L265P VARIANT,2454.01,2454.01,451.78,2454.01,28
CDM,105370,CRYPTOCOCCAL AG IA TIT,133.18,133.18,24.52,133.18,28
CDM,105371,DELAY PLC EXT PROSTH INI,29715.37,29715.37,4457.31,29715.37,36
CDM,105372,INIT ECMO VENO-VENOUS,7131.82,7131.82,1069.77,7131.82,36
CDM,105373,RUBIDIUM RB82 DX 60 MCI,3809.62,3809.62,571.44,3809.62,34
CDM,105373,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",3809.62,3809.62,498.05,1312.65,5
CDM,105374,INJ BLOOD PATCH,4009.0,4009.0,601.35,4009.0,36
CDM,105383,ECHO STRESS W CONT ECG,3930.66,3930.66,668.21,3930.66,36
CDM,105386,ARTERIAL CATH PERCUTAN,2195.64,2195.64,329.35,2195.64,27
CDM,105386,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",2195.64,2195.64,291.0,21331.0,17
CDM,105405,COMPLEMENT FACTOR SC5B-9,643.97,643.97,118.55,643.97,28
CDM,105407,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",201.82,201.82,10.96,58.02,40
CDM,105407,TOMOSYNTHESIS MAMMO DX,201.82,201.82,37.16,201.82,29
CDM,105408,TPVI PERC APRCH,58285.01,58285.01,8742.75,58285.01,36
CDM,105417,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",7640.23,7640.23,102.64,3713.18,13
CDM,105417,PET MYOCARD PER DUAL CT,7640.23,7640.23,1406.57,7640.23,28
CDM,105418,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",6251.36,6251.36,88.0,3038.18,13
CDM,105418,PET MYOCARD PER MTL W CT,6251.36,6251.36,1150.88,6251.36,28
CDM,105419,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",4008.31,4008.31,75.81,2672.0,13
CDM,105419,PET MYOCARD PER SGL W CT,4008.31,4008.31,737.93,4008.31,28
CDM,105420,AB QUANT MYOCARD BF PET,4008.31,4008.31,601.25,4008.31,32
CDM,105420,"Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (List separately in addition to code for primary procedure) ",4008.31,4008.31,29.63,2672.0,10
CDM,105422,MYOCARD STRAIN IMAGE,368.85,368.85,55.33,368.85,42
CDM,105422,Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) ,368.85,368.85,48.45,93.35,3
CDM,105423,SPINE PUNC DX W FLUR CT,2605.49,2605.49,390.82,2605.49,36
CDM,105424,SPINE PUNC TX CSF FLU CT,2605.49,2605.49,390.82,2605.49,36
CDM,105431,COGSKLS DVLMNT INT15M OT,270.65,270.65,46.01,270.65,34
CDM,105434,EEG CONT MIN 8 CHNLS,1375.36,1375.36,233.81,1375.36,37
CDM,105434,"Electroencephalogram (EEG) continuous recording, with video when performed, setup, patient education, and takedown when performed, administered in person by EEG technologist, minimum of 8 channels ",1375.36,1375.36,330.76,637.27,3
CDM,105440,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; unmonitored ",3698.63,3698.63,330.76,637.27,3
CDM,105440,VEEG 2-12 HR UNMONITORED,3698.63,3698.63,628.77,3698.63,37
CDM,105441,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance ",3698.63,3698.63,330.76,637.27,3
CDM,105441,VEEG 2-12 HR W INT MON,3698.63,3698.63,628.77,3698.63,37
CDM,105442,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance ",3698.63,3698.63,634.63,1222.73,3
CDM,105442,VEEG 2-12 HR W CONT MON,3698.63,3698.63,628.77,3698.63,37
CDM,105443,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitored ",3698.63,3698.63,634.63,1222.73,3
CDM,105443,VEEG 12-26 HR UNMONITOR,3698.63,3698.63,628.77,3698.63,37
CDM,105444,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenance ",3698.63,3698.63,634.63,1222.73,3
CDM,105444,VEEG 12-26 W INT MON,3698.63,3698.63,628.77,3698.63,37
CDM,105445,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenance ",3698.63,3698.63,1187.88,2288.65,3
CDM,105445,VEEG 12-26 HR CONT,3698.63,3698.63,628.77,3698.63,37
CDM,105460,"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination) ",2908.99,2908.99,42.2,115.61,10
CDM,105460,XRAY SM INTEST W MLT IMG,2908.99,2908.99,436.35,2908.99,34
CDM,105461,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",2908.99,2908.99,65.53,277.33,15
CDM,105461,XR ESOPH DOUBL CONT,2908.99,2908.99,535.55,2908.99,28
CDM,105462,PERICARD W GUIDANCE,8548.19,8548.19,1282.23,8548.19,36
CDM,105463,PERICARD DRN=>6Y WO CHD,8548.19,8548.19,1282.23,8548.19,36
CDM,105466,INTERART SHUNT IDE,40839.07,40839.07,6125.86,40839.07,36
CDM,105472,INFLIXIMAB,1320.94,1320.94,243.19,1320.94,28
CDM,105472,Infliximab ,1320.94,1320.94,17.36,115.71,50
CDM,105474,LACOSAMIDE,366.92,366.92,67.55,366.92,28
CDM,105474,Lacosamide ,366.92,366.92,12.2,81.33,50
CDM,105475,VORICONAZOLE,880.63,880.63,162.12,880.63,28
CDM,105475,Voriconazole ,880.63,880.63,12.2,81.33,50
CDM,105478,POSACONAZOLE,1137.48,1137.48,209.41,1137.48,28
CDM,105478,Posaconazole ,1137.48,1137.48,12.2,81.33,50
CDM,105481,DEF DRUG FENTANYL,293.0,293.0,43.95,293.0,39
CDM,105481,Fentanyl ,293.0,293.0,0.01,0.01,2
CDM,105485,CRYPTOSPORIDIUM AG EIA,175.82,175.82,32.37,175.82,28
CDM,105485,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",175.82,175.82,6.22,57.71,50
CDM,105489,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",175.82,175.82,5.39,37.19,50
CDM,105489,SHIGA LIKE TOXIN EIA,175.82,175.82,32.37,175.82,28
CDM,105491,C DIFF TOX B NAP1 ST AMP,336.75,336.75,62.0,336.75,28
CDM,105493,INF AGENT CONCENTRATION,148.98,148.98,27.43,148.98,28
CDM,105494,CYCLOSPORA SMEAR FLUOR,131.08,131.08,24.13,131.08,28
CDM,105495,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",220.49,220.49,15.79,112.39,50
CDM,105495,TRICH VAGINALIS AMP PRBE,220.49,220.49,40.59,220.49,28
CDM,105496,NOROVIRUS AMP PROBE,2993.0,2993.0,551.01,2993.0,28
CDM,105499,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,256.28,256.28,5.39,37.19,50
CDM,105499,PNEUMOCYSTIS CARINII IFT,256.28,256.28,47.18,256.28,28
CDM,105505,GC AMP PROBE,758.0,758.0,139.55,758.0,28
CDM,105505,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",758.0,758.0,15.79,176.84,50
CDM,105506,CHLAMYDIA T AMP PROBE,760.0,760.0,139.92,760.0,28
CDM,105506,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",760.0,760.0,15.79,176.84,50
CDM,105508,HPV HIGH RISK TYPES POOL,5274.54,5274.54,971.04,5274.54,28
CDM,105508,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",5274.54,5274.54,15.79,112.13,50
CDM,105514,CULT VARICELLA ZOSTER,340.19,340.19,62.63,340.19,28
CDM,105521,HERPES SIMP AMP PROBE,171.4,171.4,31.55,171.4,28
CDM,105521,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",171.4,171.4,15.79,176.84,50
CDM,105522,CULT TYPING AMP PROBE,108.0,108.0,19.88,108.0,28
CDM,105522,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",108.0,108.0,15.79,118.03,52
CDM,105523,SUSC MACROBROTH EA AGENT,567.0,567.0,104.38,567.0,28
CDM,105523,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",567.0,567.0,2.99,37.63,50
CDM,105524,CULT TYPING SEQ EA ISO,2179.55,2179.55,401.26,2179.55,28
CDM,105524,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",2179.55,2179.55,51.91,387.92,52
CDM,105525,AFB IDENTIFICATION,151.0,151.0,27.8,151.0,28
CDM,105525,"Culture, mycobacterial, definitive identification, each isolate ",151.0,151.0,6.57,61.33,50
CDM,105526,ANAEROBIC ORG ID,50.47,50.47,9.29,50.47,28
CDM,105526,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",50.47,50.47,3.64,73.06,50
CDM,105527,"Culture, fungi, definitive identification, each organism; mold ",50.0,50.0,4.64,33.5,50
CDM,105527,MOLD ID,50.0,50.0,9.21,50.0,28
CDM,105528,"Culture, fungi, definitive identification, each organism; yeast ",50.47,50.47,4.64,58.64,50
CDM,105528,YEAST ID,50.47,50.47,9.29,50.47,28
CDM,105529,AEROBIC ORG ID,50.47,50.47,9.29,50.47,28
CDM,105529,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",50.47,50.47,3.64,26.21,52
CDM,105530,SUSC AFB PROP EA AGENT,998.97,998.97,183.91,998.97,28
CDM,105530,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",998.97,998.97,1.02,21.93,50
CDM,105531,HOMOGENIZATION TISSUE,50.47,50.47,9.29,50.47,28
CDM,105531,"Homogenization, tissue, for culture ",50.47,50.47,2.65,28.84,50
CDM,105533,MTB AMP PROBE,807.24,807.24,148.61,807.24,28
CDM,105535,CULT MYCOPLASMA,1201.0,1201.0,221.1,1201.0,28
CDM,105535,"Culture, mycoplasma, any source ",1201.0,1201.0,6.93,69.27,50
CDM,105538,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",452.95,452.95,1.97,13.76,50
CDM,105538,OCCULT BLD SCN 3 SPEC,452.95,452.95,83.39,452.95,28
CDM,105539,OCC BLD PEROX OTH SOURCE,452.95,452.95,83.39,452.95,28
CDM,105543,SMEAR WET MOUNT,587.0,587.0,108.07,587.0,28
CDM,105544,SUSC MIC,80.0,80.0,14.73,80.0,28
CDM,105549,LEGIONELLA AG EIA,1358.91,1358.91,250.18,1358.91,28
CDM,105552,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",2993.31,2993.31,5.39,57.71,50
CDM,105552,ROTAVIRUS AG EIA,2993.31,2993.31,551.07,2993.31,28
CDM,105553,GRAM STAIN PRIMARY SRCE,730.11,730.11,134.41,730.11,28
CDM,105555,FECAL WBC COUNT QL,479.79,479.79,88.33,479.79,28
CDM,105555,"Leukocyte assessment, fecal, qualitative or semiquantitative ",479.79,479.79,1.92,13.24,50
CDM,105556,SMEAR AFB,616.86,616.86,113.56,616.86,28
CDM,105561,O&P SMEAR CONC ID,890.0,890.0,163.85,890.0,28
CDM,105561,"Ova and parasites, direct smears, concentration and identification ",890.0,890.0,4.0,49.42,50
CDM,105565,CULTURE BLOOD,959.0,959.0,176.55,959.0,28
CDM,105566,CULT CHLAMYDIA,1573.45,1573.45,289.67,1573.45,28
CDM,105566,"Culture, chlamydia, any source ",1573.45,1573.45,8.82,111.21,50
CDM,105567,CULT FUNGUS OTHER SRC,1183.07,1183.07,217.8,1183.07,28
CDM,105567,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",1183.07,1183.07,3.78,47.63,50
CDM,105568,CULTURE SPUTUM,1275.46,1275.46,234.81,1275.46,28
CDM,105569,CULT AFB,616.86,616.86,113.56,616.86,28
CDM,105569,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",616.86,616.86,4.86,60.98,50
CDM,105570,CULT GC SCR,1233.74,1233.74,227.13,1233.74,28
CDM,105571,CULTURE ANAEROBIC,1201.0,1201.0,221.1,1201.0,28
CDM,105571,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",1201.0,1201.0,4.26,53.7,50
CDM,105578,CULT THROAT,1200.96,1200.96,221.1,1200.96,28
CDM,105579,CULTURE CSF,1200.96,1200.96,221.1,1200.96,28
CDM,105580,CULTURE EAR,1200.96,1200.96,221.1,1200.96,28
CDM,105581,CULTURE EYE,1200.96,1200.96,221.1,1200.96,28
CDM,105582,CULTURE WOUND,1230.0,1230.0,226.44,1230.0,28
CDM,105583,CULTURE STOOL,1200.96,1200.96,221.1,1200.96,28
CDM,105583,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",1200.96,1200.96,4.25,53.55,50
CDM,105585,CULT FUNGUS BLOOD,1200.96,1200.96,221.1,1200.96,28
CDM,105585,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",1200.96,1200.96,9.21,61.38,50
CDM,10559,CATH BLN 5FR 4MM 180CM,1842.0,1842.0,276.3,1842.0,42
CDM,105590,CULTURE BODY FLUID,1200.96,1200.96,221.1,1200.96,28
CDM,105597,CULTURE CATHETER TIP,1200.96,1200.96,221.1,1200.96,28
CDM,10560,CATH BLN 5FR 6MM 180CM,1805.0,1805.0,270.75,1805.0,42
CDM,105600,CULT ECOLI 0157 H7 SCR,1200.96,1200.96,221.1,1200.96,28
CDM,105601,CULT ENVIRON EPIDEMI,1200.96,1200.96,221.1,1200.96,28
CDM,10561,CATH BLN 5FR 8MM 180CM,1805.0,1805.0,270.75,1805.0,42
CDM,105612,CULT COLONY COUNT UR,1275.46,1275.46,234.81,1275.46,28
CDM,105612,"Culture, bacterial; quantitative colony count, urine ",1275.46,1275.46,3.63,43.75,50
CDM,105614,CULTURE GENITAL,1200.96,1200.96,221.1,1200.96,28
CDM,105615,CULT STREP GROUP B SCR,1200.96,1200.96,221.1,1200.96,28
CDM,105618,CULT STL ADD'L PATHOGENS,1200.96,1200.96,221.1,1200.96,28
CDM,105618,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",1200.96,1200.96,3.97,28.32,50
CDM,105620,C DIFFICILE TOXIN AG EIA,135.21,135.21,24.89,135.21,28
CDM,105620,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",135.21,135.21,5.39,57.71,50
CDM,105621,CULT CMV,1200.96,1200.96,221.1,1200.96,28
CDM,105622,CULT LEGIONELLA SCR,1332.07,1332.07,245.23,1332.07,28
CDM,105623,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,1007.24,1007.24,7.02,57.71,50
CDM,105623,LEG PNEUMOPHILIA AG IFT,1007.24,1007.24,185.43,1007.24,28
CDM,105624,STREP A AG IA,1007.24,1007.24,185.43,1007.24,28
CDM,105625,CULT VIRUS CPE,1656.92,1656.92,305.04,1656.92,28
CDM,105648,ELEC STMULATON/15M PTCQ,437.27,437.27,74.34,437.27,34
CDM,105650,THER EXERCIS 15 MIN PTCQ,437.27,437.27,74.34,437.27,34
CDM,105651,NEROMUSC REDUCT 15M PTCQ,394.24,394.24,67.02,394.24,34
CDM,105652,AQUATC THERAPY 15MN PTCQ,458.75,458.75,77.99,458.75,34
CDM,105653,GAIT TRAINNG 15 MN PTCQ,370.94,370.94,63.06,370.94,34
CDM,105654,MANL THER TECH 15M PTCQ,437.27,437.27,74.34,437.27,34
CDM,105655,THER PROCEDURES GRP PTCQ,360.19,360.19,61.23,360.19,34
CDM,105656,THER ACTV DIR 15 MN PTCQ,508.94,508.94,86.52,508.94,34
CDM,105657,SELFHOME ONEONE 15M PTCQ,437.27,437.27,74.34,437.27,34
CDM,105660,ORTH MGT TRN EA 15M PTCQ,415.76,415.76,70.68,415.76,36
CDM,105666,THER EXERCIS 15 MIN OTCO,437.27,437.27,74.34,437.27,34
CDM,105667,NEROMUSC REDUCT 15M OTCO,394.24,394.24,67.02,394.24,34
CDM,105669,MANL THER TECH 15M OTCO,437.27,437.27,74.34,437.27,34
CDM,105670,THER ACTV DIR 15 MN OTCO,508.94,508.94,86.52,508.94,34
CDM,105675,SELFHOME ONEONE 15M OTCO,437.27,437.27,74.34,437.27,34
CDM,105677,SENSRY INTEGRTN 15M OTCO,378.72,378.72,64.38,378.72,34
CDM,105682,TRACTION MECHANCL PTCQ,270.65,270.65,46.01,270.65,34
CDM,105683,VASOPNEUMATIC DEV PTCQ,286.71,286.71,48.74,286.71,34
CDM,105684,ULTRASOUND/15 MIN PTCQ,394.24,394.24,67.02,394.24,34
CDM,105694,CULT VIRUS SHELL VIAL,2082.2,2082.2,383.33,2082.2,28
CDM,105694,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",2082.2,2082.2,8.23,58.68,50
CDM,105710,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,105711,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,105712,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,105716,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,105717,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,105718,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,105719,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,105720,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,105744,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,105745,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,105752,NM TUMOR LOCAL LTD,9365.09,9365.09,1724.11,9365.09,28
CDM,105752,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",9365.09,9365.09,132.74,730.21,15
CDM,105754,PUNCTURE LUMBAR DX,7570.83,7570.83,1135.62,7570.83,36
CDM,105755,CHEMO CNS SPINAL PUNC,2538.04,2538.04,431.47,2538.04,35
CDM,105756,TTVR - INITIAL DEVICE,58285.01,58285.01,8742.75,58285.01,36
CDM,105757,TTVR - EA ADDL DEVICE,29142.52,29142.52,4371.38,29142.52,36
CDM,105759,ESOPH BALLOON DISTENSION,1878.59,1878.59,345.85,1878.59,31
CDM,105759,"Esophageal balloon distension study, diagnostic, with provocation when performed ",1878.59,1878.59,291.0,2900.0,8
CDM,105765,REPOS ECMO PERC =>6Y,7131.82,7131.82,1069.77,7131.82,36
CDM,105781,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,105783,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,105784,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,105785,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,105786,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,105787,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,105788,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,105789,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,105790,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,105791,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,105793,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,105794,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,105795,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,105796,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,105797,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,105798,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,105803,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,105804,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,105805,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,105806,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,105807,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,105808,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,105810,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,105811,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,105812,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,105813,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,105814,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,105815,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,105816,EL ST UN IND NOT WC PTCQ,370.94,370.94,63.06,370.94,36
CDM,105818,APP LONG ARM SPLINT OTCO,867.37,867.37,147.45,867.37,32
CDM,105818,Application of long arm splint (shoulder to hand) ,867.37,867.37,164.26,2550.0,6
CDM,105819,APP SHARM SPL STATC OTCO,758.07,758.07,128.87,758.07,32
CDM,105819,Application of short arm splint (forearm to hand); static ,758.07,758.07,133.09,2550.0,6
CDM,105820,APP SH ARM SPL DYNM OTCO,1177.42,1177.42,200.16,1177.42,32
CDM,105820,Application of short arm splint (forearm to hand); dynamic ,1177.42,1177.42,157.31,2550.0,6
CDM,105821,APP FNGR SPL STATIC OTCO,437.27,437.27,74.34,437.27,32
CDM,105821,Application of finger splint; static ,437.27,437.27,83.82,2550.0,6
CDM,105826,COVID-19 DNA/RNA AMP,62.0,62.0,11.41,62.0,28
CDM,105829,BX SKIN SGL LSN PUNCH,914.4,914.4,137.16,914.4,36
CDM,105831,THER APHERESIS RBC,4760.33,4760.33,876.38,4760.33,25
CDM,105842,BLD/STEM HARVEST AUTOLOG,8372.0,8372.0,1541.29,8372.0,29
CDM,105857,REVSC LOW EXTR IVL ANGIO,19164.18,19164.18,2874.63,19164.18,36
CDM,105858,REVSC LOW EXTR IVL/STNT,38330.89,38330.89,5749.63,38330.89,36
CDM,105859,REVSC LOW EXTR IVL/ATHER,38330.89,38330.89,5749.63,38330.89,36
CDM,105860,REVSC LOW EXT IVL ST/ATH,62413.95,62413.95,9362.09,62413.95,36
CDM,105862,TMVI TRNSTHOR APRCH,134510.58,134510.58,20176.59,134510.58,36
CDM,105863,SARSCOV CORONAVIRU AG IA,38.71,38.71,7.13,38.71,28
CDM,105864,SARSCOV CORONAVIRU AG IA,38.71,38.71,7.13,38.71,28
CDM,105865,INTEROGT EVAL IMP CV MON,109.9,109.9,18.68,109.9,36
CDM,105865,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",109.9,109.9,12.03,4700.0,5
CDM,105869,DEXAMETHASONE 4 MG PO,22.37,22.37,3.36,22.37,28
CDM,105870,DEXAMETH NA PHOS 4 MG,80.9,80.9,12.13,80.9,27
CDM,105873,ECHO 2D W/WOM MODE LTD,1817.88,1817.88,309.04,1817.88,36
CDM,105875,ECHO2D COMP W CF DOP,5754.23,5754.23,978.22,5754.23,36
CDM,105876,ECHO STRESS,5285.91,5285.91,898.6,5285.91,36
CDM,105877,ECHO STRESS W CONT ECG,3930.66,3930.66,668.21,3930.66,36
CDM,105879,HPC AUTO TRANSP PER DNR,26260.0,26260.0,4834.47,23108.8,20
CDM,105891,OSMOLAL FECES,37.03,37.03,5.55,37.03,39
CDM,105892,SPECIAL PROCEDURE,4878.01,4878.01,731.7,4878.01,32
CDM,105894,HPC AUTO TRANSP PER DNR,26260.0,26260.0,4834.47,23108.8,20
CDM,105895,HPC ALLO TRANSP PER DNR,109712.89,109712.89,20198.14,109712.89,25
CDM,105899,PROCESS CORNEAL TISSUE,15308.56,15308.56,2296.28,15308.56,42
CDM,105913,AFB CONCENTRATION,55.29,55.29,10.18,55.29,28
CDM,105915,CORE NDL BX LG/MED PERC,18024.43,18024.43,2703.66,18024.43,36
CDM,105917,INS RVAD PERC VENOUS,28541.64,28541.64,4281.25,28541.64,36
CDM,105918,REVSC TIB/PER IVL ANGIO,75209.98,75209.98,11281.5,75209.98,36
CDM,105919,REVSC TIB/PER IVL/STNT,160434.1,160434.1,24065.12,160434.1,36
CDM,105920,REVSC TIB/PER IVL/ATH,160434.1,160434.1,24065.12,160434.1,36
CDM,105921,REVSC TIB/PER IVL ST/ATH,239197.51,239197.51,35879.63,239197.51,36
CDM,105923,LUNG CA SCREEN WO CON,454.14,454.14,83.61,454.14,25
CDM,105925,LUNG CA SCREEN WO CON,454.14,454.14,83.61,454.14,25
CDM,105926,OP VISIT LEVEL 2 NP,505.0,505.0,75.75,505.0,34
CDM,105927,ACETAMINOPHEN QN,80.79,80.79,14.87,80.79,28
CDM,105929,SALICYLATE QN,80.79,80.79,14.87,80.79,28
CDM,105931,ALCOHOL QN EXC UA OR BRE,80.79,80.79,14.87,80.79,28
CDM,105933,AMIODARONE QN,69.01,69.01,12.7,69.01,28
CDM,105933,Amiodarone ,69.01,69.01,8.39,55.92,50
CDM,105935,ITRACONAZOLE SPORONOZ QN,1211.88,1211.88,223.11,1211.88,28
CDM,105935,Itraconazole ,1211.88,1211.88,12.2,81.33,50
CDM,105937,METHOTREXATE RHEUMAT QN,114.45,114.45,21.07,114.45,28
CDM,105937,Methotrexate ,114.45,114.45,17.36,115.71,50
CDM,105938,ACETAMINOPHEN QN,80.79,80.79,14.87,80.79,28
CDM,105940,SALICYLATE QN,80.79,80.79,14.87,80.79,28
CDM,105942,ALCOHOL QN EXC UA OR BRE,80.79,80.79,14.87,80.79,28
CDM,105972,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",1381.88,1381.88,131.11,874.08,47
CDM,105972,NUDT15 COMMON VARIANT(S),1381.88,1381.88,254.4,1381.88,28
CDM,105973,REM ECMO PERC PERIPH=>6Y,7131.82,7131.82,1069.77,7131.82,36
CDM,105977,DIRECT COOMBS IGG EA,86.0,86.0,15.83,86.0,28
CDM,105978,DIRECT COOMBS COMP EA,86.96,86.96,16.01,86.96,28
CDM,105997,GLUTATHIONE,295.0,295.0,54.31,295.0,28
CDM,105997,Glutathione ,295.0,295.0,6.95,71.5,50
CDM,106001,TAVR/TAVI OPN FEM APRCH,58285.01,58285.01,8742.75,58285.01,36
CDM,106002,USTEKINUMAB DRUG LEVEL,473.39,473.39,87.15,473.39,28
CDM,106003,USTEKINUMAB AB QN BY CLA,473.39,473.39,87.15,473.39,28
CDM,106005,Alcohol biomarkers; 1 or 2 ,757.42,757.42,0.01,0.01,2
CDM,106005,DEF DRUG ALCOHOLS BM 1-2,757.42,757.42,113.61,757.42,39
CDM,106015,CU64 DOTATATE DX 1MCI,2673.71,2673.71,489.29,2673.71,29
CDM,106015,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",2673.71,2673.71,1155.0,1574.84,6
CDM,106016,IMMUNIZ ADMIN SGL,270.9,270.9,46.05,270.9,38
CDM,106018,IMMUNIZ ADMIN EA ADDTL,270.9,270.9,40.63,270.9,42
CDM,106020,DONR STEM CELL ACQ,178880.42,178880.42,26832.06,178880.42,42
CDM,106021,COVID-19 DNA/RNA AMP,62.0,62.0,11.41,62.0,28
CDM,106028,REG3A AGVHD MKR QN IA,3014.2,3014.2,554.91,3014.2,28
CDM,106029,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",3014.2,3014.2,29.93,226.8,50
CDM,106029,ST2 BIO MKR GS ILRL,3014.2,3014.2,554.91,3014.2,28
CDM,106030,LIG/BAND AV FISTULA,13203.15,13203.15,1980.47,13203.15,36
CDM,106032,CRYOABLATION BONE TUMOR,19158.84,19158.84,2873.83,19158.84,36
CDM,106033,COENZYME Q10 QN CHR,130.83,130.83,24.09,130.83,28
CDM,106034,DELIVERY PLACENTA ONLY,8022.02,8022.02,1203.3,8022.02,42
CDM,106038,HPC CELL BOOST,11329.0,11329.0,2085.67,11329.0,25
CDM,106039,ALLO LYMPHOCYTE INFUS,7732.37,7732.37,1423.53,7732.37,23
CDM,106040,ALLO LYMPHOCYTE INFUS,7732.37,7732.37,1423.53,7732.37,23
CDM,106041,ALLO LYMPHOCYTE INFUS,7732.37,7732.37,1423.53,7732.37,23
CDM,106043,HPC CELL BOOST,11329.0,11329.0,2085.67,11329.0,25
CDM,106050,T-CELL CAR-T HRVST PRDAY,9325.62,9325.62,1398.84,9325.62,38
CDM,106051,T-CELL CAR-T RECPT PREP,119238.19,119238.19,17885.73,119238.19,38
CDM,106052,T-CELL CAR-T PREP TRANSP,9325.62,9325.62,1398.84,9325.62,38
CDM,106055,PLC/REM CEPD W/ TAVR,25925.05,25925.05,3888.76,25925.05,36
CDM,106057,RT CATH CHD ABNORMAL NA,27784.82,27784.82,4167.72,27784.82,36
CDM,106059,RT LT CATH ANOM NNC,27784.82,27784.82,4167.72,27784.82,36
CDM,106062,TTVI PERC APRCH,58285.01,58285.01,8742.75,58285.01,36
CDM,106072,F18 PIFLUFOLAST DX 1MCI,15253.66,15253.66,2791.42,15253.66,29
CDM,106072,"Piflufolastat f-18, diagnostic, 1 millicurie ",15253.66,15253.66,738.07,918.2,6
CDM,106073,PULM REHAB PER SES W OX,452.83,452.83,76.98,452.83,37
CDM,106073,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,452.83,452.83,89.55,172.53,4
CDM,106074,PULM REHAB PER SES WO OX,452.83,452.83,76.98,452.83,37
CDM,106074,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,452.83,452.83,77.91,150.11,4
CDM,106078,T-CELL CAR-T ADMN INF,1880.24,1880.24,319.64,1880.24,34
CDM,106079,T-CELL CAR-T ADMN INJ,1880.24,1880.24,319.64,1880.24,34
CDM,106090,REM DBLK/IC MASS DEV,15185.63,15185.63,2277.84,15185.63,36
CDM,106098,I123 IOBENGUANE DX 15MCI,11653.6,11653.6,2132.61,11653.6,32
CDM,106098,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",11653.6,11653.6,6130.09,7145.92,6
CDM,106100,RIG HYPERRAB 150 U IMSQ,3710.51,3710.51,683.1,3710.51,24
CDM,106101,RIG HYPERRAB 150U IMSQJW,3710.51,3710.51,683.1,3710.51,24
CDM,106106,APREPITANT 1 MG INJ,31.24,31.24,5.75,31.24,23
CDM,106107,APREPITANT 1 MG INJJW,31.24,31.24,5.75,31.24,23
CDM,106108,AMPHOT B LIPOSOME 10 MG,611.15,611.15,112.51,611.15,23
CDM,106109,AMPHOT B LIPOSOME 10MGJW,611.15,611.15,112.51,611.15,23
CDM,106110,BACLOFEN 10 MG INJJW,3777.68,3777.68,695.47,3777.68,23
CDM,106111,PEN G BEN 100000 U INJ,455.1,455.1,83.78,455.1,23
CDM,106112,PEN G BEN 100000 U INJJW,455.1,455.1,83.78,455.1,23
CDM,106113,BUSULFAN 1 MG INJ,544.99,544.99,100.33,544.99,23
CDM,106115,C1 EST BERINERT 10UINJJW,676.61,676.61,124.56,676.61,23
CDM,106116,CEFTOL/TAZO 50/25MG INJ,88.0,88.0,16.2,88.0,23
CDM,106117,CEFTOL/TAZO 50/25MGINJJW,88.0,88.0,16.2,88.0,23
CDM,106118,CEFTAROLINE 10 MG INJ,47.55,47.55,8.75,47.55,23
CDM,106119,CEFTAROLINE 10 MG INJJW,47.55,47.55,8.75,47.55,23
CDM,106120,CEFTA/AVI 0.5/0.125G INJ,1084.29,1084.29,199.62,1084.29,23
CDM,106121,CEFTA/AVI 0.5/0.125G JW,1084.29,1084.29,199.62,1084.29,23
CDM,106122,DARBEPOET 1MCG NESRD INJ,128.51,128.51,23.66,128.51,23
CDM,106123,DARBEPOETIN 1MCG NESRDJW,128.51,128.51,23.66,128.51,23
CDM,106124,RAVULIZ-CWVZ 10 MG INJJW,1706.11,1706.11,314.09,1706.11,23
CDM,106125,RAVULZMAB-CWVZ 10 MG INJ,1706.11,1706.11,314.09,1706.11,23
CDM,106126,FERR CRBXMLTS 1MG INJ,13.6,13.6,2.5,13.6,23
CDM,106127,FERR CRBXMLTS 1MG INJJW,13.6,13.6,2.5,13.6,23
CDM,106128,FILGRASTIM 1 MCG INJ,19.33,19.33,3.56,19.33,23
CDM,106129,FILGRASTIM 1 MCG INJJW,19.33,19.33,3.56,19.33,23
CDM,106130,TBO-FILGRASTIM 1MCGINJJW,8.77,8.77,1.61,8.77,23
CDM,106131,FOMEPIZOLE 15 MG INJ,223.91,223.91,41.22,223.91,23
CDM,106134,IVIG PRIVIGEN 500 MGJW,1087.55,1087.55,200.22,1087.55,23
CDM,106135,IVIG GAMUNX/GAMMAK 500JW,561.34,561.34,103.34,561.34,23
CDM,106136,IVIG GAMUNX/GAMMAK 500MG,561.34,561.34,103.34,561.34,23
CDM,106138,IVIG GAMMAGA S/D 500MGJW,1222.58,1222.58,225.08,1222.58,23
CDM,106139,INFLIXIMAB 10 MG INJ,1565.91,1565.91,288.28,1565.91,23
CDM,106140,INFLIXIMAB 10 MG INJJW,1565.91,1565.91,288.28,1565.91,23
CDM,106141,IRON DEXTRAN 50 MG INJ,522.58,522.58,96.21,522.58,23
CDM,106142,IRON DEXTRAN 50 MG INJJW,522.58,522.58,96.21,522.58,23
CDM,106143,MEROPNM/VABORB 20MG INJ,23.94,23.94,4.41,23.94,23
CDM,106144,MEROPNM/VABORB 20MGINJJW,23.91,23.91,4.4,23.91,23
CDM,106145,ZICONOTIDE 1 MCG INJ,142.21,142.21,26.18,142.21,23
CDM,106146,ZICONOTIDE 1 MCG INJJW,142.21,142.21,26.18,142.21,23
CDM,106147,OCTREOT 1 MG DEPO IM JW,2732.18,2732.18,502.99,2732.18,23
CDM,106149,PALIFERMIN 50 MCG INJ,272.95,272.95,50.25,272.95,23
CDM,106150,PALIFERMIN 50 MCG INJJW,272.95,272.95,50.25,272.95,23
CDM,106151,PEGFILGRASTIM 0.5 MG INJ,4784.84,4784.84,880.89,4784.84,23
CDM,106152,PEGFILGRASTIM 0.5MGINJJW,4784.84,4784.84,880.89,4784.84,23
CDM,106155,RASBURICASE 0.5 MG INJ,4180.6,4180.6,769.65,4180.6,23
CDM,106156,RASBURICASE 0.5 MG INJJW,4180.6,4180.6,769.65,4180.6,23
CDM,106157,SECRETIN SYN HUMAN 1 MCG,581.21,581.21,107.0,581.21,23
CDM,106158,SECRETN SYN HUMAN 1MCGJW,581.21,581.21,107.0,581.21,23
CDM,106159,ALTEPLASE RECOMB 1 MGJW,2035.75,2035.75,374.78,2035.75,23
CDM,106164,NOVOSEVEN RT 1 MCGJW,20.28,20.28,3.73,20.28,23
CDM,106168,RYLAZE 0.1 MG INJ,295.35,295.35,54.37,295.35,23
CDM,106169,RYLAZE 0.1 MG INJJW,295.35,295.35,54.37,295.35,23
CDM,106170,CLOFARABINE 1 MG INJ,2055.76,2055.76,378.47,2055.76,23
CDM,106171,CLOFARABINE 1 MG INJJW,2055.76,2055.76,378.47,2055.76,23
CDM,106172,BRENTUXIMAB 1 MG INJJW,2022.26,2022.26,372.3,2022.26,23
CDM,106175,CLADRIBINE 1 MG INJ,856.42,856.42,157.67,856.42,23
CDM,106176,CLADRIBINE 1 MG INJJW,856.42,856.42,157.67,856.42,23
CDM,106177,DARATUMUMAB 10 MG INJJW,611.63,611.63,112.6,611.63,23
CDM,106178,DARATUMUMAB 10MG INJ,611.63,611.63,112.6,611.63,23
CDM,106181,DAUNO/CYT 1/2.27 MG INJ,1289.31,1289.31,237.36,1289.31,23
CDM,106182,DAUNO/CYT 1/2.27MG INJJW,1289.31,1289.31,237.36,1289.31,23
CDM,106183,DURVALUMAB 10 MG INJJW,686.69,686.69,126.42,686.69,23
CDM,106184,ERIBULIN 0.1 MG INJ,1452.55,1452.55,267.41,1452.55,23
CDM,106185,ERIBULIN 0.1 MG INJJW,1452.55,1452.55,267.41,1452.55,23
CDM,106186,IXABEPILONE 1 MG INJ,1047.57,1047.57,192.86,1047.57,23
CDM,106187,IXABEPILONE 1 MG INJJW,1047.57,1047.57,192.86,1047.57,23
CDM,106190,IPILIMUMAB 1 MG INJ,2103.84,2103.84,387.32,2103.84,23
CDM,106191,IPILIMUMAB 1 MG INJJW,2103.84,2103.84,387.32,2103.84,23
CDM,106192,NELARABINE 50 MG INJ,2498.05,2498.05,459.89,2498.05,23
CDM,106193,NELARABINE 50 MGJW,2498.05,2498.05,459.89,2498.05,23
CDM,106194,PACLITAX-PROTEIN 1MGINJ,157.78,157.78,29.05,157.78,23
CDM,106195,PACLITAX-PROTEIN1MGINJJW,157.78,157.78,29.05,157.78,23
CDM,106196,TAGRAX-ERZS 10MCG INJJW,19875.06,19875.06,3659.0,19875.06,23
CDM,106197,TAGRAXFSP-ERZS 10MCG INJ,19875.06,19875.06,3659.0,19875.06,23
CDM,106198,PEMBROLIZUMAB 1 MG INJ,528.0,528.0,97.2,528.0,23
CDM,106199,PEMBROLIZUMAB 1 MG INJJW,528.0,528.0,97.2,528.0,23
CDM,106200,PRALATREXATE 1 MG INJ,3484.44,3484.44,641.49,3484.44,23
CDM,106201,PRALATREXATE 1 MG INJJW,3484.44,3484.44,641.49,3484.44,23
CDM,106202,RITUXIMAB 10 MG INJ,981.78,981.78,180.75,981.78,23
CDM,106203,RITUXIMAB 10 MG INJJW,981.78,981.78,180.75,981.78,23
CDM,106204,ADO-TRASTUZUMAB 1MG INJ,468.76,468.76,86.3,468.76,23
CDM,106205,ADO-TRASTUZUMAB 1MGJW,468.76,468.76,86.3,468.76,23
CDM,106206,RETACRIT BS 1000U NESRD,114.85,114.85,21.14,114.85,23
CDM,106207,RETACRIT BS1000U NESRDJW,114.85,114.85,21.14,114.85,23
CDM,106208,FULPHILA BS 0.5 MG INJ,3058.51,3058.51,563.07,3058.51,23
CDM,106209,FULPHILA BS 0.5 MG INJJW,3058.51,3058.51,563.07,3058.51,23
CDM,106210,NON RAD/CONTRAS 1MGINJJW,141.6,141.6,26.07,141.6,25
CDM,106211,NON RAD/CONTRAST 1MG INJ,141.6,141.6,26.07,141.6,25
CDM,106218,INOTUZMAB OZ 0.1MG INJJW,17105.2,17105.2,3149.07,17105.2,23
CDM,106219,NIVOLUMAB 1 MG INJJW,464.67,464.67,85.55,464.67,23
CDM,106220,OBINUTUZUMAB 10 MG INJJW,555.82,555.82,102.33,555.82,23
CDM,106221,INFLECTRA BS 10 MG INJJW,831.83,831.83,153.14,831.83,23
CDM,106222,RENFLEXIS BS 10 MG INJJW,787.53,787.53,144.98,787.53,23
CDM,106223,TRUXIMA BS 10 MG INJJW,803.71,803.71,147.96,803.71,23
CDM,106224,AVSOLA BS 10 MG INJJW,439.82,439.82,80.97,439.82,23
CDM,106225,CONDU OPEN AX/SC ART UNI,28541.64,28541.64,4281.25,28541.64,36
CDM,106229,APP ONBODY INJ,105.84,105.84,17.99,105.84,38
CDM,106230,OP VISIT LEVEL 5 NP,779.0,779.0,116.85,779.0,34
CDM,106231,OP VISIT LEVEL 4 NP,737.0,737.0,110.55,737.0,34
CDM,106232,OP VISIT LEVEL 3 NP,452.0,452.0,67.8,452.0,34
CDM,106233,OP VISIT LEVEL 2 NP,505.0,505.0,75.75,505.0,34
CDM,106234,OP VISIT LEVEL 4 EST,623.0,623.0,93.45,623.0,34
CDM,106235,OP VISIT LEVEL 3 EST,306.0,306.0,45.9,306.0,34
CDM,106238,OP VISIT LEVEL 1 EST,448.0,448.0,67.2,448.0,34
CDM,106239,OP VISIT LEVEL 2 EST,387.0,387.0,58.05,387.0,34
CDM,106240,IMMUNIZ ADMIN SGL,301.0,301.0,51.17,301.0,38
CDM,106241,IMMUNIZ ADMIN EA ADDTL,300.69,300.69,45.1,300.69,42
CDM,106244,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",109.1,109.1,45.75,153.93,45
CDM,106244,ORTHOPOXVIRUS AMP PRB EA,109.1,109.1,20.09,109.1,28
CDM,106248,HIV-1 AMP PROBE,175.0,175.0,32.22,175.0,28
CDM,106248,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",175.0,175.0,15.79,176.84,50
CDM,106249,HIV-2 AMP PROBE,175.34,175.34,32.28,175.34,28
CDM,106249,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",175.34,175.34,15.79,176.84,50
CDM,106253,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,106254,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,106255,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,106260,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,106281,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",957.49,957.49,1.72,21.88,50
CDM,106281,RBC ANTIGEN TYPING EA,957.49,957.49,176.27,957.49,28
CDM,106282,INTERLEUKIN 2 IA QN,145.94,145.94,26.87,145.94,28
CDM,106283,INTERLEUKIN 17 IA QN,145.94,145.94,26.87,145.94,28
CDM,106284,TU NECROSIS FAC ALPHA QN,237.0,237.0,43.63,237.0,28
CDM,106285,INTERLEUKIN 8 IA QN,145.94,145.94,26.87,145.94,28
CDM,106286,INTERLEUKIN 6 IA QN,340.0,340.0,62.59,340.0,28
CDM,106286,Interleukin-6 (IL-6) ,340.0,340.0,7.77,51.81,50
CDM,106287,INTERLEUKIN 1 BETA IA QN,145.94,145.94,26.87,145.94,28
CDM,106288,INTERLEUKIN-10 IA QN,146.0,146.0,26.88,146.0,28
CDM,106289,INTERLEUKIN 13 IA QN,145.94,145.94,26.87,145.94,28
CDM,106290,INTERLEUKIN 5 IA QN,145.94,145.94,26.87,145.94,28
CDM,106291,INTERLEUKIN 4 IA QN,145.94,145.94,26.87,145.94,28
CDM,106292,INTERFERON GAMMA IA QN,350.0,350.0,64.44,350.0,28
CDM,106293,INTERLEUKIN 12 IA QN,145.94,145.94,26.87,145.94,28
CDM,106294,INTERLEUKIN 2 REC EIA QN,370.0,370.0,68.12,370.0,28
CDM,106413,BASIC METABOLIC CALC ION,1376.79,1376.79,253.47,1376.79,28
CDM,107064,NATRIURETIC PEPTIDE,1025.1,1025.1,188.72,1025.1,28
CDM,107266,STREP A AG IA,1007.24,1007.24,185.43,1007.24,28
CDM,10737,SYRINGE INFL STRL DISP,417.5,417.5,62.63,417.5,42
CDM,107633,XR NECK SOFT TISSUE,1143.44,1143.44,210.51,1143.44,28
CDM,107634,CT HEAD/BRAIN W/O CONT,6543.64,6543.64,1204.68,6543.64,24
CDM,107637,CT ORBIT/SELLA/IAC WO,7372.91,7372.91,1357.35,7372.91,24
CDM,107638,CT ORBIT/SELLA/IAC W,7372.91,7372.91,1357.35,7372.91,24
CDM,107639,CT MAXIFAC W/O CNT,7372.91,7372.91,1357.35,7372.91,24
CDM,107640,CT MAXIFAC W/CONTRAST,7510.33,7510.33,1382.65,7510.33,24
CDM,107641,CT MAXIFAC W&W/O CONT,7712.39,7712.39,1419.85,7712.39,24
CDM,107642,CT NECK W/O CONTRAST,7372.91,7372.91,1357.35,7372.91,24
CDM,107643,CT NECK W/CONTRAST,7510.33,7510.33,1382.65,7510.33,24
CDM,107644,CT NECK W&W/O CONT,7712.39,7712.39,1419.85,7712.39,24
CDM,107645,CTA HEAD,11265.48,11265.48,2073.97,11265.48,24
CDM,107646,CTA NECK,11385.12,11385.12,2096.0,11385.12,24
CDM,107648,XR RIBS BI W/CXR 4 + V,2210.06,2210.06,406.87,2210.06,28
CDM,107651,CT CHEST W/O CONTRAST,7372.91,7372.91,1357.35,7372.91,25
CDM,107652,CT CHEST W/CONTRAST,7510.33,7510.33,1382.65,7510.33,25
CDM,107653,CT CHEST W&W/O CONT,9448.52,9448.52,1739.47,9448.52,25
CDM,107654,CTA CHEST,10531.57,10531.57,1938.86,10531.57,25
CDM,107655,XR C-SPINE 2-3 VIEWS,1324.57,1324.57,243.85,1324.57,28
CDM,107656,XR C-SPINE 4-5 V,2122.28,2122.28,390.71,2122.28,28
CDM,107657,XR C-SPINE 6 + V,1657.58,1657.58,305.16,1657.58,28
CDM,107658,XR T-SPINE 2 VIEWS,2122.28,2122.28,390.71,2122.28,28
CDM,107659,XR T-SPINE 3 VIEWS,1456.3,1456.3,268.1,1456.3,28
CDM,107660,XR T-SPINE 4 + VIEWS,1134.32,1134.32,208.83,1134.32,28
CDM,107661,XR L-SPINE 2/3 VIEWS,2252.17,2252.17,414.62,2252.17,28
CDM,107662,XR L-SPINE 4 + VIEWS,2380.24,2380.24,438.2,2380.24,28
CDM,107665,CT C-SPINE W/O CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,107666,CT C-SPINE W/CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,107667,CT C-SPINE W&W/O CONT,7828.33,7828.33,1441.2,7828.33,25
CDM,107668,CT T-SPINE W/O CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,107669,CT T-SPINE W/CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,107670,CT L-SPINE W/O CONTRAST,9083.18,9083.18,1672.21,9083.18,25
CDM,107671,CT L-SPINE W/CONTRAST,10053.09,10053.09,1850.77,10053.09,25
CDM,107672,CT L-SPINE W&W/O CONT,7600.33,7600.33,1399.22,7600.33,25
CDM,107673,XR PELVIS 1/2 VIEWS,1589.86,1589.86,292.69,1589.86,28
CDM,107675,CT PELVIS W/O CONTRAST,6784.49,6784.49,1249.02,6784.49,25
CDM,107676,CT PELVIS W/CONTRAST,7510.33,7510.33,1382.65,7510.33,25
CDM,107678,XR SACRUM/COCCYX 2 + V,1066.6,1066.6,196.36,1066.6,28
CDM,107680,XR ABD ACUTE W/CHEST,2380.24,2380.24,438.2,2380.24,28
CDM,107681,CT ABDOMEN W/O CONT,7510.33,7510.33,1382.65,7510.33,25
CDM,107685,CTA ABD AORTA IF LWEX RO,12351.77,12351.77,2273.96,12351.77,25
CDM,107707,XR RIBS UNI 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,107708,XR RIBS UNI 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,107709,XR RIBS UNI W/CXR 3+V LT,1992.36,1992.36,366.79,1992.36,28
CDM,107710,XR RIBS UNI W/CXR 3+V RT,1992.36,1992.36,366.79,1992.36,28
CDM,107713,XR SHOULDER 2 + V LT,1589.86,1589.86,292.69,1589.86,28
CDM,107714,XR SHOULDER 2 + V RT,1589.86,1589.86,292.69,1589.86,28
CDM,107715,XR HUMERUS 2 + V LT,1436.16,1436.16,264.4,1436.16,28
CDM,107716,XR HUMERUS 2 + V RT,1436.16,1436.16,264.4,1436.16,28
CDM,107717,XR ELBOW 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,107718,XR ELBOW 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,107719,XR ELBOW 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,107720,XR ELBOW 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,107721,XR FOREARM 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,107722,XR FOREARM 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,107727,XR WRIST 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,107728,XR WRIST 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,107731,XR HAND 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,107732,XR FINGER(S) 2 + V LT,858.03,858.03,157.96,858.03,28
CDM,107733,XR FINGER(S) 2 + V RT,858.03,858.03,157.96,858.03,28
CDM,107734,CT UP EXTREM W/O CONT LT,7120.74,7120.74,1310.93,7120.74,25
CDM,107735,CT UP EXTREM W/O CONT RT,7120.74,7120.74,1310.93,7120.74,25
CDM,107736,CT UP EXTREM W/CONT LT,7120.74,7120.74,1310.93,7120.74,25
CDM,107737,CT UP EXTREM W/CONT RT,7120.74,7120.74,1310.93,7120.74,25
CDM,107740,XR KNEE 1 OR 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,107741,XR KNEE 1 OR 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,107742,XR KNEE 3 V LT,1578.89,1578.89,290.67,1578.89,28
CDM,107743,XR KNEE 3 V RT,1578.89,1578.89,290.67,1578.89,28
CDM,107744,XR KNEE 4 + V LT,1664.88,1664.88,306.5,1664.88,28
CDM,107745,XR KNEE 4 + V RT,1664.88,1664.88,306.5,1664.88,28
CDM,107746,XR TIBIA/FIBULA 2 V LT,1589.86,1589.86,292.69,1589.86,28
CDM,107747,XR TIBIA/FIBULA 2 V RT,1589.86,1589.86,292.69,1589.86,28
CDM,107752,XR ANKLE 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,107753,XR ANKLE 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,107756,XR FOOT 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,107757,XR FOOT 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,107760,XR TOE(S) 2 + V LT,801.34,801.34,147.53,801.34,28
CDM,107761,XR TOE(S) 2 + V RT,801.34,801.34,147.53,801.34,28
CDM,107762,CT LOWER EXTRM W/O C LT,7120.74,7120.74,1310.93,7120.74,25
CDM,107763,CT LOWER EXTRM W/O C RT,7120.74,7120.74,1310.93,7120.74,25
CDM,107764,CT LOWER EXTRM W/CON LT,7510.33,7510.33,1382.65,7510.33,25
CDM,107765,CT LOWER EXTRM W/CON RT,7510.33,7510.33,1382.65,7510.33,25
CDM,107769,XR HAND 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,107770,CT ABD&PELVIS W/O CONT,14291.6,14291.6,2631.08,14291.6,25
CDM,107771,CT ABD&PELVIS W/CONT,15137.04,15137.04,2786.73,15137.04,25
CDM,107772,CT ABD&PELVIS W&WO CONT,17004.12,17004.12,3130.46,17004.12,25
CDM,107773,XR CLAVICLE COMP LT,1436.16,1436.16,264.4,1436.16,28
CDM,107774,XR CLAVICLE COMP RT,1436.16,1436.16,264.4,1436.16,28
CDM,107775,XR SHOULDER 1 V LT,1196.54,1196.54,220.28,1196.54,28
CDM,107776,XR SHOULDER 1 V RT,1196.54,1196.54,220.28,1196.54,28
CDM,107777,CTA ABD&PEL W CONT,10657.66,10657.66,1962.08,10657.66,25
CDM,107793,US PREG UT TRANSVAGINAL,1837.81,1837.81,338.34,1837.81,28
CDM,107817,XR HIP W PEL UN 2-3 V RT,1763.31,1763.31,324.63,1763.31,28
CDM,107818,XR HIP W PEL UN 2-3 V LT,1763.31,1763.31,324.63,1763.31,28
CDM,107822,XR HIP W PEL BI 3-4 VIEW,1763.31,1763.31,324.63,1763.31,28
CDM,107826,XR FEMUR MIN 2 V RT,1763.31,1763.31,324.63,1763.31,28
CDM,107827,XR FEMUR MIN 2 V LT,1763.31,1763.31,324.63,1763.31,28
CDM,107830,CHEST XRAY 1 V,1030.03,1030.03,189.63,1030.03,28
CDM,107831,CHEST XRAY 2 V,1196.54,1196.54,220.28,1196.54,28
CDM,107832,CHEST XRAY 3 V,1293.48,1293.48,238.13,1293.48,28
CDM,107833,ABD XR 1V,1066.6,1066.6,196.36,1066.6,28
CDM,107834,ABD XR 2V,1436.16,1436.16,264.4,1436.16,28
CDM,107835,ABD XR 3+V,1480.08,1480.08,272.48,1480.08,28
CDM,107837,CAT 1 ED PROCEDURE,4708.18,4708.18,706.23,4708.18,36
CDM,107838,CAT 2 ED PROCEDURE,3770.27,3770.27,565.54,3770.27,36
CDM,107839,CAT 3 ED PROCEDURE,1836.08,1836.08,275.41,1836.08,36
CDM,107846,IMMUNIZ ADMIN SGL,426.56,426.56,72.52,426.56,38
CDM,107847,IMMUNIZ ADMIN EA ADDTL,426.56,426.56,63.98,426.56,42
CDM,107848,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,107849,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,107850,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,107851,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,107852,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,107853,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,107854,INJECTION IM OR SQ,476.88,476.88,81.07,476.88,38
CDM,107856,IVP SINGLE/INITIAL DRUG,1327.41,1327.41,225.66,1327.41,38
CDM,107857,IVP EA ADD SEQ NEW DRUG,781.58,781.58,132.87,781.58,38
CDM,107861,LVL 1 FREE STD EMER DEPT,635.86,635.86,117.06,635.86,22
CDM,107862,LVL 2 FREE STD EMER DEPT,1033.29,1033.29,190.23,1033.29,22
CDM,107863,LVL 3 FREE STD EMER DEPT,2058.65,2058.65,379.0,2058.65,22
CDM,107864,LVL 4 FREE STD EMER DEPT,3937.18,3937.18,724.83,3937.18,22
CDM,107865,LVL 5 FREE STD EMER DEPT,5113.56,5113.56,941.41,5113.56,22
CDM,107866,CRIT CARE 1ST 30-74M ER,6944.4,6944.4,1278.46,6944.4,24
CDM,107867,CRIT CARE ECH ADD 30M ER,3401.97,3401.97,510.3,3401.97,30
CDM,107873,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,107878,UNLISTED CARDIO SERVICE,5552.06,5552.06,943.85,5552.06,37
CDM,107878,Unlisted cardiovascular service or procedure ,5552.06,5552.06,990.0,990.0,1
CDM,107880,COLL BLOOD CATHETER NOS,1107.83,1107.83,203.95,1107.83,26
CDM,107881,COLL BLOOD CATHETER NOS,1107.83,1107.83,203.95,1107.83,26
CDM,107882,INJ CATH SEL PUL ANG UNI,7608.51,7608.51,1141.28,7608.51,36
CDM,107883,INJ CATH SEL PUL ANG BI,13073.28,13073.28,1960.99,13073.28,36
CDM,107894,T-CELL CAR-T ADMN INF,1880.24,1880.24,319.64,1880.24,34
CDM,107897,T-CELL CAR-T PREP TRANSP,9325.62,9325.62,1398.84,9325.62,38
CDM,107907,BLIND IMP COR SIN RE DV,29782.26,29782.26,4467.34,29782.26,36
CDM,107908,IMP COR SINUS REDCT DEV,48193.44,48193.44,7229.02,48193.44,36
CDM,107911,COLL BLOOD IMPLANTED VAD,1107.83,1107.83,203.95,1107.83,26
CDM,107912,COLL BLOOD IMPLANTED VAD,1107.83,1107.83,203.95,1107.83,26
CDM,107913,DECLOT THROM IMP VAD CTH,1724.92,1724.92,258.74,1724.92,36
CDM,107932,"Culture, typing; other methods ",414.41,414.41,3.48,23.22,50
CDM,107932,ORGANISM IDENTIFICATION,414.41,414.41,76.29,414.41,28
CDM,107947,FUNGAL MIC,541.0,541.0,99.6,541.0,28
CDM,107950,CHEMO CNS SPINAL PUNC,2538.04,2538.04,431.47,2538.04,35
CDM,107958,COLL BLOOD CATHETER NOS,1107.83,1107.83,203.95,1107.83,26
CDM,107962,HOLTER RECORD VISUAL,647.91,647.91,110.14,647.91,36
CDM,107963,UNLISTED ANTIGEN TOT CT,777.0,777.0,143.05,777.0,28
CDM,107964,PROCESS SCLERAL TISSUE,1445.14,1445.14,216.77,1445.14,42
CDM,107966,OP VISIT LEVEL 5 EST,769.0,769.0,115.35,769.0,34
CDM,107968,T-CELL CAR-T RECPT PREP,119238.19,119238.19,17885.73,119238.19,38
CDM,107976,CULTURE BONE MARROW,1200.96,1200.96,221.1,1200.96,28
CDM,107980,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",244.22,244.22,31.3,60.31,4
CDM,107980,MED MGMT LACT EDU 30 MIN,244.22,244.22,36.63,244.22,40
CDM,107981,GA68 ILLUCCIX DX 1MCI,12753.3,12753.3,2333.85,12753.3,29
CDM,107981,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",12753.3,12753.3,1239.84,1445.3,6
CDM,107982,PERC TRANS CORONARY LITH,21519.69,21519.69,3227.95,21519.69,36
CDM,107984,NINVS CFFR SW ANLYS CTA,3879.31,3879.31,714.18,3879.31,27
CDM,107984,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",3879.31,3879.31,1344.84,1344.84,3
CDM,107985,ACHR RCPT MODLG AB,1487.06,1487.06,252.8,1487.06,32
CDM,107985,Acetylcholine receptor (AChR); modulating antibody ,1487.06,1487.06,5.42,36.15,43
CDM,107986,ASSAY ANTI-MULLERIAN HOR,667.53,667.53,113.48,667.53,32
CDM,107986,Anti-mullerian hormone (AMH) ,667.53,667.53,17.38,115.86,43
CDM,107988,ACHR RCPT BLCK AB,1487.06,1487.06,252.8,1487.06,32
CDM,107988,Acetylcholine receptor (AChR); blocking antibody ,1487.06,1487.06,8.28,55.2,43
CDM,107990,ACHR RCPT BND AB,279.0,279.0,47.43,279.0,32
CDM,107990,Acetylcholine receptor (AChR); binding antibody ,279.0,279.0,8.28,55.2,43
CDM,108009,SUSC 1-12 DISKS,43.36,43.36,7.98,43.36,28
CDM,108009,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",43.36,43.36,3.37,39.1,50
CDM,108011,SUSC AGAR DIL EACH AGENT,27.54,27.54,5.07,27.54,28
CDM,108013,ELEC STIMULATION/15M PT,428.69,428.69,72.88,428.69,34
CDM,108016,ESOPHAGUS MOTILITY STDY,3326.37,3326.37,612.38,3326.37,29
CDM,108027,"Brain imaging, positron emission tomography (PET); metabolic evaluation ",8944.54,8944.54,999.4,2672.0,13
CDM,108027,PET BRAIN METABOLIC INIT,8944.54,8944.54,1646.69,8944.54,28
CDM,108029,PET/CT TUMR LTD AREA INI,9021.01,9021.01,1660.77,9021.01,28
CDM,108030,PET/CT TUMR LTD AREA SUB,9021.01,9021.01,1660.77,9021.01,28
CDM,108031,PET/CT TM SK BS MIDTH IN,9021.01,9021.01,1660.77,9021.01,28
CDM,108032,PET/CT TM SK BS MIDTH SU,9021.01,9021.01,1660.77,9021.01,28
CDM,108033,PET/CT TUMR WHOL BOD INI,9021.01,9021.01,1660.77,9021.01,28
CDM,108034,PET/CT TUMR WHOL BOD SUB,9021.01,9021.01,1660.77,9021.01,28
CDM,108035,HPC CELL BOOST,11329.0,11329.0,2085.67,11329.0,25
CDM,108037,INTEROGT VAD INC PROGRAM,239.08,239.08,40.64,239.08,37
CDM,108037,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",239.08,239.08,63.69,990.0,4
CDM,108038,CHEMO CNS SPINAL PUNC,2538.04,2538.04,431.47,2538.04,35
CDM,108040,CT UP EXTRM W&W/O CON LT,7056.73,7056.73,1299.14,7056.73,25
CDM,108042,CT UP EXTRM W&W/O CON RT,7056.73,7056.73,1299.14,7056.73,25
CDM,108044,PAMG-1 CVS QL,1096.68,1096.68,201.9,1096.68,28
CDM,108045,PHENCYCLIDINE QUANT,37.03,37.03,5.55,37.03,37
CDM,108045,Phencyclidine (PCP) ,37.03,37.03,0.01,83.43,11
CDM,108071,"Antibody; Zika virus, IgM ",226.8,226.8,7.58,50.55,50
CDM,108071,ZIKA VIRUS AB IGM,226.8,226.8,41.75,226.8,28
CDM,108077,XR SPINE 1 V SPEC LEVEL,980.63,980.63,180.53,980.63,28
CDM,108078,CT ORBIT/SELLA/IAC W&WO,9448.52,9448.52,1739.47,9448.52,24
CDM,108080,COGSKLS DVLMNT EA15M SP,270.65,270.65,46.01,270.65,34
CDM,108080,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",270.65,270.65,19.56,326.0,40
CDM,108081,COGSKLS DVLMNT INT15M SP,270.65,270.65,46.01,270.65,34
CDM,108083,D-DIMER QUANT,252.0,252.0,46.39,252.0,28
CDM,108085,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",1018.64,1018.64,93.86,471.74,15
CDM,108085,NM RBC SEQUEST,1018.64,1018.64,187.53,1018.64,28
CDM,108092,MRI WO FOL WCON BR UN LT,8624.18,8624.18,1587.71,8624.18,27
CDM,108093,MRI WO FOL WCON BR UN RT,8624.18,8624.18,1587.71,8624.18,27
CDM,108098,SP ANG ADREN SEL UNI LT,14404.06,14404.06,2651.79,14404.06,28
CDM,108099,SP ANG ADREN SEL UNI RT,14404.06,14404.06,2651.79,14404.06,28
CDM,108100,SP ANGIO PULM SEL UNI LT,8383.01,8383.01,1543.31,8383.01,28
CDM,108101,SP ANGIO PULM SEL UNI RT,8383.01,8383.01,1543.31,8383.01,28
CDM,108102,SP VENOGM RENAL UNI LT,10560.18,10560.18,1944.13,10560.18,28
CDM,108103,SP VENOGM RENAL UNI RT,10560.18,10560.18,1944.13,10560.18,28
CDM,108115,MRA WO W CONT LWR EXT LT,7258.28,7258.28,1336.25,7258.28,27
CDM,108117,SP ANGIO PULM SEL UNI LT,8383.01,8383.01,1543.31,8383.01,28
CDM,108118,SP ANGIO PULM SEL UNI RT,8383.01,8383.01,1543.31,8383.01,28
CDM,108121,XR TIB/FIB INFNT 2V LT,825.12,825.12,151.9,825.12,28
CDM,108123,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study ",626.57,626.57,27.74,424.98,15
CDM,108123,US FETAL CARDIOVASC F/U,626.57,626.57,115.35,626.57,28
CDM,108124,PERC DRUG DEL BLN SGL,14779.11,14779.11,2216.87,14779.11,36
CDM,108125,PERC DRUG DEL BLN SEP,14779.11,14779.11,2216.87,14779.11,36
CDM,108126,TOTAL TAU,1050.0,1050.0,178.5,1050.0,36
CDM,108126,"Tau, total (tTau) ",1050.0,1050.0,122.47,386.76,38
CDM,108127,TAU PHOSPHORYLATED EA,1050.0,1050.0,178.5,1050.0,36
CDM,108127,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",1050.0,1050.0,122.47,386.76,38
CDM,108129,AMPHOTERICN B 50 MG INJ,468.89,468.89,70.33,468.89,27
CDM,108130,NICARDIP 40MG/200ML INJ,2457.26,2457.26,368.59,2457.26,28
CDM,108134,LIPOPROTEIN (A),45.36,45.36,8.35,45.36,28
CDM,108134,Lipoprotein (a) ,45.36,45.36,6.44,42.96,50
CDM,108137,REFILL/MAINT PUMP DRG DL,589.94,589.94,108.61,589.94,26
CDM,108137,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",589.94,589.94,127.65,245.94,3
CDM,108138,RUBEOLA (MEASLES) AMP PR,403.2,403.2,60.48,403.2,42
CDM,108141,CHEM IN ART INF>8+PUMP,361.0,361.0,61.37,361.0,36
CDM,108142,CHEM IN ART INF>8+PUMP,361.0,361.0,61.37,361.0,36
CDM,108144,HPC CELL BOOST,11329.0,11329.0,2085.67,11329.0,25
CDM,108145,GM1 AB IA QN IGG,231.84,231.84,42.68,231.84,28
CDM,108146,MR SFTY TCS INIT 15MIN,63.49,63.49,11.69,63.49,27
CDM,108146,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",63.49,63.49,9.26,99.9,6
CDM,108147,MR SFTY IMPLNT ELEC PREP,237.94,237.94,43.8,237.94,27
CDM,108147,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",237.94,237.94,68.05,295.81,6
CDM,108148,MR SFTY MED PHYSIC EXAM,626.57,626.57,115.35,626.57,27
CDM,108148,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",626.57,626.57,161.68,702.81,6
CDM,108149,MR SFTY MD OR QHP,228.24,228.24,42.02,228.24,27
CDM,108149,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",228.24,228.24,38.41,166.95,6
CDM,108150,MR SFTY TCS EA ADD 30MIN,63.49,63.49,9.52,63.49,31
CDM,108150,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",63.49,63.49,44.6,44.6,1
CDM,108151,MR SFTY IMPLNT POS/IMMOB,153.97,153.97,28.35,153.97,27
CDM,108151,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",153.97,153.97,80.19,452.63,6
CDM,108154,MITOCHONDRIAL M2 AB IA,92.33,92.33,17.0,92.33,28
CDM,108154,"Mitochondrial antibody (eg, M2), each ",92.33,92.33,11.45,76.35,50
CDM,108155,ALPH SUB UNIT FREE IA QN,266.84,266.84,49.13,266.84,28
CDM,108157,LEPTIN IA QN,123.2,123.2,22.68,123.2,28
CDM,108161,DEXAMETHASONE QN,172.42,172.42,31.74,172.42,28
CDM,108165,MUSK AB,2268.0,2268.0,385.56,2268.0,32
CDM,108165,Muscle-specific kinase (MuSK) antibody ,2268.0,2268.0,8.28,55.2,43
CDM,108167,ANTI-RI AB FA QL,389.19,389.19,71.65,389.19,28
CDM,108169,AMYLASE ISOENZYME,119.06,119.06,21.92,119.06,28
CDM,108171,"Elastase, pancreatic (EL-1), fecal; quantitative ",327.6,327.6,10.34,68.91,50
CDM,108171,FECAL ELASTASE QN IA,327.6,327.6,60.31,327.6,28
CDM,108175,OCCBLD PEROX 1-3 DIAG,452.95,452.95,83.39,452.95,28
CDM,108176,OCCBLD PEROX 1-3 DIAG,452.95,452.95,83.39,452.95,28
CDM,108178,ANTI-MPO AB ANCA,30.24,30.24,5.57,30.24,28
CDM,108180,PHOSPHOLIPASE A2 R AB IA,529.2,529.2,97.43,529.2,28
CDM,108182,CHOLESTEROL OTHER SPEC,50.4,50.4,9.28,50.4,28
CDM,108183,VALPROIC ACID FREE,83.16,83.16,15.31,83.16,28
CDM,108183,Valproic acid (dipropylacetic acid); free ,83.16,83.16,6.09,43.32,50
CDM,108185,CNS DNA AMP PROB TY12-25,1008.0,1008.0,185.57,1008.0,28
CDM,108185,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",1008.0,1008.0,187.55,1342.38,50
CDM,108189,DIHYDROTESTOSTERONE DHT,120.12,120.12,22.11,120.12,28
CDM,108189,Dihydrotestosterone (DHT) ,120.12,120.12,13.18,87.84,50
CDM,108192,POTASSIUM FECES AA,219.04,219.04,40.33,219.04,28
CDM,108195,CHROMATIN AB,25.2,25.2,4.64,25.2,28
CDM,108197,RIBOSOMAL P AB,95.76,95.76,17.63,95.76,28
CDM,108198,BLOOD TYPE RH PHENOTYPE,1034.08,1034.08,190.37,1034.08,28
CDM,108198,"Blood typing, serologic; Rh phenotyping, complete ",1034.08,1034.08,3.49,23.25,50
CDM,108200,DEF DRUG SKELETAL MR 1-2,168.0,168.0,25.2,168.0,39
CDM,108200,Skeletal muscle relaxants; 1 or 2 ,168.0,168.0,0.01,0.01,2
CDM,108202,"Antidepressants, serotonergic class; 3-5 ",168.0,168.0,0.01,0.01,2
CDM,108202,DEF DRUG ANTIDEPRESS 3-5,168.0,168.0,25.2,168.0,39
CDM,108203,CELL CT & DIFF CSF,891.04,891.04,164.04,891.04,28
CDM,108204,CELL CT & DIFF CSF,891.04,891.04,164.04,891.04,28
CDM,108207,HCG QL SERUM/URINE INSTR,226.8,226.8,41.75,226.8,28
CDM,108208,GLUTAMIC ACID DECARB A,227.64,227.64,41.91,227.64,28
CDM,108210,CRYOPRECIPITATE POOLED,543.87,543.87,92.46,543.87,36
CDM,108211,LIVER-KIDNEY MICRO AB,1284.4,1284.4,236.46,1284.4,28
CDM,108212,BRUCELLA AB QL IGM,730.11,730.11,134.41,730.11,28
CDM,108213,HCG QUANT TUMOR,1546.66,1546.66,284.74,1546.66,28
CDM,108214,CRYPTOCOCCUS AG OIA CSF,115.02,115.02,21.18,115.02,28
CDM,108215,AMIKACIN PEAK QN,1633.06,1633.06,300.65,1633.06,28
CDM,108216,AMIKACIN TROUGH QN,1633.06,1633.06,300.65,1633.06,28
CDM,108217,BABESIOSIS AMP PROBE,1299.32,1299.32,239.2,1299.32,28
CDM,108218,GENTAMICIN PEAK QN,1937.03,1937.03,356.61,1937.03,28
CDM,108219,GENTAMICIN TROUGH QN,1937.03,1937.03,356.61,1937.03,28
CDM,108220,TOBRAMYCIN PEAK,1037.03,1037.03,190.92,1037.03,28
CDM,108221,TOBRAMYCIN TROUGH,1037.03,1037.03,190.92,1037.03,28
CDM,108222,VANCOMYCIN TROUGH,2336.38,2336.38,430.13,2336.38,28
CDM,108223,CORTISOL TOTAL .5 HR,1200.96,1200.96,221.1,1200.96,28
CDM,108224,CORTISOL TOTAL 1 HR,1200.96,1200.96,221.1,1200.96,28
CDM,108226,CORTISOL TOTAL BASELINE,1200.96,1200.96,221.1,1200.96,28
CDM,108228,CHEMODNRV TRNK MUSCL 1-5,1665.76,1665.76,249.86,1665.76,36
CDM,108229,CENTROMERE B AB IA,1055.0,1055.0,194.23,1055.0,28
CDM,108230,CRMP-5 IGG BY FA,2339.0,2339.0,430.61,2339.0,28
CDM,108231,HUM GRAN EHRL AB QL IGM,783.75,783.75,144.29,783.75,28
CDM,108232,J C VIRUS AMP PROBE CSF,2181.41,2181.41,401.6,2181.41,28
CDM,108233,FUNCT FIBRINOGEN ACT CFF,1193.23,1193.23,219.67,1193.23,28
CDM,108234,PLT AGG ACTIVATOR F ACTF,464.18,464.18,85.46,464.18,28
CDM,108236,COAG INTERPRETATION,337.68,337.68,62.17,337.68,28
CDM,108236,"Fibrinolysins or coagulopathy screen, interpretation and report ",337.68,337.68,6.97,46.44,52
CDM,108237,UL PROC PELVIS/HIP JOINT,621.8,621.8,93.27,621.8,36
CDM,108240,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",468.0,468.0,64.18,427.89,49
CDM,108240,SARSCOV2&INFAB&RSV AMP P,468.0,468.0,86.16,468.0,28
CDM,108241,E CHAFFEENSIS AB QL IGG,783.75,783.75,144.29,783.75,28
CDM,108242,E CHAFFEENSIS AB QL IGM,783.75,783.75,144.29,783.75,28
CDM,108243,RNP ANTIBODY,1055.0,1055.0,194.23,1055.0,28
CDM,108244,SMITH ANTIBODY,1055.0,1055.0,194.23,1055.0,28
CDM,108245,HEXAGONAL PHOSPHOLIPID,110.82,110.82,20.4,110.82,28
CDM,108245,Phospholipid neutralization; hexagonal phospholipid ,110.82,110.82,8.09,59.39,50
CDM,108246,NEWBORN SCREEN (PKU),1475.11,1475.11,271.57,1475.11,28
CDM,108246,"Phenylalanine (PKU), blood ",1475.11,1475.11,2.48,26.15,50
CDM,108247,"Antibody; hepatitis, delta agent ",110.88,110.88,7.72,51.48,50
CDM,108247,HEPATITIS DELTA AB QUAL,110.88,110.88,20.41,110.88,28
CDM,108248,LYME AB IGM WESTERN BLOT,466.38,466.38,85.86,466.38,28
CDM,108249,PTT-LA MIXING STUDY,801.63,801.63,147.58,801.63,28
CDM,108250,CHR HCV 6 BIOCHEM ALG,1208.73,1208.73,222.53,1208.73,28
CDM,108250,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",1208.73,1208.73,32.49,216.57,47
CDM,108251,CREATININE CLEARANCE,1347.0,1347.0,247.98,1347.0,28
CDM,108251,Creatinine; clearance ,1347.0,1347.0,4.26,52.83,50
CDM,108252,LYME AB IGG WESTERN BLOT,466.38,466.38,85.86,466.38,28
CDM,108253,INS ECMO CENTRAL =>6Y,7126.64,7126.64,1069.0,7126.64,36
CDM,108254,REPOS ECMO CENTRAL =>6Y,7126.64,7126.64,1069.0,7126.64,36
CDM,108255,REM ECMO OPEN PERIPH=>6Y,7126.64,7126.64,1069.0,7126.64,36
CDM,108256,REMV ECMO CENTAL 6+,7126.64,7126.64,1069.0,7126.64,36
CDM,108257,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,108258,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,108259,Compatibility test each unit; electronic ,1183.07,1183.07,17.69,149.16,11
CDM,108259,ELECTRONIC XMATCH,1183.07,1183.07,201.12,1183.07,33
CDM,108260,E TEST AGAR METH,27.54,27.54,5.07,27.54,28
CDM,108261,C DIFF TOX GENE AMP PROB,336.75,336.75,62.0,336.75,28
CDM,108262,HEMODIALYSIS,4001.0,4001.0,600.15,4001.0,42
CDM,108263,CRRT/SLEDD,2024.0,2024.0,303.6,2024.0,42
CDM,108264,OR PER MIN LEVEL 4,266.0,266.0,39.9,266.0,36
CDM,108265,OR PER MIN LEVEL 5,333.0,333.0,49.95,333.0,36
CDM,108266,OR PER MIN LEVEL 5,333.0,333.0,49.95,333.0,36
CDM,108267,OR PER MIN LEVEL 5,333.0,333.0,49.95,333.0,36
CDM,108268,OR PER MIN LEVEL 5,333.0,333.0,49.95,333.0,36
CDM,108269,OR PER MIN LEVEL 5,333.0,333.0,49.95,333.0,36
CDM,108276,PHASE 1 PER MINUTE,32.0,32.0,4.8,32.0,42
CDM,108277,PHASE 1 PER MINUTE,32.0,32.0,4.8,32.0,42
CDM,108278,PHASE 1 PER MINUTE,32.0,32.0,4.8,32.0,42
CDM,108279,PHASE 1 PER MINUTE,32.0,32.0,4.8,32.0,42
CDM,108280,BASIC C-SECTION SERVICES,9612.0,9612.0,1441.8,9612.0,36
CDM,108281,C-SECTION PER MIN,293.0,293.0,43.95,293.0,36
CDM,108282,C-SECTION & HYST PER MIN,440.0,440.0,66.0,440.0,36
CDM,108283,OB BASIC RECOVRY SERVICE,872.0,872.0,130.8,872.0,42
CDM,108284,OB RECOVERY PER MINUTE,29.0,29.0,4.35,29.0,42
CDM,108285,LVL 1 LABOR,1244.0,1244.0,186.6,1244.0,42
CDM,108286,LVL 2 LABOR,2489.0,2489.0,373.35,2489.0,42
CDM,108287,LVL 3 LABOR,3733.0,3733.0,559.95,3733.0,42
CDM,108288,DELIVERY VAGINAL SGL,6712.0,6712.0,1006.8,6712.0,42
CDM,108289,DELIVERY VAGINAL MULT,10067.0,10067.0,1510.05,10067.0,42
CDM,108291,CAT 1 ENDO PROCEDURE,21048.0,21048.0,3157.2,21048.0,36
CDM,108292,CAT 2 ENDO PROCEDURE,4585.0,4585.0,687.75,4585.0,36
CDM,108293,CAT 3 ENDO PROCEDURE,7263.0,7263.0,1089.45,7263.0,36
CDM,108294,CAT 4 ENDO PROCEDURE,14087.0,14087.0,2113.05,14087.0,36
CDM,108295,CAT 5 ENDO PROCEDURE,14122.0,14122.0,2118.3,14122.0,36
CDM,108296,CAT 1 ENDO PROCEDURE,21048.0,21048.0,3157.2,21048.0,36
CDM,108297,CAT 2 ENDO PROCEDURE,4585.0,4585.0,687.75,4585.0,36
CDM,108298,CAT 3 ENDO PROCEDURE,7263.0,7263.0,1089.45,7263.0,36
CDM,108299,CAT 4 ENDO PROCEDURE,14087.0,14087.0,2113.05,14087.0,36
CDM,108300,CAT 5 ENDO PROCEDURE,14122.0,14122.0,2118.3,14122.0,36
CDM,108301,CAT 1 ENDO PROCEDURE,21048.0,21048.0,3157.2,21048.0,36
CDM,108302,CAT 2 ENDO PROCEDURE,4585.0,4585.0,687.75,4585.0,36
CDM,108303,CAT 3 ENDO PROCEDURE,7263.0,7263.0,1089.45,7263.0,36
CDM,108304,CAT 4 ENDO PROCEDURE,14087.0,14087.0,2113.05,14087.0,36
CDM,108305,CAT 5 ENDO PROCEDURE,14122.0,14122.0,2118.3,14122.0,36
CDM,108306,ANESTH PER MINUTE,38.0,38.0,5.7,38.0,42
CDM,108307,NERVE BLOCK ANESTHETIC,1037.0,1037.0,155.55,1037.0,42
CDM,108308,SPINAL ANESTHETIC,1037.0,1037.0,155.55,1037.0,42
CDM,108309,LOCAL ANESTHETIC,1037.0,1037.0,155.55,1037.0,42
CDM,108310,MONITORED ANES CARE,1590.0,1590.0,238.5,1590.0,42
CDM,108311,CONTINUOUS EPIDURAL,1851.0,1851.0,277.65,1851.0,42
CDM,108312,ANESTH PER MINUTE,38.0,38.0,5.7,38.0,42
CDM,108313,MONITORED ANES CARE,1590.0,1590.0,238.5,1590.0,42
CDM,108314,ESWL-BILATERAL,22850.0,22850.0,3427.5,22850.0,36
CDM,108315,CYSTO ADD ON TO ESWL,1185.0,1185.0,177.75,1185.0,36
CDM,108317,KOH PREP WET MOUNT,126.0,126.0,23.2,126.0,28
CDM,108318,SUSC BETA LACTAM,151.2,151.2,27.84,151.2,28
CDM,108318,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",151.2,151.2,2.14,15.4,50
CDM,108319,CULT TYPE AGGLUT,504.0,504.0,92.79,504.0,28
CDM,108319,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",504.0,504.0,2.33,29.36,50
CDM,108321,CULT QN BRONCH LAVAGE,504.0,504.0,92.79,504.0,28
CDM,108321,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",504.0,504.0,4.45,29.67,50
CDM,108322,LACTOFERRIN STOOL IA QL,252.0,252.0,46.39,252.0,28
CDM,108322,"Lactoferrin, fecal; qualitative ",252.0,252.0,8.87,59.1,50
CDM,108323,CELL COUNT BODY FLD,252.0,252.0,46.39,252.0,28
CDM,108325,INFECT ANTGN DETEC NOS,135.21,135.21,24.89,135.21,28
CDM,108326,CULT YERSINIA SCR,1200.96,1200.96,221.1,1200.96,28
CDM,108327,CULT VIBRIO SCR,1200.96,1200.96,221.1,1200.96,28
CDM,108329,HPLC MS QUANTITATIVE,2360.23,2360.23,434.52,2360.23,28
CDM,108330,CULTURE SURGICAL SPEC,1200.96,1200.96,221.1,1200.96,28
CDM,108331,CULTURE RESPIRATORY,1200.96,1200.96,221.1,1200.96,28
CDM,108332,INJ SCIATIC NERVE,1731.3,1731.3,259.69,1731.3,36
CDM,108333,CHEM IN ART INF>8+PUMP,361.0,361.0,61.37,361.0,36
CDM,108334,CHEM INF > 8HR REQ PUMP,828.48,828.48,140.84,828.48,36
CDM,108335,CHEM INF > 8HR REQ PUMP,828.48,828.48,140.84,828.48,36
CDM,108336,OR PER MIN LEVEL 1,293.0,293.0,43.95,293.0,36
CDM,108337,OR PER MIN LEVEL 2,293.0,293.0,43.95,293.0,36
CDM,108338,OR PER MIN LEVEL 3,293.0,293.0,43.95,293.0,36
CDM,108339,OR PER MIN LEVEL 4,293.0,293.0,43.95,293.0,36
CDM,108340,OR PER MIN LEVEL 5,293.0,293.0,43.95,293.0,36
CDM,108341,BASIC OR SERVICES,9612.0,9612.0,1441.8,9612.0,36
CDM,108342,CONTINUOUS EPIDURAL,1851.0,1851.0,277.65,1851.0,42
CDM,108343,HUMULIN 70/30 5 U INJ,14.12,14.12,2.12,14.12,36
CDM,108344,ANES SUP HYPOGASTRC PLEX,2225.73,2225.73,333.86,2225.73,36
CDM,108347,K20/WFI 50 ML INJ,508.81,508.81,76.32,508.81,27
CDM,108350,IV INF > 8HR REQ PUMP,829.23,829.23,140.97,829.23,38
CDM,108351,PHOSPHORUS OTHER,694.44,694.44,127.85,694.44,28
CDM,108353,DISACCHARIDASES MULT NRS,517.0,517.0,95.18,517.0,28
CDM,108354,LEUKOCYTE HISTAMINE RELE,2439.96,2439.96,449.2,2439.96,28
CDM,108354,Leukocyte histamine release test (LHR) ,2439.96,2439.96,5.61,70.72,50
CDM,108357,CULT TYPING IFT,300.0,300.0,55.23,300.0,28
CDM,108357,"Culture, typing; immunofluorescent method, each antiserum ",300.0,300.0,2.51,31.7,50
CDM,108358,CALCIUM UR RANDOM QN,75.0,75.0,13.81,75.0,28
CDM,108359,CULT FUNGUS SKIN,998.0,998.0,183.73,998.0,28
CDM,108359,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",998.0,998.0,3.47,43.75,50
CDM,108361,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",439.16,439.16,20.2,288.8,49
CDM,108361,FMR1 CHARACTERIZE ALLELE,439.16,439.16,80.85,439.16,28
CDM,108362,CULTURE STEM CELLS,1072.29,1072.29,197.41,1072.29,28
CDM,108364,UL PROC LIVER,1632.22,1632.22,244.83,1632.22,36
CDM,108365,NEPH CATH EXCHANGE BI,7540.0,7540.0,1131.0,7540.0,36
CDM,108366,BETA-AMYLOID 42/40 CLEIA,927.36,927.36,170.73,927.36,28
CDM,108368,NERVE BLOCK ANESTHETIC,1037.0,1037.0,155.55,1037.0,42
CDM,108369,SPINAL ANESTHETIC,1037.0,1037.0,155.55,1037.0,42
CDM,108370,LOCAL ANESTHETIC,1037.0,1037.0,155.55,1037.0,42
CDM,108371,CONTINUOUS EPIDURAL,1851.0,1851.0,277.65,1851.0,42
CDM,108372,CAT 1 CLINIC PROCEDURE,1877.0,1877.0,281.55,1877.0,36
CDM,108373,CAT 2 CLINIC PROCEDURE,2356.0,2356.0,353.4,2356.0,36
CDM,108374,CAT 3 CLINIC PROCEDURE,2945.0,2945.0,441.75,2945.0,36
CDM,108375,INJ IC NRV SINGLE LVL,1731.3,1731.3,259.69,1731.3,36
CDM,108376,ARTH JNT BRS MJR W US LT,11900.24,11900.24,1785.04,11900.24,36
CDM,108377,ARTH JNT BRS MJR W US RT,11900.24,11900.24,1785.04,11900.24,36
CDM,108380,ASP/INJ GANGLION CYST,737.98,737.98,110.7,737.98,36
CDM,108381,CHEMO SQ/IM HORMONL ANPL,272.15,272.15,46.27,272.15,36
CDM,108382,ARTH JNTBRS MJR WO US LT,6492.75,6492.75,973.91,6492.75,36
CDM,108383,ARTH JNTBRS MJR WO US RT,6492.75,6492.75,973.91,6492.75,36
CDM,108384,ARTH JNTBRS MJR WO US BI,9739.13,9739.13,1460.87,9739.13,36
CDM,108385,POTASSIUM BODY FLUID,75.0,75.0,11.25,75.0,39
CDM,108386,PANCREATIC POLYPEPTID QN,631.75,631.75,116.31,631.75,28
CDM,108387,HEP B SURFACE AB QUAL,331.92,331.92,61.11,331.92,28
CDM,108387,Hepatitis B surface antibody (HBsAb) ,331.92,331.92,4.83,54.1,50
CDM,108388,CULT W PRESUMPTIVE ID UR,25.0,25.0,4.6,25.0,28
CDM,108388,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",25.0,25.0,3.64,45.34,50
CDM,108389,STREP A OPTICAL IA,899.32,899.32,165.56,899.32,28
CDM,108390,PCA-TR/DNER AB IB,296.0,296.0,54.49,296.0,28
CDM,108391,CRMP5 IGG BY WB,296.0,296.0,54.49,296.0,28
CDM,108392,AMPHIPHYSIN AB IB,296.0,296.0,54.49,296.0,28
CDM,108393,AGNA-1/SOX1 AB IB,296.0,296.0,54.49,296.0,28
CDM,108394,CASPR2 IGG AB TITER IFA,296.0,296.0,54.49,296.0,28
CDM,108397,ANTI-LGI1 AB TIT,296.0,296.0,54.49,296.0,28
CDM,108398,LGI1-IGG AB CBA-IFA,296.0,296.0,54.49,296.0,28
CDM,108400,CASPR2-IGG AB CBA-IF,296.0,296.0,54.49,296.0,28
CDM,108401,PCA-TR AB BY FA,296.0,296.0,54.49,296.0,28
CDM,108402,PCA-2 AB BY FA,296.0,296.0,54.49,296.0,28
CDM,108403,NEURONAL NUC FA AB QL,296.0,296.0,54.49,296.0,28
CDM,108404,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",212.0,212.0,187.55,1345.18,52
CDM,108404,RESP MPLEX RT AMP 12-25,212.0,212.0,39.03,212.0,28
CDM,108405,U2 RNP ENA AB,196.87,196.87,36.24,196.87,28
CDM,108406,U1 RNP ENA IGG AB,196.87,196.87,36.24,196.87,28
CDM,108407,SSA-52 (RO52) ENA IGG AB,196.87,196.87,36.24,196.87,28
CDM,108408,ANTI-U3 RNP FIBRILLARIN,196.87,196.87,36.24,196.87,28
CDM,108409,ANTI-TIF-1GAMMA AB,196.87,196.87,36.24,196.87,28
CDM,108410,MYOSITIS NXP-2 AB QL IA,196.87,196.87,36.24,196.87,28
CDM,108411,SAE1 (SUMO ACT ENZ) AB,196.87,196.87,36.24,196.87,28
CDM,108412,MDA5 (CADM-140) AB IA QL,196.87,196.87,36.24,196.87,28
CDM,108413,MYOSITIS PL-7 AB QL IA,196.87,196.87,36.24,196.87,28
CDM,108414,MYOSITIS OJ AB QL IA,196.87,196.87,36.24,196.87,28
CDM,108415,MYOSITIS PL-12 AB QL IA,196.87,196.87,36.24,196.87,28
CDM,108416,MYOSITIS MI-2 AB QL IA,196.87,196.87,36.24,196.87,28
CDM,108417,MYOSITIS KU AB QL IA,196.87,196.87,36.24,196.87,28
CDM,108418,MYOSITIS EJ AB QL IA,196.87,196.87,36.24,196.87,28
CDM,108419,MEGASPHAERA-1 AMP PR,1551.77,1551.77,285.68,1551.77,28
CDM,108420,BVAB-2 AMP PR,1551.77,1551.77,285.68,1551.77,28
CDM,108422,ATOPOBIUM VAGINAE AMP PR,1551.77,1551.77,285.68,1551.77,28
CDM,108423,VIRUS DEFINITIVE ID,793.8,793.8,146.14,793.8,28
CDM,108423,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",793.8,793.8,9.09,102.77,50
CDM,108424,VDRL CSF QN,251.6,251.6,46.32,251.6,28
CDM,108425,RI AB WB BAND ID,675.0,675.0,124.27,675.0,28
CDM,108426,YO AB WB BAND ID,675.0,675.0,124.27,675.0,28
CDM,108427,ANAPLASMA PHAGOCYT AMP,1729.35,1729.35,318.37,1729.35,28
CDM,108427,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",1729.35,1729.35,15.79,105.27,50
CDM,108428,ADAMTS 13 AB IA QN,793.8,793.8,146.14,793.8,28
CDM,108429,O&P SPECIAL STAIN,795.57,795.57,146.46,795.57,28
CDM,108429,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",795.57,795.57,8.09,58.93,52
CDM,108431,HIV-1AG HIV-1/2AB SINGLE,1161.0,1161.0,213.74,1161.0,28
CDM,108431,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1161.0,1161.0,10.84,80.11,52
CDM,108433,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",2331.0,2331.0,33.34,105.27,41
CDM,108433,PNEUMCYSTS JIROVECII AMP,2331.0,2331.0,396.27,2331.0,34
CDM,108434,VARICELLA ZOSTER DNA AMP,1099.62,1099.62,202.44,1099.62,28
CDM,108435,INFLUENZA B AG IA,665.17,665.17,122.46,665.17,28
CDM,108436,INFLUENZA B AG IA,665.17,665.17,122.46,665.17,28
CDM,108437,INFLUENZA A AG IA,665.17,665.17,122.46,665.17,28
CDM,108438,INFLUENZA A AG IA,665.17,665.17,122.46,665.17,28
CDM,108439,RSV AG IA,915.27,915.27,168.5,915.27,28
CDM,108440,RSV AG IA,915.27,915.27,168.5,915.27,28
CDM,108441,BK POLYOMA VIRUS AMP QN,1600.0,1600.0,294.56,1600.0,28
CDM,108442,EB VIRUS DNA QN,1695.0,1695.0,312.05,1695.0,28
CDM,108443,HERPES (HHV) 8 AMP QN,651.88,651.88,120.01,651.88,28
CDM,108444,PARVOVIRUS AMP QN,2014.23,2014.23,370.82,2014.23,28
CDM,108445,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",2285.0,2285.0,72.93,230.31,41
CDM,108445,MTB RIFAMPIN RST AMP,2285.0,2285.0,388.45,2285.0,34
CDM,108447,CANDIDA SPECIES AMP PROB,196.87,196.87,36.24,196.87,28
CDM,108448,CAMPYLOBACTER AG OIA,79.8,79.8,14.69,79.8,28
CDM,108451,HSV CULTURE/TYPING ELVIS,1480.0,1480.0,272.47,1480.0,28
CDM,108451,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",1480.0,1480.0,15.24,106.5,50
CDM,108455,H INFLU AB IGG QN,605.0,605.0,111.38,605.0,28
CDM,108457,STRPTCS PNEUM AB IA,170.28,170.28,28.95,170.28,36
CDM,108457,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",170.28,170.28,87.43,276.09,38
CDM,108460,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",125.0,125.0,5.39,67.25,50
CDM,108460,PIGEON SERUM GD,125.0,125.0,23.01,125.0,28
CDM,108461,"Antibody; bacterium, not elsewhere specified ",125.0,125.0,5.8,61.27,50
CDM,108461,MICROPOLYSPORA FAENI AB,125.0,125.0,23.01,125.0,28
CDM,108462,A PULLULANS AB,125.0,125.0,23.01,125.0,28
CDM,108465,STRIATED MUSC FA AB SCR,1327.0,1327.0,244.3,1327.0,28
CDM,108466,PARIETAL CELL AB IA QL,899.0,899.0,165.51,899.0,28
CDM,108467,ANTIGLOMERULAR B MIA QL,2672.0,2672.0,491.92,2672.0,28
CDM,108468,ADRENAL FA AB QL,1115.0,1115.0,205.27,1115.0,28
CDM,108469,ANTI-PR3 AB ANCA,141.0,141.0,25.96,141.0,28
CDM,108470,Antibody; Francisella tularensis ,467.0,467.0,6.37,42.48,50
CDM,108470,FRAN TULAREN AB QUAL,467.0,467.0,85.97,467.0,28
CDM,108471,TYPHUS FEVER AB IGG QL,461.61,461.61,84.98,461.61,28
CDM,108472,FUNGITELL B-D-GLUCAN IA,1503.36,1503.36,276.77,1503.36,28
CDM,108473,PATHOGEN TEST PLATELETS,300.0,300.0,51.0,300.0,35
CDM,108473,Pathogen(s) test for platelets ,300.0,300.0,25.5,53.4,7
CDM,108474,RBC DEGLYCEROLIZED EA UN,3000.0,3000.0,510.0,3000.0,36
CDM,108474,"Red blood cells, deglycerolized, each unit ",3000.0,3000.0,263.63,263.63,6
CDM,108475,PLTS PHERESIS EACH UNIT,300.0,300.0,51.0,300.0,36
CDM,108475,"Platelets, pheresis, each unit ",300.0,300.0,327.24,327.24,6
CDM,108476,PLT CONC LR,350.0,350.0,59.5,350.0,36
CDM,108476,"Platelets, leukocytes reduced, each unit ",350.0,350.0,185.8,185.8,6
CDM,108477,PRBC,3000.0,3000.0,510.0,3000.0,36
CDM,108477,"Red blood cells, each unit ",3000.0,3000.0,85.45,85.45,6
CDM,108478,PLTS CONC,500.0,500.0,85.0,500.0,36
CDM,108478,"Platelets, each unit ",500.0,500.0,90.13,90.13,6
CDM,108479,PRETREAT SERUM DIL EA,75.0,75.0,12.75,75.0,33
CDM,108479,Pretreatment of serum for use in RBC antibody identification; by dilution ,75.0,75.0,22.2,50.89,8
CDM,108480,PRETREAT RBC'S ENZ EA,150.0,150.0,25.5,150.0,33
CDM,108480,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",150.0,150.0,14.8,291.26,11
CDM,108481,IRRADIATION BLD EA,300.0,300.0,51.0,300.0,33
CDM,108481,"Irradiation of blood product, each unit ",300.0,300.0,18.34,169.53,8
CDM,108482,Hemolysins and agglutinins; incubated ,200.0,200.0,5.45,36.33,50
CDM,108482,INCUBATED AUTO SCREEN,200.0,200.0,36.82,200.0,28
CDM,108483,HEMOLYSIN AGGLUTIN AUTO,150.0,150.0,27.61,150.0,28
CDM,108483,"Hemolysins and agglutinins; auto, screen, each ",150.0,150.0,3.95,26.31,50
CDM,108484,CROSSMATCH AHG,300.0,300.0,51.0,300.0,33
CDM,108485,CROSSMATCH INCUB,300.0,300.0,51.0,300.0,33
CDM,108485,Compatibility test each unit; incubation technique ,300.0,300.0,19.94,149.16,11
CDM,108486,CIDOFOVIR 8 MG/ML INJ,263.98,263.98,48.6,263.98,23
CDM,108487,UL PROC PHRNX ADENO TONS,580.55,580.55,87.08,580.55,36
CDM,108488,"Blood count; blood smear, microscopic examination with manual differential WBC count ",601.34,601.34,1.71,19.57,50
CDM,108488,MANUAL DIFFERENTIAL,601.34,601.34,110.71,601.34,28
CDM,108489,CHEMODNRV TRNK MUSCL 6+,1731.3,1731.3,259.69,1731.3,36
CDM,108490,ADENOSINE DEAMINASE SPEC,978.08,978.08,180.06,978.08,28
CDM,108491,MYELIN FA AB TIT,946.17,946.17,174.19,946.17,28
CDM,108492,MOG-IGG1 AB BY CBA EACH,3189.38,3189.38,587.16,3189.38,28
CDM,108492,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",3189.38,3189.38,5.42,36.15,50
CDM,108493,ADALIMUMAB QN,1998.68,1998.68,367.96,1998.68,28
CDM,108493,Adalimumab ,1998.68,1998.68,17.36,115.71,50
CDM,108494,ANNA-3 SCR BY IFA,650.16,650.16,119.69,650.16,28
CDM,108496,GABA-B-R AB CBA-IFA,650.16,650.16,119.69,650.16,28
CDM,108497,IGLON5 AB,650.16,650.16,119.69,650.16,28
CDM,108499,DNER AB,650.16,650.16,119.69,650.16,28
CDM,108500,ZIC4 AB,650.16,650.16,119.69,650.16,28
CDM,108501,MA2-TA AB,650.16,650.16,119.69,650.16,28
CDM,108502,ITPR1 AB,650.16,650.16,119.69,650.16,28
CDM,108503,AMPA-R-1 CBA,650.16,650.16,119.69,650.16,28
CDM,108504,AMPA-R-2 CBA,650.16,650.16,119.69,650.16,28
CDM,108505,ZIC4 AB WB BAND ID,650.16,650.16,119.69,650.16,28
CDM,108513,DNER LINE BLOT,650.16,650.16,119.69,650.16,28
CDM,108514,ITPR1 CB IFA,650.16,650.16,119.69,650.16,28
CDM,108515,ITPR1 IF TITER,650.16,650.16,119.69,650.16,28
CDM,108516,ANTI-GAD65 AB TITER,650.16,650.16,119.69,650.16,28
CDM,108517,AMPA-R-1 IF TITER,650.16,650.16,119.69,650.16,28
CDM,108518,AMPA-R-2 IF TITER,650.16,650.16,119.69,650.16,28
CDM,108519,ACT CLOT TIME KAOLIN CK,1193.23,1193.23,219.67,1193.23,28
CDM,108520,ACT KAOLIN/HEPARINAS CKH,1007.24,1007.24,185.43,1007.24,28
CDM,108521,PLATELET AGGREGATION,337.68,337.68,62.17,337.68,28
CDM,108522,PLT AGGREG RAPID-TEG CRT,1193.23,1193.23,219.67,1193.23,28
CDM,108523,PLT AGGREGATE A ACID,464.18,464.18,85.46,464.18,28
CDM,108524,PLT AGGREGATE ADP,464.18,464.18,85.46,464.18,28
CDM,108525,PLTAGG KAOLIN/HEPARINASE,464.18,464.18,85.46,464.18,28
CDM,108526,AMB BP MONITOR SCAN W/RT,623.46,623.46,105.99,623.46,38
CDM,108526,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with report ",623.46,623.46,202.95,391.02,3
CDM,108527,AMB BP MONITOR REC ONLY,623.46,623.46,105.99,623.46,37
CDM,108527,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",623.46,623.46,6.62,42.71,4
CDM,108533,T CELLS CD4 COUNT,531.0,531.0,97.76,531.0,28
CDM,108533,T cells; absolute CD4 count ,531.0,531.0,12.05,213.4,50
CDM,108534,D-DIMER ULTRASEN QL SEMI,778.0,778.0,143.23,778.0,28
CDM,108534,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",778.0,778.0,4.58,31.85,50
CDM,108535,HEMOGLOBIN F FC,1204.0,1204.0,221.66,1204.0,28
CDM,108536,AMPA-R1 ANTIBODY,1204.0,1204.0,221.66,1204.0,28
CDM,108537,AMPA-R2 ANTIBODY,1204.0,1204.0,221.66,1204.0,28
CDM,108538,NMDA-R ANTIBODY,1204.0,1204.0,221.66,1204.0,28
CDM,108539,NMDA-RCPT AB CBA,1204.0,1204.0,221.66,1204.0,28
CDM,108540,GABA-B-R AB BY FA,1204.0,1204.0,221.66,1204.0,28
CDM,108541,GAD65 LINE BLOT,1204.0,1204.0,221.66,1204.0,28
CDM,108542,TOWER 6N STEPDOWN,12296.0,12296.0,,,0
CDM,108545,UL PROC HEAD MUSCSKEL,580.55,580.55,87.08,580.55,36
CDM,108546,DPPX AB BY CBA-IFA,650.16,650.16,119.69,650.16,28
CDM,108547,DPPX AB BY IFA,650.16,650.16,119.69,650.16,28
CDM,108548,IGLON5-IGG AB BY CBA,650.16,650.16,119.69,650.16,28
CDM,108549,MGLUR1-IGG AB CBA-IF,650.16,650.16,119.69,650.16,28
CDM,108550,MGLUR1-IGG IFA,650.16,650.16,119.69,650.16,28
CDM,108551,DPPX AB BY IFA TIT,650.16,650.16,119.69,650.16,28
CDM,108552,GABA-B-R AB IFA TIT,650.16,650.16,119.69,650.16,28
CDM,108553,IGLON5 AB BY IFA TIT,650.16,650.16,119.69,650.16,28
CDM,108554,MGLUR1-IGGAB IFA TIT,650.16,650.16,119.69,650.16,28
CDM,108555,CMPD MORPH 100MG 100B,254.66,254.66,38.2,254.66,30
CDM,108556,CMPD MORPH 250MG 50ML,562.52,562.52,84.38,562.52,30
CDM,108557,ZINC OXIDE 20% 30 G TOP,23.74,23.74,3.56,23.74,42
CDM,108558,SOD TETRADECYL 3%1ML INJ,390.48,390.48,58.57,390.48,30
CDM,108560,"Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg ",86.49,86.49,0.65,0.74,2
CDM,108560,CMPD ALBUT UD 25 MG INH,86.49,86.49,12.97,86.49,28
CDM,108561,BACITRACIN 0.9 G TOPICAL,13.0,13.0,1.95,13.0,42
CDM,108562,BENZOCAINE 20% 0.5ML TOP,88.6,88.6,13.29,88.6,42
CDM,108563,ESMOLOL 2G/NACL100ML INJ,1150.2,1150.2,172.53,1150.2,28
CDM,108564,BUDESONIDE NC 1 MG INH,192.26,192.26,28.84,192.26,28
CDM,108565,BUTORPHANOL 1 MG INJ,113.37,113.37,17.01,113.37,27
CDM,108566,BUTORPHANOL 2 MG INJ,138.69,138.69,20.8,138.69,27
CDM,108567,CARBOXYMET 0.5%0.4 MLOPH,13.0,13.0,1.95,13.0,42
CDM,108568,ACT CHAR SORB50G/240MLPO,337.28,337.28,50.59,337.28,42
CDM,108569,CMPD KPHOS 15MM 250B,56.85,56.85,8.53,56.85,30
CDM,108570,EPTIFIBATIDE 75 MG INJ,1150.2,1150.2,172.53,1150.2,27
CDM,108571,FLUCONAZOLE 150 MG PO,84.28,84.28,12.64,84.28,42
CDM,108572,FORMOTEROL 20 MCG INH,204.85,204.85,30.73,204.85,28
CDM,108572,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",204.85,204.85,4.03,4.72,5
CDM,108573,GABAPENTIN 300MG/6ML LIQ,47.99,47.99,7.2,47.99,42
CDM,108574,GLYCOPYRROL 0.4 MG INJ,47.0,47.0,7.05,47.0,27
CDM,108576,HYPROMELLOS 0.3% 10G OPH,82.45,82.45,12.37,82.45,42
CDM,108577,IPRAT/ALBUT 20/100 PUFF,48.44,48.44,7.27,48.44,35
CDM,108578,LACTULOSE 315 G PO,289.05,289.05,43.36,289.05,42
CDM,108579,LEVONORGESTREL 1.5 MG PO,208.25,208.25,31.24,208.25,42
CDM,108580,LIDOCAINE 2% 6 ML TOP,68.62,68.62,10.29,68.62,38
CDM,108581,MELOXICAM 15 MG PO,45.94,45.94,6.89,45.94,42
CDM,108582,MIDAZOLAM 10 MG INJ,47.0,47.0,7.05,47.0,27
CDM,108583,MIDAZOLAM 5 MG PO,61.5,61.5,9.22,61.5,38
CDM,108584,MORPHINE 10MG PO,102.38,102.38,15.36,102.38,42
CDM,108585,NALOXEGOL 25 MG PO,145.41,145.41,21.81,145.41,30
CDM,108586,OFLOXACIN 0.3% 5ML OPH,517.78,517.78,77.67,517.78,42
CDM,108587,PARICALCITOL 5 MCG INJ,151.44,151.44,22.72,151.44,27
CDM,108588,PEN G BEN 2400000 U INJ,4174.31,4174.31,768.49,4174.31,23
CDM,108589,RIG KEDRAB 1500 U IMSQ,18785.89,18785.89,3458.48,18785.89,24
CDM,108590,CMPD EPI 5MG 255ML,374.85,374.85,56.23,374.85,30
CDM,108591,CMPD FENTPF 500MCG 50ML,212.42,212.42,31.86,212.42,30
CDM,108592,CMPD HYMOR 50MG 50ML,722.64,722.64,108.4,722.64,30
CDM,108593,CMPD KETAMIN 500MG 260ML,47.0,47.0,7.05,47.0,30
CDM,108594,CMPD MIDZLM 50MG 50B,79.57,79.57,11.94,79.57,30
CDM,108595,ACYCLOVIR 5 MG/ML INJ,47.0,47.0,7.05,47.0,27
CDM,108596,CEFTAROLINE 12MG/ML INJ,89.07,89.07,16.4,89.07,23
CDM,108597,CHLORAMPHN 100MG/ML INJ,56.1,56.1,8.41,56.1,27
CDM,108598,CHLOROTHIZDE 28MG/ML INJ,166.65,166.65,25.0,166.65,27
CDM,108599,DEFITELIO 20 MG/ML INJ,916.33,916.33,137.45,916.33,31
CDM,108600,DESMOPRES 0.5MCG/ML INJ,54.78,54.78,8.22,54.78,27
CDM,108601,FOSAPREPITANT 1 MG/MLINJ,47.0,47.0,7.05,47.0,27
CDM,108602,GANCICLOVIR 10 MG/ML INJ,47.0,47.0,7.05,47.0,27
CDM,108603,TBO-FILGRA 15 MCG/ML INJ,124.88,124.88,22.99,124.88,23
CDM,108604,LACOSAMIDE 10 MG/ML INJ,57.13,57.13,8.57,57.13,28
CDM,108605,LINEZOLID 2 MG/ML INJ,47.0,47.0,7.05,47.0,27
CDM,108606,REMDESIVIR 1.25MG/ML INJ,93.8,93.8,17.27,93.8,23
CDM,108607,TACROLIMUS 20 MCG/ML INJ,101.97,101.97,18.77,101.97,23
CDM,108608,POTASS CL 40 MEQ INJ,47.0,47.0,7.05,47.0,27
CDM,108609,VORICON 200MG/5ML LIQ PO,517.8,517.8,77.67,517.8,42
CDM,108610,ETHOSUXIMIDE 250 MG PO,23.84,23.84,3.58,23.84,42
CDM,108611,AMP20MG/SUL10MG / ML INJ,47.0,47.0,7.05,47.0,27
CDM,108612,ERYTHROMYCIN 5 MG/ML INJ,47.0,47.0,7.05,47.0,27
CDM,108613,CAFFEINE CIT 10MG/ML INJ,47.0,47.0,7.05,47.0,27
CDM,108614,CHLOROTHI 50MG/ML LIQ PO,13.0,13.0,1.95,13.0,42
CDM,108615,DOCETAXEL 1 MG INJ,47.0,47.0,7.05,47.0,27
CDM,108616,FLUPHENAZ HCL 2.5 MG INJ,191.99,191.99,28.8,191.99,27
CDM,108616,"Injection, fluphenazine hcl, 1.25 mg ",191.99,191.99,8.74,19.48,6
CDM,108617,MIDAZOLAM 50 MG INJ,79.57,79.57,11.94,79.57,27
CDM,108618,"Injection, mitoxantrone hydrochloride, per 5 mg ",381.01,381.01,33.86,102.32,6
CDM,108618,MITOXANTRONE 5 MG INJ,381.01,381.01,70.14,381.01,23
CDM,108619,AMPHO B LIPOS 2MG/ML INJ,127.27,127.27,23.43,127.27,23
CDM,108620,AMPHOT B 0.1 MG/ML INJ,47.0,47.0,7.05,47.0,27
CDM,108621,HYDROCORTSN 50 MG/ML INJ,95.71,95.71,14.36,95.71,27
CDM,108622,VALPROATE 30MG/ML INJ,47.0,47.0,7.05,47.0,30
CDM,108623,PACLITAXEL 1 MG INJ,47.0,47.0,7.05,47.0,28
CDM,108624,ARGATROB 1MG/ML NESRD,47.0,47.0,8.65,47.0,23
CDM,108625,BENZOC/MENTH 15/3.6MG PO,13.0,13.0,1.95,13.0,42
CDM,108626,BISACODYL 10 MG RECTAL,44.97,44.97,6.75,44.97,42
CDM,108627,CAPSAICIN 0.025% 60G TOP,95.62,95.62,14.34,95.62,42
CDM,108628,CMPD SUCRALFATE TOP,65.64,65.64,9.85,65.64,30
CDM,108629,GASTROGRAFIN 37% 30 ML,241.63,241.63,36.24,241.63,28
CDM,108629,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",241.63,241.63,0.28,0.58,5
CDM,108630,DILTIAZEM 50 MG INJ,71.83,71.83,10.77,71.83,29
CDM,108632,MINERAL OIL/PETR 3.5GOPH,82.45,82.45,12.37,82.45,42
CDM,108633,DOCUSATE SOD 10MG PO,21.33,21.33,3.2,21.33,42
CDM,108634,PETROLATUM 396G TOP,187.76,187.76,28.16,187.76,42
CDM,108635,PHENOL 0.5-1.5% ORAL,27.77,27.77,4.17,27.77,42
CDM,108636,SENNOSID 8.6-8.8MG PO,13.0,13.0,1.95,13.0,42
CDM,108637,SODIUM PHOS 133 ML RECT,13.0,13.0,1.95,13.0,42
CDM,108638,STERILE WATER 3 L IRRIG,118.24,118.24,17.74,118.24,38
CDM,108705,RVSC IVT ANG SFL IN,74345.91,74345.91,11151.89,74345.91,36
CDM,108706,RVSC IVT ANG SFL EA,37172.96,37172.96,5575.94,37172.96,36
CDM,108707,RVSC IVT ANG CL IN,74345.91,74345.91,11151.89,74345.91,36
CDM,108708,RVSC IVT ANG CL EA,37172.96,37172.96,5575.94,37172.96,36
CDM,108709,RVSC IVT STN SFL IN,69581.27,69581.27,10437.19,69581.27,36
CDM,108710,RVSC IVT STNT SFL EA,34790.64,34790.64,5218.6,34790.64,36
CDM,108711,RVSC IVT STNT CL IN,69581.27,69581.27,10437.19,69581.27,36
CDM,108712,RVSC IVT STNT CL EA,34790.64,34790.64,5218.6,34790.64,36
CDM,108713,RVSC FPVT ANG SFL IN,75209.98,75209.98,11281.5,75209.98,36
CDM,108714,RVSC  FPVT ANG SFL EA,37604.99,37604.99,5640.75,37604.99,36
CDM,108715,RVSC FPVT ANG CL IN,75209.98,75209.98,11281.5,75209.98,36
CDM,108716,RVSC FPVT ANG CL EA,37604.99,37604.99,5640.75,37604.99,36
CDM,108717,RVSC FPVT STNT SFL IN,160434.1,160434.1,24065.12,160434.1,36
CDM,108718,RVSC FPVT STNT SFL EA,80217.05,80217.05,12032.56,80217.05,36
CDM,108719,RVSC FPVT STN CL IN,160434.1,160434.1,24065.12,160434.1,36
CDM,108720,RVSC FPVT STNT CL EA,80217.05,80217.05,12032.56,80217.05,36
CDM,108721,RVSC FPVT ATH SFL IN,153973.81,153973.81,23096.07,153973.81,36
CDM,108722,RVSC FPVT ATH SFL EA,76986.91,76986.91,11548.04,76986.91,36
CDM,108723,RVSC FPVT ATH CL IN,153973.81,153973.81,23096.07,153973.81,36
CDM,108724,RVSC FPVT ATH CL EA,76986.91,76986.91,11548.04,76986.91,36
CDM,108725,RV FPVT STN/ATH SFL IN,239197.92,239197.92,35879.69,239197.92,36
CDM,108726,RV FPVT STN/ATH SFL EA,119598.96,119598.96,17939.84,119598.96,36
CDM,108727,RV FPVT STN/ATH CL IN,239197.92,239197.92,35879.69,239197.92,36
CDM,108728,RV FPVT STN/ATH CL EA,119598.96,119598.96,17939.84,119598.96,36
CDM,108729,RVSC TPVT ANG SFL IN,75209.98,75209.98,11281.5,75209.98,36
CDM,108730,RVSC TPVT ANG SFL EA,37604.99,37604.99,5640.75,37604.99,36
CDM,108731,RVSC TPVT ANG CL IN,75209.98,75209.98,11281.5,75209.98,36
CDM,108732,RVSC TPVT ANG CL EA,37604.99,37604.99,5640.75,37604.99,36
CDM,108733,RVSC TPVT STNT SFL IN,160434.1,160434.1,24065.12,160434.1,36
CDM,108734,RVSCTPVT STNT SFL EA,80217.05,80217.05,12032.56,80217.05,36
CDM,108735,RVSC TPVT ATH SFL IN,153973.81,153973.81,23096.07,153973.81,36
CDM,108736,RVSC TPVT ATH SFL EA,76986.91,76986.91,11548.04,76986.91,36
CDM,108737,RVSC TPVT ATH CL IN,153973.81,153973.81,23096.07,153973.81,36
CDM,108738,RVSC TPVT ATH CL EA,76986.91,76986.91,11548.04,76986.91,36
CDM,108739,RVS TPVT ST/ATH CL IN,223904.57,223904.57,33585.69,223904.57,36
CDM,108740,RV TPVT ST/ATH CL EA,111952.29,111952.29,16792.84,111952.29,36
CDM,108741,RVSC IVT ANG SFL IN,74345.91,74345.91,11151.89,74345.91,36
CDM,108742,RVSC IVT ANG SFL EA,37172.96,37172.96,5575.94,37172.96,36
CDM,108743,RVSC IVT ANG CL IN,74345.91,74345.91,11151.89,74345.91,36
CDM,108744,RVSC IVT ANG CL EA,37172.96,37172.96,5575.94,37172.96,36
CDM,108745,RVSC IVT STN SFL IN,69581.27,69581.27,10437.19,69581.27,36
CDM,108746,RVSC IVT STNT SFL EA,34790.64,34790.64,5218.6,34790.64,36
CDM,108747,RVSC IVT STNT CL IN,69581.27,69581.27,10437.19,69581.27,36
CDM,108748,RVSC IVT STNT CL EA,34790.64,34790.64,5218.6,34790.64,36
CDM,108749,RVSC FPVT ANG SFL IN,75209.98,75209.98,11281.5,75209.98,36
CDM,108750,RVSC  FPVT ANG SFL EA,37604.99,37604.99,5640.75,37604.99,36
CDM,108751,RVSC FPVT ANG CL IN,75209.98,75209.98,11281.5,75209.98,36
CDM,108752,RVSC FPVT ANG CL EA,37604.99,37604.99,5640.75,37604.99,36
CDM,108753,RVSC FPVT STNT SFL IN,160434.1,160434.1,24065.12,160434.1,36
CDM,108754,RVSC FPVT STNT SFL EA,80217.05,80217.05,12032.56,80217.05,36
CDM,108755,RVSC FPVT STN CL IN,160434.1,160434.1,24065.12,160434.1,36
CDM,108756,RVSC FPVT STNT CL EA,80217.05,80217.05,12032.56,80217.05,36
CDM,108757,RVSC FPVT ATH SFL IN,153973.81,153973.81,23096.07,153973.81,36
CDM,108758,RVSC FPVT ATH SFL EA,76986.91,76986.91,11548.04,76986.91,36
CDM,108759,RVSC FPVT ATH CL IN,153973.81,153973.81,23096.07,153973.81,36
CDM,108760,RVSC FPVT ATH CL EA,76986.91,76986.91,11548.04,76986.91,36
CDM,108761,RV FPVT STN/ATH SFL IN,239197.92,239197.92,35879.69,239197.92,36
CDM,108762,RV FPVT STN/ATH SFL EA,119598.96,119598.96,17939.84,119598.96,36
CDM,108763,RV FPVT STN/ATH CL IN,239197.92,239197.92,35879.69,239197.92,36
CDM,108764,RV FPVT STN/ATH CL EA,119598.96,119598.96,17939.84,119598.96,36
CDM,108765,RVSC TPVT ANG SFL IN,75209.98,75209.98,11281.5,75209.98,36
CDM,108766,RVSC TPVT ANG SFL EA,37604.99,37604.99,5640.75,37604.99,36
CDM,108767,RVSC TPVT ANG CL IN,75209.98,75209.98,11281.5,75209.98,36
CDM,108768,RVSC TPVT ANG CL EA,37604.99,37604.99,5640.75,37604.99,36
CDM,108769,RVSC TPVT STNT SFL IN,160434.1,160434.1,24065.12,160434.1,36
CDM,108770,RVSCTPVT STNT SFL EA,80217.05,80217.05,12032.56,80217.05,36
CDM,108771,RVSC TPVT ATH SFL IN,153973.81,153973.81,23096.07,153973.81,36
CDM,108772,RVSC TPVT ATH SFL EA,76986.91,76986.91,11548.04,76986.91,36
CDM,108773,RVSC TPVT ATH CL IN,153973.81,153973.81,23096.07,153973.81,36
CDM,108774,RVSC TPVT ATH CL EA,76986.91,76986.91,11548.04,76986.91,36
CDM,108775,RVS TPVT ST/ATH CL IN,223904.57,223904.57,33585.69,223904.57,36
CDM,108776,RV TPVT ST/ATH CL EA,111952.29,111952.29,16792.84,111952.29,36
CDM,108777,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",2250.0,2250.0,160.9,1145.65,50
CDM,108777,HLA TYP AB SEMIQN PAN C1,2250.0,2250.0,414.23,2250.0,28
CDM,108778,SMEAR EOSINOPHILS STAIN,518.53,518.53,95.46,518.53,28
CDM,108779,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",450.0,450.0,28.89,192.57,50
CDM,108779,HLA TYP AB QL CL1&CL2,450.0,450.0,82.84,450.0,28
CDM,108780,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",581.08,581.08,28.89,192.57,50
CDM,108780,HLA TYP AB QL CL1 OR CL2,581.08,581.08,106.98,581.08,28
CDM,108781,INHALATION PENTAMIDINE,559.3,559.3,95.08,559.3,37
CDM,108782,INHALATION PENTAMIDINE,559.3,559.3,95.08,559.3,37
CDM,108783,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",965.55,965.55,146.61,977.4,50
CDM,108783,HLA TYPAB IDHIDEF QL CL2,965.55,965.55,177.76,965.55,28
CDM,108784,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",965.55,965.55,145.69,971.25,50
CDM,108784,HLA TYPAB IDHIDEF QL CL1,965.55,965.55,177.76,965.55,28
CDM,108785,ANTI-RNA POLY3 RP155 IGG,179.78,179.78,33.1,179.78,28
CDM,108786,OSMOTIC FRAGILITY UNINC,675.0,675.0,124.27,675.0,28
CDM,108786,"Osmotic fragility, RBC; unincubated ",675.0,675.0,3.36,36.73,50
CDM,108787,FLUNITRAZEPAM BY GC/MS,387.0,387.0,58.05,387.0,39
CDM,108788,CT CER PER W CONC CT/CTA,6053.01,6053.01,907.95,6053.01,31
CDM,108789,CT CER PER W/O CONC CT/A,12106.01,12106.01,1815.9,12106.01,31
CDM,108790,UA W O MICRO MANUAL,536.38,536.38,98.75,536.38,28
CDM,108791,SMEAR FUNGI FLUOR STAIN,75.0,75.0,13.81,75.0,28
CDM,108795,Consultation and report on referred material requiring preparation of slides ,75.0,75.0,14.36,86.56,15
CDM,108795,PATH CONS PREP SLIDES,75.0,75.0,12.75,75.0,33
CDM,108796,CMPD MORPH 0.4MG/ML PO,47.0,47.0,7.05,47.0,39
CDM,108797,AZTREONAM 20 MG/ML INJ,47.0,47.0,7.05,47.0,28
CDM,108798,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,108799,INDOMETHACIN 1 MG/ML INJ,2919.76,2919.76,437.96,2919.76,30
CDM,108800,CRYOABLATION NRV PLEXUS,19000.0,19000.0,2850.0,19000.0,36
CDM,108801,INJ PUDENDAL NRV,4350.0,4350.0,652.5,4350.0,36
CDM,108802,CTA H&N W/CON+NONCON IMG,22650.6,22650.6,3397.59,22650.6,31
CDM,108807,"Blood, split unit ",100.0,100.0,45.28,45.28,4
CDM,108807,SPLIT PROD SPECIFY AMT,100.0,100.0,17.0,100.0,36
CDM,108808,SPLITTING OF PRODUCT,100.0,100.0,17.0,100.0,33
CDM,108808,"Splitting of blood or blood products, each unit ",100.0,100.0,9.46,37.49,8
CDM,108809,GRANULOCYTES PH EACH UN,50.0,50.0,7.5,50.0,40
CDM,108809,"Granulocytes, pheresis, each unit ",50.0,50.0,1032.2,1032.2,6
CDM,108810,CTA H&N W/CON+NONCON IMG,22650.6,22650.6,3397.59,22650.6,31
CDM,108811,CMPD SOD PHOS 15MMOL250B,214.8,214.8,32.22,214.8,30
CDM,108812,CMPD HEP 4000U 1000ML,154.02,154.02,23.1,154.02,30
CDM,108813,RUXIENCE BS 500 MG INJ,23077.2,23077.2,4248.51,23077.2,23
CDM,108814,LEVETIRACTM 100MG/ML INJ,55.32,55.32,8.3,55.32,27
CDM,108815,ONDANSETRON 1 MG INJ,47.72,47.72,7.16,47.72,27
CDM,108816,DOXORUBICIN 20 MG INJ,478.98,478.98,71.85,478.98,27
CDM,108817,CARBOPLATIN 50 MG INJ,227.48,227.48,34.12,227.48,27
CDM,108818,PACLITAXEL 100 MG MDV,388.41,388.41,58.26,388.41,28
CDM,108819,CA GLUC NOS 5 G INJ,802.75,802.75,120.41,802.75,28
CDM,108820,AMPHOT B LIPOSOME 50 MG,3055.74,3055.74,562.56,3055.74,23
CDM,108821,FOSPHEN PE 25 MG/ML INJ,21.73,21.73,3.26,21.73,27
CDM,108822,DEXAMETHASONE 0.1MG PO,1.55,1.55,0.23,1.55,28
CDM,108823,METHADONE 5MG/5ML PO LIQ,65.46,65.46,9.82,65.46,28
CDM,108824,POT PHOS 3 MMOL/1ML INJ,13.86,13.86,2.08,13.86,38
CDM,108825,MORPHINE 0.2 MG/ML INJ,1.45,1.45,0.22,1.45,27
CDM,108826,ACETA/ASA/CAF PO,13.0,13.0,1.95,13.0,42
CDM,108827,CAFFEINE CITRAT 60MG INJ,522.5,522.5,78.38,522.5,27
CDM,108828,"Injection, perflutren lipid microspheres, per ml ",918.33,918.33,51.2,105.89,6
CDM,108828,PERFLUT LPDMCS 1.5ML INJ,918.33,918.33,137.75,918.33,27
CDM,108829,CA GLUC NOS 20MG/ML INJ,3.21,3.21,0.48,3.21,28
CDM,108830,ZINC OXIDE 20% 60 G TOP,47.48,47.48,7.12,47.48,42
CDM,108831,ETOPOSIDE 100 MG MDV,2588.78,2588.78,388.32,2588.78,27
CDM,108832,SOD PHOS 15 MMOL INJ,54.25,54.25,8.14,54.25,38
CDM,108833,ALBUTEROL 90MCG 6.7G INH,374.68,374.68,56.2,374.68,30
CDM,108834,DOCUSATE SOD 100 MG PO,13.0,13.0,1.95,13.0,42
CDM,108835,METHADONE 10MG/ML INJ,234.75,234.75,35.21,234.75,27
CDM,108836,LABETALOL 5 MG INJ,3.79,3.79,0.57,3.79,28
CDM,108837,PCNG K 2.5 MIL U INJ,143.9,143.9,21.59,143.9,27
CDM,108838,GENTAMICIN 10 MG/ML INJ,87.85,87.85,13.18,87.85,27
CDM,108839,CAFFEINE CIT 20MG/ML INJ,94.0,94.0,14.1,94.0,27
CDM,108840,ACETYLCYSTN 20% 4 ML INH,159.6,159.6,23.94,159.6,28
CDM,108840,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",159.6,159.6,11.67,22.63,5
CDM,108842,"Injection, succinylcholine chloride, up to 20 mg ",359.6,359.6,0.96,3.95,6
CDM,108842,SUCCINYLCHOL 200 MG MDV,359.6,359.6,53.94,359.6,27
CDM,108843,ASPIRIN 81 MG PO,13.0,13.0,1.95,13.0,42
CDM,108844,IDE-NO COST,1.0,1.0,0.15,1.0,42
CDM,108845,HLA CLASS 1&2 TYPING HR,2250.0,2250.0,414.23,2250.0,28
CDM,108845,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",2250.0,2250.0,155.51,1036.71,49
CDM,108846,INFLUENZA VIRUS A AG OIA,744.0,744.0,136.97,744.0,28
CDM,108847,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",35.0,35.0,31.63,210.87,47
CDM,108847,SARSCOV&INF VIR AB AG IA,35.0,35.0,6.44,35.0,28
CDM,108848,VANCO 1.25 G INJ,200.92,200.92,30.14,200.92,29
CDM,108849,ISOVUE 250 100 ML INJ,360.0,360.0,54.0,360.0,27
CDM,108850,AMOX/CLAV 120MG PO,13.0,13.0,1.95,13.0,42
CDM,108852,GLYCERIN ADULT RECT,13.0,13.0,1.95,13.0,42
CDM,108853,D10/0.45NS 1000ML INJ,94.38,94.38,14.16,94.38,38
CDM,108854,TBO-FILGRA 20 MCG/ML INJ,175.4,175.4,32.29,175.4,23
CDM,108855,BENZOCAINE 20% 60ML PO,271.97,271.97,40.8,271.97,42
CDM,108856,ETOPOSIDE 10 MG INJ,21.54,21.54,3.23,21.54,27
CDM,108857,DEXAMETH NA PHOS 1 MG,5.15,5.15,0.77,5.15,27
CDM,108858,LUBRICANT 0.4ML OPH,13.0,13.0,1.95,13.0,42
CDM,108859,BUPIV125MG/EPI0.25MG MDV,203.59,203.59,30.54,203.59,30
CDM,108860,BUPIVACAINE 0.5 MG INJ,0.9,0.9,0.14,0.9,28
CDM,108861,TROLAMINE 10% 85G TOP,28.83,28.83,4.32,28.83,42
CDM,108862,POTASS CL 20 MEQ INJ,47.0,47.0,7.05,47.0,27
CDM,108863,HUMALOG 20 U INJ,15.28,15.28,2.29,15.28,36
CDM,108864,CMPD CUST TPN PED 250ML,1581.64,1581.64,237.25,1581.64,30
CDM,108865,VANCO 10 MG INJ,0.38,0.38,0.06,0.38,29
CDM,108866,PSYLLIUM HUSK 3.4G PO,13.0,13.0,1.95,13.0,42
CDM,108867,CMPD EPI 5 MG 250B,374.85,374.85,56.23,374.85,30
CDM,108868,ANTACID PO,35.54,35.54,5.33,35.54,42
CDM,108869,BENZOCAINE 20% 12ML PO,50.26,50.26,7.54,50.26,42
CDM,108870,CMPD ISUP 0.2MG 50B,3740.82,3740.82,561.12,3740.82,30
CDM,108871,MINERAL OIL 133 ML RECT,20.08,20.08,3.01,20.08,42
CDM,108872,CMPD LET KIT TOPICAL,99.13,99.13,14.87,99.13,30
CDM,108873,CMPD MAGIC MOUTHWASH 5ML,13.0,13.0,1.95,13.0,39
CDM,108874,PACLITAXEL 300 MG MDV,894.63,894.63,134.19,894.63,28
CDM,108876,INFLUENZA VIRUS B AG OIA,744.99,744.99,137.15,744.99,28
CDM,108877,POTASS CL 2 MEQ INJ,3.0,3.0,0.45,3.0,27
CDM,108878,OCTREOT 25MCG ND SQIV,81.06,81.06,12.16,81.06,36
CDM,108879,MAG SULFATE 454 G TOP,21.24,21.24,3.19,21.24,42
CDM,108880,CMPD PCNGK 2.5MU/NS 50B,291.92,291.92,43.79,291.92,30
CDM,108883,IMAGE GUIDE VASC ACCESS,1276.68,1276.68,191.5,1276.68,34
CDM,108885,DOXYCY MON 25MG/5MLLIQPO,18.26,18.26,2.74,18.26,42
CDM,108886,GABAPEN 250MG/5ML LIQ PO,69.29,69.29,10.39,69.29,42
CDM,108887,CMPD CUST INT TPN 1000ML,2898.55,2898.55,434.78,2898.55,30
CDM,108888,VALPROATE 50MG/ML INJ,134.98,134.98,20.25,134.98,30
CDM,108889,ESOMEPRAZOLE 40MG LIQ PO,93.79,93.79,14.07,93.79,42
CDM,108890,QUANT & CHAR C ARTH PLQ,2376.25,2376.25,356.44,2376.25,42
CDM,108891,CMPD NOREPI 16MG 266ML,515.64,515.64,77.35,515.64,30
CDM,108892,ZONISAMIDE LIQ PO,33.25,33.25,4.99,33.25,42
CDM,108893,CMPD BSS/LIDOC/EPI OPH,178.92,178.92,26.84,178.92,30
CDM,108894,CMPD NABIC 1.5MEQ/5ML PO,13.0,13.0,1.95,13.0,39
CDM,108895,CMPD NABIC 0.3MEQ/1ML PO,13.0,13.0,1.95,13.0,39
CDM,108896,CMPD BUP/EPI/KET 50ML,68.08,68.08,10.21,68.08,30
CDM,108897,CMPD AA3%D10/CA/HEP200ML,3163.27,3163.27,474.49,3163.27,30
CDM,108899,CMPD TACROL 1MG/ML PO,89.47,89.47,13.42,89.47,39
CDM,108900,XR ANKLE 2 VIEWS RT,2708.06,2708.06,498.55,2708.06,28
CDM,108901,XR ANKLE 2 VIEWS LT,2708.06,2708.06,498.55,2708.06,28
CDM,108902,XR HAND 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,108903,XR HAND 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,108904,AMIKACIN SULFATE 1000 MG,142.94,142.94,21.44,142.94,27
CDM,108905,CMPD BEVACIZUMAB OPHTHAL,1081.13,1081.13,162.17,1081.13,30
CDM,108906,CMPD EPI 100 MCG 10S,175.69,175.69,26.35,175.69,30
CDM,108908,IRINOTECAN 300 MG INJ,871.79,871.79,130.77,871.79,27
CDM,108910,MORPHINE 1MG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,108911,EYE WASH 118 ML OPH IRR,45.55,45.55,6.83,45.55,38
CDM,108912,ROMIPLOSTIM 250 MCG INJ,15356.82,15356.82,2827.19,15356.82,25
CDM,108914,SMOFLIPID 20% 100ML INJ,228.48,228.48,34.27,228.48,30
CDM,108915,CT CER PER W/O CONC CT/A,12106.01,12106.01,1815.9,12106.01,31
CDM,108916,CT CER PER W CONC CT/CTA,6053.01,6053.01,907.95,6053.01,31
CDM,108917,DEST PERIPH NERVE/BRNCH,2259.08,2259.08,338.86,2259.08,36
CDM,108918,TRABECTEDIN 1 MG INJ,21790.71,21790.71,4011.67,21790.71,23
CDM,108919,OXCARBA 300MG 5ML LIQ PO,83.8,83.8,12.57,83.8,42
CDM,108920,IFOSFAMIDE 3 G INJ,824.63,824.63,123.69,824.63,27
CDM,108921,TRABECTEDIN 0.1MG INJJW,2179.07,2179.07,401.17,2179.07,23
CDM,108922,DOBUTAMINE 1000 MG INJ,292.13,292.13,43.82,292.13,27
CDM,108923,EPTIFIBATIDE 20 MG INJ,299.88,299.88,44.98,299.88,27
CDM,108924,CMPDHYDROXUREA100MG/MLPO,59.2,59.2,8.88,59.2,39
CDM,108925,DEXAMETHASONE 1 MG PO,15.48,15.48,2.32,15.48,28
CDM,108926,SIROLIMUS 1 MG PO,256.56,256.56,38.48,256.56,28
CDM,108927,NOVOSEVEN RT 2 MG INJ,37036.32,37036.32,6818.39,37036.32,23
CDM,108928,FLUCONAZOLE LIQ PO,35.85,35.85,5.38,35.85,42
CDM,108929,CEPHALEX 250MG/5ML LIQPO,22.75,22.75,3.41,22.75,42
CDM,108930,DEXAMTH NAP 4MG/ML INJ,80.9,80.9,12.13,80.9,27
CDM,108931,ALTEPLASE RECOMB 1 MG/ML,2035.75,2035.75,374.78,2035.75,23
CDM,108932,ALTEPLASE RECOM 1MG INJ,2035.75,2035.75,374.78,2035.75,23
CDM,108933,BENZO/RESO 5/2% 28G TOP,318.87,318.87,47.83,318.87,42
CDM,108934,LYMPH IG RABIT 25MG INJ,12408.49,12408.49,2284.4,12408.49,23
CDM,108934,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",12408.49,12408.49,1148.48,2711.27,6
CDM,108935,XR SKULL < 4 V,1721.59,1721.59,316.94,1721.59,28
CDM,108936,HEPAR 30000U/30ML MDV,175.69,175.69,26.35,175.69,27
CDM,108937,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",1500.0,1500.0,1313.82,8758.8,47
CDM,108937,TGET 51OR> SEQ RNA ANALY,1500.0,1500.0,276.15,1500.0,28
CDM,108939,US BRST BI W AX COMP,1721.59,1721.59,316.94,1721.59,28
CDM,108940,505AC METHOTREX 50MG INJ,47.09,47.09,7.06,47.09,30
CDM,108941,ZIRABEV BS 400 MG INJ,15797.72,15797.72,2908.36,15797.72,24
CDM,108942,CORDOCENTESIS,778.33,778.33,116.75,778.33,36
CDM,108943,SIM ANG W/PRS CATH RAD,29485.58,29485.58,5395.86,29485.58,31
CDM,108944,"Cocaine hydrochloride nasal solution (numbrino), 1 mg ",2291.86,2291.86,2.35,2.65,2
CDM,108944,NUMBRINO 160 MG NASAL,2291.86,2291.86,343.78,2291.86,29
CDM,108945,ISOVUE-M 200 20 ML INJ,678.94,678.94,101.84,678.94,27
CDM,108946,D-DIMER QUANT,252.0,252.0,46.39,252.0,28
CDM,108947,PLC URTR STNT SEP CTH LT,14340.97,14340.97,2151.15,14340.97,36
CDM,108948,PLC URTR STNT SEP CTH RT,14340.97,14340.97,2151.15,14340.97,36
CDM,108950,ALBUMIN INF 25% 1ML INJ,52.08,52.08,7.81,52.08,27
CDM,108951,ACT CLOT TIME,112.5,112.5,20.71,112.5,28
CDM,108952,DX BIL ENDO PERC,16535.1,16535.1,2480.26,16535.1,36
CDM,108953,VASC EMBOL W/ PR CTH/IMG,46821.73,46821.73,7023.26,46821.73,36
CDM,108954,FRENOTOMY,1052.32,1052.32,157.85,1052.32,36
CDM,108955,CMPD KCL 10MEQ 100B,47.0,47.0,7.05,47.0,30
CDM,108956,505BI EPI 1MG INJ,124.78,124.78,18.72,124.78,29
CDM,108956,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",124.78,124.78,2.23,2.78,4
CDM,108957,ADRENALIN 1 MG INJ,94.56,94.56,14.18,94.56,29
CDM,108957,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",94.56,94.56,2.31,2.77,4
CDM,108958,505IS EPI 1 MG INJ,150.94,150.94,22.64,150.94,29
CDM,108958,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",150.94,150.94,2.65,7.63,4
CDM,108959,IVIG PRIVIGEN 100MG/ML,217.39,217.39,40.02,217.39,23
CDM,108960,ALBUMIN INF 5% 1ML INJ,19.33,19.33,2.9,19.33,27
CDM,108961,AMNIOINFUSION TRANSCERV,516.38,516.38,77.46,516.38,42
CDM,108962,COMBO SPINAL/EPI ANESTH,2888.0,2888.0,433.2,2888.0,42
CDM,108963,K10/WFI 100 ML INJ,47.0,47.0,7.05,47.0,27
CDM,108964,KETAMINE 200 MG MDV,201.0,201.0,30.15,201.0,30
CDM,108965,ISH/FISH MULTPLX PROBE,2326.5,2326.5,395.5,2326.5,33
CDM,108965,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",2326.5,2326.5,77.57,417.65,12
CDM,108966,MOLPATH TIER 2 LEVEL 2,2227.5,2227.5,410.08,2227.5,28
CDM,108967,F18 FLUDEOXYGL 15 MCI,2548.38,2548.38,382.26,2548.38,39
CDM,108968,KOH PREP TISSUE,90.0,90.0,16.57,90.0,28
CDM,108968,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",90.0,90.0,1.92,19.59,50
CDM,108969,XR BONE AGE STUDIES,1436.16,1436.16,264.4,1436.16,28
CDM,108971,XR BONE AGE STUDIES,1436.16,1436.16,264.4,1436.16,28
CDM,108972,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",1687.5,1687.5,123.67,824.49,50
CDM,108972,PIK3CA TARGETED SEQ ANAL,1687.5,1687.5,310.67,1687.5,28
CDM,108973,MTB AMP PROBE,2992.5,2992.5,550.92,2992.5,28
CDM,108974,US BRST BI W AX LTD,222.28,222.28,40.92,222.28,28
CDM,108975,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",90.0,90.0,2.51,28.15,50
CDM,108975,RETIC CT AUTO W/RET-HE,90.0,90.0,16.57,90.0,28
CDM,108976,BCTPCR MULT ORG DET AMP,1620.0,1620.0,298.24,1620.0,28
CDM,108977,FUNPCR MULT ORG DET AMP,2655.0,2655.0,488.79,2655.0,28
CDM,108978,TISAGENLECLEUCEL ADULT,5200000.0,5200000.0,951600.0,5200000.0,32
CDM,108979,HPV SEP HI-RSK TYP&POOL,5274.54,5274.54,896.67,5274.54,34
CDM,108979,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",5274.54,5274.54,66.69,210.6,41
CDM,108980,PAMIDRONATE 90 MG INJ,374.68,374.68,56.2,374.68,27
CDM,108981,BUPIV5MG/EPI0.005MG 1ML,12.86,12.86,1.93,12.86,35
CDM,108982,LEUPRO DEPOT 11.25MG INJ,26347.93,26347.93,4850.65,26347.93,23
CDM,108983,CYTOGEN I P ISH 100-300,756.0,756.0,139.18,756.0,28
CDM,108983,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",756.0,756.0,23.04,153.57,50
CDM,108984,CYTOGEN DNA ISH PROBE EA,791.91,791.91,145.79,791.91,28
CDM,108984,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",791.91,791.91,9.64,64.26,50
CDM,108985,CORDOCENTESIS,778.33,778.33,116.75,778.33,36
CDM,108986,CMPD INSU DRIP 100U 100B,115.15,115.15,17.27,115.15,39
CDM,108987,505WG CEFAZOL 3 G INJ,68.04,68.04,10.21,68.04,27
CDM,108988,CMPD BECLOM 0.5MG/ML PO,0.49,0.49,0.07,0.49,39
CDM,108990,Antibody; JC (John Cunningham) virus ,450.0,450.0,7.6,50.67,50
CDM,108990,JC VIRUS AB BY INHIBIT,450.0,450.0,82.84,450.0,28
CDM,108991,LACOSAM 100MG/10ML LIQPO,495.7,495.7,74.36,495.7,30
CDM,108992,CMPD SOD PHOS 3MMOL/MLPO,32.0,32.0,4.8,32.0,39
CDM,108993,ANA QUANT TITER,125.25,125.25,23.06,125.25,28
CDM,108993,Antinuclear antibodies (ANA); titer ,125.25,125.25,5.02,43.75,50
CDM,108994,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",2250.0,2250.0,288.83,1925.55,47
CDM,108994,TP53 FULL GENE SEQ ANAL,2250.0,2250.0,414.23,2250.0,28
CDM,108995,COL1A1 FULL GENE SEQ,2250.0,2250.0,414.23,2250.0,28
CDM,108996,MOLPATH TIER 2 LEVEL 8,2250.0,2250.0,414.23,2250.0,28
CDM,108996,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",2250.0,2250.0,380.82,2817.55,49
CDM,108997,UNLISTED MOLPATH & GSP,2250.0,2250.0,337.5,2250.0,39
CDM,108997,Unlisted molecular pathology procedure ,2250.0,2250.0,215.82,243.2,2
CDM,108998,EJ ANTIBODY,202.5,202.5,37.28,202.5,28
CDM,108999,ACETONE BLD QL,27.0,27.0,4.97,27.0,28
CDM,109000,PL-12 AB,202.5,202.5,37.28,202.5,28
CDM,109001,PL-7 AB,202.5,202.5,37.28,202.5,28
CDM,109002,WESTERN BLOT PROBE B ID,405.0,405.0,74.56,405.0,28
CDM,109003,ICAM BY CLA,720.0,720.0,132.55,720.0,28
CDM,109004,CMPD URSODIOL 60MG/ML PO,180.72,180.72,27.11,180.72,39
CDM,109005,CK MB FRACTION,103.5,103.5,19.05,103.5,28
CDM,109005,"Creatine kinase (CK), (CPK); MB fraction only ",103.5,103.5,5.2,34.65,50
CDM,109006,TYENNE BS 1MG COVID,29.19,29.19,5.37,29.19,27
CDM,109007,TAP BLOCK INJ BI,6838.14,6838.14,1025.72,6838.14,36
CDM,109008,COLL OATMEAL 42G TOPICAL,13.0,13.0,1.95,13.0,42
CDM,109009,PERAMPANEL QN,405.0,405.0,74.56,405.0,28
CDM,109010,HLA CLASS 1&2 TYPING LR,900.0,900.0,165.69,900.0,28
CDM,109010,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",900.0,900.0,149.9,1206.36,49
CDM,109011,FENTANYL CIT 2.5 MG INJ,412.45,412.45,61.87,412.45,27
CDM,109012,TYENNE BS 200MG COVID,5837.4,5837.4,1074.67,5837.4,27
CDM,109013,TYENNE BS 400MG COVID,11674.8,11674.8,2149.33,11674.8,27
CDM,109014,CT ORBIT/SELLA/IAC W&WO,9448.52,9448.52,1739.47,9448.52,24
CDM,109015,SERTRA 50MG/2.5ML LIQ PO,26.91,26.91,4.04,26.91,42
CDM,109016,LACT COUNSEL INDIV 15MIN,70.54,70.54,10.58,70.54,35
CDM,109016,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes ,70.54,70.54,20.29,39.1,3
CDM,109017,LACT COUNSEL INDIV 30MIN,141.08,141.08,21.16,141.08,35
CDM,109017,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes ,141.08,141.08,61.5,118.49,3
CDM,109018,LACT COUNSEL INDIV 45MIN,211.62,211.62,31.74,211.62,35
CDM,109018,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes ,211.62,211.62,99.56,191.81,3
CDM,109019,LACT COUNSEL INDIV 60MIN,282.16,282.16,42.32,282.16,35
CDM,109019,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes ,282.16,282.16,133.34,256.89,3
CDM,109020,HHV-7 AMP PROBE,562.5,562.5,103.56,562.5,28
CDM,109021,XR SKULL < 4 V,1721.59,1721.59,316.94,1721.59,28
CDM,109022,XR SKULL 4 + V,2645.52,2645.52,487.04,2645.52,28
CDM,109023,INJ BRACHIAL PLEXUS,2259.08,2259.08,338.86,2259.08,36
CDM,109024,INJ SINUS TRACT DX,4916.29,4916.29,737.44,4916.29,36
CDM,109025,INS LEADLESS PPM DUAL,49197.23,49197.23,7379.58,49197.23,36
CDM,109027,INJECTION IM OR SQ,192.64,192.64,32.75,192.64,38
CDM,109028,PHARMACY AGENT ADMIN,2133.17,2133.17,319.98,2133.17,42
CDM,109029,PHARMACY AGENT ADMIN,2133.17,2133.17,319.98,2133.17,42
CDM,109030,SULFAMET/TMP 40/8MG PO,13.0,13.0,1.95,13.0,42
CDM,109031,TAVR/TAVI PERC CARTD APR,53192.43,53192.43,7978.86,53192.43,36
CDM,109032,NIVOLUMAB 240 MG INJ,37625.42,37625.42,6926.84,37625.42,23
CDM,109033,CMPD LANSOPRAZ 3MG/ML PO,13.0,13.0,1.95,13.0,39
CDM,109034,INS ECMO PERC PERIPH=>6Y,59431.92,59431.92,8914.79,59431.92,36
CDM,109035,INIT ECMO VENO-ARTERIAL,7131.82,7131.82,1069.77,7131.82,36
CDM,109036,REM ECMO PERC PERIPH=>6Y,7131.82,7131.82,1069.77,7131.82,36
CDM,109037,REPOS ECMO PERC =>6Y,7131.82,7131.82,1069.77,7131.82,36
CDM,109038,INIT ECMO VENO-VENOUS,7131.82,7131.82,1069.77,7131.82,36
CDM,109039,VENIPUNCTURE,61.0,61.0,11.23,61.0,29
CDM,109040,BMP TOTAL CALCIUM,1135.4,1135.4,209.03,1135.4,28
CDM,109041,ELECTROLYTE PANEL,1671.82,1671.82,307.78,1671.82,28
CDM,109042,COMP METABOLIC PANEL,4815.0,4815.0,886.44,4815.0,28
CDM,109043,LIPID PANEL,203.0,203.0,37.37,203.0,28
CDM,109044,RENAL FUNCTION PANEL,1057.93,1057.93,194.76,1057.93,28
CDM,109045,HEPATIC FUNCTION PANEL,2354.26,2354.26,433.42,2354.26,28
CDM,109046,DIGOXIN QN,1284.4,1284.4,236.46,1284.4,28
CDM,109047,PHENYTOIN DILANT TOT QN,1144.35,1144.35,210.67,1144.35,28
CDM,109048,UA W MICRO AUTO,649.63,649.63,119.6,649.63,28
CDM,109049,UA W O MICRO AUTO,649.63,649.63,119.6,649.63,28
CDM,109050,PREG URINE QUAL BY DOO,920.81,920.81,169.52,920.81,28
CDM,109051,ACETONE BLD QL,518.53,518.53,95.46,518.53,28
CDM,109052,AMMONIA,1710.0,1710.0,314.81,1710.0,28
CDM,109053,AMYLASE BLD,920.81,920.81,169.52,920.81,28
CDM,109054,BILIRUBIN TOT BLD,336.0,336.0,61.86,336.0,28
CDM,109055,BILIRUBIN DIRECT,411.21,411.21,75.7,411.21,28
CDM,109056,OCC BLD PEROX OTH SOURCE,452.95,452.95,83.39,452.95,28
CDM,109057,CALCIUM TOTAL,518.53,518.53,95.46,518.53,28
CDM,109058,CARBOXYHEMOGLOBIN QN,1633.06,1633.06,300.65,1633.06,28
CDM,109059,CHOLESTEROL BLD,1773.14,1773.14,326.44,1773.14,28
CDM,109060,CREAT KINASE (CK) TOTAL,959.57,959.57,176.66,959.57,28
CDM,109061,CREATININE BLD,673.5,673.5,123.99,673.5,28
CDM,109062,BG WITH CALC O2 SAT,1633.06,1633.06,300.65,1633.06,28
CDM,109063,GLUCOSE BLD QN,747.0,747.0,137.52,747.0,28
CDM,109064,HEMOGLOBIN A1C,158.22,158.22,29.13,158.22,28
CDM,109065,LACTIC ACID,878.0,878.0,161.64,878.0,28
CDM,109066,LDH (LD),673.5,673.5,123.99,673.5,28
CDM,109067,LIPASE,673.5,673.5,123.99,673.5,28
CDM,109068,MAGNESIUM BLD,959.57,959.57,176.66,959.57,28
CDM,109069,PHOSPHORUS BLD,777.77,777.77,143.19,777.77,28
CDM,109070,POTASSIUM BLD,552.0,552.0,101.62,552.0,28
CDM,109071,SODIUM BLD,468.0,468.0,86.16,468.0,28
CDM,109072,T4 FREE,1311.21,1311.21,241.39,1311.21,28
CDM,109073,TSH,1880.41,1880.41,346.18,1880.41,28
CDM,109074,TRIGLYCERIDES,774.0,774.0,142.49,774.0,28
CDM,109075,TROPONIN QUANT,881.0,881.0,162.19,881.0,28
CDM,109076,URIC ACID BLD,587.04,587.04,108.07,587.04,28
CDM,109077,HCG BETA QUANTITATIVE,1546.66,1546.66,284.74,1546.66,28
CDM,109078,HCG QUALITATIVE SERUM,843.32,843.32,155.26,843.32,28
CDM,109079,CBC AUTOMATED,628.75,628.75,115.75,628.75,28
CDM,109080,PROTIME,646.0,646.0,118.93,646.0,28
CDM,109081,SED RATE AUTO,649.63,649.63,119.6,649.63,28
CDM,109082,PTT,801.63,801.63,147.58,801.63,28
CDM,109083,C-REACTIVE PROTEIN,747.97,747.97,137.7,747.97,28
CDM,109084,MONO SCR (HETEROPHILE),730.11,730.11,134.41,730.11,28
CDM,109085,SMEAR WET MOUNT,587.0,587.0,108.07,587.0,28
CDM,109086,CELL COUNT CSF,891.04,891.04,164.04,891.04,28
CDM,109087,PRO-BNP QT,1141.18,1141.18,210.09,1141.18,28
CDM,109088,SARSCOV CORONAVIRU AG IA,38.71,38.71,7.13,38.71,28
CDM,109089,ACETAMINOPHEN QN,80.79,80.79,14.87,80.79,28
CDM,109090,SALICYLATE QN,80.79,80.79,14.87,80.79,28
CDM,109091,ALCOHOL QN EXC UA OR BRE,80.79,80.79,14.87,80.79,28
CDM,109092,COVID-19 DNA/RNA AMP,62.0,62.0,11.41,62.0,28
CDM,109093,BASIC METABOLIC CALC ION,1376.79,1376.79,253.47,1376.79,28
CDM,109094,NATRIURETIC PEPTIDE,1025.1,1025.1,188.72,1025.1,28
CDM,109095,STREP A AG IA,1007.24,1007.24,185.43,1007.24,28
CDM,109096,PAMG-1 CVS QL,1096.68,1096.68,201.9,1096.68,28
CDM,109097,D-DIMER QUANT,252.0,252.0,46.39,252.0,28
CDM,109098,OCCBLD PEROX 1-3 DIAG,452.95,452.95,83.39,452.95,28
CDM,109099,CELL CT & DIFF CSF,891.04,891.04,164.04,891.04,28
CDM,109100,HCG QL SERUM/URINE INSTR,226.8,226.8,41.75,226.8,28
CDM,109101,STREP A OPTICAL IA,899.32,899.32,165.56,899.32,28
CDM,109102,INFLUENZA B AG IA,665.17,665.17,122.46,665.17,28
CDM,109103,INFLUENZA A AG IA,665.17,665.17,122.46,665.17,28
CDM,109104,RSV AG IA,915.27,915.27,168.5,915.27,28
CDM,109105,DRUG SCR ANY NBR PER DOS,666.0,666.0,122.61,666.0,28
CDM,109106,CMPD CEFTAZIDIME OPHTHAL,47.0,47.0,7.05,47.0,30
CDM,109107,CMPD VANCOMYCIN OPHTHAL,47.0,47.0,7.05,47.0,30
CDM,109108,COPEPTIN QL SCR IFA,1012.5,1012.5,186.4,1012.5,28
CDM,109109,PH UR MANUAL,22.5,22.5,4.14,22.5,28
CDM,109110,505FK MORPHINE 2 MG INJ,142.39,142.39,21.36,142.39,28
CDM,109111,CMPD BUTT PASTE TOPICAL,88.8,88.8,13.32,88.8,39
CDM,109113,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",2025.0,2025.0,270.0,1800.0,47
CDM,109113,HBA1/HBA2 FULL GENE SEQ,2025.0,2025.0,372.8,2025.0,28
CDM,109115,AMINOLEVULINIC ACID ALA,121.68,121.68,22.4,121.68,28
CDM,109115,"Aminolevulinic acid, delta (ALA) ",121.68,121.68,7.4,86.61,50
CDM,109116,ISOSORBIDE MONO 10MG PO,34.21,34.21,5.13,34.21,42
CDM,109117,ISOSORBIDE MONO 20MG PO,69.28,69.28,10.39,69.28,42
CDM,109118,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",1507.5,1507.5,86.54,576.96,49
CDM,109118,MLH1 PROMOTR METHYLATION,1507.5,1507.5,277.53,1507.5,28
CDM,109119,CYTOGEN IN SITU 10-30,315.0,315.0,57.99,315.0,28
CDM,109119,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",315.0,315.0,15.66,108.49,50
CDM,109121,TOFIDENCE BS 400 MG INJ,12254.4,12254.4,2256.04,12254.4,24
CDM,109122,PTCA NCOR ST WANG 2+LS,46821.73,46821.73,7023.26,46821.73,36
CDM,109123,BH IMPLANT VENT CATH MTR,13860.99,13860.99,2079.15,13860.99,36
CDM,109124,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",3652.3,3652.3,999.4,2672.0,13
CDM,109124,PET MYOCARD MULTI R/S,3652.3,3652.3,672.39,3652.3,28
CDM,109125,RT CATH CHD NORMAL NAT,8280.38,8280.38,1242.06,8280.38,36
CDM,109126,GENTAMICIN 2 MG/ML INJ,47.0,47.0,7.05,47.0,27
CDM,109127,HCTZ 10 MG PO,54.87,54.87,8.23,54.87,42
CDM,109128,METRONIDAZ 0.75% 45G TOP,1700.75,1700.75,255.11,1700.75,42
CDM,109129,VERAPAMIL 10 MG INJ,375.38,375.38,56.31,375.38,38
CDM,109130,KANJINTI BS 150 MG INJ,7507.57,7507.57,1382.14,7507.57,24
CDM,109131,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",2399.65,2399.65,146.06,973.74,47
CDM,109131,HBB FULL GENE SEQUENCE,2399.65,2399.65,441.78,2399.65,28
CDM,109132,GENTAMI 80MG/NS 100MLINJ,175.69,175.69,26.35,175.69,27
CDM,109133,TC EXT VERT ART STNT INI,51850.07,51850.07,7777.51,51850.07,36
CDM,109134,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",2250.0,2250.0,1101.85,7345.68,47
CDM,109134,INHER BMARROW FAIL 15OR>,2250.0,2250.0,414.23,2250.0,28
CDM,109135,THER PROCEDURES GROUP PT,360.19,360.19,61.23,360.19,34
CDM,109136,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",700.88,700.88,8.28,55.2,50
CDM,109136,PROCOLLAGEN 1 N TERM RIA,700.88,700.88,129.03,700.88,28
CDM,109137,CHLM TRCH&NEISR GONO MUL,112.5,112.5,19.13,112.5,37
CDM,109137,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",112.5,112.5,66.67,210.54,38
CDM,109138,AMP/SUL 30MG/15MG PER ML,2.18,2.18,0.33,2.18,27
CDM,109139,XR KNEE 3 V BI,3157.78,3157.78,581.35,3157.78,28
CDM,109140,TENECTEPLASE 25 MG INJ,46608.03,46608.03,8580.54,46608.03,23
CDM,109141,"Injection, tranexamic acid in sodium chloride, 5 mg ",210.0,210.0,0.32,0.32,3
CDM,109141,TRANEX NACL 1000MG INJ,210.0,210.0,31.5,210.0,30
CDM,109142,Clotting; factor XII (Hageman) ,256.59,256.59,8.71,101.61,50
CDM,109142,FACTOR 12 ASSAY,256.59,256.59,47.24,256.59,28
CDM,109143,MIDAZOLAM 2 MG PO,37.8,37.8,5.67,37.8,38
CDM,109144,THROMBOPOIETIN IA QN,621.59,621.59,114.43,621.59,28
CDM,109147,SOD POLYSTYRENE 15 G PO,211.41,211.41,31.71,211.41,42
CDM,109148,INTRCRN STNT W ANGIOP,87162.3,87162.3,13074.34,87162.3,36
CDM,109149,ARGININE 10% 0.1G/ML INJ,3.21,3.21,0.48,3.21,38
CDM,109150,CULT H PYLORI SCR,900.0,900.0,165.69,900.0,28
CDM,109153,"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation ",2434.59,2434.59,23.06,100.23,10
CDM,109153,XR CHOLANG INTRAOP,2434.59,2434.59,365.19,2434.59,34
CDM,109155,505FK MORPHINE 4 MG INJ,47.0,47.0,7.05,47.0,28
CDM,109156,TEMAZEPAM 7.5 MG PO,45.46,45.46,6.82,45.46,42
CDM,109157,NM TUMOR SNG AREA SD IMG,3306.73,3306.73,608.77,3306.73,28
CDM,109157,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",3306.73,3306.73,380.97,1717.27,15
CDM,109158,DEXMETHYLPHEN ER 10MG PO,87.45,87.45,13.12,87.45,42
CDM,109159,ROMIPLOSTIM 500 MCG INJ,26848.43,26848.43,4942.8,26848.43,25
CDM,109160,ROMIPLOSTIM 1 MCG INJ,53.69,53.69,9.88,53.69,25
CDM,109161,ROMIPLOSTIM 1 MCG INJ JW,53.69,53.69,9.88,53.69,25
CDM,109162,505HS DOCETAX 1MG INJ,47.0,47.0,7.05,47.0,30
CDM,109163,505HS DOCETAX 160MG MDV,15674.08,15674.08,2351.11,15674.08,30
CDM,109164,505HS DOCETAX 20MG INJ,2410.95,2410.95,361.64,2410.95,30
CDM,109165,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",12254.4,12254.4,,,0
CDM,109165,TOFIDENCE BS 400MG COVID,12254.4,12254.4,2256.04,12254.4,27
CDM,109166,APRACLON 1% 0.1ML OPH,444.4,444.4,66.66,444.4,30
CDM,109167,NARSOPLI-WUUG 370MG INJ,170922.42,170922.42,25638.36,170922.42,30
CDM,109168,INJ ILIOING/HYPGST NERVE,1802.93,1802.93,270.44,1802.93,36
CDM,109169,PIRFENIDONE 267 MG PO,367.52,367.52,55.13,367.52,42
CDM,109170,CENOBAMATE 50 MG PO,368.52,368.52,55.28,368.52,42
CDM,109171,CMPD LACTULOSE ENEMA,203.25,203.25,30.49,203.25,35
CDM,109172,METRONIDAZOLE 100MG PO,31.42,31.42,4.71,31.42,42
CDM,109174,THER EXERCISES 15 MIN PT,437.27,437.27,74.34,437.27,34
CDM,109175,NEUROMUSC REEDUCT 15M PT,394.24,394.24,67.02,394.24,34
CDM,109176,GAIT TRAINING 15 MIN PT,370.94,370.94,63.06,370.94,34
CDM,109177,THER ACTIV DIR 15 MIN PT,508.94,508.94,86.52,508.94,34
CDM,109178,SELF/HOME ONE/ONE 15M PT,437.27,437.27,74.34,437.27,34
CDM,109179,WHEELCHAIR MGT 15M PT,394.24,394.24,67.02,394.24,34
CDM,109180,EVAL PT LOW COMPLEX,758.07,758.07,128.87,758.07,34
CDM,109181,EVAL PT MOD COMPLEX,798.35,798.35,135.72,798.35,34
CDM,109182,EVAL PT HIGH COMPLEX,838.61,838.61,142.56,838.61,34
CDM,109183,RE-EVALUATION PT,564.51,564.51,95.97,564.51,34
CDM,109184,THER EXERCIS 15 MIN PTCQ,437.27,437.27,74.34,437.27,34
CDM,109185,NEROMUSC REDUCT 15M PTCQ,394.24,394.24,67.02,394.24,34
CDM,109186,GAIT TRAINNG 15 MN PTCQ,370.94,370.94,63.06,370.94,34
CDM,109187,MANL THER TECH 15M PTCQ,437.27,437.27,74.34,437.27,34
CDM,109188,THER PROCEDURES GRP PTCQ,360.19,360.19,61.23,360.19,34
CDM,109189,THER ACTV DIR 15 MN PTCQ,508.94,508.94,86.52,508.94,34
CDM,109190,SELFHOME ONEONE 15M PTCQ,437.27,437.27,74.34,437.27,34
CDM,109191,THER PROCEDURES GROUP PT,360.19,360.19,61.23,360.19,34
CDM,109192,BENDAMUS HCL 100 MG INJ,2234.4,2234.4,411.35,2234.4,23
CDM,109193,BENDAMUS HCL 1 MG INJ,22.34,22.34,4.11,22.34,23
CDM,109194,BENDAMUS HCL 1 MG INJ JW,22.34,22.34,4.11,22.34,23
CDM,109195,TOFIDENCE BS 200 MG INJ,851.15,851.15,156.7,851.15,24
CDM,109196,ROSUVASTATIN 40 MG PO,85.91,85.91,12.89,85.91,42
CDM,109197,ROSUVASTATIN 10 MG PO,83.61,83.61,12.54,83.61,42
CDM,109198,ROSUVASTATIN 20 MG PO,83.61,83.61,12.54,83.61,42
CDM,109199,PIRFENIDONE 801MG PO,828.08,828.08,124.21,828.08,42
CDM,109200,ROSUVASTATIN 5 MG PO,82.65,82.65,12.4,82.65,42
CDM,109201,IBUPROFEN 100MG INJ JW,50.36,50.36,7.55,50.36,27
CDM,109202,IBUPROFEN 100MG INJ,50.36,50.36,7.55,50.36,27
CDM,109203,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",427.5,427.5,104.88,699.21,49
CDM,109203,STR MARKERS SPECIMEN ANA,427.5,427.5,78.7,427.5,28
CDM,109204,CALCIU/POLYCARB 625MG PO,13.0,13.0,1.95,13.0,42
CDM,109205,XANOMEL/TROS 125/30MG PO,314.37,314.37,47.16,314.37,42
CDM,109206,LEUCOVORIN CA 500 MG INJ,660.92,660.92,99.14,660.92,27
CDM,109207,CHEMO INTRALESION 1-7,183.9,183.9,31.26,183.9,36
CDM,109207,"Chemotherapy administration; intralesional, up to and including 7 lesions ",183.9,183.9,43.84,84.47,3
CDM,109208,IRON BINDING,1522.79,1522.79,280.35,1522.79,28
CDM,109208,Iron binding capacity ,1522.79,1522.79,3.93,52.34,50
CDM,109209,SUSVIMO 10 MG IMPLANT,37152.0,37152.0,6839.68,37152.0,23
CDM,109210,SUSVIMO 0.1 MG IMPLANTJW,371.52,371.52,68.4,371.52,23
CDM,109211,FINE NDL ASP WO IMG 1ST,2076.6,2076.6,311.49,2076.6,36
CDM,109212,INJ URETHROCYST RET,4986.71,4986.71,748.01,4986.71,36
CDM,109213,TETRACYCLINE 500 MG PO,131.2,131.2,19.68,131.2,42
CDM,109214,SECRETIN SYN HUMAN 16MCG,9299.36,9299.36,1712.01,9299.36,23
CDM,109216,TRYPSIN DUODENAL,103.5,103.5,19.05,103.5,28
CDM,109216,Trypsin; duodenal fluid ,103.5,103.5,3.24,42.57,50
CDM,109217,TOTAL PROTEIN OTH SRC QN,103.5,103.5,19.05,103.5,28
CDM,109218,VARICELLA ZOSTER AB CSF,67.5,67.5,12.43,67.5,28
CDM,109220,CHOLESTEROL OTHER SPEC,103.5,103.5,19.05,103.5,28
CDM,109221,MOTIXAFORT 62 MG INJ,29921.29,29921.29,5508.51,29921.29,23
CDM,109222,MOTIXAFORT 0.25 MG INJ,120.65,120.65,22.21,120.65,23
CDM,109223,MOTIXAFORT 0.25 MG INJJW,120.65,120.65,22.21,120.65,23
CDM,109224,HIV 1 GENOTYPE RT & PROT,1575.0,1575.0,289.96,1575.0,28
CDM,109224,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",1575.0,1575.0,115.85,772.35,50
CDM,109225,BASIC CARE NP,505.58,505.58,75.84,505.58,34
CDM,109226,ESTROGEN CON 30G VAGINAL,2612.57,2612.57,391.89,2612.57,31
CDM,109227,METHYLPHENID ER 36 MG PO,85.72,85.72,12.86,85.72,42
CDM,109228,IPRAT/ALBUT 20/100MCG 4G,2865.66,2865.66,429.85,2865.66,30
CDM,109229,ERYTHRO ES 200MG/5ML LIQ,154.69,154.69,23.2,154.69,42
CDM,109230,IMMPHENTIV 500 MCG INJ,57.66,57.66,8.65,57.66,27
CDM,109230,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",57.66,57.66,0.17,0.34,6
CDM,109231,DUP LE ART UNI LT,3533.69,3533.69,600.73,3533.69,33
CDM,109232,XR WRIST 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,109233,MAMMO SCR CAD 1BRST,555.0,555.0,102.18,555.0,28
CDM,109234,Y90 IBRITUM TIU TX 40MCI,142061.38,142061.38,24150.43,142061.38,34
CDM,109234,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",142061.38,142061.38,80165.58,150585.06,6
CDM,109235,SOL LIVER AG IGG QL IA,112.5,112.5,20.71,112.5,28
CDM,109236,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",1687.5,1687.5,86.96,579.75,47
CDM,109236,SF3B1 COMMON VARIANTS,1687.5,1687.5,310.67,1687.5,28
CDM,109237,HYDROXYZIN HCL 25 MG INJ,320.79,320.79,48.12,320.79,27
CDM,109238,ESTRADIOL VAL 100MG MDV,1073.68,1073.68,161.05,1073.68,27
CDM,109238,"Injection, estradiol valerate, up to 10 mg ",1073.68,1073.68,8.93,19.05,6
CDM,109239,MRA W/O CONT CHEST,5867.85,5867.85,1080.27,5867.85,27
CDM,109239,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",5867.85,5867.85,313.62,313.62,3
CDM,109240,MOXIFLOXACIN 400 MG PO,226.83,226.83,34.02,226.83,42
CDM,109241,CAGE SPN XL 10X18X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,109242,AMPHETAMINE QN,144.0,144.0,21.6,144.0,39
CDM,109242,Amphetamines; 1 or 2 ,144.0,144.0,0.01,0.01,2
CDM,109243,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",832.5,832.5,15.79,176.84,50
CDM,109243,LEGIONELLA AMP PROBE,832.5,832.5,153.26,832.5,28
CDM,109244,505EN EPI NACL 5MG INJ,374.85,374.85,56.23,374.85,30
CDM,109244,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",374.85,374.85,0.8,0.8,3
CDM,109246,ESTRADIOL 0.1MG 1XW PAT,193.34,193.34,29.0,193.34,42
CDM,109247,SUGAMMADEX 200MG INJ,1448.24,1448.24,217.24,1448.24,38
CDM,109248,POLATUZUMAB 140 MG INJ,94365.77,94365.77,17372.74,94365.77,23
CDM,109249,MM DARATUM-SPECIFIC IFE,40.5,40.5,7.46,40.5,28
CDM,109250,ALLO DONOR ACQ UNR INTL,99576.59,99576.59,14936.49,99576.59,38
CDM,109251,ALLO DONOR ACQ UNR DMSTC,99576.59,99576.59,14936.49,99576.59,38
CDM,109252,ALLO DONOR ACQ REL DMSTC,99576.59,99576.59,14936.49,99576.59,38
CDM,109255,NALOX NOS 40 MCG/ML INJ,47.86,47.86,7.18,47.86,29
CDM,109256,IRINOTECAN 100 MG INJ,448.37,448.37,67.26,448.37,27
CDM,109257,GLOFITA-GXBM 10 MG INJ,51102.31,51102.31,9407.94,51102.31,23
CDM,109258,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",113982.34,113982.34,85.14,85.14,3
CDM,109258,PEMBR BER-PMPH 790MG INJ,113982.34,113982.34,17097.35,113982.34,30
CDM,110001,BLOOD TRANSFUSION,2911.63,2911.63,494.98,2911.63,33
CDM,110001,"Transfusion, blood or blood components ",2911.63,2911.63,990.0,2550.0,5
CDM,113419,BURR SURG RND 3.0MM,231.5,231.5,34.73,231.5,42
CDM,113900,PLATE BN CLV RT 7H 120MM,4167.0,4167.0,625.05,4167.0,30
CDM,116263,PLATE BN 6HL 2.7/3.5MM,4832.0,4832.0,724.8,4832.0,30
CDM,117452,SCREW BN 3.5MM 42MM,394.0,394.0,59.1,394.0,30
CDM,117984,PLATE BN 3HL 2.7MM 79MM,3721.0,3721.0,558.15,3721.0,30
CDM,118935,SCREW BN 3.5MM 85MM,1766.0,1766.0,264.9,1766.0,30
CDM,119110,LEAD PCNG 60CM,2636.0,2636.0,395.4,2636.0,30
CDM,12024,KIT SUPRAPUBIC 12FR,1415.0,1415.0,212.25,1415.0,42
CDM,122635,DVCE TISS RMVL,4749.5,4749.5,712.42,4749.5,42
CDM,122770,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,122817,COAGULATOR SUCTION 10 FR,154.0,154.0,23.1,154.0,42
CDM,123708,SCRW BN 3.5X18MM,2105.0,2105.0,315.75,2105.0,30
CDM,123713,SCREW BN 3.5MM 12MM,2105.0,2105.0,315.75,2105.0,30
CDM,123715,SCREW BN NLCKNG 4.2X50MM,2200.0,2200.0,330.0,2200.0,30
CDM,123716,SCREW BN LCK 2.7MM 13MM,2727.0,2727.0,409.05,2727.0,30
CDM,124579,SCREW BN 5.5MM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,124589,SCREW BN 4MM 38MM,3189.0,3189.0,478.35,3189.0,30
CDM,124609,PIN HALF 5MM 250MM,993.0,993.0,148.95,993.0,42
CDM,124613,PLATE BN 1.3MM 3HL,6085.0,6085.0,912.75,6085.0,30
CDM,124676,SCREW BN 3.5MM 36MM,2105.0,2105.0,315.75,2105.0,30
CDM,124693,PLATE BN T LT 5HL,5484.0,5484.0,822.6,5484.0,30
CDM,124739,SCREW BN NLCK 3.5X50MM,2105.0,2105.0,315.75,2105.0,30
CDM,124740,SCREW BN 4MM 46MM,3189.0,3189.0,478.35,3189.0,30
CDM,124746,SCREW BN 3.5MM 32MM,2105.0,2105.0,315.75,2105.0,30
CDM,124780,WEDGE FOOT SUBTALAR 16MM,9301.0,9301.0,1395.15,9301.0,30
CDM,124784,KWIRE FX 2.3MM 230MM,347.0,347.0,52.05,347.0,42
CDM,124797,SCREW BN 2.7MM 14MM,2105.0,2105.0,315.75,2105.0,30
CDM,124798,SCREW BN 2.7MM 16MM,2105.0,2105.0,315.75,2105.0,30
CDM,131458,CATH ANGIO CON 5FR 65CM,231.5,231.5,34.73,231.5,42
CDM,164546,CATH GUIDE 6FR 150CM,3683.5,3683.5,552.52,3683.5,42
CDM,189841,AXICABTAGENE ADULT,6257460.0,6257460.0,1145115.18,6257460.0,32
CDM,189841,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",6257460.0,6257460.0,1409400.17,1409400.17,3
CDM,195008,INSERT KN TIB #5 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,195011,INSRT TIB KN 5 21MM,10721.0,10721.0,1608.15,10721.0,30
CDM,195012,BASEPLATE KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,195013,CMPNT KN 10MM 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,195014,INSERT TRTHN TIB G-416,4606.0,4606.0,690.9,4606.0,30
CDM,195022,INSERT TIB LT 2X8 JRNY,4429.0,4429.0,664.35,4429.0,30
CDM,195023,SCREW BNE TI L5MM LPRO N,1085.0,1085.0,162.75,1085.0,30
CDM,195024,CUP ACTB HIP DOME 52MM,7283.0,7283.0,1092.45,7283.0,30
CDM,195026,FILTER VC KIT 10FR 48MM,5957.0,5957.0,893.55,5957.0,30
CDM,195027,SCREW BN 2.4MM 28MM,686.0,686.0,102.9,686.0,30
CDM,195028,SCREW BN 2.4MM 36MM,686.0,686.0,102.9,686.0,30
CDM,195029,SCREW BN 2.4MM 38MM,686.0,686.0,102.9,686.0,30
CDM,195030,SCREW BN 2.4MM 40MM,807.0,807.0,121.05,807.0,30
CDM,195032,BASEPLT KN RT SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,195039,SCREW SPN XIA 4823-1645,4429.0,4429.0,664.35,4429.0,30
CDM,195040,SCREW SPN XIA 4823-1735,4429.0,4429.0,664.35,4429.0,30
CDM,195049,CMPNT PTLA KN 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,195052,BASEPLT TIB KN LT SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,195054,INSERT TIB KN LT SZ 3-4,4429.0,4429.0,664.35,4429.0,30
CDM,195064,IMPLANT BREAST 700CC,4429.0,4429.0,664.35,4429.0,30
CDM,195070,INS TIB LG 16 PS LPD,4759.0,4759.0,713.85,4759.0,30
CDM,195072,ROD SPN XIA 3.5IN 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,195074,INSERT TIB A 11MM KN LT,4606.0,4606.0,690.9,4606.0,30
CDM,195075,SPACER SHLDR 46MM,16245.0,16245.0,2436.75,16245.0,30
CDM,195079,SCRW NGT 3.5X28 2.5MM,1788.0,1788.0,268.2,1788.0,30
CDM,195080,SCREW CALC HEX 3.5X32MM,1788.0,1788.0,268.2,1788.0,30
CDM,195081,SCREW CALC HEX 3.5X34MM,1788.0,1788.0,268.2,1788.0,30
CDM,195082,SCREW BN 3.5MM 45MM,1788.0,1788.0,268.2,1788.0,30
CDM,195083,PLATE BN 2.7/3.5 69MM 2M,3900.0,3900.0,585.0,3900.0,30
CDM,195084,NAIL HUM CANN 7MM 150MM,7528.0,7528.0,1129.2,7528.0,30
CDM,195085,SCREW BN LCK 4MM 30MM,2143.0,2143.0,321.45,2143.0,30
CDM,195086,BLADE FIXTN TI L34MM HUM,3189.0,3189.0,478.35,3189.0,30
CDM,195087,SCREW BN 4MM 3.3MM 28MM,2079.0,2079.0,311.85,2079.0,30
CDM,195088,SCREW BN 3.5MM 8MM,1611.0,1611.0,241.65,1611.0,30
CDM,195093,NAIL 125D 1034 R,6400.0,6400.0,960.0,6400.0,30
CDM,195094,SCREW BN 11MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,195095,INSR STD 3-4 LT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,195096,CMPNT PTLR KN RND 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,195097,BASEPLATE TIB KN RT SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,195101,HEAD FEM HIP +7MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,195106,SET SHTH URT 11-13F 36CM,950.5,950.5,142.57,950.5,42
CDM,195107,SCREW BN 4.3MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,195108,INSERT TIB LT 3-4X9 JRNY,4429.0,4429.0,664.35,4429.0,30
CDM,195109,SCREW BN 4.3MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,195111,SCREW BN 4.3MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,195125,LINER HIP 50/52/54X28MM,6644.0,6644.0,996.6,6644.0,30
CDM,195127,COMPNT FEM RT SZ1,11073.0,11073.0,1660.95,11073.0,30
CDM,195129,CMPTN KN PTLR 1 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,195131,NAIL 125D 1038 R,6400.0,6400.0,960.0,6400.0,30
CDM,195135,PLATE SNOMA ANT CER 12MM,4872.0,4872.0,730.8,4872.0,30
CDM,195137,BASEPLATE TIB KN RT SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,195139,SCREW SPN 3MM 16MM,1461.0,1461.0,219.15,1461.0,30
CDM,195141,TOOL DSCT BALL 100MM 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,195142,SCREW SPN XIA 4823-1640,4429.0,4429.0,664.35,4429.0,30
CDM,195145,KWIRE FX 285MM 2.5MM,191.0,191.0,28.65,191.0,42
CDM,195146,CAP END TI HUM NAIL 0MM,1814.0,1814.0,272.1,1814.0,30
CDM,195147,GWIRE ORTH 240X2MM,319.5,319.5,47.92,319.5,42
CDM,195149,INSERT TIB X3 TRTHN6X11,4606.0,4606.0,690.9,4606.0,30
CDM,195154,CAGE SPN SYN 22X21X20 5D,21937.0,21937.0,3290.55,21937.0,30
CDM,195156,DISC ARTF 16X6MM,17716.0,17716.0,2657.4,17716.0,30
CDM,195158,SPACER LRDTC 13X12X7MM,5758.0,5758.0,863.7,5758.0,30
CDM,195167,GRAFT EVAS 82X28MM FLX,30188.0,30188.0,4528.2,30188.0,30
CDM,195169,GRAFT EVAS 71X24MM 16FR,11013.0,11013.0,1651.95,11013.0,30
CDM,195171,SCRW CRTX 110/30 6.5 SS,1674.0,1674.0,251.1,1674.0,30
CDM,195172,SCREW BN D6MM 120/20MM,1674.0,1674.0,251.1,1674.0,30
CDM,195173,DRILL BIT 4.8 X 180MM,1023.5,1023.5,153.53,1023.5,42
CDM,195175,BIT DRILL 3.2MM,1023.5,1023.5,153.53,1023.5,42
CDM,195183,INSERT TIB KN SZ4 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,195184,HEAD FEM 11/13 +6 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,195188,HEAD FEM HIP +4MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,195189,NAIL BN 125D 10X18MM,4629.0,4629.0,694.35,4629.0,30
CDM,195191,SPACER SPNL 28X10X12MM,9667.0,9667.0,1450.05,9667.0,30
CDM,195194,CMPNT PTLA KN 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,195196,INSERT TIB LT 5-6X10JRNY,4429.0,4429.0,664.35,4429.0,30
CDM,195199,SCREW BN SPRCL 6.5X30MM,833.0,833.0,124.95,833.0,30
CDM,195201,COMPONENT FEM 2.5 63MM,6449.0,6449.0,967.35,6449.0,30
CDM,195202,INSERT TIB KN XLNK 3 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,195206,GRAFT BN XS 1.4CC 1X2IN,8194.0,8194.0,1229.1,8194.0,30
CDM,195207,SCREW BN 3.5MM 36MM,1788.0,1788.0,268.2,1788.0,30
CDM,195211,CMPTN KN PTLR 3 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,195213,ROD SPNL 150MM TI NHNC,6533.0,6533.0,979.95,6533.0,30
CDM,195214,SPACER LRDTC 13X12X6MM,4872.0,4872.0,730.8,4872.0,30
CDM,195216,PATCH CV CLOSURE 7X15CM,5068.0,5068.0,760.2,5068.0,30
CDM,195220,SCRW II PA 7.5 X 60 MM,4247.0,4247.0,637.05,4247.0,30
CDM,195222,INSERT KN TIB SZ4 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,195223,PLATE BN 3/7HL 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,195224,SCREW BN CRTX 2X9MM,541.0,541.0,81.15,541.0,30
CDM,195225,SCREW BN 2.0MM 9MM,1330.0,1330.0,199.5,1330.0,30
CDM,195226,SCREW BN 2X12MM,1330.0,1330.0,199.5,1330.0,30
CDM,195227,SCREW BN SS 7MM 2MM,625.0,625.0,93.75,625.0,30
CDM,195228,SCREW BN CORT 2MM 13MM,625.0,625.0,93.75,625.0,30
CDM,195229,SCREW BN 2.0MM 10MM,1330.0,1330.0,199.5,1330.0,30
CDM,195230,SCREW BN 2MM 13MM,2035.0,2035.0,305.25,2035.0,30
CDM,195232,PLATE ANT CERV SPNE 32,4429.0,4429.0,664.35,4429.0,30
CDM,195234,COMPNT FEM KN RT SZ3,8858.0,8858.0,1328.7,8858.0,30
CDM,195235,INSERT ARTC KN 1-2 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,195237,CUP ACTB OD45 ASR HIP,9301.0,9301.0,1395.15,9301.0,30
CDM,195239,LEAD PCNG 35CM,3372.0,3372.0,505.8,3372.0,30
CDM,195242,INSERT ARTC KN .5 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,195246,IMPLANT ORTHO 30 FNGR NF,4606.0,4606.0,690.9,4606.0,30
CDM,195252,COMPNT FEM LT KN SZ4,6068.0,6068.0,910.2,6068.0,30
CDM,195255,HEAD FEM HIP 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,195256,BIT DRILL 25MM,1637.0,1637.0,245.55,1637.0,42
CDM,195258,SCREW BN 4.0 16MM,319.0,319.0,47.85,319.0,30
CDM,195259,INSERT TIB RT 5-6X9 JRNY,4429.0,4429.0,664.35,4429.0,30
CDM,195261,CMPNT FEM KN RT SZ4,5980.0,5980.0,897.0,5980.0,30
CDM,195262,INSERT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,195266,SPACE BN ACF12.5X15X8MM,6000.0,6000.0,900.0,6000.0,30
CDM,195272,SPACER SPNL OPL 28X9X10,9667.0,9667.0,1450.05,9667.0,30
CDM,195273,SPACER SPNL 28X10X8MM,9667.0,9667.0,1450.05,9667.0,30
CDM,195280,CUP ACTB HIP 68MM,8491.0,8491.0,1273.65,8491.0,30
CDM,195282,HEAD SELEX/MAG MOD 40MM,7353.0,7353.0,1102.95,7353.0,30
CDM,195283,LINR ACTB +4MM 56MM,4429.0,4429.0,664.35,4429.0,30
CDM,195284,CUP ACTB HIP PNCL 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,195285,PROSTH PENL PUMP PS 15CM,38433.0,38433.0,5764.95,38433.0,30
CDM,195291,HEAD HUM SHLDR 24MM 46MM,5491.0,5491.0,823.65,5491.0,30
CDM,195294,SCREW BN TI L50 OD6.5 SP,4429.0,4429.0,664.35,4429.0,30
CDM,195296,ROD CON SPNL 22X5.5,3389.0,3389.0,508.35,3389.0,30
CDM,195297,SCREW SPNL TSRH 88901000,753.0,753.0,112.95,753.0,30
CDM,195299,STEM FEM SZ9 165MM,8858.0,8858.0,1328.7,8858.0,30
CDM,195304,INSERT TIB 3-4 10MM RT,4429.0,4429.0,664.35,4429.0,30
CDM,195310,SCREW SPN XIA 4823-1655,4429.0,4429.0,664.35,4429.0,30
CDM,195311,SCREW SPN XIA 4823-1745,4429.0,4429.0,664.35,4429.0,30
CDM,195312,PLATE SPN L1 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,195313,INSERT TIB KN SZ7 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,195314,IMPLANT BREAST 325CC,4429.0,4429.0,664.35,4429.0,30
CDM,195316,IMPLANT BREAST 375CC,4429.0,4429.0,664.35,4429.0,30
CDM,195319,IMPLANT BREAST 700CC,4429.0,4429.0,664.35,4429.0,30
CDM,195327,IMPLANT BREAST 500CC,4429.0,4429.0,664.35,4429.0,30
CDM,195331,SCREW BN 4X30X14MM,319.0,319.0,47.85,319.0,30
CDM,195332,SCREW BN 4X34X14MM,319.0,319.0,47.85,319.0,30
CDM,195333,PASSER SURG 38CM ONQ PNB,715.0,715.0,107.25,715.0,42
CDM,195335,INSERT TIB LT 1-2X8 JRNY,4429.0,4429.0,664.35,4429.0,30
CDM,195336,CMPNT FEM HIP RT KN SZ4,6068.0,6068.0,910.2,6068.0,30
CDM,195337,INSERT TIB SZ3 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,195338,HEAD FEM HIP 11/13 +0MM,4252.0,4252.0,637.8,4252.0,30
CDM,195339,STEM FM STD 42 22X17X165,8194.0,8194.0,1229.1,8194.0,30
CDM,195340,NRSTM IMPL 1.9INX.6IN,66435.0,66435.0,9965.25,66435.0,30
CDM,195342,SPACER SPN PEEK-OPTM 8MM,7562.0,7562.0,1134.3,7562.0,30
CDM,195346,SPACER SPNL 4D 20X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,195350,SCREW SPN XIA 4823-1740,4429.0,4429.0,664.35,4429.0,30
CDM,195352,SPACER SPN 9X10X28MMP,9667.0,9667.0,1450.05,9667.0,30
CDM,195353,SCREW SPN XIA 4823-1650,4429.0,4429.0,664.35,4429.0,30
CDM,195354,NAIL INTRTN IM 11.5X38RT,6400.0,6400.0,960.0,6400.0,30
CDM,195355,CATH URET 3W 22FR 30CC,199.0,199.0,29.85,199.0,42
CDM,195360,CATH SNTRY ESOPH MTLTY,406.0,406.0,60.9,406.0,42
CDM,195377,SCRW 8.5X65MM MA,4429.0,4429.0,664.35,4429.0,30
CDM,195383,HEAD FEM HIP +1.5X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,195395,INSERT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,195396,BASEPLT TIB KN SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,195397,COMP FEM HIP 28MM 43MM,4252.0,4252.0,637.8,4252.0,30
CDM,195398,HEAD FEM HIP -3 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,195406,INSERT ARTC LT 1-2 21MM,6697.0,6697.0,1004.55,6697.0,30
CDM,195413,IMPLANT FINGR DIST 30D,6573.0,6573.0,985.95,6573.0,30
CDM,195414,PACK BURR BLD SURG DISP,2988.0,2988.0,448.2,2988.0,42
CDM,195415,KIT SAW-BURR DISP,2745.0,2745.0,411.75,2745.0,42
CDM,195416,LINER ACTB HIP 10D 28X50,4429.0,4429.0,664.35,4429.0,30
CDM,195417,SHELL ACTB HIP 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,195419,HEAD HUM 21MM 48MM,5257.0,5257.0,788.55,5257.0,30
CDM,195420,STEMHUM SHLDR 138MM 10MM,11959.0,11959.0,1793.85,11959.0,30
CDM,195421,CMPNT FEM KN RT SZ4,6449.0,6449.0,967.35,6449.0,30
CDM,195422,CMPNT FEM NPOR LT 4N,6449.0,6449.0,967.35,6449.0,30
CDM,195423,INSERT TIB KN SZ4 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,195424,PLATE BN SPNL 12 ANT CRV,4429.0,4429.0,664.35,4429.0,30
CDM,195426,NAIL TI 130MM X 380MM,7608.0,7608.0,1141.2,7608.0,30
CDM,195427,CAP END BN 0MM,2309.0,2309.0,346.35,2309.0,30
CDM,195428,STEM FEM 12/14 150MM,11073.0,11073.0,1660.95,11073.0,30
CDM,195435,SCREW BN TI CORT 4X20MM,2607.0,2607.0,391.05,2607.0,30
CDM,195436,SCREW BN TI CORT 4X28MM,2392.0,2392.0,358.8,2392.0,30
CDM,195438,NAIL BN HUM 8/7MM 22CM,6492.0,6492.0,973.8,6492.0,30
CDM,195439,SCREW SPN 5.2MM 28MM,3012.0,3012.0,451.8,3012.0,30
CDM,195445,STEM RAD ELB 10MM 4MM,5825.0,5825.0,873.75,5825.0,30
CDM,195446,HEAD RAD ELB 28MM RT,12486.0,12486.0,1872.9,12486.0,30
CDM,195447,SCREW BN CORT 3.5MM 40MM,957.0,957.0,143.55,957.0,30
CDM,195448,SCREW BN 3.5MM 50MM,1116.0,1116.0,167.4,1116.0,30
CDM,195449,PROBE SRG 4IN 19GA PERC,9209.0,9209.0,1381.35,9209.0,42
CDM,195450,CUP ACTB HIP 54MM,8491.0,8491.0,1273.65,8491.0,30
CDM,195451,SCREW BN 5X35MM,877.0,877.0,131.55,877.0,30
CDM,195452,SCREW BN 5MM 40MM HIP,877.0,877.0,131.55,877.0,30
CDM,195453,SCREW BN 5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,195454,LNR ACTB 10DD +4 32X48,4429.0,4429.0,664.35,4429.0,30
CDM,195455,CMPTN KN PTLR 0 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,195462,CMPNT HUM DSCV CNDYL2SCR,6184.0,6184.0,927.6,6184.0,30
CDM,195463,PLUG BNCMNT SM 12MM,2376.0,2376.0,356.4,2376.0,30
CDM,195464,PLUG BNCMNT SM 10MM,2503.0,2503.0,375.45,2503.0,30
CDM,195465,PLUG BNCMNT SM 8MM,2503.0,2503.0,375.45,2503.0,30
CDM,195466,KNIFE SURG BYNT DISP,2217.5,2217.5,332.63,2217.5,42
CDM,195471,COMPONENT GLND 44MM,5814.0,5814.0,872.1,5814.0,30
CDM,195472,BASEPLATE TIB KN SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,195490,SCREW BN 7.3MM 5MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,195527,SCREW SROM 6.5X15 LG,1638.0,1638.0,245.7,1638.0,30
CDM,195528,LINER ACTB 10D LG 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,195529,HEAD HIP+12MM 11/13 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,195531,SCREW BN 4MM 18MM,319.0,319.0,47.85,319.0,30
CDM,195532,PLATE 1/3 95.5MM 7HL LCK,2428.0,2428.0,364.2,2428.0,30
CDM,195534,TRAY MOD TIB CEM COCR 2,4606.0,4606.0,690.9,4606.0,30
CDM,195535,INSRT TIB2 8MM XLPCRV+SG,4429.0,4429.0,664.35,4429.0,30
CDM,195539,SCREW BN SPN 6.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,195540,SCREW BN SPN 7.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,195542,PLATE ANT CSPN 30MM 2LVL,4429.0,4429.0,664.35,4429.0,30
CDM,195545,NAIL BN FEM 12MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,195549,COMPNT FEM SZ4 RT,9301.0,9301.0,1395.15,9301.0,30
CDM,195550,INSERT ARTC KN 3-4-5 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,195556,INSERT ARTC KN 3-4-5 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,195557,BIT DRILL STRL,1569.5,1569.5,235.43,1569.5,42
CDM,195558,SCREW BN 4MM 22MM,319.0,319.0,47.85,319.0,30
CDM,195563,SCREW SPN XIA 4823-1750,4429.0,4429.0,664.35,4429.0,30
CDM,195582,PLATE SPN FSN WD 8MM,23917.0,23917.0,3587.55,23917.0,30
CDM,195583,PLATE SPN FSN WD 10MM,23917.0,23917.0,3587.55,23917.0,30
CDM,195586,SPACER LRDTC 15X13X6MM,4872.0,4872.0,730.8,4872.0,30
CDM,195587,SPACER LRDTC 15X13X8MM,4872.0,4872.0,730.8,4872.0,30
CDM,195588,INSERT TIB 2.5 + 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,195590,SPACER SYNFX 26X32X12 8D,29203.0,29203.0,4380.45,29203.0,30
CDM,195596,INSERT ARTC KN 1-2 9MM,7299.0,7299.0,1094.85,7299.0,30
CDM,195599,PLATE LG TI 8 H LCK BN,4429.0,4429.0,664.35,4429.0,30
CDM,195600,NUT CORT DBL LEAD 5.5,1834.0,1834.0,275.1,1834.0,30
CDM,195604,SPACER SPNL 4D 20X8MM,11959.0,11959.0,1793.85,11959.0,30
CDM,195606,PLATE OLCRN 11 HL,4429.0,4429.0,664.35,4429.0,30
CDM,195607,STEM RADIAL 9X13 MM,10998.0,10998.0,1649.7,10998.0,30
CDM,195611,LINR ACTB +4MM 60MM,7169.0,7169.0,1075.35,7169.0,30
CDM,195612,TRAY MOD TIB CEM COCR 5,4606.0,4606.0,690.9,4606.0,30
CDM,195613,INSERT TIB KN 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,195614,SHELL ACTB HIP 66MM,8491.0,8491.0,1273.65,8491.0,30
CDM,195615,SCREW BN 5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,195617,SLEEVE FEM HIP STD +0MM,2573.0,2573.0,385.95,2573.0,30
CDM,195618,SCREW BN HEX 2.7X12,319.0,319.0,47.85,319.0,30
CDM,195619,SCREW BN HEX 2.7X10,319.0,319.0,47.85,319.0,30
CDM,195620,STEM FEM HIP 11MM 130MM,20516.0,20516.0,3077.4,20516.0,30
CDM,195621,STEM HUM SHLDE 8MM 175MM,18863.0,18863.0,2829.45,18863.0,30
CDM,195622,COMPNT GLND SHLDR 38MM,5647.0,5647.0,847.05,5647.0,30
CDM,195623,SCREW BN GLND PLATE LT,1595.0,1595.0,239.25,1595.0,30
CDM,195624,SCREW SHLDR RVRS,3189.0,3189.0,478.35,3189.0,30
CDM,195625,PLATE GLENOID RVRS,5980.0,5980.0,897.0,5980.0,30
CDM,195626,TRAY RVRS HUM +0,7087.0,7087.0,1063.05,7087.0,30
CDM,195627,LINER RVRS HUM 38 +0,4429.0,4429.0,664.35,4429.0,30
CDM,195628,SCREW BN 4.5MM 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,195629,SCREW BN 4.5MM 26MM,1595.0,1595.0,239.25,1595.0,30
CDM,195630,SCREW BN 4.5MM 22MM,1595.0,1595.0,239.25,1595.0,30
CDM,195631,SCREW BN 4.5MM 18MM,1595.0,1595.0,239.25,1595.0,30
CDM,195640,COMP PTLR KN 9MM 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,195693,STENT CLN 22X90MM 270CM,10885.0,10885.0,1632.75,10885.0,30
CDM,195694,CAGE SPN LRDTC 9MM,7751.0,7751.0,1162.65,7751.0,30
CDM,195696,SCREW BN CORT 2.7MM 26MM,957.0,957.0,143.55,957.0,30
CDM,195697,NAIL 130D 11.540 L,6400.0,6400.0,960.0,6400.0,30
CDM,195703,SROM STM LG36NK11X16X2,14941.0,14941.0,2241.15,14941.0,30
CDM,195708,CUP ACTB HIP MLH 50MM,7283.0,7283.0,1092.45,7283.0,30
CDM,195709,CUP ACTB HIP DOME 58MM,7283.0,7283.0,1092.45,7283.0,30
CDM,195710,SROM SLEEVE ZTT OVSZ20F,4252.0,4252.0,637.8,4252.0,30
CDM,195721,SYSTEM URTH SUPP BLU,4429.0,4429.0,664.35,4429.0,30
CDM,195722,INSERT KN X3 SZ7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,195723,CMPNT FEM KN LT SZ6,6068.0,6068.0,910.2,6068.0,30
CDM,195724,BASEPLATE TIB KN SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,195740,CMPNT FEM RT KN 8,6068.0,6068.0,910.2,6068.0,30
CDM,195741,CMPNT PTLR KN X3 11X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,195743,INSERT KN TIB X3 7 HL,4606.0,4606.0,690.9,4606.0,30
CDM,195744,INSERT TIB PST SZ5 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,195747,PLATE SPNL BN 12MM,23917.0,23917.0,3587.55,23917.0,30
CDM,195753,STABILIZER SURG PAD,4385.5,4385.5,657.83,4385.5,42
CDM,195754,STEM HUM SHLDR 13MM,7308.0,7308.0,1096.2,7308.0,30
CDM,195755,HEAD HUM SHRT 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,195756,CMPNT HUM SHLDR 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,195757,KIT SCREW BN IMP SHDR,3189.0,3189.0,478.35,3189.0,30
CDM,195758,COMPNT SHLDR PLT 4.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,195780,CUP ACTB HIP HH 54MM,7283.0,7283.0,1092.45,7283.0,30
CDM,195783,INSRT TIB5 8MM XLPCRV+SG,4429.0,4429.0,664.35,4429.0,30
CDM,195790,WEDGE TIB KN FULL 7D SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,195791,STEM FEM KN 11MM 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,195792,PLATE CLVCL STR 8 HL,4309.0,4309.0,646.35,4309.0,30
CDM,195793,SCREW BN TI L40 XPDM SPN,4429.0,4429.0,664.35,4429.0,30
CDM,195795,SCREW BN TI L45 XPDM SPN,4429.0,4429.0,664.35,4429.0,30
CDM,195796,SCREW BN TI L50 XPDM SPN,4429.0,4429.0,664.35,4429.0,30
CDM,195802,SROM STM LNG36+8L NK15,11985.0,11985.0,1797.75,11985.0,30
CDM,195810,STEM XTN OFST 15X200X155,5228.0,5228.0,784.2,5228.0,30
CDM,195811,INSERT ARTC 74X46X10MM,6536.0,6536.0,980.4,6536.0,30
CDM,195812,CMPNT FEM KN LT SZ7,6068.0,6068.0,910.2,6068.0,30
CDM,195818,SLEEVE CNTRNG 24F SM,4252.0,4252.0,637.8,4252.0,30
CDM,195819,LINR ACTB 10D +4MM 58MM,4429.0,4429.0,664.35,4429.0,30
CDM,195820,STEM HUM ADAPT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,195821,PLATE SPN BN 12MM,23917.0,23917.0,3587.55,23917.0,30
CDM,195827,CMPNT FEM RT KN 3,6068.0,6068.0,910.2,6068.0,30
CDM,195832,HEAD HUM 21MM 48MM,5910.0,5910.0,886.5,5910.0,30
CDM,195848,OCCLUDER INTRVASC 4.3MM,4093.0,4093.0,613.95,4093.0,42
CDM,195864,BURR SHVR 5.5MM,572.0,572.0,85.8,572.0,42
CDM,195865,BLADE SHVR 4MM 125MM,572.0,572.0,85.8,572.0,42
CDM,195868,PLATE SPN SM BTTRS,6644.0,6644.0,996.6,6644.0,30
CDM,195869,PLATE SPN MD BTTRS,6644.0,6644.0,996.6,6644.0,30
CDM,195870,PLATE SPN LG BTTRS,6644.0,6644.0,996.6,6644.0,30
CDM,195871,SCREW SPN 4.5MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,195872,SCREW BN 4.5MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,195873,SCREW SPN 4.5MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,195874,SCREW BN 4.5MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,195875,SCREW BN 4.5MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,195876,SCREW SPN 4.5MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,195877,SCREW SPN 5MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,195878,SCREW SPN 5MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,195879,SCREW SPN 5MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,195880,SCREW SPN 5MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,195881,SCREW SPN 5MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,195882,SCREW SPN 5MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,195887,SCREW BN CTR DRV 2.3ZX17,609.0,609.0,91.35,609.0,30
CDM,195888,SCREW BN CTR DRV 2.3ZX19,609.0,609.0,91.35,609.0,30
CDM,195889,SCREW CTR DRV MCR 1.5X4,755.0,755.0,113.25,755.0,30
CDM,195893,STAPLER INT CIR 3.5X25MM,4093.0,4093.0,613.95,4093.0,42
CDM,195898,EVACUATOR BLADDER ADPT,245.0,245.0,36.75,245.0,42
CDM,195909,SCREW VA-SD HYBRD 4X12MM,1506.0,1506.0,225.9,1506.0,30
CDM,195910,SUTURE FIBERWIRE 18IN,351.0,351.0,52.65,351.0,30
CDM,195918,ANCHOR SUT 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,195924,VALVE AORTIC 21MM,15092.0,15092.0,2263.8,15092.0,30
CDM,195925,VALVE AORTIC 19MM,15092.0,15092.0,2263.8,15092.0,30
CDM,195928,VALVE AORTIC 27MM,17303.0,17303.0,2595.45,17303.0,30
CDM,195929,VALVE AORTIC 29MM,15092.0,15092.0,2263.8,15092.0,30
CDM,195934,CAGE SPNL 12X45X45MM,17716.0,17716.0,2657.4,17716.0,30
CDM,195935,PROBE NRV STIM BALL 9IN,1023.5,1023.5,153.53,1023.5,42
CDM,195936,LINER ACTB HIP10D36X54MM,4429.0,4429.0,664.35,4429.0,30
CDM,195937,SPACER SPNL 0D 28X11X8MM,11073.0,11073.0,1660.95,11073.0,30
CDM,195938,COIL EMBL 6MM 10CM,3189.0,3189.0,478.35,3189.0,30
CDM,195939,COIL EMBL 8MM 20CM,3189.0,3189.0,478.35,3189.0,30
CDM,195940,SCREW BN LCK 4MM 36MM,2143.0,2143.0,321.45,2143.0,30
CDM,195941,SHELL ACETB G 60 HIP,4606.0,4606.0,690.9,4606.0,30
CDM,195942,STEM FEM 11.2MM 140MM,8858.0,8858.0,1328.7,8858.0,30
CDM,195943,HEAD HIP +0MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,195945,SLEEVE HIP ADPT +0MM,1170.0,1170.0,175.5,1170.0,30
CDM,195946,COMP PTLR 2 30MM BTN,4252.0,4252.0,637.8,4252.0,30
CDM,195947,INSERT TIB 2 6MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,195949,IMPLANT ORTH 2 TIB CMNT,4606.0,4606.0,690.9,4606.0,30
CDM,195950,IMPLANT ORTH 3 NAR CMNT,4606.0,4606.0,690.9,4606.0,30
CDM,195951,INSERT TIB 3 MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,195952,BLADE BN SAW CUT,819.0,819.0,122.85,819.0,42
CDM,195953,IMPLANT FEM 3 ULT PLSH,5293.0,5293.0,793.95,5293.0,30
CDM,195955,PLATE BN LT 2X3HL 1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,195956,PLATE L OBL 1.5X2HX3H RT,3189.0,3189.0,478.35,3189.0,30
CDM,195958,ROD SPNL TI L9 DPSN,2711.0,2711.0,406.65,2711.0,30
CDM,195960,PROS FEM COMP SZ3 RT,8858.0,8858.0,1328.7,8858.0,30
CDM,195962,SCREW SPN 4X16 VAR ANG,2259.0,2259.0,338.85,2259.0,30
CDM,195965,SCREW BN 2.3MM 22MM,1744.0,1744.0,261.6,1744.0,30
CDM,195966,CAGE CONCORD 9X9X27MM,9667.0,9667.0,1450.05,9667.0,30
CDM,195967,PLATE SNOMA ANT CER 18MM,4872.0,4872.0,730.8,4872.0,30
CDM,195969,ANCHOR SUT 3.5M 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,195975,SCREW BN LCK 4MM 26MM,2143.0,2143.0,321.45,2143.0,30
CDM,195977,NUT LCK TI MTNR OC,731.0,731.0,109.65,731.0,30
CDM,195978,ROD HK CNCTR TI HD TO HD,3577.0,3577.0,536.55,3577.0,30
CDM,195980,SCREW BN MIC 6.5X1.5MM C,662.0,662.0,99.3,662.0,30
CDM,195981,PLATE BN CRNFCL LT 1MM,3189.0,3189.0,478.35,3189.0,30
CDM,195983,NEEDLE ASP 1.8MM 130MM,1134.5,1134.5,170.18,1134.5,42
CDM,195984,FORCEPS SURG 1.7MM 113CM,1023.5,1023.5,153.53,1023.5,42
CDM,195985,PATCH SNSR DISP,65.5,65.5,9.82,65.5,42
CDM,195992,CATH PERITONEAL 120CM,3189.0,3189.0,478.35,3189.0,30
CDM,195994,BASKET RET 195X30MM,2546.5,2546.5,381.98,2546.5,42
CDM,195997,SUTURE BLK MONO 8-0 24IN,666.0,666.0,99.9,666.0,42
CDM,195999,PLATE AO 450.354 CERVICA,4418.0,4418.0,662.7,4418.0,30
CDM,196006,CMPNT PETELLA STD,4606.0,4606.0,690.9,4606.0,30
CDM,196007,STEM HUM SHLDR 17X130MM,15820.0,15820.0,2373.0,15820.0,30
CDM,196011,NUT ORTHO 11MM,2259.0,2259.0,338.85,2259.0,30
CDM,196012,WASHER SPN 17MM,3012.0,3012.0,451.8,3012.0,30
CDM,196015,INSERT TIB RM/LL 1-2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,196024,SPACER SPN INTERBDY 11MM,13287.0,13287.0,1993.05,13287.0,30
CDM,196026,COMPNT FEM KN LT SZ2,6423.0,6423.0,963.45,6423.0,30
CDM,196033,HEAD FEM HIP 14/16 +8MM,4429.0,4429.0,664.35,4429.0,30
CDM,196034,CMPNT FEM KN SZ6,6068.0,6068.0,910.2,6068.0,30
CDM,196036,SCREW BN 2.4MM 18MM,686.0,686.0,102.9,686.0,30
CDM,196037,PLATE BN 2.4MM 57MM,3189.0,3189.0,478.35,3189.0,30
CDM,196043,SCREW BN SPN 6.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,196048,HEAD FEM HIP 40MM +3,4606.0,4606.0,690.9,4606.0,30
CDM,196050,SCREW BN SPN 4MM 12MM,4247.0,4247.0,637.05,4247.0,30
CDM,196052,PLATE BN SS 86MM LCP 2,4429.0,4429.0,664.35,4429.0,30
CDM,196053,COMPNT FEM KN LT SZ4,6423.0,6423.0,963.45,6423.0,30
CDM,196061,STAPLE SPN THORACIC 2HL,4578.0,4578.0,686.7,4578.0,30
CDM,196073,SCREW BN MIC 5X1.8MM CTR,794.0,794.0,119.1,794.0,30
CDM,196074,SCREW BN MIC 5X1.5MM CTR,675.0,675.0,101.25,675.0,30
CDM,196076,SCREW SPN 3.5MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,196077,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,196085,ROD SPNL PRBNT 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,196086,COMPONENT FEM 2.5 RT KN,6423.0,6423.0,963.45,6423.0,30
CDM,196087,INSRT TIB5 17.5MM XLKCRV,4429.0,4429.0,664.35,4429.0,30
CDM,196088,NEEDLE PASSER SUTURE,1203.5,1203.5,180.53,1203.5,42
CDM,196089,INSRT TIB KN 3 G 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,196091,SCREW LPN 6MM SELF DRILL,1148.0,1148.0,172.2,1148.0,30
CDM,196092,SCREW 400.456,1156.0,1156.0,173.4,1156.0,30
CDM,196096,DISC CERVICAL 6X14 PREST,19710.0,19710.0,2956.5,19710.0,30
CDM,196097,CMPNT FEM KN OXNM RT SZ6,9744.0,9744.0,1461.6,9744.0,30
CDM,196098,INSERT ARTC KN 5-6X11GII,4429.0,4429.0,664.35,4429.0,30
CDM,196103,ENDOSCOPE DISP WKG,7188.0,7188.0,1078.2,7188.0,42
CDM,196104,ENDOSCOPE DISP NEURO,4385.5,4385.5,657.83,4385.5,42
CDM,196111,SCREW SPN 5.2MM 21MM,3012.0,3012.0,451.8,3012.0,30
CDM,196113,SHELL ACTB HIP MLH 60MM,7283.0,7283.0,1092.45,7283.0,30
CDM,196114,SLEEVE CNTRNG 22F LG,4252.0,4252.0,637.8,4252.0,30
CDM,196115,STEM SROM 36+21 22X17X23,18832.0,18832.0,2824.8,18832.0,30
CDM,196116,HEAD FEM HIP -3X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,196118,PLATE 20 UPS 3.5,2711.0,2711.0,406.65,2711.0,30
CDM,196119,SCREW NLCKG 3.5X26MM,399.0,399.0,59.85,399.0,30
CDM,196120,SCREW BN TI 3.5X30MM,399.0,399.0,59.85,399.0,30
CDM,196121,PLT TARSAL FUSION 16 MM,2711.0,2711.0,406.65,2711.0,30
CDM,196122,SCREW TI STD 3.5X28,399.0,399.0,59.85,399.0,30
CDM,196123,SCREW LOCKING 3.5 X 28MM,1356.0,1356.0,203.4,1356.0,30
CDM,196125,INSERT TIB KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,196126,CP ACTB MRTN +4 10 70MM,4606.0,4606.0,690.9,4606.0,30
CDM,196128,SHELL ACTB HIP 0D 74MM,8491.0,8491.0,1273.65,8491.0,30
CDM,196129,LINR ACTB 10D +4 68MM,7533.0,7533.0,1129.95,7533.0,30
CDM,196130,SCREW BN 5.0MM 65MM,877.0,877.0,131.55,877.0,30
CDM,196131,STEM FEM 325X20MM 15MM,20470.0,20470.0,3070.5,20470.0,30
CDM,196132,LINER ACTB 10D +4 36X74M,4606.0,4606.0,690.9,4606.0,30
CDM,196136,INSERT TIB RT 3-4X9 MDL,4429.0,4429.0,664.35,4429.0,30
CDM,196137,SCREW BN 7MM 90MM 16MM,2790.0,2790.0,418.5,2790.0,30
CDM,196140,HEAD FEM HIP 11/13 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,196141,COMPNT FEM KN RT SZ2,9301.0,9301.0,1395.15,9301.0,30
CDM,196142,PLATE BN 18X18X2MM,2711.0,2711.0,406.65,2711.0,30
CDM,196143,SCREW TRA LCK 3.5X30,1356.0,1356.0,203.4,1356.0,30
CDM,196144,PLATE BONE 12.0MM,2711.0,2711.0,406.65,2711.0,30
CDM,196145,PLATE BONE 3.5MM 16MM,2711.0,2711.0,406.65,2711.0,30
CDM,196146,SCREW BN TI 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,196147,SCREW BN TI 3.5X22MM,399.0,399.0,59.85,399.0,30
CDM,196148,SCREW TI NON LOCK 3.5,399.0,399.0,59.85,399.0,30
CDM,196150,SCREW SPN 60MM 7MM,3765.0,3765.0,564.75,3765.0,30
CDM,196152,CMPNT PTLR KN 9X29MM,4252.0,4252.0,637.8,4252.0,30
CDM,196153,BASEPLATE KN TIB CMNT 2,4606.0,4606.0,690.9,4606.0,30
CDM,196155,INSERT TRTHN TIB G-213,4606.0,4606.0,690.9,4606.0,30
CDM,196158,COMP PTELA POLY S+ LPRO,4606.0,4606.0,690.9,4606.0,30
CDM,196159,INSERT TIB KN SZ3 12.5MM,6005.0,6005.0,900.75,6005.0,30
CDM,196165,SCREW SPN 3.5MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,196170,ROD SPN 3.5MM 150MM,2711.0,2711.0,406.65,2711.0,30
CDM,196171,COMP FEM 7 LT KN GNSIS2,8858.0,8858.0,1328.7,8858.0,30
CDM,196172,BASEPLATE TIB KN LT SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,196173,INSERT ARTC 9MM GNSIS 2,4429.0,4429.0,664.35,4429.0,30
CDM,196174,CMPNT KN FEM CMN LT SZ5,6068.0,6068.0,910.2,6068.0,30
CDM,196177,BASEPLT KN TIB SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,196180,INS TIB 2.5 H8MM KN CRV,4429.0,4429.0,664.35,4429.0,30
CDM,196182,SCRW II PA 5.0 X 40 MM,4429.0,4429.0,664.35,4429.0,30
CDM,196188,PLATE BN TI 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,196189,SCREW BN TI 3.5X24MM,399.0,399.0,59.85,399.0,30
CDM,196190,SCREW BN TI 3.5MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,196191,SCREW LOCKING 3.5 X 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,196199,COMPNT FEM GSM SZ2 LT,9301.0,9301.0,1395.15,9301.0,30
CDM,196201,CAGE ADD-ON 14 MM 12 DEG,13287.0,13287.0,1993.05,13287.0,30
CDM,196205,NAIL 10MM 400MM RT TROCH,6400.0,6400.0,960.0,6400.0,30
CDM,196206,HEAD FEM HIP SZ12/14,4429.0,4429.0,664.35,4429.0,30
CDM,196209,BIT DRILL 2.4MM,386.5,386.5,57.98,386.5,42
CDM,196213,SCREW BN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,196214,SCREW SPN P-AX 6X45MM,4247.0,4247.0,637.05,4247.0,30
CDM,196215,ROD SPN 46MM 480MM,2711.0,2711.0,406.65,2711.0,30
CDM,196216,CONN ROD SPN 43-54MM,3389.0,3389.0,508.35,3389.0,30
CDM,196219,PLATE BN LCK 12 HL 2.4MM,5094.0,5094.0,764.1,5094.0,30
CDM,196220,PLATE BN STRNL 10H,4429.0,4429.0,664.35,4429.0,30
CDM,196221,PLATE BN 2.4MM 24MM,4429.0,4429.0,664.35,4429.0,30
CDM,196223,SCREW BN 2.4MM 4MM 20MM,743.0,743.0,111.45,743.0,30
CDM,196225,ROD SPN XBAR 5.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,196226,ROD SPN 5.5 MM 25CM,2711.0,2711.0,406.65,2711.0,30
CDM,196234,BOLT SPNL REV 45X7.25MM,3012.0,3012.0,451.8,3012.0,30
CDM,196235,PLATE BN FULL ARTC 80MM,4872.0,4872.0,730.8,4872.0,30
CDM,196239,SCREW SPN P-AXL 45X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,196240,CAGE SPN 18MM 20MM,29965.0,29965.0,4494.75,29965.0,30
CDM,196242,COMPNT PTLR STD CMNT 3,4252.0,4252.0,637.8,4252.0,30
CDM,196243,SPACER SPN STD 10MM,7562.0,7562.0,1134.3,7562.0,30
CDM,196245,SCREW SPN SET 5X45MM,6378.0,6378.0,956.7,6378.0,30
CDM,196246,SCREW SPN PDCL 7X45MM,6378.0,6378.0,956.7,6378.0,30
CDM,196247,SCREW SPN PDCL 7X50M,6378.0,6378.0,956.7,6378.0,30
CDM,196248,COUPLER SPN RGD 28-31MM,6002.0,6002.0,900.3,6002.0,30
CDM,196249,COUPLER SPN RGD 25-31MM,4429.0,4429.0,664.35,4429.0,30
CDM,196250,COUPLER SPN RGD 31-43MM,4429.0,4429.0,664.35,4429.0,30
CDM,196251,SCREW SPN PDCL 7X55M,6378.0,6378.0,956.7,6378.0,30
CDM,196252,COUPLER SPN RGD 26-28MM,6002.0,6002.0,900.3,6002.0,30
CDM,196253,COUPLER SPN RGD 22-25MM,3189.0,3189.0,478.35,3189.0,30
CDM,196254,COUPLER SPN RGD 35-40MM,6002.0,6002.0,900.3,6002.0,30
CDM,196255,COUPLER SPN RGD 31-35MM,6002.0,6002.0,900.3,6002.0,30
CDM,196259,SCREW BN 2.7MM 28MM,1571.0,1571.0,235.65,1571.0,30
CDM,196260,ROD MAX RAD DBL RDS 70,3012.0,3012.0,451.8,3012.0,30
CDM,196262,SCREW SPNL RDC 45X5.5MM,4651.0,4651.0,697.65,4651.0,30
CDM,196263,SCREW BN LCK 2.7MM 14MM,1295.0,1295.0,194.25,1295.0,30
CDM,196264,SCREW BN 2.7MM 24MM,1335.0,1335.0,200.25,1335.0,30
CDM,196265,SCREW BN 2.7MM 26MM,1890.0,1890.0,283.5,1890.0,30
CDM,196267,SCREW BN 7MM 85MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,196268,PLATE BN 2 HL 3.5X 20MM,2711.0,2711.0,406.65,2711.0,30
CDM,196269,PLATE BN 4 HL 3.5X 20MM,2711.0,2711.0,406.65,2711.0,30
CDM,196270,SCREW BN 3.5MM 18MM,399.0,399.0,59.85,399.0,30
CDM,196271,SCREW BN 3.5MM 22MM,399.0,399.0,59.85,399.0,30
CDM,196272,SCREW BN 3.5MM 28MM,399.0,399.0,59.85,399.0,30
CDM,196274,WIRE ORTH 150MM 1MM,386.5,386.5,57.98,386.5,42
CDM,196276,DRILL SURG CANN 5MM,386.5,386.5,57.98,386.5,42
CDM,196278,PIN FX KRSH ORTH,464.0,464.0,69.6,464.0,42
CDM,196282,ENDCAP SP 18MM VLFT 0D,3012.0,3012.0,451.8,3012.0,30
CDM,196283,HEAD FEM HIP +16MM 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,196284,LNR ACTBLR XLPE 20 OPTI-,4429.0,4429.0,664.35,4429.0,30
CDM,196285,INSR STD 5-6 LT 21MM,6697.0,6697.0,1004.55,6697.0,30
CDM,196286,HEAD HUM 24MM 46MM SHLDR,5365.0,5365.0,804.75,5365.0,30
CDM,196287,CUP ACTB 58X52MM,8491.0,8491.0,1273.65,8491.0,30
CDM,196288,SCREW SPN PDCL 6X50MM,6378.0,6378.0,956.7,6378.0,30
CDM,196289,GWIRE ORTH 1.1MM 150MM,379.0,379.0,56.85,379.0,42
CDM,196295,PLATE BN CRPL WRIST SM,19621.0,19621.0,2943.15,19621.0,30
CDM,196297,SCREW BN CRPL WRIST 15MM,3189.0,3189.0,478.35,3189.0,30
CDM,196299,COMPONENT CRPL SM WRST,4606.0,4606.0,690.9,4606.0,30
CDM,196300,K-WIRE BN 2MM,231.5,231.5,34.73,231.5,42
CDM,196302,PLATE LMBR 17MM AEG,12402.0,12402.0,1860.3,12402.0,30
CDM,196303,SCREW BN 3.5MM 40MM,1356.0,1356.0,203.4,1356.0,30
CDM,196304,SCREW BN 3.5MM 34MM,1356.0,1356.0,203.4,1356.0,30
CDM,196305,SCREW BN 3.5MM 30MM,1356.0,1356.0,203.4,1356.0,30
CDM,196306,SCREW BN 3.5MM 28MM,1356.0,1356.0,203.4,1356.0,30
CDM,196307,SCREW BN 3.5MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,196311,FILLER BN VOID 5ML,3189.0,3189.0,478.35,3189.0,30
CDM,196312,FILLER BN VOID 5CC,3993.0,3993.0,598.95,3993.0,30
CDM,196313,CMPNT SHLDR HUM 10 DIST,14570.0,14570.0,2185.5,14570.0,30
CDM,196314,HEAD HUM SHLDR 45X18MM,11627.0,11627.0,1744.05,11627.0,30
CDM,196315,SCREW BN 2.7MM 28MM,429.0,429.0,64.35,429.0,30
CDM,196317,SLEEVE CNTRNG 18D LG,4252.0,4252.0,637.8,4252.0,30
CDM,196318,PLATE BN FULL H 110MM,5758.0,5758.0,863.7,5758.0,30
CDM,196324,SCREW BN 2.4MM 4MM 30MM,743.0,743.0,111.45,743.0,30
CDM,196325,SCREW BN 2.4MM 4MM 36MM,833.0,833.0,124.95,833.0,30
CDM,196326,SCREW BN 2.7MM 20MM,429.0,429.0,64.35,429.0,30
CDM,196327,PLATE BN T 2+3HL 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,196328,SCREW BN 2.4MM 32MM,743.0,743.0,111.45,743.0,30
CDM,196329,SCREW BN 2.7MM 5MM 18MM,429.0,429.0,64.35,429.0,30
CDM,196330,SCREW BN CORT 2.7MM 26MM,429.0,429.0,64.35,429.0,30
CDM,196331,SCREW BN 2.7MM 30MM,508.0,508.0,76.2,508.0,30
CDM,196332,PLATE BN 2.4MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,196334,SCREW SPN 5.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,196335,SCREW SPN 5.5X48MM,3012.0,3012.0,451.8,3012.0,30
CDM,196338,PLATE BN ULNAR SIZE 20,19357.0,19357.0,2903.55,19357.0,30
CDM,196340,CEMENT BN PMMA 40GM,766.0,766.0,114.9,766.0,30
CDM,196341,LINER ACTB HIP 56MM,8491.0,8491.0,1273.65,8491.0,30
CDM,196344,SPACER SPNL VERT 20X12X9,6644.0,6644.0,996.6,6644.0,30
CDM,196346,BASEPLATE TIB KN LT SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,196347,CMPNT FEM KN LT POST SZ5,8858.0,8858.0,1328.7,8858.0,30
CDM,196348,COMP PTLR KN 8.5MM 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,196349,INSERT ARTC KN 5-6X9 GII,4429.0,4429.0,664.35,4429.0,30
CDM,196350,CMPNT FEM KN OXNM RT SZ5,7973.0,7973.0,1195.95,7973.0,30
CDM,196351,CMPNT PATELLAR OVAL 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,196352,BASEPLATE KN RT SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,196353,INSERT ARTC KN 5-6 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,196354,BASEPLATE TIB KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,196355,INSERT ARTC PST 5-6X13,4429.0,4429.0,664.35,4429.0,30
CDM,196358,SET ORTH DRL BUR DISP,3843.0,3843.0,576.45,3843.0,42
CDM,196359,PLATE SPN 4HL 37MM,20221.0,20221.0,3033.15,20221.0,30
CDM,196360,PLATE BONE L41MM 4HOLE,12047.0,12047.0,1807.05,12047.0,30
CDM,196361,SCREW BN 6.5MM 25MM PRMD,1130.0,1130.0,169.5,1130.0,30
CDM,196362,SCREW BN CORT 3.5MM 14MM,1416.0,1416.0,212.4,1416.0,30
CDM,196363,SCREW BN CORT 3.5MM 18MM,1260.0,1260.0,189.0,1260.0,30
CDM,196364,BIT DRILL DISP 2.5MM,934.0,934.0,140.1,934.0,42
CDM,196365,TAP SRG QCK CNCT 3.5MM,1258.5,1258.5,188.78,1258.5,42
CDM,196366,GUIDEWIRE ORTH .062IN,231.5,231.5,34.73,231.5,42
CDM,196367,BIT DRL CANN OD 4.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,196368,CONNECTOR ROD TAN 5/6MM,3408.0,3408.0,511.2,3408.0,30
CDM,196370,PLATE SPN LVL2 38MM,5315.0,5315.0,797.25,5315.0,30
CDM,196371,NAIL 11MM 32CM RT DIST,7351.0,7351.0,1102.65,7351.0,30
CDM,196373,ROD SPNL TI L50 XIA MA,3012.0,3012.0,451.8,3012.0,30
CDM,196374,ROD MAX DBL RADIUS 60 MM,3012.0,3012.0,451.8,3012.0,30
CDM,196376,INSERT TIB KN SZ3-4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,196381,BUTTON RETRO LNG 55 MM,3189.0,3189.0,478.35,3189.0,30
CDM,196382,SCREW BN 9MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,196383,KIT ARTHSCP FX ALL INSD,3871.5,3871.5,580.73,3871.5,42
CDM,196384,CUTTER SURG RETRO 9.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,196386,GUIDEWIRE ORTH 1.45MM,386.5,386.5,57.98,386.5,42
CDM,196388,BASEPLATE KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,196389,CMPNT FEM 4 PFC S,6423.0,6423.0,963.45,6423.0,30
CDM,196390,SLING URTH 0.3MM,4429.0,4429.0,664.35,4429.0,30
CDM,196391,FILLER BN VOID CMNT 10ML,5131.0,5131.0,769.65,5131.0,30
CDM,196398,BLOCKER SPN ROD CLSR,753.0,753.0,112.95,753.0,30
CDM,196399,SCREW SPN 7.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,196402,SCREW BN 7MM 8MM 100MM,2790.0,2790.0,418.5,2790.0,30
CDM,196403,SCREW BN 7MM 8MM 95MM,2790.0,2790.0,418.5,2790.0,30
CDM,196404,SCREW BN 7MM 8MM 85MM,2790.0,2790.0,418.5,2790.0,30
CDM,196405,GUIDE PIN 3.2MM 12IN,294.0,294.0,44.1,294.0,42
CDM,196406,STEM HUM SHLDR 7MM,9160.0,9160.0,1374.0,9160.0,30
CDM,196407,SCREW DIFA 5 X 40 MM DEP,4429.0,4429.0,664.35,4429.0,30
CDM,196413,CMPNT FEM 4 PFC LT KN,6423.0,6423.0,963.45,6423.0,30
CDM,196414,SUTURE VIO MONO 3-0 36IN,773.0,773.0,115.95,773.0,42
CDM,196415,NAIL BN 125G 10MM 32CM,6400.0,6400.0,960.0,6400.0,30
CDM,196416,STEM FEM HIP 12MM 125MM,6644.0,6644.0,996.6,6644.0,30
CDM,196420,STEM HUM SHLDR 9X130MM,15820.0,15820.0,2373.0,15820.0,30
CDM,196421,HEAD HUM 15MM 46MM,5491.0,5491.0,823.65,5491.0,30
CDM,196429,SCREW BN LCK 24X4MM,2143.0,2143.0,321.45,2143.0,30
CDM,196430,NAIL HUM CANN 9MM 270MM,8071.0,8071.0,1210.65,8071.0,30
CDM,196441,CMPNT PTLR KN 10X32MM,4428.0,4428.0,664.2,4428.0,30
CDM,196442,GRAFT BN 4MAGRFT LG BLCK,5271.0,5271.0,790.65,5271.0,30
CDM,196444,INSERT TIB 6 16MM KN X3,4606.0,4606.0,690.9,4606.0,30
CDM,196445,SCREW ZUMA 5.5X25,1130.0,1130.0,169.5,1130.0,30
CDM,196446,CAP SPN LCK TI,1130.0,1130.0,169.5,1130.0,30
CDM,196447,SPACER SPNL 26X24X16 8D,22323.0,22323.0,3348.45,22323.0,30
CDM,196448,NAIL INTRTN IM 10X36 LT,6400.0,6400.0,960.0,6400.0,30
CDM,196449,SCREW SPN VAR 4.5X18MM,3012.0,3012.0,451.8,3012.0,30
CDM,196450,SCREW BN SPNL 5.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,196500,CUP HIP ACTB MLH 62MM,6644.0,6644.0,996.6,6644.0,30
CDM,196501,LINR ACTB 10D +4MM 62MM,4429.0,4429.0,664.35,4429.0,30
CDM,196502,HD FM 1/13 +6X44MM,4606.0,4606.0,690.9,4606.0,30
CDM,196503,STEM FEM HIP 15MM 150MM,19944.0,19944.0,2991.6,19944.0,30
CDM,196504,EXTENSION GLOBAL MRS 60M,8726.0,8726.0,1308.9,8726.0,30
CDM,196505,COMPONENT FEM KN 65MM,20936.0,20936.0,3140.4,20936.0,30
CDM,196506,INSERT KN XLK 2.5 +10MM,4429.0,4429.0,664.35,4429.0,30
CDM,196507,PLATE MED TI 8 HL LCK,4429.0,4429.0,664.35,4429.0,30
CDM,196510,INSERT TIB KN SZ2 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,196511,ROD SPNL 480X5.5MM HEL,3012.0,3012.0,451.8,3012.0,30
CDM,196512,CONN ROD SPN XPDM 20MM,3765.0,3765.0,564.75,3765.0,30
CDM,196517,STEM FEM HIP 10IN 15MM,19127.0,19127.0,2869.05,19127.0,30
CDM,196518,STEM FEM LG SOL 15MM 8IN,13287.0,13287.0,1993.05,13287.0,30
CDM,196522,GRAFT CV 20X10MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,196523,SCREW THORLMBR 5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,196524,SCRW 4.5 PA 5.0 X 45 MM,4429.0,4429.0,664.35,4429.0,30
CDM,196525,SCREW SPN PAX 5.5X45X4.5,4429.0,4429.0,664.35,4429.0,30
CDM,196526,SCREW SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,196527,SCREW BN 6.5MM 45MM XIA,4429.0,4429.0,664.35,4429.0,30
CDM,196528,SCREW BN 6.5MM 50MM XIA,4429.0,4429.0,664.35,4429.0,30
CDM,196529,ROD VITALIUM 4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,196530,ROD SPN BLCK 4.5MM,753.0,753.0,112.95,753.0,30
CDM,196531,CONNECTOR ROD 38-45MM XI,3765.0,3765.0,564.75,3765.0,30
CDM,196532,ROD CONN XIA 3 45-60MM,3765.0,3765.0,564.75,3765.0,30
CDM,196534,SCREW SPN P-AX 50X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,196535,SCREW SPN 6.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,196536,SCREW SPNL 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,196539,SCREW SPNL 6.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,196540,SCREW BN 7.5X45 XIA CANN,4247.0,4247.0,637.05,4247.0,30
CDM,196543,PLATE ANT CSPN 30MM 2LVL,5094.0,5094.0,764.1,5094.0,30
CDM,196545,SCREW ANT CSPN 4X16MM,3012.0,3012.0,451.8,3012.0,30
CDM,196547,SCREW FAVORED ANGL 3.5X2,4429.0,4429.0,664.35,4429.0,30
CDM,196549,ENDCAP SPN 8D 118X18MM,1506.0,1506.0,225.9,1506.0,30
CDM,196550,INSERT TIB KN MED 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,196552,PLATE TI NEURO BUR HLE 2,1684.0,1684.0,252.6,1684.0,30
CDM,196553,FEM 1.5 LT CR NPOR,7087.0,7087.0,1063.05,7087.0,30
CDM,196554,PLATE ANT CSPN 32MM 2LVL,5094.0,5094.0,764.1,5094.0,30
CDM,196555,SCREW SPN RFLX 4X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,196556,SCREW BN 2.7MM 22MM,399.0,399.0,59.85,399.0,30
CDM,196557,PLATE BN CMP 2.7MM 20MM,2711.0,2711.0,406.65,2711.0,30
CDM,196558,SCREW BN 2.7MM 24MM,399.0,399.0,59.85,399.0,30
CDM,196561,CONN ROD SPN 5.5MM 40MM,3287.0,3287.0,493.05,3287.0,30
CDM,196562,SCREW BN 8MM 65MM,4429.0,4429.0,664.35,4429.0,30
CDM,196563,SCREW CSPN VAR ANG4.5X12,3012.0,3012.0,451.8,3012.0,30
CDM,196567,SCREW GUIDE 33MM,753.5,753.5,113.03,753.5,42
CDM,196568,BURR PFJ MILLING STD,1023.5,1023.5,153.53,1023.5,42
CDM,196572,PLATE BN .5MM,1475.0,1475.0,221.25,1475.0,30
CDM,196573,SCREW BN 3.5X20 2.7MM,319.0,319.0,47.85,319.0,30
CDM,196574,SCREW BN 3.5MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,196575,SCREW BN 3.5MM 36MM,1356.0,1356.0,203.4,1356.0,30
CDM,196577,PLATE BN .6MM,4429.0,4429.0,664.35,4429.0,30
CDM,196578,BOLT SPNL REV 50X7.25MM,3012.0,3012.0,451.8,3012.0,30
CDM,196579,CMPNT FEM KN SZ3,11516.0,11516.0,1727.4,11516.0,30
CDM,196582,SCRW PA 8.5 X 50 MM,4429.0,4429.0,664.35,4429.0,30
CDM,196583,SCREW BN 50X7.5MM MLB SP,4651.0,4651.0,697.65,4651.0,30
CDM,196586,CMPNT FEM KN RT SZ4,6423.0,6423.0,963.45,6423.0,30
CDM,196587,SCREW 30MM 7.5MM P-AX BN,4429.0,4429.0,664.35,4429.0,30
CDM,196588,ROD SPN 6MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,196590,CMPNT GLND PEG SM,4606.0,4606.0,690.9,4606.0,30
CDM,196591,STEM HUM SHLDR 11MM,7308.0,7308.0,1096.2,7308.0,30
CDM,196592,HEAD HUM SHLDR 41MM,4606.0,4606.0,690.9,4606.0,30
CDM,196594,SPACER SPNL 15X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,196595,SPACER SPNL 15X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,196596,HEAD FEMRL UNI ASR SZ41,4606.0,4606.0,690.9,4606.0,30
CDM,196597,SLEEVE CNTRG 18B LARGE,4252.0,4252.0,637.8,4252.0,30
CDM,196598,SCREW BN OD6 SPNL DL NIE,4429.0,4429.0,664.35,4429.0,30
CDM,196599,SCREW SPNL 6.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,196600,ROD SPN 6X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,196603,SCREW SPN 3.5 X 34 LS,3765.0,3765.0,564.75,3765.0,30
CDM,196605,LINR ACTB 10D +4MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,196606,HEAD FEM HIP 11/13 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,196607,STEM HUM 220MM 12MM,14080.0,14080.0,2112.0,14080.0,30
CDM,196608,PLATE 3-LEV ACP 57MM,5315.0,5315.0,797.25,5315.0,30
CDM,196610,PORT ACCSS KIT CATH,386.5,386.5,57.98,386.5,42
CDM,196612,PLATE SPN LVL2 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,196613,SCREW SPN 7.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,196614,CONN ROD SPN 3.5MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,196616,SCREW SPN SET 3.5MM 4MM,1356.0,1356.0,203.4,1356.0,30
CDM,196622,ROD SPNL 50MM PRECONTOUR,2711.0,2711.0,406.65,2711.0,30
CDM,196623,ROD SPNL PRBNT 90X6MM,2711.0,2711.0,406.65,2711.0,30
CDM,196624,ROD SPN 6MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,196626,PLATE BN TI 52 THRCLMBR,10962.0,10962.0,1644.3,10962.0,30
CDM,196628,PLATE SPN FULL HL 90MM,4872.0,4872.0,730.8,4872.0,30
CDM,196632,SCRW 6.5X60MM MA,4429.0,4429.0,664.35,4429.0,30
CDM,196633,SCREW BN 3.5MM 24MM,399.0,399.0,59.85,399.0,30
CDM,196634,SCREW BN SPNL 8.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,196636,COMPNT KN RT POR SZ5,9301.0,9301.0,1395.15,9301.0,30
CDM,196637,CMPNT PTLA KN SZ41 10MM,4428.0,4428.0,664.2,4428.0,30
CDM,196640,CMPNT FEM KN RT SZ1,6068.0,6068.0,910.2,6068.0,30
CDM,196641,BSPLATETIB 1 KNEE 3,4606.0,4606.0,690.9,4606.0,30
CDM,196642,INSERT TIB KN 9MM SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,196644,CMPNT FEM KN OXNM RT SZ7,8858.0,8858.0,1328.7,8858.0,30
CDM,196645,SCREW BN SPN TI 7.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,196646,PLATE 3-LEV ACP 42MM,5315.0,5315.0,797.25,5315.0,30
CDM,196647,SCREW CSPN SLF DRL4.5X14,2259.0,2259.0,338.85,2259.0,30
CDM,196648,SCREW SPN 6.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,196649,SCREW XIA P-AX TI 6X40MM,4247.0,4247.0,637.05,4247.0,30
CDM,196650,ROD SPN 6MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,196652,CMPNT RADL WRIST RT SZXS,17041.0,17041.0,2556.15,17041.0,30
CDM,196653,SCREW BNE L30 WRST,3189.0,3189.0,478.35,3189.0,30
CDM,196654,ROD SPN 50MM 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,196655,ROD SPN 6MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,196656,ROD SPN 90MM 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,196657,PLATE BN SPN ARCT 160MM,7973.0,7973.0,1195.95,7973.0,30
CDM,196658,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,196659,SCREW SPN ST 5.5MM,753.0,753.0,112.95,753.0,30
CDM,196660,SCREW SPINL VIPR 6X45,4429.0,4429.0,664.35,4429.0,30
CDM,196661,SCREW BONE L50MM,4429.0,4429.0,664.35,4429.0,30
CDM,196662,PLATE SPN CERV 2LVL 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,196663,PLATE SPN 2LVL 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,196664,GWIRE ORTH THRD SHRP1.37,386.5,386.5,57.98,386.5,42
CDM,196665,ROD SPN 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,196666,SCREW BNE TI L45MM OD7MM,4429.0,4429.0,664.35,4429.0,30
CDM,196670,CATH INTHCL 4FR 89CM,3608.0,3608.0,541.2,3608.0,30
CDM,196672,PLATE SNOMA ANT CER 34MM,4651.0,4651.0,697.65,4651.0,30
CDM,196673,NAIL 130D 11.538 R,6400.0,6400.0,960.0,6400.0,30
CDM,196674,CUP ACTB HIP 64MM,7283.0,7283.0,1092.45,7283.0,30
CDM,196675,LINR ACTB 10D +4 64MM,4429.0,4429.0,664.35,4429.0,30
CDM,196676,SLEEVE CNTRNG 24F XXL,4429.0,4429.0,664.35,4429.0,30
CDM,196677,HEAD FEM+3MM 11/13 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,196678,BALL HIP OD51 CCRT MOD,4252.0,4252.0,637.8,4252.0,30
CDM,196680,PLATE SPN 1LVL 25MM,13287.0,13287.0,1993.05,13287.0,30
CDM,196684,SCRW LEGACY HA 6.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,196685,COMPNT FEM POR SZ3,7087.0,7087.0,1063.05,7087.0,30
CDM,196686,STEM HUM SHLDR 15MM,7308.0,7308.0,1096.2,7308.0,30
CDM,196687,SCREW BN 34MM 4.5MM,1595.0,1595.0,239.25,1595.0,30
CDM,196688,COMPNT GLND SHLDR 42MM,5647.0,5647.0,847.05,5647.0,30
CDM,196689,LINER HUM SHLDR 42X+0MM,4429.0,4429.0,664.35,4429.0,30
CDM,196691,SPACER SPN ZERO-P 11MM,9301.0,9301.0,1395.15,9301.0,30
CDM,196692,SCREW PLYAXL 60X6.0MM XI,4429.0,4429.0,664.35,4429.0,30
CDM,196693,ROD SPN UNION 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,196694,CONN SPN 53-73MM,3389.0,3389.0,508.35,3389.0,30
CDM,196695,SCREW SPN 7.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,196698,SCREW BN SPNL 8.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,196714,ANCH SUT FSTN RC 6.5,3189.0,3189.0,478.35,3189.0,30
CDM,196715,ANCH SUT FSTN RC R 6.5MM,3586.0,3586.0,537.9,3586.0,30
CDM,196719,SPACER SPNL 30X9MM,15125.0,15125.0,2268.75,15125.0,30
CDM,196721,SCREW BN TI L45 XPDM SPN,4429.0,4429.0,664.35,4429.0,30
CDM,196723,CONN SPN 5.5X32-37MM,3287.0,3287.0,493.05,3287.0,30
CDM,196725,SCREW BN SLFTAP 3.5X70,319.0,319.0,47.85,319.0,30
CDM,196726,SCREW BN 5.5MM 95MM,1435.0,1435.0,215.25,1435.0,30
CDM,196727,PLT PROX LAT TIB 5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,196728,SCREW BN SLFTAP 3.5X65,319.0,319.0,47.85,319.0,30
CDM,196729,SCREW BN 5.5MM 85MM,1435.0,1435.0,215.25,1435.0,30
CDM,196730,SCREW BN 5.5MM 35MM,1435.0,1435.0,215.25,1435.0,30
CDM,196731,SCREW BN 5.5MM 45MM,1435.0,1435.0,215.25,1435.0,30
CDM,196734,IMPLANT WASHER 7MM,319.0,319.0,47.85,319.0,30
CDM,196735,CAGE SPN 7MM,7562.0,7562.0,1134.3,7562.0,30
CDM,196736,PLATE BN LT 24.4X89.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,196737,GWIRE ORTH STD 3.2MM,294.0,294.0,44.1,294.0,42
CDM,196740,SCREW BN SPNL 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,196741,SCREW BN SPNL 6.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,196742,CAGE SPN 6D 55X12MM,17716.0,17716.0,2657.4,17716.0,30
CDM,196743,PROBE NERVE STM NIM SPNL,1626.0,1626.0,243.9,1626.0,42
CDM,196744,NAIL TRGN INT 11.5X36,6400.0,6400.0,960.0,6400.0,30
CDM,196745,SCREW SPN PDCL 7X40MM,7087.0,7087.0,1063.05,7087.0,30
CDM,196747,SCREW BN TITANIUM L50MM,3765.0,3765.0,564.75,3765.0,30
CDM,196750,PLATE VNTR CERV 62.5,6630.0,6630.0,994.5,6630.0,30
CDM,196751,SCREW BN 4 X 13 VNTR TI,3012.0,3012.0,451.8,3012.0,30
CDM,196752,SCREW SPN 4.5MM 20MM,2455.0,2455.0,368.25,2455.0,30
CDM,196753,SCREW BN 5MM 45MM,877.0,877.0,131.55,877.0,30
CDM,196754,SHELL HIP REV 58MM 64MM,8491.0,8491.0,1273.65,8491.0,30
CDM,196755,NAIL TIB 8.5MM 35CM,4872.0,4872.0,730.8,4872.0,30
CDM,196757,BASEPLTE TIB 3D KN SZ10,4606.0,4606.0,690.9,4606.0,30
CDM,196758,INSERT TIB RT DCM 10X9,4429.0,4429.0,664.35,4429.0,30
CDM,196759,CMPNT FEM 10 RT 3D KN NP,7087.0,7087.0,1063.05,7087.0,30
CDM,196760,PLATE 4-LEV ACP 60MM,5537.0,5537.0,830.55,5537.0,30
CDM,196761,PLATE CERV VNTR 40MM,4651.0,4651.0,697.65,4651.0,30
CDM,196762,CAGE SPN 10D 10X18X50MM,17716.0,17716.0,2657.4,17716.0,30
CDM,196769,PLATE SPN 45MM,5693.0,5693.0,853.95,5693.0,30
CDM,196773,SCREW BN 2.4MM 4MM 22MM,633.0,633.0,94.95,633.0,30
CDM,196775,SCREW BN 2.4MM 34MM,833.0,833.0,124.95,833.0,30
CDM,196778,SCREW SPNL P-AX 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,196779,SCREW BN SPN 50X5.5MM ML,4651.0,4651.0,697.65,4651.0,30
CDM,196780,ANCHOR SUT 6.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,196782,NEEDLE NEURO 14G 9CM,695.5,695.5,104.33,695.5,42
CDM,196789,PLATE BN TI SM STRNL 8,4396.0,4396.0,659.4,4396.0,30
CDM,196790,PLATE H BN 8HL LG,4396.0,4396.0,659.4,4396.0,30
CDM,196791,PLATE BN LCK 2.4MM 8HL,4429.0,4429.0,664.35,4429.0,30
CDM,196793,PLATE BN 2.7X66MM,3440.0,3440.0,516.0,3440.0,30
CDM,196794,SCREW BN 2.7MM 10MM,1335.0,1335.0,200.25,1335.0,30
CDM,196795,SCREW BN LCK 2.7MM 12MM,1295.0,1295.0,194.25,1295.0,30
CDM,196796,PLATE BN 2.7MM 49MM,3189.0,3189.0,478.35,3189.0,30
CDM,196798,INSERT TRTHN TIB G-316,4606.0,4606.0,690.9,4606.0,30
CDM,196799,PLATE 8H LT 23471608,3189.0,3189.0,478.35,3189.0,30
CDM,196800,PLATE 50/70 SPN TI CRSL,3765.0,3765.0,564.75,3765.0,30
CDM,196802,CAGE SPN HLW 50X12MM 6D,17716.0,17716.0,2657.4,17716.0,30
CDM,196805,ROD SPN 60MM 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,196806,SPACER PEEK CRNT45X18X10,19931.0,19931.0,2989.65,19931.0,30
CDM,196807,SCREW EXPANSON HEAD,1886.0,1886.0,282.9,1886.0,30
CDM,196808,PLATE BN 118MM 3.5MM,6745.0,6745.0,1011.75,6745.0,30
CDM,196809,SCREW BN 2.7MM 14MM,1735.0,1735.0,260.25,1735.0,30
CDM,196811,SCREW BN 2.7MM 16MM,1735.0,1735.0,260.25,1735.0,30
CDM,196812,SCREW BN LCK 2.7MM 22MM,1833.0,1833.0,274.95,1833.0,30
CDM,196813,SCREW BN 3.5X2.9X18MM,2157.0,2157.0,323.55,2157.0,30
CDM,196814,SCREW BN 3.5MM 22MM,2105.0,2105.0,315.75,2105.0,30
CDM,196815,KIT BIT DRILL 2MM 3.2MM,2251.0,2251.0,337.65,2251.0,42
CDM,196816,SURFACE ARTC GRN 5-6X10,4606.0,4606.0,690.9,4606.0,30
CDM,196817,SCREW BN SPNL 7.5X 55,4429.0,4429.0,664.35,4429.0,30
CDM,196818,SPACER SPNL 15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,196822,PLATE BN SKYLN 24 ANT,4429.0,4429.0,664.35,4429.0,30
CDM,196824,SCREW BN SPNL 7.5X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,196827,INSERT TIB KN X3 2 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,196828,PLATE SPN FSN WD 14MM,23917.0,23917.0,3587.55,23917.0,30
CDM,196830,CMPNT FEM KN CMNT SZ2,6068.0,6068.0,910.2,6068.0,30
CDM,196831,GRAFT EVAS 24MM 73MM,11862.0,11862.0,1779.3,11862.0,30
CDM,196832,CMPNT FEM KN OXNM RT SZ4,7973.0,7973.0,1195.95,7973.0,30
CDM,196834,HEAD HUM 18MM 52MM,6201.0,6201.0,930.15,6201.0,30
CDM,196835,SCREW BN 7MM 50MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,196836,PLATE ANT CSPN 28MM 2LVL,4429.0,4429.0,664.35,4429.0,30
CDM,196837,SCREW BN 7MM 60MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,196838,PLATE ORTH BN 15MM,2711.0,2711.0,406.65,2711.0,30
CDM,196850,HEAD FEM BIP 44MM,4252.0,4252.0,637.8,4252.0,30
CDM,196851,SLEEVE FEM HIP OFST +0MM,2573.0,2573.0,385.95,2573.0,30
CDM,196852,STEM HIP CMNT PRSFT 1/11,4606.0,4606.0,690.9,4606.0,30
CDM,196853,CNTRLZR STEM HIP 13MM,2239.0,2239.0,335.85,2239.0,30
CDM,196854,ROD SPN 100MM 6MM PRCNTR,2711.0,2711.0,406.65,2711.0,30
CDM,196855,INSRT TIB10MM XLPCRV+SGM,4429.0,4429.0,664.35,4429.0,30
CDM,196856,INSERT TIB KN 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,196857,INSRT TIB2 17.5MM XLPCRV,4429.0,4429.0,664.35,4429.0,30
CDM,196858,INSERT TIB 2 + 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,196859,INSRT TIB2.5 15MM XLPCRV,4429.0,4429.0,664.35,4429.0,30
CDM,196860,INSERT TIB KN 2.5X17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,196861,INSERT TIB KN 2.5+ 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,196862,INESRT TIB KN SZ3 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,196863,INSERT TIB KN SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,196864,INSRT TIB3 17.5MM XLKCRV,4429.0,4429.0,664.35,4429.0,30
CDM,196865,INSERT TIB KN CRV 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,196866,INSERT TIB KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,196867,INSERT TIB KN 4 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,196868,INSERT TIB KN SZ4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,196869,INSRT TIB4 17.5MM XLKCRV,4429.0,4429.0,664.35,4429.0,30
CDM,196870,INSERT TIB KN SZ4 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,196871,INSRT TIB4 15MM XLKCRVSG,4429.0,4429.0,664.35,4429.0,30
CDM,196872,SCREW BN MLT 3MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,196873,SPACER SPNL 15X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,196874,SPACER SPNL 15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,196876,PLATE SPN LVL2 36MM,5094.0,5094.0,764.1,5094.0,30
CDM,196878,SCREW BN SPNL 7.5X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,196884,SCREW SPN PDCL 6X45MM D,6378.0,6378.0,956.7,6378.0,30
CDM,196885,PLATE SPN LVL2 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,196886,PLTSPN CERV ASSY 77.5,7091.0,7091.0,1063.65,7091.0,30
CDM,196887,BASEPLATE TIB RT SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,196889,COMP STEM KN EXT 13X120,4429.0,4429.0,664.35,4429.0,30
CDM,196892,INSRT TIB6 8MM XLKCRV+SG,4429.0,4429.0,664.35,4429.0,30
CDM,196893,INSERT TIB KN XLK 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,196894,INSERT TIB 6 +10MM XLK,4429.0,4429.0,664.35,4429.0,30
CDM,196895,INSERT TIB CRV 6 +12.5M,4429.0,4429.0,664.35,4429.0,30
CDM,196896,INSERT TIB CRV 6 +15MM,4429.0,4429.0,664.35,4429.0,30
CDM,196897,INSERT TIB 6 CRV 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,196898,INSRT TIB CRV 6 +20MM,4429.0,4429.0,664.35,4429.0,30
CDM,196900,GRAFT EVAS 18MM 73MM,13664.0,13664.0,2049.6,13664.0,30
CDM,196901,NAIL INTRTN 130 10MM18CM,4629.0,4629.0,694.35,4629.0,30
CDM,196902,PLATE SPN 1LV 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,196904,CLAMP TB TI OD22MM CRNL,3189.0,3189.0,478.35,3189.0,30
CDM,196907,SCREW BN HUM 4.5MM 24MM,1595.0,1595.0,239.25,1595.0,30
CDM,196908,STEM HUM SHLDR 12X130MM,22588.0,22588.0,3388.2,22588.0,30
CDM,196913,GWIRE URO .035IN 150CM,464.5,464.5,69.67,464.5,42
CDM,196914,SCREW BN TI 2.7MM 18MM,399.0,399.0,59.85,399.0,30
CDM,196915,SCREW BN TI 2.7MM 24MM,399.0,399.0,59.85,399.0,30
CDM,196916,SCREW BN TI 2.7MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,196917,SCREW BN TI 2.7MM 20MM,399.0,399.0,59.85,399.0,30
CDM,196920,SCREW BN SPN 8.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,196925,GRAFT EVAS 18MM 56MM,11862.0,11862.0,1779.3,11862.0,30
CDM,196927,BIT DRILL BIT 4.0MM CALI,870.0,870.0,130.5,870.0,42
CDM,196930,SPACER SPN 50X10 CLYDES,15945.0,15945.0,2391.75,15945.0,30
CDM,196932,SCREW BN SPN 8.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,196933,PLATE SPN 2.15IN 5.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,196941,COVER HL ACTB R3,965.0,965.0,144.75,965.0,30
CDM,196948,ROD SPN 70MM 48239070,2711.0,2711.0,406.65,2711.0,30
CDM,196951,FILLER BN VOID 10CC NRN,12032.0,12032.0,1804.8,12032.0,30
CDM,196971,SHELL ACETB E 52 HIP,4606.0,4606.0,690.9,4606.0,30
CDM,196972,SCREW BN 6.5MM 20MM,1196.0,1196.0,179.4,1196.0,30
CDM,196973,STEM FEM SCRFT MX 9 35MM,11073.0,11073.0,1660.95,11073.0,30
CDM,196974,HEAD FEM HIP UNIV 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,196976,SHELL ACTB HIP 62MM,8491.0,8491.0,1273.65,8491.0,30
CDM,196977,GRAFT EVAS 55X16MM,10630.0,10630.0,1594.5,10630.0,30
CDM,196978,SCREW BN 5.5MM 70MM,1435.0,1435.0,215.25,1435.0,30
CDM,196980,SCREW BN 4.5MM 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,196981,PLATE PROX MDL LT 3.5 4H,4234.0,4234.0,635.1,4234.0,30
CDM,196983,SCREW BN 4X32MM,319.0,319.0,47.85,319.0,30
CDM,196986,HEAD BIP HIP 48MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,196987,STEM HIP CMNT PRSFT 2/12,4606.0,4606.0,690.9,4606.0,30
CDM,196988,HEAD FEM HIP +4MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,196989,CNTRLZR STEM HIP 14MM,2306.0,2306.0,345.9,2306.0,30
CDM,196995,IMP STEM TIBIAL SZ1 WD,4606.0,4606.0,690.9,4606.0,30
CDM,196996,COMP FEM F2 MED RT KN,5736.0,5736.0,860.4,5736.0,30
CDM,196997,INSERT TIB 1/6MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,196998,SCREW MUL AX 6.5X30 TI,4429.0,4429.0,664.35,4429.0,30
CDM,196999,SCREW MUL AX 6.5X35,4247.0,4247.0,637.05,4247.0,30
CDM,197000,SCREW BN MLT 3MM 28MM,1196.0,1196.0,179.4,1196.0,30
CDM,197001,KNEE GNS HI INS 71421523,4429.0,4429.0,664.35,4429.0,30
CDM,197002,ROD SPN 60 48239060,2711.0,2711.0,406.65,2711.0,30
CDM,197003,PLATE BN LAT ANKL LT,8828.0,8828.0,1324.2,8828.0,30
CDM,197004,SCREW 3.5X36 CANN LCK,3189.0,3189.0,478.35,3189.0,30
CDM,197005,SCREW 4.0X40 CAN LCK,1403.0,1403.0,210.45,1403.0,30
CDM,197006,BIT DRILL 3MM 4.5MM,1424.5,1424.5,213.68,1424.5,42
CDM,197008,LEAD QUAD PLUS,5094.0,5094.0,764.1,5094.0,30
CDM,197010,IMPLANT FEM 4 ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197011,IMPLANT ORTH 3 CMNT STM,4606.0,4606.0,690.9,4606.0,30
CDM,197012,INSERT TIB 3/6MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,197013,BUTTON FXTN LG 34MM PTLR,3189.0,3189.0,478.35,3189.0,30
CDM,197015,CMPNT FEM 3PFC PSTB,5980.0,5980.0,897.0,5980.0,30
CDM,197016,ROD 80MX6MM PRECONT SPNL,2711.0,2711.0,406.65,2711.0,30
CDM,197017,STEM HUM SHLDR 7MM,9160.0,9160.0,1374.0,9160.0,30
CDM,197023,KIT PUMP CONN REVISION,2392.0,2392.0,358.8,2392.0,42
CDM,197024,BASEPLATE TIB S1 KN MRH,8861.0,8861.0,1329.15,8861.0,30
CDM,197025,STEM EXT KN 155MM 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,197026,EXTENSION FEM HIP 50MM,8726.0,8726.0,1308.9,8726.0,30
CDM,197027,COMPNT FEM KN 65MM,20936.0,20936.0,3140.4,20936.0,30
CDM,197028,CMPNT FEM KN XL,4693.0,4693.0,703.95,4693.0,30
CDM,197029,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,197030,PLATE SPN L60 RFLX HBRD,4429.0,4429.0,664.35,4429.0,30
CDM,197031,STEM SHLDR OFST 15X50MM,10041.0,10041.0,1506.15,10041.0,30
CDM,197032,KNEE FEM GNSIS 2 OXNM S,7973.0,7973.0,1195.95,7973.0,30
CDM,197033,RESTRICTOR CMNT 6MM,2742.0,2742.0,411.3,2742.0,30
CDM,197040,SCREW BN 8MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,197043,SCREW SPN PDCL 6X55MM,6378.0,6378.0,956.7,6378.0,30
CDM,197044,ROD SPNL PRBNT 70X6MM,3012.0,3012.0,451.8,3012.0,30
CDM,197046,ROD SPAL TI L300 EXPEDIU,2711.0,2711.0,406.65,2711.0,30
CDM,197047,SCREW BN SPN 3.5MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,197048,PLG SPNL ALTIUS G587,1506.0,1506.0,225.9,1506.0,30
CDM,197049,ROD SPNL NEURO 18,3012.0,3012.0,451.8,3012.0,30
CDM,197056,STEMHUM SHLDR 220MM 12MM,15734.0,15734.0,2360.1,15734.0,30
CDM,197058,IMPLANT ORTH 4 CMNT STM,4606.0,4606.0,690.9,4606.0,30
CDM,197059,COMP PTLR 5 BTN ACT KN,4252.0,4252.0,637.8,4252.0,30
CDM,197060,IMPLANT FEM F5L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197061,INSERT TIB 4 MNSCL CMNT,4429.0,4429.0,664.35,4429.0,30
CDM,197062,SCRW LEGACY HA 7.5X55MM,6742.0,6742.0,1011.3,6742.0,30
CDM,197063,SCREW BNE CD HRZN LGCY 5,4429.0,4429.0,664.35,4429.0,30
CDM,197070,SCREW BN 5MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,197071,PLATE BONE 1.0MM,2711.0,2711.0,406.65,2711.0,30
CDM,197072,SCREW BN MRS 3.5X18MM,1356.0,1356.0,203.4,1356.0,30
CDM,197073,SCREW DRCO LCK 3.5X16MM,1356.0,1356.0,203.4,1356.0,30
CDM,197074,SCREW BN ORTH 32MM,1196.0,1196.0,179.4,1196.0,30
CDM,197075,PLATE SPN TI 56 RFLX HBR,4429.0,4429.0,664.35,4429.0,30
CDM,197096,IMPLANT ORTH 2 TIB CMNT,4606.0,4606.0,690.9,4606.0,30
CDM,197097,IMPLANT FEM F3L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197098,PLATE ANT CSPN 48MM 2LVL,5315.0,5315.0,797.25,5315.0,30
CDM,197100,IMPLANT FEM F2L ULT PLSH,5293.0,5293.0,793.95,5293.0,30
CDM,197101,INSERT TIB CM1/7.5,4429.0,4429.0,664.35,4429.0,30
CDM,197102,COMP PTLR BTN ACT KN P1,4252.0,4252.0,637.8,4252.0,30
CDM,197103,GRAFT BN SUB 100X25X4MM,7915.0,7915.0,1187.25,7915.0,30
CDM,197107,PLATE SPN 97X26X4.5MM,12568.0,12568.0,1885.2,12568.0,30
CDM,197108,SPCR SPN 15X9MM CERVIOS,4429.0,4429.0,664.35,4429.0,30
CDM,197111,SCREW BN 7MM 55MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,197112,PROSTHESIS PENL 27 13MM,17251.0,17251.0,2587.65,17251.0,30
CDM,197113,SCREW BN SPN 5.5MM 50MM,6742.0,6742.0,1011.3,6742.0,30
CDM,197114,SCREW BN 55X6MM XIA PLYA,4429.0,4429.0,664.35,4429.0,30
CDM,197115,ROD UNION 160 MM,2711.0,2711.0,406.65,2711.0,30
CDM,197118,CONN SPN 5.5MM 41-49MM,3287.0,3287.0,493.05,3287.0,30
CDM,197119,SCREW BN 8 70 P-AX DI,4120.0,4120.0,618.0,4120.0,30
CDM,197121,NRSTM IMPL 1.9INX.6IN,48277.0,48277.0,7241.55,48277.0,30
CDM,197126,CONN ROD SPN 3.5MM 5MM,3458.0,3458.0,518.7,3458.0,30
CDM,197128,HEAD HIP FEM UNIPLR 46MM,4252.0,4252.0,637.8,4252.0,30
CDM,197129,SLEEVE FEM HIP V40 +4MM,3089.0,3089.0,463.35,3089.0,30
CDM,197132,SPACER SPNL 18MM,23917.0,23917.0,3587.55,23917.0,30
CDM,197134,GFT STNT 16F16X11.5,13509.0,13509.0,2026.35,13509.0,30
CDM,197136,IMPLANT FEM F2R ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197137,INSERT TIB 1 9.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,197138,STEM HIP CMNT PRSFT 3/13,4606.0,4606.0,690.9,4606.0,30
CDM,197139,HEAD HIP FEM UNIPLR 45MM,4252.0,4252.0,637.8,4252.0,30
CDM,197140,CATH BLN 4MM 100CM,3369.5,3369.5,505.43,3369.5,42
CDM,197143,SCREW SPN XIA 4823-545,4429.0,4429.0,664.35,4429.0,30
CDM,197147,IMPLANT ORTH 1 CMNT STM,4606.0,4606.0,690.9,4606.0,30
CDM,197154,ADAPTER PCKT IMPL 2X4,4429.0,4429.0,664.35,4429.0,30
CDM,197155,PLATE BNE TI STRNL 12 HL,4429.0,4429.0,664.35,4429.0,30
CDM,197159,SCREW BN SPN L45 OD4.5,4429.0,4429.0,664.35,4429.0,30
CDM,197162,SCREW BN SPNL 6.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,197165,INSERT TIB 2 9.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,197166,CAGE VS VBS END 14 X 45,21804.0,21804.0,3270.6,21804.0,30
CDM,197167,IMPLANT FEM F2L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197168,INSERT TIB 2 MNSCL CMNT,4429.0,4429.0,664.35,4429.0,30
CDM,197169,LINER HIP 10D +4X32X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,197174,INSERT TIB G KN 6 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,197175,SCREW SPN 5.2X45MM 2LD,4429.0,4429.0,664.35,4429.0,30
CDM,197176,PLATE 1 LVL LMB 37MM TI,12402.0,12402.0,1860.3,12402.0,30
CDM,197179,SCREW BN 6X45 XPDM TI,4429.0,4429.0,664.35,4429.0,30
CDM,197180,NAIL 11/135DX170,5807.0,5807.0,871.05,5807.0,30
CDM,197183,GWIRE BN 1.6MM 220MM,595.0,595.0,89.25,595.0,42
CDM,197184,GWIRE BN 1.6MM 220MM,664.0,664.0,99.6,664.0,42
CDM,197187,SCREW BN 2.3MM 28MM,1196.0,1196.0,179.4,1196.0,30
CDM,197188,SCREW BN 2.3MM 20MM,1200.0,1200.0,180.0,1200.0,30
CDM,197191,PLATE DISTAL RAD LT,4429.0,4429.0,664.35,4429.0,30
CDM,197192,PLATE SNOMA ANT CER 37MM,5094.0,5094.0,764.1,5094.0,30
CDM,197193,SCREW VARI BNE 4.5X16,3012.0,3012.0,451.8,3012.0,30
CDM,197194,SPACER SPNL 32X25X14 8D,18536.0,18536.0,2780.4,18536.0,30
CDM,197195,CVR BUR HL 14 ZUMA,1196.0,1196.0,179.4,1196.0,30
CDM,197196,BIT DRILL SPNL 25MM,386.5,386.5,57.98,386.5,42
CDM,197197,COMPNT SHLDR 5 4MM 2 PEG,6803.0,6803.0,1020.45,6803.0,30
CDM,197199,LINER ACTB HIP 15D 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,197200,SCREW BN 35MM 3.5MM,877.0,877.0,131.55,877.0,30
CDM,197201,SCREW BN 5MM 45MM,798.0,798.0,119.7,798.0,30
CDM,197208,PLATE 1 LVL LUMB 39MM,26574.0,26574.0,3986.1,26574.0,30
CDM,197211,HEAD FEM HIP 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,197212,PLATE BN 37-35MM,12402.0,12402.0,1860.3,12402.0,30
CDM,197216,GRAFT BN MATRIX 10ML,15281.0,15281.0,2292.15,15281.0,30
CDM,197218,IMP PEEK 6 X 16 X 14 M,10852.0,10852.0,1627.8,10852.0,30
CDM,197219,SCREW BN 2.3MM 14MM,1200.0,1200.0,180.0,1200.0,30
CDM,197220,SCREW BN 2.3MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,197223,SUB BNGF CAPHS 1.2CC,3012.0,3012.0,451.8,3012.0,30
CDM,197225,PLATE SNOMA ANT CER 28MM,5094.0,5094.0,764.1,5094.0,30
CDM,197227,IMPLANT FEM 4 ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197228,COMP PTLR 3 BTN ACT KN,4252.0,4252.0,637.8,4252.0,30
CDM,197229,COMP FEM MED F2R KN NCEM,5736.0,5736.0,860.4,5736.0,30
CDM,197230,INSERT TIB 11.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,197231,SCREW SPN 6.2MM 35MM,3458.0,3458.0,518.7,3458.0,30
CDM,197237,SPACER SPNL 32X25X12 8D,18536.0,18536.0,2780.4,18536.0,30
CDM,197239,CNCTR ROD TI SPN TRANSVE,3012.0,3012.0,451.8,3012.0,30
CDM,197240,BAR CRSLNK TI SPN CONECT,1506.0,1506.0,225.9,1506.0,30
CDM,197241,SUB BNGF CAPHS 5CC,4340.0,4340.0,651.0,4340.0,30
CDM,197246,SCREW TI SPN 50X6.5MM PA,4247.0,4247.0,637.05,4247.0,30
CDM,197249,SCREW BN SPNL 7X80MM,5758.0,5758.0,863.7,5758.0,30
CDM,197250,HEAD FEM +0MM OFST 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,197251,HEAD HIP 44MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,197252,PLATE 5HL Y SHAPE,2753.0,2753.0,412.95,2753.0,30
CDM,197253,CMPNT GLND PEG LG,4606.0,4606.0,690.9,4606.0,30
CDM,197254,HEAD HUM SHRT 47MM,4606.0,4606.0,690.9,4606.0,30
CDM,197255,LINER ACTB HIP SZ27 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,197256,STEM HIP FEM OFS 15X155,11870.0,11870.0,1780.5,11870.0,30
CDM,197261,SCREW BN SYNAPSE 3.5X20M,4446.0,4446.0,666.9,4446.0,30
CDM,197263,STEM HUM 10MM 200MM,15834.0,15834.0,2375.1,15834.0,30
CDM,197264,TRAY RVRS HUM +10MM,6644.0,6644.0,996.6,6644.0,30
CDM,197265,LINER HUM +2.5MM 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,197266,SCREW BN 4.5MM 38MM,1595.0,1595.0,239.25,1595.0,30
CDM,197267,SCREW BN 4.5MM 46MM,1595.0,1595.0,239.25,1595.0,30
CDM,197268,IMPLANT FEM PLSH CMNT,5736.0,5736.0,860.4,5736.0,30
CDM,197275,SCREW SPN VAR ANG 4X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,197276,SLEEVE CNTRNG 22F SM,4252.0,4252.0,637.8,4252.0,30
CDM,197277,LINER ACTB HIP 40X58MM,4429.0,4429.0,664.35,4429.0,30
CDM,197280,STEM FEM CMNT SZ5 120MM,6201.0,6201.0,930.15,6201.0,30
CDM,197281,INSR STD 5-6 LT 18MM,5829.0,5829.0,874.35,5829.0,30
CDM,197284,SPACER ALGRF 7X13.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,197285,SUB BNGF CAPHS 10CC,7124.0,7124.0,1068.6,7124.0,30
CDM,197287,PLT PROX LAT TIB 5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,197288,SCREW BN 5.5MM 40MM,1435.0,1435.0,215.25,1435.0,30
CDM,197289,SCREW BN 5.5MM 65MM,1435.0,1435.0,215.25,1435.0,30
CDM,197292,ROD SPN 12CMX3.5MM ATLS,3012.0,3012.0,451.8,3012.0,30
CDM,197296,SHELL ACETB F 56 HIP,4606.0,4606.0,690.9,4606.0,30
CDM,197297,LINER ACTB HIP 7.9X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,197298,STEM FEM HIP SZ8 30MM,8557.0,8557.0,1283.55,8557.0,30
CDM,197299,SLEEVE ADPT HIP -2.5MM,1170.0,1170.0,175.5,1170.0,30
CDM,197301,GRAFT BN DBM 10ML,4429.0,4429.0,664.35,4429.0,30
CDM,197302,IMPLANT FEM F2L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197303,LINER ACTB HIP10D36X52MM,4429.0,4429.0,664.35,4429.0,30
CDM,197304,HEAD FEM HIP 36X+15.5MM,4252.0,4252.0,637.8,4252.0,30
CDM,197307,PLATE ORT WDG 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,197308,SCREW BN 2.3MM 30MM,2073.0,2073.0,310.95,2073.0,30
CDM,197309,SCREW BN 2.3MM 24MM,2073.0,2073.0,310.95,2073.0,30
CDM,197310,SCREW BN 2.3MM 20MM,2073.0,2073.0,310.95,2073.0,30
CDM,197314,SCREW SPN 25MM 4.2MM,3389.0,3389.0,508.35,3389.0,30
CDM,197315,HEAD FEM HIP +0MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,197316,SCREW BN 3.5MM 60MM,1435.0,1435.0,215.25,1435.0,30
CDM,197317,SCREW BN 5.5MM 65MM,1435.0,1435.0,215.25,1435.0,30
CDM,197318,SCREW BN 3.5MM 70MM,1435.0,1435.0,215.25,1435.0,30
CDM,197320,NAIL BN 10MM 10CM,13288.0,13288.0,1993.2,13288.0,30
CDM,197324,IMPLANT FEM F5R ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197327,INSERT TIB 3 7.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,197328,PLATE BN 10 HL,4429.0,4429.0,664.35,4429.0,30
CDM,197329,PLATE BNE OD2.4MM 12HLE,5377.0,5377.0,806.55,5377.0,30
CDM,197330,INSERT ARTC 3-4 4MM,11073.0,11073.0,1660.95,11073.0,30
CDM,197332,GRAFT BN DBM 2ML,3569.0,3569.0,535.35,3569.0,30
CDM,197334,SLEEVE FEM ART/EZE +5MM,1170.0,1170.0,175.5,1170.0,30
CDM,197335,ENDCAP SPN VLIFT 22MM,3012.0,3012.0,451.8,3012.0,30
CDM,197340,PLATE 41MM TI ANTEGRA BN,26574.0,26574.0,3986.1,26574.0,30
CDM,197341,PLATE 39 TI ANTEGRA BN S,26574.0,26574.0,3986.1,26574.0,30
CDM,197343,CAGE VS VBS END 10 X 45,17716.0,17716.0,2657.4,17716.0,30
CDM,197344,SCREW BN 7MM 45MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,197345,HEAD FEM HIP +10MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,197347,HEAD HUM SHLDR 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,197348,SHELL ACTB HIP 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,197349,HEAD FEM METAL ON METAL,4252.0,4252.0,637.8,4252.0,30
CDM,197352,SCREW BN SPNL 9.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,197354,INSERT ACTB HIP 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,197355,HEAD FEM HIP 44MM,4429.0,4429.0,664.35,4429.0,30
CDM,197357,SLEEVE CNTRNG 17.5X7 22F,4252.0,4252.0,637.8,4252.0,30
CDM,197359,ROD SPN 3.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,197361,SCREW TI CANC POLY 3.5,4429.0,4429.0,664.35,4429.0,30
CDM,197363,SCREW BN 3.5X30MM TI COR,4608.0,4608.0,691.2,4608.0,30
CDM,197364,SCREW SPN 4MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,197366,PLATE SPN 16MM TI L1,4872.0,4872.0,730.8,4872.0,30
CDM,197367,NAIL T2 TIB STD 11X375MM,6803.0,6803.0,1020.45,6803.0,30
CDM,197368,HEAD FEM HIP BIP 28X47MM,4252.0,4252.0,637.8,4252.0,30
CDM,197369,CNTRLZR HIP 6259.8.150,2306.0,2306.0,345.9,2306.0,30
CDM,197370,SPACER SPNL 32X25X16 8D,22367.0,22367.0,3355.05,22367.0,30
CDM,197371,SCREW SPN BN 5.5X30 ZUMA,1130.0,1130.0,169.5,1130.0,30
CDM,197372,HEAD FEM 0 HIP COCR 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,197374,HEAD HIP +0X26MM,4252.0,4252.0,637.8,4252.0,30
CDM,197375,HEAD HIP 26MM 43MM,4252.0,4252.0,637.8,4252.0,30
CDM,197376,SCREW BN 3.7MM 32MM,3105.0,3105.0,465.75,3105.0,30
CDM,197377,SCREW BN 3.7MM 28MM,3105.0,3105.0,465.75,3105.0,30
CDM,197379,SCREW BN 3.7MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,197380,SCREW BN 3.7MM 26MM,3105.0,3105.0,465.75,3105.0,30
CDM,197381,GUIDEWRE DRILL TIP 1.6MM,761.5,761.5,114.22,761.5,42
CDM,197382,SCREW BN TI L40 XPDM SPN,4429.0,4429.0,664.35,4429.0,30
CDM,197384,ROD CONN SPN A4 5.5MM,3765.0,3765.0,564.75,3765.0,30
CDM,197387,SCREW BN 3.7MM 46MM,3105.0,3105.0,465.75,3105.0,30
CDM,197392,HD FEM 40MM ART/EZE +1.5,4606.0,4606.0,690.9,4606.0,30
CDM,197393,SCREW BN 2.4MM 4MM 28MM,743.0,743.0,111.45,743.0,30
CDM,197394,HEAD HUM 21MM 52MM,6201.0,6201.0,930.15,6201.0,30
CDM,197396,SURFACE ARTC CH 7-10 H14,4606.0,4606.0,690.9,4606.0,30
CDM,197399,STEM HIP CMNT PRSFT 0/10,4606.0,4606.0,690.9,4606.0,30
CDM,197401,ROD SPN 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,197404,SCREW BN SPNL 7.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,197406,NUT CLARIS LOCKING,798.0,798.0,119.7,798.0,30
CDM,197407,NAIL BN 10MM 9CM,13288.0,13288.0,1993.2,13288.0,30
CDM,197410,CUFF URTH SPHNC AB 3.5CM,33134.0,33134.0,4970.1,33134.0,30
CDM,197412,ROD SPN TI 6X130 DIAPASN,2711.0,2711.0,406.65,2711.0,30
CDM,197417,ROD SPN 5.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,197418,HEAD HIP 41MM 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,197419,SCREW SPN 5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,197421,SCREW BN 4.35MM 25MM XPD,4429.0,4429.0,664.35,4429.0,30
CDM,197422,NAIL ORTHO TI 130DD ANG,7608.0,7608.0,1141.2,7608.0,30
CDM,197423,INSERT TIB IUNI RT KNEE,16831.0,16831.0,2524.65,16831.0,30
CDM,197430,NAIL IM GMA3 125X38X11 R,8769.0,8769.0,1315.35,8769.0,30
CDM,197439,PLATE BN 4HL 109MM,3721.0,3721.0,558.15,3721.0,30
CDM,197440,SCREW BN 3.5MM 10MM,715.0,715.0,107.25,715.0,30
CDM,197441,SCREW BN 3.5MM 12MM,1359.0,1359.0,203.85,1359.0,30
CDM,197443,SCREW BN 3.5MM 14MM,319.0,319.0,47.85,319.0,30
CDM,197444,BIT DRILL 2.7MM,773.0,773.0,115.95,773.0,42
CDM,197447,SCREW BN 2.7MM 10MM,901.0,901.0,135.15,901.0,30
CDM,197448,SCREW BN HUM 3.5MM 16MM,375.0,375.0,56.25,375.0,30
CDM,197449,SCREW BN 3.5MM 12MM,1939.0,1939.0,290.85,1939.0,30
CDM,197450,SHELL HIP R3 POR 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,197451,SCREW BN 6.5MM 50MM,833.0,833.0,124.95,833.0,30
CDM,197452,STEM FEM HIP 14MM 160MM,8416.0,8416.0,1262.4,8416.0,30
CDM,197453,LINER ACTB HIP 36MM 56MM,4429.0,4429.0,664.35,4429.0,30
CDM,197454,HEAD FEM HIP 12/14 +4X36,5100.0,5100.0,765.0,5100.0,30
CDM,197456,SCREW SPN PDCL 8X55MM,6378.0,6378.0,956.7,6378.0,30
CDM,197458,ADAPTER LD NRSTM IMPL1X4,3683.0,3683.0,552.45,3683.0,30
CDM,197464,SCREW BN 3.7MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,197465,SCREW BN 3.7MM 48MM 25MM,2727.0,2727.0,409.05,2727.0,30
CDM,197466,SCREW BN 3.7MM 18MM,3105.0,3105.0,465.75,3105.0,30
CDM,197467,SCREW BN CANN 3.7X38MM,3087.0,3087.0,463.05,3087.0,30
CDM,197468,PLATE BN 7H 2.7X3.5,4429.0,4429.0,664.35,4429.0,30
CDM,197471,NAIL TROCH 11 300MM,7646.0,7646.0,1146.9,7646.0,30
CDM,197474,LINER ACTB HIP 40X56X+4,4429.0,4429.0,664.35,4429.0,30
CDM,197475,PLATE BN X-LONG LT,4429.0,4429.0,664.35,4429.0,30
CDM,197476,SCREW BN CORT 2.7MM 12MM,1053.0,1053.0,157.95,1053.0,30
CDM,197477,SCREW BN CORT 2.7MM 18MM,957.0,957.0,143.55,957.0,30
CDM,197478,SCREW BN CORT 2.7MM 16MM,957.0,957.0,143.55,957.0,30
CDM,197481,MESH SQ PROCEED 6X6,3310.0,3310.0,496.5,3310.0,30
CDM,197482,PLATE TI 1 LVL LUM 41MM,26574.0,26574.0,3986.1,26574.0,30
CDM,197492,PLATE SPN 14MM TI L1,4872.0,4872.0,730.8,4872.0,30
CDM,197495,GWIRE ORTH 2 1.45MM,386.5,386.5,57.98,386.5,42
CDM,197497,SCREW BN 4MM 16MM 2 LD,3012.0,3012.0,451.8,3012.0,30
CDM,197499,SCREW SPN 3.5MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,197502,PINS ORT SPEED 3.2X45X6,1432.5,1432.5,214.88,1432.5,42
CDM,197504,INSERT TIB 4 MNSCL CMNT,4429.0,4429.0,664.35,4429.0,30
CDM,197505,COMP FEM MED F5R KN CMNT,5293.0,5293.0,793.95,5293.0,30
CDM,197506,SCREW BN 4.3MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,197507,PLATE BN 2 HL 3.5X 25MM,2711.0,2711.0,406.65,2711.0,30
CDM,197508,SCREW BN 3.5MM 40MM,399.0,399.0,59.85,399.0,30
CDM,197513,ROD SPNL TI 40 MM PRBNT,3592.0,3592.0,538.8,3592.0,30
CDM,197514,COMP FEM 2 MED F1R RT KN,5293.0,5293.0,793.95,5293.0,30
CDM,197516,HEAD CERM HIP 40X1.5 12,4429.0,4429.0,664.35,4429.0,30
CDM,197517,CMPNT FEM KN SZ3,11516.0,11516.0,1727.4,11516.0,30
CDM,197518,LINER ACTB HIP+4X40X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,197525,TRAY RVRS HUM +15MM,6644.0,6644.0,996.6,6644.0,30
CDM,197526,COMPNT GLND SHLDR 46MM,6549.0,6549.0,982.35,6549.0,30
CDM,197527,LINER HUM +2.5MM 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,197528,SPACER SPN 10X28X12MM,11959.0,11959.0,1793.85,11959.0,30
CDM,197529,WEDGE BN 8X20X20MM,10267.0,10267.0,1540.05,10267.0,30
CDM,197530,SCREW BN 2.7MM 20MM,399.0,399.0,59.85,399.0,30
CDM,197532,SCREW SKY VRBL S-T 20 TI,3012.0,3012.0,451.8,3012.0,30
CDM,197533,ROD SPN UNION 480MM,3012.0,3012.0,451.8,3012.0,30
CDM,197534,SCRW II PA 5.5 X 55 MM,4429.0,4429.0,664.35,4429.0,30
CDM,197535,SCRW PA 8.5 X 70 MM,4429.0,4429.0,664.35,4429.0,30
CDM,197536,CNCTR LG OFST ILIUS PLVC,5562.0,5562.0,834.3,5562.0,30
CDM,197537,CAGE SPN 5D 9X15X27MM,6644.0,6644.0,996.6,6644.0,30
CDM,197538,NAIL INTRTN 10MMX40CM,6400.0,6400.0,960.0,6400.0,30
CDM,197539,IMPLANT FEM F4R ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197544,PLATE 43MM TI ANTGRA BN,26574.0,26574.0,3986.1,26574.0,30
CDM,197545,PLATE SPN 2LVL 26MM,5094.0,5094.0,764.1,5094.0,30
CDM,197546,SPACER ALGRF DBM 8X12X14,4429.0,4429.0,664.35,4429.0,30
CDM,197555,NUT SPNL VSP TPR 3/8IN,1506.0,1506.0,225.9,1506.0,30
CDM,197556,NUT SPNL VSP SS 5/16IN,1506.0,1506.0,225.9,1506.0,30
CDM,197559,SCREW SPN 4MM 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,197560,SCREW SPN 4.5MM 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,197561,HEAD HUM SHLDR 18X40MM,6666.0,6666.0,999.9,6666.0,30
CDM,197562,HEAD HUM 15MM 56MM,5257.0,5257.0,788.55,5257.0,30
CDM,197566,KWIRE FX 150MM 1.25MM,231.5,231.5,34.73,231.5,42
CDM,197568,INSERT LNR HIP 56X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,197569,SCREW BN 3.5MM 32MM,399.0,399.0,59.85,399.0,30
CDM,197570,SCREW BN 3.5MM 34MM,399.0,399.0,59.85,399.0,30
CDM,197573,PLATE RECON FRAG 8H,3189.0,3189.0,478.35,3189.0,30
CDM,197574,SCREW CORT S/T 3.5X22MM,341.0,341.0,51.15,341.0,30
CDM,197575,SCREW CORT S/T 3.5X26MM,341.0,341.0,51.15,341.0,30
CDM,197576,SCREW CORT S/T 3.5X20MM,414.0,414.0,62.1,414.0,30
CDM,197578,PLATE BN LCK 13HL,4429.0,4429.0,664.35,4429.0,30
CDM,197579,SCREW BN CORT 2.7MM 30MM,957.0,957.0,143.55,957.0,30
CDM,197580,SCREW BN CORT 2.7MM 32MM,957.0,957.0,143.55,957.0,30
CDM,197583,SCREW BN TI L45 XPDM SPN,4429.0,4429.0,664.35,4429.0,30
CDM,197584,SCREW SPN EXP DI 7.00X50,4429.0,4429.0,664.35,4429.0,30
CDM,197585,SCREW BN 4X14MM,319.0,319.0,47.85,319.0,30
CDM,197586,ROD SPN UNION 150MM,2711.0,2711.0,406.65,2711.0,30
CDM,197587,CVR BUR HL 12,1130.0,1130.0,169.5,1130.0,30
CDM,197588,SCREW BN 3MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,197589,CG SPN 15X13MM 21X13MM L,16194.0,16194.0,2429.1,16194.0,30
CDM,197590,STENT BIL 6FR 6MM 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,197591,PLATE BNE L104MM LCP RT,6295.0,6295.0,944.25,6295.0,30
CDM,197593,SCREW BN CNDR 5X4.4X35MM,2594.0,2594.0,389.1,2594.0,30
CDM,197594,SCREW BN 3.7MM 32MM,2392.0,2392.0,358.8,2392.0,30
CDM,197595,SCREW BN 3.7MM 28MM,2392.0,2392.0,358.8,2392.0,30
CDM,197596,SCREW BN 3.7MM 34MM,2392.0,2392.0,358.8,2392.0,30
CDM,197597,SCREW BN 3.7MM 38MM,2392.0,2392.0,358.8,2392.0,30
CDM,197599,PLATE BN 3H 3.5MM 62MM,3721.0,3721.0,558.15,3721.0,30
CDM,197600,MESH SURG OVAL 10X15CM,3189.0,3189.0,478.35,3189.0,30
CDM,197604,STEM FEM 12.7MM 160MM,11073.0,11073.0,1660.95,11073.0,30
CDM,197605,HEAD FEM HIP CTPR +0X36,4606.0,4606.0,690.9,4606.0,30
CDM,197606,PLATE 10 HL LCK 136X4MM,2995.0,2995.0,449.25,2995.0,30
CDM,197607,PLUG CABLE SS 4MM,786.0,786.0,117.9,786.0,30
CDM,197608,SCREW UNIFLX F-T 4X30MM,341.0,341.0,51.15,341.0,30
CDM,197609,SCREW SS S/T 4X26MM,1961.0,1961.0,294.15,1961.0,30
CDM,197610,SCREW BN LCK 4.0X28MM,1961.0,1961.0,294.15,1961.0,30
CDM,197611,INSERT TIB SM 4MM,817.0,817.0,122.55,817.0,30
CDM,197612,SCREW UNIFLX F-T 4X26MM,341.0,341.0,51.15,341.0,30
CDM,197615,SCREW SPN TI L50MM,4429.0,4429.0,664.35,4429.0,30
CDM,197616,SHELL ACETB D 50 HIP,4606.0,4606.0,690.9,4606.0,30
CDM,197621,SCRW PA 8.5 X 60 MM,4429.0,4429.0,664.35,4429.0,30
CDM,197622,CONNECTOR SPN ROD 0D,3765.0,3765.0,564.75,3765.0,30
CDM,197623,PLATE BN LNG 12 HL,4429.0,4429.0,664.35,4429.0,30
CDM,197624,PLATE BN 14HL RT,4429.0,4429.0,664.35,4429.0,30
CDM,197625,SCREW BN CORT 2.7MM 22MM,957.0,957.0,143.55,957.0,30
CDM,197626,SCREW BN CORT 2.7MM 24MM,957.0,957.0,143.55,957.0,30
CDM,197627,SCREW BN CORT 2.7MM 28MM,957.0,957.0,143.55,957.0,30
CDM,197628,SCREW BN CORT 2.7MM 40MM,957.0,957.0,143.55,957.0,30
CDM,197629,SCREW BN CORT 2.7MM 60MM,1276.0,1276.0,191.4,1276.0,30
CDM,197630,SCREW BN CORT 2.7MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,197631,SCREW BN CORT 2.7MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,197632,SCREW BN CORT 2.7MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,197633,SCREW BN 2.7MM 36MM,1706.0,1706.0,255.9,1706.0,30
CDM,197634,SCREW BN CORT 2.7MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,197635,SCREW BN CORT 3.5MM 60MM,1276.0,1276.0,191.4,1276.0,30
CDM,197636,SCREW BN 3.5MM 28MM,1403.0,1403.0,210.45,1403.0,30
CDM,197637,SCREW BN 3.5MM 34MM,1814.0,1814.0,272.1,1814.0,30
CDM,197638,SCREW BN 105MM 4.5MM,4058.0,4058.0,608.7,4058.0,30
CDM,197639,SCREW BN 3MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,197640,SCREW 3.0 HDLS CMPR,3189.0,3189.0,478.35,3189.0,30
CDM,197641,SCREW BN 3MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,197642,SCREW BN TI L80 OD8 EXPD,4120.0,4120.0,618.0,4120.0,30
CDM,197649,INSERT TIB 2 7.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,197650,SCREW BN SPNL 6.5X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,197651,SCREW BN 17.5MM 8MM,2216.0,2216.0,332.4,2216.0,30
CDM,197652,SCREW BN SPNL 7.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,197653,SCREW BN SPNL 6.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,197654,SCREW BN SPNL 7.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,197655,ROD SPNL SM OMNAXL CNCTR,3012.0,3012.0,451.8,3012.0,30
CDM,197657,SCREW BN SPNL 6.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,197658,SCREW BN 4.5MM 42MM,1595.0,1595.0,239.25,1595.0,30
CDM,197661,SCREW SPN 3.5MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,197662,SPACER SPNL 32X25X16 12D,18536.0,18536.0,2780.4,18536.0,30
CDM,197664,PLATE SPN 1LVL 23MM 37MM,13287.0,13287.0,1993.05,13287.0,30
CDM,197667,PLATE CLVCL LT 8 H,4429.0,4429.0,664.35,4429.0,30
CDM,197668,PLATE BN XTRA SM/SM,2711.0,2711.0,406.65,2711.0,30
CDM,197669,SCREW BN 3.5MM 32MM,399.0,399.0,59.85,399.0,30
CDM,197670,SCREW BN 3.5MM 30MM,399.0,399.0,59.85,399.0,30
CDM,197671,SCREW BN 3.5MM 34MM,399.0,399.0,59.85,399.0,30
CDM,197672,SCREW BN LCK,1356.0,1356.0,203.4,1356.0,30
CDM,197673,SCREW BN 3.5MM 34MM,1356.0,1356.0,203.4,1356.0,30
CDM,197674,SCREW BN LCK 3.5X30MM,1356.0,1356.0,203.4,1356.0,30
CDM,197679,WEDGE BN 10X20X20MM,10267.0,10267.0,1540.05,10267.0,30
CDM,197680,SCREW BN ORTH 6MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,197683,IMPLANT BREAST 800CC,3311.0,3311.0,496.65,3311.0,30
CDM,197684,SCREW BN SPN 4MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,197686,STEM FEM HIP SZ7 133MM,6201.0,6201.0,930.15,6201.0,30
CDM,197687,DISC ARTF 14X7MM,19710.0,19710.0,2956.5,19710.0,30
CDM,197688,SCREW BN 3.5MM 35MM,2392.0,2392.0,358.8,2392.0,30
CDM,197689,SCREW BN 3.5MM 30MM,2392.0,2392.0,358.8,2392.0,30
CDM,197692,PLATE PROX LAT RT 6HL,4429.0,4429.0,664.35,4429.0,30
CDM,197694,HEAD FM CRM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,197695,CAGE VS VBS END 16 X 55,17716.0,17716.0,2657.4,17716.0,30
CDM,197696,CAGE SPNL 50MMX14MM,21804.0,21804.0,3270.6,21804.0,30
CDM,197698,PLATE STRNL SGL 14 SM,4876.0,4876.0,731.4,4876.0,30
CDM,197699,PLATE STRNL SGL 14 M,4876.0,4876.0,731.4,4876.0,30
CDM,197700,CLIP STRNL TLN CLSE 14MM,4876.0,4876.0,731.4,4876.0,30
CDM,197702,PLTE CONN CROSSLINK 28MM,3287.0,3287.0,493.05,3287.0,30
CDM,197703,SCREW SET TI MTNR O,731.0,731.0,109.65,731.0,30
CDM,197704,DISC ARTF 12X6MM,19710.0,19710.0,2956.5,19710.0,30
CDM,197705,HEAD FEM 36MM 5MM MOM,4252.0,4252.0,637.8,4252.0,30
CDM,197707,SCREW SPN 4MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,197708,CUP ACTB HAP 58X52MM,10630.0,10630.0,1594.5,10630.0,30
CDM,197709,HEAD FEM HIP 52MM,24360.0,24360.0,3654.0,24360.0,30
CDM,197710,WRENCH TRQ ACC 4IN,773.0,773.0,115.95,773.0,42
CDM,197713,SPACER SPNL PK 24X10X11,6644.0,6644.0,996.6,6644.0,30
CDM,197714,SCREW BN TI LMNA LK TRNC,1055.0,1055.0,158.25,1055.0,30
CDM,197715,NUT LK 7.5 SYNPS SPN TI,1116.0,1116.0,167.4,1116.0,30
CDM,197716,ROD TRNCN MED TI TOP LD,3765.0,3765.0,564.75,3765.0,30
CDM,197717,SPACER SPNL 32X25X18 12D,21481.0,21481.0,3222.15,21481.0,30
CDM,197718,HEAD FEM HIP BIP 28X46MM,4252.0,4252.0,637.8,4252.0,30
CDM,197719,CEMENT BN PMMA FULL DOSE,3189.0,3189.0,478.35,3189.0,30
CDM,197720,SCREW BN SPNL 5.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,197723,CNCTR SPNL SM CLRS LATRL,3012.0,3012.0,451.8,3012.0,30
CDM,197725,CONNECTOR ROD SP XLNK HK,3012.0,3012.0,451.8,3012.0,30
CDM,197726,COVER BURR HL 18MM,2259.0,2259.0,338.85,2259.0,30
CDM,197728,SCREW SPN PDCL 8X35MM,6378.0,6378.0,956.7,6378.0,30
CDM,197730,ENDPLATE SPN 39MM 30MM,22267.0,22267.0,3340.05,22267.0,30
CDM,197731,DISC INLAY SPNL LG 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,197732,ENDPLATE DISC 39MM 30MM,22267.0,22267.0,3340.05,22267.0,30
CDM,197733,IMPLANT FEM F1L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197734,IMPLANT FEM F3R ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,197737,HEAD FEM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,197738,PLATE BN NAR LT,4429.0,4429.0,664.35,4429.0,30
CDM,197739,SCREW BN SLFTAP 3.5X32,319.0,319.0,47.85,319.0,30
CDM,197740,SCREW BN SLFTAP 4.5X30MM,399.0,399.0,59.85,399.0,30
CDM,197741,SCREW BN 3.5MM 38MM,1356.0,1356.0,203.4,1356.0,30
CDM,197742,PLATE BN LT TB 10 HLE LK,4872.0,4872.0,730.8,4872.0,30
CDM,197743,SCREW BN SLFTAP 3.5X30,319.0,319.0,47.85,319.0,30
CDM,197744,SCREW BN 4.3MM 46MM,2392.0,2392.0,358.8,2392.0,30
CDM,197745,SCREW BN 7MM 65MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,197746,SPACER ALGRF DBM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,197747,SPACER ALGRF DBM 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,197750,PLATE STRNL SGL 17 M,4876.0,4876.0,731.4,4876.0,30
CDM,197755,PLATE STRNL DBL 20 M,5629.0,5629.0,844.35,5629.0,30
CDM,197756,PLATE STRNL DBL 17 SM,5629.0,5629.0,844.35,5629.0,30
CDM,197758,PLATE STRNL SGL 17 LG,4876.0,4876.0,731.4,4876.0,30
CDM,197759,SCREW SPN 4.35X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,197760,TAP 4MM SRG MNTNR,1146.0,1146.0,171.9,1146.0,42
CDM,197762,PLATE SPN 58MM TI L3,5315.0,5315.0,797.25,5315.0,30
CDM,197765,SCREW BN SPN 3.5MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,197766,CUP PLVC ACTB HIP 48MM,8323.0,8323.0,1248.45,8323.0,30
CDM,197767,LINER ACTB HIP 10D 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,197768,HEAD FEM HIP SZ12/14+1MM,4429.0,4429.0,664.35,4429.0,30
CDM,197770,STEM HUM PRSFT 9MM,7308.0,7308.0,1096.2,7308.0,30
CDM,197773,COMPNT FEM HIP JRNY 6,5980.0,5980.0,897.0,5980.0,30
CDM,197774,COMPNT FEM KN LT SZ5,6312.0,6312.0,946.8,6312.0,30
CDM,197777,COMPNT FEM RT KN SZ5,6312.0,6312.0,946.8,6312.0,30
CDM,197781,SLEEVE CNTRNG 22D SM,4252.0,4252.0,637.8,4252.0,30
CDM,197782,HEAD FEM CERM +1.5X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,197783,SPCR ORCL 55X22MM 13MM 8,19931.0,19931.0,2989.65,19931.0,30
CDM,197786,PLATE STRNL SGL 20 M,4876.0,4876.0,731.4,4876.0,30
CDM,197787,PLATE STRNL SGL 20 XL,4876.0,4876.0,731.4,4876.0,30
CDM,197788,PLATE STRNL SGL 11 XS,4876.0,4876.0,731.4,4876.0,30
CDM,197789,PLATE STRNL SGL 11 SM,4876.0,4876.0,731.4,4876.0,30
CDM,197794,CLIP SURG CLS STRL,1023.5,1023.5,153.53,1023.5,42
CDM,197795,NAIL BN15.5-11MM 400MM,8522.0,8522.0,1278.3,8522.0,30
CDM,197796,VALVE AORTIC 25MM,19206.0,19206.0,2880.9,19206.0,30
CDM,197799,PLATE STRNL SGL 14 XS,4876.0,4876.0,731.4,4876.0,30
CDM,197801,PLATE STRNL SGL 17 SM,4876.0,4876.0,731.4,4876.0,30
CDM,197805,HEAD HOWMD C-TAPER 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,197806,STEM FEM HIP SZ7 30MM,11073.0,11073.0,1660.95,11073.0,30
CDM,197807,ROD SPNL TI 70 OD8.5 CLS,4429.0,4429.0,664.35,4429.0,30
CDM,197808,SCREW SET TI L32 SPNL,753.0,753.0,112.95,753.0,30
CDM,197809,CONN ROD 20MM SPINAL,3765.0,3765.0,564.75,3765.0,30
CDM,197810,SCREW BN 4.5MM 32MM,1595.0,1595.0,239.25,1595.0,30
CDM,197811,SCREW BN 5.5MM 30MM,2392.0,2392.0,358.8,2392.0,30
CDM,197814,SCREW SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,197816,ROD SPNL 5.5X300MM TI P,4429.0,4429.0,664.35,4429.0,30
CDM,197827,PLATE SPN 18MM TI L1,4872.0,4872.0,730.8,4872.0,30
CDM,197829,ROD SPNL 24CM 3.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,197830,CMPNT FEM SZ2 RT,9301.0,9301.0,1395.15,9301.0,30
CDM,197831,HEAD FEM HIP +8.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,197832,GRAFT BN CANC L14MMXW11M,4429.0,4429.0,664.35,4429.0,30
CDM,197833,BOLT SPNL 50X5.75MM ARC,3012.0,3012.0,451.8,3012.0,30
CDM,197834,NAIL IM TI L36CM OD13MM,6993.0,6993.0,1048.95,6993.0,30
CDM,197835,SCR BN 5MM 4.3MM 66MM,2143.0,2143.0,321.45,2143.0,30
CDM,197836,GRAFT BN CANC L14MMXW11M,4429.0,4429.0,664.35,4429.0,30
CDM,197837,HEAD FEM HIP 12/14 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,197844,PLATE 43-40MM TI HL BN,26574.0,26574.0,3986.1,26574.0,30
CDM,197847,INSERT KN TIB SZ4 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,197848,DRILL SURG FLX 3.2MM,4093.0,4093.0,613.95,4093.0,42
CDM,197849,BIT DRILL OCPTL 3.2MM,3356.0,3356.0,503.4,3356.0,42
CDM,197850,PLATE BN SPNL OCPTL SM,11580.0,11580.0,1737.0,11580.0,30
CDM,197851,SCREW BN SPN 4.5MM 8MM,3283.0,3283.0,492.45,3283.0,30
CDM,197855,CAGE SPN 18MM 12MM,4607.0,4607.0,691.05,4607.0,30
CDM,197856,SCREW BN 7MM 95MM 16MM,2790.0,2790.0,418.5,2790.0,30
CDM,197858,LEAD EXT 25CM,3721.0,3721.0,558.15,3721.0,30
CDM,197859,SPACER SPNL 26X24X14 8D,18536.0,18536.0,2780.4,18536.0,30
CDM,197861,HEAD FEM +6MM 40MM HIP S,4252.0,4252.0,637.8,4252.0,30
CDM,197862,LINER HIP +4 58X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,197863,HEAD FEM HIP 11/13 +12MM,4606.0,4606.0,690.9,4606.0,30
CDM,197865,SCREW BN CORT 2.7MM 36MM,957.0,957.0,143.55,957.0,30
CDM,197866,SCREW BN 2.7MM 45MM,1706.0,1706.0,255.9,1706.0,30
CDM,197867,SCREW BN CORT 3.5MM 24MM,957.0,957.0,143.55,957.0,30
CDM,197868,SCREW BN CORT 3.5MM 30MM,957.0,957.0,143.55,957.0,30
CDM,197869,CAGE SPN LMBR 25X22MM,31715.0,31715.0,4757.25,31715.0,30
CDM,197870,STEMHUM SHLDR 160MM 16MM,13141.0,13141.0,1971.15,13141.0,30
CDM,197871,BIT DRILL STRL 11MM,386.5,386.5,57.98,386.5,42
CDM,197872,INSRT TIB LT MDL KN DEV,16831.0,16831.0,2524.65,16831.0,30
CDM,197874,SCREW SPN PDCL 8X45MM,6378.0,6378.0,956.7,6378.0,30
CDM,197875,ROD SPN 6MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,197876,SCREW BN 6.5MM 50MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,197877,INSRT TIB2 15 KN COCR UH,4429.0,4429.0,664.35,4429.0,30
CDM,197878,BLADE SAW 25MM 90MM,547.0,547.0,82.05,547.0,42
CDM,197879,SHTH XCL 20F 30,1932.0,1932.0,289.8,1932.0,42
CDM,197881,SCREW BN 4MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,197882,SCREW SPN MTNR 3.5X26MM,4120.0,4120.0,618.0,4120.0,30
CDM,197884,IMPL TOE SZ2S,4606.0,4606.0,690.9,4606.0,30
CDM,197886,SCREW BN SPNL 7.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,197887,INSRT SGM CRV XLK 10,4429.0,4429.0,664.35,4429.0,30
CDM,197889,GRAFT EVAS 34-30X113MM,53148.0,53148.0,7972.2,53148.0,30
CDM,197890,GRAFT EVAS 40MM 111MM,54920.0,54920.0,8238.0,54920.0,30
CDM,197891,SPCR SPN 27X10X9 BCMPT,9667.0,9667.0,1450.05,9667.0,30
CDM,197892,COMPNT FEM KN CMTD SZ2,11516.0,11516.0,1727.4,11516.0,30
CDM,197894,SCRW SD 4.5X13MM VA,3012.0,3012.0,451.8,3012.0,30
CDM,197896,SCREW SPN 6X20X23MM,1130.0,1130.0,169.5,1130.0,30
CDM,197897,SCREW BN TI 4.0X20MM SPN,2259.0,2259.0,338.85,2259.0,30
CDM,197898,SCREW BN 4MM 25MM TI SPN,1461.0,1461.0,219.15,1461.0,30
CDM,197899,PUMP INFL STRL,19167.0,19167.0,2875.05,19167.0,30
CDM,197900,STEM FEM HIP 127D,11073.0,11073.0,1660.95,11073.0,30
CDM,197901,HEAD FEM HIP +5MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,197902,PLATE BN MIDSHAFT 6 HL,3189.0,3189.0,478.35,3189.0,30
CDM,197903,SCREW BN CORT 2.7MM 20MM,957.0,957.0,143.55,957.0,30
CDM,197904,SCREW BN CANC 4MM 12MM,1069.0,1069.0,160.35,1069.0,30
CDM,197906,INSERT TIB KN RT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,197907,INSERT ART KN 3-4-5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,197908,SLEEVE CNTRNG 16F XXL,4252.0,4252.0,637.8,4252.0,30
CDM,197911,PIN PSTN CRCLGE 4.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,197912,PLATE BN 16HL 300MM,4429.0,4429.0,664.35,4429.0,30
CDM,197913,STEM FEM HIP 13MM 140MM,20516.0,20516.0,3077.4,20516.0,30
CDM,197915,SCREW BN SPNL 9.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,197921,PLATE STLCK 3LVL 71X63MM,4429.0,4429.0,664.35,4429.0,30
CDM,197923,SCREW BN SPNL 5.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,197924,SCREW BN SPNL 6.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,197926,ROD CLRS EXT OMNAX CNCTR,3012.0,3012.0,451.8,3012.0,30
CDM,197928,SCREW BN SPNL 7.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,197931,GRAFT BN OSTCEL CLLR 5ML,8099.0,8099.0,1214.85,8099.0,30
CDM,197932,CAGE SPNL 60X18X10MM 10D,17716.0,17716.0,2657.4,17716.0,30
CDM,197934,SCREW EXP TI POLY 7.5X90,4429.0,4429.0,664.35,4429.0,30
CDM,197935,SCREW BN 7X45 XPDM TI,4429.0,4429.0,664.35,4429.0,30
CDM,197936,ROD SPN 480MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,197937,SCREW 4.0 REFLEX L1 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,197938,NAIL BN15.5-11MM 380MM,8522.0,8522.0,1278.3,8522.0,30
CDM,197939,PLATE BN 2.7MM 73MM,3721.0,3721.0,558.15,3721.0,30
CDM,197940,SCREW BN LCK 2.7MM 8MM,1571.0,1571.0,235.65,1571.0,30
CDM,197947,INSERT TIB KN SZ4 15MM,19931.0,19931.0,2989.65,19931.0,30
CDM,197948,SCREW SPN CLK-X 7X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,197950,SCREW BN TI L22MM OD6MM,2259.0,2259.0,338.85,2259.0,30
CDM,197960,PLATE BN CRPL WRIST MED,13654.0,13654.0,2048.1,13654.0,30
CDM,197961,SCREW BN WRST SPHRCL 18,3189.0,3189.0,478.35,3189.0,30
CDM,197962,COMP RADL LT DST WAR-LM,17041.0,17041.0,2556.15,17041.0,30
CDM,197963,COMPONENT WRST CARPAL,4606.0,4606.0,690.9,4606.0,30
CDM,197964,SCREW BN SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,197965,SCREW BN SPN 7.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,197967,ROD PRE BENT 4.75 40,3012.0,3012.0,451.8,3012.0,30
CDM,197968,GRFT BN OSTCL STM CELL15,20374.0,20374.0,3056.1,20374.0,30
CDM,197973,SCREW BN STRL LCK 5X32MM,2143.0,2143.0,321.45,2143.0,30
CDM,197974,SLEEVE BN LCK 5MM,935.0,935.0,140.25,935.0,30
CDM,197976,SCREW BN 5 40 TI T25 STR,2031.0,2031.0,304.65,2031.0,30
CDM,197977,CAGE 22MM 14 45 6 DEG,21804.0,21804.0,3270.6,21804.0,30
CDM,197978,PLATE BN LT 4HL 86MM,3721.0,3721.0,558.15,3721.0,30
CDM,197979,PLATE SPN 34MM TI L2,5094.0,5094.0,764.1,5094.0,30
CDM,197980,PLATE SPN 36MM TI L2,5094.0,5094.0,764.1,5094.0,30
CDM,197982,SCREW SPN 3.5MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,197989,ANCHOR SUT SZ 2 36IN,3721.0,3721.0,558.15,3721.0,30
CDM,197991,SCREW BN 4MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,197993,CAGE SPN 10D 10X18X55MM,17716.0,17716.0,2657.4,17716.0,30
CDM,197994,ROD PRE BNT 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,197995,SCREW SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,197996,SCREW BN L10MM SPHRXII,1130.0,1130.0,169.5,1130.0,30
CDM,197998,PLATE SPN 55MM AFFIX 2,17716.0,17716.0,2657.4,17716.0,30
CDM,197999,SCREW BN SPN 7.5MM 35MM,4247.0,4247.0,637.05,4247.0,30
CDM,198000,CAGE SPN 24MM 12MM,5430.0,5430.0,814.5,5430.0,30
CDM,198001,SCREW BN LAG 10.5X125MM,3478.0,3478.0,521.7,3478.0,30
CDM,198002,SCREW BN 3.5MM 18MM,319.0,319.0,47.85,319.0,30
CDM,198003,STEM EXT TIB KN 90X13MM,4429.0,4429.0,664.35,4429.0,30
CDM,198004,STEM XTN FEM KN 30X13MM,4429.0,4429.0,664.35,4429.0,30
CDM,198005,CMPNT FEM KN SZ4,11861.0,11861.0,1779.15,11861.0,30
CDM,198006,INSERT TIB BRNG 4 20MM,4747.0,4747.0,712.05,4747.0,30
CDM,198010,LEAD NRSTM SPN 2X8 L65,19931.0,19931.0,2989.65,19931.0,30
CDM,198014,CNCTR ROD TI SPN AXIAL,3012.0,3012.0,451.8,3012.0,30
CDM,198015,PLATE LV1 L40MM SPN LMBR,4429.0,4429.0,664.35,4429.0,30
CDM,198016,INSERT 74X46X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,198018,PLATE SPN LVL2 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,198019,PLATE CERV 64 4 LVL,5537.0,5537.0,830.55,5537.0,30
CDM,198020,SCREW BN SPNL 4.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,198026,LEAD NRSTM SURG 5-6-5,23031.0,23031.0,3454.65,23031.0,30
CDM,198027,SCREW CANC POLYAXI 3.5MM,4446.0,4446.0,666.9,4446.0,30
CDM,198028,SCREW SPN 3.5X2.4X36MM,4608.0,4608.0,691.2,4608.0,30
CDM,198030,TOOL TUNNELING VASC GRFT,3274.0,3274.0,491.1,3274.0,42
CDM,198034,PLATE 2.0 LC DCP 4H 27,3189.0,3189.0,478.35,3189.0,30
CDM,198035,SCREW BN CORT 2MM 18MM,547.0,547.0,82.05,547.0,30
CDM,198036,PLATE SPN LVL1 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,198040,HEAD FEM HIP 12/14MM,4429.0,4429.0,664.35,4429.0,30
CDM,198046,SHELL HIP ACTB 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,198047,SCREW BN 7MM 70MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,198048,SCREW 6.2T CLX PD DL CR,3458.0,3458.0,518.7,3458.0,30
CDM,198053,SUTURE BLU MONO 6-0 30IN,101.5,101.5,15.22,101.5,42
CDM,198067,SCREW SPN 4.5X16MM TI,3012.0,3012.0,451.8,3012.0,30
CDM,198071,STENT ESPH 18.5FR 23MM,9744.0,9744.0,1461.6,9744.0,30
CDM,198073,KWIRE FX 2 .035IN 9IN,56.0,56.0,8.4,56.0,42
CDM,198075,KWIRE FX 2 .045IN 9IN,56.0,56.0,8.4,56.0,42
CDM,198080,KWIRE FX DT 9IN 0.9MM,149.0,149.0,22.35,149.0,42
CDM,198081,KWIRE FX 3 .045IN 9IN,149.0,149.0,22.35,149.0,42
CDM,198082,KWIRE FX 2 .062IN 9IN,149.0,149.0,22.35,149.0,42
CDM,198083,PIN FX 3/16IN 9IN,101.5,101.5,15.22,101.5,42
CDM,198084,PIN FX 4MM 9IN,101.5,101.5,15.22,101.5,42
CDM,198085,PIN FX 9/64IN 9IN,80.0,80.0,12.0,80.0,42
CDM,198086,PIN FX 7/64IN 9IN,64.0,64.0,9.6,64.0,42
CDM,198087,PIN FX 3/32IN 9IN,64.0,64.0,9.6,64.0,42
CDM,198088,PIN FX 5/64IN 9IN,64.0,64.0,9.6,64.0,42
CDM,198090,PIN FX 1.8IN 9IN,80.0,80.0,12.0,80.0,42
CDM,198091,PIN STEINMAN 9IN 1/8IN,160.0,160.0,24.0,160.0,42
CDM,198100,PIN FX 2MM 9IN,160.0,160.0,24.0,160.0,42
CDM,198101,PIN FX 2.4MM 9IN,160.0,160.0,24.0,160.0,42
CDM,198102,PIN STEINMAN 9IN 7/64IN,160.0,160.0,24.0,160.0,42
CDM,198103,PIN STNM DBL TROC 9IN,160.0,160.0,24.0,160.0,42
CDM,198104,PIN FX 5/32IN 9IN,160.0,160.0,24.0,160.0,42
CDM,198105,PIN FX 3/16IN 9IN,160.0,160.0,24.0,160.0,42
CDM,198106,KWIRE FX 4IN .028IN,56.0,56.0,8.4,56.0,42
CDM,198107,KWIRE FX .062IN 9IN,231.5,231.5,34.73,231.5,42
CDM,198122,MESH HRN 7X5.4 OVL,5767.0,5767.0,865.05,5767.0,30
CDM,198125,MESH HRN EPTFE 4.3 OVL M,4554.0,4554.0,683.1,4554.0,30
CDM,198128,MESH SURG 4.7X3.1IN HRN,4135.0,4135.0,620.25,4135.0,30
CDM,198130,STENT DUODENAL 22MM 60MM,10885.0,10885.0,1632.75,10885.0,30
CDM,198136,GWIRE VASC .035IN 150CM,163.0,163.0,24.45,163.0,42
CDM,198138,STAPLER INT 45MM,2173.5,2173.5,326.02,2173.5,42
CDM,198140,STAPLER INT 45MM,2212.0,2212.0,331.8,2212.0,42
CDM,198141,STAPLER SURG 60MM 34CM,2537.0,2537.0,380.55,2537.0,42
CDM,198143,STAPLER ENDO LNR 60MM,2461.5,2461.5,369.23,2461.5,42
CDM,198152,GWIRE ENDO .035IN 450CM,1330.5,1330.5,199.57,1330.5,42
CDM,198154,GUIDE INSTRC KIT LOCATAB,5090.5,5090.5,763.58,5090.5,42
CDM,198169,PLATE SPN LCK 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,198171,PLATE SPN 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,198172,PLATE SPN 82.5MM,5094.0,5094.0,764.1,5094.0,30
CDM,198175,SCREW BN 6.5MM 8MM,562.0,562.0,84.3,562.0,30
CDM,198176,PLATE BN 2HL 20MM,652.0,652.0,97.8,652.0,30
CDM,198184,CMPNT FEM SZH LT,6644.0,6644.0,996.6,6644.0,30
CDM,198190,HOOK RETR BLNT 12MM,160.0,160.0,24.0,160.0,42
CDM,198195,NEEDLE PASSER SUTURE,1461.0,1461.0,219.15,1461.0,42
CDM,198268,PLATE ANT SPN 72.5MM,8658.0,8658.0,1298.7,8658.0,30
CDM,198274,SUTURE BLK MONO 7-0 24IN,862.0,862.0,129.3,862.0,42
CDM,198284,CATH URET 10FR,773.0,773.0,115.95,773.0,42
CDM,198290,VALVE AORTIC 23MM,13593.0,13593.0,2038.95,13593.0,30
CDM,198292,STENT ESPH 18.5FR 18MM,9816.0,9816.0,1472.4,9816.0,30
CDM,198293,STENT ESPH 18.5FR 18MM,9816.0,9816.0,1472.4,9816.0,30
CDM,198294,STENT ESPH 18.5FR 18MM,9816.0,9816.0,1472.4,9816.0,30
CDM,198295,STENT ESPH 18.5FR 23MM,9816.0,9816.0,1472.4,9816.0,30
CDM,198296,STENT ESPH 18.5FR 23MM,9816.0,9816.0,1472.4,9816.0,30
CDM,198297,STENT ESPH 18.5FR 23MM,9816.0,9816.0,1472.4,9816.0,30
CDM,198308,PLATE SPN 6CM,11063.0,11063.0,1659.45,11063.0,30
CDM,198309,SCREW SPN 5.5X25MM,3621.0,3621.0,543.15,3621.0,30
CDM,198310,STAPLE SPN THORACIC 2HL,4578.0,4578.0,686.7,4578.0,30
CDM,198312,DEV HNDHLD INFS PMP ACC,4093.0,4093.0,613.95,4093.0,42
CDM,198314,HEAD FEM HIP +0MM 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,198316,SHELL ACTB HIP HEMI11-62,4606.0,4606.0,690.9,4606.0,30
CDM,198318,HEAD FEM HIP +6MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,198322,PLATE BN 5H 2.7/3.5X99MM,3721.0,3721.0,558.15,3721.0,30
CDM,198323,VALVE AORTIC 27MM,19206.0,19206.0,2880.9,19206.0,30
CDM,198327,SCREW SET BRKOF G5 4.75,1356.0,1356.0,203.4,1356.0,30
CDM,198328,STEM FEM HIP SZ7 130MM,11405.0,11405.0,1710.75,11405.0,30
CDM,198330,STEM FEM HIP 17MM 160MM,20516.0,20516.0,3077.4,20516.0,30
CDM,198331,SCREW DIFA 6 X 40MM DEPU,4429.0,4429.0,664.35,4429.0,30
CDM,198334,STRAP CHIN PROTCT UNVRSL,197.0,197.0,29.55,197.0,42
CDM,198337,SCREW BN CORT 3.5X30MM,558.0,558.0,83.7,558.0,30
CDM,198338,PLATE BN 8HL 98MM,3189.0,3189.0,478.35,3189.0,30
CDM,198339,SCREW BN 3.5MM 12MM,1834.0,1834.0,275.1,1834.0,30
CDM,198340,SCREW BN 3.5MM 14MM,558.0,558.0,83.7,558.0,30
CDM,198342,SCREW BN 4MM 40MM,2631.0,2631.0,394.65,2631.0,30
CDM,198343,SCREW BN 3.5MM 36MM,1754.0,1754.0,263.1,1754.0,30
CDM,198345,PLATE BN LCK 6HL LT,4429.0,4429.0,664.35,4429.0,30
CDM,198346,ROD INS THRD OLCRN,3189.0,3189.0,478.35,3189.0,30
CDM,198347,ROD BN ORTH 4.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,198348,SCREW BN 3.5MM 18MM,558.0,558.0,83.7,558.0,30
CDM,198349,SCREW BN 3.5X16MM,319.0,319.0,47.85,319.0,30
CDM,198351,SCREW BN CORT 3.5MM 38MM,957.0,957.0,143.55,957.0,30
CDM,198352,PLATE BN 6HL 104MM,4429.0,4429.0,664.35,4429.0,30
CDM,198353,SCREW BN 2.7MM 18MM,1834.0,1834.0,275.1,1834.0,30
CDM,198354,SCREW BN 3.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,198355,SCREW BN NLCK 2.7X16MM,1356.0,1356.0,203.4,1356.0,30
CDM,198356,SCREW BN CANC 4MM 16MM,558.0,558.0,83.7,558.0,30
CDM,198360,SCRW EXP TI POLY 7.5X100,4429.0,4429.0,664.35,4429.0,30
CDM,198361,SCREW BN 10.5MM 120MM,3817.0,3817.0,572.55,3817.0,30
CDM,198362,GRAFT BN CHRNS 47X18X3MM,4402.0,4402.0,660.3,4402.0,30
CDM,198366,HEAD FEM HIP 12/14 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,198367,CAGE 22MM 16 X 60 12 DEG,19931.0,19931.0,2989.65,19931.0,30
CDM,198369,SCREW SPN PDCL 6X50MM ST,6378.0,6378.0,956.7,6378.0,30
CDM,198370,SCREW SPN PDCL 8X40MM,6378.0,6378.0,956.7,6378.0,30
CDM,198371,SPACER SPNL 24X9X10MM,11959.0,11959.0,1793.85,11959.0,30
CDM,198372,PLATE BN 7HL 3.5X106MM,6724.0,6724.0,1008.6,6724.0,30
CDM,198374,SCREW BN 3.7MM 40MM 25MM,3189.0,3189.0,478.35,3189.0,30
CDM,198376,PROGRAMMER PT NRSTM SNG,4860.5,4860.5,729.08,4860.5,42
CDM,198377,SPACER SPN 30X11X12MM 6D,11073.0,11073.0,1660.95,11073.0,30
CDM,198378,SCREW BN 3.7MM 36MM,2392.0,2392.0,358.8,2392.0,30
CDM,198379,SCREW BN 3.7MM 48MM,2392.0,2392.0,358.8,2392.0,30
CDM,198381,PLATE BN 3 HL 61MM,4429.0,4429.0,664.35,4429.0,30
CDM,198382,SCREW BN 3.5MM 12MM,558.0,558.0,83.7,558.0,30
CDM,198386,HEAD FEM HIP CTPR-2.5X32,4606.0,4606.0,690.9,4606.0,30
CDM,198387,SCRW BN L55 OD6.5 MALIBU,4651.0,4651.0,697.65,4651.0,30
CDM,198388,PLATE ANT CSPN 16MM 1LVL,4429.0,4429.0,664.35,4429.0,30
CDM,198389,SCREW BN 5.2X25MM CLK-X,4429.0,4429.0,664.35,4429.0,30
CDM,198390,SFX5.5TI LAT SZ A2,3765.0,3765.0,564.75,3765.0,30
CDM,198391,SCREW SPN 4MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,198392,SCREW BN SPN 7.5MM 35MM,5549.0,5549.0,832.35,5549.0,30
CDM,198393,PLATE BN 3HL73X2.7/3.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,198394,SPCR SPN 27X10X7 BCMPT,13287.0,13287.0,1993.05,13287.0,30
CDM,198396,CNCTR ROD SPNL,3012.0,3012.0,451.8,3012.0,30
CDM,198397,CLIP ROD SCS SPNL IMPLAN,1356.0,1356.0,203.4,1356.0,30
CDM,198398,CAGE 22MM 16 X 45 12 DEG,19931.0,19931.0,2989.65,19931.0,30
CDM,198399,CAGE 22MM 14 40 6 DEG,19931.0,19931.0,2989.65,19931.0,30
CDM,198400,PLATE BN SPNE 11MM L1,4872.0,4872.0,730.8,4872.0,30
CDM,198401,SCREW BN SPN 4.5MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,198403,LEAD NRSTM 3MM 60CM,14740.0,14740.0,2211.0,14740.0,30
CDM,198405,SCREW SPN 3.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,198406,SCREW BN SPN 5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,198407,SCREW BN 7MM 50MM XIA 3,4247.0,4247.0,637.05,4247.0,30
CDM,198412,PLATE SPN 1LVL 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,198413,SPACER SPNL 40X22X11MM,19931.0,19931.0,2989.65,19931.0,30
CDM,198414,INSERT ARTC KN 3-4X13GII,4429.0,4429.0,664.35,4429.0,30
CDM,198415,SPACER SPN 11X11X30MM,11073.0,11073.0,1660.95,11073.0,30
CDM,198416,SPACER SPNL 25X8X9MM,13287.0,13287.0,1993.05,13287.0,30
CDM,198417,SPACER SPN PEEK 25X8X8,13287.0,13287.0,1993.05,13287.0,30
CDM,198418,SPACER SPNL 28X22X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,198419,SCREW BN 3.5MM 30MM,399.0,399.0,59.85,399.0,30
CDM,198421,SCREW SPN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,198422,SPACER VERTB 24X10XOPL,11959.0,11959.0,1793.85,11959.0,30
CDM,198424,SCREW BN SPN 7MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,198425,SCREW SPN PDCL 8X60MM,7087.0,7087.0,1063.05,7087.0,30
CDM,198426,SCREW BN SPNL 8.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,198432,SCREW BN SLFTP 2.7X24MM,429.0,429.0,64.35,429.0,30
CDM,198433,SCREW BN 2.7MM 32MM,508.0,508.0,76.2,508.0,30
CDM,198434,SCREW BN SPN 7.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,198435,SCREW BN SPN 6.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,198436,ROD PRE BENT 4.75 30,3012.0,3012.0,451.8,3012.0,30
CDM,198438,CAGE SPNL 30X11X10MM,11073.0,11073.0,1660.95,11073.0,30
CDM,198442,SPCR SPNL TI 10X10X27,13287.0,13287.0,1993.05,13287.0,30
CDM,198444,CANNULA PRFSN 5.5IN 7FR,436.0,436.0,65.4,436.0,42
CDM,198452,CANNULA PRFSN VEN 25FR,3176.0,3176.0,476.4,3176.0,42
CDM,198453,CONNECTOR ROD ANT CNTCR,1506.0,1506.0,225.9,1506.0,30
CDM,198454,ROD SPNL 6MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,198455,ROD PRE BENT 4.75 70,3012.0,3012.0,451.8,3012.0,30
CDM,198456,ROD SPNL CBLT CRV NS90,2711.0,2711.0,406.65,2711.0,30
CDM,198457,SCREW BN SPNL 6.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,198458,SCREW BN SPNL 6.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,198459,SCREW BN SPNL 7.5X85MM,5758.0,5758.0,863.7,5758.0,30
CDM,198460,CONNECTOR ROD OMN XTND,3012.0,3012.0,451.8,3012.0,30
CDM,198462,HEAD HUM RSRFC 18X52MM,15507.0,15507.0,2326.05,15507.0,30
CDM,198466,SCREW BN SPN 5.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,198469,SPACER SPN 0D 28X11X10MM,11073.0,11073.0,1660.95,11073.0,30
CDM,198470,SPACER SPNL 0D 28X11X9MM,11073.0,11073.0,1660.95,11073.0,30
CDM,198471,PIN SPNL FX TEMP DISP,694.5,694.5,104.17,694.5,42
CDM,198472,SHELL ACTB HIP HEMI11-64,4606.0,4606.0,690.9,4606.0,30
CDM,198474,HEAD C-TAPER 36X2.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,198475,SCREW BN STD 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,198477,INSERT ACTB X3 TRDNT 32D,4606.0,4606.0,690.9,4606.0,30
CDM,198478,SCREW BN SPN 6MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,198479,SCREW BN SPN 6.5MM 35MM,4247.0,4247.0,637.05,4247.0,30
CDM,198480,ROD PRE BENT 4.75 60,3012.0,3012.0,451.8,3012.0,30
CDM,198483,STENT ESPH 22MM 64CM,8416.0,8416.0,1262.4,8416.0,30
CDM,198500,SCREW BN SPN 6MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,198501,SCREW SPN 6.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,198506,NAIL 130D 1040 L,6400.0,6400.0,960.0,6400.0,30
CDM,198507,SCREW BN 115MM 110MM,4058.0,4058.0,608.7,4058.0,30
CDM,198508,SCREW BN SPNL 6.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,198510,PLATE BN FULL 130MM,5758.0,5758.0,863.7,5758.0,30
CDM,198511,SCREW SPN 4MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,198513,COMP FEM MED KN CMNT,5736.0,5736.0,860.4,5736.0,30
CDM,198516,KNEE GII OXFEM 71421118,8858.0,8858.0,1328.7,8858.0,30
CDM,198517,BASEPLATE TIB SZ2 LT,4606.0,4606.0,690.9,4606.0,30
CDM,198518,CMPNT FEM KN LT SZ3,8858.0,8858.0,1328.7,8858.0,30
CDM,198519,INSRT ARTC 1-2 11 KN PST,4429.0,4429.0,664.35,4429.0,30
CDM,198521,SCREW SPN 4.75MM 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,198526,KIT SPNL XLIF NRVSN DIL,4093.0,4093.0,613.95,4093.0,42
CDM,198527,ELECTRODE EMG,4093.0,4093.0,613.95,4093.0,42
CDM,198529,CAGE SPN CRNT 8X22X50MM,18416.0,18416.0,2762.4,18416.0,30
CDM,198532,INSERT TIB 1/6MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,198534,SPACER SPN 25X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,198536,PLATE SPN 1LVL 12MM,4872.0,4872.0,730.8,4872.0,30
CDM,198537,SCREW SPN 5.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,198538,CONN ROD SPN 35-44MM,3765.0,3765.0,564.75,3765.0,30
CDM,198539,ROD UNION 170 MM,2711.0,2711.0,406.65,2711.0,30
CDM,198542,PLATE 139 SS 4.5 SCR LG,6350.0,6350.0,952.5,6350.0,30
CDM,198543,SCREW BN 7.3MM 5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,198544,SCREW BN 7.3MM 5MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,198545,SCREW BN 5MM 4.4MM 95MM,2594.0,2594.0,389.1,2594.0,30
CDM,198547,CABLE/SLV ORTH 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,198550,PLATE BN 16HL 5MM 343MM,7165.0,7165.0,1074.75,7165.0,30
CDM,198551,PLUG CABLE SS 5MM,953.0,953.0,142.95,953.0,30
CDM,198552,SCREW BN 4.5MM 55MM,456.0,456.0,68.4,456.0,30
CDM,198553,SCREW BN 4.5MM 38MM,368.0,368.0,55.2,368.0,30
CDM,198554,SCREW BN 4.5MM 44MM,368.0,368.0,55.2,368.0,30
CDM,198555,SCREW BN 4.5MM 48MM,358.0,358.0,53.7,358.0,30
CDM,198556,SCREW CANC SS 6.5X80MM,556.0,556.0,83.4,556.0,30
CDM,198557,SCREW BN 6.5MM 85MM,556.0,556.0,83.4,556.0,30
CDM,198558,SCREW BN 5MM 14MM,2209.0,2209.0,331.35,2209.0,30
CDM,198559,SCREW BN 5MM 16MM,2111.0,2111.0,316.65,2111.0,30
CDM,198560,SCREW BN 5MM 40MM,2111.0,2111.0,316.65,2111.0,30
CDM,198561,SCREW BN 5MM 44MM,2111.0,2111.0,316.65,2111.0,30
CDM,198562,SCREW BN 5MM 80MM,2111.0,2111.0,316.65,2111.0,30
CDM,198563,SCREW BN 5MM 60MM,2051.0,2051.0,307.65,2051.0,30
CDM,198566,SCREW BN 3.8MM 20MM,1898.0,1898.0,284.7,1898.0,30
CDM,198567,SCREW BN 3.8MM 26MM,1898.0,1898.0,284.7,1898.0,30
CDM,198568,PEG FX STD 4.0X40MM,1563.0,1563.0,234.45,1563.0,30
CDM,198569,PEG FX STD 4.0X45.0MM,1563.0,1563.0,234.45,1563.0,30
CDM,198570,PEG FX STD 4.0X55.0MM,1563.0,1563.0,234.45,1563.0,30
CDM,198571,BIT DRILL 125X4 FAST ST,1023.5,1023.5,153.53,1023.5,42
CDM,198574,SPACER SPNL 28X22X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,198581,LINER HUM RVRS 38 +2.5,4429.0,4429.0,664.35,4429.0,30
CDM,198582,GRAFT EVAS 34MM 115MM,54920.0,54920.0,8238.0,54920.0,30
CDM,198583,INSERT TIB UHMWPE 3 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,198585,DEVICE SUT MNSCL STRL,3189.0,3189.0,478.35,3189.0,30
CDM,198587,GWIRE VASC .035IN 260CM,1318.0,1318.0,197.7,1318.0,42
CDM,198589,GRAFT EVAS 30MM 96MM,21956.0,21956.0,3293.4,21956.0,30
CDM,198590,GRAFT EVAS 16MM 56MM,11862.0,11862.0,1779.3,11862.0,30
CDM,198591,CATH BLND 10F 100CM 32MM,3288.5,3288.5,493.27,3288.5,42
CDM,198592,SCREW SPN 7MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,198593,SCREW BN 80MM XIA 3 TI S,4429.0,4429.0,664.35,4429.0,30
CDM,198594,ROD SPN 6MM 480MM,2711.0,2711.0,406.65,2711.0,30
CDM,198595,SPACER SPN VERT 24X10X13,6644.0,6644.0,996.6,6644.0,30
CDM,198596,LINER ACTB HIP 52X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,198597,HEAD FEM 32MM LNG,4252.0,4252.0,637.8,4252.0,30
CDM,198598,LINER ACTB NTRL 50X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,198599,SURFACE ARTC 00595205010,4606.0,4606.0,690.9,4606.0,30
CDM,198602,ROD SPNL 80MM 4MM TI CRV,2630.0,2630.0,394.5,2630.0,30
CDM,198603,SCREW 4.0 3.5X32MM SPN S,4429.0,4429.0,664.35,4429.0,30
CDM,198604,SCREW BN CANC 3.5MM 18MM,4120.0,4120.0,618.0,4120.0,30
CDM,198605,SCREW SPN 3.5MM 14MM,4120.0,4120.0,618.0,4120.0,30
CDM,198608,HEAD FEM HIP +8MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,198609,LINER FEM 20D 50-52X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,198611,SCREW SPN SYNPS 4X30X4,4120.0,4120.0,618.0,4120.0,30
CDM,198612,SCREW BN CANC 3.5MM 16MM,4120.0,4120.0,618.0,4120.0,30
CDM,198613,ROD SPNL 80MM 4MM TI CRV,2711.0,2711.0,406.65,2711.0,30
CDM,198615,SET SCREW SPNL LCK,624.0,624.0,93.6,624.0,30
CDM,198616,CONNECTOR ROD SPN INTER,3012.0,3012.0,451.8,3012.0,30
CDM,198617,PLATE STRNL SGL 11 M,4876.0,4876.0,731.4,4876.0,30
CDM,198618,PLATE STRNL SGL 11 LG,4876.0,4876.0,731.4,4876.0,30
CDM,198619,PLATE STRNL SGL 14 XL,4876.0,4876.0,731.4,4876.0,30
CDM,198621,PLATE STRNL SGL 20 LG,4876.0,4876.0,731.4,4876.0,30
CDM,198622,SUB BNGF CAPHS 2.5CC,3012.0,3012.0,451.8,3012.0,30
CDM,198623,SCREW SPN PDCL 5X50MM D,6378.0,6378.0,956.7,6378.0,30
CDM,198626,PLATE 2-LEV ACP 37MM,5094.0,5094.0,764.1,5094.0,30
CDM,198629,PIN GD BRAD PT 3.2X343MM,831.0,831.0,124.65,831.0,42
CDM,198631,CAGE SPNL TL 30X11 9MM,11073.0,11073.0,1660.95,11073.0,30
CDM,198632,SCREW BN SPNL 8.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,198633,PLATE BN 4HL 2.7X3.5MM,4092.0,4092.0,613.8,4092.0,30
CDM,198634,PLATE SPN 4CM,11063.0,11063.0,1659.45,11063.0,30
CDM,198635,SCREW SPN 6.5MM 35MM,3621.0,3621.0,543.15,3621.0,30
CDM,198636,SCREW SPN 6.5MM 30MM,3621.0,3621.0,543.15,3621.0,30
CDM,198637,STAPLE SPN THORACIC 2HL,4578.0,4578.0,686.7,4578.0,30
CDM,198639,CAGE SPNL 30MM 22MM,14085.0,14085.0,2112.75,14085.0,30
CDM,198640,SCREW BN 5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,198641,CMPNT KN RT SZ3,5980.0,5980.0,897.0,5980.0,30
CDM,198642,INSERT TIB KN SZ3 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,198644,SPACER SPNL 30X11X9MM,13287.0,13287.0,1993.05,13287.0,30
CDM,198645,CAGE 22MM 16 X 50 12 DEG,19931.0,19931.0,2989.65,19931.0,30
CDM,198646,SPACER SPNL 4D 20X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,198649,NAIL BN TIB 9MM 375MM,6803.0,6803.0,1020.45,6803.0,30
CDM,198652,SCREW SPN 5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,198655,SCREW BN 3.5MM 26MM,399.0,399.0,59.85,399.0,30
CDM,198656,SCREW BN 3.5MM 28MM TI L,399.0,399.0,59.85,399.0,30
CDM,198657,SCREW BN 3.5MM 38MM TI L,399.0,399.0,59.85,399.0,30
CDM,198659,SCREW BN ST 3.5MM 34MM,399.0,399.0,59.85,399.0,30
CDM,198660,BIT DRL 2.7 DRCO HEAD,773.0,773.0,115.95,773.0,42
CDM,198662,KWIRE FX 270MM 2.5MM,464.0,464.0,69.6,464.0,42
CDM,198664,SCREW BN 3.5MM 38MM,399.0,399.0,59.85,399.0,30
CDM,198668,SCREW BN 1.5MM 11MM,1276.0,1276.0,191.4,1276.0,30
CDM,198669,SCREW BN 1.5MM 10MM,1276.0,1276.0,191.4,1276.0,30
CDM,198670,SCREW BN 1.5MM 14MM,1276.0,1276.0,191.4,1276.0,30
CDM,198671,SCREW BN 1.5MM 11MM,1276.0,1276.0,191.4,1276.0,30
CDM,198672,SCREW BN 1.5MM 12MM,1276.0,1276.0,191.4,1276.0,30
CDM,198673,SCREW BN 1.5MM 18MM,1276.0,1276.0,191.4,1276.0,30
CDM,198674,SCREW BN 1.3MM 10MM,1037.0,1037.0,155.55,1037.0,30
CDM,198675,SCREW BN 1.3MM 11MM,1037.0,1037.0,155.55,1037.0,30
CDM,198676,SCREW BN 1.5MM 13MM,1276.0,1276.0,191.4,1276.0,30
CDM,198677,SCREW BN 1.5MM 20MM,1276.0,1276.0,191.4,1276.0,30
CDM,198678,SCREW BN 1.3MM 13MM,1037.0,1037.0,155.55,1037.0,30
CDM,198679,BIT DRILL SURG 1.0MM,773.0,773.0,115.95,773.0,42
CDM,198680,BIT DRILL SURG 1.3MM,773.0,773.0,115.95,773.0,42
CDM,198681,BIT DRILL 1.1MM,773.0,773.0,115.95,773.0,42
CDM,198682,SCREW P-AX CANC 3.5X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,198684,PLATE BN SPNE 18MM 1 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,198685,SCREW SPN 4.5MM 14MM,1506.0,1506.0,225.9,1506.0,30
CDM,198686,PLATE 12MM ONE LEVEL SPN,4429.0,4429.0,664.35,4429.0,30
CDM,198687,SCREW BN 4MM 12MM VAR SL,1130.0,1130.0,169.5,1130.0,30
CDM,198689,GFT BFUR 24-14X155 22FR,37315.0,37315.0,5597.25,37315.0,30
CDM,198690,GRFT EVAS 14-14X105 18F,14515.0,14515.0,2177.25,14515.0,30
CDM,198691,SCREW SPN 3.5MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,198692,SCREW SPN 3.5MM 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,198693,GRAFT EVAS 44MM 113MM,57666.0,57666.0,8649.9,57666.0,30
CDM,198694,NAIL BN TIB 10MM 360MM,4429.0,4429.0,664.35,4429.0,30
CDM,198695,CAP END TIB XTND ST 15MM,3189.0,3189.0,478.35,3189.0,30
CDM,198696,SCREW BN 5 30 ASLS TI,3189.0,3189.0,478.35,3189.0,30
CDM,198697,SCREW BN 5MM 30MM TI T25,2031.0,2031.0,304.65,2031.0,30
CDM,198698,SCREW BN 5 36 TI T25 STR,3189.0,3189.0,478.35,3189.0,30
CDM,198699,PLATE BN 8HL LG LT,4429.0,4429.0,664.35,4429.0,30
CDM,198703,SPACER SPNL 30X10X15MM,11959.0,11959.0,1793.85,11959.0,30
CDM,198705,CMPNT KN CMNT LT SZ6,6068.0,6068.0,910.2,6068.0,30
CDM,198706,INSERT TIB KN 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,198708,SCREW BN SPNL 5.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,198709,ROD SPNL 30MM 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,198710,CONNECTOR ROD SPN MED LT,3012.0,3012.0,451.8,3012.0,30
CDM,198711,PLATE MTL 4 HL,3705.0,3705.0,555.75,3705.0,30
CDM,198712,SCREW BN 2MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,198713,SCREW BN 2MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,198714,SCREW BN 2MM 10MM,399.0,399.0,59.85,399.0,30
CDM,198716,SPACER 4D 14X12X7MM,4872.0,4872.0,730.8,4872.0,30
CDM,198727,GWIRE ORTH .035IN 5.75IN,231.5,231.5,34.73,231.5,42
CDM,198729,SCREW BN 7X40 XPDM TI,4429.0,4429.0,664.35,4429.0,30
CDM,198730,SCREW BN SPNL 8X90,4247.0,4247.0,637.05,4247.0,30
CDM,198734,PLATE BN ULNA SHRT 6HL,4092.0,4092.0,613.8,4092.0,30
CDM,198743,PLATE SM FX BN CLCNS SYS,2711.0,2711.0,406.65,2711.0,30
CDM,198744,SCREW BN 3.5MM 26MM ORTH,1356.0,1356.0,203.4,1356.0,30
CDM,198746,SCREW BN 3.5MM 32MM,399.0,399.0,59.85,399.0,30
CDM,198753,BLADE SAW ULNAR SHRTNG,773.0,773.0,115.95,773.0,42
CDM,198754,SCREW BN HB FA-ST 4.5X16,3012.0,3012.0,451.8,3012.0,30
CDM,198755,SCREW BN 2.5MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,198756,STEM FEM HIP 125D SZ14,8416.0,8416.0,1262.4,8416.0,30
CDM,198757,HEAD HIP 12/14 40MM +12,4429.0,4429.0,664.35,4429.0,30
CDM,198760,SPACER SPNL 14X7MM 12MM,4872.0,4872.0,730.8,4872.0,30
CDM,198761,SPACER SPN 0D 14X8 12MM,5758.0,5758.0,863.7,5758.0,30
CDM,198763,INSERT TIB 27.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,198764,PLATE ANT CSPN 34MM 2LVL,5094.0,5094.0,764.1,5094.0,30
CDM,198765,CONN ROD SPN OPN LAT 10M,3012.0,3012.0,451.8,3012.0,30
CDM,198766,ROD SPNL 120MM 3.2/3.5MM,6201.0,6201.0,930.15,6201.0,30
CDM,198767,SCREW BN SPN 5MM 6MM,3283.0,3283.0,492.45,3283.0,30
CDM,198768,SCREW BN SPN 5MM 8MM,3283.0,3283.0,492.45,3283.0,30
CDM,198769,SCREW MUL AX 5.5X30,4429.0,4429.0,664.35,4429.0,30
CDM,198773,KWIRE FX .9MM 150MM,386.5,386.5,57.98,386.5,42
CDM,198774,KWIRE FX 150MM 1.1MM,386.5,386.5,57.98,386.5,42
CDM,198775,KWIRE FX 1.4MM 150MM,386.5,386.5,57.98,386.5,42
CDM,198780,PIN EXFX 110X3X25MM,848.0,848.0,127.2,848.0,42
CDM,198787,NEEDLE BX 11GA 4IN,367.5,367.5,55.13,367.5,42
CDM,198791,SCREW BN SPNL 5.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,198792,SCREW BN LCK,1356.0,1356.0,203.4,1356.0,30
CDM,198793,ROD SPNL 80MM 3.5MM ALTI,3012.0,3012.0,451.8,3012.0,30
CDM,198794,COIL EMBL 30MM 2-4MM,872.0,872.0,130.8,872.0,30
CDM,198796,HEAD FEM HIP 28MM 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,198797,SPCR SPNL 17X15MM PEEK I,6644.0,6644.0,996.6,6644.0,30
CDM,198798,SCREW SPN 5.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,198799,SCREW SPN 5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,198800,SCREW SPN PAX 4.5X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,198801,CLAMP AXIAL ROD TO ROD,3389.0,3389.0,508.35,3389.0,30
CDM,198802,SCREW BN L35 OD4.35 SPNE,4429.0,4429.0,664.35,4429.0,30
CDM,198803,SCREW L40MM OD4.35MM SPI,4429.0,4429.0,664.35,4429.0,30
CDM,198805,SPACER SPNL 15X7MM,5426.0,5426.0,813.9,5426.0,30
CDM,198806,NAIL BN FEM 10X34MM,4872.0,4872.0,730.8,4872.0,30
CDM,198807,PLATE LUMBR AFFIX 35MM S,17716.0,17716.0,2657.4,17716.0,30
CDM,198808,PLATE 14MM 1 LVL SPNL FL,4429.0,4429.0,664.35,4429.0,30
CDM,198809,HEAD BIP HIP 52MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,198811,SCREW SPN 4.75MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,198812,SPACER SPNL 12MM 2XL,9523.0,9523.0,1428.45,9523.0,30
CDM,198817,CMPNT GLND PEG MED,4606.0,4606.0,690.9,4606.0,30
CDM,198818,ROD SPNL 30MM 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,198819,PLATE SPN SCRL 1LVL 39MM,11686.0,11686.0,1752.9,11686.0,30
CDM,198820,COMPONENT ULN 75X4 RT,18137.0,18137.0,2720.55,18137.0,30
CDM,198822,BOLT SPNL 50MM 8.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,198823,BOLT SPNL 40MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,198824,SCREW BN 4.5MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,198825,PLATE BN BTRS SPN 25MM,6644.0,6644.0,996.6,6644.0,30
CDM,198826,SCREW BN 4.5MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,198827,PLATE BN 2 HL 3.5X 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,198828,SCREW BN 3.5MM 20MM,399.0,399.0,59.85,399.0,30
CDM,198837,STEM FEM HIP SZ11,8416.0,8416.0,1262.4,8416.0,30
CDM,198838,PLATE BN REV LT 5HL,3721.0,3721.0,558.15,3721.0,30
CDM,198839,PLATE BN REV RT 5HL,3721.0,3721.0,558.15,3721.0,30
CDM,198840,SCREW BN CANC 4MM 14MM,1069.0,1069.0,160.35,1069.0,30
CDM,198841,SCREW BN SPNL 9.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,198842,MANIFOLD 5WY HPRS STPCK,151.0,151.0,22.65,151.0,42
CDM,198843,PLATE BN 10H 5.5X223MM,4872.0,4872.0,730.8,4872.0,30
CDM,198844,SCREW BN 4.5MM 38MM,1595.0,1595.0,239.25,1595.0,30
CDM,198846,PLATE CNDYLR4.5 6H/170-L,6903.0,6903.0,1035.45,6903.0,30
CDM,198848,SCREW ST SPN BTRS THRD,2259.0,2259.0,338.85,2259.0,30
CDM,198849,SCREW BN SPN 4.5MM 35MM,5094.0,5094.0,764.1,5094.0,30
CDM,198850,CNCTR ROD 29-30MM XIA MA,3765.0,3765.0,564.75,3765.0,30
CDM,198851,SCREW BN SPN 4.5MM 45MM,5094.0,5094.0,764.1,5094.0,30
CDM,198852,ROD SPNL XIA STD SS SCLS,3012.0,3012.0,451.8,3012.0,30
CDM,198854,SCREW BN SPN 3.5MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,198855,STNT BFR ANRX 135 28X16,34436.0,34436.0,5165.4,34436.0,30
CDM,198856,GFT STNT STR 16F16X8.5,12845.0,12845.0,1926.75,12845.0,30
CDM,198857,GFT STNT STR 19F20X8.5,13287.0,13287.0,1993.05,13287.0,30
CDM,198858,SPCR SPNL 13X15MM PEEK I,6644.0,6644.0,996.6,6644.0,30
CDM,198859,SPACER ALGRF DBM 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,198860,CUP ACTB 60MM PNCL REV G,8491.0,8491.0,1273.65,8491.0,30
CDM,198862,ACTB ALTRX 10D+4 62X44,4429.0,4429.0,664.35,4429.0,30
CDM,198863,SLEEVE CNTRNG 17.5X18 20,4252.0,4252.0,637.8,4252.0,30
CDM,198866,CAGE SPNL 13 SPCR TLIF,11959.0,11959.0,1793.85,11959.0,30
CDM,198867,BOLT SPNL 40MM 7.25MM LC,3012.0,3012.0,451.8,3012.0,30
CDM,198868,SCREW BN 2.3MM 12MM,1200.0,1200.0,180.0,1200.0,30
CDM,198869,PLATE BN 16HL 2.3MM LT,4429.0,4429.0,664.35,4429.0,30
CDM,198870,SCREW BN 2.3MM 12MM,1744.0,1744.0,261.6,1744.0,30
CDM,198871,SCREW BN 2.3MM 14MM,1744.0,1744.0,261.6,1744.0,30
CDM,198872,INSERT BRNG KN SZ2 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,198873,CMPNT FEM KN LT SZ2,6068.0,6068.0,910.2,6068.0,30
CDM,198874,SPACER SPN 36X28X13MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,198875,SPACER SPN 36X28X14MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,198878,SCREW SPN 3.5MM,1055.0,1055.0,158.25,1055.0,30
CDM,198879,ROD LOPROOC PREBENT 3.5X,3765.0,3765.0,564.75,3765.0,30
CDM,198880,PLATE SPN 3.5 37MM,6644.0,6644.0,996.6,6644.0,30
CDM,198881,SCREW BN TI L8MM OD4.5MM,2259.0,2259.0,338.85,2259.0,30
CDM,198882,SCREW BN TI L9MM OD4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,198883,SCREW SPN 5.25MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,198884,SCREW MNTR 4.35X30,3765.0,3765.0,564.75,3765.0,30
CDM,198885,SCREW SPN 4.5MM 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,198886,PLATE BN SKYLN 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,198887,PLATE SPN 48MM TI L3,5315.0,5315.0,797.25,5315.0,30
CDM,198889,COMPNT KN RT SZ4,6312.0,6312.0,946.8,6312.0,30
CDM,198895,SCREW BN SPNL 6.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,198896,ROD SPNL 430X4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,198897,SCREW BN 5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,198898,SCREW ST PDCL SPNL XPDM,753.0,753.0,112.95,753.0,30
CDM,198900,CAGE SPNL 22MM 12MM,5430.0,5430.0,814.5,5430.0,30
CDM,198904,PATCH VASC 9X2CM,3189.0,3189.0,478.35,3189.0,30
CDM,198906,SPACER SPNL 28X22X10MM,9523.0,9523.0,1428.45,9523.0,30
CDM,198907,SCREW BN SPNL 8.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,198908,HEAD ASPHERE M +5X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,198909,SCREW SPN 3.5MM 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,198910,SCREW SYNPS 4.0 3.5X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,198911,SCREW SPN 3.5X2.4MM 40MM,7499.0,7499.0,1124.85,7499.0,30
CDM,198912,SCREW SYNPS 4.0X350MM SP,2711.0,2711.0,406.65,2711.0,30
CDM,198913,SCREW SPN LNG 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,198914,PLATE BN 7HL 2.7MM 67MM,3189.0,3189.0,478.35,3189.0,30
CDM,198915,PLATE BN 10HL 2.7X94MM,3189.0,3189.0,478.35,3189.0,30
CDM,198916,SCREW BN 2.7MM 5MM 22MM,429.0,429.0,64.35,429.0,30
CDM,198917,SCREW BN 2.7MM 34MM,508.0,508.0,76.2,508.0,30
CDM,198918,SCREW BN 2.7MM 36MM,429.0,429.0,64.35,429.0,30
CDM,198919,SCREW BN 2.7MM 38MM,429.0,429.0,64.35,429.0,30
CDM,198920,SCREW BN 2.7MM 40MM,429.0,429.0,64.35,429.0,30
CDM,198921,SCREW BN LCK 2.7X36MM,1295.0,1295.0,194.25,1295.0,30
CDM,198923,SCREW BN 5X4.4X50MM,2774.0,2774.0,416.1,2774.0,30
CDM,198924,SPACER SPNL 15X11MM,5426.0,5426.0,813.9,5426.0,30
CDM,198931,SCREW BN SPNL 7.5X75MM,5758.0,5758.0,863.7,5758.0,30
CDM,198932,SCREW BN SPNL 6.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,198933,STEM FEM HIP OFST 13MM,8416.0,8416.0,1262.4,8416.0,30
CDM,198935,STEM FEM HIP 155MM,8858.0,8858.0,1328.7,8858.0,30
CDM,198936,HEAD FEM HIP 40MM +5MM,4429.0,4429.0,664.35,4429.0,30
CDM,198937,STEM COLR HIP SZ10 140MM,8416.0,8416.0,1262.4,8416.0,30
CDM,198938,SCREW T25 STRDR 5X34MM,3189.0,3189.0,478.35,3189.0,30
CDM,198939,CAP END TI TIB KN XT 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,198940,CMPNT FEM KN LT SZ5,5980.0,5980.0,897.0,5980.0,30
CDM,198941,INSERT TIB KN 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,198942,INSERT HIP ACTB D 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,198943,STEM HUM SHLDR 11MM,14733.0,14733.0,2209.95,14733.0,30
CDM,198944,HEAD HUM 21MM 45MM,6116.0,6116.0,917.4,6116.0,30
CDM,198945,SCREW BN SPN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,198946,SCREW BN SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,198947,ROD SPN 4.75MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,198953,CMPNT FEM KN LT SZ6,6312.0,6312.0,946.8,6312.0,30
CDM,198954,INSR GNS SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,198955,ROD TRNCN MED TI TOP LD,3765.0,3765.0,564.75,3765.0,30
CDM,198957,SCREW BN SPN 3.5MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,198958,SCREW BNE L45MM OD4.35MM,4429.0,4429.0,664.35,4429.0,30
CDM,198959,ROD SPN CONN 20MM ILIAC,3765.0,3765.0,564.75,3765.0,30
CDM,198961,CONNECTOR ILLIAC TI 30MM,4407.0,4407.0,661.05,4407.0,30
CDM,198962,SCREW BN TI L70MM OD7.5M,4429.0,4429.0,664.35,4429.0,30
CDM,198963,SYSTEM SPN PLTSCR 4.75MM,3389.0,3389.0,508.35,3389.0,30
CDM,198964,PLATE SPN 31MM TI 4.75MM,3765.0,3765.0,564.75,3765.0,30
CDM,198965,SCREW BN SPN 5MM 40MM,5342.0,5342.0,801.3,5342.0,30
CDM,198966,SCREW SPN 4.5MM 35MM,5342.0,5342.0,801.3,5342.0,30
CDM,198967,SCREW BN SPN 5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,198968,SCREW BN SPN 4.5MM 35MM,4247.0,4247.0,637.05,4247.0,30
CDM,198969,ROD SPN OCIPITAL 45 DEG,3012.0,3012.0,451.8,3012.0,30
CDM,198970,PLATE SPN STD 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,198971,SCREW SET SPN UNIV,3012.0,3012.0,451.8,3012.0,30
CDM,198972,PLATE SPN LCK PST 8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,198973,ROD SPNL 4/6MM TI 195,3012.0,3012.0,451.8,3012.0,30
CDM,198974,ROD SYNPS 4.0MM TI 120M,2630.0,2630.0,394.5,2630.0,30
CDM,198975,ROD SYNPS 4.0MM TI 240MM,2630.0,2630.0,394.5,2630.0,30
CDM,198977,INTRO CATH PTFE 7FR,3168.0,3168.0,475.2,3168.0,42
CDM,198979,CONNECTOR ROD SCRL,1506.0,1506.0,225.9,1506.0,30
CDM,198980,SCREW BN SPNL 6.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,198981,IMPLANT FEM F2L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
CDM,198982,INSERT TIB 2 9.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
CDM,198983,CMPNT FEM KN LT SZ-E,7530.0,7530.0,1129.5,7530.0,30
CDM,198988,SCREW BN TI CANC 5X30MM,2392.0,2392.0,358.8,2392.0,30
CDM,198989,INSERT TIB KN SZ 2 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,198991,SUTURE VIO MONO 4-0 36IN,773.0,773.0,115.95,773.0,42
CDM,198993,LINER ACTB NEUT +4 32X50,4429.0,4429.0,664.35,4429.0,30
CDM,198994,INSERT ART 7-10 G-H 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,198995,STEM HUM SHLDR 17MM,7308.0,7308.0,1096.2,7308.0,30
CDM,198996,STEM FEM HIP SZ12,8416.0,8416.0,1262.4,8416.0,30
CDM,198997,GRAFT STENT 25-16MM 80MM,47812.0,47812.0,7171.8,47812.0,30
CDM,198998,GRAFT STENT 25MM 75MM,11937.0,11937.0,1790.55,11937.0,30
CDM,199000,COIL EMBL 4MM 30MM,991.0,991.0,148.65,991.0,30
CDM,199001,SNARE ESCPC 18-30X120 7F,2510.5,2510.5,376.57,2510.5,42
CDM,199002,SCREW SPN SYNPS 3.5X12X4,4120.0,4120.0,618.0,4120.0,30
CDM,199003,ROD 4.0MMX40MM,2711.0,2711.0,406.65,2711.0,30
CDM,199011,SCREW BN 3.5MM 22MM MTNR,3765.0,3765.0,564.75,3765.0,30
CDM,199012,PLATE SPN 44MM TI L3,5315.0,5315.0,797.25,5315.0,30
CDM,199013,COMPNT ARTC INST RT 5-6,13287.0,13287.0,1993.05,13287.0,30
CDM,199014,CONNECTOR ROD XTD EXTRE,3012.0,3012.0,451.8,3012.0,30
CDM,199021,STEM FEM HIP 11MM 145MM,8416.0,8416.0,1262.4,8416.0,30
CDM,199022,HEAD FEM HIP 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,199023,CMPNT KN RT SZ6,6068.0,6068.0,910.2,6068.0,30
CDM,199024,LINER ACTB +4 36X54,4429.0,4429.0,664.35,4429.0,30
CDM,199025,SCREW L50MM OD6.5MM,399.0,399.0,59.85,399.0,30
CDM,199027,BIT DRL 6.5MM,1228.0,1228.0,184.2,1228.0,42
CDM,199031,PLATE SPN 3LVL 39MM,4872.0,4872.0,730.8,4872.0,30
CDM,199032,CAGE 22MM 16 X 55 12 DEG,21804.0,21804.0,3270.6,21804.0,30
CDM,199034,SUTURE VIO MONO 4-0 36IN,773.0,773.0,115.95,773.0,42
CDM,199035,SUTURE VIO MONO 3-0 36IN,773.0,773.0,115.95,773.0,42
CDM,199037,SPACER SPNL 25X8X9MM,13287.0,13287.0,1993.05,13287.0,30
CDM,199039,PLATE SPN 60MM,4872.0,4872.0,730.8,4872.0,30
CDM,199040,PLATE ANT CSPN 51MM 3LVL,5315.0,5315.0,797.25,5315.0,30
CDM,199045,CMPNT FEM KN RT SZE,7530.0,7530.0,1129.5,7530.0,30
CDM,199046,LINER ACTB NEUT +4 32X48,4429.0,4429.0,664.35,4429.0,30
CDM,199047,SCRW SD 4.0X14MM VA,3012.0,3012.0,451.8,3012.0,30
CDM,199049,SPACER SPN 36X28X14MM,11959.0,11959.0,1793.85,11959.0,30
CDM,199050,SCREW BN SPNL 6.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,199051,SCREW BN SPNL 9.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,199053,SCREW BN 6.5MM 16MM,1300.0,1300.0,195.0,1300.0,30
CDM,199054,INSERT HIP 10D 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,199055,VALVE AORTIC 25MM,15092.0,15092.0,2263.8,15092.0,30
CDM,199056,CONN ROD SPN 5.5X5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,199057,ROD SPNL 300MM XPDM TI,3765.0,3765.0,564.75,3765.0,30
CDM,199058,SCREW BN 4.3MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,199059,SCREW BN 3.5MM 26MM,399.0,399.0,59.85,399.0,30
CDM,199060,WEDGE BN 6.5X14X20MM,9775.0,9775.0,1466.25,9775.0,30
CDM,199061,PLATE 36MM 2 LVL UNIPLT,4429.0,4429.0,664.35,4429.0,30
CDM,199062,SCREW SPN 4.6MM 16MM,3765.0,3765.0,564.75,3765.0,30
CDM,199064,SPACER SPN 0D 28X11X11MM,11073.0,11073.0,1660.95,11073.0,30
CDM,199065,SCREW BN SPNL 9.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,199066,EXTRACTOR STON 10F 38CM,1751.5,1751.5,262.73,1751.5,42
CDM,199068,SCREW BN SPNL 9.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,199070,CONN ROD SPN 20MM MTNR,4030.0,4030.0,604.5,4030.0,30
CDM,199071,STEM ELBW RAD 8MM 2MM,5196.0,5196.0,779.4,5196.0,30
CDM,199072,HEAD RAD ELB 22MM LT,8535.0,8535.0,1280.25,8535.0,30
CDM,199074,BSKT RTRV 1.9FR 12CM,1655.5,1655.5,248.32,1655.5,42
CDM,199075,SCREW BN 6.5MM 24MM ANTR,3189.0,3189.0,478.35,3189.0,30
CDM,199077,CMPNT KN RT SZ5,11516.0,11516.0,1727.4,11516.0,30
CDM,199079,NAIL BN TIB 32CM 10MM,5311.0,5311.0,796.65,5311.0,30
CDM,199080,SHELL ACTB HIP CLSTR66MM,4606.0,4606.0,690.9,4606.0,30
CDM,199081,GRAFT BN CANC L14MMXW11M,4429.0,4429.0,664.35,4429.0,30
CDM,199083,SCREW BN HEADED 4MM 40MM,2392.0,2392.0,358.8,2392.0,30
CDM,199087,PIN TEMP FIX SPN STD,1023.5,1023.5,153.53,1023.5,42
CDM,199093,SCREW BN 3.5X2.4MM 36MM,4340.0,4340.0,651.0,4340.0,30
CDM,199094,PLATE BN 6HL LT,4429.0,4429.0,664.35,4429.0,30
CDM,199095,DISC INTVRTB SPN LG 6MM,18009.0,18009.0,2701.35,18009.0,30
CDM,199098,BIT DRILL 1.8MM,2619.5,2619.5,392.93,2619.5,42
CDM,199100,COMP HUM ELB RT 5X150MM,20144.0,20144.0,3021.6,20144.0,30
CDM,199101,PLUG BNCMNT SM 14MM,2631.0,2631.0,394.65,2631.0,30
CDM,199103,SCREW BN 4MM,1128.0,1128.0,169.2,1128.0,30
CDM,199104,COVER BUR HL 17MM,3189.0,3189.0,478.35,3189.0,30
CDM,199105,SCREW LPN EMERGENCY 5MM,1212.0,1212.0,181.8,1212.0,30
CDM,199107,INSERT TIB KN 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,199108,SEALANT PLR PROGL 4ML,4476.5,4476.5,671.48,4476.5,42
CDM,199109,SHTH INT 18FR 6.8X 6.1MM,2455.5,2455.5,368.32,2455.5,42
CDM,199111,SCREW BN 5MM 26MM,2073.0,2073.0,310.95,2073.0,30
CDM,199112,SCREW BN SPNL 7.5X95MM,5758.0,5758.0,863.7,5758.0,30
CDM,199113,SCREW BN SPNL 8.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,199114,SCREW BN SPNL 8.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,199115,SCREW BN SPNL 7.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,199116,SCREW SPNE LMBR LCK,753.0,753.0,112.95,753.0,30
CDM,199117,SPACER SPNL 16MM 15D 2XL,30135.0,30135.0,4520.25,30135.0,30
CDM,199118,EXTRACTOR SURG TB ROD DS,4093.0,4093.0,613.95,4093.0,42
CDM,199119,OSTEOTOME SRG 1/2IN 13CM,1197.5,1197.5,179.63,1197.5,42
CDM,199121,SCREW SPN ILSCRL8.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,199122,HEAD HUM SHLDR SHRT 53MM,4606.0,4606.0,690.9,4606.0,30
CDM,199123,PLATE SPN 120MM,5758.0,5758.0,863.7,5758.0,30
CDM,199135,SCREW EXFX 5X175X60MM,1023.5,1023.5,153.53,1023.5,42
CDM,199137,SCREW BN 6.5MM 35MM OPT,798.0,798.0,119.7,798.0,30
CDM,199138,CUP ACTB CRWN 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,199139,LINER ACTB NVATN CNNXN G,4429.0,4429.0,664.35,4429.0,30
CDM,199140,HEAD FEM ZIRMC 32X3.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,199141,STEM FEM PRSFT XTND OFST,12734.0,12734.0,1910.1,12734.0,30
CDM,199142,GDWIRE VSC 11 CORSN DISP,773.0,773.0,115.95,773.0,42
CDM,199146,BIT DRILL INT LCK SM BET,2865.0,2865.0,429.75,2865.0,42
CDM,199147,STEM 6.5MM LONG STEM ELB,16138.0,16138.0,2420.7,16138.0,30
CDM,199149,PLATE 24MM 2 LVL AVTR BN,5094.0,5094.0,764.1,5094.0,30
CDM,199150,HEAD FEM 32 OD ALMN CTPR,4606.0,4606.0,690.9,4606.0,30
CDM,199151,STEM CMNT SHLDR 130X12MM,11959.0,11959.0,1793.85,11959.0,30
CDM,199152,HEAD HUM SHLDR 50X21MM,8792.0,8792.0,1318.8,8792.0,30
CDM,199155,PLATE 10MM TC L1 BN,4429.0,4429.0,664.35,4429.0,30
CDM,199157,CAGE SPN 10D 10X18X45MM,17716.0,17716.0,2657.4,17716.0,30
CDM,199158,DVC TISS CLSR COSL SLNT,4093.0,4093.0,613.95,4093.0,42
CDM,199166,GRFT VASC 60CM 8MM PRPH,6059.0,6059.0,908.85,6059.0,30
CDM,199167,GFT CV DYNFLO SB 7X60,6059.0,6059.0,908.85,6059.0,30
CDM,199169,GRAFT VASC 6MM 50CM,3653.0,3653.0,547.95,3653.0,30
CDM,199170,GRAFT VASC 50CM 7MM,4247.0,4247.0,637.05,4247.0,30
CDM,199171,GFT CV VNFLW2 STR A 6X50,4247.0,4247.0,637.05,4247.0,30
CDM,199173,GRAFT VASC 6MM 80CM,8146.0,8146.0,1221.9,8146.0,30
CDM,199174,GRAFT VASC DFX9006SC,8529.0,8529.0,1279.35,8529.0,30
CDM,199184,CATHETER ANGIO 5F 65MM,440.5,440.5,66.08,440.5,42
CDM,199185,CATH ANGIO 5F 65CM,440.5,440.5,66.08,440.5,42
CDM,199186,CATH ANGIO 5FR 65CM,440.5,440.5,66.08,440.5,42
CDM,199187,CATH ANGIO .035IN,440.5,440.5,66.08,440.5,42
CDM,199188,CATH ANGIO 5FR 65CM,440.5,440.5,66.08,440.5,42
CDM,199189,CANNULA PRFSN 2MM 1.3IN,168.0,168.0,25.2,168.0,42
CDM,199200,SYSTEM VESSEL HARVESTING,6120.5,6120.5,918.08,6120.5,42
CDM,199203,DILATOR SURG HDRPH.035IN,1514.5,1514.5,227.18,1514.5,42
CDM,199204,GWIRE VASC .035IN 150CM,231.5,231.5,34.73,231.5,42
CDM,199205,GWIRE VASC .035IN 260CM,1439.0,1439.0,215.85,1439.0,42
CDM,199206,GDWIRE VASC .035IN 300CM,1439.0,1439.0,215.85,1439.0,42
CDM,199208,CATH IABP LNR 7.5F.025X6,4385.5,4385.5,657.83,4385.5,42
CDM,199221,SUTURE BLK MONO 9-0 5IN,231.5,231.5,34.73,231.5,42
CDM,199222,SUTURE BLK MONO 8-0 5IN,231.5,231.5,34.73,231.5,42
CDM,199223,SUTURE BLK MONO 9-0 5IN,231.5,231.5,34.73,231.5,42
CDM,199225,TIP IRR LAV DISP,198.0,198.0,29.7,198.0,42
CDM,199226,WASHER SPN CLK-X 18X6MM,377.0,377.0,56.55,377.0,30
CDM,199252,SUMP CARDIAC SUC 20FR,231.5,231.5,34.73,231.5,42
CDM,199253,PIN FX 3/32IN 9IN,64.0,64.0,9.6,64.0,42
CDM,199254,PIN FX 5/32IN 9IN,101.5,101.5,15.22,101.5,42
CDM,199255,PIN FX 5/64IN 9IN,64.0,64.0,9.6,64.0,42
CDM,199256,PIN FX 7/64IN 9IN,64.0,64.0,9.6,64.0,42
CDM,199257,PIN FX 1/8IN 9IN,80.0,80.0,12.0,80.0,42
CDM,199258,PIN FX 1/8IN 9IN,160.0,160.0,24.0,160.0,42
CDM,199259,PIN FX 3/32IN 9IN,160.0,160.0,24.0,160.0,42
CDM,199260,SCREW EXFX 190X6MM,1013.5,1013.5,152.03,1013.5,42
CDM,199264,CAPSULE ENDO CAMERA,2310.0,2310.0,346.5,2310.0,42
CDM,199265,CLAMP EXFX CLIP-ON LG,3013.5,3013.5,452.02,3013.5,42
CDM,199268,DEVICE WNDCLS 30CM SZ3,675.5,675.5,101.33,675.5,42
CDM,199270,SIZER VASC GRFT 24-38MM,773.0,773.0,115.95,773.0,42
CDM,199274,STAPLER INT 60MM,773.0,773.0,115.95,773.0,42
CDM,199275,RELOAD STPLR 60MM,557.0,557.0,83.55,557.0,30
CDM,199277,STENT BIL 8FR 10X60MM,7199.0,7199.0,1079.85,7199.0,30
CDM,199279,STENT BIL 8FR 10X100MM,7199.0,7199.0,1079.85,7199.0,30
CDM,199280,CUTTER ARTHSCP 3.5X125MM,572.0,572.0,85.8,572.0,42
CDM,199281,CUTTER ENDO DISP 5.5MM,572.0,572.0,85.8,572.0,42
CDM,199284,BURR SURG 4MM,572.0,572.0,85.8,572.0,42
CDM,199286,CANNULA COR BLN 4X2.1MM,1013.5,1013.5,152.03,1013.5,42
CDM,199288,FORCEP BX 2.2MM 240CM,307.5,307.5,46.13,307.5,42
CDM,199289,FORCEP BX 2.2MM 240CM,259.0,259.0,38.85,259.0,42
CDM,199364,WIRE SUTURE 16GA 24IN,270.0,270.0,40.5,270.0,42
CDM,199365,FORCEPS SURG BX BIGOPSY,3206.0,3206.0,480.9,3206.0,42
CDM,199366,MARKER SURG SHAPE DISC,303.0,303.0,45.45,303.0,30
CDM,199367,ELECTRODE ESURG 4IN,80.0,80.0,12.0,80.0,42
CDM,199370,NEEDLE SCLRTX 25GA 200CM,391.5,391.5,58.73,391.5,42
CDM,199375,GRAFT CV 10X30MM 50CM,3999.0,3999.0,599.85,3999.0,30
CDM,199376,GRAFT CV 10X32MM 50CM,3846.0,3846.0,576.9,3846.0,30
CDM,199377,GRAFT CV 10X34MM 50CM,3846.0,3846.0,576.9,3846.0,30
CDM,199379,CANNULA PRFSN 24FR 12IN,773.0,773.0,115.95,773.0,42
CDM,199380,CANNULA PRFSN 12IN 22FR,773.0,773.0,115.95,773.0,42
CDM,199383,SCREW EXFX HIP 250X6MM,1036.0,1036.0,155.4,1036.0,42
CDM,199385,BLADE SAW 9.4MM 34MM,341.0,341.0,51.15,341.0,42
CDM,199391,STENT TRCHBR 20MM 60MM,9613.0,9613.0,1441.95,9613.0,30
CDM,199395,GWIRE ENDO .035IN 450CM,1351.0,1351.0,202.65,1351.0,42
CDM,199396,NEEDLE BX ESCP 5.2FR 25G,1760.0,1760.0,264.0,1760.0,42
CDM,199397,LIGATOR DUET 5F9.5- 13MM,2128.5,2128.5,319.27,2128.5,42
CDM,199398,NDL ENDO 22G 5.4F 2.8MM,1760.0,1760.0,264.0,1760.0,42
CDM,199399,NEEDLE ENDO BALL TIP 19G,1760.0,1760.0,264.0,1760.0,42
CDM,199400,NEEDLE 19GA ECHOTIP ULTR,2742.0,2742.0,411.3,2742.0,42
CDM,199401,NEEDLE ECHOTIP ULTRA22GA,2742.0,2742.0,411.3,2742.0,42
CDM,199402,DEVICE SUTURE 14GA 15CM,208.5,208.5,31.27,208.5,42
CDM,199404,BLN ULTR ENDOSC BFUC160F,352.0,352.0,52.8,352.0,42
CDM,199407,STABILIZER SURG OCTPS,7894.0,7894.0,1184.1,7894.0,42
CDM,199416,VALVE TAVR 23MM,124963.0,124963.0,18744.45,124963.0,30
CDM,199417,BLN CATH RTRV 15-18MM,1013.5,1013.5,152.03,1013.5,42
CDM,199418,CATH PRFSN 13FR 15IN,272.5,272.5,40.88,272.5,42
CDM,199419,SPHNTM GWIRE 4.4FR 20MM,3144.5,3144.5,471.68,3144.5,42
CDM,199420,SPHNTM CANN 20MM 260CM,2411.0,2411.0,361.65,2411.0,42
CDM,199421,GWIRE ENDO .035IN 260CM,1330.5,1330.5,199.57,1330.5,42
CDM,199422,GWIRE ENDO .035IN 260CM,1330.5,1330.5,199.57,1330.5,42
CDM,199423,GWIRE ENDO .035IN 260CM,1330.5,1330.5,199.57,1330.5,42
CDM,199424,GWIRE ENDO .035IN 260CM,1330.5,1330.5,199.57,1330.5,42
CDM,199425,BLN CATH RTRV 15-18MM,1145.0,1145.0,171.75,1145.0,42
CDM,199426,STEN BIL CB 7FR 5CM,817.0,817.0,122.55,817.0,30
CDM,199427,STEN BIL CB 7FR 7CM,817.0,817.0,122.55,817.0,30
CDM,199428,STEN BIL CB 7FR 9CM,817.0,817.0,122.55,817.0,30
CDM,199429,STEN BIL CB 7FR 12CM,817.0,817.0,122.55,817.0,30
CDM,199430,STEN BIL CB 7FR 15CM,817.0,817.0,122.55,817.0,30
CDM,199431,STENT BIL CB 8.5FR 5CM,817.0,817.0,122.55,817.0,30
CDM,199432,STEN BIL CB 8.5FR 7CM,817.0,817.0,122.55,817.0,30
CDM,199433,STEN BIL CB 8.5FR 9CM,817.0,817.0,122.55,817.0,30
CDM,199434,STEN BIL CB 8.5FR 12CM,817.0,817.0,122.55,817.0,30
CDM,199435,STEN BIL CB 8.5FR 15CM,817.0,817.0,122.55,817.0,30
CDM,199436,STEN BIL CB 10FR 5CM,817.0,817.0,122.55,817.0,30
CDM,199437,STEN BIL CB 10FR 7CM,817.0,817.0,122.55,817.0,30
CDM,199438,STEN BIL CB 10FR 9CM,817.0,817.0,122.55,817.0,30
CDM,199439,STEN BIL CB 10FR 12CM,817.0,817.0,122.55,817.0,30
CDM,199440,STEN BIL CB 10FR 15CM,817.0,817.0,122.55,817.0,30
CDM,199441,SYSTEM DLV 7FR 202.5CM,796.5,796.5,119.47,796.5,42
CDM,199442,SYSTEM DLV 8.5FR 202.5CM,796.5,796.5,119.47,796.5,42
CDM,199443,CATH BLNDIL 4MM 2X180CM,1846.5,1846.5,276.98,1846.5,42
CDM,199444,SYSTEM DLV 10FR 202.5CM,796.5,796.5,119.47,796.5,42
CDM,199445,CATH BLNDIL 4MM 4X180CM,1846.5,1846.5,276.98,1846.5,42
CDM,199446,CATH BLNDIL 6MM 2X180CM,1846.5,1846.5,276.98,1846.5,42
CDM,199447,CATH BLNDIL 6MM 4X180CM,1846.5,1846.5,276.98,1846.5,42
CDM,199448,CATH BLNDIL 8MM 2X180CM,1846.5,1846.5,276.98,1846.5,42
CDM,199449,CATH BLNDIL 8MM 4X180CM,1846.5,1846.5,276.98,1846.5,42
CDM,199450,CATH BLNDIL 10MM 2X180CM,1846.5,1846.5,276.98,1846.5,42
CDM,199451,CATH BLNDIL 10MM 4X180CM,1846.5,1846.5,276.98,1846.5,42
CDM,199457,KIT ART LN 8CM 3FR,563.0,563.0,84.45,563.0,42
CDM,199461,SET CATH 22GA 1 3/4IN,227.0,227.0,34.05,227.0,42
CDM,199466,PORT IMP INFSN MRI 9.5FR,3189.0,3189.0,478.35,3189.0,30
CDM,199467,INTRODCR CATH 15CM 8FR,923.5,923.5,138.53,923.5,42
CDM,199473,BAG SPEC RETRVL 300ML,773.0,773.0,115.95,773.0,42
CDM,199474,NEEDLE ENDO 10CM 18GA,571.5,571.5,85.72,571.5,42
CDM,199477,FORCEP BX 1.7MM 110CM,1120.0,1120.0,168.0,1120.0,42
CDM,199478,NEEDLE ASP PREMRKED 19G,773.0,773.0,115.95,773.0,42
CDM,199479,NEEDLE ASP PREMRKED 21G,773.0,773.0,115.95,773.0,42
CDM,199481,KIT MRKR DLVRY GW 150CM,4093.0,4093.0,613.95,4093.0,42
CDM,199482,MARKER FDCL 0.8MM 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,199483,BIT DRILL AO 2MM 102MM,1023.5,1023.5,153.53,1023.5,42
CDM,199485,SCREW BN CANN 2X10X4MM,2941.0,2941.0,441.15,2941.0,30
CDM,199486,SCREW BN 2MM 15MM 6MM,2941.0,2941.0,441.15,2941.0,30
CDM,199487,DRILL CNTRSNK CANN 2MM,1385.5,1385.5,207.82,1385.5,42
CDM,199488,SCREW BN 3MM 10MM 4MM,2928.0,2928.0,439.2,2928.0,30
CDM,199489,WASHER BN 3.0MM,1267.0,1267.0,190.05,1267.0,30
CDM,199490,JOINT TOE ANGL 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,199491,SCREW SPN 3.5MM 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,199494,SCREW SPNL CANN 6.5X55,4872.0,4872.0,730.8,4872.0,30
CDM,199495,ROD SPNL TI 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,199496,SPCR SPN 5D 9X10X28MM,9966.0,9966.0,1494.9,9966.0,30
CDM,199497,PLATE MDFC RT .7MM 3X4HL,3189.0,3189.0,478.35,3189.0,30
CDM,199498,SCREW MTRX-MDFC S/T 5MM,1574.0,1574.0,236.1,1574.0,30
CDM,199499,PLATE SPN 90MM,5094.0,5094.0,764.1,5094.0,30
CDM,199509,SUTURE UND BRD 1 18IN,231.5,231.5,34.73,231.5,42
CDM,199521,SUTURE UND MONO +0 36IN,53.5,53.5,8.03,53.5,42
CDM,199524,SUTURE UND MONO +0 27IN,61.5,61.5,9.22,61.5,42
CDM,199528,NAIL BN FEM 10MM 360MM,4460.0,4460.0,669.0,4460.0,30
CDM,199529,SCREW BN 5MM 4.3MM 76MM,2143.0,2143.0,321.45,2143.0,30
CDM,199530,NAIL FEM 10MM 300MM,7511.0,7511.0,1126.65,7511.0,30
CDM,199531,BLADE SPRL FOR NAIL 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,199532,ENDCAP FEM NAIL 0MM,2065.0,2065.0,309.75,2065.0,30
CDM,199533,SCREW BN STRL LCK 5X28MM,2143.0,2143.0,321.45,2143.0,30
CDM,199536,CNTRLZR STEM HIP 16MM,2239.0,2239.0,335.85,2239.0,30
CDM,199537,PLATE DIST FEM LT 6HL,4872.0,4872.0,730.8,4872.0,30
CDM,199538,SCREW BN 5.5MM 90MM,1435.0,1435.0,215.25,1435.0,30
CDM,199539,SCREW BN 4.5MM 42MM,1595.0,1595.0,239.25,1595.0,30
CDM,199540,SCREW BN SLFTAP 4.5X50MM,399.0,399.0,59.85,399.0,30
CDM,199541,SCREW BN 4.5MM 48MM,1595.0,1595.0,239.25,1595.0,30
CDM,199542,PLATE BN 8HL 4X96MM,3721.0,3721.0,558.15,3721.0,30
CDM,199543,SCREW SS S/T 4X24MM,1961.0,1961.0,294.15,1961.0,30
CDM,199544,SCREW S/T 4X30MM,1961.0,1961.0,294.15,1961.0,30
CDM,199545,PLATE SPN 2LVL 28MM,4651.0,4651.0,697.65,4651.0,30
CDM,199546,SPACER SPN 30X24X14MM 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,199547,SPCR SPNL 9X11MM PEEK IN,6644.0,6644.0,996.6,6644.0,30
CDM,199548,SHTH INT 14FR 5.5X4.8X28,2087.5,2087.5,313.13,2087.5,42
CDM,199550,INSERT KN PST SZ5-6 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,199551,PLATE SPN 65MM,4872.0,4872.0,730.8,4872.0,30
CDM,199552,CUP ACTB 60MM CRWN,4606.0,4606.0,690.9,4606.0,30
CDM,199553,SCREW HIP BN 6.5X40X120,798.0,798.0,119.7,798.0,30
CDM,199554,LINER ACTB NVATN CNNXN G,4429.0,4429.0,664.35,4429.0,30
CDM,199555,STEM FEM PRSFT C SER STD,8416.0,8416.0,1262.4,8416.0,30
CDM,199556,HEAD FM ZRCN +0 12.14,4606.0,4606.0,690.9,4606.0,30
CDM,199557,SLEEVE CBL-3.5MM12/14HIP,1184.0,1184.0,177.6,1184.0,30
CDM,199559,IMPLANT BREAST 550CC,4646.0,4646.0,696.9,4646.0,30
CDM,199560,SCREW BN 4.3MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,199561,SCREW BN 4.3MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,199562,SCREW BN 4.3MM 38MM,2392.0,2392.0,358.8,2392.0,30
CDM,199563,SCREW BN HEADED 4MM 32MM,399.0,399.0,59.85,399.0,30
CDM,199564,PLATE BN 48-51MM TI HL,26574.0,26574.0,3986.1,26574.0,30
CDM,199565,PLATE SPN 2LVL 30MM,4651.0,4651.0,697.65,4651.0,30
CDM,199566,STENT BIL 7FR 9MM 37MM,4429.0,4429.0,664.35,4429.0,30
CDM,199567,DRILL TWIST 1.1X50,1285.0,1285.0,192.75,1285.0,42
CDM,199568,PLATE 4.5 NAR DCP PLATE,1984.0,1984.0,297.6,1984.0,30
CDM,199569,HEAD FEM HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,199571,PLATE 28MM L1 CMPR BN SP,13287.0,13287.0,1993.05,13287.0,30
CDM,199572,SCREW BN SPN 6MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,199573,SLEEVE CNTRNG 20D SM,4252.0,4252.0,637.8,4252.0,30
CDM,199574,STEM FEM HIP 125D SZ15,8416.0,8416.0,1262.4,8416.0,30
CDM,199575,INSERT TIB KN 3-4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,199576,STEM HUM SHLDR 7MM,7308.0,7308.0,1096.2,7308.0,30
CDM,199577,NAIL 125D 11.534 L,6400.0,6400.0,960.0,6400.0,30
CDM,199580,PLATE 52-70MM TI 4.75MM,3765.0,3765.0,564.75,3765.0,30
CDM,199582,PROBE LTHTRP 1.0MM 570MM,1557.0,1557.0,233.55,1557.0,42
CDM,199583,PROBE LTHTRP 3.3MM 403MM,3615.0,3615.0,542.25,3615.0,42
CDM,199584,SCREW BN SPNL 6.5X55MM,5094.0,5094.0,764.1,5094.0,30
CDM,199585,SPCR SPNL 55X22X11MM ORC,19931.0,19931.0,2989.65,19931.0,30
CDM,199586,PLATE LT 7 HL L,3189.0,3189.0,478.35,3189.0,30
CDM,199587,CAGE 22MM 10 40 6 DEG,19931.0,19931.0,2989.65,19931.0,30
CDM,199588,CAGE SPNL 5D 9X10X23MM,11959.0,11959.0,1793.85,11959.0,30
CDM,199591,PLATE 76 BN SPNL CERV ST,5094.0,5094.0,764.1,5094.0,30
CDM,199592,SCREW SPN 4.5X16MM,3012.0,3012.0,451.8,3012.0,30
CDM,199593,SCREW HD 45X6.5 CLARIS,3012.0,3012.0,451.8,3012.0,30
CDM,199594,SCREW HD 50X 6.5 CLRS P,3012.0,3012.0,451.8,3012.0,30
CDM,199595,SCREW BN SPNL 6.5X55MM,3012.0,3012.0,451.8,3012.0,30
CDM,199596,SCREW BN SPNL 7.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,199597,STNT BFR ANRX 135 26X15,34436.0,34436.0,5165.4,34436.0,30
CDM,199598,GFT STNT 16F15X11.5,13509.0,13509.0,2026.35,13509.0,30
CDM,199599,GFT STNT 19F18X11.5,13952.0,13952.0,2092.8,13952.0,30
CDM,199600,NAIL BN TIB 10MM 34CM,4872.0,4872.0,730.8,4872.0,30
CDM,199601,KWIRE TROC 2.0MM 150MM,232.0,232.0,34.8,232.0,42
CDM,199602,SCREW BN SPN 8.5MM 70MM,4429.0,4429.0,664.35,4429.0,30
CDM,199604,CAGE SPN CRNT W 55X8X2,18416.0,18416.0,2762.4,18416.0,30
CDM,199605,SPACER SPNL 30X11X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,199606,SCREW BN SPNL 8.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,199609,SCREW EXFX HIP 100X5MM,1361.0,1361.0,204.15,1361.0,42
CDM,199610,END CAP T2 STD 8MM,2383.0,2383.0,357.45,2383.0,30
CDM,199611,NAIL BN TIB STD 11X300MM,7214.0,7214.0,1082.1,7214.0,30
CDM,199612,NAIL BN 11MM 315MM,6836.0,6836.0,1025.4,6836.0,30
CDM,199613,PLATE 25-35MM BN OCPTL,11737.0,11737.0,1760.55,11737.0,30
CDM,199614,SCREW BN SPNL VAR 14X4MM,3012.0,3012.0,451.8,3012.0,30
CDM,199615,SCREW SPNL VAR 16X4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,199616,PLATE 25-35MM OCPTL BN,3012.0,3012.0,451.8,3012.0,30
CDM,199617,BIT DRILL SPNL 14MM,1391.5,1391.5,208.72,1391.5,42
CDM,199618,SPACER 16X30 EXT H2 ALLO,11627.0,11627.0,1744.05,11627.0,30
CDM,199620,SPACER PK CRNT45X18X8 XL,17716.0,17716.0,2657.4,17716.0,30
CDM,199621,CAGE SPNL 50X18X8MM CR,19931.0,19931.0,2989.65,19931.0,30
CDM,199622,SPACER PK CRNT50X18X8 XL,17716.0,17716.0,2657.4,17716.0,30
CDM,199623,GRAFT BN 30X12MM SPNE,11627.0,11627.0,1744.05,11627.0,30
CDM,199624,SPACER SPN ALGF 30X18MM,11627.0,11627.0,1744.05,11627.0,30
CDM,199625,TIBIAL INSERT,4429.0,4429.0,664.35,4429.0,30
CDM,199626,FEMRL IMPLT CMNTD F5LN-C,5736.0,5736.0,860.4,5736.0,30
CDM,199628,SCREW HEAD 55X7.5MM CLAR,3012.0,3012.0,451.8,3012.0,30
CDM,199629,SCREW BN SPNL 8.5X55MM,3012.0,3012.0,451.8,3012.0,30
CDM,199630,CAGE SPN 8MM 45MM,17716.0,17716.0,2657.4,17716.0,30
CDM,199631,PLATE SPN AVTR 2LVL 32MM,4651.0,4651.0,697.65,4651.0,30
CDM,199633,PLATE FLCN 50 3LVL ANTRC,4872.0,4872.0,730.8,4872.0,30
CDM,199634,SCREW SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,199635,SCREW BN SPN 8.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,199636,CMPNT ARTC PFXL 8.5X40MM,18159.0,18159.0,2723.85,18159.0,30
CDM,199637,POST HEMICAP TPR 11MM,4252.0,4252.0,637.8,4252.0,30
CDM,199638,PLATE 16MM TI 4.75MM,4429.0,4429.0,664.35,4429.0,30
CDM,199639,PLATE 37MM TI 4.75MM SCR,4429.0,4429.0,664.35,4429.0,30
CDM,199640,SCREW SPN SET,1515.0,1515.0,227.25,1515.0,30
CDM,199641,CMPNT FEM KN OXNM LT SZ8,8858.0,8858.0,1328.7,8858.0,30
CDM,199642,PLATE BASE GNSIS2 8LT KN,4606.0,4606.0,690.9,4606.0,30
CDM,199643,INSERT TIB SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,199644,FORCEP BX 2.4MM 240CM,284.0,284.0,42.6,284.0,42
CDM,199645,PLATE 54 FLCN BN SPNL ST,4872.0,4872.0,730.8,4872.0,30
CDM,199646,SCREW BN SPNL 7.5X25MM,4429.0,4429.0,664.35,4429.0,30
CDM,199649,SCREW BN SPNL 7.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,199650,ROD SPNL TI L75 OD5.5 M-,2711.0,2711.0,406.65,2711.0,30
CDM,199653,PLATE 120 TI FULL HL BN,5758.0,5758.0,863.7,5758.0,30
CDM,199655,GRAFT BN GRNUL 10CC,5732.0,5732.0,859.8,5732.0,30
CDM,199656,SCREW SPN BRGD 5.5X25MM,3012.0,3012.0,451.8,3012.0,30
CDM,199657,CAGE SPN 8D 34X24X14MM,22145.0,22145.0,3321.75,22145.0,30
CDM,199658,SCREW HD 50X7.5MM CLR PS,3012.0,3012.0,451.8,3012.0,30
CDM,199659,RESERVOIR PENL 100MM,10601.0,10601.0,1590.15,10601.0,30
CDM,199660,HEAD HIP 36MM +12 12/14,4429.0,4429.0,664.35,4429.0,30
CDM,199661,INSERT TRTHN TIB G-409,4606.0,4606.0,690.9,4606.0,30
CDM,199662,CMPNT KN LT SZ4,6068.0,6068.0,910.2,6068.0,30
CDM,199663,INSERT TIB SZ4 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,199664,SPACER SPNL 12MM,11073.0,11073.0,1660.95,11073.0,30
CDM,199665,STEM FEM CMNT 15MM,6201.0,6201.0,930.15,6201.0,30
CDM,199666,CNTRLZR STM 15MM ACUMTCH,1170.0,1170.0,175.5,1170.0,30
CDM,199668,STEM FEM UNIPL L SRV SLV,1170.0,1170.0,175.5,1170.0,30
CDM,199669,ENDPLT SPNL 0D 25X22 MED,4429.0,4429.0,664.35,4429.0,30
CDM,199670,RESTRICTOR CMNT SM,1063.0,1063.0,159.45,1063.0,30
CDM,199671,SCREW 8.5 X 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,199675,GRAFT CV 28MM 15CM,12180.0,12180.0,1827.0,12180.0,30
CDM,199676,GRAFT CV 30MM 15CM,12180.0,12180.0,1827.0,12180.0,30
CDM,199677,GRAFT CV 32MM 15CM,12180.0,12180.0,1827.0,12180.0,30
CDM,199678,GRAFT CV 15CM 34MM,12180.0,12180.0,1827.0,12180.0,30
CDM,199687,BLADE SAW 27MM .015IN LN,773.0,773.0,115.95,773.0,42
CDM,199689,PLATE BN 9HL 2.7-3.5X151,3721.0,3721.0,558.15,3721.0,30
CDM,199691,SCREW BN ST 4.0MM 36MM,466.0,466.0,69.9,466.0,30
CDM,199692,SCREW BN 4MM 42MM,466.0,466.0,69.9,466.0,30
CDM,199693,SCREW BN 4.0MM 34MM,466.0,466.0,69.9,466.0,30
CDM,199695,GRAFT EVAS 46-42X110MM,47678.0,47678.0,7151.7,47678.0,30
CDM,199696,CMPNT KN LT SZ4 51MM,4252.0,4252.0,637.8,4252.0,30
CDM,199697,PLATE SPN 12X17.4X2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,199698,SPACER SPNL 32X10X11MM,13287.0,13287.0,1993.05,13287.0,30
CDM,199704,SCREW BN 3.5MM 22MM,964.0,964.0,144.6,964.0,30
CDM,199705,SCREW BN 3.5X24MM,416.0,416.0,62.4,416.0,30
CDM,199706,SCREW V-AX ORTH 3.5X26MM,416.0,416.0,62.4,416.0,30
CDM,199707,SCREW BN 3.5MM 28MM,416.0,416.0,62.4,416.0,30
CDM,199708,SCREW BN 3.5MM 32MM,416.0,416.0,62.4,416.0,30
CDM,199709,SCREW V-AX ORTH 3.5X34MM,1301.0,1301.0,195.15,1301.0,30
CDM,199710,SCREW BN ELB 3.5X55,416.0,416.0,62.4,416.0,30
CDM,199711,SCREW V-AX ELB 3.5X22MM,1730.0,1730.0,259.5,1730.0,30
CDM,199712,SCREW V-AX ELB 3.5X42MM,2656.0,2656.0,398.4,2656.0,30
CDM,199713,SCREW BN 3.5MM 55MM,1730.0,1730.0,259.5,1730.0,30
CDM,199714,SCREW BN 3.5X60MM,2656.0,2656.0,398.4,2656.0,30
CDM,199715,PLATE BN RT 8H 156MM,5316.0,5316.0,797.4,5316.0,30
CDM,199717,INSERT KN TRTHN 6 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,199718,CMPNT KN CMNT RT SZ7,6068.0,6068.0,910.2,6068.0,30
CDM,199719,STEM FEM HIP SZ3 108MM,6201.0,6201.0,930.15,6201.0,30
CDM,199720,ROD EX FIX 11MM 500MM,2032.5,2032.5,304.88,2032.5,42
CDM,199721,ROD EX FIX 11MM 450MM,1171.5,1171.5,175.72,1171.5,42
CDM,199722,SCREW BN HDED 4MM 28MM,2392.0,2392.0,358.8,2392.0,30
CDM,199723,GUIDEROD SUT LOOP 8MM,1653.5,1653.5,248.03,1653.5,42
CDM,199724,ROD TRNCN SM TI TOP LD A,8367.0,8367.0,1255.05,8367.0,30
CDM,199725,SCREW BN 4.0MM 16MM TI C,4429.0,4429.0,664.35,4429.0,30
CDM,199726,PLATE BN 5.5X97MM PRX LA,4429.0,4429.0,664.35,4429.0,30
CDM,199727,SCREW BN 4.5MM 50MM,1595.0,1595.0,239.25,1595.0,30
CDM,199728,SCREW BN 5.5MM 85MM,2790.0,2790.0,418.5,2790.0,30
CDM,199729,SCREW BN 4.5MM 60MM,1595.0,1595.0,239.25,1595.0,30
CDM,199730,SCREW BN 4.5MM 70MM,1595.0,1595.0,239.25,1595.0,30
CDM,199731,SCREW BN 4.5MM 34MM,1595.0,1595.0,239.25,1595.0,30
CDM,199732,NAIL 125D 1036 R,6400.0,6400.0,960.0,6400.0,30
CDM,199735,SCREW BN SPNL 8.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,199736,PLATE 40MM FALCON 3 LVL,5315.0,5315.0,797.25,5315.0,30
CDM,199737,NAIL TIB 9MM 300MM,5211.0,5211.0,781.65,5211.0,30
CDM,199738,CAP END IM NAIL T2 +15MM,2383.0,2383.0,357.45,2383.0,30
CDM,199739,GRFT EVAS 18FR 82MM 24MM,21956.0,21956.0,3293.4,21956.0,30
CDM,199740,GRAFT EVAS 90X20MM 16FR,11862.0,11862.0,1779.3,11862.0,30
CDM,199741,CATH BLNOCC .035X120CM,3413.5,3413.5,512.02,3413.5,42
CDM,199742,PLATE 16 CRVC 1LVL FALCO,4429.0,4429.0,664.35,4429.0,30
CDM,199743,SCREW SPN 4.5MM 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,199746,SCREW BN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,199747,SCREW SPN XIA 4.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,199748,SCREW SPN THRLMBR4.5X3.5,4429.0,4429.0,664.35,4429.0,30
CDM,199749,SCREW BN 4MM 35MM XIA TI,4429.0,4429.0,664.35,4429.0,30
CDM,199750,SCREW SPN XIA TI 4X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,199751,SCREW SPN XIA 4X25MM,4429.0,4429.0,664.35,4429.0,30
CDM,199752,CMPNT FEM KN LT SZ3,6068.0,6068.0,910.2,6068.0,30
CDM,199753,PLATE SPN 2LVL 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,199754,TISAGENLECLUCL CHILD/ALL,6633603.0,6633603.0,1213949.35,6633603.0,32
CDM,199755,PLATE AEG 23 1 LVL,12402.0,12402.0,1860.3,12402.0,30
CDM,199757,SCREW BN 5X50MM XPDM DL,4429.0,4429.0,664.35,4429.0,30
CDM,199758,PLATE SPN 3.5MM 31MM,6644.0,6644.0,996.6,6644.0,30
CDM,199759,WASHER SPN 2MM,4429.0,4429.0,664.35,4429.0,30
CDM,199760,SCREW SPN 4.5MM 10MM,1130.0,1130.0,169.5,1130.0,30
CDM,199761,SCREW SPN 3.5MM 12MM,4340.0,4340.0,651.0,4340.0,30
CDM,199763,ROD SPNL 72-120MM 3.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,199764,SPACER SPN 10X11X28MM,13287.0,13287.0,1993.05,13287.0,30
CDM,199765,DEVICE CLSR CLP LNG 40MM,4651.0,4651.0,697.65,4651.0,30
CDM,199768,SCREW BN SPNL 4.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,199769,SCREW BN SPNL 4.5X25MM,4429.0,4429.0,664.35,4429.0,30
CDM,199770,CNCTR ROD OPN CLS ROD TO,3012.0,3012.0,451.8,3012.0,30
CDM,199771,CNCTR ROD 3.5MM 6MM SPNL,3765.0,3765.0,564.75,3765.0,30
CDM,199772,CNNCTR ROD SPN 3.5X90MM,3765.0,3765.0,564.75,3765.0,30
CDM,199773,CONNECTOR ROD 4.5/6.0,3765.0,3765.0,564.75,3765.0,30
CDM,199774,COMP FEM MED KN,5736.0,5736.0,860.4,5736.0,30
CDM,199775,INSERT TIB KN EZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,199776,INSERT TIB KN SZ3-4 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,199777,STEM FEM LAT215X18MM 13M,11985.0,11985.0,1797.75,11985.0,30
CDM,199778,SPACER SPNL 30X10X14MM,11959.0,11959.0,1793.85,11959.0,30
CDM,199779,HEAD FEM COCR 6TPR 7X32,4252.0,4252.0,637.8,4252.0,30
CDM,199780,LINER ACTB F/32 STD R,6633.0,6633.0,994.95,6633.0,30
CDM,199781,PLATE BN HUM 4H 92MM,4429.0,4429.0,664.35,4429.0,30
CDM,199782,PLATE BN HUM RT 4H 105MM,4429.0,4429.0,664.35,4429.0,30
CDM,199783,SCREW BN 2.7X16MM,2616.0,2616.0,392.4,2616.0,30
CDM,199784,SCREW BN 2.7MM 20MM,2616.0,2616.0,392.4,2616.0,30
CDM,199785,SCREW BN 2.7MM 24MM,2616.0,2616.0,392.4,2616.0,30
CDM,199786,SCREW BN 2.7MM 26MM,2616.0,2616.0,392.4,2616.0,30
CDM,199787,SCREW BN ELB 3.5MM 24MM,1730.0,1730.0,259.5,1730.0,30
CDM,199788,SCREW V-AX ELB 3.5X30MM,2656.0,2656.0,398.4,2656.0,30
CDM,199789,SCREW BN 3.5MM 5MM,964.0,964.0,144.6,964.0,30
CDM,199790,SCREW V-AX ELB 3.5X18MM,1730.0,1730.0,259.5,1730.0,30
CDM,199791,SCREW V-AX ELB 3.5X65MM,2656.0,2656.0,398.4,2656.0,30
CDM,199793,HOOK NARR BLD MD 6.35,3996.0,3996.0,599.4,3996.0,30
CDM,199794,PLATE 41-48MM TI 4.75MM,3765.0,3765.0,564.75,3765.0,30
CDM,199795,STEM HUM SHLDR LT 8.5MM,11294.0,11294.0,1694.1,11294.0,30
CDM,199796,BOLT SPNL 40MM 6.75MM TI,3012.0,3012.0,451.8,3012.0,30
CDM,199797,BOLT SPNL 50MM 6.75MM TI,3012.0,3012.0,451.8,3012.0,30
CDM,199798,PLATE BN 2.7MM 99MM,4147.0,4147.0,622.05,4147.0,30
CDM,199799,PLATE BN LT 9HL 151MM,4153.0,4153.0,622.95,4153.0,30
CDM,199800,SCREW BN 7.3MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,199801,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,199802,PLATE SPN 14X14.4X2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,199803,SPACER SPNL 20MM PRIMTR,21804.0,21804.0,3270.6,21804.0,30
CDM,199804,SCREW BN TI L12MM SKYLIN,1130.0,1130.0,169.5,1130.0,30
CDM,199805,CON ROD SM SPNL TI TOP,3765.0,3765.0,564.75,3765.0,30
CDM,199806,SCREW BN TI 2.7MM 12MM,399.0,399.0,59.85,399.0,30
CDM,199807,SCREW BN NLCKG 2.7X14MM,399.0,399.0,59.85,399.0,30
CDM,199808,FILLER BN VOID 3CC NRN,4429.0,4429.0,664.35,4429.0,30
CDM,199810,SCREW BN 3.5X14MM,964.0,964.0,144.6,964.0,30
CDM,199811,SCREW BN 3.5MM 20MM,964.0,964.0,144.6,964.0,30
CDM,199812,SCREW V-AX ORTH 3.5X38MM,1301.0,1301.0,195.15,1301.0,30
CDM,199813,SCREW BN 3.5MM 40MM,2656.0,2656.0,398.4,2656.0,30
CDM,199814,SCREW V-AX ELB 3.5X20MM,1681.0,1681.0,252.15,1681.0,30
CDM,199815,SCREW V-AX ELB 3.5X16MM,1730.0,1730.0,259.5,1730.0,30
CDM,199817,BOLT SPNL 40MM 7.75MM LC,3012.0,3012.0,451.8,3012.0,30
CDM,199818,PLATE BN RADIUS 8HL,4429.0,4429.0,664.35,4429.0,30
CDM,199819,SPACER SPNL 14MM 2XL,9966.0,9966.0,1494.9,9966.0,30
CDM,199821,PEG FX BN 2.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,199823,PLATE BN STR LCK SS 10H,3721.0,3721.0,558.15,3721.0,30
CDM,199824,IMPLANT BREAST 380CC,3527.0,3527.0,529.05,3527.0,30
CDM,199827,SCREW BN 3.5MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,199828,SCREW BN 3.5MM 20MM,558.0,558.0,83.7,558.0,30
CDM,199829,BIT DRILL 2.5MM,870.0,870.0,130.5,870.0,42
CDM,199830,BIT DRILL 3.5MM,386.5,386.5,57.98,386.5,42
CDM,199837,SPACER SPNL 4D 20X9MM,11959.0,11959.0,1793.85,11959.0,30
CDM,199838,SCREW SPN PDCL 8X50M D,6378.0,6378.0,956.7,6378.0,30
CDM,199839,SPACER SPNL 25X8X7MM,13287.0,13287.0,1993.05,13287.0,30
CDM,199840,CMPNT KN RT SZ4,6068.0,6068.0,910.2,6068.0,30
CDM,199841,INSERT TIB KN 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,199842,SPCR OPAL 10MMX28MM 11MM,13287.0,13287.0,1993.05,13287.0,30
CDM,199843,STEM HUM SHCR 9MM,22416.0,22416.0,3362.4,22416.0,30
CDM,199844,STEM FEM HIP 139MM,6201.0,6201.0,930.15,6201.0,30
CDM,199845,CENTRALIZR STEM HIP 14MM,1170.0,1170.0,175.5,1170.0,30
CDM,199846,ROD PRE BENT 4.75 50,3012.0,3012.0,451.8,3012.0,30
CDM,199847,SCREW SPN 6.5MM 60MM,4247.0,4247.0,637.05,4247.0,30
CDM,199848,SCREW BN SPNL 6.5X50MM,5094.0,5094.0,764.1,5094.0,30
CDM,199849,SCREW BN SPNL 8X55MM,1506.0,1506.0,225.9,1506.0,30
CDM,199850,ROD SPNL PRBNT 5.7X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,199851,SCREW BN SPNL 6.5X45MM,5094.0,5094.0,764.1,5094.0,30
CDM,199852,SCREW BN SPNL 7.5X45MM,5094.0,5094.0,764.1,5094.0,30
CDM,199853,SCREW BN 7MM 85MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,199854,SCREW BN 7MM 90MM 32MM,2790.0,2790.0,418.5,2790.0,30
CDM,199855,HEAD HUM 24MM 52MM,6459.0,6459.0,968.85,6459.0,30
CDM,199856,HEAD HUM SHLDR 12X40MM,5315.0,5315.0,797.25,5315.0,30
CDM,199857,SPACER SPN 22MM 10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,199858,SPACER SPN 30X11X17MM 6D,13287.0,13287.0,1993.05,13287.0,30
CDM,199859,PLATE BN 6H 2.4MM 75MM,4755.0,4755.0,713.25,4755.0,30
CDM,199860,SCREW BN 2.4MM 10MM,1540.0,1540.0,231.0,1540.0,30
CDM,199861,SCREW BN 2.4X12MM,1660.0,1660.0,249.0,1660.0,30
CDM,199862,SCREW BN 2.4MM 14MM SS,1540.0,1540.0,231.0,1540.0,30
CDM,199863,SCREW BN 2.4MM 20MM SS,1540.0,1540.0,231.0,1540.0,30
CDM,199864,SCREW BN 2.4MM 22MM SS,1540.0,1540.0,231.0,1540.0,30
CDM,199865,PIN BN FX T8 1.8X16MM,1660.0,1660.0,249.0,1660.0,30
CDM,199866,PIN BN FX 1.8MM 20MM,1805.0,1805.0,270.75,1805.0,30
CDM,199867,SCREW SPN PDCL 7X50MM D,6378.0,6378.0,956.7,6378.0,30
CDM,199868,ROD SPNL 90MM MAXRDS,3012.0,3012.0,451.8,3012.0,30
CDM,199869,SPACER SPNL 14MM 15D 2XL,30135.0,30135.0,4520.25,30135.0,30
CDM,199871,PLATE BN SPNE 58MM 3 LVL,4872.0,4872.0,730.8,4872.0,30
CDM,199872,GWIRE ORTH 1.25MM 150MM,321.5,321.5,48.23,321.5,42
CDM,199873,SCREW BN SPNL 9.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,199875,STEM FEM 175X24MM 19MM,6644.0,6644.0,996.6,6644.0,30
CDM,199879,CMPNT GLND SHLRD 44MM,5980.0,5980.0,897.0,5980.0,30
CDM,199880,GUIDE PIN ORTH 2.5MM,1432.5,1432.5,214.88,1432.5,42
CDM,199881,SCREW BN LCK,1356.0,1356.0,203.4,1356.0,30
CDM,199882,SCREW BN 3.5MM 36MM,399.0,399.0,59.85,399.0,30
CDM,199883,SCREW BN ST 3.5MM 36MM,399.0,399.0,59.85,399.0,30
CDM,199884,NAIL BN 11MM 330MM,5211.0,5211.0,781.65,5211.0,30
CDM,199885,SCREW BN 5X57MM,3091.0,3091.0,463.65,3091.0,30
CDM,199886,INSERT TIB KN SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,199887,STEM FEM 15MM CMNTLS,13379.0,13379.0,2006.85,13379.0,30
CDM,199888,HEAD FEM +8.5MM 12/14,4606.0,4606.0,690.9,4606.0,30
CDM,199889,WEDGE BN 8X18X18MM,10267.0,10267.0,1540.05,10267.0,30
CDM,199891,SCREW BN 3.5MM 18MM MTNR,4429.0,4429.0,664.35,4429.0,30
CDM,199892,SCREW BN SPN OCT 3.5X36,3765.0,3765.0,564.75,3765.0,30
CDM,199893,SCREW BN 3.5MM 38MM MTNR,4429.0,4429.0,664.35,4429.0,30
CDM,199895,GRAFT ART ST TIS 6-32MM,110703.0,110703.0,16605.45,110703.0,30
CDM,199896,CAGE CONCORDE 9X11X27 LO,9667.0,9667.0,1450.05,9667.0,30
CDM,199897,SCREW BN 4.5X12MM VAR HD,3012.0,3012.0,451.8,3012.0,30
CDM,199899,SCREW BN SPNL 4X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,199900,PLATE 32MM FLCN BN SPNL,4429.0,4429.0,664.35,4429.0,30
CDM,199902,NAIL GAMMA 340 120 LT,8727.0,8727.0,1309.05,8727.0,30
CDM,199903,NAIL BN 15.5-11MM 400MM,8727.0,8727.0,1309.05,8727.0,30
CDM,199906,SPACER SPN 30X28X15MM,11959.0,11959.0,1793.85,11959.0,30
CDM,199907,STEM FEM HIP 165MM 15MM,8416.0,8416.0,1262.4,8416.0,30
CDM,199908,IMPLANT BRST 13.8-14.3CM,4429.0,4429.0,664.35,4429.0,30
CDM,199909,SCREW BN 3.5MM 60MM,1356.0,1356.0,203.4,1356.0,30
CDM,199910,SCREW BN LCK 3.5X70MM,1356.0,1356.0,203.4,1356.0,30
CDM,199911,SCREW BN LCK 3.5X75MM,1356.0,1356.0,203.4,1356.0,30
CDM,199912,SCREW BN 3.5MM 56MM,1356.0,1356.0,203.4,1356.0,30
CDM,199913,SCREW BN 3.5MM 80MM,1356.0,1356.0,203.4,1356.0,30
CDM,199914,SCREW BN 3.5MM 28MM,319.0,319.0,47.85,319.0,30
CDM,199915,PLATE BN 8H 128MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,199916,SCREW BN ILSCRL P-AX REV,4429.0,4429.0,664.35,4429.0,30
CDM,199917,SCREW 8.5X45 482318545,4429.0,4429.0,664.35,4429.0,30
CDM,199918,SCREW SPN 8.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,199920,SCREW BN 10.5MM 115MM,3721.0,3721.0,558.15,3721.0,30
CDM,199921,CUP ACTB CRWN 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,199922,SCREW CANC 6.5X25 OPTTRC,1635.0,1635.0,245.25,1635.0,30
CDM,199923,LNR ACTB NVTN 32MM CNNXN,4429.0,4429.0,664.35,4429.0,30
CDM,199924,STEM FEM HIP 12/14 SZ12,8858.0,8858.0,1328.7,8858.0,30
CDM,199925,HEAD FEM +0MM 12/14 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,199926,RELOAD STPLR 2X45MM,1725.0,1725.0,258.75,1725.0,30
CDM,199927,CABLE SPN 1MM 470MM,3765.0,3765.0,564.75,3765.0,30
CDM,199928,SCREW SPN 6MM 50MM,4340.0,4340.0,651.0,4340.0,30
CDM,199929,SCREW BN 6MM 40MM,4340.0,4340.0,651.0,4340.0,30
CDM,199930,ROD SPN CRV NS 45X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,199931,CAP SPN LCKG TI,753.0,753.0,112.95,753.0,30
CDM,199932,SCREW BN 6MM 35MM MTRX T,4340.0,4340.0,651.0,4340.0,30
CDM,199933,SCREW SPN MTRX P-AX 6X40,4340.0,4340.0,651.0,4340.0,30
CDM,199934,ROD SPN CRVD TI 40X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,199936,NAIL BN 130D 11.5MM 18CM,6775.0,6775.0,1016.25,6775.0,30
CDM,199938,ELCTRD EMG NRVSN M5 15MM,4093.0,4093.0,613.95,4093.0,42
CDM,199939,SPINAL SPNL 36X28X15MM,11959.0,11959.0,1793.85,11959.0,30
CDM,199940,NAIL 11MM 400CM LT TROCH,7608.0,7608.0,1141.2,7608.0,30
CDM,199941,PLATE 44MM FLCN 3 LVL BN,5315.0,5315.0,797.25,5315.0,30
CDM,199942,PLATE BN 10HL LG LT,4429.0,4429.0,664.35,4429.0,30
CDM,199943,PLATE BN 8HL LT,4514.0,4514.0,677.1,4514.0,30
CDM,199944,SCREW BN CORT 2.7MM 12MM,1403.0,1403.0,210.45,1403.0,30
CDM,199946,CAGE SPNL 16-25MM 16MM,30924.0,30924.0,4638.6,30924.0,30
CDM,199948,KIT INSTR W/FBRWR,1023.5,1023.5,153.53,1023.5,30
CDM,199949,ANCHOR SUT 1.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,199953,SCREW SPN XIA 4823-1635,4429.0,4429.0,664.35,4429.0,30
CDM,199954,SCRW SD 4.0X12MM VA,3012.0,3012.0,451.8,3012.0,30
CDM,199955,STEM HUM SHLDR 14MM,20330.0,20330.0,3049.5,20330.0,30
CDM,199956,PLATE LUMBR AFFIX 45MM S,17716.0,17716.0,2657.4,17716.0,30
CDM,199957,GRAFT BN SPN 10X30 ALGRF,6201.0,6201.0,930.15,6201.0,30
CDM,199961,NAIL 125D 11.540 R,6400.0,6400.0,960.0,6400.0,30
CDM,199962,SCREW BN 7.5MM 80MM XIA,4429.0,4429.0,664.35,4429.0,30
CDM,199963,CONNECTOR ROD SPN NTRL L,3765.0,3765.0,564.75,3765.0,30
CDM,199967,HEAD HIP CTAP 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,199968,NAIL 11MM 42CM LT FEM HI,9254.0,9254.0,1388.1,9254.0,30
CDM,199971,LINER ACTB HIP +4 10D,4429.0,4429.0,664.35,4429.0,30
CDM,199972,DISC INTVRTB SPN MED 6MM,17469.0,17469.0,2620.35,17469.0,30
CDM,199973,TIP IMPLANT INSERTER 5MM,1080.5,1080.5,162.07,1080.5,42
CDM,199976,JOINT FNGR 40 DIST MCP P,6538.0,6538.0,980.7,6538.0,30
CDM,199977,SCREW SPN 4MM 14MM,1506.0,1506.0,225.9,1506.0,30
CDM,199981,SCREW BN 10.5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,199982,SPCR SPNL 13X11MM PEEK I,6644.0,6644.0,996.6,6644.0,30
CDM,199983,MESH BN CRNL 100X100MM,9780.0,9780.0,1467.0,9780.0,30
CDM,199984,PLATE BN .4MM 70MM,4429.0,4429.0,664.35,4429.0,30
CDM,199987,SCREW BN 3.5MM 46MM,1356.0,1356.0,203.4,1356.0,30
CDM,199988,PLATE BN SPNE 24MM 1 LVL,4872.0,4872.0,730.8,4872.0,30
CDM,199990,CAGE SPN CRNTC55X22X10,18416.0,18416.0,2762.4,18416.0,30
CDM,199991,HD FEM P.F.C. OD32 +5,4252.0,4252.0,637.8,4252.0,30
CDM,199992,SCREW BN 4MM 50MM,319.0,319.0,47.85,319.0,30
CDM,199993,SCREW BN 4X60X20MM,319.0,319.0,47.85,319.0,30
CDM,199994,SCREW BN HEX 2.7X40,319.0,319.0,47.85,319.0,30
CDM,199995,COMPNT FEM F LT KN SZ3,7530.0,7530.0,1129.5,7530.0,30
CDM,199996,SCREW BN SPNL 6X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,199997,CAGE SPN 9X9X27MM,11073.0,11073.0,1660.95,11073.0,30
CDM,199998,GWIRE ORTH SPN BLNT,386.5,386.5,57.98,386.5,42
CDM,199999,PLATE 36MM 2LVL FLCN BN,4429.0,4429.0,664.35,4429.0,30
CDM,200001,BOLT SPNL 35MM 7.25MM AR,3012.0,3012.0,451.8,3012.0,30
CDM,200005,SCREW BN 3.5MM 30MM,414.0,414.0,62.1,414.0,30
CDM,200006,SCREW BNE 3.5X28 CORT,341.0,341.0,51.15,341.0,30
CDM,200007,SCREW CORT S/T 3.5X32MM,341.0,341.0,51.15,341.0,30
CDM,200009,CAGE SPN CON 9X10X27LOR,11073.0,11073.0,1660.95,11073.0,30
CDM,200010,SCREW EXP 5.50 DUAL 5,4429.0,4429.0,664.35,4429.0,30
CDM,200011,SCREW DIFA 5 X 35 MM DEP,4429.0,4429.0,664.35,4429.0,30
CDM,200012,CONNECTOR ROD TITANIUM A,3765.0,3765.0,564.75,3765.0,30
CDM,200013,CONN ROD SPN 5.5MM 22MM,3765.0,3765.0,564.75,3765.0,30
CDM,200015,CUP ACTB 58MM NVATN CRWN,4606.0,4606.0,690.9,4606.0,30
CDM,200016,SCREW CANC 6.5X30 OPTTRC,1635.0,1635.0,245.25,1635.0,30
CDM,200017,LINER ACTB 3X36 XLNK,4429.0,4429.0,664.35,4429.0,30
CDM,200018,STEM FEM PRSFT STD OFST,8416.0,8416.0,1262.4,8416.0,30
CDM,200019,PLATE SPN 180MM,7973.0,7973.0,1195.95,7973.0,30
CDM,200021,CNTRLZR HIP DIST12MM,1063.0,1063.0,159.45,1063.0,30
CDM,200022,HEAD BIB HIP 48MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,200023,HEAD FEM HIP +0MM 12/14,4252.0,4252.0,637.8,4252.0,30
CDM,200024,GWIRE ORTH 1.35X150MM,309.5,309.5,46.42,309.5,42
CDM,200025,SCREW BN 3.5MM 26MM,558.0,558.0,83.7,558.0,30
CDM,200026,SCREW BN 4MM 40MM,2631.0,2631.0,394.65,2631.0,30
CDM,200027,BIT DRILL 2.0MM,386.5,386.5,57.98,386.5,42
CDM,200028,BIT DRILL 2.5MM,870.0,870.0,130.5,870.0,42
CDM,200029,NAIL KNEE GOLD 1026,5061.0,5061.0,759.15,5061.0,30
CDM,200030,SUTURE UND MONO +1 54IN,41.5,41.5,6.22,41.5,42
CDM,200031,SUTURE UND BRD +5-0 27IN,32.5,32.5,4.88,32.5,42
CDM,200035,SUTURE ANBCTRL +2-0 27IN,40.5,40.5,6.08,40.5,42
CDM,200036,SUTURE VIOL BRD+4-0 27IN,32.0,32.0,4.8,32.0,42
CDM,200038,SUTURE VIO BRD +0 27IN,31.5,31.5,4.72,31.5,42
CDM,200040,SUTURE CTB-1 1 1X27IN,40.5,40.5,6.08,40.5,42
CDM,200041,SUTURE UND MON +3-0 36IN,33.0,33.0,4.95,33.0,42
CDM,200042,SUTURE VIO BRD +0 36IN,33.5,33.5,5.03,33.5,42
CDM,200043,SUTURE VIOL BRD +1 36IN,34.5,34.5,5.17,34.5,42
CDM,200044,SUTURE UND MON +2-0 27IN,38.5,38.5,5.78,38.5,42
CDM,200045,SUTURE UND MONO +0 27IN,39.0,39.0,5.85,39.0,42
CDM,200047,SUTURE ANBCTRL +3-0 27IN,38.0,38.0,5.7,38.0,42
CDM,200048,SUTURE ANBCTRL +2-0 27IN,39.0,39.0,5.85,39.0,42
CDM,200049,SUTURE UND BRD -0 27IN,31.5,31.5,4.72,31.5,42
CDM,200062,SUTURE VIOL BRD+3-0 18IN,76.0,76.0,11.4,76.0,42
CDM,200065,SUTURE UND BRD +4-0 18IN,77.0,77.0,11.55,77.0,42
CDM,200066,SUTURE UND BRD +5-0 18IN,94.0,94.0,14.1,94.0,42
CDM,200070,SUTURE VIO BRD 6-0 18IN,231.5,231.5,34.73,231.5,42
CDM,200073,SUTURE VIO BRD +2-0 27IN,39.0,39.0,5.85,39.0,42
CDM,200074,SUTURE UR-6 1 1X36IN,38.0,38.0,5.7,38.0,42
CDM,200075,SUTURE ANBCTRL +2-0 54IN,37.5,37.5,5.63,37.5,42
CDM,200076,SUTURE VIO BRD +0 54IN,37.5,37.5,5.63,37.5,42
CDM,200077,SUTURE VIOL BRD +1 54IN,38.5,38.5,5.78,38.5,42
CDM,200079,SUTURE ANBCTRL +4-0 18IN,93.0,93.0,13.95,93.0,42
CDM,200080,SUTURE ANBCTRL +4-0 27IN,40.0,40.0,6.0,40.0,42
CDM,200081,SUTURE VIO BRD +0 18IN,231.5,231.5,34.73,231.5,42
CDM,200082,SUTURE VIO BRD +3-0 18IN,223.0,223.0,33.45,223.0,42
CDM,200083,SUTURE ANBCTRL +4-0 18IN,231.5,231.5,34.73,231.5,42
CDM,200084,SUTURE VIO BRD +0 18IN,231.5,231.5,34.73,231.5,42
CDM,200085,SUTURE VIO BRD +0 18IN,231.5,231.5,34.73,231.5,42
CDM,200086,SUTURE VIO BRD +1 18IN,231.5,231.5,34.73,231.5,42
CDM,200089,SUTURE CTX 0 8X18IN,220.5,220.5,33.08,220.5,42
CDM,200090,SUTURE ANBCTRL +1 18IN,231.5,231.5,34.73,231.5,42
CDM,200092,SUTURE SH 2-0 8X18IN,211.0,211.0,31.65,211.0,42
CDM,200094,SUTURE VIO BRD +3-0 27IN,217.5,217.5,32.63,217.5,42
CDM,200095,SUTURE VIO BRD +2-0 27IN,220.0,220.0,33.0,220.0,42
CDM,200097,SUTURE VIO BRD +2-0 18IN,232.0,232.0,34.8,232.0,42
CDM,200098,SUTURE CT-1 3-0 8X18IN,218.5,218.5,32.77,218.5,42
CDM,200099,SUTURE ANBCTRL +2-0 18IN,231.5,231.5,34.73,231.5,42
CDM,200101,SUTURE SHB 3-0 8X18IN,231.5,231.5,34.73,231.5,42
CDM,200103,SUTURE UND BRD 2-0 18IN,166.5,166.5,24.98,166.5,42
CDM,200106,SUTURE ANBCTRL +3-0 36IN,40.5,40.5,6.08,40.5,42
CDM,200107,SUTURE ANBCTRL +2-0 36IN,40.5,40.5,6.08,40.5,42
CDM,200108,SUTURE ANBCTRL +0 36IN,41.0,41.0,6.15,41.0,42
CDM,200110,SUTURE ANBCTRL +1 36IN,43.0,43.0,6.45,43.0,42
CDM,200113,SUTURE ANBCTRL +1 27IN,227.5,227.5,34.13,227.5,42
CDM,200114,SUTURE ANBCTRL +0 27IN,231.5,231.5,34.73,231.5,42
CDM,200115,SUTURE UND MONO 3-0 27IN,37.5,37.5,5.63,37.5,42
CDM,200116,SUTURE UND MON +4-0 27IN,38.0,38.0,5.7,38.0,42
CDM,200117,SUTURE VIOL MON 3-0 27IN,37.5,37.5,5.63,37.5,42
CDM,200120,SUTURE UND MON +2-0 27IN,36.5,36.5,5.47,36.5,42
CDM,200122,SUTURE UND MON +3-0 36IN,42.5,42.5,6.38,42.5,42
CDM,200125,SUTURE UND MON +4-0 27IN,37.0,37.0,5.55,37.0,42
CDM,200126,SUTURE UND MON +3-0 27IN,45.5,45.5,6.83,45.5,42
CDM,200127,SUTURE UND MON +3-0 27IN,99.0,99.0,14.85,99.0,42
CDM,200128,SUTURE UND MONO +6-0 18N,105.0,105.0,15.75,105.0,42
CDM,200129,SUTURE UND MONO +5-0 18N,105.0,105.0,15.75,105.0,42
CDM,200131,SUTURE UND MONO +5-0 18N,99.0,99.0,14.85,99.0,42
CDM,200133,SUTURE PS-2 3-0 1X27IN,96.0,96.0,14.4,96.0,42
CDM,200134,SUTURE UND MON +2-0 27IN,43.5,43.5,6.53,43.5,42
CDM,200135,SUTURE VIOL MON 0 18IN,231.5,231.5,34.73,231.5,42
CDM,200137,SUTURE VIO MONO 0 18IN,89.0,89.0,13.35,89.0,42
CDM,200138,SUTURE UND MON +4-0 27IN,104.0,104.0,15.6,104.0,42
CDM,200142,SUTURE VIOL MON+4-0 27IN,46.0,46.0,6.9,46.0,42
CDM,200143,SUTURE UND MON +2-0 27IN,58.0,58.0,8.7,58.0,42
CDM,200144,SUTURE VIOL MON+5-0 30IN,117.5,117.5,17.63,117.5,42
CDM,200147,SUTURE VIOL MON +1 27IN,46.5,46.5,6.97,46.5,42
CDM,200148,SUTURE VIOL MON +0 36IN,49.5,49.5,7.42,49.5,42
CDM,200150,SUTURE VIOL MON +0 36IN,49.5,49.5,7.42,49.5,42
CDM,200151,SUTURE VIOL MON +1 36IN,52.5,52.5,7.88,52.5,42
CDM,200152,SUTURE VIO MON +1 36IN,65.0,65.0,9.75,65.0,42
CDM,200153,SUTURE VIOL MON +6 18IN,109.0,109.0,16.35,109.0,42
CDM,200154,SUTURE VIOL MON+5-0 18IN,100.5,100.5,15.07,100.5,42
CDM,200156,SUTURE VIO MON +4-0 18IN,97.5,97.5,14.63,97.5,42
CDM,200157,SUTURE VIOL MON+3-0 18IN,92.0,92.0,13.8,92.0,42
CDM,200159,SUTURE VIO MONO 0 18IN,275.0,275.0,41.25,275.0,42
CDM,200160,SUTURE CT-1 SZ1 8X18IN,231.5,231.5,34.73,231.5,42
CDM,200162,SUTURE VIO MONO 0 18IN,231.5,231.5,34.73,231.5,42
CDM,200163,SUTURE VIOL MON +1 54IN,84.5,84.5,12.68,84.5,42
CDM,200164,SUTURE VIOL MON +1 54IN,79.5,79.5,11.93,79.5,42
CDM,200165,SUTURE VIOL MON +1 96IN,13.0,13.0,1.95,13.0,42
CDM,200166,SUTURE VIOL MON +1 48IN,95.0,95.0,14.25,95.0,42
CDM,200167,SUTURE VIO MON +0 60IN,100.0,100.0,15.0,100.0,42
CDM,200168,SCREW BN 5.5MM 50MM TI S,3012.0,3012.0,451.8,3012.0,30
CDM,200169,SCREW HEAD 45X5.5MM CLA,3012.0,3012.0,451.8,3012.0,30
CDM,200170,SCREW BN SPNL 7.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,200171,CONNECTOR ROD SPN TRANS,3012.0,3012.0,451.8,3012.0,30
CDM,200172,CONNECTOR ROD SPN TRANS,1506.0,1506.0,225.9,1506.0,30
CDM,200173,SCREW 8.5X35 482318535,4429.0,4429.0,664.35,4429.0,30
CDM,200174,DISC INTVRTB SPN LG 5MM,17469.0,17469.0,2620.35,17469.0,30
CDM,200175,TIP IMPLANT INSERTER 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,200178,PLATE 50MM TI 4MM ROD BN,6644.0,6644.0,996.6,6644.0,30
CDM,200179,ROD SPNL 250MM 4MM TI PR,2630.0,2630.0,394.5,2630.0,30
CDM,200180,SCREW OCPTL 4.5X6,3012.0,3012.0,451.8,3012.0,30
CDM,200181,CAGE SPNL 2MM EXTENSURE,6201.0,6201.0,930.15,6201.0,30
CDM,200182,STEM FEM MATTE 12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,200183,GWIRE VASC BNTSN 260X20,231.5,231.5,34.73,231.5,42
CDM,200185,GRAFT EVAS 46-44X110MM,47678.0,47678.0,7151.7,47678.0,30
CDM,200187,GRAFT EVAS 152X38MM 22FR,45148.0,45148.0,6772.2,45148.0,30
CDM,200188,HEAD FEM HIP 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,200189,LINER ACTB HIP 32MM +3MM,4429.0,4429.0,664.35,4429.0,30
CDM,200190,SCREW BN SPNL 7MM 55MM X,4429.0,4429.0,664.35,4429.0,30
CDM,200191,CAGE SPN 32X9X12MM 4D,13287.0,13287.0,1993.05,13287.0,30
CDM,200192,CAGE SPN 32X9X13MM 4D,11959.0,11959.0,1793.85,11959.0,30
CDM,200193,SCREW SPN FT FCET 4.5X25,4651.0,4651.0,697.65,4651.0,30
CDM,200194,WASHER SPN TI 5MM,1506.0,1506.0,225.9,1506.0,30
CDM,200195,SCREW SPN 4.35MM 14MM,1506.0,1506.0,225.9,1506.0,30
CDM,200196,PLATE BN TI 28MM,3534.0,3534.0,530.1,3534.0,30
CDM,200197,SCREW BN TI 2.7MM 16MM,399.0,399.0,59.85,399.0,30
CDM,200198,SCREW BN TI 2.5MM 22MM,399.0,399.0,59.85,399.0,30
CDM,200199,SCREW BN 3.0MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,200200,PLATE AVTR BN 2LVL 34MM,4651.0,4651.0,697.65,4651.0,30
CDM,200201,SCREW BN 4.35MM 16MM RSC,3012.0,3012.0,451.8,3012.0,30
CDM,200202,SHELL ACTB HIP 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,200203,LINER ACTB HIP 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,200204,STEM FEM HIP SZ1 125MM,8416.0,8416.0,1262.4,8416.0,30
CDM,200205,HEAD FEM HIP 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,200211,BIT DRILL 2.0X125X100MM,333.5,333.5,50.02,333.5,42
CDM,200213,BIT DRILL 2.5X111X86MM,416.5,416.5,62.48,416.5,42
CDM,200217,BIT DRILL 3.2X147X121MM,333.5,333.5,50.02,333.5,42
CDM,200227,PROSTHESIS KNEE UNCOATED,5736.0,5736.0,860.4,5736.0,30
CDM,200228,NAIL 130D 1038 L,6400.0,6400.0,960.0,6400.0,30
CDM,200229,SCREW BN 16MM VARIABLE,3012.0,3012.0,451.8,3012.0,30
CDM,200230,SCREW MEDIA LAT 3.5X20MM,4429.0,4429.0,664.35,4429.0,30
CDM,200231,SCREW BN TI L24 OD3.5 MT,4120.0,4120.0,618.0,4120.0,30
CDM,200236,CMPTN KN LT SZ7,6068.0,6068.0,910.2,6068.0,30
CDM,200237,INSERT TIB KN SZ 6 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,200238,SUTURE ANBCTRL 3-0 27IN,78.0,78.0,11.7,78.0,42
CDM,200240,SUTURE ANBCTRL +4-0 27IN,45.0,45.0,6.75,45.0,42
CDM,200241,SUTURE ANBCTRL +2-0 27IN,43.5,43.5,6.53,43.5,42
CDM,200242,SUTURE UND MON +4-0 18IN,83.5,83.5,12.53,83.5,42
CDM,200243,SUTURE UND BRD 7-0 18IN,80.5,80.5,12.07,80.5,42
CDM,200246,SUTURE UND BRD +5-0 18IN,78.5,78.5,11.78,78.5,42
CDM,200248,ROD SPN UNION POST 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,200250,GRAFT BN LGII 8CC 3X4IN,25401.0,25401.0,3810.15,25401.0,30
CDM,200251,CAGE VS VBS END 8 X 50,17944.0,17944.0,2691.6,17944.0,30
CDM,200252,SET DILATOR STIM,3274.0,3274.0,491.1,3274.0,42
CDM,200254,SCREW BN SPN 6.5MM 45MM,4872.0,4872.0,730.8,4872.0,30
CDM,200255,WIRE GD SURG THRD SHARP,386.5,386.5,57.98,386.5,42
CDM,200256,DEVICE PEEK PRVL 16X14X7,12821.0,12821.0,1923.15,12821.0,30
CDM,200257,SCREW BN SPN 4MM 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,200258,SCREW SPN 4MM 12MM,2259.0,2259.0,338.85,2259.0,30
CDM,200259,SET IMPLANT DELIVERY,6344.0,6344.0,951.6,6344.0,42
CDM,200260,CUP ACTB CRWN 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,200261,LINER ACTB 2X32 XLNK,4429.0,4429.0,664.35,4429.0,30
CDM,200262,STEM FEM HIP 12/14 SZ16,8416.0,8416.0,1262.4,8416.0,30
CDM,200263,PLATE FEMORAL LOCKING,4872.0,4872.0,730.8,4872.0,30
CDM,200264,SCREW BN SPNL 8.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,200265,CAGE SPN 32X9X11MM 4D,13287.0,13287.0,1993.05,13287.0,30
CDM,200266,PROSTHESIS KNEE UNCOATED,5736.0,5736.0,860.4,5736.0,30
CDM,200267,CAGE SPINAL 16X34X24 8 D,22145.0,22145.0,3321.75,22145.0,30
CDM,200268,SCREW SPN BRGD 5.5X20MM,3765.0,3765.0,564.75,3765.0,30
CDM,200271,SCREW BN 2.7MM 40MM,1754.0,1754.0,263.1,1754.0,30
CDM,200275,PLATE 15MM TI AEG BN ANT,13287.0,13287.0,1993.05,13287.0,30
CDM,200276,SCREW 3.5X2.4 04.615.024,4120.0,4120.0,618.0,4120.0,30
CDM,200277,SCREW BN 3.5MM 30MM SYNP,4340.0,4340.0,651.0,4340.0,30
CDM,200278,ROD SPNL 70MM 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,200279,CONN CLS LAT 5.,3389.0,3389.0,508.35,3389.0,30
CDM,200283,PLATE SPN 3LVL 48MM,4872.0,4872.0,730.8,4872.0,30
CDM,200284,SCREW BN SPNL 5.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,200285,SCREW BN SPNL 4.5X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,200286,DISC INTVRTB SPN LG 5MM,18009.0,18009.0,2701.35,18009.0,30
CDM,200287,BIT DRILL 1.8MM,2619.5,2619.5,392.93,2619.5,42
CDM,200290,CAGE SPN 34X24X16MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,200292,PIN SPN FIX ANT LMBR,1023.5,1023.5,153.53,1023.5,42
CDM,200293,HEAD HIP 50MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,200294,SCREW BN 2.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,200296,ELECTRODE ERG .012IN 24F,773.0,773.0,115.95,773.0,42
CDM,200297,PASSER SUTURE SMALL,1146.0,1146.0,171.9,1146.0,42
CDM,200298,CAGE SPN 32X9X8MM 4D,2109.0,2109.0,316.35,2109.0,30
CDM,200299,CAGE IMP CRNT 26X9X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,200300,CAGE SPN 26X9X9MM 4D,11959.0,11959.0,1793.85,11959.0,30
CDM,200301,CAGE SPNL CRNT 26X10X9,11959.0,11959.0,1793.85,11959.0,30
CDM,200302,GRAFT EVAS 36MM 95MM,21956.0,21956.0,3293.4,21956.0,30
CDM,200303,GRAFT EVAS 14MM 73MM,11520.0,11520.0,1728.0,11520.0,30
CDM,200304,GRAFT EVAS 14MM 56MM,13664.0,13664.0,2049.6,13664.0,30
CDM,200305,IMPLANT FEM ULT PLSH CMT,5736.0,5736.0,860.4,5736.0,30
CDM,200306,COIL EMBL 10MM 20CM,3189.0,3189.0,478.35,3189.0,30
CDM,200309,SPACER SPN 50X22X10MM 8D,19931.0,19931.0,2989.65,19931.0,30
CDM,200312,SCREW BN TI 2.7MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,200313,SCREW BN MLT 3MM 26MM,1196.0,1196.0,179.4,1196.0,30
CDM,200314,SCREW BN MLT 3MM 32MM,1196.0,1196.0,179.4,1196.0,30
CDM,200315,SCREW BN 4.3MM 42MM,2392.0,2392.0,358.8,2392.0,30
CDM,200316,INSERT TIB KN SZ3-4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,200317,SCREW BN 9MM 45MM,4120.0,4120.0,618.0,4120.0,30
CDM,200320,SUTURE CT-1 3-0 1X27IN,32.0,32.0,4.8,32.0,42
CDM,200322,SUTURE CT-2 2-0 1X27IN,33.5,33.5,5.03,33.5,42
CDM,200325,SUTURE SH 3-0 1X27IN,31.0,31.0,4.65,31.0,42
CDM,200326,SUTURE UND BRD +2-0 27IN,31.0,31.0,4.65,31.0,42
CDM,200329,SUTURE VIOL BRD +1 18IN,229.0,229.0,34.35,229.0,42
CDM,200330,SUTURE CTX 1 8X18IN,220.5,220.5,33.08,220.5,42
CDM,200332,SUTURE ABS SZ2-0 18IN,214.0,214.0,32.1,214.0,42
CDM,200333,SUTURE ANBCTRL 18IN,220.0,220.0,33.0,220.0,42
CDM,200334,SUTURE SH 3-0 8X18IN,220.5,220.5,33.08,220.5,42
CDM,200335,SUTURE CT-1 3-0 1X36IN,33.0,33.0,4.95,33.0,42
CDM,200337,SUTURE CT-1 0 1X36IN,32.5,32.5,4.88,32.5,42
CDM,200338,SUTURE ANBCTRL +1 36IN,34.5,34.5,5.17,34.5,42
CDM,200339,SUTURE ANBCTRL +1 36IN,35.0,35.0,5.25,35.0,42
CDM,200341,SCRW BN L22 OD3.5 MOUNTA,4120.0,4120.0,618.0,4120.0,30
CDM,200343,SUTURE UND MON +2-0 36IN,43.5,43.5,6.53,43.5,42
CDM,200347,SUTURE VIOL MON +1 36IN,51.5,51.5,7.72,51.5,42
CDM,200349,HEAD FEM HIP 28MM +5MM,4252.0,4252.0,637.8,4252.0,30
CDM,200357,BIT DRILL CANN 5.0MM,1067.5,1067.5,160.13,1067.5,42
CDM,200359,SCREW BN 4.5MM 20MM SPNL,3765.0,3765.0,564.75,3765.0,30
CDM,200360,SPACER SPNL 28X22X18MM,8858.0,8858.0,1328.7,8858.0,30
CDM,200361,SCREW BN 3.0MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,200362,SCREW SIERA 3.5X12,4247.0,4247.0,637.05,4247.0,30
CDM,200364,SCREW SPNL OCT 4.0X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,200365,ROD SPNL 70MM 3.5MM TI P,2711.0,2711.0,406.65,2711.0,30
CDM,200366,PLATE BN 6H 2.7/3.5X112,4289.0,4289.0,643.35,4289.0,30
CDM,200367,GRAFT EVAS 32-16X166MM,38354.0,38354.0,5753.1,38354.0,30
CDM,200368,GRAFT STENT 16-16X143MM,17880.0,17880.0,2682.0,17880.0,30
CDM,200369,GFT STNT 14F 16-16X132MM,17207.0,17207.0,2581.05,17207.0,30
CDM,200370,SCREW SPN SYNPS 2.4X26X4,4120.0,4120.0,618.0,4120.0,30
CDM,200371,NAIL BN TIB 10MM 330MM,4429.0,4429.0,664.35,4429.0,30
CDM,200373,INSERT ARTC KN 1-2 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,200374,CAGE SP 32X18MM VLFT TI,28590.0,28590.0,4288.5,28590.0,30
CDM,200375,PLATE SPN THORLMBR 56MM,21703.0,21703.0,3255.45,21703.0,30
CDM,200376,SCREW BN 6MM25MM THORA S,3012.0,3012.0,451.8,3012.0,30
CDM,200377,SCREW BN 6MM20MM THORA S,3365.0,3365.0,504.75,3365.0,30
CDM,200378,GFT VSC SWL STRCH 6X50,3721.0,3721.0,558.15,3721.0,30
CDM,200379,GRAFT VASC STD 40CM 6MM,5169.0,5169.0,775.35,5169.0,30
CDM,200381,GRAFT VASC THIN 50CM 6MM,8283.0,8283.0,1242.45,8283.0,30
CDM,200382,GRAFT VASC THIN 80CM 6MM,13416.0,13416.0,2012.4,13416.0,30
CDM,200387,RELOAD STPLR 2.6X60M,1953.0,1953.0,292.95,1953.0,30
CDM,200397,CATH THRMB 5FR 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,200398,MESH SURG CIRCL 4.5IN,4429.0,4429.0,664.35,4429.0,30
CDM,200399,MESH SURG 4X6IN,3744.0,3744.0,561.6,3744.0,30
CDM,200400,MESH SURG 6X8IN,5069.0,5069.0,760.35,5069.0,30
CDM,200401,MESH SURG 6IN 10IN,6418.0,6418.0,962.7,6418.0,30
CDM,200402,MESH HRN 9X7IN,6418.0,6418.0,962.7,6418.0,30
CDM,200405,MESH SURG 10X13IN,9831.0,9831.0,1474.65,9831.0,30
CDM,200406,DEVICE WNDCLS 15CM SZ3,643.5,643.5,96.53,643.5,42
CDM,200407,DEVICE WNDCLS 15CM SZ3,643.5,643.5,96.53,643.5,42
CDM,200409,DEVICE WNDCLS 15CM SZ3,643.5,643.5,96.53,643.5,42
CDM,200410,SUTURE BLK MONO 6-0 30IN,481.0,481.0,72.15,481.0,42
CDM,200411,CHIP CANC 4-10MM 30CC,3012.0,3012.0,451.8,3012.0,30
CDM,200419,PLATE 25-35MM BN OCPTL,11737.0,11737.0,1760.55,11737.0,30
CDM,200420,PLATE 25-35MM BN OCPTL,3012.0,3012.0,451.8,3012.0,30
CDM,200421,SCREW BN 6.5MM 35MM,877.0,877.0,131.55,877.0,30
CDM,200423,RASP SURG 11X5MM,949.5,949.5,142.43,949.5,42
CDM,200434,SCREW FACET 5MM X 30MM,4651.0,4651.0,697.65,4651.0,30
CDM,200442,WASHER 13MM FACET FIX SE,3189.0,3189.0,478.35,3189.0,30
CDM,200446,STEM FEM HIP 135D SZ16,8858.0,8858.0,1328.7,8858.0,30
CDM,200447,PLATE ANT CER L1 26MM,4872.0,4872.0,730.8,4872.0,30
CDM,200448,SCREW BN 2.7MM 14MM,563.0,563.0,84.45,563.0,30
CDM,200449,SCREW EXFX 5X125X40MM,1361.0,1361.0,204.15,1361.0,42
CDM,200450,CUP ACTB 50MM NVATN CRWN,4606.0,4606.0,690.9,4606.0,30
CDM,200451,LINER ACTB NVANTN CNNXN,4429.0,4429.0,664.35,4429.0,30
CDM,200452,HEAD FEM +3.5MM 12/14 28,4606.0,4606.0,690.9,4606.0,30
CDM,200453,SCREW EXFX HIP 250X5MM,1023.5,1023.5,153.53,1023.5,42
CDM,200454,PIN FX STEIN 250X5MM,920.5,920.5,138.07,920.5,42
CDM,200455,SPCR SPN 15X10MM CERVIOS,5426.0,5426.0,813.9,5426.0,30
CDM,200462,PLATE BN 8HL 4.5MM 152MM,3354.0,3354.0,503.1,3354.0,30
CDM,200465,CMPNT NXGN LPSFLX D-RT,7530.0,7530.0,1129.5,7530.0,30
CDM,200466,INSERT TIB KN SZC/D 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,200467,SCREW BN 6MM 45MM MTRX T,4340.0,4340.0,651.0,4340.0,30
CDM,200468,SCREW BN 7MM 35MM MTRX T,4340.0,4340.0,651.0,4340.0,30
CDM,200469,ROD SPNL TI 65MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,200472,GRAFT CV 12MM 30CM,3189.0,3189.0,478.35,3189.0,30
CDM,200473,BLADE TAPERED 27X38MM,773.0,773.0,115.95,773.0,42
CDM,200474,BLADE SAW PRCSN 40.5X.38,920.5,920.5,138.07,920.5,42
CDM,200480,ELECTRODE ESURG 3IN,67.0,67.0,10.05,67.0,42
CDM,200481,SUTURE CT-1 SZ1 8X18IN,218.5,218.5,32.77,218.5,42
CDM,200489,DILATOR SURG HDRPH 16FR,1513.0,1513.0,226.95,1513.0,42
CDM,200490,DILATOR SURG HDRPH 14FR,1105.0,1105.0,165.75,1105.0,42
CDM,200497,INSERT TIB KN SZ5 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,200499,INSERT TIB KN 6 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,200506,SUTURE P-3 5-0 1X18IN,100.0,100.0,15.0,100.0,42
CDM,200507,SUTURE VIO MONO 6-0 18IN,102.0,102.0,15.3,102.0,42
CDM,200514,TRAY KYPHOPLASTY 20/3MM,13302.0,13302.0,1995.3,13302.0,42
CDM,200516,CURRETTE SPNE TIP,3318.5,3318.5,497.77,3318.5,42
CDM,200520,SCREW BN 3MM 18MM,3189.0,3189.0,478.35,3189.0,30
CDM,200526,KIT BONE TAMP,13302.0,13302.0,1995.3,13302.0,42
CDM,200527,GRAFT ST TIS ANT TIB TND,4496.0,4496.0,674.4,4496.0,30
CDM,200530,CHARGER NRSTM 30X36MM,9720.5,9720.5,1458.08,9720.5,42
CDM,200531,CANNULA CORONARY RT 4.0,1013.5,1013.5,152.03,1013.5,42
CDM,200532,CANNULA PRFSN 2.1MM 5MM,1013.5,1013.5,152.03,1013.5,42
CDM,200533,CANN CORONARY 6.0 215814,1013.5,1013.5,152.03,1013.5,42
CDM,200536,STAPLER INT CTR 60MM,2831.5,2831.5,424.73,2831.5,42
CDM,200539,STENT DUODENAL 22MM 90MM,10885.0,10885.0,1632.75,10885.0,30
CDM,200541,SUTURE VIOL MON 3-0 27IN,47.5,47.5,7.13,47.5,42
CDM,200544,PLATE TALON SNGL FT 11MM,4806.0,4806.0,720.9,4806.0,30
CDM,200545,PLATE STAB 14MM XS TI 1,4806.0,4806.0,720.9,4806.0,30
CDM,200546,PLATE BN STRNL SM 11MM,4806.0,4806.0,720.9,4806.0,30
CDM,200547,PLATE BN STRNL LV1 14MM,4806.0,4806.0,720.9,4806.0,30
CDM,200548,PLATE BN STRNL SM 17MM,4806.0,4806.0,720.9,4806.0,30
CDM,200549,PLATE BN STRNL 11MM,4806.0,4806.0,720.9,4806.0,30
CDM,200552,PLATE BN STRNL SM 20MM,4806.0,4806.0,720.9,4806.0,30
CDM,200556,PLATE STAB 20MM LG TI 1,4806.0,4806.0,720.9,4806.0,30
CDM,200557,PLATE STRNL TLN XL 14MM,4806.0,4806.0,720.9,4806.0,30
CDM,200560,PLATE BN STRNL SZSM 11MM,5548.0,5548.0,832.2,5548.0,30
CDM,200572,KWIRE FX 2 .062IN 9IN,56.0,56.0,8.4,56.0,42
CDM,200574,GRAFT CV 30CM 6MM,3846.0,3846.0,576.9,3846.0,30
CDM,200575,GRAFT VASC 8MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,200577,GRAFT VASC 30CM 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,200578,GRAFT CV 30CM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,200579,GRAFT CV 30CM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,200580,GRAFT CV 30CM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,200581,GRAFT CV 34X30,4429.0,4429.0,664.35,4429.0,30
CDM,200583,PLATE BN XPLATE 8H,3189.0,3189.0,478.35,3189.0,30
CDM,200586,PLATE BN 4H 2.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,200587,PLATE BN L 100D 4HL,3012.0,3012.0,451.8,3012.0,30
CDM,200591,SCREW BN 2.4MM 12MM,740.0,740.0,111.0,740.0,30
CDM,200592,SCREW BN 2.4MM 14MM,740.0,740.0,111.0,740.0,30
CDM,200593,SCREW BN 2.4MM 16MM,740.0,740.0,111.0,740.0,30
CDM,200602,CANNULA PRFSN 12IN 18FR,773.0,773.0,115.95,773.0,42
CDM,200603,CANNULA PRFSN 12IN 20FR,773.0,773.0,115.95,773.0,42
CDM,200643,MESH SURG 2IN 4IN,1065.0,1065.0,159.75,1065.0,30
CDM,200645,MESH SURG L6INXW4IN,2613.0,2613.0,391.95,2613.0,30
CDM,200646,MESH SURG HRN SOFT 6X6IN,2264.0,2264.0,339.6,2264.0,30
CDM,200647,MESH SURG PRLN 4X1.8IN,2650.0,2650.0,397.5,2650.0,30
CDM,200648,MESH SURG 4X1.8IN,1233.0,1233.0,184.95,1233.0,30
CDM,200649,MESH SURG MDKGL5X3IN HRN,2934.0,2934.0,440.1,2934.0,30
CDM,200650,MESH HERNIA SM CRC 1.7IN,3721.0,3721.0,558.15,3721.0,30
CDM,200651,MESH HERNIA MED 6.4CM,4235.0,4235.0,635.25,4235.0,30
CDM,200652,MESH CIR LRG WSTRP 3.2IN,4429.0,4429.0,664.35,4429.0,30
CDM,200664,SCREW BN 2.5X9MM,988.0,988.0,148.2,988.0,30
CDM,200667,PLATE LK STNL 6 HL 2.0MM,3012.0,3012.0,451.8,3012.0,30
CDM,200670,PLATE STRNL 4HL STR 33X2,3494.0,3494.0,524.1,3494.0,30
CDM,200672,PLATE BN RT 26HL 2X190MM,7152.0,7152.0,1072.8,7152.0,30
CDM,200674,PLATE STRNL 20HL STR 1.0,4429.0,4429.0,664.35,4429.0,30
CDM,200677,STEM HUM SHLDR RT 8.5MM,11516.0,11516.0,1727.4,11516.0,30
CDM,200678,SET INCS FSCA 18GA 5CM,436.5,436.5,65.47,436.5,42
CDM,200679,STEM FEM 17MM OFST 12/14,8858.0,8858.0,1328.7,8858.0,30
CDM,200680,HEAD FEM HIP BIP 54MM,4252.0,4252.0,637.8,4252.0,30
CDM,200681,STEM BN 9MM 6MM,5196.0,5196.0,779.4,5196.0,30
CDM,200682,ROD SPN 4.5MM 200MM,2711.0,2711.0,406.65,2711.0,30
CDM,200683,SCREW 6.5MM 30MM XIA TI,4429.0,4429.0,664.35,4429.0,30
CDM,200684,NAIL TIB 10MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,200687,ROD SPNL TI 45MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,200688,CMPNT KNEE FEM SZG/LT,8416.0,8416.0,1262.4,8416.0,30
CDM,200689,CMPNT PTLR MIC 10X35MM,4428.0,4428.0,664.2,4428.0,30
CDM,200690,SCREW BN 3.8MM 20MM,2663.0,2663.0,399.45,2663.0,30
CDM,200693,SCREW BN 3.8MM 23MM,2663.0,2663.0,399.45,2663.0,30
CDM,200694,SCREW BN 3.8MM 26MM,2663.0,2663.0,399.45,2663.0,30
CDM,200695,SCREW BN 3.8MM 38MM,2655.0,2655.0,398.25,2655.0,30
CDM,200696,SCREW BN 3.8MM 41MM,2663.0,2663.0,399.45,2663.0,30
CDM,200697,SCREW SPN 6MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,200698,SCREW SPN 5.5/6MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,200700,GRAFT CV 20MM 60CM,3189.0,3189.0,478.35,3189.0,30
CDM,200701,HEAD FEM HIP -4MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,200702,STEM FEM HIP 6276-1-027,13476.0,13476.0,2021.4,13476.0,30
CDM,200703,STEM FEM HIP 15MM 155MM,8674.0,8674.0,1301.1,8674.0,30
CDM,200704,INSERT TRIATHON TIB 811,4606.0,4606.0,690.9,4606.0,30
CDM,200705,COMP 7 RT KN GNSIS2 NPOR,9744.0,9744.0,1461.6,9744.0,30
CDM,200706,HEAD FEMORAL 50MM BHR,22588.0,22588.0,3388.2,22588.0,30
CDM,200707,SHTH INT 20FR 7.5X 6.8MM,2415.0,2415.0,362.25,2415.0,42
CDM,200709,CMPNT KN PTLR IDUO LT G2,19045.0,19045.0,2856.75,19045.0,30
CDM,200710,IMPLANT ORBT IDUO G2 RT,19488.0,19488.0,2923.2,19488.0,30
CDM,200711,COMPONENT PTLR 35X8MM,2126.0,2126.0,318.9,2126.0,30
CDM,200712,COMPONENT PTLR 38X9MM,2126.0,2126.0,318.9,2126.0,30
CDM,200713,SUTURE VIOL MON+3-0 27IN,47.0,47.0,7.05,47.0,42
CDM,200716,SCREW BN 11MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,200717,ROD SPNL TI 80MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,200720,SCREW BN 6.5X40X16MM,2974.0,2974.0,446.1,2974.0,30
CDM,200721,SUTURE UND BRD +4-0 27IN,39.5,39.5,5.92,39.5,42
CDM,200722,SUTURE VIOL MON +1 36IN,53.0,53.0,7.95,53.0,42
CDM,200723,SUTURE VIOL MON+2-0 27IN,46.0,46.0,6.9,46.0,42
CDM,200728,SCREW BN 2.7MM 18MM,926.0,926.0,138.9,926.0,30
CDM,200729,KWIRE FX 1.6MM 200MM,435.5,435.5,65.33,435.5,42
CDM,200730,IMPLANT BN STAPLE FX 0D,5365.0,5365.0,804.75,5365.0,30
CDM,200732,PLATE BN STRNL 14MM,4806.0,4806.0,720.9,4806.0,30
CDM,200734,CEMENT BN PMMA FULL DOSE,3189.0,3189.0,478.35,3189.0,30
CDM,200739,CANNULA AOR TCONN21X37.6,773.0,773.0,115.95,773.0,42
CDM,200741,SUTURE VIOL BRD+3-0 27IN,31.0,31.0,4.65,31.0,42
CDM,200742,SUTURE CT-1 2-0 1X27IN,51.0,51.0,7.65,51.0,42
CDM,200745,SUTURE UND BRD +5-0 18IN,86.0,86.0,12.9,86.0,42
CDM,200748,SUTURE ANBCTRL +5-0 18IN,84.5,84.5,12.68,84.5,42
CDM,200750,SUTURE VIOL BRD +0 27IN,31.5,31.5,4.72,31.5,42
CDM,200751,SUTURE CT-2 1 8X18IN,221.0,221.0,33.15,221.0,42
CDM,200758,SCREW BN 2MM 28MM,2859.0,2859.0,428.85,2859.0,30
CDM,200759,NAIL GAMMA 360 120 LT,8522.0,8522.0,1278.3,8522.0,30
CDM,200760,PLATE BN LT 11H 3.5MM,6860.0,6860.0,1029.0,6860.0,30
CDM,200764,GRFT CV HEMAGARD 14X7MM,3721.0,3721.0,558.15,3721.0,30
CDM,200767,SUTURE GRN BRD 0 36IN,72.5,72.5,10.88,72.5,42
CDM,200768,GRAFT CV 12X6MM 50CM,3721.0,3721.0,558.15,3721.0,30
CDM,200769,PROSTH PENL PUMP IP 12CM,37519.0,37519.0,5627.85,37519.0,30
CDM,200771,FIBULA SEGMENT 19-20MM,3012.0,3012.0,451.8,3012.0,30
CDM,200776,GRAFT CV 10MM 40CM,3189.0,3189.0,478.35,3189.0,30
CDM,200791,GRAFT ST TISS 50CM .49MM,3721.0,3721.0,558.15,3721.0,30
CDM,200796,GRAFT VASC 45CM 4-7MM,5829.0,5829.0,874.35,5829.0,30
CDM,200797,GRAFT VASC 50CM 7MM,8283.0,8283.0,1242.45,8283.0,30
CDM,200798,GRAFT VASC THIN 80CM 7MM,12738.0,12738.0,1910.7,12738.0,30
CDM,200799,MESH HRN 3.4X2.5,3189.0,3189.0,478.35,3189.0,30
CDM,200800,MESH HRN 3.9X3.3CM,3189.0,3189.0,478.35,3189.0,30
CDM,200801,MESH HRN 4.8CM 4.1CM,3189.0,3189.0,478.35,3189.0,30
CDM,200802,MESH HRN 1IN 2IN,3189.0,3189.0,478.35,3189.0,30
CDM,200806,VALVE SHUNT SYS REG,18425.0,18425.0,2763.75,18425.0,30
CDM,200807,SPACER FEM HIP INTSPC 54,12913.0,12913.0,1936.95,12913.0,30
CDM,200808,COMPNT FEM NONPO NT,7530.0,7530.0,1129.5,7530.0,30
CDM,200809,SCREW T15 LCK DRV 4X75MM,1961.0,1961.0,294.15,1961.0,30
CDM,200810,PLATE BN LT 3HL 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,200814,HEAD FEM CERM HIP+3.5X36,4606.0,4606.0,690.9,4606.0,30
CDM,200815,STEM FEM RDC FLR 135X31,8416.0,8416.0,1262.4,8416.0,30
CDM,200816,PLATE SPN 76X16X2.5MM,5094.0,5094.0,764.1,5094.0,30
CDM,200817,SCREW SET TI SPIN,1356.0,1356.0,203.4,1356.0,30
CDM,200818,HEAD FEM HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,200819,STEM FEM HIP 235MM 19MM,13522.0,13522.0,2028.3,13522.0,30
CDM,200820,STEM FEM +30X27MM,16042.0,16042.0,2406.3,16042.0,30
CDM,200821,STEM FEM HIP 12/14 SZ10,8416.0,8416.0,1262.4,8416.0,30
CDM,200822,GRAFT CV 6MM 40CM,9340.0,9340.0,1401.0,9340.0,30
CDM,200823,SCREW BN 7.3MM 5MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,200824,STEM CMNT 12X50MM,4606.0,4606.0,690.9,4606.0,30
CDM,200825,CAGE SPNL 12MM 17-23MM,20138.0,20138.0,3020.7,20138.0,30
CDM,200826,ENDCAP SPN 14MM 16MM,5168.0,5168.0,775.2,5168.0,30
CDM,200827,ENDCAP SPN W/LCK SCREW,3012.0,3012.0,451.8,3012.0,30
CDM,200828,HEAD FEM+15.5MM 12/14,4606.0,4606.0,690.9,4606.0,30
CDM,200829,GRAFT BN CHP 1-4MM 30CC,3012.0,3012.0,451.8,3012.0,30
CDM,200830,GRAFT BN DBM 1ML,1506.0,1506.0,225.9,1506.0,30
CDM,200831,ALLOGRAFT FIB 12-12X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,200832,SCREW BN 2.7MM 14MM,652.0,652.0,97.8,652.0,30
CDM,200833,SCREW BN 3.5X2.9X16MM,1852.0,1852.0,277.8,1852.0,30
CDM,200834,GRAFT BN BIO 15CC,2636.0,2636.0,395.4,2636.0,30
CDM,200835,SCREW BN 5.5MM 25MM 4.5M,4429.0,4429.0,664.35,4429.0,30
CDM,200836,SCREW BN 5.5MM 30MM 4.5M,4429.0,4429.0,664.35,4429.0,30
CDM,200837,NAIL BN 11.5MM 38CM,9050.0,9050.0,1357.5,9050.0,30
CDM,200839,KWIRE FX 2MM 285MM,197.5,197.5,29.63,197.5,42
CDM,200840,SCREW BN 5MM 65MM,1818.0,1818.0,272.7,1818.0,30
CDM,200841,SCREW BN 5MM 46MM,2111.0,2111.0,316.65,2111.0,30
CDM,200842,SCREW BN 5MM 70MM,1818.0,1818.0,272.7,1818.0,30
CDM,200843,SCREW BN 5MM 34MM,2111.0,2111.0,316.65,2111.0,30
CDM,200844,STENT TRCHBR 12MM 30MMM,9301.0,9301.0,1395.15,9301.0,30
CDM,200845,SUTURE VIOL MON 2-0 27IN,46.5,46.5,6.97,46.5,42
CDM,201003,ROD CONN SPN 0D,3012.0,3012.0,451.8,3012.0,30
CDM,201005,SCREW SPN 7.5MM 50MM,3198.0,3198.0,479.7,3198.0,30
CDM,201006,CONNECTOR SPN SM,3012.0,3012.0,451.8,3012.0,30
CDM,201007,SET SCREW SPINAL,1506.0,1506.0,225.9,1506.0,30
CDM,201008,SCREW BN 5.5MM50MM TSRH,3198.0,3198.0,479.7,3198.0,30
CDM,201009,ROD SPN CONN MED 8351521,3012.0,3012.0,451.8,3012.0,30
CDM,201012,ROD SPN CONN LG,3012.0,3012.0,451.8,3012.0,30
CDM,201018,SCREW BN SPNL 6.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,201020,PLATE DIST FEM 13H 316MM,7909.0,7909.0,1186.35,7909.0,30
CDM,201021,SCREW TT LCK SELFDRILL 5,2906.0,2906.0,435.9,2906.0,30
CDM,201023,ROD SPN SYS 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
CDM,201024,ROD SPNL 55X5.5MM MS,2711.0,2711.0,406.65,2711.0,30
CDM,201025,INSERT TIB KN SZ7-8 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,201027,SCREW BN CORT 3.5MM 16MM,1654.0,1654.0,248.1,1654.0,30
CDM,201028,SCREW BN CORT 3.5MM 20MM,1654.0,1654.0,248.1,1654.0,30
CDM,201029,SCREW BN CORT 3.5MM 24MM,1260.0,1260.0,189.0,1260.0,30
CDM,201030,BIT DRILL DISP 4.0MM,1248.5,1248.5,187.28,1248.5,42
CDM,201031,BIT DRILL CANN 4.5MM,1248.5,1248.5,187.28,1248.5,42
CDM,201032,PLATE 25-35MM BN OCPTL,11737.0,11737.0,1760.55,11737.0,30
CDM,201033,SCREW BN SPNL VAR 16X4MM,3012.0,3012.0,451.8,3012.0,30
CDM,201034,SCREW SPN 6.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,201035,SCREW 6.5MM 40MM TSRH TH,3012.0,3012.0,451.8,3012.0,30
CDM,201036,SCREW BN 4MM 14MM,319.0,319.0,47.85,319.0,30
CDM,201037,SCREW BN 4X10MM,319.0,319.0,47.85,319.0,30
CDM,201038,SCREW BN 4MM 16MM,319.0,319.0,47.85,319.0,30
CDM,201040,CAGE SPN 34X24X14MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,201041,GFT BNE STRP 4MAGFT 2,5271.0,5271.0,790.65,5271.0,30
CDM,201042,GRAFT SUB BN GRNL 20CC,10258.0,10258.0,1538.7,10258.0,30
CDM,201044,SCREW SPN FACET 4.5X25MM,4651.0,4651.0,697.65,4651.0,30
CDM,201045,PLATE BN 6H 0.4MM 18MM,3189.0,3189.0,478.35,3189.0,30
CDM,201046,PLATE BN CRNMXF 2HL 12MM,949.0,949.0,142.35,949.0,30
CDM,201047,PLATE SPN 3LVL 45MM,4872.0,4872.0,730.8,4872.0,30
CDM,201049,SCREW SPN 6.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,201051,CAGE SPN PEEK 50X18X12IN,17716.0,17716.0,2657.4,17716.0,30
CDM,201053,PLATE BN 2HL 2.4X27MM,4429.0,4429.0,664.35,4429.0,30
CDM,201054,SCREW BN 2.7MM 24MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,201055,SCREW BN 2.7MM 32MM SS,1883.0,1883.0,282.45,1883.0,30
CDM,201056,SCREW BN 2.7MM 28MM SS,1883.0,1883.0,282.45,1883.0,30
CDM,201057,SPACER SPN PEEK-OPTM 6MM,7562.0,7562.0,1134.3,7562.0,30
CDM,201058,CABLE TRAILNG EKG LD10MM,1637.0,1637.0,245.55,1637.0,42
CDM,201059,BIT DRILL SPNL 12MM,1391.5,1391.5,208.72,1391.5,42
CDM,201062,SCREW SPN 4MM 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,201063,PLATE 68MM 4LVL FLCN BN,5094.0,5094.0,764.1,5094.0,30
CDM,201066,PLATE BN 2.4/2.7MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,201067,PLATE BN 2HL 2.4X2.7MM,4457.0,4457.0,668.55,4457.0,30
CDM,201068,SCREW BN 2.7MM 14MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,201069,SCREW BN S/T LCK2.7X16MM,1636.0,1636.0,245.4,1636.0,30
CDM,201070,SCREW BN 2.7MM 18MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,201071,SCREW BN 2.7MM 20MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,201072,SCREW BN 2.7MM 22MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,201073,SCREW BN 2.7MM 36MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,201074,PLATE BN 12H 2.4MM 2.7MM,7784.0,7784.0,1167.6,7784.0,30
CDM,201075,SCREW BN 2.7MM 5MM 16MM,429.0,429.0,64.35,429.0,30
CDM,201078,CAGE SPN 34X24X12MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,201079,CAGE SPNL SBR 25X13X9,6644.0,6644.0,996.6,6644.0,30
CDM,201080,DEVICE PROS MDL KN UNCMP,16831.0,16831.0,2524.65,16831.0,30
CDM,201081,SPACER SPNL 10MM 2XL,9523.0,9523.0,1428.45,9523.0,30
CDM,201082,SCREW SPN FT 5.2X30MM,5094.0,5094.0,764.1,5094.0,30
CDM,201083,SCREW SPN FT 5.2X25MM,5094.0,5094.0,764.1,5094.0,30
CDM,201084,AUG FEM POST SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,201085,SCREW SPN FT 5.2X35MM,5094.0,5094.0,764.1,5094.0,30
CDM,201086,SCREW SPN FT 5.2X40MM,5094.0,5094.0,764.1,5094.0,30
CDM,201089,SCREW SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,201090,ROD SPNL 5.5MMTI PRBNT,3012.0,3012.0,451.8,3012.0,30
CDM,201091,SCREW SPN 5.5MM 100MM,1356.0,1356.0,203.4,1356.0,30
CDM,201092,COUPLER ANSTM 3MM,3189.0,3189.0,478.35,3189.0,30
CDM,201093,COUPLER ANSTM 2.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,201094,CLIP HEMOSTATIC SF 2.6MM,165.0,165.0,24.75,165.0,30
CDM,201097,INSERT KN SZ3-4 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,201099,GRAFT EVAS 32MM 96MM,21956.0,21956.0,3293.4,21956.0,30
CDM,201100,GRAFT EVAS 12MM 56MM,11862.0,11862.0,1779.3,11862.0,30
CDM,201101,GRAFT EVAS 16MM 73MM,11862.0,11862.0,1779.3,11862.0,30
CDM,201102,CAGE PEEK CRNT 25X9X10,11959.0,11959.0,1793.85,11959.0,30
CDM,201105,CAGE SPN 26X9X14MM 4D,11959.0,11959.0,1793.85,11959.0,30
CDM,201106,SPACER SPNL 30X11X14MM,13287.0,13287.0,1993.05,13287.0,30
CDM,201107,PLATE 24MM 1 LVL HLX BN,4429.0,4429.0,664.35,4429.0,30
CDM,201108,SCREW SPN HLX 4X15MM,3012.0,3012.0,451.8,3012.0,30
CDM,201109,SCREW SPN 3.5MM 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,201110,SCREW SPN 3.5MM 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,201111,SCREW BN SPNL 6.5X65MM,4429.0,4429.0,664.35,4429.0,30
CDM,201112,BIT DRILL SS 11MM,2799.5,2799.5,419.93,2799.5,42
CDM,201113,INSERT TIB KN SZ4 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,201114,GWIRE ORTH SXTNT THRD,773.0,773.0,115.95,773.0,42
CDM,201115,SCREW BNE MOUNTAINEER L1,4429.0,4429.0,664.35,4429.0,30
CDM,201116,NAIL BN TIB 10MM 345MM,4429.0,4429.0,664.35,4429.0,30
CDM,201117,TACK SPN TEMPORARY DISP,2668.5,2668.5,400.27,2668.5,42
CDM,201118,SCREW SPN BRKOF TSRH-3DX,1506.0,1506.0,225.9,1506.0,30
CDM,201119,ROD SPN 3.0X5.5 PRE-CUT,2711.0,2711.0,406.65,2711.0,30
CDM,201120,CAGE SPNL XMSH 40-56MM,28789.0,28789.0,4318.35,28789.0,30
CDM,201121,CMPNT HUM HRA900-48/17WW,21539.0,21539.0,3230.85,21539.0,30
CDM,201124,GUIDEPIN ORTHO 3MM,510.0,510.0,76.5,510.0,42
CDM,201126,CAGE SPN 8D 10X11X25MM,11959.0,11959.0,1793.85,11959.0,30
CDM,201129,STEM FEM 12/14 SZ8 160MM,4872.0,4872.0,730.8,4872.0,30
CDM,201131,CMPTN KN PTLR 2 10MM,4252.0,4252.0,637.8,4252.0,30
CDM,201132,CAGE SPNL 12X16MM MED,13287.0,13287.0,1993.05,13287.0,30
CDM,201133,GRAFT BN 106-125MM FIB,3765.0,3765.0,564.75,3765.0,30
CDM,201135,SET SPN MXCESS SHIM DISP,5096.0,5096.0,764.4,5096.0,42
CDM,201136,CAP LCK SRR SPNL IMPL,753.0,753.0,112.95,753.0,30
CDM,201137,SCREW CANC 6.5X20 OPTTRC,1635.0,1635.0,245.25,1635.0,30
CDM,201138,STEM FEM PRSFT XTND OFST,12734.0,12734.0,1910.1,12734.0,30
CDM,201139,PLATE SPN AVTR 3LVL 42MM,4872.0,4872.0,730.8,4872.0,30
CDM,201141,SCREW BN 6.5 60 HL CMPR,3189.0,3189.0,478.35,3189.0,30
CDM,201146,NUT EXFX ORTHO 10MM,3454.5,3454.5,518.17,3454.5,42
CDM,201147,WIRE EXFX 370MM 1.8MM,773.0,773.0,115.95,773.0,42
CDM,201148,BOLT EXT FX CIRC,734.5,734.5,110.17,734.5,42
CDM,201152,PIN HALF EXFX 5.0MM 35MM,1634.5,1634.5,245.18,1634.5,42
CDM,201157,STRUT EX FX FSTFX CIRC,3033.0,3033.0,454.95,3033.0,42
CDM,201160,SCREW P-AX 5.5X45X5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,201161,SCREW P-AX 5.5X50X4.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,201162,ROD SPN PRBNT 60X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,201164,GRAFT BN OSTEO CELL,3012.0,3012.0,451.8,3012.0,30
CDM,201165,SCREW SPN 6.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,201166,NRSTM IMPL 1.9INX.6IN,57135.0,57135.0,8570.25,57135.0,30
CDM,201168,ROD SPN PRECNTRD 50X3.5,2711.0,2711.0,406.65,2711.0,30
CDM,201169,ROD SPN CHRMLLY 5.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,201171,NAIL BN 8.5MM 34CM,5311.0,5311.0,796.65,5311.0,30
CDM,201172,HEAD HUM 15MM 45MM,6529.0,6529.0,979.35,6529.0,30
CDM,201173,HEAD HUM 130MM 14MM,15729.0,15729.0,2359.35,15729.0,30
CDM,201175,SCREW BN 3.7MM 38MM 25MM,2727.0,2727.0,409.05,2727.0,30
CDM,201176,SCREW BN SPNL 5.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,201181,CAGE SPN 25X11X15MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,201182,SCREW HEAD 40X5.5MM CLAR,4429.0,4429.0,664.35,4429.0,30
CDM,201183,SCREW BN SPNL 6X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,201184,HEAD HUM 26MM 44MM SHLDR,6348.0,6348.0,952.2,6348.0,30
CDM,201185,SCREW SPN FT 5.25X35MM,5094.0,5094.0,764.1,5094.0,30
CDM,201186,SCREW FULL THRD 5.25X40,5094.0,5094.0,764.1,5094.0,30
CDM,201187,SCREW SPN SLFTAP 4.35X12,3012.0,3012.0,451.8,3012.0,30
CDM,201189,PLATE SPN 3LVL 51MM,4872.0,4872.0,730.8,4872.0,30
CDM,201190,SCREW BN 6MM 55MM XPDM,4429.0,4429.0,664.35,4429.0,30
CDM,201191,PLATE BN RT 2HL 112MM,6314.0,6314.0,947.1,6314.0,30
CDM,201193,SCREW CORT S/T 3.5X38MM,341.0,341.0,51.15,341.0,30
CDM,201194,SCREW CORT S/T 3.5X46MM,331.0,331.0,49.65,331.0,30
CDM,201195,SCREW BN CORT 3.5X36MM,414.0,414.0,62.1,414.0,30
CDM,201196,SCREW S/T 4X32MM,1961.0,1961.0,294.15,1961.0,30
CDM,201197,SCREW SS S/T 4X36MM,1961.0,1961.0,294.15,1961.0,30
CDM,201198,SCREW SS S/T 4X34MM,1961.0,1961.0,294.15,1961.0,30
CDM,201199,SCREW BN LCK 4.0X55MM,1906.0,1906.0,285.9,1906.0,30
CDM,201200,SCREW BN LCKNG 4.0X44MM,1961.0,1961.0,294.15,1961.0,30
CDM,201203,SCREW BN P-AX 3.5MM 14MM,4120.0,4120.0,618.0,4120.0,30
CDM,201204,HEAD BIP HIP 28MM 50MM,4252.0,4252.0,637.8,4252.0,30
CDM,201208,SPACER SPN 8D 32X23X12MM,25689.0,25689.0,3853.35,25689.0,30
CDM,201209,SPACER SPNL32X23X12MM12D,19200.0,19200.0,2880.0,19200.0,30
CDM,201210,SCREW BN 6.5X45MM,399.0,399.0,59.85,399.0,30
CDM,201211,SCREW BN 6.5X40MM,399.0,399.0,59.85,399.0,30
CDM,201212,SCREW BN SLFTAP 4.5X42MM,399.0,399.0,59.85,399.0,30
CDM,201214,HEAD HUM SHLDR 27X42MM,4872.0,4872.0,730.8,4872.0,30
CDM,201216,CMPNT KN FEM CMNT RT 5,5980.0,5980.0,897.0,5980.0,30
CDM,201217,SCREW BN 2.3MM 10MM,1744.0,1744.0,261.6,1744.0,30
CDM,201218,PLATE BN 16HL 2.3MM LT,4429.0,4429.0,664.35,4429.0,30
CDM,201219,CONNECTOR ROD SPN CL5.5,3012.0,3012.0,451.8,3012.0,30
CDM,201220,SCREW SPN .25IN 32MM,753.0,753.0,112.95,753.0,30
CDM,201222,LINR ACTB +4MM 64MM,4429.0,4429.0,664.35,4429.0,30
CDM,201223,HEAD FEM -2MM 12/14 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,201224,SCREW BN LOC 42MM 3.7MM,3087.0,3087.0,463.05,3087.0,30
CDM,201226,SCREW SPN 3.5MM 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,201227,BIT DRILL OD 2.9MM,386.5,386.5,57.98,386.5,42
CDM,201228,SCREW BN 4MM 32MM TI,4429.0,4429.0,664.35,4429.0,30
CDM,201229,SCREW BN 4MM 34MM TI CAN,4120.0,4120.0,618.0,4120.0,30
CDM,201232,PLATE SPN 5LV 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,201233,SPACER SPNL 4D 16X6X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,201234,SPACER SPN 16X5MM 4D,4429.0,4429.0,664.35,4429.0,30
CDM,201235,STEM FEM HIP CNTLZ 16MM,1170.0,1170.0,175.5,1170.0,30
CDM,201236,SPACER SPNL 8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,201237,CONN ROD SPN CL5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,201238,SCREW BN SPN 7.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,201240,LINER ACTB HIP 36MM 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,201242,SCREW BN 3.5MM 45MM,670.0,670.0,100.5,670.0,30
CDM,201243,SCREW CORT S/T 3.5X55MM,414.0,414.0,62.1,414.0,30
CDM,201244,PLATE BN ACTB 6HL 70.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,201245,SCREW CORT S/T 3.5X40MM,414.0,414.0,62.1,414.0,30
CDM,201247,SCREW CORT S/T 3.5X60MM,670.0,670.0,100.5,670.0,30
CDM,201248,SCREW BN SPNL 8.5X65MM,4429.0,4429.0,664.35,4429.0,30
CDM,201250,ROD SPNL 3.5X300 SRR,3012.0,3012.0,451.8,3012.0,30
CDM,201251,CAGE SPN CRNT 10X22X50MM,17716.0,17716.0,2657.4,17716.0,30
CDM,201252,SCREW SPN 3 5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,201253,ANCHOR GRYPHON 210813,3189.0,3189.0,478.35,3189.0,30
CDM,201254,BIT DRILL 4.0MM,1768.0,1768.0,265.2,1768.0,42
CDM,201255,SCREW BN 3.5MM 2.4MM 22M,4340.0,4340.0,651.0,4340.0,30
CDM,201256,STEM FEM HIP 135D SZ9,8858.0,8858.0,1328.7,8858.0,30
CDM,201257,PLATE BN 3HL 77MM,3497.0,3497.0,524.55,3497.0,30
CDM,201258,SCREW BN NLCK 3.5X14,1452.0,1452.0,217.8,1452.0,30
CDM,201259,SCREW BN NLCK 3.5X16,1452.0,1452.0,217.8,1452.0,30
CDM,201260,SCREW BN FT LCK 3.5X14,2519.0,2519.0,377.85,2519.0,30
CDM,201261,SCREW BN FT LCK 3.5X16,2519.0,2519.0,377.85,2519.0,30
CDM,201262,SCREW BN NLCK 3.5X12,1276.0,1276.0,191.4,1276.0,30
CDM,201263,SCREW BN NLCK 3.5X18,1022.0,1022.0,153.3,1022.0,30
CDM,201264,BIT DRILL DISP 2.6X122MM,1192.0,1192.0,178.8,1192.0,42
CDM,201265,LINER HUM 42MM +2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,201266,TRAY RVRS HUM +5MM,6644.0,6644.0,996.6,6644.0,30
CDM,201267,LINER ACTB HIP 32MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,201268,STEM FEM HIP 12MM,8416.0,8416.0,1262.4,8416.0,30
CDM,201269,PLATE SPN ANT 2LVL 26MM,4651.0,4651.0,697.65,4651.0,30
CDM,201270,PLATE BN PLVC 4HL 58.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,201271,PLATE BN HIP 10H 154.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,201272,SCREW BN 4.5MM 120MM,358.0,358.0,53.7,358.0,30
CDM,201273,SCREW BN 4.5MM 70MM,368.0,368.0,55.2,368.0,30
CDM,201274,SCREW CORT S/T 3.5X95MM,331.0,331.0,49.65,331.0,30
CDM,201275,SCREW BN 3.5MM 65MM,414.0,414.0,62.1,414.0,30
CDM,201276,SCREW BN CORT 3.5X50MM,341.0,341.0,51.15,341.0,30
CDM,201277,SCREW BN 3.5MM 75MM,379.0,379.0,56.85,379.0,30
CDM,201278,SCREW CORT S/T 3.5X70MM,414.0,414.0,62.1,414.0,30
CDM,201281,ROD SPN 90D,3012.0,3012.0,451.8,3012.0,30
CDM,201282,PLATE SPN 3LVL 44MM,4872.0,4872.0,730.8,4872.0,30
CDM,201283,HEAD HUM SHRT 38MM,6808.0,6808.0,1021.2,6808.0,30
CDM,201285,SCREW BN SPN 6MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,201288,HEAD BIP HIP 44X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,201291,STEM HUM 8MM,19444.0,19444.0,2916.6,19444.0,30
CDM,201292,NECK HUM SHLDR NTRL,4252.0,4252.0,637.8,4252.0,30
CDM,201293,HEAD HUM SHLDR 46X24MM,7663.0,7663.0,1149.45,7663.0,30
CDM,201294,ROD SPN 80MM 48239080,2711.0,2711.0,406.65,2711.0,30
CDM,201295,LINER ACTB HIP 36X52MM,4429.0,4429.0,664.35,4429.0,30
CDM,201296,BLADE SPNL DISP 6.5MM,4385.5,4385.5,657.83,4385.5,42
CDM,201297,MESH SURG SPN KN 18X15MM,19931.0,19931.0,2989.65,19931.0,30
CDM,201298,GDPIN ORTH 2.4MM 508MM,773.0,773.0,115.95,773.0,42
CDM,201299,INTRODUCER SHTH 11GA 15C,1023.5,1023.5,153.53,1023.5,42
CDM,201302,ELLOUS 1-4MM 30CC LYO,3012.0,3012.0,451.8,3012.0,30
CDM,201303,ROD SPN 4.75MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,201304,ROD PRE BENT 4.75 110,3012.0,3012.0,451.8,3012.0,30
CDM,201305,SCREW SET BRKOFF 4.75IN,1506.0,1506.0,225.9,1506.0,30
CDM,201306,CMPNT FEM KN RT SZ6,6312.0,6312.0,946.8,6312.0,30
CDM,201307,INSR GNS SZ5-6 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,201308,SCREW FACET 5.25MM X30MM,4651.0,4651.0,697.65,4651.0,30
CDM,201309,SCREW SPN 4MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,201312,HEAD FEM HIP 28MM -3.5MM,4252.0,4252.0,637.8,4252.0,30
CDM,201313,STEM FEM 15MM COLR PRFCT,8858.0,8858.0,1328.7,8858.0,30
CDM,201314,STEM FEM HIP COLR 160X14,8858.0,8858.0,1328.7,8858.0,30
CDM,201315,PLATE BN SPNE 22MM 2 LVL,4872.0,4872.0,730.8,4872.0,30
CDM,201316,PROSTHESIS KNEE UNCOATED,5736.0,5736.0,860.4,5736.0,30
CDM,201317,COMPNT GLND PEG 38MM,9390.0,9390.0,1408.5,9390.0,30
CDM,201318,STEM HUM 12MM,19444.0,19444.0,2916.6,19444.0,30
CDM,201322,SPACER SPNL 4D 16X7X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,201323,SPACER SPNL 6D 14X8X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,201324,PLATE 48MM 3 LVL FLCN BN,4429.0,4429.0,664.35,4429.0,30
CDM,201325,SCREW SPN 4.5MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,201327,SCREW BN LOC CANN 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,201328,SCREW BN 3.7MM 52MM,3105.0,3105.0,465.75,3105.0,30
CDM,201329,SCREW BN 3.7MM 54MM,3105.0,3105.0,465.75,3105.0,30
CDM,201330,SCREW BN 4MM 25MM MTRX T,4247.0,4247.0,637.05,4247.0,30
CDM,201331,CAGE SPN L27XW9XH CONC,9667.0,9667.0,1450.05,9667.0,30
CDM,201332,SCREW BN 4MM 30MM MTRX T,4247.0,4247.0,637.05,4247.0,30
CDM,201333,BLADE HLCL 11X100MM,3721.0,3721.0,558.15,3721.0,30
CDM,201334,CAGE PEEK CRNT 25X11X14,11959.0,11959.0,1793.85,11959.0,30
CDM,201335,ROD SPN 450MM 5.5MM TSR,3012.0,3012.0,451.8,3012.0,30
CDM,201336,CAGE SPN 25X9X13MM 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,201337,SCREW BN 4.3MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,201338,SCREW BN 3.5MM 38MM,399.0,399.0,59.85,399.0,30
CDM,201340,NAIL GMA3 RT 125X40X11,8522.0,8522.0,1278.3,8522.0,30
CDM,201341,NAIL GMA3 LT 130X34X11,8522.0,8522.0,1278.3,8522.0,30
CDM,201342,GRAFT BN CA 9X14X11,4429.0,4429.0,664.35,4429.0,30
CDM,201343,PLATE CSPN AVTR 54MM3LVL,4872.0,4872.0,730.8,4872.0,30
CDM,201347,ROD SPN 6MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,201348,PLATE SPN THORC NONCM 2,13287.0,13287.0,1993.05,13287.0,30
CDM,201349,SCREW THOR STANDARD,3012.0,3012.0,451.8,3012.0,30
CDM,201351,STEM HUM SHLDR RT 6.5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,201352,ROD SPNL 60MM 4MM TI CRV,3287.0,3287.0,493.05,3287.0,30
CDM,201353,SCREW BN 4MM 2.4MM 24MM,4120.0,4120.0,618.0,4120.0,30
CDM,201358,SCREW BN 3.5MM 100MM,331.0,331.0,49.65,331.0,30
CDM,201359,SCREW BN 3.5X110MM,331.0,331.0,49.65,331.0,30
CDM,201360,SCREW BN 3.5MM 120MM,331.0,331.0,49.65,331.0,30
CDM,201361,PLATE 64MM 4LVL FLCN BN,5537.0,5537.0,830.55,5537.0,30
CDM,201362,GRAFT BN CAN 15CC 1-4MM,3012.0,3012.0,451.8,3012.0,30
CDM,201363,IMPLANT BREAST 360CC,4309.0,4309.0,646.35,4309.0,30
CDM,201364,CHIP CANC 1-4MM 30CC,3012.0,3012.0,451.8,3012.0,30
CDM,201365,ELLOUS 1-4MM 60CC LYO,4429.0,4429.0,664.35,4429.0,30
CDM,201366,SCREW BN SPNL 7.5X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,201368,CAGE SPN 34X24X18MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,201371,PROBE EMG STM HNDPC NV M,1432.5,1432.5,214.88,1432.5,42
CDM,201372,PLATE BN 7H 97MM,2356.0,2356.0,353.4,2356.0,30
CDM,201373,PLATE LCK CMPR 12H 162MM,2792.0,2792.0,418.8,2792.0,30
CDM,201374,SCREW S/T 4X40MM,1961.0,1961.0,294.15,1961.0,30
CDM,201377,BIT DRILL 4.0MM 200MM,1023.5,1023.5,153.53,1023.5,42
CDM,201379,PIN HLF APX SS 90X4X30MM,1073.0,1073.0,160.95,1073.0,42
CDM,201380,PIN HALF SLFDRL 5X180MM,1023.5,1023.5,153.53,1023.5,42
CDM,201382,STEM FEM PRST XTND OFST,12734.0,12734.0,1910.1,12734.0,30
CDM,201383,BOLT SPNL 40MM 5.75MM LC,3012.0,3012.0,451.8,3012.0,30
CDM,201384,SCREW BN 3.7X34MM,3105.0,3105.0,465.75,3105.0,30
CDM,201387,CAGE SPN 26X9X12MM 4D,13287.0,13287.0,1993.05,13287.0,30
CDM,201388,SCREW BN F-T 5MM 54MM,2969.0,2969.0,445.35,2969.0,30
CDM,201390,GRAFT FLIXENE 6X50 25061,5315.0,5315.0,797.25,5315.0,30
CDM,201391,NAIL LT FEM RECN 11X36MM,6412.0,6412.0,961.8,6412.0,30
CDM,201392,SCREW BN LCK F-T6.5X95MM,3189.0,3189.0,478.35,3189.0,30
CDM,201393,SCREW BN 6.5MM 90MM,2631.0,2631.0,394.65,2631.0,30
CDM,201394,SCREW BN SPNL 6.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,201396,SCREW HLX SLFDRL 4X13MM,3012.0,3012.0,451.8,3012.0,30
CDM,201397,PLATE 40MM 1 LVL HLX BN,4651.0,4651.0,697.65,4651.0,30
CDM,201398,PLATE TIB TI 9HOLE LISS,7662.0,7662.0,1149.3,7662.0,30
CDM,201403,PLATE 1 LVL HELIX 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,201405,SPACER SPN CRNT 17X14X5,5758.0,5758.0,863.7,5758.0,30
CDM,201406,CAGE SPNL 15X12X6MM CRNT,4872.0,4872.0,730.8,4872.0,30
CDM,201407,GRAFT BN DBM 10ML,4499.0,4499.0,674.85,4499.0,30
CDM,201408,SCREW BN 10.5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,201410,CUP ACTB HIP 48MM 54MM,8932.0,8932.0,1339.8,8932.0,30
CDM,201411,LINER ACTB HIP 48/32MM,4429.0,4429.0,664.35,4429.0,30
CDM,201412,STEM FEM HIP 135D SZ8,11073.0,11073.0,1660.95,11073.0,30
CDM,201413,SCREW BN LCK 4MM 50MM,2143.0,2143.0,321.45,2143.0,30
CDM,201414,SCREW BN 3.7MM 20MM,3105.0,3105.0,465.75,3105.0,30
CDM,201415,SCREW BN 3.7MM 16MM,3105.0,3105.0,465.75,3105.0,30
CDM,201416,SCREW BN 3.7MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,201417,SCREW BN 3.7X24MM,3105.0,3105.0,465.75,3105.0,30
CDM,201419,CAGE SPN 25X11X9MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,201420,CAGE SPN 8D 11X11X25MM,11959.0,11959.0,1793.85,11959.0,30
CDM,201421,SPACER SPN 39X30X14MM 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,201423,STEM FEM HIP 120MM,6201.0,6201.0,930.15,6201.0,30
CDM,201424,CAGE SPNL 55X22X12MM,19931.0,19931.0,2989.65,19931.0,30
CDM,201425,SCREW SPN P-AX 6.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,201426,ROD SPNL TI 50MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,201427,SCREW BN 5.5MM TT SPNL D,4235.0,4235.0,635.25,4235.0,30
CDM,201428,NAIL HIP IM TRB 10X85MM,14236.0,14236.0,2135.4,14236.0,30
CDM,201429,CUP ACTB HIP 0D 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,201430,SCREW BN SPN 6.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,201431,SCREW BN 6.5MM 45MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,201432,SCREW CMPR 6.5X50X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,201433,SCREW BN 6.5MM 60MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,201434,SCREW LOCK SS,1506.0,1506.0,225.9,1506.0,30
CDM,201435,SCREW SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,201436,SCREW SPN 6.5MM 40MM PAX,4429.0,4429.0,664.35,4429.0,30
CDM,201439,SPACER SPN 26X11X9MM 4D,6644.0,6644.0,996.6,6644.0,30
CDM,201440,SPACR SPN 26X10INX9MM 4D,5980.0,5980.0,897.0,5980.0,30
CDM,201441,CMPNT WRST SM 28.9X9.3MM,5745.0,5745.0,861.75,5745.0,30
CDM,201442,BLADE SAW 14X25.5X0.4MM,191.0,191.0,28.65,191.0,42
CDM,201444,SCREW BN 3.7MM 50MM,3105.0,3105.0,465.75,3105.0,30
CDM,201447,SPACER SPN 39X30X15MM,13287.0,13287.0,1993.05,13287.0,30
CDM,201448,PLATE SPN L3 58MM,6201.0,6201.0,930.15,6201.0,30
CDM,201449,SCREW BN ACF 4X13MM S/T,3012.0,3012.0,451.8,3012.0,30
CDM,201450,CAGE SPN 34X24X20MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,201451,GRAFT CV 14MM 60CM,3189.0,3189.0,478.35,3189.0,30
CDM,201457,SCREW BN SPN 5.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,201458,SCREW BN SPN 5MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,201459,SCREW BN SPN 5MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,201460,SCREW BN SPN 5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,201461,SCREW BN SPN 5.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,201462,SCREW BN SPN 5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,201463,BIT DRILL 13MM,2136.5,2136.5,320.48,2136.5,42
CDM,201465,HEAD FEM HIP +0MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,201466,PLATE BN LT 2.4/2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,201467,SCREW BN 3MM 25MM,3189.0,3189.0,478.35,3189.0,30
CDM,201469,HEAD FEM +1.5MM 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,201470,CAGE SPN 26X9X11MM 4D,13287.0,13287.0,1993.05,13287.0,30
CDM,201471,CAGE SPN 10D 8X18X50MM,17716.0,17716.0,2657.4,17716.0,30
CDM,201472,GRAFT BN CANC 15CC4-10MM,3012.0,3012.0,451.8,3012.0,30
CDM,201473,CAGE SPN 45X18X10MM 10D,19931.0,19931.0,2989.65,19931.0,30
CDM,201474,SCREW SPN 5.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,201475,SCREW BN 8.5MM 80MM LGC,4247.0,4247.0,637.05,4247.0,30
CDM,201476,PLATE 34MM TI 4.75MM,3765.0,3765.0,564.75,3765.0,30
CDM,201477,SCREW TI 6MM 2MM MINI MN,675.0,675.0,101.25,675.0,30
CDM,201478,PLATE BN 6H 3.5MM 158MM,6173.0,6173.0,925.95,6173.0,30
CDM,201482,GRAFT CV 16X9MM 40CM,3721.0,3721.0,558.15,3721.0,30
CDM,201483,SPACER SPN 36X28X17MM 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,201484,CAGE SPNL 16MM 5D SM,13287.0,13287.0,1993.05,13287.0,30
CDM,201485,IMPLANT FX 3.5MM FRHD EY,4061.0,4061.0,609.15,4061.0,30
CDM,201489,COMPNT PTLR KN 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,201491,SURFACE ARTC SZ5-6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,201495,STEM HIP 12/14 14MM,8416.0,8416.0,1262.4,8416.0,30
CDM,201496,HEAD FEM -3/5MM 12/14 32,4606.0,4606.0,690.9,4606.0,30
CDM,201498,CAGE SPNL 55X12MM 10D XL,19931.0,19931.0,2989.65,19931.0,30
CDM,201499,SCREW SPN 5.5MM 50MM,4872.0,4872.0,730.8,4872.0,30
CDM,201500,SCREW SPN 5.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,201501,GRAFT EVAS 18MM 90MM,11862.0,11862.0,1779.3,11862.0,30
CDM,201502,PLATE BN SPNE 20MM 2 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,201504,CANN PRFSN 14IN 20FR VNS,421.5,421.5,63.23,421.5,42
CDM,201505,GRAFT STENT 16-16X174MM,21813.0,21813.0,3271.95,21813.0,30
CDM,201506,GFT STNT 23X70MM 18FR,33107.0,33107.0,4966.05,33107.0,30
CDM,201509,SPACER SPN 26X12X9MM 4D,6644.0,6644.0,996.6,6644.0,30
CDM,201510,SHELL ACTB 25 60MM 3H,4606.0,4606.0,690.9,4606.0,30
CDM,201511,SCREW BN 6.5MM 15MM,877.0,877.0,131.55,877.0,30
CDM,201512,SCREW BN 6.5MM 40MM,877.0,877.0,131.55,877.0,30
CDM,201513,LINER ACETAB EP-107925,4606.0,4606.0,690.9,4606.0,30
CDM,201514,INSERT ACTB HIP 0D 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,201515,CMPNT PATELLAR 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,201516,PIN HDLSS 3.2MM 75MM,1023.5,1023.5,153.53,1023.5,42
CDM,201517,SCREW TEMP 3.5X33MM,773.0,773.0,115.95,773.0,42
CDM,201518,CMPNT ANK LT LG 38X35MM,20524.0,20524.0,3078.6,20524.0,30
CDM,201519,BLADE IM TI 90MM TROCANT,3721.0,3721.0,558.15,3721.0,30
CDM,201520,BEARING MBL PRIM UHMW7MM,5169.0,5169.0,775.35,5169.0,30
CDM,201525,BLADE SAW 75X8X1MM OSC H,1023.5,1023.5,153.53,1023.5,42
CDM,201526,BLADE OSC HUB 70X8X1.27,972.5,972.5,145.88,972.5,42
CDM,201527,INSERT ARTC KN SZ5-6 13,4429.0,4429.0,664.35,4429.0,30
CDM,201529,SPACER SPN 10X12X32MM,13287.0,13287.0,1993.05,13287.0,30
CDM,201530,SURFACE ARTC YLW 66X42MM,4606.0,4606.0,690.9,4606.0,30
CDM,201531,COMPONENT TIB 45X33.5MM,17933.0,17933.0,2689.95,17933.0,30
CDM,201532,CMPNT FEM KN LT E,7530.0,7530.0,1129.5,7530.0,30
CDM,201534,HEAD FEM -2MM 12/14,4606.0,4606.0,690.9,4606.0,30
CDM,201537,SCREW BN 4.5MM 80MM,469.0,469.0,70.35,469.0,30
CDM,201539,SCREW BN 3.5MM 70MM,270.0,270.0,40.5,270.0,30
CDM,201540,PROSTHESIS KNEE UNCOATED,5736.0,5736.0,860.4,5736.0,30
CDM,201542,SPACER SPN 50X22X12MM,19931.0,19931.0,2989.65,19931.0,30
CDM,201543,SCREW SPN 5MM 25MM GFT,3012.0,3012.0,451.8,3012.0,30
CDM,201546,PLATE 25-35MM BN OCPTL,11737.0,11737.0,1760.55,11737.0,30
CDM,201548,SCREW SPN 6.5MM 30MM,1130.0,1130.0,169.5,1130.0,30
CDM,201549,GRAFT BN FEM ALGRF FRZ,4429.0,4429.0,664.35,4429.0,30
CDM,201552,PLATE 68MM SPNE,26431.0,26431.0,3964.65,26431.0,30
CDM,201553,SCREW SPN 6MM 31MM,3012.0,3012.0,451.8,3012.0,30
CDM,201554,CAGE SPNL 37MM 22MM VLFT,28681.0,28681.0,4302.15,28681.0,30
CDM,201555,END CAP SPNL 22MM,3012.0,3012.0,451.8,3012.0,30
CDM,201556,ENDCAP SPNL 8D 48291228,3012.0,3012.0,451.8,3012.0,30
CDM,201557,COMPNT PTLA KN 32X8.5MM,4252.0,4252.0,637.8,4252.0,30
CDM,201558,FEM NEXGEN SZE LT NEG,9744.0,9744.0,1461.6,9744.0,30
CDM,201559,SCREW FACET 5.25MMX40MM,4651.0,4651.0,697.65,4651.0,30
CDM,201561,NAIL TIB MT-NL IM 10X36,5311.0,5311.0,796.65,5311.0,30
CDM,201562,SCREW BN 5MM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,201563,SCREW CANC 6.5X90,689.0,689.0,103.35,689.0,30
CDM,201564,PLATE BN 5.2X17.5X242MM,7439.0,7439.0,1115.85,7439.0,30
CDM,201566,SCREW SPN 4MM 13MM,1506.0,1506.0,225.9,1506.0,30
CDM,201568,DISC INTVRTB SPN MED 5MM,17469.0,17469.0,2620.35,17469.0,30
CDM,201569,TIP IMPLANT INSERTER 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,201572,INSERT ARTC 5-6 C-D 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,201573,SPACER SPN LMBR32X11X10,13287.0,13287.0,1993.05,13287.0,30
CDM,201575,PLATE 25-35MM BN OCPTL,3012.0,3012.0,451.8,3012.0,30
CDM,201577,SCREW BN 12X3.5 VUEPOINT,4429.0,4429.0,664.35,4429.0,30
CDM,201578,SCREW SPN MP-AXL 3.5X14,4429.0,4429.0,664.35,4429.0,30
CDM,201579,SCREW SPN 3.5MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,201580,SCREW SPN 4.5MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,201581,SCREW SPN 4.5MM 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,201582,ROD CONN VUEPNT 120X3.5,2711.0,2711.0,406.65,2711.0,30
CDM,201583,SCREW LMNR HOOK CERV FSN,1356.0,1356.0,203.4,1356.0,30
CDM,201584,BIT DRILL 2.05MM,3225.0,3225.0,483.75,3225.0,42
CDM,201585,PLATE SPN KEEL 35MM,13159.0,13159.0,1973.85,13159.0,30
CDM,201586,CONN SPN FX 34MM CROSS,3765.0,3765.0,564.75,3765.0,30
CDM,201587,TAP STR OCC 4.5MM,2799.5,2799.5,419.93,2799.5,42
CDM,201589,TAP SHAFT 3.5MM,2799.5,2799.5,419.93,2799.5,42
CDM,201590,TAP SHAFT 4.0MM,2799.5,2799.5,419.93,2799.5,42
CDM,201591,SCREW SPN 4MM 16MM PST,4429.0,4429.0,664.35,4429.0,30
CDM,201592,SCREW BN 4.5MM 75MM,368.0,368.0,55.2,368.0,30
CDM,201593,SCREW BN 4.5MM 85MM,368.0,368.0,55.2,368.0,30
CDM,201594,SCREW BN 4.5X90MM,456.0,456.0,68.4,456.0,30
CDM,201596,GRAFT EVAS 22MM 96MM,21956.0,21956.0,3293.4,21956.0,30
CDM,201597,SCREW SPN SET,753.0,753.0,112.95,753.0,30
CDM,201598,SCREW SPN 3.5X12,4429.0,4429.0,664.35,4429.0,30
CDM,201599,ROD SPN 3.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,201600,SCREW BN T25 6X8X56MM,3189.0,3189.0,478.35,3189.0,30
CDM,201601,SCREW BN TI 6X44MM STRDR,3189.0,3189.0,478.35,3189.0,30
CDM,201602,NAIL 15MM 380MM FEM NLX,4460.0,4460.0,669.0,4460.0,30
CDM,201603,SCREW BN T25 6X8X52MM,3189.0,3189.0,478.35,3189.0,30
CDM,201604,CAP END BN NAIL STRL 0MM,2137.0,2137.0,320.55,2137.0,30
CDM,201607,PLATE BN 4HL 4.5MM 175MM,6476.0,6476.0,971.4,6476.0,30
CDM,201608,SCREW BN LCK 7.3MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,201610,SCREW BN 7.3MM 5MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,201611,SCREW SPN 6.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,201612,SCREW SPN 7.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,201613,SCREW BN 7.5MM 50MM SPNL,4247.0,4247.0,637.05,4247.0,30
CDM,201614,SCREW STAR FIRE SET SPN,753.0,753.0,112.95,753.0,30
CDM,201615,SCREW BN SPNL 50-74MM,3765.0,3765.0,564.75,3765.0,30
CDM,201616,CONNECTOR ROD SP 40-54MM,3765.0,3765.0,564.75,3765.0,30
CDM,201617,ANCHOR SUT SZ2 36IN,3189.0,3189.0,478.35,3189.0,30
CDM,201618,PLATE BN 4H 58.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,201619,SCREW BN 4.5MM 54MM,358.0,358.0,53.7,358.0,30
CDM,201621,PIN TEMP FIX 286530000,773.0,773.0,115.95,773.0,42
CDM,201622,BOLT SPNL 50X7.75MM L/T,3012.0,3012.0,451.8,3012.0,30
CDM,201625,LNR ACTB 10DD 48X32,5669.0,5669.0,850.35,5669.0,30
CDM,201626,CAGE SPN 10X22X60MM,19931.0,19931.0,2989.65,19931.0,30
CDM,201627,STUD FX 8.5 KNEE RESURF,4429.0,4429.0,664.35,4429.0,30
CDM,201628,COMP FEM 3.5MM 2.5MM,24559.0,24559.0,3683.85,24559.0,30
CDM,201629,IMPLANT BREAST 500CC,4429.0,4429.0,664.35,4429.0,30
CDM,201630,SCREW BN 4.5MM 50MM,456.0,456.0,68.4,456.0,30
CDM,201631,SCREW BN 3.5MM 65MM,282.0,282.0,42.3,282.0,30
CDM,201632,SCREW BN 3MM 2MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,201633,SCREW LNG THRD HDLSS 22M,3189.0,3189.0,478.35,3189.0,30
CDM,201637,GRAFT EVAS 16MM 90MM,11862.0,11862.0,1779.3,11862.0,30
CDM,201639,PLATE BN 7HL 2.4MM 55MM,4545.0,4545.0,681.75,4545.0,30
CDM,201640,SCREW BN 2.4MM 16MM,1540.0,1540.0,231.0,1540.0,30
CDM,201641,GRAFT ST TIS CLGN 7X4CM,3637.0,3637.0,545.55,3637.0,30
CDM,201642,CAGE SPN 0D 27X9X8MM,9667.0,9667.0,1450.05,9667.0,30
CDM,201643,SCREW BN 3.5X4.5X65MM,456.0,456.0,68.4,456.0,30
CDM,201644,GRAFT BN FEM HD FRZ STRL,4505.0,4505.0,675.75,4505.0,30
CDM,201645,PLATE DIST FEM 9H 236MM,7909.0,7909.0,1186.35,7909.0,30
CDM,201646,GRAFT EVAS 74X24MM 18FR,32521.0,32521.0,4878.15,32521.0,30
CDM,201648,GRAFT EVAS 23-13X166MM,38354.0,38354.0,5753.1,38354.0,30
CDM,201649,CAGE SPNL 11X9MM,6644.0,6644.0,996.6,6644.0,30
CDM,201650,CAGE SPNL 13X11MM,6644.0,6644.0,996.6,6644.0,30
CDM,201651,CAGE SPNL 15X13MM,6644.0,6644.0,996.6,6644.0,30
CDM,201652,SCREW SPN 6.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,201653,PLATE BN 5HL 61MM,4429.0,4429.0,664.35,4429.0,30
CDM,201654,SCREW BN 2.4MM 4MM 14MM,743.0,743.0,111.45,743.0,30
CDM,201655,SCREW BN 2.7MM 5MM 12MM,429.0,429.0,64.35,429.0,30
CDM,201657,GRAFT EVAS 18F 26MM 82MM,21956.0,21956.0,3293.4,21956.0,30
CDM,201659,SCREW BN SPNL 30-34MM,3765.0,3765.0,564.75,3765.0,30
CDM,201660,SCREW SPN FT 4.5X35MM,4651.0,4651.0,697.65,4651.0,30
CDM,201661,DEVICE EXFX 3-4 5MM,2852.5,2852.5,427.88,2852.5,42
CDM,201663,PLATE BN GRIP 6HL 245MM,12158.0,12158.0,1823.7,12158.0,30
CDM,201664,SCREW BN 4.5MM 40MM,463.0,463.0,69.45,463.0,30
CDM,201665,SCREW BN 4.5MM 45MM,463.0,463.0,69.45,463.0,30
CDM,201666,KNIFE BAYONET METRX,2522.0,2522.0,378.3,2522.0,42
CDM,201667,COMP FEM KN LT SZ7,6312.0,6312.0,946.8,6312.0,30
CDM,201668,CMPNT KN PLTR 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,201669,INSERT TIB KN SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,201671,SCREW BN 7.5MM 80MM CD H,4429.0,4429.0,664.35,4429.0,30
CDM,201673,ROD CONN LGCY 7041310,3389.0,3389.0,508.35,3389.0,30
CDM,201674,SCREW BN 3MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,201675,SCREW BN 5.0MM 38MM,2755.0,2755.0,413.25,2755.0,30
CDM,201677,BLADE FIXTN TI L115MM OD,3849.0,3849.0,577.35,3849.0,30
CDM,201679,COIL EMBL 12CM 3MM,3189.0,3189.0,478.35,3189.0,30
CDM,201681,SCREW CENTR-DRIVE MICRO,755.0,755.0,113.25,755.0,30
CDM,201682,PLATE L7MM LNDRF RT,3189.0,3189.0,478.35,3189.0,30
CDM,201683,SCREW BN SPNL 7.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,201684,HEAD FEM HIP 26X49MM,4252.0,4252.0,637.8,4252.0,30
CDM,201685,STEM FEM 14MM COLR PRFT,8858.0,8858.0,1328.7,8858.0,30
CDM,201686,BIT DRILL 3.2MM,921.0,921.0,138.15,921.0,42
CDM,201687,PLATE BN 6HL 2.4MM 54MM,4783.0,4783.0,717.45,4783.0,30
CDM,201688,SCREW BN 2.4MM 18MM,1540.0,1540.0,231.0,1540.0,30
CDM,201690,COMPNT PTLR KN LT SZ4,11516.0,11516.0,1727.4,11516.0,30
CDM,201691,GRAFT SFT TIS NPL 1X.7CM,3437.0,3437.0,515.55,3437.0,30
CDM,201692,SCREW SPN 7.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,201693,PEG BN 2.5MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,201699,BASEPLATE KN RT SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,201700,CMPNT FEM KN RT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,201701,INSERT KN SZ7-8 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,201702,INSERT TIB KN SZ7-8 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,201703,CMPNT FEM KN LT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,201704,HEAD HIP 28MM 42MM,4252.0,4252.0,637.8,4252.0,30
CDM,201705,SCREW BN WRST SNPOF 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,201706,JOINT WRST UHMWPE MED,4606.0,4606.0,690.9,4606.0,30
CDM,201707,CMPNT RADL WRST RT SZMED,17041.0,17041.0,2556.15,17041.0,30
CDM,201711,SCREW SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,201712,SCREW BN 6.5MM 55MM SPNL,4247.0,4247.0,637.05,4247.0,30
CDM,201713,SCREW BN 7.5MM 55MM SPNL,4247.0,4247.0,637.05,4247.0,30
CDM,201716,SCREW BN SPNL 8.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,201717,GRAFT EVAS 28MM 82MM,21956.0,21956.0,3293.4,21956.0,30
CDM,201718,GRAFT EVAS 14MM 90MM,11862.0,11862.0,1779.3,11862.0,30
CDM,201719,CAGE CRNT LRDTC 55X22X10,17716.0,17716.0,2657.4,17716.0,30
CDM,201722,GUIDEWIRE SPN DISP 3MM,386.5,386.5,57.98,386.5,42
CDM,201723,PIN FX SPN 160MM,386.5,386.5,57.98,386.5,42
CDM,201724,STEM FEM HIP 12/14 SZ13,8416.0,8416.0,1262.4,8416.0,30
CDM,201727,PLATE BN PRFL 40MM,22766.0,22766.0,3414.9,22766.0,30
CDM,201728,SCREW BN 6MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,201729,PLATE BN 0HL,8541.0,8541.0,1281.15,8541.0,30
CDM,201730,PLATE BN SHFT LCP LT 7H,8351.0,8351.0,1252.65,8351.0,30
CDM,201731,SCREW BN 2.4MM 24MM,1922.0,1922.0,288.3,1922.0,30
CDM,201732,SCREW BN 2.4MM 26MM,1922.0,1922.0,288.3,1922.0,30
CDM,201733,SCREW BN 2.4MM 28MM,1922.0,1922.0,288.3,1922.0,30
CDM,201734,PLATE 100MM SS 2.7MM SCR,3189.0,3189.0,478.35,3189.0,30
CDM,201736,GFT STNT 16-10X143 14F,18937.0,18937.0,2840.55,18937.0,30
CDM,201737,GRAFT STENT 16-13X174MM,18937.0,18937.0,2840.55,18937.0,30
CDM,201738,CAGE PEEK INTLK 17X14X8,10187.0,10187.0,1528.05,10187.0,30
CDM,201739,SCREW SPN 4.0MM 13MM,3276.0,3276.0,491.4,3276.0,30
CDM,201740,TISSUE SRGSIS 1CMX1.5CM,3437.0,3437.0,515.55,3437.0,30
CDM,201744,SCREW BN SPNL 8.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,201745,PLATE BN 8HL LG LT,4429.0,4429.0,664.35,4429.0,30
CDM,201746,IMPLANT BREAST 225CC,3189.0,3189.0,478.35,3189.0,30
CDM,201747,GRAFT BN SPN 14X30 ALGRF,11627.0,11627.0,1744.05,11627.0,30
CDM,201748,CAGE SPNL XMSH 22-30MM,24615.0,24615.0,3692.25,24615.0,30
CDM,201749,PLATE BN 4HL 89MM,3721.0,3721.0,558.15,3721.0,30
CDM,201750,LINER ACTB HIP 36MM 56MM,4429.0,4429.0,664.35,4429.0,30
CDM,201751,STEM FEM HIP 16.5X240MM,13287.0,13287.0,1993.05,13287.0,30
CDM,201752,PLATE BN 4X6 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,201753,SCREW TI 1.5 12MM,989.0,989.0,148.35,989.0,30
CDM,201754,SCREW BONE TI RECESS 2.0,1180.0,1180.0,177.0,1180.0,30
CDM,201755,SCREW BONE TI ORT 2.0X8,1075.0,1075.0,161.25,1075.0,30
CDM,201756,SCREW BONE TI COR 2.0X10,1180.0,1180.0,177.0,1180.0,30
CDM,201757,LEAD PCNG 35CM,3186.0,3186.0,477.9,3186.0,30
CDM,201758,STEM ULNAR 1 UHEAD ELBOW,16044.0,16044.0,2406.6,16044.0,30
CDM,201759,HEAD ULNAR 2 UHEAD ELBOW,6000.0,6000.0,900.0,6000.0,30
CDM,201760,SCREW BN SPN 5.5MM 35MM,4247.0,4247.0,637.05,4247.0,30
CDM,201761,AUGMENT TIB 31MM 31MM,10641.0,10641.0,1596.15,10641.0,30
CDM,201764,BLOCK AUGMT AXM 70X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,201765,STEM KN FEM 16X180MM AXM,4606.0,4606.0,690.9,4606.0,30
CDM,201766,BSPLT TIB AXM 70MM H,6865.0,6865.0,1029.75,6865.0,30
CDM,201767,COMPNT PTLR 38MM SGL PEG,4252.0,4252.0,637.8,4252.0,30
CDM,201768,INS TIB 70X17MM KN AXM,6644.0,6644.0,996.6,6644.0,30
CDM,201769,STEM FEM HIP 11X145MM,8416.0,8416.0,1262.4,8416.0,30
CDM,201770,REAMER SHFT STRL 8X448MM,1318.0,1318.0,197.7,1318.0,42
CDM,201771,SHELL ACETAB TRDNT 48D,4606.0,4606.0,690.9,4606.0,30
CDM,201772,HEAD FEM HIP +3MM 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,201773,PIN FX EX FIX 5MM 120MM,1324.5,1324.5,198.68,1324.5,42
CDM,201777,SCREW BN 4.5MM 60MM,456.0,456.0,68.4,456.0,30
CDM,201779,MESH HRNIA BIOAB 30X20CM,17429.0,17429.0,2614.35,17429.0,30
CDM,201780,MESH SURG 30X30 ULTRA,3189.0,3189.0,478.35,3189.0,30
CDM,201782,SCREW BN 6.5MM 120MM,756.0,756.0,113.4,756.0,30
CDM,201783,SCREW BN 2MM 22MM,508.0,508.0,76.2,508.0,30
CDM,201787,STEM KN CMNT 15MM 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,201788,BASEPLATE TIB KN SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,201790,SCREW BN TI L55 XPDM SPN,3765.0,3765.0,564.75,3765.0,30
CDM,201791,SCREW SPN 45MM TI SPN,4429.0,4429.0,664.35,4429.0,30
CDM,201792,SCREW SPN 7.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,201793,SET IMPLANT DELIVERY,8902.0,8902.0,1335.3,8902.0,42
CDM,201794,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,201796,STEM FEM 16MM STD CORAIL,8416.0,8416.0,1262.4,8416.0,30
CDM,201798,STEM FEM HIP 14MM,8416.0,8416.0,1262.4,8416.0,30
CDM,201799,STEM FEM HIP CMNTLS 10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,201801,WEDGE KN LLRM SZ5-6 30MM,4677.0,4677.0,701.55,4677.0,30
CDM,201802,STEM FEM KN 12MM 220MM,4606.0,4606.0,690.9,4606.0,30
CDM,201803,SCREW BN SPNL 4.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,201804,PROSTHESIS KNEE UNCOATED,5736.0,5736.0,860.4,5736.0,30
CDM,201805,BASEPLATE TIB KN RT SZ6,15530.0,15530.0,2329.5,15530.0,30
CDM,201806,INSERT KN ARTC 5-6 18MM,10630.0,10630.0,1594.5,10630.0,30
CDM,201807,SHELL ACTB 46MM HIP HMSP,4606.0,4606.0,690.9,4606.0,30
CDM,201808,INSERT ACTB 10D 6.9X28MM,4606.0,4606.0,690.9,4606.0,30
CDM,201809,HEAD FEM HIP +5 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,201810,RING ACTB HIP 56/68MM,3535.0,3535.0,530.25,3535.0,30
CDM,201811,LINER ACTB HIP 56/68MM,5249.0,5249.0,787.35,5249.0,30
CDM,201812,CAGE SPNL 10MM,6644.0,6644.0,996.6,6644.0,30
CDM,201815,PLATE BN RADIUS 10HL,4309.0,4309.0,646.35,4309.0,30
CDM,201816,SCREW SPN 4MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,201817,SCREW BN SPNL 7.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,201818,STEM FEM HIP 11MM 120MM,11073.0,11073.0,1660.95,11073.0,30
CDM,201819,SPACER SPN 45X18X10MM,19931.0,19931.0,2989.65,19931.0,30
CDM,201822,SCREW SPN 4.5MM 25MM,3441.0,3441.0,516.15,3441.0,30
CDM,201823,PLATE DISTAL RADIUS 66MM,4429.0,4429.0,664.35,4429.0,30
CDM,201825,SCREW SPN XIA 4823-1540,4429.0,4429.0,664.35,4429.0,30
CDM,201826,GRAFT EVAS 23-13X166MM,38354.0,38354.0,5753.1,38354.0,30
CDM,201829,SCREW BN 5MM 10MM,2200.0,2200.0,330.0,2200.0,30
CDM,201833,SCREW BN SPNL REDUCTION,4429.0,4429.0,664.35,4429.0,30
CDM,201834,SCREW SPN 3.5MM 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,201835,SCREW SPN 4MM 18MM PST,4429.0,4429.0,664.35,4429.0,30
CDM,201838,CAGE SPN 27X7X9MM,9667.0,9667.0,1450.05,9667.0,30
CDM,201841,CANNULA ENDO 8MM 72MM,383.5,383.5,57.52,383.5,42
CDM,201843,WASHER TI USS 18 - 7MM,377.0,377.0,56.55,377.0,30
CDM,201844,COMPNT FEM NPOR RT KN 4,7087.0,7087.0,1063.05,7087.0,30
CDM,201846,IMPLANT BREAST 480CC,4429.0,4429.0,664.35,4429.0,30
CDM,201847,LINER HIP +4 40MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,201848,PLATE BN ASMBLY SIZE 30,17278.0,17278.0,2591.7,17278.0,30
CDM,201850,LINER HUM SHD 0MM 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,201851,CONNECTOR SPN 5.5X6.35MM,3287.0,3287.0,493.05,3287.0,30
CDM,201852,CONN ROD SPN 5.5X36MM,3765.0,3765.0,564.75,3765.0,30
CDM,201855,CNNCTR ROD 5.5 XPDM CLS,3012.0,3012.0,451.8,3012.0,30
CDM,201856,PLATE OLCRN 3.5 X 86MM R,4429.0,4429.0,664.35,4429.0,30
CDM,201857,NAIL 125D 1040 L,6400.0,6400.0,960.0,6400.0,30
CDM,201858,MOLD SPCR HIP 9X125X43,15113.0,15113.0,2266.95,15113.0,42
CDM,201866,SPACER SPNL 12MM 15D 2XL,9523.0,9523.0,1428.45,9523.0,30
CDM,201867,GFT BIF 25-13X166MM 18FR,38354.0,38354.0,5753.1,38354.0,30
CDM,201868,GRAFT STENT 16-13X174MM,19129.0,19129.0,2869.35,19129.0,30
CDM,201869,INSERT TIB KN 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,201870,SCREW BN 3.5MM 30MM,399.0,399.0,59.85,399.0,30
CDM,201871,PLATE LCP 90X11X2.5 5HL,5256.0,5256.0,788.4,5256.0,30
CDM,201872,SCREW BN 3.5MM 70MM,361.0,361.0,54.15,361.0,30
CDM,201873,SPACER SPNL 15X12X7MM SM,4872.0,4872.0,730.8,4872.0,30
CDM,201874,COMPONENT FEM NONPO SZ2,7087.0,7087.0,1063.05,7087.0,30
CDM,201875,SCREW SPN 4.0MM 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,201876,CMPNT FEM SZ3 LT,7530.0,7530.0,1129.5,7530.0,30
CDM,201877,SCREW BN MICRO 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,201878,SCREW BN MICRO 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,201879,SCREW BN MICRO 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,201880,PLATE BN ULNAR 8HL,4429.0,4429.0,664.35,4429.0,30
CDM,201883,ROD SPN 600MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,201884,CAGE SPN 25X11X13MM 8D,11959.0,11959.0,1793.85,11959.0,30
CDM,201885,SCREW BN SPNL 5.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,201886,HEAD RADL XPLR 10X22MM,4606.0,4606.0,690.9,4606.0,30
CDM,201890,PLATE BN 3.5MM 138MM,4429.0,4429.0,664.35,4429.0,30
CDM,201891,PLATE BN 8HL 94.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,201892,SCREW BN CORT 3.5X34MM,414.0,414.0,62.1,414.0,30
CDM,201893,SCREW BN 3.5MM 2.4MM TI,4120.0,4120.0,618.0,4120.0,30
CDM,201894,SCREW SPN 3.5MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,201895,STEM HIP CMNT SZ7 133MM,6201.0,6201.0,930.15,6201.0,30
CDM,201897,PLATE BN 80X22.4X3.8MM,6857.0,6857.0,1028.55,6857.0,30
CDM,201898,SCREW BN 3.8MM 23MM,2663.0,2663.0,399.45,2663.0,30
CDM,201899,SCREW BN 3.8MM 26MM,2655.0,2655.0,398.25,2655.0,30
CDM,201900,SCREW BN 3.8MM 26MM,2655.0,2655.0,398.25,2655.0,30
CDM,201901,SCREW BN 3.8MM 32MM,2655.0,2655.0,398.25,2655.0,30
CDM,201902,SCREW BN 3.8MM 35MM,2655.0,2655.0,398.25,2655.0,30
CDM,201903,SCREW BN 6.4MM 44MM,3093.0,3093.0,463.95,3093.0,30
CDM,201906,KWIRE FX 1.6MM 150MM,783.0,783.0,117.45,783.0,42
CDM,201907,SYRINGE EQNX ATCH MED,880.5,880.5,132.07,880.5,42
CDM,201908,FUNNEL LAB EQNX CNTRL HL,773.0,773.0,115.95,773.0,42
CDM,201911,INSERT TIB KN 7-8MM 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,201913,KIT INST ARTHSCP DISP,3189.0,3189.0,478.35,3189.0,30
CDM,201914,SHELL ACTB HIP 64MM,4606.0,4606.0,690.9,4606.0,30
CDM,201915,STEM FEM HIP 135D 18MM,8858.0,8858.0,1328.7,8858.0,30
CDM,201917,NAIL 40 X14 456.641S,8024.0,8024.0,1203.6,8024.0,30
CDM,201918,SCREW BONE LOCKING 42X45,2755.0,2755.0,413.25,2755.0,30
CDM,201919,HEAD FEM HIP 52MM,4252.0,4252.0,637.8,4252.0,30
CDM,201920,SCREW SPN 5.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,201921,SCREW BN SPNL 5.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,201922,PIN FX EX FIX 5MM 150MM,1094.0,1094.0,164.1,1094.0,42
CDM,201923,ROD CONN EXFX 300MM 8MM,2810.5,2810.5,421.57,2810.5,42
CDM,201924,ROD CONN MRI EXFX 250X8,2656.5,2656.5,398.48,2656.5,42
CDM,201926,STEM HUM 10MM,15015.0,15015.0,2252.25,15015.0,30
CDM,201927,IMPLANT BREAST 260CC,4429.0,4429.0,664.35,4429.0,30
CDM,201928,SCREW BN SPNL 5.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,201929,SCREW BN SPNL 5.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,201930,SCREW BN SPNL 7.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,201933,STEM FEM HIP SZ6 127MM,6201.0,6201.0,930.15,6201.0,30
CDM,201934,TRAY TIB 5 MOD,9371.0,9371.0,1405.65,9371.0,30
CDM,201935,INSERT TIB KN SZ5 24MM,4606.0,4606.0,690.9,4606.0,30
CDM,201938,STEM FEM HIP SZ2 18MM,8416.0,8416.0,1262.4,8416.0,30
CDM,201939,GRAFT BN FORMAGRAFT 5CC,4429.0,4429.0,664.35,4429.0,30
CDM,201940,SPACER SPN 17X14X7MM,4872.0,4872.0,730.8,4872.0,30
CDM,201941,SCREW BN SPNL 5.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,201942,SCREW BN SPNL 9.5X46MM,4429.0,4429.0,664.35,4429.0,30
CDM,201944,HEAD HUM 16MM 40MM SHLDR,22181.0,22181.0,3327.15,22181.0,30
CDM,201945,SCREW BN 6.5MM 75MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,201946,SCREW BN 6.5MM 80MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,201947,GWIRE 2.8X300MM,773.0,773.0,115.95,773.0,42
CDM,201948,SPACER SPNL 15X12X8MM,11737.0,11737.0,1760.55,11737.0,30
CDM,201949,SCREW SLF-DRILLING VAR B,3012.0,3012.0,451.8,3012.0,30
CDM,201950,COVER LCK 8MM-C SPNE,3012.0,3012.0,451.8,3012.0,30
CDM,201951,SCREW BN 3.5MM 80MM,375.0,375.0,56.25,375.0,30
CDM,201952,BIT DRILL 14MM STRL,1125.5,1125.5,168.82,1125.5,42
CDM,201953,SCREW SPNL DBL LD 4.5X16,3012.0,3012.0,451.8,3012.0,30
CDM,201955,PLATE MED MDFC RT 2X2HL,1633.0,1633.0,244.95,1633.0,30
CDM,201956,PLATE LNG MDFC RT 2X2HL,2041.0,2041.0,306.15,2041.0,30
CDM,201957,SCREW 2.0X7.0 LORNZ,651.0,651.0,97.65,651.0,30
CDM,201958,BIT DRILL TWST 1.5X50MM,1023.5,1023.5,153.53,1023.5,42
CDM,201959,DRILL TWST 1.5 DIA.5,982.5,982.5,147.38,982.5,42
CDM,201961,STEM FEM HIP 15MM 165MM,8416.0,8416.0,1262.4,8416.0,30
CDM,201962,CONE FEM HIP 20X27MM,13476.0,13476.0,2021.4,13476.0,30
CDM,201963,CMPNT ADPT HIP UNV 0MM,1170.0,1170.0,175.5,1170.0,30
CDM,201964,CAGE SPN 9X10X27MM,13287.0,13287.0,1993.05,13287.0,30
CDM,201966,CUP ACTB +4 S 64X44,4429.0,4429.0,664.35,4429.0,30
CDM,201967,VALVE AORTIC 27/29MM,30568.0,30568.0,4585.2,30568.0,30
CDM,201968,BODY CONE HIP 25MM 10MM,12106.0,12106.0,1815.9,12106.0,30
CDM,201969,HEAD FEM HIP 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,201970,STEM HIP 235MM 16MM,10204.0,10204.0,1530.6,10204.0,30
CDM,201971,CAGE SPNL CRNT CNTOR,4872.0,4872.0,730.8,4872.0,30
CDM,201972,CMPNT FEM HIP 13MM,1170.0,1170.0,175.5,1170.0,30
CDM,201973,HEAD FEM HIP ZRCN,4606.0,4606.0,690.9,4606.0,30
CDM,201974,CUP ACTB 48MM NVATN CRWN,4606.0,4606.0,690.9,4606.0,30
CDM,201975,STEM REM HIP 12/14 SZ11,9966.0,9966.0,1494.9,9966.0,30
CDM,201976,LINER ACTB NVATN CNNXN,4429.0,4429.0,664.35,4429.0,30
CDM,201977,HEAD FEM +0MM 12/14 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,201978,CMPNT TIB ANKLE 40X33MM,17933.0,17933.0,2689.95,17933.0,30
CDM,201979,CMPNT TLR LT ANKL 36X35,20524.0,20524.0,3078.6,20524.0,30
CDM,201983,SPACER 8MMX15MMX12MM CON,4872.0,4872.0,730.8,4872.0,30
CDM,201985,SCREW BN SPN 6.5MM 50MM,4872.0,4872.0,730.8,4872.0,30
CDM,201986,VALVE AORTIC 23MM,21802.0,21802.0,3270.3,21802.0,30
CDM,201987,CAGE SPN 8D 12X11X25MM,11959.0,11959.0,1793.85,11959.0,30
CDM,201988,SCREW SPN 4.5MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,201992,PLATE BN 7HL 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,201993,SCREW BN 2.4MM 26MM SS,1660.0,1660.0,249.0,1660.0,30
CDM,201995,IMPLANT BREAST 500CC,4429.0,4429.0,664.35,4429.0,30
CDM,201996,ROD SPNL 60MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,201999,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,202001,CAGE SPN 4D 14X12X6MM,4872.0,4872.0,730.8,4872.0,30
CDM,202002,HEAD FEM HIP 0D 28X48MM,4252.0,4252.0,637.8,4252.0,30
CDM,202003,COMPNT HUM ELB 8IN SM,5005.0,5005.0,750.75,5005.0,30
CDM,202005,ADPTR CNRADMOREY TTL ELB,2292.0,2292.0,343.8,2292.0,42
CDM,202006,PLATE BN STD 3HL RT 65MM,4938.0,4938.0,740.7,4938.0,30
CDM,202007,SCREW BN NLCK 3.5MM 22MM,991.0,991.0,148.65,991.0,30
CDM,202008,SCREW BN LCK 2.7MM 16MM,1953.0,1953.0,292.95,1953.0,30
CDM,202009,SCREW BN LCK 3.5MM 34MM,1356.0,1356.0,203.4,1356.0,30
CDM,202010,SCREW BN LCK 3.5MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,202011,SCREW BN LCK 3.5MM 50MM,1356.0,1356.0,203.4,1356.0,30
CDM,202014,SCREW BN SPNL 4.5X10MM,3012.0,3012.0,451.8,3012.0,30
CDM,202015,BIT DRILL SPNL 2.7X10MM,1023.5,1023.5,153.53,1023.5,42
CDM,202016,HEAD BIP 42MM 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,202017,BIT DRILL SURG 4.2X360MM,773.0,773.0,115.95,773.0,42
CDM,202018,BALL HIP CUP 52MM,4252.0,4252.0,637.8,4252.0,30
CDM,202022,SCREW BN 6MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,202023,SCREW BN 6MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,202024,SCREW BN 5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,202025,SCREW BN 4.35MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,202026,SCREW SPN 4MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,202027,ROD SPNL 6000X4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,202028,CONN ROD 45X4.5MM,3765.0,3765.0,564.75,3765.0,30
CDM,202029,CONN ROD 42X5.5MM,3765.0,3765.0,564.75,3765.0,30
CDM,202030,SCREW SPN 5MM 35MM GFT,3441.0,3441.0,516.15,3441.0,30
CDM,202032,ROD SPN 125MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,202033,SUB BNGF CAPHS 10CC,7124.0,7124.0,1068.6,7124.0,30
CDM,202034,STEM FEM HIP 9MM 130MM,8416.0,8416.0,1262.4,8416.0,30
CDM,202035,LINER ACTB HIP 32MM,6644.0,6644.0,996.6,6644.0,30
CDM,202036,KNEE TIBIAL BASEPLATE SZ,4606.0,4606.0,690.9,4606.0,30
CDM,202037,COMPONENT FEM 3 LT KN,5980.0,5980.0,897.0,5980.0,30
CDM,202039,SHUNT NS SM STRT2 L90,16184.0,16184.0,2427.6,16184.0,30
CDM,202040,PLATE BN 2H 15MM,702.0,702.0,105.3,702.0,30
CDM,202041,COVER BURR HL 13MM,2908.0,2908.0,436.2,2908.0,30
CDM,202042,PLATE BN 18.5MM,2908.0,2908.0,436.2,2908.0,30
CDM,202043,SCREW BN 1.5MM 4MM,944.0,944.0,141.6,944.0,30
CDM,202046,COMPNT FEM RT KN SZ1,7087.0,7087.0,1063.05,7087.0,30
CDM,202048,ROD SPN 5.5MM 200MM,3012.0,3012.0,451.8,3012.0,30
CDM,202049,PIN CSPR SPN DSTRCT,1023.5,1023.5,153.53,1023.5,42
CDM,202050,PLATE BN LNG 2HL 16MM,600.0,600.0,90.0,600.0,30
CDM,202051,PLATE BUR HL CVR 13MM,2679.0,2679.0,401.85,2679.0,30
CDM,202052,SCREW BN 1.8MM 5MM,527.0,527.0,79.05,527.0,30
CDM,202053,PLATE BN TIB 3.5MM 102MM,6547.0,6547.0,982.05,6547.0,30
CDM,202058,SCREW BN 3.5MM 75MM,282.0,282.0,42.3,282.0,30
CDM,202059,SCREW BN 3.5X80MM,282.0,282.0,42.3,282.0,30
CDM,202060,KIT GENERATOR NRSTM CHG,57033.0,57033.0,8554.95,57033.0,30
CDM,202062,PLATE SPN PST WD 12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,202063,PLATE SPN LCK 12MM,8238.0,8238.0,1235.7,8238.0,30
CDM,202067,SCREW SPN FT 4.5X45MM,4651.0,4651.0,697.65,4651.0,30
CDM,202069,PLATE BN SPNE 24MM 2 LVL,4651.0,4651.0,697.65,4651.0,30
CDM,202070,SCREW BN SPNL 4X10MM,3012.0,3012.0,451.8,3012.0,30
CDM,202071,SPACER SPN 26X15X9MM 4D,11959.0,11959.0,1793.85,11959.0,30
CDM,202072,SPACER SPN 22MM 7MM,11073.0,11073.0,1660.95,11073.0,30
CDM,202073,SPACER SPN 8MM 22MM,11073.0,11073.0,1660.95,11073.0,30
CDM,202074,SCRW RED L5.5 5.5X45 TI,4429.0,4429.0,664.35,4429.0,30
CDM,202075,SCREW LEGACY REDUCTION M,4429.0,4429.0,664.35,4429.0,30
CDM,202076,SCRW RED L5.5 7.5X45 TI,4429.0,4429.0,664.35,4429.0,30
CDM,202077,PLATE BN STD LG LT,4429.0,4429.0,664.35,4429.0,30
CDM,202078,SCREW BN 2.3MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,202079,GRAFT EVAS 30MM 111MM,21956.0,21956.0,3293.4,21956.0,30
CDM,202080,GRAFT EVAS 24MM 56MM,11862.0,11862.0,1779.3,11862.0,30
CDM,202081,CAGE SPN 10D 8X18X55MM,17716.0,17716.0,2657.4,17716.0,30
CDM,202085,HEAD FEM HIP 5MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,202086,CAGE SPIANL 11MM,6644.0,6644.0,996.6,6644.0,30
CDM,202088,SCREW BN 3.0MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,202090,SPACER SPN 26X13X9MM 4D,5980.0,5980.0,897.0,5980.0,30
CDM,202093,LINER ACTB 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,202094,SHELL ACTB HIP 60MM,8152.0,8152.0,1222.8,8152.0,30
CDM,202095,PCKMR IPG SSIR,11006.0,11006.0,1650.9,11006.0,30
CDM,202096,STEM FEM HIP 15MM 190MM,13287.0,13287.0,1993.05,13287.0,30
CDM,202097,SPACER SPN 0D 28X11X12MM,11959.0,11959.0,1793.85,11959.0,30
CDM,202098,HEAD FEM HIP 28X53MM,4252.0,4252.0,637.8,4252.0,30
CDM,202099,SCREW BN 4MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,202101,ROD CONN SPN REV R TO R,3765.0,3765.0,564.75,3765.0,30
CDM,202103,COMPONENT FEM GCK 2 LT T,7087.0,7087.0,1063.05,7087.0,30
CDM,202105,PLATE BN 2.5X11X116MM,5129.0,5129.0,769.35,5129.0,30
CDM,202107,GRAFT BN 60ML 1-4MM FRZ,4429.0,4429.0,664.35,4429.0,30
CDM,202108,PLATE BN 10HL 5MM 238MM,6688.0,6688.0,1003.2,6688.0,30
CDM,202109,SCREW BN LCK 5X90MM,2111.0,2111.0,316.65,2111.0,30
CDM,202110,SCREW BN 5MM 42MM,2051.0,2051.0,307.65,2051.0,30
CDM,202111,SCREW BN 4.5MM 46MM,368.0,368.0,55.2,368.0,30
CDM,202112,INSERT LCK BSC FRAG 5MM,638.0,638.0,95.7,638.0,30
CDM,202113,SCREW SPN 3.5X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,202114,STEM HUM SHLDR 8MM,15729.0,15729.0,2359.35,15729.0,30
CDM,202115,HEAD HUM 15MM 40MM,6345.0,6345.0,951.75,6345.0,30
CDM,202116,BIT CUTTING SIGMA HP,2054.5,2054.5,308.18,2054.5,42
CDM,202117,SCREW BN 5MM 50MM,1818.0,1818.0,272.7,1818.0,30
CDM,202118,CAGE SPNL 13MM,6644.0,6644.0,996.6,6644.0,30
CDM,202122,CAGE SPNL 12MM,6644.0,6644.0,996.6,6644.0,30
CDM,202123,PLATE BURH LRG 5X18.5MM,2679.0,2679.0,401.85,2679.0,30
CDM,202124,PLATE BN 6HL 16MM,2500.0,2500.0,375.0,2500.0,30
CDM,202125,PLATE CRN 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,202126,COVER BUR HL .3MM 18.5MM,2908.0,2908.0,436.2,2908.0,30
CDM,202129,STENT TRCHBR 12MM 40MMM,11073.0,11073.0,1660.95,11073.0,30
CDM,202130,SPACER SPN 20MMX10INX9M,6644.0,6644.0,996.6,6644.0,30
CDM,202131,COMPONENT FEM GCK 1 LT,7087.0,7087.0,1063.05,7087.0,30
CDM,202132,COMPNT TROCHEAR 1 RT,5240.0,5240.0,786.0,5240.0,30
CDM,202134,PLATE BN 4HL 127MM 3.5MM,7132.0,7132.0,1069.8,7132.0,30
CDM,202135,SCREW SPN XIA 4823-1755,4429.0,4429.0,664.35,4429.0,30
CDM,202139,SCREW SPN 6MM 28MM,3012.0,3012.0,451.8,3012.0,30
CDM,202140,SPACER SPNL 28X22X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,202141,COMPNT FEM KN RT SZ2,11516.0,11516.0,1727.4,11516.0,30
CDM,202142,SCREW BN LCK 2.7MM 14MM,1953.0,1953.0,292.95,1953.0,30
CDM,202143,SCREW BN LCK 2.7MM 20MM,1953.0,1953.0,292.95,1953.0,30
CDM,202144,GWIRE ORTHO .062IN 6IN,386.5,386.5,57.98,386.5,42
CDM,202145,PLATE BN 7HL LT 110MM,5019.0,5019.0,752.85,5019.0,30
CDM,202146,SCREW BN NLCK 3.5MM 14MM,991.0,991.0,148.65,991.0,30
CDM,202147,SCREW BN NLCK 3.5MM 18MM,991.0,991.0,148.65,991.0,30
CDM,202148,SCREW BN NLCK 3.5MM 65MM,1419.0,1419.0,212.85,1419.0,30
CDM,202149,SCREW BN LCK 3.5MM 16MM,1953.0,1953.0,292.95,1953.0,30
CDM,202153,SCREW BN NLCKG 3.5MM,558.0,558.0,83.7,558.0,30
CDM,202154,SCREW BN CORT 3.5X24MM,558.0,558.0,83.7,558.0,30
CDM,202155,SCREW BN 3.5MM 50MM,558.0,558.0,83.7,558.0,30
CDM,202156,SCREW BN 3.5MM 55MM,558.0,558.0,83.7,558.0,30
CDM,202157,SCREW BN 3.5MM 60MM,558.0,558.0,83.7,558.0,30
CDM,202158,HOLDER PLATE TEMP DISP,773.0,773.0,115.95,773.0,42
CDM,202159,CUP ACTB HIP PNCL 64,8932.0,8932.0,1339.8,8932.0,30
CDM,202160,STEM FEM HIP SZ4 114MM,6201.0,6201.0,930.15,6201.0,30
CDM,202161,INS ORTH 4 TPRD OFST,9966.0,9966.0,1494.9,9966.0,30
CDM,202162,WASHER EX FIX 4.0MM,289.5,289.5,43.42,289.5,42
CDM,202164,BOLT EX FIX CONN 16MM,68.5,68.5,10.28,68.5,42
CDM,202165,CUBE EX FIX 3H,1553.5,1553.5,233.03,1553.5,42
CDM,202166,CUBE EXFX ILZ UNV 4HL,1643.5,1643.5,246.53,1643.5,42
CDM,202167,CUBE EXFX ILZ UNV 5HL,1814.5,1814.5,272.18,1814.5,42
CDM,202169,POST EXFX MALE 2H,1023.5,1023.5,153.53,1023.5,42
CDM,202170,WIRE EXFIX 1.8MM 400MM,1851.5,1851.5,277.73,1851.5,42
CDM,202172,RING EXFX LNG 155MM,7316.0,7316.0,1097.4,7316.0,42
CDM,202173,STRUT FXTR SKL MED FA,5969.5,5969.5,895.42,5969.5,42
CDM,202175,PIN HALF EXFX 30MM 5MM,1109.5,1109.5,166.43,1109.5,42
CDM,202176,DRILL SURG 5MM,3233.5,3233.5,485.02,3233.5,42
CDM,202177,RING CRC EXFX .5X180MM,6202.0,6202.0,930.3,6202.0,42
CDM,202178,RING RCKR EX FIX 180X155,6241.5,6241.5,936.23,6241.5,42
CDM,202179,BOLT EXFX 12MM,187.5,187.5,28.13,187.5,42
CDM,202180,CAGE SPNL 17X15MM,6644.0,6644.0,996.6,6644.0,30
CDM,202182,CAGE 22MM 12 55 6 DEG,19931.0,19931.0,2989.65,19931.0,30
CDM,202184,PLATE 60MM TI 4MM ROD BN,6445.0,6445.0,966.75,6445.0,30
CDM,202186,SPACER SPN 20X11X9MM,6644.0,6644.0,996.6,6644.0,30
CDM,202188,PLATE SPN AFFXD 2 45MM,17716.0,17716.0,2657.4,17716.0,30
CDM,202192,STEM HUM SHLDR 10X130MM,22588.0,22588.0,3388.2,22588.0,30
CDM,202193,INSERT HUM RVRS SHLDR,4429.0,4429.0,664.35,4429.0,30
CDM,202194,ROD SPNL 240 3.5,2711.0,2711.0,406.65,2711.0,30
CDM,202195,PROSTHESIS PNL 75ML,7419.0,7419.0,1112.85,7419.0,30
CDM,202196,ROD TI HARD 5.5X300,3012.0,3012.0,451.8,3012.0,30
CDM,202197,ROD CONN SPN 38-47MM,3765.0,3765.0,564.75,3765.0,30
CDM,202198,SCREW BN 7MM 45MM MTRX T,4340.0,4340.0,651.0,4340.0,30
CDM,202199,BIT DRILL 2.4MM,386.5,386.5,57.98,386.5,42
CDM,202200,SCREW BN SPNL 8.5X75MM,5758.0,5758.0,863.7,5758.0,30
CDM,202201,SCREW BN SPNL 8.5X85MM,5758.0,5758.0,863.7,5758.0,30
CDM,202202,NUT LCK CLARIS M6 SLF BR,1356.0,1356.0,203.4,1356.0,30
CDM,202204,COUPLER SPN RGD 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,202205,INSERT KN TIB BEAR 9 3R,4606.0,4606.0,690.9,4606.0,30
CDM,202206,SPACER SPN 55X10 CLYDES,15945.0,15945.0,2391.75,15945.0,30
CDM,202207,STEM HUM 140MM 10MM,11516.0,11516.0,1727.4,11516.0,30
CDM,202209,SRFC ARTC YLW 3-4 H14MM,4429.0,4429.0,664.35,4429.0,30
CDM,202210,STEM FEM HIP STD115X14X9,7087.0,7087.0,1063.05,7087.0,30
CDM,202211,SLEEVE CNTRNG 14F LG,4429.0,4429.0,664.35,4429.0,30
CDM,202212,SCREW BN SPN 4MM 14MM,4247.0,4247.0,637.05,4247.0,30
CDM,202215,RING SF +HLS EXFX2/3X155,7981.0,7981.0,1197.15,7981.0,42
CDM,202217,POST M EX FIX 4 HOLE,1125.5,1125.5,168.82,1125.5,42
CDM,202218,HINGE EXFIX LOPROFILE,1023.5,1023.5,153.53,1023.5,42
CDM,202219,CAP PROT EXFX BLK OD 5MM,258.0,258.0,38.7,258.0,42
CDM,202220,PLATE BN CRNFCL LT 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,202221,CMPNT TALAR ANKL 30X31MM,20524.0,20524.0,3078.6,20524.0,30
CDM,202222,CMPNT TIB ANKL 32.5X35MM,17933.0,17933.0,2689.95,17933.0,30
CDM,202223,BEARING BALL SS MBL 6MM,5169.0,5169.0,775.35,5169.0,30
CDM,202224,BLADE OSC SYS 6 70X8/13,972.5,972.5,145.88,972.5,42
CDM,202225,PLATE BN 10H 118.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,202226,PLATE BN PLVC 3HL 42.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,202229,SCREW BN SPNL 4.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,202231,INSERT TIB 2.5 H10 SGM,4429.0,4429.0,664.35,4429.0,30
CDM,202232,PIN FX INSTR HIP DRILL,1023.5,1023.5,153.53,1023.5,42
CDM,202233,SHELL ACTB CLSTR 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,202234,STEM FEM HIP 7.5MM 114MM,7530.0,7530.0,1129.5,7530.0,30
CDM,202235,LINER ACTB XLNK 2X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,202238,INSERT TRIATHON TIB 809,4606.0,4606.0,690.9,4606.0,30
CDM,202239,COMPNT FEM KN RT SZ8,6068.0,6068.0,910.2,6068.0,30
CDM,202240,CMPNT KN CMNT LT SZ8,6068.0,6068.0,910.2,6068.0,30
CDM,202241,INSRT TIB X3 SZ11MM,4606.0,4606.0,690.9,4606.0,30
CDM,202242,GRAFT BN DBM PTTY 10CC,4429.0,4429.0,664.35,4429.0,30
CDM,202243,PLATE BN 4 HL 3.5X 25MM,2711.0,2711.0,406.65,2711.0,30
CDM,202244,PLATE BN 4 HL 3.5X 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,202245,SCREW BN 3.5MM 36MM,399.0,399.0,59.85,399.0,30
CDM,202247,SCREW BN SPNL 8.5X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,202248,CAGE 22MM 12 40 6 DEG,19931.0,19931.0,2989.65,19931.0,30
CDM,202249,SCREW BN 4MM 18MM,558.0,558.0,83.7,558.0,30
CDM,202250,SCREW BN 4MM 20MM,558.0,558.0,83.7,558.0,30
CDM,202251,SCREW BN 4MM 44MM,2392.0,2392.0,358.8,2392.0,30
CDM,202252,SCREW BN 4MM 50MM,2631.0,2631.0,394.65,2631.0,30
CDM,202253,BIT DRILL 2.6MM,1023.5,1023.5,153.53,1023.5,42
CDM,202255,SCREW BN 2.7MM 10MM LCK,1834.0,1834.0,275.1,1834.0,30
CDM,202256,SCREW BN 2.7X12,1834.0,1834.0,275.1,1834.0,30
CDM,202257,SCREW BN 2.7MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,202258,SCREW BN 4MM 46MM,2392.0,2392.0,358.8,2392.0,30
CDM,202259,PLATE BN 5H 91MM,4030.0,4030.0,604.5,4030.0,30
CDM,202260,WASHER BN FIX 7MM,479.0,479.0,71.85,479.0,30
CDM,202261,SCREW BN SPNL 7.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,202262,CMPNT FEM RT KN SZ5,5980.0,5980.0,897.0,5980.0,30
CDM,202263,INSERT TIB KN 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,202264,STEM FEM HIP SZ3 135MM,8416.0,8416.0,1262.4,8416.0,30
CDM,202265,CAGE SPN 26X16X9MM LG,11959.0,11959.0,1793.85,11959.0,30
CDM,202266,BASEPLATE TIB KN RT SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,202267,CMPNT FEM PTLL KN SZ4,11516.0,11516.0,1727.4,11516.0,30
CDM,202270,PLATE THNFLP CRNFCL 6HL,2283.0,2283.0,342.45,2283.0,30
CDM,202271,INSERT ARTC 3-4 E-F 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,202272,INSERT KN SZ3-4 E-F 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,202273,SCREW BN 3.5MM 85MM,282.0,282.0,42.3,282.0,30
CDM,202274,PLATE BN 3.5MM 159MM,6695.0,6695.0,1004.25,6695.0,30
CDM,202275,SCREW BN LCP HEX4X6X28MM,466.0,466.0,69.9,466.0,30
CDM,202276,SCREW BN SLFTAP 3.5X44MM,264.0,264.0,39.6,264.0,30
CDM,202277,SCREW BN 3MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,202278,SCREW BN 2.7MM 12MM,1636.0,1636.0,245.4,1636.0,30
CDM,202279,PLATE BN 5D LG 57MM,5260.0,5260.0,789.0,5260.0,30
CDM,202281,CAGE SPNL 50X22X12MM CRN,18416.0,18416.0,2762.4,18416.0,30
CDM,202282,STEM FEM HIP 135D SZ18,8858.0,8858.0,1328.7,8858.0,30
CDM,202284,SUB BNGF CAPHS 20CC,12935.0,12935.0,1940.25,12935.0,30
CDM,202286,CUP ACETB PINNACLE MARAT,4429.0,4429.0,664.35,4429.0,30
CDM,202287,PLATE BN .3X37X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,202288,SCREW BN 3.5MM 18MM,319.0,319.0,47.85,319.0,30
CDM,202289,SCREW BN 3.5MM 20MM,319.0,319.0,47.85,319.0,30
CDM,202290,SCREW BN 3.5MM 16MM,1359.0,1359.0,203.85,1359.0,30
CDM,202291,SCREW BN 3.5MM 16MM,319.0,319.0,47.85,319.0,30
CDM,202292,SCREW BN 3.5MM 18MM,319.0,319.0,47.85,319.0,30
CDM,202293,SCREW BN 3.5MM 20MM,319.0,319.0,47.85,319.0,30
CDM,202294,PLATE BN 12 HL 3.5MM,1116.0,1116.0,167.4,1116.0,30
CDM,202295,SCREW BN 6.5MM 60MM,877.0,877.0,131.55,877.0,30
CDM,202296,SCREW BN 6.5MM 55MM,877.0,877.0,131.55,877.0,30
CDM,202297,TNLR SRG L38 ACC KT,921.0,921.0,138.15,921.0,42
CDM,202298,NAIL 11MM 42CM RT TROCH,8024.0,8024.0,1203.6,8024.0,30
CDM,202300,PLATE SPN T 32MM SS L1,5315.0,5315.0,797.25,5315.0,30
CDM,202301,PLATE BN 8HL RT,4429.0,4429.0,664.35,4429.0,30
CDM,202302,PLATE BN 10HL LG RT,4429.0,4429.0,664.35,4429.0,30
CDM,202303,SRFC ARTC SZCH 1-2 H10,4429.0,4429.0,664.35,4429.0,30
CDM,202304,STEM FEM KN 10MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,202305,GRAFT CV 20X11MM 40CM,3721.0,3721.0,558.15,3721.0,30
CDM,202307,GRAFT EVAS 74MM 16MM,13823.0,13823.0,2073.45,13823.0,30
CDM,202308,SCREW SPN P-AX 4.35X25MM,3765.0,3765.0,564.75,3765.0,30
CDM,202309,PLATE SPN LMBR 36MM,12402.0,12402.0,1860.3,12402.0,30
CDM,202310,SCREW SPN 5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,202311,ROD SPNL PREBENT 5.5X45,2711.0,2711.0,406.65,2711.0,30
CDM,202314,SCREW SPN 5.5MM 28MM,3012.0,3012.0,451.8,3012.0,30
CDM,202315,SCREW BN 5.5MM 30MM HALO,3238.0,3238.0,485.7,3238.0,30
CDM,202316,TAP 4.75MM,4267.5,4267.5,640.13,4267.5,42
CDM,202319,SCREW BN 4.5MM 100MM,456.0,456.0,68.4,456.0,30
CDM,202320,SCREW BN 4.5MM 36MM,456.0,456.0,68.4,456.0,30
CDM,202322,SCREW BN 4.5MM 130MM,456.0,456.0,68.4,456.0,30
CDM,202323,WASHER ORTH 1.0MM 9MM,613.0,613.0,91.95,613.0,30
CDM,202324,SCREW BN 4.5MM 40MM,456.0,456.0,68.4,456.0,30
CDM,202325,LNR PLY 0D XLPE 72 X 36,4429.0,4429.0,664.35,4429.0,30
CDM,202326,SCREW BN 4 12 MP-AXL,4429.0,4429.0,664.35,4429.0,30
CDM,202327,PLATE SPN 40MM,13159.0,13159.0,1973.85,13159.0,30
CDM,202328,CONN SPN 38MM FX CROSS,3765.0,3765.0,564.75,3765.0,30
CDM,202329,ROD SPN PRCRV 45D 240MM,3366.0,3366.0,504.9,3366.0,30
CDM,202330,TEMPLATE ROD 240MM,921.0,921.0,138.15,921.0,42
CDM,202332,GRAFT EVAS 24MM 56MM,13823.0,13823.0,2073.45,13823.0,30
CDM,202336,INSERT TIB CRV SZ2.5 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,202337,HEAD HUM 18MM 56MM,5910.0,5910.0,886.5,5910.0,30
CDM,202340,SCREW BN 8.5MM 45MM SPNL,4247.0,4247.0,637.05,4247.0,30
CDM,202343,SPACER SPN 8D 10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,202344,SCREW BN 4.5MM 95MM,358.0,358.0,53.7,358.0,30
CDM,202346,SCREW BN 3.0MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,202356,SCREW BN SPNL 6.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,202357,LINER ACTB HIP 0D 58X36,4429.0,4429.0,664.35,4429.0,30
CDM,202358,SPACR SPN 8X14X17MM,4872.0,4872.0,730.8,4872.0,30
CDM,202359,PLATE 4 LVL HELIX 74MM,5094.0,5094.0,764.1,5094.0,30
CDM,202361,CAGE SPINAL 11X12X27,11959.0,11959.0,1793.85,11959.0,30
CDM,202362,INSERT TIB KN SZ4 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,202363,SCREW BN 6MM 35MM XIA 3,4429.0,4429.0,664.35,4429.0,30
CDM,202364,CAGE SPN 20X9X11MM 4D,13287.0,13287.0,1993.05,13287.0,30
CDM,202365,CAGE SPNL TL 30X11 8MM,11073.0,11073.0,1660.95,11073.0,30
CDM,202366,PLATE BN 4HL 2MM,3721.0,3721.0,558.15,3721.0,30
CDM,202367,SCREW BN 2MM 3.5MM 10MM,949.0,949.0,142.35,949.0,30
CDM,202368,STEM FEM HIP 15MM 129MM,11073.0,11073.0,1660.95,11073.0,30
CDM,202369,SHELL ACTB HIP LNG 40X60,4606.0,4606.0,690.9,4606.0,30
CDM,202370,SHELL ACTB TRB MTL 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,202371,CAGE SPN 27X12X13MM,13287.0,13287.0,1993.05,13287.0,30
CDM,202372,PLATE 8 HOLE BONE LEFT,4429.0,4429.0,664.35,4429.0,30
CDM,202373,SCREW BN 2.7MM 20MM,1834.0,1834.0,275.1,1834.0,30
CDM,202374,SCREW BN 2.7MM 22MM,1674.0,1674.0,251.1,1674.0,30
CDM,202375,SCREW BN 2.7MM 24MM,1674.0,1674.0,251.1,1674.0,30
CDM,202376,SCREW BN 3.5MM 36MM,558.0,558.0,83.7,558.0,30
CDM,202377,SCREW BN CORT 3.5X40MM,558.0,558.0,83.7,558.0,30
CDM,202378,SPACER SPN 25X9X11MM,13287.0,13287.0,1993.05,13287.0,30
CDM,202381,STEM FEM HIP 12MM 125MM,11073.0,11073.0,1660.95,11073.0,30
CDM,202382,SHELL BIP MTL 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,202383,LINER BIP HIP 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,202386,SPACER SPNL 26X24X12 8D,18536.0,18536.0,2780.4,18536.0,30
CDM,202387,SCREW BN 2.4MM 24MM SS,1540.0,1540.0,231.0,1540.0,30
CDM,202388,BIT DRILL CERVICL 2.05MM,2578.5,2578.5,386.77,2578.5,42
CDM,202389,PIN FIX BN SHLDR,3189.0,3189.0,478.35,3189.0,30
CDM,202390,IMPLANT ORTH 5 CMNT STM,4606.0,4606.0,690.9,4606.0,30
CDM,202391,TIBIAL INSERT,4429.0,4429.0,664.35,4429.0,30
CDM,202393,PLATE BN TI 21MM MOUNT,4429.0,4429.0,664.35,4429.0,30
CDM,202394,HEAD HUM OD22MM ID12,4606.0,4606.0,690.9,4606.0,30
CDM,202395,HEAD HUM EQNX SHLDR 38MM,4606.0,4606.0,690.9,4606.0,30
CDM,202396,STEM RADL ELB 7MM 26MM,4606.0,4606.0,690.9,4606.0,30
CDM,202399,SCREW P-AX 6.5X55X5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,202400,SCREW BN 7.5MM 45MM TSRH,3012.0,3012.0,451.8,3012.0,30
CDM,202403,SCREW BN 3.5MM 85MM,551.0,551.0,82.65,551.0,30
CDM,202404,SCREW BN 3.5X48MM,331.0,331.0,49.65,331.0,30
CDM,202405,SCREW BN LCK 4MM 70MM,1961.0,1961.0,294.15,1961.0,30
CDM,202406,SCREW BN LCK 4X20MM,1906.0,1906.0,285.9,1906.0,30
CDM,202409,PLATE BN 8HL 4MM 173MM,5360.0,5360.0,804.0,5360.0,30
CDM,202410,CAGE SPN 20X9X8MM 4D,11959.0,11959.0,1793.85,11959.0,30
CDM,202412,ROD HUMRL 8X260,7184.0,7184.0,1077.6,7184.0,30
CDM,202414,SCREW SPN MTRX 6X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,202415,ROD SPN CRV 5.5MM 85MM,3012.0,3012.0,451.8,3012.0,30
CDM,202416,PLATE BN 5HL LT 90MM,4662.0,4662.0,699.3,4662.0,30
CDM,202418,ROD SPNL 45X5.5 TI PRBNT,2711.0,2711.0,406.65,2711.0,30
CDM,202420,IMPLANT BREAST 750CC,4429.0,4429.0,664.35,4429.0,30
CDM,202421,CONNECTOR SPN 30-33MM,3348.0,3348.0,502.2,3348.0,30
CDM,202423,IMPLANT ORTH 4 CMNT STM,4606.0,4606.0,690.9,4606.0,30
CDM,202424,TIBIAL INSERT,4429.0,4429.0,664.35,4429.0,30
CDM,202425,BIT DRILL 5MM,1617.5,1617.5,242.63,1617.5,42
CDM,202426,SCREW SPN 5MM 30MM GFT,3012.0,3012.0,451.8,3012.0,30
CDM,202427,SCREW SPN BRKOF 4.75MM,753.0,753.0,112.95,753.0,30
CDM,202428,PLATE MLSPN 44-48X4.75MM,3389.0,3389.0,508.35,3389.0,30
CDM,202434,GRAFT SUB BN STRIPS 5ML,4429.0,4429.0,664.35,4429.0,30
CDM,202435,CUP FEM KNEE LT FLX,7087.0,7087.0,1063.05,7087.0,30
CDM,202436,CMPNT FEM KN CMNT RT,7087.0,7087.0,1063.05,7087.0,30
CDM,202438,SCREW BN SPN 4.5MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,202440,SCREW SLF DRL FXD 4X13MM,3012.0,3012.0,451.8,3012.0,30
CDM,202441,PATCH SLNT 9.5CMX4.8CM,4385.5,4385.5,657.83,4385.5,42
CDM,202442,PLATE BN RT 3.5MM 105MM,4429.0,4429.0,664.35,4429.0,30
CDM,202443,SCREW BN CORT 2MM 12MM,508.0,508.0,76.2,508.0,30
CDM,202446,SCREW SPN 4.0MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,202447,CAGE SPN 17X14X7MM D,10187.0,10187.0,1528.05,10187.0,30
CDM,202449,SCREW BN 3.5X6X100MM,282.0,282.0,42.3,282.0,30
CDM,202451,CAGE SPINAL 12X9X25,11959.0,11959.0,1793.85,11959.0,30
CDM,202452,PLATE SPN 72X16X2.5MM,5094.0,5094.0,764.1,5094.0,30
CDM,202453,SCREW CORT 3.5X12,331.0,331.0,49.65,331.0,30
CDM,202454,SCREW CORT S/T 3.5X24MM,341.0,341.0,51.15,341.0,30
CDM,202455,PLATE BN 6H 90.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,202457,CONNECTOR ROD II XTND SM,2259.0,2259.0,338.85,2259.0,30
CDM,202458,KIT ARTHSCP FX TGHTRP RT,3189.0,3189.0,478.35,3189.0,30
CDM,202460,HEAD FEM HIP 28MM 52MM,4252.0,4252.0,637.8,4252.0,30
CDM,202463,PIN FX INSTR HP THRD,1057.5,1057.5,158.63,1057.5,42
CDM,202464,CAGE SPNL 55X18X10MM XLI,19931.0,19931.0,2989.65,19931.0,30
CDM,202465,CAGE SPN 50X18X8MM,19931.0,19931.0,2989.65,19931.0,30
CDM,202466,PLATE SPN BN 2LVL 42MM,4651.0,4651.0,697.65,4651.0,30
CDM,202467,SCREW BN LCK 2.7MM 12MM,1953.0,1953.0,292.95,1953.0,30
CDM,202468,SCREW BN LCK 3.5MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,202469,SCREW BN LCK 2.7MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,202470,PLATE BN EXT 5HL LT,4429.0,4429.0,664.35,4429.0,30
CDM,202471,SCREW BN LCK 3.5MM 12MM,1953.0,1953.0,292.95,1953.0,30
CDM,202472,SCREW BN NLCK 3.5MM 24MM,319.0,319.0,47.85,319.0,30
CDM,202473,TACK ORTH FX PIN PLT,618.5,618.5,92.78,618.5,42
CDM,202474,ROD SPN CONN 10MM ILIAC,3765.0,3765.0,564.75,3765.0,30
CDM,202476,SCREW BNE TI L55MM OD6MM,4429.0,4429.0,664.35,4429.0,30
CDM,202477,LINER ACTB HIP +4MM,4429.0,4429.0,664.35,4429.0,30
CDM,202478,CUP ACTB 50 PNCL GRPTN 1,4606.0,4606.0,690.9,4606.0,30
CDM,202479,SPACER SPN 0D 28X11X13MM,11959.0,11959.0,1793.85,11959.0,30
CDM,202480,SCREW BN 4X55MM,2392.0,2392.0,358.8,2392.0,30
CDM,202481,SCREW BN 4X50MM,2631.0,2631.0,394.65,2631.0,30
CDM,202482,SCREW BN 4MM 14MM,558.0,558.0,83.7,558.0,30
CDM,202483,SCREW BN 4MM 12MM,558.0,558.0,83.7,558.0,30
CDM,202485,SCREW BN 3.5MM 45MM,558.0,558.0,83.7,558.0,30
CDM,202488,PLATE BN LCK 12H,3189.0,3189.0,478.35,3189.0,30
CDM,202489,HOLDER PLT BB-TAK THRD,870.0,870.0,130.5,870.0,42
CDM,202490,SCREW CERV 4.0X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,202492,STEM FEM HIP 127D 9 35MM,11073.0,11073.0,1660.95,11073.0,30
CDM,202493,SCREW BN SPLN 7.5X75MM,5758.0,5758.0,863.7,5758.0,30
CDM,202494,SPACER SPNL 28X22X16MM,8858.0,8858.0,1328.7,8858.0,30
CDM,202497,PLATE BN NAR 2MM 56MM,4429.0,4429.0,664.35,4429.0,30
CDM,202498,SCREW BN 2.7X18MM,1975.0,1975.0,296.25,1975.0,30
CDM,202499,SCREW BN 2.7MM 22MM,1975.0,1975.0,296.25,1975.0,30
CDM,202508,FORCEP BX 1 PRNH URO,2071.0,2071.0,310.65,2071.0,42
CDM,202509,LINER ACTB ALTRX +4 NTRL,4429.0,4429.0,664.35,4429.0,30
CDM,202515,INSERT TIB KN SZE-F 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,202534,SCREW BN 5.5MM 40MM SPNL,4247.0,4247.0,637.05,4247.0,30
CDM,202537,SCREW BN SPN 4.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,202539,ROD EX FIX YLW 100MM,1023.5,1023.5,153.53,1023.5,42
CDM,202542,CLAMP EXFX 3-4MM,3537.5,3537.5,530.63,3537.5,42
CDM,202546,SCREW BN 10.5MM 80MM,3721.0,3721.0,558.15,3721.0,30
CDM,202554,STEM MONOBLOCK 8X108MM,22145.0,22145.0,3321.75,22145.0,30
CDM,202556,CEMENT BN PMMA 40GM,590.0,590.0,88.5,590.0,30
CDM,202557,SCREW SPN XIA 4823-1730,4429.0,4429.0,664.35,4429.0,30
CDM,202564,SCREW BN 3.5M 90MM,388.0,388.0,58.2,388.0,30
CDM,202566,INS TIB 2.5X8 STB XLNK,4429.0,4429.0,664.35,4429.0,30
CDM,202567,GRAFT SYN TISS 20X20MM,11578.0,11578.0,1736.7,11578.0,30
CDM,202578,PLATE BN 0.8MM 43.6MM,4850.0,4850.0,727.5,4850.0,30
CDM,202582,LEAD REVISION ACCESSORY,2865.0,2865.0,429.75,2865.0,42
CDM,202585,HEAD HIP 28MM 56MM,4252.0,4252.0,637.8,4252.0,30
CDM,202586,PLATE 34MM 2 LVL FLCN BN,4429.0,4429.0,664.35,4429.0,30
CDM,202589,LINER ACTB HIP+4 56X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,202593,SCREW SPN 2MM 8MM,753.0,753.0,112.95,753.0,30
CDM,202595,PIN DRILL KN ACL DISP,1023.5,1023.5,153.53,1023.5,42
CDM,202600,CAGE SPN 9X13X15MM,4429.0,4429.0,664.35,4429.0,30
CDM,202605,HEAD FEM HIP 28MM 50MM,4252.0,4252.0,637.8,4252.0,30
CDM,202606,PLATE BN 6H 90.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,202608,SCREW BN 4.5MM 100MM,456.0,456.0,68.4,456.0,30
CDM,202610,WASHER BN ORTH 6.5/8MM,627.0,627.0,94.05,627.0,30
CDM,202612,PLATE BN 6HL 4MM 147MM,5516.0,5516.0,827.4,5516.0,30
CDM,202613,SCREW BN 4MM 65MM,1961.0,1961.0,294.15,1961.0,30
CDM,202614,KIT IMP SYNDSMS RPR,5465.0,5465.0,819.75,5465.0,30
CDM,202615,PLATE BN 4HL 79MM,3721.0,3721.0,558.15,3721.0,30
CDM,202619,SCREW SPN 14 4 OCT FAV,3765.0,3765.0,564.75,3765.0,30
CDM,202625,PLATE BN 6HL 18MM,2185.0,2185.0,327.75,2185.0,30
CDM,202630,SCREW BN TI 12MM 4.5MM,2259.0,2259.0,338.85,2259.0,30
CDM,202631,SCREW BN CMF 1.8MM 4MM,944.0,944.0,141.6,944.0,30
CDM,202632,SCREW BN 2.3MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,202633,GWIRE ORTHO .054X6IN,231.5,231.5,34.73,231.5,42
CDM,202638,SCREW BN 2.7MM 12MM,423.0,423.0,63.45,423.0,30
CDM,202642,CONN ROD 10MM SPINAL,3765.0,3765.0,564.75,3765.0,30
CDM,202650,GRFT BN CANC 30CC 1-4MM,3012.0,3012.0,451.8,3012.0,30
CDM,202653,INSERT TIB 20MM KN STAB,4429.0,4429.0,664.35,4429.0,30
CDM,202654,SCREW CORT S/T 3.5X80MM,670.0,670.0,100.5,670.0,30
CDM,202656,IMPLANT SPN PLVC 7X40MM,14027.0,14027.0,2582.37,14027.0,26
CDM,202657,IMPLANT SPN PLVC 7X35MM,14027.0,14027.0,2582.37,14027.0,26
CDM,202658,IMPLANT SPN PLVC 7X30MM,14027.0,14027.0,2582.37,14027.0,26
CDM,202663,SCREW BN CANN 6.7X55MM,3189.0,3189.0,478.35,3189.0,30
CDM,202667,GWIRE 2.4MM ARTHX,231.5,231.5,34.73,231.5,42
CDM,202668,BIT DRILL 4.0MM,1228.0,1228.0,184.2,1228.0,42
CDM,202673,PLATE STRNL DBL 14 SM,5629.0,5629.0,844.35,5629.0,30
CDM,202674,PLATE DIST FEM 13H 316MM,7897.0,7897.0,1184.55,7897.0,30
CDM,202677,CABLE ORTH 1.7X750MM,3189.0,3189.0,478.35,3189.0,30
CDM,202682,SCREW THRLMBR SPN 5.5X50,4429.0,4429.0,664.35,4429.0,30
CDM,202685,MESH HERNIA 30X10CM,8681.0,8681.0,1302.15,8681.0,30
CDM,202689,CMPNT KN CMNT LT SZ1,6068.0,6068.0,910.2,6068.0,30
CDM,202690,INSERT TIB KN SZ 1 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,202694,DRILL SURG CANN 2.5MM,972.5,972.5,145.88,972.5,42
CDM,202695,PIN RVRS 2.5X150MM,2292.0,2292.0,343.8,2292.0,42
CDM,202700,PLATE STRNL DBL 14 M,5629.0,5629.0,844.35,5629.0,30
CDM,202704,VALVE AORTIC 21MM,23051.0,23051.0,3457.65,23051.0,30
CDM,202705,PROSTHESIS PATELLA 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,202707,PLATE SPN LCK 10MM,8238.0,8238.0,1235.7,8238.0,30
CDM,202708,PLATE SPN PST WD 10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,202719,COMP PATELLAR KN 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,202720,HEAD HIP FEM +3.5MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,202722,SCREW BN NLCK 3.5MM 50MM,319.0,319.0,47.85,319.0,30
CDM,202723,SCREW BN LCK 3.5MM 14MM,1953.0,1953.0,292.95,1953.0,30
CDM,202725,MOLD SPCR HIP 9X125X51,12846.0,12846.0,1926.9,12846.0,42
CDM,202728,ROD SPN CCM 5.5X500,2711.0,2711.0,406.65,2711.0,30
CDM,202729,SHELL ACTB HIP SZNN 62MM,5758.0,5758.0,863.7,5758.0,30
CDM,202730,LINER ACTB NTRL 62X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,202733,STEM FEM HIP 13.5X126MM,10630.0,10630.0,1594.5,10630.0,30
CDM,202734,SCREW 4X20MM MTRX THRD,4120.0,4120.0,618.0,4120.0,30
CDM,202736,INSERT TIB SZ5 8MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,202739,HEAD FEM HIP +5MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,202741,SCREW BN 3.5MM 10MM,558.0,558.0,83.7,558.0,30
CDM,202742,SCREW BN 3.5MM 10MM,1754.0,1754.0,263.1,1754.0,30
CDM,202743,PLATE BN FIB LT DIST 4HL,3721.0,3721.0,558.15,3721.0,30
CDM,202748,NAIL BN TIB 12MM 330MM,4429.0,4429.0,664.35,4429.0,30
CDM,202749,INSERT TIB KN SZ3 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,202753,PLATE BN LT 6HL 112MM,4429.0,4429.0,664.35,4429.0,30
CDM,202755,INSRT SCKT SEMI +4 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,202759,PLATE BN STRNL 14MM,5548.0,5548.0,832.2,5548.0,30
CDM,202763,SCREW SS S/T 4X38MM,1961.0,1961.0,294.15,1961.0,30
CDM,202765,SCREW BN 5X1.5MM,1112.0,1112.0,166.8,1112.0,30
CDM,202768,LINER ACTB HIP 32MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,202771,INSERT TIB KN SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,202775,PIN FX INSTR THRD HIP,1023.5,1023.5,153.53,1023.5,42
CDM,202778,CONNECTOR ROD 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,202781,BAR SPNL 4MM SYNPSE LNG,3189.0,3189.0,478.35,3189.0,30
CDM,202789,PLATE BUR HL LG 1.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,202790,FEM POR F NG LPSFLX LT K,9301.0,9301.0,1395.15,9301.0,30
CDM,202791,INSERT ARTC 5-6 E-F 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,202792,INTRO SHTH 17FR 45CM,2742.0,2742.0,411.3,2742.0,42
CDM,202795,GWIRE VASC .014X260MM,1473.5,1473.5,221.03,1473.5,42
CDM,202796,ADAPTER VALVE HEMOSTASIS,309.5,309.5,46.42,309.5,42
CDM,202798,SCREW BN 2.4MM 28MM,1660.0,1660.0,249.0,1660.0,30
CDM,202799,SCREW BN 2.4MM 4MM 16MM,743.0,743.0,111.45,743.0,30
CDM,202800,PLATE BN 3H 109MM 3.5MM,7620.0,7620.0,1143.0,7620.0,30
CDM,202802,PLATE BN 7HL 2.4X68MM,4587.0,4587.0,688.05,4587.0,30
CDM,202803,HEAD FEM HIP 28MM 43MM,4252.0,4252.0,637.8,4252.0,30
CDM,202806,PLATE MNDBL RECON 20HL,4779.0,4779.0,716.85,4779.0,30
CDM,202808,LINER ACTB 0DDX32 SROM,6644.0,6644.0,996.6,6644.0,30
CDM,202812,BIT DRILL 100MM 3.2MM,1023.5,1023.5,153.53,1023.5,42
CDM,202816,INSERT TIB KN SZ5-6 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,202817,BLOCK AGMNT TIV/PMMA 10,4429.0,4429.0,664.35,4429.0,30
CDM,202818,SCREW BN LCK 2.3X13MM,1442.0,1442.0,216.3,1442.0,30
CDM,202819,SCREW BN 2.3MM 15MM,1442.0,1442.0,216.3,1442.0,30
CDM,202820,SCREW BN 2.3MM 17MM,399.0,399.0,59.85,399.0,30
CDM,202822,SCREW BN 2.4MM 12MM,313.0,313.0,46.95,313.0,30
CDM,202823,SCREW BN 2.4MM 14MM,313.0,313.0,46.95,313.0,30
CDM,202829,PLATE BN 3.5MM 91MM,5363.0,5363.0,804.45,5363.0,30
CDM,202830,PATELLA WDG 15-16MM LYO,3652.0,3652.0,547.8,3652.0,30
CDM,202833,KWIRE FX 150MM 1.8MM,156.5,156.5,23.48,156.5,42
CDM,202834,PLATE SPN 2LVL 40MM,4651.0,4651.0,697.65,4651.0,30
CDM,202835,NEEDLE NRSTM 14GA 6IN,773.0,773.0,115.95,773.0,42
CDM,202837,LINER FEM HIP 32X52MM,4429.0,4429.0,664.35,4429.0,30
CDM,202842,VALVE AORTIC 19MM,23051.0,23051.0,3457.65,23051.0,30
CDM,202843,VALVE AORTIC 23MM,25358.0,25358.0,3803.7,25358.0,30
CDM,202845,VALVE AORTIC 27MM,25358.0,25358.0,3803.7,25358.0,30
CDM,202846,VALVE AORTIC 29MM,23051.0,23051.0,3457.65,23051.0,30
CDM,202847,PLATE BN 85X53X0.3MM,4429.0,4429.0,664.35,4429.0,30
CDM,202855,SCREW BN SPN 4.5MM 34MM,4247.0,4247.0,637.05,4247.0,30
CDM,202856,ROD SPN 3.5MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,202857,CONNECTOR SPN 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,202860,STEM HUM SHLDR 14X130MM,16831.0,16831.0,2524.65,16831.0,30
CDM,202867,INSERT SCKT HUM +4 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,202871,KIT ADM ACC LD 30/60CM,2063.0,2063.0,309.45,2063.0,42
CDM,202876,CMPNT KN FEM CMNT RT 2,6068.0,6068.0,910.2,6068.0,30
CDM,202879,LINER ACTB HIP 36X52MM,4429.0,4429.0,664.35,4429.0,30
CDM,202880,COMP PTLR KN 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,202883,MESH HRN SFT 12X12IN,4429.0,4429.0,664.35,4429.0,30
CDM,202885,CMPNT FEM POR SZF,9301.0,9301.0,1395.15,9301.0,30
CDM,202886,COMPNT PTLR KN 10MM 35MM,4428.0,4428.0,664.2,4428.0,30
CDM,202892,LINER ACTB KN SZ NN 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,202893,SCREW 7.5X70MM SPNL P-AX,4429.0,4429.0,664.35,4429.0,30
CDM,202905,SIZER BREAST 400CC,618.5,618.5,92.78,618.5,42
CDM,202914,PLATE BN RT 1HL 86MM,6314.0,6314.0,947.1,6314.0,30
CDM,202915,SCREW ST LCK 4X46MM,1961.0,1961.0,294.15,1961.0,30
CDM,202916,SCREW UNIFLX F-T 4X40MM,341.0,341.0,51.15,341.0,30
CDM,202922,LINER ACTB HIP 36MM 56MM,4429.0,4429.0,664.35,4429.0,30
CDM,202928,LINER ACTB HIP 48X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,202929,LINER ACTB HIP 54MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,202965,MOLD SPCR HIP 13X145X57,12841.5,12841.5,1926.22,12841.5,42
CDM,202977,DEVICE FX 25 STRAP 5MM,3537.0,3537.0,530.55,3537.0,30
CDM,202978,MESH SURG 7.5CM 15CM,927.0,927.0,139.05,927.0,30
CDM,202979,PLATE BN 2MMX56MM,4429.0,4429.0,664.35,4429.0,30
CDM,202980,SCREW BN 2.7MM 24MM,1975.0,1975.0,296.25,1975.0,30
CDM,202981,SCREW BN 2.7X14MM,824.0,824.0,123.6,824.0,30
CDM,202982,BIT DRILL 1.9MM 105MM,600.5,600.5,90.08,600.5,42
CDM,202985,LINER ACTB HIP SZQU 68MM,8152.0,8152.0,1222.8,8152.0,30
CDM,202991,NAIL RT FEM 1.5MM 42CM,9050.0,9050.0,1357.5,9050.0,30
CDM,202996,COUPLER VASC ANSTM 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,202998,MESH CRNL 80MM 53MM .6MM,4429.0,4429.0,664.35,4429.0,30
CDM,203003,MESH SRG LG 5.4X2.4IN SF,1454.0,1454.0,218.1,1454.0,30
CDM,203004,COMP CR-FLEX POR FEM SZ,9301.0,9301.0,1395.15,9301.0,30
CDM,203005,PLATE TIB MNOBLCK CR SZ3,9567.0,9567.0,1435.05,9567.0,30
CDM,203008,WIRE FX NTRL 50MM,4385.5,4385.5,657.83,4385.5,42
CDM,203009,WASHER BN OLECRANON,3189.0,3189.0,478.35,3189.0,30
CDM,203010,SCREW BN 3.2X10MM,1595.0,1595.0,239.25,1595.0,30
CDM,203011,SCREW BN LCK 3.2X10MM,1834.0,1834.0,275.1,1834.0,30
CDM,203018,SCREW V-AX NLCK 2.7X12,926.0,926.0,138.9,926.0,30
CDM,203019,SCREW V-AX NLCK 2.7X16,926.0,926.0,138.9,926.0,30
CDM,203020,SCREW BN 2.7MM 14MM,926.0,926.0,138.9,926.0,30
CDM,203022,SCREW BN 3MM 16MM 4MM,2618.0,2618.0,392.7,2618.0,30
CDM,203023,SCREW BN 2MM 16MM,2618.0,2618.0,392.7,2618.0,30
CDM,203024,BIT DRILL TWIST 2X102MM,1023.5,1023.5,153.53,1023.5,42
CDM,203027,BIT DRILL 1.7MM 85MM,1473.5,1473.5,221.03,1473.5,42
CDM,203035,SUTURE SH-1 4-0 1X27IN,32.0,32.0,4.8,32.0,42
CDM,203036,SUTURE BLK MONO 8-0 5IN,229.5,229.5,34.42,229.5,42
CDM,203039,SCREW BN 10MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,203044,PLATE BN TMPRL 8HL 52MM,3189.0,3189.0,478.35,3189.0,30
CDM,203045,SCREW BN ORTH 6MM 15MM,3721.0,3721.0,558.15,3721.0,30
CDM,203046,IMPLANT SPN PLVC 7X45MM,14027.0,14027.0,2582.37,14027.0,26
CDM,203047,CUTTER SUT PUSHER,1023.5,1023.5,153.53,1023.5,42
CDM,203049,PLATE BN 2Y 18MM,2895.0,2895.0,434.25,2895.0,30
CDM,203050,PLATE BN 9MM 13MM,2895.0,2895.0,434.25,2895.0,30
CDM,203051,SCREW BN 1.6MM 5MM,825.0,825.0,123.75,825.0,30
CDM,203052,DRIVER DISP FOR 2.0MM,895.5,895.5,134.32,895.5,42
CDM,203056,MOLD SPCR HIP 17X165X64,12841.5,12841.5,1926.22,12841.5,30
CDM,203058,WIRE SPN CLS 1.22MM 30CM,3189.0,3189.0,478.35,3189.0,30
CDM,203061,CMPNT FEM KN SZ3 8MM,5758.0,5758.0,863.7,5758.0,30
CDM,203072,SCREW SPN P-AX 7.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,203073,CAGE SPNL 16X12X8MM PK,4429.0,4429.0,664.35,4429.0,30
CDM,203074,SPACER SPN 16X12 7MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,203075,CMPNT CARPAL WRIST SZLG,13654.0,13654.0,2048.1,13654.0,30
CDM,203076,COMPONENT RADL RT WRST,17041.0,17041.0,2556.15,17041.0,30
CDM,203077,CMPNT LNEUTRLCARPAL BALL,4606.0,4606.0,690.9,4606.0,30
CDM,203083,COMPNT FEM F LT KN NXG,9301.0,9301.0,1395.15,9301.0,30
CDM,203084,PLATE TIB YLW 67X47X10MM,9567.0,9567.0,1435.05,9567.0,30
CDM,203085,PROSTHES PENL SPCTR 16CM,32367.0,32367.0,4855.05,32367.0,30
CDM,203087,HEAD HUM SHLDR 47MM,4606.0,4606.0,690.9,4606.0,30
CDM,203099,PLATE ANTEGRA SCRL 3.7,12047.0,12047.0,1807.05,12047.0,30
CDM,203103,LINER ACTB HIP 32MM 54MM,6644.0,6644.0,996.6,6644.0,30
CDM,203110,MESH SURG ST TIS 15X10CM,3631.0,3631.0,544.65,3631.0,30
CDM,203112,PLATE BN 5HL 91MM,3721.0,3721.0,558.15,3721.0,30
CDM,203115,ROD NS CURV 4.75X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,203117,ROD SPN 200MM,3012.0,3012.0,451.8,3012.0,30
CDM,203125,NECK FEM 8D SHRT CBLT,4252.0,4252.0,637.8,4252.0,30
CDM,203126,BASEPLT TIB JRNY5 RT MDL,4606.0,4606.0,690.9,4606.0,30
CDM,203127,REAMER OXNM FEM RT 6,5980.0,5980.0,897.0,5980.0,30
CDM,203131,SCREW PLUS DRIVE 1.3MM X,1210.0,1210.0,181.5,1210.0,30
CDM,203136,COMPNT GLND 40MM 46MM,4872.0,4872.0,730.8,4872.0,30
CDM,203137,STEM HUM SHLDR 15X130MM,16831.0,16831.0,2524.65,16831.0,30
CDM,203138,SHELL ACTB 52MM HIP TI B,5758.0,5758.0,863.7,5758.0,30
CDM,203141,LINER ACET POLY D 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,203145,COMPNT FEM LT KN,19045.0,19045.0,2856.75,19045.0,30
CDM,203146,COMPNT FEM RT KN ITOTAL,19045.0,19045.0,2856.75,19045.0,30
CDM,203147,SCREW BN 2.3MM 11MM,1442.0,1442.0,216.3,1442.0,30
CDM,203148,PLATE LCK STRNL TLN 10HL,3012.0,3012.0,451.8,3012.0,30
CDM,203149,SCREW BN 2.3MM 9MM,1442.0,1442.0,216.3,1442.0,30
CDM,203150,PLATE BN HUM RT 5H 145MM,7258.0,7258.0,1088.7,7258.0,30
CDM,203151,NAIL BN 1.5X11.5MM 40CM,9050.0,9050.0,1357.5,9050.0,30
CDM,203153,SCREW BN 6.5X16X60MM,3189.0,3189.0,478.35,3189.0,30
CDM,203158,CATH BIL 5FR 8.5FR 200CM,773.0,773.0,115.95,773.0,42
CDM,203159,PORT IMPL INFSN 6FR,3189.0,3189.0,478.35,3189.0,30
CDM,203162,GWIRE ORTHO .062IN 6IN,386.5,386.5,57.98,386.5,42
CDM,203167,SCREW BN 5MM 38MM,2111.0,2111.0,316.65,2111.0,30
CDM,203168,SCREW BN 5MM 36MM,2111.0,2111.0,316.65,2111.0,30
CDM,203174,PLATE THNFLAP CRNFCL 4HL,1289.0,1289.0,193.35,1289.0,30
CDM,203177,CANNULA SURG PTH HIP,773.0,773.0,115.95,773.0,42
CDM,203178,NAIL BN LT 1.5MM 40CM,9050.0,9050.0,1357.5,9050.0,30
CDM,203182,RING ANLPLS 30MM,7974.0,7974.0,1196.1,7974.0,30
CDM,203183,PLATE DANEK 811.308,3765.0,3765.0,564.75,3765.0,30
CDM,203185,ROD SPN CRV 80M 4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,203186,ROD SPN 4.75X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,203193,PLATE BN 2.7/3.5MM 177MM,4218.0,4218.0,632.7,4218.0,30
CDM,203196,SHELL ACTB 56MM 24MM HIP,4606.0,4606.0,690.9,4606.0,30
CDM,203197,STEM HIP FEM OFS 12X140,7973.0,7973.0,1195.95,7973.0,30
CDM,203198,STEM HIP FEM OFS 14X150,11627.0,11627.0,1744.05,11627.0,30
CDM,203199,LINER ACTB HIP SZ26 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,203200,LINER ACTB SH SZ23 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,203201,SHELL ACTB SZ23 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,203202,HEAD HIP TPR NCK-6X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,203203,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,203204,STEM FEM HIP 155MM 10MM,11627.0,11627.0,1744.05,11627.0,30
CDM,203206,STEM HUM SHLDR RT 10.5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,203216,RING ANLPLS 34MM,7974.0,7974.0,1196.1,7974.0,30
CDM,203222,ROD SPNL LN 75MM 5.5MM,2630.0,2630.0,394.5,2630.0,30
CDM,203223,ROD SPN 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,203226,ROD SPN 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,203227,ELEVATOR SURG PSS ACC,2046.5,2046.5,306.98,2046.5,42
CDM,203228,PLATE BONE L MED LEFT,1633.0,1633.0,244.95,1633.0,30
CDM,203230,PROSTH PENL PUMP PL 12CM,37072.0,37072.0,5560.8,37072.0,30
CDM,203237,SCREW BN 2MM 10MM,508.0,508.0,76.2,508.0,30
CDM,203238,PLATE BN 5H 3.5MM 99MM,3624.0,3624.0,543.6,3624.0,30
CDM,203239,PLATE BN L 2.7/3.5MM90MM,3573.0,3573.0,535.95,3573.0,30
CDM,203242,BSPLT TIB JRNY RM/LL SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,203243,CMPNT FEM 2 KN RT MDL LL,5980.0,5980.0,897.0,5980.0,30
CDM,203246,HEAD FEM HIP +5MM 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,203248,INSERT TIB KN SZ8 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,203254,KIT DIL VASC GW NDL 18GA,1023.5,1023.5,153.53,1023.5,42
CDM,203255,SCREW BN SPN 4.5MM 25MM,4247.0,4247.0,637.05,4247.0,30
CDM,203256,PLATE BN STRNL 17MM,4806.0,4806.0,720.9,4806.0,30
CDM,203262,IMPLANT TOE DIP 13,4606.0,4606.0,690.9,4606.0,30
CDM,203269,LINER ACTB A-CLASS 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,203271,HEAD FEM 42MM HIP BCH CN,4606.0,4606.0,690.9,4606.0,30
CDM,203272,SCREW BN CANC6.5MM 2.5CM,2137.0,2137.0,320.55,2137.0,30
CDM,203273,STEM FEM HIP 150MM 12MM,8416.0,8416.0,1262.4,8416.0,30
CDM,203276,VALVE AORTIC 25MM,23051.0,23051.0,3457.65,23051.0,30
CDM,203279,HEAD FEM HIP +0MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,203281,PLATE BN HUM TIT 3H,9461.0,9461.0,1419.15,9461.0,30
CDM,203282,SCREW BN 3.5X30MM,1029.0,1029.0,154.35,1029.0,30
CDM,203283,SCREW BN 3.5MM 28MM,2551.0,2551.0,382.65,2551.0,30
CDM,203284,SCREW BN 4MM 38MM,2551.0,2551.0,382.65,2551.0,30
CDM,203285,SCREW BN 4MM 40MM,2551.0,2551.0,382.65,2551.0,30
CDM,203286,SCREW BN 3.5MM 40MM,2551.0,2551.0,382.65,2551.0,30
CDM,203287,SCREW BN 3.5MM 26MM,2551.0,2551.0,382.65,2551.0,30
CDM,203288,SLEEVE CNTRNG 14B SM,4252.0,4252.0,637.8,4252.0,30
CDM,203289,STEM SROM 36NK 14X09X130,6644.0,6644.0,996.6,6644.0,30
CDM,203290,NAIL 1.5 130D 1038 R,6400.0,6400.0,960.0,6400.0,30
CDM,203292,IMPLANT BREAST 465CC,3720.0,3720.0,558.0,3720.0,30
CDM,203293,BLOCK TIBIAL NG TM CR MO,9567.0,9567.0,1435.05,9567.0,30
CDM,203294,CMPNT FEM CR-FLEX E-LT,9301.0,9301.0,1395.15,9301.0,30
CDM,203295,STEM FEM HIP SZ5 105MM,8858.0,8858.0,1328.7,8858.0,30
CDM,203300,SCREW BN SPN 4.5MM 15MM,1506.0,1506.0,225.9,1506.0,30
CDM,203301,GRAFT TISS >200MM,4496.0,4496.0,674.4,4496.0,30
CDM,203302,SCREW BN 4.75MM 15MM,3189.0,3189.0,478.35,3189.0,30
CDM,203304,SCREW BN 4.5MM 40MM,2392.0,2392.0,358.8,2392.0,30
CDM,203306,GWIRE ST ARTH .062IN,232.0,232.0,34.8,232.0,42
CDM,203309,ANCHOR SUT 4.5MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,203312,PLATE BN 3.5MM 267MM,4342.0,4342.0,651.3,4342.0,30
CDM,203313,KNIFE OPTH 30D,1310.0,1310.0,196.5,1310.0,42
CDM,203320,KWIRE FX 100MM .8MM,396.0,396.0,59.4,396.0,42
CDM,203321,GRAFT TIS 20X20CM,37053.0,37053.0,5557.95,37053.0,30
CDM,203337,SIZER BREAST 125CC,618.5,618.5,92.78,618.5,42
CDM,203338,SIZER BREAST 600CC,618.5,618.5,92.78,618.5,42
CDM,203340,SIZER BREAST 650CC,618.5,618.5,92.78,618.5,42
CDM,203348,NAIL BN 130D 1.5X3MM,7704.0,7704.0,1155.6,7704.0,30
CDM,203351,GRAFT CV 6MM 45CM,11647.0,11647.0,1747.05,11647.0,30
CDM,203352,NAIL HUM CANN 7MM 240MM,4637.0,4637.0,695.55,4637.0,30
CDM,203354,BLADE IM FX HUM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,203360,SUTURE BLU MONO 7-0 30IN,740.5,740.5,111.08,740.5,42
CDM,203361,PLATE BN 12HL 2.4MM,3571.0,3571.0,535.65,3571.0,30
CDM,203364,GRAFT TIS 10X7CM,5298.0,5298.0,794.7,5298.0,30
CDM,203366,SCREW BN 2.7MM 30MM,1883.0,1883.0,282.45,1883.0,30
CDM,203367,SCREW BN 2.7MM 26MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,203372,PLATE TIB MNOBLK CR 5X10,9567.0,9567.0,1435.05,9567.0,30
CDM,203374,SHELL ACTB CONTN KK 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,203375,LINER ACTB HIP 56X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,203376,STEM FEM HIP 11MM 121MM,7973.0,7973.0,1195.95,7973.0,30
CDM,203377,CMPNT KNEE FEM SZE/LT,9301.0,9301.0,1395.15,9301.0,30
CDM,203387,SCREW BN 5MM 4.3MM 64MM,2143.0,2143.0,321.45,2143.0,30
CDM,203388,SCREW BN 5MM 58MM,2143.0,2143.0,321.45,2143.0,30
CDM,203389,GRAFT CV 50CM 8MM 40CM,8283.0,8283.0,1242.45,8283.0,30
CDM,203390,COMP FEM OXNM FBR LT 5JR,5980.0,5980.0,897.0,5980.0,30
CDM,203391,BASEPLT TIB JRNY5 LT MDL,4606.0,4606.0,690.9,4606.0,30
CDM,203392,RING ANLPLS 26MM,7974.0,7974.0,1196.1,7974.0,30
CDM,203394,WIRE FX KRSH SHRP CANN,773.0,773.0,115.95,773.0,42
CDM,203395,NEEDLE ASP JMSHD 10GA5IN,773.0,773.0,115.95,773.0,42
CDM,203397,HEAD FEM HIP 6D + 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,203399,STENT EPRSTH 34MM 15CM,57291.0,57291.0,8593.65,57291.0,30
CDM,203406,CAGE SPN 5D 9X9X23MM,11959.0,11959.0,1793.85,11959.0,30
CDM,203409,ROD SPNL TI 5.5X85MM,2711.0,2711.0,406.65,2711.0,30
CDM,203410,NAIL TIB 10X330MM,5211.0,5211.0,781.65,5211.0,30
CDM,203411,COMPNT PTLA KN 10X38MM,4428.0,4428.0,664.2,4428.0,30
CDM,203413,PLATE BN LCK 20H 2MM,4429.0,4429.0,664.35,4429.0,30
CDM,203417,SCREW BN 6.5MM 35MM,877.0,877.0,131.55,877.0,30
CDM,203418,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,203419,STEM FEM HIP 15MM 129MM,10630.0,10630.0,1594.5,10630.0,30
CDM,203421,ROD CONCTR LG CLS JNCTN,3012.0,3012.0,451.8,3012.0,30
CDM,203424,TUBE ORTH 52 TFLN DISP,1542.5,1542.5,231.38,1542.5,42
CDM,203426,PLATE BN STRNL 14MM,5548.0,5548.0,832.2,5548.0,30
CDM,203427,LINER ACTB 10D 48MM 28MM,4963.0,4963.0,744.45,4963.0,30
CDM,203428,STEM FEM HIP 22MM 195MM,10225.0,10225.0,1533.75,10225.0,30
CDM,203429,STEM FEM HIP 14MM 155MM,9658.0,9658.0,1448.7,9658.0,30
CDM,203430,BODY CONE HIP +10MM 23MM,12106.0,12106.0,1815.9,12106.0,30
CDM,203431,CAGE ACTB HIP 48MM,9051.0,9051.0,1357.65,9051.0,30
CDM,203432,SHELL ACTB HIP 58MM,9543.0,9543.0,1431.45,9543.0,30
CDM,203436,RING ANLPLS 32MM,7974.0,7974.0,1196.1,7974.0,30
CDM,203444,KIT CATH CV 16GA 12IN,347.0,347.0,52.05,347.0,42
CDM,203459,PLATE BN 3.5MM 91MM,6071.0,6071.0,910.65,6071.0,30
CDM,203468,ROD SPN 5.5MM 55MM,2630.0,2630.0,394.5,2630.0,30
CDM,203469,SCREW BN 2.4MM 10MM,740.0,740.0,111.0,740.0,30
CDM,203471,DRIL SURG CANN 3.2MM,386.5,386.5,57.98,386.5,42
CDM,203472,KWIRE FX 228MM 2MM,386.5,386.5,57.98,386.5,42
CDM,203476,SCREW BN 1.5MM 5MM,1201.0,1201.0,180.15,1201.0,30
CDM,203477,PLATE CRNMXF 2X3HL .5MM,3189.0,3189.0,478.35,3189.0,30
CDM,203478,PLATE BN .5 2X3,3189.0,3189.0,478.35,3189.0,30
CDM,203479,SHELL ACTB HIP HEMI11-58,4606.0,4606.0,690.9,4606.0,30
CDM,203480,INSRT POLY X3 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,203484,SCREW BN SPNL 7.5X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,203486,INSERT CLAMP ULTRA 66MM,503.0,503.0,75.45,503.0,42
CDM,203488,WEDGE KN TIB SZ4 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,203489,STEM FEM KN PRSFT 100X13,4606.0,4606.0,690.9,4606.0,30
CDM,203490,BASEPLATE TIB KN UNV SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,203492,CMNPT AUG KN LT SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,203493,STEM FEM KN 11MM 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,203494,COMPNT FEM LT KN SZ4,18424.0,18424.0,2763.6,18424.0,30
CDM,203496,PLATE BN LRG 38MM 55MM,8296.0,8296.0,1244.4,8296.0,30
CDM,203501,STEM FEM TAPRD NOV 16MM,8858.0,8858.0,1328.7,8858.0,30
CDM,203502,HEAD BIP HIP 47MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,203505,SCREW BN 2MM 6MM,940.0,940.0,141.0,940.0,30
CDM,203506,SCREW BN 2MM 8MM,1016.0,1016.0,152.4,1016.0,30
CDM,203507,PLATE BN 2X2HL 1.25MM,3189.0,3189.0,478.35,3189.0,30
CDM,203508,SCREW BN 4MM 45MM,2392.0,2392.0,358.8,2392.0,30
CDM,203509,PLATE BN 8HL,4429.0,4429.0,664.35,4429.0,30
CDM,203510,NAIL LT TROCH 125D 10X38,6400.0,6400.0,960.0,6400.0,30
CDM,203515,ANCHOR SUT 5.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,203516,SCREW BN 7MM 23MM,3189.0,3189.0,478.35,3189.0,30
CDM,203518,CUTTER SURG 8MM,3806.5,3806.5,570.98,3806.5,42
CDM,203519,NRSTM IMPL 63CM REV SPNL,1132.0,1132.0,169.8,1132.0,30
CDM,203520,STEM HIP FEM 99MM,8557.0,8557.0,1283.55,8557.0,30
CDM,203521,HEAD FEM HIP +4MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,203527,REAMER SURG 8MM,1596.5,1596.5,239.47,1596.5,42
CDM,203528,STEM FEM KN 16X155MM,4606.0,4606.0,690.9,4606.0,30
CDM,203529,STEM XTN TIV 155X200,4606.0,4606.0,690.9,4606.0,30
CDM,203530,SURFACE ARTC SZE-F 23MM,6000.0,6000.0,900.0,6000.0,30
CDM,203533,SCREW 7.5X60MM XPDM SPN,3765.0,3765.0,564.75,3765.0,30
CDM,203534,COMPONENT GLND 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,203536,STEM HUM SHLDR 9MM 118MM,12114.0,12114.0,1817.1,12114.0,30
CDM,203537,SUTURE FBRLP SZ2 20IN,1029.0,1029.0,154.35,1029.0,30
CDM,203540,PLATE T BN 4/6H 3.5MM,3033.0,3033.0,454.95,3033.0,30
CDM,203541,SCREW BIOABS TNDSIS 23X7,3189.0,3189.0,478.35,3189.0,30
CDM,203542,ANCHOR SUT 2.9MM 15.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,203543,ANCHOR SUT 4.75MM 19.1MM,3189.0,3189.0,478.35,3189.0,30
CDM,203544,KIT IMPL BN ANCH ACL,3189.0,3189.0,478.35,3189.0,30
CDM,203545,SCREW BN 8MM 20MM,3093.0,3093.0,463.95,3093.0,30
CDM,203550,ENDCAP SPN BLOCKER,753.0,753.0,112.95,753.0,30
CDM,203553,PROSTH PENL PUMP PL 24CM,41499.0,41499.0,6224.85,41499.0,30
CDM,203554,STEM FEM HIP 16MM 170MM,8858.0,8858.0,1328.7,8858.0,30
CDM,203555,NAIL 1.5 125D 1034 R,6400.0,6400.0,960.0,6400.0,30
CDM,203556,PLATE BN 4H 89MM,4429.0,4429.0,664.35,4429.0,30
CDM,203559,PLATE BN MED 150MM,4429.0,4429.0,664.35,4429.0,30
CDM,203565,HEAD HIP TPR NK-6X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,203567,PLATE BN 2.4MM 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,203573,GRAFT VASC THIN 80CM 8MM,13124.0,13124.0,1968.6,13124.0,30
CDM,203577,BEARING ARTC HIP E1 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,203582,SCREW 6 2 MNDB LCK IMPL,957.0,957.0,143.55,957.0,30
CDM,203585,NDL 11GA ASP BN MRW STRL,1023.5,1023.5,153.53,1023.5,42
CDM,203586,REAMER SURG 7MM,1676.0,1676.0,251.4,1676.0,42
CDM,203591,SCREW BN NLCK 3.5X10MM,1276.0,1276.0,191.4,1276.0,30
CDM,203593,SCREW BN FT LCK 3.5X10,2519.0,2519.0,377.85,2519.0,30
CDM,203594,SCREW BN FT LCK 3.5X12,3189.0,3189.0,478.35,3189.0,30
CDM,203595,BIT DRILL 3.6MM,1023.5,1023.5,153.53,1023.5,42
CDM,203596,ANCHOR SUT 4.75MM 19.1MM,3497.0,3497.0,524.55,3497.0,30
CDM,203597,ROD TRNCN LG TI TOP LD N,3765.0,3765.0,564.75,3765.0,30
CDM,203599,SCREW BN ORTH 4MM 15MM,3721.0,3721.0,558.15,3721.0,30
CDM,203600,SCREW BN FUSION 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,203602,GRAFT ST TIS HERN 10X7CM,4429.0,4429.0,664.35,4429.0,30
CDM,203610,SCREW BN SPNL 9.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,203611,SCREW 8.5X55MM SPN P-AX,4247.0,4247.0,637.05,4247.0,30
CDM,203613,ANCHOR SUTURE 3MM,3189.0,3189.0,478.35,3189.0,30
CDM,203617,IMPLANT FX 14MM SYS ST,2998.0,2998.0,449.7,2998.0,30
CDM,203618,SCREW BN LCK 2.9X10MM,3013.0,3013.0,451.95,3013.0,30
CDM,203621,STEM HIP 11.3MM 135MM,6387.0,6387.0,958.05,6387.0,30
CDM,203622,SPACER FEM HIP OMFT 12MM,1170.0,1170.0,175.5,1170.0,30
CDM,203623,SPACER FEM HIP OMFT 13MM,1170.0,1170.0,175.5,1170.0,30
CDM,203625,SCREW BN 2.0MM 9MM,925.0,925.0,138.75,925.0,30
CDM,203627,ROD SPN PRELRD 45X5.5MM,2630.0,2630.0,394.5,2630.0,30
CDM,203628,CMPNT FEM F RT CRFLX GSF,9301.0,9301.0,1395.15,9301.0,30
CDM,203629,SCREW BN CANC 4X40X14MM,341.0,341.0,51.15,341.0,30
CDM,203633,NAIL BN TIB 10MM 375MM,4429.0,4429.0,664.35,4429.0,30
CDM,203636,GRFT BN COSTL CRTLGE FZN,3012.0,3012.0,451.8,3012.0,30
CDM,203637,STEM FEM 5 COCR TRLK HI,10630.0,10630.0,1594.5,10630.0,30
CDM,203639,PLATE BN RT 6HL,4429.0,4429.0,664.35,4429.0,30
CDM,203640,GWIRE ORTH .059IN 5IN,386.5,386.5,57.98,386.5,42
CDM,203645,KNIFE SURG BYNT 188MM,2051.5,2051.5,307.73,2051.5,42
CDM,203646,PLATE BN 2.4/2.7MM 27MM,4429.0,4429.0,664.35,4429.0,30
CDM,203649,SCREW BN 2.7MM 32MM,1890.0,1890.0,283.5,1890.0,30
CDM,203650,SHELL ACTB 58MM MLT H,8152.0,8152.0,1222.8,8152.0,30
CDM,203651,STEM FEM KN 18MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,203653,HEAD FEM HIP BALL 56MM,4252.0,4252.0,637.8,4252.0,30
CDM,203657,ENDCAP SPN 0D 18X40MM,7264.0,7264.0,1089.6,7264.0,30
CDM,203658,SCREW LOCKING FOR ENDCAP,1661.0,1661.0,249.15,1661.0,30
CDM,203659,COMP FEM 4 OXNM JUNI LM,5980.0,5980.0,897.0,5980.0,30
CDM,203660,BASEPLATE TIB JRNY SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,203661,PLATE SPN 5-7MM,5537.0,5537.0,830.55,5537.0,30
CDM,203665,HEAD HUM SHO 50X18MM,7557.0,7557.0,1133.55,7557.0,30
CDM,203668,STEM FEM HIP 11MM 121MM,9966.0,9966.0,1494.9,9966.0,30
CDM,203670,PLATE BN STRNL LG 14MM,4806.0,4806.0,720.9,4806.0,30
CDM,203673,CMPNT FEM CR-FLEX SZF,9301.0,9301.0,1395.15,9301.0,30
CDM,203674,STEM FEM SZ5 108MM,8557.0,8557.0,1283.55,8557.0,30
CDM,203675,SLEEVE HIP ADPTR 4MM,532.0,532.0,79.8,532.0,30
CDM,203677,STEM FEM HIP SZ3 102MM,8557.0,8557.0,1283.55,8557.0,30
CDM,203678,HEAD FEM HIP +8MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,203680,SHELL HIP ACTB 56MM,5758.0,5758.0,863.7,5758.0,30
CDM,203681,SCREW BN 6.5MM 2.0CM,1611.0,1611.0,241.65,1611.0,30
CDM,203684,NECK FEM SHRT ANTGRD,4428.0,4428.0,664.2,4428.0,30
CDM,203688,HEAD FEM HIP +13 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,203689,STEM SHDLR HUM 10MM,22145.0,22145.0,3321.75,22145.0,30
CDM,203691,NAIL LT TROCH 10X40X125,6400.0,6400.0,960.0,6400.0,30
CDM,203693,PLATE BN 8HL 1MM,3721.0,3721.0,558.15,3721.0,30
CDM,203694,SCREW BN 2.0X5MM,940.0,940.0,141.0,940.0,30
CDM,203696,PIN BN BTRS LCK 1.8X22MM,1805.0,1805.0,270.75,1805.0,30
CDM,203699,MOLD SPCR KN TIB 70MM,4631.5,4631.5,694.73,4631.5,42
CDM,203700,LINER ACTB HH OTHS 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,203701,STEM FEM HIP 11MM 121MM,10630.0,10630.0,1594.5,10630.0,30
CDM,203702,SHELL ACTB HIP SZHH 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,203704,SCREW BN 7MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,203712,PLATE BN LT 1H 86MM,6314.0,6314.0,947.1,6314.0,30
CDM,203713,SCREW BN CANC 4X38X14MM,331.0,331.0,49.65,331.0,30
CDM,203714,SCREW BN LCK 4X48MM,1961.0,1961.0,294.15,1961.0,30
CDM,203715,SCREW BN CANC 4X50X15MM,341.0,341.0,51.15,341.0,30
CDM,203726,BIT DRILL 50X1.5X7MM STP,1285.0,1285.0,192.75,1285.0,42
CDM,203727,DRILL TWIST L105X1.5,1023.5,1023.5,153.53,1023.5,42
CDM,203728,PLATE BN MINI MD 6HL 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,203729,SCREW BN 2MM 5MM,1018.0,1018.0,152.7,1018.0,30
CDM,203730,SCREW BN 2MM 9MM,925.0,925.0,138.75,925.0,30
CDM,203731,RESTRICTOR HIP SM 13MM,1967.0,1967.0,295.05,1967.0,30
CDM,203732,PLATE BN NAR 2X2H 1MM,3189.0,3189.0,478.35,3189.0,30
CDM,203736,COMP 8 LT KN GNSIS2 NPOR,7087.0,7087.0,1063.05,7087.0,30
CDM,203738,AGMNT FEM 3X8 POST 8MMCO,4252.0,4252.0,637.8,4252.0,30
CDM,203739,CMPNT AGMNT 3X4 POST,4252.0,4252.0,637.8,4252.0,30
CDM,203740,CMPNT AGMNT 3X4 DIST RT,4252.0,4252.0,637.8,4252.0,30
CDM,203747,INSRT TIB TRTHN SZ4 9,4606.0,4606.0,690.9,4606.0,30
CDM,203748,JOINT TOE SZ#4S,4606.0,4606.0,690.9,4606.0,30
CDM,203752,SPACER SPN PLG 4D 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,203753,CAGE SPN 4D 6X12X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,203754,SCREW BN 1.55X2.65X6MM,1202.0,1202.0,180.3,1202.0,30
CDM,203756,SCREW BN TI SLF DRL 4MM,1201.0,1201.0,180.15,1201.0,30
CDM,203757,SCREW BN 6.0MM,1201.0,1201.0,180.15,1201.0,30
CDM,203758,PLATE BN 12HL .5MM,3189.0,3189.0,478.35,3189.0,30
CDM,203759,PLATE BN ADP 20H 4MM,3956.0,3956.0,593.4,3956.0,30
CDM,203760,PLATE BN1X3 Y TI MDFC,3189.0,3189.0,478.35,3189.0,30
CDM,203761,PLATE BN 4HL 5X10X0.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,203762,MESH BN CRNL 45X38X.4MM,6283.0,6283.0,942.45,6283.0,30
CDM,203765,SCREW BN 2.7X12MM,824.0,824.0,123.6,824.0,30
CDM,203766,SCREW BN 2.7X14MM,1975.0,1975.0,296.25,1975.0,30
CDM,203767,SCREW BN 2.7X16MM,1975.0,1975.0,296.25,1975.0,30
CDM,203768,SCREW BN 2.7X20MM,1975.0,1975.0,296.25,1975.0,30
CDM,203769,SCREW RETRO AR-1586LB-09,3093.0,3093.0,463.95,3093.0,30
CDM,203770,REAMER SURG 9.0MM,1596.5,1596.5,239.47,1596.5,42
CDM,203771,CUTTER ARTHSCP 10MM,2284.0,2284.0,342.6,2284.0,42
CDM,203773,INSERT TIB KN SZ2 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,203775,PLATE BN CRNM 3ANG 43X48,7809.0,7809.0,1171.35,7809.0,30
CDM,203778,CMPNT FEM SZ4 RT,7087.0,7087.0,1063.05,7087.0,30
CDM,203779,STEM FEM KN 75MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,203780,INSERT TIB KN SZ3 12.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,203781,SLEEVE TIB 29X26X40MM,6413.0,6413.0,961.95,6413.0,30
CDM,203782,CMPNT FEM KN RT SZ3,11861.0,11861.0,1779.15,11861.0,30
CDM,203783,SLEEVE CNTRNG HIP 31MM,7357.0,7357.0,1103.55,7357.0,30
CDM,203784,STEM FEM KN 75MM 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,203785,CMPNT GLND 46MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,203791,GRAFT BN CANC 1-4MM 15CC,2299.0,2299.0,344.85,2299.0,30
CDM,203798,PLATE BN CMF 4X6HL 0.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,203799,PLATE BN ORBTL 12H 0.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,203801,SCREW BN 1.85X2.65X4MM,1321.0,1321.0,198.15,1321.0,30
CDM,203804,SCREW BN 1.55X1.22X4MM,1349.0,1349.0,202.35,1349.0,30
CDM,203808,GRAFT CV 14X7MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,203812,SPACER SPN 4D 7X12X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,203814,SCREW BN 6MM 25MM SPNL,1506.0,1506.0,225.9,1506.0,30
CDM,203815,SCREW BNE SPNL 6X30 LMBR,1130.0,1130.0,169.5,1130.0,30
CDM,203816,SHELL HIP CLUSTR 58H,4872.0,4872.0,730.8,4872.0,30
CDM,203817,HEAD FEM HIP +0X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,203821,PLATE BN STRT 8HL,3348.0,3348.0,502.2,3348.0,30
CDM,203823,SCREW BN 3.5MM 75MM,1379.0,1379.0,206.85,1379.0,30
CDM,203824,STEM HUM SHLDR LT 10.5MM,13066.0,13066.0,1959.9,13066.0,30
CDM,203825,PLATE FX SHLDR ANG 0MM,4429.0,4429.0,664.35,4429.0,30
CDM,203831,STEM HUM SHLDR LT 6.5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,203833,GRAFT BN CHP 30ML,3012.0,3012.0,451.8,3012.0,30
CDM,203837,SCREW SET SPN 5.5MM,753.0,753.0,112.95,753.0,30
CDM,203838,ROD SPN 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,203842,SPACER SPN 14X11X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,203845,SPACER SPNL 4D 10X8MM,11073.0,11073.0,1660.95,11073.0,30
CDM,203846,ROD SPN 3.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,203848,SCREW 6MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,203849,ROD SPNL 450MM 4.5MM XPD,3012.0,3012.0,451.8,3012.0,30
CDM,203850,CONN ROD 4.5-5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,203853,SPACER SPN LG 12D 12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,203860,GRAFT BN CANC 30ML 4-10M,3012.0,3012.0,451.8,3012.0,30
CDM,203862,RESTRCTR HIP CMX 6-8MM,2020.0,2020.0,303.0,2020.0,30
CDM,203863,SCREW DUAL THRD 4.5X30MM,5094.0,5094.0,764.1,5094.0,30
CDM,203864,SCRW BN 6.5MM 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,203865,ROD SPNL 35MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,203870,MESH SURG 3IN 5IN,3189.0,3189.0,478.35,3189.0,30
CDM,203873,HEAD FEM HIP +5MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,203875,ROD CCM CURV 4.75X35MM,2711.0,2711.0,406.65,2711.0,30
CDM,203877,SPACER AVS HL 4D 14X12X8,4429.0,4429.0,664.35,4429.0,30
CDM,203880,CLIP SPN TI LOCKING,753.0,753.0,112.95,753.0,30
CDM,203882,CAGE SPN 7D 10X8X28MM,8858.0,8858.0,1328.7,8858.0,30
CDM,203886,SPACER SPNL 14X13X8MM AC,4429.0,4429.0,664.35,4429.0,30
CDM,203891,IMPLANT BREAST 535CC,4429.0,4429.0,664.35,4429.0,30
CDM,203894,SCREW BN 2.7X16MM,824.0,824.0,123.6,824.0,30
CDM,203895,SCREW BN 2MM 20MM,508.0,508.0,76.2,508.0,30
CDM,203899,KNEE GII PS FEM 71420100,7087.0,7087.0,1063.05,7087.0,30
CDM,203900,INSR HI FLEX SZ1-2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,203901,SPACER MED 8DEG 10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,203905,GRAFT BN CANC 15ML 4-10M,2299.0,2299.0,344.85,2299.0,30
CDM,203906,STEM HUM SHLDR 16X130MM,16831.0,16831.0,2524.65,16831.0,30
CDM,203907,SCREW 30 4.35 BN XPDM,4872.0,4872.0,730.8,4872.0,30
CDM,203911,SPACER SPN 7D 8X11X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,203914,SPACER SPNL 14X13X9MM AC,4429.0,4429.0,664.35,4429.0,30
CDM,203915,SCREW BN 3.5MM 32MM,368.0,368.0,55.2,368.0,30
CDM,203916,PLATE BN V-AX CRV 4HL,3721.0,3721.0,558.15,3721.0,30
CDM,203926,ELCTRD BLDE PTFE 6.5IN,112.0,112.0,16.8,112.0,42
CDM,203927,SPACER SPNL 14MM 12D LRD,9966.0,9966.0,1494.9,9966.0,30
CDM,203929,PLATE SPN 16X17.4X2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,203938,CMPNT FEM SM RT 35MM,12118.0,12118.0,1817.7,12118.0,30
CDM,203942,CUP ACTB 58MM 25MM MLHD,4606.0,4606.0,690.9,4606.0,30
CDM,203943,STEM HIP FEM OFS 13X145,7973.0,7973.0,1195.95,7973.0,30
CDM,203944,HEAD FEM M2A -6X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,203945,CMPNT OXNM FBR FEM RTMDL,5980.0,5980.0,897.0,5980.0,30
CDM,203946,BLADE SAW RECIP 1 SIDE,773.0,773.0,115.95,773.0,42
CDM,203948,SCREW 6X60MM XPDM TI SPN,4429.0,4429.0,664.35,4429.0,30
CDM,203949,SPACER SPN 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,203956,WIRE FX 450MM 1.6MM,386.5,386.5,57.98,386.5,42
CDM,203958,SCREW BN 2.7MM 16MM,1730.0,1730.0,259.5,1730.0,30
CDM,203959,PLATE BN MINI 4HL MD 1MM,1562.0,1562.0,234.3,1562.0,30
CDM,203964,SPACER SPN 25MM 9MM,11073.0,11073.0,1660.95,11073.0,30
CDM,203967,SPACER SPNL BN 9MM 14X2D,4429.0,4429.0,664.35,4429.0,30
CDM,203968,SPACER SPN 7D 7X11X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,203970,MESH HERNIA 15X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,203974,STEM FEM KNEE SZG/RT,9301.0,9301.0,1395.15,9301.0,30
CDM,203975,PLATE TIB MNOBLK CR SZ7,9567.0,9567.0,1435.05,9567.0,30
CDM,203976,ACTB NTRL 44MM HIP,4429.0,4429.0,664.35,4429.0,30
CDM,203977,HEAD FEM +1.5 12/14 44 T,4606.0,4606.0,690.9,4606.0,30
CDM,203978,SCREW BN ORTH 5MM 15MM,3721.0,3721.0,558.15,3721.0,30
CDM,203982,PLATE THNFLAP CRNFCL 6HL,1429.0,1429.0,214.35,1429.0,30
CDM,203985,PLATE BN CMF 2HL MED,1135.0,1135.0,170.25,1135.0,30
CDM,203986,SPACER SPNL 14X13X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,203990,HEAD FEM HIP +0 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,203995,PLATE BN RT 1.5MM 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,203996,SCREW BN 1.5X7MM,1112.0,1112.0,166.8,1112.0,30
CDM,203997,SCREW BN 5MM 1.5MM,638.0,638.0,95.7,638.0,30
CDM,203998,SCREW BN 1.8MM 5MM,718.0,718.0,107.7,718.0,30
CDM,203999,SCREW BN 1.8MM 7MM,1112.0,1112.0,166.8,1112.0,30
CDM,204001,SCREW BN 2.4MM 8MM,740.0,740.0,111.0,740.0,30
CDM,204002,PLATE BN 24HL,4429.0,4429.0,664.35,4429.0,30
CDM,204003,CMPNT FEM KN NPOR LT SZ5,7087.0,7087.0,1063.05,7087.0,30
CDM,204004,COMP 5 RT KN GNSIS2 NPOR,7087.0,7087.0,1063.05,7087.0,30
CDM,204005,PLATE SPN 30X16X2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,204009,PLATE STRNL SGL 17MM,4806.0,4806.0,720.9,4806.0,30
CDM,204010,SCREW BN SPN 4.5MM 30MM,4247.0,4247.0,637.05,4247.0,30
CDM,204011,PLATE BN LNG 4H 19MM,1139.0,1139.0,170.85,1139.0,30
CDM,204015,PLATE CHIN GRFN 2X3MM,2971.0,2971.0,445.65,2971.0,30
CDM,204016,SCREW BN 2.3MM 5MM,1184.0,1184.0,177.6,1184.0,30
CDM,204017,SPACER SPNL BN 8MM 14X2D,4429.0,4429.0,664.35,4429.0,30
CDM,204020,SCREW SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,204021,SCREW BN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,204022,SCREW BN 6.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,204023,ROD SPN GRY 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,204024,SCREW SPN SET GRY,753.0,753.0,112.95,753.0,30
CDM,204040,HEAD FEM HIP 3MM,4252.0,4252.0,637.8,4252.0,30
CDM,204041,ROD SPN 30X4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,204042,PLATE BN LCK 12HL,3721.0,3721.0,558.15,3721.0,30
CDM,204047,SCREW SPN 7.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,204049,SCREW SPN SET IMPL,753.0,753.0,112.95,753.0,30
CDM,204051,ROD SPN CNTRD 5.5X35MM,2711.0,2711.0,406.65,2711.0,30
CDM,204052,SCREW SPN P-AX 5.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,204053,ROD SPN 5.5MM 150MM,2711.0,2711.0,406.65,2711.0,30
CDM,204056,SCREW SPN 45MM 8.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,204057,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,204061,PLATE BN MXF 3X4HL 0.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,204062,SCREW BN 1.85X5MM,1202.0,1202.0,180.3,1202.0,30
CDM,204066,ROD SPN SLRA 55X4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,204068,ROD SPN 4.75MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,204069,HEAD FEM -3.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,204070,NEEDLE BX JAM SHIDI 11GA,773.0,773.0,115.95,773.0,42
CDM,204075,PLATE BN 56MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,204076,PEG BN 2.2X18MM,1356.0,1356.0,203.4,1356.0,30
CDM,204077,SCREW BN 2.2MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,204078,GRAFT BN DBM LG 10CC,4429.0,4429.0,664.35,4429.0,30
CDM,204080,PEG SMOOTH LCK 2.2X22MM,1356.0,1356.0,203.4,1356.0,30
CDM,204081,SCREW BN 2.7MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,204082,SCREW BN 2.7MM 15MM,1356.0,1356.0,203.4,1356.0,30
CDM,204083,CMPNT FEM STD KN RT SZ11,6644.0,6644.0,996.6,6644.0,30
CDM,204085,ROD SPN 75MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,204086,ROD SPN 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,204087,NAIL T2 TIB STD. 10360MM,6836.0,6836.0,1025.4,6836.0,30
CDM,204088,JOINT TOE FLX HNG #5S,4606.0,4606.0,690.9,4606.0,30
CDM,204089,SHELL FEM HIP 46X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,204090,SPACER 8 DEG 10 MM LG,9966.0,9966.0,1494.9,9966.0,30
CDM,204091,SPACER SPNL 30X24X11MM,9966.0,9966.0,1494.9,9966.0,30
CDM,204092,SCREW SPN 6MM 26MM,1130.0,1130.0,169.5,1130.0,30
CDM,204095,SPACER SPNL 22X8.5X9MM,9966.0,9966.0,1494.9,9966.0,30
CDM,204099,GRAFT BN 5ML,3441.0,3441.0,516.15,3441.0,30
CDM,204100,SCREW SPN 5.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,204101,ROD SPN 5.5MM 200MM,2711.0,2711.0,406.65,2711.0,30
CDM,204103,SHELL HIP CLUSTR 54H,4872.0,4872.0,730.8,4872.0,30
CDM,204104,PLATE BN 54MM 2MM,3968.0,3968.0,595.2,3968.0,30
CDM,204105,SCREW BN CORT T6 2X12MM,520.0,520.0,78.0,520.0,30
CDM,204106,SCREW BN 2MM 14MM,625.0,625.0,93.75,625.0,30
CDM,204108,SCREW BN 2.0MM 16MM,1524.0,1524.0,228.6,1524.0,30
CDM,204109,SCREW BN CORT 2MM 16MM,625.0,625.0,93.75,625.0,30
CDM,204111,PLATE TIB MNOBLCK SZ5 12,8194.0,8194.0,1229.1,8194.0,30
CDM,204112,SPACER SPN 28X8.5X10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,204113,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,204115,PLATE BN 6HL 2.4MM 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,204116,PIN FX T8 1.8X18MM,1805.0,1805.0,270.75,1805.0,30
CDM,204119,PLATE BN 2.7/3.5X125MM,4429.0,4429.0,664.35,4429.0,30
CDM,204123,HEAD FEM ALUM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,204126,SCREW BN 2.4MM 18MM,740.0,740.0,111.0,740.0,30
CDM,204132,PLATE BN SHORT RT,5063.0,5063.0,759.45,5063.0,30
CDM,204133,SCREW CORT BN 3X16MM,1754.0,1754.0,263.1,1754.0,30
CDM,204134,SCREW BN TI 3MM 18MM,1754.0,1754.0,263.1,1754.0,30
CDM,204135,SCREW ARTRX AR-8933-24PT,1913.0,1913.0,286.95,1913.0,30
CDM,204136,SCREW BN 3MM 14MM,1754.0,1754.0,263.1,1754.0,30
CDM,204137,SCREW BN 3MM 16MM,1754.0,1754.0,263.1,1754.0,30
CDM,204139,GWIRE ORTHO .45X5.91IN,231.5,231.5,34.73,231.5,42
CDM,204142,SCREW BN 2.7MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,204143,SCREW BN 4.5MM 76MM,469.0,469.0,70.35,469.0,30
CDM,204144,SCREW BN CORT 4.5X95MM,607.0,607.0,91.05,607.0,30
CDM,204146,GFT VASC 20-80CM 3-6MM,28453.0,28453.0,4267.95,28453.0,30
CDM,204149,BUTTON CBL HEX LCK 2.5MM,1563.0,1563.0,234.45,1563.0,30
CDM,204151,CLAMP-SCREW,1834.0,1834.0,275.1,1834.0,30
CDM,204158,SPACER SPNL 22X8.5X10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,204159,SET SCREW SPN,753.0,753.0,112.95,753.0,30
CDM,204160,SPACER SPNL 16X15X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,204171,SPACER SPN 25MMX7MM,9966.0,9966.0,1494.9,9966.0,30
CDM,204172,PUTTY BN DBM .5ML,697.0,697.0,104.55,697.0,30
CDM,204173,SCREW BN 5.5X55 XIA3 TI,4429.0,4429.0,664.35,4429.0,30
CDM,204174,SCREW BN 3.5MM 32MM,1244.0,1244.0,186.6,1244.0,30
CDM,204175,SCREW BN 3.5MM 12MM,715.0,715.0,107.25,715.0,30
CDM,204176,SCREW BN 3.5MM 22MM,319.0,319.0,47.85,319.0,30
CDM,204177,PLATE HUM LT 11HL 94MM,4429.0,4429.0,664.35,4429.0,30
CDM,204178,PLATE BN 10HL 97MM,4429.0,4429.0,664.35,4429.0,30
CDM,204179,WASHER BN 3.5MM,885.0,885.0,132.75,885.0,30
CDM,204180,SCREW BN 3.5MM 20MM,1359.0,1359.0,203.85,1359.0,30
CDM,204181,SCREW BN 3.5MM 52MM,1356.0,1356.0,203.4,1356.0,30
CDM,204182,CMPNT KN WEDGE 16X83MM,517.0,517.0,77.55,517.0,30
CDM,204186,SCREW SPN 7.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,204187,SCREW SPN 7.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,204188,SCREW SPN 6.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,204189,SCREW SPN 5.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,204190,SCREW SPN 5.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,204191,ROD SPN 6MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,204192,ROD SPN GRY 75X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,204195,CATH EMBL 2FR 80CM,1629.0,1629.0,244.35,1629.0,42
CDM,204196,PLATE BN 0.5MM 22MM,2679.0,2679.0,401.85,2679.0,30
CDM,204199,SCREW BN 6.5MM 50MM,1300.0,1300.0,195.0,1300.0,30
CDM,204200,STEM FEM SZ4 105MM,8557.0,8557.0,1283.55,8557.0,30
CDM,204201,HEAD HIP -4MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,204202,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204203,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204204,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204205,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204206,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204209,PROS FEM COMP SZ6 RT,7087.0,7087.0,1063.05,7087.0,30
CDM,204210,INSERT ACTB HIP X3 22D,6644.0,6644.0,996.6,6644.0,30
CDM,204211,HEAD HIP 12/14 22.225MM,4252.0,4252.0,637.8,4252.0,30
CDM,204213,CUP ACTB 3-TANIUM 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,204214,PLATE SPN 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,204216,ROD SPNL GRY 110MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,204217,PLATE TIB BLU 83X55X12MM,11294.0,11294.0,1694.1,11294.0,30
CDM,204218,SURFACE ARTC CD/3-4 10MM,6000.0,6000.0,900.0,6000.0,30
CDM,204219,STEM HUM SHLDR 12X130MM,16831.0,16831.0,2524.65,16831.0,30
CDM,204222,SPACER SPN 14X11X8MM,4872.0,4872.0,730.8,4872.0,30
CDM,204223,PLATE CERV 1LVL 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,204224,SCREW SPN 4.0X14,1506.0,1506.0,225.9,1506.0,30
CDM,204233,ANCHOR SUT 5.5MM 16.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,204237,CANN PERF 315805,4052.0,4052.0,607.8,4052.0,42
CDM,204241,INSERT ACTB 3.9MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,204244,SCREW SPN 7.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,204248,PLATE CERV 24MM 1LVL,4429.0,4429.0,664.35,4429.0,30
CDM,204249,SCREW SPN SLFSTRT 4.0X14,1506.0,1506.0,225.9,1506.0,30
CDM,204250,RNG ANLPLS TRCSPD 28,8979.0,8979.0,1346.85,8979.0,30
CDM,204257,SCREW XENA PAX CT10BP540,4429.0,4429.0,664.35,4429.0,30
CDM,204258,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,204259,NAIL 1.5 125D 1036 R,6400.0,6400.0,960.0,6400.0,30
CDM,204262,NAIL TIB T2 9MM 33CM,6836.0,6836.0,1025.4,6836.0,30
CDM,204266,GFT SFT TISS SYN 10X7CM,3765.0,3765.0,564.75,3765.0,30
CDM,204267,ANCHOR SUT 5.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,204268,PLATE BN OBLG L.8MM 2X3,3189.0,3189.0,478.35,3189.0,30
CDM,204269,PLATE BN OBLG R.8MM 2X3,3189.0,3189.0,478.35,3189.0,30
CDM,204271,GRAFT BN BIO 60CC,3690.0,3690.0,553.5,3690.0,30
CDM,204275,SPACER SPN 50X22X8MM,14395.0,14395.0,2159.25,14395.0,30
CDM,204278,KIT LD ADPT 38MM,3189.0,3189.0,478.35,3189.0,30
CDM,204280,PROSTH PENL PUMP PS 21CM,36386.0,36386.0,5457.9,36386.0,30
CDM,204281,SCREW BN KIT 75MM/70MM,3884.0,3884.0,582.6,3884.0,30
CDM,204282,NAIL 1.5 130D 1036 L,6400.0,6400.0,960.0,6400.0,30
CDM,204284,SPACER SPN 4D 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,204285,SUTURE GRN BRD 2-0 30IN,99.0,99.0,14.85,99.0,42
CDM,204286,PLATE SPN 2LVL 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,204287,SCREW SPN SLFSTRT 4.0X12,1506.0,1506.0,225.9,1506.0,30
CDM,204294,ROD SPN SOLRA 60X4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,204295,ROD SPNL 4.75MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,204297,SPACER SPN 25MM 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,204298,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204300,GRAFT STNT 30MM 157MM,62582.0,62582.0,9387.3,62582.0,30
CDM,204302,PLATE BN 6HL 104MM,4429.0,4429.0,664.35,4429.0,30
CDM,204306,POSITIONER SURG HEART,3642.5,3642.5,546.38,3642.5,42
CDM,204308,PLATE 165X105 OSTFR CRNF,10673.0,10673.0,1600.95,10673.0,30
CDM,204310,PLATE TIB MNOBLK CR 3X12,9567.0,9567.0,1435.05,9567.0,30
CDM,204311,CMPNT FEM CR-FLEX SZD,9301.0,9301.0,1395.15,9301.0,30
CDM,204312,SCREW SPN CORT 7X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,204313,PROSTHESIS PNL 20CM 14MM,30826.0,30826.0,4623.9,30826.0,30
CDM,204314,BASEPLATE TIB KN SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,204315,INSERT TIB KN BRNG 7 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,204316,PLATE BN STD 3HL LT 65MM,4429.0,4429.0,664.35,4429.0,30
CDM,204317,PLATE BN ELB 9HL SHORT,4429.0,4429.0,664.35,4429.0,30
CDM,204319,SCREW BN NLCK 3.5MM 26MM,319.0,319.0,47.85,319.0,30
CDM,204320,SCREW BN NLCK 3.5MM 28MM,319.0,319.0,47.85,319.0,30
CDM,204321,SCREW BN NLCK 3.5MM 32MM,319.0,319.0,47.85,319.0,30
CDM,204323,SCREW BN LCK 3.5MM 28MM,1356.0,1356.0,203.4,1356.0,30
CDM,204324,SCREW BN LCK 3.5MM 32MM,1356.0,1356.0,203.4,1356.0,30
CDM,204325,SCREW BN LCK 3.5MM 40MM,1356.0,1356.0,203.4,1356.0,30
CDM,204326,SCREW BN LCK 3.5MM 45MM,1953.0,1953.0,292.95,1953.0,30
CDM,204327,SCREW BN LCK 3.5MM 55MM,1356.0,1356.0,203.4,1356.0,30
CDM,204328,SCREW BN LCK 3.5MM 60MM,1356.0,1356.0,203.4,1356.0,30
CDM,204330,TAP BN DISP 3.5MM,2185.5,2185.5,327.82,2185.5,42
CDM,204331,BASEPLATE TIB UNV SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,204333,SCREW BN 2.4MM 20MM,740.0,740.0,111.0,740.0,30
CDM,204334,BLADE FIXTN TI L105MM OD,3849.0,3849.0,577.35,3849.0,30
CDM,204336,SCREW BN 5X80MM,2344.0,2344.0,351.6,2344.0,30
CDM,204339,SCREW BN SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,204340,SCREW BN SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,204341,SCREW SPN 4.75MM,753.0,753.0,112.95,753.0,30
CDM,204343,ROD SPN 55X4.75MM SXTNT,3012.0,3012.0,451.8,3012.0,30
CDM,204344,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204345,PLATE BN 3.5MM 268MM,6448.0,6448.0,967.2,6448.0,30
CDM,204346,PLATE BN 3.5MM 199MM,7527.0,7527.0,1129.05,7527.0,30
CDM,204347,INSERT KN SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,204349,HEAD RAD ELB 24MM LT,8535.0,8535.0,1280.25,8535.0,30
CDM,204351,SCREW TIB RETRO 7MMX20MM,3093.0,3093.0,463.95,3093.0,30
CDM,204352,SPCR ACIS STD CAGE 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,204355,ROD SPN 5.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,204356,ROD SPNL 45MM 4.75MM SXT,3012.0,3012.0,451.8,3012.0,30
CDM,204357,BIT DRILL 2.0MM,870.0,870.0,130.5,870.0,42
CDM,204358,SPACER SPNL BN 9MM 14X2D,4429.0,4429.0,664.35,4429.0,30
CDM,204359,WASHR VIPR FACET FX 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,204360,SCREW BN 5MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,204362,NECK FEM PRFMR LNG HIP M,4428.0,4428.0,664.2,4428.0,30
CDM,204366,ROD COCR DD 3.5-5.5X600,3012.0,3012.0,451.8,3012.0,30
CDM,204368,PLATE STRN LK 18HL 1.5MM,3699.0,3699.0,554.85,3699.0,30
CDM,204369,ROD SPN CRV 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,204372,DRILL BIT SURG 2.2MM,773.0,773.0,115.95,773.0,42
CDM,204381,PLATE MDFC LT2X3HL .7MM,3012.0,3012.0,451.8,3012.0,30
CDM,204383,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204389,PLATE SPN LVL2 24MM,4651.0,4651.0,697.65,4651.0,30
CDM,204390,HEAD FEM HIP +8.5X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,204391,DISC INTVRTB SPN LG 6MM,18009.0,18009.0,2701.35,18009.0,30
CDM,204394,COMPNT FEM D 64X57.6MM,9301.0,9301.0,1395.15,9301.0,30
CDM,204395,ROD SPN 4.75X45MM,2711.0,2711.0,406.65,2711.0,30
CDM,204397,COMPNT RDL 36X29.2 SM LT,24484.0,24484.0,3672.6,24484.0,30
CDM,204398,PIN FX 2.0MM,569.0,569.0,85.35,569.0,42
CDM,204407,PLATE TIB MNOBLCK SZ6 12,8194.0,8194.0,1229.1,8194.0,30
CDM,204409,PLATE SPN 110MM,5094.0,5094.0,764.1,5094.0,30
CDM,204412,BAG SPEC RETRVL 224ML,548.5,548.5,82.28,548.5,42
CDM,204414,CMPNT FEM E RT KNEE,9301.0,9301.0,1395.15,9301.0,30
CDM,204418,PLATE BN 2HL 1.6MM 14MM,1198.0,1198.0,179.7,1198.0,30
CDM,204419,PLATE BN 2HL,1251.0,1251.0,187.65,1251.0,30
CDM,204424,NAIL T2 TIB 10X345MM,5211.0,5211.0,781.65,5211.0,30
CDM,204425,PLATE SPN 1LVL 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,204429,LINER HIP SZ LL,4606.0,4606.0,690.9,4606.0,30
CDM,204431,SCREW BN SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,204435,PLATE BN 6HL 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,204436,SCREW V-AX ELB 3.5X14MM,2456.0,2456.0,368.4,2456.0,30
CDM,204438,GRAFT ST TIS 6.3X3.1IN,19865.0,19865.0,2979.75,19865.0,30
CDM,204439,SUTURE BLK MONO 1 30IN,55.5,55.5,8.32,55.5,42
CDM,204443,CMPNT FEM G RT KN CR-FLX,9301.0,9301.0,1395.15,9301.0,30
CDM,204444,SCREW SPN XTN 4.2MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,204445,SCREW SPN 4.2MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,204447,PLATE SPN 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,204456,LINER ACTB MED 42MM ALPH,4606.0,4606.0,690.9,4606.0,30
CDM,204457,INSERT ACTB 42MM 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,204459,PLATE SPN LNG 8-10MM,5537.0,5537.0,830.55,5537.0,30
CDM,204460,KWIRE FX 2MM,281.5,281.5,42.23,281.5,42
CDM,204461,BIT DRILL 3.3MM 195MM,773.0,773.0,115.95,773.0,42
CDM,204462,SCREW BN 4MM 26MM,319.0,319.0,47.85,319.0,30
CDM,204463,SCREW BN 4X3.5X28MM,2361.0,2361.0,354.15,2361.0,30
CDM,204464,SCREW BN 4X3.5X30MM,2361.0,2361.0,354.15,2361.0,30
CDM,204467,SCREW LCK ST 4X50MM,1961.0,1961.0,294.15,1961.0,30
CDM,204468,KWIRE FX 150MM 1.6MM,139.0,139.0,20.85,139.0,42
CDM,204469,CATH INTHCL 4FR 140CM,4429.0,4429.0,664.35,4429.0,30
CDM,204471,SCREW BN SPNL 6.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,204475,JOINT TOE SMRT 16X1.2MM,4606.0,4606.0,690.9,4606.0,30
CDM,204476,DRILL TWIST 1.9MM 27MM,810.5,810.5,121.58,810.5,42
CDM,204478,PLATE CRSSLK NRW MINI LT,4429.0,4429.0,664.35,4429.0,30
CDM,204484,INSERT TIB SZ7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,204485,SCREW SPN 4.5MM 13MM,1506.0,1506.0,225.9,1506.0,30
CDM,204513,HEAD HUM OFST 24MM 46MM,6201.0,6201.0,930.15,6201.0,30
CDM,204514,SCREW SPN 6.5MM 55MM,4030.0,4030.0,604.5,4030.0,30
CDM,204516,SCREW BN 2.7MM 40MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,204517,SCREW BN 2.7MM 44MM,1636.0,1636.0,245.4,1636.0,30
CDM,204518,RESTORESENSOR IMPLT NEUR,70422.0,70422.0,10563.3,70422.0,30
CDM,204519,GRAFT EVAS 20MM 9.5CM,19174.0,19174.0,2876.1,19174.0,30
CDM,204523,GRAFT BN DBM LRG 15CC,5224.0,5224.0,783.6,5224.0,30
CDM,204524,COMPNT PATELFEM KN SZ5,11516.0,11516.0,1727.4,11516.0,30
CDM,204525,COMPNT FEM KN RT SZ5,11073.0,11073.0,1660.95,11073.0,30
CDM,204527,SCREW CANN THRD 3.0X16,3169.0,3169.0,475.35,3169.0,30
CDM,204528,BASEPLATE TIB KN UNV SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,204530,SCREW BN 2MM 10MM,957.0,957.0,143.55,957.0,30
CDM,204532,DRILL BIT 1.6X110MM,1357.0,1357.0,203.55,1357.0,42
CDM,204533,PEG BN SMTH LCK 2.2X16MM,1356.0,1356.0,203.4,1356.0,30
CDM,204534,SCREW BN 2.7MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,204536,COMP PTLR TRI X3 9X33MM,4252.0,4252.0,637.8,4252.0,30
CDM,204544,COMPNT FEM KN RT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,204545,BASEPLATE TIB KN 5D,4606.0,4606.0,690.9,4606.0,30
CDM,204546,CMPNT PTLR KN 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,204547,INSERT ARTC KN 3-11 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,204548,CMPNT FEM KN SZ5,7087.0,7087.0,1063.05,7087.0,30
CDM,204549,BASEPLATE TIB KN 5D SZ E,4606.0,4606.0,690.9,4606.0,30
CDM,204550,INSERT TIB KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,204551,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204553,SCREW TI CORT CRNFC 4X1,1295.0,1295.0,194.25,1295.0,30
CDM,204555,PLATE TT ORBITAL 1.0/11,3189.0,3189.0,478.35,3189.0,30
CDM,204556,PLATE BN CMF 18HL 0.4MM,3768.0,3768.0,565.2,3768.0,30
CDM,204560,SCREW BN MXFCL 1.8X4MM,1101.0,1101.0,165.15,1101.0,30
CDM,204561,PLATE BN 2MM 5MM,3078.0,3078.0,461.7,3078.0,30
CDM,204562,SCREW BN 2.0MM 7MM,1018.0,1018.0,152.7,1018.0,30
CDM,204563,SCREW BN EMER 2.3X7MM,1184.0,1184.0,177.6,1184.0,30
CDM,204564,PLATE BN RT 2.7/3.5X77MM,4027.0,4027.0,604.05,4027.0,30
CDM,204565,PLATE BN 3HL 77MM,4429.0,4429.0,664.35,4429.0,30
CDM,204566,PLATE BN 2.7/3.5MM 90MM,4092.0,4092.0,613.8,4092.0,30
CDM,204567,PLATE BN 2.7/3.5MM 103MM,4429.0,4429.0,664.35,4429.0,30
CDM,204568,PLATE BN 6H 3.5MM 116MM,4429.0,4429.0,664.35,4429.0,30
CDM,204569,PLATE BN FIB 112MM 3.5MM,3679.0,3679.0,551.85,3679.0,30
CDM,204570,PLATE BN 2.7/3.5MM 129MM,3721.0,3721.0,558.15,3721.0,30
CDM,204571,PLATE BN 7H 3.5MM 125MM,4273.0,4273.0,640.95,4273.0,30
CDM,204572,PLATE BN FIB RT 155X3.5,3189.0,3189.0,478.35,3189.0,30
CDM,204573,PLATE BN LT 9HL 155MM,4333.0,4333.0,649.95,4333.0,30
CDM,204574,PLATE BN 11H 177MM 3.5MM,4398.0,4398.0,659.7,4398.0,30
CDM,204575,PLATE BN FIB 3.5X181MM,4398.0,4398.0,659.7,4398.0,30
CDM,204581,STAPLE BN 8MM 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,204590,SPACER SPNL 4D 20X7MM,11959.0,11959.0,1793.85,11959.0,30
CDM,204591,SPACER SPNL 4D 10X9MM,11073.0,11073.0,1660.95,11073.0,30
CDM,204595,PLATE 32MM 1 LVL BN SCRL,12047.0,12047.0,1807.05,12047.0,30
CDM,204597,MESH PLT NEURO 85X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,204599,CMPNT FEM KN RT SZ7,6312.0,6312.0,946.8,6312.0,30
CDM,204600,HEAD RAD ELB 24MM RT,8535.0,8535.0,1280.25,8535.0,30
CDM,204601,STEM BN 8MM 4MM,5196.0,5196.0,779.4,5196.0,30
CDM,204606,SCREW BN 3.5X26MM,1730.0,1730.0,259.5,1730.0,30
CDM,204608,SCREW V-AX ORTH 3.5X18MM,964.0,964.0,144.6,964.0,30
CDM,204612,SUTURE BLU MONO 4-0 48IN,773.0,773.0,115.95,773.0,42
CDM,204613,SCREW BN SPN 8.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,204614,SCREW 10.5X90 CD HZNLGC,4429.0,4429.0,664.35,4429.0,30
CDM,204615,ROD SPN CHR ALOY 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,204616,DEVICE BRST IMPLNT DLVRY,1143.0,1143.0,171.45,1143.0,42
CDM,204618,SPACER HUM SHLDR 22X125,16245.0,16245.0,2436.75,16245.0,30
CDM,204621,HEAD FEM HIP 12/14 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,204623,SCREW BN 6.5 65 16 SS HD,3189.0,3189.0,478.35,3189.0,30
CDM,204624,CMPNT PTLR KN 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,204627,SPACER SPNL LRDTC 8MM LG,4429.0,4429.0,664.35,4429.0,30
CDM,204631,LINER ACTB 10D +4X58X36,9070.0,9070.0,1360.5,9070.0,30
CDM,204632,SCREW BN 2.7MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,204634,SCREW BN 2.7MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,204635,SCREW BN 2.7MM 11MM,1356.0,1356.0,203.4,1356.0,30
CDM,204636,SCREW BN 2.7MM 13MM,1356.0,1356.0,203.4,1356.0,30
CDM,204637,PLATE BN 22MM 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,204639,SCREW SPN P-AX 40X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,204647,CMPNT PTLR KN 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,204650,PLATE MI .5 18 HL STRUT,3768.0,3768.0,565.2,3768.0,30
CDM,204651,TISSUE CANC CUBE 5CC,2485.0,2485.0,372.75,2485.0,30
CDM,204652,TISSUE CANC CUBE 6-10 30,3012.0,3012.0,451.8,3012.0,30
CDM,204653,SCREW V-AX ORTH 3.5X12MM,964.0,964.0,144.6,964.0,30
CDM,204654,SCREW SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,204655,SCREW SPN 6.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,204656,SCREW SPN 6.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,204657,SCREW SPN 5.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,204659,SCREW BN 4.5MM 26MM,456.0,456.0,68.4,456.0,30
CDM,204660,SCREW BN 4.5MM 34MM,456.0,456.0,68.4,456.0,30
CDM,204661,SCREW BN 5MM 32MM,2111.0,2111.0,316.65,2111.0,30
CDM,204662,SCREW BN 5MM 30MM,2111.0,2111.0,316.65,2111.0,30
CDM,204664,CMPNT FEM LT SZ6,7087.0,7087.0,1063.05,7087.0,30
CDM,204665,COMPONENT KN PTLR 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,204668,MOLD SPCR HIP CMNT15X155,7388.5,7388.5,1108.28,7388.5,42
CDM,204669,MOLD HEAD HIP CMNT 52MM,3479.0,3479.0,521.85,3479.0,42
CDM,204678,PLATE BN LNG RT 3X3,2885.0,2885.0,432.75,2885.0,30
CDM,204679,PLATE LNG LT 3X3 HL,2885.0,2885.0,432.75,2885.0,30
CDM,204680,SCREW BN 13X2MM,925.0,925.0,138.75,925.0,30
CDM,204681,SCREW BN 2MM 11MM,925.0,925.0,138.75,925.0,30
CDM,204685,SCREW SPNL 5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,204686,ROD SPN CONT 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
CDM,204687,SCREW SPN 6.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,204690,SPACER SPNL 0D 28X11X7MM,11073.0,11073.0,1660.95,11073.0,30
CDM,204691,BASEPLATE TIB KN 5D SZG,4606.0,4606.0,690.9,4606.0,30
CDM,204692,COMPONENT FEM KN RT SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,204693,INSERT ARTC KN 7-12 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,204694,BIT DRILL LNDMN 2.2MM,626.5,626.5,93.97,626.5,42
CDM,204695,SCREW BN 7MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,204697,PLATE MDFC RT .7MM 2X3HL,3012.0,3012.0,451.8,3012.0,30
CDM,204698,CMPNT FEM KN SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,204699,BASEPLATE TIB KN 5D SZ G,4606.0,4606.0,690.9,4606.0,30
CDM,204701,CMPNT TIB KN 5D SZD,4606.0,4606.0,690.9,4606.0,30
CDM,204703,COMPNT FEM KN SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,204704,SCREW BN 2.5X48MM,1794.0,1794.0,269.1,1794.0,30
CDM,204705,CMPNT FEM KN STD RT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,204712,KWIRE FX 1.25MM 150MM,231.5,231.5,34.73,231.5,42
CDM,204713,KIT ACC ANCHOR .157IN,3189.0,3189.0,478.35,3189.0,30
CDM,204715,SCREW BN 2MM 6MM,542.0,542.0,81.3,542.0,30
CDM,204716,SCREW BN 8MM 2MM,542.0,542.0,81.3,542.0,30
CDM,204717,SCREW BN 2.7MM 8MM,782.0,782.0,117.3,782.0,30
CDM,204719,BASEPLATE TIB UNV SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,204720,PLATE BN 4HL 2.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,204721,PLATE BN CLSR SYS JL 8H,3534.0,3534.0,530.1,3534.0,30
CDM,204722,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204723,STEM FEM SZ4 105MM,8557.0,8557.0,1283.55,8557.0,30
CDM,204724,INSERT TIB KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,204727,GRAFT ST TIS 6.3X2.4IN,14895.0,14895.0,2234.25,14895.0,30
CDM,204728,COMPNT TIB KN RT 5D SZH,4606.0,4606.0,690.9,4606.0,30
CDM,204729,COMPT FEM KN LT SZ11,6644.0,6644.0,996.6,6644.0,30
CDM,204730,STEM TIB KN 5D SZH,4606.0,4606.0,690.9,4606.0,30
CDM,204731,PLATE SPN CERV 28MM 1LVL,4429.0,4429.0,664.35,4429.0,30
CDM,204732,COMPNT GLND SHLDR 52MM,6865.0,6865.0,1029.75,6865.0,30
CDM,204734,SCREW BN CORT 3.2X16MM,1595.0,1595.0,239.25,1595.0,30
CDM,204735,SCREW BN CORT 3.2X18MM,1595.0,1595.0,239.25,1595.0,30
CDM,204736,SCREW BN 3.2MM 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,204740,WIRE FX 1.6MM 65MM,309.5,309.5,46.42,309.5,42
CDM,204741,CMPNT FEM KN RT SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,204742,INSERT ARTC KN 3-11 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,204744,LINER ACTB HIP 60X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,204748,SCREW SPN 6MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,204749,SCREW SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,204751,SCREW LCK DRV 4X60MM,1961.0,1961.0,294.15,1961.0,30
CDM,204752,PIN FX TROC PNT 1END 2MM,231.5,231.5,34.73,231.5,42
CDM,204755,PLATE BN 6H 90.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,204759,SCREW BN 2.7MM 16MM,567.0,567.0,85.05,567.0,30
CDM,204760,SCREW BN 2.7MM 10MM,812.0,812.0,121.8,812.0,30
CDM,204761,SCREW BN 2.7MM 10MM,1636.0,1636.0,245.4,1636.0,30
CDM,204762,SCREW BN 2.7MM 34MM SS,1883.0,1883.0,282.45,1883.0,30
CDM,204763,INSERT TIB KN LT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,204764,INSERT TIB KN LT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,204765,INSERT ARTC KN 7-12 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,204766,CMPNT FEM KN RT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,204767,SCREW BN 3.5MM 80MM,1379.0,1379.0,206.85,1379.0,30
CDM,204768,BASEPLATE SHLDR 15MM,8858.0,8858.0,1328.7,8858.0,30
CDM,204773,SCREW BN 1.6MM 12MM,1772.0,1772.0,265.8,1772.0,30
CDM,204775,KWIRE ORTH .045IN 4IN,406.0,406.0,60.9,406.0,42
CDM,204776,KWIRE ORTH .035IN 4IN,406.0,406.0,60.9,406.0,42
CDM,204777,BIT DRILL 1.3MM,1023.5,1023.5,153.53,1023.5,42
CDM,204778,KIT ENDO CRPL TNL,817.0,817.0,122.55,817.0,42
CDM,204780,STEM HUM SHLDR 83MM 12MM,11959.0,11959.0,1793.85,11959.0,30
CDM,204781,HEAD HUM SHLDR 50X24X52,4606.0,4606.0,690.9,4606.0,30
CDM,204782,COMPNT SHLDR STD,4252.0,4252.0,637.8,4252.0,30
CDM,204784,SCREW SPN 4.35X16MM,1506.0,1506.0,225.9,1506.0,30
CDM,204785,SCREW SPN 6.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,204786,COMPNT FEM KN SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,204787,STEM TIB KN LT 5D SZF,4606.0,4606.0,690.9,4606.0,30
CDM,204788,INSERT TIB KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,204789,COMPNT FEM KN SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,204790,BASEPLATE TIB KN 5D SZ F,4606.0,4606.0,690.9,4606.0,30
CDM,204796,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,204798,COMPONENT FEM KN RT SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,204800,CMPNT PTLR KN 9.5MM,4252.0,4252.0,637.8,4252.0,30
CDM,204801,PLATE BN CMF 3X4HL 0.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,204802,SCREW BN 1.5MM 6MM,1282.0,1282.0,192.3,1282.0,30
CDM,204803,PLATE ORBT 12HL .04MM,3189.0,3189.0,478.35,3189.0,30
CDM,204804,GRAFT TIS 4LYR 4CM 7CM,4429.0,4429.0,664.35,4429.0,30
CDM,204805,JOINT TOE 16X2-5.5X1.2MM,4606.0,4606.0,690.9,4606.0,30
CDM,204806,PLATE BN 4HL 0.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,204808,PIN HALF 4MM 150MM,1073.0,1073.0,160.95,1073.0,42
CDM,204810,POST EXFX 30D HFMN2,830.5,830.5,124.58,830.5,42
CDM,204817,CMPNT FEM KN SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,204819,COMPNT PTLR ALPLY 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,204821,SCREW BN SPNL 6.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,204829,CAGE SPN 4D 10X11X20MM,11073.0,11073.0,1660.95,11073.0,30
CDM,204831,HEAD HUM SHLDR 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,204832,COMPONENT FEM KN RT SZ11,6644.0,6644.0,996.6,6644.0,30
CDM,204833,INSERT ARTC KN 7-12 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,204834,PLATE BN MED 2H 12MM,590.0,590.0,88.5,590.0,30
CDM,204837,ROD SPN 5.5MM 85MM,2711.0,2711.0,406.65,2711.0,30
CDM,204838,ROD SPN CNTOR 5.5X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,204841,INSERT ARTC KN 4-11 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,204843,GWIRE VASC .018IN 9.75IN,201.0,201.0,30.15,201.0,42
CDM,204849,INTRTN IM NL HP CP 0MM,2179.0,2179.0,326.85,2179.0,30
CDM,204851,LINER HIP SZC 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,204852,HEAD FEM HIP 0MM 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,204853,STEM FEM HIP SZ3 102MM,8557.0,8557.0,1283.55,8557.0,30
CDM,204854,INSERT HIP 22.2MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,204856,NAIL BN FEM 11MM 42CM,6873.0,6873.0,1030.95,6873.0,30
CDM,204857,GWIRE ORTH 3MM 100CM,972.5,972.5,145.88,972.5,42
CDM,204858,SCREW BN 6.5MM 60MM,2087.0,2087.0,313.05,2087.0,30
CDM,204859,SCREW BN 4.5MM 44MM,400.0,400.0,60.0,400.0,30
CDM,204860,SCREW BN 4.5MM 58MM,534.0,534.0,80.1,534.0,30
CDM,204861,TIP SCRDRVR HEX 3.5MM,771.0,771.0,115.65,771.0,42
CDM,204862,BIT DRILL SURG 5.3MM,1023.5,1023.5,153.53,1023.5,42
CDM,204865,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,204868,GRAFT CV 34MM 15CM,12180.0,12180.0,1827.0,12180.0,30
CDM,204871,SPACER SPNL 30X24X9MM,9966.0,9966.0,1494.9,9966.0,30
CDM,204872,PLATE CERV 26MM 1LVL,4429.0,4429.0,664.35,4429.0,30
CDM,204876,SCREW CORT S/D 1.5 6,876.0,876.0,131.4,876.0,30
CDM,204880,GFT BN ILIUM WDG 17-18MM,3652.0,3652.0,547.8,3652.0,30
CDM,204882,SCREW CANC SS 6.5X65MM,498.0,498.0,74.7,498.0,30
CDM,204883,SCREW BN 4.5MM 28MM,368.0,368.0,55.2,368.0,30
CDM,204888,CUP ACTB HIP 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,204889,LINER ACTB HIP 46X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,204893,COMPONENT FEM KN LT SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,204894,COMPNT PTLR KN 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,204895,COMPNT FEM STD KN LT 8,6644.0,6644.0,996.6,6644.0,30
CDM,204896,INSERT TIB KN LT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,204902,SCREW SPN PYR 4.35X12,1506.0,1506.0,225.9,1506.0,30
CDM,204903,STAPLE BN ADJ 10X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,204907,ROD EXFX CONN 5X150MM,1023.5,1023.5,153.53,1023.5,42
CDM,204908,ROD PSTN EZCLP INST 2MM,1023.5,1023.5,153.53,1023.5,42
CDM,204910,CATH OCCL 65CM 10-50MM,3765.5,3765.5,564.83,3765.5,42
CDM,204912,SCREW V-AX ELB 3.5X12MM,1730.0,1730.0,259.5,1730.0,30
CDM,204914,NAIL CANN LFT 400MM STER,6400.0,6400.0,960.0,6400.0,30
CDM,204915,MOLD HEAD HIP CMNT 48MM,5910.0,5910.0,886.5,5910.0,42
CDM,204916,MOLD SPCR HIP CMNT 9X125,10790.0,10790.0,1618.5,10790.0,42
CDM,204919,STEM TIB RT KN D 5D,4606.0,4606.0,690.9,4606.0,30
CDM,204920,SURF ARTC KN RT 3-9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,204922,SCREW BN S/T 2MM 10MM,940.0,940.0,141.0,940.0,30
CDM,204923,SCREW BN 2MM 12MM,940.0,940.0,141.0,940.0,30
CDM,204924,HEAD FEM HIP 7.5MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,204930,INSERT TIB KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,204931,SCREW SPN 6MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,204932,EXTRACTOR SURG NAIL,2337.0,2337.0,350.55,2337.0,42
CDM,204934,HEAD FEM HIP 12/14 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,204936,MESH SURG ST TIS 19X15CM,4429.0,4429.0,664.35,4429.0,30
CDM,204937,STEM FEM HIP SZ6 111MM,8557.0,8557.0,1283.55,8557.0,30
CDM,204941,SCREW CORT S/T 3.5X18MM,341.0,341.0,51.15,341.0,30
CDM,204948,STEM FEM HIP 14MM 160MM,8416.0,8416.0,1262.4,8416.0,30
CDM,204949,HEAD FEM HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,204951,SCREW BN 4.5MM 34MM,456.0,456.0,68.4,456.0,30
CDM,204956,SCREW BN SPN 7.5MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,204958,ROD SPN 4.75MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,204959,ROD SPN 110MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,204960,ROD SPN CRV 4.75MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,204961,SCREW 4X2.4X28 SYNPS TI,4429.0,4429.0,664.35,4429.0,30
CDM,204963,CMPNT FEM KN LT 10MM,6644.0,6644.0,996.6,6644.0,30
CDM,204967,PLATE BN MDFC 4X6,3189.0,3189.0,478.35,3189.0,30
CDM,204968,PLT BN MDFC 4X6HL .7MM,3189.0,3189.0,478.35,3189.0,30
CDM,204969,PLATE BN 3X4H .5MM,3189.0,3189.0,478.35,3189.0,30
CDM,204973,PLATE SPN 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,204977,GRAFT 9.5MM 8MM POST TIB,4496.0,4496.0,674.4,4496.0,30
CDM,204980,KN BASEPLT TB JRNY SZ2-L,4606.0,4606.0,690.9,4606.0,30
CDM,204981,COM FEM JRNY UNI SZ2 LT,5980.0,5980.0,897.0,5980.0,30
CDM,204983,INSERT TIB KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,204985,SHELL BIP HIP ACTB 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,204989,SPACER SPNL 30X24X13MM,9966.0,9966.0,1494.9,9966.0,30
CDM,204990,SCREW SPN 5.5MMX45MM,3389.0,3389.0,508.35,3389.0,30
CDM,204992,SCREW BN 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,204993,SCREW BN 3.5MM 30MM,1356.0,1356.0,203.4,1356.0,30
CDM,204994,SCREW BN 3.5MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,204999,PIN TEMP FIX SM 1.4MM,464.0,464.0,69.6,464.0,42
CDM,205002,SPACER SPNL 22X8.5X7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,205003,SCREW SPN 4.35X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,205006,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,205022,DEVICE INFL 20CC,773.0,773.0,115.95,773.0,42
CDM,205035,NEEDLE BSCP 22GA SYR STR,773.0,773.0,115.95,773.0,42
CDM,205036,INSERT ARTC KN 3-4X21GII,4429.0,4429.0,664.35,4429.0,30
CDM,205037,CMPNT FEM KN RT SZ10,6644.0,6644.0,996.6,6644.0,30
CDM,205038,INSERT ARTC KN 7-12 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,205041,SPACER SPNL 16MM,9966.0,9966.0,1494.9,9966.0,30
CDM,205042,VALVE MITRAL 25MM,23070.0,23070.0,3460.5,23070.0,30
CDM,205043,CAP NAIL BN 0MM,1999.0,1999.0,299.85,1999.0,30
CDM,205051,VALVE MITRAL 33MM,23070.0,23070.0,3460.5,23070.0,30
CDM,205052,CMPNT FEM NAR KN LT SZ10,6644.0,6644.0,996.6,6644.0,30
CDM,205053,CMPNT FEM NAR KN RT SZ10,6644.0,6644.0,996.6,6644.0,30
CDM,205055,SHEATH GD 4FR 10CM,231.5,231.5,34.73,231.5,42
CDM,205056,GRAFT STNT 36MM 167MM,59046.0,59046.0,8856.9,59046.0,30
CDM,205057,GRAFT STNT 32MM 192MM,62238.0,62238.0,9335.7,62238.0,30
CDM,205058,GRAFT STNT 36MM 200MM,67285.0,67285.0,10092.75,67285.0,30
CDM,205059,GRAFT STNT 40MM 212MM,67285.0,67285.0,10092.75,67285.0,30
CDM,205062,GRAFT STNT 26MM 100MM,58656.0,58656.0,8798.4,58656.0,30
CDM,205063,STENT VASC 30MM 100MM,58656.0,58656.0,8798.4,58656.0,30
CDM,205068,CANNULA LCRML 21GA 1.5IN,773.0,773.0,115.95,773.0,42
CDM,205073,SUTURE FBRTP 2MM 36IN,307.0,307.0,46.05,307.0,30
CDM,205076,STENT BIL 10MM 40MM,7199.0,7199.0,1079.85,7199.0,30
CDM,205078,STENT BIL 8FR 10X80MM,7308.0,7308.0,1096.2,7308.0,30
CDM,205082,SLR/DVDR LAPSCP 37CM,2686.0,2686.0,402.9,2686.0,42
CDM,205090,SUTUREBLU MONO 2-0 30IN,49.5,49.5,7.42,49.5,42
CDM,205094,SEALER TISS 35CM 5MM,3738.5,3738.5,560.77,3738.5,42
CDM,205095,NAIL BN 11.5MM 38CM,5758.0,5758.0,863.7,5758.0,30
CDM,205096,SCREW BN 10.5MM 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,205097,MESH SURG ST TIS 24X18CM,4921.0,4921.0,738.15,4921.0,30
CDM,205098,INSERT ACTB HIP 52X36MM,4872.0,4872.0,730.8,4872.0,30
CDM,205099,SHELL ACTB HIP HEMI 60MM,9536.0,9536.0,1430.4,9536.0,30
CDM,205100,SCREW BN 6.5X25MM,1323.0,1323.0,198.45,1323.0,30
CDM,205101,SCREW BN 6.5X20MM,1323.0,1323.0,198.45,1323.0,30
CDM,205103,HEAD FEM HIP -4MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,205104,SCREW BN 2MM 20MM,2941.0,2941.0,441.15,2941.0,30
CDM,205105,SHELL ACTB HIP HEMI 54MM,8785.0,8785.0,1317.75,8785.0,30
CDM,205108,SPACER SPNL 32X10X13MM,13287.0,13287.0,1993.05,13287.0,30
CDM,205109,INSERT TIB KN 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,205110,PROBE SURG 6MM PRCR,4092.5,4092.5,613.88,4092.5,42
CDM,205111,BONE CEM OSCAR REM SYS,7674.0,7674.0,1151.1,7674.0,42
CDM,205112,OSTEOTOME FLAT SURG 6MM,4092.5,4092.5,613.88,4092.5,42
CDM,205113,CMPNT FEM STD KN LT SZ10,6644.0,6644.0,996.6,6644.0,30
CDM,205114,INSERT ARTC 10-12 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205117,CMPNT FEM KN LT SZ11 74,7087.0,7087.0,1063.05,7087.0,30
CDM,205118,BSPLT TIB KN SZ11 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,205119,CMPNT PTLR KN SZ34 9MM,4252.0,4252.0,637.8,4252.0,30
CDM,205120,INSERT TIB KN SZ11 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,205122,SCREW BN CORT 3.5X30MM,319.0,319.0,47.85,319.0,30
CDM,205123,SCREW BN 3.5MM 65MM,1697.0,1697.0,254.55,1697.0,30
CDM,205124,SCREW BN LCK 3.5X65MM,1356.0,1356.0,203.4,1356.0,30
CDM,205126,PLATE SPN 3LVL 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,205127,INSERT ARTC KN 3-5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205128,END CAP SPNL 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,205129,SCREW BN 3.5MM 54MM,1356.0,1356.0,203.4,1356.0,30
CDM,205130,INSERT TIB KN 2.5X22.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,205131,RELOAD STPLR 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,205134,CLIP ANRSM PERM 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,205135,INSERT ARTC 3-5 C-D 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205136,PLATE DANEK 811.307,3012.0,3012.0,451.8,3012.0,30
CDM,205137,PLATE BNE TI L39-45 SP,3765.0,3765.0,564.75,3765.0,30
CDM,205138,CANN KIT DRN VNS 34FR,6139.5,6139.5,920.92,6139.5,42
CDM,205150,CLIP ANRSM PERM 7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205152,CLIP ANRSM PERM 11MM,3189.0,3189.0,478.35,3189.0,30
CDM,205153,CLIP ANRSM PERM 15MM,3189.0,3189.0,478.35,3189.0,30
CDM,205154,CLIP ANRSM PERM 17.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205155,CLIP ANRSM PERM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,205156,CLIP ANRSM PERM 6.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205157,CLIP ANRSM PERM 8.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,205158,CLIP ANRSM PERM 10.2MM,3189.0,3189.0,478.35,3189.0,30
CDM,205159,CLIP ANRSM PERM 13.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205160,CLIP ANRSM PERM 15.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,205161,CLIP ANRSM PERM 5.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,205162,CLIP ANRSM PERM 6.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,205163,CLIP ANRSM PERM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,205164,CLIP ANRSM PERM 10.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,205165,CLIP ANRSM PERM 7.0MM,3189.0,3189.0,478.35,3189.0,30
CDM,205166,CLIP ANRSM PERM 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,205167,CLIP ANRSM PERM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,205168,CLIP ANRSM PERM 6.1MM,3189.0,3189.0,478.35,3189.0,30
CDM,205169,CLIP ANRSM PERM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,205170,CLIP ANRSM PERM 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,205171,CLIP ANRSM PERM 11.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,205172,CLIP ANRSM PERM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205173,CLIP ANRSM PERM 7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205174,CLIP ANRSM PERM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,205175,CLIP ANRSM PERM 6.7MM,7977.0,7977.0,1196.55,7977.0,30
CDM,205176,CLIP ANRSM PERM 9MM,7977.0,7977.0,1196.55,7977.0,30
CDM,205177,CLIP ANRSM PERM 7.0MM,3189.0,3189.0,478.35,3189.0,30
CDM,205178,CLIP ANRSM PERM 6MM,3189.0,3189.0,478.35,3189.0,30
CDM,205179,CLIP ANRSM PERM 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,205180,CLIP ANRSM PERM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,205181,CLIP ANRSM PERM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205182,CLIP ANRSM PERM 7.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205183,CLIP ANRSM PERM 10MM,7977.0,7977.0,1196.55,7977.0,30
CDM,205184,CLIP ANRSM PERM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205185,CLIP ANRSM PERM 7.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205186,CLIP ANRSM PERM 3MM,3189.0,3189.0,478.35,3189.0,30
CDM,205187,CLIP ANRSM PERM 4MM,3189.0,3189.0,478.35,3189.0,30
CDM,205188,CLIP ANRSM PERM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205189,CLIP ANRSM PERM 6MM,3189.0,3189.0,478.35,3189.0,30
CDM,205190,CLIP ANRSM PERM 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,205191,CLIP ANRSM PERM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205192,CLIP ANRSM PERM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205194,CLIP ANRSM PERM 5MM,5792.0,5792.0,868.8,5792.0,30
CDM,205196,CLIP ANRSM PERM 5MM,5792.0,5792.0,868.8,5792.0,30
CDM,205197,CLIP ANRSM PERM 9MM,7645.0,7645.0,1146.75,7645.0,30
CDM,205198,CLIP ANRSM PERM 13MM,8572.0,8572.0,1285.8,8572.0,30
CDM,205199,CLIP ANRSM PERM 3MM,3189.0,3189.0,478.35,3189.0,30
CDM,205200,CLIP ANRSM PERM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205201,CLIP ANRSM PERM 2.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,205202,CLIP ANRSM PERM 4MM,3189.0,3189.0,478.35,3189.0,30
CDM,205203,CLIP ANRSM PERM 4.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205204,CLIP ANRSM PERM 4.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205205,CLIP ANRSM PERM 4MM,3189.0,3189.0,478.35,3189.0,30
CDM,205206,CLIP ANRSM PERM 5.2MM,3189.0,3189.0,478.35,3189.0,30
CDM,205207,CLIP ANRSM PERM 6.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,205208,CLIP ANRSM PERM 7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205209,CLIP ANRSM PERM 7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205210,REMOVER CLIP STD 250MM,2394.5,2394.5,359.18,2394.5,42
CDM,205211,CLIP ANRSM BSTR,3189.0,3189.0,478.35,3189.0,30
CDM,205213,TUBE JJNSTM 12FR,1149.5,1149.5,172.43,1149.5,42
CDM,205214,GWIRE VASC 300CM .014IN,1228.0,1228.0,184.2,1228.0,42
CDM,205215,GWIRE VASC 300CM .014IN,1228.0,1228.0,184.2,1228.0,42
CDM,205218,SUTURE NYL MFL BLK 3.8MM,231.5,231.5,34.73,231.5,42
CDM,205219,KIT PRSS MNTR VNTRC STRL,2243.5,2243.5,336.52,2243.5,42
CDM,205223,CATH ENDO 135CM 2.8MM,11091.5,11091.5,1663.72,11091.5,42
CDM,205224,BLADE SAW SAGTL 73X12.5,335.5,335.5,50.33,335.5,42
CDM,205227,CATHETER EMB 3FR 80CM,915.5,915.5,137.32,915.5,42
CDM,205229,BLADE SAW SGTL 25X90MM,773.0,773.0,115.95,773.0,42
CDM,205247,SCREW BN SPN 4MM 15MM,1506.0,1506.0,225.9,1506.0,30
CDM,205248,SCREW SPN 4MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,205250,PLATE BN LT 4H 86MM,3768.0,3768.0,565.2,3768.0,30
CDM,205252,NAIL BN 11.5MM 38CM,6400.0,6400.0,960.0,6400.0,30
CDM,205253,COMPNT FM KN SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,205254,SCREW BN 4.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,205255,HEAD FEM HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,205256,SCREW BN 6.7MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,205257,SUTURE FIBERTAPE 17IN,1642.0,1642.0,246.3,1642.0,30
CDM,205260,PLATE BN BUR CVR LG 26MM,3128.0,3128.0,469.2,3128.0,30
CDM,205264,PLATE SPN 1LVL 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,205265,GRAFT EVAS 28MM 125MM,21956.0,21956.0,3293.4,21956.0,30
CDM,205266,GRAFT EVAS 56MM 14F 16MM,13823.0,13823.0,2073.45,13823.0,30
CDM,205280,GRAFT BN + DBM 5ML,3765.0,3765.0,564.75,3765.0,30
CDM,205281,CABLE ORTH 2MM,2616.0,2616.0,392.4,2616.0,30
CDM,205282,CABLE ORTH CLMP SS 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,205284,GRIP TROCH 5CBL SM 115MM,4767.0,4767.0,715.05,4767.0,30
CDM,205285,GRIP TROCH 8CBL SM 185MM,6404.0,6404.0,960.6,6404.0,30
CDM,205286,PLT TROCH GRIP SM 255MM,7996.0,7996.0,1199.4,7996.0,30
CDM,205287,GRIP TROCH 3CBL STD 85MM,4429.0,4429.0,664.35,4429.0,30
CDM,205288,GRIP TROCH 5CBL STD125MM,4767.0,4767.0,715.05,4767.0,30
CDM,205290,GRIP TROCH11CBL STD265MM,8417.0,8417.0,1262.55,8417.0,30
CDM,205292,PROTECTOR WND MED,1915.5,1915.5,287.32,1915.5,42
CDM,205294,CABLE ORTH COCR 2X75MM,3189.0,3189.0,478.35,3189.0,30
CDM,205301,SCREW BN SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,205302,SCREW BN SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,205303,SCREW SPN MESA 6.5X45,4429.0,4429.0,664.35,4429.0,30
CDM,205305,SCREW BN SPN 7.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,205308,COMPONENT TIB KN 5X80MM,11668.0,11668.0,1750.2,11668.0,30
CDM,205309,CMPNT FEM KN RT SZ5,11861.0,11861.0,1779.15,11861.0,30
CDM,205310,INSERT TIB KN SZ5 20MM,6265.0,6265.0,939.75,6265.0,30
CDM,205311,CMPNT KN FEM STD LT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,205314,SCREW BN 7.5MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,205316,ROD SPN 5.5MM 600MM,3012.0,3012.0,451.8,3012.0,30
CDM,205317,PLATE TIB MNOBLCK 5 14,11294.0,11294.0,1694.1,11294.0,30
CDM,205318,SCREW BN 2.7X18MM,824.0,824.0,123.6,824.0,30
CDM,205319,SCREW BN 2.7MM 14MM,319.0,319.0,47.85,319.0,30
CDM,205320,SCREW BN 2.5X20MM,1356.0,1356.0,203.4,1356.0,30
CDM,205321,ROD SPNL 110MM 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,205322,PLATE STERNAL LOCK 6HL,3189.0,3189.0,478.35,3189.0,30
CDM,205323,LEAD NRSTM 60CM,4429.0,4429.0,664.35,4429.0,30
CDM,205324,SCREW BN 5MM 35MM,2884.0,2884.0,432.6,2884.0,30
CDM,205326,GRAFT EVAS 18MM 9.5CM,19174.0,19174.0,2876.1,19174.0,30
CDM,205327,INSERT ARTC 6-9 E-F 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,205328,PLATE SPN 1LVL 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,205329,SCREW SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,205330,SCREW BN 5MM 60MM,2073.0,2073.0,310.95,2073.0,30
CDM,205331,SCREW BN 5MM 45MM,2073.0,2073.0,310.95,2073.0,30
CDM,205332,BIT DRILL 152.5MM 4.3MM,1154.5,1154.5,173.18,1154.5,42
CDM,205336,PLATE SPN 2LVL 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,205337,SCREW SPN SLFD 4X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,205338,SCREW BN 3X4X1.2X38X18MM,2679.0,2679.0,401.85,2679.0,30
CDM,205339,PLATE BN 3HL 2.4MM,4131.0,4131.0,619.65,4131.0,30
CDM,205340,PLATE BN 3HL 2.4MM,4131.0,4131.0,619.65,4131.0,30
CDM,205341,BODY CONE HIP +10MM 21MM,12106.0,12106.0,1815.9,12106.0,30
CDM,205342,STEM FEM HIP 19MM 155MM,8674.0,8674.0,1301.1,8674.0,30
CDM,205343,LINER HIP 10D 54MM 32MM,4963.0,4963.0,744.45,4963.0,30
CDM,205344,SCRW CA 16THD 7.5X35MM,2790.0,2790.0,418.5,2790.0,30
CDM,205345,SCRW CA 16THD 7.5X40MM,2790.0,2790.0,418.5,2790.0,30
CDM,205346,SCRW CA 16THD 7.5X45MM,2790.0,2790.0,418.5,2790.0,30
CDM,205348,CAGE SPN LRDTC 55X22X10,18416.0,18416.0,2762.4,18416.0,30
CDM,205349,STEM FEM HIP SZ6 127MM,6201.0,6201.0,930.15,6201.0,30
CDM,205350,SPACER SPN 36X28X15MM,11073.0,11073.0,1660.95,11073.0,30
CDM,205352,SCREW BN 3.5MM 24MM,2551.0,2551.0,382.65,2551.0,30
CDM,205353,SCREW BN 3.5X34MM,2551.0,2551.0,382.65,2551.0,30
CDM,205354,SCREW BN 3.5MM 34MM,1029.0,1029.0,154.35,1029.0,30
CDM,205355,COMPNT FM KN SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,205356,ROD SPNL 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,205359,PLATE BN 12HL 5MM 274MM,6688.0,6688.0,1003.2,6688.0,30
CDM,205360,SCREW BN 5MM 55MM,2111.0,2111.0,316.65,2111.0,30
CDM,205361,SCREW BNE CD HRZN 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,205363,SCREW SPN SHRT BLD6.5X50,4429.0,4429.0,664.35,4429.0,30
CDM,205364,SCREW CANN SHRT 6.5X40MM,4872.0,4872.0,730.8,4872.0,30
CDM,205365,SCREW SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,205366,SCREW SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,205367,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,205368,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,205369,KWIRE FX BLNT 1.3MM,773.0,773.0,115.95,773.0,42
CDM,205370,DISC INTVRTB 15X15MM,21703.0,21703.0,3255.45,21703.0,30
CDM,205371,DISC SPNL 14MM,17716.0,17716.0,2657.4,17716.0,30
CDM,205372,CUTTER 14MM 6474524,4298.0,4298.0,644.7,4298.0,42
CDM,205373,STEM FEM HIP 16.25X132MM,10630.0,10630.0,1594.5,10630.0,30
CDM,205375,NAIL BN 125D 1.5MM 36CM,9050.0,9050.0,1357.5,9050.0,30
CDM,205377,NAIL BN FEM 11.5MM 38CM,9050.0,9050.0,1357.5,9050.0,30
CDM,205378,INSERT KN TIB SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,205379,CMPNT SHLDR CAGE LG,5426.0,5426.0,813.9,5426.0,30
CDM,205380,BASEPLATE TIB ATTN SZ6,4651.0,4651.0,697.65,4651.0,30
CDM,205381,CMPNT FEM KN SZ7,5094.0,5094.0,764.1,5094.0,30
CDM,205383,CAGE SPN 28X10X4MM,8575.0,8575.0,1286.25,8575.0,30
CDM,205384,CAGE SPN 28X10X4MM,20006.0,20006.0,3000.9,20006.0,30
CDM,205385,CAGE SPN 22X10X11MM,3012.0,3012.0,451.8,3012.0,30
CDM,205386,PLATE SPN 52MM,12402.0,12402.0,1860.3,12402.0,30
CDM,205388,ROD CONN EXFX 200MM 8MM,2733.5,2733.5,410.02,2733.5,42
CDM,205389,PIN HLF ORTH 150X6MM,1160.5,1160.5,174.07,1160.5,42
CDM,205390,BIT DRILL 4MM 200MM,773.0,773.0,115.95,773.0,42
CDM,205391,PIN HLF APX EXFX 150X5MM,1023.5,1023.5,153.53,1023.5,42
CDM,205392,STEM HUM 130MM 8MM,11516.0,11516.0,1727.4,11516.0,30
CDM,205393,INSERT TIB KN 2.5 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,205394,PLATE SHRT BND 118TI STR,8262.0,8262.0,1239.3,8262.0,30
CDM,205395,SCREW BN HUM 3.5MM 14MM,425.0,425.0,63.75,425.0,30
CDM,205396,SCREW BN HUM 3.5MM 18MM,436.0,436.0,65.4,436.0,30
CDM,205398,COMPNT AGMNT LT 2.5X4MM,4252.0,4252.0,637.8,4252.0,30
CDM,205399,PLATE SPN 2 LEV 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,205401,BASEPLATE TIB KN SZ4,5758.0,5758.0,863.7,5758.0,30
CDM,205402,PLATE BN RT LCK 8H,3721.0,3721.0,558.15,3721.0,30
CDM,205403,SCREW BN 2.7MM 18MM,319.0,319.0,47.85,319.0,30
CDM,205404,SCREW BN 3.5MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,205405,SCREW BN 3.5X60 2.7MM,319.0,319.0,47.85,319.0,30
CDM,205406,SCREW BN 3.5X65 2.7MM,319.0,319.0,47.85,319.0,30
CDM,205408,LINER HUM 42MM +2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,205409,PLATE BURR HL LP XL,3189.0,3189.0,478.35,3189.0,30
CDM,205410,CMPNT FEM CMNTLS LT SZ6,7397.0,7397.0,1109.55,7397.0,30
CDM,205411,BASEPLATE TIB KN SZ6,5647.0,5647.0,847.05,5647.0,30
CDM,205412,BIT DRL 50MM 1.1MM,1023.5,1023.5,153.53,1023.5,42
CDM,205413,SCREW BN 1.5X7MM,447.0,447.0,67.05,447.0,30
CDM,205414,SPACER SPN 36X28X14MM 8D,11073.0,11073.0,1660.95,11073.0,30
CDM,205416,SCREW CLS MAS 8.5 X9,4429.0,4429.0,664.35,4429.0,30
CDM,205417,SCREW SPN 7.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,205421,LINER OBLIQUE 36MM SZJJ,4606.0,4606.0,690.9,4606.0,30
CDM,205422,BLADE SAW 63X18.5 .64MM,335.5,335.5,50.33,335.5,42
CDM,205425,SUTURE GRN BRD 1 36IN,43.5,43.5,6.53,43.5,42
CDM,205427,STEM FEM HIP SZ1 27X96MM,11073.0,11073.0,1660.95,11073.0,30
CDM,205428,SHELL ACTB HIP HEMI 58MM,8785.0,8785.0,1317.75,8785.0,30
CDM,205429,SCREW BN 6.5X40MM,1323.0,1323.0,198.45,1323.0,30
CDM,205430,SCREW BN 6.5X15MM,1467.0,1467.0,220.05,1467.0,30
CDM,205431,SCREW SPN OCT TI 16MM 4,4340.0,4340.0,651.0,4340.0,30
CDM,205432,SCREW BN 2.4MM 5MM,1478.0,1478.0,221.7,1478.0,30
CDM,205433,BLADE SAW 13X90MM,773.0,773.0,115.95,773.0,42
CDM,205434,HEAD FEM HIP -5MM 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,205435,NAIL 10MM 15.5MM 34CM,6201.0,6201.0,930.15,6201.0,30
CDM,205436,SCREW BN 10.5MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,205437,SCREW BN 5MM 32.5MM,2073.0,2073.0,310.95,2073.0,30
CDM,205438,SCREW BN 5MM 35MM,2073.0,2073.0,310.95,2073.0,30
CDM,205439,NAIL BN KIT 11MM 360MM,7233.0,7233.0,1084.95,7233.0,30
CDM,205440,SCREW BN ST M5 SPN SHR,1435.0,1435.0,215.25,1435.0,30
CDM,205442,PLATE MXLFCL LOPRO SQ1.6,3011.0,3011.0,451.65,3011.0,30
CDM,205443,CMPNT FEM KN LT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,205444,INSERT TIB KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205445,SCREW SPN 7.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,205446,SCREW SPN 7.5MM 50MM,4872.0,4872.0,730.8,4872.0,30
CDM,205447,ROD SPN RAD 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,205448,ROD SPN 65MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,205449,KWIRE FX 550MM 1.3MM,1170.5,1170.5,175.57,1170.5,42
CDM,205450,INSERT ARTC KN 7-8X13GII,4429.0,4429.0,664.35,4429.0,30
CDM,205451,KIT ORT REP AC IMPL,4983.0,4983.0,747.45,4983.0,30
CDM,205452,BUTTON FX CLVCL DIST,3189.0,3189.0,478.35,3189.0,30
CDM,205453,PLATE BN DISTAL RT SHRT,3721.0,3721.0,558.15,3721.0,30
CDM,205454,PLATE SPN MED 8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,205456,STENT GRAFT 16X10X156MM,16149.0,16149.0,2422.35,16149.0,30
CDM,205457,GRAFT CV 24X12MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,205458,SPACER SPN 36X28X13MM,11073.0,11073.0,1660.95,11073.0,30
CDM,205459,INSERT TIB KN 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,205460,DISC SPNL 13X17X5MM,21703.0,21703.0,3255.45,21703.0,30
CDM,205461,SCREW BN CMPR 8MM,3091.0,3091.0,463.65,3091.0,30
CDM,205462,SCREW BN 5MM 30MM,3091.0,3091.0,463.65,3091.0,30
CDM,205463,BIT DRILL 5X180MM,1643.0,1643.0,246.45,1643.0,42
CDM,205464,SCREW TI L45MM OD8.5MM P,4429.0,4429.0,664.35,4429.0,30
CDM,205465,STEM FEM ACLD 2 9 127D,8858.0,8858.0,1328.7,8858.0,30
CDM,205467,SCREW BN 2MM 8MM,1749.0,1749.0,262.35,1749.0,30
CDM,205468,SCREW BN MNDB 10X2.0MM,1749.0,1749.0,262.35,1749.0,30
CDM,205469,SCREW BN 2.4MM 10MM,2153.0,2153.0,322.95,2153.0,30
CDM,205470,SCREW BN LCK 2X12MM,1922.0,1922.0,288.3,1922.0,30
CDM,205471,SCREW BN 2MM 14MM,2344.0,2344.0,351.6,2344.0,30
CDM,205472,SCREW BN 2MM 16MM,1749.0,1749.0,262.35,1749.0,30
CDM,205473,SCREW BN 2.4MM 12MM,2327.0,2327.0,349.05,2327.0,30
CDM,205475,STEM TM REVERSE 18X13MM,25467.0,25467.0,3820.05,25467.0,30
CDM,205476,LINER PLY RVRS TM +0 36M,4428.0,4428.0,664.2,4428.0,30
CDM,205493,PLATE 170MM 4.5MM SCR LG,7456.0,7456.0,1118.4,7456.0,30
CDM,205496,MODEL ANTM PLANNED OUTCM,7339.5,7339.5,1100.92,7339.5,42
CDM,205497,PLATE BN ANG 2.5MM MNDB,30064.0,30064.0,4509.6,30064.0,30
CDM,205498,INSERT TIB KN SZ5 12.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,205499,SPACER FEM HIP OMFT 11MM,1170.0,1170.0,175.5,1170.0,30
CDM,205500,STEM HIP 9.6MM 120MM,6201.0,6201.0,930.15,6201.0,30
CDM,205501,HEAD FEM HIP 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,205503,GRAFT STNT 32MM 100MM,54257.0,54257.0,8138.55,54257.0,30
CDM,205504,INSERT TIB KN 9.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,205505,CMPNT FEM KN SZ9,5094.0,5094.0,764.1,5094.0,30
CDM,205506,INSERT TIB KN STAB 7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,205507,CMPNT FEM KN LT SZ7,5094.0,5094.0,764.1,5094.0,30
CDM,205508,SLEEVE ADPT HIP 5.0MM,1170.0,1170.0,175.5,1170.0,30
CDM,205509,PLATE SPN 2LVL 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,205511,PLATE BN CRNL 2HL 17MM,1198.0,1198.0,179.7,1198.0,30
CDM,205512,PLATE BN MSH 111MM 191MM,4500.0,4500.0,675.0,4500.0,30
CDM,205513,NAIL FEM 12MM 360MM,8434.0,8434.0,1265.1,8434.0,30
CDM,205514,STENT VASC 6FR 80X6MM,6902.0,6902.0,1035.3,6902.0,30
CDM,205515,INSERT ART KN 7-10 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205521,HEAD FEM HIP 28X55MM,4252.0,4252.0,637.8,4252.0,30
CDM,205522,BIT DRILL DISP 2MM,2093.5,2093.5,314.02,2093.5,42
CDM,205523,ANCHOR SUT 5.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205528,INSERT ARTC KN 7-8X18GII,4429.0,4429.0,664.35,4429.0,30
CDM,205529,ROD TI HEX RAD 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
CDM,205530,SCREW SPN 6.5MM 55MM,4872.0,4872.0,730.8,4872.0,30
CDM,205533,PLATE BN RT 3H 74MM,5674.0,5674.0,851.1,5674.0,30
CDM,205534,KWIRE FX 2MM 150MM,231.5,231.5,34.73,231.5,42
CDM,205535,SPACER SPN 32X10X11MM 0D,13287.0,13287.0,1993.05,13287.0,30
CDM,205536,SCREW BN SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,205537,SCREW BN SPN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,205538,SPACER SPN 27X10X12 6D,11959.0,11959.0,1793.85,11959.0,30
CDM,205539,SPACER SPNL 27X10X11MM V,11959.0,11959.0,1793.85,11959.0,30
CDM,205540,SPACER SPN 27X10X10 6D,11959.0,11959.0,1793.85,11959.0,30
CDM,205541,STENT EPRSTH 45MM 15CM,57291.0,57291.0,8593.65,57291.0,30
CDM,205542,ROD 3.5X200MM,2711.0,2711.0,406.65,2711.0,30
CDM,205543,SCREW 4.5X20MM,4247.0,4247.0,637.05,4247.0,30
CDM,205544,SCREW 4.5X24MM,4247.0,4247.0,637.05,4247.0,30
CDM,205545,INS TIB 1 8MM LT MDL RL,4606.0,4606.0,690.9,4606.0,30
CDM,205546,HEAD HUM SHLDR 56MM 19MM,5537.0,5537.0,830.55,5537.0,30
CDM,205547,HEAD HUM SHLDR 52MM 20MM,5537.0,5537.0,830.55,5537.0,30
CDM,205548,STEM HUM 6X175MM,27792.0,27792.0,4168.8,27792.0,30
CDM,205552,PLATE BN 3HL 3.5MM 109MM,5969.0,5969.0,895.35,5969.0,30
CDM,205553,CMPNT FEM HIP 200MM,17450.0,17450.0,2617.5,17450.0,30
CDM,205556,BLADE SURG OSTME 62MM,4385.5,4385.5,657.83,4385.5,42
CDM,205557,BLADE SURG OSTME 62MM,5372.0,5372.0,805.8,5372.0,42
CDM,205558,INSERT TIB KN SZ7 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,205559,ANCHOR SUT 6.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,205562,ROD SPN 6MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,205565,ROD SPN CRV 70X4MM,3987.0,3987.0,598.05,3987.0,30
CDM,205566,SLEEVE CNTRNG KN 2.5MM,1170.0,1170.0,175.5,1170.0,30
CDM,205567,STEM FEM HIP 18MM 155MM,8674.0,8674.0,1301.1,8674.0,30
CDM,205568,STEM FEM HIP 23MM 30MM,12106.0,12106.0,1815.9,12106.0,30
CDM,205569,HEAD HIP +4MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,205570,GWIRE ORTHO .035X5.75IN,231.5,231.5,34.73,231.5,42
CDM,205572,PEG FX BN 2.5MM 26MM,1018.0,1018.0,152.7,1018.0,30
CDM,205573,SYSTEM WRISTFX DIST RDS,6139.5,6139.5,920.92,6139.5,42
CDM,205574,SPACER SPNL 16X15X9MM AC,4872.0,4872.0,730.8,4872.0,30
CDM,205575,RING ANLPLS 36MM,7974.0,7974.0,1196.1,7974.0,30
CDM,205576,HEAD FEM HIP 6DD OD36MM,4252.0,4252.0,637.8,4252.0,30
CDM,205577,PIN BN 65MM,510.0,510.0,76.5,510.0,42
CDM,205578,INSERT KN LT SZ3-4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205579,COMPNT FEM LT KN SZ8,5094.0,5094.0,764.1,5094.0,30
CDM,205580,BASEPLT TIB ATTN CMNT 8,4651.0,4651.0,697.65,4651.0,30
CDM,205581,INSERT TIB KN SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,205582,INSERT KN RT SZ3-4 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,205583,INSERT ARTC 6-9 CD 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205584,PLATE BN LT 5HL 99MM,3816.0,3816.0,572.4,3816.0,30
CDM,205586,SHELL ACTB HIP 3SCR 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,205587,INSERT ACTB HIP 0D 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,205588,STEM FEM HIP 19MM,12106.0,12106.0,1815.9,12106.0,30
CDM,205589,LINER ACTB HIP 36MM SZ23,4606.0,4606.0,690.9,4606.0,30
CDM,205590,HEAD FEM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,205591,INSERT FEM HIP TYPE1 0MM,1170.0,1170.0,175.5,1170.0,30
CDM,205592,LEAD NRSTM 5MM 90CM,9301.0,9301.0,1395.15,9301.0,30
CDM,205593,STEM FEM HIP 17MM 135MM,8112.0,8112.0,1216.8,8112.0,30
CDM,205594,BODY CONE 75MMX35MM 36MM,12178.0,12178.0,1826.7,12178.0,30
CDM,205595,SCREW 4X2.4X18 SYNPS TI,4340.0,4340.0,651.0,4340.0,30
CDM,205596,SCREW SPN P-AX 2.4X20MM,4429.0,4429.0,664.35,4429.0,30
CDM,205597,CUP ACTB +4 44X64,4429.0,4429.0,664.35,4429.0,30
CDM,205598,PLATE BN 2.7MM 3.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,205600,ROD SPN 4.0MMX50MM CRVD,2630.0,2630.0,394.5,2630.0,30
CDM,205601,BASEPLATE TIB KN 5D SZC,4606.0,4606.0,690.9,4606.0,30
CDM,205602,SCREW BN HEX 2.7X18,319.0,319.0,47.85,319.0,30
CDM,205603,SCREW BN 1/2 THRD 4X50MM,2392.0,2392.0,358.8,2392.0,30
CDM,205604,COMPNT FEM LT SZ3 65X61,11861.0,11861.0,1779.15,11861.0,30
CDM,205605,SLEEVE CNTRNG HIP 46MM,7357.0,7357.0,1103.55,7357.0,30
CDM,205606,STEM FEM 115MM 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,205607,CMPNT DIST AUG SZ3 4MM,4252.0,4252.0,637.8,4252.0,30
CDM,205608,CMPNT AGMNT 3X8 DIST LT,4252.0,4252.0,637.8,4252.0,30
CDM,205609,SLEEVE TIB 53X31X40MM,6413.0,6413.0,961.95,6413.0,30
CDM,205610,SLEEVE CNTRNG HIP 34MM,7357.0,7357.0,1103.55,7357.0,30
CDM,205611,COMPNT ACTB HIP 10X50MM,7044.0,7044.0,1056.6,7044.0,30
CDM,205612,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,205613,SCREW BN 6.5MM 40MM,877.0,877.0,131.55,877.0,30
CDM,205614,LNR ACTB 45D 7X64MM OFST,4606.0,4606.0,690.9,4606.0,30
CDM,205615,PLATE SPN 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,205616,ROD SPN 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,205617,SCREW SPN 45MM 6.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,205618,ANCHOR SUT 2.9MM 15.5MM,1148.0,1148.0,172.2,1148.0,30
CDM,205619,PLATE 18.5 LRNZ XDRV THN,3036.0,3036.0,455.4,3036.0,30
CDM,205620,PLATE PROX 150X4MM 8 HL,6314.0,6314.0,947.1,6314.0,30
CDM,205621,SCREW UNIFLX F-T 4X34MM,341.0,341.0,51.15,341.0,30
CDM,205622,PLATE BN 4H 136MM,2873.0,2873.0,430.95,2873.0,30
CDM,205623,SCREW BN SPN 8.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,205624,CMPNT FEM KN RT CR SZ6,5094.0,5094.0,764.1,5094.0,30
CDM,205625,INSERT TIB KN 6 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,205627,STEM FEM HIP 6MM 111MM,10630.0,10630.0,1594.5,10630.0,30
CDM,205629,LINER PLY RVRS TM +6 36M,4428.0,4428.0,664.2,4428.0,30
CDM,205630,DRILL SURG CANN 6MM,2357.5,2357.5,353.63,2357.5,42
CDM,205631,SCREW BN 2.0MM 12MM,634.0,634.0,95.1,634.0,30
CDM,205632,INSERT ARTC KN 3-5 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,205634,INSERT ARTC KN LT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,205635,PLATE BN NAR 5MM 151MM,2655.0,2655.0,398.25,2655.0,30
CDM,205636,PLATE BN LT 2HL 112MM,6314.0,6314.0,947.1,6314.0,30
CDM,205638,IMPLANT BREAST 800CC,4429.0,4429.0,664.35,4429.0,30
CDM,205640,STEM FEM +16MM 12/14 32M,4252.0,4252.0,637.8,4252.0,30
CDM,205641,ROD SPN 4.0X60MM TI CRVD,2630.0,2630.0,394.5,2630.0,30
CDM,205642,STEM FEM HIP 21MM 30MM,12106.0,12106.0,1815.9,12106.0,30
CDM,205643,SCREW BN 6.5X50MM,877.0,877.0,131.55,877.0,30
CDM,205644,SHELL ACTB HIP 56MM,9543.0,9543.0,1431.45,9543.0,30
CDM,205648,VALVE AORTIC 24MM,16515.0,16515.0,2477.25,16515.0,30
CDM,205649,IMPLANT FEMORAL RIGHT,23696.0,23696.0,3554.4,23696.0,30
CDM,205651,BIT DRILL DIST ANKL 2.5M,386.5,386.5,57.98,386.5,42
CDM,205652,NAIL BN 11MM 400MM,6597.0,6597.0,989.55,6597.0,30
CDM,205653,SCREW BN 6.5MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,205654,COMPNT PTLA KN 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,205655,ELECTRODE ESURG 6.5IN,72.0,72.0,10.8,72.0,42
CDM,205656,SCREW CORT S/T 4.5X80MM,456.0,456.0,68.4,456.0,30
CDM,205657,SCREW BN 4.5MM 42MM,368.0,368.0,55.2,368.0,30
CDM,205658,DISC SPN MOBI-C 15X15X5,21703.0,21703.0,3255.45,21703.0,30
CDM,205659,PLATE BN 6H 4.5MM 159MM,6203.0,6203.0,930.45,6203.0,30
CDM,205660,SCREW BN 5MM 26MM,2975.0,2975.0,446.25,2975.0,30
CDM,205662,SCREW BN 5MM 55MM,2406.0,2406.0,360.9,2406.0,30
CDM,205663,SCREW BN 5MM 60MM,2906.0,2906.0,435.9,2906.0,30
CDM,205664,SCREW BN 5MM 75MM,2406.0,2406.0,360.9,2406.0,30
CDM,205665,SCREW BN 5MM 80MM,2406.0,2406.0,360.9,2406.0,30
CDM,205668,NAIL BN 40CM,9050.0,9050.0,1357.5,9050.0,30
CDM,205669,SCREW BN 6MM 80MM,2073.0,2073.0,310.95,2073.0,30
CDM,205671,SCREW BN 6X3.5X85MM,2073.0,2073.0,310.95,2073.0,30
CDM,205673,SCREW BN 3.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,205674,SCREW BN 2.5MMX20MM,3189.0,3189.0,478.35,3189.0,30
CDM,205675,SCREW BN 2.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,205676,SCREW BN 2.5MMX24MM,3189.0,3189.0,478.35,3189.0,30
CDM,205677,SCREW BN 4MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,205678,SCREW BN 4MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,205684,SHELL HIP CLSTR 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,205685,INSERT FEM HIP 36X54MM,4872.0,4872.0,730.8,4872.0,30
CDM,205686,STEM FEM HIP SZ1 97MM,10630.0,10630.0,1594.5,10630.0,30
CDM,205687,IMPLANT SPN PLVC 7X50MM,14027.0,14027.0,2582.37,14027.0,26
CDM,205688,CUP ACTB 52MM G2 INTEGRI,4606.0,4606.0,690.9,4606.0,30
CDM,205689,LINER ACT NVTN CRWN CUP,4429.0,4429.0,664.35,4429.0,30
CDM,205690,STEM FEM ELMT W/STD SZ11,11073.0,11073.0,1660.95,11073.0,30
CDM,205691,BIT DRILL 20MM 4.5MM CRW,773.0,773.0,115.95,773.0,42
CDM,205692,SCREW BN 2.5MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,205693,SCREW BN 3.5MM 13MM,319.0,319.0,47.85,319.0,30
CDM,205694,SCREW BN 4.5MM 32.5MM,2884.0,2884.0,432.6,2884.0,30
CDM,205696,CAP NAIL 20MM,1834.0,1834.0,275.1,1834.0,30
CDM,205697,SCREW BN 4.5MM 25MM,2136.0,2136.0,320.4,2136.0,30
CDM,205698,NAIL BN TIB 8.5MM 26CM,4872.0,4872.0,730.8,4872.0,30
CDM,205699,SCREW BN 4.5MM 30MM,2884.0,2884.0,432.6,2884.0,30
CDM,205700,LINER ACTB HIP SZKK 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,205701,NAIL BN 125D 11MM 400MM,8602.0,8602.0,1290.3,8602.0,30
CDM,205702,INSERT ARTC KN 6-9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205704,DISC INTVRTB 17MM 5MM,21703.0,21703.0,3255.45,21703.0,30
CDM,205705,STEM HUM SHLDR 14X170MM,25467.0,25467.0,3820.05,25467.0,30
CDM,205706,SCREW BN SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,205707,SCREW BN SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,205708,PLUG DOME HL CONT ACTB 1,646.0,646.0,96.9,646.0,30
CDM,205709,GWIRE EVAS SSTF 260CM,1351.0,1351.0,202.65,1351.0,42
CDM,205715,SCREW BN 2.7MM 56MM,1883.0,1883.0,282.45,1883.0,30
CDM,205716,SCREW BN 2.7MM 56MM,730.0,730.0,109.5,730.0,30
CDM,205717,INSERT TIB KN SZ3 25MM,6265.0,6265.0,939.75,6265.0,30
CDM,205718,SHELL ACTB MLH PP 66MM,5758.0,5758.0,863.7,5758.0,30
CDM,205719,LINER ACTB CONTIN TRLG I,4606.0,4606.0,690.9,4606.0,30
CDM,205720,CATHETER EMB 4FR 80CM,790.5,790.5,118.58,790.5,42
CDM,205721,CATHETER EMB 5.5FR 80CM,790.5,790.5,118.58,790.5,42
CDM,205722,PLATE SPN 80MM,5094.0,5094.0,764.1,5094.0,30
CDM,205723,CAGE SPNL 8X8MM PERIMTR,9966.0,9966.0,1494.9,9966.0,30
CDM,205724,SCREW BN 5MM 46MM,2160.0,2160.0,324.0,2160.0,30
CDM,205725,BLADE SURG 4MM,572.0,572.0,85.8,572.0,42
CDM,205726,BLADE STRYK AGRS +5.5,572.0,572.0,85.8,572.0,42
CDM,205727,PROBE ESURG 3.5MM 90MM,1064.5,1064.5,159.68,1064.5,42
CDM,205728,SPACER SPN 0D 32X10X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,205729,DISC INTVRTB 17X6X15MM,21703.0,21703.0,3255.45,21703.0,30
CDM,205730,LINER ORT ACTB 4MMX32MM,4606.0,4606.0,690.9,4606.0,30
CDM,205731,MESH SURG 6.1X10.1UB,7842.0,7842.0,1176.3,7842.0,30
CDM,205734,PLATE BN STRNL 17MM,5548.0,5548.0,832.2,5548.0,30
CDM,205739,PLATE BN 7HL 2.4MM 68MM,5512.0,5512.0,826.8,5512.0,30
CDM,205740,NAIL BN 13MM 42CM,6400.0,6400.0,960.0,6400.0,30
CDM,205741,SCREW BN 10.5MM 120MM,3189.0,3189.0,478.35,3189.0,30
CDM,205743,CMPNT GLND CAGE SM,5426.0,5426.0,813.9,5426.0,30
CDM,205744,PLATE BN LCK 8H 1.8MM,3795.0,3795.0,569.25,3795.0,30
CDM,205745,PLATE BN 18HL 46X23MM,4124.0,4124.0,618.6,4124.0,30
CDM,205746,BASEPLATE SHLDR +10MM,7973.0,7973.0,1195.95,7973.0,30
CDM,205748,INSERT ARTC GH RT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,205749,NAIL BN LT 130D 11X360MM,8602.0,8602.0,1290.3,8602.0,30
CDM,205751,INSERT TIB KN LT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,205753,PLATE TI 43X26X4.5MM,8222.0,8222.0,1233.3,8222.0,30
CDM,205754,COMPNT SHLDR 41MM +3MM,5966.0,5966.0,894.9,5966.0,30
CDM,205755,STEM HUM SHLDR 83MM 13MM,11959.0,11959.0,1793.85,11959.0,30
CDM,205756,BEARNG HUM SHLDR 41-44MM,4606.0,4606.0,690.9,4606.0,30
CDM,205757,SCREW BN 6.5MM 50MM,2105.0,2105.0,315.75,2105.0,30
CDM,205760,CEMENT BN PMMA HALF DOSE,638.0,638.0,95.7,638.0,30
CDM,205762,PLATE BN RT 7HL 125MM,3929.0,3929.0,589.35,3929.0,30
CDM,205763,CMPNT FEM CMNTLS RT SZ6,7397.0,7397.0,1109.55,7397.0,30
CDM,205764,GRAFT NRV CLGN FLX 2.5X3,7840.0,7840.0,1176.0,7840.0,30
CDM,205765,PLATE SPN 2LVL 44MM,4429.0,4429.0,664.35,4429.0,30
CDM,205766,COVER BURR HL .5X24MM,3189.0,3189.0,478.35,3189.0,30
CDM,205772,SCREW BN HUM 4.5MM 33MM,1595.0,1595.0,239.25,1595.0,30
CDM,205773,GRAFT EVAS 36MM 4.5CM,12734.0,12734.0,1910.1,12734.0,30
CDM,205774,SCREW BN 23X8 ACL BTNDS,3189.0,3189.0,478.35,3189.0,30
CDM,205775,CMPNT FEM 5PFC PSTB,6423.0,6423.0,963.45,6423.0,30
CDM,205776,NAIL BN HUM 8MM 150MM,13632.0,13632.0,2044.8,13632.0,30
CDM,205777,SCREW SPN MTRX 4X35MM,4340.0,4340.0,651.0,4340.0,30
CDM,205778,SCREW BN HUM 4.5MM 27MM,1595.0,1595.0,239.25,1595.0,30
CDM,205779,SCREW BN HUM 4.5MM 36MM,1595.0,1595.0,239.25,1595.0,30
CDM,205781,HEAD FEM HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,205782,STEM FEM HIP 18X195MM,9185.0,9185.0,1377.75,9185.0,30
CDM,205783,STEM FEM HIP 23MM,12106.0,12106.0,1815.9,12106.0,30
CDM,205784,KIT ACC ANCH REM,1637.0,1637.0,245.55,1637.0,42
CDM,205787,SPACER SPNL 32X10X12MM,11959.0,11959.0,1793.85,11959.0,30
CDM,205788,SCREW BN 6MM 115MM,2073.0,2073.0,310.95,2073.0,30
CDM,205789,SCREW BN 6.5X35MM,1323.0,1323.0,198.45,1323.0,30
CDM,205790,SHELL ACTB HIP 68MM,8785.0,8785.0,1317.75,8785.0,30
CDM,205791,INSRT ACTB HIP 0D 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,205793,FEM FLEX POR SZC LT N12,9301.0,9301.0,1395.15,9301.0,30
CDM,205795,SPACER SPN 32X10X11MM 6D,9966.0,9966.0,1494.9,9966.0,30
CDM,205796,PLATE BN RT 4HL 3.5X81MM,4429.0,4429.0,664.35,4429.0,30
CDM,205798,INSERT TIB KN SZ8 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,205799,LINER ACTB OO NTRL 64X40,4606.0,4606.0,690.9,4606.0,30
CDM,205800,NAIL BN 10MM 38CM,6201.0,6201.0,930.15,6201.0,30
CDM,205802,STEM FEM HIP 12.5X124MM,10630.0,10630.0,1594.5,10630.0,30
CDM,205803,INSERT TIB KN LT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,205804,COMP FEMORAL 00596801651,7530.0,7530.0,1129.5,7530.0,30
CDM,205805,INSERT ARTC 10-11 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,205806,PLATE BN 87MM 3.5MM,5667.0,5667.0,850.05,5667.0,30
CDM,205807,SCREW BN 3.5MM 56MM,2000.0,2000.0,300.0,2000.0,30
CDM,205808,SCREW BN 3.5X36MM,1781.0,1781.0,267.15,1781.0,30
CDM,205809,SCREW BN 3.5MM 60MM,1781.0,1781.0,267.15,1781.0,30
CDM,205810,SCREW BN 3.5MM 65MM,1781.0,1781.0,267.15,1781.0,30
CDM,205811,SCREW BN 3.5MM 44MM,1781.0,1781.0,267.15,1781.0,30
CDM,205812,PLATE SPN 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,205814,INSERT ARTC KN 7-12 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,205815,ANCHOR SUT 4.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205816,ANCHOR SUT 4.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205817,ANCHOR SUT 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,205818,NAIL BN RT 130D 11X340MM,8769.0,8769.0,1315.35,8769.0,30
CDM,205819,COMPNT GLND TSA-X3 SZ56,7020.0,7020.0,1053.0,7020.0,30
CDM,205820,ANCHOR BN SZ2 36IN,3189.0,3189.0,478.35,3189.0,30
CDM,205821,ANCHOR SUT 4.75MM,3564.0,3564.0,534.6,3564.0,30
CDM,205822,ANCHOR SUT 5.5MM,3564.0,3564.0,534.6,3564.0,30
CDM,205823,CANNULA GREEN 8.5X72MM,383.5,383.5,57.52,383.5,42
CDM,205824,SCREW SPN 4.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,205825,ROD SPN 35MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,205826,ROD EX FIX 174MM,1824.5,1824.5,273.68,1824.5,42
CDM,205827,BIT DRILL 3.2MM 200MM,773.0,773.0,115.95,773.0,42
CDM,205829,NAIL LT FEM ORTH 11X36MM,6597.0,6597.0,989.55,6597.0,30
CDM,205832,VALVE AOR 23X18-20MM,115350.0,115350.0,17302.5,115350.0,30
CDM,205833,VALVE AOR 29X23-26MM,115350.0,115350.0,17302.5,115350.0,30
CDM,205834,VALVE AOR 31X26-29MM,115350.0,115350.0,17302.5,115350.0,30
CDM,205837,CATH DLV SYS 18FR 7.3CM,10795.0,10795.0,1619.25,10795.0,42
CDM,205839,KIT CMB DEVICE SUT UNITS,4298.0,4298.0,644.7,4298.0,42
CDM,205842,IMPLNT KN LFT TRI W/OPAT,19045.0,19045.0,2856.75,19045.0,30
CDM,205843,STEM FEM KN 14MM 160MM,4606.0,4606.0,690.9,4606.0,30
CDM,205844,WEDGE LGN RK L 5DX5P SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,205845,STEM FEM KN 11MM 160MM,4606.0,4606.0,690.9,4606.0,30
CDM,205846,SPACER SPNL 20X9X7MM,9966.0,9966.0,1494.9,9966.0,30
CDM,205847,CONCTR ROD SPN ANG,3765.0,3765.0,564.75,3765.0,30
CDM,205848,ROD SPNL 6MM 48232601,3012.0,3012.0,451.8,3012.0,30
CDM,205850,CATH BLNDIL 4MM 20MM,1072.5,1072.5,160.88,1072.5,42
CDM,205852,VALVE SHNT INLN PRGM,19530.0,19530.0,2929.5,19530.0,30
CDM,205853,SCREW BN TI L55 OD7.5 XP,3765.0,3765.0,564.75,3765.0,30
CDM,205854,SCREW BN 8MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,205856,VALVE AOR 26X20-23MM,115350.0,115350.0,17302.5,115350.0,30
CDM,205857,WASHER BN 13.5MM 4.0MM,1617.0,1617.0,242.55,1617.0,30
CDM,205858,CATH DLV SYS 112.5CM 18F,3192.5,3192.5,478.88,3192.5,42
CDM,205859,SCREW PLYAXL 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,205861,SCREW BN 6MM 95MM,3047.0,3047.0,457.05,3047.0,30
CDM,205862,SCREW BN 6MM 100MM,2073.0,2073.0,310.95,2073.0,30
CDM,205863,NAIL BN 10MM 13MM 40CM,4872.0,4872.0,730.8,4872.0,30
CDM,205864,SCREW BN 5MM 42.5MM,2679.0,2679.0,401.85,2679.0,30
CDM,205870,STEM FEM HIP 9MM 117MM,9966.0,9966.0,1494.9,9966.0,30
CDM,205871,HEAD FEM HIP -3.5/36MM,4429.0,4429.0,664.35,4429.0,30
CDM,205878,LOOP FIXED CORT 25MM,3189.0,3189.0,478.35,3189.0,30
CDM,205879,SHEATH TIBIAL FX SM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,205880,SCREW BABSRB 30X6-8,3189.0,3189.0,478.35,3189.0,30
CDM,205881,INSERT ARTC KN 3-11 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,205882,LINER HUM SHLDR 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,205883,SCREW 7X60 XPDM SPNL DL,4429.0,4429.0,664.35,4429.0,30
CDM,205884,BEARNG HUM SHLDR 36-44MM,4606.0,4606.0,690.9,4606.0,30
CDM,205887,GRAFT BN 1CC,1807.0,1807.0,271.05,1807.0,30
CDM,205889,PLATE BN CMF STR 5HL,2449.0,2449.0,367.35,2449.0,30
CDM,205890,CMPNT FEM NAR KN LT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,205891,BASEPLATE TIB KN 5D SZC,4606.0,4606.0,690.9,4606.0,30
CDM,205892,INSERT ARTC 3-5 C-D 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,205894,ANCHOR SUT 2-0 V-5,3875.0,3875.0,581.25,3875.0,30
CDM,205895,ANCH SUT SZ3-0 DB1.3MM,3236.0,3236.0,485.4,3236.0,30
CDM,205896,HEAD FEM HIP +8MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,205897,INSRT ACTB HIP 10D 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,205898,NAIL FEM 13MM 360MM,7105.0,7105.0,1065.75,7105.0,30
CDM,205899,SCREW BN 5MM 8MM 62MM,3189.0,3189.0,478.35,3189.0,30
CDM,205900,SCREW BN 5 32 TI T25 STR,3189.0,3189.0,478.35,3189.0,30
CDM,205901,SCREW BN HUM 5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,205904,SCREW BN 2.0MM 14MM,1087.0,1087.0,163.05,1087.0,30
CDM,205905,HEAD FEM HIP -4 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,205907,CMPNT RT KN TRICMP WOPAT,19045.0,19045.0,2856.75,19045.0,30
CDM,205908,SPACER SPN 6D 12X32MM,11959.0,11959.0,1793.85,11959.0,30
CDM,205909,PLATE BN RT 12H 285MM,5758.0,5758.0,863.7,5758.0,30
CDM,205910,SCREW BN 5MM 26MM,399.0,399.0,59.85,399.0,30
CDM,205911,SCREW BN 5MM 30MM,399.0,399.0,59.85,399.0,30
CDM,205912,SCREW BN 5X6.2X32MM,399.0,399.0,59.85,399.0,30
CDM,205913,SCREW BN 3.5MM 38MM,399.0,399.0,59.85,399.0,30
CDM,205914,SCREW BN 5MM 6.2MM,1595.0,1595.0,239.25,1595.0,30
CDM,205915,CAP END FEM LCK 8X3.5MM,1990.0,1990.0,298.5,1990.0,30
CDM,205916,BIT DRILL 4.3MM 245MM,1539.0,1539.0,230.85,1539.0,42
CDM,205917,PIN THRD EXFX 3.2MM,773.0,773.0,115.95,773.0,42
CDM,205918,COMPNT FEM KN RT SZ3,7973.0,7973.0,1195.95,7973.0,30
CDM,205919,INSERT TIB KN SZ3 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,205920,TIB BASE ATUN FB SZ3 CEM,4651.0,4651.0,697.65,4651.0,30
CDM,205921,INSERT TIB KN SZ3 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,205926,PLATE BN 7HL 96X2MM,3495.0,3495.0,524.25,3495.0,30
CDM,205927,STENT URET 4.8FR 22-30CM,1358.0,1358.0,203.7,1358.0,30
CDM,205928,PLATE STRNL LK 8HL STR,3721.0,3721.0,558.15,3721.0,30
CDM,205929,CAGE SPN 27-38MM 20MM,27903.0,27903.0,4185.45,27903.0,30
CDM,205930,HEAD HUM 12MM 40MM,6529.0,6529.0,979.35,6529.0,30
CDM,205931,PROS STM XTND 19X80,4429.0,4429.0,664.35,4429.0,30
CDM,205932,CMPNT FEM KN LT SZXL,14592.0,14592.0,2188.8,14592.0,30
CDM,205934,CONN EYE 25OMM,4429.0,4429.0,664.35,4429.0,30
CDM,205936,MESH SURG 130MM 13MM,24714.0,24714.0,3707.1,24714.0,30
CDM,205938,SCREW UNIFLX F-T 4X32MM,341.0,341.0,51.15,341.0,30
CDM,205939,ROD SPN 5.5MM 110MM,2630.0,2630.0,394.5,2630.0,30
CDM,205940,GWIRE PILOT ORTH 1.9MM,116.0,116.0,17.4,116.0,42
CDM,205941,BIT DRILL ORTHO 3.1MM,773.0,773.0,115.95,773.0,42
CDM,205942,BASEPLATE SHLDR 28MM,5537.0,5537.0,830.55,5537.0,30
CDM,205943,SCREW BN 6.5MM 28MM,798.0,798.0,119.7,798.0,30
CDM,205944,SCREW BN 4.5X16MM,798.0,798.0,119.7,798.0,30
CDM,205945,SCREW BN 4.5MM 28MM,798.0,798.0,119.7,798.0,30
CDM,205946,SPHERE GLND SHLDR 6X36MM,4872.0,4872.0,730.8,4872.0,30
CDM,205947,CUP HUM SHLDR 36MM 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,205948,INSERT HUM SHLDR 36X4MM,4606.0,4606.0,690.9,4606.0,30
CDM,205949,STEM HUM SHLDR 16X140MM,12402.0,12402.0,1860.3,12402.0,30
CDM,205950,SCREW BN 6.5X24MM,798.0,798.0,119.7,798.0,30
CDM,205951,SPHERE GLND SHLDR 6X32MM,4872.0,4872.0,730.8,4872.0,30
CDM,205952,CUP HUM SHLDR REV 32X4MM,4606.0,4606.0,690.9,4606.0,30
CDM,205953,INSERT HUM 6MM 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,205954,PLATE BNE ORTH LCK 4 HL,3721.0,3721.0,558.15,3721.0,30
CDM,205955,SCREW BN HEX 2.7X26,319.0,319.0,47.85,319.0,30
CDM,205958,SPACER SPNL 32X10X9MM,9966.0,9966.0,1494.9,9966.0,30
CDM,205959,COMP FEM KN RT SZ4,8858.0,8858.0,1328.7,8858.0,30
CDM,205960,INSERT TIB KN 3-4,4606.0,4606.0,690.9,4606.0,30
CDM,205961,CMPNT FEM KN RT SZ5,5537.0,5537.0,830.55,5537.0,30
CDM,205962,INSERT TIB KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,205963,SPACER SPNL 14X8MM STLTH,4429.0,4429.0,664.35,4429.0,30
CDM,205964,SCREW BN 3X12MM,798.0,798.0,119.7,798.0,30
CDM,205965,SCREW BN 3.5MM 65MM,2301.0,2301.0,345.15,2301.0,30
CDM,205966,SCREW BN 3.5MM 52MM,1781.0,1781.0,267.15,1781.0,30
CDM,205967,CMPNT GLND SHLRD 56MM,5980.0,5980.0,897.0,5980.0,30
CDM,205968,BODY HUM SHLDR 14MM 135D,5103.0,5103.0,765.45,5103.0,30
CDM,205969,STEM HUM 14X129MM,9071.0,9071.0,1360.65,9071.0,30
CDM,205970,HEAD HUM 21MM 56MM SHLDR,5944.0,5944.0,891.6,5944.0,30
CDM,205971,IINSERT ARTC KN RT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,205972,ROD SPNL 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,205973,ROD 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,205974,STEM COCR PRSFIT 23X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,205975,COMPONENT FEM LG 75X64MM,14592.0,14592.0,2188.8,14592.0,30
CDM,205976,INSERT TIB KN 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,205978,PLUG FISTULA .7CM,4629.0,4629.0,694.35,4629.0,30
CDM,205980,SCREW INTFRNCE AR5028C09,3189.0,3189.0,478.35,3189.0,30
CDM,205981,INSERT HUM SHLDR 4X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,205982,PLATE BN 3X3H 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,205984,STEM HUM SHLDR 8MM 130MM,22588.0,22588.0,3388.2,22588.0,30
CDM,205985,CMPNT FEM KN LT SZ4N,6423.0,6423.0,963.45,6423.0,30
CDM,205986,SPACER SPNL 32X10X8MM,9966.0,9966.0,1494.9,9966.0,30
CDM,205987,SCREW BN SPN 4.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,205988,INSRT TIB KN SZ4 15MM,6265.0,6265.0,939.75,6265.0,30
CDM,205990,CMPNT FEM STD KN RT SZ12,6644.0,6644.0,996.6,6644.0,30
CDM,205991,INSRT ARTC KN 10-12 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,205993,SCREW BN SPN 5.5MM 30MM,753.0,753.0,112.95,753.0,30
CDM,205994,SCREW BN SPN 5.5MM 40MM,753.0,753.0,112.95,753.0,30
CDM,205995,PLATE FULL 4 HOLE 10MM,10276.0,10276.0,1541.4,10276.0,30
CDM,205996,ENDCAP TMBRLN 8-14MM 4H,1506.0,1506.0,225.9,1506.0,30
CDM,205997,SPACER SPN 45X18X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,205998,K-WIRE CHAMFERED,386.5,386.5,57.98,386.5,42
CDM,206000,PACK PROBE AND CONN,4092.5,4092.5,613.88,4092.5,42
CDM,206001,STEM SHLDR 12X10MM,22145.0,22145.0,3321.75,22145.0,30
CDM,206002,INSERT SCKT HUM +4 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,206003,SCREW BN 2.3X24MM,1975.0,1975.0,296.25,1975.0,30
CDM,206004,SCREW BN 2.3MM 26MM,1975.0,1975.0,296.25,1975.0,30
CDM,206005,SHELL ACTB CONTIN 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,206006,LINER ACTB NTRL JJ 54X35,4606.0,4606.0,690.9,4606.0,30
CDM,206007,SIZER BREAST 500CC,1023.5,1023.5,153.53,1023.5,42
CDM,206009,PLATE CSPN 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,206010,SHELL ACETB 50MM RT RSTR,5475.0,5475.0,821.25,5475.0,30
CDM,206011,INSERT ACTB X3 28X50MM,5315.0,5315.0,797.25,5315.0,30
CDM,206012,HEAD FEM HIP OFFST5X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,206013,SHELL HOLE HEMIS 50MM,4872.0,4872.0,730.8,4872.0,30
CDM,206014,LINER ACTB HIP 38MM,4606.0,4606.0,690.9,4606.0,30
CDM,206015,HEAD FEM HIP 5X22MM,4252.0,4252.0,637.8,4252.0,30
CDM,206016,STEM FEM HIP SZ6 120MM,11405.0,11405.0,1710.75,11405.0,30
CDM,206017,INS ACTB HIP 22.2X38MM,4606.0,4606.0,690.9,4606.0,30
CDM,206018,NAIL BN 8MM 280CM,6953.0,6953.0,1042.95,6953.0,30
CDM,206019,SCREW T2 LCK F-T 4X26MM,3037.0,3037.0,455.55,3037.0,30
CDM,206022,STEM FEM HIP STD SZ5,10630.0,10630.0,1594.5,10630.0,30
CDM,206023,HEAD FEM HIP 0X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,206024,STEM FEM KN 160MM 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,206025,HEAD FEM HIP 12/14 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,206026,SHELL ACTB CH CONTN 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,206028,INSERT ARTC KN 7-12 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,206029,PLATE BN LCK 13HL 2.4MM,4859.0,4859.0,728.85,4859.0,30
CDM,206030,LINER ACTB CONT 7MM NN,4606.0,4606.0,690.9,4606.0,30
CDM,206031,INSERT TIB KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,206032,SHELL ACTB CONTIN 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,206033,HEAD FEM+15.5X12/14X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,206035,SCREW BN 2.7MM 24MM,824.0,824.0,123.6,824.0,30
CDM,206036,PLATE BN 2MMX56MM,4429.0,4429.0,664.35,4429.0,30
CDM,206037,SCREW BN 2.4MM 8MM,1453.0,1453.0,217.95,1453.0,30
CDM,206038,SHELL ACTB HIP 12X48MM,4606.0,4606.0,690.9,4606.0,30
CDM,206039,LINER ACTB NTRL 48X32,4606.0,4606.0,690.9,4606.0,30
CDM,206041,PLATE CRT 33X1.25MM 4HL,4429.0,4429.0,664.35,4429.0,30
CDM,206043,VALVE AORTIC 25MM,21744.0,21744.0,3261.6,21744.0,30
CDM,206044,HEAD FEM HIP +8MM 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,206045,STEM FEM JNCTN LG 16X185,9268.0,9268.0,1390.2,9268.0,30
CDM,206046,STEM FEM 10MM PRSFT STD,11073.0,11073.0,1660.95,11073.0,30
CDM,206047,HEAD BIP HIP 43X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,206048,PLATE BN 2.7/3.5X202MM,7398.0,7398.0,1109.7,7398.0,30
CDM,206049,SCREW BN 2.7MM 50M,1636.0,1636.0,245.4,1636.0,30
CDM,206050,SCREW BN 2.7MM 46MM,836.0,836.0,125.4,836.0,30
CDM,206051,SCREW BN 2.7MM 40MM,610.0,610.0,91.5,610.0,30
CDM,206052,SCREW BN 3.5MM 30MM SS,477.0,477.0,71.55,477.0,30
CDM,206053,SCREW BN 3.5MM 26MM SS,620.0,620.0,93.0,620.0,30
CDM,206054,SCREW BN 3.5MM 28MM SS,394.0,394.0,59.1,394.0,30
CDM,206060,SCREW BN 5MM 40CM,1435.0,1435.0,215.25,1435.0,30
CDM,206061,SCREW BN 5MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,206062,SCREW BN 6MM 55MM,2073.0,2073.0,310.95,2073.0,30
CDM,206063,SCREW BN 6MM 60MM,2073.0,2073.0,310.95,2073.0,30
CDM,206064,SCREW BN 6MM 70MM,2073.0,2073.0,310.95,2073.0,30
CDM,206065,SCREW BN 6MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,206066,Z NAIL RET FEM CAP 0,1834.0,1834.0,275.1,1834.0,30
CDM,206067,NAIL BN 13MM 24CM,4872.0,4872.0,730.8,4872.0,30
CDM,206068,GWIRE ORTH 3MM 100CM,972.5,972.5,145.88,972.5,42
CDM,206069,CAGE SPN 20X9X9MM 4D,11959.0,11959.0,1793.85,11959.0,30
CDM,206070,SCREW BN 2.0MM 12MM,2041.0,2041.0,306.15,2041.0,30
CDM,206071,SCREW BN 7MM 105MM 16MM,2790.0,2790.0,418.5,2790.0,30
CDM,206072,SCREW BN 7X100X16MM,2790.0,2790.0,418.5,2790.0,30
CDM,206073,PIN GD THRD 300X3.2 SCRW,972.5,972.5,145.88,972.5,42
CDM,206075,HEAD FEM PLUS12 SPC 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,206076,CMPNT FEM NAR KN LT SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,206077,LINER STD RIM E/32,6245.0,6245.0,936.75,6245.0,30
CDM,206078,CAGE SPNL 88MM 12MM,16728.0,16728.0,2509.2,16728.0,30
CDM,206079,HEAD FEM HIP 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,206081,PLATE CERV 38MM 2LVL,4429.0,4429.0,664.35,4429.0,30
CDM,206084,PLATE CERV 2LVL 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,206085,SHELL ACTB MLH 56MM,5758.0,5758.0,863.7,5758.0,30
CDM,206086,ROD SPN 4.75MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,206087,NAIL 13MM 42CM RT TROCH,6400.0,6400.0,960.0,6400.0,30
CDM,206088,GRAFT EVAS 35X14.5M 16CM,44268.0,44268.0,6640.2,44268.0,30
CDM,206089,VALVE MTRAL 29MM,23070.0,23070.0,3460.5,23070.0,30
CDM,206091,PIN FX 2.4MM 229MM,479.5,479.5,71.92,479.5,42
CDM,206092,WIRE FX KRSH 228X1.4MM,464.0,464.0,69.6,464.0,42
CDM,206093,BIT DRILL SIZE 3,1342.5,1342.5,201.38,1342.5,42
CDM,206094,BLADE SAW NARROW,1932.0,1932.0,289.8,1932.0,42
CDM,206095,BLADE SAW WIDE,1932.0,1932.0,289.8,1932.0,42
CDM,206096,INST BN REMOVER SCREW,1391.5,1391.5,208.72,1391.5,42
CDM,206098,STEM TIB ANKLE 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,206099,INSERT TIB POLY 3 8MM,9284.0,9284.0,1392.6,9284.0,30
CDM,206100,TRAY TIB ANKLE RT SIZE 3,8579.0,8579.0,1286.85,8579.0,30
CDM,206101,CMPNT ANKL RT/LT SZ3,23031.0,23031.0,3454.65,23031.0,30
CDM,206102,PLATE BN STD LT,4429.0,4429.0,664.35,4429.0,30
CDM,206103,NAIL RT FEM T2 RCN 9X380,6597.0,6597.0,989.55,6597.0,30
CDM,206105,SCREW BN 6.5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,206107,CMPNT FEM NAR KN LT SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,206108,INSERT TIB KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,206109,SHELL HIP ACTB 52MM,5758.0,5758.0,863.7,5758.0,30
CDM,206110,HEAD FEM HIP 2.5MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,206111,PLATE BN LT 3X4HL 0.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,206112,LINER ACTB HIP 45D 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,206113,LINER HIP 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,206114,INSERT HIP ACTB 28-52MM,4606.0,4606.0,690.9,4606.0,30
CDM,206115,HEAD FEM HIP CTAPR 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,206116,STEM ANKLE LG 10MM,6241.0,6241.0,936.15,6241.0,30
CDM,206117,STEM BASE ANKL EXT 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,206118,STEM TIB ANKLE 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,206119,WIRE SUT .5CIRC 54MM,536.0,536.0,80.4,536.0,42
CDM,206120,WIRE MYO 51MM 1/2IN,131.0,131.0,19.65,131.0,42
CDM,206123,ROD SPN 90MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,206125,PLATE BN MXF 3X4HL 0.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,206127,BLOCK TIB TIV PMMA 3 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,206128,INSERT KN SZ5-6 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,206129,SCREW BN SPNL 7.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,206130,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,206131,CAGE SPINAL CERVICAL 12M,11073.0,11073.0,1660.95,11073.0,30
CDM,206132,LENS IOL +23.5 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,206133,LINER ACTB 7MM 60MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,206136,RING SPN 0D 12MM,2353.0,2353.0,352.95,2353.0,30
CDM,206137,SCREW 4.5X2.4X30 SYNPSE,4120.0,4120.0,618.0,4120.0,30
CDM,206138,ROD SPN 120-175MM3.5-4MM,2711.0,2711.0,406.65,2711.0,30
CDM,206140,PLATE BN SM 42MM 30MM,4908.0,4908.0,736.2,4908.0,30
CDM,206141,SCREW BN 1.5MM 5MM,511.0,511.0,76.65,511.0,30
CDM,206142,SPACER SPN 45X22X8MM,15945.0,15945.0,2391.75,15945.0,30
CDM,206143,SHELL ACTB HIP SZOO 64MM,5758.0,5758.0,863.7,5758.0,30
CDM,206144,LINER ACTB CONT 7MM O,4606.0,4606.0,690.9,4606.0,30
CDM,206145,SCREW 3.5MM X 12MM,4247.0,4247.0,637.05,4247.0,30
CDM,206146,SCREW 3.5MM X 14MM,4247.0,4247.0,637.05,4247.0,30
CDM,206147,CAP SPNL LCK,753.0,753.0,112.95,753.0,30
CDM,206148,ROD 3.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,206149,ROD 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,206150,CMPNT FEM KN RT CRU SZ7,9744.0,9744.0,1461.6,9744.0,30
CDM,206151,KNEE JRNY PAT 74024629,4252.0,4252.0,637.8,4252.0,30
CDM,206152,INSRT ARTC 5-6RT CRU RET,4606.0,4606.0,690.9,4606.0,30
CDM,206153,INSRT KN SZ5-6 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,206154,COMPONENT FEM KN LT SZ6,9744.0,9744.0,1461.6,9744.0,30
CDM,206155,PIN FX STRL 65MM,510.0,510.0,76.5,510.0,42
CDM,206156,SCREW BN 5MM 26MM,2111.0,2111.0,316.65,2111.0,30
CDM,206157,SCREW BN 5MM 28MM,2111.0,2111.0,316.65,2111.0,30
CDM,206158,SCREW BN SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,206159,SCREW SPN 4MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,206160,SCREW SPN 4MM 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,206161,ROD CNCTR 3.5/5.5MM MTNR,3012.0,3012.0,451.8,3012.0,30
CDM,206163,HEAD HUM SHLDR 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,206164,VALVE AORTIC 25MM,21802.0,21802.0,3270.3,21802.0,30
CDM,206166,SCREW BN 1.5MM 13MM,730.0,730.0,109.5,730.0,30
CDM,206167,PLATE TI 1.5 SCR 3X8 HL,3601.0,3601.0,540.15,3601.0,30
CDM,206168,SCREW BN 1.5MM 9MM,730.0,730.0,109.5,730.0,30
CDM,206169,SCREW BN 1.5MM 8MM,730.0,730.0,109.5,730.0,30
CDM,206170,SCREW SLFTAP 1.5MM TI LC,1810.0,1810.0,271.5,1810.0,30
CDM,206171,SCREW SLFTAP 1.5MM TI LC,1810.0,1810.0,271.5,1810.0,30
CDM,206172,SCREW BN 1.5MM 12MM,1810.0,1810.0,271.5,1810.0,30
CDM,206173,SCREW BN 1.5MM 15MM,1810.0,1810.0,271.5,1810.0,30
CDM,206174,SCREW BN 1.5MM 14MM,1810.0,1810.0,271.5,1810.0,30
CDM,206176,PLATE BN 6HL 2.7/3.5MM,7714.0,7714.0,1157.1,7714.0,30
CDM,206177,SCREW BN 2.7MM 40MM,1571.0,1571.0,235.65,1571.0,30
CDM,206178,SCREW BN 2.7MM 50MM,1571.0,1571.0,235.65,1571.0,30
CDM,206179,SHELL ACTB HIP SZJJ 54MM,8152.0,8152.0,1222.8,8152.0,30
CDM,206180,STEM FEM HIP 12.7X160MM,8858.0,8858.0,1328.7,8858.0,30
CDM,206181,INSERT TIB KN LT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,206182,SUTURE VIO MON +1 54IN,98.5,98.5,14.78,98.5,42
CDM,206184,PASSER SUTLSO 90D,1203.5,1203.5,180.53,1203.5,42
CDM,206185,PASSER SUTLSO 90D RT SHL,1146.0,1146.0,171.9,1146.0,42
CDM,206186,INSERT TIB KN LT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,206187,SCREW BN 3X4X14MM,2679.0,2679.0,401.85,2679.0,30
CDM,206188,SCREW CANN ST 3.0MMX20MM,2679.0,2679.0,401.85,2679.0,30
CDM,206190,SCREW SPN PDCL 7X55M ST,6378.0,6378.0,956.7,6378.0,30
CDM,206191,SCREW SPN PAX 7X50MM,6378.0,6378.0,956.7,6378.0,30
CDM,206192,CONNECTOR ROD SPN 130MM,4784.0,4784.0,717.6,4784.0,30
CDM,206194,CAGE SPNL 55X18X12MM,17716.0,17716.0,2657.4,17716.0,30
CDM,206195,GRAFT VASC 6CM 40CM,5226.0,5226.0,783.9,5226.0,30
CDM,206196,PLATE BN RT 6H 3H 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,206197,NAIL BN 13MM 38CM,5311.0,5311.0,796.65,5311.0,30
CDM,206198,INSERT TIB KN 7 82X51X12,4606.0,4606.0,690.9,4606.0,30
CDM,206199,CMPNT FEM KNE SZC,36473.0,36473.0,5470.95,36473.0,30
CDM,206200,STEM SEGK KNEE 30MM,10067.0,10067.0,1510.05,10067.0,30
CDM,206201,CMPNT TIB KN SZ3,17798.0,17798.0,2669.7,17798.0,30
CDM,206202,STEM XTN STRG FLT 15X130,16063.0,16063.0,2409.45,16063.0,30
CDM,206203,INSERT TIB KN SZC,4252.0,4252.0,637.8,4252.0,30
CDM,206204,INSERT TIB KN SZC 14MM,7858.0,7858.0,1178.7,7858.0,30
CDM,206205,CNNCTR ROD 30-36MM XIA M,3765.0,3765.0,564.75,3765.0,30
CDM,206206,SPACER SPNL 30X24X17MM,11959.0,11959.0,1793.85,11959.0,30
CDM,206207,PLATE SPN 36MM,11073.0,11073.0,1660.95,11073.0,30
CDM,206208,SCREW SPN 6X32MM,3012.0,3012.0,451.8,3012.0,30
CDM,206209,SCREW SPN 6X28MM,1506.0,1506.0,225.9,1506.0,30
CDM,206210,SCREW SPN P-AX 50X8.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,206211,CMPNT FEM STD KN RT SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,206212,INSERT KN 6-9 G-H 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,206213,CMPNT FEM STD KN LT SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,206214,INSERT ARTC 6-9 G-H 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,206215,SCREW SPN 4MM 13MM,2259.0,2259.0,338.85,2259.0,30
CDM,206216,PLATE SPN 77.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,206217,PLATE SPN W/SCR AXL 63MM,23917.0,23917.0,3587.55,23917.0,30
CDM,206219,PLATE BN RT SM 7H 64MM,4429.0,4429.0,664.35,4429.0,30
CDM,206220,PLATE BN CNT 88X10.9X2.5,4429.0,4429.0,664.35,4429.0,30
CDM,206222,SCREW BN 3.5MM 44MM,1356.0,1356.0,203.4,1356.0,30
CDM,206223,SCREW BN 3.5MM 48MM,1356.0,1356.0,203.4,1356.0,30
CDM,206225,SCREW BN 3.5MM 22MM,1359.0,1359.0,203.85,1359.0,30
CDM,206226,SCREW BN 3.5MM 40MM,1359.0,1359.0,203.85,1359.0,30
CDM,206227,STEM FEM SZ7 114MM,8557.0,8557.0,1283.55,8557.0,30
CDM,206228,HEAD HIP FEM SZ40,4252.0,4252.0,637.8,4252.0,30
CDM,206229,COMPNT FEM KN RT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,206230,INSERT ARTC 6-9 E-F 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,206233,SHELL ACTB HIP 3H 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,206234,LINER HIP 36MM 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,206235,STEM FEM HIP 14MM 160MM,11516.0,11516.0,1727.4,11516.0,30
CDM,206236,STEM FEM 14MM STD OFST,6201.0,6201.0,930.15,6201.0,30
CDM,206237,HD UNIPLR 44MM FEM HIP,4252.0,4252.0,637.8,4252.0,30
CDM,206238,INSERT FEM HIP 14MM,2179.0,2179.0,326.85,2179.0,30
CDM,206239,PROSTH PENL 16CM14MM SPC,32367.0,32367.0,4855.05,32367.0,30
CDM,206241,VALVE AORTIC 21MM,30568.0,30568.0,4585.2,30568.0,30
CDM,206242,INSERT FEM HIP 3 28MM,6644.0,6644.0,996.6,6644.0,30
CDM,206244,PLATE BN MED 7H 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,206245,PLATE ORBIT FLR 10HL 1.5,2832.0,2832.0,424.8,2832.0,30
CDM,206246,PLATE BN ORBT 12HL .6MM,3189.0,3189.0,478.35,3189.0,30
CDM,206247,CAGE SPN 30X40X15MM,23676.0,23676.0,3551.4,23676.0,30
CDM,206248,PLATE CERV 46MM 2LVL,4429.0,4429.0,664.35,4429.0,30
CDM,206249,SCREW SPN SLFSTRT 4.0X16,1506.0,1506.0,225.9,1506.0,30
CDM,206251,INSRT KIT LFT KN TOTPLOY,11458.0,11458.0,1718.7,11458.0,30
CDM,206252,SCREW CSPN FXANG 4X14MM,2259.0,2259.0,338.85,2259.0,30
CDM,206254,BASEPLATE TIB 4 RT/M L/L,4606.0,4606.0,690.9,4606.0,30
CDM,206255,PIN SPED RIM STRL 45MM,510.0,510.0,76.5,510.0,42
CDM,206256,SPACER HUM 8MM STRL,5714.0,5714.0,857.1,5714.0,30
CDM,206257,HEAD HUM SHLDR -4MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,206258,INSERT ARTC KN 4-11 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,206259,LINER ACTB 7.4MM 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,206260,STEM FEM SZ5 108MM,8557.0,8557.0,1283.55,8557.0,30
CDM,206261,SHELL CONTINUUM OD50MM,5758.0,5758.0,863.7,5758.0,30
CDM,206263,GRAFT STNT 30MM 192MM,62238.0,62238.0,9335.7,62238.0,30
CDM,206266,CAGE SPN 20X9X13MM 4D,11959.0,11959.0,1793.85,11959.0,30
CDM,206267,HEAD FEM HIP +2.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,206268,CMPNT TIB 46MM 34MM,10641.0,10641.0,1596.15,10641.0,30
CDM,206269,AUGMENT FEM LG CONE 30MM,10641.0,10641.0,1596.15,10641.0,30
CDM,206270,STEM FEM HIP SZ12,9966.0,9966.0,1494.9,9966.0,30
CDM,206272,SUTURE FBSWR 7IN,773.0,773.0,115.95,773.0,42
CDM,206273,SPACER SPN 50X22X12MM,17716.0,17716.0,2657.4,17716.0,30
CDM,206274,GRAFT EVAS 31X14.5M 17CM,44268.0,44268.0,6640.2,44268.0,30
CDM,206275,STAPLE BN 18X14MM,5685.0,5685.0,852.75,5685.0,30
CDM,206277,INSERT ARTC KN 7-12 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,206278,NAIL 1.5MM 36CM RT TROCH,6400.0,6400.0,960.0,6400.0,30
CDM,206280,SCREW BN 2.7MM 20MM,824.0,824.0,123.6,824.0,30
CDM,206281,SCREW BN 2.7MM 10MM,1975.0,1975.0,296.25,1975.0,30
CDM,206282,PEG LCK 2.0X22MM,1675.0,1675.0,251.25,1675.0,30
CDM,206283,SCREW BN 2.7MM 22MM,824.0,824.0,123.6,824.0,30
CDM,206284,CMPNT TIB C8 UNICMPT,5647.0,5647.0,847.05,5647.0,30
CDM,206285,CMPNT TIB KN RT SM 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,206286,CMPNT FEM KN TWN PEG SM,5758.0,5758.0,863.7,5758.0,30
CDM,206287,BLADE SAW OSCIL SNG USE,2876.5,2876.5,431.48,2876.5,42
CDM,206288,INSERT TIB KN 5X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,206289,VALVE AORTIC 25MM,18030.0,18030.0,2704.5,18030.0,30
CDM,206290,SCREW SPN 4X14MM SYNPSE,4429.0,4429.0,664.35,4429.0,30
CDM,206291,HEAD FEM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,206292,SCREW BN 2MM 12MM,2941.0,2941.0,441.15,2941.0,30
CDM,206294,VALVE MITRAL 31MM,23070.0,23070.0,3460.5,23070.0,30
CDM,206295,SCREW SPN PAX 8X45MM,6378.0,6378.0,956.7,6378.0,30
CDM,206296,SCREW SPN PAX 8X50MM,6378.0,6378.0,956.7,6378.0,30
CDM,206297,SCREW BN 3X40MM,2679.0,2679.0,401.85,2679.0,30
CDM,206298,SCREW BN 3MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,206299,STM FEM SZ6 128MM LNG NK,11073.0,11073.0,1660.95,11073.0,30
CDM,206302,CMPNT FEM KN SZ12,7087.0,7087.0,1063.05,7087.0,30
CDM,206303,CMPNT FEM NAR KN RT SZ12,7530.0,7530.0,1129.5,7530.0,30
CDM,206305,COMPNT FEM KN RT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,206306,SCREW BN 6.5MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,206307,DISC INTVRTB SPN LG 7MM,18009.0,18009.0,2701.35,18009.0,30
CDM,206325,SCREW BN 3.5MM 26MM,1029.0,1029.0,154.35,1029.0,30
CDM,206326,K-WIRE FX 1.6MM 150MM,294.0,294.0,44.1,294.0,42
CDM,206329,GRAFT BN DBM 1X5CM,4429.0,4429.0,664.35,4429.0,30
CDM,206333,GRAFT EVAS 20MM 11.5CM,19174.0,19174.0,2876.1,19174.0,30
CDM,206334,SCREW SPN PAX 6X45 MM,6378.0,6378.0,956.7,6378.0,30
CDM,206335,SCREW SPN PAX 6X40 MM,6378.0,6378.0,956.7,6378.0,30
CDM,206336,PLATE BN 6HL 2.4MM 75MM,4892.0,4892.0,733.8,4892.0,30
CDM,206337,PLATE BN SS 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,206338,SCREW BN 1.5MM 14MM SS,625.0,625.0,93.75,625.0,30
CDM,206339,SCREW BN 1.5MM 10MM SS,625.0,625.0,93.75,625.0,30
CDM,206340,SCREW BN 1.5MM 13MM,519.0,519.0,77.85,519.0,30
CDM,206341,SCREW BN 1.5MM 13MM,1810.0,1810.0,271.5,1810.0,30
CDM,206342,SCREW BN 1.5MM 12MM,1810.0,1810.0,271.5,1810.0,30
CDM,206343,SCREW BN 1.5X16MM,1810.0,1810.0,271.5,1810.0,30
CDM,206347,SCREW SPN 4MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,206348,VALVE MITRAL 27MM,23070.0,23070.0,3460.5,23070.0,30
CDM,206349,HEAD HIP -2.5X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,206350,SPACER SPNL 36X28X15MM,11959.0,11959.0,1793.85,11959.0,30
CDM,206351,PLATE SPN 1LVL 40MM,12402.0,12402.0,1860.3,12402.0,30
CDM,206352,DISC INTVRTB SPN LG 7MM,18009.0,18009.0,2701.35,18009.0,30
CDM,206354,INSERT ARTC KN 3-9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,206355,GRAFT EVAS 31X14.5M 15CM,45597.0,45597.0,6839.55,45597.0,30
CDM,206356,GRAFT EVAS 23MM 14CM,19174.0,19174.0,2876.1,19174.0,30
CDM,206357,GRAFT EVAS 23MM 10CM,19174.0,19174.0,2876.1,19174.0,30
CDM,206359,MNOBLCK TIB NXGN CR TR,9567.0,9567.0,1435.05,9567.0,30
CDM,206360,SCREW SPNL XIA P-AX 5X35,4429.0,4429.0,664.35,4429.0,30
CDM,206361,SCREW BN 4MM 40MM,368.0,368.0,55.2,368.0,30
CDM,206362,SCREW BN 4MM 16MM,368.0,368.0,55.2,368.0,30
CDM,206363,SCREW BN 4MM 18MM,368.0,368.0,55.2,368.0,30
CDM,206364,CUP ACTB 48MM,4872.0,4872.0,730.8,4872.0,30
CDM,206365,SCREW BN 3MM 14MM 4MM,2618.0,2618.0,392.7,2618.0,30
CDM,206366,RING ANNULPLSTY 28X5200,7974.0,7974.0,1196.1,7974.0,30
CDM,206367,SCREW BN 2MM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,206368,SCREW BN 2MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,206369,SCREW BN TWSTOF 2X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,206370,KWIRE FX 100MM 1.2MM,396.0,396.0,59.4,396.0,42
CDM,206371,CNTRSNK DRL CPLNG 3MM,1506.5,1506.5,225.97,1506.5,42
CDM,206372,PLATE BN 5HL,8157.0,8157.0,1223.55,8157.0,30
CDM,206374,SCREW SPN 7.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,206376,INSERT TIB KN LT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,206377,CMPNT FEM 5 LT,8858.0,8858.0,1328.7,8858.0,30
CDM,206378,CMPNT PTLR KN 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,206379,INSRT ART 5-6 LT CRU RET,4606.0,4606.0,690.9,4606.0,30
CDM,206380,PLATE BN 8HL LG RT,4429.0,4429.0,664.35,4429.0,30
CDM,206381,SCREW BN CORT 2.7MM 14MM,1053.0,1053.0,157.95,1053.0,30
CDM,206382,HEAD UNIPLR 45MM ACUMTCH,4252.0,4252.0,637.8,4252.0,30
CDM,206383,STEM FEM KN 75MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,206384,CMPNT TIB KN CEM SZ3,11668.0,11668.0,1750.2,11668.0,30
CDM,206385,SLEEVE TIB 37X27X40MM,6413.0,6413.0,961.95,6413.0,30
CDM,206386,INSERT TIB KN SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,206387,CAGE PEEK CRNT 25X11X8,9523.0,9523.0,1428.45,9523.0,30
CDM,206389,SCREW BN SPN 5.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,206391,SCREW SPN PAX 6X50MM,6378.0,6378.0,956.7,6378.0,30
CDM,206394,CMPNT FEM KN LT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,206395,LINER ACTB HIP 45D 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,206396,CENTRALIZR STEM HIP 10MM,1170.0,1170.0,175.5,1170.0,30
CDM,206397,DISC INTVRTB SPN MED 6MM,18009.0,18009.0,2701.35,18009.0,30
CDM,206398,PLATE ANTEGRA LMBR 3.9,12402.0,12402.0,1860.3,12402.0,30
CDM,206400,PLATE SPN 1LVL 37MM 23MM,12047.0,12047.0,1807.05,12047.0,30
CDM,206401,CMPNT GLND SHLDR SZ44,4606.0,4606.0,690.9,4606.0,30
CDM,206402,STEM HUM SHLDR 123X10MM,12114.0,12114.0,1817.1,12114.0,30
CDM,206403,HEAD HUM SHLDR 16MM 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,206404,INSERT TIB KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,206405,COMPNT FEM KN RT SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,206406,SCREW BN VIPER 5X50,4872.0,4872.0,730.8,4872.0,30
CDM,206414,KWIRE FX 1.0MM 70MM,606.0,606.0,90.9,606.0,42
CDM,206415,SHELL HIP HEMSPHRCL 66MM,4872.0,4872.0,730.8,4872.0,30
CDM,206416,LINER HIP SZH 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,206417,INSERT HIP ACTB 28-28MM,4606.0,4606.0,690.9,4606.0,30
CDM,206418,STEM FEM SZ7 114MM,8557.0,8557.0,1283.55,8557.0,30
CDM,206419,STENT EPRSTH 34MM 20CM,58137.0,58137.0,8720.55,58137.0,30
CDM,206421,SCREW BN TIB 4X80MM,1961.0,1961.0,294.15,1961.0,30
CDM,206422,SCREW BN 4MM 85MM,1961.0,1961.0,294.15,1961.0,30
CDM,206423,SCREW BN 4MM 70MM,341.0,341.0,51.15,341.0,30
CDM,206424,SCREW BN 4MM 75MM,341.0,341.0,51.15,341.0,30
CDM,206427,SPACER MED 8DEG 14MM,11959.0,11959.0,1793.85,11959.0,30
CDM,206428,NAIL BN 125D 11MM 420MM,8602.0,8602.0,1290.3,8602.0,30
CDM,206429,PLATE PRX LAT LK 6HL 3.5,4429.0,4429.0,664.35,4429.0,30
CDM,206430,SCREW BN 3.5MM 26MM,319.0,319.0,47.85,319.0,30
CDM,206431,SCREW BN 3.5MM 75MM,319.0,319.0,47.85,319.0,30
CDM,206434,GRAFT BN 1X10CM,5503.0,5503.0,825.45,5503.0,30
CDM,206435,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,30
CDM,206437,COMP 7 RT KN GNSIS2 NPOR,7087.0,7087.0,1063.05,7087.0,30
CDM,206438,GRAFT EVAS 35X14.5M 14CM,45597.0,45597.0,6839.55,45597.0,30
CDM,206440,SCREW BN 2.7X14MM,740.0,740.0,111.0,740.0,30
CDM,206441,SCREW BN 2.7X16MM,740.0,740.0,111.0,740.0,30
CDM,206442,SCREW BN 2.7X18MM,740.0,740.0,111.0,740.0,30
CDM,206444,PLATE SPN 85MM,4429.0,4429.0,664.35,4429.0,30
CDM,206445,PLATE 49X21MM 2.3MM,4429.0,4429.0,664.35,4429.0,30
CDM,206447,PLATE THINFLAP SQUARE,2334.0,2334.0,350.1,2334.0,30
CDM,206448,SCREW BN 3.5X12MM,1356.0,1356.0,203.4,1356.0,30
CDM,206449,SCREW BN LCK 3.5X14MM,1356.0,1356.0,203.4,1356.0,30
CDM,206450,SCREW BN 2.7MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,206451,SCREW BN 2.7MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,206452,SCREW BN CANN 4MM 40MM,2392.0,2392.0,358.8,2392.0,30
CDM,206455,GUIDE PIN ORTH 1.6MM 9IN,972.5,972.5,145.88,972.5,42
CDM,206457,EXPANDER TISS 9200 650CC,6423.0,6423.0,963.45,6423.0,30
CDM,206458,ROD 5.5 MM STRAGHT 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,206459,SHELL ACTB HIP 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,206460,STEM FEM SZ2 99MM,8858.0,8858.0,1328.7,8858.0,30
CDM,206461,MESH SURG PATCH 8.0CM,1623.0,1623.0,243.45,1623.0,30
CDM,206462,DEVICE STPLR 30MM 30TACK,3263.0,3263.0,489.45,3263.0,30
CDM,206467,ROD SPN 240MM 3.5MM COCR,3012.0,3012.0,451.8,3012.0,30
CDM,206469,CAGE SPNL 24-40MM 14MM,23917.0,23917.0,3587.55,23917.0,30
CDM,206470,INSERT TIB KN LT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,206471,NAIL TRGN 9/7.5MM 28CM,4577.0,4577.0,686.55,4577.0,30
CDM,206472,SCREW BN TI CANC 5X24MM,2073.0,2073.0,310.95,2073.0,30
CDM,206473,INSERT ARTC KN 3-11 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,206476,LINER HIP ACTB 50X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,206477,STEM FEM HIP 7.5MM 114MM,10630.0,10630.0,1594.5,10630.0,30
CDM,206478,PLATE BN CMF 2X2HL 1.0MM,3189.0,3189.0,478.35,3189.0,30
CDM,206480,SCREW BN 3.5MM 18MM,368.0,368.0,55.2,368.0,30
CDM,206481,PLATE BN TI L65MMXW10.3,2233.0,2233.0,334.95,2233.0,30
CDM,206482,STEM FEM HIP 15MM 140MM,10630.0,10630.0,1594.5,10630.0,30
CDM,206483,SCREW BN SPN 4.5MM 28MM,4247.0,4247.0,637.05,4247.0,30
CDM,206485,PLATE-X 1.0 5 HOLE,3189.0,3189.0,478.35,3189.0,30
CDM,206486,PLATE BN 4X6H 0.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,206488,BURR SURG WRPS 65X1.1MM,573.0,573.0,85.95,573.0,42
CDM,206490,MESH BN CRNL 45X38X.4MM,6283.0,6283.0,942.45,6283.0,30
CDM,206491,COIL EMBL 10MM 40CM,5209.0,5209.0,781.35,5209.0,30
CDM,206492,GLENOID PEG SHLDR 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,206493,HEAD HUM SHLDR 52MM 17MM,5315.0,5315.0,797.25,5315.0,30
CDM,206494,SCREW EMERGENCY 1.7X4MM,1467.0,1467.0,220.05,1467.0,30
CDM,206495,MESH SURG PATCH 6.5CM,1590.0,1590.0,238.5,1590.0,30
CDM,206496,LINER ACTB HIP 28X52MM,4429.0,4429.0,664.35,4429.0,30
CDM,206497,HEAD FEM +5MM 10/12 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,206498,SCREW 4.5X2.4X26 SYNPSE,4429.0,4429.0,664.35,4429.0,30
CDM,206499,SCREW POLY 4.5MMX28MM,4340.0,4340.0,651.0,4340.0,30
CDM,206500,SHELL ACTB HEMI 62MM,4872.0,4872.0,730.8,4872.0,30
CDM,206501,INSRT ACTB X3 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,206502,HEAD HIP +0MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,206503,STEM FEM HIP 40MM SZ 11,11405.0,11405.0,1710.75,11405.0,30
CDM,206504,ANCH STPL BN 12X10X10,4429.0,4429.0,664.35,4429.0,30
CDM,206505,KWIRE FX 1.4MM 100MM,606.0,606.0,90.9,606.0,42
CDM,206507,SCREW BN 3.5MM 28MM,558.0,558.0,83.7,558.0,30
CDM,206510,PLATE BN FIB LCK 6H,3721.0,3721.0,558.15,3721.0,30
CDM,206511,PLATE SPN 67.5MM,5094.0,5094.0,764.1,5094.0,30
CDM,206512,SCREW BN 6.5X7.9X2.9X45,3189.0,3189.0,478.35,3189.0,30
CDM,206513,SCREW BN 6.5MM 50MM,2974.0,2974.0,446.1,2974.0,30
CDM,206514,SCREW BN 6.5X7.9X2.9X55,3189.0,3189.0,478.35,3189.0,30
CDM,206515,PROGRAMER PT FOR NRSTM,4579.0,4579.0,686.85,4579.0,42
CDM,206517,MESH PLT 1.5/.2 85MM,3478.0,3478.0,521.7,3478.0,30
CDM,206519,INSERT TIB KN SZ4 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,206520,SCREW BN 6.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,206521,SCREW BN 6.5X35X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,206522,SCREW BN 6.5MM 45MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,206524,GRAFT EVAS 32MM 4.5CM,13115.0,13115.0,1967.25,13115.0,30
CDM,206528,STEM FEM 13MM 14MM 12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,206529,NAIL BN FEM LT 11X340MM,8769.0,8769.0,1315.35,8769.0,30
CDM,206532,GWIRE ORTH 1.6MM 200MM,619.5,619.5,92.92,619.5,42
CDM,206533,PLATE 161X3.5 SCR8HL LO,6868.0,6868.0,1030.2,6868.0,30
CDM,206535,HEAD HIP 3.5D SZ-LG 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,206536,GRAFT EVAS 20MM 13.5CM,19174.0,19174.0,2876.1,19174.0,30
CDM,206537,AUGMNT TIB LM/RL 10MM S6,4429.0,4429.0,664.35,4429.0,30
CDM,206538,AUGMNT TIB RM/LL S6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,206540,CAGE SPN 5D 29MM,5315.0,5315.0,797.25,5315.0,30
CDM,206541,SCREW SPN 5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,206543,SPACER SPNL 12MM PRIMTR,9966.0,9966.0,1494.9,9966.0,30
CDM,206544,COMPNT FEM STD SIZE 7,7530.0,7530.0,1129.5,7530.0,30
CDM,206545,INSERT ARTC KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,206546,INSERT ARTC KN 3-9 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,206548,SCREW SPN 6.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,206549,SCREW SPN 7.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,206550,SCREW BN SPNL 8.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,206551,SCREW LCK S/T T15 4X14MM,1961.0,1961.0,294.15,1961.0,30
CDM,206552,SCREW UNIFLX F-T 4X45MM,341.0,341.0,51.15,341.0,30
CDM,206556,STEM PRFMR Z SZ4 SHRT,11073.0,11073.0,1660.95,11073.0,30
CDM,206557,INSERT ARTC KN 7-12 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,206560,INSERT TIB KN E-F 10MM,6000.0,6000.0,900.0,6000.0,30
CDM,206561,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,206562,SCREW BN SPN 5.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,206563,SCREW BN SPN 5.5-6MM,753.0,753.0,112.95,753.0,30
CDM,206564,STEM FEM KN 75MM 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,206565,COMPNT FEM 4 RT CS TC3,11861.0,11861.0,1779.15,11861.0,30
CDM,206566,CMPNT AGMNT 4X4 POST,4252.0,4252.0,637.8,4252.0,30
CDM,206567,COMPNT FEM KN RT SZ4,5094.0,5094.0,764.1,5094.0,30
CDM,206568,CMPNT DOME KN 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,206569,BASEPLT TIB ATTUN4 CMNT,4651.0,4651.0,697.65,4651.0,30
CDM,206570,INSERT TIB KN SZ4 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,206571,PIN FX DIST FEM SMTH QRL,1228.0,1228.0,184.2,1228.0,42
CDM,206572,STEM PRFMR Z SZ5 SHRT,11073.0,11073.0,1660.95,11073.0,30
CDM,206574,SCREW BN 5MM 30MM,2884.0,2884.0,432.6,2884.0,30
CDM,206575,NAIL 130D 1030 R,6400.0,6400.0,960.0,6400.0,30
CDM,206577,SCREW SPN PAX 7X45MM,6378.0,6378.0,956.7,6378.0,30
CDM,206578,SCREW SPN PAX 8X40MM,6378.0,6378.0,956.7,6378.0,30
CDM,206579,SCREW BN 3.5MM 28MM,1029.0,1029.0,154.35,1029.0,30
CDM,206581,SCREW BN 4MM 42MM,2551.0,2551.0,382.65,2551.0,30
CDM,206585,SCREW BN 5MM 8MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,206587,AUGMENT FEM 30MM SM TRB,10641.0,10641.0,1596.15,10641.0,30
CDM,206588,KIT MINTRDCR 5FR 45CM,344.0,344.0,51.6,344.0,42
CDM,206589,INSERT TIBKN TRTHN 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,206590,BASEPLTE TIB TRTHN 10X2,4606.0,4606.0,690.9,4606.0,30
CDM,206591,CMPNT FEM KN SZ2,9352.0,9352.0,1402.8,9352.0,30
CDM,206592,TRAY MBT REV CEM TIB 2.5,11073.0,11073.0,1660.95,11073.0,30
CDM,206593,STEM FEM KN 12MM 115MM,4429.0,4429.0,664.35,4429.0,30
CDM,206594,STEM FEM 14X115MM PFC HI,4429.0,4429.0,664.35,4429.0,30
CDM,206595,INSERT TIB KN #2.5 15MM,6265.0,6265.0,939.75,6265.0,30
CDM,206596,SCREW BN SPN 6.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,206597,SCREW BN SPN 7.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,206598,SCREW BN SPN 8.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,206599,PLATE BN TI L45-58MM SPN,3012.0,3012.0,451.8,3012.0,30
CDM,206600,SPCR ACIS LORDTC STD 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,206601,CAGE SPNL 27X13X9MM,11959.0,11959.0,1793.85,11959.0,30
CDM,206602,PLATE BN CMPR 9HL 164MM,2383.0,2383.0,357.45,2383.0,30
CDM,206603,SCREW BN 4.5MM 30MM,368.0,368.0,55.2,368.0,30
CDM,206604,HEAD HUM SHLDR 52MM 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,206605,STEM HUM SHLDR 14X133MM,12114.0,12114.0,1817.1,12114.0,30
CDM,206606,NAIL BN RT 11.5MM 36CM,6400.0,6400.0,960.0,6400.0,30
CDM,206607,CMPNT FEM KN RT SZ4,7397.0,7397.0,1109.55,7397.0,30
CDM,206608,BASEPLATE SCRWFIX SZ5,6501.0,6501.0,975.15,6501.0,30
CDM,206609,SCREW BN 6.5MM 20MM,1239.0,1239.0,185.85,1239.0,30
CDM,206611,CAGE SPNL 20MM 12MM,5403.0,5403.0,810.45,5403.0,30
CDM,206614,GRAFT EVAS 18MM 11.5CM,19174.0,19174.0,2876.1,19174.0,30
CDM,206616,PROSTH HIP SZXL 36MM,12846.0,12846.0,1926.9,12846.0,30
CDM,206618,SCREW BN 1.5X8X1.5MM,1202.0,1202.0,180.3,1202.0,30
CDM,206620,COMPNT FEM KN LT SZ5,5094.0,5094.0,764.1,5094.0,30
CDM,206621,BSPLT TIB ATTUNE KN SZ5,4651.0,4651.0,697.65,4651.0,30
CDM,206622,CMPNT PTLA KN DOME 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,206623,INSERT TIB KN SZ5 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,206625,SCREW BN NLCK 2.7MM 14MM,1244.0,1244.0,186.6,1244.0,30
CDM,206626,SCREW BN NLCK 2.7MM 16MM,991.0,991.0,148.65,991.0,30
CDM,206627,SCREW BN LCK 3.5MM 22MM,1929.0,1929.0,289.35,1929.0,30
CDM,206628,PLATE BN STD 5HL LT 90MM,4429.0,4429.0,664.35,4429.0,30
CDM,206629,NAIL FEM 11MM 320MM,4460.0,4460.0,669.0,4460.0,30
CDM,206630,SCREW BN 5MM 74MM,2143.0,2143.0,321.45,2143.0,30
CDM,206631,BLADE IM 12.5MM 70MM,4241.0,4241.0,636.15,4241.0,30
CDM,206632,SCREW BN SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,206633,SUTURE BLK MONO 2-0 30IN,30.0,30.0,4.5,30.0,42
CDM,206634,INSERT ARTC 6-9 G-H 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,206635,NAIL LNG 125D 11X380MM,8602.0,8602.0,1290.3,8602.0,30
CDM,206637,SCREW BN SPNL 6.5X35MM,3012.0,3012.0,451.8,3012.0,30
CDM,206638,SCREW 17MM SKYLN TI SPNL,3012.0,3012.0,451.8,3012.0,30
CDM,206639,CMPNT FEM KN LT SZ4,5094.0,5094.0,764.1,5094.0,30
CDM,206640,COMPNT PTLR KN DOME 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,206641,INSERT TIB KN SZ4 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,206642,HD FM -2 12/14 44 ART/EZ,4606.0,4606.0,690.9,4606.0,30
CDM,206644,TRISVR VENT PATCH 100,10608.0,10608.0,1591.2,10608.0,30
CDM,206645,LINER ACTB LL NTRL 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,206647,CMPNT GLND SHLDR 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,206648,HEAD HUM SHLDR 48X18MM,4606.0,4606.0,690.9,4606.0,30
CDM,206649,ANCHOR SUT 5.5MM,3199.0,3199.0,479.85,3199.0,30
CDM,206650,SCREW FX STD 7.5MM 23MM,3838.0,3838.0,575.7,3838.0,30
CDM,206651,NEEDLE SUT XOR EW 3,1910.5,1910.5,286.57,1910.5,42
CDM,206652,KIT ASCP FX ACL DISP,4385.5,4385.5,657.83,4385.5,42
CDM,206653,DEVICE SUT STR CRS,1833.5,1833.5,275.02,1833.5,42
CDM,206654,SUT ORTHCRD 22MM 36IN,263.0,263.0,39.45,263.0,42
CDM,206656,DISC SPNL 18MM,17716.0,17716.0,2657.4,17716.0,30
CDM,206657,SCREW 7X2 CD MINICRNMXF,755.0,755.0,113.25,755.0,30
CDM,206658,BIT 6474176 DRILL,2455.5,2455.5,368.32,2455.5,42
CDM,206659,REAMER CUTTER SURG 18MM,4298.0,4298.0,644.7,4298.0,42
CDM,206660,BURR SURG14X11X5MM CRSTN,1400.0,1400.0,210.0,1400.0,42
CDM,206661,SCREW BN SPN 20X5.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,206662,SCREW TI 2.0MMX5MM MAXIL,755.0,755.0,113.25,755.0,30
CDM,206663,ROD SPN 35MM 4.75MM,3012.0,3012.0,451.8,3012.0,30
CDM,206665,STEM HUM SHLDR 15X133MM,12114.0,12114.0,1817.1,12114.0,30
CDM,206666,PLATE BN 109MM 3.5MM,7620.0,7620.0,1143.0,7620.0,30
CDM,206667,STEM HUM SHLDR 11X123MM,12114.0,12114.0,1817.1,12114.0,30
CDM,206668,HEAD HUM SHLDR 48MM 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,206670,HEAD HIP 12/14 +9 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,206671,PEG BN FEM KN MOD,877.0,877.0,131.55,877.0,30
CDM,206672,PROSTHESIS PNL SPCTR CON,32367.0,32367.0,4855.05,32367.0,30
CDM,206673,STEM FEM HIP LT 3 150MM,17450.0,17450.0,2617.5,17450.0,30
CDM,206674,LINR ACTB 36MM BIOFM GPC,4872.0,4872.0,730.8,4872.0,30
CDM,206676,COMPONENT FEM SZ5,7397.0,7397.0,1109.55,7397.0,30
CDM,206677,GWIRE ORTHO .062X9.25IN,243.5,243.5,36.52,243.5,42
CDM,206678,DRILL BN BIT DISP 4.7MM,2652.0,2652.0,397.8,2652.0,42
CDM,206679,SCREW BN 4.7MM 40MM,3370.0,3370.0,505.5,3370.0,30
CDM,206680,SCREW BN 4.7MM 45MM,3370.0,3370.0,505.5,3370.0,30
CDM,206682,CAGE SPN 0D 9X6X27MM,5537.0,5537.0,830.55,5537.0,30
CDM,206683,PLATE MED 10MM ASPN BN,10187.0,10187.0,1528.05,10187.0,30
CDM,206684,NAIL TIBIAL 04.004.655S,6448.0,6448.0,967.2,6448.0,30
CDM,206685,AUGMENT FEM KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,206686,STEM FEM KN 100MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,206687,CMPNT FEM KN RT TS SZ4,18424.0,18424.0,2763.6,18424.0,30
CDM,206688,HEAD ADPTR OFST HIP 2MM,4606.0,4606.0,690.9,4606.0,30
CDM,206689,INSERT TIB KN SZ3 11MM,6454.0,6454.0,968.1,6454.0,30
CDM,206690,FILLER BONE VOID NRN 5ML,5686.0,5686.0,852.9,5686.0,30
CDM,206691,PLATE HUMERAL SUTURE 5H,9461.0,9461.0,1419.15,9461.0,30
CDM,206696,NAIL BN 11.5MM 34CM,6201.0,6201.0,930.15,6201.0,30
CDM,206697,SCREW BN 10.5MM 85MM,3214.0,3214.0,482.1,3214.0,30
CDM,206698,SYSTEM PROGRAMR CHARGING,7674.0,7674.0,1151.1,7674.0,42
CDM,206699,SCREW SPN PDCL 7X45MM ST,6378.0,6378.0,956.7,6378.0,30
CDM,206700,SCREW SPN PAX 7X40MM,6378.0,6378.0,956.7,6378.0,30
CDM,206701,SCREW BNE SPNL 6X35 LMBR,1506.0,1506.0,225.9,1506.0,30
CDM,206702,SPACER SPN 16X12X9MM 6D,4872.0,4872.0,730.8,4872.0,30
CDM,206703,INSERT TIB KN 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,206708,ROD SPN 50X4.75MM SXTNT,2711.0,2711.0,406.65,2711.0,30
CDM,206709,HEAD FEM HIP +3MM 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,206710,MESH SURG ST TIS 34X24CM,9660.0,9660.0,1449.0,9660.0,30
CDM,206711,SCREW REDUCTION 6.5X45,4429.0,4429.0,664.35,4429.0,30
CDM,206712,SCREW BN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,206713,SCREW SPN P-AX 5.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,206714,SCREW 8.5X70 ILSCRL REV,4429.0,4429.0,664.35,4429.0,30
CDM,206715,SCREW BN SPN 8.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,206716,SPCR SPNL OPL 32X10MM,11959.0,11959.0,1793.85,11959.0,30
CDM,206717,PLATE BN 2.5MM,13616.0,13616.0,2042.4,13616.0,30
CDM,206718,MODEL ANTM ACRYL BN,7339.5,7339.5,1100.92,7339.5,42
CDM,206719,INSERT KN 5-6X18CM,4429.0,4429.0,664.35,4429.0,30
CDM,206720,AUGMENT TIB 31MM 36MM,11201.0,11201.0,1680.15,11201.0,30
CDM,206721,CMPNT FEM KN 35MM,10067.0,10067.0,1510.05,10067.0,30
CDM,206722,INSERT ARTC KN SZC,7858.0,7858.0,1178.7,7858.0,30
CDM,206724,SLEEVE CNTRNG HIP 31MM,6243.0,6243.0,936.45,6243.0,30
CDM,206725,STEM FEM KN 14MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,206726,INSERT TIB KN SZ3 22.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,206728,NAIL 130D 1336 L,8105.0,8105.0,1215.75,8105.0,30
CDM,206729,GRAFT STNT 124MM 28-16MM,38354.0,38354.0,5753.1,38354.0,30
CDM,206730,STENT GRAFT 16X13X93MM,14938.0,14938.0,2240.7,14938.0,30
CDM,206732,CATH BLNOCC 9FR 120CM,4093.0,4093.0,613.95,4093.0,42
CDM,206734,INSERT TIB KN SZ3 15MM,6265.0,6265.0,939.75,6265.0,30
CDM,206735,INSR CR DEEP SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,206736,HEAD HUM SHLDR 52MM 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,206738,CATH ANGIO 5FR 100CM,231.5,231.5,34.73,231.5,42
CDM,206739,CATH ANGIO 4FR 100CM,231.5,231.5,34.73,231.5,42
CDM,206741,PIN EX FIX 3MM 305MM,464.0,464.0,69.6,464.0,42
CDM,206742,COMPNT FEM TRTHN LM/RL2,9352.0,9352.0,1402.8,9352.0,30
CDM,206743,INSERT TIB KN SZ9 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,206744,BASEPLATE TIB LT KN SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,206745,SCREW BN LCK 3.5X10MM,3157.0,3157.0,473.55,3157.0,30
CDM,206746,NAIL BN 125D 360MM 11MM,7233.0,7233.0,1084.95,7233.0,30
CDM,206747,SCREW BN 10.5MM 95MM,4429.0,4429.0,664.35,4429.0,30
CDM,206748,JOINT HEAD FEM HIP +7.5,4606.0,4606.0,690.9,4606.0,30
CDM,206749,INSERT TIB KN LT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,206752,TIB RVSN CUST KT ITOTG2,25511.0,25511.0,3826.65,25511.0,30
CDM,206753,CMPNT FEM NAR KN RT SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,206754,CMPNT FEM KN TWN PEG MD,5758.0,5758.0,863.7,5758.0,30
CDM,206755,CMPNT TIB TRAY SZD RT,5647.0,5647.0,847.05,5647.0,30
CDM,206756,CMPNT BEARING RT MED 3MM,4606.0,4606.0,690.9,4606.0,30
CDM,206758,INSRT SCKT SEMI +4 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,206759,HEAD FEM HIP 28MM 51MM,4252.0,4252.0,637.8,4252.0,30
CDM,206760,HEAD HUM GLND RSP 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,206762,PLATE SM 81X10 12 HL BN,4429.0,4429.0,664.35,4429.0,30
CDM,206763,SCREW BN 2.7MM 24MM,319.0,319.0,47.85,319.0,30
CDM,206764,SCREW BN 2.7MM 48MM,643.0,643.0,96.45,643.0,30
CDM,206766,PLATE LG BN RT LAT DIST,4429.0,4429.0,664.35,4429.0,30
CDM,206767,SCREW BN 3.5MM 26MM,319.0,319.0,47.85,319.0,30
CDM,206768,SCREW BN 3.5MM 48MM,1356.0,1356.0,203.4,1356.0,30
CDM,206769,SCREW BN 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,206772,SCREW BN 3.5MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,206774,SCREW BN 3.5MM 32MM,1356.0,1356.0,203.4,1356.0,30
CDM,206775,SCREW BN 3.5MM 24MM,1359.0,1359.0,203.85,1359.0,30
CDM,206777,SCREW BN 3.5MM 28MM,1356.0,1356.0,203.4,1356.0,30
CDM,206778,SCREW BN 3.5MM 38MM,1356.0,1356.0,203.4,1356.0,30
CDM,206780,INSERT FEM KN 14X130MM,16063.0,16063.0,2409.45,16063.0,30
CDM,206782,SCREW SPN 4.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,206783,SCREW SPN 4.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,206784,ROD SPN 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,206785,CAGE SPN 5D 9X12X27MM,11959.0,11959.0,1793.85,11959.0,30
CDM,206786,INSERT TIB 3 17.5MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,206787,INSERT ACTB X3 TRDNT 32E,4606.0,4606.0,690.9,4606.0,30
CDM,206788,FEM HD COCR 32 +0,4252.0,4252.0,637.8,4252.0,30
CDM,206790,INSERT ARTC KN 3-7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,206791,SPACER SPNL 8MM 2XL,30135.0,30135.0,4520.25,30135.0,30
CDM,206792,STEM FEM FLUTD 115X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,206793,FIBULA SEGMENT 46-65MM,3012.0,3012.0,451.8,3012.0,30
CDM,206794,HEAD HUM 21MM 56MM,5257.0,5257.0,788.55,5257.0,30
CDM,206795,PROSTHESIS CRV DISC 17MM,17716.0,17716.0,2657.4,17716.0,30
CDM,206796,CUTTER 6474527 17MM,4093.0,4093.0,613.95,4093.0,42
CDM,206797,HEAD HUM SHLDR 15X48MM,5315.0,5315.0,797.25,5315.0,30
CDM,206798,STEM HUM SHLDR 13X128MM,12114.0,12114.0,1817.1,12114.0,30
CDM,206799,CMPNT FEM KN SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,206800,INSERT ARTC 3-5 C-D 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,206801,SCREW EMER CRNFCL1.7X5MM,1531.0,1531.0,229.65,1531.0,30
CDM,206803,STEM HUM SHLDR 122X10MM,10245.0,10245.0,1536.75,10245.0,30
CDM,206804,PIN EXFX 9INX3.2MM,870.0,870.0,130.5,870.0,42
CDM,206805,BIT DRILL PERIPH 2.7MM,1172.0,1172.0,175.8,1172.0,42
CDM,206806,PLATE BN FIB 6HL 106MM,4429.0,4429.0,664.35,4429.0,30
CDM,206807,SCREW BN 2.7MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,206808,SCREW BN 3.5X12MM,1356.0,1356.0,203.4,1356.0,30
CDM,206809,SCREW BN 5MM 44MM,2392.0,2392.0,358.8,2392.0,30
CDM,206810,BIT DRILL CANN 2.7MM,2727.5,2727.5,409.13,2727.5,42
CDM,206811,STEM HUM 8MM 175MM,27792.0,27792.0,4168.8,27792.0,30
CDM,206812,NAIL HUM CANN 9MM 250MM,7888.0,7888.0,1183.2,7888.0,30
CDM,206813,SCREW BN 4MM 8MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,206816,HEAD FEM HIP 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,206817,CMPNT AGMNT 5X4 DIST LT,4252.0,4252.0,637.8,4252.0,30
CDM,206818,CMPNT AUG KN SZ5 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,206819,INSERT TIB 17.5MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,206822,JOINT TOE 11,4676.0,4676.0,701.4,4676.0,30
CDM,206823,SCREW BN SPNL 7.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,206824,SCREW BN SLFTAP 16MM,583.0,583.0,87.45,583.0,30
CDM,206825,SCREW 2.0 TI CORT,634.0,634.0,95.1,634.0,30
CDM,206828,GWIRE ORTH 3.2MM 300MM,510.0,510.0,76.5,510.0,42
CDM,206829,SCREW BN 6.5X20X105MM,3189.0,3189.0,478.35,3189.0,30
CDM,206830,SCREW BN 6.5MM 95MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,206831,SCREW BN 6.5MM 90MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,206832,SCREW BN 6.5MM 85MM 20MM,2982.0,2982.0,447.3,2982.0,30
CDM,206834,SCREW BN 1.5X4MM,1112.0,1112.0,166.8,1112.0,30
CDM,206835,FILLER BN VOID 10CC,5094.0,5094.0,764.1,5094.0,30
CDM,206836,PLATE CERV ANT LCK 39,9258.0,9258.0,1388.7,9258.0,30
CDM,206837,SCREW SPN 5.5MM 51MM,1130.0,1130.0,169.5,1130.0,30
CDM,206838,INSERT ARTC 6-9 G-H 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,206839,INSERT TIB KN 5X12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,206840,SCREW BN VARIAX 2.7X12MM,1975.0,1975.0,296.25,1975.0,30
CDM,206843,NRSTM IMP 49MM 65MM,67764.0,67764.0,10164.6,67764.0,30
CDM,206844,LEAD NRSTM 5MM 60CM,8991.0,8991.0,1348.65,8991.0,30
CDM,206845,NAIL BN 8MM 240MM,6757.0,6757.0,1013.55,6757.0,30
CDM,206846,SCREW BN LCK FT 4MM 45MM,3037.0,3037.0,455.55,3037.0,30
CDM,206847,PLATE BN 10HL 132MM 2MM,3495.0,3495.0,524.25,3495.0,30
CDM,206848,SCREW BN NLCK 3.5X50,1452.0,1452.0,217.8,1452.0,30
CDM,206849,SCREW BN 4MM 26MM,368.0,368.0,55.2,368.0,30
CDM,206850,LINER SZ26 64MM RGNX,10068.0,10068.0,1510.2,10068.0,30
CDM,206851,SCREW BN 6.5MM 45MM,877.0,877.0,131.55,877.0,30
CDM,206852,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,206853,LINER ACTB HIP EPLY26X40,4606.0,4606.0,690.9,4606.0,30
CDM,206854,HEAD FEM COCR +3MM 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,206856,INSERT TIB KN SZ4 12.5MM,5094.0,5094.0,764.1,5094.0,30
CDM,206857,CMPNT AGMNT 4X8 DIS RT,4252.0,4252.0,637.8,4252.0,30
CDM,206858,CMPNT AGMNT 4X4 DIS RT,4252.0,4252.0,637.8,4252.0,30
CDM,206859,SLEEVE CNTRNG HIP 40MM,6243.0,6243.0,936.45,6243.0,30
CDM,206860,NAIL FEN 11MM 42CM LT,6597.0,6597.0,989.55,6597.0,30
CDM,206861,INSERT KN RT SZ5-6 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,206862,COMPNT FEM KN RT SZ6,9744.0,9744.0,1461.6,9744.0,30
CDM,206866,GRAFT HMDIAL 5MM 40CM,10630.0,10630.0,1594.5,10630.0,30
CDM,206868,KIT ACCESSORY CPMNT,4093.0,4093.0,613.95,4093.0,42
CDM,206869,LINER ACTB 45D 7X48MM,4606.0,4606.0,690.9,4606.0,30
CDM,206871,SCREW BN SPNL 7.5X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,206872,PLATE CRSNT 31X1.25 4HL,4429.0,4429.0,664.35,4429.0,30
CDM,206877,CMPNT FEM KN LT SZ7,9744.0,9744.0,1461.6,9744.0,30
CDM,206878,INSERT KN LT SZ5-6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,206879,SCREW BN 5MM 30MM,1913.0,1913.0,286.95,1913.0,30
CDM,206880,STENT EPRSTH 40MM 15CM,57291.0,57291.0,8593.65,57291.0,30
CDM,206881,CAGE 10MM 11X24MM,4429.0,4429.0,664.35,4429.0,30
CDM,206882,SCREW SPN 4MM 16MM,1506.0,1506.0,225.9,1506.0,30
CDM,206883,PLATE CERV 69MM 4LVL,4429.0,4429.0,664.35,4429.0,30
CDM,206885,SPCR SPN33X10X11MM TR PK,11959.0,11959.0,1793.85,11959.0,30
CDM,206886,CMPNT FEM REV CON SZ2 RT,18097.0,18097.0,2714.55,18097.0,30
CDM,206887,EXTENSION STM 175X14.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,206888,AUGMENT FEM KN RT 30MM,10641.0,10641.0,1596.15,10641.0,30
CDM,206889,INSERT TIB 1-2 11MM RT,6000.0,6000.0,900.0,6000.0,30
CDM,206890,SCREW BN LCK 3.5X16MM,1356.0,1356.0,203.4,1356.0,30
CDM,206891,SCREW ORTH LCK 6.5X65,1356.0,1356.0,203.4,1356.0,30
CDM,206892,SCREW BN 2.7MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,206893,SCREW BN 3.5MM 26MM,368.0,368.0,55.2,368.0,30
CDM,206894,SCREW BN 2.7MM 26MM,1975.0,1975.0,296.25,1975.0,30
CDM,206895,SCREW BN 3.5MM 24MM,368.0,368.0,55.2,368.0,30
CDM,206896,PLATE BN 2MMX76MM,4429.0,4429.0,664.35,4429.0,30
CDM,206897,SCREW BN 2.7MM 26MM,824.0,824.0,123.6,824.0,30
CDM,206898,SHEATH INTRO 16FR 28CM,1637.0,1637.0,245.55,1637.0,42
CDM,206899,SHEATH INTRO 20FR 28CM,2046.5,2046.5,306.98,2046.5,42
CDM,206900,GRFT EVAS 145X30-20MM20F,38354.0,38354.0,5753.1,38354.0,30
CDM,206901,STENT GRAFT 16X28X124MM,16149.0,16149.0,2422.35,16149.0,30
CDM,206902,STENT GRAFT 82X24X16MM,18937.0,18937.0,2840.55,18937.0,30
CDM,206905,HEMOSTAT ABS 2X1IN,740.0,740.0,111.0,740.0,42
CDM,206906,HEMOSTAT ABS 1X2IN,809.5,809.5,121.42,809.5,42
CDM,206907,HEMOSTAT ABS NWVN 4X4IN,1011.5,1011.5,151.72,1011.5,42
CDM,206918,STEM FEM HIP 16X155MM,8674.0,8674.0,1301.1,8674.0,30
CDM,206919,STEM FEM HIP 17MM 155MM,8674.0,8674.0,1301.1,8674.0,30
CDM,206920,PLATE BN MED 2MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,206921,CMPNT HIP 21MM +20X21MM,13476.0,13476.0,2021.4,13476.0,30
CDM,206922,HEAD FEM HIP +4MM 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,206923,INSRT ACTB HIP 28G,6644.0,6644.0,996.6,6644.0,30
CDM,206924,HEAD FEM HIP -3.0MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,206925,SCREW BN LCK 5X85MM,2111.0,2111.0,316.65,2111.0,30
CDM,206926,SCREW BN 5MM 75MM,2111.0,2111.0,316.65,2111.0,30
CDM,206927,IPG NRSTM 65MM 49MM,54477.0,54477.0,8171.55,54477.0,30
CDM,206928,PLATE LCK ANG 6HOLE,4593.0,4593.0,688.95,4593.0,30
CDM,206931,SPACER SPN 36X28X17MM,11073.0,11073.0,1660.95,11073.0,30
CDM,206933,KIT SHUNT W/CATHETER,20855.0,20855.0,3128.25,20855.0,30
CDM,206934,INSERT TIB KN LT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,206936,PLATE BN .6MM 30MM,10936.0,10936.0,1640.4,10936.0,30
CDM,206937,SCREW BN NLCK 3.5MM 20MM,991.0,991.0,148.65,991.0,30
CDM,206938,SCREW BN LCK 3.5MM 18MM,1953.0,1953.0,292.95,1953.0,30
CDM,206939,PLATE BN 5.2X17.5X314MM,8053.0,8053.0,1207.95,8053.0,30
CDM,206940,CMPNT KNEE FEM 73X69,11861.0,11861.0,1779.15,11861.0,30
CDM,206941,STEM FEM KN 75X18MM,4429.0,4429.0,664.35,4429.0,30
CDM,206942,CMPNT AUG KN SZ5 4MM,4252.0,4252.0,637.8,4252.0,30
CDM,206943,CMPNT KNEE AUG SZ5,4252.0,4252.0,637.8,4252.0,30
CDM,206944,SLEEVE CNTRNG HIP 40MM,7357.0,7357.0,1103.55,7357.0,30
CDM,206945,PLATE MED 82MM SS2.7/3.5,4758.0,4758.0,713.7,4758.0,30
CDM,206946,PLATE BN 73MM 2.7/3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,206947,PLATE BN 2.7/3.5MM 72MM,4907.0,4907.0,736.05,4907.0,30
CDM,206948,SCREW BN 2.7MM 62MM,800.0,800.0,120.0,800.0,30
CDM,206949,SCREW BN 2.7MM 52MM,800.0,800.0,120.0,800.0,30
CDM,206950,SCREW BN 2.7MM 60MM,1883.0,1883.0,282.45,1883.0,30
CDM,206951,SCREW BN 2.7MM 46MM,1636.0,1636.0,245.4,1636.0,30
CDM,206952,SCREW BN 2.7X52MM,1883.0,1883.0,282.45,1883.0,30
CDM,206953,ANCHOR SUT 5.5MM 19.1MM,1276.0,1276.0,191.4,1276.0,30
CDM,206960,COMP FEM KN SZ11,7530.0,7530.0,1129.5,7530.0,30
CDM,206961,INSERT TIB KN LT 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,206964,SCREW 6.0 VIPER 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,206965,INSERT ACTB HIP 4.9X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,206966,PLATE AXSOS TTL STAB 6HL,6688.0,6688.0,1003.2,6688.0,30
CDM,206969,SCREW BN CORT 2MM 6MM,583.0,583.0,87.45,583.0,30
CDM,206971,BLADE SAW OSCILLATING,1053.5,1053.5,158.03,1053.5,42
CDM,206972,PLATE BN 90X90 OSTFM CRN,9301.0,9301.0,1395.15,9301.0,30
CDM,206974,ROD SPN PREBNT 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,206976,PLATE TI 6 HL LCK BN STR,4859.0,4859.0,728.85,4859.0,30
CDM,206977,SCREW LCK STRNL 3X12,3125.0,3125.0,468.75,3125.0,30
CDM,206978,SCREW BNE TI L16 OD3,3125.0,3125.0,468.75,3125.0,30
CDM,206979,SCREW BN 3MM 18MM,3125.0,3125.0,468.75,3125.0,30
CDM,206980,CMPNT KN PTLA DOME 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,206981,BASEPLATE ATTN FB SZ7,4651.0,4651.0,697.65,4651.0,30
CDM,206982,COMPNT FEM KN SZ6,5094.0,5094.0,764.1,5094.0,30
CDM,206983,INSERT TIB PST ST 6 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,206984,INSERT HIP SZ E 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,206985,SLEEVE TIB 45X27X40MM,6413.0,6413.0,961.95,6413.0,30
CDM,206986,CMPNT AGMNT 3X8 DIST RT,4252.0,4252.0,637.8,4252.0,30
CDM,206987,CMPNT AGMNT 3X16 DIS RT,4252.0,4252.0,637.8,4252.0,30
CDM,206988,INSERT TIB KN SZ3 17.5MM,5094.0,5094.0,764.1,5094.0,30
CDM,206989,WEDGE TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,206990,INSERT TIB KN SZ3 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,206991,STEM CMNT KN 12X100MM,4606.0,4606.0,690.9,4606.0,30
CDM,206992,HEAD FEM HIP +4 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,206993,SPACER SPNL 14MM PRIMTR,9966.0,9966.0,1494.9,9966.0,30
CDM,206994,SPACER SPNL 16MM LG,9966.0,9966.0,1494.9,9966.0,30
CDM,206995,CAGE SPNL 30MMX13MM PEEK,11959.0,11959.0,1793.85,11959.0,30
CDM,206997,STEM FEM LGN PRSFT160X10,4606.0,4606.0,690.9,4606.0,30
CDM,206998,GRAFT EVAS 31X14.5M 13CM,45597.0,45597.0,6839.55,45597.0,30
CDM,206999,INTERMED LT TIB INSERT S,4606.0,4606.0,690.9,4606.0,30
CDM,207001,SCREW BN 3.5MM 30MM,1022.0,1022.0,153.3,1022.0,30
CDM,207002,SCREW BN NLCK 3.5X34,1022.0,1022.0,153.3,1022.0,30
CDM,207003,PLATE BN CRV RT 5HL,3721.0,3721.0,558.15,3721.0,30
CDM,207004,SCREW BN 3.5MM 36MM,1022.0,1022.0,153.3,1022.0,30
CDM,207005,SCREW BN 2.7MM 18MM,1730.0,1730.0,259.5,1730.0,30
CDM,207006,SCREW BN 2.7MM 22MM,1730.0,1730.0,259.5,1730.0,30
CDM,207008,LEAD NRSTM 5MM 75CM,8836.0,8836.0,1325.4,8836.0,30
CDM,207009,CMPNT FEM KN STD LT SZ11,6644.0,6644.0,996.6,6644.0,30
CDM,207010,INSERT ARTC KN LT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,207012,PLATE BN SPN 50X36MM MSH,3189.0,3189.0,478.35,3189.0,30
CDM,207013,PLATE BN 38MM 45MM,5830.0,5830.0,874.5,5830.0,30
CDM,207014,GRAFT EVAS 18MM 13.5CM,18704.0,18704.0,2805.6,18704.0,30
CDM,207015,CEMENT BN 10ML,11511.0,11511.0,1726.65,11511.0,30
CDM,207016,SCREW BN 4MM 90MM,1961.0,1961.0,294.15,1961.0,30
CDM,207017,PLATE 165X95MM MXLFCL,11143.0,11143.0,1671.45,11143.0,30
CDM,207018,PLATE BN 3.5MM 163MM,7251.0,7251.0,1087.65,7251.0,30
CDM,207021,PLATE BN RT 4HL 3.5X76MM,6895.0,6895.0,1034.25,6895.0,30
CDM,207022,SCREW BN 3.5X2.9X65MM,2434.0,2434.0,365.1,2434.0,30
CDM,207023,SCREW BN 4MM 45MM,368.0,368.0,55.2,368.0,30
CDM,207024,WASHER BN 1MM 9MM,586.0,586.0,87.9,586.0,30
CDM,207025,INSERT TIB KN LT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,207026,SPACER SPN 36X28X14MM,11073.0,11073.0,1660.95,11073.0,30
CDM,207027,SCREW BN NLCK 3.5X24,1022.0,1022.0,153.3,1022.0,30
CDM,207028,SCREW BN NLCK 3.5X28,1022.0,1022.0,153.3,1022.0,30
CDM,207029,SCREW BN 8MM 90MM XPD,4247.0,4247.0,637.05,4247.0,30
CDM,207030,MESH PLT 6.5X4.5CM,10340.0,10340.0,1551.0,10340.0,30
CDM,207032,COMPNT KN LT PO FEM 5,7397.0,7397.0,1109.55,7397.0,30
CDM,207033,BASEPLATE KN TIB TI SZ5,5647.0,5647.0,847.05,5647.0,30
CDM,207034,ROD SPN 6MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,207035,STEM FEM HIP10 132D123MM,11073.0,11073.0,1660.95,11073.0,30
CDM,207036,INSERT ARTC 7-8 RT RET,4606.0,4606.0,690.9,4606.0,30
CDM,207037,COMPNT FEM KN SZ8,9744.0,9744.0,1461.6,9744.0,30
CDM,207038,NAIL BN 11.5MM 36CM,6400.0,6400.0,960.0,6400.0,30
CDM,207039,SCREW BN 10.5MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,207040,STEM FEM KN 13MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,207041,INSERT TIB KN SZ4 10MM,5094.0,5094.0,764.1,5094.0,30
CDM,207042,SCREW BN 2.7MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,207043,SCREW BN 3.5MM 5MM 40MM,2392.0,2392.0,358.8,2392.0,30
CDM,207044,SCREW BN 2.7MM 12MM,319.0,319.0,47.85,319.0,30
CDM,207045,BIT DRILL CANN 3.7MM,2046.5,2046.5,306.98,2046.5,42
CDM,207046,GUIDE PIN ORTH 1.6MM 6IN,139.0,139.0,20.85,139.0,42
CDM,207047,CMPNT FEM KN LT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,207048,INSERT KN CRU RET 3-4 LT,4606.0,4606.0,690.9,4606.0,30
CDM,207049,SPACER SPNL 32X10X9MM,13287.0,13287.0,1993.05,13287.0,30
CDM,207050,HEAD FEM HIP +7.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,207051,CMPNT FEM KN SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,207052,INSERT ARTC 6-9 EF 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,207053,INSRT ARTC KN 10-12 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,207054,STEM FEM HIP 6276-7-119,9185.0,9185.0,1377.75,9185.0,30
CDM,207055,BODY CONE FEM HIP+0X21MM,12106.0,12106.0,1815.9,12106.0,30
CDM,207057,NAIL BN 11.5MM 32CM,6400.0,6400.0,960.0,6400.0,30
CDM,207058,PLATE 10HL LCK BDY STRNL,3721.0,3721.0,558.15,3721.0,30
CDM,207060,LINER ACTB HP 36MM SZKK,4606.0,4606.0,690.9,4606.0,30
CDM,207061,CMPNT FEM KN RT SZ10,6644.0,6644.0,996.6,6644.0,30
CDM,207063,SPACER SPN 0D 32X10X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,207065,SCREW SPN 5.5MM 25MM,4872.0,4872.0,730.8,4872.0,30
CDM,207066,CAGE SPN 45X18X8MM 10D,19931.0,19931.0,2989.65,19931.0,30
CDM,207067,SET SPN SURG INST DISP,7500.5,7500.5,1125.08,7500.5,42
CDM,207068,HEAD FEM COCR -2.7X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,207069,STEM FEM HIP 140MM 10MM,11516.0,11516.0,1727.4,11516.0,30
CDM,207070,INSERT TIB KN SZ3 20MM,6265.0,6265.0,939.75,6265.0,30
CDM,207072,ROD EXFX CRBN 3MM 50MM,773.0,773.0,115.95,773.0,42
CDM,207074,KWIRE FX 150MM 1MM,139.0,139.0,20.85,139.0,42
CDM,207075,KWIRE FX 150MM 1.2MM,190.5,190.5,28.57,190.5,42
CDM,207076,PLATE BN XL 17MM,4806.0,4806.0,720.9,4806.0,30
CDM,207077,NAIL 38CM 125D 1.5X13MM,9050.0,9050.0,1357.5,9050.0,30
CDM,207078,NAIL 13MM 40CM TRCH 125,6400.0,6400.0,960.0,6400.0,30
CDM,207079,NAIL BN LT 130D 10X38MM,4872.0,4872.0,730.8,4872.0,30
CDM,207080,SCREW BN TIB KN 5X60MM,2884.0,2884.0,432.6,2884.0,30
CDM,207081,SCREW BN 5.0MM 50MM,2884.0,2884.0,432.6,2884.0,30
CDM,207082,SET CATH 41CM 15FR,2005.5,2005.5,300.82,2005.5,42
CDM,207084,COMP TIB CRUC CVD 12.5M,4606.0,4606.0,690.9,4606.0,30
CDM,207085,SCREW BN 3.5MM 22MM,1029.0,1029.0,154.35,1029.0,30
CDM,207086,SCREW BN 4MM 36MM,2551.0,2551.0,382.65,2551.0,30
CDM,207087,HEAD FEM HIP +0X22MM,4252.0,4252.0,637.8,4252.0,30
CDM,207088,HEAD HUM SHD TALL 47MM,4606.0,4606.0,690.9,4606.0,30
CDM,207089,INSERT SIGMA STAB XLK 2,4429.0,4429.0,664.35,4429.0,30
CDM,207093,MATRIX TISS 10X15CM,15945.0,15945.0,2391.75,15945.0,30
CDM,207094,GFT VSC SWL 4-7X40,3348.0,3348.0,502.2,3348.0,30
CDM,207095,AUGMENT DIST SZ4 HIP,4252.0,4252.0,637.8,4252.0,30
CDM,207096,STEM FEM HIP 17MM 195MM,9185.0,9185.0,1377.75,9185.0,30
CDM,207097,SCREW BN 3.5MM 22MM,2551.0,2551.0,382.65,2551.0,30
CDM,207098,SCREW BN 4MM 34MM,2551.0,2551.0,382.65,2551.0,30
CDM,207099,INSERT ARTC KN 6-9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,207101,SCREW BN NLCK 3.5X20,1452.0,1452.0,217.8,1452.0,30
CDM,207103,SCREW BN 4MM 2.4MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,207104,SCREW MTRX MDFACE 8MM,1350.0,1350.0,202.5,1350.0,30
CDM,207105,SCREW BN 7MM 1.5MM,638.0,638.0,95.7,638.0,30
CDM,207106,SCREW BN CRNFCL 1.MM 9MM,794.0,794.0,119.1,794.0,30
CDM,207107,SCREW BN 1.5MM 11MM,638.0,638.0,95.7,638.0,30
CDM,207108,PLATE MICRO 5MM 5030205,3136.0,3136.0,470.4,3136.0,30
CDM,207109,COMPNT FEM KN LT SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,207110,INSERT TIB KN LT 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,207111,STEM HUM SHLDR 6MM 7MM,11959.0,11959.0,1793.85,11959.0,30
CDM,207112,HEAD HUM SHLDR 40MM 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,207114,STEM HUM SHLDR 12X128MM,12114.0,12114.0,1817.1,12114.0,30
CDM,207115,STEM FEM HIP 132D 111MM,8557.0,8557.0,1283.55,8557.0,30
CDM,207116,HEAD FEM HIP +12X44MM,4606.0,4606.0,690.9,4606.0,30
CDM,207117,COMPNT FEM LT KN SZ3,5980.0,5980.0,897.0,5980.0,30
CDM,207118,ROD SPN 5.5X500,3012.0,3012.0,451.8,3012.0,30
CDM,207119,SCREW BN SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,207120,SCREW BN SPN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,209307,PCMKR SNGL 7.4 50.8X42.6,8934.0,8934.0,1340.1,8934.0,30
CDM,209308,DRLL TWST 2MM LNG,1228.0,1228.0,184.2,1228.0,42
CDM,210050,PLATE BN VSP SS 2.5 HL,4500.0,4500.0,675.0,4500.0,30
CDM,210054,PLATE BN VSP SS 2.5 HL,6120.0,6120.0,918.0,6120.0,30
CDM,210981,PLATE 5D LG 57MM SS 2.4,5260.0,5260.0,789.0,5260.0,30
CDM,211901,REMDESIVIR 100 MG INJ,3811.74,3811.74,701.74,3811.74,23
CDM,216436,OLUMIANT 2 MG PO,143.42,143.42,21.51,143.42,31
CDM,216443,BREXUCABTAGENE,5740812.0,5740812.0,1050568.6,5740812.0,32
CDM,216443,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",5740812.0,5740812.0,1296620.09,1296620.09,3
CDM,216447,IDECABTAGENE,6203445.0,6203445.0,1135230.44,6203445.0,35
CDM,216447,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",6203445.0,6203445.0,1483419.86,1483419.86,3
CDM,217846,HEATED HIGH FLOW O2 HR,35.86,35.86,5.38,35.86,42
CDM,220121,TUBE VENT SIL NTCH ID1.0,248.5,248.5,37.27,248.5,30
CDM,220128,KNIFE MYRNGTMY SCKL BLD,245.0,245.0,36.75,245.0,42
CDM,220221,SPLINT NSL SM/MD 65X35MM,724.0,724.0,108.6,724.0,42
CDM,220246,CEMENT BN PMMA HALF DOSE,630.0,630.0,94.5,630.0,30
CDM,220357,BUTTON EAR VNT 1.55MM,179.0,179.0,26.85,179.0,30
CDM,220879,SPLINT NASAL SEPTAL,470.0,470.0,70.5,470.0,42
CDM,221163,GWIRE ORTH 2.5MM 230MM,574.5,574.5,86.17,574.5,42
CDM,221387,TUBE VNT 5MM 1.14MM,202.0,202.0,30.3,202.0,30
CDM,221551,SCREW BN 3.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,221611,PLATE BN 8HL 148MM,3189.0,3189.0,478.35,3189.0,30
CDM,221620,PLATE BN 135D 10HL 174MM,3721.0,3721.0,558.15,3721.0,30
CDM,221642,PLATE BN T 4HL 84MM,2954.0,2954.0,443.1,2954.0,30
CDM,221646,PLATE BROAD DCP 6 HOLE,2515.0,2515.0,377.25,2515.0,30
CDM,221708,PLATE BN 4HL 23MM,1039.0,1039.0,155.85,1039.0,30
CDM,221716,PLATE BN 10HL 3.5X118MM,3189.0,3189.0,478.35,3189.0,30
CDM,221726,PLATE BN RT 3X3HL 3.5MM,1477.0,1477.0,221.55,1477.0,30
CDM,221728,PLATE 1/3 TUBLR 5HL 25MM,1171.0,1171.0,175.65,1171.0,30
CDM,221833,SCREW BN CANC 4MM 36MM,235.0,235.0,35.25,235.0,30
CDM,221837,SCREW BN 6.5X16X115MM,508.0,508.0,76.2,508.0,30
CDM,221872,SCREW BN 4MM 6MM 45MM,199.0,199.0,29.85,199.0,30
CDM,221958,SCREW CRTX 1.5X16,239.0,239.0,35.85,239.0,30
CDM,221971,SCREW BN 2MM 6MM,516.0,516.0,77.4,516.0,30
CDM,221972,SCREW BN 2MM 8MM,516.0,516.0,77.4,516.0,30
CDM,221994,SCREW BN CMPRS 36MM,614.0,614.0,92.1,614.0,30
CDM,221995,SCREW BN 12.7MM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,222014,SCREW ISOLA BONE VSP 7 X,3076.0,3076.0,461.4,3076.0,30
CDM,222015,SCREW ISOLA BONE VSP 7 X,3765.0,3765.0,564.75,3765.0,30
CDM,222016,SCREW ISOLA BONE VSP 7 X,3765.0,3765.0,564.75,3765.0,30
CDM,222017,SCREW ISOLA BONE VSP 7 X,3765.0,3765.0,564.75,3765.0,30
CDM,222031,WASHER SPHNL SS TPRD,905.0,905.0,135.75,905.0,30
CDM,222032,WASHER SPNL 3MM VSP SS,1506.0,1506.0,225.9,1506.0,30
CDM,222033,WASHER SPNL 5MM VSP SS,1506.0,1506.0,225.9,1506.0,30
CDM,222224,SCREW CORT MF 1.5X9,501.0,501.0,75.15,501.0,30
CDM,222229,SCREW BN 3.5MM 10MM,3097.0,3097.0,464.55,3097.0,30
CDM,222261,SCREW BN 4.5MM 50MM,436.0,436.0,65.4,436.0,30
CDM,222269,SCREW BN 6.5MM 40MM,405.0,405.0,60.75,405.0,30
CDM,222284,WASHER MINI 4.5,447.0,447.0,67.05,447.0,30
CDM,222285,WASHER ORTHO 13.5X5.5MM,1594.0,1594.0,239.1,1594.0,30
CDM,222294,PLATE 4.5 NAR DCP PLATE,1878.0,1878.0,281.7,1878.0,30
CDM,222309,PLATE SPN SPOON 5H 100MM,3012.0,3012.0,451.8,3012.0,30
CDM,222310,PLATE SPN SPOON 6H 120MM,3012.0,3012.0,451.8,3012.0,30
CDM,222315,PLATE BN 4HL 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,222317,PLATE 1/3 TBLR 85MM 7HL,1182.0,1182.0,177.3,1182.0,30
CDM,222321,PLATE BN 2.4MM 170MM,773.0,773.0,115.95,773.0,30
CDM,222322,PLATE BN QTR 4HL 31MM,826.0,826.0,123.9,826.0,30
CDM,222323,PLATE BN QTR 5HL 39MM,2242.0,2242.0,336.3,2242.0,30
CDM,222324,PLATE BN QTR 6HL 47MM,1642.0,1642.0,246.3,1642.0,30
CDM,222325,PLATE BN QTR 7HL 55MM,1684.0,1684.0,252.6,1684.0,30
CDM,222326,PLATE BN QTR 8HL 63MM,1091.0,1091.0,163.65,1091.0,30
CDM,222328,PLATE BN 3HL 2.7 34MM,652.0,652.0,97.8,652.0,30
CDM,223052,SCREW BN 12.7MM 125MM,3189.0,3189.0,478.35,3189.0,30
CDM,223075,SCREW BN 4.5MM 25MM,436.0,436.0,65.4,436.0,30
CDM,223621,WASHER BN 13.0MM,327.0,327.0,49.05,327.0,30
CDM,223622,WASHER BN 7.0MM F/SM,293.0,293.0,43.95,293.0,30
CDM,223706,BARRIER ADH ABS 3X4IN,2036.0,2036.0,305.4,2036.0,42
CDM,223708,SET INTUB .016IN .025IN,1003.0,1003.0,150.45,1003.0,42
CDM,223764,NEEDLE INSFL 14GA 120MM,231.5,231.5,34.73,231.5,42
CDM,223765,NEEDLE INSFL 14GA 150MM,208.5,208.5,31.27,208.5,42
CDM,223769,TROCAR LAPSCP 11MM 100MM,264.5,264.5,39.67,264.5,42
CDM,223890,SCREW BN 3.5X18MM,3097.0,3097.0,464.55,3097.0,30
CDM,223891,SCREW CANN 3.5X20,2631.0,2631.0,394.65,2631.0,30
CDM,223892,SCREW CANN 22X 3.5MM,3097.0,3097.0,464.55,3097.0,30
CDM,223893,SCREW BN 3.5MM 24MM,2631.0,2631.0,394.65,2631.0,30
CDM,223899,SCREW BN 7MM 16MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,223900,SCREW BN 7MM 16MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,223901,SCREW BN 7MM 16MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,223902,SCREW BN 7MM 16MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,223903,SCREW BN 7MM 16MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,223904,SCREW BN 7MM 16MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,223905,SCREW BN 7MM 16MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,223906,SCREW BN 7MM 16MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,223907,SCREW BN 7MM 16MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,223908,SCREW BN 7MM 16MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,223909,SCREW BN 7MM 16MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,223910,SCREW BN 7MM 16MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,223911,SCREW BN 7MM 16MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,223912,SCREW BN 7MM 8MM 2.1MM,3189.0,3189.0,478.35,3189.0,30
CDM,223913,SCREW BN 7MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,223914,SCREW BN 7MM 16MM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,223916,SCREW BN 7MM 16MM 115MM,3189.0,3189.0,478.35,3189.0,30
CDM,223917,SCREW BN 7MM 16MM 120MM,3189.0,3189.0,478.35,3189.0,30
CDM,223918,SCREW BN 7MM 16MM 125MM,3189.0,3189.0,478.35,3189.0,30
CDM,223919,SCREW BN 7MM 16MM 130MM,3189.0,3189.0,478.35,3189.0,30
CDM,223920,SCREW BN 7MM 32MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,223921,SCREW BN 7MM 32MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,223922,SCREW BN 7MM 32MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,223923,SCREW BN 7MM 32MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,223924,SCREW BN 7MM 32MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,223925,SCREW BN 7MM 32MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,223926,SCREW BN 7MM 32MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,223927,SCREW BN 7MM 32MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,223928,SCREW BN 7MM 32MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,223929,SCREW BN 7MM 32MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,223930,SCREW BN 7MM 32MM 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,223931,SCREW BN 7MM 32MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,223932,SCREW BN 7MM 32MM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,223933,SCREW BN 7MM 32MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,223934,SCREW BN 7MM 32MM 115MM,3189.0,3189.0,478.35,3189.0,30
CDM,223935,SCREW BN 7MM 32MM 120MM,3189.0,3189.0,478.35,3189.0,30
CDM,223936,SCREW BN 7MM 125MM,3189.0,3189.0,478.35,3189.0,30
CDM,223937,SCREW BN 7MM 32MM 130MM,3189.0,3189.0,478.35,3189.0,30
CDM,223940,PLATE BN 5HL 87MM,780.0,780.0,117.0,780.0,30
CDM,223941,PLATE BN 6HL 103MM,826.0,826.0,123.9,826.0,30
CDM,223942,PLATE BN 7HL 119MM,894.0,894.0,134.1,894.0,30
CDM,223943,PLATE BN 12H 4.5X199MM,2469.0,2469.0,370.35,2469.0,30
CDM,223944,PLATE STRAIT BRD DYN CMP,3189.0,3189.0,478.35,3189.0,30
CDM,223947,PLATE BN TIB LT 4HL 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,223948,PLATE BN 3HL 17MM,652.0,652.0,97.8,652.0,30
CDM,223955,PLATE BN 95D 8HL 146MM,4229.0,4229.0,634.35,4229.0,30
CDM,223956,PLATE BN 95D 10HL 178MM,4229.0,4229.0,634.35,4229.0,30
CDM,223958,PLATE BN 95D 14HL 242MM,4429.0,4429.0,664.35,4429.0,30
CDM,223959,PLATE BN 95D 16HL 274MM,4429.0,4429.0,664.35,4429.0,30
CDM,224008,BAG TRNSF BLOOD 600ML,135.0,135.0,20.25,135.0,42
CDM,224020,TUBE EARVNT GRN 1.3X3.6,275.0,275.0,41.25,275.0,30
CDM,224123,CEMENT BN PMMA FULL DOSE,813.0,813.0,121.95,813.0,30
CDM,224174,TUBE EAR VENT 4.5X1.27MM,364.0,364.0,54.6,364.0,30
CDM,224182,SCISSORS MNPLR 33CM 5MM,414.0,414.0,62.1,414.0,42
CDM,224273,PLATE 1/3 TBLR 97MM 8HL,1165.0,1165.0,174.75,1165.0,30
CDM,224346,STAPLER CUTTER 75MM,1023.5,1023.5,153.53,1023.5,42
CDM,224347,RELOAD STPLR 55MM,574.0,574.0,86.1,574.0,30
CDM,224348,RELOAD STPLR 75MM,852.0,852.0,127.8,852.0,30
CDM,224390,GFT PTCH TIS 2 10X15,4429.0,4429.0,664.35,4429.0,30
CDM,224396,PATCH SFT TIS 1X10X1,4429.0,4429.0,664.35,4429.0,30
CDM,224425,SCREW BN 3.5MM 42MM,2238.0,2238.0,335.7,2238.0,30
CDM,224426,SCREW BN 3.5MM 44MM,2238.0,2238.0,335.7,2238.0,30
CDM,224427,SCREW BN 46MM 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,224428,SCREW BN 3.5MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,224429,SCREW BN 3.5MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,224431,SCREW BN 4.5MM 22MM,2711.0,2711.0,406.65,2711.0,30
CDM,224432,SCREW BN 4.5X24MM,3189.0,3189.0,478.35,3189.0,30
CDM,224433,SCREW BN 4.5MM 26MM,2711.0,2711.0,406.65,2711.0,30
CDM,224434,SCREW BN 4.5MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,224435,SCREW BN CANN 4.5X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,224436,SCREW BN 4.5MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,224437,SCREW BN 4.5MM 34MM,2288.0,2288.0,343.2,2288.0,30
CDM,224438,SCREW BN 4.5MM 36MM,2288.0,2288.0,343.2,2288.0,30
CDM,224439,SCREW BN 4.5MM 38MM,3189.0,3189.0,478.35,3189.0,30
CDM,224440,SCREW BN 4.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,224441,SCREW BN 4.5MM 44MM,2288.0,2288.0,343.2,2288.0,30
CDM,224442,SCREW BN 4.5MM 48MM,2288.0,2288.0,343.2,2288.0,30
CDM,224443,SCREW BN 4.5X52MM,2711.0,2711.0,406.65,2711.0,30
CDM,224444,SCREW BN 4.5MM 56MM,2711.0,2711.0,406.65,2711.0,30
CDM,224445,SCREW BN 4.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,224461,WASHER BN 4.5MM 10MM,375.0,375.0,56.25,375.0,30
CDM,224462,GWIRE ORTH 1.25MM 150MM,341.0,341.0,51.15,341.0,42
CDM,224463,SCREW BN 4.5MM 20MM,2711.0,2711.0,406.65,2711.0,30
CDM,224464,SCREW BN 4.5MM 64MM,2711.0,2711.0,406.65,2711.0,30
CDM,224465,SCREW BN 4.5MM 68MM,2711.0,2711.0,406.65,2711.0,30
CDM,224466,SCREW BN 4.5MM 72MM,2288.0,2288.0,343.2,2288.0,30
CDM,224497,SCREW BN SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,224498,SCREW BN SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,224499,SCREW BN SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,224501,SCREW BN SPN 6.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,224564,RELOAD STPLR 75MM,868.0,868.0,130.2,868.0,30
CDM,224571,APPLIER CLP PRLD 13IN,548.0,548.0,82.2,548.0,30
CDM,224572,APPLIER CLP PRLD 9.375IN,547.0,547.0,82.05,547.0,30
CDM,224605,SCREW BN SPN 5.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,224644,SCREW ISOLA BONE VSP 6.5,3765.0,3765.0,564.75,3765.0,30
CDM,224687,RELOAD STPLR 55MM,574.0,574.0,86.1,574.0,30
CDM,224795,MANIPULATOR SURG 4.5MM,396.5,396.5,59.48,396.5,42
CDM,224892,DEVICE SUT LAP 10MM 15IN,4062.0,4062.0,609.3,4062.0,42
CDM,224901,STAPLER INT CRV 25MM,1500.5,1500.5,225.07,1500.5,42
CDM,224906,ELCTRODE SURG LOOP 20X20,232.0,232.0,34.8,232.0,42
CDM,224949,TROCAR ESCP L150MM OD12M,330.5,330.5,49.58,330.5,42
CDM,224961,PROBE NRV STIM 0.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,225365,PATCH SFT TISS 10CM 5CM,3489.0,3489.0,523.35,3489.0,30
CDM,226005,CURETTE VAC DISP 14MM,51.0,51.0,7.65,51.0,42
CDM,226008,BURR DIAMOND FLEX 1.0MM,1209.5,1209.5,181.43,1209.5,42
CDM,229888,HEATED HIGH FLOW O2 HR,35.86,35.86,5.38,35.86,42
CDM,250025,HYDROXYPROG 17D,189.0,189.0,34.79,189.0,28
CDM,250025,"Hydroxyprogesterone, 17-d ",189.0,189.0,12.23,152.77,50
CDM,250356,TACROLIMUS QUANT,774.79,774.79,142.64,774.79,28
CDM,250356,Tacrolimus ,774.79,774.79,6.18,41.19,50
CDM,250390,BILIRUBIN TOT BLD,336.0,336.0,61.86,336.0,28
CDM,250600,COMPLEMENT TOT CH50,1168.18,1168.18,215.06,1168.18,28
CDM,250600,Complement; total hemolytic (CH50) ,1168.18,1168.18,9.14,113.35,50
CDM,250605,DIRECT COOMBS AHG EA,673.0,673.0,123.9,673.0,28
CDM,250665,CRYOGLOBULINS QL SQN,822.48,822.48,151.42,822.48,28
CDM,250665,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",822.48,822.48,2.91,36.73,50
CDM,251785,PROS SPEC AG (PSA) TOTAL,2267.84,2267.84,417.51,2267.84,28
CDM,251785,Prostate specific antigen (PSA); total ,2267.84,2267.84,8.28,55.17,50
CDM,25230,SET XTN REG 2.6ML 14IN,60.5,60.5,9.07,60.5,42
CDM,272002,BURR SURG 12MM 2.3MM,231.5,231.5,34.73,231.5,42
CDM,272005,RASP SURG 18.3MM 3.2MM,1023.5,1023.5,153.53,1023.5,42
CDM,272006,BURR SURG 25.4MM .8MM,973.0,973.0,145.95,973.0,42
CDM,272009,SUTURE SS 7 18IN,117.0,117.0,17.55,117.0,42
CDM,272011,SUTURE SS 2 18IN,108.5,108.5,16.27,108.5,42
CDM,272012,RETRIEVER SUTURE,425.5,425.5,63.83,425.5,42
CDM,272013,BLADE SAW SAGITTAL NARW,335.5,335.5,50.33,335.5,42
CDM,272014,OSTEOTOME SURG 3INX8MM,4093.0,4093.0,613.95,4093.0,42
CDM,272015,OSTEOTOME 3INX10MM CRV F,4093.0,4093.0,613.95,4093.0,42
CDM,272016,OSTEOTOME SURG 3IN 12MM,4093.0,4093.0,613.95,4093.0,42
CDM,272017,OSRTOTM 20 FLX THN SHFT,4093.0,4093.0,613.95,4093.0,42
CDM,272018,OSTEOTOME THIN 12MM,4093.0,4093.0,613.95,4093.0,42
CDM,272019,OSTEOTOME 20MM FLX THN S,4093.0,4093.0,613.95,4093.0,42
CDM,272020,OSTEOTOME 8MM FLX THN,4093.0,4093.0,613.95,4093.0,42
CDM,272021,OSTEOTOME THN 5IN 10MM,889.0,889.0,133.35,889.0,42
CDM,272022,WIRE SPN 1.22MM 30CM,3189.0,3189.0,478.35,3189.0,30
CDM,272025,BLADE SAW GIGLI,742.0,742.0,111.3,742.0,42
CDM,272032,SPACER SPN 8D 10X18X55MM,13952.0,13952.0,2092.8,13952.0,30
CDM,272033,SPCR SPN 8D 8X18X55MM,13952.0,13952.0,2092.8,13952.0,30
CDM,272035,PLATE BN MNDBL 4H 1X24MM,3189.0,3189.0,478.35,3189.0,30
CDM,272037,SCREW BN LV1 2X7MM,1607.0,1607.0,241.05,1607.0,30
CDM,272039,STEM TIB KN 12MM 150MM,4606.0,4606.0,690.9,4606.0,30
CDM,272040,INS TIB KN SZ3 10MM,6265.0,6265.0,939.75,6265.0,30
CDM,272041,SCREW BN 7MM 95MM,2790.0,2790.0,418.5,2790.0,30
CDM,272042,SCREW BN 7MM 105MM 32MM,3041.0,3041.0,456.15,3041.0,30
CDM,272043,SCREW BN SS 7X100X32MM,2790.0,2790.0,418.5,2790.0,30
CDM,272044,CMPNT FEM KN LT SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,272045,CMPNT TIB KN STD LT SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,272046,INSERT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272047,CMPNT PTLA KN 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,272048,CMPNT FEM KN SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,272050,INSERT TB KN RT SZ7 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,272056,INSERT TIB KN LT SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,272057,CMPNT TIB KN LT SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,272058,CMPNT PTLA KN 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,272059,INSERT TIB KN SZ7 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272061,CMPNT FEM KN LT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,272062,COMPONENT KN 8MM 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,272063,INSERT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272064,COMPNT FEM NAR KN RT 10,7530.0,7530.0,1129.5,7530.0,30
CDM,272065,INSERT ARTC 10-11 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,272067,INSERT TIB KN SZ4 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,272068,CMPNT FEM KN LT SZ6N,5094.0,5094.0,764.1,5094.0,30
CDM,272069,INSERT TIB KN SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,272070,COMPNT FEM KN RT SZ3N,5094.0,5094.0,764.1,5094.0,30
CDM,272071,SCREW SPN 3.5MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,272072,SCREW BN 3.5X2.4MM 38MM,4340.0,4340.0,651.0,4340.0,30
CDM,272074,PLATE BN MNDBL 6HL 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,272075,PUMP CONT FLW IRR,583.5,583.5,87.53,583.5,42
CDM,272076,CTH URET PLLK 5F,309.5,309.5,46.42,309.5,42
CDM,272078,BURR EGG 4MM,1023.5,1023.5,153.53,1023.5,42
CDM,272086,SET IRR COAX HFLO TIP,437.0,437.0,65.55,437.0,42
CDM,272468,CATH GD AL3 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,272501,KNIFE SURG DISP 193MM,1514.5,1514.5,227.18,1514.5,42
CDM,272508,KWIRE FX 150MM 1.4MM,139.0,139.0,20.85,139.0,42
CDM,272511,GWIRE ORTH 150X2MM,773.0,773.0,115.95,773.0,42
CDM,272513,SCREW BN 5MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,272514,SCREW BN 4MM 34MM 11.5MM,2344.0,2344.0,351.6,2344.0,30
CDM,272517,GRAFT ST TISS 4CM 6CM,9479.0,9479.0,1421.85,9479.0,30
CDM,272518,PLATE MED 12MM ASPN BN,10187.0,10187.0,1528.05,10187.0,30
CDM,272521,SCREW SPN PAX 4.5X40MM,4247.0,4247.0,637.05,4247.0,30
CDM,272522,STEM FEM HIP 145MM,13147.0,13147.0,1972.05,13147.0,30
CDM,272524,SCREW BN 9MM 65MM,4429.0,4429.0,664.35,4429.0,30
CDM,272525,SCREW BN 7.5 65 XPDM TI,4120.0,4120.0,618.0,4120.0,30
CDM,272526,STEM HUM SHLDR 83MM 11MM,11959.0,11959.0,1793.85,11959.0,30
CDM,272527,COMPNT SHLDR STD 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,272528,SCREW BN 4.75MM 20MM,877.0,877.0,131.55,877.0,30
CDM,272529,PLATE BN STRN 6HL 2.3MM,3447.0,3447.0,517.05,3447.0,30
CDM,272530,WIRE FX LGT NS LF 24GA,65.0,65.0,9.75,65.0,42
CDM,272531,WIRE FX 26GA,116.0,116.0,17.4,116.0,42
CDM,272532,STENT EPRSTH 7MM 5.0CM,11974.0,11974.0,1796.1,11974.0,30
CDM,272533,PLATE BN Y 6HL 0.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,272535,NAIL BN FEM 11MM 340MM,8769.0,8769.0,1315.35,8769.0,30
CDM,272536,INSERT ARTC 10-11 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,272537,PLATE SPN 1LVL 41MM,12047.0,12047.0,1807.05,12047.0,30
CDM,272538,SPACER SPNL 32X25X12 12D,18536.0,18536.0,2780.4,18536.0,30
CDM,272539,VALVE AOR 31X26-29MM,115350.0,115350.0,17302.5,115350.0,30
CDM,272540,CMPNT FEM LT KN SZ4,5094.0,5094.0,764.1,5094.0,30
CDM,272541,COMPNT PTLA DOME 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,272542,INSERT TIB KN SZ4 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,272543,INSERT ARTC KN 3-5 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,272544,CMPNT FEM NAR KN RT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,272547,PROBE DPLR MICRO 20MHZ,4093.0,4093.0,613.95,4093.0,42
CDM,272550,STEM FEM HIP SZ3 101MM,10630.0,10630.0,1594.5,10630.0,30
CDM,272551,LINER ACTB HIP 36MM 58MM,4429.0,4429.0,664.35,4429.0,30
CDM,272552,STEM FEM HIP 6MM 111MM,10630.0,10630.0,1594.5,10630.0,30
CDM,272553,HEAD FEM HIP +3.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,272554,ROD SPN 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,272555,BASEPLATE TIB KN SZ3,5647.0,5647.0,847.05,5647.0,30
CDM,272556,SCREW UNIFLX F-T 4X38MM,341.0,341.0,51.15,341.0,30
CDM,272557,SUB BNGF FOAM 5CC,4429.0,4429.0,664.35,4429.0,30
CDM,272559,CATH BLNDIL 5MM 20MM,1072.5,1072.5,160.88,1072.5,42
CDM,272561,GRAFT EVAS 16MM 11.5CM,19174.0,19174.0,2876.1,19174.0,30
CDM,272562,NAIL BN 130D 11MM 360MM,8769.0,8769.0,1315.35,8769.0,30
CDM,272563,COVER BUR HL SM 1.6MM,3085.0,3085.0,462.75,3085.0,30
CDM,272564,SCREW BN TIT L76 MM OD5.,3189.0,3189.0,478.35,3189.0,30
CDM,272565,SCREW BN TIT L56 MM OD5.,3189.0,3189.0,478.35,3189.0,30
CDM,272566,STENT EPRSTH 31MM 10CM,57291.0,57291.0,8593.65,57291.0,30
CDM,272567,COMPNT FEM KN SZ12,6644.0,6644.0,996.6,6644.0,30
CDM,272568,HEAD HIP+12MM 12/14 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,272569,PLATE 43X29 MM TI1 LVLBN,12047.0,12047.0,1807.05,12047.0,30
CDM,272570,SPACER SPNL 32X25X14 12D,18536.0,18536.0,2780.4,18536.0,30
CDM,272571,PLATE SPN LVL1 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,272572,ANCHOR SUT 2.4X8.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,272576,SCREW 8.5X55MM SPN PAX,4429.0,4429.0,664.35,4429.0,30
CDM,272578,SCREW SPN 3.5MM 12MM,3765.0,3765.0,564.75,3765.0,30
CDM,272579,SCREW BN SS 7X75X16MM,2790.0,2790.0,418.5,2790.0,30
CDM,272580,SCREW BN SS 7X80X16MM,2790.0,2790.0,418.5,2790.0,30
CDM,272581,HEAD BIP FEM HIP 53MM,4252.0,4252.0,637.8,4252.0,30
CDM,272584,HEAD HUM SHLDR 40MM 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,272585,STEM FEM HIP 11MM 121MM,10630.0,10630.0,1594.5,10630.0,30
CDM,272587,SCREW BN 4.5MM 24MM,798.0,798.0,119.7,798.0,30
CDM,272588,SCREW BN 4.5MM 20MM,798.0,798.0,119.7,798.0,30
CDM,272589,INSERT HUM SHLDR 10X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,272590,SCREW BN 5MM 45MM,2884.0,2884.0,432.6,2884.0,30
CDM,272591,SCREW BN 5MM 40MM,2383.0,2383.0,357.45,2383.0,30
CDM,272593,PLATE BN 6HL 2.4MM 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,272594,PIN FX 1.8MM 14MM,1660.0,1660.0,249.0,1660.0,30
CDM,272595,PLATE BN STR 170MM 2.4MM,8292.0,8292.0,1243.8,8292.0,30
CDM,272597,SCREW BN 3.5MM 30MM,368.0,368.0,55.2,368.0,30
CDM,272598,SCREW BN 3.5MM 34MM,368.0,368.0,55.2,368.0,30
CDM,272599,SCREW BN 3.5MM 40MM,479.0,479.0,71.85,479.0,30
CDM,272603,CMPNT FEM KN RT SZ3,6644.0,6644.0,996.6,6644.0,30
CDM,272604,BASEPLATE TIB KN RT SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,272605,INSERT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272607,HEAD HIP D +4X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,272611,CMPNT GLND CAGE LG,5426.0,5426.0,813.9,5426.0,30
CDM,272612,SCREW BN SPN 4.5MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,272613,STEM TIB KN CMNT 30X15MM,4252.0,4252.0,637.8,4252.0,30
CDM,272614,BSE TIB MOD TI SZ1 PLUS,4759.0,4759.0,713.85,4759.0,30
CDM,272615,INS TIB SZ3/1 12MM KN RT,4606.0,4606.0,690.9,4606.0,30
CDM,272616,RING ANLPLS 24MM,8075.0,8075.0,1211.25,8075.0,30
CDM,272618,BODY HUM SZ16 135MM,4939.0,4939.0,740.85,4939.0,30
CDM,272619,STEM HUM 137MM 16MM,9071.0,9071.0,1360.65,9071.0,30
CDM,272620,STENT EPRSTH 34MM 10CM,57291.0,57291.0,8593.65,57291.0,30
CDM,272621,CATH BLNOCC 16-34MM,4093.0,4093.0,613.95,4093.0,42
CDM,272622,SCREW BN SPNL 8.5X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,272623,SCREW BN SPNL 8.5X90MM,4429.0,4429.0,664.35,4429.0,30
CDM,272624,SCREW BN SPNL 8.5X70MM,4429.0,4429.0,664.35,4429.0,30
CDM,272625,SCREW BN 4MM 38MM,2901.0,2901.0,435.15,2901.0,30
CDM,272626,CMPNT FEM KN LT SZ6,5094.0,5094.0,764.1,5094.0,30
CDM,272627,INSERT TIB KN SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,272628,LINER ACTB HIP 0D B 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,272629,SHELL ACTB 46MM CH PRIM,4872.0,4872.0,730.8,4872.0,30
CDM,272630,BASEPLATE TIB KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,272631,CMPNT FEM KN SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,272632,INSERT TIB KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272633,BASEPLATE WM TIBIAL SZ3,5599.0,5599.0,839.85,5599.0,30
CDM,272634,INSERT ADPTV CS EVOLTN,4606.0,4606.0,690.9,4606.0,30
CDM,272635,INSERT TIB KN SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,272636,COMPNT FEM KN SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,272637,CMPNT TIB KN LT SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,272638,INSERT TIB KN SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,272639,SPACER SPN 36X28X13MM 8D,11073.0,11073.0,1660.95,11073.0,30
CDM,272641,STEM HUM SHLDR 16X130MM,25467.0,25467.0,3820.05,25467.0,30
CDM,272642,COMPNT FEM KN SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,272643,CMPNT TIB KN STD SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,272644,INSERT TIB KN SZ6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272645,HEAD CERAMIC FEMORAL TAP,4606.0,4606.0,690.9,4606.0,30
CDM,272646,ACTB PE STD ID28 DYNASTY,4429.0,4429.0,664.35,4429.0,30
CDM,272650,COMP PTLR TRI X3 8X27MM,4252.0,4252.0,637.8,4252.0,30
CDM,272651,STEM FEM HIP 16MM 190MM,17306.0,17306.0,2595.9,17306.0,30
CDM,272653,AUGMENT FEMORAL DISTAL 3,4429.0,4429.0,664.35,4429.0,30
CDM,272654,CMPNT FEM SZ3LT PVT NPOR,12486.0,12486.0,1872.9,12486.0,30
CDM,272655,EXTENSION 14MM X 65MM,4252.0,4252.0,637.8,4252.0,30
CDM,272656,INSERT TIB KN SZ3 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,272657,INSERT ARTC5-6X21 GS2 PS,4429.0,4429.0,664.35,4429.0,30
CDM,272658,CMPNT PATELLA KN 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,272659,INSERT TIB KN LT SZ4,4429.0,4429.0,664.35,4429.0,30
CDM,272660,INSERT TIB KN SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,272661,INSERT TIB KN SZ5,4429.0,4429.0,664.35,4429.0,30
CDM,272662,COMPNT FEM KN SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,272663,CATH SHNT PSSR SBQ 38CM,1067.0,1067.0,160.05,1067.0,42
CDM,272664,SCREW BN SPN 7.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,272665,SPACER SPN 12X33X10MM,11073.0,11073.0,1660.95,11073.0,30
CDM,272667,COMPNT FEM KN LT SZ5N,5094.0,5094.0,764.1,5094.0,30
CDM,272668,COMPNT FEM AUGMT TC3 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,272669,INSERT KN COCR SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,272670,GWIRE ORTH 1.4MM 150MM,773.0,773.0,115.95,773.0,42
CDM,272671,INS FEM LCS COMP STD 10,4429.0,4429.0,664.35,4429.0,30
CDM,272672,SCREW SPN PAX 5.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,272673,ROD SPNL 5.5MM VIT HEX,3012.0,3012.0,451.8,3012.0,30
CDM,272674,KIT COMBO DEVICE/FASTNER,4385.5,4385.5,657.83,4385.5,42
CDM,272675,RING ANLPLS TRCSD 36MM,8067.0,8067.0,1210.05,8067.0,30
CDM,272676,NDL URET 20X18G TRNSURTH,415.0,415.0,62.25,415.0,42
CDM,272678,COMPNT FEM KN ICA,10028.0,10028.0,1504.2,10028.0,30
CDM,272679,NAIL HUM TIB 12MM,7087.0,7087.0,1063.05,7087.0,30
CDM,272681,SCREW BN 6MM 60MM,2503.0,2503.0,375.45,2503.0,30
CDM,272682,SCREW BN WCHT 6X35MM,2503.0,2503.0,375.45,2503.0,30
CDM,272683,SCREW BN 6.0MM 30MM,2503.0,2503.0,375.45,2503.0,30
CDM,272685,FILLR OSTEOAMP GRAN VOID,6958.0,6958.0,1043.7,6958.0,30
CDM,272686,COMPNT FEM KN 6D 66X58MM,15352.0,15352.0,2302.8,15352.0,30
CDM,272687,SLEEVE FEM KN CMNT 20MM,6243.0,6243.0,936.45,6243.0,30
CDM,272688,INSERT TIB KN UNV 12MM,14095.0,14095.0,2114.25,14095.0,30
CDM,272689,INSERT TIB KN SZ5 15MM,6265.0,6265.0,939.75,6265.0,30
CDM,272690,STEM FEM HIP 20MM 155MM,8674.0,8674.0,1301.1,8674.0,30
CDM,272691,STEM FEM HIP 25MM,12106.0,12106.0,1815.9,12106.0,30
CDM,272692,LINER ACTB HIP 60MM,6644.0,6644.0,996.6,6644.0,30
CDM,272693,INSERT TIB KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,272694,CMPNT FEM KN SZ5N,5094.0,5094.0,764.1,5094.0,30
CDM,272695,CUP ACTB 56MM PNCL DPR,8932.0,8932.0,1339.8,8932.0,30
CDM,272696,INSERT TIB KN L 10MM SZ6,4429.0,4429.0,664.35,4429.0,30
CDM,272697,COMPNT KN SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,272698,SCREW BN 6.5MM 35MM,1611.0,1611.0,241.65,1611.0,30
CDM,272699,LINER ACTB HIP STD 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,272700,STEM PROFMR RNS SZ12 SHT,11073.0,11073.0,1660.95,11073.0,30
CDM,272701,INSERT TIB KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,272702,COMP FEM KN RT SZ8,5094.0,5094.0,764.1,5094.0,30
CDM,272703,INSERT TIB KN 8 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,272705,IMPLANT BREAST 500CC,3579.0,3579.0,536.85,3579.0,30
CDM,272706,INSERT TIB KN LT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272707,SPACER SPN 12X33MM,11073.0,11073.0,1660.95,11073.0,30
CDM,272708,CONN SPN 5.5-5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,272709,INSERT FEM KN SZ7 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272710,INSRT TIB KN SZ4 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,272712,PROSTHESIS CRV DISC 15MM,17716.0,17716.0,2657.4,17716.0,30
CDM,272713,CUTTER 15MM 6474525,4093.0,4093.0,613.95,4093.0,42
CDM,272714,STEM FEM HIP 11MM 121MM,10630.0,10630.0,1594.5,10630.0,30
CDM,272716,SCREW 9X55 XPDM SPN PAX,4340.0,4340.0,651.0,4340.0,30
CDM,272717,CEMENT BN 40GM 20ML,813.0,813.0,121.95,813.0,30
CDM,272718,PUTTY DBM 1.0CC,1393.0,1393.0,208.95,1393.0,30
CDM,272720,SCREW BN SPNL 8.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,272722,SCREW BN SPNL 8.5X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,272723,INSERT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272724,SLEEVE RNTL 1.5X2.4X30IN,249.0,249.0,37.35,249.0,30
CDM,272725,LINER HIP 11.2X66X36X3MM,4606.0,4606.0,690.9,4606.0,30
CDM,272728,GRAFT SYN TISS 15CC,7906.0,7906.0,1185.9,7906.0,30
CDM,272731,SCREW SPN 8.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,272732,SPACER SPNL 32X10X13MM,11959.0,11959.0,1793.85,11959.0,30
CDM,272734,CMPNT FEM KN LT SZ3N,7973.0,7973.0,1195.95,7973.0,30
CDM,272735,INSERT TIB KN SZ3 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,272736,COMPNT FEM KN RT SZ7,5094.0,5094.0,764.1,5094.0,30
CDM,272737,INSERT ADPTV EVOL MP CS,4606.0,4606.0,690.9,4606.0,30
CDM,272738,CMPNT FEM KN SZ2,6644.0,6644.0,996.6,6644.0,30
CDM,272739,KNEE TIB KLD ETPKN2SR,4606.0,4606.0,690.9,4606.0,30
CDM,272740,INSERT TIB KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272741,TRAY TIB #3 L15MM OFST,7567.0,7567.0,1135.05,7567.0,30
CDM,272742,LINER ACTB A-CLS STD 32,4429.0,4429.0,664.35,4429.0,30
CDM,272743,HEAD CERAMIC FEMORAL SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,272744,SPACER UNIPLR HIP +10MM,1170.0,1170.0,175.5,1170.0,30
CDM,272745,BSE TIB MOD TI SZ5 STD,5599.0,5599.0,839.85,5599.0,30
CDM,272746,INSRT ADPTV EVOLTN MP CS,4429.0,4429.0,664.35,4429.0,30
CDM,272747,INS TIB SZ7/5 14MM KN RT,4606.0,4606.0,690.9,4606.0,30
CDM,272748,INSRT ADPTV EVOLTN MP CS,4606.0,4606.0,690.9,4606.0,30
CDM,272749,COMPNT SHLDR SZ10 135MM,4939.0,4939.0,740.85,4939.0,30
CDM,272750,HEAD HUM 15MM 44MM SHLDR,5838.0,5838.0,875.7,5838.0,30
CDM,272751,STEM HUM 113MM 10MM,8985.0,8985.0,1347.75,8985.0,30
CDM,272752,HEAD FEM HIP 0MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,272753,DOME PTL KN 5MM,4252.0,4252.0,637.8,4252.0,30
CDM,272755,SPACER SPN 12X33MM,11073.0,11073.0,1660.95,11073.0,30
CDM,272757,CMPNT TIB KN STD RT SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,272758,LINER HIP 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,272759,INSERT HIP RSTR 28X54MM,4606.0,4606.0,690.9,4606.0,30
CDM,272760,COMPNT FEM KN LT SZ3,6644.0,6644.0,996.6,6644.0,30
CDM,272761,INSERT TIB KN SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,272762,INSERT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272763,INSERT TIB KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,272764,INSERT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272765,NAIL LNG 125D 11X360MM,7233.0,7233.0,1084.95,7233.0,30
CDM,272767,PLATE BN TI 3HL,4429.0,4429.0,664.35,4429.0,30
CDM,272768,SCREW BN 2.4MM 16MM TI L,2232.0,2232.0,334.8,2232.0,30
CDM,272769,SCREW BN 2.4MM 18MM,2232.0,2232.0,334.8,2232.0,30
CDM,272770,SCREW BN 2.4X20MM,2232.0,2232.0,334.8,2232.0,30
CDM,272771,SCREW BN 2.4X18MM TI LOP,2232.0,2232.0,334.8,2232.0,30
CDM,272772,SCREW BN 2.4MM 22MM,2232.0,2232.0,334.8,2232.0,30
CDM,272773,SCREW BN LOCK 3.5X14MM,1356.0,1356.0,203.4,1356.0,30
CDM,272774,SCREW BN 3.5MM 16MM,1754.0,1754.0,263.1,1754.0,30
CDM,272775,SCREW BN 3.5MM 14MM,957.0,957.0,143.55,957.0,30
CDM,272776,SCREW BN 3.5MM 16MM,957.0,957.0,143.55,957.0,30
CDM,272777,BIT DRILL 2.5MM,773.0,773.0,115.95,773.0,42
CDM,272778,BIT DRILL STRL 1.7MM,808.5,808.5,121.28,808.5,42
CDM,272781,INSERT TIB KN SZ6+,4606.0,4606.0,690.9,4606.0,30
CDM,272782,PLATE BN 4HL 86MM,3721.0,3721.0,558.15,3721.0,30
CDM,272784,PLATE SPN 2 LVL 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,272785,BASEPLATE TIB KN SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,272786,INSERT TIB KN SZ6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272787,STM FEM SZ6 VRUS LNG NK,11073.0,11073.0,1660.95,11073.0,30
CDM,272788,INS TIB 4+ 14MM CS LT,4429.0,4429.0,664.35,4429.0,30
CDM,272789,INSERT TIB F LAT & TRIAL,4429.0,4429.0,664.35,4429.0,30
CDM,272790,HEAD FEM OPTN TYPE1 +6MM,1170.0,1170.0,175.5,1170.0,30
CDM,272791,STEM FEM KN 15MM 220MM,4606.0,4606.0,690.9,4606.0,30
CDM,272792,WEDGE FEM KN 10X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,272793,STEM FEM KN 14X220MM,4606.0,4606.0,690.9,4606.0,30
CDM,272794,AUGMENT TIB KN 34MM 51MM,10641.0,10641.0,1596.15,10641.0,30
CDM,272795,GWIRE ORTH 3MM 70CM,972.5,972.5,145.88,972.5,42
CDM,272796,NAIL BN 10MM 32CM,4872.0,4872.0,730.8,4872.0,30
CDM,272797,SCREW BN 6MM 75MM,2073.0,2073.0,310.95,2073.0,30
CDM,272798,SCREW BN 6MM 45MM,2073.0,2073.0,310.95,2073.0,30
CDM,272799,SCREW BN 3.5MM 25MM,2073.0,2073.0,310.95,2073.0,30
CDM,272800,PLATE BN MESH 40X40X43MM,5213.0,5213.0,781.95,5213.0,30
CDM,272801,CMPNT TIB KN SZ8,4872.0,4872.0,730.8,4872.0,30
CDM,272802,SURFACE ARTC SZCH 58X40,4606.0,4606.0,690.9,4606.0,30
CDM,272803,CMPNT FEM CR-FLEX D-LT,9301.0,9301.0,1395.15,9301.0,30
CDM,272804,PLATE BN LT 2H 91MM,6678.0,6678.0,1001.7,6678.0,30
CDM,272806,STEM FEM HIP 9MM 117MM,10630.0,10630.0,1594.5,10630.0,30
CDM,272807,INSERT KN LT 3+ 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272808,HEAD CERAMIC HIP,4606.0,4606.0,690.9,4606.0,30
CDM,272809,NECK FEM PRFMR LNG HIP M,4428.0,4428.0,664.2,4428.0,30
CDM,272810,FILLER BN CA PHOS 10ML,11174.0,11174.0,1676.1,11174.0,30
CDM,272811,SCREW BN 7MM 55MM TI COR,4429.0,4429.0,664.35,4429.0,30
CDM,272817,SCREW BN 4MM 24MM,368.0,368.0,55.2,368.0,30
CDM,272818,COMPNT ATTNE RP BASE SZ7,4651.0,4651.0,697.65,4651.0,30
CDM,272819,CMPNT FEM KN RT SZ7,5094.0,5094.0,764.1,5094.0,30
CDM,272820,CMPNT PTLR KN 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,272821,INSERT TIB 7 8MM PST STB,4606.0,4606.0,690.9,4606.0,30
CDM,272822,CUP ACTB PNCL 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,272823,INSERT FEM HIP 36X56MM,4872.0,4872.0,730.8,4872.0,30
CDM,272826,CMPNT PTLR KN 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,272827,INSERT TIB KN SZ8 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,272828,PIN ACTB HIP 66MM,4606.0,4606.0,690.9,4606.0,30
CDM,272829,CUP ACTB +4 S 66X44,4429.0,4429.0,664.35,4429.0,30
CDM,272832,COMPNT FEM LT KN SZ8,5094.0,5094.0,764.1,5094.0,30
CDM,272833,INSERT KN PS RP SZ8 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,272834,CMPNT FEM KN SZ8,5094.0,5094.0,764.1,5094.0,30
CDM,272835,CMPNT PTLR KN 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,272836,SHELL ACTB HIP 60MM,8932.0,8932.0,1339.8,8932.0,30
CDM,272837,CMPNT GLND 52 AFFINI PEG,6187.0,6187.0,928.05,6187.0,30
CDM,272838,STEM HUM 132.5D 94MM,10630.0,10630.0,1594.5,10630.0,30
CDM,272839,HEAD HUM SHLDR 23MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,272840,CMPNT PTLA KN 10X37MM,4252.0,4252.0,637.8,4252.0,30
CDM,272841,COMPNT KN TIB F 79MM,4606.0,4606.0,690.9,4606.0,30
CDM,272842,CMPNT KN FEM RT 70MM,7087.0,7087.0,1063.05,7087.0,30
CDM,272843,BEARING TIB 10X79/83,4606.0,4606.0,690.9,4606.0,30
CDM,272844,CMPNT TIB KN RT SZC,5647.0,5647.0,847.05,5647.0,30
CDM,272845,CMPNT KN BRNG RT MED 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,272846,SPACER SPN 33X12X8MM 6D,11073.0,11073.0,1660.95,11073.0,30
CDM,272847,CMPNT PATELLA 3PG 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,272848,CMPNT FEM 3.5LT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
CDM,272849,CMPNT TIBTRY 3.5 FIT CMN,5315.0,5315.0,797.25,5315.0,30
CDM,272850,INSERT TIB LOGIC 3.5 11M,4429.0,4429.0,664.35,4429.0,30
CDM,272851,SCREW CANC SS 6.5X55X16,559.0,559.0,83.85,559.0,30
CDM,272852,SCREW BN 6.5MM 60MM,559.0,559.0,83.85,559.0,30
CDM,272853,CUP ACTB 52 PNCL GRPTN 1,4606.0,4606.0,690.9,4606.0,30
CDM,272855,INSERT ARTC KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,272857,RING ANLPLS TRCSD 32MM,8067.0,8067.0,1210.05,8067.0,30
CDM,272859,COMPNT FEM KN RT SZ9,5094.0,5094.0,764.1,5094.0,30
CDM,272860,BASEPLATE ATTNE TIB SZ8,4651.0,4651.0,697.65,4651.0,30
CDM,272861,INSERT KN TIB SZ9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,272862,COMPNT GLND AFFNITI 44MM,6187.0,6187.0,928.05,6187.0,30
CDM,272863,HEAD HUM SHLDR 43X16MM,9661.0,9661.0,1449.15,9661.0,30
CDM,272864,STEM HUM SHLDR 78MM,10630.0,10630.0,1594.5,10630.0,30
CDM,272865,IMPLANT SPN PLVC 7X60MM,14027.0,14027.0,2582.37,14027.0,26
CDM,272866,STEM FEM HIP SZ6,7995.0,7995.0,1199.25,7995.0,30
CDM,272867,HEAD FEM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,272868,INSERT TIB KN SZ3 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,272869,INSERT TIB KN SZ4 17.5MM,5094.0,5094.0,764.1,5094.0,30
CDM,272870,SCREW BN 6.5MM 35MM,833.0,833.0,124.95,833.0,30
CDM,272871,LINER ACTB HIP 28X48,4429.0,4429.0,664.35,4429.0,30
CDM,272872,PLATE RGD MESH 40X40X43,6161.0,6161.0,924.15,6161.0,30
CDM,272874,CMPNT PTLA KN 10MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,272875,BUTTON SUT 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,272876,NAIL FEM 12MM 320MM,7105.0,7105.0,1065.75,7105.0,30
CDM,272877,NAIL BN 7MM 9.5MM 255MM,8504.0,8504.0,1275.6,8504.0,30
CDM,272878,SCREW BN 4.5MM 36MM,2991.0,2991.0,448.65,2991.0,30
CDM,272879,SCREW BN 4.5MM 34MM,2991.0,2991.0,448.65,2991.0,30
CDM,272883,EXPANDER TISS 275CC,6511.0,6511.0,976.65,6511.0,30
CDM,272884,SPACER SPN 12X33MM 6,11073.0,11073.0,1660.95,11073.0,30
CDM,272885,COMPNT FEM AUG RT KN 4MM,4252.0,4252.0,637.8,4252.0,30
CDM,272887,SCRAPER MEMB DISP 25+,1103.5,1103.5,165.53,1103.5,42
CDM,272888,STENT TRCHBR 18MM 60MM,10187.0,10187.0,1528.05,10187.0,30
CDM,272889,INSERT KN RT SZ8 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272890,CMPNT TIB KN KLD RT SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,272891,ANCHOR SUT 2.9MM 12.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,272892,STEM FEM 127MM 16MM STR,10037.0,10037.0,1505.55,10037.0,30
CDM,272893,STEM TIB KN 30MM 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,272894,FILLER SPN OST GRAN 2.5C,4185.0,4185.0,627.75,4185.0,30
CDM,272897,INSERT TIB KN SZ6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,272898,SCREW BN 6.5X30MM,1323.0,1323.0,198.45,1323.0,30
CDM,272899,SHELL ACTB HIP HEMI 64MM,9536.0,9536.0,1430.4,9536.0,30
CDM,272900,COMPNT FEM NAR KN RT SZ6,5094.0,5094.0,764.1,5094.0,30
CDM,272901,INSERT TIB KN SZ6 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,272902,GRAFT ALGRF PUTTY 5CC,4429.0,4429.0,664.35,4429.0,30
CDM,272903,PASSER SUTURE 90D,1146.0,1146.0,171.9,1146.0,42
CDM,272905,INSERT TIB KN 14MM,14095.0,14095.0,2114.25,14095.0,30
CDM,272906,PIN FX KN XS/SM,4252.0,4252.0,637.8,4252.0,30
CDM,272907,PLATE BN 6H 113MM,3721.0,3721.0,558.15,3721.0,30
CDM,272908,CABLE GRIP MED 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,272909,SCREW RECON CRV 2.3MM,8882.0,8882.0,1332.3,8882.0,30
CDM,272910,TEMPLT BEND RECON DISP,2192.0,2192.0,328.8,2192.0,42
CDM,272913,IMPLANT OPTH 350MMSQ,3721.0,3721.0,558.15,3721.0,30
CDM,272914,PLATE BN 130D 2HL 47MM,3704.0,3704.0,555.6,3704.0,30
CDM,272915,SCREW BN 13MM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,272916,PLATE STRNL LCK 7HL MINI,3721.0,3721.0,558.15,3721.0,30
CDM,272917,STEM FEM HIP 147MM,8858.0,8858.0,1328.7,8858.0,30
CDM,272918,COMPNT FEM 3 RT KN PST,7973.0,7973.0,1195.95,7973.0,30
CDM,272919,COMPNT LGIC FIT TIB SZ3F,5315.0,5315.0,797.25,5315.0,30
CDM,272920,CMPNT PTLA KN 3PEG 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,272921,INSRT TIB 3 PST STB LGC,4429.0,4429.0,664.35,4429.0,30
CDM,272922,CMPNT KN FEM LT 60MM,6644.0,6644.0,996.6,6644.0,30
CDM,272923,CMPNT PTLA 3PEG ASY31X8,4252.0,4252.0,637.8,4252.0,30
CDM,272924,COMPNT KN TIB F 67MM,4606.0,4606.0,690.9,4606.0,30
CDM,272925,BEARING TIB 12X63/67,4606.0,4606.0,690.9,4606.0,30
CDM,272926,CMPNT FEM KN SZ6,5094.0,5094.0,764.1,5094.0,30
CDM,272927,BASEPLATE TIB ATTUNE 6RP,4651.0,4651.0,697.65,4651.0,30
CDM,272928,INSERT TIB KN SZ6 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,272929,INSERT KN TIB SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,272931,CMPNT PTLR KN 3PG 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,272932,COMPNT FEM 4 RT KN PST S,7973.0,7973.0,1195.95,7973.0,30
CDM,272933,COMPNT TIB KN SZ4 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,272934,INSRT TIB 4 PST STB LOGC,4429.0,4429.0,664.35,4429.0,30
CDM,272935,CMPNT KN FEM RT 62.5MM,7087.0,7087.0,1063.05,7087.0,30
CDM,272936,BEARING KN KN71/75X16,4606.0,4606.0,690.9,4606.0,30
CDM,272937,COMPNT FEM 4 LT KN PST,7973.0,7973.0,1195.95,7973.0,30
CDM,272938,INSERT ACTB HIP 0D 36MM,4872.0,4872.0,730.8,4872.0,30
CDM,272939,SCREW BN SPN 6.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,272940,SCREW BN SPN 7.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,272941,PLUG SPNL LCK PLRS,753.0,753.0,112.95,753.0,30
CDM,272942,ROD SPN 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,272943,SCREW BN SPN 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,272944,KIT BNGF 5CC 7GA,4340.0,4340.0,651.0,4340.0,30
CDM,272945,SET CABLE ORTHO 2.0MM,4429.0,4429.0,664.35,4429.0,30
CDM,272946,INSERT ARTC 6-9 E-F 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,272947,COMPNT PRSN 3-5 LT KN 10,4606.0,4606.0,690.9,4606.0,30
CDM,272948,LIGHT FBROP WIDE/FLAT,2251.0,2251.0,337.65,2251.0,42
CDM,272949,GRAFT BN CORT 15ML,10435.0,10435.0,1565.25,10435.0,30
CDM,272950,COMP PTLR TRI X3 9X31MM,4252.0,4252.0,637.8,4252.0,30
CDM,272951,COMPNT PTLR TRI X3 8X29,4252.0,4252.0,637.8,4252.0,30
CDM,272952,INSERT TIB KN SZ7 3 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,272953,CMPNT TIB INS 1-2 9 RT,4606.0,4606.0,690.9,4606.0,30
CDM,272954,INSERT TIB KN 12MM SZ5,4429.0,4429.0,664.35,4429.0,30
CDM,272956,COMPNT PTLR KN 11X39MM,4252.0,4252.0,637.8,4252.0,30
CDM,272957,RING ANLPLS TRCSD 30MM,8067.0,8067.0,1210.05,8067.0,30
CDM,272958,HEAD FEM HP 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,272959,STEM KN FEM SP EXT 16X80,5054.0,5054.0,758.1,5054.0,30
CDM,272960,CMPNT TIB TRAY 87,7888.0,7888.0,1183.2,7888.0,30
CDM,272961,WEDGE KN CRCTE AUG LG,4252.0,4252.0,637.8,4252.0,30
CDM,272962,CMPNT PTLA 3PG ASY34X8.5,4252.0,4252.0,637.8,4252.0,30
CDM,272963,CMPNT KN FEM RT 72.5MM,7087.0,7087.0,1063.05,7087.0,30
CDM,272964,BEARING KN PS 87/91X12,4606.0,4606.0,690.9,4606.0,30
CDM,272965,STEM FEM HIP 139MM,7995.0,7995.0,1199.25,7995.0,30
CDM,272966,CMPNT KN LT SZ4,6312.0,6312.0,946.8,6312.0,30
CDM,272967,CMPNT SHLDR 127.5D 86MM,12432.0,12432.0,1864.8,12432.0,30
CDM,272968,BEARING KN 71/75MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,272969,INSRT TIB 4 PST STB LOGI,4429.0,4429.0,664.35,4429.0,30
CDM,272970,INSRT TIB 4 PST STB LGC,4429.0,4429.0,664.35,4429.0,30
CDM,272971,SCREW BN 10.5MM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,272972,DEVICE WNDCLS 15CM SZ0,917.5,917.5,137.63,917.5,42
CDM,272973,INSERT TIB KN 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,272974,HEAD HUM 18MM 52MM SHLDR,5944.0,5944.0,891.6,5944.0,30
CDM,272975,INSERT ARTC 10-12 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,272976,GRAFT ALGRF PUTTY 1CC,3189.0,3189.0,478.35,3189.0,30
CDM,272977,SPACER SPNL 50X18X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,272978,K-WIRE BLUNT,386.5,386.5,57.98,386.5,42
CDM,272979,EVOLUTIONMP FEM CS/CR NO,6644.0,6644.0,996.6,6644.0,30
CDM,272980,BASEPLATE TIB KN SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,272981,INSERT TIB KN SZ8 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,272983,DRILL SURG 43MM,880.5,880.5,132.07,880.5,42
CDM,272984,STEM FEM HIP SZ4 143MM,7995.0,7995.0,1199.25,7995.0,30
CDM,272985,SEMITENDINOSUS/GRACILIS,4496.0,4496.0,674.4,4496.0,30
CDM,272986,STEM HUM SHLDR132.5D82MM,9744.0,9744.0,1461.6,9744.0,30
CDM,272987,HEAD HUM ASC FLX 46X17MM,4872.0,4872.0,730.8,4872.0,30
CDM,272988,HEAD HUM SHLDR 19MM 52MM,9661.0,9661.0,1449.15,9661.0,30
CDM,272989,STEM HIP SZ6 30X120MM,6201.0,6201.0,930.15,6201.0,30
CDM,272990,CMPNT TIB KN RT SZ B,5647.0,5647.0,847.05,5647.0,30
CDM,272991,CMPNT BEARING RT MED 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,272992,COMPNT OXFRD UNI SZB,5647.0,5647.0,847.05,5647.0,30
CDM,272993,CMPNT KN BRNG LT MED 3MM,4606.0,4606.0,690.9,4606.0,30
CDM,272997,HOOK SPN 6.35MM,3012.0,3012.0,451.8,3012.0,30
CDM,273001,PLATE BN SB/TMP 21X33X37,5980.0,5980.0,897.0,5980.0,30
CDM,273002,COMPNT FEM KN SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,273003,BEARING 71/75MMX10MM,4429.0,4429.0,664.35,4429.0,30
CDM,273004,STEM FEM KN 12MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,273005,CMPNT FEM KN RT 68X58,35849.0,35849.0,5377.35,35849.0,30
CDM,273006,WEDGE KN AUG 15MM SZD,4892.0,4892.0,733.8,4892.0,30
CDM,273007,INSERT ARTC KN 70X40X20,7858.0,7858.0,1178.7,7858.0,30
CDM,273011,COMPNT AGMNT LT 2.5X8MM,4252.0,4252.0,637.8,4252.0,30
CDM,273012,INSERT EVOLUTIONMP ADAPT,4606.0,4606.0,690.9,4606.0,30
CDM,273013,LINER FEM HIP 32X54MM,4429.0,4429.0,664.35,4429.0,30
CDM,273014,BASEPLATE TIB ATTNE 4 RP,4651.0,4651.0,697.65,4651.0,30
CDM,273015,INSERT TIB PST SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,273018,INSERT TIB KN SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,273019,TRAY TIB 3.5 FIT CEM,6400.0,6400.0,960.0,6400.0,30
CDM,273020,INSERT TIB 3.5 13MM PST,4429.0,4429.0,664.35,4429.0,30
CDM,273021,CMPNT KN FEM LT 62.5MM,6644.0,6644.0,996.6,6644.0,30
CDM,273022,BEARING KN 63/67X16MM,4606.0,4606.0,690.9,4606.0,30
CDM,273023,BEARING KN 63-67X14MM,4606.0,4606.0,690.9,4606.0,30
CDM,273024,CMPNT PTLA 3PEG ASY28X8,4252.0,4252.0,637.8,4252.0,30
CDM,273025,CMPNT KN FEM RT 65MM,7087.0,7087.0,1063.05,7087.0,30
CDM,273026,INSERT TIB 1 9MM 3X,4606.0,4606.0,690.9,4606.0,30
CDM,273027,CMPNT TIB KN LEFT,5647.0,5647.0,847.05,5647.0,30
CDM,273028,CMPNT KN BRNG LT MED 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,273029,STEM FEM HIP STD SZ1,8858.0,8858.0,1328.7,8858.0,30
CDM,273030,GRAFT ST TISS 6CM 9CM,13908.0,13908.0,2086.2,13908.0,30
CDM,273031,ANCHOR SUT 2.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,273032,BIT DRILL 2.3MM,1432.5,1432.5,214.88,1432.5,42
CDM,273034,FILLER OSTEO AMP CGE 5CC,4429.0,4429.0,664.35,4429.0,30
CDM,273035,SPACER SPN 27X12X11MM 6D,11073.0,11073.0,1660.95,11073.0,30
CDM,273037,SPCR SPNL ACIS 16X8X15MM,4429.0,4429.0,664.35,4429.0,30
CDM,273038,COMPNT RT KN 2 60X56MM,6423.0,6423.0,963.45,6423.0,30
CDM,273039,INSERT TIB2 FX KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,273041,CMPNT FEM KN LT SZ5,5094.0,5094.0,764.1,5094.0,30
CDM,273042,INSERT TIB KN 5 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,273043,CMPNT TIBTRY 3F 4T FIT,6400.0,6400.0,960.0,6400.0,30
CDM,273044,INSRT TIB 3 PST STB LGC,4429.0,4429.0,664.35,4429.0,30
CDM,273045,COMPONENT FEM KN SZ10,5094.0,5094.0,764.1,5094.0,30
CDM,273046,INSERT TIB KN SZ10 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,273047,CMPNT KN FEM LT 67.5MM,7087.0,7087.0,1063.05,7087.0,30
CDM,273048,BEARING KN 79/83MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,273049,STEM SHLDR 132.5D 86MM,9744.0,9744.0,1461.6,9744.0,30
CDM,273050,COMPNT AGMNT 2.5X4MM RT,4252.0,4252.0,637.8,4252.0,30
CDM,273051,INS TIB 2.5X17.5 KN ROT,4429.0,4429.0,664.35,4429.0,30
CDM,273052,CUP ACTB HIP 70MM,8491.0,8491.0,1273.65,8491.0,30
CDM,273053,LINER ACTB HIP +4X64MM,6644.0,6644.0,996.6,6644.0,30
CDM,273054,PROTECTOR NRV 3.5X40MM,12628.0,12628.0,1894.2,12628.0,30
CDM,273055,DEVICE BLNDL 6MM 20MM,7459.5,7459.5,1118.92,7459.5,42
CDM,273056,SCREW BN 5MM 22MM,399.0,399.0,59.85,399.0,30
CDM,273057,SCREW BN 5MM 28MM,2092.0,2092.0,313.8,2092.0,30
CDM,273058,SCREW BN 3.5MM 34MM,2092.0,2092.0,313.8,2092.0,30
CDM,273059,SCREW BN 3.5MM 40MM,399.0,399.0,59.85,399.0,30
CDM,273060,SCREW BN 3.5MM 44MM,399.0,399.0,59.85,399.0,30
CDM,273061,SCREW BN 3.5MM 50MM,399.0,399.0,59.85,399.0,30
CDM,273062,PLATE BN LG 15F 317MM,4872.0,4872.0,730.8,4872.0,30
CDM,273063,BIT DRILL 4.3MM 195MM,1154.5,1154.5,173.18,1154.5,42
CDM,273065,NAIL BN 10MM 38CM,6201.0,6201.0,930.15,6201.0,30
CDM,273066,COMPNT PTLR KN 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,273070,INSERT KN PS RP SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,273071,INSERT ARTC LT KN 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,273074,INSERT ARTC 10-12 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,273075,CMPNT FEM 6 LT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
CDM,273076,CMPNT TIBTRY 6F FIT CMNT,5315.0,5315.0,797.25,5315.0,30
CDM,273077,INSERT TIB 6 THK11MM FEM,4429.0,4429.0,664.35,4429.0,30
CDM,273078,CMPNT FEM 6 RT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
CDM,273079,STEM FEM CMNTLS POLR HA7,8858.0,8858.0,1328.7,8858.0,30
CDM,273081,INSRT TIB 5 POST STAB LG,4429.0,4429.0,664.35,4429.0,30
CDM,273082,CMPNT TIB KN SZ5/4T,5315.0,5315.0,797.25,5315.0,30
CDM,273083,COMPNT FEM 5 LT KN,7973.0,7973.0,1195.95,7973.0,30
CDM,273084,HEAD HUM SHLDR 19MM 50MM,4872.0,4872.0,730.8,4872.0,30
CDM,273085,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,273087,STENT THOR AOR 10CM 26MM,61040.0,61040.0,9156.0,61040.0,30
CDM,273088,SCREW BN SPN 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,273089,PLATE BN 2H 58MM 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,273090,INSERT TIB KN SZ8 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,273091,COMP FEM KN RT SZ-5N,5094.0,5094.0,764.1,5094.0,30
CDM,273092,STEM FEM HIP LAT SZ4,11073.0,11073.0,1660.95,11073.0,30
CDM,273094,INSERT ARTC 6-9 G-H 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,273096,GRAFT STNT 34MM 150MM,59046.0,59046.0,8856.9,59046.0,30
CDM,273097,COMPNT AGMNT 4X8 DIST LT,4252.0,4252.0,637.8,4252.0,30
CDM,273098,TRAY TIB OFST SZ3 LTRL,7567.0,7567.0,1135.05,7567.0,30
CDM,273099,IMPLANT SPN PLVC 7X55MM,14027.0,14027.0,2582.37,14027.0,26
CDM,273100,KNEE TIB KLD ETPKN8PL,4606.0,4606.0,690.9,4606.0,30
CDM,273101,HEAD FEM -3.5MM 32MM HIP,4606.0,4606.0,690.9,4606.0,30
CDM,273102,LINER ACTB HIP +4 52X32,6644.0,6644.0,996.6,6644.0,30
CDM,273107,SLEEVE CNTRNG HIP 34MM,6243.0,6243.0,936.45,6243.0,30
CDM,273108,COMPNT FEM KN 62X66MM,15352.0,15352.0,2302.8,15352.0,30
CDM,273109,INSERT LPS UNIV SM 12MM,14095.0,14095.0,2114.25,14095.0,30
CDM,273110,SHELL HIP 0D 52X52MM,8932.0,8932.0,1339.8,8932.0,30
CDM,273112,SCREW BN 5MM 60MM HIP,877.0,877.0,131.55,877.0,30
CDM,273113,CMPNT FEM HIP SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,273114,BSPLT TIB ADV2 KTTINP51,5599.0,5599.0,839.85,5599.0,30
CDM,273115,INS TIB SZ8/5 10MM KN RT,4606.0,4606.0,690.9,4606.0,30
CDM,273116,INSERT TIB KN SZ 8 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,273117,CMPNT TIB KN SZA,5647.0,5647.0,847.05,5647.0,30
CDM,273118,CMPNT BEARING LT SM 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,273119,INSERT KN SZ6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,273121,SCREW BN 3.5MM 16MM,282.0,282.0,42.3,282.0,30
CDM,273123,SCREW BN LCK 3.5MM 10MM,1579.0,1579.0,236.85,1579.0,30
CDM,273124,SCREW BN LCK 3.5MM 12MM,1579.0,1579.0,236.85,1579.0,30
CDM,273125,SCREW BN 3.5MM 18MM,2073.0,2073.0,310.95,2073.0,30
CDM,273126,SCREW BN CORT 3.5X20,2073.0,2073.0,310.95,2073.0,30
CDM,273129,GWIRE ORTH DISP,232.0,232.0,34.8,232.0,42
CDM,273131,K-WIRE ANCHOR LATERAL,386.5,386.5,57.98,386.5,42
CDM,273132,BLADE SHVR 7CM 2.9MM,695.5,695.5,104.33,695.5,42
CDM,273134,SLEEVE HUM SHLDR 11MM,4252.0,4252.0,637.8,4252.0,30
CDM,273135,SCREW BN 4.75MM 25MM,877.0,877.0,131.55,877.0,30
CDM,273136,STEM HUM SHLDR 10X122MM,10984.0,10984.0,1647.6,10984.0,30
CDM,273137,INSERT TIB KN SZ 5 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,273138,STENT EPRSTH 40MM 20CM,57291.0,57291.0,8593.65,57291.0,30
CDM,273139,ROD SPN PRLRD 65MM 5.5MM,2630.0,2630.0,394.5,2630.0,30
CDM,273140,PLATE BN 5HL 3.5MM,7051.0,7051.0,1057.65,7051.0,30
CDM,273141,INSERT KN SZ3 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,273143,INSRT TIB5 H15 STAB XLNK,4429.0,4429.0,664.35,4429.0,30
CDM,273144,INSERT TIB KN SZ4 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,273145,CMPNT FEM KN RT SZ4,5094.0,5094.0,764.1,5094.0,30
CDM,273146,CABLE DALL MLES GRIP 2MM,4429.0,4429.0,664.35,4429.0,30
CDM,273148,STENT EPRSTH 37MM 15CM,57291.0,57291.0,8593.65,57291.0,30
CDM,273150,POST TIB E-POLY 71/75X14,4606.0,4606.0,690.9,4606.0,30
CDM,273151,SCREW BN CANC 4X16X5MM,341.0,341.0,51.15,341.0,30
CDM,273152,SCREW BN CANC 4X26X10MM,341.0,341.0,51.15,341.0,30
CDM,273153,INSERT HUM 15MM 29MM,4606.0,4606.0,690.9,4606.0,30
CDM,273154,SPHERE GLND SHLDR 36MM,8858.0,8858.0,1328.7,8858.0,30
CDM,273155,INSERT SHLDR +6 36MM,4428.0,4428.0,664.2,4428.0,30
CDM,273156,TRAY REV SHLDR +0 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,273157,STEM HUM SHLDR 74MM,9744.0,9744.0,1461.6,9744.0,30
CDM,273158,SCREW BN 4.5MM 20MM,906.0,906.0,135.9,906.0,30
CDM,273159,SCREW BN 4.5MM 29MM,906.0,906.0,135.9,906.0,30
CDM,273161,SCREW BLACKBIRD 3.5X22,4429.0,4429.0,664.35,4429.0,30
CDM,273162,SCREW BLACKBIRD 3.5X14,3765.0,3765.0,564.75,3765.0,30
CDM,273163,SCREW SET SPN,753.0,753.0,112.95,753.0,30
CDM,273164,ROD SPN 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,273166,SCREW BN SPN 4.5MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,273167,BASEPLATE TIB ATTUNE 5RP,4651.0,4651.0,697.65,4651.0,30
CDM,273168,INSERT TIB KN SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,273169,INSERT ART KN 3-4-5 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,273170,BASEPLATE TIB KN SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,273171,PLATE BN RT 5HL 99MM,3816.0,3816.0,572.4,3816.0,30
CDM,273172,INSERT TIB KN RTSZ8 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,273173,CMPNT FEM KN LT NAR SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,273174,INSERT KN 6-9 EF 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,273175,INSERT KN TIB SZ5 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,273176,INSERT KN TIB SZ7 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,273178,NAIL BN 10MM 36CM,6201.0,6201.0,930.15,6201.0,30
CDM,273179,SCREW BN 10.5MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,273181,INSERT TIB KN SZ2.5 10MM,5094.0,5094.0,764.1,5094.0,30
CDM,273182,NAIL RECON 13 400LT,6597.0,6597.0,989.55,6597.0,30
CDM,273183,SCRW3 TI PA 6.5 X 65 MM,4429.0,4429.0,664.35,4429.0,30
CDM,273184,CMPNT FEM KN TWN PEG XS,5758.0,5758.0,863.7,5758.0,30
CDM,273185,CMPNT BEARING RT XSM 3MM,4651.0,4651.0,697.65,4651.0,30
CDM,273186,CMPNT FEM KN XS,41041.0,41041.0,6156.15,41041.0,30
CDM,273187,STEM FEM KN 24MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,273188,ADAPTER SLV KN +10MM,3734.0,3734.0,560.1,3734.0,30
CDM,273189,CMPNT KN SEG 25MM,7494.0,7494.0,1124.1,7494.0,30
CDM,273190,INSRT TIB HNG SM 23MM,14095.0,14095.0,2114.25,14095.0,30
CDM,273191,STEM HUM SHLDR 83MM 10MM,11959.0,11959.0,1793.85,11959.0,30
CDM,273192,STEM FEM HIP SZ12 135MM,11073.0,11073.0,1660.95,11073.0,30
CDM,273193,STEM FEM HIP 16MM 150MM,9977.0,9977.0,1496.55,9977.0,30
CDM,273194,BODY CONE HIP STD 60MM,16725.0,16725.0,2508.75,16725.0,30
CDM,273195,CONE FEM HIP B SZ60MM,16725.0,16725.0,2508.75,16725.0,30
CDM,273196,STEM FEM HIP 17MM 150MM,9977.0,9977.0,1496.55,9977.0,30
CDM,273197,REAMER TREPH 11MM,1277.5,1277.5,191.63,1277.5,42
CDM,273198,REAMER TREPH 12.5MM,1359.0,1359.0,203.85,1359.0,42
CDM,273199,REAMER TREPH 14MM,1277.5,1277.5,191.63,1277.5,42
CDM,273200,REAMER TREPH 15.5MM,1359.0,1359.0,203.85,1359.0,42
CDM,273201,REAMER TREPH 17.0MM,1277.5,1277.5,191.63,1277.5,42
CDM,273202,REAMER TREPH 18.5MM,5500.0,5500.0,825.0,5500.0,42
CDM,273218,INSERT X3 TRHN SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,273219,INSERT ART KN 3-4-5 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,273220,BASEPLATE TIB KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,273221,INSERT TIB KN RT 6+ 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,273222,SCREW BN BSPLT 4.5X26MM,1633.0,1633.0,244.95,1633.0,30
CDM,273223,COMP AGMT SZ5/H8MM RT,4252.0,4252.0,637.8,4252.0,30
CDM,273224,NAIL BN KIT R1/5 11X300,8769.0,8769.0,1315.35,8769.0,30
CDM,273225,KIT DIST BICEP 7MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,273226,COMP FEM KN RT SZ5,5094.0,5094.0,764.1,5094.0,30
CDM,273227,SCREW BN 9MM 50MM XPDM T,4340.0,4340.0,651.0,4340.0,30
CDM,273229,LENS IOL +20.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,273231,SCREW SPN 8.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,273232,ROD SPN 5.5/6.0,2711.0,2711.0,406.65,2711.0,30
CDM,273233,SCREW BN 9.5X80MM SOLERA,4429.0,4429.0,664.35,4429.0,30
CDM,273234,CMPNT FEM KN 6 LT,5094.0,5094.0,764.1,5094.0,30
CDM,273235,INSERT TIB KN SZ7 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,273236,INSERT TIB 6 13MM PST ST,4429.0,4429.0,664.35,4429.0,30
CDM,273237,ROD SPN CNTOR 5.5X125MM,2711.0,2711.0,406.65,2711.0,30
CDM,273238,HEAD HIP -5MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,273239,LINER ACTB HIP 56MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,273240,INSERT KN PS RP SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,273241,STEM FEM HIP 136MM,8416.0,8416.0,1262.4,8416.0,30
CDM,273242,PLATE SPN 3LV 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,273243,PLATE BN STD 4HL,3408.0,3408.0,511.2,3408.0,30
CDM,273245,SCREW BN 3.5MM 11MM,1244.0,1244.0,186.6,1244.0,30
CDM,273246,SCREW BN 3.5MM 12MM,1244.0,1244.0,186.6,1244.0,30
CDM,273247,SCREW BN 3.5MM 14MM,1244.0,1244.0,186.6,1244.0,30
CDM,273248,PEG FX LCK 2X21MM,1244.0,1244.0,186.6,1244.0,30
CDM,273249,PEG LCK SMTH 2X22MM,1244.0,1244.0,186.6,1244.0,30
CDM,273250,PEG LCK SMOOTH 2X23MM,1435.0,1435.0,215.25,1435.0,30
CDM,273251,PEG FX 2MM 24MM,1435.0,1435.0,215.25,1435.0,30
CDM,273252,PEG HI-COMP LCK 2.7X24MM,1356.0,1356.0,203.4,1356.0,30
CDM,273253,KWIRE FX 1.5MM 127MM,231.5,231.5,34.73,231.5,42
CDM,273254,DRILL SURG DISP 2MM 40MM,386.5,386.5,57.98,386.5,42
CDM,273255,DRILL SURG DISP 2.5X40MM,232.0,232.0,34.8,232.0,42
CDM,273264,SPACER SPNL 55X18X14MM,13952.0,13952.0,2092.8,13952.0,30
CDM,273267,CHARGER SPNL STIM EON,4385.5,4385.5,657.83,4385.5,42
CDM,273269,INSERT TIB 8 8MM KN POST,4606.0,4606.0,690.9,4606.0,30
CDM,273270,STEM FEM KN 20X115MM,4429.0,4429.0,664.35,4429.0,30
CDM,273271,CMPNT KN FEM LT 65MM,7087.0,7087.0,1063.05,7087.0,30
CDM,273272,PLATE BN LCK 2MMX3.5MM,7733.0,7733.0,1159.95,7733.0,30
CDM,273273,SCREW BN ANKL 3.5X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,273274,SCREW BN 3.5MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,273275,SCREW BN ANKL 3.5X24MM,3189.0,3189.0,478.35,3189.0,30
CDM,273276,SCREW BN 3.5X28,3189.0,3189.0,478.35,3189.0,30
CDM,273277,SCREW BN 3.5MM 28MM,2575.0,2575.0,386.25,2575.0,30
CDM,273279,KWIRE FX 150MM 1.6MM,417.5,417.5,62.63,417.5,42
CDM,273280,KWIRE FX 1.2MM 70MM,508.0,508.0,76.2,508.0,42
CDM,273282,COMPNT FEM 2 PST STB LOG,7973.0,7973.0,1195.95,7973.0,30
CDM,273283,TRY TIB LBC CMNT 2F/2T,5315.0,5315.0,797.25,5315.0,30
CDM,273284,IMPLNT TIB INSRT SZ2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,273286,SCREW BN NLCK 2.7MM 20MM,1180.0,1180.0,177.0,1180.0,30
CDM,273287,SCREW BN NLCK 3.5MM 16MM,991.0,991.0,148.65,991.0,30
CDM,273288,SCREW BN NLCK 2.7MM 22MM,1180.0,1180.0,177.0,1180.0,30
CDM,273289,SCREW BN LCK 2.7MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,273290,SCREW BN LCK 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,273291,INSERT TIB KN SZ5 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,273293,SLEEVE CNTRNG HIP 46MM,6243.0,6243.0,936.45,6243.0,30
CDM,273294,CMPNT AUG KN RT SZ5 4MM,4252.0,4252.0,637.8,4252.0,30
CDM,273295,SCREW BN 4.5MM 36MM,463.0,463.0,69.45,463.0,30
CDM,273296,SCREW BN 4.5MM 38MM,463.0,463.0,69.45,463.0,30
CDM,273297,PLATE 10 HL CRV BN,9523.0,9523.0,1428.45,9523.0,30
CDM,273298,GRAFT BN CORT FRZ 126MM,3765.0,3765.0,564.75,3765.0,30
CDM,273299,SPACER SPNL 26X24X14 5D,11073.0,11073.0,1660.95,11073.0,30
CDM,273300,CMPNT PTLR KN 3PEG 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,273301,RING ANLPLS TRCSD 28MM,8067.0,8067.0,1210.05,8067.0,30
CDM,273302,INSERT ARTC 10-12 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,273303,PLATE STRNM LCK 1.8MM 6H,3341.0,3341.0,501.15,3341.0,30
CDM,273304,PLATE BN NRW LT 3HL,3348.0,3348.0,502.2,3348.0,30
CDM,273305,PEG BN 2MM 14MM,1244.0,1244.0,186.6,1244.0,30
CDM,273306,PEG FX 2MM 16MM,1244.0,1244.0,186.6,1244.0,30
CDM,273307,PEG BN LCK 2.7MM 16MM,1435.0,1435.0,215.25,1435.0,30
CDM,273308,SCREW BN 3.5MM 10MM,1244.0,1244.0,186.6,1244.0,30
CDM,273309,SCREW BN 3.5X11MM,1244.0,1244.0,186.6,1244.0,30
CDM,273310,PLATE SPN 3LVL 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,273311,INSRT TIB8 7MM PSTSTBATN,4606.0,4606.0,690.9,4606.0,30
CDM,273312,CMPNT GLND DVO 48,6187.0,6187.0,928.05,6187.0,30
CDM,273313,HEAD HUM 17X46MM,9661.0,9661.0,1449.15,9661.0,30
CDM,273314,STEM HUM SHLDR 78MM,9744.0,9744.0,1461.6,9744.0,30
CDM,273315,SPACER SPN 33X12X12MM,11073.0,11073.0,1660.95,11073.0,30
CDM,273316,ROD CNCTR 5.5X6MM OPN,3012.0,3012.0,451.8,3012.0,30
CDM,273317,CATH SET 16FR 25CM LOOP,712.5,712.5,106.88,712.5,42
CDM,273318,SCREW BN 8MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,273319,STEM FEM HIP 10MM 119MM,10630.0,10630.0,1594.5,10630.0,30
CDM,273320,BSE TIB MOD TI SZ3 PLUS,5599.0,5599.0,839.85,5599.0,30
CDM,273321,INSERT ARTC KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,273322,INSERT TIB KN SZ4 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,273323,BASEPLATE TIB KN SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,273324,CMPNT FEM KN RT SZ2,7530.0,7530.0,1129.5,7530.0,30
CDM,273325,COMPNT FEM NPOR LT SZ2,7530.0,7530.0,1129.5,7530.0,30
CDM,273326,BASEPLATE TIB KN SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,273328,STEM FEM HIP SZ2 99MM,10630.0,10630.0,1594.5,10630.0,30
CDM,273329,STEM FIM 167 15 DIST BOW,11810.0,11810.0,1771.5,11810.0,30
CDM,273330,STEM FEM HIP 6276-8-216,11810.0,11810.0,1771.5,11810.0,30
CDM,273331,PLATE BN CRNMXF .6X100MM,11348.0,11348.0,1702.2,11348.0,30
CDM,273332,INSERT TIB KN XL 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,273333,MOLD SPCR HIP CMNT13X200,11716.0,11716.0,1757.4,11716.0,42
CDM,273334,ADAPTER HIP NK LGTH STD,1631.5,1631.5,244.72,1631.5,42
CDM,273335,ADAPTER HIP NK LGTH +6MM,1631.5,1631.5,244.72,1631.5,42
CDM,273337,STEM FEM HIP 27MM 93MM,9966.0,9966.0,1494.9,9966.0,30
CDM,273339,STEM FEM HIP 15MM 200MM,9977.0,9977.0,1496.55,9977.0,30
CDM,273340,SYSTEM THR 60MM ACS B HI,18310.0,18310.0,2746.5,18310.0,30
CDM,273341,HEAD FEM HIP 16/18 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,273344,PEG BN 2MM 19MM,1244.0,1244.0,186.6,1244.0,30
CDM,273345,PEG HI-COMP LCK 2.7X19MM,1356.0,1356.0,203.4,1356.0,30
CDM,273346,PEG BN 2.7MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,273347,PEG THRD LCK 2.3X19MM,1340.0,1340.0,201.0,1340.0,30
CDM,273348,PEG BN FX THRD 2.3X20MM,1340.0,1340.0,201.0,1340.0,30
CDM,273349,PEG BN THRD LCK 2.3X22MM,1435.0,1435.0,215.25,1435.0,30
CDM,273350,PEG BN N-LCK 2.7X18MM,1212.0,1212.0,181.8,1212.0,30
CDM,273351,PEG BN 2.7MM 21MM,1435.0,1435.0,215.25,1435.0,30
CDM,273352,WASHER BN BTN 2.7MM 5MM,638.0,638.0,95.7,638.0,30
CDM,273355,PLATE SPN ANT LMBR 24X15,3389.0,3389.0,508.35,3389.0,30
CDM,273357,SPACER SPNL 30X24X16 5D,11073.0,11073.0,1660.95,11073.0,30
CDM,273358,PLATE TIBPLT XS 26MM,8691.0,8691.0,1303.65,8691.0,30
CDM,273360,STEM FEM 127D SZ5 145MM,6201.0,6201.0,930.15,6201.0,30
CDM,273361,INSERT ARTC KN RT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,273362,CMPNT FEM KN LT SZ3,7530.0,7530.0,1129.5,7530.0,30
CDM,273363,BASEPLATE TIB KN SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,273368,PLATE BN STRNL 10H 1.8MM,3841.0,3841.0,576.15,3841.0,30
CDM,273369,INSERT HD HIP 3MM,1170.0,1170.0,175.5,1170.0,30
CDM,273371,BLOCK CORT 11X11X11MM,9966.0,9966.0,1494.9,9966.0,30
CDM,273373,NAIL BN 10MM 180MM,6573.0,6573.0,985.95,6573.0,30
CDM,273374,CAP END 0MM HNDFT XTND,3189.0,3189.0,478.35,3189.0,30
CDM,273375,SCREW BN 6MM 68MM,3189.0,3189.0,478.35,3189.0,30
CDM,273376,SCREW BN 6X8X64MM,3189.0,3189.0,478.35,3189.0,30
CDM,273377,INSERT ACTB 50MM 28MM 20,4429.0,4429.0,664.35,4429.0,30
CDM,273378,HEAD FEM HIP OFST 5X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,273380,GRAFT EVAS 27MM 10CM,19174.0,19174.0,2876.1,19174.0,30
CDM,273381,INSERT TIB KN 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,273383,PIN HLD 3.2MM SHRP,773.0,773.0,115.95,773.0,42
CDM,273384,NAIL BN 11.5MM 36CM,6400.0,6400.0,960.0,6400.0,30
CDM,273385,SCREW BN 5MM 37.5MM,2073.0,2073.0,310.95,2073.0,30
CDM,273386,GLENOID PEG AFFINITI 56,6187.0,6187.0,928.05,6187.0,30
CDM,273387,STEM HUM 127.5D 82MM,12432.0,12432.0,1864.8,12432.0,30
CDM,273388,SCREW SPN 4.35MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,273389,PLATE SPN 1LVL 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,273391,STEM FEM 96MM,9966.0,9966.0,1494.9,9966.0,30
CDM,273392,HEAD FEM HIP 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,273393,CMPNT FEM KN LT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,273394,INSERT KN ARTC SZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,273395,CMPNT FEM KN LT SZ4,5094.0,5094.0,764.1,5094.0,30
CDM,273396,INSERT TIB KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,273397,NAIL BN 10MM 36CM,6201.0,6201.0,930.15,6201.0,30
CDM,273398,INSRT TIB 5 PST LGC HFLX,4429.0,4429.0,664.35,4429.0,30
CDM,273399,COMPNT FEM 5 RT KN PST S,7973.0,7973.0,1195.95,7973.0,30
CDM,273400,STEM FEM PRSFT KN 220X11,4606.0,4606.0,690.9,4606.0,30
CDM,273401,WEDGE TIB KN LT SZ5-6,4606.0,4606.0,690.9,4606.0,30
CDM,273402,BASEPLATE TIB KN RT SZ5,8010.0,8010.0,1201.5,8010.0,30
CDM,273403,WEDGE TIB KN SZ5-6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,273405,KWIRE FX 1.2MM 65MM,900.5,900.5,135.07,900.5,42
CDM,273408,SCREW BN 3MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,273409,SCREW BN LCK 3MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,273410,SCREW BN 3MM 22MM,2575.0,2575.0,386.25,2575.0,30
CDM,273411,SCREW BN ANKL 3MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,273412,PLATE BN MTP CP RT,7733.0,7733.0,1159.95,7733.0,30
CDM,273413,SCREW BN 4.5MM 26MM,906.0,906.0,135.9,906.0,30
CDM,273414,SCREW BN BSPLT 4.5X20MM,798.0,798.0,119.7,798.0,30
CDM,273415,INSERT HUM SHLDR 36X+9MM,4428.0,4428.0,664.2,4428.0,30
CDM,273416,STEM HUM SHLDR 90MM,9744.0,9744.0,1461.6,9744.0,30
CDM,273417,CMPNT TIB KN RT SZAA,5647.0,5647.0,847.05,5647.0,30
CDM,273418,PROGRAMMER NRSTM VRF 4,2123.0,2123.0,318.45,2123.0,42
CDM,273420,COMP TIB CR CVD 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,273422,PLATE BN 2.7/3.5MM 90MM,4478.0,4478.0,671.7,4478.0,30
CDM,273423,PLATE LNG 111MM 2.7/3.5,6216.0,6216.0,932.4,6216.0,30
CDM,273424,SCREW BN 2.7X58MM,1636.0,1636.0,245.4,1636.0,30
CDM,273425,PLATE FX RT 115MM,6857.0,6857.0,1028.55,6857.0,30
CDM,273426,SCREW BN 3.8MM 23MM,2655.0,2655.0,398.25,2655.0,30
CDM,273427,SCREW BN 3.8MM 32MM,2655.0,2655.0,398.25,2655.0,30
CDM,273428,KWIRE FX 1.25MM 150MM,139.0,139.0,20.85,139.0,42
CDM,273429,STEM HUM SHLDR 12X120MM,9071.0,9071.0,1360.65,9071.0,30
CDM,273430,HEAD HUM 18MM 44MM SHLDR,5944.0,5944.0,891.6,5944.0,30
CDM,273431,BODY HUM SHLDR 12MM 135D,5103.0,5103.0,765.45,5103.0,30
CDM,273432,STEM HUM SHLDR 10X130MM,11959.0,11959.0,1793.85,11959.0,30
CDM,273433,INSERT TIB KN SZ 3 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,273434,BODY HUM SHLDR 12 0,4606.0,4606.0,690.9,4606.0,30
CDM,273435,STEM FEM HIP 18MM 127MM,10037.0,10037.0,1505.55,10037.0,30
CDM,273436,STEM FEM HIP 7.5MM 114MM,10630.0,10630.0,1594.5,10630.0,30
CDM,273438,NAIL BN FEM 1.5MM 34CM,6400.0,6400.0,960.0,6400.0,30
CDM,273440,INSRT TIB KN SZ8 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,273441,STEM FEM KN 16X100MM,4429.0,4429.0,664.35,4429.0,30
CDM,273443,INSERT TIB 5-6 EF 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,273444,STEM CEMENTED 15MMX30MM,4429.0,4429.0,664.35,4429.0,30
CDM,273446,CMPNT TIB KN SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,273447,INSERT ARTC 5-6 E-F 23MM,4606.0,4606.0,690.9,4606.0,30
CDM,273448,PLATE CERV 30MM 1 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,273449,PLATE STRNL LCK10HL1.8MM,3721.0,3721.0,558.15,3721.0,30
CDM,273450,STEM FEM IMPL CTD HA 13,11073.0,11073.0,1660.95,11073.0,30
CDM,273451,LINER ACT NVTN CRWN CUP,4429.0,4429.0,664.35,4429.0,30
CDM,273452,SHELL ACTB 56MM GRP 3CH,4606.0,4606.0,690.9,4606.0,30
CDM,273453,HEAD FEM HIP +7MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,273454,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,273455,SPACER SPNL 34X14MM,11073.0,11073.0,1660.95,11073.0,30
CDM,273456,INSERT TIB KN RTSZ5 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,273457,PLATE STRUT 8 HOLE,3721.0,3721.0,558.15,3721.0,30
CDM,273458,CMPNT TIB INS 1-2 13 RT,4606.0,4606.0,690.9,4606.0,30
CDM,273459,INSRT INTERMED LT TIB SZ,4606.0,4606.0,690.9,4606.0,30
CDM,273460,BSE TIB MOD TI SZ2 STD,5599.0,5599.0,839.85,5599.0,30
CDM,273461,INSERT EVOL MP ADAP CS,4606.0,4606.0,690.9,4606.0,30
CDM,273462,INSERT TIB KN SZ5 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,273463,FILLER OSTEO AMP GRAN1CC,3189.0,3189.0,478.35,3189.0,30
CDM,273464,PLATE SPN 3L 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,273465,PLATE SPN RFLX 18MM 1LVL,4429.0,4429.0,664.35,4429.0,30
CDM,273466,VALVE AOR 26X20-23MM,115350.0,115350.0,17302.5,115350.0,30
CDM,273467,SPACER SPN 16X12X10MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,273468,PLATE SPN 1LVL 24MM,4429.0,4429.0,664.35,4429.0,30
CDM,273469,PLATE BN 3/6HL 22MM 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,273471,STENT LCRML 2X.64X40MM,938.5,938.5,140.78,938.5,30
CDM,273472,PLATE SPN 1LVL 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,273473,BASEPLATE TIB ATTUNE 10,4651.0,4651.0,697.65,4651.0,30
CDM,273474,INSERT TIB KN SZ9 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,273475,HEAD FEM HIP 12/14 -3 28,4429.0,4429.0,664.35,4429.0,30
CDM,273477,INSERT TIB 5 13MM KN POS,4429.0,4429.0,664.35,4429.0,30
CDM,273478,SCREW BUTTRESS 5.5X25,1130.0,1130.0,169.5,1130.0,30
CDM,273479,LINER ACTB HIP 64MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,273480,INSERT TIB 5 15MM KN POS,4429.0,4429.0,664.35,4429.0,30
CDM,273481,HEAD HIP +5 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,273482,CMPNT FEM KN LT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,273483,INSERT TIB FEM KN LT14MM,5315.0,5315.0,797.25,5315.0,30
CDM,273484,INSERT TIB KN 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,273485,HEAD FEM HIP -3.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,273486,PLATE 76MM TI 3.5MM 4HL,6895.0,6895.0,1034.25,6895.0,30
CDM,273487,SCREW BN 3.5MM 65MM LCP,2301.0,2301.0,345.15,2301.0,30
CDM,273488,SCREW BN 3.5MM 70MM,2105.0,2105.0,315.75,2105.0,30
CDM,273489,SCREW BN 3.5MM 34MM,414.0,414.0,62.1,414.0,30
CDM,273490,SCREW BN 3.5MM 70MM,2301.0,2301.0,345.15,2301.0,30
CDM,273491,SCREW BN LCP 3.5X65MM,2105.0,2105.0,315.75,2105.0,30
CDM,273492,CATH IA BLN 7FR 40CC,4764.0,4764.0,714.6,4764.0,42
CDM,273493,COMPONENT TIB 8MM PFC,4606.0,4606.0,690.9,4606.0,30
CDM,273494,SPACER SPN 14X11X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,273495,WEDGE TIB KN MBT 3 10MM,4612.0,4612.0,691.8,4612.0,30
CDM,273496,PLATE 211MM LT PROX FEM,7032.0,7032.0,1054.8,7032.0,30
CDM,273497,STEM FEM HIP SZ2 12/14,6201.0,6201.0,930.15,6201.0,30
CDM,273498,SCREW BN MINI 26MM,3333.0,3333.0,499.95,3333.0,30
CDM,273499,HEAD HUM 18MM 56MM SHLDR,5944.0,5944.0,891.6,5944.0,30
CDM,273500,SCREW BN 5MM 47.5MM,2884.0,2884.0,432.6,2884.0,30
CDM,273501,CMPNT TIB KN CMNT 5F/5T,4606.0,4606.0,690.9,4606.0,30
CDM,273502,COMP FEM KN RT SZ6,5094.0,5094.0,764.1,5094.0,30
CDM,273503,SPACER SPNL 55X18X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,273504,SCREW BN SPN 5.5MM 55MM,2259.0,2259.0,338.85,2259.0,30
CDM,273505,INSERT ARTC 6-913MM,4606.0,4606.0,690.9,4606.0,30
CDM,273507,INSERT TIB 4 PST STB LOG,4429.0,4429.0,664.35,4429.0,30
CDM,273508,CAGE SPN LRDTC 5MM,8637.0,8637.0,1295.55,8637.0,30
CDM,273510,PLATE SPN 2 LVL 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,273511,SCREW SPN 4.0X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,273512,GRAFT BN CANC 5CC 1-10MM,1494.0,1494.0,224.1,1494.0,30
CDM,273513,CMPNT BEARING RT XSM 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,273514,GRAFT STNT 42MM 207MM,67285.0,67285.0,10092.75,67285.0,30
CDM,273515,NAIL BN 11.5MM 34CM,6400.0,6400.0,960.0,6400.0,30
CDM,273516,PLATE BN 6HL 112MM,3874.0,3874.0,581.1,3874.0,30
CDM,273517,SCREW BN 7.3MM 5MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,273518,NAIL BN LT 130D 11X380MM,8769.0,8769.0,1315.35,8769.0,30
CDM,273520,HEAD FEM HIP +0MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,273521,INSERT ACTB HIP 15D 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,273522,STEM HUM SHLDR 70MM,12432.0,12432.0,1864.8,12432.0,30
CDM,273523,AUGMENT FEM SZ2 H8MM PO,4429.0,4429.0,664.35,4429.0,30
CDM,273524,COMPNT AUGMT KN 960821,4252.0,4252.0,637.8,4252.0,30
CDM,273525,COMP FEM AGMT 8MM RT,4429.0,4429.0,664.35,4429.0,30
CDM,273526,CMPNT AGMNT 2X4 POST,4252.0,4252.0,637.8,4252.0,30
CDM,273527,INSRT TIB 2 20 KN UHMWPE,6265.0,6265.0,939.75,6265.0,30
CDM,273528,LINER ACTB 0D+4X54-56X36,4606.0,4606.0,690.9,4606.0,30
CDM,273529,INSRT ACT 56X28MM 0D HIP,4428.0,4428.0,664.2,4428.0,30
CDM,273530,SPACER SPN 14MM 13MM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,273531,INSERT TIB KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,273532,STEM KN EXTND 13X100MM,4429.0,4429.0,664.35,4429.0,30
CDM,273533,PLATE BN 6H 58MM 2.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,273534,EXPANDER TISS 400CC,3721.0,3721.0,558.15,3721.0,30
CDM,273537,CMPNT KN TIB SZ2,5758.0,5758.0,863.7,5758.0,30
CDM,273538,STEM HUM SHLDR 66MM,9744.0,9744.0,1461.6,9744.0,30
CDM,273539,HEAD HUM ASC FLEX 39X14,6976.0,6976.0,1046.4,6976.0,30
CDM,273540,PEG GLENOID 40,6187.0,6187.0,928.05,6187.0,30
CDM,273541,CMPNT PTLA 3PG STD34X8.5,4252.0,4252.0,637.8,4252.0,30
CDM,273542,COMPNT KN TIB F 75MM,4606.0,4606.0,690.9,4606.0,30
CDM,273543,PLATE BN FEM 9H 246MM,4872.0,4872.0,730.8,4872.0,30
CDM,273544,SCREW CANC 5X70MM,399.0,399.0,59.85,399.0,30
CDM,273545,SCREW BN 5MM 10MM,2419.0,2419.0,362.85,2419.0,30
CDM,273546,SCREW BN 5MM 80MM,399.0,399.0,59.85,399.0,30
CDM,273547,SCREW BN 3.5MM 60MM,2092.0,2092.0,313.8,2092.0,30
CDM,273548,PLATE PTERIONAL MESH LFT,10673.0,10673.0,1600.95,10673.0,30
CDM,273549,CMPNT FEM KN SZ4,5094.0,5094.0,764.1,5094.0,30
CDM,273551,STEM HUM 8MM 215MM,15834.0,15834.0,2375.1,15834.0,30
CDM,273552,FILLER BN VOID 5CC,6992.0,6992.0,1048.8,6992.0,30
CDM,273554,TEMPLATE SZ 2 MM TI LCK,736.0,736.0,110.4,736.0,42
CDM,273555,SCREW BN 2.5X13MM,791.0,791.0,118.65,791.0,30
CDM,273557,PEG BN THRD LCK 2.3X14MM,1435.0,1435.0,215.25,1435.0,30
CDM,273560,SCREW BN 3.5X22MM,1834.0,1834.0,275.1,1834.0,30
CDM,273561,INSERT TIB KN 3X15MM,4429.0,4429.0,664.35,4429.0,30
CDM,273562,COMPNT KN TIB F 83MM,4606.0,4606.0,690.9,4606.0,30
CDM,273563,CMPNT KN FEM LT 75MM,8416.0,8416.0,1262.4,8416.0,30
CDM,273564,SCREW UNIFLX F-T 4X36MM,341.0,341.0,51.15,341.0,30
CDM,273565,INSERT TIB 6 9MM KN POST,4429.0,4429.0,664.35,4429.0,30
CDM,273567,INSRT TIB2.5 13MM KNPOST,4429.0,4429.0,664.35,4429.0,30
CDM,273568,TIB IMPLNT FIT TRAY CEM,5315.0,5315.0,797.25,5315.0,30
CDM,273569,CMPNT FEM 2.5LT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
CDM,273570,INS HIP OPTN TYP 1 +3MM,1170.0,1170.0,175.5,1170.0,30
CDM,273571,CONE FEM HIP C 70MM,16725.0,16725.0,2508.75,16725.0,30
CDM,273572,STEM FEM HIP 16MM 250MM,9977.0,9977.0,1496.55,9977.0,30
CDM,273573,EXTRACTOR SURG PRB,4092.5,4092.5,613.88,4092.5,42
CDM,273574,SYSTEM BNCMNT SCRP 10MM,4092.5,4092.5,613.88,4092.5,42
CDM,273576,NAIL BN 10MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,273577,SCREW BN 5MM 30MM,2073.0,2073.0,310.95,2073.0,30
CDM,273578,SCREW BN 5MM 57.5MM,2073.0,2073.0,310.95,2073.0,30
CDM,273579,SCREW SPN 6.5MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,273581,NAIL BN 10MM 40CM,6201.0,6201.0,930.15,6201.0,30
CDM,273582,SCREW BN 10.5MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,273584,PLATE FULL 4 HOLE 8MM,6644.0,6644.0,996.6,6644.0,30
CDM,273585,SCREW BN SPN 5.5MM 50MM,753.0,753.0,112.95,753.0,30
CDM,273602,INSERT KN RT SZ5-6 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,273603,SPACER SPN 39X30X15M 12D,11073.0,11073.0,1660.95,11073.0,30
CDM,273604,INSERT ACTB 6352-5-094,4606.0,4606.0,690.9,4606.0,30
CDM,273605,SCREW BN 3.5X14 CSPN LCK,4247.0,4247.0,637.05,4247.0,30
CDM,273606,ROD SPN PRCNTRD 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,273607,STEM FEM PFC UNV HIP,4429.0,4429.0,664.35,4429.0,30
CDM,273608,PLATE SPN 3LVL 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,273609,PLATE BN T 6X4HL 33MM,3189.0,3189.0,478.35,3189.0,30
CDM,273610,SCREW MIC NEURO 3.5X1.5,563.0,563.0,84.45,563.0,30
CDM,273611,INSERT TIB KN LT 7 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,273613,SCREW SPN 4.5X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,273614,SPACER SPN 14X11X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,273615,INSERT TIB KN SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,273616,NAIL FEM LT 11.5MM 32CM,6400.0,6400.0,960.0,6400.0,30
CDM,273617,INSERT TIB KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,273618,NAIL FEM LT 11.5MM 36CM,9050.0,9050.0,1357.5,9050.0,30
CDM,273619,SHELL ACTB HIP HEMI 56MM,8785.0,8785.0,1317.75,8785.0,30
CDM,273620,INSERT TIB KN SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,273621,COMP FEM CS/CR EFSRN2PL,6644.0,6644.0,996.6,6644.0,30
CDM,273622,BASEPLATE TIB KN SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,273623,INSERT TIB KN LT 2 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,273624,FORCEP BX 1.8MM 100CM,448.5,448.5,67.28,448.5,42
CDM,273625,CMPNT KN FEM RT 60MM,6644.0,6644.0,996.6,6644.0,30
CDM,273626,INSERT KN PS SZ6 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,273627,CUP ACTB 54MM PNCL GRPTN,4606.0,4606.0,690.9,4606.0,30
CDM,273628,LINER ACTB HIP10D40X64MM,10503.0,10503.0,1575.45,10503.0,30
CDM,273629,CMPNT TIB KN 4F/3T,4606.0,4606.0,690.9,4606.0,30
CDM,273630,CMPNT TIB TRAY 83,7888.0,7888.0,1183.2,7888.0,30
CDM,273631,WEDGE KN TIB AUG 85X5,4606.0,4606.0,690.9,4606.0,30
CDM,273632,STEM KN FEM EXT 14X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,273633,STEM HIP STD 135D SZ0,8858.0,8858.0,1328.7,8858.0,30
CDM,273634,SCREW SPN 5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,273635,SCREW SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,273636,ROD SPNL TI L65X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,273637,TIB FIT TRY CEM 3.5/2.5T,5315.0,5315.0,797.25,5315.0,30
CDM,273638,INSERT TIB 3.5 15MM PST,4429.0,4429.0,664.35,4429.0,30
CDM,273639,TRAY LGC TIBIAL FIT CEM,5315.0,5315.0,797.25,5315.0,30
CDM,273640,STEM FEM CMNTLS 159MM,11073.0,11073.0,1660.95,11073.0,30
CDM,273641,PLATE BN LCK 2MMX3.5MM,7733.0,7733.0,1159.95,7733.0,30
CDM,273642,SCREW BN 3.5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,273643,SCREW BN 3.5MM 34MM,2575.0,2575.0,386.25,2575.0,30
CDM,273644,SCREW BN ANKL 3.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,273645,STEM HUM 127.5D 94MM,12955.0,12955.0,1943.25,12955.0,30
CDM,273646,NAIL BN LT 10MM 40CM,8105.0,8105.0,1215.75,8105.0,30
CDM,273650,DRILL SURG 2.9MM PSHLK,1432.5,1432.5,214.88,1432.5,42
CDM,273651,KIT TKR ATTUN PIN KN SYS,921.0,921.0,138.15,921.0,42
CDM,273652,SLEEVE CNTRNG 20D LG,4252.0,4252.0,637.8,4252.0,30
CDM,273653,PLATE SHRT MXLFCL 2HL,912.0,912.0,136.8,912.0,30
CDM,273655,CMPNT AGMNT 5X8 DIST,4252.0,4252.0,637.8,4252.0,30
CDM,273656,INSERT TIB KN RT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,273657,BEARING KN PS 79/83X14,4606.0,4606.0,690.9,4606.0,30
CDM,273658,CMPNT KN FEM RT 67.5MM,7087.0,7087.0,1063.05,7087.0,30
CDM,273659,SPACER SPNL 28X10X9MM,11959.0,11959.0,1793.85,11959.0,30
CDM,273660,INSERT TIB KN SZ5 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,273661,SCREW BN 5MM 75MM,2392.0,2392.0,358.8,2392.0,30
CDM,273662,SCREW BN 5.0MM 65MM,2884.0,2884.0,432.6,2884.0,30
CDM,273666,WEDGE KN CRCTE AUG SML,4252.0,4252.0,637.8,4252.0,30
CDM,273669,SCREW BN 2.7X12MM,740.0,740.0,111.0,740.0,30
CDM,273671,INSERT ARTC KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,273672,INSERT ARTC 10-12 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,273673,BEARING MNSCL KN 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,273674,FILLER BN VOID 15ML GRNL,3012.0,3012.0,451.8,3012.0,30
CDM,273675,BSE TIB MOD TI SZ4 STD,5599.0,5599.0,839.85,5599.0,30
CDM,273676,INSERT EVOLUTIONMP CS,4429.0,4429.0,664.35,4429.0,30
CDM,273677,SCREW BN 5MM 28MM,2406.0,2406.0,360.9,2406.0,30
CDM,273678,SCREW BN VAR 5X12MM,3189.0,3189.0,478.35,3189.0,30
CDM,273679,SCREW BN 5MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,273680,SCREW BN 5.0X30MM,2406.0,2406.0,360.9,2406.0,30
CDM,273681,SCREW BN ANGL 5.0X34MM,2406.0,2406.0,360.9,2406.0,30
CDM,273682,SCREW BN 5MM 38MM,2406.0,2406.0,360.9,2406.0,30
CDM,273684,STEM HIP 132D SZ6 158MM,6201.0,6201.0,930.15,6201.0,30
CDM,273685,SPACER FEM HIP OMFT 9MM,1170.0,1170.0,175.5,1170.0,30
CDM,273686,SPACER SPN T-PAL 32X12X7,11959.0,11959.0,1793.85,11959.0,30
CDM,273687,PLATE BN LT RIBS 8-9 8HL,7632.0,7632.0,1144.8,7632.0,30
CDM,273689,INSERT TIB SZ4 22.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,273690,INSERT TIB 2.5 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,273691,EXTRCTR 8-10MM/10-12.5MM,2455.5,2455.5,368.32,2455.5,42
CDM,273692,HEAD FEM HIP TAPER 12/14,4429.0,4429.0,664.35,4429.0,30
CDM,273693,HEAD FEM HIP 28MM SZM,4429.0,4429.0,664.35,4429.0,30
CDM,273694,INSERT KN ARTC 3-4 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,273700,PLATE BN MTP CP LT 3.5MM,7733.0,7733.0,1159.95,7733.0,30
CDM,289278,NAIL BN 11.5MM 32CM,4872.0,4872.0,730.8,4872.0,30
CDM,289730,LISOCABTAGENE,6360264.0,6360264.0,1163928.31,6360264.0,32
CDM,289730,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",6360264.0,6360264.0,1489991.23,1489991.23,3
CDM,297294,INSERT TIB KN SZ4 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,305992,SYSTEM PRESS 20CM 10CM,1938.0,1938.0,290.7,1938.0,42
CDM,311730,BILE ACIDS TOT,98.31,98.31,18.1,98.31,28
CDM,311730,Bile acids; total ,98.31,98.31,7.7,51.36,47
CDM,311810,CYTO LIQUID BASE NON C/V,604.95,604.95,102.84,604.95,33
CDM,311810,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",604.95,604.95,31.07,117.05,12
CDM,311812,VITAMIN D 25OH W/WO FRAC,664.52,664.52,122.34,664.52,28
CDM,311812,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",664.52,664.52,13.32,163.69,47
CDM,311949,IA2 AUTOANTIBODY,610.93,610.93,112.47,610.93,28
CDM,312129,CAT 1 OB ED PROCEDURE,1836.08,1836.08,275.41,1836.08,36
CDM,312134,CAT 2 OB ED PROCEDURE,3770.27,3770.27,565.54,3770.27,36
CDM,312138,CAT 3 OB ED PROCEDURE,4708.18,4708.18,706.23,4708.18,36
CDM,312139,CAT 1 ED PROCEDURE,1836.08,1836.08,275.41,1836.08,36
CDM,312151,CAT 2 ED PROCEDURE,3770.27,3770.27,565.54,3770.27,36
CDM,312152,CAT 3 ED PROCEDURE,4708.18,4708.18,706.23,4708.18,36
CDM,312194,RAD WOUND PROCEDURE,7570.83,7570.83,1135.62,7570.83,36
CDM,312311,ASP CYST BREAST INI,4813.35,4813.35,722.0,4813.35,36
CDM,312323,ASP CYST BREAST ADL,1627.88,1627.88,244.18,1627.88,36
CDM,312398,BX MUSCLE PERC,7570.83,7570.83,1135.62,7570.83,36
CDM,312406,BX BONE SUPERFICIAL,7570.83,7570.83,1135.62,7570.83,36
CDM,312414,BX BONE DEEP,9090.41,9090.41,1363.56,9090.41,36
CDM,312426,INJ 1 TENDON SH/LIG/APON,4986.71,4986.71,748.01,4986.71,36
CDM,312478,BX SOFT TISS NECK/THORAX,18072.5,18072.5,2710.88,18072.5,36
CDM,312510,INJ ARTHRO SHOULDER,4986.71,4986.71,748.01,4986.71,36
CDM,312526,INJ ARTHRO HIP W/O AN,4986.71,4986.71,748.01,4986.71,36
CDM,312533,INJ SI ANES/STD/TH AG,5420.11,5420.11,813.02,5420.11,36
CDM,312553,INTUBATION ENDO EMERG,2240.08,2240.08,336.01,2240.08,36
CDM,312554,INTUBATION ENDO EMERG,2240.08,2240.08,336.01,2240.08,36
CDM,312562,LARYNGOSCOPY FLEX DX,1809.38,1809.38,271.41,1809.38,36
CDM,312653,BX PLEURA PERC,7570.83,7570.83,1135.62,7570.83,36
CDM,312674,UL PROC LUNGS/PLEURA,38905.19,38905.19,5835.78,38905.19,36
CDM,312684,INS PACEMAKER ATRIAL,48868.46,48868.46,7330.27,48868.46,36
CDM,312688,INS PACEMAKER VENT,48868.46,48868.46,7330.27,48868.46,36
CDM,312691,INS PACEMAKER ATR/VENT,46958.6,46958.6,7043.79,46958.6,36
CDM,312693,INS TEMP PACER SGL,44947.0,44947.0,6742.05,44947.0,36
CDM,312695,INS TEMP PACER DUAL,24322.12,24322.12,3648.32,24322.12,36
CDM,312697,INS PPM GEN ONLY SGL LD,38429.1,38429.1,5764.36,38429.1,36
CDM,312702,INS PPM GEN ONLY DUAL LD,40138.69,40138.69,6020.8,40138.69,36
CDM,312706,REPOS PACER/DEFIB LEAD,9445.9,9445.9,1416.88,9445.9,36
CDM,312708,INS PACER/DEFIB LEAD SGL,24322.12,24322.12,3648.32,24322.12,36
CDM,312716,INS PACER/DEFIB 2 LEADS,24322.12,24322.12,3648.32,24322.12,36
CDM,312719,REPAIR PACER/DEFIB LEAD,24322.12,24322.12,3648.32,24322.12,36
CDM,312722,REPAIR PACER/DEFIB 2LEAD,24322.12,24322.12,3648.32,24322.12,36
CDM,312724,RELOCATE PACER POCKET,7882.99,7882.99,1182.45,7882.99,36
CDM,312729,INS LV LD W EXST PPM/ICD,17834.77,17834.77,2675.22,17834.77,36
CDM,312732,LV LEAD NEW/UPGD PPM/ICD,17834.77,17834.77,2675.22,17834.77,36
CDM,312734,REPOS LV LD EXST PPM/ICD,9445.9,9445.9,1416.88,9445.9,36
CDM,312736,REMOVE PACER GENERATOR,24766.35,24766.35,3714.95,24766.35,36
CDM,312738,REM ELECTRODE SGL LD SYS,16122.87,16122.87,2418.43,16122.87,36
CDM,312741,REM ELECTRDE DUAL LD SYS,29598.7,29598.7,4439.81,29598.7,36
CDM,312747,REMOVE ICD GENERATOR,18121.89,18121.89,2718.28,18121.89,36
CDM,312749,REMOVE ICD LEAD EXTRACT,24766.35,24766.35,3714.95,24766.35,36
CDM,312754,INS ICD LEAD/GENERATOR,61659.47,61659.47,9248.92,61659.47,36
CDM,312779,INSERTION IABP PERC,12330.69,12330.69,1849.6,12330.69,36
CDM,312784,REM IABP PERC,12330.69,12330.69,1849.6,12330.69,36
CDM,312908,INJ PERC EXTREM PSEAN,1178.2,1178.2,176.73,1178.2,36
CDM,312909,INJ PERC EXTREM PSEAN,5634.07,5634.07,845.11,5634.07,36
CDM,312911,INJ VENOGRAM,4212.02,4212.02,631.8,4212.02,36
CDM,312914,INJ VENOGRAM,4212.02,4212.02,631.8,4212.02,36
CDM,312917,CATH IVC/SVC,7018.24,7018.24,1052.74,7018.24,36
CDM,312919,CATH IVC/SVC,7018.24,7018.24,1052.74,7018.24,36
CDM,312923,CATH 1ST ORDER VEN,7018.24,7018.24,1052.74,7018.24,36
CDM,312925,CATH 1ST ORDER VEN,7018.24,7018.24,1052.74,7018.24,36
CDM,312927,CATH 2ND ORDER VEN,7018.24,7018.24,1052.74,7018.24,36
CDM,312936,CATH 2ND ORDER VEN,7018.24,7018.24,1052.74,7018.24,36
CDM,312939,CATH RT HRT/PULM ART,7018.24,7018.24,1052.74,7018.24,36
CDM,312944,CATH PULM ART UNI,8865.58,8865.58,1329.84,8865.58,36
CDM,312948,CATH PULM ART UNI,8865.58,8865.58,1329.84,8865.58,36
CDM,312951,CATH PLM ART SEG/SUB,7018.24,7018.24,1052.74,7018.24,36
CDM,312959,NDL/INCATH EXT ART,7018.24,7018.24,1052.74,7018.24,36
CDM,312962,NDL/INCATH EXT ART,7018.24,7018.24,1052.74,7018.24,36
CDM,312978,CATH AORTA,7018.24,7018.24,1052.74,7018.24,36
CDM,312982,CATH AORTA,7018.24,7018.24,1052.74,7018.24,36
CDM,312984,CATH 1ST ORD UP ART,7018.24,7018.24,1052.74,7018.24,36
CDM,313006,CATH 2ND ORD UP ART,7570.83,7570.83,1135.62,7570.83,36
CDM,313009,CATH 2ND ORD UP ART,7570.83,7570.83,1135.62,7570.83,36
CDM,313013,CATH 3RD ORD UP ART,8440.32,8440.32,1266.05,8440.32,36
CDM,313022,CATH 3RD ORD UP ART,8440.32,8440.32,1266.05,8440.32,36
CDM,313024,CATH EA ADDL UP ART,7018.24,7018.24,1052.74,7018.24,36
CDM,313026,CATH EA ADDL UP ART,7018.24,7018.24,1052.74,7018.24,36
CDM,313028,CATH 1ST OD LOW ART,7018.24,7018.24,1052.74,7018.24,36
CDM,313032,CATH 1ST OD LOW ART,7018.24,7018.24,1052.74,7018.24,36
CDM,313034,CATH 2ND OD LOW ART,7570.83,7570.83,1135.62,7570.83,36
CDM,313039,CATH 2ND OD LOW ART,7570.83,7570.83,1135.62,7570.83,36
CDM,313058,CATH 3RD OD LOW ART,8440.32,8440.32,1266.05,8440.32,36
CDM,313062,CATH 3RD OD LOW ART,8440.32,8440.32,1266.05,8440.32,36
CDM,313066,CATH EA ADDL LOW ART,7018.24,7018.24,1052.74,7018.24,36
CDM,313068,CATH EA ADDL LOW ART,7018.24,7018.24,1052.74,7018.24,36
CDM,313079,CATH PORTAL VN,9545.45,9545.45,1431.82,9545.45,36
CDM,313083,CATH VN BLD SMPL,7570.83,7570.83,1135.62,7570.83,29
CDM,313083,Venous catheterization for selective organ blood sampling ,7570.83,7570.83,291.0,2900.0,13
CDM,313107,INS CVC NON-TUN CENT=>5Y,9358.58,9358.58,1403.79,9358.58,36
CDM,313109,INS CVC NON-TUN CENT=>5Y,9358.58,9358.58,1403.79,9358.58,36
CDM,313118,INS TUN CVC CENT WO=>5Y,11232.99,11232.99,1684.95,11232.99,36
CDM,313126,INS CVAD W PORT CENT=>5Y,11232.99,11232.99,1684.95,11232.99,36
CDM,313128,INS CVAD W PORT CENT=>5Y,11232.99,11232.99,1684.95,11232.99,36
CDM,313148,INS PICC WO PORT/IMG=>5Y,11232.99,11232.99,1684.95,11232.99,36
CDM,313183,REPL NON-TUN CVC W/O P-P,9358.58,9358.58,1403.79,9358.58,36
CDM,313188,REPL TUN CV CATH W/O P-P,9358.58,9358.58,1403.79,9358.58,36
CDM,313209,REM TUN CV CATH WO/P-P,9358.58,9358.58,1403.79,9358.58,36
CDM,313215,REM TUN CVAD W/P-P,11232.99,11232.99,1684.95,11232.99,36
CDM,313217,REM TUN CVAD W/P-P,11232.99,11232.99,1684.95,11232.99,36
CDM,313233,REPO PREV PLCD CVC FLURO,9358.58,9358.58,1403.79,9358.58,36
CDM,313238,REPO PREV PLCD CVC FLURO,5713.17,5713.17,856.98,5713.17,36
CDM,313243,CONT INJ EX CVAD W FLURO,652.78,652.78,97.92,652.78,36
CDM,313272,INS TRNVEN INTRHEP SHUNT,83693.64,83693.64,12554.05,83693.64,36
CDM,313274,REV TRNVEN INTRHEP SHUNT,83693.64,83693.64,12554.05,83693.64,36
CDM,313276,ART THRMB NONCOR INI VSL,38775.16,38775.16,5816.27,38775.16,36
CDM,313277,ART THRMB NONCOR INI VSL,38775.16,38775.16,5816.27,38775.16,36
CDM,313283,ART THRMB NONCOR SUB VSL,15791.72,15791.72,2368.76,15791.72,36
CDM,313289,SEC ART THRMB NONCOR,15791.72,15791.72,2368.76,15791.72,36
CDM,313293,VENOUS MECH THROMBECTOMY,44414.67,44414.67,6662.2,44414.67,36
CDM,313304,BX TRANSCATH,6313.97,6313.97,947.1,6313.97,36
CDM,313306,BX TRANSCATH,6313.97,6313.97,947.1,6313.97,36
CDM,313358,CAROTID ART STENT W/ DEP,51850.07,51850.07,7777.51,51850.07,36
CDM,313362,CAROTID ART STENT W/ DEP,51850.07,51850.07,7777.51,51850.07,36
CDM,313366,CAROTID ART STENT WO DEP,51850.07,51850.07,7777.51,51850.07,36
CDM,313376,UL PROC VASC SURG,30258.96,30258.96,4538.84,30258.96,36
CDM,313377,UL PROC VASC SURG,30258.96,30258.96,4538.84,30258.96,36
CDM,313383,ASP ONLY BONE MARROW DX,2409.11,2409.11,361.37,2409.11,36
CDM,313387,BX BONE MARROW DX,3441.13,3441.13,516.17,3441.13,36
CDM,313393,BX/EXC LYMPH NODE NDL,6568.0,6568.0,985.2,6568.0,36
CDM,313398,SENT NODE RAD TR INJ,4838.84,4838.84,725.83,4838.84,36
CDM,313407,BX SALIVARY GLAND NDL,7569.24,7569.24,1135.39,7569.24,36
CDM,313493,PLACE NG/OG TUBE FLUORO,10320.16,10320.16,1548.02,10320.16,36
CDM,313547,INTRO LONG GI TUBE,2814.3,2814.3,422.14,2814.3,36
CDM,313647,BX LIVER,11249.24,11249.24,1687.39,11249.24,36
CDM,313669,ABL 1/MORE LIV TU PC RAD,42255.85,42255.85,6338.38,42255.85,36
CDM,313674,CHLECYSTOSTMY PERC,24925.52,24925.52,3738.83,24925.52,36
CDM,313717,BX PANCREAS,7570.83,7570.83,1135.62,7570.83,36
CDM,313774,BX ABD/RETROPERITO,6313.97,6313.97,947.1,6313.97,36
CDM,313793,REM TUN INTRAPERIT CATH,19573.11,19573.11,2935.97,19573.11,36
CDM,313796,EXCHG CATH ABS/CYS,12305.64,12305.64,1845.85,12305.64,36
CDM,313801,INJ CATH ABS/CYST,6934.28,6934.28,1040.14,6934.28,36
CDM,313818,BX RENAL,9949.06,9949.06,1492.36,9949.06,36
CDM,313829,REM NEPHROS TUBE W FL,5455.29,5455.29,818.29,5455.29,36
CDM,313835,ASP/INJ CYST REN/PEL,9949.06,9949.06,1492.36,9949.06,36
CDM,313893,INJ CYSTO/URETH,2351.14,2351.14,352.67,2351.14,36
CDM,313912,CHG CYSTOSTOMY TB SIMPL,2749.34,2749.34,412.4,2749.34,36
CDM,313983,BX THYROID,6313.97,6313.97,947.1,6313.97,36
CDM,313998,OCCLUDE ART BLN HD/NCK,37680.81,37680.81,5652.12,37680.81,36
CDM,314005,EMBOLIZE EXTRACRAN,43190.34,43190.34,6478.55,43190.34,36
CDM,314008,INTRCRN BLN ANGIOP,54564.2,54564.2,8184.63,54564.2,36
CDM,314028,PUNCTURE LUMBAR DX,7570.83,7570.83,1135.62,7570.83,36
CDM,314041,PUNCTURE LUMBAR THER,7570.83,7570.83,1135.62,7570.83,36
CDM,314052,INJ BLOOD PATCH,4009.0,4009.0,601.35,4009.0,36
CDM,314081,INJ MYELOGRAM SPINE,3984.47,3984.47,597.67,3984.47,36
CDM,314146,DEST INTERCOSTAL NERVE,4011.11,4011.11,601.67,4011.11,36
CDM,314151,INJ IC NRV EA ADD LVL,1298.48,1298.48,194.77,1298.48,36
CDM,314167,INJ FACET C/T SGL FLU/CT,11460.51,11460.51,1719.08,11460.51,36
CDM,314183,INJ FCT L/S SGL FL/CT,11460.51,11460.51,1719.08,11460.51,36
CDM,314288,CPR,2104.52,2104.52,315.68,2104.52,36
CDM,314289,CPR,2104.52,2104.52,315.68,2104.52,36
CDM,314323,CARDIOVERSION EXTERNAL,4880.54,4880.54,829.69,4880.54,35
CDM,314326,CARDIOVERSION EXTERNAL,6206.79,6206.79,1055.15,6206.79,35
CDM,314331,CARDIOVERSION INTERNAL,4880.54,4880.54,732.08,4880.54,42
CDM,314335,PERC TRANS CORON THROM,3965.45,3965.45,594.82,3965.45,36
CDM,314336,TRANS PLACE RAD DEL DEV,72047.75,72047.75,10807.16,72047.75,36
CDM,314342,IVUS INITIAL VESSEL,20443.52,20443.52,3066.53,20443.52,36
CDM,314345,IVUS EA ADDL VESSEL,20443.52,20443.52,3066.53,20443.52,36
CDM,314354,PB VALVUPLSTY AORTIC VAL,45675.49,45675.49,6851.32,45675.49,36
CDM,314355,PB VALVUPLSTY MITRAL VAL,45675.49,45675.49,6851.32,45675.49,36
CDM,314356,PB VALVUPLSTY PULMON VAL,45675.49,45675.49,6851.32,45675.49,36
CDM,314366,INSERTION FLO DR CATH,7859.23,7859.23,1178.88,7859.23,42
CDM,314368,BIOPSY ENDOMYOCARDIAL,4921.51,4921.51,738.23,4921.51,36
CDM,314393,PER CL CON INT COM W/IMP,31899.75,31899.75,4784.96,31899.75,36
CDM,314394,PER CL CON VT SP DF W/IM,31899.75,31899.75,4784.96,31899.75,36
CDM,314395,BUNDLE OF HIS RECORDING,30923.22,30923.22,5692.96,30923.22,28
CDM,314395,Bundle of His recording ,30923.22,30923.22,89.09,30393.0,15
CDM,314397,INTRA ATRIAL RECORDING,31142.29,31142.29,5733.3,31142.29,26
CDM,314397,Intra-atrial recording ,31142.29,31142.29,50.64,30393.0,17
CDM,314402,IV/IA MAP ID ORIGIN,46357.23,46357.23,6953.58,46357.23,32
CDM,314402,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,46357.23,46357.23,126.06,30393.0,15
CDM,314404,IA PACING,31142.29,31142.29,5733.3,31142.29,26
CDM,314404,Intra-atrial pacing ,31142.29,31142.29,61.94,30393.0,17
CDM,314408,IV PACING,31142.29,31142.29,5733.3,31142.29,26
CDM,314408,Intraventricular pacing ,31142.29,31142.29,74.16,30393.0,17
CDM,314411,INTRACARD EP 3D MAPPING,35468.06,35468.06,5320.21,35468.06,32
CDM,314411,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,35468.06,35468.06,291.0,30393.0,15
CDM,314416,ARRHYTHMIA INDUCE ELECT,30923.22,30923.22,5692.96,30923.22,28
CDM,314416,Induction of arrhythmia by electrical pacing ,30923.22,30923.22,188.09,30393.0,13
CDM,314426,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",27964.99,27964.99,376.68,30393.0,17
CDM,314426,EP W/O ARRHYTHMIA,27964.99,27964.99,5148.35,27964.99,26
CDM,314431,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,27964.99,27964.99,426.0,30393.0,17
CDM,314431,EP W/ARRHYTHMIA,27964.99,27964.99,5148.35,27964.99,26
CDM,314433,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,27964.99,27964.99,291.0,30393.0,15
CDM,314433,EP W/LA REC W/ARRHYTHMIA,27964.99,27964.99,4194.75,27964.99,32
CDM,314435,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,27964.99,27964.99,291.0,30393.0,15
CDM,314435,EP W/LVREC W/ARRHYTHMIA,27964.99,27964.99,4194.75,27964.99,32
CDM,314437,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,31142.29,31142.29,291.0,30393.0,15
CDM,314437,STIM & PACE AFTER IV INF,31142.29,31142.29,4671.34,31142.29,32
CDM,314439,EP FOLLOWUP,24928.97,24928.97,4589.42,24928.97,26
CDM,314439,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",24928.97,24928.97,92.97,30393.0,17
CDM,314445,AICD LEAD TEST INIT,7965.71,7965.71,1194.86,7965.71,30
CDM,314445,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",7965.71,7965.71,291.0,30393.0,15
CDM,314447,AICD LEAD/GEN TEST INIT,7965.71,7965.71,1194.86,7965.71,30
CDM,314447,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",7965.71,7965.71,291.0,30393.0,15
CDM,314453,AICD EVAL & REPROGRAM,7965.71,7965.71,1466.49,7965.71,26
CDM,314453,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",7965.71,7965.71,97.16,30393.0,15
CDM,314457,ABLATION AV NODE W/WO,52793.64,52793.64,9719.31,52793.64,25
CDM,314457,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",52793.64,52793.64,1753.0,39148.0,18
CDM,314483,INJ 1 TENDON ORIG/INS,2516.37,2516.37,377.46,2516.37,36
CDM,314484,INJ S/M TRG PT 1OR2 MUS,2516.37,2516.37,377.46,2516.37,36
CDM,314523,COLL CAPILLARY BLOOD,109.91,109.91,16.49,109.91,37
CDM,314523,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",109.91,109.91,0.37,2550.0,5
CDM,314557,CHG URETEROSTMY TB,10477.26,10477.26,1571.59,10477.26,36
CDM,314596,XR MANDIBLE < 4 V,2122.28,2122.28,390.71,2122.28,28
CDM,314599,XR MANDIBLE < 4 V,2122.28,2122.28,390.71,2122.28,28
CDM,314604,XR MANDIBLE 4 + V,2380.24,2380.24,438.2,2380.24,28
CDM,314608,XR MANDIBLE 4 + V,2380.24,2380.24,438.2,2380.24,28
CDM,314631,XR FACIAL BONES < 3 V,1317.25,1317.25,242.51,1317.25,28
CDM,314635,XR FACIAL BONES < 3 V,1143.61,1143.61,210.54,1143.61,28
CDM,314638,XR FACIAL BONES 3 + V,1436.16,1436.16,264.4,1436.16,28
CDM,314642,XR FACIAL BONES 3 + V,1436.16,1436.16,264.4,1436.16,28
CDM,314645,XR NASAL BONES COMP,960.48,960.48,176.82,960.48,28
CDM,314649,XR NASAL BONES COMP,960.48,960.48,176.82,960.48,28
CDM,314661,"Radiologic examination; orbits, complete, minimum of 4 views ",1324.57,1324.57,26.67,154.52,15
CDM,314661,XR ORBITS 4 + V,1324.57,1324.57,243.85,1324.57,28
CDM,314675,"Radiologic examination, sinuses, paranasal, less than 3 views ",801.34,801.34,19.73,88.39,15
CDM,314675,XR SINUSES < 3 V,801.34,801.34,147.53,801.34,28
CDM,314679,XR SINUSES 3 + V,1485.58,1485.58,273.5,1485.58,28
CDM,314683,XR SINUSES 3 + V,1485.58,1485.58,273.5,1485.58,28
CDM,314694,XR SKULL < 4 V,1721.59,1721.59,316.94,1721.59,28
CDM,314701,XR SKULL 4 + V,2645.52,2645.52,487.04,2645.52,28
CDM,314729,"Orthopantogram (eg, panoramic x-ray) ",980.63,980.63,8.69,83.86,15
CDM,314729,XR ORTHOPANTOGRAM,980.63,980.63,180.53,980.63,28
CDM,314733,XR NECK SOFT TISSUE,1143.44,1143.44,210.51,1143.44,28
CDM,314738,XR NECK SOFT TISSUE,1143.44,1143.44,210.51,1143.44,28
CDM,314754,CT HEAD/BRAIN W/O CONT,6543.64,6543.64,1204.68,6543.64,24
CDM,314757,CT HEAD/BRAIN W/O CONT,6543.64,6543.64,1204.68,6543.64,24
CDM,314762,CT HEAD/BRAIN W/CONT,7510.33,7510.33,1382.65,7510.33,24
CDM,314765,CT HEAD/BRAIN W/CONT,7510.33,7510.33,1382.65,7510.33,24
CDM,314768,CT HD/BR W&W/O CONT,9328.91,9328.91,1717.45,9328.91,24
CDM,314772,CT HD/BR W&W/O CONT,9328.91,9328.91,1717.45,9328.91,24
CDM,314778,CT ORBIT/SELLA/IAC WO,7372.91,7372.91,1357.35,7372.91,24
CDM,314783,CT ORBIT/SELLA/IAC WO,7372.91,7372.91,1357.35,7372.91,24
CDM,314788,CT ORBIT/SELLA/IAC W,7372.91,7372.91,1357.35,7372.91,24
CDM,314804,CT ORBIT/SELLA/IAC W,7372.91,7372.91,1357.35,7372.91,24
CDM,314807,CT ORBIT/SELLA/IAC W&WO,9448.52,9448.52,1739.47,9448.52,24
CDM,314814,CT MAXIFAC W/O CNT,7372.91,7372.91,1357.35,7372.91,24
CDM,314819,CT MAXIFAC W/O CNT,7372.91,7372.91,1357.35,7372.91,24
CDM,314824,CT MAXIFAC W/CONTRAST,7510.33,7510.33,1382.65,7510.33,24
CDM,314828,CT MAXIFAC W/CONTRAST,7510.33,7510.33,1382.65,7510.33,24
CDM,314833,CT MAXIFAC W&W/O CONT,7712.39,7712.39,1419.85,7712.39,24
CDM,314842,CT NECK W/O CONTRAST,7372.91,7372.91,1357.35,7372.91,24
CDM,314845,CT NECK W/O CONTRAST,7372.91,7372.91,1357.35,7372.91,24
CDM,314848,CT NECK W/CONTRAST,7510.33,7510.33,1382.65,7510.33,24
CDM,314853,CT NECK W/CONTRAST,7510.33,7510.33,1382.65,7510.33,24
CDM,314857,CT NECK W&W/O CONT,7712.39,7712.39,1419.85,7712.39,24
CDM,314861,CT NECK W&W/O CONT,7712.39,7712.39,1419.85,7712.39,24
CDM,314864,CTA HEAD,11265.48,11265.48,2073.97,11265.48,24
CDM,314868,CTA HEAD,11265.48,11265.48,2073.97,11265.48,24
CDM,314873,CTA NECK,11385.12,11385.12,2096.0,11385.12,24
CDM,314876,CTA NECK,11385.12,11385.12,2096.0,11385.12,24
CDM,314879,MRI OR/FCE/NCK W/O CONT,9648.6,9648.6,1776.31,9648.6,25
CDM,314879,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",9648.6,9648.6,313.62,844.23,12
CDM,314886,MRI OR/FCE/NCK W/CONT,9113.15,9113.15,1677.73,9113.15,25
CDM,314886,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",9113.15,9113.15,524.55,1011.09,12
CDM,314892,MRI OR/FCE/NCK W&WO,12217.86,12217.86,2249.31,12217.86,25
CDM,314892,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",12217.86,12217.86,616.1,1871.82,12
CDM,314902,MRA HD W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CDM,314902,"Magnetic resonance angiography, head; without contrast material(s) ",7719.79,7719.79,313.62,851.36,12
CDM,314908,MRA HD W/CONTRAST,8007.74,8007.74,1474.22,8007.74,25
CDM,314908,"Magnetic resonance angiography, head; with contrast material(s) ",8007.74,8007.74,341.2,851.36,12
CDM,314914,MRA HD W&WO CONTRAST,12648.33,12648.33,2328.56,12648.33,25
CDM,314914,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",12648.33,12648.33,616.1,1678.83,12
CDM,314919,MRA NECK W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CDM,314919,"Magnetic resonance angiography, neck; without contrast material(s) ",7719.79,7719.79,313.62,851.36,12
CDM,314934,MRA NECK W/CONTRAST,7719.79,7719.79,1421.21,7719.79,25
CDM,314934,"Magnetic resonance angiography, neck; with contrast material(s) ",7719.79,7719.79,341.2,851.36,12
CDM,314949,MRA NECK W&WO CONT,12648.33,12648.33,2328.56,12648.33,25
CDM,314949,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",12648.33,12648.33,616.1,1678.83,12
CDM,314956,MRI BRAIN W/O CONTRAST,7094.33,7094.33,1306.07,7094.33,24
CDM,314956,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",7094.33,7094.33,313.62,844.23,12
CDM,314963,MRI BRAIN W/CONTRAST,8574.71,8574.71,1578.6,8574.71,24
CDM,314963,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",8574.71,8574.71,341.2,1012.53,12
CDM,314968,MRI BRAIN W&WO CONT,13183.79,13183.79,2427.14,13183.79,24
CDM,314968,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",13183.79,13183.79,616.1,1875.09,12
CDM,315122,XR RIBS BI 3 V,1717.93,1717.93,316.27,1717.93,28
CDM,315128,XR RIBS BI 3 V,1491.46,1491.46,274.58,1491.46,28
CDM,315133,XR RIBS BI W/CXR 4 + V,2210.06,2210.06,406.87,2210.06,28
CDM,315141,XR RIBS BI W/CXR 4 + V,2210.06,2210.06,406.87,2210.06,28
CDM,315144,XR STERNUM 2 + V,1066.6,1066.6,196.36,1066.6,28
CDM,315149,XR STERNUM 2 + V,1066.6,1066.6,196.36,1066.6,28
CDM,315153,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",873.6,873.6,23.51,113.1,15
CDM,315153,XR SC JOINTS 3 + V,873.6,873.6,160.83,873.6,28
CDM,315163,CT CHEST W/O CONTRAST,7372.91,7372.91,1357.35,7372.91,25
CDM,315167,CT CHEST W/O CONTRAST,7372.91,7372.91,1357.35,7372.91,25
CDM,315172,CT CHEST W/CONTRAST,7510.33,7510.33,1382.65,7510.33,25
CDM,315175,CT CHEST W/CONTRAST,7510.33,7510.33,1382.65,7510.33,25
CDM,315178,CT CHEST W&W/O CONT,9448.52,9448.52,1739.47,9448.52,25
CDM,315183,CT CHEST W&W/O CONT,9448.52,9448.52,1739.47,9448.52,25
CDM,315186,CTA CHEST,10531.57,10531.57,1938.86,10531.57,25
CDM,315193,CTA CHEST,10531.57,10531.57,1938.86,10531.57,25
CDM,315197,MRI CHEST W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CDM,315197,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",7719.79,7719.79,313.62,844.23,12
CDM,315207,MRI CHEST W&WO CONT,8574.71,8574.71,1578.6,8574.71,25
CDM,315207,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",8574.71,8574.71,616.1,1865.19,12
CDM,315223,XR SPINE 1 V SPEC LEVEL,980.63,980.63,180.53,980.63,28
CDM,315232,XR C-SPINE 2-3 VIEWS,1324.57,1324.57,243.85,1324.57,28
CDM,315236,XR C-SPINE 2-3 VIEWS,1324.57,1324.57,243.85,1324.57,28
CDM,315242,XR C-SPINE 4-5 V,2122.28,2122.28,390.71,2122.28,28
CDM,315246,XR C-SPINE 4-5 V,2122.28,2122.28,390.71,2122.28,28
CDM,315250,XR C-SPINE 6 + V,1657.58,1657.58,305.16,1657.58,28
CDM,315254,XR C-SPINE 6 + V,1657.58,1657.58,305.16,1657.58,28
CDM,315264,XR T-SPINE 2 VIEWS,2122.28,2122.28,390.71,2122.28,28
CDM,315268,XR T-SPINE 2 VIEWS,2122.28,2122.28,390.71,2122.28,28
CDM,315273,XR T-SPINE 3 VIEWS,1456.3,1456.3,268.1,1456.3,28
CDM,315277,XR T-SPINE 3 VIEWS,1456.3,1456.3,268.1,1456.3,28
CDM,315279,XR T-SPINE 4 + VIEWS,1249.57,1249.57,230.05,1249.57,28
CDM,315295,XR L-SPINE 2/3 VIEWS,2252.17,2252.17,414.62,2252.17,28
CDM,315302,XR L-SPINE 2/3 VIEWS,2252.17,2252.17,414.62,2252.17,28
CDM,315308,XR L-SPINE 4 + VIEWS,2380.24,2380.24,438.2,2380.24,28
CDM,315312,XR L-SPINE 4 + VIEWS,2380.24,2380.24,438.2,2380.24,28
CDM,315320,XR L-SPINE W/BEND VIEW,2122.28,2122.28,390.71,2122.28,28
CDM,315324,XR L-SPINE W/BEND VIEW,2122.28,2122.28,390.71,2122.28,28
CDM,315327,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",1324.57,1324.57,25.72,154.52,15
CDM,315327,XR L-SPINE BEND ONLY,1324.57,1324.57,243.85,1324.57,28
CDM,315335,CT C-SPINE W/O CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,315338,CT C-SPINE W/O CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,315343,CT C-SPINE W/CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,315347,CT C-SPINE W/CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,315352,CT C-SPINE W&W/O CONT,8611.17,8611.17,1585.32,8611.17,25
CDM,315359,CT T-SPINE W/O CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,315364,CT T-SPINE W/O CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,315381,CT T-SPINE W/CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,315385,CT T-SPINE W/CONTRAST,8308.88,8308.88,1529.66,8308.88,25
CDM,315394,CT T-SPINE W&W/O CONT,8611.17,8611.17,1585.32,8611.17,25
CDM,315394,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",8611.17,8611.17,341.2,665.82,12
CDM,315425,CT L-SPINE W/O CONTRAST,9083.18,9083.18,1672.21,9083.18,25
CDM,315428,CT L-SPINE W/O CONTRAST,9083.18,9083.18,1672.21,9083.18,25
CDM,315439,CT L-SPINE W/CONTRAST,10053.09,10053.09,1850.77,10053.09,25
CDM,315445,CT L-SPINE W/CONTRAST,10053.09,10053.09,1850.77,10053.09,25
CDM,315449,CT L-SPINE W&W/O CONT,8611.17,8611.17,1585.32,8611.17,25
CDM,315454,CT L-SPINE W&W/O CONT,7600.33,7600.33,1399.22,7600.33,25
CDM,315457,MRI C-SPINE W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CDM,315457,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",7719.79,7719.79,313.62,844.23,12
CDM,315463,MRI C-SPINE W/CONTRAST,10721.01,10721.01,1973.74,10721.01,25
CDM,315463,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",10721.01,10721.01,525.3,1012.53,12
CDM,315469,MRI T-SPINE W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CDM,315469,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",7719.79,7719.79,313.62,937.38,12
CDM,315484,MRI T-SPINE W/CONTRAST,10721.01,10721.01,1973.74,10721.01,25
CDM,315484,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",10721.01,10721.01,525.3,1012.53,12
CDM,315493,MRI L-SPINE W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CDM,315493,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",7719.79,7719.79,313.62,937.38,12
CDM,315503,MRI L-SPINE W/CONT,10721.01,10721.01,1973.74,10721.01,25
CDM,315503,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",10721.01,10721.01,525.3,1012.53,12
CDM,315508,MRI C-SPINE W&W/O CONT,12862.8,12862.8,2368.04,12862.8,25
CDM,315508,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",12862.8,12862.8,616.1,1875.09,12
CDM,315515,MRI T-SPINE W&W/O CONT,13290.27,13290.27,2446.74,13290.27,25
CDM,315515,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",13290.27,13290.27,616.1,1875.09,12
CDM,315527,MRI L-SPINE W&W/O CONT,12541.85,12541.85,2308.95,12541.85,25
CDM,315527,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",12541.85,12541.85,616.1,1875.09,12
CDM,315542,XR PELVIS 1/2 VIEWS,1589.86,1589.86,292.69,1589.86,28
CDM,315548,XR PELVIS 1/2 VIEWS,1589.86,1589.86,292.69,1589.86,28
CDM,315559,CTA PELVIS,10657.66,10657.66,1962.08,10657.66,25
CDM,315559,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",10657.66,10657.66,333.3,642.44,12
CDM,315569,CT PELVIS W/O CONTRAST,6784.49,6784.49,1249.02,6784.49,25
CDM,315576,CT PELVIS W/O CONTRAST,6784.49,6784.49,1249.02,6784.49,25
CDM,315594,CT PELVIS W/CONTRAST,7510.33,7510.33,1382.65,7510.33,25
CDM,315597,CT PELVIS W/CONTRAST,7510.33,7510.33,1382.65,7510.33,25
CDM,315610,CT PELVIS W&W/O CONT,7995.28,7995.28,1471.93,7995.28,25
CDM,315610,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",7995.28,7995.28,331.83,639.62,12
CDM,315617,MRI PELVIS W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CDM,315617,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",7719.79,7719.79,313.62,845.72,12
CDM,315622,MRI PELVIS W/CONTRAST,10290.55,10290.55,1894.49,10290.55,25
CDM,315622,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",10290.55,10290.55,437.98,844.23,12
CDM,315633,MRI PELVIS W&WO CONT,12327.36,12327.36,2269.47,12327.36,25
CDM,315633,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",12327.36,12327.36,616.1,1874.66,12
CDM,315643,XR SI JOINTS 3 + V,1578.89,1578.89,290.67,1578.89,28
CDM,315648,XR SI JOINTS 3 + V,1578.89,1578.89,290.67,1578.89,28
CDM,315651,XR SACRUM/COCCYX 2 + V,1066.6,1066.6,196.36,1066.6,28
CDM,315656,XR SACRUM/COCCYX 2 + V,1066.6,1066.6,196.36,1066.6,28
CDM,315663,"Myelography, lumbosacral, radiological supervision and interpretation ",4754.99,4754.99,75.84,920.54,15
CDM,315663,XR MYELOGRAM L-SPINE,4754.99,4754.99,875.39,4754.99,28
CDM,315695,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",1436.16,1436.16,25.72,83.86,15
CDM,315695,XR AC JNTS BI W/WO WT,1436.16,1436.16,264.4,1436.16,28
CDM,315726,"Radiologic examination, knee; both knees, standing, anteroposterior ",1988.72,1988.72,19.61,116.81,15
CDM,315726,XR KNEE AP STAND BI,1988.72,1988.72,366.12,1988.72,28
CDM,315765,XR ABD ACUTE W/CHEST,2380.24,2380.24,438.2,2380.24,28
CDM,315769,XR ABD ACUTE W/CHEST,2380.24,2380.24,438.2,2380.24,28
CDM,315773,CT ABDOMEN W/O CONT,7510.33,7510.33,1382.65,7510.33,25
CDM,315777,CT ABDOMEN W/O CONT,7510.33,7510.33,1382.65,7510.33,25
CDM,315784,CT ABDOMEN W/CONT,7631.56,7631.56,1404.97,7631.56,25
CDM,315787,CT ABDOMEN W/CONT,7631.56,7631.56,1404.97,7631.56,25
CDM,315794,CT ABDOMEN W&WO CONT,9010.45,9010.45,1658.82,9010.45,25
CDM,315799,CT ABDOMEN W&WO CONT,9010.45,9010.45,1658.82,9010.45,25
CDM,315803,CTA ABDOMEN,10531.57,10531.57,1938.86,10531.57,25
CDM,315805,CTA ABDOMEN,10531.57,10531.57,1938.86,10531.57,25
CDM,315809,MRI ABDOMEN W/O CONT,9972.58,9972.58,1835.95,9972.58,25
CDM,315809,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",9972.58,9972.58,313.62,844.23,12
CDM,315837,MRI ABDOMEN W/CONT,10187.05,10187.05,1875.44,10187.05,25
CDM,315837,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",10187.05,10187.05,525.53,1012.98,12
CDM,315845,MRI ABDOMEN W&WO CONT,12327.36,12327.36,2269.47,12327.36,25
CDM,315845,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",12327.36,12327.36,616.1,1874.66,12
CDM,315857,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",1589.86,1589.86,46.0,341.2,15
CDM,315857,XR ESOPHAGUS,1589.86,1589.86,292.69,1589.86,28
CDM,315864,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",788.52,788.52,50.83,357.58,15
CDM,315864,XR SWLW FUNC W/C&V,788.52,788.52,145.17,788.52,28
CDM,315868,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",2380.24,2380.24,57.26,341.2,15
CDM,315868,XR UGI SNGL CONTRAST,2380.24,2380.24,438.2,2380.24,28
CDM,315887,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",2511.97,2511.97,64.42,348.94,15
CDM,315887,XR UGI DBL CONTRAST,2511.97,2511.97,462.45,2511.97,28
CDM,315905,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",1955.78,1955.78,50.83,303.23,15
CDM,315905,XR SMALL INTESTINE,1955.78,1955.78,360.06,1955.78,28
CDM,315922,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",2290.58,2290.58,66.54,378.54,15
CDM,315922,XR CONT ENEMA W/WO KUB,2290.58,2290.58,421.7,2290.58,28
CDM,315926,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",3632.98,3632.98,87.33,576.85,15
CDM,315926,XR ENEMA W/ AIR,3632.98,3632.98,668.83,3632.98,28
CDM,315928,THER ENEMA W/CONT OR AIR,2433.28,2433.28,447.97,2433.28,28
CDM,315928,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",2433.28,2433.28,94.13,590.9,15
CDM,315973,"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation ",3703.0,3703.0,112.0,236.79,10
CDM,315973,XR ERCP,3703.0,3703.0,555.45,3703.0,34
CDM,315976,"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation ",1589.86,1589.86,93.18,197.88,10
CDM,315976,XR INTRO LONG GI TUBE,1589.86,1589.86,238.48,1589.86,34
CDM,316038,"Cystography, minimum of 3 views, radiological supervision and interpretation ",2080.19,2080.19,22.88,341.2,15
CDM,316038,XR CYSTOGRAM 3 + V,2080.19,2080.19,382.96,2080.19,28
CDM,316048,"Urethrocystography, retrograde, radiological supervision and interpretation ",2080.19,2080.19,51.77,313.62,15
CDM,316048,XR CYSTOURETHRO RETRO,2080.19,2080.19,382.96,2080.19,28
CDM,316056,"Urethrocystography, voiding, radiological supervision and interpretation ",2252.17,2252.17,60.4,318.05,15
CDM,316056,XR CYSTOURETHRO VDNG,2252.17,2252.17,414.62,2252.17,28
CDM,316124,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",14404.06,14404.06,85.3,5757.7,15
CDM,316124,SP AORTOGM TH W/FILM,14404.06,14404.06,2651.79,14404.06,28
CDM,316126,SP AORTOGM ABD W/FILM,14404.06,14404.06,2651.79,14404.06,28
CDM,316129,SP AORTOGM ABD W/FILM,14404.06,14404.06,2651.79,14404.06,28
CDM,31613,DRESSING NADH 3X2IN,13.0,13.0,1.95,13.0,42
CDM,316134,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",13105.11,13105.11,84.04,3365.2,15
CDM,316134,SP AORTOGM ABD W/RNF,13105.11,13105.11,2412.65,13105.11,28
CDM,316137,CTA ABD AORTA IF LWEX RO,12351.77,12351.77,2273.96,12351.77,25
CDM,316144,CTA ABD AORTA IF LWEX RO,12351.77,12351.77,2273.96,12351.77,25
CDM,316195,"Angiography, spinal, selective, radiological supervision and interpretation ",12805.06,12805.06,123.14,5757.7,15
CDM,316195,SP ANGIO SPINAL SELECT,12805.06,12805.06,2357.41,12805.06,28
CDM,316202,SP ANGIO EXT BI,10829.12,10829.12,1993.64,10829.12,28
CDM,316204,SP ANGIO EXT BI,10829.12,10829.12,1993.64,10829.12,28
CDM,316219,SP ANG VISC SEL W/WO F,14404.06,14404.06,2651.79,14404.06,28
CDM,316225,SP ANG VISC SEL W/WO F,14404.06,14404.06,2651.79,14404.06,28
CDM,316239,SP ANGIO PELVIC,14404.06,14404.06,2651.79,14404.06,28
CDM,316243,SP ANGIO PELVIC,14404.06,14404.06,2651.79,14404.06,28
CDM,316267,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",14404.06,14404.06,94.44,3365.2,15
CDM,316267,SP ANGIO PULM SEL BI,14404.06,14404.06,2651.79,14404.06,28
CDM,316276,SP ANGIO ADDL VESSEL,8851.38,8851.38,1327.71,8851.38,34
CDM,316278,SP ANGIO ADDL VESSEL,8851.38,8851.38,1327.71,8851.38,34
CDM,316292,SP SPLENOPORTOGRAM,10560.18,10560.18,1944.13,10560.18,28
CDM,316292,"Splenoportography, radiological supervision and interpretation ",10560.18,10560.18,447.6,3718.0,15
CDM,316299,SP VENOGRAM EXT BI,10560.18,10560.18,1944.13,10560.18,28
CDM,316299,"Venography, extremity, bilateral, radiological supervision and interpretation ",10560.18,10560.18,58.03,1327.01,15
CDM,316304,SP VENOCAVAGM INF,10560.18,10560.18,1944.13,10560.18,28
CDM,316307,SP VENOCAVAGM INF,10560.18,10560.18,1944.13,10560.18,28
CDM,316309,SP VENOCAVAGM SUP,10560.18,10560.18,1944.13,10560.18,28
CDM,316313,SP VENOCAVAGM SUP,10560.18,10560.18,1944.13,10560.18,28
CDM,316343,SP VENOGM SIN/JUG CATH,7122.45,7122.45,1311.24,7122.45,28
CDM,316347,SP VENOGM SIN/JUG CATH,7122.45,7122.45,1311.24,7122.45,28
CDM,316349,SP VENOGM SP SAG SNS,10560.18,10560.18,1944.13,10560.18,28
CDM,316349,"Venography, superior sagittal sinus, radiological supervision and interpretation ",10560.18,10560.18,88.14,949.01,15
CDM,316359,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",8383.01,8383.01,87.19,3365.2,15
CDM,316359,SP PORTOGM W/HEMODYN,8383.01,8383.01,1543.31,8383.01,28
CDM,316362,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",14404.06,14404.06,87.19,1327.01,15
CDM,316362,SP PORTGM W/O HEMDYN,14404.06,14404.06,2651.79,14404.06,28
CDM,316365,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",10560.18,10560.18,87.83,3365.2,15
CDM,316365,SP VENOGM HEP W/DYN,10560.18,10560.18,1944.13,10560.18,28
CDM,316370,SP VENOUS SAMP CATH,9241.08,9241.08,1701.28,9241.08,28
CDM,316370,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",9241.08,9241.08,88.77,5757.7,15
CDM,316374,SP TRANSCTH THPY EMBL,18474.85,18474.85,2771.23,18474.85,34
CDM,316385,SP TRANSCATH ANGIO F/U,6205.85,6205.85,1142.5,6205.85,28
CDM,316462,SP TRANSCATH BIOPSY,14404.06,14404.06,2160.61,14404.06,34
CDM,316464,SP TRANSCATH BIOPSY,14404.06,14404.06,2160.61,14404.06,34
CDM,316479,"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation ",3562.12,3562.12,67.34,146.62,10
CDM,316479,SP CHG TUBE/DRN W/C,3562.12,3562.12,534.32,3562.12,34
CDM,316487,"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and inte",8090.29,8090.29,122.85,459.25,9
CDM,316487,SP PERC DRAIN,8090.29,8090.29,1213.54,8090.29,35
CDM,316524,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",2779.1,2779.1,37.39,313.62,15
CDM,316524,XR FLUOROSCOPY 0-60 MIN,2779.1,2779.1,511.63,2779.1,28
CDM,316547,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",3713.96,3713.96,30.45,313.62,15
CDM,316547,XR ABSCESS/FIST/SIN,3713.96,3713.96,683.74,3713.96,28
CDM,316552,"Radiological examination, surgical specimen ",1055.63,1055.63,9.64,657.03,15
CDM,316552,XR SURGICAL SPECIMEN,1055.63,1055.63,194.34,1055.63,28
CDM,316572,3D CT W POST IMG IND,1238.24,1238.24,185.74,1238.24,29
CDM,316579,CT LTD/LOC,4322.55,4322.55,795.78,4322.55,25
CDM,316579,"Computed tomography, limited or localized follow-up study ",4322.55,4322.55,83.86,459.25,12
CDM,316587,UL FLUORO PROCEDURE,9058.1,9058.1,1667.6,9058.1,28
CDM,316587,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",9058.1,9058.1,83.86,239.28,11
CDM,316596,UL DX RAD PROCEDURE,477.5,477.5,87.91,477.5,30
CDM,316596,Unlisted diagnostic radiographic procedure ,477.5,477.5,83.86,359.25,5
CDM,316601,"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnor",1564.14,1564.14,55.31,293.34,15
CDM,316601,US ENCEPHALOGRAM,1564.14,1564.14,287.96,1564.14,28
CDM,316619,US HEAD AND NECK,1688.0,1688.0,310.76,1688.0,28
CDM,316626,US CHST W/MEDIASTINUM,1158.96,1158.96,213.36,1158.96,28
CDM,316637,US ABDOMEN COMPLETE,2738.39,2738.39,504.14,2738.39,28
CDM,316645,US ABDOMEN LTD,1688.0,1688.0,310.76,1688.0,28
CDM,316658,US RETROPERITONEAL COM,2738.39,2738.39,504.14,2738.39,28
CDM,316665,US RETRO LTD,1791.95,1791.95,329.9,1791.95,28
CDM,316676,US RENAL TRANSPLANT,1686.44,1686.44,310.47,1686.44,28
CDM,316676,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation ",1686.44,1686.44,86.0,407.68,15
CDM,316678,US SPINAL CANAL,1807.26,1807.26,332.72,1807.26,28
CDM,316678,"Ultrasound, spinal canal and contents ",1807.26,1807.26,55.31,436.56,15
CDM,316775,DOP VELOCMTY UMBILCL ART,807.29,807.29,148.62,807.29,28
CDM,316775,"Doppler velocimetry, fetal; umbilical artery ",807.29,807.29,20.99,154.52,15
CDM,316795,US TRANSVAGINAL,2210.89,2210.89,407.02,2210.89,28
CDM,316806,US PELVIC COMPLETE,2045.76,2045.76,376.62,2045.76,28
CDM,316812,US PELVIC LTD OR FU,886.79,886.79,163.26,886.79,28
CDM,316817,US SCROTUM AND CNTS,2065.64,2065.64,380.28,2065.64,28
CDM,316823,US TRANSRECTAL,2314.88,2314.88,426.17,2314.88,28
CDM,316823,"Ultrasound, transrectal; ",2314.88,2314.88,51.88,607.73,15
CDM,316828,US PROSTATE VOLUME,1986.15,1986.15,365.65,1986.15,28
CDM,316828,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) ",1986.15,1986.15,82.78,365.72,15
CDM,316829,US INFANT HIP DYNAM,1053.44,1053.44,193.94,1053.44,28
CDM,316829,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) ",1053.44,1053.44,58.95,366.96,15
CDM,316831,US INFANT HIP STATIC,1041.21,1041.21,191.69,1041.21,28
CDM,316831,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) ",1041.21,1041.21,54.81,257.56,15
CDM,316840,US GUIDANCE VASC ACCESS,1276.68,1276.68,191.5,1276.68,34
CDM,316859,USG NDL PLACEMENT,6647.0,6647.0,997.05,6647.0,34
CDM,316859,"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation ",6647.0,6647.0,35.18,115.18,10
CDM,316891,US INTRAOPERATIVE,1637.0,1637.0,245.55,1637.0,34
CDM,316891,"Ultrasonic guidance, intraoperative ",1637.0,1637.0,52.65,101.48,8
CDM,316896,US UNLSTD PROC,2045.76,2045.76,376.62,2045.76,30
CDM,316896,"Unlisted ultrasound procedure (eg, diagnostic, interventional) ",2045.76,2045.76,83.86,359.25,5
CDM,316899,FLUORO GUID CTRL ACC DEV,8309.83,8309.83,1246.47,8309.83,34
CDM,316899,"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any",8309.83,8309.83,53.15,137.17,10
CDM,316918,Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code,1997.86,1997.86,44.15,141.1,10
CDM,316918,XR FLUORO FOR SPINE INJ,1997.86,1997.86,299.68,1997.86,34
CDM,316924,CT STEREO LOCALIZATION,9206.04,9206.04,1380.91,9206.04,29
CDM,316924,Computed tomography guidance for stereotactic localization ,9206.04,9206.04,422.47,814.33,9
CDM,316971,XR BONE AGE STUDIES,1436.16,1436.16,264.4,1436.16,28
CDM,316978,"Bone length studies (orthoroentgenogram, scanogram) ",1436.16,1436.16,20.36,154.52,15
CDM,316978,XR BONE LENGTH STUDIES,1436.16,1436.16,264.4,1436.16,28
CDM,316983,"Radiologic examination, osseous survey; limited (eg, for metastases) ",1430.7,1430.7,40.89,164.95,15
CDM,316983,XR BONE SURVEY LTD,1430.7,1430.7,263.39,1430.7,28
CDM,316996,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",2645.52,2645.52,61.27,269.4,15
CDM,316996,XR BONE SURVEY COMP,2645.52,2645.52,487.04,2645.52,28
CDM,317012,"Radiologic examination, osseous survey, infant ",2779.1,2779.1,38.02,271.87,15
CDM,317012,XR BONE SURVEY INFANT,2779.1,2779.1,511.63,2779.1,28
CDM,317023,DXA BONE DENSITY AXIAL,1037.34,1037.34,190.97,1037.34,28
CDM,317023,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",1037.34,1037.34,34.23,189.05,15
CDM,317029,DXA BONE DENSITY PERIPHL,415.3,415.3,76.46,415.3,28
CDM,317029,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",415.3,415.3,14.69,83.86,15
CDM,317041,TR SIMULATION SIMPLE,2489.69,2489.69,423.25,2489.69,30
CDM,317041,Therapeutic radiology simulation-aided field setting; simple ,2489.69,2489.69,135.64,852.17,12
CDM,317042,TR SIMULATION INTERMED,3203.63,3203.63,544.62,3203.63,30
CDM,317042,Therapeutic radiology simulation-aided field setting; intermediate ,3203.63,3203.63,217.74,1436.17,12
CDM,317044,TR SIMULATION COMPLEX,4866.09,4866.09,827.24,4866.09,30
CDM,317044,Therapeutic radiology simulation-aided field setting; complex ,4866.09,4866.09,254.22,1324.56,12
CDM,317046,"3-dimensional radiotherapy plan, including dose-volume histograms ",11341.67,11341.67,230.24,2078.13,12
CDM,317046,3D RADIOTHER PLAN W DVH,11341.67,11341.67,1928.08,11341.67,30
CDM,317049,"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and ",1299.83,1299.83,30.76,126.69,12
CDM,317049,TR DOSIMETRY BASIC,1299.83,1299.83,220.97,1299.83,30
CDM,317051,INT MOD RADTX PLAN,12431.88,12431.88,2113.42,12431.88,30
CDM,317051,"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications ",12431.88,12431.88,998.69,5275.5,12
CDM,317055,"Special teletherapy port plan, particles, hemibody, total body ",4002.84,4002.84,37.39,303.75,12
CDM,317055,TR SPECIAL PORT PLAN,4002.84,4002.84,680.48,4002.84,30
CDM,317059,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician ",1623.12,1623.12,16.26,101.52,12
CDM,317059,TR DOSIMETRY,1623.12,1623.12,275.93,1623.12,30
CDM,317061,TR TREAT DEVICE SIMPLE,1299.83,1299.83,220.97,1299.83,30
CDM,317061,"Treatment devices, design and construction; simple (simple block, simple bolus) ",1299.83,1299.83,45.89,101.0,12
CDM,317062,TR TREAT DEVICE INTRMED,2639.67,2639.67,448.74,2639.67,30
CDM,317062,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) ",2639.67,2639.67,8.07,358.82,12
CDM,317063,TR TREAT DEVICE CPLEX,3351.27,3351.27,569.72,3351.27,30
CDM,317063,"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) ",3351.27,3351.27,75.84,244.27,12
CDM,317064,"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation onc",1733.11,1733.11,65.76,541.66,8
CDM,317064,TR MED PHYSICS CONT,1733.11,1733.11,294.63,1733.11,30
CDM,317066,Special medical radiation physics consultation ,3139.63,3139.63,100.35,541.66,8
CDM,317066,TR MED PHYSICS SPECIAL,3139.63,3139.63,533.74,3139.63,30
CDM,317067,SRS DL PER FRACTION,14406.66,14406.66,2652.27,14406.66,25
CDM,317067,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",14406.66,14406.66,1100.58,33826.0,21
CDM,317085,TR PORT IMAGE,761.57,761.57,114.24,761.57,36
CDM,317085,Therapeutic radiology port image(s) ,761.57,761.57,12.16,44.87,8
CDM,317091,SP TREATMENT,4216.17,4216.17,716.75,4216.17,30
CDM,317091,"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) ",4216.17,4216.17,40.86,839.36,12
CDM,317111,CB INTERST APP COMP,12957.22,12957.22,2385.42,12957.22,28
CDM,317111,"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed ",12957.22,12957.22,200.07,1734.33,12
CDM,317116,SURFACE APP LDR,3573.1,3573.1,657.81,3573.1,28
CDM,317116,Surface application of low dose rate radionuclide source ,3573.1,3573.1,17.64,270.64,12
CDM,317129,NM THYROID METS W BDY,9599.31,9599.31,1767.23,9599.31,28
CDM,317129,Thyroid carcinoma metastases imaging; whole body ,9599.31,9599.31,212.09,890.72,15
CDM,317133,NM PLANAR PARATHYROID,6942.87,6942.87,1278.18,6942.87,28
CDM,317133,"Parathyroid planar imaging (including subtraction, when performed); ",6942.87,6942.87,70.82,840.07,15
CDM,317134,"Adrenal imaging, cortex and/or medulla ",5556.76,5556.76,212.09,1623.62,15
CDM,317134,NM ADRENAL,5556.76,5556.76,1023.0,5556.76,28
CDM,317163,Lymphatics and lymph nodes imaging ,6360.93,6360.93,158.92,969.24,15
CDM,317163,NM LYMPHIMAG,6360.93,6360.93,1171.05,6360.93,28
CDM,317164,Liver imaging; static only ,5090.62,5090.62,92.17,1623.62,15
CDM,317164,NM LIVER,5090.62,5090.62,937.18,5090.62,28
CDM,317168,Liver and spleen imaging; static only ,4746.4,4746.4,114.69,579.57,15
CDM,317168,NM LIVER & SPLEEN,4746.4,4746.4,873.81,4746.4,28
CDM,317181,"Gastric emptying imaging study (eg, solid, liquid, or both); ",6016.74,6016.74,160.88,958.12,15
CDM,317181,NM GASTRIC EMPTYING,6016.74,6016.74,1107.68,6016.74,28
CDM,317189,Acute gastrointestinal blood loss imaging ,4284.87,4284.87,190.16,985.3,15
CDM,317189,NM ACUTE GI BLOOD LOSS,4284.87,4284.87,788.84,4284.87,28
CDM,317197,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",6248.27,6248.27,118.78,974.18,15
CDM,317197,NM INTESTINE IMAGING,6248.27,6248.27,1150.31,6248.27,28
CDM,317203,Bone and/or joint imaging; whole body ,5672.52,5672.52,166.9,829.0,15
CDM,317203,NM BONE WHOLE BODY,5672.52,5672.52,1044.31,5672.52,28
CDM,317204,Bone and/or joint imaging; 3 phase study ,6942.87,6942.87,186.48,971.71,15
CDM,317204,NM BONE 3 PHASE,6942.87,6942.87,1278.18,6942.87,28
CDM,317236,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",8790.48,8790.48,163.54,595.63,15
CDM,317236,NM MUGA R/S SINGLE,8790.48,8790.48,1618.33,8790.48,28
CDM,317255,NM PULM PERF PARTIC,3587.17,3587.17,660.4,3587.17,28
CDM,317255,"Pulmonary perfusion imaging (eg, particulate) ",3587.17,3587.17,134.09,659.83,15
CDM,317274,"Brain imaging, minimum 4 static views; with vascular flow ",9248.91,9248.91,151.18,980.35,15
CDM,317274,NM BRAIN MIN 4 STATIC VF,9248.91,9248.91,1702.72,9248.91,28
CDM,317283,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",2801.51,2801.51,196.58,997.65,15
CDM,317283,NM CISTERNOGRAM,2801.51,2801.51,515.76,2801.51,28
CDM,317287,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",6248.27,6248.27,134.09,975.41,15
CDM,317287,NM CSF SHUNT EVAL,6248.27,6248.27,1150.31,6248.27,28
CDM,317295,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",6248.27,6248.27,166.06,622.81,15
CDM,317295,NM KDNEY SCAN FLW&FNC,6248.27,6248.27,1150.31,6248.27,28
CDM,317296,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",7980.12,7980.12,102.38,611.66,15
CDM,317296,NM KDNEY FLW&FNC W/RX,7980.12,7980.12,1469.14,7980.12,28
CDM,317297,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",13738.13,13738.13,172.67,987.77,15
CDM,317297,NM KIDNEY FLW&FNC MUL,13738.13,13738.13,2529.19,13738.13,28
CDM,317309,NM TUMOR LCL SPECT,13063.04,13063.04,2404.91,13063.04,28
CDM,317309,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",13063.04,13063.04,256.16,1067.26,15
CDM,317311,NM TUM LC WB 2/MORE DAYS,11207.67,11207.67,2063.33,11207.67,28
CDM,317311,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",11207.67,11207.67,169.31,1935.74,15
CDM,317321,RADIOPHM THPY ORAL ADMIN,2690.39,2690.39,495.3,2690.39,28
CDM,317321,"Radiopharmaceutical therapy, by oral administration ",2690.39,2690.39,42.75,321.95,15
CDM,317322,RADIOPHARM THPY IV ADMIN,2690.39,2690.39,495.3,2690.39,28
CDM,317322,"Radiopharmaceutical therapy, by intravenous administration ",2690.39,2690.39,43.37,321.95,15
CDM,317331,RDPHM INTRA ARTERIAL ADM,2988.3,2988.3,550.15,2988.3,28
CDM,317331,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",2988.3,2988.3,83.91,323.33,15
CDM,317341,IMMUNIZ ADMIN SGL,301.0,301.0,51.17,301.0,38
CDM,317342,IMMUNIZ ADMIN SGL,426.56,426.56,72.52,426.56,38
CDM,317352,IMMUNIZ ADMIN EA ADDTL,426.56,426.56,63.98,426.56,42
CDM,317356,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317357,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317358,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317359,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317361,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317362,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317363,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317366,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317369,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317383,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317384,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317391,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317393,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317394,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317408,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317418,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317419,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317423,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,317425,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317426,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317427,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317428,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317429,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317430,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317431,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317433,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317435,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317440,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317441,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317444,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317456,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317459,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317461,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317462,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,317465,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317466,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317467,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317468,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317469,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317471,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317472,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317474,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317477,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317481,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317482,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317485,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317498,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317503,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317504,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317506,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,317508,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317509,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317513,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317514,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317515,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317516,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317517,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317518,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317521,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317524,IV EACH ADD HOUR,395.87,395.87,67.3,395.87,38
CDM,317529,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,317531,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,317534,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,317536,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,317552,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,317555,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,317556,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,317557,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,317561,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,317562,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,317565,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,317568,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,317610,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,317642,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,317664,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,317667,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,317669,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,317682,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,317687,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,317713,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,317715,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,317717,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317718,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317721,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317723,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317724,INJECTION IM OR SQ,198.42,198.42,33.73,198.42,38
CDM,317726,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317727,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317728,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317737,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317743,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317744,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317746,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317749,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317758,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,317777,INJECTION IM OR SQ,476.88,476.88,81.07,476.88,38
CDM,317778,INJECTION IM OR SQ,476.88,476.88,81.07,476.88,38
CDM,317798,IVP SINGLE/INITIAL DRUG,553.31,553.31,94.06,553.31,38
CDM,317799,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317801,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317802,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317803,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317804,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317807,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317808,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317811,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317817,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317822,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317823,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317826,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317827,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317829,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317831,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317858,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317859,IVP SINGLE/INITIAL DRUG,1327.41,1327.41,225.66,1327.41,38
CDM,317863,IVP SINGLE/INITIAL DRUG,1327.41,1327.41,225.66,1327.41,38
CDM,317867,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,317872,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317873,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317874,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317876,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317877,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317878,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317879,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317883,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317885,IVP EA ADD SEQ NEW DRUG,326.9,326.9,55.57,326.9,38
CDM,317886,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317893,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317894,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317896,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317898,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317899,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317903,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317904,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317908,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317924,IVP EA ADD SEQ NEW DRUG,781.58,781.58,132.87,781.58,38
CDM,317925,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,317931,ESOPHAGUS MOTILITY STDY,3326.37,3326.37,612.38,3326.37,29
CDM,317939,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",2517.7,2517.7,291.0,3250.0,8
CDM,317939,GASTROESOPH RFLX ELECTRD,2517.7,2517.7,463.51,2517.7,31
CDM,317951,CAPSULE ENDOSCOPY ESOPHG,2115.41,2115.41,389.45,2115.41,31
CDM,317951,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",2115.41,2115.41,769.0,4100.0,8
CDM,317984,STRESS TEST,2483.26,2483.26,422.15,2483.26,36
CDM,318129,ECHO 2D W/WOM MODE LTD,1817.88,1817.88,309.04,1817.88,36
CDM,318139,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report ",3635.84,3635.84,162.16,4700.0,5
CDM,318139,TEE 2D W/WOM MODE COMP,3635.84,3635.84,618.09,3635.84,36
CDM,318151,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete ",1920.26,1920.26,78.45,4700.0,5
CDM,318151,ECHO DOPPLER COMP,1920.26,1920.26,288.04,1920.26,40
CDM,318154,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in ",943.56,943.56,50.86,4700.0,5
CDM,318154,ECHO DOPPLER LTD,943.56,943.56,141.53,943.56,40
CDM,318163,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) ,1562.01,1562.01,66.44,4700.0,5
CDM,318163,ECHO COLOR FLOW MAPPING,1562.01,1562.01,234.3,1562.01,40
CDM,318169,ECHO STRESS,5285.91,5285.91,898.6,5285.91,36
CDM,318197,VELOCITY BLD FLOW INT,5552.06,5552.06,832.81,5552.06,36
CDM,318198,VELOCITY BLD FLOW EA ADD,5552.06,5552.06,832.81,5552.06,36
CDM,318204,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",3320.58,3320.58,290.81,30393.0,9
CDM,318204,TILT TABLE W/WO RX,3320.58,3320.58,564.5,3320.58,32
CDM,318208,INTRACARDIAC ECHO,20443.52,20443.52,3066.53,20443.52,30
CDM,318208,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",20443.52,20443.52,177.78,30393.0,13
CDM,318264,CR EXER NON-MON,334.53,334.53,56.87,334.53,37
CDM,318264,Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session) ,334.53,334.53,22.86,138.0,4
CDM,318271,CR EXER MON,347.26,347.26,59.03,347.26,37
CDM,318271,Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session) ,347.26,347.26,36.8,155.0,4
CDM,318277,DUP EXTRACRANIAL BIL,4836.0,4836.0,822.12,4836.0,33
CDM,318284,DUP EXTRCRNIAL UNI/LTD,1798.15,1798.15,305.69,1798.15,33
CDM,318284,Duplex scan of extracranial arteries; unilateral or limited study ,1798.15,1798.15,162.52,1482.0,8
CDM,318286,DOP TRANSCRANIAL COMP,10444.78,10444.78,1775.61,10444.78,33
CDM,318286,Transcranial Doppler study of the intracranial arteries; complete study ,10444.78,10444.78,162.52,1482.0,8
CDM,318289,DOP TRANSCRANIAL LTD,1905.61,1905.61,323.95,1905.61,33
CDM,318289,Transcranial Doppler study of the intracranial arteries; limited study ,1905.61,1905.61,162.52,1482.0,8
CDM,318295,TCD EMBOLI DETECT WO INJ,778.02,778.02,132.26,778.02,35
CDM,318295,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,778.02,778.02,219.36,1482.0,6
CDM,318297,TCD EMBOLI DETECT W INJ,936.15,936.15,159.15,936.15,35
CDM,318297,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,936.15,936.15,213.63,1482.0,6
CDM,318298,DOP ART 1-2 LEVELS BIL,2501.73,2501.73,425.29,2501.73,33
CDM,318311,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",820.87,820.87,100.64,1482.0,8
CDM,318311,DOP ART >3 LEVELS BIL,820.87,820.87,139.55,820.87,33
CDM,318322,DUP LE ART BIL,5431.51,5431.51,923.36,5431.51,33
CDM,318332,DUP UE ART BIL,5431.51,5431.51,923.36,5431.51,33
CDM,318332,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,5431.51,5431.51,162.52,1482.0,8
CDM,318349,DUP VEIN BIL,3533.69,3533.69,600.73,3533.69,33
CDM,318363,DUP AB/PEL/SC COMP,3369.52,3369.52,572.82,3369.52,33
CDM,318372,DUP AB/PEL/SC LTD,1905.0,1905.0,323.85,1905.0,33
CDM,318381,DUP AO/IVC/IV/BPG COMP,1905.61,1905.61,323.95,1905.61,33
CDM,318381,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",1905.61,1905.61,162.52,1482.0,8
CDM,318386,DUP AO/IVC/IV/BPG LTD,2993.31,2993.31,508.86,2993.31,33
CDM,318386,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",2993.31,2993.31,162.52,1482.0,8
CDM,318391,DUP PENILE COMP,3168.21,3168.21,538.6,3168.21,33
CDM,318391,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,3168.21,3168.21,109.7,1482.0,8
CDM,318393,DUP PENILE LTD,1905.61,1905.61,323.95,1905.61,33
CDM,318393,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,1905.61,1905.61,93.26,1482.0,8
CDM,318395,DUP A/V STUDY,3533.69,3533.69,600.73,3533.69,33
CDM,318395,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",3533.69,3533.69,114.59,1482.0,8
CDM,318397,VENT MGMT INITIAL IP/OBS,5945.31,5945.31,1010.7,5945.31,38
CDM,318398,VENT MGMT INITIAL IP/OBS,5945.31,5945.31,1010.7,5945.31,38
CDM,318402,VENT MGMT IP/OBS SUB DAY,5945.31,5945.31,1010.7,5945.31,38
CDM,318403,VENT MGMT IP/OBS SUB DAY,5832.84,5832.84,991.58,5832.84,38
CDM,318404,SPIROMETRY,1206.42,1206.42,205.09,1206.42,38
CDM,318404,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation ",1206.42,1206.42,19.21,37.02,3
CDM,318409,BRONCH EV SPIR PRE/POST,1504.38,1504.38,255.74,1504.38,38
CDM,318409,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration ",1504.38,1504.38,42.53,81.93,3
CDM,318416,VITAL CAPACITY,518.65,518.65,88.17,518.65,38
CDM,318416,"Vital capacity, total (separate procedure) ",518.65,518.65,3.84,7.4,3
CDM,318428,RESP FLOW VOLUME LOOP,927.7,927.7,157.71,927.7,38
CDM,318428,Respiratory flow volume loop ,927.7,927.7,22.38,43.12,3
CDM,318433,Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube ,271.97,271.97,74.78,144.07,3
CDM,318433,SURFACTANT,271.97,271.97,46.23,271.97,38
CDM,318447,INH TX AC AWY OBST,626.84,626.84,106.56,626.84,37
CDM,318448,INH TX AC AWY OBST,626.84,626.84,106.56,626.84,37
CDM,318454,CONT INHAL TRMT 1ST HOUR,1124.39,1124.39,191.15,1124.39,37
CDM,318458,CONT INHAL TRMT 1ST HOUR,1124.39,1124.39,191.15,1124.39,37
CDM,318461,CONT IN TRMT EA ADD HOUR,1124.39,1124.39,168.66,1124.39,41
CDM,318462,CONT IN TRMT EA ADD HOUR,1124.39,1124.39,168.66,1124.39,41
CDM,318464,CPAP VENT INIT&MGMT NB,3935.38,3935.38,669.01,3935.38,37
CDM,318466,CPAP VENT INT&MGMT,3935.38,3935.38,669.01,3935.38,37
CDM,318470,DEM AER GEN/NEB/MDI/IPPB,539.68,539.68,91.75,539.68,37
CDM,318472,CHEST WALL INITIAL,480.67,480.67,81.71,480.67,37
CDM,318473,CHEST WALL INITIAL,480.67,480.67,81.71,480.67,37
CDM,318475,CHEST WALL SUBSEQUENT,314.78,314.78,53.51,314.78,37
CDM,318476,CHEST WALL SUBSEQUENT,314.78,314.78,53.51,314.78,37
CDM,318505,Noninvasive ear or pulse oximetry for oxygen saturation; single determination ,119.18,119.18,11.75,22.63,3
CDM,318505,SINGLE DX PULSE OX,119.18,119.18,17.88,119.18,42
CDM,318514,MULTIPLE DX PULSE OX,262.54,262.54,39.38,262.54,42
CDM,318514,"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) ",262.54,262.54,31.18,60.08,3
CDM,318563,EEG 41-60 MIN,1375.36,1375.36,233.81,1375.36,37
CDM,318563,Electroencephalogram (EEG) extended monitoring; 41-60 minutes ,1375.36,1375.36,63.96,123.23,3
CDM,318564,EEG EXT MNTR 61-119 MIN,1375.36,1375.36,233.81,1375.36,37
CDM,318564,Electroencephalogram (EEG) extended monitoring; 61-119 minutes ,1375.36,1375.36,63.96,123.23,3
CDM,318566,EEG REC AW & DROWSY,1234.38,1234.38,209.84,1234.38,37
CDM,318566,Electroencephalogram (EEG); including recording awake and drowsy ,1234.38,1234.38,60.6,116.76,3
CDM,318573,EEG REC AW & ASLEEP,1966.3,1966.3,334.27,1966.3,37
CDM,318573,Electroencephalogram (EEG); including recording awake and asleep ,1966.3,1966.3,60.6,116.76,3
CDM,318658,CHEMO SQ/IM NON HORM ANP,509.0,509.0,86.53,509.0,36
CDM,318691,CHEMO IV PUSH SING/IN DR,1827.0,1827.0,310.59,1827.0,36
CDM,318704,CHEMO IV SING/IN DR 1 HR,1267.0,1267.0,215.39,1267.0,36
CDM,318719,CHEMO IV EA ADD HOUR,629.0,629.0,106.93,629.0,36
CDM,318825,CHEMO CNS SPINAL PUNC,2538.04,2538.04,431.47,2538.04,35
CDM,318837,CHEM SUBAR/INTRAVENT S/M,4212.84,4212.84,716.18,4212.84,36
CDM,318837,"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents ",4212.84,4212.84,124.66,240.19,3
CDM,318871,MNT INIT ASSESS EA 15MIN,76.3,76.3,12.97,76.3,36
CDM,318871,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",76.3,76.3,28.17,73.14,38
CDM,318873,MNT REASSESS EA 15 MIN,64.87,64.87,11.03,64.87,36
CDM,318873,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",64.87,64.87,24.3,65.6,38
CDM,318875,MNT GROUP EA 30 MIN,110.65,110.65,18.81,110.65,36
CDM,318875,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",110.65,110.65,13.01,38.84,38
CDM,318953,OP VISIT LEVEL 2 NP,505.0,505.0,75.75,505.0,34
CDM,318961,OP VISIT LEVEL 3 NP,452.0,452.0,67.8,452.0,34
CDM,318966,OP VISIT LEVEL 4 NP,737.0,737.0,110.55,737.0,34
CDM,318971,OP VISIT LEVEL 5 NP,779.0,779.0,116.85,779.0,34
CDM,318976,OP VISIT LEVEL 1 EST,448.0,448.0,67.2,448.0,34
CDM,318981,OP VISIT LEVEL 1 EST,448.0,448.0,67.2,448.0,34
CDM,318994,OP VISIT LEVEL 2 EST,387.0,387.0,58.05,387.0,34
CDM,319014,OP VISIT LEVEL 3 EST,306.0,306.0,45.9,306.0,34
CDM,319020,OP VISIT LEVEL 4 EST,623.0,623.0,93.45,623.0,34
CDM,319025,OP VISIT LEVEL 5 EST,769.0,769.0,115.35,769.0,34
CDM,319029,LVL 1 EMER DEPT,618.0,618.0,113.77,618.0,22
CDM,319035,LVL 1 EMER DEPT,618.0,618.0,113.77,618.0,22
CDM,319036,LVL 2 EMER DEPT,1007.0,1007.0,185.39,1007.0,22
CDM,319037,LVL 2 EMER DEPT,1007.0,1007.0,185.39,1007.0,22
CDM,319038,LVL 3 EMER DEPT,2205.0,2205.0,405.94,2205.0,22
CDM,319039,LVL 3 EMER DEPT,2205.0,2205.0,405.94,2205.0,22
CDM,319040,LVL 4 EMER DEPT,3840.0,3840.0,706.94,3840.0,22
CDM,319041,LVL 4 EMER DEPT,3840.0,3840.0,706.94,3840.0,22
CDM,319042,LVL 5 EMER DEPT,5031.0,5031.0,926.21,5031.0,22
CDM,319043,LVL 5 EMER DEPT,5031.0,5031.0,926.21,5031.0,22
CDM,319045,CRIT CARE 1ST 30-74 MINS,6944.4,6944.4,1278.46,6944.4,24
CDM,319046,CRIT CARE EACH ADD 30MIN,3401.97,3401.97,510.3,3401.97,30
CDM,319048,ATC DEL&INITIAL STABILIZ,1148.39,1148.39,172.26,1148.39,42
CDM,319048,Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn ,1148.39,1148.39,89.18,171.81,3
CDM,319051,DEL RESUS PPV CHEST COMP,2591.71,2591.71,440.59,2591.71,38
CDM,319051,"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output ",2591.71,2591.71,182.19,351.02,3
CDM,319230,SP TRANSCATH ANGIO F/U,6205.85,6205.85,1142.5,6205.85,28
CDM,319259,CT HEART WO CN W QUAN CA,893.9,893.9,164.57,893.9,25
CDM,319280,OCCLUSIVE DEVICE VEN/ART,1129.5,1129.5,169.43,1129.5,31
CDM,319304,OCCLUSIVE DEVICE VEN/ART,1129.5,1129.5,169.43,1129.5,31
CDM,319306,EMERGENT DIALYSIS ESRD,2750.05,2750.05,506.28,2750.05,28
CDM,319356,TC99M SESTAMIBI DX DOSE,2900.3,2900.3,435.05,2900.3,33
CDM,319356,"Technetium tc-99m sestamibi, diagnostic, per study dose ",2900.3,2900.3,84.0,1194.04,6
CDM,319357,TC99M TETROFOSMIN DXDOSE,452.24,452.24,67.84,452.24,33
CDM,319357,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",452.24,452.24,102.32,309.79,6
CDM,319362,I123 SOD DX 100-999 UCI,530.95,530.95,79.64,530.95,33
CDM,319362,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",530.95,530.95,115.01,269.08,6
CDM,319363,TC99M EXAMETAZM DX 25MCI,4389.84,4389.84,658.48,4389.84,33
CDM,319363,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",4389.84,4389.84,2056.76,4246.84,6
CDM,319364,I131 SOD IOD CAP DX MCI,483.1,483.1,72.47,483.1,34
CDM,319364,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",483.1,483.1,104.02,258.45,5
CDM,319366,TC99M PENTETATE DX 25MCI,143.52,143.52,21.53,143.52,34
CDM,319366,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",143.52,143.52,40.91,76.11,5
CDM,319369,IN111 OXYQUINO DX 0.5MCI,2548.38,2548.38,466.35,2548.38,29
CDM,319369,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",2548.38,2548.38,2203.37,3091.79,6
CDM,319370,IN111 PENTETAT DX 0.5MCI,5471.86,5471.86,1001.35,5471.86,29
CDM,319370,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",5471.86,5471.86,1062.6,1975.89,6
CDM,319373,F18 FDG DX 45MCI,2548.38,2548.38,382.26,2548.38,35
CDM,319373,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",2548.38,2548.38,186.48,1142.71,4
CDM,319378,TC99M MERTIATID DX 15MCI,2227.32,2227.32,334.1,2227.32,36
CDM,319378,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",2227.32,2227.32,2102.17,2102.17,3
CDM,319384,I131 SOD IOD CAP TX MCI,84.88,84.88,14.43,84.88,32
CDM,319384,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",84.88,84.88,63.79,97.39,5
CDM,319472,XR TMJ UNI LT,1589.86,1589.86,292.69,1589.86,28
CDM,319473,XR TMJ UNI RT,1558.69,1558.69,286.95,1558.69,28
CDM,319494,XR RIBS UNI 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,319495,XR RIBS UNI 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,319502,XR RIBS UNI 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,319503,XR RIBS UNI 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,319508,XR RIBS UNI W/CXR 3+V LT,1992.36,1992.36,366.79,1992.36,28
CDM,319509,XR RIBS UNI W/CXR 3+V RT,1992.36,1992.36,366.79,1992.36,28
CDM,319516,XR RIBS UNI W/CXR 3+V LT,1992.36,1992.36,366.79,1992.36,28
CDM,319517,XR RIBS UNI W/CXR 3+V RT,1992.36,1992.36,366.79,1992.36,28
CDM,319524,MRA W/O FOL W/CONT CHEST,6437.4,6437.4,1185.13,6437.4,27
CDM,319524,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",6437.4,6437.4,616.1,616.1,3
CDM,319538,MRA WO FOL W CONT PELVIS,6440.39,6440.39,1185.68,6440.39,27
CDM,319538,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",6440.39,6440.39,616.1,616.1,3
CDM,319549,XR CLAVICLE COMP LT,1436.16,1436.16,264.4,1436.16,28
CDM,319550,XR CLAVICLE COMP RT,1436.16,1436.16,264.4,1436.16,28
CDM,319566,XR SCAPULA COMP LT,1436.16,1436.16,264.4,1436.16,28
CDM,319567,XR SCAPULA COMP RT,1436.16,1436.16,264.4,1436.16,28
CDM,319574,XR SCAPULA COMP LT,1436.16,1436.16,264.4,1436.16,28
CDM,319575,XR SCAPULA COMP RT,1436.16,1436.16,264.4,1436.16,28
CDM,319578,XR SHOULDER 1 V LT,1196.54,1196.54,220.28,1196.54,28
CDM,319579,XR SHOULDER 1 V RT,1196.54,1196.54,220.28,1196.54,28
CDM,319590,XR SHOULDER 2 + V LT,1589.86,1589.86,292.69,1589.86,28
CDM,319591,XR SHOULDER 2 + V RT,1589.86,1589.86,292.69,1589.86,28
CDM,319598,XR SHOULDER 2 + V LT,1589.86,1589.86,292.69,1589.86,28
CDM,319599,XR SHOULDER 2 + V RT,1589.86,1589.86,292.69,1589.86,28
CDM,319609,XR HUMERUS 2 + V LT,1436.16,1436.16,264.4,1436.16,28
CDM,319610,XR HUMERUS 2 + V RT,1436.16,1436.16,264.4,1436.16,28
CDM,319617,XR HUMERUS 2 + V LT,1436.16,1436.16,264.4,1436.16,28
CDM,319618,XR HUMERUS 2 + V RT,1436.16,1436.16,264.4,1436.16,28
CDM,319624,XR ELBOW 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,319625,XR ELBOW 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,319633,XR ELBOW 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,319634,XR ELBOW 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,319641,XR ELBOW 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,319642,XR ELBOW 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,319649,XR ELBOW 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,319650,XR ELBOW 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,319661,XR FOREARM 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,319663,XR FOREARM 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,319672,XR FOREARM 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,319673,XR FOREARM 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,319680,XR UP EXTREM INFANT2V LT,825.12,825.12,151.9,825.12,28
CDM,319681,XR UP EXTREM INFANT2V RT,825.12,825.12,151.9,825.12,28
CDM,319694,XR WRIST 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,319695,XR WRIST 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,319703,XR WRIST 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,319708,XR WRIST 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,319709,XR WRIST 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,319717,XR WRIST 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,319718,XR WRIST 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,319727,XR HAND 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,319728,XR HAND 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,319733,XR HAND 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,319734,XR HAND 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,319739,XR HAND 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,319741,XR HAND 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,319748,XR HAND 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,319755,XR FINGER(S) 2 + V LT,858.03,858.03,157.96,858.03,28
CDM,319756,XR FINGER(S) 2 + V RT,858.03,858.03,157.96,858.03,28
CDM,319763,XR FINGER(S) 2 + V LT,858.03,858.03,157.96,858.03,28
CDM,319764,XR FINGER(S) 2 + V RT,858.03,858.03,157.96,858.03,28
CDM,319769,CT UP EXTREM W/O CONT LT,7120.74,7120.74,1310.93,7120.74,25
CDM,319770,CT UP EXTREM W/O CONT RT,7120.74,7120.74,1310.93,7120.74,25
CDM,319775,CT UP EXTREM W/O CONT LT,7120.74,7120.74,1310.93,7120.74,25
CDM,319776,CT UP EXTREM W/O CONT RT,7120.74,7120.74,1310.93,7120.74,25
CDM,319783,CT UP EXTREM W/CONT LT,7120.74,7120.74,1310.93,7120.74,25
CDM,319784,CT UP EXTREM W/CONT RT,7120.74,7120.74,1310.93,7120.74,25
CDM,319797,CT UP EXTRM W&W/O CON LT,7995.28,7995.28,1471.93,7995.28,25
CDM,319798,CT UP EXTRM W&W/O CON RT,7995.28,7995.28,1471.93,7995.28,25
CDM,319809,CTA UPPER EXTREMITY LT,9686.14,9686.14,1783.22,9686.14,25
CDM,319810,CTA UPPER EXTREMITY RT,9686.14,9686.14,1783.22,9686.14,25
CDM,319818,MRI UPPER EX W/O CONT LT,8900.17,8900.17,1638.52,8900.17,25
CDM,319819,MRI UPPER EX W/O CONT RT,8900.17,8900.17,1638.52,8900.17,25
CDM,319828,MRI UPPER EX W/CONT LT,9222.64,9222.64,1697.89,9222.64,25
CDM,319829,MRI UPPER EX W/CONT RT,9222.64,9222.64,1697.89,9222.64,25
CDM,319838,MRI UP EX W&WO CONT LT,12217.86,12217.86,2249.31,12217.86,25
CDM,319839,MRI UP EX W&WO CONT RT,12217.86,12217.86,2249.31,12217.86,25
CDM,319851,MRI UP JNT W/O CONT LT,7398.8,7398.8,1362.12,7398.8,25
CDM,319852,MRI UP JNT W/O CONT RT,7398.8,7398.8,1362.12,7398.8,25
CDM,319863,MRI UP JNT W/CONT LT,9113.15,9113.15,1677.73,9113.15,25
CDM,319864,MRI UP JNT W/CONT RT,9113.15,9113.15,1677.73,9113.15,25
CDM,319873,MRI UP JNT W&WO CONT LT,12217.86,12217.86,2249.31,12217.86,25
CDM,319874,MRI UP JNT W&WO CONT RT,12217.86,12217.86,2249.31,12217.86,25
CDM,319924,XR ARTHROGRAM HIP LT,2570.5,2570.5,473.23,2570.5,28
CDM,319925,XR ARTHROGRAM HIP RT,2570.5,2570.5,473.23,2570.5,28
CDM,319956,XR KNEE 1 OR 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,319957,XR KNEE 1 OR 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,319966,XR KNEE 1 OR 2 V LT,1436.16,1436.16,264.4,1436.16,28
CDM,319967,XR KNEE 1 OR 2 V RT,1436.16,1436.16,264.4,1436.16,28
CDM,319973,XR KNEE 3 V LT,1578.89,1578.89,290.67,1578.89,28
CDM,319974,XR KNEE 3 V RT,1578.89,1578.89,290.67,1578.89,28
CDM,319981,XR KNEE 3 V LT,1578.89,1578.89,290.67,1578.89,28
CDM,319982,XR KNEE 3 V RT,1578.89,1578.89,290.67,1578.89,28
CDM,319989,XR KNEE 4 + V LT,1664.88,1664.88,306.5,1664.88,28
CDM,319990,XR KNEE 4 + V RT,1664.88,1664.88,306.5,1664.88,28
CDM,319997,XR KNEE 4 + V LT,1664.88,1664.88,306.5,1664.88,28
CDM,319998,XR KNEE 4 + V RT,1664.88,1664.88,306.5,1664.88,28
CDM,320056,XR TIBIA/FIBULA 2 V LT,1589.86,1589.86,292.69,1589.86,28
CDM,320057,XR TIBIA/FIBULA 2 V RT,1589.86,1589.86,292.69,1589.86,28
CDM,320065,XR TIBIA/FIBULA 2 V LT,1589.86,1589.86,292.69,1589.86,28
CDM,320066,XR TIBIA/FIBULA 2 V RT,1589.86,1589.86,292.69,1589.86,28
CDM,320073,XR TIB/FIB INFNT 2V LT,825.12,825.12,151.9,825.12,28
CDM,320074,XR TIB/FIB INFNT 2V RT,764.0,764.0,140.65,764.0,28
CDM,320083,XR TIB/FIB INFNT 2V RT,825.12,825.12,151.9,825.12,28
CDM,320088,XR ANKLE 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,320089,XR ANKLE 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,320124,XR ANKLE 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,320163,XR ANKLE 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,320179,XR ANKLE 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,320189,XR ANKLE 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,320204,XR ANKLE 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,320206,XR ANKLE 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,320218,XR FOOT 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,320219,XR FOOT 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,320224,XR FOOT 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,28
CDM,320226,XR FOOT 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,28
CDM,320236,XR FOOT 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,320237,XR FOOT 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,320253,XR FOOT 3 + V LT,1578.89,1578.89,290.67,1578.89,28
CDM,320254,XR FOOT 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,320261,XR CALCANEUS 2 + V LT,1436.16,1436.16,264.4,1436.16,28
CDM,320264,XR CALCANEUS 2 + V RT,1436.16,1436.16,264.4,1436.16,28
CDM,320272,XR CALCANEUS 2 + V LT,1436.16,1436.16,264.4,1436.16,28
CDM,320273,XR CALCANEUS 2 + V RT,1436.16,1436.16,264.4,1436.16,28
CDM,320289,XR TOE(S) 2 + V LT,801.34,801.34,147.53,801.34,28
CDM,320290,XR TOE(S) 2 + V RT,801.34,801.34,147.53,801.34,28
CDM,320296,CT LOWER EXTRM W/O C LT,7120.74,7120.74,1310.93,7120.74,25
CDM,320297,CT LOWER EXTRM W/O C RT,7120.74,7120.74,1310.93,7120.74,25
CDM,320303,CT LOWER EXTRM W/O C LT,7120.74,7120.74,1310.93,7120.74,25
CDM,320304,CT LOWER EXTRM W/O C RT,7120.74,7120.74,1310.93,7120.74,25
CDM,320311,CT LOWER EXTRM W/CON LT,7510.33,7510.33,1382.65,7510.33,25
CDM,320312,CT LOWER EXTRM W/CON RT,7510.33,7510.33,1382.65,7510.33,25
CDM,320318,CT LOWER EXTRM W/CON LT,7510.33,7510.33,1382.65,7510.33,25
CDM,320319,CT LOWER EXTRM W/CON RT,7510.33,7510.33,1382.65,7510.33,25
CDM,320328,CT LW EXTRM W&W/O CON LT,7995.28,7995.28,1471.93,7995.28,25
CDM,320329,CT LW EXTRM W&W/O CON RT,7995.28,7995.28,1471.93,7995.28,25
CDM,320344,CTA LOW EXTREMITY LT,9686.14,9686.14,1783.22,9686.14,25
CDM,320346,CTA LOW EXTREMITY RT,9686.14,9686.14,1783.22,9686.14,25
CDM,320348,CTA LOW EXTREMITY LT,9686.14,9686.14,1783.22,9686.14,25
CDM,320349,CTA LOW EXTREMITY RT,9686.14,9686.14,1783.22,9686.14,25
CDM,320366,MRI LOW EXT W/CONT LT,9113.15,9113.15,1677.73,9113.15,25
CDM,320367,MRI LOW EXT W/CONT RT,9113.15,9113.15,1677.73,9113.15,25
CDM,320379,MRI LOW EXT W&WO CONT LT,12217.86,12217.86,2249.31,12217.86,25
CDM,320380,MRI LOW EXT W&WO CONT RT,12217.86,12217.86,2249.31,12217.86,25
CDM,320397,MRI LW JNT W/O CONT LT,7503.8,7503.8,1381.45,7503.8,25
CDM,320398,MRI LW JNT W/O CONT RT,7503.8,7503.8,1381.45,7503.8,25
CDM,320408,MRI LW JNT W/CONTRAST LT,9113.15,9113.15,1677.73,9113.15,25
CDM,320409,MRI LW JNT W/CONTRAST RT,9113.15,9113.15,1677.73,9113.15,25
CDM,320425,MRI LW JNT W&WO CONT LT,12217.86,12217.86,2249.31,12217.86,25
CDM,320426,MRI LW JNT W&WO CONT RT,12217.86,12217.86,2249.31,12217.86,25
CDM,320461,MRA WO W CONT LWR EXT RT,7258.28,7258.28,1336.25,7258.28,27
CDM,320489,MRA W/O FOL W/CONT ABD,7719.79,7719.79,1421.21,7719.79,27
CDM,320489,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",7719.79,7719.79,616.1,616.1,3
CDM,320519,SP ANGIO EXT UNI LT,14404.06,14404.06,2651.79,14404.06,28
CDM,320521,SP ANGIO EXT UNI RT,14404.06,14404.06,2651.79,14404.06,28
CDM,320527,SP ANGIO EXT UNI LT,14404.06,14404.06,2651.79,14404.06,28
CDM,320528,SP ANGIO EXT UNI RT,14404.06,14404.06,2651.79,14404.06,28
CDM,320538,SP VENOGRAM EXT UNI LT,5067.87,5067.87,932.99,5067.87,28
CDM,320539,SP VENOGRAM EXT UNI RT,5067.87,5067.87,932.99,5067.87,28
CDM,320549,SP VENOGRAM EXT UNI LT,5067.87,5067.87,932.99,5067.87,28
CDM,320555,SP VENOGRAM EXT UNI RT,5067.87,5067.87,932.99,5067.87,28
CDM,320705,TX SPEECH INDIVIDUAL SP,494.63,494.63,84.09,494.63,34
CDM,320705,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",494.63,494.63,42.08,326.0,40
CDM,320711,TX SPEECH GROUP SP,240.14,240.14,40.82,240.14,34
CDM,320711,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",240.14,240.14,21.33,326.0,40
CDM,320714,TX SWAL/ORAL FUNCTION SP,844.07,844.07,143.49,844.07,36
CDM,320714,Treatment of swallowing dysfunction and/or oral function for feeding ,844.07,844.07,48.14,170.82,38
CDM,320724,EVAL USE/FIT VOICE PR SP,491.03,491.03,83.48,491.03,36
CDM,320724,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,491.03,491.03,64.75,198.72,38
CDM,320727,EV SGD W/PT FIRST HR SP,404.28,404.28,68.73,404.28,36
CDM,320727,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",404.28,404.28,110.79,248.87,38
CDM,320733,EVAL ORAL/PHARYNG SWL SP,1510.76,1510.76,256.83,1510.76,36
CDM,320733,Evaluation of oral and pharyngeal swallowing function ,1510.76,1510.76,48.72,171.54,38
CDM,320739,FLUORO EVAL OF SWALW SP,1621.84,1621.84,275.71,1621.84,36
CDM,320739,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,1621.84,1621.84,53.04,182.34,38
CDM,320767,DUP LE ART UNI LT,3533.69,3533.69,600.73,3533.69,33
CDM,320768,DUP LE ART UNI RT,3533.69,3533.69,600.73,3533.69,33
CDM,320802,DUP UE ART UNI LT,3533.69,3533.69,600.73,3533.69,33
CDM,320803,DUP UE ART UNI RT,3533.69,3533.69,600.73,3533.69,33
CDM,320818,DUP VEIN UNI LT,1905.61,1905.61,323.95,1905.61,33
CDM,320819,DUP VEIN UNI RT,1905.61,1905.61,323.95,1905.61,33
CDM,320861,TRACTION MECHANICAL PT,327.95,327.95,55.75,327.95,34
CDM,320867,EL ST UN IND NOT WC PT,370.94,370.94,63.06,370.94,36
CDM,320875,EL ST UN IND NOT WC OT,370.94,370.94,63.06,370.94,36
CDM,320878,VASOPNEUMATIC DEVICES PT,286.71,286.71,48.74,286.71,34
CDM,320885,Application of a modality to 1 or more areas; paraffin bath ,327.95,327.95,5.24,326.0,40
CDM,320885,PARAFFIN BATH OT,327.95,327.95,55.75,327.95,34
CDM,320923,ULTRASOUND/15 MIN PT,394.24,394.24,67.02,394.24,34
CDM,320925,ULTRASOUND/15 MIN OT,394.24,394.24,67.02,394.24,34
CDM,320928,THER EXERCISES 15 MIN PT,437.27,437.27,74.34,437.27,34
CDM,320932,THER EXERCISES 15 MIN OT,437.27,437.27,74.34,437.27,34
CDM,320939,NEUROMUSC REEDUCT 15M PT,394.24,394.24,67.02,394.24,34
CDM,320942,NEUROMUSC REEDUCT 15M OT,394.24,394.24,67.02,394.24,34
CDM,320945,AQUATIC THERAPY 15MIN PT,458.75,458.75,77.99,458.75,34
CDM,320946,AQUATIC THERAPY 15MIN OT,458.75,458.75,77.99,458.75,34
CDM,320947,GAIT TRAINING 15 MIN PT,370.94,370.94,63.06,370.94,34
CDM,320954,MANUAL THER TECH 15M PT,437.27,437.27,74.34,437.27,34
CDM,320956,MANUAL THER TECH 15M OT,437.27,437.27,74.34,437.27,34
CDM,320968,THER ACTIV DIR 15 MIN PT,508.94,508.94,86.52,508.94,34
CDM,320974,THER ACTIV DIR 15 MIN OT,508.94,508.94,86.52,508.94,34
CDM,320998,SELF/HOME ONE/ONE 15M PT,437.27,437.27,74.34,437.27,34
CDM,321010,WHEELCHAIR MGT 15M PT,394.24,394.24,67.02,394.24,34
CDM,321049,PHYS PER TEST/MSR 15M PT,177.4,177.4,30.16,177.4,36
CDM,321049,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",177.4,177.4,26.68,68.13,106
CDM,321056,ORTH MGT TRAIN EA 15M PT,415.76,415.76,70.68,415.76,36
CDM,321061,ORTH MGT TRAIN EA 15M OT,415.76,415.76,70.68,415.76,36
CDM,321093,OBS PER HOUR,304.92,304.92,56.14,304.92,22
CDM,321191,BRACHYTX NS HA IODINE125,912.62,912.62,168.01,912.62,26
CDM,321192,BRACHYTX NS HDR IR 192,1134.04,1134.04,192.79,1134.04,38
CDM,321209,OXYGEN PER HOUR,33.94,33.94,5.09,33.94,42
CDM,321212,OXYGEN PER HOUR,35.86,35.86,5.38,35.86,42
CDM,321236,THER APHERESIS WBC,14165.0,14165.0,2607.78,14165.0,25
CDM,321305,THER APHERESIS PLASMA,16260.37,16260.37,2993.53,16260.37,25
CDM,321305,Therapeutic apheresis; for plasma pheresis ,16260.37,16260.37,769.0,4100.0,16
CDM,321369,BASIC ANES SERVICES,1614.0,1614.0,242.1,1614.0,42
CDM,321419,ECT WITH MONITORING,1585.92,1585.92,269.61,1585.92,31
CDM,321419,Electroconvulsive therapy (includes necessary monitoring) ,1585.92,1585.92,117.87,1206.0,6
CDM,321428,ESWL-UNILATERAL,22241.0,22241.0,3336.15,22241.0,36
CDM,321496,BASIC OR SERVICES,9269.19,9269.19,1390.38,9269.19,36
CDM,321498,BASIC OR SERVICES,9269.19,9269.19,1390.38,9269.19,36
CDM,321508,OR PER MIN LEVEL 1,103.0,103.0,15.45,103.0,36
CDM,321509,OR PER MIN LEVEL 1,103.0,103.0,15.45,103.0,36
CDM,321512,OR PER MIN LEVEL 2,178.0,178.0,26.7,178.0,36
CDM,321513,OR PER MIN LEVEL 2,178.0,178.0,26.7,178.0,36
CDM,321516,OR PER MIN LEVEL 3,209.0,209.0,31.35,209.0,36
CDM,321517,OR PER MIN LEVEL 3,209.0,209.0,31.35,209.0,36
CDM,321521,OR PER MIN LEVEL 4,266.0,266.0,39.9,266.0,36
CDM,321568,BASIC PHASE 1 SERVICES,872.0,872.0,130.8,872.0,42
CDM,321606,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321607,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321608,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321609,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321610,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321611,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321612,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321613,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321615,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321620,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321626,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321627,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321629,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321631,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321636,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,321646,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321733,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321734,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321735,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321736,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321737,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321738,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321739,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321746,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321764,OBS PER HOUR,385.8,385.8,71.03,385.8,22
CDM,321766,OBS PER HOUR,385.8,385.8,71.03,385.8,22
CDM,321767,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,321774,OBS PER HOUR,304.92,304.92,56.14,304.92,22
CDM,321775,OBS PER HOUR,304.92,304.92,56.14,304.92,22
CDM,321789,OBS PER HOUR,385.8,385.8,71.03,385.8,22
CDM,322016,FETAL NONSTRESS TEST,1295.83,1295.83,220.29,1295.83,33
CDM,322016,Fetal non-stress test ,1295.83,1295.83,990.0,2550.0,5
CDM,322231,CATH 1ST ORD UP ART,7018.24,7018.24,1052.74,7018.24,36
CDM,322233,EMBLZ INTRACRAN/SP,23349.05,23349.05,3502.36,23349.05,36
CDM,322241,XR HAND 3 + V RT,1578.89,1578.89,290.67,1578.89,28
CDM,322242,SELF/HOME ONE/ONE 15M OT,437.27,437.27,74.34,437.27,34
CDM,322255,XR TOE(S) 2 + V LT,801.34,801.34,147.53,801.34,28
CDM,322256,XR TOE(S) 2 + V RT,801.34,801.34,147.53,801.34,28
CDM,322257,MRI LOW EXT W/O CONT LT,7826.27,7826.27,1440.82,7826.27,25
CDM,322259,MRI LOW EXT W/O CONT RT,7826.27,7826.27,1440.82,7826.27,25
CDM,322276,SENSORY INTEGRATN 15M OT,378.72,378.72,64.38,378.72,34
CDM,322313,CIRCUMCISION,527.35,527.35,79.1,527.35,42
CDM,322412,BLOCK L-SPINE SGL,11460.51,11460.51,1719.08,11460.51,36
CDM,322450,SPECIAL PROCEDURE,3328.83,3328.83,499.32,3328.83,32
CDM,322452,OBS PER HOUR,119.77,119.77,22.05,119.77,22
CDM,322455,UL PROC HEM OR LYMPH SYS,7609.81,7609.81,1141.47,7609.81,36
CDM,322465,EXTERNAL VERSION,4303.81,4303.81,645.57,4303.81,42
CDM,322507,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,322508,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,322510,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,322511,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,322522,CIRCUMCISION,527.35,527.35,79.1,527.35,42
CDM,322529,BASIC PHASE 1 SERVICES,872.0,872.0,130.8,872.0,42
CDM,322546,BASIC OR SERVICES,9269.19,9269.19,1390.38,9269.19,36
CDM,322547,OR PER MIN LEVEL 1,211.24,211.24,31.69,211.24,36
CDM,322548,OR PER MIN LEVEL 2,251.9,251.9,37.78,251.9,36
CDM,322549,OR PER MIN LEVEL 3,289.83,289.83,43.47,289.83,36
CDM,322551,OR PER MIN LEVEL 4,360.21,360.21,54.03,360.21,36
CDM,322569,BASIC ANES SERVICES,1614.0,1614.0,242.1,1614.0,42
CDM,322599,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,322699,INS CERVICAL CERCLAGE,7729.43,7729.43,1159.41,7729.43,36
CDM,322824,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322825,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322826,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322828,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322829,IVP EA ADD SEQ SAME DRUG,274.75,274.75,41.21,274.75,42
CDM,322831,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322835,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322848,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322849,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322850,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322874,DIALYSIS CAPD,3541.47,3541.47,531.22,3541.47,42
CDM,322875,DIALYSIS CCPD,1567.47,1567.47,235.12,1567.47,42
CDM,322879,CAR MRI MORPH FUNC WO CM,2300.78,2300.78,423.57,2300.78,25
CDM,322879,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,2300.78,2300.78,313.62,795.69,12
CDM,322880,CAR MRI MRP FN WO CM STR,2300.78,2300.78,423.57,2300.78,25
CDM,322880,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,2300.78,2300.78,313.62,1207.48,12
CDM,322883,CAR MRI MRP FN WO/W CM,3517.15,3517.15,647.51,3517.15,25
CDM,322883,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",3517.15,3517.15,589.18,1135.66,12
CDM,322886,CAR MRI MR FN WO/W CM ST,3517.15,3517.15,647.51,3517.15,25
CDM,322886,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",3517.15,3517.15,736.66,1419.93,12
CDM,322894,I123 SODIUM IOD DX 1 MCI,1194.69,1194.69,179.2,1194.69,34
CDM,322894,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",1194.69,1194.69,197.37,461.15,5
CDM,322914,INS GASTRO TUBE PERC,8050.28,8050.28,1207.54,8050.28,36
CDM,322917,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,322918,RPLC GAST OR CECO TUBE,3068.95,3068.95,460.34,3068.95,36
CDM,322919,RPLC DUO OR JEJSTMY TUBE,4875.66,4875.66,731.35,4875.66,36
CDM,322920,RPLC GASTROJEJNSTY TUBE,3068.95,3068.95,460.34,3068.95,36
CDM,322922,CONT INJ GS/ DU/ JJ/ GJ/,1313.7,1313.7,197.06,1313.7,36
CDM,322937,INS TUNLD PLEURAL CATH,29034.62,29034.62,4355.19,29034.62,36
CDM,322938,DECLOT THROM IMP VAD CTH,2356.58,2356.58,353.49,2356.58,36
CDM,322941,CVRT GASTR TO GSJEJ TUBE,8050.28,8050.28,1207.54,8050.28,36
CDM,322946,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,323025,IVP EA ADD SEQ NEW DRUG,781.58,781.58,132.87,781.58,38
CDM,323052,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323053,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323054,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323056,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323057,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323084,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323197,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,323198,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323317,TC99M MEDRONATE DX 30MCI,952.37,952.37,142.86,952.37,33
CDM,323317,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",952.37,952.37,15.6,170.82,6
CDM,323323,TC99M PERTECHNETA DX MCI,526.34,526.34,78.95,526.34,34
CDM,323323,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",526.34,526.34,2.18,29.2,5
CDM,323325,TC99M MEBROFEN DX 15MCI,844.29,844.29,126.64,844.29,33
CDM,323325,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",844.29,844.29,67.8,300.67,6
CDM,323326,TC99M PYROPHOS DX 25MCI,336.48,336.48,50.47,336.48,33
CDM,323326,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",336.48,336.48,76.86,120.39,6
CDM,323327,TC99M MACRO ALB DX 10MCI,1345.96,1345.96,201.89,1345.96,33
CDM,323327,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",1345.96,1345.96,36.0,80.53,6
CDM,323329,TC99M SULFUR CO DX 20MCI,2062.15,2062.15,309.32,2062.15,33
CDM,323329,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",2062.15,2062.15,320.84,1991.21,6
CDM,323341,TC99M OXIDRONAT DX 30MCI,3357.19,3357.19,503.58,3357.19,34
CDM,323341,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",3357.19,3357.19,57.45,138.09,5
CDM,323380,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,323381,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,323382,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,323383,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,323385,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,323386,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,323387,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,323390,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,323391,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,323392,CHEMO SQ/IM NON HORM ANP,509.0,509.0,86.53,509.0,36
CDM,323395,CHEMO IV PUSH SING/IN DR,1827.0,1827.0,310.59,1827.0,36
CDM,323396,CHEMO IV SING/IN DR 1 HR,1267.0,1267.0,215.39,1267.0,36
CDM,323397,CHEMO IV EA ADD HOUR,629.0,629.0,106.93,629.0,36
CDM,323400,CHEMO INTART UP TO 1 HR,1111.39,1111.39,188.94,1111.39,36
CDM,323405,IRRIGATION OF VAD,80.03,80.03,14.73,80.03,26
CDM,323848,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,323918,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,323919,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,323920,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,323954,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323955,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,323956,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,324105,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,324118,ABL 1/MORE RENL TU PC RF,42255.85,42255.85,6338.38,42255.85,36
CDM,324119,CT GUID NDL PLCMT,7853.02,7853.02,1177.95,7853.02,29
CDM,324119,"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation ",7853.02,7853.02,260.01,501.17,9
CDM,324121,CT GUIDANCE TISSUE ABLAT,12110.92,12110.92,1816.64,12110.92,29
CDM,324121,"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation ",12110.92,12110.92,93.05,459.25,9
CDM,324675,ECHO2D COMP W CF DOP,5754.23,5754.23,978.22,5754.23,36
CDM,324681,TTE2D W OR W/WO CN W DOP,5156.93,5156.93,876.68,5156.93,38
CDM,324704,DX PERC ASP NP/DISC/TISS,3813.82,3813.82,572.07,3813.82,36
CDM,325186,CL WOUND PROCEDURE,4743.54,4743.54,711.53,4743.54,36
CDM,325196,INS UTERIN TAND/OV CL BR,4539.78,4539.78,680.97,4539.78,36
CDM,325264,CHEMO IV EA AD SEQ 1 HR,361.0,361.0,61.37,361.0,36
CDM,325284,BLD/STEM HARVEST ALLOGEN,127818.87,127818.87,19172.83,127818.87,37
CDM,325287,HPC ALLO TRANSP PER DNR,109712.89,109712.89,20198.14,109712.89,25
CDM,325288,HPC AUTO TRANSP PER DNR,26260.0,26260.0,4834.47,23108.8,20
CDM,325289,PHOTOPHERESIS EXTRACORP,15655.8,15655.8,2882.23,15655.8,25
CDM,325294,CPR,2104.52,2104.52,315.68,2104.52,36
CDM,325314,INJ ANES CELIAC PLEX,5111.45,5111.45,766.72,5111.45,36
CDM,325323,"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan ",9605.54,9605.54,244.75,917.18,12
CDM,325323,TR MLC DEVICES IMRT,9605.54,9605.54,1632.94,9605.54,30
CDM,325351,INJ FCT L/S 2ND FL/CT,11460.51,11460.51,1719.08,11460.51,36
CDM,325389,CTHEART W CN STR MOR FNC,6726.31,6726.31,1238.31,6726.31,25
CDM,325389,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",6726.31,6726.31,177.21,459.25,12
CDM,325399,CT HEART W CN ART/GRAFTS,6726.31,6726.31,1238.31,6726.31,25
CDM,325399,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",6726.31,6726.31,341.2,891.31,12
CDM,325416,CAR MRI VELOCITY FLW MAP,3517.15,3517.15,527.57,3517.15,29
CDM,325416,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,3517.15,3517.15,78.65,151.59,9
CDM,325432,CHEMO IV SING/IN DR 1 HR,1267.0,1267.0,215.39,1267.0,36
CDM,325452,REMVL PLEURL CATH W/CUFF,1178.29,1178.29,176.74,1178.29,36
CDM,325453,CHST FIBRINLYSIS INI DAY,4596.66,4596.66,689.5,4596.66,36
CDM,325456,PLC DEV AB/PL RADTX GUID,11381.99,11381.99,1707.3,11381.99,36
CDM,325548,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,325609,BLD/STEM HARVEST AUTOLOG,8372.0,8372.0,1541.29,8372.0,29
CDM,325614,ARTERIAL PUNCTURE,183.6,183.6,33.8,183.6,28
CDM,325616,ALLO LYMPHOCYTE INFUS,7732.37,7732.37,1423.53,7732.37,23
CDM,325628,MDI VENT,626.84,626.84,106.56,626.84,37
CDM,325704,IVP EA ADD SEQ NEW DRUG,326.9,326.9,55.57,326.9,38
CDM,325705,IVP EA ADD SEQ SAME DRUG,274.75,274.75,41.21,274.75,42
CDM,325706,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,325707,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,325712,OP VISIT LEVEL 1 EST,448.0,448.0,67.2,448.0,34
CDM,325784,BASIC OR SERVICES,9269.19,9269.19,1390.38,9269.19,36
CDM,325785,OR PER MIN LEVEL 1,103.0,103.0,15.45,103.0,36
CDM,325786,OR PER MIN LEVEL 2,178.0,178.0,26.7,178.0,36
CDM,325787,OR PER MIN LEVEL 3,209.0,209.0,31.35,209.0,36
CDM,325788,OR PER MIN LEVEL 4,266.0,266.0,39.9,266.0,36
CDM,325789,BASIC PHASE 1 SERVICES,872.0,872.0,130.8,872.0,42
CDM,325821,ASPR BLDDR INSRT SUPRCTH,16566.45,16566.45,2484.97,16566.45,36
CDM,325833,ARTERIAL PUNCTURE,183.6,183.6,33.8,183.6,28
CDM,325835,SP TRANSCTH THPY EMBL,18474.85,18474.85,2771.23,18474.85,34
CDM,325916,3D OTH W POST IMG IND,1238.24,1238.24,185.74,1238.24,34
CDM,325919,AUTO CRYO PRES/STOR THER,11333.22,11333.22,2086.45,11333.22,29
CDM,325943,CT ABD&PELVIS W/O CONT,14291.6,14291.6,2631.08,14291.6,25
CDM,325947,CT ABD&PELVIS W/O CONT,14291.6,14291.6,2631.08,14291.6,25
CDM,325952,CT ABD&PELVIS W/CONT,15137.04,15137.04,2786.73,15137.04,25
CDM,325956,CT ABD&PELVIS W/CONT,15137.04,15137.04,2786.73,15137.04,25
CDM,325961,CT ABD&PELVIS W&WO CONT,17004.12,17004.12,3130.46,17004.12,25
CDM,325965,CT ABD&PELVIS W&WO CONT,17004.12,17004.12,3130.46,17004.12,25
CDM,325970,US JOINT COMP,1432.64,1432.64,263.75,1432.64,28
CDM,325970,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation ",1432.64,1432.64,34.72,175.96,15
CDM,325978,US EXTREM NON VASC LTD,1027.47,1027.47,189.16,1027.47,28
CDM,325985,CATH HRT RT W SAT/CO,20920.53,20920.53,3138.08,20920.53,36
CDM,325986,CATH HRT LT/INJ L VENT,8545.06,8545.06,1281.76,8545.06,36
CDM,325987,CATH HRT R&L/INJ L VENT,57545.26,57545.26,8631.79,57545.26,36
CDM,325988,CATH PLC/INJ CORONRY ART,47544.6,47544.6,7131.69,47544.6,36
CDM,325989,CATH PLC/INJ BYPAS GRFTS,52836.65,52836.65,7925.5,52836.65,36
CDM,325990,CTH PLC/INJ CR ART W RHC,47544.6,47544.6,7131.69,47544.6,36
CDM,325991,CTH PLC/INJ GRAFT W RHC,47544.6,47544.6,7131.69,47544.6,36
CDM,325992,CTH PLC/INJ LHC & L VENT,65322.64,65322.64,9798.4,65322.64,36
CDM,325993,CTH PLC/INJ LHC W GRAFT,68241.99,68241.99,10236.3,68241.99,36
CDM,325994,CTH PLC/INJ R&LHC/L VENT,74049.9,74049.9,11107.49,74049.9,36
CDM,325995,CTH PLC/INJ R&LHC/GRAFTS,79346.09,79346.09,11901.91,79346.09,36
CDM,325996,LHC TRANS SEPTAL/APICAL,23190.88,23190.88,3478.63,23190.88,36
CDM,325997,PHARMACY AGENT ADMIN,2133.17,2133.17,319.98,2133.17,42
CDM,325998,PHYSIO EXERCISE STUDY,1156.65,1156.65,173.5,1156.65,42
CDM,325999,INJ SELECT CA CONGENITAL,883.19,883.19,132.48,883.19,36
CDM,326001,INJ SELECT LT VENT/ATRIA,731.04,731.04,109.66,731.04,36
CDM,326002,INJ SELECT RT VENT/ATRIA,853.86,853.86,128.08,853.86,36
CDM,326003,INJ SUPRAVALV AORTOGRM,2133.17,2133.17,319.98,2133.17,36
CDM,326004,INJ PULM ANG NON SEL,1156.65,1156.65,173.5,1156.65,36
CDM,326113,PERIPH ATH ILI ART EACH,85776.66,85776.66,12866.5,85776.66,36
CDM,326159,CANALITH REPO PROC PT,354.82,354.82,60.32,354.82,35
CDM,326159,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",354.82,354.82,32.61,7950.0,73
CDM,326311,INTRCRN VASO BLN DIL INI,61111.16,61111.16,9166.67,61111.16,36
CDM,326360,INS TUN IP CTH COMP PERC,31930.21,31930.21,4789.53,31930.21,36
CDM,326394,VENOUS MECH THROMBECTOMY,44414.67,44414.67,6662.2,44414.67,36
CDM,326395,INS VAGINAL BRACHYTX DEV,4342.04,4342.04,651.31,4342.04,36
CDM,326438,US PREG 1ST TRIMTR,1762.9,1762.9,324.55,1762.9,28
CDM,326439,US PRG 1ST TRI EA ADD,510.67,510.67,76.6,510.67,34
CDM,326440,US PREG AFTER 1ST TRI,1886.75,1886.75,347.35,1886.75,28
CDM,326440,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation ",1886.75,1886.75,82.07,321.29,15
CDM,326441,US PRG AFT 1ST TRI AD,816.47,816.47,122.47,816.47,34
CDM,326441,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List",816.47,816.47,42.42,315.34,10
CDM,326442,US PREG W/FTL AN EX SGL,1671.15,1671.15,307.66,1671.15,28
CDM,326442,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation ",1671.15,1671.15,79.63,325.72,15
CDM,326482,US PREG W/FTL EX EA ADDL,816.47,816.47,122.47,816.47,34
CDM,326482,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separa",816.47,816.47,46.91,271.51,10
CDM,326485,US PREGNANCY LTD,1155.88,1155.88,212.8,1155.88,28
CDM,326486,US PREGNANCY FLW UP,1090.15,1090.15,200.7,1090.15,28
CDM,326486,"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ sy",1090.15,1090.15,43.28,252.62,15
CDM,326487,US PREG UT TRANSVAGINAL,1837.81,1837.81,338.34,1837.81,28
CDM,326490,DOP VELOCM MID CEREB ART,374.56,374.56,68.96,374.56,28
CDM,326490,"Doppler velocimetry, fetal; middle cerebral artery ",374.56,374.56,51.88,202.01,15
CDM,326523,CAPSULE ENDOSCOPY ILEUM,2115.41,2115.41,389.45,2115.41,31
CDM,326523,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",2115.41,2115.41,769.0,4100.0,5
CDM,326540,CATH PLM ART SEG/SUB,7018.24,7018.24,1052.74,7018.24,36
CDM,326541,CATH RT HRT/PULM ART,7018.24,7018.24,1052.74,7018.24,36
CDM,326549,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,326561,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,326565,EXP GAS INC CO2 OUTPUT,510.59,510.59,86.8,510.59,38
CDM,326565,"Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted ",510.59,510.59,63.93,123.17,3
CDM,326566,EXP GAS ANYL R&E SMP,510.59,510.59,86.8,510.59,38
CDM,326566,"Oxygen uptake, expired gas analysis; rest and exercise, direct, simple ",510.59,510.59,24.57,47.34,3
CDM,326571,REPL PACEMAKER GEN SGL,42347.45,42347.45,6352.12,42347.45,36
CDM,326572,REPL PACEMAKER GEN DUAL,46144.97,46144.97,6921.75,46144.97,36
CDM,326574,REM/REPLACE ICD GEN SGL,40267.41,40267.41,6040.11,40267.41,36
CDM,326575,REM/REPLACE ICD GEN DUAL,42796.72,42796.72,6419.51,42796.72,36
CDM,326576,CATH 1ST OD RENAL,34685.01,34685.01,5202.75,34685.01,36
CDM,326577,CATH 1ST OD RENAL,34685.01,34685.01,5202.75,34685.01,36
CDM,326578,CATH 1ST OD RENAL BIL,38888.89,38888.89,5833.33,38888.89,36
CDM,326579,CATH 1ST OD RENAL BIL,38888.89,38888.89,5833.33,38888.89,36
CDM,326581,CATH 1 OR M 2ND OD RNL,34685.01,34685.01,5202.75,34685.01,36
CDM,326582,CATH 1 OR M 2ND OD RNL,34685.01,34685.01,5202.75,34685.01,36
CDM,326584,CATH 1 OR M 2ND OD RNLBI,38888.89,38888.89,5833.33,38888.89,36
CDM,326585,INSRT IVC FILTER W IMAG,60111.64,60111.64,9016.75,60111.64,36
CDM,326586,INSRT IVC FILTER W IMAG,60111.64,60111.64,9016.75,60111.64,36
CDM,326588,REPOS IVC FILTER W IMG,60138.72,60138.72,9020.81,60138.72,36
CDM,326589,REMOVAL IVCF ENDO APRCH,46830.85,46830.85,7024.63,46830.85,36
CDM,326591,REMOVAL IVCF ENDO APRCH,40452.63,40452.63,6067.89,40452.63,36
CDM,326597,PARACENTESIS W IMAGE,20778.49,20778.49,3116.77,20778.49,36
CDM,326613,CTA ABD&PEL W CONT,10657.66,10657.66,1962.08,10657.66,25
CDM,326614,HEPA IMAG INCL GB,8557.4,8557.4,1575.42,8557.4,28
CDM,326614,"Hepatobiliary system imaging, including gallbladder when present; ",8557.4,8557.4,264.74,945.04,15
CDM,326615,HEPA IMAG INCL GB W PHA,8557.4,8557.4,1575.42,8557.4,28
CDM,326615,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",8557.4,8557.4,363.28,1284.82,15
CDM,326617,PULM VENT & PERF IMAG,7171.31,7171.31,1320.24,7171.31,28
CDM,326617,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",7171.31,7171.31,254.33,914.15,15
CDM,326618,QUANT DIF PULM PERF,4862.16,4862.16,895.12,4862.16,28
CDM,326618,"Quantitative differential pulmonary perfusion, including imaging when performed ",4862.16,4862.16,149.8,546.73,15
CDM,326619,QUANT DIF PULM PRF & VNT,4862.16,4862.16,895.12,4862.16,28
CDM,326619,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",4862.16,4862.16,239.2,852.43,15
CDM,326625,PLETHYSMOGRAPHY,225.49,225.49,38.33,225.49,38
CDM,326625,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",225.49,225.49,48.39,93.23,3
CDM,326626,GAS DILUTION/WASHOUT,434.88,434.88,73.93,434.88,38
CDM,326626,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",434.88,434.88,34.98,67.39,3
CDM,326627,DIFFUSING CAPACITY,595.96,595.96,89.39,595.96,42
CDM,326627,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",595.96,595.96,52.95,102.02,3
CDM,326648,REPL PACEMAKER GEN MULTI,44947.0,44947.0,6742.05,44947.0,36
CDM,326651,REM/REPLACE ICD GEN MULT,115456.88,115456.88,17318.53,115456.88,36
CDM,326750,PERIPROC EVAL/PROG ICD,13331.47,13331.47,1999.72,13331.47,40
CDM,326750,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",13331.47,13331.47,15.81,4700.0,5
CDM,326751,PERIPROC EVAL/PROG PM,13331.47,13331.47,1999.72,13331.47,40
CDM,326751,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",13331.47,13331.47,13.98,4700.0,5
CDM,326797,EKG TRACING ONLY,680.0,680.0,115.6,680.0,36
CDM,326797,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report ",680.0,680.0,20.57,4700.0,5
CDM,326798,RHYTHM STRIP TRACE,445.45,445.45,75.73,445.45,36
CDM,326798,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report ",445.45,445.45,6.55,4700.0,5
CDM,326905,CHLORIDE BLD,140.0,140.0,25.77,140.0,28
CDM,326905,Chloride; blood ,140.0,140.0,2.07,25.14,49
CDM,326914,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,326915,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,326916,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,326917,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,326919,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,326920,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,326921,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,326929,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,326930,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,326931,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,327222,CAT 1 ED PROCEDURE,1836.08,1836.08,275.41,1836.08,36
CDM,327223,CAT 2 ED PROCEDURE,3770.27,3770.27,565.54,3770.27,36
CDM,327224,CRIT CARE 1ST 30-74M ER,6944.4,6944.4,1278.46,6944.4,24
CDM,327229,CAT 3 ED PROCEDURE,4708.18,4708.18,706.23,4708.18,36
CDM,327230,CRIT CARE ECH ADD 30M ER,3401.97,3401.97,510.3,3401.97,30
CDM,327231,LVL 1 FREE STD EMER DEPT,635.86,635.86,117.06,635.86,22
CDM,327232,LVL 2 FREE STD EMER DEPT,1033.29,1033.29,190.23,1033.29,22
CDM,327233,LVL 3 FREE STD EMER DEPT,2058.65,2058.65,379.0,2058.65,22
CDM,327234,LVL 4 FREE STD EMER DEPT,3937.18,3937.18,724.83,3937.18,22
CDM,327239,LVL 5 FREE STD EMER DEPT,5113.56,5113.56,941.41,5113.56,22
CDM,327240,IMMUNIZ ADMIN EA ADDTL,426.56,426.56,63.98,426.56,42
CDM,327241,IMMUNIZ ADMIN SGL,426.56,426.56,72.52,426.56,38
CDM,327242,INJECTION IM OR SQ,476.88,476.88,81.07,476.88,38
CDM,327249,IVP EA ADD SEQ NEW DRUG,781.58,781.58,132.87,781.58,38
CDM,327250,IVP SINGLE/INITIAL DRUG,1327.41,1327.41,225.66,1327.41,38
CDM,327352,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",177368.51,177368.51,2706.0,39148.0,16
CDM,327352,EP REPOS ELE SVT SGL,177368.51,177368.51,32653.54,177368.51,25
CDM,327566,COR ATH SGL ART,98614.52,98614.52,14792.18,98614.52,36
CDM,327568,PTCA STENT W ANGIO SGL,36925.67,36925.67,5538.85,36925.67,36
CDM,327570,PTCA STENT W ATH SGL,36925.67,36925.67,5538.85,36925.67,36
CDM,327572,RVS GFT ST/ATH/AN SGL,36925.67,36925.67,5538.85,36925.67,36
CDM,327574,RVS AMI ST/ATH/AN SGL,36925.67,36925.67,5538.85,36925.67,36
CDM,327575,RVS TCO ST/ATH/AN SGL,36925.67,36925.67,5538.85,36925.67,36
CDM,327577,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",218395.69,218395.69,2706.0,39148.0,16
CDM,327577,EP REPOS ELE VT 3D MAP,218395.69,218395.69,40206.65,218395.69,25
CDM,327578,EP INTRACARD DX TX,52793.64,52793.64,7919.05,52793.64,30
CDM,327578,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",52793.64,52793.64,291.0,36635.0,15
CDM,327579,COM EP REPO CTH TX AFIB,233407.32,233407.32,42970.29,233407.32,25
CDM,327579,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",233407.32,233407.32,2706.0,39148.0,16
CDM,327580,ADD INTRACRD AFIB/PV ISO,52793.64,52793.64,7919.05,52793.64,30
CDM,327580,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,52793.64,52793.64,291.0,36635.0,15
CDM,327592,NDL ELEC PARA VEL LTD,691.88,691.88,103.78,691.88,41
CDM,327592,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",691.88,691.88,44.58,85.89,4
CDM,327593,NDL ELEC PARA VEL 5 OR M,691.88,691.88,103.78,691.88,41
CDM,327593,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",691.88,691.88,46.96,92.87,4
CDM,331306,CATECHOL FRACTION UR,3036.73,3036.73,559.06,3036.73,28
CDM,331623,DEM AER GEN/NEB/MDI/IPPB,539.68,539.68,91.75,539.68,37
CDM,331637,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",14453.78,14453.78,299.49,1623.62,15
CDM,331637,NM MYOCRD SPECT R/S MULT,14453.78,14453.78,2660.94,14453.78,28
CDM,331639,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",11751.02,11751.02,154.91,1623.62,15
CDM,331639,NM MYOCRD SPECT R/S SGL,11751.02,11751.02,2163.36,11751.02,28
CDM,331642,HOLTER RECORD VISUAL,647.91,647.91,110.14,647.91,36
CDM,331644,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report ,2590.24,2590.24,99.91,4700.0,5
CDM,331644,HOLTER SCAN VISUAL,2590.24,2590.24,440.34,2590.24,36
CDM,331672,DOP LE ART W/EXER BIL,1028.03,1028.03,174.77,1028.03,33
CDM,331672,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",1028.03,1028.03,109.86,1482.0,8
CDM,331866,INJ FEMORAL NERVE,10849.99,10849.99,1627.5,10849.99,36
CDM,331909,MDI VENT,626.84,626.84,106.56,626.84,37
CDM,331965,INS TUN CVC CENT WO=>5Y,11232.99,11232.99,1684.95,11232.99,36
CDM,331968,REPL NON-TUN CVC W/O P-P,9358.58,9358.58,1403.79,9358.58,36
CDM,332078,RPR CVAD W/ P-P,11232.99,11232.99,1684.95,11232.99,36
CDM,332107,ST BRST BX 1ST LESION LT,23855.58,23855.58,3578.34,23855.58,36
CDM,332108,ST BRST BX 1ST LESION RT,23855.58,23855.58,3578.34,23855.58,36
CDM,332117,ST BRST BX ADD LESION LT,9588.8,9588.8,1438.32,9588.8,36
CDM,332118,ST BRST BX ADD LESION RT,9588.8,9588.8,1438.32,9588.8,36
CDM,332137,MG DVC PLC BRST 1ST LT,9588.8,9588.8,1438.32,9588.8,36
CDM,332138,MG DVC PLC BRST 1ST RT,9588.8,9588.8,1438.32,9588.8,36
CDM,332142,MG DVC PLC BRST ADD LT,9588.8,9588.8,1438.32,9588.8,36
CDM,332143,MG DVC PLC BRST ADD RT,9588.8,9588.8,1438.32,9588.8,36
CDM,332175,"Evaluation of speech fluency (eg, stuttering, cluttering) ",584.19,584.19,121.44,326.0,40
CDM,332175,SP/EVAL FLUENCY,584.19,584.19,99.31,584.19,34
CDM,332176,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",480.26,480.26,101.7,326.0,40
CDM,332176,SP/EVAL SOUND PRODUCTION,480.26,480.26,81.64,480.26,34
CDM,332177,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",1102.15,1102.15,206.53,462.27,40
CDM,332177,SP/EVAL SND W/ LANG EVAL,1102.15,1102.15,187.37,1102.15,34
CDM,332178,BEHAV QL ANALYSIS VOICE,494.63,494.63,84.09,494.63,34
CDM,332178,Behavioral and qualitative analysis of voice and resonance ,494.63,494.63,99.8,326.0,40
CDM,332179,TRANSCTH STNT PLC IA,124503.06,124503.06,18675.46,124503.06,36
CDM,332182,TRANSCTH STNT PLC EA AD,60211.87,60211.87,9031.78,60211.87,36
CDM,332183,TRANSCTH STNT PLC IN VN,124503.06,124503.06,18675.46,124503.06,36
CDM,332184,TRANSCTH STNT PLC EA VN,60211.87,60211.87,9031.78,60211.87,36
CDM,332185,VASC EMBOLIZ VENOUS,120721.7,120721.7,18108.26,120721.7,36
CDM,332186,VASC EMBOLIZ ARTERIAL,120721.7,120721.7,18108.26,120721.7,36
CDM,332188,VASC EMBOL ART VEN HEM,120721.7,120721.7,18108.26,120721.7,36
CDM,332213,MECH CHEST WALL OSCILL,937.33,937.33,159.35,937.33,37
CDM,332281,TRANSCTH STNT PLC IA,113184.6,113184.6,16977.69,113184.6,36
CDM,332283,TRANSCTH STNT PLC IN VN,124503.06,124503.06,18675.46,124503.06,36
CDM,332284,TRANSCTH STNT PLC EA VN,60211.87,60211.87,9031.78,60211.87,36
CDM,332289,US BRST BX 1ST LESION LT,28129.91,28129.91,4219.49,28129.91,36
CDM,332290,US BRST BX 1ST LESION RT,28129.91,28129.91,4219.49,28129.91,36
CDM,332293,US BRST BX ADD LESION LT,9588.8,9588.8,1438.32,9588.8,36
CDM,332294,US BRST BX ADD LESION RT,9588.8,9588.8,1438.32,9588.8,36
CDM,332301,US DVC PLC BRST 1ST LT,18048.11,18048.11,2707.22,18048.11,36
CDM,332302,US DVC PLC BRST 1ST RT,18140.19,18140.19,2721.03,18140.19,36
CDM,332304,US DVC PLC BRST ADD LT,9588.8,9588.8,1438.32,9588.8,36
CDM,332305,US DVC PLC BRST ADD RT,9588.8,9588.8,1438.32,9588.8,36
CDM,332353,ESTROGEN TOTAL,649.63,649.63,119.6,649.63,28
CDM,332353,Estrogens; total ,649.63,649.63,9.77,120.31,47
CDM,332420,VASC EMBOLIZ VENOUS,120721.7,120721.7,18108.26,120721.7,36
CDM,332421,VASC EMBOLIZ ARTERIAL,120721.7,120721.7,18108.26,120721.7,36
CDM,332422,VASC EMBOL TUM/ORG/INF,120721.7,120721.7,18108.26,120721.7,36
CDM,332423,VASC EMBOL ART VEN HEM,120721.7,120721.7,18108.26,120721.7,36
CDM,332427,IMG GD FLD COLL VISCERAL,20648.46,20648.46,3097.27,20648.46,36
CDM,332428,IMG GD FLD COLL PERI/RET,19792.51,19792.51,2968.88,19792.51,36
CDM,332446,IMG GD FLD COLL SOFT TIS,6370.87,6370.87,955.63,6370.87,36
CDM,332456,ABLATION SEPTAL REDUCTN,108124.64,108124.64,16218.7,108124.64,36
CDM,332464,RENAL SYMP DENERV UNI,23317.2,23317.2,3497.58,23317.2,36
CDM,332466,RENAL SYMP DENERV BI,23317.2,23317.2,3497.58,23317.2,36
CDM,332494,MR BRST BX 1ST LESION LT,28928.99,28928.99,4339.35,28928.99,36
CDM,332495,MR BRST BX 1ST LESION RT,28928.99,28928.99,4339.35,28928.99,36
CDM,332497,MR BRST BX ADD LESION LT,9588.8,9588.8,1438.32,9588.8,36
CDM,332498,MR BRST BX ADD LESION RT,9588.8,9588.8,1438.32,9588.8,36
CDM,332549,MECH CHEST WALL OSCILL,937.33,937.33,159.35,937.33,37
CDM,332614,RSP MOTION MGMT SIM,3139.63,3139.63,470.94,3139.63,34
CDM,332614,Respiratory motion management simulation (List separately in addition to code for primary procedure) ,3139.63,3139.63,312.91,1098.61,12
CDM,332615,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based ",26935.22,26935.22,861.78,47546.0,21
CDM,332615,SRS DL ONE SESS LINR ACC,26935.22,26935.22,4958.77,26935.22,25
CDM,332635,OP VISIT LEVEL 2 EST,387.0,387.0,58.05,387.0,34
CDM,332647,DECLOT THROM IMP VAD CTH,1724.92,1724.92,258.74,1724.92,36
CDM,332650,DEST CELIAC PLEXUS,3328.83,3328.83,499.32,3328.83,36
CDM,332663,ABL RENL TUMRS PC CRYO,42255.85,42255.85,6338.38,42255.85,36
CDM,332739,"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) ",3698.0,3698.0,48.27,156.14,10
CDM,332739,XR FLUORO NDL,3698.0,3698.0,554.7,3698.0,34
CDM,332744,CHEMO IV PUSH EA ADD DRG,250.0,250.0,42.5,250.0,36
CDM,333111,STRESS TEST,2483.26,2483.26,422.15,2483.26,36
CDM,333129,TMVR PERC APRCH COR SIN,60433.96,60433.96,9065.09,60433.96,36
CDM,333132,ECHO ANOMALIES COMP,2307.21,2307.21,392.23,2307.21,36
CDM,333132,Transthoracic echocardiography for congenital cardiac anomalies; complete ,2307.21,2307.21,174.69,4700.0,5
CDM,333148,Group psychotherapy (other than of a multiple-family group) ,543.0,543.0,34.01,65.52,3
CDM,333148,IOP PSY GRP (NOT FAMILY),543.0,543.0,92.31,543.0,32
CDM,333177,RAD TR LVL 2 SNGL ISO,6193.63,6193.63,1052.92,6193.63,30
CDM,333177,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed ",6193.63,6193.63,81.7,1072.92,8
CDM,333179,RAD TR LVL 3 MULT ISO+PR,6757.5,6757.5,1148.78,6757.5,30
CDM,333179,"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin ",6757.5,6757.5,91.02,1072.92,8
CDM,333182,ARTH JNT BRS INT WO US,5420.11,5420.11,813.02,5420.11,36
CDM,333204,RELOCATE ICD POCKET,10578.13,10578.13,1586.72,10578.13,36
CDM,333243,RAD TR LVL 1 W IMG GUID,6325.89,6325.89,1075.4,6325.89,30
CDM,333243,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed ",6325.89,6325.89,69.28,446.75,8
CDM,333261,BRCHY ISO COMPLEX,7465.78,7465.78,1269.18,7465.78,30
CDM,333261,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) ",7465.78,7465.78,177.44,1145.6,12
CDM,333262,BRCHY ISO INTERMEDIATE,5196.05,5196.05,883.33,5196.05,30
CDM,333262,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) ",5196.05,5196.05,130.68,847.02,12
CDM,333263,BRCHY ISO SIMPLE,4442.8,4442.8,755.28,4442.8,30
CDM,333263,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) ",4442.8,4442.8,100.29,642.54,12
CDM,333272,"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed ",1131.51,1131.51,33.41,371.13,12
CDM,333272,LOC GUID RAD TX DEL,1131.51,1131.51,169.73,1131.51,34
CDM,333293,TELE ISODOSE COMP,9090.61,9090.61,1545.4,9090.61,30
CDM,333293,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) ",9090.61,9090.61,117.91,509.2,12
CDM,333294,TELE ISODOSE SIMPLE,5739.34,5739.34,975.69,5739.34,30
CDM,333294,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) ",5739.34,5739.34,64.38,280.52,12
CDM,333318,VERT W FRAC RED & BB TH,51576.51,51576.51,7736.48,51576.51,36
CDM,333319,VERT W FRAC RED & BB LU,51576.51,51576.51,7736.48,51576.51,36
CDM,333321,VERT W FRAC RED & BB EAD,51576.51,51576.51,7736.48,51576.51,36
CDM,333323,ARTH JNT BRS MJR W US BI,17850.36,17850.36,2677.55,17850.36,36
CDM,333343,ARTH JNT BRS INT W US,16777.7,16777.7,2516.66,16777.7,36
CDM,333344,ARTH JNT BRS SM W US,15469.41,15469.41,2320.41,15469.41,36
CDM,333350,US BRST UNI RT W AX COMP,964.76,964.76,177.61,964.76,28
CDM,333418,MYELO W S&I CERVICAL,12980.09,12980.09,1947.01,12980.09,36
CDM,333419,MYELO W S&I THORACIC,12202.73,12202.73,1830.41,12202.73,36
CDM,333420,MYELO W S&I LUMBOSAC,11024.45,11024.45,1653.67,11024.45,36
CDM,333421,MYEL W S&I 2 OR MORE REG,12202.73,12202.73,1830.41,12202.73,36
CDM,333437,REM SQ ICD ELECTRODE,29598.7,29598.7,4439.81,29598.7,36
CDM,333438,REPOS PREV SQ ICD ELECTR,29598.7,29598.7,4439.81,29598.7,36
CDM,333471,US BRST UNI LT W AX COMP,964.76,964.76,177.61,964.76,28
CDM,333473,VRT FRCT AS W DUAL DXA,978.61,978.61,180.16,978.61,28
CDM,333473,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,978.61,978.61,23.47,97.04,12
CDM,333501,US BRST UNI RT W AX LTD,964.76,964.76,177.61,964.76,28
CDM,333502,US BRST UNI LT W AX LTD,964.76,964.76,177.61,964.76,28
CDM,333506,BREAST TOMO SCREENING,201.82,201.82,37.16,201.82,28
CDM,333506,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",201.82,201.82,20.19,88.91,49
CDM,333508,INS/REPL SQ ICD W/ ELEC,69760.15,69760.15,10464.02,69760.15,36
CDM,333509,TMVR PERC INITIAL DEVICE,61423.28,61423.28,9213.49,61423.28,36
CDM,333511,TMVR PERC ADDTL DEVICE,61423.28,61423.28,9213.49,61423.28,36
CDM,333516,"Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg, TAVR, transcatheter pulmonary valve replacement, mitral valve re",20406.65,20406.65,286.42,551.85,3
CDM,333516,TEE GUIDANCE INTRACARD,20406.65,20406.65,3061.0,20406.65,42
CDM,333589,CHEMO IV EA AD SEQ 1 HR,361.0,361.0,61.37,361.0,36
CDM,333592,CHEMO IV EA ADD HOUR,629.0,629.0,106.93,629.0,36
CDM,333593,CHEMO IV PUSH EA ADD DRG,250.0,250.0,42.5,250.0,36
CDM,333594,CHEMO IV PUSH SING/IN DR,1827.0,1827.0,310.59,1827.0,36
CDM,333595,CHEMO IV SING/IN DR 1 HR,1267.0,1267.0,215.39,1267.0,36
CDM,333596,CHEMO SQ/IM NON HORM ANP,509.0,509.0,86.53,509.0,36
CDM,333598,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,333601,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,333602,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,333603,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,333604,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,333605,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,333606,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,333607,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,333608,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,333609,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,333685,AUTO THAW CELLS THER,438.81,438.81,80.78,438.81,29
CDM,333686,ALLO THAW CELLS THER,290.17,290.17,49.33,290.17,33
CDM,334075,CHEMO SQ/IM HORMONL ANPL,272.15,272.15,46.27,272.15,36
CDM,334145,COLL BLOOD IMPLANTED VAD,1107.83,1107.83,203.95,1107.83,26
CDM,334158,XR CLAVICLE COMP LT,1436.16,1436.16,264.4,1436.16,28
CDM,334159,XR CLAVICLE COMP RT,1436.16,1436.16,264.4,1436.16,28
CDM,334161,XR SHOULDER 1 V LT,1196.54,1196.54,220.28,1196.54,28
CDM,334162,XR SHOULDER 1 V RT,1196.54,1196.54,220.28,1196.54,28
CDM,334168,CTA ABD&PEL W CONT,10657.66,10657.66,1962.08,10657.66,25
CDM,334171,CT HEART WO CN W QUAN CA,893.9,893.9,164.57,893.9,25
CDM,334182,US HEAD AND NECK,1688.0,1688.0,310.76,1688.0,28
CDM,334183,US CHST W/MEDIASTINUM,1158.96,1158.96,213.36,1158.96,28
CDM,334184,US ABDOMEN COMPLETE,2738.39,2738.39,504.14,2738.39,28
CDM,334185,US ABDOMEN LTD,1688.0,1688.0,310.76,1688.0,28
CDM,334186,US RETROPERITONEAL COM,2738.39,2738.39,504.14,2738.39,28
CDM,334187,US RETRO LTD,1791.95,1791.95,329.9,1791.95,28
CDM,334191,US PREG 1ST TRIMTR,1762.9,1762.9,324.55,1762.9,28
CDM,334193,US PRG 1ST TRI EA ADD,510.67,510.67,76.6,510.67,34
CDM,334201,US PREGNANCY LTD,1155.88,1155.88,212.8,1155.88,28
CDM,334203,US PREG UT TRANSVAGINAL,1837.81,1837.81,338.34,1837.81,28
CDM,334207,US TRANSVAGINAL,2210.89,2210.89,407.02,2210.89,28
CDM,334208,US PELVIC COMPLETE,2045.76,2045.76,376.62,2045.76,28
CDM,334209,US PELVIC LTD OR FU,886.79,886.79,163.26,886.79,28
CDM,334210,US SCROTUM AND CNTS,2065.64,2065.64,380.28,2065.64,28
CDM,334214,US EXTREM NON VASC LTD,1027.47,1027.47,189.16,1027.47,28
CDM,334227,DUP EXTRACRANIAL BIL,4836.0,4836.0,822.12,4836.0,33
CDM,334239,DUP LE ART BIL,5431.51,5431.51,923.36,5431.51,33
CDM,334242,DUP LE ART UNI RT,3533.69,3533.69,600.73,3533.69,33
CDM,334244,DUP UE ART UNI LT,3533.69,3533.69,600.73,3533.69,33
CDM,334245,DUP UE ART UNI RT,3533.69,3533.69,600.73,3533.69,33
CDM,334246,DUP VEIN BIL,3533.69,3533.69,600.73,3533.69,33
CDM,334247,DUP VEIN UNI LT,1905.61,1905.61,323.95,1905.61,33
CDM,334248,DUP VEIN UNI RT,1905.61,1905.61,323.95,1905.61,33
CDM,334249,DUP AB/PEL/SC COMP,3369.52,3369.52,572.82,3369.52,33
CDM,334256,DUP AB/PEL/SC LTD,1905.0,1905.0,323.85,1905.0,33
CDM,334266,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",425.14,425.14,22.24,113.1,12
CDM,334266,XR SPINE 1 VIEW,425.14,425.14,78.27,425.14,28
CDM,334267,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",702.17,702.17,40.51,204.48,12
CDM,334267,XR SPINE 2 OR 3 VIEWS,702.17,702.17,129.27,702.17,28
CDM,334271,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",1338.16,1338.16,43.98,232.38,12
CDM,334271,XR SPINE 4 OR 5 VIEWS,1338.16,1338.16,246.36,1338.16,28
CDM,334272,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",1338.16,1338.16,53.12,289.17,12
CDM,334272,XR SPINE MIN 6 VIEWS,1338.16,1338.16,246.36,1338.16,28
CDM,334273,XR HIP W PEL UNI 1 V RT,1589.08,1589.08,292.55,1589.08,28
CDM,334274,XR HIP W PEL UNI 1 V LT,1589.08,1589.08,292.55,1589.08,28
CDM,334275,XR HIP W PEL UN 2-3 V RT,1763.31,1763.31,324.63,1763.31,28
CDM,334276,XR HIP W PEL UN 2-3 V LT,1763.31,1763.31,324.63,1763.31,28
CDM,334277,XR HIP W PEL UN M4 VW RT,1937.57,1937.57,356.71,1937.57,28
CDM,334278,XR HIP W PEL UN M4 VW LT,1937.57,1937.57,356.71,1937.57,28
CDM,334279,XR HIP W PEL BI 2 VIEW,1589.08,1589.08,292.55,1589.08,28
CDM,334280,XR HIP W PEL BI 3-4 VIEW,1763.31,1763.31,324.63,1763.31,28
CDM,334281,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",1937.57,1937.57,35.48,173.59,12
CDM,334281,XR HIP W PEL BI MIN5 VW,1937.57,1937.57,356.71,1937.57,28
CDM,334282,XR FEMUR 1 VIEW RT,1589.08,1589.08,292.55,1589.08,28
CDM,334283,XR FEMUR 1 VIEW LT,1589.08,1589.08,292.55,1589.08,28
CDM,334284,XR FEMUR MIN 2 V RT,1763.31,1763.31,324.63,1763.31,28
CDM,334285,XR FEMUR MIN 2 V LT,1763.31,1763.31,324.63,1763.31,28
CDM,334341,INJ CHOLANGIO NEW ACCES,20873.84,20873.84,3131.08,20873.84,36
CDM,334343,INJ CHOLANGIO EXST ACCES,3372.68,3372.68,505.9,3372.68,36
CDM,334344,PLCMT BILIARY CATH,20873.84,20873.84,3131.08,20873.84,36
CDM,334345,PLC BILIARY CATH INT/EXT,20873.84,20873.84,3131.08,20873.84,36
CDM,334347,EXCHANGE BILIARY CATH,20873.84,20873.84,3131.08,20873.84,36
CDM,334348,REMOVE BILIARY CATH,5455.73,5455.73,818.36,5455.73,36
CDM,334349,PLCMT STNT BILE DUCT,39484.8,39484.8,5922.72,39484.8,36
CDM,334352,PL STNT BILE DUCT SEP CT,29616.01,29616.01,4442.4,29616.01,36
CDM,334354,DILATE BILIARY DUCT/AMPU,5218.45,5218.45,782.77,5218.45,36
CDM,334355,BX BILIARY TREE ENDOLUM,5218.45,5218.45,782.77,5218.45,36
CDM,334356,REM CALC/DEB BIL DUC/GAL,5218.45,5218.45,782.77,5218.45,36
CDM,334357,INJ NEPH NEW ACCESS,5026.67,5026.67,754.0,5026.67,36
CDM,334358,INJ NEPH EXIST ACCESS,5026.67,5026.67,754.0,5026.67,36
CDM,334359,PLCMT NEPH CATH,14442.43,14442.43,2166.36,14442.43,36
CDM,334361,NEPHURETERAL CATH PLCMT,14442.43,14442.43,2166.36,14442.43,36
CDM,334362,NEPH CATH CONV TO NEPURT,5026.67,5026.67,754.0,5026.67,36
CDM,334363,NEPH CATH EXCHANGE,5026.67,5026.67,754.0,5026.67,36
CDM,334364,PLCMT URETERAL STNT,21511.45,21511.45,3226.72,21511.45,36
CDM,334365,PLCMT URETER STNT NEW,21511.45,21511.45,3226.72,21511.45,36
CDM,334366,PLC URTR STNT SEP CTH BI,21511.45,21511.45,3226.72,21511.45,36
CDM,334368,DILATE URETERAL STR BLN,817.4,817.4,122.61,817.4,36
CDM,334382,PLC ST LOC DVC 1ST LES,4602.38,4602.38,690.36,4602.38,36
CDM,334391,SCLERO TX FLUID COLL PER,9032.21,9032.21,1354.83,9032.21,36
CDM,334393,INTRCRN ENDOV RX ADM INI,19301.34,19301.34,2895.2,19301.34,36
CDM,334394,INTRCRN ENDOV RX ADM ADD,19301.34,19301.34,2895.2,19301.34,36
CDM,334395,INTRCRN ART THROMBECTOMY,19301.34,19301.34,2895.2,19301.34,36
CDM,334426,BX URTR/RNL PEL ENDOLUM,2512.13,2512.13,376.82,2512.13,36
CDM,334498,RMT AL HDR INT/INTRA 1CH,8356.76,8356.76,1538.48,8356.76,28
CDM,334498,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel ",8356.76,8356.76,195.15,909.98,12
CDM,334499,RMT AL HDR INT/INTR 2-12,7152.79,7152.79,1316.83,7152.79,28
CDM,334499,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels ",7152.79,7152.79,355.45,1515.28,12
CDM,334514,INTVSC US NONCORN INIT,30874.46,30874.46,4631.17,30874.46,36
CDM,334515,INTVSC US NONCORN EADD,30586.8,30586.8,4588.02,30586.8,36
CDM,334819,MRI FETAL SNGL 1ST GEST,7143.51,7143.51,1315.12,7143.51,25
CDM,334819,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",7143.51,7143.51,313.62,930.32,12
CDM,334825,XR HIP W PEL UNI 1 V RT,1589.08,1589.08,292.55,1589.08,28
CDM,334826,XR HIP W PEL UNI 1 V LT,1589.08,1589.08,292.55,1589.08,28
CDM,334827,XR HIP W PEL UN 2-3 V RT,1763.31,1763.31,324.63,1763.31,28
CDM,334828,XR HIP W PEL UN 2-3 V LT,1763.31,1763.31,324.63,1763.31,28
CDM,334829,XR HIP W PEL UN M4 VW RT,1774.66,1774.66,326.71,1774.66,28
CDM,334830,XR HIP W PEL UN M4 VW LT,1937.57,1937.57,356.71,1937.57,28
CDM,334831,XR HIP W PEL BI 2 VIEW,1589.08,1589.08,292.55,1589.08,28
CDM,334832,XR HIP W PEL BI 3-4 VIEW,1763.31,1763.31,324.63,1763.31,28
CDM,334834,XR FEMUR 1 VIEW RT,1589.08,1589.08,292.55,1589.08,28
CDM,334835,XR FEMUR 1 VIEW LT,1589.08,1589.08,292.55,1589.08,28
CDM,334836,XR FEMUR MIN 2 V RT,1763.31,1763.31,324.63,1763.31,28
CDM,334837,XR FEMUR MIN 2 V LT,1763.31,1763.31,324.63,1763.31,28
CDM,334901,HPC ALLO TRANSP PER DNR,109712.89,109712.89,20198.14,109712.89,25
CDM,334902,HPC AUTO TRANSP PER DNR,26260.0,26260.0,4834.47,23108.8,20
CDM,334911,SP EX CAROTID ANGIO BI,61216.78,61216.78,9182.52,61216.78,36
CDM,334913,SP COM CAROTIDANGIO BI,61216.78,61216.78,9182.52,61216.78,36
CDM,334914,SP COM CAROTIDANGIO BI,61216.78,61216.78,9182.52,61216.78,36
CDM,334915,SP INT CAROTID ANGIO BI,62326.66,62326.66,9349.0,62326.66,36
CDM,334916,SP INT CAROTID ANGIO BI,62326.66,62326.66,9349.0,62326.66,36
CDM,334919,SP VERT ANGIO BI,49499.86,49499.86,7424.98,49499.86,36
CDM,334920,SP VERT ANGIO BI,49499.86,49499.86,7424.98,49499.86,36
CDM,334921,SP EX CARTIDANGIOBI ADD,50609.69,50609.69,7591.45,50609.69,36
CDM,334922,SP EX CARTIDANGIOBI ADD,50609.69,50609.69,7591.45,50609.69,36
CDM,334930,OP VISIT LEVEL 1 EST,448.0,448.0,67.2,448.0,34
CDM,334984,EVAL PT LOW COMPLEX,758.07,758.07,128.87,758.07,34
CDM,334985,EVAL PT MOD COMPLEX,798.35,798.35,135.72,798.35,34
CDM,334986,EVAL PT HIGH COMPLEX,838.61,838.61,142.56,838.61,34
CDM,334987,RE-EVALUATION PT,564.51,564.51,95.97,564.51,34
CDM,334988,EVAL OT LOW COMPLEX,758.07,758.07,128.87,758.07,34
CDM,334988,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",758.07,758.07,80.21,326.0,74
CDM,334989,EVAL OT MOD COMPLEX,798.35,798.35,135.72,798.35,34
CDM,334989,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",798.35,798.35,80.21,326.0,74
CDM,334990,EVAL OT HIGH COMPLEX,838.61,838.61,142.56,838.61,34
CDM,334990,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",838.61,838.61,80.21,326.0,74
CDM,334991,RE-EVALUATION OT,564.51,564.51,95.97,564.51,34
CDM,334991,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",564.51,564.51,54.36,326.0,74
CDM,334992,MAMMO DIAG CAD UNI LT,717.1,717.1,132.02,717.1,27
CDM,334995,MAMMO DIAG CAD UNI RT,717.1,717.1,132.02,717.1,27
CDM,334996,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",799.64,799.64,95.24,412.62,49
CDM,334996,MAMMO DIAG CAD BI,799.64,799.64,147.21,799.64,27
CDM,334997,MAMMO SCR CAD BI,555.01,555.01,102.18,555.01,28
CDM,335019,MOD SED MD EADD 15,330.75,330.75,49.61,330.75,42
CDM,335020,MOD SED MD 1ST 15 >5YRS,1729.76,1729.76,259.46,1729.76,42
CDM,335025,MOD SED MD EADD 15,330.75,330.75,49.61,330.75,42
CDM,335026,MOD SED MD 1ST 15 >5YRS,1729.76,1729.76,259.46,1729.76,42
CDM,335028,US AAA SCREEN,1791.95,1791.95,329.9,1791.95,28
CDM,335034,DIALYSIS CIRC DX ANGIO,1988.17,1988.17,298.23,1988.17,36
CDM,335035,DIALYSIS CIRC BLN ANGIOP,64208.45,64208.45,9631.27,64208.45,36
CDM,335036,DIALYSIS CIRC INTRV STNT,95883.49,95883.49,14382.52,95883.49,36
CDM,335037,DIALYSIS CIRC THRMB,62464.79,62464.79,9369.72,62464.79,36
CDM,335038,DIALYSIS CIRC THRMB/BLN,135783.37,135783.37,20367.51,135783.37,36
CDM,335039,DIALYSIS CIRC THRMB/STNT,135783.37,135783.37,20367.51,135783.37,36
CDM,335041,DIAL SEG CTRL BLN ANGIOP,49912.65,49912.65,7486.9,49912.65,36
CDM,335042,DIAL SEG CTRL INTRV STNT,18526.83,18526.83,2779.02,18526.83,36
CDM,335044,TRANS ANGIO SAME ART INT,56459.56,56459.56,8468.93,56459.56,36
CDM,335045,TRANS ANGIO SAME ART EAD,62105.5,62105.5,9315.83,62105.5,36
CDM,335046,TRANS BAL ANGIO EACH IN,81034.96,81034.96,12155.24,81034.96,36
CDM,335047,TRANS BAL ANGIO EACH AD,81034.96,81034.96,12155.24,81034.96,36
CDM,335062,TRANS ANGIO SAME ART INT,62105.5,62105.5,9315.83,62105.5,36
CDM,335063,TRANS ANGIO SAME ART EAD,56459.56,56459.56,8468.93,56459.56,36
CDM,335064,TRANS BAL ANGIO EACH IN,81034.96,81034.96,12155.24,81034.96,36
CDM,335069,INJ EPI C/T W IMAGING,6536.1,6536.1,980.41,6536.1,36
CDM,335082,INJ EPI NO SUB LS W IMAG,13683.67,13683.67,2052.55,13683.67,36
CDM,335118,INJ EPI L/S W IMAGING,6536.1,6536.1,980.41,6536.1,36
CDM,335172,US AAA SCREEN,1791.95,1791.95,329.9,1791.95,28
CDM,335357,CRIT CARE 1ST 30-74 MINS,6944.4,6944.4,1278.46,6944.4,24
CDM,335358,CRIT CARE EACH ADD 30MIN,3401.97,3401.97,510.3,3401.97,30
CDM,335359,LVL 1 EMER DEPT,618.0,618.0,113.77,618.0,22
CDM,335361,LVL 2 EMER DEPT,1007.0,1007.0,185.39,1007.0,22
CDM,335362,LVL 3 EMER DEPT,2205.0,2205.0,405.94,2205.0,22
CDM,335363,LVL 4 EMER DEPT,3840.0,3840.0,706.94,3840.0,22
CDM,335364,LVL 5 EMER DEPT,5031.0,5031.0,926.21,5031.0,22
CDM,335365,IMMUNIZ ADMIN EA ADDTL,426.56,426.56,63.98,426.56,42
CDM,335366,IMMUNIZ ADMIN SGL,426.56,426.56,72.52,426.56,38
CDM,335379,INJECTION IM OR SQ,476.88,476.88,81.07,476.88,38
CDM,335383,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,335384,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,335385,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,335386,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,335387,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,335388,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,335389,IVP EA ADD SEQ NEW DRUG,781.58,781.58,132.87,781.58,38
CDM,335392,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,335393,IVP SINGLE/INITIAL DRUG,1327.41,1327.41,225.66,1327.41,38
CDM,335403,CAT 1 ED PROCEDURE,1836.08,1836.08,275.41,1836.08,36
CDM,335404,CAT 2 ED PROCEDURE,3770.27,3770.27,565.54,3770.27,36
CDM,335407,CAT 3 ED PROCEDURE,4708.18,4708.18,706.23,4708.18,36
CDM,335422,CLOSURE LAA W/ IMPLANT,61423.28,61423.28,9213.49,61423.28,36
CDM,335561,DEBRIDE WND INI 20SQCM,1058.52,1058.52,194.87,1058.52,28
CDM,335561,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",1058.52,1058.52,59.39,990.0,38
CDM,335562,DEBRID WND EA ADD 20SQCM,1058.52,1058.52,194.87,1058.52,28
CDM,335562,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",1058.52,1058.52,41.95,990.0,38
CDM,335564,NEG PRESSURE 50CM OR <,1016.23,1016.23,187.09,1016.23,28
CDM,335564,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",1016.23,1016.23,37.78,93.78,37
CDM,335565,NEG PRESSURE > 50 CM,1248.67,1248.67,229.88,1248.67,28
CDM,335565,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",1248.67,1248.67,45.13,99.85,37
CDM,335567,OP VISIT LEVEL 2 NP,505.0,505.0,75.75,505.0,34
CDM,335568,OP VISIT LEVEL 3 NP,452.0,452.0,67.8,452.0,34
CDM,335569,OP VISIT LEVEL 4 NP,737.0,737.0,110.55,737.0,34
CDM,335571,OP VISIT LEVEL 5 NP,779.0,779.0,116.85,779.0,34
CDM,335572,OP VISIT LEVEL 1 EST,448.0,448.0,67.2,448.0,34
CDM,335573,OP VISIT LEVEL 2 EST,387.0,387.0,58.05,387.0,34
CDM,335574,OP VISIT LEVEL 3 EST,306.0,306.0,45.9,306.0,34
CDM,335576,OP VISIT LEVEL 4 EST,623.0,623.0,93.45,623.0,34
CDM,335578,OP VISIT LEVEL 5 EST,769.0,769.0,115.35,769.0,34
CDM,335579,HBO FULL BODY 30 MIN INT,1651.44,1651.44,280.74,1651.44,37
CDM,335579,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",1651.44,1651.44,331.34,331.34,1
CDM,335592,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,335603,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,335604,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,335608,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,335609,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,335611,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,335613,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,335614,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,335618,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,335625,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,335715,PERC DRUG EL COR STNT SL,74060.18,74060.18,11109.03,74060.18,36
CDM,335719,PERC DRUG EL COR STNT AD,35764.9,35764.9,5364.73,35764.9,36
CDM,335721,PRC D-EL COR STNT ATH SL,74060.18,74060.18,11109.03,74060.18,36
CDM,335723,PRC D-EL COR STNT ATH AD,35764.9,35764.9,5364.73,35764.9,36
CDM,335725,PRC D-EL COR RVSC CABG S,74060.18,74060.18,11109.03,74060.18,36
CDM,335727,PRC D-EL COR RVSC CABG A,35764.9,35764.9,5364.73,35764.9,36
CDM,335729,PRC D-E COR REVSC CHRN S,74060.18,74060.18,11109.03,74060.18,36
CDM,335731,PRC D-E COR REVSC CHRN A,35764.9,35764.9,5364.73,35764.9,36
CDM,335733,PRC D-E COR REVSC AMI SL,74060.18,74060.18,11109.03,74060.18,36
CDM,335829,ENDO EVAL OF SWALLOW SP,101.0,101.0,17.17,101.0,36
CDM,335829,Flexible endoscopic evaluation of swallowing by cine or video recording; ,101.0,101.0,175.47,398.59,38
CDM,335842,THORACENTESIS W/O IMAG,9309.8,9309.8,1396.47,9309.8,36
CDM,335845,THORACENTESIS W/ IMAG,22498.51,22498.51,3374.78,22498.51,36
CDM,335849,PERC PLEUR DRN W/O IMG,9090.41,9090.41,1363.56,9090.41,36
CDM,335852,PERC PLEUR DRN W/ IMG,22338.69,22338.69,3350.8,22338.69,36
CDM,335856,TAVR/TAVI PERC FEM APRCH,53192.43,53192.43,7978.86,53192.43,36
CDM,335864,INS LVAD PERC ARTERIAL,28541.64,28541.64,4281.25,28541.64,36
CDM,335866,INS LVAD ART/VEN ACCESS,28541.64,28541.64,4281.25,28541.64,36
CDM,335869,REM LVAD PERC SEP SESS,28541.64,28541.64,4281.25,28541.64,36
CDM,335873,REPOS VAD HEART SEP SESS,28541.64,28541.64,4281.25,28541.64,36
CDM,335877,NSP THOR AORT W/ ANGIO,30608.4,30608.4,4591.26,30608.4,36
CDM,335878,SP EX CAROTID ANGIO UNIL,30608.4,30608.4,4591.26,30608.4,36
CDM,335879,SP EX CAROTID ANGIO UNIL,30608.4,30608.4,4591.26,30608.4,36
CDM,335881,SP COM CAROTIDANGIO UNIL,30608.4,30608.4,4591.26,30608.4,36
CDM,335882,SP COM CAROTIDANGIO UNIL,30608.4,30608.4,4591.26,30608.4,36
CDM,335883,SP INT CAROTID ANGIO UNI,31163.7,31163.7,4674.56,31163.7,36
CDM,335885,SP INT CAROTID ANGIO UNI,31163.7,31163.7,4674.56,31163.7,36
CDM,335886,SP SUBCL ANGIO,24749.44,24749.44,3712.42,24749.44,36
CDM,335887,SP SUBCL ANGIO,24749.44,24749.44,3712.42,24749.44,36
CDM,335888,SP VERT ANGIO UNILAT,24749.44,24749.44,3712.42,24749.44,36
CDM,335889,SP VERT ANGIO UNILAT,24749.44,24749.44,3712.42,24749.44,36
CDM,335891,SP EX CARTIDANGIOUNI ADD,25304.74,25304.74,3795.71,25304.74,36
CDM,335892,SP EX CARTIDANGIOUNI ADD,25304.74,25304.74,3795.71,25304.74,36
CDM,335893,SP INCRAN ANGIO,31163.7,31163.7,4674.56,31163.7,36
CDM,335894,SP INCRAN ANGIO,31163.7,31163.7,4674.56,31163.7,36
CDM,335895,TRANSCATH RTRV FB S&I,29955.88,29955.88,4493.38,29955.88,36
CDM,335897,TRANSCATH RTRV FB S&I,27736.94,27736.94,4160.54,27736.94,36
CDM,335899,TRNSCTH TX ART INI DAY,65179.64,65179.64,9776.95,65179.64,36
CDM,335901,TRNSCTH TX VEN INI DAY,65179.64,65179.64,9776.95,65179.64,36
CDM,335902,TRNSCTH TX VEN INI DAY,65179.64,65179.64,9776.95,65179.64,36
CDM,335905,TRNSCTH TX ART/VEN SUB,26818.92,26818.92,4022.84,26818.92,36
CDM,335907,TRNSCTH TX ART/VEN FINAL,26818.92,26818.92,4022.84,26818.92,36
CDM,335923,NM THYROID UPTAKE W STIM,2900.3,2900.3,533.95,2900.3,28
CDM,335923,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",2900.3,2900.3,60.71,471.74,15
CDM,335926,NM THYROID SCN UP/STIM V,3357.19,3357.19,618.06,3357.19,28
CDM,335926,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",3357.19,3357.19,188.44,704.26,15
CDM,335931,NM PARATHY SPECT,6942.87,6942.87,1278.18,6942.87,28
CDM,335931,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",6942.87,6942.87,261.58,957.39,15
CDM,335962,PTCA SINGLE VESSEL,91350.98,91350.98,13702.65,91350.98,36
CDM,335986,NERVE COND 1-2 STDS,422.15,422.15,71.77,422.15,37
CDM,335986,Nerve conduction studies; 1-2 studies ,422.15,422.15,49.8,95.95,4
CDM,335987,NERVE COND 3-4 STDS,422.15,422.15,71.77,422.15,37
CDM,335987,Nerve conduction studies; 3-4 studies ,422.15,422.15,60.2,115.98,4
CDM,335988,NERVE COND 5-6 STDS,422.15,422.15,71.77,422.15,37
CDM,335988,Nerve conduction studies; 5-6 studies ,422.15,422.15,72.22,139.15,4
CDM,335989,NERVE COND 7-8 STDS,422.15,422.15,71.77,422.15,37
CDM,335989,Nerve conduction studies; 7-8 studies ,422.15,422.15,93.22,179.61,4
CDM,335991,NERVE COND 9-10 STDS,768.08,768.08,130.57,768.08,37
CDM,335991,Nerve conduction studies; 9-10 studies ,768.08,768.08,108.06,208.2,4
CDM,335992,NERVE COND 11-12 STDS,768.08,768.08,130.57,768.08,37
CDM,335992,Nerve conduction studies; 11-12 studies ,768.08,768.08,122.27,235.56,4
CDM,335993,NERVE COND 13+ STDS,768.08,768.08,130.57,768.08,37
CDM,335993,Nerve conduction studies; 13 or more studies ,768.08,768.08,136.71,263.39,4
CDM,336178,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,336180,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,336182,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,336183,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,336184,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,336186,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,336187,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,336188,OBS PER HOUR,129.33,129.33,23.81,129.33,22
CDM,336193,CHEST XRAY 1 V,1030.03,1030.03,189.63,1030.03,28
CDM,336194,CHEST XRAY 2 V,1196.54,1196.54,220.28,1196.54,28
CDM,336195,CHEST XRAY 3 V,1293.48,1293.48,238.13,1293.48,28
CDM,336196,CHEST XRAY 4+,1589.86,1589.86,292.69,1589.86,28
CDM,336196,"Radiologic examination, chest; 4 or more views ",1589.86,1589.86,22.76,114.34,12
CDM,336197,ABD XR 1V,1066.6,1066.6,196.36,1066.6,28
CDM,336198,ABD XR 2V,1436.16,1436.16,264.4,1436.16,28
CDM,336209,PERC CP BYPS SUP W/ TAVR,40610.61,40610.61,6091.59,40610.61,36
CDM,336214,ORTH/PROS MGT SBSQ ENCOT,416.04,416.04,70.73,416.04,34
CDM,336214,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",416.04,416.04,39.19,326.0,74
CDM,336216,BX ASP BONE MARROW DX,4596.64,4596.64,689.5,4596.64,36
CDM,336224,EVAS RPR ILIOILIAC NORUP,159900.81,159900.81,23985.12,159900.81,36
CDM,336243,CHEST XRAY 1 V,1030.03,1030.03,189.63,1030.03,28
CDM,336245,CHEST XRAY 2 V,1196.54,1196.54,220.28,1196.54,28
CDM,336248,CHEST XRAY 3 V,1293.48,1293.48,238.13,1293.48,28
CDM,336253,ABD XR 1V,1066.6,1066.6,196.36,1066.6,28
CDM,336255,ABD XR 2V,1436.16,1436.16,264.4,1436.16,28
CDM,336256,ABD XR 3+V,1480.08,1480.08,272.48,1480.08,28
CDM,336349,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,336351,IMMUNIZ ADMIN SGL,301.0,301.0,51.17,301.0,38
CDM,336352,IMMUNIZ ADMIN EA ADDTL,300.69,300.69,45.1,300.69,42
CDM,336353,DOP ART 1-2 LEVEL UNI,2501.73,2501.73,425.29,2501.73,33
CDM,336357,INS ECMO PERC PERIPH=>6Y,59431.92,59431.92,8914.79,59431.92,36
CDM,336358,INIT ECMO VENO-ARTERIAL,7131.82,7131.82,1069.77,7131.82,36
CDM,336366,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,21
CDM,336382,MOD SED MD 1ST 15 <5YRS,1729.76,1729.76,259.46,1729.76,42
CDM,336383,MOD SED MD EADD 15,330.75,330.75,49.61,330.75,42
CDM,336394,Fetal biophysical profile; without non-stress testing ,869.98,869.98,44.95,183.01,15
CDM,336394,US FET BIO PH PR W/O NST,869.98,869.98,160.16,869.98,28
CDM,336395,TMVI PERC APRCH,58285.01,58285.01,8742.75,58285.01,36
CDM,336400,MOD SED MD 1ST 15 >5YRS,1729.76,1729.76,259.46,1729.76,42
CDM,336487,PHP GRP W PT 45 MIN,1252.35,1252.35,187.85,1252.35,36
CDM,336517,TAVR/TAVI OPEN AXL APRCH,59274.34,59274.34,8891.15,59274.34,36
CDM,336534,STEREO COMP NAV SPINAL,14513.57,14513.57,2177.04,14513.57,36
CDM,336548,F18 FLUCICLOVINE DX 1MCI,558.28,558.28,102.17,558.28,29
CDM,336548,"Fluciclovine f-18, diagnostic, 1 millicurie ",558.28,558.28,619.98,854.02,6
CDM,336574,BASIC OR SERVICES,9269.19,9269.19,1390.38,9269.19,36
CDM,336575,OR PER MIN LEVEL 1,103.0,103.0,15.45,103.0,36
CDM,336576,OR PER MIN LEVEL 2,178.0,178.0,26.7,178.0,36
CDM,336577,OR PER MIN LEVEL 3,209.0,209.0,31.35,209.0,36
CDM,336578,OR PER MIN LEVEL 4,266.0,266.0,39.9,266.0,36
CDM,343369,CILTACABTAGENE 100 MIL,6520455.0,6520455.0,1193243.26,6520455.0,32
CDM,343369,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",6520455.0,6520455.0,1559511.25,1559511.25,3
CDM,343491,TOBRAMYCIN QUANT,1037.03,1037.03,190.92,1037.03,28
CDM,344748,LVL 1 BEDSIDE PROC,449.0,449.0,67.35,449.0,36
CDM,344749,LVL 2 BEDSIDE PROC,929.0,929.0,139.35,929.0,36
CDM,344751,LVL 3 BEDSIDE PROC,2786.0,2786.0,417.9,2786.0,36
CDM,344752,LVL 4 BEDSIDE PROC,5663.0,5663.0,849.45,5663.0,36
CDM,344755,LVL 5 BEDSIDE PROC,17673.0,17673.0,2650.95,17673.0,36
CDM,347102,SOL WND MICROBIAL 235ML,773.0,773.0,115.95,773.0,42
CDM,347105,KIT STYLET LD 15CM 86CM,795.0,795.0,119.25,795.0,42
CDM,347112,TROCAR LAPSCP 8MM 100MM,278.5,278.5,41.77,278.5,42
CDM,347113,ELECTRODE ESURG 9FT,187.5,187.5,28.13,187.5,42
CDM,347116,SET SHTH URT 11-13F 46CM,950.5,950.5,142.57,950.5,42
CDM,347117,KIT STYLET LEAD 52CM,773.0,773.0,115.95,773.0,42
CDM,347118,KIT STYL 65CM,773.0,773.0,115.95,773.0,42
CDM,347120,TROCAR LAPSCP 12MM 100MM,264.5,264.5,39.67,264.5,42
CDM,347122,ELECTRODE ESURG 15FT,70.0,70.0,10.5,70.0,42
CDM,347123,FORCEPS DISP 1X2 4.75,16.5,16.5,2.48,16.5,42
CDM,347124,COIL EMBL 9MM 28CM,4429.0,4429.0,664.35,4429.0,30
CDM,347125,GWIRE BN 1.45MM,386.5,386.5,57.98,386.5,42
CDM,347126,TUBE FD CNTR 14FR,1023.5,1023.5,153.53,1023.5,42
CDM,347127,TUBE JJNSTM 16FR,1023.5,1023.5,153.53,1023.5,42
CDM,347130,SUCKER CARDIAC 36.8CM,193.5,193.5,29.02,193.5,42
CDM,347131,KIT JJN TUBE 22FR 45CM,1616.5,1616.5,242.47,1616.5,42
CDM,347133,SIZER BREAST 255CC,1801.0,1801.0,270.15,1801.0,42
CDM,347138,DEVICE CLSR VASC 26-29FR,3189.0,3189.0,478.35,3189.0,30
CDM,347140,DEV BLN INFL 30ML 40ATM,773.0,773.0,115.95,773.0,42
CDM,347152,SET TUBING XTN 108IN,302.5,302.5,45.38,302.5,42
CDM,347185,CAGE SPN 16X18X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,347192,DEVICE CLSE WND 2-0 36CM,320.5,320.5,48.08,320.5,42
CDM,347193,DEVICE WND CLSR 5X5IN,345.5,345.5,51.83,345.5,42
CDM,347194,CMPNT KN FEM HNG RT SZ3,22068.0,22068.0,3310.2,22068.0,30
CDM,347195,INSERT KN SZ2-3 15MM,6078.0,6078.0,911.7,6078.0,30
CDM,347196,CONE KN FEM RT 30MM,13287.0,13287.0,1993.05,13287.0,30
CDM,347204,FIBER LASER 365UM,2415.0,2415.0,362.25,2415.0,42
CDM,347206,FIBER LASER DISP 272,3724.5,3724.5,558.67,3724.5,42
CDM,347209,SCREW SPN 6X20MM,1130.0,1130.0,169.5,1130.0,30
CDM,347210,STEM HUM SHLDR 200X80MM,12402.0,12402.0,1860.3,12402.0,30
CDM,347211,CUP HUM SHLDR 10X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,347212,INSERT HUM SHLDR 12X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,347213,BSPLT GLND SHLDR 29MM,6201.0,6201.0,930.15,6201.0,30
CDM,347214,GLND SPHERE SHLDR 39MM,6644.0,6644.0,996.6,6644.0,30
CDM,347215,INSERT HUM SHLDR 6X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,347216,SPHERE GLND SHLDR 6X40MM,4872.0,4872.0,730.8,4872.0,30
CDM,347217,CUP HUM REV 4X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,347218,MODEL ANTM CLR GFT SITE,5683.0,5683.0,852.45,5683.0,42
CDM,347219,SCREW BN S/T 2.7MM 10MM,1463.0,1463.0,219.45,1463.0,30
CDM,347226,DEVICE WNDCLS 23CM SZ3,643.5,643.5,96.53,643.5,42
CDM,347242,FIBER LASER 1000UM,2079.0,2079.0,311.85,2079.0,42
CDM,347243,PLATE SPN 1LVL 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,347244,STEM HUM SHLDR SZ3,11959.0,11959.0,1793.85,11959.0,30
CDM,347245,INSERT SHLDR SZ3/4 3X39,7973.0,7973.0,1195.95,7973.0,30
CDM,347246,SPACER SPN 20X14X11.9,13287.0,13287.0,1993.05,13287.0,30
CDM,347247,GEN NRSTM 52X52X6.9MM,145963.0,145963.0,21894.45,145963.0,30
CDM,347252,KWIRE FX 2.0MM 200MM,347.0,347.0,52.05,347.0,42
CDM,347253,ANCHOR BN 3.9MM,12822.0,12822.0,1923.3,12822.0,30
CDM,347256,SCREW BN 7MM 74MM,3189.0,3189.0,478.35,3189.0,30
CDM,347257,SCREW BN 4.2MM 40MM,2806.0,2806.0,420.9,2806.0,30
CDM,347258,SCREW BN LCK 4.2X42MM,2806.0,2806.0,420.9,2806.0,30
CDM,347259,SCREW BN 4.2MM 44MM,2806.0,2806.0,420.9,2806.0,30
CDM,347264,COIL EMBL 35CM 8MM,5537.0,5537.0,830.55,5537.0,30
CDM,347266,ANCH BN SUT,4429.0,4429.0,664.35,4429.0,30
CDM,347269,SPACER SPN 24X30X13MM 8D,19200.0,19200.0,2880.0,19200.0,30
CDM,347277,GLNSPHR HEAD SHLDR 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,347278,POST SHLDR GLND SHRT 7MM,4252.0,4252.0,637.8,4252.0,30
CDM,347282,INSERT SHLDR SZ1/2 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,347286,INSERT TIB KN 5 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,347287,PLATE MNDB BN CUSTOM,8794.0,8794.0,1319.1,8794.0,30
CDM,347288,SCREW BN HDLS 3.5X22MM,3189.0,3189.0,478.35,3189.0,30
CDM,347289,SCREW BN 5.5X40MM,1595.0,1595.0,239.25,1595.0,30
CDM,347292,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,347293,INSERT TIB KN SZ3 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,347294,PLATE CERV LV 1 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,347295,HEAD HUM SHLDR 44X16MM,4606.0,4606.0,690.9,4606.0,30
CDM,347296,SCREW SPN 5.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,347297,SCREW SPN 6.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,347299,COIL EMBL 35D 4MM 15CM,5391.0,5391.0,808.65,5391.0,30
CDM,347300,COIL EMBL 35D 6MM 15CM,5391.0,5391.0,808.65,5391.0,30
CDM,347309,BIT DRILL DISP 2.5X150MM,1127.5,1127.5,169.13,1127.5,42
CDM,347320,CATH ANGIO 5FR 1.7MM,162.0,162.0,24.3,162.0,42
CDM,347325,OCCLUDER CV 6X4MM,18599.0,18599.0,2789.85,18599.0,30
CDM,347361,MESH HRN PLGLY 12X10CM,8132.0,8132.0,1219.8,8132.0,30
CDM,347362,MESH HRN PLGLY 20X16CM,20409.0,20409.0,3061.35,20409.0,30
CDM,347363,MODEL ANTM ORG/BN CSTM,5345.0,5345.0,801.75,5345.0,42
CDM,347364,ANCHOR BN ACHILLES 3.9MM,12791.0,12791.0,1918.65,12791.0,30
CDM,347386,SCREW SPN 8.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,347405,STEM FEM HIP LNG 19,20073.0,20073.0,3010.95,20073.0,30
CDM,347406,TIP MNPLT 11.4CM 3.8CM,773.0,773.0,115.95,773.0,42
CDM,347407,SCREW BN 3.5MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,347408,SCREW BN 3.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,347409,SCREW BN 3.5MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,347410,CONN SPN 475-4.75,3012.0,3012.0,451.8,3012.0,30
CDM,347411,CAP SPN LCK FOR CONN,753.0,753.0,112.95,753.0,30
CDM,347412,SCREW BN SPN 3.5MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,347413,NUT SPN LCK FOR CONN,753.0,753.0,112.95,753.0,30
CDM,347414,T-CONN SPN HD2HD 39-45MM,3012.0,3012.0,451.8,3012.0,30
CDM,347415,CONE FEM KN SM,13730.0,13730.0,2059.5,13730.0,30
CDM,347425,PLATE BN NAR LT,4883.0,4883.0,732.45,4883.0,30
CDM,347426,IMPLANT ORBITAL 20MM,171.0,171.0,25.65,171.0,30
CDM,347427,INSERT TIB KN SZ1/2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,347428,INSERT KN REV SZ4 16MM,8309.0,8309.0,1246.35,8309.0,30
CDM,347429,CONNECTOR SPN 5.5/6MM,3012.0,3012.0,451.8,3012.0,30
CDM,347430,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,347431,SHELL ACTB HIP 3H 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,347432,LINER ACTB HIP 48X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,347433,HEAD FEM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,347434,STEM REM HIP SZ22 240MM,20336.0,20336.0,3050.4,20336.0,30
CDM,347435,INSERT ARTC KN RT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,347436,PLATE SPN ANT 2H 10MM,9877.0,9877.0,1481.55,9877.0,30
CDM,347439,SCREW SPN 6X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,347440,SCREW BN MICRO 22MM,3294.0,3294.0,494.1,3294.0,30
CDM,347441,CAGE SPN 12D 32X21X11MM,19200.0,19200.0,2880.0,19200.0,30
CDM,347442,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,347443,STEM REM HIP SZ3,8416.0,8416.0,1262.4,8416.0,30
CDM,347444,LINER ACTB HIP52MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,347445,SHELL ACTB HIP 3H 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,347446,LENS IOL +21.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,347447,DRILL SURG 2.4X180MM,1326.0,1326.0,198.9,1326.0,42
CDM,347454,MATRIX EXTRACELLULAR 1CC,4558.0,4558.0,683.7,4558.0,30
CDM,347455,SYSTEM BNCMNT MX DLV LG,2106.0,2106.0,315.9,2106.0,42
CDM,347456,SCREW SPN P-AX 7.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,347457,FIBER LASER 272UM,2505.0,2505.0,375.75,2505.0,42
CDM,347470,CATH BLNDIL 4.0X25MM,2775.0,2775.0,416.25,2775.0,42
CDM,347473,SCREW BN LCK 0.5X58MM,2738.0,2738.0,410.7,2738.0,30
CDM,347474,CATH ANGIO TIG 5F 100CM,162.0,162.0,24.3,162.0,42
CDM,347475,LINER ACTB HIP56-58X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,347476,SHELL ACTB HIP 3HL 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,347495,510K SKN SUB NOS 1SQCM,429.0,429.0,64.35,429.0,31
CDM,347501,BURR DIAMOND FLEX 1.8MM,1209.5,1209.5,181.43,1209.5,42
CDM,347503,BURR DIA FLEX 2.3MM,1209.5,1209.5,181.43,1209.5,42
CDM,347520,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,347522,SCREW SPN POLYX 8.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,347527,SCREW SPN 9.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,347555,SCREW BN LCKG ST 5X18MM,3189.0,3189.0,478.35,3189.0,30
CDM,347556,REAMER HEAD STRL 11.0MM,4093.0,4093.0,613.95,4093.0,42
CDM,347557,COLLAR HUM STM 19.5MM,6998.0,6998.0,1049.7,6998.0,30
CDM,347558,STEM HUM SHLDR 80X8MM,21791.0,21791.0,3268.65,21791.0,30
CDM,347559,BODY HUM SHLDR MED 12.5,27062.0,27062.0,4059.3,27062.0,30
CDM,347560,INSERT HUM SHLDR 6X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,347561,HEAD HUM SHLDR 44MM 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,347562,INSERT KN TIB BRNG 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,347563,BASEPLATE TIB KN SZ7,11588.0,11588.0,1738.2,11588.0,30
CDM,347564,CMPNT FEM KN SZ7,23176.0,23176.0,3476.4,23176.0,30
CDM,347565,STEM FEM KN 14X160MM,4606.0,4606.0,690.9,4606.0,30
CDM,347566,INS TIB FX KN LT SZC,10165.0,10165.0,1524.75,10165.0,30
CDM,347567,WEDGE FEM KN SZ3 3+10MM,4606.0,4606.0,690.9,4606.0,30
CDM,347568,COMPT FEM KN LT SZ3,30394.0,30394.0,4559.1,30394.0,30
CDM,347569,INSERT ARTC KN LT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,347570,PLATE BN 3HL .75MM 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,347571,INSERT TIB KN SZ6-7 13MM,5188.0,5188.0,778.2,5188.0,30
CDM,347572,CATH ANGIO 100CM,192.0,192.0,28.8,192.0,42
CDM,347577,PLATE SPN CVR PRFL 6-7MM,1130.0,1130.0,169.5,1130.0,30
CDM,347582,TOOL DSCT MTCH 12CM 3MM,1010.0,1010.0,151.5,1010.0,42
CDM,347594,BASEPLATE SHLDR 24MM,6644.0,6644.0,996.6,6644.0,30
CDM,347599,SPACER SPN 5D 12X12X7MM,15059.0,15059.0,2258.85,15059.0,30
CDM,347630,SUTURE ANCHOR 4.75MM,3534.0,3534.0,530.1,3534.0,30
CDM,347631,SPACER SPN 15D26X34X19MM,19200.0,19200.0,2880.0,19200.0,30
CDM,347632,CMPNT GLND LT 8D MED,10298.0,10298.0,1544.7,10298.0,30
CDM,347633,SPACER SPN 9M 23MM 7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,347634,STEM HIP FEM OFS 7X115,7530.0,7530.0,1129.5,7530.0,30
CDM,347641,LENS IOL +17.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,347659,SCREW BN 5MM 24MM,2647.0,2647.0,397.05,2647.0,30
CDM,347665,ROD SPN 4.5X500MM,3012.0,3012.0,451.8,3012.0,30
CDM,347666,SET SCREW SPN,753.0,753.0,112.95,753.0,30
CDM,347677,HEAD HUM SHLDR 15MM 48MM,4872.0,4872.0,730.8,4872.0,30
CDM,347678,INSERT HUM SHLDR 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,347679,STEM HUM SHLDR SZ2+,11959.0,11959.0,1793.85,11959.0,30
CDM,347680,CMPNT GLND SHLDR 15D SM,11073.0,11073.0,1660.95,11073.0,30
CDM,347681,HEAD HUM SHLDR 15MM 44MM,4872.0,4872.0,730.8,4872.0,30
CDM,347691,SCREW BN 3.5MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,347732,MESH HRN PP 12CM 18CM,12174.0,12174.0,1826.1,12174.0,30
CDM,347733,DISSECTOR ENDO 5MM 400MM,4385.5,4385.5,657.83,4385.5,42
CDM,347735,SPACER SPN 3-15D 45X18X7,17716.0,17716.0,2657.4,17716.0,30
CDM,347737,GWIRE BN DISP 1.6X220MM,834.5,834.5,125.17,834.5,42
CDM,347738,BIT DRILL CANN 3X215MM,3576.0,3576.0,536.4,3576.0,42
CDM,347739,SCREW BN 5MM 62MM,2738.0,2738.0,410.7,2738.0,30
CDM,347741,INSERT TIB KN 10MM SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,347749,NAIL FEM 10D 10MM 360MM,6644.0,6644.0,996.6,6644.0,30
CDM,347765,BURR SURG DISP 2.2MM,1023.5,1023.5,153.53,1023.5,42
CDM,347766,DEVICE WND CLSR 9IN,328.5,328.5,49.27,328.5,42
CDM,347773,SUTURE NABS BLU #2 26IN,1023.5,1023.5,153.53,1023.5,42
CDM,347779,SIZER BREAST 415CC,1694.5,1694.5,254.18,1694.5,42
CDM,347780,ROD SPN 5.5MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,347781,CMPNT FEM KN RT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,347782,CMPNT TIB KN RT SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,347783,CMPNT FEM KN SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,347784,CMPNT KN TIB LT SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,347785,INSERT TIB KN SZ3 16MM,6737.0,6737.0,1010.55,6737.0,30
CDM,347786,LENS IOL +15.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,347787,CAGE ACTB 66/68/70 58MM,9051.0,9051.0,1357.65,9051.0,30
CDM,347788,TRIAL HIP DISP 66/68/70,3352.0,3352.0,502.8,3352.0,42
CDM,347789,SCREW SPN 4.6MM 17MM,1130.0,1130.0,169.5,1130.0,30
CDM,347790,PIN NAIL KIT STD,1228.0,1228.0,184.2,1228.0,42
CDM,347792,STEM HIP FEM SZ21 190MM,18523.0,18523.0,2778.45,18523.0,30
CDM,347793,GWIRE VASC .035IN 260CM,773.0,773.0,115.95,773.0,42
CDM,347797,ICD DR MRI IS1 DF4,35959.0,35959.0,5393.85,35959.0,30
CDM,347798,COMP ART SUR LPS SZC 2-,4606.0,4606.0,690.9,4606.0,30
CDM,347799,PLATE BN 8 HOLE 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,347800,SCREW BN 2.4MM 13MM,1754.0,1754.0,263.1,1754.0,30
CDM,347801,SCREW BN 2.4MM 13MM,2344.0,2344.0,351.6,2344.0,30
CDM,347802,SCREW BN VAL 2.4MM 12MM,2344.0,2344.0,351.6,2344.0,30
CDM,347803,BIT DRILL SNGL USE 1.7MM,1375.5,1375.5,206.32,1375.5,42
CDM,347805,SCREW SPN 4.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,347806,SCREW SPN 6.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,347807,SCREW SPN 7.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,347808,SCREW SPN 4.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,347809,SCREW SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,347810,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,347830,SLEEVE NAIL INS 8-11MM,911.0,911.0,136.65,911.0,42
CDM,347908,BLADE SURG OSTME 66MM,4385.5,4385.5,657.83,4385.5,42
CDM,347909,SYSTEM LEAD NEURO TRIAL,6702.0,6702.0,1005.3,6702.0,42
CDM,347916,HEAD FEM HIP 40MM +4MM,4429.0,4429.0,664.35,4429.0,30
CDM,347924,STEM HUM SHLDR 14X36MM,11959.0,11959.0,1793.85,11959.0,30
CDM,347925,INSERT HUM 8MM 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,347926,ANCHOR PEEK KNTLS 6.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,347927,INS REV SHLDR SZ3/4 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,347938,SCREW SPN PLVC 10.5X70MM,12955.0,12955.0,1943.25,12955.0,30
CDM,347961,STEM SHLDR UNIV REV SZ12,8637.0,8637.0,1295.55,8637.0,30
CDM,347965,PLATE SPN 4 HL 12MM,9213.0,9213.0,1381.95,9213.0,30
CDM,347967,STENT BIL 8X100MM 125CM,4429.0,4429.0,664.35,4429.0,30
CDM,347979,LINER ACTB HIP SZE 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,347980,STEM FEM HIP STD CEM SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,347981,IMPLANT KNTLS AC OPN RPR,8115.0,8115.0,1217.25,8115.0,30
CDM,347982,INSERT KN TIB LT 18MM,9966.0,9966.0,1494.9,9966.0,30
CDM,347983,LENS IOL +14.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,347984,ALLODERM 1SQCM,650.0,650.0,97.5,650.0,29
CDM,347988,SCREW BN 5X52MM XL25,2656.0,2656.0,398.4,2656.0,30
CDM,347992,STEM FEM HIP SZ4,8416.0,8416.0,1262.4,8416.0,30
CDM,347993,STEM FEM HIP STD #2 94MM,8416.0,8416.0,1262.4,8416.0,30
CDM,347994,STEM FEM HIP SZ20 190MM,18523.0,18523.0,2778.45,18523.0,30
CDM,347995,CATH MAP D 7FR 444MM,6115.0,6115.0,917.25,6115.0,42
CDM,347999,ADAPTER 3.25IN 6FR .25IN,89.0,89.0,13.35,89.0,42
CDM,348016,COUPLING EX FIX ROD,4093.0,4093.0,613.95,4093.0,42
CDM,348043,IMPLANT COCH STRT ELCTRD,71028.0,71028.0,13076.25,71028.0,26
CDM,348052,EXPANDER BREAST 500CC,9213.0,9213.0,1381.95,9213.0,30
CDM,348053,LENS IOL +15.5 DIOP,866.5,866.5,159.52,866.5,28
CDM,348054,SPACER SPN 24MMX6MM,8858.0,8858.0,1328.7,8858.0,30
CDM,348056,SCREW BN 2.1MM 8MM,1226.0,1226.0,183.9,1226.0,30
CDM,348057,KIT SURG ORTHOGNATHICS,18101.0,18101.0,2715.15,18101.0,30
CDM,348059,CATH THROM REP 160CM,14069.0,14069.0,2110.35,14069.0,42
CDM,348060,KIT CATH THRMB 68 132CM,14069.0,14069.0,2110.35,14069.0,42
CDM,348061,CATH THROM REP 132CM,14069.0,14069.0,2110.35,14069.0,42
CDM,348062,PLATE BN DIST FEM LT 4H,5272.0,5272.0,790.8,5272.0,30
CDM,348064,SCREW BN 4.5MM 22MM,313.0,313.0,46.95,313.0,30
CDM,348065,SCREW BN LCKG ST 5X14MM,3189.0,3189.0,478.35,3189.0,30
CDM,348066,SCREW BN 5.0MM 22MM,2647.0,2647.0,397.05,2647.0,30
CDM,348067,SCREW BN 5.0MM 26MM,2647.0,2647.0,397.05,2647.0,30
CDM,348069,INSERT HUM SHLDR 4X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,348071,KIT SCAN & PLAN DISP,5797.5,5797.5,869.63,5797.5,42
CDM,348391,KIT BN PIN-NAIL LONG,2392.0,2392.0,358.8,2392.0,30
CDM,348392,DILTR HCOIL RGSRB 5.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,348412,SCREW BN 5MM 50MM,1196.0,1196.0,179.4,1196.0,30
CDM,348413,INSERT HUM SHLDR 8X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,348414,END CAP BN 0MM,2606.0,2606.0,390.9,2606.0,30
CDM,348415,END CAP BN 5MM,2462.0,2462.0,369.3,2462.0,30
CDM,348418,DEVICE GRASPER FULL ROTN,1023.5,1023.5,153.53,1023.5,42
CDM,348420,CATH SET 8FR 110CM,13225.0,13225.0,1983.75,13225.0,42
CDM,348440,HEAD HUM SHLDR 18MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,348441,LENS IOL +17.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,348442,CMPNT TIB KN 70MM 64MM,14461.0,14461.0,2169.15,14461.0,30
CDM,348443,STENT VASC 8X27MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,348464,EXPANDER TISS SMTH 600CC,6622.0,6622.0,993.3,6622.0,30
CDM,348478,IMPLANT EYELID WT 1.6G,3189.0,3189.0,478.35,3189.0,30
CDM,348479,IMPLNT EYELID WGHT 1.8G,3813.0,3813.0,571.95,3813.0,30
CDM,348480,PLATE BN 2.7/3.5MM 130MM,9915.0,9915.0,1487.25,9915.0,30
CDM,348481,CMPNT FEM KN LT SZ3,5980.0,5980.0,897.0,5980.0,30
CDM,348482,CMPNT TIB KN MDL LT SZE,4606.0,4606.0,690.9,4606.0,30
CDM,348483,INSERT TIB KN LT SZE 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,348484,TIP INSRTR KN DISP,952.0,952.0,142.8,952.0,42
CDM,348487,SCREW SPN 4.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,348490,LENS IOL +16.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,348491,LENS IOL 21.5 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,348492,HEAD FEM HIP 12/14 +9MM,5820.0,5820.0,873.0,5820.0,30
CDM,348493,STEM FEM HIP 12/14 SZ10,8416.0,8416.0,1262.4,8416.0,30
CDM,348499,CUP ACTB HIP G-SER 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,348500,STEM FEM HIP SZ7S,8416.0,8416.0,1262.4,8416.0,30
CDM,348519,CATH INFS 30CM .040IN,6395.0,6395.0,959.25,6395.0,42
CDM,348530,SCREW SPN OPN LCK,753.0,753.0,112.95,753.0,30
CDM,348532,SCREW BN 3.5MM 32MM,2727.0,2727.0,409.05,2727.0,30
CDM,348534,SCREW BN 4.2MM 20MM,2200.0,2200.0,330.0,2200.0,30
CDM,348537,SCREW BN 3.5MM 22MM,2727.0,2727.0,409.05,2727.0,30
CDM,348538,SCREW BN 3.5MM 24MM,2727.0,2727.0,409.05,2727.0,30
CDM,348539,SCREW BN 3.5MM 30MM,2727.0,2727.0,409.05,2727.0,30
CDM,348542,NAIL BN FEM 13MM 240MM,5789.0,5789.0,868.35,5789.0,30
CDM,348543,PLATE BN RT 18HL 355MM,4872.0,4872.0,730.8,4872.0,30
CDM,348544,BASEPLATE KN TIB SZ2,5639.0,5639.0,845.85,5639.0,30
CDM,348546,NAIL BN FEM 5D 12X360MM,5990.0,5990.0,898.5,5990.0,30
CDM,348547,SCREW BN LCK 5/68 XL25,2738.0,2738.0,410.7,2738.0,30
CDM,348548,STEM FEM KN 225MM 16.5MM,5971.0,5971.0,895.65,5971.0,30
CDM,348559,SCREW BN MICRO 20MM,3294.0,3294.0,494.1,3294.0,30
CDM,348563,BIT DRILL 2MM 105MM,1023.5,1023.5,153.53,1023.5,42
CDM,348564,IMPLANT BREAST 200CC,3721.0,3721.0,558.15,3721.0,30
CDM,348566,CAN CYSTM IRR 5/8IN 25GA,36.5,36.5,5.47,36.5,42
CDM,348570,INSERT TIB PS SZ6 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,348571,COMP GLND 25D LG,11073.0,11073.0,1660.95,11073.0,30
CDM,348572,GUIDE IMPL POSTN INSTR,1637.0,1637.0,245.55,1637.0,42
CDM,348578,CATH THRMB 132CM,11639.0,11639.0,1745.85,11639.0,42
CDM,348597,CONN SPN ROD-3.5MM 9MM,3012.0,3012.0,451.8,3012.0,30
CDM,348602,DRILL GUIDEPIN 3.5X311MM,1010.0,1010.0,151.5,1010.0,42
CDM,348605,CATH DLV 5.4/7FR 43CM,1686.5,1686.5,252.97,1686.5,42
CDM,348608,LENS IOL +17.5 DIOP,646.0,646.0,118.93,646.0,28
CDM,348609,LENS IOL +9.0 DIOP,673.0,673.0,123.9,673.0,28
CDM,348610,ROD SPN 500MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,348611,INSERT TIB KN SZ5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,348612,RING ACTB HIP LCK 60MM,1914.0,1914.0,287.1,1914.0,30
CDM,348613,PLATE BN PTLA 3HL 2.7MM,7686.0,7686.0,1152.9,7686.0,30
CDM,348618,HEAD GLND SHLDR STD 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,348619,STEM HUM SHLDR SZ3,15307.0,15307.0,2296.05,15307.0,30
CDM,348620,INSERT SHLDR SZ3/4 +3X39,6201.0,6201.0,930.15,6201.0,30
CDM,348621,SCREW SPN 6.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,348622,INSERT TIB KN SZ3 19MM,6737.0,6737.0,1010.55,6737.0,30
CDM,348630,LINER ACTB HIP 43/22MM,4429.0,4429.0,664.35,4429.0,30
CDM,348631,CATH THROM REP 132CM,12227.5,12227.5,1834.13,12227.5,42
CDM,348632,CATH THROM REPFUSN,14069.0,14069.0,2110.35,14069.0,42
CDM,348633,SPACER KN TIB LG INTRSPC,14461.0,14461.0,2169.15,14461.0,30
CDM,348634,COMP FEM KN 90X74MM,13967.0,13967.0,2095.05,13967.0,30
CDM,348635,SPACER KN STRL SMALL,13967.0,13967.0,2095.05,13967.0,30
CDM,348636,COMP SHLDR BRNG 47MM,6644.0,6644.0,996.6,6644.0,30
CDM,348638,SCREW BN MED 35MM,6201.0,6201.0,930.15,6201.0,30
CDM,348640,HEAD HUM SHLDR 49MM 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,348643,LENS IOL +17.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,348673,STEM HUM SHLDR 10X123MM,12402.0,12402.0,1860.3,12402.0,30
CDM,348675,INSERT SHLDR 4MM 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,348676,TUBING INSFL HFLO 10MM,252.5,252.5,37.88,252.5,42
CDM,348700,GRAFT ENDO AAA 26X12MM,46660.0,46660.0,6999.0,46660.0,30
CDM,348704,GRAFT ENDO AAA 36X14MM,46660.0,46660.0,6999.0,46660.0,30
CDM,348706,STENT GRFT 23MMX4.5CM,16338.0,16338.0,2450.7,16338.0,30
CDM,348707,STENT GRFT 26MMX4.5CM,18819.0,18819.0,2822.85,18819.0,30
CDM,348710,STENT GRFT 36MMX4.5CM,16338.0,16338.0,2450.7,16338.0,30
CDM,348742,SYS IMPL TNDN REPR 3.9MM,13000.0,13000.0,1950.0,13000.0,30
CDM,349344,KIT ANCHOR SUT 3X14MM,3320.0,3320.0,498.0,3320.0,30
CDM,349352,BASEPLATE TIB KN LT SZC,4606.0,4606.0,690.9,4606.0,30
CDM,349354,CMPNT FEM KN LT SZ2,5980.0,5980.0,897.0,5980.0,30
CDM,349355,INSERT TIB KN LT C 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,349356,LINER ACTB HIP 36MM SZ25,4606.0,4606.0,690.9,4606.0,30
CDM,349358,LINER HIP 10D 32MM 52MM,4429.0,4429.0,664.35,4429.0,30
CDM,349359,INSERT TIB KN 16MM,9966.0,9966.0,1494.9,9966.0,30
CDM,349360,SPACER SPN 8D 14X12X18MM,24116.0,24116.0,3617.4,24116.0,30
CDM,349378,SCREW SPN 4.5MM 42MM,3765.0,3765.0,564.75,3765.0,30
CDM,349379,PLATE SPN CERV 1LVL 24MM,4429.0,4429.0,664.35,4429.0,30
CDM,349380,CUP HIP TRIFLNG SZ56,59792.0,59792.0,8968.8,59792.0,30
CDM,349386,INSERT TIB KN SZ7-8 21MM,5823.0,5823.0,873.45,5823.0,30
CDM,349442,SIZER VLV CHORD-X REPL,773.0,773.0,115.95,773.0,42
CDM,349444,KIT HIP PREP KIT,4093.0,4093.0,613.95,4093.0,42
CDM,349445,PLATE BN 4.5MM 193MM,5311.0,5311.0,796.65,5311.0,30
CDM,349446,SCREW BN 4.5MM 85MM,1738.0,1738.0,260.7,1738.0,30
CDM,349447,BIT DRILL FEM TRGTR 3.5M,773.0,773.0,115.95,773.0,42
CDM,349448,SCREW BN LCKNG 4.5X90MM,1738.0,1738.0,260.7,1738.0,30
CDM,349449,SCREW BN 4.5MM 48MM,1738.0,1738.0,260.7,1738.0,30
CDM,349450,SCREW BN 4.5MM 36MM,1738.0,1738.0,260.7,1738.0,30
CDM,349451,SCREW BN 6.5MM 85MM,435.0,435.0,65.25,435.0,30
CDM,349452,SCREW BN 4.5MM 38MM,1738.0,1738.0,260.7,1738.0,30
CDM,349453,SCREW BN 6.5MM 80MM,435.0,435.0,65.25,435.0,30
CDM,349458,VALVE MITRAL 25MM,27684.0,27684.0,4152.6,27684.0,30
CDM,349459,SPACER SPN 6D 12X9.9X45,13287.0,13287.0,1993.05,13287.0,30
CDM,349461,STEM SHORT CLRD EXT SZ12,8416.0,8416.0,1262.4,8416.0,30
CDM,349464,CATH URET 2W 12FR 5CC,71.5,71.5,10.72,71.5,42
CDM,349483,KIT PROCESSING 125ML,4093.0,4093.0,613.95,4093.0,42
CDM,349495,NAIL BN 125D 10MM 38CM,6312.0,6312.0,946.8,6312.0,30
CDM,349512,SCREW SPN 3.5MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,349518,DRILL BN BIT DISP 7.5MM,2750.5,2750.5,412.57,2750.5,42
CDM,349519,GWIRE ORTHO .094X9.25IN,243.5,243.5,36.52,243.5,42
CDM,349531,SCREW BN LCKNG 3.5X12MM,2727.0,2727.0,409.05,2727.0,30
CDM,349532,SCREW BN 3.5MM 34MM,2105.0,2105.0,315.75,2105.0,30
CDM,349533,SCREW BN 3.5MM 20MM,2105.0,2105.0,315.75,2105.0,30
CDM,349534,SCREW BN LCK 3.5X18MM,2727.0,2727.0,409.05,2727.0,30
CDM,349535,SCREW BN 3.5MM 24MM,2105.0,2105.0,315.75,2105.0,30
CDM,349536,SCREW BN 3.5MM 26MM,2105.0,2105.0,315.75,2105.0,30
CDM,349537,WIRE ORTHO 1.4MM,386.5,386.5,57.98,386.5,42
CDM,349538,DRL 2.8X140MM CANN,386.5,386.5,57.98,386.5,42
CDM,349540,SCREW BN 4.5MM 46MM,1738.0,1738.0,260.7,1738.0,30
CDM,349542,INSERT KN TIB 1.5MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,349543,SPHERE GLND SHLDR 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,349544,INSERT HUM SHLDR 4X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,349545,NAIL BN LT 11.5MM 38CM,6759.0,6759.0,1013.85,6759.0,30
CDM,349546,SCREW BN 7MM 80MM,3721.0,3721.0,558.15,3721.0,30
CDM,349547,SCREW BN 3.5MM 6MM,448.0,448.0,67.2,448.0,30
CDM,349548,SCREW BN 3.5MM 8MM,448.0,448.0,67.2,448.0,30
CDM,349549,CMPNT FEM KN XL,7751.0,7751.0,1162.65,7751.0,30
CDM,349550,LENS IOL +12.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,349551,CMPNT HIP TRIFLNG SZ25,59770.0,59770.0,8965.5,59770.0,30
CDM,349555,TOOL DSCT 9CM 25.4MM,1023.5,1023.5,153.53,1023.5,42
CDM,349557,INSRT ARTC KN 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,349558,SHELL ACTB HIP 3HL 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,349559,LINER ACTB HIP 46MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,349560,HEAD HUM SHRT 44MM,5758.0,5758.0,863.7,5758.0,30
CDM,349561,SHELL ACTB HIP 3H 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,349562,LINER ACTB HIP 54MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,349563,GRAFT EVAS 79MM 38MM,60667.0,60667.0,9100.05,60667.0,30
CDM,349564,STEM FEM HIP 22MM 115MM,10283.0,10283.0,1542.45,10283.0,30
CDM,349565,BEARING HIP SZE 28X42MM,4606.0,4606.0,690.9,4606.0,30
CDM,349566,WEIGHT EYLD 1MM 23.1X5MM,3189.0,3189.0,478.35,3189.0,30
CDM,349568,LENS IOL +29.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,349569,BUR BALL DMND FN 2MM 7CM,1010.0,1010.0,151.5,1010.0,42
CDM,349570,TOOL DSCT 7CM 5MM,1010.0,1010.0,151.5,1010.0,42
CDM,349571,BURR BALL 7CM 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,349572,PLATE BN RT 7H STD,3527.0,3527.0,529.05,3527.0,30
CDM,349573,SCREW SPN 7.5MM 70MM,3389.0,3389.0,508.35,3389.0,30
CDM,349574,KIT BLN KYPH 11GA 15MM,5010.5,5010.5,751.58,5010.5,42
CDM,349591,OCCLUDER CV 12FR 44MM,37350.0,37350.0,5602.5,37350.0,30
CDM,349599,SCREW SPN 6MM 22MM,1130.0,1130.0,169.5,1130.0,30
CDM,349607,CONN SPN ROD 3.5X39-45MM,3012.0,3012.0,451.8,3012.0,30
CDM,349608,STEM KN 17/12MM 160MM,6755.0,6755.0,1013.25,6755.0,30
CDM,349609,CMPNT KN TIB SM 60X45MM,15692.0,15692.0,2353.8,15692.0,30
CDM,349610,CONE KN 1/2 34.5X13X53MM,21180.0,21180.0,3177.0,21180.0,30
CDM,349611,CMPNT KN RT SM 60MM 57MM,27438.0,27438.0,4115.7,27438.0,30
CDM,349616,CATH GD 8F ID.087IN 90CM,8416.0,8416.0,1262.4,8416.0,42
CDM,349617,CATH GD 95CM,8416.0,8416.0,1262.4,8416.0,42
CDM,349622,SCREW BN LCK 5MM 90MM,2656.0,2656.0,398.4,2656.0,30
CDM,349624,SCREW BN LCK 5X66MM,2738.0,2738.0,410.7,2738.0,30
CDM,349639,CATH THRMB 7FR 130CM,40621.5,40621.5,6093.23,40621.5,42
CDM,349643,ANCHOR IMPL SYS 4.75MM,5909.0,5909.0,886.35,5909.0,30
CDM,349669,DRAIN WND RND 10FR,231.5,231.5,34.73,231.5,42
CDM,349671,INSERT TIB KN 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,349672,COMPNT SHLDR HEAD 42MM,7973.0,7973.0,1195.95,7973.0,30
CDM,349676,DEVICE CLSE WND 2-0 26CM,320.5,320.5,48.08,320.5,42
CDM,349679,SHEATH INTR VASC 8F 45CM,829.0,829.0,124.35,829.0,42
CDM,349680,SCREW BN 3.5X14MM,2727.0,2727.0,409.05,2727.0,30
CDM,349681,SCREW BN 3.5MM 20MM,2727.0,2727.0,409.05,2727.0,30
CDM,349682,KWIRE FX 1.2MM 150MM,347.0,347.0,52.05,347.0,42
CDM,349684,BIT DRILL 2.3MM 120MM,386.5,386.5,57.98,386.5,42
CDM,349685,PLATE BN IMPL KIT LG,84497.0,84497.0,12674.55,84497.0,30
CDM,349686,CAGE SPN 15D 28X36X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,349687,HEAD HUM SHLDR 15MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,349688,INSERT KN SPHR SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,349689,CMPNT PTLR RSRFC #3,4252.0,4252.0,637.8,4252.0,30
CDM,349690,FLEX HUM SHLDR +6MM 0MM,4429.0,4429.0,664.35,4429.0,30
CDM,349694,INSERT TIB KN 6 19MM,6737.0,6737.0,1010.55,6737.0,30
CDM,349700,TRIFLNG ACTB HIP RT SZ25,53658.0,53658.0,8048.7,53658.0,30
CDM,349702,LENS IOL +12.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,349703,COMPNT TIB KN 0D,4606.0,4606.0,690.9,4606.0,30
CDM,349704,CMPNT FEM NAR KN LT SZ3,6644.0,6644.0,996.6,6644.0,30
CDM,349709,STEM FEM HIP STD 16D,19045.0,19045.0,2856.75,19045.0,30
CDM,349710,STEM KN REV 13MM +135MM,10364.0,10364.0,1554.6,10364.0,30
CDM,349711,CMPNT TIB KN SZC,10165.0,10165.0,1524.75,10165.0,30
CDM,349712,STEM REV KN 16MM +135MM,10364.0,10364.0,1554.6,10364.0,30
CDM,349713,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,349714,INSERT TIB KN 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,349715,GWIRE VASC 275CM 0.35IN,3110.5,3110.5,466.57,3110.5,42
CDM,349716,STEM FEM HIP SZ1 94MM,8416.0,8416.0,1262.4,8416.0,30
CDM,349722,DISC SPN CERV 6MM 14MM,20152.0,20152.0,3022.8,20152.0,30
CDM,349731,REAMER ORTH DISP SMALL,1023.5,1023.5,153.53,1023.5,42
CDM,349758,CAGE SPN 12X14 22-34 5D,23917.0,23917.0,3587.55,23917.0,30
CDM,349764,SCREW SPN 4.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,349765,STEM HUM SM SZ6 175MM,34190.0,34190.0,5128.5,34190.0,30
CDM,349766,STEM HUM SM SZ6 220MM,35898.0,35898.0,5384.7,35898.0,30
CDM,349767,SPACER SHLDR RVRS 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,349768,INSERT SHLDR SM +4 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,349769,SPACER HUM SHLDR SM 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,349770,IMPLANT BN DEL SYS BICEP,4582.0,4582.0,687.3,4582.0,30
CDM,349771,SPLINT SPT NSL SM,582.0,582.0,87.3,582.0,42
CDM,349772,LENS IOL +13.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,349777,CATH ANGIO 5FR 100CM,374.0,374.0,56.1,374.0,42
CDM,349780,K-WIRE TROC 2MM 150MM,153.5,153.5,23.02,153.5,42
CDM,349785,COUPLING EX FIX 5/8/11MM,4093.0,4093.0,613.95,4093.0,42
CDM,349790,SCREW BN 3.5MM 16MM,1781.0,1781.0,267.15,1781.0,30
CDM,349794,DILATOR BLN 8X180CM,1269.0,1269.0,190.35,1269.0,42
CDM,349796,CLIP LGT 2.8MM 235CM,2854.0,2854.0,428.1,2854.0,30
CDM,349806,CMPNT TIBIA KN SZB,10165.0,10165.0,1524.75,10165.0,30
CDM,349807,POST AUG KN SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,349808,INSERT TIB KN 18MM,9966.0,9966.0,1494.9,9966.0,30
CDM,349816,SCREW BN 5MM 46MM,1993.0,1993.0,298.95,1993.0,30
CDM,349820,BIT DRILL LCK 4.2MM 360M,1080.5,1080.5,162.07,1080.5,42
CDM,349821,BIT DRL 185MM 4.2MM,1080.5,1080.5,162.07,1080.5,42
CDM,349828,SCREW BN LCK 5MM 40MM,1913.0,1913.0,286.95,1913.0,30
CDM,349838,INSERT HUM SHLDR 8X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,349847,KIT SCREW BN 0MM,4429.0,4429.0,664.35,4429.0,30
CDM,349848,CAP BN LOCKING FLEX,3189.0,3189.0,478.35,3189.0,30
CDM,349870,MESH MOFIL 8X10IN,20783.0,20783.0,3117.45,20783.0,30
CDM,349871,MESH HRN PLGLY 10X6CM,4429.0,4429.0,664.35,4429.0,30
CDM,349872,EXPANDER TISSUE 750CC,6622.0,6622.0,993.3,6622.0,30
CDM,349902,LINER ACTB HIP 41MM 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,349908,ROD SPN PRELRD 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,349909,BIT DRILL DISP 2.8MM 80M,1023.5,1023.5,153.53,1023.5,42
CDM,349923,ANCHOR KNTLS 4.75MM,3721.0,3721.0,558.15,3721.0,30
CDM,349926,CATH BLN 10FR 65CM,4093.0,4093.0,613.95,4093.0,42
CDM,349927,SPACER SPN 0D 9X27X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,349928,ROD SPNL 60MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,349929,ROD SPN PRELRD 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,349930,SCREW BN 6MM 30MM,2073.0,2073.0,310.95,2073.0,30
CDM,349931,NAIL BN NTRL 11.5X13MM,4872.0,4872.0,730.8,4872.0,30
CDM,349932,PLATE BN FEM 14HL 310MM,7716.0,7716.0,1157.4,7716.0,30
CDM,349933,STEM FEM KN 16MM 200MM,14381.0,14381.0,2157.15,14381.0,30
CDM,349934,CMPNT TRIFLNG HIP SZ24,53658.0,53658.0,8048.7,53658.0,30
CDM,349935,SCREW BN 10.35MM 90MM,3291.0,3291.0,493.65,3291.0,30
CDM,351498,INSERT TIB KN SZ9,4606.0,4606.0,690.9,4606.0,30
CDM,351499,SURFACE ARTC KN SZB 23MM,7858.0,7858.0,1178.7,7858.0,30
CDM,351500,BEARING ACTB HIP 28X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,351501,PLATE BN MNDBL 12H 2.0MM,4429.0,4429.0,664.35,4429.0,30
CDM,351502,SCREW BN 2.4MM 16MM,2327.0,2327.0,349.05,2327.0,30
CDM,351503,LENS IOL +13.0 DIOP,826.0,826.0,152.07,826.0,28
CDM,351504,CUP ACTB HIP RT 60MM,42076.0,42076.0,6311.4,42076.0,30
CDM,351506,CMPNT TRIFLNG HIP SZ25,53148.0,53148.0,7972.2,53148.0,30
CDM,351507,CMPNT TRIFLNG HIP SZ26,53148.0,53148.0,7972.2,53148.0,30
CDM,351508,CAGE SPN 27X36X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,351509,WEDGE FEM KN SZ8 5X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,351511,LENS IOL +20.0 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,351512,SCREW BN 32MM 5MM,1993.0,1993.0,298.95,1993.0,30
CDM,351513,SCREW BN 5MM 42MM,1993.0,1993.0,298.95,1993.0,30
CDM,351514,NAIL BN 13MM 21.5CM,4429.0,4429.0,664.35,4429.0,30
CDM,351515,STEM FEM KN 11MM 135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,351516,WEDGE FEM KN 10MM SZCD,4606.0,4606.0,690.9,4606.0,30
CDM,351525,STENT EPRSTH 9X13X29MM,11274.0,11274.0,1691.1,11274.0,30
CDM,351527,ANCHOR BN TNDN BICEP,3189.0,3189.0,478.35,3189.0,30
CDM,351528,SPACER SPN 0D 27X9X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,351529,SPACER SPN OD 27X9X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,351530,CMPNT SHLDR SZ44,4606.0,4606.0,690.9,4606.0,30
CDM,351531,AUG ACTB HIP 10MM 59MM,7044.0,7044.0,1056.6,7044.0,30
CDM,351532,SHELL ACTB HIP SZ-I 72MM,13166.0,13166.0,1974.9,13166.0,30
CDM,351533,COIL EMBL 1.5MM 2CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351549,PLATE BN SHRT LT 0D,5763.0,5763.0,864.45,5763.0,30
CDM,351550,SET INSTRUMENT 1.9MM,1934.0,1934.0,290.1,1934.0,42
CDM,351551,SCREW SPN 7.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,351552,IMPLANT TIB KN SZ3 7MM,4651.0,4651.0,697.65,4651.0,30
CDM,351553,SCREW BN STRAIGHT 4HL,3189.0,3189.0,478.35,3189.0,30
CDM,351554,SCREW BN 2.3MM 13MM,899.0,899.0,134.85,899.0,30
CDM,351555,SCREW BN 2.7MM 18MM,899.0,899.0,134.85,899.0,30
CDM,351556,SUT SPRL MONO 3-0 14CM,341.5,341.5,51.23,341.5,42
CDM,351568,SCREW BN NLCK 3.5X16MM,2105.0,2105.0,315.75,2105.0,30
CDM,351570,IMPLANT SPN DISC SZ2 5MM,21703.0,21703.0,3255.45,21703.0,30
CDM,351574,CMPNT HUM ELB 4MM 100MM,15358.0,15358.0,2303.7,15358.0,30
CDM,351575,PLUG BNCMNT 6MM,1263.0,1263.0,189.45,1263.0,30
CDM,351577,DRILL SURG 2.6MM 130MM,386.5,386.5,57.98,386.5,42
CDM,351582,INSERT HUM SHLDR 12X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,351583,SCREW SPNE 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,351584,PASSER SUTURE 2IN,396.0,396.0,59.4,396.0,42
CDM,351585,KIT INSRT ANC DISP 2.4MM,1891.0,1891.0,283.65,1891.0,42
CDM,351586,PIN EXFX 3.2MM 45MM,510.0,510.0,76.5,510.0,42
CDM,351588,SUTURE TAPE BL 2MM 38IN,773.0,773.0,115.95,773.0,42
CDM,351589,SUTURE ULTRATAPE,773.0,773.0,115.95,773.0,42
CDM,351590,SCREW BN 3.5MM 22MM,1781.0,1781.0,267.15,1781.0,30
CDM,351593,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,351610,ANCHOR KNTLS PK 4.75MM,3721.0,3721.0,558.15,3721.0,30
CDM,351631,PLATE BN RT 5D MED,8088.0,8088.0,1213.2,8088.0,30
CDM,351638,SCREW BN 4MM 24MM,2392.0,2392.0,358.8,2392.0,30
CDM,351639,SCREW BN S/T CANN 4X30MM,2392.0,2392.0,358.8,2392.0,30
CDM,351640,SCREW BN 30MM 4.1MM,3189.0,3189.0,478.35,3189.0,30
CDM,351641,SCREW BN FIX 6.5MM 15MM,877.0,877.0,131.55,877.0,30
CDM,351642,CMPNT FEM KN 32MM,17340.0,17340.0,2601.0,17340.0,30
CDM,351643,PLATE BN 145D 5HL 94MM,3709.0,3709.0,556.35,3709.0,30
CDM,351644,BURR BALL LNG 7CM,1023.5,1023.5,153.53,1023.5,42
CDM,351653,STEM HUM SHLDR 14X133MM,12402.0,12402.0,1860.3,12402.0,30
CDM,351657,DRESSING CLGN PRTCL 1G,312.0,312.0,46.8,312.0,42
CDM,351658,TRAY TIB KN BRNG +4,4606.0,4606.0,690.9,4606.0,30
CDM,351659,WEDGE TIB KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,351660,CAGE SPN 7D 8X14MM 5M,4429.0,4429.0,664.35,4429.0,30
CDM,351661,CONE TIB KN MED,20429.0,20429.0,3064.35,20429.0,30
CDM,351667,HEAD HUM SHLDR 4X23X52MM,4606.0,4606.0,690.9,4606.0,30
CDM,351668,AUGMENT ACTB HIP 30X54MM,7044.0,7044.0,1056.6,7044.0,30
CDM,351669,STEM FEM HIP 19MM 250MM,9478.0,9478.0,1421.7,9478.0,30
CDM,351671,SCREW SPN 4.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,351672,SCREW SPN 3.5MM 8MM,3389.0,3389.0,508.35,3389.0,30
CDM,351673,LEAD EXT 55CM,3765.0,3765.0,564.75,3765.0,30
CDM,351677,STAPLE LN REFRCMNT 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,351691,SYSTEM BN IMPLANT REPAIR,6488.0,6488.0,973.2,6488.0,30
CDM,351701,SCREW BN 2.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,351703,INSERT TIB KN 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,351707,SCREW BN LCK 5MM 60MM,1913.0,1913.0,286.95,1913.0,30
CDM,351712,STEM FEM HIP OFST SZ16H,18523.0,18523.0,2778.45,18523.0,30
CDM,351713,LENS IOL +25.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,351716,INSERT HUM SHLDR 6X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,351717,SCREW BN MOD GLND 35MM,3721.0,3721.0,558.15,3721.0,30
CDM,351718,BASEPLATE SHLDR +4X24MM,5315.0,5315.0,797.25,5315.0,30
CDM,351719,SPACER HUM SHLDR 33+12MM,4252.0,4252.0,637.8,4252.0,30
CDM,351720,STEM HUM SHLDR SZ1+,11959.0,11959.0,1793.85,11959.0,30
CDM,351721,IMPLANT BREAST 775CC,5758.0,5758.0,863.7,5758.0,30
CDM,351722,CMPNT HEAD SHLDR 36MM,20595.0,20595.0,3089.25,20595.0,30
CDM,351723,GWIRE VASC 300CM .018IN,1310.0,1310.0,196.5,1310.0,42
CDM,351724,EXTENSION LEAD 30CM,3869.0,3869.0,580.35,3869.0,30
CDM,351725,LEAD NRSTM 16CH 60CM,10595.0,10595.0,1589.25,10595.0,30
CDM,351726,LEAD NRSTM 3MM 60CM,14740.0,14740.0,2211.0,14740.0,30
CDM,351727,CMPNT FEM F4 KN RT,19675.0,19675.0,2951.25,19675.0,30
CDM,351728,SPACER FEM 5MM,6235.0,6235.0,935.25,6235.0,30
CDM,351729,STEM XTN 16MM 117MM,11584.0,11584.0,1737.6,11584.0,30
CDM,351730,TRAY TIB T1 KN,17376.0,17376.0,2606.4,17376.0,30
CDM,351731,STEM TIB KN SZ-M 12X92MM,10221.0,10221.0,1533.15,10221.0,30
CDM,351732,INSERT TIB T1/1+ 10MM,6594.0,6594.0,989.1,6594.0,30
CDM,351733,INSERT TIB KN SZ7 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,351734,ROD SPN 5.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,351735,SPACER SPN 0D 9X27X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,351740,SUTURE BLK 2-0 30IN,30.0,30.0,4.5,30.0,42
CDM,351746,MODEL ANTM MNDB ADLT,12615.5,12615.5,1892.33,12615.5,42
CDM,351749,CLSR STERNAL 2MM 36IN,1576.0,1576.0,236.4,1576.0,30
CDM,351751,SPACER SPN 0D 27X9X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,351752,STEM HIP CLR SZ3 96MM,8416.0,8416.0,1262.4,8416.0,30
CDM,351753,INSERT TIB KN RT SZ2+,5315.0,5315.0,797.25,5315.0,30
CDM,351754,TOOL BALL FN 5MM 7CM,967.5,967.5,145.13,967.5,42
CDM,351755,BURR DSCT BALL DMD 4MM,1010.0,1010.0,151.5,1010.0,42
CDM,351760,PROBE LSR ARTCULTNG 25G,2173.0,2173.0,325.95,2173.0,42
CDM,351766,SCREW SPN POLY 3.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,351771,HEAD HUM SHLDR 18MM 48MM,4872.0,4872.0,730.8,4872.0,30
CDM,351772,SPACER SPN 0D 27X9X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,351773,ELEVATOR SURG PASS,600.0,600.0,90.0,600.0,42
CDM,351775,CUP ACTB HIP LT 66MM,44069.0,44069.0,6610.35,44069.0,30
CDM,351777,CATH SUCKER INTRO 14.5IN,247.5,247.5,37.13,247.5,42
CDM,351786,COIL EMBL 1.5MM 3CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351787,COIL EMBL 2MM 2.5CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351792,COIL EMBL 2MM 3.5CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351797,INSERT TIB KN 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,351801,SUTURE POLY SZ2 40IN,993.0,993.0,148.95,993.0,42
CDM,351816,COIL EMBL 3MM 10CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351817,SUTURE NABS EPTFE CV-2,408.5,408.5,61.27,408.5,42
CDM,351819,GWIRE BN DISP 1.1X150MM,1023.5,1023.5,153.53,1023.5,42
CDM,351820,KERECIS OMEGA3 1SQCM,1038.0,1038.0,155.7,1038.0,29
CDM,351821,510K SKN SUB NOS 1SQCM,545.0,545.0,81.75,545.0,31
CDM,351824,COIL EMBL 2MM 4.5CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351825,COIL EMBL 2MM 6CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351826,COIL EMBL 2.5MM 3.5CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351827,COIL EMBL 2.5MM 4.5CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351828,COIL EMBL 2.5MM 6CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351829,COIL EMBL 3MM 4.5CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351830,COIL EMBL 3MM 6CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351831,COIL EMBL 3.5MM 6CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351832,COIL EMBL 3.5MM 8CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351833,COIL EMBL 3.5MM 10CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351834,COIL EMBL 4MM 6CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351835,COIL EMBL 4MM 8CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351836,COIL EMBL 4MM 10CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351837,COIL EMBL 4.5MM 10CM,9871.0,9871.0,1480.65,9871.0,30
CDM,351864,IMPLANT TIB KN SZ8 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,351865,WEDGE TIB KN SZ3-4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,351866,WEDGE FEM KN SZ5 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,351867,INSERT TIB KN SZ2-3 21MM,6078.0,6078.0,911.7,6078.0,30
CDM,351868,STEM FEM HIP SZ7,8416.0,8416.0,1262.4,8416.0,30
CDM,351870,LENS IOL +29.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,351872,COMP GLENOID SHLDR SZS40,6201.0,6201.0,930.15,6201.0,30
CDM,351875,HEAD HUM SHLDR 19MM 50MM,4872.0,4872.0,730.8,4872.0,30
CDM,351879,GWIRE VASC .014IN 210CM,3889.5,3889.5,583.42,3889.5,42
CDM,351902,INSERT ACTB HIP 28/52MM,4429.0,4429.0,664.35,4429.0,30
CDM,351903,SHELL ACTB HIP 70MM,6315.0,6315.0,947.25,6315.0,30
CDM,351904,LINER ACTB HIP 52/66MM,4606.0,4606.0,690.9,4606.0,30
CDM,351905,STEM FEM HIP SZ16 240MM,20336.0,20336.0,3050.4,20336.0,30
CDM,351906,END CAP SPNL 13MM 8D,3765.0,3765.0,564.75,3765.0,30
CDM,351907,INSERT HUM SHLDR 8X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,351909,CATH BALLOON PTCA 4X15MM,6139.5,6139.5,920.92,6139.5,42
CDM,351910,SCREW SPN 3.5MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,351912,SCREW SPN LOCKING,753.0,753.0,112.95,753.0,30
CDM,351923,CMPNT TIB KN SZ4 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,351925,KWIRE FX 150MM 1MM,153.5,153.5,23.02,153.5,42
CDM,351952,SCREW SPN 3.5MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,351953,SCREW SPN 3.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,351954,SCREW SPN 3.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,351955,ROD SPN 3.5X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,351956,SCREW SPN 5.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,351957,SCREW SPN 5.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,351958,SCREW SPN 7.5MM 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,351959,PLATE BN RT STND 0MM,7370.0,7370.0,1105.5,7370.0,30
CDM,351960,KIT JOINT PREP INST ORTH,1277.0,1277.0,191.55,1277.0,42
CDM,351961,PLATE BN 16HL 299MM,5794.0,5794.0,869.1,5794.0,30
CDM,351962,SCREW BN 4.5MMX48MM,670.0,670.0,100.5,670.0,30
CDM,351963,SCREW BN 4.5MM 44MM,670.0,670.0,100.5,670.0,30
CDM,351964,SCREW BN 4.5MM 50MM,670.0,670.0,100.5,670.0,30
CDM,351965,SCREW BN 4.5MM 95MM,670.0,670.0,100.5,670.0,30
CDM,351966,SCREW BN 4.5MM 55MM,670.0,670.0,100.5,670.0,30
CDM,351967,SCREW BN 1.85MM 5MM,1226.0,1226.0,183.9,1226.0,30
CDM,351968,SCREW BN 1.85MM 18MM,1348.0,1348.0,202.2,1348.0,30
CDM,351969,STEM FEM KN 13MM 150MM,17955.0,17955.0,2693.25,17955.0,30
CDM,351970,SCREW SPN 7.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,351971,SCREW SPN 7.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,351972,SCREW SPN 7.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,351973,SCREW SPN 8.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,351974,SCREW SPN 8.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,351975,BIT DRILL DISP 2.5MM 80M,1023.5,1023.5,153.53,1023.5,42
CDM,351979,SCREW SPN 4MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,351983,HEAD SHLDR 15.75MM 40MM,5094.0,5094.0,764.1,5094.0,30
CDM,351985,TAP SINGLE USE 4MM,386.5,386.5,57.98,386.5,42
CDM,351990,GWIRE VASC 210CM,1023.5,1023.5,153.53,1023.5,42
CDM,351993,LEAD ICD SC DF4 59CM,15287.0,15287.0,2293.05,15287.0,30
CDM,351997,SCREW SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,351998,SCREW SPN 3.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,352004,ANCHOR KN DBL LOADED,3323.0,3323.0,498.45,3323.0,30
CDM,352005,KIT DRILL GUIDE DISP,2109.5,2109.5,316.43,2109.5,42
CDM,352007,SUTURE TAPE WH/BL 1.7MM,773.0,773.0,115.95,773.0,42
CDM,352008,ANCHOR SUT 2MM 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,353436,SPACER SPN 0D6.5X10X24MM,15059.0,15059.0,2258.85,15059.0,30
CDM,353437,SCREW BN LCK 5MM 42MM,2738.0,2738.0,410.7,2738.0,30
CDM,353441,SCREW SPN 7.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,353442,SPACER SPN 0D 27X9X7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,353443,COMPNT TIB RT KN SZE 0D,4606.0,4606.0,690.9,4606.0,30
CDM,353444,HEAD HUM SHLDR 24MM 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,353445,SPACER SPN 15D 15X30X24,19200.0,19200.0,2880.0,19200.0,30
CDM,353446,SCREW SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,353470,BURR BALL 1MM 7MM,1010.0,1010.0,151.5,1010.0,42
CDM,353476,STENT ILIOFEM 16X80MM,5480.0,5480.0,822.0,5480.0,30
CDM,353482,SCREW SPN 55MM 8.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,353483,ANCHOR BN SYSTEM 10MM,10115.0,10115.0,1517.25,10115.0,30
CDM,353484,PLATE BN 2.7MM 85MM,4462.0,4462.0,669.3,4462.0,30
CDM,353485,SCREW BN HDLS 2.5X40MM,3189.0,3189.0,478.35,3189.0,30
CDM,353486,BURR BALL LNG 1MM 7CM,1068.5,1068.5,160.28,1068.5,42
CDM,353487,BURR BALL DMN 7CM 1MM,1010.0,1010.0,151.5,1010.0,42
CDM,353488,TOOL BALL DMD 7CM,1023.5,1023.5,153.53,1023.5,42
CDM,353489,TOOL BALL FN 2MM 7CM,1010.0,1010.0,151.5,1010.0,42
CDM,353490,TOOL BALL FN 3M 7CM,1010.0,1010.0,151.5,1010.0,42
CDM,353491,TOOL BALL FN LNG 3MM 7CM,967.5,967.5,145.13,967.5,42
CDM,353492,TOOL BALL 7CM 4MM,967.5,967.5,145.13,967.5,42
CDM,353493,TOOL BALL 7CM 4MM,1010.0,1010.0,151.5,1010.0,42
CDM,353494,TOOL DSCT 7CM 4MM,1111.5,1111.5,166.72,1111.5,42
CDM,353495,TOOL DSCT 7CM 6MM,967.5,967.5,145.13,967.5,42
CDM,353496,TOOL BALL 7CM 6MM,1023.5,1023.5,153.53,1023.5,42
CDM,353499,IMPLANT SPN PLVC 7X75MM,13620.0,13620.0,2507.44,13620.0,26
CDM,353500,SCREW SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,353501,SCREW SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,353504,PLATE SPNL 2H 14MM,9877.0,9877.0,1481.55,9877.0,30
CDM,353505,CAGE SPN 10D 43X30X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,353506,CMPNT TIB KN 10X71/75MM,4606.0,4606.0,690.9,4606.0,30
CDM,353507,CMPNT TIB KN 71X160X9MM,10306.0,10306.0,1545.9,10306.0,30
CDM,353508,INSERT TIB KN BRNG 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,353509,INSERT TIB KN SZ6-7 11MM,5188.0,5188.0,778.2,5188.0,30
CDM,353510,CONE FEM KN LT 26MM,13287.0,13287.0,1993.05,13287.0,30
CDM,353511,WEDGE TIB KN 26MM SHORT,12623.0,12623.0,1893.45,12623.0,30
CDM,353512,HEAD HUM SHLDR 40MM 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,353514,BLDE SAW SGTL S6 90X1,771.0,771.0,115.65,771.0,42
CDM,353516,HEAD HUM SHLDR 52MM 26MM,4606.0,4606.0,690.9,4606.0,30
CDM,353519,INSERT HUM SHLDR 4X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,353520,CUP HUM SHLDR 2MM 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,353528,BURR BALL 2MM 7CM,1010.0,1010.0,151.5,1010.0,42
CDM,353530,ANCH HYBRD KN,3721.0,3721.0,558.15,3721.0,30
CDM,353541,SUTURE CV-0 THX-26 36IN,429.0,429.0,64.35,429.0,42
CDM,353546,STEM FEM KN 22MM 130MM,4429.0,4429.0,664.35,4429.0,30
CDM,353547,BASEPLATE TIB KN LT SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,353560,SCREW BN 5.5MM 44MM,1595.0,1595.0,239.25,1595.0,30
CDM,353598,CONN SPN 3.5-4X4.5-5MM,3012.0,3012.0,451.8,3012.0,30
CDM,353599,CONN SPN 3.5-4X4.5-5MM,3012.0,3012.0,451.8,3012.0,30
CDM,353600,REAMER SURG 6MM,1346.75,1346.75,202.01,1346.75,42
CDM,353602,STENT EPRSTH 8X16X79MM,12501.0,12501.0,1875.15,12501.0,30
CDM,353604,IMPLANT BREAST 585CC,5758.0,5758.0,863.7,5758.0,30
CDM,353605,IMPLANT BREAST 635CC,5758.0,5758.0,863.7,5758.0,30
CDM,353606,KIT IMPLANT ANKLE,6953.0,6953.0,1042.95,6953.0,30
CDM,353614,NAIL BN 11MM 330MM,5013.0,5013.0,751.95,5013.0,30
CDM,353615,SCREW BN LCK 5MM 42MM,2260.0,2260.0,339.0,2260.0,30
CDM,353616,PLATE BN 3H 86MM,5984.0,5984.0,897.6,5984.0,30
CDM,353618,SCREW BN 4MM 36MM,1993.0,1993.0,298.95,1993.0,30
CDM,353635,BIT DRILL SIZE 2,1342.5,1342.5,201.38,1342.5,42
CDM,353643,STEM FEM KN 16MM 160MM,4643.0,4643.0,696.45,4643.0,30
CDM,353644,CONE FEM KN SMALL,13730.0,13730.0,2059.5,13730.0,30
CDM,353645,SUTURE VIO SZ9 12IN,231.5,231.5,34.73,231.5,42
CDM,353646,SUTURE CTD 4-0 1X18IN,77.0,77.0,11.55,77.0,42
CDM,353647,SUTURE VICRYL 4-0 1X18IN,76.5,76.5,11.47,76.5,42
CDM,353648,SUTURE 4-0 PS-2 1X18,100.5,100.5,15.07,100.5,42
CDM,353651,SUTURE C-1 5-0 1X36IN,179.0,179.0,26.85,179.0,42
CDM,353652,SUTURE GRN/WH SZ2-0 30IN,1016.5,1016.5,152.47,1016.5,42
CDM,353653,SUTURE GRN/WH SZ2-0 36IN,613.5,613.5,92.03,613.5,42
CDM,353655,SCREW BN 4.2MM 30MM,2806.0,2806.0,420.9,2806.0,30
CDM,353656,SCREW BN 4.2MM 34MM,2806.0,2806.0,420.9,2806.0,30
CDM,353658,STEM FEM HIP 139MM,7995.0,7995.0,1199.25,7995.0,30
CDM,353664,PLATE BN 1.3MM,5763.0,5763.0,864.45,5763.0,30
CDM,353673,SET HAND PIECE ENT DISP,1252.5,1252.5,187.88,1252.5,42
CDM,353675,SCREW BN 2MM 1.5MM,1226.0,1226.0,183.9,1226.0,30
CDM,353676,CAGE SPNL CNTRPC 13MM,32609.0,32609.0,4891.35,32609.0,30
CDM,353677,PROBE ABL PREC 15CM 15GA,9465.0,9465.0,1419.75,9465.0,42
CDM,353685,SUT TAPE DKBL 1.3MM 40IN,773.0,773.0,115.95,773.0,42
CDM,353690,INST BX 18GA 10CM,695.5,695.5,104.33,695.5,42
CDM,353691,INST BX 18GA 16CM,695.5,695.5,104.33,695.5,42
CDM,353692,INST BX 18GA 20CM,695.5,695.5,104.33,695.5,42
CDM,353694,DEVICE BX 20GA 10CM,695.5,695.5,104.33,695.5,42
CDM,353695,INSERT BX 19GA 11.9CM,695.5,695.5,104.33,695.5,42
CDM,353696,SCREW SPN PLVC 10.0X35MM,12047.0,12047.0,1807.05,12047.0,30
CDM,353707,BIT DRILL DISP 2.5X45MM,1023.5,1023.5,153.53,1023.5,42
CDM,353709,SCREW BN 3.5X40MM,1781.0,1781.0,267.15,1781.0,30
CDM,353726,CMPNT FEM KN POR SZ2,7973.0,7973.0,1195.95,7973.0,30
CDM,353727,LENS IOL 8.5 DIOP,866.5,866.5,159.52,866.5,28
CDM,353742,SPACER SPN 8D 9X27X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,353743,PLATE SPNL 1 SIDED 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,353744,CAGE SPN 10D 10X18X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,353745,SCREW SPN 6.5MM 60MM,3765.0,3765.0,564.75,3765.0,30
CDM,353746,SCREW SPN 9.5MM 90MM,3389.0,3389.0,508.35,3389.0,30
CDM,353749,SPACER TISSUE SHLDR LG,28346.0,28346.0,4251.9,28346.0,30
CDM,353750,SCREW BN CANN 4X36MM,3189.0,3189.0,478.35,3189.0,30
CDM,353751,SCREW SPN 8.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,353752,XCONN SPN 5.5X42.5-67MM,3012.0,3012.0,451.8,3012.0,30
CDM,353753,PLATE BN 2X2HL 0.6X23MM,3189.0,3189.0,478.35,3189.0,30
CDM,353762,REAMER SURG 6MM,1676.0,1676.0,251.4,1676.0,42
CDM,353773,CMPNT FEM KN RT SZ5,5681.0,5681.0,852.15,5681.0,30
CDM,353774,NAIL BN 9MM 420MM,5013.0,5013.0,751.95,5013.0,30
CDM,353781,GRAFT EVAS 167MM 34-38MM,384517.0,384517.0,57677.55,384517.0,30
CDM,353782,SCREW SPN 10.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,353783,SCREW SPN 10.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,353784,DEV SURG SLV NAIL 8-13MM,1023.5,1023.5,153.53,1023.5,42
CDM,353785,DEV SURG SLV NAIL 8-13MM,773.0,773.0,115.95,773.0,42
CDM,353786,NAIL BN 10MM 330MM,5013.0,5013.0,751.95,5013.0,30
CDM,353787,INSRT ARTC KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,353790,TOOL DIAMOND 5MM 7CM,1111.5,1111.5,166.72,1111.5,42
CDM,353792,PLATE SPN OCPTL SM 20MM,6644.0,6644.0,996.6,6644.0,30
CDM,353793,SCREW SPN 4.2MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,353796,KIT PERCUTANEOUS 3.9MM,2793.5,2793.5,419.02,2793.5,42
CDM,353798,ANCHOR SUT KNTLS 1.7MM,3721.0,3721.0,558.15,3721.0,30
CDM,353801,ANCHOR BN BLK/BLU,3672.0,3672.0,550.8,3672.0,30
CDM,353802,ANCHOR BN FBRTK 2.6,3672.0,3672.0,550.8,3672.0,30
CDM,353803,STEM FEM HIP 11MM 120MM,6644.0,6644.0,996.6,6644.0,30
CDM,353804,SYSTEM IMPLANT 7.0MM,6953.0,6953.0,1042.95,6953.0,30
CDM,353805,STEM HUM SHLDR SZ4+,11959.0,11959.0,1793.85,11959.0,30
CDM,353807,INS REV SHLDR SZ3/4 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,353808,CONE FEM KN MED,13730.0,13730.0,2059.5,13730.0,30
CDM,353811,HEAD HUM SHLDR 17MM 45MM,4606.0,4606.0,690.9,4606.0,30
CDM,353813,INSERT HUM SHLDR 36+6/39,4606.0,4606.0,690.9,4606.0,30
CDM,353814,CMPNT GLND SHLDR 45MM,6644.0,6644.0,996.6,6644.0,30
CDM,353815,GRAFT MTP DISC 15MM 19MM,8681.0,8681.0,1302.15,8681.0,30
CDM,353819,SCREW BN 5.0MM 90MM,2393.0,2393.0,358.95,2393.0,30
CDM,353821,NAIL BN FEM LT 12X400MM,6644.0,6644.0,996.6,6644.0,30
CDM,353823,PLATE SPN 6MM 14MM,4872.0,4872.0,730.8,4872.0,30
CDM,353824,SCREW SPN CANN 7.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,353825,SCREW SPN CANN 8.5MM50MM,3765.0,3765.0,564.75,3765.0,30
CDM,353827,SCREW BN 2MM 7MM,1576.0,1576.0,236.4,1576.0,30
CDM,353828,ALLODERM 1SQCM,599.0,599.0,89.85,599.0,29
CDM,353829,LEAD ICD SC DF4 64CM,15287.0,15287.0,2293.05,15287.0,30
CDM,353830,SCREW BN 4.5MM 55MM,2884.0,2884.0,432.6,2884.0,30
CDM,354803,SCREW BN 5X95MM,2884.0,2884.0,432.6,2884.0,30
CDM,354826,NAIL BN 10MM 40CM,9050.0,9050.0,1357.5,9050.0,30
CDM,354857,SCREW BN 4MM 16MM,1434.0,1434.0,215.1,1434.0,30
CDM,354908,PIN FX 2MM 40MM,1421.5,1421.5,213.22,1421.5,42
CDM,355010,PLATE BN LT 5HL 61MM,4003.0,4003.0,600.45,4003.0,30
CDM,355020,PLATE FIB RT 11HL 147MM,4464.0,4464.0,669.6,4464.0,30
CDM,355086,LINER ACTB HIP 36X48MM,4606.0,4606.0,690.9,4606.0,30
CDM,355087,INSERT ARTC KN 1-2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,355101,HEAD HIP 12/14 +12X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,355110,WEDGE FEM L 10DX5P SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,355111,WEDGE KN SZ3 5X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,355114,WEDGE FEM KN SZ5 10X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,355146,INSERT ARTC KN 1-2 21MM,5823.0,5823.0,873.45,5823.0,30
CDM,355149,INSERT TIB KN SZ5-6 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,355154,WEDGE TIB KN SZ1-2 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,355205,INSERT TIB KN 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,355208,INSERT TIB KN 3-4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,355236,SUTURE UND BRD +5-0 18IN,95.5,95.5,14.32,95.5,42
CDM,356312,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,356315,SCREW SPN 7.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,356316,SCREW SPN 4.5MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,356317,HEAD FEM HIP +10MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,356318,INSERT TIB KN SZ4 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,356320,CMPNT PTLR KN RSRFC SZ2,4252.0,4252.0,637.8,4252.0,30
CDM,356324,LENS IOL +22.5 DIOP,1.0,1.0,0.18,1.0,28
CDM,356325,LENS IOL +18.0 DIOP,1.0,1.0,0.18,1.0,28
CDM,356326,CANNULA ART 19FR 3/8IN,2488.5,2488.5,373.27,2488.5,42
CDM,356327,CANNULA ART 21FR 31.8CM,2488.5,2488.5,373.27,2488.5,42
CDM,356328,SCREW SPN STD 5.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,356329,STEM FEM HIP OFST SZ5,8416.0,8416.0,1262.4,8416.0,30
CDM,356330,INSRT ARTC KN LT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,356338,IMPLANT NASAL 24MM,8557.0,8557.0,1283.55,8557.0,30
CDM,356348,SUTURE BLK MONO 3-0 30IN,59.5,59.5,8.93,59.5,42
CDM,356356,STENT VASC 6X57MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356357,STENT VASC 7X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356358,STENT VASC 7X57MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356359,STENT VASC 8X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356360,STENT VASC 8X57MM 80CM,3846.0,3846.0,576.9,3846.0,30
CDM,356362,STENT VASC 9X37MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356364,STENT VASC 10X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356365,STENT VASC 10X37MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356367,LINER ACTB HIP 10D 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,356368,LINER ACTB HIP 32MM SZB,4606.0,4606.0,690.9,4606.0,30
CDM,356369,SCREW BN FEM STRL 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,356370,BOLT BN FEM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,356371,TRIFLANGE HIP RT SZ24,64221.0,64221.0,9633.15,64221.0,30
CDM,356372,PAD NERVE PHRNC LRG,231.5,231.5,34.73,231.5,42
CDM,356373,CAGE SPN 40X13MM,19200.0,19200.0,2880.0,19200.0,30
CDM,356374,SCREW BN 5MM 88MM,2738.0,2738.0,410.7,2738.0,30
CDM,356375,LEAD ICD DC DF4 59CM,15287.0,15287.0,2293.05,15287.0,30
CDM,356376,MONITOR CARDIAC INSERT,18315.0,18315.0,2747.25,18315.0,30
CDM,356379,DEVICE EMBL 5MM 12MM,63712.0,63712.0,9556.8,63712.0,30
CDM,356382,INSERT SHLDR SZ1/2 36MM,8770.0,8770.0,1315.5,8770.0,30
CDM,356391,INSERT TIB KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,356395,NAIL BN 13MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,356396,STENT VASC 5X17MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356397,STENT VASC 5X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356398,STENT VASC 5X37MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356399,STENT VASC 5X57MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356400,STENT VASC 6X17MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356401,STENT VASC 6X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356402,STENT VASC 6X37MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,356406,NAIL BN 11MM 235MM,5567.0,5567.0,835.05,5567.0,30
CDM,356411,COVER SPN LCK 8-12MM,1130.0,1130.0,169.5,1130.0,30
CDM,356417,PLATE BN MNDB 4HL 1MM,2934.0,2934.0,440.1,2934.0,30
CDM,356418,BIT DRILL 1.5MM 50MM,773.0,773.0,115.95,773.0,42
CDM,356430,PLATE BN CRNM 6H 10X1MM,3189.0,3189.0,478.35,3189.0,30
CDM,356431,KIT SURG TRUMATCH BSC MX,35911.0,35911.0,5386.65,35911.0,30
CDM,356432,GRAFT BN PRECUT 16MM,19355.0,19355.0,2903.25,19355.0,30
CDM,356433,KIT OATS ALGRF 16MM,4385.5,4385.5,657.83,4385.5,42
CDM,356434,STEM FEM BW 225X18.5MM,5971.0,5971.0,895.65,5971.0,30
CDM,356435,CMPNT KN FEM LT 8.5CM,23510.0,23510.0,3526.5,23510.0,30
CDM,356436,INSERT KN TIB STD 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,356440,MARKER BX 18G 120MM,1212.0,1212.0,181.8,1212.0,30
CDM,356454,SPACER SPN 0D 9X27X6MM,8858.0,8858.0,1328.7,8858.0,30
CDM,356455,SPACER SPN 8D 9X31X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,356456,RING ACTB SHELL HIP 4MM,3535.0,3535.0,530.25,3535.0,30
CDM,356468,SCREW BN NLCK 2.5X10MM,2044.0,2044.0,306.6,2044.0,30
CDM,356470,SCREW BN 2.5MMX9MM,2727.0,2727.0,409.05,2727.0,30
CDM,356471,SCREW BN LCK 2.5X11MM,2727.0,2727.0,409.05,2727.0,30
CDM,356480,BASEPLATE SHLDR 24MM,6644.0,6644.0,996.6,6644.0,30
CDM,356481,SHELL ACTB PLVS HIP 46MM,6644.0,6644.0,996.6,6644.0,30
CDM,356483,IMPLANT ORBITAL 18MM,171.0,171.0,25.65,171.0,30
CDM,356484,SURF ARTC KN 20MM 3-5 EF,4606.0,4606.0,690.9,4606.0,30
CDM,356485,HEAD HUM SHLDR 15MM 56MM,4872.0,4872.0,730.8,4872.0,30
CDM,356486,CANNULA ENDO 8X75MM,263.0,263.0,39.45,263.0,42
CDM,356487,IMPLANT STRNL CLSR 20PK,1744.0,1744.0,261.6,1744.0,30
CDM,356490,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",3084.0,3084.0,455.11,704.22,34
CDM,356490,BRACE HIP ADJ FLEX/EXT,3084.0,3084.0,567.76,3084.0,26
CDM,356491,TRAY CATH 4FR 5CM 0.18IN,1175.0,1175.0,176.25,1175.0,42
CDM,356502,WEDGE KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,356503,STEM FEM KN +75MM 11MM,6418.0,6418.0,962.7,6418.0,30
CDM,356504,COMP FEM KN SIZE 3,28401.0,28401.0,4260.15,28401.0,30
CDM,356505,COMP FEM KN RT SZ4,6201.0,6201.0,930.15,6201.0,30
CDM,356506,INSERT KN RT E SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,356507,PLATE BN LCK CRV 10HL,4872.0,4872.0,730.8,4872.0,30
CDM,356508,SCREW BN 5MM 85MM,1993.0,1993.0,298.95,1993.0,30
CDM,356515,SUT PASSING PLUS 2-0,4093.0,4093.0,613.95,4093.0,42
CDM,356527,BLADE SURG OSTME 42MM,4385.5,4385.5,657.83,4385.5,42
CDM,356528,BLADE SURG OSTME 42MM,4385.5,4385.5,657.83,4385.5,42
CDM,356530,VALVE AOR 15MM 19MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356531,VALVE AOR 21MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356533,VALVE HEART 23MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356534,VALVE AOR 25MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356535,VALVE AORTIC 19MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356536,VALVE AORTIC 21MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356537,VALVE MITRAL 16MM 23MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356538,VALVE MITRAL 17MM 25MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356539,VALVE MITRAL 19MM 27MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356540,VALVE AORTA 29MM,16918.0,16918.0,2537.7,16918.0,30
CDM,356541,VALVE MITRAL 25MM,17908.0,17908.0,2686.2,17908.0,30
CDM,356542,VALVE MITRAL 27MM,17908.0,17908.0,2686.2,17908.0,30
CDM,356543,VALVE MITRAL 29MM,17908.0,17908.0,2686.2,17908.0,30
CDM,356544,VALVE MITRAL 31MM,17908.0,17908.0,2686.2,17908.0,30
CDM,356545,VALVE MITRAL 33MM,17908.0,17908.0,2686.2,17908.0,30
CDM,356546,MESH PERM CIRC 12X12CM,8116.0,8116.0,1217.4,8116.0,30
CDM,356547,INSERT TIB KN 10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,356548,INSERT ANKLE SZ+2 12MM,14926.0,14926.0,2238.9,14926.0,30
CDM,356556,MESH PERM CIRC 15X15CM,11976.0,11976.0,1796.4,11976.0,30
CDM,356560,SURF ARTC KN 12MM 6-9 GH,4606.0,4606.0,690.9,4606.0,30
CDM,356568,COMPNT HEAD HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,356572,INSERT HUM SHLDR 33+3MM,4606.0,4606.0,690.9,4606.0,30
CDM,356581,IMPLANT BREAST 340CC,5869.0,5869.0,880.35,5869.0,30
CDM,356582,IMPLANT BREAST 300CC,5869.0,5869.0,880.35,5869.0,30
CDM,356627,SCREW SPN CONNECR 4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,356646,IMPLANT CRNL 22.0MM,62425.0,62425.0,9363.75,62425.0,30
CDM,356678,K-WIRE LG OLV 1.6X65MM,1146.0,1146.0,171.9,1146.0,42
CDM,356694,CATH SET 6F 135MM,13225.0,13225.0,1983.75,13225.0,42
CDM,356697,IMPLANT COCLR ELECTRODE,75716.0,75716.0,13939.32,75716.0,26
CDM,356699,LENS IOL +16.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,356700,SHELL ACTB HIP 46MM,13166.0,13166.0,1974.9,13166.0,30
CDM,356701,LINER ACTB HIP +4X58X4MM,4429.0,4429.0,664.35,4429.0,30
CDM,356702,CAGE SPN 15D 35X27X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,356703,SCREW SPN 4.5MM 34MM,3389.0,3389.0,508.35,3389.0,30
CDM,356704,FIBER LASER 1000UM,1547.0,1547.0,232.05,1547.0,42
CDM,356705,STEM HUM SHLDR SZ1,12845.0,12845.0,1926.75,12845.0,30
CDM,356706,INSERT REV SHLDR SZ3/4,7973.0,7973.0,1195.95,7973.0,30
CDM,356707,STYLET LD STR 60CM,263.0,263.0,39.45,263.0,42
CDM,356708,PLATE BN NAR 8HL 151MM,5563.0,5563.0,834.45,5563.0,30
CDM,356709,SUTURE CERCLAGE,3721.0,3721.0,558.15,3721.0,30
CDM,356710,INSERT ARTC KNSZ1-2 13MM,11112.0,11112.0,1666.8,11112.0,30
CDM,356711,STEM FEM HIP 23MM 195MM,25910.0,25910.0,3886.5,25910.0,30
CDM,356712,ANCHOR BN LIG 4.75MM,4628.0,4628.0,694.2,4628.0,30
CDM,356713,STEM FEM HIP SZ3 96MM,8416.0,8416.0,1262.4,8416.0,30
CDM,356714,PLATE BN 4HL 0.8MM,2093.0,2093.0,313.95,2093.0,30
CDM,356715,SCREW BN CRNFCL 1.5X7MM,1101.0,1101.0,165.15,1101.0,30
CDM,356716,SPACER SPN 0D 9X23X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,356730,ROD EXFX 11X400MM,1899.0,1899.0,284.85,1899.0,42
CDM,356736,BIT DRILL DISP 3.5X15MM,773.0,773.0,115.95,773.0,42
CDM,356737,SYSTEM FX BRIDGE REPAIR,5116.0,5116.0,767.4,5116.0,42
CDM,356749,KIT INTRO 16CM 5FR 21GA,773.0,773.0,115.95,773.0,42
CDM,356765,SLEEVE FLEX ENTRY TUBE,3438.0,3438.0,515.7,3438.0,42
CDM,356767,CATH GD MD 9FR 58CM,3030.5,3030.5,454.57,3030.5,42
CDM,356772,ANCHOR SUT 24D 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,356781,CMPNT ANKLE SZ2+ 8MM,15502.0,15502.0,2325.3,15502.0,30
CDM,356812,STEM HUM SHLDR SZ4,11959.0,11959.0,1793.85,11959.0,30
CDM,356813,STEM SHLDR 3/4 +3MM 39MM,8770.0,8770.0,1315.5,8770.0,30
CDM,356837,CMPNT SHLDR GLND 39X24MM,5537.0,5537.0,830.55,5537.0,30
CDM,356842,BASEPLATE SHLDR 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,356850,CAGE SPN 10D 7X17X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,356857,KIT SOUND PRCSSR PT DUAL,53230.0,53230.0,9049.1,53230.0,38
CDM,356858,STENT VASC 10X58MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,356860,STENT VASC 12X38MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,356862,STENT VASC 5FR 5X120MM,3846.0,3846.0,576.9,3846.0,30
CDM,356863,STENT VASC 5FR 5X160MM,3846.0,3846.0,576.9,3846.0,30
CDM,356864,STENT VASC 5FR 6X60MM,3846.0,3846.0,576.9,3846.0,30
CDM,356865,STENT VASC 5FR 6X10MM,3846.0,3846.0,576.9,3846.0,30
CDM,356866,STENT VASC 5FR 6X120MM,3846.0,3846.0,576.9,3846.0,30
CDM,356868,STENT VASC 5FR 6X150MM,3846.0,3846.0,576.9,3846.0,30
CDM,356869,STENT VASC 5FR 7X60MM,3846.0,3846.0,576.9,3846.0,30
CDM,356870,STENT VASC 5FR 7X80MM,3846.0,3846.0,576.9,3846.0,30
CDM,356871,CATH GD MP1 7FR 110CM,714.0,714.0,107.1,714.0,42
CDM,356877,SHTH PNCLP 10F 10 035,231.5,231.5,34.73,231.5,42
CDM,356878,SCREW SPN 4.5X47MM,3765.0,3765.0,564.75,3765.0,30
CDM,356880,LENS IOL +19.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,356882,SPACER SPN 12X9.9X40MM,13287.0,13287.0,1993.05,13287.0,30
CDM,356888,COMPNT TIB KN 0D SZF,4606.0,4606.0,690.9,4606.0,30
CDM,356889,STEM XTN KN GMRS 80MM,8726.0,8726.0,1308.9,8726.0,30
CDM,356890,HEAD HUM SHLDR 52MM 23MM,4606.0,4606.0,690.9,4606.0,30
CDM,356892,ROD SPNL 60MM 5.5MM FIRE,2711.0,2711.0,406.65,2711.0,30
CDM,356893,WEDGE KN FEM SZMED,20429.0,20429.0,3064.35,20429.0,30
CDM,356903,PACKING NSL LG 1X2X8CM,231.5,231.5,34.73,231.5,42
CDM,356904,PACKING NASAL 1X3X3CM,231.5,231.5,34.73,231.5,42
CDM,356906,SHEATH INTRO 10FR 25CM,324.5,324.5,48.67,324.5,42
CDM,356917,IMPLANT BREAST 350CC,4429.0,4429.0,664.35,4429.0,30
CDM,356918,DEVICE CLS WND +3-0 23CM,333.5,333.5,50.02,333.5,42
CDM,356947,ROD EX FIX CONN 300X11MM,1653.5,1653.5,248.03,1653.5,42
CDM,356950,SCREW BN 4.5MM 42MM,670.0,670.0,100.5,670.0,30
CDM,362509,SCREW BN 4.5MM 85MM,670.0,670.0,100.5,670.0,30
CDM,362519,SCREW BN 5MM 95MM,1993.0,1993.0,298.95,1993.0,30
CDM,362520,SCREW BN 6MM 90MM,670.0,670.0,100.5,670.0,30
CDM,362586,SCREW BN LCK 3.5X46MM,1993.0,1993.0,298.95,1993.0,30
CDM,362591,SCREW BN CORTEX 4.5X14MM,670.0,670.0,100.5,670.0,30
CDM,362605,PLATE BN CMPR 10HL 126MM,3721.0,3721.0,558.15,3721.0,30
CDM,362702,SIZER BREAST 350CC,1883.0,1883.0,282.45,1883.0,42
CDM,362715,NAIL BN 9MM 375MM,4828.0,4828.0,724.2,4828.0,30
CDM,362716,INSERT TIBIA KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,362717,INSERT TIB KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,362718,STEM FEM HIP 12/14 SZ10,8416.0,8416.0,1262.4,8416.0,30
CDM,362719,STEM HUM SHLDR 135X40MM,11959.0,11959.0,1793.85,11959.0,30
CDM,362720,INSRT ARTC KN 8-11 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,362721,SCREW BN 3.5MM 10MM,1005.0,1005.0,150.75,1005.0,30
CDM,362722,INSERT TIB KN 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,362723,COMP FEM KN CMNT S3L,6201.0,6201.0,930.15,6201.0,30
CDM,362724,INSERT TIBIA KN SZ2 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,362725,COMPONENT FEM KN RT SZ5N,6644.0,6644.0,996.6,6644.0,30
CDM,362726,CMPNT FEM KN RT SZ5+,6201.0,6201.0,930.15,6201.0,30
CDM,362727,INSERT TIB KN RT 4/12MM,4429.0,4429.0,664.35,4429.0,30
CDM,362728,AUG TIB KN MED 15MM 59MM,10641.0,10641.0,1596.15,10641.0,30
CDM,362729,WEDGE FEM KN SZLG,20429.0,20429.0,3064.35,20429.0,30
CDM,362730,ROD SPNL 35MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,362733,IMPLANT BREAST 740CC,5758.0,5758.0,863.7,5758.0,30
CDM,362777,BUTTON GSTRM 24FR 1.5CM,900.5,900.5,135.07,900.5,42
CDM,362779,STENT VASC 5FR 7X100MM,3846.0,3846.0,576.9,3846.0,30
CDM,362780,STENT VASC 10X38MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,362781,CATHETER ABL 31MM,43230.5,43230.5,6484.57,43230.5,42
CDM,362782,CATH ABL PRTL VN 35MM,43230.5,43230.5,6484.57,43230.5,42
CDM,362784,SHEATH STRBL 13FR 91CM,6651.0,6651.0,997.65,6651.0,42
CDM,362785,CABLE STERNL CUT 1.1MM,4429.0,4429.0,664.35,4429.0,30
CDM,362786,CATH ANGIO 6FR 100CM,227.0,227.0,34.05,227.0,42
CDM,362792,CATH GD MP1 7FR 55CM,714.0,714.0,107.1,714.0,42
CDM,362794,SCREW BN CORT 3.5MM 22MM,313.0,313.0,46.95,313.0,30
CDM,362795,PLATE BN 8HL 4.5MM 152MM,3263.0,3263.0,489.45,3263.0,30
CDM,362796,SCREW BN 4.5MM 32MM,313.0,313.0,46.95,313.0,30
CDM,362797,SCREW BN SLFTP 4.5X38MM,313.0,313.0,46.95,313.0,30
CDM,362798,SCREW BN 5MM 28MM,2141.0,2141.0,321.15,2141.0,30
CDM,362799,SCREW BN 4.5MM 36MM,313.0,313.0,46.95,313.0,30
CDM,362800,SCREW BN 1.55X2.65X18MM,1350.0,1350.0,202.5,1350.0,30
CDM,362801,SCREW BN TI 12MM,1350.0,1350.0,202.5,1350.0,30
CDM,362803,SPACER SPN 14X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,362811,PRISM OPTH LT 1.2X,371.0,371.0,55.65,371.0,42
CDM,362825,SUTURETAPE 1.3MM 40IN,773.0,773.0,115.95,773.0,42
CDM,362826,SCREW SPN 7.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,362827,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,362828,SCREW SPN 6.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,362829,CAGE SPN 15D 43X30X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,362830,CAGE SPN 0D 14X16X28MM,50934.0,50934.0,7640.1,50934.0,30
CDM,362831,CMPNT SHLDR GLEN LG,10298.0,10298.0,1544.7,10298.0,30
CDM,362832,COMP FEM KN R SZ5,6201.0,6201.0,930.15,6201.0,30
CDM,362842,STENT VASC 5FR 6X40MM,3846.0,3846.0,576.9,3846.0,30
CDM,362843,KIT THRMB MED DELIVERY,541.0,541.0,81.15,541.0,42
CDM,362845,SCREW BN 5MM 52.5MM,1913.0,1913.0,286.95,1913.0,30
CDM,362851,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,362853,PROBE CRYO 1.1MM 1150MM,3947.0,3947.0,592.05,3947.0,42
CDM,362854,CONFORMER SM CLR SILCONE,766.0,766.0,114.9,766.0,30
CDM,362855,CONFORMER CLEAR SIL MED,766.0,766.0,114.9,766.0,30
CDM,362856,CONFORMER CLEAR SIL LG,766.0,766.0,114.9,766.0,30
CDM,362902,ANCHOR SUT 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,362905,STEM FEM HIP EX SZ2 94MM,8416.0,8416.0,1262.4,8416.0,30
CDM,362912,STENT TRCH Y-SHP 16X40MM,22123.0,22123.0,3318.45,22123.0,30
CDM,362913,STENT TRCH Y-SHP 18X40MM,22123.0,22123.0,3318.45,22123.0,30
CDM,362914,CATH GD RDC 7FR 55CM,714.0,714.0,107.1,714.0,42
CDM,362941,PLATE CLAV LAT RT 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,362942,LENS IOL +9.0 DIOP,780.0,780.0,143.6,780.0,28
CDM,362943,ROD SPN 4.5MM 400MM,3012.0,3012.0,451.8,3012.0,30
CDM,362944,SCREW SPN RDC 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,362945,ROD SPNL 4.5X400MM,3012.0,3012.0,451.8,3012.0,30
CDM,362946,SCREW BN 3.5MM 2.5MM,313.0,313.0,46.95,313.0,30
CDM,362947,PROTECTOR NERVE HA,16547.0,16547.0,2482.05,16547.0,30
CDM,362949,INTERBODY SPN 20X15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,362950,PLATE SPN 3HL 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,362951,LINER ACTB HIP PE51X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,362952,STENT GRAFT 16MM 146MM,16149.0,16149.0,2422.35,16149.0,30
CDM,362953,ROD SPN 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,362954,CONN SPN ROD 3.5X33-39MM,3012.0,3012.0,451.8,3012.0,30
CDM,362955,ROD SPN STR 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,362956,CATH THERM 7FR 110CM,442.0,442.0,66.3,442.0,42
CDM,362958,IMPLANT BREAST 280CC,5869.0,5869.0,880.35,5869.0,30
CDM,362965,SIZER BREAST 750CC,695.5,695.5,104.33,695.5,42
CDM,362970,STENT EPRSTH 7X11X19MM,10220.0,10220.0,1533.0,10220.0,30
CDM,362976,SHEATH VASC STRBL7F 90CM,3560.5,3560.5,534.08,3560.5,42
CDM,362977,KIT DISP FX 1.8MM,4093.0,4093.0,613.95,4093.0,42
CDM,362983,FILLER BN VOID 3MM,4573.0,4573.0,685.95,4573.0,30
CDM,362992,CUP ACTB HIP 28X48MM,4252.0,4252.0,637.8,4252.0,30
CDM,362993,SPACER SPN 12X14X15MM 7D,12174.0,12174.0,1826.1,12174.0,30
CDM,362994,PLATE SPN CERV L2 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,362995,INTRBDY SPN 24X30X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,364452,STEM FEM HIP SZ14 300MM,21446.0,21446.0,3216.9,21446.0,30
CDM,364453,SPACER SPN 15D 17 24X30,19200.0,19200.0,2880.0,19200.0,30
CDM,364455,BLADE BVL PRB 20K WD 25+,4192.5,4192.5,628.88,4192.5,42
CDM,364458,SLEEVE SMIT 40MM,2109.0,2109.0,316.35,2109.0,30
CDM,364459,SCREW SPN 8.5MM 70MM,3012.0,3012.0,451.8,3012.0,30
CDM,364460,CAGE SPN LORD 6.5X10MM,15059.0,15059.0,2258.85,15059.0,30
CDM,364461,ROD SPN PRELRD 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,364462,ROD SPN PRELRD 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,364471,INS ARTC KN SZ3-4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,364477,HEAD HUM SHLDR 48MM 24MM,4606.0,4606.0,690.9,4606.0,30
CDM,364481,CATH DX FL3.5 5FR 100CM,535.5,535.5,80.33,535.5,42
CDM,364512,ANCHOR SUT 2.8MM,5836.0,5836.0,875.4,5836.0,30
CDM,364513,CMPNT TIB KN SZ4 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,364514,SCREW BN 3.5MM 26MM,313.0,313.0,46.95,313.0,30
CDM,364515,INS TIB KN LT SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,364516,COMP FEM KN S5+L,6201.0,6201.0,930.15,6201.0,30
CDM,364518,INSERT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,364520,COMP FEM KN S3+R,6201.0,6201.0,930.15,6201.0,30
CDM,364521,INS TIB KN RT SZ2 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,364534,ANCHOR SUT 4.75MM,5836.0,5836.0,875.4,5836.0,30
CDM,364538,CATH BLNDIL 5.0X25MM,2775.0,2775.0,416.25,2775.0,42
CDM,364540,SCREW SPN PLVC 11.5X45MM,12047.0,12047.0,1807.05,12047.0,30
CDM,364543,SUTURE POLY SZ2 40IN,1023.5,1023.5,153.53,1023.5,42
CDM,364551,SCREW SPNL 5.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,364554,SUTURE BLU MONO 5-0 36IN,231.5,231.5,34.73,231.5,42
CDM,364570,SCREW BN HDED 3.5MM 28MM,2392.0,2392.0,358.8,2392.0,30
CDM,364578,SHELL BIP HIP 50MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,364579,CMPNT PTLR RSRFC SZ4,4252.0,4252.0,637.8,4252.0,30
CDM,364580,INSERT TIB KN RT S4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,364581,STEM HUM SHLDR 6MM 152MM,12402.0,12402.0,1860.3,12402.0,30
CDM,364582,INSERT HUM SHLDR 12X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,364583,PLATE BN 13HL 4.5X247MM,3733.0,3733.0,559.95,3733.0,30
CDM,364584,FILLER BN VOID 10CC,11174.0,11174.0,1676.1,11174.0,30
CDM,364585,SLEEVE FEM HIP V40,1170.0,1170.0,175.5,1170.0,30
CDM,364586,SCREW SPN 4.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,364587,CAGE SPN 6D 16X18X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,364589,GWIRE VASC 180CM .035IN,230.0,230.0,34.5,230.0,42
CDM,364590,SCREW BN SLF DRL 1.2X3MM,1531.0,1531.0,229.65,1531.0,30
CDM,364591,INSERT HUM SHLDR 10X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,364592,CAGE SPN 10D 24X30X15MM,8858.0,8858.0,1328.7,8858.0,30
CDM,364593,PLATE BN 63IN,30981.0,30981.0,4647.15,30981.0,30
CDM,364599,INSERT TIB KN LT S5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,364600,ANCHOR BN SUT 5.5MM,4655.0,4655.0,698.25,4655.0,30
CDM,364601,SPACER SPN 10X7.9X60MM,13287.0,13287.0,1993.05,13287.0,30
CDM,364602,SCREW BN 40MM 120MM,2758.0,2758.0,413.7,2758.0,30
CDM,364603,SCREW BN 120MM X 20MM,2758.0,2758.0,413.7,2758.0,30
CDM,364622,KWIRE ANL CMPR 200X2.8MM,793.0,793.0,118.95,793.0,42
CDM,364643,SCREW SPN SET,753.0,753.0,112.95,753.0,30
CDM,364650,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364651,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364652,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364654,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364655,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364662,CAGE SPN 7D 6X15X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,364667,DRILL BIT SUB-AX 2.1MM,386.5,386.5,57.98,386.5,42
CDM,364671,CATH DX WSG 5F AL1 BX5,160.5,160.5,24.07,160.5,42
CDM,364678,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364679,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364680,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364681,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364682,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364683,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,364684,CATH MICRO .021IN 162CM,5172.0,5172.0,775.8,5172.0,42
CDM,364685,CMPNT PATELLA KN 38CM,4252.0,4252.0,637.8,4252.0,30
CDM,364691,ANCHOR SUTURE 4.75MM,5647.0,5647.0,847.05,5647.0,30
CDM,364692,CATH DX 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,364693,SCREW SPN 4.6MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,364694,GRAFT SPN 7D 6X14X14MM,3200.0,3200.0,480.0,3200.0,30
CDM,364695,SPACER SPNL 12X14X5MM 7D,4429.0,4429.0,664.35,4429.0,30
CDM,364696,PLATE SPN 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,364697,INTRBDY SPN 7D 7X15X18MM,4429.0,4429.0,664.35,4429.0,30
CDM,364699,CMPNT FEM KN L SZ6,6201.0,6201.0,930.15,6201.0,30
CDM,364700,INSERT TIB KN SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,364702,CTHDX WSG 5F FL4 125 BX5,160.5,160.5,24.07,160.5,42
CDM,364703,SYS IMPLANT BN,9303.0,9303.0,1395.45,9303.0,30
CDM,364707,BIT DRL 130MM 4.2MM,1080.5,1080.5,162.07,1080.5,42
CDM,364710,SCREW BN 5MM 50MM,1913.0,1913.0,286.95,1913.0,30
CDM,364711,SCREW BN LCK 5X45MM,1913.0,1913.0,286.95,1913.0,30
CDM,364712,NAIL FEM CANN 10MM 340MM,6437.0,6437.0,965.55,6437.0,30
CDM,364713,NAIL BN FEM RT 9MM 340MM,6431.0,6431.0,964.65,6431.0,30
CDM,364714,SCREW BN 4MM 40MM,2738.0,2738.0,410.7,2738.0,30
CDM,364715,SCREW BN LCK 4X44MM,2738.0,2738.0,410.7,2738.0,30
CDM,364719,CROSSLINK SPNL 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,364723,SCREW BN 5.0MM 32MM,2647.0,2647.0,397.05,2647.0,30
CDM,364724,TRAY HUM SHLDR ADPT+15MM,6644.0,6644.0,996.6,6644.0,30
CDM,364725,COMP FEM KN SZ6,6201.0,6201.0,930.15,6201.0,30
CDM,364726,INSERT TIB KN SZ5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,364727,STEM FEM HIP SZ16,20073.0,20073.0,3010.95,20073.0,30
CDM,364728,CMPNT FEM KN TS RT SZ7,18424.0,18424.0,2763.6,18424.0,30
CDM,364729,AUGMENT FEM KN RT 7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,364730,CATH ANGIO SIM1 5F 100CM,306.0,306.0,45.9,306.0,42
CDM,364731,CATH ANGIO 5FR 100CM,306.0,306.0,45.9,306.0,42
CDM,364732,CLAMP EXFX STR BLUE SM,4093.0,4093.0,613.95,4093.0,42
CDM,364733,CMPNT EXFX MALE SM,2415.0,2415.0,362.25,2415.0,42
CDM,364734,NUT EXFX LCK SMALL,773.0,773.0,115.95,773.0,42
CDM,364735,BUSHING EXFX BLUE SM,921.0,921.0,138.15,921.0,42
CDM,364736,SCREW CLAMP EXFX,556.5,556.5,83.47,556.5,42
CDM,364737,O-RNG EXFX SM C/D UNIT,208.5,208.5,31.27,208.5,42
CDM,364738,CMPNT EXFX FEMALE SM,2415.0,2415.0,362.25,2415.0,42
CDM,364741,BLADE SAW 30.5MM 1MM,429.5,429.5,64.42,429.5,42
CDM,364743,CAGE SPN 3D 31X24X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,364744,PLATE SPN 4HL 16MM,9213.0,9213.0,1381.95,9213.0,30
CDM,364745,TRAY HUM SHLDR +5MM,7087.0,7087.0,1063.05,7087.0,30
CDM,364746,KIT ACCESS VN 5FR 80CM,3438.0,3438.0,515.7,3438.0,42
CDM,364747,PLATE BN 10HL 4.5X188MM,3708.0,3708.0,556.2,3708.0,30
CDM,364748,SCREW BN LCK 5MM 24MM,1876.0,1876.0,281.4,1876.0,30
CDM,364749,SCREW BN 5MM 30MM,2141.0,2141.0,321.15,2141.0,30
CDM,364750,SCREW BN CORT 4.5MM 24MM,313.0,313.0,46.95,313.0,30
CDM,364751,SPACER HUM SHLDR 33+15MM,4340.0,4340.0,651.0,4340.0,30
CDM,364752,INSERT TIB KN #3 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,364753,SCREW BN 6.5MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,364754,INTERBODY SPN 14X13X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,364755,SCREW BN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,364756,INTERBODY SPN 7D 14X13X7,4429.0,4429.0,664.35,4429.0,30
CDM,364757,CAGE SPNL 32X11X21MM,19200.0,19200.0,2880.0,19200.0,30
CDM,364760,SPACER TISSUE SHLDR MED,28346.0,28346.0,4251.9,28346.0,30
CDM,364775,PLATE BN 5H 2.7MM 105MM,3721.0,3721.0,558.15,3721.0,30
CDM,364777,ROD SPN 4.5X300MM,3012.0,3012.0,451.8,3012.0,30
CDM,364778,SCREW SPN 8.5MM 90MM,3389.0,3389.0,508.35,3389.0,30
CDM,364779,SCREW SPN 8.5MM 80MM,3389.0,3389.0,508.35,3389.0,30
CDM,364780,CNNCTR SPN END/END 4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,364781,CONNCTR ROD SPN 4.5X15MM,3012.0,3012.0,451.8,3012.0,30
CDM,364782,SCREW SPN 9.5MM 65MM,3389.0,3389.0,508.35,3389.0,30
CDM,364798,ANCHOR SUT 1.8MM,5647.0,5647.0,847.05,5647.0,30
CDM,364804,SCREW BG NLCK 2.5X09MM,2044.0,2044.0,306.6,2044.0,30
CDM,365266,LENS IOL +20.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,365267,MESH HRN LG 10X16CM,3189.0,3189.0,478.35,3189.0,30
CDM,365268,MESH HRN LG 10X16CM,3189.0,3189.0,478.35,3189.0,30
CDM,365269,ROD SPN PRELRD 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,365272,CATH ARTHRCM 2.5X.035IN,13046.0,13046.0,1956.9,13046.0,42
CDM,365273,CATH LSR TRBO ELB2.3X120,13046.0,13046.0,1956.9,13046.0,42
CDM,365274,IMPLANT SPN DISC 13X15MM,21703.0,21703.0,3255.45,21703.0,30
CDM,365276,IMPLANT BN ANCHOR SYS,3721.0,3721.0,558.15,3721.0,30
CDM,365277,BODY EXFX CMPLT BLU SM,9853.5,9853.5,1478.03,9853.5,42
CDM,365278,STENT EPRSTH 8X40MM 15CM,141728.0,141728.0,21259.2,141728.0,30
CDM,365279,STENT EPRSTH 8X12MM 6CM,34547.0,34547.0,5182.05,34547.0,30
CDM,365280,INSERT TIB KN SZ8 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,365292,SCREW SPN 3.8MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,365293,SCREW SPN CERV 3.8X22MM,3389.0,3389.0,508.35,3389.0,30
CDM,365296,WIRE OLIVE THRD SS 1.3MM,386.5,386.5,57.98,386.5,42
CDM,365304,SCREW BN 5MM 28MM,2647.0,2647.0,397.05,2647.0,30
CDM,365311,SLING SUPRPUB MID-URTH,4429.0,4429.0,664.35,4429.0,30
CDM,365313,GRAFT STNT 34MM 100MM,58656.0,58656.0,8798.4,58656.0,30
CDM,365315,SCREW SPN 5.5X32MM,3389.0,3389.0,508.35,3389.0,30
CDM,365316,ROD SPN CRV 50MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,365318,INSERT TIB KN SZ5 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,365319,INSERT TIB KN SZ5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,365320,BLADE CURVED CAP-FIX,4093.0,4093.0,613.95,4093.0,42
CDM,365321,PASSER CERCLAGE DISP SM,2026.0,2026.0,303.9,2026.0,42
CDM,365322,STEM HUM SHLDR SZ10,8637.0,8637.0,1295.55,8637.0,30
CDM,365323,PLATE BN 14HL 4.5X3.5MM,4742.0,4742.0,711.3,4742.0,30
CDM,365324,GLNSPHR SHLDR 10D 32MM,5315.0,5315.0,797.25,5315.0,30
CDM,365325,CUP HUM SHLDR 32MM +3,4606.0,4606.0,690.9,4606.0,30
CDM,365326,SPACER HUM SHLDR +9MM,4252.0,4252.0,637.8,4252.0,30
CDM,365327,CUP HUM SHLDR 32MM +6,4606.0,4606.0,690.9,4606.0,30
CDM,365328,ROD SPN PRELRD 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,365329,ROD SPN CRV 3.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,365330,XCONN SPN 35-46MM,3012.0,3012.0,451.8,3012.0,30
CDM,365345,GLNSPHR SHLDR +4MM 38MM,7308.0,7308.0,1096.2,7308.0,30
CDM,365351,CAGE SPN 7D 7X15X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,365355,HEMOSTAT ABS 3IN 4IN,741.0,741.0,111.15,741.0,42
CDM,365373,COMP FEM KN L SZ3,6201.0,6201.0,930.15,6201.0,30
CDM,365374,INSERT TIB KN SZ3 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,365375,CMPNT PTLA KN 10X29MM,4428.0,4428.0,664.2,4428.0,30
CDM,365376,SHELL ACTB HIP CMNT 57MM,7839.0,7839.0,1175.85,7839.0,30
CDM,365377,ROD SPN 3.5MM 25MM,2711.0,2711.0,406.65,2711.0,30
CDM,365378,SPACER SPN 0D 27X9X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,365379,PLATE BN 10HL 2MM 63MM,3721.0,3721.0,558.15,3721.0,30
CDM,365381,CATH EP ABL DF 8FR 115CM,18320.5,18320.5,2748.07,18320.5,42
CDM,365382,CATH EP ABL FJ 8FR 115CM,18320.5,18320.5,2748.07,18320.5,42
CDM,365383,CATH EP ABL F 8FR 115CM,18320.5,18320.5,2748.07,18320.5,42
CDM,365384,CATH BLNDIL 8X80MM 80CM,949.0,949.0,142.35,949.0,42
CDM,365385,CATH BLNDIL 9X80MM 80CM,949.0,949.0,142.35,949.0,42
CDM,365386,PIN SKULL DISP 1.285IN,309.5,309.5,46.42,309.5,42
CDM,365387,CATH GD VASC 6F 118CM,714.0,714.0,107.1,714.0,42
CDM,365388,CATH GD VASC 6F 118CM,714.0,714.0,107.1,714.0,42
CDM,365389,CATH GD VASC 5F 118CM,714.0,714.0,107.1,714.0,42
CDM,365390,CATH VASC GD 6FR 118CM,714.0,714.0,107.1,714.0,42
CDM,365392,STEM HUM SHLDR UNIV SZ9,8637.0,8637.0,1295.55,8637.0,30
CDM,365393,CATH BLNDIL 6X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,365403,HANDPIECE ESURG 9MM 20CM,931.5,931.5,139.72,931.5,42
CDM,365404,STENT EPRSTH 8X16X29MM,12667.0,12667.0,1900.05,12667.0,30
CDM,365405,INSERT TIB KN SZ4 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,365406,PLATE BN CLVCL RT 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,365407,ROD SPN 3.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,365408,BIT DRILL SPINE 3.5MM,773.0,773.0,115.95,773.0,42
CDM,365409,PLATE BN CLVCL LT 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,365430,KIT CARDIAC CATHETER,1023.5,1023.5,153.53,1023.5,42
CDM,365438,NAIL BN 13X18X125,6775.0,6775.0,1016.25,6775.0,30
CDM,365440,SCREW BN 3.5MM 10MM,2727.0,2727.0,409.05,2727.0,30
CDM,365441,SCREW BN 3.5MM 14MM,2105.0,2105.0,315.75,2105.0,30
CDM,365442,TROCAR LAPSCP 12MM 130MM,1023.5,1023.5,153.53,1023.5,42
CDM,365446,ROD SPN 3.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,365467,SCREW BN 4.0MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,365478,SYSTEM PCNG LDLESS CPSL,38299.0,38299.0,5744.85,38299.0,30
CDM,365479,SUTURE VCL+ 2-0 CT2 18IN,215.0,215.0,32.25,215.0,42
CDM,365483,BLADES REMOVAL STEM,8909.5,8909.5,1336.42,8909.5,42
CDM,365487,CMPNT GLND SHLDR 15D MED,11073.0,11073.0,1660.95,11073.0,30
CDM,365488,INSERT KN SZ4.5 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,365489,CONE FEM KN LRG,13730.0,13730.0,2059.5,13730.0,30
CDM,365490,IMPLANT BN CRANIAL PEEK,49450.0,49450.0,7417.5,49450.0,30
CDM,365491,PLATE BN RT 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,365497,CATH VENT 1.5FR 33CM,2015.5,2015.5,302.32,2015.5,42
CDM,365498,SHEATH CATH 7FR 55CM,3356.0,3356.0,503.4,3356.0,42
CDM,365499,LINER HUM SHLDR+2.5 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,365509,INSERT HIP SZ57 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,365510,SYSTEM SPN CABLE STERNAL,1020.0,1020.0,153.0,1020.0,30
CDM,365511,CAGE SPN 10D 35X27X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,365512,SPACER SPN 0D 9X23X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,365513,STEM FEM HIP REVISION,20073.0,20073.0,3010.95,20073.0,30
CDM,365514,COMP FEM KN R SZ6,6201.0,6201.0,930.15,6201.0,30
CDM,365515,INSERT KN RT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,365516,COMPONENT FEM 3 RT KN CM,10234.0,10234.0,1535.1,10234.0,30
CDM,365517,PEG FX 2.5MM 26MM,1834.0,1834.0,275.1,1834.0,30
CDM,365518,ANCHOR SUT SFT 2.6,3515.0,3515.0,527.25,3515.0,30
CDM,365520,CATH 19G 5FR 20CM,231.5,231.5,34.73,231.5,42
CDM,365527,SPACER SPN 8D 9X27X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,365536,510K SKN SUB NOS 1SQCM,722.0,722.0,108.3,722.0,31
CDM,365538,PROTECTOR NRV HA+2CM 4CM,14528.0,14528.0,2179.2,14528.0,30
CDM,365581,SYSTEM IMPL GRAFT ANCHR,9092.0,9092.0,1363.8,9092.0,30
CDM,365594,CMPNT HUM SHLDR +0MM,7087.0,7087.0,1063.05,7087.0,30
CDM,365597,ROD SPN HUM 3.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,365637,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,365638,SURF ARTC KN 10-12 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,365655,SCREW BN 3.5MM 34MM,590.0,590.0,88.5,590.0,30
CDM,365656,GUIDE SURG CRANI-ORTHO,7173.0,7173.0,1075.95,7173.0,42
CDM,365659,IMPL SPN MAG 13X24-32MM,30058.0,30058.0,4508.7,30058.0,30
CDM,365830,SPACER SPN 0D 16X13MM,11600.0,11600.0,1740.0,11600.0,30
CDM,365846,INTRODUCER VASC 14F 45CM,773.0,773.0,115.95,773.0,42
CDM,365847,SCREW SPN 6.5MM 60MM,3012.0,3012.0,451.8,3012.0,30
CDM,365848,PLATE SPN BTRS 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,365849,INTBDY DVC 17X30X24MM,8858.0,8858.0,1328.7,8858.0,30
CDM,365850,INSERT TIB KN 4-5 15MM,6078.0,6078.0,911.7,6078.0,30
CDM,365851,LINER HUM SHLDR 38MM,4606.0,4606.0,690.9,4606.0,30
CDM,365852,HEAD HUM SHLDR 28MM 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,365853,ANCHOR BN TNDN 5.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,365854,CMPNT HUM SHLDR REV NTRL,6228.0,6228.0,934.2,6228.0,30
CDM,365855,INSERT HUM SHLDR 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,365856,CATH IMAGING 9FR 90CM,17394.5,17394.5,2609.18,17394.5,42
CDM,365857,CAGE SPN 12D 10MM 32MM,19200.0,19200.0,2880.0,19200.0,30
CDM,365858,DISC SPN 15X17X4.5,21703.0,21703.0,3255.45,21703.0,30
CDM,365859,INSERT TIB ANKL SZ2 10MM,6878.0,6878.0,1031.7,6878.0,30
CDM,365860,STEM FEM KN 13MM 127MM,8181.0,8181.0,1227.15,8181.0,30
CDM,365862,CMPNT FEM KN COCR CMNT,6644.0,6644.0,996.6,6644.0,30
CDM,365863,TRAY TIBIAL KN CR CMNT,5311.0,5311.0,796.65,5311.0,30
CDM,365864,INSERT TIB KN 6MM,4252.0,4252.0,637.8,4252.0,30
CDM,365865,INSERT TIB KN 7MM,4252.0,4252.0,637.8,4252.0,30
CDM,365866,INSERT TIB KN 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,365867,FORCEPS ILM 25+,1514.5,1514.5,227.18,1514.5,42
CDM,365868,CATH GD IMA 7FR 55CM,714.0,714.0,107.1,714.0,42
CDM,365869,PLATE BN PRBNT MND 1MM,3189.0,3189.0,478.35,3189.0,30
CDM,365870,ANCHOR SUTURE 4.75MM,3721.0,3721.0,558.15,3721.0,30
CDM,365871,LINER HUM SHLDR +0 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,365872,SCREW BN 4MM 60MM,2143.0,2143.0,321.45,2143.0,30
CDM,365873,NAIL FEM LT 10X300MM,6629.0,6629.0,994.35,6629.0,30
CDM,365874,DEVICE WNDCLS 23CM SZ3,643.5,643.5,96.53,643.5,42
CDM,365875,STEM FEM HIP SZ14,20073.0,20073.0,3010.95,20073.0,30
CDM,365876,INSERT KIT PERC FT 1.8MM,1934.0,1934.0,290.1,1934.0,42
CDM,365877,CMPNT TRIFLNG HIP LT S24,64221.0,64221.0,9633.15,64221.0,30
CDM,365879,CATH ANGIO 5FR 65CM,231.5,231.5,34.73,231.5,42
CDM,365882,MESH HRN PP 20X20IN,27106.0,27106.0,4065.9,27106.0,30
CDM,365883,MESH PERM HERNIA 25X30CM,25910.0,25910.0,3886.5,25910.0,30
CDM,365884,MESH HRN PP 25X40IN,53813.0,53813.0,8071.95,53813.0,30
CDM,365887,CLAMP EX FIX LG,2005.5,2005.5,300.82,2005.5,42
CDM,365888,SUTURE BLK BRD 1 60IN,21.5,21.5,3.23,21.5,42
CDM,365921,CAGE SPN 10D 8X17X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,365937,SPACER SPN 16X14X6MM,8083.0,8083.0,1212.45,8083.0,30
CDM,365938,SPACER SPN 7D 16X14X7,16166.0,16166.0,2424.9,16166.0,30
CDM,365940,KIT ACC GRAFT PLACEMENT,4093.0,4093.0,613.95,4093.0,42
CDM,365941,GRAFT HMDL 19F 5MM 40CM,10630.0,10630.0,1594.5,10630.0,30
CDM,365953,PATELLA KN CAP 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,365954,SCREW SPN 2.4MM 6MM,753.0,753.0,112.95,753.0,30
CDM,365955,KIT CORRECTION GUIDES,773.0,773.0,115.95,773.0,42
CDM,365956,SPACER SPN 24MMX11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,365957,SCREW SPN 8.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,365958,SPACER SPN 8D 50X22X14MM,13287.0,13287.0,1993.05,13287.0,30
CDM,365960,CONNCTR SPN LAT OFST 4.0,3012.0,3012.0,451.8,3012.0,30
CDM,365961,SCREW SPN 4MM 18MM,3389.0,3389.0,508.35,3389.0,30
CDM,365962,SCREW SPN 4.0MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,365963,CMPNT FEM KN CMNT LT SZ4,16739.0,16739.0,2510.85,16739.0,30
CDM,365964,INSERT TIB KN SZ3 14MM,5352.0,5352.0,802.8,5352.0,30
CDM,365970,CMPNT FEM KN 14MM 21CM,15254.0,15254.0,2288.1,15254.0,30
CDM,365971,INSERT TIB KN 71/75X22MM,4606.0,4606.0,690.9,4606.0,30
CDM,365972,CMPNT FEM KN RS RT 8.5CM,21185.0,21185.0,3177.75,21185.0,30
CDM,365973,STEM FEM KN 120MM 14MM,8752.0,8752.0,1312.8,8752.0,30
CDM,365974,STENT URET 6FR 80CM,2578.0,2578.0,386.7,2578.0,30
CDM,365975,INSERT PTLA KN 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,365976,INSERT PS KN SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,365977,INSERT PS KN SZ8 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,365978,INSERT TIB KN SZ3 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,365980,INSERT PS KN SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,366117,INSERT HIP SZ46 58-64MM,4429.0,4429.0,664.35,4429.0,30
CDM,366118,INSERT HIP SZ28 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,366119,STENT COR 2.50 X 48MM,621.0,621.0,93.15,621.0,30
CDM,366120,STENT COR 2.75X48MM,2010.0,2010.0,301.5,2010.0,30
CDM,366121,STENT COR 3X48MM,621.0,621.0,93.15,621.0,30
CDM,366122,STENT COR 3.50X48MM,2010.0,2010.0,301.5,2010.0,30
CDM,366123,INSERT XLPE HIP SZ59/28,4429.0,4429.0,664.35,4429.0,30
CDM,366124,CABLE SPN TI W/NDLE,1965.0,1965.0,294.75,1965.0,30
CDM,366125,CAGE SPN 6D 12X14X-5MM,4429.0,4429.0,664.35,4429.0,30
CDM,366126,INSERT PSC KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,366132,INSERT HUM SHLDR +0X36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,366133,COMPNT SHLDR SZ.5 +9MM,4917.0,4917.0,737.55,4917.0,30
CDM,366134,HEAD SHLDR 42MM,7973.0,7973.0,1195.95,7973.0,30
CDM,366145,CATH MAP F 7FR 444MM,6115.0,6115.0,917.25,6115.0,42
CDM,366146,STENT COR 4X48MM,621.0,621.0,93.15,621.0,30
CDM,366163,TRAY SURG INTRAOCULAR,4093.0,4093.0,613.95,4093.0,42
CDM,366164,ANCHOR LD 1CM,1244.0,1244.0,186.6,1244.0,30
CDM,366165,SUTURE TGRLP 1.3MM 20IN,1228.0,1228.0,184.2,1228.0,30
CDM,366166,SYSTEM BN SCREW 6.25MM,6953.0,6953.0,1042.95,6953.0,30
CDM,366167,WEDGE TIB KN 3D XS 25MM,10287.0,10287.0,1543.05,10287.0,30
CDM,366168,INSERT TIB KN SZ5 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,366169,STEM XTN KN 150MM 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,366170,STEM FEM HIP STD SZ17,20073.0,20073.0,3010.95,20073.0,30
CDM,366171,NAIL FEM 12MM 380MM,5990.0,5990.0,898.5,5990.0,30
CDM,366172,SCREW BN 3.5MM 14MM,1781.0,1781.0,267.15,1781.0,30
CDM,366173,SIZER BREAST 405CC,1694.5,1694.5,254.18,1694.5,42
CDM,366175,SPACER SPN 0D 9X27X13MM,8858.0,8858.0,1328.7,8858.0,30
CDM,366176,SPACER SPN 8D 27X9X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,366177,TAPE SUTURE 1.7MM 8IN,877.0,877.0,131.55,877.0,30
CDM,366181,CAGE SPN PK 10D 10X18X50,16831.0,16831.0,2524.65,16831.0,30
CDM,366189,HEAD SHOULDER 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,366200,PLATE BN 2H 1.5MM,18579.0,18579.0,2786.85,18579.0,30
CDM,366201,LINER ACTB HIP 53/28,4429.0,4429.0,664.35,4429.0,30
CDM,366207,INSERT PCS KN SZ2 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,366208,CAGE SPN 12D 32X21X13MM,19200.0,19200.0,2880.0,19200.0,30
CDM,366209,CMPNT PTLR RSRFC #1,4252.0,4252.0,637.8,4252.0,30
CDM,366210,CMPNT BRNG KN LT SM 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,366211,STEM FEM HIP 115MM 18MM,10283.0,10283.0,1542.45,10283.0,30
CDM,366212,CMPNT TRIFLNG HIP RT S25,64221.0,64221.0,9633.15,64221.0,30
CDM,366213,GWIRE VASE .018IN 300CM,819.0,819.0,122.85,819.0,42
CDM,366214,KIT SIGMOIDOSCOPE DISP,921.0,921.0,138.15,921.0,42
CDM,366215,DEVICE WNDCLS 23CM SZ3,643.5,643.5,96.53,643.5,42
CDM,366223,SYSTEM ASP LTHTRP 70CM,12534.5,12534.5,1880.17,12534.5,42
CDM,366228,SCREW SPN 6.5X55MM,3012.0,3012.0,451.8,3012.0,30
CDM,366242,SUTURE UND MON +4-0 18IN,104.0,104.0,15.6,104.0,42
CDM,366247,HEAD HUM SHLDR 52MM 26MM,4606.0,4606.0,690.9,4606.0,30
CDM,366277,GRAFT EVAS 20X28X166MM,31529.0,31529.0,4729.35,31529.0,30
CDM,366278,CMPNT FEM KN HINGE SZ2-5,4429.0,4429.0,664.35,4429.0,30
CDM,366279,AXLE FEM KN SZ5,4252.0,4252.0,637.8,4252.0,30
CDM,366280,CMPNT FEM KN HNG AXLE,4252.0,4252.0,637.8,4252.0,30
CDM,366282,SCREW BN 2.7X20MM,463.0,463.0,69.45,463.0,30
CDM,366284,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,366286,TROCAR LAPSCP 5MM 150MM,1003.0,1003.0,150.45,1003.0,42
CDM,366287,SYSTEM BLNDIL 14MM 40MM,4267.5,4267.5,640.13,4267.5,42
CDM,366301,IMPLANT FX CURVED,3721.0,3721.0,558.15,3721.0,30
CDM,366307,STENT VASC SYN 40X32X165,60667.0,60667.0,9100.05,60667.0,30
CDM,366308,GRAFT EVAS 32MM 82MM,21956.0,21956.0,3293.4,21956.0,30
CDM,366313,SUTURE GRN BRD 1 30IN,44.5,44.5,6.67,44.5,42
CDM,366314,TUBE VENT EAR BL 1.14MM,588.0,588.0,88.2,588.0,30
CDM,366315,CATH DCB 2.5MM 20MM,28905.5,28905.5,4913.94,28905.5,38
CDM,366316,CATH DCB 3MM 20MM,28905.5,28905.5,4913.94,28905.5,38
CDM,366321,SIZER BREAST 375CC,1694.5,1694.5,254.18,1694.5,42
CDM,366326,BASEPLATE SHLDR 25MM 35D,7973.0,7973.0,1195.95,7973.0,30
CDM,366327,HEAD HUM SHLDR 48X21MM,4606.0,4606.0,690.9,4606.0,30
CDM,366333,SYSTEM TRCSD 1CLIP 1CATH,123040.0,123040.0,18456.0,123040.0,30
CDM,366334,INSERT TIB KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,366335,ADAPTER INTRO SEAL 9FR,560.5,560.5,84.08,560.5,42
CDM,366340,IMPLANT KN ANCHR SYSTM,3721.0,3721.0,558.15,3721.0,30
CDM,366361,CONN ROD SPN 6.35-5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,366366,PATELLA KN 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,366382,SYSTEM IMPLANT RT,4907.0,4907.0,736.05,4907.0,30
CDM,366399,PLATE SPN 1LVL 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,366402,NAIL BN 11MM 360MM,4828.0,4828.0,724.2,4828.0,30
CDM,366407,RESTRATA 1SQCM,543.0,543.0,81.45,543.0,29
CDM,366409,RESTRATA 1SQCM,1657.0,1657.0,248.55,1657.0,29
CDM,366414,KIT INST ROBOT SPN DISP,5797.5,5797.5,869.63,5797.5,42
CDM,366426,SCREW BN 5MM 74MM,2260.0,2260.0,339.0,2260.0,30
CDM,366439,STEM FEM 21MM,10283.0,10283.0,1542.45,10283.0,30
CDM,366440,LINER HUM SHLDR +0X42MM,4606.0,4606.0,690.9,4606.0,30
CDM,366442,SCREW BN SPN 6.5MM 65MM,3389.0,3389.0,508.35,3389.0,30
CDM,366444,INSRT TIB KN PS SZ8 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,366445,INSERT HUM SHDLR 12X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,366447,CAGE SPN 14X16X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,366450,STEM FEM HIP 12/14 SZ7,8416.0,8416.0,1262.4,8416.0,30
CDM,366451,STENT URET 6FR 80CM,2526.0,2526.0,378.9,2526.0,30
CDM,366452,DISC SPN 15X19X4.5MM,21703.0,21703.0,3255.45,21703.0,30
CDM,366453,COVER LCK SPNE,2711.0,2711.0,406.65,2711.0,30
CDM,366454,INSERT TIBIA 2 LT F 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,366455,SCREW BN CANN 2.5X18MM,3189.0,3189.0,478.35,3189.0,30
CDM,366456,SCREW HDLS CMP 2.5X26MM,3189.0,3189.0,478.35,3189.0,30
CDM,366457,FIBER LASER HOLM 550UM,3642.5,3642.5,546.38,3642.5,42
CDM,366458,SUTURE TNDN BN 1.2MM,1435.0,1435.0,215.25,1435.0,30
CDM,366459,COMP FEM KN SZ4,6201.0,6201.0,930.15,6201.0,30
CDM,366460,INSERT TIBIA 4 LT E 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,366461,INSTR SURG INSERT DISP,4093.0,4093.0,613.95,4093.0,42
CDM,366462,CANN VNS 12F22.9CM,2406.5,2406.5,360.98,2406.5,42
CDM,366463,CANNULA PRFN 14FR 22.9CM,2406.5,2406.5,360.98,2406.5,42
CDM,366464,CAGE SPN 12D 13X27X40MM,19200.0,19200.0,2880.0,19200.0,30
CDM,366466,SCREW SPN 4.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,366467,SCREW SPN 6.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,366468,SCREW SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,366469,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,366470,SCREW SPN 4.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,366471,SCREW SPN 7.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,366472,CATH BLNDIL 4MM 20MM,28905.5,28905.5,4913.94,28905.5,38
CDM,366473,INSERT PCS KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,366474,SPACER SPN 14X13X8MM,8083.0,8083.0,1212.45,8083.0,30
CDM,366475,SPACER SPNL 7X13X14MM,8083.0,8083.0,1212.45,8083.0,30
CDM,366505,SCREW BN 3.5MM 48MM,2000.0,2000.0,300.0,2000.0,30
CDM,366506,PLATE BN 10HL 232MM,6069.0,6069.0,910.35,6069.0,30
CDM,366509,LINER ACTB HIP SZG 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,366510,ANCHOR IMPL SYS 2.9MM,4429.0,4429.0,664.35,4429.0,30
CDM,366519,INSTR SURG INSERT DISP,4093.0,4093.0,613.95,4093.0,42
CDM,366520,SCREW SPN 4.35MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,366521,SHEATH CATH 8.5FR 55CM,3356.0,3356.0,503.4,3356.0,42
CDM,366522,NAIL BN FEM RT 11X235MM,4762.0,4762.0,714.3,4762.0,30
CDM,366523,SCREW BN LCK 5MM 35MM,1913.0,1913.0,286.95,1913.0,30
CDM,366524,SCREW BN 5MM 47.5MM,1913.0,1913.0,286.95,1913.0,30
CDM,366526,BLADE HELICAL 10.35X120M,3721.0,3721.0,558.15,3721.0,30
CDM,366527,STEM FEM HIP 24X127.6MM,8937.0,8937.0,1340.55,8937.0,30
CDM,366660,RESTRICTOR BN CMNT MED,1.0,1.0,0.15,1.0,42
CDM,366661,CATH ANGIO 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,366662,SPACER SPN 8D 12X14X32MM,24116.0,24116.0,3617.4,24116.0,30
CDM,366663,SCREW BN SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,366664,PLATE MDFC 6HL .6MM,2440.0,2440.0,366.0,2440.0,30
CDM,366665,SCREW BN CRNFCL 1.5X4MM,1101.0,1101.0,165.15,1101.0,30
CDM,366671,CMPNT TIBIAL RT SIZE 4,9053.0,9053.0,1357.95,9053.0,30
CDM,366673,SCREW BN 3.5MM 18MM,1781.0,1781.0,267.15,1781.0,30
CDM,366675,CAGE SPNL 5X20MM,1130.0,1130.0,169.5,1130.0,30
CDM,366676,CAGE SPNL 8X34X24MM,18868.0,18868.0,2830.2,18868.0,30
CDM,366677,CAGE SPNL 8X34X24MM,18868.0,18868.0,2830.2,18868.0,30
CDM,366678,CAGE SPNL 5X22.5MM,1130.0,1130.0,169.5,1130.0,30
CDM,366679,PLATE CUSTOM MAND LG 3D,42540.0,42540.0,6381.0,42540.0,30
CDM,366680,INSERT HUM SHLDR 4X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,366703,510K SKN SUB NOS 1SQCM,472.0,472.0,70.8,472.0,31
CDM,366716,SCREW BN LCK NAIL 5X50MM,2738.0,2738.0,410.7,2738.0,30
CDM,366717,SCREW BN 5MM 54MM,2738.0,2738.0,410.7,2738.0,30
CDM,366724,ICD DF1 7 VR-T DX,26444.0,26444.0,3966.6,26444.0,30
CDM,366735,SET VOICE PROS 17F 10MM,3591.0,3591.0,661.1,3591.0,26
CDM,366736,SCREW SPN 7.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,366742,SCREW SPN RDC 7.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,366743,INSERT KN SZ3-4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,366744,PROS VOICE 17FR 10MM,3189.0,3189.0,587.09,3189.0,26
CDM,366745,SET OTLRNG 10MM 17FR,3486.5,3486.5,522.98,3486.5,42
CDM,366746,LENS IOL +30.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,366754,SCREW SPN 9.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,366784,SCREW BN 5MM 46MM,2738.0,2738.0,410.7,2738.0,30
CDM,366792,SCREW SPN 4MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,366793,SCREW SPN 5X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,366794,SCREW SPN 5X30MM,1130.0,1130.0,169.5,1130.0,30
CDM,366824,LINER HUM SHLDR 42MM,4606.0,4606.0,690.9,4606.0,30
CDM,366825,SLEEVE SURG DISP 8-11MM,1023.5,1023.5,153.53,1023.5,42
CDM,366831,INSERT PS KN SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,366833,CATH BLNDIL 6MM 20MM,1310.0,1310.0,196.5,1310.0,42
CDM,366843,STEM FEM HIP 12/14 SZ11,8416.0,8416.0,1262.4,8416.0,30
CDM,366845,IMPLANT COCH SYSTEM,20596.0,20596.0,3791.72,20596.0,26
CDM,366848,BEARING ANKLE SZ1+ 8MM,15502.0,15502.0,2325.3,15502.0,30
CDM,366854,KIT ORTHO SURG CRV DISP,1805.0,1805.0,270.75,1805.0,42
CDM,366865,SCREW SPN 4.0MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,366868,SCREW SPN 4MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,366876,LENS IOL +22.0 DIOP,1.0,1.0,0.18,1.0,28
CDM,366877,LENS IOL +23.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,366878,SCREW SPN PLVC 9.5X90MM,12955.0,12955.0,1943.25,12955.0,30
CDM,366879,IMPLANT SPN 9.5MM 80MM,12955.0,12955.0,2385.02,12955.0,26
CDM,366890,ROD SPN 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,366899,FILLER BN VOID 5CC,7198.0,7198.0,1079.7,7198.0,30
CDM,366916,NAIL BN FEM 10MM 380MM,5990.0,5990.0,898.5,5990.0,30
CDM,366928,MESH HRN PP 20X20IN,14173.0,14173.0,2125.95,14173.0,30
CDM,366929,MESH HRN PLGLY 20X20IN,27106.0,27106.0,4065.9,27106.0,30
CDM,367508,SHEATH INTRO .88IN 90CM,3847.0,3847.0,577.05,3847.0,42
CDM,367509,SCREW BN 3.5MM 14MM,319.0,319.0,47.85,319.0,30
CDM,367510,INSERT PSC KN SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,367511,PATELLA KN 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,367512,INSERT PSC KN SZ2.5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,367513,STENT EPRSTH 8X40MM 15CM,141728.0,141728.0,21259.2,141728.0,30
CDM,367514,STENT GRAFT 15X6MM,34547.0,34547.0,5182.05,34547.0,30
CDM,367515,SCREW SPN 4.5X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,367516,CAGE SPN 8.5X10X28MM,15059.0,15059.0,2258.85,15059.0,30
CDM,367517,ROD SPN 5.5MM 450MM,2711.0,2711.0,406.65,2711.0,30
CDM,367518,SNARE ESCPC 7F 27-45X120,2581.0,2581.0,387.15,2581.0,42
CDM,367519,CATH ANGIO PIG 6FR 110CM,160.5,160.5,24.07,160.5,42
CDM,367520,INS TIB KN RT SZ5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,367521,SCREW BN 4.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,367522,CAGE SPN 12D 27X40X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,367523,SCREW SPN 8.5MM 85MM,3012.0,3012.0,451.8,3012.0,30
CDM,367524,SCREW SPN 5.5MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,367525,SCREW SPN RDC 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,367526,SCREW SPN RDC 6.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,367528,LINER ACTB HIP 36MM SZG,4606.0,4606.0,690.9,4606.0,30
CDM,367529,KIT PRSS MNTR CRNL ACC,5540.0,5540.0,831.0,5540.0,42
CDM,367549,SCREW BN 4MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,367552,CATH BLNDIL 3.50MM 30MM,28905.5,28905.5,4913.94,28905.5,38
CDM,367561,SURFACE ARTC KN SZF 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,367562,INSERT ARTC KN 6-9 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,367563,INS TIB KN LT SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,367564,ROD SPN 3.5MM 115MM,2711.0,2711.0,406.65,2711.0,30
CDM,367566,CONNECTOR SPN 4.75-5/6MM,3012.0,3012.0,451.8,3012.0,30
CDM,367567,PLATE SPN LVL 3 1.9H 48M,4429.0,4429.0,664.35,4429.0,30
CDM,367568,SCREW SPNL ST VAR 4X17MM,1130.0,1130.0,169.5,1130.0,30
CDM,367569,SCREW SPNL VAR 3.5X17MM,1130.0,1130.0,169.5,1130.0,30
CDM,367581,SET TUBING INSFL SMKEVC,1023.5,1023.5,153.53,1023.5,42
CDM,367593,SCREW BN 4MM 60MM,3294.0,3294.0,494.1,3294.0,30
CDM,367600,STENT GRAFT 20CM 45X45MM,79510.0,79510.0,11926.5,79510.0,30
CDM,367601,GRAFT EVAS 45X45MM 10CM,79510.0,79510.0,11926.5,79510.0,30
CDM,367602,GRAFT EVAS 45X45MM 15CM,79510.0,79510.0,11926.5,79510.0,30
CDM,367603,MESH SURG HERNIA 12X16CM,3989.0,3989.0,598.35,3989.0,30
CDM,367604,MESH SURG 12MM 16MM,3960.0,3960.0,594.0,3960.0,30
CDM,367605,NAIL HUM CANN 11MM 250MM,4794.0,4794.0,719.1,4794.0,30
CDM,367606,SCREW BN LCK 4X46MM,2738.0,2738.0,410.7,2738.0,30
CDM,367607,SCREW BN LCK 4X38MM,2738.0,2738.0,410.7,2738.0,30
CDM,367608,INTBDY SPN 7D 16X14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,367609,SCREW SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,367610,SCREW SPN 4.3MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,367611,SCREW SPN 4.3MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,367612,SCREW SPN S/D 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,367613,PLATE SPN 2LVL 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,367614,SPCR SPN 14X14X22- 26MM,12656.0,12656.0,1898.4,12656.0,30
CDM,367615,SCREW SPN SLFDRL 3.5X13,1130.0,1130.0,169.5,1130.0,30
CDM,367616,PLATE SPN 2LVL 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,367617,CONN SPN OPN/OPN 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,367618,ROD SPN 300MM,3012.0,3012.0,451.8,3012.0,30
CDM,367619,CASULE ENDO CAMERA,464.0,464.0,69.6,464.0,42
CDM,367620,CATH BLNDIL 2.50MM 15MM,28905.5,28905.5,4913.94,28905.5,38
CDM,367621,CATH BLNDIL 3MM 15MM,28905.5,28905.5,4913.94,28905.5,38
CDM,367622,CATH BLNDIL 2MM 20MM,28905.5,28905.5,4913.94,28905.5,38
CDM,367623,CATH BLNDIL 3.50MM 20MM,28905.5,28905.5,4913.94,28905.5,38
CDM,367624,CATH BLNDIL 2.50MM 30MM,28905.5,28905.5,4913.94,28905.5,38
CDM,367625,CATH BLNDIL 3MM 30MM,28905.5,28905.5,4913.94,28905.5,38
CDM,367626,PATCH FBRN SEALANT 2X4IN,4385.5,4385.5,657.83,4385.5,42
CDM,367627,CATH VASC ASSIST STRL,127900.0,127900.0,19185.0,127900.0,42
CDM,367628,SCREW BN POST 4.5X55MM,1674.0,1674.0,251.1,1674.0,30
CDM,367629,SCREW BN POST 4.5X50MM,1674.0,1674.0,251.1,1674.0,30
CDM,367631,ROD SPN PRBNT 5.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,367632,TRIFLANGE HIP RT SZ25,64221.0,64221.0,9633.15,64221.0,30
CDM,367633,SCREW SPN 8.5MM 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,367634,CMPNT FEM KN RT SZ7,6201.0,6201.0,930.15,6201.0,30
CDM,367635,CAGE SPN 8D 30X40X16MM,19200.0,19200.0,2880.0,19200.0,30
CDM,367655,510K SKN SUB NOS 1SQCM,735.0,735.0,110.25,735.0,31
CDM,367667,SCREW SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,367668,BURR BALL DMD 7CM 3MM,1010.0,1010.0,151.5,1010.0,42
CDM,367669,STENT GRAFT 16X28X156MM,14938.0,14938.0,2240.7,14938.0,30
CDM,367670,CATH VASC 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,367671,CATH VASC 5FR 125CM,160.5,160.5,24.07,160.5,42
CDM,367672,KNIFE SURG CTS DISP,350.25,350.25,52.54,350.25,42
CDM,367673,KNIFE CTS DISP,1632.0,1632.0,244.8,1632.0,42
CDM,367674,ANCHOR SUT 2MM 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,367675,GWIRE W/INST KIT 3.6MM,2046.5,2046.5,306.98,2046.5,42
CDM,367676,SCREW BN MTCRPL 3.6X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,367677,IMPL TIB ALPLY SZ4 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,367678,ANCHOR SUT KNTLS SZ2,4429.0,4429.0,664.35,4429.0,30
CDM,367679,ANCHOR SUT KNTLS SZ2,3721.0,3721.0,558.15,3721.0,30
CDM,367711,KIT PRSTHS PENL ASSMBLY,4151.0,4151.0,622.65,4151.0,42
CDM,367715,BLADE OPTH 180D MINI,157.0,157.0,23.55,157.0,42
CDM,367723,SCREW BN 5MM 70MM,1913.0,1913.0,286.95,1913.0,30
CDM,367724,CATH BLNDIL 2X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,367725,CATH BLDL 6X40MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,367730,COMPNT BRNG KN LT TIB C6,9301.0,9301.0,1395.15,9301.0,30
CDM,367731,COMP FEM KN L SZ2,6201.0,6201.0,930.15,6201.0,30
CDM,367732,INSERT TIB KN SZ2 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,367733,INSERT TIB KN SZ2 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,367734,BLADE IM FX HUM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,367735,STEM FEM HIP SZ15HO,19045.0,19045.0,2856.75,19045.0,30
CDM,367736,PLATE SPN CERV 2LVL 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,367740,INSERT SHLDR SZ3/4 +3X42,7973.0,7973.0,1195.95,7973.0,30
CDM,367741,LENS IOL +2.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,367742,NEEDLE ENDO BIOP 22GA,3185.0,3185.0,477.75,3185.0,42
CDM,367774,SUTURE TP WHT/BLU 1.4MM,860.0,860.0,129.0,860.0,42
CDM,367782,SCREW SPNL 3.5MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,367783,SCREW SPN 4MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,367785,SLEEVE INSTR 8-11MM,921.0,921.0,138.15,921.0,42
CDM,367793,GRAFT HMDIAL 7.4MM 50CM,4872.0,4872.0,730.8,4872.0,30
CDM,367795,CATH BLN PTCA 1.75X15MM,4298.0,4298.0,644.7,4298.0,42
CDM,367796,CATH BLN PTCA 2.0X15MM,4298.0,4298.0,644.7,4298.0,42
CDM,367797,CATH BLN PTCA 2.5X15MM,4093.0,4093.0,613.95,4093.0,42
CDM,367798,CATH BLN PTCA 3X15MM,4093.0,4093.0,613.95,4093.0,42
CDM,367799,CATH BLN PTCA 3.5X15MM,4093.0,4093.0,613.95,4093.0,42
CDM,367800,CATH BLN PTCA 4.0X15MM,4093.0,4093.0,613.95,4093.0,42
CDM,367824,ROD SPN 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,367827,NAIL BN FEM 10MM 360MM,6437.0,6437.0,965.55,6437.0,30
CDM,367850,STENT GRAFT 16X20X146MM,14938.0,14938.0,2240.7,14938.0,30
CDM,367859,WEDGE FEM KN SZMED,20429.0,20429.0,3064.35,20429.0,30
CDM,367860,PIN BN BOX STANDARD,399.0,399.0,59.85,399.0,30
CDM,367861,PIN BN BOX LONG,399.0,399.0,59.85,399.0,30
CDM,367862,NAIL BN BOX,299.0,299.0,44.85,299.0,30
CDM,367863,WEDGE TIB 2 H15MM MBT ST,4612.0,4612.0,691.8,4612.0,30
CDM,367864,CMPNT FEM KN R SZ3,6201.0,6201.0,930.15,6201.0,30
CDM,367865,LENS IOL +10.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,367867,CATH ABL 7FR 2MM 110CM,5090.5,5090.5,763.58,5090.5,42
CDM,367868,LENS IOL -3.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,367869,INSERT KN RT 6-9 GH 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,367870,STEM FEM HIP 12/14 SZ2,8416.0,8416.0,1262.4,8416.0,30
CDM,367871,INSERT HUM SHLDR 9X39MM,4428.0,4428.0,664.2,4428.0,30
CDM,367872,KIT KNIFE AND GUIDE,1023.5,1023.5,153.53,1023.5,42
CDM,367873,PLATE SPN CERV 1L 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,367874,SCREW BN 5.5MMX45MM,3348.0,3348.0,502.2,3348.0,30
CDM,367875,SCREW SPN 5.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,367876,HEAD HUM SHLDR 15MM 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,367877,WEDGE TIB KN MED-2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,367878,WEDGE TIB KN 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,367879,WEDGE TIB KN 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,367881,SCREW BN 5MM 90MM,3143.0,3143.0,471.45,3143.0,30
CDM,368022,LINER HUM SHLDR+2.4X38MM,4429.0,4429.0,664.35,4429.0,30
CDM,368023,ANCHOR SUT 4.75MM,3534.0,3534.0,530.1,3534.0,30
CDM,368024,PLATE BN 3X3HL 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,368025,SCREW BN 2.4MM 14MM,2153.0,2153.0,322.95,2153.0,30
CDM,368026,SUTURE FBRWR 0 NABS,369.0,369.0,55.35,369.0,30
CDM,368027,SUTURE TGRLNK 0.9MM,1591.0,1591.0,238.65,1591.0,30
CDM,368028,GRAFT SPREADER GUIDE,3223.0,3223.0,483.45,3223.0,42
CDM,368029,ANCHOR MESH TISSUE 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,368030,ARTHROFLEX 1SQCM,2801.0,2801.0,420.15,2801.0,30
CDM,368032,SYSTEM ANCHOR SUTURE,12068.0,12068.0,1810.2,12068.0,30
CDM,368033,CMPNT SHLDR OFST 3X39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,368034,STENT VASC 3.5MM 17MM,26900.0,26900.0,4035.0,26900.0,30
CDM,368045,CATH SHUNT PRNTL 120CM,2153.0,2153.0,322.95,2153.0,30
CDM,368056,CMPNT POST SHLDR 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,368058,PACK OPTH CATERACT,1023.5,1023.5,153.53,1023.5,42
CDM,368059,CATH BLN PTCA 4.0X20MM,4093.0,4093.0,613.95,4093.0,42
CDM,368060,CATH BLN PTCA 4.0X10MM,4093.0,4093.0,613.95,4093.0,42
CDM,368061,CATH BLN PTCA 3.5X20MM,4093.0,4093.0,613.95,4093.0,42
CDM,368062,CATH BLN PTCA 3.5X10MM,4093.0,4093.0,613.95,4093.0,42
CDM,368063,CATH BLN PTCA 3X20MM,4093.0,4093.0,613.95,4093.0,42
CDM,368064,CATH BLN PTCA 3.0X10MM,4093.0,4093.0,613.95,4093.0,42
CDM,368065,CATH BLN 2.75X20MM,4093.0,4093.0,613.95,4093.0,42
CDM,368066,CATH BLN PTCA 2.75X10MM,4093.0,4093.0,613.95,4093.0,42
CDM,368067,CATH BLN PTCA 2.50X20MM,4093.0,4093.0,613.95,4093.0,42
CDM,368068,CATH BLN PTCA 2.5X10MM,4093.0,4093.0,613.95,4093.0,42
CDM,368069,CATH BLN PTCA 2.25X20MM,4093.0,4093.0,613.95,4093.0,42
CDM,368070,CATH BLN PTCA 2.25X10MM,4093.0,4093.0,613.95,4093.0,42
CDM,368071,CATH BLN PTCA 2.0X20MM,4298.0,4298.0,644.7,4298.0,42
CDM,368072,CATH BLN PTCA 2.0X10MM,4093.0,4093.0,613.95,4093.0,42
CDM,368073,CATH BLN 1.75X20MM,4093.0,4093.0,613.95,4093.0,42
CDM,368074,CATH BLN PTCA 1.75X10MM,4093.0,4093.0,613.95,4093.0,42
CDM,368075,OSTEOTOME THIN 3IN 12MM,2022.0,2022.0,303.3,2022.0,42
CDM,368076,OSTEOTOME THIN 3IN 20MM,1776.5,1776.5,266.48,1776.5,42
CDM,368077,ROD SPN 5.5MM 95MM,2711.0,2711.0,406.65,2711.0,30
CDM,368078,VALVE AOR 27MM,69210.0,69210.0,10381.5,69210.0,30
CDM,368079,SYSTEM DELVRY LG 15F,7674.0,7674.0,1151.1,7674.0,42
CDM,368081,STENT EPRSTH 40X40X15CM,67672.0,67672.0,10150.8,67672.0,30
CDM,368084,GRAFT EVAS 40X40X10CM,67672.0,67672.0,10150.8,67672.0,30
CDM,368085,LENS IOL +26.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,368088,SCREW SPN 4.5MM 25MM,3389.0,3389.0,508.35,3389.0,30
CDM,368092,PRISM OPTH RT 1.2X,379.0,379.0,56.85,379.0,42
CDM,368093,DEVICE WNDCLS 15CM SZ3,643.5,643.5,96.53,643.5,42
CDM,368097,ILUM OPTH 25+,1050.0,1050.0,157.5,1050.0,42
CDM,368098,GRAFT VASC 30MM,14189.0,14189.0,2128.35,14189.0,30
CDM,368099,PACKING WND 12IN 1IN,168.0,168.0,25.2,168.0,42
CDM,368136,CATH BLNDIL 6.0MM 35MM,2775.0,2775.0,416.25,2775.0,42
CDM,368142,NRSTM XTRN WRLS,1514.5,1514.5,227.18,1514.5,42
CDM,368147,SCREW SPN 8.5MM 110MM,3012.0,3012.0,451.8,3012.0,30
CDM,368148,SCREW BN COMP 15MM 4.5MM,1196.0,1196.0,179.4,1196.0,30
CDM,368153,SCREW BN 7.0MM 44MM,798.0,798.0,119.7,798.0,30
CDM,368154,BUR DISP OVAL 9CM 5.5MM,964.5,964.5,144.68,964.5,42
CDM,368155,BUR BN TAPER 14CM 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,368157,SYSTEM DELVRY SM 14F,7674.0,7674.0,1151.1,7674.0,42
CDM,368158,SYSTEM LOADING SML,4092.5,4092.5,613.88,4092.5,42
CDM,368159,VALVE AOR 23MM,69210.0,69210.0,10381.5,69210.0,30
CDM,368160,VALVE AOR 25MM,69210.0,69210.0,10381.5,69210.0,30
CDM,368161,VALVE AOR 29MM,69210.0,69210.0,10381.5,69210.0,30
CDM,368162,510K SKN SUB NOS 1SQCM,606.0,606.0,90.9,606.0,31
CDM,368163,PEG BN FX 28MM,1834.0,1834.0,275.1,1834.0,30
CDM,368164,INTBDY SPN 7D 20X15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,368165,INSERT TIB KN SZ4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,368166,INSERT SHLDR SZ1/2 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,368167,STEM HUM SHLDR SZ2,11959.0,11959.0,1793.85,11959.0,30
CDM,368169,CATH ANGIO SIM2 5F 100CM,231.5,231.5,34.73,231.5,42
CDM,368170,HNDPCE 10CM 5MM,11767.0,11767.0,1765.05,11767.0,42
CDM,368173,SCREW SPN 7.5X55MM,3012.0,3012.0,451.8,3012.0,30
CDM,368180,INSERT HUM SHLDR3/4 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,368182,CARTRIDGE PLS LAV,1220.0,1220.0,183.0,1220.0,42
CDM,368183,KNIFE ENDO DISP 1.9MM,4093.0,4093.0,613.95,4093.0,42
CDM,368184,KNIFE TYPE T 2.3MM 1.9MM,4093.0,4093.0,613.95,4093.0,42
CDM,368210,LEAD ICD DC DF4 64CM,15287.0,15287.0,2293.05,15287.0,30
CDM,368455,SUTURE VIO BRD 3-0 27IN,29.0,29.0,4.35,29.0,42
CDM,368469,SCREW BN CANN 7.3X115MM,2962.0,2962.0,444.3,2962.0,30
CDM,368473,SCREW BN 3.5MM 50MM TI,1690.0,1690.0,253.5,1690.0,30
CDM,368474,CATH FOLEY 3W 18FR 30ML,231.5,231.5,34.73,231.5,42
CDM,368476,SCREW BN 5MM 37.5MM,1913.0,1913.0,286.95,1913.0,30
CDM,368483,SYSTEM PCNG LEADLESS,49736.0,49736.0,7460.4,49736.0,30
CDM,368499,SCREW SPN 3.5MM 18MM,3389.0,3389.0,508.35,3389.0,30
CDM,368500,CMPNT TIB KN SZ6 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,368501,CAGE SPN 15D 39X30X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,368502,SCREW SPN 4MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,368503,SCREW SPN 8.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,368504,STENT GRAFT 30MM 40MM,134575.0,134575.0,20186.25,134575.0,30
CDM,368505,SCREW SPN 8.5MM 85MM,3012.0,3012.0,451.8,3012.0,30
CDM,368506,CATHETER URTH 10FR 16IN,13.0,13.0,1.95,13.0,42
CDM,368507,HEAD RAD ELB RT 28MM,15335.0,15335.0,2300.25,15335.0,30
CDM,368508,STEM BN 8MM 25MM,8573.0,8573.0,1285.95,8573.0,30
CDM,368509,SCREW BN 75MM,3668.0,3668.0,550.2,3668.0,30
CDM,368510,BODY HUM SHLDR MED 0MM,22743.0,22743.0,3411.45,22743.0,30
CDM,368511,ANCHOR IMPL SYS 8X23MM,4429.0,4429.0,664.35,4429.0,30
CDM,368512,STEM FEM HIP 18H,19045.0,19045.0,2856.75,19045.0,30
CDM,368513,COMPT FEM RT SZ3+,30394.0,30394.0,4559.1,30394.0,30
CDM,368514,LINER HIP SZ28MM 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,368515,NAIL BN FEM RT 10X460MM,8982.0,8982.0,1347.3,8982.0,30
CDM,368516,BATTERY LVAD BACKUP,865.5,865.5,159.34,865.5,26
CDM,368516,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",865.5,865.5,1763.29,2728.47,34
CDM,368518,INSERT ACTB HIP 51-77MM,10085.0,10085.0,1512.75,10085.0,30
CDM,368519,CMPNT FEM KN SZ4,25342.0,25342.0,3801.3,25342.0,30
CDM,368520,BASEPLATE TIB KN SZ 3,13756.0,13756.0,2063.4,13756.0,30
CDM,368521,CMPNT BRNG KN SZ3 SZ4,15112.0,15112.0,2266.8,15112.0,30
CDM,368522,INSERT HINGE KN SZ3 13MM,7799.0,7799.0,1169.85,7799.0,30
CDM,368523,AXLE/BUSHING KN HNGE STD,7538.0,7538.0,1130.7,7538.0,30
CDM,368524,BUMPER KN HNG 0D,4429.0,4429.0,664.35,4429.0,30
CDM,368525,SPACER SPNL 16X14X7MM 7D,4429.0,4429.0,664.35,4429.0,30
CDM,368526,PLATE SPN 1LVL 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,368527,CAGE SPN 7D 13X21X32MM,19200.0,19200.0,2880.0,19200.0,30
CDM,368528,CAGE SPNL 32X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,368529,SPACER SPN 18X15X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,368530,LENS IOL +28.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,368531,INSERT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,368539,KIT OB W UMB SCISSORS,584.0,584.0,87.6,584.0,42
CDM,368562,SCREW BN S/TP 5MM 46MM,2393.0,2393.0,358.95,2393.0,30
CDM,368580,STEM HUM SHLDR 128X13MM,12402.0,12402.0,1860.3,12402.0,30
CDM,368585,LINER ACTB SZ24 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,368586,HEAD FEM HIP 2D 0MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,368590,CMPNT ACTB HIP 28X52MM,4252.0,4252.0,637.8,4252.0,30
CDM,368592,SHELL ACTB HIP 76MM,9543.0,9543.0,1431.45,9543.0,30
CDM,368593,SHELL ACTB HIP CMNT 63MM,4429.0,4429.0,664.35,4429.0,30
CDM,368594,LENS IOL +27.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,368596,INS XLPE HIP SZ63 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,368598,IMPLANT BREAST 375CC,5758.0,5758.0,863.7,5758.0,30
CDM,368599,SCREW BN 4MM 44MM,638.0,638.0,95.7,638.0,30
CDM,368600,SCREW BN 4X42MM,1993.0,1993.0,298.95,1993.0,30
CDM,368601,TRIFLNG ACTB HIP RT SZ26,64221.0,64221.0,9633.15,64221.0,30
CDM,368602,CATH GD ANGL.035IN 135CM,1310.0,1310.0,196.5,1310.0,42
CDM,368603,CAGE SPN 10D 14X30X39MM,17606.0,17606.0,2640.9,17606.0,30
CDM,368607,PLATE SPN 4HL 14MM,9213.0,9213.0,1381.95,9213.0,30
CDM,368608,SCREW SPN V-ANG 5.5X40MM,1130.0,1130.0,169.5,1130.0,30
CDM,368609,CAGE SPN 10D 39X30X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,368610,TUBING SMOKE EVACUATION,247.0,247.0,37.05,247.0,42
CDM,368627,DEVICE SUT CINCH DISP,1357.5,1357.5,203.63,1357.5,42
CDM,368640,NAIL BN 10MM 315MM,5013.0,5013.0,751.95,5013.0,30
CDM,369614,PACEMAKER DUAL EDGE,9511.0,9511.0,1426.65,9511.0,30
CDM,369615,PACEMAKER HF-T-QP,17360.0,17360.0,2604.0,17360.0,30
CDM,369666,BIT DRILL 3.7MM,1938.5,1938.5,290.77,1938.5,42
CDM,369671,CABLE SADDLE 4.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,369675,INSERT HIP SZ41 50-52MM,4429.0,4429.0,664.35,4429.0,30
CDM,369676,PLATE SPN CERV 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,369679,STEM HUM SHLDR 12X200MM,12402.0,12402.0,1860.3,12402.0,30
CDM,369680,CAGE SPN 6D 10X7.9X40MM,13287.0,13287.0,1993.05,13287.0,30
CDM,369681,ARRAY DIGITIZER ROD BEND,9094.0,9094.0,1364.1,9094.0,42
CDM,369682,SCREW SPN 3.5MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,369683,ROD SPN STR 3.5MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,369684,SCREW SPN 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,369685,CONN ROD SPN T 33-39MM,3012.0,3012.0,451.8,3012.0,30
CDM,369686,BLOCK AUG KN SZC 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,369687,SPACER SPN 26X34MM 11MM,19200.0,19200.0,2880.0,19200.0,30
CDM,369688,INTERBODY SPN 19X24X30MM,8858.0,8858.0,1328.7,8858.0,30
CDM,369689,SPLINT NSL 50X28MM,689.0,689.0,103.35,689.0,42
CDM,369690,ANCH SUT KNOTLS 4.75MM,3721.0,3721.0,558.15,3721.0,30
CDM,369691,CMPNT PTLA KN 32MM SZ3,4252.0,4252.0,637.8,4252.0,30
CDM,369692,INSERT TIB KN SZ2 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,369693,ANCH BN 3.5MM 19.5MM,3515.0,3515.0,527.25,3515.0,30
CDM,369694,ANCHOR MESH TISSUE 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,369695,INSERT TIB KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,369696,INSERT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,369697,IMPL SPN DL PRLL 5.5/6.0,3012.0,3012.0,451.8,3012.0,30
CDM,369698,TRAY CATH CV 4FR 15CM,1600.5,1600.5,240.07,1600.5,42
CDM,369699,STAPLER SKN REG 35MM,240.5,240.5,36.08,240.5,42
CDM,369700,LINER ACTB HIP 52MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,369701,INSERT HIP SZ44 54-56MM,4429.0,4429.0,664.35,4429.0,30
CDM,369702,INSERT HIP SZ28 44MM,4429.0,4429.0,664.35,4429.0,30
CDM,369703,CMPNT FEM KN RT SZ4,25342.0,25342.0,3801.3,25342.0,30
CDM,369704,BASEPLATE TIB KN RT SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,369705,SCREW BN 4MM 60MM,319.0,319.0,47.85,319.0,30
CDM,369706,SCREW BN 4MM 44MM,319.0,319.0,47.85,319.0,30
CDM,369707,KWIRE FX 280MM 2MM,773.0,773.0,115.95,773.0,42
CDM,369709,KIT LO PRFL COMP SHTH 7F,127900.0,127900.0,19185.0,127900.0,42
CDM,369710,INTRO SHTH 7FR 30CM,2046.5,2046.5,306.98,2046.5,42
CDM,369711,STEM FEM HIP SZ5 130MM,6644.0,6644.0,996.6,6644.0,30
CDM,369712,INSERT TIB KN SZ7-8 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,369717,SCREW SPN PLVC 10.5X80MM,12955.0,12955.0,1943.25,12955.0,30
CDM,369737,WEDGE TIB KN SZEF 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,369738,STEM REV KN 20MM +135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,369739,SCREW SPN 9.5MM 75MM,3389.0,3389.0,508.35,3389.0,30
CDM,369740,SHELL HIP 0D 54MMX28MM,4252.0,4252.0,637.8,4252.0,30
CDM,369744,SCREW BN 3.5MM 90MM,1766.0,1766.0,264.9,1766.0,30
CDM,369761,ROD EX FIX 11MM 250MM,1612.5,1612.5,241.88,1612.5,42
CDM,369775,SPHERE GLND SHLDR 2X40MM,4872.0,4872.0,730.8,4872.0,30
CDM,369786,HEAD HUM SHLDR 45X19MM,4606.0,4606.0,690.9,4606.0,30
CDM,369799,SCREW BN 4MM 58MM,3294.0,3294.0,494.1,3294.0,30
CDM,369802,LENS IOL +17.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,369812,ROD SPN 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,369835,INSERT TIB KN SZ4.5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,369836,INSERT TIB KN SZ4.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,369837,INSERT ARTC KN 3-5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,369838,LENS IOL +29.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,369839,CMPNT TFLNG HIP RT SZ23,64221.0,64221.0,9633.15,64221.0,30
CDM,369840,CMPNT TFLNG HIP LT SZ25,64221.0,64221.0,9633.15,64221.0,30
CDM,369841,SPACER SPN 8D 12X14X40MM,24116.0,24116.0,3617.4,24116.0,30
CDM,369842,CANNULA SURG 15FR,773.0,773.0,115.95,773.0,42
CDM,369843,INSERT TIB KN SIZE4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,369844,INSERT TIB KN SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,369845,LINER HUM SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,369846,ANCHOR BN IMP SYS #2 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,369847,ADAPTER HUM SHLDR +10MM,7087.0,7087.0,1063.05,7087.0,30
CDM,369848,CAGE SPN 0D 23X9X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,369849,BASEPLATE TIB KN SZ4,13756.0,13756.0,2063.4,13756.0,30
CDM,369850,AUG TIB KN SZ4 10MM,4756.0,4756.0,713.4,4756.0,30
CDM,369851,AUG TIB KN SZ4 10MM,4756.0,4756.0,713.4,4756.0,30
CDM,369852,STEM FEM KN 21MM 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,369853,INSERT TIB KN SZ4 16MM,11162.0,11162.0,1674.3,11162.0,30
CDM,369854,LNR ACTB HIP GRP2 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,369855,LINER ACTB HIP 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,369856,SHELL MOD HIP 74MM,12389.0,12389.0,1858.35,12389.0,30
CDM,369857,LNR ACTB HIP 54/72-74MM,4606.0,4606.0,690.9,4606.0,30
CDM,369858,SCREW SPN 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,369859,ROD SPN 3.5/4.75MM 600MM,3012.0,3012.0,451.8,3012.0,30
CDM,369860,COMP FEM KN S5L,6201.0,6201.0,930.15,6201.0,30
CDM,370670,CUP REV SHD +3 36 SZ1/2,6201.0,6201.0,930.15,6201.0,30
CDM,370694,INSERT REV SHLDR +6X39MM,4428.0,4428.0,664.2,4428.0,30
CDM,370696,INSERT HUM SHLDR 6+ 33MM,4428.0,4428.0,664.2,4428.0,30
CDM,370699,INSERT SHLDR SZ1 36MM,6201.0,6201.0,930.15,6201.0,30
CDM,370700,INSERT HUM SHLDR +0 39MM,6201.0,6201.0,930.15,6201.0,30
CDM,370701,COMP SHD SZ1/2 +0X33MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370731,510K SKN SUB NOS 1SQCM,44.0,44.0,6.6,44.0,31
CDM,370751,COMP SHLDR SZ1/2 33MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370752,INS REV SHLDR SZ1/2 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370753,INS REV SHLDR SZ3/4 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370754,INSERT SHLDR SZ1/2 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370755,CMPNT SHLDR SZ1/2 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370756,INSERT SHLDR SZ3/4 +0X42,7973.0,7973.0,1195.95,7973.0,30
CDM,370768,STEM HUM SHLDR 23MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,370774,INSERT SHLDR SZ1/2 33MM,6201.0,6201.0,930.15,6201.0,30
CDM,370777,INSERT HUM SHLDR +3 36MM,6201.0,6201.0,930.15,6201.0,30
CDM,370781,INS REV SHLDR SZ3/4 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370782,INS HUM SHLDR SZ3/4 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370796,COMP HUM SHDLR +1.5MM,4252.0,4252.0,637.8,4252.0,30
CDM,370810,INSERT SHLDR SZ1/2 33MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370811,CMPNT HEAD SHLDR 39MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370812,COMP SHLDR 42MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370813,COMPNT HEAD SHLDR 3X33MM,7973.0,7973.0,1195.95,7973.0,30
CDM,370888,CAGE SPN 0D 12X14X18MM,50934.0,50934.0,7640.1,50934.0,30
CDM,370889,NAIL BN TIB 9MM 330MM,5013.0,5013.0,751.95,5013.0,30
CDM,370901,CLOSURE STRNL TGRTAPE,1576.0,1576.0,236.4,1576.0,30
CDM,370902,LINER ACTB HIP20D40X58MM,4429.0,4429.0,664.35,4429.0,30
CDM,370905,INSERT TIB KN SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,370906,LINER HUM SHLDR +0X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,370907,SCREW SPN S/T 4.3MM,1130.0,1130.0,169.5,1130.0,30
CDM,370908,INTBDY SPN 7D 20X15X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,370909,SCREW SPN 8.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,370910,SCREW BN HDLS 3.5X50MM,3294.0,3294.0,494.1,3294.0,30
CDM,370912,CMPNT TIB KN TRAY SZE,5647.0,5647.0,847.05,5647.0,30
CDM,370913,KIT INSTR RADL HD DISP,2660.5,2660.5,399.07,2660.5,42
CDM,370914,HEAD RADL ELBOW 5.5X22MM,14395.0,14395.0,2159.25,14395.0,30
CDM,370915,CAGE SPN 10D 10X27X35MM,17606.0,17606.0,2640.9,17606.0,30
CDM,370916,CAGE SPN 10D 12X30X39MM,17606.0,17606.0,2640.9,17606.0,30
CDM,370917,CLSR STERNAL 2MM 36IN,595.0,595.0,89.25,595.0,42
CDM,370925,ROD SPN FX 12X150X150MM,3012.0,3012.0,451.8,3012.0,30
CDM,370932,CATH DLYS 62.5CM 2CUF,1599.0,1599.0,239.85,1599.0,42
CDM,370936,LENS IOL +1.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,370937,LENS IOL +11.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,370938,SHEATH GD NDL BX MARKER,231.5,231.5,34.73,231.5,42
CDM,370955,PUMP PAIN INFN 20ML,45832.0,45832.0,6874.8,45832.0,30
CDM,370956,PUMP PAIN INFN 148GM,45832.0,45832.0,6874.8,45832.0,30
CDM,370965,INSERT ART KN SZ3-4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,370967,KNIFE OPTH DISP,4052.0,4052.0,607.8,4052.0,42
CDM,370968,SCREW BN INTF 8MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,370969,BASEPLATE TIB KN SZ5,13756.0,13756.0,2063.4,13756.0,30
CDM,370970,INSERT TIB KN SZ5 16MM,11162.0,11162.0,1674.3,11162.0,30
CDM,370971,CAGE SPN 0D 9X23MM,15059.0,15059.0,2258.85,15059.0,30
CDM,370972,CAGE SPN 9X23 10.5-15MM,15059.0,15059.0,2258.85,15059.0,30
CDM,370973,NEEDLE INFS IO PED 16GA,773.0,773.0,115.95,773.0,42
CDM,370974,ARTHROFLEX 1SQCM,1911.0,1911.0,286.65,1911.0,30
CDM,370976,SUTURE ANBCTRL +4-0 18IN,93.0,93.0,13.95,93.0,42
CDM,370979,POWDER COLGN TYPE1 1GM,3012.0,3012.0,451.8,3012.0,42
CDM,371353,INSERT TIB KN SZ3.5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,371355,INSERT TIB KN SZ3.5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,371371,INSERT TIB KN SZ5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,371375,INSERT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,371376,INSERT TIB KN SZ5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,371384,INSERT TIB KN SZ4.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,371395,PATELLA KN 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,371397,CMPNT KN 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,371399,PATELLA KN SZ3 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,371410,INSERT TIB KN SZ 6 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,371412,INSERT TIB KN SZ 6 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,371413,INSERT TIB KN SZ 6 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,371421,INSERT TIB KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,371436,INSERT TIB KN SZ5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,371439,INSERT TIB KN SZ4.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,371443,INSERT TIB KN SZ4.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,371476,INSERT TIB KN SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,371477,INSERT TIB KN SZ4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,371480,INSERT TIB KN SZ3.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,371484,INSERT TIB KN SZ3.5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,371485,INSERT KN SZ3.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,371490,INSERT TIB KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,371497,INSERT TIB KN SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,371510,NEEDLE SUT 2-0 MINI,1023.5,1023.5,153.53,1023.5,42
CDM,371517,IMPLANT CARTRIDGE PROST,4429.0,4429.0,664.35,4429.0,30
CDM,371518,DRILL BIT 3.7MM,3175.0,3175.0,476.25,3175.0,42
CDM,371523,SET DILATOR INSUL,4298.0,4298.0,644.7,4298.0,42
CDM,371534,SCREW BN LCKG 5X55MM,1913.0,1913.0,286.95,1913.0,30
CDM,371555,SCREW SPN 7.5MM 100MM,3389.0,3389.0,508.35,3389.0,30
CDM,371557,LINER ACTB HIP 28MM 38MM,4606.0,4606.0,690.9,4606.0,30
CDM,371558,CAP SPN LCK 5.5MM,753.0,753.0,112.95,753.0,30
CDM,371559,SCREW SPN 9.5MM 85MM,3389.0,3389.0,508.35,3389.0,30
CDM,371560,SCREW BN 1.8MM 4MM,1091.0,1091.0,163.65,1091.0,30
CDM,371561,HEAD HUM SHLDR 24MM 54MM,4872.0,4872.0,730.8,4872.0,30
CDM,371562,INSERT ACTB HIP 10D 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,371563,STEM FEM KN 17MM 175MM,6876.0,6876.0,1031.4,6876.0,30
CDM,371564,SURF ARTC KN 10-13 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,371565,INSERT TIB KN 20MM 71MM,4606.0,4606.0,690.9,4606.0,30
CDM,371566,INSERT TIB BRN AS 71X16,4606.0,4606.0,690.9,4606.0,30
CDM,371568,GWIRE VASC .025IN,194.5,194.5,29.18,194.5,42
CDM,371571,CATH ANGIO 5FR 100CM,227.5,227.5,34.13,227.5,42
CDM,371573,HEAD FEM HIP 28MM 43MM,4252.0,4252.0,637.8,4252.0,30
CDM,371579,GWIRE VASC .89MM 200CM,1269.0,1269.0,190.35,1269.0,42
CDM,371580,SYSTEM WND IRR 0.05% 450,773.0,773.0,115.95,773.0,42
CDM,371582,LENS IOL +15.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,371590,LINER ACTB HIP 40MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,371591,LINER ACTB HIP 50MM 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,371599,GRAFT STNT 22MM 16X70MM,44526.0,44526.0,6678.9,44526.0,30
CDM,371615,LINER ACTB HIP 42MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,371616,LINER ACTB HIP 42MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,371620,BEARING HUM SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,371621,STEM FEM HIP SZ10 115MM,8416.0,8416.0,1262.4,8416.0,30
CDM,371623,PLATE BN CLVCL RT 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,371625,INSERT TIBIA 4 RT E 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,371645,CATH ANGIO FR4 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,371671,HEAD HUM SHLDR 52MM 19MM,21703.0,21703.0,3255.45,21703.0,30
CDM,371672,RESTRICTOR BN CMNT SMALL,1.0,1.0,0.15,1.0,42
CDM,371673,SCREW BN 5X32MM,3098.0,3098.0,464.7,3098.0,30
CDM,371674,INSERT KN SZ6 22MM,6737.0,6737.0,1010.55,6737.0,30
CDM,371675,GLNSPHR HUM SHLDR 36+8MM,5271.0,5271.0,790.65,5271.0,30
CDM,371676,LENS IOL +6.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,371677,PLATE BN 1/3TBLR 107MM,3189.0,3189.0,478.35,3189.0,30
CDM,371678,CMPNT SHLDR 15D LG,11073.0,11073.0,1660.95,11073.0,30
CDM,371679,HEAD HUM SHLDR 23MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,371680,MESH SURG BIO 9CM,3189.0,3189.0,478.35,3189.0,30
CDM,371681,GRAFT MESH 20X15CM,6547.0,6547.0,982.05,6547.0,30
CDM,371682,MESH SURG 35X35CM,40269.0,40269.0,6040.35,40269.0,30
CDM,371683,COIL EMBL 2.8FR 5CM,4429.0,4429.0,664.35,4429.0,30
CDM,371684,KIT CAROTID EMBLC PRTCT,19098.5,19098.5,2864.78,19098.5,42
CDM,371685,SUTURE WHT BRD 2-0 30IN,231.5,231.5,34.73,231.5,42
CDM,371686,RING ANULPSTY MITRL 24MM,18370.0,18370.0,2755.5,18370.0,30
CDM,371687,RING ANULPSTY MITRL 24MM,18370.0,18370.0,2755.5,18370.0,30
CDM,371688,RING ANULPSTY MITRL 28MM,9185.0,9185.0,1377.75,9185.0,30
CDM,371689,RING ANNULOPLASTY 30MM,9185.0,9185.0,1377.75,9185.0,30
CDM,371690,RING ANULPSTY MITRL 32MM,9185.0,9185.0,1377.75,9185.0,30
CDM,371691,RING ANULPSTY MITRL 34MM,9185.0,9185.0,1377.75,9185.0,30
CDM,371692,RING ANULPSTY MITRL 36MM,9185.0,9185.0,1377.75,9185.0,30
CDM,371693,RING ANULPSTY MITRL 38MM,9185.0,9185.0,1377.75,9185.0,30
CDM,371694,RING ANLPLSTY 40MM,18370.0,18370.0,2755.5,18370.0,30
CDM,371695,LENS IOL +23.5 DIOP,1.0,1.0,0.18,1.0,28
CDM,371696,LENS IOL +20.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,371698,INSERT TIB KN SZ4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,371702,CATH ANGIO AL1 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,371709,SCREW BN LCKNG 5X80MM,1913.0,1913.0,286.95,1913.0,30
CDM,371712,LEAD NRSTM 60CM,16689.0,16689.0,2503.35,16689.0,30
CDM,371714,DEVICE CLSR WND 14X14CM,363.5,363.5,54.52,363.5,42
CDM,371715,SUTURE VIOLET SZ3-0 6IN,333.0,333.0,49.95,333.0,42
CDM,372054,CLIP LGT WIDE SM,780.0,780.0,117.0,780.0,30
CDM,372055,STEM FEM HIP 12/14 SZ2,8416.0,8416.0,1262.4,8416.0,30
CDM,372088,CATH BLNDIL 6X20MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,372089,SCREW BN 3MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,372103,SCREW BN 2.5MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,372114,CMPNT HINGE KN SZ1-2,15112.0,15112.0,2266.8,15112.0,30
CDM,372115,INSERT HINGE KN SZ4 19MM,7799.0,7799.0,1169.85,7799.0,30
CDM,372123,ANCHOR DBL LD KNTLS KN,3721.0,3721.0,558.15,3721.0,30
CDM,372127,EXPANDER TISS EXTRN 26CM,263.0,263.0,39.45,263.0,42
CDM,372128,CMPNT TFLNG HIP RT SZ24,64221.0,64221.0,9633.15,64221.0,30
CDM,372129,CMPNT TFLNG HIP RT SZ24,64221.0,64221.0,9633.15,64221.0,30
CDM,372130,CMPNT TFLNG HIP RT SZ25,64221.0,64221.0,9633.15,64221.0,30
CDM,372131,SCREW SPN 5.5MM 35MM,1130.0,1130.0,169.5,1130.0,30
CDM,372132,KIT INSTR BX 12GA 13CM,811.5,811.5,121.72,811.5,42
CDM,372133,INSTRUMENT BX 14GA 13CM,773.0,773.0,115.95,773.0,42
CDM,372134,GWIRE VASC .024IN 200CM,4385.5,4385.5,657.83,4385.5,42
CDM,372135,GWIRE VASC .024IN 200CM,4385.5,4385.5,657.83,4385.5,42
CDM,372136,GWIRE VASC .024IN 200CM,4385.5,4385.5,657.83,4385.5,42
CDM,372137,PLATE BN 200X200X.6MM,3721.0,3721.0,558.15,3721.0,30
CDM,372138,STENT URET SD HL 8F 24CM,3016.0,3016.0,452.4,3016.0,30
CDM,372139,STENT URET 8MM 22MM,3016.0,3016.0,452.4,3016.0,30
CDM,372141,DEVICE WND CLSR 6IN,231.5,231.5,34.73,231.5,42
CDM,372142,IMPLANT BREAST 325CC,5094.0,5094.0,764.1,5094.0,30
CDM,372143,LENS IOL +12.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,372149,SPACER SPN 18X15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,372150,STEM FEM KN 9MM 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,372151,BASEPLATE TIB KN SZ2,13756.0,13756.0,2063.4,13756.0,30
CDM,372152,INSERT TIB KN SZ2 9MM,11162.0,11162.0,1674.3,11162.0,30
CDM,372154,SCREW BN 4.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,372155,GWIRE TROCH TIP 2X55MM,417.5,417.5,62.63,417.5,42
CDM,372156,DRILL SURG CANN 3.5MM,1522.5,1522.5,228.38,1522.5,42
CDM,372157,IMPLANT ORBT SPHR 16MM,1021.0,1021.0,153.15,1021.0,30
CDM,372160,GW VASC .014IN 190CM,773.0,773.0,115.95,773.0,42
CDM,372165,IMPLANT BREAST 510CC,3311.0,3311.0,496.65,3311.0,30
CDM,372172,MESH SURG HERNIA 10X15CM,3721.0,3721.0,558.15,3721.0,30
CDM,372178,ELECTRODE ESURG 2.75IN,81.0,81.0,12.15,81.0,42
CDM,372179,INSERT TIB KN 6/11MM,4429.0,4429.0,664.35,4429.0,30
CDM,372191,CATHETER RENAL 6FR,81856.0,81856.0,13915.52,81856.0,38
CDM,372194,LINER HUM SHLDR 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,372216,DRILLL W/PASS WIRE 2.4MM,2535.5,2535.5,380.32,2535.5,42
CDM,372220,SYSTEM BRST BX 12G,2660.5,2660.5,399.07,2660.5,42
CDM,372252,HEAD HUM SHLDR 4X19X44MM,4606.0,4606.0,690.9,4606.0,30
CDM,372283,STEM HUM SHLDR 12X200MM,12402.0,12402.0,1860.3,12402.0,30
CDM,372286,STEM HUM SHLDR 103X18MM,12402.0,12402.0,1860.3,12402.0,30
CDM,372621,RESTRATA 1SQCM,1130.0,1130.0,169.5,1130.0,29
CDM,372628,INSERT HUM SHLDR 12X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,372633,INSERT HUM SHLDR 12X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,372637,INSERT HUM SHLDR 10X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,372638,INSERT HUM SHLDR 8X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,372645,INSERT HUM SHLDR 32X8MM,4606.0,4606.0,690.9,4606.0,30
CDM,372659,GLNSPHR SHLDR 2MM 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,372665,RESTRATA 1SQCM,588.0,588.0,88.2,588.0,29
CDM,372669,PLATE SPN CERV 2LV 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,372670,ROD SPN 4.5MM 300MM,3012.0,3012.0,451.8,3012.0,30
CDM,372671,INSERT ACTB HIP 22X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,372672,NAIL BN 8.5MM 225MM,5511.0,5511.0,826.65,5511.0,30
CDM,372673,SUTURE TPE BLK/WHT 1.3MM,1316.0,1316.0,197.4,1316.0,30
CDM,372674,COMP GLND XL 50MM,6201.0,6201.0,930.15,6201.0,30
CDM,372675,CATH BLNDIL 5.0X35MM,2775.0,2775.0,416.25,2775.0,42
CDM,372676,INTERBODY SPN 20X15X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,372677,PLATE CERV 2 LVL 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,372678,PLATE SPN 1LVL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,372679,SCREW SPN 6.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,372680,ROD SPN CNTRD 3.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,372681,INSERT HINGE KN SZ3 16MM,7795.0,7795.0,1169.25,7795.0,30
CDM,372682,IMPLANT BREAST 750CC,3311.0,3311.0,496.65,3311.0,30
CDM,372683,SCREW SPN 4.5MM 25MM,5426.0,5426.0,813.9,5426.0,30
CDM,372684,CONN CROSS 42-58MM,3012.0,3012.0,451.8,3012.0,30
CDM,372685,CONN ROD SPN 4.5X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,372686,COIL EMBL 2.8FR 10CM,4429.0,4429.0,664.35,4429.0,30
CDM,372687,COIL EMBL 2.8FR 20CM,4429.0,4429.0,664.35,4429.0,30
CDM,372688,COIL EMBL 2.8FR 35CM,5963.0,5963.0,894.45,5963.0,30
CDM,372689,COIL EMBL 2.8FR 50CM,5963.0,5963.0,894.45,5963.0,30
CDM,372690,COIL EMBL 2.8FR 60CM,5963.0,5963.0,894.45,5963.0,30
CDM,372692,CAGE SPN STR 0D 9X27X6,8858.0,8858.0,1328.7,8858.0,30
CDM,372693,STENT GRAFT 16X13X199MM,15823.0,15823.0,2373.45,15823.0,30
CDM,372694,INSERT TIB KN LT 14MM,9966.0,9966.0,1494.9,9966.0,30
CDM,372695,INSERT TIB KN SZ3 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,372699,CMPNT FEM KN RT SZ2,6201.0,6201.0,930.15,6201.0,30
CDM,372700,INSERT TIB KN SZ2 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,372701,INSERT TIB KN SZ5-6 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,372702,INSERT TIB KN SZ5-6 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,372703,SUTURE ANCHOR 4.75MM,3906.0,3906.0,585.9,3906.0,30
CDM,372704,CANNULA ENDO 8X75MM,263.0,263.0,39.45,263.0,42
CDM,372705,INSERT HUM SHLDR 6X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,372717,GRAFT DURA CRN 2.5X2.5CM,3125.0,3125.0,468.75,3125.0,30
CDM,372718,GRAFT DURA CRANI 5X5CM,4061.0,4061.0,609.15,4061.0,30
CDM,372734,RESTRATA 1SQCM,2044.0,2044.0,306.6,2044.0,29
CDM,372735,RESTRATA 1SQCM,1744.0,1744.0,261.6,1744.0,29
CDM,372737,RESTRATA 1SQCM,892.0,892.0,133.8,892.0,29
CDM,372741,RESTRATA 1SQCM,991.0,991.0,148.65,991.0,29
CDM,372744,RESTRATA MINIMATRIX 5MG,375.0,375.0,56.25,375.0,42
CDM,372774,LENS IOL +18.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,372775,LENS IOL +19.0 DIOP,1.0,1.0,0.18,1.0,28
CDM,372779,GRAFT TISS SYN INJ 10CC,4988.0,4988.0,748.2,4988.0,30
CDM,372845,SET SCREW SPN 8X1.0MM,753.0,753.0,112.95,753.0,30
CDM,372851,PLATE SPNL 2-LEVEL 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,372852,INSERT HUM SHLDR 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,372856,GRAFT DURA CRNL 2X1CM,3012.0,3012.0,451.8,3012.0,30
CDM,372857,CATH ANGIO 5FR 100CM,227.5,227.5,34.13,227.5,42
CDM,372859,HEAD FEM HIP+11MM 14/16,4252.0,4252.0,637.8,4252.0,30
CDM,372860,TRIAL GLENOID SHLDR SM,4606.0,4606.0,690.9,4606.0,30
CDM,372861,CAP IMPL SHLDR 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,372862,HEAD SHLDR HUM 16X37MM,4606.0,4606.0,690.9,4606.0,30
CDM,372863,INSERT KN 10MM THK SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,372864,DEVICE WIRE LOCKING,386.5,386.5,57.98,386.5,42
CDM,372865,CUFF SENSOR HEMO 43-71MM,2578.5,2578.5,386.77,2578.5,42
CDM,372868,PLATE CRANIAL MNDB SMALL,28794.0,28794.0,4319.1,28794.0,30
CDM,372869,CUP ACTB HIP 28MM 46MM,4252.0,4252.0,637.8,4252.0,30
CDM,372870,SCREW SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,372871,IMPLANT BREAST 440CC,4429.0,4429.0,664.35,4429.0,30
CDM,372901,SCREW BN 4.0MM 56MM,3294.0,3294.0,494.1,3294.0,30
CDM,372919,GWIRE NEUR 0.014IN 200CM,4093.0,4093.0,613.95,4093.0,42
CDM,372920,CATH BLNDIL 22MM 5X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,372921,CATH BLNDIL 23MM 5X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,372922,CATH RNGR PTCA 2.5X20MM,13302.0,13302.0,1995.3,13302.0,42
CDM,372923,CATH RNGR PTCA 3X20MM,13302.0,13302.0,1995.3,13302.0,42
CDM,372924,CATH RNGR PTCA 4.5X20MM,13302.0,13302.0,1995.3,13302.0,42
CDM,372925,WRENCH NMD SURG TORQUE,278.5,278.5,41.77,278.5,42
CDM,372926,TUNNELER SURG T00L 12IN,448.5,448.5,67.28,448.5,42
CDM,372927,CMPNT FEM HIP SZ7.5,7530.0,7530.0,1129.5,7530.0,30
CDM,372928,COMPNT WDG KN SZEF RL,20429.0,20429.0,3064.35,20429.0,30
CDM,372929,STEM FEM HIP 21X127MM,4765.0,4765.0,714.75,4765.0,30
CDM,372930,STEM FEM HIP 127MM 22MM,9529.0,9529.0,1429.35,9529.0,30
CDM,372931,SHELL ACTB HIP 3H 66MM,4606.0,4606.0,690.9,4606.0,30
CDM,372932,STEM FEM HIP 17MM 115MM,10283.0,10283.0,1542.45,10283.0,30
CDM,372936,BLADE BLUNT W IRR 20MM,4093.0,4093.0,613.95,4093.0,42
CDM,372937,STEM FEM HIP SZ6L,8416.0,8416.0,1262.4,8416.0,30
CDM,372938,INSERT TIB KN BRN 8 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,372939,CMPNT FEM KN CMNT SZ4,7087.0,7087.0,1063.05,7087.0,30
CDM,372940,CMPNT TIB CMNT LM/RL SZ5,5581.0,5581.0,837.15,5581.0,30
CDM,372941,BEARING TIB KN SZ5 11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,372947,IMPLANT BREAST 210CC,4429.0,4429.0,664.35,4429.0,30
CDM,372948,LENS IOL +17.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,372954,CATH VASC US 3FR 135CM,4304.5,4304.5,645.67,4304.5,42
CDM,373002,INSERT TIB KN SZ9 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,373343,CMPNT FEM KN NAR RT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,373344,CLIP LIGATION MED-LARGE,365.0,365.0,54.75,365.0,30
CDM,373345,CLIP LIGATION LARGE,365.0,365.0,54.75,365.0,30
CDM,373346,CATH RINGER PTCA 4X20MM,13302.0,13302.0,1995.3,13302.0,42
CDM,373347,CATH GD 6FR 125MM,1238.0,1238.0,185.7,1238.0,42
CDM,373348,INSERT TIB KN SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,373351,CATH PRFSN 20FR .25IN,323.0,323.0,48.45,323.0,42
CDM,373357,PLATE BN TIB LT 6H 119MM,5771.0,5771.0,865.65,5771.0,30
CDM,373373,HINGE FEM KN LT SZ3,9629.0,9629.0,1444.35,9629.0,30
CDM,373374,BASE TIB KN HINGE SZ4,7007.0,7007.0,1051.05,7007.0,30
CDM,373375,INSERT HINGE KN SZ314MM,4606.0,4606.0,690.9,4606.0,30
CDM,373376,SCREW BN FIX HINGE YOKE,3189.0,3189.0,478.35,3189.0,30
CDM,373377,ASMBLY HNG KN YOKE SZ4-6,20945.0,20945.0,3141.75,20945.0,30
CDM,373378,AUG FEM KN DIST SZC 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,373379,CONE TIB KN SZ2,11162.0,11162.0,1674.3,11162.0,30
CDM,373397,BSCP FLX DSP REG 5.0MM,2046.5,2046.5,306.98,2046.5,42
CDM,373409,PROTECTOR NRV HA+4CM 8CM,22526.0,22526.0,3378.9,22526.0,30
CDM,373474,SCREW SPN 4.2X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,373475,COMP HUM LT EXTENSION,9842.0,9842.0,1476.3,9842.0,30
CDM,373483,SCREW BN LCK 3.5X44MM,2456.0,2456.0,368.4,2456.0,30
CDM,373489,KWIRE 1.5MM 127MM,603.0,603.0,90.45,603.0,42
CDM,373492,TRANSDUCER LINEAR 38MM,6231.5,6231.5,934.73,6231.5,42
CDM,373493,TAPE SUTURE BLUE 1.3MM,1316.0,1316.0,197.4,1316.0,30
CDM,373494,INSERT HUM SHLDR 9+X33MM,17349.0,17349.0,2602.35,17349.0,30
CDM,373495,PLATE BN MIDFCE .3MM,5083.0,5083.0,762.45,5083.0,30
CDM,373496,PLATE BN STR 8H 2.7MM,5639.0,5639.0,845.85,5639.0,30
CDM,373497,SCREW BN 2.7MM 11MM,2041.0,2041.0,306.15,2041.0,30
CDM,373498,DRILL BIT 2.0MM,1391.5,1391.5,208.72,1391.5,42
CDM,373499,SCREW BN 2.7X12MM,3189.0,3189.0,478.35,3189.0,30
CDM,373500,SCREW BN 2.7MM 13MM,3189.0,3189.0,478.35,3189.0,30
CDM,373501,SCREW BN CRTX 1.5X8MM,508.0,508.0,76.2,508.0,30
CDM,373502,SCREW BN CRTX 1.5X9MM,508.0,508.0,76.2,508.0,30
CDM,373503,CMPNT FEM KN CMNT LT SZ4,6201.0,6201.0,930.15,6201.0,30
CDM,373504,HEAD HUM SHLDR 21MM 44MM,4872.0,4872.0,730.8,4872.0,30
CDM,373505,BLADE SAW 45.9X1.016MM,701.0,701.0,105.15,701.0,42
CDM,373506,PLATE SPN LV 2 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,373507,SCREW SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,373508,SCREW SPN 4.3MM 6MM,1130.0,1130.0,169.5,1130.0,30
CDM,373510,COMPNT ACTB HIP 44X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,373511,HEAD HIP COCR +3.5 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,373512,CMPNT HIP FEM SZ8,7530.0,7530.0,1129.5,7530.0,30
CDM,373513,ANCHOR SUT BICEPS,3744.0,3744.0,561.6,3744.0,30
CDM,373514,IMPLANT BHX 4MM,7139.0,7139.0,1070.85,7139.0,30
CDM,373515,COVER SCREW HEXAGON,3189.0,3189.0,478.35,3189.0,30
CDM,373516,COUNTERSINK WIDE 4MM,5005.5,5005.5,750.83,5005.5,42
CDM,373517,GUIDE DRILL REM SPCR 3MM,1719.0,1719.0,257.85,1719.0,42
CDM,373518,SHELL ACTB HIP 3HL 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,373519,LINER ACTB HIP 44MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,373520,STEM FEM HIP 14X9X205MM,11587.0,11587.0,1738.05,11587.0,30
CDM,373521,STENT EPRSTH 15CM 40MM,123040.0,123040.0,18456.0,123040.0,30
CDM,373522,STENT EPRSTH 20X23MM 6CM,29991.0,29991.0,4498.65,29991.0,30
CDM,373524,PLATE SPN 1.6V 1LVL 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,373525,ANCHOR BN TNDN 5.5MM,3675.0,3675.0,551.25,3675.0,30
CDM,373526,ROD SPN 4MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,373527,GRAFT CV 26MM 14MM 8MM,18072.0,18072.0,2710.8,18072.0,30
CDM,373536,COMP CONE KN XL,13730.0,13730.0,2059.5,13730.0,30
CDM,373544,SCREW SPN VAR 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,373548,MESH SURG 10CM 17CM,3721.0,3721.0,558.15,3721.0,30
CDM,373569,BSCP DISP SLIM 3.8/1.2,2046.5,2046.5,306.98,2046.5,42
CDM,373574,RELOAD STPLR 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,373575,LENS IOL +15.5 DIOP,630.0,630.0,115.98,630.0,28
CDM,373576,GRAFT CV 24MM 12MM 8MM,11566.0,11566.0,1734.9,11566.0,30
CDM,373577,GRAFT CV 28MM 14MM 8MM,11566.0,11566.0,1734.9,11566.0,30
CDM,373578,PLATE SPN 2HL 16MM,9877.0,9877.0,1481.55,9877.0,30
CDM,373579,COVER SPN LCK 16MM,2711.0,2711.0,406.65,2711.0,30
CDM,373580,CMPNT TIB KN SZ3 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,373582,VALVE AOR TAVR 44MM,165335.0,165335.0,24800.25,165335.0,30
CDM,373583,VALVE AOR TAVR 52MM,165335.0,165335.0,24800.25,165335.0,30
CDM,373584,VALVE AOR TAVR 48MM,165335.0,165335.0,24800.25,165335.0,30
CDM,373586,SCREW SPN 5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,373587,CONN SPN THRD HEAD 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,373588,ROD SPN LONG 15MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,373589,SYS SURG BLDE 25MM,4093.0,4093.0,613.95,4093.0,42
CDM,373591,CATH BLNDIL 4MM 30MM,28905.5,28905.5,4913.94,28905.5,38
CDM,373592,CATH BLNDIL 2.75MM 30MM,28905.5,28905.5,4913.94,28905.5,38
CDM,373593,CATH BLNDIL 2.25MM 30MM,28905.5,28905.5,4913.94,28905.5,38
CDM,373594,CATH BLNDIL 2MM 30MM,28905.5,28905.5,4913.94,28905.5,38
CDM,373595,CATH BLNDIL 2.75MM 20MM,28905.5,28905.5,4913.94,28905.5,38
CDM,373596,CATH BLNDIL 2.25MM 20MM,28905.5,28905.5,4913.94,28905.5,38
CDM,373598,CMPNT AUG KN LT SZ3/4,13389.0,13389.0,2008.35,13389.0,30
CDM,373600,CAGE SPN 0D 14X14X16MM,25312.0,25312.0,3796.8,25312.0,30
CDM,373603,IMPL SPN DL PRLL TOP LD,3012.0,3012.0,451.8,3012.0,30
CDM,373604,AUGMENT FEM KN LT 3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,373605,HEAD HUM SHLDR 18MM 44MM,4872.0,4872.0,730.8,4872.0,30
CDM,373614,BIT DRILL 3MM 4.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,373621,CMPNT TIBIAL LT SIZE 5,9053.0,9053.0,1357.95,9053.0,30
CDM,373625,CATH THRMB 115CM 135CM,49369.5,49369.5,7405.43,49369.5,42
CDM,373626,CATH THRMB 100CM,49369.5,49369.5,7405.43,49369.5,42
CDM,373644,SCREW BN 5MM 42.5MM,1913.0,1913.0,286.95,1913.0,30
CDM,373665,LINER HUM SHLDR+2.5 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,373666,IMPLANT BREAST 435CC,5758.0,5758.0,863.7,5758.0,30
CDM,373667,IMPLANT BREAST 470CC,5758.0,5758.0,863.7,5758.0,30
CDM,373668,INSERT TIB KN SZ2 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,373673,DEVICE CLSE WND 1 36CM,320.5,320.5,48.08,320.5,42
CDM,373675,TRAY HUM AUG LAT LF 0,22145.0,22145.0,3321.75,22145.0,30
CDM,373676,WEDGE FEM KN SZ4 5.0MM,4883.0,4883.0,732.45,4883.0,30
CDM,373677,HINGE FEM KN SZ6 5.0MM,4883.0,4883.0,732.45,4883.0,30
CDM,373678,WEDGE CONE AUG KN RT SZ6,13389.0,13389.0,2008.35,13389.0,30
CDM,373679,BASEPLATE TIB KN SZ7,13756.0,13756.0,2063.4,13756.0,30
CDM,373680,INSERT TIB KN SZ7 22MM,7799.0,7799.0,1169.85,7799.0,30
CDM,373682,SUTURE BLU MONO 2 20IN,174.5,174.5,26.18,174.5,42
CDM,373684,CAGE SPN INTERBDY 16MM,19200.0,19200.0,2880.0,19200.0,30
CDM,373694,SCREW BN 7MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,373711,SCREW BN 5.0MM 50MM,2393.0,2393.0,358.95,2393.0,30
CDM,373713,WIRE FX 5MM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,373737,STEM FEM KN 160MM 18MM,4643.0,4643.0,696.45,4643.0,30
CDM,373738,SUTURE BLK BRD 2-0 18IN,142.0,142.0,21.3,142.0,42
CDM,373739,VALVE AOR 35MM,69210.0,69210.0,10381.5,69210.0,30
CDM,373740,PLATE BN VOLAR 9HL 7PEG,7951.0,7951.0,1192.65,7951.0,30
CDM,373741,CAGE SPN 10D 8X18X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,373742,PLATE SPNL 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,373743,SCREW BN 3.5MM 8MM,1738.0,1738.0,260.7,1738.0,30
CDM,373744,CMPNT TIB KN CONE LG,13730.0,13730.0,2059.5,13730.0,30
CDM,373745,CMPNT FEM KN R SZ4,6201.0,6201.0,930.15,6201.0,30
CDM,373746,NAIL BN TIB 9MM 300MM,5013.0,5013.0,751.95,5013.0,30
CDM,373747,SCREW BN 3.5MM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,373748,SCREW BN 3.5X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,373749,LENS IOL +31.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,373791,STEM FEM HIP SZ19,20073.0,20073.0,3010.95,20073.0,30
CDM,373822,BARRIER SKN 1.75X2.25IN,13.0,13.0,2.39,13.0,26
CDM,373822,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",13.0,13.0,12.24,18.93,34
CDM,373842,COIL EMBL 40CM 12MM,3720.0,3720.0,558.0,3720.0,30
CDM,373843,COIL EMBL DETCH 10X30MM,3720.0,3720.0,558.0,3720.0,30
CDM,373844,CMPNT TIB KN SZ2 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,373845,DEVICE CATH 2FR 97-112CM,2251.0,2251.0,337.65,2251.0,42
CDM,373846,SCREW PED 8.5X85MM,3348.0,3348.0,502.2,3348.0,30
CDM,373847,LENS IOL +22.5 DIOP,606.5,606.5,111.66,606.5,28
CDM,373849,ROD SPN 5.5MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,373850,IMPLANT SYSTEM 3.5MM,14186.0,14186.0,2127.9,14186.0,30
CDM,373851,SUTURE BLU 0.9MM 36.6MM,773.0,773.0,115.95,773.0,42
CDM,373852,STEM FEM KN SZ-TS 13X150,4606.0,4606.0,690.9,4606.0,30
CDM,373853,COMPT FEM KN COATED #4,6201.0,6201.0,930.15,6201.0,30
CDM,373854,COMPT TIB TRAY KN CMNT,4872.0,4872.0,730.8,4872.0,30
CDM,373855,DRIVER COMP DISP,1359.0,1359.0,203.85,1359.0,42
CDM,373856,GUIDE PIN 3.2X381MM,1418.5,1418.5,212.78,1418.5,42
CDM,373859,SLEEVE HIP CNTRG 22B LG,4252.0,4252.0,637.8,4252.0,30
CDM,373860,DEVICE LCK BX CAP OLMPS,247.5,247.5,37.13,247.5,42
CDM,373862,SHEATH INTRO 11FR 45MM,270.5,270.5,40.58,270.5,42
CDM,373863,LINER ACTB HIP RT SZ26,64221.0,64221.0,9633.15,64221.0,30
CDM,373866,PLATE BN RAD HD,5430.0,5430.0,814.5,5430.0,30
CDM,373875,PLATE SPNL ANT 2HL 6MM,4540.0,4540.0,681.0,4540.0,30
CDM,373877,COIL EMBL 3D 9MM 30CM,3720.0,3720.0,558.0,3720.0,30
CDM,373878,COIL EMBL 3D 8MM 30CM,3720.0,3720.0,558.0,3720.0,30
CDM,373879,COIL EMBL 3D 7MM 30CM,3720.0,3720.0,558.0,3720.0,30
CDM,373880,COIL EMBL 3D 6MM 20CM,3720.0,3720.0,558.0,3720.0,30
CDM,373881,COIL EMBL 3D 5MM 15CM,3720.0,3720.0,558.0,3720.0,30
CDM,373882,COIL EMBL 3D 4MM 8CM,3720.0,3720.0,558.0,3720.0,30
CDM,373883,COIL EMBL 3D 4MM 12CM,3720.0,3720.0,558.0,3720.0,30
CDM,373884,COIL EMBL 3D 4MM 10CM,3720.0,3720.0,558.0,3720.0,30
CDM,373885,COIL EMBL 3D 3MM 8CM,3720.0,3720.0,558.0,3720.0,30
CDM,373886,COIL EMBL 6CM 3MM,3720.0,3720.0,558.0,3720.0,30
CDM,373887,COIL EMBL 3D 3MM 4CM,3720.0,3720.0,558.0,3720.0,30
CDM,373888,COIL EMBL 3D 2MM 6CM,3720.0,3720.0,558.0,3720.0,30
CDM,373889,COIL EMBL 3D 2MM 4CM,3720.0,3720.0,558.0,3720.0,30
CDM,373890,COIL EMBL 3D 2CM 2MM,3720.0,3720.0,558.0,3720.0,30
CDM,373891,COIL EMBL 40CM 18MM,3720.0,3720.0,558.0,3720.0,30
CDM,373892,COIL EMBL 40CM 16MM,3720.0,3720.0,558.0,3720.0,30
CDM,373893,COIL EMBL 40CM 14MM,3720.0,3720.0,558.0,3720.0,30
CDM,373933,GRAFT BN WDG 8MM,7175.0,7175.0,1076.25,7175.0,30
CDM,373934,GRAFT BN WDG 7MM,6112.0,6112.0,916.8,6112.0,30
CDM,373960,CATH IVL 2.5MM 80MM,24045.5,24045.5,3606.82,24045.5,42
CDM,373961,CATH BLN PRPF 80MM 150CM,24045.5,24045.5,3606.82,24045.5,42
CDM,373962,CATH IVL 3.5MM 80MM,24045.5,24045.5,3606.82,24045.5,42
CDM,373963,CATH IVL 4MM 80MM,24045.5,24045.5,3606.82,24045.5,42
CDM,373964,CATH IVL 5MM 80MM,24045.5,24045.5,3606.82,24045.5,42
CDM,373965,CATH IVL 60MM 80MM,24045.5,24045.5,3606.82,24045.5,42
CDM,373977,INSERT CLIP KN LCK CSTM,2913.0,2913.0,436.95,2913.0,30
CDM,373978,CONE TIB KN 36X26X29MM,26109.0,26109.0,3916.35,26109.0,30
CDM,373979,CMPNT FEM KN LT LG 75MM,32056.0,32056.0,4808.4,32056.0,30
CDM,373980,STEM KN 130MM 24/20MM,6644.0,6644.0,996.6,6644.0,30
CDM,373981,SPACER FEM MEDIAL 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,373982,SPACER FEM LATERAL 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,373983,CMPNT TIB KN SZLG 75MM,14173.0,14173.0,2125.95,14173.0,30
CDM,373984,CMPNT FEM CONE 27X45X32,21180.0,21180.0,3177.0,21180.0,30
CDM,373985,ROD SPN 75MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,373986,SCREW SPN 9.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,373999,INSERT TIB KN 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,374000,KNEE POLY INSERT 6MM,4252.0,4252.0,637.8,4252.0,30
CDM,374001,LENS IOL +14.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,374002,INSERT TIB KN SZ6 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,374003,INSERT TIB KN SZ6 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,374004,STEM FEM KN 90X13MM,4918.0,4918.0,737.7,4918.0,30
CDM,374005,CMPNT TIB KN 71/75 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,374006,CMPNT FEM KN LT 3CM,32819.0,32819.0,4922.85,32819.0,30
CDM,374007,PLATE BN 10H 2.7/3.5MM,5592.0,5592.0,838.8,5592.0,30
CDM,374008,GRAFT AMNIO TISS 3.5X3.5,4429.0,4429.0,664.35,4429.0,30
CDM,374009,CATH RNGR PTCA 3.5X20MM,13302.0,13302.0,1995.3,13302.0,42
CDM,374010,COVER PLTE SPN ZERO 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,374012,CMPNT FEM KN SZC,42280.0,42280.0,6342.0,42280.0,30
CDM,374014,VALVE TAVR 23MM,111505.0,111505.0,16725.75,111505.0,30
CDM,374015,VALVE TAVR 26MM,111505.0,111505.0,16725.75,111505.0,30
CDM,374016,VALVE TAVR 29MM,111505.0,111505.0,16725.75,111505.0,30
CDM,374017,VALVE TAVR 34MM,121118.0,121118.0,18167.7,121118.0,30
CDM,374018,CAGE SPN 16D 36X24X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,374019,CMPNT FEM KN STR 13X150,5353.0,5353.0,802.95,5353.0,30
CDM,374020,STEM FEM KN 150X16MM,5353.0,5353.0,802.95,5353.0,30
CDM,374021,STENT ENDO 6X19MM 135CM,11773.0,11773.0,1765.95,11773.0,30
CDM,374022,STENT ENDO 6X29MM 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374023,STENT ENDO 6FR 6X135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374024,STENT BLN ENDO 6FR 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374025,STENT ENDO 6FR 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374026,STENT ENDO 6FR 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374027,STENT ENDO 6FR 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374028,STENT ENDO 7FR 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374029,STENT ENDO 7FR 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374030,STENT 7FR 9X39MM 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374031,STENT 7FR 9X59MM 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,374033,PLATE BN 2.7/3.5MM 134MM,4758.0,4758.0,713.7,4758.0,30
CDM,374034,SCREW BN 3.5MM 20MM,1781.0,1781.0,267.15,1781.0,30
CDM,374036,COMP FEM KN LT SM SZ8,21703.0,21703.0,3255.45,21703.0,30
CDM,374037,CMPNT FEM KN SZ8/9 5MM,6644.0,6644.0,996.6,6644.0,30
CDM,374038,CMPNT PTLA KN E+ 9X38MM,4252.0,4252.0,637.8,4252.0,30
CDM,374039,INSERT TIB KN 8 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,374044,CAGE SPN 6D 18MM 16/45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,374045,INTBDY SPN 7D 18X15X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,374046,PLATE SPN ANT 2HL 7MM,4540.0,4540.0,681.0,4540.0,30
CDM,374047,INTBDY SPN 7D 20X15X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,374048,PLATE SPN 2HL 8MM,4540.0,4540.0,681.0,4540.0,30
CDM,374049,INTERBODY 7D 20X15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,374050,SCREW SPN 4.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,374052,SPACER SPN 12D 24X32X14M,8903.0,8903.0,1335.45,8903.0,30
CDM,374054,MNPLT SURG CUP 3.5CM,773.0,773.0,115.95,773.0,42
CDM,374055,PLATE SPN ZERO 14MM,8194.0,8194.0,1229.1,8194.0,30
CDM,374056,LANCE FLAT BLDE JUVENILE,213.0,213.0,31.95,213.0,42
CDM,374065,ANCHOR BN 4.75X24.5MM,3675.0,3675.0,551.25,3675.0,30
CDM,374072,DRILL BIT 3.2MM,1504.0,1504.0,225.6,1504.0,42
CDM,374082,GRAFT HEAD FEM SZD 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,374087,SCREW SPN 5.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,374088,SCREW SPN 5.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,374093,ROD SPN 40X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,374096,NAIL BN TIB 8X330MM,5362.0,5362.0,804.3,5362.0,30
CDM,374103,SPLINT DNTL CSTM MADE,20965.0,20965.0,3144.75,20965.0,30
CDM,374125,MESH SURG 5.5X12.8CM,3189.0,3189.0,478.35,3189.0,30
CDM,374126,MESH SURG 4.5CM 10CM,3189.0,3189.0,478.35,3189.0,30
CDM,374135,ANCHOR SUT KNTLS #2,3721.0,3721.0,558.15,3721.0,30
CDM,374141,SCREW BN 4MM 40MM,2296.0,2296.0,344.4,2296.0,30
CDM,374142,BLADE SAW 90X25MM,417.5,417.5,62.63,417.5,42
CDM,374144,RASP SURG 11X5.5MM,847.5,847.5,127.13,847.5,42
CDM,374145,BLADE SAW 70.8X12.5MM,309.5,309.5,46.42,309.5,42
CDM,374166,IMPLANT SPN 9.5MM 70MM,12955.0,12955.0,2385.02,12955.0,26
CDM,374194,PLATE BN L 18H 363MM,5758.0,5758.0,863.7,5758.0,30
CDM,374195,SCREW SPN 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,374196,INSERT TIB KN SZ4 13MM,7799.0,7799.0,1169.85,7799.0,30
CDM,374197,NEEDLE SPRG EYE 60MM,426.0,426.0,63.9,426.0,42
CDM,374198,CLIP LIGATING SZMED,853.0,853.0,127.95,853.0,30
CDM,374199,MESH HRN XL 12X17CM,3426.0,3426.0,513.9,3426.0,30
CDM,374200,MESH HRN XL 12X17CM,3426.0,3426.0,513.9,3426.0,30
CDM,374206,NAIL BN FEM RET 9X380MM,5990.0,5990.0,898.5,5990.0,30
CDM,374207,SCREW BN XL25 5X80MM,2738.0,2738.0,410.7,2738.0,30
CDM,374208,NAIL BN FEM 9MM 280MM,6247.0,6247.0,937.05,6247.0,30
CDM,374209,STENT CAROTID 6X30MM,9421.0,9421.0,1413.15,9421.0,30
CDM,374210,SCREW BN XL25 0.5MM 74MM,2738.0,2738.0,410.7,2738.0,30
CDM,374211,STENT CAROTID SYS 6X40MM,9421.0,9421.0,1413.15,9421.0,30
CDM,374212,STENT CAROTID SYS 7X30MM,9421.0,9421.0,1413.15,9421.0,30
CDM,374213,STENT CAROTID SYS 7X40MM,9421.0,9421.0,1413.15,9421.0,30
CDM,374214,STENT CAROTID SYS 8X30MM,9421.0,9421.0,1413.15,9421.0,30
CDM,374215,STENT CAROTID SYS 8X40MM,9421.0,9421.0,1413.15,9421.0,30
CDM,374216,SCREW SPN 8.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,374217,SCREW SPN 8.5X55MM,3012.0,3012.0,451.8,3012.0,30
CDM,374218,SHELL ACTB HIP 2HL 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,374219,HEAD FEM HIP SZSM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,374220,STEM FEM HIP SZ3,8416.0,8416.0,1262.4,8416.0,30
CDM,374221,ROD RM 2.5X115MM,867.0,867.0,130.05,867.0,42
CDM,374222,COMP TIB KN SZ3 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,374233,SPACER SPN 10.5X10X24MM,15059.0,15059.0,2258.85,15059.0,30
CDM,374236,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,374237,SCREW BN 3.5MM 18MM,798.0,798.0,119.7,798.0,30
CDM,374238,SCREW BN 3.5MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,374239,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,374240,SCREW SPN 8.5MM 100MM,3389.0,3389.0,508.35,3389.0,30
CDM,374241,SCREW SPN 8.5MM 90MM,3389.0,3389.0,508.35,3389.0,30
CDM,374242,SCREW SPN 8.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,374243,NAIL BN ARTHDS 14X300MM,9793.0,9793.0,1468.95,9793.0,30
CDM,374244,SCREW SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,374245,SCREW SPN 8.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,374246,SCREW SPN 8.5MM 60MM,3765.0,3765.0,564.75,3765.0,30
CDM,374247,CONN SPN ROD2ROD 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,374248,CONN SPN ROD2ROD 4.5-5/6,3012.0,3012.0,451.8,3012.0,30
CDM,374257,INSERT TIB KN SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,374262,DRESSING CLGN PRTCL 1GM,1023.5,1023.5,153.53,1023.5,42
CDM,374263,PLATE BN LT 5D SMALL,8088.0,8088.0,1213.2,8088.0,30
CDM,374264,SLEEVE RTNL OVL 3.75MM,3189.0,3189.0,478.35,3189.0,30
CDM,374265,TRAY BX BN MRW SAFETY,487.5,487.5,73.13,487.5,42
CDM,374268,SCREW SPN 5.0MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,374272,PROBE FIBER OPTIC 1 UNIT,4092.5,4092.5,613.88,4092.5,42
CDM,374275,STEM SHLDR SHRT 32X70MM,9102.0,9102.0,1365.3,9102.0,30
CDM,374276,LINER REV SHLDR 36+0MM,4606.0,4606.0,690.9,4606.0,30
CDM,374277,CMPNT HUM SHLDR 36+0MM,4673.0,4673.0,700.95,4673.0,30
CDM,374278,BASEPLATE SHLDR SM 24MM,5559.0,5559.0,833.85,5559.0,30
CDM,374279,SCREW BN SHLDR 15MM,1595.0,1595.0,239.25,1595.0,30
CDM,374280,SCREW BN SHLDR 6X25MM,1595.0,1595.0,239.25,1595.0,30
CDM,374281,DRILL BIT 3.2MM 250MM,819.0,819.0,122.85,819.0,42
CDM,374282,HANDLE SIZER INSTR DISP,742.0,742.0,111.3,742.0,42
CDM,374283,PIN GLEN SH 3.5MM 230MM,773.0,773.0,115.95,773.0,42
CDM,374284,CMPNT SHLDR XS 21.5MM,5625.0,5625.0,843.75,5625.0,30
CDM,374285,STEM SHLDR XS 28X66MM,9102.0,9102.0,1365.3,9102.0,30
CDM,374286,ADPT HUM SHLDR TPR OFST,2913.0,2913.0,436.95,2913.0,30
CDM,374287,GRAFT BN FEM DIST LT,27974.0,27974.0,4196.1,27974.0,30
CDM,374288,GFT BN FEM ALGRF FRZN RT,27974.0,27974.0,4196.1,27974.0,30
CDM,374289,GRAFT FEMUR WITH HEAD LT,27974.0,27974.0,4196.1,27974.0,30
CDM,374290,GRAFT BN FEM W/HEAD RT,27974.0,27974.0,4196.1,27974.0,30
CDM,374291,GRAFT FEMUR WHOLE LT,48467.0,48467.0,7270.05,48467.0,30
CDM,374292,GRAFT BN FEM RT WHOLE,48467.0,48467.0,7270.05,48467.0,30
CDM,374293,GRAFT TIBIA WITH BTB LT,29338.0,29338.0,4400.7,29338.0,30
CDM,374294,GRAFT BN ST RT PROX TIB,29338.0,29338.0,4400.7,29338.0,30
CDM,374295,GRAFT TIBIA WITH BTB RT,50872.0,50872.0,7630.8,50872.0,30
CDM,374296,GRAFT TIBIA LT PROXIMAL,27974.0,27974.0,4196.1,27974.0,30
CDM,374297,GRAFT TIBIA RT PROXIMAL,27974.0,27974.0,4196.1,27974.0,30
CDM,374298,GRAFT TIBIA LT DISTAL,7742.0,7742.0,1161.3,7742.0,30
CDM,374299,GRAFT TIBIA RT DISTAL,7742.0,7742.0,1161.3,7742.0,30
CDM,374300,TIBIA BN WHOLE RT FRZ,36389.0,36389.0,5458.35,36389.0,30
CDM,374304,CATH BLNDIL 6X60MM 80CM,972.5,972.5,145.88,972.5,42
CDM,374305,CATH BLNDIL 8X60MM 80CM,949.0,949.0,142.35,949.0,42
CDM,374772,SCREW BN 45MM,1595.0,1595.0,239.25,1595.0,30
CDM,374773,PIN HUMERAL 3.5MM 130MM,773.0,773.0,115.95,773.0,42
CDM,374774,GRAFT BN FEM LT WO HEAD,18518.0,18518.0,2777.7,18518.0,30
CDM,374775,GRAFT BN FEM RT WO HEAD,18518.0,18518.0,2777.7,18518.0,30
CDM,374776,GRAFT BN TIB LT WHOLE,50872.0,50872.0,7630.8,50872.0,30
CDM,374777,GRAFT BN TIB RT WHOLE,36389.0,36389.0,5458.35,36389.0,30
CDM,374781,PLATE BN 7X23HL 2.0MM,7482.0,7482.0,1122.3,7482.0,30
CDM,374783,COMPT FEM KN L 3,6201.0,6201.0,930.15,6201.0,30
CDM,374784,COMPNT TIB TRAY KN #3,4872.0,4872.0,730.8,4872.0,30
CDM,374791,TUBE ET EMG W ELCTRD 8MM,8124.5,8124.5,1218.67,8124.5,42
CDM,374792,TUBE ET EMG W ELCTRD 7MM,8124.5,8124.5,1218.67,8124.5,42
CDM,374796,MESH HRN PLGLY 20X10CM,12756.0,12756.0,1913.4,12756.0,30
CDM,374806,HEAD HUM 25MM 40MM SHLDR,11073.0,11073.0,1660.95,11073.0,30
CDM,374816,SCREW SPN 5.5MM 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,374818,PLATE BN 118MM 2.7MM,3781.0,3781.0,567.15,3781.0,30
CDM,374819,INSERT KN BMPR 3DEG,4252.0,4252.0,637.8,4252.0,30
CDM,374820,HINGE INSERT KN SZ4 16MM,7799.0,7799.0,1169.85,7799.0,30
CDM,374821,STEM FEM KN 10X102MM,8181.0,8181.0,1227.15,8181.0,30
CDM,374822,INSERT TIB KN SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,374850,ARTHROFLEX 1SQCM,1079.0,1079.0,161.85,1079.0,30
CDM,374890,SCREW SPN 7.5MM 60MM,3012.0,3012.0,451.8,3012.0,30
CDM,374891,CAGE SPN 14D 36X12X27MM,8858.0,8858.0,1328.7,8858.0,30
CDM,374892,CRIMP STRNL TI CBL IMPL,399.0,399.0,59.85,399.0,30
CDM,374893,KIT ACTB HIP RECON,116771.0,116771.0,17515.65,116771.0,30
CDM,374895,ANCHOR BN NDL SZ0 1.8MM,4706.0,4706.0,705.9,4706.0,30
CDM,374896,GUIDE DRILL SURG,4092.5,4092.5,613.88,4092.5,42
CDM,374897,BIT DRILL SURG,4093.0,4093.0,613.95,4093.0,42
CDM,374898,KIT SURG GLND KWR,5075.5,5075.5,761.33,5075.5,42
CDM,374899,CAP SCREW DBL PCK,3189.0,3189.0,478.35,3189.0,30
CDM,374917,SCREW BN 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,374925,SYSTEM STRNL CBL TPR NDL,3668.0,3668.0,550.2,3668.0,30
CDM,374926,CAGE SPN 10D 35X27X12MM,17606.0,17606.0,2640.9,17606.0,30
CDM,374927,CAGE SPN 15D 12X27X35MM,17606.0,17606.0,2640.9,17606.0,30
CDM,374928,SCREW SPN 6MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,374929,FORCEP ESURG 190MM,3069.5,3069.5,460.43,3069.5,42
CDM,374930,CAGE SPN 15D 35X27X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,374931,PLATE SPN ANT 2HL 16MM,9877.0,9877.0,1481.55,9877.0,30
CDM,374932,REAMER ANGLED MED,1023.5,1023.5,153.53,1023.5,42
CDM,374933,STEM FEM HIP LAT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,374934,ROD EX FIX THRD 350MM,1642.0,1642.0,246.3,1642.0,42
CDM,374935,STENT BIL 12X30MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,374936,STEM FEM KN 65MM 14MM,6644.0,6644.0,996.6,6644.0,30
CDM,374937,CATH PACNG SD RT,3610.0,3610.0,541.5,3610.0,42
CDM,374941,SPACER SHLDR 46MM,14461.0,14461.0,2169.15,14461.0,30
CDM,374948,INSERT SPHR KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,374949,CMPNT TIBTRY KN RT SZ1,4872.0,4872.0,730.8,4872.0,30
CDM,374950,CMPNT FEM KN SZ S1+R,6201.0,6201.0,930.15,6201.0,30
CDM,374951,INSERT SPHR KN SZ1 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,374955,SUTURE POLYPRPLN 2-0,773.0,773.0,115.95,773.0,42
CDM,374956,DEVICE SUT 1 SYSTEM,6523.0,6523.0,978.45,6523.0,42
CDM,374959,CUP ACTB HIP 66/68/70MM,9051.0,9051.0,1357.65,9051.0,30
CDM,374960,NEEDLE SUT ST-1 STR 60MM,773.0,773.0,115.95,773.0,42
CDM,374961,SCREW SPN 7.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,374962,PATCH CV 7X15CM ECM,3721.0,3721.0,558.15,3721.0,30
CDM,374976,SCREW SPN SET LCK 2.5MM,753.0,753.0,112.95,753.0,30
CDM,374977,ROD SPN STR 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,374978,ROD SPN CRV 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,374990,SYS VAC UTERINE BLEED,7418.5,7418.5,1112.78,7418.5,42
CDM,375003,SURF ARTC KN 3-5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,375005,INSERT TIB KN SZ4 19MM,6737.0,6737.0,1010.55,6737.0,30
CDM,375006,NAIL BN FEM RT 10MM 28CM,6437.0,6437.0,965.55,6437.0,30
CDM,375007,SCREW BN 75MM,3291.0,3291.0,493.65,3291.0,30
CDM,375008,DEVICE SYS CLSR 35MM,9966.0,9966.0,1494.9,9966.0,30
CDM,375010,MCTH INFS 10CM 135CM,2279.0,2279.0,341.85,2279.0,42
CDM,375012,IMPLANT BREAST 320CC,4429.0,4429.0,664.35,4429.0,30
CDM,375013,CAGE SPNL 6D 32X8X24MM,8858.0,8858.0,1328.7,8858.0,30
CDM,375014,CANNULA OPTH DISP 27+,953.5,953.5,143.03,953.5,42
CDM,375017,SPACER SPN 7D 16X14X8MM,8083.0,8083.0,1212.45,8083.0,30
CDM,375018,LENS IOL +21.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,375019,LENS IOL +19.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,375027,KIT ANCHOR BN KNTLS,4604.0,4604.0,690.6,4604.0,30
CDM,375033,PASSER SUTURE 2.3MM,1113.5,1113.5,167.03,1113.5,42
CDM,375035,REAMER SURG 9MM,3732.5,3732.5,559.88,3732.5,42
CDM,375037,DEV INFL 35ATM/BAR 30ML,526.0,526.0,78.9,526.0,42
CDM,375039,PLATE BN BRIDGE,6843.0,6843.0,1026.45,6843.0,30
CDM,375040,TUBE TRCH 32MM 3MM,1293.5,1293.5,194.03,1293.5,42
CDM,375041,TUBE TRCH 34MM 3.5MM,1293.5,1293.5,194.03,1293.5,42
CDM,375042,CATH ANGIO 4FR 150CM,1449.0,1449.0,217.35,1449.0,42
CDM,375044,KIT MCTH PRLD 10CM 135CM,4093.0,4093.0,613.95,4093.0,42
CDM,375045,DEVICE CLSR WND +0 70CM,323.0,323.0,48.45,323.0,42
CDM,375049,SCREW SPN 4.0MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,375050,GUIDE TIB CUT LT DISP,3438.0,3438.0,515.7,3438.0,42
CDM,375052,CMPNT FEM KN UNCNDL SZ2,7087.0,7087.0,1063.05,7087.0,30
CDM,375054,TRAY CMNT TIB KN SZ2,5581.0,5581.0,837.15,5581.0,30
CDM,375055,BEARING TIB KN 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,375058,CAGE SPN 15D 35X27X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,375059,CMPNT FEM KN RT 75MM,32332.0,32332.0,4849.8,32332.0,30
CDM,375060,STEM FEM KN 130MM,266.0,266.0,39.9,266.0,30
CDM,375062,CMPNT FEM KN 30.5X41MM,21180.0,21180.0,3177.0,21180.0,30
CDM,375063,SPACER TIB KN SZLG 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,375064,STEM KN 14/11MM 100MM,5364.0,5364.0,804.6,5364.0,30
CDM,375066,STEM FEM KN 20/16MM,6644.0,6644.0,996.6,6644.0,30
CDM,375067,LENS IOL +21.5 DIOP,866.5,866.5,159.52,866.5,28
CDM,375074,TIP CRYO 309 3MM 8.5MM,4093.0,4093.0,613.95,4093.0,42
CDM,375075,KIT TRCH INST SGL USE,3454.5,3454.5,518.17,3454.5,42
CDM,375076,KIT SURG JOINT IMPL,3274.0,3274.0,491.1,3274.0,42
CDM,375077,ELECTRODE BALL BIP 24FR,3609.0,3609.0,541.35,3609.0,42
CDM,375078,PLATE BN TIB 3.5MM 91MM,8780.0,8780.0,1317.0,8780.0,30
CDM,375079,TUBE JJNSTM 18FR,1023.5,1023.5,153.53,1023.5,42
CDM,375080,SYRINGE PREFL KIT 4ML,4093.0,4093.0,613.95,4093.0,42
CDM,375081,ELCTRD ESURG ENDO 37X5,4093.0,4093.0,613.95,4093.0,42
CDM,375084,SYSTEM PROX SEAL 3.8MM,4093.0,4093.0,613.95,4093.0,42
CDM,375086,SUTURE UND MON +3-0 27IN,35.5,35.5,5.33,35.5,42
CDM,375087,GRAFT BN MTRX FRMBL MED,6099.0,6099.0,914.85,6099.0,30
CDM,375088,GRAFT BN MTRX FRMBL LRG,13730.0,13730.0,2059.5,13730.0,30
CDM,375107,CMPNT FEM KN LT SZ3,7087.0,7087.0,1063.05,7087.0,30
CDM,375108,BEARING TIB KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,375109,GUIDE CUT TIB DISP RIGHT,3438.0,3438.0,515.7,3438.0,42
CDM,375110,TRAY TIB IBAL RM/LL SZ3,5581.0,5581.0,837.15,5581.0,30
CDM,375111,CMPNT FEM KN RT SZ3,4828.0,4828.0,724.2,4828.0,30
CDM,375112,BEARING TIB KN SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,375113,COMP FEM KN SZ2,4828.0,4828.0,724.2,4828.0,30
CDM,375114,TRAY CMNT TIB KN SZ2,5581.0,5581.0,837.15,5581.0,30
CDM,375117,BEARING HUM SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,375118,COMP FEM KN 2S+R,6201.0,6201.0,930.15,6201.0,30
CDM,375120,LINER HUM SHLDR +0 36MM,4340.0,4340.0,651.0,4340.0,30
CDM,375121,DEVICE SUT 2.8MM 165CM,1767.0,1767.0,265.05,1767.0,42
CDM,375123,DEVICE ICM 49X9.4X4.4,17458.0,17458.0,2618.7,17458.0,30
CDM,375149,SCREW SPN CORT 6.5X25MM,3012.0,3012.0,451.8,3012.0,30
CDM,375150,ROD SPN 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,375151,SCREW SPN RDC 6.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,375152,HEAD FEM HIP 12/14 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,375153,DEVICE CLSR WND 0 60CM,358.5,358.5,53.77,358.5,42
CDM,375154,ANCHOR SUT W/QFIX NDLS,4706.0,4706.0,705.9,4706.0,30
CDM,375155,CAGE SPN LOR 6.5X28X10MM,15059.0,15059.0,2258.85,15059.0,30
CDM,375156,ROD SPN 50MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,375157,NAIL BN SP CNDL 13X320MM,5789.0,5789.0,868.35,5789.0,30
CDM,375158,SLEEVE CNTRNG 16D,4252.0,4252.0,637.8,4252.0,30
CDM,375159,CMPNT FEM KN RT NAR 4N,6644.0,6644.0,996.6,6644.0,30
CDM,375162,COMP FEM KN SZ6,6201.0,6201.0,930.15,6201.0,30
CDM,375163,INSERT TIB KN SZ5 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,375164,NAIL BN 10MM 28CM,4872.0,4872.0,730.8,4872.0,30
CDM,375166,INSERT TIB KN SZ2 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,375169,KIT CELLSAVER TBG,2513.0,2513.0,376.95,2513.0,42
CDM,375183,SPONGE ABS HEMO 6X2CM,89.5,89.5,13.43,89.5,42
CDM,375193,SCREW SPN SET IMP OPN FX,753.0,753.0,112.95,753.0,30
CDM,375303,SCREW BN 6.5X20X70MM,2982.0,2982.0,447.3,2982.0,30
CDM,375306,DEVICE CLSR CLP INT 40MM,5315.0,5315.0,797.25,5315.0,30
CDM,375307,DEVICE CLSR CLP INT 45MM,5315.0,5315.0,797.25,5315.0,30
CDM,375308,DEVICE CLSR CLP INT 50MM,5315.0,5315.0,797.25,5315.0,30
CDM,375309,BURR BALL FINE 6MM 7CM,967.5,967.5,145.13,967.5,42
CDM,375310,ANCHOR SUT 6.5MM,3906.0,3906.0,585.9,3906.0,30
CDM,375311,PLATE BN 3.5MM 120MM,4429.0,4429.0,664.35,4429.0,30
CDM,375312,LEAD ENDOCARDIAC 65CM,12070.0,12070.0,1810.5,12070.0,30
CDM,375313,LEAD PCNG 87CM,4154.0,4154.0,623.1,4154.0,30
CDM,375314,CRT-D HF-T DF4,37263.0,37263.0,5589.45,37263.0,30
CDM,375315,ROD SPN 4.5 5.0/6.0 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,375316,SET SCREW SPN 10X1.0MM,753.0,753.0,112.95,753.0,30
CDM,375317,LEAD PCNG 53CM,2636.0,2636.0,395.4,2636.0,30
CDM,375318,STYLET LEAD FRM 60CM,664.5,664.5,99.67,664.5,42
CDM,375319,STYLET CATH LD 53CM,664.5,664.5,99.67,664.5,42
CDM,375320,STYLET LD CRT 85CM,664.5,664.5,99.67,664.5,42
CDM,375321,DRESSING NADH 9X10CM,231.5,231.5,34.73,231.5,42
CDM,375322,DRESSING FOM 6X4IN,309.5,309.5,46.42,309.5,42
CDM,375323,SUTURE CV-6 TTC-9 24IN,451.0,451.0,67.65,451.0,42
CDM,375334,MESH HRN MED LT 8X14CM,3189.0,3189.0,478.35,3189.0,30
CDM,375335,MESH HRN MED RT 3X5IN,3189.0,3189.0,478.35,3189.0,30
CDM,375336,GRAFT VAS 105X26X22-23MM,65365.0,65365.0,9804.75,65365.0,30
CDM,375337,CAGE SPN 0D 11X32X8-12MM,15059.0,15059.0,2258.85,15059.0,30
CDM,375338,STEM SHLDR 36MMX115MM,9102.0,9102.0,1365.3,9102.0,30
CDM,375339,SCREW BN LCK 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,375345,SCREW BN LCK 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,375348,SCREW BN ORT 6.0MM 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,375352,PINS THREADED SH0RT,773.0,773.0,115.95,773.0,42
CDM,375353,LINER ACTB HIP SZ56-58MM,4872.0,4872.0,730.8,4872.0,30
CDM,375354,NAIL BN TIB 12MM 360MM,4828.0,4828.0,724.2,4828.0,30
CDM,375358,PLATE CERV 2LV 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,375359,CAGE SPN 15D 43X30X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,375360,TRAY CMNT TIB KN SZ4,5581.0,5581.0,837.15,5581.0,30
CDM,375361,HEAD ACTB HIP 46MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,375362,AUGMENT ACTB MTL SHM 10D,4429.0,4429.0,664.35,4429.0,30
CDM,375364,CAGE SPN 7D 18X15X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,375365,DEVICE CLSR WND 0 23CM,358.5,358.5,53.77,358.5,42
CDM,375372,PLATE BN FEM 5HL RT SZSM,9702.0,9702.0,1455.3,9702.0,30
CDM,375417,SCREW BN 4.5MM 80MM,2392.0,2392.0,358.8,2392.0,30
CDM,375419,WEDGE FEM KN 8X7MM,13389.0,13389.0,2008.35,13389.0,30
CDM,375429,SIZER BREAST 365CC,1694.5,1694.5,254.18,1694.5,42
CDM,375430,SIZER BREAST 385CC,1694.5,1694.5,254.18,1694.5,42
CDM,375432,SIZER BREAST 450CC,1694.5,1694.5,254.18,1694.5,42
CDM,375433,SIZER BREAST 485CC,1694.5,1694.5,254.18,1694.5,42
CDM,375434,SIZER BREAST 520CC,1694.5,1694.5,254.18,1694.5,42
CDM,375436,SIZER BREAST 560CC,1694.5,1694.5,254.18,1694.5,42
CDM,375446,CATH EXT VASC GUIDE 6FR,3683.5,3683.5,552.52,3683.5,42
CDM,375447,CATH EXT VASC GUIDE 7FR,3683.5,3683.5,552.52,3683.5,42
CDM,375448,WRNCH TORGUE DISP,664.5,664.5,99.67,664.5,42
CDM,375449,MESH SURG 10X20CM,12402.0,12402.0,1860.3,12402.0,30
CDM,375450,PLATE BN T 5X2H 30MM,3721.0,3721.0,558.15,3721.0,30
CDM,375451,AGENT HMST CLGN 12.5,773.0,773.0,115.95,773.0,42
CDM,375452,CAGE SPN 0D 13MM 9X23MM,15059.0,15059.0,2258.85,15059.0,30
CDM,375468,STENT VASC 8FR 7MM 60MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375469,STENT VASC 8FR 7MM 100MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375472,STENT VASC 8FR 8MM 60MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375473,STENT VASC 8MM 80MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375474,STENT VASC COVRD 8X100MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375475,STENT VASC 9MM 60MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375476,STENT VASC 9MM 80MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375479,STENT VASC 10MM 60MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375481,STENT VASC 10MM 80MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375483,STENT VASC COVRD 8X60MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375484,STENT VASC COVRD 9X60MM,8652.0,8652.0,1297.8,8652.0,30
CDM,375519,STEM FEM HIP 20MM 115MM,10283.0,10283.0,1542.45,10283.0,30
CDM,375535,STAPLER DISP 8MM 30MM,15796.5,15796.5,2369.47,15796.5,42
CDM,375536,RELOAD STPLR 2.5MM,10520.0,10520.0,1578.0,10520.0,30
CDM,375537,RELOAD STPLR 3.5MM,10520.0,10520.0,1578.0,10520.0,30
CDM,375575,RESERVOIR ATF DISP 3L,1370.0,1370.0,205.5,1370.0,42
CDM,375576,PATELLA DOME KN 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,375577,PATELLA DOME KN 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,375579,CATH DLYS PE 62.5CM,1599.0,1599.0,239.85,1599.0,42
CDM,375583,PLATE BN CRNL PEEK,35410.0,35410.0,5311.5,35410.0,30
CDM,375599,DOME PAT KN 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,375600,SCOPE URET ASP DISP,17880.5,17880.5,2682.07,17880.5,42
CDM,375601,PLATE BN RT 93MM 3.5MM,5695.0,5695.0,854.25,5695.0,30
CDM,375602,SCREW BN 6MM 40MM,2073.0,2073.0,310.95,2073.0,30
CDM,375603,GRAFT VASC 90CM 8MM,20170.0,20170.0,3025.5,20170.0,30
CDM,375605,PLATE SPN LCK CVR 18MM,2711.0,2711.0,406.65,2711.0,30
CDM,375606,PLATE SPN 2HL 18MM,9877.0,9877.0,1481.55,9877.0,30
CDM,375607,CAGE SPN 10D 31X24X16MM,8858.0,8858.0,1328.7,8858.0,30
CDM,375608,LENS IOL +33.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,375609,SHEATH INTRO 7FR 25CM,464.0,464.0,69.6,464.0,42
CDM,375610,PLATE BN 2MM 43MM,3600.0,3600.0,540.0,3600.0,30
CDM,375611,SHEATH INTRO 8FR 25CM,464.0,464.0,69.6,464.0,42
CDM,375612,INTRO SHTH PNCL R/O,464.0,464.0,69.6,464.0,42
CDM,375613,SCREW BN 2MM 11MM,963.0,963.0,144.45,963.0,30
CDM,375614,CAGE SPN 10D 12X18X60MM,16831.0,16831.0,2524.65,16831.0,30
CDM,375615,SCREW SPN 7.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,375619,CARTRIDG CLIP VES WDE SM,132.0,132.0,19.8,132.0,30
CDM,375648,SUTURE SS 2-0 24IN,359.5,359.5,53.92,359.5,42
CDM,375649,NEEDLE SUTURE 10MM,773.0,773.0,115.95,773.0,42
CDM,375650,SCREW BN SHDR SM 30MM,6201.0,6201.0,930.15,6201.0,30
CDM,375656,GRAFT ST TIS 3X2CM,4385.5,4385.5,657.83,4385.5,42
CDM,375657,ANCHOR IMPL SYSTM 3.9MM,4429.0,4429.0,664.35,4429.0,30
CDM,375660,BURR 31CM 7.5MM,1602.0,1602.0,240.3,1602.0,42
CDM,375661,NAIL BN 12X315MM,5013.0,5013.0,751.95,5013.0,30
CDM,375665,SUTURE ANBCTRL +0 36IN,34.5,34.5,5.17,34.5,42
CDM,375666,INSERT PTLA KN DOME 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,375668,NAIL BN TIB 9MM 330MM,5789.0,5789.0,868.35,5789.0,30
CDM,375682,SCREW BN LCK NAIL 5X70MM,2656.0,2656.0,398.4,2656.0,30
CDM,375707,SPACER SPN 7D 16X14X9MM,8083.0,8083.0,1212.45,8083.0,30
CDM,375711,KIT ANCHOR SYS,23101.0,23101.0,3465.15,23101.0,42
CDM,375712,CMPNT GLND SHLDR SZ48,4606.0,4606.0,690.9,4606.0,30
CDM,375726,SHELL ACTB HIP 5H 64MM,4606.0,4606.0,690.9,4606.0,30
CDM,375727,INSERT HIP 10D SZH 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,375728,INSERT HIP PLY10D F 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,375733,TROC ENDO 15X80MM,330.5,330.5,49.58,330.5,42
CDM,375735,GRAFT STNT 38MM 107MM,58656.0,58656.0,8798.4,58656.0,30
CDM,375736,STENT EPRSTH 11X16X39MM,12667.0,12667.0,1900.05,12667.0,30
CDM,375737,KIT CATH CANN PRFSN,66508.0,66508.0,9976.2,66508.0,42
CDM,375738,ROD SPN CRV 90MM 4MM,3012.0,3012.0,451.8,3012.0,30
CDM,375739,SCREW BN CRNFCL 1.5X7MM,995.0,995.0,149.25,995.0,30
CDM,375740,CAGE SPN 15D 26X35X15MM,8858.0,8858.0,1328.7,8858.0,30
CDM,375741,ANCHOR SPN ALIF 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,375742,PLATE SPN 15D -15MM,11073.0,11073.0,1660.95,11073.0,30
CDM,375743,CAGE SPN 12D 36X25X14MM,20197.0,20197.0,3029.55,20197.0,30
CDM,375747,SCREW SPN 7.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,375749,SCREW SPN 6.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,375750,SCREW SPN 7.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,375751,NAIL BN LT 44CM 13MM,9050.0,9050.0,1357.5,9050.0,30
CDM,375836,AUGMENT TIB KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,375837,STEM XTN KN 65MM 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,375838,AUGMENT FEM KN SZ6 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,375839,SCREW SPN 6.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,375840,EXTENSION POST 14MM,558.0,558.0,83.7,558.0,30
CDM,375843,CATH VASC 6FR 55CM,714.0,714.0,107.1,714.0,42
CDM,375844,CATH GD IMA 6FR 55CM,714.0,714.0,107.1,714.0,42
CDM,375845,CATH GD STDJR4 6FR 55CM,714.0,714.0,107.1,714.0,42
CDM,375846,CATH GD RDC 6FR 55CM,714.0,714.0,107.1,714.0,42
CDM,375849,CMPNT ACTB HIP 28X51MM,4252.0,4252.0,637.8,4252.0,30
CDM,375850,LINER ACTB HIP 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,375851,INSERT TIB KN RT S4 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,375852,NAIL BN FEM 10MM 50CM,5311.0,5311.0,796.65,5311.0,30
CDM,375853,CONN SPN RD2RD 4.5X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,375854,SHUNT REVS 1.9X2.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,375855,IMPLANT SPN 12X24X31MM,17606.0,17606.0,2640.9,17606.0,30
CDM,376098,STEM HUM SHLDR 8MM,7751.0,7751.0,1162.65,7751.0,30
CDM,376118,STENT ENDO 9X29MM 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,376119,STENT ENDO 7FR 135CM,12986.0,12986.0,1947.9,12986.0,30
CDM,376120,STENT ENDO 7X19MM 135CM,10220.0,10220.0,1533.0,10220.0,30
CDM,376127,GENERATOR IPG NRSTM,79386.0,79386.0,11907.9,79386.0,30
CDM,376128,CAP END BN NAIL 15MM,1834.0,1834.0,275.1,1834.0,30
CDM,376129,GRAFT POST TIB TNDN,4496.0,4496.0,674.4,4496.0,30
CDM,376130,LINER ACTB 32MM,6644.0,6644.0,996.6,6644.0,30
CDM,376141,HEAD FEM COCR 12/14 32MM,5641.0,5641.0,846.15,5641.0,30
CDM,376142,CMPNT FEM HIP SZ8.5,7530.0,7530.0,1129.5,7530.0,30
CDM,376143,CMPNT SHLDR CUP 3/4X42X6,7973.0,7973.0,1195.95,7973.0,30
CDM,376144,KIT ARTHSCP FX 2.4MM,2171.0,2171.0,325.65,2171.0,42
CDM,376145,SCREW BN 9MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,376156,HEAD FEM HIP 28MM 45MM,4252.0,4252.0,637.8,4252.0,30
CDM,376162,TUBE ET EMG 3PLATE 6MM,8124.5,8124.5,1218.67,8124.5,42
CDM,376163,BLADE TRPHN DISP 11.5MM,5883.5,5883.5,882.52,5883.5,42
CDM,376166,SCREW BN 5MM 42MM,2656.0,2656.0,398.4,2656.0,30
CDM,376169,SHEATH STRBL 5.7MM 4.2MM,7674.0,7674.0,1151.1,7674.0,42
CDM,376170,LEAD PACEMAKER 65CM,2793.0,2793.0,418.95,2793.0,30
CDM,376171,SUTURE V-34 1 1X30IN,44.0,44.0,6.6,44.0,42
CDM,376172,DEVICE ICM 46.5X9.4X3.1,16723.0,16723.0,2508.45,16723.0,30
CDM,376173,WASHER ORTH TI 3.75MM,837.0,837.0,125.55,837.0,30
CDM,376174,ROD SPN PRBNT 5.5X450MM,2711.0,2711.0,406.65,2711.0,30
CDM,376176,CATH GD SM 9FR 58CM,3030.5,3030.5,454.57,3030.5,42
CDM,376177,CATH GD MD XLNG 9FR 65CM,3030.5,3030.5,454.57,3030.5,42
CDM,376178,CATH GD LG XLNG 9FR 65CM,3030.5,3030.5,454.57,3030.5,42
CDM,376179,TOOL SURG LCK,773.0,773.0,115.95,773.0,42
CDM,376180,SLITTLER CATH DISP,541.0,541.0,81.15,541.0,42
CDM,376181,LINER ACTB HIP SZH 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,376182,INSERT TIB KN SZ2 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,376184,COMPONENT FEM KN SZ2,25342.0,25342.0,3801.3,25342.0,30
CDM,376186,INSERT TIB KN HINGE SZ2,7799.0,7799.0,1169.85,7799.0,30
CDM,376201,SHELL ACTB HIP 42MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,376230,LINER HUM SHLDR +0 42MM,4606.0,4606.0,690.9,4606.0,30
CDM,376231,BLADE SAW 90X25MM,417.5,417.5,62.63,417.5,42
CDM,376237,SCREW SPN 3.5MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,376294,LENS IOL +8.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,376295,GRAFT SYN 47X40X6.3MM,4296.0,4296.0,644.4,4296.0,30
CDM,376296,CMPNT FEM KN S7L,6201.0,6201.0,930.15,6201.0,30
CDM,376297,COMPNT TIBTRY KN LT SZ6,4872.0,4872.0,730.8,4872.0,30
CDM,376298,INSERT TIB KN SZ6 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,376302,NAIL BN 10MM 235MM,5567.0,5567.0,835.05,5567.0,30
CDM,376303,PLATE BN 12H 2.8MM,4541.0,4541.0,681.15,4541.0,30
CDM,376304,SCREW BN 2.9MM 12MM,2474.0,2474.0,371.1,2474.0,30
CDM,376305,HEAD HUM SHLDR 39X14MM,21703.0,21703.0,3255.45,21703.0,30
CDM,376306,INSERT TIB KN SZ3 19MM,7175.0,7175.0,1076.25,7175.0,30
CDM,376307,KIT ALGRFT DISP 20MM,6446.5,6446.5,966.98,6446.5,42
CDM,376308,STEM FEM KN 11MM 190MM,17893.0,17893.0,2683.95,17893.0,30
CDM,376309,SCREW BN 15MM,877.0,877.0,131.55,877.0,30
CDM,376310,SCREW SPNL 4MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,376313,BLADE TRPHN 11MM,5883.5,5883.5,882.52,5883.5,42
CDM,376314,CATH XTRN DRN .7X1.5MM,1866.5,1866.5,279.98,1866.5,42
CDM,376315,DILATOR VSC .38 L20 18F,196.5,196.5,29.48,196.5,42
CDM,376316,DILATOR VASC 16FR 20CM,196.5,196.5,29.48,196.5,42
CDM,376317,DISC SPN 0D 4.5X15X15MM,21703.0,21703.0,3255.45,21703.0,30
CDM,376347,SCREW SPN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,376348,SCREW SPN 6.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,376349,ROD SPN 35MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,376355,CAGE SPN 12D 28X10X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,376357,INSERT TIB KN SZ4 14MM,5603.0,5603.0,840.45,5603.0,30
CDM,376358,FORCEPS BX DISP 2MM,773.0,773.0,115.95,773.0,42
CDM,376359,SNARE POLYP 10MM,14146.0,14146.0,2121.9,14146.0,42
CDM,376363,INSERT TIB KN SGL 7MM,4252.0,4252.0,637.8,4252.0,30
CDM,376367,CONN SPN ROD 5.5-6.35MM,3012.0,3012.0,451.8,3012.0,30
CDM,376368,INSERT TIB KN SZ5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,376381,CMPNT SHLDR GLEN 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,376383,STEM FEM HIP 18MM 240MM,19319.0,19319.0,2897.85,19319.0,30
CDM,376384,CMPNT SHD PRXBDY SM 58,18909.0,18909.0,2836.35,18909.0,30
CDM,376385,CMPNT SHD INTSEG 30MM,38032.0,38032.0,5704.8,38032.0,30
CDM,376391,PROST VOICE 17FR 6MM,3189.0,3189.0,587.09,3189.0,26
CDM,376392,PROST VOICE 17FR 8MM,3189.0,3189.0,587.09,3189.0,26
CDM,376418,PLATE BN 4 HL 2X31MM,2950.0,2950.0,442.5,2950.0,30
CDM,376420,SCREW BN 5MM 48MM,2656.0,2656.0,398.4,2656.0,30
CDM,376443,BLADE SAW 90X21MM,417.5,417.5,62.63,417.5,42
CDM,376462,STYLET LD 65CM .014 KIT,400.5,400.5,60.08,400.5,42
CDM,376463,SHELL CMPNT HIP 48MM,11294.0,11294.0,1694.1,11294.0,30
CDM,376464,LINER ACTB HIP 28-48MM,6090.0,6090.0,913.5,6090.0,30
CDM,376465,IMPLANT ACTB HIP CUST,11162.0,11162.0,1674.3,11162.0,30
CDM,376466,LENS IOL +20.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,376467,LINER ACTB HIP SZ3 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,376468,HEAD FEM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,376469,STEM SHLDR 12MM 150MM,20427.0,20427.0,3064.05,20427.0,30
CDM,376470,INSERT TIB KN SGL 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,376471,INSERT TIB KN SGL 6MM,4252.0,4252.0,637.8,4252.0,30
CDM,376472,SCREW SPN 7.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,376473,SCREW SPN 7.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,376474,TEMPLATE BEND 2/2.5MM,825.0,825.0,123.75,825.0,42
CDM,376475,PLATE BN CMF 26HL 190MM,8079.0,8079.0,1211.85,8079.0,30
CDM,376476,LINER ACTB HIP 36MM 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,376477,INSERT ACTB HIP SZE 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,376478,SCREW SPN 8.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,376479,SCREW SPN 8.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,376480,LENS IOL +25.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,376481,SCREW SPN 8.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,376494,TUBING IRR SUCTION,352.5,352.5,52.88,352.5,42
CDM,376495,TUBING IRR CASS DISP,773.0,773.0,115.95,773.0,42
CDM,376511,SCREW BN 5MM 40MM,2656.0,2656.0,398.4,2656.0,30
CDM,376519,INSERT TIB KN SZ5 31MM,6737.0,6737.0,1010.55,6737.0,30
CDM,376520,AUG FEM KN RT SZ6 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,376521,PLATE BN 6HL 2MM 45MM,2950.0,2950.0,442.5,2950.0,30
CDM,376522,CAGE SPN 7D 5X14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,376523,PLATE SPNL ANT 4HL 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,376524,COVER SPN LCK 5MM,1130.0,1130.0,169.5,1130.0,30
CDM,376525,INTERBODY SPN 7D 16X14X7,4429.0,4429.0,664.35,4429.0,30
CDM,376526,CAGE SPN 10D 43X30X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,376527,CAGE SPN 7D 28X10X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,376529,PLATE SPN CERV 1LVL 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,376530,SCREW SPN 8.5MM 90MM,3389.0,3389.0,508.35,3389.0,30
CDM,376531,CAGE SPN 7D 28X10X7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,376532,SCREW SPN 4MM 17MM,1130.0,1130.0,169.5,1130.0,30
CDM,376533,CAGE SPN 7D 20X15X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,376534,TRAY TIB KN LM/RL SZ3,5581.0,5581.0,837.15,5581.0,30
CDM,376535,BEARING TIB KN 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,376537,BEARING TIB KN SZ5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,376542,LENS IOL +10.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,376543,SCREW SPN SHFT 3.5X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,376544,SCREW SPN 3.5MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,376552,SUTURE PASSER 25D LT,1203.5,1203.5,180.53,1203.5,42
CDM,376554,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376562,SCREW BN 5MM 56MM,2656.0,2656.0,398.4,2656.0,30
CDM,376568,KIT OSTM DIST FEM HIP,109264.0,109264.0,16389.6,109264.0,30
CDM,376587,SCREW BN SLFTP 5X12MM,3189.0,3189.0,478.35,3189.0,30
CDM,376599,PACKING COIL LP 10CM,4429.0,4429.0,664.35,4429.0,30
CDM,376602,COIL EMBL 4MMX6CM,4429.0,4429.0,664.35,4429.0,30
CDM,376603,COIL EMBL 3MMX15CM,4429.0,4429.0,664.35,4429.0,30
CDM,376604,COIL EMBL 3MMX10CM,4429.0,4429.0,664.35,4429.0,30
CDM,376605,COIL EMBL 2MMX10CM,4429.0,4429.0,664.35,4429.0,30
CDM,376606,COIL EMBL 2MMX2CM,4429.0,4429.0,664.35,4429.0,30
CDM,376607,COIL EMBL 1MMX5CM,4429.0,4429.0,664.35,4429.0,30
CDM,376608,COIL EMBL 1MMX2CM,4429.0,4429.0,664.35,4429.0,30
CDM,376629,CLIP LIG BLUE MED,4429.0,4429.0,664.35,4429.0,30
CDM,376634,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376635,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376636,ANCHOR SUT 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,376639,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376640,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376641,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376657,IMPLANT BUNION SM,5253.0,5253.0,787.95,5253.0,30
CDM,376664,SCREW SPN 8.5MM 100MM,3389.0,3389.0,508.35,3389.0,30
CDM,376665,SCREW SPN 6.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,376666,IMPLANT BREAST 700CC,5758.0,5758.0,863.7,5758.0,30
CDM,376667,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376668,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376669,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376670,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376671,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376672,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376673,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,376674,CATH GD 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,376675,PROS VOICE 17FR 4MM,3189.0,3189.0,587.09,3189.0,26
CDM,376676,PROS VOICE 17FR 12.5MM,3189.0,3189.0,587.09,3189.0,26
CDM,376677,PROTH VOICE 17 FR 15 MM,3189.0,3189.0,587.09,3189.0,26
CDM,376678,INSERT TIB KN SZ5 9MM,6737.0,6737.0,1010.55,6737.0,30
CDM,376679,PROS VOICE 17FR 6MM,3189.0,3189.0,587.09,3189.0,26
CDM,376680,STEM XTN KN 65MM 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,376681,PROS VOICE 17FR 8MM,3189.0,3189.0,587.09,3189.0,26
CDM,376682,PROS VOICE 17FR 10MM,3189.0,3189.0,587.09,3189.0,26
CDM,376683,FLANGE SEAL 17FR,763.5,763.5,114.53,763.5,42
CDM,376684,PLUG STOPPAGE 17FR,841.0,841.0,126.15,841.0,42
CDM,376685,PROS VOICE 20FR 4MM,3189.0,3189.0,587.09,3189.0,26
CDM,376686,PROTH VOICE 20FR 6MM,3189.0,3189.0,587.09,3189.0,26
CDM,376687,PROTH VOICE 20FR 8MM,3189.0,3189.0,587.09,3189.0,26
CDM,376689,PROSTHESIS VOICE 20FR,3189.0,3189.0,587.09,3189.0,26
CDM,376690,PROST VOICE 20FR 12.5MM,3189.0,3189.0,587.09,3189.0,26
CDM,376691,PROST VOICE 20FR 15MM,3189.0,3189.0,587.09,3189.0,26
CDM,376692,PROS VOICE 20FR 6MM,3189.0,3189.0,587.09,3189.0,26
CDM,376693,PROSTH VOICE 20FR 8MM,3189.0,3189.0,587.09,3189.0,26
CDM,376694,PROS VOICE 20FR 10MM,3189.0,3189.0,587.09,3189.0,26
CDM,376695,FLANGE SEAL 20FR,741.0,741.0,111.15,741.0,42
CDM,376696,PLUG STOPPAGE 20FR,841.0,841.0,126.15,841.0,42
CDM,376697,DEVICE EMBL 4MM 25MM,63712.0,63712.0,9556.8,63712.0,30
CDM,376698,DEVICE EMBL 4.5MM 30MM,63712.0,63712.0,9556.8,63712.0,30
CDM,376700,GRF TND 4-8MM 230-320MM,5241.0,5241.0,786.15,5241.0,30
CDM,376703,KIT PRESS MNTR 84IN,231.5,231.5,34.73,231.5,42
CDM,376704,GUIDE GLND PT SPECIFIC,1637.0,1637.0,245.55,1637.0,42
CDM,376705,BEARING TIB KN SZ4 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,376706,CAGE SPN 10D 43X30X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,376707,CAGE SPN 10D 35X27X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,376708,SCREW SPNL 3.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,376709,SPACER SPN 14X11.9X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,376710,PATELLA KN CMNT OVL 9X35,1.0,1.0,0.15,1.0,30
CDM,376711,CMPNT PTLR 32MM 8MM,1.0,1.0,0.15,1.0,30
CDM,376722,CMPNT FEM KN CMNT LT,6201.0,6201.0,930.15,6201.0,30
CDM,376723,CMPNT TIB KN CMNT SZ2,4872.0,4872.0,730.8,4872.0,30
CDM,376726,CMPNT PTLA KN SZ2 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,376727,STEM FEMHIP SZ2 37.5X150,6201.0,6201.0,930.15,6201.0,30
CDM,376730,DEVICE EMBL 400MM 16MM,68650.0,68650.0,10297.5,68650.0,30
CDM,376747,PROBE ARTHRSCPIC 13CM,1080.5,1080.5,162.07,1080.5,42
CDM,376752,SCREW BN LCK 4.5X85MM,2392.0,2392.0,358.8,2392.0,30
CDM,376753,SCREW BN 4.5MM 36MM,2392.0,2392.0,358.8,2392.0,30
CDM,376759,FIBER LASER 365UM,1342.5,1342.5,201.38,1342.5,42
CDM,376763,FIBER LASER 550UM,1342.5,1342.5,201.38,1342.5,42
CDM,376764,FIBER LASER 600UM,5735.5,5735.5,860.33,5735.5,42
CDM,376772,STENT COR 5.0X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
CDM,376773,STENT COR 3.5X26MM,13958.0,13958.0,2093.7,13958.0,30
CDM,376774,SYSTEM COR STNT 5X26MM,13958.0,13958.0,2093.7,13958.0,30
CDM,376776,SCREW BN 7MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,376777,CMPNT TIB KN SZ4 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,376778,LENS IOL +26.5 DIOP,630.0,630.0,115.98,630.0,28
CDM,376779,STEM FEM KN 160MM 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,376780,SCREW BN 5MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,376781,CABLE SPN SGL W CRIMP,3012.0,3012.0,451.8,3012.0,30
CDM,376782,IMPLANT SPN DISC 17X17MM,21703.0,21703.0,3255.45,21703.0,30
CDM,376783,SCREW SPN 8.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,376784,CMPNT TFLNG HIP RT SZ24,64221.0,64221.0,9633.15,64221.0,30
CDM,376785,KIT ACTB HIP CSTM RT,116771.0,116771.0,17515.65,116771.0,30
CDM,376807,SCREW BN 4.75MM 40MM,877.0,877.0,131.55,877.0,30
CDM,376810,SCREW BN 4.75MM 25MM,877.0,877.0,131.55,877.0,30
CDM,376823,FIBER LASER HOLMIUM,2087.5,2087.5,313.13,2087.5,42
CDM,376827,AUG TIB KN SZ3 5MM,4756.0,4756.0,713.4,4756.0,30
CDM,376829,SPACER SPN 5D 15X5X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,376857,HEAD SHLDR +6MM 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,376944,INSERT ARTC KN 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,37697,BURR SURG RND 4MM,2000.5,2000.5,300.07,2000.5,42
CDM,377434,INSERT ARTC KN 3-5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,377443,INSERT TIB KN 6-9 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,377513,VALVE TRICUSPID 44MM,165335.0,165335.0,24800.25,165335.0,30
CDM,377514,VALVE TRICUSPID 48MM,165335.0,165335.0,24800.25,165335.0,30
CDM,377515,VALVE TRICUSPID 52MM,165335.0,165335.0,24800.25,165335.0,30
CDM,377516,VALVE AOR 56MM,165335.0,165335.0,24800.25,165335.0,30
CDM,377517,CATH ANGIO FL5 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377518,CATH ANGIO FR5 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377519,CATH ANGIO AL3 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377520,CATH ANGIO MPA2 6F 100CM,160.5,160.5,24.07,160.5,42
CDM,377521,CATH ANGIO RCB 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377522,CATH ANGIO LCB 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377523,CATH ANGIO IMC 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377524,CATH ANGIO FL4 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377525,CATH ANGIO FL4 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377526,CATH ANGIO FL6 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377527,CATH ANGIO AR1 6FR 110CM,160.5,160.5,24.07,160.5,42
CDM,377529,CATH ANGIO AL2 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,377530,BEARING FX KN RT 10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,377531,STEM FEM HIP SZ15 190MM,17596.0,17596.0,2639.4,17596.0,30
CDM,377532,SCREW SPN 4.5MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,377533,BASEPLATE KN SZ7 15MM LT,4606.0,4606.0,690.9,4606.0,30
CDM,377534,CMPNT SHD PRXBDY LG 62,25760.0,25760.0,3864.0,25760.0,30
CDM,377535,STEM HUM SHLDR 10X150MM,20427.0,20427.0,3064.05,20427.0,30
CDM,377536,COMPNT CUP SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,377537,PLATE BN STRNL NRW 6HL,3721.0,3721.0,558.15,3721.0,30
CDM,377538,PLATE BN 9HL 130MM LT,5604.0,5604.0,840.6,5604.0,30
CDM,377539,BIT DRL 26MM 85MM,1319.5,1319.5,197.93,1319.5,42
CDM,377540,PLATE BN CRNMXF 11HL,9515.0,9515.0,1427.25,9515.0,30
CDM,377541,PLATE BN MNDB 17H,10663.0,10663.0,1599.45,10663.0,30
CDM,377542,SCREW SPN 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,377543,LINER ACTB HIP SZH 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,377544,INTERBODY SPN7D14X13X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,377545,INTRBD SPN 7D 14X13X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,377546,SCREW SPN S/T 4.3X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,377547,SCREW BN 4MM 28MM,2806.0,2806.0,420.9,2806.0,30
CDM,377548,SCREW BN CANN 4X32MM,2806.0,2806.0,420.9,2806.0,30
CDM,377549,LENS IOL +3.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,377550,STEM FEM HIP OFFST SZ22,20073.0,20073.0,3010.95,20073.0,30
CDM,377551,INSERT TIB KN SZ7 11MM,6737.0,6737.0,1010.55,6737.0,30
CDM,377552,INSERT TIB KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,377553,CATH GUIDE 5FR 100CM,605.0,605.0,90.75,605.0,42
CDM,377556,CAGE SPN 0D 26-36MM,33474.0,33474.0,5021.1,33474.0,30
CDM,377565,SCREW SPN 3.8MM 18MM,3389.0,3389.0,508.35,3389.0,30
CDM,377566,CONN CROSS SPN 35-46MM,3012.0,3012.0,451.8,3012.0,30
CDM,377574,ANCHOR SUT BLUE 1.8MM,5647.0,5647.0,847.05,5647.0,30
CDM,377575,COMP FEM KN L SZ2,6201.0,6201.0,930.15,6201.0,30
CDM,377579,SHEATH INTRO 6FR 25CM,464.0,464.0,69.6,464.0,42
CDM,377599,CATH SUPP .018IN 150CM,1897.0,1897.0,284.55,1897.0,42
CDM,377600,INSERT TIB KN SZ7 11MM,11162.0,11162.0,1674.3,11162.0,30
CDM,377601,AUG FEM KN RT SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,377602,INSERT TIB KN SZ7 9MM,5581.0,5581.0,837.15,5581.0,30
CDM,377603,PACK PROCEDURE KN DISP,773.0,773.0,115.95,773.0,42
CDM,377616,FIBER LASER HOLMIUM URO,2087.5,2087.5,313.13,2087.5,42
CDM,377617,DRILL SURG 2.7MM 50MM,386.5,386.5,57.98,386.5,42
CDM,377642,ROD EXFX 5MM,5277.0,5277.0,791.55,5277.0,42
CDM,377643,FIBER LASER 3M,2857.0,2857.0,428.55,2857.0,42
CDM,377644,FIBER LASER 272UM,3421.5,3421.5,513.23,3421.5,42
CDM,377656,ANCHOR BN TNDN 4.75MM,4429.0,4429.0,664.35,4429.0,30
CDM,377657,TIP NAIL XTRT MALE 1.25,2333.0,2333.0,349.95,2333.0,42
CDM,377658,EXTRCTR SRG TIP M8X1-6G,2333.0,2333.0,349.95,2333.0,42
CDM,377659,GWIRE VASC .014IN 200CM,4093.0,4093.0,613.95,4093.0,42
CDM,377660,GUIDEWIRE VASC 200CM,4093.0,4093.0,613.95,4093.0,42
CDM,377661,GWIRE VASC .018IN 200CM,4093.0,4093.0,613.95,4093.0,42
CDM,377662,SCREW BN 1.85MM 8MM,1226.0,1226.0,183.9,1226.0,30
CDM,377663,IMPLANT MOD SHLDR RT SZ1,8637.0,8637.0,1295.55,8637.0,30
CDM,377664,CUP HUM SHLDR PE +6 38MM,4606.0,4606.0,690.9,4606.0,30
CDM,377665,TRIFLNG ACTB HIP RT SZ25,64221.0,64221.0,9633.15,64221.0,30
CDM,377666,STEM XTN KN 105MM 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,377667,INSERT TIB KN SZ4 12MM,5352.0,5352.0,802.8,5352.0,30
CDM,377668,GWIRE VASC 0.18IN 80CM,656.0,656.0,98.4,656.0,42
CDM,377669,INSERT TIB KN STD 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,377670,STEM FEM HIP SZ16 240MM,19319.0,19319.0,2897.85,19319.0,30
CDM,377671,IMPLANT BREAST 800CC,3311.0,3311.0,496.65,3311.0,30
CDM,377672,IMPLANT BREAST 775CC,5758.0,5758.0,863.7,5758.0,30
CDM,377674,PLUG OCL 12X5.3X3MM,7087.0,7087.0,1063.05,7087.0,30
CDM,377680,LINER ACTB HIP 48MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,377707,SCREW BN 5MM 30MM,2656.0,2656.0,398.4,2656.0,30
CDM,377708,SCREW BN 5MM 32MM,2656.0,2656.0,398.4,2656.0,30
CDM,377723,BLADE SAW 70X12.5MM,263.0,263.0,39.45,263.0,42
CDM,377725,BLADE SAW 25X9MM,202.5,202.5,30.38,202.5,42
CDM,377738,INSERT TIB KN SZ4 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,377739,CATH RTVR THRMB 12F 80CM,24531.5,24531.5,3679.72,24531.5,42
CDM,377740,DEVICE WND CLSR 14X14IN,345.5,345.5,51.83,345.5,42
CDM,377741,LINER ACTB HIP SZH 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,377742,STENT ILIOFEM 10X100MM,5480.0,5480.0,822.0,5480.0,30
CDM,377743,STENT ILIOFEM 12X100MM,5480.0,5480.0,822.0,5480.0,30
CDM,377744,CNTCR ROD SPN 4MM 21MM,3012.0,3012.0,451.8,3012.0,30
CDM,377745,ROD SPN CURVED 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,377746,SEAL CAP RETRACTOR 9.5CM,4385.5,4385.5,657.83,4385.5,42
CDM,377747,CAGE SPN 16D 36X24X16MM,19200.0,19200.0,2880.0,19200.0,30
CDM,377748,LINER ACTB HIP SZH 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,377749,LINER RVS SHLDR LG 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,377752,PLATE BN 8H 3.5/4.5MM,11012.0,11012.0,1651.8,11012.0,30
CDM,377753,WIRE FX 2.8X200MM,793.0,793.0,118.95,793.0,42
CDM,377754,BIT DRILL 2.8MM 110MM,1071.5,1071.5,160.72,1071.5,42
CDM,377756,PLATE BN HUM 3H 86MM,5984.0,5984.0,897.6,5984.0,30
CDM,377757,SCREW BN 4MM 42MM,670.0,670.0,100.5,670.0,30
CDM,377768,COIL EMBL 20CM .02IN 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,377769,COIL EMBL 30CM 6MM,5537.0,5537.0,830.55,5537.0,30
CDM,377770,COIL EMBL 50CM 6MM,7485.0,7485.0,1122.75,7485.0,30
CDM,377771,COIL EMBL 60CM,5537.0,5537.0,830.55,5537.0,30
CDM,377772,STENT EPRSTH 10CM 13MM,12804.0,12804.0,1920.6,12804.0,30
CDM,377795,CATH BLNDIL 3MM 12MM,28905.5,28905.5,4913.94,28905.5,38
CDM,377796,CATH BLNDIL 2MM 15MM,28905.5,28905.5,4913.94,28905.5,38
CDM,377797,CATH BLNDIL 3.50MM 15MM,28905.5,28905.5,4913.94,28905.5,38
CDM,377800,CMPNT PTLA KN 31MM 9MM,4252.0,4252.0,637.8,4252.0,30
CDM,377801,HANDLE COIL PERPH DTCH,1842.0,1842.0,276.3,1842.0,42
CDM,377802,CATH DLV SYS 115CM 45TIP,4093.0,4093.0,613.95,4093.0,42
CDM,377804,GRAFT TNDN AHLS =180MM,4531.0,4531.0,679.65,4531.0,30
CDM,377808,INSERT TIB KN SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,377809,NAIL BN 130D 9MM 340MM,6805.0,6805.0,1020.75,6805.0,30
CDM,377818,SHELL ACTB HIP 3H 68MM,4606.0,4606.0,690.9,4606.0,30
CDM,377820,FIBER LASER 200,1342.5,1342.5,201.38,1342.5,42
CDM,377824,CATH VASC 5FR 55CM,2179.5,2179.5,326.93,2179.5,42
CDM,377825,TUBE TRACH PED 5.0MM,721.0,721.0,108.15,721.0,42
CDM,377826,TUBE TRACH PED 3.4X40MM,721.0,721.0,108.15,721.0,42
CDM,377831,SCREW BN 5MM 38MM,2656.0,2656.0,398.4,2656.0,30
CDM,377833,SCREW BN 5MM 34MM,2656.0,2656.0,398.4,2656.0,30
CDM,377834,SCREW BN 5MM 36MM,2656.0,2656.0,398.4,2656.0,30
CDM,377843,BLADE SAW 3.54X.49IN,417.5,417.5,62.63,417.5,42
CDM,377884,DRIVER SURG QC UNIV T10,386.5,386.5,57.98,386.5,42
CDM,377893,IMPLANT EYELD PTOS 280MM,1169.0,1169.0,175.35,1169.0,30
CDM,377894,TRAY TIB KN LT SZ4,5758.0,5758.0,863.7,5758.0,30
CDM,377896,WIRE SUT PCNG TEMP 24IN,189.5,189.5,28.43,189.5,42
CDM,377897,CLAMP EXFX PSTN ADLT,2464.0,2464.0,369.6,2464.0,42
CDM,377898,SCREW BN 4MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,377902,CATH ELECTR MAP D-F/36P,10447.0,10447.0,1567.05,10447.0,42
CDM,377904,CONN SPN SD/FRNT LD 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,377905,STEM FEM HIP SZ19,19045.0,19045.0,2856.75,19045.0,30
CDM,377906,SCREW SPN 3.8MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,377907,CAGE SPN 10D 43X30X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,377908,CAGE SPN 10D 31X24X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,377909,INTBDY SPN 31X24X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,377910,INSERT TIB ANK LT SZ2,6878.0,6878.0,1031.7,6878.0,30
CDM,377911,COMPONENT TIB KN LT SZ1,4872.0,4872.0,730.8,4872.0,30
CDM,377912,INSERT TIB KN SZ1 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,377913,LINER ACTB HIP +5MM 40MM,5960.0,5960.0,894.0,5960.0,30
CDM,377960,ENDPLATE SPNL SUP 3DG LG,18581.0,18581.0,2787.15,18581.0,30
CDM,377962,ENDPLATE SPNL LG INFR 8,18581.0,18581.0,2787.15,18581.0,30
CDM,378004,SCREW SPN 3.5MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,378005,INSERT TIB KN SZE 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,378006,PIN BN FIXATION 3.2X89MM,483.0,483.0,72.45,483.0,42
CDM,378007,SUTURE CV-4 TH-18 36IN,418.5,418.5,62.77,418.5,42
CDM,378008,SCREW BN 3.5MM 46MM,1781.0,1781.0,267.15,1781.0,30
CDM,378009,STEM FEM KN 12MM 135MM,5315.0,5315.0,797.25,5315.0,30
CDM,378010,BEARING ACTB HIP 28X38MM,4429.0,4429.0,664.35,4429.0,30
CDM,378011,LINER ACTB HIP 38X48MM,4872.0,4872.0,730.8,4872.0,30
CDM,378012,PLATE BN CRNFCL 2MM,42599.0,42599.0,6389.85,42599.0,30
CDM,378013,MODEL CRNMXF RECON BNDL,48803.5,48803.5,7320.52,48803.5,42
CDM,378028,STRIP SCLR 125X3.5X.75MM,1588.0,1588.0,238.2,1588.0,30
CDM,378033,SCREW BN 5MM 46MM,2656.0,2656.0,398.4,2656.0,30
CDM,378034,SCREW BN 5MM 42MM,3143.0,3143.0,471.45,3143.0,30
CDM,378038,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,378169,SUTURE C-BRAID BLUE 1.4M,931.5,931.5,139.72,931.5,42
CDM,378191,SCREW BN 4.5MM 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,378192,SCREW BN 4.5MM 25MM,1595.0,1595.0,239.25,1595.0,30
CDM,378193,CUP SHLDR 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,378201,CATH URET 2W 20FR 5CC,71.5,71.5,10.72,71.5,42
CDM,378206,TUBE TRACH PED 38MM,721.0,721.0,108.15,721.0,42
CDM,378209,TUBE TRACH PED 3.0MM,721.0,721.0,108.15,721.0,42
CDM,378211,TUBE TRACH PED 4.0MM,721.0,721.0,108.15,721.0,42
CDM,378213,TUBE TRACH PED 4.5MM,721.0,721.0,108.15,721.0,42
CDM,378215,TUBE TRACH PED 5.5MM,721.0,721.0,108.15,721.0,42
CDM,378217,FIBER LASER 230UM,4230.5,4230.5,634.58,4230.5,42
CDM,378218,LASER FIBER 320UM,6257.0,6257.0,938.55,6257.0,42
CDM,378219,FIBER LASER 550UM,2660.5,2660.5,399.07,2660.5,42
CDM,378220,FIBER LASER 272UM,2415.0,2415.0,362.25,2415.0,42
CDM,378221,FIBER LASER 200UM,2619.5,2619.5,392.93,2619.5,42
CDM,378222,FIBER LASER 200UM,2046.5,2046.5,306.98,2046.5,42
CDM,378233,CATH GD 8FR 90CM,773.0,773.0,115.95,773.0,42
CDM,378249,SYSTEM SEALANT SPN 5ML,4362.0,4362.0,654.3,4362.0,30
CDM,378265,CUBE GEL EMB 5.0MM 50MG,798.0,798.0,119.7,798.0,30
CDM,378267,PIN BN GD HUM 3.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,378268,PIN BN GD GLEN 2.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,378279,CATH BLNDIL 2.25MM 15MM,28905.5,28905.5,4913.94,28905.5,38
CDM,378280,CATH BLNDIL 3.50MM 12MM,28905.5,28905.5,4913.94,28905.5,38
CDM,378281,CATH BLNDIL 2.50MM 12MM,28905.5,28905.5,4913.94,28905.5,38
CDM,378282,CATH BLNDIL 2MM 12MM,28905.5,28905.5,4913.94,28905.5,38
CDM,378285,PIN FLT GD EXFX 3.2X89MM,483.0,483.0,72.45,483.0,42
CDM,378287,GUIDE SCREW 3.2MM 50MM,242.0,242.0,36.3,242.0,42
CDM,378288,PROBE DPLR 32CM,4093.0,4093.0,613.95,4093.0,42
CDM,378289,DEVICE CLSR CLP INT 35MM,24360.0,24360.0,3654.0,24360.0,30
CDM,378290,DEVICE CLSR CLP INT 40MM,24360.0,24360.0,3654.0,24360.0,30
CDM,378291,DEVICE CLSR CLP INT 45MM,24360.0,24360.0,3654.0,24360.0,30
CDM,378292,DEVICE CLSR CLP INT 50MM,24360.0,24360.0,3654.0,24360.0,30
CDM,378299,CONN PRFSN 1/2IN STRL,137.0,137.0,20.55,137.0,42
CDM,378300,PLATE BN 10H 3.5/4.5MM,11907.0,11907.0,1786.05,11907.0,30
CDM,378301,SCREW BN CORT 3.5X50MM,336.0,336.0,50.4,336.0,30
CDM,378302,LINER ACTB HIP 36MM 46MM,4872.0,4872.0,730.8,4872.0,30
CDM,378303,LINER ACTB HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,378304,INSERT TIB KN 11-12 12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,378305,ROD SPNL 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,378306,SPACER SPN 3.5D 14X20MM,25312.0,25312.0,3796.8,25312.0,30
CDM,378308,STEM FEM HIP 14MM 195MM,9691.0,9691.0,1453.65,9691.0,30
CDM,378309,TOOL DSCT MTCH 10CM 3MM,894.5,894.5,134.18,894.5,42
CDM,378310,CATH BLNDIL 2.25MM 12MM,28905.5,28905.5,4913.94,28905.5,38
CDM,378311,CATH BLNDIL 2.75MM 12MM,28905.5,28905.5,4913.94,28905.5,38
CDM,378312,CATH BLNDIL 4MM 12MM,28905.5,28905.5,4913.94,28905.5,38
CDM,378313,CAGE SPN 12D 32X14X21MM,19200.0,19200.0,2880.0,19200.0,30
CDM,378314,CATH OCL BLN 4MM 7MM,7162.5,7162.5,1074.38,7162.5,42
CDM,378315,CAGE SPN 10D 39X30X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,378316,SHELL ACTB HIP 52MM,6644.0,6644.0,996.6,6644.0,30
CDM,378317,STEM REV KN 18MM +175MM,6876.0,6876.0,1031.4,6876.0,30
CDM,378318,AUG FEM KN SZ9 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,378319,LINER ACTB HIP SZC 32MM,6644.0,6644.0,996.6,6644.0,30
CDM,378320,HEAD FEM HIP 32MM,4607.0,4607.0,691.05,4607.0,30
CDM,378321,HEAD HIP 36MM 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,378322,NAIL BN 11MM 420MM,6437.0,6437.0,965.55,6437.0,30
CDM,378323,TRIFLNG ACTB HIP RT SZ23,64221.0,64221.0,9633.15,64221.0,30
CDM,378324,PLATE SPN 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,378325,SCREW SPN 4MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,378326,TROCAR LAPSCP 5MM 150MM,264.5,264.5,39.67,264.5,42
CDM,378327,SIZER BREAST 650CC,618.5,618.5,92.78,618.5,42
CDM,378328,CATH ANGIO 5FR 40CM,306.0,306.0,45.9,306.0,42
CDM,378329,BODY OPEN SPN STD HEIGHT,3012.0,3012.0,451.8,3012.0,30
CDM,378330,ROD SPN 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,378331,GWIRE/DRILL TIP3.2X400MM,860.0,860.0,129.0,860.0,42
CDM,378332,SCREW BN 10.5MM 80MM,3721.0,3721.0,558.15,3721.0,30
CDM,378333,STEM FEM KN STD OD 10MM,22515.0,22515.0,3377.25,22515.0,30
CDM,378334,CATH IU 3-5FR 40CM,1587.5,1587.5,238.13,1587.5,42
CDM,378335,SCREW SPN 5.5MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,378336,ROD SPN STR 4MM 240MM,3012.0,3012.0,451.8,3012.0,30
CDM,378337,ROD SPN CERV 240X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,378338,SYSTEM DELIVERY ICD,5116.0,5116.0,767.4,5116.0,42
CDM,378344,SYSTEM IMPLANT FIBER,5790.0,5790.0,868.5,5790.0,30
CDM,378350,KIT LARYNG SZ10,4385.5,4385.5,657.83,4385.5,42
CDM,378352,GRAFT BN MTRX FRMBL XL,17650.0,17650.0,2647.5,17650.0,30
CDM,378353,IMPL EYLD WGHT SPHR .8GM,3189.0,3189.0,478.35,3189.0,30
CDM,378354,SPACER SPN 3.5D 14X31MM,22382.0,22382.0,3357.3,22382.0,30
CDM,378355,SCREW SPN 5.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,378356,SCREW SPN 5.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,378357,ROD SPN HEX TAPER 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,378359,BLADE SAW SGTL 31X9X.38,324.5,324.5,48.67,324.5,42
CDM,378360,CLOSURE STERNAL W/NDL,1576.0,1576.0,236.4,1576.0,42
CDM,378361,BAND RAD DSTAT HEMO 21CM,301.5,301.5,45.23,301.5,42
CDM,378405,LINER ACTB HIP 50X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,378445,ANCHOR BN KNTLS 1.4MM,3608.0,3608.0,541.2,3608.0,30
CDM,378446,ANCHOR BN 2.3MM,3608.0,3608.0,541.2,3608.0,30
CDM,378447,ANCHOR BN BLU/BLK 2.3MM,3608.0,3608.0,541.2,3608.0,30
CDM,378449,BIT DRILL 1.4MM,1801.0,1801.0,270.15,1801.0,42
CDM,378461,CAGE SPN 7D 6X14X16MM,8416.0,8416.0,1262.4,8416.0,30
CDM,378476,FORCEPS OPTH 27+ GA 40D,1525.5,1525.5,228.82,1525.5,42
CDM,378477,DEVICE THRMB SET,21743.0,21743.0,3261.45,21743.0,42
CDM,378478,CATH THRMB 4-8MM 130CM,21743.0,21743.0,3261.45,21743.0,42
CDM,378479,STEM FEM HIP 27MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,378480,PLATE BN 2.7MM 75MM,3721.0,3721.0,558.15,3721.0,30
CDM,378481,CATH HYDRPHL CTD 125CM,773.0,773.0,115.95,773.0,42
CDM,378482,CTHDX TMP+ 5F BRNST2 100,305.5,305.5,45.83,305.5,42
CDM,378483,INSERT TIB KN SZ7 15MM,4428.0,4428.0,664.2,4428.0,30
CDM,378484,PIERCER TI L270MM D8MM,5116.0,5116.0,767.4,5116.0,42
CDM,378485,KIT ANCH W/DRV 3.85X17MM,4093.0,4093.0,613.95,4093.0,42
CDM,378486,IMPLANT BROW FRHD FX 3.5,4061.0,4061.0,609.15,4061.0,30
CDM,378489,CAGE SPN 6D 8X5.9X40MM,13287.0,13287.0,1993.05,13287.0,30
CDM,378490,AUGMENT FEM KN RM/LL SZE,12574.0,12574.0,1886.1,12574.0,30
CDM,378491,HINGE INSERT KN SZ3 11MM,7799.0,7799.0,1169.85,7799.0,30
CDM,378492,INSERT TIB KN SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,378493,INSERT TIB KN SZ7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,378496,SUTURE CLEAR SZ3-0 27IN,66.0,66.0,9.9,66.0,42
CDM,378512,IMPLANT BREAST 405CC,5758.0,5758.0,863.7,5758.0,30
CDM,378513,IMPLANT BREAST 440CC,5758.0,5758.0,863.7,5758.0,30
CDM,378514,IMPLANT BREAST 480CC,5758.0,5758.0,863.7,5758.0,30
CDM,378515,IMPLANT BREAST 520CC,5758.0,5758.0,863.7,5758.0,30
CDM,378516,IMPLANT BREAST 685CC,5758.0,5758.0,863.7,5758.0,30
CDM,378518,STEM FEM KN 12MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,378519,LINER ACTB NTRL F 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,378521,ICD DEFIB CARD DEVICE,81400.0,81400.0,12210.0,81400.0,30
CDM,378522,LEAD ICD 63CM,21938.0,21938.0,3290.7,21938.0,30
CDM,378523,IMPLANT BREAST 130CC,5758.0,5758.0,863.7,5758.0,30
CDM,378524,IMPLANT BREAST 160CC,5537.0,5537.0,830.55,5537.0,30
CDM,378525,IMPLANT BREAST 185CC,5537.0,5537.0,830.55,5537.0,30
CDM,378526,IMPLANT BREAST 330CC,5758.0,5758.0,863.7,5758.0,30
CDM,378527,IMPLANT BREAST 355CC,5758.0,5758.0,863.7,5758.0,30
CDM,378528,IMPLANT BREAST 400CC,5758.0,5758.0,863.7,5758.0,30
CDM,378529,IMPLANT BREAST 500CC,5758.0,5758.0,863.7,5758.0,30
CDM,378530,IMPLANT BREAST 454CC,5758.0,5758.0,863.7,5758.0,30
CDM,378531,IMPLANT BREAST 580CC,5758.0,5758.0,863.7,5758.0,30
CDM,378532,IMPLANT BREAST 635CC,5758.0,5758.0,863.7,5758.0,30
CDM,378535,INSERT TIB KN R SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,378549,ENDPLATE SPN 8D MED,18581.0,18581.0,2787.15,18581.0,30
CDM,378551,CMPNT TIB KN FX LT SZ5+,4872.0,4872.0,730.8,4872.0,30
CDM,378552,INSERT TIB KN SZ8 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,378553,GRAFT EVAS 70X32X32MM,29126.0,29126.0,4368.9,29126.0,30
CDM,378554,IMPLANT SPN PRLL SD LD,3012.0,3012.0,451.8,3012.0,30
CDM,378555,GRAFT ST TIS 7X6CM,10201.5,10201.5,1530.22,10201.5,42
CDM,378556,KIT CATH ASP TB 6F 132CM,39086.5,39086.5,5862.98,39086.5,42
CDM,378557,INSERT TIB KN SZ5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,378558,CUP ACTB HIP 28X49MM,4252.0,4252.0,637.8,4252.0,30
CDM,378559,STEM FEM HIP 16MM 145MM,6644.0,6644.0,996.6,6644.0,30
CDM,378560,INSERT TIB KN SZ2 11MM,6737.0,6737.0,1010.55,6737.0,30
CDM,378561,SHEATH CATH 8FR 65CM,16627.0,16627.0,2494.05,16627.0,42
CDM,378562,SHEATH CATH 8FR 90CM,16627.0,16627.0,2494.05,16627.0,42
CDM,378563,CATH THRMB 8FR 85CM,21743.0,21743.0,3261.45,21743.0,42
CDM,378564,CATH THRMB 8FR 65CM,21743.0,21743.0,3261.45,21743.0,42
CDM,378573,SCREW BN 5MM 76MM,2738.0,2738.0,410.7,2738.0,30
CDM,378574,KIT IRRIGATION SINGL USE,773.0,773.0,115.95,773.0,42
CDM,378577,CATH ANGIO FL4 6FR 125CM,160.5,160.5,24.07,160.5,42
CDM,378580,HOOK CAUTERY TIP DVNCI,914.0,914.0,137.1,914.0,42
CDM,378582,PORT LPSCRP GD 100X25,1547.0,1547.0,232.05,1547.0,42
CDM,378583,KIT ACCESS PORT SM,3848.5,3848.5,577.27,3848.5,42
CDM,378584,SHEATH INSTRUMENT CAMERA,773.0,773.0,115.95,773.0,42
CDM,378585,SHEATH INSTRUMENT SP RBT,459.0,459.0,68.85,459.0,42
CDM,378586,KIT ACCESS PORT LARGE,3848.5,3848.5,577.27,3848.5,42
CDM,378587,TIP CAUTRY SPATULA ESURG,914.0,914.0,137.1,914.0,42
CDM,378675,STENT 5X19MM 6FR 135CM,11773.0,11773.0,1765.95,11773.0,30
CDM,378677,GD PIN FLUTED 3.2X89MM,483.0,483.0,72.45,483.0,42
CDM,378678,CATH ANGIO 5FR 125CM,1241.5,1241.5,186.22,1241.5,42
CDM,378679,CATH GD VASC 200CM,2824.0,2824.0,423.6,2824.0,42
CDM,378680,CATH BLN 6MM 200MM 200CM,2452.5,2452.5,367.88,2452.5,42
CDM,378681,CATH BLN 6MM 100MM 200CM,2452.5,2452.5,367.88,2452.5,42
CDM,378682,CATH BLNDL 4X100MM 200CM,2452.5,2452.5,367.88,2452.5,42
CDM,378683,CATH BLN 5X200MM 200CM,2452.5,2452.5,367.88,2452.5,42
CDM,378684,CATH ANGIO C2 5FR 65CM,773.0,773.0,115.95,773.0,42
CDM,378685,INSERT TIB KN 14MM,9966.0,9966.0,1494.9,9966.0,30
CDM,378686,CAGE SPN 36MM 14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,378687,COMPNT STEM HIP STND SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,378688,PROBE DISP 17.4CM,4093.0,4093.0,613.95,4093.0,42
CDM,378689,COMPT FEM KN RT SZ7,14173.0,14173.0,2125.95,14173.0,30
CDM,378690,INSERT TIB KN 10MM,5094.0,5094.0,764.1,5094.0,30
CDM,378691,LINER ACTB HIP 48MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,378692,KIT LINER EXTRCTR,3897.0,3897.0,584.55,3897.0,42
CDM,378693,BEARING TIB VE SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,378696,INSERT HINGE KN SZ4 11MM,7799.0,7799.0,1169.85,7799.0,30
CDM,378701,SCREW BN 4.5MM 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,378702,SCREW BN 4.5MM 25MM,1595.0,1595.0,239.25,1595.0,30
CDM,378716,CUP BIP ACTBHIP 9.8X57MM,4252.0,4252.0,637.8,4252.0,30
CDM,378717,HEAD FEM CUP HIP 28 56M,4252.0,4252.0,637.8,4252.0,30
CDM,378722,HEAD FEM HIP CUP 28X53MM,4252.0,4252.0,637.8,4252.0,30
CDM,378724,SCREW BN 5MM 28MM,2656.0,2656.0,398.4,2656.0,30
CDM,378725,IMPLANT BREAST 190CC,4429.0,4429.0,664.35,4429.0,30
CDM,378729,DRESSING NASAL 4.5CM,187.5,187.5,28.13,187.5,42
CDM,378750,STEM HIP SZ16,19045.0,19045.0,2856.75,19045.0,30
CDM,378790,FIBER LASER 200UM,3546.0,3546.0,531.9,3546.0,42
CDM,378796,FIBER LASER 365UM,2786.0,2786.0,417.9,2786.0,42
CDM,378797,FIBER LASER 550UM,3799.0,3799.0,569.85,3799.0,42
CDM,378799,PLATE BN STR 8H,3569.0,3569.0,535.35,3569.0,30
CDM,378800,LINER SHLDR +2.5 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,378801,IMPLANT BREAST 545CC,5758.0,5758.0,863.7,5758.0,30
CDM,378808,STENT COR 4.50 X 12MM,3537.0,3537.0,530.55,3537.0,30
CDM,378813,STENT COR 4.50 X 8MM,3537.0,3537.0,530.55,3537.0,30
CDM,378818,STENT COR 4.50 X 28MM,3537.0,3537.0,530.55,3537.0,30
CDM,378864,SCRAPER BN 6MM 180MM,5116.0,5116.0,767.4,5116.0,42
CDM,378865,PIERCER TI L180MM D10MM,5116.0,5116.0,767.4,5116.0,42
CDM,378867,PIERCER TI L180MM D8MM,5116.0,5116.0,767.4,5116.0,42
CDM,378868,HEAD HUM SHLDR 16X43MM,21703.0,21703.0,3255.45,21703.0,30
CDM,378869,CLIP LIGATING LG,505.0,505.0,75.75,505.0,30
CDM,378883,ALLODERM 1SQCM,599.0,599.0,89.85,599.0,29
CDM,378885,CTHGD 7F 100CM M1 JR4,572.0,572.0,85.8,572.0,42
CDM,378887,PASSER SUTURE 45D CRV LT,1203.5,1203.5,180.53,1203.5,42
CDM,378888,KIT ARTHSCP CRVD INSRTR,4385.5,4385.5,657.83,4385.5,42
CDM,378889,SCREW BN STD 22MM,3294.0,3294.0,494.1,3294.0,30
CDM,378890,INSERT TIB KN 87/91X12MM,4606.0,4606.0,690.9,4606.0,30
CDM,378894,SCREW BN 3.5MM 20MM,2471.0,2471.0,370.65,2471.0,30
CDM,378897,SCREW BN 3.5MM 16MM,2471.0,2471.0,370.65,2471.0,30
CDM,378913,SCREW BN 5MM 80MM,2656.0,2656.0,398.4,2656.0,30
CDM,378914,SCREW BN 5.0MM 50MM,2656.0,2656.0,398.4,2656.0,30
CDM,378916,LENS IOL +13.5 DIOP,866.5,866.5,159.52,866.5,28
CDM,378917,SCREW BN CRNFCL 1.8X7MM,1164.0,1164.0,174.6,1164.0,30
CDM,378918,TRIFLNG ACTB HIP LT SZ24,64221.0,64221.0,9633.15,64221.0,30
CDM,378923,LENS IOL +30.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,378924,LENS IOL +30.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,378943,SYSTEM SCFLD 3.5MM 38MM,9613.0,9613.0,1441.95,9613.0,30
CDM,378944,SYSTEM SCFLD 3.5MM 28MM,9613.0,9613.0,1441.95,9613.0,30
CDM,378954,SYSTEM SCFLD 3MM 28MM,9613.0,9613.0,1441.95,9613.0,30
CDM,378955,SYSTEM SCFLD 3MM 38MM,9613.0,9613.0,1441.95,9613.0,30
CDM,378957,CATHETER ANGIO 80CM 6FR,192.0,192.0,28.8,192.0,42
CDM,378989,PROBE BIPLANE ULTSND,1.0,1.0,0.15,1.0,42
CDM,378991,CANN PRFSN 21FR 7MM,760.5,760.5,114.08,760.5,42
CDM,378992,WEDGE FEM KN SZSM,20429.0,20429.0,3064.35,20429.0,30
CDM,378993,CONN ROD SPN 20X4.75MM,3012.0,3012.0,451.8,3012.0,30
CDM,378994,PLATE BN 190MM 4.5MM,6630.0,6630.0,994.5,6630.0,30
CDM,378995,SCREW BN 4.5MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,378996,SCREW BN CANN 4.5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,378997,SCREW BN TI 4.5MM 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,378998,SCREW SPN CANN 6.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,378999,SCREW SPN 6.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,379000,CAGE SPN 12MM 27MM 8MM,15059.0,15059.0,2258.85,15059.0,30
CDM,379001,CAGE SPN 12MM 27MM 9MM,15059.0,15059.0,2258.85,15059.0,30
CDM,379002,CATH GD LG 9FR 58CM,3030.5,3030.5,454.57,3030.5,42
CDM,379005,AGENT LFT SBMUCSL 10ML,773.0,773.0,115.95,773.0,42
CDM,379014,HEAD FEM 12/14 22.2MM,4252.0,4252.0,637.8,4252.0,30
CDM,379182,PLATE SPNL ANT 2HL 9MM,4540.0,4540.0,681.0,4540.0,30
CDM,379184,CAGE SPN 7D 6X14X17MM,8416.0,8416.0,1262.4,8416.0,30
CDM,379185,CAGE SPN 7D 12X15X6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,379211,ANCHOR SUT 2.3MM,4334.0,4334.0,650.1,4334.0,30
CDM,379348,POWDER COLGN TYPE1 5GM,6907.0,6907.0,1036.05,6907.0,42
CDM,379349,GWIRE VASC .014IN 300CM,4385.5,4385.5,657.83,4385.5,42
CDM,379350,CATH ANGIO IMT 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,379351,SYSTEM DTCH STRL DISP,2038.5,2038.5,305.77,2038.5,42
CDM,379352,COIL EMBL 6CM 3MM,9731.0,9731.0,1459.65,9731.0,30
CDM,379353,COIL EMBL 8CM 3MM,6316.0,6316.0,947.4,6316.0,30
CDM,379354,COIL EMBL 15CM 4MM,9731.0,9731.0,1459.65,9731.0,30
CDM,379355,SUTURE VIO BRD 8-0 12IN,231.5,231.5,34.73,231.5,42
CDM,379357,GWIRE VASC 200CM .018IN,4093.0,4093.0,613.95,4093.0,42
CDM,379361,STEM FEM HIP VT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,379362,INSERT TIB KN SZ C 23MM,7858.0,7858.0,1178.7,7858.0,30
CDM,379363,CAGE SPN 10D 23X10X55,13287.0,13287.0,1993.05,13287.0,30
CDM,379364,GDWIRE 1.4MM 280MM,773.0,773.0,115.95,773.0,42
CDM,379365,SCREW SHIM LONG,2122.5,2122.5,318.38,2122.5,42
CDM,379366,PLATE SPN LAT 1HL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,379367,PLATE SPN LCK CRV 10MM,753.0,753.0,112.95,753.0,30
CDM,379368,SCREW SPNL 5.5MM 40MM,1130.0,1130.0,169.5,1130.0,30
CDM,379369,SCREW BN 1.2MM 6MM,1478.0,1478.0,221.7,1478.0,30
CDM,379370,SCREW BN 1.2X10MM,1478.0,1478.0,221.7,1478.0,30
CDM,379371,DRILL TWIST 1MM 54MM,1115.0,1115.0,167.25,1115.0,42
CDM,379372,INTRBD SPN 10D 12X27X35,8858.0,8858.0,1328.7,8858.0,30
CDM,379373,CMPNT FEM KN RT SZ 4,7087.0,7087.0,1063.05,7087.0,30
CDM,379374,TRAY TIB KN RM/LL SZ4,5581.0,5581.0,837.15,5581.0,30
CDM,379375,HEAD HUM SHLDR 50MM,21703.0,21703.0,3255.45,21703.0,30
CDM,379376,CAGE SPN 20D 27X40X18MM,20197.0,20197.0,3029.55,20197.0,30
CDM,379377,LENS IOL +29.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,379378,ROD SPN CRVD 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,379379,SCREW SPN 7.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,379380,SCREW SPN 8.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,379381,CAGE SPN 5D 12X27X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,379382,SCREW SPN 7.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,379386,ENDCAP BN 9MM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,379387,SCREW BN 4.5MM 27.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,379388,SCREW BN 4.5MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,379389,SCREW BN 4.5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,379390,HEAD FEM RMR 8MM,4093.0,4093.0,613.95,4093.0,42
CDM,379391,REAMER HEAD 8.5MM,4093.0,4093.0,613.95,4093.0,42
CDM,379392,REAMER SURG FLEX 6MM,13752.0,13752.0,2062.8,13752.0,42
CDM,379393,REAMER SURG 7.5MM 9.5MM,4200.0,4200.0,630.0,4200.0,42
CDM,379394,NAIL BN W/ATTCH BOLT,4429.0,4429.0,664.35,4429.0,30
CDM,379395,GUIDEWIRE ORTH 800MM 2.7,3438.0,3438.0,515.7,3438.0,42
CDM,379396,GUIDEWIRE ORTH 800MM 2MM,3438.0,3438.0,515.7,3438.0,42
CDM,379397,BIT DRILL 3.8MM,4093.0,4093.0,613.95,4093.0,42
CDM,379398,GUIDEWIRE ORTH 3.2MM,1630.5,1630.5,244.57,1630.5,42
CDM,379399,NAIL BN LT 7MM 260MM,16094.0,16094.0,2414.1,16094.0,30
CDM,379401,LEAD PCNG 52CM,2793.0,2793.0,418.95,2793.0,30
CDM,379410,GRAFIX STRAVIX PL 1SQCM,2181.0,2181.0,327.15,2181.0,29
CDM,379411,CMPNT ANKLE SZ2+ 10MM,15502.0,15502.0,2325.3,15502.0,30
CDM,379428,STYLET LD LNGTPR 52CM,773.0,773.0,115.95,773.0,42
CDM,379432,MATRIX PWD 500MG,5747.5,5747.5,862.13,5747.5,42
CDM,379433,SHEATH GD 14FR 63CM,1008.0,1008.0,151.2,1008.0,42
CDM,379434,TRIFLNG ACTB HIP LT SZ27,64221.0,64221.0,9633.15,64221.0,30
CDM,379435,INSERT TIB KN SZ6 12MM,5094.0,5094.0,764.1,5094.0,30
CDM,379436,CMPNT TIB KN SZ8 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,379437,ROD SPN 65MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,379438,SCREW SPN 8.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,379439,AUGMENT FEM KN SZ2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,379440,CMPNT KN RT SZ2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,379441,COMPNT RT KN TTL SZ2,18424.0,18424.0,2763.6,18424.0,30
CDM,379442,CANNULA ARTH 8.5MM 45MM,383.5,383.5,57.52,383.5,42
CDM,379443,CMPNT FEM KN RM/LL SZ6,5681.0,5681.0,852.15,5681.0,30
CDM,379444,BASEPLATE TIB KN RT SZ10,4606.0,4606.0,690.9,4606.0,30
CDM,379445,INSERT TIB KN SZ9-10 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,379446,CMPNT TIB KN RT SZ5+,4872.0,4872.0,730.8,4872.0,30
CDM,379447,SCREW BN 2.7MM 12MM,899.0,899.0,134.85,899.0,30
CDM,379448,CMPNT ULNA 4MM 75MM,18609.0,18609.0,2791.35,18609.0,30
CDM,379450,BAG DRN STRL DISP,542.5,542.5,81.38,542.5,42
CDM,379451,PROSTHESIS VC 16F 16MM,3189.0,3189.0,587.09,3189.0,26
CDM,379452,STEM FEM HIP 21MM 250MM,11150.0,11150.0,1672.5,11150.0,30
CDM,379453,IMPLANT CRNL PEEK 20,48411.0,48411.0,7261.65,48411.0,30
CDM,379454,BIT DRILL 1.15MM 50MM,1301.5,1301.5,195.22,1301.5,42
CDM,379455,BASEPLATE TIB KN SIZE 3,19288.0,19288.0,2893.2,19288.0,30
CDM,379456,CMPNT FEM KN 65MM,17863.0,17863.0,2679.45,17863.0,30
CDM,379457,STEM XTN KN 60MM,22770.0,22770.0,3415.5,22770.0,30
CDM,379458,GRAFT NERVE 3MM,8411.0,8411.0,1261.65,8411.0,30
CDM,379459,GRAFT NERVE 4MM,8411.0,8411.0,1261.65,8411.0,30
CDM,379460,GRAFT NERVE 5MM,8411.0,8411.0,1261.65,8411.0,30
CDM,379461,GRAFT NERVE 7MM,8411.0,8411.0,1261.65,8411.0,30
CDM,379462,CLIP LIGATION EX-LG,365.0,365.0,54.75,365.0,30
CDM,379464,GRAFT NERVE 2MM,8411.0,8411.0,1261.65,8411.0,30
CDM,379471,PROST VOICE 16FR 18MM,3189.0,3189.0,587.09,3189.0,26
CDM,379472,REAMER FLEXIBLE 7.0MM,13752.0,13752.0,2062.8,13752.0,42
CDM,379473,INS FEM KN CCK LT SZ6,14173.0,14173.0,2125.95,14173.0,30
CDM,379476,GRAFT NERVE 6MM,8411.0,8411.0,1261.65,8411.0,30
CDM,379477,GRAFT NERVE 1.5MM,8411.0,8411.0,1261.65,8411.0,30
CDM,379479,STEM FEM HIP 33MM 115MM,6201.0,6201.0,930.15,6201.0,30
CDM,379480,CAGE SPN 7D 17X14X7MM,8416.0,8416.0,1262.4,8416.0,30
CDM,379482,SCREW BN 4.5MM 90MM,670.0,670.0,100.5,670.0,30
CDM,379483,REAMER HEAD STRL 11.5MM,4093.0,4093.0,613.95,4093.0,42
CDM,379484,ENDCAP SPN 0D 17MM 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,379485,STEM HIP/KN 13MM 152MM,12672.0,12672.0,1900.8,12672.0,30
CDM,379486,HINGE TIB KN ROT STP 1SZ,16914.0,16914.0,2537.1,16914.0,30
CDM,379487,PIN FEM DIST HIP/KN 1SZ,5873.0,5873.0,880.95,5873.0,30
CDM,379488,CMPNT TIB KN 8MM,5625.0,5625.0,843.75,5625.0,30
CDM,379520,SCREW BN LCK 3.5X34MM,2727.0,2727.0,409.05,2727.0,30
CDM,379537,SCREW BN 2.7MM 10MM,1834.0,1834.0,275.1,1834.0,30
CDM,379538,SCREW BN CORT 2.7X12MM,1834.0,1834.0,275.1,1834.0,30
CDM,379539,LINER ACTB HIP 54MM 44MM,4872.0,4872.0,730.8,4872.0,30
CDM,379540,HEAD ACTB HIP 44MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,379541,HEAD FM HIP 12/14X-2X40,4429.0,4429.0,664.35,4429.0,30
CDM,379546,SYSTEM LOADING AOR VALVE,4092.5,4092.5,613.88,4092.5,42
CDM,379550,KIT INTRO 23FR,4298.0,4298.0,644.7,4298.0,42
CDM,379551,SCREW SPN 9.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,379558,SCREW BN 2.5X14MM,3189.0,3189.0,478.35,3189.0,30
CDM,379559,SCREW BN 2.5X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,379589,GW VASC 3MM JTP 3MM 180C,551.0,551.0,82.65,551.0,42
CDM,379593,COIL EMBL 30CM 9MM,9731.0,9731.0,1459.65,9731.0,30
CDM,379594,COIL EMBL 15CM 5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,379595,MARKER BRST 18GA 7CM,3721.0,3721.0,558.15,3721.0,30
CDM,379597,COIL EMBL 6MM 20CM,9731.0,9731.0,1459.65,9731.0,30
CDM,379598,PICK VEIN ACCESSORY,231.5,231.5,34.73,231.5,42
CDM,379599,COIL EMBL 30CM 8MM,9731.0,9731.0,1459.65,9731.0,30
CDM,379600,COIL EMBL 10CM 5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,379607,TUBE LYRNG STD 8/36,1207.5,1207.5,181.13,1207.5,42
CDM,379608,TUBE LYRNG STD 9/36,1207.5,1207.5,181.13,1207.5,42
CDM,379609,AUG FEM KN POST SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,379610,STEM FEM HIP 18MM 250MM,9478.0,9478.0,1421.7,9478.0,30
CDM,379611,TUBE LYRNG STD 9/55,1244.0,1244.0,186.6,1244.0,42
CDM,379612,TUBE LYRNG STD 10/36,1244.0,1244.0,186.6,1244.0,42
CDM,379613,BLADE TRPHN 8IN 12.5MM,4093.0,4093.0,613.95,4093.0,42
CDM,379614,ADHESIVE TRCH PRVX DISP,1216.5,1216.5,182.47,1216.5,42
CDM,379615,CMPNT TIB KN CMNT SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,379616,INSERT KN MNSCL SZ8 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,379617,SEGEMENT FEM 98MM,23864.0,23864.0,3579.6,23864.0,30
CDM,379618,STEM HIP/KN 11MM 152MM,12672.0,12672.0,1900.8,12672.0,30
CDM,379619,HEAD FEM HIP 3.5MM 28MM,6037.0,6037.0,905.55,6037.0,30
CDM,379620,SCREW SPN RDC 7.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,379621,IMPLANT BREAST 325CC,5758.0,5758.0,863.7,5758.0,30
CDM,379622,IMPLANT BREAST 370CC,5758.0,5758.0,863.7,5758.0,30
CDM,379624,PAD CARDIAC INSUL ADLT,231.5,231.5,34.73,231.5,42
CDM,379625,NEUROSTIM RECHARGEABLE,84816.0,84816.0,12722.4,84816.0,30
CDM,379632,GRAFT ST TISS 4CM 6CM,11640.0,11640.0,1746.0,11640.0,30
CDM,379653,SCREW BN 4.5MM 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,379654,SCREW BN 4.5MM 25MM,1595.0,1595.0,239.25,1595.0,30
CDM,379656,BASEPLATE SHLDR 10D,8194.0,8194.0,1229.1,8194.0,30
CDM,379657,SPACER SHLDR 6 SM +9 SM,4429.0,4429.0,664.35,4429.0,30
CDM,379679,DRILL KIT INST DISP 13MM,773.0,773.0,115.95,773.0,42
CDM,379703,TEMPLATE PTLR FEM SZ MED,3395.0,3395.0,509.25,3395.0,42
CDM,379740,PLATE BN MNDB 8HL 1MM,8053.0,8053.0,1207.95,8053.0,30
CDM,379741,CATH ANGIO IM 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,379742,CATH ANG JL4.5 6FR 100CM,192.0,192.0,28.8,192.0,42
CDM,379743,CTHDX ST+ 6F AR2 100,192.0,192.0,28.8,192.0,42
CDM,379744,SCREW SPN 6.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,379745,SCREW SPN 6.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,379746,INSERT TIBIA SZ5-6 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,379747,WASHER BN LCK ATCHMNT 5D,4429.0,4429.0,664.35,4429.0,30
CDM,379748,NAIL FEM 5D 11X360MM,5990.0,5990.0,898.5,5990.0,30
CDM,379749,PLATE BN .8MM 3X4HL,3189.0,3189.0,478.35,3189.0,30
CDM,379750,SPACER SPN 10D 17X15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,379751,CAGE SPN 20D 24X36X14MM,20197.0,20197.0,3029.55,20197.0,30
CDM,379752,CLIP LIGA 17MM 235CM,3189.0,3189.0,478.35,3189.0,30
CDM,379753,SUTURE BLU MONO 4-0 36IN,231.5,231.5,34.73,231.5,42
CDM,379754,SUTURE BLU MONO 5-0 36IN,262.0,262.0,39.3,262.0,42
CDM,379755,SUTURE BLU MONO 5-0 36IN,361.0,361.0,54.15,361.0,42
CDM,379756,INSERT HUM SHLDR +0 36MM,7441.0,7441.0,1116.15,7441.0,30
CDM,379757,CATH ANGIO C2 4FR 100CM,773.0,773.0,115.95,773.0,42
CDM,379758,STEM HUM W/SCR 6X100,9580.0,9580.0,1437.0,9580.0,30
CDM,379759,CMPNT SHD INTSEG 60MM,25093.0,25093.0,3763.95,25093.0,30
CDM,379760,CMPNT SHD PRXBDY SM 68,25760.0,25760.0,3864.0,25760.0,30
CDM,379761,CMPNT HUM SMALL,36274.0,36274.0,5441.1,36274.0,30
CDM,379762,CMPNT SHLDR PARTIAL LG,12247.0,12247.0,1837.05,12247.0,30
CDM,379763,CAGE SPNL 40MM 16MM,19200.0,19200.0,2880.0,19200.0,30
CDM,379764,CATHETER GD MPA1 CRV 6FR,773.0,773.0,115.95,773.0,42
CDM,379765,SUTURE BLU MON0 9-0 5IN,286.5,286.5,42.98,286.5,42
CDM,379766,EXPANDER TISS 16CM 15CM,6865.0,6865.0,1029.75,6865.0,30
CDM,379767,INTRBDY SPN 10D 43X30X12,17606.0,17606.0,2640.9,17606.0,30
CDM,379768,SCREW SPN 8.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,379772,FIBER DBM 5CC,3765.0,3765.0,564.75,3765.0,30
CDM,379773,STENT ENDO 6X15MM 135CM,9971.0,9971.0,1495.65,9971.0,30
CDM,379789,CMPNT TRFLNG HIP LT SZ26,64221.0,64221.0,9633.15,64221.0,30
CDM,379790,CMPNT TRFLNG HIP RT SZ26,64221.0,64221.0,9633.15,64221.0,30
CDM,379792,LENS IOL +21.5 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,379803,SCREW BN 3.5MM 30MM,278.0,278.0,41.7,278.0,30
CDM,384965,PLATE 145 SS 3.5 SCR 12,5465.0,5465.0,819.75,5465.0,30
CDM,387316,PCMKR ACCOLADE DR 2LD,14343.0,14343.0,2151.45,14343.0,30
CDM,400021,DRAIN WND 10IN 20IN,101.5,101.5,15.22,101.5,42
CDM,400025,DRAIN WND 1/8IN 49IN,96.0,96.0,14.4,96.0,42
CDM,400062,DRESSING PETRO 3X36IN,15.5,15.5,2.33,15.5,42
CDM,400260,DRAIN WND 7IN 20IN,104.5,104.5,15.68,104.5,42
CDM,400262,DRAIN JP SIL W/TRCR 15F,231.5,231.5,34.73,231.5,42
CDM,400266,CATH URTH INTRMT 8FR,15.5,15.5,2.33,15.5,42
CDM,400510,CANNULA OPTH 20GA,237.0,237.0,35.55,237.0,42
CDM,400615,SHEATH INTRO 7FR 25CM,324.5,324.5,48.67,324.5,42
CDM,400616,SHEATH INTRO 6F 25CM,324.5,324.5,48.67,324.5,42
CDM,400661,INTRO SHTH 6FR 10CM,231.5,231.5,34.73,231.5,42
CDM,400665,SHEATH INTRO 5FR 10CM,231.5,231.5,34.73,231.5,42
CDM,402027,GLOVE CMPR 23-32 MED,226.0,226.0,33.9,226.0,42
CDM,402135,GWIRE VASC .035IN 180CM,442.0,442.0,66.3,442.0,42
CDM,402136,GWIRE VASC .035IN 260CM,442.0,442.0,66.3,442.0,42
CDM,402170,GWIRE VASC .035IN 180CM,773.0,773.0,115.95,773.0,42
CDM,402228,DEVICE FLOW CTRL 1050PI,101.5,101.5,15.22,101.5,42
CDM,402246,RETRCTR OPTH FLXB STRL,773.0,773.0,115.95,773.0,42
CDM,402248,POLISHER OPTH 27GA,134.0,134.0,20.1,134.0,42
CDM,402294,SUTURE OPTH 8-0 12IN,337.5,337.5,50.63,337.5,42
CDM,402307,TUBE GSTRM LP 14FR 0.8CM,900.5,900.5,135.07,900.5,42
CDM,402379,PUSHER COIL .41MM 177CM,1146.0,1146.0,171.9,1146.0,42
CDM,402390,KIT SNARE 4FR 5MM 120CM,2128.5,2128.5,319.27,2128.5,42
CDM,402391,CATH SNARE 10MM 120CM,2128.5,2128.5,319.27,2128.5,42
CDM,402397,CATH PUSH 8.5FR 3.2MM,646.0,646.0,96.9,646.0,42
CDM,402398,CATH GD 5FR 320CM,773.0,773.0,115.95,773.0,42
CDM,402403,TUBE GSTRM 24FR 5.5MM 1%,996.5,996.5,149.47,996.5,42
CDM,402404,SET GSTRM 12FR 200CM,1023.5,1023.5,153.53,1023.5,42
CDM,402416,KNIFE ULSHRP 0.5MM,601.5,601.5,90.22,601.5,42
CDM,402435,CATH OD6FR G22226,778.0,778.0,116.7,778.0,42
CDM,402441,SPHNTM BIL 5.5FR 200CM,1023.5,1023.5,153.53,1023.5,42
CDM,402442,SPHNTM BIL 5.5FR 200CM,1091.0,1091.0,163.65,1091.0,42
CDM,402459,INTRO PLWY 12F 30,773.0,773.0,115.95,773.0,42
CDM,402460,INTRDCR PEELAWAY14 38 30,773.0,773.0,115.95,773.0,42
CDM,402461,SHEATH INTRO 16FR 30CM,773.0,773.0,115.95,773.0,42
CDM,402464,KIT SNARE EXTRACT 175CM,4093.0,4093.0,613.95,4093.0,42
CDM,402465,KIT SNARE EXTRACT 175CM,4093.0,4093.0,613.95,4093.0,42
CDM,402477,GWIRE .46MM 3CM 150CM,773.0,773.0,115.95,773.0,42
CDM,402482,GWIRE VASC .014IN 190CM,1388.0,1388.0,208.2,1388.0,42
CDM,402486,BAND RTNL 2X.75X125MM,322.0,322.0,48.3,322.0,30
CDM,402489,STRIP SCLR 125X3.5X.75MM,370.0,370.0,55.5,370.0,30
CDM,402490,STRIP RTNL 125X4X1.25MM,370.0,370.0,55.5,370.0,30
CDM,402491,SLEEVE RTNL 2.1X1MM,249.0,249.0,37.35,249.0,30
CDM,402492,IMP SLEEVE RTNL SIL #270,249.0,249.0,37.35,249.0,30
CDM,402494,STRIP RTNL 2.5X7MM,425.0,425.0,63.75,425.0,30
CDM,402495,TIRE RTNL GRV CNCAV2.5X9,425.0,425.0,63.75,425.0,30
CDM,402509,IMPL RTNL SPNG 100X6MM,278.0,278.0,41.7,278.0,30
CDM,402510,TIRE RTNL SIL 2.5MM 7MM,425.0,425.0,63.75,425.0,30
CDM,402512,IMPL RTNL TIRE 2.5X7MM,425.0,425.0,63.75,425.0,30
CDM,402537,PROBE LSR HMSPHR TIP,1719.0,1719.0,257.85,1719.0,42
CDM,402560,FORCEPS ALGTR 115CM,541.0,541.0,81.15,541.0,42
CDM,402561,INTRO SHTH 7FR 15.5CM,773.0,773.0,115.95,773.0,42
CDM,402562,INTR0 PLWY 8FR 15.5CM,773.0,773.0,115.95,773.0,42
CDM,402563,INTRO SHTH 9FR 15.5CM,773.0,773.0,115.95,773.0,42
CDM,402570,CATH ESPH 6FR 6MM 180CM,1013.5,1013.5,152.03,1013.5,42
CDM,402571,CATH ESPH 6FR 8MM 180CM,900.5,900.5,135.07,900.5,42
CDM,402572,CATH ESPH 6FR 10MM 180CM,900.5,900.5,135.07,900.5,42
CDM,402573,CATH ESPH 12MM 180CM,773.0,773.0,115.95,773.0,42
CDM,402574,CATH ESPH 6FR 14MM 180CM,773.0,773.0,115.95,773.0,42
CDM,402575,CATH ESPH 6FR 16MM 180CM,1023.5,1023.5,153.53,1023.5,42
CDM,402576,CATH ESPH 18MM 180CM,900.5,900.5,135.07,900.5,42
CDM,402577,CATH ESPH 6FR 15MM 180CM,1023.5,1023.5,153.53,1023.5,42
CDM,402590,SHTH INTRO 5FR 018 40 10,348.0,348.0,52.2,348.0,42
CDM,402592,CATH INFS 5FR 100CM,860.0,860.0,129.0,860.0,42
CDM,402594,SNARE POLY FLEX OVAL SM,417.5,417.5,62.63,417.5,42
CDM,402781,GW RDRN ANG 018X480,1174.5,1174.5,176.18,1174.5,42
CDM,402782,DEVICE RET 5.5FR 200CM,2251.0,2251.0,337.65,2251.0,42
CDM,402783,DEVICE RET 5.5FR 200CM,2251.0,2251.0,337.65,2251.0,42
CDM,402784,CANNULA ERCP 5FR 200CM,773.0,773.0,115.95,773.0,42
CDM,403014,STENT ESPH 18-23MM 10CM,6622.0,6622.0,993.3,6622.0,30
CDM,403015,STENT ESPH 18-23MM 15CM,6622.0,6622.0,993.3,6622.0,30
CDM,403036,CATH HMST 3.7MM 300CM,1254.5,1254.5,188.18,1254.5,42
CDM,403054,CATH HMST 2.8MM 210CM,1595.0,1595.0,239.25,1595.0,42
CDM,403055,CATH HMST 25GA 201CM,1595.0,1595.0,239.25,1595.0,42
CDM,403056,GWIRE ENDO .035IN 450CM,1330.5,1330.5,199.57,1330.5,42
CDM,403060,TUBE GASTRO 18FR,362.0,362.0,54.3,362.0,42
CDM,403061,TUBE GASTRO 22FR X 3,362.0,362.0,54.3,362.0,42
CDM,403068,STENT ESPH 18-23MM 10CM,6179.0,6179.0,926.85,6179.0,30
CDM,403069,STENT ESPH 18-23MM 10CM,6644.0,6644.0,996.6,6644.0,30
CDM,403070,STENT ESPH 18-23MM 15CM,6644.0,6644.0,996.6,6644.0,30
CDM,403071,STENT ESPH 18-23MM 15CM,6644.0,6644.0,996.6,6644.0,30
CDM,403072,STENT ESPH 18-23MM 10CM,6622.0,6622.0,993.3,6622.0,30
CDM,403073,STENT ESPH 18-23MM 15CM,6865.0,6865.0,1029.75,6865.0,30
CDM,404465,PLATE BN 2HL 90MM,4429.0,4429.0,664.35,4429.0,30
CDM,404546,CATH URET LSR 7.4F 40VM,462.5,462.5,69.38,462.5,42
CDM,404547,NEUROSTIM RECHARGEABLE,68950.0,68950.0,10342.5,68950.0,30
CDM,404548,PICK SURG 13CM 45D 1.5MM,328.0,328.0,49.2,328.0,42
CDM,404549,SPACER HIP TEMP 60X211MM,16133.5,16133.5,2420.03,16133.5,42
CDM,404550,GUARD CUFF HUM NAIL DISP,8628.5,8628.5,1294.28,8628.5,42
CDM,404551,CMPNT TIB KN SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,404552,INSERT MNSCL KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,404553,INSERT MNSCL KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,404554,STEM FEM HIP 22MM 150MM,7805.0,7805.0,1170.75,7805.0,30
CDM,404555,STEM HUM SHDLR 11X100MM,20427.0,20427.0,3064.05,20427.0,30
CDM,404556,CMPNT HUM SHLDR SM 48MM,25760.0,25760.0,3864.0,25760.0,30
CDM,404557,DILATOR VASC 230CM,5090.5,5090.5,763.58,5090.5,42
CDM,404558,CATH ANGIO ANG 5FR 65CM,773.0,773.0,115.95,773.0,42
CDM,404559,LINER ACTB HIP 56-58X40M,4429.0,4429.0,664.35,4429.0,30
CDM,404560,CAGE SPN 10D 39X30X10MM,17606.0,17606.0,2640.9,17606.0,30
CDM,404561,CAGE SPN 15D 12X30X39MM,17606.0,17606.0,2640.9,17606.0,30
CDM,404563,GRAFT BN LT DIST TIB LG,30339.0,30339.0,4550.85,30339.0,30
CDM,404571,EXTRACTOR NAIL 4MM-8MM,3192.5,3192.5,478.88,3192.5,42
CDM,404572,EXTRACTOR NAIL 8MM-12MM,3192.5,3192.5,478.88,3192.5,42
CDM,404573,EXTRACTOR NL 10-12.5MM,2947.0,2947.0,442.05,2947.0,42
CDM,404575,CROSS CONNECTOR 58-74MM,3012.0,3012.0,451.8,3012.0,30
CDM,404581,INTRBDY SPN 7D 16X14X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,404588,BURR SURG 3MM 13CM,2893.5,2893.5,434.02,2893.5,42
CDM,404597,INTRO SHEATH 12FR 45CM,4101.5,4101.5,615.23,4101.5,42
CDM,404598,SCREW SPN FEN 7.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,404607,INTERBODY SPN 10D8X18X60,13287.0,13287.0,1993.05,13287.0,30
CDM,404626,LINER HIP 0D 32X56/68MM,4429.0,4429.0,664.35,4429.0,30
CDM,404627,SCREW BN BSPLT 4.5X54MM,3229.0,3229.0,484.35,3229.0,30
CDM,404628,ADAPTER SHLDR HEAD 36MM,7849.0,7849.0,1177.35,7849.0,30
CDM,404629,ROD SPN 3.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,404630,SCREW SPN 4.2MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,404631,CONN SPN 3.5/4-5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,404640,ENDCAP 0D 16MM,11361.0,11361.0,1704.15,11361.0,30
CDM,404644,BIT DRILL DISP 2MM 30MM,1023.5,1023.5,153.53,1023.5,42
CDM,404655,PUMP INFS IMPL HFLO CNST,71702.0,71702.0,10755.3,71702.0,30
CDM,404656,KIT CONNECTOR W CTH DISP,5346.5,5346.5,801.98,5346.5,42
CDM,404657,NEEDLE SUT STRT 3/8IN,855.5,855.5,128.32,855.5,42
CDM,404658,LENS IOL +22.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,404659,TRAY TIB KN LM/RL SZ6,5581.0,5581.0,837.15,5581.0,30
CDM,404660,BEARING TIB KN SZ6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,404661,SCREW BN 4MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,404672,LEAD PACEMAKER 46CM,2793.0,2793.0,418.95,2793.0,30
CDM,404673,LEAD PCNG 6FR 58CM,2793.0,2793.0,418.95,2793.0,30
CDM,404700,KIT BIOP BN MRW NDL 13GA,1934.0,1934.0,290.1,1934.0,42
CDM,404701,HARVESTER BN GRAFT 8MM,4093.0,4093.0,613.95,4093.0,42
CDM,404702,KIT KN CNN OPN TIP GDPIN,4566.5,4566.5,684.98,4566.5,42
CDM,404703,GWIRE ORTH .062IN 5MM,487.0,487.0,73.05,487.0,42
CDM,404704,SCREW BN 5MM 40MM,3756.0,3756.0,563.4,3756.0,30
CDM,404705,SCREW SPN RDC 8.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,404706,COIL EMBL 4MM 8CM,13315.0,13315.0,1997.25,13315.0,30
CDM,404707,COIL EMBL 6CM 3MM,9731.0,9731.0,1459.65,9731.0,30
CDM,404708,LEAD ICD SC 65CM,12070.0,12070.0,1810.5,12070.0,30
CDM,404709,CAP LD 35MM 5.3MM,424.0,424.0,63.6,424.0,30
CDM,404710,PLUG DEFIB BLIND DF-1,424.0,424.0,63.6,424.0,30
CDM,404714,DEVICE CLSR WND +1 30CM,358.5,358.5,53.77,358.5,42
CDM,404735,CAP NERVE 5MM 20MM,10590.0,10590.0,1588.5,10590.0,30
CDM,404736,CAP NERVE 6MM 20MM,10590.0,10590.0,1588.5,10590.0,30
CDM,404737,CAP NERVE PROT 7.0X20MM,10590.0,10590.0,1588.5,10590.0,30
CDM,404742,LENS IOL +18.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,404743,LENS IOL +24.5 DIOP,630.0,630.0,115.98,630.0,28
CDM,404769,INSRT ARTC KN 10-11 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,404772,SCREW BN 4X3.5X22MM,2361.0,2361.0,354.15,2361.0,30
CDM,404773,SCREW BN 4X3.5X24MM,319.0,319.0,47.85,319.0,30
CDM,404803,KIT ANGIO MLTICLR IV 25C,745.5,745.5,111.83,745.5,42
CDM,404807,CMPNT PTLA KN 32MM,4428.0,4428.0,664.2,4428.0,30
CDM,404817,DRESSING WND 12X5IN,773.0,773.0,115.95,773.0,42
CDM,404826,LENS IOL 16.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,404828,DRAIN INCS JP SIL 24FR,302.0,302.0,45.3,302.0,42
CDM,404829,BIT DRILL KIT DISP,773.0,773.0,115.95,773.0,42
CDM,404833,SHELL ACTB HIP 22X41,4252.0,4252.0,637.8,4252.0,30
CDM,404837,REAMER HEAD STRL 15.0MM,4093.0,4093.0,613.95,4093.0,42
CDM,404848,CRT- DEBIFB CARD DF1,62879.0,62879.0,9431.85,62879.0,30
CDM,404868,PATCH LOC REF CATH MAP,3577.0,3577.0,536.55,3577.0,42
CDM,404869,CATH EP ABL NAV PFA 31MM,40672.5,40672.5,6100.88,40672.5,42
CDM,404870,CMPNT FEM KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,404871,INSERT TIB KN HNG 12MM,558.0,558.0,83.7,558.0,30
CDM,404872,TRAY TIB KN RT SZ3,18137.0,18137.0,2720.55,18137.0,30
CDM,404873,CMPNT HNG KN RT SZ3,32259.0,32259.0,4838.85,32259.0,30
CDM,404874,CMPNT FEM KN SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,404875,AUGMENT FEM KN SZ3 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,404876,SCREW SPNL STRGH 8.5X90,3389.0,3389.0,508.35,3389.0,30
CDM,404877,REAMER HEAD STRL 12.5MM,4093.0,4093.0,613.95,4093.0,42
CDM,404878,TOOL SMOOTHER DISP 7.9MM,1016.0,1016.0,152.4,1016.0,42
CDM,404879,GDWIRE ESCPC 10INX2.4,1152.0,1152.0,172.8,1152.0,42
CDM,404880,SMOOTHER SURG 9.5MM,1152.0,1152.0,172.8,1152.0,42
CDM,404881,SCREW BN 11MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,404882,SUTURE WHT/BLU #2 26IN,1023.5,1023.5,153.53,1023.5,42
CDM,404883,WASHER ORTH 8.0MM 3.2MM,961.0,961.0,144.15,961.0,30
CDM,404884,CMPNT SHLDR +3MM 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,404885,STEM HUM SHLDR 10X100MM,9580.0,9580.0,1437.0,9580.0,30
CDM,404886,STEM EXT KN 120MM,8726.0,8726.0,1308.9,8726.0,30
CDM,404887,CATH ANGIO 5FR 110CM,231.0,231.0,34.65,231.0,42
CDM,404888,CATH ANGIO 5F 110CM,197.0,197.0,29.55,197.0,42
CDM,404889,GWIRE ORTH 12IN 1.5X.062,730.5,730.5,109.58,730.5,42
CDM,404890,HEAD HUM SHLDR 41X15MM,21703.0,21703.0,3255.45,21703.0,30
CDM,404891,STEM XTN KN M/F 50MM,22770.0,22770.0,3415.5,22770.0,30
CDM,404892,BSPLT TIB KN SZ4 75MM,19288.0,19288.0,2893.2,19288.0,30
CDM,404893,CAGE SPN 15D 43X30X12MM,17606.0,17606.0,2640.9,17606.0,30
CDM,404894,SCREW BN ORTH 3.5X16MM,2169.0,2169.0,325.35,2169.0,30
CDM,404895,SCREW BN 3.5MM 20MM,2169.0,2169.0,325.35,2169.0,30
CDM,404896,SCREW BN 2.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,404897,DRIVER SURG CONN SCREW,386.5,386.5,57.98,386.5,42
CDM,404898,CATH URTH 3W 24FR 16IN,326.5,326.5,48.98,326.5,42
CDM,404899,DEVICE SUTURE 24IN 5-0,4553.5,4553.5,683.02,4553.5,42
CDM,404900,SHEATH RETR 7F 10-35MM,51730.5,51730.5,7759.57,51730.5,42
CDM,404901,CATH BLNDIL 5X12MM,5628.0,5628.0,844.2,5628.0,42
CDM,404902,CATH BLNDIL 4.5MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,404904,TISSUE EXPANDER SMOOTH,6622.0,6622.0,993.3,6622.0,30
CDM,404906,STAPLER INT 45MM,2183.0,2183.0,327.45,2183.0,42
CDM,404907,GUIDEWIRE DX 0.89X150MM,208.5,208.5,31.27,208.5,42
CDM,404910,STEM FEM HIP SZ8S,8416.0,8416.0,1262.4,8416.0,30
CDM,404911,SCREW SPN 10.5MM 100MM,3012.0,3012.0,451.8,3012.0,30
CDM,404912,SCREW SPN 9.5MM 100MM,3012.0,3012.0,451.8,3012.0,30
CDM,404913,CATH BLNDIL 4MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,404914,CATH BLNDIL 3.5MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,404915,CATH BLNDIL 3MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,404916,LENS IOL +15.5 DIOP,780.0,780.0,143.6,780.0,28
CDM,404919,PLATE BN 8HL 3.5MM 4.5MM,9710.0,9710.0,1456.5,9710.0,30
CDM,404920,PLATE BN SM LT 3.5MM 8H,10010.0,10010.0,1501.5,10010.0,30
CDM,404921,SCREW BN STRL SZ2,2902.0,2902.0,435.3,2902.0,30
CDM,404922,CONE TIB KN FULL,26109.0,26109.0,3916.35,26109.0,30
CDM,404923,CONE FEM KN PROXIMAL,21180.0,21180.0,3177.0,21180.0,30
CDM,404924,STEM FEM KN 17/12X160MM,6954.0,6954.0,1043.1,6954.0,30
CDM,404925,RING SPT KN FEM/TIB 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,404926,CMPNT FEM KN 60MM,32332.0,32332.0,4849.8,32332.0,30
CDM,405165,BODY SPN OPEN TALL,3012.0,3012.0,451.8,3012.0,30
CDM,405167,CAGE SPN 14X7X12MM,8416.0,8416.0,1262.4,8416.0,30
CDM,405172,SCREW SPN 4MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,405181,CATH ABL MAP 8FR 4MM,14069.0,14069.0,2110.35,14069.0,42
CDM,405182,VALVE SHUNT 80CM,4164.0,4164.0,624.6,4164.0,30
CDM,405183,CATH ABL MAP 8FR 4MM,14069.0,14069.0,2110.35,14069.0,42
CDM,405185,ROD SPN STRT 3.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,405186,PLATE BN 11MM,8873.0,8873.0,1330.95,8873.0,30
CDM,405218,SCREW SPN RDC 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,405234,CNTRSNK DRL 2.8MM,1629.0,1629.0,244.35,1629.0,42
CDM,405240,GRAFT CV 10CM 32MM,3697.0,3697.0,554.55,3697.0,30
CDM,405242,PLATE SPN CERV 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,405243,SCREW SPN 4.3MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,405244,SCREW SPN 4.6MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,405245,SCREW SPN 5.5MM 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,405274,SHIM INTRDSC LTP NARROW,1637.0,1637.0,245.55,1637.0,42
CDM,405309,DRILL SURG 1.8MM,3699.5,3699.5,554.92,3699.5,42
CDM,405331,LIGHT SURG SPN ILUM SYS,2455.5,2455.5,368.32,2455.5,42
CDM,405341,CMPNT FEM KN SZ3,6201.0,6201.0,930.15,6201.0,30
CDM,405342,TRAY TIB KN CMNT RT SZ3,4872.0,4872.0,730.8,4872.0,30
CDM,405343,SUTURETAPE 5.5MM 14.9MM,3189.0,3189.0,478.35,3189.0,30
CDM,405346,CMPNT TRFLNG HIP LT SZ24,64221.0,64221.0,9633.15,64221.0,30
CDM,405347,ALLODERM 1SQCM,1634.0,1634.0,245.1,1634.0,29
CDM,405349,DRESSING NADH 3X3IN,36.5,36.5,5.47,36.5,42
CDM,405351,KIT CLOSURE GRASP GUIDE,231.5,231.5,34.73,231.5,42
CDM,405352,GRAFT CV 8MM 30CM,3740.0,3740.0,561.0,3740.0,30
CDM,405353,OSTEOTOME LAT CRV 25MM,12790.0,12790.0,1918.5,12790.0,42
CDM,405354,OSTEOTOME MED STR 24MM,12790.0,12790.0,1918.5,12790.0,42
CDM,405355,STENT URET 6FR 26CM,3016.0,3016.0,452.4,3016.0,30
CDM,405358,HEAD FEM HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,405364,STEM HUM SHLDRSZ10 130MM,28789.0,28789.0,4318.35,28789.0,30
CDM,405368,SCREW BN 5MM 44MM,2656.0,2656.0,398.4,2656.0,30
CDM,405411,STENT ART 6F 5X29MM135CM,11274.0,11274.0,1691.1,11274.0,30
CDM,405412,PLUG OPTH 23GA,677.5,677.5,101.63,677.5,42
CDM,405414,SUTURE VIO BRD +4-0 27IN,44.5,44.5,6.67,44.5,42
CDM,405415,SUTURE MFL GRN SZ1 36IN,231.5,231.5,34.73,231.5,42
CDM,405416,SUTURE POLY 2 GS-26 60IN,276.0,276.0,41.4,276.0,42
CDM,405418,DEVICE WNDCLS 30CM SZ3,447.5,447.5,67.13,447.5,42
CDM,405419,DEVICE WNDCLS SZ3 23CM,675.5,675.5,101.33,675.5,42
CDM,405420,DEVICE WNDCLS 30CM SZ3,773.0,773.0,115.95,773.0,42
CDM,405447,CATH URET 5FR 70CM,175.0,175.0,26.25,175.0,42
CDM,405471,PIN FX ANCH 4MM 35MM,4138.5,4138.5,620.77,4138.5,42
CDM,405472,CATH ANGIO 0.045IN 100CM,160.5,160.5,24.07,160.5,42
CDM,405473,DEVICE WNDCLS 23CM SZ4,518.0,518.0,77.7,518.0,42
CDM,405479,LINER ACTB HIP 22X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,405487,SCREW BN 4.5X15MM,1595.0,1595.0,239.25,1595.0,30
CDM,405488,GLENOSPHERE SHLDR 38MM,6865.0,6865.0,1029.75,6865.0,30
CDM,405491,SCREW SPN CANN 8.5MM40MM,3765.0,3765.0,564.75,3765.0,30
CDM,405492,INSERT TIB KN SZ6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,405493,CMPNT KN FEM STR14.5X150,5705.0,5705.0,855.75,5705.0,30
CDM,405494,STEM FEM KN 150MM 15MM,5353.0,5353.0,802.95,5353.0,30
CDM,405495,CONNECTOR JNT KN 3CM,11627.0,11627.0,1744.05,11627.0,30
CDM,405496,CONNECTOR JNT KN 1CM,11627.0,11627.0,1744.05,11627.0,30
CDM,405506,HEAD FEM HIP +8.5 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,405543,LENS IOL +38.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,405544,SUTURE CR 4-0 P-12 18IN,324.5,324.5,48.67,324.5,42
CDM,405545,CATH DLV NEURO 115CM,8134.5,8134.5,1220.17,8134.5,42
CDM,405546,INSERT SHLDR SZ3/4 36MM,8770.0,8770.0,1315.5,8770.0,30
CDM,405547,GUIDE PRNT 3D BN HRVT,41568.5,41568.5,6235.27,41568.5,42
CDM,405548,SCREW SPN 4.5MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,405549,ROD SPN CONNECT AXL,3012.0,3012.0,451.8,3012.0,30
CDM,405558,ANCHOR LD 1CM,1244.0,1244.0,186.6,1244.0,30
CDM,405578,GWIRE INTRO .018IN,61.5,61.5,9.22,61.5,42
CDM,405581,LINER ACTB HIP SZ27 36MM,5315.0,5315.0,797.25,5315.0,30
CDM,405582,CAGE SPN 16D 8X18X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,405583,PLATE SPN 3LVL 66MM,4429.0,4429.0,664.35,4429.0,30
CDM,405584,SET INSTR FEM KN SZ3,773.0,773.0,115.95,773.0,42
CDM,405585,SET INSTRUMENT PAT KN,773.0,773.0,115.95,773.0,42
CDM,405586,SET INSTR DRILLS REAMERS,773.0,773.0,115.95,773.0,42
CDM,405589,SET INST GMK SPH 3+,773.0,773.0,115.95,773.0,42
CDM,405590,INSTRMNT FEM SPHR SET,773.0,773.0,115.95,773.0,42
CDM,405593,PLATE BN 6HL 3.5MM 78MM,3189.0,3189.0,478.35,3189.0,30
CDM,405605,GRAFT CV 8MM 40CM,3189.0,3189.0,478.35,3189.0,30
CDM,405611,CATHSND 3.6FR 135CM,4304.5,4304.5,645.67,4304.5,42
CDM,405625,INSERT KN TIB LT 22MM,9966.0,9966.0,1494.9,9966.0,30
CDM,405626,KIT ARTH FX MNSCL ROOT,8197.0,8197.0,1229.55,8197.0,30
CDM,405627,KIT UC MENSIC RPR,1637.0,1637.0,245.55,1637.0,42
CDM,405628,SCREW BN 4.5MM,2224.0,2224.0,333.6,2224.0,30
CDM,405629,PLATE BN 9HL 3.5/4.5MM,10489.0,10489.0,1573.35,10489.0,30
CDM,405630,PLATE BN FEM 4H 3.5MM,4852.0,4852.0,727.8,4852.0,30
CDM,405668,ENDO BUTTON FX 4X12MM,2212.0,2212.0,331.8,2212.0,30
CDM,405673,BIT DRILL SURG DISP,1719.0,1719.0,257.85,1719.0,42
CDM,405678,AUG TIB KN SZ3 5MM,4756.0,4756.0,713.4,4756.0,30
CDM,405679,STEM FEM KN 18/14MM,6777.0,6777.0,1016.55,6777.0,30
CDM,405680,COMPNT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,405681,CONE TIB 34.5X22X53MM,25888.0,25888.0,3883.2,25888.0,30
CDM,405682,COMPNT KN TIB ROT 16,4606.0,4606.0,690.9,4606.0,30
CDM,405688,DEVICE CLSR CLGN SYS,3189.0,3189.0,478.35,3189.0,30
CDM,405692,CONNECTOR SPN ROD PRLL,3012.0,3012.0,451.8,3012.0,30
CDM,405697,IMPLANT TIB KN SZ6 7MM,4651.0,4651.0,697.65,4651.0,30
CDM,405700,CATH GD VASC 152CM,11230.0,11230.0,1684.5,11230.0,42
CDM,405701,CATH GD VASC 152CM,11230.0,11230.0,1684.5,11230.0,42
CDM,405702,NAIL BN TIB 10MM 360MM,5789.0,5789.0,868.35,5789.0,30
CDM,405706,SHEATH WIRE 45D 63CM,4962.5,4962.5,744.38,4962.5,42
CDM,405708,KIT SUTURE LG,8206.5,8206.5,1230.97,8206.5,42
CDM,405709,SCREW BN 5MM 36MM,3143.0,3143.0,471.45,3143.0,30
CDM,405710,SCREW BN 5MM 34MM,3143.0,3143.0,471.45,3143.0,30
CDM,405714,SCREW BN 5MM 30MM,3143.0,3143.0,471.45,3143.0,30
CDM,405725,CAGE SPN 12D 36X25X12MM,20197.0,20197.0,3029.55,20197.0,30
CDM,405726,CAGE SPN 16D 24X36X14MM,20197.0,20197.0,3029.55,20197.0,30
CDM,405727,ROD SPN 80X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,405728,SCREW SPN RDC 6.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,405729,PLATE BN HUM 12H 202MM,7211.0,7211.0,1081.65,7211.0,30
CDM,405730,STEM FEM KN 15MM 150MM,17955.0,17955.0,2693.25,17955.0,30
CDM,405731,COIL EMBL 4CM 2.5MM,5501.0,5501.0,825.15,5501.0,30
CDM,405732,COIL EMBL 3CM 1MM,5501.0,5501.0,825.15,5501.0,30
CDM,405733,STEM FEM HIP 20MM 225MM,17306.0,17306.0,2595.9,17306.0,30
CDM,405734,CATH EP ABL NAV PFA 35MM,40672.5,40672.5,6100.88,40672.5,42
CDM,405735,CATH FOLEY 2W 22FR 5CC,106.5,106.5,15.97,106.5,42
CDM,405737,CATH GD AL2 CRV 5F.056IN,605.0,605.0,90.75,605.0,42
CDM,405744,GWIRE ORT 1000MM,2288.0,2288.0,343.2,2288.0,42
CDM,405751,SCREW BN 5MM 82MM,2656.0,2656.0,398.4,2656.0,30
CDM,405753,SCREW BN 5MM 78MM,3143.0,3143.0,471.45,3143.0,30
CDM,405755,SCREW BN 5MM 74MM,2656.0,2656.0,398.4,2656.0,30
CDM,405756,SCREW BN 5MM 74MM,3143.0,3143.0,471.45,3143.0,30
CDM,405757,SCREW BN 5MM 72MM,2656.0,2656.0,398.4,2656.0,30
CDM,405761,SCREW BN 5MM 70MM,2656.0,2656.0,398.4,2656.0,30
CDM,405762,SCREW BN 5MM 68MM,3143.0,3143.0,471.45,3143.0,30
CDM,405763,SCREW BN 5MM 68MM,2656.0,2656.0,398.4,2656.0,30
CDM,405767,SCREW BN 5MM 62MM,2656.0,2656.0,398.4,2656.0,30
CDM,405768,SCREW BN 5MM 60MM,2738.0,2738.0,410.7,2738.0,30
CDM,405774,SCREW BN 5MM 58MM,3143.0,3143.0,471.45,3143.0,30
CDM,405777,SCREW BN 5MM 52MM,3143.0,3143.0,471.45,3143.0,30
CDM,405778,SCREW BN 5MM 50MM,3143.0,3143.0,471.45,3143.0,30
CDM,405779,SCREW BN 5MM 54MM,2656.0,2656.0,398.4,2656.0,30
CDM,405780,SCREW BN 5MM 52MM,2656.0,2656.0,398.4,2656.0,30
CDM,405782,SCREW BN 5MM 48MM,3143.0,3143.0,471.45,3143.0,30
CDM,405785,SCREW BN 5MM 44MM,3143.0,3143.0,471.45,3143.0,30
CDM,405786,SCREW BN 5MM 40MM,3143.0,3143.0,471.45,3143.0,30
CDM,405798,SET INSTR FEM KN SZ4,773.0,773.0,115.95,773.0,42
CDM,405799,CAGE SPN 10DG 31X24X12MM,17606.0,17606.0,2640.9,17606.0,30
CDM,405824,SUTURE MFL PP SZ5/0 30IN,261.5,261.5,39.23,261.5,42
CDM,405827,CMPNT TIB KN CMNT SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,405829,INSERT MNSCL KN SZ5 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,405830,LINER ACTB HIP SZ2 28MM,6644.0,6644.0,996.6,6644.0,30
CDM,405831,CAGE SPN 21X32X12MM 16D,19200.0,19200.0,2880.0,19200.0,30
CDM,405832,INLAY SPN DSC MED 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,405833,ENDPLATE SPN SUP 3D,18581.0,18581.0,2787.15,18581.0,30
CDM,405834,IMPLANT SPN OCT 5.5/6MM,3012.0,3012.0,451.8,3012.0,30
CDM,405836,ROD SPN 4-6MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,405837,ROD SPN STR 4MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,405868,PARTICLES EMBL 300-500UM,3189.0,3189.0,478.35,3189.0,30
CDM,405871,HEAD FEM HIP +1.5 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,405889,STEM FEM HIP SZ26 240MM,19319.0,19319.0,2897.85,19319.0,30
CDM,405890,DISC SPN ARTF SZMD 6MM,21703.0,21703.0,3255.45,21703.0,30
CDM,405894,SCREW BN 10MM 30MM,1340.0,1340.0,201.0,1340.0,30
CDM,405896,INTRBDY SPN 18X12X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,405903,CMPNT ANKL RT SZ3 3MM,15506.0,15506.0,2325.9,15506.0,30
CDM,405951,KWIRE FX 1.4MM 150MM,347.0,347.0,52.05,347.0,42
CDM,405959,SCREW BN 3.5MM 30MM,2105.0,2105.0,315.75,2105.0,30
CDM,405960,SCREW BN 3.5MM 28MM,2105.0,2105.0,315.75,2105.0,30
CDM,405961,SCREW BN LCKNG 3.5X28MM,2727.0,2727.0,409.05,2727.0,30
CDM,405962,SCREW BN LCKNG 3.5X26MM,2727.0,2727.0,409.05,2727.0,30
CDM,405965,KIT ANCHOR BN 10MM,13279.0,13279.0,1991.85,13279.0,30
CDM,405976,SUTURE VIO BRD 1 27IN,30.0,30.0,4.5,30.0,42
CDM,405977,SUTURE VIO MONO 3-0 27IN,45.0,45.0,6.75,45.0,42
CDM,405978,CMPNT TRFLNG HIP RT SZ26,64221.0,64221.0,9633.15,64221.0,30
CDM,405979,DEVICE CLSR 6FR-12FR,3189.0,3189.0,478.35,3189.0,30
CDM,405981,DEVICE CLSR WND 0 23CM,361.5,361.5,54.23,361.5,42
CDM,405982,LENS IOL +23.5 DIOP,630.0,630.0,115.98,630.0,28
CDM,405983,INSERT TIB KN SZ6 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,405984,PLATE BN MNDB RT 7X23HL,7482.0,7482.0,1122.3,7482.0,30
CDM,405985,CANNULA ENDO 6.5X72MM,383.5,383.5,57.52,383.5,42
CDM,405986,CAGE SPN 10DG 31X24X10,17606.0,17606.0,2640.9,17606.0,30
CDM,405987,INTBDY SPN 3D 35X27X14MM,17606.0,17606.0,2640.9,17606.0,30
CDM,405988,NAIL BN FEM 11.5MM 22CM,5311.0,5311.0,796.65,5311.0,30
CDM,405989,IMPLANT SPN CERV SYS 4MM,32111.0,32111.0,4816.65,32111.0,30
CDM,405990,IMPLANT SPN CERV SYS 4MM,12402.0,12402.0,1860.3,12402.0,30
CDM,405991,CMPNT SHD INTSEG 120MM,39259.0,39259.0,5888.85,39259.0,30
CDM,405992,STEM HUM SHLDR 8MM 150MM,20427.0,20427.0,3064.05,20427.0,30
CDM,406011,CUP ACTB HIP 28MM 47MM,4252.0,4252.0,637.8,4252.0,30
CDM,406051,LENS IOL +23.5 DIOP,780.0,780.0,143.6,780.0,28
CDM,406054,FORCEP HMSTC 165X5MM,1506.5,1506.5,225.97,1506.5,42
CDM,406056,SCREW BN 2.3MM 19MM,1770.0,1770.0,265.5,1770.0,30
CDM,406057,SCREW BN 2.3MM 17MM,1770.0,1770.0,265.5,1770.0,30
CDM,406058,CMPNT FEM HIP HEAD 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,406059,SLEEVE TAPER HIP 0MM,1170.0,1170.0,175.5,1170.0,30
CDM,406060,AUG FEM KN SZ4 10MM,4883.0,4883.0,732.45,4883.0,30
CDM,406061,STEM HUM SHLDR 8MM 100MM,20427.0,20427.0,3064.05,20427.0,30
CDM,406062,CATH THRM 6-16MM 80CM,33254.0,33254.0,4988.1,33254.0,42
CDM,406063,CATH EP ABL PFA 31MM,40672.5,40672.5,6100.88,40672.5,42
CDM,406064,CATH EP ABL PFA 35MM,43230.5,43230.5,6484.57,43230.5,42
CDM,406066,CMPNT TFLNG HIP SZ24,64221.0,64221.0,9633.15,64221.0,30
CDM,406080,CATH BLN CERV 18FR 40CM,775.5,775.5,116.33,775.5,42
CDM,406086,STENT EPRSTH 12X37MM,123040.0,123040.0,18456.0,123040.0,30
CDM,406087,STENT EPRSTH RX 15MM 6CM,29991.0,29991.0,4498.65,29991.0,30
CDM,406088,SCREW SPN 4MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,406094,ROD SPN CRV 4MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,406099,NAIL BN KN 11X17MM,5789.0,5789.0,868.35,5789.0,30
CDM,406104,OVERTUBE 50CM 9.8-11.6MM,1760.0,1760.0,264.0,1760.0,42
CDM,406111,SCREW BN 3.5MM 22MM,2169.0,2169.0,325.35,2169.0,30
CDM,406114,SCREW BN LCK 3.5X20MM,2599.0,2599.0,389.85,2599.0,30
CDM,406120,PERFORATOR CRNL 14MM,3266.0,3266.0,489.9,3266.0,42
CDM,406121,HEAD UNIPLR HIP 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,406122,STEM FEM HIP 21MM 240MM,19319.0,19319.0,2897.85,19319.0,30
CDM,406123,PROBE ESURG 3.5MM 180MM,1465.5,1465.5,219.82,1465.5,42
CDM,406124,CANNULA ARTHSCP 8MM,263.0,263.0,39.45,263.0,42
CDM,406125,CANNULA ENDO 6.5X90MM,263.0,263.0,39.45,263.0,42
CDM,406126,SCREW BN 4MM 42MM,319.0,319.0,47.85,319.0,30
CDM,406127,INSERT TIB #9 12MM,4428.0,4428.0,664.2,4428.0,30
CDM,406128,ANCHOR SUT TAPE 6.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,406129,HEAD FEM HIP +7MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,406130,CAGE PRTRS HIP 56MM 53MM,5708.0,5708.0,856.2,5708.0,30
CDM,406131,SCREW BN 3.75MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,406132,PROBE CRYO 11IN,14325.0,14325.0,2148.75,14325.0,42
CDM,406135,SYSTEM DLV CATH 1 CLIP,163712.0,163712.0,24556.8,163712.0,30
CDM,406136,SYSTEM DLV CATH 1 CLIP,148364.0,148364.0,22254.6,148364.0,42
CDM,406140,CATH THRMB 144CM .045IN,12713.5,12713.5,1907.03,12713.5,42
CDM,406141,CATH THRMB 137CM .055IN,12713.5,12713.5,1907.03,12713.5,42
CDM,406142,CATH THRMB 137CM .071IN,12713.5,12713.5,1907.03,12713.5,42
CDM,406143,CATH THRMB .088IN 110CM,15322.5,15322.5,2298.38,15322.5,42
CDM,406144,CATH THRMB .088IN 103CM,15322.5,15322.5,2298.38,15322.5,42
CDM,406147,PIERCER TI L180MM D10MM,5116.0,5116.0,767.4,5116.0,42
CDM,406168,TIP IRR FEM COAX LNG,231.5,231.5,34.73,231.5,42
CDM,406169,GWIRE VASC .014IN 185CM,2046.5,2046.5,306.98,2046.5,42
CDM,406171,DRESSING PERM 5X7.5CM,124.0,124.0,18.6,124.0,42
CDM,406172,CMPNT KN JNT MDL ROT,44277.0,44277.0,6641.55,44277.0,30
CDM,406173,INSERT SHLDR SZ3/4 39MM,8770.0,8770.0,1315.5,8770.0,30
CDM,406210,SPACER TIB KN SZMED 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,406211,CMPNT TIB KN NEUT 65MM,14173.0,14173.0,2125.95,14173.0,30
CDM,406212,CMPNT FEM KN RT 65MM,32332.0,32332.0,4849.8,32332.0,30
CDM,406213,STEM FEM KN 12/9 100MM,5364.0,5364.0,804.6,5364.0,30
CDM,406214,SCREW SPN 8.5MM 70MM,3389.0,3389.0,508.35,3389.0,30
CDM,406216,HANDSET PAIN STIM,4579.0,4579.0,686.85,4579.0,42
CDM,406217,SPACER SPN 7D14.5X11.5X6,4429.0,4429.0,664.35,4429.0,30
CDM,406220,ROD SPN 4.5MM 450MM,3012.0,3012.0,451.8,3012.0,30
CDM,406221,CONN ROD SPN 4.5X14MM,3012.0,3012.0,451.8,3012.0,30
CDM,406222,CMPNT FEM KN MDL RT SZ5,4828.0,4828.0,724.2,4828.0,30
CDM,406223,CMPNT TIB KN RM/LL SZ5,5581.0,5581.0,837.15,5581.0,30
CDM,406224,STEM FEM HIP LAT SZ3,6644.0,6644.0,996.6,6644.0,30
CDM,406225,INS TIB KN LT 7+ 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,406227,LENS IOL +23.5 DIOP,780.0,780.0,143.6,780.0,28
CDM,406228,IMPLANT BREAST 360CC,3311.0,3311.0,496.65,3311.0,30
CDM,406229,CAGE SPN 14D 7X16MM,8416.0,8416.0,1262.4,8416.0,30
CDM,406234,KIT WITH DRILL DISP,18008.5,18008.5,2701.28,18008.5,42
CDM,406249,BIT DRILL DISP 2.7X125MM,934.0,934.0,140.1,934.0,42
CDM,406252,DEVICE VSCSRG OPTH .85ML,558.0,558.0,83.7,558.0,30
CDM,406263,SCREW SPN 4.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,406264,SCREW SPN 4.5X30MM,3389.0,3389.0,508.35,3389.0,30
CDM,406265,SCREW SPN ST THRD CAP,753.0,753.0,112.95,753.0,30
CDM,406266,ROD LORDOSED 3.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,406267,CAGE SPN 7D 14MMX16MM,8416.0,8416.0,1262.4,8416.0,30
CDM,406268,CAGE SPN 7D 16X9X14MM,8416.0,8416.0,1262.4,8416.0,30
CDM,406269,SLEEVE TAPER HIP +4MM,1170.0,1170.0,175.5,1170.0,30
CDM,406270,SCREW BN 2MM 40MM,541.0,541.0,81.15,541.0,30
CDM,406271,PLATE BN 8H 145M 3.5MM,5840.0,5840.0,876.0,5840.0,30
CDM,406276,SCREW SPN 4.0MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,406278,DRAIN WND SIL 18X.25 IN,81.0,81.0,12.15,81.0,42
CDM,406279,DRAIN WND SIL 18X0.5 IN,86.0,86.0,12.9,86.0,42
CDM,406284,MCTH 150CM 2.62FR,5524.5,5524.5,828.67,5524.5,42
CDM,406285,INSERT VE SZ3/4 +3X36MM,7441.0,7441.0,1116.15,7441.0,30
CDM,406310,CATH VASC 8FR 12.5CM,15322.5,15322.5,2298.38,15322.5,42
CDM,406326,SCREW BN 4.2MM 28MM,2200.0,2200.0,330.0,2200.0,30
CDM,406327,SCREW BN 4.2MM 28MM,2806.0,2806.0,420.9,2806.0,30
CDM,406328,SCREW BN LCK 4.2X26MM,2806.0,2806.0,420.9,2806.0,30
CDM,406331,KWIRE SMOOTH 2MM 150MM,347.0,347.0,52.05,347.0,42
CDM,406333,KIT FD TUBE 16FR 45CM,2302.5,2302.5,345.38,2302.5,42
CDM,406335,STENT LCRML DCT 4MM,1356.0,1356.0,203.4,1356.0,30
CDM,406336,CATH MOD NOVY CP 5F 35MM,1833.5,1833.5,275.02,1833.5,42
CDM,406337,LENS IOL +18.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,406338,LENS IOL 21.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,406339,SCRAPER BN 10MM 90MM,5116.0,5116.0,767.4,5116.0,42
CDM,406349,CMPNT TFLNG HIP SZ23,64221.0,64221.0,9633.15,64221.0,30
CDM,406374,SET SCREW SPN 5.5/6.0MM,753.0,753.0,112.95,753.0,30
CDM,406377,BIT DRILL DISP 2.8MM 45M,1023.5,1023.5,153.53,1023.5,42
CDM,406378,SCREW BN CORT 1.5MM 20MM,602.0,602.0,90.3,602.0,30
CDM,406379,SCREW BN CORT 1.5MM 18MM,602.0,602.0,90.3,602.0,30
CDM,406380,CANNULA ASCP LOW PRO,1078.0,1078.0,161.7,1078.0,42
CDM,406385,CATH FOLEY 3W 22F 5ML,418.5,418.5,62.77,418.5,42
CDM,406396,SCREW BN 1.5X16MM,602.0,602.0,90.3,602.0,30
CDM,406397,PLATE BN RT 7H 131MM,4346.0,4346.0,651.9,4346.0,30
CDM,406447,KIT CATH 12F 100CM,49114.0,49114.0,7367.1,49114.0,42
CDM,406448,IMPLANT BROW FRHD FX 3MM,4061.0,4061.0,609.15,4061.0,30
CDM,406449,CATH GD VASC 13F MED,6139.5,6139.5,920.92,6139.5,42
CDM,406450,GRAFT ART ST TIS 20CM,17730.0,17730.0,2659.5,17730.0,30
CDM,406457,CMPNT FEM KN CMNT S 3+L,6201.0,6201.0,930.15,6201.0,30
CDM,406458,CMPNT KN LT SZ2,7574.0,7574.0,1136.1,7574.0,30
CDM,406462,HEAD HUM SHLDR 54X27X55,4606.0,4606.0,690.9,4606.0,30
CDM,406463,STEM FEM HIP 15MM 265MM,17306.0,17306.0,2595.9,17306.0,30
CDM,406464,SET CMPNT TIB KN MED,4606.0,4606.0,690.9,4606.0,30
CDM,406465,CAGE SPN 6D 36X25X14MM,20197.0,20197.0,3029.55,20197.0,30
CDM,406466,CAGE SPN 20D 27X40X16MM,20197.0,20197.0,3029.55,20197.0,30
CDM,406467,CAGE SPN 6D 36X25X12MM,20197.0,20197.0,3029.55,20197.0,30
CDM,406468,INSERT TIB KN SZ2 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,406469,STEM FEM KN 225X13MM,5705.0,5705.0,855.75,5705.0,30
CDM,406470,CMPNT KN FEM 11X150,5353.0,5353.0,802.95,5353.0,30
CDM,406485,PLATE BN 9HL LFT,4872.0,4872.0,730.8,4872.0,30
CDM,406490,COMP FEM KN REV PS SZ2,25772.0,25772.0,3865.8,25772.0,30
CDM,406491,CMPNT TIB KN REV LT SZ2,13781.0,13781.0,2067.15,13781.0,30
CDM,406504,PROS VC 16FR 20MM,3189.0,3189.0,587.09,3189.0,26
CDM,406505,PROST VOICE 16FR 8MM,3189.0,3189.0,587.09,3189.0,26
CDM,406506,CAGE SPN 5-10D 12X27X8MM,15059.0,15059.0,2258.85,15059.0,30
CDM,406507,ROD SPN PRELRD 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,406512,GRAFT BN WDG 10MM,7175.0,7175.0,1076.25,7175.0,30
CDM,406527,STEM HUM SHLDR SZ3,13287.0,13287.0,1993.05,13287.0,30
CDM,406538,STEM HIP SZ8MM,8416.0,8416.0,1262.4,8416.0,30
CDM,406539,BASEPLATE TIB KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,406542,STENT LCRML DCT.64X270MM,3189.0,3189.0,478.35,3189.0,30
CDM,406548,KIT ACC PROSTH PENL,4385.5,4385.5,657.83,4385.5,42
CDM,406559,GRAFT ACH TNDN W/O BN,7423.0,7423.0,1113.45,7423.0,30
CDM,406574,SCREW SPN 3.5MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,406575,SCREW SPN P-AX 3.5X16MM,3389.0,3389.0,508.35,3389.0,30
CDM,406576,SCREW POLYAXL 3.5X18MM,3389.0,3389.0,508.35,3389.0,30
CDM,406578,ROD SPN LRDTC 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,406620,DRILL BN DISP 22CM 2.7MM,773.0,773.0,115.95,773.0,42
CDM,406622,KIT CEMENT BN,2210.0,2210.0,331.5,2210.0,42
CDM,406632,DEVICE CLS WND +2-0 45CM,334.5,334.5,50.17,334.5,42
CDM,406642,CAGE SPN 10D 35X27X16MM,17606.0,17606.0,2640.9,17606.0,30
CDM,406643,PLATE SPN 3L 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,406644,SCREW SPN 4MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,406645,PROS PENILE INFL 24CM,55214.0,55214.0,8282.1,55214.0,30
CDM,406646,BASEPLATE HUM SHLDR REV,6079.0,6079.0,911.85,6079.0,30
CDM,406647,BIT DRILL 3.2MM,1282.0,1282.0,192.3,1282.0,42
CDM,406648,ROD BN EXFX 3MM 60MM,773.0,773.0,115.95,773.0,42
CDM,406668,ELECTRODE ESURG 36CM,432.5,432.5,64.88,432.5,42
CDM,406689,SCREW SPN PLVC 10.0X50MM,12047.0,12047.0,1807.05,12047.0,30
CDM,406690,WEDGE FEM KN SZ6 10.0MM,4883.0,4883.0,732.45,4883.0,30
CDM,406691,CMPNT FEM KN RT SZ 6,25342.0,25342.0,3801.3,25342.0,30
CDM,406692,INSERT TIB KN SZ 4 22MM,7799.0,7799.0,1169.85,7799.0,30
CDM,406693,NOZZLE BNCMNT THN FLX ST,231.5,231.5,34.73,231.5,42
CDM,406707,SLEEVE PROS HIP 4MM,798.0,798.0,119.7,798.0,30
CDM,406708,HEAD HUM SHLDR 18MM,21703.0,21703.0,3255.45,21703.0,30
CDM,406713,CONTROLLER SPN CORD STIM,4466.5,4466.5,669.98,4466.5,42
CDM,406725,CATH VASC 7FR 12.5CM,15322.5,15322.5,2298.38,15322.5,42
CDM,406726,CATH VASC 7FR 12.5CM,15322.5,15322.5,2298.38,15322.5,42
CDM,406727,CATH GD PCNG 2.5 42CM,3610.0,3610.0,541.5,3610.0,42
CDM,406728,CATH GD 7FR 42CM,3610.0,3610.0,541.5,3610.0,42
CDM,406729,GUIDEWIRE ENDO 12IN,386.5,386.5,57.98,386.5,42
CDM,406730,CATH GD 7FR 69CM,3610.0,3610.0,541.5,3610.0,42
CDM,406731,CATH GD 7FR 69CM,3610.0,3610.0,541.5,3610.0,42
CDM,406732,CATH GD 7FR 69CM,3610.0,3610.0,541.5,3610.0,42
CDM,406733,SET TPN MICRO VOL 25,88522.5,88522.5,13278.38,88522.5,42
CDM,406734,GWIRE VASC 180CM .014IN,773.0,773.0,115.95,773.0,42
CDM,406744,CANNULA ART 14FR 22.9CM,2406.5,2406.5,360.98,2406.5,42
CDM,406745,CANNULA ART 15FR 18CM,1760.5,1760.5,264.07,1760.5,42
CDM,406746,SUT CHRM 3-0 CP-1 54IN,106.5,106.5,15.97,106.5,42
CDM,406748,DRESSING NADH 5X5IN,36.5,36.5,5.47,36.5,42
CDM,406750,CONN Y 3-WAY DRN BG,275.5,275.5,41.33,275.5,42
CDM,406751,TUBE CONN DRAIN BAG,222.0,222.0,33.3,222.0,42
CDM,406752,SYS STBLZR RTRCTR CHST,5242.0,5242.0,786.3,5242.0,42
CDM,406753,STABILIZER SURG VAC,4152.5,4152.5,622.88,4152.5,42
CDM,406754,TIRE RTNL GRV 3.5X7MM,425.0,425.0,63.75,425.0,30
CDM,406755,CATH MLCT 24FR 4-WING,490.5,490.5,73.58,490.5,42
CDM,406756,DRESSING FOM 8X6IN,114.5,114.5,17.18,114.5,42
CDM,406757,WAND BIP SLR 2.3MM 5IN,2824.0,2824.0,423.6,2824.0,42
CDM,406758,CATH ANGIO 5FR 100CM,227.0,227.0,34.05,227.0,42
CDM,406760,CATH DRN SDPRT 14FR 29CM,2408.5,2408.5,361.27,2408.5,42
CDM,406761,GWIRE VASC 300CM,4385.5,4385.5,657.83,4385.5,42
CDM,406762,KIT XTRN DRN 46X1.65X.76,2374.0,2374.0,356.1,2374.0,42
CDM,406763,CATH GD ERADST 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,406764,AUGMENT FEM KN SZ1 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,406765,IMPLANT TIB KN SZ9 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,406766,IMPLANT TIB KN SZ7 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,406767,PROST VOICE 16FR 10MM,3189.0,3189.0,587.09,3189.0,26
CDM,406778,INTERBODY 7D 18X15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,406808,PLATE BN LNG LT 5D,7051.0,7051.0,1057.65,7051.0,30
CDM,406809,GRAFT BN THK 10X21MM,8681.0,8681.0,1302.15,8681.0,30
CDM,406811,INJECTOR CEMENT OSTEO,2619.5,2619.5,392.93,2619.5,42
CDM,406812,KIT KYPHOPLASTY NDL 11GA,2619.5,2619.5,392.93,2619.5,42
CDM,406822,BIT DRILL SURG 4MM,4093.0,4093.0,613.95,4093.0,42
CDM,406823,IMPLANT SCR SHLDR SPHERE,1935.0,1935.0,290.25,1935.0,30
CDM,406824,HEAD HUM SHLDR 16X50MM,21703.0,21703.0,3255.45,21703.0,30
CDM,406826,SCREW SPN 5.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,406827,CAGE SPN 6D 30X12X25MM,19532.0,19532.0,2929.8,19532.0,30
CDM,406833,PLATE FX LCK 4HL 3.5MM,3997.0,3997.0,599.55,3997.0,30
CDM,406844,SHELL ACTB HIP 58MM,6644.0,6644.0,996.6,6644.0,30
CDM,406905,COIL EMBL 15CM 5MM AXIUM,4429.0,4429.0,664.35,4429.0,30
CDM,406906,COIL EMBL 10CM 5MM AXIUM,4429.0,4429.0,664.35,4429.0,30
CDM,406907,COIL EMBL 6CM 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,406909,COIL EMBL 10CM 3MM,5501.0,5501.0,825.15,5501.0,30
CDM,406910,COIL EMBL 8CM 2MM,5501.0,5501.0,825.15,5501.0,30
CDM,406911,COIL EMBL 4CM 2MM,5501.0,5501.0,825.15,5501.0,30
CDM,406912,COIL EMBL 3CM 2MM,5501.0,5501.0,825.15,5501.0,30
CDM,406913,COIL EMBL 2CM 2MM,5501.0,5501.0,825.15,5501.0,30
CDM,406914,COIL EMBL 1CM 2MM,5501.0,5501.0,825.15,5501.0,30
CDM,406915,COIL EMBL 8CM 2.5MM,5501.0,5501.0,825.15,5501.0,30
CDM,406916,COIL EMBL 6CM 2.5MM,5264.0,5264.0,789.6,5264.0,30
CDM,406917,COIL EMBL 3CM2.5MM,5501.0,5501.0,825.15,5501.0,30
CDM,406918,COIL EMBL 2CM 1MM,5501.0,5501.0,825.15,5501.0,30
CDM,406920,COIL EMBL 1CM 1MM,5501.0,5501.0,825.15,5501.0,30
CDM,406921,COIL EMBL 3CM 1.5MM AXIU,5501.0,5501.0,825.15,5501.0,30
CDM,406922,COIL EMBL 2CM 1.5MM,5264.0,5264.0,789.6,5264.0,30
CDM,406923,COIL EMBL 50CM 25MM,10608.0,10608.0,1591.2,10608.0,30
CDM,406924,COIL EMBL 50CM 22MM,10608.0,10608.0,1591.2,10608.0,30
CDM,406925,COIL EMBL 1CM 1.5MM AXIU,5501.0,5501.0,825.15,5501.0,30
CDM,406926,CATH GD SL4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,406927,CATH VASC 7FR 12.5CM,15322.5,15322.5,2298.38,15322.5,42
CDM,406928,IMPLANT SPN 9.5MM 60MM,12955.0,12955.0,2385.02,12955.0,26
CDM,406934,NAIL BN 12MM 235MM,4762.0,4762.0,714.3,4762.0,30
CDM,406935,CAGE SPN 6D 12X10X32MM,8858.0,8858.0,1328.7,8858.0,30
CDM,406937,ANCHOR SUT KNOTLESS 3MM,3721.0,3721.0,558.15,3721.0,30
CDM,406938,ANCHOR SUT 3.9X11.2MM,3189.0,3189.0,478.35,3189.0,30
CDM,406939,GWIRE VASC .01IN 300CM,4385.5,4385.5,657.83,4385.5,42
CDM,406940,NAIL BN 10MM 360MM,5789.0,5789.0,868.35,5789.0,30
CDM,406941,CATH ABL CRV F-J 8F115CM,19441.0,19441.0,2916.15,19441.0,42
CDM,406968,SCREW SPN RDC 5.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,406969,SCREW SPN RDC 8.5MM 90MM,3389.0,3389.0,508.35,3389.0,30
CDM,406970,ANCHOR BN KIT 9MM,3721.0,3721.0,558.15,3721.0,30
CDM,406974,CATH VASC 7FR 12.5CM,15322.5,15322.5,2298.38,15322.5,42
CDM,406994,GRAFT BN TND 5X80MM,9609.0,9609.0,1441.35,9609.0,30
CDM,407010,SUTURE NO-NDL SZ 2,200.5,200.5,30.07,200.5,42
CDM,407019,CMPNT FEM HIP SZ 3,7530.0,7530.0,1129.5,7530.0,30
CDM,407036,DEVICE BIOPSY 18GA 15CM,603.0,603.0,90.45,603.0,42
CDM,407071,KIT INTRO 6FR 16CM,1023.5,1023.5,153.53,1023.5,42
CDM,407072,PLATE BN CRNMXF .6MM 3MM,2976.0,2976.0,446.4,2976.0,30
CDM,407073,STEM KN 130MM 16/12MM,6644.0,6644.0,996.6,6644.0,30
CDM,407074,PLATE BN VOLR 7PEG 3H,5072.0,5072.0,760.8,5072.0,30
CDM,407075,BEARING TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,407076,GRAFT ST TIS PTLA TNDN,6857.0,6857.0,1028.55,6857.0,30
CDM,407077,SET INTRO 14FR 13CM,680.0,680.0,102.0,680.0,42
CDM,407078,PIN HALF BLNT 2.0MM 36MM,773.0,773.0,115.95,773.0,42
CDM,407079,WEDGE KN FEM SZ7 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,407080,CMPNT KN TIB 11X240,22457.0,22457.0,3368.55,22457.0,30
CDM,407081,COMPONENT FEM KN 3CM,32819.0,32819.0,4922.85,32819.0,30
CDM,407082,STEM KNEE 11X150MM,8188.0,8188.0,1228.2,8188.0,30
CDM,407083,DEVICE COLLECTOR TISSUE,3309.0,3309.0,496.35,3309.0,42
CDM,407084,PLATE SPN LCK 10MM,753.0,753.0,112.95,753.0,30
CDM,407085,SCREW SPN 5.5MM 35MM,1130.0,1130.0,169.5,1130.0,30
CDM,407086,INTRBDY SPN 18X10X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,407087,KIT DILATOR 15X12X7MM,4298.0,4298.0,644.7,4298.0,42
CDM,407088,INSERT ARTC KN 1-2 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,407089,AUGMENT FEM POST #4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,407093,INSERT TIB KN PEG 10MM,335.0,335.0,50.25,335.0,30
CDM,407094,COMPNT TIB KN LT SZ3,13781.0,13781.0,2067.15,13781.0,30
CDM,407096,COMPT FEM KN L 4,25772.0,25772.0,3865.8,25772.0,30
CDM,407097,WEDGE FEM KN #4/4MM,4606.0,4606.0,690.9,4606.0,30
CDM,407098,IMPLANT BREAST 770CC,4429.0,4429.0,664.35,4429.0,30
CDM,407102,PLATE SPN LAT 2HL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,407104,KIT BNCMNT BIOPRP INST,892.0,892.0,133.8,892.0,42
CDM,407160,SHEATH GD 6FR 45CM,952.0,952.0,142.8,952.0,42
CDM,407161,SHEATH GD 7FR 45CM,952.0,952.0,142.8,952.0,42
CDM,407162,SHTH DSTN 7F 45 C-C RDC,952.0,952.0,142.8,952.0,42
CDM,407163,ROD SPN STR 4MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,407164,KIT LEAD REPR DISP,773.0,773.0,115.95,773.0,42
CDM,407166,EXCHANGER TRACH HEAT,1044.5,1044.5,156.68,1044.5,42
CDM,407167,IMPLANT EXTRM SHLDR CSTM,55341.0,55341.0,8301.15,55341.0,30
CDM,407169,INSERTER OSTOMY WEDGE,2046.5,2046.5,306.98,2046.5,42
CDM,407170,DRILL BIT DISP 7MM,3151.5,3151.5,472.73,3151.5,42
CDM,407171,PIN STEIN 9IN,773.0,773.0,115.95,773.0,42
CDM,407172,MATRIX PWD 1000MG,10567.5,10567.5,1585.13,10567.5,42
CDM,407173,ROD SPN 300X5.5X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,407174,PLATE BN SHRT 2.7X15MM,4429.0,4429.0,664.35,4429.0,30
CDM,407175,CAGE SPN 12D 30X12X25MM,19532.0,19532.0,2929.8,19532.0,30
CDM,407176,CAGE SPN 13MM,30060.0,30060.0,4509.0,30060.0,30
CDM,407177,DEVICE CLSR CLP INT 40MM,8194.0,8194.0,1229.1,8194.0,30
CDM,407178,DEVICE CLSR CLP INT 35MM,8194.0,8194.0,1229.1,8194.0,30
CDM,407179,STENT EPRSTH 28X8MM 20CM,141728.0,141728.0,21259.2,141728.0,30
CDM,407180,STENT EPRSTH RX 10MM 6CM,34547.0,34547.0,5182.05,34547.0,30
CDM,407181,HINGE INSRT KN SZ5 16MM,7799.0,7799.0,1169.85,7799.0,30
CDM,407182,STEM FEM KN 102MM 10MM,8181.0,8181.0,1227.15,8181.0,30
CDM,407183,IMPLANT CRNL CUSTM,40864.0,40864.0,6129.6,40864.0,30
CDM,407184,STEM HUM SHLDR 135D 11MM,19027.0,19027.0,2854.05,19027.0,30
CDM,407185,STEM HUM SHLDR 12X90MM,13287.0,13287.0,1993.05,13287.0,30
CDM,407186,INSERT SHLDR SZ3/4 8MM,7995.0,7995.0,1199.25,7995.0,30
CDM,407187,COMPONENT TIB KN CMNT #4,4872.0,4872.0,730.8,4872.0,30
CDM,407188,CMPNT FEM KN S4+L,6201.0,6201.0,930.15,6201.0,30
CDM,407197,INSERT TIB KN SZ2XS 21MM,14095.0,14095.0,2114.25,14095.0,30
CDM,407199,INTRO SHTH GD 6FR 45CM,773.0,773.0,115.95,773.0,42
CDM,407203,PATCH VASC 10X16CM,3846.0,3846.0,576.9,3846.0,30
CDM,407204,CMPNT ELB R 6MM 150MM,16893.0,16893.0,2533.95,16893.0,30
CDM,407206,BEARING TIB KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,407208,CAGE SPN 12X18X55MM 10D,13287.0,13287.0,1993.05,13287.0,30
CDM,407210,CMPNT ELB RT 5MM 115MM,18609.0,18609.0,2791.35,18609.0,30
CDM,407211,PLATE SPN 1 SIDED 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,407213,SHEATH ACC URET 11/13FR,4512.5,4512.5,676.88,4512.5,42
CDM,407214,BOTTLE STONE CLT 140ML,4052.0,4052.0,607.8,4052.0,42
CDM,407216,BSCP FLX DSP SLIM,1228.0,1228.0,184.2,1228.0,42
CDM,407222,DRESSING HDRPH GEL 4X4IN,48.0,48.0,7.2,48.0,42
CDM,407234,SCREW BN 3.5MM 32MM,1738.0,1738.0,260.7,1738.0,30
CDM,407238,PLATE BN ULN RT 3SLOT,4429.0,4429.0,664.35,4429.0,30
CDM,407239,LENS IOL +4.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,407243,GRAFT OSTEO CORE 16MM,23031.0,23031.0,3454.65,23031.0,30
CDM,407254,DRESSING ABS 3.4X2.4IN,43.5,43.5,6.53,43.5,42
CDM,407256,HEAD FEM HIP 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,407268,KWIRE FX 150MM 1.6MM,347.0,347.0,52.05,347.0,42
CDM,407271,KIT HYPERTHERMIA PROC,6845.5,6845.5,1026.83,6845.5,42
CDM,408040,BURR SURG RND 51MM 2MM,231.5,231.5,34.73,231.5,42
CDM,408042,BURR SURG RND 8MM 3MM,220.0,220.0,33.0,220.0,42
CDM,408043,BURR SURG RND 4MM 8MM,231.5,231.5,34.73,231.5,42
CDM,408045,BURR SURG 5MM 10MM,231.5,231.5,34.73,231.5,42
CDM,408101,BURR SURG RND 5MM 10MM,231.5,231.5,34.73,231.5,42
CDM,408102,BURR SURG 2MM 6MM,231.5,231.5,34.73,231.5,42
CDM,408103,BURR SURG 3MM 8MM,267.0,267.0,40.05,267.0,42
CDM,408218,PACKING NSL 3.5X9X1.2CM,208.0,208.0,31.2,208.0,42
CDM,408243,PRB 10 LAPSCP ABC,1023.5,1023.5,153.53,1023.5,42
CDM,408262,KIT CATH 4FR 15GA 21.5IN,773.0,773.0,115.95,773.0,42
CDM,408291,SHEATH GD 5FR 10CM,231.5,231.5,34.73,231.5,42
CDM,408353,BLADE SAW REC 55X9.5MM,154.0,154.0,23.1,154.0,42
CDM,408367,RTRGD SET INTBT 70CM 3MM,1497.5,1497.5,224.63,1497.5,42
CDM,408370,PACKING NSL 1.5X2X8CM,231.5,231.5,34.73,231.5,42
CDM,408376,CURETTE VAC DISP 7MM,43.5,43.5,6.53,43.5,42
CDM,408551,SCPL 0.35 BEAVERGUARD,282.0,282.0,42.3,282.0,42
CDM,408585,KIT SNARE 25MM 120CM,2128.5,2128.5,319.27,2128.5,42
CDM,408586,KIT SNRE CATH 15MM 120CM,2128.5,2128.5,319.27,2128.5,42
CDM,408637,CATH BLNDIL 14MM 40MM,1318.0,1318.0,197.7,1318.0,42
CDM,408639,CATHETER EMB 6FR 40CM,806.0,806.0,120.9,806.0,42
CDM,408640,CATH DRN 12FR 23CM,773.0,773.0,115.95,773.0,42
CDM,408641,CATH DRN 14FR 25CM,773.0,773.0,115.95,773.0,42
CDM,408701,DILATOR ENDO 6-7-8MM,1269.0,1269.0,190.35,1269.0,42
CDM,408702,DILATOR BLN 8X180CM,1085.5,1085.5,162.82,1085.5,42
CDM,408704,DILATOR BLN 8X180CM,1085.5,1085.5,162.82,1085.5,42
CDM,408723,PACKING WND 2IN 72IN,49.0,49.0,7.35,49.0,42
CDM,408741,BLADE SAW 12.5C12C.38MM,935.0,935.0,140.25,935.0,42
CDM,408743,GRAFT CV 12X6MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,408745,GRAFT CV 16X8MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,408750,GRAFT CV 8MM 60CM,3189.0,3189.0,478.35,3189.0,30
CDM,408751,GRAFT CV 10MM 30CM,3189.0,3189.0,478.35,3189.0,30
CDM,408754,GRAFT CV 16MM 60CM,3189.0,3189.0,478.35,3189.0,30
CDM,408756,GRAFT CV 22MM 60CM,3189.0,3189.0,478.35,3189.0,30
CDM,408792,CATHETER THRMB 6FR 50CM,2740.0,2740.0,411.0,2740.0,42
CDM,408960,VALVE AOR 19MM 30MM,19928.0,19928.0,2989.2,19928.0,30
CDM,408961,VALVE AOR 21MM 32MM,19928.0,19928.0,2989.2,19928.0,30
CDM,408962,VALVE AOR 23MM 32MM,19928.0,19928.0,2989.2,19928.0,30
CDM,408964,VALVE AOR 27MM 34MM,21544.0,21544.0,3231.6,21544.0,30
CDM,408990,GRAFT CV 24MM 30CM,2978.0,2978.0,446.7,2978.0,30
CDM,408991,GRAFT CV 26MM 30CM,3172.0,3172.0,475.8,3172.0,30
CDM,408992,GRAFT CV 28MM 30CM,3077.0,3077.0,461.55,3077.0,30
CDM,408994,GRAFT CV 32MM 30CM,3077.0,3077.0,461.55,3077.0,30
CDM,408995,GRAFT CV 34MM 30CM,3172.0,3172.0,475.8,3172.0,30
CDM,408996,GRAFT CV 38MM 30CM,3323.0,3323.0,498.45,3323.0,30
CDM,409122,HANDPIECE ESURG DISP 45D,773.0,773.0,115.95,773.0,42
CDM,409132,SOLUTION IRR LR 3000ML,184.0,184.0,27.6,184.0,42
CDM,409156,CATH URET 2W 20FR 5CC,63.5,63.5,9.53,63.5,42
CDM,409165,CATH IU 5FX35CM,1630.0,1630.0,244.5,1630.0,42
CDM,409179,INTRO CATH PTFE 8FR 15CM,1437.0,1437.0,215.55,1437.0,42
CDM,409185,CATH CV HOHN DL 7F,2087.5,2087.5,313.13,2087.5,42
CDM,409234,DRAIN 10MM FLAT SU130-13,106.5,106.5,15.97,106.5,42
CDM,409239,DRAIN WND RND 15FR,95.5,95.5,14.32,95.5,42
CDM,409505,HOOK RETR .25IN .25IN,528.0,528.0,79.2,528.0,42
CDM,409516,CURETTE CRVD 10MM,43.0,43.0,6.45,43.0,42
CDM,409517,CURETTE CRVD 12MM,42.5,42.5,6.38,42.5,42
CDM,409519,CURETTE VAC DISP 9MM,43.0,43.0,6.45,43.0,42
CDM,409522,CURETTE VAC DISP 8MM,58.0,58.0,8.7,58.0,42
CDM,409524,STIMULATOR NRV LOCATOR,773.0,773.0,115.95,773.0,42
CDM,409534,SYSTEM BNCMNT MIXER,634.0,634.0,95.1,634.0,42
CDM,409611,FILTER IV TRNSF BLD,95.0,95.0,14.25,95.0,42
CDM,409675,BLADE SAW 10.0MM 12.0MM,231.5,231.5,34.73,231.5,42
CDM,409677,BLADE SAW 10.0MM 18.5MM,121.0,121.0,18.15,121.0,42
CDM,409687,BLADE SAW 14MM 41MM,121.0,121.0,18.15,121.0,42
CDM,409689,BLADE SAW 4X9.5X25.5MM,121.0,121.0,18.15,121.0,42
CDM,409690,BLADE SAW 6MM 34MM,121.0,121.0,18.15,121.0,42
CDM,409696,KIT LAPSCP FALOPIAN RING,1520.0,1520.0,228.0,1520.0,30
CDM,409740,DRESSING NADH 3X8IN,88.5,88.5,13.28,88.5,42
CDM,409754,ELECTRODE ESURG 2.75IN,67.5,67.5,10.13,67.5,42
CDM,409761,ELECTRODE ESURG 2.8IN,105.0,105.0,15.75,105.0,42
CDM,409860,CATH THOR RT ANG 28FR,145.0,145.0,21.75,145.0,42
CDM,409866,CATH URET CONE 5FR 70CM,161.5,161.5,24.23,161.5,42
CDM,409869,CATH URET 4FR 70CM,630.5,630.5,94.58,630.5,42
CDM,409870,CATH URET 5FR 70CM,231.5,231.5,34.73,231.5,42
CDM,409871,CATH URET 6FR 70CM,231.5,231.5,34.73,231.5,42
CDM,409873,CATH URET 22FR 16IN,43.5,43.5,6.53,43.5,42
CDM,409884,CLIP LIGATING LG,76.0,76.0,11.4,76.0,30
CDM,409887,CLIP LIGATING SM,36.0,36.0,5.4,36.0,30
CDM,410193,PLATE BN 16H 4.5MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,411924,KWIRE FX .9MM 150MM,505.5,505.5,75.83,505.5,42
CDM,411925,KWIRE FX 1.1MM 150MM,505.5,505.5,75.83,505.5,42
CDM,413038,MESH SURG 6X4IN,12208.0,12208.0,1831.2,12208.0,30
CDM,413075,MESH SURG HRN 8X6IN,18051.0,18051.0,2707.65,18051.0,30
CDM,413174,SEGMENT FEM KN SIZE B,8615.0,8615.0,1292.25,8615.0,30
CDM,413501,MESH SURG HRN 6X4IN,9164.0,9164.0,1374.6,9164.0,30
CDM,414170,STEM FEM HIP 16MM 225MM,17306.0,17306.0,2595.9,17306.0,30
CDM,414562,MESH SURG 8X6IN,22564.0,22564.0,3384.6,22564.0,30
CDM,415009,ELECTRODE ESURG 3IN,64.5,64.5,9.68,64.5,42
CDM,415051,PLATE HIP CHS 130D 4HL,3189.0,3189.0,478.35,3189.0,30
CDM,415063,ELECTRODE ESURG 6.5IN,73.5,73.5,11.03,73.5,42
CDM,415209,SHUNT CRTD TEMP 12F 13CM,552.0,552.0,82.8,552.0,42
CDM,415286,RELOAD STPLR 75MM,1739.0,1739.0,260.85,1739.0,30
CDM,415308,BLADE SAW 35X10MM,135.5,135.5,20.32,135.5,42
CDM,415318,ELCTRD KIT MNSCTM 6.5IN,541.0,541.0,81.15,541.0,42
CDM,415320,BAR ARCH EX FIX 5OM,123.5,123.5,18.52,123.5,42
CDM,415333,BURR CUT TPR SIDE 2.1MM,220.5,220.5,33.08,220.5,42
CDM,415436,BURR SURG 45X1.7MM CRBDE,248.0,248.0,37.2,248.0,42
CDM,415544,SHUNT CRTD TEMP 10F 13CM,574.0,574.0,86.1,574.0,42
CDM,415626,RESTRICTOR CMNT HIP 25MM,3668.0,3668.0,550.2,3668.0,30
CDM,415666,CATH XTRN DRN 35CM 2.8MM,1064.5,1064.5,159.68,1064.5,42
CDM,415729,RELOAD STPLR 55MM,1121.0,1121.0,168.15,1121.0,30
CDM,415871,CATH ANGIO 5FR 100CM,535.5,535.5,80.33,535.5,42
CDM,415872,CATH DX 5F FL4 100CM,535.5,535.5,80.33,535.5,42
CDM,415873,CATH VASC 5FR 110CM,160.5,160.5,24.07,160.5,42
CDM,415921,KIT PRSS MNTR STPCK 3W,280.5,280.5,42.08,280.5,42
CDM,416039,ROD 1/4 IN HEX END,3012.0,3012.0,451.8,3012.0,30
CDM,416045,TAP BN DISP 6.5MM,1821.0,1821.0,273.15,1821.0,42
CDM,416055,CONN ROD SPN 6.35MM,3100.0,3100.0,465.0,3100.0,30
CDM,416056,CONN ROD SPN 6.35MM,3100.0,3100.0,465.0,3100.0,30
CDM,416071,CONN SHNT ACFL CSF,3189.0,3189.0,478.35,3189.0,30
CDM,416270,PTCH SFT TIS 2X15X20,11445.0,11445.0,1716.75,11445.0,30
CDM,416399,TUBE TRACHEOSTOMY SZ8,1023.5,1023.5,153.53,1023.5,42
CDM,416417,MESH HRN PP 4X1.8,1792.0,1792.0,268.8,1792.0,30
CDM,416426,MESH SURG LG 13.7X5.9CM,1054.0,1054.0,158.1,1054.0,30
CDM,416443,STAPLER SKIN WHTE 35MM,240.5,240.5,36.08,240.5,42
CDM,416449,SHEATH TNLR 20.5IN 12MM,773.0,773.0,115.95,773.0,42
CDM,416663,PLATE BN 5PEG RT 5HL,5581.0,5581.0,837.15,5581.0,30
CDM,416707,INSERT ARTC KN 8-9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,416761,DEVICE ENDO SZ0 7IN,773.0,773.0,115.95,773.0,42
CDM,416763,SCREW CERV SPINE EXPANSN,1205.0,1205.0,180.75,1205.0,30
CDM,416764,SCREW CANC SPN 4.35X14MM,3012.0,3012.0,451.8,3012.0,30
CDM,416857,PLUG SURG 1.55X1.3IN,2892.0,2892.0,433.8,2892.0,30
CDM,416914,PLUG SURG HRN 1.35X1IN,2830.0,2830.0,424.5,2830.0,30
CDM,416915,MESH SURG PLG 1.9X1.6IN,2950.0,2950.0,442.5,2950.0,30
CDM,416924,SET ENDO CHLGM 4FR 43CM,773.0,773.0,115.95,773.0,42
CDM,417014,STENT URET 7FR 28CM,1429.0,1429.0,214.35,1429.0,30
CDM,417015,STENT URET 6FR 28CM,1429.0,1429.0,214.35,1429.0,30
CDM,417027,RESERVOR CSF STND FLT2.5,3189.0,3189.0,478.35,3189.0,30
CDM,417043,CATH CHLGM 4.5FR 18IN,572.0,572.0,85.8,572.0,42
CDM,417071,STENT URET 7-14FR 26CM,1178.0,1178.0,176.7,1178.0,30
CDM,417079,STENT URET 8FR 26CM,1458.0,1458.0,218.7,1458.0,30
CDM,417080,CATH BLNDIL 18FR 4CM,1655.5,1655.5,248.32,1655.5,42
CDM,417086,STENT URET 8FR 22CM,1429.0,1429.0,214.35,1429.0,30
CDM,417094,STENT URET 8FR 24CM,1429.0,1429.0,214.35,1429.0,30
CDM,417255,SCREW BN 7.3X130X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,417256,SCREW BN 7.3X125X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,417257,SCREW BN 7.3MM 120MM,3189.0,3189.0,478.35,3189.0,30
CDM,417258,SCREW BN 7.3X115X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,417260,SCREW BN 7.3MM 105MM,2962.0,2962.0,444.3,2962.0,30
CDM,417261,SCREW BN 7.3MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,417262,SCREW BN 7.3MM 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,417263,SCREW BN 8.2X2.9MM 90MM,2962.0,2962.0,444.3,2962.0,30
CDM,417264,SCREW BN 7.3X32X85MM,2962.0,2962.0,444.3,2962.0,30
CDM,417265,SCREW BN 7.3X80MM,2962.0,2962.0,444.3,2962.0,30
CDM,417266,SCREW BN 7.3MM 75MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,417267,SCREW BN 7.3MM 32MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,417268,SCREW BN 7.3MM 32MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,417269,SCREW BN 7.3MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,417270,SCREW BN 7.3MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,417271,SCREW BN 7.3MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,417272,SCREW BN 7.3MM 130MM,3189.0,3189.0,478.35,3189.0,30
CDM,417273,SCREW BN 7.3MM 125MM,1600.0,1600.0,240.0,1600.0,30
CDM,417274,SCREW BN 7.3X120X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,417275,SCREW BN 7.3MM 115MM,3189.0,3189.0,478.35,3189.0,30
CDM,417276,SCREW BN 7.3MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,417277,SCREW BN 7.3X105MM,2962.0,2962.0,444.3,2962.0,30
CDM,417278,SCREW BN 7.3MM 100MM,2962.0,2962.0,444.3,2962.0,30
CDM,417279,SCREW BN 7.3MM 95MM,2962.0,2962.0,444.3,2962.0,30
CDM,417280,SCREW BN 7.3X90MM,2962.0,2962.0,444.3,2962.0,30
CDM,417281,SCREW BN 7.3MM 85MM,2962.0,2962.0,444.3,2962.0,30
CDM,417282,SCREW BN 7.3MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,417283,SCREW BN 7.3X75MM,2962.0,2962.0,444.3,2962.0,30
CDM,417284,SCREW BN CANN 7.3MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,417285,SCREW BN 7.3MM 16MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,417286,SCREW BN 7.3MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,417287,SCREW BN 7.3MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,417288,SCREW BN 7.3X50MM,3189.0,3189.0,478.35,3189.0,30
CDM,417289,SCREW BN 7.3MM 16MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,417290,SCREW BN 7.3MM 40MM,1600.0,1600.0,240.0,1600.0,30
CDM,417291,SCREW BN 7.3MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,417292,SCREW BN 7.3X30X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,417299,SCREW BN 7.3MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,417333,SCREW BN 4MM 5MM,2261.0,2261.0,339.15,2261.0,30
CDM,417334,SCREW BN CANN 4MM 48MM,2261.0,2261.0,339.15,2261.0,30
CDM,417335,SCREW BN 4MM 46MM,2261.0,2261.0,339.15,2261.0,30
CDM,417336,SCREW BN 4MM 44MM,2261.0,2261.0,339.15,2261.0,30
CDM,417337,SCREW BN 4.0MM 42MM,2261.0,2261.0,339.15,2261.0,30
CDM,417338,SCREW BN 4.0MM 40MM,2261.0,2261.0,339.15,2261.0,30
CDM,417339,SCREW BN 4.5X38MM,2261.0,2261.0,339.15,2261.0,30
CDM,417340,SCREW BN 4X5X52MM,2261.0,2261.0,339.15,2261.0,30
CDM,417341,SCREW BN 4X5X1.35X34MM,2261.0,2261.0,339.15,2261.0,30
CDM,417342,SCREW BN CANN 4MM 32MM,2261.0,2261.0,339.15,2261.0,30
CDM,417343,SCREW BN 4X5X30MM,2663.0,2663.0,399.45,2663.0,30
CDM,417344,SCREW BN 4.0MM 28MM,2663.0,2663.0,399.45,2663.0,30
CDM,417345,SCREW BN CANN 4.0X26MM,2663.0,2663.0,399.45,2663.0,30
CDM,417346,SCREW BN 4.0MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,417347,SCREW BN 4MM 22MM,2663.0,2663.0,399.45,2663.0,30
CDM,417348,SCREW BN 4.0MM 20MM,2663.0,2663.0,399.45,2663.0,30
CDM,417349,SCREW BN 4MM 18MM,2663.0,2663.0,399.45,2663.0,30
CDM,417350,SCREW BN 4MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,417351,SCREW BN 4MM 1.35MM 50MM,2261.0,2261.0,339.15,2261.0,30
CDM,417353,SCREW BN 4MM 1.35MM 46MM,2663.0,2663.0,399.45,2663.0,30
CDM,417355,SCREW BN 4MM 1.35MM 42MM,2663.0,2663.0,399.45,2663.0,30
CDM,417356,SCREW BN 4MM 1.35MM 40MM,2261.0,2261.0,339.15,2261.0,30
CDM,417357,SCREW BN 4MM 1.35MM 38MM,2261.0,2261.0,339.15,2261.0,30
CDM,417359,SCREW BN CANN 4MM 34MM,2261.0,2261.0,339.15,2261.0,30
CDM,417360,SCREW BN 4MM 1.35MM 32MM,2663.0,2663.0,399.45,2663.0,30
CDM,417361,SCREW BN 4MM 30MM,2261.0,2261.0,339.15,2261.0,30
CDM,417362,SCREW BN 4MM 1.35MM 28MM,2261.0,2261.0,339.15,2261.0,30
CDM,417366,SCREW BN CANN 4.0X20MM,2663.0,2663.0,399.45,2663.0,30
CDM,417367,SCREW BN 4MM 18MM,2261.0,2261.0,339.15,2261.0,30
CDM,417368,SCREW BN 4MM 16MM,2261.0,2261.0,339.15,2261.0,30
CDM,417369,SCREW BN 4MM 14MM,2261.0,2261.0,339.15,2261.0,30
CDM,417370,SCREW BN 4MM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,417371,SCREW BN 4MM 10MM,2663.0,2663.0,399.45,2663.0,30
CDM,417382,SCREW BN 4MM 5MM,2663.0,2663.0,399.45,2663.0,30
CDM,417383,SCREW BN 4.0MM 24MM,2663.0,2663.0,399.45,2663.0,30
CDM,417384,SCREW BN 4X26MM,2663.0,2663.0,399.45,2663.0,30
CDM,417389,SCREW BN 4MM 1.35MM 36MM,2261.0,2261.0,339.15,2261.0,30
CDM,417393,SCREW BN 4MM 1.35MM 44MM,2663.0,2663.0,399.45,2663.0,30
CDM,417395,SCREW BN 4MM 48MM,2663.0,2663.0,399.45,2663.0,30
CDM,417422,MESH SURG 4.5X10CM,1097.0,1097.0,164.55,1097.0,30
CDM,417474,SHEATH TNLR LG 30.5CM,773.0,773.0,115.95,773.0,42
CDM,417484,GRAFT CV 30MM 30CM,3077.0,3077.0,461.55,3077.0,30
CDM,417571,SUTURE CV-6 TTC-13 30IN,451.0,451.0,67.65,451.0,42
CDM,417598,CATH VENT 16FR 16IN,336.0,336.0,50.4,336.0,42
CDM,417599,CANNULA ART 8IN 22FR,276.0,276.0,41.4,276.0,42
CDM,417600,CANNLA PRFSN VNS 24F14IN,473.5,473.5,71.03,473.5,42
CDM,417601,CANNULA PRFSN 25F 14IN,473.5,473.5,71.03,473.5,42
CDM,417612,BLADE SHVR FULL 3.5MM,572.0,572.0,85.8,572.0,42
CDM,417616,BLADE SHVR VIOL 4.5MM,572.0,572.0,85.8,572.0,42
CDM,417738,BURR RD CARBIDE 4.0MM,323.0,323.0,48.45,323.0,42
CDM,417867,COIL EMBL 15CM 7MM,9731.0,9731.0,1459.65,9731.0,30
CDM,418012,CLIP LIGATING MED,42.0,42.0,6.3,42.0,30
CDM,418174,RELOAD STPLR 55MM,633.0,633.0,94.95,633.0,30
CDM,418205,SCREW CANN 4.5 34,399.0,399.0,59.85,399.0,30
CDM,418206,SCREW BN HIP 4.5MM 36MM,399.0,399.0,59.85,399.0,30
CDM,418207,SCREW BN HIP 4.5MM 38MM,399.0,399.0,59.85,399.0,30
CDM,418210,SCREW BN 4.5MM 8MM 42MM,399.0,399.0,59.85,399.0,30
CDM,418217,CEMENT RESTRICTOR 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,418229,SET DRILL PIN 3.2MM,773.0,773.0,115.95,773.0,42
CDM,418233,CATH DRAIN MLCT 14F,230.5,230.5,34.58,230.5,42
CDM,418234,CATH NPHSTM 16FR,446.0,446.0,66.9,446.0,42
CDM,418244,DRSNG ADH FOAM PD 8X12IN,417.5,417.5,62.63,417.5,42
CDM,418248,CONFORMER OPTH MD LUCITE,649.5,649.5,97.42,649.5,42
CDM,418355,NEEDLE SUT 1/2 CIRC SZ2,156.0,156.0,23.4,156.0,42
CDM,418360,NRSTM IMPL 2.4INX2.2IN,30561.0,30561.0,4584.15,30561.0,30
CDM,418383,CANNULA ART 8IN 20FR,276.0,276.0,41.4,276.0,42
CDM,418398,BLADE PATELLA REAMING51M,1187.0,1187.0,178.05,1187.0,42
CDM,418401,CATHETER THRMB 2FR 60CM,773.0,773.0,115.95,773.0,42
CDM,418403,CATHETER EMBL 3FR 40CM,546.0,546.0,81.9,546.0,42
CDM,418404,CATHETER THRMB 3FR 80CM,525.5,525.5,78.83,525.5,42
CDM,418405,CATHETER EMBL 4FR 40CM,525.5,525.5,78.83,525.5,42
CDM,418406,CATHETER THRMB 4FR 80CM,525.5,525.5,78.83,525.5,42
CDM,418407,CATHETER THRMB 5FR 80CM,525.5,525.5,78.83,525.5,42
CDM,418408,CATHETER THRMB 6FR 80CM,525.5,525.5,78.83,525.5,42
CDM,418424,PTCH TISS SFT 1X15X 2,6298.0,6298.0,944.7,6298.0,30
CDM,418435,GRAFT BN DBM 10ML PTTY,4429.0,4429.0,664.35,4429.0,30
CDM,418527,MESH PRFX XL 1.6IN 2IN,3189.0,3189.0,478.35,3189.0,30
CDM,418561,SCREW BN CORT 3.5MM 38MM,264.0,264.0,39.6,264.0,30
CDM,418562,SCREW BN 4MM 6MM 12MM,235.0,235.0,35.25,235.0,30
CDM,418563,SCREW BN 4.0MM 10MM,219.0,219.0,32.85,219.0,30
CDM,418568,PLATE SF TUB 1/3X3X37,1102.0,1102.0,165.3,1102.0,30
CDM,418569,PLATE 1/3 TBLR 145X9X1MM,1477.0,1477.0,221.55,1477.0,30
CDM,418574,SCREW CORTEX TIT 8MM 401,621.0,621.0,93.15,621.0,30
CDM,418575,SCREW CORT TI 2.0X10,849.0,849.0,127.35,849.0,30
CDM,418576,SCREW CORT TT 2.7X08,894.0,894.0,134.1,894.0,30
CDM,418577,SCREW CORT TT 2.7 X 10,894.0,894.0,134.1,894.0,30
CDM,418578,SCREW CORT TT 2.7X16,548.0,548.0,82.2,548.0,30
CDM,418579,SCREW CORT TT 2.7 X 24,780.0,780.0,117.0,780.0,30
CDM,418583,SCREW BN 4.5MM 42MM,2711.0,2711.0,406.65,2711.0,30
CDM,418593,SCREW BN 7.3MM 135MM,3189.0,3189.0,478.35,3189.0,30
CDM,418594,SCREW CORT 2.7X10,548.0,548.0,82.2,548.0,30
CDM,418609,SCREW BN 4.5MM 70MM,277.0,277.0,41.55,277.0,30
CDM,418610,KWIRE FX 150MM 2.5MM,242.0,242.0,36.3,242.0,42
CDM,418611,CAP PRTC KRSH EXFX 2.5,88.5,88.5,13.28,88.5,42
CDM,418613,CLAMP 2.5MM 4MM CMBN MRI,2586.5,2586.5,387.98,2586.5,42
CDM,418614,CLAMP EXFX 4X4MM,1675.0,1675.0,251.25,1675.0,42
CDM,418615,NUT SPRG LD EX FIX SEF,437.0,437.0,65.55,437.0,42
CDM,418617,ROD CFBR EX FX 4X80MM,495.5,495.5,74.33,495.5,42
CDM,418618,ROD CFBR EX FX 4X100MM,400.5,400.5,60.08,400.5,42
CDM,418619,ROD CFBR EXFX 4X120MM,495.5,495.5,74.33,495.5,42
CDM,418620,ROD EXFX 4.0MM 140MM,672.0,672.0,100.8,672.0,42
CDM,418621,ROD CFBR EX FX 4X160MM,672.0,672.0,100.8,672.0,42
CDM,418622,ROD CFBR EX FX 4X180MM,549.0,549.0,82.35,549.0,42
CDM,418623,ROD CFBR EX FX 4X200MM,773.0,773.0,115.95,773.0,42
CDM,418626,PLATE 3.5 LC DCP,3189.0,3189.0,478.35,3189.0,30
CDM,418627,PLATE 3.5 LC DCP 90MM,2687.0,2687.0,403.05,2687.0,30
CDM,418628,PLATE 3.5 LC DCP,3189.0,3189.0,478.35,3189.0,30
CDM,418629,PLATE SNTH 3.5 9 HOL,3189.0,3189.0,478.35,3189.0,30
CDM,418631,PLATE BN 2HL 25MM,1021.0,1021.0,153.15,1021.0,30
CDM,418633,PLATE SF TUB 1/3X4X49,1274.0,1274.0,191.1,1274.0,30
CDM,418635,PLATE 1/3 TBLR 73MM 6HL,1217.0,1217.0,182.55,1217.0,30
CDM,418639,PLATE BN RT 67/10/1.2MM,2348.0,2348.0,352.2,2348.0,30
CDM,418658,PLATE BN 4HL 71MM,746.0,746.0,111.9,746.0,30
CDM,418659,SEMI-TUBULAR PLATE 8 HOL,947.0,947.0,142.05,947.0,30
CDM,418667,SCRW CX 1.5X18MM S,239.0,239.0,35.85,239.0,30
CDM,418675,SCREW BN 6.5X16X100MM,508.0,508.0,76.2,508.0,30
CDM,418679,PLATE T BN 3HL 32MM,2813.0,2813.0,421.95,2813.0,30
CDM,418680,KWIRE FX 70MM .6MM,153.5,153.5,23.02,153.5,42
CDM,418681,KWIRE FX 70MM .8MM,153.5,153.5,23.02,153.5,42
CDM,418686,PLATE BN SHRT 4HL 78MM,3721.0,3721.0,558.15,3721.0,30
CDM,418688,PLATE 78MM 4H 140D,3189.0,3189.0,478.35,3189.0,30
CDM,418703,SCREW BN 4.5X6.5X1.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,418710,SCREW CORT TT 2.7X06 402,894.0,894.0,134.1,894.0,30
CDM,418714,GWIRE ORTH 2MM 230MM,533.5,533.5,80.03,533.5,42
CDM,418722,SCREW EXFX 175X4.5X18MM,925.5,925.5,138.82,925.5,42
CDM,418725,CLAMP EXFX ADJUSTABLE,2250.5,2250.5,337.57,2250.5,42
CDM,418728,ROD EX FIX 11MM 250MM,1571.0,1571.0,235.65,1571.0,42
CDM,418729,ROD EX FIX 11MM 300MM,1038.0,1038.0,155.7,1038.0,42
CDM,418730,ROD EX FIX 11MM 400MM,1038.0,1038.0,155.7,1038.0,42
CDM,418731,ROD EX FIX 11MM 500MM,1113.5,1113.5,167.03,1113.5,42
CDM,418732,ROD EX FIX 11MM 550MM,1140.5,1140.5,171.07,1140.5,42
CDM,418736,GUARD PIN .035IN,116.0,116.0,17.4,116.0,42
CDM,418737,GUARD PIN .045IN,154.5,154.5,23.18,154.5,42
CDM,418739,GUARD PIN 5/64IN,154.5,154.5,23.18,154.5,42
CDM,418740,GUARD PIN 3.32IN,154.5,154.5,23.18,154.5,42
CDM,418741,GUARD PIN 3MM,116.0,116.0,17.4,116.0,42
CDM,418742,GUARD PIN 4MM,116.0,116.0,17.4,116.0,42
CDM,418743,GUARD PIN 5MM,116.0,116.0,17.4,116.0,42
CDM,418744,GUARD PIN 6MM,116.0,116.0,17.4,116.0,42
CDM,418745,GUARD PIN .028IN,116.0,116.0,17.4,116.0,42
CDM,418746,GUARD PIN .035IN,120.0,120.0,18.0,120.0,42
CDM,418779,CABLE SLV DLMLS HIP 2.0,3189.0,3189.0,478.35,3189.0,30
CDM,418780,CABLE SM GRIP W/2 1.6MM,4429.0,4429.0,664.35,4429.0,30
CDM,418787,SET CABLE/SLV 1.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,418791,BLADE OSTEO 12 FLAT,1899.0,1899.0,284.85,1899.0,42
CDM,418792,BLDE OSTEO 10 FLAT,1899.0,1899.0,284.85,1899.0,42
CDM,418811,KWIRE FX 230MM 1.1MM,303.0,303.0,45.45,303.0,42
CDM,418840,UNV CANN KIT 5X55,231.5,231.5,34.73,231.5,42
CDM,419021,BASKET STON RTR 3F 120CM,1242.0,1242.0,186.3,1242.0,42
CDM,419022,STENT URET 6FR 22-30CM,1358.0,1358.0,203.7,1358.0,30
CDM,419128,CATH MLCT 20FR 4-WING,490.5,490.5,73.58,490.5,42
CDM,419142,DRAIN WND INCS 10MM,231.5,231.5,34.73,231.5,42
CDM,419144,DRAIN WND 10FR 3/16IN,231.5,231.5,34.73,231.5,42
CDM,419145,DRAIN WND 10FR 1/18IN,231.5,231.5,34.73,231.5,42
CDM,419148,DRAIN WND 3/16IN 49IN,157.0,157.0,23.55,157.0,42
CDM,419149,DRAIN WND RND 19FR,158.0,158.0,23.7,158.0,42
CDM,419150,DRAIN WND 1/8IN 49IN,157.0,157.0,23.55,157.0,42
CDM,419167,CATH BLNDIL 30FR 12CM,1628.0,1628.0,244.2,1628.0,42
CDM,419168,SET DILATOR SHTH 24-30FR,1389.5,1389.5,208.43,1389.5,42
CDM,419173,STENT URET 7FR 22CM,1429.0,1429.0,214.35,1429.0,30
CDM,419202,CATH EP J CRV 10X120 5FR,880.5,880.5,132.07,880.5,42
CDM,419319,KIT PROBE 3.4MMX340MM,4385.5,4385.5,657.83,4385.5,42
CDM,419901,SCREW BN 3.5MM 18MM,463.0,463.0,69.45,463.0,30
CDM,420013,CATH MLCT 26FR 4-WING,773.0,773.0,115.95,773.0,42
CDM,420031,IMP URN CTRL 71-80CM,10395.0,10395.0,1559.25,10395.0,30
CDM,420032,SCREW BN 3.5X42MM,590.0,590.0,88.5,590.0,30
CDM,420070,SHUNT CRTD TEMP 14F 13CM,552.0,552.0,82.8,552.0,42
CDM,420248,BURR CRBD DMND 1.6MM,220.5,220.5,33.08,220.5,42
CDM,420277,CLIP ANSRM PRM 65R 11MM,3189.0,3189.0,478.35,3189.0,30
CDM,420361,SLEEVE LAPSP 10/12X100MM,264.5,264.5,39.67,264.5,42
CDM,420370,CLIP LIGATING MED LG,55.0,55.0,8.25,55.0,30
CDM,420376,CATH BIL BLN PR 6FRX23CM,684.0,684.0,102.6,684.0,42
CDM,420400,WIRE LIGASURE 28GA,340.0,340.0,51.0,340.0,42
CDM,420419,WIRE DENTAL 25GA 214FT,340.0,340.0,51.0,340.0,42
CDM,420420,WIRE LIGASURE 24GA,402.0,402.0,60.3,402.0,42
CDM,420421,WIRE LIGASURE 26GA,340.0,340.0,51.0,340.0,42
CDM,420500,SCREW BN 4.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,420501,SCREW BN 4.5MM 54MM,3189.0,3189.0,478.35,3189.0,30
CDM,420502,SCREW BN 4.5MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,420503,SCREW BN 4.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,420504,SCREW BN 4.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,420505,SCREW BN 4.5MM 26MM,2790.0,2790.0,418.5,2790.0,30
CDM,420506,SCREW BN 4.5MM 28MM,2790.0,2790.0,418.5,2790.0,30
CDM,420507,SCREW BN 4.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,420508,SCREW BN CANN 4.5MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,420509,SCREW BN CANN 4.5MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,420510,SCREW BN 4.5MM 36MM,2790.0,2790.0,418.5,2790.0,30
CDM,420511,SCREW BN 4.5X38MM,2356.0,2356.0,353.4,2356.0,30
CDM,420512,SCREW BN 4.5X40MM,2727.0,2727.0,409.05,2727.0,30
CDM,420513,SCREW BN 4.5MM 42MM,2356.0,2356.0,353.4,2356.0,30
CDM,420514,SCREW BN 4.5MM 6.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,420515,SCREW BN 4.5MM 46MM,3189.0,3189.0,478.35,3189.0,30
CDM,420516,SCREW BN 4.5MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,420517,SCREW BN CANN 4.5MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,420518,SCREW BN 4.5MM 52MM,3189.0,3189.0,478.35,3189.0,30
CDM,420519,SCREW BN 4.5MM 54MM,2926.0,2926.0,438.9,2926.0,30
CDM,420520,SCREW BN 4.5MM 56MM,2926.0,2926.0,438.9,2926.0,30
CDM,420521,SCREW BN 4.5MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,420522,SCREW BN 4.5MM 64MM,2790.0,2790.0,418.5,2790.0,30
CDM,420523,SCREW BN 4.5MM 68MM,3189.0,3189.0,478.35,3189.0,30
CDM,420524,SCREW BN 4.5X72MM,3189.0,3189.0,478.35,3189.0,30
CDM,420541,SCREW BN 14MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,420542,SCREW BNE SS L70MM OD14.,3189.0,3189.0,478.35,3189.0,30
CDM,420543,SCREW BN 14MM 75MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,420544,SCREW BNE SS L80MM OD14,3189.0,3189.0,478.35,3189.0,30
CDM,420545,SCREW BN 14MM 85MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,420550,PLATE BN 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,420551,SCREW BNE CANC 6.5X50,430.0,430.0,64.5,430.0,30
CDM,420552,SCREW CANC 6.5X65,520.0,520.0,78.0,520.0,30
CDM,420557,SCREW CORT TT 2.7 X 12,894.0,894.0,134.1,894.0,30
CDM,420558,SCREW CORT TT 2.7X14,894.0,894.0,134.1,894.0,30
CDM,420560,SCREW CORT TT 2.7X18,454.0,454.0,68.1,454.0,30
CDM,420561,SCREW CORT TT 2.7X20,520.0,520.0,78.0,520.0,30
CDM,420562,SCREW CORT TT 2.7 X 22,652.0,652.0,97.8,652.0,30
CDM,420564,SCRW CORT 2X3.5X6 TI STD,682.0,682.0,102.3,682.0,30
CDM,420567,SCREW CORT TI 2.0X12,811.0,811.0,121.65,811.0,30
CDM,420568,SCREW CORT TI 2.0X14,480.0,480.0,72.0,480.0,30
CDM,420569,SCREW CORT CRNFCL 2X16MM,621.0,621.0,93.15,621.0,30
CDM,420570,SCREW CORT TI 2.0X18,621.0,621.0,93.15,621.0,30
CDM,420571,SCREW SYN MINITIT 2X20MM,621.0,621.0,93.15,621.0,30
CDM,420572,SCREW SYN MINI T 401.022,621.0,621.0,93.15,621.0,30
CDM,420573,SCREW BONE 401.024,621.0,621.0,93.15,621.0,30
CDM,420574,SCREW BN 1.5MM 6MM,621.0,621.0,93.15,621.0,30
CDM,420575,SCREW TI CORT 1.5X7M,743.0,743.0,111.45,743.0,30
CDM,420576,SCREW TI CORT 1.5X8MM,621.0,621.0,93.15,621.0,30
CDM,420577,SCREW TI CORT 1.5X9MM,849.0,849.0,127.35,849.0,30
CDM,420578,SCREW TI CORT 1.5X10MM,621.0,621.0,93.15,621.0,30
CDM,420579,SCREW TI CORT 1.5X11MM,621.0,621.0,93.15,621.0,30
CDM,420580,SCREW CRTX 1.5 TI #12,621.0,621.0,93.15,621.0,30
CDM,420581,SCREW 1.5MM 14MM TI CORT,621.0,621.0,93.15,621.0,30
CDM,420582,SCREW TI CORT 1.5X16M,621.0,621.0,93.15,621.0,30
CDM,420583,SCREW TI CORT 1.5X18MM,621.0,621.0,93.15,621.0,30
CDM,420584,SCREW TI CORT 1.5X20MM,482.0,482.0,72.3,482.0,30
CDM,420585,PLATE STRT 1.5X100 20HL,3189.0,3189.0,478.35,3189.0,30
CDM,420586,PLATE T 3HLHD 9HL 1.5X50,2605.0,2605.0,390.75,2605.0,30
CDM,420587,PLATE 1.5 T 4/9 HL 50,2833.0,2833.0,424.95,2833.0,30
CDM,420588,PLATE BN 100X5X1MM,3189.0,3189.0,478.35,3189.0,30
CDM,420592,PLATE 31X7X1MM 2.7MM,1328.0,1328.0,199.2,1328.0,30
CDM,420594,PLATE ORT 39X7MM 5HLE,1454.0,1454.0,218.1,1454.0,30
CDM,420596,PLATE TI MINI 47X7X1 2.7,1576.0,1576.0,236.4,1576.0,30
CDM,420597,PLATE T TI 2.7X32 TI 3HL,803.0,803.0,120.45,803.0,30
CDM,420600,PLATE 2.0 COND LT,3189.0,3189.0,478.35,3189.0,30
CDM,420601,PLATE 2.0 COND RT,3189.0,3189.0,478.35,3189.0,30
CDM,420602,PLATE TI CNDRL 2.7 57 7H,3189.0,3189.0,478.35,3189.0,30
CDM,420603,PLATE T TI CNDRL 2.7 7HL,3189.0,3189.0,478.35,3189.0,30
CDM,420604,PLATE CNDLR 7HL 1.5X36LT,3189.0,3189.0,478.35,3189.0,30
CDM,420608,SCREW BNE SS L90MM OD14.,3189.0,3189.0,478.35,3189.0,30
CDM,420609,SCREW BN 14MM 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,420611,SCREW BNE SS L110MM OD14,3189.0,3189.0,478.35,3189.0,30
CDM,420612,SCREW BN 14MM 115MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,420655,SCREW BN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,420700,SCREW LAB AMBI 70,2728.0,2728.0,409.2,2728.0,30
CDM,420701,SCREW BN 12.7X9X85X21MM,2480.0,2480.0,372.0,2480.0,30
CDM,420723,SCREW CANN 4.5 46,399.0,399.0,59.85,399.0,30
CDM,420725,SCREW CANN 4.5 50,399.0,399.0,59.85,399.0,30
CDM,421001,K-WIRE THRD BLUNT,773.0,773.0,115.95,773.0,42
CDM,42160,SUTURE SS 2-0 24IN,254.5,254.5,38.17,254.5,42
CDM,421902,SURF ARTC KN 10-12 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,422100,BLADE SAW 12X7.5MM,823.0,823.0,123.45,823.0,42
CDM,422109,INSERT TIB KN 14MM,9966.0,9966.0,1494.9,9966.0,30
CDM,422287,KIT BUTTON BN PEC FX LG,7671.0,7671.0,1150.65,7671.0,30
CDM,422302,PLATE 118X14X3.8MM LG FR,3612.0,3612.0,541.8,3612.0,30
CDM,422303,PLATE 118X14X3.8MM SS,3721.0,3721.0,558.15,3721.0,30
CDM,422304,PLATE BNE SS L149MM LAT,3721.0,3721.0,558.15,3721.0,30
CDM,422305,PLATE BN LAB TIB 149MM,3721.0,3721.0,558.15,3721.0,30
CDM,422306,PLT LTHB 9 HL 181MM,3721.0,3721.0,558.15,3721.0,30
CDM,422307,PLATE LAT TIB B 9H 181 L,3721.0,3721.0,558.15,3721.0,30
CDM,422310,PLATE BN 13HL 240MM,3835.0,3835.0,575.25,3835.0,30
CDM,422311,PLATE BN 240X14X3.8MM,3835.0,3835.0,575.25,3835.0,30
CDM,422316,SCREW EXFX 60X40MM,773.0,773.0,115.95,773.0,42
CDM,422317,SCREW EXFX 80X4MM,773.0,773.0,115.95,773.0,42
CDM,422322,CLAMP EX FIX OP 4.0/2.5,2255.0,2255.0,338.25,2255.0,42
CDM,422323,CLAMP EXFX OPN 4X4MM,2613.0,2613.0,391.95,2613.0,42
CDM,422405,SUTURE FBRTP 7INX2MM,1196.0,1196.0,179.4,1196.0,30
CDM,422640,EXTRACTOR TIP 2.0MM-2.5M,3233.5,3233.5,485.02,3233.5,42
CDM,422645,EXTRACTOR TIP 6.0MM-7.0M,3233.5,3233.5,485.02,3233.5,42
CDM,422652,DRILL BIT CARBIDE 2MM,2415.0,2415.0,362.25,2415.0,42
CDM,422653,DRILL BIT 3MM,2415.0,2415.0,362.25,2415.0,42
CDM,422654,DRILL BIT CARBIDE 4MM,2415.0,2415.0,362.25,2415.0,42
CDM,422655,DRILL BIT CARBIDE 5MM,2415.0,2415.0,362.25,2415.0,42
CDM,422656,DRILL BIT 6MM,2415.0,2415.0,362.25,2415.0,42
CDM,422657,DRILL BIT CARBIDE 7MM,2415.0,2415.0,362.25,2415.0,42
CDM,422743,STEM FEM HIP SZ3 108MM,6201.0,6201.0,930.15,6201.0,30
CDM,423681,CONE FEM HIP SZC 80MM,16725.0,16725.0,2508.75,16725.0,30
CDM,423727,CARTRIDGE BNCMNT 10GA,2135.5,2135.5,320.32,2135.5,42
CDM,424666,KWIRE FX 1.4MM 60MM,386.5,386.5,57.98,386.5,42
CDM,424668,DRILL BIT CANN 2.1X120MM,386.5,386.5,57.98,386.5,42
CDM,424704,BURR SURG 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,425453,KIT PRICRDCTS 8.3FR 40CM,1023.5,1023.5,153.53,1023.5,42
CDM,425948,TACK FX DISP .062IN 3IN,554.5,554.5,83.17,554.5,42
CDM,426077,HEAD FEM HIP CERM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,426105,PLATE BN FIB 4H RT 74MM,4429.0,4429.0,664.35,4429.0,30
CDM,426230,SCREW BN 7MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,426231,SCREW BN 7.0MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,427001,GWIRE VASC .018IN 300CM,773.0,773.0,115.95,773.0,42
CDM,427008,STENT BIL 10X40MM,7069.0,7069.0,1060.35,7069.0,30
CDM,427033,CATH EXPO 5F JL3.5,160.5,160.5,24.07,160.5,42
CDM,427034,CATH EXPO 5F JL4.5,160.5,160.5,24.07,160.5,42
CDM,427037,CATH ANGIO 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,427040,CATH EXPO 5F AR 2,160.5,160.5,24.07,160.5,42
CDM,427041,CATH EXPO 5F AL1,160.5,160.5,24.07,160.5,42
CDM,427044,CATH EXPO 5F LCB,160.5,160.5,24.07,160.5,42
CDM,427047,CATH EXPO 5F JL5,160.5,160.5,24.07,160.5,42
CDM,427058,GWIRE GOLD TAPER .01,2374.0,2374.0,356.1,2374.0,42
CDM,427091,GWIRE VASC 300CM .014IN,819.0,819.0,122.85,819.0,42
CDM,427092,GWIRE VASC .035IN 260CM,742.5,742.5,111.38,742.5,42
CDM,427097,DILATOR VASC 12FR 20CM,196.5,196.5,29.48,196.5,42
CDM,427105,BASKET RET 3.0CM 3.2MM,2056.0,2056.0,308.4,2056.0,42
CDM,427134,CATH GD 7FR 70CM,1244.5,1244.5,186.68,1244.5,42
CDM,427182,KIT WND DRN 12X3/32IN,172.5,172.5,25.88,172.5,42
CDM,427235,STENT PANC 5FR 3CM,854.0,854.0,128.1,854.0,30
CDM,427237,TUBE TRACH XLT SIZE 8,773.0,773.0,115.95,773.0,42
CDM,427247,CATH HEMODLYS 19X12,1244.5,1244.5,186.68,1244.5,42
CDM,427248,CATH HCKMN 12F 23CM,1244.5,1244.5,186.68,1244.5,42
CDM,427249,TRAY CATH HKMN 12FR 27CM,1244.5,1244.5,186.68,1244.5,42
CDM,427257,VALVE SPEAK 15MM 23MM,773.0,773.0,142.31,773.0,26
CDM,427258,PROBE ESURG 1.5MM 150CM,2013.5,2013.5,302.02,2013.5,42
CDM,427261,STENT PANC 3FR 10CM,754.0,754.0,113.1,754.0,30
CDM,427262,CATH BIL DCT 3FR .018IN,417.5,417.5,62.63,417.5,42
CDM,427305,DEVICE TORQUE .010-.038,153.5,153.5,23.02,153.5,42
CDM,427306,SHEATH INTRO 9F 25CM,265.0,265.0,39.75,265.0,42
CDM,427308,CATH BLN 1.5X6MM 138CM,798.5,798.5,119.78,798.5,42
CDM,427314,INTRODUCER SHTH 7FR 90CM,1023.5,1023.5,153.53,1023.5,42
CDM,427322,VALVE MITRAL 23/25MM,19802.0,19802.0,2970.3,19802.0,30
CDM,427325,KIT SHNT CATH 14CM 120CM,3721.0,3721.0,558.15,3721.0,30
CDM,427326,INTRODUCER SHTH 6FR 90CM,1023.5,1023.5,153.53,1023.5,42
CDM,427392,STENT BIL 7FR 12CM,941.0,941.0,141.15,941.0,30
CDM,427394,VALVE SPEAK 15MM 22MM,773.0,773.0,142.31,773.0,26
CDM,427403,FORCEP BX 240CM,231.5,231.5,34.73,231.5,42
CDM,427408,CATH EXPO 5F MPA-1,160.5,160.5,24.07,160.5,42
CDM,427413,GWIRE VASC 300CM .014IN,870.0,870.0,130.5,870.0,42
CDM,427431,PORT IMPL INFSN TI 8.0FR,3189.0,3189.0,478.35,3189.0,30
CDM,427433,PCMKR SR 40.2X42.9X7.5MM,14856.0,14856.0,2228.4,14856.0,30
CDM,427458,CATH ANGIO VERT 5F 100CM,247.5,247.5,37.13,247.5,42
CDM,427459,CATH ANGIO 5FR 40CM,306.0,306.0,45.9,306.0,42
CDM,427461,PCMKR DR 44.7X47.9X7.5MM,11006.0,11006.0,1650.9,11006.0,30
CDM,427471,CTHGD VBT 6F 070 JL4 100,630.5,630.5,94.58,630.5,42
CDM,427472,CTHGD VBT 6X070JL4.5 100,630.5,630.5,94.58,630.5,42
CDM,427474,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,427482,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,427484,CTHGD VBT6F070 XBLD3.5SH,630.5,630.5,94.58,630.5,42
CDM,427488,CATH GD JR4 6FR 100CM,587.5,587.5,88.13,587.5,42
CDM,427495,CTHGD VBT 6X070 3DRC,630.5,630.5,94.58,630.5,42
CDM,427499,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,427500,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,427501,CTHGD VBT 6F 070 RCB 100,630.5,630.5,94.58,630.5,42
CDM,427502,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,427503,CATH GD VASC 6F 90CM,630.5,630.5,94.58,630.5,42
CDM,427505,CATH GD MPB1 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,427509,CTHGD VBT 7F 078 JL4 100,605.0,605.0,90.75,605.0,42
CDM,427514,CTHGD VBT 7F 078 XB3 100,605.0,605.0,90.75,605.0,42
CDM,427516,CTHGD VBT 7F 078 XB3.5SH,605.0,605.0,90.75,605.0,42
CDM,427517,CTHGD VBT 7X078XB4SH 100,605.0,605.0,90.75,605.0,42
CDM,427520,CTHGD VBT7F078 XBLD3.5SH,605.0,605.0,90.75,605.0,42
CDM,427521,CATH GD 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,427522,CTHGD VBT 7F 078 XBLD4SH,587.5,587.5,88.13,587.5,42
CDM,427529,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,427540,CATH GD JL3.5 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,427550,CTHGD VBT 8F 088 XB3 100,605.0,605.0,90.75,605.0,42
CDM,427551,CTHGD VBT 8X088XB3SH 100,587.5,587.5,88.13,587.5,42
CDM,427552,CATH GD JR3.5 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,427553,CTHGD VBT 8F 088 JR3.5SH,605.0,605.0,90.75,605.0,42
CDM,427556,CATH GD JR4 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,427557,CATH GD JR4 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,427564,CATH GD AR1 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,427565,CTHGD VBT 8X088AR1SH 100,605.0,605.0,90.75,605.0,42
CDM,427566,CTHGD VBT 8F 088 AR2 100,587.5,587.5,88.13,587.5,42
CDM,427567,CTHGD VBT 8X088AR2SH 100,605.0,605.0,90.75,605.0,42
CDM,427568,CATH GD AL1 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,427570,CTHGD VBT 8F 088 AL2 100,605.0,605.0,90.75,605.0,42
CDM,427586,GWIRE VASE 300CM .009IN,1023.5,1023.5,153.53,1023.5,42
CDM,427587,GWIRE VASC 300CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,427648,STENT COR RX 4X15MM,3846.0,3846.0,576.9,3846.0,30
CDM,427649,STENT COR RX 4X18MM,3846.0,3846.0,576.9,3846.0,30
CDM,427658,CATH EXPO 6F IM-T,162.0,162.0,24.3,162.0,42
CDM,427687,CATH BLNDIL .014IN 6MM,1515.5,1515.5,227.32,1515.5,42
CDM,427688,BLN AVTR+ RX 7X2X142,1515.5,1515.5,227.32,1515.5,42
CDM,427689,STENT VASC 6X30MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427691,STENT VASC 6X60MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427692,STENT VASC 6X100MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427693,STENT VASC 7X40MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427694,STENT VASC 7X60MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427695,STENT VASC 7X80MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427696,STENT VASC 7X100MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427697,STENT VASC 8X40MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427698,STENT VASC 8X60MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427700,STENT VASC 8X100MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427734,STENT BIL 7X57MM 80CM,4288.0,4288.0,643.2,4288.0,30
CDM,427740,STENT BIL 8X26MM 135CM,4288.0,4288.0,643.2,4288.0,30
CDM,427745,STENT VASC 6X80MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,427747,GWIRE VASC .035IN 260CM,761.0,761.0,114.15,761.0,42
CDM,427748,GW ATW 014 195 J FLPY,773.0,773.0,115.95,773.0,42
CDM,427777,LEAD PCNG 90CM,5487.0,5487.0,823.05,5487.0,30
CDM,427836,PLUG PCNG PORT IS-1,367.0,367.0,55.05,367.0,30
CDM,427853,PCMKR DR 45.4X52.3X7.5MM,11006.0,11006.0,1650.9,11006.0,30
CDM,427856,TRAY CATH PICC 4FR 55CM,1372.0,1372.0,205.8,1372.0,42
CDM,427857,TRAY CATH PICC 5FR 55CM,1440.0,1440.0,216.0,1440.0,42
CDM,427860,KIT INTRO GW 6FR 50CM,642.5,642.5,96.38,642.5,42
CDM,427865,SHEATH INTRO 6FR 65CM,1023.5,1023.5,153.53,1023.5,42
CDM,427866,SHEATH INTRO 7FR 65CM,1023.5,1023.5,153.53,1023.5,42
CDM,427885,CATH ANGIO 5F WR CRV,160.5,160.5,24.07,160.5,42
CDM,427887,CATH ANGIO CAS1 6F 100CM,160.5,160.5,24.07,160.5,42
CDM,427888,CATH ANGIO CAS2 6F 100CM,160.5,160.5,24.07,160.5,42
CDM,427889,CATH ANGIO 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,427890,CATH ANGIO 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,427902,GUIDEWIRE VASC 180CM,1629.0,1629.0,244.35,1629.0,42
CDM,427904,STENT TRCHBR 7FR 7X22MM,10471.0,10471.0,1570.65,10471.0,30
CDM,427905,STENT TRCHBR 7F 7X38X120,10725.0,10725.0,1608.75,10725.0,30
CDM,427910,LEAD PCNG 100CM BIP TEMP,1833.5,1833.5,275.02,1833.5,42
CDM,427914,LEAD PCNG 53CM,3287.0,3287.0,493.05,3287.0,30
CDM,427915,LEAD PCNG 60CM,3287.0,3287.0,493.05,3287.0,30
CDM,427928,RETRCTR WND MED 5-9CM,773.0,773.0,115.95,773.0,42
CDM,427929,RETRCTR WND LG 9-14CM,860.0,860.0,129.0,860.0,42
CDM,427930,RETRCTR WND XLG 11-17CM,1023.5,1023.5,153.53,1023.5,42
CDM,427931,RETRCTR WND SM 2.5-6CM,773.0,773.0,115.95,773.0,42
CDM,427936,CATH GD AL3.5 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,427938,CTHGD VBT 8X088AL.75 100,605.0,605.0,90.75,605.0,42
CDM,427956,LEAD PCNG 90CM,6358.0,6358.0,953.7,6358.0,30
CDM,427958,LEAD PCNG 90CM,6358.0,6358.0,953.7,6358.0,30
CDM,427966,GWIRE CATH .027IN 130CM,4093.0,4093.0,613.95,4093.0,42
CDM,427967,GW VASC 90D .018IN 180CM,1629.0,1629.0,244.35,1629.0,42
CDM,427968,GUIDEWIRE VASC 180CM,1629.0,1629.0,244.35,1629.0,42
CDM,428018,GWIRE VASC 300CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,428060,PLUG LD UNIPLR PORT PIN,638.0,638.0,95.7,638.0,30
CDM,428145,CATH BLN 7FR 110CM,773.0,773.0,115.95,773.0,42
CDM,428160,CATH ANGIO 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,428161,CATH SLITTER UNV 2,357.5,357.5,53.63,357.5,42
CDM,428166,GWIRE VASC .014IN 180CM,1023.5,1023.5,153.53,1023.5,42
CDM,428170,RECORDER ICM DX,15037.0,15037.0,2255.55,15037.0,30
CDM,428188,GWIRE VASC 190CM .014IN,870.0,870.0,130.5,870.0,42
CDM,428189,LIGATOR ESCPC NYL POLYLP,773.0,773.0,115.95,773.0,42
CDM,428194,GWIRE VASC 300CM .014IN,870.0,870.0,130.5,870.0,42
CDM,428205,PRTCL EMBL 100-300 SPHR,7530.0,7530.0,1129.5,7530.0,30
CDM,428262,CATH ANGIO 100CM 5FR,160.5,160.5,24.07,160.5,42
CDM,428265,INTRO DR 8.5F 22.4MM,4574.0,4574.0,686.1,4574.0,42
CDM,428267,BLN AVTR+ RX 6X4X142,1515.5,1515.5,227.32,1515.5,42
CDM,428268,MARKER BIOPSY W/NDL 14GA,1373.0,1373.0,205.95,1373.0,30
CDM,428269,NEEDLE LOC 20GA 15CM,473.5,473.5,71.03,473.5,42
CDM,428270,MARKER RAD 17GA 20CM,1308.0,1308.0,196.2,1308.0,30
CDM,428281,STENT CTD 7MM 30MM,5191.0,5191.0,778.65,5191.0,30
CDM,428282,STENT CTD 8MM 30MM,5980.0,5980.0,897.0,5980.0,30
CDM,428283,STENT CTD 8MM 40MM,5980.0,5980.0,897.0,5980.0,30
CDM,428284,STENT CTD 9MM 40MM,5980.0,5980.0,897.0,5980.0,30
CDM,428287,STENT CTD 10MM 40MM,5980.0,5980.0,897.0,5980.0,30
CDM,428289,SYSTEM EMB 5MM 180CM,6139.5,6139.5,920.92,6139.5,42
CDM,428290,SYSTEM EMB 6MM 180CM,6139.5,6139.5,920.92,6139.5,42
CDM,428291,SYSTEM EMB 7MM 180CM,6139.5,6139.5,920.92,6139.5,42
CDM,428295,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,428298,STENT VASC 5X12MM 80CM,3721.0,3721.0,558.15,3721.0,30
CDM,428299,STENT VASC 5X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,428301,STENT VASC 6X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,428303,STENT VASC 7X37MM 135CM,3721.0,3721.0,558.15,3721.0,30
CDM,428304,STENT VASC 7X17MM 135CM,3721.0,3721.0,558.15,3721.0,30
CDM,428307,STENT VASC 8X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,428308,STENT VASC 8X17MM 135CM,3721.0,3721.0,558.15,3721.0,30
CDM,428311,STENT VASC 8X37MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,428313,STENT VASC 9X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,428323,STENT TRCHBR 6FR 5X16MM,10031.0,10031.0,1504.65,10031.0,30
CDM,428325,STENT TRCHBR 6FR 6X22MM,10471.0,10471.0,1570.65,10471.0,30
CDM,428327,STENT TRCHBR 7FR 6X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,428351,NEEDLE BX 17GA 6.8CM,222.0,222.0,33.3,222.0,42
CDM,428352,NEEDLE BX 17GA 11.8CM,222.0,222.0,33.3,222.0,42
CDM,428365,FILTER EMBL 3MM 320CM,4865.5,4865.5,729.83,4865.5,42
CDM,428371,FILTER EMBL 5MM 320CM,4500.5,4500.5,675.08,4500.5,42
CDM,428439,STENT URO 8.5FR 24CM,1443.0,1443.0,216.45,1443.0,30
CDM,428440,STENT NPHURET 8.5FR 26CM,1443.0,1443.0,216.45,1443.0,30
CDM,428441,STENT NPHURSTM 28CM,1443.0,1443.0,216.45,1443.0,30
CDM,428449,"Prosthetic shrinker, above knee, each ",376.0,376.0,84.86,131.32,34
CDM,428449,STUMP SHRNK PSTOP TRNFEM,376.0,376.0,69.22,376.0,26
CDM,428450,SOCK MLTPLTRANS FEM STMP,376.0,376.0,69.22,376.0,26
CDM,428451,KIT PACING ACC PIN CAP,319.0,319.0,47.85,319.0,30
CDM,428454,ADAPTER CATH CKFL 9FR,231.5,231.5,34.73,231.5,42
CDM,428475,GWIRE VASC .035IN 260CM,773.0,773.0,115.95,773.0,42
CDM,428476,GWIRE ANG 3X260CM,541.0,541.0,81.15,541.0,42
CDM,428478,PLATE FOOT ATTACHED TO K,1449.0,1449.0,217.35,1449.0,30
CDM,428481,ELECTRODE NDL 50MM,231.5,231.5,34.73,231.5,42
CDM,428484,CATH THRMB .014IN 145CM,3315.0,3315.0,497.25,3315.0,42
CDM,428487,CATH EP 7FR 99CM,7096.0,7096.0,1064.4,7096.0,42
CDM,428491,STYLET LD .014IN 45CM,400.5,400.5,60.08,400.5,42
CDM,428525,SUT PLN 3-0 52T,115.0,115.0,17.25,115.0,42
CDM,428526,SUTURE CTX 0 1-36IN,58.5,58.5,8.78,58.5,42
CDM,428528,SUTURE VIOL MON 1 36IN,40.0,40.0,6.0,40.0,42
CDM,428531,SUTURE CTX SZ0 1X36IN,32.0,32.0,4.8,32.0,42
CDM,428549,MARKER BRST BX TITANIUM,739.0,739.0,110.85,739.0,30
CDM,428551,CURETTE VAC DISP 12MM,58.0,58.0,8.7,58.0,42
CDM,428554,TOOL PACEMAKER FX,309.5,309.5,46.42,309.5,42
CDM,428555,STEM FEM HIP 140X35MM,4606.0,4606.0,690.9,4606.0,30
CDM,428556,STEM HIP CMNT PRSFT 5/15,4606.0,4606.0,690.9,4606.0,30
CDM,428557,STEM HIP CMNT PRSFT 6/16,9412.0,9412.0,1411.8,9412.0,30
CDM,428558,STEM HIP CMNT PRSFT 7/17,4606.0,4606.0,690.9,4606.0,30
CDM,428559,HEAD HIP -3MM 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,428560,HEAD FEM HIP -4MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428561,HEAD HIP +4MM 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,428562,HEAD HIP +8MM 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,428563,HEAD FEM HIP +8MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428564,HEAD HIP +12MM 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,428565,HEAD FEM HIP 12.0MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428566,HEAD FEM +6MM 28MM HIP C,4252.0,4252.0,637.8,4252.0,30
CDM,428568,HEAD HIP 45MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428569,HEAD HIP 49MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428571,HEAD HIP 51MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428573,HEAD HIP 53MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428575,HEAD FEM HIP 28MM 55MM,4252.0,4252.0,637.8,4252.0,30
CDM,428577,HEAD HIP 58MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428579,HEAD BIP 64MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428581,HEAD BIP 72MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,428582,HEAD FEM HIP 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,428583,HEAD FEM HIP 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,428584,HEAD HIP FEM UNIPLR 42MM,4252.0,4252.0,637.8,4252.0,30
CDM,428585,HEAD FEM HIP 43MM,4252.0,4252.0,637.8,4252.0,30
CDM,428586,HEAD HIP FEM UNIPLR 47MM,4252.0,4252.0,637.8,4252.0,30
CDM,428587,HEAD HIP FEM UNIPLR 48MM,4252.0,4252.0,637.8,4252.0,30
CDM,428588,HEAD HIP FEM UNIPLR 49MM,4252.0,4252.0,637.8,4252.0,30
CDM,428589,HEAD HIP FEM UNIPLR 50MM,4252.0,4252.0,637.8,4252.0,30
CDM,428590,HEAD HIP FEM UNIPLR 51MM,4252.0,4252.0,637.8,4252.0,30
CDM,428591,HEAD FEM HIP UNIPLR 52MM,4252.0,4252.0,637.8,4252.0,30
CDM,428592,HEAD HIP FEM UNIPLR 53MM,4252.0,4252.0,637.8,4252.0,30
CDM,428593,HEAD FEM HIP 54MM,4252.0,4252.0,637.8,4252.0,30
CDM,428594,HEAD FEM HIP 55MM,4252.0,4252.0,637.8,4252.0,30
CDM,428595,HEAD HIP FEM UNIPLR 56MM,4252.0,4252.0,637.8,4252.0,30
CDM,428596,HEAD HIP FEM UNIPLR 58MM,4252.0,4252.0,637.8,4252.0,30
CDM,428597,HEAD HIP FEM UNIPLR 61MM,4252.0,4252.0,637.8,4252.0,30
CDM,428598,SLEEVE FEM HIP V40 -4MM,1170.0,1170.0,175.5,1170.0,30
CDM,428599,SLEEVE FEM HIP V40 +8MM,2573.0,2573.0,385.95,2573.0,30
CDM,428600,SLEEVE FEM HIP V40 +12MM,2655.0,2655.0,398.25,2655.0,30
CDM,428601,CMPNT FEM KN LT SZ1,7308.0,7308.0,1096.2,7308.0,30
CDM,428602,CMPNT FEM CMNT LT SZ8,6068.0,6068.0,910.2,6068.0,30
CDM,428603,INSERT TIB KN 1 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,428604,INSERT TIB SZ1 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,428605,INSERT KN TIB #1 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,428606,INSERT KN TIB #1 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,428607,INSRT TIB KN 1 G 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,428608,INSRT TIB KN 1 G 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,428609,INSERT TIB KN 2 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,428610,INSERT KN TIB #2 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,428611,INSERT TIB 2 19MM KN X3,4606.0,4606.0,690.9,4606.0,30
CDM,428612,INSRT TIB KN 2 G 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,428613,INSRT TIB KN 2 G 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,428614,INSERT TIB KN SZ3 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,428615,INSRT TIB KN 3 G 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,428616,INSERT TRTHN TIB G-419,4606.0,4606.0,690.9,4606.0,30
CDM,428617,INSERT TIB KN 4 G 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,428618,INSRT TIB KN 4 G 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,428619,INSERT TRTHN PS TIB,4606.0,4606.0,690.9,4606.0,30
CDM,428620,INSERT TIB KN X3 5 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,428621,INSRT TIB KN 5 G 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,428622,INSRT TIB KN 5 G 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,428623,INSERT TIB KN PS 6 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,428624,INSERT TRTHN TIB G-622,4606.0,4606.0,690.9,4606.0,30
CDM,428625,INSRT TIB KN 6 G 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,428626,INSERT TIB PS SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,428627,INSERT KN TIB #7 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,428628,INSERT TRTHN TIB G-722,4606.0,4606.0,690.9,4606.0,30
CDM,428629,INSRT TIB KN 7 G 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,428630,INSERT TRTHN KN 8 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,428631,INSERT TRTHN SZ8 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,428632,INSERT TIB 8 G 13MM KN X,4606.0,4606.0,690.9,4606.0,30
CDM,428633,INSERT KN TIB #8 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,428634,INSERT KN TIB #8 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,428635,INSRT TIB KN 8 G 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,428636,INSRT TIB KN 8 G 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,428637,BASEPLATE TIB CMNT SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,428646,CMPNT FEM KN LT #2,6068.0,6068.0,910.2,6068.0,30
CDM,428650,CATH ABL CARD 7FR 115CM,9925.5,9925.5,1488.83,9925.5,42
CDM,428651,CATH ABL CARD 7FR 115CM,10856.5,10856.5,1628.47,10856.5,42
CDM,428656,CATH ANGIO 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,428661,CATH EP 5FR 5X120CM,880.5,880.5,132.07,880.5,42
CDM,428663,CATH BLN 2.25MM 12MM,798.5,798.5,119.78,798.5,42
CDM,428689,BAND CMPR REG 24CM,609.0,609.0,91.35,609.0,42
CDM,428691,CATH ANGIO 5FR 100CM,587.5,587.5,88.13,587.5,42
CDM,428692,CATH ANGIO 5FR 100CM,695.5,695.5,104.33,695.5,42
CDM,428693,CATH ANGIO 5FR 100CM,1842.0,1842.0,276.3,1842.0,42
CDM,428694,CATH ANGIO 5FR 100CM,587.5,587.5,88.13,587.5,42
CDM,428697,STYLT LD KT52CM.014INSTR,494.5,494.5,74.17,494.5,42
CDM,428706,SHEATH INTRO GW 11F 11CM,182.0,182.0,27.3,182.0,42
CDM,428838,CATH EP ABL 7FR 115CM,3970.0,3970.0,595.5,3970.0,42
CDM,428840,CATH ABL 7FR 115CM,3970.0,3970.0,595.5,3970.0,42
CDM,428853,CATH BLNDIL 18MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,428858,INTRODUCR SRG SRSGHT 9GA,1202.5,1202.5,180.38,1202.5,42
CDM,428859,HNDPC BRST 14CM 9GA 12MM,1962.0,1962.0,294.3,1962.0,42
CDM,428871,HANDPIECE BX 14CM 9GA,1962.0,1962.0,294.3,1962.0,42
CDM,428882,CATH BLNDIL 22MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,428890,DEVICE BRSTBIO 12GA,231.5,231.5,34.73,231.5,42
CDM,428892,INTRO BIOPSY 9GA,2342.0,2342.0,351.3,2342.0,30
CDM,428896,MARKER BRST BX 20GA 7CM,513.0,513.0,76.95,513.0,30
CDM,428897,HANDPIECE STRTC 12GA ATE,1678.0,1678.0,251.7,1678.0,42
CDM,428905,CATH ATHRCM 1.7MM 150CM,13046.0,13046.0,1956.9,13046.0,42
CDM,428906,CATH ATHRCM 2.0MM 150CM,13046.0,13046.0,1956.9,13046.0,42
CDM,428911,CATH ANGIO 4FR 65CM,773.0,773.0,115.95,773.0,42
CDM,428912,CATH ANGIO 4FR 100CM,773.0,773.0,115.95,773.0,42
CDM,428913,CATH ANGIO 4F.035IN 70CM,374.0,374.0,56.1,374.0,42
CDM,428927,CATH ULTSND 5FR 150CM,4385.5,4385.5,657.83,4385.5,42
CDM,428946,MARKER MRI BRST 9GA 13CM,766.0,766.0,114.9,766.0,30
CDM,428950,SET INTRO 4FR 10CM,773.0,773.0,115.95,773.0,42
CDM,428951,NEEDLE BX 11GA 4IN,248.5,248.5,37.27,248.5,42
CDM,428952,LEAD PCNG 52CM,3093.0,3093.0,463.95,3093.0,30
CDM,428954,FILTER EMBL NAVALIGN DLV,4429.0,4429.0,664.35,4429.0,30
CDM,428956,DILATOR VASC 8FR GW .038,93.0,93.0,13.95,93.0,42
CDM,428957,DILATOR VASC 9FR 20CM,196.5,196.5,29.48,196.5,42
CDM,428958,DILATOR VSSL 10F 038,231.5,231.5,34.73,231.5,42
CDM,428962,MARKER IMPL BRST,766.0,766.0,114.9,766.0,30
CDM,428966,SYSTM LEAD DELVRY TOOLS,6011.5,6011.5,901.73,6011.5,42
CDM,429070,GRID RAD BX 48APERATURES,618.5,618.5,92.78,618.5,42
CDM,429074,STYLET PC LD .016IN 65CM,433.0,433.0,64.95,433.0,42
CDM,429075,ANTENNA PCNG LEAD KIT,680.0,680.0,102.0,680.0,42
CDM,429080,STENT TRCHBR 7FR 8X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,429083,STENT TRCHBR 7FR 8X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,429084,RETRACTOR RING LG,880.5,880.5,132.07,880.5,42
CDM,429117,SYSTEM INTRO 21GA 15CM,664.5,664.5,99.67,664.5,42
CDM,429122,GWIRE VASC .016IN 180CM,2022.0,2022.0,303.3,2022.0,42
CDM,429123,MCTH INFS 3-2.4FR 130CM,2423.0,2423.0,363.45,2423.0,42
CDM,429126,CATH BLN 1.25MM 6MM,798.5,798.5,119.78,798.5,42
CDM,429138,GWIRE VASC .035IN 180CM,1839.5,1839.5,275.93,1839.5,42
CDM,429139,GWIRE VASC .035IN 260CM,2014.5,2014.5,302.18,2014.5,42
CDM,429162,LEAD PCNG 46CM,2793.0,2793.0,418.95,2793.0,30
CDM,429163,LEAD PCNG 52CM,2793.0,2793.0,418.95,2793.0,30
CDM,429164,LEAD PACING 6FR 58CM,2793.0,2793.0,418.95,2793.0,30
CDM,429173,SET RTRVL 6.3F 11F 80CM,2210.0,2210.0,331.5,2210.0,42
CDM,429174,NEEDLE TRNSPTL 18GA 89CM,1269.0,1269.0,190.35,1269.0,42
CDM,429181,SCREW BN LCKNG 4X42MM,1961.0,1961.0,294.15,1961.0,30
CDM,429216,CATH GD .035IN 150CM,1023.5,1023.5,153.53,1023.5,42
CDM,429225,CATH BLNDIL 3.25X15MM,1023.5,1023.5,153.53,1023.5,42
CDM,429227,CATH BLNDIL 3.25X8MM,1023.5,1023.5,153.53,1023.5,42
CDM,429247,CATH BLNDIL 2.50X12MM,1023.5,1023.5,153.53,1023.5,42
CDM,429272,CATH BLNDIL 4.5MM 12MM,1023.5,1023.5,153.53,1023.5,42
CDM,429331,CATH BLNDIL 2MM 15MM,773.0,773.0,115.95,773.0,42
CDM,429340,OCCLUDER CV 14X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,429346,STNT VASC 10X17MM 135CM,3721.0,3721.0,558.15,3721.0,30
CDM,429351,CATH GD 6R 55CM,773.0,773.0,115.95,773.0,42
CDM,429352,CTHGD VBT 6F 070 JR4 55,773.0,773.0,115.95,773.0,42
CDM,429354,CTHGD VBT 7F 078 RDC1 55,773.0,773.0,115.95,773.0,42
CDM,429357,CATH BLN 1.25 10MM,798.5,798.5,119.78,798.5,42
CDM,429364,KIT PHOTOPHORESIS DISP,13926.0,13926.0,2088.9,13926.0,42
CDM,429366,COIL EMBL 5MM 15CM,3189.0,3189.0,478.35,3189.0,30
CDM,429379,CATH GD .014IN 150CM,1023.5,1023.5,153.53,1023.5,42
CDM,429385,STENT VASC 10X40MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,429502,BLN OCL HGLD 2.8X7X150,6794.5,6794.5,1019.17,6794.5,42
CDM,429504,GWIRE VASC .014IN 200CM,2709.5,2709.5,406.43,2709.5,42
CDM,429508,GWIRE VASC .01IN 200CM,2091.5,2091.5,313.73,2091.5,42
CDM,429509,GWIRE VASC OD.008MRG N,3407.5,3407.5,511.13,3407.5,42
CDM,429510,CATH INFS .017IN 150CM,4093.0,4093.0,613.95,4093.0,42
CDM,429511,CATH VASC 10MCR 150CM,4093.0,4093.0,613.95,4093.0,42
CDM,429512,CATHETER BLNOCC 3MM 10MM,7004.0,7004.0,1050.6,7004.0,42
CDM,429513,CATH BLNOCC 4X7MM 150CM,6501.5,6501.5,975.23,6501.5,42
CDM,429515,CATH INFS 1.3FR 165X25,4385.5,4385.5,657.83,4385.5,42
CDM,429529,COIL EMBL 6CM 3MM,5271.0,5271.0,790.65,5271.0,30
CDM,429533,COIL EMB 5X15 3D AXM,5293.0,5293.0,793.95,5293.0,30
CDM,429534,COIL EMBL 15CM 6MM,5271.0,5271.0,790.65,5271.0,30
CDM,429543,COIL EMBL SM L1CM OD2 AX,4429.0,4429.0,664.35,4429.0,30
CDM,429544,COIL EMBL 2C 2MM,4429.0,4429.0,664.35,4429.0,30
CDM,429575,INTRO SHTH 8.5FR 180CM,1424.5,1424.5,213.68,1424.5,42
CDM,429615,CATH BLNDIL 3.25MM 12MM,1023.5,1023.5,153.53,1023.5,42
CDM,429618,CATH BLNDIL 3.5MM 6MM,1023.5,1023.5,153.53,1023.5,42
CDM,429645,LEAD PCNG 45CM,4071.0,4071.0,610.65,4071.0,30
CDM,429646,LEAD PCNG 52CM,4071.0,4071.0,610.65,4071.0,30
CDM,429652,INTRO CATH 14FR 30CM,773.0,773.0,115.95,773.0,42
CDM,429653,CATH GD ERADRS 6FR 100CM,773.0,773.0,115.95,773.0,42
CDM,429655,CATH GD ERADST 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,429662,CATH BLNDIL 7MM 40MM,1146.0,1146.0,171.9,1146.0,42
CDM,429667,COIL EMBL 3MM 6CM,3189.0,3189.0,478.35,3189.0,30
CDM,429696,GWIRE VASC .035IN 145CM,773.0,773.0,115.95,773.0,42
CDM,429717,GWIRE VASC .035IN 260CM,231.5,231.5,34.73,231.5,42
CDM,429719,TUBE TRCH 95MM 6MM,773.0,773.0,115.95,773.0,42
CDM,429723,CATH ULTSND 6FR 120CM,13046.0,13046.0,1956.9,13046.0,42
CDM,429726,TOOL PCMKR 2 WRNCH BIDIR,448.5,448.5,67.28,448.5,42
CDM,429729,SHEATH INTRO 11FR 45MM,355.5,355.5,53.33,355.5,42
CDM,429742,ICD DEFIB CARD 51X64MM,43244.0,43244.0,6486.6,43244.0,30
CDM,429743,KIT THRMB 6FR 120CM,21410.5,21410.5,3211.57,21410.5,42
CDM,429747,PCMKR DR 50.3X47.9X7.5MM,8902.0,8902.0,1335.3,8902.0,30
CDM,429749,DEVICE INFLATION 20ML,495.0,495.0,74.25,495.0,42
CDM,429761,CATH ANGIO FR3 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,429763,SET DRN 20FR 41CM,992.5,992.5,148.88,992.5,42
CDM,429764,CATH DRN 24FR 41CM,992.5,992.5,148.88,992.5,42
CDM,429765,CATH BALLOON 70CM 12F,14836.5,14836.5,2225.47,14836.5,42
CDM,429766,SET CATH BALLN PTMC 28MM,14836.5,14836.5,2225.47,14836.5,42
CDM,429767,CATH BALLOON 12FR 70CM,12790.0,12790.0,1918.5,12790.0,42
CDM,429775,CATH BLNDIL 6MM 20MM,1072.0,1072.0,160.8,1072.0,42
CDM,429778,CATH BLNDIL 5MM 20MM,1072.0,1072.0,160.8,1072.0,42
CDM,429781,CATH BLNDIL 4MM 40MM,1072.0,1072.0,160.8,1072.0,42
CDM,429783,CATH BLNDIL 4MM 20MM,1072.0,1072.0,160.8,1072.0,42
CDM,429788,CATH BLNDIL 7MM 40MM,1072.0,1072.0,160.8,1072.0,42
CDM,429789,CATH MUST 8MM 40MM 75CM,1072.0,1072.0,160.8,1072.0,42
CDM,429790,CATH BLNDIL 8MM 20MM,1072.0,1072.0,160.8,1072.0,42
CDM,429792,CATH BLNDIL 7MM 20MM,1072.0,1072.0,160.8,1072.0,42
CDM,429793,CATH BLNDIL 9X40MM 75CM,1072.0,1072.0,160.8,1072.0,42
CDM,429794,CATH BLNDIL 10MM 20MM,1072.0,1072.0,160.8,1072.0,42
CDM,429796,CATH BLNDIL 9MM 20MM,1072.0,1072.0,160.8,1072.0,42
CDM,429798,CATH BLNDIL 10X40MM 75CM,1072.0,1072.0,160.8,1072.0,42
CDM,429800,CATH BLNDIL 12MM 40MM,1072.0,1072.0,160.8,1072.0,42
CDM,429804,SHEATH INTRO 7FR 23CM,355.5,355.5,53.33,355.5,42
CDM,429805,INTRODUCER SHTH 6FR 23CM,355.5,355.5,53.33,355.5,42
CDM,429814,CATH BLN OTW4.0X40MM 150,1473.5,1473.5,221.03,1473.5,42
CDM,429847,CTHGD 7F 100CM M1 JL4.5,572.0,572.0,85.8,572.0,42
CDM,429870,CATHETER GD 6FR 150CM,3069.5,3069.5,460.43,3069.5,42
CDM,429871,CATH GD 7FR 25CM,3069.5,3069.5,460.43,3069.5,42
CDM,429872,CATH GDLINER 6F 2.24X135,3069.5,3069.5,460.43,3069.5,42
CDM,429876,CATH BLNDIL 1.2X8MM,1023.5,1023.5,153.53,1023.5,42
CDM,429959,CATH GD SAL.75 7FR 100CM,773.0,773.0,115.95,773.0,42
CDM,429960,SHEATH STRT 6F 4CM 80CM,3724.5,3724.5,558.67,3724.5,42
CDM,429964,CATH NRON DLV STR 12X105,4093.0,4093.0,613.95,4093.0,42
CDM,429970,CATH VASC 6F 132CM,7111.5,7111.5,1066.72,7111.5,42
CDM,429975,CATH GD 90D 150CM,4093.0,4093.0,613.95,4093.0,42
CDM,429976,CATH INFS .014IN 150CM,4125.0,4125.0,618.75,4125.0,42
CDM,429984,SYSTM EMBL 18 6% 1.5ML,12973.5,12973.5,1946.03,12973.5,42
CDM,429985,SYSTM EMBL 34 8% 1.5ML,12973.5,12973.5,1946.03,12973.5,42
CDM,430131,GUIDE SURG 1.5MM,309.5,309.5,46.42,309.5,42
CDM,430145,BURR SURG 3X3.8MM,1023.5,1023.5,153.53,1023.5,42
CDM,430146,BURR DIAMOND 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,430174,SCREW SPN SLFDRL3.5X19MM,1130.0,1130.0,169.5,1130.0,30
CDM,430182,ROD SPNL 45MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,430192,GLENOSPHERE SHLDR CUSTM,5736.0,5736.0,860.4,5736.0,30
CDM,430193,SYSTEM CHARGING IPG 16,74324.0,74324.0,11148.6,74324.0,30
CDM,430194,SCREW SPN SHFT 4.0X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,430195,ROD SPNL CONN 5.5/6.0MM,3012.0,3012.0,451.8,3012.0,30
CDM,430196,CATH IVL 150CMX1.5MM,24045.5,24045.5,3606.82,24045.5,42
CDM,430197,SUTURE WHT BRD 2-0 30IN,103.0,103.0,15.45,103.0,42
CDM,430198,ICD DF1 CARD SNLG CMBR,44714.0,44714.0,6707.1,44714.0,30
CDM,430199,ICD DF1 CARD DBL CMBR,44714.0,44714.0,6707.1,44714.0,30
CDM,430200,CRT- DEBIFB CARD DF4,62879.0,62879.0,9431.85,62879.0,30
CDM,430201,ICD DF1 CARD RESYNC,62879.0,62879.0,9431.85,62879.0,30
CDM,430202,SLEEVE CONN 1S4/DF4,1555.0,1555.0,233.25,1555.0,30
CDM,430203,SCREW BN 1.85X265X8MM,1201.0,1201.0,180.15,1201.0,30
CDM,430204,TRAY CATH DRN 8FR,424.5,424.5,63.67,424.5,42
CDM,430205,DEVICE CLSR CLP INT 40MM,8194.0,8194.0,1229.1,8194.0,30
CDM,430206,GRAFT BN CRTLG FRZ 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,430207,PSEUDOPHAKIA SOTIP,22145.0,22145.0,3321.75,22145.0,30
CDM,430208,ELECTRODE ESURG 5MM,21.5,21.5,3.23,21.5,42
CDM,430212,TISSUE EXPNDR SMTH 600CC,6622.0,6622.0,993.3,6622.0,30
CDM,430213,GRAFT VASC STR 8MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430214,GRAFT VASC STR 24MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430215,GRAFT VASC STR 6MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430216,GRAFT VASC STR 10MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430217,GRAFT VASC STR 26MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430218,GRAFT VASC STR 30MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430219,GRAFT VASC STR 28MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430220,GRAFT CV 8/26MM 15/40CM,5460.0,5460.0,819.0,5460.0,30
CDM,430221,GRAFT CV 8/28MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
CDM,430222,GRAFT CV 8/30MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
CDM,430223,GRAFT CV 8/32MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
CDM,430224,GRAFT CV 8/34MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
CDM,430226,GRAFT VASC STR 38MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430227,GRAFT VASC STR 32MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430228,GRAFT VASC STR 34MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430229,GRAFT VASC STR 36MM 30CM,3846.0,3846.0,576.9,3846.0,30
CDM,430230,GRAFT CV VLSLV 24MM 15CM,10574.0,10574.0,1586.1,10574.0,30
CDM,430231,GRAFT CV VLSLV 26MM 15CM,10574.0,10574.0,1586.1,10574.0,30
CDM,430232,GRAFT CV VLSLV 28MM 15CM,10574.0,10574.0,1586.1,10574.0,30
CDM,430233,GRAFT CV VLSLV 30MM 15CM,10574.0,10574.0,1586.1,10574.0,30
CDM,430234,GRAFT CV VLSLV 32MM 15CM,10574.0,10574.0,1586.1,10574.0,30
CDM,430235,GRAFT CV VLSLV 34MM 15CM,10574.0,10574.0,1586.1,10574.0,30
CDM,430236,GRAFT CV 8/24MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
CDM,430237,GRAFT CV TRFUR 14MM 20CM,7194.0,7194.0,1079.1,7194.0,30
CDM,430238,GRAFT VASC STR 38MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,430239,GRAFT VASC STR 36MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,430242,CMPNT HD SHLDR 56X22MM,6090.0,6090.0,913.5,6090.0,30
CDM,430243,PLATE BN RT 2HL 85MM,4429.0,4429.0,664.35,4429.0,30
CDM,430244,PLATE BN 2H 2.7/3.5X82MM,4429.0,4429.0,664.35,4429.0,30
CDM,430245,TRAY TIB KN LM/RL SZ1,5581.0,5581.0,837.15,5581.0,30
CDM,430246,BEARING TIB E SZ1 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,430247,SLEEVE ADPT HIP TPR +8MM,1170.0,1170.0,175.5,1170.0,30
CDM,430248,LINER ACTB HIP SZH 40MM,5315.0,5315.0,797.25,5315.0,30
CDM,430249,STEM FEM HIP 13MM 130MM,6644.0,6644.0,996.6,6644.0,30
CDM,430250,STEM KN KN 160MM 20/15MM,6755.0,6755.0,1013.25,6755.0,30
CDM,430251,STEM TIB KN 6MM,5364.0,5364.0,804.6,5364.0,30
CDM,430252,JOINT FNGR 40 DIST MCP P,6573.0,6573.0,985.95,6573.0,30
CDM,430253,MCP FINGER PROX SZ40,9713.0,9713.0,1456.95,9713.0,30
CDM,430254,CMPNT AUG KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,430255,INSERT TIB KN 14MM,335.0,335.0,50.25,335.0,30
CDM,430256,WEDGE FEM KN #4/8MM,4606.0,4606.0,690.9,4606.0,30
CDM,430257,CAGE SPNL 14X16X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,430258,SCREW BN 3.5MM 26MM,2169.0,2169.0,325.35,2169.0,30
CDM,430259,SCREW BN 2.7MM 22MM,1834.0,1834.0,275.1,1834.0,30
CDM,430260,CAGE SPN 16MM 14MM 6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,430261,SCREW SPN 3.8MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,430262,ROD SPN STR 3.5MM 160MM,2711.0,2711.0,406.65,2711.0,30
CDM,430265,SYS IMPL ANCH W/BC SWVLK,12905.0,12905.0,1935.75,12905.0,30
CDM,430289,SCREW BN 3.5MM 24MM,2471.0,2471.0,370.65,2471.0,30
CDM,430290,SCREW BN 3.5MM 30MM,2471.0,2471.0,370.65,2471.0,30
CDM,430295,SCREW BN 3.5MM 12MM,2471.0,2471.0,370.65,2471.0,30
CDM,430324,PACK CSTM VIT DISP,841.5,841.5,126.22,841.5,42
CDM,430326,GUIDE DIST 2.0MM,386.5,386.5,57.98,386.5,42
CDM,430356,TUBE GSTRM 28FR,417.5,417.5,62.63,417.5,42
CDM,430357,CATH IMAGING INTVASC,4385.5,4385.5,657.83,4385.5,42
CDM,430391,BLADE TRPHN OPTH 15.8MM,934.0,934.0,140.1,934.0,42
CDM,430394,GWIRE SURG VOICE PROTH,278.5,278.5,41.77,278.5,42
CDM,430406,STENT EPRSTH 24F 34MM,123040.0,123040.0,18456.0,123040.0,30
CDM,430407,IMPLANT BREAST 240CC,4429.0,4429.0,664.35,4429.0,30
CDM,430408,COMP FEM KN R #3,25772.0,25772.0,3865.8,25772.0,30
CDM,430409,STEM XTN KN 65MM 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,430410,TRAY TIB KN SIZE 3 RT,13781.0,13781.0,2067.15,13781.0,30
CDM,430411,CONNECTOR NRV 7X15MM,9718.0,9718.0,1457.7,9718.0,30
CDM,430412,COMPONENT PROXIMAL TIB,36925.0,36925.0,5538.75,36925.0,30
CDM,430413,COMPNT LT KN SZ6,25342.0,25342.0,3801.3,25342.0,30
CDM,430414,WEDGE FEM KN LT SZ7-8,13389.0,13389.0,2008.35,13389.0,30
CDM,430415,PLATE BN MNDB MDFC THN,36393.0,36393.0,5458.95,36393.0,30
CDM,430416,ROD SPN 4.75X170MM,3012.0,3012.0,451.8,3012.0,30
CDM,430417,CAGE SPN 15D 14X30X39MM,17606.0,17606.0,2640.9,17606.0,30
CDM,430419,TRAY HUM SHLDR STD +10,5537.0,5537.0,830.55,5537.0,30
CDM,430425,GWIRE VASC 300CM .014IN,773.0,773.0,115.95,773.0,42
CDM,430485,BIT DRL 2.3MM 12MM,386.5,386.5,57.98,386.5,42
CDM,430490,DISSECTOR LAP 5MM 45CM,196.5,196.5,29.48,196.5,42
CDM,430491,LENS IOL +21.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,430492,LENS IOL +24.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,430527,CATH THRMBS 137CM,12713.5,12713.5,1907.03,12713.5,42
CDM,430531,MARKER SEED 18GA 7CM,3721.0,3721.0,558.15,3721.0,30
CDM,430538,PROSTH PENL 21CM,55214.0,55214.0,8282.1,55214.0,30
CDM,430540,PLATE BN THK SZMED 2.5MM,9841.0,9841.0,1476.15,9841.0,30
CDM,430542,CAGE SPN 0D 14X8X12MM,8416.0,8416.0,1262.4,8416.0,30
CDM,430551,CAGE SPN 12X14 17-25 5D,23917.0,23917.0,3587.55,23917.0,30
CDM,430602,LINER HIP 28MM 38MM,4606.0,4606.0,690.9,4606.0,30
CDM,430605,NAIL BN RT 10MM 420MM,6312.0,6312.0,946.8,6312.0,30
CDM,430606,AUGMENT FEM RT SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,430607,AUG REV KN RM/LL SZ7 5MM,4756.0,4756.0,713.4,4756.0,30
CDM,430608,AUG REV KN LM/RL SZ7 5MM,4756.0,4756.0,713.4,4756.0,30
CDM,430609,AUGMENT FEM POST SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,430610,INSERT REV KN SZ7 13MM,11162.0,11162.0,1674.3,11162.0,30
CDM,430612,ROD SPN STR 2.9MM 150MM,3012.0,3012.0,451.8,3012.0,30
CDM,430614,CAGE SPN 0D 14X6X12MM,8416.0,8416.0,1262.4,8416.0,30
CDM,430615,CONE FEM XS/S 30X37MM,21180.0,21180.0,3177.0,21180.0,30
CDM,430617,STEM FEM KN 14X150MM,17955.0,17955.0,2693.25,17955.0,30
CDM,430618,CAGE SPN 15D 35X27X17MM,17606.0,17606.0,2640.9,17606.0,30
CDM,430619,GRAFT CV 28MM 50CM,10555.0,10555.0,1583.25,10555.0,30
CDM,430620,GRAFT CV 28MM 60CM,13393.0,13393.0,2008.95,13393.0,30
CDM,430621,GRAFT CV 30MM 60CM,13393.0,13393.0,2008.95,13393.0,30
CDM,430625,CANNULA 17GU 11.5CM,239.5,239.5,35.92,239.5,42
CDM,430626,SCREW SPN 6.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,430627,ROD SPN 5.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,430628,INSERT TIB KN SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,430629,PLATE BN STRNL 10HL,3721.0,3721.0,558.15,3721.0,30
CDM,430631,ROD SPN 3.5-5.5MM 600MM,3012.0,3012.0,451.8,3012.0,30
CDM,430638,WEDGE TIB KN LT/MD 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,430657,SCREW BN 3.5MM 26MM,1882.0,1882.0,282.3,1882.0,30
CDM,430672,PLATE Y BN LCK 10H 192MM,4429.0,4429.0,664.35,4429.0,30
CDM,43070,GRAFT VASC 35CM 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,430710,SCREW BN LCK 5MM 95MM,1913.0,1913.0,286.95,1913.0,30
CDM,430783,EXPANDER BRST TISS 850CC,6622.0,6622.0,993.3,6622.0,30
CDM,430807,SCREW BN 3.5MM 16MM,463.0,463.0,69.45,463.0,30
CDM,430816,CMPNT TIB ANKL LT SZ2,9053.0,9053.0,1357.95,9053.0,30
CDM,430824,BURR SURG 3MM 3.8MM,1023.5,1023.5,153.53,1023.5,42
CDM,430868,EPG 2 PORT HEADER,4093.0,4093.0,613.95,4093.0,42
CDM,430869,STENT URET 8MM 26MM,1508.0,1508.0,226.2,1508.0,30
CDM,430902,PLATE BN 4H 2.7/3.5MM,4778.0,4778.0,716.7,4778.0,30
CDM,430908,DISC SPN INTVRTB LG 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,430912,CMPNT CUP HIP ACTB RECON,55363.0,55363.0,8304.45,55363.0,30
CDM,430913,CTHDX ST+ 6F AR1 100,192.0,192.0,28.8,192.0,42
CDM,430914,SCREW BN 5X90MM,1993.0,1993.0,298.95,1993.0,30
CDM,430915,SCREW BN 5.5X50MM,3189.0,3189.0,478.35,3189.0,30
CDM,430916,SCREW BN CANC 6.5X15MM,877.0,877.0,131.55,877.0,30
CDM,430917,SCREW BN CANC 6.5X20MM,877.0,877.0,131.55,877.0,30
CDM,430919,STEM FEM HIP DIST 14MM,8092.0,8092.0,1213.8,8092.0,30
CDM,430921,FEM HIP REV CTD 20X40MM,21315.0,21315.0,3197.25,21315.0,30
CDM,430923,SCREW BN CANC 6.5X40MM,877.0,877.0,131.55,877.0,30
CDM,430924,SCREW BN CANC 6.5X30MM,877.0,877.0,131.55,877.0,30
CDM,430926,SCREW BN CANC 6.5X35MM,877.0,877.0,131.55,877.0,30
CDM,430927,SCREW BN LOCKING,877.0,877.0,131.55,877.0,30
CDM,430930,CAGE SPN 18D 8X36X22MM,121798.0,121798.0,18269.7,121798.0,30
CDM,430931,NEEDLE BIOPSY 18GAX16CM,649.5,649.5,97.42,649.5,42
CDM,430932,CATH BRCHY 5FR,14325.0,14325.0,2148.75,14325.0,42
CDM,430933,LINER ACTB HIP 36MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,430934,STEM FEM HIP SZ2,7995.0,7995.0,1199.25,7995.0,30
CDM,430936,LENS IOL +25.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,430941,IMPLANT BREAST 350CC,3721.0,3721.0,558.15,3721.0,30
CDM,430955,SCREW SPN P-AX 3.5X16MM,3389.0,3389.0,508.35,3389.0,30
CDM,430956,SCREW SPN P-AX 3.5X18MM,3389.0,3389.0,508.35,3389.0,30
CDM,430957,ROD SPN STR 2.9X240MM,3012.0,3012.0,451.8,3012.0,30
CDM,430958,SCREW SPN P-AX 3.5X20MM,3389.0,3389.0,508.35,3389.0,30
CDM,430959,SCREW SPN P-AX 3.5X34MM,3389.0,3389.0,508.35,3389.0,30
CDM,430961,SCREW SPN P-AX 5.5X36MM,3389.0,3389.0,508.35,3389.0,30
CDM,430962,SCREW SPN P-AX 5.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,430963,SCREW SET SPN,753.0,753.0,112.95,753.0,30
CDM,430964,SHEATH URET 11/13FR 36CM,4267.5,4267.5,640.13,4267.5,42
CDM,430965,SHEATH URET 11/13FR 46CM,2660.5,2660.5,399.07,2660.5,42
CDM,430966,SHEATH URET 11/13FR 40CM,2660.5,2660.5,399.07,2660.5,42
CDM,430972,LENS IOL +9.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,430973,LENS IOL +7.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,430974,COMPNT FEM KN 65MM,32332.0,32332.0,4849.8,32332.0,30
CDM,430975,SCREW BN ST T25 5X30MM,3098.0,3098.0,464.7,3098.0,30
CDM,430976,NAIL BN 10MM 24CM,4872.0,4872.0,730.8,4872.0,30
CDM,430977,INSERT KN TIB 7L 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,430978,LINER PE HIP CNSTRN 28FR,4872.0,4872.0,730.8,4872.0,30
CDM,430979,CAGE SPN 10D 23X10X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,430980,SCREW SPN 6MM 30MM,753.0,753.0,112.95,753.0,30
CDM,430981,SCREW SPN 7.5X60MM,3389.0,3389.0,508.35,3389.0,30
CDM,430982,SCREW SPN 8.5X100MM,3389.0,3389.0,508.35,3389.0,30
CDM,430983,SCREW SPN 7.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,430984,SCREW BN CANC 6.5X25MM,877.0,877.0,131.55,877.0,30
CDM,430985,SCREW BN LCK 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,430986,SNARE RND 2.8MM 240MM,231.5,231.5,34.73,231.5,42
CDM,430996,CAGE SPN 12X14 17-25 0D,23917.0,23917.0,3587.55,23917.0,30
CDM,431013,DILATOR VASC 8FR 15CM,231.5,231.5,34.73,231.5,42
CDM,431016,SCREW SPN 7.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,431018,GRAFT BN MATRIX LG 10CC,10630.0,10630.0,1594.5,10630.0,30
CDM,431019,SCREW SPN 6.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,431020,ROD SPN LORD 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,431021,SCREW SPN TULIP,3012.0,3012.0,451.8,3012.0,30
CDM,431022,CAGE SPN 20D 10X11X31MM,15059.0,15059.0,2258.85,15059.0,30
CDM,431027,INSERT KN PS XE 1PC,17274.0,17274.0,2591.1,17274.0,30
CDM,431046,SCREW SPN 8.5X60MM,3012.0,3012.0,451.8,3012.0,30
CDM,431047,STEM FEM HIP SZ7,7995.0,7995.0,1199.25,7995.0,30
CDM,431048,GLENOSPHERE SHLDR 42MM,20595.0,20595.0,3089.25,20595.0,30
CDM,431049,SCREW BN 1.7MM 8MM,1019.0,1019.0,152.85,1019.0,30
CDM,431051,GWIRE URO .035IN 150CM,552.5,552.5,82.88,552.5,42
CDM,431052,STEM FEM KN 10MM 190MM,17893.0,17893.0,2683.95,17893.0,30
CDM,431055,CATH ANGIO 1.7MM 100CM,2218.5,2218.5,332.77,2218.5,42
CDM,431071,CAGE SPN TLIF 28X9X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,431076,CAGE SPN 8X11X26IN 20D,15059.0,15059.0,2258.85,15059.0,30
CDM,431077,CAGE SPN 20D 9X11X26MM,15059.0,15059.0,2258.85,15059.0,30
CDM,431078,SCREW SPN 6.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,431079,SCREW SPN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,431081,ROD SPN 5.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,431084,SCREW SPN 6.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,431087,INSERT KN MNSCL SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,431089,CAGE SPN 7D 15X12X7MM,8416.0,8416.0,1262.4,8416.0,30
CDM,431090,CAGE SPN XL 20D 18MM,19200.0,19200.0,2880.0,19200.0,30
CDM,431091,INTBDY SPN 6D 14X16X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,431092,INTBDY SPN 6D 14X12X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,431093,PLATE SPN PIN,377.0,377.0,56.55,377.0,30
CDM,431094,SCREW SPN FX 4MM 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,431095,BASEPLATE TIB KN LF SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,431096,CMPNT HNG KN LT LG 25MM,44277.0,44277.0,6641.55,44277.0,30
CDM,431121,PLATE BN FEM RT 9X245MM,5758.0,5758.0,863.7,5758.0,30
CDM,431122,SCREW SPN 4.0X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,431123,ROD SPN STR 3.5MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,431124,TUBE SIL YPRT 18FR,262.0,262.0,39.3,262.0,42
CDM,431130,INRO SHTH ACCESS 180J,5090.5,5090.5,763.58,5090.5,42
CDM,431131,INRO SHTH ACCESS 180P,5090.5,5090.5,763.58,5090.5,42
CDM,431140,KIT BN GRFT DEL 11GA 5CC,17468.5,17468.5,2620.28,17468.5,42
CDM,431147,LENS IOL +16.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,431150,STAPLER STD 45MM,2847.0,2847.0,427.05,2847.0,42
CDM,431155,CANNULA PRFSN 16FR 24CM,1926.0,1926.0,288.9,1926.0,42
CDM,431156,CANNULA PRFSN 18FR 24CM,1926.0,1926.0,288.9,1926.0,42
CDM,431163,CLIP STIMULATING TEMG,1228.0,1228.0,184.2,1228.0,42
CDM,431170,PROBE STIM BALL TIP,1228.0,1228.0,184.2,1228.0,42
CDM,431177,KIT DILATOR INS OP,1228.0,1228.0,184.2,1228.0,42
CDM,431181,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,431182,STEM SHLDR SZ8S 130MM,28789.0,28789.0,4318.35,28789.0,30
CDM,431185,NAIL BN CANN 11MM 320MM,6312.0,6312.0,946.8,6312.0,30
CDM,431186,STEM FEM HIP 125D 19MM,8937.0,8937.0,1340.55,8937.0,30
CDM,431187,HEAD HUM SHLDR 54MM 27MM,7791.0,7791.0,1168.65,7791.0,30
CDM,431188,STEM FEM HIP COLR SZ3,7995.0,7995.0,1199.25,7995.0,30
CDM,431189,STEM FEM HIP 18X126.4MM,8937.0,8937.0,1340.55,8937.0,30
CDM,431190,SCREW SPN CERV 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,431191,NAIL BN LT 8.5MM 285MM,5346.0,5346.0,801.9,5346.0,30
CDM,431193,MODEL SURG GUIDE MNDB,69495.5,69495.5,10424.33,69495.5,42
CDM,431194,PLATE SPN 4HL 17.3X1.8MM,4429.0,4429.0,664.35,4429.0,30
CDM,431195,PLATE SPN 4HL 17.3X1.8MM,4429.0,4429.0,664.35,4429.0,30
CDM,431196,PLATE SPN 4HL 17.3X1.8MM,4429.0,4429.0,664.35,4429.0,30
CDM,431202,CATH BLNDIL BRNCH 5X24MM,3850.5,3850.5,577.58,3850.5,42
CDM,431203,SYSTEM BLNDIL 85X24MM,4093.0,4093.0,613.95,4093.0,42
CDM,431204,TUBE VNT 1X1.02X2.5MM,189.0,189.0,28.35,189.0,30
CDM,431209,SCREW BN 5.5MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,431210,KIT SPCLTY DRS 10X30CM,2334.0,2334.0,350.1,2334.0,42
CDM,431213,CMPNT FEM HIP COLR SZ6,7995.0,7995.0,1199.25,7995.0,30
CDM,431219,SCREW SPN 7.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,431220,ROD SPN 5.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,431266,HEAD CERAMIC MD 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,431267,CAGE SPN 6D 12X14X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,431268,PLATE SPN 14MM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,431269,STEM HUM W/SCR 11X150,20427.0,20427.0,3064.05,20427.0,30
CDM,431270,CMPNT SHD PRXBDY LG 42,25760.0,25760.0,3864.0,25760.0,30
CDM,431271,INSERT SHD +0 1/2 36MM,7441.0,7441.0,1116.15,7441.0,30
CDM,431272,KIT DRSSNG NEG PRSS 35CM,2085.0,2085.0,312.75,2085.0,42
CDM,431274,CATH SIM 6FR 90CM 125CM,4579.0,4579.0,686.85,4579.0,42
CDM,431288,TRAY IMPLT TIB KN SZ 3L,6201.0,6201.0,930.15,6201.0,30
CDM,431289,CMPNT FEM KN SZ 3+L,7530.0,7530.0,1129.5,7530.0,30
CDM,431290,LENS IOL +35.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,431291,SCREW BN 5.5X55MM,3189.0,3189.0,478.35,3189.0,30
CDM,431292,STEM HIP SIZE 3,8858.0,8858.0,1328.7,8858.0,30
CDM,431295,TIRE SCLRL TYP 287,356.0,356.0,53.4,356.0,30
CDM,431296,SPONGE SIL TYPE511 100MM,968.0,968.0,145.2,968.0,30
CDM,431301,SCREW SPN PLVC 10.5X100,12955.0,12955.0,1943.25,12955.0,30
CDM,431303,PUNCH AORTIC 7.75X4,773.0,773.0,115.95,773.0,42
CDM,431304,FORCEPS ESURG 8.5IN 1MM,3580.0,3580.0,537.0,3580.0,42
CDM,431305,TROCAR LAPSCP 12MM 150MM,333.0,333.0,49.95,333.0,42
CDM,431306,GI TUBE LO 14F 3.0X45CM,3274.0,3274.0,491.1,3274.0,42
CDM,431307,CATH URET 5FR 70CM,364.5,364.5,54.67,364.5,42
CDM,431308,PLATE BN CLVCL RT 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,431309,SCREW SPN 2.4MM 7MM,753.0,753.0,112.95,753.0,30
CDM,431311,GRAFT HMDIAL 6MM 53CM,4429.0,4429.0,664.35,4429.0,30
CDM,431312,BLADE SAW 4.0X13.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,431313,RESERVOIR CSF7.2MM 3.4CM,3721.0,3721.0,558.15,3721.0,30
CDM,431315,KT XTRN DRN 46CM 1.65MM,1023.5,1023.5,153.53,1023.5,42
CDM,431316,BLADE SAW 6MM 15MM,773.0,773.0,115.95,773.0,42
CDM,431317,BLADE SAW 14MM 27MM,773.0,773.0,115.95,773.0,42
CDM,431318,CONNECTOR SHUNT RT ANG,1072.0,1072.0,160.8,1072.0,30
CDM,431319,SUTURE VIOL MON +0 27IN,46.0,46.0,6.9,46.0,42
CDM,431320,DRAIN INC SIL 5/8IN 15IN,336.0,336.0,50.4,336.0,42
CDM,431321,BURR SURG 4MM 8MM,51.0,51.0,7.65,51.0,42
CDM,431323,TRAY TRPL PWRINJ,1023.5,1023.5,153.53,1023.5,42
CDM,431346,PLATE SPN 1 LVL 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,431351,CONN ROD SPN 4.5-4.75MM,3012.0,3012.0,451.8,3012.0,30
CDM,431354,SCREW BN 2.5MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,431356,CATH ART LN 7FR 110CM,773.0,773.0,115.95,773.0,42
CDM,431383,STENT VASC 5X80MM 125CM,6902.0,6902.0,1035.3,6902.0,30
CDM,431384,STENT VASC 5X60MM 125CM,5749.0,5749.0,862.35,5749.0,30
CDM,431385,STENT VASC 5X140MM 125CM,9209.0,9209.0,1381.35,9209.0,30
CDM,431386,STENT VASC 6X40MM 125CM,4518.0,4518.0,677.7,4518.0,30
CDM,431387,STENT VASC 6X80MM 125CM,6902.0,6902.0,1035.3,6902.0,30
CDM,431388,STENT VASC 6X100MM 123CM,6902.0,6902.0,1035.3,6902.0,30
CDM,431389,STENT VASC 6X140MM 125CM,9209.0,9209.0,1381.35,9209.0,30
CDM,431390,STENT VASC 7X40MM 125CM,4518.0,4518.0,677.7,4518.0,30
CDM,431391,STENT VASC 7X60MM 125CM,5749.0,5749.0,862.35,5749.0,30
CDM,431392,STENT VASC 7X100MM 125CM,6902.0,6902.0,1035.3,6902.0,30
CDM,431393,STENT VASC 7X80MM 125CM,6902.0,6902.0,1035.3,6902.0,30
CDM,431394,CMPNT GLND SHLDR 24X39MM,5537.0,5537.0,830.55,5537.0,30
CDM,431395,STENT VASC 7X140MM 125CM,9209.0,9209.0,1381.35,9209.0,30
CDM,431396,STENT VASC 8X40MM 125CM,4518.0,4518.0,677.7,4518.0,30
CDM,431397,CMPNT FEM KN SM RT 60MM,32332.0,32332.0,4849.8,32332.0,30
CDM,431398,STENT VASC 8X60MM 125CM,5749.0,5749.0,862.35,5749.0,30
CDM,431399,STEM FEM KN 5MM,10813.0,10813.0,1621.95,10813.0,30
CDM,431400,STEM FEM KN CMNTLS,23824.0,23824.0,3573.6,23824.0,30
CDM,431401,STEM MOD KN CMNT 130MM,5807.0,5807.0,871.05,5807.0,30
CDM,431402,SCREW SPN 3.8X36MM,3389.0,3389.0,508.35,3389.0,30
CDM,431403,CAGE SPN 6D 32X22X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,431404,CAGE SPN 6D 32X22X10MM,3012.0,3012.0,451.8,3012.0,30
CDM,431407,IMPLANT NASAL 20MM,8557.0,8557.0,1283.55,8557.0,30
CDM,431418,WASHER BN FLAT 3.5MM,319.0,319.0,47.85,319.0,30
CDM,431435,NAIL BN CHILD LT 7X260MM,14629.0,14629.0,2194.35,14629.0,30
CDM,431436,MESH TIGR MATRX 15X20CM,13952.0,13952.0,2092.8,13952.0,30
CDM,431437,SHANK SPN 8.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,431441,CAGE SPN 5MM 17.5MM,1130.0,1130.0,169.5,1130.0,30
CDM,431442,SCREW SPN R-LN 7.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,431444,ROD SPN 5.5MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,431454,WIRE OLIVE LG 7X1.6X80MM,386.5,386.5,57.98,386.5,42
CDM,431457,SCREW SPN PLVC 11.5X35MM,12047.0,12047.0,1807.05,12047.0,30
CDM,431476,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,431496,CATH THRMB SCTN 7FR,21487.5,21487.5,3223.13,21487.5,42
CDM,431497,CATH THRMB SCTN 7FR,25068.5,25068.5,3760.28,25068.5,42
CDM,431498,CATH THRMB SCTN 7FR,23022.0,23022.0,3453.3,23022.0,42
CDM,431499,CATH IVL 2.5X12MM 138CM,24045.5,24045.5,3606.82,24045.5,42
CDM,431500,CATH IVL 3X12MM 138CM,24045.5,24045.5,3606.82,24045.5,42
CDM,431501,CATH IVL 3.5X12MM 138CM,24045.5,24045.5,3606.82,24045.5,42
CDM,431502,CATH IVL 4X12MM 138CM,24045.5,24045.5,3606.82,24045.5,42
CDM,431503,PROBE LAPSCP 4W LNR 36MM,13302.0,13302.0,1995.3,13302.0,42
CDM,431504,IRIS ARTF W FBR 12.8MM,37647.0,37647.0,5647.05,37647.0,30
CDM,431514,CMPNT FEM KN SZ5L,7530.0,7530.0,1129.5,7530.0,30
CDM,431515,TRAY TIB KN SZ4L,6201.0,6201.0,930.15,6201.0,30
CDM,431516,INSERT TIB KN SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,431517,INSERT TIB KN SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,431518,IMPLANT NSL ABS 20MM,8557.0,8557.0,1283.55,8557.0,30
CDM,431519,SHELL ACTB HIP 3HL 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,431520,LINER ACTB HIP60-62X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,431521,LINER HIP 0D SZG 28MM,6644.0,6644.0,996.6,6644.0,30
CDM,431522,IMPLANT NASAL 24MM,8557.0,8557.0,1283.55,8557.0,30
CDM,431523,PLATE SPN CERV 1LVL 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,431524,DISC SPN MEDIUM 5MM,21703.0,21703.0,3255.45,21703.0,30
CDM,431525,LENS IOL +22.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,431547,TIP PLS LAV 22.86X.89CM,208.5,208.5,31.27,208.5,42
CDM,431556,CLIP LIGATING MED LG,220.0,220.0,33.0,220.0,30
CDM,431570,VALVE HMSTS W/TRQ 9FR,231.5,231.5,34.73,231.5,42
CDM,431573,CATH URET 3W 20FR 30CC,210.5,210.5,31.57,210.5,42
CDM,431586,KIT PLS LAV W/SPRAY,433.0,433.0,64.95,433.0,42
CDM,431590,STEM FEM HIP OFFST SZ6,7995.0,7995.0,1199.25,7995.0,30
CDM,431592,PLATE BN FT EXTRLK 2.7MM,5116.0,5116.0,767.4,5116.0,30
CDM,431594,DRILL BIT 2.0 MM,1074.5,1074.5,161.18,1074.5,42
CDM,431607,CATH BLN 7FR 14MM 80CM,2144.5,2144.5,321.68,2144.5,42
CDM,431608,NAIL BN 9MM 420MM,8713.0,8713.0,1306.95,8713.0,30
CDM,431609,PLATE SPN XLIF MOD 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,431610,SCREW SPN 5.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,431611,KWIRE FX 0.9MM 6IN,413.5,413.5,62.02,413.5,42
CDM,431613,SUTURE BLU/WHT SZ2,340.0,340.0,51.0,340.0,42
CDM,431614,HEAD SHD EAS 40X15MM,13004.0,13004.0,1950.6,13004.0,30
CDM,431615,SCREW SPN 3.5MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,431616,SCREW BN 3.75MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,431617,SCREW SPN 4.5X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,431618,INSERT TIB KN 16MM,9966.0,9966.0,1494.9,9966.0,30
CDM,431619,SCREW SPN 4.5X22MM,3389.0,3389.0,508.35,3389.0,30
CDM,431620,SCREW SPN 4.5MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,431622,SCREW BN 5MM 30MM,2392.0,2392.0,358.8,2392.0,30
CDM,431624,SCREW BN 5MM 22MM,2392.0,2392.0,358.8,2392.0,30
CDM,431625,SCREW SPN 7.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,431626,SCREW SPN 7.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,431627,SCREW SPN 7.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,431632,CANNULA D-LUMN 31FR 51CM,65485.0,65485.0,9822.75,65485.0,42
CDM,431633,CANNULA D-LUMN 29FR 46CM,66508.0,66508.0,9976.2,66508.0,42
CDM,431640,GUIDEWIRE VASC 260CM,232.0,232.0,34.8,232.0,42
CDM,431641,CATH BLNDIL 6MM 250MM,10385.5,10385.5,1557.83,10385.5,42
CDM,431667,PLATE BN STD LT 6HL,8928.0,8928.0,1339.2,8928.0,30
CDM,431676,COIL EMBL DTCH 10MM 30CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431677,COIL EMBL DTCH 3MM 6CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431678,COIL EMBL 8CM 4MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431679,COIL EMBL 10MM 5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431680,COIL EMBL 15CM 6MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431681,COIL EMBL 15CM 7MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431682,SCREW BN PLT 41MM,3189.0,3189.0,478.35,3189.0,30
CDM,431689,BIT DRILL 6MM,1676.0,1676.0,251.4,1676.0,42
CDM,431690,ANCHOR SUT 4.75MM,3721.0,3721.0,558.15,3721.0,30
CDM,431691,ANCH SUT 6.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,431692,CANNULA PRFSN 12FR 6IN,265.5,265.5,39.83,265.5,42
CDM,431693,STEM FEM HIP 14MM 265MM,17306.0,17306.0,2595.9,17306.0,30
CDM,431694,STEM FEM HIP 17MM 265MM,17306.0,17306.0,2595.9,17306.0,30
CDM,431695,SCREW SPN 3.8MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,431696,CAGE SPN 10X10.5X28MM,15059.0,15059.0,2258.85,15059.0,30
CDM,431697,CAGE SPN 8D 25X35X12MM,18868.0,18868.0,2830.2,18868.0,30
CDM,431698,PLATE SPN COVER,4340.0,4340.0,651.0,4340.0,30
CDM,431699,SUTURE BLU MONO 4-0 36IN,231.5,231.5,34.73,231.5,42
CDM,431716,SCREW SPN 5.5MM 35MM,1130.0,1130.0,169.5,1130.0,30
CDM,431724,SCREW SPN 8.5MM 75MM,3012.0,3012.0,451.8,3012.0,30
CDM,431725,SCREW SPN 6.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,431739,ELCTRD SRFC SPN EMG/SSEP,7674.0,7674.0,1151.1,7674.0,42
CDM,431750,SCREW SPN 4.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,431752,SNARE POLY MD OVL 240CM,773.0,773.0,115.95,773.0,42
CDM,431759,PLATE BN 105MM 2.7MM,3721.0,3721.0,558.15,3721.0,30
CDM,431782,SCREW BN 2MM 18MM,2607.0,2607.0,391.05,2607.0,30
CDM,431783,BUR DISP 1.7X6MM,773.0,773.0,115.95,773.0,42
CDM,431784,CAGE SPN 18MM 24MM,37868.0,37868.0,5680.2,37868.0,30
CDM,431785,ENDPLATE SPN 15D 25X32MM,8371.0,8371.0,1255.65,8371.0,30
CDM,431786,ENDPLATE SPNL 8D 22MM,8371.0,8371.0,1255.65,8371.0,30
CDM,431787,SCREW BN 2.7MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,431788,PLATE BN 12HL 184MM,4429.0,4429.0,664.35,4429.0,30
CDM,431789,COMP PTLA KN D35,4252.0,4252.0,637.8,4252.0,30
CDM,431790,TRIFLANGE HIP CSTM SZ24,64221.0,64221.0,9633.15,64221.0,30
CDM,431791,STEM FEM HIP 15MM 190MM,17306.0,17306.0,2595.9,17306.0,30
CDM,431792,SPACER SPN 16X13X8MM,7795.0,7795.0,1169.25,7795.0,30
CDM,431793,SCREW BN 3X14 F-T SPNL,1130.0,1130.0,169.5,1130.0,30
CDM,431794,PLATE SPN LCK,2109.0,2109.0,316.35,2109.0,30
CDM,431795,SCREW BN 10MM 1.7MM,1019.0,1019.0,152.85,1019.0,30
CDM,431796,SHELL ACTB HIP 25MM,64221.0,64221.0,9633.15,64221.0,30
CDM,431797,SCREW BN 4MM 26MM,3143.0,3143.0,471.45,3143.0,30
CDM,431800,MESH SURG 50MM 70MM,10984.0,10984.0,1647.6,10984.0,30
CDM,431813,COIL EMBL XL 6CM 2MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431814,COIL EMBL 8CM 3MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431815,COIL EMBL 30CM 9MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431816,COIL EMBL 40CM 10MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431817,COIL EMBL 45CM 12MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431818,COIL EMBL 50CM 14MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431819,COIL EMBL 50CM 16MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431820,COIL EMBL 50CM 18MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431821,COIL EMBL 50CM 20MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431822,COIL EMBL 3MM 8CM,9871.0,9871.0,1480.65,9871.0,30
CDM,431823,COIL EMBL 10CM 3MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431824,COIL EMBL 3.5MM 8CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431825,COIL EMBL 6CM 4MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431826,COIL EMBL 8CM 4MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431827,COIL EMBL 10CM 4MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431828,COIL EMBL 10CM 4.5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431829,COIL EMBL 2CM 1MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431830,COIL EMBL 3CM 1MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431831,COIL EMBL 2CM 1.5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431832,COIL EMBL 1.5MM 3CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431833,COIL EMBL 4CM 1.5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431834,COIL EMBL 3CM 2MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431835,COIL EMBL 4CM 2MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431836,COIL EMBL 2.5MM 4CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431837,COIL EMBL 4CM 3MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431838,COIL EMBL 6CM 3.5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431839,COIL EMBL 3CM 2MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431840,COIL EMBL 9CM 3MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431841,COIL EMBL 10CM 5MM XL TR,13315.0,13315.0,1997.25,13315.0,30
CDM,431842,COIL EMBL SFT 5MMX15CM,13315.0,13315.0,1997.25,13315.0,30
CDM,431843,COIL EMBL 20CM 6MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431844,COIL EMBL 20CM 7MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431845,COIL EMBL 30CM 8MM,13315.0,13315.0,1997.25,13315.0,30
CDM,431867,IMPLANT COCH SYSTEM,20232.0,20232.0,3724.71,20232.0,26
CDM,431868,COIL EMBL DTCH 8MM 25CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431869,COIL EMBL 2.0MM 4CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431870,COIL EMBL 3.0MM 6CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431871,COIL EMBL 8CM 3MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431872,COIL EMBL DTCH 3MM 10CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431873,CMPNT SLEEVE TIB RS 3CM,7024.0,7024.0,1053.6,7024.0,30
CDM,431874,CMPNT TIB KN RS 51 160X9,10180.0,10180.0,1527.0,10180.0,30
CDM,431875,PLATE BN 1.3MM 2MM,3721.0,3721.0,558.15,3721.0,30
CDM,431876,INSERT 28MM 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,431877,LINER ACTB 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,431878,ANCHOR SUT KNTLSS 1.8MM,7674.0,7674.0,1151.1,7674.0,30
CDM,431879,STEM KN ROT M STD LT,44277.0,44277.0,6641.55,44277.0,30
CDM,431880,PLATE BN 11H 2.7-3.5X199,4429.0,4429.0,664.35,4429.0,30
CDM,431881,ROD SPN 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,431882,GRAFT BN DBM 10CC,4429.0,4429.0,664.35,4429.0,30
CDM,431887,SCREW BN 5MM 30MM,2471.0,2471.0,370.65,2471.0,30
CDM,431888,SCREW BN 2.7MM 20MM,2471.0,2471.0,370.65,2471.0,30
CDM,431902,BUTTON FX 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,431905,DRILL BN BIT DISP 5.5MM,2750.5,2750.5,412.57,2750.5,42
CDM,431907,SCREW BN 5.5MM 40MM,3470.0,3470.0,520.5,3470.0,30
CDM,431928,GRAFT BN LAP WDG 5D 5MM,7441.0,7441.0,1116.15,7441.0,30
CDM,431929,SCREW BN NLCKG 4.2X55MM,2200.0,2200.0,330.0,2200.0,30
CDM,431934,ROD SPN STRT 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,431935,SYSTEM IMPLANT SCREW,9278.0,9278.0,1391.7,9278.0,30
CDM,431936,SPACER SPN 14X12X34MM,24116.0,24116.0,3617.4,24116.0,30
CDM,431937,MESH HRN PLGY 25CMX40CM,33882.0,33882.0,5082.3,33882.0,30
CDM,431938,PIN PED SKULL TI WING,2573.0,2573.0,385.95,2573.0,42
CDM,431939,CLAMP VSL HEAD SMALL,12278.5,12278.5,1841.78,12278.5,42
CDM,431940,CLAMP VSL MED 65MM,12278.5,12278.5,1841.78,12278.5,42
CDM,431941,CLAMP VSL LARGE,12278.5,12278.5,1841.78,12278.5,42
CDM,431942,COIL EMBL 4.0MM 6CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431943,COIL EMBL 8CM 4MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431944,COIL EMBL 10CM 4MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431945,COIL EMBL 15CM 4MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431946,COIL EMBL 15CM 5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431947,COIL EMB 20CM 5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431948,COIL EMBL 10CM 6MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431949,COIL EMBL 20CM 8MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431950,COIL EMBL 9.0MM 20CM,9731.0,9731.0,1459.65,9731.0,30
CDM,431951,COIL EMBL 30CM 10MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431952,COIL EMBL 3CM 2MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431953,COIL EMBL 4CM 2MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431954,COIL EMBL 6CM 2MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431955,COIL EMBL 4CM 2.5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,431956,CATH DX JR6 5FR 100CM,227.0,227.0,34.05,227.0,42
CDM,431957,CATH THROMB 3FR 120CM,10718.0,10718.0,1607.7,10718.0,42
CDM,431958,CATH THRMB +3 KIT W PMP,10718.0,10718.0,1607.7,10718.0,42
CDM,431959,CATH THRMB ASP 3FR 145CM,10718.0,10718.0,1607.7,10718.0,42
CDM,431960,DEVISE WIRE THRMB 6X30MM,32717.0,32717.0,4907.55,32717.0,42
CDM,431961,DEVICE WIRE THRMB 2X20MM,32717.0,32717.0,4907.55,32717.0,42
CDM,431962,DEVICE WIRE THRMB 4X20MM,32717.0,32717.0,4907.55,32717.0,42
CDM,431963,DEVISE WIRE THRMB 4X20MM,32717.0,32717.0,4907.55,32717.0,42
CDM,431964,DEVISE WIRE THRMB 3X20MM,32717.0,32717.0,4907.55,32717.0,42
CDM,431965,CATH THRMB 5FR 131CM,10718.0,10718.0,1607.7,10718.0,42
CDM,431966,CATH THROMB 6FX131CM,11741.5,11741.5,1761.22,11741.5,42
CDM,431967,CATH THRMB ASP 6F 115CM,8672.0,8672.0,1300.8,8672.0,42
CDM,431968,CATH THRMB ASP 5F 125CM,8672.0,8672.0,1300.8,8672.0,42
CDM,431969,CATH THRMB ASP 5F 115CM,8672.0,8672.0,1300.8,8672.0,42
CDM,431970,COIL EMBL 25MM 60CM,8836.0,8836.0,1325.4,8836.0,30
CDM,431971,COIL EMBL 22MM 50CM,8836.0,8836.0,1325.4,8836.0,30
CDM,431972,COIL EMBL 20MM 50CM,8836.0,8836.0,1325.4,8836.0,30
CDM,431973,COIL EMBL 18MM 50CM,8836.0,8836.0,1325.4,8836.0,30
CDM,431974,COIL EMBL 16MM 50CM,8836.0,8836.0,1325.4,8836.0,30
CDM,431975,COIL EMBL 14MM 47CM,8836.0,8836.0,1325.4,8836.0,30
CDM,431976,COIL EMBL 12MM 40CM,8836.0,8836.0,1325.4,8836.0,30
CDM,431977,INTRO SHTH 11FR 11CM,185.0,185.0,27.75,185.0,42
CDM,431978,CATH GD 5FR 100CM,605.0,605.0,90.75,605.0,42
CDM,432003,SCREW BN 5MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,432006,CAGE SPN 12X27X9MM,15059.0,15059.0,2258.85,15059.0,30
CDM,432007,GRAFT BN 3ML,16025.0,16025.0,2403.75,16025.0,30
CDM,432008,CMPNT ACTB HIP 27MM,64221.0,64221.0,9633.15,64221.0,30
CDM,432010,COIL EMBL XL TRG 6CM 3MM,13315.0,13315.0,1997.25,13315.0,30
CDM,432011,COIL EMBL 11MM 37CM,8836.0,8836.0,1325.4,8836.0,30
CDM,432012,COIL EMBL 4MM 10CM,7508.0,7508.0,1126.2,7508.0,30
CDM,432013,COIL EMBL 2.5MM 6CM,7508.0,7508.0,1126.2,7508.0,30
CDM,432022,COIL EMBL 2MM 2CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432023,COIL EMBL 2MM 3CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432024,COIL EMBL 2MM 4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432025,KIT PEG 20FR,792.0,792.0,118.8,792.0,42
CDM,432026,TUBE JJNSTM 10FR 43IN,773.0,773.0,115.95,773.0,42
CDM,432027,COIL EMBL 2MMX4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432028,COIL EMBL 2.5MM 4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432029,COIL EMBL 2.5MM 6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432030,COIL EMBL 3MM 4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432031,COIL EMBL 3MMX6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432032,COIL EMBL 3MMX8CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432033,COIL EMBL 3MMX10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432034,COIL EMBL 3.5MM 6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432035,COIL EMBL 3.5MM 8CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432036,COIL EMBL 4MM 6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432037,COIL EMBL 4MM 8CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432038,COIL EMBL 4MM 10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432039,COIL EMBL 4MM 15CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432041,COIL EMBL 5MM 10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432042,COIL EMBL 5MMX17CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432043,COIL EMBL 2.5MM 5CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432044,COIL EMBL 3MM 6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432045,COIL EMBL 3.5MM 6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432046,COIL EMBL 4MM 7CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432047,COIL EMBL 4MM 10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432048,COIL EMBL 4MM 13CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432049,COIL EMBL 5MM 8CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432050,COIL EMBL 5MM 10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432051,COIL EMBL 5MM 17CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432052,COIL EMBL 6.0X20CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432053,COIL EMBL 3MMX6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432054,COIL EMBL 3MM 10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432055,COIL EMBL 4MMX6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432056,COIL EMBL 4MMX10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432057,COIL EMBL 4MMX15CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432058,COIL EMBL 5MMX10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432059,COIL EMBL 5MMX20CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432060,COIL EMBL 6MMX20CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432061,COIL EMBL 6.0MM 30CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432062,COIL EMBL 7MM 30CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432063,COIL EMBL 9MM 30CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432064,COIL EMBL 3MM 10CM,4629.0,4629.0,694.35,4629.0,30
CDM,432065,COIL EMBL 4MM 20CM,4629.0,4629.0,694.35,4629.0,30
CDM,432066,COIL EMBL 5MM 20CM,4629.0,4629.0,694.35,4629.0,30
CDM,432067,COIL EMBL 6MM 20CM,4629.0,4629.0,694.35,4629.0,30
CDM,432068,COIL EMBL HCL 3CM 1MM,5957.0,5957.0,893.55,5957.0,30
CDM,432069,COIL EMBL 1.5MM 4CM,5957.0,5957.0,893.55,5957.0,30
CDM,432073,COIL EMBL 1.5MM 6CM,5957.0,5957.0,893.55,5957.0,30
CDM,432074,COIL EMBL 2MM 8CM,5957.0,5957.0,893.55,5957.0,30
CDM,432075,COIL EMBL 3MM 10CM,5957.0,5957.0,893.55,5957.0,30
CDM,432076,COIL EMBL 1MM 1CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432078,COIL EMBL 1MM 2CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432079,COIL EMBL 1MM 3CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432080,COIL EMBL 1MM 4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432081,COIL EMBL 1.5MM 2CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432082,COIL EMBL 1.5MM 4CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432083,COIL EMBL 2MM 2CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432084,COIL EMBL 2MM 3CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432085,COIL EMBL 2.0MM 4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432086,COIL EMBL 2MM 6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432087,COIL EMBL 2.5MM 4CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432088,COIL EMBL 2.5MM 6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432089,COIL EMBL 3MM 4CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432090,COIL EMBL 3MM 6CM,8393.0,8393.0,1258.95,8393.0,30
CDM,432091,COIL EMBL 3MM 8CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432092,COIL EMBL 8CM 3.5MM,8393.0,8393.0,1258.95,8393.0,30
CDM,432093,COIL EMBL 4MMX6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432094,COIL EMBL 5MM 10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,432095,COIL EMBL 1MM 4CM,7065.0,7065.0,1059.75,7065.0,30
CDM,432096,COIL EMBL 1.5MM 4CM,7508.0,7508.0,1126.2,7508.0,30
CDM,432097,COIL EMBL 6CM 2MM,7065.0,7065.0,1059.75,7065.0,30
CDM,432098,LENS IOL +16.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,432099,STENT EPRSTH 15CM 8MM,123040.0,123040.0,18456.0,123040.0,30
CDM,432100,SCREW BN SM +4,3189.0,3189.0,478.35,3189.0,30
CDM,432101,COMPONENT SHLDR REV 40MM,7601.0,7601.0,1140.15,7601.0,30
CDM,432102,LINER SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,432103,PLATE BN TIB RT3.5X151MM,10006.0,10006.0,1500.9,10006.0,30
CDM,432105,SCREW BN 3.5MM 55MM,2471.0,2471.0,370.65,2471.0,30
CDM,432108,SCREW BN 3.5MM 42MM,2471.0,2471.0,370.65,2471.0,30
CDM,432133,MESH HRN PP 12X10IN,4429.0,4429.0,664.35,4429.0,30
CDM,432151,SCREW BN 3.5MM 28MM,1882.0,1882.0,282.3,1882.0,30
CDM,432152,SCREW BN 3.5MM 40MM,2471.0,2471.0,370.65,2471.0,30
CDM,432154,SCREW BN 3.5MM 22MM,2471.0,2471.0,370.65,2471.0,30
CDM,432166,CMPNT SHLDR +4MM 46MM,6423.0,6423.0,963.45,6423.0,30
CDM,432167,LINER HUM SHLDR+2.5 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,432168,REAMER SURG BN SZ S,1023.5,1023.5,153.53,1023.5,42
CDM,432169,SCREW SPN 5.5MM 34MM,3389.0,3389.0,508.35,3389.0,30
CDM,432173,SCRAPER BN 8MM 180MM,5116.0,5116.0,767.4,5116.0,42
CDM,432178,IMPLANT ORTH FX SYS,4429.0,4429.0,664.35,4429.0,30
CDM,432196,SCREW BN ANKL 5MM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,432197,SCREW BN 5MM 75MM,3593.0,3593.0,538.95,3593.0,30
CDM,432198,SCREW BN 5.0X80MM,3593.0,3593.0,538.95,3593.0,30
CDM,432217,OSTEMTOME CRVD SZ14,13046.0,13046.0,1956.9,13046.0,42
CDM,432220,LENS IOL +19.5 DIOP,2187.0,2187.0,328.05,2187.0,32
CDM,432221,NAIL BN 12MM X 240MM,20927.0,20927.0,3139.05,20927.0,30
CDM,432223,SCREW BN 5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,432228,CAGE SPN CERV 12X15X5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,432229,CAGE SPN 10D 12X27X10MM,15502.0,15502.0,2325.3,15502.0,30
CDM,432232,CAGE SPN 20D 34X21X14MM,20197.0,20197.0,3029.55,20197.0,30
CDM,432233,PLATE BN NARROW 16HL,4429.0,4429.0,664.35,4429.0,30
CDM,432234,SCREW BN 2.7MM 10MM,740.0,740.0,111.0,740.0,30
CDM,432239,CAGE SPN 5D12X14X14-20MM,23917.0,23917.0,3587.55,23917.0,30
CDM,432240,PROBE SURG 10D 2X265MM,4093.0,4093.0,613.95,4093.0,42
CDM,432257,DRILL BIT PERC 26X1.8MM,1031.5,1031.5,154.72,1031.5,42
CDM,432260,PLATE BN STR GOLD 4HL,3721.0,3721.0,558.15,3721.0,30
CDM,432261,PLATE BN STRAIGHT 6 HOLE,4309.0,4309.0,646.35,4309.0,30
CDM,432263,PLATE BN BRIDGE 4HL,4099.0,4099.0,614.85,4099.0,30
CDM,432264,PLATE BN BRIDGE 6HL,4241.0,4241.0,636.15,4241.0,30
CDM,432265,CMPNT KN FEM STR 15X150,5353.0,5353.0,802.95,5353.0,30
CDM,432269,PLATE SPN LVL 3 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,432270,SCREW BN 2.3MM 6MM,2790.0,2790.0,418.5,2790.0,30
CDM,432274,CATH THRMB MGMT SYSTM,9720.5,9720.5,1458.08,9720.5,42
CDM,432276,CATH THRMB SYSTM 24FR,38882.0,38882.0,5832.3,38882.0,42
CDM,432279,SCREW BN 2.7X13MM,2009.0,2009.0,301.35,2009.0,30
CDM,432280,SCREW BN 2.7X12MM,2009.0,2009.0,301.35,2009.0,30
CDM,432281,SCREW BN 2.7MM 11MM,3189.0,3189.0,478.35,3189.0,30
CDM,432282,PIN FIX TEMP,386.5,386.5,57.98,386.5,42
CDM,432283,IMPLANT BREAST 1135CC,8637.0,8637.0,1295.55,8637.0,30
CDM,432284,SCREW BN 2.3MM 8MM,718.0,718.0,107.7,718.0,30
CDM,432285,SCREW BN 2.3MM 10MM,718.0,718.0,107.7,718.0,30
CDM,432286,SCREW BN 2.3MM 12MM,718.0,718.0,107.7,718.0,30
CDM,432287,SCREW BN MNDB 2.3X14MM,718.0,718.0,107.7,718.0,30
CDM,432288,SCREW BN 2.3MM 16MM,718.0,718.0,107.7,718.0,30
CDM,432289,SCREW BN 2.3X18MM,718.0,718.0,107.7,718.0,30
CDM,432290,PLATE BN 7H,3189.0,3189.0,478.35,3189.0,30
CDM,432291,PLATE BN 16HL 1MM,3189.0,3189.0,478.35,3189.0,30
CDM,432292,PLATE BN 7H SM 1.6MM,3579.0,3579.0,536.85,3579.0,30
CDM,432293,PLATE BN MNDB 4HL 1.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,432294,PLATE BN MNDB 4H 1.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,432295,PLATE BN 7HL 1.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,432296,PLATE BN 7HL 1.6MM,3579.0,3579.0,536.85,3579.0,30
CDM,432297,PLATE BN MNDB 16H 1.6MM,3721.0,3721.0,558.15,3721.0,30
CDM,432298,PLATE BN 2.6MM,4584.0,4584.0,687.6,4584.0,30
CDM,432336,INSERT TIB KN SZ4 11MM,6737.0,6737.0,1010.55,6737.0,30
CDM,432342,CAGE SPN 10D 35X27MM,8858.0,8858.0,1328.7,8858.0,30
CDM,432348,SCREW SPN 4X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,432349,ROD SPN 4MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,432354,SCREW SPN 8.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,432355,CMPNT FEM SZ6 PRIM RT,7973.0,7973.0,1195.95,7973.0,30
CDM,432357,SPACER SPN 16X13X9MM,7795.0,7795.0,1169.25,7795.0,30
CDM,432359,SCREW SPN 7.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,432360,ROD SPN LORD 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,432376,SIZER BREAST 345CC,1694.5,1694.5,254.18,1694.5,42
CDM,432380,NAIL BN 125D 10MM 38CM,6312.0,6312.0,946.8,6312.0,30
CDM,432383,PLATE S MNDB 2ANG 2.3MM,5200.0,5200.0,780.0,5200.0,30
CDM,432384,CMPNT FEM HIP SZ4,7530.0,7530.0,1129.5,7530.0,30
CDM,432389,VALVE MITRAL 29MM,177144.0,177144.0,26571.6,177144.0,30
CDM,432390,SYSTEM VALVE MITRAL 29MM,215320.0,215320.0,32298.0,215320.0,30
CDM,432408,INSERT ACTB HIP 32X62MM,4606.0,4606.0,690.9,4606.0,30
CDM,432409,ROD SPN PRBNT 5.5X130MM,2711.0,2711.0,406.65,2711.0,30
CDM,432410,SCREW SET SPN NEW THREAD,753.0,753.0,112.95,753.0,30
CDM,432412,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,432413,SCREW BN LG HIP 5X50MM,877.0,877.0,131.55,877.0,30
CDM,432414,LENS IOL +16.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,432416,TENSIONER SURG DISP,10222.0,10222.0,1533.3,10222.0,42
CDM,432417,CUTTER CBL SURG DISP,3266.0,3266.0,489.9,3266.0,42
CDM,432418,SCREW BN 1.5X6MM,431.0,431.0,64.65,431.0,30
CDM,432419,SCREW BN 1.5X9.0MM,511.0,511.0,76.65,511.0,30
CDM,432420,SCREW BN 1.5X11MM,511.0,511.0,76.65,511.0,30
CDM,432421,SCREW BN S-T 1.5MM 13MM,527.0,527.0,79.05,527.0,30
CDM,432422,SCREW BN 1.5X15MM,527.0,527.0,79.05,527.0,30
CDM,432423,SCREW BN 1.5MM,511.0,511.0,76.65,511.0,30
CDM,432424,PLATE 2.4MM LT CNDRL HD,4429.0,4429.0,664.35,4429.0,30
CDM,432425,PLATE MNDB RT RECN 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,432426,DRILL SURG 1.8MM 50MM,773.0,773.0,115.95,773.0,42
CDM,432427,SCREW BN 2.0MM 10MM,542.0,542.0,81.3,542.0,30
CDM,432428,SCREW BN 2MM 12MM,542.0,542.0,81.3,542.0,30
CDM,432429,SCREW BN 2MM 14MM,542.0,542.0,81.3,542.0,30
CDM,432430,SCREW BN MNDB 16X2MM DRV,542.0,542.0,81.3,542.0,30
CDM,432431,SCREW BN 2MM 18MM,542.0,542.0,81.3,542.0,30
CDM,432432,SCREW BN 2MM 8MM,957.0,957.0,143.55,957.0,30
CDM,432433,SCREW BN 2MM 12MM,957.0,957.0,143.55,957.0,30
CDM,432434,SCREW BN 2MM 14MM,957.0,957.0,143.55,957.0,30
CDM,432435,SCREW BN 2MM 16MM,957.0,957.0,143.55,957.0,30
CDM,432436,SCREW BN 2MM 18MM,957.0,957.0,143.55,957.0,30
CDM,432437,SCREW 5X2MM MNDB SLF DRL,670.0,670.0,100.5,670.0,30
CDM,432438,SCREW BN 2.3MM 5MM,718.0,718.0,107.7,718.0,30
CDM,432456,ANCHOR DRIVER 5.0X17MM,4093.0,4093.0,613.95,4093.0,42
CDM,432463,PROSTHESIS VOICE 8MM,5736.0,5736.0,1056.0,5736.0,26
CDM,432464,PLATE BN 12H 3.5X235MM,10006.0,10006.0,1500.9,10006.0,30
CDM,432465,PLATE BN 6HL 3.5MM 100MM,9673.0,9673.0,1450.95,9673.0,30
CDM,432466,SCREW BN 3.5MM 40MM,590.0,590.0,88.5,590.0,30
CDM,432467,SCREW BN 3.5X38MM,590.0,590.0,88.5,590.0,30
CDM,432468,SCREW BN 3.5X48MM,590.0,590.0,88.5,590.0,30
CDM,432469,SCREW BN 3.5X60MM,590.0,590.0,88.5,590.0,30
CDM,432470,SCREW BN 3.8MM 18MM,2471.0,2471.0,370.65,2471.0,30
CDM,432471,SCREW BN 3.5X65MM,590.0,590.0,88.5,590.0,30
CDM,432472,PLATE SPN SM,3389.0,3389.0,508.35,3389.0,30
CDM,432473,SCREW SPNL 2.7MM 5MM,753.0,753.0,112.95,753.0,30
CDM,432474,SCREW SPN 2MM 5MM,753.0,753.0,112.95,753.0,30
CDM,432475,BIT DRILL 5MM 2MM,773.0,773.0,115.95,773.0,42
CDM,432476,BIT DRILL 5MM 2.7MM,773.0,773.0,115.95,773.0,42
CDM,432477,SCREW SPN 2.5MM 6MM,753.0,753.0,112.95,753.0,30
CDM,432479,AGENT HMSTC 3G-9CM,1224.5,1224.5,183.68,1224.5,42
CDM,432482,PLATE SPN 1LVL 39MM,11073.0,11073.0,1660.95,11073.0,30
CDM,432483,ROD SPN PRBNT HEX 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,432484,DRAIN GLAUCOMA 250SQ,4429.0,4429.0,664.35,4429.0,30
CDM,432505,WEDGE FEM KN SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,432506,AUGMENT FEM DIST #5 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,432538,LENS IOL +26.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,432539,INTRO SHTH 9FR 50CM,2241.5,2241.5,336.23,2241.5,42
CDM,432540,ROD SPN PRBNT 4MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,432555,LEAD CRT PCNG 8.6FR 72CM,12178.0,12178.0,1826.7,12178.0,30
CDM,432565,FIBER LASER HOLM 550MP,2259.5,2259.5,338.93,2259.5,42
CDM,432566,BIT DRILL TWST 1.6X50X22,993.0,993.0,148.95,993.0,42
CDM,432567,DRESSING FOM 8X6IN,119.5,119.5,17.93,119.5,42
CDM,432568,BIT DRL 32 1.6,993.0,993.0,148.95,993.0,42
CDM,432569,DRILL SURG STP MNDB 22MM,1064.5,1064.5,159.68,1064.5,42
CDM,432571,PACEMAKER LDLS VA 32.2MM,60236.0,60236.0,9035.4,60236.0,30
CDM,432573,PACEMAKER LDLS VR 38.0MM,26455.0,26455.0,3968.25,26455.0,30
CDM,432574,CATH GD 6.5MM 105MM,6139.5,6139.5,920.92,6139.5,42
CDM,432575,CATH EXTRACT 6.8MM 105MM,15348.0,15348.0,2302.2,15348.0,42
CDM,432576,KIT INTRO 25FR 50CM,2455.5,2455.5,368.32,2455.5,42
CDM,432582,SCREW BN 3.5MM 50MM,2471.0,2471.0,370.65,2471.0,30
CDM,432587,GRAFT STNT 102MM 32-14MM,38354.0,38354.0,5753.1,38354.0,30
CDM,432588,SCREW BN 5.5X20MM,1196.0,1196.0,179.4,1196.0,30
CDM,432589,CAGE SPN 18D 37X27X14MM,19532.0,19532.0,2929.8,19532.0,30
CDM,432590,GLNSPHR HEAD SHLDR +3X36,7973.0,7973.0,1195.95,7973.0,30
CDM,432592,PROSTH PENL PUMP 18CM,55214.0,55214.0,8282.1,55214.0,30
CDM,432593,INSERT TIB KN SZ3,5740.0,5740.0,861.0,5740.0,30
CDM,432594,LINER ACTB G3 SZ32,4429.0,4429.0,664.35,4429.0,30
CDM,432595,SCREW SPN P-AX 4.5X25MM,3389.0,3389.0,508.35,3389.0,30
CDM,432596,SCREW SPN PDCL 5.5X45MM,3389.0,3389.0,508.35,3389.0,30
CDM,432597,SCREW SPN PDCL 6.5X45MM,3389.0,3389.0,508.35,3389.0,30
CDM,432598,SCREW BN NC 6.5X50MM,3348.0,3348.0,502.2,3348.0,30
CDM,432602,SCREW BN NC 7.5X55MM,3348.0,3348.0,502.2,3348.0,30
CDM,432603,SCREW BN PED 8.5X55MM,3389.0,3389.0,508.35,3389.0,30
CDM,432604,CAGE SPN 10D 35X27X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,432605,CAGE SPN 15D14X25X35MM,37868.0,37868.0,5680.2,37868.0,30
CDM,432606,SCREW BN 5.5MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,432607,CAGE SPNL 25X35X14MM,37868.0,37868.0,5680.2,37868.0,30
CDM,432608,INSERT KN HINGE SZ2 13MM,7799.0,7799.0,1169.85,7799.0,30
CDM,432609,CAGE SPNL 15D 35X25X16MM,37868.0,37868.0,5680.2,37868.0,30
CDM,432610,INSERT TIB KN SZ8 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,432611,SCREW BN 7MM 110MM 32MM,3041.0,3041.0,456.15,3041.0,30
CDM,432612,MODEL MNDBL MDF CSTM,21973.5,21973.5,3296.03,21973.5,42
CDM,432613,ROD SPN HXHD 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,432615,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,432616,CAGE SPNL 28X10X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,432617,STEM FEM KN 21MM 160MM,6755.0,6755.0,1013.25,6755.0,30
CDM,432618,STEM TIB KN 130X16/12MM,5807.0,5807.0,871.05,5807.0,30
CDM,432619,SPACER TIB KN 10X2.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,432620,SCREW SPN 5.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,432621,SCREW BN 4.5MM 45MM,2884.0,2884.0,432.6,2884.0,30
CDM,432648,SCREW BN 5MM 10MM,2471.0,2471.0,370.65,2471.0,30
CDM,432652,SCREW BN 5MM 65MM,2471.0,2471.0,370.65,2471.0,30
CDM,432653,SCREW BN 5MM 70MM,2471.0,2471.0,370.65,2471.0,30
CDM,432666,PLATE BN MD VAR 4HL 88MM,4429.0,4429.0,664.35,4429.0,30
CDM,432676,COMP SHLDR GLND RT SZ8,10298.0,10298.0,1544.7,10298.0,30
CDM,432687,SCREW BN 2.7MM 32MM,558.0,558.0,83.7,558.0,30
CDM,432750,CAGE SPN 20D 7X22X26MM,15059.0,15059.0,2258.85,15059.0,30
CDM,432764,GRAFT EVAS 30X34MM,65365.0,65365.0,9804.75,65365.0,30
CDM,432765,CMPNT FEM KN LT SZ4,6201.0,6201.0,930.15,6201.0,30
CDM,432766,CAGE SPN 24D 32X22X16MM,20197.0,20197.0,3029.55,20197.0,30
CDM,432767,SYSTEM BLNDIL 12X40MM,4267.5,4267.5,640.13,4267.5,42
CDM,432790,BASEPLATE TIB KN STD79MM,10497.0,10497.0,1574.55,10497.0,30
CDM,432791,CMPNT KN FEM RT ELP 7CM,23343.0,23343.0,3501.45,23343.0,30
CDM,432792,LINER HIP 60-62MM 48MM,4872.0,4872.0,730.8,4872.0,30
CDM,432793,HEAD HIP 36MM 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,432794,SPACER SPN 7D 16X13X8MM,7795.0,7795.0,1169.25,7795.0,30
CDM,432795,SCREW SPN VAR F-T 3X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,432796,STEM FEM HIP 21MM 225MM,17306.0,17306.0,2595.9,17306.0,30
CDM,432797,CMPNT KN FEM TIB 120MM,14453.0,14453.0,2167.95,14453.0,30
CDM,432798,STEM FEM KN 13X175MM,6876.0,6876.0,1031.4,6876.0,30
CDM,432799,ROD SPN 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,432800,AUG TIB KN SZ5 5MM,4756.0,4756.0,713.4,4756.0,30
CDM,432801,PROBE LSR DISP 27GA,2173.0,2173.0,325.95,2173.0,42
CDM,432802,AUG TIB KN SZ5 5MM,4756.0,4756.0,713.4,4756.0,30
CDM,432805,BLADE VITRECMTY PRB 25G,2404.0,2404.0,360.6,2404.0,42
CDM,432806,INSERT KN SZ5 13MM,7799.0,7799.0,1169.85,7799.0,30
CDM,432807,STEM FEM KN 12X150MM,4606.0,4606.0,690.9,4606.0,30
CDM,432808,ROD SPNL PRBNT 4X60MM,2711.0,2711.0,406.65,2711.0,30
CDM,432814,OSTEOTOME CRVD SZ18,13046.0,13046.0,1956.9,13046.0,42
CDM,432816,ROD SPN 60X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,432817,SCREW BN 8MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,432843,CMPNT FEM KN SZ7,14173.0,14173.0,2125.95,14173.0,30
CDM,432890,INSERT TIB KN 12MM,5094.0,5094.0,764.1,5094.0,30
CDM,432904,WICK EAR 9MM 15MM,57.5,57.5,8.63,57.5,42
CDM,432949,MNPLT SURG CUP 3.5CM,773.0,773.0,115.95,773.0,42
CDM,432950,MNPLT SURG CUP 4.0CM,773.0,773.0,115.95,773.0,42
CDM,432959,INSERT FEM KN 22MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,432960,SCREW SPN 3.8MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,432961,LENS IOL +13.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,432962,IMPLANT BREAST 295CC,4429.0,4429.0,664.35,4429.0,30
CDM,432965,SCREW BN 3.5MM 44MM,2105.0,2105.0,315.75,2105.0,30
CDM,432967,DRILL SURG 2.7X110MM,1326.0,1326.0,198.9,1326.0,42
CDM,432968,PLATE BN CMPR 11H,4429.0,4429.0,664.35,4429.0,30
CDM,432970,PLATE SPN CERV 1L 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,432976,PLATE BN 12HL 266MM,6785.0,6785.0,1017.75,6785.0,30
CDM,432979,PLATE BTRS 20X17MM BN SP,3389.0,3389.0,508.35,3389.0,30
CDM,432982,COMP TIB KN SZ3,39856.0,39856.0,5978.4,39856.0,30
CDM,432983,HEAD HUM SHLDR 46MM 17MM,21703.0,21703.0,3255.45,21703.0,30
CDM,432984,INSERT KN TIB STD LT SZ4,5315.0,5315.0,797.25,5315.0,30
CDM,432985,INSERT KN TIB 12MM,5094.0,5094.0,764.1,5094.0,30
CDM,432986,SCREW SPN 3.8MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,432987,SCREW SPN 6.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,432988,KIT OPTH SNGLUSE HNDL,2087.5,2087.5,313.13,2087.5,42
CDM,433008,CMPNT FEM HIP SZ 3,7530.0,7530.0,1129.5,7530.0,30
CDM,433013,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,433048,LENS IOL +21.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,433051,DEVICE INFL DISP 20ML,485.0,485.0,72.75,485.0,42
CDM,433056,CMPNT KN FEM CSTM,100893.0,100893.0,15133.95,100893.0,30
CDM,433078,SCREW BN 3.5MM 32MM,2471.0,2471.0,370.65,2471.0,30
CDM,433093,AUGMENT TIB SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,433107,WEDGE CONE KN SZSM,12180.0,12180.0,1827.0,12180.0,30
CDM,433108,AUGMENT FEM POST #5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,433109,CONE FEM KN MED 42MM,13872.0,13872.0,2080.8,13872.0,30
CDM,433110,HEAD HUM SHLDR 43MM 16MM,21703.0,21703.0,3255.45,21703.0,30
CDM,433115,CATH BLNDIL 4MM 300MM,12764.5,12764.5,1914.67,12764.5,42
CDM,433116,CATH BLNDIL 5MM 300MM,12764.5,12764.5,1914.67,12764.5,42
CDM,433117,MESH GYN IMPL 26MM,9811.0,9811.0,1471.65,9811.0,30
CDM,433118,MESH GYN IMPL 30MM 30MM,9811.0,9811.0,1471.65,9811.0,30
CDM,433125,DRESSING ANMC GEL 1.5OZ,304.5,304.5,45.67,304.5,42
CDM,433126,CAGE SPN 15D 24X30X15MM,8858.0,8858.0,1328.7,8858.0,30
CDM,433127,CAGE SPN 14D 24X32X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,433128,CAGE SPN 16MM 13X9MM,7795.0,7795.0,1169.25,7795.0,30
CDM,433129,NRSTM IMPL 2.4INX2.2IN,47612.0,47612.0,7141.8,47612.0,30
CDM,433130,NEUROSTM IMPL 35CM,11627.0,11627.0,1744.05,11627.0,30
CDM,433131,SET INSTR FEM KN SZ3,773.0,773.0,115.95,773.0,42
CDM,433132,SET INST TIBIAL SZ 2,773.0,773.0,115.95,773.0,42
CDM,433133,SET INSTR FEM KN SZ2,773.0,773.0,115.95,773.0,42
CDM,433134,CMPNT TIB BLCK 10 79/83,4606.0,4606.0,690.9,4606.0,30
CDM,433135,CMPNT PTLA KN 38MM,4428.0,4428.0,664.2,4428.0,30
CDM,433136,SCREW BN LCK 14X2.7MM,883.0,883.0,132.45,883.0,30
CDM,433137,SCREW BN LCK 2.7MM 16MM,899.0,899.0,134.85,899.0,30
CDM,433142,PLATE SPN 1.9H 3LVL 58MM,4429.0,4429.0,664.35,4429.0,30
CDM,433143,SCREW SPNL 4.0MM 19MM,1130.0,1130.0,169.5,1130.0,30
CDM,433144,CAGE SPN 10D 9X17X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,433145,SCREW SPN 5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,433146,SCREW SPN 4.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,433147,SCREW SPN 4.5MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,433148,SCREW SPN MA 4.5X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,433149,SCREW SPN 4X22MM,3389.0,3389.0,508.35,3389.0,30
CDM,433150,SCREW SPN 4MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,433151,SCREW SPN 4.5MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,433152,CONNECTOR SPN CLS 11MM,3012.0,3012.0,451.8,3012.0,30
CDM,433153,ROD SPN 4.0MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,433154,ROD SPN 4MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,433165,CMPNT SPACER KN UNIV,4606.0,4606.0,690.9,4606.0,30
CDM,433166,AUG FEM KN LT MED,4606.0,4606.0,690.9,4606.0,30
CDM,433167,AUG FEM KN RT MED,4606.0,4606.0,690.9,4606.0,30
CDM,433168,CMPNT SPACER KN 14MM,2126.0,2126.0,318.9,2126.0,30
CDM,433172,CMPNT SPCR CAP KN 14MM,2126.0,2126.0,318.9,2126.0,30
CDM,433174,AUG FEM KN RT LARGE,4606.0,4606.0,690.9,4606.0,30
CDM,433175,AUG FEM KN LT LARGE,4606.0,4606.0,690.9,4606.0,30
CDM,433177,CMPNT SPACER KN 10MM,2126.0,2126.0,318.9,2126.0,30
CDM,433178,CMPNT SPACER KN 16MM,2126.0,2126.0,318.9,2126.0,30
CDM,433179,CMPNT SPCR CAP KN 16MM,2126.0,2126.0,318.9,2126.0,30
CDM,433180,CMPNT SPCR CAP KN 10MM,2126.0,2126.0,318.9,2126.0,30
CDM,433193,CURETTE EAR 3MM,13.0,13.0,1.95,13.0,42
CDM,433198,DISC SPN IMPLANT SZ1,21703.0,21703.0,3255.45,21703.0,30
CDM,433201,CUP SHLDR SZ1/2 +3X36MM,8770.0,8770.0,1315.5,8770.0,30
CDM,433202,STEM FEM BW 150X11MM,5353.0,5353.0,802.95,5353.0,30
CDM,433211,PRESSR INFUSBAG 500REPRC,121.5,121.5,18.23,121.5,42
CDM,433215,KIT CATH 20GA 3FR,552.0,552.0,82.8,552.0,42
CDM,433219,KIT INTRO 25FR 30CM,3400.5,3400.5,510.07,3400.5,42
CDM,433238,STEM XTN KN SZ 70MM,25299.0,25299.0,3794.85,25299.0,30
CDM,433239,STEM XTN KN M/F 40MM,25299.0,25299.0,3794.85,25299.0,30
CDM,433240,INSERT TIB KN 3-11MM,4429.0,4429.0,664.35,4429.0,30
CDM,433241,SCREW BN 5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,433242,CMPNT FEM HIP SZ11,7530.0,7530.0,1129.5,7530.0,30
CDM,433243,CMPNT KN FEM PROX RT 7CM,17020.0,17020.0,2553.0,17020.0,30
CDM,433244,CMPNT KN FEM CPL 10CM,17173.0,17173.0,2575.95,17173.0,30
CDM,433245,CMPNT FEM KN 140MM,14453.0,14453.0,2167.95,14453.0,30
CDM,433246,LENS IOL +17.5 DIOP,630.0,630.0,115.98,630.0,28
CDM,433256,CATH XTRN CSF DRN 1.9MM,4093.0,4093.0,613.95,4093.0,42
CDM,433261,STEM FEM REV135D18X190MM,17306.0,17306.0,2595.9,17306.0,30
CDM,433262,CUP SHLDR 3MM SZ3/4 42MM,8770.0,8770.0,1315.5,8770.0,30
CDM,433263,PLATE BN MDFC .6MM,2093.0,2093.0,313.95,2093.0,30
CDM,433264,SUTURE SNARE 90DEG,2363.5,2363.5,354.52,2363.5,42
CDM,433268,CUP SHLDR 3MM SZ1/2 36MM,8770.0,8770.0,1315.5,8770.0,30
CDM,433270,SCREW BN 5MM 26MM,2392.0,2392.0,358.8,2392.0,30
CDM,433277,CMPNT TRIFLNG HIP 58MM,66413.0,66413.0,9961.95,66413.0,30
CDM,433280,EXTRACTOR TIP ML 1/4-2,2455.5,2455.5,368.32,2455.5,42
CDM,433281,EXTRACTOR TIP ML 1/4-28,2455.5,2455.5,368.32,2455.5,42
CDM,433282,EXTRACTOR TIP NL 5/16-18,2455.5,2455.5,368.32,2455.5,42
CDM,433283,EXTRACTOR TIP ML M8X1.0,2455.5,2455.5,368.32,2455.5,42
CDM,433284,EXTRACTOR TIP ML M8X1.25,2455.5,2455.5,368.32,2455.5,42
CDM,433294,STENT EPRSTH 34X34X20CM,69026.0,69026.0,10353.9,69026.0,30
CDM,433295,INSTRUMENT KIT CSTM,5116.0,5116.0,767.4,5116.0,42
CDM,433313,KWIRE FX 0.8MM 100MM,396.0,396.0,59.4,396.0,42
CDM,433314,SCREW BN 2.5X1.75MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,433315,BASEPLATE TIB STD 83MM,10497.0,10497.0,1574.55,10497.0,30
CDM,433318,STEM FEM KN 150MM 13MM,5353.0,5353.0,802.95,5353.0,30
CDM,433322,CONN SPNL 3.5-4/3.5-4MM,3012.0,3012.0,451.8,3012.0,30
CDM,433331,SYST THERM INJ RTEMP10ML,231.5,231.5,34.73,231.5,42
CDM,433336,CATH URTH 18FR 16IN,18.5,18.5,2.77,18.5,42
CDM,433339,SCREW BN 2.5MM 3.4MM18MM,3189.0,3189.0,478.35,3189.0,30
CDM,433340,SCREW BN SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,433341,ROD SPN CAP 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,433342,SET INSTR FEM KN SZ4+,773.0,773.0,115.95,773.0,42
CDM,433343,CMPNT GLND 15D MED,11073.0,11073.0,1660.95,11073.0,30
CDM,433344,HEAD HUM SHLDR 18MM 56MM,4872.0,4872.0,730.8,4872.0,30
CDM,433345,CMPNT KNEE TIB SZ7 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,433350,STEM KN 16/13MM 100MM,5364.0,5364.0,804.6,5364.0,30
CDM,433351,STEM FEM KN SZ44,6250.0,6250.0,937.5,6250.0,30
CDM,433352,SPACER TIB KN MED 60MM,11486.0,11486.0,1722.9,11486.0,30
CDM,433363,CAGE SPN 10D 43X30X14MM,17606.0,17606.0,2640.9,17606.0,30
CDM,433378,CATH THROMB 3FR 160CM,10718.0,10718.0,1607.7,10718.0,42
CDM,433382,PLATE BN LT 9HL 245MM,5758.0,5758.0,863.7,5758.0,30
CDM,433383,SCREW BN 3.5MM 40MM,1356.0,1356.0,203.4,1356.0,30
CDM,433389,STENT AORTIC 28MM 40MM,111121.0,111121.0,16668.15,111121.0,30
CDM,433390,STENT AORT TAP 28MM 40MM,111121.0,111121.0,16668.15,111121.0,30
CDM,433391,STENT AORTIC 32MM 55MM,96125.0,96125.0,14418.75,96125.0,30
CDM,433392,STENT AORT TAP 32MM 55MM,111121.0,111121.0,16668.15,111121.0,30
CDM,433393,CMPNT FEM KN SZ2,17393.0,17393.0,2608.95,17393.0,30
CDM,433394,WEDGE FEM DIST SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,433403,FORCEPS OPTH 27+ DISP,1514.5,1514.5,227.18,1514.5,42
CDM,433405,SCREW BN NLCKG 4.2X42MM,2200.0,2200.0,330.0,2200.0,30
CDM,433409,SCREW BN 6.5MM 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,433429,FILLER BN VOID .75ML,3012.0,3012.0,451.8,3012.0,30
CDM,433432,CATH VASC 6X 150CM,39086.5,39086.5,5862.98,39086.5,42
CDM,433440,GWIRE VASC 335CM .014IN,1117.5,1117.5,167.63,1117.5,42
CDM,433441,STEM FEM HIP 14MM 190MM,17306.0,17306.0,2595.9,17306.0,30
CDM,433442,SCREW SPN CANN 6.5X35MM,3012.0,3012.0,451.8,3012.0,30
CDM,433443,CAGE SPN 8D 25X35X10MM,37868.0,37868.0,5680.2,37868.0,30
CDM,433444,CAGE SPN 15D 35X25X12MM,37868.0,37868.0,5680.2,37868.0,30
CDM,433445,STENT TRCHBR 7FR 9X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,433446,SCREW SPN F-T 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,433447,SCREW BN 6.5MM 25MM,1595.0,1595.0,239.25,1595.0,30
CDM,433448,SCREW BN 6.5MM 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,433449,SCREW BN 6.5MM 40MM,1595.0,1595.0,239.25,1595.0,30
CDM,433450,SCREW BN 6.5MM 45MM,1595.0,1595.0,239.25,1595.0,30
CDM,433451,SCREW BN 6.5MM 50MM,1595.0,1595.0,239.25,1595.0,30
CDM,433452,SCREW BN 6.5MM 70MM,1595.0,1595.0,239.25,1595.0,30
CDM,433453,SCREW BN 6.5MM 100MM,1595.0,1595.0,239.25,1595.0,30
CDM,433454,BIT DRILL FLX 50MM,1637.0,1637.0,245.55,1637.0,42
CDM,433456,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,433457,ROD SPNL 60MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,433458,SCREW SPN 5.5MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,433469,SCREW BN 2.7MM 44MM,2471.0,2471.0,370.65,2471.0,30
CDM,433493,SCREW BN 5MM 90MM,2471.0,2471.0,370.65,2471.0,30
CDM,433494,SCREW BN 5MM 80MM,2471.0,2471.0,370.65,2471.0,30
CDM,433505,SPACER SPN 16X13X10MM,7795.0,7795.0,1169.25,7795.0,30
CDM,433506,SYSTEM VNS THRMB 10FR,33254.0,33254.0,4988.1,33254.0,42
CDM,433507,TOOL DSCT TPR 7CM 1.5MM,773.0,773.0,115.95,773.0,42
CDM,433509,CMPNT HIP TRIFLANGE SZ26,64221.0,64221.0,9633.15,64221.0,30
CDM,433510,STEM FEM CMNT OFST 15MM,6201.0,6201.0,930.15,6201.0,30
CDM,433511,CMPNT PTLA FEM KN SZ1,7574.0,7574.0,1136.1,7574.0,30
CDM,433535,TRAY TIB KN SZ6R,6201.0,6201.0,930.15,6201.0,30
CDM,433536,INSERT TIBIA 6 RT F 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,433537,CMPNT FEM KN SZ5R,7530.0,7530.0,1129.5,7530.0,30
CDM,433538,CATHETER BALLOON 8F 85CM,8927.5,8927.5,1339.13,8927.5,42
CDM,433539,INSERT VE SZ3/4 42 MM+,8770.0,8770.0,1315.5,8770.0,30
CDM,433540,NDL CRYALB 1.5MM 175MM,8953.0,8953.0,1342.95,8953.0,42
CDM,433548,SCREW BN 5MM 6MM,1130.0,1130.0,169.5,1130.0,30
CDM,433549,SCREW SPN 5MM 10MM,1130.0,1130.0,169.5,1130.0,30
CDM,433550,SCREW BN 5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,433552,PLATE SPN MED 30-40MM,6644.0,6644.0,996.6,6644.0,30
CDM,433553,SCREW SPN 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,433554,PLATE SPN SPC LG 40-50MM,6644.0,6644.0,996.6,6644.0,30
CDM,433555,ROD SPN OCPTL 110D,2711.0,2711.0,406.65,2711.0,30
CDM,433564,COIL EMBL 6MM 16CM,8836.0,8836.0,1325.4,8836.0,30
CDM,433565,COIL EMBL 7MM 19CM,8836.0,8836.0,1325.4,8836.0,30
CDM,433566,COIL EMBL 8MM 27CM,8836.0,8836.0,1325.4,8836.0,30
CDM,433568,COIL EMBL 9MM 30CM,8836.0,8836.0,1325.4,8836.0,30
CDM,433569,COIL EMBL 10MM 34CM,8836.0,8836.0,1325.4,8836.0,30
CDM,433570,CAGE 10X11X26MM 20D,15059.0,15059.0,2258.85,15059.0,30
CDM,433580,GLDWR .018IN 180CM,1883.0,1883.0,282.45,1883.0,42
CDM,433603,STENT 9FR 14X6X8MM,21791.0,21791.0,3268.65,21791.0,30
CDM,433604,STENT PANC 8MM 8MM,21791.0,21791.0,3268.65,21791.0,30
CDM,433608,BURR SURG MED OVL 8X4MM,231.5,231.5,34.73,231.5,42
CDM,433610,SCREW BN 5MM 60MM,2471.0,2471.0,370.65,2471.0,30
CDM,433612,COIL EMBL 2MMX4CM,4429.0,4429.0,664.35,4429.0,30
CDM,433613,COIL EMBL 3MMX4CM,4429.0,4429.0,664.35,4429.0,30
CDM,433614,HANDLE LP DETACHMENT,1842.0,1842.0,276.3,1842.0,42
CDM,433626,NEEDLE ASP 21G 20-40MM,1509.5,1509.5,226.43,1509.5,42
CDM,433638,SCREW BN 5MM 75MM,2471.0,2471.0,370.65,2471.0,30
CDM,433668,ENDCAP STEM KN UNIV,2126.0,2126.0,318.9,2126.0,30
CDM,433669,STEM KN UNIV 12SZ,2126.0,2126.0,318.9,2126.0,30
CDM,433670,AUGMENT FEM KN LT SM,4606.0,4606.0,690.9,4606.0,30
CDM,433671,AUGMENT FEM KN RT SM,4606.0,4606.0,690.9,4606.0,30
CDM,433676,COMPONENT FEM STD HIP,14665.0,14665.0,2199.75,14665.0,30
CDM,433677,HEAD HUM SHLDR 21MM 48MM,4872.0,4872.0,730.8,4872.0,30
CDM,433681,RELOAD STAPLE 45MM,2147.5,2147.5,322.13,2147.5,30
CDM,433703,RELOAD STAPLE 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,433709,SHELL FEM HIP 42MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,433710,CMPNT HIP CMNT SZ6,6201.0,6201.0,930.15,6201.0,30
CDM,433711,HEAD FEM HIP 28MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,433712,CNTRLZR HIP GLDTR SZ6,1170.0,1170.0,175.5,1170.0,30
CDM,433720,ROD SPN PRBNT 4MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,433721,INSERT TIB KN S5 RT 12MM,5094.0,5094.0,764.1,5094.0,30
CDM,433738,DEVICE EMBL 4.25MM 14MM,63712.0,63712.0,9556.8,63712.0,30
CDM,433739,CAGE SPN 12D 22X16X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,433740,SCREW SPN 4X12MM,3389.0,3389.0,508.35,3389.0,30
CDM,433741,SCREW SPN 4.0MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,433742,GWIRE SUT 1.1MM,1263.5,1263.5,189.53,1263.5,42
CDM,433743,INSERT TIB RT SZ7 12MM,5094.0,5094.0,764.1,5094.0,30
CDM,433744,CMPNT FEM HIP STD SZ2,7530.0,7530.0,1129.5,7530.0,30
CDM,433748,SCREW BN LCK 4MM 30MM,3143.0,3143.0,471.45,3143.0,30
CDM,433755,IMPLANT BREAST 610CC,4429.0,4429.0,664.35,4429.0,30
CDM,433756,IMPLANT BREAST 200CC,5315.0,5315.0,797.25,5315.0,30
CDM,433766,PLATE BN 5HL 2.0MM 38MM,2950.0,2950.0,442.5,2950.0,30
CDM,433767,SCREW BN 2MM 11MM,1330.0,1330.0,199.5,1330.0,30
CDM,433781,COMPNT STEM ROT KN MED,44277.0,44277.0,6641.55,44277.0,30
CDM,433782,WEDGE TIB KN 65X25X45MM,5108.0,5108.0,766.2,5108.0,30
CDM,433812,COIL EMBL LP 6MM 10CM,4429.0,4429.0,664.35,4429.0,30
CDM,433813,COIL EMBL LP 5MM 30CM,5670.0,5670.0,850.5,5670.0,30
CDM,433814,COIL EMBL LP 5MM 10CM,4429.0,4429.0,664.35,4429.0,30
CDM,433815,COIL EMBL 4MMX30CM,5670.0,5670.0,850.5,5670.0,30
CDM,433816,COIL EMBL 4MMX15CM,4429.0,4429.0,664.35,4429.0,30
CDM,433817,IMPLANT BREAST 400CC,5094.0,5094.0,764.1,5094.0,30
CDM,433818,CONE TIBIAL LG,20429.0,20429.0,3064.35,20429.0,30
CDM,433821,STEM TIBIAL CMNTLS 14MM,6777.0,6777.0,1016.55,6777.0,30
CDM,433823,STEM KN 130MM 18/14MM,6644.0,6644.0,996.6,6644.0,30
CDM,433829,INSERT TIB KN SZ6 8MM,6821.0,6821.0,1023.15,6821.0,30
CDM,433830,CMPNT FEM HIP SZ 5,7530.0,7530.0,1129.5,7530.0,30
CDM,433841,INTRO SHTH 5FR 25CM,464.0,464.0,69.6,464.0,42
CDM,433842,SHEATH WIRE 45D 63CM,4962.5,4962.5,744.38,4962.5,42
CDM,433843,SCREW BN 10MM 4MM,3189.0,3189.0,478.35,3189.0,30
CDM,433844,SUTURE LOOP 0.9MM,1316.0,1316.0,197.4,1316.0,30
CDM,433856,CMPNT FEM KN SZ4 L,7530.0,7530.0,1129.5,7530.0,30
CDM,433857,CAGE SPN 8D 60X18X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,433858,IMPL EYLD WGHT SPHR1.2GM,3721.0,3721.0,558.15,3721.0,30
CDM,433859,IMPL EYLD WGHT SPHR1.4GM,3646.0,3646.0,546.9,3646.0,30
CDM,433860,KIT CATH 1.2FR 25CM L-CT,1014.0,1014.0,152.1,1014.0,42
CDM,433861,SUTURE TP BLK/WHT 1.2MM,200.5,200.5,30.07,200.5,42
CDM,433862,INSERT ACTB HIP 46X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,433863,CERCLAGE TAPE W/O NEEDLE,3721.0,3721.0,558.15,3721.0,42
CDM,433871,CANNULA ORTHO VIS 8MM,870.0,870.0,130.5,870.0,42
CDM,433876,SCREW BN 2.5MM 15MM,2727.0,2727.0,409.05,2727.0,30
CDM,433878,PLATE BN 4HL 1.1MM,3534.0,3534.0,530.1,3534.0,30
CDM,433891,IMP WGT EYLD 0.65X16.6MM,3721.0,3721.0,558.15,3721.0,30
CDM,433895,LENS IOL 17.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,433896,SCREW BN RT 2MM,7782.0,7782.0,1167.3,7782.0,30
CDM,433897,RETAINER VISCERAL MED,298.0,298.0,44.7,298.0,42
CDM,433902,PLATE BN THORACIC LVL1,4682.0,4682.0,702.3,4682.0,30
CDM,433903,SCRW TMPMNDB FOS 2.3X9MM,845.0,845.0,126.75,845.0,30
CDM,433904,SCREW SPN 5.0X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,433905,SCREW SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,433906,SCREW SPN 6.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,433907,SCREW SPN 6.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,433908,CONN ROD SPN 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,433909,KIT LD LCK 85CM,4093.0,4093.0,613.95,4093.0,42
CDM,433910,CAP SPN FOR MTRX 5.5MM,753.0,753.0,112.95,753.0,30
CDM,433911,ROD SPN 5.5MM 320MM,3012.0,3012.0,451.8,3012.0,30
CDM,433912,CAGE SPN 12D 32X12X9M,8858.0,8858.0,1328.7,8858.0,30
CDM,433913,CAGE SPN 8D 8X32/12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,433930,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,433953,ROD SPN 5.5MM,5537.0,5537.0,830.55,5537.0,30
CDM,433954,SCREW SPN 9MM 90MM,7751.0,7751.0,1162.65,7751.0,30
CDM,433955,SPACER SPN OD 14X15MM,25312.0,25312.0,3796.8,25312.0,30
CDM,433956,IMPLANT BREAST 340CC,5315.0,5315.0,797.25,5315.0,30
CDM,433957,IMPLANT BREAST 375CC,5315.0,5315.0,797.25,5315.0,30
CDM,433958,AGENT HMSTC STATSL 2.2CM,297.5,297.5,44.63,297.5,42
CDM,433959,LENS IOL +18.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,433961,SCREW BN 3.5MM 38MM,2105.0,2105.0,315.75,2105.0,30
CDM,433990,NAIL BN LT 9X320MM 125D,6601.0,6601.0,990.15,6601.0,30
CDM,434009,STEM FEM 12/14 SZ0,8416.0,8416.0,1262.4,8416.0,30
CDM,434010,SCREW BN 3.75MM 38MM TI,3189.0,3189.0,478.35,3189.0,30
CDM,434011,OSTEOTOME 17MM,13046.0,13046.0,1956.9,13046.0,42
CDM,434012,OSTEOTOME STRT SZ14,13046.0,13046.0,1956.9,13046.0,42
CDM,434016,IMPL EYLD WGHT CRV 1.4GM,3683.0,3683.0,552.45,3683.0,30
CDM,434026,REAMER HEAD STRL 13.5MM,4093.0,4093.0,613.95,4093.0,42
CDM,434073,NDL CRYABL 1.5MM 175MM,8953.0,8953.0,1342.95,8953.0,42
CDM,434078,CATH ANGIO 5F 1.8MM 65CM,238.0,238.0,35.7,238.0,42
CDM,434079,IMPLANT SURG CUP 2.5CM,773.0,773.0,115.95,773.0,42
CDM,434080,ELECTRODE MNPLR 5MM 33CM,1938.5,1938.5,290.77,1938.5,42
CDM,434081,ELECTRODE MNPLR 5MM 33CM,1915.5,1915.5,287.32,1915.5,42
CDM,434082,NEEDLE SUT .024X1.024IN,106.0,106.0,15.9,106.0,42
CDM,434084,LINER ACTB HIP SZB 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,434085,LINER ACTB HIP 22MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,434086,BUTTON CBL 3.5MM,1934.0,1934.0,290.1,1934.0,30
CDM,434087,LINER ACTB HIP +5MM 36H,6644.0,6644.0,996.6,6644.0,30
CDM,434088,SCREW BN 4MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,434091,INSERT ARTC KN 74X46X17,5094.0,5094.0,764.1,5094.0,30
CDM,434094,INSERT TIB 8 16MM KN ALL,4606.0,4606.0,690.9,4606.0,30
CDM,434095,ROD SPN 4X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,434104,SCREW BN 3.5MM 26MM,3077.0,3077.0,461.55,3077.0,30
CDM,434117,DEVICE HYAL 10MG,575.0,575.0,86.25,575.0,30
CDM,434134,SCREW BN 2.7MM 42MM,558.0,558.0,83.7,558.0,30
CDM,434150,SCREW SPN 6.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,434171,SCREW SPN 8.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,434173,SCREW BN 4MM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,434186,INSERT TIBIA SZ6 LT 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,434187,TRAY TIB KN SZ6L,6201.0,6201.0,930.15,6201.0,30
CDM,434188,SCREW BN CANN 4X5X64MM,2261.0,2261.0,339.15,2261.0,30
CDM,434189,CMPNT FEM KN SZ6L,7530.0,7530.0,1129.5,7530.0,30
CDM,434190,COMPONENT TIBTRY 2 LT FX,5758.0,5758.0,863.7,5758.0,30
CDM,434191,INSERT TIB KN SZ2 17MM,5352.0,5352.0,802.8,5352.0,30
CDM,434192,END CAP SPN OVAL 19X16MM,11600.0,11600.0,1740.0,11600.0,30
CDM,434193,CUP SHLDR SZ3/4 42MM,8770.0,8770.0,1315.5,8770.0,30
CDM,434194,SCREW SPN 9.0MM 80MM,7751.0,7751.0,1162.65,7751.0,30
CDM,434195,CAGE SPN 24D 40X28X18MM,20285.0,20285.0,3042.75,20285.0,30
CDM,434196,TRAY TIB KN SZ5L,6201.0,6201.0,930.15,6201.0,30
CDM,434197,SUTURE ENDO DISP,6523.0,6523.0,978.45,6523.0,42
CDM,434199,STENT EPRSTH 4.2X34MM 5C,42295.0,42295.0,6344.25,42295.0,30
CDM,434200,SUTURE 2-0 POLY,773.0,773.0,115.95,773.0,42
CDM,434201,SUTURE CINCH ENDO,1357.5,1357.5,203.63,1357.5,42
CDM,434203,CMPNT PTLA KN 35MM,4428.0,4428.0,664.2,4428.0,30
CDM,434204,CMPNT FEM KN SZ6,7973.0,7973.0,1195.95,7973.0,30
CDM,434210,SCREW SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,434211,SCREW SPN 5.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,434212,CAGE SPN 4D 22X9X7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,434213,CAGE SPN 12D 28X10X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,434214,SCREW BN 4MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,434215,SCREW BN 4X44MM,3189.0,3189.0,478.35,3189.0,30
CDM,434216,SCREW SPN 7.5MM 70MM,3012.0,3012.0,451.8,3012.0,30
CDM,434217,SCREW SPN 7.5MM 65MM,3012.0,3012.0,451.8,3012.0,30
CDM,434218,PLATE BN 8H 3.5/4.5MM,9710.0,9710.0,1456.5,9710.0,30
CDM,434219,NDL SUT KEITH 4IN,72.5,72.5,10.88,72.5,42
CDM,434222,SCREW BN 2.7MM 30MM,558.0,558.0,83.7,558.0,30
CDM,434228,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,434229,LIGHT SURG INTERNAL,2046.5,2046.5,306.98,2046.5,42
CDM,434237,STEM HIP STD CMNT SZ1,6644.0,6644.0,996.6,6644.0,30
CDM,434240,ICD MRI IS1 DF1,31575.0,31575.0,4736.25,31575.0,30
CDM,434241,TUBE TRACH 6.5MM,563.0,563.0,84.45,563.0,42
CDM,434250,INSRT ACTB HIP 32X52MM,4606.0,4606.0,690.9,4606.0,30
CDM,434257,GUIDEWIRE PACK 01.7MM,386.5,386.5,57.98,386.5,42
CDM,434258,CAGE SPN 12D 45X22X14MM,13287.0,13287.0,1993.05,13287.0,30
CDM,434259,FLEX ALLOPATCH HD 1SQCM,537.0,537.0,80.55,537.0,29
CDM,434260,WASHER BN 4.5MM,682.0,682.0,102.3,682.0,30
CDM,434268,STENT BIL 12MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,434269,STENT BIL 12MM 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,434270,MESH SURG 40CM 50CM,65749.0,65749.0,9862.35,65749.0,30
CDM,434272,SCREW SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,434273,SCREW SPN 5.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,434274,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,434275,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,434276,SCREW SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,434277,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,434278,SCREW SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,434279,SCREW SPN 8.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,434281,SCREW SPN 8.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,434283,CATH VASC 25F20CM 55CM,3667.5,3667.5,550.13,3667.5,42
CDM,434284,KIT CSTM PLAN,34548.5,34548.5,5182.27,34548.5,42
CDM,434287,SCREW BN 5MM,2312.0,2312.0,346.8,2312.0,30
CDM,434288,CATH ANGIO 4FR 150CM,1449.0,1449.0,217.35,1449.0,42
CDM,434289,CATH BLNDIL 2MM 8MM,1948.5,1948.5,292.27,1948.5,42
CDM,434290,IMPLANT ELCTRDARY ASMBLY,73012.0,73012.0,13441.51,73012.0,26
CDM,434291,BLD SW 91.5X25X1.27MM SG,335.5,335.5,50.33,335.5,42
CDM,434292,BLADE SAW 9MM 31MM,561.5,561.5,84.22,561.5,42
CDM,434293,CATH BLNDIL 2MM 12MM,1948.5,1948.5,292.27,1948.5,42
CDM,434294,CATH BLNDIL 2.25MM 12MM,1948.5,1948.5,292.27,1948.5,42
CDM,434295,CATH BLNDIL 2.25MM 15MM,1948.5,1948.5,292.27,1948.5,42
CDM,434298,KIT NUCLEUS 3 PROCESSOR,60650.5,60650.5,10310.58,60650.5,38
CDM,434299,KIT CHST DRN VLV REPL,633.5,633.5,95.03,633.5,42
CDM,434300,KIT DRAINAGE LINE,667.0,667.0,100.05,667.0,42
CDM,434301,ELECTRODE ESURG 45CM,545.0,545.0,81.75,545.0,42
CDM,434312,NEEDLE 22GA 4CM 1.8MM,2202.0,2202.0,330.3,2202.0,42
CDM,434313,NEEDLE 22GA 4CM 1.8MM,2365.5,2365.5,354.82,2365.5,42
CDM,434314,CATH DIAG ENDO 120D 65CM,14069.0,14069.0,2110.35,14069.0,42
CDM,434315,BURR SURG 3MM RND DMD XT,1023.5,1023.5,153.53,1023.5,42
CDM,434316,BURR DMD .5 RND,1023.5,1023.5,153.53,1023.5,42
CDM,434317,BURR RND DMD 10MM,1023.5,1023.5,153.53,1023.5,42
CDM,434320,CMPNT FEM HIP SZ6,7530.0,7530.0,1129.5,7530.0,30
CDM,434321,NAIL BN FEM 11X400MM,5789.0,5789.0,868.35,5789.0,30
CDM,434322,BSKT RTRVL 120CM 80MM,1964.5,1964.5,294.68,1964.5,42
CDM,434323,GWIRE GI .035 IN 180CM,1023.5,1023.5,153.53,1023.5,42
CDM,434324,GWIRE VASC 3CM 180CM,1023.5,1023.5,153.53,1023.5,42
CDM,434325,BIT DRL HD BN FLX CLCK,1580.0,1580.0,237.0,1580.0,42
CDM,434326,SCREW BN 3.0MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,434327,STEM FEM REV 15X250MM,9478.0,9478.0,1421.7,9478.0,30
CDM,434328,LENS IOL +20.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,434329,SHUNT ENDO 10F 10MMX5CM,22345.0,22345.0,3351.75,22345.0,30
CDM,434330,SHUNT ENDO 10F 10MMX6CM,22345.0,22345.0,3351.75,22345.0,30
CDM,434331,SHUNT ENDO 10F 6MMX7CM,22345.0,22345.0,3351.75,22345.0,30
CDM,434332,SHUNT ENDO 10F 6MMX8CM,22345.0,22345.0,3351.75,22345.0,30
CDM,434333,PLATE BN 3.5MM 115MM,4429.0,4429.0,664.35,4429.0,30
CDM,434334,INTERBODY 7D 20X15X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,434335,PLATE SPN CERV LV3 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,434336,ROD SPN HEX 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,434338,SCREW SPNL 2.7X7MM,753.0,753.0,112.95,753.0,30
CDM,434339,PLATE SPN LMNPLSTY MED,3389.0,3389.0,508.35,3389.0,30
CDM,434340,ROD SPN CRV 100X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,434344,ROD SPN 4MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,434359,INSERT TIB RT SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,434388,TUBE TRACH 8.5MM,563.0,563.0,84.45,563.0,42
CDM,434398,CMPNT FEM KN SZ 4+L,7530.0,7530.0,1129.5,7530.0,30
CDM,434399,CAGE SPN 7D 17X15X10MM,8083.0,8083.0,1212.45,8083.0,30
CDM,434400,CNNCTR SPN END-END 4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,434401,SCREW BN 3.5MM 48MM,2471.0,2471.0,370.65,2471.0,30
CDM,434404,CMPNT FEM KN LT S5,7530.0,7530.0,1129.5,7530.0,30
CDM,434406,CMPNT FEM HIP SZ3,7530.0,7530.0,1129.5,7530.0,30
CDM,434408,PLATE BN CRRT 6H 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,434414,EXPANDER TISSUE 440CC,7973.0,7973.0,1195.95,7973.0,30
CDM,434416,CURETTE CRV SHLW 11GA,3683.5,3683.5,552.52,3683.5,42
CDM,434417,NEEDLE BN BX 2.7MMX25CM,1228.0,1228.0,184.2,1228.0,42
CDM,434418,NECK FEM HIP COCR LONG,4252.0,4252.0,637.8,4252.0,30
CDM,434422,WEDGE FEM KN SZ3,6312.0,6312.0,946.8,6312.0,30
CDM,434423,STEM FEM KN SZ3,23823.0,23823.0,3573.45,23823.0,30
CDM,434425,BUTTON GSTRM 16FR 1.2CM,993.0,993.0,148.95,993.0,42
CDM,434427,STENT GRAFT 16X10X199MM,14938.0,14938.0,2240.7,14938.0,30
CDM,434430,INSERT TIB KN SZ2 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,434431,SET INSTR KN DISP,773.0,773.0,115.95,773.0,42
CDM,434432,SET INSTRUMENT INSERT KN,773.0,773.0,115.95,773.0,42
CDM,434433,PLATE SPN 4LVL 76MM,4429.0,4429.0,664.35,4429.0,30
CDM,434434,SCREW BN SPN 4.6MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,434435,SCREW BN F-T 4.6X26MM,3189.0,3189.0,478.35,3189.0,30
CDM,434436,SCREW BN LCK 2.3X15MM,899.0,899.0,134.85,899.0,30
CDM,434438,SCREW SPNL STR 4.5X35MM,3389.0,3389.0,508.35,3389.0,30
CDM,434441,INTRO SHEATH 15FR 33CM,3438.0,3438.0,515.7,3438.0,42
CDM,434444,TRAIL HIP DISP 56/58/60,4093.0,4093.0,613.95,4093.0,42
CDM,434446,FLEX ALLOPATCH HD 1SQCM,397.0,397.0,59.55,397.0,29
CDM,434451,COMPONENT FEM KN S1+L,6201.0,6201.0,930.15,6201.0,30
CDM,434452,SET INSTR FEM S1,773.0,773.0,115.95,773.0,42
CDM,434453,CMPNT FEM KN SZ 5R,7530.0,7530.0,1129.5,7530.0,30
CDM,434454,TRAY TIB KN SZ 5R,6201.0,6201.0,930.15,6201.0,30
CDM,434456,DEVICE VNTRC ASST 4MM,4385.5,4385.5,657.83,4385.5,42
CDM,434457,DEVICE VNTRC ASST 4.5MM,4385.5,4385.5,657.83,4385.5,42
CDM,434459,CATH ANGIO 5FR 125CM,231.5,231.5,34.73,231.5,42
CDM,434460,WASHER BN FLAT 3MM,319.0,319.0,47.85,319.0,30
CDM,434462,CMPNT FEM HIP SZ5,7530.0,7530.0,1129.5,7530.0,30
CDM,434463,HEAD HUM SHLDR 15MM 41MM,21703.0,21703.0,3255.45,21703.0,30
CDM,434464,INSTRUMENT SUT 15CM,464.0,464.0,69.6,464.0,42
CDM,434465,INSTRUMENT SUT 25CM,464.0,464.0,69.6,464.0,42
CDM,434466,GLENOSPHERE SHLDR 38MM,6865.0,6865.0,1029.75,6865.0,30
CDM,434467,KIT BN GRFT 11GA 120MM,17468.5,17468.5,2620.28,17468.5,42
CDM,434468,LINER SHLDR RVRS 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,434469,KWIRE FX 0.9MM 150MM,347.0,347.0,52.05,347.0,42
CDM,434470,CMPNT FEM HIP STD SZ8,7530.0,7530.0,1129.5,7530.0,30
CDM,434471,MESH SURG 10X20CM,14838.0,14838.0,2225.7,14838.0,30
CDM,434472,INSERT TIB KN SZ6 18MM,8309.0,8309.0,1246.35,8309.0,30
CDM,434473,SCREW BN SPN 4MM 38MM,3389.0,3389.0,508.35,3389.0,30
CDM,434474,SCREW SPN 34MM,3765.0,3765.0,564.75,3765.0,30
CDM,434475,IMPLANT BREAST 160CC,5094.0,5094.0,764.1,5094.0,30
CDM,434476,INTRO SHEATH 22FR 33CM,4093.0,4093.0,613.95,4093.0,42
CDM,434477,GWIRE .016IN 180CM,2706.5,2706.5,405.98,2706.5,42
CDM,434479,PLATE BN LCK LG 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,434480,SCREW SPN 8.5X100MM,3765.0,3765.0,564.75,3765.0,30
CDM,434482,CMPNT FEM KN CUSTOM,149612.0,149612.0,22441.8,149612.0,30
CDM,434483,STYLET KIT PACING 75CM,773.0,773.0,115.95,773.0,42
CDM,434484,SEALANT DURA MATER,4429.0,4429.0,664.35,4429.0,30
CDM,434485,SYSTEM KNOTLES AC REPAIR,8720.0,8720.0,1308.0,8720.0,30
CDM,434487,SCREW BN 5.2MM 38MM,2272.0,2272.0,340.8,2272.0,30
CDM,434488,SCREW BN 4X40MM,3189.0,3189.0,478.35,3189.0,30
CDM,434489,SCREW BN 7X60MM,4415.0,4415.0,662.25,4415.0,30
CDM,434493,SCREW BN 3.5MM 34MM,1356.0,1356.0,203.4,1356.0,30
CDM,434494,MARKER TISS W/DLV 7.5CM,3422.0,3422.0,513.3,3422.0,30
CDM,434495,SYSTEM DEL SAVI NDL 10CM,3422.0,3422.0,513.3,3422.0,30
CDM,434497,CAGE SPN 20D 31X9X11MM,15059.0,15059.0,2258.85,15059.0,30
CDM,434498,STAPLE SURG 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,434499,STENT PANC 15MM 15MM,21791.0,21791.0,3268.65,21791.0,30
CDM,434500,SCREW BN 3.5MM 36MM,1356.0,1356.0,203.4,1356.0,30
CDM,434501,SCREW BN 3.5MM 34MM,1244.0,1244.0,186.6,1244.0,30
CDM,434502,SCREW BN 3.5MM 36MM,1244.0,1244.0,186.6,1244.0,30
CDM,434503,PLATE BN 4HL 15MM,4859.0,4859.0,728.85,4859.0,30
CDM,434506,RELOAD STPLR 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,434507,RELOAD STPLR 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,434511,MESH GYN RND 8CM,6202.0,6202.0,930.3,6202.0,30
CDM,434512,CAGE SPN 7D 12X14X29MM,26199.0,26199.0,3929.85,26199.0,30
CDM,434513,GWIRE VASC 200CM .014IN,1310.0,1310.0,196.5,1310.0,42
CDM,434517,TROCAR BLN KYPHPL 10GA,386.5,386.5,57.98,386.5,42
CDM,434518,STENT ILIOFEM 14X60MM,5069.0,5069.0,760.35,5069.0,30
CDM,434519,STENT ILIOFEM 10X150MM,5407.0,5407.0,811.05,5407.0,30
CDM,434520,COMP FEM KN RT V40,14665.0,14665.0,2199.75,14665.0,30
CDM,434521,CONNECTION PC 80MM LT,12747.0,12747.0,1912.05,12747.0,30
CDM,434522,INSERT TIB KN SZ2 16MM,6737.0,6737.0,1010.55,6737.0,30
CDM,434523,STEM RADIAL ELB 5.5MM,10196.0,10196.0,1529.4,10196.0,30
CDM,434524,HEAD RADIAL +2MM OD18MM,8579.0,8579.0,1286.85,8579.0,30
CDM,434525,ANCHOR SUT 1.4MM,3608.0,3608.0,541.2,3608.0,30
CDM,434526,AUGMENT TIB KN RT 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,434531,SHELL ACTB HIP 36MM 68MM,4429.0,4429.0,664.35,4429.0,30
CDM,434532,STEM FEM HIP 14X125.5MM,8937.0,8937.0,1340.55,8937.0,30
CDM,434533,CAGE SPN 7X12X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,434534,CAGE SPN 14X2.3-5X12 7D,4429.0,4429.0,664.35,4429.0,30
CDM,434535,CMPNT TIB KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,434536,INSERT TIB KN SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,434537,STENT ILIOFEM 12X150MM,5407.0,5407.0,811.05,5407.0,30
CDM,434538,STENT ILIOFEM 10X60MM,5069.0,5069.0,760.35,5069.0,30
CDM,434539,STENT ILIOFEM 18X60MM,5069.0,5069.0,760.35,5069.0,30
CDM,434542,SCREW BN 2.5MM 26MM,3077.0,3077.0,461.55,3077.0,30
CDM,434543,WSHR BN HD 2.5MM,319.0,319.0,47.85,319.0,30
CDM,434545,SCREW BN 3.5MM 22MM,3077.0,3077.0,461.55,3077.0,30
CDM,434546,PLATE BN 2HL 15MM 15MM,4567.0,4567.0,685.05,4567.0,30
CDM,434547,HEAD FEM HIP 6D 0MM,1170.0,1170.0,175.5,1170.0,30
CDM,434548,CAGE SPNL 16X14X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,434550,SCREW SPN 4MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,434551,ELECTRODE ENDO BLDE 6IN,71.5,71.5,10.72,71.5,42
CDM,434552,SCREW BN 2.5MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,434553,SCREW SPN 4.3MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,434562,CAGE SPN 10D 39X30X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,434564,WEDGE FEM KN 1/5MM,4606.0,4606.0,690.9,4606.0,30
CDM,434565,SCREW SPN 4.0MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,434567,CONNECTOR BN M-AXL 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,434568,NEEDLE CRYO 1.5X175M,8953.0,8953.0,1342.95,8953.0,42
CDM,434569,STEM FEM 130MM 21/17MM,6644.0,6644.0,996.6,6644.0,30
CDM,434570,SCREW SPN 5.5X55MM,3012.0,3012.0,451.8,3012.0,30
CDM,434586,NAIL BN 9MM 170MM,4429.0,4429.0,664.35,4429.0,30
CDM,434587,SCREW SPN P-AX 5.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,434588,ROD SPNL 500X4MM,3012.0,3012.0,451.8,3012.0,30
CDM,434589,SCREW BN 7.0MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,434590,PLATE BN LT 6HL,8928.0,8928.0,1339.2,8928.0,30
CDM,434591,CURRETTE CURV 11GA,3683.5,3683.5,552.52,3683.5,42
CDM,434604,ELECTRD ESURG 2.4MM 13CM,148.0,148.0,22.2,148.0,42
CDM,434605,ELECTRODE ESURG 13CM,181.5,181.5,27.23,181.5,42
CDM,434606,PLATE TIB KN SZ 6,4606.0,4606.0,690.9,4606.0,30
CDM,434607,INSERT TIB KN SZ6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,434608,CAGE SPN 7D 12X15X5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,434609,SCREW SPN 3.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,434610,SCREW SPN 3.5MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,434611,KIT KYPHOPLASTY 10G 15MM,4604.5,4604.5,690.67,4604.5,42
CDM,434612,STEM XTN KN 13MM 65MM,4606.0,4606.0,690.9,4606.0,30
CDM,434613,SCREW BN 10.35X110MM,3291.0,3291.0,493.65,3291.0,30
CDM,434614,KIT KYPHOPLASTY 10G 20MM,4604.5,4604.5,690.67,4604.5,42
CDM,434615,STENT URET 8FR 22MM,1403.0,1403.0,210.45,1403.0,30
CDM,434617,CMPNT FEM HIP SZ 4,7530.0,7530.0,1129.5,7530.0,30
CDM,434622,CMPNT FEM KN MED LT,32056.0,32056.0,4808.4,32056.0,30
CDM,434623,CMPNT FEM KN +HA S2+L,7530.0,7530.0,1129.5,7530.0,30
CDM,434624,PROSTHESIS ROT KN 75MM,44277.0,44277.0,6641.55,44277.0,30
CDM,434625,STEM FEM KN RT 75MM,32056.0,32056.0,4808.4,32056.0,30
CDM,434626,SCREW SPN PDCL 7.5X60MM,3389.0,3389.0,508.35,3389.0,30
CDM,434634,SCREW BN 2.7MM 34MM,558.0,558.0,83.7,558.0,30
CDM,434644,SCREW SPN PDCL 8.5X60MM,3389.0,3389.0,508.35,3389.0,30
CDM,434645,BLADE SRTR ACTB CUP 48MM,5047.0,5047.0,757.05,5047.0,42
CDM,434646,BLADE FNSH ACTB CUP 48MM,5047.0,5047.0,757.05,5047.0,42
CDM,434647,TUBING ANGIO PRSSR 48IN,107.0,107.0,16.05,107.0,42
CDM,434648,SCREW SPN PDCL 8.5X55MM,3389.0,3389.0,508.35,3389.0,30
CDM,434649,SCREW SPN PDCL 7.5X55MM,3389.0,3389.0,508.35,3389.0,30
CDM,434683,SCREW SET SPNL,753.0,753.0,112.95,753.0,30
CDM,434684,SCREW SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,434685,SCREW SPN 8.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,434686,SCREW SPN 8.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,434687,SCREW SPN 5.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,434688,SCREW SPN 7.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,434689,SCREW BN 4.75X34MM,1913.0,1913.0,286.95,1913.0,30
CDM,434690,SCREW BN 4.75X38MM,1913.0,1913.0,286.95,1913.0,30
CDM,434691,SCREW BN 4.75X34MM,1913.0,1913.0,286.95,1913.0,30
CDM,434692,CAGE SPN 18D 20-26MM,37868.0,37868.0,5680.2,37868.0,30
CDM,434693,ENDPLATE SPN 0D 18MM,8371.0,8371.0,1255.65,8371.0,30
CDM,434694,ENDPLATE SPN 3D 18MM,8371.0,8371.0,1255.65,8371.0,30
CDM,434695,ENDPLATE SPN 8D 18MM,8371.0,8371.0,1255.65,8371.0,30
CDM,434696,PLLNR HIP 10D5MM 48X32MM,34232.0,34232.0,5134.8,34232.0,30
CDM,434697,PLLNR HIP 10D4MM 48X32MM,28652.0,28652.0,4297.8,28652.0,30
CDM,434700,GRAFT BN FRZ SM,3012.0,3012.0,451.8,3012.0,30
CDM,434701,GRAFT BN TRN MED 5.3CC,6135.0,6135.0,920.25,6135.0,30
CDM,434702,GRAFT BN ALGRF 10.6CC,11516.0,11516.0,1727.4,11516.0,30
CDM,434703,GUIDE KIT RECON CUSTOM,77213.5,77213.5,11582.02,77213.5,42
CDM,434704,ROD SPN 150MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,434706,CMPNT FEM HIP SZ0,7530.0,7530.0,1129.5,7530.0,30
CDM,434707,HEAD FEM HIP 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,434708,KIT BLN KYPHPL 10GA 20MM,9209.0,9209.0,1381.35,9209.0,42
CDM,434709,INSERT RVRS SHLDR SZ3/4,8770.0,8770.0,1315.5,8770.0,30
CDM,434710,BODY HUM SHLDR LT 50MM,16505.0,16505.0,2475.75,16505.0,30
CDM,434711,STEM HUM SHLDR 4MM 150MM,9580.0,9580.0,1437.0,9580.0,30
CDM,434712,CMPNT SHLDR 36MM 4MM,4917.0,4917.0,737.55,4917.0,30
CDM,434713,CMPNT ULN ELB SZ5/6,4790.0,4790.0,718.5,4790.0,30
CDM,434714,DRILL AO QC 1.8 X 190 MM,1269.0,1269.0,190.35,1269.0,42
CDM,434715,SCREW BN 3.5MM 60MM,1754.0,1754.0,263.1,1754.0,30
CDM,434717,SCREW BN 3.5MM 65MM,1754.0,1754.0,263.1,1754.0,30
CDM,434720,SCREW BN 3.5MM 30MM,335.0,335.0,50.25,335.0,30
CDM,434721,PLATE BN PROX 2HL 88MM,9058.0,9058.0,1358.7,9058.0,30
CDM,434722,SCREW BN 3.5MM 40MM,335.0,335.0,50.25,335.0,30
CDM,434723,SCREW BN NLCK 3.5X60MM,335.0,335.0,50.25,335.0,30
CDM,434724,SCREW BN LCK 2.5X65MM,1882.0,1882.0,282.3,1882.0,30
CDM,434725,SCREW BN 2.5MM 70MM,1882.0,1882.0,282.3,1882.0,30
CDM,434726,KIT BLN KYPHPL 20MM,11511.0,11511.0,1726.65,11511.0,42
CDM,434727,KIT BLN KYPHPL 15MM,11511.0,11511.0,1726.65,11511.0,42
CDM,434729,IMPL DISC SPN HT 4 SZ2,21703.0,21703.0,3255.45,21703.0,30
CDM,434731,CAGE SPN 6D 12X14X11MM,50934.0,50934.0,7640.1,50934.0,30
CDM,434732,CAGE SPN 7D 6X13X14MM,8416.0,8416.0,1262.4,8416.0,30
CDM,434734,WEDGE BN COTTON 7MM,6112.0,6112.0,916.8,6112.0,30
CDM,434735,WEDGE BN EVANS 8MM,7175.0,7175.0,1076.25,7175.0,30
CDM,434737,STEM FEM HIP 19MM 190MM,17306.0,17306.0,2595.9,17306.0,30
CDM,434738,CATH GD ERADL 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,434740,GRAFT BN WDG 5MM,6112.0,6112.0,916.8,6112.0,30
CDM,434745,GRAFT BN WDG 6MM,6112.0,6112.0,916.8,6112.0,30
CDM,434746,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,434747,CAGE SPNL 10D 10X18X60MM,13287.0,13287.0,1993.05,13287.0,30
CDM,434748,PLATE SPN 6MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,434749,IMPLANT TOE CANN 2.75MM,4540.0,4540.0,681.0,4540.0,30
CDM,434750,ELECTRODE ESURG 36CM,432.5,432.5,64.88,432.5,42
CDM,434751,GRAFT BN WDG 8MM,6112.0,6112.0,916.8,6112.0,30
CDM,434752,SCREW SPN 8.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,434753,ROD SPN 500MM 5.5MM 4MM,5537.0,5537.0,830.55,5537.0,30
CDM,434754,SCREW SPN 8.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
CDM,434755,NEEDLE SUT C-13 RVRS CUT,308.5,308.5,46.27,308.5,42
CDM,434756,GRAFT BN WDG 6MM,7175.0,7175.0,1076.25,7175.0,30
CDM,434757,RASP SURG 14X7MM,949.5,949.5,142.43,949.5,42
CDM,434758,BLADE SAW 18.5X9MM,378.0,378.0,56.7,378.0,42
CDM,434759,PLATE SPN -6D 12X14X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,434760,SCREW SPN 14MM 4MM,1130.0,1130.0,169.5,1130.0,30
CDM,434761,SCREW SPN 8.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,434762,SCREW SPN 8.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,434763,SCREW SPN 8.5MM 80MM,3389.0,3389.0,508.35,3389.0,30
CDM,434764,SCREW BN 3.5X16M,2727.0,2727.0,409.05,2727.0,30
CDM,434765,SCREW BN 4MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,434768,GRAFT BN WDG 12MM,7175.0,7175.0,1076.25,7175.0,30
CDM,434769,GRAFT BN 18MM,9301.0,9301.0,1395.15,9301.0,30
CDM,434770,ELECTRODE NDL 1.5INX26GA,231.5,231.5,34.73,231.5,42
CDM,434771,SCREW BN 6.5MM 35MM,1595.0,1595.0,239.25,1595.0,30
CDM,434772,SCREW BN 12.7MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,434773,RELOAD STPLR 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,434774,CMPNT HIP CSTM,149612.0,149612.0,22441.8,149612.0,30
CDM,434777,SCREW SPN RES FX 4.5X12,1130.0,1130.0,169.5,1130.0,30
CDM,434778,PLATE SPN CERV 1LVL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,434779,HEAD HUM SHLDR 14X39MM,21703.0,21703.0,3255.45,21703.0,30
CDM,434780,SCREW BN 6.5MM 55MM,1595.0,1595.0,239.25,1595.0,30
CDM,434781,SCREW BN 6.5MM 110MM,1595.0,1595.0,239.25,1595.0,30
CDM,434782,CMPNT FEM HIP SZ 7,7530.0,7530.0,1129.5,7530.0,30
CDM,434783,CATH VASC DEL 95CM,4579.0,4579.0,686.85,4579.0,42
CDM,434784,GRAFT BN WDG UNIV 14MM,7441.0,7441.0,1116.15,7441.0,30
CDM,434785,GRAFT WDGE CALC CUB 18MM,7069.0,7069.0,1060.35,7069.0,30
CDM,434793,CAGE SPN 45X18X8MM 10D,13287.0,13287.0,1993.05,13287.0,30
CDM,434803,CMPNT FEM KN SZ6R,7530.0,7530.0,1129.5,7530.0,30
CDM,434804,CMPNT TIB KN 4R,6201.0,6201.0,930.15,6201.0,30
CDM,434805,CMPNT FEM KN SZ4R,7530.0,7530.0,1129.5,7530.0,30
CDM,434806,SPACER SPN 7D 16X13X7MM,7795.0,7795.0,1169.25,7795.0,30
CDM,434809,INSERT KN REV SM 14MM,17705.0,17705.0,2655.75,17705.0,30
CDM,434810,INTERBODY 7D 18X15X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,434814,STENT ENDO 9X79MM 135CM,12812.0,12812.0,1921.8,12812.0,30
CDM,434820,CAGE SPN 7D 14X17X7MM,8416.0,8416.0,1262.4,8416.0,30
CDM,434823,CMPNT SHLDR SZ3/4 36MM,8770.0,8770.0,1315.5,8770.0,30
CDM,434825,CATH THRMB .088IN 100CM,15322.5,15322.5,2298.38,15322.5,42
CDM,434826,CATH THRMB 160CM .045IN,12713.5,12713.5,1907.03,12713.5,42
CDM,434827,CAGE SPN 12D 32X22X12MM,20197.0,20197.0,3029.55,20197.0,30
CDM,434828,CAGE SPN 12D 36X25X16MM,20197.0,20197.0,3029.55,20197.0,30
CDM,434829,CATH ABL 8FR 115CM,47323.0,47323.0,7098.45,47323.0,42
CDM,434831,PATCH IMPED LOCALIZATION,5116.0,5116.0,767.4,5116.0,42
CDM,434833,SCREW BN 2.7MM 42MM,2471.0,2471.0,370.65,2471.0,30
CDM,434834,IMPLANT MESH SURG SMALL,14829.0,14829.0,2224.35,14829.0,30
CDM,434844,SCREW MONSTER 3.5X30MM,3189.0,3189.0,478.35,3189.0,30
CDM,434849,DEVICE INFLATION 20ML,402.0,402.0,60.3,402.0,42
CDM,434851,SCREW SHRT HDLS 5.0X34MM,3189.0,3189.0,478.35,3189.0,30
CDM,434852,SLEEVE CNTRNG 13.5X7 24F,4252.0,4252.0,637.8,4252.0,30
CDM,434853,NAIL BN 9.3MM 11MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,434854,PLEDGET CV 9.5X8.4X1.5MM,85.0,85.0,12.75,85.0,42
CDM,434855,HEAD HUM SHLDR 19MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,434858,WICK EAR 9CM,188.5,188.5,28.27,188.5,42
CDM,434860,CEMENT BN PMMA,2153.0,2153.0,322.95,2153.0,30
CDM,434861,CATH ABL 8FR 115CM,13997.5,13997.5,2099.63,13997.5,42
CDM,434862,DRESSING WND ANMC 2X5IN,260.0,260.0,39.0,260.0,42
CDM,434863,SCREW BN 2.5MM 34MM,2044.0,2044.0,306.6,2044.0,30
CDM,434867,PLATE BN HK RT 6HL 1.2MM,5662.0,5662.0,849.3,5662.0,30
CDM,434869,TUBING SMOKE EVAC 10FT,231.5,231.5,34.73,231.5,42
CDM,434870,CATH MAP 15-25MM 117CM,8058.0,8058.0,1208.7,8058.0,42
CDM,434871,LENS IOL +13.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,434875,NAIL BN FEM 10D 11X360MM,6644.0,6644.0,996.6,6644.0,30
CDM,434876,STEM FEM HIP STD SZ11,8416.0,8416.0,1262.4,8416.0,30
CDM,434877,ALLODERM 1SQCM,1295.0,1295.0,194.25,1295.0,29
CDM,434878,SCREW SPN 3.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,434879,ROD SPN PRBNT 4MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,434880,CATH DRN 25FR,4093.0,4093.0,613.95,4093.0,42
CDM,434884,CATH 3D MAP F-J 36P SM,10447.0,10447.0,1567.05,10447.0,42
CDM,434885,SCRAPER BN 8MM 90MM,5116.0,5116.0,767.4,5116.0,42
CDM,434886,SCREW SPN 5.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,434887,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,434888,SCREW SPN 6.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,434889,SCREW SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,434890,SCREW SPN 6.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,434891,CONN ROD SPN 42-58MM,3012.0,3012.0,451.8,3012.0,30
CDM,434892,SCREW BN 6.5MM 90MM,1595.0,1595.0,239.25,1595.0,30
CDM,434893,STEM HD SHLDR LOW 18X48,21703.0,21703.0,3255.45,21703.0,30
CDM,434895,SCREW BN 6.5MM 65MM,1595.0,1595.0,239.25,1595.0,30
CDM,434896,CATHETER BALLOON 8F 95CM,8927.5,8927.5,1339.13,8927.5,42
CDM,434897,SCREW BN 6.5MM 55MM,1595.0,1595.0,239.25,1595.0,30
CDM,434898,LENS IOL +18.5 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,434902,BLADE TRPHN 16MM,3479.0,3479.0,521.85,3479.0,42
CDM,434904,TRAY PELVIC HIP RECON,160299.0,160299.0,24044.85,160299.0,30
CDM,434906,SHEARS ESURG 5MM 36CM,2719.5,2719.5,407.93,2719.5,42
CDM,434907,GWIRE ORTH 2X7 8X8,1064.5,1064.5,159.68,1064.5,42
CDM,434908,BIT SURG ORTH 3.8MM,1228.0,1228.0,184.2,1228.0,42
CDM,434909,SCREW BN 4.75MM 42MM,1913.0,1913.0,286.95,1913.0,30
CDM,434910,NEEDLE EBUS 19G,2202.0,2202.0,330.3,2202.0,42
CDM,434911,SCREW BN 4.75X38MM,1913.0,1913.0,286.95,1913.0,30
CDM,434912,SCREW BN 4.75X26MM,1913.0,1913.0,286.95,1913.0,30
CDM,434913,BIT SURG ORTH 6MM,3151.5,3151.5,472.73,3151.5,42
CDM,434914,IMPLANT BREAST 425CC,3721.0,3721.0,558.15,3721.0,30
CDM,434915,STENT EPRSTH 5CM 13MM,11416.0,11416.0,1712.4,11416.0,30
CDM,434925,PLATE BN 11H,4429.0,4429.0,664.35,4429.0,30
CDM,434926,CMPNT MNDB NAR RT 50MM,12481.0,12481.0,1872.15,12481.0,30
CDM,434927,CMPNT MNDB NAR LT 45MM,12481.0,12481.0,1872.15,12481.0,30
CDM,434928,SYSTEM ACC TRANSPERINEAL,2169.5,2169.5,325.43,2169.5,42
CDM,434929,SCOPE NEEDLE 125MM,4093.0,4093.0,613.95,4093.0,42
CDM,434930,KIT SHEATH NDL 125MM,1023.5,1023.5,153.53,1023.5,42
CDM,434932,FLEX ALLOPATCH HD 1SQCM,357.0,357.0,53.55,357.0,29
CDM,434933,GRAFTJACKET 1SQCM,1399.0,1399.0,209.85,1399.0,29
CDM,434933,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",1399.0,1399.0,110.03,336.92,5
CDM,434934,CMPNT FEM HIP SZ8,7530.0,7530.0,1129.5,7530.0,30
CDM,434939,MESH SURG 10CM 20CM,12402.0,12402.0,1860.3,12402.0,30
CDM,434940,PLATE BN IPS CSTM 6AL-4V,9761.0,9761.0,1464.15,9761.0,30
CDM,434941,STEM FEM KN 16/11X160MM,6755.0,6755.0,1013.25,6755.0,30
CDM,434942,STEM KN 130MM 17/13MM,6644.0,6644.0,996.6,6644.0,30
CDM,434943,STEM TIB KN100MM 15/12MM,6644.0,6644.0,996.6,6644.0,30
CDM,434944,SCREW BN CANN 5.5X90MM,3189.0,3189.0,478.35,3189.0,30
CDM,434945,PLATE DIST ANT 11HL,4429.0,4429.0,664.35,4429.0,30
CDM,434948,LENS IOL +19.5 DIOP,630.0,630.0,115.98,630.0,28
CDM,434951,PACK CATH GD VASC 100CM,51155.0,51155.0,7673.25,51155.0,42
CDM,434952,PACK CATH GD VASC 100CM,51155.0,51155.0,7673.25,51155.0,42
CDM,434978,BUTTON GSTRM 16FR 3.0CM,900.5,900.5,135.07,900.5,42
CDM,434979,CATH MICRO 150CM .021IN,39649.0,39649.0,5947.35,39649.0,42
CDM,434980,CATH INFU MICRO 120CM,39649.0,39649.0,5947.35,39649.0,42
CDM,434981,CATH INFU MICRO 150CM,39649.0,39649.0,5947.35,39649.0,42
CDM,434982,CATH INFS 2.9FR 120CM,39649.0,39649.0,5947.35,39649.0,42
CDM,434984,CATH INFS 2.9FR 150CM,39649.0,39649.0,5947.35,39649.0,42
CDM,434985,INSERT TIB KN SZE 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,434998,CATH RED RUBBER 12FR,18.5,18.5,2.77,18.5,42
CDM,434999,SCREW SPN 7.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,435000,SCREW SPN 7.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,435001,SCREW SPN 8.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,435002,CMPNT PATELLA KN LT SZ7,7574.0,7574.0,1136.1,7574.0,30
CDM,435003,LENS IOL -02.5 DIOP,866.5,866.5,159.52,866.5,28
CDM,435004,LENS IOL +20.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,435005,INSERT TIB KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,435006,ENDPLATE SPN INF 3D,18581.0,18581.0,2787.15,18581.0,30
CDM,435008,BAG FOR POCK CONTROLLER,2704.5,2704.5,497.9,2704.5,26
CDM,435009,KIT VAD WEAR ACCESSORY,1306.5,1306.5,195.97,1306.5,30
CDM,435010,CORD AC PWR MOBILE UNIT,555.0,555.0,102.18,555.0,26
CDM,435010,"Monitor control cable for use with electric ventricular assist device, replacement only ",555.0,555.0,413.45,639.76,34
CDM,435011,ADAPTER TUNNEL CARD,1473.5,1473.5,221.03,1473.5,42
CDM,435013,PUNCH SKN BIOPSY,773.0,773.0,115.95,773.0,42
CDM,435016,ELECTRODE ESURG 10X10MM,181.5,181.5,27.23,181.5,42
CDM,435017,ELECTRODE SURG 20X12MM,181.5,181.5,27.23,181.5,42
CDM,435018,ELECTRODE ESURG BLDE 2.8,69.5,69.5,10.43,69.5,42
CDM,435019,ELECTRODE ESURG BLDE 4IN,83.0,83.0,12.45,83.0,42
CDM,435022,SCREW SPN RDC 6.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,435023,KNIFE VNTRCLR ASST DISP,4093.0,4093.0,613.95,4093.0,42
CDM,435024,KIT CUFF MINI APICAL,4093.0,4093.0,613.95,4093.0,42
CDM,435025,SET PROTECTOR THREAD,1023.5,1023.5,153.53,1023.5,42
CDM,435026,PLATE BN 6HL 2MM,3721.0,3721.0,558.15,3721.0,30
CDM,435028,TOOL FIXATION DISP,3970.0,3970.0,595.5,3970.0,42
CDM,435030,TRIAL HIP ACTB 66MM,4093.0,4093.0,613.95,4093.0,42
CDM,435031,LINER ACTB HIP 70MM,9051.0,9051.0,1357.65,9051.0,30
CDM,435032,GLENOSPHERE SHLDR 38MM,6865.0,6865.0,1029.75,6865.0,30
CDM,435033,SCREW BN HDLS 16X2.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,435035,ROD CONN SPN OPN/CLS,3012.0,3012.0,451.8,3012.0,30
CDM,435036,CAGE SPN 6D 14X12X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,435037,PLATE SPN 4HL SZ6,4429.0,4429.0,664.35,4429.0,30
CDM,435038,TUBE GSTRM LP 24FR 2.0CM,900.5,900.5,135.07,900.5,42
CDM,435039,BUTTON GSTRM 24FR 2.5CM,900.5,900.5,135.07,900.5,42
CDM,435040,PLATE BN 3.5MM 189MM,9005.0,9005.0,1350.75,9005.0,30
CDM,435041,KIT LARYNG SZ10,3211.0,3211.0,481.65,3211.0,42
CDM,435042,EXPANDER TISSUE 545CC,7973.0,7973.0,1195.95,7973.0,30
CDM,435043,CHARGER NEUROSTIM,5628.0,5628.0,844.2,5628.0,42
CDM,435047,IPG NRSTM MR 4.95X5.55CM,68914.0,68914.0,10337.1,68914.0,30
CDM,435048,SCREW SPN PDCL 8.5X80MM,3765.0,3765.0,564.75,3765.0,30
CDM,435049,PLATE BN CRNMXF 0.6X12MM,1774.0,1774.0,266.1,1774.0,30
CDM,435050,PLATE BN 2Y 6HL .4MM,3189.0,3189.0,478.35,3189.0,30
CDM,435051,STEM TIB KN 12MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,435052,OSTEMTOME STRT SZ13,13046.0,13046.0,1956.9,13046.0,42
CDM,435053,STEM FEM HIP STD SZ 15,19045.0,19045.0,2856.75,19045.0,30
CDM,435056,INSTRUMENT PORT ACCESS,4083.0,4083.0,612.45,4083.0,42
CDM,435057,STAPLER STRAIGHT 45MM,4093.0,4093.0,613.95,4093.0,42
CDM,435058,PLATE BN LG ARCH 1.5MM,7295.0,7295.0,1094.25,7295.0,30
CDM,435060,LENS IOL +26.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,435070,DRILL BN BIT DISP 2.7MM,1081.5,1081.5,162.22,1081.5,42
CDM,435074,SET INST INSERT SPHERE,773.0,773.0,115.95,773.0,42
CDM,435075,STEM FEM HIP SZ2,6644.0,6644.0,996.6,6644.0,30
CDM,435077,CONNECTOR SPN OFST 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,435081,SET INST GMK TIB I4R-T4,773.0,773.0,115.95,773.0,42
CDM,435082,CMPNT PSTNR STEM HIP 11,2445.0,2445.0,366.75,2445.0,30
CDM,435084,STENT VASC 4MM 21MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435086,GRAFT BN ALGRF 8MM 21MM,8681.0,8681.0,1302.15,8681.0,30
CDM,435087,SCREW BN 3.5MM 18MM,2719.0,2719.0,407.85,2719.0,30
CDM,435088,SCREW BN 3.5MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,435089,SCREW BN 4.5MM 15MM,1595.0,1595.0,239.25,1595.0,30
CDM,435090,LINER SHLDR RVRS 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,435091,PLATE BN HOOK 4HL,4429.0,4429.0,664.35,4429.0,30
CDM,435092,SCREW BN 3.5MM 100MM,2105.0,2105.0,315.75,2105.0,30
CDM,435093,PLATE BN FIB STR 12HL,3721.0,3721.0,558.15,3721.0,30
CDM,435094,PLATE BN ANK FX STR 14H,3721.0,3721.0,558.15,3721.0,30
CDM,435095,PLATE BN FX RT 8H,4429.0,4429.0,664.35,4429.0,30
CDM,435096,SCREW BN LCK 3.5X8MM,2727.0,2727.0,409.05,2727.0,30
CDM,435097,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,435098,ROD SPN 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,435099,SCREW SPN R-LN 5.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,435100,SCREW SPN R-LN 7.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,435122,STEM FEM HIP OFST SZ5,7995.0,7995.0,1199.25,7995.0,30
CDM,435123,PASSER SUT CRESCENT,2251.0,2251.0,337.65,2251.0,42
CDM,435124,SUTUE TAPE 1.0MM,911.0,911.0,136.65,911.0,42
CDM,435125,CATH GD VSC 115D 7F 42CM,1743.5,1743.5,261.52,1743.5,42
CDM,435126,BLADE SAW 31X9MM,202.5,202.5,30.38,202.5,42
CDM,435127,BLADE SAW 77.5X11.2MM,231.5,231.5,34.73,231.5,42
CDM,435128,BLADE SAW 18.5X63MM,263.0,263.0,39.45,263.0,42
CDM,435129,BLADE SAW 100X18MM,383.5,383.5,57.52,383.5,42
CDM,435130,BLADE SAW 70X12.5MM,263.0,263.0,39.45,263.0,42
CDM,435131,BLADE SAW 55X29MM,263.0,263.0,39.45,263.0,42
CDM,435132,BLADE SAW 25X5.5MM,202.5,202.5,30.38,202.5,42
CDM,435133,BLADE SAW 42X13.4MM,231.5,231.5,34.73,231.5,42
CDM,435134,CANNULA STR TIP 22FR,757.5,757.5,113.63,757.5,42
CDM,435138,SYSTEM BN HRVT GFT 8MM,9357.5,9357.5,1403.63,9357.5,42
CDM,435139,SET INST TIBIAL SZ 5,773.0,773.0,115.95,773.0,42
CDM,435140,PACK CATH GD VASC 100CM,51155.0,51155.0,7673.25,51155.0,42
CDM,435141,BURR RND FLUT AGRS 40MM,1023.5,1023.5,153.53,1023.5,42
CDM,435142,BURR SURG 3 ELITE RND,1023.5,1023.5,153.53,1023.5,42
CDM,435145,KIT ACTB HIP TRI-FLANGE,116771.0,116771.0,17515.65,116771.0,30
CDM,435175,ELECTRODE ESRG BLD 6.5IN,72.0,72.0,10.8,72.0,42
CDM,435176,BLADE ELECTRODE 2.75,67.5,67.5,10.13,67.5,42
CDM,435177,SHEARS ESURG 5MM 23CM,2309.5,2309.5,346.43,2309.5,42
CDM,435178,TUBE TRACH 7.5MM,567.0,567.0,85.05,567.0,42
CDM,435188,PLATE BN LISFRANC RT SM,7051.0,7051.0,1057.65,7051.0,30
CDM,435189,SCREW BN 2.5MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,435190,CAGE SPN -6D 12X14X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,435191,CONN SPN 4.5MM 4.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,435193,CAGE SPNL 12X14X22-34MM,23917.0,23917.0,3587.55,23917.0,30
CDM,435195,OSTEOTOME CRVD SZ13,13046.0,13046.0,1956.9,13046.0,42
CDM,435196,INSERT TIB KN 10MM,5094.0,5094.0,764.1,5094.0,30
CDM,435197,NAIL BN 12MM 240MM,6865.0,6865.0,1029.75,6865.0,30
CDM,435199,CATH BLNDIL 5X20MM 50CM,4267.5,4267.5,640.13,4267.5,42
CDM,435200,CATH BLNDIL 6X20MM 50CM,4267.5,4267.5,640.13,4267.5,42
CDM,435201,CATH BLNDIL 7X20MM 50CM,4267.5,4267.5,640.13,4267.5,42
CDM,435203,CATH BLNDIL 7X20MM 135CM,4267.5,4267.5,640.13,4267.5,42
CDM,435205,TROCAR LAPSCP 5MM 100MM,1003.0,1003.0,150.45,1003.0,42
CDM,435206,BAG TIS RTRVL 8MM 175ML,784.0,784.0,117.6,784.0,42
CDM,435207,ANCHOR BN KNTLS 4.75MM,4199.0,4199.0,629.85,4199.0,30
CDM,435208,STENT URET 7FR 24CM,3016.0,3016.0,452.4,3016.0,30
CDM,435209,STAPLER CIRC 21MM,13137.0,13137.0,1970.55,13137.0,42
CDM,435210,STAPLER CIRC 25MM,12827.5,12827.5,1924.13,12827.5,42
CDM,435212,ELCTRD SBDRL STRIP 4.5MM,3871.5,3871.5,580.73,3871.5,42
CDM,435213,CAGE SPN 12MM 7.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,435214,CAGE SPN 8MM 3.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,435215,ROD SPN STRT 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,435216,PLATE BN DSTL TIB 4HL,4429.0,4429.0,664.35,4429.0,30
CDM,435217,PLATE BN TIB RT 13H,4429.0,4429.0,664.35,4429.0,30
CDM,435218,TOOL SUTURE DISP,773.0,773.0,115.95,773.0,42
CDM,435219,ELCTRD SURG 13CM 12X15MM,181.5,181.5,27.23,181.5,42
CDM,435220,ELECTRODE ESURG BLDE 4IN,79.5,79.5,11.93,79.5,42
CDM,435221,ELECTRODE NDL ESRG 2.8IN,73.0,73.0,10.95,73.0,42
CDM,435223,ENDPLATE SPNL INF 3DG LG,18581.0,18581.0,2787.15,18581.0,30
CDM,435225,STENT VASC 4MM 27MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435235,NAIL BN 13MM 11MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,435236,CANNULA PRFS 21FR .035IN,6395.0,6395.0,959.25,6395.0,42
CDM,435237,CANNULA PRFS 23FR .038IN,4385.5,4385.5,657.83,4385.5,42
CDM,435238,CATH OCC VAS 9FR 100CM,24557.0,24557.0,3683.55,24557.0,42
CDM,435239,SHTH INTRO ENDOCLMP 19FR,4093.0,4093.0,613.95,4093.0,42
CDM,435242,SYSTEM INFS .025IN 130CM,39649.0,39649.0,5947.35,39649.0,42
CDM,435243,STENT VASC 2.5MM 12MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435244,STENT VASC 2.5MM 17MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435245,STENT VASC 2.5MM 22MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435246,STENT VASC 3MM 18MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435247,STENT VASC 3MM 24MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435248,STENT VASC 3.5MM 22MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435249,STENT VASC 3.5MM 28MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435250,STENT VASC 4MM 18MM,26900.0,26900.0,4035.0,26900.0,30
CDM,435257,ELECTRODE ESURG BLDE 2.5,55.5,55.5,8.32,55.5,42
CDM,435258,NEEDLE BX ULTSND 22GA,3274.0,3274.0,491.1,3274.0,42
CDM,435259,COIL EMBL 7MM 24CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435260,COIL EMBL 7MM 13CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435261,COIL EMBL 6.0X11CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435262,COIL EMBL 3.5MM 4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435263,COIL EMBL 3MM 8CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435264,COIL EMBL 3.0MM 4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435265,COIL EMBL 4.5MM 10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435266,COIL EMBL 4.5MM 6CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435267,COIL EMBL 7MMX15CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435268,COIL EMBL 6MMX15CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435269,COIL EMBL 6MMX10CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435270,COIL EMBL 5MM 8CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435271,CNCTR ILIAC 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,435283,CATH ABL 7FR 115CM,4763.0,4763.0,714.45,4763.0,42
CDM,435286,COIL EMBL 3.5MM 4CM,7951.0,7951.0,1192.65,7951.0,30
CDM,435287,KIT FEM HIP CSTM,149612.0,149612.0,22441.8,149612.0,30
CDM,435296,DIAPHYSIS BN FEM 60MM,19931.0,19931.0,2989.65,19931.0,30
CDM,435297,CMPNT STEM HIP 28MM 50MM,19931.0,19931.0,2989.65,19931.0,30
CDM,435298,SCREW BN 3.5MM 36MM,1356.0,1356.0,203.4,1356.0,30
CDM,435300,SPACER TIB 60X50MM SM,11489.0,11489.0,1723.35,11489.0,30
CDM,435301,CATH MAP 8FR 110CM,9976.5,9976.5,1496.47,9976.5,42
CDM,435302,CATH BLN BRDG OCL 90CM,4758.0,4758.0,713.7,4758.0,42
CDM,435303,SCREW BN 3.5MM 34MM,1356.0,1356.0,203.4,1356.0,30
CDM,435305,SCREW SPNL 3.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,435306,PENCIL ESURG SMOKE EVAC,49.5,49.5,7.42,49.5,42
CDM,435307,LINER ACTB 10D H 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,435308,SPACER KN TIB 25MM,5108.0,5108.0,766.2,5108.0,30
CDM,435312,GWIRE VASC 180CM .014IN,1228.0,1228.0,184.2,1228.0,42
CDM,435314,SCREW SPN 7.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,435315,STEM FEM HIP 190MM,22145.0,22145.0,3321.75,22145.0,30
CDM,435316,GRAFT CV 40CM 26MM,10355.0,10355.0,1553.25,10355.0,30
CDM,435318,NAIL FEM 11.5MM 46CM,9050.0,9050.0,1357.5,9050.0,30
CDM,435319,TRAY TIB KN RT SIZE 5,8579.0,8579.0,1286.85,8579.0,30
CDM,435320,INSERT ANK SZ4+ 16MM,15502.0,15502.0,2325.3,15502.0,30
CDM,435321,BLADE TRPHN DISP 12MM,6241.5,6241.5,936.23,6241.5,42
CDM,435326,ELCTRD NDL SPN EMG/SSEP,7674.0,7674.0,1151.1,7674.0,42
CDM,435331,GRAFT BN 5ML,3765.0,3765.0,564.75,3765.0,30
CDM,435332,GRFT SPN BN DBM 1ML,1506.0,1506.0,225.9,1506.0,30
CDM,435333,FIBERS SYRINGE LARGE,4939.0,4939.0,740.85,4939.0,30
CDM,435334,FIBERS SYRINGE MEDIUM,3765.0,3765.0,564.75,3765.0,30
CDM,435335,FIBERS SYRINGE X-SMALL,2184.0,2184.0,327.6,2184.0,30
CDM,435336,CAGE INBDY 16D XL 12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,435339,INSERT SHD +0 3/4 39MM,7441.0,7441.0,1116.15,7441.0,30
CDM,435340,SCREW BN STEM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,435341,STEM HUM SHLDRSZ11 130MM,28789.0,28789.0,4318.35,28789.0,30
CDM,435342,CATH BLNDIL 2.5MM 12MM,1023.5,1023.5,153.53,1023.5,42
CDM,435345,STEM MOD KN SZ4 100MM,22300.0,22300.0,3345.0,22300.0,30
CDM,435346,STEM KN 80MM,14173.0,14173.0,2125.95,14173.0,30
CDM,435347,STEM HUM SHLDR LNG SZ4,15307.0,15307.0,2296.05,15307.0,30
CDM,435348,STEM HUM SHLDR LNG SZ2,15307.0,15307.0,2296.05,15307.0,30
CDM,435349,PLATE BN 3.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,435360,CATH BLNDIL 8X20MM 135CM,4267.5,4267.5,640.13,4267.5,42
CDM,435361,TROCAR SHRT 70X12MM,1185.0,1185.0,177.75,1185.0,42
CDM,435362,CANNULA ENDO 12X100MM,1071.5,1071.5,160.72,1071.5,42
CDM,435363,SCREW BN 2.3MM 11MM,899.0,899.0,134.85,899.0,30
CDM,435364,INSERT TIB KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,435365,CMPNT FEM HIP SZ6,7530.0,7530.0,1129.5,7530.0,30
CDM,435366,NAIL BN 10MM 20CM,9376.0,9376.0,1406.4,9376.0,30
CDM,435367,LENS IOL +15.5 DIOP,2187.0,2187.0,328.05,2187.0,32
CDM,435370,DEVICE CLSR CLP INT 35MM,8194.0,8194.0,1229.1,8194.0,30
CDM,435371,DEVICE CLSR CLP INT 45MM,8194.0,8194.0,1229.1,8194.0,30
CDM,435372,DEVICE CLSR CLP INT 50MM,8194.0,8194.0,1229.1,8194.0,30
CDM,435373,PLEDGET CV 9.5X4.8X1.5MM,78.0,78.0,11.7,78.0,42
CDM,435374,SCREW BN 3.5MM 38MM,1356.0,1356.0,203.4,1356.0,30
CDM,435375,SUTURE 2 NDL .9MM 22.2MM,773.0,773.0,115.95,773.0,42
CDM,435377,STEM FEM KN 24X175MM,4429.0,4429.0,664.35,4429.0,30
CDM,435380,ARTHROFLEX 1SQCM,1936.0,1936.0,290.4,1936.0,30
CDM,435381,SCREW SPN 5.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,435382,SCREW SPN 3.8MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,435383,BODY FEM NEU/LEFT 70MM,22515.0,22515.0,3377.25,22515.0,30
CDM,435384,LENS IOL 23.0 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,435385,LENS IOL 23.5 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,435388,IMPLANT FEM KN CSTM,116771.0,116771.0,17515.65,116771.0,30
CDM,435389,KIT DRN PLRAL CATH,4093.0,4093.0,613.95,4093.0,42
CDM,435390,KIT INS W/CATH SPLMT,1023.5,1023.5,153.53,1023.5,42
CDM,435391,INSERT SHLDR SZ1/2 39MM,8770.0,8770.0,1315.5,8770.0,30
CDM,435392,BURR RND DMD 4MM,1023.5,1023.5,153.53,1023.5,42
CDM,435393,BURR RND DMD XCRSE 6MM,1023.5,1023.5,153.53,1023.5,42
CDM,435394,BURR RND CARBIDE 4MM,2050.5,2050.5,307.57,2050.5,42
CDM,435395,BURR SURG CRS DMND 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,435396,BURR SURG RND 2MM,1023.5,1023.5,153.53,1023.5,42
CDM,435397,SPACER SPN 7D 7X18X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,435399,SCREW SPN ACCESS 14MM,2455.5,2455.5,368.32,2455.5,42
CDM,435400,STEM HEM SHLDR SZ 1+,15307.0,15307.0,2296.05,15307.0,30
CDM,435415,CATH DEL 6.5FR 8FR 40CM,3610.0,3610.0,541.5,3610.0,42
CDM,435416,SCREW BN 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,435417,STEM SPCR SHD SZ3/4 9MM,9771.0,9771.0,1465.65,9771.0,30
CDM,435442,CANNULA PRFSN 20FR 24CM,1926.0,1926.0,288.9,1926.0,42
CDM,435443,CANNULA PRFSN 22FR 24CM,1926.0,1926.0,288.9,1926.0,42
CDM,435444,REAMER HEAD STRL 10MM,4093.0,4093.0,613.95,4093.0,42
CDM,435445,KIT HMSTC MTRX THRMB,1337.5,1337.5,200.63,1337.5,42
CDM,435493,SCREW BN 6.5MM 105MM,1595.0,1595.0,239.25,1595.0,30
CDM,435494,STEM FEM HIP 18MM 300MM,11150.0,11150.0,1672.5,11150.0,30
CDM,435504,ELECTRODE ESURG BLDE 6.5,90.5,90.5,13.57,90.5,42
CDM,435510,CMPNT FEM KN CMNT SZ1,6644.0,6644.0,996.6,6644.0,30
CDM,435512,STEM TIB KN SZ10 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,435513,AUGMENT SMTR KN SZ2 4MM,4252.0,4252.0,637.8,4252.0,30
CDM,435514,AUGMENT SMTR KN SZ2 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,435517,SPACER SPN 7D 16X14X10MM,8083.0,8083.0,1212.45,8083.0,30
CDM,435518,SCREW SPN 3.5MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,435519,PLATE BN COMP 6HL 1.1MM,3534.0,3534.0,530.1,3534.0,30
CDM,435520,LENS IOL +12.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,435521,PLATE SPN LVL 3 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,435522,PACK CATH GD VASC 100CM,51155.0,51155.0,7673.25,51155.0,42
CDM,435524,WEDGE KNEE # 3/5MM,4606.0,4606.0,690.9,4606.0,30
CDM,435525,CMPNT FEM KN SZ4,32259.0,32259.0,4838.85,32259.0,30
CDM,435526,INSERT TIB KN SZ3 17MM,5352.0,5352.0,802.8,5352.0,30
CDM,435527,SCREW SPN 3.5MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,435544,ROD SPN 120MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,435545,TRACH ELB ADPT 5FR,231.5,231.5,34.73,231.5,42
CDM,435569,SET STRBL RF WIRE 180CM,8441.5,8441.5,1266.22,8441.5,42
CDM,435571,PLUG VASC 16MM 8MM,3846.0,3846.0,576.9,3846.0,30
CDM,435574,SYS DLV REFCTR 16G 7.5CM,3422.0,3422.0,513.3,3422.0,30
CDM,435576,SYSTEM IMPL ANCHOR GRAFT,20671.0,20671.0,3100.65,20671.0,30
CDM,435580,LEAD DEFIB 4.7FR 64CM,18315.0,18315.0,2747.25,18315.0,30
CDM,435587,SHEATH CATH SNGL USE,603.0,603.0,90.45,603.0,42
CDM,435588,FORCEP BX 1.2MM 130CM,4052.0,4052.0,607.8,4052.0,42
CDM,435589,STEM HUM SHLDR 14X100MM,20427.0,20427.0,3064.05,20427.0,30
CDM,435590,INSERT SHLDR SZ3/4 42MM,8770.0,8770.0,1315.5,8770.0,30
CDM,435591,PLATE BN SZ5 3MM,15506.0,15506.0,2325.9,15506.0,30
CDM,435594,PACEMAKR LDLS DR 32.2MM,60236.0,60236.0,9035.4,60236.0,30
CDM,435595,KIT CMB DEVICE SUT UNITS,4385.5,4385.5,657.83,4385.5,42
CDM,435596,LINER ACTB HIP 32X46MM,4429.0,4429.0,664.35,4429.0,30
CDM,435597,SHLDR RVRS 10DEG 40MM,5315.0,5315.0,797.25,5315.0,30
CDM,435598,INSERT HUM +6 3/4 39MM,7441.0,7441.0,1116.15,7441.0,30
CDM,435599,PLATE ULNAR RIGHT 3 HOLE,4340.0,4340.0,651.0,4340.0,30
CDM,435609,SCREW SPN 5.5MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,435611,ANCHOR ORTH BN TNDN,12068.0,12068.0,1810.2,12068.0,30
CDM,435612,LEAD DEFIB 4.7FR 74CM,18315.0,18315.0,2747.25,18315.0,30
CDM,435614,SEALER VESSEL 5MM 44MM,3601.5,3601.5,540.23,3601.5,42
CDM,435619,CAGE SPN 12X14 30-49 0D,23917.0,23917.0,3587.55,23917.0,30
CDM,435620,BIT DRILL TWIST 1.5X7MM,1466.0,1466.0,219.9,1466.0,42
CDM,435799,CATH EP 8FR 115CM,12473.0,12473.0,1870.95,12473.0,42
CDM,436155,ANCHOR SUT 3.5MM,3320.0,3320.0,498.0,3320.0,30
CDM,436215,SCREW SPN VAR 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,436255,MESH CRNL X-LG 7MM,36573.0,36573.0,5485.95,36573.0,30
CDM,436464,SCREW SPN 9.5MM 60MM,3012.0,3012.0,451.8,3012.0,30
CDM,43653,STAPLER INT CTR 55MM,773.0,773.0,115.95,773.0,42
CDM,436608,CONE FEM KN LG 32MM,13872.0,13872.0,2080.8,13872.0,30
CDM,436956,SCREW BN CRN 1.5X40MM,1268.0,1268.0,190.2,1268.0,30
CDM,437252,SCREW BN 3.5MM 28MM,1244.0,1244.0,186.6,1244.0,30
CDM,437426,BUTTON GSTRM 1 16FR 1CM,927.5,927.5,139.13,927.5,42
CDM,437467,BUTTON GSTRM 116FR 1.2CM,927.5,927.5,139.13,927.5,42
CDM,437491,ELECTRODE ESURG BLUE,70.5,70.5,10.57,70.5,42
CDM,437492,STENT GRAFT 15CM 40X34MM,69026.0,69026.0,10353.9,69026.0,30
CDM,437507,CAGE SPN 14X12X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,437530,SCREW SPN 5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,437538,SCREW SPN 5.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,437584,ROD SPN 2.9MMX120MM,3012.0,3012.0,451.8,3012.0,30
CDM,437591,SCREW SPN 2.9MM 120MM,3012.0,3012.0,451.8,3012.0,30
CDM,438081,STEM FEM HIP 15X125.7MM,8937.0,8937.0,1340.55,8937.0,30
CDM,438084,LINER HUM SHLDR +25X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,438156,CATH URTH 20FR 3W IC,231.5,231.5,34.73,231.5,42
CDM,438223,KIT CATH INTRO 12FR 42CM,1465.5,1465.5,219.82,1465.5,42
CDM,438369,PLATE BN MIDFACE,43190.0,43190.0,6478.5,43190.0,30
CDM,438426,COMPNT KNTIB CMNT RT SZ4,4872.0,4872.0,730.8,4872.0,30
CDM,438427,COMPONENT FEM KN S4R,6201.0,6201.0,930.15,6201.0,30
CDM,438630,MESH SURG 13CM 17CM,3721.0,3721.0,558.15,3721.0,30
CDM,438667,MESH SURG 6X10CM,4429.0,4429.0,664.35,4429.0,30
CDM,438668,MESH SURG 10X12CM,8132.0,8132.0,1219.8,8132.0,30
CDM,438877,MESH SURG 20X20CM,27106.0,27106.0,4065.9,27106.0,30
CDM,438952,ADPT TBG 2 M LL CONN,17.5,17.5,2.63,17.5,42
CDM,438953,KIT STBLZTN INST DISP,7418.5,7418.5,1112.78,7418.5,42
CDM,438955,PLATE BN ORTHO 5HL,4429.0,4429.0,664.35,4429.0,30
CDM,439044,SCREW BN 1.6MM 4MM,840.0,840.0,126.0,840.0,30
CDM,439092,PLATE BN CVR BUR LG 27MM,2833.0,2833.0,424.95,2833.0,30
CDM,439160,PLATE BN CRNFCL 9MM 14MM,2711.0,2711.0,406.65,2711.0,30
CDM,439203,COIL EMBL 3MM 30CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439204,COIL EMBL 1.0MM 6CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439211,COIL EMBL 1.5MM 10CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439563,COIL EMBL 2MM 2CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439568,COIL EMBL 2.5MM 20CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439569,COIL EMBL 3MM 15CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439570,COIL EMBL 15CM 3.5MM,17251.0,17251.0,2587.65,17251.0,30
CDM,439572,COIL EMBL 4MM 27CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439605,COIL EMBL 4.5MM 20CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439629,COIL EMBL 4.5MM 40CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439666,COIL EMBL 5MM 30CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439706,SCREW BN 3.5MM 48MM,1244.0,1244.0,186.6,1244.0,30
CDM,439809,COIL EMBL 1.0MM 4CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439830,COIL EMBL 1MM 5CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439941,COIL EMBL MINI 1X6MM,17251.0,17251.0,2587.65,17251.0,30
CDM,439943,COIL EMBL 1.5MMX3CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439944,COIL EMBL 1.5MM 6CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439945,COIL EMB 2MM 6CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439946,COIL EMBL 2.0MM 12CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439947,COIL EMBL 1MM 3CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439948,COIL EMBL 2.5MM 12CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439953,COIL EMBL 3MM 10CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439973,COIL EMBL 3MM 20CM,17251.0,17251.0,2587.65,17251.0,30
CDM,439983,COIL EMBL 3.5MM 20CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440074,CATH CV 7FR 6IN,365.0,365.0,54.75,365.0,42
CDM,440080,NEEDLE BX 13GA 7.8CM,264.5,264.5,39.67,264.5,42
CDM,440094,SET INTRO SHTH 7FR 65CM,1023.5,1023.5,153.53,1023.5,42
CDM,440132,PROBE ESURG 220 APC,2112.0,2112.0,316.8,2112.0,42
CDM,440164,COIL EMBL 3.5MM 30CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440171,COIL EMBL 4MMX20CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440199,COIL EMBL 4MM 35CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440264,GWIRE VASC .035IN 220CM,231.5,231.5,34.73,231.5,42
CDM,440362,COIL EMBL 5MM 17CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440408,COIL EMBL 5MM 40CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440466,COIL EMBL 8MM 65CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440537,COIL EMBL14MM 65CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440538,COIL EMBL 1.5MM 6CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440624,COIL EMBL1.5MM 8CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440633,COIL EMBL 6MM 35CM,17251.0,17251.0,2587.65,17251.0,30
CDM,440652,COIL EMBL 7MM 50CM,17251.0,17251.0,2587.65,17251.0,30
CDM,441146,SCREW BN CORT 2X12MM,1754.0,1754.0,263.1,1754.0,30
CDM,441822,COIL EMBL 9MM 65CM,17251.0,17251.0,2587.65,17251.0,30
CDM,441871,COIL EMBL 12MM 65CM,17251.0,17251.0,2587.65,17251.0,30
CDM,441935,COIL EMBL 2MM 4CM,17251.0,17251.0,2587.65,17251.0,30
CDM,441985,COIL EMBL 2MM 12CM,17251.0,17251.0,2587.65,17251.0,30
CDM,442069,COIL EMBL 2.5MM 8CM,17251.0,17251.0,2587.65,17251.0,30
CDM,442251,COIL EMBL 6MM 50CM,17251.0,17251.0,2587.65,17251.0,30
CDM,442254,COIL EMBL10MM 65CM,17251.0,17251.0,2587.65,17251.0,30
CDM,442386,GENERATOR NRSTM WAVEWRTR,74324.0,74324.0,11148.6,74324.0,30
CDM,443255,CONN SPN ROD 75MM,3012.0,3012.0,451.8,3012.0,30
CDM,443286,SCREW BN 4MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,443605,SUTURE SS 6 18IN,231.5,231.5,34.73,231.5,42
CDM,443615,CLAMP VSCST2 45D 75-80GM,426.5,426.5,63.98,426.5,42
CDM,443624,PLATE MF TT 446.10,3189.0,3189.0,478.35,3189.0,30
CDM,443625,BURR CRBDE 45X3.5MM,322.0,322.0,48.3,322.0,42
CDM,443627,BURR SURG OVL 4MM,323.0,323.0,48.45,323.0,42
CDM,443634,BURR SURG 1.8MM 45MM,180.5,180.5,27.07,180.5,42
CDM,443638,PACKING NSL .6X1.2X3.5CM,221.5,221.5,33.23,221.5,42
CDM,443639,BLADE TRICUT 4MM,1610.0,1610.0,241.5,1610.0,42
CDM,443640,PUNCH SURG 8.0MM,829.0,829.0,124.35,829.0,42
CDM,443651,PUNCH SURG 7.75MM,829.0,829.0,124.35,829.0,42
CDM,443655,BLADE CRNL TRPHN 7.5MM,880.5,880.5,132.07,880.5,42
CDM,443659,DEVICE BLWR/MSTR 16.5CM,773.0,773.0,115.95,773.0,42
CDM,443661,BLADE DRMTN 1.25-4.25,451.5,451.5,67.72,451.5,42
CDM,443679,MESH HRN GRN 10X14IN,3189.0,3189.0,478.35,3189.0,30
CDM,443718,VLVLTM SURG 94CM,4599.5,4599.5,689.92,4599.5,42
CDM,443719,CATH THRMB RADPQ 4F 80CM,1637.0,1637.0,245.55,1637.0,42
CDM,443720,CATH THRMB RADPQ 5F 80CM,1686.5,1686.5,252.97,1686.5,42
CDM,443721,DEVICE INFLATION 20ML,371.0,371.0,55.65,371.0,42
CDM,443722,NEEDLE EN 19,77.0,77.0,11.55,77.0,42
CDM,443723,CATH ANGIO 5FR 65CM,773.0,773.0,115.95,773.0,42
CDM,443725,SHEATH INTRO 9FR 10CM,231.5,231.5,34.73,231.5,42
CDM,443748,GWIRE VASC .035IN 180CM,680.5,680.5,102.08,680.5,42
CDM,443749,GWIRE VASC .035IN 180CM,680.5,680.5,102.08,680.5,42
CDM,443769,PACKING NSL 5CM 1CM 2CM,231.5,231.5,34.73,231.5,42
CDM,443924,SCREW BN STD 32MM,3294.0,3294.0,494.1,3294.0,30
CDM,444001,CATH ANGO PG 10SD 5FR90,251.5,251.5,37.73,251.5,42
CDM,444081,SHEATH INTRO 16FR 15.5MM,772.5,772.5,115.88,772.5,42
CDM,444096,INTRO CATH PLWY 10F 15CM,1376.0,1376.0,206.4,1376.0,42
CDM,444104,TUBE TRACH ADJ 8X130MM,2273.5,2273.5,341.02,2273.5,42
CDM,444148,SUTURE TAPE 1X36IN,1767.5,1767.5,265.13,1767.5,42
CDM,444152,SCREW BN 3.5MM 6MM 30MM,264.0,264.0,39.6,264.0,30
CDM,444153,SCREW BN 3.5MM 34MM,264.0,264.0,39.6,264.0,30
CDM,444154,SCREW BN 4MM 6MM 35MM,235.0,235.0,35.25,235.0,30
CDM,444284,BLADE SHVR 4MM 11CM,1577.5,1577.5,236.63,1577.5,42
CDM,444460,PLATE SPN 12X22X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
CDM,444535,SCREW BN 4MM 6MM 10MM,221.0,221.0,33.15,221.0,30
CDM,444536,SCREW BN 4MM 6MM 30MM,221.0,221.0,33.15,221.0,30
CDM,444546,NUT EX FIX RNG TO ROD,613.0,613.0,91.95,613.0,42
CDM,444548,CLAMP EXFIX LG UNIV ADJ,4093.0,4093.0,613.95,4093.0,42
CDM,444558,ROD EX FIX 11MM 450MM,1113.5,1113.5,167.03,1113.5,42
CDM,444570,SCREW EXFX 100X5MM,975.0,975.0,146.25,975.0,42
CDM,444571,SCREW EXFX 170X5X50MM,773.0,773.0,115.95,773.0,42
CDM,444572,SCREW EX FIX 170MM 5MM,773.0,773.0,115.95,773.0,42
CDM,444573,SCREW EXFX XLNG 200X5MM,773.0,773.0,115.95,773.0,42
CDM,444595,PLATE BNE PELVIC 3.5 X 1,3721.0,3721.0,558.15,3721.0,30
CDM,444596,KWIRE FX 150MM 1.6MM,231.5,231.5,34.73,231.5,42
CDM,444640,ENDCAP TIB KN 20MM,13708.0,13708.0,2056.2,13708.0,30
CDM,444647,ELECTRODE MNPLR STRL,900.5,900.5,135.07,900.5,42
CDM,444648,ELECTRODE ESURG 5MM,1017.0,1017.0,152.55,1017.0,42
CDM,444649,ELECTRODE MNPLR 3MM,1017.0,1017.0,152.55,1017.0,42
CDM,444650,ELECTRODE ESURG BRL 5MM,1004.0,1004.0,150.6,1004.0,42
CDM,444672,CATH CHLGM 4.5FR 18IN,572.0,572.0,85.8,572.0,42
CDM,444677,SUTURE POLY SZ 0 18IN,410.0,410.0,61.5,410.0,42
CDM,444866,SYS DRN BAL WET SEAL SGL,1056.0,1056.0,158.4,1056.0,42
CDM,444894,SUTURE VIO MONO 2-0 27IN,40.0,40.0,6.0,40.0,42
CDM,444912,SCREW BN 2MM 14MM,516.0,516.0,77.4,516.0,30
CDM,444916,PLATE BN 8H 70MM,3721.0,3721.0,558.15,3721.0,30
CDM,444918,SCREW CORT MF 1.5X8,284.0,284.0,42.6,284.0,30
CDM,444923,SCREW BN 6.5MM 8MM,381.0,381.0,57.15,381.0,30
CDM,444924,SCREW BN 6.5MM 8MM,405.0,405.0,60.75,405.0,30
CDM,444925,SCREW BN 6.5MM 8MM,393.0,393.0,58.95,393.0,30
CDM,444926,SCREW BN 6.5MM 8MM 70MM,629.0,629.0,94.35,629.0,30
CDM,444932,BLADE OSTME CRV FLX 15MM,2177.5,2177.5,326.63,2177.5,42
CDM,444934,PLATE ONE-THIRD TBLR 3.5,1414.0,1414.0,212.1,1414.0,30
CDM,44494,TUBE NG 42IN 8FR 2 EYE,13.0,13.0,1.95,13.0,42
CDM,444979,HOOK RETR LNSTR 5MM,773.0,773.0,115.95,773.0,42
CDM,445011,CATH ABL 8FR 115CM F CRV,13997.5,13997.5,2099.63,13997.5,42
CDM,445021,STEM FEM HIP 150MM 12MM,14381.0,14381.0,2157.15,14381.0,30
CDM,445026,HANDPIECE 45CM 5MM,2437.5,2437.5,365.63,2437.5,42
CDM,445060,INTBDY SPN 6D 18X50X8-15,17716.0,17716.0,2657.4,17716.0,30
CDM,445148,PLATE BN 10HL 5X267MM,12822.0,12822.0,1923.3,12822.0,30
CDM,445404,NAIL BN FEM 11MM 340MM,5789.0,5789.0,868.35,5789.0,30
CDM,445405,CUP HUMERAL 36 +3,4606.0,4606.0,690.9,4606.0,30
CDM,445406,K-WIRE 2MM 180MM,324.5,324.5,48.67,324.5,42
CDM,445407,BIT DRILL AO 3.2MM,1187.0,1187.0,178.05,1187.0,42
CDM,445456,CAGE SPN 10D 12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,445457,CAGE SPN ANT 14MM 15D,19200.0,19200.0,2880.0,19200.0,30
CDM,445458,SHEATH GD 6FR 45CM,773.0,773.0,115.95,773.0,42
CDM,445460,SHEATH GD 7FR 70CM,859.5,859.5,128.93,859.5,42
CDM,445461,SHEATH GD 8FR 45CM,773.0,773.0,115.95,773.0,42
CDM,445554,INTRO SHTH ANSL 8FR 55CM,773.0,773.0,115.95,773.0,42
CDM,445563,SHEATH INTRO 8FR 70CM,859.5,859.5,128.93,859.5,42
CDM,445608,INTRO SHTH 9FR 45CM,773.0,773.0,115.95,773.0,42
CDM,445629,INTRO SHTH 10FR 45CM,773.0,773.0,115.95,773.0,42
CDM,445654,CATH GD 9FR 90CM,871.5,871.5,130.72,871.5,42
CDM,445733,DRSG WND 12MM 30MM,48.5,48.5,7.28,48.5,42
CDM,445817,DRESSING CHST TRNS 6X6IN,298.5,298.5,44.77,298.5,42
CDM,445986,TRIFLANGE HIP,64221.0,64221.0,9633.15,64221.0,30
CDM,445988,LINER SHLDR RVRS 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,445989,PLATE BN 207MM 3.5MM,7303.0,7303.0,1095.45,7303.0,30
CDM,446013,INSERT LCK KN SZ7-8 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,446016,LENS IOL +25.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,446018,IMPLANT OSS TORP/PORP,3721.0,3721.0,685.04,3721.0,26
CDM,446088,CAGE SPN 0D 14X9X27MM,8858.0,8858.0,1328.7,8858.0,30
CDM,446089,CAGE SPN 5X12X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,446090,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,446140,SETSCREW SPNL,753.0,753.0,112.95,753.0,30
CDM,446166,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,446511,TUBE EAR W/TAB 1.27MM,228.0,228.0,34.2,228.0,30
CDM,446512,SUTURE SLV CATH GAGE 7FR,718.0,718.0,107.7,718.0,30
CDM,446514,COMPONENT FEM KN LT,32332.0,32332.0,4849.8,32332.0,30
CDM,446515,ADAPTER FEM KN LNG +5MM,10813.0,10813.0,1621.95,10813.0,30
CDM,446618,NEEDLE EBUS NTNL 19G 4CM,2365.5,2365.5,354.82,2365.5,42
CDM,446638,CMPNT SHLDR LG 52MM,25760.0,25760.0,3864.0,25760.0,30
CDM,446639,SCREW SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,446640,ROD SPN PRBNT 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
CDM,446644,SAW MICRO 4MM 20MM,4702.0,4702.0,705.3,4702.0,42
CDM,446684,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",13.0,13.0,2.34,3.62,34
CDM,446684,POUCH OST 2.25IN 9IN,13.0,13.0,2.39,13.0,26
CDM,446694,INTRBD SPN 15D12X24X31MM,17606.0,17606.0,2640.9,17606.0,30
CDM,446737,SCREW SPN 6.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,446917,BLADE SAW BONE 12.5X90MM,177.75,177.75,26.66,177.75,42
CDM,446919,TRIFLANGE ACTB HIP 62MM,64221.0,64221.0,9633.15,64221.0,30
CDM,446920,COIL EMBL 1MM 3CM,13265.0,13265.0,1989.75,13265.0,30
CDM,446986,SUTURE SURG 18IN,231.5,231.5,34.73,231.5,42
CDM,446999,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,447001,SCREW SPLN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,447006,PLATE SPN 2LV 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,447055,ANCHOR SUT PSHLCK 2.9,4429.0,4429.0,664.35,4429.0,30
CDM,447273,CATH 5FR SIM 1 125,465.5,465.5,69.83,465.5,42
CDM,447274,CATH ANGIO VERT 5F 125CM,522.0,522.0,78.3,522.0,42
CDM,447275,CATH ANGIO 5FR 125CM,522.0,522.0,78.3,522.0,42
CDM,447353,GUIDEWIRE VASC 260CM,442.0,442.0,66.3,442.0,42
CDM,447358,SHEATH INTRO 10F 11CM,182.0,182.0,27.3,182.0,42
CDM,447371,CATH MPA2 6F/100C SPR TO,197.0,197.0,29.55,197.0,42
CDM,447373,SHEATH INTRO 90CM 6F.038,1023.5,1023.5,153.53,1023.5,42
CDM,447384,STENT CLN 25X90MM 270CM,10885.0,10885.0,1632.75,10885.0,30
CDM,447395,DEVICE BREAST BX 12GA,1106.0,1106.0,165.9,1106.0,42
CDM,447403,OCCULDER CV 6X3MM,27108.0,27108.0,4066.2,27108.0,30
CDM,447405,OCCULDER CV 8X3MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447407,OCCLUDER CV 10X3MM,27108.0,27108.0,4066.2,27108.0,30
CDM,447409,OCCLUDER CV 12X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447413,OCCULDER CV 16X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447415,OCCULDER CV 18X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447417,OCCULDER CV 20X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447418,OCCULDER CV 22X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447419,OCCULDER CV 24X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447420,OCCULDER CV 26X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447421,OCCULDER CV 28X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447422,OCCULDER CV 230X4MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447428,OCCLUDER CV 25X3MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447429,OCCLUDER CV 30X3MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447430,OCCLUDER CV 35X3MM,31225.0,31225.0,4683.75,31225.0,30
CDM,447431,SYS CATH DLV 6FR 60CM,4385.5,4385.5,657.83,4385.5,42
CDM,447432,SYS CATH DLV 7FR 60CM,4385.5,4385.5,657.83,4385.5,42
CDM,447433,SYS CATH DLV 7FR 80CM,4385.5,4385.5,657.83,4385.5,42
CDM,447434,SYS CATH DLV 8FR 60CM,4385.5,4385.5,657.83,4385.5,42
CDM,447435,SYS CATH DLV 5FR 80CM,4385.5,4385.5,657.83,4385.5,42
CDM,447436,SYS CATH DLV 9FR 80CM,4385.5,4385.5,657.83,4385.5,42
CDM,447437,SYS CATH DLV 10FR 80CM,4385.5,4385.5,657.83,4385.5,42
CDM,447438,SYS CATH DLV 12FR 80CM,4385.5,4385.5,657.83,4385.5,42
CDM,447439,CATH BLN SZNG 20MM,2701.5,2701.5,405.23,2701.5,42
CDM,447440,CATH BLN SZNG AGA 24,2701.5,2701.5,405.23,2701.5,42
CDM,447441,CATH BLNDIL 40MM 70CM,2701.5,2701.5,405.23,2701.5,42
CDM,447466,TRNDCR PRSS MNTR 60IN,231.5,231.5,34.73,231.5,42
CDM,447476,NEEDLE BX 11GA 4IN,231.5,231.5,34.73,231.5,42
CDM,447478,INSERT HUM SHLDR 39MM,4606.0,4606.0,690.9,4606.0,30
CDM,447514,STUMP SHRINKER PROSTHES,470.0,470.0,86.53,470.0,26
CDM,447515,"Prosthetic sock, single ply, fitting, below knee, each ",124.0,124.0,7.76,12.01,34
CDM,447515,SOCK 1 PLY FOR PROSTHESI,124.0,124.0,22.83,124.0,26
CDM,447519,STENT VASC 6X120MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,447520,STENT VASC 7X120MM 120CM,4429.0,4429.0,664.35,4429.0,30
CDM,447522,STENT VASC 8X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
CDM,447524,STENT VASC 6X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
CDM,447642,GWIRE VASC .014IN 300CM,1023.5,1023.5,153.53,1023.5,42
CDM,447643,PROSTH POST OP IMDT APPL,2817.0,2817.0,518.61,2817.0,26
CDM,447644,STUMP SHRINKER TRANS TIB,376.0,376.0,69.22,376.0,26
CDM,447645,SOCK MLTPLTRANS TBL STMP,376.0,376.0,69.22,376.0,26
CDM,447649,FILTER EMBL 4MM 320CM,4500.5,4500.5,675.08,4500.5,42
CDM,447650,FILTER EMBL 6MM 320CM,4865.5,4865.5,729.83,4865.5,42
CDM,447651,FILTER EMBL 7MM 320CM,4500.5,4500.5,675.08,4500.5,42
CDM,447652,STENT VASC 10X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,447658,BLN AVTR+ RX 4X4X142,1515.5,1515.5,227.32,1515.5,42
CDM,447662,NEEDLE HUBER 20GA 1.5IN,86.0,86.0,12.9,86.0,42
CDM,447794,GWIRE VASC 108CM,1310.0,1310.0,196.5,1310.0,42
CDM,447816,GWIRE VASC 190CM .014IN,870.0,870.0,130.5,870.0,42
CDM,447819,GUIDE STENT DISP 270MM,773.0,773.0,115.95,773.0,42
CDM,447824,STENT VASC 6X150MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,447827,BLN AVTR+ RX 5X2X142,1515.5,1515.5,227.32,1515.5,42
CDM,447877,STENT VASC 6X40MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,447883,BLN AVTR+ RX 5X4X142,1515.5,1515.5,227.32,1515.5,42
CDM,447885,CATH GD OD9FR ATN CMND,1473.5,1473.5,221.03,1473.5,42
CDM,447886,CTHGD ATTN CMND 9F EH,2275.5,2275.5,341.32,2275.5,42
CDM,447887,CATH GD 9FR,1473.5,1473.5,221.03,1473.5,42
CDM,447888,CATH GD 9FR 50CM,1473.5,1473.5,221.03,1473.5,42
CDM,447891,CATH MED CMND 6250-AM,1473.5,1473.5,221.03,1473.5,42
CDM,447892,CATH GD 9FR ATTAIN CMND,1473.5,1473.5,221.03,1473.5,42
CDM,447895,KIT THRMB 6FR 90CM,7403.0,7403.0,1110.45,7403.0,42
CDM,447911,CATH URET TAPER 5 FR 70C,773.0,773.0,115.95,773.0,42
CDM,447916,BLN AVTR+ RX 4X2X142,1515.5,1515.5,227.32,1515.5,42
CDM,448058,GWIRE VASC 300CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,448065,CATH BLNDIL .014IN 6MM,1515.5,1515.5,227.32,1515.5,42
CDM,448066,CATH BLN DIL 142CM 40MM,1515.5,1515.5,227.32,1515.5,42
CDM,448082,EXTENDER XTRT LD 70CM,2996.0,2996.0,449.4,2996.0,42
CDM,448087,SNARE VASC 12F 13MM 94CM,8288.0,8288.0,1243.2,8288.0,42
CDM,448088,SNARE VASC 16F 20MM 94CM,9864.0,9864.0,1479.6,9864.0,42
CDM,448100,KIT CATH CV 16GA 20CM,773.0,773.0,115.95,773.0,42
CDM,448117,LEAD CRT PCNG 88CM,4981.0,4981.0,747.15,4981.0,30
CDM,44812,SPLINT NSL LG 69X43MM,689.0,689.0,103.35,689.0,42
CDM,448124,BAG OST 1.75IN 12IN,13.0,13.0,2.39,13.0,26
CDM,448131,KIT MARKER 18GA 20CM,3189.0,3189.0,478.35,3189.0,30
CDM,448139,CATHETER ABL 115CM 7FR,5115.0,5115.0,767.25,5115.0,42
CDM,448141,INTRODUCE TRNSF 60CM 8FR,870.0,870.0,130.5,870.0,42
CDM,448143,LEAD PCNG 45CM,3287.0,3287.0,493.05,3287.0,30
CDM,448152,CATH GD 7.1FR 65CM,1310.0,1310.0,196.5,1310.0,42
CDM,448153,CATH EP 2-5-2MM SPC110CM,3069.5,3069.5,460.43,3069.5,42
CDM,448155,GWIRE VASC .032IN 180CM,309.0,309.0,46.35,309.0,42
CDM,448156,GWIRE VASC .032IN 260CM,417.5,417.5,62.63,417.5,42
CDM,448159,CATH ABL 7FR 115CM,4169.5,4169.5,625.42,4169.5,42
CDM,448160,INTRO SHTH GD 8.5FR 63CM,1269.0,1269.0,190.35,1269.0,42
CDM,448163,NEEDLE BX 18GA 15CM,309.0,309.0,46.35,309.0,42
CDM,448165,STENT VASC 9X17MM 135CM,3721.0,3721.0,558.15,3721.0,30
CDM,448239,DEVICE LEAD LCK 65CM SS,4093.0,4093.0,613.95,4093.0,42
CDM,448241,KIT LD LCK 65CM,4093.0,4093.0,613.95,4093.0,42
CDM,448242,KIT LD LCK 65CM,4093.0,4093.0,613.95,4093.0,42
CDM,448244,CUTTER LEAD PCNG 8IN,1013.5,1013.5,152.03,1013.5,42
CDM,448250,CAP LD IS-1 DF-1 4.75MM,367.0,367.0,55.05,367.0,30
CDM,448251,PACEMAKER CARD 12.8MM,13024.0,13024.0,1953.6,13024.0,30
CDM,448252,PCMKR CRD 52X52MM,13024.0,13024.0,1953.6,13024.0,30
CDM,448255,STYLET BLU STR 52CM,400.5,400.5,60.08,400.5,42
CDM,448256,CTHGD VBT 6F 070 AL3 100,630.5,630.5,94.58,630.5,42
CDM,448264,CATH EP 6FR 92CM,2292.0,2292.0,343.8,2292.0,42
CDM,448271,CATH BLNDIL 6X20MM 90CM,4267.5,4267.5,640.13,4267.5,42
CDM,448274,CATH BLNDIL 5X20MM 90CM,4267.5,4267.5,640.13,4267.5,42
CDM,448275,CATH BLNDIL 7MM 90CM,4267.5,4267.5,640.13,4267.5,42
CDM,448291,STYLET LD 45X.014 JTP GR,433.0,433.0,64.95,433.0,42
CDM,448294,LEAD DEFIB 58CM,19333.0,19333.0,2899.95,19333.0,30
CDM,448296,LEAD DEFIB 65CM,19333.0,19333.0,2899.95,19333.0,30
CDM,448330,CATH GD EB3.75 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,448334,GRAFT VEIN SAPH 72CM,40161.0,40161.0,6024.15,40161.0,30
CDM,448335,DRAIN WND SIL 10FR 1/8IN,231.5,231.5,34.73,231.5,42
CDM,448336,DRAIN WND RND HBLS 15FR,231.5,231.5,34.73,231.5,42
CDM,448339,LASER FIBER LUENIS 365UM,2476.0,2476.0,371.4,2476.0,42
CDM,448359,CATH GD STDJLC 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,448360,CATH GD STDJLC 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,448361,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,448365,KIT THRMB CATH 8FR 105CM,14581.0,14581.0,2187.15,14581.0,42
CDM,448367,CATH GD VSTABR AR1 LBT5F,1238.0,1238.0,185.7,1238.0,42
CDM,448386,CRT-P 4.45X6.13X0.75CM,25776.0,25776.0,3866.4,25776.0,30
CDM,448388,CRT DEFIB DDE-DDDR 36J,67318.0,67318.0,10097.7,67318.0,30
CDM,448389,CRT-D CRD MRI DDE-DDDR,67318.0,67318.0,10097.7,67318.0,30
CDM,448390,CRT-D VOLUME 40MM,63989.0,63989.0,9598.35,63989.0,30
CDM,448391,LEAD PCNG QUAD 95CM,5747.0,5747.0,862.05,5747.0,30
CDM,448392,LEAD PCNG 86CM,5747.0,5747.0,862.05,5747.0,30
CDM,448393,LEAD PCNG 95CM,5747.0,5747.0,862.05,5747.0,30
CDM,448394,LEAD PCNG 86CM,5747.0,5747.0,862.05,5747.0,30
CDM,448395,LEAD PCNG 2.6FR 95CM,5747.0,5747.0,862.05,5747.0,30
CDM,448399,BRACE CUST KAFO FRACTR,5593.0,5593.0,1029.67,5593.0,26
CDM,448399,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",5593.0,5593.0,1485.4,2298.46,34
CDM,448400,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",982.0,982.0,106.6,164.95,34
CDM,448400,INTRFACE ABV KNEE SFT,982.0,982.0,180.79,982.0,26
CDM,448401,NEEDLE BX GENCUT 1.9MM,2865.0,2865.0,429.75,2865.0,42
CDM,448406,KIT INTRO 8.5FR 10CM,770.0,770.0,115.5,770.0,42
CDM,448407,NDL BX 1.9MM 114CM GNCUT,3487.0,3487.0,523.05,3487.0,42
CDM,448409,PROBE ABL 17GA 20CM,9465.0,9465.0,1419.75,9465.0,42
CDM,448410,PROBE ABL 17GA 15CM,9465.0,9465.0,1419.75,9465.0,42
CDM,448412,PROBE ABL 17GA 20CM,9465.0,9465.0,1419.75,9465.0,42
CDM,448413,PROBE ABL 17GA 15CM,9465.0,9465.0,1419.75,9465.0,42
CDM,448420,PORT IMP INFSN 6.0FR,2631.0,2631.0,394.65,2631.0,30
CDM,448421,DVC BIOPSY DISP 14G,773.0,773.0,115.95,773.0,42
CDM,448425,NEEDLE RAD 18GA 20CM,1515.0,1515.0,227.25,1515.0,30
CDM,448426,NEEDLE BX 17GA 16.8CM,222.0,222.0,33.3,222.0,42
CDM,448428,COIL EMBL 30CM 8MM,3720.0,3720.0,558.0,3720.0,30
CDM,448429,COIL EMBL HDRCL 40X20MM,4429.0,4429.0,664.35,4429.0,30
CDM,448430,COIL EMBL 34CM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,448432,COIL EMBL 18MM 36CM,4429.0,4429.0,664.35,4429.0,30
CDM,448434,MARKER FDCL 0.9MM 13MM,2493.0,2493.0,373.95,2493.0,30
CDM,448440,NEEDLE ENDO 25GA 1.52MM,1473.5,1473.5,221.03,1473.5,42
CDM,448441,NEEDLE ASP 22GA 1.65MM,1473.5,1473.5,221.03,1473.5,42
CDM,448442,NDL ENDO 8CM 19GA 1.83MM,1596.5,1596.5,239.47,1596.5,42
CDM,448446,COIL EMBL 17CM 6MM,4837.0,4837.0,725.55,4837.0,30
CDM,448448,COIL EMBL 24CM 8MM,4837.0,4837.0,725.55,4837.0,30
CDM,448450,COIL EMBL 13MM 24CM,4837.0,4837.0,725.55,4837.0,30
CDM,448452,COIL EMBL 16MM 32CM,4837.0,4837.0,725.55,4837.0,30
CDM,448453,COIL EMBL 20MM 39CM,4837.0,4837.0,725.55,4837.0,30
CDM,448457,STENT PANC 24MM 146MM,19196.0,19196.0,2879.4,19196.0,30
CDM,448458,STENT PANC 21MM 146MM,19196.0,19196.0,2879.4,19196.0,30
CDM,448465,CATH INFSN 30X150CM,4385.5,4385.5,657.83,4385.5,42
CDM,448466,CATH INFSN 11X150CM,4310.5,4310.5,646.58,4310.5,42
CDM,448467,CATH ANG 45D .017IN,4385.5,4385.5,657.83,4385.5,42
CDM,448474,STENT INTRCRAN 4.5X16MM,28789.0,28789.0,4318.35,28789.0,30
CDM,448475,STENT INTRCRAN 4.5X23MM,28789.0,28789.0,4318.35,28789.0,30
CDM,448476,COIL EMBL 3.0MM 41MM,26774.0,26774.0,4016.1,26774.0,30
CDM,448478,COIL EMBL 4.0MM 49MM,28789.0,28789.0,4318.35,28789.0,30
CDM,448482,STENT INTRCRAN 3.5X18MM,29863.0,29863.0,4479.45,29863.0,30
CDM,448483,STENT INTRCRAN 3.5X23MM,29863.0,29863.0,4479.45,29863.0,30
CDM,448519,INTEGRA MESHED 1SQCM,675.0,675.0,101.25,675.0,29
CDM,448542,COIL EMBL 4MM 7CM,4837.0,4837.0,725.55,4837.0,30
CDM,448553,IMPL GEL VOC CRD INJ 1ML,4385.5,4385.5,807.37,4385.5,26
CDM,448555,INTRO 10FR SHTH,4093.0,4093.0,613.95,4093.0,42
CDM,448568,SET GSTRM ANCH FASTENER,996.5,996.5,149.47,996.5,42
CDM,448589,COIL EMBL 30CM 10MM,3720.0,3720.0,558.0,3720.0,30
CDM,448597,TUBE JJNSTM 22FR 45CM,1569.5,1569.5,235.43,1569.5,42
CDM,448606,CATH GD INFS 2.8FR 15CM,6119.5,6119.5,917.92,6119.5,42
CDM,448611,COIL EMBL 6CM 3MM,8053.0,8053.0,1207.95,8053.0,30
CDM,448612,COIL EMBL 8CM 3MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448613,COIL EMBL 10CM 3MM,7530.0,7530.0,1129.5,7530.0,30
CDM,448614,COIL EMBL 6CM 4MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448615,COIL PRIME FRAME 4X8,8416.0,8416.0,1262.4,8416.0,30
CDM,448616,COIL EMBL 10CM 4MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448617,COIL EMBL 12CM 4MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448618,COIL EMBL 8CM 5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448619,COIL EMBL 10CM 5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448620,COIL EMBL 15CM 5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448621,COIL EMBL 10CM 6MM AXIUM,8416.0,8416.0,1262.4,8416.0,30
CDM,448622,COIL EMBL 15CM 6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448624,COIL EMBL 15CM 7MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448625,COIL EMBL .34MM 7MM 20CM,8416.0,8416.0,1262.4,8416.0,30
CDM,448626,COIL EMBL 30CM 7MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448627,COIL EMBL 15CM 8MM,10608.0,10608.0,1591.2,10608.0,30
CDM,448628,COIL EMBL 20CM 8MM,10608.0,10608.0,1591.2,10608.0,30
CDM,448629,COIL EMBL 30CM 8MM,7530.0,7530.0,1129.5,7530.0,30
CDM,448630,COIL EMBL 20CM 9MM,10608.0,10608.0,1591.2,10608.0,30
CDM,448631,COIL EMBL 20CM 10MM,10608.0,10608.0,1591.2,10608.0,30
CDM,448633,COIL EMBL 30CM 10MM,10608.0,10608.0,1591.2,10608.0,30
CDM,448634,COIL EMBL 30CM 12MM,7530.0,7530.0,1129.5,7530.0,30
CDM,448635,COIL EMBL 40CM 12MM,10608.0,10608.0,1591.2,10608.0,30
CDM,448636,COIL EMBL 30CM 14MM AXIU,7530.0,7530.0,1129.5,7530.0,30
CDM,448637,COIL EMBL 40CM 14MM,7530.0,7530.0,1129.5,7530.0,30
CDM,448638,COIL EMBL 40CM 16MM,10608.0,10608.0,1591.2,10608.0,30
CDM,448639,COIL EMBL 40CM 18MM,7530.0,7530.0,1129.5,7530.0,30
CDM,448653,DVC REVASC 4MM 180CM,32742.5,32742.5,4911.38,32742.5,42
CDM,448658,CATH DRN 14FR 41CM,1275.0,1275.0,191.25,1275.0,42
CDM,448674,BANDAGE CMPR 2.9YDX4IN,231.5,231.5,34.73,231.5,42
CDM,448678,CURRETTE DERMAL 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,448679,CURETTE DERMAL 7MM,49.0,49.0,7.35,49.0,42
CDM,448694,DRESSING FOAM 1.6X2IN,32.0,32.0,4.8,32.0,42
CDM,448815,GRAFT DURA CLGN 3X3IN,4429.0,4429.0,664.35,4429.0,30
CDM,448822,SCREW BN 10.35MM 85MM,4429.0,4429.0,664.35,4429.0,30
CDM,448823,SCREW BN 95MM,4429.0,4429.0,664.35,4429.0,30
CDM,448824,SCREW BN SPN 6.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,448825,ROD SPNL 40MM PLRS,2711.0,2711.0,406.65,2711.0,30
CDM,448826,SCREW SPN 8.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,448827,SCREW BN SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,448828,STEM HIP 127D SZ6 158MM,6201.0,6201.0,930.15,6201.0,30
CDM,448832,SPACER SPN PK 33X12X11,9667.0,9667.0,1450.05,9667.0,30
CDM,448833,PLATE SPN 3LVL 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,448834,INSERT EVOL MP EAI6310R,4606.0,4606.0,690.9,4606.0,30
CDM,448835,INSERT EVOL MP EAI3112L,4606.0,4606.0,690.9,4606.0,30
CDM,448839,ANCHOR SUT 2.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,448840,ANCHOR SUT #5 38IN,542.0,542.0,81.3,542.0,30
CDM,448842,GWIRE ORTH 3.0MM 1250MM,1647.5,1647.5,247.13,1647.5,42
CDM,448843,NAIL 13MM 74CM LT T2 IM,25488.0,25488.0,3823.2,25488.0,30
CDM,448844,PLATE TIB KN SZ2 62X41MM,17798.0,17798.0,2669.7,17798.0,30
CDM,448845,CMPNT FEM KN LT SZC,35849.0,35849.0,5377.35,35849.0,30
CDM,448846,INSERT KN SZC 12MM,7858.0,7858.0,1178.7,7858.0,30
CDM,448848,INSERT ACTB HIP SZE 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,448849,STEM EVOL REV CS SZ4 RT,14306.0,14306.0,2145.9,14306.0,30
CDM,448850,INSRT EVOLMP ADAPTIVE CS,4606.0,4606.0,690.9,4606.0,30
CDM,448851,PLATE BN 80MM 12HL,4429.0,4429.0,664.35,4429.0,30
CDM,448852,CMPNT BRNG KN LT MED 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,448853,COMPONENT FEM KN SZ6,6312.0,6312.0,946.8,6312.0,30
CDM,448854,INSERT TIB PS BR79/83X10,4606.0,4606.0,690.9,4606.0,30
CDM,448855,INSERT TIB PS BR71/75X16,4429.0,4429.0,664.35,4429.0,30
CDM,448858,GDWR UNTHRDED 3.2X20MM,773.0,773.0,115.95,773.0,42
CDM,448859,SCREW BN 7MM 75MM,3975.0,3975.0,596.25,3975.0,30
CDM,448860,BIT DRILL 2.7MM,2284.0,2284.0,342.6,2284.0,42
CDM,448862,GUIDEWIRE ORTH 1.4X150MM,1023.5,1023.5,153.53,1023.5,42
CDM,448863,SCREW BN 4.0MM 26MM,3478.0,3478.0,521.7,3478.0,30
CDM,448864,INSERT TIB PS BR71/75X10,4606.0,4606.0,690.9,4606.0,30
CDM,448865,INSERT TIB PS BR71/75X12,4606.0,4606.0,690.9,4606.0,30
CDM,448866,SCREW BN 3.5MM 32MM,718.0,718.0,107.7,718.0,30
CDM,448867,SCREW BN 4MM 48MM,1786.0,1786.0,267.9,1786.0,30
CDM,448868,SCREW BN 3.5MM 30MM CORT,1786.0,1786.0,267.9,1786.0,30
CDM,448869,GWIRE ORTH THRD 2.3MM,388.0,388.0,58.2,388.0,42
CDM,448870,STAPLE BN 20X25MM,8951.0,8951.0,1342.65,8951.0,30
CDM,448871,SCREW BN 7MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,448872,SCREW BN 5.5MM 47.5MM ST,3467.0,3467.0,520.05,3467.0,30
CDM,448873,SCREW BN 5.5MM 70MM,2790.0,2790.0,418.5,2790.0,30
CDM,448874,HEAD FEM HIP 11/13 +12MM,4606.0,4606.0,690.9,4606.0,30
CDM,448875,COMPNT FEM KN RT SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,448876,INSERT ARTC KN 6-9 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,448878,NAIL FEM LT 11.5MM 42CM,9050.0,9050.0,1357.5,9050.0,30
CDM,448879,INSERT TIB PS BR63/67X12,4606.0,4606.0,690.9,4606.0,30
CDM,448880,GRAFT STNT 42MM 105MM,62462.0,62462.0,9369.3,62462.0,30
CDM,448881,GRAFT STNT 38MM 160MM,68230.0,68230.0,10234.5,68230.0,30
CDM,448883,WEDGE TIB 15MM MBT 4 KN,4612.0,4612.0,691.8,4612.0,30
CDM,448884,STEM FEM HIP 15MM 220MM,15546.0,15546.0,2331.9,15546.0,30
CDM,448885,NAIL BN 11.5MM 38CM,6201.0,6201.0,930.15,6201.0,30
CDM,448886,PLATE BN 2.7MM 97MM,3189.0,3189.0,478.35,3189.0,30
CDM,448887,COMPNT FEM KN 90MM,12747.0,12747.0,1912.05,12747.0,30
CDM,448888,CMPNT FEM HIP LT 15D,14665.0,14665.0,2199.75,14665.0,30
CDM,448889,STEM EXT KN 100MM,8726.0,8726.0,1308.9,8726.0,30
CDM,448890,INSERT TIB PS BR79/83X13,4606.0,4606.0,690.9,4606.0,30
CDM,448891,SCREW BN 6.5MM 40MM,2105.0,2105.0,315.75,2105.0,30
CDM,448892,SCREW BN 4.75MM 35MM,877.0,877.0,131.55,877.0,30
CDM,448893,STEM HUM SHLDR 10D 44MM,33005.0,33005.0,4950.75,33005.0,30
CDM,448894,AUGMENT ACTB 62MM INTEGR,4606.0,4606.0,690.9,4606.0,30
CDM,448895,LNR ACTB NVATN CRWN CUP,4429.0,4429.0,664.35,4429.0,30
CDM,448896,STEM FEM PRSFT XTND OFST,8858.0,8858.0,1328.7,8858.0,30
CDM,448897,STEM FEM HIP 17MM 127MM,10037.0,10037.0,1505.55,10037.0,30
CDM,448898,STEM FEM HIP 25MM +0MM,12106.0,12106.0,1815.9,12106.0,30
CDM,448900,PLATE BN 2HL 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,448901,BIT DRILL 1.5MM,1444.5,1444.5,216.68,1444.5,42
CDM,448902,DISC INTVRT 6X16X17.8MM,20152.0,20152.0,3022.8,20152.0,30
CDM,448903,ROD SPN 95MM 5.5MM,2630.0,2630.0,394.5,2630.0,30
CDM,448904,SCREW BN 3.5MM 5MM 44MM,2411.0,2411.0,361.65,2411.0,30
CDM,448905,SCREW BN 3.5MM 5MM 60MM,2411.0,2411.0,361.65,2411.0,30
CDM,448906,SCREW BN CORT 3.5X28MM,319.0,319.0,47.85,319.0,30
CDM,448907,SCREW BN 3.5MM 60MM,319.0,319.0,47.85,319.0,30
CDM,448908,SCREW BN 3.5MM 20MM,319.0,319.0,47.85,319.0,30
CDM,448909,INSERT TIB KN SZ3-4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,448910,CONNECTOR CROSS 28-33MM,3389.0,3389.0,508.35,3389.0,30
CDM,448911,PLTE 30MM UPPR THOR POST,6644.0,6644.0,996.6,6644.0,30
CDM,448912,SCREW SPN OCPTL 10X4.5MM,1506.0,1506.0,225.9,1506.0,30
CDM,448913,DRILL SURG 3MM 4.5MM,386.5,386.5,57.98,386.5,42
CDM,448914,ROD SPN 115D 3.5MM 125MM,2711.0,2711.0,406.65,2711.0,30
CDM,448915,FORCEP ESURG 2MM 22CM,3580.0,3580.0,537.0,3580.0,42
CDM,448916,CURETTE SPN 10G,3912.0,3912.0,586.8,3912.0,42
CDM,448917,ROD SPINAL 40MM SOLERA,2711.0,2711.0,406.65,2711.0,30
CDM,448918,ROD SPINAL 50MM SOLERA,2711.0,2711.0,406.65,2711.0,30
CDM,448919,SCREW BN SPN 8.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,448920,FASCIA LATA 101-150CM2,3765.0,3765.0,564.75,3765.0,30
CDM,448921,FASCIA LATA 51-100CM2,3599.0,3599.0,539.85,3599.0,30
CDM,448922,INSERT EIS5P12R,4429.0,4429.0,664.35,4429.0,30
CDM,448923,PLT 90X90MM OSTFRM CRNFC,8175.0,8175.0,1226.25,8175.0,30
CDM,448924,COMPONENT GLND 38X4MM EQ,6423.0,6423.0,963.45,6423.0,30
CDM,448925,FM CRM LNGE -3.5 OD28MM,4606.0,4606.0,690.9,4606.0,30
CDM,448926,STEM FEM HIP 195MM 16MM,9185.0,9185.0,1377.75,9185.0,30
CDM,448927,SCREW SPN 4.0MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,448928,BLADE SHVR 3.5MM 80MM,572.0,572.0,85.8,572.0,42
CDM,448929,SCREW SPN 4MM 14MM,1506.0,1506.0,225.9,1506.0,30
CDM,448930,INSERT TIB PS BR63/67X14,4606.0,4606.0,690.9,4606.0,30
CDM,448931,DISC INTVRTB 15X7X13MM,21703.0,21703.0,3255.45,21703.0,30
CDM,448932,CMPNT FEM KN 71MM 66MM,15352.0,15352.0,2302.8,15352.0,30
CDM,448933,CMPNT TIBTRY 3 25MM KN,20870.0,20870.0,3130.5,20870.0,30
CDM,448934,INSERT TIB MED UNV 14MM,14095.0,14095.0,2114.25,14095.0,30
CDM,448935,CMPNT KN FEM RT 67.5MM,20626.0,20626.0,3093.9,20626.0,30
CDM,448936,STEM KN FEM SP EXT13X120,5054.0,5054.0,758.1,5054.0,30
CDM,448937,SCREW BN SPN 4MM 30MM,4247.0,4247.0,637.05,4247.0,30
CDM,448938,SCREW BN SPN 4MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,448939,KIT FILTER IVC 5FR 70CM,5537.0,5537.0,830.55,5537.0,30
CDM,448940,CATH URTH 2W 20FR 30CC,231.5,231.5,34.73,231.5,42
CDM,448941,CATH URTH 2W 22FR 30CC,231.5,231.5,34.73,231.5,42
CDM,448942,CATH URTH 2W 24FR 30CC,231.5,231.5,34.73,231.5,42
CDM,448943,ROD 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,448944,SCREW SPNL SIERRA 3.5X16,4247.0,4247.0,637.05,4247.0,30
CDM,448945,CMPNT AGMNT 5X12 DST LT,4252.0,4252.0,637.8,4252.0,30
CDM,448946,FEM POR G NG LPSFLX LT K,9301.0,9301.0,1395.15,9301.0,30
CDM,448947,INSERT TIB 6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,448948,SCREW BN SPN STD,753.0,753.0,112.95,753.0,30
CDM,448949,SCREW BN SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,448950,SCREW BN SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,448951,ROD SPN CRV 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,448952,RING ANLPLS TRCSD 34MM,8067.0,8067.0,1210.05,8067.0,30
CDM,448953,CUP ACTB 66MM FLNGE LT,44069.0,44069.0,6610.35,44069.0,30
CDM,448954,LINER ACTB PNCL 32X66,4429.0,4429.0,664.35,4429.0,30
CDM,448956,VALVE AORTIC LG,30741.0,30741.0,4611.15,30741.0,30
CDM,448962,TREPHINE SURG SCR 6 MM,2210.0,2210.0,331.5,2210.0,42
CDM,448963,TREPHINE SURG SCR 7 MM,2210.0,2210.0,331.5,2210.0,42
CDM,448964,TREPHINE SURG SCR 8 MM,2210.0,2210.0,331.5,2210.0,42
CDM,448970,STEM HUM SHLDR LT 12.5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,448971,STEM ULN ELB LT 4MM 75MM,20597.0,20597.0,3089.55,20597.0,30
CDM,448972,SCREW BN HUM,3189.0,3189.0,478.35,3189.0,30
CDM,448973,CMPNT ELB MED SZ4,4790.0,4790.0,718.5,4790.0,30
CDM,448974,STEM HUM ELB 4MM 100MM,18669.0,18669.0,2800.35,18669.0,30
CDM,448978,STEM FEM HIP 147MM,9966.0,9966.0,1494.9,9966.0,30
CDM,448979,INSERT TIB PS BR79/83X12,4606.0,4606.0,690.9,4606.0,30
CDM,448980,SCREW BN 3.5MM 5MM 36MM,2392.0,2392.0,358.8,2392.0,30
CDM,448981,SCREW BN 3.5MM 5MM 30MM,2392.0,2392.0,358.8,2392.0,30
CDM,448982,STEM FEM HIP 15X140MM,8699.0,8699.0,1304.85,8699.0,30
CDM,448983,CATH VNTRC NBTC 23CM,2719.5,2719.5,407.93,2719.5,30
CDM,448984,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,448985,CMPNT FEM SZD LT,7530.0,7530.0,1129.5,7530.0,30
CDM,448986,PLATE XL 153MM 2.7/3.5MM,5690.0,5690.0,853.5,5690.0,30
CDM,448987,PLATE BN LT 4HL 73MM,4758.0,4758.0,713.7,4758.0,30
CDM,448988,PLATE BN LT 5H 2.7X3.5MM,4758.0,4758.0,713.7,4758.0,30
CDM,448989,INSERT TIB PS BR71/75X14,4606.0,4606.0,690.9,4606.0,30
CDM,448990,INSERT TIB PS BR79/83X14,4606.0,4606.0,690.9,4606.0,30
CDM,448991,INSERT TIB KN BR79/83X16,4606.0,4606.0,690.9,4606.0,30
CDM,448993,SPACER SPNL 20X9X8MMD,9966.0,9966.0,1494.9,9966.0,30
CDM,448994,PEG LCK SMOOTH 2X20MM,1244.0,1244.0,186.6,1244.0,30
CDM,448995,HEAD CASS DISP 14MM,386.5,386.5,57.98,386.5,42
CDM,448996,SPACER SPN 36X28X11MM 8D,11073.0,11073.0,1660.95,11073.0,30
CDM,448997,STEM NECK HIP 132D SZ9,9966.0,9966.0,1494.9,9966.0,30
CDM,448998,CATH LUMBAR CLOSED TIP,4093.0,4093.0,613.95,4093.0,42
CDM,448999,SCREW BN 7MM 45MM MAXTOR,3189.0,3189.0,478.35,3189.0,30
CDM,449000,SCREW SET ALOY CMN TI,718.0,718.0,107.7,718.0,30
CDM,449001,NAIL BN 11.5MM 40CM,6400.0,6400.0,960.0,6400.0,30
CDM,449002,SCREW BN 5MM 55MM,2073.0,2073.0,310.95,2073.0,30
CDM,449003,SCREW BN 5X3.5X50MM,2073.0,2073.0,310.95,2073.0,30
CDM,449004,INSRT TIB 2.5 17MM KNMOD,4429.0,4429.0,664.35,4429.0,30
CDM,449005,INSERT TIB 2.5 15MM PST,4429.0,4429.0,664.35,4429.0,30
CDM,449008,SPACER SPN 14X11X11MM,4429.0,4429.0,664.35,4429.0,30
CDM,449009,IMPL KNEE 6200-08-911,4429.0,4429.0,664.35,4429.0,30
CDM,449010,PLATE TIB YLW 67X47X17MM,11294.0,11294.0,1694.1,11294.0,30
CDM,449011,GRAFT EVAS 28.5X12M 14CM,44268.0,44268.0,6640.2,44268.0,30
CDM,449012,PLATE CERV 69MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,449013,COIL EMBL 14MM 30CM,3720.0,3720.0,558.0,3720.0,30
CDM,449014,SCREW BIOABS 15MM 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,449015,SCREW BN 6.5X25 CANC,877.0,877.0,131.55,877.0,30
CDM,449016,SCREW CORT S/T 3.5X10MM,341.0,341.0,51.15,341.0,30
CDM,449017,COMPNT TIB KN SZ1 39MM,11668.0,11668.0,1750.2,11668.0,30
CDM,449019,INSERT TIB 3X20 TC3,4747.0,4747.0,712.05,4747.0,30
CDM,449020,PLATE SPN 21MM,4429.0,4429.0,664.35,4429.0,30
CDM,449021,GRAFT BN TRCRT 9MM,3765.0,3765.0,564.75,3765.0,30
CDM,449022,DISC INTVRTB 15X5X13MM,21703.0,21703.0,3255.45,21703.0,30
CDM,449023,INSERT TIB PS BR71/75X11,4606.0,4606.0,690.9,4606.0,30
CDM,449024,INSERT TIB PS BR71/75X13,4606.0,4606.0,690.9,4606.0,30
CDM,449026,SCREW BN 3X36MM,2679.0,2679.0,401.85,2679.0,30
CDM,449027,SCREW BN 3X38MM,2679.0,2679.0,401.85,2679.0,30
CDM,449028,SCREW BN SLFTP 2.7X10MM,429.0,429.0,64.35,429.0,30
CDM,449030,INSERT TIB KN SZ10 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,449031,ROD SPN 5.5MM 85MM,2711.0,2711.0,406.65,2711.0,30
CDM,449033,PLT CRV 278MM 4.5MM 12HL,8259.0,8259.0,1238.85,8259.0,30
CDM,449036,STEM RADL ELB 8MM 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,449037,HEAD RADL XPLR 22X14MM,4606.0,4606.0,690.9,4606.0,30
CDM,449042,PLATE SPN 62.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,449043,SCREW BN 3.5X56 2.7MM,319.0,319.0,47.85,319.0,30
CDM,449044,SHELL ACTB HIP 62MM,9543.0,9543.0,1431.45,9543.0,30
CDM,449045,SYS THR62/64X54MM RT HIP,9527.0,9527.0,1429.05,9527.0,30
CDM,449047,CAGE PRV HIP RT SZ62/64,3970.0,3970.0,595.5,3970.0,42
CDM,449048,PLATE NCB PERIPRSTHTC RT,4429.0,4429.0,664.35,4429.0,30
CDM,449049,PLATE SHORT 115MM,5758.0,5758.0,863.7,5758.0,30
CDM,449050,SCREW BN 3.5MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,449051,SCREW BN 3.5MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,449052,SCREW BN 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,449053,INSERT TIB PS BR63/67X11,4606.0,4606.0,690.9,4606.0,30
CDM,449054,PLATE 90X90MM MXLFCL MSH,8886.0,8886.0,1332.9,8886.0,30
CDM,449055,BLADE SURG 14.5MM 8IN,4093.0,4093.0,613.95,4093.0,42
CDM,449056,BLADE 15MM 8IN,4093.0,4093.0,613.95,4093.0,42
CDM,449057,BLADE SURG 15.5MM 8MM,6554.0,6554.0,983.1,6554.0,42
CDM,449058,BLADE SAW TRPHN 16MM,4093.0,4093.0,613.95,4093.0,42
CDM,449059,BLADE 16.5MM 8IN,4415.5,4415.5,662.33,4415.5,42
CDM,449060,BLADE 17MM 8IN,5883.5,5883.5,882.52,5883.5,42
CDM,449061,BLADE TRPHN 17.5MM 8IN,5883.5,5883.5,882.52,5883.5,42
CDM,449062,TRPHN SURG 18MM 8IN,4385.5,4385.5,657.83,4385.5,42
CDM,449063,BLADE TRPHN 18.5MM 8IN,4385.5,4385.5,657.83,4385.5,42
CDM,449064,INSTR FEM TRPHN 19MM STR,4385.5,4385.5,657.83,4385.5,42
CDM,449065,BLADE TRPHN 8IN 19.5MM,5065.0,5065.0,759.75,5065.0,42
CDM,449066,SET TTL JNT FEM 20MM TRP,4093.0,4093.0,613.95,4093.0,42
CDM,449067,BLADE TRPHN 20.5MM 8IN,4093.0,4093.0,613.95,4093.0,42
CDM,449068,SET TTL JNT 8IN 21MM,4385.5,4385.5,657.83,4385.5,42
CDM,449069,BLADE TRPHN 21.5M 8IN,4385.5,4385.5,657.83,4385.5,42
CDM,449070,BLADE TRPHN 22MM 8IN,4385.5,4385.5,657.83,4385.5,42
CDM,449071,BLADE TRPHN 22.5M 8IN,4385.5,4385.5,657.83,4385.5,42
CDM,449072,BLADE SRG TREPH 23MMX8IN,4385.5,4385.5,657.83,4385.5,42
CDM,449073,TREPHINE 23.5MM 8IN MRI,4385.5,4385.5,657.83,4385.5,42
CDM,449074,TREPHINE 24MM 8IN MRI,4385.5,4385.5,657.83,4385.5,42
CDM,449075,LINER ACTB HIP 28MM,6644.0,6644.0,996.6,6644.0,30
CDM,449076,STEM FEM HIP 19MM 190MM,9567.0,9567.0,1435.05,9567.0,30
CDM,449077,SHELL ACTB 66MM 26MM HIP,8207.0,8207.0,1231.05,8207.0,30
CDM,449078,JNTDEV LNR HIP 26 36 MX,4606.0,4606.0,690.9,4606.0,30
CDM,449079,HEAD FEM HIP +0MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,449080,COMP FEM HIP E SZ60MM,16725.0,16725.0,2508.75,16725.0,30
CDM,449081,STEM FEM HIP 18MM 200MM,9977.0,9977.0,1496.55,9977.0,30
CDM,449082,SCREW BN 6.5MM 45MM,877.0,877.0,131.55,877.0,30
CDM,449083,SPACER SPNL 26MMX8MM,9966.0,9966.0,1494.9,9966.0,30
CDM,449084,WIRE FX 1.4IN KRSH NTNL,1596.5,1596.5,239.47,1596.5,42
CDM,449085,SCREW BN SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,449086,SCREW BN SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,449087,SCREW SPN 5.5MM,753.0,753.0,112.95,753.0,30
CDM,449088,ROD SPNL 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,449090,PLATE BN STERNLCK 6HL,3721.0,3721.0,558.15,3721.0,30
CDM,449091,CMPNT KN FEM RT 55MM,7087.0,7087.0,1063.05,7087.0,30
CDM,449092,CMPNT KN FEM LT 55MM,6644.0,6644.0,996.6,6644.0,30
CDM,449093,BASEPLT KN TB JRNY MDL-3,4606.0,4606.0,690.9,4606.0,30
CDM,449094,SCREW BN SPN 6.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,449095,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,449097,PLT 118MM STRFSN LCPWRST,8262.0,8262.0,1239.3,8262.0,30
CDM,449098,INSERT HUM SHLDR 32X8MM,4606.0,4606.0,690.9,4606.0,30
CDM,449099,PLATE BN LT 7HL 3.5MM,7590.0,7590.0,1138.5,7590.0,30
CDM,449100,INSERT TIB PS + 79/83X18,4429.0,4429.0,664.35,4429.0,30
CDM,449102,PLATE 2H LP 218-0091,1016.0,1016.0,152.4,1016.0,30
CDM,449103,SCREW SPN 8MM 70MM,4429.0,4429.0,664.35,4429.0,30
CDM,449104,SCREW SPN 9MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,449105,KIT INTRATHECAL PUMP SEG,386.5,386.5,57.98,386.5,42
CDM,449106,SCREW BN TI 3.5X26X18MM,4247.0,4247.0,637.05,4247.0,30
CDM,449107,ROD 3.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,449108,CMPNT FEM KN SZ6,6312.0,6312.0,946.8,6312.0,30
CDM,449109,STEM FEM HIP 15X195MM,9695.0,9695.0,1454.25,9695.0,30
CDM,449110,LINER ACTB CONTIN LL 58M,4606.0,4606.0,690.9,4606.0,30
CDM,449111,HEAD HUM ASC FLX 48X18MM,4872.0,4872.0,730.8,4872.0,30
CDM,449112,STEM HUM 137.5D 86MM,12432.0,12432.0,1864.8,12432.0,30
CDM,449113,SCREW SPN 4.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,449114,SPACER SPN 7D 14X11X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,449115,SCREW BN 8X80 EXP TI PLY,3765.0,3765.0,564.75,3765.0,30
CDM,449116,BLK AUG FEM DIST 10MM,4252.0,4252.0,637.8,4252.0,30
CDM,449117,INSERT TIB KN 21MM,14095.0,14095.0,2114.25,14095.0,30
CDM,449118,SCRW EXP TI POLY 7.5 X 7,4120.0,4120.0,618.0,4120.0,30
CDM,449119,INSERT TIB KN RT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,449120,SPACER SPNL 20X9X9MM,9966.0,9966.0,1494.9,9966.0,30
CDM,449122,STEM REST MOD PLSM12X167,10608.0,10608.0,1591.2,10608.0,30
CDM,449123,STEM FEM HIP 167MM 12MM,11469.0,11469.0,1720.35,11469.0,30
CDM,449124,INSERT TIB KN 12MM,14095.0,14095.0,2114.25,14095.0,30
CDM,449125,STEM FEM REV CRL TI H 15,20927.0,20927.0,3139.05,20927.0,30
CDM,449126,CMPNT PTLA 3PEG STD37X10,4252.0,4252.0,637.8,4252.0,30
CDM,449127,PEG BN 2.7MM 20MM,1435.0,1435.0,215.25,1435.0,30
CDM,449128,SHELL ACTB HIP SZ H 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,449129,LINER ACTB SZH 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,449130,SCREW BN 6.5MM 15MM,877.0,877.0,131.55,877.0,30
CDM,449131,SCREW BN 6.5X30MM,877.0,877.0,131.55,877.0,30
CDM,449132,STEM FEM HIP 16MM 152MM,7973.0,7973.0,1195.95,7973.0,30
CDM,449133,HEAD FEM +3 36MM BIOLOX,4606.0,4606.0,690.9,4606.0,30
CDM,449134,SCREW 2.0 X 3.0 400.853,1167.0,1167.0,175.05,1167.0,30
CDM,449135,CAGE SPN 14X12X8MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,449136,PLATE SPN 4LVL 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,449137,BODY SHLDR HUM SM,23458.0,23458.0,3518.7,23458.0,30
CDM,449138,SCREW BN 50MM,3721.0,3721.0,558.15,3721.0,30
CDM,449139,CMPNT SHLDR +4MM 42MM,6423.0,6423.0,963.45,6423.0,30
CDM,449140,COLLAR HUM STM 27.5MM,7216.0,7216.0,1082.4,7216.0,30
CDM,449141,CMPNT FEM KN LT 9MM,5094.0,5094.0,764.1,5094.0,30
CDM,449142,INSERT TIB KN SZ9 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,449143,INSERT TIB BRG 24X63/67,5324.0,5324.0,798.6,5324.0,30
CDM,449144,SCREW BN 5MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,449145,NAIL BN FEMCANN 11X400MM,7950.0,7950.0,1192.5,7950.0,30
CDM,449146,WDG TIB 10MM 6 N STP MBL,4612.0,4612.0,691.8,4612.0,30
CDM,449147,CONNECT ROD 5.5X6.35MM,3287.0,3287.0,493.05,3287.0,30
CDM,449148,INSERT TIB PS BR79/83X11,4606.0,4606.0,690.9,4606.0,30
CDM,449149,INSERT FEM HIP TYP1 -6MM,1170.0,1170.0,175.5,1170.0,30
CDM,449150,PLATE BN RT 3HL 73MM,4429.0,4429.0,664.35,4429.0,30
CDM,449151,BASEPLATE SHLDR RT 10D,7973.0,7973.0,1195.95,7973.0,30
CDM,449152,TRAY TIBIAL LNG SIZE 3,26309.0,26309.0,3946.35,26309.0,30
CDM,449153,COMPNT DOME ANKL SIZE 3,27916.0,27916.0,4187.4,27916.0,30
CDM,449154,INSERT TIB ANKL SZ3 8MM,9213.0,9213.0,1381.95,9213.0,30
CDM,449155,BLADE SAW NARROW,1735.5,1735.5,260.32,1735.5,42
CDM,449156,BLADE SAW WIDE,1735.5,1735.5,260.32,1735.5,42
CDM,449158,PIN EXFX 3.2MM 102MM,464.0,464.0,69.6,464.0,42
CDM,449160,PIN FX THRD SHRT,464.0,464.0,69.6,464.0,42
CDM,449161,PLATE BN 6HL 2.4MM 54MM,4783.0,4783.0,717.45,4783.0,30
CDM,449162,SCREW BN SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,449163,SCREW BN SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,449164,SCREW BN SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,449165,SCREW SET CYPHER HF 5.5,753.0,753.0,112.95,753.0,30
CDM,449166,ROD SPNL CRV 35MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,449167,ROD CYPHER 40MM PREBENT,2711.0,2711.0,406.65,2711.0,30
CDM,449168,GWIRE ORTH 1.6MM 510MM,386.5,386.5,57.98,386.5,42
CDM,449169,STEM FEM 0 BPS TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
CDM,449170,TOOL TUNNELING 28CM,773.0,773.0,115.95,773.0,42
CDM,449171,GRAFT EVAS 23MM 12CM,19174.0,19174.0,2876.1,19174.0,30
CDM,449172,PLATE BN 100MM CRNMX TI3,3721.0,3721.0,558.15,3721.0,30
CDM,449173,SCREW SPNE 3.5X16MM,4247.0,4247.0,637.05,4247.0,30
CDM,449175,SCREW BN TI 3.5X31X22MM,4247.0,4247.0,637.05,4247.0,30
CDM,449176,STEM HUM SHD 120MM 13MM,22469.0,22469.0,3370.35,22469.0,30
CDM,449177,INSRT TIB3 14MMRTKNCNFRM,4429.0,4429.0,664.35,4429.0,30
CDM,449178,COMP PTLR PRFX 8.5X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,449180,SHELL ACTB HIP 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,449181,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,449182,STEM FEM HIP 13X146MM,7530.0,7530.0,1129.5,7530.0,30
CDM,449183,HEAD FEM CERM -3 DLT,4606.0,4606.0,690.9,4606.0,30
CDM,449184,NAIL BN 10MM 18CM,5545.0,5545.0,831.75,5545.0,30
CDM,449186,PLATE BN 7HL 2.4MM,3635.0,3635.0,545.25,3635.0,30
CDM,449187,INSERT TIB KN SZ3 22.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,449189,BODY CONE HIP +10MM 19MM,13476.0,13476.0,2021.4,13476.0,30
CDM,449190,CEMENT BN CA PHOS 5.0ML,5634.0,5634.0,845.1,5634.0,30
CDM,449191,TRAY REV SHLDR CNTR +0MM,4429.0,4429.0,664.35,4429.0,30
CDM,449193,STEM FEM HIP SZ3 240MM,17450.0,17450.0,2617.5,17450.0,30
CDM,449194,GRAFT EVAS 23X12MM 16CM,44268.0,44268.0,6640.2,44268.0,30
CDM,449195,INSERT ARTC KN 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,449196,CMPNT FEM KN LT SZ3,6312.0,6312.0,946.8,6312.0,30
CDM,449197,LINER ACTB HIP 56MM,6312.0,6312.0,946.8,6312.0,30
CDM,449198,LINER ACTB HIP 40MM 56MM,4429.0,4429.0,664.35,4429.0,30
CDM,449199,LINER HIP COCR 40X22,4252.0,4252.0,637.8,4252.0,30
CDM,449201,CMPNT FEM HIP +4 SZ12/14,2863.0,2863.0,429.45,2863.0,30
CDM,449202,PLATE CERV 63MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,449203,NAIL 8.5X32 TIB META,4872.0,4872.0,730.8,4872.0,30
CDM,449204,SCREW BN 4.5MM 27.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,449205,STEM FEM KN 16MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,449206,CMPNT TIB BRG PS71/75X16,6465.0,6465.0,969.75,6465.0,30
CDM,449207,CMPNT KN FEM RT 62.5MM,20626.0,20626.0,3093.9,20626.0,30
CDM,449208,WEDGE DSTL LO/RI 62.5X10,4606.0,4606.0,690.9,4606.0,30
CDM,449209,HEAD HUM SHLDR 42X18X46,4606.0,4606.0,690.9,4606.0,30
CDM,449210,STEM FEM KN SHRT 14X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,449211,INSERT TIB KN SZ7-8 18MM,5532.0,5532.0,829.8,5532.0,30
CDM,449212,CMPNT KN BRNG RT MED 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,449213,SPACER SPN 30X24X11MM 8D,11073.0,11073.0,1660.95,11073.0,30
CDM,449214,PLATE BUTRS AVS ARIA SPN,3389.0,3389.0,508.35,3389.0,30
CDM,449215,SCREWDRVR BATT-PWR,949.5,949.5,142.43,949.5,42
CDM,449217,DRIVER OSTEODRIVER STM 1,1516.5,1516.5,227.47,1516.5,42
CDM,449218,IMPLANT BREAST 695CC,4429.0,4429.0,664.35,4429.0,30
CDM,449219,GRAFT STRETCH 12MM X 40,4429.0,4429.0,664.35,4429.0,30
CDM,449220,CMPNT PTLR KN 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,449221,GRAFT ART ST TIS 36CM,17358.0,17358.0,2603.7,17358.0,30
CDM,449223,CAGE SPN 13X23MM,15158.0,15158.0,2273.7,15158.0,30
CDM,449224,SCREW BN SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,449225,ROD SPN 5.5X7.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,449226,HEAD FEM HIP 32-3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,449227,PLT 10D SM42MM 2.4/2.7MM,4969.0,4969.0,745.35,4969.0,30
CDM,449228,SCREW BN 4.5MM 40MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,449229,SCREW BN 4.5MM 60MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,449230,STEM REV CS RT EVOL SZ6,16831.0,16831.0,2524.65,16831.0,30
CDM,449231,WDG KN AUG SZ6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,449232,INSERT TIBIAL AUGMENT SI,4429.0,4429.0,664.35,4429.0,30
CDM,449233,EXTENSION 12MM X 65MM,4429.0,4429.0,664.35,4429.0,30
CDM,449234,INSERT MP ADAPTV CS EVOL,4606.0,4606.0,690.9,4606.0,30
CDM,449235,INSERT TIB PS BR63/67X10,4606.0,4606.0,690.9,4606.0,30
CDM,449236,STENT EPRSTH 31MM 15CM,57291.0,57291.0,8593.65,57291.0,30
CDM,449237,COMPNT FEM 3 LT MDL-P,7087.0,7087.0,1063.05,7087.0,30
CDM,449238,INSERT TIB 3MM LT EVOL M,4606.0,4606.0,690.9,4606.0,30
CDM,449239,CMPNT FEM NAR KN RT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,449240,INSERT ARTC KN 3-5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,449241,INSRT EVOLUTNMP ADPTV CS,4606.0,4606.0,690.9,4606.0,30
CDM,449242,STEM FEM HIP REV SZ13,19670.0,19670.0,2950.5,19670.0,30
CDM,449247,PLATE BN LCK 14HL 1.8MM,3721.0,3721.0,558.15,3721.0,30
CDM,449248,BASEPLATE BN GLND 8D,7973.0,7973.0,1195.95,7973.0,30
CDM,449249,LINER ACTB HIP SZG,4606.0,4606.0,690.9,4606.0,30
CDM,449250,COMPONENT TIBPLT HINGE 6,17798.0,17798.0,2669.7,17798.0,30
CDM,449251,STEM FEM EXT 15X145MM,4606.0,4606.0,690.9,4606.0,30
CDM,449252,INSERT TIB KN SZF 12MM,7858.0,7858.0,1178.7,7858.0,30
CDM,449253,STEM RADL ELB 6MM 24MM,4606.0,4606.0,690.9,4606.0,30
CDM,449254,HEAD RADL ELB 10MM 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,449255,COMP TIB CR CVD 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,449256,HEAD FEMORAL CERAMIC O28,4606.0,4606.0,690.9,4606.0,30
CDM,449257,LINER ACTB CNST QU 36X68,6644.0,6644.0,996.6,6644.0,30
CDM,449258,STEM FEM HIP 12.5X124MM,10630.0,10630.0,1594.5,10630.0,30
CDM,449259,STEM BN 7MM 8MM,7601.0,7601.0,1140.15,7601.0,30
CDM,449260,IMPLANT KNEE 960631,4606.0,4606.0,690.9,4606.0,30
CDM,449261,WEDGE TIB 3 H5 MBT STEP,4612.0,4612.0,691.8,4612.0,30
CDM,449262,INSERT ORTH 18MM XS UNV,14095.0,14095.0,2114.25,14095.0,30
CDM,449264,SHELL ACTB HIP SZ E 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,449265,LINER ACTB SZE 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,449266,STEM FEM HIP 9MM 137MM,8858.0,8858.0,1328.7,8858.0,30
CDM,449267,HEAD FEM HIP BIP 22X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,449268,LINER ACTB HIP 66MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,449269,KIT NRSTM LEAD SURG 50CM,17716.0,17716.0,2657.4,17716.0,30
CDM,449270,SLEEVE SUTURE 2.3CM,689.0,689.0,103.35,689.0,30
CDM,449271,STEM FEM KN 125X16.5MM,19267.0,19267.0,2890.05,19267.0,30
CDM,449272,CMPNT FEM KN RT XS,41041.0,41041.0,6156.15,41041.0,30
CDM,449273,INSERT TIB KN 21MM,14095.0,14095.0,2114.25,14095.0,30
CDM,449274,SCREW BN 6.5MM 35MM,877.0,877.0,131.55,877.0,30
CDM,449275,HEAD FEM HIP -3MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,449276,LINER ACTB FRDM 28 HIP S,6644.0,6644.0,996.6,6644.0,30
CDM,449277,INSERT TIB PS BR63/67X13,4606.0,4606.0,690.9,4606.0,30
CDM,449278,SPACER SPN 16X12X24MM 6D,19931.0,19931.0,2989.65,19931.0,30
CDM,449279,PLATE SP 30MM 2 LEVEL,4429.0,4429.0,664.35,4429.0,30
CDM,449280,SCREW SP VR SLFDR 4X16MM,1506.0,1506.0,225.9,1506.0,30
CDM,449283,CUP ACTB 65MM RT,51377.0,51377.0,7706.55,51377.0,30
CDM,449284,SCREW BN BSPLT 4.5X41MM,1633.0,1633.0,244.95,1633.0,30
CDM,449285,ROD SPN CRV 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,449286,SPACER SPNL 60X18X14MM,13952.0,13952.0,2092.8,13952.0,30
CDM,449287,SPACER SPNL 60X18X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,449288,ROD SPN XPDM 5.5MM 30MM,2630.0,2630.0,394.5,2630.0,30
CDM,449289,SPHERE SHLDR GLND 42MM,9477.0,9477.0,1421.55,9477.0,30
CDM,449290,INSERT SHLDR 12.5D 42X+6,4428.0,4428.0,664.2,4428.0,30
CDM,449291,PLT MINI SAG01-335-06-09,2511.0,2511.0,376.65,2511.0,30
CDM,449292,PLT MINI SAG01-305-06-09,2511.0,2511.0,376.65,2511.0,30
CDM,449293,MINI PLATE 50-320-08,1529.0,1529.0,229.35,1529.0,30
CDM,449295,TAP SURG STD 3.5MM,386.5,386.5,57.98,386.5,42
CDM,449296,SCREW BN SPN 3.5MM 14MM,4247.0,4247.0,637.05,4247.0,30
CDM,449297,PLUG SPNE OCPTL LINEUM H,753.0,753.0,112.95,753.0,30
CDM,449298,ROD SPNL 120X3.5MM COCR,2711.0,2711.0,406.65,2711.0,30
CDM,449299,SCREW BN SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,449300,SCREW BN SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,449301,ROD SPN CURVED 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
CDM,449302,ROD SPN CURVD 5.5X110MM,2711.0,2711.0,406.65,2711.0,30
CDM,449303,ROD SPN 5.5MM 105MM,2711.0,2711.0,406.65,2711.0,30
CDM,449304,PLATE SP 12MM 1 LEVEL,4429.0,4429.0,664.35,4429.0,30
CDM,449305,SCREW SP VAR 4X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,449306,PLATE BN 16HL 2.3MM RT,4429.0,4429.0,664.35,4429.0,30
CDM,449307,ANCHOR SUT 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,449308,ANCHOR SUT 4.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,449309,DRILL SURG 4MM 4.5MM,1289.5,1289.5,193.43,1289.5,42
CDM,449310,INSERT TIB KN 31MM,14095.0,14095.0,2114.25,14095.0,30
CDM,449311,INSERT TIB KN SZ4 22.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,449313,GUIDE PROPH FEM TIB CUST,1637.0,1637.0,245.55,1637.0,42
CDM,449314,SHELL ACTB HIP 3H 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,449315,LINER ACTB HIP 32MM 52MM,4429.0,4429.0,664.35,4429.0,30
CDM,449316,COMPONENT FEM EMPERIN 13,8194.0,8194.0,1229.1,8194.0,30
CDM,449317,PLATE BN 3X3H 1.25MM,3575.0,3575.0,536.25,3575.0,30
CDM,449318,GRAFT EVAS 26X14.5M 12CM,46735.0,46735.0,7010.25,46735.0,30
CDM,449319,CUP ACTB 66MM TRIFLNG RT,40969.0,40969.0,6145.35,40969.0,30
CDM,449321,SPACER SPNL 26MMX7MM,9966.0,9966.0,1494.9,9966.0,30
CDM,449322,STEM HUM SHLDR 83MM 7MM,11959.0,11959.0,1793.85,11959.0,30
CDM,449323,SCREW BN 6.5MM 40MM,1196.0,1196.0,179.4,1196.0,30
CDM,449324,KNIFE OPTH 1MM,229.5,229.5,34.42,229.5,42
CDM,449325,IMPLANT RTNL 10.5MM,329.0,329.0,49.35,329.0,30
CDM,449326,IMP RTNL 1.25X15X4MM,511.0,511.0,76.65,511.0,30
CDM,449327,IMPLANT RTNL MRDNL 12MM,198.0,198.0,29.7,198.0,30
CDM,449331,CATH LCRML UNLAT BLN 2MM,2983.5,2983.5,447.52,2983.5,42
CDM,449334,GRAFT EARDRUM 2PK 8MM,1213.0,1213.0,181.95,1213.0,30
CDM,449339,SUTURE ANTIBACT +0 27IN,227.5,227.5,34.13,227.5,42
CDM,449343,PLT 110D SS3.5MM SCR LCP,3918.0,3918.0,587.7,3918.0,30
CDM,449346,LENS IOL +5.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,449347,PLATE BN 5H 3.5MM 90MM,4429.0,4429.0,664.35,4429.0,30
CDM,449348,LENS IOL +17.5 DIOP,386.5,386.5,71.15,386.5,28
CDM,449349,PLATE BN SHRT LT 1H 69MM,4758.0,4758.0,713.7,4758.0,30
CDM,449354,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,449355,SCRW 6.5X35MM TI COCRSPN,3765.0,3765.0,564.75,3765.0,30
CDM,449356,SCREW BN SPN 6.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,449357,SCREW BN SPN 5.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,449366,BALOON CATH 7MM 6MM,2594.5,2594.5,389.18,2594.5,42
CDM,449370,LENS IOL +12.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,449376,TIP SUCT/IRR INTRPD CRV,229.5,229.5,34.42,229.5,42
CDM,449377,MNPLT SURG CUP 3.0CM,773.0,773.0,115.95,773.0,42
CDM,449378,MNPLT SURG CUP 3.5CM,773.0,773.0,115.95,773.0,42
CDM,449379,MNPLT SURG CUP 4.0CM,773.0,773.0,115.95,773.0,42
CDM,449385,TOOL DSCT 7CM 6MM,962.0,962.0,144.3,962.0,42
CDM,449386,KWIRE FX 1 .028IN 6IN,56.0,56.0,8.4,56.0,42
CDM,449389,ROD SPN 6MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,449392,TOOL DSCT 7CM 6MM,962.0,962.0,144.3,962.0,42
CDM,449395,STAPLER INT 25X2MM SHFT,4155.0,4155.0,623.25,4155.0,42
CDM,449396,RELOAD STPLR 2MM 20CM,3189.0,3189.0,478.35,3189.0,30
CDM,449407,LENS IOL +15.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,449409,RING CPSLR 11MM 13MM,1132.0,1132.0,169.8,1132.0,30
CDM,449412,CANNULA OPTH DISP 25GA,640.5,640.5,96.08,640.5,42
CDM,449413,SPATULA GRSHBR 25GA 45D,576.0,576.0,86.4,576.0,42
CDM,449419,ROD CD HRZN SOL 5.5/6.0,2711.0,2711.0,406.65,2711.0,30
CDM,449424,SYSTEM PUMP 2ML/HR 270ML,1075.5,1075.5,161.32,1075.5,42
CDM,449426,BIT DRILL 2.7 QC SHRT,386.5,386.5,57.98,386.5,42
CDM,449427,SCREW BN HIP CHS PED HEX,824.0,824.0,123.6,824.0,30
CDM,449435,BLADE OPTH 25GA,373.0,373.0,55.95,373.0,42
CDM,449437,SUTURE VIOL MON +0 27IN,49.0,49.0,7.35,49.0,42
CDM,449439,SUTURE BLK BRD 4-0 30IN,22.0,22.0,3.3,22.0,42
CDM,449442,SCREW BN SPN 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,449444,GWIRE ORTH 2.8MM 450MM,896.5,896.5,134.47,896.5,42
CDM,449446,PLATE BN SHRT 69MM,4758.0,4758.0,713.7,4758.0,30
CDM,449452,INSERTER NEUSIDL CORNEAL,1580.0,1580.0,237.0,1580.0,42
CDM,449453,PIN GD THRD 230X3.2 IMHS,1023.5,1023.5,153.53,1023.5,42
CDM,449454,BIT DRILL 3.5MM,773.0,773.0,115.95,773.0,42
CDM,449456,SCREW MAS CDH LEGACY 7.5,4247.0,4247.0,637.05,4247.0,30
CDM,449457,SCREW SPN 6.35MM 30MM,4247.0,4247.0,637.05,4247.0,30
CDM,449458,HOOK SPNL SM PDCL TI LP,3012.0,3012.0,451.8,3012.0,30
CDM,449459,RELOAD STPLR 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,449460,RELOAD STPLR 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,449464,SUTURE SH 2-0 1X27IN,31.0,31.0,4.65,31.0,42
CDM,449468,SUTURE ANBCTRL +3-0 27IN,35.5,35.5,5.33,35.5,42
CDM,449470,BAG TISS CLSR 6.0CM,1964.5,1964.5,294.68,1964.5,42
CDM,449477,SCREW BN 4.5X42.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,449497,NAIL BN 2MM 440MM,3189.0,3189.0,478.35,3189.0,30
CDM,449498,NAIL BN IM 2.0MM 440MM,3189.0,3189.0,478.35,3189.0,30
CDM,449503,SUTURE VIO BRD 8-0 5IN,231.5,231.5,34.73,231.5,42
CDM,449506,LENS IOL +19.5 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,449508,SUTURE UND MONO 2-0 27IN,34.0,34.0,5.1,34.0,42
CDM,449515,SLING GYN 7.75CM,6781.0,6781.0,1017.15,6781.0,30
CDM,449526,CNCTR 5MM DRN PLREV 10MM,171.5,171.5,25.73,171.5,42
CDM,449537,PROSTH OSS 4.0MM 0.4MM,3189.0,3189.0,587.09,3189.0,26
CDM,449549,TROCAR ESCPC F/.25 RND D,82.5,82.5,12.38,82.5,42
CDM,449554,SYSTEM RETRIEVAL 5MM,695.5,695.5,104.33,695.5,42
CDM,449555,CUP CERV SMALL 32MM,764.0,764.0,114.6,764.0,42
CDM,449556,CUP CERV MEDIUM 34MM,764.0,764.0,114.6,764.0,42
CDM,449557,CUP CERV LARGE 37MM,764.0,764.0,114.6,764.0,42
CDM,449558,CUP CERV XLARGE 40MM,764.0,764.0,114.6,764.0,42
CDM,449559,SCREW BN SPN 5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,449560,SCREW SPN 5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,449561,SCREW BN SPN 6MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,449562,SCREW BN SPN 6MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,449563,NAIL BN 3MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,449567,TROCAR OPTVW DLTIP 5X100,264.5,264.5,39.67,264.5,42
CDM,449576,SYSTEM XTRT 14CM,3004.0,3004.0,450.6,3004.0,42
CDM,449585,LENS IOL +14.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,449593,NAIL BN 2.5MM 440MM,3189.0,3189.0,478.35,3189.0,30
CDM,449594,TROCAR LAPSCP 150X5MM,264.5,264.5,39.67,264.5,42
CDM,449595,TROCAR LAPSCP 150MM 12MM,330.5,330.5,49.58,330.5,42
CDM,449598,DILATOR SURG MED 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,449601,IMPLANT BREAST 695CC,5315.0,5315.0,797.25,5315.0,30
CDM,449610,LENS IOL +6.0 DIOP,774.0,774.0,142.49,774.0,28
CDM,449654,SYSTEM URTH SUPP 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,449662,MAGNET COCLR LF STRL,8659.0,8659.0,1594.12,8659.0,26
CDM,449663,IMPL STRL DISP 4MM,6099.0,6099.0,1122.83,6099.0,26
CDM,449664,DRILL CONICL GUIDE 3X4MM,1565.5,1565.5,234.82,1565.5,42
CDM,449665,DRILL SURG DISP 4MM,1565.5,1565.5,234.82,1565.5,42
CDM,449666,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,449667,PRC SND LF NS,1287.5,1287.5,193.13,1287.5,42
CDM,449669,SYSTEM URTH SUPP 22CM,4613.0,4613.0,691.95,4613.0,30
CDM,449670,BLADE SHVR 110MM 4MM RDN,1455.5,1455.5,218.32,1455.5,42
CDM,449673,SUTURE CLR MONO 2-0 27IN,60.0,60.0,9.0,60.0,42
CDM,449674,SUTURE CLR MONO 2-0 27IN,42.5,42.5,6.38,42.5,42
CDM,449678,ANCHOR SUT BLK/WHT 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,449679,PORT ACC 5MM 100MM,778.0,778.0,116.7,778.0,42
CDM,449688,KIT UT ABL DEV CTRL ENDO,5201.5,5201.5,780.23,5201.5,42
CDM,449690,SCRAPER MEMBRN 25G DMND,1023.5,1023.5,153.53,1023.5,42
CDM,449691,SCREW BN 4.5MM 35MM,2392.0,2392.0,358.8,2392.0,30
CDM,449695,SEALER BIP 20CM 13MM,4093.0,4093.0,613.95,4093.0,42
CDM,449701,DEVICE ENDO SZ2-0 48IN,773.0,773.0,115.95,773.0,42
CDM,449702,DEV BLN INFL XPRS LO 8MM,7260.0,7260.0,1089.0,7260.0,42
CDM,449705,SCREW CORT TC100 3.5X34,332.0,332.0,49.8,332.0,30
CDM,449707,SCREW CORT TC100 3.5X32,332.0,332.0,49.8,332.0,30
CDM,449708,PLATE 6HL CHS 130D 102MM,3284.0,3284.0,492.6,3284.0,30
CDM,449710,PROSTH OSS 2.5MM 3.0MM,3601.0,3601.0,662.94,3601.0,26
CDM,449711,PROSTH OSS 2.5MM 3.0MM,3560.0,3560.0,655.4,3560.0,26
CDM,449712,PROSTH OSS 4.5MM 3.0MM,3560.0,3560.0,655.4,3560.0,26
CDM,449714,RELOAD STPLR 45MM,1927.0,1927.0,289.05,1927.0,30
CDM,449715,RELOAD STPLR 45MM,1927.0,1927.0,289.05,1927.0,30
CDM,449716,STAPLER INT LNG 45MM,2503.5,2503.5,375.52,2503.5,42
CDM,449717,BLADE SHAVER DENSE MINI,4385.5,4385.5,657.83,4385.5,42
CDM,449718,IMPLANT BN CNDCT 4X6MM,12574.0,12574.0,2314.87,12574.0,26
CDM,449719,IMPLANT COCLR 4MM 8MM,12574.0,12574.0,2314.87,12574.0,26
CDM,449720,IMPLANT COCLR 4MM 10MM,12574.0,12574.0,2314.87,12574.0,26
CDM,449721,IMPLNT BN DNDCT 4MM 14MM,12574.0,12574.0,2314.87,12574.0,26
CDM,449722,DRILL SURG DISP 3MM,1565.5,1565.5,234.82,1565.5,42
CDM,449723,PUNCH BIOPSY 5MM,59.0,59.0,8.85,59.0,42
CDM,449724,DRESSING WND LT 2X2IN,98.5,98.5,14.78,98.5,42
CDM,449726,COIL EMBL 16MMX40CM,3720.0,3720.0,558.0,3720.0,30
CDM,449727,COIL EMBL 3MM 8CM,3720.0,3720.0,558.0,3720.0,30
CDM,449728,COIL EMBL 9MM 30CM,3720.0,3720.0,558.0,3720.0,30
CDM,449730,CATH GD VASC 135CM,4093.0,4093.0,613.95,4093.0,42
CDM,449731,CATH SPRL 2.9FR 150CM,4093.0,4093.0,613.95,4093.0,42
CDM,449732,CATH GD 2.9FR 135CM,4093.0,4093.0,613.95,4093.0,42
CDM,449747,CATH INTVN 2.9FR 135CM,4093.0,4093.0,613.95,4093.0,42
CDM,449748,CATH GD 150CM,4093.0,4093.0,613.95,4093.0,42
CDM,449750,CATH ANGIO 5FR 130CM,773.0,773.0,115.95,773.0,42
CDM,449751,CATH ANGIO 5FR 130CM,773.0,773.0,115.95,773.0,42
CDM,449752,CATH ANGIO 5FR 125CM,522.0,522.0,78.3,522.0,42
CDM,449754,CATHETER ANGIO .038IN VE,773.0,773.0,115.95,773.0,42
CDM,449755,CATH ANGIO 5F 100CM VERT,522.0,522.0,78.3,522.0,42
CDM,449763,CTHDX XPO 5F FR6 BX5,160.5,160.5,24.07,160.5,42
CDM,449766,LEAD PCNG 3.9-5.2FR 86CM,5747.0,5747.0,862.05,5747.0,30
CDM,449767,CATH GD 2.9FR 135CM,4093.0,4093.0,613.95,4093.0,42
CDM,449770,CATH ANGIO 5FR 100CM,305.5,305.5,45.83,305.5,42
CDM,449776,CATH ACC .014IN 135CM,2660.5,2660.5,399.07,2660.5,42
CDM,449778,CATH PERI .014IN 130CM,3929.0,3929.0,589.35,3929.0,42
CDM,449782,CATH GD STND JR4 5F100CM,587.5,587.5,88.13,587.5,42
CDM,449783,CATH GD 5FR 100CM,605.0,605.0,90.75,605.0,42
CDM,449789,CATH SUPPORT 12MM 90CM,1897.0,1897.0,284.55,1897.0,42
CDM,449818,CATH GD 5FR 100CM,605.0,605.0,90.75,605.0,42
CDM,449824,CATH EP 7R D CRV,8257.5,8257.5,1238.63,8257.5,42
CDM,449826,LEAD PCNG 45CM,3186.0,3186.0,477.9,3186.0,30
CDM,449827,LEAD PCNG 52CM,3186.0,3186.0,477.9,3186.0,30
CDM,449828,LEAD PCNG 59CM,3186.0,3186.0,477.9,3186.0,30
CDM,449829,CATH ULTSND 8FR 90CM,11997.0,11997.0,1799.55,11997.0,42
CDM,449830,KIT CATH INS 8FR 6IN,1151.5,1151.5,172.72,1151.5,42
CDM,449831,SYSTEM CATH ARTHRCM 1.5M,15808.5,15808.5,2371.28,15808.5,42
CDM,449835,CTHGD 8F 90CM M1 AL.75,572.0,572.0,85.8,572.0,42
CDM,449837,CTHGD 8F 90CM M1 AL.75,572.0,572.0,85.8,572.0,42
CDM,449838,CTHGD 8F 90CM M1 JR3.5,572.0,572.0,85.8,572.0,42
CDM,449841,CTHGD 8F 90CM M1 JR3.5,572.0,572.0,85.8,572.0,42
CDM,449843,CTHGD 8F 90CM M1 AL1,572.0,572.0,85.8,572.0,42
CDM,449845,CATH GD STDJLC 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,449847,CTHGD 8F 90CM M1 AL1,572.0,572.0,85.8,572.0,42
CDM,449861,PCMKR DR 4.45X5.02X.75CM,11071.0,11071.0,1660.65,11071.0,30
CDM,449863,PCMKR CRD 4.45X4.81X0.75,11071.0,11071.0,1660.65,11071.0,30
CDM,449864,CRT - PACEMAKER 15MM,26842.0,26842.0,4026.3,26842.0,30
CDM,449865,LEAD PCNG 52CM,3186.0,3186.0,477.9,3186.0,30
CDM,449869,LEAD PCNG 6FR 59CM,3186.0,3186.0,477.9,3186.0,30
CDM,449873,COIL EMBL 3CM1.5MM,7175.0,7175.0,1076.25,7175.0,30
CDM,449874,COIL EMBL 5MM 16CM,4429.0,4429.0,664.35,4429.0,30
CDM,449876,CATH 4FR BERN 2 65CC,231.5,231.5,34.73,231.5,42
CDM,449877,STENT VASC 5X120MM,5383.0,5383.0,807.45,5383.0,30
CDM,449888,DEVICE EMBL 10MM 4MM,60678.0,60678.0,9101.7,60678.0,30
CDM,450044,ICD DEFIB CARD 66X51X13,38409.0,38409.0,5761.35,38409.0,30
CDM,450047,SNARE VASC 9-15MM 120CM,2581.0,2581.0,387.15,2581.0,42
CDM,450048,CATH GLIDE ANGLED 120CM,773.0,773.0,115.95,773.0,42
CDM,450049,COIL EMBL 24CM 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,450051,GWIRE VASC 300CM .018IN,870.0,870.0,130.5,870.0,42
CDM,450053,GWIRE VASC 195CM .018IN,870.0,870.0,130.5,870.0,42
CDM,450054,GWIRE VASC .018IN 260CM,773.0,773.0,115.95,773.0,42
CDM,450055,PLUG VASC 7MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,450057,CATH SUPP 90MM 12CM,1897.0,1897.0,284.55,1897.0,42
CDM,450073,CATH ART LN 5FR 100CM,1023.5,1023.5,153.53,1023.5,42
CDM,450075,SHEATH GD 8FR 90CM,952.0,952.0,142.8,952.0,42
CDM,450076,SHEATH GD 6FR 90CM,1023.5,1023.5,153.53,1023.5,42
CDM,450077,INTRO SHTH 6F 110CM,1023.5,1023.5,153.53,1023.5,42
CDM,450078,CATH IMAG 135CM 2.7FR,4385.5,4385.5,657.83,4385.5,42
CDM,450079,CATH ATHRCM 1.4MM 150CM,13046.0,13046.0,1956.9,13046.0,42
CDM,450080,CATH LASR 4F 0.9MM 150CM,13046.0,13046.0,1956.9,13046.0,42
CDM,450084,CATH GD VASC 165CM,4265.5,4265.5,639.83,4265.5,42
CDM,450085,CATH GD RBU3.5 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,450086,PLUG VASC 6MM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,450088,ICD-S 12.7MM 83.1X69.1MM,73260.0,73260.0,10989.0,73260.0,30
CDM,450089,LEAD PCNG 65CM 6FR ENDOC,3093.0,3093.0,463.95,3093.0,30
CDM,450091,HNDPIECE PNCL 10FT .38IN,355.0,355.0,53.25,355.0,42
CDM,450093,CATH ATHRCM 1.7MM 150CM,12534.5,12534.5,1880.17,12534.5,42
CDM,450095,CTHGD CLS3.5 7FR 0.081IN,572.0,572.0,85.8,572.0,42
CDM,450097,CRT-D CRD 5.37X8.18X0.99,55316.0,55316.0,8297.4,55316.0,30
CDM,450098,CRT-D 5.37X8.18X0.99CM,55690.0,55690.0,8353.5,55690.0,30
CDM,450099,CRT-D CRD 5.37X8.08X0.99,55690.0,55690.0,8353.5,55690.0,30
CDM,450100,CRT-D CRD 5.37X8.08X0.99,55316.0,55316.0,8297.4,55316.0,30
CDM,450101,CRT-D CRD 5.37X8.08X0.99,56301.0,56301.0,8445.15,56301.0,30
CDM,450106,CATH ANGIO 4FR 150CM,773.0,773.0,115.95,773.0,42
CDM,450112,CATH ABL 8FR 115CM D CRV,14795.5,14795.5,2219.32,14795.5,42
CDM,450113,CATH ABL 8FR 115CM F CRV,14795.5,14795.5,2219.32,14795.5,42
CDM,450114,CATH GD STDJLC 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,450115,CATH GD STDJLC 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,450117,ICD DEFIB CARD 7.79CM,39243.0,39243.0,5886.45,39243.0,30
CDM,450118,OCCLUDER CV 35X18MM,38431.0,38431.0,5764.65,38431.0,30
CDM,450122,CTHGD 7F 100CM M1 FR4.5,572.0,572.0,85.8,572.0,42
CDM,450143,GWIRE VASC 175CM .014IN,4093.0,4093.0,613.95,4093.0,42
CDM,450148,OCCLUDER CV 25X18MM,38431.0,38431.0,5764.65,38431.0,30
CDM,450149,LEAD ICD PCNG 58CM,16687.0,16687.0,2503.05,16687.0,30
CDM,450150,CATH BLN BRDG OCL 90CM,4758.0,4758.0,713.7,4758.0,42
CDM,450151,KIT PRP BRDGE LEAD EXTR,2251.0,2251.0,337.65,2251.0,42
CDM,450152,ICD DEFIB CARD DF1,40464.0,40464.0,6069.6,40464.0,30
CDM,450154,LEAD ICD SD 65CM,16586.0,16586.0,2487.9,16586.0,30
CDM,450155,ICD CRD DR-T DF-4,37896.0,37896.0,5684.4,37896.0,30
CDM,450166,CATHETER PIGTAIL 5 MARKE,1485.0,1485.0,222.75,1485.0,42
CDM,450169,COIL EMBL 9CM 6MM,4837.0,4837.0,725.55,4837.0,30
CDM,450170,COIL EMBL DTCH 8MMX12CM,4837.0,4837.0,725.55,4837.0,30
CDM,450176,CATH BLNDIL 18X4.5X110,4286.0,4286.0,642.9,4286.0,42
CDM,450177,CATH BLNDIL 20X4.5X110,4286.0,4286.0,642.9,4286.0,42
CDM,450178,CATH BLNDL 21MM 110CM,4286.0,4286.0,642.9,4286.0,42
CDM,450179,BIT DRILL 3.2X15MM,773.0,773.0,115.95,773.0,42
CDM,450181,STEM FEM HIP 132MM 6MM,7973.0,7973.0,1195.95,7973.0,30
CDM,450182,PLATE CRNMXF L1 1X11MM,3189.0,3189.0,478.35,3189.0,30
CDM,450183,PLATE LINDORF 50-282-11,3189.0,3189.0,478.35,3189.0,30
CDM,450184,NAIL BN 13MM 15.5MM 36CM,6400.0,6400.0,960.0,6400.0,30
CDM,450185,GRAFT ST TIS 12X2CM,5085.5,5085.5,762.83,5085.5,42
CDM,450187,PLATE SP 51MM 3 LEVEL,4429.0,4429.0,664.35,4429.0,30
CDM,450188,SPACER SPN ELEV 28X10MM,15945.0,15945.0,2391.75,15945.0,30
CDM,450189,SCREW BN SPN 6.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,450190,ROD SPN 4.75MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,450191,SPACER SPNL 60X22X8MMD,14395.0,14395.0,2159.25,14395.0,30
CDM,450192,INSERT SHLDR 7.5D 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,450193,INSERT TIB PS BR87/91X14,4429.0,4429.0,664.35,4429.0,30
CDM,450194,STEM FEM HIP 13MM 146MM,9966.0,9966.0,1494.9,9966.0,30
CDM,450196,EXPANDER BRST 375CC,9656.0,9656.0,1448.4,9656.0,30
CDM,450197,SCREW SPN 9MM 45MM,4120.0,4120.0,618.0,4120.0,30
CDM,450198,ROD SPINAL COCR 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,450199,ROD SPINE 70MM CURVED,2711.0,2711.0,406.65,2711.0,30
CDM,450200,INSERT EVOLTN MP ADP CS,4606.0,4606.0,690.9,4606.0,30
CDM,450201,CMPNT FEM KN LT SZF,7530.0,7530.0,1129.5,7530.0,30
CDM,450202,INSERT TIB KN 17MM SZD,7858.0,7858.0,1178.7,7858.0,30
CDM,450203,NAIL TIB T2 IM 12MM 20CM,8578.0,8578.0,1286.7,8578.0,30
CDM,450204,NUT BN ORTH 5MM,2397.0,2397.0,359.55,2397.0,30
CDM,450205,SCREW BN 5MM 85MM,3091.0,3091.0,463.65,3091.0,30
CDM,450206,BIT DRILL 5X340MM,1175.5,1175.5,176.32,1175.5,42
CDM,450207,SHELL ACTB HIP 72MM 66MM,8491.0,8491.0,1273.65,8491.0,30
CDM,450208,LINER ACTB HIP 32MM,6644.0,6644.0,996.6,6644.0,30
CDM,450209,STEM 563016L,14714.0,14714.0,2207.1,14714.0,30
CDM,450211,COMPNT ACTB SZ24 RT,54477.0,54477.0,8171.55,54477.0,30
CDM,450212,LINER ACTB HIP 36MM,5315.0,5315.0,797.25,5315.0,30
CDM,450213,HEAD FEM HIP 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,450214,BOLT ORTH 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,450218,VALVE MITRAL 33MM,12881.0,12881.0,1932.15,12881.0,30
CDM,450222,AUGMNT TIB LM/RL 10MM S7,4429.0,4429.0,664.35,4429.0,30
CDM,450223,DRILL SURG 5MMX 1.1MM,1023.5,1023.5,153.53,1023.5,42
CDM,450224,SCREW BN 2MM 18MM,541.0,541.0,81.15,541.0,30
CDM,450225,INSERT EVOLTNMP ADP CS,4606.0,4606.0,690.9,4606.0,30
CDM,450227,PLATE BN 7H,8351.0,8351.0,1252.65,8351.0,30
CDM,450228,SCREW BN SPN 4MM 20MM,4247.0,4247.0,637.05,4247.0,30
CDM,450229,SPACER SPNL 55X22X8MMD,14395.0,14395.0,2159.25,14395.0,30
CDM,450230,SCREW BN SPN 5.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,450231,SCREW BN SPN 5.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,450232,SYSTEM IMPLANT MULTI,16879.0,16879.0,2531.85,16879.0,30
CDM,450233,COMPNT FEM E KN RT NXGN,9301.0,9301.0,1395.15,9301.0,30
CDM,450234,BLADE SHVR 4.5MM,603.0,603.0,90.45,603.0,42
CDM,450245,PROBE LASER DIR ENDO-OCU,1210.5,1210.5,181.57,1210.5,42
CDM,450289,INSERT TIB KN LT 2+ 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,450290,SPACER FEM KN GNTA 54MM,7087.0,7087.0,1063.05,7087.0,30
CDM,450291,STEM FEM HIP 145D SZ3,9966.0,9966.0,1494.9,9966.0,30
CDM,450322,PLATE BN SHRT 118MM,6630.0,6630.0,994.5,6630.0,30
CDM,450323,SCREW BN 3.5MM 6MM 18MM,336.0,336.0,50.4,336.0,30
CDM,450324,AUG TIB MBT1 KN REV 15MM,4612.0,4612.0,691.8,4612.0,30
CDM,450337,SCREW BN 6.5MM 32MM,798.0,798.0,119.7,798.0,30
CDM,450338,COMP ELBW LT 6X150MM,15358.0,15358.0,2303.7,15358.0,30
CDM,450344,KWIRE FX 150MM 1.25MM,203.0,203.0,30.45,203.0,42
CDM,450354,PLATE 39X5X1.2MM 2MM SCR,3189.0,3189.0,478.35,3189.0,30
CDM,450355,PLATE 7HL DCP 39X5X1.2MM,3189.0,3189.0,478.35,3189.0,30
CDM,450366,PLATE 25MM SS 3.5MM SCR,3189.0,3189.0,478.35,3189.0,30
CDM,450367,PLATE ORTH 38X11X3.3MM,1485.0,1485.0,222.75,1485.0,30
CDM,450368,PLATE 51MM SS 3.5MM SCR,1530.0,1530.0,229.5,1530.0,30
CDM,450369,PLATE LCDCP 3.5 5H 64M,3189.0,3189.0,478.35,3189.0,30
CDM,450370,PLATE BN 11HL 3.5X142MM,3189.0,3189.0,478.35,3189.0,30
CDM,450371,PLATE BN LC DCP 3.5X155,3189.0,3189.0,478.35,3189.0,30
CDM,450372,PLATE 181MM SS 3.5MM SCR,3721.0,3721.0,558.15,3721.0,30
CDM,450384,PLT CONDY 11 HL 221MM,3776.0,3776.0,566.4,3776.0,30
CDM,450385,PLT CONDY 13 HL 253MM,3888.0,3888.0,583.2,3888.0,30
CDM,450386,PLATE BN 3.5MM 214MM,4279.0,4279.0,641.85,4279.0,30
CDM,450387,PLATE BN 3.5MM 263MM,3721.0,3721.0,558.15,3721.0,30
CDM,450391,WEDGE TIB 10MM PFC SGM,4612.0,4612.0,691.8,4612.0,30
CDM,450392,HEAD HUM SHLDR 15MM 41MM,9147.0,9147.0,1372.05,9147.0,30
CDM,450394,CAGE SPN SM 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,450395,PLT SPN 2 LVL 30MM CRVCL,4429.0,4429.0,664.35,4429.0,30
CDM,450396,SCRW SLFTAP VAR 4.0X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,450397,NAIL BN 10MM 21.5CM,4429.0,4429.0,664.35,4429.0,30
CDM,450398,ROD SPN CURVED 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
CDM,450399,CAGE SPN 26X9X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,450401,SCREW BN SPN 6.5MM 60MM,4247.0,4247.0,637.05,4247.0,30
CDM,450402,SCREW BN SPN 5.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,450403,HEAD FEM BLX D +7.5X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,450404,AUGMENT FEM KN RTSZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,450405,CMPNT FEM KN TS RT SZ3,18424.0,18424.0,2763.6,18424.0,30
CDM,450406,AUGMENT KN POST SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,450409,NAIL BN TROCH 10MM 34CM,8105.0,8105.0,1215.75,8105.0,30
CDM,450410,SCREW BN 3.5MM 5MM 44MM,2392.0,2392.0,358.8,2392.0,30
CDM,450411,CAGE ACTB 60 X 57 MM LT,5888.0,5888.0,883.2,5888.0,30
CDM,450412,NAIL BN 10MM 30CM,5311.0,5311.0,796.65,5311.0,30
CDM,450413,SCREW BN 2MM 8MM,541.0,541.0,81.15,541.0,30
CDM,450414,COMP FEM SZE NXGN CR FL,7530.0,7530.0,1129.5,7530.0,30
CDM,450415,GRAFT EVAS 10CM 12MM,40573.0,40573.0,6085.95,40573.0,30
CDM,450416,INTRO SHEATH 10FR 33CM,4181.5,4181.5,627.23,4181.5,42
CDM,450417,GRAFT EVAS 7CM 10MM,11882.0,11882.0,1782.3,11882.0,30
CDM,450418,GRAFT EVAS 7CMX14.5MM,11882.0,11882.0,1782.3,11882.0,30
CDM,450419,DRSSNG ANBCTRL EXFX WIRE,139.0,139.0,20.85,139.0,42
CDM,450421,BOLT WIRE EXFX,773.0,773.0,115.95,773.0,42
CDM,450422,CLIP EX FIX WRE1.5-1.8MM,73.5,73.5,11.03,73.5,42
CDM,450423,PIN HLF EXFX 6X30X150MM,1405.0,1405.0,210.75,1405.0,42
CDM,450424,PIN HLF EX FX 150X6X35,1405.0,1405.0,210.75,1405.0,42
CDM,450425,PIN HLF EXFX 6X40X150MM,1405.0,1405.0,210.75,1405.0,42
CDM,450426,PIN HF EX FX 150X6X45,1405.0,1405.0,210.75,1405.0,42
CDM,450427,RING EXFIX 180MM 2/3 RNG,7981.0,7981.0,1197.15,7981.0,42
CDM,450428,STRUT MED EXFX 116-178MM,7316.0,7316.0,1097.4,7316.0,42
CDM,450429,SLEEVE CNTRNG EX FIX 6MM,1023.5,1023.5,153.53,1023.5,42
CDM,450431,SCREW BN 3.5MM 35MM,2222.0,2222.0,333.3,2222.0,30
CDM,450433,SPACER SPN 33X12.5MM 12D,21924.0,21924.0,3288.6,21924.0,30
CDM,450434,SCREW SPN 5MM 30MM,1506.0,1506.0,225.9,1506.0,30
CDM,450435,PLATE COVR SPN LMBR 33MM,1506.0,1506.0,225.9,1506.0,30
CDM,450436,ROD SPINE PREB 100 CRVD,2711.0,2711.0,406.65,2711.0,30
CDM,450437,STEM FEM 5 TRLK HIP OFST,10630.0,10630.0,1594.5,10630.0,30
CDM,450440,CONN ROD SPN 5.5X20MM,3012.0,3012.0,451.8,3012.0,30
CDM,450441,CONNECTOR SPN 5.5MM 60MM,3012.0,3012.0,451.8,3012.0,30
CDM,450442,INSERT TIB KN SZD 14MM,7858.0,7858.0,1178.7,7858.0,30
CDM,450443,NAIL BN LT 8.5MM 255MM,9682.0,9682.0,1452.3,9682.0,30
CDM,450444,CAP END 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,450445,SCREW BN 4.5MM 52MM,3189.0,3189.0,478.35,3189.0,30
CDM,450447,INSERT TIB KN SZ5-6 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,450449,STEM SHLDR TOT HD GLEN48,21703.0,21703.0,3255.45,21703.0,30
CDM,450450,SHOULDER TOTAL REV CAP,33218.0,33218.0,4982.7,33218.0,30
CDM,450451,HEMI SHOULDER TOTAL CAP,16831.0,16831.0,2524.65,16831.0,30
CDM,450452,COMPNT FEM PS PEFPSN4PR,7087.0,7087.0,1063.05,7087.0,30
CDM,450453,CAGE SPN ALTD T2 32X13MM,17749.0,17749.0,2662.35,17749.0,30
CDM,450454,PLATE SPN 52.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,450455,ENDCAP SPN 8D 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,450456,CAGE SPN 14X11X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,450457,PLATE SP 20MM 1 LEVEL,4429.0,4429.0,664.35,4429.0,30
CDM,450458,SCREW BN 5MM 44MM 14.6MM,2392.0,2392.0,358.8,2392.0,30
CDM,450459,NAIL BN 13MM 240MM,6836.0,6836.0,1025.4,6836.0,30
CDM,450460,SCREW BN 6.5MM 80MM,559.0,559.0,83.85,559.0,30
CDM,450461,GUIDE PIN 3.2MM 12IN,139.0,139.0,20.85,139.0,42
CDM,450462,SCREW BN 6.5MM 85MM,2790.0,2790.0,418.5,2790.0,30
CDM,450464,GRAFT BN DBM 5CM,6250.0,6250.0,937.5,6250.0,30
CDM,450465,PLATE 2LVL 32MM CERVICAL,4429.0,4429.0,664.35,4429.0,30
CDM,450466,INSERT TIB PS + 63/67X20,4429.0,4429.0,664.35,4429.0,30
CDM,450467,SCREW SKYLINE ST 16MM CO,1461.0,1461.0,219.15,1461.0,30
CDM,450468,STEM FEM HIP 14MM 148MM,7973.0,7973.0,1195.95,7973.0,30
CDM,450469,CAGE SPN 22X10X11MM,9966.0,9966.0,1494.9,9966.0,30
CDM,450470,WIRE FX 2.5MM 150MM,386.5,386.5,57.98,386.5,42
CDM,450471,PLATE SM TI RT 3HL 93MM,11042.0,11042.0,1656.3,11042.0,30
CDM,450472,PLATE LG TI RT 4HL 114MM,11042.0,11042.0,1656.3,11042.0,30
CDM,450473,SCREW BN 5.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,450474,SCREW BN 5.5MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,450475,SCREW BN 5.5MM 34MM,2758.0,2758.0,413.7,2758.0,30
CDM,450476,SCREW BN 5.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,450477,SCREW BN 5.5MM 34MM,1674.0,1674.0,251.1,1674.0,30
CDM,450478,KWIRE FX 270MM 2.5MM,525.5,525.5,78.83,525.5,42
CDM,450481,PLATE BN 4HL 3.5MM 46MM,3189.0,3189.0,478.35,3189.0,30
CDM,450483,PLATE PELVIC CRVD 3.5 X,3721.0,3721.0,558.15,3721.0,30
CDM,450484,PLATE 3.5 RECON 245.32,3721.0,3721.0,558.15,3721.0,30
CDM,450494,GWIRE ORTH 2MM 230MM,653.0,653.0,97.95,653.0,42
CDM,450496,GWIRE ORTH 2.8MM 300MM,524.5,524.5,78.67,524.5,42
CDM,450497,GWIRE ORTH 150MM 1.6MM,410.5,410.5,61.58,410.5,42
CDM,450498,CAP PROTCT 4MM,88.5,88.5,13.28,88.5,42
CDM,450499,SCREW EXFX HIP 80X4X3MM,917.5,917.5,137.63,917.5,42
CDM,450500,SCREW EXFX 125X5X50MM,880.0,880.0,132.0,880.0,42
CDM,450501,SCREW EXFX 250X5X50MM,824.0,824.0,123.6,824.0,42
CDM,450503,CLAMP PIN EXFX OPEN,1936.5,1936.5,290.48,1936.5,42
CDM,450504,SCREW BN 4.5MM 8MM 26MM,277.0,277.0,41.55,277.0,30
CDM,450505,SCREW BN 4.5MM 8MM 28MM,277.0,277.0,41.55,277.0,30
CDM,450506,SCREW BN 4.5MM 8MM 30MM,277.0,277.0,41.55,277.0,30
CDM,450507,SCREW BN 4.5MM 8MM 32MM,270.0,270.0,40.5,270.0,30
CDM,450508,SCREW BN 4.5MM 8MM 34MM,277.0,277.0,41.55,277.0,30
CDM,450509,SCREW BN 4.5MM 8MM 36MM,277.0,277.0,41.55,277.0,30
CDM,450511,SCREW BN 6.5X50X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,450512,BIT DRILL 3.8MM 5.5MM,1842.0,1842.0,276.3,1842.0,42
CDM,450514,STEM FEM HIP SZ7 109MM,10630.0,10630.0,1594.5,10630.0,30
CDM,450517,WEDGE KN TIB SZ3-4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,450518,WEDGE FEM KN SZ5 10X5MM,4606.0,4606.0,690.9,4606.0,30
CDM,450519,ROD SPN CRV 3.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,450520,SHELL HIP 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,450521,LINER ACTB HIP 3X58X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,450522,STEM FEM KN 160MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,450523,WEDGE TIB KN RT LGN,4606.0,4606.0,690.9,4606.0,30
CDM,450524,WEDGE FEM KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,450526,COMP HUM ELB LT 6X100MM,15358.0,15358.0,2303.7,15358.0,30
CDM,450527,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,450528,PLATE SPN TROUGH SM,3012.0,3012.0,451.8,3012.0,30
CDM,450529,SLEEVE ADPT SLV +5 KN,4429.0,4429.0,664.35,4429.0,30
CDM,450530,CAGE SPN 14X11X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,450531,CAGE SPN 14X11X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,450532,CAGE SPN MTL 11X11X4MM,4429.0,4429.0,664.35,4429.0,30
CDM,450533,SCREW SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,450534,SCREW BN SPN 4.5MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,450536,PLATE SPN 1LV 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,450537,SCREW BN SPN 6.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,450539,SCREW BN 4.5MM 8MM 38MM,270.0,270.0,40.5,270.0,30
CDM,450540,SCREW BN CORT 4.5X40MM,277.0,277.0,41.55,277.0,30
CDM,450541,SCREW BN 4.5MM 8MM 42MM,270.0,270.0,40.5,270.0,30
CDM,450542,SCREW BN 4.5MM 44MM,277.0,277.0,41.55,277.0,30
CDM,450543,SCREW BN 4.5MM 8MM 46MM,270.0,270.0,40.5,270.0,30
CDM,450544,SCREW BN 4.5MM 48MM,277.0,277.0,41.55,277.0,30
CDM,450545,SCREW BN 4.5MM 8MM 50MM,270.0,270.0,40.5,270.0,30
CDM,450546,SCREW BN 4.5MM 52MM,277.0,277.0,41.55,277.0,30
CDM,450547,SCREW BN 4.5MM 8MM 54MM,277.0,277.0,41.55,277.0,30
CDM,450548,SCREW BN 4.5MM 56MM,277.0,277.0,41.55,277.0,30
CDM,450563,LUMBAR SPCR TM-ONE PER L,9966.0,9966.0,1494.9,9966.0,30
CDM,450576,SCREW BN HEADLESS OD4.5M,3189.0,3189.0,478.35,3189.0,30
CDM,450577,SCREW BN 3.5MM 16MM,336.0,336.0,50.4,336.0,30
CDM,450578,ROD SPNL CYPHR 65MX5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,450579,BLOCK AGMNT SZC,4429.0,4429.0,664.35,4429.0,30
CDM,450605,PLATE BN VSP SS 3.5 HL,5598.0,5598.0,839.7,5598.0,30
CDM,450606,PLATE BN VSP SPN 1.5HL,5056.0,5056.0,758.4,5056.0,30
CDM,450608,PLATE VSP SPINE A 1.0 SL,5902.0,5902.0,885.3,5902.0,30
CDM,450655,SCREW BN SPNL,1566.0,1566.0,234.9,1566.0,30
CDM,450657,CONN ROD SPN 6.35MM,3631.0,3631.0,544.65,3631.0,30
CDM,450658,SCREW BN SPN 7.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,450660,SCREW BN SPN 7.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,450666,PLATE DANEK 811.322,3389.0,3389.0,508.35,3389.0,30
CDM,450696,SCREW BN SPN 4MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,450697,SCREW BN SPN 4MM 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,450698,SCREW BN SPN 4MM 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,450699,SCREW BN SPN 4MM 15MM,2259.0,2259.0,338.85,2259.0,30
CDM,450700,SCREW BN SPN 4MM 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,450701,SCREW BN SPN 4.5MM 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,450703,SCREW BN SPN 4.5MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,450704,BIT DRILL 13MM,386.5,386.5,57.98,386.5,42
CDM,450717,TUBING SMKEVC ACUVC ATCH,140.0,140.0,21.0,140.0,42
CDM,450718,INSERT TIB KN 20MM,7858.0,7858.0,1178.7,7858.0,30
CDM,450723,STEM HUM SHLDR 12X200MM,15834.0,15834.0,2375.1,15834.0,30
CDM,450725,PLATE SPN 2LVL 37MM CRVC,4429.0,4429.0,664.35,4429.0,30
CDM,450727,BUR 15MM LONG EGG,845.0,845.0,126.75,845.0,42
CDM,450735,SCREW BN SPN 6.5MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,450738,SCREW BN 6.5MM 40MM,6602.0,6602.0,990.3,6602.0,30
CDM,450740,SCREW BN 3.5X13 ZPHR TI,3012.0,3012.0,451.8,3012.0,30
CDM,450744,CANNULA OPTH 20GA 2.5IN,614.0,614.0,92.1,614.0,42
CDM,450745,CMPNT TRI-FLANGE ACETAB,54034.0,54034.0,8105.1,54034.0,30
CDM,450746,LINER ACTB HIP SZ23 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,450751,PROSTHESIS HIP 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,450753,STEM FEM HIP 9MM 117MM,9966.0,9966.0,1494.9,9966.0,30
CDM,450754,CMPNT PTLA 3PEG STD40X10,4252.0,4252.0,637.8,4252.0,30
CDM,450756,ROD SPN HEX 20X5.5MM,3756.0,3756.0,563.4,3756.0,30
CDM,450757,CMPNT KN FEM LT 72.5MM,21711.0,21711.0,3256.65,21711.0,30
CDM,450759,SCREW BN 3.5X15 ZPHR TI,3012.0,3012.0,451.8,3012.0,30
CDM,450769,WEDGE KN AUG LO/RI72.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,450770,SCREW BN 6MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,450772,RESTRCTOR CMNT HIP 30MM,2130.0,2130.0,319.5,2130.0,30
CDM,450773,RESTRCTOR CMNT HIP 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,450779,WEDGE KN AUG RO/LI72.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,450789,STEM KN FEM SP EXT 22X80,5054.0,5054.0,758.1,5054.0,30
CDM,450796,VALVE SHNT INL REG LOW,6002.0,6002.0,900.3,6002.0,30
CDM,450808,PLATE SPN 1.55IN,7145.0,7145.0,1071.75,7145.0,30
CDM,450809,PLATE 25 INTGR LCK ZPHR,4429.0,4429.0,664.35,4429.0,30
CDM,450822,SCREW SET TI M8 BRKOF,2701.0,2701.0,405.15,2701.0,30
CDM,450827,STEM KN FEM SP EXT 22X40,5054.0,5054.0,758.1,5054.0,30
CDM,450828,SCREW CANC 4.0X13,3012.0,3012.0,451.8,3012.0,30
CDM,450829,PIN SPNL ZEPHIR PRE-FX,386.5,386.5,57.98,386.5,42
CDM,450830,PLATE 40 INTGR LCK ZPHR,4429.0,4429.0,664.35,4429.0,30
CDM,450833,PLATE 37.5 TI INTGR LCK,4429.0,4429.0,664.35,4429.0,30
CDM,450838,SYSTEM BNCMNT MIXER,938.5,938.5,140.78,938.5,42
CDM,450841,STAPLER CUTTER ENDO 45MM,1555.0,1555.0,233.25,1555.0,42
CDM,450852,RELOAD STPLR 45MM,1816.0,1816.0,272.4,1816.0,30
CDM,450884,VALVE AOR 29MM 39+3MM,21544.0,21544.0,3231.6,21544.0,30
CDM,450885,SCRW 3.5X17MM,3012.0,3012.0,451.8,3012.0,30
CDM,450886,SCREW BNE L15 OD4 CANC,3012.0,3012.0,451.8,3012.0,30
CDM,450887,CMPNT KN AUGM OFST 2.5,4429.0,4429.0,664.35,4429.0,30
CDM,450927,PLATE BNE TI 20MM,3765.0,3765.0,564.75,3765.0,30
CDM,450949,TUBE VNT EAR 1.2X2.75MM,413.0,413.0,61.95,413.0,30
CDM,450961,INTROSHTH 8F .038IN 10CM,231.5,231.5,34.73,231.5,42
CDM,450962,INTRO SHTH 11FR 10CM,231.5,231.5,34.73,231.5,42
CDM,450965,ELECTRODE ESURG LOOP ANG,1004.5,1004.5,150.68,1004.5,42
CDM,450966,ELECTRODE ESURG 22FR STR,1023.5,1023.5,153.53,1023.5,42
CDM,450967,ELCTRODE ESURG STRL DISP,1004.5,1004.5,150.68,1004.5,42
CDM,450969,SUTURE WOUND SZ 0 75CM,207.5,207.5,31.13,207.5,42
CDM,450973,RETAINER VISCERA MED,680.0,680.0,102.0,680.0,42
CDM,450979,TUBE GSTRM 18FRX18IN,2087.5,2087.5,313.13,2087.5,42
CDM,450983,CMPNT TIB BRG PS79/83X22,6465.0,6465.0,969.75,6465.0,30
CDM,450985,SPACER SPNL 55X22X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,450988,BASEPLATE TIB HI FLX 2KN,4606.0,4606.0,690.9,4606.0,30
CDM,450989,PLATE 72MM 4 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,450990,IPG NRSTM 6.68CM 5.02CM,78372.0,78372.0,11755.8,78372.0,30
CDM,450991,PLATE MF TT 420.71,3189.0,3189.0,478.35,3189.0,30
CDM,450993,INSERT EVOLUTNMP ADP CS,4606.0,4606.0,690.9,4606.0,30
CDM,450994,PLATE FEM L L. 324MM,5758.0,5758.0,863.7,5758.0,30
CDM,450995,SCREW BN 5MM 16MM,2154.0,2154.0,323.1,2154.0,30
CDM,450996,SCREW LANCER PAX 6.5X45,3765.0,3765.0,564.75,3765.0,30
CDM,450997,SCREW SET TBOLT LANCER,753.0,753.0,112.95,753.0,30
CDM,450998,ROD LANCER PREBENTTI5.5X,2711.0,2711.0,406.65,2711.0,30
CDM,450999,SPACER SPNL 4D 25X9X9MM,9966.0,9966.0,1494.9,9966.0,30
CDM,451000,CAGE SPN ANG 11X14X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,451001,PLATE SPN 2LVL 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,451002,SCREW SPN 4MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,451004,PLATE SPN 2LVL 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,451005,CAGE SPN MTL 14X14X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,451007,CEMENT BN CA PHOS HA 5ML,7127.0,7127.0,1069.05,7127.0,30
CDM,451009,SCREW HEADLESS 4.5X36 LT,3189.0,3189.0,478.35,3189.0,30
CDM,451012,SPACER SPN 10MM 26MM,9523.0,9523.0,1428.45,9523.0,30
CDM,451013,NAIL TIB 13X32MM,4872.0,4872.0,730.8,4872.0,30
CDM,451014,CMPNT HIP FEM 9MM 137MM,9966.0,9966.0,1494.9,9966.0,30
CDM,451016,SCRW VAR SD 3.5X11MM,1506.0,1506.0,225.9,1506.0,30
CDM,451017,SPACER SPN 6D 14X7X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,451018,SPACER SPNL 14X9MM STLTH,4429.0,4429.0,664.35,4429.0,30
CDM,451019,COMPONEN ARTCSURF 4-5-6,4429.0,4429.0,664.35,4429.0,30
CDM,451020,GRAFT STNT 18FR 28-13MM,31529.0,31529.0,4729.35,31529.0,30
CDM,451021,SCREW SPN 5.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,451022,STENT GRAFT 16X10X124MM,14938.0,14938.0,2240.7,14938.0,30
CDM,451024,SCREW BN 2.7MM 38MM,1571.0,1571.0,235.65,1571.0,30
CDM,451027,PLATE SPN 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,451028,HEAD HIP +12 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,451029,INSRT TIB KN 7 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,451030,STEM EXTENSION 16X 65,4429.0,4429.0,664.35,4429.0,30
CDM,451032,COMPNT FEM KN RT SZ3,6312.0,6312.0,946.8,6312.0,30
CDM,451033,INSERT ART KN SZ1-2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,451034,CMPNT TIBTRY 6F/5T CMNT,5315.0,5315.0,797.25,5315.0,30
CDM,451035,INSERT TIB 6 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,451036,SPACER SPNL 60X18X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,451037,HEAD FEM HIP 28MM +12MM,4429.0,4429.0,664.35,4429.0,30
CDM,451038,LINER ACTB HIP 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,451039,PLATE SPN 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,451040,PLATE SPN PRECNTRD 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,451041,PLATE SPN 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,451042,STEM FEM KN 14MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,451043,WDG FEM 3-4 5MM KN SCRW,4606.0,4606.0,690.9,4606.0,30
CDM,451044,INSERT KN ARTC 3-4 11MM,5532.0,5532.0,829.8,5532.0,30
CDM,451045,ROD SPN CRV 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,451046,PLATE 60MM 3 LVL BN,4429.0,4429.0,664.35,4429.0,30
CDM,451047,LINER HIP ACTB 10D 40MM,5820.0,5820.0,873.0,5820.0,30
CDM,451048,LINER ACTB NTRL 62X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,451049,STEM FEM HIP 15MM 150MM,7973.0,7973.0,1195.95,7973.0,30
CDM,451050,STEM FEM KN 21MM 150MM,4606.0,4606.0,690.9,4606.0,30
CDM,451051,INSERT FEM KN RT S8 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,451052,HEAD FEM HIP 12/14 -3X36,4429.0,4429.0,664.35,4429.0,30
CDM,451053,SPACER SPN 12MM 30MM,9966.0,9966.0,1494.9,9966.0,30
CDM,451054,CMPNT BEARING LT SM 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,451055,STEM FEM HIP SZ3 101MM,10630.0,10630.0,1594.5,10630.0,30
CDM,451056,BLADE SAW RECIP OSCL 3PK,2876.5,2876.5,431.48,2876.5,42
CDM,451057,SPACER SPN 30MM 13MM,9966.0,9966.0,1494.9,9966.0,30
CDM,451058,HEAD FEM OD32 BIOLUX-DEL,4429.0,4429.0,664.35,4429.0,30
CDM,451060,SCREW BN 4MM 42MM 14MM,2296.0,2296.0,344.4,2296.0,30
CDM,451061,DRILL SURG 2.8MM,1080.5,1080.5,162.07,1080.5,42
CDM,451062,ANCHOR BN 2.5 X 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,451065,SCREW SPINE 4MM 14MM FX,1506.0,1506.0,225.9,1506.0,30
CDM,451066,COMPNT FEM KN SZ2 8MM,5240.0,5240.0,786.0,5240.0,30
CDM,451067,INS TIB 3X8 LT MDL RL,4429.0,4429.0,664.35,4429.0,30
CDM,451068,SCRW SHRT SPN ST TI 25MM,731.0,731.0,109.65,731.0,30
CDM,451069,PLATE BN UNV CRNIO 3,3189.0,3189.0,478.35,3189.0,30
CDM,451070,SCREW POLYAXIAL 7.5X40,3765.0,3765.0,564.75,3765.0,30
CDM,451071,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,451072,STAPLE LOPRO 1.8X1.3X2MM,6208.0,6208.0,931.2,6208.0,30
CDM,451073,ROD PREBENT TI 5.5X30,2711.0,2711.0,406.65,2711.0,30
CDM,451074,SCREW POLYAXIAL 6.5X55,3765.0,3765.0,564.75,3765.0,30
CDM,451075,SCREW POLYAXIAL 7.5X45,3765.0,3765.0,564.75,3765.0,30
CDM,451076,STEM FEM HIP SZ3,9966.0,9966.0,1494.9,9966.0,30
CDM,451077,NAIL BN FEM 11X13MM 34CM,4872.0,4872.0,730.8,4872.0,30
CDM,451078,STEM FEM HIP 8MM 136MM,9966.0,9966.0,1494.9,9966.0,30
CDM,451079,COMPNT FEM LT KN SZ6,18424.0,18424.0,2763.6,18424.0,30
CDM,451080,INSERT FEM KN LT SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,451081,NAIL BN 10MM 240MM,8189.0,8189.0,1228.35,8189.0,30
CDM,451082,SCREW BN 5MM 72MM,2143.0,2143.0,321.45,2143.0,30
CDM,451083,SCREW BN 5.0MM 78MM,3189.0,3189.0,478.35,3189.0,30
CDM,451084,ROD SPINE 50MM CURVED,2711.0,2711.0,406.65,2711.0,30
CDM,451085,WEDGE FEM KN 5DX5P LGN,4606.0,4606.0,690.9,4606.0,30
CDM,451086,CATH BLNDIL 30FR 15CM,1628.0,1628.0,244.2,1628.0,42
CDM,451087,PIN FX THRD LONG,464.0,464.0,69.6,464.0,42
CDM,451088,TRAY TIB ANKLE STD SZ3,26309.0,26309.0,3946.35,26309.0,30
CDM,451089,COMPNT DOME ANKL SIZE 2,27916.0,27916.0,4187.4,27916.0,30
CDM,451090,INSERT TIB ANK SZ2+ 6MM,9213.0,9213.0,1381.95,9213.0,30
CDM,451091,GRAFT EVAS 26X12MM 16CM,45597.0,45597.0,6839.55,45597.0,30
CDM,451092,SCREW BLCKBRD PAX 4.5X30,4247.0,4247.0,637.05,4247.0,30
CDM,451093,ROD BLCKBRD PRBNT3.5X100,2711.0,2711.0,406.65,2711.0,30
CDM,451094,KIT MNDB RECON GFTHRV GD,16341.0,16341.0,2451.15,16341.0,42
CDM,451095,PLATE MNDB W/O ANG 2.0MM,16366.0,16366.0,2454.9,16366.0,30
CDM,451096,SCREW BN LCK 2MM 5MM,1749.0,1749.0,262.35,1749.0,30
CDM,451097,SCREW BN 2.0MM 16MM,1087.0,1087.0,163.05,1087.0,30
CDM,451098,ROD SPN 40X5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,451099,PLATE BN 4H 0.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,451100,SPACER SPNL 4D 25X9X8MM,9966.0,9966.0,1494.9,9966.0,30
CDM,451101,CAGE SPN 7X14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,451102,SCREW SPN 3.5MM 17MM,1130.0,1130.0,169.5,1130.0,30
CDM,451103,SCREW SPN VAR 3.5X19MM,1506.0,1506.0,225.9,1506.0,30
CDM,451104,PLATE BN 4H 2.7/3.5X82MM,6782.0,6782.0,1017.3,6782.0,30
CDM,451105,SCREW BN 2.7MM 36MM,610.0,610.0,91.5,610.0,30
CDM,451107,PLATE BN RT 12HL 324MM,5758.0,5758.0,863.7,5758.0,30
CDM,451108,CAGE SPNL 6D 14X26X24MM,9966.0,9966.0,1494.9,9966.0,30
CDM,451109,SCREW BN 7MM 8MM 105MM,2790.0,2790.0,418.5,2790.0,30
CDM,451110,SCREW BN 7MM 8MM 110MM,2790.0,2790.0,418.5,2790.0,30
CDM,451111,SCREW BN 7MM 8MM 115MM,2790.0,2790.0,418.5,2790.0,30
CDM,451112,ROD SPN 5.5MM 95MM,2711.0,2711.0,406.65,2711.0,30
CDM,451113,LEAD NRSTM 2.8MM 65CM,22401.0,22401.0,3360.15,22401.0,30
CDM,451114,SPACER SPNL 30MMX10MM,9523.0,9523.0,1428.45,9523.0,30
CDM,451116,GRAFT CV 24MM 60CM,3189.0,3189.0,478.35,3189.0,30
CDM,451117,CUP ACTB 66MM 3FLNG RT,44069.0,44069.0,6610.35,44069.0,30
CDM,451223,WASHER BN 6.5MM 12.7MM,319.0,319.0,47.85,319.0,30
CDM,451233,SCREW BN 7MM 8MM 90MM,2790.0,2790.0,418.5,2790.0,30
CDM,451240,LEAD PCNG 45CM,2525.0,2525.0,378.75,2525.0,30
CDM,451241,LEAD PCNG 6.2FR 52CM,2525.0,2525.0,378.75,2525.0,30
CDM,451242,LEAD PCNG 6FR 58CM,2525.0,2525.0,378.75,2525.0,30
CDM,451244,PLATE BN ORTH 57MM 2.4MM,4967.0,4967.0,745.05,4967.0,30
CDM,451245,PLATE SS 7HL 57MM 2.4MM,4967.0,4967.0,745.05,4967.0,30
CDM,451246,CUTTER SURG RETRO 11.0MM,1596.5,1596.5,239.47,1596.5,42
CDM,451247,SCREW 20X10 ORTH RTRSCRW,3093.0,3093.0,463.95,3093.0,30
CDM,451248,STEM FEM 135D 220X18MM,19670.0,19670.0,2950.5,19670.0,30
CDM,451249,NAIL- IM L285 OD8 TIB,4429.0,4429.0,664.35,4429.0,30
CDM,451250,LINER ACTB HIP 0D66X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,451251,GUIDE PIN ORTH 6IN 1.6MM,294.0,294.0,44.1,294.0,42
CDM,451252,SCREW BN 5MM 42MM 13.9MM,2392.0,2392.0,358.8,2392.0,30
CDM,451253,SCREW SPNL 6.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,451254,SCREW SPN 7.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,451255,SCREW SPN 7.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,451256,SCREW SPN SET SCREW,753.0,753.0,112.95,753.0,30
CDM,451257,CONN SCREW SPN LD TOP,3012.0,3012.0,451.8,3012.0,30
CDM,451258,SCREW 50MM 8.5MMS/T BN,3012.0,3012.0,451.8,3012.0,30
CDM,451259,ROD SPN 5.5MM 140MM,2711.0,2711.0,406.65,2711.0,30
CDM,451261,ROD SPN 5.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,451263,SPACER SPN 46D7X16X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,451264,CUP ACTB 66MM 3 FLNG RT,40969.0,40969.0,6145.35,40969.0,30
CDM,451265,INSERT ACTB HIP 58-61MM,4429.0,4429.0,664.35,4429.0,30
CDM,451266,STEM FEM HIP 17X140MM,8699.0,8699.0,1304.85,8699.0,30
CDM,451268,ROD LNCR PRBNT TI 5.5X70,2711.0,2711.0,406.65,2711.0,30
CDM,451269,SCREW BN 2X8X12MM,1244.0,1244.0,186.6,1244.0,30
CDM,451271,PLATE BN 4HL 1.5MMX34MM,3721.0,3721.0,558.15,3721.0,30
CDM,451272,SLEEVE ADPT HIP 2.5MM,1170.0,1170.0,175.5,1170.0,30
CDM,451273,PLATE SPN 4LVL 68MM,4429.0,4429.0,664.35,4429.0,30
CDM,451286,SCREW BN 8MM 55MM XPDM,3765.0,3765.0,564.75,3765.0,30
CDM,451288,ROD SPN 45MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,451363,PLATE SPN 4LVL CRV 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,451364,SCREW BN SPN 8.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,451371,LEAD PCNG 45CM,3287.0,3287.0,493.05,3287.0,30
CDM,451372,LEAD PCNG 52CM 1.7MM,3186.0,3186.0,477.9,3186.0,30
CDM,451373,LEAD PCNG 58CM,3287.0,3287.0,493.05,3287.0,30
CDM,451374,LEAD PCNG ECRDL 52CM 8FR,3186.0,3186.0,477.9,3186.0,30
CDM,451375,LEAD PCNG 58CM,3287.0,3287.0,493.05,3287.0,30
CDM,451399,TRAY TIB CMNT KN 6F/6T,5315.0,5315.0,797.25,5315.0,30
CDM,451400,CMPNT PATELA ADVN35X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,451401,STEM FEM HIP 5MM 130MM,8858.0,8858.0,1328.7,8858.0,30
CDM,451402,CMPNT GLND 16D LG RT,8637.0,8637.0,1295.55,8637.0,30
CDM,451403,INSERT TIB KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,451404,BASEPLATE KN TIB LT SZ3,7609.0,7609.0,1141.35,7609.0,30
CDM,451405,STEM LGN PRESSFIT 9X160,4606.0,4606.0,690.9,4606.0,30
CDM,451411,SET INTRO SHTH 7FR 45CM,972.5,972.5,145.88,972.5,42
CDM,451412,SET INTRO SHTH 6FR 45CM,970.5,970.5,145.57,970.5,42
CDM,451462,GRAFT STNT 18FR 28-16MM,31529.0,31529.0,4729.35,31529.0,30
CDM,451463,NAIL BN FEM 10MM 42CM,8105.0,8105.0,1215.75,8105.0,30
CDM,451464,CMPNT FEM KN SZ2,7751.0,7751.0,1162.65,7751.0,30
CDM,451491,INSERT TIB 2 7MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,451511,STEM KN FEM SP EXT 18X40,4802.0,4802.0,720.3,4802.0,30
CDM,451512,WEDGE KN AUG LO/RI62.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,451513,WEDGE KN AUG LO/RI 60X5,4606.0,4606.0,690.9,4606.0,30
CDM,451514,CMPNT KN AUGM OFST 5,4429.0,4429.0,664.35,4429.0,30
CDM,451515,STEM KN FEM SP EXT 17X40,5054.0,5054.0,758.1,5054.0,30
CDM,451516,WEDGE KN AUG RO/LI62.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,451517,SCREW BN CORT 3.5X34MM,319.0,319.0,47.85,319.0,30
CDM,451518,CMPNT FEM KN RS AXLE,4252.0,4252.0,637.8,4252.0,30
CDM,451519,CMPNT TIB KN RS 63 56X18,10442.0,10442.0,1566.3,10442.0,30
CDM,451520,CMPNT FEM KN RS BUSHING,4252.0,4252.0,637.8,4252.0,30
CDM,451521,INSERT TIB KN 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,451522,ROD FEMUR CUSTOM 6CM,31889.0,31889.0,4783.35,31889.0,30
CDM,451523,CMPNT KN DPHSL SEG 9CM,18013.0,18013.0,2701.95,18013.0,30
CDM,451524,CMPNT FEM KN RSS RT 7CM,20351.0,20351.0,3052.65,20351.0,30
CDM,451525,INSERT TIB PS + 71/75X16,4606.0,4606.0,690.9,4606.0,30
CDM,451528,SPACER SPNL 55X18X14MM,13952.0,13952.0,2092.8,13952.0,30
CDM,451529,WEDGE TIB SZ5-6 10MM,4824.0,4824.0,723.6,4824.0,30
CDM,451531,PLATE SPN W MTH 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,451533,SCREW SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,451534,SHELL HEMISPHER LFT 76MM,14395.0,14395.0,2159.25,14395.0,30
CDM,451535,STEM FEMORAL 75X22,4429.0,4429.0,664.35,4429.0,30
CDM,451536,SCREW BN 2.4MM 6MM,743.0,743.0,111.45,743.0,30
CDM,451537,SCREW CORTEX 2.4 X 8MM,743.0,743.0,111.45,743.0,30
CDM,451538,SCREW BN 2MM 18MM,1524.0,1524.0,228.6,1524.0,30
CDM,451541,SCREW BN 2.7MM 55MM,429.0,429.0,64.35,429.0,30
CDM,451542,SCREW BN 2.7X60MM,508.0,508.0,76.2,508.0,30
CDM,451696,IMPLANT ORTHO L10 TIBAL,4429.0,4429.0,664.35,4429.0,30
CDM,451697,BLOCK TIB AUG,4429.0,4429.0,664.35,4429.0,30
CDM,451698,KIT INST DISP 2.9MM,3012.5,3012.5,451.88,3012.5,42
CDM,451699,ANCHOR 2.9MM JUGGERKNOT,3189.0,3189.0,478.35,3189.0,30
CDM,451700,ANCH SUT 4.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,451701,SCREW BN 4.0MM 52MM,2261.0,2261.0,339.15,2261.0,30
CDM,451702,SCREW BN SPN 3.5MM 19MM,1506.0,1506.0,225.9,1506.0,30
CDM,451703,CAGE SPN 8X14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,451704,LINER ACTB PNCL 32X52,4429.0,4429.0,664.35,4429.0,30
CDM,451705,INSERT ACTB HIP SZH 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,451706,INSERT ART 7-10 E-F 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,451707,INSERT FEM CMPLT LG 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,451708,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,451709,ROD SPN 5.5MM 85MM,2711.0,2711.0,406.65,2711.0,30
CDM,451711,STEM HUM 127.5D 88MM,11073.0,11073.0,1660.95,11073.0,30
CDM,451712,SCREW SPN 7.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,451713,ROD SPN 5.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,451715,ROD SPN 30MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,451716,STEM FM STD 36X22X17X165,6644.0,6644.0,996.6,6644.0,30
CDM,451717,PTLR CMPNT KN 9MM 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,451718,ANCHOR SUT 4.75MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,451719,HEAD FEM+0MM12/14SM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,451720,HIP LINER ACTB 58X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,451721,INSERT TIB KN SZ3-4 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,451722,INSERT KN 3-4 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,451723,NECK FEM ACUMTCH+10MMHIP,9191.0,9191.0,1378.65,9191.0,30
CDM,451724,CMPNT MTPHSL ACU HIP21MM,10298.0,10298.0,1544.7,10298.0,30
CDM,451726,SCREW ACUMTCH 23X21X21MM,2790.0,2790.0,418.5,2790.0,30
CDM,451727,STEM FEM 165MM 11MM STR,7087.0,7087.0,1063.05,7087.0,30
CDM,451728,COMPONENT PTLR 30X7.0MM,4252.0,4252.0,637.8,4252.0,30
CDM,451729,COMPNT FEL XL RSRFC 10X5,13509.0,13509.0,2026.35,13509.0,30
CDM,451730,SCREW LOCKING 5.0 X 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,451732,PLATE BN RAD 5HL 46MM,4040.0,4040.0,606.0,4040.0,30
CDM,451733,GRAFT BN 16X14X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,451736,CAGE LRDTC 18X50X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,451737,ROD SPN 4.75MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,451738,ROD SPNL CURV 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,451739,CMPNT FEM KN LT 76X66MM,35849.0,35849.0,5377.35,35849.0,30
CDM,451740,INSERT KN 5-6 77X44X17MM,7858.0,7858.0,1178.7,7858.0,30
CDM,451741,INSERT TIB ANK SZ2+ 8MM,11184.0,11184.0,1677.6,11184.0,30
CDM,451742,CMPNT TLR ANKL RT/LT SZ2,23031.0,23031.0,3454.65,23031.0,30
CDM,451743,SPACER SPNL VERT 28X9X9,11073.0,11073.0,1660.95,11073.0,30
CDM,451744,SPACER SPNL VERT 27X11X8,9966.0,9966.0,1494.9,9966.0,30
CDM,451745,CAGE SP LRD 8 22X50X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,451746,LINER ACTB HIP 58X36MM,5529.0,5529.0,829.35,5529.0,30
CDM,451747,AUG ACTB HIP TRB 15X70MM,7415.0,7415.0,1112.25,7415.0,30
CDM,451748,PLATE BN SHNT LG 24MM,3036.0,3036.0,455.4,3036.0,30
CDM,451808,STEM FEM KN 22MM 115MM,4429.0,4429.0,664.35,4429.0,30
CDM,451810,SPCR ALGF SPN 6D 14X16X7,4872.0,4872.0,730.8,4872.0,30
CDM,451811,PLATE SPN FXTN 7MM,4651.0,4651.0,697.65,4651.0,30
CDM,451812,ALLOGRAFT SPN 12X14X7MM,4872.0,4872.0,730.8,4872.0,30
CDM,451813,SCREW BN SPN 14MM,1506.0,1506.0,225.9,1506.0,30
CDM,451814,STEM HIP 127D SZ4 137MM,6201.0,6201.0,930.15,6201.0,30
CDM,451816,INTRODUCER ENDO 19FR,3125.5,3125.5,468.82,3125.5,42
CDM,451817,AUG ACTB PNCL 30X62/64MM,5805.0,5805.0,870.75,5805.0,30
CDM,451818,HEAD FEM HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,451820,CAGE SPN 28X36X17MM,23673.0,23673.0,3550.95,23673.0,30
CDM,451821,CMPNT PTLA 32X37MM ADVN,4252.0,4252.0,637.8,4252.0,30
CDM,451822,INSERT ACTB HIP 32X46MM,6644.0,6644.0,996.6,6644.0,30
CDM,451823,TRAY REV SHLDR +6X1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,451824,PLATE BN 13MM LOR X-DRV,3189.0,3189.0,478.35,3189.0,30
CDM,451825,SCRW 7.5X45MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
CDM,451827,ROD PREBENT 5.5X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,451828,ROD PRE-BENT 5.5X110MM,2711.0,2711.0,406.65,2711.0,30
CDM,451829,SCREW SPN 5.5MM 22MM,1506.0,1506.0,225.9,1506.0,30
CDM,451831,PLATE SPIN 1LEV 14MM CER,4429.0,4429.0,664.35,4429.0,30
CDM,451832,INSERT TIB KN RT 3+ 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,451833,ROD SPN PRBNT 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,451834,ROD SPN PRBNT 5.5X60MM,2711.0,2711.0,406.65,2711.0,30
CDM,451835,INSERT TIB KN SZ8 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,451836,SCREW BONE 3.5MMX40MM,877.0,877.0,131.55,877.0,30
CDM,451838,ANCHOR SUT 2.4X6.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,451839,SUTURE MICRO TAK DISP,1432.5,1432.5,214.88,1432.5,42
CDM,451842,CONNECTOR CROSS 42-58MM,3389.0,3389.0,508.35,3389.0,30
CDM,451843,SPACER SPN 11X30MM,9966.0,9966.0,1494.9,9966.0,30
CDM,451844,COMPNT KN TIB F 91MM,4606.0,4606.0,690.9,4606.0,30
CDM,451845,INSERT TIB KN SM 14MM,14095.0,14095.0,2114.25,14095.0,30
CDM,451846,SCRW DRKSTARCAN 7.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,451847,ROD SPN PREBENT 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
CDM,451848,GRAFT BN CERV 6MX16MX14,4429.0,4429.0,664.35,4429.0,30
CDM,451849,BIT DRILL SURG 2.0MM,514.0,514.0,77.1,514.0,42
CDM,451850,BIT DRL CTRSNK 2.5MM,514.0,514.0,77.1,514.0,42
CDM,451851,BIT DRL CTRSNK 2.0/2.5MM,773.0,773.0,115.95,773.0,42
CDM,451852,SCREW BN 2.5MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,451853,SCREW BN 2.5MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,451854,SPACER SPNL 50X18X8MMD,13952.0,13952.0,2092.8,13952.0,30
CDM,451855,PLATE 170MM SS 4.5MM SCR,7830.0,7830.0,1174.5,7830.0,30
CDM,451856,MESH SURG 4.5IN,3721.0,3721.0,558.15,3721.0,30
CDM,451857,SCREW BN 4.5MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,451858,SCREW BN 4.5MM 46MM,3189.0,3189.0,478.35,3189.0,30
CDM,451859,CMPNT FEM KN RT SZC,35849.0,35849.0,5377.35,35849.0,30
CDM,451860,INSERT TIB KN SZ7 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,451861,LINER ACTB SZD 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,451862,CRT-D DEFIB 13X51X74MM,67318.0,67318.0,10097.7,67318.0,30
CDM,451879,CATH MICRO 5FR 115CM,6413.5,6413.5,962.02,6413.5,42
CDM,451886,VEST COMPRSEN 40IN ANEMB,649.5,649.5,97.42,649.5,42
CDM,451890,NEEDLE ENDO 370MM,525.5,525.5,78.83,525.5,42
CDM,451894,SET TRANSFER SAL 120IN,64.5,64.5,9.68,64.5,42
CDM,451900,SUTURE VIO MONO 2-0 36IN,40.5,40.5,6.08,40.5,42
CDM,451901,SUTURE VIO MONO 0 36IN,45.5,45.5,6.83,45.5,42
CDM,451908,COIL EMBL 30CM 9MM,10608.0,10608.0,1591.2,10608.0,30
CDM,451962,ELECTRODE NDL 1INX30GA,2334.0,2334.0,350.1,2334.0,42
CDM,451963,COIL EMBL 8CM 3.5MM AXIU,8416.0,8416.0,1262.4,8416.0,30
CDM,451965,STEM FEM HIP ACT SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,451966,STEM FEM HIP SZ7,8416.0,8416.0,1262.4,8416.0,30
CDM,451967,STEM FEM HIP 12/14MM SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,451968,STEM FEM HIP SZ9,8416.0,8416.0,1262.4,8416.0,30
CDM,451969,STEM FEM HIP SZ10,8416.0,8416.0,1262.4,8416.0,30
CDM,451970,CATH BLNDL 24MM 110CM,4286.0,4286.0,642.9,4286.0,42
CDM,451971,STEM FEM OFST HIP SZ11,8416.0,8416.0,1262.4,8416.0,30
CDM,451972,STEM FEM HIP SZ12 119MM,8416.0,8416.0,1262.4,8416.0,30
CDM,451978,CAGE SPNL 16MM 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,451979,CAGE SPN PK 16X14X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,451980,SCRW ZEVO TI SPNE 4X19MM,1506.0,1506.0,225.9,1506.0,30
CDM,451981,SCREW BN 10.5MM 75MM,3721.0,3721.0,558.15,3721.0,30
CDM,451982,SCREW BN SPN 5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,451983,SCREW BN SPN 8.5MM 65MM,3389.0,3389.0,508.35,3389.0,30
CDM,451984,PLATE LOPRO TI EP 38MM,9301.0,9301.0,1395.15,9301.0,30
CDM,451985,SCREW BN SPN 6MM 32MM,753.0,753.0,112.95,753.0,30
CDM,451986,FASTENER SPN PLT COVER,753.0,753.0,112.95,753.0,30
CDM,451987,PLATE 38MM CVR BN SPNL,753.0,753.0,112.95,753.0,30
CDM,451988,PROBE CRRG CRYABL 10CM,11639.0,11639.0,1745.85,11639.0,42
CDM,451989,KIT CANNULA INS VNS,810.5,810.5,121.58,810.5,42
CDM,451990,SCREW BN 4.5MM 40MM,2884.0,2884.0,432.6,2884.0,30
CDM,451991,SCREW BN 4.5MM 60MM,2884.0,2884.0,432.6,2884.0,30
CDM,451992,INSTRMNT CNTRLN ECTR SGL,1719.0,1719.0,257.85,1719.0,42
CDM,451993,GUIDE PIN SUT EYE 2.4MM,1269.0,1269.0,190.35,1269.0,42
CDM,451994,REAMER SURG 9.5MM,2333.0,2333.0,349.95,2333.0,42
CDM,451995,SCREW BN 4.5X20MM,1196.0,1196.0,179.4,1196.0,30
CDM,451996,SCREW BN 4.5MM 22MM,3109.0,3109.0,466.35,3109.0,30
CDM,451997,SCREW BN 4.5MM 32MM,3109.0,3109.0,466.35,3109.0,30
CDM,451998,SCREW BN 4.5MM 32MM,1196.0,1196.0,179.4,1196.0,30
CDM,451999,SCREW BN 5.5MM 60MM,1196.0,1196.0,179.4,1196.0,30
CDM,452000,SCREW BN 4.5MM 30MM,3109.0,3109.0,466.35,3109.0,30
CDM,452001,SCREW BN 4.5MM 26MM,3109.0,3109.0,466.35,3109.0,30
CDM,452002,SCREW BN 4.5MM 36MM,3109.0,3109.0,466.35,3109.0,30
CDM,452003,SCREW CANN 6.7XL60,3189.0,3189.0,478.35,3189.0,30
CDM,452004,GWIRE ORTH 2.4MM,340.0,340.0,51.0,340.0,42
CDM,452006,BIT DRILL 4MM,773.0,773.0,115.95,773.0,42
CDM,452007,BIT DRILL 5.5MM,808.5,808.5,121.28,808.5,42
CDM,452008,PLATE SPN 1LVL 12MM CRVC,4429.0,4429.0,664.35,4429.0,30
CDM,452011,PLATE BN 40X 2.7MM,4654.0,4654.0,698.1,4654.0,30
CDM,452012,SCREW BN 2.7MM 26MM,610.0,610.0,91.5,610.0,30
CDM,452013,SCREW BN T8 2.7X38MM,610.0,610.0,91.5,610.0,30
CDM,452014,SCREW BN 4.0MM 54MM,338.0,338.0,50.7,338.0,30
CDM,452016,CAGE SPN CIF 6DGX 07SPCR,4429.0,4429.0,664.35,4429.0,30
CDM,452028,DEVICE CLS WND +4-0 70CM,319.0,319.0,47.85,319.0,42
CDM,452029,FIBER XTSFE 0.6 NON SMA,1251.5,1251.5,187.72,1251.5,42
CDM,452032,PLATE CERVICAL 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,452033,SCREW REVISION 5.5X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,452034,HEAD FEM HIP +10 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,452037,PLATE BN SS L76MM LCP,3189.0,3189.0,478.35,3189.0,30
CDM,452038,ROD SPNL 60X3.5MM VRTX S,2711.0,2711.0,406.65,2711.0,30
CDM,452039,SCREW BN SPN 4.5MM 24MM,4247.0,4247.0,637.05,4247.0,30
CDM,452040,SCREW BN CORT 3X14MM,1754.0,1754.0,263.1,1754.0,30
CDM,452043,TUBE ESPH ADLT 20FR,4093.0,4093.0,613.95,4093.0,42
CDM,452044,TUBE NG ESPH 20FR,3039.0,3039.0,455.85,3039.0,42
CDM,452049,STYLET 23CM VENTRI SHUNT,4093.0,4093.0,613.95,4093.0,42
CDM,452050,PROBE NVG PNTR STRL,4093.0,4093.0,613.95,4093.0,42
CDM,452051,TRACER NVG PNTR DISP,4093.0,4093.0,613.95,4093.0,42
CDM,452053,DEVICE NAV SURG,2194.0,2194.0,329.1,2194.0,42
CDM,452056,PIN NVG FX 150MM,2478.5,2478.5,371.77,2478.5,42
CDM,452057,PIN NVG FX 100MM,2478.5,2478.5,371.77,2478.5,42
CDM,452058,KIT TRJ GD BRAIN BX,8518.5,8518.5,1277.78,8518.5,42
CDM,452059,NEEDLE PASSIVE BIOPSY,4471.5,4471.5,670.73,4471.5,42
CDM,452061,SCREW BN 2X5MM,1008.0,1008.0,151.2,1008.0,30
CDM,452062,DRILL TWIST 1.5X5MM,1023.5,1023.5,153.53,1023.5,42
CDM,452063,STEM FEM HIP 24MM 155MM,9658.0,9658.0,1448.7,9658.0,30
CDM,452064,GWIRE ORTH 2.4MM 70CM,386.5,386.5,57.98,386.5,42
CDM,452065,GWIRE ORTH 2.4MM 70CM,464.0,464.0,69.6,464.0,42
CDM,452066,SCREW BN 5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,452068,SCREW BN 5MM 80MM,2073.0,2073.0,310.95,2073.0,30
CDM,452070,COMPONENT FEM D RT KN CM,9301.0,9301.0,1395.15,9301.0,30
CDM,452071,WDG TIB MBT 5 H10 STEP,4612.0,4612.0,691.8,4612.0,30
CDM,452072,CMPNT SHLDR RT 8D LG,7087.0,7087.0,1063.05,7087.0,30
CDM,452073,STAPLE BN 16MM 18MM,10798.0,10798.0,1619.7,10798.0,30
CDM,452074,SCREW BN 4MM 42.5MM,2392.0,2392.0,358.8,2392.0,30
CDM,452075,PLATE BN MNDB 12H 1.25MM,4180.0,4180.0,627.0,4180.0,30
CDM,452076,SLEEVE CNTRNG 22D LG,4252.0,4252.0,637.8,4252.0,30
CDM,452077,GRAFT EVAS 28MM 111MM,21956.0,21956.0,3293.4,21956.0,30
CDM,452078,GRAFT EVAS 74X20X6MM,13823.0,13823.0,2073.45,13823.0,30
CDM,452079,ROD SPN PCUT 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,452080,ROD SPN 4.75MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,452081,DEVICE CLSR WND 2-0 30CM,334.5,334.5,50.17,334.5,42
CDM,452083,PLATE BN 3X3HL 1.0MM,3189.0,3189.0,478.35,3189.0,30
CDM,452084,STEM FEM KN 150X16X11MM,7087.0,7087.0,1063.05,7087.0,30
CDM,452086,ANCHR JUGERKNOT SHRT SZ2,3189.0,3189.0,478.35,3189.0,30
CDM,452087,PLATE BN HUM 4H RT,4872.0,4872.0,730.8,4872.0,30
CDM,452088,SCREW BN 4.3MM 42MM,1595.0,1595.0,239.25,1595.0,30
CDM,452089,SCREW BN 4.3MM 22MM,1595.0,1595.0,239.25,1595.0,30
CDM,452090,SCREW BN 3.5MM 28MM,1212.0,1212.0,181.8,1212.0,30
CDM,452094,SCREW BN 4MM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,452095,SCREW BN 3.5MM 24MM,319.0,319.0,47.85,319.0,30
CDM,452096,CAGE ACTB 45MM 48MM,5888.0,5888.0,883.2,5888.0,30
CDM,452097,INSERT ACTB HIP 44MM,6644.0,6644.0,996.6,6644.0,30
CDM,452098,INSERT TIB KN SZ5 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,452099,TRAY TIBIAL STD SIZE 5,26309.0,26309.0,3946.35,26309.0,30
CDM,452100,COMPNT DOME ANKL SIZE 4,27916.0,27916.0,4187.4,27916.0,30
CDM,452101,INSERT TIB ANKL SZ4+ 9MM,11184.0,11184.0,1677.6,11184.0,30
CDM,452103,COIL EMBL 12MM 30CM,3720.0,3720.0,558.0,3720.0,30
CDM,452106,GRAFT BN SPCR 14X11X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,452107,GRAFT BN 14X11X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,452108,SCREW SPN 4MM 18MM,4247.0,4247.0,637.05,4247.0,30
CDM,452109,SCREW SPN 4MM 16MM,4247.0,4247.0,637.05,4247.0,30
CDM,452110,SCREW SPN 4MM 14MM,4247.0,4247.0,637.05,4247.0,30
CDM,452111,SCREW SPN 3.5MM 16MM,3765.0,3765.0,564.75,3765.0,30
CDM,452112,SCREW SPN 3.5MM 12MM,3765.0,3765.0,564.75,3765.0,30
CDM,452113,SCREW SPN CLOSURE TOP,753.0,753.0,112.95,753.0,30
CDM,452114,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,452116,SHELL ACTB 50MM GRP 1 CH,4606.0,4606.0,690.9,4606.0,30
CDM,452117,LINER ACTB NVATN CNNXN,4429.0,4429.0,664.35,4429.0,30
CDM,452119,PLATE BN 4HL 3.5X127MM,7172.0,7172.0,1075.8,7172.0,30
CDM,452127,CANN PRFSN 29/29 15IN,773.0,773.0,115.95,773.0,42
CDM,452128,CANNULA PRFSN 15.5 26/46,531.0,531.0,79.65,531.0,42
CDM,452129,VALVE TAVR 34MM,115350.0,115350.0,17302.5,115350.0,30
CDM,452130,SYSTEM TAVR 6.7MM 107MM,10795.0,10795.0,1619.25,10795.0,30
CDM,452131,SYSTEM DLV LD 34MM,3192.5,3192.5,478.88,3192.5,42
CDM,452133,KIT BIOMD INSRTN ART JUG,810.5,810.5,121.58,810.5,42
CDM,452141,IMPLANT MNDB MED RT,10466.0,10466.0,1569.9,10466.0,30
CDM,452142,IMPLANT MNDB MED LT FOSS,10466.0,10466.0,1569.9,10466.0,30
CDM,452143,IMPLANT MNDB SM RT FOSSA,10466.0,10466.0,1569.9,10466.0,30
CDM,452144,CMPNT TTL TMP MDBLR SM,10466.0,10466.0,1569.9,10466.0,30
CDM,452148,CMPNT BN MDBLR RT 45MM,17247.0,17247.0,2587.05,17247.0,30
CDM,452149,IMPLANT MNDB 45MM,17247.0,17247.0,2587.05,17247.0,30
CDM,452152,IMPLANT TMPMNDB LT 50MM,12481.0,12481.0,1872.15,12481.0,30
CDM,452159,IMPL MNDB RT NAR 45MM,12481.0,12481.0,1872.15,12481.0,30
CDM,452161,IMPLANT MNDB 45MM NAR,12481.0,12481.0,1872.15,12481.0,30
CDM,452164,IMPLANT MNDB LT NAR 50MM,12481.0,12481.0,1872.15,12481.0,30
CDM,452181,SCREW BN CRNFCL 2X7MM,845.0,845.0,126.75,845.0,30
CDM,452182,SCREW BN 9MM 2MM,845.0,845.0,126.75,845.0,30
CDM,452187,SCREW BN 8MM 2.7MM,766.0,766.0,114.9,766.0,30
CDM,452188,SCREW 10MM 2.7MM,766.0,766.0,114.9,766.0,30
CDM,452190,SCREW BN MDFC 12X2.7 XDR,766.0,766.0,114.9,766.0,30
CDM,452193,DRILL TWIST 1.5MM 50MM,788.0,788.0,118.2,788.0,42
CDM,452196,DRILL TWIST 2MM 70MM,788.0,788.0,118.2,788.0,42
CDM,452198,DRILL TWIST 2.2MM 70MM,788.0,788.0,118.2,788.0,42
CDM,452202,RASP SURG DMD TMJ,1981.0,1981.0,297.15,1981.0,42
CDM,452203,BURR SURG AU TMJ DMD CRS,1441.0,1441.0,216.15,1441.0,42
CDM,452204,BURR SURG MED TMJ DMD,1441.0,1441.0,216.15,1441.0,42
CDM,452211,SYSTEM CATH ARTHRCM 2MM,15808.5,15808.5,2371.28,15808.5,42
CDM,452250,ELCTRD ESURG 12D.2IN 24F,773.0,773.0,115.95,773.0,42
CDM,452252,SUTURE UND MON +5-0 18IN,105.5,105.5,15.82,105.5,42
CDM,452255,ENVELOPE NEURO 6.3X6.9CM,4071.0,4071.0,610.65,4071.0,30
CDM,452261,MARKER FDCL TIS 3X3CM,4429.0,4429.0,664.35,4429.0,30
CDM,452278,INTRO CATH 6FR 55CM,703.5,703.5,105.53,703.5,42
CDM,452279,INTRO SHTH 7FR 55CM,703.5,703.5,105.53,703.5,42
CDM,452280,SHEATH GD 8FR 55CM,703.5,703.5,105.53,703.5,42
CDM,452281,SUTURE UND MON +2-0 36IN,50.5,50.5,7.58,50.5,42
CDM,452286,HEAD FEM +3.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,452287,ACTB CUP HATRIFLNG 56MM,44069.0,44069.0,6610.35,44069.0,30
CDM,452288,STEM FEM CMNTLS MOD COLR,10630.0,10630.0,1594.5,10630.0,30
CDM,452289,XL LPS-MOB ATSF SZF/567,4429.0,4429.0,664.35,4429.0,30
CDM,452290,CONE FEM HIP STD 70MM,16725.0,16725.0,2508.75,16725.0,30
CDM,452291,STEM FEM HIP 14MM 115MM,9977.0,9977.0,1496.55,9977.0,30
CDM,452292,SCREW BN 1.55X1.22X10MM,1166.0,1166.0,174.9,1166.0,30
CDM,452293,AUGMNT TIB RM/LL 5MM SZ7,4429.0,4429.0,664.35,4429.0,30
CDM,452294,HEAD FEM HIP 3.5MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,452295,SHELL HIP ACTB 52MM,13166.0,13166.0,1974.9,13166.0,30
CDM,452296,BEARING HIP 42X28MM E1,4606.0,4606.0,690.9,4606.0,30
CDM,452297,LINER HIP HIP SZE 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,452298,WEDGE TIB MDL 3-4X15-L/M,4606.0,4606.0,690.9,4606.0,30
CDM,452299,STEM FEM LGN PRSFT120X12,4606.0,4606.0,690.9,4606.0,30
CDM,452302,UA W MICRO AUTO,649.63,649.63,119.6,649.63,28
CDM,452303,BASEPLATE TIB KN SZ4,11030.0,11030.0,1654.5,11030.0,30
CDM,452305,INSERT TIB KN SZ4-5 15MM,5450.0,5450.0,817.5,5450.0,30
CDM,452306,CMPNT FEM KN LT SZ5,22068.0,22068.0,3310.2,22068.0,30
CDM,452307,SCREW BN 2.4MM 11MM,633.0,633.0,94.95,633.0,30
CDM,452308,SCREW BN 3.5X95MM,282.0,282.0,42.3,282.0,30
CDM,452311,SCREW BN 3.5MM 105MM,282.0,282.0,42.3,282.0,30
CDM,452312,SCREW BN ST 2.4MM 13MM,1555.0,1555.0,233.25,1555.0,30
CDM,452313,CMPNT FEM TS RT SZ6,18424.0,18424.0,2763.6,18424.0,30
CDM,452314,HEAD ADPTR OFST HIP 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,452315,AUG FEM KN PST SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,452316,AUGMENT FEM KN RT 6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,452317,STEM FEM FLUT KN 17X150,4606.0,4606.0,690.9,4606.0,30
CDM,452318,AUG TIB KN LM/RL 27 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,452319,INSERT TIB KN SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,452320,LINER ACTB HIP 4X58X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,452321,SCREW SPN 5.5-6MM,753.0,753.0,112.95,753.0,30
CDM,452322,NAIL BN TIB STD 11X360M,6836.0,6836.0,1025.4,6836.0,30
CDM,452323,INSERT ARTC KN 3-4 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,452324,KIT ANCHOR SPN 4CM,3189.0,3189.0,478.35,3189.0,30
CDM,452326,STEM HUM SHLDR 6MM 152MM,12402.0,12402.0,1860.3,12402.0,30
CDM,452327,STEM HUM SHLDR 8MM 200MM,12402.0,12402.0,1860.3,12402.0,30
CDM,452328,INSERT HUM SHLDR 36X8MM,4606.0,4606.0,690.9,4606.0,30
CDM,452329,CUP HUM SHLDR 36X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,452331,INSERT HUM SHLDR 12X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,452332,PLATE 62MMX5MM FRAG 4 HL,3189.0,3189.0,478.35,3189.0,30
CDM,452333,SCREW CORT S/T 4.5X20MM,368.0,368.0,55.2,368.0,30
CDM,452334,CMPNT FEM LEFT SIZE 3,16831.0,16831.0,2524.65,16831.0,30
CDM,452335,AUGMENT FEM KN SZ4,4429.0,4429.0,664.35,4429.0,30
CDM,452336,CMPNT AUGMENT SIZE 3X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,452337,INS EVOL ADP CS EAI3114R,4606.0,4606.0,690.9,4606.0,30
CDM,452338,COMPNT LT KN CMNT SZ6,6449.0,6449.0,967.35,6449.0,30
CDM,452340,STEM FEM HIP 17MM 195MM,25910.0,25910.0,3886.5,25910.0,30
CDM,452341,HEAD BIP HIP 51X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,452342,HEAD FEM HIP +10MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,452343,SHELL HIP ACTB SZ1 66MM,13166.0,13166.0,1974.9,13166.0,30
CDM,452344,BEARING ARTC E1 28X54MM,4606.0,4606.0,690.9,4606.0,30
CDM,452345,LINER ACET HIP 54MM SZI,4429.0,4429.0,664.35,4429.0,30
CDM,452346,IMPLANT BREAST 325CC,5869.0,5869.0,880.35,5869.0,30
CDM,452347,IMPLANT BREAST 335CC,5315.0,5315.0,797.25,5315.0,30
CDM,452348,IMPLANT BREAST 345CC,5315.0,5315.0,797.25,5315.0,30
CDM,452349,IMPLANT BREAST 365CC,5315.0,5315.0,797.25,5315.0,30
CDM,452350,IMPLANT BREAST 385CC,5869.0,5869.0,880.35,5869.0,30
CDM,452351,IMPLANT BREAST 415CC,5315.0,5315.0,797.25,5315.0,30
CDM,452352,PLATE TIB 12HL 213MM,7365.0,7365.0,1104.75,7365.0,30
CDM,452353,SCREW DRKSTR CAN5.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,452354,SCREW BN SS 7MM 2.4MM,1555.0,1555.0,233.25,1555.0,30
CDM,452355,HEAD FEM HIP -6MM 12/14,4606.0,4606.0,690.9,4606.0,30
CDM,452357,GRAFT STNT 36MM 107MM,65346.0,65346.0,9801.9,65346.0,30
CDM,452358,GRAFT STNT 38MM 100MM,62462.0,62462.0,9369.3,62462.0,30
CDM,452359,GRAFT STNT 34MM 200MM,65965.0,65965.0,9894.75,65965.0,30
CDM,452360,PLUG VASC 10MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,452361,PLATE SPN 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,452362,PLATE BN 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,452363,SPACER SPN 50X22X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,452364,PLATE SPN 10MM 23MM,4429.0,4429.0,664.35,4429.0,30
CDM,452365,ENDCAP SPN 2H 8-14MM,1506.0,1506.0,225.9,1506.0,30
CDM,452366,PLATE BN 2.5MM 208MM,4429.0,4429.0,664.35,4429.0,30
CDM,452370,SCREW DSTRCTIN PIN 12MM,292.5,292.5,43.88,292.5,42
CDM,452378,PLATE BN 40X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,452379,SPACER SPN 0D 27X11X12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,452380,SCREW LCP SS FT 2.7X40MM,582.0,582.0,87.3,582.0,30
CDM,452381,INSRT TIB KN LT G-H 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,452382,STEM FEM CMNTLS LAT HIP,9966.0,9966.0,1494.9,9966.0,30
CDM,452383,CONN SPN ROD 5.5 MM,3012.0,3012.0,451.8,3012.0,30
CDM,452384,PLATE BN 7X.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,452385,IMPLANT FX 16MM 2.4MM,4252.0,4252.0,637.8,4252.0,30
CDM,452386,SET PRO TOE INSTRMNT,1310.0,1310.0,196.5,1310.0,42
CDM,452387,STENT GRT EVAS 36X145MM,70643.0,70643.0,10596.45,70643.0,30
CDM,452388,CANNULA ARTH 2.6X 305MM,494.5,494.5,74.17,494.5,42
CDM,452389,SHELL ACTB HIP REV 64MM,10045.0,10045.0,1506.75,10045.0,30
CDM,452394,HEAD FEM HIP 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,452560,MANIFOLD ANGIO 12ML,425.0,425.0,63.75,425.0,42
CDM,452593,LEAD CPSR SPNVS 409252,3372.0,3372.0,505.8,3372.0,30
CDM,452595,SHEATH INTRO GW 5F 11CM,182.0,182.0,27.3,182.0,42
CDM,452597,SHEATH INTRO GW 7F 11CM,182.0,182.0,27.3,182.0,42
CDM,452599,SHEATH INTRO GW 9F 11CM,182.0,182.0,27.3,182.0,42
CDM,452600,JOINT TOE MTP SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,452622,JOINT TOE 19X2-5.5X1.2MM,4606.0,4606.0,690.9,4606.0,30
CDM,452623,STEM FEM PRIM STD 17MM,8194.0,8194.0,1229.1,8194.0,30
CDM,452624,LINER ACTB HIP 40MM 64MM,4429.0,4429.0,664.35,4429.0,30
CDM,452649,SCREW BN 4MM 55MM 18.5MM,2344.0,2344.0,351.6,2344.0,30
CDM,452666,CATH ANGIO JR5 4FR 100CM,222.0,222.0,33.3,222.0,42
CDM,452667,CATH ANGIO AL1 100CM,222.0,222.0,33.3,222.0,42
CDM,452668,CATH ANGIO AL2 100CM,222.0,222.0,33.3,222.0,42
CDM,452670,CATH ANGIO RCB 100CM,222.0,222.0,33.3,222.0,42
CDM,452671,CATH ANGIO LCB 100CM,222.0,222.0,33.3,222.0,42
CDM,452672,CATH ANGO 4.0FR 100CM,222.0,222.0,33.3,222.0,42
CDM,452673,CATH ANGIO 4FR 110CM,222.0,222.0,33.3,222.0,42
CDM,452675,CATH ANGIO 4.0FR 100CM,222.0,222.0,33.3,222.0,42
CDM,452676,CATH ANGIO 4.0FR 100CM,222.0,222.0,33.3,222.0,42
CDM,452677,CATH ANGIO 4.0FR 100CM,215.5,215.5,32.33,215.5,42
CDM,452678,CATH ANGIO 4.0FR 100CM,222.0,222.0,33.3,222.0,42
CDM,452679,CATH ANGIO JL6 7FR 100CM,215.5,215.5,32.33,215.5,42
CDM,452680,CATH ANGIO 4FR 100CM,222.0,222.0,33.3,222.0,42
CDM,452681,CATHDX ANGI JR4 F4 100CM,222.0,222.0,33.3,222.0,42
CDM,452684,CATH ANGIO 4FR 110CM,222.0,222.0,33.3,222.0,42
CDM,452685,CATH ANGIO 4FR 100CM,222.0,222.0,33.3,222.0,42
CDM,452686,CATH ANGIO MPA 125CM,222.0,222.0,33.3,222.0,42
CDM,452701,SCREW BN HND WRST 2.3X16,729.0,729.0,109.35,729.0,30
CDM,452702,SYSTEM DEL HANDPIECE,28941.5,28941.5,4341.23,28941.5,42
CDM,452704,LEAD CPSR SPNVS 409258,3372.0,3372.0,505.8,3372.0,30
CDM,452720,SYSTEM SHNT 18MM,12423.0,12423.0,1863.45,12423.0,30
CDM,452721,CMPNT FEM HIP 38MM,18430.0,18430.0,2764.5,18430.0,30
CDM,452744,CMPNT TIB KN 40MM,14453.0,14453.0,2167.95,14453.0,30
CDM,452871,STEM FEM KN FLUTD 130X16,16063.0,16063.0,2409.45,16063.0,30
CDM,452877,CORSET PROS OTHS,1087.0,1087.0,163.05,1087.0,42
CDM,452878,LINR ACTB1MM OFST62/64MM,6644.0,6644.0,996.6,6644.0,30
CDM,452880,BRACE LSO O&P,6206.0,6206.0,930.9,6206.0,42
CDM,452887,SHELL ACTB HIP 72MM,9543.0,9543.0,1431.45,9543.0,30
CDM,452888,STAPLE BN 8MM 8MM,6644.0,6644.0,996.6,6644.0,30
CDM,452898,PIN NEXFIX RESORB 1.5X50,3189.0,3189.0,478.35,3189.0,30
CDM,452900,PIN FX 1.5MM RSRB RFSDPA,1356.0,1356.0,203.4,1356.0,30
CDM,452901,SCREW BN 4X40MM,2567.0,2567.0,385.05,2567.0,30
CDM,452902,SCREW BN 5.5MM 55MM,2790.0,2790.0,418.5,2790.0,30
CDM,452903,PLATE CERV 77MM 4LVL,4429.0,4429.0,664.35,4429.0,30
CDM,452904,SPACER SPN 14X11X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,452905,SHELL ACTB HIP SZF 56MM,13166.0,13166.0,1974.9,13166.0,30
CDM,452906,SHELL HIP ACTB 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,452907,LINER ACTB SZC 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,452908,IMPL TRFLNG DNCN RT SZ23,53591.0,53591.0,8038.65,53591.0,30
CDM,452909,INSERT KN TIB SZ3-4 18MM,5532.0,5532.0,829.8,5532.0,30
CDM,452910,LINR ACTB NVATN CRWN CUP,4429.0,4429.0,664.35,4429.0,30
CDM,452911,STEM FEM HIP 12/14 SZ18,8416.0,8416.0,1262.4,8416.0,30
CDM,452912,GRAFT STNT 40MM 205MM,83022.0,83022.0,12453.3,83022.0,30
CDM,452913,SHEATH VASC 18FR 28CM,1637.0,1637.0,245.55,1637.0,42
CDM,452917,PLATE BN CRV 1MM 1.5MM,3837.0,3837.0,575.55,3837.0,30
CDM,452918,SCREW BN 1MM 9MM,1297.0,1297.0,194.55,1297.0,30
CDM,452919,SCREW BN 1.6MM 1MM 10MM,977.0,977.0,146.55,977.0,30
CDM,452920,SCREW BN 1.6MM 1MM 12MM,977.0,977.0,146.55,977.0,30
CDM,452921,SCREW BN 1.8MM 9MM,1563.0,1563.0,234.45,1563.0,30
CDM,452922,SCREW BN 1.5MM 13MM,1516.0,1516.0,227.4,1516.0,30
CDM,452923,PLATE BN 18H 0.7MM,3768.0,3768.0,565.2,3768.0,30
CDM,452925,SCREW BN SPN 3.5MM 16MM,4247.0,4247.0,637.05,4247.0,30
CDM,452926,ROD SPN PRE-CUT 3.5X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,452927,BIT DRILL 2.9MM,386.5,386.5,57.98,386.5,42
CDM,452928,GRAFT VASC 50CM 6X9MM,9421.0,9421.0,1413.15,9421.0,30
CDM,452929,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,452930,GRAFT BN CERV 14X11X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,452931,GRAFT BN 16X14X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,452988,DEVICE ENCORE 26 5PK URO,489.0,489.0,73.35,489.0,42
CDM,453090,CATH ANGIO 5FR 110CM,773.0,773.0,115.95,773.0,42
CDM,453091,CATH ANGIO 5FR 65CM,773.0,773.0,115.95,773.0,42
CDM,453123,CATH ANGIO 5FR 100CM,773.0,773.0,115.95,773.0,42
CDM,453124,NDL SCLRTX 25GA INJ PRJ,587.5,587.5,88.13,587.5,42
CDM,453135,GWIRE VASC .014IN 190CM,870.0,870.0,130.5,870.0,42
CDM,453136,GWIRE VASC .014IN 300CM,870.0,870.0,130.5,870.0,42
CDM,453161,CATH GD 6FR,824.0,824.0,123.6,824.0,42
CDM,453164,STYLET LEAD .014IN 65CM,494.5,494.5,74.17,494.5,42
CDM,453167,STYLET LD 52CM .014IN,400.5,400.5,60.08,400.5,42
CDM,453187,NAIL BN FEM 11.5MM 34CM,5311.0,5311.0,796.65,5311.0,30
CDM,453188,CAGE SPN 14X11X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,453190,GRAFT CV 30CM 10MM,3846.0,3846.0,576.9,3846.0,30
CDM,453191,ROD CONCTR 25MM 5/6-5.5,3389.0,3389.0,508.35,3389.0,30
CDM,453255,VALVE AORTIC 21MM,19206.0,19206.0,2880.9,19206.0,30
CDM,453257,VALVE AORTIC 29MM,19206.0,19206.0,2880.9,19206.0,30
CDM,453261,GRAFT BN VOID FILLER 5ML,3765.0,3765.0,564.75,3765.0,30
CDM,453263,GWIRE VASC .035IN 180CM,742.5,742.5,111.38,742.5,42
CDM,453264,SCREW SPN 4.35X25MM,3012.0,3012.0,451.8,3012.0,30
CDM,453275,PLATE BN RT 14HL 239MM,7457.0,7457.0,1118.55,7457.0,30
CDM,453278,CMPNT FEM LT SZF LP,7530.0,7530.0,1129.5,7530.0,30
CDM,453289,PLATE TIB KN SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,453297,GRAFT TNDN AHLS =180MM,4531.0,4531.0,679.65,4531.0,30
CDM,453299,INSERT TIB KN SZG 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,453338,STENT BIL 7FR 4MM 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,453359,INSERT TIB KN 5X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,453366,CLAMP SURG SPN 5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,453397,CATH GD 6FR 100CM FL4,572.0,572.0,85.8,572.0,42
CDM,453430,CATH GD 6FR 100CM,572.0,572.0,85.8,572.0,42
CDM,453431,CTHGD 6F 100CM M1 FR4,572.0,572.0,85.8,572.0,42
CDM,453491,ROD CONN SPN 5.5X5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,453492,ROD SPN 450MM,2711.0,2711.0,406.65,2711.0,30
CDM,453493,ROD SPNL 600MM FIREBIRD,2711.0,2711.0,406.65,2711.0,30
CDM,453494,CAGE SPN MESH 17X13X15MM,8101.0,8101.0,1215.15,8101.0,30
CDM,453495,SCRW DRKSTR CAN 5.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,453496,SCRW DRKSTR CAN 5.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,453497,SCRW DRKSTR CAN 5.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,453498,SCREW DRKSTR CAN5.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,453501,DRLL SURG LNG 4.8MM,4093.0,4093.0,613.95,4093.0,42
CDM,453502,RING EX FX FULL 180MM,8349.5,8349.5,1252.42,8349.5,42
CDM,453503,RING CRC EXFX .5X180MM,6202.0,6202.0,930.3,6202.0,42
CDM,453504,PIN HLF EX FX 150X6X25,1405.0,1405.0,210.75,1405.0,42
CDM,453505,DRILL SURG SHRT 4.8MM,2686.0,2686.0,402.9,2686.0,42
CDM,453506,STEM FEM HIP SZ4 103MM,8858.0,8858.0,1328.7,8858.0,30
CDM,453507,IMPLANT TOE SZMED,5729.0,5729.0,859.35,5729.0,30
CDM,453508,SCREW BN 32MM 4MM,2369.0,2369.0,355.35,2369.0,30
CDM,453509,NAIL BN FEM 10MM 340MM,11544.0,11544.0,1731.6,11544.0,30
CDM,453510,KIT REMOTE CONTROL,4604.5,4604.5,690.67,4604.5,42
CDM,453511,LEAD NRSTM MRI 74CM,11294.0,11294.0,1694.1,11294.0,30
CDM,453512,KIT GENERATOR NRSTM IPG,76622.0,76622.0,11493.3,76622.0,30
CDM,453513,KIT ANCHOR SPN 4CM,3189.0,3189.0,478.35,3189.0,30
CDM,453514,SLEEVE CNTRG HIP 22B SM,4252.0,4252.0,637.8,4252.0,30
CDM,453515,PLATE BN 8HL 3.5X194MM,5426.0,5426.0,813.9,5426.0,30
CDM,453516,ROD SPNL L60CM OD5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,453517,SCRW DRKSTARCAN 6.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,453518,SCRW 7.5X40MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
CDM,453519,SCRW DRKSTARCAN 7.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,453520,SCREW 8.5X40MM DARK STAR,3765.0,3765.0,564.75,3765.0,30
CDM,453521,INSERT TIB PS BR71/75X18,4429.0,4429.0,664.35,4429.0,30
CDM,453522,GRAFT STNT 28MM 12X90MM,44526.0,44526.0,6678.9,44526.0,30
CDM,453523,INSERT TIB KN CD 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,453524,SCREW BN SPN 4.5MM 35MM,4247.0,4247.0,637.05,4247.0,30
CDM,453525,PLATE ANTERR BUTTRS 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,453526,SCREW SPN 4.3MM 24MM,1506.0,1506.0,225.9,1506.0,30
CDM,453527,PLATE BN MNDB 20H 2.5MM,5347.0,5347.0,802.05,5347.0,30
CDM,453530,SCREW CANC SS 6.5X60X32,498.0,498.0,74.7,498.0,30
CDM,453531,COMPNT FEM NAR KN LT 3,5094.0,5094.0,764.1,5094.0,30
CDM,453533,ROD SPN 3.5MM 70MM,2870.0,2870.0,430.5,2870.0,30
CDM,453534,IMPL ENVL GNTR 2.9X3.3IN,4071.0,4071.0,610.65,4071.0,30
CDM,453536,SCREW DRKSTR CAN8.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,453537,ROD STRAIGHT 5.5X200MM,2711.0,2711.0,406.65,2711.0,30
CDM,453538,KIT LRG GRIP CABLE 2.0MM,4429.0,4429.0,664.35,4429.0,30
CDM,453539,CTH URET DL LUM 10FX6F,511.5,511.5,76.72,511.5,42
CDM,453540,SCREW BN SPN 4MM 11MM,1506.0,1506.0,225.9,1506.0,30
CDM,453541,ROD SPN PREBENT 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
CDM,453542,HEAD FEM HIP +12MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,453543,SPACER SPN 60X22X12MM,15945.0,15945.0,2391.75,15945.0,30
CDM,453544,NAIL BN 130D 12X360MM,8478.0,8478.0,1271.7,8478.0,30
CDM,453545,SCREW BN 10.35MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,453547,LINER ACTB HIP 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,453548,LINER ACTB ARTC E1 28X50,4606.0,4606.0,690.9,4606.0,30
CDM,453549,CMPNT FEM HIP +10MM 27MM,12106.0,12106.0,1815.9,12106.0,30
CDM,453550,CMPNT PTLA KN33X29X7.1MM,4252.0,4252.0,637.8,4252.0,30
CDM,453553,GENERATOR NRSTM 5 IPG,72689.0,72689.0,10903.35,72689.0,30
CDM,453554,ARTC SURFC POST SZ4 12MM,12402.0,12402.0,1860.3,12402.0,30
CDM,453556,SCREW SAFETY 1.9MM 4MM,1102.0,1102.0,165.3,1102.0,30
CDM,453557,PLATE SPN 2LVL 41MM,4429.0,4429.0,664.35,4429.0,30
CDM,453558,SPACER FEM HIP 8MM,1170.0,1170.0,175.5,1170.0,30
CDM,453559,PLATE BN STD 11HL RT,5174.0,5174.0,776.1,5174.0,30
CDM,453560,AUGMENT FEM KN SZ6,4429.0,4429.0,664.35,4429.0,30
CDM,453561,WDG KN AUG SZ6 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,453562,INS EVOL ADP CS EAI6414R,4606.0,4606.0,690.9,4606.0,30
CDM,453563,STENT ESPH 23MM 150CM,11073.0,11073.0,1660.95,11073.0,30
CDM,453564,ANCHOR SUT 5.5X24MM,7884.0,7884.0,1182.6,7884.0,30
CDM,453565,PLATE LOPRO 34MM SPNE,9301.0,9301.0,1395.15,9301.0,30
CDM,453566,PLATE SPN CVR 34MM,753.0,753.0,112.95,753.0,30
CDM,453567,SCREW BN SPN 6MM 28MM,753.0,753.0,112.95,753.0,30
CDM,453568,PLATE SPN LOPRO 32MM,9301.0,9301.0,1395.15,9301.0,30
CDM,453569,PLATE SPN LOPRO 32MM,753.0,753.0,112.95,753.0,30
CDM,453570,WIRE BALL FX 1.6MM15CM,921.0,921.0,138.15,921.0,42
CDM,453571,SCREW BN 3.5MMX30MM,1786.0,1786.0,267.9,1786.0,30
CDM,453572,INSERT KN FEM +10MM,4429.0,4429.0,664.35,4429.0,30
CDM,453573,SHELL HIP ACTB 62MM,8932.0,8932.0,1339.8,8932.0,30
CDM,453574,INSERT TIB KN 8 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,453576,STENT GRT EVAS 42X195MM,70643.0,70643.0,10596.45,70643.0,30
CDM,453577,ANCHOR SUT #1,3189.0,3189.0,478.35,3189.0,30
CDM,453578,CAGE SPN 19X23MM,17749.0,17749.0,2662.35,17749.0,30
CDM,453579,END CAP SPN 4D 19MM,3012.0,3012.0,451.8,3012.0,30
CDM,453580,CONCTR ROD SPN 6.35X6.35,3389.0,3389.0,508.35,3389.0,30
CDM,453581,CONNECTOR SPN 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,453582,PLATE BN 50MM 74MM,4429.0,4429.0,664.35,4429.0,30
CDM,453583,COVER BURR HL 24MM,2908.0,2908.0,436.2,2908.0,30
CDM,453584,STEM FEM HIP 132MM,9966.0,9966.0,1494.9,9966.0,30
CDM,453585,INSERT HIP 48MM 28MM,4872.0,4872.0,730.8,4872.0,30
CDM,453586,TRAY TIBIAL LNG SIZE 4,26309.0,26309.0,3946.35,26309.0,30
CDM,453587,INSERT TIB ANKL 3+ 11MM,15112.0,15112.0,2266.8,15112.0,30
CDM,453588,NAIL KN 18MM 200MM,4784.0,4784.0,717.6,4784.0,30
CDM,453589,SPACER OSTEO KN 40X50MM,44069.0,44069.0,6610.35,44069.0,30
CDM,453590,SCREW BN 5X26MM OSTBRDG,3189.0,3189.0,478.35,3189.0,30
CDM,453592,PLATE SHRT 1.5MM ALY MOD,3730.0,3730.0,559.5,3730.0,30
CDM,453593,SCREW BN LCK 5X34MM STRL,3189.0,3189.0,478.35,3189.0,30
CDM,453594,BIT DRILL 4.5IN OSTBRD 5,1964.5,1964.5,294.68,1964.5,42
CDM,453595,ROD CNCT CLS 15X5.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,453596,SCRW XPDM TI SPN2 5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,453597,GD SET ALIGN PRPHCY19114,2865.0,2865.0,429.75,2865.0,42
CDM,453598,STEM HUM SHLDR 12X130MM,16831.0,16831.0,2524.65,16831.0,30
CDM,453599,SCREW BN 3.5MM 5MM 40MM,2411.0,2411.0,361.65,2411.0,30
CDM,453600,ROD 5.5X400MM STRAIGHT,2711.0,2711.0,406.65,2711.0,30
CDM,453601,ROD SPN 450MM,3012.0,3012.0,451.8,3012.0,30
CDM,453602,ROD SPN 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,453603,CONE TIB KN MTPHYSL 29MM,14350.0,14350.0,2152.5,14350.0,30
CDM,453604,STEM FEM KN 12X120MM,4606.0,4606.0,690.9,4606.0,30
CDM,453605,INSERT TIB SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,453606,CAGE SPN 14X11X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,453607,PLATE SPN 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,453608,STEM FEM HIP 140MM 10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,453610,SCREW BN SPN 3.5MM 10MM,4247.0,4247.0,637.05,4247.0,30
CDM,453611,PEG FX BN 2MM 100MM,1356.0,1356.0,203.4,1356.0,30
CDM,453613,PEG BN SMTH 2MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,453614,BLOCK AUGMT SR KN 5MM,4252.0,4252.0,637.8,4252.0,30
CDM,453615,INSERT TIB KN XS 16MM,14095.0,14095.0,2114.25,14095.0,30
CDM,453616,BEARING NOILS KN 621642,4252.0,4252.0,637.8,4252.0,30
CDM,453617,NAIL BN 13MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,453618,SLEEVE TIB 61X34X40MM,6413.0,6413.0,961.95,6413.0,30
CDM,453619,CAGE SPN 6D 17X13X20MM,9786.0,9786.0,1467.9,9786.0,30
CDM,453620,SCREW DRKSTR CAN6.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,453621,SPACER SPNL 32X25X16 8D,18536.0,18536.0,2780.4,18536.0,30
CDM,453622,INSERT TIB KN SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,453623,GRAFT STNT 38MM 207MM,67285.0,67285.0,10092.75,67285.0,30
CDM,453624,GRAFT STNT 36-40MM 160MM,68230.0,68230.0,10234.5,68230.0,30
CDM,453625,INSERT TIB 3 22MM X3 CS,4606.0,4606.0,690.9,4606.0,30
CDM,453626,AUGMNT TIB LM/RL 10MM S3,4429.0,4429.0,664.35,4429.0,30
CDM,453627,STEM KN CMNT 9X100MM,4606.0,4606.0,690.9,4606.0,30
CDM,453628,PLATE SPN CER 2LVL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,453630,SPACER SPN 8X30MM,9966.0,9966.0,1494.9,9966.0,30
CDM,453631,GD SET ALIGN PRPHCY19958,1637.0,1637.0,245.55,1637.0,42
CDM,453632,CONNECTOR ROD 60MM 5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,453633,PLATE SPN 3LVL 63MM,4429.0,4429.0,664.35,4429.0,30
CDM,453634,CAGE SPN 10X14X16,4429.0,4429.0,664.35,4429.0,30
CDM,453635,DRILL TWST DIA 1.9X50MM,1173.0,1173.0,175.95,1173.0,42
CDM,453636,PLATE BN 26HL 2.5MM,5947.0,5947.0,892.05,5947.0,30
CDM,453637,TEMPLATE BEND IMPL,773.0,773.0,115.95,773.0,42
CDM,453638,SCREW BN 2.3X7MM,1138.0,1138.0,170.7,1138.0,30
CDM,453639,SCREW BN 2.3X9MM,1138.0,1138.0,170.7,1138.0,30
CDM,453640,SCREW BN CRNL 2.3X11MM,1075.0,1075.0,161.25,1075.0,30
CDM,453641,COMPONENT TIB 10MM PFC S,4606.0,4606.0,690.9,4606.0,30
CDM,453642,INSERT TIB STD +H22.5,5555.0,5555.0,833.25,5555.0,30
CDM,453643,INSERT TIB PS BR63/67X18,4429.0,4429.0,664.35,4429.0,30
CDM,453644,ROD SPNL CYPHR 70X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,453645,ROD SPNL CYPHR 75X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,453646,STEM FEM HIP 132MM,8858.0,8858.0,1328.7,8858.0,30
CDM,453647,ROD SPNL 3.5X200MM CNTRN,2711.0,2711.0,406.65,2711.0,30
CDM,453648,SCREW SPN MINI 3.5X10MM,4247.0,4247.0,637.05,4247.0,30
CDM,453649,SCRW SPN 3.5X14MM MINI-S,4247.0,4247.0,637.05,4247.0,30
CDM,453650,SCREW SPN CERV 3.5X18MM,4247.0,4247.0,637.05,4247.0,30
CDM,453651,SCREW SPN CERV 4.0X30MM,4247.0,4247.0,637.05,4247.0,30
CDM,453652,SCREW 7.5MMX45MM PEDICLE,4247.0,4247.0,637.05,4247.0,30
CDM,453653,SCRW SPN 3.5X12MM MINI S,4247.0,4247.0,637.05,4247.0,30
CDM,453654,CAP SPN SCREW MINI SURE,753.0,753.0,112.95,753.0,30
CDM,453655,BASEPLATE SHLDR LT 10D,7973.0,7973.0,1195.95,7973.0,30
CDM,453656,ROD SPN 4.75MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,453657,SCREW SLF DRL VAR 4.0X12,1130.0,1130.0,169.5,1130.0,30
CDM,453658,PLATE BN PTSPC 2MM,20759.0,20759.0,3113.85,20759.0,30
CDM,453659,SCREW BN 2.0MM 6MM,1749.0,1749.0,262.35,1749.0,30
CDM,453660,STAPLE BN 16MM 18MM,5537.0,5537.0,830.55,5537.0,30
CDM,453661,SCREW BN 4MM 35MM,2567.0,2567.0,385.05,2567.0,30
CDM,453662,SCREW BN 7MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,453663,SCREW BN 6.5MM 45MM,1467.0,1467.0,220.05,1467.0,30
CDM,453664,STEM FEM HIP 20MM 160MM,9966.0,9966.0,1494.9,9966.0,30
CDM,453665,SHELL ACTB HIP SZG 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,453666,SCREW BN 8MM 75MM,2790.0,2790.0,418.5,2790.0,30
CDM,453667,GWIRE ORTH 2.2MM 800MM,1023.5,1023.5,153.53,1023.5,42
CDM,453668,NAIL TIB T2 8MM 30CM LCK,6836.0,6836.0,1025.4,6836.0,30
CDM,453669,SCREW BN 4MM 38MM,2806.0,2806.0,420.9,2806.0,30
CDM,453670,NAIL BN 13MM 38CM,6400.0,6400.0,960.0,6400.0,30
CDM,453671,CAGE SPN MESH 12X12X8MM,5920.0,5920.0,888.0,5920.0,30
CDM,453672,SCREW BNE MOUNTAINEER L1,4120.0,4120.0,618.0,4120.0,30
CDM,453673,CONN ROD SPN 5.5MM 5.5MM,3287.0,3287.0,493.05,3287.0,30
CDM,453674,SCREW BN MTNR L20 OD4.35,3765.0,3765.0,564.75,3765.0,30
CDM,453680,CAGE SPN 55X18X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,453681,CAGE 18MM 12 X 60 6 DEG,13952.0,13952.0,2092.8,13952.0,30
CDM,453682,INSERT TIB KN SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,453684,COMPONENT TIB 8MM PFC SG,4606.0,4606.0,690.9,4606.0,30
CDM,453685,TRAY TIBIAL STD SIZE 2,26309.0,26309.0,3946.35,26309.0,30
CDM,453686,SLEEVE HUM SHLDR 9MM,2126.0,2126.0,318.9,2126.0,30
CDM,453687,STEM HUM SHLDR 6MM 122MM,10984.0,10984.0,1647.6,10984.0,30
CDM,453688,SCREW BN 40X8.5MM MALIB,4247.0,4247.0,637.05,4247.0,30
CDM,453689,COMPNT SHLDR BSE SM 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,453690,NAIL FEM RT 13MM 42CM,9050.0,9050.0,1357.5,9050.0,30
CDM,453691,INS ARTC KN 5-7 F 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,453692,CMPNT ARTSRF NXG LPS 567,4429.0,4429.0,664.35,4429.0,30
CDM,453693,SPACER SPNL VERT 27X11X9,9523.0,9523.0,1428.45,9523.0,30
CDM,453694,KIT GENERATOR NRSTM IPG,76622.0,76622.0,11493.3,76622.0,30
CDM,453695,PLATE TIB MNOBLK CR 7X12,9567.0,9567.0,1435.05,9567.0,30
CDM,453696,ROD SPN 5.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,453697,PLATE SPN 2 LEVEL 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,453698,ROD PREBENT RPUBLCN 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,453699,GD SET ALIGN PRPHCY18983,1637.0,1637.0,245.55,1637.0,42
CDM,453702,ROD PREBENT 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,453703,SCREW 7X50MM DEFORMITY,4429.0,4429.0,664.35,4429.0,30
CDM,453704,SCREW RIB 2.3MM X 7MM,1992.0,1992.0,298.8,1992.0,30
CDM,453705,PLATE RIB 32HOLE C PLATE,5838.0,5838.0,875.7,5838.0,30
CDM,453706,SCREW BN SPN 7.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,453708,GD SET ALIGN PRPHCY19959,1637.0,1637.0,245.55,1637.0,42
CDM,453710,PLATE BN CMF 41X42MM,5448.0,5448.0,817.2,5448.0,30
CDM,453711,BIT DRIL 1X50 6 STP,1343.0,1343.0,201.45,1343.0,42
CDM,453712,SCREW BN MXLFCL 1.7X4MM,1070.0,1070.0,160.5,1070.0,30
CDM,453713,SCREW BN 1.7MM 4MM,1268.0,1268.0,190.2,1268.0,30
CDM,453714,PLATE BN 6HL MDFC .6MM,3189.0,3189.0,478.35,3189.0,30
CDM,453716,PLATE BN LCK 5HL 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,453717,INSERT KN ARTC 5-6 15MM,5532.0,5532.0,829.8,5532.0,30
CDM,453718,INSERT TIB KN SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,453719,BEARING KN 87/91X12MM,4606.0,4606.0,690.9,4606.0,30
CDM,453720,HEAD FEM HIP 45X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,453721,SCREW BN 1.5MM 7MM,1112.0,1112.0,166.8,1112.0,30
CDM,453722,CAGE SPN 6D 28X11X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,453723,CAGE SPNL 28X11X9MM 6D L,8858.0,8858.0,1328.7,8858.0,30
CDM,453724,STEM FEM KN 160MM 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,453725,STEM HIP FPHIOFS14X111.5,8858.0,8858.0,1328.7,8858.0,30
CDM,453726,SCREW BN 8MM 80MM,3013.0,3013.0,451.95,3013.0,30
CDM,453727,SHELL ACTB 48MM GRP 1 CH,4606.0,4606.0,690.9,4606.0,30
CDM,453728,LINER ACTB NVATN CRWN CU,4429.0,4429.0,664.35,4429.0,30
CDM,453729,SCREW BN SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,453731,SCREW BN SPN 8.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,453732,ROD SPN CRV 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,453733,SPACER SPNL 45X22X8MMD,14395.0,14395.0,2159.25,14395.0,30
CDM,453734,SURFACE ARTC GRN 74X46MM,6000.0,6000.0,900.0,6000.0,30
CDM,453735,ROD PRE-BENT 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
CDM,453736,SPACER SPNL 30X15MM CRSN,9966.0,9966.0,1494.9,9966.0,30
CDM,453737,DILATOR SURG DISP LRG,1228.0,1228.0,184.2,1228.0,42
CDM,453738,NAIL BN 7MM 9.5MM 300MM,9682.0,9682.0,1452.3,9682.0,30
CDM,453739,PLATE SPN 1LVL 27MM,4429.0,4429.0,664.35,4429.0,30
CDM,453740,GWIRE ARTHSCP .062X6IN,618.5,618.5,92.78,618.5,42
CDM,453742,DRILL SRG MNI OPN 2.75MM,2865.0,2865.0,429.75,2865.0,42
CDM,453743,SCREW BN 3.75MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,453744,INSERT TIB ANKL PLY2.6MM,11184.0,11184.0,1677.6,11184.0,30
CDM,453745,HEAD FEM HIP 9X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,453746,PLATE SPN L4 81MM,4429.0,4429.0,664.35,4429.0,30
CDM,453747,SCREW BN SPN 7.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,453748,CMPNT KN FEM RT 75MM,21711.0,21711.0,3256.65,21711.0,30
CDM,453749,WEDGE KN AUG LO/RI 75X5,4606.0,4606.0,690.9,4606.0,30
CDM,453750,BIT DRILL STRL 13MM,386.5,386.5,57.98,386.5,42
CDM,453752,CMPNT TIB BRG PS79/83X16,6465.0,6465.0,969.75,6465.0,30
CDM,453753,CANNULA 7MM I D X 7CM,386.5,386.5,57.98,386.5,42
CDM,453754,NAIL WO CBL KN 20/16MM,4784.0,4784.0,717.6,4784.0,30
CDM,453755,SCR BN INTLK 5X30MM,3189.0,3189.0,478.35,3189.0,30
CDM,453757,SCREW BN INTLK 5MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,453759,SCREW BN 4MM 38MM,2392.0,2392.0,358.8,2392.0,30
CDM,453760,SCREW BN 4MM 40MM,2631.0,2631.0,394.65,2631.0,30
CDM,453761,SUTURE FIBERTAPE 17IN,1596.5,1596.5,239.47,1596.5,42
CDM,453762,CAGE SPN 13X19MM,15158.0,15158.0,2273.7,15158.0,30
CDM,453763,SCREW BN SPN 6.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,453764,GWIRE ORTH 1.35MM,634.0,634.0,95.1,634.0,42
CDM,453765,PLATE SPN SACRAL 36MM,9301.0,9301.0,1395.15,9301.0,30
CDM,453766,PLATE COVER SPN 36MM,753.0,753.0,112.95,753.0,30
CDM,453767,SCREW SPN 6MM 36MM,753.0,753.0,112.95,753.0,30
CDM,453768,PLATE 34MM BN LMBR SPNE,9301.0,9301.0,1395.15,9301.0,30
CDM,453769,SCREW BN SPN 4MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,453770,GRAFT SPN SPCR 6X14X11MM,4429.0,4429.0,664.35,4429.0,30
CDM,453771,ANCHOR SUT 4.75MM 24.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,453772,IMPL TRIFLNG LT SZ24MM,51377.0,51377.0,7706.55,51377.0,30
CDM,453773,HEAD FEM 12/14 STD HIP C,4606.0,4606.0,690.9,4606.0,30
CDM,453774,INSERT TIB KN SZ5/3 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,453775,SCREW BN 4X3.5X38MM,319.0,319.0,47.85,319.0,30
CDM,453776,PLATE BN 12H 278MM,5703.0,5703.0,855.45,5703.0,30
CDM,453777,SCREW BN 3.5MM 75MM,2092.0,2092.0,313.8,2092.0,30
CDM,453778,SCREW BN 5MM 24MM,2092.0,2092.0,313.8,2092.0,30
CDM,453779,SCREW BN 4MM 55MM,319.0,319.0,47.85,319.0,30
CDM,453782,ROD SPN CP4 NS 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
CDM,453783,STEM FM 115MM 10MM HIP F,4429.0,4429.0,664.35,4429.0,30
CDM,453784,CONNECTOR SPN 5/6MM,3012.0,3012.0,451.8,3012.0,30
CDM,453785,SYS REFLUX MGMT BEAD 15,24360.0,24360.0,3654.0,24360.0,30
CDM,453786,SYSTEM GS IMPL ANRFLX,24360.0,24360.0,3654.0,24360.0,30
CDM,453787,PLATE CRESCEMT 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,453789,SCREW BN 4MM 26MM ST ANK,2567.0,2567.0,385.05,2567.0,30
CDM,453790,SCREW BN 4MM 32.5MM,2392.0,2392.0,358.8,2392.0,30
CDM,453793,CAGE SPN CIF 10D 12X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,453794,COMPONENT FEM 67.5MM RT,47594.0,47594.0,7139.1,47594.0,30
CDM,453795,ANCH SNC FRC FBR0 2.5X10,3189.0,3189.0,478.35,3189.0,30
CDM,453796,SHELL ACTB 58MM HIP MLH,13166.0,13166.0,1974.9,13166.0,30
CDM,453797,LINER ACTB HIP SZG 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,453798,PLATE 2.7 50MM 5H,3189.0,3189.0,478.35,3189.0,30
CDM,453799,PLATE BN 7HL 2.7X68MM,3189.0,3189.0,478.35,3189.0,30
CDM,453800,PLATE 77MM 2.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,453802,PLATE SPN CERV 4LVL 69MM,4429.0,4429.0,664.35,4429.0,30
CDM,453804,ROD SPN 5.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,453807,SCREW SPN PDCL 5.5X55MM,3389.0,3389.0,508.35,3389.0,30
CDM,453808,CAGE SPN 0D 16-25MM 14MM,23917.0,23917.0,3587.55,23917.0,30
CDM,453809,CMPNT SEG KN 9CM,25435.0,25435.0,3815.25,25435.0,30
CDM,453810,ROD SPN HNGD 3.5MM 80MM,6290.0,6290.0,943.5,6290.0,30
CDM,453819,LEAD DEFIB 4.7FR 79CM,18315.0,18315.0,2747.25,18315.0,30
CDM,453821,PLATE BN T CMPR 4HL,4859.0,4859.0,728.85,4859.0,30
CDM,453824,HEAD HIP 12/14 32X-3MM,4429.0,4429.0,664.35,4429.0,30
CDM,453825,PLATE BN LT 10HL 177MM,6551.0,6551.0,982.65,6551.0,30
CDM,453827,SCREW BN 3MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,453828,PLATE BN 16HL 232X3.5MM,5031.0,5031.0,754.65,5031.0,30
CDM,453829,CAGE SPN 25 H20 20X36XMM,19200.0,19200.0,2880.0,19200.0,30
CDM,453830,IMPLANT SPN MED-DEEP 6MM,21703.0,21703.0,3255.45,21703.0,30
CDM,453831,CAGE SPN 25D 19MM,19200.0,19200.0,2880.0,19200.0,30
CDM,453832,ROD SPN 5.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,453833,GUIDE MARKING CSTM SZXL,8436.5,8436.5,1265.47,8436.5,42
CDM,453835,TRIFLANGE ACTB HIP 62MM,64221.0,64221.0,9633.15,64221.0,30
CDM,453836,CATH PERC FOR TAVR 16FR,76740.0,76740.0,11511.0,76740.0,42
CDM,453848,SCR SPN NCLNLT 8.5X55MM,3389.0,3389.0,508.35,3389.0,30
CDM,453850,LINER ACTB HIP SZD 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,453851,STENT ENDO 8X79MM 135CM,12812.0,12812.0,1921.8,12812.0,30
CDM,453854,GRAFT DRMS PTCH 16X20CM,37012.0,37012.0,5551.8,37012.0,30
CDM,453855,ROD SPN PRBN 5.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,453856,INSERT TIB KN SZ7 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,453857,INSERT TIB KN SZ7 10MM,5094.0,5094.0,764.1,5094.0,30
CDM,453858,HEAD HUM SHLD 36MM,4872.0,4872.0,730.8,4872.0,30
CDM,453860,STEM FEM KN 160MM,25125.0,25125.0,3768.75,25125.0,30
CDM,453861,ROD SPN 4.5MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,453862,CNNCTR ROD SPN 11MM,3012.0,3012.0,451.8,3012.0,30
CDM,453863,RASP REPROC 11X5.5MM SM,544.75,544.75,81.71,544.75,42
CDM,453864,SCREW SPN 9.5MM 85MM,3012.0,3012.0,451.8,3012.0,30
CDM,453865,SPACER SPNL 14X13X9MM,8083.0,8083.0,1212.45,8083.0,30
CDM,453867,SCREW SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,453868,ROD SPN PRBND 50X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,453869,ROD SPNL PRBT 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,453870,SCREW BN HDLS 22MM 3MM,3189.0,3189.0,478.35,3189.0,30
CDM,453902,SCREW BN 5MM 4.4MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,453918,SCREW BN 5MM 4.4MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,453928,SCREW CTR DRIVE 1.0X2MM,1802.0,1802.0,270.3,1802.0,30
CDM,453929,SCREW CTR DR MICRO 1X3,702.0,702.0,105.3,702.0,30
CDM,453930,SCREW CTR DR MICRO 1X4,672.0,672.0,100.8,672.0,30
CDM,453931,SCREW CTR MNDBL 5X1,702.0,702.0,105.3,702.0,30
CDM,453934,SCREW CTR MNDBL 3X1.2,715.0,715.0,107.25,715.0,30
CDM,453936,PLATE MICRO BONE ST 4HOL,861.0,861.0,129.15,861.0,30
CDM,453951,CANNULA OPTH 20GA 9/64IN,410.0,410.0,61.5,410.0,42
CDM,453958,DRILL TWIST KLS 1.1X50,1285.0,1285.0,192.75,1285.0,42
CDM,453964,SCREW MNDBL 3.5X1.5,596.0,596.0,89.4,596.0,30
CDM,453965,SCREW MNDBL 4X1.5,596.0,596.0,89.4,596.0,30
CDM,453966,SCREW MIC MNDBL 4X1.5,662.0,662.0,99.3,662.0,30
CDM,453967,SCREW MNDBL 5X1.5,596.0,596.0,89.4,596.0,30
CDM,453968,SCREW MIC MNDBL 5X1.5,662.0,662.0,99.3,662.0,30
CDM,453969,SCREW MNDBL 7X1.5,530.0,530.0,79.5,530.0,30
CDM,453970,SCREW MNDBL 9X1.5,530.0,530.0,79.5,530.0,30
CDM,453971,SCREW MNDBL 3.5X1.8,596.0,596.0,89.4,596.0,30
CDM,453972,SCREW MNDBL 5X1.8,636.0,636.0,95.4,636.0,30
CDM,453974,PLATE MXFCL MIC .6 4HL,1191.0,1191.0,178.65,1191.0,30
CDM,453976,PLATE REG F/1.5 SCRW,1317.0,1317.0,197.55,1317.0,30
CDM,453980,PLATE LT L100X1.5MM,2310.0,2310.0,346.5,2310.0,30
CDM,453981,PLATE BN CRNL 1.5MM,2310.0,2310.0,346.5,2310.0,30
CDM,453982,PLATE L-SHAPE LT MED,2310.0,2310.0,346.5,2310.0,30
CDM,453984,PLATE L-SHAPE LT LNG,2310.0,2310.0,346.5,2310.0,30
CDM,453985,PLATE L-SHAPE RT LNG,2310.0,2310.0,346.5,2310.0,30
CDM,453986,PLATE MICRO REG T-SHAPE,2607.0,2607.0,391.05,2607.0,30
CDM,453997,SCREW CDRV 2X5,569.0,569.0,85.35,569.0,30
CDM,453998,SCREW MINI MNDBL 5X2,543.0,543.0,81.45,543.0,30
CDM,453999,SCREW CDRV 7X2,516.0,516.0,77.4,516.0,30
CDM,454000,SCREW MINI MNDBL 7X2,622.0,622.0,93.3,622.0,30
CDM,454001,SCREW CDRV 9X2,569.0,569.0,85.35,569.0,30
CDM,454002,SCREW CDRV 11X2,503.0,503.0,75.45,503.0,30
CDM,454003,SCREW CDRV 13X2,516.0,516.0,77.4,516.0,30
CDM,454004,INSERT CLAMP 33MM,231.5,231.5,34.73,231.5,42
CDM,454011,PLATE LINDORF 1 CP TITAN,3133.0,3133.0,469.95,3133.0,30
CDM,454015,DRILL TWIST 1.5X50,1023.5,1023.5,153.53,1023.5,42
CDM,454061,BUTTON SEPTUM NASAL 3CM,2240.0,2240.0,336.0,2240.0,30
CDM,454081,SCREW BNE 1.6X4 ATDR,825.0,825.0,123.75,825.0,30
CDM,454088,MESH SURG 6X6IN,2392.0,2392.0,358.8,2392.0,30
CDM,454091,BLOCK AUG KN SZE 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,454092,WEDGE KN AUG SZ E 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,454093,CMPNT PTLR KN 9.5X38MM,4252.0,4252.0,637.8,4252.0,30
CDM,454098,SCREW BN 2.7MM 5MM 26MM,423.0,423.0,63.45,423.0,30
CDM,454099,SCREW BN 2.7MM 5MM 28MM,423.0,423.0,63.45,423.0,30
CDM,454100,SCREW BN CORT 2.7MM 30MM,423.0,423.0,63.45,423.0,30
CDM,454101,SCREW BN CORT 2.7MM 32MM,508.0,508.0,76.2,508.0,30
CDM,454102,SCREW BN 2.7MM 5MM 34MM,508.0,508.0,76.2,508.0,30
CDM,454103,SCREW BN 2.7MM 36MM,508.0,508.0,76.2,508.0,30
CDM,454104,SCREW BN 2.7MM 38MM,423.0,423.0,63.45,423.0,30
CDM,454105,SCREW BN 2.7MM 40MM,423.0,423.0,63.45,423.0,30
CDM,454106,SCREW BN 2.7MM 45MM,423.0,423.0,63.45,423.0,30
CDM,454107,SCREW BN 2.7MM 50MM,423.0,423.0,63.45,423.0,30
CDM,454108,SCREW BN 2.7MM 55MM,495.0,495.0,74.25,495.0,30
CDM,454120,SCREW CDRV 15X2,397.0,397.0,59.55,397.0,30
CDM,454124,SCREW 2.3X9MM TI MICMNDB,569.0,569.0,85.35,569.0,30
CDM,454129,PLATE BN MXFCL RT 2.0MM,2435.0,2435.0,365.25,2435.0,30
CDM,454130,PLATE BN MXFCL .6MM,2435.0,2435.0,365.25,2435.0,30
CDM,454132,PLATE BN MXFCL LNG 0.6MM,2435.0,2435.0,365.25,2435.0,30
CDM,454135,PLATE MXFCL REG DBL Y,2607.0,2607.0,391.05,2607.0,30
CDM,454144,PLATE BN CRV 6HL 2X33X1,2743.0,2743.0,411.45,2743.0,30
CDM,454145,PLATE BN CRNFCL 6HL 1X35,2743.0,2743.0,411.45,2743.0,30
CDM,454150,SCREW 2.3X7MM TI MICMNDB,450.0,450.0,67.5,450.0,30
CDM,454152,SCREW XDR 2.3X11,542.0,542.0,81.3,542.0,30
CDM,454153,SCREW XDR 2.3X13,569.0,569.0,85.35,569.0,30
CDM,454157,SCREW CTR EMER 2.5X9,702.0,702.0,105.3,702.0,30
CDM,454174,SCREW BN 5X40MM JNT MED,877.0,877.0,131.55,877.0,30
CDM,454175,HEAD FEM HIP +6MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,454197,PROBE CRYO 17IN,14836.5,14836.5,2225.47,14836.5,42
CDM,454211,SCREW BN SPN 4MM 17MM,3012.0,3012.0,451.8,3012.0,30
CDM,454212,SCREW BN SPN 4MM 18MM,3012.0,3012.0,451.8,3012.0,30
CDM,454213,SCREW BN SPN 4MM 19MM,3012.0,3012.0,451.8,3012.0,30
CDM,454246,CATH BLNDIL 18FR 10CM,1689.5,1689.5,253.43,1689.5,42
CDM,454247,GWIRE SNSR ENDO .035X150,552.0,552.0,82.8,552.0,42
CDM,454250,LEAD NRSTM 4ELC 20CM,10630.0,10630.0,1594.5,10630.0,30
CDM,454251,NEUROSTM SPN RCHRG,47391.0,47391.0,7108.65,47391.0,30
CDM,454252,PRGMR PT NUROSTEM EZ,4359.5,4359.5,653.92,4359.5,42
CDM,454256,GRAFT VASC 50CM 6MM CRFL,3189.0,3189.0,478.35,3189.0,30
CDM,454261,CABLE ORTHO 1.7X750MM,3189.0,3189.0,478.35,3189.0,30
CDM,454262,CABLE BN CRMP 1MM 750MM,3189.0,3189.0,478.35,3189.0,30
CDM,454285,PLATE SPNL ZPHR TI 27,4429.0,4429.0,664.35,4429.0,30
CDM,454286,PLT 30.0MM,4429.0,4429.0,664.35,4429.0,30
CDM,454287,PLATE BN TI L42.5MM SPN,4429.0,4429.0,664.35,4429.0,30
CDM,454288,PLT 45.0MM,4651.0,4651.0,697.65,4651.0,30
CDM,454290,PLT 50.0MM,4429.0,4429.0,664.35,4429.0,30
CDM,454291,PLT 52.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,454292,PLATE 55 INTGR LCK ZPHR,4429.0,4429.0,664.35,4429.0,30
CDM,454293,PLATE 57.5 TI INTGR LCK,4429.0,4429.0,664.35,4429.0,30
CDM,454294,PLATE 60MM TI ANT CERV,4429.0,4429.0,664.35,4429.0,30
CDM,454295,PLT 62.5MM,4872.0,4872.0,730.8,4872.0,30
CDM,454296,PLT 65.0MM,4429.0,4429.0,664.35,4429.0,30
CDM,454297,PLATE 67.5MM TI,4872.0,4872.0,730.8,4872.0,30
CDM,454298,PLATE 70MM TI,5315.0,5315.0,797.25,5315.0,30
CDM,454304,GRAFT VASC 70CM 7MM,3721.0,3721.0,558.15,3721.0,30
CDM,454318,SCREW BN 5.0MM 35MM,877.0,877.0,131.55,877.0,30
CDM,454319,PIN FX ORTH LCK 5MM,1075.0,1075.0,161.25,1075.0,30
CDM,454322,HEAD FEM HIP 11/13 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,454347,CMPNT AUGMT KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,454348,BLCK AGMNT KN SX F 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,454349,CMPNT TIB KN SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,454351,INSERT ARTC 74X46X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,454352,PATELLA KN 10MM 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,454353,SCREW BN 3.5MM 16MM,320.0,320.0,48.0,320.0,30
CDM,454354,SCREW BN 3.5MM 18MM,320.0,320.0,48.0,320.0,30
CDM,454355,SCREW BN 3.5MM 20MM,320.0,320.0,48.0,320.0,30
CDM,454356,SCREW BN 3.5MM 22MM,320.0,320.0,48.0,320.0,30
CDM,454357,SCREW BN 3.5MM 24MM,320.0,320.0,48.0,320.0,30
CDM,454358,SCREW BN 7.3MM 155MM,320.0,320.0,48.0,320.0,30
CDM,454359,SCREW BN 7.3MM 28MM,320.0,320.0,48.0,320.0,30
CDM,454360,SCREW BN 3.5MM 30MM,320.0,320.0,48.0,320.0,30
CDM,454361,SCREW BN 3.5MM 32MM,320.0,320.0,48.0,320.0,30
CDM,454362,SCREW BN 3.5MM 34MM,320.0,320.0,48.0,320.0,30
CDM,454363,SCREW BN 3.5MM 36MM,320.0,320.0,48.0,320.0,30
CDM,454364,SCREW BN 3.5MM 38MM,320.0,320.0,48.0,320.0,30
CDM,454391,ROD ACME SPN 4CM,3012.0,3012.0,451.8,3012.0,30
CDM,454392,ROD SPN 5.MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,454393,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,454394,ROD SPN PRECUT 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,454395,ROD SPNL TI 5.5MMX8CM,2711.0,2711.0,406.65,2711.0,30
CDM,454396,ROD SPN PRBNT 9X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,454397,ROD SPN PRECUT 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
CDM,454398,ROD 3-D 25 CM,2711.0,2711.0,406.65,2711.0,30
CDM,454399,SCREW 3D DBL HEX 1/4-32,753.0,753.0,112.95,753.0,30
CDM,454420,SCREW SPN PST 6.5X50MM,4059.0,4059.0,608.85,4059.0,30
CDM,454423,SCREW SPN PST 7.5X45MM,4059.0,4059.0,608.85,4059.0,30
CDM,454491,PLT 32.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,454494,SCRW SD 4.0X13MM VA,3012.0,3012.0,451.8,3012.0,30
CDM,454496,SCRW SD 4.0X15MM VA,3254.0,3254.0,488.1,3254.0,30
CDM,454531,HEAD FEM HIP 0D 28X44MM,4252.0,4252.0,637.8,4252.0,30
CDM,454532,HEAD FEM HIP 28X45MM,4252.0,4252.0,637.8,4252.0,30
CDM,454533,HEAD HIP 28MM 46MM,4252.0,4252.0,637.8,4252.0,30
CDM,454534,HEAD FEM HIP 28MM 47MM,4252.0,4252.0,637.8,4252.0,30
CDM,454536,HEAD FEM HIP 49MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,454541,HEAD BIP HIP 28MM 54MM,4252.0,4252.0,637.8,4252.0,30
CDM,454548,BALL HIP OD42 CCRT MOD,4252.0,4252.0,637.8,4252.0,30
CDM,454549,HEAD FEM UNIPLR HIP 43MM,4252.0,4252.0,637.8,4252.0,30
CDM,454550,HEAD UNIPLR FEM HIP 44MM,4252.0,4252.0,637.8,4252.0,30
CDM,454551,HEAD BALL HIP 0D 45MM,4252.0,4252.0,637.8,4252.0,30
CDM,454552,HEAD FEM HIP 46MMX+5MM,4252.0,4252.0,637.8,4252.0,30
CDM,454553,HEAD HIP BALL 47MM,4252.0,4252.0,637.8,4252.0,30
CDM,454554,HEAD FEM HIP SZ48MM,4252.0,4252.0,637.8,4252.0,30
CDM,454555,HEAD FEM HIP 49MM,4252.0,4252.0,637.8,4252.0,30
CDM,454556,HEAD FEM HIP 50MM,4252.0,4252.0,637.8,4252.0,30
CDM,454559,HEAD FEM HIP 53MM,4252.0,4252.0,637.8,4252.0,30
CDM,454560,HEAD FEM HIP 54MM,4252.0,4252.0,637.8,4252.0,30
CDM,454562,HEAD UNIPLR FEM HIP 58MM,4252.0,4252.0,637.8,4252.0,30
CDM,454574,HEAD FEM HIP +1.5X28,4252.0,4252.0,637.8,4252.0,30
CDM,454576,HEAD FEM HIP +8.5MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,454578,HEAD FEM HIP 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,454579,CNTRLZR STM HIP 10.5MM,1170.0,1170.0,175.5,1170.0,30
CDM,454580,STEM CNTRLZR HIP 12MM,1170.0,1170.0,175.5,1170.0,30
CDM,454583,HEAD HIP ART/EZE-3 12/14,1170.0,1170.0,175.5,1170.0,30
CDM,454584,SPACER FEM HIP 12/14+0MM,1170.0,1170.0,175.5,1170.0,30
CDM,454611,HEAD FEM HIP 43MM,4252.0,4252.0,637.8,4252.0,30
CDM,454612,HEAD FEM HIP 44MM,4252.0,4252.0,637.8,4252.0,30
CDM,454613,HEAD FEM HIP 45MM,4252.0,4252.0,637.8,4252.0,30
CDM,454614,HEAD FEM HIP 12/14X46MM,4252.0,4252.0,637.8,4252.0,30
CDM,454615,HEAD FEM HIP 47MM,4252.0,4252.0,637.8,4252.0,30
CDM,454616,HEAD FEM HIP 48MM,4252.0,4252.0,637.8,4252.0,30
CDM,454617,HEAD FEM HIP 49MM,4252.0,4252.0,637.8,4252.0,30
CDM,454618,HEAD FEM HIP 50MM,4252.0,4252.0,637.8,4252.0,30
CDM,454620,HEAD FEM HIP 52MM,4252.0,4252.0,637.8,4252.0,30
CDM,454622,HEAD FEM HIP 54MM,4288.0,4288.0,643.2,4288.0,30
CDM,454623,HEAD FEM HIP 55MM,4252.0,4252.0,637.8,4252.0,30
CDM,454627,HEAD HIP SZ12/14 -2X22MM,4252.0,4252.0,637.8,4252.0,30
CDM,454628,HEAD FEMORAL VERSYS 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,454629,HEAD FEM HIP +3X12/14X22,4252.0,4252.0,637.8,4252.0,30
CDM,454630,HEAD FEMORAL 00801802801,4252.0,4252.0,637.8,4252.0,30
CDM,454631,HEAD FEMORAL VERSYS 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,454632,HEAD FEM HIP +3.5MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,454634,HEAD FEM HIP+10X12/14X28,4252.0,4252.0,637.8,4252.0,30
CDM,454635,HEAD FEM +7MM,1170.0,1170.0,175.5,1170.0,30
CDM,454638,STEM FEM HIP 9MM,1455.0,1455.0,218.25,1455.0,30
CDM,454639,STEM FEM HIP CNTRLZ 10MM,1170.0,1170.0,175.5,1170.0,30
CDM,454640,STEM FEM HIP 11MM,1170.0,1170.0,175.5,1170.0,30
CDM,454641,CNTRLZR STM HIP 12MM,1170.0,1170.0,175.5,1170.0,30
CDM,454642,CENTRALIZER HIP FEM 13MM,1170.0,1170.0,175.5,1170.0,30
CDM,454643,CNTRLZR HIP DISTAL 14MM,1170.0,1170.0,175.5,1170.0,30
CDM,454644,CNTRLZR STEM HIP 15MM,1170.0,1170.0,175.5,1170.0,30
CDM,454648,STEM FEM CMNT 11X120,4872.0,4872.0,730.8,4872.0,30
CDM,454649,STEM FEM HIP 12MM 125MM,4872.0,4872.0,730.8,4872.0,30
CDM,454650,STEM FEM HIP 14MM 135MM,4872.0,4872.0,730.8,4872.0,30
CDM,454651,STEM FEM HIP 16MM 145MM,4872.0,4872.0,730.8,4872.0,30
CDM,454653,STEM FEM HIP 11MM 120MM,7181.0,7181.0,1077.15,7181.0,30
CDM,454657,STEM FEM HIP 15MM 140MM,4872.0,4872.0,730.8,4872.0,30
CDM,454690,CANNULA PRFSN 64.8CM 15F,2673.0,2673.0,400.95,2673.0,42
CDM,454696,IMPLANT BREAST 545CC,5315.0,5315.0,797.25,5315.0,30
CDM,454697,VALVE AORTIC 21MM,19802.0,19802.0,2970.3,19802.0,30
CDM,454698,VALVE MITRAL 31-33MM,19802.0,19802.0,2970.3,19802.0,30
CDM,454699,IMPLANT BREAST 195CC,5869.0,5869.0,880.35,5869.0,30
CDM,454702,BASEPLATE TIB NTRLKN2 S1,7087.0,7087.0,1063.05,7087.0,30
CDM,454703,BASEPLATE TIBIAL 2 KNEE,6688.0,6688.0,1003.2,6688.0,30
CDM,454704,BASEPLATE TIBIA SIZE 3 L,6688.0,6688.0,1003.2,6688.0,30
CDM,454705,INTMD STM TIB SZ4,6688.0,6688.0,1003.2,6688.0,30
CDM,454707,INTMD STM TIB SZ 0 NON,7478.0,7478.0,1121.7,7478.0,30
CDM,454709,BASEPLATE TIBIA STEM SIZ,4606.0,4606.0,690.9,4606.0,30
CDM,454710,BASEPLATE TIBIA STEM SIZ,4606.0,4606.0,690.9,4606.0,30
CDM,454726,BASEPLATE POROUS SIZE 1,7087.0,7087.0,1063.05,7087.0,30
CDM,454727,INTMD STM TIB SZ2 POR,6688.0,6688.0,1003.2,6688.0,30
CDM,454728,INTMD STM TIB SZ 3 POR,7087.0,7087.0,1063.05,7087.0,30
CDM,454729,INTMD STM TIB SZ4 POR,6688.0,6688.0,1003.2,6688.0,30
CDM,454733,BASEPLATE TIBIA STEM SIZ,4606.0,4606.0,690.9,4606.0,30
CDM,454734,IMP KNEE INT TIBUL S,4606.0,4606.0,690.9,4606.0,30
CDM,454765,INSERT TIB 1-2 19MM LT,4606.0,4606.0,690.9,4606.0,30
CDM,454826,SHELL ACTB HIP 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,454837,CUP TRILOGY MH 48 MM,7002.0,7002.0,1050.3,7002.0,30
CDM,454838,SHELL ACTB W/HS 50MM,7002.0,7002.0,1050.3,7002.0,30
CDM,454840,SHELL ACTB HIP 54MM,7002.0,7002.0,1050.3,7002.0,30
CDM,454842,IMPLNT HIP ACTB SHELL 5,7002.0,7002.0,1050.3,7002.0,30
CDM,454849,LINER XLPE 0D 32X48,5162.0,5162.0,774.3,5162.0,30
CDM,454859,LINER XLPE 10D 32X48,5451.0,5451.0,817.65,5451.0,30
CDM,454860,LINER ACTB HIP 6.3X32X50,4606.0,4606.0,690.9,4606.0,30
CDM,454861,LINER ACTB HIP 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,454869,LINER XLPE 20D 32X48,4606.0,4606.0,690.9,4606.0,30
CDM,454870,LINER XLPE 20 DEG 54X32,4606.0,4606.0,690.9,4606.0,30
CDM,454871,LINER HIP 20D 6.4X32X56,5451.0,5451.0,817.65,5451.0,30
CDM,454892,LINER 10 D 58X28,4841.0,4841.0,726.15,4841.0,30
CDM,454909,SCREW BN CORT 6.5X15MM,877.0,877.0,131.55,877.0,30
CDM,454910,SCREW BN HIP 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,454912,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,454913,SCREW BN 6.5MM 35MM,877.0,877.0,131.55,877.0,30
CDM,454914,SCREW BN 6.5MM 40MM,877.0,877.0,131.55,877.0,30
CDM,454915,SCREW BN 6.5MM 50MM,877.0,877.0,131.55,877.0,30
CDM,454917,CMPNT FEM KN 63X53.5 LT,6644.0,6644.0,996.6,6644.0,30
CDM,454918,FEM CR SZD LT,6644.0,6644.0,996.6,6644.0,30
CDM,454919,CMPNT FEM KN SZE,6644.0,6644.0,996.6,6644.0,30
CDM,454920,CMPNT FEM KN SZF,6644.0,6644.0,996.6,6644.0,30
CDM,454921,FEM CR SZG LT,6644.0,6644.0,996.6,6644.0,30
CDM,454922,CMPNT FEM KN SZC,6644.0,6644.0,996.6,6644.0,30
CDM,454923,COMPNT FEM KN 68X57.5MM,6644.0,6644.0,996.6,6644.0,30
CDM,454924,CMPNT FEM KN SZE,6644.0,6644.0,996.6,6644.0,30
CDM,454925,CMPNT FEM KN SZF,6644.0,6644.0,996.6,6644.0,30
CDM,454926,FEM CR SZG RT,6644.0,6644.0,996.6,6644.0,30
CDM,454927,CMPNT PLATE TIB SIZE 3,4429.0,4429.0,664.35,4429.0,30
CDM,454928,CMPNT PLATE TIB SIZE 4,4606.0,4606.0,690.9,4606.0,30
CDM,454929,CMPNT PLATE TIB SIZE 5,4429.0,4429.0,664.35,4429.0,30
CDM,454930,CMPNT PLATE TIB SIZE 6,4429.0,4429.0,664.35,4429.0,30
CDM,454931,CMPNT PLATE TIB SIZE 7,4429.0,4429.0,664.35,4429.0,30
CDM,454932,CMPNT PLATE TIB SIZE 8,4429.0,4429.0,664.35,4429.0,30
CDM,454934,CATH STRGT ART 5FR 65CM,232.0,232.0,34.8,232.0,42
CDM,454949,CMPNT PTLA KN 29MM 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,454951,CMPNT PTLA KN 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,454964,PLATE TIB UHMWPE 41X62M,4606.0,4606.0,690.9,4606.0,30
CDM,454965,CMPNT TIB KN SZ3 66MM,4606.0,4606.0,690.9,4606.0,30
CDM,454966,CMPNT BN TIB KN SIZE 4,4606.0,4606.0,690.9,4606.0,30
CDM,454968,PLATE TIB 6 KN 74X50X6MM,4606.0,4606.0,690.9,4606.0,30
CDM,454969,STEM TIB PRECT KN SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,454970,PLATE TI/PMMA 8STD 54X82,4606.0,4606.0,690.9,4606.0,30
CDM,455007,INSERT ARTC 3-4 C-H,4429.0,4429.0,664.35,4429.0,30
CDM,455008,INSERT TIB KN 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,455013,INSERT ARTC 5-9 C-H,4429.0,4429.0,664.35,4429.0,30
CDM,455014,COMPNT ARTC KN 5-6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,455015,SURFACE ARTC KN GRN 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,455017,INSERT KN 5-6 C-H 74X4,4429.0,4429.0,664.35,4429.0,30
CDM,455019,SURFACE ARTC KN BLU 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,455020,INSERT TIB KN BLUE 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,455021,SRFC ARTC C-H 7-10 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,455025,HEAD FEM HIP 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,455026,HEAD FEM VERSYS 32 +0,4252.0,4252.0,637.8,4252.0,30
CDM,455027,HEAD FEM HIP +3.5X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,455028,HEAD FEM +7MM 12/14 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,455029,HEAD FEM HIP 32+10.5MM,4252.0,4252.0,637.8,4252.0,30
CDM,455032,SCREW BN 6.5MM 50MM,1363.0,1363.0,204.45,1363.0,30
CDM,455041,GRAFT BN 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,455064,SHELL HIP BIP 42MM,4252.0,4252.0,637.8,4252.0,30
CDM,455065,SHELL BIP HIP MTL 43MM,4252.0,4252.0,637.8,4252.0,30
CDM,455066,SHELL BIP HIP MTL 44MM,4252.0,4252.0,637.8,4252.0,30
CDM,455067,SHELL HIP BIP 0D 45MM,4252.0,4252.0,637.8,4252.0,30
CDM,455069,SHELL BIP HIP MTL 46MM,4252.0,4252.0,637.8,4252.0,30
CDM,455070,SHELL BIP HIP 47MM,4252.0,4252.0,637.8,4252.0,30
CDM,455071,CMPNT BIP HIP 48MM,4252.0,4252.0,637.8,4252.0,30
CDM,455072,SHELL ACTB HIP 49MM,4252.0,4252.0,637.8,4252.0,30
CDM,455073,SHELL ACTB HIP 50MM,4252.0,4252.0,637.8,4252.0,30
CDM,455074,SHELL BIP ACTB MTL 52MM,4252.0,4252.0,637.8,4252.0,30
CDM,455075,SHELL BIP HIP 53MM,4252.0,4252.0,637.8,4252.0,30
CDM,455076,SHELL BIP HIP 54MM,4252.0,4252.0,637.8,4252.0,30
CDM,455077,SHELL BIP ACTB ZML 55MM,4252.0,4252.0,637.8,4252.0,30
CDM,455082,LINER BIP HIP 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,455083,LINER BIP HIP 44/45/46MM,4252.0,4252.0,637.8,4252.0,30
CDM,455084,LINER BIP HIP47/48/49X28,4252.0,4252.0,637.8,4252.0,30
CDM,455085,SHELL BIP MTL 51 OD,4252.0,4252.0,637.8,4252.0,30
CDM,455086,CMPNT FEM HIP 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,455087,LINER BIP HIP53/54/55X28,4252.0,4252.0,637.8,4252.0,30
CDM,455126,SCREW CRNFCL 3X1.3X2.4MM,1395.0,1395.0,209.25,1395.0,30
CDM,455127,SCREW TI 1.3 4MM,1395.0,1395.0,209.25,1395.0,30
CDM,455128,SCREW TI 5MM 1.3MM CORT,1395.0,1395.0,209.25,1395.0,30
CDM,455129,SCREW TI 1.3 6MM,1332.0,1332.0,199.8,1332.0,30
CDM,455130,SCREW BN CRNFCL 1.3X8MM,839.0,839.0,125.85,839.0,30
CDM,455131,SCREW BN 1.7MM 3MM,880.0,880.0,132.0,880.0,30
CDM,455132,SCREW BN CRNFCL 1.7X4MM,1085.0,1085.0,162.75,1085.0,30
CDM,455133,SCREW 400.655E,1451.0,1451.0,217.65,1451.0,30
CDM,455134,SCREW BN CRNFCL 1.3X6MM,880.0,880.0,132.0,880.0,30
CDM,455139,SCREW TI 1.5 4MM,973.0,973.0,145.95,973.0,30
CDM,455140,SCREW BN 1.5MM 6MM,850.0,850.0,127.5,850.0,30
CDM,455141,SCREW BN 1.5MM 8MM,850.0,850.0,127.5,850.0,30
CDM,455142,SCREW TI 1.5 10MM,850.0,850.0,127.5,850.0,30
CDM,455145,SCREW BN CRNFCL 2X3X4MM,1005.0,1005.0,150.75,1005.0,30
CDM,455146,SCREW BN CRNFCL 2X3X6MM,837.0,837.0,125.55,837.0,30
CDM,455147,SCREW BN CRNFCL 2X3X8MM,941.0,941.0,141.15,941.0,30
CDM,455156,SCREW CRTX 2X4MM TI CRNF,997.0,997.0,149.55,997.0,30
CDM,455157,SCREW BN 2MM 6MM,798.0,798.0,119.7,798.0,30
CDM,455158,SCREW BN 8MM 2MM CORT CR,949.0,949.0,142.35,949.0,30
CDM,455160,SCREW TI MF CRTX 2X12MM,997.0,997.0,149.55,997.0,30
CDM,455161,SCREW BN 2MM 3.5MM 14MM,702.0,702.0,105.3,702.0,30
CDM,455162,SCREW BN 2MM 3.5MM 16MM,634.0,634.0,95.1,634.0,30
CDM,455163,SCREW BN 2MM 18MM,634.0,634.0,95.1,634.0,30
CDM,455164,SCREW BN TI 2.4 6MM,750.0,750.0,112.5,750.0,30
CDM,455165,SCREW EMERGENCY 2.4 X 8M,750.0,750.0,112.5,750.0,30
CDM,455166,SCREW TI 2.4 10MM,674.0,674.0,101.1,674.0,30
CDM,455170,PLATE 32MM ZYG 6 HL 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,455171,PLATE 27MM ZYG 5 HL 2MM,2425.0,2425.0,363.75,2425.0,30
CDM,455172,PLATE 4 HL 2 MM SCR ZYG,2296.0,2296.0,344.4,2296.0,30
CDM,455173,PLATE BN X 4HL 2MM,2232.0,2232.0,334.8,2232.0,30
CDM,455178,BIT DRL 44.5MM 1.1MM 8MM,1277.0,1277.0,191.55,1277.0,42
CDM,455180,PLATE BN L 2X4HL 2MM,2408.0,2408.0,361.2,2408.0,30
CDM,455181,PLATE BN Y 2X4HL 2MM,2471.0,2471.0,370.65,2471.0,30
CDM,455182,PLATE BN L RT 2X3HL 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,455233,SCREW BNE TI 2.4X10MM CO,1399.0,1399.0,209.85,1399.0,30
CDM,455270,PLATE 255D CRSNT 8X2.5MM,5143.0,5143.0,771.45,5143.0,30
CDM,455325,PLATE MF TT 447.074,3189.0,3189.0,478.35,3189.0,30
CDM,455344,INS SUT HLD OCTOUS SYS,606.0,606.0,90.9,606.0,42
CDM,455357,SHELL ACTB HIP 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,455359,PLATE BN 12HL 2.0MM,2742.0,2742.0,411.3,2742.0,30
CDM,455434,GWIRE URO .038IN 150CM,231.5,231.5,34.73,231.5,42
CDM,455444,CATH GASTRIC BLN SUCTION,1432.5,1432.5,214.88,1432.5,42
CDM,455451,INS ACTB 56MM 36MM,7015.0,7015.0,1052.25,7015.0,30
CDM,455452,HEAD FEM HIP +3X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,455453,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,455455,PROSTH ACTB HIP H PLUG,1170.0,1170.0,175.5,1170.0,30
CDM,455456,BUTTON BN FX IMPL,3189.0,3189.0,478.35,3189.0,30
CDM,455460,MESH HRN 4.5CM 10CM,3189.0,3189.0,478.35,3189.0,30
CDM,455509,WEDGE KN TIB SZ6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,455511,NAIL KNEE GOLD 1032,6318.0,6318.0,947.7,6318.0,30
CDM,455513,CAP END 5MM FEM XTD,3042.0,3042.0,456.3,3042.0,30
CDM,455514,CAGE SPNL PEEK 25X11X9,13287.0,13287.0,1993.05,13287.0,30
CDM,455519,GRAFT CV 18MM 60CM,2892.0,2892.0,433.8,2892.0,30
CDM,455637,GRAFIX STRAVIX PL 1SQCM,1006.0,1006.0,150.9,1006.0,29
CDM,455641,SCREW SPN 32MM .25IN,753.0,753.0,112.95,753.0,30
CDM,455642,SCREW BN SPN 5.5MM 30MM,4247.0,4247.0,637.05,4247.0,30
CDM,455643,GRAFT EVAS 36X36X70MM,29703.0,29703.0,4455.45,29703.0,30
CDM,455644,GRAFT STNT 34MM 80MM,17091.0,17091.0,2563.65,17091.0,30
CDM,455645,GRAFT STNT 28MM 20X80MM,44526.0,44526.0,6678.9,44526.0,30
CDM,455646,GRAFT STNT 34MM 100MM,19052.0,19052.0,2857.8,19052.0,30
CDM,455647,CMPNT TIB MOD SM W 60MM,20856.0,20856.0,3128.4,20856.0,30
CDM,455648,STEM FEM KN 17/13MM,6777.0,6777.0,1016.55,6777.0,30
CDM,455649,SPACER TIB KN 15MM 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,455650,CMPNT TIB KN SZ-SM,5410.0,5410.0,811.5,5410.0,30
CDM,455652,STENT ESPH 23MM 90CM,11073.0,11073.0,1660.95,11073.0,30
CDM,455656,IMPLANT BREAST 210CC,6779.0,6779.0,1016.85,6779.0,30
CDM,455658,CATH ANGIO 5FR 90CM,232.0,232.0,34.8,232.0,42
CDM,455663,SUTURE SS 0 18IN,114.5,114.5,17.18,114.5,42
CDM,455669,KIT CHLGM CATH 20INCH,352.5,352.5,52.88,352.5,42
CDM,455676,CATH ABL 4CM 8CM,15686.0,15686.0,2352.9,15686.0,42
CDM,455681,STEM TIB CMNTLS L 160MM,6755.0,6755.0,1013.25,6755.0,30
CDM,455682,CMPNT STEM HIP 28MM 40MM,19931.0,19931.0,2989.65,19931.0,30
CDM,455684,STEM KN FEM SP EXT 19X40,5054.0,5054.0,758.1,5054.0,30
CDM,455686,STENT ESPH 23MM 90CM,11073.0,11073.0,1660.95,11073.0,30
CDM,455688,VALVE AORTIC 23MM,19802.0,19802.0,2970.3,19802.0,30
CDM,455696,CANNULA VNS 90D 24FX14IN,446.0,446.0,66.9,446.0,42
CDM,455714,RELOAD STPLR 30 4.3MM,2861.0,2861.0,429.15,2861.0,30
CDM,455715,CATH CHLGM PMI 16GA 76CM,290.0,290.0,43.5,290.0,42
CDM,455716,SPACER TI WD 7X25MM,9966.0,9966.0,1494.9,9966.0,30
CDM,455720,VALVE SHUNT PRGM REG,18793.0,18793.0,2818.95,18793.0,30
CDM,455721,VALVE AORTIC 25MM,19802.0,19802.0,2970.3,19802.0,30
CDM,455722,BLADE SAW 4.5MM 25.5MM,121.0,121.0,18.15,121.0,42
CDM,455729,CANN PRFSN VNS RT 26FX14,446.0,446.0,66.9,446.0,42
CDM,455733,IMPLANT BREAST 650CC,5315.0,5315.0,797.25,5315.0,30
CDM,455736,KNIFE OPTH OPM 15D STR,217.5,217.5,32.63,217.5,42
CDM,455739,MODEL ANTM SKULL CUSTM,17508.0,17508.0,2626.2,17508.0,42
CDM,455741,RELOAD STPLR 30 2.5MM,2861.0,2861.0,429.15,2861.0,30
CDM,455747,RELOAD STPLR 30 4.3MM,2861.0,2861.0,429.15,2861.0,30
CDM,455748,SCREW BN LPRO 5X4.3X27MM,2884.0,2884.0,432.6,2884.0,30
CDM,455753,VALVE AORTIC 27/29MM,19802.0,19802.0,2970.3,19802.0,30
CDM,455757,SET PRESS MNTR INTRA-COM,1228.0,1228.0,184.2,1228.0,42
CDM,455758,IMPLANT BREAST 750CC,5315.0,5315.0,797.25,5315.0,30
CDM,455760,PLUG VASC 14MM 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,455761,CANNULA VNS 90D 28FX14IN,446.0,446.0,66.9,446.0,42
CDM,455764,IMPLANT BREAST 450CC,5315.0,5315.0,797.25,5315.0,30
CDM,455769,GWIRE VASC 300CM .01IN,4093.0,4093.0,613.95,4093.0,42
CDM,455772,PLATE BN FIB RT 7HL,4429.0,4429.0,664.35,4429.0,30
CDM,455779,RELOAD STPLR 30 2.0MM,2861.0,2861.0,429.15,2861.0,30
CDM,455780,SCREW BN XPDM 5.5MM 45MM,4120.0,4120.0,618.0,4120.0,30
CDM,455786,GRAFT BN STD ALGRF STRP,6892.0,6892.0,1033.8,6892.0,30
CDM,455790,IMPLANT BREAST 800CC,5315.0,5315.0,797.25,5315.0,30
CDM,455793,CANNULA VNS 90D 30FX16IN,446.0,446.0,66.9,446.0,42
CDM,455796,IMPLANT BREAST 485CC,5315.0,5315.0,797.25,5315.0,30
CDM,455802,ROD SPN 80MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,455803,ROD SPN 5.5MM 6MM,3389.0,3389.0,508.35,3389.0,30
CDM,455804,CONN ROD SPN 5.5MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,455805,TRAY TIB KN SZ2 15MM,19931.0,19931.0,2989.65,19931.0,30
CDM,455806,COMPONENT FEM 60MM RT,49029.0,49029.0,7354.35,49029.0,30
CDM,455807,SCREW BN 7MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,455808,SCREW SPN 8MM 90MM,4429.0,4429.0,664.35,4429.0,30
CDM,455809,PLATE BN CLAV LFT THIRD,3721.0,3721.0,558.15,3721.0,30
CDM,455810,SCREW BN 1.8MM 5MM,1112.0,1112.0,166.8,1112.0,30
CDM,455811,COMPNT PIN KN XX-SM,4397.0,4397.0,659.55,4397.0,30
CDM,455812,HEAD BIP 68MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,455813,INSERT TIB KN 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,455815,IMPLANT BREAST 495CC,5315.0,5315.0,797.25,5315.0,30
CDM,455817,VALVE MITRAL 25MM,19802.0,19802.0,2970.3,19802.0,30
CDM,455818,GRAFT BN STD ALGRF STRP,11941.0,11941.0,1791.15,11941.0,30
CDM,455825,CANNULA PRFSN 32F 40CM,446.0,446.0,66.9,446.0,42
CDM,455828,IMPLANT BREAST 520CC,5315.0,5315.0,797.25,5315.0,30
CDM,455833,COIL EMBL .035 5MMX11CM,4837.0,4837.0,725.55,4837.0,30
CDM,455834,CATH GD 2.9FR 135CM,3683.5,3683.5,552.52,3683.5,42
CDM,455844,SCREW BN 7MM 60MM 20MM,4415.0,4415.0,662.25,4415.0,30
CDM,455846,VALVE MITRAL 25MM,12881.0,12881.0,1932.15,12881.0,30
CDM,455847,IMPLANT BREAST 525CC,5869.0,5869.0,880.35,5869.0,30
CDM,455848,VALVE AORTIC 19MM,15688.0,15688.0,2353.2,15688.0,30
CDM,455849,VALVE MITRAL 27-29MM,19802.0,19802.0,2970.3,19802.0,30
CDM,455857,CANNULA VNS 90D 34FX16IN,446.0,446.0,66.9,446.0,42
CDM,455860,IMPLANT BREAST 560CC,5315.0,5315.0,797.25,5315.0,30
CDM,455878,VALVE MITRAL 27MM,13939.0,13939.0,2090.85,13939.0,30
CDM,455879,CATH BLNDL 23MM 110CM,4286.0,4286.0,642.9,4286.0,42
CDM,455880,CATH BLN 22X4.5X110MM,4286.0,4286.0,642.9,4286.0,42
CDM,455883,CMPNT DSTL FEM SM 60MM,44662.0,44662.0,6699.3,44662.0,30
CDM,455884,STEM FEM KN 18/13MM,6755.0,6755.0,1013.25,6755.0,30
CDM,455885,IMPLANT TALAR RT SZ3,20305.0,20305.0,3045.75,20305.0,30
CDM,455887,PLATE 109MM 3.5MM SCR 4H,7069.0,7069.0,1060.35,7069.0,30
CDM,455888,SCREW SLFDRL VAR 4X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,455889,STEM FEM HIP 21MM 195MM,10225.0,10225.0,1533.75,10225.0,30
CDM,455890,CEMENT BN PMMA 40GM,2626.0,2626.0,393.9,2626.0,30
CDM,455891,STEM FEM 7 TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
CDM,455894,STEM FEM HIP LT SZ3,17450.0,17450.0,2617.5,17450.0,30
CDM,455895,SPACER SPN 36X28X11MM,11073.0,11073.0,1660.95,11073.0,30
CDM,455897,NAIL BN 11MM 380MM,8478.0,8478.0,1271.7,8478.0,30
CDM,455898,WEDGE KN AUG RO/LI 65X5,4606.0,4606.0,690.9,4606.0,30
CDM,455899,CMPNT FEM KN RT 65MM,20626.0,20626.0,3093.9,20626.0,30
CDM,455900,STEM KN FEM SP EXT18X120,4802.0,4802.0,720.3,4802.0,30
CDM,455901,COMPNT TIB KN 71/75X16MM,6142.0,6142.0,921.3,6142.0,30
CDM,455902,STEM EXT KN CMNT 17X25MM,4429.0,4429.0,664.35,4429.0,30
CDM,455903,GRAFT STNT 102MM 14-36MM,38354.0,38354.0,5753.1,38354.0,30
CDM,455904,APPLIER INT CLIP 86CM,19460.0,19460.0,2919.0,19460.0,30
CDM,455905,GUIDE AAA 16FR 28MM,8334.0,8334.0,1250.1,8334.0,42
CDM,455906,NAIL RT T2 IM11.5X700MM,28471.0,28471.0,4270.65,28471.0,30
CDM,455907,SCREW BN 5MM 25MM,2344.0,2344.0,351.6,2344.0,30
CDM,455908,SHELL ACTB HIP CMNT 47MM,4429.0,4429.0,664.35,4429.0,30
CDM,455909,INSERT ACTB HIPSZ47 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,455910,ROD STRAIGHT 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,455911,FILLER BN 10ML,13681.0,13681.0,2052.15,13681.0,30
CDM,455912,COMPNT FEM 5 LT MDL-P,7087.0,7087.0,1063.05,7087.0,30
CDM,455913,HEAD ADPTR OFST HIP 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,455915,ROD SPNL 110X5.5MM XPDM,3012.0,3012.0,451.8,3012.0,30
CDM,455916,SCREW SPN SET 6.35,731.0,731.0,109.65,731.0,30
CDM,455917,INSERT TIB 5 30MM KN UHM,6265.0,6265.0,939.75,6265.0,30
CDM,455918,SCRW BN ZEVO TI 3.5X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,455919,SCREW BN SPN 4MM 12MM,1506.0,1506.0,225.9,1506.0,30
CDM,455920,HEAD FEM HIP 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,455921,ROD STRAIGHT 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
CDM,455922,KIT KN MPFL 6MM 4.75MM,6916.0,6916.0,1037.4,6916.0,30
CDM,455923,STEM HIP FP OFST14X111.5,11073.0,11073.0,1660.95,11073.0,30
CDM,455924,NAIL BN 11.5MM 21.5CM,4429.0,4429.0,664.35,4429.0,30
CDM,455925,AUGMENT KN PST SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,455926,STEM HUM 137.5D 90MM,12432.0,12432.0,1864.8,12432.0,30
CDM,455927,SCREW SPN 7.5MM 30MM,4247.0,4247.0,637.05,4247.0,30
CDM,455928,ROD SPN 45MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,455929,HEAD FEM HIP +8MM 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,455930,SHELL ACTB HIP CMNT 51MM,4606.0,4606.0,690.9,4606.0,30
CDM,455931,INSERT ACTB HIP 28X51MM,4429.0,4429.0,664.35,4429.0,30
CDM,455932,PLATE BN 14H 301MM 4.5MM,8156.0,8156.0,1223.4,8156.0,30
CDM,455933,SCREW BN 5.0MM 48MM,2406.0,2406.0,360.9,2406.0,30
CDM,455934,SCREW BN 5MM 4.4MM 90MM,3179.0,3179.0,476.85,3179.0,30
CDM,455935,GRAFT STNT 28MM 16X90MM,44526.0,44526.0,6678.9,44526.0,30
CDM,455936,GRAFT STNT 34MM 100MM,20244.0,20244.0,3036.6,20244.0,30
CDM,455937,SCREW 3.5X16MM PA CERV,4247.0,4247.0,637.05,4247.0,30
CDM,455938,ROD SPN STRAIGHT3.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,455939,PLATE BN RT 3.5MM 235MM,7811.0,7811.0,1171.65,7811.0,30
CDM,455940,INSERT TIB 3 12MM PST ST,4606.0,4606.0,690.9,4606.0,30
CDM,455941,BASEPLATE TIB KN SZ7,4651.0,4651.0,697.65,4651.0,30
CDM,455942,PLATE SPN LCP 10HL 3.5MM,3242.0,3242.0,486.3,3242.0,30
CDM,455943,ELECTRODE ESURG PNCL 10',79.5,79.5,11.93,79.5,42
CDM,455944,STENT TRCHBR 7FR 5C38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,455946,SCREW SPN 5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,455947,ROD SPNL 3.5MMX35 CCM+ P,2711.0,2711.0,406.65,2711.0,30
CDM,455948,SPACER SPN 7D 14X28X37MM,18425.0,18425.0,2763.75,18425.0,30
CDM,455949,PLATE COVER 49-0037,1506.0,1506.0,225.9,1506.0,30
CDM,455950,HEAD RAD ELB 22MM RT,8535.0,8535.0,1280.25,8535.0,30
CDM,455951,INSERT TIB 3 8MM PST STB,4606.0,4606.0,690.9,4606.0,30
CDM,455952,GRFT STNT AA 23-13X166MM,38354.0,38354.0,5753.1,38354.0,30
CDM,455953,STENT GRAFT 16X20X156MM,14938.0,14938.0,2240.7,14938.0,30
CDM,455954,INSERT TIB KN SZ3 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,455955,ROD CONNCTR SD5.5CL6.35,3012.0,3012.0,451.8,3012.0,30
CDM,455956,PLATE BN 1.6MM 16HL,4304.5,4304.5,645.67,4304.5,30
CDM,455958,HEAD FEM HIP +3.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,455959,CONN ROD SPN 5.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,455960,PIN EX FIX 10CM STAB,2284.0,2284.0,342.6,2284.0,42
CDM,455961,CAGE SPN 6D 14X50X18MM,13287.0,13287.0,1993.05,13287.0,30
CDM,455963,STEM FEM KN 16X60MM,4606.0,4606.0,690.9,4606.0,30
CDM,455964,INSERT TIB KN SZ 7 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,455965,NAIL BN TROCH 10MM 36CM,8105.0,8105.0,1215.75,8105.0,30
CDM,455966,SPACER SPNL 55X18X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,455967,INSERT TIB 10M KN RP LCS,4429.0,4429.0,664.35,4429.0,30
CDM,455968,INSERT TIB 12.5M KN LCS,5555.0,5555.0,833.25,5555.0,30
CDM,455969,COMPONENT PTLR LG CMNT 3,4252.0,4252.0,637.8,4252.0,30
CDM,455970,NAIL BN RTRGD 10X32MM,4872.0,4872.0,730.8,4872.0,30
CDM,455971,GUIDE ALGNMNT PROPH21453,1637.0,1637.0,245.55,1637.0,42
CDM,455972,WEDGE KN BLCK PST 65X10,4606.0,4606.0,690.9,4606.0,30
CDM,455999,INTRO CATH 12FR 13CM,757.5,757.5,113.63,757.5,42
CDM,456000,CATH BLNDIL 28X4.5X110,4286.0,4286.0,642.9,4286.0,42
CDM,456001,CATH BLNDL 25MM 110CM,4286.0,4286.0,642.9,4286.0,42
CDM,456002,CATH BLNDIL 26X4.5X110,4286.0,4286.0,642.9,4286.0,42
CDM,456003,SEALER VESSL CRV,4385.5,4385.5,657.83,4385.5,42
CDM,456008,GWIRE VASC 190CM .008IN,1023.5,1023.5,153.53,1023.5,42
CDM,456009,GWIRE STRGT 190CM,1146.0,1146.0,171.9,1146.0,42
CDM,456012,CATH GD 6.5FR 100CM,1064.5,1064.5,159.68,1064.5,42
CDM,456013,CATH GD 6.5FR 100CM,1064.5,1064.5,159.68,1064.5,42
CDM,456014,CATH GD 6.5FR 100CM,1064.5,1064.5,159.68,1064.5,42
CDM,456015,CATH GD 7.5FR 100CM,1064.5,1064.5,159.68,1064.5,42
CDM,456016,CATH GD 7.5FR 100CM,1064.5,1064.5,159.68,1064.5,42
CDM,456017,CATH GD 7.5FR 100CM,1064.5,1064.5,159.68,1064.5,42
CDM,456019,CATH ATHRCM 150CM 2MM,16857.5,16857.5,2528.63,16857.5,42
CDM,456020,PCMKR CRD 47X50X6MM,11761.0,11761.0,1764.15,11761.0,30
CDM,456029,STENT VASC 7X120MM 125CM,7671.0,7671.0,1150.65,7671.0,30
CDM,456031,STENT VASC 6X120MM 125CM,7671.0,7671.0,1150.65,7671.0,30
CDM,456032,GWIRE VASC 300CM .018IN,1391.5,1391.5,208.72,1391.5,42
CDM,456035,CATH DCB 7X60MM 130CM,5883.5,5883.5,882.52,5883.5,42
CDM,456045,NAIL BN TIB 10MM 28CM,4872.0,4872.0,730.8,4872.0,30
CDM,456046,NAIL BN FEM 12MM 380MM,11890.0,11890.0,1783.5,11890.0,30
CDM,456047,SPACER SPN 36X28X12MM,11073.0,11073.0,1660.95,11073.0,30
CDM,456048,SCREW EXP TI POLY 8X50,3765.0,3765.0,564.75,3765.0,30
CDM,456049,SCREW LAG SS 4.0X12,1506.0,1506.0,225.9,1506.0,30
CDM,456050,INSERT TIB KN SZ5 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,456051,SCREW CNSTRND 25X5.0 BDY,1130.0,1130.0,169.5,1130.0,30
CDM,456052,COMPNT FEM KN LT SZ7,6312.0,6312.0,946.8,6312.0,30
CDM,456053,INSERT TIB KN 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,456054,VALVE MITRAL 29MM,13939.0,13939.0,2090.85,13939.0,30
CDM,456055,ROD PREBENT 5.5X140MM,2711.0,2711.0,406.65,2711.0,30
CDM,456056,ROD SPN 4.75MM 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,456057,KIT CATH SPN 15G 38CM,773.0,773.0,115.95,773.0,42
CDM,456058,CLAMP EX FIX LG,2137.5,2137.5,320.63,2137.5,42
CDM,456060,SCREW BN CANN 3MM 28MM,2679.0,2679.0,401.85,2679.0,30
CDM,456061,STEM FEM KN 13X145MM,4606.0,4606.0,690.9,4606.0,30
CDM,456062,INSERT TIB KN SZE-F 66MM,6000.0,6000.0,900.0,6000.0,30
CDM,456063,HOLDER PLT LG TI BB TAK,1105.0,1105.0,165.75,1105.0,42
CDM,456064,HOLDER PLATE THRD LARGE,1228.0,1228.0,184.2,1228.0,42
CDM,456065,SCREW BN 4.5MM 18MM,1196.0,1196.0,179.4,1196.0,30
CDM,456066,SCREW BN 4.5MM 55MM,3109.0,3109.0,466.35,3109.0,30
CDM,456067,SCREW BN 4.5X50MM,3109.0,3109.0,466.35,3109.0,30
CDM,456068,SCREW BN 4.5MM 40MM,3109.0,3109.0,466.35,3109.0,30
CDM,456069,SCREW BN ANKL 4.5X18,3109.0,3109.0,466.35,3109.0,30
CDM,456070,ROD SPN 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,456071,COMPNT FEM 4 LT MDL-P,6644.0,6644.0,996.6,6644.0,30
CDM,456072,INSERT TIB 4 10MM LT MDL,4606.0,4606.0,690.9,4606.0,30
CDM,456073,HEAD HUM SHLDR 54X21X4MM,9661.0,9661.0,1449.15,9661.0,30
CDM,456074,TRIAL SURG 15MM MBT,5327.5,5327.5,799.13,5327.5,42
CDM,456075,NAIL BN FEM 13MM 40CM,5311.0,5311.0,796.65,5311.0,30
CDM,456076,HEAD FEM HIP +10 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,456077,INSRT TIB SZ5 25MM STAB,4429.0,4429.0,664.35,4429.0,30
CDM,456078,LINER ACTB PNCL ESC +4MM,6644.0,6644.0,996.6,6644.0,30
CDM,456079,CUP TRIFLNG ACTB RT 62MM,40969.0,40969.0,6145.35,40969.0,30
CDM,456080,INS DURAT 10D 28X52-55MM,4429.0,4429.0,664.35,4429.0,30
CDM,456081,CONN ROD SPN 5.5X5.5MM,3287.0,3287.0,493.05,3287.0,30
CDM,456082,INSERT EIS3P14L,4606.0,4606.0,690.9,4606.0,30
CDM,456083,STEM HIP 127D SZ7 158MM,6201.0,6201.0,930.15,6201.0,30
CDM,456084,BASEPLATE SHDR 10D,8858.0,8858.0,1328.7,8858.0,30
CDM,456085,STEM HUM SHLDR 120MM 6MM,22469.0,22469.0,3370.35,22469.0,30
CDM,456086,COLLAR HUM STM 25.5MM,7216.0,7216.0,1082.4,7216.0,30
CDM,456087,SCRW DRKSTR CAN 6.5X30MM,4030.0,4030.0,604.5,4030.0,30
CDM,456088,CROSSLINK 50X65MM,3389.0,3389.0,508.35,3389.0,30
CDM,456089,SPACER SPN 25X10X10MM,4983.0,4983.0,747.45,4983.0,30
CDM,456090,PLATE 40MM BN LMBR SPNL,11073.0,11073.0,1660.95,11073.0,30
CDM,456091,PLATE 40MM CVR BN SPNL,753.0,753.0,112.95,753.0,30
CDM,456093,PLATE SPN 4LVL 85MM,4429.0,4429.0,664.35,4429.0,30
CDM,456094,CONN SPN 5/6-6MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,456095,CONNECTOR ROD SPN 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,456096,ROD CNCTR SPN 20X5/6-6MM,3389.0,3389.0,508.35,3389.0,30
CDM,456097,IMPLANT BREAST 700CC,5315.0,5315.0,797.25,5315.0,30
CDM,456098,IMPLANT XLINK SZD 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,456099,INS ARTC KN PST 7-8 21MM,4429.0,4429.0,664.35,4429.0,30
CDM,456101,SCREW SPNL CANN 7.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,456102,PLATE BN T 4HL 2.7MM,4214.0,4214.0,632.1,4214.0,30
CDM,456103,SCREW BN 2.7MM 14MM,567.0,567.0,85.05,567.0,30
CDM,456104,SCREW BN 4MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,456105,FILLER BN DBM PASTE 3CC,4429.0,4429.0,664.35,4429.0,30
CDM,456106,CUP ACTB TRFLNG 66MM RT,40969.0,40969.0,6145.35,40969.0,30
CDM,456107,STEM FEM HIP 12MM 144MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456108,BEARING KN 87/91MM 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,456110,STEM FEM HIP STD 107MM,8858.0,8858.0,1328.7,8858.0,30
CDM,456113,ROD SPNL PRBNT 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,456114,IMPLANT KNEE 962640,4606.0,4606.0,690.9,4606.0,30
CDM,456115,PROSTH RESRVOIR 125ML,9492.0,9492.0,1423.8,9492.0,30
CDM,456116,PROSTH PENL 28CM LCK-OUT,15945.0,15945.0,2391.75,15945.0,30
CDM,456117,PROS PENILE PUMP INFL,16609.0,16609.0,2491.35,16609.0,30
CDM,456118,PEG BN LCK 2.3X24MM,1435.0,1435.0,215.25,1435.0,30
CDM,456119,SCREW BN 3.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,456120,ROD STRAIGHT 5.5X450MM,2711.0,2711.0,406.65,2711.0,30
CDM,456121,CONN ROD SPN 5.5MM 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,456122,INS TIB KN ALPLY 2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,456123,INSERT TIB CNSTRN 4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,456125,PLATE BN 7HL RT 110MM,5174.0,5174.0,776.1,5174.0,30
CDM,456126,SCREW BN LCK 2.7MM 26MM,2041.0,2041.0,306.15,2041.0,30
CDM,456127,SCREW SPN REDUC ILC 80MM,4247.0,4247.0,637.05,4247.0,30
CDM,456128,SPACER SPN 14X11X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,456129,EVOLUTION MP CS INSERT,4429.0,4429.0,664.35,4429.0,30
CDM,456130,CROSSLINK 65X80MM,3389.0,3389.0,508.35,3389.0,30
CDM,456132,HEAD CASS DISP 12MM,386.5,386.5,57.98,386.5,42
CDM,456133,INSERT TIB KN 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,456134,STEM KN FEM SP EXT 18X80,4802.0,4802.0,720.3,4802.0,30
CDM,456135,STEM KN FEM SP EXT 19X80,4802.0,4802.0,720.3,4802.0,30
CDM,456136,WEDGE KN BLCK PST 70X10,4606.0,4606.0,690.9,4606.0,30
CDM,456137,CMPNT TIB BRG PS79/83X12,6465.0,6465.0,969.75,6465.0,30
CDM,456138,PLATE BN 4HL 5MM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,456139,INSERT TIB 5 13MM PST ST,4429.0,4429.0,664.35,4429.0,30
CDM,456140,STEM FEM KN 13X120MM,4606.0,4606.0,690.9,4606.0,30
CDM,456141,INSERT KN TIB 5-6 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,456142,ROD SPNL CRV TI 30X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,456143,ROD SPN PRBNT 35X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,456144,FORCEP BIP ISCL 8135025S,3896.5,3896.5,584.48,3896.5,42
CDM,456145,GRAFT BN CRSNT 11X30MM,20817.0,20817.0,3122.55,20817.0,30
CDM,456146,SCREW BN 5MM 55MM 18.3MM,2392.0,2392.0,358.8,2392.0,30
CDM,456147,SCREW BN 5MM 46MM 15.3MM,2392.0,2392.0,358.8,2392.0,30
CDM,456148,SCREW BN CORT 3.5X32MM,319.0,319.0,47.85,319.0,30
CDM,456150,PLATE 120MM SS 3.5MM SCR,4872.0,4872.0,730.8,4872.0,30
CDM,456151,SCREW BN SPN 3.5MM 26MM,4247.0,4247.0,637.05,4247.0,30
CDM,456152,ROD SPNL 3.5MMX30 CCM+ P,2711.0,2711.0,406.65,2711.0,30
CDM,456153,LINER ACTB HIP 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,456154,SCREW 4X28MM,4247.0,4247.0,637.05,4247.0,30
CDM,456155,ROD SPNL CYPHR 50X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,456156,PLATE STD 118MM,8510.0,8510.0,1276.5,8510.0,30
CDM,456157,SCREW BN 3.5MM 20MM,463.0,463.0,69.45,463.0,30
CDM,456158,ANCHOR SUT 5.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,456159,SCREW BN 3.5MM 50MM,319.0,319.0,47.85,319.0,30
CDM,456160,BASEPLATE KN LT SZ6,7609.0,7609.0,1141.35,7609.0,30
CDM,456161,WEDGE AUG KN SZ5-6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,456162,CMPNT FEM KN RT SZ7,6312.0,6312.0,946.8,6312.0,30
CDM,456163,BLOCK TIB KN SZ7-8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,456164,WEDGE TIB KN SZ7-8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,456165,HANDPIECE 45D 8MM,4385.5,4385.5,657.83,4385.5,42
CDM,456167,BLADE SHVR 4.5MM 18CM,773.0,773.0,115.95,773.0,42
CDM,456168,PROBE ESURG 3.5MM 240MM,4220.0,4220.0,633.0,4220.0,42
CDM,456169,ELCTRDE ESURG 50D 4.6MM,4385.5,4385.5,657.83,4385.5,42
CDM,456170,ROD SPN 5.5 TO 4MM 400MM,5537.0,5537.0,830.55,5537.0,30
CDM,456172,CANNULA ARTH 7MM 72MM,383.5,383.5,57.52,383.5,42
CDM,456173,SPHERE GLND 36MM,9197.0,9197.0,1379.55,9197.0,30
CDM,456175,CONTROLLER PT NEURO,4092.5,4092.5,613.88,4092.5,42
CDM,456176,SPACER SPNL 30X24X17MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456177,PLATE SPN 38MM,11073.0,11073.0,1660.95,11073.0,30
CDM,456178,PLATE SPN SCRM L1 34MM,12047.0,12047.0,1807.05,12047.0,30
CDM,456180,PLATE MIC LNDRF L3MM,3133.0,3133.0,469.95,3133.0,30
CDM,456181,CMPNT FEM KN LT XX-SM,41041.0,41041.0,6156.15,41041.0,30
CDM,456182,INSERT TIB KN SZ3 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,456183,INSERT TIB KN PST 3 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,456184,SCREW 8.5X55MM DARK STAR,3765.0,3765.0,564.75,3765.0,30
CDM,456186,SCREW BN 2.4MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,456187,INSERT TIB PS BR87/91X16,4429.0,4429.0,664.35,4429.0,30
CDM,456188,LINR TRIFLN ACET RT SZ24,53148.0,53148.0,7972.2,53148.0,30
CDM,456189,LINER ACTB 24 54-56X32MM,6644.0,6644.0,996.6,6644.0,30
CDM,456190,STEM FEM HIP 14MM 150MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456191,NAIL 13MM 42CM LT 130D,4872.0,4872.0,730.8,4872.0,30
CDM,456192,SPACER SPN 33X11X6MM 0D,18425.0,18425.0,2763.75,18425.0,30
CDM,456193,SCREW BN SPN 3.5MM 18MM,4247.0,4247.0,637.05,4247.0,30
CDM,456194,ROD SPNL BLU 80MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,456196,SURFACE ARTC NXG 58X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,456197,ROD SPN 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,456198,SPACER TI WD 11X30MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456199,SAW BLD OSC 70X8X1.27MM,3069.5,3069.5,460.43,3069.5,42
CDM,456200,BLADE RECIPROC 75X8X1MM,1342.5,1342.5,201.38,1342.5,42
CDM,456201,INSERT POLY BRNG 6MM,5169.0,5169.0,775.35,5169.0,30
CDM,456202,GUIDEPIN ORTH 300MM 3.2M,972.5,972.5,145.88,972.5,42
CDM,456203,BIT DRILL OD5 CANN,2230.5,2230.5,334.57,2230.5,42
CDM,456204,SADDLE CABLE TALL,319.0,319.0,47.85,319.0,30
CDM,456205,PLATE BN 4.5MM 234MM,5758.0,5758.0,863.7,5758.0,30
CDM,456206,SCREW BN 6.5 95 SS CANN,2392.0,2392.0,358.8,2392.0,30
CDM,456207,SCREW BN 6.5 85 SS CAN L,2392.0,2392.0,358.8,2392.0,30
CDM,456208,SCREW BN 4.5MM 40MM,1595.0,1595.0,239.25,1595.0,30
CDM,456209,SCREW BN 4.5MM 50MM PRLC,1595.0,1595.0,239.25,1595.0,30
CDM,456210,SCREW SPN 4.5MM 13MM,1506.0,1506.0,225.9,1506.0,30
CDM,456211,ROD SPINE STRAIGHT 200MM,2711.0,2711.0,406.65,2711.0,30
CDM,456212,SCREW BN SPN 3.5MM 20MM,4247.0,4247.0,637.05,4247.0,30
CDM,456213,CUP ACTB DOME 70MM,7283.0,7283.0,1092.45,7283.0,30
CDM,456214,NAIL BN 11.5MM 40CM,6400.0,6400.0,960.0,6400.0,30
CDM,456215,STEM KN FEM SP EXT 16X40,4802.0,4802.0,720.3,4802.0,30
CDM,456217,INSERT ACTB 66IN 36IN CE,4872.0,4872.0,730.8,4872.0,30
CDM,456218,BIT DRL 3MM 220MM,386.5,386.5,57.98,386.5,42
CDM,456219,SPACER SPNL 25X11X10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456220,PLATE LMNPLSTY 4X12,3389.0,3389.0,508.35,3389.0,30
CDM,456221,HEAD FEM HIP +0MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,456222,PIN GD STNM 9X5/64X2,796.5,796.5,119.47,796.5,42
CDM,456225,PLATE BN RT 5HL 167MM,4872.0,4872.0,730.8,4872.0,30
CDM,456226,SCREW BN 5MM 50MM,399.0,399.0,59.85,399.0,30
CDM,456227,SCREW BN 5MM 60MM,399.0,399.0,59.85,399.0,30
CDM,456228,SCREW BN 5MM 65MM,399.0,399.0,59.85,399.0,30
CDM,456230,ROD SPNL PTHFD 120X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,456231,ROD SPNL PTHFD 140X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,456232,SCREW BN SPN 5.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,456233,SCREW BN SPN 5.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,456234,CONN ROD SPN 5.5X41-51MM,3012.0,3012.0,451.8,3012.0,30
CDM,456235,PLATE 3LVL 51MM CERVICAL,4429.0,4429.0,664.35,4429.0,30
CDM,456236,CAGE SPN 12X28X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,456237,SCREW BN 9MM 40MM XPDM T,4120.0,4120.0,618.0,4120.0,30
CDM,456238,PLATE SPN 4LVL 65MM,4429.0,4429.0,664.35,4429.0,30
CDM,456239,ROD SPN CRVD 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
CDM,456241,INSERT TIB KN PST 5 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,456242,SCREW SPN 8.5MM 70MM,4429.0,4429.0,664.35,4429.0,30
CDM,456243,ROD STRAIGHT 5.5X600MM,2711.0,2711.0,406.65,2711.0,30
CDM,456244,SCREW BN SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,456245,SCREW BN SPN 7.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,456246,HEAD FEM HIP +3MM 12/14,4606.0,4606.0,690.9,4606.0,30
CDM,456247,LINER ACTB SZF 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,456248,SPACER SPN 0D 14X13X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,456249,HD FEM LFIT MRS +5X32M,4429.0,4429.0,664.35,4429.0,30
CDM,456250,SCREW DRKSTR CAN7.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,456251,ROD 5.5X300MM STRAIGHT,2711.0,2711.0,406.65,2711.0,30
CDM,456252,ROD SPNL 600MM COCR STR,3012.0,3012.0,451.8,3012.0,30
CDM,456253,SHEATH GD RDC 6FR 45CM,952.0,952.0,142.8,952.0,42
CDM,456254,STEM HIP FPX OFST 11X104,8858.0,8858.0,1328.7,8858.0,30
CDM,456255,PLEDGET CV 3/16X.25IN,36.0,36.0,5.4,36.0,30
CDM,456257,PIN FX TEMP SHORT HEADED,773.0,773.0,115.95,773.0,42
CDM,456258,INSERT TIB KN SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,456259,LPS UNIV TIB HIN INS MED,14095.0,14095.0,2114.25,14095.0,30
CDM,456260,PLATE ORBT FLR RT 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,456261,WEDGE KN AUG LO/RI57.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,456262,WEDGE KN AUG RO/LI57.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,456263,CMPNT KN FEM LT 57.5MM,20626.0,20626.0,3093.9,20626.0,30
CDM,456264,STEM KN FEM SP EXT 15X40,4802.0,4802.0,720.3,4802.0,30
CDM,456265,COMPNT TIB PSC 63/67X20,6465.0,6465.0,969.75,6465.0,30
CDM,456266,SCREW BN SPN 4.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,456267,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,456268,STEM FEM KN 14MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,456269,BASEPLATE KN TIB SZ3,4651.0,4651.0,697.65,4651.0,30
CDM,456270,SCREW BN SPN 5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,456271,KIT EMG/SSEP ELECTRODE,2046.5,2046.5,306.98,2046.5,42
CDM,456272,PROBE MONOPOLAR LONG,2046.5,2046.5,306.98,2046.5,42
CDM,456273,PLATE ANT BUTTRESS 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,456274,STEM FEM HIP 127D 93MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456275,BASEPLATE TIB KN SYS 4,4651.0,4651.0,697.65,4651.0,30
CDM,456276,SCREW SPN RDC IL8.5X90MM,4247.0,4247.0,637.05,4247.0,30
CDM,456277,CNCTR ROD SPN 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,456278,CAGE SPN 16X16X10MM,7514.0,7514.0,1127.1,7514.0,30
CDM,456279,HEAD FEM HIP -3.5X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,456280,STEM FEM HIP 18MM 156MM,7973.0,7973.0,1195.95,7973.0,30
CDM,456281,CONNECTOR SPN SZM 5.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,456282,CONN SPN ROD 5.5MM 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,456283,CONNECTOR SPN 5.5X6MM,3012.0,3012.0,451.8,3012.0,30
CDM,456285,MOLD SPCR KN FEM 70MM,14478.5,14478.5,2171.78,14478.5,42
CDM,456286,INSERT TRTHN TIB G-416,6737.0,6737.0,1010.55,6737.0,30
CDM,456288,SCREW BN 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,456290,BLOCK AUG HIP 20MM 13/15,4252.0,4252.0,637.8,4252.0,30
CDM,456291,SHELL ACTB HIP SZH 64MM,13166.0,13166.0,1974.9,13166.0,30
CDM,456292,INST ORTH KN RT,1637.0,1637.0,245.55,1637.0,42
CDM,456293,MESH SURG HRN 4IN 6IN,3721.0,3721.0,558.15,3721.0,30
CDM,456294,SCREW CANN 8.5X60MM,3765.0,3765.0,564.75,3765.0,30
CDM,456295,SCREW RDC ILC 8.5X100MM,4247.0,4247.0,637.05,4247.0,30
CDM,456296,SCREW SPN 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,456297,CAGE SPN 6D 28X11X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,456298,SCREW BN 3.5MM 6MM 42MM,270.0,270.0,40.5,270.0,30
CDM,456299,SCREW BN CORT 3.5X6X46MM,264.0,264.0,39.6,264.0,30
CDM,456300,SCREW BN CORT 3.5X6X48MM,270.0,270.0,40.5,270.0,30
CDM,456302,SCREW BN 4MM 6MM 60MM,293.0,293.0,43.95,293.0,30
CDM,456303,SCREW BN 3.5MM 42MM,1379.0,1379.0,206.85,1379.0,30
CDM,456304,SCREW BN 3.5MM 44MM,1379.0,1379.0,206.85,1379.0,30
CDM,456305,SCREW BN 3.5X2.9MM 46MM,1379.0,1379.0,206.85,1379.0,30
CDM,456306,STEM FEM HIP 6MM 132MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456307,HEAD FEM HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,456308,STEM FEM HIP 22MM 129MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456309,SURFACE ARTC 17MM 3-5,4429.0,4429.0,664.35,4429.0,30
CDM,456310,SCREW INTLK BN 5X40MM,3189.0,3189.0,478.35,3189.0,30
CDM,456311,NAIL W/O COLR KN10X150MM,4784.0,4784.0,717.6,4784.0,30
CDM,456312,NAIL BN 16MM 150MM,4784.0,4784.0,717.6,4784.0,30
CDM,456313,SCREW BN 5MM 80MM,399.0,399.0,59.85,399.0,30
CDM,456314,SCREW BN 3.5MM 85MM,399.0,399.0,59.85,399.0,30
CDM,456315,SCREW BN 3.5MM 70MM,2092.0,2092.0,313.8,2092.0,30
CDM,456317,GRAFT PTLR TNDN DWL 10MM,12030.0,12030.0,1804.5,12030.0,30
CDM,456318,GRAFT ACHLS TND 10MM,9904.0,9904.0,1485.6,9904.0,30
CDM,456319,SCREW BN 9MM 23MM,3189.0,3189.0,478.35,3189.0,30
CDM,456320,SCREW INTFR ACL 23X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,456321,SCREW BN 8MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,456322,NAIL BN 11.5MM 40CM,6400.0,6400.0,960.0,6400.0,30
CDM,456323,PLATE BN 5HL 3.5MM 145MM,7051.0,7051.0,1057.65,7051.0,30
CDM,456324,SPACER SPNL 22X8.5X11MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456325,ROD VRTX SELECT OPN 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,456326,SCREW ST SPN MP-AXL,753.0,753.0,112.95,753.0,30
CDM,456327,SCREW BN SPN 4MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,456328,ROD SPN 5.5MM 420MM,3012.0,3012.0,451.8,3012.0,30
CDM,456329,CONN SPN ROD OP-END 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,456330,ROD SPN 20MM 5/6-5.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,456331,SCREW BN SPN 3.5MM 24MM,4247.0,4247.0,637.05,4247.0,30
CDM,456332,SCREW BN SPN 4MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,456333,LINER ACTB HIP 4X58X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,456334,BURR TRNSNSL C DMD 4.5MM,2333.0,2333.0,349.95,2333.0,42
CDM,456335,LINER ACTB HIP 64MM 36MM,4872.0,4872.0,730.8,4872.0,30
CDM,456336,TRITANIUM PL 11MMX28MM X,17716.0,17716.0,2657.4,17716.0,30
CDM,456337,CAGE SPNL 88MM 15MM,12324.0,12324.0,1848.6,12324.0,30
CDM,456338,RING SPN 0D 15MM,1649.0,1649.0,247.35,1649.0,30
CDM,456339,STEM FEM KN 13X120MM,4429.0,4429.0,664.35,4429.0,30
CDM,456340,STEM UNV HIP 150MM 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,456341,NAIL T2 TIB STD 12X375MM,6836.0,6836.0,1025.4,6836.0,30
CDM,456342,PLATE BN 10H 230MM 3.5MM,6318.0,6318.0,947.7,6318.0,30
CDM,456345,STEM HIP FP OFST12X106.5,8858.0,8858.0,1328.7,8858.0,30
CDM,456346,HEAD FEM 12/14 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,456347,INSERT SHLDR 12.5D 42X+9,4428.0,4428.0,664.2,4428.0,30
CDM,456348,SPHERE GLND SHLDR 42MM,9197.0,9197.0,1379.55,9197.0,30
CDM,456349,STEM HUM SHLDR 125MM,11959.0,11959.0,1793.85,11959.0,30
CDM,456350,SCREW BIOSURE INTRF RGNS,3721.0,3721.0,558.15,3721.0,30
CDM,456351,BUTTON ENDO FX ACL 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,456352,SCREW BN 8MM 25MM,3721.0,3721.0,558.15,3721.0,30
CDM,456353,KIT ARTHSCP FX BTN 1.2MM,2715.5,2715.5,407.32,2715.5,42
CDM,456355,SCREW LAG DHS 100MM 280.,3234.0,3234.0,485.1,3234.0,30
CDM,456356,PLATE BN 135D78X19X5.8MM,4030.0,4030.0,604.5,4030.0,30
CDM,456357,CAGE SPNL 12-17MM 12MM,23917.0,23917.0,3587.55,23917.0,30
CDM,456358,CONN ROD SPN 5.5MM 39MM,3389.0,3389.0,508.35,3389.0,30
CDM,456359,IMPLANT BREAST 605CC,5315.0,5315.0,797.25,5315.0,30
CDM,456360,SCREW BN 2MM 28MM,648.0,648.0,97.2,648.0,30
CDM,456362,SCREW BN 2MM 7MM,1330.0,1330.0,199.5,1330.0,30
CDM,456364,INSRT TB KN CRCTE RT 14M,4429.0,4429.0,664.35,4429.0,30
CDM,456365,STENT GRT EVAS 36X100MMM,57577.0,57577.0,8636.55,57577.0,30
CDM,456366,SYST SP FUSION 16X40X6MM,13952.0,13952.0,2092.8,13952.0,30
CDM,456368,SCREW BN 3X25MM,2679.0,2679.0,401.85,2679.0,30
CDM,456369,SCREW BN CANN 3MM 30MM,2679.0,2679.0,401.85,2679.0,30
CDM,456370,PEG BN THRD LCK 2.3X17MM,1340.0,1340.0,201.0,1340.0,30
CDM,456371,CMPNT KN FEM LT 70MM,21711.0,21711.0,3256.65,21711.0,30
CDM,456372,CMPNT TIB BRG PS79/83X10,6465.0,6465.0,969.75,6465.0,30
CDM,456373,WEDGE KN TIB AUG 79X10,4606.0,4606.0,690.9,4606.0,30
CDM,456374,CAGE SPNL 8X18X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,456375,SCREW SPN 6MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,456376,SCREW BN SPN 6MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,456377,SPACER TI WD 7X30MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456378,SPACER TI WD 9X36MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456379,PLATE SPN 4MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,456380,PLATE SPN LMPLSTY 4X12MM,3389.0,3389.0,508.35,3389.0,30
CDM,456381,PLATE SPN LMPLSTY 6X10MM,3389.0,3389.0,508.35,3389.0,30
CDM,456382,EXTENSION STM 15MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,456383,CMPNT HINGE KN SZE 17MM,7858.0,7858.0,1178.7,7858.0,30
CDM,456384,ROD PRE-BENT 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
CDM,456385,SCREW BN SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,456387,CAGE PST LMBR 6D 11X28MM,17716.0,17716.0,2657.4,17716.0,30
CDM,456388,SPACER SPNL 27X10X7MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456389,PLATE BN TUBE 7HL 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,456390,SCREW BN 8MM 23MM,3189.0,3189.0,478.35,3189.0,30
CDM,456391,PLATE BN ANKL RT ANT,9191.0,9191.0,1378.65,9191.0,30
CDM,456392,SCREW BN 2.3X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,456393,SCREW BN 4.5MM 34MM,1196.0,1196.0,179.4,1196.0,30
CDM,456394,SCREW BN 4.5MM 24MM,3109.0,3109.0,466.35,3109.0,30
CDM,456395,SCREW BN 4.5MM 28MM,3109.0,3109.0,466.35,3109.0,30
CDM,456396,SCREW BN 4.5MM 34MM,3109.0,3109.0,466.35,3109.0,30
CDM,456397,SCREW BN 4.5X42MM LOPRO,3109.0,3109.0,466.35,3109.0,30
CDM,456398,GWIRE ORTH 2.4MM,464.0,464.0,69.6,464.0,42
CDM,456399,CUP ACTB TRFLNG LFT 66MM,40969.0,40969.0,6145.35,40969.0,30
CDM,456400,CONNECTOR END TO END SPN,3389.0,3389.0,508.35,3389.0,30
CDM,456401,ROD 5.5X150MM STRAIGHT,2711.0,2711.0,406.65,2711.0,30
CDM,456402,ALGRFT BN 19X12MM,27682.0,27682.0,4152.3,27682.0,30
CDM,456403,INSERT TIB KN SZ8 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,456404,SCREW BN SPN 6MM 24MM,753.0,753.0,112.95,753.0,30
CDM,456405,STENT 166MM 32-16MM 20FR,31529.0,31529.0,4729.35,31529.0,30
CDM,456406,STENT GRAFT 16X13X156MM,14938.0,14938.0,2240.7,14938.0,30
CDM,456407,BLOCK AGMNT E 0059900352,4429.0,4429.0,664.35,4429.0,30
CDM,456408,INSERT ARTC KN 3-4 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,456409,CAGE SPN 0D 23X9X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,456410,SCREW BN SPN 4MM 18MM,4247.0,4247.0,637.05,4247.0,30
CDM,456411,HEAD HIP FEM +3X28 11/13,4252.0,4252.0,637.8,4252.0,30
CDM,456412,INSERT TIB KN SZ3+ 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,456413,CMPNT BEARING LT XSM 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,456414,BASEPLATE TIB KN RT SZ6,5758.0,5758.0,863.7,5758.0,30
CDM,456415,TIB REV MOD KN MED,4429.0,4429.0,664.35,4429.0,30
CDM,456416,STEM KN EXT CMNT 17X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,456417,SCREW BN PASS THRU,2089.0,2089.0,313.35,2089.0,30
CDM,456418,ROD PREBENT 130MM,2711.0,2711.0,406.65,2711.0,30
CDM,456419,CAGE SPN 12X12X16MM,7733.0,7733.0,1159.95,7733.0,30
CDM,456420,SCREW RDC LCK 2 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
CDM,456421,PLATE BN T-PLATE 4HL,3189.0,3189.0,478.35,3189.0,30
CDM,456422,SCREW BN 2.7MM 40MM,1730.0,1730.0,259.5,1730.0,30
CDM,456424,ANCHOR SUT 4.75X19.1MMM,8092.0,8092.0,1213.8,8092.0,30
CDM,456425,SCREW ST SPN VAR 2.5X7MM,731.0,731.0,109.65,731.0,30
CDM,456426,CONNECTOR ROD SPN SD6.35,3012.0,3012.0,451.8,3012.0,30
CDM,456427,CONNCTR SPN 5.5MM 6.35MM,3389.0,3389.0,508.35,3389.0,30
CDM,456428,COMPONENT ULN 155X4 RT,19277.0,19277.0,2891.55,19277.0,30
CDM,456429,NOZZLE BN CEMENT SMALL,921.0,921.0,138.15,921.0,42
CDM,456430,SCREW BN SPN 3.5MM 22MM,4247.0,4247.0,637.05,4247.0,30
CDM,456431,ROD SPN 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,456432,COIL EMBL 50CM 20MM,5749.0,5749.0,862.35,5749.0,30
CDM,456433,COIL EMBL 34CM 14MM,5364.0,5364.0,804.6,5364.0,30
CDM,456434,HEAD FEM HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,456435,SCREW SET LG RS-826-85,753.0,753.0,112.95,753.0,30
CDM,456436,ROD CONNECTOR 55-5365,3012.0,3012.0,451.8,3012.0,30
CDM,456437,BIT DRILL 12MM,386.5,386.5,57.98,386.5,42
CDM,456438,CUP ACTB TRIFLNG RT 66MM,40969.0,40969.0,6145.35,40969.0,30
CDM,456439,PIN EX FIX 11CM STAB,2284.0,2284.0,342.6,2284.0,42
CDM,456440,SCREW SPN 10.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,456441,INSERT TIB KN SZ3-4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,456442,STEM FEM 101MM COLR ATS,10630.0,10630.0,1594.5,10630.0,30
CDM,456443,CMPNT KN FEM LT 67.5MM,20626.0,20626.0,3093.9,20626.0,30
CDM,456444,INSERT TIB PS + 79/83X14,4606.0,4606.0,690.9,4606.0,30
CDM,456445,PLATE SPN 2LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,456446,ROD SPN 4.75X60MM,2711.0,2711.0,406.65,2711.0,30
CDM,456447,ROD SPNL 4.75MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,456448,STENT GRAFT 16X13X124MM,14938.0,14938.0,2240.7,14938.0,30
CDM,456449,STENT GRAFT 16X16X156MM,16149.0,16149.0,2422.35,16149.0,30
CDM,456450,GRAFT STNT 103MM 14-28MM,29698.0,29698.0,4454.7,29698.0,30
CDM,456451,NAIL BN 13MM 40CM,4872.0,4872.0,730.8,4872.0,30
CDM,456452,COIL EMBL 10MM 19CM,4837.0,4837.0,725.55,4837.0,30
CDM,456453,GRAFT STNT 13MM 85MM,17880.0,17880.0,2682.0,17880.0,30
CDM,456454,PLATE BN ANTMCL 3D .4MM,4429.0,4429.0,664.35,4429.0,30
CDM,456456,SCREW SPN PDCL 5.5X40MM,4247.0,4247.0,637.05,4247.0,30
CDM,456457,LINER ACTB HIP 45X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,456458,STEM FEM HIP SZ15 240MM,20336.0,20336.0,3050.4,20336.0,30
CDM,456459,PLATE LCP LT 4HL 76X3.5,7243.0,7243.0,1086.45,7243.0,30
CDM,456460,STEM EXT FLUT 40X14,4606.0,4606.0,690.9,4606.0,30
CDM,456461,ROD SPN 5.5MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,456462,WEDGE KN TIB AUG 91X10,4606.0,4606.0,690.9,4606.0,30
CDM,456463,STEM KN FEM EXT 14X80MM,4606.0,4606.0,690.9,4606.0,30
CDM,456464,CEMENT BN 20ML 40.8GM,2456.0,2456.0,368.4,2456.0,30
CDM,456465,IMPLANT KNEE 960660,4606.0,4606.0,690.9,4606.0,30
CDM,456466,CMPNT TIB KN RT SZ4,5758.0,5758.0,863.7,5758.0,30
CDM,456467,ROD SPN 500X4.75-5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,456469,CATH DCB 7X40MM 130CM,5628.0,5628.0,844.2,5628.0,42
CDM,456473,CONVERTER WIRE 4FR 145CM,8186.0,8186.0,1227.9,8186.0,42
CDM,456474,CATH ATHRCM 145CM 1.25MM,15808.5,15808.5,2371.28,15808.5,42
CDM,456477,CATH INFS .017IN 150CM,6854.0,6854.0,1028.1,6854.0,42
CDM,456479,CATH BLNDL 6X150MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,456482,OCCLUDER CV 10X8MM,18599.0,18599.0,2789.85,18599.0,30
CDM,456483,OCCLUDER CV 12X10MM,18599.0,18599.0,2789.85,18599.0,30
CDM,456484,OCCLUDER CV 8X6MM,18599.0,18599.0,2789.85,18599.0,30
CDM,456485,CATHETER ULTSD 10FR 90CM,4385.5,4385.5,657.83,4385.5,42
CDM,456486,CATHETER ULTSND 8FR 90CM,5590.5,5590.5,838.58,5590.5,42
CDM,456489,OCCLUDER CV 30MM,40304.0,40304.0,6045.6,40304.0,30
CDM,456490,CATH BLN 6FR 4X130X100MM,5883.5,5883.5,882.52,5883.5,42
CDM,456491,CATH BLN 5FR 6X130X150MM,7418.5,7418.5,1112.78,7418.5,42
CDM,456493,CATH BLNDIL 5X150MM,7418.5,7418.5,1112.78,7418.5,42
CDM,456494,CATH BLNDL 4X250MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,456495,CATH BLNDIL 3X40MM 135CM,972.5,972.5,145.88,972.5,42
CDM,456496,CATH BLNDL 7X150MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,456497,CATH BLNDL 6X250MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,456498,CATH BLNDL 4X100MM 135CM,949.0,949.0,142.35,949.0,42
CDM,456499,CATH BLNDL 4X150MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,456500,CATH BLNDL 5X150MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,456501,CATH BLNDL 5X250MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,456511,CATH BLN 2.5X200MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,456512,CATH BLNDL 3X200MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,456513,CATH BLNDIL 3X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456519,CATH BLN DL4X200MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,456520,CATH BLN 2.5X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456521,CATH BLNDIL1.5X40MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,456522,CATH BLNDIL2X40M 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456523,CATH BLNIL1.5X120MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,456524,CATH BLNDIL2X200MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,456525,CATH BLNDIL 4X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456526,GWIRE VASC .035IN 260CM,773.0,773.0,115.95,773.0,42
CDM,456529,CATH BLNDL 5X200MM 150MM,1351.0,1351.0,202.65,1351.0,42
CDM,456530,CATH BLN 5X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456531,CATH BLNDIL 4X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456532,CATH BLN 5.5X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456533,CATH BLNDL 5X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456534,CATH BLN 5.5X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456535,CATH BLNDL 4X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456536,CATH BLNDL 6X200MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,456612,GUIDE BN CUTTING CSTM,25775.5,25775.5,3866.32,25775.5,42
CDM,456613,LENS IOL +17.5 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,456633,CAGE SPN 15D 43X30X16MM,8858.0,8858.0,1328.7,8858.0,30
CDM,456634,STEM FEM HIP 16MM 250MM,9478.0,9478.0,1421.7,9478.0,30
CDM,456635,PLATE BN FEM RT 318MM,12521.0,12521.0,1878.15,12521.0,30
CDM,456636,CATHETER ULTSND 9FR,6395.0,6395.0,959.25,6395.0,42
CDM,456637,GRAFT VASC 36MM 60CM,3846.0,3846.0,576.9,3846.0,30
CDM,456638,CANNULA ART 25FR 55CM,3667.5,3667.5,550.13,3667.5,42
CDM,456639,SCREWS BN LCK OR CMPR,479.0,479.0,71.85,479.0,30
CDM,456643,KIT TRIAL GLENOSPHERE,2046.5,2046.5,306.98,2046.5,42
CDM,456653,SCREWS BN LCK OR CMPR,479.0,479.0,71.85,479.0,30
CDM,456682,STEM SPCR SHD SZ9 130MM,28789.0,28789.0,4318.35,28789.0,30
CDM,456687,CONN SPN 4.75X6X35MM,3012.0,3012.0,451.8,3012.0,30
CDM,456688,INSERT TIB KN 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,456689,CAGE SPN 16X14X08MM,4429.0,4429.0,664.35,4429.0,30
CDM,456719,COMPONENT TIB KN SZ3 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,456720,SCREW BN 3MM 24MM,3077.0,3077.0,461.55,3077.0,30
CDM,456721,PLATE SPN 4 LVL 58MM,4429.0,4429.0,664.35,4429.0,30
CDM,456722,SCREW SPN 4MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,456725,DILATOR STML 27GA 13MM,3274.0,3274.0,491.1,3274.0,42
CDM,456727,SCREW BN 2.7MM 46MM,558.0,558.0,83.7,558.0,30
CDM,456729,OCCLUDER CV 4X4MM,21424.0,21424.0,3213.6,21424.0,30
CDM,456730,ANCHOR SUT BTTN,4071.0,4071.0,610.65,4071.0,30
CDM,456731,CAGE SPN 7X14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,456732,CAGE SPN 5X14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,456733,GRAFT ST TISS 0.5CM 32CM,15945.0,15945.0,2391.75,15945.0,30
CDM,456734,SPACER SPN 6D 45X18X8-15,17716.0,17716.0,2657.4,17716.0,30
CDM,456735,SCREW BN SPN 8.5MM 40MM,3720.0,3720.0,558.0,3720.0,30
CDM,456736,SCREW SPN 7.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,456737,ROD SPN 5.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,456744,ALLOGRAFT MODIFIABLE,9301.0,9301.0,1395.15,9301.0,30
CDM,456745,SCREW BN LCK 5.2X50MM,2910.0,2910.0,436.5,2910.0,30
CDM,456748,DEVICE INFLATION BLN,773.0,773.0,115.95,773.0,42
CDM,456757,SCREW BN 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,456764,BAG TIS RTRVL 10MM 250ML,618.5,618.5,92.78,618.5,42
CDM,456765,SPACER SPN 55X18X7MM,17716.0,17716.0,2657.4,17716.0,30
CDM,456766,STENT TRCHBR 7FR 5X22MM,10471.0,10471.0,1570.65,10471.0,30
CDM,456767,STENT TRCHBR 6FR 5X16MM,10031.0,10031.0,1504.65,10031.0,30
CDM,456768,STENT TRCHBR 7FR 7X16MM,10031.0,10031.0,1504.65,10031.0,30
CDM,456769,STENT TRCHBR 6FR 6X16MM,10031.0,10031.0,1504.65,10031.0,30
CDM,456770,STENT TRCHBR 7FR 5X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,456771,STENT TRCHBR 7FR 7X22MM,10471.0,10471.0,1570.65,10471.0,30
CDM,456772,STENT TRCHBR 6FR 6X16MM,10031.0,10031.0,1504.65,10031.0,30
CDM,456773,STENT TRCHBR 7FR 5X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,456774,STENT TRCHBR 6FR 7X16MM,10031.0,10031.0,1504.65,10031.0,30
CDM,456775,GRAFT DRMS PTCH 16X20CM,33310.0,33310.0,4996.5,33310.0,30
CDM,456776,SPACER SPN 0D 22X9MM,9966.0,9966.0,1494.9,9966.0,30
CDM,456781,CAGE SPN 15D 16MM,19200.0,19200.0,2880.0,19200.0,30
CDM,456782,CAGE INTBDY SPN 15D 12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,456783,CAGE SPN 20D 18MM,19200.0,19200.0,2880.0,19200.0,30
CDM,456784,DISC SPN 17MM 19MM,21703.0,21703.0,3255.45,21703.0,30
CDM,456786,CTR TYPE14C LT SZ11/13MM,3173.0,3173.0,475.95,3173.0,30
CDM,456787,PLATE BN V-LCK LG 3.5MM,5608.0,5608.0,841.2,5608.0,30
CDM,456788,PIN CRLG PSTN SS 3.5MM,2195.0,2195.0,329.25,2195.0,30
CDM,456789,PIN PSTN 5MM 5M,1377.5,1377.5,206.63,1377.5,42
CDM,456790,SCREW BN 5.0MM 16MM,2478.0,2478.0,371.7,2478.0,30
CDM,456799,CTR TYPE14C RT SZ11/13MM,3173.0,3173.0,475.95,3173.0,30
CDM,456800,PLATE SPN 2LV 24MM,4429.0,4429.0,664.35,4429.0,30
CDM,456801,SPACER SPN 60X18X7MM,17716.0,17716.0,2657.4,17716.0,30
CDM,456809,INSERT KN RT SZ6 14MM,5094.0,5094.0,764.1,5094.0,30
CDM,456810,SCREW BN 4MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,456811,SCREW BN 4.75X42MM,1913.0,1913.0,286.95,1913.0,30
CDM,456812,IMPL SHDR GLNSPHR CSTM,14683.0,14683.0,2202.45,14683.0,30
CDM,456813,KIT OATS ALGRF 12MM,4385.5,4385.5,657.83,4385.5,42
CDM,456814,SCREW SPN 3.8MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,456815,PLATE BN 18HL 4.5X332MM,4429.0,4429.0,664.35,4429.0,30
CDM,456816,GWIRE VASC .035IN 260CM,231.5,231.5,34.73,231.5,42
CDM,456818,CANNULA PRFSN VNS RTN 1,664.5,664.5,99.67,664.5,42
CDM,456819,WEDGE KNEE # 4/10MM,4606.0,4606.0,690.9,4606.0,30
CDM,456820,CMPNT FEM HNG 4L,32259.0,32259.0,4838.85,32259.0,30
CDM,456822,DRESSING GEL WND 1.5OZ,213.5,213.5,32.02,213.5,42
CDM,456828,CAGE SPNL EXP 18MM,37868.0,37868.0,5680.2,37868.0,30
CDM,456829,ENDPLATE SPN REG 8X30MM,8371.0,8371.0,1255.65,8371.0,30
CDM,456830,ENDPLATE SPN SZ3 18X30MM,8371.0,8371.0,1255.65,8371.0,30
CDM,456831,SCREW SPN LOCK LARG,753.0,753.0,112.95,753.0,30
CDM,456832,PLATE BN LARGE 65X40.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,456837,ANCH SUT KNOTLS 4.75MM,4199.0,4199.0,629.85,4199.0,30
CDM,456838,CATH ANGIO 4FR 100CM,238.0,238.0,35.7,238.0,42
CDM,456845,EXPANDER TISSUE 750CC,7973.0,7973.0,1195.95,7973.0,30
CDM,456847,PLATE BN LCK 8H 1.1MM,3534.0,3534.0,530.1,3534.0,30
CDM,456848,SCREW BN S-T 4X42MM,3189.0,3189.0,478.35,3189.0,30
CDM,456849,CAGE SPN 9.5X40MM,10630.0,10630.0,1594.5,10630.0,30
CDM,456850,BOLT BN HIP 9.5X45MM,10630.0,10630.0,1594.5,10630.0,30
CDM,456851,GUIDEWIRE ORT TROC 300MM,386.5,386.5,57.98,386.5,42
CDM,456852,ROD SPN 4.5X350MM,3012.0,3012.0,451.8,3012.0,30
CDM,456854,PLATE CRNL PROSTH CSTM,4872.0,4872.0,730.8,4872.0,30
CDM,456855,LINER ACTB HIP XL 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,456857,CTR TYPE14A SZ12/14.5MM,3173.0,3173.0,475.95,3173.0,30
CDM,456868,IMPL BN ABTMNT 4MM 6MM,11389.0,11389.0,2096.71,11389.0,26
CDM,456869,IMPL OSS W/ ABTMNT 4X9MM,11389.0,11389.0,2096.71,11389.0,26
CDM,456870,COVER SCREW STRL 0.4GM,2507.0,2507.0,376.05,2507.0,30
CDM,456871,CAP HEALING W/PLUG 20MM,231.0,231.0,34.65,231.0,42
CDM,456872,DRESSING NADH ALVN CHLR,657.0,657.0,98.55,657.0,42
CDM,456873,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,456874,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,456875,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,456876,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,456877,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,456878,PRC SND LF NS,17177.0,17177.0,3162.29,17177.0,26
CDM,456879,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,456880,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,456883,IMPL BN ABTMNT 3MM 6MM,11389.0,11389.0,2096.71,11389.0,26
CDM,456886,ELECTRODE ESURG 5MM,231.5,231.5,34.73,231.5,42
CDM,456897,LENS IOL +15.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,456909,CAP HEALING W/PLUG 30MM,231.0,231.0,34.65,231.0,42
CDM,456916,TUBE GASTM 16FR,295.5,295.5,44.33,295.5,42
CDM,456917,TUBE GASTM 18FR,295.5,295.5,44.33,295.5,42
CDM,456921,ABTMNT BN CNDCT 6MM,8057.0,8057.0,1483.29,8057.0,26
CDM,456922,ABTMNT BN CNDCT 8MM,8057.0,8057.0,1483.29,8057.0,26
CDM,456923,ABTMNT BN CNDCT 10MM,8057.0,8057.0,1483.29,8057.0,26
CDM,456924,ABTMNT BN CNDCT 12MM,8057.0,8057.0,1483.29,8057.0,26
CDM,456925,ABTMNT BN CNDCT 14MM,8057.0,8057.0,1483.29,8057.0,26
CDM,456926,IMPL STRL DISP 3MM,6099.0,6099.0,1122.83,6099.0,26
CDM,456927,ABTMNT FLNG FXTR 8.5MM,6852.0,6852.0,1261.45,6852.0,26
CDM,456928,PRC SND LF NS,16188.0,16188.0,2980.21,16188.0,26
CDM,456930,SPLNT NSL IMP TEMP,470.0,470.0,70.5,470.0,42
CDM,456931,LENS IOL +20.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,456933,FORCEP BX 1.8MM 160CM,400.5,400.5,60.08,400.5,42
CDM,456937,HEMOSTAT ABS 1GM,972.5,972.5,145.88,972.5,42
CDM,456940,BAG TISS RTRVL 60ML,773.0,773.0,115.95,773.0,42
CDM,456941,BAG TISS RTRVL 80ML,773.0,773.0,115.95,773.0,42
CDM,456950,DRESSING WND FOAM 5X5CM,98.5,98.5,14.78,98.5,42
CDM,456952,NEEDLE N-C W/EXT 19GX2,60.5,60.5,9.07,60.5,42
CDM,456953,RETRCTR WND XXSM 1-3CM,773.0,773.0,115.95,773.0,42
CDM,456976,IMPLANT BREAST 240CC,5869.0,5869.0,880.35,5869.0,30
CDM,456977,PROSTH OSS 2.0MM 3.0MM,3189.0,3189.0,587.09,3189.0,26
CDM,456979,DEVICE WNDCLS 60CM SZ0,773.0,773.0,115.95,773.0,42
CDM,456981,FORCEP BX 2.4X2.8X240CM,186.5,186.5,27.98,186.5,42
CDM,456984,LENS IOL +15.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,456988,IMPL GYN GNCR TVT 5 TRNV,4429.0,4429.0,664.35,4429.0,30
CDM,456989,STENT URTH 6FR 12CM,544.0,544.0,81.6,544.0,30
CDM,456990,STENT URET 8FR 12CM,544.0,544.0,81.6,544.0,30
CDM,456994,BLADE SAW 50X14X0.6MM,773.0,773.0,115.95,773.0,42
CDM,456995,BLDE SAW 50X10 SAG SLOT,773.0,773.0,115.95,773.0,42
CDM,456996,CAP END GTN 0 MM,2779.0,2779.0,416.85,2779.0,30
CDM,456997,NAIL FEM 9X380MM T2 ALOY,8663.0,8663.0,1299.45,8663.0,30
CDM,456998,SPLNT NSL CHTOSN1.5X.5MM,1073.0,1073.0,160.95,1073.0,42
CDM,456999,SPLINT INTRANSL 0.6X2 IN,1146.0,1146.0,171.9,1146.0,42
CDM,457000,CATH BLNDIL EUST 6X16MM,8576.5,8576.5,1286.47,8576.5,42
CDM,457001,DEVICE SINUS INFL/DFLT,3051.0,3051.0,457.65,3051.0,42
CDM,457004,LENS IOL +14.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,457009,IMPLANT BREAST 265CC,5315.0,5315.0,797.25,5315.0,30
CDM,457010,IMPLANT BREAST 295CC,5315.0,5315.0,797.25,5315.0,30
CDM,457011,IMPLANT BREAST 325CC,5315.0,5315.0,797.25,5315.0,30
CDM,457012,IMPLANT BREAST 335CC,5315.0,5315.0,797.25,5315.0,30
CDM,457013,IMPLANT BREAST 345CC,5315.0,5315.0,797.25,5315.0,30
CDM,457014,IMPLANT BREAST 365CC,5315.0,5315.0,797.25,5315.0,30
CDM,457015,IMPLANT BREAST 385CC,5315.0,5315.0,797.25,5315.0,30
CDM,457020,OCCLUDER VASC 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,457021,NAIL 9MM 380MM LT FEM IM,8663.0,8663.0,1299.45,8663.0,30
CDM,457023,LENS IOL +14.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,457025,DRAIN GLCM THK.9MM AHMD,5315.0,5315.0,797.25,5315.0,30
CDM,457027,IMPLANT BREAST 525CC,5869.0,5869.0,880.35,5869.0,30
CDM,457029,IMPLANT BREAST 190CC,5315.0,5315.0,797.25,5315.0,30
CDM,457030,IMPLANT BREAST 205CC,5315.0,5315.0,797.25,5315.0,30
CDM,457033,RELOAD STPLR 45MM,1927.0,1927.0,289.05,1927.0,30
CDM,457034,RELOAD STPLR 45MM,1927.0,1927.0,289.05,1927.0,30
CDM,457036,IMPLANT BREAST 240CC,5315.0,5315.0,797.25,5315.0,30
CDM,457040,BLADE SAW 34.5X16.5MM,477.5,477.5,71.63,477.5,42
CDM,457041,BLD SAW .51IN THK.015IN,477.5,477.5,71.63,477.5,42
CDM,457044,KWIRE FX 150MM 1.25MM,390.0,390.0,58.5,390.0,42
CDM,457051,TROCAR LAPSCP SHRT 70X5,1023.5,1023.5,153.53,1023.5,42
CDM,457052,IMPLANT BREAST 180CC,5315.0,5315.0,797.25,5315.0,30
CDM,457063,KNIFE OPTN 2.4MM,429.5,429.5,64.42,429.5,42
CDM,457064,RELOAD STPLR 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,457067,SCREW BN CANN 6.5X16X65,3189.0,3189.0,478.35,3189.0,30
CDM,457070,STENT NASAL MINI RX,4429.0,4429.0,664.35,4429.0,30
CDM,457074,TOOL DSCT 70MM 7MM,962.0,962.0,144.3,962.0,42
CDM,457078,CANN SUC 3MM 30CM,773.0,773.0,115.95,773.0,42
CDM,457083,SCREW BN 2X12MM 16MM,1244.0,1244.0,186.6,1244.0,30
CDM,457084,TWST DRL 2.2X115MM NOTCH,1023.5,1023.5,153.53,1023.5,42
CDM,457085,SCREW MXFCL LCK 2.7X9,1825.0,1825.0,273.75,1825.0,30
CDM,457086,SCREW BN 2.7MM 11MM,1933.0,1933.0,289.95,1933.0,30
CDM,457088,SCREW BN 13X2.7MM,1933.0,1933.0,289.95,1933.0,30
CDM,457089,SCREW TI MNDB 15X2.7,1933.0,1933.0,289.95,1933.0,30
CDM,457091,SYSTM VITRTM 23GA 6MM,773.0,773.0,115.95,773.0,42
CDM,457095,RELOAD STPLR 30MM,3183.0,3183.0,477.45,3183.0,30
CDM,457102,PLATE 90D 75X19MM SS 3.5,4156.0,4156.0,623.4,4156.0,30
CDM,457109,EXPANDER TISS 230-280CC,7530.0,7530.0,1129.5,7530.0,30
CDM,457110,EXPANDER TISS 310-370CC,7530.0,7530.0,1129.5,7530.0,30
CDM,457116,SUTURE CV-8 TTC-9 18IN,451.0,451.0,67.65,451.0,42
CDM,457117,DEVICE MAMMO EVAL KT,1023.5,1023.5,153.53,1023.5,42
CDM,457124,PROBE PH 2 CHANNEL 15CM,773.0,773.0,115.95,773.0,42
CDM,457127,ROD SPNL TI .25X240,2711.0,2711.0,406.65,2711.0,30
CDM,457131,SCREW BN 2X15MM,925.0,925.0,138.75,925.0,30
CDM,457135,BURR OTOFLEX .8MM SKEETE,2153.0,2153.0,322.95,2153.0,42
CDM,457136,BUR SKTR ORNG 1.O,1743.5,1743.5,261.52,1743.5,42
CDM,457145,SLEEVE SMIT GYN 40MM,733.0,733.0,109.95,733.0,30
CDM,457147,GRDL ABD W/SHORT LEG SM,773.0,773.0,115.95,773.0,42
CDM,457148,GRDL ABD W/SHORT LEG MED,773.0,773.0,115.95,773.0,42
CDM,457149,GRDL ABD W/SHORT LEG LG,773.0,773.0,115.95,773.0,42
CDM,457150,GRDL ABD W/SHORT LEG XLG,773.0,773.0,115.95,773.0,42
CDM,457151,GRDL ABD W/SHORT LEG 2XL,773.0,773.0,115.95,773.0,42
CDM,457158,IMPLANT BREAST 235CC,3721.0,3721.0,558.15,3721.0,30
CDM,457160,IMPLANT BREAST 285CC,3721.0,3721.0,558.15,3721.0,30
CDM,457239,DEVICE CLS WND +3-0 30CM,325.5,325.5,48.83,325.5,42
CDM,457240,LIGATOR FLSH CLIP 4MM,2577.0,2577.0,386.55,2577.0,30
CDM,457242,IMPLANT COCLR 4MM 12MM,12574.0,12574.0,2314.87,12574.0,26
CDM,457249,SET FEEDING CONN 12IN,231.5,231.5,34.73,231.5,42
CDM,457256,PIN GD ORTH 140MM 1.3MM,505.5,505.5,75.83,505.5,42
CDM,457257,BIT DRILL 2.7MM 155MM,2230.5,2230.5,334.57,2230.5,42
CDM,457265,SPONGE SIL 2.5MM 5MM,1002.0,1002.0,150.3,1002.0,30
CDM,457266,PLATE BN MXF 4HL 10X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,457268,SHEATH GD 5FR 45CM,952.0,952.0,142.8,952.0,42
CDM,457269,COIL EMBL 2MM 2CM,4429.0,4429.0,664.35,4429.0,30
CDM,457270,COIL EMBL 2MM 4CM,4429.0,4429.0,664.35,4429.0,30
CDM,457271,COIL EMBL 3MM 4CM,4429.0,4429.0,664.35,4429.0,30
CDM,457272,COIL EMBL 3MM 8CM,4429.0,4429.0,664.35,4429.0,30
CDM,457273,COIL EMBL 40CM 10MM,8416.0,8416.0,1262.4,8416.0,30
CDM,457275,DEVICE THRMB 6X40X10MM,32742.5,32742.5,4911.38,32742.5,42
CDM,457278,LEAD PCNG 6FR 85CM,3372.0,3372.0,505.8,3372.0,30
CDM,457279,LEAD PCNG 6FR 65CM,3070.0,3070.0,460.5,3070.0,30
CDM,457281,GWIRE VASC 180CM .014IN,921.0,921.0,138.15,921.0,42
CDM,457282,INTRO SHTH 11FR 10CM,231.5,231.5,34.73,231.5,42
CDM,457283,GWIRE VASC 180CM .009IN,1023.5,1023.5,153.53,1023.5,42
CDM,457287,GWIRE VASC JTIP 185CM,4093.0,4093.0,613.95,4093.0,42
CDM,457289,SET PUMP 21FR 5.0,143248.0,143248.0,21487.2,143248.0,42
CDM,457290,INTRO SHEATH 10FR 33CM,3438.0,3438.0,515.7,3438.0,42
CDM,457291,CATH ANGIO 6FR 100CM,587.5,587.5,88.13,587.5,42
CDM,457292,ICD SGL 5.37X7.79CM,39243.0,39243.0,5886.45,39243.0,30
CDM,457293,LEAD PCNG 45CM,2636.0,2636.0,395.4,2636.0,30
CDM,457295,STYLET LD 0.406MM 55CM,433.0,433.0,64.95,433.0,42
CDM,457301,CATH BLN 5FR 4X130X60MM,5883.5,5883.5,882.52,5883.5,42
CDM,457302,CATH BLN 5FR 4X130X100MM,5883.5,5883.5,882.52,5883.5,42
CDM,457303,CATH BLN 5FR 4X130X150MM,7418.5,7418.5,1112.78,7418.5,42
CDM,457304,CATH BLN 5FR 5X130X60MM,5883.5,5883.5,882.52,5883.5,42
CDM,457305,CATH BLN 5FR 5X130X100MM,5883.5,5883.5,882.52,5883.5,42
CDM,457306,CATH BLN 5FR 6X130X60MM,5628.0,5628.0,844.2,5628.0,42
CDM,457309,CATH BLNDIL 5X20X135,1269.0,1269.0,190.35,1269.0,42
CDM,457311,CATH GD 3.2FR 135CM,5883.5,5883.5,882.52,5883.5,42
CDM,457312,CRT-P 59X46.5X11MM,21535.0,21535.0,3230.25,21535.0,30
CDM,457313,CRT-P CRD 59X46.5X11MM,26630.0,26630.0,3994.5,26630.0,30
CDM,457315,GWIRE VASC .018IN 300CM,2584.0,2584.0,387.6,2584.0,42
CDM,457317,CATH BLNDIL 3.6FR 135CM,1269.0,1269.0,190.35,1269.0,42
CDM,457318,CATH INFS 3.5F 7MM 135CM,3520.0,3520.0,528.0,3520.0,42
CDM,457319,CRT DEFIB CARD 51X71MM,61258.0,61258.0,9188.7,61258.0,30
CDM,457320,CRT DEFIB CARD 51X73MM,61258.0,61258.0,9188.7,61258.0,30
CDM,457321,CRT-D IS4/DF4 75X51X13MM,61258.0,61258.0,9188.7,61258.0,30
CDM,457323,SYSTEM DEL SAVI NDL7.5CM,3422.0,3422.0,513.3,3422.0,30
CDM,457328,KIT DRN VAC BTL 1000ML,764.5,764.5,114.67,764.5,42
CDM,457333,CATH VASC 2.6FR 135CM,4385.5,4385.5,657.83,4385.5,42
CDM,457334,MCATH INFSN 2.6FR 150CM,4385.5,4385.5,657.83,4385.5,42
CDM,457335,SHEATH DIL 12FR 43CM,2210.0,2210.0,331.5,2210.0,42
CDM,457339,SHEATH DIL 9FR 47.5CM,11690.5,11690.5,1753.58,11690.5,42
CDM,457340,SHEATH DIL 0.145IN,11690.5,11690.5,1753.58,11690.5,42
CDM,457341,CAGE SPN 10D 23X12X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,457343,CATH BLDL 5X60MM 130CM,1351.0,1351.0,202.65,1351.0,42
CDM,457347,SCREW BN 2MM 10MM,603.0,603.0,90.45,603.0,30
CDM,457355,CONN ROD SPN 4.5X4.5X3MM,4340.0,4340.0,651.0,4340.0,30
CDM,457363,STENT VASC 6X60MM 125CM,5749.0,5749.0,862.35,5749.0,30
CDM,457371,CATH MOZC RX PTCA2.00X15,1013.5,1013.5,152.03,1013.5,42
CDM,457416,COAGULATOR SUC 3MR 10FR,134.0,134.0,20.1,134.0,42
CDM,457424,CATH BLN 10FR 22MM,3724.5,3724.5,558.67,3724.5,42
CDM,457425,CATH BLNDIL 24MM 40MM,4093.0,4093.0,613.95,4093.0,42
CDM,457426,CATH BLN 12FR 26MM 120CM,4093.0,4093.0,613.95,4093.0,42
CDM,457427,CATH BLN 2.5X220MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,457461,STENT EPRSTH 9MM 10CM,12189.0,12189.0,1828.35,12189.0,30
CDM,457466,CATH GD 5.1FR 150CM,4144.5,4144.5,621.67,4144.5,42
CDM,457467,CATH GD 5.7FR 150CM,4144.5,4144.5,621.67,4144.5,42
CDM,457468,CATH INTVN 6.5FR 150CM,4144.5,4144.5,621.67,4144.5,42
CDM,457469,GWIRE IAB .018IN 260CM,4092.5,4092.5,613.88,4092.5,42
CDM,457473,LEAD CRT PACING 88CM,5651.0,5651.0,847.65,5651.0,30
CDM,457476,CATH BLNDIL 30MM 4X120CM,4385.5,4385.5,657.83,4385.5,42
CDM,457477,CATH BLNDIL 33MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,457483,INTRO SHEATH 22FR 33CM,4093.0,4093.0,613.95,4093.0,42
CDM,457484,INTRO SHEATH 24FR 33CM,4093.0,4093.0,613.95,4093.0,42
CDM,457487,SYS ATHRCM 2.2MM 130CM,14836.5,14836.5,2225.47,14836.5,42
CDM,457490,ADAPTER DBL MALE LL,85.5,85.5,12.82,85.5,42
CDM,457492,SYSTEM PNCG TRANSCATH,35613.0,35613.0,5341.95,35613.0,30
CDM,457493,INTRCR SHTH 23FR 55.7CM,4093.0,4093.0,613.95,4093.0,42
CDM,457495,ICD DEFIB CARD 7.36CM,38633.0,38633.0,5794.95,38633.0,30
CDM,457496,INTRO SHEATH 20FR 33CM,4093.0,4093.0,613.95,4093.0,42
CDM,457497,INTRO CATH 5FR 90CM,1023.5,1023.5,153.53,1023.5,42
CDM,457499,STENT TRCHBR 7FR 9X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,457501,DILATOR SHTH 43CM 16FR,2210.0,2210.0,331.5,2210.0,42
CDM,457503,CMPNT HNG KN ROT,44277.0,44277.0,6641.55,44277.0,30
CDM,457504,SPACER TIB KN XS,5108.0,5108.0,766.2,5108.0,30
CDM,457505,SPACER SPN 55X18X8MM,17716.0,17716.0,2657.4,17716.0,30
CDM,457507,KIT VLV AOR 18FR 29MM,124963.0,124963.0,18744.45,124963.0,30
CDM,457514,GWIRE VASC .035IN 150CM,231.5,231.5,34.73,231.5,42
CDM,457518,GWIRE VASC .035IN 260CM,231.5,231.5,34.73,231.5,42
CDM,457519,ICD DEFIB CARD 7.68CM,38633.0,38633.0,5794.95,38633.0,30
CDM,457520,CATH DBC 4X60MM 75CM,6139.5,6139.5,920.92,6139.5,42
CDM,457521,CATH DBC 5X60MM 75CM,6139.5,6139.5,920.92,6139.5,42
CDM,457522,CATH DBC 6X60MM 75CM,5883.5,5883.5,882.52,5883.5,42
CDM,457524,CATH BLNDIL 9X60MM 75CM,7418.5,7418.5,1112.78,7418.5,42
CDM,457525,CATH DCB 10X40MM 75CM,8058.0,8058.0,1208.7,8058.0,42
CDM,457529,CTHGD VBT 8FX088JR4SH 90,587.5,587.5,88.13,587.5,42
CDM,457530,CTHGD VBT 8F 088 AL2 90,605.0,605.0,90.75,605.0,42
CDM,457535,CATH GD BLUYLW 90CM6F.07,630.5,630.5,94.58,630.5,42
CDM,457545,STNT TRCHBR 7FR 7X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,457546,GWIRE VASC 210CM .018IN,1105.0,1105.0,165.75,1105.0,42
CDM,457547,GWIRE VASC 300CM .018IN,1105.0,1105.0,165.75,1105.0,42
CDM,457548,OCCLUDER VAS 6X12X6.25MM,24746.5,24746.5,3711.97,24746.5,30
CDM,457550,SYSTEM DLV 5FR 60CM,4441.0,4441.0,666.15,4441.0,42
CDM,457551,SHEATH INTRO 6FR 120CM,4441.0,4441.0,666.15,4441.0,42
CDM,457552,SYS CATH DLV 6FR 80CM,4441.0,4441.0,666.15,4441.0,42
CDM,457561,CATH MICRO VASC 2F 130CM,4093.0,4093.0,613.95,4093.0,42
CDM,457564,CATH BLNDIL 2MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457565,CATH BLNDIL 2.25MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457566,CATH BLNDIL 2.5MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457567,CATH BLNDIL 2.75MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457568,CATH BLNDIL 3MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457569,CATH BLNDIL 3.25MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457570,CATH BLNDIL 3.5MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457571,CATH BLNDIL 3.75MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457572,CATH BLNDIL 4MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457573,CATH BLNDIL 4.5MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457574,CATH BLNDIL 5MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457575,CATH BLNDIL 2MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457576,CATH BLNDIL 2.25MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457577,CATH BLNDIL 2.5MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457578,CATH BLNDIL 2.75MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457579,CATH BLNDIL 3MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457580,CATH BLNDIL 3.25MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457581,CATH BLNDIL 3.5MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457582,CATH BLNDIL 3.75MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457583,CATH BLNDIL 4MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457584,CATH BLNDIL 4.5MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457585,CATH BLNDIL 5MM 8MM,773.0,773.0,115.95,773.0,42
CDM,457586,CATH ANGIO DIL 5.50X8MM,773.0,773.0,115.95,773.0,42
CDM,457587,CATH ANGIO DIL 6X8MM,773.0,773.0,115.95,773.0,42
CDM,457588,CATH BLNDIL 2MM 1MM,773.0,773.0,115.95,773.0,42
CDM,457589,CATH BLNDIL 2.25MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457590,CATH BLNDIL 2.5MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457591,CATH BLNDIL 2.75MM 6MM,773.0,773.0,115.95,773.0,42
CDM,457592,CATH BLNDIL 3MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457593,CATH BLNDIL 3.25MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457594,CATH BLNDIL 3.5MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457595,CATH BLNDIL 3.75MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457596,CATH BLNDIL 4MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457597,CATH BLNDIL 4.5MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457598,CATH BLNDIL 5MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457599,CATH BLNDIL 5.5MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457600,CATH BLNDIL 6MM 12MM,773.0,773.0,115.95,773.0,42
CDM,457601,CATH BLNDIL 2MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457602,CATH BLNDIL 2.25MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457603,CATH BLNDIL 2.5MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457604,CATH BLNDIL 2.75MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457605,CATH BLNDIL 3MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457606,CATH BLNDIL 3.25MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457607,CATH BLNDIL 3.5MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457608,CATH BLNDIL 3.75MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457609,CATH BLNDIL 4MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457610,CATH BLNDIL 4.5MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457611,CATH BLNDIL 5MM 15MM,773.0,773.0,115.95,773.0,42
CDM,457612,CATH ANGIO DIL 5.50X15MM,773.0,773.0,115.95,773.0,42
CDM,457613,CATH ANGIO DIL 6X15MM,773.0,773.0,115.95,773.0,42
CDM,457614,CATH BLNDIL 2MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457615,CATH BLNDIL 2.25MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457616,CATH BLNDIL 2.50X20MM,773.0,773.0,115.95,773.0,42
CDM,457617,CATH BLNDIL 2.75MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457618,CATH BLNDIL 3MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457619,CATH BLNDIL 3.25MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457620,CATH BLNDIL 3.5MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457621,CATH BLNDIL 3.75MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457622,CATH BLNDIL 4MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457623,CATH BLNDIL 4.5MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457624,CATH BLNDIL 5MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457625,CATH BLNDIL 5.5MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457626,CATH BLNDIL 6MM 20MM,773.0,773.0,115.95,773.0,42
CDM,457627,CATH BLNDIL 2MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457628,CATH BLNDIL 2.25MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457629,CATH BLNDIL 2.5MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457630,CATH BLNDIL 2.75MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457631,CATH BLNDIL 3MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457632,CATH BLNDIL 3.25MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457633,CATH BLNDIL 3.5MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457634,CATH BLNDIL 3.75MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457635,CATH BLNDIL 4MM 30MM,773.0,773.0,115.95,773.0,42
CDM,457717,CAGE SPN 7D 16X13X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,457724,INTERBODY SPN 7D 8X13X16,4429.0,4429.0,664.35,4429.0,30
CDM,457732,SCREW BN LCK 5MM 60MM,2485.0,2485.0,372.75,2485.0,30
CDM,457733,SCREW BN 4.5MM 8MM 46MM,285.0,285.0,42.75,285.0,30
CDM,457734,KIT FASTENER ENDO 7.5MM,3720.0,3720.0,558.0,3720.0,30
CDM,457736,PLATE BN 4HL 115MM,4429.0,4429.0,664.35,4429.0,30
CDM,457737,SCREW BN 5X42MM,2485.0,2485.0,372.75,2485.0,30
CDM,457756,SYSTEM NEG PRSS 125MMHG,4093.0,4093.0,613.95,4093.0,42
CDM,457758,NEEDLE BX 2 FLX 19GA 2MM,2177.5,2177.5,326.63,2177.5,42
CDM,457760,COMPNT TIB KN 71/75X12MM,6142.0,6142.0,921.3,6142.0,30
CDM,457766,CATHETER PH 10/PK,649.5,649.5,97.42,649.5,42
CDM,457772,COIL EMBOL 4MM 50CM,8416.0,8416.0,1262.4,8416.0,30
CDM,457778,DRESSING FOM 20X8IN,813.5,813.5,122.03,813.5,42
CDM,457779,DRESSING FOM 8X6IN,348.0,348.0,52.2,348.0,42
CDM,457784,SET BX TLAB 18GA,3520.0,3520.0,528.0,3520.0,42
CDM,457792,TUBE 20FR BLN REPL BLSTR,417.5,417.5,62.63,417.5,42
CDM,457797,SET CATH NDL GD 16FR,4093.0,4093.0,613.95,4093.0,42
CDM,457799,CATH CV 2.8X2.3F 150X5CM,5622.5,5622.5,843.38,5622.5,42
CDM,457800,TRAY BX 11G 152MM,1131.0,1131.0,169.65,1131.0,42
CDM,457801,TRAY BX 11GA 102MM,1131.0,1131.0,169.65,1131.0,42
CDM,457803,SENSOR HEMODYNAMIC SMALL,1923.5,1923.5,288.52,1923.5,42
CDM,457804,SENSOR HEMODYNAMIC LARGE,1923.5,1923.5,288.52,1923.5,42
CDM,457805,SENSOR HEMODYNAMIC MED,1923.5,1923.5,288.52,1923.5,42
CDM,457809,STENT PANC 29MM 146MM,21791.0,21791.0,3268.65,21791.0,30
CDM,457812,KIT GWIRE .018IN 60CM,773.0,773.0,115.95,773.0,42
CDM,457813,SYRINGE INFL 13IN,364.0,364.0,54.6,364.0,42
CDM,457815,IMPLANT BREAST 550CC,5094.0,5094.0,764.1,5094.0,30
CDM,457816,INSRT TIB KN STB 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,457817,SCREW SPN PDCL 8.5X10MM,3765.0,3765.0,564.75,3765.0,30
CDM,457818,BOOT ENS 37500301 PAIN,393.5,393.5,59.02,393.5,42
CDM,457819,PLATE SPN ADJ SMALL,6644.0,6644.0,996.6,6644.0,30
CDM,457820,SPACER SPN 14X12X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,457821,ENDPLATE SPN 12MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,457823,STENT BIL RX 10MM 40MM,11589.0,11589.0,1738.35,11589.0,30
CDM,457824,STENT BIL RX 10MM 60MM,11589.0,11589.0,1738.35,11589.0,30
CDM,457825,STENT BIL RX 10MM 80MM,11589.0,11589.0,1738.35,11589.0,30
CDM,457826,STENT TRCHBR 7FR 7X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,457827,SCREW SPN PLY 5.5X34MM,3389.0,3389.0,508.35,3389.0,30
CDM,457828,IMPLANT BN MNDBL SML,47991.0,47991.0,7198.65,47991.0,30
CDM,457829,NAIL BN LT 13MM 38CM,9050.0,9050.0,1357.5,9050.0,30
CDM,457830,SCREW BN HD L-T 4.5X50,3189.0,3189.0,478.35,3189.0,30
CDM,457831,SCREW BN SLEEVE,2606.0,2606.0,390.9,2606.0,30
CDM,457832,SCREW BN 5MM 72MM,2192.0,2192.0,328.8,2192.0,30
CDM,457833,OSTEOTOME CURV LAT 21MM,13046.0,13046.0,1956.9,13046.0,42
CDM,457834,OSTEMTOME STRT SZ18,13046.0,13046.0,1956.9,13046.0,42
CDM,457835,SCREW SPN POLY 5.5X44MM,3389.0,3389.0,508.35,3389.0,30
CDM,457836,CONE FEM M/L 60X41MM,21180.0,21180.0,3177.0,21180.0,30
CDM,457837,IOL ACRYLIC DLV 1PC,722.0,722.0,132.92,722.0,28
CDM,457838,SCREW SPN 4X12MM,3389.0,3389.0,508.35,3389.0,30
CDM,457839,SCREW SPNL 4.0X20MM,3389.0,3389.0,508.35,3389.0,30
CDM,457840,SCREW SPN 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,457841,ROD SPN 4.0X400MM,3012.0,3012.0,451.8,3012.0,30
CDM,457842,SCREW BN LCK 5MM 56MM,2192.0,2192.0,328.8,2192.0,30
CDM,457843,SCREW BN LCK 5MM 78MM,2192.0,2192.0,328.8,2192.0,30
CDM,457846,DRESSING BURN 60IN 90IN,185.0,185.0,27.75,185.0,42
CDM,457853,KIT MINTRDCR 5FR 10CM,255.0,255.0,38.25,255.0,42
CDM,457858,TUBING INSFL 10FT,177.0,177.0,26.55,177.0,42
CDM,457861,INTERBODY 7D 16X14X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,457862,PLATE SPN LCK COVER 9MM,1130.0,1130.0,169.5,1130.0,30
CDM,457863,INTERBODY SPN7D14X13X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,457867,INTERBODY SPN 14X13X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,457868,PLATE SPN LCKN COVER 8MM,1130.0,1130.0,169.5,1130.0,30
CDM,457880,SCREW SPN 4.0MM 34MM,3389.0,3389.0,508.35,3389.0,30
CDM,457881,CAGE TPLIF 8X20MM AUDERE,1972.0,1972.0,295.8,1972.0,30
CDM,457882,SCREW SPNL 4MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,457883,CONNCTR SPNL ROD 3.5-4MM,3012.0,3012.0,451.8,3012.0,30
CDM,457884,SCREW SPN 4 SHFT 3.5X28,3389.0,3389.0,508.35,3389.0,30
CDM,457885,CONNCTR SPNL LNG 3.5-4MM,3012.0,3012.0,451.8,3012.0,30
CDM,457886,SCREW SPN 4.0X22MM,3389.0,3389.0,508.35,3389.0,30
CDM,457887,LENS IOL +12.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,457888,SHTH NPHSTM 16-18FR 13CM,2660.5,2660.5,399.07,2660.5,42
CDM,457889,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",4651.0,4651.0,267.75,414.3,34
CDM,457889,SYSTEM URETHRAL BULKING,4651.0,4651.0,856.25,4651.0,26
CDM,457890,SCREW BN 2.7MM 48MM,2471.0,2471.0,370.65,2471.0,30
CDM,457892,SCREW BN 3.5MM 50M,590.0,590.0,88.5,590.0,30
CDM,457893,CONE TIB KN SZLG 37.5MM,26109.0,26109.0,3916.35,26109.0,30
CDM,457901,INSERT SHLDR SZ3/4 39MM,8770.0,8770.0,1315.5,8770.0,30
CDM,457905,IMPLANT BREAST 700CC,4429.0,4429.0,664.35,4429.0,30
CDM,457906,SCREW BN SPN 3D 5.5X20MM,1130.0,1130.0,169.5,1130.0,30
CDM,457908,CAGE SPN 8D 25X35X10MM,18868.0,18868.0,2830.2,18868.0,30
CDM,457909,PLATE BN 11HL 3.5X181MM,4651.0,4651.0,697.65,4651.0,30
CDM,457912,INTRO SHTH 8.5F 94CM,3453.0,3453.0,517.95,3453.0,42
CDM,457917,SCREW BN S/T 2.5X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,457926,GWIRE VASC .014IN 215CM,4093.0,4093.0,613.95,4093.0,42
CDM,457932,CONN SPN ROD RDC,3012.0,3012.0,451.8,3012.0,30
CDM,457933,SCREW SPN P-AX 4.5X18MM,3389.0,3389.0,508.35,3389.0,30
CDM,457934,SCREW BN 7.2MM 130MM,4567.0,4567.0,685.05,4567.0,30
CDM,457935,SCREW BN HDLS 4MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,457936,IMPLANT SPN 11.5MM 50MM,10630.0,10630.0,1956.98,10630.0,26
CDM,457937,IMPL SCROILIAC 9.5X40MM,10630.0,10630.0,1594.5,10630.0,30
CDM,457938,ELECTRODE ESURG MNPLR,48090.5,48090.5,7213.57,48090.5,42
CDM,457939,NEEDLE ABL 19GA 20CM,1023.5,1023.5,153.53,1023.5,42
CDM,457940,NEEDLE ABL 160CM,5116.0,5116.0,767.4,5116.0,42
CDM,457942,TRAP WRIST W/FINGER DISP,5628.0,5628.0,844.2,5628.0,42
CDM,457943,CMPNT FEM HIP SZ0,6644.0,6644.0,996.6,6644.0,30
CDM,457944,PLATE BN STRT 8HL 2MM,4429.0,4429.0,664.35,4429.0,30
CDM,457945,SCREW SPNL 2X8MM,2109.0,2109.0,316.35,2109.0,30
CDM,457949,STENT ENDO 8FR 8X135CM,11274.0,11274.0,1691.1,11274.0,30
CDM,457950,BLADE STRT OSTEOTM 50MM,5047.0,5047.0,757.05,5047.0,42
CDM,457951,BLADE FNSH OSTEOTM 50MM,5047.0,5047.0,757.05,5047.0,42
CDM,457952,ROD SPN 5.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,457953,STEM HUM SHLDR 32/10 120,11959.0,11959.0,1793.85,11959.0,30
CDM,457954,CUP HUM SHLDR 145D +9MM,4606.0,4606.0,690.9,4606.0,30
CDM,457955,SCREW BN CORT 4.5MMX18MM,1196.0,1196.0,179.4,1196.0,30
CDM,457956,SCREW BN CORT 4.5X20MM,1196.0,1196.0,179.4,1196.0,30
CDM,457959,NEEDLE ABL 19GA 20CM,1023.5,1023.5,153.53,1023.5,42
CDM,457964,GRAFT STNT 40MM 107MM,54257.0,54257.0,8138.55,54257.0,30
CDM,457965,BLADE OSTEOTOME 56MM,5047.0,5047.0,757.05,5047.0,42
CDM,457966,BLADE CUP XTRT 56MM,5047.0,5047.0,757.05,5047.0,42
CDM,457968,SCREW BN 4MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,457969,SCREW BN 4MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,457974,STEM TIB CMNTLS L 160M,6954.0,6954.0,1043.1,6954.0,30
CDM,457977,GRAFT BN DISC 10X19MM,8695.0,8695.0,1304.25,8695.0,30
CDM,457978,CMPNT FEM HIP SIZE 7,7530.0,7530.0,1129.5,7530.0,30
CDM,457979,GRAFT BN ALGRF 5MM 21MM,8681.0,8681.0,1302.15,8681.0,30
CDM,457980,GRAFT BN 8MM 19MM,8695.0,8695.0,1304.25,8695.0,30
CDM,457981,SHEATH NPHSTM 16FR 15CM,2660.5,2660.5,399.07,2660.5,42
CDM,458006,MATRIX TISS 7X10CM,5339.0,5339.0,800.85,5339.0,30
CDM,458009,DRESSING COLLAGEN 2X2IN,185.0,185.0,27.75,185.0,42
CDM,458012,DRESSING TRNS 5X7.5CM,72.5,72.5,10.88,72.5,42
CDM,458014,DRSNG FOAM 2.75X2.75IN,71.5,71.5,10.72,71.5,42
CDM,458015,DRESSING RIBBON 50X2CM,153.5,153.5,23.02,153.5,42
CDM,458023,CMPNT TIB BRG PS79/83X14,6465.0,6465.0,969.75,6465.0,30
CDM,458024,MOLD SPCR HIP CMNT11X135,11204.5,11204.5,1680.67,11204.5,42
CDM,458025,LINER ACTB HIP SZ25 36MM,5315.0,5315.0,797.25,5315.0,30
CDM,458026,HEAD FEM HIP +6MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,458027,SCREW VAR ANG 4.0X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,458028,PLATE CERVICAL 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,458029,SCREW SPN 7.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,458030,SCREW SPN PAX 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,458031,SCREW SPN LCK SET,753.0,753.0,112.95,753.0,30
CDM,458032,ROD ORTHROS MIS 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,458033,SCREW BN LAG INTRMD 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,458035,IMPLANT BREAST 770CC,5315.0,5315.0,797.25,5315.0,30
CDM,458036,STEM FEM HIP 18MM 250MM,11737.0,11737.0,1760.55,11737.0,30
CDM,458037,PLATE SPN 4LVL 71MM,4429.0,4429.0,664.35,4429.0,30
CDM,458038,STEM KN FEM SP EXT 20X80,5054.0,5054.0,758.1,5054.0,30
CDM,458040,INST ORTH KN LT,1637.0,1637.0,245.55,1637.0,42
CDM,458042,STEM FEM HIP 9MM 102.5MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458043,LINER ACTB HIP SZF 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,458044,STEM FEM HIP 14X113MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458045,CAGE LRDSIS 22X50X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,458047,SPACER SPNL 45X18X8MMD,13287.0,13287.0,1993.05,13287.0,30
CDM,458048,SCREW BN SPN UNP5.5X35MM,4247.0,4247.0,637.05,4247.0,30
CDM,458049,SCREW BN SPN UNP5.5X40MM,4247.0,4247.0,637.05,4247.0,30
CDM,458050,SCREW BN SPN UNP4.5X30MM,4247.0,4247.0,637.05,4247.0,30
CDM,458051,SCREW SPN 5.5MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,458052,SCREW SPN 5.5MM 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,458053,SCREW SPN 5.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,458054,SCREW 30 6.5 S/T BN,3012.0,3012.0,451.8,3012.0,30
CDM,458055,SCREW SPN 5.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,458056,SCREW SPN SLFTP 4.5X35MM,4247.0,4247.0,637.05,4247.0,30
CDM,458057,SCREW SPN FREBRD MP-AXL,3012.0,3012.0,451.8,3012.0,30
CDM,458058,SPACER TIB 8MM LOGIC 3 P,4606.0,4606.0,690.9,4606.0,30
CDM,458059,TIB INS IMPL CRC SZ3,4429.0,4429.0,664.35,4429.0,30
CDM,458062,SPACER SPNL 23X8MM,15059.0,15059.0,2258.85,15059.0,30
CDM,458063,CONN SPN ROD 60MM,3012.0,3012.0,451.8,3012.0,30
CDM,458064,CONNECTOR SCREW SPN 15MM,3389.0,3389.0,508.35,3389.0,30
CDM,458065,PLATE SACRAL 36MM,12047.0,12047.0,1807.05,12047.0,30
CDM,458069,SPACER SPN 30X24X13MM 15,9966.0,9966.0,1494.9,9966.0,30
CDM,458070,STEM FEM HIP HA SZ2,8858.0,8858.0,1328.7,8858.0,30
CDM,458071,NAIL BN 11X13MM 34CM,7289.0,7289.0,1093.35,7289.0,30
CDM,458072,NAIL BN CANN 10MM 360MM,6437.0,6437.0,965.55,6437.0,30
CDM,458073,PLATE BN 4.5MM 230MM,6642.0,6642.0,996.3,6642.0,30
CDM,458074,PLATE BN 6H,3189.0,3189.0,478.35,3189.0,30
CDM,458075,BIT DRILL 2.7MM,870.0,870.0,130.5,870.0,42
CDM,458076,SCREW BN 2.7MM 18MM,718.0,718.0,107.7,718.0,30
CDM,458077,SCREW BN 2.7X24MM,718.0,718.0,107.7,718.0,30
CDM,458078,SCREW BN 35MM 4MM,2631.0,2631.0,394.65,2631.0,30
CDM,458079,CUP ACTB TRIFLNG HIP66MM,40969.0,40969.0,6145.35,40969.0,30
CDM,458080,CMPNT AGMNT 2.5 12 RGT,4429.0,4429.0,664.35,4429.0,30
CDM,458081,PLATE BN RT 4HL 2.7MM,3721.0,3721.0,558.15,3721.0,30
CDM,458082,SCREW BN 2.4MM 40MM,633.0,633.0,94.95,633.0,30
CDM,458083,DRILL BIT 3.2MM,773.0,773.0,115.95,773.0,42
CDM,458084,CMPNT FEM KN RT SZ3,6644.0,6644.0,996.6,6644.0,30
CDM,458085,TRAY TIB KN 3.0F/3.0T,4606.0,4606.0,690.9,4606.0,30
CDM,458086,INSERT TIB KN SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,458087,CMPNT FEM KN SZ2.5,6644.0,6644.0,996.6,6644.0,30
CDM,458088,INSERT TIB KN 2.5F/2.5T,4606.0,4606.0,690.9,4606.0,30
CDM,458089,INSERT TIB PS SZ2.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,458090,LINER ACTB HIP SZC 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,458091,STEM FEM HIP 12MM 109MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458092,MESH SURG L10X10IN,3251.0,3251.0,487.65,3251.0,30
CDM,458093,CAGE ACTB HIP 62/64 54MM,9051.0,9051.0,1357.65,9051.0,30
CDM,458094,TRAIL HIP DISP 62/64,2820.0,2820.0,423.0,2820.0,42
CDM,458095,CAGE ACTB 62/64MM 54MM,9051.0,9051.0,1357.65,9051.0,30
CDM,458096,CAGE SPN 7D 14X7X11MM,4429.0,4429.0,664.35,4429.0,30
CDM,458097,CAGE SPN 14X11X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,458098,HIP SHELL ACTB CMNT 45MM,4606.0,4606.0,690.9,4606.0,30
CDM,458099,HIP INSERT ACTB 45X22MM,4429.0,4429.0,664.35,4429.0,30
CDM,458100,SCREW BN SPN 7.5MM 35MM,4247.0,4247.0,637.05,4247.0,30
CDM,458101,ROD SPN 5.5MM 115MM,2711.0,2711.0,406.65,2711.0,30
CDM,458102,GRAFT STNT 36MM 150MM,56651.0,56651.0,8497.65,56651.0,30
CDM,458103,BIT DRILL EXTRM ANKL 3MM,808.5,808.5,121.28,808.5,42
CDM,458104,SCREW BN 3MM 24MM,1754.0,1754.0,263.1,1754.0,30
CDM,458105,SCREW BN 3MM 26MM,1754.0,1754.0,263.1,1754.0,30
CDM,458106,STENT GRAFT 16X20X124MM,14938.0,14938.0,2240.7,14938.0,30
CDM,458107,GRAFT EVAS 10CM 10MM,50751.0,50751.0,7612.65,50751.0,30
CDM,458108,IMPLNT CRNL 100-150SQCM,66110.0,66110.0,9916.5,66110.0,30
CDM,458109,INSERT TIB SZ2 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,458110,CMPNT FEM KN LM/RL SZ2,6068.0,6068.0,910.2,6068.0,30
CDM,458111,BASEPLT TIB KN LM/RL SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,458112,IRRIGATION CLIP 26.7CM,947.0,947.0,142.05,947.0,42
CDM,458113,TRAY FEM TIBIAL DISP,793.5,793.5,119.03,793.5,42
CDM,458116,KIT SURG KN TRK STRL,1436.5,1436.5,215.47,1436.5,42
CDM,458117,BURR SURG FLUT 6MM,773.0,773.0,115.95,773.0,42
CDM,458118,TUBE IRRIG RIO SYSTEM,1023.5,1023.5,153.53,1023.5,42
CDM,458120,PLATE BN FSN LT,3189.0,3189.0,478.35,3189.0,30
CDM,458121,SCREW BN 2.1MM 12MM,319.0,319.0,47.85,319.0,30
CDM,458123,SCREW BN 2.1MM 14MM,319.0,319.0,47.85,319.0,30
CDM,458126,SCREW BN 2.1MM 10MM,319.0,319.0,47.85,319.0,30
CDM,458127,COIL EMBL 30CM 20MM,6161.0,6161.0,924.15,6161.0,30
CDM,458128,COIL EMBL 035 L30CM OD15,6161.0,6161.0,924.15,6161.0,30
CDM,458129,COIL EMBL 35D 12MMX30CM,6161.0,6161.0,924.15,6161.0,30
CDM,458130,COIL EMBL 35D 10MMX20CM,5776.0,5776.0,866.4,5776.0,30
CDM,458131,COIL EMBL 035 L20CM OD8,5776.0,5776.0,866.4,5776.0,30
CDM,458132,PLATE BN RT 7X23 2.5MM,7625.0,7625.0,1143.75,7625.0,30
CDM,458133,SCREW BN LCK 2.4MM 8MM,2327.0,2327.0,349.05,2327.0,30
CDM,458135,INS TIB KN RT 8 STD 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,458136,PIN EX FIX 12CM STAB,2284.0,2284.0,342.6,2284.0,42
CDM,458137,EXTENDER TAB EXT,386.5,386.5,57.98,386.5,42
CDM,458138,BASE TIB KN STD LT SZ4,5758.0,5758.0,863.7,5758.0,30
CDM,458139,LINER ACTB HIP +4 32X52,4429.0,4429.0,664.35,4429.0,30
CDM,458140,RING ACTB HIP 52MM,3535.0,3535.0,530.25,3535.0,30
CDM,458141,PLATE SPN LOPRO 8HL 21MM,4429.0,4429.0,664.35,4429.0,30
CDM,458142,SPACER SPNL 55X22X8MMD,13287.0,13287.0,1993.05,13287.0,30
CDM,458143,SCREW BN 2.7MM 8MM,563.0,563.0,84.45,563.0,30
CDM,458149,SCREW SPN 7.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,458150,LINER ACTB HIP 28MM,6644.0,6644.0,996.6,6644.0,30
CDM,458151,CMPNT AGMNT 4X16 DIST LT,4252.0,4252.0,637.8,4252.0,30
CDM,458152,INSERT TIB2 11IN PST STB,4429.0,4429.0,664.35,4429.0,30
CDM,458153,PLATE BN 11H 2.7-3.5X199,6037.0,6037.0,905.55,6037.0,30
CDM,458154,SCREW BN 2.7MM 22MM,836.0,836.0,125.4,836.0,30
CDM,458155,CMPNT FEM KN RT 4.5,6644.0,6644.0,996.6,6644.0,30
CDM,458156,TRAY TIB KN 4.5F/4.5,4606.0,4606.0,690.9,4606.0,30
CDM,458157,TRULIANT TIBIA IMPLANT P,4429.0,4429.0,664.35,4429.0,30
CDM,458158,ROD SPN 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458159,COVER BUR HL 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,458161,SCRW SOL CD HZN BN6X60MM,4247.0,4247.0,637.05,4247.0,30
CDM,458162,PROSTH PENL PUMP IP 18CM,30530.0,30530.0,4579.5,30530.0,30
CDM,458163,GRAFT STNT 28X16X110MM,44526.0,44526.0,6678.9,44526.0,30
CDM,458164,STEM HIP FPHIOFS10X101.5,8858.0,8858.0,1328.7,8858.0,30
CDM,458165,NAIL FEM CANN 12MM 380MM,8478.0,8478.0,1271.7,8478.0,30
CDM,458166,STEM FEM 9 STD TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
CDM,458167,GRAFT EVAS 24MM 90MM,13823.0,13823.0,2073.45,13823.0,30
CDM,458168,GRAFT EVAS 16FR 24X74MM,13823.0,13823.0,2073.45,13823.0,30
CDM,458169,MOLD SPCR KN TIB 80MM,6907.0,6907.0,1036.05,6907.0,42
CDM,458170,MOLD SPCR KN FEM 75MM,14340.5,14340.5,2151.07,14340.5,42
CDM,458171,IMPLANT BREAST 650CC,5315.0,5315.0,797.25,5315.0,30
CDM,458172,GRAFT STNT 32MM 157MM,59046.0,59046.0,8856.9,59046.0,30
CDM,458173,PLATE 39MM TI PRMD BN AN,12047.0,12047.0,1807.05,12047.0,30
CDM,458175,TRAY TIB KN SZ 4.5F/3.5T,4606.0,4606.0,690.9,4606.0,30
CDM,458177,CMNT FEM KN LT SZ4.5,6644.0,6644.0,996.6,6644.0,30
CDM,458178,CMPNT FEM KN LT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,458179,INSERT TIB KN SZ5F/4T,4606.0,4606.0,690.9,4606.0,30
CDM,458180,INSERT TIB 5 13MM KN TRU,4429.0,4429.0,664.35,4429.0,30
CDM,458181,CMPNT FEM CMNT LT SZ3.5,6644.0,6644.0,996.6,6644.0,30
CDM,458182,INSERT TIB PS SZ3.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,458183,INSERT TIB KN 3.5F/3,4606.0,4606.0,690.9,4606.0,30
CDM,458184,CMPNT FEM KN RT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,458185,INS TIB KN TRUL SZ5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,458186,CMPNT KN FEM RT SZ3.5,6644.0,6644.0,996.6,6644.0,30
CDM,458187,INSERT TIB KN 3.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,458188,STEM FEM 200MM 12MM BOW,14381.0,14381.0,2157.15,14381.0,30
CDM,458189,STEM EXT FEM KN 80X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,458190,COMPONENT FEM 4 KN RT PO,6644.0,6644.0,996.6,6644.0,30
CDM,458191,INSERT TIB KN LF 4F/3T,4606.0,4606.0,690.9,4606.0,30
CDM,458192,INSERT TIB 4 KN TRL 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,458193,CMPNT FEM KN LT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,458194,TRAY TIB KN SZ4F/4T,4606.0,4606.0,690.9,4606.0,30
CDM,458195,SPACER SPN 7D 15X13X8MM,8083.0,8083.0,1212.45,8083.0,30
CDM,458196,SCREW SPN 3.6MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,458198,PLATE BN 4H 0.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,458199,CONNECTOR SPN 5.5/6MM,3389.0,3389.0,508.35,3389.0,30
CDM,458200,INSERT TIB KN PST 1-2X21,4606.0,4606.0,690.9,4606.0,30
CDM,458201,SCREW BN SPN 3.5MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,458202,CONN SPN CROSS 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,458203,CAGE SPNL TLIF LRDTC 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,458204,SCREW BN SPN 7.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,458205,SCREW CLSD HD MDLR FRBRD,3012.0,3012.0,451.8,3012.0,30
CDM,458206,CNCTR LW PRFL 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,458207,SCREW SPN 8.5MM 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,458208,STENT EPRSTH 8X16X59MM,11274.0,11274.0,1691.1,11274.0,30
CDM,458209,STENT EPRSTH 11X16X39MM,10997.0,10997.0,1649.55,10997.0,30
CDM,458210,TRAY TIB KN 3.5F/2.5T,4606.0,4606.0,690.9,4606.0,30
CDM,458211,SCRW BN MTNRSPN3.5X40MM,4120.0,4120.0,618.0,4120.0,30
CDM,458212,PLATE BN STRNL 17MM,5548.0,5548.0,832.2,5548.0,30
CDM,458213,IMPLANT CRANIAL PEEK,47384.0,47384.0,7107.6,47384.0,30
CDM,458214,LINER ACTB SZE 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,458215,STEM FEM HIP 15MM 115MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458216,NAIL BN 11.5MM34CM,4872.0,4872.0,730.8,4872.0,30
CDM,458217,PLATE SPN 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,458218,CAGE SPN 7D 12X14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,458219,PIN FX TEMP THRU SCR HL,386.5,386.5,57.98,386.5,42
CDM,458220,EXTENSION 19X100 KSP1810,4429.0,4429.0,664.35,4429.0,30
CDM,458221,BASE TIB EVO STD LT SZ7,5758.0,5758.0,863.7,5758.0,30
CDM,458222,STEM XTN EVOL KN LT REV,14306.0,14306.0,2145.9,14306.0,30
CDM,458223,AUGMENT FEM KN 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,458224,CMPNT KN AUG 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,458225,STEM FEM KN LG,4429.0,4429.0,664.35,4429.0,30
CDM,458226,INSERT TIB KN SZ7 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,458227,PLATE SPN 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,458228,PLATE SPN 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,458229,INSERT TIB KN RT 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,458230,STEM FEM HIP 5MM 130MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458231,ROD SPN 3.5X100MM STRAT,2711.0,2711.0,406.65,2711.0,30
CDM,458232,CNCTR LAT CERV OFST 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,458234,SLEEVE CNTRNG 22F XXL,4252.0,4252.0,637.8,4252.0,30
CDM,458235,BASE TIB KN CMNT SZ5,4651.0,4651.0,697.65,4651.0,30
CDM,458236,KIT CRV SPEAR DISP,1596.5,1596.5,239.47,1596.5,42
CDM,458237,STEM HUM SHLDR 132.5D104,14508.0,14508.0,2176.2,14508.0,30
CDM,458238,CMPNT FEM KN LT SZ3,6644.0,6644.0,996.6,6644.0,30
CDM,458239,INSERT TIB KN SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,458240,IMPLANT BN STAPLE FX 25D,4766.0,4766.0,714.9,4766.0,30
CDM,458242,STENT GRAFT 16X24X93MM,16149.0,16149.0,2422.35,16149.0,30
CDM,458243,IMPLANT BREAST 580CC,5315.0,5315.0,797.25,5315.0,30
CDM,458244,SCREW 4.0MMX24MM,4247.0,4247.0,637.05,4247.0,30
CDM,458245,SCREW SPNL 4.0X26MM,4247.0,4247.0,637.05,4247.0,30
CDM,458247,GRAFT STNT 12FR 14X120MM,11535.0,11535.0,1730.25,11535.0,30
CDM,458248,HEAD UNPLR 46MM ACMTCH F,4252.0,4252.0,637.8,4252.0,30
CDM,458249,SCREW BN SPN 5MM 25MM,3389.0,3389.0,508.35,3389.0,30
CDM,458250,NAIL FEM NTRL LT 11X38,7289.0,7289.0,1093.35,7289.0,30
CDM,458251,INSERT TIB 4 H25.0MM TC3,6265.0,6265.0,939.75,6265.0,30
CDM,458252,STEM HIP FPX OFST 13X109,8858.0,8858.0,1328.7,8858.0,30
CDM,458253,SCREW BN 3.5MM 5MM 50MM,2411.0,2411.0,361.65,2411.0,30
CDM,458254,COMPNT FEM KN RT SZ2,21525.0,21525.0,3228.75,21525.0,30
CDM,458255,BLOCK AUG KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,458256,COMPNT STM EXT LGIC 4MM,4252.0,4252.0,637.8,4252.0,30
CDM,458257,STEM FEM KN 12X80MM,4606.0,4606.0,690.9,4606.0,30
CDM,458258,INS TIB2KN POST STAB17MM,4429.0,4429.0,664.35,4429.0,30
CDM,458259,SCREW RDC LCK 2 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
CDM,458260,SCREW BN SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,458261,KNEE GII NONPOR 71420116,7087.0,7087.0,1063.05,7087.0,30
CDM,458262,GRAFT EVAS 105MM 24MM,59598.0,59598.0,8939.7,59598.0,30
CDM,458263,CAGE SPNL 10X30MM,11480.0,11480.0,1722.0,11480.0,30
CDM,458264,WASHER ORTH 7X3.5X4MM,491.0,491.0,73.65,491.0,30
CDM,458265,PLT BN LCK 104X3.5MM 6HL,4429.0,4429.0,664.35,4429.0,30
CDM,458267,NAIL BN 13MM 42CM,4872.0,4872.0,730.8,4872.0,30
CDM,458268,SCREW BN 5MM 52.5MM,2073.0,2073.0,310.95,2073.0,30
CDM,458269,CAP END FEM ANTGRD 15MM,1834.0,1834.0,275.1,1834.0,30
CDM,458270,STEM FEM 20GRIT 190X18MM,9567.0,9567.0,1435.05,9567.0,30
CDM,458271,COMPONEN AGMNT SZ2.5 H1,4429.0,4429.0,664.35,4429.0,30
CDM,458272,INSERT KN TIB 2 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,458273,SHELL ACTB HIP 70MM,13166.0,13166.0,1974.9,13166.0,30
CDM,458274,INSERT TIB KN SZ3F/2T,4606.0,4606.0,690.9,4606.0,30
CDM,458275,INSERT TIB KN SZ3 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,458276,BURR SURG SHRT TMJ DMD,1441.0,1441.0,216.15,1441.0,42
CDM,458277,HOOK TI 5.5MM W5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,458278,PLATE FSN LCP WRST 112MM,8766.0,8766.0,1314.9,8766.0,30
CDM,458279,ROD SPN CONN/AXL 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,458280,PLT TI LAT MOD 6X26.5MM,10276.0,10276.0,1541.4,10276.0,30
CDM,458281,PLATE BN 4H CVR 6MM,1506.0,1506.0,225.9,1506.0,30
CDM,458282,SPACER SPN 50X18X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,458284,KIT LEAD TEST STIMULTION,1276.0,1276.0,191.4,1276.0,30
CDM,458286,CMPNT FEM KN RT SZ2.5,6644.0,6644.0,996.6,6644.0,30
CDM,458287,INSERT TIB PS SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,458288,STEM EXT LOGIC 14MMX25MM,4606.0,4606.0,690.9,4606.0,30
CDM,458290,ROD SPN 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,458291,SCREW BN SPN 3.5MM 18MM,4247.0,4247.0,637.05,4247.0,30
CDM,458292,CAGE SPN 16X8X13MM 7D,4429.0,4429.0,664.35,4429.0,30
CDM,458293,STEM KN FEM SP EXT 14X80,4606.0,4606.0,690.9,4606.0,30
CDM,458294,SHELL ACTB HIP 54MM,13166.0,13166.0,1974.9,13166.0,30
CDM,458296,INSERT ACTB HIP 53X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,458297,SHELL ACTB HIP 53MM,4606.0,4606.0,690.9,4606.0,30
CDM,458298,HEAD BIP HIP 28MM +16MM,4252.0,4252.0,637.8,4252.0,30
CDM,458300,TRAIL HIP DISP 72/74,4011.0,4011.0,601.65,4011.0,42
CDM,458301,CAGE ACTB 72/74MM 64MM,9527.0,9527.0,1429.05,9527.0,30
CDM,458302,CMPNT TIB BRG PS71/75X14,6465.0,6465.0,969.75,6465.0,30
CDM,458303,STEM FEM KN SP EXT 14X40,4606.0,4606.0,690.9,4606.0,30
CDM,458304,WEDGE AUG KN 5MM 67.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,458305,WEDGE KN AUG LO/RI67.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,458309,INTRO CATH CKFL 20F 25CM,2938.5,2938.5,440.77,2938.5,42
CDM,458310,INTRO SHTH ANSL 6FR 55CM,773.0,773.0,115.95,773.0,42
CDM,458311,GWIRE VASC .035IN 260CM,231.5,231.5,34.73,231.5,42
CDM,458312,CATH BLNDIL 10MM 135X2CM,1228.0,1228.0,184.2,1228.0,42
CDM,458313,GRAFT EVAS 20MM 90MM,13823.0,13823.0,2073.45,13823.0,30
CDM,458314,GRAFT EVAS 90MM 16MM,7114.0,7114.0,1067.1,7114.0,30
CDM,458315,GRAFT EVAS 20FR 28X124MM,41596.0,41596.0,6239.4,41596.0,30
CDM,458316,GRAFT EVAS 13MM 74MM,13823.0,13823.0,2073.45,13823.0,30
CDM,458317,GRAFT EVAS 13X13X56MM,13823.0,13823.0,2073.45,13823.0,30
CDM,458318,PLATE BN MEDIUM,35410.0,35410.0,5311.5,35410.0,30
CDM,458319,NAIL BN FEM 13MM 44CM,8105.0,8105.0,1215.75,8105.0,30
CDM,458320,CMPNT FEM KN LM/RL SZ4,6068.0,6068.0,910.2,6068.0,30
CDM,458321,BSEPLT TIB KN LM/RL SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,458322,INSERT TIB 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,458323,GRFT STNT AA 25-13X166MM,31529.0,31529.0,4729.35,31529.0,30
CDM,458324,INSERT TIB KN LT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,458325,SCREW BN OSTEO 5MMX24MM,3189.0,3189.0,478.35,3189.0,30
CDM,458326,INSERT TIB KN SZ5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,458327,INSERT TIB 4 KN STRL 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,458328,PLATE BN 6HL 2.4MM,4364.0,4364.0,654.6,4364.0,30
CDM,458329,PLATE BN 90D 2/3HL 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,458330,SCREW BN LCK 2.4 8MM,1660.0,1660.0,249.0,1660.0,30
CDM,458332,SCREW SPN 5.5X9X80MM,4120.0,4120.0,618.0,4120.0,30
CDM,458333,SCRW BN XPDM SPN 9X100MM,4120.0,4120.0,618.0,4120.0,30
CDM,458334,CMPNT FEM KN LT SZ5,18424.0,18424.0,2763.6,18424.0,30
CDM,458335,STEM FEM FLUT KN 16X150,4606.0,4606.0,690.9,4606.0,30
CDM,458337,AUG FEM KN POST SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,458338,CONE FEM TRIATH TRIT,17685.0,17685.0,2652.75,17685.0,30
CDM,458339,AUGMENT FEM LT SZ5 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,458340,INSERT TIB SZ5 19MM,7441.0,7441.0,1116.15,7441.0,30
CDM,458341,STEM HIP FP HI OFS13X109,11073.0,11073.0,1660.95,11073.0,30
CDM,458342,SCREW BN LCK 2.7MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,458343,SCREW BN LCK 2.7MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,458344,NAIL OSTBRG18/14MMX150MM,4784.0,4784.0,717.6,4784.0,30
CDM,458345,CAP FX EXTENDER TAB,386.5,386.5,57.98,386.5,42
CDM,458346,STEM HIP FPX OFST 9X99,8858.0,8858.0,1328.7,8858.0,30
CDM,458347,PLATE BN 3HL 2.7MM 79MM,4235.0,4235.0,635.25,4235.0,30
CDM,458348,INSERT TIB PS SZ3.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,458349,SCREW LOCKING AR-8933L12,1754.0,1754.0,263.1,1754.0,30
CDM,458350,SCREW BN 3.0MM 32MM,2392.0,2392.0,358.8,2392.0,30
CDM,458351,GUIDEWIRE ARTHSCP .045IN,309.5,309.5,46.42,309.5,42
CDM,458352,PIN STAB EX FIX 13CM,2284.0,2284.0,342.6,2284.0,42
CDM,458353,PIN GUIDE THRD 3.2MM 9IN,294.0,294.0,44.1,294.0,42
CDM,458354,SCREW BN 8MM 50MM,3013.0,3013.0,451.95,3013.0,30
CDM,458355,LINER ACTB 62MM 32MM LNG,6644.0,6644.0,996.6,6644.0,30
CDM,458356,STEM FEM HIP 17MM 150MM,7805.0,7805.0,1170.75,7805.0,30
CDM,458357,LINER ACTB SZE 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,458358,HEAD FEM HIP STD 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,458359,IMPLANT BREAST 520CC,5315.0,5315.0,797.25,5315.0,30
CDM,458363,SCREW BN 2.4MM 30MM SS,1660.0,1660.0,249.0,1660.0,30
CDM,458364,SCREW BN 0D 62MM 5MM,2143.0,2143.0,321.45,2143.0,30
CDM,458366,WEDGE DSTL LO/RI 70X10,4606.0,4606.0,690.9,4606.0,30
CDM,458367,STEM KN FEM SP EXT16X160,5918.0,5918.0,887.7,5918.0,30
CDM,458368,PLATE BN 4HL 24MM .4MM,1083.0,1083.0,162.45,1083.0,30
CDM,458369,PLATE BN CRNL 7H,3189.0,3189.0,478.35,3189.0,30
CDM,458370,CMPNT FEM KN RT SZ4,21525.0,21525.0,3228.75,21525.0,30
CDM,458371,STEM FEM KN 6MM,4252.0,4252.0,637.8,4252.0,30
CDM,458372,STEM KN EXT 16MMX80MM,4606.0,4606.0,690.9,4606.0,30
CDM,458373,BLOCK AUG FEM KN 4 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,458374,CMPNT STEM KN 14X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,458375,HEAD HUM 19MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,458376,INSERT TIB KN 5F/5T,4606.0,4606.0,690.9,4606.0,30
CDM,458377,INSERT TIB 5 9MM KN TRUL,4429.0,4429.0,664.35,4429.0,30
CDM,458378,ROD SPN 3.5MM 25MM,2711.0,2711.0,406.65,2711.0,30
CDM,458379,SCREW BN 50X8.5MM MLB SP,4247.0,4247.0,637.05,4247.0,30
CDM,458381,PIN STABILITY 13CM,386.5,386.5,57.98,386.5,42
CDM,458382,STEM HUM SHLDR 66MM,31079.0,31079.0,4661.85,31079.0,30
CDM,458383,HEAD HUM SHLDR 15MM 41MM,9661.0,9661.0,1449.15,9661.0,30
CDM,458384,SCREW BN 10MM,877.0,877.0,131.55,877.0,30
CDM,458385,BASE TIB EVOL STD LT SZ6,5758.0,5758.0,863.7,5758.0,30
CDM,458386,AUG FEM EVOL4POST REV4MM,4429.0,4429.0,664.35,4429.0,30
CDM,458387,SCREW SPNL RDC ILC 100MM,4247.0,4247.0,637.05,4247.0,30
CDM,458388,CAGE SPN 7D 16X7X13MM,4429.0,4429.0,664.35,4429.0,30
CDM,458389,GRAFT STNT 18FR 28-16MM,31529.0,31529.0,4729.35,31529.0,30
CDM,458390,STENT GRAFT 16X10X93MM,15822.0,15822.0,2373.3,15822.0,30
CDM,458391,SCREW SPN 6.5MM 35MM,1506.0,1506.0,225.9,1506.0,30
CDM,458392,IMPLANT SPN PLVC 7X60MM,13620.0,13620.0,2507.44,13620.0,26
CDM,458393,IMPLANT SPN PLVC 7X50MM,12047.0,12047.0,2217.85,12047.0,26
CDM,458395,IMPLANT SPN PLVC 7X35MM,12047.0,12047.0,2217.85,12047.0,26
CDM,458396,CMPNT FEM KN RM/LL SZ3,6068.0,6068.0,910.2,6068.0,30
CDM,458397,BASEPLATE TIB KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,458399,STAPLE BN 15X12X12MM,6857.0,6857.0,1028.55,6857.0,30
CDM,458401,CMPNT BEARING LT SM 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,458402,SCREW BN 4.5MM 46MM,521.0,521.0,78.15,521.0,30
CDM,458404,SCREW BN 4.5MM 40MM,388.0,388.0,58.2,388.0,30
CDM,458406,PLATE BN RT STD 4HL,3329.0,3329.0,499.35,3329.0,30
CDM,458407,CAGE SPNL 32X11X13MM,17716.0,17716.0,2657.4,17716.0,30
CDM,458408,SPACER SPNL 28X22X20MM,8858.0,8858.0,1328.7,8858.0,30
CDM,458409,HEAD FEM BIOLX 12/14-28L,4429.0,4429.0,664.35,4429.0,30
CDM,458410,SCREW BN 3.5MM 55MM,2092.0,2092.0,313.8,2092.0,30
CDM,458411,SCREW BN SPN 6.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,458412,ROD SPNL CRV NS 35X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458413,ROD SPN 30X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458414,PLATE BN 6HL 3.5MM 194MM,5966.0,5966.0,894.9,5966.0,30
CDM,458416,IMPLANT BREAST 750CC,5315.0,5315.0,797.25,5315.0,30
CDM,458417,SHELL ACTB HIP PLV 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,458418,LINER ACTB SZA 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,458419,STEM FEM HIP 99MM 7MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458420,PLATE BN MNDB 2.0-2.5MM,3876.0,3876.0,581.4,3876.0,30
CDM,458421,STEM FEM HIP 8MM 101MM,7973.0,7973.0,1195.95,7973.0,30
CDM,458422,PIN FX TEMP 15MM,386.5,386.5,57.98,386.5,42
CDM,458423,SCREW SPN 4.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,458424,SCREW RDC LCK 2 4.5X25MM,2711.0,2711.0,406.65,2711.0,30
CDM,458425,SCREW PEDICLE 8.5X100MM,2711.0,2711.0,406.65,2711.0,30
CDM,458426,SPACER SPN 33X11X8MM 0D,21924.0,21924.0,3288.6,21924.0,30
CDM,458427,SCREW SPN 5X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,458428,PLATE BN 3X3HL 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,458429,B-PLATE TIB1 KN TI NPOR,4759.0,4759.0,713.85,4759.0,30
CDM,458430,INSERT TIB EVOL MP 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,458431,STEM FEM HIP 10MM 140MM,8858.0,8858.0,1328.7,8858.0,30
CDM,458432,CMPNT BEARING LT XSM 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,458433,STEM FEM HIP 11X107.5MM,7973.0,7973.0,1195.95,7973.0,30
CDM,458434,NAIL FEM CANN 11MM 420MM,8478.0,8478.0,1271.7,8478.0,30
CDM,458436,SCREW SPN 90MM 8.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,458437,CONN SPN CROSS 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,458438,IMPLANT SPN PLVC 7X45MM,12047.0,12047.0,2217.85,12047.0,26
CDM,458439,GRAFT BN 5X1.75CM,5798.0,5798.0,869.7,5798.0,30
CDM,458440,ROD SPN PRBNT 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,458441,CROSS-CNCTR SPN 41-55MM,3012.0,3012.0,451.8,3012.0,30
CDM,458442,ROD SPN 5.5X110MM,2711.0,2711.0,406.65,2711.0,30
CDM,458443,INSERT ARTC KN 5-6 21MM,5823.0,5823.0,873.45,5823.0,30
CDM,458444,INSERT TIB PS BR87/91X10,4429.0,4429.0,664.35,4429.0,30
CDM,458445,CMPNT TIB KN RT SZF,5647.0,5647.0,847.05,5647.0,30
CDM,458446,CUP ACTB 62MM 3FLNG LT,44069.0,44069.0,6610.35,44069.0,30
CDM,458447,NAIL BN 13MM 36CM,6400.0,6400.0,960.0,6400.0,30
CDM,458448,STEM FEM KN 13MM 130MM,16063.0,16063.0,2409.45,16063.0,30
CDM,458449,CMPNT TIB KN 80MM,14453.0,14453.0,2167.95,14453.0,30
CDM,458450,BASE TIB KN LT STD SZ5,5758.0,5758.0,863.7,5758.0,30
CDM,458451,BLADE BN SGTL SAW NAR,1663.0,1663.0,249.45,1663.0,42
CDM,458452,INSERT TIB KN SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,458453,CUP ACTB HIP REV 70MM,8932.0,8932.0,1339.8,8932.0,30
CDM,458454,INSERT TIB KN SZ5-6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,458455,IMPLANT FRNTL SPHNOID LT,53086.0,53086.0,7962.9,53086.0,30
CDM,458456,SCREW BN SPN 4MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,458457,SCREW BN SPN 7.5MM 70MM,4247.0,4247.0,637.05,4247.0,30
CDM,458458,CONNCTR SPN 5/6X6X35MM,3389.0,3389.0,508.35,3389.0,30
CDM,458459,SCREW BN SPNL 7.5X60MM,4247.0,4247.0,637.05,4247.0,30
CDM,458460,SCREW BN SPNL 7.5X55MM,4247.0,4247.0,637.05,4247.0,30
CDM,458461,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,458462,SCREW BN SPNL 7.5X45MM,4247.0,4247.0,637.05,4247.0,30
CDM,458463,ROD SPNL CURVD 30X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458464,SCREW BN SPNL 6.5X60MM,4247.0,4247.0,637.05,4247.0,30
CDM,458465,ROD SPNL CURV 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,458466,CAGE SPN 32X11X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,458467,PLATE THNFLP CRNFCL 10HL,2118.0,2118.0,317.7,2118.0,30
CDM,458468,COMPONENT FEM SZ5 LT,17220.0,17220.0,2583.0,17220.0,30
CDM,458469,STEM FEM KN 14X80MM,4606.0,4606.0,690.9,4606.0,30
CDM,458470,BLOCK AUG KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,458471,BLOCK AUGMT 5.5MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,458472,WEDGE TIB MBT 2.5X10,4612.0,4612.0,691.8,4612.0,30
CDM,458473,PLATE BN 10HL 3.5X230MM,6318.0,6318.0,947.7,6318.0,30
CDM,458474,ROD SPN 55MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458475,STEM FEM HIP 12/14 SZ20,8858.0,8858.0,1328.7,8858.0,30
CDM,458476,CMPNT FEM KN RM/LL SZ4,5758.0,5758.0,863.7,5758.0,30
CDM,458477,PLATE BN 3.5MM 34MM,5972.0,5972.0,895.8,5972.0,30
CDM,458478,INSERT TIBIAL 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,458479,SCREW 100X8.5MM S/T BN,3012.0,3012.0,451.8,3012.0,30
CDM,458480,SPACER SPNL 30X10X9MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458481,STAPLE BN 12MM 12MM,8695.0,8695.0,1304.25,8695.0,30
CDM,458482,GRAFT EVAS 23X14.5M 18CM,44268.0,44268.0,6640.2,44268.0,30
CDM,458483,STNT GFT THC RLY36X250MM,28838.0,28838.0,4325.7,28838.0,30
CDM,458484,STNT GFT THC RLY38X200MM,28838.0,28838.0,4325.7,28838.0,30
CDM,458485,CAGE SPNL 50MMX18MMX8MM,19931.0,19931.0,2989.65,19931.0,30
CDM,458486,CAGE SPNL 45X18X8MM,19931.0,19931.0,2989.65,19931.0,30
CDM,458487,KIT DISPOSBL LIGHTING,2046.5,2046.5,306.98,2046.5,42
CDM,458488,SCRW BN SNPR SPN6.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,458489,SCREW SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,458490,SCRW BN SNPR SPN7.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,458491,ROD SPN 5.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,458492,SCREW SPN LCK CAP,753.0,753.0,112.95,753.0,30
CDM,458493,CONE FEM 60MM ACS G STD,17606.0,17606.0,2640.9,17606.0,30
CDM,458494,HEAD HIP TPR STD NK 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,458495,STEM FEM HIP 23MM 150MM,7805.0,7805.0,1170.75,7805.0,30
CDM,458496,PLATE BN 12H 249MM,3721.0,3721.0,558.15,3721.0,30
CDM,458497,PLATE BN 20HL 0.8MM,3721.0,3721.0,558.15,3721.0,30
CDM,458498,NAIL BN 125D 11MM 170MM,4429.0,4429.0,664.35,4429.0,30
CDM,458500,IMPLANT BREAST 650CC,5315.0,5315.0,797.25,5315.0,30
CDM,458501,STENT GRAFT 14-32X103MM,29698.0,29698.0,4454.7,29698.0,30
CDM,458502,BASEPLATE KN TIB LT SZ7,8010.0,8010.0,1201.5,8010.0,30
CDM,458503,CAGE SPN 10X10X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,458504,SCRW RDCTN LCK2 7.5X45MM,3389.0,3389.0,508.35,3389.0,30
CDM,458505,SCRW RDCTN LCK2 7.5X30MM,3389.0,3389.0,508.35,3389.0,30
CDM,458506,SCREW ORTH NLCKG 3.5X22,3189.0,3189.0,478.35,3189.0,30
CDM,458507,BIT DRL 2.7MM,386.5,386.5,57.98,386.5,42
CDM,458508,PLATE 3 SLT BETA LPS MXL,4522.0,4522.0,678.3,4522.0,30
CDM,458509,SCREW 3.5X20 NON LOCK,319.0,319.0,47.85,319.0,30
CDM,458510,SCREW BN 7MM 47.5MM,3467.0,3467.0,520.05,3467.0,30
CDM,458511,STEM HIP 132D SZ7 158MM,6201.0,6201.0,930.15,6201.0,30
CDM,458512,KIT FEM TB STRL,1023.5,1023.5,153.53,1023.5,42
CDM,458513,IMPLANT BREAST 700CC,5869.0,5869.0,880.35,5869.0,30
CDM,458514,SCREW SPN 4.0MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,458515,CAGE SPNL 32X11X9MM 6D,8858.0,8858.0,1328.7,8858.0,30
CDM,458516,TRIAL WEDGE TIB 10MM,4612.0,4612.0,691.8,4612.0,30
CDM,458517,SET SCREW SPNL LCK,942.0,942.0,141.3,942.0,30
CDM,458518,FORCEPS BIP 11.5IN,3567.0,3567.0,535.05,3567.0,42
CDM,458519,CAGE SPN 6D 22X12X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,458520,SCREW BN SPN 9.5MM 70MM,3389.0,3389.0,508.35,3389.0,30
CDM,458521,SCREW BN SPN 9.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,458527,VALVE AORTIC 27MM,16226.0,16226.0,2433.9,16226.0,30
CDM,458528,VALVE AORTIC 29MM,16226.0,16226.0,2433.9,16226.0,30
CDM,458529,VALVE AORTIC 33MM,17541.0,17541.0,2631.15,17541.0,30
CDM,458530,INTRO SHEATH 10FR 33CM,3438.0,3438.0,515.7,3438.0,42
CDM,458531,INTRO SHEATH 16FR 33CM,3438.0,3438.0,515.7,3438.0,42
CDM,458532,INTRO SHEATH 18FR 33CM,4093.0,4093.0,613.95,4093.0,42
CDM,458533,STENT BIL 8.5FR 10X40MM,10471.0,10471.0,1570.65,10471.0,30
CDM,458534,STENT BIL 8.5FR 10X60MM,10471.0,10471.0,1570.65,10471.0,30
CDM,458535,STENT BIL 8.5FR 10X80MM,10471.0,10471.0,1570.65,10471.0,30
CDM,458536,CATH ANGIO 5FR 65CM,238.0,238.0,35.7,238.0,42
CDM,458539,SCREW BN 3.5MM 22MM,1549.0,1549.0,232.35,1549.0,30
CDM,458540,BLADE BN SAW STD,1663.0,1663.0,249.45,1663.0,42
CDM,458541,STEM FEM KN 12MM 250MM,16063.0,16063.0,2409.45,16063.0,30
CDM,458545,IMPLANT BREAST 240CC,5315.0,5315.0,797.25,5315.0,30
CDM,458550,LENS IOL ANY SIZE DIOP,826.0,826.0,152.07,826.0,28
CDM,458551,SCREW BN N-LCK 2.7X20MM,1549.0,1549.0,232.35,1549.0,30
CDM,458552,INTRO SHTH 12FR 4.1MM 80,773.0,773.0,115.95,773.0,42
CDM,458553,SCREW BN XTRML 2.7X30X28,1549.0,1549.0,232.35,1549.0,30
CDM,458555,SCREW NONLK 2.7MM X 26MM,1549.0,1549.0,232.35,1549.0,30
CDM,458556,PIN CSPR DSTRCT 14MM,306.0,306.0,45.9,306.0,42
CDM,458557,SCREW BN 4.5X65MM,5980.0,5980.0,897.0,5980.0,30
CDM,458559,PROBE LTHTRP 3.9X350MM,2785.5,2785.5,417.82,2785.5,42
CDM,458563,MESH PRLN SOFT 6X6IN,3189.0,3189.0,478.35,3189.0,30
CDM,458564,MESH HRN SFT 7.6X15CM,3173.0,3173.0,475.95,3173.0,30
CDM,458570,STAPLER INT PWR 45MM,2328.0,2328.0,349.2,2328.0,42
CDM,458571,STAPLER INT CTR 45MM,2372.5,2372.5,355.88,2372.5,42
CDM,458573,TROCAR LAPSCP 12MM 100MM,1023.5,1023.5,153.53,1023.5,42
CDM,458576,GRAFT ST TIS 230MM 7.5MM,7048.0,7048.0,1057.2,7048.0,30
CDM,458581,SHEARS ESURG 23CM 5MM,1859.0,1859.0,278.85,1859.0,42
CDM,458584,LENS IOL +9.5 DIOP,826.0,826.0,152.07,826.0,28
CDM,458595,STENT URET 6FR 22CM,1429.0,1429.0,214.35,1429.0,30
CDM,458603,COIL EMBL 20CM 5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,458604,COUPLER ANSTM 1MM,3534.0,3534.0,530.1,3534.0,30
CDM,458606,GRAFT BN LARGE,20728.0,20728.0,3109.2,20728.0,30
CDM,458608,MARKER RAD SHDWRM 10CM,213.0,213.0,31.95,213.0,42
CDM,458612,CROSSLINK SPN 35MM-45MM,3389.0,3389.0,508.35,3389.0,30
CDM,458617,ELECTRODE ESURG 4.2MM 6M,1310.0,1310.0,196.5,1310.0,42
CDM,458621,LEAD DBS MEDTRONIC 40CM,12911.0,12911.0,1936.65,12911.0,30
CDM,458623,BURR SURG PRCSN RND 6MM,2000.5,2000.5,300.07,2000.5,42
CDM,458625,MARKER FID EXT 10MM,773.0,773.0,115.95,773.0,42
CDM,458626,KIT NEURO STM 40CM 4.8MM,1146.0,1146.0,171.9,1146.0,42
CDM,458629,OBTURATOR BLDLSS 8MM,459.0,459.0,68.85,459.0,42
CDM,458630,SUTURE BLK MONO 7-0 24IN,686.5,686.5,102.97,686.5,42
CDM,458631,DEVICE WNDCLS 15CM SZ2,643.5,643.5,96.53,643.5,42
CDM,458632,SUTURE CERCLAGE FBRTP,4429.0,4429.0,664.35,4429.0,30
CDM,458633,RETRCTR WND LG 9-14CM,860.0,860.0,129.0,860.0,42
CDM,458634,RETRCTR WND XLG 11-17CM,1023.5,1023.5,153.53,1023.5,42
CDM,458636,BURR RND DIAM 2MM,1023.5,1023.5,153.53,1023.5,42
CDM,458638,FILTER BONE HARVESTER,1457.0,1457.0,218.55,1457.0,42
CDM,458639,BURR SURG DMD EXT 0.7MM,1023.5,1023.5,153.53,1023.5,42
CDM,458642,KIT INSRTN SNS+ 7.5F40CC,1151.5,1151.5,172.72,1151.5,42
CDM,458643,BURR SURG 4MM RND DMND,1023.5,1023.5,153.53,1023.5,42
CDM,458646,BURR SURG RND DMD 6MM,1023.5,1023.5,153.53,1023.5,42
CDM,458647,DEVICE CLS WND +4-0 45CM,321.5,321.5,48.23,321.5,42
CDM,458648,BURR SURG RND 1MM,1023.5,1023.5,153.53,1023.5,42
CDM,458649,OBTURATOR BLDLSS 8MM,459.0,459.0,68.85,459.0,42
CDM,458650,BURR SURG 2MM 3.1MM,1023.5,1023.5,153.53,1023.5,42
CDM,458656,CAGE SPNL 14X14X30MM NGA,11939.0,11939.0,1790.85,11939.0,30
CDM,458657,ENDCAP SPN CG 0D 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,458658,STEM HIP FPX OFST 15X114,11073.0,11073.0,1660.95,11073.0,30
CDM,458659,PLATE BN 4HL,3329.0,3329.0,499.35,3329.0,30
CDM,458660,PLATE BN NAR LT 4H,3329.0,3329.0,499.35,3329.0,30
CDM,458664,PLATE BN WRST HBCP,4429.0,4429.0,664.35,4429.0,30
CDM,458665,SCREW BN 2.1MM 16MM,319.0,319.0,47.85,319.0,30
CDM,458666,COVER SCREW BN WRST 60MM,1371.0,1371.0,205.65,1371.0,30
CDM,458667,SCREW SPN 8.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,458668,STEM HUM SHLDR 10MM 70MM,10209.0,10209.0,1531.35,10209.0,30
CDM,458669,ROD SPNL PREBNT 5.5X150,2711.0,2711.0,406.65,2711.0,30
CDM,458670,NAIL TIB 11MM 345MM,7388.0,7388.0,1108.2,7388.0,30
CDM,458671,STEM FEM FLUT KN 18X100,4606.0,4606.0,690.9,4606.0,30
CDM,458673,COMPNT LT KN TTL SZ3,18424.0,18424.0,2763.6,18424.0,30
CDM,458674,AUG FEM KN LT SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,458675,WEDGE DSTL LO/RI 65X10,4606.0,4606.0,690.9,4606.0,30
CDM,458676,WEDGE DSTL KN 10MM 65MM,4606.0,4606.0,690.9,4606.0,30
CDM,458677,INSERT TIB KN 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,458678,COVER BUR HL 18MM,3189.0,3189.0,478.35,3189.0,30
CDM,458679,SCREW BN DHS/DSC 95X22,3702.0,3702.0,555.3,3702.0,30
CDM,458681,SCREW BN 12.7MM 36MM,1292.0,1292.0,193.8,1292.0,30
CDM,458682,PLATE BN 46MM 2HL,3721.0,3721.0,558.15,3721.0,30
CDM,458683,LINER ACTB DRLC +4 32X54,4429.0,4429.0,664.35,4429.0,30
CDM,458684,LINER ACTB HIP 0D 32X52,4429.0,4429.0,664.35,4429.0,30
CDM,458685,COMPNT KN FEM RT 4N,6312.0,6312.0,946.8,6312.0,30
CDM,458686,CAGE SPNL 7D 16X6X12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,458687,CAGE SPN 7D 13X18X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,458688,CAGE SPNL 16-25MM 12MM,23941.0,23941.0,3591.15,23941.0,30
CDM,458689,CAGE SPNL 24-40MM 12MM,23937.0,23937.0,3590.55,23937.0,30
CDM,458690,PLATE SPN OCCIPITAL 40MM,6644.0,6644.0,996.6,6644.0,30
CDM,458691,SCREW SPN OCPTL 12X4.5MM,1506.0,1506.0,225.9,1506.0,30
CDM,458692,SCREW BN 4.5X14MM SPN,1506.0,1506.0,225.9,1506.0,30
CDM,458693,CONN SPN SZ-LG 3.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,458694,ROD SPN PRBNT 80-200X3.5,2711.0,2711.0,406.65,2711.0,30
CDM,458695,CONN SPN STR 3.5X3.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,458696,SCREW SPN PAX 4X12MM,4247.0,4247.0,637.05,4247.0,30
CDM,458697,SCREW SPN PAX 4X14MM,4247.0,4247.0,637.05,4247.0,30
CDM,458698,SCREW BN SPNL 4.5X24MM,3765.0,3765.0,564.75,3765.0,30
CDM,458699,ROD SPNL 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,458700,STEM KN 130MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,458702,CONN ROD SPN 5.5-6MM,3012.0,3012.0,451.8,3012.0,30
CDM,458703,SET SCREW SPN LARGE,753.0,753.0,112.95,753.0,30
CDM,458704,NAIL BN FEM 12MM 170MM,4429.0,4429.0,664.35,4429.0,30
CDM,458705,SCREW BN 10.35MM 80MM,3291.0,3291.0,493.65,3291.0,30
CDM,458706,ROD SPN 3.5MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,458707,PLATE SPN 7MM,3389.0,3389.0,508.35,3389.0,30
CDM,458708,SCREW SPN 2.2MM 4MM,753.0,753.0,112.95,753.0,30
CDM,458709,PLATE SPN SHLF 7MM,3389.0,3389.0,508.35,3389.0,30
CDM,458710,SCREW 4.35MMX14MM,1506.0,1506.0,225.9,1506.0,30
CDM,458711,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,458712,SCREW SPN CREO7.5X30X5.5,3765.0,3765.0,564.75,3765.0,30
CDM,458713,SPACER SPNL 29X17MM,9523.0,9523.0,1428.45,9523.0,30
CDM,458714,CAGE SPN 7D 13X18X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,458715,CROSSLINK SPNL 40X50MM,3389.0,3389.0,508.35,3389.0,30
CDM,458716,PLATE BN 163MM 3.5MM,7544.0,7544.0,1131.6,7544.0,30
CDM,458717,IMPL CRNL LG,79266.0,79266.0,11889.9,79266.0,30
CDM,458718,ROD SPN PRE BENT 5.5X65,2711.0,2711.0,406.65,2711.0,30
CDM,458719,INSERT TIB 6 KN TRL 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,458720,ROD SPN CONN 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,458721,SCREW SET SPN LG ROD/ROD,753.0,753.0,112.95,753.0,30
CDM,458722,SCREW SPN 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,458723,SCREW SPN CANN 6.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,458724,SCREW SPN CREO 6.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,458725,CAP SPN LCKING,753.0,753.0,112.95,753.0,30
CDM,458726,ROD SPNL CRV 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,458727,SCREW SPN P-AX MIS 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,458729,CAGE EIT ALIF H 10MM 10S,9523.0,9523.0,1428.45,9523.0,30
CDM,458733,SCREW SPNL STRGH 8.5X45,3389.0,3389.0,508.35,3389.0,30
CDM,458734,NAIL BN FEM LT 10X400MM,6437.0,6437.0,965.55,6437.0,30
CDM,458735,BLADE TI HELICAL 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,458738,COMPNT FEM KN 65MM,21125.0,21125.0,3168.75,21125.0,30
CDM,458739,STEM EXTN GMRS KN 40MM,8726.0,8726.0,1308.9,8726.0,30
CDM,458740,INSERT TIB KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,458742,SCREW SPN CREO 8.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,458743,SCREW BN 8.5MM 40MM CREO,3765.0,3765.0,564.75,3765.0,30
CDM,458744,STEM FEM HIP XTND SZ11,8858.0,8858.0,1328.7,8858.0,30
CDM,458745,CMPNT PTLR KN 30X26X6.1,4252.0,4252.0,637.8,4252.0,30
CDM,458746,NAIL BN 14MM 200MM,9793.0,9793.0,1468.95,9793.0,30
CDM,458747,SCRW BN INTLK 5X42MM,3189.0,3189.0,478.35,3189.0,30
CDM,458748,CMPNT TIB BLCK 10 63/67,4606.0,4606.0,690.9,4606.0,30
CDM,458749,CMPNT TIB KN RS 63 160X9,10306.0,10306.0,1545.9,10306.0,30
CDM,458750,PLUG ANCHOR STD 16MM,4047.0,4047.0,607.05,4047.0,30
CDM,458752,STEM STD LG 800 1CMX44MM,13453.0,13453.0,2017.95,13453.0,30
CDM,458753,SLEEVE HUM CNTRG 19MM,4252.0,4252.0,637.8,4252.0,30
CDM,458754,NUT BN CMPNTRESSED,3189.0,3189.0,478.35,3189.0,30
CDM,458755,CMPNT KN DPHSL SEG 11CM,18935.0,18935.0,2840.25,18935.0,30
CDM,458756,CMPNT FEM KN RSS LT 7CM,20351.0,20351.0,3052.65,20351.0,30
CDM,458757,SLEEVE FEM/TIB TPR 5CM,4429.0,4429.0,664.35,4429.0,30
CDM,458758,CMPNT KN DPHSL PROSTHES,2088.0,2088.0,313.2,2088.0,30
CDM,458759,SCREW BN 3MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,458763,SCREW BN 3MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,458764,STENT GRAFT 16X24X124MM,16149.0,16149.0,2422.35,16149.0,30
CDM,458765,BLADE HLCL 90MM,3721.0,3721.0,558.15,3721.0,30
CDM,458766,PLATE SPN 1 LVL 24MM,11073.0,11073.0,1660.95,11073.0,30
CDM,458767,SPACER SPN STD 30X11MM,4762.0,4762.0,714.3,4762.0,30
CDM,458768,INSERT TIB KN SZ3.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,458769,INSERT TIB KN SZ3-4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,458770,SPCR SPN STD 30X12MM,4983.0,4983.0,747.45,4983.0,30
CDM,458771,CAGE SPN 7D 17X14X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,458772,CAGE SPN 7D 7X11X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,458773,SPACER SPNL 16X15MM,13527.0,13527.0,2029.05,13527.0,30
CDM,458774,NAIL FEM CANN 10MM 400MM,6312.0,6312.0,946.8,6312.0,30
CDM,458775,COMPNT GLND 52MM 56MM,4872.0,4872.0,730.8,4872.0,30
CDM,458776,PLATE TEMPUS 1LEVEL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,458777,SCREW DRILL 16X4.0MM VAR,1595.0,1595.0,239.25,1595.0,30
CDM,458778,CONN CLMSHL SPNL 5.5-5.5,3389.0,3389.0,508.35,3389.0,30
CDM,458779,NAIL BN CANN 11MM 380MM,8478.0,8478.0,1271.7,8478.0,30
CDM,458781,INSERT TIB KN 2F/3T,4606.0,4606.0,690.9,4606.0,30
CDM,458782,INSERT TIB KN SZ2 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,458784,SCREW SPNL 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,458785,CAGE SPNL 14MM 15D SM,9523.0,9523.0,1428.45,9523.0,30
CDM,458786,CONN SPN 5.5MM 38-50MM,3012.0,3012.0,451.8,3012.0,30
CDM,458787,GRAFT BN 14X26X26MM,11073.0,11073.0,1660.95,11073.0,30
CDM,458788,INSERT TIB KN SZ1-2 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,458789,STAPLE BN SPD 11X10X10IN,3756.0,3756.0,563.4,3756.0,30
CDM,458790,PLATE BN FEM RT 9H 146MM,4872.0,4872.0,730.8,4872.0,30
CDM,458792,INTRO SHEATH 26FR 33CM,4093.0,4093.0,613.95,4093.0,42
CDM,458793,STEM FEM HIP PRSFT SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,458794,JNT TOE 15X2-5.5X1.2MM,4606.0,4606.0,690.9,4606.0,30
CDM,458795,COMPNT TIB PSC 79/83X14,6465.0,6465.0,969.75,6465.0,30
CDM,458796,HEAD FEM +3MM 28MM HIP,4606.0,4606.0,690.9,4606.0,30
CDM,458797,STEM FEM 150MM 14MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458798,SCREW SPN 3.5MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,458799,SCREW SPN 3.5MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,458800,SCREW SPN 3.5MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,458801,SCREW SPN 3.5MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,458802,SCREW SPN 4MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,458803,SCREW SPN 4MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,458804,SCREW SPN 4.5MM 20MM,4247.0,4247.0,637.05,4247.0,30
CDM,458805,ROD SPN 120MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458806,CAP SPN LCKNG THRD,753.0,753.0,112.95,753.0,30
CDM,458807,SCREW ST TI X25 SPNE DRV,964.0,964.0,144.6,964.0,30
CDM,458809,SPACER SPNL 30X12MM,9523.0,9523.0,1428.45,9523.0,30
CDM,458810,SCREW BN SPNL 6.5X45MM,4247.0,4247.0,637.05,4247.0,30
CDM,458812,RETRCTR WND XXLG 17-25CM,1383.5,1383.5,207.53,1383.5,42
CDM,458813,ROD SPNL CRV NS 45X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458814,ROD SPN CRV 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,458815,SCREW BN SPNL 3.5X24MM,3765.0,3765.0,564.75,3765.0,30
CDM,458816,SCREW BN SPNL 3.5X20MM,3765.0,3765.0,564.75,3765.0,30
CDM,458817,SCREW SPN 3.5X14MM,3765.0,3765.0,564.75,3765.0,30
CDM,458818,SCREW SPN POLY 4.5X20MM,3765.0,3765.0,564.75,3765.0,30
CDM,458819,SCREW SPN 3.5MM 10MM,3765.0,3765.0,564.75,3765.0,30
CDM,458820,SCREW SPN POLY 4.5X28MM,4247.0,4247.0,637.05,4247.0,30
CDM,458821,CMPNT HUM ELB LT 5X200MM,17494.0,17494.0,2624.1,17494.0,30
CDM,458823,BIT DRILL 2.8MM,2202.0,2202.0,330.3,2202.0,42
CDM,458824,ROD SPNL 3-5.5MM ASCNT L,2711.0,2711.0,406.65,2711.0,30
CDM,458825,SCREW BN 3.6MM 12MM TI P,1130.0,1130.0,169.5,1130.0,30
CDM,458826,SPACER SPN 8D 27X9X6MM,8083.0,8083.0,1212.45,8083.0,30
CDM,458827,SCREW DRKSTR CAN6.0X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,458828,SCREW DRKSTR CAN6.0X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,458829,PLATE ORBT FLR .3X1.5,3273.0,3273.0,490.95,3273.0,30
CDM,458830,NAIL BN 10X13MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,458831,CAGE SPN 6D 6X14X17MM,4429.0,4429.0,664.35,4429.0,30
CDM,458832,SPACER SPNL 28X22X16MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458833,SCREW BN SPN 3.5MM 32MM,4247.0,4247.0,637.05,4247.0,30
CDM,458834,CONNECTOR ROD 3.2MM 3.5M,3389.0,3389.0,508.35,3389.0,30
CDM,458835,KIT DRILL REV 2MM 3.2MM,1842.0,1842.0,276.3,1842.0,42
CDM,458836,INSERT TIB SZ5 22MM,7441.0,7441.0,1116.15,7441.0,30
CDM,458837,SPACER SPN 8D 15X24X30MM,23253.0,23253.0,3487.95,23253.0,30
CDM,458838,SCREW SPN 5.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,458839,SCREW SPN 8MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,458840,CAGE SPN 7X17X14MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,458841,STEM FEM HIP 12MM 109MM,9966.0,9966.0,1494.9,9966.0,30
CDM,458842,STEM HIP FPX STD 7X94,8858.0,8858.0,1328.7,8858.0,30
CDM,458843,SCREW BN SPN 3.5MM 28MM,4247.0,4247.0,637.05,4247.0,30
CDM,458844,ROD STR 5.5X300,2711.0,2711.0,406.65,2711.0,30
CDM,458845,SCREW SPN VAR 6X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,458846,PLATE SPN SACRUM 26MM,11073.0,11073.0,1660.95,11073.0,30
CDM,458847,PLATE SPN SACRUM 22MM,11073.0,11073.0,1660.95,11073.0,30
CDM,458848,CAGE SPNL 33X13MM 8D,9966.0,9966.0,1494.9,9966.0,30
CDM,458849,COMPNT GLND SHLDR 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,458850,BDY HUM SMR RVRVS TI LCK,10719.0,10719.0,1607.85,10719.0,30
CDM,458851,LINER HUM SHLDR 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,458852,HUM REV BDYEXT SHLDR SMR,4606.0,4606.0,690.9,4606.0,30
CDM,458853,CMPNT FEM KN LT SZ5N,6312.0,6312.0,946.8,6312.0,30
CDM,458854,BASEPLATE TIB KN SZ6,4651.0,4651.0,697.65,4651.0,30
CDM,458856,STEM SHLDR 80MM 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,458857,COMPNT HUM SHLDR SMR,10891.0,10891.0,1633.65,10891.0,30
CDM,458858,CMPNT GLND STD,8416.0,8416.0,1262.4,8416.0,30
CDM,458860,STEM SHLDR FIN 20MM SMR,4606.0,4606.0,690.9,4606.0,30
CDM,458861,LINER REV SHO 6X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,458862,SCREW LCK STRDR 4X3.3X40,1658.0,1658.0,248.7,1658.0,30
CDM,458863,LINER ACTB HIP PNCL +4,6644.0,6644.0,996.6,6644.0,30
CDM,458864,SCREW SPNL STRGH 6.5X45,3389.0,3389.0,508.35,3389.0,30
CDM,458865,SCREW SPNL STRGH 6.5X50,3389.0,3389.0,508.35,3389.0,30
CDM,458866,ROD SPN STRGH 5.5X110MM,2711.0,2711.0,406.65,2711.0,30
CDM,458867,ROD SPN PRE BENT 5.5X120,2711.0,2711.0,406.65,2711.0,30
CDM,458868,SCREW BN SPN 7.5MM 70MM,4247.0,4247.0,637.05,4247.0,30
CDM,458869,SPACER SPN 14MM 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,458870,PLATE BN 2LVL 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,458871,SCREW SPN 4.2MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,458872,SCREW SPN 4.2MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,458874,SET SPN PDCL ACCESS,2857.0,2857.0,428.55,2857.0,42
CDM,458875,SCALPEL BYNT ANLOTMY,1023.5,1023.5,153.53,1023.5,42
CDM,458876,SCREW SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,458877,SCREW SPN 6.5X45MM,3690.0,3690.0,553.5,3690.0,30
CDM,458878,ROD SPN 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458879,SCREW SPN 5.5MM,753.0,753.0,112.95,753.0,30
CDM,458880,SCREW BN RELINE MAS SPNE,3012.0,3012.0,451.8,3012.0,30
CDM,458881,WEDGE KN BLCK POST67.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,458882,PLATE BN 104 SS 3.5 SCR8,3442.0,3442.0,516.3,3442.0,30
CDM,458883,WEDGE KN BLCK POST57.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,458884,CMPNT TIB TRAY ML63XAP41,7888.0,7888.0,1183.2,7888.0,30
CDM,458885,CMPNT TIB BRG PS71/75X18,6465.0,6465.0,969.75,6465.0,30
CDM,458886,PLATE BN 12HL 3.5X271MM,8058.0,8058.0,1208.7,8058.0,30
CDM,458888,STEM FEM PRSFT 3 12/14,8858.0,8858.0,1328.7,8858.0,30
CDM,458889,SCREW HEAD MET MINI SZ11,9080.0,9080.0,1362.0,9080.0,30
CDM,458891,GRAFT BN DBM PTTY 20CC,6201.0,6201.0,930.15,6201.0,30
CDM,458892,COMP TIB AUG 59MM MED LT,11201.0,11201.0,1680.15,11201.0,30
CDM,458893,PLATE ANG RT MNDB 7X23MM,20502.0,20502.0,3075.3,20502.0,30
CDM,458894,SPACER SPN 8D 13X24X30MM,23253.0,23253.0,3487.95,23253.0,30
CDM,458895,SCREW SPN 5.5MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,458896,IMPLANT BREAST 695CC,5315.0,5315.0,797.25,5315.0,30
CDM,458897,SCREW BN CORT 2.7X14MM,1834.0,1834.0,275.1,1834.0,30
CDM,458898,CMPNT RADL WRIST LT SZLG,17041.0,17041.0,2556.15,17041.0,30
CDM,458899,PLATE BN 2.7MM 85MM,4907.0,4907.0,736.05,4907.0,30
CDM,45890,MESH HRN POLY 3X6IN,888.0,888.0,133.2,888.0,30
CDM,458900,PLATE BN 69MM 2.7/3.5MM,4758.0,4758.0,713.7,4758.0,30
CDM,458901,SCREW CANC CANN 4X44MM,3189.0,3189.0,478.35,3189.0,30
CDM,458902,KWIRE FX 4IN .045IN,446.5,446.5,66.97,446.5,42
CDM,458903,BIT DRILL 3.0MM 4MM,1354.0,1354.0,203.1,1354.0,42
CDM,458904,DRIVER SHRT HDLS 3-4MM,1303.5,1303.5,195.53,1303.5,42
CDM,458906,CMPNT FEM KN LM/RL SZ3,6068.0,6068.0,910.2,6068.0,30
CDM,458907,BASEPLATE TIB SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,458909,SCREW SPN 4.5MMX14MM,1130.0,1130.0,169.5,1130.0,30
CDM,458910,ROD SPN STRGH 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
CDM,458911,ROD SPN STRGH 5.5X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,458912,SCREW SPNL STR 5.5X45MM,3389.0,3389.0,508.35,3389.0,30
CDM,458915,ROD PRCRVD TI LONG 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,458916,ROD SPN PRE BENT 5.5X80,2870.0,2870.0,430.5,2870.0,30
CDM,458917,SCREW SPN ELLIPSE 3.5X22,3765.0,3765.0,564.75,3765.0,30
CDM,458918,ROD SPN CRV 75MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,458919,ROD SPNL CRVD 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,458920,CAGE SPN 6D 6X12X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,458921,PLATE BN 3.5MM 6HL,8309.0,8309.0,1246.35,8309.0,30
CDM,458922,PLATE 118MM SS 2.7MM6H,4150.0,4150.0,622.5,4150.0,30
CDM,458923,SCREW BN 3.5MM 18MM,658.0,658.0,98.7,658.0,30
CDM,458924,SCREW BN 3.5X36MM,658.0,658.0,98.7,658.0,30
CDM,458925,SCREW BN 3MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,458926,SCREW BN 4MM 40MM ORTH C,3189.0,3189.0,478.35,3189.0,30
CDM,458927,GWIRE DBL TROCAR .45X6IN,446.5,446.5,66.97,446.5,42
CDM,458928,BIT DRILL CANN 2.3MM,1705.0,1705.0,255.75,1705.0,42
CDM,458929,NAIL BN TIB 10MM 24CM,5311.0,5311.0,796.65,5311.0,30
CDM,458930,GWIRE ORTH SURG 1.1MM,232.0,232.0,34.8,232.0,42
CDM,458931,SCREW BN P-T 3X28MM,2392.0,2392.0,358.8,2392.0,30
CDM,458932,SCREW BN 3MM 10MM,1754.0,1754.0,263.1,1754.0,30
CDM,458933,SCREW BN 2.4MM 12MM,1754.0,1754.0,263.1,1754.0,30
CDM,458934,SCREW BN 3.5MM 56MM,1754.0,1754.0,263.1,1754.0,30
CDM,458935,PLATE BN 5HL 2.4MM,4309.0,4309.0,646.35,4309.0,30
CDM,458936,SCREW BN 2.4MM 18MM,1754.0,1754.0,263.1,1754.0,30
CDM,458937,PLATE LOW PROF 2.4MM 4,4309.0,4309.0,646.35,4309.0,30
CDM,458938,SCREW BN 2.4MM 14MM,1754.0,1754.0,263.1,1754.0,30
CDM,458939,SCREW LOW PROF 2.4X14MM,1993.0,1993.0,298.95,1993.0,30
CDM,458940,IMPLANT BREAST 560CC,5315.0,5315.0,797.25,5315.0,30
CDM,458941,IMPLANT BREAST 605CC,5315.0,5315.0,797.25,5315.0,30
CDM,458942,GRAFT STNT 36-16MM 166MM,32106.0,32106.0,4815.9,32106.0,30
CDM,458943,GRFT STNT AA 14-36X103MM,29698.0,29698.0,4454.7,29698.0,30
CDM,458944,ANCHOR SUT BLK/WHT 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,458946,STEM FEM KN STD 8X10MM,7973.0,7973.0,1195.95,7973.0,30
CDM,458947,STEM XTN FEM KN 145MM,4606.0,4606.0,690.9,4606.0,30
CDM,458948,INSERT KN SZC 17MM,7858.0,7858.0,1178.7,7858.0,30
CDM,458949,CMPNT TIB KN SZ1 56X41MM,17798.0,17798.0,2669.7,17798.0,30
CDM,458950,IMPLANT ANCHOR FIXATION,9278.0,9278.0,1391.7,9278.0,30
CDM,458951,STEM FEM HIP 10MM 105MM,7973.0,7973.0,1195.95,7973.0,30
CDM,458952,INSERT TIB KN SZ8 8MM,4428.0,4428.0,664.2,4428.0,30
CDM,458953,SCREW SPN 4.5MM 15MM,1506.0,1506.0,225.9,1506.0,30
CDM,458954,CAGE SPN 14X17X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,458955,CAGE SPN CERV 14X17X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,458956,CAGE SPN CERV 14X17X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,458957,PLUG SPN TALON FLAT LCK,753.0,753.0,112.95,753.0,30
CDM,458958,IMPLANT BREAST 545CC,5315.0,5315.0,797.25,5315.0,30
CDM,458959,CLIP IRRIGATION RIO SYS,1023.5,1023.5,153.53,1023.5,42
CDM,458960,CMPNT FEM KN RM/LL SZ8,6068.0,6068.0,910.2,6068.0,30
CDM,458961,BSPLT TIB KN RM/LL SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,458963,INSERT TIB PS SZ3.5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,458964,INSERT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,458965,COMPONENT FEM KN SZ2,6644.0,6644.0,996.6,6644.0,30
CDM,458966,INSERT TIB KN SZ2 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,458967,SCREW SPN 5.5X9X90MM,3765.0,3765.0,564.75,3765.0,30
CDM,458968,SCREW SPN 5.5X8X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,458969,SPNL SCREW 8MM 70MM,3765.0,3765.0,564.75,3765.0,30
CDM,458970,BASEPLATE TIB KN LT SZ8,7609.0,7609.0,1141.35,7609.0,30
CDM,458971,CMPNT KN LT CNSTR SZ8,17394.0,17394.0,2609.1,17394.0,30
CDM,458972,WEDGE TIB KN SHRT 20MM,11992.0,11992.0,1798.8,11992.0,30
CDM,458973,STEM HUM SHLDR 8MM 70MM,10209.0,10209.0,1531.35,10209.0,30
CDM,458974,GRAFT EVAS 16F 56X20X6MM,13823.0,13823.0,2073.45,13823.0,30
CDM,458975,SHELL ACTB HIP 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,458976,LINER ACTB HIP 32MM 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,458977,SCREW BN CPTR P-T 4X50MM,3189.0,3189.0,478.35,3189.0,30
CDM,458978,TRAY TIB REV SZ2 25MM,20870.0,20870.0,3130.5,20870.0,30
CDM,458979,CUP ACTB TRIFLNG 66MM RT,40969.0,40969.0,6145.35,40969.0,30
CDM,458980,STENT TRCHBR 7FR 6X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,458982,PLATE BN CRV 14HL 289MM,3765.0,3765.0,564.75,3765.0,30
CDM,458983,STEM FEM HIP 23X190MM,8699.0,8699.0,1304.85,8699.0,30
CDM,458984,STEM FEM HIP SZ3 200MM,13147.0,13147.0,1972.05,13147.0,30
CDM,458985,INSERT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,458986,STEM FEM KN 125X14MM,17938.0,17938.0,2690.7,17938.0,30
CDM,458987,INSERT TIB PS SZ2.5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,458988,STEM KN FEM SP EXT 17X80,4802.0,4802.0,720.3,4802.0,30
CDM,458989,CMPNT TIB KN 71/75X20MM,6465.0,6465.0,969.75,6465.0,30
CDM,458990,SCREW BN 3.5X42 2.7MM,319.0,319.0,47.85,319.0,30
CDM,458991,SCREW BN 3.5X46 2.7MM,319.0,319.0,47.85,319.0,30
CDM,458992,CUP ACTB TRIFLNG 62MM LT,44069.0,44069.0,6610.35,44069.0,30
CDM,458993,CMPNT AGMNT 3X16 DIS LT,4429.0,4429.0,664.35,4429.0,30
CDM,458994,KIT INST GUIDE PIN 2.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,458995,INS NET CMPR MOLDED,4429.0,4429.0,664.35,4429.0,30
CDM,458996,WEDGE DSTL LO/RI 72.5X10,4606.0,4606.0,690.9,4606.0,30
CDM,458997,CMPNT KN AUGM OFST 7.5,4429.0,4429.0,664.35,4429.0,30
CDM,458998,STEM FEM KN 16MM 220MM,4606.0,4606.0,690.9,4606.0,30
CDM,458999,STEM FEM KN 14MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,459000,IMPLANT BREAST 310CC,5869.0,5869.0,880.35,5869.0,30
CDM,459002,SCREW BN 5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,459003,SCREW BN 5MM 18MM,3084.0,3084.0,462.6,3084.0,30
CDM,459004,FORCEPS ESURG BIP STR,3567.0,3567.0,535.05,3567.0,42
CDM,459005,PLATE SPN 1LVL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,459006,PLATE SPN CERV 1LVL 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,459007,PLATE SPN CERV 1LVL 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,459008,ADAPTOR SGM FEM 7D,5214.0,5214.0,782.1,5214.0,30
CDM,459009,PLATE SPN CERV 2LVL 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,459010,STEM LNG SLT 12X150,4606.0,4606.0,690.9,4606.0,30
CDM,459011,SPACER SPN 11X11X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,459012,SPACER SPN 11X11X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,459013,INSERT TIB 5 12MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,459014,IPG NRSTM 57.1MM 47.2MM,74541.0,74541.0,11181.15,74541.0,30
CDM,459016,SYSTEM PROGRAMR CHARGING,8441.5,8441.5,1266.22,8441.5,42
CDM,459017,SPACER SPN 14MM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,459018,PLATE SPN 2LVL 24MM,4429.0,4429.0,664.35,4429.0,30
CDM,459019,SCREW BN 5.5MM 60MM,2790.0,2790.0,418.5,2790.0,30
CDM,459020,PLATE BN T 3+7H 2.0MM,3547.0,3547.0,532.05,3547.0,30
CDM,459029,CANNULA INNR SIZE 4,55.5,55.5,8.32,55.5,42
CDM,45903,MESH HRN PML12X12,2230.0,2230.0,334.5,2230.0,30
CDM,459044,CATH BLNDIL 6MM 75X4CM,1351.0,1351.0,202.65,1351.0,42
CDM,459047,CATH BLNDL 6FR 7MM 75CM,1351.0,1351.0,202.65,1351.0,42
CDM,459050,CATH BLNDL 8MM 75X4CM,1351.0,1351.0,202.65,1351.0,42
CDM,459053,CATH BLN 9MM 40MM 75CM,1351.0,1351.0,202.65,1351.0,42
CDM,459055,CATH BLNDL 10X40MM 75CM,1351.0,1351.0,202.65,1351.0,42
CDM,459059,CATH BLNDIL 7F 12X80X4,2144.5,2144.5,321.68,2144.5,42
CDM,459061,CATH BLNDL 14X40MM 80CM,2144.5,2144.5,321.68,2144.5,42
CDM,459063,CATH ANGIO 16MM 4CM 80CM,2144.5,2144.5,321.68,2144.5,42
CDM,459065,CATH BLN ANGIO 40MM 80CM,2144.5,2144.5,321.68,2144.5,42
CDM,459066,CATH BLNDL 4X20MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459067,CATH BLNDL 4X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459069,CATH BLNDL 5X20MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459070,CATH BLNDL 5X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459073,CATH BLNDL 6X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459074,CATH BLNDL 6X60MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459075,CATH BLNDL 7X20MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459076,CATH BLNDL 7X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459077,CATH BLNDL 7X60MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459078,CATH BLNDL 8X20MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459079,CATH BLNDL 8X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459080,CATH BLNDL 8X60MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459081,CATH BLNDL 9X20MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459082,CATH BLNDL 9X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459083,CATH BLNDL 9X60MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459084,CATH BLDL 10X20MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459085,CATH BLDL 10X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459086,CATH BLDL 10X60MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459087,CATH BLDL 12X20MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459088,CATH BLDL 12X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,459090,CATH GLIDE 14.5FR 19CM,3011.5,3011.5,451.73,3011.5,42
CDM,459091,CATH HEMO 14.5F 23CM,2251.0,2251.0,337.65,2251.0,42
CDM,459092,CATH HEMO 14.5F 27CM,2251.0,2251.0,337.65,2251.0,42
CDM,459094,CATH HEMO 14.5F 39CM,3011.5,3011.5,451.73,3011.5,42
CDM,459095,CATH HMDIAL 14.5FR 47CM,2251.0,2251.0,337.65,2251.0,42
CDM,459096,CATH HMDIAL 14.5FR 50CM,2251.0,2251.0,337.65,2251.0,42
CDM,459097,CATH HMDIL 20CM 14.5-15F,2087.5,2087.5,313.13,2087.5,42
CDM,459098,KIT HMDIAL 14.5FR 24CM,3011.5,3011.5,451.73,3011.5,42
CDM,459105,NEEDLE BX 18GA 15CM,231.5,231.5,34.73,231.5,42
CDM,459106,NEEDLE BX 18G 20CM,231.5,231.5,34.73,231.5,42
CDM,459127,CATH BLNDIL 4X30X135,1269.0,1269.0,190.35,1269.0,42
CDM,459128,CATH BLNDIL 4X20X135,1269.0,1269.0,190.35,1269.0,42
CDM,459130,CATH BLNDIL 6X20X135,1269.0,1269.0,190.35,1269.0,42
CDM,459131,CATH BLNDIL 6X30X135,1269.0,1269.0,190.35,1269.0,42
CDM,459132,CATH BLNDIL 6X40X 135,1269.0,1269.0,190.35,1269.0,42
CDM,459134,CATH BLNDIL 5X30X135,1269.0,1269.0,190.35,1269.0,42
CDM,459136,STENT VASC 6X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459137,STENT VASC 6X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459138,STENT VASC 6X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459139,STENT VASC 6X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459140,STENT VASC 7X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459141,STENT VASC 7X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459142,STENT VASC 7X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459143,STENT VASC 7X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459144,STENT VASC 8X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459145,STENT VASC 8X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459146,STENT VASC 8X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459147,STENT VASC 8X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459148,STENT VASC 9X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459149,STENT VASC 9X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459150,STENT VASC 9X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459151,STENT VASC 9X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459152,STENT VSC 10X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459153,STENT VSC 10X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459154,STENT VSC 10X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459155,STENT VSC 10X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
CDM,459164,CATH BLNDIL 2X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459165,CATH BLNDIL 2X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459166,CATH BLNDL 2X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459167,CATH BLNDIL 2X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459168,CATH BLNDL 2X200MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459169,CATH BLDL 2.5X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459170,CATH BLN 2.5X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459171,CATH BLN 2.5X200MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459172,CATH BLNDIL 3X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459173,CATH BLNDIL 3X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459174,CATH BLNDL 3X150MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459175,CATH BLNDL 3X200MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459176,CATH BLNDIL 4X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459177,CATH BLNDL 4X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459178,CATH BLNDL 4X200MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459179,CATH BLNDL 5X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459180,CATH BLNDL 5X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459181,CATH BLNDL 5X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459182,CATH BLNDL 5X150MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459183,CATH BLN 5.5X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459184,CATH BLN 5.5X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459185,CATH BLN 5.5X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459187,CATH BLNDIL 6X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459188,CATH BLNDIL 6X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459189,CATH BLNDL 6X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459190,CATH BLNDL 6X150MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459193,CATH BLNDIL 2X80MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459194,CATH BLNDIL 2X120MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459195,CATH BLNDIL 2X200MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459196,CATH BLN 2.5X80MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459197,CATH BLN 2.5X120MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459198,CATH BLN 2.5X200MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459199,CATH BLNDIL3X80MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459200,CATH BLNDIL3X420MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459201,CATH BLNDIL3X200MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459202,CATH BLN 4X80MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459203,CATH BLNDIL4X120MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459204,CATH BLN 4X200MM 90CM,1923.5,1923.5,288.52,1923.5,42
CDM,459210,JOINT HUM ELBW 2.5X84MM,18609.0,18609.0,2791.35,18609.0,30
CDM,459219,CATH BLNDIL1.5X80MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,459221,CATH BLNDIL2X80MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,459222,CATH BLNDIL2X120MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,459224,CATH BLNDL 2.5X8MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459225,CATH BLN 2.5X120MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,459227,CATH BLNDIL 3X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459228,CATH BLNDL 3X120MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,459230,CATH BLNDIL 4X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459231,CATH BLN DL4X120MM 150CM,1923.5,1923.5,288.52,1923.5,42
CDM,459243,CATH BLNDL 4X200MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,459244,CATH BLNDL 5X200MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,459245,CATH BLNDL 6X200MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,459246,CATH BLNDL 7X200MM 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,459247,CATH BLNDIL 4X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459248,CATH BLNDIL 4X40MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459249,CATH BLNDIL 4X60MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459250,CATH BLNDIL 4X80MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459251,CATH BLNDL 4X120MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459252,CATH BLNDIL 5X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459253,CATH BLNDIL 6X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459254,CATH BLNDIL 7X20MM 135CM,972.5,972.5,145.88,972.5,42
CDM,459255,CATH BLNDIL 9X20MM 135CM,972.5,972.5,145.88,972.5,42
CDM,459256,CATH BLNDL 10X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459257,CATH BLNDL 12X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459258,CATH BLNDL 14X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459259,CATH BLNDL 14X40MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459260,CATH BLNDL 14X60MM 135CM,972.5,972.5,145.88,972.5,42
CDM,459261,CATH BLNDL 14X80MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459262,CATH BLNDIL 5X40MM 135CM,972.5,972.5,145.88,972.5,42
CDM,459263,CATH BLNDIL 5X60MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459264,CATH BLNDIL 5X80MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459265,CATH BLNDL 5X100MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459266,CATH BLNDIL 6X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459267,CATH BLNDIL 6X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459268,CATH BLNDIL 6X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459269,CATH BLNDL 6X100MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459271,CATH BLNDIL 7X40MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459272,CATH BLNDIL 7X60MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459273,CATH BLNDIL 7X80MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459274,CATH BLNDL 7X100MM 135CM,972.5,972.5,145.88,972.5,42
CDM,459275,CATH BLNDIL 8X20MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459276,CATH BLNDIL 8X40MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459277,CATH BLNDIL 8X60MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459278,CATH BLNDIL 8X80MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459279,CATH BLNDIL 9X40MM 135CM,972.5,972.5,145.88,972.5,42
CDM,459280,CATH BLNDIL 9X60MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459281,CATH BLNDIL 9X80MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459282,CATH BLNDL 10X40MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459283,CATH BLNDL 10X60MM 135CM,972.5,972.5,145.88,972.5,42
CDM,459284,CATH BLNDL 10X80MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459285,CATH BLNDL 12X40MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459286,CATH BLNDL 12X60MM 135CM,949.0,949.0,142.35,949.0,42
CDM,459287,CATH BLNDL 12X80MM 135CM,972.5,972.5,145.88,972.5,42
CDM,459288,CATH BLNDIL 4X20MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459289,CATH BLNDIL 4X40MM 80CM,972.5,972.5,145.88,972.5,42
CDM,459290,CATH BLNDIL 4X80MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459291,CATH BLNDIL 4X20MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459292,CATH BLNDIL 4X40MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459293,CATH BLNDIL 4X80MM 80CM,972.5,972.5,145.88,972.5,42
CDM,459294,CATH BLNDIL 6X20MM 80CM,972.5,972.5,145.88,972.5,42
CDM,459295,CATH BLNDIL 6X40MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459296,CATH BLNDL 6X2/80MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459297,CATH BLNDIL 7X20MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459298,CATH BLNDIL 7X40MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459299,CATH BLNDL 7X80MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459300,CATH BLNDIL 8X20MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459301,CATH BLNDIL 8X40MM 80CM,949.0,949.0,142.35,949.0,42
CDM,459309,CATH BLNDIL 5X40MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,459310,CATH BLNDIL 5X60MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,459311,CATH BLNDIL 5X100MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,459312,CATH BLNDIL 5.5X40MM90CM,1351.0,1351.0,202.65,1351.0,42
CDM,459313,CATH BLDL 5.5X80MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,459314,CATH BLNDIL5.5X100MM90CM,1351.0,1351.0,202.65,1351.0,42
CDM,459316,STENT VASC 4.5X60MM,5383.0,5383.0,807.45,5383.0,30
CDM,459317,STENT VASC 4.5X100MM,5383.0,5383.0,807.45,5383.0,30
CDM,459318,STENT VASC 4.5X120MM,5383.0,5383.0,807.45,5383.0,30
CDM,459319,STENT VASC 5X20MM,5383.0,5383.0,807.45,5383.0,30
CDM,459320,STENT VASC 5X40MM,5383.0,5383.0,807.45,5383.0,30
CDM,459323,STENT VASC 6MM 40MM,5383.0,5383.0,807.45,5383.0,30
CDM,459324,STENT VASC 6MM 80MM,5383.0,5383.0,807.45,5383.0,30
CDM,459325,STENT VASC 6X100MM,5383.0,5383.0,807.45,5383.0,30
CDM,459328,STENT VASC 6.5MM 80MM,5383.0,5383.0,807.45,5383.0,30
CDM,459329,STENT VASC 6.5X120MM,5383.0,5383.0,807.45,5383.0,30
CDM,459330,STENT VASC 6.5MM 150MM,5383.0,5383.0,807.45,5383.0,30
CDM,459379,CATH BLN 10X100MM 130CM,819.0,819.0,122.85,819.0,42
CDM,459442,MARKER SITE 18GA 100CM,1212.0,1212.0,181.8,1212.0,30
CDM,459443,MARKER DIAG 18GA 100CM,847.0,847.0,127.05,847.0,30
CDM,459446,SCREW SPN 4.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,459447,PLATE COVER SPN 6-9MM,1130.0,1130.0,169.5,1130.0,30
CDM,459451,CATH BLNDIL 4X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459452,CATH BLNDIL 3X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459453,CATH BLN 2.5X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459454,CATH BLN 2.5X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459455,CATH BLNDIL2X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459456,CATH BLNDIL2X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,459457,CATH BLNDIL1.5X20MM 90CM,1351.0,1351.0,202.65,1351.0,42
CDM,459459,ROD SPN CURV 5.5CCM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,459460,ROD SPN 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,459463,LEAD TEST NEUR STIM EVAL,638.0,638.0,95.7,638.0,30
CDM,459468,TUBE BLN REPL GSTRM 22FR,417.5,417.5,62.63,417.5,42
CDM,459469,TUBE 24FR STR REPL GSTRM,417.5,417.5,62.63,417.5,42
CDM,459471,STEM FEM HIP 16MM 200MM,9977.0,9977.0,1496.55,9977.0,30
CDM,459472,TOOL PCMKR EPCRD LEAD,4385.5,4385.5,657.83,4385.5,42
CDM,459473,HEAD FEM HIP SZ40/+7 XL,4606.0,4606.0,690.9,4606.0,30
CDM,459474,NAIL BN FEM 130D 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,459475,KWIRE FX 1.4MM 150MM,479.0,479.0,71.85,479.0,42
CDM,459477,SCREW CANN 4X48MM,3277.0,3277.0,491.55,3277.0,30
CDM,459478,CMPNT KN FEM LT 65MM,20626.0,20626.0,3093.9,20626.0,30
CDM,459479,WEDGE KN AUG LO/RI 65X5,4606.0,4606.0,690.9,4606.0,30
CDM,459480,WEDGE KN BLCK POST 65X5,4606.0,4606.0,690.9,4606.0,30
CDM,459481,STEM KN FEM SP EXT 15X80,4802.0,4802.0,720.3,4802.0,30
CDM,459482,CMPNT TIB BRG PS63/67X16,6465.0,6465.0,969.75,6465.0,30
CDM,459483,CMPNT ELB 3.5MM 84MM,18086.0,18086.0,2712.9,18086.0,30
CDM,459484,STEM FEM HIP SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,459485,STEM FEM PRSFIT 11MM STD,9966.0,9966.0,1494.9,9966.0,30
CDM,459486,WEDGE TIB KN 5DX10P SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,459487,RELOAD STPLR 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,459488,CAGE SPNL 21X32X11MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459489,PLATE 38MM BN LMBR SPNL,11073.0,11073.0,1660.95,11073.0,30
CDM,459490,SCREW 15MM STB HD TEMP,377.0,377.0,56.55,377.0,30
CDM,459491,IMPLANT BREAST 650CC,5869.0,5869.0,880.35,5869.0,30
CDM,459492,IMPLANT BREAST 800CC,5315.0,5315.0,797.25,5315.0,30
CDM,459493,SCREW SPN 8.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,459494,ROD SPN 140MM 5.5MM STR,2711.0,2711.0,406.65,2711.0,30
CDM,459495,CONNECTORS TRNSVRS 5.5/6,3189.0,3189.0,478.35,3189.0,30
CDM,459496,SCREW SET TI SPNL,753.0,753.0,112.95,753.0,30
CDM,459497,SCREW BN SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,459498,PLATE SPN 3H 39MM,12047.0,12047.0,1807.05,12047.0,30
CDM,459500,SCREW BN 3.5MM 90MM,1356.0,1356.0,203.4,1356.0,30
CDM,459501,TRAY TIBIAL MP 64X43MM,4606.0,4606.0,690.9,4606.0,30
CDM,459505,INSERT TIB PS + 71/75X14,4429.0,4429.0,664.35,4429.0,30
CDM,459506,STEM FEM HIP SZ10 170MM,8858.0,8858.0,1328.7,8858.0,30
CDM,459508,INSERT TIB 2.5 13MM KN T,4429.0,4429.0,664.35,4429.0,30
CDM,459509,LINER ACTB HIP+4 0D 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,459510,STEM FEM HIP 24MM 195MM,10225.0,10225.0,1533.75,10225.0,30
CDM,459511,STEM KN FEM SP EXT 12X80,5054.0,5054.0,758.1,5054.0,30
CDM,459512,CMPNT KN FEM RT 60MM,21711.0,21711.0,3256.65,21711.0,30
CDM,459513,IMPLANT BREAST 560CC,5315.0,5315.0,797.25,5315.0,30
CDM,459514,COMPNT TIB PSC 71/75X14,6465.0,6465.0,969.75,6465.0,30
CDM,459515,INSERT TIB KN SZ3-4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,459516,SUTURETAPE 1.3MM WH/BL,595.0,595.0,89.25,595.0,42
CDM,459517,SCREW BN 3.5MM 45MM,1786.0,1786.0,267.9,1786.0,30
CDM,459518,KIT IMPL KN LT/RT CUSTOM,16831.0,16831.0,2524.65,16831.0,30
CDM,459519,COMPONENT TIB 12.5MM PFC,4606.0,4606.0,690.9,4606.0,30
CDM,459520,LINER ACTB HIP SZG 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,459521,CAGE SPNL 23X11X7MM 6D L,8858.0,8858.0,1328.7,8858.0,30
CDM,459522,CAGE SPN LMB 6D 23X11X8,17716.0,17716.0,2657.4,17716.0,30
CDM,459523,ROD SPN 3.5MM 25MM,2711.0,2711.0,406.65,2711.0,30
CDM,459524,ROD SPN 3.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,459525,PLATE LOPRO TI EP 32MM,9301.0,9301.0,1395.15,9301.0,30
CDM,459526,STEM SPACER HIP 54MM,13967.0,13967.0,2095.05,13967.0,30
CDM,459528,SCREW SPN 3.5MM 14MM,3765.0,3765.0,564.75,3765.0,30
CDM,459529,CAP LOCKING SPNL,753.0,753.0,112.95,753.0,30
CDM,459530,SCREW SPN 3.5X12MM,3765.0,3765.0,564.75,3765.0,30
CDM,459531,ROD SPN CRVD 3.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,459532,ROD SPN CRV 3.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
CDM,459533,SCREW 6.5 X 35 PREASMBL,3765.0,3765.0,564.75,3765.0,30
CDM,459534,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,459535,ROD SPN 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,459536,CAP SPN LCK 5.5,753.0,753.0,112.95,753.0,30
CDM,459537,SCREW SPN PREASMBL6.5X55,3765.0,3765.0,564.75,3765.0,30
CDM,459538,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,459539,ROD SPN CRV 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,459540,SCREW SPN CREO 6.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,459542,PEG HI-COMP LCK 2.7X26MM,1435.0,1435.0,215.25,1435.0,30
CDM,459543,STEM FEM HIP 6MM 97.5MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459548,PLATE 62MM 2.7MM OSTM 6H,6120.0,6120.0,918.0,6120.0,30
CDM,459549,KWIRE FX 2MM 100MM,764.0,764.0,114.6,764.0,42
CDM,459550,KWIRE FX 2MM 150MM,764.0,764.0,114.6,764.0,42
CDM,459551,SCREW BN 2MM 30MM,625.0,625.0,93.75,625.0,30
CDM,459552,BLADE SAW 47.1X12MM 45D,2215.5,2215.5,332.32,2215.5,42
CDM,459553,SCREW BN 3.5MM 54MM,1379.0,1379.0,206.85,1379.0,30
CDM,459554,SCREW BN 3.5MM 56MM,1379.0,1379.0,206.85,1379.0,30
CDM,459555,SCREW BN 3.5MM 58MM,1379.0,1379.0,206.85,1379.0,30
CDM,459556,SCREW BN 3.5MM 48MM,1379.0,1379.0,206.85,1379.0,30
CDM,459557,SCREW BN 3.5MM 52MM,1379.0,1379.0,206.85,1379.0,30
CDM,459558,TRAY TIB KN SZ2.5F/1.5T,4606.0,4606.0,690.9,4606.0,30
CDM,459559,STEM HIP FEM STD 9X125,9966.0,9966.0,1494.9,9966.0,30
CDM,459560,WEDGE FEM KN SZ5 15X5MM,4606.0,4606.0,690.9,4606.0,30
CDM,459561,WEDGE FEM KN SZ5 15MM,9388.0,9388.0,1408.2,9388.0,30
CDM,459562,CONE TIB KN LONG 20MM,12623.0,12623.0,1893.45,12623.0,30
CDM,459563,INSERT ARTC KN 3-4 13MM,5532.0,5532.0,829.8,5532.0,30
CDM,459564,SCREW BN 12MM 40MM,11516.0,11516.0,1727.4,11516.0,30
CDM,459565,IMPLANT THRD 12MM 50MM,10630.0,10630.0,1594.5,10630.0,30
CDM,459566,PLATE SPN ANT 1LVL 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,459567,SCREW SPN 4.2MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,459568,GRAFT STNT 18FR 25-16MM,31529.0,31529.0,4729.35,31529.0,30
CDM,459569,PLATE SPN 1LVL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,459570,SCREW SPN 4.2MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,459571,STEM HIP FP OFST10X101.5,8858.0,8858.0,1328.7,8858.0,30
CDM,459572,CMPNT KN FEM LT 62.5MM,21711.0,21711.0,3256.65,21711.0,30
CDM,459573,STEM FEM HIP 18MM 150MM,9977.0,9977.0,1496.55,9977.0,30
CDM,459574,STEM FEM 9 TRLK COCR,10630.0,10630.0,1594.5,10630.0,30
CDM,459575,NAIL BN 9MM 345MM,4429.0,4429.0,664.35,4429.0,30
CDM,459576,BASEPLATE TIB JRNLCK SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,459577,INSERT TIB KN SZ7-8 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,459578,SCREW BN 6.5MM 15MM,877.0,877.0,131.55,877.0,30
CDM,459579,INSERT TIB KN 3F/4T,4606.0,4606.0,690.9,4606.0,30
CDM,459581,ANCHOR SUT 2.2MM 2-0 3/8,955.0,955.0,143.25,955.0,30
CDM,459582,CONN ROD SPN 3.5X5.5MM,3287.0,3287.0,493.05,3287.0,30
CDM,459583,STEM FEM 18MM 220MM,19670.0,19670.0,2950.5,19670.0,30
CDM,459584,CMPNT FEM KN RT SZ6,6312.0,6312.0,946.8,6312.0,30
CDM,459585,INSERT TIB KN SZ3-4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,459586,SCREW SPN CREO 5.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,459587,ROD SPN 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,459588,ROD 5.5X600 TITAN TRNSTN,3012.0,3012.0,451.8,3012.0,30
CDM,459589,CAGE SPN 12X14X30MM,5147.0,5147.0,772.05,5147.0,30
CDM,459590,ENDCAP SPN 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,459591,WEDGE FEM KN SZ7-8,4606.0,4606.0,690.9,4606.0,30
CDM,459592,COMPONENT FEM KN RT SZ7,17394.0,17394.0,2609.1,17394.0,30
CDM,459593,SPACER TI WD 8X25MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459594,NAIL BN FEM 10MM 170MM,4429.0,4429.0,664.35,4429.0,30
CDM,459595,AUG REV TIB HF SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,459596,COMPONENT FEM E LT KN NX,9301.0,9301.0,1395.15,9301.0,30
CDM,459598,SYSTEM O.A.T.S. 10MM,4093.0,4093.0,613.95,4093.0,42
CDM,459599,SYSTEM O.A.T.S. 8MM,4093.0,4093.0,613.95,4093.0,42
CDM,459600,PLATE SPN 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,459601,SCREW SPN 4.6MM 14MM,1196.0,1196.0,179.4,1196.0,30
CDM,459603,IMPLANT BREAST 270CC,3721.0,3721.0,558.15,3721.0,30
CDM,459606,SCREW SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,459607,SCREW SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,459608,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,459609,SPACER SPN 25X11X12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459610,SCREW SPN CREO 6.5X50,3765.0,3765.0,564.75,3765.0,30
CDM,459611,ROD SPN 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,459612,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,459613,SPACER SPN 6D 12X15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,459614,PLATE SPN 2LVL 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,459615,SCREW SPN ST FIX 4X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,459616,SCREW SPN SD FIX 4.0X14,1130.0,1130.0,169.5,1130.0,30
CDM,459618,SPACER SPN 12X15X7MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,459619,SCREW SPN ST VAR 4.0X16,1130.0,1130.0,169.5,1130.0,30
CDM,459620,SCREW SPN ST FIX 4X16MM,1506.0,1506.0,225.9,1506.0,30
CDM,459621,PLATE SPN CERV 2LVL 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,459622,SCREW BN 3.5MM 28MM,1781.0,1781.0,267.15,1781.0,30
CDM,459623,KN INSERT TIB PST 7-8X21,4606.0,4606.0,690.9,4606.0,30
CDM,459624,BLADE BN HCL 85MM,4429.0,4429.0,664.35,4429.0,30
CDM,459625,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,459626,CAGE SPN 6D 32X11X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,459627,CMPNT FEM KN LT SZ2,6644.0,6644.0,996.6,6644.0,30
CDM,459628,INSERT TIB KN 2F/2T,4606.0,4606.0,690.9,4606.0,30
CDM,459629,INSERT TIB KN SZ2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,459630,STEM HIP FPHIOFS12X106.5,7973.0,7973.0,1195.95,7973.0,30
CDM,459631,IMPLANT KNEE 962632,4606.0,4606.0,690.9,4606.0,30
CDM,459632,INSERT TIB KN SZ7 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,459633,BPLT TIB STD RM/LL SZ7 O,4606.0,4606.0,690.9,4606.0,30
CDM,459634,CMPNT FEM KN RM/LL SZ6,6068.0,6068.0,910.2,6068.0,30
CDM,459635,IMPLANT BREAST 345CC,4850.0,4850.0,727.5,4850.0,30
CDM,459638,STEM FEM HIP 113MM 14MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459639,CMPNT BEARING RT LRG 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,459640,PLATE SPN 4LVL 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,459641,AUG FEM PFC TC3 5KN 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,459642,SCREW BN 55 X70MM,3189.0,3189.0,478.35,3189.0,30
CDM,459643,PLATE 7SLT ALPH LPS MXLC,8433.0,8433.0,1264.95,8433.0,30
CDM,459644,WASHER BN CNTOR 5.5MM,319.0,319.0,47.85,319.0,30
CDM,459645,SCREW BN 5.5MM 45MM,2790.0,2790.0,418.5,2790.0,30
CDM,459646,SHELL ACTB HIP 3HL 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,459647,LINER HIP 50MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,459648,CMPNT FEM KN LT D,7530.0,7530.0,1129.5,7530.0,30
CDM,459649,INSERT ARTC 3-4 C-D 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,459650,STEM FEM HIP 145D 125MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459651,SHELL ACTB 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,459652,LINER ACTB HIP 28MM 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,459653,SPCR 20MM 8 X 45 6 DEG,9966.0,9966.0,1494.9,9966.0,30
CDM,459654,PLATE SPN SM 2H,10630.0,10630.0,1594.5,10630.0,30
CDM,459655,SCREW BN SPN 5.5MM 45MM,1130.0,1130.0,169.5,1130.0,30
CDM,459656,PLATE BN 135D 4.5X78MM,3721.0,3721.0,558.15,3721.0,30
CDM,459657,SCREW BN 12.7MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,459658,IMPLANT BREAST 265CC,5315.0,5315.0,797.25,5315.0,30
CDM,459659,PLATE BN 4.5MM 230MM,6642.0,6642.0,996.3,6642.0,30
CDM,459660,PLATE BN 2.7MM 24MM,5047.0,5047.0,757.05,5047.0,30
CDM,459661,PLATE BN 5X12HL 2.4MM,8294.0,8294.0,1244.1,8294.0,30
CDM,459662,SCREW BN NCB 5X6.2X90MM,1595.0,1595.0,239.25,1595.0,30
CDM,459663,SCREW BN 4X3.5X48MM,319.0,319.0,47.85,319.0,30
CDM,459664,SCREW BN 4X3.5X36MM,319.0,319.0,47.85,319.0,30
CDM,459666,NAIL BN 13MM 40CM,6400.0,6400.0,960.0,6400.0,30
CDM,459667,HEAD FEM HIP 14/16 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,459668,INSERT TIB KN SZ4 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,459669,SCREW SPN 5.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,459670,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,459672,HEAD BIP 65MM 28MM SLFCN,4252.0,4252.0,637.8,4252.0,30
CDM,459673,STEM HUM SHLDR 104MM,11959.0,11959.0,1793.85,11959.0,30
CDM,459674,PLATE SPN 2LVL 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,459675,CAGE SPN 7D 17X14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,459676,CAGE SPNL 12X14 6D -09,4429.0,4429.0,664.35,4429.0,30
CDM,459677,CAGE SPNL 12X14 6D -08,4429.0,4429.0,664.35,4429.0,30
CDM,459678,CAGE SPNL 12X14 6D -07,4429.0,4429.0,664.35,4429.0,30
CDM,459679,SCREW SPN RES VAR 4.5X16,1196.0,1196.0,179.4,1196.0,30
CDM,459680,SCREW SPN 4MM 14MM,1196.0,1196.0,179.4,1196.0,30
CDM,459682,SCREW SPN SD FIX 4.0X18,1130.0,1130.0,169.5,1130.0,30
CDM,459683,SCREW SPN SD FIX 4.0X16,1130.0,1130.0,169.5,1130.0,30
CDM,459684,PLATE SPN CERV 3LVL 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,459685,ROD SPN CONN 5.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,459686,ROD SPN 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,459687,GRAFT STNT 40MM 157MM,63833.0,63833.0,9574.95,63833.0,30
CDM,459689,PLATE BN 2.7X3.5X73MM,4429.0,4429.0,664.35,4429.0,30
CDM,459690,SCREW BN ELB T8 2.7MM,581.0,581.0,87.15,581.0,30
CDM,459691,SCREW BN 2.7MM 24MM,610.0,610.0,91.5,610.0,30
CDM,459692,LINER ACTB HIP 3.8X44MM,4606.0,4606.0,690.9,4606.0,30
CDM,459693,SCREW BN SPN 4MM 25MM,4247.0,4247.0,637.05,4247.0,30
CDM,459694,PIN EX FIX 15CM STAB,773.0,773.0,115.95,773.0,42
CDM,459695,STEM FEM HIP 105MM 10MM,7973.0,7973.0,1195.95,7973.0,30
CDM,459697,INSERT TIB PS SZ3.5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,459698,SPACER SPNL 45X18X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,459699,CAGE SPNL 32X11X12MM 6D,17716.0,17716.0,2657.4,17716.0,30
CDM,459700,BASE TIB KN STD RT SZ3,5758.0,5758.0,863.7,5758.0,30
CDM,459701,AUG TIB KN MDL 2+/3 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,459702,AUG TIB KN LAT 2+/3 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,459703,INSERT TIB KN SZ3 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,459704,IMPLANT BREAST 580CC,5315.0,5315.0,797.25,5315.0,30
CDM,459705,IMPLANT BREAST 485CC,5315.0,5315.0,797.25,5315.0,30
CDM,459706,PLATE BN 6HL 3.5MM 158MM,5623.0,5623.0,843.45,5623.0,30
CDM,459707,SCREW SPN RES VAR 4.5X18,1130.0,1130.0,169.5,1130.0,30
CDM,459708,PLATE SPN MDL 1LV 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,459709,SCREW SPN SD VAR 4.0X18,1130.0,1130.0,169.5,1130.0,30
CDM,459711,CAGE SPN LMBR 32X11X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,459712,NAIL BN TROCH 10MM 32CM,8105.0,8105.0,1215.75,8105.0,30
CDM,459713,STEM FEM HIP 111MM 13MM,7973.0,7973.0,1195.95,7973.0,30
CDM,459714,INSERT TIB KN SZ4.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,459716,SCREW BN 5MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,459717,SCREW BN 5.0X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,459718,SCREW BN 5X12MM,3189.0,3189.0,478.35,3189.0,30
CDM,459719,SCREW BN 5X14MM,3189.0,3189.0,478.35,3189.0,30
CDM,459720,SCREW BN 5MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,459721,SCREW BN 6.7MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,459722,STEM FEM HIP 13MM 150MM,6201.0,6201.0,930.15,6201.0,30
CDM,459723,GRAFT BN 12X26X26MM,11073.0,11073.0,1660.95,11073.0,30
CDM,459724,GRAFT BN ALG RNG10X26X26,11073.0,11073.0,1660.95,11073.0,30
CDM,459725,CMPNT PTLR KN 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,459726,PLATE SPN 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,459727,SCREW BN SPN 4MM 14MM,1506.0,1506.0,225.9,1506.0,30
CDM,459728,SUT FBRWR 2 STR DMD 38IN,734.0,734.0,110.1,734.0,30
CDM,459730,ROD SPNL 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,459731,ROD 90 MM SPINAL,2711.0,2711.0,406.65,2711.0,30
CDM,459733,CMPNT KN FEM RT 72.5MM,20626.0,20626.0,3093.9,20626.0,30
CDM,459734,CMPNT TIB BRG PS87/91X18,6465.0,6465.0,969.75,6465.0,30
CDM,459735,GRAFT EVAS 12MM 10CM,19174.0,19174.0,2876.1,19174.0,30
CDM,459736,GRAFT EVAS 12MM 14CM,19174.0,19174.0,2876.1,19174.0,30
CDM,459737,CAGE SPNL 28X11X9MM,17716.0,17716.0,2657.4,17716.0,30
CDM,459738,GRAFT EVAS 30X124MM,41596.0,41596.0,6239.4,41596.0,30
CDM,459740,INSERT TIB KN SZ4.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,459741,LINER ACTB HIP 60MM,6312.0,6312.0,946.8,6312.0,30
CDM,459742,SCREW BN 4.5X3.2MM 20MM,4120.0,4120.0,618.0,4120.0,30
CDM,459743,INSERT TIB ANKL SZ4 8MM,9213.0,9213.0,1381.95,9213.0,30
CDM,459744,CAGE SPN 50X22X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,459745,CAGE SPN 55X22X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,459746,SPACER SPNL 55X22X8MMD,14395.0,14395.0,2159.25,14395.0,30
CDM,459747,SPACER SPNL 55X22X10MM,14395.0,14395.0,2159.25,14395.0,30
CDM,459748,SPACER SPN 45X22X12MM 8D,21924.0,21924.0,3288.6,21924.0,30
CDM,459749,CAGE SPNL 55X22X10MM,14395.0,14395.0,2159.25,14395.0,30
CDM,459750,PLATE ANCHORING S,10187.0,10187.0,1528.05,10187.0,30
CDM,459751,SPACER SPNL 29X13MM,8858.0,8858.0,1328.7,8858.0,30
CDM,459752,PLATE SPN LVL1 20MM,12047.0,12047.0,1807.05,12047.0,30
CDM,459753,SCREW SPN 6.5X26MM,1130.0,1130.0,169.5,1130.0,30
CDM,459755,SCREW BN 2MMX20MM,3189.0,3189.0,478.35,3189.0,30
CDM,459756,SCREW BN 2X18MM,3189.0,3189.0,478.35,3189.0,30
CDM,459758,BIT DRILL REG 1.8MM 90MM,1105.0,1105.0,165.75,1105.0,42
CDM,459759,BIT DRILL 2.3MM 80MM REG,1105.0,1105.0,165.75,1105.0,42
CDM,459760,KWIRE FX 1.1MM 100MM,309.5,309.5,46.42,309.5,42
CDM,459761,PLATE BN VOLR 7PEG 3H,4429.0,4429.0,664.35,4429.0,30
CDM,459762,PEG BN WRIST 2.5MM 22MM,399.0,399.0,59.85,399.0,30
CDM,459763,PEG BN WRIST 2.5MM 18MM,1834.0,1834.0,275.1,1834.0,30
CDM,459764,PEG BN VOLR 1.8MM 18MM,1834.0,1834.0,275.1,1834.0,30
CDM,459765,SCREW BN 1.8MM 20MM,1834.0,1834.0,275.1,1834.0,30
CDM,459766,GUIDE DRILL SURG 1.8MM,541.0,541.0,81.15,541.0,42
CDM,459767,SCREW BN CORT 3.2X12MM,1595.0,1595.0,239.25,1595.0,30
CDM,459768,SCREW BN 3.2MM 13MM,1595.0,1595.0,239.25,1595.0,30
CDM,459769,PLATE BN PIN ULNA 7HL,4340.0,4340.0,651.0,4340.0,30
CDM,459770,SCREW BN CORT 2.3MM 10MM,1595.0,1595.0,239.25,1595.0,30
CDM,459771,SCREW BN 4.5MM 20MM,388.0,388.0,58.2,388.0,30
CDM,459772,ROD SPN 5.5MM 95MM,2711.0,2711.0,406.65,2711.0,30
CDM,459773,STEM FEM HIOFST 17X154MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459775,ROD SPN 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,459777,SCREW SPN 4.0MMX25MM,4429.0,4429.0,664.35,4429.0,30
CDM,459778,SPACER SPN 6D 14X12X22MM,22513.0,22513.0,3376.95,22513.0,30
CDM,459779,STEM FEM HIP 18X13X160MM,7087.0,7087.0,1063.05,7087.0,30
CDM,459780,HEAD FEM HIP 6D 28X14MM,4252.0,4252.0,637.8,4252.0,30
CDM,459781,PLATE SPN MDL 1LV 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,459782,SCREW SPN RES FX 4.5X18,1506.0,1506.0,225.9,1506.0,30
CDM,459783,SCREW SPNL STR 7.5X45MM,3389.0,3389.0,508.35,3389.0,30
CDM,459784,SCREW SPNL STR 7.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,459785,SCREW SPN LOCK/ROD SET,753.0,753.0,112.95,753.0,30
CDM,459786,ROD SPNL 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,459787,ROD SPN PRE BNT 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
CDM,459788,KIT BNGF INTRO 640X11MM,4093.0,4093.0,613.95,4093.0,42
CDM,459789,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,459790,CUTTER SURG 8.0MM,2660.5,2660.5,399.07,2660.5,42
CDM,459791,KIT ORT SEC FIX ACL/PCL,3721.0,3721.0,558.15,3721.0,30
CDM,459792,STEM FEM HIP 16MM 152MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459793,NEEDLE SCORPION KNEE ART,1676.0,1676.0,251.4,1676.0,42
CDM,459794,STEM KN FEM SP EXT 20X40,4802.0,4802.0,720.3,4802.0,30
CDM,459795,STEM KN FEM SP EXT 21X80,5054.0,5054.0,758.1,5054.0,30
CDM,459796,CLAMP PIN EXFX 2-BAR 45,3683.5,3683.5,552.52,3683.5,42
CDM,459797,CLAMP PIN EXFX 2-BAR 75,3683.5,3683.5,552.52,3683.5,42
CDM,459798,PIN BN EXFX 65X5X200MM,773.0,773.0,115.95,773.0,42
CDM,459799,BAR TO PIN EXFX CLAMP 3D,3683.5,3683.5,552.52,3683.5,42
CDM,459800,BAR EXFIX 11X500MM,1228.0,1228.0,184.2,1228.0,42
CDM,459801,SPCR 20MM 8 X 60 6 DEG,9966.0,9966.0,1494.9,9966.0,30
CDM,459802,SPACER SPNL 50X18X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,459803,ROD SPN PREBENT 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
CDM,459804,SCREW SPN STD 5X22MM,1130.0,1130.0,169.5,1130.0,30
CDM,459805,ROD SPN 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,459806,CAGE SPNL 32X11X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,459807,PLATE SPN 4HL 35MM,12047.0,12047.0,1807.05,12047.0,30
CDM,459808,ROD STRAIGHT 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,459809,INS TIB5 KN MOD NET 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,459810,CONN ROD SPN 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,459811,CMPNT TIB KN BASE SZ4,4651.0,4651.0,697.65,4651.0,30
CDM,459812,INSERT KN TIB STD+ 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,459813,KIT LGMNT REPR FX,5000.0,5000.0,750.0,5000.0,30
CDM,459814,HEAD HIP TPR NSK+6X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,459815,SCREW BN CANN 6.5X140MM,3189.0,3189.0,478.35,3189.0,30
CDM,459816,SCREW BN 6.5X145X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,459817,SCREW BN 6.5MM 150MM,3189.0,3189.0,478.35,3189.0,30
CDM,459818,SCREW BN 16MM 140MM,3189.0,3189.0,478.35,3189.0,30
CDM,459819,SCREW BN 7.3X16X145MM,3189.0,3189.0,478.35,3189.0,30
CDM,459820,SCREW BN 7.3MM 150MM,3189.0,3189.0,478.35,3189.0,30
CDM,459821,SCREW BN 7.3X32X135MM,3189.0,3189.0,478.35,3189.0,30
CDM,459822,SCREW BN 7.3MM 140MM,3189.0,3189.0,478.35,3189.0,30
CDM,459823,SCREW BN 7.3X8.2X2.9X145,3189.0,3189.0,478.35,3189.0,30
CDM,459824,SCREW BN 7.3X32X150MM,3189.0,3189.0,478.35,3189.0,30
CDM,459825,PLATE SPN 4LVL 73MM,4429.0,4429.0,664.35,4429.0,30
CDM,459826,GRAFT BN DBM 1.75X10CM,8185.0,8185.0,1227.75,8185.0,30
CDM,459827,SCREW BN SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,459828,SCREW BN SPN 5.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,459829,ROD CNCTR 25MM 5/6-6MM,3389.0,3389.0,508.35,3389.0,30
CDM,459830,SCREW SPN 4.5MM 5D,753.0,753.0,112.95,753.0,30
CDM,459831,ROD SPN PRE BENT 5.5X35,2711.0,2711.0,406.65,2711.0,30
CDM,459832,WEDGE AUGMT 20MM 6.5MM,8836.0,8836.0,1325.4,8836.0,30
CDM,459834,COMP TIB UHMWPE 96-0653,4606.0,4606.0,690.9,4606.0,30
CDM,459835,SCR BN MXDR LVL1 1.8X4MM,1112.0,1112.0,166.8,1112.0,30
CDM,459836,COMPNT FEM KN RT SZ5,6312.0,6312.0,946.8,6312.0,30
CDM,459837,STEM HIP FP HI OFST 9X99,11073.0,11073.0,1660.95,11073.0,30
CDM,459838,TAPR ADPT SHLDR 2MM SMR,4606.0,4606.0,690.9,4606.0,30
CDM,459839,HEAD HUM SHLDR 48MM SMR,4606.0,4606.0,690.9,4606.0,30
CDM,459840,STEM SHLDR CMNTLS 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,459841,BODY HUM SMR TI LCK SCR,4606.0,4606.0,690.9,4606.0,30
CDM,459842,SCREW BN 6.5MM 20MM,1993.0,1993.0,298.95,1993.0,30
CDM,459843,SCREW BN 6.5X30MM,1993.0,1993.0,298.95,1993.0,30
CDM,459844,LNR SHLDR SM R SMR,4606.0,4606.0,690.9,4606.0,30
CDM,459845,BASEPLATE GLENOID SM,4252.0,4252.0,637.8,4252.0,30
CDM,459846,STEM FIN SHLDR DIA 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,459848,SUB BNGF FOAM 2.5CC,3510.0,3510.0,526.5,3510.0,30
CDM,459849,GWIRE VASC .035IN 150CM,723.5,723.5,108.53,723.5,42
CDM,459850,REAMER SURFACE RASP,4385.5,4385.5,657.83,4385.5,42
CDM,459851,NAIL FEM IM 11.5MM 44CM,4872.0,4872.0,730.8,4872.0,30
CDM,459852,SCREW BN 5MM 62.5MM,2392.0,2392.0,358.8,2392.0,30
CDM,459853,SCREW BN 2.7MM 42MM,508.0,508.0,76.2,508.0,30
CDM,459854,SPCR SPNL 14X8X12 7DEG,4429.0,4429.0,664.35,4429.0,30
CDM,459855,PLATE PRTC 30M DLT XTND,4429.0,4429.0,664.35,4429.0,30
CDM,459856,SCREW SPN 4.2MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,459857,BURR SURG 5.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,459858,PASSER SUT SELF CAPTURE,5548.0,5548.0,832.2,5548.0,42
CDM,459859,CANNULA 8.5X110MM CT,471.0,471.0,70.65,471.0,42
CDM,459860,ANCHOR SUT 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,459861,DILATOR SURG 4.75MM,1596.5,1596.5,239.47,1596.5,42
CDM,459862,ANCHOR SUTURE 2.8MM,4185.0,4185.0,627.75,4185.0,30
CDM,459863,SUTURE SHUTTLE 70D,1023.5,1023.5,153.53,1023.5,42
CDM,459864,AWL SURG 3.8MM TPR DISP,711.0,711.0,106.65,711.0,42
CDM,459865,IMPLANT KNEE 962660,4606.0,4606.0,690.9,4606.0,30
CDM,459866,IMPLANT KNEE 962661,4606.0,4606.0,690.9,4606.0,30
CDM,459867,IMPLANT SPN PLVC 7X65MM,13620.0,13620.0,2507.44,13620.0,26
CDM,459868,SPACER SPNL 26X24X12 12D,18536.0,18536.0,2780.4,18536.0,30
CDM,459869,INSERT TIB KN SZ2.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,459870,BASEPLATE KN RT SZ 1,4606.0,4606.0,690.9,4606.0,30
CDM,459871,INSERT TIB KN SZ1-2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,459872,BASEPLATE TIB KN LT SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,459873,PLATE SPN 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,459874,SCREW PRIM SEMICN 4X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,459875,CAGE SPN 5D 12X12X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,459876,SPACER SPN 12X15X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,459877,STEM FEM 2 STD TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
CDM,459878,STEM FEM 8 TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
CDM,459879,NAIL TIB T2 9MM 31.5CM,6598.0,6598.0,989.7,6598.0,30
CDM,459880,ROD SPN 5.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,459881,SPACER SPN 15X30MM,23253.0,23253.0,3487.95,23253.0,30
CDM,459882,SCREW SPN SLFDRL 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,459883,ROD CNCT CLS 30X5.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,459884,SCREW SPN 8.5X70MM,4247.0,4247.0,637.05,4247.0,30
CDM,459885,SPACER SPNL 30X10X10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459886,SCREW BN 2.7MM 36MM,718.0,718.0,107.7,718.0,30
CDM,459887,IMPLANT BREAST 770CC,5315.0,5315.0,797.25,5315.0,30
CDM,459888,STEM FEM HIP 13MM 300MM,15546.0,15546.0,2331.9,15546.0,30
CDM,459889,CMPNT KN TIB SMALL/ML60,7087.0,7087.0,1063.05,7087.0,30
CDM,459890,INSERT TIB KN 60MM,4428.0,4428.0,664.2,4428.0,30
CDM,459891,LINER ACTB HIP SZ24 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,459892,SCREW BN SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,459893,SCREW SPN 3.5X18MM CERV,4247.0,4247.0,637.05,4247.0,30
CDM,459894,SCREW SPN 4X20MM PA CERV,4247.0,4247.0,637.05,4247.0,30
CDM,459895,ROD SPN 200MM 3.5-5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,459896,ROD SPN 4.75MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,459897,SPACER SPN 7X11X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,459898,PLATE SPN 57.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,459899,CAGE SPN 6D 32X25X10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459901,CAGE SPN 45X18X18MM,13287.0,13287.0,1993.05,13287.0,30
CDM,459902,SCREW BN SPN 6.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,459903,SCREW BN 4MM 60MM,2864.0,2864.0,429.6,2864.0,30
CDM,459904,PIN EXFX 5X200X45MM,773.0,773.0,115.95,773.0,42
CDM,459905,CLAMP EXFX BAR TO BAR 3D,3683.5,3683.5,552.52,3683.5,42
CDM,459906,BAR EXFIX 11MM 250MM,1805.0,1805.0,270.75,1805.0,42
CDM,459907,BAR EXFX 11MM 400MM,2091.5,2091.5,313.73,2091.5,42
CDM,459908,SPACER SPNL 8MM LG,9966.0,9966.0,1494.9,9966.0,30
CDM,459909,GRAFT EVAS 14.5MM 12CM,19174.0,19174.0,2876.1,19174.0,30
CDM,459910,SCREW SPN 3.5X20MM CERV,2711.0,2711.0,406.65,2711.0,30
CDM,459911,STEM FEM HIP 17MM 119MM,8858.0,8858.0,1328.7,8858.0,30
CDM,459912,BLOCK AUGMT KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,459913,STEM FEM FLUT KN 15X100,4606.0,4606.0,690.9,4606.0,30
CDM,459914,CMPNT KN FEM LT SZ3,17394.0,17394.0,2609.1,17394.0,30
CDM,459915,WEDGE FEM KN SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,459916,GRAFT STNT 34MM 80MM,19052.0,19052.0,2857.8,19052.0,30
CDM,459917,INSERT TIB KN SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,459918,LINER ACTB SZD 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,459919,LINER ACTB SZD 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,459920,CAGE 22MM 14 X 60 6 DEG,14395.0,14395.0,2159.25,14395.0,30
CDM,459921,CAGE SPN 6D 12X18X50MM,14395.0,14395.0,2159.25,14395.0,30
CDM,459924,SCREW BN 3.5MM 22MM,463.0,463.0,69.45,463.0,30
CDM,459925,SCREW BN 5MM 34MM,2534.0,2534.0,380.1,2534.0,30
CDM,459926,SCREW BN 5MM 36MM,2534.0,2534.0,380.1,2534.0,30
CDM,459927,SCREW BN 3.5MM 65MM,2092.0,2092.0,313.8,2092.0,30
CDM,459928,SCREW BN 3.5MM 48MM,399.0,399.0,59.85,399.0,30
CDM,459929,NAIL BN 10MM 11MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,459930,INSERT TIB 2XS UNV 14MM,14095.0,14095.0,2114.25,14095.0,30
CDM,459931,STEM FEM HIP 7MM 99MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459932,INSERT TIB PS SZ4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,459933,BASEPLATE TIB KN SZ5,4651.0,4651.0,697.65,4651.0,30
CDM,459934,BAR EXFX 11MM 300MM,1862.5,1862.5,279.38,1862.5,42
CDM,459935,BAR EXFIX 11MM 350MM,1977.0,1977.0,296.55,1977.0,42
CDM,459936,PIN EXFX SS 5X250X85MM,1232.0,1232.0,184.8,1232.0,42
CDM,459937,ROD SPNL MIS 90MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,459938,SCREW BN SPN 4MM 26MM,4247.0,4247.0,637.05,4247.0,30
CDM,459939,INSERT ARTC 11MM 6-9 EF,4606.0,4606.0,690.9,4606.0,30
CDM,459941,IMPLANT BREAST 240CC,5315.0,5315.0,797.25,5315.0,30
CDM,459942,SURFACE ARTC ZUK VE SZ3,4429.0,4429.0,664.35,4429.0,30
CDM,459943,INSERT TIB 3 PST STB LOG,4429.0,4429.0,664.35,4429.0,30
CDM,459944,SCREW BN CANC 5MM 50MM,399.0,399.0,59.85,399.0,30
CDM,459945,ROD PREBENT 5.5X35MM,2711.0,2711.0,406.65,2711.0,30
CDM,459946,SPACER SPN 27X11X10MM,9523.0,9523.0,1428.45,9523.0,30
CDM,459947,TRAY TIB KN LF 4F/5T,4606.0,4606.0,690.9,4606.0,30
CDM,459948,WEDGE FEM KN 20MM,13287.0,13287.0,1993.05,13287.0,30
CDM,459951,SCREW BN MTPHSL 2.7X42MM,730.0,730.0,109.5,730.0,30
CDM,459952,CAGE SPN SM 6D 12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,459953,SCREW BN SPN 5.5MM 30MM,1130.0,1130.0,169.5,1130.0,30
CDM,459954,PLATE SPN LAT 2HL LG,10630.0,10630.0,1594.5,10630.0,30
CDM,459955,SCREW BN SPN 5.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,459957,SET TUBE INSERT 213MM,5367.0,5367.0,805.05,5367.0,30
CDM,459958,SPACER SPN 7D 8X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,459959,PLATE SPN CERV 1LVL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,459960,CAGE SPNL 12X14 6D -06,4429.0,4429.0,664.35,4429.0,30
CDM,459964,STEM ULNAR 4MM 1CM,11183.0,11183.0,1677.45,11183.0,30
CDM,459965,SCREW BN CORT 3.5MM 12MM,1338.0,1338.0,200.7,1338.0,30
CDM,459967,CAGE SPNL 12X14 6D -10,4429.0,4429.0,664.35,4429.0,30
CDM,459968,PLATE SPN 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,459971,CEMENT BN PMMA GENT 40GM,2626.0,2626.0,393.9,2626.0,30
CDM,459972,MIXER CEMENT 80GR DBL,2095.5,2095.5,314.32,2095.5,42
CDM,459973,SCREW CANN THRD 3.0X22,2679.0,2679.0,401.85,2679.0,30
CDM,459974,SCREW BN 3X24MM,2679.0,2679.0,401.85,2679.0,30
CDM,459975,SCREW BN 3X26MM,2679.0,2679.0,401.85,2679.0,30
CDM,459976,SCREW BN 3.0MM 32MM 14MM,2679.0,2679.0,401.85,2679.0,30
CDM,459977,SCREW BN 3X34MM,2679.0,2679.0,401.85,2679.0,30
CDM,459979,ROD SPN 4.75MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,459980,SPACER SPNL 11X14X26MM V,11090.0,11090.0,1663.5,11090.0,30
CDM,459981,CMPNT KN TIB BASE SZ8,11073.0,11073.0,1660.95,11073.0,30
CDM,459982,SLEEVE TIB REV CMNT 45MM,9744.0,9744.0,1461.6,9744.0,30
CDM,459983,STEM KN 14X110MM,4606.0,4606.0,690.9,4606.0,30
CDM,459984,COMPONENT FEM KN LT SZ8,18159.0,18159.0,2723.85,18159.0,30
CDM,459985,AUGMENT FEM KN SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,459986,COMPNT SLV FEM KN 40MM,9072.0,9072.0,1360.8,9072.0,30
CDM,459987,STEM FEM 16MM 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,459988,CAGE SPN 5D 10MM,9523.0,9523.0,1428.45,9523.0,30
CDM,459989,STEM HIP FP HI OFS8X96.5,11073.0,11073.0,1660.95,11073.0,30
CDM,459990,COMPNT TIB PSC 71/75X10,6142.0,6142.0,921.3,6142.0,30
CDM,459991,SCREW DRKSTR CAN4.5X25MM,4429.0,4429.0,664.35,4429.0,30
CDM,459992,ROD SPN 5.5X130MM PREBNT,2711.0,2711.0,406.65,2711.0,30
CDM,459993,PLATE SPNL 63MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,459994,PLATE SPNL 60MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,459996,SCREW N-LCK S/S 3.5X45MM,3189.0,3189.0,478.35,3189.0,30
CDM,459997,WASHER ORTHO CNTOR 4MM,319.0,319.0,47.85,319.0,30
CDM,459998,SCREW L/T ANKL FT 7X60MM,3189.0,3189.0,478.35,3189.0,30
CDM,460000,STEM FEM HIP SZ10,8416.0,8416.0,1262.4,8416.0,30
CDM,460001,CUP TRIFLNG ACTB RT 64MM,44069.0,44069.0,6610.35,44069.0,30
CDM,460002,BIT DRILL 9MM STRL,386.5,386.5,57.98,386.5,42
CDM,460003,CAGE SPN 6D 17X14X7MM,8416.0,8416.0,1262.4,8416.0,30
CDM,460004,SCREW BN SPN 3.5MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,460005,CAGE SPN 17MM 6MM 14MM,8416.0,8416.0,1262.4,8416.0,30
CDM,460006,CAGE SPNL 24-40MM 12MM,23917.0,23917.0,3587.55,23917.0,30
CDM,460007,INSERT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,460008,STEM BN SHLDR 50MM,22469.0,22469.0,3370.35,22469.0,30
CDM,460009,COLLAR HUM STM 18.5MM,6998.0,6998.0,1049.7,6998.0,30
CDM,460011,CMPNT HUM SHLDR 25MM,38754.0,38754.0,5813.1,38754.0,30
CDM,460012,SCREW BN 37.5MM 87.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,460013,BODY HUM SHLDR SM 12.5MM,27918.0,27918.0,4187.7,27918.0,30
CDM,460014,ALLOGRAFT 126MM 8MM TIB,5116.0,5116.0,767.4,5116.0,30
CDM,460015,INSERT TIB 6 16MM PST ST,4606.0,4606.0,690.9,4606.0,30
CDM,460016,ROD SPNL CURV 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,460017,PLATE SPNL 1LVL 28MM,12047.0,12047.0,1807.05,12047.0,30
CDM,460018,SPACER SPNL 35X15MM,9523.0,9523.0,1428.45,9523.0,30
CDM,460020,INSERT TIB KN SZ9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,460021,BASPLATE TIB KN SZ5,11073.0,11073.0,1660.95,11073.0,30
CDM,460022,SLEEVE TIB KN 29MM,9744.0,9744.0,1461.6,9744.0,30
CDM,460023,STEM FEM KN 12MM 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,460024,INSERT TIB KN SZ6 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,460031,CAGE SPNL WDG 9X13X25,13287.0,13287.0,1993.05,13287.0,30
CDM,460032,KIT STYL BALL TIP 58CM,433.0,433.0,64.95,433.0,42
CDM,460045,KIT NURSTMR ITREL PAIN C,3109.0,3109.0,466.35,3109.0,30
CDM,460055,BLADE SAW REC12.5X6.5MM,502.5,502.5,75.38,502.5,42
CDM,460056,SNARE POLY OVAL SM,231.5,231.5,34.73,231.5,42
CDM,460066,SCREW BN 27MM,1834.0,1834.0,275.1,1834.0,30
CDM,460067,PIN FXTN KN HLD SLTD,2105.0,2105.0,315.75,2105.0,30
CDM,460068,FEM UNI MED-LT/LAT RT 52,8150.0,8150.0,1222.5,8150.0,30
CDM,460083,CAGE SPNL PEEK 25X13X11,13287.0,13287.0,1993.05,13287.0,30
CDM,460092,STYLET PCNG LEAD 53CM,400.5,400.5,60.08,400.5,42
CDM,460106,PLATE SPN 30MM,9301.0,9301.0,1395.15,9301.0,30
CDM,460119,BASEPLATE TIB KNEE 8,4651.0,4651.0,697.65,4651.0,30
CDM,460121,RELOAD STPLR 45MM,1537.0,1537.0,230.55,1537.0,30
CDM,460122,PLATE SPN 30MM,753.0,753.0,112.95,753.0,30
CDM,460145,SCREW SPN CANC 3.5X12MM,5083.0,5083.0,762.45,5083.0,30
CDM,460146,SCREW SPN CANC 3.5X14MM,5083.0,5083.0,762.45,5083.0,30
CDM,460147,SCREW SPN CANC 3.5X16MM,5083.0,5083.0,762.45,5083.0,30
CDM,460148,SCREW SPN CANC 3.5X18MM,5083.0,5083.0,762.45,5083.0,30
CDM,460149,SCREW CANC 3.5X20MM,5083.0,5083.0,762.45,5083.0,30
CDM,460150,SCREW VERTEX SET 3.5X5MM,2125.0,2125.0,318.75,2125.0,30
CDM,460151,ROD SPNL 3.2MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,460166,HOOK LAMINAR 6.0,5383.0,5383.0,807.45,5383.0,30
CDM,460176,SCREW SPN P-AX 4X20MM,4247.0,4247.0,637.05,4247.0,30
CDM,460180,PIN ADLT SKULL 0.37IN,773.0,773.0,115.95,773.0,42
CDM,460200,SCREW BN 4X28MM SPN P-AX,3765.0,3765.0,564.75,3765.0,30
CDM,460201,STEM HIP FP OFST16X116.5,11073.0,11073.0,1660.95,11073.0,30
CDM,460202,WEDGE KN SZ2 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,460203,STEM FEM KN 25MM,10067.0,10067.0,1510.05,10067.0,30
CDM,460210,COMPNT SEG B DIST FEM LT,36473.0,36473.0,5470.95,36473.0,30
CDM,460211,STEM HIP EXT 9MM 130MM,17893.0,17893.0,2683.95,17893.0,30
CDM,460219,SCREW BN 3.5MM 14MM,333.0,333.0,49.95,333.0,30
CDM,460223,BIT DRL 2.9MM 70MM,1023.5,1023.5,153.53,1023.5,42
CDM,460235,KIT REPL KN B POLY INS,4252.0,4252.0,637.8,4252.0,30
CDM,460273,SLEEVE KN CNTRNG 18F LG,4252.0,4252.0,637.8,4252.0,30
CDM,460284,DISSECTOR BLN PRTNEAL,3179.5,3179.5,476.93,3179.5,42
CDM,460324,SCREW CRTX XPN 4.0X14,3012.0,3012.0,451.8,3012.0,30
CDM,460327,ROD TI SOFT 6.0X50MM,1605.0,1605.0,240.75,1605.0,30
CDM,460329,SCREW 45 6.2 TI CLKX,3012.0,3012.0,451.8,3012.0,30
CDM,460330,INSERT TIB KN SZB 17MM,7858.0,7858.0,1178.7,7858.0,30
CDM,460353,STEM FEM HIP 15MM 160MM,6201.0,6201.0,930.15,6201.0,30
CDM,460358,HD 3-D TI FOR CLKX,3012.0,3012.0,451.8,3012.0,30
CDM,460359,CAP LCK SPNE TI HD498.57,1506.0,1506.0,225.9,1506.0,30
CDM,460363,GUIDEWIRE THD P 3.2MM,773.0,773.0,115.95,773.0,42
CDM,460364,GUIDE ROD 3MM 100MM,1319.0,1319.0,197.85,1319.0,42
CDM,460365,BIT DRILL LNG 4MM,1666.5,1666.5,249.97,1666.5,42
CDM,460367,PLATE BN 10HL 4.5MM 19MM,7472.0,7472.0,1120.8,7472.0,30
CDM,460368,PLATE STLCK 1LVL 24X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,460371,CMPNT FEM KN 63X59 RT,6449.0,6449.0,967.35,6449.0,30
CDM,460372,CMPNT TIB TRAY 71X47,7289.0,7289.0,1093.35,7289.0,30
CDM,460373,COMPNT PTLR KN SZ3 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,460376,SCREW SYN 487.044,2651.0,2651.0,397.65,2651.0,30
CDM,460381,CANNULA PRFSN 14.5IN,493.5,493.5,74.03,493.5,42
CDM,460386,STEM KN STR 15X75X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,460413,HEAD FEM HIP 12/14 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,460434,GFT CV HMSH MCVL18X9X40,3846.0,3846.0,576.9,3846.0,30
CDM,460435,ROD SPN CONN 42-51MM,3765.0,3765.0,564.75,3765.0,30
CDM,460437,MESH SURG 14MM 130MM,24714.0,24714.0,3707.1,24714.0,30
CDM,460438,CAGE SPNL RND MSH 7X10,5686.0,5686.0,852.9,5686.0,30
CDM,460439,BIT DRILL 4MM,1121.0,1121.0,168.15,1121.0,42
CDM,460442,ROD SPN CONN 38-43MM,3765.0,3765.0,564.75,3765.0,30
CDM,460443,GRAFT CV 6MM 30CM,3189.0,3189.0,478.35,3189.0,30
CDM,460446,CAGE SPN INTBDY 21X9X11,13287.0,13287.0,1993.05,13287.0,30
CDM,460447,CAGE SPNL 25X9MM JAG 1/F,13287.0,13287.0,1993.05,13287.0,30
CDM,460449,KIT PROCEDURAL LQ 7ML,3562.0,3562.0,534.3,3562.0,42
CDM,460474,CAGE TAPERED 13X25,13287.0,13287.0,1993.05,13287.0,30
CDM,460476,GRAFT VASC RING 50CM 6MM,3733.0,3733.0,559.95,3733.0,30
CDM,460478,INS ACTB 52MM 36MM,4872.0,4872.0,730.8,4872.0,30
CDM,460514,SCREW CPTR BLU 6.4X65MM,3189.0,3189.0,478.35,3189.0,30
CDM,460516,SCREW CPTR BLU 6.4X75MM,3189.0,3189.0,478.35,3189.0,30
CDM,460517,SCREW CPTR BLU 6.4X80MM,3189.0,3189.0,478.35,3189.0,30
CDM,460519,SCREW RECON 6.4X90,3189.0,3189.0,478.35,3189.0,30
CDM,460520,SCREW CAPT 6.4X95MM,2711.0,2711.0,406.65,2711.0,30
CDM,460521,SCREW BN CPTR 6.4X100MM,3189.0,3189.0,478.35,3189.0,30
CDM,460523,SCREW RECON 6.4X105MM,2711.0,2711.0,406.65,2711.0,30
CDM,460527,NAIL KNEE GREY 8.532,4839.0,4839.0,725.85,4839.0,30
CDM,460528,NAIL KNEE GREY 8.534,4839.0,4839.0,725.85,4839.0,30
CDM,460533,NAIL KNEE GOLD 1028,4839.0,4839.0,725.85,4839.0,30
CDM,460535,NAIL KNEE GOLD 1034,6318.0,6318.0,947.7,6318.0,30
CDM,460536,NAIL KNEE GOLD 1036,5323.0,5323.0,798.45,5323.0,30
CDM,460537,NAIL KNEE GOLD 1038,4706.0,4706.0,705.9,4706.0,30
CDM,460541,NAIL KN 15CM 11.5MM,4872.0,4872.0,730.8,4872.0,30
CDM,460542,NAIL BN 11.5MM 20MM,4872.0,4872.0,730.8,4872.0,30
CDM,460543,NAIL BN TIB 11.5MM 25CM,4872.0,4872.0,730.8,4872.0,30
CDM,460554,NAIl KNEE GLD 15X13,4872.0,4872.0,730.8,4872.0,30
CDM,460555,NAIL BN TIB 13MM 20CM,4872.0,4872.0,730.8,4872.0,30
CDM,460556,NAIL IM KNEE 13X25,4872.0,4872.0,730.8,4872.0,30
CDM,460559,NAIL TIB FEM 13X30,6318.0,6318.0,947.7,6318.0,30
CDM,460569,NAIL FEM 10MM 71634234,4872.0,4872.0,730.8,4872.0,30
CDM,460570,NAIL TRGN LT 10X36,4872.0,4872.0,730.8,4872.0,30
CDM,460580,NAIL 11.5MM 38CM FEM LT,4872.0,4872.0,730.8,4872.0,30
CDM,460586,NAIL FAN LIME 1332 LT,4872.0,4872.0,730.8,4872.0,30
CDM,460589,NAIL FEM 13MM 71634438,4872.0,4872.0,730.8,4872.0,30
CDM,460598,NAIL BN RT 38CM 10MM,4872.0,4872.0,730.8,4872.0,30
CDM,460615,NAIL 13MM 36CM FEM RT,4872.0,4872.0,730.8,4872.0,30
CDM,460617,NAIL FEM 13MM 71635440,4872.0,4872.0,730.8,4872.0,30
CDM,460622,LEAD NEUROSTIM QUAD 6MM,5581.0,5581.0,837.15,5581.0,30
CDM,460628,KIT IT PMP SNCHR DRG DLV,870.0,870.0,130.5,870.0,42
CDM,460629,KIT PUMP DLV SYS REPAIR,972.5,972.5,145.88,972.5,42
CDM,460638,KIT PCKMR WRENCH,457.5,457.5,68.63,457.5,42
CDM,460659,SCREW BN 4.5X13MM,3012.0,3012.0,451.8,3012.0,30
CDM,460674,BIT DRILL CANC 14MM,1692.0,1692.0,253.8,1692.0,42
CDM,460723,TISSUE SYN 50X38X1.5MM,3288.0,3288.0,493.2,3288.0,30
CDM,460746,PLATE CSPN LCKNG 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,460747,KWIRE 1.6MM 6IN,464.0,464.0,69.6,464.0,42
CDM,460749,CLIP LIGATING MD LG,505.0,505.0,75.75,505.0,30
CDM,460754,BIT DRL TWST 3.5X70,1023.5,1023.5,153.53,1023.5,42
CDM,460762,CUP ACTB HIP 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,460763,SLEEVE HIP CNTR SML 18B,4252.0,4252.0,637.8,4252.0,30
CDM,460764,STEM FEM HIP 160MM 18MM,6644.0,6644.0,996.6,6644.0,30
CDM,460783,PLATE BN 1LVL SKNLC 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,460787,WEDGE ILIUM TRCORT 8MM,3411.0,3411.0,511.65,3411.0,30
CDM,460789,ROD SPN 6MM 42-55MM,3765.0,3765.0,564.75,3765.0,30
CDM,460790,ROD 65 6.0 CURV SFT,2711.0,2711.0,406.65,2711.0,30
CDM,460791,PLATE BNE TI 25MM,4037.0,4037.0,605.55,4037.0,30
CDM,460796,PLATE SYNTHES 487.213,4429.0,4429.0,664.35,4429.0,30
CDM,460798,WIRE BN CERC 1.8MM 24IN,3189.0,3189.0,478.35,3189.0,30
CDM,460799,PLATE BN 2LVL SKNLC 41MM,4429.0,4429.0,664.35,4429.0,30
CDM,460800,SCREW SPNE 4.5X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,460804,PASSER HIP XL,4782.0,4782.0,717.3,4782.0,42
CDM,460805,IMPLANT BREAST 755CC,5094.0,5094.0,764.1,5094.0,30
CDM,460813,NEEDLE DLV 8GA 10CM,773.0,773.0,115.95,773.0,42
CDM,460814,SYSTEM BNCMT DLVR SYR,1444.0,1444.0,216.6,1444.0,42
CDM,460817,PLATE HIP CHS 135D 4HL,3189.0,3189.0,478.35,3189.0,30
CDM,460822,PLATE BN 2LVL SKNLC 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,460825,PLATE SYNTHES 487.348,4429.0,4429.0,664.35,4429.0,30
CDM,460826,PLATE SYNTHES 487.354,4429.0,4429.0,664.35,4429.0,30
CDM,460830,KIT LEAD INTRO NEURO,2144.5,2144.5,321.68,2144.5,42
CDM,460834,SPHERE ORBITL IMPL 14MM,3721.0,3721.0,558.15,3721.0,30
CDM,460835,IMPLANT ORBT 16MM,3721.0,3721.0,558.15,3721.0,30
CDM,460836,SPHERE ORBITAL 18MM,3721.0,3721.0,558.15,3721.0,30
CDM,460837,SPHERE EYE RND 20MM,3721.0,3721.0,558.15,3721.0,30
CDM,460838,SPHERE EYE 22MM,3721.0,3721.0,558.15,3721.0,30
CDM,460842,BIT DRL 2.9MM 70MM,1107.0,1107.0,166.05,1107.0,42
CDM,460845,BIT DRILL SURG GLENOID,1694.5,1694.5,254.18,1694.5,42
CDM,460846,COMPNT GLNOID SHLDR 46MM,6090.0,6090.0,913.5,6090.0,30
CDM,460862,STEM FEM KN 130MM 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,460868,BLADE SHVR 5.5MM 18CM,773.0,773.0,115.95,773.0,42
CDM,460869,CAGE SPNL 32X11X9MM,17716.0,17716.0,2657.4,17716.0,30
CDM,460870,STEM HIP FEM OFS 18X170,9966.0,9966.0,1494.9,9966.0,30
CDM,460871,LINER HIP OFST SZG 36MM,5931.0,5931.0,889.65,5931.0,30
CDM,460872,CAGE SPN MESH 12X12X11MM,4753.0,4753.0,712.95,4753.0,30
CDM,460883,SCREW BN 5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,460887,VALVE AOR 21MM,22686.0,22686.0,3402.9,22686.0,30
CDM,460888,VALVE MSC AOR 23MM W/H,21744.0,21744.0,3261.6,21744.0,30
CDM,460889,VALVE MSC AOR 25MM W/H,22686.0,22686.0,3402.9,22686.0,30
CDM,460890,VALVE MSC AOR 27MM W/H,22686.0,22686.0,3402.9,22686.0,30
CDM,460891,VALVE MSC AOR 29MM W/H,22686.0,22686.0,3402.9,22686.0,30
CDM,460910,GRFT SFT TIS 10X7CM SRGS,4429.0,4429.0,664.35,4429.0,30
CDM,460923,VALVE SHUNT SM 30MM,18245.0,18245.0,2736.75,18245.0,30
CDM,460926,CATH SHNT PSSR SBQ 60CM,1134.5,1134.5,170.18,1134.5,42
CDM,460932,SHELL ACTB HIP 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,460940,ROD EX FIX 8MM 200MM,1023.5,1023.5,153.53,1023.5,42
CDM,460948,CONN SPN 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,460949,SCREW BN 2.7MM 24MM,1708.0,1708.0,256.2,1708.0,30
CDM,461042,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,461043,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,461052,SCREW J&J 6.5X40,1590.0,1590.0,238.5,1590.0,30
CDM,461077,RSTRC HIP CMNT 11.0MM,1170.0,1170.0,175.5,1170.0,30
CDM,461088,HEAD FM 32 +12 CBLT/CR,4252.0,4252.0,637.8,4252.0,30
CDM,461092,SET ASSMBLY ATF,216.5,216.5,32.48,216.5,42
CDM,461107,GRAFT CV PTFE 4X4X1.65MM,517.0,517.0,77.55,517.0,30
CDM,461108,ANCHOR SUT 5MM 15.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,461110,PLATE BN SKNLC L1 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,461113,LEAD PCNG 4.5FR,4477.0,4477.0,671.55,4477.0,30
CDM,461156,VALVE AORTIC 21MM,13939.0,13939.0,2090.85,13939.0,30
CDM,461157,SCREW CANCLS 4.0X14 ST,2303.0,2303.0,345.45,2303.0,30
CDM,461160,SCREW BN 2.7MM 22MM,1708.0,1708.0,256.2,1708.0,30
CDM,461171,CANNULA PRF 36/46F 16IN,493.5,493.5,74.03,493.5,42
CDM,461184,EXTENSION LD NRSTM 40CM,3721.0,3721.0,558.15,3721.0,30
CDM,461187,EXTENSION STM 17MM 130MM,4429.0,4429.0,664.35,4429.0,30
CDM,461196,CONN ROD XVR LOPRO 7,6126.0,6126.0,918.9,6126.0,30
CDM,461198,TRAY MBT CEM KEEL TIB 2,9539.0,9539.0,1430.85,9539.0,30
CDM,461199,JOINT TOT KNEE KEEL 2.5,5461.0,5461.0,819.15,5461.0,30
CDM,461200,CMPNT TIB TRY SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,461201,TRAY TIBIAL MBT KEEL CEM,5461.0,5461.0,819.15,5461.0,30
CDM,461202,TRAY 6 MBT TIB CMNT KEEL,5461.0,5461.0,819.15,5461.0,30
CDM,461203,CMPNT FEM 2LT CR NPOR,6449.0,6449.0,967.35,6449.0,30
CDM,461204,COMPNT FEM 4 71X65MM KN,6423.0,6423.0,963.45,6423.0,30
CDM,461205,CMPNT FEM NPOR 5 LT CR,6423.0,6423.0,963.45,6423.0,30
CDM,461206,CMPNT FEM 6 LT CS NPOR,6449.0,6449.0,967.35,6449.0,30
CDM,461207,CMPNT FEM SZ2 RT,6449.0,6449.0,967.35,6449.0,30
CDM,461208,CMPNT FEM 3RT CR NPOR,6423.0,6423.0,963.45,6423.0,30
CDM,461209,COMPNT FEM 4 RT CR NPOR,6423.0,6423.0,963.45,6423.0,30
CDM,461210,CMPNT FEM 5RT CS NPOR,6423.0,6423.0,963.45,6423.0,30
CDM,461213,COMP FEM PFC PORZ 3 LT,13721.0,13721.0,2058.15,13721.0,30
CDM,461214,COMP FEM PFC PORZ 4 LT,13721.0,13721.0,2058.15,13721.0,30
CDM,461217,COMP FEM PFC PORZ 2.5 LT,13721.0,13721.0,2058.15,13721.0,30
CDM,461218,COMP FEM PFC PORZ 2,13721.0,13721.0,2058.15,13721.0,30
CDM,461223,COMP FEM PFC PORZ 2.5,13721.0,13721.0,2058.15,13721.0,30
CDM,461225,CMPNT FEM KN LT SZ3,11483.0,11483.0,1722.45,11483.0,30
CDM,461226,CMPNT FEM KN LT SZ5,11483.0,11483.0,1722.45,11483.0,30
CDM,461228,CMPNT FEM KN LT SZ2.5,11366.0,11366.0,1704.9,11366.0,30
CDM,461230,CMPNT FEM KN SZ6,11483.0,11483.0,1722.45,11483.0,30
CDM,461231,CMPNT FEM KN SZ2.5,11483.0,11483.0,1722.45,11483.0,30
CDM,461232,INSERT TIB 2 10MM,4717.0,4717.0,707.55,4717.0,30
CDM,461233,INS TIB 2 12.5 KNROT PLT,4717.0,4717.0,707.55,4717.0,30
CDM,461236,INSERT TIB KN 2.5MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,461237,INSERT UHMWPE KN2.5X12.5,4717.0,4717.0,707.55,4717.0,30
CDM,461240,INSERT TIB KN INS 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,461245,INSERT TIB CRVD SZ4 12.5,4717.0,4717.0,707.55,4717.0,30
CDM,461256,INS TIB 2X10 RP STB,4429.0,4429.0,664.35,4429.0,30
CDM,461257,INSERT TIB KN SZ2 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461260,INS TIB 2.5X10 RP STAB,4429.0,4429.0,664.35,4429.0,30
CDM,461261,INSERT TIB KN 2.5X12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461262,INSERT KN UHMWPE 2.5X15,4429.0,4429.0,664.35,4429.0,30
CDM,461264,INS TIB 3X10 RP STAB,4429.0,4429.0,664.35,4429.0,30
CDM,461265,INSERT TIB ARTC KN3X12.5,4429.0,4429.0,664.35,4429.0,30
CDM,461268,INSERT TIB KN RP 4X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,461269,INSERT TIB RP STAB4X12.5,4429.0,4429.0,664.35,4429.0,30
CDM,461270,INSERT TIB KN SZ4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,461272,INSERT TIB KN SZ5 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461273,INSERT TIB KN SZ5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,461275,TIB UHMWPE 6 H10MM PFC S,4429.0,4429.0,664.35,4429.0,30
CDM,461283,PLATE SPN SML 20MM 12MM,4060.0,4060.0,609.0,4060.0,30
CDM,461294,DEVICE ENDO SZ2-0 7IN,773.0,773.0,115.95,773.0,42
CDM,461307,HOOK LAMINAR 4.5,5383.0,5383.0,807.45,5383.0,30
CDM,461308,CONN ROD SPN 10MM,3520.0,3520.0,528.0,3520.0,30
CDM,461309,CONNECTOR VERTEX 6902200,3765.0,3765.0,564.75,3765.0,30
CDM,461311,SCREW SPN CANC 3.5X10MM,5083.0,5083.0,762.45,5083.0,30
CDM,461312,SCREW SPN CANC 3.5X22MM,5083.0,5083.0,762.45,5083.0,30
CDM,461313,SCREW SPN CANC 3.5X24MM,5083.0,5083.0,762.45,5083.0,30
CDM,461314,SCREW SPN CANC 4X10MM,5083.0,5083.0,762.45,5083.0,30
CDM,461316,SCREW SPN CANC 4X16MM,5083.0,5083.0,762.45,5083.0,30
CDM,461317,SCREW SPN CANC 4X18MM,5083.0,5083.0,762.45,5083.0,30
CDM,461318,SCREW SPN CANC 4X22MM,5083.0,5083.0,762.45,5083.0,30
CDM,461319,SCREW BN SPNL 4.0X22MM,5083.0,5083.0,762.45,5083.0,30
CDM,461320,SCREW SPN CANC 4X24MM,5083.0,5083.0,762.45,5083.0,30
CDM,461321,SCREW SPN CANC 4X26MM,5083.0,5083.0,762.45,5083.0,30
CDM,461322,SCREW SPN CANC 4X28MM,5083.0,5083.0,762.45,5083.0,30
CDM,461323,SCREW SPN CANC 4X30MM,5083.0,5083.0,762.45,5083.0,30
CDM,461324,SCREW SPN CANC 4X32MM,5083.0,5083.0,762.45,5083.0,30
CDM,461325,SCREW SPN CANC 4X34MM,5083.0,5083.0,762.45,5083.0,30
CDM,461326,SCREW SPN CANC 4X36MM,5083.0,5083.0,762.45,5083.0,30
CDM,461327,SCREW SPN CANC 4X38MM,5083.0,5083.0,762.45,5083.0,30
CDM,461328,SCREW SPN CANC 4X40MM,5083.0,5083.0,762.45,5083.0,30
CDM,461329,SCREW BN SPNL 4.0X42MM,5083.0,5083.0,762.45,5083.0,30
CDM,461331,SCREW BN SPNL 4.0X46MM,5083.0,5083.0,762.45,5083.0,30
CDM,461332,SCREW BN SPNL 4.0X48MM,5083.0,5083.0,762.45,5083.0,30
CDM,461333,SCREW BN SPNL 4.0X50MM,5083.0,5083.0,762.45,5083.0,30
CDM,461334,SCREW BN SPNL 4.0X52MM,5083.0,5083.0,762.45,5083.0,30
CDM,461337,SCREW BN 3MM 15MM 4MM,2618.0,2618.0,392.7,2618.0,30
CDM,461338,SCREW BN 3MM 18MM 5MM,2618.0,2618.0,392.7,2618.0,30
CDM,461339,BIT DRILL 2.1MM,1604.5,1604.5,240.68,1604.5,42
CDM,461340,PLATE BN W TI 4 HL,3329.0,3329.0,499.35,3329.0,30
CDM,461341,PEG HI-COMP LCK 2.7X22MM,1356.0,1356.0,203.4,1356.0,30
CDM,461342,SCREW BN 4.6MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,461343,BIT DRL 2.7MM 3.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,461344,GWIRE ORTH .045IN CL,402.0,402.0,60.3,402.0,42
CDM,461345,SCREW SPN 6.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,461346,SCREW SPN SET,753.0,753.0,112.95,753.0,30
CDM,461347,HEAD SPN SCREW 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,461348,CAGE SPN 7D 15X13X6MM,8083.0,8083.0,1212.45,8083.0,30
CDM,461349,BIT DRILL DISP 12MM,386.5,386.5,57.98,386.5,42
CDM,461350,BIT DRILL AO CPLNG,386.5,386.5,57.98,386.5,42
CDM,461351,SCREW SPN 5.5MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,461352,SCREW SPN 3.5MM 18MM,3765.0,3765.0,564.75,3765.0,30
CDM,461353,ROD SPN 100MM 4MM,2711.0,2711.0,406.65,2711.0,30
CDM,461354,SCREW SPN LOCKING,753.0,753.0,112.95,753.0,30
CDM,461355,STEM FM 215X18X13 MOD SR,11215.0,11215.0,1682.25,11215.0,30
CDM,461356,SCREW SPNL STRGH 8.5X30,4247.0,4247.0,637.05,4247.0,30
CDM,461357,ROD SPN PRE BENT 5.5X85,2711.0,2711.0,406.65,2711.0,30
CDM,461358,SPACER SPN 8X26MM,9523.0,9523.0,1428.45,9523.0,30
CDM,461359,SCREW CREO 4.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,461360,SCREW SPN 4.5X25MM,3765.0,3765.0,564.75,3765.0,30
CDM,461361,BASEPLATE TIB KN SZ6,11073.0,11073.0,1660.95,11073.0,30
CDM,461362,STEM KN RV CMNT 14X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,461363,SCREW BN 10.35MM 95MM,3291.0,3291.0,493.65,3291.0,30
CDM,461364,ROD SPN 5.5MM 200MM,2711.0,2711.0,406.65,2711.0,30
CDM,461365,ROD CONN BRDG 27,3389.0,3389.0,508.35,3389.0,30
CDM,461366,SCREW SPNL STRGH 4.5X30,4247.0,4247.0,637.05,4247.0,30
CDM,461368,STENT GRFT 18FR 145MM,31529.0,31529.0,4729.35,31529.0,30
CDM,461369,CUP TRIFLNG ACTB LT 56MM,44069.0,44069.0,6610.35,44069.0,30
CDM,461370,BIT DRILL 1.9MM,386.5,386.5,57.98,386.5,42
CDM,461371,STEM HIP FPX OFST 8X96.5,8858.0,8858.0,1328.7,8858.0,30
CDM,461372,STEM HIP FEM STD 8X120,9966.0,9966.0,1494.9,9966.0,30
CDM,461373,MOLD SPCR HIP CMNT11X200,10143.0,10143.0,1521.45,10143.0,42
CDM,461374,MOLD HEAD HIP CMNT 60MM,9362.5,9362.5,1404.38,9362.5,42
CDM,461375,STEM FEM KN 16.5MM 150MM,5812.0,5812.0,871.8,5812.0,30
CDM,461376,CMPNT KN DPHSL SEG 7CM,17113.0,17113.0,2566.95,17113.0,30
CDM,461377,CMPNT KN FEM RT STD 7CM,21346.0,21346.0,3201.9,21346.0,30
CDM,461378,INSERT KN TIB STD 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,461379,CMPNT TIB KN RS 160X10,10848.0,10848.0,1627.2,10848.0,30
CDM,461380,AUGMENT TIB OSS SM TPR K,8637.0,8637.0,1295.55,8637.0,30
CDM,461381,HEAD HUM 18MM 40MM,7482.0,7482.0,1122.3,7482.0,30
CDM,461382,STEM HUM SHLDR 109MM,11959.0,11959.0,1793.85,11959.0,30
CDM,461383,CMPNT FEM 6 SGM RT PS LR,6449.0,6449.0,967.35,6449.0,30
CDM,461384,INS TIB KN SZ6 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461385,SPACER SPNL 60X22X14MM,13952.0,13952.0,2092.8,13952.0,30
CDM,461386,SCREW CREO 7.5 X 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,461387,PLATE BN DRSL ULN 5 HL,4340.0,4340.0,651.0,4340.0,30
CDM,461388,SCREW BN 2.3MM 12MM,1595.0,1595.0,239.25,1595.0,30
CDM,461389,SCREW BN CORT 2.3X16MM,1595.0,1595.0,239.25,1595.0,30
CDM,461390,SCREW CORT 2.0MM X 14MM,319.0,319.0,47.85,319.0,30
CDM,461392,SCREW BN 2MM 16MM,319.0,319.0,47.85,319.0,30
CDM,461393,PLATE L RT 6HOLE,3534.0,3534.0,530.1,3534.0,30
CDM,461394,WIRE FX KRSH 1.6MM 100MM,309.5,309.5,46.42,309.5,42
CDM,461395,DRILL BIT 1.6MM 90MM,1105.0,1105.0,165.75,1105.0,42
CDM,461396,SCREW BN 2MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,461397,SCREW BN 2MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,461398,SPACER SPNL 13X12X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,461399,SCREW SPN 4.6MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,461400,PLATE SPN 5MM,3389.0,3389.0,508.35,3389.0,30
CDM,461401,PLATE SPN PAX SCR HL 7MM,3389.0,3389.0,508.35,3389.0,30
CDM,461402,ROD SPN 3.5MM 85MM,2711.0,2711.0,406.65,2711.0,30
CDM,461403,TRAIL HIP DISP 56/58/60,4093.0,4093.0,613.95,4093.0,42
CDM,461404,STEM FEM CMNT XTN 12X130,6644.0,6644.0,996.6,6644.0,30
CDM,461405,STEM FEM HIP 18X235MM,10204.0,10204.0,1530.6,10204.0,30
CDM,461406,SCREW BN STD 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,461408,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,461409,SCREW SPNL PDC 2 24IN,377.0,377.0,56.55,377.0,30
CDM,461410,PLATE SPN CERV 3LVL 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,461411,CMPNT KN PST SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,461412,STEM FEM HIP SZ4 12/14,8416.0,8416.0,1262.4,8416.0,30
CDM,461413,CMPNT FEM KN SZB,35849.0,35849.0,5377.35,35849.0,30
CDM,461414,AUG FEM KN SZB 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461415,WEDGE KN AUG LO/RI 55X5,4606.0,4606.0,690.9,4606.0,30
CDM,461416,WEDGE KN AUG RO/LI 55X5,4606.0,4606.0,690.9,4606.0,30
CDM,461417,INSERT ARTC KN 58X40X14M,7858.0,7858.0,1178.7,7858.0,30
CDM,461418,COMP FEM KN RT SZ-6N,6312.0,6312.0,946.8,6312.0,30
CDM,461419,NAIL 125D 1344 L,8105.0,8105.0,1215.75,8105.0,30
CDM,461420,PROSTHESIS PENL PMP 20CM,39410.0,39410.0,5911.5,39410.0,30
CDM,461422,SCREW BN 1.5MM 4MM,1112.0,1112.0,166.8,1112.0,30
CDM,461423,SCREW BN SPNL 3.5X18MM,4247.0,4247.0,637.05,4247.0,30
CDM,461424,SCREW BN SPNL 4X18MM,4247.0,4247.0,637.05,4247.0,30
CDM,461427,ROD SPNL 50MM 3.5MM CRV,2711.0,2711.0,406.65,2711.0,30
CDM,461428,PLATE SPN ANT LMBAR 28MM,12047.0,12047.0,1807.05,12047.0,30
CDM,461429,CAGE SPNL 30X17MM 8D,9523.0,9523.0,1428.45,9523.0,30
CDM,461430,SCREW SPN VAR6.5X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,461431,IMPLANT BREAST 450CC,5315.0,5315.0,797.25,5315.0,30
CDM,461432,IMPLANT BREAST 490CC,5094.0,5094.0,764.1,5094.0,30
CDM,461433,IMPLANT BREAST 415CC,5315.0,5315.0,797.25,5315.0,30
CDM,461436,WIRE LIGASURE 22GA,340.0,340.0,51.0,340.0,42
CDM,461437,SPACER STD 28X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,461438,SPACER SPNL 13X12X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461439,CMPNT PTLR KN 3 PEG,4252.0,4252.0,637.8,4252.0,30
CDM,461440,LINER ACTB SZE 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,461441,HEAD FEM HIP +8 12/14X22,4606.0,4606.0,690.9,4606.0,30
CDM,461442,CAGE SPN 5D 14MM,9523.0,9523.0,1428.45,9523.0,30
CDM,461443,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,461444,STEM FEM HIP EXT SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,461445,STEM FEM HIP PRSFT SZ7,8416.0,8416.0,1262.4,8416.0,30
CDM,461446,CONFORMER EYE LUCITE MED,670.0,670.0,100.5,670.0,42
CDM,461447,CUP TRIFLNG ACTB66MM LFT,40969.0,40969.0,6145.35,40969.0,30
CDM,461448,CANNULA ARTHSCP 7MM 7CM,433.0,433.0,64.95,433.0,42
CDM,461449,COMPNT ARTC 11.5X5 HMICP,13509.0,13509.0,2026.35,13509.0,30
CDM,461450,HEAD HUM SHD TALL 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,461451,STEM FEM HIP SZ4 99MM,8416.0,8416.0,1262.4,8416.0,30
CDM,461452,STEM FEM HIP 11MM 140MM,4872.0,4872.0,730.8,4872.0,30
CDM,461453,INSERT ARTC KN 7-8 13MM,5532.0,5532.0,829.8,5532.0,30
CDM,461454,STEM FEM KN 100MM 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,461455,INS TIB6 KN TRULIANT15MM,4429.0,4429.0,664.35,4429.0,30
CDM,461457,SPACER SPNL 35X17MM,9523.0,9523.0,1428.45,9523.0,30
CDM,461458,SCREW BN SPNL 6.5X60MM,4247.0,4247.0,637.05,4247.0,30
CDM,461459,ROD SPN CRV 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
CDM,461461,COMPNT DOME ANKL SIZE 5,27916.0,27916.0,4187.4,27916.0,30
CDM,461462,INSERT TIB ANKL SZ5 6MM,9213.0,9213.0,1381.95,9213.0,30
CDM,461463,PEG BN UNTHRD 1.8MM 14MM,1834.0,1834.0,275.1,1834.0,30
CDM,461464,PEG FX VOLR UNTHRD 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,461466,SPACER SPN 27X9X8MM 8D,8083.0,8083.0,1212.45,8083.0,30
CDM,461467,GUIDEWIRE VASC 450MM,773.0,773.0,115.95,773.0,42
CDM,461468,PLATE BN 200-325 SQ CM,103638.0,103638.0,15545.7,103638.0,30
CDM,461469,INSERT TIB KN 5F/6T,4606.0,4606.0,690.9,4606.0,30
CDM,461470,INSERT TIB KN 2.5F/3.5T,5315.0,5315.0,797.25,5315.0,30
CDM,461471,PLATE SPN CERV 1LVL 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,461472,CAGE SPN 7D 17X14X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,461473,ROD SPN 5.5MM 180MM,2711.0,2711.0,406.65,2711.0,30
CDM,461474,ROD SPNL 130X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,461475,HEAD HUM ELBOW YOKE,11658.0,11658.0,1748.7,11658.0,30
CDM,461476,HEAD HUM ELBOW YOKE,4824.0,4824.0,723.6,4824.0,30
CDM,461478,INSERT TIB KN 17MM SZ5,4429.0,4429.0,664.35,4429.0,30
CDM,461480,CAGE SPN 7D 14X16X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,461481,SCREW SPN 4.2MM 12MM,1506.0,1506.0,225.9,1506.0,30
CDM,461482,SPACER SPN 14X6X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,461483,PLATE SPN CERV 4LVL 72MM,4429.0,4429.0,664.35,4429.0,30
CDM,461484,PLATE SPN CERV 4LVL 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,461485,SPACER SPNL 29X11MM,9966.0,9966.0,1494.9,9966.0,30
CDM,461486,STEM KN FEM SP EXT 21X40,5054.0,5054.0,758.1,5054.0,30
CDM,461487,CMPNT TIB BRG PS79/83X18,6142.0,6142.0,921.3,6142.0,30
CDM,461488,INSERT TIB KN RT 23MM,14095.0,14095.0,2114.25,14095.0,30
CDM,461489,STEM FEM HIP LG 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,461491,SPACER SPNL 60X18X14MM,14395.0,14395.0,2159.25,14395.0,30
CDM,461492,CAGE SPN 7D 13X18X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,461493,INS TIB CNSTRN SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,461494,IMPLANT KNEE 962653,4606.0,4606.0,690.9,4606.0,30
CDM,461495,STEM FEM KN 20MM 150MM,4606.0,4606.0,690.9,4606.0,30
CDM,461496,WEDGE FEM KN LT SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,461497,SPACER SPNL 40X16X8MMD,13287.0,13287.0,1993.05,13287.0,30
CDM,461498,INSERT TIB ANKL 1/1+ 8MM,9213.0,9213.0,1381.95,9213.0,30
CDM,461499,PLATE BN LCK 10HL 187MM,8599.0,8599.0,1289.85,8599.0,30
CDM,461500,SCREW BN 4.5MM 34M,670.0,670.0,100.5,670.0,30
CDM,461501,SCREW BN 4.5MM 28M,670.0,670.0,100.5,670.0,30
CDM,461502,SCREW BN CORT 30MMX4.5MM,670.0,670.0,100.5,670.0,30
CDM,461503,SCREW BN 4.5MM 26MM,670.0,670.0,100.5,670.0,30
CDM,461504,SCREW BN CRTCL 4.5X40MM,670.0,670.0,100.5,670.0,30
CDM,461505,KWIRE FX 234MM 2MM,386.5,386.5,57.98,386.5,42
CDM,461507,CONNECTOR SPN 5.5X44-56,3012.0,3012.0,451.8,3012.0,30
CDM,461508,CMPNT SHLDR 3G 40MM,6201.0,6201.0,930.15,6201.0,30
CDM,461509,STEM HIP FP HI OFS15X114,11073.0,11073.0,1660.95,11073.0,30
CDM,461510,KIT PIN SHLDR DISP,972.5,972.5,145.88,972.5,42
CDM,461511,COMP GLND LG 60MM,7062.0,7062.0,1059.3,7062.0,30
CDM,461512,NEUROSTIM WRLS EXTRNL,1637.0,1637.0,245.55,1637.0,42
CDM,461513,MESH SURG 50X50X.6MM,5568.0,5568.0,835.2,5568.0,30
CDM,461514,SPACER SPN 15D27X10X10MM,15059.0,15059.0,2258.85,15059.0,30
CDM,461515,PLATE SPN CERV 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,461516,INSERT ARTC KN LT 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,461517,INSERT KN TIB XTRME SZB,4252.0,4252.0,637.8,4252.0,30
CDM,461518,CMPNT FEM KN LT SZB,42280.0,42280.0,6342.0,42280.0,30
CDM,461519,INSERT TIB KN SZ B 26MM,7858.0,7858.0,1178.7,7858.0,30
CDM,461520,PIN FX HNG ELBOW ACCLAIM,22996.0,22996.0,3449.4,22996.0,30
CDM,461521,NAIL FEM RT 13MM 40CM,9050.0,9050.0,1357.5,9050.0,30
CDM,461522,SCREW SPNL STRGH 8.5X80,3389.0,3389.0,508.35,3389.0,30
CDM,461523,CONN SPN ROD 5.5MM 6MM,3389.0,3389.0,508.35,3389.0,30
CDM,461524,CONNECTOR SPN LAT 70MM,3389.0,3389.0,508.35,3389.0,30
CDM,461525,CONN SPN TRNSV 5.5/6.0MM,3389.0,3389.0,508.35,3389.0,30
CDM,461526,SCREW SPN 4MM 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,461527,SCREW SPN 3.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,461528,SPACER SPN 8D 14X12X42MM,24116.0,24116.0,3617.4,24116.0,30
CDM,461529,KIT SPLNT PTSPC 2 ORTHGN,11673.5,11673.5,1751.03,11673.5,42
CDM,461530,STEM FEM HIP TPR 150X13,7805.0,7805.0,1170.75,7805.0,30
CDM,461531,HEAD HIP TPR NK-5X22MM,4252.0,4252.0,637.8,4252.0,30
CDM,461532,AUGMENT FEM ATUN SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,461533,AUGMENT FEM KN SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,461534,COMPNT FEM KN 6 RT,18159.0,18159.0,2723.85,18159.0,30
CDM,461535,SHELL ACTB HIP RT 58MM,14395.0,14395.0,2159.25,14395.0,30
CDM,461536,SCREW SPN 4.6MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,461537,CAGE SPNL 14X12X7MM ENDO,4429.0,4429.0,664.35,4429.0,30
CDM,461538,ROD SPN STRAIGHT 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,461539,SPACER SPN 14X12X26MM 8D,24116.0,24116.0,3617.4,24116.0,30
CDM,461540,SCREW BN MINI 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,461542,COMPNT PTLR KN 3 8X29MM,4252.0,4252.0,637.8,4252.0,30
CDM,461543,ROD SPNL 90MM 4.75MM STR,3012.0,3012.0,451.8,3012.0,30
CDM,461544,SCREW SPN CREO 5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,461545,SCREW 5.0 X 35 PREASMBL,3765.0,3765.0,564.75,3765.0,30
CDM,461546,ROD SPN 5.5X125MM,2711.0,2711.0,406.65,2711.0,30
CDM,461547,SCREW BN 4.5MM 30MM,388.0,388.0,58.2,388.0,30
CDM,461548,COMP GLND SHLDR 8D MED,8416.0,8416.0,1262.4,8416.0,30
CDM,461549,SCREW SPNAL BN SET 85MM,753.0,753.0,112.95,753.0,30
CDM,461550,CAGE SPNL 30 6DEG - 09,9966.0,9966.0,1494.9,9966.0,30
CDM,461551,CAGE SPNL 30 6DEG - 11,9966.0,9966.0,1494.9,9966.0,30
CDM,461552,BLOCK CUTTNG LT LGNP KIT,1637.0,1637.0,245.55,1637.0,42
CDM,461553,CMPNT FEM KN SZ4,6312.0,6312.0,946.8,6312.0,30
CDM,461554,SCREW BN SPN 6.5MM 30MM,1130.0,1130.0,169.5,1130.0,30
CDM,461555,CONNECTOR/ROD SPN INLINE,7973.0,7973.0,1195.95,7973.0,30
CDM,461556,SPACER SPN 8D 30X10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,461557,SPACER SPNL 36X10MM,9523.0,9523.0,1428.45,9523.0,30
CDM,461558,CAGE SPN 6D 50X22X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,461559,PLATE SPN 1LVL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,461560,CONNECTOR ROD LAT 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,461561,PLATE SPN 2HL 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,461562,SPACER SPNL 39X15MM,9523.0,9523.0,1428.45,9523.0,30
CDM,461563,SPACER SPN 39X15MM,9966.0,9966.0,1494.9,9966.0,30
CDM,461564,PLATE SPN LVL 1 24MM,11073.0,11073.0,1660.95,11073.0,30
CDM,461565,SCREW SPN 6.5MM 30MM,1130.0,1130.0,169.5,1130.0,30
CDM,461566,STEM RADL ELBOW 11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,461567,CMPNT RAD ELB 24MM,4606.0,4606.0,690.9,4606.0,30
CDM,461568,DRILL SURG 2.5MM 80MM,232.0,232.0,34.8,232.0,42
CDM,461569,DRILL BIT 2.7X70MM,773.0,773.0,115.95,773.0,42
CDM,461570,KWIRE FX 127MM 1.5MM,231.5,231.5,34.73,231.5,42
CDM,461571,PIN BN FX 60MM 2.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,461572,ASSEMBLY ORTH BSPLT,22730.0,22730.0,3409.5,22730.0,30
CDM,461573,SCREW BN 3.5MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,461574,SCREW BN 3.5MM 22MM,1642.0,1642.0,246.3,1642.0,30
CDM,461575,SCREW BN 3.5MM 36MM,1356.0,1356.0,203.4,1356.0,30
CDM,461576,GRAFT STNT 30-34MM 160MM,68230.0,68230.0,10234.5,68230.0,30
CDM,461577,SCREW SPN S/T 55MM 6.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,461578,INSERT ARTC KN 5-6 13MM,14948.0,14948.0,2242.2,14948.0,30
CDM,461579,SCREW BN SPN 5.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,461580,REAMER SURG GD PIN 8MM,2865.0,2865.0,429.75,2865.0,42
CDM,461582,STEM FEM HIP SZ1,8858.0,8858.0,1328.7,8858.0,30
CDM,461583,COMP GLND SHLDR SM 35MM,6201.0,6201.0,930.15,6201.0,30
CDM,461584,SPACER SPN 14MM 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,461585,SPACER SPN 8D 14X12X28MM,24116.0,24116.0,3617.4,24116.0,30
CDM,461586,SCREW BN SPN 5.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,461587,SPACER SPN 22X8X11MM,16831.0,16831.0,2524.65,16831.0,30
CDM,461588,LINER ACTB HIP CANC 54MM,6644.0,6644.0,996.6,6644.0,30
CDM,461589,HIP HEAD FEM +0 12/14 22,4429.0,4429.0,664.35,4429.0,30
CDM,461590,BLADE BN HLCL 115MM,3721.0,3721.0,558.15,3721.0,30
CDM,461592,PLATE BN STD LONG LT,4429.0,4429.0,664.35,4429.0,30
CDM,461593,PLATE BN XTN NTRL,4429.0,4429.0,664.35,4429.0,30
CDM,461594,PLATE SCR EXTENSION,2392.0,2392.0,358.8,2392.0,30
CDM,461595,SCREW ELLPSE P-AX 4.5X20,4247.0,4247.0,637.05,4247.0,30
CDM,461596,SCREW BN 4.5X22MM ELLIPS,4247.0,4247.0,637.05,4247.0,30
CDM,461597,SCREW BN 4.5X26MM ELL TI,4247.0,4247.0,637.05,4247.0,30
CDM,461598,ROD SPN 3.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,461599,SCREW SPN PLYAX 3.5X14MM,3389.0,3389.0,508.35,3389.0,30
CDM,461600,SCREW SPN PLYAX 3.5X30MM,4247.0,4247.0,637.05,4247.0,30
CDM,461601,SCREW SPN 4.5MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,461602,SCREW SPN PLYAX 4.5X30MM,3389.0,3389.0,508.35,3389.0,30
CDM,461603,SCREW SPN PLYAX 4.5X32MM,4247.0,4247.0,637.05,4247.0,30
CDM,461604,SCREW SPN PLYAX 4.5X34MM,3765.0,3765.0,564.75,3765.0,30
CDM,461605,SCREW SPN PLYAX 4.5X36MM,4247.0,4247.0,637.05,4247.0,30
CDM,461606,ROD SPNL 3.5X240MM,2711.0,2711.0,406.65,2711.0,30
CDM,461607,CAP SCREW BN SPNE NS,753.0,753.0,112.95,753.0,30
CDM,461609,COMPNT CEM FEM KN RT SZ6,7087.0,7087.0,1063.05,7087.0,30
CDM,461610,HEAD HIP BIP UHR 36X22MM,4252.0,4252.0,637.8,4252.0,30
CDM,461611,INSERT TIB PS + 63/67X16,4429.0,4429.0,664.35,4429.0,30
CDM,461612,SCREW BN 2.7MM 44MM,508.0,508.0,76.2,508.0,30
CDM,461613,SCREW BN 2.7MM 46MM,429.0,429.0,64.35,429.0,30
CDM,461614,SCREW BN 2.7MM 5MM,508.0,508.0,76.2,508.0,30
CDM,461615,SCREW BN 2.7MM 50MM,508.0,508.0,76.2,508.0,30
CDM,461616,SCREW SPN 4.5MM 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,461617,SCREW EXFX HP 6X200X80MM,1023.5,1023.5,153.53,1023.5,42
CDM,461618,SCREW SPN 3.5X14MM,4247.0,4247.0,637.05,4247.0,30
CDM,461619,SCREW BN NEOLAT 3.5X16MM,3765.0,3765.0,564.75,3765.0,30
CDM,461620,INSERT TIB 2 13MM KN TRU,4429.0,4429.0,664.35,4429.0,30
CDM,461621,STEM HIP RVRS 19X195MM,25910.0,25910.0,3886.5,25910.0,30
CDM,461622,LNR XLPE 36 0 LAT 4 58,4429.0,4429.0,664.35,4429.0,30
CDM,461623,CAGE SPN 7D 12X14.5X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,461624,CAGE SPN CIF 6DEG-9MM,4429.0,4429.0,664.35,4429.0,30
CDM,461625,CAGE SPNL 30 6DEG - 12,9966.0,9966.0,1494.9,9966.0,30
CDM,461626,CAGE SPNL 30 6DEG - 10,9966.0,9966.0,1494.9,9966.0,30
CDM,461628,SCREW BN CORT 2MM 15MM,541.0,541.0,81.15,541.0,30
CDM,461629,SCREW BN 3.5MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,461630,SPACER SPNL 30X10MM,16565.0,16565.0,2484.75,16565.0,30
CDM,461631,SPACER SPNL 30X14MM,9966.0,9966.0,1494.9,9966.0,30
CDM,461632,SCREW SPN PLYAX 4.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,461633,BIT DRILL 2.0MM,386.5,386.5,57.98,386.5,42
CDM,461634,ROD SPNL 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,461635,INSERT TIB KN SZ2 25MM,7175.0,7175.0,1076.25,7175.0,30
CDM,461636,PLATE SPN CERV 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,461637,SPACER SPN 26X10X10-14MM,15059.0,15059.0,2258.85,15059.0,30
CDM,461638,CONN SPN ROD 5.5X25MM,3389.0,3389.0,508.35,3389.0,30
CDM,461640,SLEEVE TIB KN PRCT 29MM,10241.0,10241.0,1536.15,10241.0,30
CDM,461641,INS KN TIB SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,461642,SPCR SPNL 50X20X10MM 6D,9966.0,9966.0,1494.9,9966.0,30
CDM,461643,SCREW BN SPN 5.5MM 20MM,1506.0,1506.0,225.9,1506.0,30
CDM,461644,SCREW BN SPN 6.5MM 35MM,1130.0,1130.0,169.5,1130.0,30
CDM,461645,CAGE SPN MESH 22X17X10MM,9346.0,9346.0,1401.9,9346.0,30
CDM,461646,BLADE BN HLCL 75MM,3721.0,3721.0,558.15,3721.0,30
CDM,461649,SCREW BN 2.7MM 34MM,610.0,610.0,91.5,610.0,30
CDM,461650,PLATE BN 40MM 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,461651,STEM ULNAR 5MM 1CM,11183.0,11183.0,1677.45,11183.0,30
CDM,461652,SCREW BN LCK 3.5MM 14MM,2073.0,2073.0,310.95,2073.0,30
CDM,461653,SCREW BN 5MM 50MM CPTR T,3721.0,3721.0,558.15,3721.0,30
CDM,461654,SCRW BN CPTR HTORQ5X55MM,3189.0,3189.0,478.35,3189.0,30
CDM,461655,CLAMP EX FIX 45MM XTRAFI,3683.5,3683.5,552.52,3683.5,42
CDM,461656,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,461657,SCREW SPN PLYAX 4.5X20MM,3389.0,3389.0,508.35,3389.0,30
CDM,461658,ROD SPNL 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,461659,ROD SPN CURV 3.5X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,461661,GRAFT EVAS 14.5MM 14CM,19174.0,19174.0,2876.1,19174.0,30
CDM,461662,GRAFT EVAS 23X12MM 18CM,44268.0,44268.0,6640.2,44268.0,30
CDM,461663,PLATE SPN 2LVL 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,461664,SLEEVE TIB KN CMNT 37MM,9744.0,9744.0,1461.6,9744.0,30
CDM,461665,HEAD FEM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,461666,ADAPTER HD FEM HIP 3.5MM,4066.0,4066.0,609.9,4066.0,30
CDM,461667,DRIVER STEM W/PST 1.6MM,1899.0,1899.0,284.85,1899.0,42
CDM,461669,PEG BN WRIST 2.5MM 16MM,1834.0,1834.0,275.1,1834.0,30
CDM,461670,SPACER 8 DEG 13 MM SM,23253.0,23253.0,3487.95,23253.0,30
CDM,461673,BASEPLATE TIB KN SZ4,11073.0,11073.0,1660.95,11073.0,30
CDM,461674,STEM FEM 14MM 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,461675,PLATE SPN 2LVL 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,461676,SPACER SPN 11X14X23MM,11090.0,11090.0,1663.5,11090.0,30
CDM,461677,STEM FEM HIP 150MM 16MM,7805.0,7805.0,1170.75,7805.0,30
CDM,461678,SCR BN 6.5MM 40MM DIV-L,1130.0,1130.0,169.5,1130.0,30
CDM,461679,STEM FEM 13 12.14 PRSFT,8858.0,8858.0,1328.7,8858.0,30
CDM,461680,CUP PNCL NTRL 520DX28ID4,20027.0,20027.0,3004.05,20027.0,30
CDM,461681,PLATE SPN 29MM,4429.0,4429.0,664.35,4429.0,30
CDM,461682,CAGE SPNL 30 6DEG - 08,9966.0,9966.0,1494.9,9966.0,30
CDM,461683,PLATE BN HUM 16H 254MM,7680.0,7680.0,1152.0,7680.0,30
CDM,461684,SCREW BN 4X44MM,1993.0,1993.0,298.95,1993.0,30
CDM,461685,SCREW BN 4MM 46MM,2918.0,2918.0,437.7,2918.0,30
CDM,461689,PLATE BN LCK 71MM 5HL,6972.0,6972.0,1045.8,6972.0,30
CDM,461690,SCREW BN 3.5XL32MM,590.0,590.0,88.5,590.0,30
CDM,461692,SCREW BN 3.5MM 30M,590.0,590.0,88.5,590.0,30
CDM,461693,SCREW BN P-AX 5MM 30MM,463.0,463.0,69.45,463.0,30
CDM,461694,SCREW BN 3.5MMX26MM,590.0,590.0,88.5,590.0,30
CDM,461695,SCREW BN 3.5MM 36M,708.0,708.0,106.2,708.0,30
CDM,461696,SCREW BN 3.5MM 24MM,590.0,590.0,88.5,590.0,30
CDM,461697,SCREW BN 3.5MM 44MM,613.0,613.0,91.95,613.0,30
CDM,461698,SCREW BN 4MM 32MM,767.0,767.0,115.05,767.0,30
CDM,461699,KWIRE FX 2MM 285MM,1023.5,1023.5,153.53,1023.5,42
CDM,461700,GUIDEWIRE BEAD TIP 2.6MM,972.5,972.5,145.88,972.5,42
CDM,461701,GWIRE ORTH 2MM 70CM,1388.0,1388.0,208.2,1388.0,42
CDM,461702,STEM FEM HIP 20MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,461703,BODY CONE 80MM ACS E STD,16725.0,16725.0,2508.75,16725.0,30
CDM,461704,NAIL TROCH 13X36CM,8105.0,8105.0,1215.75,8105.0,30
CDM,461705,PLATE BN LCP L283MM RT F,7438.0,7438.0,1115.7,7438.0,30
CDM,461709,CATH BLDL 12X60MM 75CM,819.0,819.0,122.85,819.0,42
CDM,461711,CMPNT KN LT NAR SZ4N,6312.0,6312.0,946.8,6312.0,30
CDM,461712,ROD SPN 3.5X400 MTNR,2630.0,2630.0,394.5,2630.0,30
CDM,461713,INSERT TIB 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,461714,BASEPLATE TIB KN SZ3,4651.0,4651.0,697.65,4651.0,30
CDM,461715,CMPNT FEM KN RT SZ5,7973.0,7973.0,1195.95,7973.0,30
CDM,461716,INSERT TIB KN SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,461717,COIL EMBL 18D 4MM 15CM,4429.0,4429.0,664.35,4429.0,30
CDM,461718,COIL EMBL 20CM 15MM,5776.0,5776.0,866.4,5776.0,30
CDM,461719,COIL EMBL 20CM 20MM,5014.0,5014.0,752.1,5014.0,30
CDM,461720,CAGE SPN 6D 8X14X17MM,4429.0,4429.0,664.35,4429.0,30
CDM,461721,SCREW SPNL CANN 7.5X60MM,3765.0,3765.0,564.75,3765.0,30
CDM,461722,SCREW SPN CREO7.5X50X5.5,3765.0,3765.0,564.75,3765.0,30
CDM,461723,STEM FEM KN 11MM 150MM,17955.0,17955.0,2693.25,17955.0,30
CDM,461724,CMPNT SEG HNG KN 30MM,7494.0,7494.0,1124.1,7494.0,30
CDM,461725,BASEPLATE TIB KN SZ6,4651.0,4651.0,697.65,4651.0,30
CDM,461726,SPACER SPNL 35X19MM,9966.0,9966.0,1494.9,9966.0,30
CDM,461727,PLT SPN L1 CITADEL 28MM-,11073.0,11073.0,1660.95,11073.0,30
CDM,461728,SCREW SPN 6.5X28MM,1130.0,1130.0,169.5,1130.0,30
CDM,461729,SCREW BN 2.4MM 10MM,1399.0,1399.0,209.85,1399.0,30
CDM,461730,SCREW BN 3.5X6X90MM,375.0,375.0,56.25,375.0,30
CDM,461731,SCREW BN 3.5MM 110MM,375.0,375.0,56.25,375.0,30
CDM,461732,PLATE BN 3.5MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,461736,KIT KNEE 2 POD,5090.5,5090.5,763.58,5090.5,42
CDM,461737,CAGE SPN MESH 17X13X9MM,7395.0,7395.0,1109.25,7395.0,30
CDM,461738,PLATE BN MIDFACE .8MM,3189.0,3189.0,478.35,3189.0,30
CDM,461739,PROSTHESIS TOEJNT 10MM,15945.0,15945.0,2391.75,15945.0,30
CDM,461740,SCREW SPN 4MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,461741,NAIL BN 12MM 420MM,11890.0,11890.0,1783.5,11890.0,30
CDM,461742,BLADE HLCL 105MM,3721.0,3721.0,558.15,3721.0,30
CDM,461743,STEM FEM HIP SZ8 111MM,10630.0,10630.0,1594.5,10630.0,30
CDM,461744,GRAFT STENT 14-25X103MM,32106.0,32106.0,4815.9,32106.0,30
CDM,461745,STEM FEM HIP 17MM 300MM,11150.0,11150.0,1672.5,11150.0,30
CDM,461746,SCREW BN 5MM 35MM,4231.0,4231.0,634.65,4231.0,30
CDM,461747,SCREW BN 5MM 50MM,4231.0,4231.0,634.65,4231.0,30
CDM,461748,SCREW BN 5MM 45MM,4231.0,4231.0,634.65,4231.0,30
CDM,461749,STEM HIP FEM SZB 80MM,17606.0,17606.0,2640.9,17606.0,30
CDM,461752,INSERT KN ARTC 2-6 14MM,7858.0,7858.0,1178.7,7858.0,30
CDM,461753,CMPNT PTL FEM KN LT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,461754,CMPNT KN PAT RT SZ4,7574.0,7574.0,1136.1,7574.0,30
CDM,461756,KIT BN BX MRW ASP,1023.5,1023.5,153.53,1023.5,42
CDM,461757,SCREW SPN 7.5MM 35MM,3721.0,3721.0,558.15,3721.0,30
CDM,461759,SPACER SPN 26X10X7MM,16831.0,16831.0,2524.65,16831.0,30
CDM,461760,SCREW SPN CREO 5.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,461761,SCREW BN 4.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,461762,SCREW SPN CREO 5X40MM,4247.0,4247.0,637.05,4247.0,30
CDM,461763,INSERT FEM KN LT SZ2,21525.0,21525.0,3228.75,21525.0,30
CDM,461764,BLOCK FEM KN AUG SZ2 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461765,STEM FEM KN 2MM,4252.0,4252.0,637.8,4252.0,30
CDM,461766,STEM FEM KN 14MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,461767,CMPNT WDG KN 1/2 SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,461768,INSERT TIB KN SZ2 17MM,7175.0,7175.0,1076.25,7175.0,30
CDM,461769,LINER ACTB ALTRX +4 NTRL,4429.0,4429.0,664.35,4429.0,30
CDM,461770,CONNECTOR SPN 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,461771,BIT DRILL 2.3MM,1105.0,1105.0,165.75,1105.0,42
CDM,461772,PLATE BN 8H,4429.0,4429.0,664.35,4429.0,30
CDM,461773,SPACER SPN 14X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,461774,SCREW BN SPN 4MM 28MM,4247.0,4247.0,637.05,4247.0,30
CDM,461775,SCREW BN SPN 4.5MM 26MM,4247.0,4247.0,637.05,4247.0,30
CDM,461776,PLATE SPN 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,461777,SCREW SPN 4.6MM,1130.0,1130.0,169.5,1130.0,30
CDM,461778,INSERT TIB 4.5 10MM KN P,4429.0,4429.0,664.35,4429.0,30
CDM,461779,SPACER SPNL STRL 27X11X9,9966.0,9966.0,1494.9,9966.0,30
CDM,461780,HEAD FEM HIP 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,461781,SCREW BN 4.75MM 20MM,877.0,877.0,131.55,877.0,30
CDM,461782,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,461783,PLATE SPN 3LVL 65MM,4429.0,4429.0,664.35,4429.0,30
CDM,461784,SCREW SPN CREO 5.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,461785,SCREW SPN CREO 5.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,461786,WEDGE TIB KN TIB 22MM,12623.0,12623.0,1893.45,12623.0,30
CDM,461787,PLATE BN 2.7/3.5MM 90MM,4429.0,4429.0,664.35,4429.0,30
CDM,461788,STAPLE BN HAND 20X20MM,10798.0,10798.0,1619.7,10798.0,30
CDM,461789,ROD SPN PRE BENT 5.5X60,2711.0,2711.0,406.65,2711.0,30
CDM,461791,SCREW CANN THRD 3.0X20,2679.0,2679.0,401.85,2679.0,30
CDM,461793,BAG SPEC RETRVL 1550ML,1023.5,1023.5,153.53,1023.5,42
CDM,461794,CAGE SPN 7D 16X7X12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461795,CAGE SPN 7D 16X8X12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,461797,INSERT TIB 2 13MM CNDRL,7175.0,7175.0,1076.25,7175.0,30
CDM,461798,BLOCK AUG KN SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,461799,STEM FEM KN 11X80MM,4606.0,4606.0,690.9,4606.0,30
CDM,461800,CMPNT FEM KN SZSM 32MM,17340.0,17340.0,2601.0,17340.0,30
CDM,461801,WEDGE KNEE 15MM,1005.0,1005.0,150.75,1005.0,30
CDM,461802,INS TIB 2 KN TRULNT 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,461803,SCREW BN SPNL 6.5X60MM,4247.0,4247.0,637.05,4247.0,30
CDM,461804,SCREW BN SPNL 7.5X60MM,4247.0,4247.0,637.05,4247.0,30
CDM,461805,ROD SPN CRV 40X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,461806,PLATE SPN 2LVL 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,461807,SCREW SPN 3.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,461809,INSERT TIB 5 10MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,461810,STEM FEM HIP XTND SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,461811,COMPNT FEM KN RT SZ3,7973.0,7973.0,1195.95,7973.0,30
CDM,461812,INSERT TIB SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,461813,SPACER SPN 10D 16X10X8MM,15059.0,15059.0,2258.85,15059.0,30
CDM,461814,SCREW SPN 6.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,461815,SCREW SPN 6.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,461816,SCREW SPN 7.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,461817,SCREW SPN 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,461818,CAP SPN LCKNG 5.5MM,753.0,753.0,112.95,753.0,30
CDM,461819,CUP TRIFLNG ACETB LT66MM,40969.0,40969.0,6145.35,40969.0,30
CDM,461821,SCREW BN 3X24MM,2679.0,2679.0,401.85,2679.0,30
CDM,461822,SCREW BN 3X30MM,2679.0,2679.0,401.85,2679.0,30
CDM,461823,SCREW CANN THRD 3.0X14,2679.0,2679.0,401.85,2679.0,30
CDM,461824,SCREW CANN THRD 3.0X16,2679.0,2679.0,401.85,2679.0,30
CDM,461825,SCREW CANN L/T 3.0X18MM,2679.0,2679.0,401.85,2679.0,30
CDM,461826,STENT GRFT 14-23X103MM,32106.0,32106.0,4815.9,32106.0,30
CDM,461828,BASEPLATE TIB KN LT SZ3,5758.0,5758.0,863.7,5758.0,30
CDM,461829,CAGE SPN 16X14X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,461830,HEAD HIP TPR NK+3X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,461831,BEARING HIP 28MM 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,461832,INSERT TIBIAL CROSSLINK,4429.0,4429.0,664.35,4429.0,30
CDM,461833,SCREW BN SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,461834,CAGE SPN 7D 6X11X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,461837,SCREW BN SPN 8.5MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,461839,SCREW SPN 4.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,461840,ROD PREBENT TITANIUM 120,2630.0,2630.0,394.5,2630.0,30
CDM,461841,ROD SPN PRE BNT 5.5X75MM,2711.0,2711.0,406.65,2711.0,30
CDM,461842,INSERT TIB 2 STD 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,461844,PATCH CV 1CM 10CM,3189.0,3189.0,478.35,3189.0,30
CDM,461845,SCREW BN 6.5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,461846,SCREW BN 6.5MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,461847,SCREW BN 2.7MM 8MM,740.0,740.0,111.0,740.0,30
CDM,461848,CATH VASC 0.060INX132CM,12733.5,12733.5,1910.03,12733.5,42
CDM,461849,DEVICE EMBL 4.25X14MM PL,60678.0,60678.0,9101.7,60678.0,30
CDM,461853,CURRETTE DERMAL 5MM,49.0,49.0,7.35,49.0,42
CDM,461862,DRESSING GEL 7.5X7.5CM,85.5,85.5,12.82,85.5,42
CDM,461863,CUP HUM SHLDR 135/145D,4606.0,4606.0,690.9,4606.0,30
CDM,461864,CANN SUC 4MM 22CM,773.0,773.0,115.95,773.0,42
CDM,461865,LENS IOL +34.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,461868,OCLDR AGA VSD 6F 10,39675.0,39675.0,5951.25,39675.0,30
CDM,461869,OCLDR AGA VSD 7F 12,39675.0,39675.0,5951.25,39675.0,30
CDM,461872,COIL EMBL 18D 2MMX4CM,4429.0,4429.0,664.35,4429.0,30
CDM,461876,OCCLUDER CV 18X18MM,38431.0,38431.0,5764.65,38431.0,30
CDM,461880,DEVICE CATH 2FR 97-112CM,2251.0,2251.0,337.65,2251.0,42
CDM,461881,CATHETER BLN 9FR CRTD PR,7648.5,7648.5,1147.28,7648.5,42
CDM,461882,CATH GD 6FR 150CM,3069.5,3069.5,460.43,3069.5,42
CDM,461883,CATHETER GD 150CM 6FR,3069.5,3069.5,460.43,3069.5,42
CDM,461884,CATH GD 7FR 150CM,3069.5,3069.5,460.43,3069.5,42
CDM,461885,CTHGD 8F 25CM CTD 150CM,3069.5,3069.5,460.43,3069.5,42
CDM,461887,CATH INFS 27FR 3/8IN,12023.0,12023.0,1803.45,12023.0,42
CDM,461890,KIT GSTRM 20FR 6.7MM,1054.5,1054.5,158.18,1054.5,42
CDM,461904,STENT VASC 8X80MM 125CM,3846.0,3846.0,576.9,3846.0,30
CDM,461910,SCREW BN 2MM 10MM,1576.0,1576.0,236.4,1576.0,30
CDM,461911,SCREW BN 2MM 13MM,1625.0,1625.0,243.75,1625.0,30
CDM,461912,DEVICE NEUROCHECK W/WIRE,4881.0,4881.0,732.15,4881.0,42
CDM,461913,PROBE SURG IO-FLEX S SPN,1457.0,1457.0,218.55,1457.0,42
CDM,461914,HANDLE DISTAL IO-FLEX,1932.0,1932.0,289.8,1932.0,42
CDM,461915,SHAVER MICROBLADE 7.5MM,6630.5,6630.5,994.58,6630.5,42
CDM,461916,CANNULA IRR IO-FLX IPSI,541.0,541.0,81.15,541.0,42
CDM,461919,STEM FEM HIP STD SZ9,8858.0,8858.0,1328.7,8858.0,30
CDM,461920,SCREW SPNL STRGH 7.5X50,3389.0,3389.0,508.35,3389.0,30
CDM,461921,ROD SPN STRGH 5.5X60MM,2711.0,2711.0,406.65,2711.0,30
CDM,461922,PLATE BN 9HL 238MM,5286.0,5286.0,792.9,5286.0,30
CDM,461923,SCREW BN 3.5MM 16MM,798.0,798.0,119.7,798.0,30
CDM,461924,PLATE FEM NCB LT 5 HL,4872.0,4872.0,730.8,4872.0,30
CDM,461925,HEAD FEM HIP +3.5MM 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,461926,SCREW SPN 4.0MMX35MM,4247.0,4247.0,637.05,4247.0,30
CDM,461927,TRIAL ROD SPNL L200,2455.5,2455.5,368.32,2455.5,42
CDM,461928,STEM FEM HIP OFST SZ5,8416.0,8416.0,1262.4,8416.0,30
CDM,461929,LINER ACTB SZE 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,461930,GUIDE PIN ORTH 9IN 3.2MM,139.0,139.0,20.85,139.0,42
CDM,461931,SCREW SPN 5.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,461932,SCREW SPN 5.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,461934,CONN ROD SPN 5.5MM 1IN,3287.0,3287.0,493.05,3287.0,30
CDM,461935,CONNECTOR ROD 5.5-6.35MM,3287.0,3287.0,493.05,3287.0,30
CDM,461936,SPACER SPNL 35X13MM,9523.0,9523.0,1428.45,9523.0,30
CDM,461937,PLATE CITADEL 20MM,11073.0,11073.0,1660.95,11073.0,30
CDM,461938,SCREW SPN 6.5MM 22MM,1130.0,1130.0,169.5,1130.0,30
CDM,461939,SPACER SPNL 35X15MM,8858.0,8858.0,1328.7,8858.0,30
CDM,461941,STEM FEM COLR STD 13MM,6201.0,6201.0,930.15,6201.0,30
CDM,461942,CNTRLZR STM FEM HIP 13MM,2179.0,2179.0,326.85,2179.0,30
CDM,461943,SCREW SPN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,461946,ROD SPNL 5.5X140MM,2711.0,2711.0,406.65,2711.0,30
CDM,461947,WEDGE DSTL LO/RI 67.5X10,4606.0,4606.0,690.9,4606.0,30
CDM,461948,IMPLANT KNEE 962633,4606.0,4606.0,690.9,4606.0,30
CDM,461949,IMPLANT BREAST 615CC,4850.0,4850.0,727.5,4850.0,30
CDM,461952,PLUG VASC 12MM 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,461953,PLUG VASC 18MM 22MM,4038.0,4038.0,605.7,4038.0,30
CDM,461954,SCREW SPN 4MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,461955,INSERT TIB KN SZ1-2 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,461956,STEM TIB LNG KN 100X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,461957,INSERT ARTC KN 7-8 11MM,5823.0,5823.0,873.45,5823.0,30
CDM,461958,CAGE SPN 6D 12X14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,461959,CAGE SPNL 12X14X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,461960,SCREW SPN 4.5MM 16MM,1461.0,1461.0,219.15,1461.0,30
CDM,461961,INSERT TIB ANKL SZ3 6MM,9213.0,9213.0,1381.95,9213.0,30
CDM,461962,SPACER SPN 14MM 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,461963,DUP DELETE,4429.0,4429.0,664.35,4429.0,30
CDM,461965,SCREW BN 4.2MM 16MM SPN,1506.0,1506.0,225.9,1506.0,30
CDM,461966,SCREW VAR ANGLE 4.2MM,1506.0,1506.0,225.9,1506.0,30
CDM,461967,INSERT TIB KN SZ3 19MM,6737.0,6737.0,1010.55,6737.0,30
CDM,461968,INSRT TIB 5 17.5 KN RP P,4429.0,4429.0,664.35,4429.0,30
CDM,461969,INSERT TIB KN SZ7 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,461970,STEM FEM KN 16MM 110MM,4606.0,4606.0,690.9,4606.0,30
CDM,461971,AUGMENT TIB UNIV KN 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,461972,PROBE SONICVAC WIDE HATC,3970.0,3970.0,595.5,3970.0,42
CDM,461973,CMPNT FEM KN LT SZ1,7973.0,7973.0,1195.95,7973.0,30
CDM,461974,INSERT TIB KN 1F/1T,5315.0,5315.0,797.25,5315.0,30
CDM,461975,INSERT TIB1 KN TRLT 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,461976,CMPNT PTLR KN 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,461977,PLATE BN DRSL SHRT,5298.0,5298.0,794.7,5298.0,30
CDM,461978,SCREW BN 3MM 8MM,1435.0,1435.0,215.25,1435.0,30
CDM,461979,SCREW BN 3MM 10MM,1435.0,1435.0,215.25,1435.0,30
CDM,461980,SCREW BN 3MM 12MM,1435.0,1435.0,215.25,1435.0,30
CDM,461981,SCREW BN CMPR 3X8MM,1435.0,1435.0,215.25,1435.0,30
CDM,461982,SCREW BN 3MM 12MM,1435.0,1435.0,215.25,1435.0,30
CDM,461983,DRILL SURG 40MM 2.3MM,232.0,232.0,34.8,232.0,42
CDM,461984,SCREW BN SPNL 3.5X22MM,4247.0,4247.0,637.05,4247.0,30
CDM,461985,SCREW SPN 3.5MM 12MM,3765.0,3765.0,564.75,3765.0,30
CDM,461986,SCREW SPN 3.5MM 16MM,3765.0,3765.0,564.75,3765.0,30
CDM,461987,SCREW BN SPNL 4.5X22MM,3765.0,3765.0,564.75,3765.0,30
CDM,461988,SCREW BN SPNL 4.5X26MM,3765.0,3765.0,564.75,3765.0,30
CDM,461989,SCREW SPN SET 2.5MM,753.0,753.0,112.95,753.0,30
CDM,461990,ROD SPNL 120MM 4MM,2711.0,2711.0,406.65,2711.0,30
CDM,461991,ROD SPN 3.5MMX120MM,2711.0,2711.0,406.65,2711.0,30
CDM,461992,BIT DRL 3.5MM,386.5,386.5,57.98,386.5,42
CDM,461993,HEAD RADL ELB 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,461994,STEM ELBOW 7MM 2MM,8858.0,8858.0,1328.7,8858.0,30
CDM,461995,STEM ELBOW 2MM 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,461996,ROD SPN PRE BNT 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
CDM,461997,CAGE SPNL 12X14 6D -11,4429.0,4429.0,664.35,4429.0,30
CDM,462001,IMPLANT BREAST 295CC,5315.0,5315.0,797.25,5315.0,30
CDM,462002,CANN SUC 5MM 30CM,931.5,931.5,139.72,931.5,42
CDM,462003,IMPLANT BREAST 200CC,5315.0,5315.0,797.25,5315.0,30
CDM,462004,IMPLANT BREAST 535CC,5094.0,5094.0,764.1,5094.0,30
CDM,462005,NAIL BN TIB 11MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,462007,KIT DISP DX SWIVELOCK,2251.0,2251.0,337.65,2251.0,42
CDM,462008,KIT DRILL 3.5MM 13.5MM,2251.0,2251.0,337.65,2251.0,42
CDM,462009,REAMER HEAD 12.5MM DISP,3299.0,3299.0,494.85,3299.0,42
CDM,462011,SCREW BN T25 6X8X76MM,3189.0,3189.0,478.35,3189.0,30
CDM,462012,SCREW BN 6X8X80MM,3189.0,3189.0,478.35,3189.0,30
CDM,462013,PLATE SPN 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,462014,SCREW SPN 4.2MM 16MM,1506.0,1506.0,225.9,1506.0,30
CDM,462016,CAGE SPN 6D 14X17X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,462019,ROD SPN PREBNT 5.5X110MM,2870.0,2870.0,430.5,2870.0,30
CDM,462020,ROD SPN PRE BENT 5.5X100,2711.0,2711.0,406.65,2711.0,30
CDM,462021,CAGE SPN 6D 14X5X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,462022,PLATE 5D SM 42MM,5272.0,5272.0,790.8,5272.0,30
CDM,462023,PLATE X 2.4/2.7MM VA-LCK,5047.0,5047.0,757.05,5047.0,30
CDM,462024,GWIRE ORTH 1.6MM 150MM,501.5,501.5,75.22,501.5,42
CDM,462025,PIN FX SPN 100MM,386.5,386.5,57.98,386.5,42
CDM,462026,SCREW BN 3.0MM 20MM HEAD,3189.0,3189.0,478.35,3189.0,30
CDM,462028,SCREW BN 1.5MM 11MM,1516.0,1516.0,227.4,1516.0,30
CDM,462029,SCREW BN 1.5MM 14MM,1516.0,1516.0,227.4,1516.0,30
CDM,462030,SCREW BN 1.5MM 15MM,1563.0,1563.0,234.45,1563.0,30
CDM,462031,SCREW BN 1.5MM 16MM,1563.0,1563.0,234.45,1563.0,30
CDM,462033,SCREW BN 2MM 14MM,1625.0,1625.0,243.75,1625.0,30
CDM,462034,SCREW BN 2MM 15MM,1576.0,1576.0,236.4,1576.0,30
CDM,462035,SCREW BN 2MM 16MM,1576.0,1576.0,236.4,1576.0,30
CDM,462036,PLATE BN 3H 7H 1.3MM 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,462041,CMPNT FEM KN LM/RL SZ6,6068.0,6068.0,910.2,6068.0,30
CDM,462042,SLEEVE CNTRNG 14D LG,4252.0,4252.0,637.8,4252.0,30
CDM,462045,PASSER FIBERTAPE DISP,3413.5,3413.5,512.02,3413.5,42
CDM,462047,DEVICE CLSR CLP INT 45MM,16831.0,16831.0,2524.65,16831.0,30
CDM,462048,STEM FEM HIP SZ7,8416.0,8416.0,1262.4,8416.0,30
CDM,462049,CMPNT PTLR 9 35 LCS T/K,4252.0,4252.0,637.8,4252.0,30
CDM,462050,STEM FEM HIP SZ13MM,8416.0,8416.0,1262.4,8416.0,30
CDM,462051,SCREW BN 4MM 36MM,1356.0,1356.0,203.4,1356.0,30
CDM,462052,NAIL BN 10MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,462054,STEM HIP 11MM 107.5MM,9966.0,9966.0,1494.9,9966.0,30
CDM,462055,SCREW SPN LOTOP 6.5X50,4247.0,4247.0,637.05,4247.0,30
CDM,462056,SCREW SPN RED 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,462057,ROD SPINE 80MM CURVED,2711.0,2711.0,406.65,2711.0,30
CDM,462058,EXP TI POLY SCREW 8MMX65,4247.0,4247.0,637.05,4247.0,30
CDM,462059,SCREW SPN 5.5X9X60MM,4120.0,4120.0,618.0,4120.0,30
CDM,462060,SCREW SPN 8MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,462061,NAIL FEM CANN 12MM 400MM,6312.0,6312.0,946.8,6312.0,30
CDM,462062,SURFACE ARTC LPSFLX 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,462063,ROD SPN 5.5MM 50MM,2630.0,2630.0,394.5,2630.0,30
CDM,462065,CAGE SPNL PLIF 0D11X23MM,4983.0,4983.0,747.45,4983.0,30
CDM,462068,SCREW BN 5MMX16MM,3084.0,3084.0,462.6,3084.0,30
CDM,462070,SCREW CANN THRD 3.0X12,2679.0,2679.0,401.85,2679.0,30
CDM,462071,SCREW BN 3X18MM,2679.0,2679.0,401.85,2679.0,30
CDM,462072,SCREW BN 3MM 22MM,2679.0,2679.0,401.85,2679.0,30
CDM,462073,SCREW BN 3X28MM,2679.0,2679.0,401.85,2679.0,30
CDM,462074,SCREW CANN THRD 3.0X32,2679.0,2679.0,401.85,2679.0,30
CDM,462075,SCREW CANN THRD 3.0X34,2679.0,2679.0,401.85,2679.0,30
CDM,462077,CMPNT BEARING RT LRG 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,462078,CMPNT FEM KN SZ3,7397.0,7397.0,1109.55,7397.0,30
CDM,462079,NAIL BN 13MM 42CM,6400.0,6400.0,960.0,6400.0,30
CDM,462080,BIT TWIST DRILL MAX L3.2,1020.0,1020.0,153.0,1020.0,42
CDM,462081,NAIL INTRTN 10MM 34CM LT,8105.0,8105.0,1215.75,8105.0,30
CDM,462082,INSERT TIB KN SZ5 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,462083,ROD SPN CURV 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,462084,GRAFT STNT 46MM 162MM,63833.0,63833.0,9574.95,63833.0,30
CDM,462085,ROD SPN 5.5MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,462086,STEM FEM HIP 16MM 117MM,7973.0,7973.0,1195.95,7973.0,30
CDM,462087,PLATE CERV 48MM 3LVL,4429.0,4429.0,664.35,4429.0,30
CDM,462088,SCREW SPN 4.6MM 12MM,1506.0,1506.0,225.9,1506.0,30
CDM,462089,SCREW BN 4.5MM 42MM,2901.0,2901.0,435.15,2901.0,30
CDM,462090,SCREW BN 4MM 54MM,2143.0,2143.0,321.45,2143.0,30
CDM,462091,SCREW BN 4.5MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,462094,GWIRE ORTHO 2MM 150MM,309.5,309.5,46.42,309.5,42
CDM,462095,DRILL FOR FOOT DISP 3.6M,2273.0,2273.0,340.95,2273.0,42
CDM,462099,PLATE BN 12HL 1MM,3890.0,3890.0,583.5,3890.0,30
CDM,462100,CMPNT PTLR KN 9MM 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,462101,STEM HIP FEM 140X20MM,8699.0,8699.0,1304.85,8699.0,30
CDM,462102,COMP HIP BODY 24X95X95MM,10404.0,10404.0,1560.6,10404.0,30
CDM,462103,CMPNT FEM HIP 24MM 85MM,10404.0,10404.0,1560.6,10404.0,30
CDM,462104,PLATE SPN 42MM,12047.0,12047.0,1807.05,12047.0,30
CDM,462105,PLATE SPN CVR 42MM,753.0,753.0,112.95,753.0,30
CDM,462106,GRAFT XCLDR 16X12MMX7CM,12734.0,12734.0,1910.1,12734.0,30
CDM,462107,GRAFT EVAS 28.5X12M 18CM,44268.0,44268.0,6640.2,44268.0,30
CDM,462108,HEAD HUM 18MM 56MM,7482.0,7482.0,1122.3,7482.0,30
CDM,462109,NAIL BN 8.3MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,462110,INSERT TIB 3.5 12MM KN P,4429.0,4429.0,664.35,4429.0,30
CDM,462111,INSERT TIB 3 KN TRL 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,462112,BASEPLATE TIB KN RT SZ8,8010.0,8010.0,1201.5,8010.0,30
CDM,462113,ROD SPN PRLSD 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,462114,SPACER SPNL 29X15MM,9523.0,9523.0,1428.45,9523.0,30
CDM,462115,SPACER SPN 32MMX12MM,9523.0,9523.0,1428.45,9523.0,30
CDM,462116,CMPNT FEM KN LT SZ6,7087.0,7087.0,1063.05,7087.0,30
CDM,462117,INSERT TIB KN 6F/5T,4606.0,4606.0,690.9,4606.0,30
CDM,462118,INSERT TIB 6 9MM KN TRUL,4429.0,4429.0,664.35,4429.0,30
CDM,462119,SPACER SPNL 15X13X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,462120,SPACER SPNL 15X13X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,462121,COMPNT DOME ANKL SIZE 1,34910.0,34910.0,5236.5,34910.0,30
CDM,462122,TRAY TIBIAL STD SIZE 1,26309.0,26309.0,3946.35,26309.0,30
CDM,462123,INSERT TIB ANKL 1/1+ 6MM,9213.0,9213.0,1381.95,9213.0,30
CDM,462124,SPACER SPNL 29X15MM,9523.0,9523.0,1428.45,9523.0,30
CDM,462125,PLATE SPN 1LVL 22MM,11073.0,11073.0,1660.95,11073.0,30
CDM,462126,SCREW SPN 6.5MM 24MM,1130.0,1130.0,169.5,1130.0,30
CDM,462127,PLATE SPN LVL 1 22MM,12047.0,12047.0,1807.05,12047.0,30
CDM,462128,SPCR SPNL 29X15X22 15DEG,9966.0,9966.0,1494.9,9966.0,30
CDM,462129,INSERT TIB 4 8MM KN UHMW,4606.0,4606.0,690.9,4606.0,30
CDM,462130,SCREW SPN RES FX 4.5X16,1506.0,1506.0,225.9,1506.0,30
CDM,462132,ROD SPN 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,462133,STEM HUM SHLDR 12MM 70MM,9080.0,9080.0,1362.0,9080.0,30
CDM,462134,IMPLANT TOE JNT 8MM,14616.0,14616.0,2192.4,14616.0,30
CDM,462135,SCREW BN SPN 4MM 24MM,4247.0,4247.0,637.05,4247.0,30
CDM,462136,PLATE SPN XLNK 4HL VRTX,3389.0,3389.0,508.35,3389.0,30
CDM,462139,PLT 3X3 4MM BRDG TAB.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,462140,INTERBDY 12 MM 12 DEG SM,9966.0,9966.0,1494.9,9966.0,30
CDM,462141,CAGE SPN 14X18X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,462142,SPACER SPNL 15X13X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,462143,CONNECTOR SPN LAT 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,462144,SCREW SPNL STRGH 8.5X40,3389.0,3389.0,508.35,3389.0,30
CDM,462146,ROD SPN STRGH 5.5X200MM,2711.0,2711.0,406.65,2711.0,30
CDM,462147,SCREW CANN LCK 7.3X30,3189.0,3189.0,478.35,3189.0,30
CDM,462148,SCREW BN 7.3MM 5MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,462149,SCREW BN 7.3MM 5MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,462150,SCREW BN 7.3MM 5MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,462164,ROD SPN 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,462165,CAGE SPNL 15.5X4.1-7MM,4429.0,4429.0,664.35,4429.0,30
CDM,462166,SCREW SPNL STRGH 6.5X40,3389.0,3389.0,508.35,3389.0,30
CDM,462167,SCREW SPN P-AX 5.5X40MM,3348.0,3348.0,502.2,3348.0,30
CDM,462168,CONNECTOR SPN 5.5X56-80,3012.0,3012.0,451.8,3012.0,30
CDM,462169,CONNECTOR SPN 5.5X33-35,3012.0,3012.0,451.8,3012.0,30
CDM,462172,IMPLANT BREAST 790CC,5094.0,5094.0,764.1,5094.0,30
CDM,462174,NAIL BN FEM 11.5MM 30CM,4872.0,4872.0,730.8,4872.0,30
CDM,462175,WEDGE FEM KN SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,462176,STEM FEM KN 12MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,462178,IMPLANT BREAST 625CC,5094.0,5094.0,764.1,5094.0,30
CDM,462180,BIT DRILL 2.3MM 20MM,773.0,773.0,115.95,773.0,42
CDM,462181,SCREW BN 4.75MM 15MM,877.0,877.0,131.55,877.0,30
CDM,462182,CAGE SPNL 30X9MM 8D,9523.0,9523.0,1428.45,9523.0,30
CDM,462183,SCREW SPN FIX 6X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,462184,PLATE SPN SACRUM 18MM,11073.0,11073.0,1660.95,11073.0,30
CDM,462185,PLATE SPN ANT LMBAR 20MM,11073.0,11073.0,1660.95,11073.0,30
CDM,462186,PLATE MNOBLCK SZ 8 GH 14,9567.0,9567.0,1435.05,9567.0,30
CDM,462187,CAGE SPNL 30X11MM 8D,8858.0,8858.0,1328.7,8858.0,30
CDM,462188,PLATE SPN SACRUM 20MM,11073.0,11073.0,1660.95,11073.0,30
CDM,462189,SCREW SPN VAR 6X30MM,1130.0,1130.0,169.5,1130.0,30
CDM,462190,SCREW BN 5MM 32MM,798.0,798.0,119.7,798.0,30
CDM,462191,STEM HUM SHLDR 7MM 113MM,12114.0,12114.0,1817.1,12114.0,30
CDM,462192,INSERT TIB 4 KN PS 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,462193,INSERT TIB KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,462194,NAIL TIB NTRL 8.3MM 32CM,4872.0,4872.0,730.8,4872.0,30
CDM,462195,SCREW EXFX HIP 125X4MM,917.5,917.5,137.63,917.5,42
CDM,462196,PLATE BN 12HL 2.3MM RT,4429.0,4429.0,664.35,4429.0,30
CDM,462198,ROD SPN 85MM,2711.0,2711.0,406.65,2711.0,30
CDM,462199,PLATE SPN CERV 1LVL 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,462200,SCREW SPN 8.5MM 70MM,4429.0,4429.0,664.35,4429.0,30
CDM,462201,SCREW SPN 8.5MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,462203,WEDGE FEM 18MM KN RT,12623.0,12623.0,1893.45,12623.0,30
CDM,462204,CONE TIB KN SHORT 18MM,11992.0,11992.0,1798.8,11992.0,30
CDM,462205,WEDGE FEM KN 18MM,12623.0,12623.0,1893.45,12623.0,30
CDM,462206,ROD CONN SPN MED 3.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,462207,SCREW BN SPN 3.5MM 18MM,4247.0,4247.0,637.05,4247.0,30
CDM,462208,SCREW 4.5MMX32MM,4247.0,4247.0,637.05,4247.0,30
CDM,462209,SCREW SPNL STRGH 6.5X30,4247.0,4247.0,637.05,4247.0,30
CDM,462211,BLOCK AUG KN F 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,462218,COMPNT FEM KN 72X65.5,17193.0,17193.0,2578.95,17193.0,30
CDM,462222,CAP PROTCT EX FIX 8MM,47.5,47.5,7.13,47.5,42
CDM,462223,BLOCKER ENDBR SPHRCL BLN,2188.0,2188.0,328.2,2188.0,42
CDM,462242,CATH DLYS 15FR 62.5CM,1098.0,1098.0,164.7,1098.0,42
CDM,462243,PLATE BN 3LVL SKNLC 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,462244,ROD SPN PEEK 3X120MM,3012.0,3012.0,451.8,3012.0,30
CDM,462259,MESH SURG 4IN 6IN,3189.0,3189.0,478.35,3189.0,30
CDM,462260,ROD SPN UNION POST 40MM,2870.0,2870.0,430.5,2870.0,30
CDM,462261,ROD SPN UNION POST 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,462262,GRAFT BN SM 2.8CC 1X2IN,11394.0,11394.0,1709.1,11394.0,30
CDM,462263,GRAFT BN MED 5.6CC 1X2IN,22788.0,22788.0,3418.2,22788.0,30
CDM,462265,ROD SPN UNION 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,462271,CATH ANGIO 5FR 65CM,231.5,231.5,34.73,231.5,42
CDM,462273,ROD SPN USS SFT NX 100X6,3012.0,3012.0,451.8,3012.0,30
CDM,462280,CUP ACTB HIP 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,462281,LINER ACTB 10DD +4 36X60,4429.0,4429.0,664.35,4429.0,30
CDM,462285,CABLE FXTN 1.8MM 635CM,3189.0,3189.0,478.35,3189.0,30
CDM,462287,CABLE BN 1.8MM 635MM,3189.0,3189.0,478.35,3189.0,30
CDM,462292,LEAD PCNG 35CM,2730.0,2730.0,409.5,2730.0,30
CDM,462294,BIT DRILL 2MM 11MM,386.5,386.5,57.98,386.5,42
CDM,462295,CMPNT KN CEMENTED DUAL,16057.0,16057.0,2408.55,16057.0,30
CDM,462302,SCREW BN 6.5MM 8MM,477.0,477.0,71.55,477.0,30
CDM,462304,SCREW BN SPN 6.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,462305,WASHER SPN 17X17MM,753.0,753.0,112.95,753.0,30
CDM,462317,PIN GD 3.2 THRD,1023.5,1023.5,153.53,1023.5,42
CDM,462320,BIT DRL 3.8MM,1527.0,1527.0,229.05,1527.0,42
CDM,462325,COMPONENT HUMERAL 52MM,6090.0,6090.0,913.5,6090.0,30
CDM,462326,STEM HUM SHLDR 14X130MM,11195.0,11195.0,1679.25,11195.0,30
CDM,462327,HEAD HUM 21MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,462334,LEAD PCNG MYO 6.6FR 53CM,2525.0,2525.0,378.75,2525.0,30
CDM,462335,ROD SPNL TI L80 DIAPAS,2711.0,2711.0,406.65,2711.0,30
CDM,462345,CANN PRFSN 17L 1MM 1.8IN,205.5,205.5,30.82,205.5,42
CDM,462350,HEAD HUM 18MM 44MM,5257.0,5257.0,788.55,5257.0,30
CDM,462354,SCREW CORT MF 2.7X6,548.0,548.0,82.2,548.0,30
CDM,462355,SCREW CORT MF 2.7X8,548.0,548.0,82.2,548.0,30
CDM,462356,SCREW CORT 2.7X12,548.0,548.0,82.2,548.0,30
CDM,462357,SCREW CORT 2.7X14,548.0,548.0,82.2,548.0,30
CDM,462358,SCREW CORT 2.7X16,548.0,548.0,82.2,548.0,30
CDM,462359,SCREW CORT 2.7X18,548.0,548.0,82.2,548.0,30
CDM,462360,SCREW BN 2.7MM 20MM,548.0,548.0,82.2,548.0,30
CDM,462361,SCREW CORT 2.7X22,516.0,516.0,77.4,516.0,30
CDM,462362,SCREW CORT 2.7X24,548.0,548.0,82.2,548.0,30
CDM,462363,SCREW BN 4MM 6MM 14MM,215.0,215.0,32.25,215.0,30
CDM,462364,SCREW BN 4MM 6MM 16MM,221.0,221.0,33.15,221.0,30
CDM,462365,STAPLE SPN 24MM,4429.0,4429.0,664.35,4429.0,30
CDM,462399,STRAP DSTRCT GUHL FT ANK,483.5,483.5,72.53,483.5,42
CDM,462402,LEAD PCNG BIP TEMP,1984.0,1984.0,297.6,1984.0,42
CDM,462410,SLEEVE FEM HIP 18F SM,4252.0,4252.0,637.8,4252.0,30
CDM,462411,SCREW SPNL STR 5.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,462412,PLATE SPN CERV 3LVL 39MM,4429.0,4429.0,664.35,4429.0,30
CDM,462436,SCRW PYRAMID 6.5X35MM,3417.0,3417.0,512.55,3417.0,30
CDM,462443,LEAD PCNG 4.5FR 50CM,3867.0,3867.0,580.05,3867.0,30
CDM,462445,SCRAPER MEMBRANE TANO DM,1023.5,1023.5,153.53,1023.5,42
CDM,462449,PROBE 25GA LASER DIRECTI,1210.5,1210.5,181.57,1210.5,42
CDM,462451,PLATE BN 18HL 43X.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,462452,PLATE STLCK 2LVL 40X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,462465,HEAD FEM 12/14 -3.5X36,4252.0,4252.0,637.8,4252.0,30
CDM,462466,HEAD FEM HIP12/14 0X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,462467,HEAD FEM 12/14 +3.5 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,462468,HEAD HIP FEM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,462469,HEAD FEM 12/14 +10.5 36M,4606.0,4606.0,690.9,4606.0,30
CDM,462470,LINER ACTB HIP 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,462471,LINER ACTB HIP 36X56MM,4606.0,4606.0,690.9,4606.0,30
CDM,462472,LINER ACTB HP 3.5MM 36MM,6574.0,6574.0,986.1,6574.0,30
CDM,462475,LINER ACTB HIP 36MM 64MM,6055.0,6055.0,908.25,6055.0,30
CDM,462481,LINER ACTB 10DD 58 36,6817.0,6817.0,1022.55,6817.0,30
CDM,462482,LINER XLPE 10D 36X60,4429.0,4429.0,664.35,4429.0,30
CDM,462483,LINER XPLE 10D 36X62,6574.0,6574.0,986.1,6574.0,30
CDM,462484,LINER ACTB HIP 10D3.5X36,6055.0,6055.0,908.25,6055.0,30
CDM,462485,TRLG ACET LNR XLNK 10,6297.0,6297.0,944.55,6297.0,30
CDM,462516,SCREW SPN CANC 4X14MM,5083.0,5083.0,762.45,5083.0,30
CDM,462517,SCREW SPN CANC 4X12MM,5083.0,5083.0,762.45,5083.0,30
CDM,462521,SCREW BN 4.8X14MM,3012.0,3012.0,451.8,3012.0,30
CDM,462522,GFT VSC HMSH MCVL 8X30,3189.0,3189.0,478.35,3189.0,30
CDM,462523,TUBING IRR STRL DISP,430.5,430.5,64.58,430.5,42
CDM,462530,SCREW BN 6.5MM 40MM,877.0,877.0,131.55,877.0,30
CDM,462531,SLEEVE CNTRNG 18D SM,4252.0,4252.0,637.8,4252.0,30
CDM,462532,HEAD FEM HIP 11/13 +6X36,4606.0,4606.0,690.9,4606.0,30
CDM,462533,SCREW SPN RES VAR 4.5X14,1130.0,1130.0,169.5,1130.0,30
CDM,462535,STEM FEM SMT BASIC PRFT,6201.0,6201.0,930.15,6201.0,30
CDM,462539,CLAMP EX FIX ANKLE,15911.0,15911.0,2386.65,15911.0,42
CDM,462540,PLATE SPN LV 2 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,462586,SCREW SPN RES FX 4.5X14,1506.0,1506.0,225.9,1506.0,30
CDM,462601,CMPNT PTLA 35 96-0101,4252.0,4252.0,637.8,4252.0,30
CDM,462620,ROD SPNL 30MM 5.5MM VPR,2711.0,2711.0,406.65,2711.0,30
CDM,462628,STEM FEM HIP 18X13X160,6644.0,6644.0,996.6,6644.0,30
CDM,462631,SCREW BN 6.5MM 35MM,1544.0,1544.0,231.6,1544.0,30
CDM,462634,SCREW BN 3.5X13 ZPHR TI,1506.0,1506.0,225.9,1506.0,30
CDM,462635,SCREW SPN 3.5MM 15MM,1506.0,1506.0,225.9,1506.0,30
CDM,462636,SCREW SPN SM 4MM 13MM,2259.0,2259.0,338.85,2259.0,30
CDM,462637,SCREW BN 3.5X15 ZPHR TI,2259.0,2259.0,338.85,2259.0,30
CDM,462642,BLDE INFR TRBNT 2MM 11CM,1843.5,1843.5,276.52,1843.5,42
CDM,462646,BLADE SHVR L11CM OD2.9MM,1605.5,1605.5,240.82,1605.5,42
CDM,462647,DRAIN WND FLT 15F 3/16,231.5,231.5,34.73,231.5,42
CDM,462649,PLATE CBLRDY 16X305 10HL,4429.0,4429.0,664.35,4429.0,30
CDM,462650,WIRE BN CERC 1.8MM 22IN,3189.0,3189.0,478.35,3189.0,30
CDM,462651,SPLINT NSL BLUSH 1/16IN,231.5,231.5,34.73,231.5,42
CDM,462653,SCREW BN 12.7X9X90X21MM,3189.0,3189.0,478.35,3189.0,30
CDM,462673,SCREW BN SMT SPNE INNR,1506.0,1506.0,225.9,1506.0,30
CDM,462674,SCREW BN 3.5MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,462694,STENT URET 7FR 90CM,3152.0,3152.0,472.8,3152.0,30
CDM,462696,IMPLANT KNEE 962662,4606.0,4606.0,690.9,4606.0,30
CDM,462697,ROD SPN 5.5MM 160MM,2711.0,2711.0,406.65,2711.0,30
CDM,462698,GWIRE SPN BLNT NTNL.69MM,386.5,386.5,57.98,386.5,42
CDM,462699,LINR ACTB NVATN CNXN GXL,4429.0,4429.0,664.35,4429.0,30
CDM,462700,STEM FEM HIP SZ10,8858.0,8858.0,1328.7,8858.0,30
CDM,462710,CABLE SPNL SGL CRIMPED W,3012.0,3012.0,451.8,3012.0,30
CDM,462713,SUTURE FBRWR 38IN,386.0,386.0,57.9,386.0,30
CDM,462716,PLATE BN 4H 23X232MM,5758.0,5758.0,863.7,5758.0,30
CDM,462728,PLATE BN 4X6H LT 0.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,462738,LENS IOL +19.5 DIOP,253.5,253.5,46.67,253.5,28
CDM,462751,PLATE BN LT 5H 7PEG,4340.0,4340.0,651.0,4340.0,30
CDM,462753,PLATE BN PIN RADL 5HL,4092.0,4092.0,613.8,4092.0,30
CDM,462754,CMPNT KN FEM LT 60MM,20626.0,20626.0,3093.9,20626.0,30
CDM,462755,CMPNT TIB KN 63/67X14MM,6465.0,6465.0,969.75,6465.0,30
CDM,462756,INS TIB KN TRUL SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,462757,COMPNT PTLR KN 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,462758,LINER ACTB HIP 50MM 28MM,6823.0,6823.0,1023.45,6823.0,30
CDM,462759,STEM FEM HIP 16X140MM,8699.0,8699.0,1304.85,8699.0,30
CDM,462760,SCREW BN CORT 3.5MM 40MM,798.0,798.0,119.7,798.0,30
CDM,462761,HEAD HUM SHLDR 53MM,4872.0,4872.0,730.8,4872.0,30
CDM,462762,PLATE CERV 1LVL 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,462763,CAGE SPN CIF 6D -12MM,4429.0,4429.0,664.35,4429.0,30
CDM,462764,SET TUBING INSUFFLATOR,231.5,231.5,34.73,231.5,42
CDM,462765,ROD SPN PRBNT 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,462767,INSERT TIB KN SZ4 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,462768,INSERT TIB KN SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,462769,ROD SPN 5.5MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,462771,ROD SPNL 20X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,462773,SCREW BN 3.5MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,462774,KWIRE FX 1.4MM,231.5,231.5,34.73,231.5,42
CDM,462775,DRILL QUICK CONNCT 2.7MM,1416.0,1416.0,212.4,1416.0,42
CDM,462776,DRIVER SURG 3.5MM,773.0,773.0,115.95,773.0,42
CDM,462780,SPACER SPN 3D 50X18X7MM,17716.0,17716.0,2657.4,17716.0,30
CDM,462781,PLATE BN PIN RADL 3H,3534.0,3534.0,530.1,3534.0,30
CDM,462782,PEG BN VOLR 1.8MM 24MM,1834.0,1834.0,275.1,1834.0,30
CDM,462783,PEG BN VOLR 1.8MM 22MM,1834.0,1834.0,275.1,1834.0,30
CDM,462784,SCREW BN 2.3MM 26MM,319.0,319.0,47.85,319.0,30
CDM,462785,SCREW BN CORT 3.2X14MM,1595.0,1595.0,239.25,1595.0,30
CDM,462786,SCREW BN 3.2MM 11MM,1595.0,1595.0,239.25,1595.0,30
CDM,462787,PEG BN VOLR 1.8MM 16MM,1834.0,1834.0,275.1,1834.0,30
CDM,462788,ROD SPN PRE BENT 5.5X55,2711.0,2711.0,406.65,2711.0,30
CDM,462789,NAIL BN FEM 10MM 380MM,6312.0,6312.0,946.8,6312.0,30
CDM,462790,BLADE HLCL 110MM,3721.0,3721.0,558.15,3721.0,30
CDM,462791,PLATE BN 3 HL,4429.0,4429.0,664.35,4429.0,30
CDM,462792,SCREW BN 3.5MM 40MM,1452.0,1452.0,217.8,1452.0,30
CDM,462793,SCREW BN 3.5MM 32MM,1452.0,1452.0,217.8,1452.0,30
CDM,462794,SCREW BN 3.5MM 42MM,1452.0,1452.0,217.8,1452.0,30
CDM,462795,SCREW BN NLCK 3.5X55,1452.0,1452.0,217.8,1452.0,30
CDM,462796,SCREW BN 3.5MM 38MM,1452.0,1452.0,217.8,1452.0,30
CDM,462797,PLATE BN FIB 8HL 137MM,3721.0,3721.0,558.15,3721.0,30
CDM,462798,PLATE BN TI L51MMXW9MMX,1196.0,1196.0,179.4,1196.0,30
CDM,462799,SCREW BN 3.5MM 36MM,479.0,479.0,71.85,479.0,30
CDM,462800,SCREW BN CANN 4MM 40MM,2369.0,2369.0,355.35,2369.0,30
CDM,462801,STAPLE BN SPD 18X15MM,6857.0,6857.0,1028.55,6857.0,30
CDM,462802,NAIL FEM LT 11MM 400CM,8478.0,8478.0,1271.7,8478.0,30
CDM,462803,BLADE BN HLCL 85MM,3721.0,3721.0,558.15,3721.0,30
CDM,462804,BLADE IM 10.35MM 95MM,3721.0,3721.0,558.15,3721.0,30
CDM,462805,HEAD FEM HIP 2.5MM 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,462806,NAIL BN 12MM 400MM,8478.0,8478.0,1271.7,8478.0,30
CDM,462807,SCREW BN SPN 5.5MM 40MM,1130.0,1130.0,169.5,1130.0,30
CDM,462808,PLATE SPN 2LVL 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,462809,NRSTM IMPL 2.4INX2.2IN,38533.0,38533.0,5779.95,38533.0,30
CDM,462810,PIN HALF BN 1.65X45X12,773.0,773.0,115.95,773.0,42
CDM,462811,PIN BN EXFX 45X2MM,773.0,773.0,115.95,773.0,42
CDM,462812,CLAMP EX FIX 90D,4093.0,4093.0,613.95,4093.0,42
CDM,462813,ROD CPLNG EXFX 3X3MM,3405.0,3405.0,510.75,3405.0,42
CDM,462814,ROD EXFIX CRBN 40X3MM,773.0,773.0,115.95,773.0,42
CDM,462815,SCREW SPNL RDC ILC8.5X70,4247.0,4247.0,637.05,4247.0,30
CDM,462816,SCREW BN 8MM 105MM,2790.0,2790.0,418.5,2790.0,30
CDM,462817,INSERT TIB KN 3-4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,462818,PLATE SPN LVL4 93MM,4429.0,4429.0,664.35,4429.0,30
CDM,462819,SCREW BN SPN 4MM 22MM,4247.0,4247.0,637.05,4247.0,30
CDM,462820,CMPNT FEM KN POST RT SZ8,6312.0,6312.0,946.8,6312.0,30
CDM,462821,SPHERE GLND SHLDR 42MM,9477.0,9477.0,1421.55,9477.0,30
CDM,462823,SCREW BN SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,462824,SCREW SPN SD FIX 4.0X12,1196.0,1196.0,179.4,1196.0,30
CDM,462825,SCREW BN 7MM 8MM 90MM,2790.0,2790.0,418.5,2790.0,30
CDM,462826,SCREW BN 4MM 34MM,2631.0,2631.0,394.65,2631.0,30
CDM,462827,SCREW BN 4MM 42MM,2631.0,2631.0,394.65,2631.0,30
CDM,462828,PLATE 26-30X11MM LEVA,13287.0,13287.0,1993.05,13287.0,30
CDM,462829,SPACER SPNL 26X30X11MM L,9966.0,9966.0,1494.9,9966.0,30
CDM,462830,SCREW 5.0X25MM LEVA AF,1506.0,1506.0,225.9,1506.0,30
CDM,462831,SCREW BN SPN LEVA 5X30MM,1506.0,1506.0,225.9,1506.0,30
CDM,462832,SCREW BN 6.7MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,462833,SCREW BN 4.5MM 44MM,1196.0,1196.0,179.4,1196.0,30
CDM,462834,WASHER BN TI 13MM,1276.0,1276.0,191.4,1276.0,30
CDM,462835,BIT DRILL 4.5MM,808.5,808.5,121.28,808.5,42
CDM,462836,BLADE SAW 13MM 70MM,1260.5,1260.5,189.07,1260.5,42
CDM,462838,BASEPLATE TIB KN SZ7,4651.0,4651.0,697.65,4651.0,30
CDM,462839,STEM FEM HIP SZ6 107MM,10630.0,10630.0,1594.5,10630.0,30
CDM,462840,BLDE IM NL 100MM 10.35MM,3721.0,3721.0,558.15,3721.0,30
CDM,462841,HEAD FEM ARCOMXL +6 OD32,4606.0,4606.0,690.9,4606.0,30
CDM,462842,CAGE SPNL 30X13MM 8D,8858.0,8858.0,1328.7,8858.0,30
CDM,462843,PLATE SPN ANT LMBAR 24MM,11073.0,11073.0,1660.95,11073.0,30
CDM,462844,NAIL BN TROCH 10MM 36CM,8105.0,8105.0,1215.75,8105.0,30
CDM,462845,INSERT TIB 5 22.5 STB,4429.0,4429.0,664.35,4429.0,30
CDM,462846,INSERT TIB KN SZ8 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,462847,BASEPLATE TIB KN SZ8,4651.0,4651.0,697.65,4651.0,30
CDM,462849,INSERT TIB KN SZ6 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,462872,PLATE SPN 21MM,4901.0,4901.0,735.15,4901.0,30
CDM,462873,PLATE SPN 23MM,4872.0,4872.0,730.8,4872.0,30
CDM,462874,PLATE SPN 25MM,4872.0,4872.0,730.8,4872.0,30
CDM,462875,PLATE SPN 27.5MM,4901.0,4901.0,735.15,4901.0,30
CDM,462876,PLATE SPN 30MM,7236.0,7236.0,1085.4,7236.0,30
CDM,462877,PLATE SPN 32.5MM,7961.0,7961.0,1194.15,7961.0,30
CDM,462878,PLATE SPN 35MM,7961.0,7961.0,1194.15,7961.0,30
CDM,462879,PLATE SPN 37.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,462880,PLATE SPN 40MM,4651.0,4651.0,697.65,4651.0,30
CDM,462881,PLT CERVICAL 42.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,462882,PLATE SPN 45MM,5094.0,5094.0,764.1,5094.0,30
CDM,462883,PLATE SPN 47.5MM,5297.0,5297.0,794.55,5297.0,30
CDM,462885,PLATE SPN 52.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,462887,PLATE SPN 57.5MM,5887.0,5887.0,883.05,5887.0,30
CDM,462888,PLATE SPN 60MM,5887.0,5887.0,883.05,5887.0,30
CDM,462889,PLATE SPN 62.5MM,5887.0,5887.0,883.05,5887.0,30
CDM,462890,PLATE SPN 65MM,5315.0,5315.0,797.25,5315.0,30
CDM,462891,PLATE SPN 67.5MM,5315.0,5315.0,797.25,5315.0,30
CDM,462892,PLATE SPN 70MM,9489.0,9489.0,1423.35,9489.0,30
CDM,462894,PLATE SPN 75MM,5537.0,5537.0,830.55,5537.0,30
CDM,462895,PLATE SPN 77.5MM,6687.0,6687.0,1003.05,6687.0,30
CDM,462896,PLATE SPN 80MM,5503.0,5503.0,825.45,5503.0,30
CDM,462897,PLT CERVICAL 82.5MM,5503.0,5503.0,825.45,5503.0,30
CDM,462898,PLT CERVICAL 85MM,5537.0,5537.0,830.55,5537.0,30
CDM,462899,PLT CERVICAL 87.5MM,5094.0,5094.0,764.1,5094.0,30
CDM,462900,PLT CERVICAL 90MM,5747.0,5747.0,862.05,5747.0,30
CDM,462901,PLT CERVICAL 95MM,6983.0,6983.0,1047.45,6983.0,30
CDM,462923,CANNULA PRFSN 7FR 14GA,244.5,244.5,36.67,244.5,42
CDM,462929,CAGE SPN 22X17X15MM,9328.0,9328.0,1399.2,9328.0,30
CDM,462934,SCREW MOSS SI INNER ONLY,2204.0,2204.0,330.6,2204.0,30
CDM,462935,SCREW BN 7MM 45MM,4976.0,4976.0,746.4,4976.0,30
CDM,462936,SCREW BN 7MM 40MM,4976.0,4976.0,746.4,4976.0,30
CDM,462946,SCREW BN 7.3MM 5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,462947,SCREW BN 5MM 4.4MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,462952,CUP ACTB HIP 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,462958,SCREW BN 6MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,462962,ROD SPNL 55MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,462963,ROD SPNL 95MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,462991,COMP FEM 10MM 4MM,13509.0,13509.0,2026.35,13509.0,30
CDM,463000,SCREW LAB AMBI 100,2480.0,2480.0,372.0,2480.0,30
CDM,463006,BLNDIL ENDO 3.0CM 75CM,2374.0,2374.0,356.1,2374.0,42
CDM,463007,BLNDIL ENDO 3.0CM 75CM,2374.0,2374.0,356.1,2374.0,42
CDM,463008,BLNDIL ENDO 3.0CM 75CM,2374.0,2374.0,356.1,2374.0,42
CDM,463023,STENT ESPH 18-23MM 12CM,6622.0,6622.0,993.3,6622.0,30
CDM,463026,GWIRE ENDO .035IN 180CM,1023.5,1023.5,153.53,1023.5,42
CDM,463035,SCREW CLK-X 6.2X50,3389.0,3389.0,508.35,3389.0,30
CDM,463036,ROD SPN 6.0MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,463047,STEM FEM HIP SZ5 145MM,11073.0,11073.0,1660.95,11073.0,30
CDM,463056,CMPNT FEM KN SZ3,11483.0,11483.0,1722.45,11483.0,30
CDM,463063,CABLE SLV DLMLS HIP 2.0,3189.0,3189.0,478.35,3189.0,30
CDM,463065,STEM HUM SHLDR 15X130MM,11643.0,11643.0,1746.45,11643.0,30
CDM,463074,ROD 85 6.0 CURV SFT,3012.0,3012.0,451.8,3012.0,30
CDM,463077,FORCEP BX 1.8MM 100CM,386.5,386.5,57.98,386.5,42
CDM,463087,GRAFT BN LG 8CC 1X2IN,25401.0,25401.0,3810.15,25401.0,30
CDM,463097,ROD 6MMX440MM,2711.0,2711.0,406.65,2711.0,30
CDM,463117,SCREW BNE TI L45 OD6.2,3389.0,3389.0,508.35,3389.0,30
CDM,463118,SCREW BNE TI L40 OD7.0,3389.0,3389.0,508.35,3389.0,30
CDM,463129,STEM FEM HIP CNTRL9.25MM,1170.0,1170.0,175.5,1170.0,30
CDM,463134,STEM HUM SHLDR 13X130MM,11195.0,11195.0,1679.25,11195.0,30
CDM,463135,HEAD HUM 23MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,463146,SET CBL SLV STNLS 2.0,3189.0,3189.0,478.35,3189.0,30
CDM,463147,GWIRE ORTH CLBRT 3.2X300,1054.5,1054.5,158.18,1054.5,42
CDM,463153,BOLT LOCKING 4.9X50MM TI,2242.0,2242.0,336.3,2242.0,30
CDM,463163,SCREW BN SPNL 7.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,463165,SCREW BN SPNL 7.5X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,463169,ROD LEGACY 5.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
CDM,463192,SCREW BN 3.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,463193,SCREW CANN 3.5X26,2655.0,2655.0,398.25,2655.0,30
CDM,463194,SCREW BN 3.5MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,463195,SCREW BN 3.5MM 30MM,2559.0,2559.0,383.85,2559.0,30
CDM,463196,SCREW CANN 3.5X32,2179.0,2179.0,326.85,2179.0,30
CDM,463197,SCREW CANN 3.5X34,2179.0,2179.0,326.85,2179.0,30
CDM,463198,SCREW BN 3.5MM 36MM,2179.0,2179.0,326.85,2179.0,30
CDM,463199,SCREW BN 3.5X38MM,2179.0,2179.0,326.85,2179.0,30
CDM,463200,SCREW BN 3.5MM 40MM,2179.0,2179.0,326.85,2179.0,30
CDM,463201,SCREW BN 3.5MM 42MM,2655.0,2655.0,398.25,2655.0,30
CDM,463202,SCREW BN 3.5MM 44MM,3013.0,3013.0,451.95,3013.0,30
CDM,463203,SCREW BN 3.5X46MM,3189.0,3189.0,478.35,3189.0,30
CDM,463204,SCREW CANN 3.5X48,3189.0,3189.0,478.35,3189.0,30
CDM,463205,SCREW BN 3.5MM 50MM,2179.0,2179.0,326.85,2179.0,30
CDM,463206,SCREW BN 3.5MM 12MM,3097.0,3097.0,464.55,3097.0,30
CDM,463207,SCREW CANN 3.5X14,3189.0,3189.0,478.35,3189.0,30
CDM,463208,SCREW CANN 3.5X26,3097.0,3097.0,464.55,3097.0,30
CDM,463209,SCREW CANN 28X3.5MM,2631.0,2631.0,394.65,2631.0,30
CDM,463210,SCREW BN 3.5MM 30MM,2631.0,2631.0,394.65,2631.0,30
CDM,463211,SCREW BN 3.5MM 34MM,2238.0,2238.0,335.7,2238.0,30
CDM,463212,SCREW CANN 36X3.5MM,2238.0,2238.0,335.7,2238.0,30
CDM,463213,SCREW CANN 38X3.5MM,2238.0,2238.0,335.7,2238.0,30
CDM,463214,SCREW BN 3.5X5X18X6MM,3189.0,3189.0,478.35,3189.0,30
CDM,463215,SCREW BN 3.5X20MM,2559.0,2559.0,383.85,2559.0,30
CDM,463216,PLATE BN 4HL 140D 78MM,3721.0,3721.0,558.15,3721.0,30
CDM,463217,PLATE BN 5HL 94MM,3189.0,3189.0,478.35,3189.0,30
CDM,463218,PLATE BN 6HL 110MM,3421.0,3421.0,513.15,3421.0,30
CDM,463219,PLATE BN 145D 4HL 78MM,3721.0,3721.0,558.15,3721.0,30
CDM,463220,PLATE BN 5HL 94MM,3189.0,3189.0,478.35,3189.0,30
CDM,463221,PLATE BN 4H 78MM,3189.0,3189.0,478.35,3189.0,30
CDM,463222,PLATE BN 150D 5HL 94MM,3421.0,3421.0,513.15,3421.0,30
CDM,463223,PLATE BN 6HL 150D 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,463224,PLATE BN 135D 206MM,3721.0,3721.0,558.15,3721.0,30
CDM,463226,PLATE BN 4HL 135D 78MM,3327.0,3327.0,499.05,3327.0,30
CDM,463227,PLATE BN 5HL 135D 94MM,3709.0,3709.0,556.35,3709.0,30
CDM,463228,PLATE BN 135D 6HL 110MM,3709.0,3709.0,556.35,3709.0,30
CDM,463230,PLATE BN 8HL 142MM,4324.0,4324.0,648.6,4324.0,30
CDM,463231,PLATE BN 6HL 116MM,3189.0,3189.0,478.35,3189.0,30
CDM,463232,PLATE BRD DCP 7H/4.5,2515.0,2515.0,377.25,2515.0,30
CDM,463233,PLATE BN 16MM 135MM,3151.0,3151.0,472.65,3151.0,30
CDM,463234,PLATE BN 9H 4.5X16X151MM,3151.0,3151.0,472.65,3151.0,30
CDM,463235,PLATE BRD 167X16X4.8MM S,3189.0,3189.0,478.35,3189.0,30
CDM,463236,PLATE NAR DCP 5H/4.5 87,1818.0,1818.0,272.7,1818.0,30
CDM,463237,PLATE NAR DCP 6H/4.5 103,1878.0,1878.0,281.7,1878.0,30
CDM,463238,PLATE BN 4.5MM 119MM,2605.0,2605.0,390.75,2605.0,30
CDM,463239,PLATE NAR DCP 8H/4.5 135,2605.0,2605.0,390.75,2605.0,30
CDM,463240,PLATE NARROW DCP 10 HOLE,2469.0,2469.0,370.35,2469.0,30
CDM,463243,PLATE BN 5HL 2.0MM 29MM,1076.0,1076.0,161.4,1076.0,30
CDM,463244,PLATE BN RT 2HL 20MM,652.0,652.0,97.8,652.0,30
CDM,463245,PLATE T BN 2HL 18MM,652.0,652.0,97.8,652.0,30
CDM,463246,PLATE RECONSTR 245.01 3.,3470.0,3470.0,520.5,3470.0,30
CDM,463247,PLATE PELVIC 3.5 X 12 X,3189.0,3189.0,478.35,3189.0,30
CDM,463248,PLATE PELVIC 3.5 X 5 X 5,3189.0,3189.0,478.35,3189.0,30
CDM,463249,PLATE PELVIC 3.5 X 6 X 7,3189.0,3189.0,478.35,3189.0,30
CDM,463250,PLATE PELVIC 3.5 X 7 X 8,3439.0,3439.0,515.85,3439.0,30
CDM,463251,PLATE 3.5 RECON 245.18,3189.0,3189.0,478.35,3189.0,30
CDM,463253,PLATE BN 75X10X1.5X3.5MM,2802.0,2802.0,420.3,2802.0,30
CDM,463254,PLATE 3.5 SS T 241.14,1530.0,1530.0,229.5,1530.0,30
CDM,463257,SCREW BN 4MM 26MM,235.0,235.0,35.25,235.0,30
CDM,463258,SCREW BN 4MM 28MM,221.0,221.0,33.15,221.0,30
CDM,463259,SCREW BN CANC 4MM 32MM,348.0,348.0,52.2,348.0,30
CDM,463260,SCREW BN 4MM 6MM 40MM,215.0,215.0,32.25,215.0,30
CDM,463261,SCREW BN 4MM 6MM 45MM,215.0,215.0,32.25,215.0,30
CDM,463262,SCREW BN 4MM 6MM 50MM,235.0,235.0,35.25,235.0,30
CDM,463263,SCREW BN 4MM 6MM 55MM,235.0,235.0,35.25,235.0,30
CDM,463264,SCREW BN CANC SM 4X60MM,221.0,221.0,33.15,221.0,30
CDM,463266,SCREW BN 4MM 6MM 20MM,215.0,215.0,32.25,215.0,30
CDM,463267,SCREW BN 4MM 6MM 22MM,235.0,235.0,35.25,235.0,30
CDM,463268,SCREW BN 4MM 6MM 24MM,215.0,215.0,32.25,215.0,30
CDM,463269,SCREW BN 6.5MM 8MM 25MM,393.0,393.0,58.95,393.0,30
CDM,463270,SCREW BN 6.5MM 30MM,405.0,405.0,60.75,405.0,30
CDM,463271,SCREW BN 6.5MM 8MM 35MM,405.0,405.0,60.75,405.0,30
CDM,463272,SCREW BN 6.5X16X35MM,458.0,458.0,68.7,458.0,30
CDM,463273,SCREW BN 6.5X16X40MM,430.0,430.0,64.5,430.0,30
CDM,463274,SCREW BN 6.5X8X45MM,430.0,430.0,64.5,430.0,30
CDM,463275,SCREW BN 6.5X8X50MM,458.0,458.0,68.7,458.0,30
CDM,463276,SCREW BN 6.5X8X55MM,458.0,458.0,68.7,458.0,30
CDM,463277,SCREW BN 6.5MM 60MM,458.0,458.0,68.7,458.0,30
CDM,463278,SCREW BN 6.5X16X65MM,458.0,458.0,68.7,458.0,30
CDM,463279,SCREW BN 6.5X16X70MM,458.0,458.0,68.7,458.0,30
CDM,463280,SCREW BN 6.5MM 16MM,596.0,596.0,89.4,596.0,30
CDM,463281,SCREW BN 6.5MM 16MM 80MM,458.0,458.0,68.7,458.0,30
CDM,463282,SCREW BN 6.5X8X85MM,508.0,508.0,76.2,508.0,30
CDM,463283,SCREW BN 6.5MM 16MM 90MM,508.0,508.0,76.2,508.0,30
CDM,463284,SCREW BN 6.5X16X95MM,508.0,508.0,76.2,508.0,30
CDM,463285,SCREW BN 6.5X16X105MM,607.0,607.0,91.05,607.0,30
CDM,463286,SCREW BNE CANC 6.5X45,451.0,451.0,67.65,451.0,30
CDM,463287,SCREW BN 6.5X55MM,579.0,579.0,86.85,579.0,30
CDM,463288,SCREW BN 6.5X60MM,430.0,430.0,64.5,430.0,30
CDM,463289,SCREW BN 6.5X65MM,430.0,430.0,64.5,430.0,30
CDM,463290,SCREW BN 6.5MM 32MM,430.0,430.0,64.5,430.0,30
CDM,463291,SCREW BN 6.5MM 32MM,405.0,405.0,60.75,405.0,30
CDM,463292,SCREW BN 6.5MM 80MM,430.0,430.0,64.5,430.0,30
CDM,463293,SCREW BN 6.5MM 85MM,469.0,469.0,70.35,469.0,30
CDM,463294,SCREW BN 6.5MM 90MM,508.0,508.0,76.2,508.0,30
CDM,463295,SCREW BN 6.5X95MM,607.0,607.0,91.05,607.0,30
CDM,463296,SCREW BN 6.5MM 100MM,469.0,469.0,70.35,469.0,30
CDM,463297,SCREW BN 6.2X32X105MM,469.0,469.0,70.35,469.0,30
CDM,463298,SCREW BN 6.5X32X110MM,469.0,469.0,70.35,469.0,30
CDM,463299,SCREW BN CANC 6.5X30,458.0,458.0,68.7,458.0,30
CDM,463303,SCREW BN 4MM 12MM,192.0,192.0,28.8,192.0,30
CDM,463304,SCREW BN 4.0MM 14MM,206.0,206.0,30.9,206.0,30
CDM,463305,SCREW BN CANC 4MM 16MM,274.0,274.0,41.1,274.0,30
CDM,463306,SCREW BN CANC 4MM 18MM,219.0,219.0,32.85,219.0,30
CDM,463307,SCREW BN CANC 4MM 20MM,219.0,219.0,32.85,219.0,30
CDM,463308,SCREW BN CANC 4MM 22MM,192.0,192.0,28.8,192.0,30
CDM,463309,SCREW BN CANC 4MM 24MM,219.0,219.0,32.85,219.0,30
CDM,463310,SCREW BN CANC 4MM 26MM,219.0,219.0,32.85,219.0,30
CDM,463311,SCREW BN CANC 4MM 28MM,219.0,219.0,32.85,219.0,30
CDM,463312,SCREW BN 4.0MM 30MM,219.0,219.0,32.85,219.0,30
CDM,463313,SCREW BN 4MM 6MM 35MM,219.0,219.0,32.85,219.0,30
CDM,463314,SCREW BN 4MM 6MM 40MM,199.0,199.0,29.85,199.0,30
CDM,463315,SCREW BN 4MM 6MM 50MM,199.0,199.0,29.85,199.0,30
CDM,463320,SCREW BN 4.5MM 24MM,296.0,296.0,44.4,296.0,30
CDM,463321,SCREW BN 4.5MM 26MM,296.0,296.0,44.4,296.0,30
CDM,463322,SCREW BN 4.5MM 28MM,296.0,296.0,44.4,296.0,30
CDM,463325,SCREW BN 4.5MM 34MM,296.0,296.0,44.4,296.0,30
CDM,463326,SCREW BN 4.5MM 36MM,320.0,320.0,48.0,320.0,30
CDM,463327,SCREW BN 4.5MM 8MM 38MM,320.0,320.0,48.0,320.0,30
CDM,463328,SCREW BN 4.5MM 8MM 40MM,281.0,281.0,42.15,281.0,30
CDM,463329,SCREW BN 4.5MM 42MM,258.0,258.0,38.7,258.0,30
CDM,463330,SCREW BN 4.5MM 44MM,296.0,296.0,44.4,296.0,30
CDM,463332,SCREW BN 4.5MM 48MM,320.0,320.0,48.0,320.0,30
CDM,463334,SCREW BN 4.5MM 56MM,320.0,320.0,48.0,320.0,30
CDM,463335,SCREW BN 4.5MM 60MM,258.0,258.0,38.7,258.0,30
CDM,463336,SCREW BN 3.5MM 6MM 10MM,270.0,270.0,40.5,270.0,30
CDM,463337,SCREW BN 3.5MM 6MM 12MM,264.0,264.0,39.6,264.0,30
CDM,463338,SCREW BN 3.5MM 6MM 14MM,264.0,264.0,39.6,264.0,30
CDM,463339,SCREW BN S/T 3.5MM 16MM,264.0,264.0,39.6,264.0,30
CDM,463340,SCREW BN 3.5MM 6MM 18MM,264.0,264.0,39.6,264.0,30
CDM,463341,SCREW BN 3.5MM 20MM,264.0,264.0,39.6,264.0,30
CDM,463342,SCREW BN 3.5MM 6MM 22MM,264.0,264.0,39.6,264.0,30
CDM,463343,SCREW BN 3.5MM 6MM 24MM,264.0,264.0,39.6,264.0,30
CDM,463344,SCREW BN 3.5MM 6MM 26MM,264.0,264.0,39.6,264.0,30
CDM,463345,SCREW BN 3.5MM 6MM 28MM,264.0,264.0,39.6,264.0,30
CDM,463346,SCREW BN 3.5MM 6MM 32MM,264.0,264.0,39.6,264.0,30
CDM,463347,SCREW BN 3.5MM 6MM 40MM,264.0,264.0,39.6,264.0,30
CDM,463348,SCREW BN 3.5MM 45MM,270.0,270.0,40.5,270.0,30
CDM,463349,SCREW BN 3.5MM 50MM,264.0,264.0,39.6,264.0,30
CDM,463350,SCREW CORT MF 1.5X6,326.0,326.0,48.9,326.0,30
CDM,463351,SCREW CORT MF 1.5X7,284.0,284.0,42.6,284.0,30
CDM,463353,SCREW BN 2MM 10MM,516.0,516.0,77.4,516.0,30
CDM,463354,SCREW CORT 2.0X12,516.0,516.0,77.4,516.0,30
CDM,463355,SCREW BN 2MM 16MM,516.0,516.0,77.4,516.0,30
CDM,463356,SCREW BN 2.0MM 18MM,516.0,516.0,77.4,516.0,30
CDM,463357,SCREW BN 2MM 3.5MM 20MM,516.0,516.0,77.4,516.0,30
CDM,463358,SCREW CRTX 1.5X10,311.0,311.0,46.65,311.0,30
CDM,463359,SCREW BN 1.5MM 11MM,527.0,527.0,79.05,527.0,30
CDM,463360,SCREW CORT 1.5 12,262.0,262.0,39.3,262.0,30
CDM,463361,SCREW CRTX 1.5X14,239.0,239.0,35.85,239.0,30
CDM,463362,SCREW BN 12.7MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,463363,SCREW BN 12.7MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,463365,SCREW BN 12.7MM 120MM,3189.0,3189.0,478.35,3189.0,30
CDM,463366,SCREW BN 3.5MM 16MM,2631.0,2631.0,394.65,2631.0,30
CDM,463367,SCREW BN 3.5MM 32MM,2238.0,2238.0,335.7,2238.0,30
CDM,463368,SCREW BN CANN 3.5X40MM,2238.0,2238.0,335.7,2238.0,30
CDM,463369,SCREW BN 3.5X12MM,3189.0,3189.0,478.35,3189.0,30
CDM,463370,SCREW BN 3.5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,463371,SCREW BN 3.5MM 16MM,2179.0,2179.0,326.85,2179.0,30
CDM,463374,SCREW BN 4.5MM 58MM,235.0,235.0,35.25,235.0,30
CDM,463376,SCREW BN 4.5MM 64MM,258.0,258.0,38.7,258.0,30
CDM,463388,SCREW BN 12.7MM 130MM,3189.0,3189.0,478.35,3189.0,30
CDM,463391,SCREW BN 12.7MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,463392,SCREW BN 12.7MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,463393,SCREW BN 12.7X8X2.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,463394,SCREW BN 12.7MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,463395,SCREW BN 12.7MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,463396,SCREW BN LAG 12.7MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,463397,SCREW BN HIP 90X12.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,463399,SCREW BN 12.7MM 135MM,3189.0,3189.0,478.35,3189.0,30
CDM,463400,SCREW BN 12.7MM 140MM,3189.0,3189.0,478.35,3189.0,30
CDM,463401,SCREW BN 12.7MM 145MM,3189.0,3189.0,478.35,3189.0,30
CDM,463402,SCREW BN 4.5MM 30MM,436.0,436.0,65.4,436.0,30
CDM,463403,SCREW BN 4.5MM 35MM,436.0,436.0,65.4,436.0,30
CDM,463404,SCREW BN 4.5MM 40MM,436.0,436.0,65.4,436.0,30
CDM,463405,SCREW BN 4.5MM 45MM,436.0,436.0,65.4,436.0,30
CDM,463406,SCREW BN 4.5MM 55MM,436.0,436.0,65.4,436.0,30
CDM,463407,SCREW BN 4.5MM 60MM,614.0,614.0,92.1,614.0,30
CDM,463408,SCREW BN 4.5MM 65MM,436.0,436.0,65.4,436.0,30
CDM,463409,SCREW BN 4.5MM 70MM,436.0,436.0,65.4,436.0,30
CDM,463429,KWIRE FX 150MM 1.25MM,153.5,153.5,23.02,153.5,42
CDM,463430,KWIRE FX 150MM 1.6MM,153.5,153.5,23.02,153.5,42
CDM,463431,ROD GUIDE 2MM 900MM,773.0,773.0,115.95,773.0,42
CDM,463433,CATH BIL BLN PR 5FRX40CM,624.0,624.0,93.6,624.0,42
CDM,463513,LENS IOL +21.0 DIOP,253.5,253.5,46.67,253.5,28
CDM,463516,LENS IOL +22.5 DIOP,253.5,253.5,46.67,253.5,28
CDM,463539,SCREW SPNL RDC ILC 85MM,753.0,753.0,112.95,753.0,30
CDM,463540,CMPNT FEM KN SZ6,20617.0,20617.0,3092.55,20617.0,30
CDM,463541,PLATE BN LCK 7 PEG 3 HL,4429.0,4429.0,664.35,4429.0,30
CDM,463597,LENS IOL +12.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,463598,LENS IOL +13.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,463605,LENS IOL +17.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,463606,LENS IOL +17.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,463607,LENS IOL +18.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,463608,LENS IOL +18.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,463609,LENS IOL +19.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,463610,LENS IOL +19.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,463611,LENS IOL +20.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,463612,LENS IOL +20.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,463712,LEAD NEURO EXT 51,3721.0,3721.0,558.15,3721.0,30
CDM,463713,BIT DRILL 4.8X180MM,386.5,386.5,57.98,386.5,42
CDM,463719,ROD CONN SPNL TI 10X,6418.0,6418.0,962.7,6418.0,30
CDM,463725,PLATE BN 111MM 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,463730,PLATE SPN 5.5MM 22MM,3012.0,3012.0,451.8,3012.0,30
CDM,463731,PLATE BN 10MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,463734,PLATE SPN 5.5MM 28-30MM,5101.0,5101.0,765.15,5101.0,30
CDM,463735,PLATE SPN 30-34MM,3012.0,3012.0,451.8,3012.0,30
CDM,463736,PLATE SPN 34-36MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,463737,PLATE SPN 36-39MM 5.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,463738,PLATE SPN 39-45MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,463739,PLATE SPN 58MM 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,463740,PLATE SPN 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,463743,SCREW BN 6MM 40MM,4976.0,4976.0,746.4,4976.0,30
CDM,463751,INSRT ACTB 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,463763,GRAFT CV 12X7MM 40CM,3721.0,3721.0,558.15,3721.0,30
CDM,463773,TISSUE SYN HAP 10ML HLS2,6431.0,6431.0,964.65,6431.0,30
CDM,463774,NEEDLE 3-HOLE 2761274002,1023.5,1023.5,153.53,1023.5,42
CDM,463788,CLIP ANSRM TMP 60R 7.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,463822,VALVE SHUNT CSF REG 1.0,5914.0,5914.0,887.1,5914.0,30
CDM,463832,SCREW LAG 12.7X9X95X21MM,2480.0,2480.0,372.0,2480.0,30
CDM,463837,SCREW BN 3.5X28.5MM HEX,61.0,61.0,9.15,61.0,30
CDM,463849,BLOCK AUGMNT POST 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,463850,BLOCK KN AUGMNT SZG 10,4429.0,4429.0,664.35,4429.0,30
CDM,463852,STEM EXTN KN 130X175X18,4429.0,4429.0,664.35,4429.0,30
CDM,463853,DRVR HEX FEM SET SCR 2MM,773.0,773.0,115.95,773.0,42
CDM,463855,TUNNELER SURG BLNT,4191.0,4191.0,628.65,4191.0,42
CDM,463856,COMPNT GLND SHLDR 52MM,5758.0,5758.0,863.7,5758.0,30
CDM,463857,LINER ACTB HIP +4MM 66MM,6644.0,6644.0,996.6,6644.0,30
CDM,463861,SCREW AO 487.054 SC CANC,3012.0,3012.0,451.8,3012.0,30
CDM,463874,SHEET THIN 38X50X.85MM,3288.0,3288.0,493.2,3288.0,30
CDM,463881,CUP TRIFLNG ACTB RT 66MM,44069.0,44069.0,6610.35,44069.0,30
CDM,463882,AUG FEM KN SZ6/7 5MM,6644.0,6644.0,996.6,6644.0,30
CDM,463901,EXTENSION STM TIV L130MM,4429.0,4429.0,664.35,4429.0,30
CDM,463902,COMPNT KN RT 68X61.5MM,17193.0,17193.0,2578.95,17193.0,30
CDM,463905,ROD SPAL TI L500 6.0,2711.0,2711.0,406.65,2711.0,30
CDM,463906,SCREW SPN CLK-X TI 7X35M,3458.0,3458.0,518.7,3458.0,30
CDM,463910,CONN ROD XVR LOPRO 8,6418.0,6418.0,962.7,6418.0,30
CDM,463912,SHELL ACTB HIP 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,463913,INS ACTB 50MM 28MM,6277.0,6277.0,941.55,6277.0,30
CDM,463918,PLATE BN SKNLC 2LVL 39MM,4429.0,4429.0,664.35,4429.0,30
CDM,463922,SCREW BN 3.5MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,463923,ROD SPNL PEEK 200X3MM,3012.0,3012.0,451.8,3012.0,30
CDM,463924,INSERT TIB KN 6F/6T,4606.0,4606.0,690.9,4606.0,30
CDM,463928,PLATE CERVICAL SPINE LOC,4429.0,4429.0,664.35,4429.0,30
CDM,463937,SCREW BN CANN 6.5X70MM,3189.0,3189.0,478.35,3189.0,30
CDM,463938,SCREW BN CANN 6.5X75MM,2974.0,2974.0,446.1,2974.0,30
CDM,463939,SCREW BN 6.5MM 160MM,3189.0,3189.0,478.35,3189.0,30
CDM,463940,PIN EXFX 5MM 200MM,1311.5,1311.5,196.72,1311.5,42
CDM,463941,SCREW EXFX HIP 200X5MM,1002.0,1002.0,150.3,1002.0,42
CDM,463942,CLAMP EX FIX LG,3021.0,3021.0,453.15,3021.0,42
CDM,463944,CAP PROTCT EXFX 5.0MM,72.0,72.0,10.8,72.0,42
CDM,463952,NDL SCLEROTHERPY 25GX5,250.5,250.5,37.58,250.5,42
CDM,463954,CLAMP EXFX 6 PSTN LG,3311.5,3311.5,496.73,3311.5,42
CDM,463955,ROD EX FIX ATTACHMENT,1856.0,1856.0,278.4,1856.0,42
CDM,463965,HEAD FEM HIP +15MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,463968,CUP ACTB METAL 58MM,7744.0,7744.0,1161.6,7744.0,30
CDM,463977,IMPLANT BREAST 650CC,3311.0,3311.0,496.65,3311.0,30
CDM,463979,STEM FEM 4 HIP CMNT,6201.0,6201.0,930.15,6201.0,30
CDM,463982,SHTH XCL 18F 30,1064.5,1064.5,159.68,1064.5,42
CDM,463983,SHEATH INTRO GR XCL 12F,870.0,870.0,130.5,870.0,42
CDM,463986,SCREW CLICKX 6.2X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,463988,CUP ACET TRAB MTL OD62,11929.0,11929.0,1789.35,11929.0,30
CDM,463990,STEM FEM HIP 16.5X170MM,12406.0,12406.0,1860.9,12406.0,30
CDM,463991,FEMORAL BODY POROUS CALC,14616.0,14616.0,2192.4,14616.0,30
CDM,463994,CUP TM MODULAR 48MM MULT,11929.0,11929.0,1789.35,11929.0,30
CDM,463995,PLATE BN SLIM-LOC 27MM,4429.0,4429.0,664.35,4429.0,30
CDM,464003,PLATE SM 34X16X2MM,4429.0,4429.0,664.35,4429.0,30
CDM,464008,PLATE BN 69X9X1MM,1923.0,1923.0,288.45,1923.0,30
CDM,464010,SCREW BN 3.5MM 12MM,1379.0,1379.0,206.85,1379.0,30
CDM,464011,SCREW BN 3.5MM 14MM,1379.0,1379.0,206.85,1379.0,30
CDM,464012,SCREW BN 3.5MM 18MM,1379.0,1379.0,206.85,1379.0,30
CDM,464017,SCREW BN SPN 5.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,464019,SCREW BN 7MM 50MM,4976.0,4976.0,746.4,4976.0,30
CDM,464021,SCREW BN 5MM 40MM,2073.0,2073.0,310.95,2073.0,30
CDM,464036,SCREW BN 3.5MM 6MM 36MM,264.0,264.0,39.6,264.0,30
CDM,464038,GRAFT SYN TISS REG 31X22,3838.0,3838.0,575.7,3838.0,30
CDM,464041,STEMHUM SHLDR 138MM 10MM,12825.0,12825.0,1923.75,12825.0,30
CDM,464056,SCREW BN 6MM 45MM,4976.0,4976.0,746.4,4976.0,30
CDM,464060,PLATE SPN SML 42MM 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,464061,CAGE SP LPRD 28X10X8,13287.0,13287.0,1993.05,13287.0,30
CDM,464075,SCREW BN 4.25X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,464081,MESH PRLN PATCH LG 4.92,3189.0,3189.0,478.35,3189.0,30
CDM,464082,MESH PROLENE 3D PATCH LA,3189.0,3189.0,478.35,3189.0,30
CDM,464084,ROD SPN SFT 6.0MM 75MM,3012.0,3012.0,451.8,3012.0,30
CDM,464098,SCREW SPNE 4.5X13MM,3012.0,3012.0,451.8,3012.0,30
CDM,464099,STEM FEM CMNT #7 HIP,6201.0,6201.0,930.15,6201.0,30
CDM,464100,PLATE SYNTHES 487.345,4429.0,4429.0,664.35,4429.0,30
CDM,464124,STEMHUM SHLDR 133MM 8MM,17716.0,17716.0,2657.4,17716.0,30
CDM,464125,HEAD HUM 18MM 40MM,5667.0,5667.0,850.05,5667.0,30
CDM,464128,SCREW SPN CANN 2X18MM,3012.0,3012.0,451.8,3012.0,30
CDM,464135,SCREW SPN 5.7MM 20MM,3353.0,3353.0,502.95,3353.0,30
CDM,464144,SCREW BN 5MM 4.4MM 70MM,2545.0,2545.0,381.75,2545.0,30
CDM,464160,PLATE STLCK 2LVL 38X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,464164,VALVE AORTIC 23MM,13073.0,13073.0,1960.95,13073.0,30
CDM,464169,HEAD HUM OFST 21MM 46MM,4872.0,4872.0,730.8,4872.0,30
CDM,464196,ROD LEGACY 7.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
CDM,464197,SCREW SPN 6.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,464198,SCREW SPN 6.5MM 40MM,6724.0,6724.0,1008.6,6724.0,30
CDM,464199,SCREW LEGACY MAS 7.5X40M,4429.0,4429.0,664.35,4429.0,30
CDM,464200,SCREW SPN SET BRK 5.5MM,753.0,753.0,112.95,753.0,30
CDM,464207,SCREW SPN PST 6.5X35MM,3012.0,3012.0,451.8,3012.0,30
CDM,464208,SCREW BNE TSRH TI L40MM,3012.0,3012.0,451.8,3012.0,30
CDM,464209,SCREW BNE TSRH TI L45MM,3012.0,3012.0,451.8,3012.0,30
CDM,464210,SCREW SPN PST 6.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,464211,SCREW SPN PST 6.5X55MM,3012.0,3012.0,451.8,3012.0,30
CDM,464213,SCREW SPN PST 7.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,464215,SCREW SPN PST 7.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,464216,SCREW SPN PST 7.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,464219,CONNECTOR ROD 5.5MM TSRH,3012.0,3012.0,451.8,3012.0,30
CDM,464220,CONNECTOR ROD MED 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,464221,CONN ROD TSRH3D 5.5 LG,3012.0,3012.0,451.8,3012.0,30
CDM,464222,CONNECTOR ROD 5.5MM 90D,4429.0,4429.0,664.35,4429.0,30
CDM,464223,CONNECTOR MAC 50-67 MM,3765.0,3765.0,564.75,3765.0,30
CDM,464229,LINER ACETB HIP 10D MED,4429.0,4429.0,664.35,4429.0,30
CDM,464231,HEAD HIP FEM 11/13 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,464232,SCREW BN LG HIP 6.5X20MM,1638.0,1638.0,245.7,1638.0,30
CDM,464233,MESH SURG 4IN 6IN,3189.0,3189.0,478.35,3189.0,30
CDM,464240,PLATE STLCK 3LVL 59X51MM,4429.0,4429.0,664.35,4429.0,30
CDM,464244,SLEEVE CNTRNG 20F XXL,4252.0,4252.0,637.8,4252.0,30
CDM,464254,SCREW BN CPTR HEX 5X35,2136.0,2136.0,320.4,2136.0,30
CDM,464255,SCREW BNE TI L40 TRGN,2136.0,2136.0,320.4,2136.0,30
CDM,464257,SCREW TRAD. 5.0X30,2136.0,2136.0,320.4,2136.0,30
CDM,464261,STEMHUM SHLDR 153MM 14MM,13141.0,13141.0,1971.15,13141.0,30
CDM,464262,HEAD HUM 23MM 52MM,7483.0,7483.0,1122.45,7483.0,30
CDM,464263,SCREW BN 5X45MM,2136.0,2136.0,320.4,2136.0,30
CDM,464264,SCREW TRGN 5.0X55,2136.0,2136.0,320.4,2136.0,30
CDM,464266,SCREW BN 4.5X14MM,3012.0,3012.0,451.8,3012.0,30
CDM,464269,STEM FEM HIP 160X18MM,6644.0,6644.0,996.6,6644.0,30
CDM,464271,KIT REVISN SPN CRD STIM,3189.0,3189.0,478.35,3189.0,30
CDM,464279,STEM FEM HIP SZ2 97MM,6201.0,6201.0,930.15,6201.0,30
CDM,464282,SCREW BN 6.5MM 40MM,1196.0,1196.0,179.4,1196.0,30
CDM,464287,TRAY 4 MBT TIB POR KEEL,10119.0,10119.0,1517.85,10119.0,30
CDM,464290,CUFF URTH SPHNCR 4.5CM,9744.0,9744.0,1461.6,9744.0,30
CDM,464325,KWIRE ORTH 6X.035IN,406.0,406.0,60.9,406.0,42
CDM,464334,DRILL SURG 1.7MM 2.4MM,1705.0,1705.0,255.75,1705.0,42
CDM,464335,DRIVER SURG SHORT,1303.5,1303.5,195.53,1303.5,42
CDM,464337,SCREW BN SPN 8.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,464338,PLATE BN 12HL 1.5MM,4381.0,4381.0,657.15,4381.0,30
CDM,464339,PLATE TIB GRN 75X51X17MM,9567.0,9567.0,1435.05,9567.0,30
CDM,464348,STEM FEM HIP 15MM 160MM,11073.0,11073.0,1660.95,11073.0,30
CDM,464351,PLATE 3-D CNTR MSH RGD,7655.0,7655.0,1148.25,7655.0,30
CDM,464369,PLATE BN 4HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,464377,KIT PUMP SNCHR REFIL KIT,257.5,257.5,38.63,257.5,42
CDM,464379,PLATE BN 1.5MM,2310.0,2310.0,346.5,2310.0,30
CDM,464381,SCREW 4.5 X 14MM SELF-DR,3189.0,3189.0,478.35,3189.0,30
CDM,464384,SCREW BN 3.5X32 2.7MM,319.0,319.0,47.85,319.0,30
CDM,464391,SCREW BN 4.0X12MM,319.0,319.0,47.85,319.0,30
CDM,464392,SCREW BN 3.5X18 2.7MM,319.0,319.0,47.85,319.0,30
CDM,464397,SCREW BN 4X18MM,319.0,319.0,47.85,319.0,30
CDM,464399,SCREW BN 3.5X24 2.7MM,319.0,319.0,47.85,319.0,30
CDM,464401,SCREW BN 3.5X22 2.7MM,319.0,319.0,47.85,319.0,30
CDM,464402,SCREW BN 4X16MM,319.0,319.0,47.85,319.0,30
CDM,464412,SLEEVE CNTRNG,3189.0,3189.0,478.35,3189.0,30
CDM,464414,SCREW TRGN LCK 5.0X65,1942.0,1942.0,291.3,1942.0,30
CDM,464415,SCREW BN CPTR HEX 5X75,2136.0,2136.0,320.4,2136.0,30
CDM,464435,STEM FEM HIP 13MM 160MM,10630.0,10630.0,1594.5,10630.0,30
CDM,464436,STEM FEM HIP 13MM 160MM,11073.0,11073.0,1660.95,11073.0,30
CDM,464439,STEM FEM HIP 14MM 160MM,11073.0,11073.0,1660.95,11073.0,30
CDM,464440,STEM FEM XTN 6IN 14X160,10630.0,10630.0,1594.5,10630.0,30
CDM,464448,STEM FEM HIP 16MM 160MM,19687.0,19687.0,2953.05,19687.0,30
CDM,464461,SCREW SPN 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,464462,COMPONENT FEM KN 4MM,4252.0,4252.0,637.8,4252.0,30
CDM,464464,CAGE SPNL LPRD 28X10X7MM,13287.0,13287.0,1993.05,13287.0,30
CDM,464465,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,464470,PATCH HERN 4.3CM,3669.0,3669.0,550.35,3669.0,30
CDM,464471,PATCH SURG MFL 6.4CM,3721.0,3721.0,558.15,3721.0,30
CDM,464472,SHELL ACTB HIP 54MM,11503.0,11503.0,1725.45,11503.0,30
CDM,464474,STEM FEM HIP SZ3 108MM,6201.0,6201.0,930.15,6201.0,30
CDM,464475,SCREW BN 4.5X14MM,3012.0,3012.0,451.8,3012.0,30
CDM,464484,BOLT OH 1.275IN PFC,3816.0,3816.0,572.4,3816.0,30
CDM,464489,SCREW BN CPTR INT 5X25,2136.0,2136.0,320.4,2136.0,30
CDM,464490,SCREW BN CPTR HEX 5X70,1942.0,1942.0,291.3,1942.0,30
CDM,464501,TOOL DSCT 140MM CYLNDR,1023.5,1023.5,153.53,1023.5,42
CDM,464502,MILL BN SPAT DISP,1678.0,1678.0,251.7,1678.0,42
CDM,464522,BUR 2.3MM TPR 8CM,773.0,773.0,115.95,773.0,42
CDM,464526,GWIRE BALL TIP 2.5X800MM,1023.5,1023.5,153.53,1023.5,42
CDM,464527,BIT DRILL 3.5X130MM,1209.5,1209.5,181.43,1209.5,42
CDM,464533,SCREW BN 4MM 55MM,1654.0,1654.0,248.1,1654.0,30
CDM,464538,SCREW CANC XPN HD TI L14,2990.0,2990.0,448.5,2990.0,30
CDM,464540,STAPLER INT 3.5MM 45MM,3392.0,3392.0,508.8,3392.0,42
CDM,464541,STAPLER INT 4.8MM 45MM,3954.5,3954.5,593.17,3954.5,42
CDM,464546,SHELL ACTB HIP 64MM,5094.0,5094.0,764.1,5094.0,30
CDM,464547,HEAD HUM 15MM 44MM,5758.0,5758.0,863.7,5758.0,30
CDM,464549,CONN ROD LOPRO 11MM,5820.0,5820.0,873.0,5820.0,30
CDM,464552,HEAD FEM HIP +10 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,464554,IMPLANT BREAST 210CC,3311.0,3311.0,496.65,3311.0,30
CDM,464555,ROD SPNL TI L55MM OD6.0M,3012.0,3012.0,451.8,3012.0,30
CDM,464561,LEAD NEURO EXT 40,3721.0,3721.0,558.15,3721.0,30
CDM,464563,PROSTH PENL 16CM 12.5MM,33196.0,33196.0,4979.4,33196.0,30
CDM,464581,CMPNT FEM KN SZ4,11483.0,11483.0,1722.45,11483.0,30
CDM,464582,CMPNT FEM KN LT SZ4,11483.0,11483.0,1722.45,11483.0,30
CDM,464583,ANCHOR SUT 4.75MM 19.1MM,3497.0,3497.0,524.55,3497.0,30
CDM,464602,CAGE SPN MESH 17X13X13MM,8411.0,8411.0,1261.65,8411.0,30
CDM,464618,INTRO CATH PTFR 5FR PERC,1023.5,1023.5,153.53,1023.5,42
CDM,464645,LEAD PCNG RT VNTRC 52CM,3828.0,3828.0,574.2,3828.0,30
CDM,464658,CAGE SPNL 28X10X7MM,13287.0,13287.0,1993.05,13287.0,30
CDM,464669,CATH DRN MLCT 4-WNG 18FR,490.5,490.5,73.58,490.5,42
CDM,464670,CAGE SPN MESH 10X15MM,7733.0,7733.0,1159.95,7733.0,30
CDM,464671,CAGE SPN 15X12X16MM,9328.0,9328.0,1399.2,9328.0,30
CDM,464672,ROD CNCTR 15MM OFST LAT,3012.0,3012.0,451.8,3012.0,30
CDM,464676,SPCR 20MM 10 X 55 6 DEG,9523.0,9523.0,1428.45,9523.0,30
CDM,464677,SCREW BN SPN 5.5MM 50MM,1506.0,1506.0,225.9,1506.0,30
CDM,464678,SCREW SPN 7.5MM 35MM,4247.0,4247.0,637.05,4247.0,30
CDM,464679,CAGE SPNL9X23X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,464680,SCREW BN 3.5MM 14MM,399.0,399.0,59.85,399.0,30
CDM,464681,TRAY TIB KN STRL 2F/1T,4606.0,4606.0,690.9,4606.0,30
CDM,464682,GRAFT EVAS 27MM 14CM,18704.0,18704.0,2805.6,18704.0,30
CDM,464683,GRAFT EVAS 23MM 3.3CM,13115.0,13115.0,1967.25,13115.0,30
CDM,464684,SCREW BN 7MM 8MM 105MM,2790.0,2790.0,418.5,2790.0,30
CDM,464685,PLATE BN 6HL 3.5MM 119MM,7285.0,7285.0,1092.75,7285.0,30
CDM,464688,SCREW BN 1.3MM 7MM,547.0,547.0,82.05,547.0,30
CDM,464689,SCREW BN 1.3MM 8MM,547.0,547.0,82.05,547.0,30
CDM,464690,SCREW BN 1.3MM 9MM,547.0,547.0,82.05,547.0,30
CDM,464691,SCREW BN 1.3MM 14MM,1830.0,1830.0,274.5,1830.0,30
CDM,464693,SCREW BN 1.3MM 16MM,1830.0,1830.0,274.5,1830.0,30
CDM,464696,SCREW BN 1.5MM 6MM,1563.0,1563.0,234.45,1563.0,30
CDM,464697,SCREW BN 1.5MM 7MM,1563.0,1563.0,234.45,1563.0,30
CDM,464698,SCREW BN 2MM 8MM,1625.0,1625.0,243.75,1625.0,30
CDM,464699,SCREW BN 2.0MM 9MM,1576.0,1576.0,236.4,1576.0,30
CDM,464703,SCREW BN SPN 6.25X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,464718,SCREW BN NS LCK 5X54MM,1658.0,1658.0,248.7,1658.0,30
CDM,464719,CONNECTOR SHNT CSF CATH,1072.0,1072.0,160.8,1072.0,30
CDM,464722,CAGE SPNL LPRD 28X10MM,9667.0,9667.0,1450.05,9667.0,30
CDM,464723,STENT BIL 6FR 5MM 17MM,5162.0,5162.0,774.3,5162.0,30
CDM,464735,SCREW CLK-X 6.2X45,4429.0,4429.0,664.35,4429.0,30
CDM,464739,INSERT TIB PRI 10X71/75,4429.0,4429.0,664.35,4429.0,30
CDM,464740,CMPNT FEM KN PTLL37X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,464741,COMPNT KN TIB F 71MM,4606.0,4606.0,690.9,4606.0,30
CDM,464749,PLATE SPN SML 45MM 37MM,4264.0,4264.0,639.6,4264.0,30
CDM,464751,SCREW BN 2.7MM 5MM 16MM,423.0,423.0,63.45,423.0,30
CDM,464752,SCREW BN 2.7MM 18MM,423.0,423.0,63.45,423.0,30
CDM,464763,SCRW CANC AXON 3.5X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,464764,SCREW SPN LCK 1.4MM,1356.0,1356.0,203.4,1356.0,30
CDM,464765,ROD SPN 3.5MM 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,464773,PLATE BN SKNLC 1LVL 29MM,4429.0,4429.0,664.35,4429.0,30
CDM,464784,WEDGE TIB TIV/PMMA 5 CR,6514.0,6514.0,977.1,6514.0,30
CDM,464785,BLOCK AGMNT F H5MM DIST,4429.0,4429.0,664.35,4429.0,30
CDM,464786,STEM FEM KN 12MM 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,464787,STEM FEM KN 14X130MM,4429.0,4429.0,664.35,4429.0,30
CDM,464788,CMPNT FEM KN SZF 72MM,17193.0,17193.0,2578.95,17193.0,30
CDM,464790,HEAD HUM 18MM 48MM,7866.0,7866.0,1179.9,7866.0,30
CDM,464802,SUTURE STEEL CCS 7-0,231.5,231.5,34.73,231.5,42
CDM,464803,ROD EX FIX 11MM 400MM,1251.5,1251.5,187.72,1251.5,42
CDM,464804,SCREW BN 4.8X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,464807,STEM FEM HIP SZ4 140MM,8416.0,8416.0,1262.4,8416.0,30
CDM,464808,HEAD FEM HIP +1.5 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,464810,SCREW BN 5MM 4.4MM 30MM,2594.0,2594.0,389.1,2594.0,30
CDM,464811,SCREW BN 5MM 4.4MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,464812,SCREW BN 4MM 34MM,1924.0,1924.0,288.6,1924.0,30
CDM,464823,SCREW BN 2MM 11MM,1625.0,1625.0,243.75,1625.0,30
CDM,464824,SCREW BN 2MM 12MM,1576.0,1576.0,236.4,1576.0,30
CDM,464825,SCREW BN 2MM 18MM,1576.0,1576.0,236.4,1576.0,30
CDM,464826,PLATE TIB GRN GRN STRP,6514.0,6514.0,977.1,6514.0,30
CDM,464827,PLATE SPN SML 48MM 40MM,4264.0,4264.0,639.6,4264.0,30
CDM,464831,SCREW BN 2MM 20MM,2105.0,2105.0,315.75,2105.0,30
CDM,464832,SCREW BN 2MM 22MM,2105.0,2105.0,315.75,2105.0,30
CDM,464833,SCREW BN 2MM 24MM,1625.0,1625.0,243.75,1625.0,30
CDM,464834,SCREW BN 1.5MM 9MM SS,625.0,625.0,93.75,625.0,30
CDM,464835,SCREW BN 1.5MM 18MM,625.0,625.0,93.75,625.0,30
CDM,464838,SCRW SLF DRL VRBL 4.5X14,1130.0,1130.0,169.5,1130.0,30
CDM,464839,SCREW BN 1.5MM 4MM,835.0,835.0,125.25,835.0,30
CDM,464848,CONNECTOR WND DRN Y,175.5,175.5,26.32,175.5,42
CDM,464849,SET TUB PAD WND NEG PRSS,234.5,234.5,35.17,234.5,42
CDM,464851,PLATE SPN 8X26X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
CDM,464856,SCR BN 3.5X5X10MM CVFX,841.0,841.0,126.15,841.0,30
CDM,464858,SCREW BN 3.5MM 38MM,434.0,434.0,65.1,434.0,30
CDM,464859,HEAD FEM 32MM +7,4606.0,4606.0,690.9,4606.0,30
CDM,464866,COVER BURHL 17X.3X1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,464867,SCREW BN CPTR HEX 5X50,2136.0,2136.0,320.4,2136.0,30
CDM,464877,SCREW BN 3.5MM 24MM,4429.0,4429.0,664.35,4429.0,30
CDM,464878,SCREW BN 3.5MM 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,464890,CATH ANGIO 5F.038IN 80CM,231.5,231.5,34.73,231.5,42
CDM,464912,SCREW BN 5MM 45MM,5510.0,5510.0,826.5,5510.0,30
CDM,464927,INSERT TIB KN SZ4 10MM,5187.0,5187.0,778.05,5187.0,30
CDM,464940,PLATE BN 93X9X1MM,2073.0,2073.0,310.95,2073.0,30
CDM,464941,SCREW BN 3.5MM 10MM,1379.0,1379.0,206.85,1379.0,30
CDM,464942,SCREW BN 3.5MM 16MM,1379.0,1379.0,206.85,1379.0,30
CDM,464949,PLATE BN SS AMBI CHS,3189.0,3189.0,478.35,3189.0,30
CDM,464950,SCREW BN 3.5MM 6MM 55MM,270.0,270.0,40.5,270.0,30
CDM,464955,SCREW LOCKING 3.5MM S/T,1788.0,1788.0,268.2,1788.0,30
CDM,464957,SCREW BNE TI L45 OD7.0,3765.0,3765.0,564.75,3765.0,30
CDM,464958,SCREW BN 7.75MM 35MM,3076.0,3076.0,461.4,3076.0,30
CDM,464959,ROD 75 6.0 CURV SFT,3012.0,3012.0,451.8,3012.0,30
CDM,464960,STENT BIL DB 10FR 7CM,1438.0,1438.0,215.7,1438.0,30
CDM,464961,BLN CATH RTRV 12-15MM,1145.0,1145.0,171.75,1145.0,42
CDM,464962,DEVICE LCK BX CAP,205.5,205.5,30.82,205.5,42
CDM,464963,BLN CATH RTRV 9-12MM,1145.0,1145.0,171.75,1145.0,42
CDM,464964,CANNULA ERCP XL 195CM,773.0,773.0,115.95,773.0,42
CDM,464966,STENT BIL DB 7FR 10CM,1438.0,1438.0,215.7,1438.0,30
CDM,464967,STENT BIL DB 10FR 10CM,1438.0,1438.0,215.7,1438.0,30
CDM,464971,STENT BIL DB 8.5FR 15CM,1438.0,1438.0,215.7,1438.0,30
CDM,464972,STENT BIL DB 8.5FR 12CM,1438.0,1438.0,215.7,1438.0,30
CDM,464973,STENT BIL DB 8.5FR 7CM,1438.0,1438.0,215.7,1438.0,30
CDM,464974,STENT BIL DB 7FR 12CM,1735.0,1735.0,260.25,1735.0,30
CDM,464975,STENT BIL DB 8.5FR 10CM,1438.0,1438.0,215.7,1438.0,30
CDM,464977,STENT BIL DB 11.5FR 7CM,1735.0,1735.0,260.25,1735.0,30
CDM,464979,STENT BIL DB 7FR 7CM,1435.0,1435.0,215.25,1435.0,30
CDM,464980,STENT BIL DB 10FR 12CM,1438.0,1438.0,215.7,1438.0,30
CDM,464981,STENT BIL DB 11.5FR 10CM,1435.0,1435.0,215.25,1435.0,30
CDM,464982,GWIRE ENDO .035IN 260CM,1330.5,1330.5,199.57,1330.5,42
CDM,464983,CANNULA ERCP TPR 210CM,773.0,773.0,115.95,773.0,42
CDM,464984,SPACER SPNL 29X17MM,9523.0,9523.0,1428.45,9523.0,30
CDM,464987,VALVE MTRL OD25MM MOSC,21917.0,21917.0,3287.55,21917.0,30
CDM,464988,VALVE MTRL OD27MM MOSC,18030.0,18030.0,2704.5,18030.0,30
CDM,464989,VLV MSC MTRL 29,21275.0,21275.0,3191.25,21275.0,30
CDM,464990,VLV MSC MTRL 31,18030.0,18030.0,2704.5,18030.0,30
CDM,464991,VLV MSC MTRL 33,18030.0,18030.0,2704.5,18030.0,30
CDM,464992,RING ANLPLS 23MM DRN ANC,6152.0,6152.0,922.8,6152.0,30
CDM,464996,RNG ANLPLS DRN 27MM,6152.0,6152.0,922.8,6152.0,30
CDM,464999,SHELL ACTB TM MLH 56,11503.0,11503.0,1725.45,11503.0,30
CDM,465015,INSERT CLAMP 60MM,464.0,464.0,69.6,464.0,42
CDM,465027,PLATE BN CRNFCL RT 3MM,3189.0,3189.0,478.35,3189.0,30
CDM,465028,PLATE BN CRNFCL LT 3MM,3189.0,3189.0,478.35,3189.0,30
CDM,465032,SPACER SPNL JAG 13X11X9,13287.0,13287.0,1993.05,13287.0,30
CDM,465049,INSERT CLAMP MEDIUM,464.0,464.0,69.6,464.0,42
CDM,465060,STEM FEM HIP 10MM 119MM,10630.0,10630.0,1594.5,10630.0,30
CDM,465064,PLATE SPN 1CVL 26MM,12047.0,12047.0,1807.05,12047.0,30
CDM,465072,SRFC ARTC SZ3-4 14,4429.0,4429.0,664.35,4429.0,30
CDM,465073,SRFC ARTC SZCH 3-4 H17,5127.0,5127.0,769.05,5127.0,30
CDM,465076,SRFC ARTC SZCH 5-6 12,4429.0,4429.0,664.35,4429.0,30
CDM,465077,INSERT SRTC 5-6 C-H,4429.0,4429.0,664.35,4429.0,30
CDM,465081,COMPONENT ARTCSURF BLU 8,4429.0,4429.0,664.35,4429.0,30
CDM,465082,SURFACE ART CH7-10 BLU14,4429.0,4429.0,664.35,4429.0,30
CDM,465085,SPACER SPNL 28MMX8MM ELE,15945.0,15945.0,2391.75,15945.0,30
CDM,465086,PLATE BN VSP .5X1.5 HL,6120.0,6120.0,918.0,6120.0,30
CDM,465088,SCREW BN CPTR HEX 5X80,2136.0,2136.0,320.4,2136.0,30
CDM,465121,SUTURE BLU MONO SZ1 30IN,1089.0,1089.0,163.35,1089.0,42
CDM,465125,SUTURE NYLON 3-0 18IN,227.0,227.0,34.05,227.0,42
CDM,465128,SUTURE GUT 3-0 18IN,231.5,231.5,34.73,231.5,42
CDM,465132,SUTURE NONDL 2-0 2X60IN,21.5,21.5,3.23,21.5,42
CDM,465133,SUTURE SH 3-0 8X18IN,137.5,137.5,20.63,137.5,42
CDM,465134,SUTURE NONDL 2-0 12X18IN,231.5,231.5,34.73,231.5,42
CDM,465135,SUTURE NO NDL 0 12X18IN,231.5,231.5,34.73,231.5,42
CDM,465136,SUTURE GUT 1 18IN,231.5,231.5,34.73,231.5,42
CDM,465137,SUTURE SH 2-0 8X30IN,155.5,155.5,23.32,155.5,42
CDM,465138,SUTURE SH 3-0 8X30IN,153.5,153.5,23.02,153.5,42
CDM,465140,SUTURE GUT 1 18IN,287.5,287.5,43.13,287.5,42
CDM,465143,SUTURE SS 1 18IN,113.0,113.0,16.95,113.0,42
CDM,465148,SUTURE CT-1 1 8X18IN,183.5,183.5,27.52,183.5,42
CDM,465150,SUT CHRM GUT ABS 18IN,274.5,274.5,41.17,274.5,42
CDM,465151,SUTURE BP-1 0 1X27IN,184.0,184.0,27.6,184.0,42
CDM,465152,SUTURE V-37 5 4X30IN,231.5,231.5,34.73,231.5,42
CDM,465153,SUTURE V-37 2 4X30IN,231.5,231.5,34.73,231.5,42
CDM,465157,SUTURE UND BRD 2-0 18IN,149.5,149.5,22.43,149.5,42
CDM,465159,MESH VCRYL 12X12,4429.0,4429.0,664.35,4429.0,30
CDM,465163,SUT CHRM SZ 4-0 1X27IN,55.0,55.0,8.25,55.0,42
CDM,465164,SUTURE NO NDL 0 1X54IN,51.5,51.5,7.72,51.5,42
CDM,465165,SUTURE SH 2-0 1X27IN,52.0,52.0,7.8,52.0,42
CDM,465168,SUTURE GUT 3-0 36IN,100.5,100.5,15.07,100.5,42
CDM,465169,SUTURE GUT 2-0 36IN,95.0,95.0,14.25,95.0,42
CDM,465170,SUTURE BLK BRD 5-0 18IN,28.5,28.5,4.28,28.5,42
CDM,465171,SUTURE BLK BRD 4-0 18IN,33.0,33.0,4.95,33.0,42
CDM,465172,SUTURE NONDL 3-0 12X18IN,28.0,28.0,4.2,28.0,42
CDM,465174,SUTURE NONDL 2-0 12X18IN,25.5,25.5,3.83,25.5,42
CDM,465175,SUTURE GRN BRD 0 18IN,16.5,16.5,2.48,16.5,42
CDM,465177,SUTURE CT-1 SZ0 8X18IN,166.0,166.0,24.9,166.0,42
CDM,465179,SUTURE NYLON 0 18IN,181.5,181.5,27.23,181.5,42
CDM,465183,SUTURE BLK BRD 0 18IN,161.5,161.5,24.23,161.5,42
CDM,465184,SUTURE CT-1 0 8X18IN,186.0,186.0,27.9,186.0,42
CDM,465185,SUTURE BLK MONO 0 18IN,183.5,183.5,27.52,183.5,42
CDM,465188,SUTURE RB-1 4-0 1X27IN,55.0,55.0,8.25,55.0,42
CDM,465189,SUTURE GUT 3-0 27IN,55.5,55.5,8.32,55.5,42
CDM,465194,SUTURE UND BRD 3-0 27IN,32.0,32.0,4.8,32.0,42
CDM,465199,SUTURE GUT 0 27IN,68.0,68.0,10.2,68.0,42
CDM,465204,SUTURE UNDYE 2-0 1X27IN,732.5,732.5,109.88,732.5,42
CDM,465205,SUTURE BLK BRD 4-0 18IN,40.0,40.0,6.0,40.0,42
CDM,465207,SUTURE NO NDL 4-0 1X36IN,48.5,48.5,7.28,48.5,42
CDM,465208,SUTURE RB-1 5-0 1X27IN,45.5,45.5,6.83,45.5,42
CDM,465209,SUTURE VIO MONO 2-0 27IN,59.0,59.0,8.85,59.0,42
CDM,465210,SUTURE BLK BRD 3-0 30IN,47.5,47.5,7.13,47.5,42
CDM,465211,SUTURE VIO BRD 4-0 27IN,30.5,30.5,4.58,30.5,42
CDM,465212,SUTURE NONDL 2-0 12X30IN,42.0,42.0,6.3,42.0,42
CDM,465213,CATH BLNDIL 3X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,465214,SUTURE SILK 0 30IN,22.5,22.5,3.38,22.5,42
CDM,465215,SUTURE GRN BRD 0 30IN,25.0,25.0,3.75,25.0,42
CDM,465216,SUTURE BLU MONO 1 30IN,22.5,22.5,3.38,22.5,42
CDM,465218,CATH BLNDIL 4X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,465220,SUTURE VIO BRD 2-0 27IN,28.5,28.5,4.28,28.5,42
CDM,465221,SUTURE SH 2-0 1X27IN,43.0,43.0,6.45,43.0,42
CDM,465222,SUTURE VIO MONO 5-0 30IN,109.0,109.0,16.35,109.0,42
CDM,465224,SUTURE GUT 3-0 27IN,52.0,52.0,7.8,52.0,42
CDM,465229,SUTURE CT-2 0 1X27IN,45.0,45.0,6.75,45.0,42
CDM,465230,SUTURE CT-1 2-0 1X27IN,41.0,41.0,6.15,41.0,42
CDM,465234,SUTURE CT-1 2-0 1X36IN,30.5,30.5,4.58,30.5,42
CDM,465235,SUTURE CT-1 0 1X27IN,45.5,45.5,6.83,45.5,42
CDM,465237,SUTURE VIO MONO 2-0 36IN,46.0,46.0,6.9,46.0,42
CDM,465246,SUTURE GRN BRD 0 30IN,29.5,29.5,4.42,29.5,42
CDM,465255,SUTURE CT-2 0 1X30IN,29.0,29.0,4.35,29.0,42
CDM,465257,SUTURE CT-1 1 1X30IN,29.0,29.0,4.35,29.0,42
CDM,465259,SUTURE PS-2 3-0 1X27IN,91.5,91.5,13.72,91.5,42
CDM,465260,SUTURE UND BRD 5-0 27IN,37.0,37.0,5.55,37.0,42
CDM,465267,SUTURE VIO BRD 5-0 18IN,78.0,78.0,11.7,78.0,42
CDM,465272,SUTURE CLR MONO 6-0 18IN,101.0,101.0,15.15,101.0,42
CDM,465276,SUTURE MTPS 4-018IN,78.5,78.5,11.78,78.5,42
CDM,465277,SUTURE PDS 4-0 18IN,84.5,84.5,12.68,84.5,42
CDM,465280,SUTURE CLR MONO 4-0 18IN,92.5,92.5,13.88,92.5,42
CDM,465281,SUTURE PS-2 4-0 1X18IN,71.5,71.5,10.72,71.5,42
CDM,465282,SUTURE LR 2 1X30IN,61.5,61.5,9.22,61.5,42
CDM,465283,SUTURE PS-2 4-0 1X18IN,71.5,71.5,10.72,71.5,42
CDM,465284,SUTURE 3-0 PS2 18IN,71.0,71.0,10.65,71.0,42
CDM,465288,SUTURE UND BRD 4-0 18IN,89.5,89.5,13.43,89.5,42
CDM,465292,SUTURE SH 3-0 8X18IN,164.0,164.0,24.6,164.0,42
CDM,465293,SUTURE OS-4 1 1X30IN,43.5,43.5,6.53,43.5,42
CDM,465294,SUTURE GRN BRD 2 30IN,41.0,41.0,6.15,41.0,42
CDM,465299,SUTURE TG140-8 7-0 18IN,231.5,231.5,34.73,231.5,42
CDM,465300,SUTURE VIO BRD 8-0 12IN,231.5,231.5,34.73,231.5,42
CDM,465301,SUTURE VIO BRD 6-0 12IN,231.5,231.5,34.73,231.5,42
CDM,465302,SUTURE GRN BRD 4-0 30IN,73.0,73.0,10.95,73.0,42
CDM,465303,SUTURE GRN BRD 5-0 36IN,76.0,76.0,11.4,76.0,42
CDM,465304,SUTURE GRN BRD 3-0 36IN,74.5,74.5,11.18,74.5,42
CDM,465306,SUTURE GRN BRD 2-0 30IN,71.5,71.5,10.72,71.5,42
CDM,465307,SUTURE VIO BRD 5-0 18IN,231.5,231.5,34.73,231.5,42
CDM,465309,SUTURE VIO BRD 5-0 8IN,231.5,231.5,34.73,231.5,42
CDM,465313,SUTURE VIO BRD 3-0 54IN,35.0,35.0,5.25,35.0,42
CDM,465314,SUTURE VIO BRD 2-0 54IN,34.0,34.0,5.1,34.0,42
CDM,465325,SUTURE SH 2-0 8X18IN,231.5,231.5,34.73,231.5,42
CDM,465326,SUTURE WHT BRD 4-0 18IN,33.5,33.5,5.03,33.5,42
CDM,465327,SUTURE BLK MON 10-0 12IN,231.5,231.5,34.73,231.5,42
CDM,465329,SUTURE CT-2 SZ0 8X18IN,203.0,203.0,30.45,203.0,42
CDM,465330,SUTURE BLK BRD 2-0 18IN,60.5,60.5,9.07,60.5,42
CDM,465335,SUTURE GUT 3-0 27IN,49.5,49.5,7.42,49.5,42
CDM,465337,SUTURE P-3 5-0 1X18IN,62.5,62.5,9.38,62.5,42
CDM,465338,SUTURE P-3 4-0 1X18IN,62.5,62.5,9.38,62.5,42
CDM,465339,SUTURE WHT BRD 3-0 18IN,35.0,35.0,5.25,35.0,42
CDM,465340,SUTURE TP-1 SZ2 4X27IN,231.5,231.5,34.73,231.5,42
CDM,465347,SUTURE WHT BRD 2-0 18IN,35.5,35.5,5.33,35.5,42
CDM,465349,SUTURE BLK BRD 2-0 18IN,29.5,29.5,4.42,29.5,42
CDM,465355,SUTURE PLN 5-0 18IN,102.0,102.0,15.3,102.0,42
CDM,465356,SUTURE P3 5-0 1X18IN,106.5,106.5,15.97,106.5,42
CDM,465357,SUTURE BLK BRD 0 18IN,28.5,28.5,4.28,28.5,42
CDM,465358,SUTURE BLK MONO 6-0 18IN,66.5,66.5,9.97,66.5,42
CDM,465359,SUTURE BLK MONO 5-0 18IN,65.0,65.0,9.75,65.0,42
CDM,465360,SUTURE WHT BRD 5-0 18IN,68.5,68.5,10.28,68.5,42
CDM,465362,SUTURE WHT BRD 4-0 18IN,65.5,65.5,9.82,65.5,42
CDM,465370,SUTURE SH 2-0 8X18IN,138.5,138.5,20.77,138.5,42
CDM,465371,SUTURE BLK BRD 4-0 18IN,138.0,138.0,20.7,138.0,42
CDM,465373,SUTURE BLK BRD 2-0 18IN,142.5,142.5,21.38,142.5,42
CDM,465375,SUTURE GUT 5-0 12IN,127.0,127.0,19.05,127.0,42
CDM,465376,SUTUE BLK MONO 2 60IN,46.0,46.0,6.9,46.0,42
CDM,465377,SUTURE VIOL SZ0 18IN,231.5,231.5,34.73,231.5,42
CDM,465379,SUTURE GUT 4-0 12IN,53.0,53.0,7.95,53.0,42
CDM,465381,SUTURE BLK BRD 7-0 18IN,188.0,188.0,28.2,188.0,42
CDM,465382,SUTURE BLK BRD 6-0 18IN,186.5,186.5,27.98,186.5,42
CDM,465385,SUTURE BLK BRD 6-0 18IN,169.0,169.0,25.35,169.0,42
CDM,465386,SUTURE BLK BRD 4-0 18IN,169.5,169.5,25.43,169.5,42
CDM,465387,SUTURE VIO BRD 4-0 27IN,201.0,201.0,30.15,201.0,42
CDM,465390,SUTURE BLU MONO 10-0 8IN,289.5,289.5,43.42,289.5,42
CDM,465392,SUTURE GUT 5-0 18IN,231.5,231.5,34.73,231.5,42
CDM,465393,SUTURE GUT 4-0 18IN,231.5,231.5,34.73,231.5,42
CDM,465397,SUTURE GUT 6-0 18IN,148.0,148.0,22.2,148.0,42
CDM,465405,SUTURE BLU MONO 8-0 24IN,319.0,319.0,47.85,319.0,42
CDM,465408,GWIRE VASC .035IN 150CM,231.5,231.5,34.73,231.5,42
CDM,465410,CAP SCREW SPN RED 8.5MM,753.0,753.0,112.95,753.0,30
CDM,465435,LEAD ICD PCNG 58CM,16687.0,16687.0,2503.05,16687.0,30
CDM,465436,LEAD ICD PCNG 65CM,13704.0,13704.0,2055.6,13704.0,30
CDM,465450,CATH ANGIO C2 5FR 65CM,231.5,231.5,34.73,231.5,42
CDM,465452,STENT VASC 9X60MM 125CM,3846.0,3846.0,576.9,3846.0,30
CDM,465472,CTHGD 7F 100CM M1 FL4,572.0,572.0,85.8,572.0,42
CDM,465493,CTHGD 7F 100CM M1 FR4,572.0,572.0,85.8,572.0,42
CDM,465565,STENT BIL 10X60MM,7069.0,7069.0,1060.35,7069.0,30
CDM,465566,STENT BIL 10X80MM,7069.0,7069.0,1060.35,7069.0,30
CDM,465570,INSERT TIB KN 6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,465581,PACEMAKER CARD SSIR,17298.0,17298.0,2594.7,17298.0,30
CDM,465642,CATH BLNDIL 6X20X75CM,1473.5,1473.5,221.03,1473.5,42
CDM,465669,CTHGD VBT 6F 070 IM 100,630.5,630.5,94.58,630.5,42
CDM,465670,CATH GD 6FR 100CM,587.5,587.5,88.13,587.5,42
CDM,465671,CTHGD VBT 6F 070 LCB 100,630.5,630.5,94.58,630.5,42
CDM,465675,CATHGD VBT 6X070HSTK 100,630.5,630.5,94.58,630.5,42
CDM,465694,CATHGD XBLADE4 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,465695,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,465697,CATH GD 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465698,CATH GD VASC 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465699,CTHGD VBT 7F 078 AL2 100,605.0,605.0,90.75,605.0,42
CDM,465700,CTHGD VBT 7X078AL2SH 100,605.0,605.0,90.75,605.0,42
CDM,465701,CATH GD AR1 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465702,CTHGD VBT 7F 078 AR2,605.0,605.0,90.75,605.0,42
CDM,465703,CTHGD VBT 7X078AR2SH 100,587.5,587.5,88.13,587.5,42
CDM,465704,CTHGD VBT 7F 078 IM 100,605.0,605.0,90.75,605.0,42
CDM,465706,CATH GD LCB 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465707,CTHGD VBT 7X078LCBSH 100,605.0,605.0,90.75,605.0,42
CDM,465710,CATH VASC 7 FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465711,CTHGD VB78 7F HSSH,587.5,587.5,88.13,587.5,42
CDM,465712,CTHGD VBT 7X078JL3.5 100,605.0,605.0,90.75,605.0,42
CDM,465714,CATH GD JL4 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465715,CATH GD JL4 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465717,CATH GD JL5 7FR 100CM,587.5,587.5,88.13,587.5,42
CDM,465720,CATH GD JR4 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465723,CATH GD MPA1 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465724,CTHGD VBT 8X088MPA1SH100,587.5,587.5,88.13,587.5,42
CDM,465725,CATH GD XB3.5 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465726,CTHGD VBT 8F 088 XB3.5SH,605.0,605.0,90.75,605.0,42
CDM,465727,CATH GD XB4 8FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465731,CATH GD 8FR 90CM,587.5,587.5,88.13,587.5,42
CDM,465745,CATH GD AR1SH 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,465794,CATH BLN WDG 6FR 110CM,1023.5,1023.5,153.53,1023.5,42
CDM,465804,CTHGD 6F 100CM M1 FR4,572.0,572.0,85.8,572.0,42
CDM,465811,LINER ACTB HIP 28MM 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,465930,STENT BIL 6FR 10MM 37MM,4429.0,4429.0,664.35,4429.0,30
CDM,465938,STENT BIL 6FR 6MM 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,465941,STENT BIL 6FR 7MM 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,465942,STENT BIL 6FR 7MM 37MM,4429.0,4429.0,664.35,4429.0,30
CDM,465943,STENT BIL 6FR 7MM 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,465944,STENT BIL 6FR 8MM 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,465945,STENT BIL 6FR 8MM 37MM,4429.0,4429.0,664.35,4429.0,30
CDM,465946,STENT BIL 6FR 8MM 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,465949,STENT BIL 7FR 9MM 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,466122,CATH GD JR4 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,466124,CATH GD MPA1 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,466128,CTHGD VBT 7F 078 XB4 100,605.0,605.0,90.75,605.0,42
CDM,466129,CATH GD XB3.5 7FR 100CM,587.5,587.5,88.13,587.5,42
CDM,466131,CTHGD VBT 7F 078 IM 90,587.5,587.5,88.13,587.5,42
CDM,466136,CATH GD STD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466137,CATH GD STDJL4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466139,CATH GD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466141,CATH GD 6FR 110CM,714.0,714.0,107.1,714.0,42
CDM,466142,CATH GD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466144,CATH GD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466145,CATH GD VASC 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466146,CATH GD EBU4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466147,CATH GD STD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466148,CATH GD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466149,CATH GD SR4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466150,CATH GD ALR1 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466155,CATH GD ECR4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466156,CATH GD MB1 6FR 100CM,773.0,773.0,115.95,773.0,42
CDM,466157,CATH GD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466161,CATH GD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466162,CATH GD RCB 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466163,CATH GD IMA 6FR 90CM,714.0,714.0,107.1,714.0,42
CDM,466165,CATH GD CHMP2 6FR 100CM,773.0,773.0,115.95,773.0,42
CDM,466196,STNT URT 12CM 8.5F DBL J,1497.0,1497.0,224.55,1497.0,30
CDM,466198,CATH LIVER BX G08283,2963.0,2963.0,444.45,2963.0,42
CDM,466202,CATHETER DRN 7FR 25CM DW,773.0,773.0,115.95,773.0,42
CDM,466203,CATH DRN 8.5FR 25CM,773.0,773.0,115.95,773.0,42
CDM,466238,DEVICE CLSR 6FR .035IN,3189.0,3189.0,478.35,3189.0,30
CDM,466239,DEVICE CLSR 8FR .038IN,3189.0,3189.0,478.35,3189.0,30
CDM,466241,SHEATH GD 7FR 45CM,952.0,952.0,142.8,952.0,42
CDM,466283,AUGMNT TIB LM/RL 10MM S1,4606.0,4606.0,690.9,4606.0,30
CDM,466284,LENS IOL +10.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,466331,CATH ULTSND 3.4FR 135CM,4093.0,4093.0,613.95,4093.0,42
CDM,466348,STENT BIL 7FR 9MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,466352,CATH DRN NEPH 8FR 25CM,773.0,773.0,115.95,773.0,42
CDM,466353,CATH DRN NEPH 10FR 25CM,773.0,773.0,115.95,773.0,42
CDM,466354,CTHDRN NEPH FRM 12F 25CM,773.0,773.0,115.95,773.0,42
CDM,466372,AUGMNT TIB RM/LL 10MM S1,4606.0,4606.0,690.9,4606.0,30
CDM,466391,STENT VASC 10X40MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,466396,CATH ANGIO 5FR 038X80,306.0,306.0,45.9,306.0,42
CDM,466400,BAG DRAIN 600ML 61CM,202.5,202.5,30.38,202.5,42
CDM,466401,BAG ACCESS DRAINAGE,286.0,286.0,42.9,286.0,42
CDM,466402,AUGMNT TIB KN R SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,466403,AUGMNT TIB LM/RL 4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,466404,AUGMNT TIB KN RM/LL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,466405,WEDGE KN LM/RL SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,466406,AUGMNT TIB KN RM/LL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,466407,AUGMNT TIB KN SZ7 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,466408,AUGMNT TIB LM/RL 10MM S8,4606.0,4606.0,690.9,4606.0,30
CDM,466409,AUGMNT TIB RM/LL 10MM S8,4606.0,4606.0,690.9,4606.0,30
CDM,466410,WEDGE TIB KN RM/LL 1 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,466411,AUGMNT TIB LM/RL 5MM SZ2,4429.0,4429.0,664.35,4429.0,30
CDM,466412,AUGMNT TIB KN SZ2 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,466413,AUG TIB KN LM/RL 3 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,466414,AUGMNT TIB KN LT SZ4 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,466415,AUGMNT TIB KN RT SZ4 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,466416,AUGMNT TIB RM/LL 5MM SZ5,4429.0,4429.0,664.35,4429.0,30
CDM,466417,AUGMNT TIB KN SZ6 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,466418,AUGMNT TIB KN SZ6 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,466419,AUGMNT TIB RM/LL 5MM SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,466421,INSERT HIP SZ F 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,466422,INSERT HIP SZ H 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,466423,LINER ACTB 36MM 0D J HI,4606.0,4606.0,690.9,4606.0,30
CDM,466424,INSERT ACTB 32MM 0D J HI,4606.0,4606.0,690.9,4606.0,30
CDM,466427,INSERT 10 DEG X3 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,466428,INSERT ACTB X3 TRDNT 32G,4606.0,4606.0,690.9,4606.0,30
CDM,466429,LINER ACTB 10D 11.2X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,466430,INSERT ACTB X3 TRDNT 32H,4606.0,4606.0,690.9,4606.0,30
CDM,466431,LINER ACTB 10D 14.7X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,466432,INSERT ACTB X3 TRDNT 32J,4606.0,4606.0,690.9,4606.0,30
CDM,466433,EXTEN STEM KN 12MM 190MM,16063.0,16063.0,2409.45,16063.0,30
CDM,466435,CAGE SPN 20D 36X27X16MM,19200.0,19200.0,2880.0,19200.0,30
CDM,466436,CAGE SPN 10D 8X38X28MM,18868.0,18868.0,2830.2,18868.0,30
CDM,466437,DEVICE FISTULA ISOLATOR,773.0,773.0,115.95,773.0,30
CDM,466438,INSRT TIB KN 7 22MM X3,4606.0,4606.0,690.9,4606.0,30
CDM,466439,INSERT TRTHN TIB G-525,4606.0,4606.0,690.9,4606.0,30
CDM,466440,INSERT TIB 5 22MM X3 CS,4606.0,4606.0,690.9,4606.0,30
CDM,466441,INSERT TIB 4 22MM X3 CS,4606.0,4606.0,690.9,4606.0,30
CDM,466442,INSERT TIB 2 22MM X3 CS,4606.0,4606.0,690.9,4606.0,30
CDM,466443,INSERT TIB KN SZ 1 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,466444,INSERT BRNG TIB SZ1 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,466445,INSERT TIB KN SZ 1 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,466446,DEVICE FSTL 1PC TPR,819.0,819.0,122.85,819.0,30
CDM,466447,BASEPLATE TIB UNV SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,466448,BASEPLATE TIB KN UNV SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,466451,STENT BIL 6FR 10MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,466453,STENT BIL 6FR 10MM 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,466528,SYSTEM BIRTH CTRL,4429.0,4429.0,664.35,4429.0,30
CDM,466534,CATH GD EBU4 6FR 100CM,773.0,773.0,115.95,773.0,42
CDM,466536,CATH GD STDJR4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466550,CATH GD RCB 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466552,CATH GD STD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466553,CATH GD STDJL4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466556,CATH GD SL4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466557,CATH GD AL1 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466558,CATH GD AL2 6FR 100CM,649.5,649.5,97.42,649.5,42
CDM,466560,CATH GD EBU3.5 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466561,CATH GD EB3.75 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466596,CMPNT KN CMNT RT SZ1,6068.0,6068.0,910.2,6068.0,30
CDM,466615,CATH GD 8FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466639,CATH GD 8FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466665,CATH GD AL2 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466669,CATH GD EBU3.5 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466672,CATH GD STDJR4 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466673,CATH GD SR4 7FR 100CM,649.5,649.5,97.42,649.5,42
CDM,466674,CATH GD ALR1 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466675,CATH GD ALR2 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466680,CATH GD MB1 7FR 100CM,773.0,773.0,115.95,773.0,42
CDM,466682,CATH GD HSI 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466685,CATH GD LCB 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466688,CATH GD STD 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466689,CATH GD STDJL4 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466690,CATH GD STD 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466693,CATH GD AL1 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466694,CATH GD AL2 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466695,CATH GD EB3.75 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466697,CATH GD EBU3.5 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466698,CATH GD EBU4 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466700,CATH GD STDJR4 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466701,CATH GD SR4 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466702,CATH GD ALR1 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466703,CATH GD ALR2 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466714,CATH GD RCB 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466716,CATH GD STD 7FR 100CM,773.0,773.0,115.95,773.0,42
CDM,466717,CATH GD STDJL4 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466718,CATH GD STD 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466721,CATH GD AL1 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,466733,BASKET RET 1.5CM 3.2MM,2056.0,2056.0,308.4,2056.0,42
CDM,466734,GWIRE KNIFE 5.5FR 200CM,1492.0,1492.0,223.8,1492.0,42
CDM,466735,BASKET RET 2.5CM 3.2MM,2056.0,2056.0,308.4,2056.0,42
CDM,466736,BASKET RET 2.0CM 3.2MM,2056.0,2056.0,308.4,2056.0,42
CDM,466737,KIT PEG PULL W/XYLO 24FR,895.5,895.5,134.32,895.5,42
CDM,466738,KIT PEG SIL SFTY 20FR,895.5,895.5,134.32,895.5,42
CDM,466739,SPHNTM CAN 4.4FR 5X20MM,1651.5,1651.5,247.72,1651.5,42
CDM,466740,INSRT TIB KN 1 22MM 3X,4606.0,4606.0,690.9,4606.0,30
CDM,466758,INSERT TIB 4 25MM X3 CS,4606.0,4606.0,690.9,4606.0,30
CDM,466770,INSRT TIB KN 6 22MM X3,4606.0,4606.0,690.9,4606.0,30
CDM,466771,INSRT TIB KN 6 25MM X3,4606.0,4606.0,690.9,4606.0,30
CDM,466777,SUTURE KNTLS,3683.5,3683.5,552.52,3683.5,42
CDM,466778,CLIP ANRSM 12X1.5MM7MM,553.0,553.0,82.95,553.0,30
CDM,466816,PLUG LD CPSR IS-1 CONN,1048.0,1048.0,157.2,1048.0,30
CDM,466855,HALO CERV,11144.0,11144.0,2051.61,11144.0,26
CDM,466855,"Halo procedure, cervical halo incorporated into jacket vest ",11144.0,11144.0,2930.74,4534.94,34
CDM,466861,BRACE LMBR CORSETT SCRL,1073.0,1073.0,197.54,1073.0,26
CDM,466861,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",1073.0,1073.0,1248.2,1931.43,34
CDM,466911,KIT DRN PLR W/CATH,4093.0,4093.0,613.95,4093.0,42
CDM,466980,STYLET PCNG LEAD,400.5,400.5,60.08,400.5,42
CDM,467004,STEM HUM SHLDR 83MM 9MM,11959.0,11959.0,1793.85,11959.0,30
CDM,467012,SUTURE BLK MONO 1 30IN,24.5,24.5,3.67,24.5,42
CDM,467017,SUTURE GRN BRD 0 30IN,37.0,37.0,5.55,37.0,42
CDM,467025,SUTURE BLU MON 0 18IN,231.5,231.5,34.73,231.5,42
CDM,467031,SUTURE GRN BRD 1 30IN,29.5,29.5,4.42,29.5,42
CDM,467033,SUTURE GRN BRD 5-0 30IN,41.0,41.0,6.15,41.0,42
CDM,467034,SUTURE BLK BRD 4-0 30IN,28.0,28.0,4.2,28.0,42
CDM,467036,SUTURE BLK BRD 3-0 30IN,28.0,28.0,4.2,28.0,42
CDM,467038,SUTURE BLK BRD 2-0 30IN,28.0,28.0,4.2,28.0,42
CDM,467044,SUTURE CT-2 0 1X27IN,52.0,52.0,7.8,52.0,42
CDM,467045,SUTURE BLK BRD 5-0 30IN,65.0,65.0,9.75,65.0,42
CDM,467048,SUTURE CTX 1 1X36IN,58.5,58.5,8.78,58.5,42
CDM,467049,SUTURE NDNDL 3-0 12X18IN,137.0,137.0,20.55,137.0,42
CDM,467052,SUTURE NDNDL SZ0 12X18IN,142.0,142.0,21.3,142.0,42
CDM,467054,SUTURE UND BRD 1 18IN,148.0,148.0,22.2,148.0,42
CDM,467055,SUT CHRM 2-0 CT1 36IN,56.5,56.5,8.47,56.5,42
CDM,467057,SUTURE GUT 0 36IN,56.0,56.0,8.4,56.0,42
CDM,467060,SUT CHRM CT1 1 ABS 36IN,56.5,56.5,8.47,56.5,42
CDM,467063,SUTURE PS-1 4-0 1X27IN,80.0,80.0,12.0,80.0,42
CDM,467066,SUTURE CT-1 2-0 1X36IN,31.0,31.0,4.65,31.0,42
CDM,467070,SUTURE CT-1 SZ1 1X36IN,31.5,31.5,4.72,31.5,42
CDM,467072,SUTURE VIO MONO 10-0 4IN,231.5,231.5,34.73,231.5,42
CDM,467073,SUTURE UND BRD 1 36IN,32.5,32.5,4.88,32.5,42
CDM,467075,SUTURE UND MONO 4-0 18IN,59.0,59.0,8.85,59.0,42
CDM,467076,SUTURE GUT 5-0 18IN,103.0,103.0,15.45,103.0,42
CDM,467078,SUTURE PS-2 3-0 1X27IN,102.0,102.0,15.3,102.0,42
CDM,467086,SUTURE ABS 4-0 P3N 18IN,101.5,101.5,15.22,101.5,42
CDM,467091,SUTURE GUT 5-0 18IN,107.0,107.0,16.05,107.0,42
CDM,467092,SUTURE GUT 4-0 18IN,106.5,106.5,15.97,106.5,42
CDM,467093,SUTURE BLK MONO 5-0 18IN,58.5,58.5,8.78,58.5,42
CDM,467117,SUTURE BLK MONO 7-0 18IN,66.5,66.5,9.97,66.5,42
CDM,467120,SUT NYLN 8-0 M-PT 2 12IN,194.5,194.5,29.18,194.5,42
CDM,467121,SUTURE PLN ABS 6-0 18IN,249.0,249.0,37.35,249.0,42
CDM,467122,SUTURE BLU MONO 10-0 2IN,444.0,444.0,66.6,444.0,42
CDM,467123,SUTURE WHT BRD 5-0 18IN,223.0,223.0,33.45,223.0,42
CDM,467125,SUTURE WHT BRD 4-0 18IN,225.5,225.5,33.83,225.5,42
CDM,467127,SUTURE GUT 5-0 18IN,231.5,231.5,34.73,231.5,42
CDM,467128,SUTURE GUT 7-0 18IN,294.0,294.0,44.1,294.0,42
CDM,467129,SUTURE GUT 4-0 18IN,54.0,54.0,8.1,54.0,42
CDM,467130,SUTURE SC-1 4-0 1X18IN,105.5,105.5,15.82,105.5,42
CDM,467131,SUTURE PC-1 6-0 1X18IN,65.5,65.5,9.82,65.5,42
CDM,467132,SUTURE BLK MONO 4-0 18IN,65.0,65.0,9.75,65.0,42
CDM,467135,SUTURE CT-2 2-0 1X27IN,46.0,46.0,6.9,46.0,42
CDM,467137,SUTURE SH 3-0 1X27IN,33.5,33.5,5.03,33.5,42
CDM,467140,SUTURE BLK MONO 8-0 5IN,226.0,226.0,33.9,226.0,42
CDM,467141,SUTURE BLK MONO 9-0 5IN,226.0,226.0,33.9,226.0,42
CDM,467143,LENS IOL +20.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,467149,SUTURE BLK MONO 10-0 5IN,231.5,231.5,34.73,231.5,42
CDM,467150,SUTURE BLK BRD 0 30IN,28.5,28.5,4.28,28.5,42
CDM,467154,SUTURE C-1 5-0 1X36IN,192.0,192.0,28.8,192.0,42
CDM,467155,SUTURE C-1 6-0 1X30IN,191.0,191.0,28.65,191.0,42
CDM,467156,SUTURE BLU MONO 2-0 30IN,46.5,46.5,6.97,46.5,42
CDM,467157,SUTURE BLU MONO 0 30IN,46.0,46.0,6.9,46.0,42
CDM,467158,SUTURE BLU MONO 0 30IN,59.5,59.5,8.93,59.5,42
CDM,467159,SUTURE BLU MONO 2-0 30IN,46.5,46.5,6.97,46.5,42
CDM,467160,SUTURE CT-1 0 1X30IN,46.0,46.0,6.9,46.0,42
CDM,467161,SUTURE CT-1 1 1X30IN,46.5,46.5,6.97,46.5,42
CDM,467163,SUTURE BLU MONO 1 30IN,43.5,43.5,6.53,43.5,42
CDM,467164,SUTURE SH 4-0 1X36IN,97.5,97.5,14.63,97.5,42
CDM,467165,SUTURE SH 3-0 1X36IN,96.0,96.0,14.4,96.0,42
CDM,467166,SUTURE SH 2-0 1X36IN,95.5,95.5,14.32,95.5,42
CDM,467167,SUTURE BV-1 5-0 1X24IN,247.0,247.0,37.05,247.0,42
CDM,467168,SUTURE BLU MONO 5-0 18IN,175.5,175.5,26.32,175.5,42
CDM,467169,SUTURE RB-1 5-0 1X36IN,99.0,99.0,14.85,99.0,42
CDM,467171,SUTURE BLU MONO 3-0 36IN,98.5,98.5,14.78,98.5,42
CDM,467172,SUTURE BLU MONO 4-0 18IN,94.5,94.5,14.18,94.5,42
CDM,467173,SUTURE BLU MONO 5-0 18IN,92.5,92.5,13.88,92.5,42
CDM,467175,SUTURE BLU MONO 3-0 48IN,97.5,97.5,14.63,97.5,42
CDM,467179,SUTURE PS-2 5-0 1X18IN,82.5,82.5,12.38,82.5,42
CDM,467180,SUTURE BLU MONO 3-0 18IN,83.5,83.5,12.53,83.5,42
CDM,467181,SUTURE P-3 6-0 1X18IN,93.0,93.0,13.95,93.0,42
CDM,467185,SUTURE BLU MONO 7-0 18IN,221.0,221.0,33.15,221.0,42
CDM,467188,SUTURE BV-1 7-0 1X30IN,227.0,227.0,34.05,227.0,42
CDM,467189,SUTURE C-1 6-0 1X30IN,177.0,177.0,26.55,177.0,42
CDM,467190,SUTURE BV-1 6-0 1X30IN,223.0,223.0,33.45,223.0,42
CDM,467193,SUTURE BLU MONO 5-0 24IN,179.0,179.0,26.85,179.0,42
CDM,467194,SUTURE BLU MONO 6-0 24IN,178.5,178.5,26.77,178.5,42
CDM,467196,SUTURE BLU MONO 6-0 18IN,219.0,219.0,32.85,219.0,42
CDM,467197,SUTURE BV-1 6-0 1X24IN,223.0,223.0,33.45,223.0,42
CDM,467198,SUTURE TP-1 1 1X60IN,69.0,69.0,10.35,69.0,42
CDM,467199,SUTURE BLU MONO 2-0 36IN,104.5,104.5,15.68,104.5,42
CDM,467201,SUTURE BLU MONO 5-0 30IN,107.0,107.0,16.05,107.0,42
CDM,467204,SUTURE GUT 3-0 CT 18IN,284.5,284.5,42.67,284.5,42
CDM,467206,SUTURE BLK BRD 3-0 18IN,179.5,179.5,26.93,179.5,42
CDM,467207,SUTURE BLK BRD 4-0 18IN,191.0,191.0,28.65,191.0,42
CDM,467208,SUTURE CT-1 SZ1 8X18IN,170.0,170.0,25.5,170.0,42
CDM,467210,SUTURE NYLON 0 18IN,181.5,181.5,27.23,181.5,42
CDM,467211,SUTURE NYLON 1 18IN,171.5,171.5,25.73,171.5,42
CDM,467213,SUTURE NYLON 3-0 18IN,214.0,214.0,32.1,214.0,42
CDM,467215,SUTURE TF 4-0 8X18IN,231.5,231.5,34.73,231.5,42
CDM,467223,SUTURE VCL 2-0 CT1 18IN,198.5,198.5,29.77,198.5,42
CDM,467225,SUTURE GRN BRD 2-0 30IN,231.5,231.5,34.73,231.5,42
CDM,467231,SUTURE UND BRD 5-0 18IN,109.0,109.0,16.35,109.0,42
CDM,467238,SUTURE PDS2 2-0 CT1 18IN,231.5,231.5,34.73,231.5,42
CDM,467240,SUTURE VIO MONO 3-0 18IN,231.5,231.5,34.73,231.5,42
CDM,467242,SUTURE CTX 0 1X30IN,92.5,92.5,13.88,92.5,42
CDM,467243,SUTURE BLK MONO 5-0 18IN,176.5,176.5,26.48,176.5,42
CDM,467247,SUTURE BLU MONO 7-0 24IN,321.0,321.0,48.15,321.0,42
CDM,467249,SUTURE CT-1 1 1X27IN,43.0,43.0,6.45,43.0,42
CDM,467251,SUTURE BLK MONO 2-0 18IN,57.5,57.5,8.63,57.5,42
CDM,467252,SUTURE BLK MONO 10-0 6IN,231.5,231.5,34.73,231.5,42
CDM,467257,CLIP SUTURE LAPRATY,773.0,773.0,115.95,773.0,42
CDM,467259,DEVICE ENDO SZ2-0 7IN,773.0,773.0,115.95,773.0,42
CDM,467263,SUTURE VIOL MON 3-0 18IN,231.5,231.5,34.73,231.5,42
CDM,467268,SUTURE VIO MONO 1 18IN,86.5,86.5,12.97,86.5,42
CDM,467272,SUTURE VIO MONO 4-0 27IN,37.0,37.0,5.55,37.0,42
CDM,467274,SUTURE VIOL MON 1 27IN,35.5,35.5,5.33,35.5,42
CDM,467276,SUTURE VIO MONO 3-0 36IN,40.0,40.0,6.0,40.0,42
CDM,467278,SUTURE VIO MONO 0 36IN,39.5,39.5,5.92,39.5,42
CDM,467279,SUTURE VIO MONO 1 36IN,40.0,40.0,6.0,40.0,42
CDM,467291,SUTURE VIO BRD 2-0 48IN,773.0,773.0,115.95,773.0,42
CDM,467292,PLATE BN VSP 3.5 HL,6120.0,6120.0,918.0,6120.0,30
CDM,467293,HEAD HUM 27MM 52MM,6459.0,6459.0,968.85,6459.0,30
CDM,467296,LEAD PCNG 6.6FR 35CM,2730.0,2730.0,409.5,2730.0,30
CDM,467351,CMPNT GLND SHLDR MED 38,6421.0,6421.0,963.15,6421.0,30
CDM,467352,STEM HUM SHLDR 145X10MM,14375.0,14375.0,2156.25,14375.0,30
CDM,467353,HEAD HUM SHLDR 24X46MM,6666.0,6666.0,999.9,6666.0,30
CDM,467355,SHAVER BN LRG 12MM,4093.0,4093.0,613.95,4093.0,42
CDM,467359,SYSTEM CBL HIP 23X121MM,5758.0,5758.0,863.7,5758.0,30
CDM,467360,STEM HUM SHLDR 145X8MM,14373.0,14373.0,2155.95,14373.0,30
CDM,467361,HEAD HUM SHLDR 22X44MM,6348.0,6348.0,952.2,6348.0,30
CDM,467364,STEM FEM 6 TAPERED STD,9966.0,9966.0,1494.9,9966.0,30
CDM,467367,SHELL ACTB MOD 52MM,11929.0,11929.0,1789.35,11929.0,30
CDM,467373,SUTURE GUT 3-0 27IN,54.0,54.0,8.1,54.0,42
CDM,467377,HEAD HUM 26MM 48MM SHLDR,5365.0,5365.0,804.75,5365.0,30
CDM,467378,HEAD HUM 28MM 50MM SHLDR,5337.0,5337.0,800.55,5337.0,30
CDM,467379,STEM HUM SHLDR 125X8MM,10823.0,10823.0,1623.45,10823.0,30
CDM,467380,STEM HUM SHLDR 125X10MM,10453.0,10453.0,1567.95,10453.0,30
CDM,467382,CMPNT GLND SHLDR SM 36MM,6421.0,6421.0,963.15,6421.0,30
CDM,467383,CMPNT GLND SHLDR LG 40MM,4839.0,4839.0,725.85,4839.0,30
CDM,467390,BLADE SAW 1.27MM,773.0,773.0,115.95,773.0,42
CDM,467391,TRAY HUM SHLDR STD 44MM,5537.0,5537.0,830.55,5537.0,30
CDM,467392,STEM HUM SHLDR 115X6MM,14375.0,14375.0,2156.25,14375.0,30
CDM,467393,STEM HUM SHLDR 145X12MM,14375.0,14375.0,2156.25,14375.0,30
CDM,467394,SETM HUM SHLDR 14X145MM,14375.0,14375.0,2156.25,14375.0,30
CDM,467399,HEAD HUM SHLDR 20X42MM,6666.0,6666.0,999.9,6666.0,30
CDM,467400,HEAD HUMRL 26 COFIELD 2,5113.0,5113.0,766.95,5113.0,30
CDM,467401,HEAD HUM SHLDR 28X50NN,5302.0,5302.0,795.3,5302.0,30
CDM,467404,HEAD HUM 22MM 40MM SHLDR,5302.0,5302.0,795.3,5302.0,30
CDM,467412,HEAD HUM SHLDR 18X40MM,7132.0,7132.0,1069.8,7132.0,30
CDM,467413,HEAD HUM 20MM 42MM SHLDR,7132.0,7132.0,1069.8,7132.0,30
CDM,467414,HEAD HUM 22MM 44MM SHLDR,7132.0,7132.0,1069.8,7132.0,30
CDM,467417,INSERT TIB RT SZ2 8MM,6878.0,6878.0,1031.7,6878.0,30
CDM,467433,GWIRE STF 035IN 145CM,333.5,333.5,50.02,333.5,42
CDM,467447,PLUG TIB KN STEM TPR,1382.0,1382.0,207.3,1382.0,30
CDM,467451,ANCHOR SUT 5MM,2998.0,2998.0,449.7,2998.0,30
CDM,467452,ELECTRODE ESURG BLK PRB,2032.5,2032.5,304.88,2032.5,42
CDM,467458,KIT TISS XPNDR FILL,245.0,245.0,36.75,245.0,42
CDM,467465,IMPLANT BREAST 425CC,3720.0,3720.0,558.0,3720.0,30
CDM,467467,ROD SPN 3.5MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,467470,SCREW SPN 7.5MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,467471,ANCHOR SUT 2.7MM 8.5MM,1834.0,1834.0,275.1,1834.0,30
CDM,467473,PUMP INFS PAIN 20ML,43848.0,43848.0,6577.2,43848.0,30
CDM,467475,STEM FEM HIP 12/14 155MM,8416.0,8416.0,1262.4,8416.0,30
CDM,467476,HEAD HIP 12/14 +5 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,467478,SUTURE FIBERWIRE 38IN,614.0,614.0,92.1,614.0,30
CDM,467479,SUTURE FIBERWIRE 38IN,386.0,386.0,57.9,386.0,30
CDM,467480,SUTURE FIBERWIRE 38IN,702.0,702.0,105.3,702.0,30
CDM,467483,SUTURE BLK MONO 9-0 5IN,231.5,231.5,34.73,231.5,42
CDM,467487,SUTURE TAPE 1X36IN,1023.5,1023.5,153.53,1023.5,42
CDM,467489,SUTURE OPTH 10-0 12IN,581.0,581.0,87.15,581.0,42
CDM,467490,SUTURE BLU MONO 7-0 30IN,320.5,320.5,48.08,320.5,42
CDM,467493,SUTURE POLY SZ 0 18IN,286.0,286.0,42.9,286.0,42
CDM,467496,SCREW BN 6.5MM 45MM,877.0,877.0,131.55,877.0,30
CDM,467497,STEM FEMORAL S-ROM 42MM,7087.0,7087.0,1063.05,7087.0,30
CDM,467499,SCREW CANC 4.0 SLF TAP,2771.0,2771.0,415.65,2771.0,30
CDM,467501,PLATE PREM ANT CERV 40MM,8126.0,8126.0,1218.9,8126.0,30
CDM,467502,SCREW BN SPN 4MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,467503,SCREW BN SPN 4.5MM 15MM,3461.0,3461.0,519.15,3461.0,30
CDM,467504,SCREW BN SPN 4.5MM 17MM,3461.0,3461.0,519.15,3461.0,30
CDM,467505,BIT DRILL L13MM,2238.0,2238.0,335.7,2238.0,42
CDM,467515,SCREW EXFX 125X4.5X18MM,928.5,928.5,139.28,928.5,42
CDM,467534,SHAVER BN MED 7MM,4385.5,4385.5,657.83,4385.5,42
CDM,467537,STEM HUM SHLDR 9X130MM,11643.0,11643.0,1746.45,11643.0,30
CDM,467555,STEM HUM SHLDR 10X170MM,10754.0,10754.0,1613.1,10754.0,30
CDM,467557,STEM HUM SHLDR 10X130MM,11643.0,11643.0,1746.45,11643.0,30
CDM,467558,HEAD HUM OFST 17MM 46MM,6459.0,6459.0,968.85,6459.0,30
CDM,467559,PLATE BN SLIM LEVEL III,4429.0,4429.0,664.35,4429.0,30
CDM,467563,LEAD NEURO EXT 25,3721.0,3721.0,558.15,3721.0,30
CDM,467564,SCREW SPN 7X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,467565,ROD SPN 6MM 56-83MM,5479.0,5479.0,821.85,5479.0,30
CDM,467581,PLATE BN 8HL 3.5MM 112MM,3376.0,3376.0,506.4,3376.0,30
CDM,467582,PLATE BN 3.5MM 98MM,3234.0,3234.0,485.1,3234.0,30
CDM,467583,HEAD FEM HIP +7MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,467584,HEAD HUM 19MM 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,467586,SCREW SPN CLK-X 6.2X60MM,3765.0,3765.0,564.75,3765.0,30
CDM,467595,BLADE SAG NARROW THK 90X,381.5,381.5,57.23,381.5,42
CDM,467596,BLDE SAG NARR THK XLNG,405.0,405.0,60.75,405.0,42
CDM,467597,BLADE SAW 151 WD THK NO,405.0,405.0,60.75,405.0,42
CDM,467601,BLADE 32.5X63X.6,335.5,335.5,50.33,335.5,42
CDM,467605,BLADE SAW 11.2MM,450.0,450.0,67.5,450.0,42
CDM,467623,BLADE SAW 1.27X18X100MM,673.5,673.5,101.03,673.5,42
CDM,467625,BLADE SAW 84.5X21MM,335.5,335.5,50.33,335.5,42
CDM,467650,SCREW CSPN FXANG 4X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,467665,PLATE SPN LVL1 12MM,4872.0,4872.0,730.8,4872.0,30
CDM,467668,PLATE SPN LVL1 18MM,4872.0,4872.0,730.8,4872.0,30
CDM,467672,PLATEHYBRD 26 2LEVEL,1674.0,1674.0,251.1,1674.0,30
CDM,467673,PLATE SPN LVL2 28MM,5094.0,5094.0,764.1,5094.0,30
CDM,467674,PLATE SPN LVL2 30MM,5094.0,5094.0,764.1,5094.0,30
CDM,467675,PLATE SPN LVL2 32MM,5094.0,5094.0,764.1,5094.0,30
CDM,467676,PLATE SPN LVL2 34MM,5094.0,5094.0,764.1,5094.0,30
CDM,467685,PLATE SPN LVL3 51MM,5315.0,5315.0,797.25,5315.0,30
CDM,467687,PLATE SPN LVL3 57MM,5315.0,5315.0,797.25,5315.0,30
CDM,467688,PLATE SPN LVL3 60MM,5315.0,5315.0,797.25,5315.0,30
CDM,467699,IMPLNT SUPRAFOIL 0.2 MM,734.0,734.0,110.1,734.0,30
CDM,467701,IMPLNT SUPRAFOIL 0.4 MM,977.0,977.0,146.55,977.0,30
CDM,467703,IMPLNT SUPRAFOIL 0.8 MM,734.0,734.0,110.1,734.0,30
CDM,467722,SUTURE WHT BRD 3-0 18IN,773.0,773.0,115.95,773.0,42
CDM,467728,SUTURE SH 3-0 1X27IN,52.5,52.5,7.88,52.5,42
CDM,467729,SUTURE BLK BRD 2-0 18IN,55.5,55.5,8.32,55.5,42
CDM,467731,BLN ENDOBRNCH 7FR 65CM,1761.5,1761.5,264.23,1761.5,42
CDM,467732,VALVE AORTIC 23MM,19206.0,19206.0,2880.9,19206.0,30
CDM,467734,TRAY TIB KNEE KEEL 5,4606.0,4606.0,690.9,4606.0,30
CDM,467736,TRAY TIB 4 PFC MOD NPOR,7289.0,7289.0,1093.35,7289.0,30
CDM,467738,GUIDEWIRE VASC 230CM,1719.0,1719.0,257.85,1719.0,42
CDM,467739,BURR SURG 44.5MM 3.0MM,231.5,231.5,34.73,231.5,42
CDM,467760,LENS IOL +34.5 DIOP,630.0,630.0,115.98,630.0,28
CDM,467762,GRIP TROCH 8CBL STD195MM,6404.0,6404.0,960.6,6404.0,30
CDM,467777,KIT MINTRDCR 5FR 10CM,255.0,255.0,38.25,255.0,42
CDM,467812,TRNSPD TIS BEACON 17GA,3189.0,3189.0,478.35,3189.0,30
CDM,467818,DRESSING WND 15CM 15CM,2334.0,2334.0,350.1,2334.0,42
CDM,467824,SCREW SPN 6.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,467825,STRIP ISOLATOR WND,870.0,870.0,130.5,870.0,30
CDM,467831,CATHETER BIL ULTSND BLN,320.0,320.0,48.0,320.0,42
CDM,467839,BANDAGE CMPR 2MRX8CM,231.5,231.5,34.73,231.5,42
CDM,467842,BIT DRILL 0D2MM WRIST,1015.5,1015.5,152.32,1015.5,42
CDM,467843,BIT DRILL CENTRAL 3.2MM,1023.5,1023.5,153.53,1023.5,42
CDM,467858,CONNECTOR LUER 3/8X3/8IN,129.5,129.5,19.43,129.5,42
CDM,467874,ROD SPN PRBNT 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,467875,SCREW SPN 8.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,467884,CONN SPN ROD L 5-6/5-6MM,2711.0,2711.0,406.65,2711.0,30
CDM,467886,IMPL SPN 18MM 47-79MM,20619.0,20619.0,3092.85,20619.0,30
CDM,467887,ENDCAP SPN 8D 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,467892,ENDCAP SPN RND 18X18MM,4429.0,4429.0,664.35,4429.0,30
CDM,467893,BODY GIRDLE ZIP 853 2XL,777.5,777.5,116.63,777.5,42
CDM,467894,VEST COMPRESN 34IN ANEMB,649.5,649.5,97.42,649.5,42
CDM,467895,VEST COMPRSEN 36IN ANEMB,649.5,649.5,97.42,649.5,42
CDM,467897,BODY GIRDLE ZIP 853 3XL,880.0,880.0,132.0,880.0,42
CDM,467898,VEST COMPRSEN 42IN ANEMB,649.5,649.5,97.42,649.5,42
CDM,467899,VEST COMPRSEN 44IN ANEMB,726.5,726.5,108.97,726.5,42
CDM,467900,VEST COMPRSEN 46IN ANEMB,757.5,757.5,113.63,757.5,42
CDM,467901,GIRDLE BLW KNEE LG,773.0,773.0,115.95,773.0,42
CDM,467902,GARMENT CMPR LG CHST,773.0,773.0,115.95,773.0,42
CDM,467903,BODY GIRDLE ZIP 853 LG,773.0,773.0,115.95,773.0,42
CDM,467904,GARMENT CMPR MED CHST,773.0,773.0,115.95,773.0,42
CDM,467905,BODY GIRDLE ZIP 853 MED,773.0,773.0,115.95,773.0,42
CDM,467907,BODY GIRDLE ZIP 853 SM,773.0,773.0,115.95,773.0,42
CDM,467908,GIRDLE BLW KNEE XLG,773.0,773.0,115.95,773.0,42
CDM,467909,GARMENT CMPR CHST XL,773.0,773.0,115.95,773.0,42
CDM,467910,GARMENT CMPR XL,773.0,773.0,115.95,773.0,42
CDM,467911,SCREW BN 2.7MM 12MM,1735.0,1735.0,260.25,1735.0,30
CDM,467913,SEALER/SVDR MD 445CM,3962.0,3962.0,594.3,3962.0,42
CDM,467914,IMPLANT BREAST 745CC,5315.0,5315.0,797.25,5315.0,30
CDM,467915,BAG SPEC RETRVL 235ML,618.5,618.5,92.78,618.5,42
CDM,467917,CATH DRN OPN LMBR 80,1572.0,1572.0,235.8,1572.0,42
CDM,467918,ROD SPN CONN OPN 100MM,3012.0,3012.0,451.8,3012.0,30
CDM,467919,STEM FEM KN 240MM 18MM,13858.0,13858.0,2078.7,13858.0,30
CDM,467925,KIT NDL BN BX 10GA,773.0,773.0,115.95,773.0,42
CDM,467926,CONE TIB KN 36X14X59MM,21180.0,21180.0,3177.0,21180.0,30
CDM,467928,LENS IOL +15.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,467931,SPACER SPN 60X18X8MM,17716.0,17716.0,2657.4,17716.0,30
CDM,467934,NDL BX 20CM 20GA CHBA,278.0,278.0,41.7,278.0,42
CDM,467935,CATH ANGIO 5FR 110CM,227.0,227.0,34.05,227.0,42
CDM,467955,DEVICE CLSR CLP INT 35MM,16831.0,16831.0,2524.65,16831.0,30
CDM,467956,DEVICE CLSR CLP INT 40MM,16831.0,16831.0,2524.65,16831.0,30
CDM,467959,CRT DEFIB CARD 51X74MM,61258.0,61258.0,9188.7,61258.0,30
CDM,467962,KIT TAMP BN BLN,13302.0,13302.0,1995.3,13302.0,42
CDM,467974,INTRODUCER SHTH 7FR 13CM,773.0,773.0,115.95,773.0,42
CDM,467976,ICD ELECTRODE DEFIB 45CM,16280.0,16280.0,2442.0,16280.0,30
CDM,467977,STENT TRCHBR 7FR 8X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,467978,STENT TRCHBR 7FR 8X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,467979,CATH ANGIO 5FMPA2 100CM,160.5,160.5,24.07,160.5,42
CDM,467980,CATH ANGIO 6FR 125CM,160.5,160.5,24.07,160.5,42
CDM,467981,STENT EPRSTH 7X11X39MM,10997.0,10997.0,1649.55,10997.0,30
CDM,467982,STENT EPRSTH 7X11X59MM,10997.0,10997.0,1649.55,10997.0,30
CDM,467983,CATH UTLSND 14IN 150CM,4385.5,4385.5,657.83,4385.5,42
CDM,467986,SHEATH INTRO 7FR 120CM,4441.0,4441.0,666.15,4441.0,42
CDM,467987,SYSTEM DLV 5FR 80CM,4385.5,4385.5,657.83,4385.5,42
CDM,467988,DEVICE CMPR 24CM,278.5,278.5,41.77,278.5,42
CDM,467989,DEVICE CMPR 29CM,278.5,278.5,41.77,278.5,42
CDM,468002,COMPNT KN LT 76.5X70.5MM,17193.0,17193.0,2578.95,17193.0,30
CDM,468003,WEDGE KN 10MM SZG,4606.0,4606.0,690.9,4606.0,30
CDM,468004,WEDGE TIB 7 50M A/PX 82,6514.0,6514.0,977.1,6514.0,30
CDM,468010,COMPNT PTLR 13X23MM,4606.0,4606.0,690.9,4606.0,30
CDM,468012,CONN ROD XVR TI 9,6418.0,6418.0,962.7,6418.0,30
CDM,468023,IMPLANT BREAST 630CC,3721.0,3721.0,558.15,3721.0,30
CDM,468030,CAGE LEOPOLD PARALLEL 28,9667.0,9667.0,1450.05,9667.0,30
CDM,468033,CAGE SPNL 9X7X9X21,6644.0,6644.0,996.6,6644.0,30
CDM,468034,IMPLANT BREAST 320CC,3311.0,3311.0,496.65,3311.0,30
CDM,468048,PLATE SM BUR HL CRNL TI,2958.0,2958.0,443.7,2958.0,30
CDM,468049,ROD SPN 6MM 35-41MM,5479.0,5479.0,821.85,5479.0,30
CDM,468050,CAGE SPNL 20X19MM 16MM,20913.0,20913.0,3136.95,20913.0,30
CDM,468052,PLATE STLCK 3LVL 50X42MM,4429.0,4429.0,664.35,4429.0,30
CDM,468056,PUMP INFS PAIN 40ML,43848.0,43848.0,6577.2,43848.0,30
CDM,468057,SCREW BN CPTR HEX 5X60,1942.0,1942.0,291.3,1942.0,30
CDM,468058,CAGE SPNL 1870-21-510,6644.0,6644.0,996.6,6644.0,30
CDM,468059,CAGE SPNL 21X11X9,6644.0,6644.0,996.6,6644.0,30
CDM,468069,BLOCK AUGMT KN SZ4.5 10M,4606.0,4606.0,690.9,4606.0,30
CDM,468070,SCREW BN 3.5MM 32.5MM,1829.0,1829.0,274.35,1829.0,30
CDM,468071,SCREW BN 3.5MM 30MM,2105.0,2105.0,315.75,2105.0,30
CDM,468072,ROD ORTH HUM 8X220MM,4680.0,4680.0,702.0,4680.0,30
CDM,468073,GWIRE ORTHO .078IN 20IN,773.0,773.0,115.95,773.0,42
CDM,468074,DRILL TAP DISP 2.8MM,773.0,773.0,115.95,773.0,42
CDM,468080,CLIP SURG APPLICATOR 6MM,464.0,464.0,69.6,464.0,42
CDM,468081,PLATE BN SLIM LOC 43MM,4429.0,4429.0,664.35,4429.0,30
CDM,468082,SCREW BN CPTR HEX 4.5X45,2136.0,2136.0,320.4,2136.0,30
CDM,468083,SCREW BN CPTR HEX 4.5X30,1942.0,1942.0,291.3,1942.0,30
CDM,468088,PIN FX 5MM 300MM,1273.0,1273.0,190.95,1273.0,42
CDM,468090,CAGE SPNL 28X10X9MM LPRD,9667.0,9667.0,1450.05,9667.0,30
CDM,468097,SCREW BN ST 1.5MM 8MM,485.0,485.0,72.75,485.0,30
CDM,468101,SCREW EXFX 200X4.5X18MM,925.5,925.5,138.82,925.5,42
CDM,468102,WASHER BN 12.7MM 6.5MM,319.0,319.0,47.85,319.0,30
CDM,468104,RESTRCTR CMNT SHLDR 24MM,2807.0,2807.0,421.05,2807.0,30
CDM,468115,LEAD PCNG 58CM,3372.0,3372.0,505.8,3372.0,30
CDM,468119,HEAD FEM HIP +0 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,468120,SLEEVE HIP CNTRG 16B LG,4252.0,4252.0,637.8,4252.0,30
CDM,468121,STEM FEM HIP +6 11/13,6644.0,6644.0,996.6,6644.0,30
CDM,468122,ROD LEGACY 4.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
CDM,468123,SCREW MUL AX 6.5X50,4429.0,4429.0,664.35,4429.0,30
CDM,468124,SCREW MUL AX TI 6.5X55,4429.0,4429.0,664.35,4429.0,30
CDM,468131,SCREW BN 3.5MM 25MM,1829.0,1829.0,274.35,1829.0,30
CDM,468132,ROD ORTH HUM 8X240MM,4680.0,4680.0,702.0,4680.0,30
CDM,468133,SCREW BN 5MM 40MM,2105.0,2105.0,315.75,2105.0,30
CDM,468134,SCREW BN 5MM 45MM,2105.0,2105.0,315.75,2105.0,30
CDM,468137,PLATE SM 58.9X37.3X1MM,3189.0,3189.0,478.35,3189.0,30
CDM,468138,SCREW BN 3.5MM 28MM,333.0,333.0,49.95,333.0,30
CDM,468139,SCREW BN 3.5MM 30MM,434.0,434.0,65.1,434.0,30
CDM,468140,SCREW BN 4MM 32MM,449.0,449.0,67.35,449.0,30
CDM,468141,SCREW BN 4MM 30MM,479.0,479.0,71.85,479.0,30
CDM,468142,SCREW BN 3.5MM 32MM,434.0,434.0,65.1,434.0,30
CDM,468147,TRAY MOD TIB CM COCR 2.5,4606.0,4606.0,690.9,4606.0,30
CDM,468149,SLEEVE HIP 16D 5MM 9.5MM,4252.0,4252.0,637.8,4252.0,30
CDM,468154,VALVE AORTIC 25MM,13939.0,13939.0,2090.85,13939.0,30
CDM,468157,SUTURE BP 5-0 12IN,364.0,364.0,54.6,364.0,42
CDM,468158,PLATE BN STR 6HL 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,468159,SCREW BN 1MM 7MM,634.0,634.0,95.1,634.0,30
CDM,468160,SCREW BN ST 2.0MM 8MM,634.0,634.0,95.1,634.0,30
CDM,468161,SCREW BN 2X3.5X10MM,485.0,485.0,72.75,485.0,30
CDM,468162,SCREW BN 2X3.5MM 12MM,485.0,485.0,72.75,485.0,30
CDM,468173,PLATE CBL RDY 16X187 6HL,4429.0,4429.0,664.35,4429.0,30
CDM,468176,FORCEPS BIP 15CM 10MM,3020.5,3020.5,453.07,3020.5,42
CDM,468178,STAPLE BN 20MM 20MM,3396.0,3396.0,509.4,3396.0,30
CDM,468185,SPONGE ABS 8X12.5CMX10MM,292.0,292.0,43.8,292.0,42
CDM,468188,CMPNT TIB UHMWPE 4 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,468189,BLADE REAMER 46MM,1023.5,1023.5,153.53,1023.5,42
CDM,468192,SCREW SPN 5.5X6X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,468193,SCREW SPN TI 7X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,468194,ROD SPINAL 5.5 X 85MM PR,2711.0,2711.0,406.65,2711.0,30
CDM,468197,CUP ACTB MODULAR 60MM,7744.0,7744.0,1161.6,7744.0,30
CDM,468198,HEAD FEM HIP 36MM +6MM,4252.0,4252.0,637.8,4252.0,30
CDM,468200,CAGE SPNL 9X10X21,6644.0,6644.0,996.6,6644.0,30
CDM,468206,SRFC ARTC SZC D 12,4429.0,4429.0,664.35,4429.0,30
CDM,468207,SCREW BN CLICK X TI L45M,3721.0,3721.0,558.15,3721.0,30
CDM,468208,SCREW 8.0T CLIX PD DL CR,3765.0,3765.0,564.75,3765.0,30
CDM,468211,ROD SPN TI L1 DIAPASON,2711.0,2711.0,406.65,2711.0,30
CDM,468212,SCREW SPN 5.5MM,753.0,753.0,112.95,753.0,30
CDM,468213,ROD SPINAL MOSS MIAMI SI,2630.0,2630.0,394.5,2630.0,30
CDM,468214,INSERT TIB KN EF7-10 12M,4429.0,4429.0,664.35,4429.0,30
CDM,468221,SRFC ARTC 3-4 10 YLW,4429.0,4429.0,664.35,4429.0,30
CDM,468223,CATH PASSER ROD 38CM,1003.0,1003.0,150.45,1003.0,42
CDM,468225,INSERT ARTC KN 5-6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,468226,VALVE AORTIC 19MM,13073.0,13073.0,1960.95,13073.0,30
CDM,468227,VALVE AORTIC 27MM,13939.0,13939.0,2090.85,13939.0,30
CDM,468228,DRESSING WND 26X15CM,665.0,665.0,99.75,665.0,42
CDM,468234,SCREW SPN 7X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,468235,SCREW SPN 7X50MM,3389.0,3389.0,508.35,3389.0,30
CDM,468236,ROD SPNL TI L75MM OD5.5M,2711.0,2711.0,406.65,2711.0,30
CDM,468237,RODMMSI PREBENT 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
CDM,468240,PLATE PREM ANT CERV 23MM,7392.0,7392.0,1108.8,7392.0,30
CDM,468241,SCREW BN SPN 4MM 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,468247,ARTICULAR SURFACE 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,468249,CUP ACTB HIP 50MM,11929.0,11929.0,1789.35,11929.0,30
CDM,468250,STEM FEM HIP 9MM 117MM,7973.0,7973.0,1195.95,7973.0,30
CDM,468251,SRFC ARTC SZCD 1-2 H14,5554.0,5554.0,833.1,5554.0,30
CDM,468257,SCREW 5.0 HEX 85MM,2612.0,2612.0,391.8,2612.0,30
CDM,468258,SUTURE VIO BRD 0 27IN,29.5,29.5,4.42,29.5,42
CDM,468262,BASEPLATE KN SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,468263,INSERT ARTC KN 3-4 13MM,6290.0,6290.0,943.5,6290.0,30
CDM,468270,CAGE SPN SNMSH 88X12MM,12324.0,12324.0,1848.6,12324.0,30
CDM,468271,RING SPN RND 2.5D 12MM,1649.0,1649.0,247.35,1649.0,30
CDM,468272,CAGE MESH SPN 12MM 32MM,8478.0,8478.0,1271.7,8478.0,30
CDM,468274,STEM FEM KN 130X175MM,4429.0,4429.0,664.35,4429.0,30
CDM,468275,PLATE TI/PMMA 4 46 PX66,6514.0,6514.0,977.1,6514.0,30
CDM,468276,WEDGE KN AUG 10MM SZD,4429.0,4429.0,664.35,4429.0,30
CDM,468277,WEDGE AUGMT KN SZD 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,468278,CMPNT WEDGE KN SZD 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,468279,STEM FEM KN SZD,16831.0,16831.0,2524.65,16831.0,30
CDM,468280,SCREW BN 6.2MM 35MM CLK-,3458.0,3458.0,518.7,3458.0,30
CDM,468288,STAPLE HUMERUS 7MM W/TRO,6644.0,6644.0,996.6,6644.0,30
CDM,468293,SRFC ARTC 10 SZE F,4606.0,4606.0,690.9,4606.0,30
CDM,468294,INSERT ARTC 5-6 C-D 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,468296,ROD SPNL 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
CDM,468300,TRAY TIB COCR 4 MOD CMNT,4606.0,4606.0,690.9,4606.0,30
CDM,468303,HEAD HUM OFST 18MM 46MM,5966.0,5966.0,894.9,5966.0,30
CDM,468304,DOME PTELA 38 OVL 3PEG,4252.0,4252.0,637.8,4252.0,30
CDM,468306,ARTICULAR SURFACE 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,468311,CMPNT FEM STD PTLFEM RT,9098.0,9098.0,1364.7,9098.0,30
CDM,468312,ROD LEGACY 3.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
CDM,468316,SCR BN 3.5X5X12MM CVFX,841.0,841.0,126.15,841.0,30
CDM,468321,DRILL UNI-CLIP 2.2 MM,1293.5,1293.5,194.03,1293.5,42
CDM,468325,SCREW BN 3.5MM 24MM,333.0,333.0,49.95,333.0,30
CDM,468326,SCREW BN 3.5MM 34MM,434.0,434.0,65.1,434.0,30
CDM,468327,SCREW BN 3.5MM 36MM,434.0,434.0,65.1,434.0,30
CDM,468328,SCREW BN 4MM 28MM,479.0,479.0,71.85,479.0,30
CDM,468330,SUTURE GUT 6-0 18IN,192.5,192.5,28.88,192.5,42
CDM,468335,STEM FEMORAL 7 HIP,4872.0,4872.0,730.8,4872.0,30
CDM,468339,PLATE LG 67.3X37.3 CANC,3189.0,3189.0,478.35,3189.0,30
CDM,468341,ROD SPN XIA 70MM 4.25IN,2711.0,2711.0,406.65,2711.0,30
CDM,468342,BLADE SURG OSTME 58MM,4385.5,4385.5,657.83,4385.5,42
CDM,468343,BLADE SURG OSTME 58MM,4385.5,4385.5,657.83,4385.5,42
CDM,468344,SPACER VERTEBRAL AR 15MM,9667.0,9667.0,1450.05,9667.0,30
CDM,468345,SPACER VRTBRL SYN 13MM A,9667.0,9667.0,1450.05,9667.0,30
CDM,468347,DRAIN PENROSE 1 X18,13.0,13.0,1.95,13.0,42
CDM,468350,INS ACTB 54MM 36MM,4872.0,4872.0,730.8,4872.0,30
CDM,468351,STEM FEM HIP SZ4 140MM,8416.0,8416.0,1262.4,8416.0,30
CDM,468354,ROD SPN XIA 50MM 4.25IN,2711.0,2711.0,406.65,2711.0,30
CDM,468366,CAGE SPNL 9X11X13X21MM,6644.0,6644.0,996.6,6644.0,30
CDM,468383,SCREW BN 4MM 38MM,1519.0,1519.0,227.85,1519.0,30
CDM,468389,HEAD FEM HIP 12/14+12X36,4252.0,4252.0,637.8,4252.0,30
CDM,468393,ROD SPINAL PREBENT 5.5 X,2711.0,2711.0,406.65,2711.0,30
CDM,468394,ROD SPN XIA 4.25IN40X6MM,2711.0,2711.0,406.65,2711.0,30
CDM,468401,SCREW BN 12.7X8X2.7X50MM,3189.0,3189.0,478.35,3189.0,30
CDM,468404,HEAD HUM 15MM 40MM,5257.0,5257.0,788.55,5257.0,30
CDM,468412,AGENT HMSTC 15MM,2056.0,2056.0,308.4,2056.0,30
CDM,468426,SCREW MUL AX 5.5X40,4247.0,4247.0,637.05,4247.0,30
CDM,468427,SCREW MUL AX 5.5X45,6724.0,6724.0,1008.6,6724.0,30
CDM,468428,SCREW MUL AX 5.5X50,6724.0,6724.0,1008.6,6724.0,30
CDM,468430,SUTURE MO-6 SZ0 8X18IN,219.0,219.0,32.85,219.0,42
CDM,468432,CMPNT FEM KN MED LT,7893.0,7893.0,1183.95,7893.0,30
CDM,468433,CMPNT FEM KN MED RT,7893.0,7893.0,1183.95,7893.0,30
CDM,468435,PLATE BN 81X9X1MM,1962.0,1962.0,294.3,1962.0,30
CDM,468440,ROD SPN XIA 3.5IN 40X6MM,2711.0,2711.0,406.65,2711.0,30
CDM,468443,ARTC SRFC SZG H 12,4429.0,4429.0,664.35,4429.0,30
CDM,468448,SCREW BN 3.5MM 10MM,2559.0,2559.0,383.85,2559.0,30
CDM,468465,SCREW BN 4.5MM 8MM 60MM,270.0,270.0,40.5,270.0,30
CDM,468466,INSERT TIB KN SZE F 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,468468,PLATE BN SPNL 2LVL 49MM,4429.0,4429.0,664.35,4429.0,30
CDM,468487,SUTURE BLU MONO 0 30IN,46.0,46.0,6.9,46.0,42
CDM,468495,BIT DRL 10CM 1.5MM,638.5,638.5,95.78,638.5,42
CDM,468500,GRAFT CV 6MM 60CM,3189.0,3189.0,478.35,3189.0,30
CDM,468504,HEAD FEM HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,468505,SLEEVE CNTRNG 18F XXL,4252.0,4252.0,637.8,4252.0,30
CDM,468506,CMPNT FEM KN SZ5,11483.0,11483.0,1722.45,11483.0,30
CDM,468509,SCREW SPN 6MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,468510,SCREW SPN 5.5X6X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,468523,ROD MMSI PREBENT 5.5 X35,2630.0,2630.0,394.5,2630.0,30
CDM,468526,ANCHOR SUT 5MM,2647.0,2647.0,397.05,2647.0,30
CDM,468535,SCREW SPN 7MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,468536,SCREW BNE EXPEDIUM TI L4,4429.0,4429.0,664.35,4429.0,30
CDM,468537,SCREW SPN 2INNI XPDM5.5,731.0,731.0,109.65,731.0,30
CDM,468538,ROD SPN 300MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,468542,SURFACE ATRC 5-6 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,468543,SCREW BNE EXPEDIUM TI L4,4429.0,4429.0,664.35,4429.0,30
CDM,468544,SCREW BN 3.5MM 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,468552,SCREW BN 6.5MM 15MM,877.0,877.0,131.55,877.0,30
CDM,468556,INSERT ART 7-10 G-H 14MM,5777.0,5777.0,866.55,5777.0,30
CDM,468558,HEAD FM +0X36MM SROM,4252.0,4252.0,637.8,4252.0,30
CDM,468560,INSERT TIB 3 15MM,5489.0,5489.0,823.35,5489.0,30
CDM,468565,HEAD FEM 12/14 3.5X26MM,6143.0,6143.0,921.45,6143.0,30
CDM,468566,SCREW BN 5MM 35MM,1829.0,1829.0,274.35,1829.0,30
CDM,468567,SCREW BN 3.5MM 35MM,2440.0,2440.0,366.0,2440.0,30
CDM,468570,HEAD HUM 18MM 52MM,6201.0,6201.0,930.15,6201.0,30
CDM,468572,PLATE BN 6HL 2.4X36MM,3189.0,3189.0,478.35,3189.0,30
CDM,468573,SCREW BN 2.4MM 10MM,1118.0,1118.0,167.7,1118.0,30
CDM,468574,SCREW BN 2.4MM 12MM,1118.0,1118.0,167.7,1118.0,30
CDM,468575,SCREW BN 2.4MM 8MM,1280.0,1280.0,192.0,1280.0,30
CDM,468580,CMPNT GLND W/PEG 40X46MM,5625.0,5625.0,843.75,5625.0,30
CDM,468581,STEM HUM SHLDR 9X130MM,11195.0,11195.0,1679.25,11195.0,30
CDM,468584,CUP ACTB 60MM 25MM MLHD,4606.0,4606.0,690.9,4606.0,30
CDM,468585,STEM FEM HIP 170MM 13MM,12517.0,12517.0,1877.55,12517.0,30
CDM,468586,LINER ACTB 36MM RNGLC,4606.0,4606.0,690.9,4606.0,30
CDM,468587,HEAD FEM HIP -3MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,468588,CMPNT PTLA HIP 60X38MM,14089.0,14089.0,2113.35,14089.0,30
CDM,468589,STEM FEM HIP 175MM 14MM,12517.0,12517.0,1877.55,12517.0,30
CDM,468591,IMPLANT BREAST 550CC,4429.0,4429.0,664.35,4429.0,30
CDM,468593,SPACER SPNL 26MMX8MM,24151.0,24151.0,3622.65,24151.0,30
CDM,468594,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,468595,SCREW MUL AX 7.5X35 TI,4247.0,4247.0,637.05,4247.0,30
CDM,468610,SCREW SPN 6MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,468611,SCREW SPN 55MM 7MM,3765.0,3765.0,564.75,3765.0,30
CDM,468612,SCREW BN TI L55 OD7 EXPD,4429.0,4429.0,664.35,4429.0,30
CDM,468614,PLATE PRBNT 73X18X2.5MM,6440.0,6440.0,966.0,6440.0,30
CDM,468615,SCREW BONE 14MM EMERGENC,933.0,933.0,139.95,933.0,30
CDM,468625,NAIL IM TI L170MM TROCH,5779.0,5779.0,866.85,5779.0,30
CDM,468626,SCREW BN 5MM 36MM,2755.0,2755.0,413.25,2755.0,30
CDM,468627,SPACER SPNL 22MMX10MM,11081.0,11081.0,1662.15,11081.0,30
CDM,468629,SCREW BN 3.5MM 40MM,1379.0,1379.0,206.85,1379.0,30
CDM,468630,SCREW BN 3.5X2.9X45MM,1379.0,1379.0,206.85,1379.0,30
CDM,468636,SCREW BN 3.5MM 6MM 60MM,270.0,270.0,40.5,270.0,30
CDM,468638,LINER ACTB HIP +4 32X56M,4854.0,4854.0,728.1,4854.0,30
CDM,468639,STEM FEM HIP SZ4 114MM,6201.0,6201.0,930.15,6201.0,30
CDM,468640,HEAD FEM HIP +9 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,468641,ROD LEGACY BLUE ALLOWY,2711.0,2711.0,406.65,2711.0,30
CDM,468642,ROD SPNL PRBNT 5.5X95MM,2711.0,2711.0,406.65,2711.0,30
CDM,468643,ROD SPN 5.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,468644,STEM FEM HIP 13.5X220MM,14182.0,14182.0,2127.3,14182.0,30
CDM,468645,BDY CLCR 100MMX55MM 46MM,14616.0,14616.0,2192.4,14616.0,30
CDM,468646,SCREW BN SPN 4MM 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,468647,PLATE PREM ANT CERV 42.5,8126.0,8126.0,1218.9,8126.0,30
CDM,468648,SRFC ARTC SZCH 3-4 H10,4429.0,4429.0,664.35,4429.0,30
CDM,468652,SCREW BN TI 5.0 36MM SYN,3189.0,3189.0,478.35,3189.0,30
CDM,468653,BLADE FIXTN TI 11X95MM T,3849.0,3849.0,577.35,3849.0,30
CDM,468654,SUTURE BLK BRD 5-0 18IN,59.5,59.5,8.93,59.5,42
CDM,468655,WEDGE TIB KN HF 16D SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,468656,STEM XTN KN 16MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,468658,SCREW 4.0 TI CANC BNE,246.0,246.0,36.9,246.0,30
CDM,468659,SCREW BN 3.5X6X45MM,334.0,334.0,50.1,334.0,30
CDM,468661,PLATE BN 8HL 246MM,4429.0,4429.0,664.35,4429.0,30
CDM,468662,SCREW MUL AX 7.5X45 TI,4429.0,4429.0,664.35,4429.0,30
CDM,468663,STEM FEM HIP 13.5X170MM,12406.0,12406.0,1860.9,12406.0,30
CDM,468664,STEM FEM CLCR A 40X45,14616.0,14616.0,2192.4,14616.0,30
CDM,468665,JOINT TOE 4 REG FT FLX,4606.0,4606.0,690.9,4606.0,30
CDM,468667,STEM FEMORAL 4 HIP,6201.0,6201.0,930.15,6201.0,30
CDM,468668,STEM FEM BSC #6 HIP,4872.0,4872.0,730.8,4872.0,30
CDM,468671,STEM FEM HIP COCR 150X14,7614.0,7614.0,1142.1,7614.0,30
CDM,468672,STEM HIP DIST SZ12,1170.0,1170.0,175.5,1170.0,30
CDM,468674,LNR BI 2852-56MM,3712.0,3712.0,556.8,3712.0,30
CDM,468675,HEAD FEM HIP +0X12/14X28,4252.0,4252.0,637.8,4252.0,30
CDM,468676,BUTTON CRCLGE 4.5MM,2121.0,2121.0,318.15,2121.0,30
CDM,468679,SCREW BN SLFTAP 3.5X38,319.0,319.0,47.85,319.0,30
CDM,468681,SCREW BN SLFTAP 3.5X44,319.0,319.0,47.85,319.0,30
CDM,468682,KWIRE FX 150MM 1.6MM,464.0,464.0,69.6,464.0,42
CDM,468683,SCREW BN 4MM 50MM,319.0,319.0,47.85,319.0,30
CDM,468684,SCREW BN 4X45MM,319.0,319.0,47.85,319.0,30
CDM,468685,SCREW BN SLFTAP 3.5X36,319.0,319.0,47.85,319.0,30
CDM,468686,SCREW BN SLFTAP 3.5X40,319.0,319.0,47.85,319.0,30
CDM,468687,PLT MED DI TB 6HL RT,2392.0,2392.0,358.8,2392.0,30
CDM,468688,SCREW BN 3.5MM 46MM,319.0,319.0,47.85,319.0,30
CDM,468690,CANNULA ERCP 5FR 210CM,685.5,685.5,102.83,685.5,42
CDM,468691,SCREW BN SLFTAP 3.5X34,319.0,319.0,47.85,319.0,30
CDM,468692,SCREW BN 4X40MM,319.0,319.0,47.85,319.0,30
CDM,468693,PLATE PREM ANT CERV 35MM,8126.0,8126.0,1218.9,8126.0,30
CDM,468694,SCREW BN SPN 4.5MM 13MM,3461.0,3461.0,519.15,3461.0,30
CDM,468695,SURFACE ATRC 3-4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,468698,SPACER SPNL 26MMX12MM,24151.0,24151.0,3622.65,24151.0,30
CDM,468700,STEM FEM HIP 15MM 220MM,13075.0,13075.0,1961.25,13075.0,30
CDM,468701,BODY CLCR 80MMX35MM 40MM,14616.0,14616.0,2192.4,14616.0,30
CDM,468703,PLATE PREM ANT CERV 25MM,7392.0,7392.0,1108.8,7392.0,30
CDM,468704,BLADE TROCH F/NAIL SYST,3849.0,3849.0,577.35,3849.0,30
CDM,468705,SCREW BN 5MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,468715,PLATE 142X11X3.7MM 6H,5479.0,5479.0,821.85,5479.0,30
CDM,468716,SCREW BN 3.5MM 30MM,1379.0,1379.0,206.85,1379.0,30
CDM,468717,SCREW BN LCK 3.5X38MM,1379.0,1379.0,206.85,1379.0,30
CDM,468718,SCREW BN 3.5MM 50MM,1379.0,1379.0,206.85,1379.0,30
CDM,468719,SCREW BN 3.5X2.9X55MM,1379.0,1379.0,206.85,1379.0,30
CDM,468720,PLATE PREM ANT CERV 55MM,8473.0,8473.0,1270.95,8473.0,30
CDM,468722,GUIDE ROD 3MM 100MM,1046.5,1046.5,156.97,1046.5,42
CDM,468723,LINER ACTB REFLC 20D F 5,5402.0,5402.0,810.3,5402.0,30
CDM,468724,HEAD HIP TPR NCK+3X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,468725,STEM FEM HIP 17MM 250MM,11773.0,11773.0,1765.95,11773.0,30
CDM,468726,CMPNT GLND SHLDR 3.2MM,8975.0,8975.0,1346.25,8975.0,30
CDM,468727,CMPNT GLND SHLDR 36MM,5248.0,5248.0,787.2,5248.0,30
CDM,468728,SCREW BN HUM 4.5MM 36MM,2005.0,2005.0,300.75,2005.0,30
CDM,468729,SCREW BN HUM 4.5MM 48MM,2005.0,2005.0,300.75,2005.0,30
CDM,468730,STEM HUM SZ2 180MM,7729.0,7729.0,1159.35,7729.0,30
CDM,468731,CMPNT HUM SHLDR 36.1,10537.0,10537.0,1580.55,10537.0,30
CDM,468732,SCREW BN HUM 4.5MM 30MM,2005.0,2005.0,300.75,2005.0,30
CDM,468733,SCREW BN HUM 4.5MM 36MM,2085.0,2085.0,312.75,2085.0,30
CDM,468734,CUP HUM SHLDR 36MM +6MM,5248.0,5248.0,787.2,5248.0,30
CDM,468735,GUIDE PIN ORTH 2.5MM,541.0,541.0,81.15,541.0,42
CDM,468736,BIT SURG DRL OD2.5,773.0,773.0,115.95,773.0,42
CDM,468737,GUIDEWIRE GLND 1.5MM,340.0,340.0,51.0,340.0,42
CDM,468738,ROD SPN XIA 5.0IN 80X6MM,2711.0,2711.0,406.65,2711.0,30
CDM,468739,INSERT ACTB HIP 52-55X32,4429.0,4429.0,664.35,4429.0,30
CDM,468743,HEAD CALCAR REPLACEMENT,36695.0,36695.0,5504.25,36695.0,30
CDM,468747,PLATE SYN 449.104,22367.0,22367.0,3355.05,22367.0,30
CDM,468748,SCREW SPNL CANC 5.5X24MM,1461.0,1461.0,219.15,1461.0,30
CDM,468749,SCREW BONE S-ROM L45MM O,1544.0,1544.0,231.6,1544.0,30
CDM,468750,LINER ACTB HIP 10D 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,468752,PIN LOCKING S-ROM OD3.5M,1362.0,1362.0,204.3,1362.0,30
CDM,468753,NAIL IM KNEE 13X36,6318.0,6318.0,947.7,6318.0,30
CDM,468754,SPACER SPNL 26MMX10MM,22141.0,22141.0,3321.15,22141.0,30
CDM,468757,INSERT TIB KN SZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,468758,CMPNT FEM SZ4 LT,7087.0,7087.0,1063.05,7087.0,30
CDM,468776,INS ACTB 48MM 28MM,4872.0,4872.0,730.8,4872.0,30
CDM,468777,HEAD FM +3 28 SROM,4252.0,4252.0,637.8,4252.0,30
CDM,468780,SCREW BN CPTR HEX 4.5X25,2136.0,2136.0,320.4,2136.0,30
CDM,468781,SCREW BN CPTR HEX 4.5X35,2136.0,2136.0,320.4,2136.0,30
CDM,468783,SCREW SPNL 5.2X35MM,3745.0,3745.0,561.75,3745.0,30
CDM,468785,STAPLE LG 13X17 MM,3189.0,3189.0,478.35,3189.0,30
CDM,468786,ROD SPN UNION 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,468788,WASHER SPN GRFT 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,468789,BLADE FIXTN TI L100MM OD,3849.0,3849.0,577.35,3849.0,30
CDM,468790,SCREW BNE TI L38MM OD5.0,3189.0,3189.0,478.35,3189.0,30
CDM,468791,SURFACE ATRC 3-4 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,468795,PLATE TI CSLP/SM STATURE,4429.0,4429.0,664.35,4429.0,30
CDM,468798,SHELL ACTB HIP 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,468799,INS ACTB 58MM 36MM,7015.0,7015.0,1052.25,7015.0,30
CDM,468801,NAIL IM TI 130DD 11X380M,7608.0,7608.0,1141.2,7608.0,30
CDM,468802,BLADE FIXTN TI11.0X110 T,3849.0,3849.0,577.35,3849.0,30
CDM,468803,SCREW BN TI 5.0 42MM LOK,3189.0,3189.0,478.35,3189.0,30
CDM,468804,SCREW BN TI 5.0 HUM LOK,2182.0,2182.0,327.3,2182.0,30
CDM,468807,SCREW SPN 5.2MM 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,468813,CLAMP EXFX MULTI-PIN LG,3898.0,3898.0,584.7,3898.0,42
CDM,468815,SCREW BN 6.5MM 75MM,2329.0,2329.0,349.35,2329.0,30
CDM,468816,BASKET RTRV 3WR 1.9X120,1305.5,1305.5,195.82,1305.5,42
CDM,468817,SCREW BN HEX CPTR 4.5X55,2483.0,2483.0,372.45,2483.0,30
CDM,468818,SCREW BN 60X4.5 TRGN TI,2136.0,2136.0,320.4,2136.0,30
CDM,468822,SPHERE GLND SHLDR 36MM,11383.0,11383.0,1707.45,11383.0,30
CDM,468823,STEM HUM 150MM 9.0MM,9434.0,9434.0,1415.1,9434.0,30
CDM,468824,CMPNT HUM SHLDR 36MM,7131.0,7131.0,1069.65,7131.0,30
CDM,468826,SCREW BN 4.5MM 32MM,906.0,906.0,135.9,906.0,30
CDM,468827,SCREW FIX ARTIC 4.5X50,798.0,798.0,119.7,798.0,30
CDM,468831,SCRW PA 8.5 X 40 MM,4429.0,4429.0,664.35,4429.0,30
CDM,468833,BSKT RTRVL 90CM 16MM 3FR,1332.5,1332.5,199.88,1332.5,42
CDM,468836,SCREW SYNTHES BONE 5.2X2,3012.0,3012.0,451.8,3012.0,30
CDM,468837,COMPNT FEM 00584201301,5980.0,5980.0,897.0,5980.0,30
CDM,468838,COMPNT TIBIA 00584200401,4606.0,4606.0,690.9,4606.0,30
CDM,468839,SURFACE ARTC 00584202408,4429.0,4429.0,664.35,4429.0,30
CDM,468841,ANCHOR SUT 6.5MM,2871.0,2871.0,430.65,2871.0,30
CDM,468842,LINER ACETB E ID28MM STD,5891.0,5891.0,883.65,5891.0,30
CDM,468843,HEAD FEM HIP 6D MED 7X28,4252.0,4252.0,637.8,4252.0,30
CDM,468844,STEMHUM SHLDR 145MM 12MM,13141.0,13141.0,1971.15,13141.0,30
CDM,468845,COMP LCS PFJ TROCHEAR S,9539.0,9539.0,1430.85,9539.0,30
CDM,468849,SUTURE CV-3 TH-18 36IN,395.5,395.5,59.33,395.5,42
CDM,468851,PLATE BN CERT L1 14MM,4479.0,4479.0,671.85,4479.0,30
CDM,468858,SCREW BN SPN 6.5MM 45MM,4627.0,4627.0,694.05,4627.0,30
CDM,468859,SCREW BN SPN 6.5MM 40MM,4627.0,4627.0,694.05,4627.0,30
CDM,468860,ROD SPN ANT 55X5.5MM,3033.0,3033.0,454.95,3033.0,30
CDM,468861,SCREW SPN 5.5MM 6MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,468864,SCREW DANEK 859-855,1356.0,1356.0,203.4,1356.0,30
CDM,468866,NAIL LT IMHS CP10X34X125,6400.0,6400.0,960.0,6400.0,30
CDM,468867,DRILL SURG 3.5MM,773.0,773.0,115.95,773.0,42
CDM,468868,GD PIN 3.2 TIP THRD,773.0,773.0,115.95,773.0,42
CDM,468869,INSERT ARTC 3-4 E-F 20MM,5554.0,5554.0,833.1,5554.0,30
CDM,468870,ANCHOR SUT 3.5MM,2871.0,2871.0,430.65,2871.0,30
CDM,468871,ANCHOR SUT 2.8MM,2871.0,2871.0,430.65,2871.0,30
CDM,468872,COMP HIP 46MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,468873,STEM FEM HIP SZ14,8416.0,8416.0,1262.4,8416.0,30
CDM,468875,BLOCK CORT 7MM,3765.0,3765.0,564.75,3765.0,30
CDM,468876,SCREW CP SBTCH 12.7X95,3189.0,3189.0,478.35,3189.0,30
CDM,468877,NAIL LT IMHS CP12X38X130,6400.0,6400.0,960.0,6400.0,30
CDM,468878,BIT DRILL 3.5MM,773.0,773.0,115.95,773.0,42
CDM,468879,SCREW BN HIP IMHS 4.5X48,2758.0,2758.0,413.7,2758.0,30
CDM,468880,SCREW SPN CLK-X 6.2X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,468882,PLATE 52.5 ANT CERV P,8473.0,8473.0,1270.95,8473.0,30
CDM,468884,PLATE 62.5 ANT CERV P,8473.0,8473.0,1270.95,8473.0,30
CDM,468885,SCREW BN SPN 4MM 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,468891,WASHER BN 7.0X3.5X4MM,330.0,330.0,49.5,330.0,30
CDM,468893,SCREW BN 4.5MM 36MM,254.0,254.0,38.1,254.0,30
CDM,468894,SCREW BN 4.5MM DIAX38MM,315.0,315.0,47.25,315.0,30
CDM,468897,SCREW LEGACY MAS 7.5X50M,4429.0,4429.0,664.35,4429.0,30
CDM,468900,SCREW SPN 6.5MM 60MM,4247.0,4247.0,637.05,4247.0,30
CDM,468946,STENT TRCHBR 7FR 5X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,468947,CATH DBC 8X60MM 75CM,7418.5,7418.5,1112.78,7418.5,42
CDM,468948,CATH DCB 10X60MM 75CM,7418.5,7418.5,1112.78,7418.5,42
CDM,468949,CATH DCB 12X40MM 75CM,7418.5,7418.5,1112.78,7418.5,42
CDM,468950,PCMKR 46.6X50.8X7.4MM,9378.0,9378.0,1406.7,9378.0,30
CDM,468957,CATHETER BLNDIL 4MM 135C,6395.0,6395.0,959.25,6395.0,42
CDM,468966,CATHETER BLNDIL 6MM 135C,7137.0,7137.0,1070.55,7137.0,42
CDM,468969,CATH DBC 7X60MM 75CM,5883.5,5883.5,882.52,5883.5,42
CDM,468973,CATH BLNDIL 2MM 6MM,4385.5,4385.5,657.83,4385.5,42
CDM,468975,CATH BLNDIL 2.5MM 6MM,4385.5,4385.5,657.83,4385.5,42
CDM,468976,CATH BLNDIL 3MM 6MM,4385.5,4385.5,657.83,4385.5,42
CDM,468977,CATH BLNDIL 3.5MM 6MM,4385.5,4385.5,657.83,4385.5,42
CDM,468979,CATH BLNDIL 10MM 2.5MM,4385.5,4385.5,657.83,4385.5,42
CDM,468980,CATH BLNDIL 3.5MM 10MM,4385.5,4385.5,657.83,4385.5,42
CDM,468981,CATH BLNDIL 4MM 10MM,4385.5,4385.5,657.83,4385.5,42
CDM,468982,CATH BLNDIL 2MM 15MM,4385.5,4385.5,657.83,4385.5,42
CDM,468984,CATH BLNDIL 2.5MM 15MM,4385.5,4385.5,657.83,4385.5,42
CDM,468985,CATH BLNDIL 3MM 15MM,4385.5,4385.5,657.83,4385.5,42
CDM,468991,CATH BLNDL 3X20MM 75CM,819.0,819.0,122.85,819.0,42
CDM,468992,CATH BLNDL 3X40MM 75CM,819.0,819.0,122.85,819.0,42
CDM,469031,KIT CEMENT MIX PMMA 30%,1023.5,1023.5,153.53,1023.5,42
CDM,469078,BOLT SPNL 35X6.75MM,3012.0,3012.0,451.8,3012.0,30
CDM,469079,BOLT SPN 6.75MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,469080,BOLT SPN 6.75MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,469081,BOLT SPNL 50X6.75MM L/T,3012.0,3012.0,451.8,3012.0,30
CDM,469130,SCREW BNE TI L40MM OD5.2,3721.0,3721.0,558.15,3721.0,30
CDM,469149,CATH BLNDIL 2MM 10MM,4385.5,4385.5,657.83,4385.5,42
CDM,469154,PLATE PREM ANT CERV 37.5,8126.0,8126.0,1218.9,8126.0,30
CDM,469164,CLAMP ISLTR SYNRGY 6.3MM,13302.0,13302.0,1995.3,13302.0,42
CDM,469173,CATH BLNDIL 6X40X120CM,4093.0,4093.0,613.95,4093.0,42
CDM,469178,CATH BLNDIL 3MM 10MM,4385.5,4385.5,657.83,4385.5,42
CDM,469180,PLATE MIC 7MM LT MXLFCL,3189.0,3189.0,478.35,3189.0,30
CDM,469181,PLATE BN CRNFCL RT 0MM,3189.0,3189.0,478.35,3189.0,30
CDM,469188,ELECTRODE ESURG 3CM,529.5,529.5,79.42,529.5,42
CDM,469230,SIZER BREAST 275CC,618.5,618.5,92.78,618.5,42
CDM,469233,SIZER BREAST 425CC,618.5,618.5,92.78,618.5,42
CDM,469234,SIZER BREAST 475CC,448.5,448.5,67.28,448.5,42
CDM,469251,SIZER BREAST 280CC,618.5,618.5,92.78,618.5,42
CDM,469252,SIZER BREAST 320CC,556.5,556.5,83.47,556.5,42
CDM,469255,SIZER BREAST 425CC,618.5,618.5,92.78,618.5,42
CDM,469256,SIZER BREAST 465CC,618.5,618.5,92.78,618.5,42
CDM,469257,SIZER BREAST 500CC,618.5,618.5,92.78,618.5,42
CDM,469258,SIZER BREAST 550CC,618.5,618.5,92.78,618.5,42
CDM,469259,SIZER BREAST 650CC,618.5,618.5,92.78,618.5,42
CDM,469263,SIZER BREAST 240CC,618.5,618.5,92.78,618.5,42
CDM,469267,SIZER BREAST 620CC,618.5,618.5,92.78,618.5,42
CDM,469268,SIZER BREAST 390CC,618.5,618.5,92.78,618.5,42
CDM,469269,SIZER BREAST 420CC,618.5,618.5,92.78,618.5,42
CDM,469270,SIZER BREAST 450CC,618.5,618.5,92.78,618.5,42
CDM,469273,IMPLANT BREAST 650CC,3311.0,3311.0,496.65,3311.0,30
CDM,469279,SIZER BREAST 300CC,695.5,695.5,104.33,695.5,42
CDM,469299,PLEDGET CV 4.8MM 9.5MM,318.0,318.0,47.7,318.0,30
CDM,469303,ELECTRODE ESURG PEN 19CM,9465.0,9465.0,1419.75,9465.0,42
CDM,469401,SCREW SYNTHES 487.046,2651.0,2651.0,397.65,2651.0,30
CDM,469402,SCREW SPN 7.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,469403,SCREW BN 3.5MM 32MM,1379.0,1379.0,206.85,1379.0,30
CDM,469411,RING SPN 0D 10MM,1630.0,1630.0,244.5,1630.0,30
CDM,469423,CANNULA PRFSN 14FR 14MM,920.5,920.5,138.07,920.5,42
CDM,469425,CANN ROOT AOR 9GA 5.25IN,360.0,360.0,54.0,360.0,42
CDM,469426,GRAFT CV 15.2X15.2CM,3189.0,3189.0,478.35,3189.0,30
CDM,469434,CANNULA PRFSN 32FR VNTRC,5576.5,5576.5,836.48,5576.5,42
CDM,469438,SCREW BN 3.5MM 60MM,1421.0,1421.0,213.15,1421.0,30
CDM,469439,SCREW BN LCK 3.5MM 65MM,1379.0,1379.0,206.85,1379.0,30
CDM,469440,SCREW BN 3.5MM 70MM,2222.0,2222.0,333.3,2222.0,30
CDM,469449,PLATE BN 5H 3.5MM 72MM,3189.0,3189.0,478.35,3189.0,30
CDM,469450,PLATE BN 98X11X3.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,469451,PLATE BN 10H 3.5MM 137MM,3189.0,3189.0,478.35,3189.0,30
CDM,469453,PLATE BN 12HL 3.5X163MM,3189.0,3189.0,478.35,3189.0,30
CDM,469458,MESH SURG OVAL 15X20CM,4429.0,4429.0,664.35,4429.0,30
CDM,469462,ELECTRODE ESURG 9CM,296.0,296.0,44.4,296.0,42
CDM,469465,SCREW BN 3.5MM 20MM,1379.0,1379.0,206.85,1379.0,30
CDM,469466,SCREW BN 3.5MM 22MM,1379.0,1379.0,206.85,1379.0,30
CDM,469467,SCREW BN 3.5MM 24MM,1379.0,1379.0,206.85,1379.0,30
CDM,469468,SCREW BN 3.5MM 26MM,1379.0,1379.0,206.85,1379.0,30
CDM,469471,PLATE BN 57X9X1MM,1923.0,1923.0,288.45,1923.0,30
CDM,469473,PLATE BN 117X9X1MM,2064.0,2064.0,309.6,2064.0,30
CDM,469474,PLATE BN TBLR 141X9X1MM,3189.0,3189.0,478.35,3189.0,30
CDM,469475,PLATE BN 3HL 3.5MM 90MM,5200.0,5200.0,780.0,5200.0,30
CDM,469476,PLATE BN 5H 3.5MM 114MM,5364.0,5364.0,804.6,5364.0,30
CDM,469478,PLATE BN 5HL 3.5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,469480,PLATE BN 10H 3.5MM 140MM,3500.0,3500.0,525.0,3500.0,30
CDM,469481,SCREW BN CORT 4.5MM 68MM,289.0,289.0,43.35,289.0,30
CDM,469482,SCREW BN 4.5MM 66MM,289.0,289.0,43.35,289.0,30
CDM,469483,SCREW BN 4.5MM 8MM 64MM,289.0,289.0,43.35,289.0,30
CDM,469484,SCREW BN 4.5MM 62MM,289.0,289.0,43.35,289.0,30
CDM,469485,SCREW BN 4.5MM 58MM,277.0,277.0,41.55,277.0,30
CDM,469486,SCREW BN 4.5MM 8MM 24MM,277.0,277.0,41.55,277.0,30
CDM,469487,SCREW BN 4.5MM 22MM,277.0,277.0,41.55,277.0,30
CDM,469488,SCREW BN 4.5MM 20MM,270.0,270.0,40.5,270.0,30
CDM,469489,SCREW BN ST 4.5MM 18MM,270.0,270.0,40.5,270.0,30
CDM,469490,SCREW BN 4.5MM 16MM,270.0,270.0,40.5,270.0,30
CDM,469491,SCREW BN 4.5MM 14MM,277.0,277.0,41.55,277.0,30
CDM,469492,INSERT CLAMP 90MM,464.0,464.0,69.6,464.0,42
CDM,469497,CAGE SPNL 10DD 21X11X9 S,6644.0,6644.0,996.6,6644.0,30
CDM,469516,CATH URET 5/10FR 50CM,577.0,577.0,86.55,577.0,42
CDM,469523,CATH BLNDIL 3.5MM 15MM,4385.5,4385.5,657.83,4385.5,42
CDM,469526,APPLIER INT CLIP MD/LG,1014.0,1014.0,152.1,1014.0,30
CDM,469527,SHEATH DIL 12FR 43CM,2210.0,2210.0,331.5,2210.0,42
CDM,469529,TROCAR LAPSCP 12MM 100MM,264.5,264.5,39.67,264.5,42
CDM,469534,KIT COL ILSTM 2.25X12IN,31.0,31.0,5.71,31.0,26
CDM,469546,CATH HM SPLT XK 23 STR,2231.5,2231.5,334.73,2231.5,42
CDM,469547,KIT CATH 27CM 16FR,2558.0,2558.0,383.7,2558.0,42
CDM,469550,BUR MED OVAL 4MM 8MM,231.5,231.5,34.73,231.5,42
CDM,469581,VALVE MITRAL 25MM,21932.0,21932.0,3289.8,21932.0,30
CDM,469603,EXTENSION NRSTM 20CM LD,5758.0,5758.0,863.7,5758.0,30
CDM,469604,EXTENSION NRSTM 40C RSTR,4429.0,4429.0,664.35,4429.0,30
CDM,469611,PERFORATOR CRANI 14-11MM,1817.5,1817.5,272.63,1817.5,42
CDM,469618,GWIRE VASC FLX 260CM,1290.0,1290.0,193.5,1290.0,42
CDM,469622,PUNCH AOR ROTATE 2.7MM,301.5,301.5,45.23,301.5,42
CDM,469623,PUNCH AOR ROTATE 3.5MM,631.0,631.0,94.65,631.0,42
CDM,469624,PUNCH AOR ROTATE 4.0MM,631.0,631.0,94.65,631.0,42
CDM,469625,STENT BIL 8FR 10CM,1164.0,1164.0,174.6,1164.0,30
CDM,469632,STENT URET 6FR 22CM,1989.0,1989.0,298.35,1989.0,30
CDM,469633,STENT URET 6FR 24CM,1989.0,1989.0,298.35,1989.0,30
CDM,469634,STENT URET 6FR 26CM,1989.0,1989.0,298.35,1989.0,30
CDM,469635,STENT URET 6FR 28CM,1989.0,1989.0,298.35,1989.0,30
CDM,469637,CMPNT HUM SHLDR SMALL,36624.0,36624.0,5493.6,36624.0,30
CDM,469638,BIT DRILL 4.2MM 180MM,1080.5,1080.5,162.07,1080.5,42
CDM,469645,ADHSV SKNCL PRFLSYR 10ML,4429.0,4429.0,664.35,4429.0,30
CDM,469647,SPACER ALGRF 8X9X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,469650,INSERT HUM SHLDR 36MM,8770.0,8770.0,1315.5,8770.0,30
CDM,469651,DSCTNG HOOK ESURG 5MM HR,1074.0,1074.0,161.1,1074.0,42
CDM,469662,SCREW BN 6.5X2.9MM 85MM,2974.0,2974.0,446.1,2974.0,30
CDM,469663,SCREW BN 6.5X2.9MM 90MM,2974.0,2974.0,446.1,2974.0,30
CDM,469664,SCREW BN 6.5X2.9MM 95MM,2974.0,2974.0,446.1,2974.0,30
CDM,469665,SCREW BN CANN 6.5X100MM,3189.0,3189.0,478.35,3189.0,30
CDM,469666,SCREW BN CANN 6.5X105MM,3189.0,3189.0,478.35,3189.0,30
CDM,469667,SCREW BN 6.5X16X110MM,2974.0,2974.0,446.1,2974.0,30
CDM,469668,SCREW BN 6.5MM 115MM,3189.0,3189.0,478.35,3189.0,30
CDM,469669,SCREW BN 6.5X120X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,469670,SCREW BN 6.5MM 125MM,3189.0,3189.0,478.35,3189.0,30
CDM,469671,SCREW BN 6.5X16X135MM,3189.0,3189.0,478.35,3189.0,30
CDM,469677,SCREW BN 6.5MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,469678,SCREW BN 6.5MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,469679,SCREW BN 6.5X65X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,469680,SCREW BN 6.5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,469681,SCREW BN 6.5X75X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,469682,SCREW BN 6.5X7.9X2.9X80,2974.0,2974.0,446.1,2974.0,30
CDM,469685,SCREW BN 6.5X32X95MM,3189.0,3189.0,478.35,3189.0,30
CDM,469686,SCREW BN 6.5X100X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,469687,SCREW BN 6.5MM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,469688,SCREW BN 6.5X2.9MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,469689,SCREW BN 6.5X32X115MM,3189.0,3189.0,478.35,3189.0,30
CDM,469690,SCREW BN 6.5X120X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,469691,SCREW BN 6.5MM 125MM,3189.0,3189.0,478.35,3189.0,30
CDM,469692,SCREW BN 6.5MM 130MM,3189.0,3189.0,478.35,3189.0,30
CDM,469693,SCREW BN 6.5MM 135MM,3189.0,3189.0,478.35,3189.0,30
CDM,469694,SCREW BN 6.5X140X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,469695,SCREW BN CANN 6.5X145MM,3189.0,3189.0,478.35,3189.0,30
CDM,469696,SCREW BN 6.5X32X150MM,3189.0,3189.0,478.35,3189.0,30
CDM,469723,SCREW BN 2.7MM 24MM,423.0,423.0,63.45,423.0,30
CDM,469724,PLATE BN 3.5MM 168MM,3721.0,3721.0,558.15,3721.0,30
CDM,469725,PLATE BN RT 3.5MM 52MM,3189.0,3189.0,478.35,3189.0,30
CDM,469726,PLATE BN T 3H 3.5MM 63MM,3189.0,3189.0,478.35,3189.0,30
CDM,469727,PLATE BN T 3H 3.5MM 74MM,3189.0,3189.0,478.35,3189.0,30
CDM,469728,PLATE BN L 3H 3.5MM 52MM,3189.0,3189.0,478.35,3189.0,30
CDM,469729,PLATE T BN LT 3.5MM 63MM,3189.0,3189.0,478.35,3189.0,30
CDM,469730,PLATE T BN LT 3.5MM 74MM,3189.0,3189.0,478.35,3189.0,30
CDM,469731,PLATE T BN LT 3.5MM 96MM,3189.0,3189.0,478.35,3189.0,30
CDM,469732,PLATE BN T 3.5MM 3H 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,469733,PLATE BN T 3HL 3.5X67MM,3189.0,3189.0,478.35,3189.0,30
CDM,469734,PLATE BN 3HL 3.5X87MM,3230.0,3230.0,484.5,3230.0,30
CDM,469735,PLATE BN 3.5MM 56MM,3189.0,3189.0,478.35,3189.0,30
CDM,469736,PLATE BN T 4H 3.5MM 78MM,3189.0,3189.0,478.35,3189.0,30
CDM,469737,PLATE BN 6HL 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,469738,PLATE BN 4HL 150D 78MM,3189.0,3189.0,478.35,3189.0,30
CDM,469739,PLATE BRL 238X19X5.8MM,4277.0,4277.0,641.55,4277.0,30
CDM,469740,PLATE BN 1STP 135D 270MM,4277.0,4277.0,641.55,4277.0,30
CDM,469741,SCREW BN 7.3MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,469742,WIRE CRLGE 175MM .6MM,140.0,140.0,21.0,140.0,30
CDM,469743,WIRE CRLGE 200MM .8MM,122.0,122.0,18.3,122.0,30
CDM,469744,PLATE TI MINI 36X3.5X9MM,3189.0,3189.0,478.35,3189.0,30
CDM,469745,PLATE T 3 HL HD 9HL 2X50,2863.0,2863.0,429.45,2863.0,30
CDM,469747,SCREW BN CPTR GRY 4.5X65,1942.0,1942.0,291.3,1942.0,30
CDM,469751,SCREW BN 6.4X95MM,3189.0,3189.0,478.35,3189.0,30
CDM,469761,PLATE T 4 HL HD 9HL 2X50,3189.0,3189.0,478.35,3189.0,30
CDM,469763,CANNULA PRFSN 14IN 22FR,421.5,421.5,63.23,421.5,42
CDM,469766,PLATE BRD DCP 12H/4.5,3189.0,3189.0,478.35,3189.0,30
CDM,469804,TOOL DSCT 7CM 4MM,962.0,962.0,144.3,962.0,42
CDM,469806,SYSTEM LAPSCP ACCESS,4385.5,4385.5,657.83,4385.5,42
CDM,469807,PLATE BN .5MM 21MM,405.0,405.0,60.75,405.0,30
CDM,469808,PLATE BN 4HL .5MM,3189.0,3189.0,478.35,3189.0,30
CDM,469809,PLATE BN 14X14X.5MM,1612.0,1612.0,241.8,1612.0,30
CDM,469810,PLATE BN 4HL 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,469811,PLATE BN .5MM Y CRNMXF,3189.0,3189.0,478.35,3189.0,30
CDM,469812,PLATE BN 18MM 2Y CRNMXF,1612.0,1612.0,241.8,1612.0,30
CDM,469813,PLATE BN Y 6HL 21MM,1612.0,1612.0,241.8,1612.0,30
CDM,469817,PLATE BN 16X10X.5MM,1546.0,1546.0,231.9,1546.0,30
CDM,469818,PLATE BN 6H .5MM,2808.0,2808.0,421.2,2808.0,30
CDM,469823,MESH MALBL NEURO 100X100,9983.0,9983.0,1497.45,9983.0,30
CDM,469825,PLATE BN .4MM,4189.0,4189.0,628.35,4189.0,30
CDM,469828,PLATE BN .6MM,3765.0,3765.0,564.75,3765.0,30
CDM,469838,CLAMP CRANIAL FLAP 18MM,3189.0,3189.0,478.35,3189.0,30
CDM,469848,PIN FX 4.5MM 300MM,773.0,773.0,115.95,773.0,42
CDM,469849,CLAMP EX FIX 4MM,4385.5,4385.5,657.83,4385.5,42
CDM,469850,PIN FX STNM 4.5X180MM,773.0,773.0,115.95,773.0,42
CDM,469851,PIN EXFX STNM 4.5X200MM,773.0,773.0,115.95,773.0,42
CDM,469852,PIN FX STNM 250MM 4.5MM,773.0,773.0,115.95,773.0,42
CDM,469853,SCREW EXFX 100X4.5X18MM,773.0,773.0,115.95,773.0,42
CDM,469854,SCREW EXFX 150X4.5X18MM,985.0,985.0,147.75,985.0,42
CDM,469858,SCREW BN LAG 12.7MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,469859,SCREW BN LAG 12.7MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,469860,PLATE BN 95D 6HL 114MM,4429.0,4429.0,664.35,4429.0,30
CDM,469873,SCREW LPN EMERGENCY 4MM,1022.0,1022.0,153.3,1022.0,30
CDM,469875,SCREW BN 4MM 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,469893,SCREW BN 7X35MM PANGEA P,4429.0,4429.0,664.35,4429.0,30
CDM,469902,SCREW BN 8MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,469903,SCREW SPN SLFTP 8X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,469904,SCREW SPN SLFTP 8X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,469905,SCREW SPN SLFTP 8X50MM,5342.0,5342.0,801.3,5342.0,30
CDM,469906,SCREW BN 8MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,469908,SCREW BN 8MM 65MM,5342.0,5342.0,801.3,5342.0,30
CDM,469909,SCREW SPN 8MM 75MM,4120.0,4120.0,618.0,4120.0,30
CDM,469910,SCREW BN 8MM 80MM,5342.0,5342.0,801.3,5342.0,30
CDM,469936,SUTURE BLU MON0 10-0 5IN,296.5,296.5,44.48,296.5,42
CDM,469956,CATH BLNDIL 4X40X135CM,4385.5,4385.5,657.83,4385.5,42
CDM,469973,CLAMP TRANSV LEXF,4093.0,4093.0,613.95,4093.0,42
CDM,469974,CLAMP TUBE-TO-TUBE EXFX,4385.5,4385.5,657.83,4385.5,42
CDM,469975,PIN FX STNM 120X4.5MM,773.0,773.0,115.95,773.0,42
CDM,469976,PIN FX STNM 4.5X150MM,773.0,773.0,115.95,773.0,42
CDM,469977,PIN BN STNMN 5.0MM 150MM,679.0,679.0,101.85,679.0,42
CDM,469978,PIN EXFX STNM 5X180MM,773.0,773.0,115.95,773.0,42
CDM,469979,PIN FIXATION 5X200MM,773.0,773.0,115.95,773.0,42
CDM,469980,PIN FX STNM 225MM 5MM,773.0,773.0,115.95,773.0,42
CDM,469981,PIN EXFX STNM 5X250MM,773.0,773.0,115.95,773.0,42
CDM,469982,PIN FX STNM 5X275MM,773.0,773.0,115.95,773.0,42
CDM,469983,PIN EXFX 5.0MM 300MM,773.0,773.0,115.95,773.0,42
CDM,469985,SCREW EXFX 80X4.5MM,773.0,773.0,115.95,773.0,42
CDM,469986,SCREW EXFX 5X150X6MM,1002.0,1002.0,150.3,1002.0,42
CDM,469990,SCREW EXFX 120X4MM,1011.5,1011.5,151.72,1011.5,42
CDM,469998,GUARD PIN .054-.062IN,154.5,154.5,23.18,154.5,42
CDM,470091,CONN SPN ROD 200MM,3012.0,3012.0,451.8,3012.0,30
CDM,470093,SPACER SPN 8D 12X14X44MM,5315.0,5315.0,797.25,5315.0,30
CDM,470095,SCREW BN 1.2X12MM,1109.0,1109.0,166.35,1109.0,30
CDM,470096,CMPNT TIB KN 13MM SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,470097,CATH EP 2FR 1.3MM 130CM,7520.5,7520.5,1128.08,7520.5,42
CDM,470124,TIP INSERTER TIBIAL KN,1203.5,1203.5,180.53,1203.5,42
CDM,470126,COMPNT FEM RT E 51.5X24,5980.0,5980.0,897.0,5980.0,30
CDM,470127,SURFACE ARTC SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,470138,STEM HUM SZ2 88MM,5634.0,5634.0,845.1,5634.0,30
CDM,470139,SCREW BN HUM 4.5MM 24MM,2005.0,2005.0,300.75,2005.0,30
CDM,470140,SCRW CANC AXON 3.5X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,470141,PLATE BN W BAR 4H 2.4MM,2640.0,2640.0,396.0,2640.0,30
CDM,470142,PLATE BN 10HL ORBT 1.2MM,3189.0,3189.0,478.35,3189.0,30
CDM,470148,HEAD FEM +3.5MM 12/14 32,6917.0,6917.0,1037.55,6917.0,30
CDM,470151,SCREW SPN 4MM 14MM,1461.0,1461.0,219.15,1461.0,30
CDM,470156,INTRO CATH PTFE 14FR,1376.0,1376.0,206.4,1376.0,42
CDM,470159,CANN ARTHSCP 8MM 76MM,231.5,231.5,34.73,231.5,42
CDM,470160,CAGE SPNL CGR ALIF 10 5D,11959.0,11959.0,1793.85,11959.0,30
CDM,470161,SCRW 6.5X50MM FXD,4467.0,4467.0,670.05,4467.0,30
CDM,470162,ROD SPN 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,470163,SCRW 6.5X45MM FXD,4467.0,4467.0,670.05,4467.0,30
CDM,470165,SCREW SPN XPDM 7X65MM,4120.0,4120.0,618.0,4120.0,30
CDM,470173,PLATE NR PRBN 23MM TI 1L,6334.0,6334.0,950.1,6334.0,30
CDM,470177,RING SPN 0D 12MM,1649.0,1649.0,247.35,1649.0,30
CDM,470178,PLATE SPN SML 54MM 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,470179,SCREW SPN 5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,470180,SCREW SPN 4.35MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,470181,ROD SPN 5.5MM 480MM,2711.0,2711.0,406.65,2711.0,30
CDM,470182,SCREW SPN 7MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,470183,SCREW SPN 6.2MM 65MM,3389.0,3389.0,508.35,3389.0,30
CDM,470184,SLEEVE RIB 6MM,2380.0,2380.0,357.0,2380.0,30
CDM,470185,BAR SPNL GRN 25MM 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,470186,ROD SPN 6MM 15MM,4828.0,4828.0,724.2,4828.0,30
CDM,470187,ROD SPN 6MM 18MM,4340.0,4340.0,651.0,4340.0,30
CDM,470188,ROD SPN 6MM 24MM,4828.0,4828.0,724.2,4828.0,30
CDM,470189,ROD SPN 6MM 25.5-30.5MM,5072.0,5072.0,760.8,5072.0,30
CDM,470190,ROD SPN 6MM 31.5-34MM,4340.0,4340.0,651.0,4340.0,30
CDM,470191,ROD TI UNIT 6.0X450MM,6950.0,6950.0,1042.5,6950.0,30
CDM,470205,BALLOON ENDO LTX STRL,327.0,327.0,49.05,327.0,42
CDM,470206,ROD SPNE 60MM,6405.0,6405.0,960.75,6405.0,30
CDM,470210,STEM FEM HIP 165MM,6644.0,6644.0,996.6,6644.0,30
CDM,470211,SLEEVE FEM/TIB HIP 15X20,4252.0,4252.0,637.8,4252.0,30
CDM,470213,SCREW BN 2.7MM 18MM,563.0,563.0,84.45,563.0,30
CDM,470215,SCREW BN 3.5MM 18MM,402.0,402.0,60.3,402.0,30
CDM,470216,SCREW BN 3.5MM 20MM,313.0,313.0,46.95,313.0,30
CDM,470218,PLATE TI WRST FSN SHRT,4429.0,4429.0,664.35,4429.0,30
CDM,470219,SCREW CORT F-T 3.5X6X16,414.0,414.0,62.1,414.0,30
CDM,470220,BIT DRILL PRMR TRFLT ADJ,2238.0,2238.0,335.7,2238.0,42
CDM,470222,SHELL ACTB HIP 70M,9543.0,9543.0,1431.45,9543.0,30
CDM,470223,CAGE ACTB 52MM 48MM RT,11033.0,11033.0,1654.95,11033.0,30
CDM,470224,CUP ACTB 49MM 32MM 10D,4429.0,4429.0,664.35,4429.0,30
CDM,470226,SCREW BN SLFTAP 3.5X26,319.0,319.0,47.85,319.0,30
CDM,470227,SCREW BN SLFTAP 3.5X24,319.0,319.0,47.85,319.0,30
CDM,470228,SCREW BN 3.5MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,470229,SCREW BN 3.5MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,470230,SCREW BN 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,470231,SCREW BN 3.5MM 32MM,1356.0,1356.0,203.4,1356.0,30
CDM,470232,SCREW BN 3.5MM 50MM,1356.0,1356.0,203.4,1356.0,30
CDM,470233,SCREW BN 3.5MM 40MM,1435.0,1435.0,215.25,1435.0,30
CDM,470234,SCREW BN 3.5MM 45MM,1435.0,1435.0,215.25,1435.0,30
CDM,470236,GWIRE ORTH STD 1.6MM,294.0,294.0,44.1,294.0,42
CDM,470237,PLATE MED DIST TBL LCKNG,4872.0,4872.0,730.8,4872.0,30
CDM,470239,CMPNT TIB KN TRAY SZ3,10119.0,10119.0,1517.85,10119.0,30
CDM,470240,PLATE BN CRV 10HL 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,470241,SRFC ARTC CD 3-4 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,470243,ROD SPNL TI L100 DIAPA,2711.0,2711.0,406.65,2711.0,30
CDM,470253,ELECTRODE EMG 12MM,1009.5,1009.5,151.43,1009.5,42
CDM,470254,CUP ACETB TRBCLR MTL 66M,10595.0,10595.0,1589.25,10595.0,30
CDM,470258,ROD SPN 6MM 21MM,4828.0,4828.0,724.2,4828.0,30
CDM,470259,CMPNT FEM SZD LT MED/R,5980.0,5980.0,897.0,5980.0,30
CDM,470260,COMPNT TIBPLT 3 47X27MM,4606.0,4606.0,690.9,4606.0,30
CDM,470261,SURFACE ARTC UNI SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,470262,INSERT ARTC 3-4 E-F 17MM,6031.0,6031.0,904.65,6031.0,30
CDM,470272,EXTENSION NRSTM 20CM,3721.0,3721.0,558.15,3721.0,30
CDM,470273,KIT SPINAL LEAD CBL ACC,1637.0,1637.0,245.55,1637.0,42
CDM,470274,KIT STM RSTR ULT NRMSCLR,4581.5,4581.5,687.23,4581.5,42
CDM,470278,RING SPN 2.5D 10MM,1630.0,1630.0,244.5,1630.0,30
CDM,470279,CAGE SPN 18MM 10MM,4607.0,4607.0,691.05,4607.0,30
CDM,470280,CMPNT FEM SZD RT MED/R,5980.0,5980.0,897.0,5980.0,30
CDM,470283,GWIRE ORTH 3MM 100CM,972.5,972.5,145.88,972.5,42
CDM,470285,NAIL BN FEM 13MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,470286,SCREW BN 5.5MM 80MM,2073.0,2073.0,310.95,2073.0,30
CDM,470287,SCREW BN 5.5MM 75MM,2073.0,2073.0,310.95,2073.0,30
CDM,470290,WASHER ORTH 13MM,319.0,319.0,47.85,319.0,30
CDM,470294,SCREW BNE TI L22MM OD5.5,3012.0,3012.0,451.8,3012.0,30
CDM,470295,SCREW BNE L26 SPNL,1461.0,1461.0,219.15,1461.0,30
CDM,470296,PLATE BNE TI L37MM ANT L,12402.0,12402.0,1860.3,12402.0,30
CDM,470297,INS ACTB 60MM 36MM,7015.0,7015.0,1052.25,7015.0,30
CDM,470300,SCREW BN TEMP 48MM,753.5,753.5,113.03,753.5,42
CDM,470303,GFT VSC FLX 6X70,3721.0,3721.0,558.15,3721.0,30
CDM,470309,PLATE L5MM LNDRF RT,3189.0,3189.0,478.35,3189.0,30
CDM,470311,STEM FEM HIP SZ4 140MM,9966.0,9966.0,1494.9,9966.0,30
CDM,470312,SET DRIL 2.4MM,1809.0,1809.0,271.35,1809.0,42
CDM,470314,SCREW BIOINT AR-1390TB,3189.0,3189.0,478.35,3189.0,30
CDM,470315,IMPLANT FX 5MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,470318,CONN ROD TI 1 XVR SPNL,5299.0,5299.0,794.85,5299.0,30
CDM,470319,PLATE TI 40X26X4.5MM,9135.0,9135.0,1370.25,9135.0,30
CDM,470320,SCREW CANC LOCK 5.5X36MM,3012.0,3012.0,451.8,3012.0,30
CDM,470321,PLATE SPN 46X26X4.5MM,11073.0,11073.0,1660.95,11073.0,30
CDM,470323,STEM FEM HIP 11MM 121MM,10630.0,10630.0,1594.5,10630.0,30
CDM,470325,PLATE BN 6HL 3.5X85MM,3189.0,3189.0,478.35,3189.0,30
CDM,470326,CMPNT PTLR 3.7MM NTRL,4429.0,4429.0,664.35,4429.0,30
CDM,470327,STEM FEM CMNT #5 HIP,6201.0,6201.0,930.15,6201.0,30
CDM,470329,SCRW CANC AXON 3.5X18MM,4429.0,4429.0,664.35,4429.0,30
CDM,470330,ROD SPN 3.5MM 120MM,3012.0,3012.0,451.8,3012.0,30
CDM,470332,STEM HIP STD 36NK,6644.0,6644.0,996.6,6644.0,30
CDM,470333,PLATE BND ANT TENSIM 37,12402.0,12402.0,1860.3,12402.0,30
CDM,470334,SCREW CANC 5.5X28,3012.0,3012.0,451.8,3012.0,30
CDM,470336,GWIRE ORTH THRD 3.2MM,868.5,868.5,130.28,868.5,42
CDM,470338,NAIL BN 10MM 27CM,4872.0,4872.0,730.8,4872.0,30
CDM,470339,SCREW BN 4.2X45MM,2073.0,2073.0,310.95,2073.0,30
CDM,470340,CAP HUM LCK NAIL,1834.0,1834.0,275.1,1834.0,30
CDM,470344,SCREW BN 4.2MM 35MM,2073.0,2073.0,310.95,2073.0,30
CDM,470346,CMPNT PTLR KN 19.5MM,8739.0,8739.0,1310.85,8739.0,30
CDM,470351,NAIL BN 8MM 25.5CM,4872.0,4872.0,730.8,4872.0,30
CDM,470352,SCREW BN 4.2X40MM,2073.0,2073.0,310.95,2073.0,30
CDM,470353,SCREW BN 3.7MM 25MM,2073.0,2073.0,310.95,2073.0,30
CDM,470356,REAMER SURG 24MM FLX,972.5,972.5,145.88,972.5,42
CDM,470357,LINER ACTB HIP +4 32X52M,4429.0,4429.0,664.35,4429.0,30
CDM,470358,CUP ACTB 58 DPPRO RVSN,7032.0,7032.0,1054.8,7032.0,30
CDM,470364,SCREW BN CORT 3.5MM 10MM,1053.0,1053.0,157.95,1053.0,30
CDM,470365,SCREW BN CORT 3.5MM 12MM,1053.0,1053.0,157.95,1053.0,30
CDM,470366,SCREW BN CORT 3.5MM 14MM,319.0,319.0,47.85,319.0,30
CDM,470367,STEM HUM SHLDR 12X130MM,11643.0,11643.0,1746.45,11643.0,30
CDM,470368,ROD SPINAL L120MM 188316,2711.0,2711.0,406.65,2711.0,30
CDM,470369,SCREW SPN 3.5MM 14MM,3765.0,3765.0,564.75,3765.0,30
CDM,470370,SCREW FAVR ANG 3.5X12,3765.0,3765.0,564.75,3765.0,30
CDM,470371,SCREW SPN INNR 3.5X20MM,753.0,753.0,112.95,753.0,30
CDM,470374,TAP 3MM SURG 3MM SCR,1089.0,1089.0,163.35,1089.0,42
CDM,470375,ROD SPNL L120 TMPLT,2005.5,2005.5,300.82,2005.5,42
CDM,470376,CONN ROD LAT OFST,3370.0,3370.0,505.5,3370.0,30
CDM,470377,SCREW BN 4 26 MTNR TI OC,4429.0,4429.0,664.35,4429.0,30
CDM,470380,DRESSING FOAM LG 15X10CM,231.5,231.5,34.73,231.5,42
CDM,470381,SRFC ARTC 00584202308,4429.0,4429.0,664.35,4429.0,30
CDM,470383,SCREW CANC LOCK 5.5X30MM,3012.0,3012.0,451.8,3012.0,30
CDM,470384,SCREW CANC 5.5X39,2259.0,2259.0,338.85,2259.0,30
CDM,470385,SCR BN 3.5X5X14MM CVFX,1145.0,1145.0,171.75,1145.0,30
CDM,470387,PLATE BN TI SPNL 35MM LV,11686.0,11686.0,1752.9,11686.0,30
CDM,470390,PLATE 41MM TI 5.5MM L1,15242.0,15242.0,2286.3,15242.0,30
CDM,470391,PLATE BNE TI L41MM ANT S,13287.0,13287.0,1993.05,13287.0,30
CDM,470392,CAGE SPNL 14X6 MED,13287.0,13287.0,1993.05,13287.0,30
CDM,470393,CAGE COUGAR 10DEG 12MM M,13287.0,13287.0,1993.05,13287.0,30
CDM,470396,STAPLE BN SS 7.9IN,3705.0,3705.0,555.75,3705.0,30
CDM,470401,CAGE SPNL 18MM 5D M,13287.0,13287.0,1993.05,13287.0,30
CDM,470402,SCREW PDCL TI 7.5X55,4429.0,4429.0,664.35,4429.0,30
CDM,470405,GWIRE ORTH 3MM 100CM,1023.5,1023.5,153.53,1023.5,42
CDM,470409,TRAY TIB 3 RT MED,4606.0,4606.0,690.9,4606.0,30
CDM,470411,SCREW SPN 5.5X7.5X45MM,4120.0,4120.0,618.0,4120.0,30
CDM,470412,PLATE 49MM TI 5.5MM,18607.0,18607.0,2791.05,18607.0,30
CDM,470414,SCREW BN CPTR HEX 5X90,1942.0,1942.0,291.3,1942.0,30
CDM,470415,CAGE SPNL 12MM CGR 5D,11959.0,11959.0,1793.85,11959.0,30
CDM,470416,SCREW BN 6.5MM 8MM,477.0,477.0,71.55,477.0,30
CDM,470417,PLATE BN 6HL 3.5X160MM,5632.0,5632.0,844.8,5632.0,30
CDM,470418,SCREW BN 3.5MM 34MM,1379.0,1379.0,206.85,1379.0,30
CDM,470419,SCREW BN 3.5MM 28MM,1379.0,1379.0,206.85,1379.0,30
CDM,470420,SCREW BN LCK 3.5X36MM,1379.0,1379.0,206.85,1379.0,30
CDM,470421,STEM FEM HIP 20MM 165MM,7087.0,7087.0,1063.05,7087.0,30
CDM,470422,SCREW BNE TI 30X7MM EXP,4120.0,4120.0,618.0,4120.0,30
CDM,470430,PLATE PREM ANT CERV 60MM,8473.0,8473.0,1270.95,8473.0,30
CDM,470431,SCREW BN SPN 4MM 17MM,3012.0,3012.0,451.8,3012.0,30
CDM,470442,EXTENSION NRSTM 40CM,4123.0,4123.0,618.45,4123.0,30
CDM,470443,SCREW SPN XPDM 7X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,470444,SCREW BN TI L50 OD6 EXPD,4429.0,4429.0,664.35,4429.0,30
CDM,470448,LINER ACTB 10DD +4 36X64,5626.0,5626.0,843.9,5626.0,30
CDM,470450,XTN KIT 40 STRCH COIL,4429.0,4429.0,664.35,4429.0,30
CDM,470454,HEAD HUM 18MM 48MM,6201.0,6201.0,930.15,6201.0,30
CDM,470455,STEM HUM 150MM 12MM,9571.0,9571.0,1435.65,9571.0,30
CDM,470456,SCREW BN 4X40X14MM,319.0,319.0,47.85,319.0,30
CDM,470458,PLATE FIB DIST LAT LT 6H,3189.0,3189.0,478.35,3189.0,30
CDM,470459,SCREW BN 3.5X16 2.7MM,319.0,319.0,47.85,319.0,30
CDM,470460,SCREW BN 3.5X14 2.7MM,319.0,319.0,47.85,319.0,30
CDM,470463,LINER XLPE OFST 7 32X48,5670.0,5670.0,850.5,5670.0,30
CDM,470464,INSERT H10MM SZGRN E-F,5700.0,5700.0,855.0,5700.0,30
CDM,470465,BLOCK AGMNT KN SZE 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,470466,SCREW BN HIP 6.5MM 60MM,877.0,877.0,131.55,877.0,30
CDM,470467,INSERT TIB 4 10MM,5660.0,5660.0,849.0,5660.0,30
CDM,470468,INSERT TIB 2.5 10MM,5660.0,5660.0,849.0,5660.0,30
CDM,470470,WEDGE TIB KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,470471,WEDGE KN AUG 5MM SZE,4429.0,4429.0,664.35,4429.0,30
CDM,470472,SURFACE ARTC YLW 66X42MM,6536.0,6536.0,980.4,6536.0,30
CDM,470473,CMPNT GLND SHLDR 48MM,4789.0,4789.0,718.35,4789.0,30
CDM,470474,HEAD HUM 15MM 48MM,5257.0,5257.0,788.55,5257.0,30
CDM,470476,IMPLANT BREAST 330-360CC,3311.0,3311.0,496.65,3311.0,30
CDM,470501,HD HUM SHLDR 30MM 46MM,5072.0,5072.0,760.8,5072.0,30
CDM,470504,SCREW BN 4X14MM,319.0,319.0,47.85,319.0,30
CDM,470505,SLEEVE CNTRG 16B SMALL,4252.0,4252.0,637.8,4252.0,30
CDM,470506,BIT DRILL SURG 3.2MM,773.0,773.0,115.95,773.0,42
CDM,470509,PLT ANG 6 HL 30X112MM,4429.0,4429.0,664.35,4429.0,30
CDM,470510,STEM XTN KNEE 14X75,4429.0,4429.0,664.35,4429.0,30
CDM,470511,INSERT TIB KN 12X50X82MM,6019.0,6019.0,902.85,6019.0,30
CDM,470513,SRFC ARTC 3-4 17,4429.0,4429.0,664.35,4429.0,30
CDM,470515,SCREW SPN 5.5X7.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,470516,SCREW DIFA 5 X 50 MM DEP,753.0,753.0,112.95,753.0,30
CDM,470521,HEAD HUM 18MM 48MM,5758.0,5758.0,863.7,5758.0,30
CDM,470523,SLEEVE CNTRNG 13.5X7 22F,4252.0,4252.0,637.8,4252.0,30
CDM,470524,STEM FEMORAL 22X17X165+1,6644.0,6644.0,996.6,6644.0,30
CDM,470525,HEAD FEM HIP 32MM 99MM,4252.0,4252.0,637.8,4252.0,30
CDM,470526,CAGE SPNL MED 10DD H14MM,11959.0,11959.0,1793.85,11959.0,30
CDM,470529,HEAD FEM HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,470531,SRFC ARTC UMCPRT SZ3 10,4429.0,4429.0,664.35,4429.0,30
CDM,470532,PLATE BN SLIM-LOC 3L 63,4429.0,4429.0,664.35,4429.0,30
CDM,470533,CEMENT BN PMMA 40GM,766.0,766.0,114.9,766.0,30
CDM,470534,PLATE BN TI L45MM HRZN,17905.0,17905.0,2685.75,17905.0,30
CDM,470535,SCREW BNE SPIRE LCK,1609.0,1609.0,241.35,1609.0,30
CDM,470540,GWIRE VASC .035IN 150CM,231.5,231.5,34.73,231.5,42
CDM,470541,HEAD HUM 18MM 52MM,5758.0,5758.0,863.7,5758.0,30
CDM,470542,SCREW SPN XPDM 8X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,470545,CATH GD 4FR 55CM,773.0,773.0,115.95,773.0,42
CDM,470554,PLATE 20 HL ADP,3189.0,3189.0,478.35,3189.0,30
CDM,470560,STEM TIBIAL 3 KNEE,6514.0,6514.0,977.1,6514.0,30
CDM,470561,STEM FEM KN 175X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,470562,BLOCK AUGMT KN SZD 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,470563,AUGMENT TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,470564,CEMENT BN PMMA GMV 40GM,2248.0,2248.0,337.2,2248.0,30
CDM,470567,PLATE SPN 16X75X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
CDM,470568,PLATE 16MM 42X9X2.7MM,3721.0,3721.0,558.15,3721.0,30
CDM,470569,PLATE SPN 12X46X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
CDM,470572,LINER ACTB 10DD +4 36X56,5847.0,5847.0,877.05,5847.0,30
CDM,470573,PLATE 81MM TI 5.5MM,22367.0,22367.0,3355.05,22367.0,30
CDM,470574,PLATE 2LVL TNSN 449.083,22367.0,22367.0,3355.05,22367.0,30
CDM,470576,CAGE SPNL SML CGR 5X12,11959.0,11959.0,1793.85,11959.0,30
CDM,470577,PLATE BN 6HL 3.5MM 84MM,3189.0,3189.0,478.35,3189.0,30
CDM,470578,NAIL FEM IM 12X460MM,4429.0,4429.0,664.35,4429.0,30
CDM,470579,BOLT LOCKING 4.9MMX54MM,2242.0,2242.0,336.3,2242.0,30
CDM,470580,BOLT LCK TI 4.9X64,2242.0,2242.0,336.3,2242.0,30
CDM,470582,BLOCK AUGMNT DIST 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,470584,HEAD FEM HIP 11/13 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,470585,SLEEVE CNTRNG 9.5X18 20F,4252.0,4252.0,637.8,4252.0,30
CDM,470587,CUP TRILOGY NON H 70 MM,6219.0,6219.0,932.85,6219.0,30
CDM,470588,COMPNT FEM KN STD RT E,6644.0,6644.0,996.6,6644.0,30
CDM,470590,COMPNT FEM KN STD LT E,6644.0,6644.0,996.6,6644.0,30
CDM,470591,COMPNT FEM KN STD RT D,6644.0,6644.0,996.6,6644.0,30
CDM,470592,COMPNT FEM KN STD RT G,6644.0,6644.0,996.6,6644.0,30
CDM,470596,PLATE BNE TI 30MM,3578.0,3578.0,536.7,3578.0,30
CDM,470604,PLUG BNCMNT 8MM,1263.0,1263.0,189.45,1263.0,30
CDM,470605,BASEPLATE HUM RSP 30MM,5537.0,5537.0,830.55,5537.0,30
CDM,470606,SCREW BN 5MM 22MM,1069.0,1069.0,160.35,1069.0,30
CDM,470607,SCREW BN LCK 5X18MM,1069.0,1069.0,160.35,1069.0,30
CDM,470608,SCREW BN 5.0MM 14MM,1069.0,1069.0,160.35,1069.0,30
CDM,470609,PLUG BNCMNT 12MM,1684.0,1684.0,252.6,1684.0,30
CDM,470610,STEM HUM RSP 109X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,470612,SOCKET GLND HUM,7751.0,7751.0,1162.65,7751.0,30
CDM,470613,INSERT SCKT HUM STD 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,470614,SCREW BN 4MM 36MM,1519.0,1519.0,227.85,1519.0,30
CDM,470616,ROD SPN MTNR 3.5X60MM,2711.0,2711.0,406.65,2711.0,30
CDM,470617,STAPLER RELOAD CRV 40MM,2732.0,2732.0,409.8,2732.0,30
CDM,470618,SCREW BN 12.7MM 115MM,3189.0,3189.0,478.35,3189.0,30
CDM,470619,STEM FEM HIP 16.5X220MM,13075.0,13075.0,1961.25,13075.0,30
CDM,470620,STEM FEM B L45MM OD40MM,14616.0,14616.0,2192.4,14616.0,30
CDM,470621,COMPNT FEM KN STD LT G,6644.0,6644.0,996.6,6644.0,30
CDM,470624,COMPNT FEM KN STD LT D,6644.0,6644.0,996.6,6644.0,30
CDM,470625,COMPNT TIBTRY 61.8X40.7,11668.0,11668.0,1750.2,11668.0,30
CDM,470627,INSERT SCKT HUM STD 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,470629,SCREW BN 5MM 26MM,1192.0,1192.0,178.8,1192.0,30
CDM,470630,SCREW RETAIN REPLACE,1834.0,1834.0,275.1,1834.0,30
CDM,470631,SCREW BN 5MM 34MM,1073.0,1073.0,160.95,1073.0,30
CDM,470632,SCREW BN N-LCK 3.5X28MM,1595.0,1595.0,239.25,1595.0,30
CDM,470633,PLUG BNCMNT 10MM,1263.0,1263.0,189.45,1263.0,30
CDM,470637,SHELL ACTB HIP 100X52,6432.0,6432.0,964.8,6432.0,30
CDM,470638,LINER ACTB HIP +4 32X54M,4854.0,4854.0,728.1,4854.0,30
CDM,470639,STEM OTH 5 TPRD HI OFST,11073.0,11073.0,1660.95,11073.0,30
CDM,470640,HEAD FEM HIP +5MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,470643,HEAD HUM 23MM 44MM,7483.0,7483.0,1122.45,7483.0,30
CDM,470644,STEM FEM HIP SMT 2 12/14,11073.0,11073.0,1660.95,11073.0,30
CDM,470645,SHELL ACTB PNCL 100X50,4606.0,4606.0,690.9,4606.0,30
CDM,470646,HEAD FEM HIP 12/14 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,470647,LINER ACTB +4 10DD 50X28,4785.0,4785.0,717.75,4785.0,30
CDM,470651,LEAD NRSTM 45CM 1.3MM,4429.0,4429.0,664.35,4429.0,30
CDM,470652,SCREW CLK-X 6.2X50,4429.0,4429.0,664.35,4429.0,30
CDM,470653,SCREW CLICKX 7.0 X 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,470655,NAIL TIBIAL 04.004.552S,4429.0,4429.0,664.35,4429.0,30
CDM,470656,SCREW BN STRL LCK 5X42MM,2143.0,2143.0,321.45,2143.0,30
CDM,470657,SCREW BN 5MM 52MM,2143.0,2143.0,321.45,2143.0,30
CDM,470658,SCREW BN STRL LCK 5X56MM,2143.0,2143.0,321.45,2143.0,30
CDM,470659,NRSTM IMPL PLS GEN,43298.0,43298.0,6494.7,43298.0,30
CDM,470661,HEAD FEM HIP +6 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,470662,HEAD HUM OFST 19MM 46MM,6459.0,6459.0,968.85,6459.0,30
CDM,470666,INSERT TIB 2 10MM,6183.0,6183.0,927.45,6183.0,30
CDM,470668,SPACER SPNL 22MMX8MM,11081.0,11081.0,1662.15,11081.0,30
CDM,470669,SCREW MUL AX 5.5X35,4429.0,4429.0,664.35,4429.0,30
CDM,470672,ANCHOR TI NRSTM KIT,2392.0,2392.0,358.8,2392.0,30
CDM,470674,SRFC ARTC C D 10,4429.0,4429.0,664.35,4429.0,30
CDM,470677,TRAY MOD TIB CEM COCR 3,4606.0,4606.0,690.9,4606.0,30
CDM,470678,INSERT DEP SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,470679,COMPNT FEM 3 LT CR NPOR,6423.0,6423.0,963.45,6423.0,30
CDM,470680,LEAD XTN XTRN 40-60,4429.0,4429.0,664.35,4429.0,30
CDM,470682,NAIL BN FEM 11MM 40CM,4872.0,4872.0,730.8,4872.0,30
CDM,470684,CAP ONE PCS ITST LKNG 10,1834.0,1834.0,275.1,1834.0,30
CDM,470685,SCREW BN 5.5X45MM,2073.0,2073.0,310.95,2073.0,30
CDM,470686,SCREW BN 5.5MM 55MM,2073.0,2073.0,310.95,2073.0,30
CDM,470689,COMPNT FEM KN STD LT F,6644.0,6644.0,996.6,6644.0,30
CDM,470702,KIT DEV DISP ACCESSORY,773.0,773.0,115.95,773.0,42
CDM,470704,STEM HUM RSP 105X7MM,13287.0,13287.0,1993.05,13287.0,30
CDM,470705,SCREW CORT 4.0X18,3012.0,3012.0,451.8,3012.0,30
CDM,470706,SCREW BNE L16 OD4.5,3012.0,3012.0,451.8,3012.0,30
CDM,470711,GWIRE VASC .035IN 260CM,231.5,231.5,34.73,231.5,42
CDM,470713,ELECTRODE ESURG 90D 6IN,87.0,87.0,13.05,87.0,42
CDM,470714,CMPNT FEM SZH 76MM,6644.0,6644.0,996.6,6644.0,30
CDM,470715,CMPNT TIB KN SZ10,4606.0,4606.0,690.9,4606.0,30
CDM,470717,FEM PFC SGM 63X59 2.5 RT,14578.0,14578.0,2186.7,14578.0,30
CDM,470718,INSERT TIB 2.5 10MM,6003.0,6003.0,900.45,6003.0,30
CDM,470727,SCREW BN CPTR HEX 4.5X40,1942.0,1942.0,291.3,1942.0,30
CDM,470728,SCRW CANC AXON 4.0X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,470730,SCREW BN 2.7MM 5MM 20MM,423.0,423.0,63.45,423.0,30
CDM,470731,SCREW BN 2.7MM 5MM 22MM,423.0,423.0,63.45,423.0,30
CDM,470732,SCREW BN TI L40 OD7 EXPD,4429.0,4429.0,664.35,4429.0,30
CDM,470733,SCREW BN 7MM 45MM XPDM T,4429.0,4429.0,664.35,4429.0,30
CDM,470734,CAGE SPNL 21X9X9MM,6644.0,6644.0,996.6,6644.0,30
CDM,470735,VALVE MITRAL 27MM,21932.0,21932.0,3289.8,21932.0,30
CDM,470736,PLATE BN 4.5MM 170MM,7242.0,7242.0,1086.3,7242.0,30
CDM,470737,SCREW BN 5MM 85MM,3086.0,3086.0,462.9,3086.0,30
CDM,470739,SCREW BN LCK 5MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,470743,SCREW BN 5MM 75MM,2289.0,2289.0,343.35,2289.0,30
CDM,470747,KWIRE FX 150MM 1.6MM,231.5,231.5,34.73,231.5,42
CDM,470748,COMPNT FEM KN STD RT H,6644.0,6644.0,996.6,6644.0,30
CDM,470752,PLATE SPN 34-36X6.35MM,6442.0,6442.0,966.3,6442.0,30
CDM,470753,PLATE SPINE LOCKING 73MM,15068.0,15068.0,2260.2,15068.0,30
CDM,470754,STEM HUM M TPR SZ10,11959.0,11959.0,1793.85,11959.0,30
CDM,470755,HEAD HUM SHLDR 22X46MM,5005.0,5005.0,750.75,5005.0,30
CDM,470757,PLATE 12MM 34X9X2.7MM,3721.0,3721.0,558.15,3721.0,30
CDM,470759,CEMENT BN CHRNS 1.4-2.8,3721.0,3721.0,558.15,3721.0,30
CDM,470760,SCREW BN 5MN 30MM,1069.0,1069.0,160.35,1069.0,30
CDM,470763,COMPNT FEM KN STD RT F,6644.0,6644.0,996.6,6644.0,30
CDM,470767,ROD SPINAL TI SFT 6.0X12,3012.0,3012.0,451.8,3012.0,30
CDM,470768,NEEDLE SUT REG 2.457IN,109.5,109.5,16.43,109.5,42
CDM,470770,SPACER SPNL 22MMX14MM,15170.0,15170.0,2275.5,15170.0,30
CDM,470772,CMPNT FEM SZE LT MED/R,5980.0,5980.0,897.0,5980.0,30
CDM,470774,SCREW BN MED 4.2X50MM,2073.0,2073.0,310.95,2073.0,30
CDM,470775,CAP FEM NAIL,1834.0,1834.0,275.1,1834.0,30
CDM,470776,NAIL FEM 11MM 42CM,4872.0,4872.0,730.8,4872.0,30
CDM,470777,PLATE BN 5HL 4.5X98MM,3189.0,3189.0,478.35,3189.0,30
CDM,470778,PLATE BN 4.5X5MM,3721.0,3721.0,558.15,3721.0,30
CDM,470784,STEM FEM HIP 13.5X126MM,10630.0,10630.0,1594.5,10630.0,30
CDM,470785,INSERT ART 5-6MM GH 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,470790,INSERT ARTC UNCMP 2 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,470791,TRAY TIB SZ2 LT MED/R,4606.0,4606.0,690.9,4606.0,30
CDM,470797,INSERT TIB KN 74X46X10MM,5394.0,5394.0,809.1,5394.0,30
CDM,470804,ROD ORTH 200X8MM PLRS,5382.0,5382.0,807.3,5382.0,30
CDM,470805,HEAD HUM SHLDR 46X22MM,5005.0,5005.0,750.75,5005.0,30
CDM,470806,STEM HUM TPR SZ8,11959.0,11959.0,1793.85,11959.0,30
CDM,470807,INSERT TIB LG 9MM LT KN,4780.0,4780.0,717.0,4780.0,30
CDM,470808,COMP PATELLA LARGE,4429.0,4429.0,664.35,4429.0,30
CDM,470811,SCREW SPN 6.2MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,470812,ROD SPN XIA 45MM 4.25IN,2711.0,2711.0,406.65,2711.0,30
CDM,470814,CEMENT BN VOID 5CC,3189.0,3189.0,478.35,3189.0,30
CDM,470815,HEAD HUM SHLDR 22X42MM,4872.0,4872.0,730.8,4872.0,30
CDM,470817,STEM FEM HIP 15MM 129MM,10630.0,10630.0,1594.5,10630.0,30
CDM,470818,NEEDLE SUTURE DISP,1023.5,1023.5,153.53,1023.5,42
CDM,470820,STEMHUM SHLDR 133MM 8MM,11896.0,11896.0,1784.4,11896.0,30
CDM,470826,BOLT PED 6.25X40 MON,3765.0,3765.0,564.75,3765.0,30
CDM,470828,BAR SPNL TI FLT STRL,2165.0,2165.0,324.75,2165.0,30
CDM,470829,BOLT PED 6.25X45 MON,3765.0,3765.0,564.75,3765.0,30
CDM,470830,CABLE SPN DBL LP CRMP,3396.0,3396.0,509.4,3396.0,30
CDM,470831,NUT LCK MNRCH DOME SPNE,1506.0,1506.0,225.9,1506.0,30
CDM,470833,CEMENT BN GNTA PMMA 40GM,2248.0,2248.0,337.2,2248.0,30
CDM,470834,STEM HUM M TRP SZ12,12402.0,12402.0,1860.3,12402.0,30
CDM,470835,CMPNT GLENOID PEG 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,470836,HEAD HUM SHLDR 50X22MM,5050.0,5050.0,757.5,5050.0,30
CDM,470839,PLATE BN 4HL 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,470840,PLATE BN 6HL 4.5X116MM,3189.0,3189.0,478.35,3189.0,30
CDM,470841,PLATE BN 7HL 4.5MM 134MM,3189.0,3189.0,478.35,3189.0,30
CDM,470842,PLATE BN 8HL 152MM,3189.0,3189.0,478.35,3189.0,30
CDM,470843,PLATE BN 170X13.5X4.2MM,3189.0,3189.0,478.35,3189.0,30
CDM,470844,PLATE BN 4.5X188MM,3189.0,3189.0,478.35,3189.0,30
CDM,470845,PLATE BN LCP 11HL 4.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,470846,PLATE BN 224X13.5X4.2MM,3403.0,3403.0,510.45,3403.0,30
CDM,470847,PLATE BN 14HL 4.5X260MM,3721.0,3721.0,558.15,3721.0,30
CDM,470848,PLATE BN 4.5MM 296MM,4263.0,4263.0,639.45,4263.0,30
CDM,470849,PLATE BN 6HL 4.5X116MM,3189.0,3189.0,478.35,3189.0,30
CDM,470850,PLATE BN 7H 4.5MM 134MM,3189.0,3189.0,478.35,3189.0,30
CDM,470852,PLATE BN 4.5MM 170MM,3627.0,3627.0,544.05,3627.0,30
CDM,470853,PLATE BN 10HL 4.5X188MM,3721.0,3721.0,558.15,3721.0,30
CDM,470854,PLATE BN 11HL 4.5X206MM,3721.0,3721.0,558.15,3721.0,30
CDM,470855,PLATE BN 12HL 4.5X224MM,3721.0,3721.0,558.15,3721.0,30
CDM,470856,PLATE BN 14H 4.5MM 260MM,4090.0,4090.0,613.5,4090.0,30
CDM,470857,PLATE BN 16H 4.5MM 296MM,4906.0,4906.0,735.9,4906.0,30
CDM,470858,PLATE BN 4.5 6H 115MM,3721.0,3721.0,558.15,3721.0,30
CDM,470859,PLATE BN 4.5/5MM 147MM,3923.0,3923.0,588.45,3923.0,30
CDM,470864,SCREW BN 4MM 26MM,1788.0,1788.0,268.2,1788.0,30
CDM,470874,SCREW BN 5MM 14MM,1699.0,1699.0,254.85,1699.0,30
CDM,470875,SCREW BN 5MM 4.4MM 16MM,1699.0,1699.0,254.85,1699.0,30
CDM,470876,SCREW BN LCK 5X18MM,1699.0,1699.0,254.85,1699.0,30
CDM,470877,SCREW BN 5MM 4.4MM 20MM,1938.0,1938.0,290.7,1938.0,30
CDM,470878,SCREW BN 5MM 22MM,1699.0,1699.0,254.85,1699.0,30
CDM,470879,SCREW BN 5MM 4.4MM 24MM,1699.0,1699.0,254.85,1699.0,30
CDM,470880,SCREW BN LCK 5X26MM,1699.0,1699.0,254.85,1699.0,30
CDM,470881,SCREW BN LCK 5X28MM,1699.0,1699.0,254.85,1699.0,30
CDM,470882,SCREW BN 5MM 4.4MM 30MM,1699.0,1699.0,254.85,1699.0,30
CDM,470883,SCREW BN LCK 5X32MM,1699.0,1699.0,254.85,1699.0,30
CDM,470884,SCREW BN LCK 5X34MM,1699.0,1699.0,254.85,1699.0,30
CDM,470885,SCREW BN LCK 5X36MM,1699.0,1699.0,254.85,1699.0,30
CDM,470886,SCREW BN 5MM 4.4MM 38MM,1699.0,1699.0,254.85,1699.0,30
CDM,470887,SCREW BN LCK 5X40MM,1699.0,1699.0,254.85,1699.0,30
CDM,470888,SCREW BN 5MM 4.4MM 42MM,1938.0,1938.0,290.7,1938.0,30
CDM,470889,SCREW BN 5MM 4.4MM 44MM,1938.0,1938.0,290.7,1938.0,30
CDM,470890,SCREW BN LCK 5X46MM,1938.0,1938.0,290.7,1938.0,30
CDM,470891,SCREW BN 5MM 48MM,1938.0,1938.0,290.7,1938.0,30
CDM,470892,SCREW BN LCK 5MM 50MM,1938.0,1938.0,290.7,1938.0,30
CDM,470893,SCREW BN LCK 5MM 55MM,1938.0,1938.0,290.7,1938.0,30
CDM,470894,SCREW BN LCK 5X60MM,2518.0,2518.0,377.7,2518.0,30
CDM,470895,SCREW BN LCK 5X65MM,1938.0,1938.0,290.7,1938.0,30
CDM,470896,SCREW BN 5MM 70MM,1699.0,1699.0,254.85,1699.0,30
CDM,470897,SCREW BN LCK 5MM 75MM,1699.0,1699.0,254.85,1699.0,30
CDM,470898,SCREW BN LCK 5MM 80MM,1699.0,1699.0,254.85,1699.0,30
CDM,470899,SCREW BN LCK 5MM 85MM,1699.0,1699.0,254.85,1699.0,30
CDM,470900,SCREW BN LCK 5X4.4X90MM,1938.0,1938.0,290.7,1938.0,30
CDM,470901,GWIRE ORTH 2MM 230MM,439.0,439.0,65.85,439.0,42
CDM,470907,STEM FEM 215X18X13MM,11585.0,11585.0,1737.75,11585.0,30
CDM,470908,LNR ACTB 10DD +4 32x50,4429.0,4429.0,664.35,4429.0,30
CDM,470928,SPACER SPNL 25X11X11MM,13287.0,13287.0,1993.05,13287.0,30
CDM,470929,SPACER SPNL 25X11X13MM,13287.0,13287.0,1993.05,13287.0,30
CDM,470930,SPACER SPNL 25X10X7MM,11959.0,11959.0,1793.85,11959.0,30
CDM,470932,STEM FEM KN 14X155MM,4429.0,4429.0,664.35,4429.0,30
CDM,470934,INSERT TIB XLG 16 PS LPD,4606.0,4606.0,690.9,4606.0,30
CDM,470935,STEM FEM OFST 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,470937,SPACER SPNL 33X12X13MM T,9667.0,9667.0,1450.05,9667.0,30
CDM,470940,SCREW BN 6.5MM 50MM,877.0,877.0,131.55,877.0,30
CDM,470942,SPACER SPNL PK 30X10X11,11073.0,11073.0,1660.95,11073.0,30
CDM,470949,SCREW BN 5MM 38MM,1192.0,1192.0,178.8,1192.0,30
CDM,470950,STEM HUM RSP 124X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,470951,INSERT SCKT HUM STD 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,470953,HEAD HUM SHLDR 27X42MM,5050.0,5050.0,757.5,5050.0,30
CDM,470957,CAGE COUGAR SMALL 12MM 1,11959.0,11959.0,1793.85,11959.0,30
CDM,470959,ROD CFBR EX FX 8X240MM,1042.0,1042.0,156.3,1042.0,42
CDM,470961,CAGE 22X10X13 08.803.015,6644.0,6644.0,996.6,6644.0,30
CDM,470962,CAGE 22X10X15 08.803.016,6644.0,6644.0,996.6,6644.0,30
CDM,470967,PLATE T 2.4 LCP 3H/3H,3189.0,3189.0,478.35,3189.0,30
CDM,470968,SCREW BN 2.4MM 22MM,2075.0,2075.0,311.25,2075.0,30
CDM,470969,SCREW BN 2.4MM 30MM,599.0,599.0,89.85,599.0,30
CDM,470970,SCREW BN ST 2.4MM 20MM,2015.0,2015.0,302.25,2015.0,30
CDM,470971,SCREW BN 2.4MM 1.9MM,1334.0,1334.0,200.1,1334.0,30
CDM,470973,STEM FEM HIP STD SZ7.5,10630.0,10630.0,1594.5,10630.0,30
CDM,470977,SCREW BNE TI L40MM OD8MM,3721.0,3721.0,558.15,3721.0,30
CDM,470979,CMPNT SCRP PTLR #11,4429.0,4429.0,664.35,4429.0,30
CDM,470980,TRAY TIB KNEE 7115-0011,7280.0,7280.0,1092.0,7280.0,30
CDM,470981,COMPONENT KN FEM LT #11,12440.0,12440.0,1866.0,12440.0,30
CDM,470989,STEM FEM CMNT HIP 105MM,17450.0,17450.0,2617.5,17450.0,30
CDM,470991,CATH URTH 4FR 50CM,1146.0,1146.0,171.9,1146.0,42
CDM,470992,STEM HUM REV 175X6MM,19931.0,19931.0,2989.65,19931.0,30
CDM,470993,INSERT SCKT HUM 8MM,7751.0,7751.0,1162.65,7751.0,30
CDM,470994,INSERT SCKT HUM STD 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,470995,KIT UROS 2.25IN 9IN,31.0,31.0,5.71,31.0,26
CDM,470995,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",31.0,31.0,4.85,7.51,34
CDM,470996,PLATE BNE TI L35MM ANT L,12402.0,12402.0,1860.3,12402.0,30
CDM,471000,CATH GD 5FR 100CM,605.0,605.0,90.75,605.0,42
CDM,471001,BLADE SAW 1.35MM,773.0,773.0,115.95,773.0,42
CDM,471002,CMPNT PTLR KN 9MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,471003,CMPNT FEM 4 LT,8858.0,8858.0,1328.7,8858.0,30
CDM,471004,KNEE GNS HIFLEX 71424509,4429.0,4429.0,664.35,4429.0,30
CDM,471005,BLADE SAW 1.9MM 90MM,1072.5,1072.5,160.88,1072.5,42
CDM,471006,INSRT TIB SZ4 14 AMK CN,4606.0,4606.0,690.9,4606.0,30
CDM,471007,KNEE-PRIMARY LCK PIN,3189.0,3189.0,478.35,3189.0,30
CDM,471008,VIRABLE FIT TIB CUP,4252.0,4252.0,637.8,4252.0,30
CDM,471010,PLATE SPN 25X6.35MM,5474.0,5474.0,821.1,5474.0,30
CDM,471013,CAGE 22X10X11 08.803.014,6644.0,6644.0,996.6,6644.0,30
CDM,471020,SCREW GLNOD 30 BSPLT,5537.0,5537.0,830.55,5537.0,30
CDM,471021,INSERT SCKT HUM 4MM,7751.0,7751.0,1162.65,7751.0,30
CDM,471022,HEAD HUM SHLDR OFST 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,471023,CMPNT TIB KN SZ9,4606.0,4606.0,690.9,4606.0,30
CDM,471027,SCRW PA 8.5 X 45 MM,4429.0,4429.0,664.35,4429.0,30
CDM,471028,STEM HUM RSP 116X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471029,HEAD HUM SHLDR 27X54MM,5050.0,5050.0,757.5,5050.0,30
CDM,471031,CAGE SPNL 150MM 12MM,18298.0,18298.0,2744.7,18298.0,30
CDM,471032,IMPLNT ORBT NYL .3 4X4,267.0,267.0,40.05,267.0,30
CDM,471033,PLATE BN T 3H 3.5MM 96MM,3189.0,3189.0,478.35,3189.0,30
CDM,471034,SPCR SPNL TI 30X10X15 VR,13287.0,13287.0,1993.05,13287.0,30
CDM,471035,WEDGE KN TIB SZ5 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,471036,WEDGE TIB KN 5X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,471040,SPACER VRTBRL SYN 17MM,11073.0,11073.0,1660.95,11073.0,30
CDM,471045,NAIL BN 10MM 200MM,5037.0,5037.0,755.55,5037.0,30
CDM,471046,SCREW BN 5X70MM,1913.0,1913.0,286.95,1913.0,30
CDM,471047,SCREW BNE 5.0X60 LCK,1913.0,1913.0,286.95,1913.0,30
CDM,471048,SCREW T2 F/T LCK 5X55,1913.0,1913.0,286.95,1913.0,30
CDM,471049,SCREW BN 5X42.5MM,1913.0,1913.0,286.95,1913.0,30
CDM,471050,SCREW BN LCK 5X32.5MM,1913.0,1913.0,286.95,1913.0,30
CDM,471051,CAP END ANKLE 4MM,2391.0,2391.0,358.65,2391.0,30
CDM,471052,GWIRE ORTH T2 3X800MM,1072.5,1072.5,160.88,1072.5,42
CDM,471053,BIT DRILL 340MM 4.2MM,1080.5,1080.5,162.07,1080.5,42
CDM,471054,KWIRE FX 310MM 1.8MM,1104.5,1104.5,165.68,1104.5,42
CDM,471061,COMP FEM 3 8X58MM KN LT,12556.0,12556.0,1883.4,12556.0,30
CDM,471062,INSERT TIBIAL SZ11 10MM,9452.0,9452.0,1417.8,9452.0,30
CDM,471088,ROD SPN SYS 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,471089,HEAD HUM 21MM 44MM,5894.0,5894.0,884.1,5894.0,30
CDM,471092,STEMHUM SHLDR 145MM 12MM,13016.0,13016.0,1952.4,13016.0,30
CDM,471093,CMPNT FEM STD PTLFEM LT,7087.0,7087.0,1063.05,7087.0,30
CDM,471094,SCREW BIOINT AR-1390B,2264.0,2264.0,339.6,2264.0,30
CDM,471095,CATHETER GD 100CM 5FR,773.0,773.0,115.95,773.0,42
CDM,471096,ANCHOR SUT 5.5MM 15.0MM,3189.0,3189.0,478.35,3189.0,30
CDM,471097,ANCHOR SUT 3.5MM 19.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,471098,SPACER SPNL 30X10X7MM,22137.0,22137.0,3320.55,22137.0,30
CDM,471099,SCREW BN S/T 2.7MM 14MM,423.0,423.0,63.45,423.0,30
CDM,471104,COMP FEM 2 KN CMNT,8416.0,8416.0,1262.4,8416.0,30
CDM,471105,TIB PRSVN RM/LL 7MMZ 3,4606.0,4606.0,690.9,4606.0,30
CDM,471106,BLADE SAW 70X9.5X1.27MM,1130.0,1130.0,169.5,1130.0,42
CDM,471107,HEAD HUM 18MM 44MM,7782.0,7782.0,1167.3,7782.0,30
CDM,471108,HEAD HUM SHLDR 27X50MM,4734.0,4734.0,710.1,4734.0,30
CDM,471111,PLATE PREM ANT CERV 70MM,8473.0,8473.0,1270.95,8473.0,30
CDM,471112,BLADE SAW 13MM 90MM,773.0,773.0,115.95,773.0,42
CDM,471114,HEAD HUM SHLDR 27X46MM,4734.0,4734.0,710.1,4734.0,30
CDM,471115,STENT EPRSTH 11X16X59MM,10997.0,10997.0,1649.55,10997.0,30
CDM,471118,CATH MLCT 4 WNG 22FR,446.0,446.0,66.9,446.0,42
CDM,471119,KNEE UNI ORTH FXD DUAL,11974.0,11974.0,1796.1,11974.0,30
CDM,471121,TRAY TIB KN RP SZ4,11668.0,11668.0,1750.2,11668.0,30
CDM,471122,CMPNT AGMNT 2.5X4MM,4252.0,4252.0,637.8,4252.0,30
CDM,471123,EXTENSION STM 90MM 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,471124,COMPNT CRCTE LT KN 63X59,11861.0,11861.0,1779.15,11861.0,30
CDM,471125,INSERT TIB KN 2.5 17.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,471126,HEAD HUM SHLDR 22X42MM,4734.0,4734.0,710.1,4734.0,30
CDM,471127,STEM HUM TPR SZ6,11128.0,11128.0,1669.2,11128.0,30
CDM,471129,SPCR SYN 12X30X10,9667.0,9667.0,1450.05,9667.0,30
CDM,471132,CAGE SPNL 30X10 LMBR,11804.0,11804.0,1770.6,11804.0,30
CDM,471134,CAGE SPNL SML CGR 5X14,13287.0,13287.0,1993.05,13287.0,30
CDM,471135,PLATE BNE TI L43MM ANT L,16610.0,16610.0,2491.5,16610.0,30
CDM,471137,SPCR SYN 10X30X10,9667.0,9667.0,1450.05,9667.0,30
CDM,471141,LINER ACTB ELEV RM SZG,6633.0,6633.0,994.95,6633.0,30
CDM,471144,SCREW SPN 2MM 6MM,753.0,753.0,112.95,753.0,30
CDM,471145,SCREW SPN 2MM 4MM,678.0,678.0,101.7,678.0,30
CDM,471146,SCREW SPN 2.0MM 6MM,678.0,678.0,101.7,678.0,30
CDM,471147,SCREW SPN 2MM 8MM,678.0,678.0,101.7,678.0,30
CDM,471148,PLATE BONE 10X33 443.170,4241.0,4241.0,636.15,4241.0,30
CDM,471149,PLATE SPN 2.0MM 33/10MM,4429.0,4429.0,664.35,4429.0,30
CDM,471151,SPACER ALGRF 6X9X4MM ARC,4571.0,4571.0,685.65,4571.0,30
CDM,471164,CANNULA ARTHSCP 7CM 7MM,406.0,406.0,60.9,406.0,42
CDM,471165,STAPLE BN 20X25 CHARLT,2392.0,2392.0,358.8,2392.0,30
CDM,471166,STPL BNE COMPRESION,2392.0,2392.0,358.8,2392.0,30
CDM,471167,STAPLE WRIGHT 43110004,2392.0,2392.0,358.8,2392.0,30
CDM,471170,CMPNT GLENOID PEG 42MM,4695.0,4695.0,704.25,4695.0,30
CDM,471173,HEAD FEM SROM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,471174,SLEEVE CNTRNG 20F LG,4252.0,4252.0,637.8,4252.0,30
CDM,471175,STEM FEM HIP 165X20X15MM,6644.0,6644.0,996.6,6644.0,30
CDM,471176,SCREW BN 5.0MM 50MM,877.0,877.0,131.55,877.0,30
CDM,471177,SCREW BN 5MM 55MM,877.0,877.0,131.55,877.0,30
CDM,471178,CUP ACTB 56MM PNCL REV,7032.0,7032.0,1054.8,7032.0,30
CDM,471180,SPACER SPN 6D 30X10X9MM,19148.0,19148.0,2872.2,19148.0,30
CDM,471181,SCREW BN 6.5MM 35MM,877.0,877.0,131.55,877.0,30
CDM,471182,PLATE CNDYL 4.5 8H/206-L,7035.0,7035.0,1055.25,7035.0,30
CDM,471183,SCREW BN 5MM 4.4MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,471184,SCREW BN 7.3MM 5MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,471187,PLATE 140MM ALTIVA,7973.0,7973.0,1195.95,7973.0,30
CDM,471189,SCREW BN 40 4.5 XIA II S,4429.0,4429.0,664.35,4429.0,30
CDM,471190,CONNECTOR MAC 23 MM,3765.0,3765.0,564.75,3765.0,30
CDM,471191,CONNECTOR ROD 26MM XIA X,3765.0,3765.0,564.75,3765.0,30
CDM,471192,PK PERC-DLE SPINEWAND,7162.5,7162.5,1074.38,7162.5,42
CDM,471194,CUP ACETB 56/50 DPPRO RV,7032.0,7032.0,1054.8,7032.0,30
CDM,471195,SROM STM LNG36+8L NK13,14578.0,14578.0,2186.7,14578.0,30
CDM,471198,SLEEVE CNTRNG 16D LG,4252.0,4252.0,637.8,4252.0,30
CDM,471199,SLEEVE +9MM 11/13 HIP,4252.0,4252.0,637.8,4252.0,30
CDM,471200,CUP ACTB HIP 52MM,9301.0,9301.0,1395.15,9301.0,30
CDM,471201,HEAD UNIPLR 46MM ASR,4606.0,4606.0,690.9,4606.0,30
CDM,471205,SPACER SPNL 30X13MM,11959.0,11959.0,1793.85,11959.0,30
CDM,471207,STAPLE BN 15X25 CHARLT,2392.0,2392.0,358.8,2392.0,30
CDM,471210,SCREW SPN 4MM 12MM,1152.0,1152.0,172.8,1152.0,30
CDM,471212,SPACER SPN SYN 10X30X8,9667.0,9667.0,1450.05,9667.0,30
CDM,471213,SPCR SPNL TI 30X10X9,9667.0,9667.0,1450.05,9667.0,30
CDM,471215,CABLE SPN TI W/ CRMP,3012.0,3012.0,451.8,3012.0,30
CDM,471216,SPACER VERTEBRAL H21MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471218,HEAD HUM SHLDR 22X54MM,4734.0,4734.0,710.1,4734.0,30
CDM,471219,CMPNT GLENOID PEG 38MM,4872.0,4872.0,730.8,4872.0,30
CDM,471221,SLEEVE CTR 12/14 ASR TPR,4252.0,4252.0,637.8,4252.0,30
CDM,471222,SPACER SPNL 25X11X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471223,SPACER SPNL 25X11X13MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471231,CAGE SPNL CGR 10MM MED,13287.0,13287.0,1993.05,13287.0,30
CDM,471233,CMPNT FEM KN RT SZ5,16889.0,16889.0,2533.35,16889.0,30
CDM,471234,SEALER BIP .137IN .226IN,2824.0,2824.0,423.6,2824.0,42
CDM,471238,HEAD HUM SHLDR 22X50MM,5050.0,5050.0,757.5,5050.0,30
CDM,471240,SYSTEM EMB 7MM 180CM,4614.0,4614.0,692.1,4614.0,42
CDM,471241,CATH GD 3DRT 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,471243,CATH GD STDJR5 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,471247,COMPNT FEM 00584201601,5980.0,5980.0,897.0,5980.0,30
CDM,471248,SCREW BN 5MM 4.4MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,471249,PLATE LCK TIB 6 HL,7308.0,7308.0,1096.2,7308.0,30
CDM,471250,SPACER SPNL 25X11X11MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471255,SCREW SPN 5.5MM 5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,471256,SPACER SPNL 25X10X8MM,11959.0,11959.0,1793.85,11959.0,30
CDM,471261,GRAFT CV 30MM 60CM,3765.0,3765.0,564.75,3765.0,30
CDM,471263,PLATE SPN 75MM,8473.0,8473.0,1270.95,8473.0,30
CDM,471264,SCREW BN SPN 4MM 18MM,3012.0,3012.0,451.8,3012.0,30
CDM,471265,HEAD SHLDR HUM 40X15 MM,8792.0,8792.0,1318.8,8792.0,30
CDM,471266,STEM SHLDR-HUMERAL 7,14333.0,14333.0,2149.95,14333.0,30
CDM,471267,INS ORTH 7 TPRD STD OFST,11073.0,11073.0,1660.95,11073.0,30
CDM,471268,HEAD UNIPLR 53MM ASR,6386.0,6386.0,957.9,6386.0,30
CDM,471269,CUP ACTB 60MM ASR XL,16005.0,16005.0,2400.75,16005.0,30
CDM,471270,SLEEVE HIP TAPER 12/14,3444.0,3444.0,516.6,3444.0,30
CDM,471271,SPACER SPN 6D 30X10X8MM,19148.0,19148.0,2872.2,19148.0,30
CDM,471273,IMPLANT BROW FX 3MM,4061.0,4061.0,609.15,4061.0,30
CDM,471274,IMP KNEE INT 6300-071-10,4429.0,4429.0,664.35,4429.0,30
CDM,471277,COMP PTLR 7 .5MM OFST,4252.0,4252.0,637.8,4252.0,30
CDM,471282,NAIL BN HUM 9MM 30CM,4429.0,4429.0,664.35,4429.0,30
CDM,471283,SCREW BN 4X50MM,3037.0,3037.0,455.55,3037.0,30
CDM,471284,SCREW BN 4MM 32MM,3037.0,3037.0,455.55,3037.0,30
CDM,471287,ROD SPN CRV 40X6MM,3012.0,3012.0,451.8,3012.0,30
CDM,471289,NEUROSTIM XTN SPN 60CM,3721.0,3721.0,558.15,3721.0,30
CDM,471290,STEM HUM RSP 101X6MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471291,SCREW BN N-LCK 3.5X14MM,1192.0,1192.0,178.8,1192.0,30
CDM,471293,PIN FIXATION TEMPORARY 3,1023.5,1023.5,153.53,1023.5,42
CDM,471294,CUP ACTB 56MM ASR TPRD,16485.0,16485.0,2472.75,16485.0,30
CDM,471295,HEAD UNIPLR 49MM ASR,6578.0,6578.0,986.7,6578.0,30
CDM,471297,SLEEVE HIP TAPER 12/14+8,4252.0,4252.0,637.8,4252.0,30
CDM,471299,PROSTH PENL 18CM 12.5MM,48691.0,48691.0,7303.65,48691.0,30
CDM,471300,STENT VASC 6X37MM 80CM,9036.0,9036.0,1355.4,9036.0,30
CDM,471302,SCREW CLK-X 5.2X45,3765.0,3765.0,564.75,3765.0,30
CDM,471303,SCREW 5.2T CLK X PD DL C,3721.0,3721.0,558.15,3721.0,30
CDM,471304,STEM FEM HIP 13X170MM,14769.0,14769.0,2215.35,14769.0,30
CDM,471305,STENT VASC 7X37MM 80CM,9036.0,9036.0,1355.4,9036.0,30
CDM,471309,ROD SOFT 6.0MM X 150MM 4,3012.0,3012.0,451.8,3012.0,30
CDM,471310,SPACER SPN 6D 30X10X12MM,19148.0,19148.0,2872.2,19148.0,30
CDM,471312,SCRW 7.5X30MM MA,4429.0,4429.0,664.35,4429.0,30
CDM,471315,LEAD PCNG 54CM,2699.0,2699.0,404.85,2699.0,30
CDM,471316,PLATE BM TI HUM SM RT,4429.0,4429.0,664.35,4429.0,30
CDM,471318,GWIRE ORTHO 2MM 9IN,338.5,338.5,50.77,338.5,42
CDM,471319,SCREW BN 4.5MM 30.0MM,2105.0,2105.0,315.75,2105.0,30
CDM,471320,SCREW BN 4.5MM 37.5MM,2105.0,2105.0,315.75,2105.0,30
CDM,471321,SCREW BN 5MM 45MM,2105.0,2105.0,315.75,2105.0,30
CDM,471322,SCREW BN CORT 3.5MM 20MM,957.0,957.0,143.55,957.0,30
CDM,471323,SCREW BN CORT 3.5X22.5MM,957.0,957.0,143.55,957.0,30
CDM,471324,IMPLANT BREAST 550CC,4429.0,4429.0,664.35,4429.0,30
CDM,471325,KWIRE FX 285MM 3MM,870.0,870.0,130.5,870.0,42
CDM,471326,STEM HUM HOWMEDICA,11959.0,11959.0,1793.85,11959.0,30
CDM,471327,HEAD HUM SHLDR 45X15MM,5315.0,5315.0,797.25,5315.0,30
CDM,471334,INSERT TIB KN 9 8MM,9452.0,9452.0,1417.8,9452.0,30
CDM,471336,SPACER VERTEBRAL H19MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471337,SPACER SPNL 25X10X12MM,25101.0,25101.0,3765.15,25101.0,30
CDM,471341,SCREW EXP DL-INNIE POLY,4429.0,4429.0,664.35,4429.0,30
CDM,471346,EXTENSION KIT 20CM STRET,4429.0,4429.0,664.35,4429.0,30
CDM,471347,SCREW BONE L12MM OD3.5MM,6281.0,6281.0,942.15,6281.0,30
CDM,471348,SCREW SPN 15X3.5MM,753.0,753.0,112.95,753.0,30
CDM,471349,BIT DRILL 2.4MM,386.5,386.5,57.98,386.5,42
CDM,471351,ROD LEGACY TI 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,471355,SPACE BN TPLIF10X30X10MM,19997.0,19997.0,2999.55,19997.0,30
CDM,471356,WAND ARTHROCARE LNG,7162.5,7162.5,1074.38,7162.5,42
CDM,471357,NAIL FEM TROCH 456.417S,8024.0,8024.0,1203.6,8024.0,30
CDM,471359,SCREW BN 4X1.6X2.9MM,502.0,502.0,75.3,502.0,30
CDM,471362,CAGE SPNL 23X12X11 CONCO,6644.0,6644.0,996.6,6644.0,30
CDM,471363,CAGE SPNL L23XW9XH9 CONC,6644.0,6644.0,996.6,6644.0,30
CDM,471364,CAGE SPNL L23XW10XH9 CON,6644.0,6644.0,996.6,6644.0,30
CDM,471365,SCREW BN TI L3MM LPRO NE,502.0,502.0,75.3,502.0,30
CDM,471367,ROD SPN HARD 6MM 400MM,2711.0,2711.0,406.65,2711.0,30
CDM,471370,KIT ASMBL PROS PENILE,4093.0,4093.0,613.95,4093.0,42
CDM,471371,CUP ACTB 58MM ASR TPRD,16005.0,16005.0,2400.75,16005.0,30
CDM,471373,GRAFT BN SQUARE 5X5CM,9248.0,9248.0,1387.2,9248.0,30
CDM,471375,KWIRE FX 6IN 1.6MM,773.0,773.0,115.95,773.0,42
CDM,471376,BIT DRL 2.5MM,1064.5,1064.5,159.68,1064.5,42
CDM,471381,PLATE SPN 1LVL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,471382,SCREW SPN 4.6MM 14MM,3765.0,3765.0,564.75,3765.0,30
CDM,471383,VALVE SHNT INLN 45CM,18425.0,18425.0,2763.75,18425.0,30
CDM,471384,SPACER SPNL 30X10X10MM,19148.0,19148.0,2872.2,19148.0,30
CDM,471385,CAGE SPNL 25X28X31-46MM,27876.0,27876.0,4181.4,27876.0,30
CDM,471386,PLATE TI 64X26X4.5MM,11301.0,11301.0,1695.15,11301.0,30
CDM,471387,PLATE TI 61X26X4.5MM,8222.0,8222.0,1233.3,8222.0,30
CDM,471388,CAGE LMBR 14X15X130MM,27321.0,27321.0,4098.15,27321.0,30
CDM,471389,NAIL IM TI 11MM X 130MM,8024.0,8024.0,1203.6,8024.0,30
CDM,471390,STENT VASC 8X58MM 80CM,9228.0,9228.0,1384.2,9228.0,30
CDM,471391,SCREW BNE TI L40MM OD5.0,2755.0,2755.0,413.25,2755.0,30
CDM,471392,BLADE HLCL 11X95MM,3721.0,3721.0,558.15,3721.0,30
CDM,471393,SCREW BNE TI L16 OD3.5,4429.0,4429.0,664.35,4429.0,30
CDM,471394,SPACER SPNL 25X8X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471395,SPACER SPNL 25X8X13MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471399,SCREW BN STRL LCK 5X36MM,2143.0,2143.0,321.45,2143.0,30
CDM,471401,SCREW BN STRL LCK 5X48MM,2143.0,2143.0,321.45,2143.0,30
CDM,471404,PLATE FULL SLOT 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,471405,PLATE FULL SLOT 110MM,5758.0,5758.0,863.7,5758.0,30
CDM,471406,COVER BURR HOLE 17MM,1684.0,1684.0,252.6,1684.0,30
CDM,471407,STENT VASC 8X37MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,471423,SPCR SPNL TI 30X10X13 VR,11073.0,11073.0,1660.95,11073.0,30
CDM,471424,CATH INTHC 4.2FR 104.1CM,3608.0,3608.0,541.2,3608.0,30
CDM,471425,NAIL KN GOLD 13MMX40CM,6318.0,6318.0,947.7,6318.0,30
CDM,471427,HEAD UNIPLR 47MM ASR,4606.0,4606.0,690.9,4606.0,30
CDM,471431,TUBE TEAR DCT 3.5X2OMM,399.0,399.0,59.85,399.0,30
CDM,471439,TUBE TEAR DUCT 4.0X16,877.0,877.0,131.55,877.0,30
CDM,471466,DISSECTR ENDO L40CM,5090.5,5090.5,763.58,5090.5,42
CDM,47147,NEEDLE RETRO BULBAR,120.0,120.0,18.0,120.0,42
CDM,471476,CATH BLNDIL 7X40X120CM,4093.0,4093.0,613.95,4093.0,42
CDM,471477,CUP ACTB 54MM TPR ASR XL,16485.0,16485.0,2472.75,16485.0,30
CDM,471483,SCREW BN CORT 3.5MM 18MM,1053.0,1053.0,157.95,1053.0,30
CDM,471484,SCREW BN CORT 3.5MM 45MM,957.0,957.0,143.55,957.0,30
CDM,471485,SCREW BN 3.5MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,471486,SCREW BN 3.5MM 16MM,1722.0,1722.0,258.3,1722.0,30
CDM,471487,SCRW BN LCK 3.5MM 2MM,1403.0,1403.0,210.45,1403.0,30
CDM,471491,SCREW SPN 8MM 75MM,3012.0,3012.0,451.8,3012.0,30
CDM,471492,ROD TI HARD 6.0X350MM,3012.0,3012.0,451.8,3012.0,30
CDM,471494,CONN ROD SPN 6.0/6.0MM,3360.0,3360.0,504.0,3360.0,30
CDM,471495,CONN ROD SPNL 6MM,3321.0,3321.0,498.15,3321.0,30
CDM,471496,BAR SPN CLS TRNSV 15MM,2922.0,2922.0,438.3,2922.0,30
CDM,471497,BAR SPN CLS TRNSV 25MM,3188.0,3188.0,478.2,3188.0,30
CDM,471498,BAR SPNL 15MM TRNSV NS,3765.0,3765.0,564.75,3765.0,30
CDM,471500,CONNECTOR ROD L SPN 6MM,4340.0,4340.0,651.0,4340.0,30
CDM,471501,CONNECTOR ROD 6MM SM,4340.0,4340.0,651.0,4340.0,30
CDM,471502,CONNECTOR ROD 6MM CLW,3765.0,3765.0,564.75,3765.0,30
CDM,471503,BAR SPNL 25MM TRNSV NS,3188.0,3188.0,478.2,3188.0,30
CDM,471505,CUP ACTB PNCL MLTH2 54,4606.0,4606.0,690.9,4606.0,30
CDM,471506,STEM FEM HIP SZ3 135MM,8416.0,8416.0,1262.4,8416.0,30
CDM,471507,HEAD FEM HIP +5MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,471508,STEM FEM HIP SZ6 150MM,8416.0,8416.0,1262.4,8416.0,30
CDM,471509,COMP FEM 4 KN CMNT,7755.0,7755.0,1163.25,7755.0,30
CDM,471511,ANCHOR SUT 5.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,471512,ANCHOR SUT 5.5MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,471513,CANNULA ARTH 8.25MM 7CM,386.5,386.5,57.98,386.5,42
CDM,471514,MESH CNTR 0.6X100X100MM,4429.0,4429.0,664.35,4429.0,30
CDM,471515,NRSTM IMP 44MM 51MM,42098.0,42098.0,6314.7,42098.0,30
CDM,471516,KIT STIMULATOR PROGRAMME,5781.5,5781.5,867.23,5781.5,42
CDM,471520,SCREW BN 6.4MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,471524,CMPNT PF SML+ LT,9098.0,9098.0,1364.7,9098.0,30
CDM,471525,CMPNT FEM SM+ KN PTL RT,8833.0,8833.0,1324.95,8833.0,30
CDM,471526,SCREW BN 3.5MM 12MM,319.0,319.0,47.85,319.0,30
CDM,471527,SCREW BN 3.5MM 14MM,319.0,319.0,47.85,319.0,30
CDM,471528,SCREW BN 3.5MM 16MM,319.0,319.0,47.85,319.0,30
CDM,471529,BIT DR 2.5X83,773.0,773.0,115.95,773.0,42
CDM,471530,PLATE BN 4HL 24.4X59.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,471532,BIT DRILL 2MM FAST,773.0,773.0,115.95,773.0,42
CDM,471533,PEG SMTH FX 2X14MM,1356.0,1356.0,203.4,1356.0,30
CDM,471534,PEG FX BN 2MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,471535,PEG BN FX SMTH 2MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,471536,PEG BN FX SMTH 2MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,471537,PEG FX BN 2MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,471538,PEG FX BN 2MM 28MM,1356.0,1356.0,203.4,1356.0,30
CDM,471539,TIB PRSVN RM/LL 7MMZ 4,4606.0,4606.0,690.9,4606.0,30
CDM,471540,TIB PRSVN LM/RL 7MMZ 4,4606.0,4606.0,690.9,4606.0,30
CDM,471541,BIT DRILL 3.2MM,1666.5,1666.5,249.97,1666.5,42
CDM,471542,NAIL IM HUM TRGN 10/8.5,4872.0,4872.0,730.8,4872.0,30
CDM,471543,SCREW BN CANC 5MM 44MM,2392.0,2392.0,358.8,2392.0,30
CDM,471544,SCREW BN CANC 5MM 40MM,2795.0,2795.0,419.25,2795.0,30
CDM,471545,BIT DRILL 3.2MM,1666.5,1666.5,249.97,1666.5,42
CDM,471546,PIN GD HUM 3.2X248MM,1169.0,1169.0,175.35,1169.0,42
CDM,471547,GUIDE ROD ORTH 2MM,1185.0,1185.0,177.75,1185.0,42
CDM,471548,SCREW BN TI CORT 4X22MM,2308.0,2308.0,346.2,2308.0,30
CDM,471549,SPACER SPNL 30X12MM,11959.0,11959.0,1793.85,11959.0,30
CDM,471550,PROSTH PENL RESV 65ML,9280.0,9280.0,1392.0,9280.0,30
CDM,471553,TIB PRSVN LM/RL 7MMZ 2,4606.0,4606.0,690.9,4606.0,30
CDM,471556,STENT VASC 5X26MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,471557,SYSTEM SEALANT 5ML,4362.0,4362.0,654.3,4362.0,30
CDM,471560,SCREW BN CANC 5MM 36MM,2795.0,2795.0,419.25,2795.0,30
CDM,471562,NAIL BN LNG 130X380X11,5436.0,5436.0,815.4,5436.0,30
CDM,471563,SCREW BN 10.5MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,471566,SCREW BN 5MM 100MM,2575.0,2575.0,386.25,2575.0,30
CDM,471569,RODMMSI PREBENT 5.5X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,471570,SCREW SPN CLK-X TI 7X55M,3765.0,3765.0,564.75,3765.0,30
CDM,471571,STEM FEM HIP 15MM 220MM,14182.0,14182.0,2127.3,14182.0,30
CDM,471572,BDY CLCR 100MMX55MM 46MM,14616.0,14616.0,2192.4,14616.0,30
CDM,471573,PLATE TI 85MM,22367.0,22367.0,3355.05,22367.0,30
CDM,471574,CAGE SPNL 25X28X45-73MM,27046.0,27046.0,4056.9,27046.0,30
CDM,471577,INSERT TIB KN 66X42X10MM,5187.0,5187.0,778.05,5187.0,30
CDM,471579,KIT SLING MALE INCNT,25796.0,25796.0,3869.4,25796.0,30
CDM,471581,SCREW SPN 8MM 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,471582,ROD TI HARD 6.0X500MM,3012.0,3012.0,451.8,3012.0,30
CDM,471583,BAR SPNL GRN 15MM 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,471587,ANCH SUT 3.7MM 17.9MM,3189.0,3189.0,478.35,3189.0,30
CDM,471589,PROSTH PENL RESV 100ML,9744.0,9744.0,1461.6,9744.0,30
CDM,471590,PROSTH PENL PUMP PL 21CM,41499.0,41499.0,6224.85,41499.0,30
CDM,471591,STEM FEM KN 13X200X155MM,4429.0,4429.0,664.35,4429.0,30
CDM,471593,BAR SPN CLS TRNSV 20MM,2922.0,2922.0,438.3,2922.0,30
CDM,471594,STEM FEM HIP 12.5X124MM,10630.0,10630.0,1594.5,10630.0,30
CDM,471595,PLATE SPN 1LVL 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,471596,SCREW BN 13MM UNIPLT TI,3720.0,3720.0,558.0,3720.0,30
CDM,471597,SPACER SPNL 9MM PEEK,13287.0,13287.0,1993.05,13287.0,30
CDM,471598,SCRW BN L60 OD6 EXPEDIUM,3765.0,3765.0,564.75,3765.0,30
CDM,471599,SCREW BNE NONBREAK OFST,753.0,753.0,112.95,753.0,30
CDM,471600,SCREW BN 4.5MM 44MM,2590.0,2590.0,388.5,2590.0,30
CDM,471601,SCREW BN 4.5MM 48MM,2590.0,2590.0,388.5,2590.0,30
CDM,471603,WASHER BN ORTH 10MM,356.0,356.0,53.4,356.0,30
CDM,471604,HEAD HUM 18MM 56MM,5257.0,5257.0,788.55,5257.0,30
CDM,471607,STENT VASC 6X26MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,471610,PLATE BN 3H 51.3X24.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,471611,PEG SMTH FX 2X16,1356.0,1356.0,203.4,1356.0,30
CDM,471612,PEG BN SMTH 2MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,471613,SCREW BN 3.5MM 10MM,319.0,319.0,47.85,319.0,30
CDM,471615,RING SPN 2.5D 10MM,2135.0,2135.0,320.25,2135.0,30
CDM,471617,RING SPN 2.5D 15MM,2135.0,2135.0,320.25,2135.0,30
CDM,471620,END CAP FOR BONE NAIL,1737.0,1737.0,260.55,1737.0,30
CDM,471621,SCREW BN 5X75MM,1913.0,1913.0,286.95,1913.0,30
CDM,471622,NAIL BN 11MM 340MM,5789.0,5789.0,868.35,5789.0,30
CDM,471623,GWIRE ORTH S2 3X1000MM,1048.0,1048.0,157.2,1048.0,42
CDM,471625,SCREW BN 5X37.5MM,1913.0,1913.0,286.95,1913.0,30
CDM,471626,SCRW CX AXON 3.5X34MM,4429.0,4429.0,664.35,4429.0,30
CDM,471627,SCRW SHAFT AXON 3.5X30MM,4695.0,4695.0,704.25,4695.0,30
CDM,471628,BAR SPNL AXN TI 3.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,471629,CONN ROD SPN 3.5MM,3727.0,3727.0,559.05,3727.0,30
CDM,471630,CAGE BNE SYNEX SM -5DD,22811.0,22811.0,3421.65,22811.0,30
CDM,471631,SCREW SPN SLFTP 5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,471632,SCREW BN 5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,471633,CONN TI LP 49/69 6.0MM,4429.0,4429.0,664.35,4429.0,30
CDM,471634,ROD HARD 6.0MM X 125MM 4,3012.0,3012.0,451.8,3012.0,30
CDM,471635,CAP LCK SPNL TI ROD,1356.0,1356.0,203.4,1356.0,30
CDM,471636,SCREW BNE TI SPNL 2.0,300.0,300.0,45.0,300.0,30
CDM,471637,RING SPN 2.5D 12MM,2353.0,2353.0,352.95,2353.0,30
CDM,471638,KIT LEAD NRSTM 4 CRD,5581.0,5581.0,837.15,5581.0,30
CDM,471639,SCREW BN 4.5MM 36MM,2590.0,2590.0,388.5,2590.0,30
CDM,471640,SCREW BN 4.5MM 38MM,2590.0,2590.0,388.5,2590.0,30
CDM,471641,PLATE BNE TI L43MM ANT S,18607.0,18607.0,2791.05,18607.0,30
CDM,471642,PLATE BN RT 24.4X59.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,471643,PEG FX 2.5MM 18MM,1018.0,1018.0,152.7,1018.0,30
CDM,471644,PEG FX 24X2.5 FP24 THRD,1196.0,1196.0,179.4,1196.0,30
CDM,471646,SCREW BN 2.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,471649,SCREW BN 2.5MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,471651,SEAL ENDO INTLJT HIP,275.5,275.5,41.33,275.5,42
CDM,471652,BLADE SHAVER 180MM 4.5MM,773.0,773.0,115.95,773.0,42
CDM,471653,PROBE ESURG BLK HLDR KN,3399.0,3399.0,509.85,3399.0,42
CDM,471654,SET ENDO INST HIP GW NDL,1724.0,1724.0,258.6,1724.0,42
CDM,471656,CMPNT TROCHEAR SM PA,9262.0,9262.0,1389.3,9262.0,30
CDM,471657,BURR PATL LCS PFJ CUT,386.5,386.5,57.98,386.5,42
CDM,471658,HEAD HUM SHLDR 24X40MM,4872.0,4872.0,730.8,4872.0,30
CDM,471660,PROSTH PENL PUMP PL 18CM,41499.0,41499.0,6224.85,41499.0,30
CDM,471672,SHEATH PNCH VLV 22F 30CM,2455.5,2455.5,368.32,2455.5,42
CDM,471674,ROD TI HARD 6.0X50MM,1869.0,1869.0,280.35,1869.0,30
CDM,471675,ROD SPN HRD 75MM 6.0MM,3012.0,3012.0,451.8,3012.0,30
CDM,471676,ROD USS EX-FIX 498.104,3012.0,3012.0,451.8,3012.0,30
CDM,471677,SCREW SPN 7MM 75MM,3389.0,3389.0,508.35,3389.0,30
CDM,471678,SCREW SPN 7MM 80MM,3389.0,3389.0,508.35,3389.0,30
CDM,471679,SCREW SPN 7MM 90MM,3389.0,3389.0,508.35,3389.0,30
CDM,471688,SCRW CANC AXON 3.5X26MM,4429.0,4429.0,664.35,4429.0,30
CDM,471689,ROD SPN CRV 50X6MM,3012.0,3012.0,451.8,3012.0,30
CDM,471690,SCREW SPN SLFTP 6X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,471691,SCREW SPN SLFTP 6X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,471692,SCREW BN 6MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,471695,SCREW BN N-LCK 3.5X22MM,1754.0,1754.0,263.1,1754.0,30
CDM,471700,STENT VASC 6X58MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,471701,SCREW BN 7MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,471703,HEAD RADIAL 16X20 ELBOW,6068.0,6068.0,910.2,6068.0,30
CDM,471704,SCREW BN ELBOW,2360.0,2360.0,354.0,2360.0,30
CDM,471705,SCREW BN 3.5MM 32MM,319.0,319.0,47.85,319.0,30
CDM,471706,SCREW BN 3.5MM 34MM,319.0,319.0,47.85,319.0,30
CDM,471707,SCREW BN 3.5MM 36MM,319.0,319.0,47.85,319.0,30
CDM,471708,SCREW BN 3.5MM 38MM,319.0,319.0,47.85,319.0,30
CDM,471709,SCREW BN 3.5MM 40MM,319.0,319.0,47.85,319.0,30
CDM,471710,SPACER SPNL 30X11MM,9667.0,9667.0,1450.05,9667.0,30
CDM,471713,CMPNT PTLR KN 8.5X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,471715,DRILL 23 IN 1 CANN 4 MM,1293.5,1293.5,194.03,1293.5,42
CDM,471716,BIT DRIL LONG OD4MM ICOS,2245.5,2245.5,336.82,2245.5,42
CDM,471718,SCRW ICOS 4.0X55 MM,3189.0,3189.0,478.35,3189.0,30
CDM,471719,SCREW BN LG L65MM OD6.5M,3189.0,3189.0,478.35,3189.0,30
CDM,471720,SCRW ICOS 6.5X70 MM,3189.0,3189.0,478.35,3189.0,30
CDM,471721,BIT DRILL ICOS SHRT 6.5M,1719.0,1719.0,257.85,1719.0,42
CDM,471722,BIT DRILL ICOS LNG 6.5MM,2038.5,2038.5,305.77,2038.5,42
CDM,471724,PLATE BAND TNSN 39MM ANT,12402.0,12402.0,1860.3,12402.0,30
CDM,471725,STENT VASC 9X38MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,471726,STENT VASC 6X37MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,471727,PLATE SPN 12MM 2.0X35MM,3801.0,3801.0,570.15,3801.0,30
CDM,471729,PLATE BN 4H 16MM 84MM,5360.0,5360.0,804.0,5360.0,30
CDM,471730,PEG FX SHDR 4MM 45MM,1898.0,1898.0,284.7,1898.0,30
CDM,471735,SCREW SET V-LOCK 90,1212.0,1212.0,181.8,1212.0,30
CDM,471736,KWIRE FX 152MM 2MM,773.0,773.0,115.95,773.0,42
CDM,471737,BIT DRILL LONG 4MM,1023.5,1023.5,153.53,1023.5,42
CDM,471738,BIT DRILL 2.8MM,464.0,464.0,69.6,464.0,42
CDM,471741,SCREW BN 6MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,471745,SUBSTITUTE BNGF SPNE BVN,6622.0,6622.0,993.3,6622.0,30
CDM,471746,SUBSTITUTE BNGF SPNE BVN,4429.0,4429.0,664.35,4429.0,30
CDM,471747,BLADE HLCL 11X110,3189.0,3189.0,478.35,3189.0,30
CDM,471748,BOLT LOCKING 4.9MMX44MM,2242.0,2242.0,336.3,2242.0,30
CDM,471749,NAIL SHORT TFN 11X130,5779.0,5779.0,866.85,5779.0,30
CDM,471750,BLADE HLCL 11X105,3721.0,3721.0,558.15,3721.0,30
CDM,471751,BOLT TI LCK 42X4.9X3.5MM,2242.0,2242.0,336.3,2242.0,30
CDM,471752,SRFC ARTC 12 SZYLW,4429.0,4429.0,664.35,4429.0,30
CDM,471755,SPACER SPNL X-STP INTBDY,15746.0,15746.0,2361.9,15746.0,30
CDM,471758,INSERT TIB KN 9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,471759,HEAD HUM SHLDR 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,471764,INSERT TIB KN 2.5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,471765,COVER BURR HOLE 15MM,1684.0,1684.0,252.6,1684.0,30
CDM,471766,SCREW CANC LOCK 5.5X33MM,3012.0,3012.0,451.8,3012.0,30
CDM,471767,PLATE SPN 88X26X4.5MM,15630.0,15630.0,2344.5,15630.0,30
CDM,471776,PLATE SPN 1 LV 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,471777,SCREW SPN 4.5MM 12MM,2259.0,2259.0,338.85,2259.0,30
CDM,471779,CAGE SPNL L23MM,6644.0,6644.0,996.6,6644.0,30
CDM,471780,CAGE SPNL 25X28X37-55MM,26089.0,26089.0,3913.35,26089.0,30
CDM,471782,SHELL ACTB HIP 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,471783,INS ACTB 44MM 28MM,6277.0,6277.0,941.55,6277.0,30
CDM,471784,SCREW SPN SLFTP 7X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,471785,DEVICE BN MARROW ASP,896.5,896.5,134.47,896.5,42
CDM,471786,ROD SPN CRV 70X6MM,3012.0,3012.0,451.8,3012.0,30
CDM,471787,SCREW SPN SLFTP 5X35MM,4886.0,4886.0,732.9,4886.0,30
CDM,471788,SCREW SPN SLFTP 6X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,471789,PLATE SPN 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,471790,SCREW SPN 4MM 14MM,1461.0,1461.0,219.15,1461.0,30
CDM,471792,STEM FEM HIP SZ5 145MM,8416.0,8416.0,1262.4,8416.0,30
CDM,471793,SCREW BN 3.5MM 80MM,1435.0,1435.0,215.25,1435.0,30
CDM,471794,SCREW BN 3.5MM 75MM,1435.0,1435.0,215.25,1435.0,30
CDM,471795,SCREW BN 3.5MM 35MM,1435.0,1435.0,215.25,1435.0,30
CDM,471796,SCREW BN 3.5MM 70MM,2392.0,2392.0,358.8,2392.0,30
CDM,471797,IMPLANT WASHER 13MM,319.0,319.0,47.85,319.0,30
CDM,471798,SCREW BN SLFTAP 4.5X48MM,399.0,399.0,59.85,399.0,30
CDM,471799,SCREW BN SLFTAP 4.5X44MM,399.0,399.0,59.85,399.0,30
CDM,471801,SCREW BN SLFTAP 4.5X60MM,399.0,399.0,59.85,399.0,30
CDM,471802,PLATE BN 8H 3.5X128MM,4429.0,4429.0,664.35,4429.0,30
CDM,471803,NORIAN SRS BONE VOID FIL,6120.0,6120.0,918.0,6120.0,30
CDM,471804,NEEDLE DLV 12GA 7.5CM,773.0,773.0,115.95,773.0,42
CDM,471807,IMPLANT BREAST 550CC,3311.0,3311.0,496.65,3311.0,30
CDM,471812,SCREW BN 5MM 70MM,2575.0,2575.0,386.25,2575.0,30
CDM,471813,NAIL BN STD 11MM 200MM,4429.0,4429.0,664.35,4429.0,30
CDM,471814,SCREW BN 10.5MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,471815,SCREW BN 4.5MM 32MM,232.0,232.0,34.8,232.0,30
CDM,471816,BIT DRL ANTI ROTATE DSP,1596.5,1596.5,239.47,1596.5,42
CDM,471821,SCREW SPN 4MM 16MM,1461.0,1461.0,219.15,1461.0,30
CDM,471822,PLATE SPN 2LV 34X16X2.5,4429.0,4429.0,664.35,4429.0,30
CDM,471826,BIT DRILL 3MM,2840.0,2840.0,426.0,2840.0,42
CDM,471827,ROD VERTEX 6955270,3012.0,3012.0,451.8,3012.0,30
CDM,471828,SCREW BN MLTI-AX 4-14MM,6281.0,6281.0,942.15,6281.0,30
CDM,471829,PLATE SPN OCPTL SMALL,11287.0,11287.0,1693.05,11287.0,30
CDM,471830,SCREW BN SPN 4MM 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,471831,SCREW BN SPN 4MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,471832,SCREW BN SPN 4.5MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,471833,SCREW BN SPN 4.5MM 10MM,3129.0,3129.0,469.35,3129.0,30
CDM,471838,SCREW BN 1.5MM 6MM,485.0,485.0,72.75,485.0,30
CDM,471840,SCREW BN ST 1.5MM 12MM,402.0,402.0,60.3,402.0,30
CDM,471841,SCREW CRTX TI 1.5X13,485.0,485.0,72.75,485.0,30
CDM,471842,SCREW BN ST 1.5MM 14MM,402.0,402.0,60.3,402.0,30
CDM,471843,PLATE BN 8HL 2.4MM 57MM,3554.0,3554.0,533.1,3554.0,30
CDM,471844,PLATE SPN 39.8X16X2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,471845,SCREW BN 4.0MM 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,471846,PLATE SPNL CERV L1 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,471847,PLATE SPNL CERV L1 12MM,5317.0,5317.0,797.55,5317.0,30
CDM,471850,DRIVER SURG 20X2MM,773.0,773.0,115.95,773.0,42
CDM,471851,STEM HUM 140MM 10MM,9571.0,9571.0,1435.65,9571.0,30
CDM,471852,NAIL BN LNG 130X340X11,5438.0,5438.0,815.7,5438.0,30
CDM,471854,PLATE BN LT 21.6X48.9MM,3721.0,3721.0,558.15,3721.0,30
CDM,471855,CAGE SPNL L23MMXW7MMXH9M,6644.0,6644.0,996.6,6644.0,30
CDM,471856,PLATE SPNL PRBNT 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,471857,PLATE SPN 1LVL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,471858,SCREW SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,471862,PLATE BN 6HL 94MM,3189.0,3189.0,478.35,3189.0,30
CDM,471863,SCREW BN 3.5X12 2.7MM,319.0,319.0,47.85,319.0,30
CDM,471865,ROD SPNL 35MMX6MM,3012.0,3012.0,451.8,3012.0,30
CDM,471866,SCREW SPN SLFTP 7X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,471867,SCREW BN 6MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,471872,ROD SPN CRV 60X6MM,3012.0,3012.0,451.8,3012.0,30
CDM,471877,COVER BUR HL .5MM 12MM C,1684.0,1684.0,252.6,1684.0,30
CDM,471878,PLATE BN 12MMX.5MM STR C,317.0,317.0,47.55,317.0,30
CDM,471880,SCREW BN 6.5MM 45MM,2329.0,2329.0,349.35,2329.0,30
CDM,471881,BIT DRILL CANN 5.5MM,2046.5,2046.5,306.98,2046.5,42
CDM,471882,GUIDE WIRE 3.2X230MM,438.0,438.0,65.7,438.0,42
CDM,471883,SCREW BN 4X13MM SKYLN,1130.0,1130.0,169.5,1130.0,30
CDM,471884,SPACER SPNL 25X10X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,471887,PLATE BN 4H 16MM 84MM,5094.0,5094.0,764.1,5094.0,30
CDM,471888,PEG FX STD 4.0X32.0MM,1244.0,1244.0,186.6,1244.0,30
CDM,471889,PEG STD ORT 4X25MM,1244.0,1244.0,186.6,1244.0,30
CDM,471890,PEG FX STD 4.0X42.5MM,1244.0,1244.0,186.6,1244.0,30
CDM,471892,SCREW BN 3.8MM 22MM,1483.0,1483.0,222.45,1483.0,30
CDM,471893,SCREW BN 3.8MM 24MM,1898.0,1898.0,284.7,1898.0,30
CDM,471894,SCREW BN 3.8MM 22MM,1483.0,1483.0,222.45,1483.0,30
CDM,471895,SCREW BN 3.8MM 24MM,1898.0,1898.0,284.7,1898.0,30
CDM,471896,BIT DRL SRG SHRT OD4,819.0,819.0,122.85,819.0,42
CDM,471897,BIT DRILL SHRT 4MM FAST,1023.5,1023.5,153.53,1023.5,42
CDM,471898,GWIRE ENDO .035IN 260CM,942.5,942.5,141.38,942.5,42
CDM,471899,SCREW BN 4MM 14MM,2259.0,2259.0,338.85,2259.0,30
CDM,471900,PROSTH PENL PUMP PS 21CM,37072.0,37072.0,5560.8,37072.0,30
CDM,471901,TIB PRSVN RM/LL 7MMZ 2,4428.0,4428.0,664.2,4428.0,30
CDM,471904,SPACER SPNL 25X10X11MM,25101.0,25101.0,3765.15,25101.0,30
CDM,471908,SCREW BN 5X1.6X2.9 CRNMX,1167.0,1167.0,175.05,1167.0,30
CDM,471909,CANNULA TWIST-IN 6MMX7CM,386.5,386.5,57.98,386.5,42
CDM,471910,SCREW BN 8MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,471911,PLATE FULL SLOT 40MM,3721.0,3721.0,558.15,3721.0,30
CDM,471913,PLATE BN SS L168MM LCP R,6076.0,6076.0,911.4,6076.0,30
CDM,471919,STENT VASC 8X58MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,471923,SCRW CANC AXON 4.0X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,471924,SCRW CANC AXON 3.5X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,471925,SCREW SPN 4.5MM 14MM,2259.0,2259.0,338.85,2259.0,30
CDM,471928,CUP ACTB 62MM TPR STM,16005.0,16005.0,2400.75,16005.0,30
CDM,471929,HEAD UNIPLR 55MM ASR,6386.0,6386.0,957.9,6386.0,30
CDM,471930,INS FEM 7 12/14 SMT CMNT,9966.0,9966.0,1494.9,9966.0,30
CDM,471933,PLATE B 24MM L1 REV SPNE,4429.0,4429.0,664.35,4429.0,30
CDM,471934,SCREW BN 10.5MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,471935,NAIL BN 11X180MM,5147.0,5147.0,772.05,5147.0,30
CDM,471936,KWIRE FX 450MM 3.2MM,911.0,911.0,136.65,911.0,42
CDM,471937,BIT DRILL 4.2MM 300MM,1080.5,1080.5,162.07,1080.5,42
CDM,471941,SCREW BN TI L13MM SKYLIN,3012.0,3012.0,451.8,3012.0,30
CDM,471942,NAIL FEM 71770824,4872.0,4872.0,730.8,4872.0,30
CDM,471943,SCREW BN 5MM 42MM,2795.0,2795.0,419.25,2795.0,30
CDM,471944,SCREW BN CANC 5.0X32MM,2073.0,2073.0,310.95,2073.0,30
CDM,471945,SCREW BN CORT 4.0X26MM,2308.0,2308.0,346.2,2308.0,30
CDM,471952,SCREW BN 4MM 6MM 18MM,221.0,221.0,33.15,221.0,30
CDM,471953,SCREW BN 2.7MM 10MM,423.0,423.0,63.45,423.0,30
CDM,471954,PLATE BN 14HL 3.5X189MM,3234.0,3234.0,485.1,3234.0,30
CDM,471959,PLATE PRELRDTC SPN55.8MM,4429.0,4429.0,664.35,4429.0,30
CDM,471960,SCREW BN 2.0MM 32MM,288.0,288.0,43.2,288.0,30
CDM,471961,SCREW BN 2.0MM 36MM,288.0,288.0,43.2,288.0,30
CDM,471962,SCREW BN 2.0MM 38MM,288.0,288.0,43.2,288.0,30
CDM,471963,SCREW BN 5MM 80MM,2575.0,2575.0,386.25,2575.0,30
CDM,471964,NAIL 11MM 320MM RT DIST,5436.0,5436.0,815.4,5436.0,30
CDM,471965,PLATE CERVICAL 1 LVL 18M,4429.0,4429.0,664.35,4429.0,30
CDM,471966,HEAD HUM SHLDR 27X54MM,5050.0,5050.0,757.5,5050.0,30
CDM,471967,PLATE SPN 2LVL 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,471970,PLATE LOCKING GRID 3X2 T,3189.0,3189.0,478.35,3189.0,30
CDM,471973,SCREW BN 2MM 10MM,1196.0,1196.0,179.4,1196.0,30
CDM,471975,DRILL TWIST 1.6MM 81MM,773.0,773.0,115.95,773.0,42
CDM,471980,PLATE SPN 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,471981,PLATE BN SKYLN 57 ANT,4429.0,4429.0,664.35,4429.0,30
CDM,471982,SCREW SPN 4.5MM 16MM,1461.0,1461.0,219.15,1461.0,30
CDM,471983,SCREW SNTH TI SIDE-OP,4105.0,4105.0,615.75,4105.0,30
CDM,471984,COLLAR HOOK/SCREWS 6.0MM,2199.0,2199.0,329.85,2199.0,30
CDM,471985,NUT FIXATION VAS,889.0,889.0,133.35,889.0,30
CDM,471986,CONN TI LP 33/36.5 6.0MM,4340.0,4340.0,651.0,4340.0,30
CDM,471987,SCREW 6.0MM X 50MM 498.6,4105.0,4105.0,615.75,4105.0,30
CDM,471989,DRILL 1.9X80 MM,1359.0,1359.0,203.85,1359.0,42
CDM,471990,SCRW OFF 3X16 MM,3189.0,3189.0,478.35,3189.0,30
CDM,471995,SCRW ICOS 6.5X90 MM,3189.0,3189.0,478.35,3189.0,30
CDM,471997,PATCH DURA BVN 3X3IN,3426.0,3426.0,513.9,3426.0,30
CDM,472000,SCREW SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,472001,HEAD HIP +5MM 12/14 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,472002,CAGE SPNL L23XW8XH9 CONC,6644.0,6644.0,996.6,6644.0,30
CDM,472003,SCREW BN 5MM 4.4MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,472004,SCREW BN 5MM 4.4MM 80MM,2289.0,2289.0,343.35,2289.0,30
CDM,472005,SCREW BN 6.5X85X32MM,2974.0,2974.0,446.1,2974.0,30
CDM,472006,SCREW BN 6.5X2.9MM 90MM,2974.0,2974.0,446.1,2974.0,30
CDM,472007,SCREW BN SLFTAP 4.5X40MM,399.0,399.0,59.85,399.0,30
CDM,472008,SCREW BN 3.5MM 40MM,2392.0,2392.0,358.8,2392.0,30
CDM,472009,SCREW BN SLFTAP 3.5X20,319.0,319.0,47.85,319.0,30
CDM,472010,SCREW BN SLFTAP 3.5X22,319.0,319.0,47.85,319.0,30
CDM,472012,CATH GD STDJLC 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,472013,SCREW BN 3.5MM 30MM,1435.0,1435.0,215.25,1435.0,30
CDM,472017,NAIL BN FEM 11MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,472018,SCREW BN 11MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,472019,SCREW BN 5.5MM 50MM,2073.0,2073.0,310.95,2073.0,30
CDM,472020,CAP ONE PCS ITST LKNG 0,1834.0,1834.0,275.1,1834.0,30
CDM,472026,PIN TEMP SPN 200X50MM,386.5,386.5,57.98,386.5,42
CDM,472027,SCREW BN 6.5X130X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,472028,BASEPLATE KN TIB RT SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,472029,COMP 6 RT KN GNSIS2 NPOR,6644.0,6644.0,996.6,6644.0,30
CDM,472030,INSERT ARTC KN 5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,472033,ROD SPN CONN 35-37MM,3765.0,3765.0,564.75,3765.0,30
CDM,472034,NAIL 130 D 11.5/42LT,4872.0,4872.0,730.8,4872.0,30
CDM,472035,CUP HUM SHLDR 36MM +6MM,5248.0,5248.0,787.2,5248.0,30
CDM,472036,SCREW BN HUM 4.5MM 42MM,2085.0,2085.0,312.75,2085.0,30
CDM,472037,SCREW BN HUM 4.5MM 30MM,2005.0,2005.0,300.75,2005.0,30
CDM,472040,PIN FX ORT SHDR POSTION,263.0,263.0,39.45,263.0,42
CDM,472042,ANCHOR SUT 5.5MM 16MM,782.0,782.0,117.3,782.0,30
CDM,472044,PLATE SPN 3LVL 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,472045,PLATE TI 109MM,23935.0,23935.0,3590.25,23935.0,30
CDM,472046,NDL SET SS MED CORB BX,3512.5,3512.5,526.88,3512.5,42
CDM,472047,SLEEVE CNTRNG 16F LG,4252.0,4252.0,637.8,4252.0,30
CDM,472048,INSERT TIB KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,472050,INSERT TIB KN SZ4 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,472051,ROD SPN CRV 80X6MM,3012.0,3012.0,451.8,3012.0,30
CDM,472052,SCREW SPN SLFTP 8X70MM,5342.0,5342.0,801.3,5342.0,30
CDM,472053,ROD SPN HARD 6.0X200MM,3012.0,3012.0,451.8,3012.0,30
CDM,472056,SCREW BN TI L15MM SKYLIN,1461.0,1461.0,219.15,1461.0,30
CDM,472057,PLATE BN RI ELB STD,3931.0,3931.0,589.65,3931.0,30
CDM,472058,TAP BN DISP 3.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,472059,SCREW BN CORT 2.7MM 45MM,957.0,957.0,143.55,957.0,30
CDM,472060,SCREW BN CORT 3.5MM 26MM,957.0,957.0,143.55,957.0,30
CDM,472061,SCREW BN 3.5MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,472062,SCREW BN 3.5MM 26MM,1403.0,1403.0,210.45,1403.0,30
CDM,472064,ROD CNNCTR SPN XTN 6MM,3408.0,3408.0,511.2,3408.0,30
CDM,472065,ROD SPN TI 60MM,6201.0,6201.0,930.15,6201.0,30
CDM,472070,PASSER SUTURE 25D,3060.0,3060.0,459.0,3060.0,42
CDM,472071,PLATE BN SKYLN 64 RFLX,4429.0,4429.0,664.35,4429.0,30
CDM,472072,NAIL IM CANN FEM 12X38,4742.0,4742.0,711.3,4742.0,30
CDM,472073,CAP END TT FM UR 12,2939.0,2939.0,440.85,2939.0,30
CDM,472074,SCREW BN STRL LCK 5X46MM,2143.0,2143.0,321.45,2143.0,30
CDM,472076,PLATE DST MDL RT 3.5X216,4872.0,4872.0,730.8,4872.0,30
CDM,472078,PLATE SPN 1LVL 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,472079,CMPNT FEM SZE LT,7530.0,7530.0,1129.5,7530.0,30
CDM,472080,ROD SPINAL TI 6.0MM X 15,3012.0,3012.0,451.8,3012.0,30
CDM,472081,CONN TI LP 38.5/48 6.0MM,4340.0,4340.0,651.0,4340.0,30
CDM,472082,COMPNT GNSIS2 LT KN SZ6,4252.0,4252.0,637.8,4252.0,30
CDM,472083,BASEPLATE KN LT SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,472085,SCREW BN 4MM 27.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,472086,INS TIB 3X8 SGM KN,4429.0,4429.0,664.35,4429.0,30
CDM,472093,NAIL 130D 11X180MM,5200.0,5200.0,780.0,5200.0,30
CDM,472095,COMPNT TIB NXGN KN 52/15,18523.0,18523.0,2778.45,18523.0,30
CDM,472096,STEM FEM KN 155X200MM,4429.0,4429.0,664.35,4429.0,30
CDM,472097,HEAD HUM 18MM 44MM,5910.0,5910.0,886.5,5910.0,30
CDM,472098,SCREW 7X60MM PANGEA SPN,4340.0,4340.0,651.0,4340.0,30
CDM,472100,IMPLANT SLSTC NFLX 10 MC,4606.0,4606.0,690.9,4606.0,30
CDM,472101,IMPLANT ORTHO 40 FNGR NF,4606.0,4606.0,690.9,4606.0,30
CDM,472106,SCRW CANC AXON 3.5X24MM,4429.0,4429.0,664.35,4429.0,30
CDM,472107,SCRW CANC AXON 4.0X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,472108,HEAD HUM OFST 23MM 46MM,6201.0,6201.0,930.15,6201.0,30
CDM,472111,PLATE BNE MESH GL 1.5MM,5143.0,5143.0,771.45,5143.0,30
CDM,472112,PROSTH PENL PUMP PS 18CM,37072.0,37072.0,5560.8,37072.0,30
CDM,472113,PLATE SPN LV2 44MM,4429.0,4429.0,664.35,4429.0,30
CDM,472114,SCREW BN TI 10X3.5MM MNT,4340.0,4340.0,651.0,4340.0,30
CDM,472115,SCREW BN 10.5MM 130MM,3189.0,3189.0,478.35,3189.0,30
CDM,472116,SCREW BN LCK 5X40,1913.0,1913.0,286.95,1913.0,30
CDM,472117,HOOK SPN SM,4429.0,4429.0,664.35,4429.0,30
CDM,472118,CMPNT FM NXGN CR-FLX E,7530.0,7530.0,1129.5,7530.0,30
CDM,472120,CAGE SPNL L23XW10XH9 CON,6644.0,6644.0,996.6,6644.0,30
CDM,472121,STEM FEM HIP SZ6 150MM,8416.0,8416.0,1262.4,8416.0,30
CDM,472123,SCREW SPN 15MM,1506.0,1506.0,225.9,1506.0,30
CDM,472124,SCRW ICOS 6.5X55 MM,3189.0,3189.0,478.35,3189.0,30
CDM,472132,SCREW LOCKING 5.0X34,2755.0,2755.0,413.25,2755.0,30
CDM,472133,SCREW SPN SLFTP 7X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,472135,ANCHOR SUT 3MM 14.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,472136,ANCHOR SUT 3.5MM 19.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,472139,CATH GD STDJLC 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,472140,SCREW SPN 6.2MM 40M,3389.0,3389.0,508.35,3389.0,30
CDM,472141,SCREW SPN 4.2X35 487.144,4429.0,4429.0,664.35,4429.0,30
CDM,472145,STEM FEM LG STD 8X18,21181.0,21181.0,3177.15,21181.0,30
CDM,472146,PLATE SPN 3LVL 45M,4429.0,4429.0,664.35,4429.0,30
CDM,472147,COMPNT FEM SZF NXGN C,7530.0,7530.0,1129.5,7530.0,30
CDM,472149,SCREW BN 6MM 55MM,4105.0,4105.0,615.75,4105.0,30
CDM,472150,BAR SPNL TI L25MM OD6MM,2892.0,2892.0,433.8,2892.0,30
CDM,472151,BAR SPNL 30 6 CLK-X TI T,2892.0,2892.0,433.8,2892.0,30
CDM,472159,PLATE BN 18.4X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,472160,SCREW BN 2.7MM 18MM HALU,3189.0,3189.0,478.35,3189.0,30
CDM,472163,HEAD FEM HIP 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,472164,SLEEVE FEM HIP +10MM,3112.0,3112.0,466.8,3112.0,30
CDM,472165,LINER ACTB HIP 3.5X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,472167,LEAD STMLTR SPNL 45,5581.0,5581.0,837.15,5581.0,30
CDM,472168,LEAD NRSTM 45CM 1.3MM,4429.0,4429.0,664.35,4429.0,30
CDM,472170,STEM FEM HIP 15MM 170MM,12406.0,12406.0,1860.9,12406.0,30
CDM,472171,HEAD FEM 12/14TAPER L-3,4606.0,4606.0,690.9,4606.0,30
CDM,472172,BDY CLCR 100MMX55MM 46MM,14616.0,14616.0,2192.4,14616.0,30
CDM,472174,ROD SPNL 500MM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,472175,SCREW SPN 5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,472176,SCREW BN RDC 6.5X50MM,4247.0,4247.0,637.05,4247.0,30
CDM,472177,ROD SPNL 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,472178,CAP SPN LOCKING 0MM,753.0,753.0,112.95,753.0,30
CDM,472181,PLATE SPN 2MM 27MM,4241.0,4241.0,636.15,4241.0,30
CDM,472183,STEM FEM HIP SZ8 160MM,8416.0,8416.0,1262.4,8416.0,30
CDM,472185,CMPNT FEM SZC RT MED,5980.0,5980.0,897.0,5980.0,30
CDM,472186,NAIL BN CANN 9MM 375MM,6581.0,6581.0,987.15,6581.0,30
CDM,472187,SCREW BN 4.0MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,472188,SCREW BN 4MM 48MM,2143.0,2143.0,321.45,2143.0,30
CDM,472189,CAP END TIB T40 10MM,2612.0,2612.0,391.8,2612.0,30
CDM,472193,SCREW BN LCK 4MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,472194,SCREW BN 4MM 3.3MM 38MM,2143.0,2143.0,321.45,2143.0,30
CDM,472195,SCREW BN LCK 4MM 40MM,2143.0,2143.0,321.45,2143.0,30
CDM,472196,SCREW BN LCK 4MM 42MM,2143.0,2143.0,321.45,2143.0,30
CDM,472197,CAP END TIB NAIL 5MM,2612.0,2612.0,391.8,2612.0,30
CDM,472198,NAIL BN 8MM 315MM,6581.0,6581.0,987.15,6581.0,30
CDM,472199,SCREW BN CANC 5MM 46MM,2795.0,2795.0,419.25,2795.0,30
CDM,472200,SCREW BN CORT 4.0X24MM,2308.0,2308.0,346.2,2308.0,30
CDM,472201,TROCAR HUM 3.2MM 3.2MM,1169.0,1169.0,175.35,1169.0,42
CDM,472202,NAIL BN 8/7MM 28CM,4872.0,4872.0,730.8,4872.0,30
CDM,472203,ROD SPN 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,472204,COMPNT FEM G RT STRL,17193.0,17193.0,2578.95,17193.0,30
CDM,472205,STEM FEM KN 15MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,472206,INSERT ARTC GRN G 12MM,5700.0,5700.0,855.0,5700.0,30
CDM,472207,CMPNT FEM SZG 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,472208,SCREW BN 4.35MM 30MM XPD,3765.0,3765.0,564.75,3765.0,30
CDM,472209,ROD SPN 3.5/5.5X420MM,2711.0,2711.0,406.65,2711.0,30
CDM,472210,ROD CONN SPN F7 5.5MM,3765.0,3765.0,564.75,3765.0,30
CDM,472211,CONN ROD SPN 5.5MM 33MM,3012.0,3012.0,451.8,3012.0,30
CDM,472212,PLATE TSLP 70MM,15825.0,15825.0,2373.75,15825.0,30
CDM,472213,CAGE SPNL 33-48MM SYNX 1,23230.0,23230.0,3484.5,23230.0,30
CDM,472214,NAIL BN FEM 10MM 8CM,13288.0,13288.0,1993.2,13288.0,30
CDM,472216,NAIL IM TIBIAL 12X390,5672.0,5672.0,850.8,5672.0,30
CDM,472217,END CAP TIB NL T40 0MM,2137.0,2137.0,320.55,2137.0,30
CDM,472218,SCREW BN STRL LCK 5X38MM,2143.0,2143.0,321.45,2143.0,30
CDM,472219,SCREW BN STRL LCK 5X50MM,2143.0,2143.0,321.45,2143.0,30
CDM,472222,PLATE BN FULL SLOT 80MM,4872.0,4872.0,730.8,4872.0,30
CDM,472223,CAGE SPNL SML CGR 10X16,13287.0,13287.0,1993.05,13287.0,30
CDM,472225,SPACER SPNL 25X10X14MM,25101.0,25101.0,3765.15,25101.0,30
CDM,472227,INSERT ARTC 7-10 C-H STD,4429.0,4429.0,664.35,4429.0,30
CDM,472230,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,472233,BAR SPNL 20MM TRNSV NS,3765.0,3765.0,564.75,3765.0,30
CDM,472234,PROSTH PENL PUMP IP 16CM,37519.0,37519.0,5627.85,37519.0,30
CDM,472236,SCRW CX AXON 3.5X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,472237,SCRW CX AXON 3.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,472238,ROD TI AXON CRV 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,472239,ROD TI AXON CRV 3.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,472240,SHELL ACTB HIP 64MM MLH,8935.0,8935.0,1340.25,8935.0,30
CDM,472241,INSERT ACTB HIP X3 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,472242,JOINT FEM HEAD C-TPR,8416.0,8416.0,1262.4,8416.0,30
CDM,472243,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,472244,BLADE SURG OSTME 60MM,4385.5,4385.5,657.83,4385.5,42
CDM,472245,BLADE SURG OSTME 60MM,4385.5,4385.5,657.83,4385.5,42
CDM,472247,CMPNT FEM SZF LT,7530.0,7530.0,1129.5,7530.0,30
CDM,472249,SCREW BN 7MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,472250,SCREW BN 8MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,472251,SCREW BIOINT AR-1400B,3189.0,3189.0,478.35,3189.0,30
CDM,472252,SUTURE FIBERLOOP 20IN,773.0,773.0,115.95,773.0,42
CDM,472254,PASSER SUT 25D SUTRLSS,1457.0,1457.0,218.55,1457.0,42
CDM,472255,PASSER SUTURE WIRE 18GA,806.0,806.0,120.9,806.0,42
CDM,472256,SCREW BN 110MM 105MM,4058.0,4058.0,608.7,4058.0,30
CDM,472257,NAIL 130D 1036 L,6400.0,6400.0,960.0,6400.0,30
CDM,472258,GUIDE PIN SHORT 3.2MM,882.0,882.0,132.3,882.0,42
CDM,472259,ROD SPN 45X5.5MM,5315.0,5315.0,797.25,5315.0,30
CDM,472260,NAIL BN 8.5MM 28CM,4872.0,4872.0,730.8,4872.0,30
CDM,472261,CAGE SPNL 27X7X9 QUCIKSL,6644.0,6644.0,996.6,6644.0,30
CDM,472262,CAGE SPNL 23X9X11MM,6644.0,6644.0,996.6,6644.0,30
CDM,472269,STEM FEM HIP 21MM 220MM,14182.0,14182.0,2127.3,14182.0,30
CDM,472270,PLATE SPN 91X26X4.5MM,15630.0,15630.0,2344.5,15630.0,30
CDM,472276,LEAD NRSTM SPN 75CM,7508.0,7508.0,1126.2,7508.0,30
CDM,472277,ROD SPN 45X10MM,5315.0,5315.0,797.25,5315.0,30
CDM,472279,SCRW CANC AXON 4.0X18MM,4429.0,4429.0,664.35,4429.0,30
CDM,472280,SCRW CANC AXON 4.0X22MM,4429.0,4429.0,664.35,4429.0,30
CDM,472282,ROD TI 3.5MM X 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,472283,SUTURE PASSER 90D STR,1203.5,1203.5,180.53,1203.5,42
CDM,472284,SUTURE FBSWR 50IN,877.0,877.0,131.55,877.0,30
CDM,472286,COMPNT FEM G GSF RT KN,24480.0,24480.0,3672.0,24480.0,30
CDM,472287,CAGE SPNL MESH 50X10,18108.0,18108.0,2716.2,18108.0,30
CDM,472288,CONNECTOR ROD SPNL J HK,3012.0,3012.0,451.8,3012.0,30
CDM,472289,ROD SPINAL 3.5 X 200MM,2711.0,2711.0,406.65,2711.0,30
CDM,472290,SCREW TI 40 4.35 OCT SPN,4429.0,4429.0,664.35,4429.0,30
CDM,472291,SCREW BN TI 4.35L35 MTNR,4429.0,4429.0,664.35,4429.0,30
CDM,472292,CONN ROD SPN XVR TI 5,5274.0,5274.0,791.1,5274.0,30
CDM,472295,BLOCK FEM HIP 10MM 13/15,4252.0,4252.0,637.8,4252.0,30
CDM,472296,CAGE SPNL 14MM MED,13287.0,13287.0,1993.05,13287.0,30
CDM,472298,STEM FEM HIP SZ5 145MM,8416.0,8416.0,1262.4,8416.0,30
CDM,472299,STEM FEM STD HIP SZ10,7973.0,7973.0,1195.95,7973.0,30
CDM,472306,BIT DRILL 4.0MM,1325.0,1325.0,198.75,1325.0,42
CDM,472307,SCREW BN 95MM 90MM,3721.0,3721.0,558.15,3721.0,30
CDM,472308,NAIL 130D 11.540 R,6400.0,6400.0,960.0,6400.0,30
CDM,472309,SCREW BN LAG 85/80MM,3973.0,3973.0,595.95,3973.0,30
CDM,472310,NAIL BN INTRTN 11.5X36,6400.0,6400.0,960.0,6400.0,30
CDM,472312,SCRW CANC AXON 3.5X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,472313,STEM FEM HIP 13MM 130MM,6644.0,6644.0,996.6,6644.0,30
CDM,472314,TRAY TIB SZ5 LT MED,4606.0,4606.0,690.9,4606.0,30
CDM,472316,PLATE BONE 45MM,11686.0,11686.0,1752.9,11686.0,30
CDM,472320,GWIRE ORTH 1.1MM 150MM,402.0,402.0,60.3,402.0,42
CDM,472323,PROSTH PENL PUMP PS 18CM,36386.0,36386.0,5457.9,36386.0,30
CDM,472330,SCREW BN 1.5MM 4MM,558.0,558.0,83.7,558.0,30
CDM,472331,PLATE BN STR 6HL,1410.0,1410.0,211.5,1410.0,30
CDM,472334,HEAD HUM SHLDR 27X46MM,6211.0,6211.0,931.65,6211.0,30
CDM,472336,SPACER SPNL VERT 24X9X9,6644.0,6644.0,996.6,6644.0,30
CDM,472338,SCREW BNE MFA 3.5X16,3765.0,3765.0,564.75,3765.0,30
CDM,472339,SCREW BN TI L20MM OD3.5M,4247.0,4247.0,637.05,4247.0,30
CDM,472340,SCREW TI 24 3.5 OCT SPN,4120.0,4120.0,618.0,4120.0,30
CDM,472342,SCREW SELF TAP DEPUY 10M,3012.0,3012.0,451.8,3012.0,30
CDM,472345,PLATE LCP TIB 4 HL 4.5,7036.0,7036.0,1055.4,7036.0,30
CDM,472346,SPACER SPNL OD10MM X STP,15746.0,15746.0,2361.9,15746.0,30
CDM,472347,PLATE SPN 16X58X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
CDM,472348,PLATE SPN 12X58X9X2.7MM,4667.0,4667.0,700.05,4667.0,30
CDM,472349,INS FEM P3 1- D 32,4794.0,4794.0,719.1,4794.0,30
CDM,472351,PLATE SM TI 6 HL LCK BN,4309.0,4309.0,646.35,4309.0,30
CDM,472352,SCREW BN 3.5MM 10MM,1611.0,1611.0,241.65,1611.0,30
CDM,472354,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,472355,ROD SPN 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,472356,SPACER SPNL VERT 24X8X10,5980.0,5980.0,897.0,5980.0,30
CDM,472357,STEM HIP SZ2 12/14 130MM,8416.0,8416.0,1262.4,8416.0,30
CDM,472358,SPACER SPNL 12MM X-STP L,15746.0,15746.0,2361.9,15746.0,30
CDM,472359,MSH HRN CMPOSX 4.5 L/P,3721.0,3721.0,558.15,3721.0,30
CDM,472361,SCRW ICOS 6.5X80 MM,3189.0,3189.0,478.35,3189.0,30
CDM,472363,KWIRE FX 1.6MM 200MM,324.5,324.5,48.67,324.5,42
CDM,472366,SCRW CX AXON 3.5X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,472367,SCRW CX AXON 3.5X38MM,4429.0,4429.0,664.35,4429.0,30
CDM,472368,ROD SPN PRBNT 3.5X240MM,2711.0,2711.0,406.65,2711.0,30
CDM,472372,PROSTH PENL PUMP PS 15CM,36386.0,36386.0,5457.9,36386.0,30
CDM,472375,LEAD NRSTM SPN 30CM,14572.0,14572.0,2185.8,14572.0,30
CDM,472376,SCREW BN MLTI-AX 4-12MM,6281.0,6281.0,942.15,6281.0,30
CDM,472380,SCREW EXFX 110X6-5X40MM,798.0,798.0,119.7,798.0,42
CDM,472381,SCREW BN 6/5MM 110MM,798.0,798.0,119.7,798.0,30
CDM,472382,PLATE DISTAL RAD RT,4309.0,4309.0,646.35,4309.0,30
CDM,472384,GWIRE ORTH .045IN 6IN,231.5,231.5,34.73,231.5,42
CDM,472385,GWIRE ORTH .054IN 6IN,208.5,208.5,31.27,208.5,42
CDM,472386,SCREW BN CORT 3.5MM 16MM,1053.0,1053.0,157.95,1053.0,30
CDM,472387,PEG FX CORT LCK 2.3X14MM,1116.0,1116.0,167.4,1116.0,30
CDM,472388,PEG BN CORT LCK 2.3X18MM,1196.0,1196.0,179.4,1196.0,30
CDM,472390,PEG BN CORT 2.3MM 24MM,1744.0,1744.0,261.6,1744.0,30
CDM,472391,PEG FX CORT LCK 2.3X26MM,1116.0,1116.0,167.4,1116.0,30
CDM,472393,IMPLANT FINGR DIST SZ30,9260.0,9260.0,1389.0,9260.0,30
CDM,472397,SCREW SPN 6MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,472398,CONNECTR SPN 5.5X49-66MM,3287.0,3287.0,493.05,3287.0,30
CDM,472399,SCREW 6.5X40 MALIBU,4247.0,4247.0,637.05,4247.0,30
CDM,472400,SCREW MALIBU 6.5X45MM,4247.0,4247.0,637.05,4247.0,30
CDM,472401,SCREW SPN 7.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,472402,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,472403,SPACER SPNL VERT 20X9X9,6644.0,6644.0,996.6,6644.0,30
CDM,472404,SPACER SPNL VERT 27X11X9,11959.0,11959.0,1793.85,11959.0,30
CDM,472405,ROD LEGACY 8.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
CDM,472406,STAPLE BN SPN RSTRL MED,6212.0,6212.0,931.8,6212.0,30
CDM,472407,STAPLE BN SPN CDL MED,6212.0,6212.0,931.8,6212.0,30
CDM,472408,CAGE SPNL-PLT BN LG 0DD,31238.0,31238.0,4685.7,31238.0,30
CDM,472409,PLATE SPN TI L55 THRCLM,9135.0,9135.0,1370.25,9135.0,30
CDM,472410,PLATE FIB DIST LAT RT 4H,3189.0,3189.0,478.35,3189.0,30
CDM,472411,SPCR SPNL VERT 27X11X11,11959.0,11959.0,1793.85,11959.0,30
CDM,472414,CAGE SPNL L23MM,6644.0,6644.0,996.6,6644.0,30
CDM,472415,CAGE SPNL OVL 50X22X17,18843.0,18843.0,2826.45,18843.0,30
CDM,472416,SCREW BN HUM 4.5MM 18MM,2085.0,2085.0,312.75,2085.0,30
CDM,472418,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,472423,CAGE SPNL 30X14X25MM 10D,25689.0,25689.0,3853.35,25689.0,30
CDM,472433,HEAD WRST CARP STD 7X15,4832.0,4832.0,724.8,4832.0,30
CDM,472434,STEM WRST RADL BD LT 9MM,8695.0,8695.0,1304.25,8695.0,30
CDM,472436,STEM WRST RADL 7.5X40,6764.0,6764.0,1014.6,6764.0,30
CDM,472437,SCREW BN 5MM 35MM,2424.0,2424.0,363.6,2424.0,30
CDM,472438,SCREW BN 5MM 15MM,2424.0,2424.0,363.6,2424.0,30
CDM,472439,SCREW BN 5MM 20MM,2424.0,2424.0,363.6,2424.0,30
CDM,472441,SCRW ICOS 4.0X30 MM,3189.0,3189.0,478.35,3189.0,30
CDM,472442,SCRW ICOS 4.0X38 MM,3189.0,3189.0,478.35,3189.0,30
CDM,472444,STEM SHLDR CMNT PRIM,5859.0,5859.0,878.85,5859.0,30
CDM,472445,CUP HUM SHLDR 36MM +3MM,5458.0,5458.0,818.7,5458.0,30
CDM,472446,HEAD FEM HIP +5NN 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,472447,SHELL ACTB HIP 68MM,9543.0,9543.0,1431.45,9543.0,30
CDM,472448,CUP ACTB 49MM 32MM STD,4429.0,4429.0,664.35,4429.0,30
CDM,472449,STEMHUM SHLDR 153MM 14MM,13016.0,13016.0,1952.4,13016.0,30
CDM,472452,ROD SPN 40X5.5MM,5057.0,5057.0,758.55,5057.0,30
CDM,472456,NAIL BN BENT 8/7MM 16CM,6492.0,6492.0,973.8,6492.0,30
CDM,472457,SCREW BN 10.5MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,472458,STEM FEM HIP 14MM 135MM,6644.0,6644.0,996.6,6644.0,30
CDM,472459,CMPNT FEM D RT,7530.0,7530.0,1129.5,7530.0,30
CDM,472461,ROD SPN 6 X 110 MM,3012.0,3012.0,451.8,3012.0,30
CDM,472462,SPACER ADD-ON 8DG 12MM,12826.0,12826.0,1923.9,12826.0,30
CDM,472463,CAGE SPNL L23XW12XH9 CON,6644.0,6644.0,996.6,6644.0,30
CDM,472464,SCREW SPN 4.2MM 25MM,3050.0,3050.0,457.5,3050.0,30
CDM,472465,SCREW BN TI CLKX 30X4.2,3389.0,3389.0,508.35,3389.0,30
CDM,472466,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,472467,SPCR SPNL VERT 27X11X12,11959.0,11959.0,1793.85,11959.0,30
CDM,472477,COUPLER FEM KN OFST 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,472478,CMPNT FEM KN LT SZ4,17394.0,17394.0,2609.1,17394.0,30
CDM,472479,WEDGE FEM KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,472481,STEM FEM KN 120X15MM,4606.0,4606.0,690.9,4606.0,30
CDM,472482,NAIL BN TIB 11MM 315MM,5672.0,5672.0,850.8,5672.0,30
CDM,472483,SCREW BN STRL LCK 5X34MM,2143.0,2143.0,321.45,2143.0,30
CDM,472486,ROD SPN 70X10MM,6201.0,6201.0,930.15,6201.0,30
CDM,472487,PLATE BN 6HL 2.7MM 59MM,3189.0,3189.0,478.35,3189.0,30
CDM,472490,SCREW SPN 2.4MM 6MM,753.0,753.0,112.95,753.0,30
CDM,472497,INSERT TIB PLY 5 10MM N2,5108.0,5108.0,766.2,5108.0,30
CDM,472498,INSERT TIB PLY 7 10MM N2,5108.0,5108.0,766.2,5108.0,30
CDM,472579,PUNCH AOR ROTATE 5.0MM,301.5,301.5,45.23,301.5,42
CDM,472586,GWIRE VASC .035IN 260CM,761.0,761.0,114.15,761.0,42
CDM,472587,SUTURE MNCR 4-0 PC-3 18,97.0,97.0,14.55,97.0,42
CDM,472623,SCREW BN 1.3MM 11MM,1220.0,1220.0,183.0,1220.0,30
CDM,472624,SCREW BN 1.3MM 13MM,1125.0,1125.0,168.75,1125.0,30
CDM,472625,SCREW BN 1.3MM 14MM,1220.0,1220.0,183.0,1220.0,30
CDM,472626,SCREW BN 1.3MM 16MM,1125.0,1125.0,168.75,1125.0,30
CDM,472627,SCREW BN 1.3MM 18MM,1220.0,1220.0,183.0,1220.0,30
CDM,472628,SCREW BN ST 1.5MM 7MM,485.0,485.0,72.75,485.0,30
CDM,472629,SCREW BN 1.5MM 9MM,485.0,485.0,72.75,485.0,30
CDM,472630,SCREW BN ST 1.5MM 11MM,485.0,485.0,72.75,485.0,30
CDM,472631,SCREW BN ST 1.5MM 16MM,402.0,402.0,60.3,402.0,30
CDM,472632,SCREW BN 1.5MM 18MM,402.0,402.0,60.3,402.0,30
CDM,472633,SCREW BN ST 1.5MM 20MM,485.0,485.0,72.75,485.0,30
CDM,472634,SCREW BN ST 1.5MM 22MM,556.0,556.0,83.4,556.0,30
CDM,472635,SCREW BN ST 1.5MM 24MM,485.0,485.0,72.75,485.0,30
CDM,472637,SCREW BN 4.5MM 7MM,1280.0,1280.0,192.0,1280.0,30
CDM,472638,SCREW TI CORT 2.4X19,1118.0,1118.0,167.7,1118.0,30
CDM,472639,SCREW BN 4.5MM 11MM,1118.0,1118.0,167.7,1118.0,30
CDM,472640,SCREW BN 2.4MM 13MM,1118.0,1118.0,167.7,1118.0,30
CDM,472641,SCREW BN 2.4MM 14MM,1118.0,1118.0,167.7,1118.0,30
CDM,472642,SCREW BN 2.4MM 16MM,1118.0,1118.0,167.7,1118.0,30
CDM,472643,SCREW BN 2.4MM 18MM,1466.0,1466.0,219.9,1466.0,30
CDM,472644,SCREW BN 2.4MM 20MM,1118.0,1118.0,167.7,1118.0,30
CDM,472645,SCREW BN 2.4MM 22MM,1118.0,1118.0,167.7,1118.0,30
CDM,472646,SCREW BN 4.5MM 24MM,1280.0,1280.0,192.0,1280.0,30
CDM,472647,SCREW BN 2.4X4.5X26MM,1375.0,1375.0,206.25,1375.0,30
CDM,472648,SCREW BN 2.4X4.5X28MM,1118.0,1118.0,167.7,1118.0,30
CDM,472649,SCREW BN 4.5MM 30MM,1118.0,1118.0,167.7,1118.0,30
CDM,472650,SCREW BN 2.4X32MM,1118.0,1118.0,167.7,1118.0,30
CDM,472651,SCREW BN 2MM 6MM,553.0,553.0,82.95,553.0,30
CDM,472652,SCREW BN 2X3.5X9MM,485.0,485.0,72.75,485.0,30
CDM,472653,SCREW BN 2.0MM 11MM,553.0,553.0,82.95,553.0,30
CDM,472654,SCREW BN 2MM 13MM,553.0,553.0,82.95,553.0,30
CDM,472655,SCREW CORT 2.0 14,485.0,485.0,72.75,485.0,30
CDM,472656,SCREW BN 3.5MM 16MM,403.0,403.0,60.45,403.0,30
CDM,472657,SCREW BN ST 2.0MM 18MM,553.0,553.0,82.95,553.0,30
CDM,472658,SCREW BN ST 2.0MM 20MM,485.0,485.0,72.75,485.0,30
CDM,472659,SCREW BN ST 2.0MM 22MM,485.0,485.0,72.75,485.0,30
CDM,472660,SCREW BN ST 2.0MM 24MM,985.0,985.0,147.75,985.0,30
CDM,472661,SCREW BN ST 2.0MM 26MM,553.0,553.0,82.95,553.0,30
CDM,472662,SCREW BN ST 2.0MM 28MM,553.0,553.0,82.95,553.0,30
CDM,472663,SCREW BN ST 2.0MM 30MM,553.0,553.0,82.95,553.0,30
CDM,472664,SCREW BN ST 2.0MM 32MM,553.0,553.0,82.95,553.0,30
CDM,472665,SCREW BN 1.6MM 6MM,1336.0,1336.0,200.4,1336.0,30
CDM,472666,SCREW BN 1.6MM 7MM,1336.0,1336.0,200.4,1336.0,30
CDM,472667,SCREW BN 1.6MM 8MM,1336.0,1336.0,200.4,1336.0,30
CDM,472668,SCREW BN 1.6MM 9MM,1078.0,1078.0,161.7,1078.0,30
CDM,472670,SCREW BN 1.6MM 11MM,1078.0,1078.0,161.7,1078.0,30
CDM,472671,SCREW BN 1.6MM 12MM,1078.0,1078.0,161.7,1078.0,30
CDM,472672,SCREW BN 1.6MM 13MM,1078.0,1078.0,161.7,1078.0,30
CDM,472673,SCREW BN 1.6MM 14MM,1336.0,1336.0,200.4,1336.0,30
CDM,472674,SCREW BN 1.3X6MM,1125.0,1125.0,168.75,1125.0,30
CDM,472675,SCREW BN 1.3X7MM,1125.0,1125.0,168.75,1125.0,30
CDM,472676,SCREW BN 1.3MM 8MM,1125.0,1125.0,168.75,1125.0,30
CDM,472677,SCREW TI CORT 1.0X9,1125.0,1125.0,168.75,1125.0,30
CDM,472678,PLATE STRAIGHT 1.3 6HX23,3189.0,3189.0,478.35,3189.0,30
CDM,472679,PLATE BN 12HL 1.3X47MM,3189.0,3189.0,478.35,3189.0,30
CDM,472681,PLATE BN H LT 8HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,472682,PLATE BN 3HL 1.3MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,472683,PLATE BN 4HL 1.3MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,472684,PLATE BN Y 3X8HL 1.3X32,3189.0,3189.0,478.35,3189.0,30
CDM,472685,PLATE BN LT 7HL 2.0X39MM,3189.0,3189.0,478.35,3189.0,30
CDM,472686,PLATE BN RT 7HL 2.0X39MM,3189.0,3189.0,478.35,3189.0,30
CDM,472687,PLATE BN STR 29X3.8X.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,472688,PLATE BN 12HL 1.5X59MM,3189.0,3189.0,478.35,3189.0,30
CDM,472689,PLATE 1.5 TI T/3 HL 40,3189.0,3189.0,478.35,3189.0,30
CDM,472690,PLATE BN 8HL 1.5MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,472691,PLATE BN H RT 1.5X22MM,3189.0,3189.0,478.35,3189.0,30
CDM,472692,PLATE BN H LT 1.5X22MM,3189.0,3189.0,478.35,3189.0,30
CDM,472693,PLATE BN 3/8HL 1.5X46MM,3189.0,3189.0,478.35,3189.0,30
CDM,472694,PLATE BN LT 7HL 1.5X36MM,3189.0,3189.0,478.35,3189.0,30
CDM,472695,PLATE BN RT 7HL 1.5X36MM,3189.0,3189.0,478.35,3189.0,30
CDM,472696,PLATE BN 12HL 1.2MM 71MM,3189.0,3189.0,478.35,3189.0,30
CDM,472697,PLATE BN 2H 8H 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,472698,PLATE BN 2MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,472699,PLATE BN 8HL 2MM 53MM,3189.0,3189.0,478.35,3189.0,30
CDM,472700,PLATE BN 8HL 2MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,472701,PLATE BN TI 12HL 2.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,472702,PLATE BN 2/8HL 2.4X54MM,3354.0,3354.0,503.1,3354.0,30
CDM,472703,PLATE BN 3/8HL 2.4X54MM,3569.0,3569.0,535.35,3569.0,30
CDM,472704,PLATE BN 3/8HL 2.4X56MM,3189.0,3189.0,478.35,3189.0,30
CDM,472705,PLATE CONDYLAR 2.4MM LFT,3554.0,3554.0,533.1,3554.0,30
CDM,472706,PLATE BN 4HL 2.4MM 31MM,3189.0,3189.0,478.35,3189.0,30
CDM,472707,PLATE BN 6HL 2.4MM 47MM,3721.0,3721.0,558.15,3721.0,30
CDM,472708,PLATE BN 8HL 2.4MM 63MM,3831.0,3831.0,574.65,3831.0,30
CDM,472709,PLATE BN 4HL 2MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,472711,CATH GD CHMP2 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,472717,PLATE BN 8H 2.0MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,472720,CATH GD XB3 7FR 100CM,605.0,605.0,90.75,605.0,42
CDM,472722,CATH GD STDJLC 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,472723,CATH GD STDJLC 7FR 100CM,649.5,649.5,97.42,649.5,42
CDM,472736,FELT CV PTCH PTFE 1X1IN,243.0,243.0,36.45,243.0,30
CDM,472738,CATH GD XB3.5 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,472739,CATH GD JL4 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,472749,GRAFT BN TCP 5ML 3X3X3,3012.0,3012.0,451.8,3012.0,30
CDM,472750,GRAFT BN TCP 10ML 3X3X3,3765.0,3765.0,564.75,3765.0,30
CDM,472753,SUBSTITUTE BNGF 5ML,3012.0,3012.0,451.8,3012.0,30
CDM,472754,SUBSTITUTE BNGF 10CC,3452.0,3452.0,517.8,3452.0,30
CDM,472756,SUTURE TP-1 0 1X96IN,54.5,54.5,8.18,54.5,42
CDM,472757,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,472765,STENT EPRSTH 6X8X19MM,10220.0,10220.0,1533.0,10220.0,30
CDM,472800,SYSTEM CATH ATHRCM 135CM,11485.5,11485.5,1722.83,11485.5,42
CDM,472802,NEEDLE PERC 21GA 7CM,87.0,87.0,13.05,87.0,42
CDM,472803,CATH BLNDIL 9X20MM 80CM,949.0,949.0,142.35,949.0,42
CDM,472804,CATH BLNDIL 9X40MM 80CM,949.0,949.0,142.35,949.0,42
CDM,472805,CATH BLNDIL 10X20MM 80CM,949.0,949.0,142.35,949.0,42
CDM,472806,CATH BLNDIL 10X40MM 80CM,949.0,949.0,142.35,949.0,42
CDM,472808,CATHETER BLNDIL 12X80X40,949.0,949.0,142.35,949.0,42
CDM,472809,CATHETER BLNDIL 14X80X20,972.5,972.5,145.88,972.5,42
CDM,472810,CATHETER BLNDIL 14X80X40,949.0,949.0,142.35,949.0,42
CDM,472811,INTRO SHTH 6FR 13CM,516.0,516.0,77.4,516.0,42
CDM,472812,INTRO SHTH 7FR 13CM,537.5,537.5,80.63,537.5,42
CDM,472813,SHTH INTRO SPLT 9FR 13CM,537.5,537.5,80.63,537.5,42
CDM,472814,SHEATH INTRO 10.5FR 13CM,537.5,537.5,80.63,537.5,42
CDM,472815,INTRO SHTH 7FR 25CM,657.5,657.5,98.63,657.5,42
CDM,472816,SHEATH INTRO 8FR 25CM,324.5,324.5,48.67,324.5,42
CDM,472820,SCREW SPN 5.5MM 40MM,5980.0,5980.0,897.0,5980.0,30
CDM,472821,SCREW SPN 5.5MM 45MM,5980.0,5980.0,897.0,5980.0,30
CDM,472822,ROD SPN 5.5MM 6.5MM,9301.0,9301.0,1395.15,9301.0,30
CDM,472823,SCREW SPN SET 7MM,1356.0,1356.0,203.4,1356.0,30
CDM,472824,SCREW BN LCK 5MM 45MM,2696.0,2696.0,404.4,2696.0,30
CDM,472825,PLATE TIB 8HL 4.5MM,6589.0,6589.0,988.35,6589.0,30
CDM,472826,SCREW BN SPNL 6.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,472827,SCREW BN SPNL 7.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,472828,CLIP LOCKING FOR ROD,753.0,753.0,112.95,753.0,30
CDM,472829,SPACER 14X11X10MM 7 DEG,5537.0,5537.0,830.55,5537.0,30
CDM,472831,SHEATH INTRO 9FR 25CM,657.5,657.5,98.63,657.5,42
CDM,472832,STEM FEM KN 120MM 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,472833,COMPNT CNSTRN RT KN SZ4,17394.0,17394.0,2609.1,17394.0,30
CDM,472834,BASEPLATETIB KN LGN RT,8010.0,8010.0,1201.5,8010.0,30
CDM,472835,COMPNT PTLR KN 13X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,472836,STEM FEM KN 80MM 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,472837,PLATE BNE LCP L142 STNLS,6451.0,6451.0,967.65,6451.0,30
CDM,472841,CATH GD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,472842,INSERT 58X40X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,472850,BIT DRILL 2.7MM 3.5MM,1293.5,1293.5,194.03,1293.5,42
CDM,472851,PLATE BN 8.3MM 31MM,4429.0,4429.0,664.35,4429.0,30
CDM,472852,SCREW SURFX 3.5X24,3189.0,3189.0,478.35,3189.0,30
CDM,472853,SCREW SURFX 3.5X26,3189.0,3189.0,478.35,3189.0,30
CDM,472855,CUP ACETABULAR 52MM,32775.0,32775.0,4916.25,32775.0,30
CDM,472856,HEAD FEM RESURGAC 46MM,22588.0,22588.0,3388.2,22588.0,30
CDM,472860,CATH ANGIO .057IN 110CM,227.0,227.0,34.05,227.0,42
CDM,472861,INS SMT DUOFX 10TPRD STD,11073.0,11073.0,1660.95,11073.0,30
CDM,472862,HEAD FM HIP CCR+1.5X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,472863,STEM FEM KN 20MM 130MM,4429.0,4429.0,664.35,4429.0,30
CDM,472870,CATH ANGIO 5FR 100CM,231.5,231.5,34.73,231.5,42
CDM,472871,CAGE SPN 18X25MM,26376.0,26376.0,3956.4,26376.0,30
CDM,472872,END CAP SPN 3D 18MM,3012.0,3012.0,451.8,3012.0,30
CDM,472878,STEM SHRP FLUT 12DX75,4429.0,4429.0,664.35,4429.0,30
CDM,472879,SCREW BN HEX 2.7X16,319.0,319.0,47.85,319.0,30
CDM,472880,SCREW BN HEX 2.7X14,319.0,319.0,47.85,319.0,30
CDM,472881,SCREW BN 4X40MM,319.0,319.0,47.85,319.0,30
CDM,472884,SCREW BN SPNL 7.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,472885,SCREW BN SPNL 7.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,472886,LINER ACTB 10DD +4 36X52,4429.0,4429.0,664.35,4429.0,30
CDM,472887,RETRACTOR SYS LIGHT SPN,3274.0,3274.0,491.1,3274.0,42
CDM,472888,ENDPLATE SPN 27X34.5MM,18581.0,18581.0,2787.15,18581.0,30
CDM,472889,ENDPLATE SPN 34.5X27MM,18581.0,18581.0,2787.15,18581.0,30
CDM,472890,ENDPLATE INLAY MED 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,472893,SCREW BN TI 4.0X25MM LOK,3012.0,3012.0,451.8,3012.0,30
CDM,472894,SCREW BN TI 4X30MM SYNFX,3012.0,3012.0,451.8,3012.0,30
CDM,472895,SPACER 26/32 15X8 DEG,25246.0,25246.0,3786.9,25246.0,30
CDM,472896,SCREW SPN 7MM 50MM,4120.0,4120.0,618.0,4120.0,30
CDM,472897,SCREW SPNE 7X50MM,4673.0,4673.0,700.95,4673.0,30
CDM,472898,SCREW SPNE 6X50MM,4673.0,4673.0,700.95,4673.0,30
CDM,472899,PLATE BN LT 4HL 4.5X82MM,7220.0,7220.0,1083.0,7220.0,30
CDM,472900,STYLET LD 52CM .014IN KT,400.5,400.5,60.08,400.5,42
CDM,472905,CAGE SPINAL PEEK 12MM,9833.0,9833.0,1474.95,9833.0,30
CDM,472907,LINER ACTB 32 SZ24,5422.0,5422.0,813.3,5422.0,30
CDM,472908,SHELL HIP ACTB SZ24MM,2658.0,2658.0,398.7,2658.0,30
CDM,472911,SCREW BN 4MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,472912,HEAD FEM SROM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,472913,CABLE SPN 1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,472915,STEM KN EXTND 80MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,472916,CMPNT FEM AUGMT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,472917,CMPNT FEM KN 70MM 61MM,19459.0,19459.0,2918.85,19459.0,30
CDM,472918,AXLE FEM KN 648-1-120,4429.0,4429.0,664.35,4429.0,30
CDM,472919,BUSHNG FEM KN ROT HNG,4210.0,4210.0,631.5,4210.0,30
CDM,472920,INSERT BUMPER KN 0D,4252.0,4252.0,637.8,4252.0,30
CDM,472921,SLEEVE KN TIBTRY ROT HNG,4252.0,4252.0,637.8,4252.0,30
CDM,472922,COMPNT TIB LT KN XS-XL,8599.0,8599.0,1289.85,8599.0,30
CDM,472924,BASEPLATE TIB KN SZ MED2,8861.0,8861.0,1329.15,8861.0,30
CDM,472925,INSRT TIB KN 6481-3-313,4606.0,4606.0,690.9,4606.0,30
CDM,472928,PLATE BN SKYLN 40 ANT,4651.0,4651.0,697.65,4651.0,30
CDM,472929,HEAD FEM HIP 18X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,472930,CUP ACTB 51MM 32MM 10D,4429.0,4429.0,664.35,4429.0,30
CDM,472932,MESH SURG 5IN 7IN,3189.0,3189.0,478.35,3189.0,30
CDM,472933,MESH SURG 5IN 7IN,3189.0,3189.0,478.35,3189.0,30
CDM,472934,INTRO SHTH 16FR 42CM,941.5,941.5,141.22,941.5,42
CDM,472935,SUTURE TIGERTAPE 18IN,386.0,386.0,57.9,386.0,30
CDM,472938,PUNCH SURG OD3MM TRUPNCH,50.5,50.5,7.58,50.5,42
CDM,472940,PACK VESSEL HARVESTOR,4093.0,4093.0,613.95,4093.0,42
CDM,472952,STENT VASC 7X37MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,472954,SHEARS ESURG 9CM,2474.5,2474.5,371.18,2474.5,42
CDM,472961,PLATE ANT CER L1 16MM,4872.0,4872.0,730.8,4872.0,30
CDM,472962,SCREW BN 4MM 12MM 2 LD,3012.0,3012.0,451.8,3012.0,30
CDM,472963,PIN TEMPORARY FIXATION,1023.5,1023.5,153.53,1023.5,42
CDM,472965,STEM STD42NK 20X15X165MM,6201.0,6201.0,930.15,6201.0,30
CDM,472967,LINER ACTB 10DD +4 36X58,4429.0,4429.0,664.35,4429.0,30
CDM,472971,HEAD HUM SHLDR 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,472973,INSERT ARTC 5-6 E-F 20MM,5777.0,5777.0,866.55,5777.0,30
CDM,472974,GRAFT EVS 95X36X8.5MM 22,29307.0,29307.0,4396.05,29307.0,30
CDM,472979,STENT VASC 7X58MM 135CM,8267.0,8267.0,1240.05,8267.0,30
CDM,472982,TRAY TIB KNEE 7115-0005,4606.0,4606.0,690.9,4606.0,30
CDM,472983,INSERT TIB KN SZ5 10MM,9924.0,9924.0,1488.6,9924.0,30
CDM,472986,FEM NP BCS SZ5 LT,14726.0,14726.0,2208.9,14726.0,30
CDM,472987,BASEPLT KN LT SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,472988,INSR STD 5-6 LT 13MM,7915.0,7915.0,1187.25,7915.0,30
CDM,472989,FEM NP BCS SZ4 LT,12269.0,12269.0,1840.35,12269.0,30
CDM,472990,BASEPLT TIB KN LT SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,472991,INSR STD 3-4 LT 10MM,7915.0,7915.0,1187.25,7915.0,30
CDM,472993,CAGE SPINAL 30X25X12MM,25689.0,25689.0,3853.35,25689.0,30
CDM,472998,SCREW BN SPN 4.25MM 14MM,2078.0,2078.0,311.7,2078.0,30
CDM,472999,INS ACTB 58MM 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,473000,STEM FEM HIP SZ9 165MM,11073.0,11073.0,1660.95,11073.0,30
CDM,473004,CAGE 22X10X7 08.803.012,6644.0,6644.0,996.6,6644.0,30
CDM,473005,KIT ACCESSORY CONN,7626.0,7626.0,1143.9,7626.0,42
CDM,473006,PUMP CONTRL URN AB SYS,31904.0,31904.0,4785.6,31904.0,30
CDM,473007,CUFF URTH SPHNCR AB 4.5C,23775.0,23775.0,3566.25,23775.0,30
CDM,473008,NAIL TRGN LT LME 11.5X38,4872.0,4872.0,730.8,4872.0,30
CDM,473010,SCREW BNE TI ANT 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,473011,PUTTY NORIAN FASTET 10CC,11206.0,11206.0,1680.9,11206.0,30
CDM,473013,INSERT ACTB 5.9MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,473021,INSERT ARTC KN 3-4 15MM,5014.0,5014.0,752.1,5014.0,30
CDM,473022,STEM HUM ADAPT 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,473023,CEMENT BN 40GR 20ML,813.0,813.0,121.95,813.0,30
CDM,473026,COMPNT CUP ACTB HIP 56MM,17274.0,17274.0,2591.1,17274.0,30
CDM,473027,COMPNT HEAD FEM HIP 50MM,22588.0,22588.0,3388.2,22588.0,30
CDM,473028,PIN GD BHR LONG,838.5,838.5,125.78,838.5,42
CDM,473029,SCREW BN 1.3MM 12MM,1125.0,1125.0,168.75,1125.0,30
CDM,473032,ANCH SUT 5.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,473033,LINER ACTB 10D +4 36X64M,5847.0,5847.0,877.05,5847.0,30
CDM,473034,STEM FEM HIP SZ9 12/14,8416.0,8416.0,1262.4,8416.0,30
CDM,473035,CUP ACTB SECT 2 PNCL 64,4606.0,4606.0,690.9,4606.0,30
CDM,473036,CUFF URTH SPHNCR AB 4CM,29850.0,29850.0,4477.5,29850.0,30
CDM,473038,SCREW SPN 5.5X45MM,3389.0,3389.0,508.35,3389.0,30
CDM,473039,ROD SPN PREC L90 OD5.5,2711.0,2711.0,406.65,2711.0,30
CDM,473040,SPCR SPNL VERT 27X11X10,11959.0,11959.0,1793.85,11959.0,30
CDM,473041,SCREW BN 4MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,473042,SCREW SPN 6MM 40MM,6201.0,6201.0,930.15,6201.0,30
CDM,473043,SCREW SPNL 6X45MM 70D,4983.0,4983.0,747.45,4983.0,30
CDM,473045,SCREW SET EDEN SPINE,753.0,753.0,112.95,753.0,30
CDM,473049,POST TPR 13.5 X 31 MM,4429.0,4429.0,664.35,4429.0,30
CDM,473050,COMP ART 35X8.0X8.0MM,17052.0,17052.0,2557.8,17052.0,30
CDM,473051,CMPNT FEM KN 65X64MM LT,25012.0,25012.0,3751.8,25012.0,30
CDM,473052,CMPNT FEM KN 70X69MM LT,25012.0,25012.0,3751.8,25012.0,30
CDM,473053,INSERT ARTC 15.5X69X18,7587.0,7587.0,1138.05,7587.0,30
CDM,473056,SCREW BN CORT 3.5MM 8MM,957.0,957.0,143.55,957.0,30
CDM,473057,SLEEVE CNTRNG +3MM 11/13,3189.0,3189.0,478.35,3189.0,30
CDM,473058,PLT PROX LAT TIB 5.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,473059,SCREW BN 5.5MM 75MM,2790.0,2790.0,418.5,2790.0,30
CDM,473060,SCREW BN 5.5MM 80MM,2790.0,2790.0,418.5,2790.0,30
CDM,473061,SCREW BN 5.5MM 50MM,1435.0,1435.0,215.25,1435.0,30
CDM,473062,SCREW BN 5.5MM 60MM,1435.0,1435.0,215.25,1435.0,30
CDM,473063,SCREW BN 5.5MM 55MM,1435.0,1435.0,215.25,1435.0,30
CDM,473064,SCREW BN 5.5MM 75MM,1435.0,1435.0,215.25,1435.0,30
CDM,473065,SCREW BN 5.5MM 80MM,1435.0,1435.0,215.25,1435.0,30
CDM,473066,SCREW CANN LCK 4.5X40MM,1595.0,1595.0,239.25,1595.0,30
CDM,473069,CAGE SPNL 23MMX7MMX9MM Q,6644.0,6644.0,996.6,6644.0,30
CDM,473070,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,473071,PLATE BN HUM 8HL 194MM,6494.0,6494.0,974.1,6494.0,30
CDM,473072,SCRW SHAFT AXON 3.5X26MM,4695.0,4695.0,704.25,4695.0,30
CDM,473074,NAIL BN 11MM 400MM,8024.0,8024.0,1203.6,8024.0,30
CDM,473075,SCREW LOCK TFN 458.948,2969.0,2969.0,445.35,2969.0,30
CDM,473076,PROSTH PENL PUMP IP 14CM,37519.0,37519.0,5627.85,37519.0,30
CDM,473077,KWIRE FX 150MM 1.25MM,464.0,464.0,69.6,464.0,42
CDM,473078,SCREW BN 3.5X28 2.7MM,319.0,319.0,47.85,319.0,30
CDM,473079,SCREW BN 3.5X30 2.7MM,319.0,319.0,47.85,319.0,30
CDM,473080,SCREW CANC 4.0X10,319.0,319.0,47.85,319.0,30
CDM,473083,COMPNT FEM PRECT LT SZF,7530.0,7530.0,1129.5,7530.0,30
CDM,473085,PLATE CLVCL SM RT 6HL,4309.0,4309.0,646.35,4309.0,30
CDM,473086,PEG FX GLND SHLDR 48MM,5980.0,5980.0,897.0,5980.0,30
CDM,473090,NAIL LT FEM RECN 11X38MM,5289.0,5289.0,793.35,5289.0,30
CDM,473091,CAP END BN +10MM,1737.0,1737.0,260.55,1737.0,30
CDM,473092,KWIRE FX 3.2MM 400MM,1023.5,1023.5,153.53,1023.5,42
CDM,473093,SCREW BN 6.5MM 115MM,3189.0,3189.0,478.35,3189.0,30
CDM,473094,SCREW BN LCK FT6.5X105MM,3189.0,3189.0,478.35,3189.0,30
CDM,473095,BIT DRILL 4.2MM 130MM,1080.5,1080.5,162.07,1080.5,42
CDM,473096,FEM NEXGEN SZG LT NEG,17514.0,17514.0,2627.1,17514.0,30
CDM,473097,HEAD HUM 21MM 56MM,5910.0,5910.0,886.5,5910.0,30
CDM,473100,SLEEVE CNTRNG 20F SM,4252.0,4252.0,637.8,4252.0,30
CDM,473102,BODY CLCR 90MMX45MM 46MM,15201.0,15201.0,2280.15,15201.0,30
CDM,473104,COMPNT FEM RT 64X57.5MM,17193.0,17193.0,2578.95,17193.0,30
CDM,473105,EXTENSION STM 10MM 130MM,4429.0,4429.0,664.35,4429.0,30
CDM,473107,SCREW SPN VAR 4X14,3012.0,3012.0,451.8,3012.0,30
CDM,473110,PLT CLAVICLE LKNG 9 HL,4309.0,4309.0,646.35,4309.0,30
CDM,473111,SCREW SPN 6.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,473116,SCREW BN TI 35X4.2MM CLK,3900.0,3900.0,585.0,3900.0,30
CDM,473117,SCREW BN TI 40X4.2MM CLK,3650.0,3650.0,547.5,3650.0,30
CDM,473118,HEAD FEMORAL 00801804002,4606.0,4606.0,690.9,4606.0,30
CDM,473119,LINER HIP STD 0D 40X58MM,4606.0,4606.0,690.9,4606.0,30
CDM,473120,SCREW MALIBU P-AX 6.5X35,4247.0,4247.0,637.05,4247.0,30
CDM,473121,SPACER SPNL VERT 20X9X8,5980.0,5980.0,897.0,5980.0,30
CDM,473122,PLATE BNE 67M 489.466,8825.0,8825.0,1323.75,8825.0,30
CDM,473123,STEM TIB LG 10IN 16.5M R,23406.0,23406.0,3510.9,23406.0,30
CDM,473124,SCRW SHAFT AXON 3.5X32MM,4695.0,4695.0,704.25,4695.0,30
CDM,473125,SCREW SPN 3.5MM 8MM,841.0,841.0,126.15,841.0,30
CDM,473126,LINER HIP FEM 3.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,473127,STEM FEM 225X20MM MOD,15016.0,15016.0,2252.4,15016.0,30
CDM,473129,KIT ASSEMBLY SCROTAL,3721.0,3721.0,558.15,3721.0,30
CDM,473130,RNG ANLPLS DRN 31MM,6152.0,6152.0,922.8,6152.0,30
CDM,473131,ROD SPN XBAR MED 5.5MM,3765.0,3765.0,564.75,3765.0,30
CDM,473136,SUTURE CV-4 36IN,493.5,493.5,74.03,493.5,42
CDM,473139,COMP TIB KN SZ3 12MM,5394.0,5394.0,809.1,5394.0,30
CDM,473141,SCREW BN L50MM OD5.5,3721.0,3721.0,558.15,3721.0,30
CDM,473142,SPACER SPNL VERT 20X9X7,5980.0,5980.0,897.0,5980.0,30
CDM,473143,PLATE 34MM TI 2 LVL UNIP,4429.0,4429.0,664.35,4429.0,30
CDM,473144,SPACER 12 MM 12 DEG,13287.0,13287.0,1993.05,13287.0,30
CDM,473146,SPACER SPN 12X10X13MM 6D,25101.0,25101.0,3765.15,25101.0,30
CDM,473149,SLEEVE CNTRNG 9.5X3 24B,4252.0,4252.0,637.8,4252.0,30
CDM,473150,STEM SROM 36+8L 24X19X17,6644.0,6644.0,996.6,6644.0,30
CDM,473151,SLEEVE CNTRNG +0MM 11/13,4252.0,4252.0,637.8,4252.0,30
CDM,473156,SCREW BN 6.5MM 25MM,1196.0,1196.0,179.4,1196.0,30
CDM,473157,HEAD FEM HIP 5MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,473158,STEM ACTB HIP 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,473159,LINER ACTB 10D 5.9X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,473161,SCREW BN SPN 7.5X60MM SS,6728.0,6728.0,1009.2,6728.0,30
CDM,473162,SCREW SPN BRKOF .35X6.35,1830.0,1830.0,274.5,1830.0,30
CDM,473163,CONNECTOR ROD 10MM 6.35M,4429.0,4429.0,664.35,4429.0,30
CDM,473164,ROD SPNL 50X6.35 CD HRZN,3417.0,3417.0,512.55,3417.0,30
CDM,473165,SCREW LEGACY MAS SS 6.5,5669.0,5669.0,850.35,5669.0,30
CDM,473166,SCREW LEGACY MAS SS 6.5,4429.0,4429.0,664.35,4429.0,30
CDM,473167,SCRW CDH 6.5X50MM SS,5669.0,5669.0,850.35,5669.0,30
CDM,473168,SCRW CDH 7.5X50MM SS,5669.0,5669.0,850.35,5669.0,30
CDM,473169,SCRW CDH 7.5X55MM SS,5669.0,5669.0,850.35,5669.0,30
CDM,473170,SCREW ST SS SPNE PDCL,753.0,753.0,112.95,753.0,30
CDM,473171,PLATE STD LP .375 6.35MM,5022.0,5022.0,753.3,5022.0,30
CDM,473172,CNCTR ROD SS 6.35MM,3765.0,3765.0,564.75,3765.0,30
CDM,473173,NUT SPN LCK MPAXL,2214.0,2214.0,332.1,2214.0,30
CDM,473182,LINER XLPE 0 D POLY 60X,4606.0,4606.0,690.9,4606.0,30
CDM,473186,CAGE SPN SYN 22X21X28 5D,21120.0,21120.0,3168.0,21120.0,30
CDM,473187,COMPNT FEM PRECT LT SZD,7530.0,7530.0,1129.5,7530.0,30
CDM,473191,STEM WRST RADL 6X40,6764.0,6764.0,1014.6,6764.0,30
CDM,473192,STEM WRST RADL BD RT 7.5,8695.0,8695.0,1304.25,8695.0,30
CDM,473193,SCREW SPINAL EDEN6.0X50M,4983.0,4983.0,747.45,4983.0,30
CDM,473195,LINER ACTB HIP 36MM 52MM,4429.0,4429.0,664.35,4429.0,30
CDM,473196,HEAD HIP FEM 36MM +1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,473198,SCREW SPN CLK-X 6.2X55MM,4429.0,4429.0,664.35,4429.0,30
CDM,473201,STEM FEM HIP 13MM 200MM,23050.0,23050.0,3457.5,23050.0,30
CDM,473203,EXTENSION STM 125MM 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,473204,INSERT TIB KN SZ4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,473207,PLATE MED TI 8 HL LCK,4309.0,4309.0,646.35,4309.0,30
CDM,473208,PLATE OLCRN PL-LE09,4429.0,4429.0,664.35,4429.0,30
CDM,473209,SCREW BN CORT 3.5MM 22MM,957.0,957.0,143.55,957.0,30
CDM,473210,SCREW BN CORT 3.5MM 50MM,1276.0,1276.0,191.4,1276.0,30
CDM,473211,SCREW BN 3.5MM 18MM,1611.0,1611.0,241.65,1611.0,30
CDM,473212,SCREW BN 3.5MM 20MM,1403.0,1403.0,210.45,1403.0,30
CDM,473213,SCREW BN 3.5MM 32MM,1116.0,1116.0,167.4,1116.0,30
CDM,473214,GWIRE ORTH .045IN 6IN,231.5,231.5,34.73,231.5,42
CDM,473220,SCREW SPN 7.0MM 50MM,4105.0,4105.0,615.75,4105.0,30
CDM,473222,SCRW CX AXON 3.5X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,473223,NAIL BN 10MM 10.5CM,14789.0,14789.0,2218.35,14789.0,30
CDM,473224,ROD 00119709510,14789.0,14789.0,2218.35,14789.0,30
CDM,473226,SCREW BN CORT 2MM 14MM,508.0,508.0,76.2,508.0,30
CDM,473227,SCREW BN CORT 2MM 16MM,508.0,508.0,76.2,508.0,30
CDM,473230,CMPNT FEM KN RT E,7530.0,7530.0,1129.5,7530.0,30
CDM,473231,COMPONENT FEM SZG NXGN,7530.0,7530.0,1129.5,7530.0,30
CDM,473232,COMP FEM 3 KN CMNT,7755.0,7755.0,1163.25,7755.0,30
CDM,473233,TIB PLY RM/LL 11MM SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,473234,STEM FEM HIP 22X17X165,6644.0,6644.0,996.6,6644.0,30
CDM,473235,LINER ACTB POLY 36X56,4429.0,4429.0,664.35,4429.0,30
CDM,473236,MOLD SPCR KN TIB 75MM,7239.5,7239.5,1085.92,7239.5,42
CDM,473237,MOLD SPCR KN FEM 65MM,9720.5,9720.5,1458.08,9720.5,42
CDM,473240,CR-FLEX FEM CMPNT SZG,7530.0,7530.0,1129.5,7530.0,30
CDM,473243,STEM FEM KN 17MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,473244,ADAPTER STEM TIB 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,473245,STEM FEM KN 16MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,473246,BLOCK AUGMT 9 10MM,5815.0,5815.0,872.25,5815.0,30
CDM,473247,COMP FEM 9 7X49MM KN RT,19127.0,19127.0,2869.05,19127.0,30
CDM,473248,TRAY TIB 9 MOD,8960.0,8960.0,1344.0,8960.0,30
CDM,473249,BLOCK AUGMT 9 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,473250,INSRT TIB KN 9 16MM,5407.0,5407.0,811.05,5407.0,30
CDM,473255,SCREW BN 2.3MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,473256,SCREW BN 2.3MM 20MM,1744.0,1744.0,261.6,1744.0,30
CDM,473257,COMPNT FEM 00575001502,7530.0,7530.0,1129.5,7530.0,30
CDM,473258,CMPNT FEM KN RT SZ F,7530.0,7530.0,1129.5,7530.0,30
CDM,473260,PLATE DIST LAT FIB LT 8H,3189.0,3189.0,478.35,3189.0,30
CDM,473261,SCREW BN 4MM 20MM,319.0,319.0,47.85,319.0,30
CDM,473262,HEAD FEM +3.5X40MM 12/14,4606.0,4606.0,690.9,4606.0,30
CDM,473263,SCREW SPN 4.5MM 14MM,1461.0,1461.0,219.15,1461.0,30
CDM,473265,FEM NP BCS SZ6 RT,23412.0,23412.0,3511.8,23412.0,30
CDM,473267,PROSTH PENL PUMP PL 18CM,42661.0,42661.0,6399.15,42661.0,30
CDM,473268,LEAD NRSTM IMPL 30X5-6-5,25799.0,25799.0,3869.85,25799.0,30
CDM,473269,LEAD SPINAL STIM 565KIT,29586.0,29586.0,4437.9,29586.0,30
CDM,473277,SCREW SPN CLKX 6.2X60X60,4429.0,4429.0,664.35,4429.0,30
CDM,473278,SCREW SPN CLK-X 7X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,473279,SCREW SPN 8MM 70MM,3389.0,3389.0,508.35,3389.0,30
CDM,473280,SCREW BN 6MM 60MM,4105.0,4105.0,615.75,4105.0,30
CDM,473282,SPACER SPNL 30X15MM,13287.0,13287.0,1993.05,13287.0,30
CDM,473283,SPACER SPNL 30X17MM,13287.0,13287.0,1993.05,13287.0,30
CDM,473284,PLATE 77MM TI 5.5MM,23935.0,23935.0,3590.25,23935.0,30
CDM,473285,PLATE J TI 8 HL LCK BN,4309.0,4309.0,646.35,4309.0,30
CDM,473286,PLATE BN CUBOID 2.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,473287,SCREW BN 2.4MM 22MM,788.0,788.0,118.2,788.0,30
CDM,473288,SCREW BN 2.4MM 24MM,788.0,788.0,118.2,788.0,30
CDM,473289,SCREW BN 2.4MM 26MM,686.0,686.0,102.9,686.0,30
CDM,473290,SCREW BN 2.4MM 30MM,640.0,640.0,96.0,640.0,30
CDM,473292,SCREW SPNL 7X45MM P-AX,4983.0,4983.0,747.45,4983.0,30
CDM,473293,ROD PRE-BENT 5.5MMX80MM,3012.0,3012.0,451.8,3012.0,30
CDM,473296,EXTENSION STM 11MM 130MM,4429.0,4429.0,664.35,4429.0,30
CDM,473302,SCRW CANC AXON 3.5X20MM,4429.0,4429.0,664.35,4429.0,30
CDM,473303,STEM HUM M TRP SZ14,12402.0,12402.0,1860.3,12402.0,30
CDM,473304,CMPNT GLENOID PEG 50MM,4651.0,4651.0,697.65,4651.0,30
CDM,473305,PROSTH PENL PUMP PL 15CM,37072.0,37072.0,5560.8,37072.0,30
CDM,473308,CAGE PEEK VBR10MMX22X9 S,9833.0,9833.0,1474.95,9833.0,30
CDM,473309,HEAD HUM SHLDR 27X54MM,4872.0,4872.0,730.8,4872.0,30
CDM,473311,STEM EXTENSION 75X120X18,4429.0,4429.0,664.35,4429.0,30
CDM,473314,BAR SPNL 20 6 CLK-X TI T,2892.0,2892.0,433.8,2892.0,30
CDM,473315,PLATE SPN 6X2MM 29MM,4241.0,4241.0,636.15,4241.0,30
CDM,473316,PLATE SPN 8MM 31MM,3389.0,3389.0,508.35,3389.0,30
CDM,473317,SCREW SPN 2.4MM 8MM,753.0,753.0,112.95,753.0,30
CDM,473318,STEM FEM HIP 12.5X124MM,9966.0,9966.0,1494.9,9966.0,30
CDM,473325,SCREW BN MINI 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,473326,SCREW BN MINI 18MM,3333.0,3333.0,499.95,3333.0,30
CDM,473327,SLEEVE CNTRNG 18B,4252.0,4252.0,637.8,4252.0,30
CDM,473328,PLATE BNE TI 8MM SPCG MI,4241.0,4241.0,636.15,4241.0,30
CDM,473330,AUG TIB MTL LG 60-37MM,18523.0,18523.0,2778.45,18523.0,30
CDM,473332,FEM NP BCS SZ8 RT,7087.0,7087.0,1063.05,7087.0,30
CDM,473335,INSR STD 7-8 RT 9MM,7915.0,7915.0,1187.25,7915.0,30
CDM,473340,CONN ROD SPN 3.5MM 3.5MM,3622.0,3622.0,543.3,3622.0,30
CDM,473341,SCRW CANC AXON 4.0X20MM,4429.0,4429.0,664.35,4429.0,30
CDM,473342,EXTENSION STM 150MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,473343,COMP AGMNT SZ2 H12MM DI,4429.0,4429.0,664.35,4429.0,30
CDM,473344,HEAD ADPTR FEM OFST+2/-2,2977.0,2977.0,446.55,2977.0,30
CDM,473345,ADAPTER FEM 5D,4606.0,4606.0,690.9,4606.0,30
CDM,473346,SLEEVE TIB 29X26X40MM,6413.0,6413.0,961.95,6413.0,30
CDM,473347,TRAY TIB KN REV SZ2,11073.0,11073.0,1660.95,11073.0,30
CDM,473348,SLEEVE FEM KNEE 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,473349,INSERT TIB KN SZ2 17.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,473350,ROD SPN LGCY 100X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,473355,SUTURE POLY SZ 0 36IN,622.0,622.0,93.3,622.0,42
CDM,473356,STEM SHRP FLUT 19X130,4429.0,4429.0,664.35,4429.0,30
CDM,473357,INS ACTB 50MM 36MM,4872.0,4872.0,730.8,4872.0,30
CDM,473358,INSERT HIP 135MM,11073.0,11073.0,1660.95,11073.0,30
CDM,473360,COMPNT FEM RT KN 2 60X56,13955.0,13955.0,2093.25,13955.0,30
CDM,473363,IMPLANT BREAST 600CC,3311.0,3311.0,496.65,3311.0,30
CDM,473364,SCREW SPN 6MM 45MM,4105.0,4105.0,615.75,4105.0,30
CDM,473365,PLATE TI 77MM,23935.0,23935.0,3590.25,23935.0,30
CDM,473366,CUP ACETABULAR 50MM,32775.0,32775.0,4916.25,32775.0,30
CDM,473368,HEAD FEM HIP +0X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,473369,HEAD HUM SHLDR 17X50MM,4872.0,4872.0,730.8,4872.0,30
CDM,473371,KIT STM RSTR PRM SPNL CD,54371.0,54371.0,8155.65,54371.0,30
CDM,473374,INSRT TIB KN LG 16MM,6346.0,6346.0,951.9,6346.0,30
CDM,473376,PLATE 2 ANG 162MM,11675.0,11675.0,1751.25,11675.0,30
CDM,473378,SCREW BN IM 10.5X90MM,3189.0,3189.0,478.35,3189.0,30
CDM,473379,NAIL GMA3 LT 125X36X11,8769.0,8769.0,1315.35,8769.0,30
CDM,473381,SCREW BN 2MM 26MM,318.0,318.0,47.7,318.0,30
CDM,473383,SCREW TT LCK SELFDRILL 5,2859.0,2859.0,428.85,2859.0,30
CDM,473384,SCREW BN 5MM 26MM,2859.0,2859.0,428.85,2859.0,30
CDM,473385,SCREW BN 5MM 40MM,2859.0,2859.0,428.85,2859.0,30
CDM,473386,SCREW TT LCK SELFDRILL 5,2906.0,2906.0,435.9,2906.0,30
CDM,473387,SCREW BN 5MM 65MM,2906.0,2906.0,435.9,2906.0,30
CDM,473388,SCREW BN 5.0MM 75MM,2906.0,2906.0,435.9,2906.0,30
CDM,473389,PLATE DIST FEM 9H 236,7897.0,7897.0,1184.55,7897.0,30
CDM,473390,KWIRE FX 2MM 280MM,476.0,476.0,71.4,476.0,42
CDM,473392,SPCR SPNL TI33MMX10MMX13,18213.0,18213.0,2731.95,18213.0,30
CDM,473400,COMPNT FEM RT KN5.8X10.9,7530.0,7530.0,1129.5,7530.0,30
CDM,473403,DRILL UNI-CLIP 2.2X80MM,1359.0,1359.0,203.85,1359.0,42
CDM,473404,CAGE CONCORDE 9X9X23,11959.0,11959.0,1793.85,11959.0,30
CDM,473407,STEM HUM SHLDR 8X200MM,14173.0,14173.0,2125.95,14173.0,30
CDM,473409,PLATE BN 10HL 4.5X242MM,6110.0,6110.0,916.5,6110.0,30
CDM,473410,SCREW BN 5MM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,473411,PIN BN PSTN 4.5MM,2195.0,2195.0,329.25,2195.0,30
CDM,473412,SCREW SPNL P-AX 8.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,473413,CAP SPN LCK 8MM,753.0,753.0,112.95,753.0,30
CDM,473417,SCREW BONE TITANIUM L50M,3765.0,3765.0,564.75,3765.0,30
CDM,473418,PLATE BN 3HL 24.4X51.3MM,4429.0,4429.0,664.35,4429.0,30
CDM,473419,SCREW BN 3.5MM 22MM,1403.0,1403.0,210.45,1403.0,30
CDM,473420,STEM ELB RADIAL 8MM 13MM,10998.0,10998.0,1649.7,10998.0,30
CDM,473421,HEAD RADIAL ELBOW 24MM,5581.0,5581.0,837.15,5581.0,30
CDM,473423,MOLD SPCR KN TIB 65MM,4604.5,4604.5,690.67,4604.5,42
CDM,473424,MOLD SPCR KN FEM 60MM,15143.5,15143.5,2271.53,15143.5,42
CDM,473427,INSRT TIB KN 82X51X10MM,5394.0,5394.0,809.1,5394.0,30
CDM,473428,SPACER SPNL VERT 20X9X9,6644.0,6644.0,996.6,6644.0,30
CDM,473430,SCREW BN 5MM 44MM NLE,2755.0,2755.0,413.25,2755.0,30
CDM,473431,INSERT TIB KN 2.5X15MM,5388.0,5388.0,808.2,5388.0,30
CDM,473432,INSERT TIB 2.5X15.0MM,5123.0,5123.0,768.45,5123.0,30
CDM,473433,CAGE SPNL SML CGR 10X14,13287.0,13287.0,1993.05,13287.0,30
CDM,473434,CMPNT FEM KN LT SZ E,17193.0,17193.0,2578.95,17193.0,30
CDM,473435,STEM HUM SHLDR 10X115MM,15927.0,15927.0,2389.05,15927.0,30
CDM,473436,HEAD HUM SHLDR 48X19MM,6241.0,6241.0,936.15,6241.0,30
CDM,473441,SPACER SPNL VERT 27X11X8,11959.0,11959.0,1793.85,11959.0,30
CDM,473443,HEAD HUM SHLDR TPR 17X46,5050.0,5050.0,757.5,5050.0,30
CDM,473444,CAGE CONCORDE 11X12X23 B,13287.0,13287.0,1993.05,13287.0,30
CDM,473445,SCRW CANC AXON 3.5X22MM,4429.0,4429.0,664.35,4429.0,30
CDM,473446,PLATE STLCK 3LVL 68X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,473448,SCREW BN MINI 28MM,3333.0,3333.0,499.95,3333.0,30
CDM,473449,SCREW BN STD 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,473450,SCREW BN STD 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,473451,GWIRE ORTHO .054IN 7IN,231.5,231.5,34.73,231.5,42
CDM,473452,PROBE HEATED TELIFUSER 2,972.5,972.5,145.88,972.5,42
CDM,473453,STPL BNE AEON 15X12X12MM,3189.0,3189.0,478.35,3189.0,30
CDM,473454,STPL BNE AEON 11X10X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,473455,BIT DRILL LATRAL J 2.0MM,773.0,773.0,115.95,773.0,42
CDM,473470,BIT DRILL 4.0MM,1023.5,1023.5,153.53,1023.5,42
CDM,473471,NAIL BN 10MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,473472,WASHER NUT ORTH 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,473474,ROD SPNL 15MM 6MM CLK-X,2892.0,2892.0,433.8,2892.0,30
CDM,473475,COMP 4 RT KN GNSIS2 NPOR,16809.0,16809.0,2521.35,16809.0,30
CDM,473476,BASEPLATE TIB KN RT SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,473477,INSR GNS SZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,473478,COMP 4 LT KN GNSIS2 NPOR,16809.0,16809.0,2521.35,16809.0,30
CDM,473482,SCREW BN LCK 5X35,1913.0,1913.0,286.95,1913.0,30
CDM,473483,SCRW CANC AXON 4.0X24MM,4429.0,4429.0,664.35,4429.0,30
CDM,473484,SPACER SPNL VERT 24X12X9,5980.0,5980.0,897.0,5980.0,30
CDM,473485,HEAD UNIPLR 51MM ULT,6386.0,6386.0,957.9,6386.0,30
CDM,473486,STEM FEM HIP 17.5X134MM,10630.0,10630.0,1594.5,10630.0,30
CDM,473487,CANNULA UNIV 5X76MM,231.5,231.5,34.73,231.5,42
CDM,473488,SCREW DEPUY 4.35X35,3765.0,3765.0,564.75,3765.0,30
CDM,473489,ROD SPNL 600MM 3.5/5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,473491,SCREW BN LCK 5X4.4X40MM,2863.0,2863.0,429.45,2863.0,30
CDM,473492,SCREW BN 5MM 4.4MM 25MM,2594.0,2594.0,389.1,2594.0,30
CDM,473493,SCREW BN 5MM 4.4MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,473494,PLATE SPN 47X16X2MM,4418.0,4418.0,662.7,4418.0,30
CDM,473496,PLATE TI 8 H J LCK SYS,4309.0,4309.0,646.35,4309.0,30
CDM,473497,CAGE SPN 9X7X23MM,11073.0,11073.0,1660.95,11073.0,30
CDM,473498,CAGE SPNL 23X9X8MM,11073.0,11073.0,1660.95,11073.0,30
CDM,473500,CAGE SPN 9X10X23MM,11959.0,11959.0,1793.85,11959.0,30
CDM,473501,JOINT FNGR NFLX 50 MCP,4606.0,4606.0,690.9,4606.0,30
CDM,473502,FNGR IMP 20 NFLX METACRP,4606.0,4606.0,690.9,4606.0,30
CDM,473505,SURFACE ARTC 58X40MM,6260.0,6260.0,939.0,6260.0,30
CDM,473506,STEM FEM KN 10X145X100,4429.0,4429.0,664.35,4429.0,30
CDM,473507,STEM KN STR 14MM 145MM,4429.0,4429.0,664.35,4429.0,30
CDM,473508,PLATE BN 3HL 21.6X48.9MM,4429.0,4429.0,664.35,4429.0,30
CDM,473512,INSERT KN BRNG II 0515,4606.0,4606.0,690.9,4606.0,30
CDM,473514,COMPNT FEM KN STD LT C,7087.0,7087.0,1063.05,7087.0,30
CDM,473515,CMPNT GLND SHLDR 40MM,5382.0,5382.0,807.3,5382.0,30
CDM,473516,PLATE ANT CSPN 14MM 1LVL,4429.0,4429.0,664.35,4429.0,30
CDM,473520,PLATE LCP 3.5 X 142MM 6,6451.0,6451.0,967.65,6451.0,30
CDM,473523,SCREW BN ACTB 25MM,833.0,833.0,124.95,833.0,30
CDM,473524,SCREW BN 6.5MM 40MM,833.0,833.0,124.95,833.0,30
CDM,473525,LINER ACTB HIP 20D 32MM,9386.0,9386.0,1407.9,9386.0,30
CDM,473526,HEAD FEM HIP 3MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,473527,STEM FEM HIP 190X16MM,32226.0,32226.0,4833.9,32226.0,30
CDM,473528,STEM FEM KN PRSFT 220X18,4606.0,4606.0,690.9,4606.0,30
CDM,473529,STEM FEM KN 16MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,473530,COUPLER FEM HIP LGN 2MM,4606.0,4606.0,690.9,4606.0,30
CDM,473531,BASEPLATE TIB KN LT SZ5,8010.0,8010.0,1201.5,8010.0,30
CDM,473533,CMPNT KN LT SZ7,17394.0,17394.0,2609.1,17394.0,30
CDM,473534,WEDGE FEM KN SZ7 10X5MM,4606.0,4606.0,690.9,4606.0,30
CDM,473535,COUPLER FEM KN OFST 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,473536,INSERT TIB KN SZ5-6 18MM,5532.0,5532.0,829.8,5532.0,30
CDM,473537,NAIL FUSION KNEE 11MMX65,14645.0,14645.0,2196.75,14645.0,30
CDM,473539,BIT DRILL 311MM 4.8MM,1465.5,1465.5,219.82,1465.5,42
CDM,473541,PLATE BN SPN SKNLC 37MM,4429.0,4429.0,664.35,4429.0,30
CDM,473542,SCREW BN 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,473543,SCREW BN 17MM,3012.0,3012.0,451.8,3012.0,30
CDM,473545,SPACER SPNL VERT 20X9X10,5980.0,5980.0,897.0,5980.0,30
CDM,473546,INSERT TIB KN SZ3 17MM,5840.0,5840.0,876.0,5840.0,30
CDM,473547,INSERT TIB CRCTE 5 8.0MM,4770.0,4770.0,715.5,4770.0,30
CDM,473548,PLATE ANT CSPN 12MM 1LVL,4872.0,4872.0,730.8,4872.0,30
CDM,473549,SCREW SPN 4X12MM,2259.0,2259.0,338.85,2259.0,30
CDM,473551,SCREW CSPN VAR ANG 4X14,1506.0,1506.0,225.9,1506.0,30
CDM,473557,CUP ACTB HIP 42X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,473558,STEM HIP PRSTLAC SZ1,17450.0,17450.0,2617.5,17450.0,30
CDM,473559,HEAD FEM HIP +1 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,473561,CG SPNL PEEK 22X10X11,5537.0,5537.0,830.55,5537.0,30
CDM,473563,PLATE SPN 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,473564,PLATE SPN 4LVL 68MM,4429.0,4429.0,664.35,4429.0,30
CDM,473565,CONN MAC LX 39-43 STD,3765.0,3765.0,564.75,3765.0,30
CDM,473566,NAIL 11MM 34CM RT TROCH,7608.0,7608.0,1141.2,7608.0,30
CDM,473567,SCREW SYN 5.0X46 LOCKING,2755.0,2755.0,413.25,2755.0,30
CDM,473571,COMPNT FEM SZT 60/54MM,14257.0,14257.0,2138.55,14257.0,30
CDM,473572,HEAD FEM SZT 54MM,6228.0,6228.0,934.2,6228.0,30
CDM,473573,SCREW BN MINI 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,473574,NAIL BN TIB 10MM 330MM,4872.0,4872.0,730.8,4872.0,30
CDM,473579,INS TIB MED 12MM KX+ DRT,4759.0,4759.0,713.85,4759.0,30
CDM,473582,SCREW CANC 5.5X42,3012.0,3012.0,451.8,3012.0,30
CDM,473583,SCREW SPN 3.2MM 8MM,1017.0,1017.0,152.55,1017.0,30
CDM,473584,SCREW SPN 3.2MM 10MM,1017.0,1017.0,152.55,1017.0,30
CDM,473590,PLATE BN 8HL 196X3.5MM,5848.0,5848.0,877.2,5848.0,30
CDM,473591,KIT REAR EXTENDER,3189.0,3189.0,478.35,3189.0,30
CDM,473592,PLATE FIB DIST LAT LT 4H,3189.0,3189.0,478.35,3189.0,30
CDM,473596,SCREW BN MLTI-AX 3.5X14,6281.0,6281.0,942.15,6281.0,30
CDM,473598,HEAD FEM HIP 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,473600,SCREW BN 4.0MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,473601,INSERT TIB KN SZ6 17MM,5394.0,5394.0,809.1,5394.0,30
CDM,473602,NAIL 125D 11.540 L,6400.0,6400.0,960.0,6400.0,30
CDM,473603,SCREW BN 85MM/90MM,4058.0,4058.0,608.7,4058.0,30
CDM,473604,PLATE BNE TI L76MM THRCL,15068.0,15068.0,2260.2,15068.0,30
CDM,473605,PLATE BN 6HL 4.5MM 142MM,5533.0,5533.0,829.95,5533.0,30
CDM,473606,NAIL IM TI 125DD L170MM,5779.0,5779.0,866.85,5779.0,30
CDM,473609,STEM FEM HIP 15MM 140MM,6644.0,6644.0,996.6,6644.0,30
CDM,473611,PLATE SPN LCK 5.5X58MM,9135.0,9135.0,1370.25,9135.0,30
CDM,473613,SCREW BN LG HIP 6.5X30MM,1638.0,1638.0,245.7,1638.0,30
CDM,473614,SCREW BN LG HIP 6.5X25MM,1590.0,1590.0,238.5,1590.0,30
CDM,473615,CUP FEM 54MM 28MM OBLNG,16234.0,16234.0,2435.1,16234.0,30
CDM,473617,CONN ROD MAC SPN 42MM,3765.0,3765.0,564.75,3765.0,30
CDM,473625,PLATE BN WIDE RT,4429.0,4429.0,664.35,4429.0,30
CDM,473626,SCREW BN 2.3MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,473627,SLEEVE CNTRNG HIP TPR,3189.0,3189.0,478.35,3189.0,30
CDM,473628,SCREW SPN 5.2MM 50MM,3937.0,3937.0,590.55,3937.0,30
CDM,473629,SCREW SPN 6.2X45MM 2LD,4429.0,4429.0,664.35,4429.0,30
CDM,473630,SCREW SPN COLLAR SET,2380.0,2380.0,357.0,2380.0,30
CDM,473640,CAGE SPNL 14X9MM CRYS 7D,4872.0,4872.0,730.8,4872.0,30
CDM,473643,NAIL FEM RTRO 11.5X36MM,5311.0,5311.0,796.65,5311.0,30
CDM,473644,SCREW BN 2.3MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,473647,STEM FEM HIP SZ8 160MM,8858.0,8858.0,1328.7,8858.0,30
CDM,473654,COMPNT FEM 00596401752,7530.0,7530.0,1129.5,7530.0,30
CDM,473665,CG SPNL EDN PK 14X11X11,5537.0,5537.0,830.55,5537.0,30
CDM,473666,PLATE 1LVL TNSN 449.069,18607.0,18607.0,2791.05,18607.0,30
CDM,473668,HEAD FEM HIP +12X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,473669,SCREW SPN 4MM 35MM,4120.0,4120.0,618.0,4120.0,30
CDM,473670,SCREW SPN 4MM 40MM,4120.0,4120.0,618.0,4120.0,30
CDM,473671,SCREW SPN 4MM 45MM,4120.0,4120.0,618.0,4120.0,30
CDM,473672,SCREW BN 6MM 45MM,4541.0,4541.0,681.15,4541.0,30
CDM,473673,SCREW BN 6MM 50MM,4541.0,4541.0,681.15,4541.0,30
CDM,473676,NAIL 125D 11.536 L,6400.0,6400.0,960.0,6400.0,30
CDM,473677,SCREW BN 100MM 4.5MM,4058.0,4058.0,608.7,4058.0,30
CDM,473679,SCREW SPN 5MM 50MM,4120.0,4120.0,618.0,4120.0,30
CDM,473691,CAGE SPINAL 30X25X14MM 6,25689.0,25689.0,3853.35,25689.0,30
CDM,473692,PROSTH PENL PUMP PL 21CM,37072.0,37072.0,5560.8,37072.0,30
CDM,473693,SCREW SPNL OCT 10MM 4MM,4340.0,4340.0,651.0,4340.0,30
CDM,473698,SCREW BN 4.0MM 26MM,1924.0,1924.0,288.6,1924.0,30
CDM,473700,PLATE BN 4HL 190MM 4.5MM,5929.0,5929.0,889.35,5929.0,30
CDM,473702,PLATE LCP 4HL 116X3.5MM,6379.0,6379.0,956.85,6379.0,30
CDM,473704,INSERT ARTC KN 3-4 15MM,5532.0,5532.0,829.8,5532.0,30
CDM,473749,STENT BIL 4MM 12MM,4476.5,4476.5,671.48,4476.5,30
CDM,473750,STENT BIL 4MM 15MM,4476.5,4476.5,671.48,4476.5,30
CDM,473752,STENT BIL 5.0MM 12MM,4476.5,4476.5,671.48,4476.5,30
CDM,473753,STENT BIL 5.0MM 15MM,4459.0,4459.0,668.85,4459.0,30
CDM,473754,STENT BIL 5.0MM 18MM,4459.0,4459.0,668.85,4459.0,30
CDM,473755,STENT BIL 6.0MM 12MM,4476.5,4476.5,671.48,4476.5,30
CDM,473756,STENT BIL 6.0MM 15MM,4459.0,4459.0,668.85,4459.0,30
CDM,473757,STENT BIL 6.0MM 18MM,4459.0,4459.0,668.85,4459.0,30
CDM,473758,STENT BIL 7.0MM 15MM,4459.0,4459.0,668.85,4459.0,30
CDM,473759,STENT BIL 7MM 18MM,4459.0,4459.0,668.85,4459.0,30
CDM,473761,CRT-P 11X19.9X46.5,24233.0,24233.0,3634.95,24233.0,30
CDM,473762,CTHGD VBT 6FR VB1 100CM,630.5,630.5,94.58,630.5,42
CDM,473763,STENT VASC 8X26MM 135CM,9036.0,9036.0,1355.4,9036.0,30
CDM,473764,STYLET LD 45X.014 JTP BL,519.5,519.5,77.92,519.5,42
CDM,473768,PLUG LD SIL 2.5CM,424.0,424.0,63.6,424.0,30
CDM,473769,GWIRE VASC 190CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,473770,GWIRE VASC 300CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,473774,CRT-D VOLUME 40MM,57782.0,57782.0,8667.3,57782.0,30
CDM,473775,KIT AXLRY INS 23FR 6CM,2046.5,2046.5,306.98,2046.5,42
CDM,473776,STENT VASC 7X26MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,473777,LEAD CRT PCNG 88CM,6061.0,6061.0,909.15,6061.0,30
CDM,473778,STENT EPRSTH 6X8X39MM,10997.0,10997.0,1649.55,10997.0,30
CDM,473779,STENT EPRSTH 6X8X79MM,11670.0,11670.0,1750.5,11670.0,30
CDM,473780,CATH MAP 13X13MM 105CM,9976.5,9976.5,1496.47,9976.5,42
CDM,473783,CRT-D HF-T QP DF4 IS4,42192.0,42192.0,6328.8,42192.0,30
CDM,473784,LEAD ICD ENDO 65CM,12070.0,12070.0,1810.5,12070.0,30
CDM,473785,LEAD CRT-D 1.6MM 87CM,4154.0,4154.0,623.1,4154.0,30
CDM,473786,LEAD PCNG 4.1FR 69CM,2525.0,2525.0,378.75,2525.0,30
CDM,473787,CATH GD 7FR 43CM,1560.0,1560.0,234.0,1560.0,42
CDM,473788,CATHETER GD LF 40CM 8.4,3569.0,3569.0,535.35,3569.0,42
CDM,473789,COIL EMBL 10CM 3.5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,473790,COIL EMBL 6CM 3.5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,473791,COIL EMBL 20CM 6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,473792,COIL EMBL 12CM 4MM AXIUM,4429.0,4429.0,664.35,4429.0,30
CDM,473796,COIL EMBL 20CM 5MM AXIUM,4429.0,4429.0,664.35,4429.0,30
CDM,473797,COIL EMBL 20CM 6MM AXIUM,4429.0,4429.0,664.35,4429.0,30
CDM,473801,DEVICE EMBL 3.5X10MM,60678.0,60678.0,9101.7,60678.0,30
CDM,473815,STENT VASC 4.5X80MM,5383.0,5383.0,807.45,5383.0,30
CDM,473817,STENT VASC 6X60MM,5383.0,5383.0,807.45,5383.0,30
CDM,473818,STENT VASC 6.5X60MM,5383.0,5383.0,807.45,5383.0,30
CDM,473819,STENT VASC 6.5X100MM,5383.0,5383.0,807.45,5383.0,30
CDM,473820,RETRACTOR STERNUM,972.5,972.5,145.88,972.5,42
CDM,473821,SYSTEM EMB 6FR 95CM,15092.5,15092.5,2263.88,15092.5,42
CDM,473823,CATH BLNDIL 4MM 220MM,9592.5,9592.5,1438.88,9592.5,42
CDM,473824,CATH BLNDL 5F 5X220MM,9592.5,9592.5,1438.88,9592.5,42
CDM,473825,CATH BLNDIL 6X220MM,9592.5,9592.5,1438.88,9592.5,42
CDM,473826,PCMKR CRD 47X50X6MM,11761.0,11761.0,1764.15,11761.0,30
CDM,473830,CATH GD 5.5FR 150CM,3069.5,3069.5,460.43,3069.5,42
CDM,473835,DEVICE EMBL PLN 4.5X12MM,60678.0,60678.0,9101.7,60678.0,30
CDM,473836,LEAD ICD DF4 PF SC 59CM,15287.0,15287.0,2293.05,15287.0,30
CDM,473837,LEAD ICD DF4 PF SC 64CM,15287.0,15287.0,2293.05,15287.0,30
CDM,473838,LEAD ICD DF4 PF SC 64CM,15287.0,15287.0,2293.05,15287.0,30
CDM,473841,GWIRE VASC 190CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,473842,GWIRE VASC 300CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,473843,PARTICLES EMBL 2ML 75UM,1883.0,1883.0,282.45,1883.0,30
CDM,473844,PARTICLES EMBL 2ML 200UM,3189.0,3189.0,478.35,3189.0,30
CDM,473845,PARTICLES EMBL 2ML 400UM,3189.0,3189.0,478.35,3189.0,30
CDM,473846,PARTICLES EMBL 2ML 600UM,3189.0,3189.0,478.35,3189.0,30
CDM,473847,PARTICLES EMBL 2ML 800UM,3189.0,3189.0,478.35,3189.0,30
CDM,473852,CATH DRN 10.2FR 25CM,773.0,773.0,115.95,773.0,42
CDM,473853,CATHETER DRN 10FR 25CM R,773.0,773.0,115.95,773.0,42
CDM,473855,CATH DRN WND 14FR 25CM,773.0,773.0,115.95,773.0,42
CDM,473856,CATH DRN WND 12FR 25CM,773.0,773.0,115.95,773.0,42
CDM,473862,DEVICE CMPR 24CM,434.0,434.0,65.1,434.0,42
CDM,473863,DEVICE CMPR DISTAL RT PR,386.5,386.5,57.98,386.5,42
CDM,473867,STENT ENDOPROSTH 90X14MM,3846.0,3846.0,576.9,3846.0,30
CDM,473868,SCREW SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,473871,SCREW SPN P-AX 7.5X60MM,3765.0,3765.0,564.75,3765.0,30
CDM,473872,CATH GD VGRM 6FR 110CM,541.0,541.0,81.15,541.0,42
CDM,473874,CATH GD 7FR 60CM,1228.0,1228.0,184.2,1228.0,42
CDM,473875,CATH GD 7FR 60CM,1228.0,1228.0,184.2,1228.0,42
CDM,473879,CATH GD 9FR 45CM,2767.0,2767.0,415.05,2767.0,42
CDM,473880,DEVICE CATH GD 12X106CM,15322.5,15322.5,2298.38,15322.5,42
CDM,473881,DEVICE CATH GD 18X106CM,13788.0,13788.0,2068.2,13788.0,42
CDM,473883,PCMKR 4.45X5.88X0.75CM,12047.0,12047.0,1807.05,12047.0,30
CDM,473884,KIT INTRO 80CM 4FR 21GA,463.0,463.0,69.45,463.0,42
CDM,473888,GWIRE VASC 300CM .014IN,921.0,921.0,138.15,921.0,42
CDM,473889,GWIRE VASC 190CM .014IN,921.0,921.0,138.15,921.0,42
CDM,473890,CATH ABLATION 8FR 115CM,14197.0,14197.0,2129.55,14197.0,42
CDM,473891,GWIRE VASC 190CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,473892,GWIRE VASC 300CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,473893,LEAD PCNG 4.7FR 86CM,7711.0,7711.0,1156.65,7711.0,30
CDM,473894,LEAD PCNG 4.7FR 86CM,6399.0,6399.0,959.85,6399.0,30
CDM,473896,GWIRE VASC 300CM .014IN,1310.0,1310.0,196.5,1310.0,42
CDM,473897,STENT VASC 5FR 6X40MM,3846.0,3846.0,576.9,3846.0,30
CDM,473898,STENT VASC 5FR 6X80MM,3846.0,3846.0,576.9,3846.0,30
CDM,473899,STENT VASC 5FR 5X60MM,3846.0,3846.0,576.9,3846.0,30
CDM,473900,STENT VASC 5FR 5X80MM,3846.0,3846.0,576.9,3846.0,30
CDM,473901,STENT VASC 5FR 5X10MM,3721.0,3721.0,558.15,3721.0,30
CDM,473902,CATH THRMB 16MM 105CM,24531.5,24531.5,3679.72,24531.5,42
CDM,473903,OCCLUDER CV INF 16MM,28966.0,28966.0,4344.9,28966.0,30
CDM,473907,OCCLUD CV 24MM NTNL,28966.0,28966.0,4344.9,28966.0,30
CDM,473908,VALVE AOR TAVR 25MM,124012.0,124012.0,18601.8,124012.0,30
CDM,473909,VALVE AOR TAVR 23MM,124012.0,124012.0,18601.8,124012.0,30
CDM,473916,STENT COR 2.5X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
CDM,473917,STENT COR 3.5X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
CDM,473918,STENT COR 3.0X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
CDM,473919,STENT COR 3.0X20MM,13958.0,13958.0,2093.7,13958.0,30
CDM,473920,STENT COR 4X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
CDM,473921,STENT COR 4.0X20MM,13958.0,13958.0,2093.7,13958.0,30
CDM,473922,STENT COR 5.0X20MM,13958.0,13958.0,2093.7,13958.0,30
CDM,473923,STENT COR 4.0X26MM,13958.0,13958.0,2093.7,13958.0,30
CDM,473924,STENT COR 4.5X26MM,13958.0,13958.0,2093.7,13958.0,30
CDM,473925,STENT COR 4.5X20MM,13958.0,13958.0,2093.7,13958.0,30
CDM,473926,STENT COR 4.5X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
CDM,473934,TRAY DRN PLR CATH 15.5FR,4093.0,4093.0,613.95,4093.0,42
CDM,473936,DEVICE CATH GD 30X106CM,13788.0,13788.0,2068.2,13788.0,42
CDM,473937,DEVICE CATH GD 40X106CM,11937.0,11937.0,1790.55,11937.0,42
CDM,473941,GWIRE VASC 275X2.9X3.2CM,2108.5,2108.5,316.27,2108.5,42
CDM,473942,STENT VASC 7X16MM 135CM,10409.0,10409.0,1561.35,10409.0,30
CDM,473944,SHEATH CLOTREM 13FR,6139.5,6139.5,920.92,6139.5,42
CDM,473948,STENT COR 3.0X26MM,13958.0,13958.0,2093.7,13958.0,30
CDM,473953,STENT BIL 10X40MM,6755.0,6755.0,1013.25,6755.0,30
CDM,473954,STENT BIL 10X60MM,6755.0,6755.0,1013.25,6755.0,30
CDM,473955,STENT BIL 10X80MM,6755.0,6755.0,1013.25,6755.0,30
CDM,473958,STENT BIL 8.5FR 80X8MM,8206.0,8206.0,1230.9,8206.0,30
CDM,473959,STENT BIL 8.5FR 40X10MM,8206.0,8206.0,1230.9,8206.0,30
CDM,473960,STENT BIL 8.5FR 60X10MM,8206.0,8206.0,1230.9,8206.0,30
CDM,473961,STENT BIL 8.5FR 80X10MM,9452.0,9452.0,1417.8,9452.0,30
CDM,473969,CONN ROD SPN 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,473970,PLATE BN FEM 4.5MM 226MM,11936.0,11936.0,1790.4,11936.0,30
CDM,473972,BUTTON GSTRM 116FR 1.5CM,927.5,927.5,139.13,927.5,42
CDM,473979,LEAD VNS 3.0MM,30915.0,30915.0,4637.25,30915.0,30
CDM,473980,LEAD NRSTM VNS WRE 2MM,33642.0,33642.0,5046.3,33642.0,30
CDM,473981,INSERT TIB KN SZ7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,473988,VALVE AOR TAVR 27MM,124012.0,124012.0,18601.8,124012.0,30
CDM,473989,FORCEP BX 7F 50X2.2,2087.5,2087.5,313.13,2087.5,42
CDM,473990,ICD DEFIB CARD 7.68CM,37644.0,37644.0,5646.6,37644.0,30
CDM,473991,ICD DEFIB CARD 7.36CM,37644.0,37644.0,5646.6,37644.0,30
CDM,473992,STENT VASC 5X37MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,473998,KERECIS OMEGA3 1SQCM,1555.0,1555.0,233.25,1555.0,29
CDM,474003,LINER ACTB 10D 9.4X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,474005,CMPNT TIB KN SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,474006,NAIL INTMD T2 STD 11X380,5879.0,5879.0,881.85,5879.0,30
CDM,474007,SCREW BN 5X52.5MM,2344.0,2344.0,351.6,2344.0,30
CDM,474008,SCREW BN 5MM 47.5MM,2344.0,2344.0,351.6,2344.0,30
CDM,474009,SCREW BN 5MM 45MM,1913.0,1913.0,286.95,1913.0,30
CDM,474010,CAP END IM NAIL T2 +10MM,2383.0,2383.0,357.45,2383.0,30
CDM,474015,PEG FX 2.5MM 20MM,1018.0,1018.0,152.7,1018.0,30
CDM,474016,PEG FX 2.5MM 22MM,1018.0,1018.0,152.7,1018.0,30
CDM,474018,PEG FX BN 2.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,474019,PEG FX BN 2.5MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,474023,INS TIB 3X10 RP,6183.0,6183.0,927.45,6183.0,30
CDM,474024,FEM PFC SGM 66X61 3 RT,15016.0,15016.0,2252.4,15016.0,30
CDM,474025,SCREW BN SPNL 5.5X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,474026,SCREW BN SPNL 5.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,474028,SCREW BN SPNL 7.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,474029,NAIL BN 11.5MM 18CM,6775.0,6775.0,1016.25,6775.0,30
CDM,474030,PROSTH PENL PUMP PL 12CM,36386.0,36386.0,5457.9,36386.0,30
CDM,474031,ROD SPNL 40MM,13287.0,13287.0,1993.05,13287.0,30
CDM,474032,SCREW SPN 7MM 45MM,5647.0,5647.0,847.05,5647.0,30
CDM,474033,SCREW SPN SET,3012.0,3012.0,451.8,3012.0,30
CDM,474034,SCREW BONE TI 5.0 S 30MM,2817.0,2817.0,422.55,2817.0,30
CDM,474035,SCREW SPN 6X30X5.5MM,4120.0,4120.0,618.0,4120.0,30
CDM,474036,SCRW RED L5.5 6.5X50 TI,4429.0,4429.0,664.35,4429.0,30
CDM,474037,SCREW ST 5.5MM TI SPIN,1356.0,1356.0,203.4,1356.0,30
CDM,474038,SCREW CANC POLY 3.5X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,474039,SCREW BN TI SPNL LCK NS,731.0,731.0,109.65,731.0,30
CDM,474051,GRAFT EVAS 96X32MM 20FR,29307.0,29307.0,4396.05,29307.0,30
CDM,474056,CATH ANGIO CM 5FR 100CM,900.5,900.5,135.07,900.5,42
CDM,474057,SUTURE CV-4 TH-18 48IN,430.5,430.5,64.58,430.5,42
CDM,474058,STEM FEM HIP SZ13,8858.0,8858.0,1328.7,8858.0,30
CDM,474059,HEAD HEMI 46MM,16277.0,16277.0,2441.55,16277.0,30
CDM,474062,INS ACTB 56MM 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,474063,CUP ACTB 50MM ASR TPRD,16005.0,16005.0,2400.75,16005.0,30
CDM,474064,HEAD UNIPLR 45MM ASR,6386.0,6386.0,957.9,6386.0,30
CDM,474066,PEG FX THRD 2.5X18,1356.0,1356.0,203.4,1356.0,30
CDM,474067,PEG BN P-T 2.5MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,474069,SCREW SPN 6MM 55MM,4105.0,4105.0,615.75,4105.0,30
CDM,474070,SCREW SPN 6MM 60MM,4105.0,4105.0,615.75,4105.0,30
CDM,474075,CMPNT FEM 2.5 RT CS TC3,11861.0,11861.0,1779.15,11861.0,30
CDM,474076,INSERT TIB KN 2.5 20MM,6265.0,6265.0,939.75,6265.0,30
CDM,474077,EXTENSN STM 115MM 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,474078,SLEEVE CNTRNG 37MM HIP,6890.0,6890.0,1033.5,6890.0,30
CDM,474079,SLEEVE FEM KNEE 40MM,6890.0,6890.0,1033.5,6890.0,30
CDM,474080,BOLT ORTH NEUT FEM ADPR,2977.0,2977.0,446.55,2977.0,30
CDM,474084,IPG RSTR PRM ADVANC,55363.0,55363.0,8304.45,55363.0,30
CDM,474085,INSERT TIB KN SZ5 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,474086,ROD SPNL 50MM,10630.0,10630.0,1594.5,10630.0,30
CDM,474087,SCREW SPN 6MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,474088,SCREW SPN 6MM 50MM,5647.0,5647.0,847.05,5647.0,30
CDM,474092,SUTURE FIBERWIRE 18IN,36.0,36.0,5.4,36.0,30
CDM,474103,SCREW BN 3X18 HDLS COMP,3189.0,3189.0,478.35,3189.0,30
CDM,474115,SCREW BN 3MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,474116,SCREW BN HDLS CMPR 3X32,3189.0,3189.0,478.35,3189.0,30
CDM,474141,DEVICE WIRE LOCKING,231.5,231.5,34.73,231.5,42
CDM,474142,SCREW BN 3.5MM 40MM,1116.0,1116.0,167.4,1116.0,30
CDM,474144,SCREW BN 2.7MM 55MM,1754.0,1754.0,263.1,1754.0,30
CDM,474145,SCREW BN 2.7MM 60MM,1595.0,1595.0,239.25,1595.0,30
CDM,474146,PLATE BN MDL 8HL,4429.0,4429.0,664.35,4429.0,30
CDM,474147,PLATE BN 10HL 100MM LT,4429.0,4429.0,664.35,4429.0,30
CDM,474148,SCREW BN CORT 3.5MM 28MM,957.0,957.0,143.55,957.0,30
CDM,474156,INSERT TIB KN SZYLW/C-H,4606.0,4606.0,690.9,4606.0,30
CDM,474157,NAIL INTMD T2 STD 12X400,5879.0,5879.0,881.85,5879.0,30
CDM,474158,SCREW BN 5X50MM,1913.0,1913.0,286.95,1913.0,30
CDM,474159,SCREW BN LCK 5X65,1913.0,1913.0,286.95,1913.0,30
CDM,474161,INSERT ARTC KN RT 14MM,4252.0,4252.0,637.8,4252.0,30
CDM,474162,STAPLE BNE SS 151X 25MM,2392.0,2392.0,358.8,2392.0,30
CDM,474164,STNT ANRX 28X40 AORXTD,9228.0,9228.0,1384.2,9228.0,30
CDM,474165,STNT ANRX 26X40 AORXTD,10630.0,10630.0,1594.5,10630.0,30
CDM,474166,GFT STNT STR 19F18X8.5,11535.0,11535.0,1730.25,11535.0,30
CDM,474167,SCREW SPN 4.6MM 14MM,3765.0,3765.0,564.75,3765.0,30
CDM,474169,SCREW BN SPNL 5.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,474170,PLATE 9HL 236MM LCP LT,7347.0,7347.0,1102.05,7347.0,30
CDM,474172,CENTRALIZR STM HIP 8.5MM,1170.0,1170.0,175.5,1170.0,30
CDM,474174,SCREW SPN 6MM 55MM,4120.0,4120.0,618.0,4120.0,30
CDM,474179,STEM FEM HIP 12/14 155MM,8416.0,8416.0,1262.4,8416.0,30
CDM,474180,HD FM CCR +1.5 12/14 44,4606.0,4606.0,690.9,4606.0,30
CDM,474181,LINER ACTB 36X56,5847.0,5847.0,877.05,5847.0,30
CDM,474182,CUP ACTB DOME 56MM,6644.0,6644.0,996.6,6644.0,30
CDM,474183,STEM FEM LG LNG 15 LT,18107.0,18107.0,2716.05,18107.0,30
CDM,474184,CG SPNL EP 14X11X7MM 7DE,4872.0,4872.0,730.8,4872.0,30
CDM,474185,SPCR SPNL VERT 20X11X10,5980.0,5980.0,897.0,5980.0,30
CDM,474186,CAGE SPNL SYNX 37-52MM,21763.0,21763.0,3264.45,21763.0,30
CDM,474187,ENPLT SPNL 10D 25X22 MED,4429.0,4429.0,664.35,4429.0,30
CDM,474188,SCREW BNE CD HRZN LGCY40,4429.0,4429.0,664.35,4429.0,30
CDM,474190,SPACER SPN 10X13X28MM,9667.0,9667.0,1450.05,9667.0,30
CDM,474192,SPACER SPNL 28X10X10MM O,11959.0,11959.0,1793.85,11959.0,30
CDM,474193,SCREW CORTICAL 401.065E,877.0,877.0,131.55,877.0,30
CDM,474194,SPACER 30X25X16 6DG SPN,25689.0,25689.0,3853.35,25689.0,30
CDM,474195,STEM FEM HIP 16MM 18MM,6201.0,6201.0,930.15,6201.0,30
CDM,474196,SCREW BN 4MM 22.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,474197,SPACER SPNL 25X9MM,11959.0,11959.0,1793.85,11959.0,30
CDM,474199,SPACER SPNL 25X10MM,11959.0,11959.0,1793.85,11959.0,30
CDM,474200,SPACER SPN 25X11MM,11959.0,11959.0,1793.85,11959.0,30
CDM,474202,SCREW BN 4X20MM,319.0,319.0,47.85,319.0,30
CDM,474207,ROD SPNL 80MM,10630.0,10630.0,1594.5,10630.0,30
CDM,474208,SCREW SPN 6MM 50MM,5647.0,5647.0,847.05,5647.0,30
CDM,474210,ICD CRD VR 5.37X7.79CM,37644.0,37644.0,5646.6,37644.0,30
CDM,474211,ICD CRD 5.3X7.79X0.99CM,37644.0,37644.0,5646.6,37644.0,30
CDM,474212,CRT-D CRD 5.37X8.08X0.99,52825.0,52825.0,7923.75,52825.0,30
CDM,474213,CRT-D CRD 5.37X8.18CM,51946.0,51946.0,7791.9,51946.0,30
CDM,474214,CRT-D CRD 5.37X8.08X0.99,51946.0,51946.0,7791.9,51946.0,30
CDM,474216,NAIL FEM 10MM 320MM,6724.0,6724.0,1008.6,6724.0,30
CDM,474217,SCREW SPN 4.5MM 10MM,1130.0,1130.0,169.5,1130.0,30
CDM,474218,SCREW BN STRL LCK 5X30MM,2143.0,2143.0,321.45,2143.0,30
CDM,474219,SCREW BN STRL LCK 5X40MM,2143.0,2143.0,321.45,2143.0,30
CDM,474223,SCREW BN TI 30MM 3.5MM C,4340.0,4340.0,651.0,4340.0,30
CDM,474224,SCREW CANC P-AX 3.5X32MM,4446.0,4446.0,666.9,4446.0,30
CDM,474225,SCREW SPNL PA 3.5X34,4340.0,4340.0,651.0,4340.0,30
CDM,474226,SCREW BN 4 10 SYNPSE TI,6090.0,6090.0,913.5,6090.0,30
CDM,474227,SCREW SPN CANC POLY 4X12,4429.0,4429.0,664.35,4429.0,30
CDM,474229,SCREW BN 4 28 SYNPSE TI,4446.0,4446.0,666.9,4446.0,30
CDM,474230,SCREW CANC POLYAXI 4.0MM,4651.0,4651.0,697.65,4651.0,30
CDM,474231,SCREW BN 4MM 2.4MM 36MM,4446.0,4446.0,666.9,4446.0,30
CDM,474232,SCREW SPN CORT PA 3.5X34,4340.0,4340.0,651.0,4340.0,30
CDM,474233,SLEEVE TIB 61MM PRCT,7420.0,7420.0,1113.0,7420.0,30
CDM,474234,COMP TIBTRY XS 66X44MM,11836.0,11836.0,1775.4,11836.0,30
CDM,474235,SLVROM TIB NRH POR 37MM,7420.0,7420.0,1113.0,7420.0,30
CDM,474236,CMPNT FEM KN RT XS,15352.0,15352.0,2302.8,15352.0,30
CDM,474237,PLATE TIB XS 12MM,9363.0,9363.0,1404.45,9363.0,30
CDM,474238,EXTENSN STM 100MM 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,474239,EXTENSION STM 100MM 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,474259,SCREW BN 2.7MM 12MM,563.0,563.0,84.45,563.0,30
CDM,474260,SCREW BN 3.5MM 6MM,402.0,402.0,60.3,402.0,30
CDM,474261,SCREW BN 3.5MM 14MM,440.0,440.0,66.0,440.0,30
CDM,474263,SPACER SPNL L28XW10,9667.0,9667.0,1450.05,9667.0,30
CDM,474267,PLATE SPN OCCU 50MM,12656.0,12656.0,1898.4,12656.0,30
CDM,474268,SCREW SPN 4.5MM 8MM,1130.0,1130.0,169.5,1130.0,30
CDM,474269,CRT-D CRD 5.37X8.08X0.99,52825.0,52825.0,7923.75,52825.0,30
CDM,474271,NAIL 125D 11.538 L,6400.0,6400.0,960.0,6400.0,30
CDM,474272,SCREW BN 80MM 75MM,4058.0,4058.0,608.7,4058.0,30
CDM,474273,HD HUM SHLDR 21MM 52MM,5491.0,5491.0,823.65,5491.0,30
CDM,474277,BASEPLT TIB KN LT SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,474278,FEM NP BCS SZ7 LT,7087.0,7087.0,1063.05,7087.0,30
CDM,474279,INSR STD 5-6 LT 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,474280,PLATE BN 130DX90MM,3654.0,3654.0,548.1,3654.0,30
CDM,474310,PEG BN P-T 2.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,474328,STENT VASC 9X58MM 135CM,9228.0,9228.0,1384.2,9228.0,30
CDM,474340,SCREW BN ST 1.5MM 10MM,485.0,485.0,72.75,485.0,30
CDM,474341,PIN BN 1.8MM 18MM,969.0,969.0,145.35,969.0,30
CDM,474342,STENT BIL 8FR 12CM,845.0,845.0,126.75,845.0,30
CDM,474348,SRFC ARTC UCMPRT 5 H10,4429.0,4429.0,664.35,4429.0,30
CDM,474349,NAIL BN FEM 12MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,474350,SCREW BN 11MM 120MM,3189.0,3189.0,478.35,3189.0,30
CDM,474351,CAP ONE PCS ITST LKNG 15,1834.0,1834.0,275.1,1834.0,30
CDM,474352,SCREW SPNL SKYLINE 18MM,1461.0,1461.0,219.15,1461.0,30
CDM,474358,CNCTR SPNL CRSLNK 60-70M,4850.0,4850.0,727.5,4850.0,30
CDM,474360,PLATE SPN ANT 19MM,12402.0,12402.0,1860.3,12402.0,30
CDM,474361,SCREW SPN 5.2MM 24MM,3012.0,3012.0,451.8,3012.0,30
CDM,474363,CUP ACTB SECT 2 PNCL 62,4606.0,4606.0,690.9,4606.0,30
CDM,474364,INS ACTB 62MM 44MM,4872.0,4872.0,730.8,4872.0,30
CDM,474366,PEG BN FX THRD 2.5X20MM,1356.0,1356.0,203.4,1356.0,30
CDM,474367,PLATE LG TI 8 HL LCK BN,4429.0,4429.0,664.35,4429.0,30
CDM,474368,SPACER SPNL 28X10X13MM,9667.0,9667.0,1450.05,9667.0,30
CDM,474371,CMPNT PTLA 35MM 3D ENCR,4429.0,4429.0,664.35,4429.0,30
CDM,474372,CMPNT TIBTRY 4 KN NPO,5537.0,5537.0,830.55,5537.0,30
CDM,474373,CMPNT FEM 3D SZ6 LT NPOR,8628.0,8628.0,1294.2,8628.0,30
CDM,474374,INSERT TIB LT 6X11,4429.0,4429.0,664.35,4429.0,30
CDM,474375,SCREW BN 2.4MM 16MM,788.0,788.0,118.2,788.0,30
CDM,474380,CMPNT KN LT CNSTR SZ5,17394.0,17394.0,2609.1,17394.0,30
CDM,474381,BASEPLATE TIB KN LT SZ4,7609.0,7609.0,1141.35,7609.0,30
CDM,474382,COMPNT PTLR KN 9X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,474383,STEM EXT KN 12MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,474386,STEM HUM 145MM 16MM CFLD,14375.0,14375.0,2156.25,14375.0,30
CDM,474388,PLATE TIB BN 4.5MM 226MM,5996.0,5996.0,899.4,5996.0,30
CDM,474390,INTR0 SHTH 8.5FR 91CM,4579.0,4579.0,686.85,4579.0,42
CDM,474391,INTR0 SHTH 8.5FR 71CM,4579.0,4579.0,686.85,4579.0,42
CDM,474392,LEAD DEFIB 58CM,19333.0,19333.0,2899.95,19333.0,30
CDM,474393,NAIL IM 13MM 300MM TIB,5958.0,5958.0,893.7,5958.0,30
CDM,474394,SCREW BN STRL LCK 5X44MM,2143.0,2143.0,321.45,2143.0,30
CDM,474395,GRAFT BN INJ 20CC,6201.0,6201.0,930.15,6201.0,30
CDM,474397,CABLE PIN IMPLANT 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,474398,ELEVATOR SURG LG PASSING,921.0,921.0,138.15,921.0,42
CDM,474399,RING ACTB HIP 54MM,3535.0,3535.0,530.25,3535.0,30
CDM,474400,LINER ACTB HIP 32MM 54MM,6644.0,6644.0,996.6,6644.0,30
CDM,474403,NAIL BN FEM 11MM 32CM,4872.0,4872.0,730.8,4872.0,30
CDM,474404,SCREW BN 5.5MM 85MM,2073.0,2073.0,310.95,2073.0,30
CDM,474405,SCREW BN 5.5MM 90MM,2073.0,2073.0,310.95,2073.0,30
CDM,474406,BASEPLATE TIB LMRL SZ3,5315.0,5315.0,797.25,5315.0,30
CDM,474407,COMP FEM DEUCE SZ5 LT,13996.0,13996.0,2099.4,13996.0,30
CDM,474408,CMPNTN PTLR KN 9X35MM,4252.0,4252.0,637.8,4252.0,30
CDM,474409,INSERT TIB LT 3-4X8 JRNY,4429.0,4429.0,664.35,4429.0,30
CDM,474412,STENT BIL 8.5FR 15CM,861.0,861.0,129.15,861.0,30
CDM,474413,STENT BIL 11.5FR 12CM,861.0,861.0,129.15,861.0,30
CDM,474415,SCREW BN CORT 2.7MM 50MM,1276.0,1276.0,191.4,1276.0,30
CDM,474416,SCREW BN CORT 2.7MM 55MM,1276.0,1276.0,191.4,1276.0,30
CDM,474417,PASSER SUTURE LEFT,1064.5,1064.5,159.68,1064.5,42
CDM,474420,STENT EPRSTH 7X11X59MM,12667.0,12667.0,1900.05,12667.0,30
CDM,474421,STENT BIL 10FR 15CM,861.0,861.0,129.15,861.0,30
CDM,474422,SCREW BN SPN 5.5MM 45MM,6742.0,6742.0,1011.3,6742.0,30
CDM,474423,SCREW BN SPN 5.5MM 40MM,8491.0,8491.0,1273.65,8491.0,30
CDM,474424,SCRW UNIAXIAL 5.5X45MM,6954.0,6954.0,1043.1,6954.0,30
CDM,474425,SCREW SPN 6.0MM 50MM,6954.0,6954.0,1043.1,6954.0,30
CDM,474426,SCREW BN SPN U L50 OD5.5,6954.0,6954.0,1043.1,6954.0,30
CDM,474427,ICD DUAL CHMBR 42MM,45503.0,45503.0,6825.45,45503.0,30
CDM,474428,SPACER SPNL 30X11MM,20719.0,20719.0,3107.85,20719.0,30
CDM,474429,SCREW BN SPNL 7.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,474430,CMPNT PTLA 29MM 3D ENCR,4429.0,4429.0,664.35,4429.0,30
CDM,474431,CMPNT FEM 4 LT 3D KN NPO,8628.0,8628.0,1294.2,8628.0,30
CDM,474432,CMPNT TIB FNDTN 2 NPO,5537.0,5537.0,830.55,5537.0,30
CDM,474433,INSERT KN TIB4 LT13MM 3D,4606.0,4606.0,690.9,4606.0,30
CDM,474434,BLADE SAW KNEE ENCORE,861.5,861.5,129.22,861.5,42
CDM,474435,SCRW LEGACY HA 7.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,474436,BASEPLATE TIB FNDTN 2 RT,5537.0,5537.0,830.55,5537.0,30
CDM,474437,INSERT TIB 3DKN 13MM RT,4606.0,4606.0,690.9,4606.0,30
CDM,474438,CMPNT FEM 4 RT 3D KN NPO,8628.0,8628.0,1294.2,8628.0,30
CDM,474440,SPACER 26/32 13.5X8 DEG,25246.0,25246.0,3786.9,25246.0,30
CDM,474441,SCREW BN TI 4X40MM ORTHO,3012.0,3012.0,451.8,3012.0,30
CDM,474442,PLATE PROX TIB 4.5LCP226,7000.0,7000.0,1050.0,7000.0,30
CDM,474443,BASEPLATE TIB SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,474444,COMPNT FEM KN LT PS SZ3,6068.0,6068.0,910.2,6068.0,30
CDM,474445,INSERT TIB KN SZ3 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,474446,HEAD FEM HIP -2MM,4252.0,4252.0,637.8,4252.0,30
CDM,474451,CRT-P MR 15MM,24238.0,24238.0,3635.7,24238.0,30
CDM,474455,INSERT TIB KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,474457,SCREW BN 3.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,474458,PLATE SPN 21MM,12402.0,12402.0,1860.3,12402.0,30
CDM,474459,SCREW SPN 7MM 40MM,5647.0,5647.0,847.05,5647.0,30
CDM,474461,SPACER SPNL 28X10X11MM,9667.0,9667.0,1450.05,9667.0,30
CDM,474465,PLATE SNOMA ANT CER 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,474466,SCREW SPN VARI 4.0X14MM,3012.0,3012.0,451.8,3012.0,30
CDM,474531,PLATE BN SS L168 LCP 8HL,6076.0,6076.0,911.4,6076.0,30
CDM,474532,SCREW BN 2.4MM 1.9MM,1334.0,1334.0,200.1,1334.0,30
CDM,474533,SCREW BN ST 2.4MM 14MM,1555.0,1555.0,233.25,1555.0,30
CDM,474534,SCREW BN 2.4MM 16MM,1555.0,1555.0,233.25,1555.0,30
CDM,474535,SCREW BN 2.4MM 18MM,1555.0,1555.0,233.25,1555.0,30
CDM,474536,SCREW BN 2.7X5MM 14MM,429.0,429.0,64.35,429.0,30
CDM,474537,PLATE BN LT 50.5MM 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,474538,GUIDEWIRE 3.0X1000,1023.5,1023.5,153.53,1023.5,42
CDM,474539,NAIL BN FEM 13MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,474540,SCREW BN 5.5MM 60MM,2073.0,2073.0,310.95,2073.0,30
CDM,474541,SCREW BN 5.5MM 70MM,2073.0,2073.0,310.95,2073.0,30
CDM,474543,SCREW BN 10.5MM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,474544,SCREW BN MLTI-AX 4-16MM,5539.0,5539.0,830.85,5539.0,30
CDM,474545,SCREW BN IM 5.5 X 20 Z,2073.0,2073.0,310.95,2073.0,30
CDM,474546,SCREW BN MLTI-AX 4-18MM,5539.0,5539.0,830.85,5539.0,30
CDM,474547,CRT-P 4.45X6.13X0.75CM,22939.0,22939.0,3440.85,22939.0,30
CDM,474549,NAIL TIB T2 9MM 27CM LCK,5592.0,5592.0,838.8,5592.0,30
CDM,474552,CRT-P .75CM 4.45X6.13CM,25776.0,25776.0,3866.4,25776.0,30
CDM,474560,HEMOSAT ABS 2X4IN,833.0,833.0,124.95,833.0,42
CDM,474562,CURETTE KPHX 8.5MM WDG,1436.5,1436.5,215.47,1436.5,42
CDM,474571,BASEPLT TIB KN RT SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,474572,COMPNT PTLA KN RND 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,474576,CRT-P 4.45X6.17X0.75CM,22939.0,22939.0,3440.85,22939.0,30
CDM,474577,CATH GD BLUYLW 100CM 5FR,605.0,605.0,90.75,605.0,42
CDM,474579,CATHETER GD 100CM 5FR,605.0,605.0,90.75,605.0,42
CDM,474580,CATH GD BLUYLW 100CM 5FR,587.5,587.5,88.13,587.5,42
CDM,474582,CATH GD 5FR 100CM,605.0,605.0,90.75,605.0,42
CDM,474583,ELECTRODE ESURG ADLT,37.0,37.0,5.55,37.0,42
CDM,474585,STENT EPRSTH 7X11X79MM,12501.0,12501.0,1875.15,12501.0,30
CDM,474586,CUTTER UNIV ACUITY RMVR,773.0,773.0,115.95,773.0,42
CDM,474587,SCREW BN TI 2.7MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,474588,SCREW BN TI 2.7MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,474589,SCREW BN TI 2.7MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,474591,RESTRCTR ELBW CMNT 13MM,3572.0,3572.0,535.8,3572.0,30
CDM,474592,COMPNT HUMERAL SM LEFT,12845.0,12845.0,1926.75,12845.0,30
CDM,474593,CMPNT HUM SM ANT LEFT,4606.0,4606.0,690.9,4606.0,30
CDM,474594,CAP END ULNAR SM,4606.0,4606.0,690.9,4606.0,30
CDM,474595,STEM ULNAR SM STD LEFT,10187.0,10187.0,1528.05,10187.0,30
CDM,474596,STEM ULNAR SM SHT LEFT,10187.0,10187.0,1528.05,10187.0,30
CDM,474597,GRAFT BN CANC .2CC,3012.0,3012.0,451.8,3012.0,30
CDM,474609,SCREW BN CORT 3.5MM 55MM,1276.0,1276.0,191.4,1276.0,30
CDM,47461,SLEEVE FEM KN 35MM,9072.0,9072.0,1360.8,9072.0,30
CDM,474611,PLATE LCP DIST HUM 3.5,4679.0,4679.0,701.85,4679.0,30
CDM,474612,SCREW BN 2.7MM 30MM,1571.0,1571.0,235.65,1571.0,30
CDM,474613,SCREW BN LCK 2.7MM 18MM,1295.0,1295.0,194.25,1295.0,30
CDM,474614,SCREW BN 2.7MM 44MM,1571.0,1571.0,235.65,1571.0,30
CDM,474615,SCREW BN LCK 2.7MM 16MM,1295.0,1295.0,194.25,1295.0,30
CDM,474616,SCREW BN 2.4X24MM,743.0,743.0,111.45,743.0,30
CDM,474617,PLATE BN RT 5H 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,474618,SCREW BN LCK 2.7MM 22MM,1295.0,1295.0,194.25,1295.0,30
CDM,474619,SCREW BN 2.7MM 2.1MM20MM,1295.0,1295.0,194.25,1295.0,30
CDM,474620,CATH GD 9FR 45CM,2767.0,2767.0,415.05,2767.0,42
CDM,474621,WAX LUKENS BONE SUB STD,95.0,95.0,14.25,95.0,42
CDM,474622,INSERT TIB RT 8X9,4606.0,4606.0,690.9,4606.0,30
CDM,474623,CMPNT FEM 8 RT 3D KN NPO,8628.0,8628.0,1294.2,8628.0,30
CDM,474624,BASEPLATE TIB RT 6MM,5537.0,5537.0,830.55,5537.0,30
CDM,474625,INSERT TIB RT 8X11,4606.0,4606.0,690.9,4606.0,30
CDM,474626,BLOCK TIBIA SZ3/2 H10MM,5360.0,5360.0,804.0,5360.0,30
CDM,474627,STEM EXTENSION 13X100,5714.0,5714.0,857.1,5714.0,30
CDM,474628,BASEPLT TIB KN 2+ 21MM,5599.0,5599.0,839.85,5599.0,30
CDM,474629,INSERT TIB SZ2 RT H10MM,8593.0,8593.0,1288.95,8593.0,30
CDM,474630,CUFF URTH SPHNCR AB 5CM,29850.0,29850.0,4477.5,29850.0,30
CDM,474632,BIT DRILL 4.2X260MM,1542.5,1542.5,231.38,1542.5,42
CDM,474640,CATH GD 9FR 45CM,2767.0,2767.0,415.05,2767.0,42
CDM,474641,CATH GD 9FR 45CM,2767.0,2767.0,415.05,2767.0,42
CDM,474644,SCREW VARI BNE 4.5X14,3012.0,3012.0,451.8,3012.0,30
CDM,474645,BIT DRILL 12MM STRL,386.5,386.5,57.98,386.5,42
CDM,474646,SCREW BN 3.5MM 40MM,421.0,421.0,63.15,421.0,30
CDM,474647,SCREW BN 3.5MM 55MM,375.0,375.0,56.25,375.0,30
CDM,474648,SCREW BN 3.5MM 60MM,421.0,421.0,63.15,421.0,30
CDM,474649,PLATE BN 8HL 104MM,3189.0,3189.0,478.35,3189.0,30
CDM,474652,SCREW BN SPNL 6.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,474654,PLATE OLECRANON 4HOLE LC,4429.0,4429.0,664.35,4429.0,30
CDM,474655,LINER ACTB POLY 36X58,4429.0,4429.0,664.35,4429.0,30
CDM,474657,COMP HUM SHLDR 13X130MM,22416.0,22416.0,3362.4,22416.0,30
CDM,474659,SCREW SPN 7MM 45MM,4120.0,4120.0,618.0,4120.0,30
CDM,474660,SCREW CANC POLY 3.5X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,474661,LEAD NRSTM 60/75CM SPNL,3189.0,3189.0,478.35,3189.0,30
CDM,474663,INSR STD 3-4 LT 9MM,4984.0,4984.0,747.6,4984.0,30
CDM,474665,ANCHOR SUT 4.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,474667,SHELL ACTB HIP 0D 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,474668,INS ACTB 60MM 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,474669,HEAD FEM HIP 12/14 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,474673,SCREW POLYX LRDTC SPN 32,6312.0,6312.0,946.8,6312.0,30
CDM,474674,PLATE SPN 2MM 6MM 29MM,4035.0,4035.0,605.25,4035.0,30
CDM,474675,SCREW SPN 2MM 4MM,814.0,814.0,122.1,814.0,30
CDM,474685,COMP TITAN SZ44/18,19931.0,19931.0,2989.65,19931.0,30
CDM,474690,ENPLT SPNL 5D 25X22 MED,4429.0,4429.0,664.35,4429.0,30
CDM,474691,CAGE SPNL SYNX 29-44MM,21420.0,21420.0,3213.0,21420.0,30
CDM,474694,SCREW BN SPN 3.5MM 14MM,4247.0,4247.0,637.05,4247.0,30
CDM,474695,GRAFT BN ALLOQNT 90080,15281.0,15281.0,2292.15,15281.0,30
CDM,474704,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,474705,NAIL FEM 10MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,474706,SCREW BN RECONST 5.5X85,399.0,399.0,59.85,399.0,30
CDM,474707,SCREW BN RECONST 5.5X95,399.0,399.0,59.85,399.0,30
CDM,474708,SCREW BN RECONST 5.5X90,399.0,399.0,59.85,399.0,30
CDM,474709,HEAD HUM 21MM 52MM,5257.0,5257.0,788.55,5257.0,30
CDM,474710,SCREW BN LCK 5MM 68MM,3189.0,3189.0,478.35,3189.0,30
CDM,474711,SCREW BN 5MM 4.3MM 60MM,2143.0,2143.0,321.45,2143.0,30
CDM,474712,SCREW BN 5MM 54MM,2143.0,2143.0,321.45,2143.0,30
CDM,474713,INSERT TIB 12.5MM SZ4,5830.0,5830.0,874.5,5830.0,30
CDM,474714,JOINT FLX HNG TOE SZ3S,4606.0,4606.0,690.9,4606.0,30
CDM,474727,ROD SPN 480MM 179777480,2630.0,2630.0,394.5,2630.0,30
CDM,474732,PEG FX GLND 52MM,5980.0,5980.0,897.0,5980.0,30
CDM,474734,PROSTH PENL 20CM 14MM,48691.0,48691.0,7303.65,48691.0,30
CDM,474735,SCREW BN 7MM 75MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,474736,STAPLE COMP15X15,2392.0,2392.0,358.8,2392.0,30
CDM,474737,SCREW BN 7MM 80MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,474738,WIRE FX 230MM 2.5MM,386.5,386.5,57.98,386.5,42
CDM,474739,KWIRE FX 150MM 1.6MM,386.5,386.5,57.98,386.5,42
CDM,474740,BIT SURG DRL 2.8MM,972.5,972.5,145.88,972.5,42
CDM,474742,BASEPLATE TIB LMRL SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,474744,PLATE SNOMA ANT CER 31MM,5094.0,5094.0,764.1,5094.0,30
CDM,474745,SCREW SPN V-ANG 4.5X12MM,3012.0,3012.0,451.8,3012.0,30
CDM,474748,PROSTHESIS PENL 2CM 10MM,17473.0,17473.0,2620.95,17473.0,30
CDM,474749,PROSTHESIS PENL 1CM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,474753,SHELL ACTB HIP 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,474754,LINER ACTB 10DD +4 36X54,4429.0,4429.0,664.35,4429.0,30
CDM,474755,SLEEVE CNTRNG 22D SM,4252.0,4252.0,637.8,4252.0,30
CDM,474760,IMPLANT BREAST 450CC,3721.0,3721.0,558.15,3721.0,30
CDM,474764,HEAD ULNAR 16.0MM HD ELB,6992.0,6992.0,1048.8,6992.0,30
CDM,474765,STEM LONG 5.5 WRIST,18463.0,18463.0,2769.45,18463.0,30
CDM,474774,SPACER SPNL 25X7MM,9966.0,9966.0,1494.9,9966.0,30
CDM,474776,SCREW SPN 4MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,474789,PLATE SNOMA ANT CER 48MM,5315.0,5315.0,797.25,5315.0,30
CDM,474792,SHELL HIP ACTB 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,474793,STEM HUM SHLDR 14X130MM,22588.0,22588.0,3388.2,22588.0,30
CDM,474794,SPACER HUM SHLDR 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,474795,LINER PLY RVRS TM +3 36M,4428.0,4428.0,664.2,4428.0,30
CDM,474802,NEEDLE ENDO 14.6IN 21GA,671.5,671.5,100.72,671.5,42
CDM,474803,PIN GUIDE 3.2MM 300MM,1449.0,1449.0,217.35,1449.0,42
CDM,474804,ROD LEGACY 9.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
CDM,474826,PROSTHESIS PENL 3CM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,474829,NAIL FEM 12MM 420MM,6724.0,6724.0,1008.6,6724.0,30
CDM,474835,STIMULATOR NRMSCLR INTST,1834.0,1834.0,275.1,1834.0,30
CDM,474836,CMPNT FEM KN RT SZ5,6068.0,6068.0,910.2,6068.0,30
CDM,474837,COMPNT PTLR ASYM 10X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,474838,BASEPLATE TIB KN SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,474839,INSERT TRTHN TIB G-509,4606.0,4606.0,690.9,4606.0,30
CDM,474840,INSERT TIB SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,474844,BASEPLATE SHLDR 12D,8568.0,8568.0,1285.2,8568.0,30
CDM,474845,SCREW BN HUM 4.5MM 42MM,1595.0,1595.0,239.25,1595.0,30
CDM,474846,SCREW BN HUM 4.5MM 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,474847,COMPNT GLND SHLDR 36MM,5315.0,5315.0,797.25,5315.0,30
CDM,474849,NEEDLE SCLRTX 22GA 6MM,320.0,320.0,48.0,320.0,42
CDM,474850,SCREW BN 2.4MM 4MM 18MM,743.0,743.0,111.45,743.0,30
CDM,474851,PLATE DRSL 3 HL 2.4,3189.0,3189.0,478.35,3189.0,30
CDM,474854,INS TIB SM 15MM KX+ DRTN,4997.0,4997.0,749.55,4997.0,30
CDM,474855,SHELL ACTB HIP PNCL 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,474856,STEM SROM STD 20X15X165,13646.0,13646.0,2046.9,13646.0,30
CDM,474858,SLEEVE ADAPTER 1MM 12/14,4252.0,4252.0,637.8,4252.0,30
CDM,474859,CMPNT HUM XS 4IN,17473.0,17473.0,2620.95,17473.0,30
CDM,474860,COMPNT ULN CNRD MRY XLNG,16922.0,16922.0,2538.3,16922.0,30
CDM,474861,COMPNT ULNAR XS LT ELBOW,16922.0,16922.0,2538.3,16922.0,30
CDM,474862,KIT REV PIN BSHING,4606.0,4606.0,690.9,4606.0,30
CDM,474863,CMPNT HUM ELB SM 4IN,17627.0,17627.0,2644.05,17627.0,30
CDM,474870,NAIL GMA3 RT 125X36X11,8769.0,8769.0,1315.35,8769.0,30
CDM,474871,SCREW BN IM 10.5X95MM,3189.0,3189.0,478.35,3189.0,30
CDM,474872,NAIL BN FEM 12MM 380MM,6724.0,6724.0,1008.6,6724.0,30
CDM,474873,PLATE BN NAR RT,4429.0,4429.0,664.35,4429.0,30
CDM,474875,NAIL 130D 11.534 R,6400.0,6400.0,960.0,6400.0,30
CDM,474876,SCREW SPN 8.5MM 70MM,3765.0,3765.0,564.75,3765.0,30
CDM,474884,PLATE BN THCK LCP 4.5MM,4235.0,4235.0,635.25,4235.0,30
CDM,474894,INSERT TIB KN SZ3-4 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,474896,SCREW BN 6.5MM 45MM,833.0,833.0,124.95,833.0,30
CDM,474897,STEM FEM HIP 155X13MM,11516.0,11516.0,1727.4,11516.0,30
CDM,474898,SCREW BN 6.5MM 15MM,833.0,833.0,124.95,833.0,30
CDM,474900,HEAD FEM 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,474901,NAIL GMA3 LT 125X34X11,8522.0,8522.0,1278.3,8522.0,30
CDM,474902,SIZER BREAST 180CC,618.5,618.5,92.78,618.5,42
CDM,474903,SIZER BREAST 270CC,618.5,618.5,92.78,618.5,42
CDM,474904,SIZER BREAST 300CC,618.5,618.5,92.78,618.5,42
CDM,474905,SIZER BREAST 360CC,618.5,618.5,92.78,618.5,42
CDM,474906,AUG FEM MTL RT SM 40MM,23899.0,23899.0,3584.85,23899.0,30
CDM,474907,INSERT ARTC E-F/5-6 12MM,5700.0,5700.0,855.0,5700.0,30
CDM,474908,HEAD FEMORAL 00801804004,4606.0,4606.0,690.9,4606.0,30
CDM,474909,COMPNT TIB KN LCK BAR,1170.0,1170.0,175.5,1170.0,30
CDM,474910,BEARING PRIM LPD 16X79MM,4606.0,4606.0,690.9,4606.0,30
CDM,474912,SCREW BN SPN 3.5MM 12MM,4247.0,4247.0,637.05,4247.0,30
CDM,474915,PIN FX STRDR ORT 14X1.8,1666.0,1666.0,249.9,1666.0,30
CDM,474916,PIN BN 1.8MM 18MM,1666.0,1666.0,249.9,1666.0,30
CDM,474917,PIN BN 1.8MM 20MM,1666.0,1666.0,249.9,1666.0,30
CDM,474924,PLT CLAVICLE LKNG 9 HL,4309.0,4309.0,646.35,4309.0,30
CDM,474930,DRILL BIT 2.5MMX127MM,464.0,464.0,69.6,464.0,42
CDM,474931,NUT SPN LCK TI ST SCR,753.0,753.0,112.95,753.0,30
CDM,474935,SCREW BN 2.4MM 12MM,633.0,633.0,94.95,633.0,30
CDM,474939,INSERT TIB 5-6 H8MM RMLL,4429.0,4429.0,664.35,4429.0,30
CDM,474943,NAIL 130D 1036 R,6400.0,6400.0,960.0,6400.0,30
CDM,474954,SCREW BN SPN 7.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,474955,SCREW BN SPN 6.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,474962,BLADE SAW RCPRCTNG 2 SID,1003.0,1003.0,150.45,1003.0,42
CDM,474969,PLATE BN MDL 7HL,4429.0,4429.0,664.35,4429.0,30
CDM,474971,SCREW BN CORT 3.5MM 34MM,957.0,957.0,143.55,957.0,30
CDM,474972,SCREW BN CANC 4MM 18MM,957.0,957.0,143.55,957.0,30
CDM,474973,SCREW BN CANC 4MM 20MM,957.0,957.0,143.55,957.0,30
CDM,474974,SCREW BN CANC 4MM 22MM,957.0,957.0,143.55,957.0,30
CDM,474975,SCREW BN CANC 4MM 24MM,957.0,957.0,143.55,957.0,30
CDM,474976,SCREW BN CANC 4MM 28MM,957.0,957.0,143.55,957.0,30
CDM,474978,SCREW BN CANC 4MM 50MM,1371.0,1371.0,205.65,1371.0,30
CDM,474979,SCREW BN 3.5MM 30MM,1116.0,1116.0,167.4,1116.0,30
CDM,474980,SCREW BN 3.5MM 36MM,1116.0,1116.0,167.4,1116.0,30
CDM,474981,SCREW BN 3.5MM 45MM,1116.0,1116.0,167.4,1116.0,30
CDM,474982,BASEPLATE TIB KN SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,474983,COMPNT FEM RT KN SZ7,6068.0,6068.0,910.2,6068.0,30
CDM,474984,INSERT TIB BEAR SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,474985,BASEPLATE TIB KN LFT SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,474987,HEAD ELBW RAD 22MM,5860.0,5860.0,879.0,5860.0,30
CDM,474988,PLATE OLECRANON 11 HOLE,4429.0,4429.0,664.35,4429.0,30
CDM,474989,SCREW BN CORT 3.5MM 32MM,957.0,957.0,143.55,957.0,30
CDM,475003,GWIRE ENDO .018IN 260CM,1411.0,1411.0,211.65,1411.0,42
CDM,475004,PUSHER DEL SYS PANC 4FR,731.0,731.0,109.65,731.0,42
CDM,475005,STENT PANC 5FR 10CM,1178.0,1178.0,176.7,1178.0,30
CDM,475006,STENT PANC 5FR 8CM,1178.0,1178.0,176.7,1178.0,30
CDM,475007,KIT STENT PANC 5FR 7CM,2663.0,2663.0,399.45,2663.0,30
CDM,475011,STENT TRCHBR 6FR 22MM,10471.0,10471.0,1570.65,10471.0,30
CDM,475016,STENT VASC 7X20MM 135CM,4606.0,4606.0,690.9,4606.0,30
CDM,475017,STENT VASC 8X20MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475021,STENT VASC 7X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475022,STENT VASC 8X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475023,STENT VASC 9X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475024,STENT VASC 6X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475025,STENT VASC 6X40MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475026,STENT VASC 7X40MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475028,STENT VASC 9X40MM 135CM,4606.0,4606.0,690.9,4606.0,30
CDM,475030,STENT VASC 6X60MM 135CM,4606.0,4606.0,690.9,4606.0,30
CDM,475031,STENT VASC 7X60MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475032,STENT VASC 8X60MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475035,STNT VASC 8/6X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475036,STNT VASC 8/6X40MM 135CM,4606.0,4606.0,690.9,4606.0,30
CDM,475037,STNT VSC 10/7X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
CDM,475038,STNT VSC 10/7X40MM 135CM,4606.0,4606.0,690.9,4606.0,30
CDM,475041,CONNECTR ROD SPN 31-40MM,3012.0,3012.0,451.8,3012.0,30
CDM,475046,NDL SUT CIRC SIZE 4.5,47.5,47.5,7.13,47.5,42
CDM,475047,NDL SUT TPR PNT CIRC 0.5,109.5,109.5,16.43,109.5,42
CDM,475048,PACKING WND 2IN 5YD,59.5,59.5,8.93,59.5,42
CDM,475051,ROD SPN LRDTC 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,475053,NDL SUT STR 2IN,112.5,112.5,16.88,112.5,42
CDM,475057,NDL SUT CIRC TPR 4.5,48.5,48.5,7.28,48.5,42
CDM,475059,BAG DRN URO TBL FLD CLT,231.5,231.5,34.73,231.5,42
CDM,475064,BLADE OPTH BD DBKY 8MM,57.0,57.0,8.55,57.0,42
CDM,475075,NDL SUT CIRC TPR 5 .5,143.5,143.5,21.52,143.5,42
CDM,475076,NDL SUT 1 .5 CIRC 1IN,186.0,186.0,27.9,186.0,42
CDM,475081,FORCEP BX 2.4MM 240CM,231.5,231.5,34.73,231.5,42
CDM,475087,NDL SUT FSTL CIRC 5.5,124.0,124.0,18.6,124.0,42
CDM,475089,SLEEVE LAPSCP 12MM 100MM,67.5,67.5,10.13,67.5,42
CDM,475094,DRESSING WND ILND 4X12IN,473.0,473.0,70.95,473.0,42
CDM,475095,NAIL BN FEM 9MM 360MM,6601.0,6601.0,990.15,6601.0,30
CDM,475096,DRESSING ISLAND 4 X 10,405.0,405.0,60.75,405.0,42
CDM,475097,DRESSING WND ILND 4X14IN,675.0,675.0,101.25,675.0,42
CDM,475106,CANNULA OPTH 27GA 0.8MM,373.0,373.0,55.95,373.0,42
CDM,475111,KIT ART CATH FEMORAL 18G,771.5,771.5,115.72,771.5,42
CDM,475116,SYSTEM VITRTM 25GA 6MM,773.0,773.0,115.95,773.0,42
CDM,475118,CYSTOTOME 0.3MM 16MM,517.5,517.5,77.63,517.5,42
CDM,475121,PATELLA KN 8MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,475122,SHEATH DIL 11FR,9490.5,9490.5,1423.58,9490.5,42
CDM,475123,CANN OPTH FLAT 27G 7/8IN,93.0,93.0,13.95,93.0,42
CDM,475124,SCISSORS CRV TIP SURG 25,1054.5,1054.5,158.18,1054.5,42
CDM,475125,CANNULA OPTH SHRT SF 23G,315.5,315.5,47.33,315.5,42
CDM,475126,PLATE SPN CERV 4LVL 68MM,4429.0,4429.0,664.35,4429.0,30
CDM,475127,CONNECTOR IRR E-GTR,30.0,30.0,4.5,30.0,42
CDM,475129,KNIFE OPTH OPM STR 22.5D,231.5,231.5,34.73,231.5,42
CDM,475130,TUBING IRR 82IN,210.0,210.0,31.5,210.0,42
CDM,475131,TUBING IRR 2IN,219.5,219.5,32.92,219.5,42
CDM,475135,TUBING INSFL HFLO DISP,565.0,565.0,84.75,565.0,42
CDM,475136,PAK FRGMTTN 20GA,773.0,773.0,115.95,773.0,42
CDM,475137,IMPLANT BREAST 300CC,3721.0,3721.0,558.15,3721.0,30
CDM,475140,DEVICE REMOVAL 32CM,4749.5,4749.5,712.42,4749.5,42
CDM,475141,CANNULA HDSCT 27GA 7/8IN,89.5,89.5,13.43,89.5,42
CDM,475142,INJECTOR GUN BN CEMENT,2865.0,2865.0,429.75,2865.0,42
CDM,475144,ELECTRODE ESURG 2.8IN,73.5,73.5,11.03,73.5,42
CDM,475145,CEMENT INJECTION SYSTEM,1.0,1.0,0.15,1.0,42
CDM,475147,CANNULA OPTH 25GA,305.0,305.0,45.75,305.0,42
CDM,475148,RETRIEVR RNG NRYL RSN SM,773.0,773.0,115.95,773.0,42
CDM,475149,SCREW BN 4.75X30MM,1196.0,1196.0,179.4,1196.0,30
CDM,475151,TUBING IRR LG,773.0,773.0,115.95,773.0,42
CDM,475152,SCREW BN 4.75X14MM,1196.0,1196.0,179.4,1196.0,30
CDM,475153,TIP MNPLT CONTOR LARGE,970.5,970.5,145.57,970.5,42
CDM,475156,TAPE SUT PLOLFN MLFLMN,1807.5,1807.5,271.13,1807.5,42
CDM,475157,KNF OPTH GRY 3MM BVR,233.5,233.5,35.02,233.5,42
CDM,475158,TUBING LIPO ASP 12FT,255.0,255.0,38.25,255.0,42
CDM,475159,GRAFT ART FEM 10-30CM,28687.0,28687.0,4303.05,28687.0,30
CDM,475160,LIGASURE CURV 18CM13.5MM,4093.0,4093.0,613.95,4093.0,42
CDM,475162,SUTURE TAPE 1.3MM BL/BLK,1023.5,1023.5,153.53,1023.5,42
CDM,475163,SCREW SPN 6.50MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,475164,STAPLER LF1637 SPS 60MM,3397.0,3397.0,509.55,3397.0,42
CDM,475165,SCREW SPN 7.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,475167,SCREW SPN POINTLOCK SET,753.0,753.0,112.95,753.0,30
CDM,475172,ROD SPN CNST 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,475177,CATH ANGIO 5FR 40CM,231.5,231.5,34.73,231.5,42
CDM,475186,NEEDLE SCLRTX 25GA 2.3MM,391.5,391.5,58.73,391.5,42
CDM,475191,NEEDLE CATH 5FR 15CM,231.5,231.5,34.73,231.5,42
CDM,475195,SCREW SPN 5.5MM 55MM 2C,3012.0,3012.0,451.8,3012.0,30
CDM,475201,SYSTEM CERCLAGE IMPLANT,4429.0,4429.0,664.35,4429.0,30
CDM,475203,BASEPLATE TIB KN RT SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,475204,BPLT KN TIB RM/LL SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,475205,BSPLT TIB KN LM/RL SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,475206,BASEPLATE TIN KN RT SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,475207,BASPLT TIB KN LM/RL SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,475208,BSPLT TIB KN LM/RL SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,475209,BSPLT TIB KN RM/LL SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,475210,BSPLT TIB KN LM/RL SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,475211,BASEPLATE TIB KN SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,475212,CMPNT FEM KN RT SZ2,6068.0,6068.0,910.2,6068.0,30
CDM,475213,CMPNT KN FEM LM/RL SZ5,6068.0,6068.0,910.2,6068.0,30
CDM,475214,CMPNT FEM KN RM/LL SZ5,6068.0,6068.0,910.2,6068.0,30
CDM,475215,CMPNT FEM KN LM/RL SZ7,6068.0,6068.0,910.2,6068.0,30
CDM,475216,CMPNT FEM KN RM/LL SZ7,6068.0,6068.0,910.2,6068.0,30
CDM,475217,CMPNT FEM KN LM/RL SZ8,6201.0,6201.0,930.15,6201.0,30
CDM,475218,CMPNT FEM KN LM/RL SZ1,6068.0,6068.0,910.2,6068.0,30
CDM,475219,CMPNT FEM KN RM/LL SZ1,6201.0,6201.0,930.15,6201.0,30
CDM,475220,INSERT TIB 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,475221,INSRT TIB ONLAY SZ2 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,475222,INSERT TIB KN BRNG 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,475223,TIB INSERT ONLAY SZ5X10M,4606.0,4606.0,690.9,4606.0,30
CDM,475224,INSERT KN BRNG SZ8 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,475225,INSERT TIB KN SZ7 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,475226,INSERT TIB SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,475227,INSERT UNI ONLAY TIBIAL,4606.0,4606.0,690.9,4606.0,30
CDM,475228,INSERT X3 UNI ONLAY TIB,4606.0,4606.0,690.9,4606.0,30
CDM,475229,INSERT TIB KN 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,475230,INSERT TIBIAL KN 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,475231,INSERT TIB KN BRNG 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,475232,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,475233,INSERT TIB KN BRNG 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,475234,INSERT TIBIAL KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,475235,INSERT TIB KN BRNG 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,475236,INSERT KN BRNG 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,475237,INSERT TIB SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,475239,INSERT TIB SZ6 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,475240,INSERT TIB SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,475241,INSERT TIB SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,475242,INSERT TIB SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,475243,INSERT TIB SZ7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,475244,INSERT TIB SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,475245,INSERT TIB SZ8 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,475246,PIN BN TEMP 4MM 170MM,912.0,912.0,136.8,912.0,42
CDM,475249,CAGE TRITNM PL 7X28MM 6D,8858.0,8858.0,1328.7,8858.0,30
CDM,475250,SCREW SPN 5.5MM 25MM,3389.0,3389.0,508.35,3389.0,30
CDM,475251,SCREW BN SPN 5.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,475255,CAGE SPN 9X22MM,8858.0,8858.0,1328.7,8858.0,30
CDM,475256,TROCAR LPSCP 100X5MM SLV,263.0,263.0,39.45,263.0,42
CDM,475259,CATH ABL 7FR 115CM,1440.5,1440.5,216.07,1440.5,42
CDM,475260,CATH ABL 7FR 115CM,1480.0,1480.0,222.0,1480.0,42
CDM,475261,CATHETER EP 5F 120CM 5MM,230.25,230.25,34.54,230.25,42
CDM,475267,CATH BLNDL 4X150MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,475274,CTHGD VBT 8X088XB4SH 100,605.0,605.0,90.75,605.0,42
CDM,475275,CATH INTVN 2.4-2.9FR,2537.5,2537.5,380.63,2537.5,42
CDM,475276,SCREW SPN 5.5MM 50MM SHK,3012.0,3012.0,451.8,3012.0,30
CDM,475279,GWIRE VASC .014IN 300CM,2627.5,2627.5,394.13,2627.5,42
CDM,475281,NEEDLE BX 18GA 9CM,42.0,42.0,6.3,42.0,42
CDM,475283,GRAFT STNT 25X20X110MM,44526.0,44526.0,6678.9,44526.0,30
CDM,475290,RETRACTORRING XL,1023.5,1023.5,153.53,1023.5,42
CDM,475293,BASEPLT TIB KN RM/LL SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,475294,IMPLANT SPN PLVC 7X40MM,12047.0,12047.0,2217.85,12047.0,26
CDM,475295,INSERT TIB PS SZ4.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,475296,PROBE ENDO 160CM 1.8MM,1432.5,1432.5,214.88,1432.5,42
CDM,475297,PROBE ARGON 1.8MMX320CM,1432.5,1432.5,214.88,1432.5,42
CDM,475298,SNARE OVL 230CM 2.5MM,1842.0,1842.0,276.3,1842.0,42
CDM,475300,AGENT HEOMSTAT PLANT 3GM,1457.0,1457.0,218.55,1457.0,42
CDM,475303,PACK TBNG CIRCUIT ANGIO,44509.5,44509.5,6676.43,44509.5,42
CDM,475305,COIL EMBL NEURO 4MM 15CM,8416.0,8416.0,1262.4,8416.0,30
CDM,475306,COIL EMBL FRM 50CM 12MM,10608.0,10608.0,1591.2,10608.0,30
CDM,475307,COIL EMBL FRM 16MM 50CM,7530.0,7530.0,1129.5,7530.0,30
CDM,475308,COIL EMBL 25CM 6MM,7530.0,7530.0,1129.5,7530.0,30
CDM,475309,COIL EMBL 12CM 7MM AXIUM,8416.0,8416.0,1262.4,8416.0,30
CDM,475310,COIL EMBL FRM 18MM 50CM,7530.0,7530.0,1129.5,7530.0,30
CDM,475322,GWIRE VASC .26MM 200CM,4093.0,4093.0,613.95,4093.0,42
CDM,475323,GWIRE VASC 200CM .014IN,4093.0,4093.0,613.95,4093.0,42
CDM,475328,DRILL TWIST 1MM 50MM,1157.0,1157.0,173.55,1157.0,42
CDM,475329,INSERT TIB KN SZ6 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,475330,COMPNT FEM HIP SZ 1,6644.0,6644.0,996.6,6644.0,30
CDM,475331,GEN NRSTM 45X32X6.9MM,146429.0,146429.0,21964.35,146429.0,30
CDM,475332,ANCHOR KNTLS WHT/BLK,3348.0,3348.0,502.2,3348.0,30
CDM,475333,GRAFT BN ILIAC CRST 10MM,3117.0,3117.0,467.55,3117.0,30
CDM,475334,GRAFT BN LIAC CRST 20MM,3765.0,3765.0,564.75,3765.0,30
CDM,475335,GRAFT BN ILIAC CRST 15MM,3584.0,3584.0,537.6,3584.0,30
CDM,475337,GRAFT SFT TIS 20MM,15927.0,15927.0,2389.05,15927.0,30
CDM,475342,"Addition to upper extremity orthosis, sock, fracture or equal, each ",470.0,470.0,36.53,56.52,34
CDM,475342,SOCK PROS UPPER EXTRM,470.0,470.0,86.53,470.0,26
CDM,475343,GRAFT FRZN CRTLG 30-59,3516.0,3516.0,527.4,3516.0,30
CDM,475344,GRAFT STRUT 15X120MM,3012.0,3012.0,451.8,3012.0,30
CDM,475345,GRAFT BN WDG 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,475346,GRAFT BN WDG 7MM,3012.0,3012.0,451.8,3012.0,30
CDM,475347,GRAFT BN FRZDRD 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,475348,GRAFT BN ILIAC WDG 9MM,3012.0,3012.0,451.8,3012.0,30
CDM,475349,GRAFT BN 20MM,3020.0,3020.0,453.0,3020.0,30
CDM,475350,GRAFT BN FIB SEG FRZDR,3012.0,3012.0,451.8,3012.0,30
CDM,475351,GRAFT BN FEM STRT 200MM,3012.0,3012.0,451.8,3012.0,30
CDM,475354,CATH THORACIC 12FR,119.0,119.0,17.85,119.0,42
CDM,475364,DEVICE PLSRCSTR 2.7MM-3.,55363.0,55363.0,8304.45,55363.0,30
CDM,475365,DEVICE PLSRDR RCSTR3.5MM,55363.0,55363.0,8304.45,55363.0,30
CDM,475372,NEEDLE BIOPSY FINE 22GA,3185.0,3185.0,477.75,3185.0,42
CDM,475373,NEEDLE BIOPSY FINE 25GA,3185.0,3185.0,477.75,3185.0,42
CDM,475374,NEEDLE BIOPSY FINE 19GA,4093.0,4093.0,613.95,4093.0,42
CDM,475375,TUBING IIR STRL LF,773.0,773.0,115.95,773.0,42
CDM,475376,NEEDLE BX 20GA 10CM,231.5,231.5,34.73,231.5,42
CDM,475377,GWIRE VASC 20CM,231.5,231.5,34.73,231.5,42
CDM,475378,GWIRE VASC 260CM,263.0,263.0,39.45,263.0,42
CDM,475379,GRAFT BN VG TIB 10MM,3464.0,3464.0,519.6,3464.0,30
CDM,475381,LEAD PCNG 35CM,2699.0,2699.0,404.85,2699.0,30
CDM,475384,VALVE HEMOSTASIS,307.5,307.5,46.13,307.5,42
CDM,475386,SNARE RND 2.8MM 240MM,162.0,162.0,24.3,162.0,42
CDM,475387,SCREW BN 4.2MM 65MM,2200.0,2200.0,330.0,2200.0,30
CDM,475390,TUBING IRRIGATION,185.0,185.0,27.75,185.0,42
CDM,475394,RNG ANLPLS 30MM 2 MRKR,8748.0,8748.0,1312.2,8748.0,30
CDM,475395,RING ANLPLS SMRG 32MM,8748.0,8748.0,1312.2,8748.0,30
CDM,475399,SEALNT DURA SPRY ABS,4520.0,4520.0,678.0,4520.0,42
CDM,475401,SCREW BN 7MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,475402,PLATE BN XSM 14.35MM,2852.0,2852.0,427.8,2852.0,30
CDM,475403,IMPLANT BREAST 405CC,5315.0,5315.0,797.25,5315.0,30
CDM,475404,IMPLANT BREAST 445CC,5315.0,5315.0,797.25,5315.0,30
CDM,475405,SCREW BN 1.6MM 5MM,817.0,817.0,122.55,817.0,30
CDM,475407,SIZER BREAST 510CC,618.5,618.5,92.78,618.5,42
CDM,475408,CANNULA ENDO 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,475410,CANNULA ART TCONN 20FX15,1786.5,1786.5,267.98,1786.5,42
CDM,475412,NDL INSFL 70MM 14GA,579.5,579.5,86.92,579.5,42
CDM,475413,DEVICE CLS WND +4-0 70CM,319.5,319.5,47.92,319.5,42
CDM,475414,IMPL ORTH SUT FX,8815.0,8815.0,1322.25,8815.0,30
CDM,475415,KIT HRT IMPLANT LVAS,378422.0,378422.0,56763.3,378422.0,30
CDM,475416,DEVICE WNDCLS 15CM SZ3,643.5,643.5,96.53,643.5,42
CDM,475417,SLR/DVDR LAPSCP 37CM,3560.5,3560.5,534.08,3560.5,42
CDM,475421,BATTERY REPL LVAD,4093.0,4093.0,753.52,4093.0,26
CDM,475424,MARKER ENDO SPOT SYR PRE,533.5,533.5,80.03,533.5,42
CDM,475426,GWIRE VASC 180X4.5CM,231.5,231.5,34.73,231.5,42
CDM,475432,STENT VASC 7X60MM 125CM,3846.0,3846.0,576.9,3846.0,30
CDM,475434,SHEATH GD 7FR 80CM,1023.5,1023.5,153.53,1023.5,42
CDM,475435,INTRODUCER SHTH 7FR 70CM,859.5,859.5,128.93,859.5,42
CDM,475439,INSERT TIB 96-2114,4429.0,4429.0,664.35,4429.0,30
CDM,475440,CMPNT FEM KN SZ3.5,7973.0,7973.0,1195.95,7973.0,30
CDM,475441,INSERT TIB KN 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,475442,STEM FEM HIP SIZE 9,8858.0,8858.0,1328.7,8858.0,30
CDM,475443,INSRT ARTC KN 10-11 16MM,4651.0,4651.0,697.65,4651.0,30
CDM,475444,PLATE 1 LEV 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,475445,SPACER SPN 7MM MED PEEK,4429.0,4429.0,664.35,4429.0,30
CDM,475446,PLATE SPNL 2LVL 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,475447,SCREW SPN 4.2MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,475448,GFT VSC STRCH LGD 18X20,3400.0,3400.0,510.0,3400.0,30
CDM,475449,PLATE CRNMXF MSH 54X85MM,3189.0,3189.0,478.35,3189.0,30
CDM,475450,COMPNT FEM KN LT SZ7,7087.0,7087.0,1063.05,7087.0,30
CDM,475451,INSERT ARTC KN LT 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,475452,INS ARTC KN SZ5-6 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,475453,COMPNT FEM RT KN SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,475454,PLATE CERV 1-LEVEL 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,475455,SCREW SPN POLY 4.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,475456,PEG FX 2.7MM 23MM,1435.0,1435.0,215.25,1435.0,30
CDM,475457,INSERT TIB KN SZ3-4 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,475458,AUGMENT FEM KN 4MM 7,4606.0,4606.0,690.9,4606.0,30
CDM,475459,CMPNT FEM KN 7 LT,18159.0,18159.0,2723.85,18159.0,30
CDM,475460,INSERT TIB KN SZ7 18MM,8309.0,8309.0,1246.35,8309.0,30
CDM,475461,CEMENT BN PMMA 40GM,798.0,798.0,119.7,798.0,30
CDM,475462,SCREW SPN 4.5MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,475463,COMPONENT FEM G- KN RT C,9301.0,9301.0,1395.15,9301.0,30
CDM,475464,PLATE 0D 53MM 2.4/2.7MM,5750.0,5750.0,862.5,5750.0,30
CDM,475465,SPACER SPN 26X10X9-13MM,15059.0,15059.0,2258.85,15059.0,30
CDM,475466,ROD SPN CURV 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,475467,ROD SPN CURV 3.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,475469,KWIRE ORTHO OD.8X120,309.5,309.5,46.42,309.5,42
CDM,475470,BIT DRILL 1.6MM 95MM CAN,1310.0,1310.0,196.5,1310.0,42
CDM,475471,HEAD FEM HIP +8.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,475473,DRILL SURG CANN 4MM,1705.0,1705.0,255.75,1705.0,42
CDM,475474,PLATE 6HL MAXLOCK,7999.0,7999.0,1199.85,7999.0,30
CDM,475475,SCREW 3.5X12 NON LOCK,3189.0,3189.0,478.35,3189.0,30
CDM,475476,SCREW BN 3.5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,475477,SCREW BN 3.5MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,475478,SCREW BN 3.5MM 18MM,3189.0,3189.0,478.35,3189.0,30
CDM,475479,PROBE SHARP VAC DBRD,3970.0,3970.0,595.5,3970.0,42
CDM,475481,CONN ROD 24MM TRNSV,3389.0,3389.0,508.35,3389.0,30
CDM,475482,COIL EMBL 20CM 6MM,5776.0,5776.0,866.4,5776.0,30
CDM,475484,GRFT EVAS 121X42X37-38MM,59598.0,59598.0,8939.7,59598.0,30
CDM,475485,GRAFT EVAS 179X44X39MM,59598.0,59598.0,8939.7,59598.0,30
CDM,475486,CEMENT BN PMMA GNTA 40GM,2392.0,2392.0,358.8,2392.0,30
CDM,475487,MOLD SPCR HIP CMNT17X200,11716.0,11716.0,1757.4,11716.0,42
CDM,475488,CMPNT KN FEM LT 80MM,21711.0,21711.0,3256.65,21711.0,30
CDM,475489,COMPNT TIB PSC 79/83X18,6142.0,6142.0,921.3,6142.0,30
CDM,475490,PLATE BN .4X14X14MM,3189.0,3189.0,478.35,3189.0,30
CDM,475491,CAGE SPNL 9X27 0DEG -08,9966.0,9966.0,1494.9,9966.0,30
CDM,475493,SPACER SPN10D 30X12X10MM,9523.0,9523.0,1428.45,9523.0,30
CDM,475494,INSERT TIB KN SZ2 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,475495,NAIL BN 13MM 44CM,6400.0,6400.0,960.0,6400.0,30
CDM,475496,CUP HIM REV 42MM LT +2MM,7685.0,7685.0,1152.75,7685.0,30
CDM,475497,SCREW PERPH LCK 30MM UNV,1595.0,1595.0,239.25,1595.0,30
CDM,475498,STEM HUM SHLDR RVRS SZ7,8637.0,8637.0,1295.55,8637.0,30
CDM,475499,BASEPLT GLND MED UNV STR,5980.0,5980.0,897.0,5980.0,30
CDM,475500,SCREW BN 6.5MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,475501,HEAD GLND 42MM +4MM,5758.0,5758.0,863.7,5758.0,30
CDM,475502,LINER HUM SHLDR 42X+3MM,4606.0,4606.0,690.9,4606.0,30
CDM,475503,STAPLE BN CMPR 15X15X15,5980.0,5980.0,897.0,5980.0,30
CDM,475504,INSERT TIB KN SZ8 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,475507,ROD SPN 6.0MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,475508,ROD SPN 3.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,475509,SCREW BN 3.5MM 10 ELLPSE,3765.0,3765.0,564.75,3765.0,30
CDM,475510,SCREW BN FT 3.75X36MM,3189.0,3189.0,478.35,3189.0,30
CDM,475511,SCREW BN 3.75MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,475512,DRILL SURG BIT 4MM,1023.5,1023.5,153.53,1023.5,42
CDM,475513,BLADE SAW SAGTL 10X19X55,773.0,773.0,115.95,773.0,42
CDM,475514,PLATE BN LCK 1.5X2.3MM,4429.0,4429.0,664.35,4429.0,30
CDM,475515,KIT GENERATOR NRSTM CHG,76622.0,76622.0,11493.3,76622.0,30
CDM,475516,KIT REMOTE CONTROL,4604.5,4604.5,690.67,4604.5,42
CDM,475518,DEVICE SUTURE FIXATE,3274.0,3274.0,491.1,3274.0,42
CDM,475519,KIT STM LEAD 70CM,19045.0,19045.0,2856.75,19045.0,30
CDM,475520,ROD SPN PRE BENT 5.5X90,2711.0,2711.0,406.65,2711.0,30
CDM,475521,CMPNT AUG KN LT SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,475522,JOINT FNG PROC SIL SZ20,4606.0,4606.0,690.9,4606.0,30
CDM,475523,PLATE SPN CERV 4LVL 76MM,4429.0,4429.0,664.35,4429.0,30
CDM,475524,STEM FEM PRSFT 3 12/14,8416.0,8416.0,1262.4,8416.0,30
CDM,475528,SCREW BN 1.85MM 4MM,1166.0,1166.0,174.9,1166.0,30
CDM,475529,SCREW BN 1.85MM 2.65MM,1166.0,1166.0,174.9,1166.0,30
CDM,475530,SCREW BN 2.1MM 4MM,1226.0,1226.0,183.9,1226.0,30
CDM,475531,PLATE BN .7MM 3X3H,3189.0,3189.0,478.35,3189.0,30
CDM,475532,PLATE BN 3X3HL 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,475534,PLATE BN CRNM 6H 8X11MM,3189.0,3189.0,478.35,3189.0,30
CDM,475536,SCREW BN 1.85X2.65X6,1226.0,1226.0,183.9,1226.0,30
CDM,475537,SCREW BN 1.85X4MM,1226.0,1226.0,183.9,1226.0,30
CDM,475538,BIT DRL 15X1MM 8MM 90D,4093.0,4093.0,613.95,4093.0,42
CDM,475540,PLATE BN 5HL 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,475541,SCREW BN 1.85MM 10MM,1166.0,1166.0,174.9,1166.0,30
CDM,475542,SCREW BN 2.1MM 10MM 3MM,1347.0,1347.0,202.05,1347.0,30
CDM,475543,SCREW BN 2.1MM 3MM 12MM,1347.0,1347.0,202.05,1347.0,30
CDM,475544,SCREW BN 2.1MM 14MM,1347.0,1347.0,202.05,1347.0,30
CDM,475546,PLATE SPN INTERBODY 9MM,5094.0,5094.0,764.1,5094.0,30
CDM,475547,SPACER SPN 12X15X9MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,475548,PLATE SPN CERV 4LVL 64MM,4429.0,4429.0,664.35,4429.0,30
CDM,475549,CMPNT KN FEM LT 80MM,8416.0,8416.0,1262.4,8416.0,30
CDM,475550,SCREW BN 3.5MM 80MM,1356.0,1356.0,203.4,1356.0,30
CDM,475551,SCREW BN 3.5MM 85MM,1356.0,1356.0,203.4,1356.0,30
CDM,475553,SCREW BN 3.5MM 8MM,1244.0,1244.0,186.6,1244.0,30
CDM,475554,PLATE Y 2.0 3H HEAD 7H,3547.0,3547.0,532.05,3547.0,30
CDM,475556,NAIL FEM CANN 10MM 320MM,10378.0,10378.0,1556.7,10378.0,30
CDM,475557,BLADE BN HLCL 80MM,3721.0,3721.0,558.15,3721.0,30
CDM,475558,CAGE SPNL 33X28X12 49-90,18425.0,18425.0,2763.75,18425.0,30
CDM,475560,TWIST DRILL NOTCH LVL 1,1023.5,1023.5,153.53,1023.5,42
CDM,475561,SCREW BN 7X2.7MM,1933.0,1933.0,289.95,1933.0,30
CDM,475562,DISTRACTOR SURG 14MM,386.5,386.5,57.98,386.5,42
CDM,475563,SPACER SPN 7D 14X16X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,475564,CAP LOCK SPNE 6.35MM,753.0,753.0,112.95,753.0,30
CDM,475565,ROD SPN 6.35MM 20MM,2711.0,2711.0,406.65,2711.0,30
CDM,475566,CONN ROD SPN 6.5/6.5MM,2244.0,2244.0,336.6,2244.0,30
CDM,475567,CONN ROD SPN 6.3MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,475568,SPACER SPN 14MM TLIF SM,9966.0,9966.0,1494.9,9966.0,30
CDM,475569,PLATE 48MM 3 LVL XTND BN,4429.0,4429.0,664.35,4429.0,30
CDM,475570,INSERT TIB KN SZ4 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,475572,STEM HUM SHLDR 15X130MM,11959.0,11959.0,1793.85,11959.0,30
CDM,475573,SCREW BN 3.5MM 9MM,1244.0,1244.0,186.6,1244.0,30
CDM,475574,SCREW BN 3.5MM 9MM,1244.0,1244.0,186.6,1244.0,30
CDM,475577,ROD SPN PRBNT 90X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,475578,KWIRE FX 20MM .054MM,386.5,386.5,57.98,386.5,42
CDM,475579,SCREW BN 3.2MM 15MM,1595.0,1595.0,239.25,1595.0,30
CDM,475580,PLATE 7 HL 7 PEG LCK VOL,4340.0,4340.0,651.0,4340.0,30
CDM,475581,SCREW BN CORT 2.3MM 18MM,1595.0,1595.0,239.25,1595.0,30
CDM,475582,SCREW BN CORT 2.3MM 22MM,319.0,319.0,47.85,319.0,30
CDM,475584,CAGE SPN 10D 12MM,9523.0,9523.0,1428.45,9523.0,30
CDM,475591,RING MTRL 34MM,6152.0,6152.0,922.8,6152.0,30
CDM,475592,HEAD FEM HIP +3M 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,475593,SCREW BN SPN 5.5MM 35MM,753.0,753.0,112.95,753.0,30
CDM,475594,ROD SPN 150MM 4.75MM,3012.0,3012.0,451.8,3012.0,30
CDM,475595,ROD SPN 4.75X160MM,3012.0,3012.0,451.8,3012.0,30
CDM,475596,NAIL BN 11.5MM 21.5CM,4429.0,4429.0,664.35,4429.0,30
CDM,475599,CMPNT FEM KN LT SZ1.5,6644.0,6644.0,996.6,6644.0,30
CDM,475600,COMPNT KN TIB 1.5F/1.5T,4606.0,4606.0,690.9,4606.0,30
CDM,475601,INSERT TIB1.5 KN TRL10MM,4429.0,4429.0,664.35,4429.0,30
CDM,475602,PLATE BN SGTL MED 28MM,3047.0,3047.0,457.05,3047.0,30
CDM,475603,PLATE BN CRNMXF 6H 24MM,3047.0,3047.0,457.05,3047.0,30
CDM,475604,ROD SPN 5.5MM 600MM,2711.0,2711.0,406.65,2711.0,30
CDM,475605,SCREW SPN 3 5.5MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,475606,SCREW SPN 3.5MM 20MM,3765.0,3765.0,564.75,3765.0,30
CDM,475607,ROD CON SPN OFST,3012.0,3012.0,451.8,3012.0,30
CDM,475608,ROD SPN 110MM 4MM,2711.0,2711.0,406.65,2711.0,30
CDM,475611,PLATE BN 4.2X13.5X224MM,3920.0,3920.0,588.0,3920.0,30
CDM,475612,SCREW OCCIPITAL S/T 4X16,1506.0,1506.0,225.9,1506.0,30
CDM,475613,PLATE SPNL OCT 38-48MM,6644.0,6644.0,996.6,6644.0,30
CDM,475614,SYST BLN KYPHPL 10GA20MM,4385.5,4385.5,657.83,4385.5,42
CDM,475615,CAGE SPN LG 8D 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,475616,SPACER X-LOR 28X7MM,15945.0,15945.0,2391.75,15945.0,30
CDM,475617,LINER ACTB HIP 28X44MM,4252.0,4252.0,637.8,4252.0,30
CDM,475618,LINER HIP 20D 44X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,475619,CMPNT FEM KN RT SZ1.5,7087.0,7087.0,1063.05,7087.0,30
CDM,475620,INSERT TIB KN 1.5F/2.5T,4606.0,4606.0,690.9,4606.0,30
CDM,475621,INSERT TIB SZ1.5 17MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,475622,SPACER SPN 8D 14X12X30MM,26796.0,26796.0,4019.4,26796.0,30
CDM,475623,SCRW RESCUE VAR 4.5X12MM,1506.0,1506.0,225.9,1506.0,30
CDM,475624,SCREW BN 3.5X26MM P-AX,3765.0,3765.0,564.75,3765.0,30
CDM,475625,SCREW SPN ATS 3.5X28MM,3765.0,3765.0,564.75,3765.0,30
CDM,475626,ROD SPNL 240MM 4MM,2711.0,2711.0,406.65,2711.0,30
CDM,475627,BODY CONE 70MM ACS D HIP,16725.0,16725.0,2508.75,16725.0,30
CDM,475628,STEM FEM HIP 5MM 130MM,7973.0,7973.0,1195.95,7973.0,30
CDM,475629,SCREW BN 2MM 18MM 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,475630,PLATE BN 6H 23MM,3189.0,3189.0,478.35,3189.0,30
CDM,475632,PLATE BN 20D 41MM 2.4MM,3721.0,3721.0,558.15,3721.0,30
CDM,475633,SCREW BN 5.0MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,475634,SCREW CANN LCK 5X75MM,3189.0,3189.0,478.35,3189.0,30
CDM,475635,SCREW BN 5MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,475637,ANCHOR SUT 3.5MM 8.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,475638,SCREW BN 3 EMER TI MTRX,1321.0,1321.0,198.15,1321.0,30
CDM,475639,PLATE BN X 4H 0.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,475640,CMPNT FEM KN RT SZ6,7973.0,7973.0,1195.95,7973.0,30
CDM,475641,INSERT TIB KN SZ6 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,475642,INSERT ACTB BRNG 50X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,475643,CAGE SPNL 55X18X8MM CLYD,13287.0,13287.0,1993.05,13287.0,30
CDM,475644,GWIRE VASC .035IN 180CM,231.5,231.5,34.73,231.5,42
CDM,475645,SCREW BN 45X8.5MM MLBU S,4247.0,4247.0,637.05,4247.0,30
CDM,475646,TEMPLATE SURG,792.0,792.0,118.8,792.0,42
CDM,475647,PLATE BN LT 26HL 193MM,8779.0,8779.0,1316.85,8779.0,30
CDM,475648,LO PRO NEURO SC 4MM,1167.0,1167.0,175.05,1167.0,30
CDM,475649,INSERT TIB 4.5 12MM KN P,4429.0,4429.0,664.35,4429.0,30
CDM,475651,SPACER SPNL 45X22X12MM,14395.0,14395.0,2159.25,14395.0,30
CDM,475652,SCREW BN SPN 6MM 40MM,1130.0,1130.0,169.5,1130.0,30
CDM,475655,SCREW BN 2.7MM 12MM,319.0,319.0,47.85,319.0,30
CDM,475656,HOOK WRIST DORSAL 6 HL,4340.0,4340.0,651.0,4340.0,30
CDM,475657,SCREW BN CORT 2.3MM 14MM,1595.0,1595.0,239.25,1595.0,30
CDM,475659,BIT DRILL LNG 2.0X95MM,1105.0,1105.0,165.75,1105.0,42
CDM,475660,CONNECTOR SPN ROD 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,475661,ROD CONN BRDG 36,3389.0,3389.0,508.35,3389.0,30
CDM,475662,NAIL BN 13MM 38CM,9543.0,9543.0,1431.45,9543.0,30
CDM,475663,DISC SPNL STD 5X17X17MM,21703.0,21703.0,3255.45,21703.0,30
CDM,475664,ROD SPN STRGH 5.5X150MM,2711.0,2711.0,406.65,2711.0,30
CDM,475665,INSERT ACTB HIP 50X28MM,4872.0,4872.0,730.8,4872.0,30
CDM,475666,SPACER SPN 8D 14X12X46MM,26796.0,26796.0,4019.4,26796.0,30
CDM,475667,ROD SPN CRV 120X4MM,2711.0,2711.0,406.65,2711.0,30
CDM,475668,SCRW SPN 5 .5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,475669,SPACER PK 20 45LX22WX12H,14395.0,14395.0,2159.25,14395.0,30
CDM,475670,PLATE SPN 1H 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,475671,PLATE SPN 1H,753.0,753.0,112.95,753.0,30
CDM,475672,SPACER SPNL 50X22X12MM,14395.0,14395.0,2159.25,14395.0,30
CDM,475673,PLATE SPN 1HL 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,475674,PLATE SPN 1LVL 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,475675,STEM FEM HIP 190MM 19MM,7805.0,7805.0,1170.75,7805.0,30
CDM,475676,SHELL ACTB HIP SZD 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,475677,STEM HIP STD 30NK,6644.0,6644.0,996.6,6644.0,30
CDM,475678,SCREW BN 3X4X1.2X36X16MM,2679.0,2679.0,401.85,2679.0,30
CDM,475679,STEM FEM HIP 21MM 195MM,25910.0,25910.0,3886.5,25910.0,30
CDM,475680,ADAPTER HD +3.5MM 12/14,1579.0,1579.0,236.85,1579.0,30
CDM,475681,AUGMNT FEM 51MMX34MM NXG,10641.0,10641.0,1596.15,10641.0,30
CDM,475682,COMPNT TIB PSC 71/75X18,6142.0,6142.0,921.3,6142.0,30
CDM,475683,STEM KN FEM SP EXT14X160,5622.0,5622.0,843.3,5622.0,30
CDM,475684,SCREW SPNL 3.8X20MM PST,4247.0,4247.0,637.05,4247.0,30
CDM,475685,SCREW SPNL 3.8X24MM PST,4247.0,4247.0,637.05,4247.0,30
CDM,475686,SCREW SPN PROFCNT POST,753.0,753.0,112.95,753.0,30
CDM,475687,ROD SPN 30X3.5MM CRV,2711.0,2711.0,406.65,2711.0,30
CDM,475689,SCREW SPNL STRGH 8.5X70,3765.0,3765.0,564.75,3765.0,30
CDM,475690,ROD SPN STRGH 6.0X450MM,2711.0,2711.0,406.65,2711.0,30
CDM,475691,STEM FEM HIP 190X17MM,9567.0,9567.0,1435.05,9567.0,30
CDM,475692,BLOCK CUTTNG RT LGNP KIT,1637.0,1637.0,245.55,1637.0,42
CDM,475693,CMPNT FEM KN RT SZ4,7087.0,7087.0,1063.05,7087.0,30
CDM,475694,AUG FEM REVDIST SZ7 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,475695,INS TIB 7S 17MM CS LT,4606.0,4606.0,690.9,4606.0,30
CDM,475696,BASEPLATE GLND SHLDR SM,5980.0,5980.0,897.0,5980.0,30
CDM,475697,INSERT HUM SHLDR 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,475698,HEAD GLND +4MM 39MM,5537.0,5537.0,830.55,5537.0,30
CDM,475699,CUP HUM SHLDR REV 36MM,4651.0,4651.0,697.65,4651.0,30
CDM,475700,MIXER CEMENT 00504902501,1009.5,1009.5,151.43,1009.5,42
CDM,475701,PLATE HOOK WRIST 4HL,4340.0,4340.0,651.0,4340.0,30
CDM,475702,INSERT SHD +0 1/2 39MM,7441.0,7441.0,1116.15,7441.0,30
CDM,475703,CUP TRIFLNG ACTB 66MM RT,44069.0,44069.0,6610.35,44069.0,30
CDM,475704,CMPNT KN TIB RT SZ5,5758.0,5758.0,863.7,5758.0,30
CDM,475705,CAGE SPNL 16-25MM 12MM,23917.0,23917.0,3587.55,23917.0,30
CDM,475706,BND SPN MT TI 3.5/4.75MM,3389.0,3389.0,508.35,3389.0,30
CDM,475707,SCREW BN 4.5MM 42MM UNIV,1913.0,1913.0,286.95,1913.0,30
CDM,475709,SPACER HUM SHLDR +9X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,475710,WDG TIB 3X10 MOD +STP,4606.0,4606.0,690.9,4606.0,30
CDM,475711,IMPLNT KNEE J&J 86-0123,4606.0,4606.0,690.9,4606.0,30
CDM,475712,CAGE SPNL 9X23 5DEG -08,4983.0,4983.0,747.45,4983.0,30
CDM,475713,INSERT KN LT TIB SZ4.5MM,7973.0,7973.0,1195.95,7973.0,30
CDM,475714,INSERT KN TIB SZ4.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,475718,GW THUNDERBOLT 1.4,386.5,386.5,57.98,386.5,42
CDM,475719,WEDGE AUGMT 18X8X8MM,9722.0,9722.0,1458.3,9722.0,30
CDM,475720,CONN ROD SPNL 154.853,7973.0,7973.0,1195.95,7973.0,30
CDM,475721,ROD CNCTR 5.5MM RT SPNL,7973.0,7973.0,1195.95,7973.0,30
CDM,475722,PLATE BN STR 6H 2MM,3314.0,3314.0,497.1,3314.0,30
CDM,475723,MESH SURG 8X8IN,26796.0,26796.0,4019.4,26796.0,30
CDM,475724,SCREW BN SPN 6MM 35MM,1130.0,1130.0,169.5,1130.0,30
CDM,475725,PLATE LNG 111MM 2.7/3.5,5425.0,5425.0,813.75,5425.0,30
CDM,475726,PLATE BN 2H 90MM,4478.0,4478.0,671.7,4478.0,30
CDM,475728,SCREW BN 2.7MM 54MM,730.0,730.0,109.5,730.0,30
CDM,475729,STEM MOD KN 18/13X160MM,6954.0,6954.0,1043.1,6954.0,30
CDM,475730,CMPNT TIB MOD MED 65MM,23496.0,23496.0,3524.4,23496.0,30
CDM,475731,CMPNT ROT CONN NTRL MED,7986.0,7986.0,1197.9,7986.0,30
CDM,475732,SEGEMENT FEM 25MM,5718.0,5718.0,857.7,5718.0,30
CDM,475733,STEM KN 130MM 22/18MM,6644.0,6644.0,996.6,6644.0,30
CDM,475734,COMP FEM 69MM,37798.0,37798.0,5669.7,37798.0,30
CDM,475735,SHELL ACTB HIP 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,475736,STEM FEM HIP 13MM 115MM,9478.0,9478.0,1421.7,9478.0,30
CDM,475737,SURF ARTC KN 10-12 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,475738,CMPNT PTLR KN 10MM 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,475739,NAIL BN 130D 10MM 360MM,11470.0,11470.0,1720.5,11470.0,30
CDM,475740,COMPNT CEM FEM KN RT SZ4,7973.0,7973.0,1195.95,7973.0,30
CDM,475741,INSERT TIB KN SZ4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,475742,SCREW BN 4.5MM 24MM,1913.0,1913.0,286.95,1913.0,30
CDM,475743,SCREW BN 6.5MM 20MM,2711.0,2711.0,406.65,2711.0,30
CDM,475744,STEM HUM SHLDR RVRS SZ6,8637.0,8637.0,1295.55,8637.0,30
CDM,475745,INSRT HUM SHLDR 36X+3MM,4606.0,4606.0,690.9,4606.0,30
CDM,475746,STEM FEM STD OFS NV 19MM,8858.0,8858.0,1328.7,8858.0,30
CDM,475747,LINER CRWN CUP GRP3 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,475748,SCREW BN 3X29MM,2679.0,2679.0,401.85,2679.0,30
CDM,475749,CUP ACTB RIGHT PNCL 62MM,44069.0,44069.0,6610.35,44069.0,30
CDM,475750,SCREW BN SPNL 6.5X40MM,4247.0,4247.0,637.05,4247.0,30
CDM,475751,SCREW BN SPNL 7.5X40MM,4247.0,4247.0,637.05,4247.0,30
CDM,475753,INSERT TIB 2.5 12MM KN P,4429.0,4429.0,664.35,4429.0,30
CDM,475754,INSERT TIB SGM 3 H17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,475756,KWIRE FX .9MM 100MM,309.5,309.5,46.42,309.5,42
CDM,475757,BIT DRILL CANN 2.0MM,773.0,773.0,115.95,773.0,42
CDM,475758,SLED BN ANKL MEDL 42MM,3721.0,3721.0,558.15,3721.0,30
CDM,475759,WASHER MDL MLR SLD ORTH,542.0,542.0,81.3,542.0,30
CDM,475760,SCREW BN 3.8MM 24MM,479.0,479.0,71.85,479.0,30
CDM,475761,SCREW SPN 7.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
CDM,475762,RING ANPLS 42MM,6152.0,6152.0,922.8,6152.0,30
CDM,475763,STEM XTM EVL 5KN LT REV,14306.0,14306.0,2145.9,14306.0,30
CDM,475764,CMPNT TIB SZ4 5MM MDL,4429.0,4429.0,664.35,4429.0,30
CDM,475765,EVOLUTION REV TIB HALF A,4429.0,4429.0,664.35,4429.0,30
CDM,475766,INS TIB 6+ 17MM CS RT,4606.0,4606.0,690.9,4606.0,30
CDM,475767,PLATE BN 7HL 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,475768,IMPLANT SPN PLVC 7X55MM,13620.0,13620.0,2507.44,13620.0,26
CDM,475769,INSERT TIB KN LT 4+X17MM,4606.0,4606.0,690.9,4606.0,30
CDM,475770,ROD SPN STR 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,475771,SCREW SPN 8.5MM 70MM,3765.0,3765.0,564.75,3765.0,30
CDM,475772,CAGE SPN 17MM 5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,475773,AWL SURG LF 11MM,957.5,957.5,143.63,957.5,42
CDM,475774,IMPLANT BREAST 700CC,5094.0,5094.0,764.1,5094.0,30
CDM,475776,CMPNT TIB KN RS 67 160X9,10306.0,10306.0,1545.9,10306.0,30
CDM,475777,KIT DEVICE FASTENER ENDO,16113.0,16113.0,2416.95,16113.0,30
CDM,475778,STEM FEM BW 225X14.5MM,5971.0,5971.0,895.65,5971.0,30
CDM,475779,CMPNT FEM KN RT 3CM,30766.0,30766.0,4614.9,30766.0,30
CDM,475780,INSERT TIB KN BRNG 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,475781,GRAFT STNT 34MM 160MM,68230.0,68230.0,10234.5,68230.0,30
CDM,475782,STYLET SURG,1228.0,1228.0,184.2,1228.0,42
CDM,475783,STEM HUM SHLDR 30MM,25599.0,25599.0,3839.85,25599.0,30
CDM,475784,SCREW BN LCK 3.5MM 30MM,1356.0,1356.0,203.4,1356.0,30
CDM,475785,SCREW BN LCK 3.5MM 38MM,1356.0,1356.0,203.4,1356.0,30
CDM,475786,SCREW BN NLCK 3.5MM 36MM,319.0,319.0,47.85,319.0,30
CDM,475787,SCREW BN 4.5MM 36MM,1913.0,1913.0,286.95,1913.0,30
CDM,475788,INSERT HUM SHLDR 39MM,4606.0,4606.0,690.9,4606.0,30
CDM,475789,CUP HUM SHLDR UNIV 39MM,4651.0,4651.0,697.65,4651.0,30
CDM,475790,HEAD GLND SHLDR 39MM,4872.0,4872.0,730.8,4872.0,30
CDM,475791,INSERT HUM SHLDR +6X39MM,4606.0,4606.0,690.9,4606.0,30
CDM,475792,DRIVR STEM LNG W/PST 1.6,1899.0,1899.0,284.85,1899.0,42
CDM,475793,INSERT TIB KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,475794,SPACER SPNL 55X22X14MM,14395.0,14395.0,2159.25,14395.0,30
CDM,475795,KIT SURG TUNNELING TOOLS,773.0,773.0,115.95,773.0,42
CDM,475797,SCREW SPNL STRGH 8.5X50,3389.0,3389.0,508.35,3389.0,30
CDM,475798,SPACER SPN 10MM 22MM,15945.0,15945.0,2391.75,15945.0,30
CDM,475799,PLATE SPN 3LVL 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,475800,STEM FEM KN EXT 18X100MM,4429.0,4429.0,664.35,4429.0,30
CDM,475801,INSERT ARTC KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,475803,STEM FEM HIP SZ4,8858.0,8858.0,1328.7,8858.0,30
CDM,475804,NAIL BN 13MM 38CM,6400.0,6400.0,960.0,6400.0,30
CDM,475805,SCREW BN 3.5MM 5MM 46MM,2392.0,2392.0,358.8,2392.0,30
CDM,475806,SCREW BN 6.5MM 100MM,2790.0,2790.0,418.5,2790.0,30
CDM,475807,CONE TIB KN AUG SZD,11757.0,11757.0,1763.55,11757.0,30
CDM,475808,STEM FEM 200MM 17MM LNG,14381.0,14381.0,2157.15,14381.0,30
CDM,475809,GRAFT ALGRF PUTTY 10CC,6467.0,6467.0,970.05,6467.0,30
CDM,475810,STEM FEM KN 11MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,475811,INSERT TIB KN SZB 12MM,7858.0,7858.0,1178.7,7858.0,30
CDM,475812,PLATE SPN STRXX 4LVL76MM,4429.0,4429.0,664.35,4429.0,30
CDM,475813,INSERT TIB KN SZ9 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,475814,CROSSLINK SPN 27MM-35MM,3389.0,3389.0,508.35,3389.0,30
CDM,475815,SPACER SPN 9MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,475816,LINER ACTB HIP SZ2 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,475817,SURFACE ARTC KN 6-9 14MM,4651.0,4651.0,697.65,4651.0,30
CDM,475819,MESH SURG RCTNGL 4X8IN,12623.0,12623.0,1893.45,12623.0,30
CDM,475821,PLATE SPN 4LVL 66MM,4429.0,4429.0,664.35,4429.0,30
CDM,475823,NAIL IM TIBIA 10MMX300MM,6448.0,6448.0,967.2,6448.0,30
CDM,475824,PLATE BN LT 90MM 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,475825,SCREW BN 2.7MM 12MM,567.0,567.0,85.05,567.0,30
CDM,475826,SCREW BN 3MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,475827,SCREW HDLS CMP LO 3X28,3189.0,3189.0,478.35,3189.0,30
CDM,475828,SCREW BN 3MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,475829,COMPONENT FEM KN LT SZ3,17220.0,17220.0,2583.0,17220.0,30
CDM,475830,WEDGE FEM KN #3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,475831,BLOCK AUGMT KN SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,475832,EXTENSION STM KN 80MM,4606.0,4606.0,690.9,4606.0,30
CDM,475833,INSERT TIB KN SZ3 25MM,7175.0,7175.0,1076.25,7175.0,30
CDM,475834,NAIL BN 11.5MM 40CM,6201.0,6201.0,930.15,6201.0,30
CDM,475835,SPACER SPN 12X14.5X8MM,4872.0,4872.0,730.8,4872.0,30
CDM,475836,STM KN 7R RT REV CNDRL,14306.0,14306.0,2145.9,14306.0,30
CDM,475837,EXTENSION STM 100MM 17MM,4252.0,4252.0,637.8,4252.0,30
CDM,475838,IMP TIB BASE EVOLU REV N,5758.0,5758.0,863.7,5758.0,30
CDM,475839,SCREW BN 2MM 13MM 6MM,3189.0,3189.0,478.35,3189.0,30
CDM,475840,BLOCK CUT RT,1637.0,1637.0,245.55,1637.0,42
CDM,475841,SCREW BN SPN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,475842,GRAFT EVAS 125X44X39MM,59598.0,59598.0,8939.7,59598.0,30
CDM,475843,CAGE SPN 6D 8.5X14MM,8238.0,8238.0,1235.7,8238.0,30
CDM,475844,SCREW SPN 4MM 16MM,1506.0,1506.0,225.9,1506.0,30
CDM,475845,SCREW SLFDRL VAR 4.5X14,1506.0,1506.0,225.9,1506.0,30
CDM,475846,PLATE SPN 1LVL 16MM CRVC,4429.0,4429.0,664.35,4429.0,30
CDM,475847,NAIL IM TI L36CM OD11MM,7142.0,7142.0,1071.3,7142.0,30
CDM,475848,SCREW BN ST 6.5MM 90MM,2210.0,2210.0,331.5,2210.0,30
CDM,475852,SPACER SPN 8D 14X12X36MM,26796.0,26796.0,4019.4,26796.0,30
CDM,475853,SPACER SPN 8D 14X12X38MM,24116.0,24116.0,3617.4,24116.0,30
CDM,475854,PLATE CERVICAL 2LVL 43MM,4429.0,4429.0,664.35,4429.0,30
CDM,475855,INSERT TIB KN 23MM SZE,7858.0,7858.0,1178.7,7858.0,30
CDM,475856,HEAD HUM SHLDR 54X21X64,4606.0,4606.0,690.9,4606.0,30
CDM,475857,CMPNT SHLDR BSE LG 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,475858,STEM HIP FEM STD 11X135,8858.0,8858.0,1328.7,8858.0,30
CDM,475859,HEAD GLND +4MM 39MM,5537.0,5537.0,830.55,5537.0,30
CDM,475860,SPACER HUM SHLDR +6X39MM,4252.0,4252.0,637.8,4252.0,30
CDM,475861,CUP HUM SHLDR LT +2 39MM,4651.0,4651.0,697.65,4651.0,30
CDM,475862,SCREW SPNL 7X45MM CAMM,4429.0,4429.0,664.35,4429.0,30
CDM,475863,SCREW SPN RED 8.5X50MM,4247.0,4247.0,637.05,4247.0,30
CDM,475864,ROD SPNL STRT 140MM,2711.0,2711.0,406.65,2711.0,30
CDM,475865,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,475866,CROSSLINK SPNL 30X35MM,3389.0,3389.0,508.35,3389.0,30
CDM,475867,PEG FX 10MM WRST THRD,1834.0,1834.0,275.1,1834.0,30
CDM,475868,PEG BN FX THRD 12MM,399.0,399.0,59.85,399.0,30
CDM,475869,INSERT ARTC KN 3-5 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,475870,SURF ARTC KN 10-11 12MM,4651.0,4651.0,697.65,4651.0,30
CDM,475874,PIN HLF 4MM 120MM,1073.0,1073.0,160.95,1073.0,42
CDM,475875,SCREW BN SPN 4.5MM 36MM,4247.0,4247.0,637.05,4247.0,30
CDM,475876,ROD CONCTR 19MM ANG SPN,3389.0,3389.0,508.35,3389.0,30
CDM,475877,SCREW BN SPN 4MM 36MM,4247.0,4247.0,637.05,4247.0,30
CDM,475878,CONN CROSS SPN 39-56MM,3012.0,3012.0,451.8,3012.0,30
CDM,475879,GLENOID SHD PEG SZ-M40,6201.0,6201.0,930.15,6201.0,30
CDM,475880,CMPNT GLND MED 35MM,6201.0,6201.0,930.15,6201.0,30
CDM,475881,PLATE SPN XPND 5X8-12MM,3389.0,3389.0,508.35,3389.0,30
CDM,475882,SCREW SPN 2MM 6MM,753.0,753.0,112.95,753.0,30
CDM,475883,SCREW SPN 2MM 8MM,753.0,753.0,112.95,753.0,30
CDM,475884,SCREW SPN 2MM 10MM,753.0,753.0,112.95,753.0,30
CDM,475885,INSERT TIB GVF 4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,475886,DISC INTVRT 7X18X17.8MM,20152.0,20152.0,3022.8,20152.0,30
CDM,475887,COMPNT PTLR KN 31X9MM,4252.0,4252.0,637.8,4252.0,30
CDM,475888,SHELL ACTB HIP 50MM,13166.0,13166.0,1974.9,13166.0,30
CDM,475889,INS TIB 20 SM/SM+ PSTAB,4429.0,4429.0,664.35,4429.0,30
CDM,475890,ROD SPN 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,475892,SCREW SPN 4.6MM 18MM,1506.0,1506.0,225.9,1506.0,30
CDM,475893,CMPNT KNEE FEM RT SZ5,7397.0,7397.0,1109.55,7397.0,30
CDM,475895,PLT SPN PAX SCR HL 11MM,3389.0,3389.0,508.35,3389.0,30
CDM,475896,ROD SPN CRV 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,475898,SPACER SPNL 7D 8X14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,475899,PLATE BN MDFC 4H .6MM,3189.0,3189.0,478.35,3189.0,30
CDM,475900,STEM FEM STD215X18MM 13M,11215.0,11215.0,1682.25,11215.0,30
CDM,475901,SCREW 3.5MMX10MM,3765.0,3765.0,564.75,3765.0,30
CDM,475902,SCREW SPN 4.5X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,475903,SHELL ACTB 64MM GRP,4606.0,4606.0,690.9,4606.0,30
CDM,475904,HEAD FEM -3.5MM 12/14 36,4606.0,4606.0,690.9,4606.0,30
CDM,475905,STEM FEM KN 10MM 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,475906,SLEEVE TIB REV CMNT 29MM,9744.0,9744.0,1461.6,9744.0,30
CDM,475907,STEM FEM KN 110MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,475908,AUGMENT FEM 12MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,475909,AUGMENT FEM KN 8MM 5,4606.0,4606.0,690.9,4606.0,30
CDM,475910,AUGMENT FEM KN 4MM 5,4606.0,4606.0,690.9,4606.0,30
CDM,475911,COMP FEM KN REV RT SZ5,18159.0,18159.0,2723.85,18159.0,30
CDM,475912,INSERT TIB KN SZ5 12MM,8309.0,8309.0,1246.35,8309.0,30
CDM,475913,CAGE SPN 55X22X14MM,13287.0,13287.0,1993.05,13287.0,30
CDM,475914,AUGMNT TIB 5/6 KN L 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,475915,BIT DRILL 2.0MM 2.4MM,1705.0,1705.0,255.75,1705.0,42
CDM,475916,SCREW BN 2MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,475917,SCREW BN 2MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,475918,PEG FX VOLR THRD 14MM,399.0,399.0,59.85,399.0,30
CDM,475919,PLATE HOOK DORSAL 4HL,4340.0,4340.0,651.0,4340.0,30
CDM,475922,ROD SPN 5.5X150MM,2711.0,2711.0,406.65,2711.0,30
CDM,475923,PLATE SPN 2LVL 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,475925,NAIL LNG 125D 10X340MM,7233.0,7233.0,1084.95,7233.0,30
CDM,475926,CMPNT PAT KN 9MM 33MM,4252.0,4252.0,637.8,4252.0,30
CDM,475927,CMPNT FEM KN SZ6,7397.0,7397.0,1109.55,7397.0,30
CDM,475929,WEDGE KN BLCK POST62.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,475930,WEDGE KN BLCK PST62.5X10,4606.0,4606.0,690.9,4606.0,30
CDM,475931,ANCHOR SUT 4.75MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,475932,ROD SPN CRV 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,475933,SCREW SPN 2.2MM 6MM,753.0,753.0,112.95,753.0,30
CDM,475934,PLATE SPN 9MM,3389.0,3389.0,508.35,3389.0,30
CDM,475935,SCREW CREO 5.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,475936,SCREW SPN 5.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,475937,SCREW SPN P-AX 6.5X45MM,3389.0,3389.0,508.35,3389.0,30
CDM,475938,SCREW SPN 6.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,475939,SCREW BN 7.5MM 80MM,4247.0,4247.0,637.05,4247.0,30
CDM,475941,SPACER SPN 26X10X8-12MM,15059.0,15059.0,2258.85,15059.0,30
CDM,475942,SPACER SPN 26X10X9-13MM,16831.0,16831.0,2524.65,16831.0,30
CDM,475943,SCREW SPNL P-AX 3.5X12MM,4247.0,4247.0,637.05,4247.0,30
CDM,475944,SCREW SPNL P-AX 3.5X14MM,3765.0,3765.0,564.75,3765.0,30
CDM,475945,SCREW SET ZAVATION,753.0,753.0,112.95,753.0,30
CDM,475946,ROD SPINAL CURVED 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,475947,SCRW BN SM 2.3X12MM,3189.0,3189.0,478.35,3189.0,30
CDM,475948,SCREW BN 2.3MM3MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,475949,GRAFT EVAS 14.5MM 10CM,19174.0,19174.0,2876.1,19174.0,30
CDM,475950,SCREW BN 6.5MM 25MM,1595.0,1595.0,239.25,1595.0,30
CDM,475951,SCREW BN 6.5MM 25MM,3189.0,3189.0,478.35,3189.0,30
CDM,475953,SPACER SPNL 15X13X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,475954,PLATE SPN SACRAL 40MM,9301.0,9301.0,1395.15,9301.0,30
CDM,475955,CAGE SPNL 25X22MM CP 22B,17749.0,17749.0,2662.35,17749.0,30
CDM,475956,CAGE SPN 8D 22MM,3012.0,3012.0,451.8,3012.0,30
CDM,475957,CAGE SPN 4D 22MM,3012.0,3012.0,451.8,3012.0,30
CDM,475958,PLATE SPN 5CM,10917.0,10917.0,1637.55,10917.0,30
CDM,475959,BOLT SPN 8MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,475960,BOLT SPN TI 35X8 NRSRGL,3765.0,3765.0,564.75,3765.0,30
CDM,475961,SCREW BN 6.5MM 40MM,1170.0,1170.0,175.5,1170.0,30
CDM,475962,SPACER SPN 31X10X9-13MM,15059.0,15059.0,2258.85,15059.0,30
CDM,475966,SHELL ACTB HIP CH 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,475967,INSERT ACTB HIP 0D 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,475968,BEAM ORTH FT 85MM 7MM,8850.0,8850.0,1327.5,8850.0,30
CDM,475969,BEAM ORTH FT 120MM 7MM,8850.0,8850.0,1327.5,8850.0,30
CDM,475971,PLATE ALPA MAXLOCK LPS O,7206.0,7206.0,1080.9,7206.0,30
CDM,475973,CONN ROD SPN 5.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,475974,COMP GLND SHLDR SM 30MM,6201.0,6201.0,930.15,6201.0,30
CDM,475975,BLADE BN LG RECPROCTNG,888.5,888.5,133.28,888.5,42
CDM,475976,HEAD HIP 14/16 +8 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,475977,SCREW BN 3.5X6X70MM,392.0,392.0,58.8,392.0,30
CDM,475978,LINER ACTB 5 GRN 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,475979,COMPNT FEM KN LT SZ8,6312.0,6312.0,946.8,6312.0,30
CDM,475980,WEDGE AUGMT KN SZC 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,475981,COMPONENT FEMORAL AUG BL,4892.0,4892.0,733.8,4892.0,30
CDM,475982,STEM FEM 12/14 XTD OFST,8858.0,8858.0,1328.7,8858.0,30
CDM,475983,INSERT TIB KN MED 18MM,14095.0,14095.0,2114.25,14095.0,30
CDM,475984,CAGE SPN 12X9X14MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,475985,CMPNT HUM ELB RT 5X200MM,17494.0,17494.0,2624.1,17494.0,30
CDM,475986,NOZZLE BNCMNT OPTVC SLM,773.0,773.0,115.95,773.0,42
CDM,475987,SET PIN UNIV REVERSE ART,3274.0,3274.0,491.1,3274.0,42
CDM,475988,SPACER HUM SHLDR +9X39MM,4252.0,4252.0,637.8,4252.0,30
CDM,475989,CUP HUM SHLDR 39MM +2MM,4651.0,4651.0,697.65,4651.0,30
CDM,475990,LINER HIP 10D 36X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,475991,SCREW BN LNG 2.7X10MM,1595.0,1595.0,239.25,1595.0,30
CDM,475993,SCREW BN 3.2MM 12MM,1834.0,1834.0,275.1,1834.0,30
CDM,475994,PLATE BN WRIST VOLAR 6HL,4429.0,4429.0,664.35,4429.0,30
CDM,475995,LINER ACTB HIP SZ1 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,475996,STEM FEM HIP SZ2,8416.0,8416.0,1262.4,8416.0,30
CDM,475997,INSERT TIB PS BR79/83X18,4606.0,4606.0,690.9,4606.0,30
CDM,475998,CONNECTOR ROD SP LAT OFS,3389.0,3389.0,508.35,3389.0,30
CDM,475999,SCREW SPN 15MM,753.0,753.0,112.95,753.0,30
CDM,476000,GWIRE VASC 180CM .014IN,819.0,819.0,122.85,819.0,42
CDM,476001,CATH THRMB 6FR 140CM,3315.0,3315.0,497.25,3315.0,42
CDM,476049,ADPR SFSHTH VASC LNG 9FR,680.0,680.0,102.0,680.0,42
CDM,476054,NEEDLE TRNSPTL 18GA 71CM,1269.0,1269.0,190.35,1269.0,42
CDM,476080,DEVICE CMPR 24CM,773.0,773.0,115.95,773.0,42
CDM,476082,CLIP LIGATING XL,505.0,505.0,75.75,505.0,30
CDM,476101,BIT DRL 5.5MM,2344.0,2344.0,351.6,2344.0,42
CDM,476133,LENS IOL +15.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,476136,LENS IOL +16.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,476138,LENS IOL +17.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,476141,LENS IOL +19.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,476144,LENS IOL +20.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,476145,LENS IOL +21.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,476146,LENS IOL +21.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,476147,LENS IOL +22.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,476149,LENS IOL +23.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,476150,LENS IOL +23.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,476151,LENS IOL +24.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,476155,SHEATH DIL 9FR,9490.5,9490.5,1423.58,9490.5,42
CDM,476265,SUTURE VIO MONO 2-0 36IN,39.0,39.0,5.85,39.0,42
CDM,476267,BLADE OPTH CRNL 8.75MM,773.0,773.0,115.95,773.0,42
CDM,476334,STENT URET 8FR 28MM,1403.0,1403.0,210.45,1403.0,30
CDM,476335,STENT URET 8FR 24MM,1403.0,1403.0,210.45,1403.0,30
CDM,476336,STENT URET 8FR 26MM,1403.0,1403.0,210.45,1403.0,30
CDM,476374,LENS IOL +19.0 DIOP,253.5,253.5,46.67,253.5,28
CDM,476376,LENS IOL +20.0 DIOP,253.5,253.5,46.67,253.5,28
CDM,476377,LENS IOL +20.5 DIOP,253.5,253.5,46.67,253.5,28
CDM,476378,LENS IOL +21.0 DIOP,253.5,253.5,46.67,253.5,28
CDM,476380,LENS IOL +22.0 DIOP,253.5,253.5,46.67,253.5,28
CDM,476381,LENS IOL +22.5 DIOP,253.5,253.5,46.67,253.5,28
CDM,476382,LENS IOL +23.0 DIOP,253.5,253.5,46.67,253.5,28
CDM,476383,LENS IOL +23.5 DIOP,253.5,253.5,46.67,253.5,28
CDM,476469,BLADE CORNEA TREPHINE7.5,911.0,911.0,136.65,911.0,42
CDM,476470,BLADE TREPHINE 8MM,742.0,742.0,111.3,742.0,42
CDM,476472,BLADE CRAINIAL 8.5MM,981.5,981.5,147.22,981.5,42
CDM,476473,BLADE ORTH 9MM,981.5,981.5,147.22,981.5,42
CDM,476476,BLADE CRANIAL 11MM,773.0,773.0,115.95,773.0,42
CDM,476477,PUNCH SURG 8.25MM,829.0,829.0,124.35,829.0,42
CDM,476478,PUNCH SURG 8.5MM,829.0,829.0,124.35,829.0,42
CDM,476479,BLADE TREPHINE 8.5MM,880.5,880.5,132.07,880.5,42
CDM,476485,GWIRE VASC 190CM .014IN,870.0,870.0,130.5,870.0,42
CDM,476486,GWIRE VASC 300CM .014IN,870.0,870.0,130.5,870.0,42
CDM,476487,GWIRE VASC 190CM .014IN,870.0,870.0,130.5,870.0,42
CDM,476488,GWIRE VASC 300CM .014IN,870.0,870.0,130.5,870.0,42
CDM,476591,STENT BIL 6FR 5MM 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,476600,KI ANGIO STPCK 3W 54IN,556.5,556.5,83.47,556.5,42
CDM,476603,ELCTRD LOOP 12X20,249.0,249.0,37.35,249.0,42
CDM,476613,ELCTRD ESURG BLL TP 11CM,232.0,232.0,34.8,232.0,42
CDM,476617,SOCK PROSTH BLW KN SHRNK,848.0,848.0,156.12,848.0,26
CDM,476624,STAPLER INT 5MM,2531.0,2531.0,379.65,2531.0,42
CDM,476635,DRSG NWGHT BEAR RGD BKN,4426.0,4426.0,814.83,4426.0,26
CDM,476639,SYSTEM PUMP 5ML/HR 270ML,1162.5,1162.5,174.38,1162.5,42
CDM,476668,STENT URET 7FR 26CM,3016.0,3016.0,452.4,3016.0,30
CDM,476686,SPECMN RETRVL NET 160MM,773.0,773.0,115.95,773.0,42
CDM,476691,SPLINT WHO WRIST XTN,1071.0,1071.0,160.65,1071.0,42
CDM,476730,BASKET RET .8X12MM 120CM,2013.5,2013.5,302.02,2013.5,42
CDM,476731,BASKET RET 1X16MM 120CM,2013.5,2013.5,302.02,2013.5,42
CDM,476732,SHEATH GD 6FR 45CM,790.5,790.5,118.58,790.5,42
CDM,476736,GWIRE VASC 180CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,476765,CATH BLN 2MM 12MM,798.5,798.5,119.78,798.5,42
CDM,476767,CATH BLN 3MM 20MM,798.5,798.5,119.78,798.5,42
CDM,476768,CATH BLN 2.5MM 12MM,798.5,798.5,119.78,798.5,42
CDM,476772,CATH BLN 3.5MM 12MM,798.5,798.5,119.78,798.5,42
CDM,476774,CATH BLN 4MM 12MM,798.5,798.5,119.78,798.5,42
CDM,476775,CATH BLN 1.5MM 15MM,798.5,798.5,119.78,798.5,42
CDM,476776,CATH BLN 2MM 15MM,1187.0,1187.0,178.05,1187.0,42
CDM,476778,CATH BLN 2.5MM 15MM,798.5,798.5,119.78,798.5,42
CDM,476779,CATH BLN 2.75MM 15MM,798.5,798.5,119.78,798.5,42
CDM,476780,CATH BLN 3MM 15MM,798.5,798.5,119.78,798.5,42
CDM,476782,CATH BLN 3.5MM 15MM,798.5,798.5,119.78,798.5,42
CDM,476784,CATH BLN 4MM 15MM,798.5,798.5,119.78,798.5,42
CDM,476785,CATH BLN 1.5MM 20MM,798.5,798.5,119.78,798.5,42
CDM,476786,CATH BLN 2MM 20MM,798.5,798.5,119.78,798.5,42
CDM,476788,CATH BLN 2.5MM 20MM,798.5,798.5,119.78,798.5,42
CDM,476791,CATH BLN 3.5MM 20MM,798.5,798.5,119.78,798.5,42
CDM,476793,CATH BLN 4MM 20MM,798.5,798.5,119.78,798.5,42
CDM,476794,CATH GD 6FR 55CM,773.0,773.0,115.95,773.0,42
CDM,476795,PARTICLE EMB S220GH,3189.0,3189.0,478.35,3189.0,30
CDM,476799,PARTICLE EMBL 900-1200UM,3189.0,3189.0,478.35,3189.0,30
CDM,476863,GWIRE FILTER 5.5MM 300CM,6139.5,6139.5,920.92,6139.5,42
CDM,476870,CANNULA INNER SIZE 6,55.0,55.0,8.25,55.0,42
CDM,476875,KIT DRESSING FOAM SM,618.0,618.0,92.7,618.0,42
CDM,476884,STYLET PCNG LEAD 53CM,400.5,400.5,60.08,400.5,42
CDM,476888,DILATOR BLN 8-9-10MM,1269.0,1269.0,190.35,1269.0,42
CDM,476889,DILATOR BLN 8X180CM,1269.0,1269.0,190.35,1269.0,42
CDM,476894,TUBE GASTM 22FR,295.5,295.5,44.33,295.5,42
CDM,476906,PLATE BN 3HL 2.7MM 34MM,864.0,864.0,129.6,864.0,30
CDM,476908,ELCTRODE ESURG 10X10MM,249.0,249.0,37.35,249.0,42
CDM,476916,LIGATOR ENDO 7BAND 2.8MM,1023.5,1023.5,153.53,1023.5,42
CDM,476937,AGENT HMSTC MCFIB 1G,2328.0,2328.0,349.2,2328.0,42
CDM,476954,LEAD PCNG 78-88CM 6FR,6899.0,6899.0,1034.85,6899.0,30
CDM,476968,VALVE CNTRL BLEDBK .096,309.5,309.5,46.42,309.5,42
CDM,476973,GWIRE ENDO .035IN 260CM,1351.0,1351.0,202.65,1351.0,42
CDM,476974,NEEDLE TRANBRNCH 19GA,800.5,800.5,120.08,800.5,42
CDM,476978,LEAD PCNG 45CM,2525.0,2525.0,378.75,2525.0,30
CDM,476979,LEAD PCNG 52CM,2525.0,2525.0,378.75,2525.0,30
CDM,476980,LEAD ENDO PACING,2525.0,2525.0,378.75,2525.0,30
CDM,477038,SCREW SPN 4.5MM 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,477039,ROD CNCTR LT 9MM,3389.0,3389.0,508.35,3389.0,30
CDM,477040,STEM FEM HIP 17MM 115MM,9478.0,9478.0,1421.7,9478.0,30
CDM,477041,ROD 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,477047,CATH BLN 2X6MM 138CM,1187.0,1187.0,178.05,1187.0,42
CDM,477050,CURETTE CRVD 8MM,42.0,42.0,6.3,42.0,42
CDM,477070,NEEDLE DLV 12GA 10CM,773.0,773.0,115.95,773.0,42
CDM,477071,PLATE BN 2.7MM 3.5MM,6893.0,6893.0,1033.95,6893.0,30
CDM,477076,CAGE SPN SM 14MM 10D,9523.0,9523.0,1428.45,9523.0,30
CDM,477109,CATH BLN 2.5X6MM 138CM,798.5,798.5,119.78,798.5,42
CDM,477111,CATH BLN 3MM 6MM,798.5,798.5,119.78,798.5,42
CDM,477131,STENT EPRSTH 11X16X59MM,10267.0,10267.0,1540.05,10267.0,30
CDM,477132,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",6023.0,6023.0,1583.86,2450.81,34
CDM,477132,PROSTH KNEE IMDT POST OP,6023.0,6023.0,1108.83,6023.0,26
CDM,477139,COMPNT TIB PSC 63/67X18,6142.0,6142.0,921.3,6142.0,30
CDM,477143,STENT PANC 5FR 5CM,854.0,854.0,128.1,854.0,30
CDM,477152,SNARE POLY FLEX OVAL MED,162.0,162.0,24.3,162.0,42
CDM,477169,CATH ANG AR1MD 4FR 100CM,222.0,222.0,33.3,222.0,42
CDM,477170,CATH ANGIO 4FR 100CM,222.0,222.0,33.3,222.0,42
CDM,477185,DISSECTOR LAPSCP TRI 5MM,4093.0,4093.0,613.95,4093.0,42
CDM,477205,SUTURE BLK MONO 9-0 6IN,231.5,231.5,34.73,231.5,42
CDM,477206,INTRO CATH 10FR 8IN,467.0,467.0,70.05,467.0,42
CDM,477208,MESH SURG LG CIR 3.2IN,4429.0,4429.0,664.35,4429.0,30
CDM,477212,SUTURE ABS TPRCT 0 48IN,773.0,773.0,115.95,773.0,42
CDM,477218,SUTURE PP CP SZ 0 36IN,622.0,622.0,93.3,622.0,42
CDM,477220,STAPLER INT CIR 3.5X21MM,3937.0,3937.0,590.55,3937.0,42
CDM,477221,STAPLER INT 21MM,3467.5,3467.5,520.13,3467.5,42
CDM,477222,RETRIEVL ENDOBG SPCMN3X6,773.0,773.0,115.95,773.0,42
CDM,477224,TUBE VENT EAR 1.3X1.27MM,248.0,248.0,37.2,248.0,30
CDM,477235,FORCEPS BIP OPEN 15X10,4093.0,4093.0,613.95,4093.0,42
CDM,477236,ELECTRODE NDL 950000PK,2485.5,2485.5,372.82,2485.5,42
CDM,477237,ELECTRODE ESURG SPAT 5MM,3551.5,3551.5,532.73,3551.5,42
CDM,477238,FORCEP OPEN 915000PK,2393.5,2393.5,359.02,2393.5,42
CDM,477242,LENS IOL +8.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477253,LINER ACTB HIP G 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,477255,STEM FEM HIP 21X235MM,10204.0,10204.0,1530.6,10204.0,30
CDM,477263,IMPLNT SUPRAFOIL 0.6 MM,1196.0,1196.0,179.4,1196.0,30
CDM,477268,IMPLANT BREAST 800CC,3721.0,3721.0,558.15,3721.0,30
CDM,477274,BLADE CORNEA TREPHINE 7,911.0,911.0,136.65,911.0,42
CDM,477275,PLATE F-T .75MM SS 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,477282,KNIFE RTNL MVR 25GA,458.5,458.5,68.78,458.5,42
CDM,477324,IMPLANT BREAST 300CC,3721.0,3721.0,558.15,3721.0,30
CDM,477329,SCREW BN 1.3MM 10MM,547.0,547.0,82.05,547.0,30
CDM,477332,PACK CUSTOM CATARACT INF,1023.5,1023.5,153.53,1023.5,42
CDM,477333,TIP PHACO 0.9MM,607.5,607.5,91.13,607.5,42
CDM,477335,PACK VITRTM IRRIGATION,592.5,592.5,88.88,592.5,42
CDM,477339,SCREW BN 1.3MM 6MM,1438.0,1438.0,215.7,1438.0,30
CDM,477356,SCREW BN 1.3MM 7MM,1438.0,1438.0,215.7,1438.0,30
CDM,477357,SCREW BN 1.3MM 8MM,1438.0,1438.0,215.7,1438.0,30
CDM,477368,SCREW BN 1.3X10MM SS T4,1438.0,1438.0,215.7,1438.0,30
CDM,477369,SCREW BN 1.3MM 11MM,1438.0,1438.0,215.7,1438.0,30
CDM,477370,SIZER BREAST 275CC,618.5,618.5,92.78,618.5,42
CDM,477371,SIZER BREAST 325CC,618.5,618.5,92.78,618.5,42
CDM,477382,SIZER BREAST 300CC,618.5,618.5,92.78,618.5,42
CDM,477383,SIZER BREAST 350CC,618.5,618.5,92.78,618.5,42
CDM,477387,SIZER BREAST 225CC,618.5,618.5,92.78,618.5,42
CDM,477389,SIZER BREAST 175CC,618.5,618.5,92.78,618.5,42
CDM,477390,SIZER BREAST 325CC,618.5,618.5,92.78,618.5,42
CDM,477392,SIZER BREAST 375CC,618.5,618.5,92.78,618.5,42
CDM,477394,SYSTEM URTH SUPP 9CM,5065.0,5065.0,759.75,5065.0,30
CDM,477399,LENS IOL +27.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477408,BLADE TREPHINE 9MM,880.5,880.5,132.07,880.5,42
CDM,477409,SIZER BREAST 450CC,618.5,618.5,92.78,618.5,42
CDM,477411,SUTURE VIO MONO 2-0 27IN,34.0,34.0,5.1,34.0,42
CDM,477423,MESH SURG 3IN 5IN,3189.0,3189.0,478.35,3189.0,30
CDM,477425,SIZER BREAST 425CC,618.5,618.5,92.78,618.5,42
CDM,477426,IMPLANT BREAST 750CC,3579.0,3579.0,536.85,3579.0,30
CDM,477430,EXPANDER OPTH 6.25MM,1194.0,1194.0,179.1,1194.0,42
CDM,477437,IMPLANT BREAST 600CC,3579.0,3579.0,536.85,3579.0,30
CDM,477438,SIZER BREAST 700CC,618.5,618.5,92.78,618.5,42
CDM,477439,IMPLANT BREAST 700CC,3579.0,3579.0,536.85,3579.0,30
CDM,477450,LENS IOL +11.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477452,ELECTRODE ESURG 6.5IN,87.0,87.0,13.05,87.0,42
CDM,477453,INTRODUCER CATH 40CM FBR,362.5,362.5,54.38,362.5,42
CDM,477456,SIZER BREAST 550CC,618.5,618.5,92.78,618.5,42
CDM,477463,RLR OPHTH LSK FLP 14MM,447.5,447.5,67.13,447.5,42
CDM,477468,HEMOSTAT ABS 1X2IN,683.5,683.5,102.53,683.5,42
CDM,477469,DEVICE CLSR WND 15MM,821.0,821.0,123.15,821.0,42
CDM,477472,IMPLANT BREAST 275CC,3579.0,3579.0,536.85,3579.0,30
CDM,477481,ROD SPNL CURVD 60X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,477483,AUGMENT ACTB HIP 20MM,7044.0,7044.0,1056.6,7044.0,30
CDM,477487,SYSTEM FX HRN TK30 5MM,4385.5,4385.5,657.83,4385.5,42
CDM,477490,KNIFE OPTH LANCE 1.3MM,286.5,286.5,42.98,286.5,42
CDM,477491,CAUTERY BIP 25GA,655.0,655.0,98.25,655.0,42
CDM,477492,STAPLER INT LONG 60MM,2486.0,2486.0,372.9,2486.0,42
CDM,477493,FORCETP OPTH 23GA,1023.5,1023.5,153.53,1023.5,42
CDM,477495,TIP SCSR HK 5X12.7DISP,773.0,773.0,115.95,773.0,42
CDM,477496,SCISSORS LAPSCP CRV 5MM,607.0,607.0,91.05,607.0,42
CDM,477505,COMPNT TIB PSC 79/83X20,6142.0,6142.0,921.3,6142.0,30
CDM,477506,SPACER SPN 50X18X10MM,14395.0,14395.0,2159.25,14395.0,30
CDM,477508,SLEEVE CMPR ALP STRL,959.0,959.0,143.85,959.0,30
CDM,477513,IMPLANT BREAST 275CC,5315.0,5315.0,797.25,5315.0,30
CDM,477515,SIZER BREAST 275CC,340.0,340.0,51.0,340.0,42
CDM,477516,SIZER BREAST 350CC,340.0,340.0,51.0,340.0,42
CDM,477519,SIZER BREAST 500CC,618.5,618.5,92.78,618.5,42
CDM,477523,LENS IOL +6.5 DIOP,774.0,774.0,142.49,774.0,28
CDM,477524,LENS IOL +7.0 DIOP,774.0,774.0,142.49,774.0,28
CDM,477525,LENS IOL +6.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477528,SPONGE SCLR 5X3.75X80MM,900.0,900.0,135.0,900.0,30
CDM,477529,SPONG RTNL 7.5X3.66X80MM,973.0,973.0,145.95,973.0,30
CDM,477530,SPONGE RTNL 4X2.5X80MM,1002.0,1002.0,150.3,1002.0,30
CDM,477531,SPONGE RTNL 6.4X2.3X80M,973.0,973.0,145.95,973.0,30
CDM,477532,LIGASURE DVDR BIP 37CM,3168.0,3168.0,475.2,3168.0,42
CDM,477537,LENS IOL +8.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,477539,LENS IOL +8.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477540,LENS IOL +21.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,477541,IMPLANT BREAST 280CC,3189.0,3189.0,478.35,3189.0,30
CDM,477542,IMPLANT BREAST 350CC,3348.0,3348.0,502.2,3348.0,30
CDM,477543,IMPLANT BREAST 650CC,4216.0,4216.0,632.4,4216.0,30
CDM,477545,PORT IMP INFSN ISP 9.6FR,2735.0,2735.0,410.25,2735.0,30
CDM,477546,LENS IOL +7.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477547,LENS IOL +10.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477550,ELECTRODE ESURG 24/26FR,1004.5,1004.5,150.68,1004.5,42
CDM,477554,CANNULA OPTH 27GA 7/8IN,48.5,48.5,7.28,48.5,42
CDM,477557,BLADE TREPHINE 7MM,880.5,880.5,132.07,880.5,42
CDM,477568,LENS IOL +7.0 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,477569,SEALER LIGASURE 5MM-44CM,4093.0,4093.0,613.95,4093.0,42
CDM,477570,LENS IOL +25.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477572,IMPL EYLD WGHT LWR 1.8GM,3189.0,3189.0,478.35,3189.0,30
CDM,477574,CEMENT BN PMMA 40GM,924.0,924.0,138.6,924.0,30
CDM,477575,CMPNT FEM KN RT SZ5,7087.0,7087.0,1063.05,7087.0,30
CDM,477576,SIZER BREAST 175CC,618.5,618.5,92.78,618.5,42
CDM,477587,LENS IOL +11.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477588,LENS IOL +12.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477589,LENS IOL +12.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477590,LENS IOL +13.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477591,LENS IOL +13.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477592,LENS IOL +14.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477593,LENS IOL +14.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477594,PLATE SPNE 19MM,6644.0,6644.0,996.6,6644.0,30
CDM,477596,LENS IOL +15.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477597,LENS IOL +16.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477599,LENS IOL +17.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477600,ROD SPNL 80MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,477601,LENS IOL +18.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477602,LENS IOL +18.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477604,SCREW SPN 6MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,477605,CMPNT KN BRNG RT MED 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,477606,PLATE SPN 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,477608,CAGE SPN 8D 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,477609,LENS IOL +22.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477610,SCREW BN 3.5MM 34MM,574.0,574.0,86.1,574.0,30
CDM,477611,CMPNT FEM KN SZ2,7397.0,7397.0,1109.55,7397.0,30
CDM,477612,LENS IOL +24.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477613,LENS IOL +25.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477614,INSERT TIB 3 11MM KN TRU,4429.0,4429.0,664.35,4429.0,30
CDM,477615,LENS IOL +26.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477616,LENS IOL +26.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477617,STEM HUM SHLDR 14X130MM,11959.0,11959.0,1793.85,11959.0,30
CDM,477618,LENS IOL +27.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477619,LENS IOL +28.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477620,LENS IOL +28.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477621,LENS IOL +29.0 DIOP,716.5,716.5,131.91,716.5,28
CDM,477622,LENS IOL +29.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,477623,LENS IOL +30.0 DIOP,1401.0,1401.0,257.92,1401.0,28
CDM,477624,LENS IOL +21.5 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,477628,LENS IOL +24.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,477641,LENS IOL +6.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477642,LENS IOL +7.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477643,LENS IOL +7.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477644,LENS IOL +8.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477645,LENS IOL +9.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477646,LENS IOL +9.5 DIOP,1271.5,1271.5,234.08,1271.5,28
CDM,477647,LENS IOL +10.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477648,LENS IOL +10.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477649,LENS IOL +11.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477650,LENS IOL +11.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477651,LENS IOL +13.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477652,LENS IOL +14.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477653,LENS IOL +14.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477654,LENS IOL +15.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477655,LENS IOL +15.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477656,LENS IOL +16.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477657,LENS IOL +16.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477658,LENS IOL +21.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477659,LENS IOL +21.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477660,LENS IOL +22.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477661,LENS IOL +22.5 DIOP,253.5,253.5,46.67,253.5,28
CDM,477662,LENS IOL +23.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477663,LENS IOL +23.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,477664,LENS IOL +24.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477667,SHEARS ESURG 5MM 45CM,2529.5,2529.5,379.43,2529.5,42
CDM,477683,LENS IOL +32.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,477684,LENS IOL +19.0 DIOP,386.5,386.5,71.15,386.5,28
CDM,477690,LENS IOL +18.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,477693,LENS IOL +20.0 DIOP,386.5,386.5,71.15,386.5,28
CDM,477694,DEVICE WNDCLS 30CM SZ0,675.5,675.5,101.33,675.5,42
CDM,477695,PLATFORM ACC 10MM 12MM,4385.5,4385.5,657.83,4385.5,42
CDM,477696,SUTURE VIO MONO 3-0 27IN,33.0,33.0,4.95,33.0,42
CDM,477698,SUTURE BLK MONO 9-0 12IN,231.5,231.5,34.73,231.5,42
CDM,477699,LENS IOL +31.0 DIOP,774.0,774.0,142.49,774.0,28
CDM,477702,PLUG SCLERAL 19-20G GLD,335.0,335.0,50.25,335.0,30
CDM,477703,SPATULA ORTH DISP 23GA,640.5,640.5,96.08,640.5,42
CDM,477704,PROBE LSR 23G CVD FXD EX,1722.0,1722.0,258.3,1722.0,42
CDM,477705,SIZER BREAST 750CC,618.5,618.5,92.78,618.5,42
CDM,477713,HEAD HUM BF OFFST 23X56,4872.0,4872.0,730.8,4872.0,30
CDM,477715,SCREW SPN SHFT 3.5X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,477716,SCREW SPN PLYAX 3.5X12MM,3389.0,3389.0,508.35,3389.0,30
CDM,477717,SCREW SPN 4.0MM 16MM,3765.0,3765.0,564.75,3765.0,30
CDM,477719,ROD CURVED 3.5MMX50MM,2711.0,2711.0,406.65,2711.0,30
CDM,477720,SPACER SPNL 45X18X8MM,14395.0,14395.0,2159.25,14395.0,30
CDM,477721,SCREW BN LT 5.5MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,477722,PLATE 1 SLT BETA LPS MXL,4429.0,4429.0,664.35,4429.0,30
CDM,477723,SPACER SPN 22X10X8-14MM,16831.0,16831.0,2524.65,16831.0,30
CDM,477724,COMPNT TIB ANKLE SZ0,26812.0,26812.0,4021.8,26812.0,30
CDM,477726,SCREW BN 2.0MM 16MM 12MM,1244.0,1244.0,186.6,1244.0,30
CDM,477727,ITOTAL CR-IPOLY-IMPLANT,17716.0,17716.0,2657.4,17716.0,30
CDM,477728,IMP KNEE ITOTAL 6MM,17716.0,17716.0,2657.4,17716.0,30
CDM,477729,PLATE BN MDFC 11H .5MM,3189.0,3189.0,478.35,3189.0,30
CDM,477730,VALVE AORTIC 21MM,19022.0,19022.0,2853.3,19022.0,30
CDM,477732,ROD SPNL CURVD 70X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,477733,CAGE SPN MESH 10X10X10MM,5920.0,5920.0,888.0,5920.0,30
CDM,477734,PLATE BN 44X1.3X2MM,3721.0,3721.0,558.15,3721.0,30
CDM,477735,ROD SPN CRV 5.5X150MM,2711.0,2711.0,406.65,2711.0,30
CDM,477737,SCREW BN 1.5X5MM,1009.0,1009.0,151.35,1009.0,30
CDM,477738,PLATE BN 4HL 0.6MM 20MM,476.0,476.0,71.4,476.0,30
CDM,477739,PLATE BN 0.6MM 30MM,1563.0,1563.0,234.45,1563.0,30
CDM,477740,PLATE BUR HL 12X.3X1.5MM,1431.0,1431.0,214.65,1431.0,30
CDM,477741,NAIL BN 18CM 12MM,6847.0,6847.0,1027.05,6847.0,30
CDM,477742,BLADE BN SPRL FXTN 85MM,3721.0,3721.0,558.15,3721.0,30
CDM,477744,WEDGE KN TIB AUG 79X5,4429.0,4429.0,664.35,4429.0,30
CDM,477745,STEM KN FEM SP EXT17X120,4802.0,4802.0,720.3,4802.0,30
CDM,477746,SPCR 20MM 18 X 45 12 DEG,9966.0,9966.0,1494.9,9966.0,30
CDM,477747,ROD SPN ALLOY 5.5X85MM,2711.0,2711.0,406.65,2711.0,30
CDM,477748,STEM HIP FPHIOFS16X116.5,8858.0,8858.0,1328.7,8858.0,30
CDM,477749,CMPNT FEM KN G RT,9301.0,9301.0,1395.15,9301.0,30
CDM,477750,PLATE SPN CERV 4LVL 68MM,4429.0,4429.0,664.35,4429.0,30
CDM,477751,INSERT TIB MED UNV 23MM,14095.0,14095.0,2114.25,14095.0,30
CDM,477752,SCREW BN 1.6MM 8MM,1772.0,1772.0,265.8,1772.0,30
CDM,477753,SCREW BN 1.6MM 10MM,1772.0,1772.0,265.8,1772.0,30
CDM,477754,SCREW BN 1.6MM 11MM,1772.0,1772.0,265.8,1772.0,30
CDM,477755,SCREW BN 1.6MM 13MM,1772.0,1772.0,265.8,1772.0,30
CDM,477756,SCREW BN 1.6MM 14MM,1772.0,1772.0,265.8,1772.0,30
CDM,477757,SCREW BN 1.6X8MM,963.0,963.0,144.45,963.0,30
CDM,477758,SCREW BN 1.6MM 12MM,963.0,963.0,144.45,963.0,30
CDM,477759,SCREW BN F-T 1.6MM 13MM,963.0,963.0,144.45,963.0,30
CDM,477760,SCREW BN 1.6X14MM,963.0,963.0,144.45,963.0,30
CDM,477761,PLATE BN 3X8H 1.6MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,477762,PLATE BN STR 6H 1.6X29MM,4429.0,4429.0,664.35,4429.0,30
CDM,477763,PLATE BN 12HL 1.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,477764,STENT EPRSTH 8X16X59MM,12419.0,12419.0,1862.85,12419.0,30
CDM,477765,LINER ACTB HIP 32MM,6644.0,6644.0,996.6,6644.0,30
CDM,477767,INSERT TIB KN SZ2 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,477768,SCREW BN CORT 3.2X12MM,1834.0,1834.0,275.1,1834.0,30
CDM,477769,ROD SPN TTNM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,477770,CONNECTOR CROSS SMALL,3389.0,3389.0,508.35,3389.0,30
CDM,477771,CAGE SPN 15.5MM 5.2-8MM,4429.0,4429.0,664.35,4429.0,30
CDM,477772,STEM HUM SHLDR 98MM,11073.0,11073.0,1660.95,11073.0,30
CDM,477773,SCREW BN S/T T4 1.3X12MM,1438.0,1438.0,215.7,1438.0,30
CDM,477774,CMPNT FEM KN SZ5N,6644.0,6644.0,996.6,6644.0,30
CDM,477776,STEM HIP 150MM 14MM,14381.0,14381.0,2157.15,14381.0,30
CDM,477777,SCREW SPN P-AX 8.5X100MM,3389.0,3389.0,508.35,3389.0,30
CDM,477778,SPACER SPN 9X10X28MM,15945.0,15945.0,2391.75,15945.0,30
CDM,477779,ROD TNDN 4MM 25CM,6002.0,6002.0,900.3,6002.0,30
CDM,477780,DEVICE CLS WND +3-0 23CM,338.0,338.0,50.7,338.0,42
CDM,477781,DEVICE CLSR WND 0 23CM,338.0,338.0,50.7,338.0,42
CDM,477782,SPACER FEM 12MM 8MM ENDU,5683.0,5683.0,852.45,5683.0,30
CDM,477783,SPACER FEM 4MM ENDURO,4606.0,4606.0,690.9,4606.0,30
CDM,477784,STEM XTN 15MM 177MM,11584.0,11584.0,1737.6,11584.0,30
CDM,477785,SCREW BN SPN 6.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
CDM,477786,SCREW BN SPN 6.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,477787,SCREW BN SPN 7.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
CDM,477788,SCREW BN SPN 7.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,477789,SCREW BN SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,477795,STEM HUM SHLDR 70MM 6MM,9080.0,9080.0,1362.0,9080.0,30
CDM,477796,SPHERE GLND SHLDR 2X36MM,4872.0,4872.0,730.8,4872.0,30
CDM,477797,GUIDE TRA BONE MODLE,4809.5,4809.5,721.42,4809.5,42
CDM,477798,STEM FEM BW 150X13.5MM,5812.0,5812.0,871.8,5812.0,30
CDM,477799,CMPNT KN DPHSL SEG 5CM,17113.0,17113.0,2566.95,17113.0,30
CDM,477800,SCREW BN 6.5MM 50MM,1170.0,1170.0,175.5,1170.0,30
CDM,477801,LINER ACTB SIZE 23 LEFT,45176.0,45176.0,6776.4,45176.0,30
CDM,477802,COMPONENT FEM KN LT CR 6,7087.0,7087.0,1063.05,7087.0,30
CDM,477804,SLEEVE CNTRNG 9.5X16 18F,4252.0,4252.0,637.8,4252.0,30
CDM,477805,SCREW MDLR FRBRD 9.5X10,3012.0,3012.0,451.8,3012.0,30
CDM,477806,INSERT TIB 2 KN TRL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,477807,INSERT TIB 6 KN TRL 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,477808,CMPNT FEM AUG 16MM SGM,4252.0,4252.0,637.8,4252.0,30
CDM,477809,ROD SPNL 4.75MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,477810,HEAD FEM SHORT 6 TAPER,4252.0,4252.0,637.8,4252.0,30
CDM,477811,COMPNT PTLR KN 10X35MM,4252.0,4252.0,637.8,4252.0,30
CDM,477820,ANCHOR SUT 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,477821,CANNULA ENDO 72X7MM,383.5,383.5,57.52,383.5,42
CDM,477822,SCREW P-AX 8.5X90MM,3389.0,3389.0,508.35,3389.0,30
CDM,477823,STEM HIP FPHIOFS18X121.5,8858.0,8858.0,1328.7,8858.0,30
CDM,477824,CAGE 18MM 16 X 55 6 DEG,13287.0,13287.0,1993.05,13287.0,30
CDM,477825,SPACER SPNL 50X20X12MM P,9966.0,9966.0,1494.9,9966.0,30
CDM,477826,BIT DRILL 2MM,1023.5,1023.5,153.53,1023.5,42
CDM,477827,PLATE BN STR 8H 2.4X63MM,3189.0,3189.0,478.35,3189.0,30
CDM,477828,SCREW BN 2.4MM 12MM STD,963.0,963.0,144.45,963.0,30
CDM,477829,SCREW BN 2.4MM 10MM,1772.0,1772.0,265.8,1772.0,30
CDM,477830,SCREW BN LCK 2.4X11MM,1772.0,1772.0,265.8,1772.0,30
CDM,477831,SCREW BN LCK 2.4X12MM,1772.0,1772.0,265.8,1772.0,30
CDM,477832,SCREW BN 2.4MM 18MM,963.0,963.0,144.45,963.0,30
CDM,477834,AUGMNT ACTB SZ54MM 10MM,7044.0,7044.0,1056.6,7044.0,30
CDM,477835,INSERT KN XLPE 1-2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,477836,JNT DEV FEMUR SZ4 LT,7087.0,7087.0,1063.05,7087.0,30
CDM,477837,INSERT TIB KN SZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,477839,CUP HUM SHLDR LT +2 36MM,4651.0,4651.0,697.65,4651.0,30
CDM,477840,PLATE SPN 3LVL 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,477841,SCREW SPN 4.5X7MM,1506.0,1506.0,225.9,1506.0,30
CDM,477843,TAP 4.5MM SURG OCT SPNE,1756.0,1756.0,263.4,1756.0,42
CDM,477845,ROD SPN 3.0MM 200MM,3012.0,3012.0,451.8,3012.0,30
CDM,477847,SPACER SPNL 12X15X7MM 0D,4429.0,4429.0,664.35,4429.0,30
CDM,477848,PLATE SPN INTERBODY 7MM,4872.0,4872.0,730.8,4872.0,30
CDM,477849,BASEPLATE KN CMNT TIB 7,11073.0,11073.0,1660.95,11073.0,30
CDM,477850,COMPNT SLV FEM KN 35MM,9072.0,9072.0,1360.8,9072.0,30
CDM,477851,AUGMENT KN FEM SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,477852,INSERT TIB KN SZ8 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,477853,AUGMENT FEM KN SZ8 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,477854,WEDGE FEM KN SZ8 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,477855,STEM FEM HIP #1 12/14,8416.0,8416.0,1262.4,8416.0,30
CDM,477856,CAGE SPNL 39-65MM 16MM,25048.0,25048.0,3757.2,25048.0,30
CDM,477857,PLATE SPN CERV 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,477858,SCREW BN 8MM 65MM,3721.0,3721.0,558.15,3721.0,30
CDM,477859,SCREW BN 8MM 70MM,4018.0,4018.0,602.7,4018.0,30
CDM,477860,HEMOSTAT ABS PWD 3GM,1214.5,1214.5,182.18,1214.5,42
CDM,477862,ROD SPN 50MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,477863,SCRW BN 6.5MM 45MM THRSH,4247.0,4247.0,637.05,4247.0,30
CDM,477864,SCREW SET SPN PDCL CANN,753.0,753.0,112.95,753.0,30
CDM,477865,PLATE BN 20H 3X160MM,5688.0,5688.0,853.2,5688.0,30
CDM,477866,SCREW MXFCL MIC 2.7X10,1909.0,1909.0,286.35,1909.0,30
CDM,477867,SCREW MXFCL MIC 2.7X16,1909.0,1909.0,286.35,1909.0,30
CDM,477868,STAPLE BN 19MM 18MM 17MM,5685.0,5685.0,852.75,5685.0,30
CDM,477871,STAPLE BN 1.3MM 1.8MM,5685.0,5685.0,852.75,5685.0,30
CDM,477872,COUNTERSINK SURG 3.8MM,1514.5,1514.5,227.18,1514.5,42
CDM,477873,BIT DRL 2.1MM,1473.5,1473.5,221.03,1473.5,42
CDM,477874,SCREW BN 3MM 5MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,477875,TRIFLANGE LEFT SZ26,49605.0,49605.0,7440.75,49605.0,30
CDM,477876,SCREW BN 6.5MM 70MM,877.0,877.0,131.55,877.0,30
CDM,477877,SCREW BN 6.5MM 40MM,2392.0,2392.0,358.8,2392.0,30
CDM,477878,SCREW BN 6.5MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,477879,SCREW BN 6.5MM 25MM,2392.0,2392.0,358.8,2392.0,30
CDM,477880,SCREW BN 6.5MM 30MM,2392.0,2392.0,358.8,2392.0,30
CDM,477881,LINER ACTB PRE 26 ID36MM,5315.0,5315.0,797.25,5315.0,30
CDM,477882,STEM FEM REV SLV 240MM,27372.0,27372.0,4105.8,27372.0,30
CDM,477883,SLEEVE CNTRNG XSM 20-21,6495.0,6495.0,974.25,6495.0,30
CDM,477884,GEN IMPL MNTG MRI SAFE,76622.0,76622.0,11493.3,76622.0,30
CDM,477885,TOOL TUNNELING 35CM,1096.0,1096.0,164.4,1096.0,42
CDM,477886,CMPNT KN SZ4,7087.0,7087.0,1063.05,7087.0,30
CDM,477887,BASE TIB KN SZ4,4651.0,4651.0,697.65,4651.0,30
CDM,477888,SCREW BN SPN 6MM 28MM,753.0,753.0,112.95,753.0,30
CDM,477889,SCREW BN SPN 6MM 32MM,753.0,753.0,112.95,753.0,30
CDM,477890,DISC SPN CERV19X6X15MM,21703.0,21703.0,3255.45,21703.0,30
CDM,477891,ROD SPNL 240MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,477893,SCREW BN L60 OD5 SPNL PA,3765.0,3765.0,564.75,3765.0,30
CDM,477894,SCREW SPN 8.5MM 80MM,3389.0,3389.0,508.35,3389.0,30
CDM,477895,PLATE PEG BN ULN 5H,3534.0,3534.0,530.1,3534.0,30
CDM,477896,PLATE LT L HPS HND 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,477897,BIT DRILL 1.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,477898,HOLDER PLT THRD 2X2.4MM,663.0,663.0,99.45,663.0,42
CDM,477899,SCREW BN 2MM 14MM,1772.0,1772.0,265.8,1772.0,30
CDM,477900,SCREW BN 2MM 12MM,1772.0,1772.0,265.8,1772.0,30
CDM,477902,SUTURE BLU MONO 7-0 24IN,227.0,227.0,34.05,227.0,42
CDM,477903,OFFSETS SCR SPN OPEN 10,3012.0,3012.0,451.8,3012.0,30
CDM,477904,SPACER SPN 12X14X22MM,24116.0,24116.0,3617.4,24116.0,30
CDM,477905,CMPNT FEM STD KN RT SZ11,7973.0,7973.0,1195.95,7973.0,30
CDM,477906,CMPNT FEM STD KN LT SZ8,7973.0,7973.0,1195.95,7973.0,30
CDM,477907,HEAD HUM OFST MOD 21X56,4872.0,4872.0,730.8,4872.0,30
CDM,477908,STEM HUM SHLDR 16X130MM,11959.0,11959.0,1793.85,11959.0,30
CDM,477909,GRFT EVAS 225X42X37-38MM,59598.0,59598.0,8939.7,59598.0,30
CDM,477911,ROD SPN CURV 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,477913,ROD SPNL 3.5X150MM,2711.0,2711.0,406.65,2711.0,30
CDM,477914,SHELL ACTB HIP 5 SCR56MM,4606.0,4606.0,690.9,4606.0,30
CDM,477915,PLT MED 52MM10D2.4/2.7MM,4601.0,4601.0,690.15,4601.0,30
CDM,477916,SCREW SPN 8.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,477917,CMPNT SHD RIGHT SM DEG8,8931.0,8931.0,1339.65,8931.0,30
CDM,477918,SCREW BN 3.5MM 85MM,361.0,361.0,54.15,361.0,30
CDM,477919,PLATE BN FSN SHORT,4872.0,4872.0,730.8,4872.0,30
CDM,477920,SCREW BN 3.2MM 16MM,1834.0,1834.0,275.1,1834.0,30
CDM,477921,SCREW BN 2.7MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,477922,SCREW BN CORT 2.7MM 18MM,1834.0,1834.0,275.1,1834.0,30
CDM,477923,SCREW BN 2.7MM 18MM,319.0,319.0,47.85,319.0,30
CDM,477924,SCREW BN 2.7MM 20MM,319.0,319.0,47.85,319.0,30
CDM,477925,SPCR SPN APCH STD30X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,477926,SHELL ACTB HIP 5H 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,477927,SCREW BN 6.5MM 30MM,1170.0,1170.0,175.5,1170.0,30
CDM,477928,COMPNT TIB PSC 63/67X12,6142.0,6142.0,921.3,6142.0,30
CDM,477929,CG SPN CLYDSDL60X18X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,477931,INS TIB ARTC KN SZ9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,477932,INSERT TIB KN 9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,477933,PLATE BN 4H 10X16X.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,477934,ROD SPN CRV MIS 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
CDM,477935,CONN ROD SPN F/F 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,477936,AUGMENT FEM KN LT 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,477937,SLEEVE FEM 30MM,9072.0,9072.0,1360.8,9072.0,30
CDM,477938,AUG FEM KN REV SZ6 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,477939,STEM FEM STD225X20MM NK,11585.0,11585.0,1737.75,11585.0,30
CDM,477940,SCREW BN 6.5MM 35MM,1170.0,1170.0,175.5,1170.0,30
CDM,477941,SCREW BN 2.3X9MM,1770.0,1770.0,265.5,1770.0,30
CDM,477942,SCREW BN 2.3MM 11MM,1770.0,1770.0,265.5,1770.0,30
CDM,477943,SCREW BN 2.3MM 13MM,1770.0,1770.0,265.5,1770.0,30
CDM,477944,DRILL TWIST NOTCH LVL1,1023.5,1023.5,153.53,1023.5,42
CDM,477945,DRL TWST LVL1 115X1.9MM,1169.0,1169.0,175.35,1169.0,42
CDM,477946,SCREW BN 1.3MM 12MM,547.0,547.0,82.05,547.0,30
CDM,477947,SCREW BN 1.3MM 6MM,547.0,547.0,82.05,547.0,30
CDM,477948,PLT Y SCR 27X.75X1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,477951,INSERT TIB KN 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,477952,CAGE SPN 14X14X13MM,7056.0,7056.0,1058.4,7056.0,30
CDM,477955,INSERT TIB ANKL SZ4 6MM,9213.0,9213.0,1381.95,9213.0,30
CDM,477956,CMPNT HD HIP 55X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,477957,AUGMENT FEM KN 8MM 7,4606.0,4606.0,690.9,4606.0,30
CDM,477958,AUGMENT FEM ATTUNE 7 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,477959,CMPNT AUG KN SZ7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,477960,CMPNT FEM KN SZ7,18159.0,18159.0,2723.85,18159.0,30
CDM,477961,SCREW BN 7MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,477962,SCREW BN 5.5MM 42.5MM,2790.0,2790.0,418.5,2790.0,30
CDM,477963,PLATE BN 2.7MM 85MM,4907.0,4907.0,736.05,4907.0,30
CDM,477964,PLATE BN 2.7/3.5MM 82MM,4758.0,4758.0,713.7,4758.0,30
CDM,477965,HEAD RADL ELB 26MM,4606.0,4606.0,690.9,4606.0,30
CDM,477966,STEM ELB 11X2MM 38MM,8858.0,8858.0,1328.7,8858.0,30
CDM,477967,SCREW BN 2.5X30MM,2591.0,2591.0,388.65,2591.0,30
CDM,477968,BIT DRILL ORT 1.9MM,1416.0,1416.0,212.4,1416.0,42
CDM,477970,STEM KN FEM SP EXT19X120,4802.0,4802.0,720.3,4802.0,30
CDM,477971,CMPNT TIB BRG PS71/75X22,6142.0,6142.0,921.3,6142.0,30
CDM,477972,WEDGE MEDIAL LT 10MM SZ4,4429.0,4429.0,664.35,4429.0,30
CDM,477973,PLATE BN 6HL 118MM 2.7MM,4150.0,4150.0,622.5,4150.0,30
CDM,477974,SCREW BN SPN 5.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,477975,STEM FEM HIP 25MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,477976,SPACER SPN HD 14X12X24MM,24116.0,24116.0,3617.4,24116.0,30
CDM,477977,PIN FX BLUNT TEMP BLUNT,773.0,773.0,115.95,773.0,42
CDM,477978,PIN FIXATION TEMP SHARP,773.0,773.0,115.95,773.0,42
CDM,477980,COMPNT TIB ANKLE SZ1,26812.0,26812.0,4021.8,26812.0,30
CDM,477981,PLATE SPN 3LVL 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,477982,LINER ACTB HIP 48MM,9051.0,9051.0,1357.65,9051.0,30
CDM,477983,STEM FEM HIP SZ12/14 135,19670.0,19670.0,2950.5,19670.0,30
CDM,477984,STEM FEM HIP127D 2 124MM,6201.0,6201.0,930.15,6201.0,30
CDM,477985,ROD SPN CURV 3.5X20MM,2711.0,2711.0,406.65,2711.0,30
CDM,477986,SCREW SPN PLYAX 4.0X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,477987,STEM HUM 7MM 80MM,22469.0,22469.0,3370.35,22469.0,30
CDM,477988,COLLAR HUM STM 20.5MM,7216.0,7216.0,1082.4,7216.0,30
CDM,477989,CMPNT HUM SHLDR 75MM,44534.0,44534.0,6680.1,44534.0,30
CDM,477990,SCREW BN 137.5MM 87.5 TP,3668.0,3668.0,550.2,3668.0,30
CDM,477991,CONNECTOR SPN 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,477992,SCREW BN SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,477993,PLATE FIB BN 2.3MM 32HL,5838.0,5838.0,875.7,5838.0,30
CDM,477994,ROD SPN 120MM,2630.0,2630.0,394.5,2630.0,30
CDM,477995,PLATE BN 7H,7376.0,7376.0,1106.4,7376.0,30
CDM,477996,SCREW V-AX ELB 3.5X8MM,2456.0,2456.0,368.4,2456.0,30
CDM,477997,SCREW BN 2.7MM 16MM,1268.0,1268.0,190.2,1268.0,30
CDM,477998,SCREW V-AX ELB 2.7X18MM,1268.0,1268.0,190.2,1268.0,30
CDM,477999,CMPNT FEM KN 50MM 58MM,35849.0,35849.0,5377.35,35849.0,30
CDM,478000,SCREW BN 3MM 10MM,1435.0,1435.0,215.25,1435.0,30
CDM,478001,SCREW BN CMPR 3X14MM,1435.0,1435.0,215.25,1435.0,30
CDM,478002,PEG BN THRD 2.7MM 12MM,1212.0,1212.0,181.8,1212.0,30
CDM,478003,SCREW BN SPN 5.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,478004,SCREW BN SPN 5.5MM 55MM,4247.0,4247.0,637.05,4247.0,30
CDM,478005,SCREW BN SPN 5.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,478006,LINER ACTB HIP SZ-H 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,478007,COMPNT SHLDR 36MM +6MM,4606.0,4606.0,690.9,4606.0,30
CDM,478008,COMPNT SHLDR 36MM +3MM,4606.0,4606.0,690.9,4606.0,30
CDM,478009,SCREW BN 4.75MM 30MM,877.0,877.0,131.55,877.0,30
CDM,478010,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,478011,CMPNT FEM NAR KN RT SZ12,9301.0,9301.0,1395.15,9301.0,30
CDM,478012,SPACER SPN STD 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,478014,SCREW BN 5MM 85MM,399.0,399.0,59.85,399.0,30
CDM,478015,UNIT NAVIGATION ORTHO AL,4093.0,4093.0,613.95,4093.0,42
CDM,478016,GRAFT BN ALG RNG18X26X26,11073.0,11073.0,1660.95,11073.0,30
CDM,478017,GRAFT BN 20X26X26MM,11073.0,11073.0,1660.95,11073.0,30
CDM,478018,REAMER HEAD 13.0MM DISP,2879.5,2879.5,431.93,2879.5,42
CDM,478019,REAMER HEAD 14.0MM DISP,2879.5,2879.5,431.93,2879.5,42
CDM,478020,SCREW BN 5.0MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,478021,GWIRE ORTH 3MM 800MM,1133.0,1133.0,169.95,1133.0,42
CDM,478022,NAIL BN 11.5MM 70CM,32099.0,32099.0,4814.85,32099.0,30
CDM,478023,SCREW BN 8MM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,478024,INSERT KN ARTC SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,478025,INSERT TIB KN 4.5F/5.5T,5315.0,5315.0,797.25,5315.0,30
CDM,478026,INSERT TIB KN SZ5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,478027,INSERT TIB KN SZ5 14MM,8309.0,8309.0,1246.35,8309.0,30
CDM,478028,AUGMENT TIB KN 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,478029,CMPNT FEM KN SZ5,18159.0,18159.0,2723.85,18159.0,30
CDM,478030,CMPNT FEM KN AUG 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,478031,BASEPLATE TIB KN SZ5,4651.0,4651.0,697.65,4651.0,30
CDM,478032,AUGMT BLOCK WEDGE KN 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,478033,SPACER SPNL 50X18X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,478034,PLATE BN 8HL 172MM,6893.0,6893.0,1033.95,6893.0,30
CDM,478035,SCREW SPN P-AX 8.5X110MM,3389.0,3389.0,508.35,3389.0,30
CDM,478036,CAGE SPN 22X17X70MM,9786.0,9786.0,1467.9,9786.0,30
CDM,478037,CAGE SPN CIF SPCR 6D X06,4429.0,4429.0,664.35,4429.0,30
CDM,478038,ROD SPN CRV 4MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,478039,SLEEVE CNTRNG 12B SM,4252.0,4252.0,637.8,4252.0,30
CDM,478040,INSERT KN TIB SZ3 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,478041,PLATE BN 12H 3.5MM 266MM,6474.0,6474.0,971.1,6474.0,30
CDM,478044,KNIFE SURGICAL 160MM,1830.5,1830.5,274.57,1830.5,42
CDM,478048,SCREW BN ZVTN SPN 4X16MM,1506.0,1506.0,225.9,1506.0,30
CDM,478050,CMPNT FEM KN UNIPLR LSER,4252.0,4252.0,637.8,4252.0,30
CDM,478051,PEG FX FOSSA DIST2X17MM,1435.0,1435.0,215.25,1435.0,30
CDM,478052,AUG TIB KN RT SZ5/6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,478053,AUG TIB KN LT SZ5/6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,478054,INSERT ARTC 7-10 12MM,5700.0,5700.0,855.0,5700.0,30
CDM,478055,SRFC ARTC SZBLUE/G,5700.0,5700.0,855.0,5700.0,30
CDM,478056,PLATE BN LCK STR 8 HL,4340.0,4340.0,651.0,4340.0,30
CDM,478060,LNR ACTB TRLG 12.4X68MM,13642.0,13642.0,2046.3,13642.0,30
CDM,478061,HEAD GLND 36MM,5537.0,5537.0,830.55,5537.0,30
CDM,478062,INSERT PIVOT MEDIAL 4-L,4429.0,4429.0,664.35,4429.0,30
CDM,478063,PLATE SPN 3LVL 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,478065,STEM RDL ELB 9X2X33MM,8858.0,8858.0,1328.7,8858.0,30
CDM,478066,PEG BN WRIST 2.3MM 20MM,1834.0,1834.0,275.1,1834.0,30
CDM,478067,IMPL SPN TTNM 17X7-4.2MM,4429.0,4429.0,664.35,4429.0,30
CDM,478068,DRILL BIT DISP 2.4MM,386.5,386.5,57.98,386.5,42
CDM,478069,SCREW SPN 4MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,478070,SCREW SPN 4MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,478071,SCREW SPN 3.5MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,478072,SCREW SPN 3.5MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,478073,CONN ROD SPN 3.5/3.5,3012.0,3012.0,451.8,3012.0,30
CDM,478074,SCREW SPN SET STD M6,753.0,753.0,112.95,753.0,30
CDM,478075,ROD SPN 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,478076,ROD SPNL PCUT 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,478077,SCREW SPN 4MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,478078,SCREW SPN 4.5MM 22MM,4247.0,4247.0,637.05,4247.0,30
CDM,478079,SCREW SPN 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,478080,SCREW SPN 5.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,478084,SCREW SPN 9.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,478085,SCREW BN SPN 7.5MM 60MM,3765.0,3765.0,564.75,3765.0,30
CDM,478086,CAGE MESH NGAGE 12X30MM,10603.0,10603.0,1590.45,10603.0,30
CDM,478087,PLUG ANCHOR STD 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,478088,PIN BN TRNSV 44MM,709.5,709.5,106.42,709.5,30
CDM,478089,SLEEVE HUM CNTRG 24MM,4252.0,4252.0,637.8,4252.0,30
CDM,478090,CMPNT FEM NAR KN LT SZ7,9301.0,9301.0,1395.15,9301.0,30
CDM,478091,AUGMENT FEM KN 8MM 5,4606.0,4606.0,690.9,4606.0,30
CDM,478092,CMPNT FEM KN SZ8,7973.0,7973.0,1195.95,7973.0,30
CDM,478093,SPACER SPN 7X14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,478094,SPACER SPNL 45X20X10,9966.0,9966.0,1494.9,9966.0,30
CDM,478095,SCREW BN SPN 5.5MM 35MM,1130.0,1130.0,169.5,1130.0,30
CDM,478127,KIT ANCHOR BUTTON 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,478133,NAIL BN 3.5MM 440MM,3189.0,3189.0,478.35,3189.0,30
CDM,478136,RELOAD STPLR 2X45MM,3189.0,3189.0,478.35,3189.0,30
CDM,478137,TOOL DSCT 70MM 1MM,962.0,962.0,144.3,962.0,42
CDM,478145,GRAFT AMNIO TISS 2.5X2CM,4429.0,4429.0,664.35,4429.0,30
CDM,478154,PUNCH SURG 8.75MM,829.0,829.0,124.35,829.0,42
CDM,478158,IMPLANT NASAL LATERA,4751.0,4751.0,712.65,4751.0,30
CDM,478162,CANN SUC 4MM 30CM,773.0,773.0,115.95,773.0,42
CDM,478163,GRAFT SFT TIS .4-.6CM,3012.0,3012.0,451.8,3012.0,30
CDM,478164,GFT SFT TIS OSS .6-.9CM,3012.0,3012.0,451.8,3012.0,30
CDM,478165,GRAFT TISS 2.5X2.5,3189.0,3189.0,478.35,3189.0,30
CDM,478166,SYSTEM IMPLANT LATERA AB,8557.0,8557.0,1283.55,8557.0,30
CDM,478178,KIT HEMOS MATRX THROMB,1274.0,1274.0,191.1,1274.0,42
CDM,478182,GUIDE SURG MNDB CSTM,4385.5,4385.5,657.83,4385.5,42
CDM,478189,PROBE VITRTM 25+ GA,762.5,762.5,114.38,762.5,42
CDM,478190,GUIDE CUT MANDIBLE DISP,21743.0,21743.0,3261.45,21743.0,42
CDM,478192,SCREW BN 4MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,478212,RETRIEVER 6X25MM,36810.0,36810.0,5521.5,36810.0,42
CDM,478213,GWIRE VASC 7.0CM 75CM,400.0,400.0,60.0,400.0,42
CDM,478218,SCREW BN 4MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,478220,STEM FEM HIP COLR SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,478221,GWIRE VASC 200CM .01IN,4093.0,4093.0,613.95,4093.0,42
CDM,478223,INTRODUCER SHTH 16F 45CM,1008.0,1008.0,151.2,1008.0,42
CDM,478226,CMPNT FEM KN +HA S6+L,7530.0,7530.0,1129.5,7530.0,30
CDM,478233,CUP THUMB CONICAL 9MM,16600.0,16600.0,2490.0,16600.0,30
CDM,478234,STEM TRILOBE THUMB SZ2,15865.0,15865.0,2379.75,15865.0,30
CDM,478235,LINER OFFSET THB 15D 8MM,16233.0,16233.0,2434.95,16233.0,30
CDM,478236,LINER STR THB 4MM 6MM,16233.0,16233.0,2434.95,16233.0,30
CDM,478237,STEM TRILOBE THUMB SZXS,15865.0,15865.0,2379.75,15865.0,30
CDM,478238,PLATE BN 2X2HL 90D .7MM,3189.0,3189.0,478.35,3189.0,30
CDM,478257,DEVICE TISS REM XL,4827.0,4827.0,724.05,4827.0,42
CDM,478258,SCREW BN ATDR 1.6X4MM,817.0,817.0,122.55,817.0,30
CDM,478263,CATH BLDL 10X80MM 75CM,819.0,819.0,122.85,819.0,42
CDM,478268,NAIL BN FEM 12MM 440MM,6644.0,6644.0,996.6,6644.0,30
CDM,478270,SPACER TIB KN LARGE,5108.0,5108.0,766.2,5108.0,30
CDM,478271,IMPLANT SPN 11.5MM 45MM,10630.0,10630.0,1956.98,10630.0,26
CDM,478272,IMPLANT SPN 11.5MM 65MM,10630.0,10630.0,1956.98,10630.0,26
CDM,478273,PLATE BN 10HL 167MM,1108.0,1108.0,166.2,1108.0,30
CDM,478276,DEVICE ESURG SUC 75CM,7034.5,7034.5,1055.17,7034.5,42
CDM,478277,TOOD LEAD STRL DF4,294.0,294.0,44.1,294.0,42
CDM,478283,BLN 10-37MMX4.0CMX90CM,4011.0,4011.0,601.65,4011.0,42
CDM,478284,KIT STENT PANC 5FR 3CM,2623.0,2623.0,393.45,2623.0,30
CDM,478286,STYLET CATH 45CM .36MM,664.5,664.5,99.67,664.5,42
CDM,478287,STYLET CATH 60CM,664.5,664.5,99.67,664.5,42
CDM,478290,KIT DRSSNG NEG PRSS 20CM,1883.5,1883.5,282.52,1883.5,42
CDM,478291,SPHERE SHLDR 2MM 36MM,4872.0,4872.0,730.8,4872.0,30
CDM,478292,LINER HIP SZ-JJ 28MM,6644.0,6644.0,996.6,6644.0,30
CDM,478293,NAIL BN 12MM 380MM,10378.0,10378.0,1556.7,10378.0,30
CDM,478294,STEM HUM REV UNIV SZ13,6578.0,6578.0,986.7,6578.0,30
CDM,478295,CUP HUM SHLDR RT +2 36MM,4651.0,4651.0,697.65,4651.0,30
CDM,478296,BLOCK AUGMT KN 3-4 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,478297,INSERT ARTC 6-9 C-D 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,478298,CAGE SPN 7D 33X16MM,18425.0,18425.0,2763.75,18425.0,30
CDM,478300,SCREW BN SPN 6MM 36MM,753.0,753.0,112.95,753.0,30
CDM,478301,CAGE SPN 3D 16.5X14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,478302,CAGE SPNL 30X11X13MM MTL,9966.0,9966.0,1494.9,9966.0,30
CDM,478303,PLATE SPN 4LVL 72MM,4429.0,4429.0,664.35,4429.0,30
CDM,478304,CMPNT FEM KN LT SZ6,7087.0,7087.0,1063.05,7087.0,30
CDM,478305,LINER CRWN CUP GRP4 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,478306,SCRW BN SPN 4X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,478307,SCRW SPN 4MM 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,478308,KWIRE FX 1.1MM 120MM,309.5,309.5,46.42,309.5,42
CDM,478309,BIT DRILL 2.4MM 120MM,2046.5,2046.5,306.98,2046.5,42
CDM,478310,DRILL CNTRSNK 3.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,478311,SCREW BN 3.5X4.5X22MM,3189.0,3189.0,478.35,3189.0,30
CDM,478312,ROD SPN 3.5-5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,478313,CAGE SPN 3D 16.5X14X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,478314,PLATE BN 6H 142MM,4814.0,4814.0,722.1,4814.0,30
CDM,478315,PLATE SPN 3LVL 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,478316,PLATE SPN 3LVL 39MM,4429.0,4429.0,664.35,4429.0,30
CDM,478317,SCREW BN SPN 4MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,478318,CMPNT KN FEM LT SZ7,7397.0,7397.0,1109.55,7397.0,30
CDM,478319,PIN DRILL 100MM 1.5MM,1637.0,1637.0,245.55,1637.0,42
CDM,478321,SCREW BN 4MM 10MM,3721.0,3721.0,558.15,3721.0,30
CDM,478325,WIRE FX 20MM .054MM SPNL,386.5,386.5,57.98,386.5,42
CDM,478326,SCREW BN 8.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
CDM,478327,SCREW SPN 8.5MM 85MM,4247.0,4247.0,637.05,4247.0,30
CDM,478328,SCREW SPN CREO 7.5X55,3765.0,3765.0,564.75,3765.0,30
CDM,478329,SCREW SPN 8.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,478330,SCREW BN SPN 4.5MM 34MM,3389.0,3389.0,508.35,3389.0,30
CDM,478331,SCREW SPN 4.5MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,478332,SCR BN SPNE AXL 3.5X18MM,3389.0,3389.0,508.35,3389.0,30
CDM,478333,COMPNT FEM KN LT SZ5,7397.0,7397.0,1109.55,7397.0,30
CDM,478335,PLATE BN MXLFCL 1.5X.6MM,1390.0,1390.0,208.5,1390.0,30
CDM,478336,PLATE COMP TENS BAND 2.4,3189.0,3189.0,478.35,3189.0,30
CDM,478337,SCREW BN 2.7MM 10MM,1543.0,1543.0,231.45,1543.0,30
CDM,478341,CMPNT TIB KN SZ7,5758.0,5758.0,863.7,5758.0,30
CDM,478342,BODY HUM SHLDR LG 12.5MM,27918.0,27918.0,4187.7,27918.0,30
CDM,478343,CMPNT STEM KN 14MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,478345,IMPLANT BREAST 360CC,5315.0,5315.0,797.25,5315.0,30
CDM,478346,IMPLANT BREAST 330CC,4850.0,4850.0,727.5,4850.0,30
CDM,478350,RELOAD STPLR 30MM,516.0,516.0,77.4,516.0,30
CDM,478351,RELOAD STPLR 60MM,549.0,549.0,82.35,549.0,30
CDM,478357,RELOAD STPLR 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,478358,SHUNT CV 18MM 2.25MM,867.0,867.0,130.05,867.0,42
CDM,478360,FORCEP BIOPSY SMOOTH CUP,950.0,950.0,142.5,950.0,42
CDM,478361,TUBING BSCP FLUID,773.0,773.0,115.95,773.0,42
CDM,478362,PATCH PT NVG,71.5,71.5,10.72,71.5,42
CDM,478363,KIT INTRO BSCP PATIENT,773.0,773.0,115.95,773.0,42
CDM,478369,CAGE CERV 14.5X12X7 7D,4429.0,4429.0,664.35,4429.0,30
CDM,478370,SCREW BN TI CORT 4X36MM,2392.0,2392.0,358.8,2392.0,30
CDM,478371,NAIL IM HUM TRGN 8/7X26,5311.0,5311.0,796.65,5311.0,30
CDM,478372,SCREW BN TI CORT 4X30MM,2392.0,2392.0,358.8,2392.0,30
CDM,478380,NAIL- IM L330 OD11 TIB,6448.0,6448.0,967.2,6448.0,30
CDM,478381,SPACER SPN 27X11X11MM,9966.0,9966.0,1494.9,9966.0,30
CDM,478382,SCREW CANN F-T 7X80MM,2790.0,2790.0,418.5,2790.0,30
CDM,478384,WDGE S4 15D10P,4606.0,4606.0,690.9,4606.0,30
CDM,478385,CMPNT FEM G KN LT LPSFLX,9301.0,9301.0,1395.15,9301.0,30
CDM,478386,INSERT ARTC 5-6 G-H 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,478387,BLOCK CUT VISIONAIRE LGN,1637.0,1637.0,245.55,1637.0,42
CDM,478388,CMPNT FEM KN RT SZ6,7087.0,7087.0,1063.05,7087.0,30
CDM,478389,SHELL ACTB HIP 68MM,13166.0,13166.0,1974.9,13166.0,30
CDM,478390,SCREW BN 1LVL 1.8X5MM,460.0,460.0,69.0,460.0,30
CDM,478391,PLATE BN MXLFCL 2HL 15X6,930.0,930.0,139.5,930.0,30
CDM,478392,COVER BURR HOLE 1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,478394,PLATE SPN 2HL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,478395,SCREW 7.5MM 70MM SPNL ST,3012.0,3012.0,451.8,3012.0,30
CDM,478396,PLATE SPN 3LVL 63MM,4429.0,4429.0,664.35,4429.0,30
CDM,478397,BASEPLATE TIB KN SZ7,4651.0,4651.0,697.65,4651.0,30
CDM,478398,CMPNT GLND CAGE SM,7087.0,7087.0,1063.05,7087.0,30
CDM,478402,BASEPLATE TIB KN SZ6,4651.0,4651.0,697.65,4651.0,30
CDM,478403,ROD SPN LRDTC 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,478404,SCREW BN POLY 2.5X24MM,1929.0,1929.0,289.35,1929.0,30
CDM,478405,INSERT TIB ANKL SZ4 10MM,12331.0,12331.0,1849.65,12331.0,30
CDM,478406,LINER ADPR CNSTRN 46-48,6644.0,6644.0,996.6,6644.0,30
CDM,478407,TRIAL LNR HIP 0D SZD,7674.0,7674.0,1151.1,7674.0,42
CDM,478408,CMPNT PAT KN 11X39MM,4252.0,4252.0,637.8,4252.0,30
CDM,478409,PLATE BN MXLFCL 6HL 16X6,3189.0,3189.0,478.35,3189.0,30
CDM,478410,MODEL SLM ORBITAL RIM IP,10206.5,10206.5,1530.97,10206.5,42
CDM,478412,ANCHOR SUT 2.5MM 8MM,3320.0,3320.0,498.0,3320.0,30
CDM,478413,SPACER SPNL 55X22X14MM,14395.0,14395.0,2159.25,14395.0,30
CDM,478414,SCREW SPN 4MM 34MM,3389.0,3389.0,508.35,3389.0,30
CDM,478415,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,478416,CMPNT KN CMNTLS RT SZ2,7087.0,7087.0,1063.05,7087.0,30
CDM,478417,STEM FEM KN 60X105X13MM,4429.0,4429.0,664.35,4429.0,30
CDM,478418,CMPNT FEM KN RT SZ2,5980.0,5980.0,897.0,5980.0,30
CDM,478419,BASEPLATE TIB KN SZ-E,4606.0,4606.0,690.9,4606.0,30
CDM,478420,INSERT TIB KN RT E 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,478421,SCREW SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,478422,SCREW SPN 8.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,478423,SCREW SPN 8.5MM 60MM,4247.0,4247.0,637.05,4247.0,30
CDM,478424,SCREW SPN P-AX 8.5X80MM,3389.0,3389.0,508.35,3389.0,30
CDM,478425,SCREW SPN 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,478427,CONNECTOR ROD SPN46-64MM,3012.0,3012.0,451.8,3012.0,30
CDM,478428,PLATE BN 12H 2X6MM,3721.0,3721.0,558.15,3721.0,30
CDM,478429,SCREW BN MXDRV 2.3X7MM,1255.0,1255.0,188.25,1255.0,30
CDM,478431,PLATE BN FUS REV RT,8836.0,8836.0,1325.4,8836.0,30
CDM,478432,SCREW BN 3.5MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,478433,SCREW BN 2.7MM 2MM 12MM,319.0,319.0,47.85,319.0,30
CDM,478434,SCREW BN 3.5MM 2.5MM,1356.0,1356.0,203.4,1356.0,30
CDM,478435,SCREW BN 2.5MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,478436,SCREW BN 3.5MM 2.5MM,1356.0,1356.0,203.4,1356.0,30
CDM,478437,ROD SPNL 55MM 5.5MM THUN,2711.0,2711.0,406.65,2711.0,30
CDM,478438,SPACER SPNL 6D 28X9X12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,478441,NAIL BN 13MM 21.5CM,4429.0,4429.0,664.35,4429.0,30
CDM,478442,SROM STEM STD42 24X19X17,7087.0,7087.0,1063.05,7087.0,30
CDM,478443,SLEEVE CNTRNG 1.5X5 24D,4252.0,4252.0,637.8,4252.0,30
CDM,478444,K-WIRE 1.6MM 200MM,618.5,618.5,92.78,618.5,42
CDM,478445,CMPNT PTLA KN 10MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,478446,PLATE BN 7HL 14MM,5138.0,5138.0,770.7,5138.0,30
CDM,478447,WIRE FX .8MM 80MM,309.5,309.5,46.42,309.5,42
CDM,478448,SCREW BN 2.4MM 12MM,1435.0,1435.0,215.25,1435.0,30
CDM,478449,NAIL BN RT FEM 12X380MM,6312.0,6312.0,946.8,6312.0,30
CDM,478450,MARKER SURG 3.5X15MM,1013.5,1013.5,152.03,1013.5,42
CDM,478451,KIT BLOCK CUT GUIDE,1555.5,1555.5,233.32,1555.5,42
CDM,478452,SCREW BN 3.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,478453,SCREW BN SPN 3.5MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,478454,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,478455,ROD SPNL 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,478456,CONN ROD SPN 19MM,3389.0,3389.0,508.35,3389.0,30
CDM,478457,CMPNT BEARING RT LRG 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,478458,CMPNT FEM KN LT SZ7,7087.0,7087.0,1063.05,7087.0,30
CDM,478459,NAIL BN 12MM 13MM 40CM,4872.0,4872.0,730.8,4872.0,30
CDM,478460,SYST KN JNT REPL SPEC SZ,17716.0,17716.0,2657.4,17716.0,30
CDM,478461,STEM FEM HIP 12MM 150MM,7805.0,7805.0,1170.75,7805.0,30
CDM,478462,HD FEM 14 16 OXI TPR 32,4429.0,4429.0,664.35,4429.0,30
CDM,478463,INSRT ACTB HIP X3 32H,6644.0,6644.0,996.6,6644.0,30
CDM,478464,LINER ACTB HIP 10D +4MM,6644.0,6644.0,996.6,6644.0,30
CDM,478465,STEM FEM KN 16X120MM,4606.0,4606.0,690.9,4606.0,30
CDM,478466,INSERT FEM KN LT SZ4,17220.0,17220.0,2583.0,17220.0,30
CDM,478467,STEM FEM KN 120X18MM,4606.0,4606.0,690.9,4606.0,30
CDM,478468,INSERT TIB KN 4 13MM,7175.0,7175.0,1076.25,7175.0,30
CDM,478469,GRAFT VASC 70CM 8MM,17061.0,17061.0,2559.15,17061.0,30
CDM,478470,GRAFT VASC THIN 90CM 6MM,13606.0,13606.0,2040.9,13606.0,30
CDM,478471,KIT INERBRAC LGMNT AUG,6953.0,6953.0,1042.95,6953.0,30
CDM,478472,SPACER SPN 50X18X14MM,14395.0,14395.0,2159.25,14395.0,30
CDM,478474,INSERT SHLDR SZ3 36MM,8770.0,8770.0,1315.5,8770.0,30
CDM,478476,DRIVER TRQ SURG ELB,3642.5,3642.5,546.38,3642.5,42
CDM,478477,CMPNT HUM SHLDR SZ3/4 42,8770.0,8770.0,1315.5,8770.0,30
CDM,478482,PLATE TIB 14H 3.5X239MM,4675.0,4675.0,701.25,4675.0,30
CDM,478487,SCREW SPN 5.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,478490,PLATE BN P/L LT 207MM,3734.0,3734.0,560.1,3734.0,30
CDM,478491,IMPL SPN PLVC 11.5X60MM,10630.0,10630.0,1956.98,10630.0,26
CDM,478492,PLATE SPN 4H SZ5,4429.0,4429.0,664.35,4429.0,30
CDM,478499,WEDGE AUG RT 10 LGN3-4,4606.0,4606.0,690.9,4606.0,30
CDM,478500,WEDGE CONE KN RT 22MM,13287.0,13287.0,1993.05,13287.0,30
CDM,478501,SCREW BN 4.5MM 36MM,798.0,798.0,119.7,798.0,30
CDM,478514,CONE FEM KN REV X LARGE,13730.0,13730.0,2059.5,13730.0,30
CDM,478518,CMPNT FEM HIP SZ7,7530.0,7530.0,1129.5,7530.0,30
CDM,478519,SCREW BN 7.5MM 90MM,3665.0,3665.0,549.75,3665.0,30
CDM,478520,SCREW BN 7.5MM 65MM,3665.0,3665.0,549.75,3665.0,30
CDM,478522,SCREW BN 5.5MM 35MM,3470.0,3470.0,520.5,3470.0,30
CDM,478523,SCREW BN 5.5MM 55MM,3470.0,3470.0,520.5,3470.0,30
CDM,478524,KWIRE FX .062IN 7.25IN,406.0,406.0,60.9,406.0,42
CDM,478525,SOL INTOCC 27G 0.5ML,683.0,683.0,102.45,683.0,30
CDM,478528,CATH URTH 16FR 16IN,14.5,14.5,2.17,14.5,42
CDM,478530,GRAFT VASC 26X28MM 100MM,134575.0,134575.0,20186.25,134575.0,30
CDM,478537,CMPNT SLEEVE TIB 3CM,7024.0,7024.0,1053.6,7024.0,30
CDM,478538,GRAFT TIS 2X20X25MM,13287.0,13287.0,1993.05,13287.0,30
CDM,478539,SCREW SPNL STRGH 6.5X100,2954.0,2954.0,443.1,2954.0,30
CDM,478542,ANCHOR BONE IMPLANT,6976.0,6976.0,1046.4,6976.0,30
CDM,478543,INS TIB KN LT SZ6+ 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,478550,NEEDLE PK FLEX ABL 21GA,53206.5,53206.5,7980.98,53206.5,42
CDM,478551,PACK PEF ABL,48602.0,48602.0,7290.3,48602.0,42
CDM,478559,KIT MINTRDCR 5FR 10CM,255.0,255.0,38.25,255.0,42
CDM,478564,LENS IOL +13.0 DIOP,606.5,606.5,111.66,606.5,28
CDM,478571,COMPNT TLR ANKL DOME+3MM,27903.0,27903.0,4185.45,27903.0,30
CDM,478572,DISC SPN INTVRTB SZ1 6MM,21703.0,21703.0,3255.45,21703.0,30
CDM,478573,PLATE BN 12H 3.5X268MM,6276.0,6276.0,941.4,6276.0,30
CDM,478574,FIBER LASER 400UM,4093.0,4093.0,613.95,4093.0,42
CDM,479056,DRESSING WND 7.1X4.9IN,1036.5,1036.5,155.47,1036.5,42
CDM,479058,CATH ASPIRATION REACT 68,11383.5,11383.5,1707.53,11383.5,42
CDM,479061,GWIRE VASC .018IN 180CM,2417.5,2417.5,362.63,2417.5,42
CDM,479062,CAPSULE ENDO 11.4X26.2MM,4093.0,4093.0,613.95,4093.0,42
CDM,479063,KIT SPLINT NASAL,8374.5,8374.5,1256.17,8374.5,42
CDM,479064,SPLINT IPS SUPPLEMENTAL,2445.5,2445.5,366.82,2445.5,42
CDM,479065,SPACER HUM SHLDR +6X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,479066,INSERT HUM SHLDR +6X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,479067,INS TIBCNSTRN SZ2.5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,479068,INSRT TIB STD 17.5MM RP,4429.0,4429.0,664.35,4429.0,30
CDM,479069,PLATE BN LMBR SPNE 36MM,9301.0,9301.0,1395.15,9301.0,30
CDM,479070,INSERT TIB ANKL SZ2 8MM,9213.0,9213.0,1381.95,9213.0,30
CDM,479071,SCREW BN 1LVL 1.8X5MM,460.0,460.0,69.0,460.0,30
CDM,479072,INSERT TIB KN 9MM SZ1-2,4429.0,4429.0,664.35,4429.0,30
CDM,479073,STEM FEM HIP SZ17 190MM,17596.0,17596.0,2639.4,17596.0,30
CDM,479074,PLATE PTERIONAL LT 17HL,4429.0,4429.0,664.35,4429.0,30
CDM,479076,STEM FEM HIP 70MM,16725.0,16725.0,2508.75,16725.0,30
CDM,479077,CMPNT FEM KNEE LT SZG,9301.0,9301.0,1395.15,9301.0,30
CDM,479078,ROD SPN 4.75MM 120MM,3012.0,3012.0,451.8,3012.0,30
CDM,479079,ROD SPN 100MM 4.75MM,3012.0,3012.0,451.8,3012.0,30
CDM,479080,ROD SPN 110MM 4.75MM,3012.0,3012.0,451.8,3012.0,30
CDM,479081,SURFACE ARTC 00596203014,4606.0,4606.0,690.9,4606.0,30
CDM,479082,CMPNT FEM D KN RT,9301.0,9301.0,1395.15,9301.0,30
CDM,479083,PLATE BN 12HL 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,479084,SCREW BN 1.5MM 8MM,1563.0,1563.0,234.45,1563.0,30
CDM,479085,SCREW BN 1.5MM 10MM,1563.0,1563.0,234.45,1563.0,30
CDM,479086,SCREW LCK 2.4X8MM,1595.0,1595.0,239.25,1595.0,30
CDM,479087,HEAD FEM HIP 5MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,479088,CUP ACTB TRI HIP RT 52MM,44069.0,44069.0,6610.35,44069.0,30
CDM,479089,KIT NRSTM TRIAL,773.0,773.0,115.95,773.0,42
CDM,479091,CAGE SPN LT 16X20X26MM,9966.0,9966.0,1494.9,9966.0,30
CDM,479092,DISC INLAY SPNL MD 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,479093,ROD SPN 5.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,479094,SPACER SPNL 50X22X14MM,14395.0,14395.0,2159.25,14395.0,30
CDM,479095,CONN ROD 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,479096,SCREW SPN PLY 3.5X24MM,3765.0,3765.0,564.75,3765.0,30
CDM,479097,SCRW ELLIPSE POLY 4.5X16,4247.0,4247.0,637.05,4247.0,30
CDM,479098,SCREW 4.5X14 ELLIPSE,4247.0,4247.0,637.05,4247.0,30
CDM,479099,SCRW ELLIPSE POL 4.5X12,4247.0,4247.0,637.05,4247.0,30
CDM,479100,SCREW SPN 4MM 14MM,4247.0,4247.0,637.05,4247.0,30
CDM,479101,SCRW ELLIPSE POLY 4.5X10,4247.0,4247.0,637.05,4247.0,30
CDM,479102,SCREW BN 4X18 182.418,4247.0,4247.0,637.05,4247.0,30
CDM,479103,ROD SPN 3.5-5.5MM 350MM,2711.0,2711.0,406.65,2711.0,30
CDM,479106,SURFACE ARTC 7-10 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,479108,PLATE SPN 4LVL 69MM,4429.0,4429.0,664.35,4429.0,30
CDM,479109,SCREW SPN 4.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,479110,STEM FEM HIP SZ12,8416.0,8416.0,1262.4,8416.0,30
CDM,479111,PLATE BN RT 12HL 266MM,7644.0,7644.0,1146.6,7644.0,30
CDM,479112,SCREW BN 5.0X24MM,2906.0,2906.0,435.9,2906.0,30
CDM,479113,SCREW BN 5MM 55MM,2774.0,2774.0,416.1,2774.0,30
CDM,479114,CEMENT BN HVIS PMMA 40GM,941.0,941.0,141.15,941.0,30
CDM,479115,CEMENT BN HVIS PMMA 40GM,2695.0,2695.0,404.25,2695.0,30
CDM,479116,SCREW BN 2.7MM 46MM,1571.0,1571.0,235.65,1571.0,30
CDM,479117,SCREW BN 2.7MM 48MM,1571.0,1571.0,235.65,1571.0,30
CDM,479119,SCREW BN 2.7MM 60MM,1295.0,1295.0,194.25,1295.0,30
CDM,479120,CLIP IRR MICS STRL,947.0,947.0,142.05,947.0,42
CDM,479121,BURR CUT STRL DISP 6MM,773.0,773.0,115.95,773.0,42
CDM,479124,INSERT TIB KN RT 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,479125,SCREW DRKSTR CAN4.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,479126,SCREW DRKSTR CAN4.5X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,479127,SCREW DRKSTR CAN4.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,479128,SCREW SPNL CANN 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,479129,LINER ACTB HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,479130,STEM FEM HIP STD SZ12,8416.0,8416.0,1262.4,8416.0,30
CDM,479131,CMPNT FEM KN LT SZ6,18159.0,18159.0,2723.85,18159.0,30
CDM,479132,STEM FEM OFST 120X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,479133,SHELL ACTB HIP 3H 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,479134,LINER ACTB 40MM 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,479135,STEM HUM SHLDR 14MM 70MM,10209.0,10209.0,1531.35,10209.0,30
CDM,479139,JOINT FNGR PREFLX SZ1,5740.0,5740.0,861.0,5740.0,30
CDM,479140,PIN FX UNV TEMP 22MM,386.5,386.5,57.98,386.5,42
CDM,479141,PLATE SPN 1LVL 26MM,11073.0,11073.0,1660.95,11073.0,30
CDM,479142,SCREW BN 3MM 4MM 18MM 3M,3189.0,3189.0,478.35,3189.0,30
CDM,479143,DRILL CNTRSNK 3 MM,1023.5,1023.5,153.53,1023.5,42
CDM,479144,BIT DRILL CANN 2.1X120MM,1310.0,1310.0,196.5,1310.0,42
CDM,479145,GWIRE ORTH 6X.62IN STRCR,446.5,446.5,66.97,446.5,42
CDM,479146,PASSER SUT STR MINI,5947.5,5947.5,892.13,5947.5,42
CDM,479147,MESH SURG KNIT 30X20CM,19670.0,19670.0,2950.5,19670.0,30
CDM,479148,GRAFT EVAS 22FR 30X95MM,49985.0,49985.0,7497.75,49985.0,30
CDM,479149,SPACER SPN 14X12X20MM,24116.0,24116.0,3617.4,24116.0,30
CDM,479150,SPACER SPN 8D 16X14X22MM,26796.0,26796.0,4019.4,26796.0,30
CDM,479151,CONNECTOR ROD SPN MED AD,3012.0,3012.0,451.8,3012.0,30
CDM,479152,PLATE CERV 2LVL 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,479153,KWIRE FX 3.2MM 450MM,991.0,991.0,148.65,991.0,42
CDM,479155,SCREW POLY 3.5MM 8MM,3765.0,3765.0,564.75,3765.0,30
CDM,479156,SCREW BN 3.5X4.5X35MM,3189.0,3189.0,478.35,3189.0,30
CDM,479157,ROD SPN 85MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,479158,STEM TIB KN 19MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,479159,LINER ACTB HIP 56X36MM,6644.0,6644.0,996.6,6644.0,30
CDM,479160,INSERT KNEE TIB 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,479162,CANNULA BUTTON 12MM 4CM,773.0,773.0,115.95,773.0,42
CDM,479163,KIT SUT SPR DRL 3MM,2415.0,2415.0,362.25,2415.0,42
CDM,479164,ANCHOR SUT 3.0MM 12.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,479165,IMP SYS FX 4.75MM,7087.0,7087.0,1063.05,7087.0,30
CDM,479167,INSERT TIB KN SZG-H 23MM,4606.0,4606.0,690.9,4606.0,30
CDM,479168,PLATE 5 PEG 5H LT,5581.0,5581.0,837.15,5581.0,30
CDM,479169,SCREW BN 3MM 17MM 4MM,2618.0,2618.0,392.7,2618.0,30
CDM,479170,BASEPLATE TIB KN RT SZC,4872.0,4872.0,730.8,4872.0,30
CDM,479171,CMPNT FEM STD KN RT SZ5,9301.0,9301.0,1395.15,9301.0,30
CDM,479172,STEM FEM HIP 240MM 19MM,20336.0,20336.0,3050.4,20336.0,30
CDM,479173,CUP ACTB HIP PLVS 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,479175,LINER ACTB HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,479176,PLATE BN HOOK LT 8HL,4429.0,4429.0,664.35,4429.0,30
CDM,479177,SCREW BN 3.2MM 28MM,1595.0,1595.0,239.25,1595.0,30
CDM,479178,SHELL ACTB HIP GRP7 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,479179,LINER CUP ACTB 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,479180,COMPNT DOME ANKL SIZE 1,23031.0,23031.0,3454.65,23031.0,30
CDM,479181,STEM FEM HIP 150X15MM,7805.0,7805.0,1170.75,7805.0,30
CDM,479182,CMPNT AUG KN SZ C,11757.0,11757.0,1763.55,11757.0,30
CDM,479183,SCREW SPN 8.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,479185,HEAD FEM HIP 0MM 12/14MM,4429.0,4429.0,664.35,4429.0,30
CDM,479186,HEAD FEM HIP 12/14 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,479187,BEARING HIP 28MM 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,479188,STEM HIP FEM STD 12X140,8858.0,8858.0,1328.7,8858.0,30
CDM,479189,GRAFT EVAS 14.5MM 7CM,13115.0,13115.0,1967.25,13115.0,30
CDM,479190,GRAFT STNT 7CM 10MM,13442.0,13442.0,2016.3,13442.0,30
CDM,479191,ANCHOR SUT 6.25MM 19.1MM,3203.0,3203.0,480.45,3203.0,30
CDM,479192,ANCH SUT 5.5MM 20MM,3069.5,3069.5,460.43,3069.5,30
CDM,479194,CONNECTION SINGLE SZE,46505.0,46505.0,6975.75,46505.0,30
CDM,479195,SCREW CORT 4.5MMX35MM,1712.0,1712.0,256.8,1712.0,30
CDM,479196,SCREW CORT 4.5MMX32.5MM,1712.0,1712.0,256.8,1712.0,30
CDM,479197,SCREW CORT 4.5MMX27.5MM,1712.0,1712.0,256.8,1712.0,30
CDM,479198,LINER CNSTRN SIZE 40E,6644.0,6644.0,996.6,6644.0,30
CDM,479199,SHELL ACTB HIP 3H 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,479200,LINER ACTB HIP0D 62X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,479201,INSERT TIB KN 1-2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,479204,GWIRE URO ANGLD .035X150,552.5,552.5,82.88,552.5,42
CDM,479205,LEAD PCNG 60CM,2525.0,2525.0,378.75,2525.0,30
CDM,479206,ADAPTER LEAD DEFIB 40CM,3712.0,3712.0,556.8,3712.0,30
CDM,479207,SCREW BN 2.0MM 7MM,925.0,925.0,138.75,925.0,30
CDM,479208,PLATE LG 1.6MM 2X7 STR,3189.0,3189.0,478.35,3189.0,30
CDM,479210,SPACER SPNL 36X12MM,9523.0,9523.0,1428.45,9523.0,30
CDM,479211,SPACER SPNL 30MMX14MM,9523.0,9523.0,1428.45,9523.0,30
CDM,479213,ROD SPNL CD 4.75X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,479214,CANNULA BTN 8MM 4CM,519.5,519.5,77.92,519.5,42
CDM,479215,LINER ACTB HIP 32MM 52MM,6644.0,6644.0,996.6,6644.0,30
CDM,479216,DEVICE MENSICAL AIR CUR,3422.0,3422.0,513.3,3422.0,30
CDM,479217,PUSHER KNOT SUT CUTR 2-0,1301.5,1301.5,195.22,1301.5,42
CDM,479219,SHEATH ARTHSCP FX 23MM,3189.0,3189.0,478.35,3189.0,30
CDM,479220,SCREW BN 8MM 23MM,3189.0,3189.0,478.35,3189.0,30
CDM,479222,SCREW BN 9.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,479223,SCREW BN 5MM 30MM,1196.0,1196.0,179.4,1196.0,30
CDM,479224,CMPNT SHLDR 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,479226,KIT ARTHSCP FX 2.7MM,1105.0,1105.0,165.75,1105.0,42
CDM,479227,CNNULA W OBRURATOR,2726.0,2726.0,408.9,2726.0,42
CDM,479228,BIT DRILL 1.4MM,1432.5,1432.5,214.88,1432.5,42
CDM,479229,ANCHOR SUT 1.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,479231,PLATE SPN LVL3 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,479232,LINER PLY DYNSTY STD 36G,4429.0,4429.0,664.35,4429.0,30
CDM,479233,ANCHOR SUT 5.5MM 19.1MM,3189.0,3189.0,478.35,3189.0,30
CDM,479234,CANNULA ARTHSCP 8.25MM,386.5,386.5,57.98,386.5,42
CDM,479235,PSSR SUTLSO 90D STR CRV,1310.0,1310.0,196.5,1310.0,42
CDM,479236,BLADE SHVR 5MM,773.0,773.0,115.95,773.0,42
CDM,479237,CMPNT PTLR KN 7.5MM 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,479238,PLATE BN 10HL 84X2MM,3189.0,3189.0,478.35,3189.0,30
CDM,479239,PLATE BN 116MM 2.7/3.5MM,4478.0,4478.0,671.7,4478.0,30
CDM,479240,STEM BN 9MM 0MM,5196.0,5196.0,779.4,5196.0,30
CDM,479241,WEDGE 54MM LONG INTERSPA,13967.0,13967.0,2095.05,13967.0,30
CDM,479242,WEDGE 54MM SHRT INTERSPA,14461.0,14461.0,2169.15,14461.0,30
CDM,479243,BURR HOLE COVER 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,479244,PLATE BN HK 6HL LT 3.2MM,4429.0,4429.0,664.35,4429.0,30
CDM,479245,SCREW BN ORTH LCK 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,479246,SCREW BN 3.2X22MM,1356.0,1356.0,203.4,1356.0,30
CDM,479247,SCREW BN CORT 3.2MMX24MM,1356.0,1356.0,203.4,1356.0,30
CDM,479248,INSERT TIB KN SZ6 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,479249,COMPONENT FEM 2 LT KN PS,6644.0,6644.0,996.6,6644.0,30
CDM,479250,WEDGE FEM KN 5MM SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,479251,SCREW BN 2.4MM 26MM,743.0,743.0,111.45,743.0,30
CDM,479253,ROD SPN STRGH 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,479254,PLATE SPN FIX 2LVL 24MM,4429.0,4429.0,664.35,4429.0,30
CDM,479260,PLATE SPN 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,479261,CONNECTOR SPN 5.5X35-38,3012.0,3012.0,451.8,3012.0,30
CDM,479262,PLATE BN P-AX LOCKING,8047.0,8047.0,1207.05,8047.0,30
CDM,479263,SCREW BN 2.7MM 12MM,670.0,670.0,100.5,670.0,30
CDM,479264,SCREW BN NLCKG 2.7X10MM,1317.0,1317.0,197.55,1317.0,30
CDM,479265,SCREW BN 2.7MM 28MM,1317.0,1317.0,197.55,1317.0,30
CDM,479266,SCREW SPN 2.7MM 26MM,633.0,633.0,94.95,633.0,30
CDM,479267,SCREW BN 3.6MM 32MM,3004.0,3004.0,450.6,3004.0,30
CDM,479269,PLATE BN 8H 2.4X68MM,3189.0,3189.0,478.35,3189.0,30
CDM,479272,COMPONENT ANKLE S +4 5LG,29498.0,29498.0,4424.7,29498.0,30
CDM,479273,STEM TIB ANKLE 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,479274,STEM TIB ANKLE 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,479275,GUIDE ALGN CUSTM,7173.0,7173.0,1075.95,7173.0,42
CDM,479276,INSERT TIB POLY 4+ 14MM,12543.0,12543.0,1881.45,12543.0,30
CDM,479277,DOME TALAR STD SZ4,27903.0,27903.0,4185.45,27903.0,30
CDM,479278,COMPONENT TLR LT 6MM,15506.0,15506.0,2325.9,15506.0,30
CDM,479279,STEM TIB ANKLE 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,479280,SHEATH CATH 7FR 45CM,4093.0,4093.0,613.95,4093.0,42
CDM,479281,CUP HUM SHLDR 32X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,479282,SCREW SPNL P-AX 8.5X70MM,3389.0,3389.0,508.35,3389.0,30
CDM,479283,IMPLANT BREAST 295CC,5315.0,5315.0,797.25,5315.0,30
CDM,479284,PLATE STR 71MMX1.3MM,3547.0,3547.0,532.05,3547.0,30
CDM,479285,PLATE BN 1 LVL 2.3MM,2284.0,2284.0,342.6,2284.0,30
CDM,479286,TRAY HUM +12MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,479287,DISC INTVRTB 6X17X17MM,21703.0,21703.0,3255.45,21703.0,30
CDM,479288,STEM RADL ELBOW 10MMX2MM,8858.0,8858.0,1328.7,8858.0,30
CDM,479289,PLATE OLECRNON RT 6HL,4429.0,4429.0,664.35,4429.0,30
CDM,479290,SCREW BN 3.2MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,479291,SUSTITUTE BNGF 120MM,12845.0,12845.0,1926.75,12845.0,30
CDM,479292,PLATE BN LT 10D SM,8088.0,8088.0,1213.2,8088.0,30
CDM,479293,SCREW BN 2.7MM 16MM,319.0,319.0,47.85,319.0,30
CDM,479294,SCREW BN 3MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,479296,SCREW BN 2MM 14MM,2392.0,2392.0,358.8,2392.0,30
CDM,479297,NECK FEM PRFMR + LNG,4252.0,4252.0,637.8,4252.0,30
CDM,479298,HEAD FEM HIP SZ12/14 36,4606.0,4606.0,690.9,4606.0,30
CDM,479299,LNR ACTB DYNSTY 15D 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,479300,ANCHOR SUT 2.3MM,3646.0,3646.0,546.9,3646.0,30
CDM,479301,FILLER BN 3ML CA PHOS,4429.0,4429.0,664.35,4429.0,30
CDM,479302,BLADE SAW 90X25.4MM,870.0,870.0,130.5,870.0,42
CDM,479303,KIT INST ORTH DISP,4093.0,4093.0,613.95,4093.0,42
CDM,479304,ANCHOR SUT 2.3MM,3318.0,3318.0,497.7,3318.0,30
CDM,479306,KIT BL PMP CANN 29FR,99762.0,99762.0,14964.3,99762.0,42
CDM,479307,KIT BLD PUMP CANN 31FR,99762.0,99762.0,14964.3,99762.0,42
CDM,479308,SCREW SPNL 5.1X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,479309,SHELL ACTB HIP 48MM,13166.0,13166.0,1974.9,13166.0,30
CDM,479310,BEARING E1 40MM RNGLC 26,4606.0,4606.0,690.9,4606.0,30
CDM,479311,LINER ACTB HIP C 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,479312,BSPLT FEM TIB SZ9 LT,4606.0,4606.0,690.9,4606.0,30
CDM,479313,INSERT ARTC 7-8 15MM,5532.0,5532.0,829.8,5532.0,30
CDM,479314,NAIL BN 13MM 40CM,4872.0,4872.0,730.8,4872.0,30
CDM,479315,INS TIB CNSTRN SZ2 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,479316,LINER HIP G7 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,479317,SCREW SPNL 3.5X28MM,3765.0,3765.0,564.75,3765.0,30
CDM,479318,SCREW SPNL 3.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,479319,SCREW SPNL 4.5X38MM,3765.0,3765.0,564.75,3765.0,30
CDM,479320,SCREW BN 10MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,479321,SCREW BN INTFR 9X30MM,3189.0,3189.0,478.35,3189.0,30
CDM,479322,REAMER SURG LOPRO 8.5MM,1676.0,1676.0,251.4,1676.0,42
CDM,479323,DRILL SURG CANN FULL 9MM,1596.5,1596.5,239.47,1596.5,42
CDM,479324,STEM HUM MED 116X10.5,13287.0,13287.0,1993.05,13287.0,30
CDM,479325,HEAD HUM SHLDR 25X50MM,11073.0,11073.0,1660.95,11073.0,30
CDM,479326,CMPNT BEARING LT LRG 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,479327,INSERT KN SZ5 6MM,6821.0,6821.0,1023.15,6821.0,30
CDM,479328,INSERT TIB SM UNIV 26MM,14095.0,14095.0,2114.25,14095.0,30
CDM,479329,DRILL PEG 4MM,1023.5,1023.5,153.53,1023.5,42
CDM,479330,SPACER SPN PEEK 22X9MM,9523.0,9523.0,1428.45,9523.0,30
CDM,479332,SPACER PK 20 45LX22WX12H,13952.0,13952.0,2092.8,13952.0,30
CDM,479333,CUP ACTB HIP 68X62MM,8932.0,8932.0,1339.8,8932.0,30
CDM,479334,COMPONENT FEM KN LT 3,7397.0,7397.0,1109.55,7397.0,30
CDM,479335,INSERT KN 11MM SZ7-8,4429.0,4429.0,664.35,4429.0,30
CDM,479336,SYSTEM ANCHOR UCL 3.5MM,5222.0,5222.0,783.3,5222.0,30
CDM,479337,ANCHOR SUT 4.75MM 15.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,479338,BLADE SHVR TOMCAT 5MM,780.0,780.0,117.0,780.0,42
CDM,479339,CAGE SPN 6D 10X10X32MM,9523.0,9523.0,1428.45,9523.0,30
CDM,479340,SCREW 6.5X50MM SOLID PAX,3765.0,3765.0,564.75,3765.0,30
CDM,479341,CAP SPN LCK ALOY THRD,753.0,753.0,112.95,753.0,30
CDM,479342,ROD SPN 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,479343,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,479344,CROSSLINK SPNL 68MM,3012.0,3012.0,451.8,3012.0,30
CDM,479346,BASEPLATE TIB KN LT SZH,4872.0,4872.0,730.8,4872.0,30
CDM,479347,CMPNT FEM STD KN LT SZ12,7973.0,7973.0,1195.95,7973.0,30
CDM,479348,SURF ARTC KN 6-9 18MM,4651.0,4651.0,697.65,4651.0,30
CDM,479349,CMPNT FEM STD KN RT SZ7,9301.0,9301.0,1395.15,9301.0,30
CDM,479350,BASEPLATE TIB KN RT SZD,4872.0,4872.0,730.8,4872.0,30
CDM,479351,COMPNT TIB KN SZF,4872.0,4872.0,730.8,4872.0,30
CDM,479352,CMPNT FEM STD KN LT SZ11,9301.0,9301.0,1395.15,9301.0,30
CDM,479353,SURF ARTC KN 3-5 13MM,4651.0,4651.0,697.65,4651.0,30
CDM,479355,SPCR SPN 12D 37X28X16MM,18425.0,18425.0,2763.75,18425.0,30
CDM,479356,INSERT KN POLY SEG SZB,42280.0,42280.0,6342.0,42280.0,30
CDM,479357,INSERT TIB KN 12MM,7858.0,7858.0,1178.7,7858.0,30
CDM,479358,COMPNT PTLR KN RT LG,7087.0,7087.0,1063.05,7087.0,30
CDM,479359,ANCH SUT 4.75MM 14.MM,3189.0,3189.0,478.35,3189.0,30
CDM,479362,KIT INTSTM SMART PROGRMR,7469.5,7469.5,1120.42,7469.5,42
CDM,479364,ROD SPNL 3.5X240MM,2711.0,2711.0,406.65,2711.0,30
CDM,479365,PIN SPN FX 2.5X11MM,377.0,377.0,56.55,377.0,30
CDM,479366,SCREW BN 2.3MM 15MM,1770.0,1770.0,265.5,1770.0,30
CDM,479367,SCREW SPN P-AX 3.5X14MM,4247.0,4247.0,637.05,4247.0,30
CDM,479368,SCREW SPNL 4X24MM,3765.0,3765.0,564.75,3765.0,30
CDM,479369,SCREW SPNL 4X26MM,3765.0,3765.0,564.75,3765.0,30
CDM,479370,SPACER SPNL 45X22X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,479372,PLATE SPNL CERV L3 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,479373,STEM HUM SHLDR 13MM 70MM,10209.0,10209.0,1531.35,10209.0,30
CDM,479374,CUP ACTB HIP CLSTR G7 58,4606.0,4606.0,690.9,4606.0,30
CDM,479375,NAIL BN 125D 10X340MM,8602.0,8602.0,1290.3,8602.0,30
CDM,479376,WEDGE BN 10X18X18MM,10267.0,10267.0,1540.05,10267.0,30
CDM,479377,WEDGE BN 5.5X14X20MM,9775.0,9775.0,1466.25,9775.0,30
CDM,479378,KIT SPN SURG DISP,6676.5,6676.5,1001.48,6676.5,42
CDM,479379,SCREW SPN 18/22MM,753.0,753.0,112.95,753.0,30
CDM,479380,CAGE SPN XPD 18X41-67MM,22909.0,22909.0,3436.35,22909.0,30
CDM,479381,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,479382,SCREW SPN 5.5MM 45MM,4093.0,4093.0,613.95,4093.0,30
CDM,479383,ROD SPN 5.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,479384,SCREW BN 2.4MM 14MM,1317.0,1317.0,197.55,1317.0,30
CDM,479385,SCREW BN T10 3.5/L16MM,463.0,463.0,69.45,463.0,30
CDM,479386,SCREW BN T10 3.5X18MM,670.0,670.0,100.5,670.0,30
CDM,479387,SCREW BN 4.1MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,479388,SCREW BN 3.5MM 30MM,670.0,670.0,100.5,670.0,30
CDM,479389,SCREW BN T10 3.5X20MM,670.0,670.0,100.5,670.0,30
CDM,479390,SCREW BN 5MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,479391,PLATE BN MIDFOOT SHORT,8334.0,8334.0,1250.1,8334.0,30
CDM,479392,GWIRE ORTH 3.2MM 230MM,773.0,773.0,115.95,773.0,42
CDM,479394,GWIRE ORTH 2MM 150MM,773.0,773.0,115.95,773.0,42
CDM,479396,EXTRACTOR SRG TIP.25-20M,1964.5,1964.5,294.68,1964.5,42
CDM,479397,PLT BN FEM RT316MM 13HL,7894.0,7894.0,1184.1,7894.0,30
CDM,479398,STEM FEM 100X9MM,17938.0,17938.0,2690.7,17938.0,30
CDM,479399,LINER ACTB HIP0D 28X52MM,6644.0,6644.0,996.6,6644.0,30
CDM,479400,LINER ACTB HIP SZ7 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,479401,LINER ACTB HIP G6 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,479402,STEM HIP 240MM SZ17,19319.0,19319.0,2897.85,19319.0,30
CDM,479403,SCREW SPN 9.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,479404,SPACER SPN 26X12X10MM,15945.0,15945.0,2391.75,15945.0,30
CDM,479405,SPACER SPNL 36MMX14MM,9523.0,9523.0,1428.45,9523.0,30
CDM,479406,SCREW BN SPN 6MM 20MM,753.0,753.0,112.95,753.0,30
CDM,479408,SCREW BN SPN 9.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,479409,STEM FEM KN 10MM 100MM,17938.0,17938.0,2690.7,17938.0,30
CDM,479410,INSERT TIB LPS 23MM,14095.0,14095.0,2114.25,14095.0,30
CDM,479411,INSERT TIB KN SZ5 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,479412,SCREW BN 5MM 16MM,2492.0,2492.0,373.8,2492.0,30
CDM,479413,PLATE BN 8HL 3.5MM 199MM,7527.0,7527.0,1129.05,7527.0,30
CDM,479414,NAIL IM TI 11X380MM FEM,4651.0,4651.0,697.65,4651.0,30
CDM,479415,SCREW BN TI 5X85MM,2143.0,2143.0,321.45,2143.0,30
CDM,479416,NAIL BN FEM 10MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,479417,NAIL BN 13MM 40CM,6400.0,6400.0,960.0,6400.0,30
CDM,479418,GRAFT STNT 14FR 22X160MM,13287.0,13287.0,1993.05,13287.0,30
CDM,479419,GRAFT STNT 28MM 55MM,13597.0,13597.0,2039.55,13597.0,30
CDM,479420,SHELL ACTB HIP LT52X49MM,9060.0,9060.0,1359.0,9060.0,30
CDM,479421,SCREW BN 4.5MM 125MM,456.0,456.0,68.4,456.0,30
CDM,479422,CMPNT FEM STD KN LT SZ6,7973.0,7973.0,1195.95,7973.0,30
CDM,479423,HEAD FEM COCR -3MM 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,479424,STEM FEM 135D 195MM,19670.0,19670.0,2950.5,19670.0,30
CDM,479425,SPACER SPNL 55X22X14MM,13952.0,13952.0,2092.8,13952.0,30
CDM,479426,STEM CNTRLZR DIST 18MM,1595.0,1595.0,239.25,1595.0,30
CDM,479427,STEM FEM KN 6485-3-817,8181.0,8181.0,1227.15,8181.0,30
CDM,479429,SCREW BN 18MM 5MM,1196.0,1196.0,179.4,1196.0,30
CDM,479430,SCREW BN 14MM 5MM,1196.0,1196.0,179.4,1196.0,30
CDM,479431,GLNSPHR LAT SHLDR 3X42MM,7973.0,7973.0,1195.95,7973.0,30
CDM,479432,PLATE 161MM 3.5MM SCR 8H,5689.0,5689.0,853.35,5689.0,30
CDM,479433,LINER ACTB HIP 0D 58MM,4429.0,4429.0,664.35,4429.0,30
CDM,479434,SPACER SPN 22MM 10MM,9523.0,9523.0,1428.45,9523.0,30
CDM,479435,CONNCTR SPN BYPS LT 16MM,7973.0,7973.0,1195.95,7973.0,30
CDM,479436,CONN RD SPN BYPS 200X5.5,7973.0,7973.0,1195.95,7973.0,30
CDM,479437,GRAFT BN PUTTY 2.5CC,5869.0,5869.0,880.35,5869.0,30
CDM,479438,SCREW SPN 9.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,479439,SCREW SPN 9.5X70MM,3765.0,3765.0,564.75,3765.0,30
CDM,479440,SCREW SPN POLY 9.5X80MM,3765.0,3765.0,564.75,3765.0,30
CDM,479443,CMPNT FEM KN SZ6 5X15MM,4606.0,4606.0,690.9,4606.0,30
CDM,479444,STEM FEM KN 12MM 125MM,17938.0,17938.0,2690.7,17938.0,30
CDM,479445,CUP ACTB PNCL GRPTN 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,479446,SHELL HIP 13HL SZG 60MM,9418.0,9418.0,1412.7,9418.0,30
CDM,479447,BEARING HUM SHLDR 44X36,11693.0,11693.0,1753.95,11693.0,30
CDM,479448,HEAD FEM HIP +7MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,479449,STEM FEM HIP CRL HA 14,19670.0,19670.0,2950.5,19670.0,30
CDM,479450,HEAD FEM HIP +6MM 12/14,4606.0,4606.0,690.9,4606.0,30
CDM,479451,HEAD FEM OXI 14 16 TPR 3,4606.0,4606.0,690.9,4606.0,30
CDM,479452,SHELL ACTB HIP G3 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,479453,LINER HIP NTRL G3 32,4429.0,4429.0,664.35,4429.0,30
CDM,479454,SURFACE ARTC KN RT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,479455,CMPNT FEM HIP SZ10,8858.0,8858.0,1328.7,8858.0,30
CDM,479456,ROD SPN 100MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,479457,COMP FEM 5 KN LT CMNT,8017.0,8017.0,1202.55,8017.0,30
CDM,479458,COMP POLY TIBIA 4-12MM,4252.0,4252.0,637.8,4252.0,30
CDM,479459,COMP FEM 0 34MMX7MM,4252.0,4252.0,637.8,4252.0,30
CDM,479460,BASEPLATE TIB KN SZ8,6826.0,6826.0,1023.9,6826.0,30
CDM,479461,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,479462,ROD SPN 60MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,479463,SCREW BN SPN 4.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,479464,SCREW BN 8.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,479465,SPACER SPN 26X12X8MM,15945.0,15945.0,2391.75,15945.0,30
CDM,479466,GWIRE SPN BLUNT 50MM,386.5,386.5,57.98,386.5,42
CDM,479467,PLATE BN CRNFCL 7MM,2971.0,2971.0,445.65,2971.0,30
CDM,479468,PLATE 9MM CHIN MOD 2MMSC,2971.0,2971.0,445.65,2971.0,30
CDM,479469,SCREW BN SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,479470,SCREW BN SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,479471,SCREW BN SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,479472,SCREW BN SPN 5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,479473,INSERT FEM KN SZ6,18647.0,18647.0,2797.05,18647.0,30
CDM,479474,STEM HIP 12/14 14X200MM,19670.0,19670.0,2950.5,19670.0,30
CDM,479475,AUGMENT ACTB 10 66/68MM,5805.0,5805.0,870.75,5805.0,30
CDM,479476,LINER ACTB XLPE 0D44MM,4429.0,4429.0,664.35,4429.0,30
CDM,479477,HEAD FEM HIP 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,479479,INSERT ARTC KN 3-11 14MM,4651.0,4651.0,697.65,4651.0,30
CDM,479480,TRAIL HIP DISP 62/64,4093.0,4093.0,613.95,4093.0,42
CDM,479481,HEAD HIP TPR STD 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,479482,STEM FEM HIP 11MM 142MM,7973.0,7973.0,1195.95,7973.0,30
CDM,479483,INSERT TIB KN SZ5 14MM,6821.0,6821.0,1023.15,6821.0,30
CDM,479485,PLATE SPN XTEND 63MM,4429.0,4429.0,664.35,4429.0,30
CDM,479486,SCRW BN 3.5MM 4.5MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,479487,SCREW BN 3MM 4MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,479488,SCREW BN 3.2MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,479489,KWIRE FX 3.0MM 285MM,860.0,860.0,129.0,860.0,42
CDM,479491,NAIL T2 TIB STD 10X375MM,5211.0,5211.0,781.65,5211.0,30
CDM,479493,COMPNT FEM KN RT SZ2,7973.0,7973.0,1195.95,7973.0,30
CDM,479494,INSERT TIB KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,479495,ROD SPNL 300X3.5-5MM,2711.0,2711.0,406.65,2711.0,30
CDM,479496,SCREW BN 3.5X6X75MM,293.0,293.0,43.95,293.0,30
CDM,479497,PLATE BN LT 85X4.5MM 6H,5972.0,5972.0,895.8,5972.0,30
CDM,479498,SCREW SPN 5.5MM 25MM,4252.0,4252.0,637.8,4252.0,30
CDM,479499,SCREW SPN 5.5X20MM,3012.0,3012.0,451.8,3012.0,30
CDM,479500,SPACER SPNL 31X13MM,21304.0,21304.0,3195.6,21304.0,30
CDM,479501,INSERT ARTC KN 6-9 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,479502,CMPNT FEM STD KN RT SZ8,7973.0,7973.0,1195.95,7973.0,30
CDM,479503,STEM FEM HIP PRIM SO11,7087.0,7087.0,1063.05,7087.0,30
CDM,479504,HEAD FEM R3 DELTA 32 +4,20175.0,20175.0,3026.25,20175.0,30
CDM,479505,GWIRE ORTH .045IN 6IN,406.0,406.0,60.9,406.0,42
CDM,479507,HEAD HUM RSRFC SIZE 3,12845.0,12845.0,1926.75,12845.0,30
CDM,479508,CAGE SPNL 39-65MM 12MM,26574.0,26574.0,3986.1,26574.0,30
CDM,479509,SCREW BN TWSTOF 2X13MM,3189.0,3189.0,478.35,3189.0,30
CDM,479510,SCREW BN 2.7MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,479511,NAIL BN 42CM,9050.0,9050.0,1357.5,9050.0,30
CDM,479513,SCREW BN 6.5MM 85MM,2210.0,2210.0,331.5,2210.0,30
CDM,479514,NAIL FEM PIRIFRM14X360MM,9700.0,9700.0,1455.0,9700.0,30
CDM,479515,INS TIB CNSTRN SZ4 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,479516,INSERT TIB KN SZ8 14MM,8309.0,8309.0,1246.35,8309.0,30
CDM,479517,LINER ACTB HIP SZD 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,479518,SCREW BN 4X3.5X20MM,1356.0,1356.0,203.4,1356.0,30
CDM,479519,CAGE ACTB 52 X 49 MM LT,5708.0,5708.0,856.2,5708.0,30
CDM,479520,BEARING TIB POST 0D 59MM,22588.0,22588.0,3388.2,22588.0,30
CDM,479521,AUG FEM KN IB2 TIVN LCK,4429.0,4429.0,664.35,4429.0,30
CDM,479522,NAIL BN 130D 13MM 36CM,7604.0,7604.0,1140.6,7604.0,30
CDM,479523,SCREW SPN 7.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,479524,SCREW BN 8.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,479525,SCREW BN 8.5MM 70MM CREO,3765.0,3765.0,564.75,3765.0,30
CDM,479526,SCREW BN CRPL WRST 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,479527,MESH SURG KNIT 25X20CM,13934.0,13934.0,2090.1,13934.0,30
CDM,479529,WEDGE BN 5.5X14X16MM,9775.0,9775.0,1466.25,9775.0,30
CDM,479530,LINER ACTB HIP 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,479531,PLATE BN MNDB 7X23HL 2MM,19049.0,19049.0,2857.35,19049.0,30
CDM,479533,PLATE BN 16HL 70MM 267MM,7864.0,7864.0,1179.6,7864.0,30
CDM,479535,SCREW BN 4X3.5X6.2X40MM,319.0,319.0,47.85,319.0,30
CDM,479536,PLATE BN 8HL 122.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,479538,LINER ACTB LT SZ26,49605.0,49605.0,7440.75,49605.0,30
CDM,479539,LINER ACTB 38MM 10D SZ27,4606.0,4606.0,690.9,4606.0,30
CDM,479540,SCREW BN 6.5MM 60MM,877.0,877.0,131.55,877.0,30
CDM,479541,SCREW BN 6.5MM 20MM,2392.0,2392.0,358.8,2392.0,30
CDM,479542,SCREW SPN 3.5MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,479543,SCREW BN SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,479544,INSERT TIB 3 14MM PST,4606.0,4606.0,690.9,4606.0,30
CDM,479545,STEM FEM HIP SZ9 130MM,6201.0,6201.0,930.15,6201.0,30
CDM,479546,SCREW SPN 4MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,479547,SCREW SPN 4MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,479548,PLATE BN LCKG STRT 10HL,4340.0,4340.0,651.0,4340.0,30
CDM,479549,SPACER SPNL 50X18X14MM,13952.0,13952.0,2092.8,13952.0,30
CDM,479550,SCREW BN 9.5MM 45MM CREO,3765.0,3765.0,564.75,3765.0,30
CDM,479551,SCREW BN 6.5MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,479552,BSPLTE GLND SHLDR 25MM,6201.0,6201.0,930.15,6201.0,30
CDM,479554,SCREW BN SPN 7.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,479555,KIT ARTHSCP FX 1.1MM,4429.0,4429.0,664.35,4429.0,30
CDM,479556,NAIL BN 3.0MM 440MM,3189.0,3189.0,478.35,3189.0,30
CDM,479560,BIT DRILL 3.2MM,1023.5,1023.5,153.53,1023.5,42
CDM,479561,SPHRE GLNOD SHLDR 42MM,7973.0,7973.0,1195.95,7973.0,30
CDM,479562,SCREW BN 9.5MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,479563,SCREW BN CORT 2.7MM 18MM,563.0,563.0,84.45,563.0,30
CDM,479564,STENT GRAFT 34X34X175MM,90795.0,90795.0,13619.25,90795.0,30
CDM,479565,STENT GRAFT 31X37X207MM,88558.0,88558.0,13283.7,88558.0,30
CDM,479566,ADPR FEM CUSTOM PMI 1CM,13287.0,13287.0,1993.05,13287.0,30
CDM,479567,AUG TIB 38MM 67MM LG,10641.0,10641.0,1596.15,10641.0,30
CDM,479568,AUGMT TIB OSS KN OSSEOTI,9573.0,9573.0,1435.95,9573.0,30
CDM,479569,CMPNT SEG 3CM OSS TPR KN,25435.0,25435.0,3815.25,25435.0,30
CDM,479570,INSERT ARTC KN 14MM,7858.0,7858.0,1178.7,7858.0,30
CDM,479571,SCREW BN SPN 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,479572,SCREW BN SPN 5.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,479573,ROD SPN 40CM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,479574,BIT DRILL 4.5X38MM,773.0,773.0,115.95,773.0,42
CDM,479575,SPACER SPN 23X11X12MM 0D,18425.0,18425.0,2763.75,18425.0,30
CDM,479576,INSR SZ7-10 G GREEN 20,5700.0,5700.0,855.0,5700.0,30
CDM,479577,INSERT TIB KN 7-10 50MM,5700.0,5700.0,855.0,5700.0,30
CDM,479578,BASEPLATE TIB KN REV SZ3,11073.0,11073.0,1660.95,11073.0,30
CDM,479579,STEM FEM KN 110MM 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,479580,INSERT TIB KN 10MM SZ4,8309.0,8309.0,1246.35,8309.0,30
CDM,479581,CAGE SPN 7D 12X14.5X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,479583,CMPNT FEM POR F MINUS LT,9301.0,9301.0,1395.15,9301.0,30
CDM,479584,NAIL BN FEM 10MM 400MM,6437.0,6437.0,965.55,6437.0,30
CDM,479585,CMPNT TIB KN SZ2,4651.0,4651.0,697.65,4651.0,30
CDM,479586,SHELL ACTB HIP 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,479587,CMPNT FEM KN SZ3.5,7973.0,7973.0,1195.95,7973.0,30
CDM,479588,INSERT TIB KN SZ3.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,479589,CONFORMER LARGE,670.0,670.0,100.5,670.0,42
CDM,479590,ANCHOR FX BLK 4.75MM,8883.0,8883.0,1332.45,8883.0,30
CDM,479591,STEM FEM S-ROM TI ALLY L,7087.0,7087.0,1063.05,7087.0,30
CDM,479592,SHELL ACTB 44MM HIP 3 H,4606.0,4606.0,690.9,4606.0,30
CDM,479593,CARTRIDGE SUT MANAGER,1514.5,1514.5,227.18,1514.5,42
CDM,479594,SYSTEM MENISCAL REP 2-0,4093.0,4093.0,613.95,4093.0,42
CDM,479595,SCREW BN 7X20MM,3189.0,3189.0,478.35,3189.0,30
CDM,479596,IMPLANT FX MNSCL REPAIR,5090.5,5090.5,763.58,5090.5,30
CDM,479597,SYSTEM TGHTRP ANKL STBLZ,3348.0,3348.0,502.2,3348.0,30
CDM,479598,CANNULA BTN 8MM 2CM,494.5,494.5,74.17,494.5,42
CDM,479599,INSERT TIB KN SZF 14MM,7858.0,7858.0,1178.7,7858.0,30
CDM,479600,WEDGE BN 4.5X14X16MM,9775.0,9775.0,1466.25,9775.0,30
CDM,479602,ROD SPN CRV 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,479603,STEM HUM SHLDR 122MM 8MM,11959.0,11959.0,1793.85,11959.0,30
CDM,479604,INSERT TIB6 KN 6MM,8309.0,8309.0,1246.35,8309.0,30
CDM,479605,CMPNT GLND SHLDR 36MM,5426.0,5426.0,813.9,5426.0,30
CDM,479606,LINER HUM 0MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,479607,STEM FEM HIP LAT SZ6,8858.0,8858.0,1328.7,8858.0,30
CDM,479608,SHELL ACTB 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,479609,LINER NN HD HXE MP6 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,479610,HEAD FEM HIP SZ-4 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,479611,SCREW BN ENCR 6.5X25MM,1483.0,1483.0,222.45,1483.0,30
CDM,479612,IMPLANT CRANIAL LG,86366.0,86366.0,12954.9,86366.0,30
CDM,479613,HEAD HIP SHRT 36MM,13962.0,13962.0,2094.3,13962.0,30
CDM,479614,SCREW BN NLCK 3.5MM 55MM,319.0,319.0,47.85,319.0,30
CDM,479615,INSERT TIB SZ4-5X13MM-L,5450.0,5450.0,817.5,5450.0,30
CDM,479616,SLEEVE KN ADPT LGN 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,479617,WEDGE AUGMENT TIB OSS ST,8205.0,8205.0,1230.75,8205.0,30
CDM,479618,STEM FEM BW 150X12.5MM,5812.0,5812.0,871.8,5812.0,30
CDM,479619,INSERT FEM KN HNG SZB,8615.0,8615.0,1292.25,8615.0,30
CDM,479620,INSERT TIB 4.5 17MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,479621,LINER CUP EXTCOV G4 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,479622,STEM FEM STD OFFSET SZ9,8858.0,8858.0,1328.7,8858.0,30
CDM,479623,INSERT HUM SHLDR 6X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,479626,SPACER SPN 33X16MM 12D,8083.0,8083.0,1212.45,8083.0,30
CDM,479627,SPACER SPN 33X14MM 12D,8083.0,8083.0,1212.45,8083.0,30
CDM,479628,GRAFT EVAS 12MM 12CM,19174.0,19174.0,2876.1,19174.0,30
CDM,479629,SCREW BN 4.5MM 40MM,798.0,798.0,119.7,798.0,30
CDM,479630,INSERT TIB KN SZ6 16MM,6737.0,6737.0,1010.55,6737.0,30
CDM,479631,STEM FEM KN 17X100MM,4606.0,4606.0,690.9,4606.0,30
CDM,479632,WEDGE TIB KN AUG SZE,11757.0,11757.0,1763.55,11757.0,30
CDM,479633,LINER ACTB HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,479635,SPACER SPN 33X14MM 7D,8083.0,8083.0,1212.45,8083.0,30
CDM,479636,PLATE SPN CVR 10-14MM,1130.0,1130.0,169.5,1130.0,30
CDM,479637,COMP FEM 4 KN LT CMNT,6644.0,6644.0,996.6,6644.0,30
CDM,479638,COMP FEM 3 10MM KN,4606.0,4606.0,690.9,4606.0,30
CDM,479639,ROD SPN 45MM 3.5MM,2870.0,2870.0,430.5,2870.0,30
CDM,479640,PLATE BN 5 HL 7 PEG,4340.0,4340.0,651.0,4340.0,30
CDM,479641,SCREW BN CORT 2.7X14MM,319.0,319.0,47.85,319.0,30
CDM,479642,PLATE BN CALC MED,4313.0,4313.0,646.95,4313.0,30
CDM,479643,SCREW BN FL THRD 3.5X26,2518.0,2518.0,377.7,2518.0,30
CDM,479644,SCREW BN 3.5MM 28MM,2518.0,2518.0,377.7,2518.0,30
CDM,479645,SCREW BN FL THRD 3.5X30,2518.0,2518.0,377.7,2518.0,30
CDM,479647,SOLUTION IRR NACL 2000ML,136.0,136.0,20.4,136.0,42
CDM,479648,CMPNT FEM KN RT SZ7,7397.0,7397.0,1109.55,7397.0,30
CDM,479658,RELOAD STPLR 60 2.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,479659,RELOAD STPLR BLUE 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,479660,RELOAD STPLR 60 4.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,479661,STAPLER INT CRV 29MM,2881.0,2881.0,432.15,2881.0,42
CDM,479664,GWIRE URO .035IN 150CM,525.5,525.5,78.83,525.5,42
CDM,479666,PLATFORM TRANSVAG 5.5CM,4410.0,4410.0,661.5,4410.0,42
CDM,479667,RETRACTOR MAGSEED,506.5,506.5,75.97,506.5,42
CDM,479668,TRAY TIB KN DISP,634.0,634.0,95.1,634.0,42
CDM,479669,PIN BN TRNSV 36MM,732.0,732.0,109.8,732.0,30
CDM,479670,BEAM ORTH FT 80MM 7MM,5537.0,5537.0,830.55,5537.0,30
CDM,479672,INSERT TIB SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,479673,SCREW BN 2.4MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,479674,SYSTEM URTH MESH 9CM,5250.0,5250.0,787.5,5250.0,30
CDM,479675,SYSTEM URTH SUPP 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,479676,DEVICE ENDO DLV 180CM,1378.0,1378.0,206.7,1378.0,42
CDM,479679,GRAFT TISS SYN INJ 5CC,3937.0,3937.0,590.55,3937.0,30
CDM,479681,GRAFT TIS SYN INJ 15CC,6462.0,6462.0,969.3,6462.0,30
CDM,479684,CANNULA PRFSN 12.5IN 13F,829.5,829.5,124.42,829.5,42
CDM,479685,SYSTEM RETREIVAL 12/15MM,3274.0,3274.0,491.1,3274.0,42
CDM,479686,DEVICE CATH GD 50X106CM,13788.0,13788.0,2068.2,13788.0,42
CDM,479688,SUTURE GUT 0 27IN,66.5,66.5,9.97,66.5,42
CDM,479689,CUP ACTB HIP RT 52MM,44069.0,44069.0,6610.35,44069.0,30
CDM,479690,SCREW SPN ANAX OS2500,753.0,753.0,112.95,753.0,30
CDM,479691,ROD SPNL CONN 3.5-5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,479692,CONNECTOR SPN ROD3.5-5.5,3012.0,3012.0,451.8,3012.0,30
CDM,479693,SCREW SPNL,3012.0,3012.0,451.8,3012.0,30
CDM,479694,ROD SPN 3.5MM 200MM,3012.0,3012.0,451.8,3012.0,30
CDM,479695,INSERT TIB KN 7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,479696,INSERT TIB KN 13MM SZ1-2,4429.0,4429.0,664.35,4429.0,30
CDM,479697,CMPNT FEM KN SZ4,14173.0,14173.0,2125.95,14173.0,30
CDM,479698,AUG FEM REVDIST SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,479699,CAGE SPNL 30X15MM 15D,8858.0,8858.0,1328.7,8858.0,30
CDM,479700,INSERT HUM SHLDR 4X32MM,4872.0,4872.0,730.8,4872.0,30
CDM,479701,PLATE BN STR TBLR 8 HL,3721.0,3721.0,558.15,3721.0,30
CDM,479702,KIT SYNDSMS FXN #5 2.8MM,4429.0,4429.0,664.35,4429.0,30
CDM,479703,SCREW BN 7MM 55MM,3975.0,3975.0,596.25,3975.0,30
CDM,479704,PLATE BN FSN STD BEND,4872.0,4872.0,730.8,4872.0,30
CDM,479705,SCREW BN CORT 7.7X24MM,319.0,319.0,47.85,319.0,30
CDM,479706,SCREW BN 2.7MM 16MM,1834.0,1834.0,275.1,1834.0,30
CDM,479707,PLATE 23 TI LCK VNTR BN,4429.0,4429.0,664.35,4429.0,30
CDM,479708,SCREW BN 4 X 15 VNTR TI,1130.0,1130.0,169.5,1130.0,30
CDM,479709,CAGE SPNL 16X14X8MM ENDO,4429.0,4429.0,664.35,4429.0,30
CDM,479710,SCREW BN SPN 3.5MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,479711,PLATE SPN ANT LMBAR 30MM,11073.0,11073.0,1660.95,11073.0,30
CDM,479712,PLT LT11HL 177X2.7/3.5MM,4187.0,4187.0,628.05,4187.0,30
CDM,479713,INSERT TIB 1-2 13MM KN L,7087.0,7087.0,1063.05,7087.0,30
CDM,479714,STEM FEM KN 13X150MM,4429.0,4429.0,664.35,4429.0,30
CDM,479715,SCRW BN INTLK 5X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,479716,SCREW BN INTLK 5X36MM,3189.0,3189.0,478.35,3189.0,30
CDM,479717,SCREW BN INTLK 5X28MM,3189.0,3189.0,478.35,3189.0,30
CDM,479718,SPACER KNEE IKA 16X150MM,9793.0,9793.0,1468.95,9793.0,30
CDM,479719,INSRT EVOLUTIONMP ADAPT,4606.0,4606.0,690.9,4606.0,30
CDM,479720,INSERT HUM SHLDR 36MM,4428.0,4428.0,664.2,4428.0,30
CDM,479721,CUP ACTB HIP GRP 8 SZ64,4606.0,4606.0,690.9,4606.0,30
CDM,479722,LINER XLE EXTCOV G8 40,4429.0,4429.0,664.35,4429.0,30
CDM,479723,CMPNT FEM KN SM 42MM,17340.0,17340.0,2601.0,17340.0,30
CDM,479724,INSERT TIB KN SZ4 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,479725,SCREW SPN 3.5MM 34MM,3765.0,3765.0,564.75,3765.0,30
CDM,479726,CAGE SPN 7D 32X13MM,21636.0,21636.0,3245.4,21636.0,30
CDM,479727,CAGE SPN 12D 32X21X14MM,21636.0,21636.0,3245.4,21636.0,30
CDM,479731,CAGE SPNL 9X27 0DEG -13,9523.0,9523.0,1428.45,9523.0,30
CDM,479732,LINER SHLDR +6MM 36MM,4428.0,4428.0,664.2,4428.0,30
CDM,479733,INSERT HUM SHLDR 6+ 42MM,4428.0,4428.0,664.2,4428.0,30
CDM,479734,TRIAL KN SZ3 67MM,4429.0,4429.0,664.35,4429.0,30
CDM,479735,TRIAL KN SZ3 67MM,4429.0,4429.0,664.35,4429.0,30
CDM,479736,DRILL ORTHO EXFX 4.0MM,1089.0,1089.0,163.35,1089.0,42
CDM,479737,LINER ACTB 36MM 10D SZ28,4429.0,4429.0,664.35,4429.0,30
CDM,479739,SUTURE TGRWR FX 50IN,773.0,773.0,115.95,773.0,30
CDM,479741,ROD SPN 5.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,479742,SCREW SPN 8.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,479743,SCREW BN 5MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,479744,NAIL BN MED LT 10X200MM,13048.0,13048.0,1957.2,13048.0,30
CDM,479745,SCRW BN PT HTORQ 4X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,479746,STENT GRAFT 37X31X173MM,88558.0,88558.0,13283.7,88558.0,30
CDM,479747,SPACER SPN 10D 9X12X35MM,9523.0,9523.0,1428.45,9523.0,30
CDM,479748,INSERT TIB KN SZ6 12MM,8309.0,8309.0,1246.35,8309.0,30
CDM,479749,PLATE BN FEM 4.5MM 277MM,7290.0,7290.0,1093.5,7290.0,30
CDM,479750,INSERT TIB KN SZ10 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,479751,BASEPLATE TIB KN SZ10,4651.0,4651.0,697.65,4651.0,30
CDM,479752,SURF ARTC KN 3-5 18MM,4651.0,4651.0,697.65,4651.0,30
CDM,479753,SHELL ACTB HIP 11H 54MM,9418.0,9418.0,1412.7,9418.0,30
CDM,479754,KIT INS PERC KNTLS SUT T,2906.0,2906.0,435.9,2906.0,42
CDM,479755,PROBE ARTHSCP 60D 220MM,1637.0,1637.0,245.55,1637.0,42
CDM,479756,CMPNT AUG KN SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,479757,CAGE SPNL 6 DEG 08,4429.0,4429.0,664.35,4429.0,30
CDM,479758,KIT NRSTM GEN EXT 2 PORT,3405.0,3405.0,510.75,3405.0,42
CDM,479759,CAGE SPN CNCRD 9X9X23,41261.0,41261.0,6189.15,41261.0,30
CDM,479760,CONN ROD SPN PRL 3.5/5.5,3012.0,3012.0,451.8,3012.0,30
CDM,479761,INSERT HUM SHLDR 8X32MM,4872.0,4872.0,730.8,4872.0,30
CDM,479763,CAGE SPN 17X22X12MM,7751.0,7751.0,1162.65,7751.0,30
CDM,479764,CAGE 13MM LRG ENDOSKELET,19200.0,19200.0,2880.0,19200.0,30
CDM,479765,SPACER SPNL 45X22X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,479766,PLATE BN 5CBL 200MM,3832.0,3832.0,574.8,3832.0,30
CDM,479767,STEM FEM HIP SZ21 240MM,28780.0,28780.0,4317.0,28780.0,30
CDM,479768,SPACER HUM 3MM 305MM,1914.0,1914.0,287.1,1914.0,30
CDM,479769,COMPONENT FEM G- KN LT C,9301.0,9301.0,1395.15,9301.0,30
CDM,479770,COMPONENT FEM F- LT KN C,9301.0,9301.0,1395.15,9301.0,30
CDM,479771,PLATE BN ULNA 108MM,4615.0,4615.0,692.25,4615.0,30
CDM,479772,SCREW BN LCK 3.5X12MM,1738.0,1738.0,260.7,1738.0,30
CDM,479773,SCREW BN 3.5MM 36MM,1674.0,1674.0,251.1,1674.0,30
CDM,479774,SCREW BN CMPR 3.5X12MM,1690.0,1690.0,253.5,1690.0,30
CDM,479775,SCREW BN 3.5MM 14MM,1690.0,1690.0,253.5,1690.0,30
CDM,479777,KWIRE FX 2MM 152MM,231.5,231.5,34.73,231.5,42
CDM,479778,PLATE BN LT 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,479779,SCREW BN LCK 1.5MM 5MM,1563.0,1563.0,234.45,1563.0,30
CDM,479781,MESH SURG RECONSTITUTE S,11516.0,11516.0,1727.4,11516.0,30
CDM,479785,COMPNT ITOTAL KN IPLY XE,17716.0,17716.0,2657.4,17716.0,30
CDM,479786,SCREW SPN 10.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,479787,SCREW SPN 10.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,479788,NAIL BN FEM 12MM 340MM,8478.0,8478.0,1271.7,8478.0,30
CDM,479789,KIT ASCP SURG STR DISP,1432.5,1432.5,214.88,1432.5,42
CDM,479790,CANNULA SIL 8X40MM,428.5,428.5,64.28,428.5,42
CDM,479791,SUTURE NDL DISP 360,1250.0,1250.0,187.5,1250.0,42
CDM,479792,CANNULA 8X50MM,428.5,428.5,64.28,428.5,42
CDM,479793,HEAD FEM 28MM +8.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,479794,INSERT TIB KN SZ6 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,479795,INSERT KN LT SZ5,14173.0,14173.0,2125.95,14173.0,30
CDM,479796,PLATE LOCK 00493600603,2392.0,2392.0,358.8,2392.0,30
CDM,479797,CMPNT TIB SZ5 15 MDL RT,4429.0,4429.0,664.35,4429.0,30
CDM,479798,HEAD FEM HIP 28MM 59MM,4252.0,4252.0,637.8,4252.0,30
CDM,479799,PLATE L LCK RT 2X53MM,3189.0,3189.0,478.35,3189.0,30
CDM,479800,SCREW BN 2MM 7MM,1772.0,1772.0,265.8,1772.0,30
CDM,479801,SCREW BN 2MM 11MM,1772.0,1772.0,265.8,1772.0,30
CDM,479802,SCREW BN 2MM 8MM,1772.0,1772.0,265.8,1772.0,30
CDM,479803,HOLDER PLT THRD 2X2.4MM,581.5,581.5,87.22,581.5,42
CDM,479804,SCREW BN 8MM 2MM,963.0,963.0,144.45,963.0,30
CDM,479805,CAGE SPN 40X27X11MM ENDO,21636.0,21636.0,3245.4,21636.0,30
CDM,479806,PLATE SPN 4LVL 64MM,4429.0,4429.0,664.35,4429.0,30
CDM,479807,CAGE SPN 7D 10X40MM,19200.0,19200.0,2880.0,19200.0,30
CDM,479810,SCREW BN SPN 6.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,479811,CMPNT FEM KN RT SZ8,18424.0,18424.0,2763.6,18424.0,30
CDM,479812,SCREW BN 5MM 42MM,1196.0,1196.0,179.4,1196.0,30
CDM,479813,CMPNT PTLA KN 3PEG,4252.0,4252.0,637.8,4252.0,30
CDM,479814,INSERT TIB KN SZ8 12MM,8309.0,8309.0,1246.35,8309.0,30
CDM,479815,SCREW SPN 4.5X28MM,3765.0,3765.0,564.75,3765.0,30
CDM,479816,NAIL 12MM 200MM KN,9793.0,9793.0,1468.95,9793.0,30
CDM,479817,SCREW BN INTERLCK 30MM,4252.0,4252.0,637.8,4252.0,30
CDM,479818,SCREW BN SPN 4.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,479819,SCREW SPN 4.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,479820,GRAFT EVAS 218MM 42MM,69881.0,69881.0,10482.15,69881.0,30
CDM,479821,GRAFT EVAS 164MM 42MM,69881.0,69881.0,10482.15,69881.0,30
CDM,479822,GRAFT EVAS 83MM 42MM,69881.0,69881.0,10482.15,69881.0,30
CDM,479823,TISSUE EXPNDR SMTH 400CC,6865.0,6865.0,1029.75,6865.0,30
CDM,479824,INSERT TIB KN SZ3-4 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,479825,CMPNT FEM STD KN LT SZ7,7973.0,7973.0,1195.95,7973.0,30
CDM,479826,LINER ACTB HIP 0D+4X56X4,4429.0,4429.0,664.35,4429.0,30
CDM,479828,ROD SPN 3.5MM 25MM,2711.0,2711.0,406.65,2711.0,30
CDM,479829,STEM HIP FP HI OFS11X104,8858.0,8858.0,1328.7,8858.0,30
CDM,479831,SCREW 402.806,563.0,563.0,84.45,563.0,30
CDM,479832,CAGE 18MM 14 X 45 6 DEG,13287.0,13287.0,1993.05,13287.0,30
CDM,479833,PLATE SM TI ELLIPSE BN S,6644.0,6644.0,996.6,6644.0,30
CDM,479834,SCREW S/T STD 4.0X6,2967.0,2967.0,445.05,2967.0,30
CDM,479835,CONN ROD 3.5MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,479837,INSERT TIB KN SZ4-5 21MM,5450.0,5450.0,817.5,5450.0,30
CDM,479838,WEDGE TIB KN SZ5-6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,479839,BASEPLATE TIB KN LT SZ5,11030.0,11030.0,1654.5,11030.0,30
CDM,479840,WEDGE FEM KN SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,479842,SCREW SPN 9.5MM 100MM,3765.0,3765.0,564.75,3765.0,30
CDM,479843,SCREW BN SPN 9.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
CDM,479844,CMPNT FEM KN CMT SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,479847,STENT GRFT 124X23X13MM,31529.0,31529.0,4729.35,31529.0,30
CDM,479848,STENT GRAFT 16X10X82MM,17207.0,17207.0,2581.05,17207.0,30
CDM,479849,CAGE ENDOSKLTN 14X12X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,479850,PLATE VNTR ANT CERV,4429.0,4429.0,664.35,4429.0,30
CDM,479851,SCREW SPN 7.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,479852,SCREW BN GLND 6.5X40MM,3189.0,3189.0,478.35,3189.0,30
CDM,479853,SCREW BN 5MM 25MM,3189.0,3189.0,478.35,3189.0,30
CDM,479854,SCREW BN 5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,479855,NAIL BN LT 11.5MM 200MM,13048.0,13048.0,1957.2,13048.0,30
CDM,479856,SCREW BN 4X50MM,2392.0,2392.0,358.8,2392.0,30
CDM,479857,INSERT TIB KN SZ4 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,479858,POST EXFIX FIXATOR LT,773.0,773.0,115.95,773.0,42
CDM,479861,STEM FEM PRSFT PRIM 12,8858.0,8858.0,1328.7,8858.0,30
CDM,479862,PIN EXFX 6MM 225MM,924.0,924.0,138.6,924.0,42
CDM,479863,SCREW EXFX 100X4MM,773.0,773.0,115.95,773.0,42
CDM,479864,POST EX FIX 11MM,773.0,773.0,115.95,773.0,42
CDM,479865,CMPNT TIB SZ6+/7 15MDLRT,4429.0,4429.0,664.35,4429.0,30
CDM,479866,ROD SPN PREBENT 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,479867,SPACER SPN 35X17MM,9523.0,9523.0,1428.45,9523.0,30
CDM,479868,CAGE SPNL 31X10X9MM,13287.0,13287.0,1993.05,13287.0,30
CDM,479869,CAGE SPNL 31X10X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,479870,CAGE SPNL 35X10X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,479871,KWIRE FX 1.6MM 100MM,408.0,408.0,61.2,408.0,42
CDM,479872,SCREW BN 7MM 36MM,798.0,798.0,119.7,798.0,30
CDM,479874,RING ACTB HIP 62MM 74MM,3535.0,3535.0,530.25,3535.0,30
CDM,479875,LINER ACTB HIP 32X62X74,6644.0,6644.0,996.6,6644.0,30
CDM,479876,SCREW EXFX HIP 80X4MM,917.5,917.5,137.63,917.5,42
CDM,479877,SCREW EXFX HIP 100X4MM,917.5,917.5,137.63,917.5,42
CDM,479878,CONE FEMORAL 22 I.D. LE,13287.0,13287.0,1993.05,13287.0,30
CDM,479879,AUGMENT TIB KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,479880,STEM FEM REV 18MM 110MM,4606.0,4606.0,690.9,4606.0,30
CDM,479881,SLEEVE FEM KN 50MM,9072.0,9072.0,1360.8,9072.0,30
CDM,479882,BASE TIB KN RP SZ9,4651.0,4651.0,697.65,4651.0,30
CDM,479883,SCREW BN 5MM 90MM,2392.0,2392.0,358.8,2392.0,30
CDM,479884,INS TIB CNSTRN SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,479885,PLATE BN 5HL 0.4MM,3136.0,3136.0,470.4,3136.0,30
CDM,479886,SCREW SPN 4.5MM 26MM,3765.0,3765.0,564.75,3765.0,30
CDM,479887,CAGE SPNL 27X10X7MM 0D,13287.0,13287.0,1993.05,13287.0,30
CDM,479888,SCREW SPN 6.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,479889,INSERT TIB KN SZ3.5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,479890,STEM FEM XTD SZ13 12/14,8858.0,8858.0,1328.7,8858.0,30
CDM,479892,IMPLANT ANKL LT SZ0,29837.0,29837.0,4475.55,29837.0,30
CDM,479893,NAIL BN RT 11.5MM 200MM,13048.0,13048.0,1957.2,13048.0,30
CDM,479894,INSERT TIB KN LT 2+ 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,479895,SCREW BN 5MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,479896,SCREW BN CMPR 7X70MM,3975.0,3975.0,596.25,3975.0,30
CDM,479897,SCREW BN 5MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,479898,SCREW BN 4MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,479899,SCREW BN NLCKG 2.7X18MM,670.0,670.0,100.5,670.0,30
CDM,479900,SCREW BN T8 2.7/L16MM,670.0,670.0,100.5,670.0,30
CDM,479901,SCREW BN 2.7X18MM,1993.0,1993.0,298.95,1993.0,30
CDM,479902,SCREW BN 3.6MM 22MM,3004.0,3004.0,450.6,3004.0,30
CDM,479903,PLATE BN SHRT 27X3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,479904,SCREW BN 3.5MM 24MM,670.0,670.0,100.5,670.0,30
CDM,479905,SCREW BN 3.5MM 22MM,670.0,670.0,100.5,670.0,30
CDM,479906,SCREW BN 3.5MM 34MM,670.0,670.0,100.5,670.0,30
CDM,479907,PLATE BN LCK T8,8334.0,8334.0,1250.1,8334.0,30
CDM,479908,SCREW SPNL STRGH 8.5X35,3765.0,3765.0,564.75,3765.0,30
CDM,479909,SCREW BN 3.5MM 80MM,329.0,329.0,49.35,329.0,30
CDM,479910,SCREW BN 3.5MM 85MM,392.0,392.0,58.8,392.0,30
CDM,479911,SCREW CORT 2.7X6X90MM,329.0,329.0,49.35,329.0,30
CDM,479912,CMPNT ACTB HIP 60MM,16725.0,16725.0,2508.75,16725.0,30
CDM,479913,PLATE BN LT 13H 3.5MM,6420.0,6420.0,963.0,6420.0,30
CDM,479915,NAIL FEM CANN 11MM 420MM,8478.0,8478.0,1271.7,8478.0,30
CDM,479916,BLADE HLCL PERF 125MM,3721.0,3721.0,558.15,3721.0,30
CDM,479917,ROD SPN PREBNT 3.5X100MM,2711.0,2711.0,406.65,2711.0,30
CDM,479918,HEAD HUM SHLDR 25X45MM,11073.0,11073.0,1660.95,11073.0,30
CDM,479919,ROD SPNL 30MM 5.5MM CYPH,2711.0,2711.0,406.65,2711.0,30
CDM,479920,CAGE SPNL 7D 12.5X16X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,479921,CAGE SPN 7D 12.5X16X11MM,4429.0,4429.0,664.35,4429.0,30
CDM,479922,STEM LNG SLT 10X150,4606.0,4606.0,690.9,4606.0,30
CDM,479923,SHELL ACTB HIP 13H 64MM,9418.0,9418.0,1412.7,9418.0,30
CDM,479924,CAGE SPNL 40X17MM,21636.0,21636.0,3245.4,21636.0,30
CDM,479927,ROD SPN 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
CDM,479928,ANCHOR SUT 3.9MM,3189.0,3189.0,478.35,3189.0,30
CDM,479929,BASEPLATE SHLDR 29MM,6201.0,6201.0,930.15,6201.0,30
CDM,479930,SCREW BN 9.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,479931,SCREW BN 5X46MM,1196.0,1196.0,179.4,1196.0,30
CDM,479933,SCREW BN SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,479934,PLATE BN 3X2HL 23MM,1495.0,1495.0,224.25,1495.0,30
CDM,479935,TISSUE EXPANDR SMTH 13-T,6622.0,6622.0,993.3,6622.0,30
CDM,479936,CMPNT FEM 135D SZ12,8416.0,8416.0,1262.4,8416.0,30
CDM,479937,STEM HIP FEMSTD 10X130,7530.0,7530.0,1129.5,7530.0,30
CDM,479938,NAIL BN11.5MM 40CM,4872.0,4872.0,730.8,4872.0,30
CDM,479939,INSRT ARTC KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,479940,ROD SPN 4-5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,479941,SPCR 20MM 12 X 45 6 DEG,9523.0,9523.0,1428.45,9523.0,30
CDM,479942,CAGE SPN 10X10X17MM,7733.0,7733.0,1159.95,7733.0,30
CDM,479943,NAIL FEM 11MM 360MM,4460.0,4460.0,669.0,4460.0,30
CDM,479944,PROSTH HIP 195MM 21MM,4429.0,4429.0,664.35,4429.0,30
CDM,479946,HEAD FEM HIP 12/14 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,479949,SCREW INTFR PK OPTMA9X28,3189.0,3189.0,478.35,3189.0,30
CDM,479950,SCREW INTFR PKOPT 23X9MM,3189.0,3189.0,478.35,3189.0,30
CDM,479951,PASSER SUTURE 70 D UP SL,2251.0,2251.0,337.65,2251.0,42
CDM,479952,PLATE LMNOPL DUAL 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,479953,SCREW SPN 2.2X8MM,753.0,753.0,112.95,753.0,30
CDM,479954,CUP ACTB TRIFL HIP LT8MM,44069.0,44069.0,6610.35,44069.0,30
CDM,479955,SCREW BN CRTX 1.5X7MM,508.0,508.0,76.2,508.0,30
CDM,479956,SCREW BN CRTX 1.5X11MM,508.0,508.0,76.2,508.0,30
CDM,479957,PLATE BN 4HL 2.7MM 41MM,3189.0,3189.0,478.35,3189.0,30
CDM,479958,PLATE 86MM 2.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,479959,CMPNT FEM STD KN RT SZ6,9301.0,9301.0,1395.15,9301.0,30
CDM,479960,PLATE BN 10HL 238MM,7392.0,7392.0,1108.8,7392.0,30
CDM,479961,SCREW BN 5MM 28MM,3082.0,3082.0,462.3,3082.0,30
CDM,479962,SCREW BN 30MM 5MM,1993.0,1993.0,298.95,1993.0,30
CDM,479963,SCREW BN 5MM 65MM,1993.0,1993.0,298.95,1993.0,30
CDM,479964,SCREW BN 5MMX70MM,1993.0,1993.0,298.95,1993.0,30
CDM,479965,SCREW BN CORT 5X75MM,1993.0,1993.0,298.95,1993.0,30
CDM,479966,SCREW BN 4.5MM 38M,670.0,670.0,100.5,670.0,30
CDM,479969,SCRW 5.5 TI FX 6.5X45,3765.0,3765.0,564.75,3765.0,30
CDM,479970,LINER ACTB HIP 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,479972,CMPNT TALAR RT/LT SIZE 4,23031.0,23031.0,3454.65,23031.0,30
CDM,479973,SPCR 20MM 14 X 55 6 DEG,9523.0,9523.0,1428.45,9523.0,30
CDM,479974,BASEPLATE TIB KN RT SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,479975,CUP ACTB TRIFLNG RT 54MM,44069.0,44069.0,6610.35,44069.0,30
CDM,479976,PLATE SPN CERV 2LVL 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,479977,CROSSLINK SPNL 34MM,3012.0,3012.0,451.8,3012.0,30
CDM,479978,CAGE SPN 13X16-21.5MM,30058.0,30058.0,4508.7,30058.0,30
CDM,479979,END CAP 0D 13MM,11122.0,11122.0,1668.3,11122.0,30
CDM,479980,SCREW BN SPN 5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,479981,CAGE 18MM 8 X 60 6 DEG,13952.0,13952.0,2092.8,13952.0,30
CDM,479982,WEDGE KNEE AUG TIB/FEMUR,11757.0,11757.0,1763.55,11757.0,30
CDM,479984,CNTRLZR STM HIP DIST 8MM,1809.0,1809.0,271.35,1809.0,30
CDM,479987,STEM FEM HIP 115MM 10MM,6201.0,6201.0,930.15,6201.0,30
CDM,479988,CMPNT SEG COLR 17-19 35,10067.0,10067.0,1510.05,10067.0,30
CDM,479989,STEM XTN 13X18 SEG CMNT,16063.0,16063.0,2409.45,16063.0,30
CDM,479990,INSERT TIB KN SZB 20MM,7858.0,7858.0,1178.7,7858.0,30
CDM,479992,REAMER LOPRO 7.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,479993,STEM FEM HIP 195MM 18MM,25910.0,25910.0,3886.5,25910.0,30
CDM,479994,INSERT TRTHN TIB G-413,6737.0,6737.0,1010.55,6737.0,30
CDM,479995,CMPNT PTLR RSRFC 9X26MM,4252.0,4252.0,637.8,4252.0,30
CDM,479996,SURF ARTC KN 6-9 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,479997,LINER ACTB 26 OD62 RNGLC,6644.0,6644.0,996.6,6644.0,30
CDM,479998,STENT GRAFT 28X182MM,88558.0,88558.0,13283.7,88558.0,30
CDM,479999,SCREW BN CORT 2.7X16MM,1595.0,1595.0,239.25,1595.0,30
CDM,480027,SCREW BN CORT 2.3X20MM,1595.0,1595.0,239.25,1595.0,30
CDM,480031,PEG FX TRX UNTHREAD 10MM,399.0,399.0,59.85,399.0,30
CDM,480038,ROD SPNL 200X3.5-5MM,2711.0,2711.0,406.65,2711.0,30
CDM,480039,STEM HIP FEM STD 13X145,8858.0,8858.0,1328.7,8858.0,30
CDM,480047,SCREW BN 4MM 46MM 15.5MM,2344.0,2344.0,351.6,2344.0,30
CDM,480048,STAPLE BN 10X10X10MM,5226.0,5226.0,783.9,5226.0,30
CDM,480052,STEM FEM HIP 190MM 19MM,17596.0,17596.0,2639.4,17596.0,30
CDM,480053,HEAD FEM HIP +2.5MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,480077,BLADE HOOK DISP,1023.5,1023.5,153.53,1023.5,42
CDM,48012,BAND RTNL 2.5X.6X125MM,278.0,278.0,41.7,278.0,30
CDM,480173,DEVICE BIOPSY 18GA 10CM,773.0,773.0,115.95,773.0,42
CDM,480186,DEVICE BIOPSY 18GA 15CM,773.0,773.0,115.95,773.0,42
CDM,480188,DEVICE BIOPSY 18GA 20CM,773.0,773.0,115.95,773.0,42
CDM,480195,CATH MICRO 2.8FR 135CM,4385.5,4385.5,657.83,4385.5,42
CDM,480205,CATH VASC STRT 6.0X150CM,5524.5,5524.5,828.67,5524.5,42
CDM,480222,STENT EPRSTH 5X8X15MM,12386.0,12386.0,1857.9,12386.0,30
CDM,480223,GWIRE VASC 190CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,480226,LEAD PCNG 4.7FR 86CM,6399.0,6399.0,959.85,6399.0,30
CDM,480235,SHEATH INTRO 7FR 80CM,4441.0,4441.0,666.15,4441.0,42
CDM,480236,SHEATH SZ 9F TIP 80CM,4385.5,4385.5,657.83,4385.5,42
CDM,480249,CATH ULTSND 3.5MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
CDM,480254,CATH ULTSND 4.0MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
CDM,480255,CATH ULTSND 4.5MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
CDM,480260,CATH ULTSND 5.0MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
CDM,480261,CATH ULTSND 5.5MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
CDM,480262,CATH ULTSND 6.0MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
CDM,480266,CATH ULTSND 6.5MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
CDM,480279,CATH BIOPTOME 5.5F 104,2087.5,2087.5,313.13,2087.5,42
CDM,480292,SHEATH DIL 13FR,9490.5,9490.5,1423.58,9490.5,42
CDM,480293,SHEATH DIL ROT SZ13FR,11690.5,11690.5,1753.58,11690.5,42
CDM,480296,GDWIRE VASC W/FLX TP.014,1596.5,1596.5,239.47,1596.5,42
CDM,480307,CRT-P 8 BDPL HR-T,17360.0,17360.0,2604.0,17360.0,30
CDM,480309,KIT VLV AOR 18FR 26MM,143943.0,143943.0,21591.45,143943.0,30
CDM,480310,CATH MICRO 150CM 2.8FR,4385.5,4385.5,657.83,4385.5,42
CDM,480311,DEVICE BIOPSY 18GA 10CM,603.0,603.0,90.45,603.0,42
CDM,480312,CATH BLNDIL 4X60MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480313,CATH BLNDIL 4X80MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480314,CATH BLNDIL 4X120MM135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480315,CATH BLNDIL 5X40MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480316,CATH BLNDIL 5X60MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480431,ELECTRD PLSMALP LNG ESG,3692.5,3692.5,553.88,3692.5,42
CDM,480432,ELECTRD PLASMA LNG,3692.5,3692.5,553.88,3692.5,42
CDM,480433,ELECTRD OVLBTN LNG,3905.5,3905.5,585.83,3905.5,42
CDM,480434,KIT PROBE 3.9MMX350MM,4385.5,4385.5,657.83,4385.5,42
CDM,480436,KIT PROBE 1.5X440MM,4385.5,4385.5,657.83,4385.5,42
CDM,480437,DEVICE SHEATH STATLOCK,269.5,269.5,40.42,269.5,42
CDM,480438,SHEATH TPR 13FR 11FR 2,999.0,999.0,149.85,999.0,42
CDM,480439,SET SHTH URT 11-13F 36CM,999.0,999.0,149.85,999.0,42
CDM,480440,SHEATH NVGRT 11/13F 46CM,999.0,999.0,149.85,999.0,42
CDM,480441,SET SHTH URT 11-14F 28CM,999.0,999.0,149.85,999.0,42
CDM,480444,SHEATH NVGRT 12/14F 36CM,1019.0,1019.0,152.85,1019.0,42
CDM,480445,SHEATH NVGRT 12/14F 46CM,1019.0,1019.0,152.85,1019.0,42
CDM,480452,STENT CAROTID SYS 6X40MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480453,STENT VASC 7MM 30MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480456,STENTCAROTID SYS 7X40MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480457,STENT CAROTID SYS 8X30MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480461,STENT CAROTID SYS 8X40MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480463,STENT CAROTID SYS 9X30MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480464,STENT CAROTID SYS 9X40MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480466,STENT CARTID SYS 10X30MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480477,STENT CARTID SYS 10X40MM,9421.0,9421.0,1413.15,9421.0,30
CDM,480478,KIT MINTRDCR 7CM 21GA ND,1187.0,1187.0,178.05,1187.0,42
CDM,480479,GWIRE VASC 95CM,1259.0,1259.0,188.85,1259.0,42
CDM,480480,KIT INTVN TRANSCAROTID,17128.5,17128.5,2569.28,17128.5,42
CDM,480490,CATH SPC ESPH 8CM 5MM,13583.0,13583.0,2037.45,13583.0,42
CDM,480491,CATH DIL 30MM,3709.5,3709.5,556.42,3709.5,42
CDM,480492,CATH SPC ESPH 16CM,4093.0,4093.0,613.95,4093.0,42
CDM,480493,CATH DIL 20MM,2883.0,2883.0,432.45,2883.0,42
CDM,480494,RELOAD STPLR 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,480496,RELOAD STPLR 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,480498,MESH RECNST SCFLD CLGN,8858.0,8858.0,1328.7,8858.0,30
CDM,480500,ANCHOR SUT TENDONS,4429.0,4429.0,664.35,4429.0,30
CDM,480503,SUTURE BLK MONO 9-0 6IN,231.5,231.5,34.73,231.5,42
CDM,480506,TUBE GASTRO 107CM 40FR,1678.0,1678.0,251.7,1678.0,42
CDM,480507,IRRIGATOR ENDOWRST 8MM,2277.5,2277.5,341.63,2277.5,42
CDM,480508,BASEPLATE GLND SM LT 8D,7973.0,7973.0,1195.95,7973.0,30
CDM,480509,GLENOSPHERE SHLDR 36MM,5647.0,5647.0,847.05,5647.0,30
CDM,480510,SCREW BN CANN 3.75X34MM,3189.0,3189.0,478.35,3189.0,30
CDM,480511,CATCHER STONE ACCESSORY,773.0,773.0,115.95,773.0,42
CDM,480512,CAGE SPNL 32MM 15MM SNMS,8478.0,8478.0,1271.7,8478.0,30
CDM,480513,AUGMENT TIB KN RT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,480516,HEAD FEM HIP +9X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,480517,SPACER SPN 50X18X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,480519,PLATE BN LCKNG STR 6HL,4340.0,4340.0,651.0,4340.0,30
CDM,480520,SCREW BN CORT LCK 3.2X8,1356.0,1356.0,203.4,1356.0,30
CDM,480521,PLATE BN STD 2X8HL 2MM,3189.0,3189.0,478.35,3189.0,30
CDM,480522,SCREW BN 2MM 9MM,963.0,963.0,144.45,963.0,30
CDM,480523,SCREW BN 2MM 10MM,963.0,963.0,144.45,963.0,30
CDM,480524,SCREW BN 2MM 9MM,1772.0,1772.0,265.8,1772.0,30
CDM,480525,SCREW BN 2MM 10MM,1772.0,1772.0,265.8,1772.0,30
CDM,480528,SPACER SPNL 50X18X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,480529,TIB IMP INS SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,480530,CMPNT GLND CAGE XL 8D,7087.0,7087.0,1063.05,7087.0,30
CDM,480531,CMPNT FEM STD KN RT SZ10,8416.0,8416.0,1262.4,8416.0,30
CDM,480532,BASEPLATE TIB KN RT SZH,4872.0,4872.0,730.8,4872.0,30
CDM,480533,BLADE SAW 70X12.5X.8MM,378.5,378.5,56.77,378.5,42
CDM,480534,STENT GRAFT 31X31X175MM,84151.0,84151.0,12622.65,84151.0,30
CDM,480535,SCREW BN SPN 8.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,480536,SCREW BN SPN 7.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,480537,PLATE BN 6HL 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,480538,HEAD FEM HIP +7X12/14X32,4606.0,4606.0,690.9,4606.0,30
CDM,480539,PLATE BN BLU 2X3HL 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,480540,GUIDEWIRE EVAS 260CM .03,1351.0,1351.0,202.65,1351.0,42
CDM,480541,GRAFT STNT 28MM 16X80MM,51288.0,51288.0,7693.2,51288.0,30
CDM,480542,SHEATH CATH 6.5FR 45CM,3479.0,3479.0,521.85,3479.0,42
CDM,480543,COMPNT FEM 135HICOL SZ14,8416.0,8416.0,1262.4,8416.0,30
CDM,480544,SPACER SPNL 35X21MM,9523.0,9523.0,1428.45,9523.0,30
CDM,480545,INSERT TIB1.5 KN TRL11MM,4429.0,4429.0,664.35,4429.0,30
CDM,480546,NAIL BN FEM 13MM 34CM,4872.0,4872.0,730.8,4872.0,30
CDM,480547,SLEEVE CNTRNG 9.5X16 18F,4252.0,4252.0,637.8,4252.0,30
CDM,480548,PLATE PIN 3 HOLE DORSAL,4092.0,4092.0,613.8,4092.0,30
CDM,480549,SPACER SPN 45X18X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,480550,PLATE BN SS 52X7MM,3189.0,3189.0,478.35,3189.0,30
CDM,480551,SCREW BN CORT 2MM 11MM,541.0,541.0,81.15,541.0,30
CDM,480552,SCREW SPN 4.5MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,480553,SCREW SPN 4MM 25MM CREO,3765.0,3765.0,564.75,3765.0,30
CDM,480554,SCREW SPN CREO 4X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,480555,SCREW BN 4X30MM SPNE,3765.0,3765.0,564.75,3765.0,30
CDM,480556,ROD SPN STRGHT 5.5X125MM,2711.0,2711.0,406.65,2711.0,30
CDM,480557,PLATE BN 2H 2.4MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,480558,SPACER SPNL 50X18X11 6D,13952.0,13952.0,2092.8,13952.0,30
CDM,480559,SPACER SPNL 55X18X13 6D,13952.0,13952.0,2092.8,13952.0,30
CDM,480562,KIT SPN PDCL ACC,2415.0,2415.0,362.25,2415.0,42
CDM,480567,SPACER SPN 6D 12X14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,480568,SPACER SPN 6D 12X14X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,480569,CAGE SPN 6D 12X14X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,480570,SPACER SPN 6D 14X16X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,480571,SCREW SPNL CANN 6.5X60MM,3765.0,3765.0,564.75,3765.0,30
CDM,480573,STEM HUM SHLDR 93MM 9MM,12402.0,12402.0,1860.3,12402.0,30
CDM,480574,STEM HUM SHLDR 11X95MM,12402.0,12402.0,1860.3,12402.0,30
CDM,480575,OFFSETS SCR SPN CLS 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,480576,ROD SPN 95MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,480578,INSERT TIB KN SZ4 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,480579,INSERT TIB KN SZ6 8MM,8309.0,8309.0,1246.35,8309.0,30
CDM,480581,COMPNT KN ARTC 13MM,4651.0,4651.0,697.65,4651.0,30
CDM,480582,GRAFT STENT 37X37X225MM,90795.0,90795.0,13619.25,90795.0,30
CDM,480583,BLADE ARTHSCP 4MM 125MM,572.0,572.0,85.8,572.0,42
CDM,480584,DRILL SURG CANN 12MM,1596.5,1596.5,239.47,1596.5,42
CDM,480587,DRILL SURG 10MM,1596.5,1596.5,239.47,1596.5,42
CDM,480588,SCREW BN 9MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,480589,SCREW BN 10MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,480590,GRAFT BN DWL 11MM,5094.0,5094.0,764.1,5094.0,30
CDM,480591,SUTURE TAPE 1.3MM 40MM,541.0,541.0,81.15,541.0,42
CDM,480592,SCREW SPN 4.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,480593,ROD SPN 3.2X240MM,2711.0,2711.0,406.65,2711.0,30
CDM,480594,COMP GLND PEG SHLDR SZ30,6201.0,6201.0,930.15,6201.0,30
CDM,480595,BASEPLATE GLND SHLDR SM,5980.0,5980.0,897.0,5980.0,30
CDM,480596,SCREW BN 3.5MM 30MM,1356.0,1356.0,203.4,1356.0,30
CDM,480597,SCREW BN HEADED 4MM 52MM,2392.0,2392.0,358.8,2392.0,30
CDM,480598,SCREW RDC PAX 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,480599,PROBE LITHTRPS 1.5X350MM,4385.5,4385.5,657.83,4385.5,42
CDM,480600,PLATE SPN 4LVL 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,480601,CONNCTR ROD QRTX 4.0-6.5,3012.0,3012.0,451.8,3012.0,30
CDM,480603,CMPNT FEM KN 5DX5P SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,480604,SURF ARTC KN 6-9 20MM,4651.0,4651.0,697.65,4651.0,30
CDM,480605,BASEPLATE TIB KN SZ3,4651.0,4651.0,697.65,4651.0,30
CDM,480606,SPACER SPNL 60X18X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,480607,SPACER SPN 7X26MM,9523.0,9523.0,1428.45,9523.0,30
CDM,480608,BLOCK AUG KN SZ5-6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,480753,CATH CHLGM DLV ACC,12534.5,12534.5,1880.17,12534.5,42
CDM,480754,CANN ART 12IN 20F NVNT,773.0,773.0,115.95,773.0,42
CDM,480755,CANNULA PRFSN 22FR 12IN,773.0,773.0,115.95,773.0,42
CDM,480757,PENCIL ESURG 10FT 7/8IN,324.5,324.5,48.67,324.5,42
CDM,480758,BUTTON GSTRM 24FR 3.0CM,900.5,900.5,135.07,900.5,42
CDM,480761,CANN W DILATOR STRGT TIP,74182.0,74182.0,11127.3,74182.0,42
CDM,480762,CATH BLNDIL 5X80MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480763,CATH BLNDIL 5X120MM135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480764,CATH BLNDIL 6X40MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480765,CATH BLNDIL 6X60MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480766,CATH BLNDIL 6X80MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,480775,CATH BLNDIL 1.5X6MM,2046.5,2046.5,306.98,2046.5,42
CDM,480780,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,480781,CATH BLNDIL 2X12MM,2046.5,2046.5,306.98,2046.5,42
CDM,480782,CATH BLNDIL OTW 1.5X6MM,1948.5,1948.5,292.27,1948.5,42
CDM,480783,CATH BLNDIL 1.5X12MM,2046.5,2046.5,306.98,2046.5,42
CDM,480785,INTRDCR SHTH 9FR 45CM,773.0,773.0,115.95,773.0,42
CDM,480786,CATH BLNDIL 1.5X12MM,2046.5,2046.5,306.98,2046.5,42
CDM,480788,CATH BLNDIL 25MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,480789,VALVE HEART TRNSCTH 23MM,143943.0,143943.0,21591.45,143943.0,30
CDM,480791,VALVE HEART TRNSCTH 26MM,143943.0,143943.0,21591.45,143943.0,30
CDM,480792,CRT-P CRD 11X46.5X59MM,21935.0,21935.0,3290.25,21935.0,30
CDM,480794,CATH ATHRCM 6FR 130CM,11485.5,11485.5,1722.83,11485.5,42
CDM,480795,MICROCATH VASC2.9F 150CM,4093.0,4093.0,613.95,4093.0,42
CDM,480797,GRAFT CV 8MM 40CM,5460.0,5460.0,819.0,5460.0,30
CDM,480798,GRAFT CV 26MM 40CM,5460.0,5460.0,819.0,5460.0,30
CDM,480799,SHEATH ACC TPR 15FR 13FR,1019.0,1019.0,152.85,1019.0,42
CDM,480802,SET CATH NPHS 20FR 35CM,773.0,773.0,115.95,773.0,42
CDM,480804,KERECIS OMEGA3 1SQCM,641.0,641.0,96.15,641.0,29
CDM,480807,KERECIS OMEGA3 1SQCM,631.0,631.0,94.65,631.0,29
CDM,480817,BRACE KAFO KN PLASTIC,7771.0,7771.0,1430.64,7771.0,26
CDM,480817,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",7771.0,7771.0,2025.39,3134.03,34
CDM,480821,KERECIS OMEGA3 1SQCM,1028.0,1028.0,154.2,1028.0,29
CDM,480851,CATH 20GA 8CM PWRGLD FUL,1023.5,1023.5,153.53,1023.5,42
CDM,480860,VALVE AORTIC 6-30MM,56253.0,56253.0,8437.95,56253.0,30
CDM,480861,VALVE AOR CNDT 23MM,58191.0,58191.0,8728.65,58191.0,30
CDM,480863,NAIL BN FEM 11MM 340MM,8478.0,8478.0,1271.7,8478.0,30
CDM,480864,STEM FEM MOD SZ13 135D,8416.0,8416.0,1262.4,8416.0,30
CDM,480865,ANCHOR HUM STM FREE MED,11959.0,11959.0,1793.85,11959.0,30
CDM,480868,WIRE BN FX NITINOL,479.0,479.0,71.85,479.0,42
CDM,480869,STEM HUM SHLDR 8MM,12402.0,12402.0,1860.3,12402.0,30
CDM,480870,INSERT TIB CRU 5-6 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,480871,CAP END TIB T40 STRL 0MM,2850.0,2850.0,427.5,2850.0,30
CDM,480872,SCREW BN 4MM 36MM,2369.0,2369.0,355.35,2369.0,30
CDM,481041,INSERT ARTCH 74X46X13MM,5245.0,5245.0,786.75,5245.0,30
CDM,481042,LINER SHLDR +3MM 36MM,4428.0,4428.0,664.2,4428.0,30
CDM,481043,INSERT TIB KN SZ2 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,481044,IMPLANT BREAST 495CC,5869.0,5869.0,880.35,5869.0,30
CDM,481046,HEAD HUM SHLDR 40MM 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,481047,PLATE SPN 1LVL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,481048,CAGE SPN CIF 6D -10MM,4429.0,4429.0,664.35,4429.0,30
CDM,481050,LINER ACTB HIP 50X28MM,6644.0,6644.0,996.6,6644.0,30
CDM,481052,CMPNT PTLR KN 10MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,481053,STEM FEM KN 20X160MM,4606.0,4606.0,690.9,4606.0,30
CDM,481054,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,481056,CURETTE ENDO 11G,3912.0,3912.0,586.8,3912.0,42
CDM,481058,IMPLANT SPN PLVC 7X70MM,12047.0,12047.0,2217.85,12047.0,26
CDM,481059,NAIL BN FEM LT 12MM 34CM,8478.0,8478.0,1271.7,8478.0,30
CDM,481061,SCREW BN 2.3MM 9MM,1255.0,1255.0,188.25,1255.0,30
CDM,481064,INSRT ARTC 4-6 E XL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,481067,INSRT TIB KN PS SZ7 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,481068,VALVE AORTIC 19MM,22588.0,22588.0,3388.2,22588.0,30
CDM,481069,VALVE AORTIC 25MM,17595.0,17595.0,2639.25,17595.0,30
CDM,481075,GRAFT CV 30CM 24MM,3846.0,3846.0,576.9,3846.0,30
CDM,481076,INSERT ARTC SZEF 46 H11,5245.0,5245.0,786.75,5245.0,30
CDM,481078,SCREW CANN 1.7X12MM S-D,3189.0,3189.0,478.35,3189.0,30
CDM,481079,REAMER SURG 4-6,2947.0,2947.0,442.05,2947.0,42
CDM,481080,INSERT TIB KN SZ4.5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,481081,CAGE SPN 13X18MM,4429.0,4429.0,664.35,4429.0,30
CDM,481085,GRAFIX STRAVIX PL 1SQCM,3012.0,3012.0,451.8,3012.0,29
CDM,481089,SCREW BN 5MM 28MM LT STD,1196.0,1196.0,179.4,1196.0,30
CDM,481091,STENT ESPH 120MM 90CM,11073.0,11073.0,1660.95,11073.0,30
CDM,481092,STENT ESPH 150MM 90CM,11073.0,11073.0,1660.95,11073.0,30
CDM,481093,CMPNT KN CMNTLS RT SZ1,7397.0,7397.0,1109.55,7397.0,30
CDM,481096,SCREW SPN 4MM 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,481097,ROD SPN CRV 4MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,481098,CMPNT STEM FEM KN RT SZ5,18647.0,18647.0,2797.05,18647.0,30
CDM,481099,CAGE MESH 10X10X9MM,5920.0,5920.0,888.0,5920.0,30
CDM,481100,SCREW BN 5X3.5X65MM,2764.0,2764.0,414.6,2764.0,30
CDM,481101,ALLOGRAFT HEMI-PATELLAR,10630.0,10630.0,1594.5,10630.0,30
CDM,481102,BASEPLATE KN 40MM 61MM,5758.0,5758.0,863.7,5758.0,30
CDM,481103,SCREW SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,481104,GRAFT EVAS 23X14.5M 12CM,46735.0,46735.0,7010.25,46735.0,30
CDM,481105,SCREW RDC PAX 7.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,481107,SYSTEM BLN 11GA 15MM,11767.0,11767.0,1765.05,11767.0,42
CDM,481111,KIT REPAIR DEV AND MESH,4805.0,4805.0,720.75,4805.0,30
CDM,481112,INSERT TIB KN SZ4 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,481113,STEM KN 130MM 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,481116,ROD SPNL 5.5MM 85MM,2711.0,2711.0,406.65,2711.0,30
CDM,481117,SCREW BN 4.3MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,481118,SHELL HIP 13H J 72MM,9418.0,9418.0,1412.7,9418.0,30
CDM,481119,LINER ACTB HIP SZJ 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,481120,INSERT ACTB HIP58MM 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,481122,CMPNT PLY TIB SZ6-14MM,4252.0,4252.0,637.8,4252.0,30
CDM,481123,PLATE 94X3.5MM SCR 5HL,4429.0,4429.0,664.35,4429.0,30
CDM,481124,BUTTON KNOTLESS DIS CLAV,4429.0,4429.0,664.35,4429.0,30
CDM,481125,PIN DRILL 3.7MM,2073.0,2073.0,310.95,2073.0,42
CDM,481127,GRAFT EVAS 34X34X10CM,79510.0,79510.0,11926.5,79510.0,30
CDM,481128,NAIL BN 11MM 400MM,6437.0,6437.0,965.55,6437.0,30
CDM,481129,INSERT TIB KN 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,481130,SCREW BN 8MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,481131,SCREW BN 8X30MM,3189.0,3189.0,478.35,3189.0,30
CDM,481132,SCREW BN 2.4X24MM,2232.0,2232.0,334.8,2232.0,30
CDM,481133,SCREW BN 2.4MM 22MM,2232.0,2232.0,334.8,2232.0,30
CDM,481134,PLATE BN CNTR 3HL,4429.0,4429.0,664.35,4429.0,30
CDM,481135,CUP ACTB HIP 60MM,44069.0,44069.0,6610.35,44069.0,30
CDM,481136,GRAFT TIS SYN INJ 10CC,5271.0,5271.0,790.65,5271.0,30
CDM,481137,INSERT KN HNG XS 28MM,14095.0,14095.0,2114.25,14095.0,30
CDM,481139,INSERT TIB ANKL 2+ 10MM,12446.0,12446.0,1866.9,12446.0,30
CDM,481140,ROD SPN PREBENT 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,481141,ROD SPINAL PREBENT 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,481142,LINER ACTB RNGLC 2 25 HI,6644.0,6644.0,996.6,6644.0,30
CDM,481143,KIT SIGMOIDOSCOPE DISP,870.0,870.0,130.5,870.0,42
CDM,481145,CATH BLNDIL 4.5X40X135,1269.0,1269.0,190.35,1269.0,42
CDM,481146,CATH BLNDIL 5.5X20X135,1269.0,1269.0,190.35,1269.0,42
CDM,481147,CATH BLNDIL 5.5X40X135,1269.0,1269.0,190.35,1269.0,42
CDM,481148,SCREW HEX 3.8X14MM,479.0,479.0,71.85,479.0,30
CDM,481149,PLATE BN 4H,319.0,319.0,47.85,319.0,30
CDM,481150,SCREW BN 3.2MM 34MM,319.0,319.0,47.85,319.0,30
CDM,481152,DRILL TWIST 3.2MMX150MM,973.0,973.0,145.95,973.0,42
CDM,481153,HEAD HUM SHLDR 27MM 56MM,4872.0,4872.0,730.8,4872.0,30
CDM,481154,NAIL BN 13MM 16CM,4872.0,4872.0,730.8,4872.0,30
CDM,481156,CMPNT STEM CNL 14X100MM,4429.0,4429.0,664.35,4429.0,30
CDM,481157,STEM FEM KN SZ4,14173.0,14173.0,2125.95,14173.0,30
CDM,481158,PLATE SPN 1LVL 32MM,11073.0,11073.0,1660.95,11073.0,30
CDM,481160,CAGE ENDSKLT 40X12MM 12D,21636.0,21636.0,3245.4,21636.0,30
CDM,481161,SCREW BN SPN 5.5MM 30MM,1130.0,1130.0,169.5,1130.0,30
CDM,481162,SPACER SPN 45X18X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,481163,SPACER SPNL 40X18X9MM,13952.0,13952.0,2092.8,13952.0,30
CDM,481164,SPACER SPNL 40X18X11 10D,13952.0,13952.0,2092.8,13952.0,30
CDM,481166,CAGE SPN MESH 17X13X10MM,7395.0,7395.0,1109.25,7395.0,30
CDM,481167,TRIFLANGE LT SZ26,57555.0,57555.0,8633.25,57555.0,30
CDM,481168,INSERT HUM SHLDR 36 +3MM,4606.0,4606.0,690.9,4606.0,30
CDM,481169,SPACER SHLDR +12MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,481170,BASEPLATE SHLDR 24MM,5315.0,5315.0,797.25,5315.0,30
CDM,481171,SCREW BN 20MM,3721.0,3721.0,558.15,3721.0,30
CDM,481172,SCREW BN GLND 5.5X16MM,1595.0,1595.0,239.25,1595.0,30
CDM,481173,SCREW BN LCK 5.5MM 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,481174,SCREW BN 5.5X28MM,1595.0,1595.0,239.25,1595.0,30
CDM,481175,CMPNT GLND SHLDR 24X33MM,5537.0,5537.0,830.55,5537.0,30
CDM,481176,CMPNT TIB ANKL SZ1,33556.0,33556.0,5033.4,33556.0,30
CDM,481177,CMPNT TIB ANKL XL SZ2,33556.0,33556.0,5033.4,33556.0,30
CDM,481178,SCREW BN 8.5MM 95MM,3765.0,3765.0,564.75,3765.0,30
CDM,481179,SCREW BN SPN 5.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,481180,NAIL BN 12MM 345MM,4429.0,4429.0,664.35,4429.0,30
CDM,481181,SCREW SPN 4.2MM XTND ANT,1130.0,1130.0,169.5,1130.0,30
CDM,481182,SUTURE MNITAP BLUE COBRD,1780.0,1780.0,267.0,1780.0,42
CDM,481183,SUBSTITIUTE BNGF 120MM,16742.0,16742.0,2511.3,16742.0,30
CDM,481184,CANNULA END DEL 120 11G,4252.0,4252.0,637.8,4252.0,42
CDM,481185,ANCHOR BN 4.75MM,4429.0,4429.0,664.35,4429.0,30
CDM,481186,ANCHOR SUT 4.75MM,3189.0,3189.0,478.35,3189.0,30
CDM,481187,CATH BLNDIL 2.5X8MM,2046.5,2046.5,306.98,2046.5,42
CDM,481188,CATH BLNDIL 2.5X12MM,1023.5,1023.5,153.53,1023.5,42
CDM,481189,KIT CBL ADPT LA71,55.5,55.5,8.32,55.5,42
CDM,481194,CATH BLNDIL 4X150MM135CM,6651.0,6651.0,997.65,6651.0,42
CDM,481195,CATH BLNDIL 4X200MM 80CM,8697.5,8697.5,1304.63,8697.5,42
CDM,481196,CATH BLNDIL 5X150MM135CM,6651.0,6651.0,997.65,6651.0,42
CDM,481197,CATH BLNDIL 6X150MM135CM,6651.0,6651.0,997.65,6651.0,42
CDM,481198,CATH BLNDIL 5X200MM135CM,8697.5,8697.5,1304.63,8697.5,42
CDM,481199,CATH BLNDIL 6X200MM135CM,8697.5,8697.5,1304.63,8697.5,42
CDM,481200,GWIRE VASC 190CM .014IN,870.0,870.0,130.5,870.0,42
CDM,481201,GWIRE VASC 190CM .014IN,870.0,870.0,130.5,870.0,42
CDM,481204,CATH BLNDL 2.5X12MM,1858.0,1858.0,278.7,1858.0,42
CDM,481205,CATH GD EBU3 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,481206,CATH GD AL3 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,481207,CATH BLNDIL 2.5X8MM,2046.5,2046.5,306.98,2046.5,42
CDM,481209,CATH INFS 3.3F 145CM,3479.0,3479.0,521.85,3479.0,42
CDM,481213,STEN BIL 6X150MM 130CM,3846.0,3846.0,576.9,3846.0,30
CDM,481214,CATH BLNDIL 4X40MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,481215,CATH BLNDL 6X100MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,481216,CATH BLNDIL 5X00MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,481217,CATH BLNDL 4X100MM 135CM,5628.0,5628.0,844.2,5628.0,42
CDM,481239,LEAD PCNG 88CM,6659.0,6659.0,998.85,6659.0,30
CDM,481264,NAIL 11MM 235MM TIB IM,4429.0,4429.0,664.35,4429.0,30
CDM,481266,SCREW SPN 7MM 45MM,4030.0,4030.0,604.5,4030.0,30
CDM,481268,KIT ANCH MNSCL REPR ROOT,6488.0,6488.0,973.2,6488.0,30
CDM,481269,CAGE SPNL 12X40MM,21636.0,21636.0,3245.4,21636.0,30
CDM,481270,SHELL ACTB PNCL 100X60,4606.0,4606.0,690.9,4606.0,30
CDM,481271,INSERT ARTC KN 3-11 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,481272,CMPNT PTLA KN RT SZ3,7574.0,7574.0,1136.1,7574.0,30
CDM,481273,LINER HUM OFFST 2.5 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,481274,SHELL ACTB HIP 5H 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,481275,SCREW INTFR PEEK 23X6MM,3189.0,3189.0,478.35,3189.0,30
CDM,481276,REAMER SURG 11.0MM,3109.0,3109.0,466.35,3109.0,42
CDM,481277,KIT IMPLANT TTL ID CR,17716.0,17716.0,2657.4,17716.0,30
CDM,481279,CAGE SPN 7D 13X18X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,481282,TROCAR LAPSCP 12MM 100MM,113.5,113.5,17.02,113.5,42
CDM,481283,INSERT TIB KN SZ1 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481284,INSERT TIB KN SZ1 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481285,INSERT BRNG KN TIB1 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481286,INSERT BRNG KN TIB1 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481287,INSERT BRNG KN TIB1 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481288,INSERT TIB BRNG SZ1 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481290,INSERT TIB KN 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481291,INSERT BRNG KN SZ2 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481292,INSERT BRNG KN TIB2 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481293,INSERT TIB KN SZ2 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481294,INSERT BRNG KN SZ2 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481295,INSERT TIB KN SZ3 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481296,INSERT TIB KN 3 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481297,INSERT TIB KN SZ3 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481298,INSERT BRNG KN TIB3 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481299,INSERT BRNG KN SZ3 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481300,INSERT TIB KN SZ3 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481301,INSERT TIB KN SZ4 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481302,INSERT KN BRNG 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481303,INSERT TIB KN SZ4 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481304,INSERT TIB KN BRNG 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481305,INSERT TIB KN SZ4 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481306,INSERT TIB KN SZ4 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481307,INSERT TIB KN BRNG 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481308,INSERT TIB KN SZ5 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481309,INSERT TIB KN 5 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481310,INSERT TIB KN SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481311,INSERT TIB KN 5 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481312,INSERT BRNG KN SZ5 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481313,INSERT TIB KN BRNG 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481314,INSERT TIB KN BRN 6 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481315,INSERT TIB KN BRNG 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481316,INSERT TIB KN SZ6 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481317,INSERT TIB KN 6 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481318,INSERT TIB KN SZ6 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481319,INSERT TIB KN SZ7 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481320,INSERT TIB KN SZ7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481321,INSERT TIB KN SZ7 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481322,INSERT TIB KN SZ7 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481323,INSERT TIB KN SZ7 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481324,INSERT BRNG KN SZ7 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481325,INSERT BRNG TIB KN7 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481326,INSERT TIB KN SZ8 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481327,INSERT TIB KN SZ8 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481328,INSERT TIB KN SZ8 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481329,INSERT BRNG KN SZ8 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481330,INSERT BRNG KN SZ8 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481331,INSERT TIB KN 9MM SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,481332,INSERT TIB KN SZ1 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481333,INSERT TIB KN SZ2 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481334,INSERT TIB KN SZ1 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481335,INSERT BRNG KN SZ1 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481336,INSERT POST TIB 1 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481337,INSERT TIB KN SZ1 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481338,INSERT TIB KN SZ2 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481339,INSERT TIB KN SZ2 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481341,INSERT BRNG KN SZ2 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481342,INSERT POST TIB 2 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481343,INSERT TIB KN BRG 3 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481344,INSERT TIB KN SZ3 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481345,INSERT BRNG KN TIB3 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481346,INSERT TIB KN SZ3 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481347,INSERT TIB KN SZ3 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481348,INSERT KN BRNG SZ3 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481349,INSERT BRNG KN TIB4 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481350,INSERT TIB KN SZ4 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481351,INSERT TIB KN SZ4 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481352,INSERT TIB KN 4 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481353,INSERT TIB SZ4 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481354,INSERT TIB KN SZ4 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481355,INSERT TIB KN SZ5 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481357,INSERT TIB KN SZ5 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481358,INSERT TIB KN SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481359,INSERT TIB KN SZ5 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,48136,NAIL BN 13X0X38MM,8105.0,8105.0,1215.75,8105.0,30
CDM,481360,INSERT TIB KN SZ5 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481361,INSERT KN TIB SZ6 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481362,INSERT KN BRNG TIB6 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481363,INSERT TIB KN SZ6 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481364,INSERT TIB KN SZ6 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481365,INSERT POST TIB 6 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481366,INSERT TIB KN SZ6 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481367,INSERT TIB KN SZ7 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481368,INSERT TIB KN SZ7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481369,INSERT TIB KN SZ7 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481370,INSERT TIB KN SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481371,INSERT TIB KN SZ7 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481372,INSERT TIB KN SZ7 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,481373,INSERT TIB KN SZ8 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481374,INSERT TIB KN SZ8 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,481375,INSERT TIB KN SZ8 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,481376,INSERT TIB KN SZ8 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481377,INSERT BRNG KN SZ8 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481378,INSERT POST TIB 8 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,481379,STEM HUM SHLDR 8MM 122MM,11959.0,11959.0,1793.85,11959.0,30
CDM,481380,SPACER SPN 8D 16X14X26MM,24116.0,24116.0,3617.4,24116.0,30
CDM,481381,IMPLANT BREAST 375CC,5315.0,5315.0,797.25,5315.0,30
CDM,481382,IMPLANT BREAST 195CC,5315.0,5315.0,797.25,5315.0,30
CDM,481383,IMPLANT BREAST 595CC,5094.0,5094.0,764.1,5094.0,30
CDM,481384,SCREW SPN 5.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,481385,SCRW 5.5 TI FX 4.5X30,3765.0,3765.0,564.75,3765.0,30
CDM,481386,SHELL ACTB HIP 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,481387,COMP HIP LNR G2 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,481388,COMPNT GLNOID SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,481389,CMPNT SHLDR +6X+5X40MM,5537.0,5537.0,830.55,5537.0,30
CDM,481390,BEARING HUM SHLDR 40MM,6423.0,6423.0,963.45,6423.0,30
CDM,481391,STEM FEM KN XTN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,481392,NAIL BN 130D 13MM 38CM,7604.0,7604.0,1140.6,7604.0,30
CDM,481393,LINER ACTB HIP 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,481394,SCREW SPN 3.5MM 17MM,1130.0,1130.0,169.5,1130.0,30
CDM,481395,CAGE SPNL 14X12X7MM 6D,8416.0,8416.0,1262.4,8416.0,30
CDM,481396,SCREW BN SPN 3.5MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,481397,SCREW BN SPN 3.5MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,481398,STENT GRAFT 16X16X82MM,15823.0,15823.0,2373.45,15823.0,30
CDM,481399,SHEATH CATH 6.5FR 55CM,4093.0,4093.0,613.95,4093.0,42
CDM,481408,SCREW BN 4.5X30MM ELL TI,3765.0,3765.0,564.75,3765.0,30
CDM,481409,SCREW BN 4.5X24MM ELLIPS,3765.0,3765.0,564.75,3765.0,30
CDM,481411,INSERT TIB KN SZ3 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,481412,ELECTRODE RESCT BTN HF 1,3396.5,3396.5,509.48,3396.5,42
CDM,481413,INSERT TIB KN SZ4 12MM,8309.0,8309.0,1246.35,8309.0,30
CDM,481416,ANCHOR SUT 4.75MM 15.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,481417,LINER HIP NTRL GRP8 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,481418,SHELL ACTB HIP G 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,481419,STEM PRFMR LNG NCK SZ4,8858.0,8858.0,1328.7,8858.0,30
CDM,481420,IMPLANT BREAST 650CC,4429.0,4429.0,664.35,4429.0,30
CDM,481421,SCREW BN 9MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,481422,SCREW INTRFX PEEK 30X9MM,4252.0,4252.0,637.8,4252.0,30
CDM,481423,SHEATH ARTHSCP FX LG30MM,4252.0,4252.0,637.8,4252.0,30
CDM,481424,INSERT TIB KN SZ6 10MM,8309.0,8309.0,1246.35,8309.0,30
CDM,481425,SCREW BN 6.5MM 40MM,877.0,877.0,131.55,877.0,30
CDM,481426,NAIL BN 9MM 380MM,8982.0,8982.0,1347.3,8982.0,30
CDM,481427,EXPANDER BRST TISS XPNDR,6821.0,6821.0,1023.15,6821.0,30
CDM,481428,STENT VASC 6FR 7X80MM,3846.0,3846.0,576.9,3846.0,30
CDM,481429,STENT VASC 6FR 9X80MM,3846.0,3846.0,576.9,3846.0,30
CDM,481430,SPACER SPN 12D26X24X16MM,18536.0,18536.0,2780.4,18536.0,30
CDM,481431,ROD SPN 3.5MM 055MM,2711.0,2711.0,406.65,2711.0,30
CDM,481432,SCREW SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,481433,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,481434,ROD SPN TI 3.5MM 065MM,2711.0,2711.0,406.65,2711.0,30
CDM,481435,SCREW SPN 5.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,481436,SCREW SPN 5.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,481437,ROD SPN 5.5MM 150MM,2711.0,2711.0,406.65,2711.0,30
CDM,481438,SCREW BN 4.5MM 45MM,1595.0,1595.0,239.25,1595.0,30
CDM,481439,SCREW BN INTF 7MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,48144,CATH BLNDIL 4.5X20X135,1269.0,1269.0,190.35,1269.0,42
CDM,481440,SCREW BN 9MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,481441,SCREW INTF 10MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,481443,REAMER SURG 10.5MM,3109.0,3109.0,466.35,3109.0,42
CDM,481444,SCREW BN 3.5MM 10MM,432.0,432.0,64.8,432.0,30
CDM,481445,CAP END 0MM TIB TI NTRL,2445.0,2445.0,366.75,2445.0,30
CDM,481449,STEM HUM SURG NTRL,4252.0,4252.0,637.8,4252.0,30
CDM,481450,GLENOID HUM PEG E SZ50,5071.0,5071.0,760.65,5071.0,30
CDM,481451,STEM HUM SURG 14MM,10630.0,10630.0,1594.5,10630.0,30
CDM,481452,HEAD HUM 18MM 54MM SHLDR,5358.0,5358.0,803.7,5358.0,30
CDM,481453,GWIRE 2.4MM,558.0,558.0,83.7,558.0,42
CDM,481454,SCREW BNE 3.0PR LNG,3189.0,3189.0,478.35,3189.0,30
CDM,481456,SHELL ACTB HIP 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,481457,CAGE SPN 10D 27X30X14MM,9523.0,9523.0,1428.45,9523.0,30
CDM,481458,PLATE SPN LAT 24MM 4HL,11073.0,11073.0,1660.95,11073.0,30
CDM,481459,COMP FEM HIP CLLR SZ5,7530.0,7530.0,1129.5,7530.0,30
CDM,481460,INSERT TIB KN SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481462,SPACER SPN 31X9X9.8-11,8083.0,8083.0,1212.45,8083.0,30
CDM,481487,IMPLANT COLLAGEN LARGE,9301.0,9301.0,1395.15,9301.0,30
CDM,481488,ANCHOR BN SHLD,4429.0,4429.0,664.35,4429.0,30
CDM,481489,STEM FEM HIP 15MM 300MM,11150.0,11150.0,1672.5,11150.0,30
CDM,481490,SCREW BN 3.5MM 22.5MM,3914.0,3914.0,587.1,3914.0,30
CDM,481491,RING ACTB HIP 46MM,3535.0,3535.0,530.25,3535.0,30
CDM,481492,CEMENT BN CA PHS HA 15CC,17493.0,17493.0,2623.95,17493.0,30
CDM,481494,IMPLANT TALAR LT SZ1,20305.0,20305.0,3045.75,20305.0,30
CDM,481495,SCREW BN 7MM 40MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,481496,KIT BRNG ULNA ELBOW E+,7715.0,7715.0,1157.25,7715.0,30
CDM,481498,COMP HUM ELB RT 6X150MM,15358.0,15358.0,2303.7,15358.0,30
CDM,481499,NAIL BN 9.3MM 11MM 34CM,6930.0,6930.0,1039.5,6930.0,30
CDM,481500,CAGE SPN 12D 36X24X14MM,21636.0,21636.0,3245.4,21636.0,30
CDM,481501,SCREW BN SPN 6.5MM 30MM,1130.0,1130.0,169.5,1130.0,30
CDM,481502,CAGE SPN 6D 14X16X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,481503,SPCR SPNL 45X18X7 6DEG,13952.0,13952.0,2092.8,13952.0,30
CDM,481507,PLATE 2 SLT BETA MXLCK,4429.0,4429.0,664.35,4429.0,30
CDM,481508,INSERT TIB ANKL SZ4+ 7MM,9213.0,9213.0,1381.95,9213.0,30
CDM,481510,GRAFT FASCIA-LATA 99-150,4429.0,4429.0,664.35,4429.0,30
CDM,481511,WIRE WRST CLMP 24X14MM,1802.0,1802.0,270.3,1802.0,30
CDM,481512,PIN FX WRST BTRS 27X14MM,3189.0,3189.0,478.35,3189.0,30
CDM,481513,PIN FX WRST BTRS 24X14MM,3189.0,3189.0,478.35,3189.0,30
CDM,481514,DRILL BIT 3X135MM,1377.0,1377.0,206.55,1377.0,42
CDM,481515,STEM FEM KN XTN 12X100MM,17938.0,17938.0,2690.7,17938.0,30
CDM,481516,INSERT TIB KN 2XS 16MM,14095.0,14095.0,2114.25,14095.0,30
CDM,481517,STEM FEMORAL,14173.0,14173.0,2125.95,14173.0,30
CDM,481518,STEM EVOLUTION CANL FILL,4429.0,4429.0,664.35,4429.0,30
CDM,481519,CONN SHNT RTANG 1X1.9MM,837.0,837.0,125.55,837.0,30
CDM,481520,PLATE BN 6H LT 3.5X85MM,4429.0,4429.0,664.35,4429.0,30
CDM,481521,CMPNT PTLR KN 8MM 26MM,4252.0,4252.0,637.8,4252.0,30
CDM,481524,PLATE BN SMALL,3189.0,3189.0,478.35,3189.0,30
CDM,481525,SCREW BN 2MM 6MM,2277.0,2277.0,341.55,2277.0,30
CDM,481526,SCREW BN 2MM 5MM,1058.0,1058.0,158.7,1058.0,30
CDM,481527,PLATE BN CRV 3D 6X2HL,3381.0,3381.0,507.15,3381.0,30
CDM,481529,SCREW SPNL STR 5.5X35MM,3389.0,3389.0,508.35,3389.0,30
CDM,481530,COVER BUR HL 17MM,3189.0,3189.0,478.35,3189.0,30
CDM,481531,SCREW BN 5.0MM X 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,481532,SCREW BN 5.0X85MM,3189.0,3189.0,478.35,3189.0,30
CDM,481533,STEM HUM SHLDR 122X9MM,11959.0,11959.0,1793.85,11959.0,30
CDM,481534,BEARING HUM SHLDR 36MM,6423.0,6423.0,963.45,6423.0,30
CDM,481535,BEARING HUM SHLDR 36MM,5537.0,5537.0,830.55,5537.0,30
CDM,481536,SCREW CRNMXF 1.5X5MM,1563.0,1563.0,234.45,1563.0,30
CDM,481537,IMPLANT BREAST 225CC,5315.0,5315.0,797.25,5315.0,30
CDM,481538,STEM HUM SHLDR 17X140MM,12402.0,12402.0,1860.3,12402.0,30
CDM,481539,SPACER SPNL 55X18X7MM 6D,13952.0,13952.0,2092.8,13952.0,30
CDM,481540,SPACER SPNL 55X18X9MM 6D,13952.0,13952.0,2092.8,13952.0,30
CDM,481541,CAGE SPNL 11X40MM ENDOSK,21636.0,21636.0,3245.4,21636.0,30
CDM,481542,FEMORAL HEAD 26MM 12/14,4252.0,4252.0,637.8,4252.0,30
CDM,481543,LINER BIP HIP 42/43X26MM,4252.0,4252.0,637.8,4252.0,30
CDM,481544,SCREW BN 6.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,481545,CMPNT FEM KN LT SMALL,7087.0,7087.0,1063.05,7087.0,30
CDM,481546,CONN ROD SPN 4.75MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,481547,CAGE SPN 6D 22X12X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,481586,CABLE LEAD TRAIL MULTI,1359.0,1359.0,203.85,1359.0,42
CDM,481587,KIT CRTD SHNT 6IN,592.0,592.0,88.8,592.0,42
CDM,481588,DEVICE CLSR CLP INT 35MM,4872.0,4872.0,730.8,4872.0,30
CDM,481589,CATH SHUNT VNTRC 23CM,1802.0,1802.0,270.3,1802.0,30
CDM,481590,DEVICE CLSR CLP INT 45MM,4872.0,4872.0,730.8,4872.0,30
CDM,481591,DEVICE CLSR CLP INT 40MM,4872.0,4872.0,730.8,4872.0,30
CDM,481592,DEVICE CLSR CLP INT 50MM,4872.0,4872.0,730.8,4872.0,30
CDM,481593,CLIP HMST 2.8X11MM 235CM,2224.0,2224.0,333.6,2224.0,30
CDM,481594,DEVICE FX 12 STRAP 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,481595,TISSEEL 10 ML TOPICAL,3104.0,3104.0,465.6,3104.0,30
CDM,481596,SPLINT DENTAL SGL JAW,4952.0,4952.0,742.8,4952.0,42
CDM,481629,COIL HELIX 5MM 10CM,3720.0,3720.0,558.0,3720.0,30
CDM,481630,SPACER SPN 37X28X12.5MM,20861.0,20861.0,3129.15,20861.0,30
CDM,481631,NAIL HUM CANN 7MM 250MM,4637.0,4637.0,695.55,4637.0,30
CDM,481632,SCREW BN LCK 4MM 22MM,2143.0,2143.0,321.45,2143.0,30
CDM,481634,INSERT TIB KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,481635,CMPNT FEM NAR KN LT SZ9,7973.0,7973.0,1195.95,7973.0,30
CDM,481636,SET PIN AND REAMER,4385.5,4385.5,657.83,4385.5,42
CDM,481638,IMPLANT TALAR LT SZ2,20305.0,20305.0,3045.75,20305.0,30
CDM,481639,IMPLANT TALAR RT SZ1,20305.0,20305.0,3045.75,20305.0,30
CDM,481640,INSERT TIB LT SZ1 9MM,6878.0,6878.0,1031.7,6878.0,30
CDM,481641,COMPNT FEM KN LT SZ2,7973.0,7973.0,1195.95,7973.0,30
CDM,481642,INSERT TIB KN SZ2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,481645,INSERT TIB 4+ 17MM KN RT,4429.0,4429.0,664.35,4429.0,30
CDM,481646,SYSTEM MENISCAL REPAIR,3422.0,3422.0,513.3,3422.0,30
CDM,481647,SCREW BN SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,481648,SCREW BN SPN 7.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,481649,ROD SPN CRV 5.5X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,481650,ROD SPN 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,481651,SCREW BN SPN 7.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,481669,GRAFT BN PUTTY 1CC,3765.0,3765.0,564.75,3765.0,30
CDM,481671,SCREW BN 4MM 56MM,1356.0,1356.0,203.4,1356.0,30
CDM,481672,PLATE BN ANKL OFST 3DI,3721.0,3721.0,558.15,3721.0,30
CDM,481673,BOLT GRAFT FX ACL 28X8MM,3189.0,3189.0,478.35,3189.0,30
CDM,481674,STEM FEM HIP 135D SZ15,8416.0,8416.0,1262.4,8416.0,30
CDM,481675,SCREW BN HEADED 4MM 34MM,2392.0,2392.0,358.8,2392.0,30
CDM,481676,SCREW BN HEADED 4MM 38MM,2392.0,2392.0,358.8,2392.0,30
CDM,481677,ANCHOR SUTURE 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,481679,PLATE BN 38.5X10X1.5MM,3474.0,3474.0,521.1,3474.0,30
CDM,481680,SCREW BN 3.5MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,481681,SCREW BN 3.5MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,481682,GLENOID HUM SHLDR E SZ42,5071.0,5071.0,760.65,5071.0,30
CDM,481683,HEAD HUM OFFSET 42X16,5358.0,5358.0,803.7,5358.0,30
CDM,481685,INSERT TIB KN 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,481686,BLADE SAW 70X12.5 .039IN,383.0,383.0,57.45,383.0,42
CDM,481687,COMPNT FEM KN 6430-0-200,12315.0,12315.0,1847.25,12315.0,30
CDM,481688,CMPNT HUM ELB 100X4MM,16893.0,16893.0,2533.95,16893.0,30
CDM,481690,IMPLANT BREAST 695CC,4429.0,4429.0,664.35,4429.0,30
CDM,481692,WIRE FX BLNT LGTURE 16CM,153.0,153.0,22.95,153.0,42
CDM,481693,SCREW BN 2.3MM 6MM,1166.0,1166.0,174.9,1166.0,30
CDM,481694,DRILL SURG 1.6MM 115MM,3189.0,3189.0,478.35,3189.0,42
CDM,481696,SCREW SPNL 8.5X90MM,4429.0,4429.0,664.35,4429.0,30
CDM,481697,PLATE BN 9HL,3189.0,3189.0,478.35,3189.0,30
CDM,481698,SCREW BN 8MM 2MM,2216.0,2216.0,332.4,2216.0,30
CDM,481702,SCREW BN MXLFCL 4MM 2MM,1766.0,1766.0,264.9,1766.0,30
CDM,481705,PLATE BN MINI 4H W/BAR,1765.0,1765.0,264.75,1765.0,30
CDM,481706,PLATE BN 4.1MM 2MM,4085.0,4085.0,612.75,4085.0,30
CDM,481707,PLATE BN 4H 2MM 5MM,4085.0,4085.0,612.75,4085.0,30
CDM,481708,PLATE BN W/BAR 6H 2MM,4429.0,4429.0,664.35,4429.0,30
CDM,481709,SCREW BN MXLFCL 2.3X4MM,1921.0,1921.0,288.15,1921.0,30
CDM,481710,SCREW BN 2.3MM 6MM,1921.0,1921.0,288.15,1921.0,30
CDM,481712,SCREW BN 2.3MM 10MM,1968.0,1968.0,295.2,1968.0,30
CDM,481713,SCREW BN CP LCK 2.3X12MM,1968.0,1968.0,295.2,1968.0,30
CDM,481714,DRILL TWIST 1.6MM 5MM,1104.0,1104.0,165.6,1104.0,42
CDM,481715,BIT DRIL TWST 1.9MM 58MM,1617.5,1617.5,242.63,1617.5,42
CDM,481717,PLATE BN 2MM STR FX MNDB,5400.0,5400.0,810.0,5400.0,30
CDM,481718,PLATE MNI MNDB 4HL STR,1023.5,1023.5,153.53,1023.5,30
CDM,481719,SCREW BN 2MM 5MM,1896.0,1896.0,284.4,1896.0,30
CDM,481720,SCREW BN 2.3MM 14MM,1921.0,1921.0,288.15,1921.0,30
CDM,481721,SCREW MXLFCL 2.7X5MM,2153.0,2153.0,322.95,2153.0,30
CDM,481722,SCREW BN 2.7MM 12MM,2206.0,2206.0,330.9,2206.0,30
CDM,481724,ANCHOR SUT 2.3MM,3590.0,3590.0,538.5,3590.0,30
CDM,481725,ANCHOR SUT 2.3MM,3224.0,3224.0,483.6,3224.0,30
CDM,481726,SCREW BN 28MM 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,481727,PLATE SPNL LAT 4HL 22MM,6644.0,6644.0,996.6,6644.0,30
CDM,481728,SCREW SPN 8.5MM 60MM,3765.0,3765.0,564.75,3765.0,30
CDM,481729,COMP FEM HIP CLLR SZ5,7530.0,7530.0,1129.5,7530.0,30
CDM,481730,SUTURE WND 3-0 6IN,634.5,634.5,95.17,634.5,42
CDM,481731,STENT GRAFT 40X40X100MM,65346.0,65346.0,9801.9,65346.0,30
CDM,481732,VALVE AOR W/ INTRO 25MM,124963.0,124963.0,18744.45,124963.0,30
CDM,481733,VALVE AOR W/ INTRO 27MM,143943.0,143943.0,21591.45,143943.0,30
CDM,481736,GUIDEWIRE VASC 300CM,4093.0,4093.0,613.95,4093.0,42
CDM,481739,SHEATH INTRO 8F 90CM,4093.0,4093.0,613.95,4093.0,42
CDM,481744,VALVE AOR W/ INTRO 23MM,143943.0,143943.0,21591.45,143943.0,30
CDM,481746,GWIRE VASC 275X4.2X4.2CM,2108.5,2108.5,316.27,2108.5,42
CDM,481749,SHEATH GD 7FR 45CM,952.0,952.0,142.8,952.0,42
CDM,481751,CRT-D CRD 5.37X8.18X0.99,52825.0,52825.0,7923.75,52825.0,30
CDM,481752,CATH GD 6F RDC 55CM,618.5,618.5,92.78,618.5,42
CDM,481757,STENT VNS 16X80MM 80CM,5758.0,5758.0,863.7,5758.0,30
CDM,481759,CATH GD 8FR 90CM,714.0,714.0,107.1,714.0,42
CDM,481761,CRT-P CRD 59X46.5X11MM,21935.0,21935.0,3290.25,21935.0,30
CDM,481763,OCCLUDER CV VSD 7X6MM,39675.0,39675.0,5951.25,39675.0,30
CDM,481764,OCCLUDER VSD 7X8X16MM,39675.0,39675.0,5951.25,39675.0,30
CDM,481765,CATH MAP 117MM,8058.0,8058.0,1208.7,8058.0,42
CDM,481779,VALVE MITRAL 36.5X49.5MM,132870.0,132870.0,19930.5,132870.0,30
CDM,481789,CANNULA PRFSN 17IN 21FR,1531.0,1531.0,229.65,1531.0,42
CDM,481790,LEAD PACNG 52CM,2699.0,2699.0,404.85,2699.0,30
CDM,481791,LEAD PCNG 45CM,2699.0,2699.0,404.85,2699.0,30
CDM,481792,LEAD PACING 59CM,2699.0,2699.0,404.85,2699.0,30
CDM,481793,DILATOR VSC 14F 038X20,196.5,196.5,29.48,196.5,42
CDM,481794,CRT-P 59X59X6MM,24238.0,24238.0,3635.7,24238.0,30
CDM,481796,SHEATH CLOTREM 16FR,6139.5,6139.5,920.92,6139.5,42
CDM,481797,CATH GD 4FR 135CM,1449.0,1449.0,217.35,1449.0,42
CDM,481798,STENT VASC 6FR 8X80MM,3846.0,3846.0,576.9,3846.0,30
CDM,481799,GWIRE VASC JTIP 185CM,4093.0,4093.0,613.95,4093.0,42
CDM,481800,INTRO SHTH 10FR 40CM,773.0,773.0,115.95,773.0,42
CDM,481801,DEVICE EMBL 18MM 4.25MM,60678.0,60678.0,9101.7,60678.0,30
CDM,481802,GDWIRE VASC 185CM,4093.0,4093.0,613.95,4093.0,42
CDM,481804,STENT VASC 6FR 8X40MM,3846.0,3846.0,576.9,3846.0,30
CDM,481805,CATH EMB 7F 14MM 80CM,848.5,848.5,127.28,848.5,42
CDM,481810,CATH BLNDIL 30MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,481811,CATH BLNDIL 23MM 5X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,481812,DEVICE CLSR 20MM,75293.0,75293.0,11293.95,75293.0,30
CDM,481813,DEVICE CLSR 24MM,75293.0,75293.0,11293.95,75293.0,30
CDM,481818,CATH BLNDIL 18MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,481819,CATH BLNDIL 20MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,481821,CATH BLNDIL 23MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,481822,CATH BLNDIL 22MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,481823,CATH BLNDIL 7FR 16X100X4,4093.0,4093.0,613.95,4093.0,42
CDM,481824,GUIDEWIRE .36/.27 190/15,1023.5,1023.5,153.53,1023.5,42
CDM,481825,GUIDEWIRE .36/.30 190/15,1023.5,1023.5,153.53,1023.5,42
CDM,481826,DVC REVASC 4X40MM 200CM,31331.5,31331.5,4699.73,31331.5,42
CDM,481827,DVC REVASC 4X20MM 200CM,31331.5,31331.5,4699.73,31331.5,42
CDM,481829,DVC REVASC 6X40MM 200CM,31331.5,31331.5,4699.73,31331.5,42
CDM,481831,DEFIB CARD .99CM D400,40964.0,40964.0,6144.6,40964.0,30
CDM,481832,ICD CRD 5.23X7.14X0.99CM,37644.0,37644.0,5646.6,37644.0,30
CDM,481833,ICD CRD 5.23X6.71CM,37644.0,37644.0,5646.6,37644.0,30
CDM,481834,IMPLANT BREAST 650CC,5094.0,5094.0,764.1,5094.0,30
CDM,481835,BLADE SHVR ANG 4MM,773.0,773.0,115.95,773.0,42
CDM,481836,NAIL BN FEM 12MM 440MM,6437.0,6437.0,965.55,6437.0,30
CDM,481837,IMPLANT KNEE 960663,4606.0,4606.0,690.9,4606.0,30
CDM,481838,IMPLANT BREAST 350CC,5094.0,5094.0,764.1,5094.0,30
CDM,481839,PLATE BN 2.8MM 11HL,4429.0,4429.0,664.35,4429.0,30
CDM,481840,SCREW BN MXLFCL 2.7X14MM,1388.0,1388.0,208.2,1388.0,30
CDM,481841,SCREW BN 2.3MM 14MM,1216.0,1216.0,182.4,1216.0,30
CDM,481843,ROD SPNL PCUT 3.5X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,481844,SCREW BN SPN 3.5MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,481845,SPACER SPN 39X17MM,8858.0,8858.0,1328.7,8858.0,30
CDM,481846,NAIL IM TI L420MM OD10MM,4429.0,4429.0,664.35,4429.0,30
CDM,481847,BASEPLATE SHLDR SM RT 8D,8858.0,8858.0,1328.7,8858.0,30
CDM,481848,GLENOSPHERE 36MM LATERAL,6423.0,6423.0,963.45,6423.0,30
CDM,481849,ROD SPN 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,481850,NAIL HUM CANN 7MM 270MM,4637.0,4637.0,695.55,4637.0,30
CDM,481851,SCREW BN 4MM 52MM,2143.0,2143.0,321.45,2143.0,30
CDM,481852,PLATE CRNMXF 5X.6MM,2976.0,2976.0,446.4,2976.0,30
CDM,481853,KIT GUIDE CSTM ORTHG IPS,4429.0,4429.0,664.35,4429.0,42
CDM,481854,KIT GUIDE MAND OTHGN,4385.5,4385.5,657.83,4385.5,42
CDM,481855,PLATE SPN 63MM L2,16831.0,16831.0,2524.65,16831.0,30
CDM,481856,SCREW L65MM OD33MM SPINA,1130.0,1130.0,169.5,1130.0,30
CDM,481857,SCREW SPNL P-AX 6.5X60MM,3765.0,3765.0,564.75,3765.0,30
CDM,481859,CMPNT POLY TIB SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,481861,CMPNT FEM LG 72MM,37798.0,37798.0,5669.7,37798.0,30
CDM,481862,FEM AUGMENT SL LAT 25MM,5718.0,5718.0,857.7,5718.0,30
CDM,481863,STEM FEM L160MM D22/ CMN,6755.0,6755.0,1013.25,6755.0,30
CDM,481864,INSERT TIB 75MM,23496.0,23496.0,3524.4,23496.0,30
CDM,481865,STEM KN 17/14MM 100MM,12318.0,12318.0,1847.7,12318.0,30
CDM,481866,INSERT TIB LG NTRL KN,7986.0,7986.0,1197.9,7986.0,30
CDM,481867,PLATE BN LT 73X5.7X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,481868,PLATE LT PRT RADL HEAD,5563.0,5563.0,834.45,5563.0,30
CDM,481869,SCREW BN 3.5MM 14MM,1642.0,1642.0,246.3,1642.0,30
CDM,481870,SCREW BN 3.5MM 16MM,1642.0,1642.0,246.3,1642.0,30
CDM,481871,SCREW BN 3.5MM 18MM,1738.0,1738.0,260.7,1738.0,30
CDM,481872,SCREW BN 3.5MM 22MM,1642.0,1642.0,246.3,1642.0,30
CDM,481873,SCREW BN LCKNG 3.5X28MM,1642.0,1642.0,246.3,1642.0,30
CDM,481874,SCREW BN 3.5MM 18MM,1597.0,1597.0,239.55,1597.0,30
CDM,481875,SCREW BN ELB 2.7MM 16MM,1690.0,1690.0,253.5,1690.0,30
CDM,481876,PEG BN FX 2.3MM,1356.0,1356.0,203.4,1356.0,30
CDM,481877,PEG BN FX 2.3MM 14MM,1228.0,1228.0,184.2,1228.0,30
CDM,481878,PEG BN FX 2.3MM 20MM,1228.0,1228.0,184.2,1228.0,30
CDM,481880,STENT URET 7FR 24CM,2029.0,2029.0,304.35,2029.0,30
CDM,481881,SCREW SPNL POLY 3.5X14MM,3389.0,3389.0,508.35,3389.0,30
CDM,481882,SCREW SPN P-AX 4.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,481883,SCREW SPN P-AX 4.5X32MM,3389.0,3389.0,508.35,3389.0,30
CDM,481884,SCREW SET SPN LOCKING,753.0,753.0,112.95,753.0,30
CDM,481885,ROD SPN 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,481886,ROD SPN 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,481887,SCREW #1 P-AX 3.5MM-16MM,3389.0,3389.0,508.35,3389.0,30
CDM,481888,SCREW BN SP 5X28MM PLYAX,3389.0,3389.0,508.35,3389.0,30
CDM,481889,SCREW SPN P-AX 5X32MM,3389.0,3389.0,508.35,3389.0,30
CDM,481890,DRILL BIT ADJUSTABLE,386.5,386.5,57.98,386.5,42
CDM,481891,SCREW SPN 3.5X18MM,3389.0,3389.0,508.35,3389.0,30
CDM,481892,SCREW SPN 5.0MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,481893,SCREW SPNL P-AX 5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,481894,ROD SPN 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,481895,ROD SPN 3.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,481897,CONN SPN ROD LAT OFST,3012.0,3012.0,451.8,3012.0,30
CDM,481898,CMPNT FEM NAR KN RT SZ11,9301.0,9301.0,1395.15,9301.0,30
CDM,481899,CMPNT FEM NAR KN LT SZ11,9301.0,9301.0,1395.15,9301.0,30
CDM,481900,SURFACE ARTC KN 10-11 13,4606.0,4606.0,690.9,4606.0,30
CDM,481901,SCREW BN SPN 5.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,481910,COMPONENT FEM KN SIZE 3,6644.0,6644.0,996.6,6644.0,30
CDM,481913,SCREW BN 7MM 8MM,2790.0,2790.0,418.5,2790.0,30
CDM,481915,INSERT TIB KN SZ10 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,481916,BASEPLATE TIB KN SZ10,5980.0,5980.0,897.0,5980.0,30
CDM,481918,ROD SPN LRDTC 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,481919,STEM FEM HIP SZ11 117MM,8858.0,8858.0,1328.7,8858.0,30
CDM,481926,HEAD BIP 63MM 28MM SLFCN,4252.0,4252.0,637.8,4252.0,30
CDM,481927,CMPNT PTLA SMTR 9X33MM,4252.0,4252.0,637.8,4252.0,30
CDM,481930,INSERT TIB KN SZ2.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,481931,PLATE SPN 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,481932,NAIL FEM 13MM 380MM,4460.0,4460.0,669.0,4460.0,30
CDM,481933,CUP ACTB KN RT 49MM,4606.0,4606.0,690.9,4606.0,30
CDM,481934,LINER ACTB 28MM 49MM,4429.0,4429.0,664.35,4429.0,30
CDM,481935,CMPNT PTLR KN 10X35MM,4252.0,4252.0,637.8,4252.0,30
CDM,481937,CONNECTOR SPN 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,481938,CMPNT FEM KN SZC,17193.0,17193.0,2578.95,17193.0,30
CDM,481939,STEM EXT OFST 14X155X200,4606.0,4606.0,690.9,4606.0,30
CDM,481940,INSERT KN 3-4 C-D 17MM,5700.0,5700.0,855.0,5700.0,30
CDM,481941,PLATE FEM BN 355MM,4872.0,4872.0,730.8,4872.0,30
CDM,481943,ROD SPN STRGH 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,481944,SHELL ACTB HIP 50MM,9543.0,9543.0,1431.45,9543.0,30
CDM,481945,CMPNT FEM RT KNEE SZ3,8017.0,8017.0,1202.55,8017.0,30
CDM,481946,STAPLE BN 22MM 25MM,10798.0,10798.0,1619.7,10798.0,30
CDM,481947,NAIL BN 8MM 115MM,13868.0,13868.0,2080.2,13868.0,30
CDM,481948,KWIRE FX 2.4MM,773.0,773.0,115.95,773.0,42
CDM,481951,ANCHOR SUT 1.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,481952,KIT ARTHSCP DISP 1.8MM,1596.5,1596.5,239.47,1596.5,42
CDM,481953,EXTENSION NRSTM 40CM,4309.0,4309.0,646.35,4309.0,30
CDM,481955,SHELL HM SHLDR 12X108MM,25743.0,25743.0,3861.45,25743.0,30
CDM,481956,INSERT SHLDR SM +4 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,481957,BASEPLATE HUM SHLDR 30MM,5537.0,5537.0,830.55,5537.0,30
CDM,481961,IMPLANT BREAST 240CC,4540.0,4540.0,681.0,4540.0,30
CDM,481962,COMPNT PTLR 11X38MM,4252.0,4252.0,637.8,4252.0,30
CDM,481963,SGMNTL SHD HNG SVC SZE,8615.0,8615.0,1292.25,8615.0,30
CDM,481964,CAGE SPN 0D 26X9X12MM,4762.0,4762.0,714.3,4762.0,30
CDM,481965,ROD SPNL CURV 5.5X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,481966,CONN SPNL 4.75-6MM 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,481967,NAIL BN 12MM 420MM,8478.0,8478.0,1271.7,8478.0,30
CDM,481968,SHELL ACTB HIP 9HL 48MM,9418.0,9418.0,1412.7,9418.0,30
CDM,481969,SPACER SPNL 50X18X7MM 6D,13287.0,13287.0,1993.05,13287.0,30
CDM,481970,FORCEPS BIP BYNT 190MM,3069.5,3069.5,460.43,3069.5,42
CDM,481971,SPACER SPNL 40X18X7MM 6D,13287.0,13287.0,1993.05,13287.0,30
CDM,481972,CONNECTOR ROD CLMP OFST,3012.0,3012.0,451.8,3012.0,30
CDM,481973,SCREW SPN 9.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
CDM,481974,ROD CNCTR 5.5 CLMP,3012.0,3012.0,451.8,3012.0,30
CDM,481976,SCREW #1 P-AX 4.0MM-24MM,3389.0,3389.0,508.35,3389.0,30
CDM,481977,SCREW SPN 4MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,481978,SCREW #1 P-AX 3.5MM-20MM,3389.0,3389.0,508.35,3389.0,30
CDM,481979,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,481980,PLATE MNDB 1.5X2/2.3 14H,4429.0,4429.0,664.35,4429.0,30
CDM,481989,GDWIRE VASC 7CM 180CM,442.0,442.0,66.3,442.0,42
CDM,481990,SCREW BN 2.0MM 6MM,1814.0,1814.0,272.1,1814.0,30
CDM,481991,SCREW SPNL P-AX 5.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,481992,SCREW #1 P-AX 4.0MM-26MM,3389.0,3389.0,508.35,3389.0,30
CDM,481996,SCREW SHANK SPN 3.5X20MM,3389.0,3389.0,508.35,3389.0,30
CDM,481997,BUTTON GSTRM 20FR 2.5CM,934.5,934.5,140.18,934.5,42
CDM,481998,BUTTON GSTRM 20FR 3.0CM,927.5,927.5,139.13,927.5,42
CDM,481999,CANNULA ERCP 5FR 210CM,685.5,685.5,102.83,685.5,42
CDM,482011,GWIRE ENDO .018IN 480CM,1411.0,1411.0,211.65,1411.0,42
CDM,482024,KIT STENT PANC 4FR 3CM,2663.0,2663.0,399.45,2663.0,30
CDM,482027,KIT STENT PANC 4FR 7CM,2663.0,2663.0,399.45,2663.0,30
CDM,482028,KIT STENT PANC 5FR 3CM,2663.0,2663.0,399.45,2663.0,30
CDM,482029,KIT STENT PANC 5FR 5CM,2663.0,2663.0,399.45,2663.0,30
CDM,482031,KIT STENT 5FR 7CM,2663.0,2663.0,399.45,2663.0,30
CDM,482032,STENT PANC 7FR 3CM,1335.0,1335.0,200.25,1335.0,30
CDM,482033,STENT PANC 7FR 5CM,1335.0,1335.0,200.25,1335.0,30
CDM,482035,STENT PANC 7FR 7CM,1335.0,1335.0,200.25,1335.0,30
CDM,482036,STENT PANC 7FR 9CM,1335.0,1335.0,200.25,1335.0,30
CDM,482037,STENT PANC 7FR 10CM,1335.0,1335.0,200.25,1335.0,30
CDM,482041,STENT PANC 7FR 11CM,1335.0,1335.0,200.25,1335.0,30
CDM,482042,STENT PANC 7FR 12CM,1356.0,1356.0,203.4,1356.0,30
CDM,482046,STENT PANC 7FR 15CM,1335.0,1335.0,200.25,1335.0,30
CDM,482047,STENT PANC 7FR 18CM,1356.0,1356.0,203.4,1356.0,30
CDM,482050,PUSHER DEL SYS PAN 4/5FR,796.5,796.5,119.47,796.5,42
CDM,482051,SNARE POLY HEX MED,162.0,162.0,24.3,162.0,42
CDM,482052,SNARE POLY HEX SM,162.0,162.0,24.3,162.0,42
CDM,482053,SCREW SPNL P-AX 4.5X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,482054,SURFACE ARTC KN 10-12 11,4606.0,4606.0,690.9,4606.0,30
CDM,482058,SCREW BN 6.5MM 45MM,1170.0,1170.0,175.5,1170.0,30
CDM,482059,SCREW BN 4.0MM 50MM,338.0,338.0,50.7,338.0,30
CDM,482060,INSERT TIB KN SZ8 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,482061,STEM FEM HIP 147MM,7995.0,7995.0,1199.25,7995.0,30
CDM,482062,SCREW BN SPN 7.5MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,482063,ROD PERC CRV 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,482064,SCREW SPN 4MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,482065,SCREW 3.5MMX22MM PLYAX,3389.0,3389.0,508.35,3389.0,30
CDM,482066,ROD SPNL TI 3.5MM-5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,482068,STEM FEM HIP 17MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,482069,BIT DRILL 4.5X52MM,773.0,773.0,115.95,773.0,42
CDM,482070,SHELL ACTB HIP 5H 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,482071,INSERT TIB KN SZ5 8MM,8309.0,8309.0,1246.35,8309.0,30
CDM,482072,CAGE SPN SZC 13MM,34325.0,34325.0,5148.75,34325.0,30
CDM,482073,HEAD HUM SHLDR 17MM 46MM,12178.0,12178.0,1826.7,12178.0,30
CDM,482077,STEM HIP SZ16,8416.0,8416.0,1262.4,8416.0,30
CDM,482078,INSRT ARTC KN 10-12 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,482079,SURFACE ARTC KN 10-12 16,4606.0,4606.0,690.9,4606.0,30
CDM,482081,CMPNT ASYM PTLR KN 11X38,4252.0,4252.0,637.8,4252.0,30
CDM,482088,SCREW BN 2.5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,482090,SCREW BN 4.3MM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,482095,GWIRE VASC 260CM 3MM,220.0,220.0,33.0,220.0,42
CDM,482098,COMPNT PTLR KN 9MM 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,482099,STAPLE BN 12MM 12MM,7769.0,7769.0,1165.35,7769.0,30
CDM,482100,CANN POLY 6.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,482101,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,482102,PLATE GLND SM SHLDR 10D,8858.0,8858.0,1328.7,8858.0,30
CDM,482104,GLENOSPHERE SHLDR 40MM,5647.0,5647.0,847.05,5647.0,30
CDM,482108,ROD SPNL 4.0 X 200MM,2711.0,2711.0,406.65,2711.0,30
CDM,482109,PLATE SPN CERV 4LVL 84MM,4429.0,4429.0,664.35,4429.0,30
CDM,482113,CMPNT FEM KN LT 3,8017.0,8017.0,1202.55,8017.0,30
CDM,482115,SCREW SPN 6.5MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,482116,CAGE SPN 15D 32X13X26MM,9523.0,9523.0,1428.45,9523.0,30
CDM,482118,SCREW SPN 3.5MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,482120,ROD SPN LAT 3.5/4.0 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,482121,ROD SPNL 3.5X200MM TI,2711.0,2711.0,406.65,2711.0,30
CDM,482122,SCREW SPN P-AX 4.5X36MM,3389.0,3389.0,508.35,3389.0,30
CDM,482129,SCREW HEX CRTCL 3.2X38MM,319.0,319.0,47.85,319.0,30
CDM,482130,GUIDEWIRE.014 145CM 7046,220.0,220.0,33.0,220.0,42
CDM,482134,SCREW BN 3.8MM 16MM,479.0,479.0,71.85,479.0,30
CDM,482136,SCREW BN CANC 3.8X18,479.0,479.0,71.85,479.0,30
CDM,482137,KWIRE 1.6MM 150MM,309.5,309.5,46.42,309.5,42
CDM,482141,SCREW 3.8MM 38MM ANKL FT,479.0,479.0,71.85,479.0,30
CDM,482143,SCREW BN 4MM 45MM,319.0,319.0,47.85,319.0,30
CDM,482144,STEM FEM HIP 18MM 150MM,7805.0,7805.0,1170.75,7805.0,30
CDM,482146,SPACER SPNL 35X11MM,9523.0,9523.0,1428.45,9523.0,30
CDM,482152,GUIDE NDL 16-19GA,309.5,309.5,46.42,309.5,42
CDM,482153,INS ARTC KN 15MM SZ3-4,4429.0,4429.0,664.35,4429.0,30
CDM,482158,SCREW SPN 2MM 4MM,753.0,753.0,112.95,753.0,30
CDM,482160,ENDPLATE SPN 12MM 13MM,7674.0,7674.0,1151.1,7674.0,30
CDM,482161,SPACER SPN 12X12X21MM,21366.0,21366.0,3204.9,21366.0,30
CDM,482167,ENDPLATE SPN 12MM 14MM,3016.0,3016.0,452.4,3016.0,30
CDM,482168,SPACER SPN 12MM 25-37MM,21366.0,21366.0,3204.9,21366.0,30
CDM,482169,CMPNT FEM HIP SZ6,7530.0,7530.0,1129.5,7530.0,30
CDM,482170,BASEPLATE SHLDR 28MM,5758.0,5758.0,863.7,5758.0,30
CDM,482172,SCREW BN 4.75MM 40MM,1170.0,1170.0,175.5,1170.0,30
CDM,482173,SCREW BN 6.5MM 35MM,1170.0,1170.0,175.5,1170.0,30
CDM,482174,CMPNT HUM R/SHRLDR 40MM,5537.0,5537.0,830.55,5537.0,30
CDM,482176,PLATE SPN CERV 57.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,482177,SCREW BN 4 X 13 VNTR TI,1130.0,1130.0,169.5,1130.0,30
CDM,482179,SCREW BN 4 X 15 VNTR TI,1130.0,1130.0,169.5,1130.0,30
CDM,482181,MARKER DEVICE 15GA,1930.0,1930.0,289.5,1930.0,30
CDM,482182,SCREW BNE 4.5X13 FX,1130.0,1130.0,169.5,1130.0,30
CDM,482183,BIT DRILL 11MM,377.0,377.0,56.55,377.0,42
CDM,482184,CAGE SPN 16X14X7MM,8416.0,8416.0,1262.4,8416.0,30
CDM,482189,SCRW SPN ST FXD 4.5X15 M,1130.0,1130.0,169.5,1130.0,30
CDM,482192,LINER ACTB HIP+4MM 32X52,6644.0,6644.0,996.6,6644.0,30
CDM,482193,INS TIB CNSTRN SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,482194,NAIL HUM CANN 7MM 230MM,4637.0,4637.0,695.55,4637.0,30
CDM,482200,SCREW BN 4X4MM 14MM,2918.0,2918.0,437.7,2918.0,30
CDM,482212,GWIRE VASC .025IN 145CM,231.5,231.5,34.73,231.5,42
CDM,482218,SCREW BN 4MM 40MM,1993.0,1993.0,298.95,1993.0,30
CDM,482226,PLATE BN 4HL LT 2.7MM,4032.0,4032.0,604.8,4032.0,30
CDM,482227,SCREW ELLIPSE 3.5X18MM,3765.0,3765.0,564.75,3765.0,30
CDM,482228,SCREW BN 3.5MM 20MM ELLP,3765.0,3765.0,564.75,3765.0,30
CDM,482229,IMPLANT BREAST 590CC,4429.0,4429.0,664.35,4429.0,30
CDM,482231,ROD SPN 0D 5.5X350X50MM,2711.0,2711.0,406.65,2711.0,30
CDM,482232,SCREW SET SPN ORTHO LG,753.0,753.0,112.95,753.0,30
CDM,482233,HOOK SPN 5.5/6.0MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,482234,SCREW SPNL UNI 5.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,482235,SEALER INSTRMNT 8MM,4385.5,4385.5,657.83,4385.5,42
CDM,482236,KIT STENT PANC 4FR 5CM,2663.0,2663.0,399.45,2663.0,30
CDM,482240,TROCAR LAP 15MM 100MM,462.5,462.5,69.38,462.5,42
CDM,482245,PROSTH PENL PS 10CM 18CM,37387.0,37387.0,5608.05,37387.0,30
CDM,482246,PROSTH PENL PS 12CM 21CM,37387.0,37387.0,5608.05,37387.0,30
CDM,482247,PROSTH PENL PS 14CM 24CM,37387.0,37387.0,5608.05,37387.0,30
CDM,482249,PROSTH PENL PS 10CM 18CM,38433.0,38433.0,5764.95,38433.0,30
CDM,482259,SCREW BN 2.7MM 44MM,558.0,558.0,83.7,558.0,30
CDM,482260,BARRIER ADH 5IN 6IN,3144.5,3144.5,471.68,3144.5,42
CDM,482261,BARRIER ADH 3IN 5IN,5000.5,5000.5,750.08,5000.5,42
CDM,482262,SCREW BN 2.7MM 40MM,558.0,558.0,83.7,558.0,30
CDM,482263,PLATE BN SM LT 1ST&2ND,7051.0,7051.0,1057.65,7051.0,30
CDM,482264,SCREW BN NLCKG 4.2X48MM,2200.0,2200.0,330.0,2200.0,30
CDM,482265,SPACER SPN 10D 8X18X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,482266,MARKER FDCL STR 5MM,2612.0,2612.0,391.8,2612.0,30
CDM,482268,PLATE SPN 1 SCREW SZ06,4762.0,4762.0,714.3,4762.0,30
CDM,482270,TUBE GASTRO 40F 107CM,1678.0,1678.0,251.7,1678.0,42
CDM,482271,NEEDLE ASP BRONCH 21GA,1762.0,1762.0,264.3,1762.0,42
CDM,482272,GUIDE PIN TEMP 20MM,425.0,425.0,63.75,425.0,42
CDM,482273,SUTURE GUT 6-0 PC-1,231.5,231.5,34.73,231.5,42
CDM,482274,SCREW SPN 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,482275,SCREW SPN 6.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,482276,ROD SPN CRVD 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,482277,IMPLANT COLLAGEN MEDIUM,9301.0,9301.0,1395.15,9301.0,30
CDM,482278,STEM FEM HIP 14X245MM,25910.0,25910.0,3886.5,25910.0,30
CDM,482279,AUGMENT FEM KN SZ3 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,482280,AUGMENT FEM KN SZ3 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,482281,NEEDLE LOC 20GA 7.5CM,510.0,510.0,76.5,510.0,42
CDM,482282,CMPNT FEM KN LT SZ3,18159.0,18159.0,2723.85,18159.0,30
CDM,482283,AUGMNT FEM KN SZ3 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,482284,INSERT TIB KN SZ3 10MM,8309.0,8309.0,1246.35,8309.0,30
CDM,482285,CMPNT PTLR KN 9X31MM,4252.0,4252.0,637.8,4252.0,30
CDM,482286,INSERT TIB SZ3 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,482288,IMPLANT BREAST 550CC,3720.0,3720.0,558.0,3720.0,30
CDM,482289,CMPNT PTLA SMTR 10X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,482290,DRIVER SURG 2.5MM,773.0,773.0,115.95,773.0,42
CDM,482291,SCREW BN 2.5MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,482292,SCREW BN 2.5X20MM,3189.0,3189.0,478.35,3189.0,30
CDM,482293,SCREW BN 2.5MM 18MM,3189.0,3189.0,478.35,3189.0,30
CDM,482294,PLATE BN 78IN,17694.0,17694.0,2654.1,17694.0,30
CDM,482295,SCREW BN SPN 7.5MM 65MM,3765.0,3765.0,564.75,3765.0,30
CDM,482297,INSERT TIB KN SZ7 6MM,8309.0,8309.0,1246.35,8309.0,30
CDM,482298,INSERT TIB KN SZ F,6186.0,6186.0,927.9,6186.0,30
CDM,482386,INSERT TIB KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,482387,STEM FEM HIP 30MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,482388,BODY CONE 60MM ACS F STD,16725.0,16725.0,2508.75,16725.0,30
CDM,482389,HEAD FEM HIP 40MM 1-6MM,4252.0,4252.0,637.8,4252.0,30
CDM,482394,SCREW SPN 3.6MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,482395,SCREW SPN 3.6MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,482396,SCREW SPN 3.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,482398,PACK ACL INSTR SFT TISS,3281.0,3281.0,492.15,3281.0,42
CDM,482399,SUTURE 2 W-NDL 38IN,406.5,406.5,60.98,406.5,42
CDM,482402,ANCHOR SUT 6.5MM,3157.0,3157.0,473.55,3157.0,30
CDM,482404,INSERT TIB KN RT 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,482405,INSERT TIB KN SZ2 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,482406,INSERT TIB KN SZ5 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,482409,INSERT TIB LT SZ1 8MM,6878.0,6878.0,1031.7,6878.0,30
CDM,482410,BLADE SURG NARW 26MM,4093.0,4093.0,613.95,4093.0,42
CDM,482417,ROD SPN 5.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,482418,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,482535,CMPNT FEM HIP SZ9,7530.0,7530.0,1129.5,7530.0,30
CDM,482587,CATH ANGIO 5FR 100CM,227.0,227.0,34.05,227.0,42
CDM,482654,CMPNT FEM HIP SZ4,7530.0,7530.0,1129.5,7530.0,30
CDM,482668,COMPONENT FEM KN SZ3,7087.0,7087.0,1063.05,7087.0,30
CDM,482833,INTRO SHTH 14FR 12CM,250.5,250.5,37.58,250.5,42
CDM,482839,DEVICE INFLATION 20ML,541.0,541.0,81.15,541.0,42
CDM,482949,BIT DRILL DISP 1.7MM,4093.0,4093.0,613.95,4093.0,42
CDM,482951,SCREW BN SLFTAP 4.5X55MM,399.0,399.0,59.85,399.0,30
CDM,482952,TUBING PRSS MNTR 72IN,64.5,64.5,9.68,64.5,42
CDM,483014,FLEX ALLOPATCH HD 1SQCM,704.0,704.0,105.6,704.0,29
CDM,483015,FLEX ALLOPATCH HD 1SQCM,301.0,301.0,45.15,301.0,29
CDM,483016,SCREW BN HDED 2.5MM 16MM,2392.0,2392.0,358.8,2392.0,30
CDM,483017,NAIL FEM CANN 14X38,4460.0,4460.0,669.0,4460.0,30
CDM,483031,SCREW BN 6MM 8MM 54MM,2143.0,2143.0,321.45,2143.0,30
CDM,483032,SCRW BN XPRTT25 6X8X38MM,2143.0,2143.0,321.45,2143.0,30
CDM,483033,SCREW BN TI 6X40MM STRDR,2143.0,2143.0,321.45,2143.0,30
CDM,483034,FLEX ALLOPATCH HD 1SQCM,370.0,370.0,55.5,370.0,29
CDM,483035,FLEX ALLOPATCH HD 1SQCM,370.0,370.0,55.5,370.0,29
CDM,483038,INSERT KN 15MM SZ7-8,4606.0,4606.0,690.9,4606.0,30
CDM,483067,CAGE SPN 5-10D 7X12X11MM,15059.0,15059.0,2258.85,15059.0,30
CDM,483104,SCREW BN 2.7MM 50MM,813.0,813.0,121.95,813.0,30
CDM,483177,CATH ANGIO 6F AL2 100CM,160.5,160.5,24.07,160.5,42
CDM,483178,CATH ANGIO 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,483179,CTHDX XPO 6F FR5 BX5,160.5,160.5,24.07,160.5,42
CDM,483181,CATH ANGIO 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,483182,CATH ANGIO 6F 10OCM,160.5,160.5,24.07,160.5,42
CDM,483183,CATH ANGIO FEM 4.5 100,160.5,160.5,24.07,160.5,42
CDM,483184,CATH ANGIO 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,483185,CATH ANGIO 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,483187,CATH ANGIO 6F AR2 100CM,160.5,160.5,24.07,160.5,42
CDM,483189,CATH ANGIO 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,483190,CATH ANGIO 6F LCB 100CM,160.5,160.5,24.07,160.5,42
CDM,483191,CTHDX XPO 6F RCB BX5,160.5,160.5,24.07,160.5,42
CDM,483193,CTHDX XPO 6F MPA2SH 5PK,160.5,160.5,24.07,160.5,42
CDM,483194,CATH ANGIO 6F IM 100CM,160.5,160.5,24.07,160.5,42
CDM,483196,CATH ANGIO 6FR 110CM,160.5,160.5,24.07,160.5,42
CDM,483308,TEMPLATE GUIDE XS,17906.0,17906.0,2685.9,17906.0,42
CDM,483449,GUIDE XS RECON IPS DISP,5116.0,5116.0,767.4,5116.0,42
CDM,483466,ROD SPN 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,483476,NEEDLE BX 14GA 20CM,437.0,437.0,65.55,437.0,42
CDM,483517,GRAFT ST TIS 16X6CM,16857.5,16857.5,2528.63,16857.5,42
CDM,483548,CUP ACTB TRIFLNG RT 66MM,44069.0,44069.0,6610.35,44069.0,30
CDM,483561,GRAFT TIS SYN INJ 20CC,8681.0,8681.0,1302.15,8681.0,30
CDM,483593,INTRO SHTH GD 8.5FR 63CM,1072.5,1072.5,160.88,1072.5,42
CDM,483626,NAIL BN 12MM 400MM,8478.0,8478.0,1271.7,8478.0,30
CDM,483654,GWIRE ANGIO 260CM .035IN,185.0,185.0,27.75,185.0,42
CDM,483732,SCREW BN 10.35MM 100MM,3393.0,3393.0,508.95,3393.0,30
CDM,483733,KIT LEAD TRIAL 60CM,4429.0,4429.0,664.35,4429.0,30
CDM,483734,STENT GRAFT 28X28X97MM,81915.0,81915.0,12287.25,81915.0,30
CDM,483735,LINER HUM 0MM OFST 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,483736,SCREW SPN 4.5MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,483761,INTRO GUID 8.5FR 60CM,1072.5,1072.5,160.88,1072.5,42
CDM,483849,ANCHOR SUT 7MM 19.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,483880,TOOL PCMKR PNCH ON LEAD,257.5,257.5,38.63,257.5,42
CDM,483882,GWIRE VASC .035IN 150CM,231.5,231.5,34.73,231.5,42
CDM,483895,COVER BURR HOLE,3189.0,3189.0,478.35,3189.0,30
CDM,483950,DRESSING NADH 5IN 9IN,853.5,853.5,128.03,853.5,42
CDM,483952,SUTURE LT 45D,2251.0,2251.0,337.65,2251.0,42
CDM,483953,PASSER SUTLSO RT 45D10YD,2551.0,2551.0,382.65,2551.0,42
CDM,483954,LINER ACTB HIP 60MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,483972,STOPCOCK IV ON OFF 3W,154.5,154.5,23.18,154.5,42
CDM,483998,PLATE BN CMG LVL1 7HL,3189.0,3189.0,478.35,3189.0,30
CDM,484032,STEM FEM HIP 14MM 250MM,9478.0,9478.0,1421.7,9478.0,30
CDM,484085,GWIRE VASC .018IN 150CM,773.0,773.0,115.95,773.0,42
CDM,484093,CATH BLNDIL 12MM 40MM,1318.0,1318.0,197.7,1318.0,42
CDM,484099,CATH BLNDIL 16MM 40MM,1318.0,1318.0,197.7,1318.0,42
CDM,484143,CATH ANGIO 5FR 65CM,773.0,773.0,115.95,773.0,42
CDM,484144,CATH ANGIO 5FR 100CM,773.0,773.0,115.95,773.0,42
CDM,484222,TISS ACLR DRML 16CM 20CM,1.0,1.0,0.15,1.0,30
CDM,484223,PLATE BN VDR LT NAR,4429.0,4429.0,664.35,4429.0,30
CDM,484225,NAIL FEM CANN 12MM 400MM,6437.0,6437.0,965.55,6437.0,30
CDM,484226,SCREW BN 10.35MM 115MM,3393.0,3393.0,508.95,3393.0,30
CDM,484230,COMPNT TIB XTD SZ0,33556.0,33556.0,5033.4,33556.0,30
CDM,484231,SET INTRO SHTH 8FR 45CM,890.5,890.5,133.57,890.5,42
CDM,484237,CATH ANGIO 5FR 100CM,773.0,773.0,115.95,773.0,42
CDM,484245,SET INTRO SHTH 8FR 24CM,773.0,773.0,115.95,773.0,42
CDM,484247,SET INTRO SHTH 6FR 24CM,773.0,773.0,115.95,773.0,42
CDM,484255,IMPLANT ANKLE RT SZ0,29837.0,29837.0,4475.55,29837.0,30
CDM,484256,INSERT TIB RT SZ00 11MM,6878.0,6878.0,1031.7,6878.0,30
CDM,484258,FIBER LASER 1000UM,2496.5,2496.5,374.48,2496.5,42
CDM,484259,MARKER FDCL 10MM,2612.0,2612.0,391.8,2612.0,30
CDM,484261,COMPNT AUG FEM KN 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,484262,WEDGE AUGMT KN SZB 15MM,4892.0,4892.0,733.8,4892.0,30
CDM,484263,INSR RH SZB 17 MM N1185,7858.0,7858.0,1178.7,7858.0,30
CDM,484264,PLATE 135MM SS 3.5MM SCR,5634.0,5634.0,845.1,5634.0,30
CDM,484265,PLATE BN 11HL 3.5MM,5045.0,5045.0,756.75,5045.0,30
CDM,484266,STAPLER INT 12MM,1034.0,1034.0,155.1,1034.0,42
CDM,484267,ACL SYS INST PIN DISP,2455.5,2455.5,368.32,2455.5,42
CDM,484268,GWIRE ORTH 150X1.25MM,379.0,379.0,56.85,379.0,42
CDM,484269,NAIL BN FEM 12MM 360MM,8478.0,8478.0,1271.7,8478.0,30
CDM,484270,SCREW PAX 5.5X32MM,3389.0,3389.0,508.35,3389.0,30
CDM,484271,SCRW SPN 5.5MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,484272,ROD SPN 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,484273,STAPLE BN 12X10X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,484275,AUG FEM POST REV SZ5 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,484276,INSERT TIB KN BRNG 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484277,PLT PROX MED TIB 4.5 8 H,4145.0,4145.0,621.75,4145.0,30
CDM,484278,PLATE 200MM 3.5MM SCR 14,4429.0,4429.0,664.35,4429.0,30
CDM,484279,SCREW BN SLFTAP 4.5X26MM,436.0,436.0,65.4,436.0,30
CDM,484280,SCREW BN 3.5MM 44MM,1356.0,1356.0,203.4,1356.0,30
CDM,484281,STEM FEM HIP 190MM SZ18,18523.0,18523.0,2778.45,18523.0,30
CDM,484283,PLATE BN 3HL 2.7MM 92MM,3721.0,3721.0,558.15,3721.0,30
CDM,484287,CAGE ENDOSKLTN TAS 36X12,19200.0,19200.0,2880.0,19200.0,30
CDM,484288,LENS IOL +05.5 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,484289,SCREW CANN 8.5MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,484292,LENS IOL 5.0 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,484294,WEDGE FEM SZ3 15DX5P,4606.0,4606.0,690.9,4606.0,30
CDM,484295,WEDGE FEM KN SCRW 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484297,SCREW BN LV1 2X6MM,1915.0,1915.0,287.25,1915.0,30
CDM,484307,SCREW PEEK-OPT 28X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,484308,CNCTR LTRL OFFST SPNL,3012.0,3012.0,451.8,3012.0,30
CDM,484310,PIN FX 508MM 3.2MM NTRL,638.0,638.0,95.7,638.0,30
CDM,484312,SCREW BN 2.7MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,484313,PLATE BN 7PEG 3HL,4340.0,4340.0,651.0,4340.0,30
CDM,484315,SCREW SPN 3.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,484316,TISS ACLR DRML 16CM 20CM,35432.0,35432.0,5314.8,35432.0,30
CDM,484317,TISS ACLR DRML 13X21.5CM,22921.0,22921.0,3438.15,22921.0,30
CDM,484320,SPACER SPNL 40X18X11 6D,13287.0,13287.0,1993.05,13287.0,30
CDM,484322,LINER HUM SHLDR 42+2.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,484323,PLATE BN TI 45X38MM RCTN,5197.0,5197.0,779.55,5197.0,30
CDM,484325,INSERT TIB KN SZ2 9MM,7175.0,7175.0,1076.25,7175.0,30
CDM,484326,WEDGE KN SM,20429.0,20429.0,3064.35,20429.0,30
CDM,484327,GRAFT BN TIB LEFT,27624.0,27624.0,4143.6,27624.0,30
CDM,484328,KIT STM PRX HNDST CMUNC,5832.5,5832.5,874.88,5832.5,42
CDM,484329,SCREW SPN 3.5MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,484330,SCREW BN 3.5MM 14MM,1993.0,1993.0,298.95,1993.0,30
CDM,484331,SCREW BN 3.5MM 16MM,1993.0,1993.0,298.95,1993.0,30
CDM,484332,PLATE BN 1/3TUB 6HL 71MM,3189.0,3189.0,478.35,3189.0,30
CDM,484333,SCREW BN 3.5MM 44MM,1370.0,1370.0,205.5,1370.0,30
CDM,484334,SCREW BN NLCKG 3.5X46MM,670.0,670.0,100.5,670.0,30
CDM,484335,PLATE FIB 9HL 149MM,3834.0,3834.0,575.1,3834.0,30
CDM,484336,SCREW BN 3.5MM 50MM,670.0,670.0,100.5,670.0,30
CDM,484337,SCREW BN 3.5MM 48MM,670.0,670.0,100.5,670.0,30
CDM,484339,NAIL FEM CANN 10MM 420MM,6312.0,6312.0,946.8,6312.0,30
CDM,484340,INSERT TIB 6 14MM,8309.0,8309.0,1246.35,8309.0,30
CDM,484344,CMPNT TIB KN SZG,4872.0,4872.0,730.8,4872.0,30
CDM,484346,NAIL BN 11MM 44CM,4872.0,4872.0,730.8,4872.0,30
CDM,484347,SCREW BN 2.3MM 15MM,1138.0,1138.0,170.7,1138.0,30
CDM,484348,SCREW BN 2.3MM 13MM,1138.0,1138.0,170.7,1138.0,30
CDM,484349,SCREW BN 4MM 46MM,352.0,352.0,52.8,352.0,30
CDM,484350,NAIL BN 13MM 32CM,6400.0,6400.0,960.0,6400.0,30
CDM,484351,NAIL BN 18MM 200MM,9793.0,9793.0,1468.95,9793.0,30
CDM,484352,CAGE SPN COALTN ACDF PLT,8416.0,8416.0,1262.4,8416.0,30
CDM,484356,DISSECTOR LGSR 21CM,3941.5,3941.5,591.23,3941.5,42
CDM,484359,SHEATH GD MED 71CM,4385.5,4385.5,657.83,4385.5,42
CDM,484360,SHEATH GD LG 71CM,4385.5,4385.5,657.83,4385.5,42
CDM,484365,DEVICE CATH INFLATION,4385.5,4385.5,657.83,4385.5,42
CDM,484371,SCREW RECON STR 2.3MM,8882.0,8882.0,1332.3,8882.0,30
CDM,484372,VALVE AORTIC 19MM,20840.0,20840.0,3126.0,20840.0,30
CDM,484373,PATCH DURA CLGN 3X3IN,4429.0,4429.0,664.35,4429.0,30
CDM,484374,PATCH DURA CLGN 2X2IN,3021.0,3021.0,453.15,3021.0,30
CDM,484375,PATCH DURA CLGN 1X1IN,3012.0,3012.0,451.8,3012.0,30
CDM,484376,PATCH DURA CLGN 3X1IN,3012.0,3012.0,451.8,3012.0,30
CDM,484377,BLADE SAW 13X.38MM,378.0,378.0,56.7,378.0,42
CDM,484378,PATCH DURA CLGN 5X4IN,4706.0,4706.0,705.9,4706.0,30
CDM,484379,PATCH DURA CLGN 7X5IN,6481.0,6481.0,972.15,6481.0,30
CDM,484380,PATCH DURA 1IN X 1IN,3012.0,3012.0,451.8,3012.0,30
CDM,484381,PATCH DURA 3IN 1IN,3012.0,3012.0,451.8,3012.0,30
CDM,484382,PATCH DURA 2IN 2IN,3021.0,3021.0,453.15,3021.0,30
CDM,484383,PATCH DURA 5IN 5IN,4706.0,4706.0,705.9,4706.0,30
CDM,484384,PATCH DURA 2IN 2IN,3021.0,3021.0,453.15,3021.0,30
CDM,484385,PATCH DURA 3IN 3IN,4429.0,4429.0,664.35,4429.0,30
CDM,484386,PATCH DURA 1IN 1IN,3012.0,3012.0,451.8,3012.0,30
CDM,484388,CATH URTH FOL SIL 14FR,261.0,261.0,39.15,261.0,42
CDM,484389,CATH BLNDIL 4X40X135,1269.0,1269.0,190.35,1269.0,42
CDM,484390,PARTICLES EMBL 1100UM,3189.0,3189.0,478.35,3189.0,30
CDM,484392,ROD SPN PREBENT 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,484393,ROD SPN PREBENT 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,484394,SCREW ORTH 9.5X25MM,3189.0,3189.0,478.35,3189.0,30
CDM,484395,STEM FEM KN 14X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,484396,SHELL ACTB HIP SZ-G 62MM,9418.0,9418.0,1412.7,9418.0,30
CDM,484397,INSERT TIB KN SZ3 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,484399,CATH ULTSND 7.0MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
CDM,484401,KIT BLN KYPHO 10GA 15MM,5010.5,5010.5,751.58,5010.5,42
CDM,484403,SCREW SPN 7.5MM 60MM,3765.0,3765.0,564.75,3765.0,30
CDM,484404,PLATE BN 3H 0.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,484405,SCREW BN SLFTP 3.5X75MM,375.0,375.0,56.25,375.0,30
CDM,484406,STAPLER INT 30MM,773.0,773.0,115.95,773.0,42
CDM,484409,KIT ACC ANCHOR .133IN,1249.5,1249.5,187.43,1249.5,42
CDM,484410,CATH BLNDIL 2MM 8MM,2046.5,2046.5,306.98,2046.5,42
CDM,484411,KWIRE FX ORTH 3MM,386.5,386.5,57.98,386.5,42
CDM,484412,PIN BN TEMP 4MM 140MM,1702.5,1702.5,255.38,1702.5,42
CDM,484414,GWIRE FX BEADED 3.0MM,1809.0,1809.0,271.35,1809.0,42
CDM,484415,SCREW #1 P-AX 3.5MM-24MM,3389.0,3389.0,508.35,3389.0,30
CDM,484416,SPONGE RTNL 5X2.5X80MM,973.0,973.0,145.95,973.0,30
CDM,484417,CMPNT PTLR KN 8X29MM,4252.0,4252.0,637.8,4252.0,30
CDM,484418,HEAD HUM SHLDR 17X48MM,4872.0,4872.0,730.8,4872.0,30
CDM,484419,GRAFT ST TIS 35.4CM,4429.0,4429.0,664.35,4429.0,30
CDM,484420,PLATE TIB BLU 83X55X10MM,9567.0,9567.0,1435.05,9567.0,30
CDM,484421,PLATE TIB GRN 75X51X10MM,9567.0,9567.0,1435.05,9567.0,30
CDM,484422,INSERT TIB KN SZ3 14MM,9567.0,9567.0,1435.05,9567.0,30
CDM,484423,PLATE TIBPLT 4 KN,6245.0,6245.0,936.75,6245.0,30
CDM,484424,SCREW SPN 6MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,484425,DEVICE CLOSURE 14FR,4429.0,4429.0,664.35,4429.0,30
CDM,484426,SPACER SPNL 45X18X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,484427,STEM HUM SHLDR 10MM,10630.0,10630.0,1594.5,10630.0,30
CDM,484428,KIT BLN 10G 20MM,5010.5,5010.5,751.58,5010.5,42
CDM,484433,COMPONENT FEM 1 KN RT CM,6423.0,6423.0,963.45,6423.0,30
CDM,484440,STENT ILIAC 7FR 8X32MM,10725.0,10725.0,1608.75,10725.0,30
CDM,484441,LENS IOL HYDROPHOBIC,774.0,774.0,142.49,774.0,28
CDM,484442,GUIDE PIN PS CUSTM SET,18878.5,18878.5,2831.78,18878.5,42
CDM,484443,ROD SPN CNSTRD 5.5X60MM,2711.0,2711.0,406.65,2711.0,30
CDM,484444,FORCEPS ORTH SURG 25GAP,1032.0,1032.0,154.8,1032.0,42
CDM,484445,LENS IOL 18.5 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,484446,BASE TIB ATTUNE SIZE2,4651.0,4651.0,697.65,4651.0,30
CDM,484447,LENS IOL +20.0 DIOP,774.0,774.0,142.49,774.0,28
CDM,484448,LENS IOL 21.0 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,484451,SCREW SPN 4.0MM 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,484452,BASEPLATE TIB KN SZ8,4651.0,4651.0,697.65,4651.0,30
CDM,484454,BASEPLATE TIB KNEE SZ10,4651.0,4651.0,697.65,4651.0,30
CDM,484455,SCREW SPN 3.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,484456,ROD SPN LRDTC 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,484461,INSERT TIB KN SZ2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,484462,INSERT TIB KN SZ2 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,484463,INSERT TIB KN SZ2 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,484464,INSERT TIB KN SZ2 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,484465,INSERT TIB KN SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484467,INSERT TIB KN SZ2 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,484473,INSERT TIB KN SZ2 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,484474,INSRT TIB2 16MM PSTSTBFX,4606.0,4606.0,690.9,4606.0,30
CDM,484475,INSRT TIB2 18MM PSTSTBFX,4606.0,4606.0,690.9,4606.0,30
CDM,484478,INSERT TIB KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484479,INSERT TIB KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,484480,INSERT TIB KN PST 3 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484481,INSRT TIB KN PS SZ3 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,484482,INSERT TIB KN PST 4 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,484484,INSERT BRNG KN SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,484487,INSERT TIB KN SZ4 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484489,INSERT TIB KN PST 5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,484490,INSRT TIB KN SZ6 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484492,INSERT TIB KN SZ7 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484493,BLADE TREPHINE 8.25MM,742.0,742.0,111.3,742.0,42
CDM,484494,INSERT TIB KN SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,484495,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484496,INSERT TIB KN PST 8 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,484497,INSRT TIB8 18MM PSTSTBFX,4606.0,4606.0,690.9,4606.0,30
CDM,484498,INSRT TIB KN PS SZ8 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,484499,CAGE SPN 9X23X0 10-15MM,15059.0,15059.0,2258.85,15059.0,30
CDM,484500,STEM FEM EXT 150X12.5MM,19167.0,19167.0,2875.05,19167.0,30
CDM,484501,INSERT KN SZ9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,484502,INSERT TIB KN SZ9 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,484504,INSERT TIB KN SZ10 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,484506,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484507,INSERT TIB KN SZ10 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,484508,INSERT TIB KN SZ10 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,484509,INSERT TIB KN SZ10 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484510,INSERT TIB KN SZ10 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,484511,INSERT TIB KN SZ2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,484512,INSERT TIB 2 8MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,484513,INSERT TIB KN SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484514,INSERT TIB 2 12MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,484515,INSERT TIB 2 14MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,484516,INSERT TIB 2 16MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,484517,INSERT TIB KN SZ2 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484518,INSRT TIB KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484519,BAG DRN 500ML,43.0,43.0,6.45,43.0,42
CDM,484521,INSERT TIB KN SZ3 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,484522,INSERT TIB 3 18MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,484523,INSERT TIB 3 20MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,484524,SCREW SPN RDC 5.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,484525,INSERT KN MNSCL SZ4 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,484526,INSERT TIB KN SZ4 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,484529,INSERT TIB KN SZ5 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484530,INSERT TIB KN SZ5 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,484532,INSERT TIB KN SZ6 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484534,CATH BER 6FR 90CM 125CM,4579.0,4579.0,686.85,4579.0,42
CDM,484535,INSERT TIB KN SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,484536,INSERT TIB KN SZ7 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484537,INSRT TIB 7 20MM PST STB,4606.0,4606.0,690.9,4606.0,30
CDM,484540,INSRT TIB KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,484541,INSERT KN TIB SZ9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,484542,SHELL ACTB HIP 2HL 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,484543,INSERT TIB KN SZ9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,484544,INSERT TIB KN SZ9 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484545,INSERT TIB KN SZ10 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,484546,INSERT TIB KN 12MM SZ10,4606.0,4606.0,690.9,4606.0,30
CDM,484547,INSERT TIB KN SZ10 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,484548,INSERT TIB 10 16MM PST,4606.0,4606.0,690.9,4606.0,30
CDM,484549,INSERT TIB KN SZ10 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,484550,STEM FEM HIP SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,484555,CAGE SPN 0D 12X14X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,484556,DRILL BIT 1.5MM,1432.5,1432.5,214.88,1432.5,42
CDM,484557,ROD SPN TRNS 3.5/5.5X300,2636.0,2636.0,395.4,2636.0,30
CDM,484562,CATH BLNDIL 3.5MM 8MM,9209.0,9209.0,1381.35,9209.0,42
CDM,484563,CATH BLNDIL 3.0MM 8MM,9209.0,9209.0,1381.35,9209.0,42
CDM,484564,CATH BLNDIL 4.0MM 8MM,9209.0,9209.0,1381.35,9209.0,42
CDM,484565,CATH BLNDIL 4.5MM 8MM,23.5,23.5,3.52,23.5,42
CDM,484566,CATH BLNDIL 5.0MM 12MM,9209.0,9209.0,1381.35,9209.0,42
CDM,484567,CMPNT TIB KN SIZE T4I3L,6201.0,6201.0,930.15,6201.0,30
CDM,484568,CANN PRFSN 17IN 17FR,1531.0,1531.0,229.65,1531.0,42
CDM,484569,CANN PRFSN 17IN 19FR,1531.0,1531.0,229.65,1531.0,42
CDM,484571,SCREW SPN 4.2MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,484572,LINER ACTB HIP22 +3X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,484573,SHELL HIP ACTB SZ23MM,1535.0,1535.0,230.25,1535.0,30
CDM,484574,LINER HIP SZ 23 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,484575,PLATE PEG PLT BN ULN 7HL,6068.0,6068.0,910.2,6068.0,30
CDM,484576,SCREW LCK HEX 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,484580,STEM RADL ELB 9MM 30MM,4606.0,4606.0,690.9,4606.0,30
CDM,484581,TISS ACLR DRML 10CM 20CM,16277.0,16277.0,2441.55,16277.0,30
CDM,484582,TISS ACLR DRML 8CM 16CM,14173.0,14173.0,2125.95,14173.0,30
CDM,484584,NAIL BN FEM 11.5MM 26CM,5311.0,5311.0,796.65,5311.0,30
CDM,484585,CMPNT TIB KN SZD,10165.0,10165.0,1524.75,10165.0,30
CDM,484586,WEDGE TIB KN CD RL 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484587,WEDGE KN SZCD 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484588,WEDGE TIB KN CONE SZ1,20429.0,20429.0,3064.35,20429.0,30
CDM,484589,STEM FEM KN 10MM 135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,484590,SURFACE ARTC KN 14MM,4651.0,4651.0,697.65,4651.0,30
CDM,484591,SCREW TEMP 3.5X27MM,773.0,773.0,115.95,773.0,42
CDM,484592,SET SHTH URT 13-15F 36CM,999.0,999.0,149.85,999.0,42
CDM,484593,SHELL ACTB HIP 60MM,9543.0,9543.0,1431.45,9543.0,30
CDM,484594,STEM FEM HIP 125MM,6644.0,6644.0,996.6,6644.0,30
CDM,484595,COMPNT FEM KN CMNT L SZ2,6423.0,6423.0,963.45,6423.0,30
CDM,484598,CAGE SPN 8DG 50X22X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,484599,PLATE BN 2X3HL,3189.0,3189.0,478.35,3189.0,30
CDM,484600,INS TIB PS KN SZ9 12MM,4428.0,4428.0,664.2,4428.0,30
CDM,484601,ANCHOR SUT 5.5MM 24.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,484602,SUTURE FBRLNK 0.9MM,1591.0,1591.0,238.65,1591.0,30
CDM,484603,CANNULA BTN 12MM 5CM PSP,773.0,773.0,115.95,773.0,42
CDM,484604,CAGE ENDSKLT 36X10MM 7D,19200.0,19200.0,2880.0,19200.0,30
CDM,484606,MONITOR BLOODFLOW DPLR,4309.0,4309.0,646.35,4309.0,30
CDM,484607,SCREW BN 2.7MM 5MM,1388.0,1388.0,208.2,1388.0,30
CDM,484608,SCREW SPN 4.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,484609,NAIL BN 130D 13MM 40CM,8105.0,8105.0,1215.75,8105.0,30
CDM,484610,INTBDY DVC 50X18X14MM 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,484611,CAGE SPN (7DG/0DG) 25H,24360.0,24360.0,3654.0,24360.0,30
CDM,484612,WEDGE FEM KN SZ8 10X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484613,INSRT TIB LG 12.5MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,484614,INSERT TIB KN 16MM,6737.0,6737.0,1010.55,6737.0,30
CDM,484615,CMPNT FEM HIP SZ3,7530.0,7530.0,1129.5,7530.0,30
CDM,484616,INTBDY DVC 55X18X12MM 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,484617,CONN SPN OFF 3.5/4-5.5/6,3012.0,3012.0,451.8,3012.0,30
CDM,484618,SCREW SPNL P-AX 4X22MM,3389.0,3389.0,508.35,3389.0,30
CDM,484620,ROD CNCTR OFST 3.5/4.0MM,3012.0,3012.0,451.8,3012.0,30
CDM,484621,ROD SPN EXT 5.5/6X4X300,3012.0,3012.0,451.8,3012.0,30
CDM,484622,ROD TOP CONN 5.5/6.0MM,753.0,753.0,112.95,753.0,30
CDM,484623,SCREW BN SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,484624,PLATE SPN 20MM 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,484626,SPACER SPNL 50X20X13MM,13952.0,13952.0,2092.8,13952.0,30
CDM,484627,ANCHOR BN SYS-CRV DN,3422.0,3422.0,513.3,3422.0,30
CDM,484628,SPACER SPNL 45X20X8MM,13952.0,13952.0,2092.8,13952.0,30
CDM,484629,SPACER SPN TCNTNTL 6D 20,13952.0,13952.0,2092.8,13952.0,30
CDM,484630,SPACER SPNL 40X20X11MM,13952.0,13952.0,2092.8,13952.0,30
CDM,484631,PLATE 6D 20MMX8MM INTERC,4429.0,4429.0,664.35,4429.0,30
CDM,484632,PLATE INTCNTNTL 6D 20X11,4429.0,4429.0,664.35,4429.0,30
CDM,484633,SCREW SPN VAR ANG 5.5X23,3012.0,3012.0,451.8,3012.0,30
CDM,484634,SCREW SPN 5.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,484635,SPACER SPN 33X11X7MM 0D,18425.0,18425.0,2763.75,18425.0,30
CDM,484636,TISS ACLR DRML 16CM 16CM,28346.0,28346.0,4251.9,28346.0,30
CDM,484637,ROD SPN 3.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,484638,SCREW SPNL PAX 5.5X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,484639,SCREW SPNL PAX 5.5X20MM,3389.0,3389.0,508.35,3389.0,30
CDM,484640,CMPNT FEM NAR KN RT SZ4,7087.0,7087.0,1063.05,7087.0,30
CDM,484641,INSERT ARTC KN RT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,484642,STEM FEM HIP 24MM 115MM,4429.0,4429.0,664.35,4429.0,30
CDM,484643,INSERT TIB KN 26MM,14095.0,14095.0,2114.25,14095.0,30
CDM,484644,NAIL FEM RTRGD NTRL13X20,4872.0,4872.0,730.8,4872.0,30
CDM,484645,SCREW BN 7.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,484646,CAGE SPNL 32X10MM,19200.0,19200.0,2880.0,19200.0,30
CDM,484647,SCREW BN SPN 5.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,484648,STEM RADL 10X0X35MM,8969.0,8969.0,1345.35,8969.0,30
CDM,484649,SCREW SPN 5.5MM 30MM,1130.0,1130.0,169.5,1130.0,30
CDM,484650,SPACER SPNL 28MMX10MM,15945.0,15945.0,2391.75,15945.0,30
CDM,484651,SCREW SPN P-AX 3.5X12MM,3389.0,3389.0,508.35,3389.0,30
CDM,484652,CONNECTOR ROD SPN 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,484653,STEM FEM HIP 135D SZ18,8416.0,8416.0,1262.4,8416.0,30
CDM,484654,INSERT BRNG KN TIB6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484656,CAGE SPN 50LX18WX12H 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,484657,ANCHOR SUT DX,3633.0,3633.0,544.95,3633.0,30
CDM,484658,ANCHOR SUT BN #1,3189.0,3189.0,478.35,3189.0,30
CDM,484659,CAGE SPN 60LX22WX12H 8,13287.0,13287.0,1993.05,13287.0,30
CDM,484660,INSERT KN BRNG SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,484661,DISC SPN INTBRTB 19X5X17,21703.0,21703.0,3255.45,21703.0,30
CDM,484662,SCREW SPN PLYAX 3.5X18MM,3765.0,3765.0,564.75,3765.0,30
CDM,484663,SPACER SPNL 60X22X14MM,13952.0,13952.0,2092.8,13952.0,30
CDM,484664,CAGE SPN 6D 40X18X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,484666,CMPNT FEM POR F RT KN,8416.0,8416.0,1262.4,8416.0,30
CDM,484667,SPCR SPNL 45X18X11 6DEG,13287.0,13287.0,1993.05,13287.0,30
CDM,484668,PLATE BN 17MM,11073.0,11073.0,1660.95,11073.0,30
CDM,484669,SCREW SPN 5.5X26MM,1130.0,1130.0,169.5,1130.0,30
CDM,484670,PLATE BN 1.3MM 2MM,3721.0,3721.0,558.15,3721.0,30
CDM,484671,SCREW BN 2MM 6MM,1625.0,1625.0,243.75,1625.0,30
CDM,484672,STENT GRAFT 34X34X175MM,84151.0,84151.0,12622.65,84151.0,30
CDM,484673,CAGE SPNL 40X18X12MM CLY,13287.0,13287.0,1993.05,13287.0,30
CDM,484674,IMPLANT BREAST 390CC,3311.0,3311.0,496.65,3311.0,30
CDM,484675,CANNULA BTN 10MM 4CM,519.5,519.5,77.92,519.5,42
CDM,484676,SCREW BN 5MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,484677,SCREW TEMP 3.5X48MM,773.0,773.0,115.95,773.0,42
CDM,484678,CMPNT FEM KN SZ+7,30394.0,30394.0,4559.1,30394.0,30
CDM,484679,WEDGE FEM KN SZ7 SM,4606.0,4606.0,690.9,4606.0,30
CDM,484680,STEM FEM KN 14MM +75MM,5315.0,5315.0,797.25,5315.0,30
CDM,484681,STEM HUM SHLDR 7S 130MM,28789.0,28789.0,4318.35,28789.0,30
CDM,484682,SCREW BN LCK 5MM 40MM,2485.0,2485.0,372.75,2485.0,30
CDM,484683,SCREW BN 5.0MM 65MM,2485.0,2485.0,372.75,2485.0,30
CDM,484684,SCREW BN 5MM 75MM,2836.0,2836.0,425.4,2836.0,30
CDM,484685,SCREW BN 5MM 50MM,2836.0,2836.0,425.4,2836.0,30
CDM,484686,SCREW BN SLFTP 4.5X44MM,313.0,313.0,46.95,313.0,30
CDM,484687,SCREW BN 4.5MM 50MM,313.0,313.0,46.95,313.0,30
CDM,484688,DRILL TWIST 1.6MM 7MM,1177.5,1177.5,176.63,1177.5,42
CDM,484689,PLATE BN 6HL 2.0MM,4429.0,4429.0,664.35,4429.0,30
CDM,484690,SCREW BN 2.7MM 8MM,1325.0,1325.0,198.75,1325.0,30
CDM,484691,PLATE BN 6H 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,484692,SCREW BN MXLFCL 6X2MM,1011.0,1011.0,151.65,1011.0,30
CDM,484693,STEM FEM HIP 21X245MM,25910.0,25910.0,3886.5,25910.0,30
CDM,484694,HEAD FEM HIP 7X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,484695,CMPNT FEM SZF 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,484696,CMPNT FEM SZF 20MM,4892.0,4892.0,733.8,4892.0,30
CDM,484697,GRAFT DRMS PTCH 9.2X19.2,14013.0,14013.0,2101.95,14013.0,30
CDM,484698,NAIL BN PROX 12MM 17CM,4842.0,4842.0,726.3,4842.0,30
CDM,484699,INSERT TIB KN SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,484700,SCREW BN SPN 4.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,484702,DEVICE WNDCLS 30CM SZ2-0,681.0,681.0,102.15,681.0,42
CDM,484703,RETRCTR WND XSM 2-4CM,773.0,773.0,115.95,773.0,42
CDM,484705,RETRCTR WND SM 2.5-6CM,773.0,773.0,115.95,773.0,42
CDM,484707,SPONGE RTNL 7.5X2.75MM,973.0,973.0,145.95,973.0,30
CDM,484708,DEVICE WNDCLS 23CM SZ2,643.5,643.5,96.53,643.5,42
CDM,484711,TUBE VNT BLU 1.14MM,468.0,468.0,70.2,468.0,30
CDM,484714,PRB LSR DRCT CVD 23GA,1496.0,1496.0,224.4,1496.0,42
CDM,484716,LENS IOL +13.5 DIOP,774.0,774.0,142.49,774.0,28
CDM,484723,SIZER BREAST 800CC,618.5,618.5,92.78,618.5,42
CDM,484726,FORCEPS ENDO HALO 33X5,4093.0,4093.0,613.95,4093.0,42
CDM,484727,PACK VITRTM 20-25GA,773.0,773.0,115.95,773.0,42
CDM,484734,FORCEPS SURG 23GA,1023.5,1023.5,153.53,1023.5,42
CDM,484735,LENS IOL +9.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,484743,IMPLANT OPTH 350MMSQ,4340.0,4340.0,651.0,4340.0,30
CDM,484744,LENS IOL +9.5 DIOP,630.0,630.0,115.98,630.0,28
CDM,484748,SUTURE PS-2 4-0 1X18IN,86.0,86.0,12.9,86.0,42
CDM,484750,PUNCH SURG 9.5MM,829.0,829.0,124.35,829.0,42
CDM,484751,DEVICE ENDO SZ0 48IN,773.0,773.0,115.95,773.0,42
CDM,484752,BARRIER ADH ABS 6X5IN,2805.5,2805.5,420.82,2805.5,42
CDM,484758,LENS IOL +33.0 DIOP,253.5,253.5,46.67,253.5,28
CDM,484759,LENS IOL +27.0 DIOP,253.5,253.5,46.67,253.5,28
CDM,484760,LENS IOL +21.5 DIOP,1271.5,1271.5,234.08,1271.5,28
CDM,484762,STAY ELASTIC RETR 12MM,168.0,168.0,25.2,168.0,42
CDM,484763,STAPLER INT LNG 60MM,2740.5,2740.5,411.07,2740.5,42
CDM,484766,LENS IOL +19.5 DIOP,716.5,716.5,131.91,716.5,28
CDM,484767,SET HYSCP SEAL OFLW,844.0,844.0,126.6,844.0,42
CDM,484773,LENS IOL +8.0 DIOP,2246.0,2246.0,336.9,2246.0,32
CDM,484774,SLEEVE RETINAL 2.1MM 1MM,294.0,294.0,44.1,294.0,30
CDM,484775,SIZER BREAST 475CC,618.5,618.5,92.78,618.5,42
CDM,484783,RELOAD STPLR 60MM,2136.0,2136.0,320.4,2136.0,30
CDM,484786,PROBE LASER 25GA,1023.5,1023.5,153.53,1023.5,42
CDM,484787,ILUM OPTH 25GA,1032.0,1032.0,154.8,1032.0,42
CDM,484795,PROBE LASER 23GA,1525.5,1525.5,228.82,1525.5,42
CDM,484796,PROBE LASER 25GA,1525.5,1525.5,228.82,1525.5,42
CDM,484797,SCISSORS CRV TIP SURG 23,1054.5,1054.5,158.18,1054.5,42
CDM,484798,FORCETP OPTH 23GA,1023.5,1023.5,153.53,1023.5,42
CDM,484799,FORCEPS SURG 23GA,1023.5,1023.5,153.53,1023.5,42
CDM,484800,SCISS GRSHBR 23GA,1471.5,1471.5,220.72,1471.5,42
CDM,484802,FORCEP SURG 25GA,1023.5,1023.5,153.53,1023.5,42
CDM,484803,LENS IOL +30.0 DIOP,386.5,386.5,71.15,386.5,28
CDM,484804,ILUM OPTH 25GA CHANDLIER,1023.5,1023.5,153.53,1023.5,42
CDM,484805,LENS IOL +26.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,484806,AGENT HMSTC MTRX 8ML,1023.5,1023.5,153.53,1023.5,42
CDM,484807,BLADE MNI RD TP SHRP 1SD,44.5,44.5,6.67,44.5,42
CDM,484809,BLADE OPTH ANG 60D MINI,281.5,281.5,42.23,281.5,42
CDM,484811,SPACER SPNL 28X9MM ELEV,15945.0,15945.0,2391.75,15945.0,30
CDM,484818,STAPLER INT PWR 60MM,2725.5,2725.5,408.82,2725.5,42
CDM,484824,SHELL ACTB HIP SZG 60MM,13166.0,13166.0,1974.9,13166.0,30
CDM,484830,STAPLE REINF STRL 60MM,1342.5,1342.5,201.38,1342.5,42
CDM,484833,CMPNT FEM HIP CLLR SZ6,7530.0,7530.0,1129.5,7530.0,30
CDM,484836,TOOL DSCT 7CM 3MM,962.0,962.0,144.3,962.0,42
CDM,484837,TOOL DSCT 7CM 3MM,962.0,962.0,144.3,962.0,42
CDM,484838,BURR SURG 7CM 2MM,962.0,962.0,144.3,962.0,42
CDM,484839,TOOL DSCT 7CM 2MM,962.0,962.0,144.3,962.0,42
CDM,484848,PLATE TIB MED KN 12MM,8691.0,8691.0,1303.65,8691.0,30
CDM,484849,SCREW SPN 6.5MM 90MM,3389.0,3389.0,508.35,3389.0,30
CDM,484856,TUBE EAR AMSTR GRMT 1.14,505.0,505.0,75.75,505.0,30
CDM,484861,LENS IOL +22.0 DIOP,386.5,386.5,71.15,386.5,28
CDM,484863,PROBE VITRTM 23GA,841.5,841.5,126.22,841.5,42
CDM,484865,LENS IOL +8.5 DIOP,2246.0,2246.0,336.9,2246.0,32
CDM,484868,PROBE VITRTM 25GA,841.5,841.5,126.22,841.5,42
CDM,484872,GRAFT ST TIS 4X24MM,4429.0,4429.0,664.35,4429.0,30
CDM,484873,SUTURE CT-2 2-0 1X30IN,29.5,29.5,4.42,29.5,42
CDM,484874,LENS IOL +6.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,484875,DRESSING NASAL DISOLVABL,941.5,941.5,141.22,941.5,42
CDM,484876,SLEEVE TIB REV CMNT 53MM,9744.0,9744.0,1461.6,9744.0,30
CDM,484877,CATH URET BSH5F 80CM1LUM,1583.5,1583.5,237.53,1583.5,42
CDM,484878,PLATE FEM MDL DSTL RT 4H,5272.0,5272.0,790.8,5272.0,30
CDM,484879,STAPLE INT BN 45MM,1252.0,1252.0,187.8,1252.0,42
CDM,484881,STEM HIP FEM STD 7X115,7973.0,7973.0,1195.95,7973.0,30
CDM,484882,HEAD HUM SHLDR 46X18X53,4606.0,4606.0,690.9,4606.0,30
CDM,484884,SPACER SPN 12X30X10-17,15945.0,15945.0,2391.75,15945.0,30
CDM,484886,SUTURE VCL 2-0 CT2,199.0,199.0,29.85,199.0,42
CDM,484890,TUBE EAR TOUMA 5X1.14,293.0,293.0,43.95,293.0,30
CDM,484894,SUTURE VIO MONO 7-0 24IN,231.5,231.5,34.73,231.5,42
CDM,484895,SUTURE UND BRD 6-0 27IN,33.5,33.5,5.03,33.5,42
CDM,484897,SUTURE BLU MONO 4-0 18IN,98.5,98.5,14.78,98.5,42
CDM,484899,STENT URET 8FR 30CM,737.0,737.0,110.55,737.0,30
CDM,484901,SUTURE PS-2 4-0 1X27IN,99.0,99.0,14.85,99.0,42
CDM,484902,SUTURE VIOL BRD+2-0 27IN,32.5,32.5,4.88,32.5,42
CDM,484903,SUTURE BLU MONO 4-0 30IN,54.0,54.0,8.1,54.0,42
CDM,484904,SUTURE VIO MONO 6-0 27IN,54.5,54.5,8.18,54.5,42
CDM,484907,DVC SYS SACROSPN ANCHRNG,3273.0,3273.0,490.95,3273.0,30
CDM,484912,KNIFE ENDO CLD SCKL 10FR,1064.5,1064.5,159.68,1064.5,42
CDM,484916,WIRE FX KRSH .035IN 9IN,56.0,56.0,8.4,56.0,42
CDM,484917,KWIRE FX 1 .045IN 9IN,56.0,56.0,8.4,56.0,42
CDM,484918,KWIRE FX 1 .054IN 9IN,56.0,56.0,8.4,56.0,42
CDM,484919,KWIRE FX 1 .062IN 9IN,56.0,56.0,8.4,56.0,42
CDM,48492,BLADE STRL 15D 3MM,59.0,59.0,8.85,59.0,42
CDM,484920,BIT DRILL PHOENIX,2643.0,2643.0,396.45,2643.0,42
CDM,484921,SCREW BN XTRM FT 4X60MM,319.0,319.0,47.85,319.0,30
CDM,484922,SCREW BN HUM 5MM 70MM,2031.0,2031.0,304.65,2031.0,30
CDM,484923,PIN FX 1/8IN 9IN,80.0,80.0,12.0,80.0,42
CDM,484924,PIN FX 9/64IN 9IN,80.0,80.0,12.0,80.0,42
CDM,484925,NAIL BN FEM LT 10X360MM,8982.0,8982.0,1347.3,8982.0,30
CDM,484926,PIN FX 3/16IN 9IN,101.5,101.5,15.22,101.5,42
CDM,484932,PLATE BN 4H 2/2.5MM 4MM,3189.0,3189.0,478.35,3189.0,30
CDM,484938,MATRIX TISS 6X15CM,6697.0,6697.0,1004.55,6697.0,30
CDM,484939,IMPLANT OPTH 250MMSQ,3721.0,3721.0,558.15,3721.0,30
CDM,484940,IMPLANT PLVC FLR 2,2711.0,2711.0,406.65,2711.0,30
CDM,484944,LIGASURE ESURG SM,3027.5,3027.5,454.13,3027.5,42
CDM,484945,UNIT ESURG CBL 10FT,743.0,743.0,111.45,743.0,42
CDM,484946,GWIRE VASC 150CM .032IN,504.5,504.5,75.67,504.5,42
CDM,484950,INSERT KN TIB 2 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,484952,PLATE 30X30X.8 ORBT FLR,3721.0,3721.0,558.15,3721.0,30
CDM,484953,NAIL BN TI 30CM 1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,484954,BAR PECTUS SUPPORT 7IN,6267.0,6267.0,940.05,6267.0,30
CDM,484955,BAR SUPP 7.5IN PECTUS,6267.0,6267.0,940.05,6267.0,30
CDM,484956,BAR PECTUS SUPP 8IN,6267.0,6267.0,940.05,6267.0,30
CDM,484958,BAR PECTUS SUPPORT 9IN,7419.0,7419.0,1112.85,7419.0,30
CDM,484959,FIBER LASER KTP YAG .6MM,2857.0,2857.0,428.55,2857.0,42
CDM,484960,BAR SUPP PECTUS 9.5IN,7419.0,7419.0,1112.85,7419.0,30
CDM,484961,BAR SUPP PECTUS 10IN,6267.0,6267.0,940.05,6267.0,30
CDM,484962,BAR SUPP 10.5IN PECTUS,6267.0,6267.0,940.05,6267.0,30
CDM,484963,BAR PECTUS SUPP 11IN,6267.0,6267.0,940.05,6267.0,30
CDM,484964,BAR SUPP 11.5IN PECTUS,6267.0,6267.0,940.05,6267.0,30
CDM,484965,BAR PECTUS SUPP 12IN,6267.0,6267.0,940.05,6267.0,30
CDM,484966,BAR SUPP PECTUS 12.5 IN,6267.0,6267.0,940.05,6267.0,30
CDM,484967,BAR PECTUS SUPPORT 13 IN,6267.0,6267.0,940.05,6267.0,30
CDM,484968,BAR PECTUS SUPRT 13.5,6267.0,6267.0,940.05,6267.0,30
CDM,484969,BAR SUPP 14IN PECTUS SS,6267.0,6267.0,940.05,6267.0,30
CDM,484970,BAR PECTUS L14.5,7419.0,7419.0,1112.85,7419.0,30
CDM,484971,BAR SUPP 15IN PECTUS SS,7419.0,7419.0,1112.85,7419.0,30
CDM,484972,BAR PECTUS L15.5 39.4CM,7419.0,7419.0,1112.85,7419.0,30
CDM,484973,BAR SUPP 16IN PECTUS SS,6267.0,6267.0,940.05,6267.0,30
CDM,484974,BAR SUPP 16.5IN PECTUS,6267.0,6267.0,940.05,6267.0,30
CDM,484975,BAR PECTUS SUPPORT 17IN,6267.0,6267.0,940.05,6267.0,30
CDM,484976,BAR PETUS STABLE ELONG,4157.0,4157.0,623.55,4157.0,30
CDM,484977,SCREW BN SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,484978,SCREW BN SPN 6.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,484979,SCREW BN SPN 6.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,484980,SCREW SPN 6.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,484981,ROD SPNL 508X6.35 TSRH,2711.0,2711.0,406.65,2711.0,30
CDM,484982,PLATE 1.375IN TI 6.35MM,3765.0,3765.0,564.75,3765.0,30
CDM,484983,SCREW SPN 6.35MM,753.0,753.0,112.95,753.0,30
CDM,485008,SET DILATOR 8-20FR 100CM,1023.5,1023.5,153.53,1023.5,42
CDM,485009,SET INTRO 13CM 5FR,778.0,778.0,116.7,778.0,42
CDM,485010,INTRDCR PEELAWY C PLIP7F,808.5,808.5,121.28,808.5,42
CDM,485013,INTRO PEEL 15.5CM 20CM,982.5,982.5,147.38,982.5,42
CDM,485020,SUTURE BLK BRD 5-0 30IN,27.5,27.5,4.13,27.5,42
CDM,485022,SUTURE VIO MONO 6-0 30IN,108.0,108.0,16.2,108.0,42
CDM,485023,SUTURE BLK BRD 0 18IN,13.5,13.5,2.02,13.5,42
CDM,485024,KIT REPR BRVC 1.0 LUM,4385.5,4385.5,657.83,4385.5,42
CDM,485025,KIT REPR BRVC .5 LUM,1842.0,1842.0,276.3,1842.0,42
CDM,485026,KIT CATH RPR BRVC 4.2FR,1842.0,1842.0,276.3,1842.0,42
CDM,485029,CRT CARD 6MM 57X59MM,29406.0,29406.0,4410.9,29406.0,30
CDM,485030,LEAD CRT PCNG 88CM,6061.0,6061.0,909.15,6061.0,30
CDM,485032,ASSEMBLY KN RT SZ1-2 23M,266.0,266.0,39.9,266.0,30
CDM,485034,LENS IOL +17.0 DIOP,386.5,386.5,71.15,386.5,28
CDM,485035,SCREW BN 6.5MM 60MM,1196.0,1196.0,179.4,1196.0,30
CDM,485036,CRT-D CRD DDDR,63248.0,63248.0,9487.2,63248.0,30
CDM,485038,CAGE SPN (3.5D/3.5D) 21H,24360.0,24360.0,3654.0,24360.0,30
CDM,485041,SCRW 5.5 TI FX 4.5X40,3765.0,3765.0,564.75,3765.0,30
CDM,485049,SCRW 5.5 TI FX 4.5X45,3765.0,3765.0,564.75,3765.0,30
CDM,485057,CATH CCSTM CHT 0-6CM,1580.0,1580.0,237.0,1580.0,42
CDM,485058,CATH CCSTM 10.2FR 24CM,1629.0,1629.0,244.35,1629.0,42
CDM,485059,CATH CCSTM 10.2FR 28CM,1661.5,1661.5,249.22,1661.5,42
CDM,485060,TRAY DBL 5F 15CM SPCTRUM,1462.5,1462.5,219.38,1462.5,42
CDM,485065,PLATE SPN SACRUM 24MM,11073.0,11073.0,1660.95,11073.0,30
CDM,485066,PIN BN STNM 3.2X178MM,970.0,970.0,145.5,970.0,42
CDM,485068,CATH HEMO 19FR 36CM,1743.5,1743.5,261.52,1743.5,42
CDM,485069,CATH HEMO 12FR 40CM,1743.5,1743.5,261.52,1743.5,42
CDM,485072,WEDGE ILIUM TRICORT 7MM,3411.0,3411.0,511.65,3411.0,30
CDM,485078,CATH URETH DRN 16FR 16IN,13.0,13.0,1.95,13.0,42
CDM,485080,STAPLER INT 12MM,1114.5,1114.5,167.18,1114.5,42
CDM,485085,CAGE SPNL 32X12MM,21636.0,21636.0,3245.4,21636.0,30
CDM,485089,ANCHOR SUT 1.4MM,3315.0,3315.0,497.25,3315.0,30
CDM,485090,ROD CONN TRANS 3.5/4MM,3012.0,3012.0,451.8,3012.0,30
CDM,485091,BEARING SZE 28X42MM,4606.0,4606.0,690.9,4606.0,30
CDM,485092,PUNCH BX DISP 3MM,36.5,36.5,5.47,36.5,42
CDM,485093,PUNCH SURG 4MM DRM BXUNI,1023.5,1023.5,153.53,1023.5,42
CDM,485095,ROD SPNL 3.5X200MM,2711.0,2711.0,406.65,2711.0,30
CDM,485096,NEEDLE INSFL 14GA,640.0,640.0,96.0,640.0,42
CDM,485097,NEEDLE INSFL 14GA 100MM,607.5,607.5,91.13,607.5,42
CDM,485098,SYS TROCAR 5 SHRT,1023.5,1023.5,153.53,1023.5,42
CDM,485099,SYSTEM XPND SL 5/10 10MM,1567.0,1567.0,235.05,1567.0,42
CDM,485100,STEP TROC 12 SHRT,1668.0,1668.0,250.2,1668.0,42
CDM,485101,STEP SLEEVE SHORT,1023.5,1023.5,153.53,1023.5,42
CDM,485102,PATELLA 3PEG REPLACMNT,4252.0,4252.0,637.8,4252.0,30
CDM,485103,INSTR BX 18GA 25CM,731.0,731.0,109.65,731.0,42
CDM,485104,CAGE SPNL 30X11X8MM,9523.0,9523.0,1428.45,9523.0,30
CDM,485105,INSERT TIB CR RP SZ5 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,485107,INSERT TIB RT SZ1 8MM,6878.0,6878.0,1031.7,6878.0,30
CDM,485116,BUTTON GSTRM 14FR 1.5CM,900.5,900.5,135.07,900.5,42
CDM,485118,BUTTON GSTRM 14FR 2.0CM,1023.5,1023.5,153.53,1023.5,42
CDM,485119,BUTTON GSTRM 16FR 1.0CM,900.5,900.5,135.07,900.5,42
CDM,485120,BUTTON GSTRM 16FR 1.2CM,993.0,993.0,148.95,993.0,42
CDM,485122,BUTTON GSTRM 16FR 1.7CM,993.0,993.0,148.95,993.0,42
CDM,485125,STAPLE BN MFX 15X12X12MM,5108.0,5108.0,766.2,5108.0,30
CDM,485126,BUTTON GSTRM 18FR 1.2CM,900.5,900.5,135.07,900.5,42
CDM,485127,BUTTON GSTRM 18FR 2.0CM,843.5,843.5,126.53,843.5,42
CDM,485130,CMPNT FEM KN STD SZ11,28401.0,28401.0,4260.15,28401.0,30
CDM,485131,LEAD CRT PCNG 62CM,11265.0,11265.0,1689.75,11265.0,30
CDM,485134,MARKER BX SITE 12GA 13CM,847.0,847.0,127.05,847.0,30
CDM,485135,MARKER BX SITE 12GA 13CM,847.0,847.0,127.05,847.0,30
CDM,485137,SUTURE VCL ABS 6-0 18IN,78.5,78.5,11.78,78.5,42
CDM,485139,COMPNT TIB REV LT SZF,10165.0,10165.0,1524.75,10165.0,30
CDM,485140,LEAD NRSTM MRI 56CM,8858.0,8858.0,1328.7,8858.0,30
CDM,485141,INSERT TIB KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,485142,GRAFT STNT 36MM 49MM,16628.0,16628.0,2494.2,16628.0,30
CDM,485143,ROD SPN 4.75MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,485145,SPACER SPN 28X11X10MM,15945.0,15945.0,2391.75,15945.0,30
CDM,485146,CMPNT KN RT SZ5N,7206.0,7206.0,1080.9,7206.0,30
CDM,485148,BASEPLATE TIB ATTUNE 5 K,5639.0,5639.0,845.85,5639.0,30
CDM,485150,INSERT TIB KN SZ4 8MM,8309.0,8309.0,1246.35,8309.0,30
CDM,485151,PLATFORM ACC 10MM 12MM,4385.5,4385.5,657.83,4385.5,42
CDM,485153,SCREW BN 2.0MM 10MM,1011.0,1011.0,151.65,1011.0,30
CDM,485154,SCREW BN 2.3MM 10MM,1166.0,1166.0,174.9,1166.0,30
CDM,485155,PLATE BN MINI 4HL 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,485156,SCREW BN SPN 5.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,485157,SCREW BN SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,485160,STENT VASC 10X40MM 80CM,3846.0,3846.0,576.9,3846.0,30
CDM,485161,CATH ABL 7FR 115CM,9106.5,9106.5,1365.97,9106.5,42
CDM,485163,RELOAD STPLR 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,485164,RELOAD STPLR 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,485174,LEAD PCNG 86CM,7086.0,7086.0,1062.9,7086.0,30
CDM,485176,SUTURE OPTH 10-0 12IN,543.0,543.0,81.45,543.0,42
CDM,485186,LEAD CRT PCNG 55CM,11265.0,11265.0,1689.75,11265.0,30
CDM,485187,CATH DIL 4CM 18MM,10053.0,10053.0,1507.95,10053.0,42
CDM,485188,CTHABL HALO-360 22,10053.0,10053.0,1507.95,10053.0,42
CDM,485189,CTHABL HALO-360 25,10053.0,10053.0,1507.95,10053.0,42
CDM,485190,CTHABL HALO-360 28,10053.0,10053.0,1507.95,10053.0,42
CDM,485191,CTHABL HALO-360 31,10053.0,10053.0,1507.95,10053.0,42
CDM,485192,CATH ESCP L85 L7 OD47.5,4093.0,4093.0,613.95,4093.0,42
CDM,485193,PLATE BN MXLFCL 1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,485194,BIT DRILL 1.6MM 58MM,1319.5,1319.5,197.93,1319.5,42
CDM,485196,CATH ABL FOCL 60 4X160,9557.0,9557.0,1433.55,9557.0,42
CDM,485197,CATH EP L160 HALO ABLT,10846.0,10846.0,1626.9,10846.0,42
CDM,485198,CAP ENDO ABL THRPY HL,644.5,644.5,96.67,644.5,42
CDM,485199,CAP ESCP SM ABLT HL TUBE,743.5,743.5,111.53,743.5,42
CDM,485200,GWIRE ABL .035 HALO,1023.5,1023.5,153.53,1023.5,42
CDM,485201,GWIRE .038IN FLEX TIP,1637.0,1637.0,245.55,1637.0,42
CDM,485202,CATH ABL FOCL UL L 4X160,13752.0,13752.0,2062.8,13752.0,42
CDM,485204,STENT TRCHBR 7FR 6X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,485206,INSERT TIB KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,485212,PLATE BN CRNMXF 20H .5MM,3956.0,3956.0,593.4,3956.0,30
CDM,485213,CAGE SPNL OD 28X11X7MM,13287.0,13287.0,1993.05,13287.0,30
CDM,485215,SCREW MAS CDH LEGACY 6.5,4247.0,4247.0,637.05,4247.0,30
CDM,485216,PLATE LOPR 1.25IN 6.35MM,3765.0,3765.0,564.75,3765.0,30
CDM,485220,CMPNT FEM KN LT SZ4N,7206.0,7206.0,1080.9,7206.0,30
CDM,485221,TIB BASE ATTUNE RP SZ3,5639.0,5639.0,845.85,5639.0,30
CDM,485222,INSERT TIB KN 9 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,485223,SPACER SPN 16X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,485224,SUTURE RB-2 5-0 1X30IN,105.5,105.5,15.82,105.5,42
CDM,485233,PLATE BN 6HL 0.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,485234,CAGE SPNL 8D 60LX18WX10H,13287.0,13287.0,1993.05,13287.0,30
CDM,485235,INSRT ARTC KN 10-11 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,485238,TUBE TRACH 2.5MM 30MM,1293.5,1293.5,194.03,1293.5,42
CDM,485253,INSRT ARTC KN 10-12 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,485254,STAPLER REINF STRL 60MM,1374.5,1374.5,206.18,1374.5,42
CDM,485255,STAPLER REINF STRL 60MM,2677.0,2677.0,401.55,2677.0,30
CDM,485256,WEDGE TIB SZGH RM 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,485258,STAPLER INT 12MM,1783.0,1783.0,267.45,1783.0,42
CDM,485260,RING RETR 11.3CM 25.3CM,818.5,818.5,122.78,818.5,42
CDM,485261,RING G2 RTRCTR 19..6X8.9,773.0,773.0,115.95,773.0,42
CDM,485262,EXPANDER TISS 550ML 9214,6511.0,6511.0,976.65,6511.0,30
CDM,485263,EXPNDR TISS 100ML SMTH,3721.0,3721.0,558.15,3721.0,30
CDM,485264,STAPLER REINF STRL 45MM,1296.0,1296.0,194.4,1296.0,42
CDM,485265,DEVICE NAV SURG,1513.5,1513.5,227.03,1513.5,42
CDM,485266,TRACKER NVG INST DISP,1203.0,1203.0,180.45,1203.0,42
CDM,485270,BLADE SHVR 4MM 11CM,2454.5,2454.5,368.18,2454.5,42
CDM,485271,WEDGE TIB SZGH RL 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,485273,WEDGE TIB KN CONE SZXS,20429.0,20429.0,3064.35,20429.0,30
CDM,485274,KIT CATH DRN REPR,231.5,231.5,34.73,231.5,42
CDM,485277,DEVICE REMOVAL 32CM,4092.5,4092.5,613.88,4092.5,42
CDM,485279,DEVICE SUT 3X1.2MM,4078.0,4078.0,611.7,4078.0,42
CDM,485280,ILUM OPTH 23GA,1023.5,1023.5,153.53,1023.5,42
CDM,485281,ILUM OPTH 25GA,1023.5,1023.5,153.53,1023.5,42
CDM,485287,CANNULA OPTH DISP 23GA,596.0,596.0,89.4,596.0,42
CDM,485294,STENT ESPH 18.5FR 23MM,9598.0,9598.0,1439.7,9598.0,30
CDM,485298,EXPANDER TISS 450ML 9213,6511.0,6511.0,976.65,6511.0,30
CDM,485299,SPACER FEM HIP OMFT 14MM,1595.0,1595.0,239.25,1595.0,30
CDM,485300,SPACER FEM HIP OMFT 15MM,1595.0,1595.0,239.25,1595.0,30
CDM,485301,GWIRE URO .032IN 150CM,504.5,504.5,75.67,504.5,42
CDM,485302,SPACER FEM HIP 16MM,1595.0,1595.0,239.25,1595.0,30
CDM,485303,SPACER FEM HIP OMFT 17MM,1595.0,1595.0,239.25,1595.0,30
CDM,485306,SPACER CMNT HIP 18MM,1595.0,1595.0,239.25,1595.0,30
CDM,485307,SPACER CMNT HIP 19MM,1595.0,1595.0,239.25,1595.0,30
CDM,485308,SPACER CMNT HIP 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,485309,SPACER CMNT HIP 21MM,1595.0,1595.0,239.25,1595.0,30
CDM,485310,SPACER CMNT HIP 22MM,1595.0,1595.0,239.25,1595.0,30
CDM,485311,SPACER CMNT HIP 23MM,1595.0,1595.0,239.25,1595.0,30
CDM,485313,DRAIN WND RND .25X49IN,97.0,97.0,14.55,97.0,42
CDM,485314,SPACER FEM 24MM ACLD UNV,1595.0,1595.0,239.25,1595.0,30
CDM,485315,SPACER CMNT HIP 25MM,1595.0,1595.0,239.25,1595.0,30
CDM,485316,SCREW BN 6.5MM 45MM,1196.0,1196.0,179.4,1196.0,30
CDM,485317,SCREW BN 6.5MM 55MM,1196.0,1196.0,179.4,1196.0,30
CDM,485318,SCREW BN 6.5MM 55MM,1729.0,1729.0,259.35,1729.0,30
CDM,485320,STAPLER REINF STRL 45MM,1296.0,1296.0,194.4,1296.0,42
CDM,485324,SCREW BN HRZN LGC 35X6.5,4247.0,4247.0,637.05,4247.0,30
CDM,485325,SCREW BN 55MM 6.5MM,1323.0,1323.0,198.45,1323.0,30
CDM,485326,BLADE SHVR 4.3MM 13CM,2652.0,2652.0,397.8,2652.0,42
CDM,485327,BAG TISS CLSR 8IN 5CM,1964.5,1964.5,294.68,1964.5,42
CDM,485330,BIT DRILL 3.8MM 3MM,787.5,787.5,118.13,787.5,42
CDM,485331,INTRODUCR 16X20F17X20CM,1023.5,1023.5,153.53,1023.5,42
CDM,485332,DRAIN WND RND 7FR 3/32IN,95.5,95.5,14.32,95.5,42
CDM,485338,GLIDE IOL 2.5MM,34.5,34.5,5.17,34.5,42
CDM,485340,SCREW BN 6.5MM 60MM,1323.0,1323.0,198.45,1323.0,30
CDM,485354,SHELL ACTB 42MM HIP 3 SC,4606.0,4606.0,690.9,4606.0,30
CDM,485355,SHELL ACTB 68MM HIP 5 SC,4606.0,4606.0,690.9,4606.0,30
CDM,485356,SHELL ACTB 70MM HIP 5 SC,4606.0,4606.0,690.9,4606.0,30
CDM,485365,SHELL ACTB 72MM HIP 5 SC,4606.0,4606.0,690.9,4606.0,30
CDM,485367,TUBE EARVNT RB 2.6X1MM,558.0,558.0,83.7,558.0,30
CDM,485368,CATHETER ART 15FR 18CM,3642.5,3642.5,546.38,3642.5,42
CDM,485382,PLATE ULS DCP 7H 92 3.5,2392.0,2392.0,358.8,2392.0,30
CDM,485383,SCREW BN CORT 3.5X16MM,319.0,319.0,47.85,319.0,30
CDM,485385,SCREW BN CORT 3.5X14MM,319.0,319.0,47.85,319.0,30
CDM,485386,LINER HIP SZG 28X46,4606.0,4606.0,690.9,4606.0,30
CDM,485389,PLATE 1/3TBLR LCK 68 5H,2392.0,2392.0,358.8,2392.0,30
CDM,485390,WEDGE TIB KN RM/LL 1 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,485391,SCREW BN 3.5MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,485392,AUGMNT TIB LM/RL SZ5 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,485396,PLATE BN NAR 2MM 53MM,4429.0,4429.0,664.35,4429.0,30
CDM,485397,AUGMNT TIB LM/RL 5MM SZ8,4429.0,4429.0,664.35,4429.0,30
CDM,485398,PLATE SPN HUMP GRW 16MM,3534.0,3534.0,530.1,3534.0,30
CDM,485399,AUGMNT TIB KN L SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,485400,PATCH EPFLM OTOLOGIC LAM,3034.0,3034.0,455.1,3034.0,30
CDM,485404,CMPNT PTLR KN 8X27MM,4252.0,4252.0,637.8,4252.0,30
CDM,485410,COMPNT PTLR 11X39MM,4252.0,4252.0,637.8,4252.0,30
CDM,485411,CMPNT PTLR KN 11MM 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,485412,KNIFE SURG 10.5X6.3MM,271.0,271.0,40.65,271.0,42
CDM,485418,ROD SPN 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,485421,BIT DRILL 3.8MM 3MM,773.0,773.0,115.95,773.0,42
CDM,485425,CMPNT PTLR KN 40MM 11MM,4252.0,4252.0,637.8,4252.0,30
CDM,485427,DEVICE WNDCLS 20CM SZ0,1023.5,1023.5,153.53,1023.5,42
CDM,485431,LENS IOL +24.5 DIOP,386.5,386.5,71.15,386.5,28
CDM,485434,GJ TUBE LO 14F 1.2X30CM,3855.5,3855.5,578.33,3855.5,42
CDM,485435,GJ TUBE LO 14F 1.2X30CM,3855.5,3855.5,578.33,3855.5,42
CDM,485437,GJ TUBE LO 14F 1.5X30CM,3855.5,3855.5,578.33,3855.5,42
CDM,485442,GJ TUBE LO 14F 2.0X22CM,3855.5,3855.5,578.33,3855.5,42
CDM,485443,GJ TUBE LO 14F 2.0X30CM,3372.5,3372.5,505.88,3372.5,42
CDM,485444,GJ TUBE LO 14F 2.0X30CM,3855.5,3855.5,578.33,3855.5,42
CDM,485445,GJ TUBE LO 14F 2.3X45CM,3708.0,3708.0,556.2,3708.0,42
CDM,485471,GJ TUBE LO 16F 2.5X30CM,3855.5,3855.5,578.33,3855.5,42
CDM,485474,GJ TUBE LO 16F 2.7X45CM,3274.0,3274.0,491.1,3274.0,42
CDM,485475,GJ TUBE LO 16F 3.0X45CM,3274.0,3274.0,491.1,3274.0,42
CDM,485476,GJ TUBE LO 14F 1X15CM,3372.5,3372.5,505.88,3372.5,42
CDM,485477,DRESSING GELING FBR4X4IN,54.0,54.0,8.1,54.0,42
CDM,485481,TUBE FD 14FR 1.5CM 22CM,3372.5,3372.5,505.88,3372.5,42
CDM,485482,SCREW SET SPN CONNECTOR,753.0,753.0,112.95,753.0,30
CDM,485483,CONN SPN 4/6.375MM 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,485484,INSERT POLYETHYLENE TRID,4606.0,4606.0,690.9,4606.0,30
CDM,485485,LINER ACTB 0D 12.7X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,485486,LINER ACTB HIP 10.6X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,485487,BLADE SHAVER SOFT MINI,4093.0,4093.0,613.95,4093.0,42
CDM,485488,LINER HIP J 12.6MM 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,485490,TROCAR LAPSCP 5MM 100MM,1003.0,1003.0,150.45,1003.0,42
CDM,485492,LINER ACTB HIP 8.6X44MM,4606.0,4606.0,690.9,4606.0,30
CDM,485494,ILIUM TRICRT WDG 15-16MM,4322.0,4322.0,648.3,4322.0,30
CDM,485495,LINER ACTB HIP 10.6X44MM,4606.0,4606.0,690.9,4606.0,30
CDM,485496,TROCAR LAPSCP 100X12MM,266.5,266.5,39.98,266.5,42
CDM,485497,TROCAR LAPSCP 100X12MM,278.5,278.5,41.77,278.5,42
CDM,485500,EXPANDER BREAST 550CC,6024.0,6024.0,903.6,6024.0,30
CDM,485511,HEAD FEM LFIT V40 44MM,4252.0,4252.0,637.8,4252.0,30
CDM,485548,STENT NSL RAIN STD 48MM,1342.0,1342.0,201.3,1342.0,30
CDM,485553,PLATE BN 2X2HL 1MM,3189.0,3189.0,478.35,3189.0,30
CDM,485554,SCREW BN 2.4MM 6MM,1556.0,1556.0,233.4,1556.0,30
CDM,485563,HEAD FEM HIP +4MM 44MM,4252.0,4252.0,637.8,4252.0,30
CDM,485569,STEM FEM HIP 29MM,12106.0,12106.0,1815.9,12106.0,30
CDM,485571,PORT FLX 5MM 12MM,3035.0,3035.0,455.25,3035.0,42
CDM,485578,LENS IOL +24.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,485579,STEM FEM HIP 6276-1-031,12106.0,12106.0,1815.9,12106.0,30
CDM,485580,BDY CONE 29MM RSTR +10MM,12106.0,12106.0,1815.9,12106.0,30
CDM,485581,DEVICE UNIT SUT FASTNER,2104.0,2104.0,315.6,2104.0,30
CDM,485582,DEVICE UNIT SUT FASTNER,664.5,664.5,99.67,664.5,30
CDM,485585,BLADE SHAVER DENSE PLUS,4348.0,4348.0,652.2,4348.0,42
CDM,485586,BLADE SHAVER SOFT PLUS,3414.0,3414.0,512.1,3414.0,42
CDM,485588,FORCEPS OPTH 25GA,1023.5,1023.5,153.53,1023.5,42
CDM,485589,FORCEPS SURG 25GA,1023.5,1023.5,153.53,1023.5,42
CDM,485590,FORCEPS SURG 25GA,1023.5,1023.5,153.53,1023.5,42
CDM,485596,HOOK WIDE BLD W/SHLF MD,3012.0,3012.0,451.8,3012.0,30
CDM,485603,STEM FEM HIP 10MM 31MM,12106.0,12106.0,1815.9,12106.0,30
CDM,485604,CMPNT FEM HIP 19MM +20MM,12106.0,12106.0,1815.9,12106.0,30
CDM,485609,SPACER FEM HIP 20MM,12106.0,12106.0,1815.9,12106.0,30
CDM,485611,PROBE TIP DISP 27+,719.0,719.0,107.85,719.0,42
CDM,485612,SCRAPER ORTH DISP 27GA,1026.5,1026.5,153.97,1026.5,42
CDM,485613,STEM FEM HIP 20MM 31MM,12106.0,12106.0,1815.9,12106.0,30
CDM,485616,ELECTRODE HOOK 4-9CM,1672.5,1672.5,250.88,1672.5,42
CDM,485618,STEM FEM HIP +30 19MM,12106.0,12106.0,1815.9,12106.0,30
CDM,485619,STEM FEM HIP +30X29,12106.0,12106.0,1815.9,12106.0,30
CDM,485620,RELOAD STPLR 60MM,2184.0,2184.0,327.6,2184.0,30
CDM,485621,RELOAD STPLR 60MM,2136.0,2136.0,320.4,2136.0,30
CDM,485623,CANNULA OPTH 23GA 2 BOR,821.0,821.0,123.15,821.0,42
CDM,485624,STEM FEM HIP 30MM 31MM,12106.0,12106.0,1815.9,12106.0,30
CDM,485626,PROBE VITRTM 25+,1627.5,1627.5,244.13,1627.5,42
CDM,485627,PROBE VITRTM 23GA,1711.0,1711.0,256.65,1711.0,42
CDM,485628,LENS IOL +33.0 DIOP,630.0,630.0,115.98,630.0,28
CDM,485629,EXPANDER TISS RECT 250CC,3721.0,3721.0,558.15,3721.0,30
CDM,485630,SNARE POLY OVAL STD,231.5,231.5,34.73,231.5,42
CDM,485631,GUARD PIN 3/32IN,154.5,154.5,23.18,154.5,42
CDM,485632,GUARD PIN .028IN,154.5,154.5,23.18,154.5,42
CDM,485633,GUARD PIN .035IN,154.5,154.5,23.18,154.5,42
CDM,485636,CATHETER CV L23CM OD12FR,1637.0,1637.0,245.55,1637.0,42
CDM,485637,CATHETER CV L27CM OD12FR,1637.0,1637.0,245.55,1637.0,42
CDM,485639,SYSTEM XTRT 17CM,3004.0,3004.0,450.6,3004.0,42
CDM,485641,STEM FEM HIP 23MM 155MM,8674.0,8674.0,1301.1,8674.0,30
CDM,485643,DEVICE INFLATION 20ML,432.0,432.0,64.8,432.0,42
CDM,485644,STEM FEM HIP 155X25MM,8674.0,8674.0,1301.1,8674.0,30
CDM,485647,STEM FEM 155MM 26MM MOD,8674.0,8674.0,1301.1,8674.0,30
CDM,485650,BLADE SAG MICRO TPS 25MM,381.0,381.0,57.15,381.0,42
CDM,485653,SCREW BIOABS AR-1400TC,3189.0,3189.0,478.35,3189.0,30
CDM,485654,KIT ACL TRSTBIAL NO BLDE,1187.0,1187.0,178.05,1187.0,42
CDM,485658,OCCLUDER EYE POLY,106.0,106.0,15.9,106.0,42
CDM,485660,PROBE VITRTM 25+GA,1023.5,1023.5,153.53,1023.5,42
CDM,485661,CANNULA OPTH DISP 25GA,932.5,932.5,139.88,932.5,42
CDM,485662,GRAFT BN 2.5X10CM,8823.0,8823.0,1323.45,8823.0,30
CDM,485663,MESH SURG 12MM 13MM,5188.0,5188.0,778.2,5188.0,30
CDM,485664,SUTURE VIO BRD 6-0 18IN,231.5,231.5,34.73,231.5,42
CDM,485666,STEM FEM 27MM 6276-7-027,8674.0,8674.0,1301.1,8674.0,30
CDM,485669,SCREW SPN 5.5MM 30MM,4340.0,4340.0,651.0,4340.0,30
CDM,485671,KIT CATH CV REPR 7FR,1333.5,1333.5,200.03,1333.5,42
CDM,485672,KIT REPAIR CV HICKMAN 7F,1723.5,1723.5,258.52,1723.5,42
CDM,485673,EXPANDER TISS BRST 500ML,9656.0,9656.0,1448.4,9656.0,30
CDM,485674,EXPANDER TISS 455CC STRL,9656.0,9656.0,1448.4,9656.0,30
CDM,485678,EXPANDER TISS 535CC TXTR,9656.0,9656.0,1448.4,9656.0,30
CDM,485679,STEM FEM HIP 195X15MM,8674.0,8674.0,1301.1,8674.0,30
CDM,485680,EXPANDER BREAST 650CC,9656.0,9656.0,1448.4,9656.0,30
CDM,485682,STEM FEM HIP 14X195MM,9185.0,9185.0,1377.75,9185.0,30
CDM,485686,EXPANDER TISS BRST 500ML,9656.0,9656.0,1448.4,9656.0,30
CDM,485687,STEM FEM HIP 195X23MM,9185.0,9185.0,1377.75,9185.0,30
CDM,485688,STEM FEM 195MM 26MM,9185.0,9185.0,1377.75,9185.0,30
CDM,485693,STEM FEM L195 OD27 DIST,9185.0,9185.0,1377.75,9185.0,30
CDM,485694,STEM FEM L195 OD28 DIST,9185.0,9185.0,1377.75,9185.0,30
CDM,485696,SCREW BN 7.3MM 32MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,485698,NEEDLE INSFL 14GA 120MM,208.5,208.5,31.27,208.5,42
CDM,485703,KNIFE OPTH 2.4MM,262.0,262.0,39.3,262.0,42
CDM,485704,ILUM OPTH 20GA,1380.5,1380.5,207.07,1380.5,42
CDM,485705,FORCEP OPTH 25+GA,1239.0,1239.0,185.85,1239.0,42
CDM,485708,DEVICE REMOVAL 64.14CM,4827.0,4827.0,724.05,4827.0,42
CDM,485711,EXPANDER BRST 700CC,9656.0,9656.0,1448.4,9656.0,30
CDM,485712,TRACKER PT NINVS DISP,1455.0,1455.0,218.25,1455.0,42
CDM,485713,CATH BLNDIL 6MM 17MM,4093.0,4093.0,613.95,4093.0,42
CDM,485714,KIT BLNDIL INFLATOR,1092.0,1092.0,163.8,1092.0,42
CDM,485715,SEEKER SURG 6MM 17MM,2051.0,2051.0,307.65,2051.0,42
CDM,485718,DRAIN WND RND 24FR,231.5,231.5,34.73,231.5,42
CDM,485722,HEAD FEM HIP 663-00-28C,4606.0,4606.0,690.9,4606.0,30
CDM,485723,DEVICE SUT 12MM 25CM,3862.0,3862.0,579.3,3862.0,42
CDM,485725,PLATE BN LT 5HL,3189.0,3189.0,478.35,3189.0,30
CDM,485726,SCREW LCK 2.7MM 26MM,1730.0,1730.0,259.5,1730.0,30
CDM,485727,SCREW LCK 2.7X30MM,1730.0,1730.0,259.5,1730.0,30
CDM,485728,SCREW BN 2.7MM 34MM,926.0,926.0,138.9,926.0,30
CDM,485729,SCREW BN 2.7MM 38MM,926.0,926.0,138.9,926.0,30
CDM,485731,IMPLANT BREAST 330CC,3579.0,3579.0,536.85,3579.0,30
CDM,485732,INSERT ACTB 28MM 0D D EC,4606.0,4606.0,690.9,4606.0,30
CDM,485733,HEAD FEM HIP 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,485737,PACKING NSL 7.5CM,773.0,773.0,115.95,773.0,42
CDM,485739,BLADE 3MM SPAT TIP 1 EA,2337.0,2337.0,350.55,2337.0,42
CDM,485741,SCREW LCK 2.7X28MM,1730.0,1730.0,259.5,1730.0,30
CDM,485742,SUTURE PP CP SZ 0 48IN,622.0,622.0,93.3,622.0,42
CDM,485745,PLATE BN 2.7MM 82MM,4758.0,4758.0,713.7,4758.0,30
CDM,485746,PLATE BN RT 2.7/3.5X88MM,4907.0,4907.0,736.05,4907.0,30
CDM,485747,SCREW BN SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,485748,INS ACETAB TRDNT 32 X3,4606.0,4606.0,690.9,4606.0,30
CDM,485750,INSERT ACTB 36MM 0D G HI,4606.0,4606.0,690.9,4606.0,30
CDM,485751,INSERT ACTB HIP 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,485752,INSERT ACTB 36MM 0D J EC,4606.0,4606.0,690.9,4606.0,30
CDM,485753,CABLE GRP MED 2MM,4429.0,4429.0,664.35,4429.0,30
CDM,485754,GRIP TROCH W/CABLES MED,4429.0,4429.0,664.35,4429.0,30
CDM,485755,PLATE W/CBL MED 2MM,5418.0,5418.0,812.7,5418.0,30
CDM,485756,PLATE W/CBL LG 110MM,4429.0,4429.0,664.35,4429.0,30
CDM,485757,PLATE W/CBL LG 160MM,4429.0,4429.0,664.35,4429.0,30
CDM,485758,PLATE W/CBL LG 210MM,5418.0,5418.0,812.7,5418.0,30
CDM,485759,STEM FEM HIP SZ11 126MM,8858.0,8858.0,1328.7,8858.0,30
CDM,485760,STEM FEM HIP SZ10 40X123,8858.0,8858.0,1328.7,8858.0,30
CDM,485761,STEM HIP SZ11 127D 126MM,8858.0,8858.0,1328.7,8858.0,30
CDM,485762,INSERT ACTB HIP 62X46X32,6644.0,6644.0,996.6,6644.0,30
CDM,485763,SHELL ACTB HIP 3H 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,485764,SHELL ACTB HIP 3H 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,485765,PLUG ACTB HIP DOME H,1595.0,1595.0,239.25,1595.0,30
CDM,485766,SHELL ACTB HIP 9H D 50MM,9418.0,9418.0,1412.7,9418.0,30
CDM,485767,SHELL ACTB HIP SZ52 E,9418.0,9418.0,1412.7,9418.0,30
CDM,485768,SHELL ACTB HIP 13H 56MM,9418.0,9418.0,1412.7,9418.0,30
CDM,485769,SHELL ACTB HIP 13H 68MM,9418.0,9418.0,1412.7,9418.0,30
CDM,485770,SHELL ACTB HIP 13H 70MM,9418.0,9418.0,1412.7,9418.0,30
CDM,485772,NEEDLE BN MRW 15GA 7/8IN,231.5,231.5,34.73,231.5,42
CDM,485775,NDL DNTL STRL 27GA LNG,13.0,13.0,1.95,13.0,42
CDM,485779,CATH CV PICC 6FR 50CM,1228.0,1228.0,184.2,1228.0,42
CDM,485780,INSERT TIB KN BRNG 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,485781,INSERT TIB KN BRNG 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,485784,PROBE SURG LNG MNPLR STM,921.0,921.0,138.15,921.0,42
CDM,485790,SNARE RND 2.8MM 240MM,256.0,256.0,38.4,256.0,42
CDM,485793,PENCIL SMKEVC 165MM,79.0,79.0,11.85,79.0,42
CDM,485796,TIP TEST HARMONIC SCAL,244.0,244.0,36.6,244.0,42
CDM,485806,FILTER VAC ASP ASMBLY,2597.0,2597.0,389.55,2597.0,42
CDM,485808,SHEATH SPECULUM DISP,13.0,13.0,1.95,13.0,42
CDM,485810,SIZER BREAST 375CC,618.5,618.5,92.78,618.5,42
CDM,485811,CABLE NRSTM EXT 60CM,1023.5,1023.5,153.53,1023.5,42
CDM,485812,INSTR CUTING IJIGS HIP,3069.5,3069.5,460.43,3069.5,42
CDM,485818,SET TUBING PRFSN CRCT,7674.0,7674.0,1151.1,7674.0,42
CDM,485820,STENT URET 7FR 22CM,1989.0,1989.0,298.35,1989.0,30
CDM,485821,BLADE BIOPSY PUNCH 3.0MM,30.0,30.0,4.5,30.0,42
CDM,485823,GUIDE TRACH TUBE 70CM,905.0,905.0,135.75,905.0,42
CDM,485829,ELCTRD EMG RSPN 18ML,1023.5,1023.5,153.53,1023.5,42
CDM,485831,TUBE 18FR STR REPL GSTRM,417.5,417.5,62.63,417.5,42
CDM,485835,SHTH 14F 65CM FROVA,1023.5,1023.5,153.53,1023.5,42
CDM,485837,BRACE ORTHO WHOF,1775.0,1775.0,326.78,1775.0,26
CDM,485837,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",1775.0,1775.0,267.13,413.35,34
CDM,485839,SPONE ABS PWD GEL 1GM,773.0,773.0,115.95,773.0,42
CDM,485845,PIN EXFX 1/8X2.5IN,1631.5,1631.5,244.72,1631.5,42
CDM,485850,IRRIGATOR SUC 8MM,2147.5,2147.5,322.13,2147.5,42
CDM,485851,CONN PRFSN .5IN TMP STRL,123.0,123.0,18.45,123.0,42
CDM,485856,SPLINT ORTH 24X18CM,347.0,347.0,52.05,347.0,42
CDM,485860,CANNULA ORTH 8MM,860.0,860.0,129.0,860.0,42
CDM,485862,TUBE TRACH 8.9X13.8X81MM,423.5,423.5,63.52,423.5,42
CDM,485874,DRESSING CLGN 2X2IN,231.5,231.5,34.73,231.5,42
CDM,485877,BANDAGE CMPR 5.1YDX4IN,231.5,231.5,34.73,231.5,42
CDM,485879,TIP FCP GRSH 360D 25GA,893.5,893.5,134.03,893.5,42
CDM,485891,SYSTEM LUB ARTHRCM 100ML,782.5,782.5,117.38,782.5,42
CDM,485904,SIZER BREAST 250CC,618.5,618.5,92.78,618.5,42
CDM,485905,SIZER BREAST 200CC,618.5,618.5,92.78,618.5,42
CDM,485908,CONN PRFSN .25IN STR,129.5,129.5,19.43,129.5,42
CDM,485910,KIT LEAD NRSTM 60CM,6910.0,6910.0,1036.5,6910.0,30
CDM,485915,CONN PRFSN 1/4X3/8 STR,137.0,137.0,20.55,137.0,42
CDM,485917,STAPLER INT 12MM,4093.0,4093.0,613.95,4093.0,42
CDM,485920,CATH DRN 16FR 25CM,773.0,773.0,115.95,773.0,42
CDM,485926,TUBE TRCH 95MM 6MM,773.0,773.0,115.95,773.0,42
CDM,485957,SET EXT NDLS Y SITE,124.5,124.5,18.68,124.5,42
CDM,485960,TUBE TRCH 100MM 7MM,773.0,773.0,115.95,773.0,42
CDM,485963,NDL BX 15CM 20GA ECHTP,278.0,278.0,41.7,278.0,42
CDM,485966,SUCT/IRR SURG DISP,658.5,658.5,98.78,658.5,42
CDM,485967,STENT URET 7FR 26CM,2029.0,2029.0,304.35,2029.0,30
CDM,485971,KIT ANGIO HAND CONTROL,556.5,556.5,83.47,556.5,42
CDM,485976,INSERT TIB RT SZ4 10MM,5094.0,5094.0,764.1,5094.0,30
CDM,485978,EXTRACTOR BROKEN SCREW 2,2455.5,2455.5,368.32,2455.5,42
CDM,485979,EXTRACTOR DRIVER LG STRP,3069.5,3069.5,460.43,3069.5,42
CDM,485980,DRIVER EXTRACTOR SM STRP,3069.5,3069.5,460.43,3069.5,42
CDM,485981,SUCTION ENDO 9FR,2325.0,2325.0,348.75,2325.0,42
CDM,485982,CATH BLNOCC 4FR 47CM,3266.0,3266.0,489.9,3266.0,42
CDM,485983,CAGE SPNL 30X15MM 8D,8858.0,8858.0,1328.7,8858.0,30
CDM,485984,INSERT ACTB HIP 43X22MM,4429.0,4429.0,664.35,4429.0,30
CDM,485985,SHELL ACTB HIP 43MM,4606.0,4606.0,690.9,4606.0,30
CDM,485986,CAGE ALIF TAS ENDSKLTN 1,19200.0,19200.0,2880.0,19200.0,30
CDM,485987,STEM HIP HD +3.5MM,4066.0,4066.0,609.9,4066.0,30
CDM,485988,HEAD FEM HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,485989,COMP HUM CAGE SZ1,17274.0,17274.0,2591.1,17274.0,30
CDM,485990,HEAD HUM SHLDR 47MM 15MM,6201.0,6201.0,930.15,6201.0,30
CDM,485991,ROD SPN 3.5X240MM,2711.0,2711.0,406.65,2711.0,30
CDM,485992,AUGMENT FEM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,485993,INSERT TIB KN SZ7 8MM,8309.0,8309.0,1246.35,8309.0,30
CDM,485995,PLATE SPN LAT 18MM 4HL,11073.0,11073.0,1660.95,11073.0,30
CDM,485996,PROBE ABL 13GA 25CM,8933.0,8933.0,1339.95,8933.0,42
CDM,485997,CANNULA PRFSN 14G 5.5IN,290.5,290.5,43.58,290.5,42
CDM,485999,STEM FEM KN 16MM 135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,486000,CMPNT TIB KN SZH,10165.0,10165.0,1524.75,10165.0,30
CDM,486001,WEDGE KN SZ11 11X5MM,4606.0,4606.0,690.9,4606.0,30
CDM,486002,COMPNT FEM KN PSN SZ11+,30394.0,30394.0,4559.1,30394.0,30
CDM,486003,STEM FEM KN SZ18,6876.0,6876.0,1031.4,6876.0,30
CDM,486004,INSRT ARTC KN 10-12 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,486005,PLT 5D SM 42MM 2.4/2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,486007,PLATE SPN 4LVL 72MM,4429.0,4429.0,664.35,4429.0,30
CDM,486008,CAGE SPNL 8D 50X22X14MM,13952.0,13952.0,2092.8,13952.0,30
CDM,486009,DRILL 2.0X45MM,232.0,232.0,34.8,232.0,42
CDM,486012,INSERT TIB KN TTL 6 9MM,6737.0,6737.0,1010.55,6737.0,30
CDM,486013,BLOCK AUG FEM KN 4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,486014,STEM FEM KN 18X120MM,4606.0,4606.0,690.9,4606.0,30
CDM,486015,STEM EXTN KN 39MM,14350.0,14350.0,2152.5,14350.0,30
CDM,486017,AUGMENT TIB KN SZ4T 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,486018,STEM FEM KN 18X80MM,4606.0,4606.0,690.9,4606.0,30
CDM,486019,INSERT TIB 4 19MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,486022,WEDGE TIB KN CONE SZSM,20429.0,20429.0,3064.35,20429.0,30
CDM,486023,SCREW BN 4.3MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,486024,SCREW BN 4.3MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,486028,EBV AMP PROBE,1898.79,1898.79,349.57,1898.79,28
CDM,486031,PLATE BN 6HL 3.5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,486032,SCREW BN CORT 3.5X10MM,448.0,448.0,67.2,448.0,30
CDM,486033,DRILL SURG SM SHRT 2.5MM,1713.0,1713.0,256.95,1713.0,42
CDM,486034,SCREW BN 3.5MM 12MM,2304.0,2304.0,345.6,2304.0,30
CDM,486035,SCREW BN 6.4MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,486036,SPACER SPN 7D 14X16X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,486037,SCREW BN LCK 3X12MM,2790.0,2790.0,418.5,2790.0,30
CDM,486038,SCREW BN 3MM 18MM,2790.0,2790.0,418.5,2790.0,30
CDM,486039,SCREW BN LCK 3X16MM,2790.0,2790.0,418.5,2790.0,30
CDM,486040,CAGE SPN 7D 15X13X6MM,8083.0,8083.0,1212.45,8083.0,30
CDM,486041,SPACER SPN 15X12X5MM 5D,8858.0,8858.0,1328.7,8858.0,30
CDM,486042,PLATE SPN 24MM,11073.0,11073.0,1660.95,11073.0,30
CDM,486043,SCREW BN 1.6X8MM,977.0,977.0,146.55,977.0,30
CDM,486044,SPACER SPNL 22X11MM 6D,13952.0,13952.0,2092.8,13952.0,30
CDM,486045,SPACER SPNL 50X18X9MM 6D,13287.0,13287.0,1993.05,13287.0,30
CDM,486046,SPACER SPNL 22X13MM 6D,13952.0,13952.0,2092.8,13952.0,30
CDM,486047,SPACER SPNL 50X20X11MM,13952.0,13952.0,2092.8,13952.0,30
CDM,486048,SCR BN VAR ANGL 5.5X22MM,1130.0,1130.0,169.5,1130.0,30
CDM,486049,TIB BASE ATTUNE RP SZ4,5639.0,5639.0,845.85,5639.0,30
CDM,486050,COMPNT TIB 10MM PFC SGM,4606.0,4606.0,690.9,4606.0,30
CDM,486051,NAIL BN 11.5MM 30CM,4872.0,4872.0,730.8,4872.0,30
CDM,486052,AUG DIST FEM SZ10 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,486053,REV CRS FEM LT CMNT SZ10,18525.0,18525.0,2778.75,18525.0,30
CDM,486054,COMPONENT TIB CMNT SZ9,11073.0,11073.0,1660.95,11073.0,30
CDM,486055,BLADE SAW 90X21MM,417.5,417.5,62.63,417.5,42
CDM,486056,KIT ARTHSCP FX TGHTRP RT,3189.0,3189.0,478.35,3189.0,30
CDM,486057,GRAFT EVAS 22FR 32X95MM,57577.0,57577.0,8636.55,57577.0,30
CDM,486058,FLEX ALLOPATCH HD 1SQCM,397.0,397.0,59.55,397.0,29
CDM,486059,DRILL DISP 6MM-12MM,3567.0,3567.0,535.05,3567.0,42
CDM,486060,SYSTEM ANCHR PTLA 4.75MM,4429.0,4429.0,664.35,4429.0,30
CDM,486062,CAGE SPNL 14X8 UCERV 6D,4429.0,4429.0,664.35,4429.0,30
CDM,486063,PLATE SPN CRV 1LVL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,486064,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,486066,BLOCK AUGMNT KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,486067,INSERT TIB KN SIZE4 9MM,7175.0,7175.0,1076.25,7175.0,30
CDM,486068,BLADE SAW 18.5X9MM,202.5,202.5,30.38,202.5,42
CDM,486071,CAGE SPNL 40X18X8MM CLYD,13287.0,13287.0,1993.05,13287.0,30
CDM,486073,SCREW SPN PAX 7.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,486075,AUG POS FEM SZ10 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,486076,GRAFT EVAS 109X32MM,41596.0,41596.0,6239.4,41596.0,30
CDM,486077,SCREW BN ORTH 5MM 10MM,3721.0,3721.0,558.15,3721.0,30
CDM,486078,CMPNT FEM KN SZ6,7206.0,7206.0,1080.9,7206.0,30
CDM,486079,CAGE SPN 0D 9X23MM,4429.0,4429.0,664.35,4429.0,30
CDM,486080,PLATE BN 14HL LT,4429.0,4429.0,664.35,4429.0,30
CDM,486083,SPACER SPNL 50MMX15MM 6D,13952.0,13952.0,2092.8,13952.0,30
CDM,486084,INSERT TIB KN SZ1 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,486085,SPACER SPN 12X18X12MM,21366.0,21366.0,3204.9,21366.0,30
CDM,486086,SPACER SPN LOWER 12X14MM,3016.0,3016.0,452.4,3016.0,30
CDM,486087,SPACER SPNL 50X22X15MM,13952.0,13952.0,2092.8,13952.0,30
CDM,486088,IMPLANT BREAST 445CC,5315.0,5315.0,797.25,5315.0,30
CDM,486089,CMPNT SHLDR +5MM 40MM,5537.0,5537.0,830.55,5537.0,30
CDM,486090,BEARING HUM SHLDR 36MM,6423.0,6423.0,963.45,6423.0,30
CDM,486091,PLATE BN WRST MINI,4429.0,4429.0,664.35,4429.0,30
CDM,486092,SCREW BN 2.1MM 8MM,319.0,319.0,47.85,319.0,30
CDM,486094,STEM FEM HIP 23MM 250MM,9478.0,9478.0,1421.7,9478.0,30
CDM,486095,STEM FEM HIP STD 60MM,16725.0,16725.0,2508.75,16725.0,30
CDM,486096,CAGE SPNL 7D 12X14.5X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,486098,SCREW SPN CREO6.5X60X5.5,3765.0,3765.0,564.75,3765.0,30
CDM,486099,SCREW 5.5X55 QWX LWR EX,4252.0,4252.0,637.8,4252.0,30
CDM,486100,BIT DRL 4.2MM 25MM,2344.0,2344.0,351.6,2344.0,42
CDM,486101,BURR SURG RND 5.0MM,231.5,231.5,34.73,231.5,42
CDM,486102,STEM FEM HIP 150MM 14MM,7805.0,7805.0,1170.75,7805.0,30
CDM,486103,PLATE BN 1HL RT 69MM,4758.0,4758.0,713.7,4758.0,30
CDM,486104,CMPNT CCK KN REV RT SZ4,14173.0,14173.0,2125.95,14173.0,30
CDM,486105,SCREW BN SPN 6.5MM 60MM,3765.0,3765.0,564.75,3765.0,30
CDM,486106,CAGE SPNL 32X11MM ENDOSK,21636.0,21636.0,3245.4,21636.0,30
CDM,486107,CONN SPN SIDE/TOP 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,486108,INS TIB CRU RET SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,486109,PLATE BN RT 9H 238MM,4872.0,4872.0,730.8,4872.0,30
CDM,486110,CAGE SPNL 6D 32X11X7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,486111,INSERT BRNG KN TIB7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,486112,ROD SPN CRV 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,486116,SCREW BN CMPRS 6.5X30MM,1284.0,1284.0,192.6,1284.0,30
CDM,486120,CAGE SPNL 8D 50X18X103,13287.0,13287.0,1993.05,13287.0,30
CDM,486121,CAGE SPNL 14D 45X18X12,13952.0,13952.0,2092.8,13952.0,30
CDM,486122,GRAFT SYN 0.5X2X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,486123,SCREW BN 2MM 8MM,1011.0,1011.0,151.65,1011.0,30
CDM,486124,SCREW BN 2MM 8MM,1766.0,1766.0,264.9,1766.0,30
CDM,486125,SCREW BN 2X10MM,1766.0,1766.0,264.9,1766.0,30
CDM,486127,ACTB CUP CLSTR G8 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,486128,STEM HUM SHLDR 10X122MM,11959.0,11959.0,1793.85,11959.0,30
CDM,486129,CUP MULTI G7 SZ54,8969.0,8969.0,1345.35,8969.0,30
CDM,486130,COMP POLY TIBIA 5-10MM,4252.0,4252.0,637.8,4252.0,30
CDM,486131,PLATE BN 4H FX BAR,3189.0,3189.0,478.35,3189.0,30
CDM,486132,PLATE FX 6H W/BAR,3721.0,3721.0,558.15,3721.0,30
CDM,486133,SCREW BN 2.0MM 12MM,1058.0,1058.0,158.7,1058.0,30
CDM,486134,ANCHOR SUT 1.4MM,3646.0,3646.0,546.9,3646.0,30
CDM,486135,DEVICE CLSR CLP INT 35MM,5315.0,5315.0,797.25,5315.0,30
CDM,486136,STEM FEM KN 130X10MM,17893.0,17893.0,2683.95,17893.0,30
CDM,486137,INTRO SHTH 24FR 33CM,3683.5,3683.5,552.52,3683.5,42
CDM,486138,PLATE BN MINI 4HL 1.5MM,3563.0,3563.0,534.45,3563.0,30
CDM,486139,CAGE SPN 6D 12X14X38MM,50934.0,50934.0,7640.1,50934.0,30
CDM,486141,BASEPLATE TIB ATTUNE 7 K,5639.0,5639.0,845.85,5639.0,30
CDM,486142,INSERT KN TIB SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,486143,INSERT TIB KN SZ8 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,486144,ROD SPN 3.5MM 85MM,2711.0,2711.0,406.65,2711.0,30
CDM,486145,INS KN TIB SZ6 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,486146,INSERT ARTC KN 6-9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,486147,PROSTH PNL W/PMP 18CM,39410.0,39410.0,5911.5,39410.0,30
CDM,486148,INTBDY DVC 8D 45X18X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,486149,INTERBODY SPN 50X18X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,486150,SPACER TI WD 12X25MM,9523.0,9523.0,1428.45,9523.0,30
CDM,486151,SPACER TI WD 10X25MM,9523.0,9523.0,1428.45,9523.0,30
CDM,486152,HEAD HUM SHLDR 27X54MM,10318.0,10318.0,1547.7,10318.0,30
CDM,486153,INSERT KN SZ3-4 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,486154,CMPNT FEM NAR KN LT SZ8,7973.0,7973.0,1195.95,7973.0,30
CDM,486159,LINER CUP HIP 36-56/58MM,4429.0,4429.0,664.35,4429.0,30
CDM,486160,CMPNT TIB KN SZG,10165.0,10165.0,1524.75,10165.0,30
CDM,486161,WEDGE FEM KN AUG SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,486162,CMPT FEM KN SZ9+,30394.0,30394.0,4559.1,30394.0,30
CDM,486163,STENT GRAFT 16X28X93MM,15823.0,15823.0,2373.45,15823.0,30
CDM,486164,CAGE SPNL 30X11X9MM,9523.0,9523.0,1428.45,9523.0,30
CDM,486165,BASEPLATE TIB KN RT SZ9,4606.0,4606.0,690.9,4606.0,30
CDM,486166,COMPT FEM KN SZ11,30394.0,30394.0,4559.1,30394.0,30
CDM,486167,WEDGE AUG KN SZEF 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,486168,COMP KN CONE SM,20429.0,20429.0,3064.35,20429.0,30
CDM,486169,INSERT TIB KN 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,486170,STEM FEM KN 14MM 175MM,10364.0,10364.0,1554.6,10364.0,30
CDM,486171,WEDGE AUG KN SZ11,4606.0,4606.0,690.9,4606.0,30
CDM,486178,ICD DF4 71X40X14MM,45503.0,45503.0,6825.45,45503.0,30
CDM,486181,STEM REV OFF 17X 6MM,10364.0,10364.0,1554.6,10364.0,30
CDM,486182,CMPNT FEM KN PSN SZ3,28401.0,28401.0,4260.15,28401.0,30
CDM,486188,CRT-D VOLUME 36MM,57782.0,57782.0,8667.3,57782.0,30
CDM,486192,INS TIB REV R3-5 22MM,9966.0,9966.0,1494.9,9966.0,30
CDM,486198,CRT-D VOLUME 36MM,57782.0,57782.0,8667.3,57782.0,30
CDM,486199,STENT VASC 7MM 30MM,7421.0,7421.0,1113.15,7421.0,30
CDM,486202,CAGE SPNL 36X10MM ENDOSK,19200.0,19200.0,2880.0,19200.0,30
CDM,486203,GWIRE VASC 0.013IN 350CM,1596.5,1596.5,239.47,1596.5,42
CDM,486208,CRT-D VOLUME 40MM,63989.0,63989.0,9598.35,63989.0,30
CDM,486218,CRT-D VOLUME 40MM,63989.0,63989.0,9598.35,63989.0,30
CDM,486223,GWIRE VASC 300CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,486224,GWIRE VASC 300CM .018IN,773.0,773.0,115.95,773.0,42
CDM,486225,COIL EMBL 4CM 2MM,3760.0,3760.0,564.0,3760.0,30
CDM,486232,DEVICE CLSR VASC 6FR,3189.0,3189.0,478.35,3189.0,30
CDM,486233,GWIRE VASC 300CM .014IN,870.0,870.0,130.5,870.0,42
CDM,486235,STEM FEM HIP STD SZ2,7995.0,7995.0,1199.25,7995.0,30
CDM,486240,NAIL BN 10MM 32CM,4872.0,4872.0,730.8,4872.0,30
CDM,486244,GWIRE VASC 300CM .035IN,773.0,773.0,115.95,773.0,42
CDM,486245,SHEATH LSR 80HZ 12FR,16090.0,16090.0,2413.5,16090.0,42
CDM,486248,GWIRE VASC .035IN 180CM,231.5,231.5,34.73,231.5,42
CDM,486251,BASEPLATE TIB KN LT SZD,4872.0,4872.0,730.8,4872.0,30
CDM,486252,WEDGE FEM KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,486255,SHEATH LSR 80HZ 16FR,16090.0,16090.0,2413.5,16090.0,42
CDM,486258,GDWIRE VASC .035IN 145CM,231.5,231.5,34.73,231.5,42
CDM,486262,SHELL ACTB HIP 66MM,4606.0,4606.0,690.9,4606.0,30
CDM,486263,CATH ANGIO 5FR 100CM,231.5,231.5,34.73,231.5,42
CDM,486264,COIL EMBL 2MM 6CM,3760.0,3760.0,564.0,3760.0,30
CDM,486265,SHEATH LSR 80HZ 14FR,16090.0,16090.0,2413.5,16090.0,42
CDM,486268,STEM FEM HIP 20MM 190MM,9567.0,9567.0,1435.05,9567.0,30
CDM,486272,PLATE BN 12HL 1.5MM,3379.0,3379.0,506.85,3379.0,30
CDM,486275,CAGE SPNL 6H 12X4X24MM,50934.0,50934.0,7640.1,50934.0,30
CDM,486281,SCREW BN 3.5MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,486282,PLATE BN TBLR 9X100MM,3721.0,3721.0,558.15,3721.0,30
CDM,486284,STYLET LD KIT ACC 17CM,400.5,400.5,60.08,400.5,42
CDM,486285,GWIRE VASC 300CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,486289,STEM FEM KN FLUTE 12X130,16063.0,16063.0,2409.45,16063.0,30
CDM,486292,CMPNT FEM KN SZ C,42280.0,42280.0,6342.0,42280.0,30
CDM,486295,GWIRE VASC 180CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,486298,LEAD PCNG 65CM,17458.0,17458.0,2618.7,17458.0,30
CDM,486302,STEM FEM KN 30MM,14453.0,14453.0,2167.95,14453.0,30
CDM,486305,GWIRE VASC 180CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,486314,CMPNT FEM KN 60MM,14453.0,14453.0,2167.95,14453.0,30
CDM,486315,KIT FEM KN HINGE SZ C,11215.0,11215.0,1682.25,11215.0,30
CDM,486336,COIL EMBL 6CM 4MM,5293.0,5293.0,793.95,5293.0,30
CDM,486339,LEAD PCNG 58CM,17458.0,17458.0,2618.7,17458.0,30
CDM,486359,STEM FEM KN 35MM,14453.0,14453.0,2167.95,14453.0,30
CDM,486362,COIL EMBL 4X16MM,57135.0,57135.0,8570.25,57135.0,30
CDM,486365,COIL EMBL 8CM 4MM,5293.0,5293.0,793.95,5293.0,30
CDM,486366,STENT BIL 5X120MM 120CM,4429.0,4429.0,664.35,4429.0,30
CDM,486374,KIT DLV FILTER EMBL FEM,6865.0,6865.0,1029.75,6865.0,30
CDM,486376,CATH BLNDIL 8MM 40MM,1072.0,1072.0,160.8,1072.0,42
CDM,486387,COIL EMBL 10CM 4MM,5293.0,5293.0,793.95,5293.0,30
CDM,486405,KIT DLV FILTER EMBL JUG,6865.0,6865.0,1029.75,6865.0,30
CDM,486421,COIL EMBL 12CM 4MM,5293.0,5293.0,793.95,5293.0,30
CDM,486425,STENT BIL 5X100MM 120CM,4385.0,4385.0,657.75,4385.0,30
CDM,486439,CATH ANGIO 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,486440,ICD DEFIB CARD 2.93IN,40456.0,40456.0,6068.4,40456.0,30
CDM,486445,COIL EMBL 8CM 5MM,5293.0,5293.0,793.95,5293.0,30
CDM,486450,STENT BIL 7X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
CDM,486452,INSERT TIB KN SZC 17MM,7858.0,7858.0,1178.7,7858.0,30
CDM,486469,ICD DEFIB CARD 6.17CM,40456.0,40456.0,6068.4,40456.0,30
CDM,486471,CONNECTOR SPN 3.5X3.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,486472,MCTH INFS 2.4FR 130CM,4092.5,4092.5,613.88,4092.5,42
CDM,486474,COIL EMBL 10CM 5MM,5293.0,5293.0,793.95,5293.0,30
CDM,486475,STENT BIL 6X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
CDM,486482,DRESSING WND CLEANSE MED,1000.5,1000.5,150.07,1000.5,42
CDM,486483,ICD DEFIB 2.43 2.69-2.89,40456.0,40456.0,6068.4,40456.0,30
CDM,486487,CATH GD RBU4 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,486492,COIL EMBL 15CM 5MM,5293.0,5293.0,793.95,5293.0,30
CDM,486541,STENT BIL 7X100MM 120CM,4385.0,4385.0,657.75,4385.0,30
CDM,486589,NAIL BN FEM 12MM 380MM,8982.0,8982.0,1347.3,8982.0,30
CDM,486593,CATH GD 3DRC 100CM 6FR,714.0,714.0,107.1,714.0,42
CDM,486595,COIL EMBL 10CM 6MM AXIUM,5293.0,5293.0,793.95,5293.0,30
CDM,486596,STENT BIL 6X80MM 120CM,4385.0,4385.0,657.75,4385.0,30
CDM,486602,CRT-D CRD 2.43X3IN,58043.0,58043.0,8706.45,58043.0,30
CDM,486604,INTO SHTH 12FR 45CM,773.0,773.0,115.95,773.0,42
CDM,486606,COIL EMBL 15CM 6MM,5293.0,5293.0,793.95,5293.0,30
CDM,486607,STENT BIL 6X100MM 120CM,4385.0,4385.0,657.75,4385.0,30
CDM,486612,CRT-D CRD 2.43X3IN,58043.0,58043.0,8706.45,58043.0,30
CDM,486614,CATH GD 50CM 9FR 7.2FR,1870.5,1870.5,280.57,1870.5,42
CDM,486616,COIL EMBL 20CM 6MM,5293.0,5293.0,793.95,5293.0,30
CDM,486619,SCREW BN 6.5MM 95MM,2210.0,2210.0,331.5,2210.0,30
CDM,486636,COIL EMBL 8CM 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,486642,CAGE SPNL 8D 45X18X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,486646,COIL EMBL 10CM 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,486651,CATH BLN ANG 2.5X137X10,4298.0,4298.0,644.7,4298.0,42
CDM,486652,GRAFT BN HEMI CONDRL RT,53148.0,53148.0,7972.2,53148.0,30
CDM,486658,CONN SPN SIDE/SIDE 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,486662,CATH INTVN .014IN 135CM,4400.0,4400.0,660.0,4400.0,42
CDM,486665,BASEPLATE TIB KN RT SZ6,7609.0,7609.0,1141.35,7609.0,30
CDM,486678,INSERT KN LT SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,486692,TRAY CATH DRN 5FR +,596.5,596.5,89.47,596.5,42
CDM,486702,ICD DEFIB CARD 51X66MM,42166.0,42166.0,6324.9,42166.0,30
CDM,486703,CMPNT HUM ELB 5MM 100MM,16893.0,16893.0,2533.95,16893.0,30
CDM,486710,CMPNT ELB +BRNG 4X75MM,18609.0,18609.0,2791.35,18609.0,30
CDM,486715,COIL EMBL 4.75X16MM,57135.0,57135.0,8570.25,57135.0,30
CDM,486716,SUTURE BLU MONO 0 30IN,54.0,54.0,8.1,54.0,42
CDM,486718,WEDGE FEM KN AUG SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,486726,STENT VASC 8-6MM 40MM,7421.0,7421.0,1113.15,7421.0,30
CDM,486736,STENT VASC 9-7MM 40MM,7421.0,7421.0,1113.15,7421.0,30
CDM,486739,CMPNT FEM KN LT SZ2.5,7087.0,7087.0,1063.05,7087.0,30
CDM,486745,COIL EMBL 5X10MM,57135.0,57135.0,8570.25,57135.0,30
CDM,486746,STENT VASC 10-8MM 40MM,7421.0,7421.0,1113.15,7421.0,30
CDM,486753,COIL EMBL 15CM 6MM,9731.0,9731.0,1459.65,9731.0,30
CDM,486757,STENT BIL 5X60MM 120CM,4385.0,4385.0,657.75,4385.0,30
CDM,486777,STENT BIL 6X60MM 120CM,4385.0,4385.0,657.75,4385.0,30
CDM,486782,CATH GD 7.2FR 50CM,1870.5,1870.5,280.57,1870.5,42
CDM,486786,SYSTEM EMB 5.0MM 190CM,7418.5,7418.5,1112.78,7418.5,42
CDM,486789,SHEATH GD 8FR 45CM,952.0,952.0,142.8,952.0,42
CDM,486792,CATH GD 9FR 45CM,2275.5,2275.5,341.32,2275.5,42
CDM,486799,CATH GD 130D 4FR LD,1310.0,1310.0,196.5,1310.0,42
CDM,486802,CATH GD 50CM 9F,2275.5,2275.5,341.32,2275.5,42
CDM,486806,SHEATH GD 4FR 10CM,587.5,587.5,88.13,587.5,42
CDM,486809,CATH GD 4FR LEFT HEART,1310.0,1310.0,196.5,1310.0,42
CDM,486816,KIT SYS INTRO 5FR 45CM,587.5,587.5,88.13,587.5,42
CDM,486826,CATH SUPPORT 12MM 65CM,1897.0,1897.0,284.55,1897.0,42
CDM,486830,INSERT TIB KN SZ2.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,486832,STEM FEM STD 300X22MM,21446.0,21446.0,3216.9,21446.0,30
CDM,486836,CATH SUPP 135CM 12MM,1897.0,1897.0,284.55,1897.0,42
CDM,486846,CATH GD 1.39MM 150CM,1897.0,1897.0,284.55,1897.0,42
CDM,486856,CATH GD VASC 9FR 45CM,2022.0,2022.0,303.3,2022.0,42
CDM,486857,STENT VASC 9MM 30MM,7421.0,7421.0,1113.15,7421.0,30
CDM,486861,PCMKR CARD 1.80IN 1.75IN,12821.0,12821.0,1923.15,12821.0,30
CDM,486866,GWIRE VASC 190CM .014IN,870.0,870.0,130.5,870.0,42
CDM,486876,ICD DF1 14MM 40J 40X73MM,45503.0,45503.0,6825.45,45503.0,30
CDM,486877,STENT VASC 9-7MM 30MM,7421.0,7421.0,1113.15,7421.0,30
CDM,486879,SCREW BN 2.7MM 36MM,581.0,581.0,87.15,581.0,30
CDM,486886,ICD DF4 71X40X14MM,45503.0,45503.0,6825.45,45503.0,30
CDM,486887,GWIRE VASC 300CM .014IN,1105.0,1105.0,165.75,1105.0,42
CDM,486889,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",20732.0,20732.0,2025.49,3134.17,34
CDM,486889,KIT PRC SND LF NS,20732.0,20732.0,3524.44,20732.0,38
CDM,486896,ICD DUAL CHMBR 35MM,45503.0,45503.0,6825.45,45503.0,30
CDM,486901,CATH MICRO 5FR 105CM,6413.5,6413.5,962.02,6413.5,42
CDM,486902,CATH RFLX 5F 130X8CM,6702.0,6702.0,1005.3,6702.0,42
CDM,486905,TUBING ANGIO 1200 72IN,126.5,126.5,18.98,126.5,42
CDM,486907,COIL EMBL 5CM 3MM,4429.0,4429.0,664.35,4429.0,30
CDM,486908,COIL EMBL 18D 3MM 10CM,4429.0,4429.0,664.35,4429.0,30
CDM,486909,COIL EMBL 18D 4MMX10CM,4429.0,4429.0,664.35,4429.0,30
CDM,486910,COIL EMBL 18D 4MM 20CM,4429.0,4429.0,664.35,4429.0,30
CDM,486911,COIL EMBL 10CM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,486912,COIL EMBL 18D 6MM 20CM,4429.0,4429.0,664.35,4429.0,30
CDM,486913,COIL EMBL 8MM 20CM,4429.0,4429.0,664.35,4429.0,30
CDM,486914,COIL AZUR 18 L20CM OD8MM,4390.0,4390.0,658.5,4390.0,30
CDM,486915,COIL EMBL 018 L26CM OD10,4429.0,4429.0,664.35,4429.0,30
CDM,486916,COIL EMBL 14MM 34CM,4429.0,4429.0,664.35,4429.0,30
CDM,486917,CONTROLLER DETACH EMBL,1349.5,1349.5,202.43,1349.5,42
CDM,486918,COIL EMBL 6MM 20CM,4429.0,4429.0,664.35,4429.0,30
CDM,486919,CRT-D CRD 51X71MM,63248.0,63248.0,9487.2,63248.0,30
CDM,486920,CATH ANGIO 6FR 115CM,4822.5,4822.5,723.38,4822.5,42
CDM,486928,CATH GD BALLOON 8F CELLO,5408.0,5408.0,811.2,5408.0,42
CDM,486929,CATH GD BALLOON 9F 920MM,5175.0,5175.0,776.25,5175.0,42
CDM,486937,STEM KN MED,8194.0,8194.0,1229.1,8194.0,30
CDM,486941,TRACH 4.0CMX33MM,1678.0,1678.0,251.7,1678.0,42
CDM,486942,TRACH 4.0CMX38MM,1678.0,1678.0,251.7,1678.0,42
CDM,486943,TRACH 4.0CMX44MM,1678.0,1678.0,251.7,1678.0,42
CDM,486944,TRACH 4.0CMX47MM,1678.0,1678.0,251.7,1678.0,42
CDM,486945,TRACH 4.5CMX39MM,1678.0,1678.0,251.7,1678.0,42
CDM,486946,TRACH 4.5CMX45MM,1678.0,1678.0,251.7,1678.0,42
CDM,486947,CMPNT STEM FEM KN LG,8194.0,8194.0,1229.1,8194.0,30
CDM,486948,STEM TIB KN MED,8194.0,8194.0,1229.1,8194.0,30
CDM,486949,COMPNT STM TIB KN LG,8194.0,8194.0,1229.1,8194.0,30
CDM,486950,CMPNT STEM KN EXT 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,486951,STEM EXT KN 175MM,4606.0,4606.0,690.9,4606.0,30
CDM,486956,STEM FEM HIP 19MM 150MM,7805.0,7805.0,1170.75,7805.0,30
CDM,486961,TRACH BIV 30CMX39MM CUFF,1805.0,1805.0,270.75,1805.0,42
CDM,486962,TRACH BIV 3.5CMX40MM CUF,1805.0,1805.0,270.75,1805.0,42
CDM,486966,STENT TRCHBR 10MM 8CM,17634.0,17634.0,2645.1,17634.0,30
CDM,486967,KIT PRSS TRNDCR 1 3ML/HR,397.5,397.5,59.63,397.5,42
CDM,486969,COIL EMBL 2D 20CM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,486976,GW VASC .018IN 180CM 3CM,773.0,773.0,115.95,773.0,42
CDM,486977,CATH MICRO 2.8FR 130CM,2537.5,2537.5,380.63,2537.5,42
CDM,486981,GWIRE VASC .035IN 180CM,569.0,569.0,85.35,569.0,42
CDM,486985,INTRO SHTH 22FR 20X13CM,773.0,773.0,115.95,773.0,42
CDM,486990,INTRODUCER SHEATH 6FR,213.0,213.0,31.95,213.0,42
CDM,486991,INTRODUCER SHTH 7FR 7CM,213.0,213.0,31.95,213.0,42
CDM,486992,INTRDCR SHTH 8F 7CM WOGW,213.0,213.0,31.95,213.0,42
CDM,486995,INTRDCR TWY PED 2FR,451.5,451.5,67.72,451.5,42
CDM,487001,DEVICE TRQ .018-.038IN,92.5,92.5,13.88,92.5,42
CDM,487004,DVC REVASC 4MM 31MM,33254.0,33254.0,4988.1,33254.0,42
CDM,487005,DVC REVASC 6MM 31MM,33254.0,33254.0,4988.1,33254.0,42
CDM,487006,DVC REVASC 6MM 42CM,32742.5,32742.5,4911.38,32742.5,42
CDM,487007,GWIRE VASC .014IN 300CM,2234.5,2234.5,335.18,2234.5,42
CDM,487008,KIT DRN STRT 1000ML,1985.0,1985.0,297.75,1985.0,42
CDM,487010,STENT URET 7FR 80CM,2526.0,2526.0,378.9,2526.0,30
CDM,487011,STENT URET 8FR 80CM,2578.0,2578.0,386.7,2578.0,30
CDM,487012,INTRODUCER SHTH 25CM 6FR,290.5,290.5,43.58,290.5,42
CDM,487013,SHTH SPR 7F 25 RO,290.5,290.5,43.58,290.5,42
CDM,487014,SHTH SPR 8F 25 RO,290.5,290.5,43.58,290.5,42
CDM,487015,INTRDCR SHTH 9F25CM WOGW,290.5,290.5,43.58,290.5,42
CDM,487018,CATH ANGIO 5FR 125CM,306.0,306.0,45.9,306.0,42
CDM,487019,CATH ANGIO 5FR 125CM,251.5,251.5,37.73,251.5,42
CDM,487020,KIT SNARE RTRVL 20MM,4093.0,4093.0,613.95,4093.0,42
CDM,487032,STENT BIL 8.5FR 60X8MM,9452.0,9452.0,1417.8,9452.0,30
CDM,487033,STENT BIL 8.5FR 80X8MM,9452.0,9452.0,1417.8,9452.0,30
CDM,487034,STENT BIL 8.5FR 40X10MM,9452.0,9452.0,1417.8,9452.0,30
CDM,487035,STENT BIL 8.5FR 60X10MM,9452.0,9452.0,1417.8,9452.0,30
CDM,487036,STENT BIL 8.5FR 80X10MM,9452.0,9452.0,1417.8,9452.0,30
CDM,487037,CATH BLNDIL 10MM 60MM,921.0,921.0,138.15,921.0,42
CDM,487041,CATH VASC 6FR 110CM,160.5,160.5,24.07,160.5,42
CDM,487043,FLEX ALLOPATCH HD 1SQCM,384.0,384.0,57.6,384.0,29
CDM,487044,GRAFT TNDN LAT CONNECT,5414.0,5414.0,812.1,5414.0,30
CDM,487047,CAGE SPN 6D 14X16X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,487048,CAGE SPN 14X16X7MM,4252.0,4252.0,637.8,4252.0,30
CDM,487058,CATH PCNG TEMP 5FR 110CM,1057.5,1057.5,158.63,1057.5,42
CDM,487059,INSERT TIB KN SZ2 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,487060,BLN INV A 2.5X150,3069.5,3069.5,460.43,3069.5,42
CDM,487062,CANN KIT RTN ART 24FR,6139.5,6139.5,920.92,6139.5,42
CDM,487063,CLIP ANRSM PERM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,487064,CATH BLNDL RX 2X8MM,2046.5,2046.5,306.98,2046.5,42
CDM,487065,SCREW GD 2.5MM 5MM,773.0,773.0,115.95,773.0,42
CDM,487067,CATH ULTSND 8.5FR 90CM,4860.5,4860.5,729.08,4860.5,42
CDM,487070,CATH CV 9.6FR 56CM,870.0,870.0,130.5,870.0,42
CDM,487071,CATH BLNDL RX 2X12MM,2046.5,2046.5,306.98,2046.5,42
CDM,487072,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",5057.0,5057.0,1329.9,2057.84,34
CDM,487072,HALO ADD MRI SYS RNG/PIN,5057.0,5057.0,930.99,5057.0,26
CDM,487081,CTHGD VBT 8F 088 JL4 90,587.5,587.5,88.13,587.5,42
CDM,487083,VALVE PULM 24MM,76881.0,76881.0,11532.15,76881.0,30
CDM,487090,KIT SNARE 6FR 35MM 120CM,2128.5,2128.5,319.27,2128.5,42
CDM,487091,PLATE SPN 1LVL 23MM,4429.0,4429.0,664.35,4429.0,30
CDM,487092,CTHGD VBT 8F 088 JR4 90,587.5,587.5,88.13,587.5,42
CDM,487093,CMPNT HUM ELB CONDYL,6803.0,6803.0,1020.45,6803.0,30
CDM,487094,INTRO SHTH 18FR 30CM,941.5,941.5,141.22,941.5,42
CDM,487099,HANDPIECE BX 12GA 12CM,1383.5,1383.5,207.53,1383.5,42
CDM,487115,CATH PTA 5X120MM 120CM,4385.5,4385.5,657.83,4385.5,42
CDM,487120,COIL EMBL 2MM 4CM,3720.0,3720.0,558.0,3720.0,30
CDM,487121,COIL EMBL 4CM 3MM,3720.0,3720.0,558.0,3720.0,30
CDM,487123,COIL EMBL 8CM 4MM,3720.0,3720.0,558.0,3720.0,30
CDM,487124,COIL EMBL 4MM 10CM,3720.0,3720.0,558.0,3720.0,30
CDM,487125,COIL EMBL 5MM 15CM,3720.0,3720.0,558.0,3720.0,30
CDM,487126,COIL EMBL 5MM 20CM,3720.0,3720.0,558.0,3720.0,30
CDM,487127,COIL EMBL 6MM 20CM,3720.0,3720.0,558.0,3720.0,30
CDM,487128,CATH INFS 1.5/2.7F 1.5CM,9183.5,9183.5,1377.53,9183.5,42
CDM,487134,VALVE/CONDUIT PULM 25MM,76881.0,76881.0,11532.15,76881.0,30
CDM,487136,LEAD CRT PCNG 5.3FR 88CM,5385.0,5385.0,807.75,5385.0,30
CDM,487141,CATHETER BLNOCC 3IN 7IN,6501.5,6501.5,975.23,6501.5,42
CDM,487143,CATHETER BLNOCC 4IN 15IN,6794.5,6794.5,1019.17,6794.5,42
CDM,487150,ICD DEFIB CARD 51X66MM,40131.0,40131.0,6019.65,40131.0,30
CDM,487151,PLATE BN CRNL- 2 HL 9MM,916.0,916.0,137.4,916.0,30
CDM,487152,GWIRE VASC .018 180,1629.0,1629.0,244.35,1629.0,42
CDM,487153,KIT SNRE CATH 20MM 120CM,2128.5,2128.5,319.27,2128.5,42
CDM,487154,KIT SNARE EXTRACT 175CM,4093.0,4093.0,613.95,4093.0,42
CDM,487156,KT INTRO SHTH 6FR 10CM,773.0,773.0,115.95,773.0,42
CDM,487157,SHTH INTRO .021 6FR 16CM,773.0,773.0,115.95,773.0,42
CDM,487169,COIL EMBL 20MM 50CM,3720.0,3720.0,558.0,3720.0,30
CDM,487171,INS TIB 6+ 12MM CS LT,4429.0,4429.0,664.35,4429.0,30
CDM,487173,TRAY BX BNMRW 15CM 10GA,3029.5,3029.5,454.43,3029.5,42
CDM,487174,COIL EMBL 2MM 6CM,3720.0,3720.0,558.0,3720.0,30
CDM,487175,COIL EMBL 7MM 30CM,3720.0,3720.0,558.0,3720.0,30
CDM,487196,SHTH SOLOPTH 19F 35CM,4385.5,4385.5,657.83,4385.5,42
CDM,487197,GWIRE VASC .035IN 180CM,680.5,680.5,102.08,680.5,42
CDM,487199,VALVE/CONDUIT PULM 26MM,76881.0,76881.0,11532.15,76881.0,30
CDM,487200,BLOCK AUGMT KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,487206,COIL EMBL AX 6CM 3MM,4695.0,4695.0,704.25,4695.0,30
CDM,487208,BLOCK AUGMNT SZ4 10MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487209,VALVE/CONDUIT PULM 27MM,76881.0,76881.0,11532.15,76881.0,30
CDM,487213,INSERT TIB KN SZ7 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,487214,SCREW SPNL PAX 7.5X60MM,3765.0,3765.0,564.75,3765.0,30
CDM,487217,COIL EMBL 20MM 50CM,4429.0,4429.0,664.35,4429.0,30
CDM,487218,COIL EMBL 10MM 20CM,4429.0,4429.0,664.35,4429.0,30
CDM,487219,COIL EMBL DTCH 12MM 20CM,4429.0,4429.0,664.35,4429.0,30
CDM,487221,COIL EMBL 18D 30CM 15MM,4474.0,4474.0,671.1,4474.0,30
CDM,487222,COIL EMBL 18D 20MM 20CM,4429.0,4429.0,664.35,4429.0,30
CDM,487223,COIL EMBL 18D 30CM 20MM,4474.0,4474.0,671.1,4474.0,30
CDM,487224,COIL EMBL 18D 6MM 15CM,4429.0,4429.0,664.35,4429.0,30
CDM,487225,COIL EMBL DTCH 8MM 15CM,4429.0,4429.0,664.35,4429.0,30
CDM,487226,COIL EMBL 10MM 32CM,4429.0,4429.0,664.35,4429.0,30
CDM,487227,COIL EMBL 12MM 38CM,4429.0,4429.0,664.35,4429.0,30
CDM,487228,COIL EMBL 16MM 39CM,4429.0,4429.0,664.35,4429.0,30
CDM,487229,COIL EMBL 4MM 13CM,4429.0,4429.0,664.35,4429.0,30
CDM,487231,COIL EMBL 8MM 28CM,4429.0,4429.0,664.35,4429.0,30
CDM,487233,RING DRAING CATH NDL SET,564.0,564.0,84.6,564.0,42
CDM,487237,BRACE PROSTHETIC SOCK,470.0,470.0,86.53,470.0,26
CDM,487240,PLATE BN 4.5MM 159MM,6203.0,6203.0,930.45,6203.0,30
CDM,487241,SCREW BN 5MM 65MM,2406.0,2406.0,360.9,2406.0,30
CDM,487242,SCREW BN VAR 5X50MM,2160.0,2160.0,324.0,2160.0,30
CDM,487243,SCREW BN 5MM 40MM,2406.0,2406.0,360.9,2406.0,30
CDM,487244,SCREW BN 5.0MM 36MM,2406.0,2406.0,360.9,2406.0,30
CDM,487246,SPACER SPNL 55X22X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,487247,INS TIB SZ4/2 17MM KN RT,4606.0,4606.0,690.9,4606.0,30
CDM,487248,COMP TIB CR CVD 12.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,487249,INSERT ART KN 3-4-5 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,487250,COMPNT FEM KN LT SZ4,7530.0,7530.0,1129.5,7530.0,30
CDM,487251,NAIL BN 11.5MM 38CM,6201.0,6201.0,930.15,6201.0,30
CDM,487253,PLATE 73MM 2.7/3.5MM 3HL,3721.0,3721.0,558.15,3721.0,30
CDM,487254,DEVICE RF 4.0 90-S MAX,1064.5,1064.5,159.68,1064.5,42
CDM,487255,CMPNT BEARING RT XSM 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,487257,INSERT TIB KN SZ3 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,487258,ANCHOR SUT 2.9MM 12.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,487259,INSERT TIB KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,487260,CMPNT FEM KN TWN PEG LG,5758.0,5758.0,863.7,5758.0,30
CDM,487262,COMPNT TIB OXFD SZE,5647.0,5647.0,847.05,5647.0,30
CDM,487263,CMPNT BEARING RT LRG 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,487265,SCREW SPN 5.5MM 45MM,753.0,753.0,112.95,753.0,30
CDM,487267,CMPNT KN BRNG RT LRG 3MM,4606.0,4606.0,690.9,4606.0,30
CDM,487270,HEAD FEM -3.5MM SHRT 32M,4252.0,4252.0,637.8,4252.0,30
CDM,487271,STEM FEM SZ8 117MM,8858.0,8858.0,1328.7,8858.0,30
CDM,487272,COMPNT GLDTR HIP BIP48MM,4252.0,4252.0,637.8,4252.0,30
CDM,487273,STM FEM SZ5 COLR,8858.0,8858.0,1328.7,8858.0,30
CDM,487274,CMPNT FEM HIP SZ B 60MM,18310.0,18310.0,2746.5,18310.0,30
CDM,487275,SCREW BN 4X40MM 13.5MM,2344.0,2344.0,351.6,2344.0,30
CDM,487279,SPACER CMNT HIP 10MM,1170.0,1170.0,175.5,1170.0,30
CDM,487282,KIT THRMPLST 36FR 107CM,1678.0,1678.0,251.7,1678.0,42
CDM,487283,AUGMNT TIB KN SZ3 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,487284,HEAD HUM SHLDR 16MM 50MM,6976.0,6976.0,1046.4,6976.0,30
CDM,487285,STENT EPRSTH 13MM 5CM,9575.0,9575.0,1436.25,9575.0,30
CDM,487286,GRAFT EVAS 26X12MM 18CM,45597.0,45597.0,6839.55,45597.0,30
CDM,487287,GRAFT EVAS 16MM 9.5CM,19174.0,19174.0,2876.1,19174.0,30
CDM,487288,PLATE BN CLAV 8HL LT,4429.0,4429.0,664.35,4429.0,30
CDM,487289,SCREW BN NLCK 3.5MM 12MM,991.0,991.0,148.65,991.0,30
CDM,487293,CATH SUPP 2.3FR 150CM,1449.0,1449.0,217.35,1449.0,42
CDM,487295,CATH ANGIO 5FR 110CM,587.5,587.5,88.13,587.5,42
CDM,487296,CATH ANGIO 5FR 110CM,587.5,587.5,88.13,587.5,42
CDM,487297,CATH ANGIO 4FR 100CM,773.0,773.0,115.95,773.0,42
CDM,487298,HEAD HUM SHLDR 46X17X4MM,21703.0,21703.0,3255.45,21703.0,30
CDM,487299,CATH INTVN 2.8F 150CM,2537.5,2537.5,380.63,2537.5,42
CDM,487300,CATH STR 2.4FR 150X90CM,2701.5,2701.5,405.23,2701.5,42
CDM,487301,DVC REVASC 4MM 50CM,32742.5,32742.5,4911.38,32742.5,42
CDM,487303,LEAD PCNG 5FR 75CM,7086.0,7086.0,1062.9,7086.0,30
CDM,487306,CATH GD 2.3FR 150CM,1449.0,1449.0,217.35,1449.0,42
CDM,487307,CATH GD ALR1 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,487308,DRILL SURG 3.5MM,1210.5,1210.5,181.57,1210.5,42
CDM,487309,CATH GD ALR2 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,487310,GWIRE VASC ORBT 360,1452.5,1452.5,217.88,1452.5,42
CDM,487311,INSRT TIB KN SZ5 16MM,8309.0,8309.0,1246.35,8309.0,30
CDM,487313,KIT BN MARROW COLLECTION,3110.5,3110.5,466.57,3110.5,42
CDM,487314,PCMKR CRD 4.45X5.02X0.75,12438.0,12438.0,1865.7,12438.0,30
CDM,487315,PCMKR 4.45X8.81X0.75,12438.0,12438.0,1865.7,12438.0,30
CDM,487317,PCMKR ACCOLADE DR 1LD,14343.0,14343.0,2151.45,14343.0,30
CDM,487318,PCMKR ACCOLADE SR 1LD,14343.0,14343.0,2151.45,14343.0,30
CDM,487319,ICD DEFIB CARD 7.68CM,40456.0,40456.0,6068.4,40456.0,30
CDM,487320,ICD DEFIC CARD 7.68CM,40456.0,40456.0,6068.4,40456.0,30
CDM,487321,ICD DEFIB CARD 7.36CM,40456.0,40456.0,6068.4,40456.0,30
CDM,487322,ICD CRD .99X5.37X7.79CM,40456.0,40456.0,6068.4,40456.0,30
CDM,487323,CRT-D CRD 5.37X8.18X0.99,57025.0,57025.0,8553.75,57025.0,30
CDM,487324,PACKING NSL HDRCLD 4.5CM,658.0,658.0,98.7,658.0,42
CDM,487327,SCREW BN CORT 2.7MM 8MM,319.0,319.0,47.85,319.0,30
CDM,487329,SCREW BN CORT 2.7MM 14MM,319.0,319.0,47.85,319.0,30
CDM,487332,KIT MINTRDCR 5FR 10CM,344.0,344.0,51.6,344.0,42
CDM,487337,CMPNT DRSL NK2 1-2 9 LT,4606.0,4606.0,690.9,4606.0,30
CDM,487338,SCREW BNE TI L50MM OD5.0,3189.0,3189.0,478.35,3189.0,30
CDM,487349,PIN FX 3.2MM 358MM,869.0,869.0,130.35,869.0,42
CDM,487351,COMPNT FEM KN LT SZ8,7206.0,7206.0,1080.9,7206.0,30
CDM,487353,PLUG OCL 12X6.5X5MM,7087.0,7087.0,1063.05,7087.0,30
CDM,487355,BRACE PROS SOCK BELOW KN,470.0,470.0,86.53,470.0,26
CDM,487362,SCREW EXP 5.50 POLYAXIAL,4340.0,4340.0,651.0,4340.0,30
CDM,487363,SCREW 5.5 TI PLY 5.5X40,4120.0,4120.0,618.0,4120.0,30
CDM,487364,SCREW SPN 5.5MM 35MM,4120.0,4120.0,618.0,4120.0,30
CDM,487367,SCREW BN 2.7MM 38MM,614.0,614.0,92.1,614.0,30
CDM,487368,DRILL SURG 2MM,773.0,773.0,115.95,773.0,42
CDM,487369,SCREW BN 2.7MM 40M,581.0,581.0,87.15,581.0,30
CDM,487370,DRILL SURG SM SHRT 2.7MM,1023.5,1023.5,153.53,1023.5,42
CDM,487371,PLATE BN 4H 2.7MM 33MM,3189.0,3189.0,478.35,3189.0,30
CDM,487372,SCREW BN 3.5X32MM,620.0,620.0,93.0,620.0,30
CDM,487373,SCREW BN 3.5MM 75MM,863.0,863.0,129.45,863.0,30
CDM,487374,SCREW BN 3.5MM 70MM,778.0,778.0,116.7,778.0,30
CDM,487375,PLATE BN 3.5MM 9MM,7398.0,7398.0,1109.7,7398.0,30
CDM,487376,DRILL SURG 2.5MM,2045.0,2045.0,306.75,2045.0,42
CDM,487377,SCREW BN 3.5MM 36MM,620.0,620.0,93.0,620.0,30
CDM,487378,SCREW BN SLFTP 3.5X65MM,778.0,778.0,116.7,778.0,30
CDM,487380,CAGE SPN 18X40X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,487381,AUG FEM MTPHSL RT 35MM,12118.0,12118.0,1817.7,12118.0,30
CDM,487382,SPACER SPN 60MM 24MM,13967.0,13967.0,2095.05,13967.0,30
CDM,487383,PLATE BN SHRT 75X2.7/3.5,4907.0,4907.0,736.05,4907.0,30
CDM,487384,INSERT TIB KN SZ6 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,487385,CUP ALT MULTI G7 SZ56,8969.0,8969.0,1345.35,8969.0,30
CDM,487386,SCREW BN 6.5MM 100MM,2210.0,2210.0,331.5,2210.0,30
CDM,487387,SCREW SPN P-AX 9.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,487388,SCREW LANCER PAX 8.5X80,3765.0,3765.0,564.75,3765.0,30
CDM,487389,ROD SPN STRT 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,487390,INSERT TIB KN SZ5 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,487391,SCREW SPN 6MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,487392,PLATE SPN 19MM,3389.0,3389.0,508.35,3389.0,30
CDM,487393,DRILL SURG SM SHRT 2MM,1023.5,1023.5,153.53,1023.5,42
CDM,487394,PLATE BN 7H 140MM,5315.0,5315.0,797.25,5315.0,30
CDM,487395,SCREW BN 3.5MM 24MM,319.0,319.0,47.85,319.0,30
CDM,487396,SCREW BN 3.5MM 46MM,1356.0,1356.0,203.4,1356.0,30
CDM,487397,SCREW BN 3.5MM 42MM,1359.0,1359.0,203.85,1359.0,30
CDM,487398,SCREW BN 3.5MM 44MM,319.0,319.0,47.85,319.0,30
CDM,487399,SCREW BN 3.5MM 50MM,1356.0,1356.0,203.4,1356.0,30
CDM,487401,SCREW BN 3.5MM 26MM,1356.0,1356.0,203.4,1356.0,30
CDM,487402,CMPNT TLR ANKL LT 31X30,20524.0,20524.0,3078.6,20524.0,30
CDM,487403,BEARNG TIB 8MM STAR ANKL,5169.0,5169.0,775.35,5169.0,30
CDM,487404,CAGE SPN DEG 8 45X18X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,487405,CAGE SPN 4D 14X7X12MM,8416.0,8416.0,1262.4,8416.0,30
CDM,487406,SCREW SPN 3.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,487407,CAGE SPN 14X8MM,8416.0,8416.0,1262.4,8416.0,30
CDM,487408,SCREW SPN 3.5MM 10MM,1130.0,1130.0,169.5,1130.0,30
CDM,487409,COMP TIB EVOL REV BASE N,6826.0,6826.0,1023.9,6826.0,30
CDM,487410,BLOCK TIB SIZE 6+/7 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,487411,STEM EXT CMNTD 16X75MM,4429.0,4429.0,664.35,4429.0,30
CDM,487412,INSERT TIB RT SZ00 8MM,6878.0,6878.0,1031.7,6878.0,30
CDM,487413,IMPLANT TALAR RT SZ0,22099.0,22099.0,3314.85,22099.0,30
CDM,487416,NAIL BN 13MM 30CM,4872.0,4872.0,730.8,4872.0,30
CDM,487417,SCREW BN 4.3MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,487418,PLATE BN 1ST REV LT,8836.0,8836.0,1325.4,8836.0,30
CDM,487419,SCREW BN 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
CDM,487420,KWIRE FX 150MM 1.6MM,505.5,505.5,75.83,505.5,42
CDM,487421,PLATE BN SPN LMBR 18MM,11073.0,11073.0,1660.95,11073.0,30
CDM,487436,NEEDLE ENDO BNX,2631.0,2631.0,394.65,2631.0,42
CDM,487437,NEEDLE BX 22GA,3798.0,3798.0,569.7,3798.0,42
CDM,487455,CATH GD MIC 135CM,4988.5,4988.5,748.27,4988.5,42
CDM,487459,CATH EMBL 5FR 80CM,1711.0,1711.0,256.65,1711.0,42
CDM,487462,CATH BLNOCC 4MM 11MM,7393.0,7393.0,1108.95,7393.0,42
CDM,487465,SCREW BN SPN 4MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,487473,COIL EMBL 8CM 3.5MM AXIU,7175.0,7175.0,1076.25,7175.0,30
CDM,487474,COIL EMBL 4CM 3MM,6866.0,6866.0,1029.9,6866.0,30
CDM,487475,COIL EMBL 8CM 3MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487476,COIL EMBL 15CM 8MM,6179.0,6179.0,926.85,6179.0,30
CDM,487478,DEVICE EMBL 4X12MM PLINE,60678.0,60678.0,9101.7,60678.0,30
CDM,487479,COIL EMBL 2CM 2.5MM,5293.0,5293.0,793.95,5293.0,30
CDM,487480,PLUG VASC OCL 7MM,7087.0,7087.0,1063.05,7087.0,30
CDM,487489,STENT VASC 5.5X100M,5383.0,5383.0,807.45,5383.0,30
CDM,487490,STENT VASC 5.5X120MM,5383.0,5383.0,807.45,5383.0,30
CDM,487491,STENT VASC 5.5MM 150MM,5383.0,5383.0,807.45,5383.0,30
CDM,487492,COIL EMBL 2CM 2MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487493,COIL EMBL 6CM 3MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487494,COIL EMBL 2CM 1MM,8416.0,8416.0,1262.4,8416.0,30
CDM,487495,COIL EMBL 3CM 1MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487496,SCREW SPN 4.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,487497,COIL EMBL 2CM 1.5MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487498,COIL EMBL 4CM 1MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487499,COIL EMBL 1.5MM 4CM,7175.0,7175.0,1076.25,7175.0,30
CDM,487500,COIL EMBL 3CM 2MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487501,COIL EMBL 4CM 2MM,6866.0,6866.0,1029.9,6866.0,30
CDM,487502,COIL EMBL 4CM 2.5MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487503,COIL EMBL SFT 6CM 2.5MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487504,COIL EMBL 6CM 3.5MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487505,COIL EMBL 10CM 3.5MM,7175.0,7175.0,1076.25,7175.0,30
CDM,487512,COIL EMBL 4CM 1.5MM,5501.0,5501.0,825.15,5501.0,30
CDM,487523,COIL EMBL 4CM 3MM,5264.0,5264.0,789.6,5264.0,30
CDM,487524,COIL EMBL 6CM 3MM,5264.0,5264.0,789.6,5264.0,30
CDM,487525,COIL EMBL 8CM 3MM,5501.0,5501.0,825.15,5501.0,30
CDM,487528,BLNDIL ENDO 7.5FR 240CM,1461.5,1461.5,219.22,1461.5,42
CDM,487530,BLNDIL ENDO 7.5FR 240CM,1632.5,1632.5,244.88,1632.5,42
CDM,487531,BLNDIL ENDO 7.5FR 240CM,1461.5,1461.5,219.22,1461.5,42
CDM,487532,SCREW BN 4X5X1.35X64MM,2261.0,2261.0,339.15,2261.0,30
CDM,487533,CMPNT FEM KN SZ5,6312.0,6312.0,946.8,6312.0,30
CDM,487534,STEM FEM HIP 8MM 136MM,7530.0,7530.0,1129.5,7530.0,30
CDM,487535,STEM FEM HIP 17MM 250MM,9977.0,9977.0,1496.55,9977.0,30
CDM,487537,PLUG VASC 9MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,487538,ROD SPNL 420X3.5/5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,487539,SPACER 30/38 15X12 DEG,22126.0,22126.0,3318.9,22126.0,30
CDM,487540,SCREW BN 4MM 30MM FINN T,1461.0,1461.0,219.15,1461.0,30
CDM,487542,CAGE SP 45X18X10MM CLYDE,13287.0,13287.0,1993.05,13287.0,30
CDM,487543,CANN SUC 4MM 30CM,773.0,773.0,115.95,773.0,42
CDM,487544,CANN SUC 4MM 30CM,860.0,860.0,129.0,860.0,42
CDM,487545,STEM FEM KN 15MM 90MM,4429.0,4429.0,664.35,4429.0,30
CDM,487546,NAIL BN TROCH 10MM 30CM,8105.0,8105.0,1215.75,8105.0,30
CDM,487547,SCREW BN 5MM 25MM,2884.0,2884.0,432.6,2884.0,30
CDM,487548,NAIL BN TROCH 10MM 18CM,5545.0,5545.0,831.75,5545.0,30
CDM,487549,GWIRE VASC 30MM 260CM,1596.5,1596.5,239.47,1596.5,42
CDM,487550,PLATE BN STRNL LG 11MM,4806.0,4806.0,720.9,4806.0,30
CDM,487551,LINER ACTB HIP F 44MM,4429.0,4429.0,664.35,4429.0,30
CDM,487552,BEARING TIB E1 28X44MM,4606.0,4606.0,690.9,4606.0,30
CDM,487553,GUIDE ALGN CUSTM,7050.0,7050.0,1057.5,7050.0,42
CDM,487555,STEM FEM HIP 12.5X124MM,9966.0,9966.0,1494.9,9966.0,30
CDM,487556,INSERT ARTC 5-6 G-H 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,487557,COMPNT FEM RT KN SZF,7530.0,7530.0,1129.5,7530.0,30
CDM,487558,EXTENSION STM PRECT 5 T,4606.0,4606.0,690.9,4606.0,30
CDM,487559,SURFACE ARTC 10MM F CMPN,4429.0,4429.0,664.35,4429.0,30
CDM,487560,CONE FEM HIP BDY SZA 70,16725.0,16725.0,2508.75,16725.0,30
CDM,487561,STEM FEM HIP 16MM 115MM,9977.0,9977.0,1496.55,9977.0,30
CDM,487562,STEM FEM HIP 15MM 115MM,9478.0,9478.0,1421.7,9478.0,30
CDM,487563,SYSTEM PUMP 4ML/HR 270ML,1205.0,1205.0,180.75,1205.0,42
CDM,487564,SHEATH GD 6FR 45CM,952.0,952.0,142.8,952.0,42
CDM,487566,INSERT ARTC KN 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,487567,SCREW BN 5.0MM 80MM,2884.0,2884.0,432.6,2884.0,30
CDM,487568,SCREW BN 5MM 70MM,2884.0,2884.0,432.6,2884.0,30
CDM,487569,SCREW BN 5MM 32MM,2884.0,2884.0,432.6,2884.0,30
CDM,487570,SCRW 8.5X45MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
CDM,487571,SCRW 8.5X50MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
CDM,487572,SCREW SPN 5.5MM 80MM,753.0,753.0,112.95,753.0,30
CDM,487573,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,487575,SCREW BN 6.5MMX20MM,877.0,877.0,131.55,877.0,30
CDM,487576,STEM FEM HIP 14MM 148MM,7530.0,7530.0,1129.5,7530.0,30
CDM,487577,BIT DRILL 2.3MM 20MM,773.0,773.0,115.95,773.0,42
CDM,487578,SHELL ACTB 24X56MM RGNX,8207.0,8207.0,1231.05,8207.0,30
CDM,487579,LINER ACTB E1 32MM SZ27,4606.0,4606.0,690.9,4606.0,30
CDM,487580,SCREW BN 6.5MM 35MM,877.0,877.0,131.55,877.0,30
CDM,487581,HINGE FEM KN SZMED,4252.0,4252.0,637.8,4252.0,30
CDM,487583,CMPNT KN SEGMENTAL 125MM,7494.0,7494.0,1124.1,7494.0,30
CDM,487584,STEM FEM KN LT 15D 70MM,22515.0,22515.0,3377.25,22515.0,30
CDM,487585,CMPNT SEG KN 65MM,7494.0,7494.0,1124.1,7494.0,30
CDM,487586,DRILL SURG 3.5MM,386.5,386.5,57.98,386.5,42
CDM,487587,LINER ACTB HIP SZHH 28MM,6644.0,6644.0,996.6,6644.0,30
CDM,487588,SCREW BN TIB XTN STEM,718.0,718.0,107.7,718.0,30
CDM,487589,STEM EXT FLUT 25X14,4606.0,4606.0,690.9,4606.0,30
CDM,487591,PLATE SP 16MM 1 LEVEL,4429.0,4429.0,664.35,4429.0,30
CDM,487592,SCREW BN 2MM 11MM,3189.0,3189.0,478.35,3189.0,30
CDM,487593,ROD SPL 45MM 5.5MM CYPHR,2711.0,2711.0,406.65,2711.0,30
CDM,487594,STEM FEM HIP 12MM 144MM,8858.0,8858.0,1328.7,8858.0,30
CDM,487595,STEM HIP 132D SZ3 131MM,6201.0,6201.0,930.15,6201.0,30
CDM,487596,PLATE BN FX RT CNTRL 3RD,4429.0,4429.0,664.35,4429.0,30
CDM,487597,INSERT ARTC KN RT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,487598,CMPNT FEM NAR KN RT SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,487600,INSERT EVOL MP ADP CS,4606.0,4606.0,690.9,4606.0,30
CDM,487601,CAGE SPN 50MM 22MM 12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,487602,SPACER SPN 11MM 22MM,9966.0,9966.0,1494.9,9966.0,30
CDM,487603,SHELL ACTB HIP 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,487604,LINER ACTB SZD 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,487605,HEAD STD NECK 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,487606,STEM FEM HIP 7MM 134MM,7973.0,7973.0,1195.95,7973.0,30
CDM,487607,PLATE OCCIPITAL SM 24MM,6644.0,6644.0,996.6,6644.0,30
CDM,487608,ROD PREBNT 90D 300X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,487609,ROD PREBNT67DG 3.5X300MM,2711.0,2711.0,406.65,2711.0,30
CDM,487610,SCREW OCCIPITAL 4.5X10MM,1506.0,1506.0,225.9,1506.0,30
CDM,487611,SCREW OCCIPITAL 4.5X9MM,1506.0,1506.0,225.9,1506.0,30
CDM,487612,SCREW OCCIPITAL 4.5X8MM,1506.0,1506.0,225.9,1506.0,30
CDM,487613,BEARING KN 63/67X14MM,5477.0,5477.0,821.55,5477.0,30
CDM,487614,HEAD FEM ARCOMXL +6 OD36,4606.0,4606.0,690.9,4606.0,30
CDM,487615,STEM FEM HIP SZA 50MM,16725.0,16725.0,2508.75,16725.0,30
CDM,487616,BEARNG TIB MAX 63/67MM,5477.0,5477.0,821.55,5477.0,30
CDM,487617,CMPNT RT RAISED FLNG 5DG,46208.0,46208.0,6931.2,46208.0,30
CDM,487618,ROD TI6AL4V ALY 14X460MM,46208.0,46208.0,6931.2,46208.0,30
CDM,487619,SCREW BN 3.5X16MM,1244.0,1244.0,186.6,1244.0,30
CDM,487620,RING ACTB CNTRHIP47X43MM,5730.0,5730.0,859.5,5730.0,30
CDM,487621,SCREW BN SPRCL 6.5X20MM,833.0,833.0,124.95,833.0,30
CDM,487622,CUP ACTB HIP 43MM 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,487623,VALVE MITRAL 33MM,13939.0,13939.0,2090.85,13939.0,30
CDM,487624,ACTB CUP TRIFLNG RT 50MM,44069.0,44069.0,6610.35,44069.0,30
CDM,487625,STEM HUM SHLDR 70MM,9744.0,9744.0,1461.6,9744.0,30
CDM,487626,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,487627,INSERT EVOLTN MP ADP CS,4606.0,4606.0,690.9,4606.0,30
CDM,487628,SCREW BN LCK 2.7X34MM,1890.0,1890.0,283.5,1890.0,30
CDM,487629,STEM FEM SZ8 12/14 139MM,6201.0,6201.0,930.15,6201.0,30
CDM,487630,PLATE AVTR ANT L4 76MM,4429.0,4429.0,664.35,4429.0,30
CDM,487632,PLATE BN RT 6/2HL 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,487633,CMPNT AUG KN SZE 15MM,4892.0,4892.0,733.8,4892.0,30
CDM,487634,CMPNT TIB KN SZ3,17798.0,17798.0,2669.7,17798.0,30
CDM,487635,CMPNT FEM KN SZE,35849.0,35849.0,5377.35,35849.0,30
CDM,487636,INSERT ARTC KN 74X44X20,7858.0,7858.0,1178.7,7858.0,30
CDM,487637,STENT GRAFT 34X34X175MM,76881.0,76881.0,11532.15,76881.0,30
CDM,487638,CMPNT KN SEG 55MM,8159.0,8159.0,1223.85,8159.0,30
CDM,487639,SPACER SPNL 60X18X8MMD,14395.0,14395.0,2159.25,14395.0,30
CDM,487640,SCREW BN 3MM 20MM,2575.0,2575.0,386.25,2575.0,30
CDM,487641,SPCR SPNL VERT 27X11X10,9966.0,9966.0,1494.9,9966.0,30
CDM,487642,NAIL BN 10MM 38CM,9050.0,9050.0,1357.5,9050.0,30
CDM,487643,BIT DRILL 4MM 12MM,386.5,386.5,57.98,386.5,42
CDM,487644,CAGE SPN MTL 11X14X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,487645,PLATE SPN FIXD 1LVL 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,487646,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,487647,CATH ATHR DMNDBCK360 2.5,17369.0,17369.0,2605.35,17369.0,42
CDM,487649,STEM FLTD UNIV 10X150MM,4429.0,4429.0,664.35,4429.0,30
CDM,487650,INSERT TIB KN 2.5 12.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,487652,SCREW BN BSPLT 4.5X38MM,1633.0,1633.0,244.95,1633.0,30
CDM,487653,SHELL ACTB HIP SZF 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,487654,STEM FEM HIP 140X10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,487655,AUGMENT FEM 35MM MED CON,12756.0,12756.0,1913.4,12756.0,30
CDM,487656,HEAD HIP SZL 3.5D 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,487657,PLT LCK AXS 12X5HL 274MM,5682.0,5682.0,852.3,5682.0,30
CDM,487658,SCREW BN 5X10MM,2846.0,2846.0,426.9,2846.0,30
CDM,487659,SCREW SPN SET 4.75MM,753.0,753.0,112.95,753.0,30
CDM,487660,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,487661,SCREW BN SPN 6.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,487662,ROD SPN 4.75MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,487663,ROD SPN CAPPED 50X4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,487664,PATELLA LIGA WHOLE STRL,10320.0,10320.0,1548.0,10320.0,30
CDM,487666,CAGE SPNL 45X18X12MM CLY,13287.0,13287.0,1993.05,13287.0,30
CDM,487667,ROD SPN 4.75MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,487668,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,487669,GRAFT EVAS 14.5MM 16CM,45597.0,45597.0,6839.55,45597.0,30
CDM,487670,CMPNT KN BRNG RT SM 3MM,4606.0,4606.0,690.9,4606.0,30
CDM,487671,CMPNT LPS FLX PC SZE RT,7530.0,7530.0,1129.5,7530.0,30
CDM,487672,CUP ACTB 60MM G4 INTEGRI,4606.0,4606.0,690.9,4606.0,30
CDM,487673,STEM FEM PRSFT XTND OFST,9966.0,9966.0,1494.9,9966.0,30
CDM,487674,LINER ACTB NVTN CRWN CUP,4429.0,4429.0,664.35,4429.0,30
CDM,487675,SCREW SP VR SLFDR 4X18MM,1506.0,1506.0,225.9,1506.0,30
CDM,487676,LINER ACTB HIP 36X66MM,4429.0,4429.0,664.35,4429.0,30
CDM,487677,SCREW BN 2MM 10MM,520.0,520.0,78.0,520.0,30
CDM,487678,SCREW BN 2X6MM,1330.0,1330.0,199.5,1330.0,30
CDM,487680,PLATE BN 2.4MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,487681,PLATE BN 2.4MM 58MM,3721.0,3721.0,558.15,3721.0,30
CDM,487683,COMPNT ACTB SZ23 LT,51377.0,51377.0,7706.55,51377.0,30
CDM,487684,AUGMT BLOCK TIB KN 10MM,6406.0,6406.0,960.9,6406.0,30
CDM,487685,STEM XTN KN 11MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,487686,COMPNT TIB STM KN SZ2,17798.0,17798.0,2669.7,17798.0,30
CDM,487687,SHELL ACTB HIP 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,487688,SCREW BN 6.5X35MM,877.0,877.0,131.55,877.0,30
CDM,487689,STEM FEM 150MM 15MM,8858.0,8858.0,1328.7,8858.0,30
CDM,487692,BEARING HIP 28MM 44MM,4429.0,4429.0,664.35,4429.0,30
CDM,487693,SCREW BN 2.5MM 16MM,1929.0,1929.0,289.35,1929.0,30
CDM,487694,PLATE HK BN,3189.0,3189.0,478.35,3189.0,30
CDM,487695,PLATE HK BN + SCREW,1037.0,1037.0,155.55,1037.0,30
CDM,487697,STENT TRCHBR 20X40X5.1MM,13066.0,13066.0,1959.9,13066.0,30
CDM,487698,INSERT TIB PS BR63/67X16,4429.0,4429.0,664.35,4429.0,30
CDM,487699,SCREW BN 1.5MM 5MM,1112.0,1112.0,166.8,1112.0,30
CDM,487700,WEDGE KN BLCK POST72.5X5,4606.0,4606.0,690.9,4606.0,30
CDM,487701,SCREW BN BSPLT 4.5X35MM,798.0,798.0,119.7,798.0,30
CDM,487702,SCREW LCKNG CRTCL 26MM,1595.0,1595.0,239.25,1595.0,30
CDM,487703,CUP ACTB SECT 2 PNCL 66,4606.0,4606.0,690.9,4606.0,30
CDM,487704,CAGE SPNL 21X32X8MM,9966.0,9966.0,1494.9,9966.0,30
CDM,487705,GRAFT EVAS 10CM 14.5MM,40573.0,40573.0,6085.95,40573.0,30
CDM,487706,GRAFT EVAS 7CM 12MM,11882.0,11882.0,1782.3,11882.0,30
CDM,487707,GENERATR NRSTM DBS 37601,76179.0,76179.0,11426.85,76179.0,30
CDM,487708,SCREW SPN 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,487709,CAGE SPN 6D 18X45X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,487712,SCREW BN SPN 5.5MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,487713,PLATE BNE TI L36-39 SP,3389.0,3389.0,508.35,3389.0,30
CDM,487714,ROD SPNL CYPHR 55X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,487715,ROD SPNL CYPHR 60X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,487716,SCREW BN SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,487717,INS INTEROP DUR SD SZ32M,4606.0,4606.0,690.9,4606.0,30
CDM,487718,STEM FEM HIP 17MM 200MM,9977.0,9977.0,1496.55,9977.0,30
CDM,487719,CONE FEM HIP 60MM,16725.0,16725.0,2508.75,16725.0,30
CDM,487720,BOLT ORTH 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,487721,ROD SPN 35MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,487722,STEM HUM SHLDR 74MM,10630.0,10630.0,1594.5,10630.0,30
CDM,487723,SCREW SPN 4MM 14MM,1506.0,1506.0,225.9,1506.0,30
CDM,487724,SPACER SPN 14X11X13MM,4429.0,4429.0,664.35,4429.0,30
CDM,487726,SCREW SPNL 30M BTRS,1130.0,1130.0,169.5,1130.0,30
CDM,487727,SPACER SPN 50X22X12MM 8D,20861.0,20861.0,3129.15,20861.0,30
CDM,487728,ROD SPNL PRBNT 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,487729,CONN ROD SPN 30-35MM,3012.0,3012.0,451.8,3012.0,30
CDM,487732,SCREW BN 3.5X46MM,1356.0,1356.0,203.4,1356.0,30
CDM,487733,SCREW BN 3.5X30MM,1356.0,1356.0,203.4,1356.0,30
CDM,487734,SCREW BN 3.5MM 20MM,319.0,319.0,47.85,319.0,30
CDM,487735,SCREW BN 3.5X22MM,1356.0,1356.0,203.4,1356.0,30
CDM,487736,SCREW BN 3.5MM 22MM,319.0,319.0,47.85,319.0,30
CDM,487737,PLATE 152X3.5MM 10H LCK,4429.0,4429.0,664.35,4429.0,30
CDM,487738,SCREW BN 3.5X40MM,1356.0,1356.0,203.4,1356.0,30
CDM,487739,SCREW BN 3.5MM 38MM,319.0,319.0,47.85,319.0,30
CDM,487740,SCREW BN 3.5X26MM,1356.0,1356.0,203.4,1356.0,30
CDM,487741,SCREW BN 3.5X70MM,1435.0,1435.0,215.25,1435.0,30
CDM,487742,SCREW BN 3.5MM 70MM,1356.0,1356.0,203.4,1356.0,30
CDM,487743,SCREW BN 3.5MM 28MM,319.0,319.0,47.85,319.0,30
CDM,487744,SCREW BN 3.5MM 30MM,319.0,319.0,47.85,319.0,30
CDM,487745,INSERT ARTC KN LT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,487747,SLEEVE TPR HIP 12/14 +8,2863.0,2863.0,429.45,2863.0,30
CDM,487748,STEM FEM 15MM PRIM STD,8194.0,8194.0,1229.1,8194.0,30
CDM,487750,ROD SPN 5.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,487751,PLATE SPN 2LVL 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,487752,BLADE HELCL TI 100MM- ST,4429.0,4429.0,664.35,4429.0,30
CDM,487753,NAIL BN FEM 11MM 400MM,8478.0,8478.0,1271.7,8478.0,30
CDM,487754,PLATE BN 4HL 10MM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,487756,SPACER SPNL 55X22X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,487757,GRAFT CV 32MM 15CM,12180.0,12180.0,1827.0,12180.0,30
CDM,487758,SHELL ACTB CONTIN OO 64M,5758.0,5758.0,863.7,5758.0,30
CDM,487759,LINER ACTB CONTN TRLG IT,4606.0,4606.0,690.9,4606.0,30
CDM,487760,SCREW SPN 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,487761,SCREW SPN 5.5MMX50MM,4247.0,4247.0,637.05,4247.0,30
CDM,487762,ROD STR 5.5X400,2711.0,2711.0,406.65,2711.0,30
CDM,487763,ROD SPN CONN BRDG MED,3389.0,3389.0,508.35,3389.0,30
CDM,487764,CMPNT FEM KN RT SZ2,5094.0,5094.0,764.1,5094.0,30
CDM,487765,BASEPLATE TIB ATTUN 2 RP,4651.0,4651.0,697.65,4651.0,30
CDM,487766,INSERT TIB 2 6MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
CDM,487767,WEDGE KN TIB AUG 75X5,4606.0,4606.0,690.9,4606.0,30
CDM,487768,SCREW BN 4.5MM 60MM,2790.0,2790.0,418.5,2790.0,30
CDM,487769,BIT DRILL CANN 3.2MM,386.5,386.5,57.98,386.5,42
CDM,487770,GUIDE PIN ORTH 2.4MM 9IN,464.0,464.0,69.6,464.0,42
CDM,487771,GUIDE PIN ORTH 1.6MM 9IN,464.0,464.0,69.6,464.0,42
CDM,487772,SHELL ACTB HIP 3 H 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,487773,STEM FEM HIP 6MM 132MM,9966.0,9966.0,1494.9,9966.0,30
CDM,487774,HEAD FEM ARCOMXL -3 OD32,4606.0,4606.0,690.9,4606.0,30
CDM,487775,ROD SPN 65X4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,487776,PLATE SPN 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,487777,LINER ACTB HIP 23X32MM,4429.0,4429.0,664.35,4429.0,30
CDM,487779,STEM FEM HIP 142MM 11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,487781,PLATE SM CLS FSN BN TLR,4216.0,4216.0,632.4,4216.0,30
CDM,487782,PLATE CLOSED FUSION LG,4216.0,4216.0,632.4,4216.0,30
CDM,487783,SCREW BN 3.5MM 24MM,319.0,319.0,47.85,319.0,30
CDM,487784,SCREW BN 3.5MM 26MM,319.0,319.0,47.85,319.0,30
CDM,487785,SCREW BN 3.5MM 14MM,1359.0,1359.0,203.85,1359.0,30
CDM,487786,CMPNT FEM G RT KN,9301.0,9301.0,1395.15,9301.0,30
CDM,487787,INSERT ARTC 5-6 G-H 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,487788,NAIL BN 10MM 700MM,25488.0,25488.0,3823.2,25488.0,30
CDM,487789,INS TIB KN 5 74X46X17MM,4606.0,4606.0,690.9,4606.0,30
CDM,487790,PLATE BN 4HL 7MM 5X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,487791,GRAFT EVAS 14.5MM 18CM,44268.0,44268.0,6640.2,44268.0,30
CDM,487792,NAIL BN 13MM 20MM,9064.0,9064.0,1359.6,9064.0,30
CDM,487793,SHELL ACTB HIP 62MM,13166.0,13166.0,1974.9,13166.0,30
CDM,487794,STEM FEM HIP 190MM 16MM,7805.0,7805.0,1170.75,7805.0,30
CDM,487795,LINER ACTB SZH 44MM,4429.0,4429.0,664.35,4429.0,30
CDM,487796,CONE FEM HIP 50MM,16725.0,16725.0,2508.75,16725.0,30
CDM,487797,STEM FEM 44MM HD BLX D C,4429.0,4429.0,664.35,4429.0,30
CDM,487798,SCREW BN 6.5MM 60MM,877.0,877.0,131.55,877.0,30
CDM,487799,AUGMENT HIP 20X62MM,7415.0,7415.0,1112.25,7415.0,30
CDM,487800,INSERT TIB KN 16MM,14095.0,14095.0,2114.25,14095.0,30
CDM,487801,PLATE SP 45MM 3 LEVEL,4429.0,4429.0,664.35,4429.0,30
CDM,487802,SCREW VAR 4X12MM SLFDRL,1506.0,1506.0,225.9,1506.0,30
CDM,487803,SCREW VAR SLFTP 4.5X16MM,1506.0,1506.0,225.9,1506.0,30
CDM,487804,COMPNT FEM NXGN SZE,7530.0,7530.0,1129.5,7530.0,30
CDM,487805,COMPONEN ARTCSURF E H10,4429.0,4429.0,664.35,4429.0,30
CDM,487806,STEM FEM LGN PRSFT160X15,4606.0,4606.0,690.9,4606.0,30
CDM,487807,COMPNT AGMNT 2.5X8MM RT,4252.0,4252.0,637.8,4252.0,30
CDM,487809,KIT IMPLANT CRNMXF LG,56590.0,56590.0,8488.5,56590.0,30
CDM,487810,COMP HUM ELB RT 5X100MM,15358.0,15358.0,2303.7,15358.0,30
CDM,487811,INSERT TIB SM 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,487812,GRAFT STNT 32MM 185MM,59844.0,59844.0,8976.6,59844.0,30
CDM,487813,GRAFT STNT 36MM 200MM,59844.0,59844.0,8976.6,59844.0,30
CDM,487815,INSERT TIB PS BR87/91X13,4606.0,4606.0,690.9,4606.0,30
CDM,487816,INSERT TIB PS BR87/91X12,4606.0,4606.0,690.9,4606.0,30
CDM,487817,LNR ACTB COC HIP G7D40MM,4429.0,4429.0,664.35,4429.0,30
CDM,487818,BEARING HIP E1 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,487820,GRAFT EVAS 23X12MM 14CM,45597.0,45597.0,6839.55,45597.0,30
CDM,487821,GRAFT EVAS 16MM 13.5CM,18704.0,18704.0,2805.6,18704.0,30
CDM,487822,SCREW BN SPN 6.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,487823,LEAD NRSTM 5-6-5 65CM,22401.0,22401.0,3360.15,22401.0,30
CDM,487824,CAP SPN 8.5MM LCK CIRCLR,753.0,753.0,112.95,753.0,30
CDM,487833,ROD SPINE 40MM CURVED,2711.0,2711.0,406.65,2711.0,30
CDM,487835,SCREW BN 6.7MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,487836,PLATE BN ANKL LT ANT,9191.0,9191.0,1378.65,9191.0,30
CDM,487837,SCREW BN LOPRO 4.5X26MM,1196.0,1196.0,179.4,1196.0,30
CDM,487838,SCREW BN 4.5MM 30MM,1196.0,1196.0,179.4,1196.0,30
CDM,487839,SCREW BN LP 4.5MMX36MM,1196.0,1196.0,179.4,1196.0,30
CDM,487840,SCREW BN ANK 4.5X40MM,1196.0,1196.0,179.4,1196.0,30
CDM,487841,SCREW BN 5.5MM 55MM,1196.0,1196.0,179.4,1196.0,30
CDM,487842,SCREW BN 6.7MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,487845,SCREW SPN SRR 3.5X12MM,4247.0,4247.0,637.05,4247.0,30
CDM,487846,SCREW SPN 8.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,487847,CAGE SPNL CERV SM 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,487849,PLATE SPN 3LVL 48MM CRVC,4429.0,4429.0,664.35,4429.0,30
CDM,487850,SCREW SELF DRILL 4.0X14,1130.0,1130.0,169.5,1130.0,30
CDM,487852,SCREW BN 2.4MM 22MM,2232.0,2232.0,334.8,2232.0,30
CDM,487853,SCREW 3.5X12 LOPRO LCK,2392.0,2392.0,358.8,2392.0,30
CDM,487854,SCREW BN 3.5MM 12MM,957.0,957.0,143.55,957.0,30
CDM,487855,SCREW SPN 9MM 17MM 12MM,8238.0,8238.0,1235.7,8238.0,30
CDM,487856,LNR ACTB BNTM 10D 46MM,4429.0,4429.0,664.35,4429.0,30
CDM,487857,SCREW BN 5MM 57MM,2644.0,2644.0,396.6,2644.0,30
CDM,487858,STEM FEM HIP 12MM 115MM,9977.0,9977.0,1496.55,9977.0,30
CDM,487859,HEAD HIP TPR STD NK 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,487860,PLATE BN 10HL 3.5X235MM,7811.0,7811.0,1171.65,7811.0,30
CDM,487861,MESH SURG BIO 20X25CM,13934.0,13934.0,2090.1,13934.0,30
CDM,487864,ROD SPINE 60MM CURVED,2711.0,2711.0,406.65,2711.0,30
CDM,487869,NAIL FEM CANN 10MM 380MM,6312.0,6312.0,946.8,6312.0,30
CDM,487870,BLADE SURG 105MM,4429.0,4429.0,664.35,4429.0,30
CDM,487871,SCREW BN SPN 6.5MM 60MM,4247.0,4247.0,637.05,4247.0,30
CDM,487872,ROD TI 5 CURVED.5X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,487873,NAIL BN FEM 10MM 360MM,6437.0,6437.0,965.55,6437.0,30
CDM,487874,PLATE SPN 3LVL 68MM,4429.0,4429.0,664.35,4429.0,30
CDM,487875,GDWRE ARTHSCP .062IN 7IN,618.5,618.5,92.78,618.5,42
CDM,487876,STEM HIP 132D SZ4 137MM,6201.0,6201.0,930.15,6201.0,30
CDM,487877,PEG BN LCK SMTH 2X17MM,1244.0,1244.0,186.6,1244.0,30
CDM,487878,LINER ACTB 0D NTRL 66-68,5315.0,5315.0,797.25,5315.0,30
CDM,487879,PLATE BN CRNMXF 10H 44MM,2842.0,2842.0,426.3,2842.0,30
CDM,487880,STEM DIST CNCL 22X155,8674.0,8674.0,1301.1,8674.0,30
CDM,487881,SCREW BN 2.7MM 20MM,740.0,740.0,111.0,740.0,30
CDM,487882,GRAFT MESH 20X15CM,6547.0,6547.0,982.05,6547.0,30
CDM,487883,KWIRE FX 2MM 150MM,768.5,768.5,115.28,768.5,42
CDM,487884,SCREW TRA CANN 2.0X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,487885,NAIL BN FEM 10MM 13X34CM,4872.0,4872.0,730.8,4872.0,30
CDM,487886,SCREW BN 3.5MM 80MM,2073.0,2073.0,310.95,2073.0,30
CDM,487887,ENDCAP FEM NAIL 0MM,1834.0,1834.0,275.1,1834.0,30
CDM,487888,PIN BN EXFX 5X160X55MM,773.0,773.0,115.95,773.0,42
CDM,487889,LNR ACTB CONTQU 68X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,487890,LINER ACTB HIP SZQU 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,487891,HEAD FEM HIP +0 12/14 36,4429.0,4429.0,664.35,4429.0,30
CDM,487892,SHELL ACTB HIP SZE 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,487893,LINER ACTB SZE 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,487894,GD PIN 3.2MMX343MM,1023.5,1023.5,153.53,1023.5,42
CDM,487895,SHELL ACTB TI I 72 HIP R,9536.0,9536.0,1430.4,9536.0,30
CDM,487896,CMPNT KN 66X62MM,15352.0,15352.0,2302.8,15352.0,30
CDM,487899,DRILL SURG 2.8MM,778.0,778.0,116.7,778.0,42
CDM,487900,SCREW BN 2.3MM 10MM,1467.0,1467.0,220.05,1467.0,30
CDM,487901,EXTRACTOR SURG TIP M,1964.5,1964.5,294.68,1964.5,42
CDM,487902,SCREW BN 6.5MM 50MM,877.0,877.0,131.55,877.0,30
CDM,487905,PLATE BN 3X3HL 1MM,3189.0,3189.0,478.35,3189.0,30
CDM,487906,PLATE SP 28MM 2 LEVEL,4429.0,4429.0,664.35,4429.0,30
CDM,487907,STEM FEM HIP 14MM 150MM,9478.0,9478.0,1421.7,9478.0,30
CDM,487908,SHELL ACTB HIP SZG 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,487909,HEAD FEM HIP TYPE1 +9MM,4252.0,4252.0,637.8,4252.0,30
CDM,487910,INSERT TIB KN 18MM,14095.0,14095.0,2114.25,14095.0,30
CDM,487911,WEDGE TIB MBT STEP 2 H5,4612.0,4612.0,691.8,4612.0,30
CDM,487913,MESH GRAFT KNIT 12CM,3721.0,3721.0,558.15,3721.0,30
CDM,487914,SCREW SPN 6.5MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,487918,PLATE BN CRV 339MM 4.5MM,9992.0,9992.0,1498.8,9992.0,30
CDM,487920,SCREW BN 8MM 95MM,2790.0,2790.0,418.5,2790.0,30
CDM,487921,SCREW BN 8MM 90MM,2790.0,2790.0,418.5,2790.0,30
CDM,487922,IMPLANT PNGR SIL SZ40,7007.0,7007.0,1051.05,7007.0,30
CDM,487923,JOINT FNGR MOD SZ0,7007.0,7007.0,1051.05,7007.0,30
CDM,487924,ROD SPN 40MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
CDM,487925,CUP HIP RT 62-64X54MM,9051.0,9051.0,1357.65,9051.0,30
CDM,487926,MOLD SPCR HIP CMNT13X145,6472.0,6472.0,970.8,6472.0,42
CDM,487927,NAIL BN 13MM 34CM,6201.0,6201.0,930.15,6201.0,30
CDM,487928,SCREW BN 5MM 47.5MM,2073.0,2073.0,310.95,2073.0,30
CDM,487929,COMP FEM HIP 28X59MM,4252.0,4252.0,637.8,4252.0,30
CDM,487930,STEM FEM STD OFST 18MM,9966.0,9966.0,1494.9,9966.0,30
CDM,487931,ROD SPINAL 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,487932,SCREW BNE TI L50MMOD7MM,4429.0,4429.0,664.35,4429.0,30
CDM,487933,SCREW BNE TI L55MMOD7MM,4429.0,4429.0,664.35,4429.0,30
CDM,487934,ROD SPN FIX 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,487935,KIT IMPLANT ITTL CR IPOL,18602.0,18602.0,2790.3,18602.0,30
CDM,487936,INSERT TIB ANKL SZ3+ 7MM,8947.0,8947.0,1342.05,8947.0,30
CDM,487937,TRAY TIBIAL STD SIZE 4,26309.0,26309.0,3946.35,26309.0,30
CDM,487938,TRAY HUM SHLDR +0X1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,487939,NAIL TIB CANN TI 9X330MM,6448.0,6448.0,967.2,6448.0,30
CDM,487940,SCREW BN 4MM 46MM,2143.0,2143.0,321.45,2143.0,30
CDM,487942,HEAD FEM HIP +8 12/14 32,4429.0,4429.0,664.35,4429.0,30
CDM,487943,INSERT KN 3 CRV 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,487945,PIN HOLDING 0.75IN 1/8IN,773.0,773.0,115.95,773.0,42
CDM,487946,PLATE BN LCK STRT 8HL,3721.0,3721.0,558.15,3721.0,30
CDM,487947,INSERT TIB KN 13X71/75MM,4606.0,4606.0,690.9,4606.0,30
CDM,487948,PIN TROCAR 3.2MM SZ3,773.0,773.0,115.95,773.0,42
CDM,487951,STEM FEM KN 20M 150MM,4429.0,4429.0,664.35,4429.0,30
CDM,487952,PLATE TIB 26MM SR NOILS,8691.0,8691.0,1303.65,8691.0,30
CDM,487953,COMPONENT FEM KN 71X66MM,15352.0,15352.0,2302.8,15352.0,30
CDM,487954,AUG FEM MTL RT LG 50MM,12756.0,12756.0,1913.4,12756.0,30
CDM,487955,CUP ACTB 40MM PNCL BNTM,4606.0,4606.0,690.9,4606.0,30
CDM,487956,LINER ACTB HIP40X22.225M,4429.0,4429.0,664.35,4429.0,30
CDM,487957,COMPNT FM F LT KN NXG LP,9301.0,9301.0,1395.15,9301.0,30
CDM,487958,HEAD HIP TPR NK-3X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,487959,INSRT HP X3 REST 28/56MM,5315.0,5315.0,797.25,5315.0,30
CDM,487960,IMPL CRNL OSTMTCH 20-100,44722.0,44722.0,6708.3,44722.0,30
CDM,487961,GRAFT BN CANC 20ML,6201.0,6201.0,930.15,6201.0,30
CDM,487962,HEAD FEM HIP 61MM,4252.0,4252.0,637.8,4252.0,30
CDM,487963,PLATE 278MM SS4.5 SCR LG,8259.0,8259.0,1238.85,8259.0,30
CDM,487964,STEM FEM 0 STD TRLK OFST,11073.0,11073.0,1660.95,11073.0,30
CDM,487966,COMPONENT FEM KN CMNT 3,7751.0,7751.0,1162.65,7751.0,30
CDM,487967,PLATE SPN 3LVL 61MM,4429.0,4429.0,664.35,4429.0,30
CDM,487968,BEARING KN 71/75MM 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,487969,SCREW 7X35MM XPDM CORT,4429.0,4429.0,664.35,4429.0,30
CDM,487970,DEVICE FSTFX MNSCL,3497.0,3497.0,524.55,3497.0,30
CDM,487971,PUSHER CANN KNT FSTFX 36,1038.5,1038.5,155.78,1038.5,42
CDM,487972,WASHER BN 8MM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,487975,NAIL BN 8MM 9.5MM 160MM,5290.0,5290.0,793.5,5290.0,30
CDM,487976,SCREW BN 4.5MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,487978,ROD SPN 30X4MM CRV TI NS,2711.0,2711.0,406.65,2711.0,30
CDM,487979,STEM FEM HIP 16MM 190MM,9567.0,9567.0,1435.05,9567.0,30
CDM,487980,PLATE BN 2X2HL .8MM 17MM,3189.0,3189.0,478.35,3189.0,30
CDM,487981,CANNULA BNCMNT 10GA,656.0,656.0,98.4,656.0,42
CDM,487982,CMPNT BEARING LT LRG 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,487983,CAGE SPN 10D 55X22X14MM,17716.0,17716.0,2657.4,17716.0,30
CDM,487986,BASEPLTE ATTNE FX SZ9,4651.0,4651.0,697.65,4651.0,30
CDM,487987,INSERT TIB KN SZ9 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,487988,NAIL BN TROCH 10MM 38CM,9050.0,9050.0,1357.5,9050.0,30
CDM,487989,SCREW BN 5MM 42MM,2884.0,2884.0,432.6,2884.0,30
CDM,487990,BEARING MBL REV SIZE 11M,5537.0,5537.0,830.55,5537.0,30
CDM,487991,SCREW 4X2.4X22MM SYNPS,4340.0,4340.0,651.0,4340.0,30
CDM,487992,STEM FEM HIP 6MM 111MM,10630.0,10630.0,1594.5,10630.0,30
CDM,487994,SCREW BN 4MM 44MM,1786.0,1786.0,267.9,1786.0,30
CDM,487995,SCREW BN 4MM 46MM,1786.0,1786.0,267.9,1786.0,30
CDM,487996,HEAD FEM HIP BALL+5X41MM,4252.0,4252.0,637.8,4252.0,30
CDM,487997,HEAD RADL 12X22MM ELB,8639.0,8639.0,1295.85,8639.0,30
CDM,487998,STEM RADL 28X8MM STR TI,8898.0,8898.0,1334.7,8898.0,30
CDM,487999,PLATE BN LT 6H 131MM,5148.0,5148.0,772.2,5148.0,30
CDM,488000,SCREW BN 2.7X28MM,610.0,610.0,91.5,610.0,30
CDM,488001,SCREW BN CORT T6 2X20MM,541.0,541.0,81.15,541.0,30
CDM,488002,PEG BN HI-CMPR 2.7X18MM,1356.0,1356.0,203.4,1356.0,30
CDM,488003,NAIL HUM CANN 9MM 240MM,8829.0,8829.0,1324.35,8829.0,30
CDM,488004,BLADE IM FX HUM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,488005,SCREW BN 4MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,488008,SCREW BN 2MM 3.5MM 8MM,598.0,598.0,89.7,598.0,30
CDM,488009,GENERATOR NRSTM IMPLANT,76622.0,76622.0,11493.3,76622.0,30
CDM,488010,KIT NRSTM PRGMR,4604.5,4604.5,690.67,4604.5,42
CDM,488012,PLATE TI/PMMA 3STD 42X66,4606.0,4606.0,690.9,4606.0,30
CDM,488013,STEM 18MM PRSS FIT BOWED,14381.0,14381.0,2157.15,14381.0,30
CDM,488014,COMPNT KN GMR SM,8668.0,8668.0,1300.2,8668.0,30
CDM,488015,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488016,INSERT TIB SM 80MM,21497.0,21497.0,3224.55,21497.0,30
CDM,488017,SCREW BN SPN 4MM 12MM,2259.0,2259.0,338.85,2259.0,30
CDM,488018,SCREW BN SPN 4MM 15MM,2259.0,2259.0,338.85,2259.0,30
CDM,488019,SCREW BN SPN 4MM 17MM,2259.0,2259.0,338.85,2259.0,30
CDM,488020,SCREW SPN 4.5MM 15MM,2259.0,2259.0,338.85,2259.0,30
CDM,488021,INSERT KN TIB 5 LT 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,488022,INSERT TIB KN 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,488023,INSERT TIB KN SZ3 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,488024,COMPNT NXGN FEM SZG RT,7530.0,7530.0,1129.5,7530.0,30
CDM,488025,INSERT TIB KN SZGH 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,488026,NAIL BN TROCH 10MM 36CM,9050.0,9050.0,1357.5,9050.0,30
CDM,488027,FEM POR F NG LPSFLX RT,9301.0,9301.0,1395.15,9301.0,30
CDM,488028,INSERT TIB KN SZ7-10 E-F,4606.0,4606.0,690.9,4606.0,30
CDM,488029,CMPNT TIB KN SZ7,4872.0,4872.0,730.8,4872.0,30
CDM,488030,KIT IM NAIL 11MM 380MM,8602.0,8602.0,1290.3,8602.0,30
CDM,488034,PLATE 1 LEV 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,488035,SCREW BN 3.5MM 15MM,319.0,319.0,47.85,319.0,30
CDM,488036,SHELL ACTB HIP SZF 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,488037,SCREW BN 6.5MM 40MM,877.0,877.0,131.55,877.0,30
CDM,488038,LINER ACTB SZF 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,488039,SHELL ACTB HIP 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,488040,LINER ACTB SZG 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,488041,BIT DRILL 2.3MM 20MM,773.0,773.0,115.95,773.0,42
CDM,488042,GRAFT CV 28MM 40CM,5460.0,5460.0,819.0,5460.0,30
CDM,488043,GRAFT CV 32MM 40CM,5460.0,5460.0,819.0,5460.0,30
CDM,488044,INSRT TIB 2.5 8MM AP CRV,4606.0,4606.0,690.9,4606.0,30
CDM,488045,INSRET TIB KN 5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,488046,INSERT TIB KN SZ 3 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,488047,LINER ACTB HIP+4X40X66MM,6644.0,6644.0,996.6,6644.0,30
CDM,488048,SCREW BN 6.5MM 50MM,877.0,877.0,131.55,877.0,30
CDM,488049,SCREW BN 6.5MM 55MM,877.0,877.0,131.55,877.0,30
CDM,488050,SCREW BN 6.5MM 45MM,877.0,877.0,131.55,877.0,30
CDM,488051,PLATE BN MDFC 4HL .5MM,3189.0,3189.0,478.35,3189.0,30
CDM,488052,PLATE SYNT CONTOUR MESH,5599.0,5599.0,839.85,5599.0,30
CDM,488053,EXTRCTR SURG 5/16-18MM,1842.0,1842.0,276.3,1842.0,42
CDM,488054,GRAFT CV 34MM 40CM,5460.0,5460.0,819.0,5460.0,30
CDM,488055,NAIL BN 10MM 26CM,4872.0,4872.0,730.8,4872.0,30
CDM,488056,LINER ACTB HIP36X54X56MM,4429.0,4429.0,664.35,4429.0,30
CDM,488057,BEARING KN 79/83X13MM,4606.0,4606.0,690.9,4606.0,30
CDM,488058,INSERT TIB 2 8MM CMNT,4606.0,4606.0,690.9,4606.0,30
CDM,488059,STEM FEM HIP 163MM 135D,8858.0,8858.0,1328.7,8858.0,30
CDM,488060,CAGE SPN 8MM 17MM,8238.0,8238.0,1235.7,8238.0,30
CDM,488061,PLATE SPN 4MM 8MM,3389.0,3389.0,508.35,3389.0,30
CDM,488062,SCREW SPN 3.2MM 9MM,753.0,753.0,112.95,753.0,30
CDM,488065,REAMER SURG 12MM DISP,2879.5,2879.5,431.93,2879.5,42
CDM,488066,SCREW LNCER PAX 6.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,488067,NAIL BN 12X240MM,7845.0,7845.0,1176.75,7845.0,30
CDM,488069,CAP END T25 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,488070,SCREW SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,488071,SCREW BN 5MM 42MM,2392.0,2392.0,358.8,2392.0,30
CDM,488072,COMPNT KN COATED TIB 75,4606.0,4606.0,690.9,4606.0,30
CDM,488073,STEM KN TIB FIN 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,488074,PLATE BN 2.7X3.5X151MM,4123.0,4123.0,618.45,4123.0,30
CDM,488075,PLATE 60 TI 3 LVL SKYLN,4429.0,4429.0,664.35,4429.0,30
CDM,488076,CONN ROD SPN 39MM,3765.0,3765.0,564.75,3765.0,30
CDM,488077,IMPL TI6AL4V ALLOY/PORUS,41190.0,41190.0,6178.5,41190.0,30
CDM,488078,IMPL TI6AL4V ALLOY/PORUS,41190.0,41190.0,6178.5,41190.0,30
CDM,488079,HEAD HUM SHLDR SZ2,12845.0,12845.0,1926.75,12845.0,30
CDM,488080,HEAD HUM SHLDR 16MM 43MM,4872.0,4872.0,730.8,4872.0,30
CDM,488081,SCREW LNCR PLYAXL 8.5X90,3765.0,3765.0,564.75,3765.0,30
CDM,488082,IMPLANT BREAST 560CC,4429.0,4429.0,664.35,4429.0,30
CDM,488083,IMPLANT BREAST 605CC,4429.0,4429.0,664.35,4429.0,30
CDM,488084,IMPLANT BREAST 650CC,4429.0,4429.0,664.35,4429.0,30
CDM,488086,NAIL BN 11.5MM 36CM,6201.0,6201.0,930.15,6201.0,30
CDM,488087,SCREW BN HEX 2.7X20MM,319.0,319.0,47.85,319.0,30
CDM,488089,STEM FEM 267MM 17MM REV,12909.0,12909.0,1936.35,12909.0,30
CDM,488090,INSERT ACTB HIP 62X40MM,6644.0,6644.0,996.6,6644.0,30
CDM,488091,SCREW BN 3.5MM 36MM,319.0,319.0,47.85,319.0,30
CDM,488092,SCREW BN 3.5MM 5MM 50MM,2392.0,2392.0,358.8,2392.0,30
CDM,488093,SCREW BN 3.5MM 40MM,319.0,319.0,47.85,319.0,30
CDM,488094,SCREW BN 3.5MM 80MM,319.0,319.0,47.85,319.0,30
CDM,488095,SCREW BN 3.5MM 70MM,1356.0,1356.0,203.4,1356.0,30
CDM,488096,KIT AOR VLV 14FR 20MM,124963.0,124963.0,18744.45,124963.0,30
CDM,488097,SPCR SPNL VERT 28X11X11,11073.0,11073.0,1660.95,11073.0,30
CDM,488098,INSERT ARTC KN 6-9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488099,PLATE SPN 5LVL 39MM,4429.0,4429.0,664.35,4429.0,30
CDM,488100,INSERT 11MM MEDIAL IPOLY,4429.0,4429.0,664.35,4429.0,30
CDM,488101,INSERT TIB LAT ORT G2,4429.0,4429.0,664.35,4429.0,30
CDM,488102,CEMENT BN CA PHOS 10ML,10830.0,10830.0,1624.5,10830.0,30
CDM,488103,TRAY TIB. COCR.1.5,4606.0,4606.0,690.9,4606.0,30
CDM,488104,SCREW BN STRL LCK 5X26MM,2143.0,2143.0,321.45,2143.0,30
CDM,488105,SCREW BN 3X1.6X2.9MM SLF,1167.0,1167.0,175.05,1167.0,30
CDM,488106,PLATE BN LT/6H 3.5X158MM,5045.0,5045.0,756.75,5045.0,30
CDM,488107,PLATE SPN 2LVL 31MM,4429.0,4429.0,664.35,4429.0,30
CDM,488108,PLATE BN RT 3.5MM 87MM,5762.0,5762.0,864.3,5762.0,30
CDM,488109,SCREW BN LCK 3.5MM 75MM,1781.0,1781.0,267.15,1781.0,30
CDM,488110,SCREW BN 3.5MM 34MM,1781.0,1781.0,267.15,1781.0,30
CDM,488111,BIT DRILL 3.5MM 155MM,982.0,982.0,147.3,982.0,42
CDM,488112,BIT DRILL 4.5MM,773.0,773.0,115.95,773.0,42
CDM,488113,SCREW BN 5.7MM 75MM,2392.0,2392.0,358.8,2392.0,30
CDM,488114,SCREW BN LCK 4.5MM 44MM,1738.0,1738.0,260.7,1738.0,30
CDM,488115,SCREW BN 4.5MM 34MM,399.0,399.0,59.85,399.0,30
CDM,488116,PLATE BN 4.5MM 399MM,4872.0,4872.0,730.8,4872.0,30
CDM,488117,SCREW BN 4.5MM 8MM 44MM,399.0,399.0,59.85,399.0,30
CDM,488118,SCREW BN 4.5MM 38MM,399.0,399.0,59.85,399.0,30
CDM,488119,SCREW BN 4.5MM 40MM,399.0,399.0,59.85,399.0,30
CDM,488120,SCREW BN 4.5MM 36MM,505.0,505.0,75.75,505.0,30
CDM,488122,SCREW 9X55MM XPDM CORT,4429.0,4429.0,664.35,4429.0,30
CDM,488123,CONN ROD SPN GRN 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,488124,ROD 3.5-5.5MM TRAN 400MM,2711.0,2711.0,406.65,2711.0,30
CDM,488125,DILATOR PENL DISP 9-16MM,773.0,773.0,115.95,773.0,42
CDM,488126,REAMER RIA TUBE 520MM,3468.5,3468.5,520.27,3468.5,42
CDM,488128,VALVE SHNT CNTRL REG MED,4429.0,4429.0,664.35,4429.0,30
CDM,488129,CMPNT TIB KN PLT SZ5,17798.0,17798.0,2669.7,17798.0,30
CDM,488130,SRFC ARTC KN SZF77X44X20,7858.0,7858.0,1178.7,7858.0,30
CDM,488131,HEAD HIP FEM 0D M 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,488132,LINER HIP 62MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,488133,AUGMENT FEM 4MM RT TC3,4429.0,4429.0,664.35,4429.0,30
CDM,488134,AUGMENT FEM 4MM PST TC3,4429.0,4429.0,664.35,4429.0,30
CDM,488135,CMPNT FEM 1.5 57X53MM KN,13955.0,13955.0,2093.25,13955.0,30
CDM,488136,INSERT TIB 1.5 17.5MM KN,6265.0,6265.0,939.75,6265.0,30
CDM,488137,WEDGE STP MBT SZ1.5 5MM,4612.0,4612.0,691.8,4612.0,30
CDM,488138,INSERT TIB KN SZ8 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,488139,HEAD FEM HIP 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,488140,INSRT TIB 2 10MM KN UHMW,6265.0,6265.0,939.75,6265.0,30
CDM,488141,SPACER SPNL 60X22X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,488142,STENT EPRSTH 8MM 10CM,13758.0,13758.0,2063.7,13758.0,30
CDM,488143,HEAD HUM ASC FLX 52X23MM,4872.0,4872.0,730.8,4872.0,30
CDM,488144,COMPNT KN TIB F 87MM,4606.0,4606.0,690.9,4606.0,30
CDM,488145,BEARING KN PS 87/91X16,4606.0,4606.0,690.9,4606.0,30
CDM,488146,SCREW 8X60MM XPDM P AX,3765.0,3765.0,564.75,3765.0,30
CDM,488147,STENT TRCHBR 20X60X5.1MM,13066.0,13066.0,1959.9,13066.0,30
CDM,488148,INSERT TIB KN 16MM LT,4606.0,4606.0,690.9,4606.0,30
CDM,488149,CMPTN KN PTLR 3 10MM,4252.0,4252.0,637.8,4252.0,30
CDM,488150,PLT 2X2 7MM BRDG TAB.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,488151,HEAD FEM HIP +5MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,488152,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,488153,SCREW BN 6.5X15MM,877.0,877.0,131.55,877.0,30
CDM,488154,LINER ACTB 40X60MM,5315.0,5315.0,797.25,5315.0,30
CDM,488155,SHELL ACTB HIP 74MM,9543.0,9543.0,1431.45,9543.0,30
CDM,488156,CAGE ACTB HIP 72/74X64MM,9527.0,9527.0,1429.05,9527.0,30
CDM,488157,TRAIL HIP DISP 72/74,4296.0,4296.0,644.4,4296.0,42
CDM,488158,ANCHOR SUT 7.0MM 19.5MM,3236.0,3236.0,485.4,3236.0,30
CDM,488159,SPCR SPN 33X12X9MM TR PK,9667.0,9667.0,1450.05,9667.0,30
CDM,488160,PLATE BN 4HL 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,488161,DRILL TWST1.5X7MM RT ANG,1942.0,1942.0,291.3,1942.0,42
CDM,488163,LINER ACTB HIP 65MM,6644.0,6644.0,996.6,6644.0,30
CDM,488165,COMP FEM KN 74MM,7087.0,7087.0,1063.05,7087.0,30
CDM,488166,INSERT TIB KN 80MM,4428.0,4428.0,664.2,4428.0,30
CDM,488167,COMP TIB KN 25X80X48MM,7087.0,7087.0,1063.05,7087.0,30
CDM,488168,LINER ACETB 10DD +4 OD46,4429.0,4429.0,664.35,4429.0,30
CDM,488169,CMPNT AUG KN LT SZ3 12MM,4252.0,4252.0,637.8,4252.0,30
CDM,488174,SCREW BN 2.7MM 16MM,563.0,563.0,84.45,563.0,30
CDM,488175,IMPLNT SUPRAFOIL 9X10CM,905.0,905.0,135.75,905.0,30
CDM,488176,BLADE SHVR 2.5MM,572.0,572.0,85.8,572.0,42
CDM,488179,SCREW BN 7MM 8MM 100MM,2790.0,2790.0,418.5,2790.0,30
CDM,488180,SCREW BN 7MM 8MM 95MM,3136.0,3136.0,470.4,3136.0,30
CDM,488181,PLATE TIB OPTN NXGN 7,4606.0,4606.0,690.9,4606.0,30
CDM,488182,COMPONEN ARTCSURF F 5-6-,4606.0,4606.0,690.9,4606.0,30
CDM,488183,PLATE BN 6HL 2.4MM 66MM,5195.0,5195.0,779.25,5195.0,30
CDM,488184,ROD CONN SPN 6.35/5.5MM,3287.0,3287.0,493.05,3287.0,30
CDM,488185,GWIRE ORTH 1.4MM,294.0,294.0,44.1,294.0,42
CDM,488186,GUIDEWIRE ORTH 2.3MM,386.5,386.5,57.98,386.5,42
CDM,488187,BIT DRILL BLUE 4.7MM,386.5,386.5,57.98,386.5,42
CDM,488188,COUNTERSINK DISP 7MM,1357.0,1357.0,203.55,1357.0,42
CDM,488189,SCREW 7X75 SHRT THRD SS,3189.0,3189.0,478.35,3189.0,30
CDM,488190,SCREW BN 7MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,488191,BIT DRILL 2.7MM CANN,386.5,386.5,57.98,386.5,42
CDM,488193,SCREW BN FT 4X37.5MM,2392.0,2392.0,358.8,2392.0,30
CDM,488194,SCREW BN 4MM 35MM,2392.0,2392.0,358.8,2392.0,30
CDM,488195,GRAFT EVAS 26X14.5M 14CM,44268.0,44268.0,6640.2,44268.0,30
CDM,488196,BIT DRL 12.7CM 2.5MM,773.0,773.0,115.95,773.0,42
CDM,488198,SCREW BN 2.4MM 10MM,633.0,633.0,94.95,633.0,30
CDM,488199,SCREW BN 4MM 52MM,2663.0,2663.0,399.45,2663.0,30
CDM,488204,PLATE SPN 1 LVL 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,488205,PLATE SPN 2LVL 43MM,4429.0,4429.0,664.35,4429.0,30
CDM,488206,SCREW SPN 5.5MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,488207,NAIL FEM CANN 11MM 360MM,8478.0,8478.0,1271.7,8478.0,30
CDM,488208,COMP HIP 24X75MM,10404.0,10404.0,1560.6,10404.0,30
CDM,488209,CMPNT BEARING LT SM 3MM,4606.0,4606.0,690.9,4606.0,30
CDM,488210,CMPNT BEARING RT SM 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,488211,STRUT CORT 125MMFRZ,3012.0,3012.0,451.8,3012.0,30
CDM,488212,PLATE SPN LVL 3 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,488213,SPACER SPN 36X28X10MM 8D,11073.0,11073.0,1660.95,11073.0,30
CDM,488216,ROD MD CRV PERCUTNS 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,488217,STEM FEM SZ6 LT EVOL REV,14306.0,14306.0,2145.9,14306.0,30
CDM,488218,STEM EXTN FEM 18 X 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,488219,AUG KN RV POST SZ6 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,488220,SCREW SPN 7.5X45 PLYAXL,3389.0,3389.0,508.35,3389.0,30
CDM,488221,SCREW SPN 7.5X50 PLYAXL,3389.0,3389.0,508.35,3389.0,30
CDM,488222,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,488223,SCREW BN 4MM 56MM,352.0,352.0,52.8,352.0,30
CDM,488224,SCREW BN SPN 6.5MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,488225,PLATE BN 8HL 194MM 3.5MM,5966.0,5966.0,894.9,5966.0,30
CDM,488226,INSERT TIB KN 22.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,488228,GRAFT SYN 48X43X6MM,5209.0,5209.0,781.35,5209.0,30
CDM,488229,SCREW BN 1.5MM 44MM SLFD,1184.0,1184.0,177.6,1184.0,30
CDM,488230,SCREW BN CRNMXF 1.5X5MM,1184.0,1184.0,177.6,1184.0,30
CDM,488231,COVER CMF BUR H 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,488232,PLATE BN SM 4HL 0.4MM,3189.0,3189.0,478.35,3189.0,30
CDM,488233,PLT TIBIOTLR TTC FUSN RT,14209.0,14209.0,2131.35,14209.0,30
CDM,488234,WIRE ORT OLIVE MAXLK SET,452.0,452.0,67.8,452.0,42
CDM,488236,BIT DRL 2.4MM,386.5,386.5,57.98,386.5,42
CDM,488237,SCREW BN 7MM 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,488238,SCREW BN 4MM 30MM NLCKG,319.0,319.0,47.85,319.0,30
CDM,488239,SCREW NLCKG 4X35MM,993.0,993.0,148.95,993.0,30
CDM,488240,SCREW BN 4MM 37.5MM,993.0,993.0,148.95,993.0,30
CDM,488241,SCREW BN 4MM 45MM NLCKG,993.0,993.0,148.95,993.0,30
CDM,488242,SCREW BN 4MM 50MM,993.0,993.0,148.95,993.0,30
CDM,488243,SCREW BN 3.5MM 40MM,319.0,319.0,47.85,319.0,30
CDM,488244,SCREW BN 3.5MM 50MM,993.0,993.0,148.95,993.0,30
CDM,488245,SCREW BN 3.5MM 37.5MM MX,319.0,319.0,47.85,319.0,30
CDM,488246,SCREW BN 3.5X47.5MM,993.0,993.0,148.95,993.0,30
CDM,488247,GUIDE PIN 12IN 3.2MM,464.0,464.0,69.6,464.0,42
CDM,488248,PLATE BN 10H 3.5MM 187MM,7075.0,7075.0,1061.25,7075.0,30
CDM,488249,IMPL EYLD WGHT SPHR 1GM,3460.0,3460.0,519.0,3460.0,30
CDM,488250,SCREW BN CANC 4X60X15MM,341.0,341.0,51.15,341.0,30
CDM,488251,INSERT TIB BRNG CS8 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,488252,SPCR SPN 27X12X8MM TR PK,9667.0,9667.0,1450.05,9667.0,30
CDM,488253,INSRT EVOLTN MP ADPTV CS,4606.0,4606.0,690.9,4606.0,30
CDM,488254,PLATE BN 2X2H7X8X20MM,3189.0,3189.0,478.35,3189.0,30
CDM,488255,PLATE BN 0.6MM 17MM,3189.0,3189.0,478.35,3189.0,30
CDM,488256,PLATE LCP 5H 2.4X44MM,3189.0,3189.0,478.35,3189.0,30
CDM,488257,SCREW BN 2.4MM 9MM,998.0,998.0,149.7,998.0,30
CDM,488258,SCREW BN ST 2.4MM 8MM,2137.0,2137.0,320.55,2137.0,30
CDM,488259,SCREW BN ST 2.4MM 9MM,2137.0,2137.0,320.55,2137.0,30
CDM,488263,BIT DRL LTD 220X3MM,386.5,386.5,57.98,386.5,42
CDM,488267,AUGMENT FEM KN SZ6 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,488270,SRFC ARTC SZEF 3-4 H20,5700.0,5700.0,855.0,5700.0,30
CDM,488271,SCREW SPN 7.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,488272,PLATE SPN 1LVL 23MM,4429.0,4429.0,664.35,4429.0,30
CDM,488273,SCREW SPN 4MM 17MM,1130.0,1130.0,169.5,1130.0,30
CDM,488274,SCREW SPN 4MM 17MM,1130.0,1130.0,169.5,1130.0,30
CDM,488275,CONE KN AUG SMTR SZB,11757.0,11757.0,1763.55,11757.0,30
CDM,488276,INSERT TIB KN 13XSM/SM,4606.0,4606.0,690.9,4606.0,30
CDM,488277,STEM KN ADPT R 15X155MM,4429.0,4429.0,664.35,4429.0,30
CDM,488278,BASEPLATE KN SZ SM-2,8861.0,8861.0,1329.15,8861.0,30
CDM,488279,STENT EPRSTH 45MM 20CM,57291.0,57291.0,8593.65,57291.0,30
CDM,488280,CMPNT FEM KN LT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,488281,PLATE DCS 95DG 8H 28198S,4664.0,4664.0,699.6,4664.0,30
CDM,488282,STEM 18MM PRESS FIT BOW,14381.0,14381.0,2157.15,14381.0,30
CDM,488284,PLT MESH300X150MM SUBTMP,6700.0,6700.0,1005.0,6700.0,30
CDM,488285,HEAD FEM HIP +12S 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,488286,SCREW CANC POLY 3.5MM,4120.0,4120.0,618.0,4120.0,30
CDM,488287,CAGE SPN 55X18X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,488288,CUP ACTB CRWN G3 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,488289,HEAD FEM HIP +0MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,488290,WEDGE TIB KN 2.5X5MM,4612.0,4612.0,691.8,4612.0,30
CDM,488291,INSERT TIB KN SZ2 15MM,6265.0,6265.0,939.75,6265.0,30
CDM,488292,SCREW BN SPN 8.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,488293,HEAD HUM SHLDR 19X50MM,6976.0,6976.0,1046.4,6976.0,30
CDM,488294,NAIL BN 125D 10MM 38CM,9050.0,9050.0,1357.5,9050.0,30
CDM,488295,LINER ACTB HIP SZKK 32MM,6644.0,6644.0,996.6,6644.0,30
CDM,488296,COLLAR SUT SHLDR 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,488301,SCREW BN 4MM 40MM,2392.0,2392.0,358.8,2392.0,30
CDM,488302,SCREW BN 7MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,488303,SCREW BN 7X65MM L/T ANKL,3189.0,3189.0,478.35,3189.0,30
CDM,488304,GUIDEWIRE ORTH 1.9MM,386.5,386.5,57.98,386.5,42
CDM,488305,BIT DRILL CANN 3.7MM,386.5,386.5,57.98,386.5,42
CDM,488306,SCREW BN 5.5MM 37.5MM,2790.0,2790.0,418.5,2790.0,30
CDM,488307,KWIRE FX 1.1MM,386.5,386.5,57.98,386.5,42
CDM,488308,PLATE MXLCK 2SLT BETA,4429.0,4429.0,664.35,4429.0,30
CDM,488309,SCREW BN 3.5MM 35MM,319.0,319.0,47.85,319.0,30
CDM,488310,SCREW MXLCK 3.5X32.5MM,319.0,319.0,47.85,319.0,30
CDM,488312,ANCHOR SUT 8.0MM 19.5MM,3236.0,3236.0,485.4,3236.0,30
CDM,488314,CMPNT AUG KN WDG SZ5 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,488315,INS EVOLCS SZ5/3 RT 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,488316,PLT SDBYSD 6MM MOUTH 6MM,3389.0,3389.0,508.35,3389.0,30
CDM,488317,PLATE SPN 4MM 6MM,3389.0,3389.0,508.35,3389.0,30
CDM,488318,HEAD HIP 28MM 39MM,4252.0,4252.0,637.8,4252.0,30
CDM,488319,LINER HIP 48MM 28MM,9070.0,9070.0,1360.5,9070.0,30
CDM,488320,STEM HUM 137.5D 94MM,12955.0,12955.0,1943.25,12955.0,30
CDM,488321,WEDGE KN FEM 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,488322,SCREW BN SPN 5.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,488323,SCREW SPN 5.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,488324,CONN ROD SPN 6.35MM,3012.0,3012.0,451.8,3012.0,30
CDM,488327,SCREW BN 3.5X38MM,1781.0,1781.0,267.15,1781.0,30
CDM,488328,SCREW BN 3.5X50MM,2000.0,2000.0,300.0,2000.0,30
CDM,488329,SCREW BN 3.5MM 58MM,2000.0,2000.0,300.0,2000.0,30
CDM,488330,SCREW BN 3.5MM 80MM,1781.0,1781.0,267.15,1781.0,30
CDM,488331,VALVE AORTIC 31MM,16226.0,16226.0,2433.9,16226.0,30
CDM,488332,KIT DRILL BIT DISP 2.0MM,1716.5,1716.5,257.48,1716.5,42
CDM,488333,STAPLE BN 10X10X13MM,4127.0,4127.0,619.05,4127.0,30
CDM,488334,CNTRSNK DRL 5.5MM,1185.0,1185.0,177.75,1185.0,42
CDM,488336,SCREW BN NLCK 3.5MM 30MM,319.0,319.0,47.85,319.0,30
CDM,488337,PLT SLOTLS ALPA LPS MXLK,4336.0,4336.0,650.4,4336.0,30
CDM,488338,SCREW BN 5.5MM 40MM,2790.0,2790.0,418.5,2790.0,30
CDM,488339,SCREW BN 7MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,488340,SCR BN S/T CANN 5.5X50MM,2790.0,2790.0,418.5,2790.0,30
CDM,488341,SCREW BN 3.5MM 24MM NLCK,319.0,319.0,47.85,319.0,30
CDM,488342,SCREW NON LOCKG 3.5 X 26,319.0,319.0,47.85,319.0,30
CDM,488343,SCREW NLCKG 3.5X24MM,993.0,993.0,148.95,993.0,30
CDM,488344,CMPNT FEM KN RT SZD,7530.0,7530.0,1129.5,7530.0,30
CDM,488345,STEM HIP CMNT 3 RT 150MM,17450.0,17450.0,2617.5,17450.0,30
CDM,488346,STEM FEM KN 120MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,488347,BASEPLATE TIB KN SZ2,8010.0,8010.0,1201.5,8010.0,30
CDM,488348,CMPNT TIB KN 13MM SZ1-2,4429.0,4429.0,664.35,4429.0,30
CDM,488349,SCREW SPN 6.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,488350,BEARING KN 63/67X13MM,4606.0,4606.0,690.9,4606.0,30
CDM,488351,PLATE CERV 66MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,488352,KIT GENERATOR NRSTM IPG,76622.0,76622.0,11493.3,76622.0,30
CDM,488353,KIT NRSTM CHARGING,7674.0,7674.0,1151.1,7674.0,42
CDM,488354,SCREW BN SPN 9.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
CDM,488355,CONN ROD 30MM 6.35MM SPN,3765.0,3765.0,564.75,3765.0,30
CDM,488357,SCREW BN 3.5X22MM,1834.0,1834.0,275.1,1834.0,30
CDM,488358,SCREW BN 5.5MM 32.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,488360,STEM FEM HIP SZ6 151MM,8858.0,8858.0,1328.7,8858.0,30
CDM,488361,HEAD HUM SHLDR 18MM 48MM,5944.0,5944.0,891.6,5944.0,30
CDM,488364,HEAD HUM SHLDR 23MM 54MM,6976.0,6976.0,1046.4,6976.0,30
CDM,488365,CMPNT GLND CAGE MED,5426.0,5426.0,813.9,5426.0,30
CDM,488366,SCREW SPN 8.5MM 70MM,3389.0,3389.0,508.35,3389.0,30
CDM,488367,INSERT TIB 4 17MM KN MOD,4429.0,4429.0,664.35,4429.0,30
CDM,488368,STEM KN FEM EXT 10X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,488370,CMPNT BEARING RT XSM 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,488371,CMPNT TIB TRAY 91,8303.0,8303.0,1245.45,8303.0,30
CDM,488372,BEARING KN PS 87/91X18,4606.0,4606.0,690.9,4606.0,30
CDM,488373,PLATE BN 4H 2.7/3.5MM,6374.0,6374.0,956.1,6374.0,30
CDM,488374,SCREW BN 3.5X22MM,620.0,620.0,93.0,620.0,30
CDM,488375,SCREW BN 3.5MM 24MM SS,620.0,620.0,93.0,620.0,30
CDM,488376,PLT CLVRLF LNG64 2.4/2.7,4539.0,4539.0,680.85,4539.0,30
CDM,488377,WEDGE KN SZ6 5MM 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,488378,SCREW BN 11MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,488379,PLATE SPN 4MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,488380,SCREW BN 4.5MM 85MM,447.0,447.0,67.05,447.0,30
CDM,488381,SCREW BN SLFTP 4.5X90MM,447.0,447.0,67.05,447.0,30
CDM,488382,SCREW BN 4.5MM 100MM,447.0,447.0,67.05,447.0,30
CDM,488383,HEAD HUM SHLDR 18MM 48MM,5944.0,5944.0,891.6,5944.0,30
CDM,488384,SCREW BN 7MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,488385,SCREW BN 5.5MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,488386,WASHER CNTOR 7MM,319.0,319.0,47.85,319.0,30
CDM,488387,GUIDE SZNG IMPLNT CMPRSN,773.0,773.0,115.95,773.0,42
CDM,488388,KIT DRLBT 2.65MM,3168.0,3168.0,475.2,3168.0,42
CDM,488389,STAPLE BN KIT 15X15X15MM,7237.0,7237.0,1085.55,7237.0,30
CDM,488390,PLATE BN LCK 11HL 1.8MM,4429.0,4429.0,664.35,4429.0,30
CDM,488391,BIT SCRDRVR HEX 25X3.5MM,386.5,386.5,57.98,386.5,42
CDM,488392,INSRT EVOL MP ADAPTVE CS,4606.0,4606.0,690.9,4606.0,30
CDM,488393,SCREW BN 4.6X18MM,1196.0,1196.0,179.4,1196.0,30
CDM,488394,SPACER SPNL 32X10X14MM,9966.0,9966.0,1494.9,9966.0,30
CDM,488395,PLATE TIB MTL MOD SZ6,6245.0,6245.0,936.75,6245.0,30
CDM,488396,BOLT ORTH 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,488397,COMP FEM KN LT SZ3,6312.0,6312.0,946.8,6312.0,30
CDM,488399,INSERT TIB KN SZ3-4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,488400,COMPONENT FEM KN RT SZ3,6312.0,6312.0,946.8,6312.0,30
CDM,488401,SCREW SPN 5.5MM 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,488402,SCREW 4.5MMX28MM,4247.0,4247.0,637.05,4247.0,30
CDM,488403,CROSS CONCTR 33-42MM,28346.0,28346.0,4251.9,28346.0,30
CDM,488404,PLATE FEM BN RT 13HL,5441.0,5441.0,816.15,5441.0,30
CDM,488406,SPACER SPNL 25X11X16MM,9966.0,9966.0,1494.9,9966.0,30
CDM,488407,PLATE BN LT 2.7/3.5X125,4429.0,4429.0,664.35,4429.0,30
CDM,488408,STEM L100MM OD14MM,4252.0,4252.0,637.8,4252.0,30
CDM,488409,SCRW 9.5X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,488410,PLATE BN 4H 80MM,3721.0,3721.0,558.15,3721.0,30
CDM,488411,SCREW BN 5MM 46MM,2392.0,2392.0,358.8,2392.0,30
CDM,488412,SCREW BN 15MM ORTH S/T R,877.0,877.0,131.55,877.0,30
CDM,488413,SLEEVE HEAD HIP 12/14 -4,3036.0,3036.0,455.4,3036.0,30
CDM,488414,MNPLT SURG PEG REM PIN,560.5,560.5,84.08,560.5,42
CDM,488415,SCREW BN CANC 4X34X10MM,341.0,341.0,51.15,341.0,30
CDM,488416,CMPNT TIB KN SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,488417,COMPNT FEM KN LT SZG,7530.0,7530.0,1129.5,7530.0,30
CDM,488418,INSERT ARTC KN 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,488419,INSERT TIB KN SZ1-2 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,488420,BASEPLATE TIB KN RT LNG,4606.0,4606.0,690.9,4606.0,30
CDM,488421,SCREW BN 4.5MM 8MM 105MM,607.0,607.0,91.05,607.0,30
CDM,488422,SCREW BN CORT 4.5X110MM,455.0,455.0,68.25,455.0,30
CDM,488425,SCREW BN 2MM 22MM,625.0,625.0,93.75,625.0,30
CDM,488426,SCREW BN 24MM 2MM,499.0,499.0,74.85,499.0,30
CDM,488427,SCREW BN 2MM 26MM,520.0,520.0,78.0,520.0,30
CDM,488428,SCREW BN 2.7MM 42MM,1571.0,1571.0,235.65,1571.0,30
CDM,488429,SCREW TI L32 OD3MM ORTH,1913.0,1913.0,286.95,1913.0,30
CDM,488430,SCREW BN 3MM 12MM,1754.0,1754.0,263.1,1754.0,30
CDM,488431,SCREW BN 3MM 20MM,1754.0,1754.0,263.1,1754.0,30
CDM,488432,SCREW BN 3MM 20MM,1754.0,1754.0,263.1,1754.0,30
CDM,488433,SCREW BN 3MM 22MM,1754.0,1754.0,263.1,1754.0,30
CDM,488435,PLATE BN STNDRD LT,4429.0,4429.0,664.35,4429.0,30
CDM,488437,BASEPLATE TIB KN RT SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,488438,SRFC ARTC UCMPRT 4 H10,4429.0,4429.0,664.35,4429.0,30
CDM,488439,COMPNT ARTC KN 23MM,4606.0,4606.0,690.9,4606.0,30
CDM,488440,SCREW BN 2.0MM 14MM,634.0,634.0,95.1,634.0,30
CDM,488441,SCREW BN 3.5X50 2.7MM,319.0,319.0,47.85,319.0,30
CDM,488442,TRAB METAL FEMORAL CONE,12756.0,12756.0,1913.4,12756.0,30
CDM,488443,WEDGE TIB KN 3-4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,488444,COMPNT FEM KN LT SZ6,17394.0,17394.0,2609.1,17394.0,30
CDM,488445,CMPNT KN LGN 10X5MM,4606.0,4606.0,690.9,4606.0,30
CDM,488446,INSERT ARTC KN SZ3-4 9MM,5823.0,5823.0,873.45,5823.0,30
CDM,488447,WEDGE FEM KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488451,CMPNT KN FEM LT 75MM,20626.0,20626.0,3093.9,20626.0,30
CDM,488452,WEDGE DSTL LO/RI 75X10,4606.0,4606.0,690.9,4606.0,30
CDM,488453,WEDGE KN AUG RO/LI 75X5,4606.0,4606.0,690.9,4606.0,30
CDM,488454,BEARING KN PS+ 87/91X16,4606.0,4606.0,690.9,4606.0,30
CDM,488455,STEM KN FEM SP EXT22X120,5054.0,5054.0,758.1,5054.0,30
CDM,488456,SPACER SPNL 33X12X12MM,9667.0,9667.0,1450.05,9667.0,30
CDM,488457,COMPNT FEM 12MM 2.5 LT,4429.0,4429.0,664.35,4429.0,30
CDM,488458,PLATE SPN 3LVL 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,488459,COMPNT KN RT SZ3,6312.0,6312.0,946.8,6312.0,30
CDM,488460,STEM ULNAR WRIST SZ3,16044.0,16044.0,2406.6,16044.0,30
CDM,488461,HEAD ULNAR WRIST SZ3,6000.0,6000.0,900.0,6000.0,30
CDM,488462,ANCHOR SUT SZ 2 36IN,3721.0,3721.0,558.15,3721.0,30
CDM,488463,ANCHOR SUT SZ2-0,3721.0,3721.0,558.15,3721.0,30
CDM,488464,ANCHOR SUT ORTHO 1.3MM,3721.0,3721.0,558.15,3721.0,30
CDM,488465,SCREW BN 3MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,488466,WASHER ORTH 13.5MM 4MM,377.0,377.0,56.55,377.0,30
CDM,488467,WASHER SPK 13.5MM 5.5MM,1925.0,1925.0,288.75,1925.0,30
CDM,488468,PLATE BN GRIP SHRT 50MM,4518.0,4518.0,677.7,4518.0,30
CDM,488469,PLATE BN GRIP 2HL 135MM,6086.0,6086.0,912.9,6086.0,30
CDM,488470,PLATE BN GRIP 4HL 190MM,8903.0,8903.0,1335.45,8903.0,30
CDM,488471,PLATE 185MM 6H GRIP SUPE,5368.0,5368.0,805.2,5368.0,30
CDM,488472,PLATE BN 8HL 240MM,9673.0,9673.0,1450.95,9673.0,30
CDM,488473,PLATE CABLE ORTH 10H STR,8478.0,8478.0,1271.7,8478.0,30
CDM,488474,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,488475,PLATE SPN 1LVL 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,488476,SCREW BN SPN 3.5MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,488477,INSERT TIB KN SZ4 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,488478,INSR HI FLEX SZ3-4 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,488479,INSERT TIB 2.5 L20.0MM K,4429.0,4429.0,664.35,4429.0,30
CDM,488480,STEM EXT 100 ADV KNEE,4252.0,4252.0,637.8,4252.0,30
CDM,488481,CMPNT WDG KN 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,488482,AUG 4X4MM EVOL REV DIST,4429.0,4429.0,664.35,4429.0,30
CDM,488483,FEM SIZE 4 LFT EVOL REV,14306.0,14306.0,2145.9,14306.0,30
CDM,488484,NAIL BN FEM 11MM 360MM,6437.0,6437.0,965.55,6437.0,30
CDM,488485,BLADE BN 90X10.35MM,4429.0,4429.0,664.35,4429.0,30
CDM,488486,INSERT TIB KN RT 3 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,488487,INSRT EVOL MP ADAPTV CS,4606.0,4606.0,690.9,4606.0,30
CDM,488488,CAGE SPN 6D 30X25X10MM,19532.0,19532.0,2929.8,19532.0,30
CDM,488490,PIN FX SPNE AEG THRD,618.0,618.0,92.7,618.0,30
CDM,488491,SCREW SPN 20MM 5.5MM,1130.0,1130.0,169.5,1130.0,30
CDM,488492,INSERT TIB KN SZ6 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,488494,STENT EPRSTH 6MM 10CM,13758.0,13758.0,2063.7,13758.0,30
CDM,488495,INSERT TIB 96-2145,4429.0,4429.0,664.35,4429.0,30
CDM,488496,SCREW BN 5MM 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,488497,PLATE BN FEM 12H 278MM,4872.0,4872.0,730.8,4872.0,30
CDM,488498,SCREW BN 5MM 14MM,1595.0,1595.0,239.25,1595.0,30
CDM,488518,SPCR SPN ZERO-P 8 PRLL,8637.0,8637.0,1295.55,8637.0,30
CDM,488519,CEMENT BN VOID FLLR 10CC,11214.0,11214.0,1682.1,11214.0,30
CDM,488520,LINER ACTB KN 52MM,6312.0,6312.0,946.8,6312.0,30
CDM,488521,HEAD FEM HIP 12/14 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,488522,COMP FEM 3 56X35MM KN RT,17169.0,17169.0,2575.35,17169.0,30
CDM,488523,BLOCK AUGMT 3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,488524,STEM FEM KN 12MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,488525,INSERT TIB KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,488526,PLATE 153MM SS 2.7/3.5MM,5690.0,5690.0,853.5,5690.0,30
CDM,488527,PLATE BUR H CVR 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,488528,STEM FEM KN 14MM 155MM,4429.0,4429.0,664.35,4429.0,30
CDM,488529,CONE FEM DIAPHYSL 30 LRG,10641.0,10641.0,1596.15,10641.0,30
CDM,488530,INSERT TIB KN SZG-H 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,488531,INSERT TIB KN SZ7 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,488533,CUTTER SURG RETRO 9.0MM,1596.5,1596.5,239.47,1596.5,42
CDM,488534,REAMER SURG 9.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,488535,CMPNT FEM KN SZ8,7087.0,7087.0,1063.05,7087.0,30
CDM,488536,INSERT TIB KN SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,488539,INS TIB 4 20MM KN,18948.0,18948.0,2842.2,18948.0,30
CDM,488540,NAIL FEM CANN 11MM 400MM,6437.0,6437.0,965.55,6437.0,30
CDM,488541,BLADE TFNA HELICAL110MM,4429.0,4429.0,664.35,4429.0,30
CDM,488542,CMPNT SHLDR +6MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,488543,STEM FEM HIP 7.5MM 114MM,10630.0,10630.0,1594.5,10630.0,30
CDM,488544,LINER ACTB MM NTRL 60X36,4606.0,4606.0,690.9,4606.0,30
CDM,488545,ANCHOR SUT 4.5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,488546,KWIRE FX 2 .028IN 9IN,101.5,101.5,15.22,101.5,42
CDM,488547,VALVE TAVR 23MM,115350.0,115350.0,17302.5,115350.0,30
CDM,488548,VALVE TAVR 26MM,115350.0,115350.0,17302.5,115350.0,30
CDM,488549,VALVE TAVR 29MM,115350.0,115350.0,17302.5,115350.0,30
CDM,488550,SYSTEM TAVR 6.7MM 107MM,10795.0,10795.0,1619.25,10795.0,30
CDM,488551,SYSTEM DLV LD 23MM,3192.5,3192.5,478.88,3192.5,42
CDM,488552,SYSTEM DLV LD 26/29MM,3192.5,3192.5,478.88,3192.5,42
CDM,488553,ROD SPNL 4MMX100MM,4061.0,4061.0,609.15,4061.0,30
CDM,488554,ROD SPNL 4MMX120MM,4061.0,4061.0,609.15,4061.0,30
CDM,488555,CONE BDY HIP 23+20,12106.0,12106.0,1815.9,12106.0,30
CDM,488556,HEAD HUM 21MM 44MM SHLDR,5944.0,5944.0,891.6,5944.0,30
CDM,488557,SCREW BN NLCK 3.5MM 10MM,991.0,991.0,148.65,991.0,30
CDM,488558,AUB FEM MTL LT LG 50MM,12756.0,12756.0,1913.4,12756.0,30
CDM,488559,INSERT TIB KN SZEF 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,488561,CONE FEM HIP C STD 60MM,16725.0,16725.0,2508.75,16725.0,30
CDM,488562,STEM FEM HIP 15MM 150MM,9977.0,9977.0,1496.55,9977.0,30
CDM,488563,BODY HUM SHLDR 12 -5,4606.0,4606.0,690.9,4606.0,30
CDM,488564,COLLAR SUT SHLDR 44MM,4252.0,4252.0,637.8,4252.0,30
CDM,488568,CMPNT KN RT SZ3,5094.0,5094.0,764.1,5094.0,30
CDM,488569,INSERT TIB KN SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,488570,SCREW 13MM SKYLN TI SPN,2259.0,2259.0,338.85,2259.0,30
CDM,488571,CAGE SPN 13MM 30MM,10543.0,10543.0,1581.45,10543.0,30
CDM,488572,PLATE BN BUR H XLG 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,488573,SPACER SPN 17X14X7MM 0D,4429.0,4429.0,664.35,4429.0,30
CDM,488574,SCREW SPN CR ANT 4.35X18,2259.0,2259.0,338.85,2259.0,30
CDM,488575,INSERT KN RT SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,488576,PLATE SPN 1 LV 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,488577,COMPNT FEM KN RT SZ4,5094.0,5094.0,764.1,5094.0,30
CDM,488578,STEM TIB KN 15X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,488579,STM FEM HIP 150MM 16MM,14381.0,14381.0,2157.15,14381.0,30
CDM,488580,STM FEM HIP 150MM 17MM,14381.0,14381.0,2157.15,14381.0,30
CDM,488581,STEM FEM HIP 12MM 200MM,9478.0,9478.0,1421.7,9478.0,30
CDM,488582,STEM FEM HIP TYPE1 SZB,16725.0,16725.0,2508.75,16725.0,30
CDM,488583,GRAFT EVAS 26X14.5M 16CM,45597.0,45597.0,6839.55,45597.0,30
CDM,488584,STEM FEM HIP 9MM 117MM,9966.0,9966.0,1494.9,9966.0,30
CDM,488585,SCREW SPN OASYS 3.5X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,488586,SCREW SPN 3.5MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,488587,SCREW SPN 3.5MM 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,488588,ROD SPN 50X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,488589,BLOCKER SPN CONN,753.0,753.0,112.95,753.0,30
CDM,488590,CAGE SPN 0D 12X17X7MM,8238.0,8238.0,1235.7,8238.0,30
CDM,488591,SCREW SPN 3.5MM 14MM,1506.0,1506.0,225.9,1506.0,30
CDM,488592,SCREW SPN 16X3.5MM,1506.0,1506.0,225.9,1506.0,30
CDM,488593,BASEPLATE TIB KN RT SZ7,7609.0,7609.0,1141.35,7609.0,30
CDM,488594,STEM FEM KN 22MM 160MM,4606.0,4606.0,690.9,4606.0,30
CDM,488595,WEDGE KN SZ8 5MM 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488596,COMPONENT FEM KN RT SZ8,18310.0,18310.0,2746.5,18310.0,30
CDM,488597,WEDGE KN 5D SZ8,4606.0,4606.0,690.9,4606.0,30
CDM,488598,CEMENT BN CA PHOS 5ML,4340.0,4340.0,651.0,4340.0,30
CDM,488600,SCREW SPN 6.5MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,488601,NEEDLE SURG ABD 2.5IN,213.0,213.0,31.95,213.0,42
CDM,488603,TUBE INNR 10X8.9X13.8MM,592.0,592.0,88.8,592.0,42
CDM,488605,PLATE SPN 2LV 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,488606,SCREW SKYLN ST 12 OVSZ,1130.0,1130.0,169.5,1130.0,30
CDM,488607,PLATE CROSS CONN 42MM,3765.0,3765.0,564.75,3765.0,30
CDM,488608,CMPNT GLND CAGE MED,5426.0,5426.0,813.9,5426.0,30
CDM,488609,WEDGE KN TIB AUG 67X5,4606.0,4606.0,690.9,4606.0,30
CDM,488610,CAGE SPNL GRN 84-99X21MM,16831.0,16831.0,2524.65,16831.0,30
CDM,488611,ENDPLT SPNL 21MM XRL MED,2259.0,2259.0,338.85,2259.0,30
CDM,488612,PLATE SPN END 0D 26X30MM,4429.0,4429.0,664.35,4429.0,30
CDM,488613,INSRT TIB2.5 11MM PSTSTB,4429.0,4429.0,664.35,4429.0,30
CDM,488614,SCREW BN 6MM 110MM,2073.0,2073.0,310.95,2073.0,30
CDM,488615,CMPNT AGMNT 3X12 DST RT,4252.0,4252.0,637.8,4252.0,30
CDM,488617,INSERT TIB KN R 10MM SZ6,4429.0,4429.0,664.35,4429.0,30
CDM,488620,SCREW BN SPN 3.5MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,488621,SCREW BN SPN 4MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,488622,GRAFT EVAS 14.5MM 14CM,45597.0,45597.0,6839.55,45597.0,30
CDM,488625,SCREW SPNL 4.0MMX22MM,4247.0,4247.0,637.05,4247.0,30
CDM,488626,ROD 3.5X60MM,2711.0,2711.0,406.65,2711.0,30
CDM,488627,ROD 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,488628,PLATE 36MMX 8MM,20197.0,20197.0,3029.55,20197.0,30
CDM,488629,INSERT TIB KN 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,488630,LINER ACTB HIP 50-52X32,4429.0,4429.0,664.35,4429.0,30
CDM,488631,STEM FEM HIP 95MM 20MM,9185.0,9185.0,1377.75,9185.0,30
CDM,488632,CAGE SPN 13X26MM,15158.0,15158.0,2273.7,15158.0,30
CDM,488633,PATELLA LIGA TIB PLATEAU,14173.0,14173.0,2125.95,14173.0,30
CDM,488634,COMPNT TRCHR 2 LT PTLFE,5240.0,5240.0,786.0,5240.0,30
CDM,488635,SCREW SPN 4MM 14MM,2259.0,2259.0,338.85,2259.0,30
CDM,488636,CAGE SPN 10MM 13MM,5188.0,5188.0,778.2,5188.0,30
CDM,488637,HANDPIECE DISP 45D 14MM,4144.5,4144.5,621.67,4144.5,42
CDM,488638,PLATE 25MM SUBTEMPORAL,1899.0,1899.0,284.85,1899.0,30
CDM,488639,NAIL LNG 125D 11X300MM,10166.0,10166.0,1524.9,10166.0,30
CDM,488640,KIT IMPLANT CRNMXF MED,50555.0,50555.0,7583.25,50555.0,30
CDM,488641,STEM FEM HIP 195MM 25MM,10225.0,10225.0,1533.75,10225.0,30
CDM,488642,STEM FEM HIP 25MM 30MM,13476.0,13476.0,2021.4,13476.0,30
CDM,488644,COMPONEN ARTCSURF 3-4-5,4429.0,4429.0,664.35,4429.0,30
CDM,488645,CMPNT TIB KN TRAY 75MM,7888.0,7888.0,1183.2,7888.0,30
CDM,488646,WEDGE KN TIB AUG 75X10,4606.0,4606.0,690.9,4606.0,30
CDM,488647,INSERT TIB PS + 71/75X12,4606.0,4606.0,690.9,4606.0,30
CDM,488648,INSERT TIB KN PST 7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488651,BIT DRILL CANN 4.5MM,2046.5,2046.5,306.98,2046.5,42
CDM,488652,SCREW BN 8MM 32MM,2790.0,2790.0,418.5,2790.0,30
CDM,488653,SCREW BN 8MM 85MM 32MM,2790.0,2790.0,418.5,2790.0,30
CDM,488654,PLATE 188MM 14 HL CMPR,3159.0,3159.0,473.85,3159.0,30
CDM,488655,PLATE BN 14HL 4.5X301MM,9288.0,9288.0,1393.2,9288.0,30
CDM,488656,SCREW BN 5MM 90MM,2406.0,2406.0,360.9,2406.0,30
CDM,488657,SCREW BN VAR 5X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,488658,HEAD HIP V40 LFIT 9-144,4252.0,4252.0,637.8,4252.0,30
CDM,488659,STEM FEM HIP 15X195MM,9185.0,9185.0,1377.75,9185.0,30
CDM,488660,PLATE BN 165X95MM OSTFR,11019.0,11019.0,1652.85,11019.0,30
CDM,488661,PLATE BN 40X40MM OSTFRM,4621.0,4621.0,693.15,4621.0,30
CDM,488662,STEM FEM SZ8 127D 136MM,11073.0,11073.0,1660.95,11073.0,30
CDM,488664,SCREW BN 30MM OD3.5 SROM,877.0,877.0,131.55,877.0,30
CDM,488665,CEMENT BN CA PHOS 16CC,15310.0,15310.0,2296.5,15310.0,42
CDM,488666,PLATE 12.5MM SS 6.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,488667,SCREW BN 2.7MM 44MM,610.0,610.0,91.5,610.0,30
CDM,488668,SCREW BN 2.7MM 48MM SS,1636.0,1636.0,245.4,1636.0,30
CDM,488669,SCREW BN 2.7MM 42MM,1636.0,1636.0,245.4,1636.0,30
CDM,488670,SCREW BN 3.5X26MM,1781.0,1781.0,267.15,1781.0,30
CDM,488672,SCREW BN CORT 3.5MM 14MM,1324.0,1324.0,198.6,1324.0,30
CDM,488673,SCREW BN CORT 3.5MM 16MM,1324.0,1324.0,198.6,1324.0,30
CDM,488674,SCREW BN CORT 3.5MM 10MM,1324.0,1324.0,198.6,1324.0,30
CDM,488675,SPACER SPN 4D 25X11X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,488676,DRILL SUR ROD DISP 2.8MM,1023.5,1023.5,153.53,1023.5,42
CDM,488677,PLATE SPN UNV 25MM,12047.0,12047.0,1807.05,12047.0,30
CDM,488678,SCREW BUTTRESS 25MM ARIA,1130.0,1130.0,169.5,1130.0,30
CDM,488679,PLATE SPN 3LVL 59MM,4429.0,4429.0,664.35,4429.0,30
CDM,488680,SPACER SPN 6MM 11MM 14MM,7370.0,7370.0,1105.5,7370.0,30
CDM,488681,SPACER SPN 14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,488682,SPACER SPN 6X14X11MM,4429.0,4429.0,664.35,4429.0,30
CDM,488683,PLATE SPN CERV 42.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,488685,AUG FEM REVDIST SZ5 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,488686,STM KN 5R RT REV CNDRL,14306.0,14306.0,2145.9,14306.0,30
CDM,488687,INS TIB SZ5/2 14MM KN RT,4606.0,4606.0,690.9,4606.0,30
CDM,488688,STEM FEM HIP 4MM 109MM,10630.0,10630.0,1594.5,10630.0,30
CDM,488689,PLATE TIB YLW 67X43X17MM,11294.0,11294.0,1694.1,11294.0,30
CDM,488690,PLATE SPN 1LVL 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,488691,SCREW SPN 4MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,488693,NAIL T2 TIB STD 12X345MM,6836.0,6836.0,1025.4,6836.0,30
CDM,488694,INSERT TIB KN 2.5 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,488695,LINER CONTINUUM NEUT SZ,4606.0,4606.0,690.9,4606.0,30
CDM,488696,HEAD FEM HIP +15.5X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,488697,LINER ACTB HIP +4MM 64MM,9608.0,9608.0,1441.2,9608.0,30
CDM,488701,SCREW SPN FANG 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,488702,INSERT TIB KN SZ 2 19MM,4606.0,4606.0,690.9,4606.0,30
CDM,488703,PLATE SPN 3LVL 53MM,4429.0,4429.0,664.35,4429.0,30
CDM,488704,SCREW BN 3.5MM 20MM,436.0,436.0,65.4,436.0,30
CDM,488705,SCREW BN 3.5MM 14MM,2157.0,2157.0,323.55,2157.0,30
CDM,488706,SCREW BN 2.7MM 12MM,652.0,652.0,97.8,652.0,30
CDM,488708,INSERT TIB KN 5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488709,SCREW BN 2.7MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,488710,SCREW CORT S/T 4.5X16MM,368.0,368.0,55.2,368.0,30
CDM,488711,SCREW BN 4.5MM 24MM,368.0,368.0,55.2,368.0,30
CDM,488712,ANCHOR SUT 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,488713,SCREW BN 25MM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,488714,ANCHOR SUT 4.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,488715,STEM HUM SHLDR 13X130MM,11959.0,11959.0,1793.85,11959.0,30
CDM,488716,INSRT TIB 6 15MM KN POST,4429.0,4429.0,664.35,4429.0,30
CDM,488717,KWIRE FX 150MM 2MM,505.5,505.5,75.83,505.5,42
CDM,488718,HEAD FEM HIP 28MM 57MM,4252.0,4252.0,637.8,4252.0,30
CDM,488722,KIT IVAS SYSTEM 10G 15MM,4973.5,4973.5,746.02,4973.5,42
CDM,488723,DRILL HND 10GA,691.5,691.5,103.72,691.5,42
CDM,488724,SYSTEM BN CEMENT DEL,4418.0,4418.0,662.7,4418.0,30
CDM,488725,CANNULA NDL CMNT 10GA,691.5,691.5,103.72,691.5,42
CDM,488726,IMPLANT BREAST 415CC,4429.0,4429.0,664.35,4429.0,30
CDM,488727,GRAFT EVAS 26X12MM 14CM,45597.0,45597.0,6839.55,45597.0,30
CDM,488728,PLATE SPN 2LVL 29MM,4429.0,4429.0,664.35,4429.0,30
CDM,488729,STEM FEM SZ10 132MM,11073.0,11073.0,1660.95,11073.0,30
CDM,488730,NAIL FEM CANN 11MM 440MM,11208.0,11208.0,1681.2,11208.0,30
CDM,488737,SCREW 3.5MM 85MM LC DCP,456.0,456.0,68.4,456.0,30
CDM,488738,SCREW BN 1.5MM 12MM,602.0,602.0,90.3,602.0,30
CDM,488740,CMPNT FEM SZ7 LT,7087.0,7087.0,1063.05,7087.0,30
CDM,488741,INSERT TIB PS + 63/67X14,4429.0,4429.0,664.35,4429.0,30
CDM,488742,GRAFT EVAS 35X14.5M 18CM,44268.0,44268.0,6640.2,44268.0,30
CDM,488743,STENT EPRSTH 10MM 5CM,10055.0,10055.0,1508.25,10055.0,30
CDM,488744,KIT AOR VLV 14FR 23MM,124963.0,124963.0,18744.45,124963.0,30
CDM,488745,KIT AOR VLV 14FR 26MM,124963.0,124963.0,18744.45,124963.0,30
CDM,488746,KIT AOR VLV 14FR 29MM,124963.0,124963.0,18744.45,124963.0,30
CDM,488747,BEARING KN PS 63/67X18,4606.0,4606.0,690.9,4606.0,30
CDM,488748,CMPNT PTLA 3PEG STD31X8,4252.0,4252.0,637.8,4252.0,30
CDM,488749,CEMENT BN CA PHOS 10ML,5271.0,5271.0,790.65,5271.0,30
CDM,488750,STEM FEM 190MM 11MM CMNT,29641.0,29641.0,4446.15,29641.0,30
CDM,488751,LINER ACTB 56X36MM,6644.0,6644.0,996.6,6644.0,30
CDM,488752,PLATE BN RT 6H 112MM,3721.0,3721.0,558.15,3721.0,30
CDM,488753,PLATE BN RT 15HL,6665.0,6665.0,999.75,6665.0,30
CDM,488754,PLATE BN UNV 8HL,4541.0,4541.0,681.15,4541.0,30
CDM,488755,SCREW MTRXRB LCK 2.9X6MM,3013.0,3013.0,451.95,3013.0,30
CDM,488758,GWIRE ORTH 100CM 2.4MM,773.0,773.0,115.95,773.0,42
CDM,488759,SCREW BN SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,488760,SPACER SPN T-PAL 10MM,11959.0,11959.0,1793.85,11959.0,30
CDM,488761,CAGE SPN 12D 22X14X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,488762,SCREW SPN 4MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,488763,SPACER SPNL 50X18X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,488764,IMPLANT BREAST 750CC,4429.0,4429.0,664.35,4429.0,30
CDM,488765,GUIDE SURG 10D 9MM,773.0,773.0,115.95,773.0,42
CDM,488766,DRILL SURG DISP 2MM 40MM,232.0,232.0,34.8,232.0,42
CDM,488767,LNR ACTB HIP SZF 28X44MM,4606.0,4606.0,690.9,4606.0,30
CDM,488768,PLATE BN RT 3HL,3348.0,3348.0,502.2,3348.0,30
CDM,488769,PEG FX 2.3MM 16MM,1340.0,1340.0,201.0,1340.0,30
CDM,488770,SCREW BN 2.5MM 20MM,1898.0,1898.0,284.7,1898.0,30
CDM,488771,SCREW BN 2.5MM 22MM,1898.0,1898.0,284.7,1898.0,30
CDM,488772,IMPLANT SPN PLVC 7X65MM,14027.0,14027.0,2582.37,14027.0,26
CDM,488773,STEM HIP 132D SZ5 145MM,6201.0,6201.0,930.15,6201.0,30
CDM,488774,PLATE 420.84 BRG,3189.0,3189.0,478.35,3189.0,30
CDM,488775,SCREW BN L3M OD1M SPNL,1295.0,1295.0,194.25,1295.0,30
CDM,488776,SCREW BN TI 3M OD1.2M,1334.0,1334.0,200.1,1334.0,30
CDM,488777,PLATE SPN LVL 2 37MM,4429.0,4429.0,664.35,4429.0,30
CDM,488779,SCREW BN 3.5X13MM,1244.0,1244.0,186.6,1244.0,30
CDM,488780,INSRT EVOL ADPT EAI5210R,4606.0,4606.0,690.9,4606.0,30
CDM,488781,INSRT EVOL ADPT EAI5210L,4606.0,4606.0,690.9,4606.0,30
CDM,488782,SPCR SPN 33X10X10MM TRPK,11073.0,11073.0,1660.95,11073.0,30
CDM,488784,SUTURE ABS NYL 3/8 4-0,248.5,248.5,37.27,248.5,42
CDM,488785,SUTURE LOOP X 3-0 18.7MM,248.5,248.5,37.27,248.5,42
CDM,488787,SCREW TFNA 115MM-STERILE,4429.0,4429.0,664.35,4429.0,30
CDM,488788,EXTRACTOR SURG TIP M6X1,1719.0,1719.0,257.85,1719.0,42
CDM,488789,XTRT NAIL TIP 5/16-24IN,1842.0,1842.0,276.3,1842.0,42
CDM,488790,EXTRCTR SURG TIP 3/8-24M,1719.0,1719.0,257.85,1719.0,42
CDM,488791,SHELL OPTI 32 20 DEG 56-,4429.0,4429.0,664.35,4429.0,30
CDM,488792,INSERT KN RT SZ4 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,488793,INSERT TIB 5 20MM KN RP,4429.0,4429.0,664.35,4429.0,30
CDM,488794,SCRW 8.5X90MM ILSCRL REV,4429.0,4429.0,664.35,4429.0,30
CDM,488795,INSERT TIB KN POST 5 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,488797,SLEEVE CNTRNG 16F SM,4252.0,4252.0,637.8,4252.0,30
CDM,488798,SPCR SPN 33X12X8MM TR PK,9667.0,9667.0,1450.05,9667.0,30
CDM,488799,RING ANLPLS MTRL 40MM,7594.0,7594.0,1139.1,7594.0,30
CDM,488800,IMPLANT BREAST 505CC,4429.0,4429.0,664.35,4429.0,30
CDM,488801,IMPLANT BREAST 565CC,4429.0,4429.0,664.35,4429.0,30
CDM,488802,SCREW BN 2.7MM 40MM,520.0,520.0,78.0,520.0,30
CDM,488803,STEM FEM HIP CMNTLS SZ7,11073.0,11073.0,1660.95,11073.0,30
CDM,488804,SPACER SPNL 45X18X10MM,14395.0,14395.0,2159.25,14395.0,30
CDM,488812,HEAD FEM HIP +8X12/14X28,4252.0,4252.0,637.8,4252.0,30
CDM,488817,ROD SPNL 3.5-5.5MM 700MM,3012.0,3012.0,451.8,3012.0,30
CDM,488820,SPACER FEM KN RT SZ4,6312.0,6312.0,946.8,6312.0,30
CDM,488821,INSERT KN TIB SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,488823,PLATE BN 147MM 3.5MM,7292.0,7292.0,1093.8,7292.0,30
CDM,488824,SCREW BN 3.5MM 32MM,1781.0,1781.0,267.15,1781.0,30
CDM,488825,INSERT TIB KN SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,488827,NAIL HUM CANN 7MM 260MM,4637.0,4637.0,695.55,4637.0,30
CDM,488828,ROD CD HRZN SOL 5.5/6.0,2711.0,2711.0,406.65,2711.0,30
CDM,488830,IMPLANT BREAST 450CC,4429.0,4429.0,664.35,4429.0,30
CDM,488831,CMPNT BEARING LT XSM 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,488832,SCREW SPN 6.5MM 40MM,4340.0,4340.0,651.0,4340.0,30
CDM,488833,SCREW BN P-AX 6.5MM 45MM,4340.0,4340.0,651.0,4340.0,30
CDM,488834,SCREW SPN XPDM 6.5X50MM,4340.0,4340.0,651.0,4340.0,30
CDM,488837,SCREW SPN 4.0MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,488838,KNIFE SURGICAL 193MM,2786.0,2786.0,417.9,2786.0,42
CDM,488839,NAIL BN 10MM 36CM,9050.0,9050.0,1357.5,9050.0,30
CDM,488840,SCREW BN 3.5MM 26MM,4340.0,4340.0,651.0,4340.0,30
CDM,488841,STENT GFT EV 145X28/13MM,31529.0,31529.0,4729.35,31529.0,30
CDM,488842,STENT GRAFT 16X16X93MM,14938.0,14938.0,2240.7,14938.0,30
CDM,488843,STENT GRAFT 16X20X93MM,15823.0,15823.0,2373.45,15823.0,30
CDM,488844,SHEATH CATH 6.5FR 45CM,3479.0,3479.0,521.85,3479.0,42
CDM,488845,STEM FEM KN 120MM 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488846,CUTTER SURG 9MM,2660.5,2660.5,399.07,2660.5,42
CDM,488847,INSERT TIB CMNT SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488848,COMPNT TIB KN LT SZD,5647.0,5647.0,847.05,5647.0,30
CDM,488849,CMPNT BEARING LT LRG 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,488850,CMPNT BEARING RT LRG 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,488851,CUP ACTB 54MM G2 INTEGRI,4606.0,4606.0,690.9,4606.0,30
CDM,488852,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,488853,LINER ACTB NVATN CNNXN,4429.0,4429.0,664.35,4429.0,30
CDM,488854,HEAD HIP 12/14 +0X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,488855,INSERT TIB KN RT 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,488856,SHUNT T-TUBE CATH,3721.0,3721.0,558.15,3721.0,30
CDM,488857,PLATE SPN 3LVL 43MM,4429.0,4429.0,664.35,4429.0,30
CDM,488858,SCREW BN 1.5MM 4MM,876.0,876.0,131.4,876.0,30
CDM,488859,CMPNT TIB KN SZ360 79MM,7888.0,7888.0,1183.2,7888.0,30
CDM,488860,SCREW BN CANC 4X36X14MM,341.0,341.0,51.15,341.0,30
CDM,488861,SCREW BN CANC 4X45X15MM,341.0,341.0,51.15,341.0,30
CDM,488862,PLATE BN 2.7-3.5MM 73MM,4429.0,4429.0,664.35,4429.0,30
CDM,488863,IMPLNT FEM COMP CMTD SZ2,7973.0,7973.0,1195.95,7973.0,30
CDM,488864,TIB TRY CMT LOGIC 2F/1T,4606.0,4606.0,690.9,4606.0,30
CDM,488865,INSRT TIB 2 PST STB LOGI,4429.0,4429.0,664.35,4429.0,30
CDM,488866,HEAD FEM HIP +9 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,488867,LINER ACTB HIP 60X36MM,5820.0,5820.0,873.0,5820.0,30
CDM,488868,STEM FEM KN SZ13 210MM,15546.0,15546.0,2331.9,15546.0,30
CDM,488869,CMPNT FEM KN SZ5,6644.0,6644.0,996.6,6644.0,30
CDM,488870,CMPNT TIB KN 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,488871,CUFF URTH SPHNCR AB 5.5C,23775.0,23775.0,3566.25,23775.0,30
CDM,488872,SCREW BN 2.3MM 12MM,1166.0,1166.0,174.9,1166.0,30
CDM,488873,CMPNT TIB TRAY ML71XAP46,7888.0,7888.0,1183.2,7888.0,30
CDM,488874,BEARING TIB E-POLY 71X14,4606.0,4606.0,690.9,4606.0,30
CDM,488875,SCREW BN MICRO 30MM,3333.0,3333.0,499.95,3333.0,30
CDM,488876,SCREW BN STD 34MM,3294.0,3294.0,494.1,3294.0,30
CDM,488877,SCREW BN MINI 30MM,3294.0,3294.0,494.1,3294.0,30
CDM,488880,LINER ACTB HIP CNSTR 10D,6644.0,6644.0,996.6,6644.0,30
CDM,488881,CMPNT TIB KN SZ5,4872.0,4872.0,730.8,4872.0,30
CDM,488882,SCREW 3.5MM SCD2.4X20,4120.0,4120.0,618.0,4120.0,30
CDM,488883,NAIL BN FEM 11.5MM 38CM,9050.0,9050.0,1357.5,9050.0,30
CDM,488884,CMPNT FEM KN64X49.3X10.5,7087.0,7087.0,1063.05,7087.0,30
CDM,488885,CMPNT TIB KN 42X72X25MM,7087.0,7087.0,1063.05,7087.0,30
CDM,488886,CMPNT TIB KN CMNT 70MM,4428.0,4428.0,664.2,4428.0,30
CDM,488887,COMPNT KN FEM LT SZ6N,6312.0,6312.0,946.8,6312.0,30
CDM,488888,GRAFT BN FIB 106-125MM,3333.0,3333.0,499.95,3333.0,30
CDM,488889,INSERT ACTB HIP 0D 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,488890,CMPNT FEM NAR KN LT SZ10,6644.0,6644.0,996.6,6644.0,30
CDM,488891,SURF ARTC KN 10-11 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488892,INSERT ARTC KN 6-9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,488893,EXTRACTOR SOLID NAIL,2046.5,2046.5,306.98,2046.5,42
CDM,488894,SCREW BN 2.3X7MM,1442.0,1442.0,216.3,1442.0,30
CDM,488895,STEM FEM HIP SZ2 102MM,11516.0,11516.0,1727.4,11516.0,30
CDM,488896,INSERT TIB KN 4MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,488897,SPACER SPN SYN 33X12X10,9667.0,9667.0,1450.05,9667.0,30
CDM,488899,CMPNT BEARING LT SM 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,488900,PLATE SPN 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,488901,PLATE TIB MNOBLK CR 6X14,9567.0,9567.0,1435.05,9567.0,30
CDM,488902,INSERT EVOLUTIONMP ADAP,4606.0,4606.0,690.9,4606.0,30
CDM,488906,HEAD FEM HIP 8.5MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,488907,ROD SPN 90MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,488908,ROD SPN CRV 100X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,488909,ANCHOR SUT #2,3189.0,3189.0,478.35,3189.0,30
CDM,488910,STENT VASC 6FR 8X80MM,3846.0,3846.0,576.9,3846.0,30
CDM,488911,SCREW BN 10MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,488912,DRILL SURG CANN 9.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,488913,PIN ALGN 2.5X200MM,386.5,386.5,57.98,386.5,42
CDM,488914,SCREW BN 9MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,488915,DRILL SURG FUL THK CLBRT,1596.5,1596.5,239.47,1596.5,42
CDM,488917,PINS PASSING FLEX 2.4MM,1023.5,1023.5,153.53,1023.5,42
CDM,488918,WEDGE FEM KN SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,488919,STEM FEM KN 160MM 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,488920,INSERT KN TIB SZ7-8 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,488921,ROD CONN SPN BRDG 33MM,3389.0,3389.0,508.35,3389.0,30
CDM,488922,ROD SPN 6.0MM 3.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,488923,IMPLANT BREAST 615CC,4429.0,4429.0,664.35,4429.0,30
CDM,488924,STENT EPRSTH 7MM 10CM,13758.0,13758.0,2063.7,13758.0,30
CDM,488925,SCREW BN 3.5MM 35MM,558.0,558.0,83.7,558.0,30
CDM,488926,SCREW BN 4MM 35MM,2631.0,2631.0,394.65,2631.0,30
CDM,488927,SCREW BN 4MM 30MM,2631.0,2631.0,394.65,2631.0,30
CDM,488933,IMPLANT BREAST 445CC,4429.0,4429.0,664.35,4429.0,30
CDM,488938,BASEPLAT GLND 25MM,6312.0,6312.0,946.8,6312.0,30
CDM,488939,TRAY HUM SHLDR 44MM +5MM,5537.0,5537.0,830.55,5537.0,30
CDM,488941,BLADE SAW OSCIL SNG USE,2701.5,2701.5,405.23,2701.5,42
CDM,488942,INSRT KN SZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,488943,SPACER SPN CRSNT 25X10MM,11073.0,11073.0,1660.95,11073.0,30
CDM,488944,SPACER SPNL 32X25X10 8D,18536.0,18536.0,2780.4,18536.0,30
CDM,488945,NAIL BN FEM 13MM 36CM,5311.0,5311.0,796.65,5311.0,30
CDM,488946,INSERT TIB KN 11X63/67MM,4606.0,4606.0,690.9,4606.0,30
CDM,488947,BEARING KN KN79/83X18,4606.0,4606.0,690.9,4606.0,30
CDM,488948,PLATE BN 4.5MM 286MM,4872.0,4872.0,730.8,4872.0,30
CDM,488949,SCREW BN 5.7MM 65MM,2392.0,2392.0,358.8,2392.0,30
CDM,488950,SCREW BN 5.7MM 70MM,2392.0,2392.0,358.8,2392.0,30
CDM,488951,SCREW BN 4.5MM 28MM,505.0,505.0,75.75,505.0,30
CDM,488954,COMPNT TIB KN RT SZD,10165.0,10165.0,1524.75,10165.0,30
CDM,488956,INS TIB SZ7/5 12MM KN LT,4606.0,4606.0,690.9,4606.0,30
CDM,488957,CMPNT KN BRNG LT LRG 3MM,4606.0,4606.0,690.9,4606.0,30
CDM,488958,LINER ACTB +4 NEUT 40ID,10503.0,10503.0,1575.45,10503.0,30
CDM,488959,STENT VASC 6FR 8X60MM,3846.0,3846.0,576.9,3846.0,30
CDM,488960,BEARING KN 79/83MM 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,488961,SCREW SHFT P-AX 3.5X34MM,4120.0,4120.0,618.0,4120.0,30
CDM,488962,IMPLANT BREAST 545CC,4185.0,4185.0,627.75,4185.0,30
CDM,488963,IMPLANT BREAST 440CC,4429.0,4429.0,664.35,4429.0,30
CDM,488968,CMPNT FEM NAR KN LT SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,488969,INST ORTH KN LT,1637.0,1637.0,245.55,1637.0,42
CDM,488970,SPACER SPN 36X28X12MM 8D,11073.0,11073.0,1660.95,11073.0,30
CDM,488971,COMPNT AGMNT 2X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,488972,STEM FEM LG OD15.0MM AML,9966.0,9966.0,1494.9,9966.0,30
CDM,488973,SCRW WFN FT 6.0 X 25 MM,2471.0,2471.0,370.65,2471.0,30
CDM,488974,SPACER SPNL 26X24X12 12D,18536.0,18536.0,2780.4,18536.0,30
CDM,488975,SCREW SPN MALIBU 40X5.5,4247.0,4247.0,637.05,4247.0,30
CDM,488976,SCREW BN 4.5MM 30MM,399.0,399.0,59.85,399.0,30
CDM,488977,SCREW BN 4.5MM 32MM,505.0,505.0,75.75,505.0,30
CDM,488978,SCREW BN 4.5X58MM,399.0,399.0,59.85,399.0,30
CDM,488979,DRILL BIT 3.5MM 200MM,773.0,773.0,115.95,773.0,42
CDM,488980,BIT DRILL 4.5MM DISP,773.0,773.0,115.95,773.0,42
CDM,488981,KWIRE FX 228MM 2MM,464.0,464.0,69.6,464.0,42
CDM,488982,SLEEVE CNTRNG 17.5X7 24F,4429.0,4429.0,664.35,4429.0,30
CDM,488986,PLATE SPN LV2 44MM,4429.0,4429.0,664.35,4429.0,30
CDM,488987,STEM FEM HIP 14MM 200MM,9977.0,9977.0,1496.55,9977.0,30
CDM,488988,COMP HIP TYP-I SZ-A 60MM,18310.0,18310.0,2746.5,18310.0,30
CDM,488989,LINER ACTB 0D 5.9X28MM,4606.0,4606.0,690.9,4606.0,30
CDM,488992,INSERT TIB SZ4 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,488993,INSERT TIB KN SZ 5 10MM,6265.0,6265.0,939.75,6265.0,30
CDM,488994,COMPONENT FEM LT SZ3,7397.0,7397.0,1109.55,7397.0,30
CDM,488995,SURF ARTC KN 3-5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488996,INSERT ARTC 6-9 CD 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,488998,CATH BLN 130CM 6X40MM,2005.5,2005.5,300.82,2005.5,42
CDM,488999,ROD SPNL 85X4.75MM COCR,2711.0,2711.0,406.65,2711.0,30
CDM,489000,RING ANLPLS 38MM,7974.0,7974.0,1196.1,7974.0,30
CDM,489002,NAIL BN 10MM 36CM,6400.0,6400.0,960.0,6400.0,30
CDM,489003,INSERT TIB KN SZ3-4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,489004,LINER ACTB NTRL 52X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,489005,CMPNT FEM KN RT XXSM,41041.0,41041.0,6156.15,41041.0,30
CDM,489006,STEM FEM 150X16.5MM BOW,19167.0,19167.0,2875.05,19167.0,30
CDM,489007,INSERT TIB KN 2XS 12MM,14095.0,14095.0,2114.25,14095.0,30
CDM,489009,INSERT TIB KN 8MM SZ10,4606.0,4606.0,690.9,4606.0,30
CDM,489010,RING ANLPLS TRCSD 24MM,9613.0,9613.0,1441.95,9613.0,30
CDM,489012,PLATE BN STD LONG,4620.0,4620.0,693.0,4620.0,30
CDM,489013,PLATE BN ULNA OSTEOTOMY,4340.0,4340.0,651.0,4340.0,30
CDM,489014,SCREW BN CORT 3.2X14MM,1356.0,1356.0,203.4,1356.0,30
CDM,489015,SCREW BN LCK 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,489016,SCREW BN 3.2X20MM,1356.0,1356.0,203.4,1356.0,30
CDM,489017,SCREW BN 3.2X22MM,1356.0,1356.0,203.4,1356.0,30
CDM,489018,BEARING KN PS 87/91X14,4606.0,4606.0,690.9,4606.0,30
CDM,489019,ROD SPN 5.5MM 300MM,3012.0,3012.0,451.8,3012.0,30
CDM,489020,RING ANLPLS TRCSD 26MM,9613.0,9613.0,1441.95,9613.0,30
CDM,489023,GENERATOR NRSTM 18 CH,67543.0,67543.0,10131.45,67543.0,30
CDM,489024,BASEPLATE ATTNE ROT SZ3,4651.0,4651.0,697.65,4651.0,30
CDM,489025,STEM FEM 135D 12/14 SZ12,19670.0,19670.0,2950.5,19670.0,30
CDM,489026,TRAY TIB OFST SZ2.5 RT,7567.0,7567.0,1135.05,7567.0,30
CDM,489027,HEAD FEM HIP 28MM 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,489028,STEM REV KN 14MM +135MM,10364.0,10364.0,1554.6,10364.0,30
CDM,489029,STEM FEM KN LPS 16X125MM,17938.0,17938.0,2690.7,17938.0,30
CDM,489032,WEDGE FEM KN SZ3 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,489033,INSERT P/S I TIB BEARING,7153.0,7153.0,1072.95,7153.0,30
CDM,489034,INSERT TIB KN SZ4 20MM,6265.0,6265.0,939.75,6265.0,30
CDM,489036,SCREW BN 2.0MM 11MM,598.0,598.0,89.7,598.0,30
CDM,489037,SCREW BN SPN 7.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,489038,SCREW SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,489039,SCREW BN CANC 4X55X15MM,341.0,341.0,51.15,341.0,30
CDM,489040,WEDGE FEM KN AUG 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489041,SUT CHORD-X 2-0 ADJ 18MM,4093.0,4093.0,613.95,4093.0,42
CDM,489042,SCREW BN CANC 4X24X10MM,341.0,341.0,51.15,341.0,30
CDM,489043,WASHER BN 7MM,404.0,404.0,60.6,404.0,30
CDM,489044,SCREW BN SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,489045,HEAD RAD JTDV SY 12X20MM,8639.0,8639.0,1295.85,8639.0,30
CDM,489046,STEM RAD 6MM TI CRV 40MM,8639.0,8639.0,1295.85,8639.0,30
CDM,489047,STEM RADL 26MM 7MM STR T,8639.0,8639.0,1295.85,8639.0,30
CDM,489048,SCREW BN 11MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,489049,INSERT TIB MED UNV 16MM,14095.0,14095.0,2114.25,14095.0,30
CDM,489050,CANISTER WND DRN 1L,577.0,577.0,86.55,577.0,42
CDM,489051,SUT CHORD-X 2-0 12 18MM,4093.0,4093.0,613.95,4093.0,42
CDM,489052,STEM FEM HIP SM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,489053,BOLT ORTH 38MM,3189.0,3189.0,478.35,3189.0,30
CDM,489054,BOLT ORTH 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,489056,BURR ORTH TRNSNSL 3MM,2333.0,2333.0,349.95,2333.0,42
CDM,489058,SCREW BN 7MM 90MM,2790.0,2790.0,418.5,2790.0,30
CDM,489059,SCREW BN 7X85X16MM,2790.0,2790.0,418.5,2790.0,30
CDM,489060,DRESSING WND OPEN ABD,3644.5,3644.5,546.67,3644.5,42
CDM,489061,SUTURE CHORD-X 2-0 .5 CI,4093.0,4093.0,613.95,4093.0,42
CDM,489066,WEDGE REV MBT10MM 1.5MM,4612.0,4612.0,691.8,4612.0,30
CDM,489067,INSERT TIB KN 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,489068,CMPNT TIBTRY 4 KN CMNT M,20870.0,20870.0,3130.5,20870.0,30
CDM,489069,SPACER SPN 32X12X10-9,9966.0,9966.0,1494.9,9966.0,30
CDM,489070,CANNULA PRFSN 24FR 15IN,471.0,471.0,70.65,471.0,42
CDM,489071,SUTURE CHORD-X 2-0 .5 CI,4093.0,4093.0,613.95,4093.0,42
CDM,489072,SURF ARTC KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,489073,STENT EPRSTH 37MM 10CM,61040.0,61040.0,9156.0,61040.0,30
CDM,489074,CATH BLNOCC 26-42MM,4093.0,4093.0,613.95,4093.0,42
CDM,489075,SPCR SPN 32X12X9MM T-PAL,9966.0,9966.0,1494.9,9966.0,30
CDM,489076,STEM HUM 107MM 8MM,9071.0,9071.0,1360.65,9071.0,30
CDM,489077,BODY HUM 10MM -5MM,4606.0,4606.0,690.9,4606.0,30
CDM,489078,HEAD HUM SHLDR 15MM 40MM,5944.0,5944.0,891.6,5944.0,30
CDM,489079,CMPNT FEM KN SZ5,28401.0,28401.0,4260.15,28401.0,30
CDM,489080,CANNULA PRFSN VNS 26FR,435.0,435.0,65.25,435.0,42
CDM,489081,SUT CHORD-X 2-0 24 18MM,4093.0,4093.0,613.95,4093.0,42
CDM,489082,KIT NVG RBTC IMPL STRL,4092.5,4092.5,613.88,4092.5,42
CDM,489083,PIN FX 2.6MM,773.0,773.0,115.95,773.0,42
CDM,489084,PIN TRCR PNT 3.2MM SZ5.1,773.0,773.0,115.95,773.0,42
CDM,489085,PIN BN TROCR 2.3MM,773.0,773.0,115.95,773.0,42
CDM,489086,FILLER BN VOID 5CC 12CC,4340.0,4340.0,651.0,4340.0,30
CDM,489087,PLATE BN 102MM SS 3.5MM,7114.0,7114.0,1067.1,7114.0,30
CDM,489088,STEM HUM SHLDR 74MM,12955.0,12955.0,1943.25,12955.0,30
CDM,489089,SCREW SPN 4.5MM 17MM,2259.0,2259.0,338.85,2259.0,30
CDM,489090,SPACER SPN 17X14X9MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,489094,GRAFT NRV 2-3MM 30MM,18394.0,18394.0,2759.1,18394.0,30
CDM,489095,PROTECTOR NRV 5X20MM,7419.0,7419.0,1112.85,7419.0,30
CDM,489096,HEAD FEM HIP BIOLOX 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,489097,HEAD FEM HIP 12/14 +8 28,4429.0,4429.0,664.35,4429.0,30
CDM,489098,INSERT TIB KN SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,489099,COMPONENT PTLR 38MM ITTL,4252.0,4252.0,637.8,4252.0,30
CDM,489100,CANNULA VNS 15IN 30FR,471.0,471.0,70.65,471.0,42
CDM,489102,PLATE CERV 81MM 4LVL,4429.0,4429.0,664.35,4429.0,30
CDM,489103,INSERT TIB KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,489104,CMPNT TIB KN SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,489105,INSERT TIB 4 12MM EVOL C,4429.0,4429.0,664.35,4429.0,30
CDM,489106,SCREW BNE L12 OD4.5 OC,1130.0,1130.0,169.5,1130.0,30
CDM,489107,SCREW BNE L18MM OD4MM,4340.0,4340.0,651.0,4340.0,30
CDM,489108,ROD SPN 300MM 3.5MM COCR,3012.0,3012.0,451.8,3012.0,30
CDM,489109,STEM FEM HIP CSTM PRSTLC,17450.0,17450.0,2617.5,17450.0,30
CDM,489110,CANNULA PRFSN 32F 15IN,471.0,471.0,70.65,471.0,42
CDM,489112,PLATE MXLFCL MSH 74X50MM,3752.0,3752.0,562.8,3752.0,30
CDM,489113,INSERT TIB KN SZ2 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,489114,JOINT TOE 15X1.2MM 2 10D,4676.0,4676.0,701.4,4676.0,30
CDM,489115,SCREW BN 6MM 14MM,2618.0,2618.0,392.7,2618.0,30
CDM,489116,BIT DRILL 1.7MM,2132.0,2132.0,319.8,2132.0,42
CDM,489117,SCREW BN SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,489118,CAGE SPN 20X9 48340084,11073.0,11073.0,1660.95,11073.0,30
CDM,489119,BLADE SAW SURG,1023.5,1023.5,153.53,1023.5,42
CDM,489122,COMPONENT FEM POST SZ3,7973.0,7973.0,1195.95,7973.0,30
CDM,489123,TRAY TIB CMNT LGC 3F/3T,4606.0,4606.0,690.9,4606.0,30
CDM,489124,INSRT TIB 3 PST STB LOG,4429.0,4429.0,664.35,4429.0,30
CDM,489125,TUBING IRR TRNSNSL BUR,329.0,329.0,49.35,329.0,42
CDM,489126,CMPNT POST SHLDR HYBRD,4252.0,4252.0,637.8,4252.0,30
CDM,489127,WEDGE KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,489128,HEAD HUM SHLDR 50X21X57,4606.0,4606.0,690.9,4606.0,30
CDM,489130,WEDGE FEM KN SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489133,CAGE SPINAL 11MMX12MMX32,11959.0,11959.0,1793.85,11959.0,30
CDM,489134,INSERT ACTB +4X62X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,489135,COMPNT GLND 27MM,6046.0,6046.0,906.9,6046.0,30
CDM,489136,SCREW BN 4.5X36MM,2511.0,2511.0,376.65,2511.0,30
CDM,489137,CUP HUM 38MM +3MM,4606.0,4606.0,690.9,4606.0,30
CDM,489138,SCREW BN 4.5MM 42MM,2511.0,2511.0,376.65,2511.0,30
CDM,489139,SCREW BN 4.5MM 24MM,2511.0,2511.0,376.65,2511.0,30
CDM,489142,CMPNT GLND SHLDR 38MM,6644.0,6644.0,996.6,6644.0,30
CDM,489143,COMPNT SHLDR HUM SZ1 RT,11959.0,11959.0,1793.85,11959.0,30
CDM,489144,STEM HUM 14MM CMNTLS,6423.0,6423.0,963.45,6423.0,30
CDM,489145,PIN GD ORTH 150MM 1.2MM,1031.5,1031.5,154.72,1031.5,42
CDM,489146,GRAFT EVAS 23X12MM 12CM,44268.0,44268.0,6640.2,44268.0,30
CDM,489148,STEM FEM CRL 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,489152,STEM FEM HIP 13MM 200MM,9977.0,9977.0,1496.55,9977.0,30
CDM,489154,SCREW BN STD 20MM,3333.0,3333.0,499.95,3333.0,30
CDM,489156,PLATE BN RT 5HL 121MM,4758.0,4758.0,713.7,4758.0,30
CDM,489157,SCREW BN 2.7MM 32MM,610.0,610.0,91.5,610.0,30
CDM,489158,SCREW BN 2.7MM 38MM SS,1883.0,1883.0,282.45,1883.0,30
CDM,489159,HEAD HUM SHLDR 53MM,4872.0,4872.0,730.8,4872.0,30
CDM,489160,CANN PRFSN 28FR 12-15IN,471.0,471.0,70.65,471.0,42
CDM,489162,EXTRCTR TIP 2-2.5MM SCRW,2128.5,2128.5,319.27,2128.5,42
CDM,489163,EXTRCTR TIP 2-2.5MM SCRW,1923.5,1923.5,288.52,1923.5,42
CDM,489164,EXTRACTOR SCREW 4MM,2128.5,2128.5,319.27,2128.5,42
CDM,489165,EXTRCTR TIP 2.5-4MM SCRW,2128.5,2128.5,319.27,2128.5,42
CDM,489166,EXTRACTOR TIP 6MM,1923.5,1923.5,288.52,1923.5,42
CDM,489167,EXTRCTR TIP 7-8MM SCRW,2128.5,2128.5,319.27,2128.5,42
CDM,489168,EXTRCTR TIP 2-2.6MM SCRW,1964.5,1964.5,294.68,1964.5,42
CDM,489169,EXTRCTR TIP 2.5-3.5MM SC,1964.5,1964.5,294.68,1964.5,42
CDM,489170,SUTURE FIBLP 4-0 12IN,773.0,773.0,115.95,773.0,42
CDM,489172,EXTRCTR TIP 3.5-4.5MM SC,1678.0,1678.0,251.7,1678.0,42
CDM,489173,EXTRCTR TIP 2-2.5MM SCRW,1760.0,1760.0,264.0,1760.0,42
CDM,489174,EXTRCTR TIP 5.5-6.5MM SC,1760.0,1760.0,264.0,1760.0,42
CDM,489175,EXTRCTR TIP 6-7MM SCRW,1760.0,1760.0,264.0,1760.0,42
CDM,489176,SET TTL JNT 8IN 13MM,5883.5,5883.5,882.52,5883.5,42
CDM,489177,BLAD SURG TRPHN 13.5MM,5065.0,5065.0,759.75,5065.0,42
CDM,489178,BLADE TRPHN 8IN 14MM,4758.0,4758.0,713.7,4758.0,42
CDM,489179,GDPIN GLND LG 300X1.5MM,773.0,773.0,115.95,773.0,42
CDM,489180,CANNULA ARTHSCP 7CM,406.0,406.0,60.9,406.0,42
CDM,489182,GRAFT EVAS 23X14.5M14CM,45597.0,45597.0,6839.55,45597.0,30
CDM,489183,PLATE BN 3.5MM 109MM,6776.0,6776.0,1016.4,6776.0,30
CDM,489184,PLATE BN LT 7+3H 2.4MM,5016.0,5016.0,752.4,5016.0,30
CDM,489185,PIN BN 1.8MM 12MM,1660.0,1660.0,249.0,1660.0,30
CDM,489186,GRAFT STNT 44MM 212MM,74959.0,74959.0,11243.85,74959.0,30
CDM,489187,GRAFT STNT 46MM 112MM,65346.0,65346.0,9801.9,65346.0,30
CDM,489189,SCREW BN 3.5MM 42MM,399.0,399.0,59.85,399.0,30
CDM,489190,STEM FEM KN 17X135X6MM,10364.0,10364.0,1554.6,10364.0,30
CDM,489192,SCREW BN 3.5MM 46MM,399.0,399.0,59.85,399.0,30
CDM,489193,SCREW BN 5MM 12MM,1595.0,1595.0,239.25,1595.0,30
CDM,489194,PLATE BN SHFT 10H 210MM,3721.0,3721.0,558.15,3721.0,30
CDM,489195,INSERT TIB KN RT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489196,TRAY LGC TIBIAL FIT CEM,5315.0,5315.0,797.25,5315.0,30
CDM,489197,INSERT TIB 2.5 9MM PST,4429.0,4429.0,664.35,4429.0,30
CDM,489202,INSERT TIB KN LT 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,489203,SURF ARTC KN 6-9 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,489204,CMPNT AGMNT 4X12 DIS LT,4252.0,4252.0,637.8,4252.0,30
CDM,489205,INSERT TIB KN SZ4 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,489206,LINER ACTB HIP 60X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,489207,SCREW BN 5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,489208,GRAFT ST TISS 3CM 4CM,8836.0,8836.0,1325.4,8836.0,30
CDM,489209,SCREW BN 2.4MM 10MM,1344.0,1344.0,201.6,1344.0,30
CDM,489212,SCREW BN 12MM 2.4MM,1453.0,1453.0,217.95,1453.0,30
CDM,489213,SCREW BN 2.4MM 14MM,1453.0,1453.0,217.95,1453.0,30
CDM,489215,STEM HUM SHLDR 70MM,12432.0,12432.0,1864.8,12432.0,30
CDM,489218,STENT GRAFT 16X16X124MM,16149.0,16149.0,2422.35,16149.0,30
CDM,489219,SHEATH INTRO 14F 28CM,1637.0,1637.0,245.55,1637.0,42
CDM,489222,PLATE 94MM SS3.5MM 6HL,4429.0,4429.0,664.35,4429.0,30
CDM,489223,ROD SPN 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,489224,STEM HUM SHLDR SZ5C 82MM,10630.0,10630.0,1594.5,10630.0,30
CDM,489225,GRAFT EVAS 26MM 3.3CM,13442.0,13442.0,2016.3,13442.0,30
CDM,489228,HEAD FEM HIP 11/13 +3MM,4429.0,4429.0,664.35,4429.0,30
CDM,489229,PLATE BN 90X90MM OSTFRM,8175.0,8175.0,1226.25,8175.0,30
CDM,489230,SEALER TISS 45CM 5MM,4093.0,4093.0,613.95,4093.0,42
CDM,489231,MESH PLATE 42X41X10MM,5448.0,5448.0,817.2,5448.0,30
CDM,489232,COMPNT TIB KN REV 3 15MM,19931.0,19931.0,2989.65,19931.0,30
CDM,489233,SYSTEM THR 60MM ACS A HI,18310.0,18310.0,2746.5,18310.0,30
CDM,489234,LINER ACTB HIP +4 32X52,4429.0,4429.0,664.35,4429.0,30
CDM,489237,GRAFT EVAS 26X14.5M 18CM,45597.0,45597.0,6839.55,45597.0,30
CDM,489238,COMPONENT PTLR KN 29MM,4252.0,4252.0,637.8,4252.0,30
CDM,489239,COMPNT FEM 3 LT KN PST,7973.0,7973.0,1195.95,7973.0,30
CDM,489240,PIN RUSH 4.8 DX203,1507.0,1507.0,226.05,1507.0,30
CDM,489242,INSERT TIB R 3-5+ 14MM,9966.0,9966.0,1494.9,9966.0,30
CDM,489243,SHELL ACTB HMSPHR 64MM,4872.0,4872.0,730.8,4872.0,30
CDM,489244,HEAD FEM HIP 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,489245,NAIL LNG LT 11X400X125,7233.0,7233.0,1084.95,7233.0,30
CDM,489246,SCREW V-AX ELB 3.5X70MM,1730.0,1730.0,259.5,1730.0,30
CDM,489247,CEMENT BN 5ML,5976.0,5976.0,896.4,5976.0,30
CDM,489249,WEDGE TIB KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,489250,PIN RUSH 4.8 DX260,1507.0,1507.0,226.05,1507.0,30
CDM,489252,INSERT ARTC 1-2 C-D 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,489253,NAIL BN 11.5MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,489256,PLATE JL 8 HL 60 DEG,4429.0,4429.0,664.35,4429.0,30
CDM,489257,SLEEVE FEM HIP +4MM,1735.0,1735.0,260.25,1735.0,30
CDM,489258,HEAD UNIPLR FEM HIP 42MM,4252.0,4252.0,637.8,4252.0,30
CDM,489259,CAGE SPN 6D 18X8X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,489260,PIN RUSH 4.8 DX337,1507.0,1507.0,226.05,1507.0,30
CDM,489262,INSERT TIB 9 8MM PST STB,4606.0,4606.0,690.9,4606.0,30
CDM,489263,STEM HUM SHLDR 11X130MM,11959.0,11959.0,1793.85,11959.0,30
CDM,489264,SCREW BN SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,489265,SCREW BN SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,489266,STEM FEM HIP 17.5X134MM,10630.0,10630.0,1594.5,10630.0,30
CDM,489267,HEAD FEM HIP 36-3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,489268,PLATE BN DBL YPL 6HL 7MM,3189.0,3189.0,478.35,3189.0,30
CDM,489269,NAIL 125D 1330 L,6400.0,6400.0,960.0,6400.0,30
CDM,489271,IMPLANT BREAST 375CC,5758.0,5758.0,863.7,5758.0,30
CDM,489273,PLATE DST FIB LCK RT 10H,3721.0,3721.0,558.15,3721.0,30
CDM,489274,SCREW BN 2.7MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,489275,NAIL BN 10MM 34CM,4872.0,4872.0,730.8,4872.0,30
CDM,489276,SCREW BN 3.5MM 27.5MM,2073.0,2073.0,310.95,2073.0,30
CDM,489277,NAIL BN 13MM 34CM,4872.0,4872.0,730.8,4872.0,30
CDM,489278,INSERT TIB 3-4 15MM CRU,4429.0,4429.0,664.35,4429.0,30
CDM,489279,SCREW BN 6MM 65MM,2073.0,2073.0,310.95,2073.0,30
CDM,489281,IMPLANT BREAST 420CC,5758.0,5758.0,863.7,5758.0,30
CDM,489282,SCREW BN 6MM 50MM,3047.0,3047.0,457.05,3047.0,30
CDM,489283,SPACER SPN 32X10X10MM 6D,9966.0,9966.0,1494.9,9966.0,30
CDM,489284,SPACER SPN 17X14X6MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,489285,INSERT ARTC KN 6-9 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,489286,PLATE SPN 15MM 19MM,3389.0,3389.0,508.35,3389.0,30
CDM,489287,END CAP 13MM 28-39MM,30058.0,30058.0,4508.7,30058.0,30
CDM,489288,SPACER SPN 30X24X10MM 8D,11073.0,11073.0,1660.95,11073.0,30
CDM,489290,CANN PRFSN 22FR 12-15IN,471.0,471.0,70.65,471.0,42
CDM,489291,SCREW SPN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,489292,SET INST EXPAND IBD PL,3929.0,3929.0,589.35,3929.0,42
CDM,489293,SCREW BN 7MM 8MM 95MM,2790.0,2790.0,418.5,2790.0,30
CDM,489294,SCREW BN 7MM 8MM 100MM,2790.0,2790.0,418.5,2790.0,30
CDM,489295,BIT DRILL CANN 5MM,2046.5,2046.5,306.98,2046.5,42
CDM,489296,STEM FEM HIP 16MM 210MM,19670.0,19670.0,2950.5,19670.0,30
CDM,489297,CUP ACTB HIP 68MM,6644.0,6644.0,996.6,6644.0,30
CDM,489298,CUP ACTB +4 44X68,4429.0,4429.0,664.35,4429.0,30
CDM,489299,OSTEO FLEX 8MM 80MM,4093.0,4093.0,613.95,4093.0,42
CDM,489300,CANN PRFSN 15IN 20FR VNS,471.0,471.0,70.65,471.0,42
CDM,489302,OSTEO FLEX 6MM 67MM,4093.0,4093.0,613.95,4093.0,42
CDM,489303,STEM FEM HIP 12MM 150MM,9977.0,9977.0,1496.55,9977.0,30
CDM,489304,INSERT TIB KN LT 2 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,489305,KNEE TIB KLD ETPKN2PL,4606.0,4606.0,690.9,4606.0,30
CDM,489306,STEM HIP 132D SZ2 124MM,6201.0,6201.0,930.15,6201.0,30
CDM,489307,PATCH DURA 1X1IN,3012.0,3012.0,451.8,3012.0,30
CDM,489308,IMPLANT 40X40X2.5X.45MM,3790.0,3790.0,568.5,3790.0,30
CDM,489309,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,489312,CMPNT BEARING KN RT 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,489313,STEM HIP 127D SZ3 131MM,6201.0,6201.0,930.15,6201.0,30
CDM,489314,STEM FEM HIP 15MM 127MM,10037.0,10037.0,1505.55,10037.0,30
CDM,489315,INSERT TIB 6 LT MDL,4606.0,4606.0,690.9,4606.0,30
CDM,489317,SCREW BN 5.0MM 32MM,2406.0,2406.0,360.9,2406.0,30
CDM,489318,SCREW BN 5X42MM,2406.0,2406.0,360.9,2406.0,30
CDM,489319,SCREW BN 5MM 70MM,2406.0,2406.0,360.9,2406.0,30
CDM,489320,GRFT SFT TISS SAPH 74 VE,46261.0,46261.0,6939.15,46261.0,30
CDM,489322,LINER ACTB HIP 56/68MM,6823.0,6823.0,1023.45,6823.0,30
CDM,489323,PLATE BN 6HL 3.5MM 119MM,7100.0,7100.0,1065.0,7100.0,30
CDM,489324,PLATE BN 10H 177MM 3.5MM,8761.0,8761.0,1314.15,8761.0,30
CDM,489325,SCREW BN 3.5MM 54MM,1781.0,1781.0,267.15,1781.0,30
CDM,489326,IMPLANT KN TTL CUSTOM,17716.0,17716.0,2657.4,17716.0,30
CDM,489327,SCRW 4.5X3.2X16MM SYNPSE,4340.0,4340.0,651.0,4340.0,30
CDM,489328,PLATE SPN 1LVL 21MM,4429.0,4429.0,664.35,4429.0,30
CDM,489329,SCREW SPN 3.5MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,489330,SCREW BN SPN 6.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,489333,PLATE GAP 35X39MM,2272.0,2272.0,340.8,2272.0,30
CDM,489334,SCREW BN 4.5MM 72MM,379.0,379.0,56.85,379.0,30
CDM,489335,SURF ART FLX SZ6 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,489338,STEM FEM HIP 130MM,8416.0,8416.0,1262.4,8416.0,30
CDM,489339,PLATE SPN 1LV 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,489340,TROCAR MOD HEX 3IN,773.0,773.0,115.95,773.0,42
CDM,489342,PLATE BN 4H 3.5MM 93MM,7010.0,7010.0,1051.5,7010.0,30
CDM,489343,PLATE BN NRRW 9HL 169MM,2696.0,2696.0,404.4,2696.0,30
CDM,489344,INSERT ARTC KN 6-9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,489345,PLATE SPN 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,489346,INSERT ARTC KN 5-6 11MM,5823.0,5823.0,873.45,5823.0,30
CDM,489348,IMPLANT KNEE 960632,4606.0,4606.0,690.9,4606.0,30
CDM,489350,SPACER HUM SHLDR SM 99MM,16245.0,16245.0,2436.75,16245.0,30
CDM,489352,INSERT TIB KN SZ7 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,489353,GRAFT VASC 50CM 7MM 6MM,9421.0,9421.0,1413.15,9421.0,30
CDM,489355,SCREW SPN S/T 45X8.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,489356,SCREW BN 6.5MM 65MM,559.0,559.0,83.85,559.0,30
CDM,489357,SCREW BN 6.5MM 90MM,498.0,498.0,74.7,498.0,30
CDM,489358,PROSTHESIS TIB KN SZ3,6245.0,6245.0,936.75,6245.0,30
CDM,489359,FEM POR E NG LPSFLX GSF,9301.0,9301.0,1395.15,9301.0,30
CDM,489360,PLATE CERV 73MM 4LVL,4429.0,4429.0,664.35,4429.0,30
CDM,489362,COMP FEM E RT KN NXG LP,9301.0,9301.0,1395.15,9301.0,30
CDM,489363,NAIL BN FEM 11MM 380MM,8478.0,8478.0,1271.7,8478.0,30
CDM,489365,STENT EPRSTH 28MM 10CM,57291.0,57291.0,8593.65,57291.0,30
CDM,489366,SCRW 8.5X80MM ILSCRL REV,4247.0,4247.0,637.05,4247.0,30
CDM,489367,SCREW SPN 3.5MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,489368,TIB INS IMPL CRC SZ4,4429.0,4429.0,664.35,4429.0,30
CDM,489369,BODY HUM SHLDR 0 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489371,SCREW SPN 6.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,489372,HEAD HUM SHLDR 15MM 44MM,5944.0,5944.0,891.6,5944.0,30
CDM,489373,SCREW BN SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,489374,SCREW SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,489375,SCREW BN SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,489376,SCREW SPN 8.5MM 90MM,4247.0,4247.0,637.05,4247.0,30
CDM,489377,SCREW BN SPN 7.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,489378,CONNECTOR ROD DMN CL6.5,3012.0,3012.0,451.8,3012.0,30
CDM,489379,ROD SPN CONN 6.35 6.35,3012.0,3012.0,451.8,3012.0,30
CDM,489380,IMPLANT BREAST 495CC,4429.0,4429.0,664.35,4429.0,30
CDM,489383,END CAP OVAL 19X16MM,11600.0,11600.0,1740.0,11600.0,30
CDM,489384,PLATE BN T 3X4HL 0.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,489385,INSERT ARTC 3-4 42 H14,6000.0,6000.0,900.0,6000.0,30
CDM,489386,NAIL BN 11.5MM 21.5CM,4429.0,4429.0,664.35,4429.0,30
CDM,489389,INSERT KN LT 6-9 EF 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,489390,IMPLANT BREAST 485CC,4429.0,4429.0,664.35,4429.0,30
CDM,489391,STENT TRCHBR 20X80X5.1MM,13066.0,13066.0,1959.9,13066.0,30
CDM,489392,INSERT TIB KN SZG-H 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,489393,PLATE SPN 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,489394,SCREW BN SPN 2.6MM 5MM,753.0,753.0,112.95,753.0,30
CDM,489395,SCREW BN SPN 2.6MM 9MM,753.0,753.0,112.95,753.0,30
CDM,489396,SCREW BN SPN 2.6MM 7MM,753.0,753.0,112.95,753.0,30
CDM,489397,SCREW BN SPN 3MM 9MM,940.0,940.0,141.0,940.0,30
CDM,489398,PLATE SPN LRTC 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,489401,GRAFT CV 36X30,4429.0,4429.0,664.35,4429.0,30
CDM,489406,SIZER VASC GRFT 5-24MM,773.0,773.0,115.95,773.0,42
CDM,489407,LNR CR HFLX SZ1-2 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,489408,SCREW BN 7.5MM 40MM XIA,4429.0,4429.0,664.35,4429.0,30
CDM,489409,SCREW BN 7.5MM 35MM XIA,4429.0,4429.0,664.35,4429.0,30
CDM,489412,INSERT TIB KN SZ7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,489413,SPLINT GUIDE VSP ORTHOGN,7648.5,7648.5,1147.28,7648.5,42
CDM,489414,PLATE BN 1.5MM 4MM,3189.0,3189.0,478.35,3189.0,30
CDM,489415,HEAD HUM SHLDR 52X19MM,14258.0,14258.0,2138.7,14258.0,30
CDM,489416,PIN ALGN SHDR 3X170MM,386.5,386.5,57.98,386.5,42
CDM,489419,STEM HUM SHLDR RT 12.5MM,11516.0,11516.0,1727.4,11516.0,30
CDM,489422,NAIL BN TROCH 10MM 36CM,8105.0,8105.0,1215.75,8105.0,30
CDM,489423,BAR SUPP 24CM ADKINS SS,7326.0,7326.0,1098.9,7326.0,30
CDM,489424,BAR SUPP 20CM ADKINS SS,7711.0,7711.0,1156.65,7711.0,30
CDM,489426,STEM FEM HIP 11X127MM,10037.0,10037.0,1505.55,10037.0,30
CDM,489427,PLATE BN 73MM 2.7/3.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,489428,BODY FEM HIP 20MM 75MM,10404.0,10404.0,1560.6,10404.0,30
CDM,489429,SCREW BN 4MM 50MM,2901.0,2901.0,435.15,2901.0,30
CDM,489430,COUPLER VASC ANSTM 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,489432,GWIRE ORTHO 1.4X150MM,773.0,773.0,115.95,773.0,42
CDM,489433,NAIL BN 13MM 40CM,6400.0,6400.0,960.0,6400.0,30
CDM,489434,SCREW BN 10.5MM 115MM,3189.0,3189.0,478.35,3189.0,30
CDM,489435,BIT DRILL QC 180X2.5MM,773.0,773.0,115.95,773.0,42
CDM,489436,PLATE BN FEM LT13H 324MM,4872.0,4872.0,730.8,4872.0,30
CDM,489437,SCREW BN 5MM 85MM,399.0,399.0,59.85,399.0,30
CDM,489438,SCREW BN 5MM 75MM,399.0,399.0,59.85,399.0,30
CDM,489440,ILUM SURG 1/2X15 1/4IN,1023.5,1023.5,153.53,1023.5,42
CDM,489442,NAIL BN FEM LT 11X320MM,9967.0,9967.0,1495.05,9967.0,30
CDM,489443,SCREW BN 2.7MM 54MM SS,1883.0,1883.0,282.45,1883.0,30
CDM,489446,INSERT KN POST SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489447,LINER ACTB HIP 40MM 64MM,4429.0,4429.0,664.35,4429.0,30
CDM,489448,ROD 4.0MM TI CURVED 75MM,3987.0,3987.0,598.05,3987.0,30
CDM,489449,PLATE BN FEM 2H 133MM,7965.0,7965.0,1194.75,7965.0,30
CDM,489453,INSERT ARTC KN LT 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,489454,SCREW BN SPN 7.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,489455,SCREW BN SPN 8.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,489457,HEAD HUM 15MM 48MM SHLDR,5944.0,5944.0,891.6,5944.0,30
CDM,489458,PACKING WND 2IN 5YD,62.5,62.5,9.38,62.5,42
CDM,489462,GRAFT NRV 1-2MM 30MM,17172.0,17172.0,2575.8,17172.0,30
CDM,489463,GRAFT NRV 3-4MM 30MM,18394.0,18394.0,2759.1,18394.0,30
CDM,489464,GRAFT NRV 4-5MM 30MM,19129.0,19129.0,2869.35,19129.0,30
CDM,489465,GRAFT NRV 1-2MM 70MM,28125.0,28125.0,4218.75,28125.0,30
CDM,489466,GRAFT NRV 2-3MM 70MM,33745.0,33745.0,5061.75,33745.0,30
CDM,489467,GRAFT NRV 3-4MM 70MM,38400.0,38400.0,5760.0,38400.0,30
CDM,489468,GRAFT NRV 4-5MM 70MM,41531.0,41531.0,6229.65,41531.0,30
CDM,489469,CONNECTOR NRV 2X15MM,9036.0,9036.0,1355.4,9036.0,30
CDM,489472,CONNECTOR NRV 3X15MM,9036.0,9036.0,1355.4,9036.0,30
CDM,489473,CONNECTOR NRV 4X15MM,9036.0,9036.0,1355.4,9036.0,30
CDM,489474,CONNECTOR NRV 5X15MM,9479.0,9479.0,1421.85,9479.0,30
CDM,489475,PROTECTOR NRV 7X40MM,12884.0,12884.0,1932.6,12884.0,30
CDM,489477,STEM FEM HIP 10MM 119MM,10630.0,10630.0,1594.5,10630.0,30
CDM,489478,SPACER HUM RVRS TM +12MM,4429.0,4429.0,664.35,4429.0,30
CDM,489479,PLATE SPN 2LVL 33MM,4429.0,4429.0,664.35,4429.0,30
CDM,489482,APPLICATR FBRJT 20GA 7IN,467.0,467.0,70.05,467.0,42
CDM,489485,NAIL BN 11.5MM24CM,4872.0,4872.0,730.8,4872.0,30
CDM,489486,NAIL FEM TAN LF 10X36,4872.0,4872.0,730.8,4872.0,30
CDM,489487,EXTRACTOR SURG 3.5MM,1566.5,1566.5,234.97,1566.5,42
CDM,489488,EXTRACTOR SURG 4.5MM,1566.5,1566.5,234.97,1566.5,42
CDM,489489,BLADE TREPH 3.0MM,1571.5,1571.5,235.72,1571.5,42
CDM,489492,BLADE TREPH 3.5MM,1729.0,1729.0,259.35,1729.0,42
CDM,489493,BLADE TREPH 4.5MM,1729.0,1729.0,259.35,1729.0,42
CDM,489495,BLADE TREPH 6.5MM,1729.0,1729.0,259.35,1729.0,42
CDM,489496,STEM FEM PLSM STD SZ5,8858.0,8858.0,1328.7,8858.0,30
CDM,489497,BOLT EXTRACTION 3.5MM,1473.5,1473.5,221.03,1473.5,42
CDM,489498,BOLT EXTRACTION 4.5MM,1473.5,1473.5,221.03,1473.5,42
CDM,489499,BOLT EXTRACTION 6.5MM,1566.5,1566.5,234.97,1566.5,42
CDM,489500,EXTRACTR EZ CANN 3.5-8MM,1768.0,1768.0,265.2,1768.0,42
CDM,489503,CATH ANGIO 100CM 5FR,160.5,160.5,24.07,160.5,42
CDM,489505,HEAD FEM HIP +0MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,489506,NAIL BN FEM 10MM 400MM,6312.0,6312.0,946.8,6312.0,30
CDM,489507,IMPLNT SPN 8MM,24803.0,24803.0,3720.45,24803.0,30
CDM,489508,IMPLNT SPN 10MM,24803.0,24803.0,3720.45,24803.0,30
CDM,489512,GWIRE VASC .014IN 190CM,870.0,870.0,130.5,870.0,42
CDM,489514,INSERT TIB KN SZ8 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,489515,INSERT TIB KN SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,489516,ROD SPN PRBNT 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,489517,CMPNT DIST FEM MED RT 60,44662.0,44662.0,6699.3,44662.0,30
CDM,489519,STEM KNEE 18X15MM 100MM,13580.0,13580.0,2037.0,13580.0,30
CDM,489520,STEM FEM KN 100MM,34170.0,34170.0,5125.5,34170.0,30
CDM,489537,CATH BLN 2.25MM 20MM,798.5,798.5,119.78,798.5,42
CDM,489539,CATH BLN 2.75MM 12MM,798.5,798.5,119.78,798.5,42
CDM,489540,CATH BLN 3.25MM 12MM,798.5,798.5,119.78,798.5,42
CDM,489541,CATH BLN 3.5MM 6MM,798.5,798.5,119.78,798.5,42
CDM,489543,NEEDLE PROC 18GA 7CM,42.0,42.0,6.3,42.0,42
CDM,489552,CATH GD AL2 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,489553,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,489554,CATH ANGIO 5FR 80CM,231.5,231.5,34.73,231.5,42
CDM,489555,CATHETER ULTSND 8FR 90CM,7784.0,7784.0,1167.6,7784.0,42
CDM,489556,CATHETER ULTSND 8FR,11572.5,11572.5,1735.88,11572.5,42
CDM,489557,CATH ANG 6F CRV .056IN,160.5,160.5,24.07,160.5,42
CDM,489562,STENT EPRSTH 8MM 5.0CM,11974.0,11974.0,1796.1,11974.0,30
CDM,489563,GWIRE VASC .035IN 260CM,683.5,683.5,102.53,683.5,42
CDM,489574,CATH GD 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,489576,CATH GD HSII 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489577,CATH GD STD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489578,CATH GD MB2 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489579,CATH GD ERADR 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489580,CATH GD SAL.75 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489581,CATH GD SAL.75 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489584,CATH GD RCB 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489588,CATH GD STD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489589,CATH GD STD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489591,CATH GD ECR3.5 6FR 100CM,773.0,773.0,115.95,773.0,42
CDM,489595,CATH GD 3DRC 100CM 6FR,714.0,714.0,107.1,714.0,42
CDM,489596,CATH GD ALR2 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489597,CATH GD ALR1.2 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489598,CATH GD ALR1.2 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489600,CATH GD 8FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489604,GWIRE VASC 0.014IN 190CM,773.0,773.0,115.95,773.0,42
CDM,489609,CATH GD ERADLT 6FR 100CM,649.5,649.5,97.42,649.5,42
CDM,489613,CATH GD 8FR 100CM,714.0,714.0,107.1,714.0,42
CDM,489617,CATH GD 8FR 90CM,714.0,714.0,107.1,714.0,42
CDM,489618,CATH GD 8FR 90CM,714.0,714.0,107.1,714.0,42
CDM,489619,CATH GD 8FR 90CM,714.0,714.0,107.1,714.0,42
CDM,489620,CATH GD 8FR 90CM,714.0,714.0,107.1,714.0,42
CDM,489626,CATH GD 7FR 3DRC 100CM,714.0,714.0,107.1,714.0,42
CDM,489627,CATH GD 7FR 3DRC 100CM,714.0,714.0,107.1,714.0,42
CDM,489631,CATH GD IMA 7FR 90CM,714.0,714.0,107.1,714.0,42
CDM,489638,ADAPTER IMPL LEAD PCNG,3093.0,3093.0,463.95,3093.0,30
CDM,489639,ADHESIVE SURGICAL TUBE,383.0,383.0,57.45,383.0,30
CDM,489640,CATH BLNDIL 6MM 250MM,2415.0,2415.0,362.25,2415.0,42
CDM,489641,STENT VASC 6FR 7X150MM,4872.0,4872.0,730.8,4872.0,30
CDM,489647,SPACER TIB HALF 65X10MM,6303.0,6303.0,945.45,6303.0,30
CDM,489681,CATH BLNDIL 6MM 40MM,6395.0,6395.0,959.25,6395.0,42
CDM,489688,CATH BLNDIL 6MM 120MM,7162.5,7162.5,1074.38,7162.5,42
CDM,489690,CATH BLNDIL 5MM 120MM,7162.5,7162.5,1074.38,7162.5,42
CDM,489720,STEM TIBAL 100MM D:18/,13580.0,13580.0,2037.0,13580.0,30
CDM,489737,CMPNT FEM KN SZ6N,7206.0,7206.0,1080.9,7206.0,30
CDM,489746,CATH GD AL1 6FR 100CM,618.5,618.5,92.78,618.5,42
CDM,489752,PLATE FANG BN SPN 21MM,3389.0,3389.0,508.35,3389.0,30
CDM,489763,CATH BLNDIL 9MM 20MM,1072.5,1072.5,160.88,1072.5,42
CDM,489783,PLATE BN CLVCL LT 11HL,4185.0,4185.0,627.75,4185.0,30
CDM,489784,PLATE BN ULNA 73MM,4429.0,4429.0,664.35,4429.0,30
CDM,489785,SCREW BN 3.5MM 26MM,1674.0,1674.0,251.1,1674.0,30
CDM,489786,SCREW BN 3.5MM 16MM,1674.0,1674.0,251.1,1674.0,30
CDM,489787,KWIRE FX .9MM 152MM,231.5,231.5,34.73,231.5,42
CDM,489788,SCREW BN CANN LCK 3X24MM,1674.0,1674.0,251.1,1674.0,30
CDM,489789,GUIDE SURG 10D 1.1MM,386.5,386.5,57.98,386.5,42
CDM,489790,KWIRE FX 152MM 1.1MM,231.5,231.5,34.73,231.5,42
CDM,489791,BIT DRL 2.4MM 40MM,232.0,232.0,34.8,232.0,42
CDM,489792,SCREW BN CLVCL 2.7X8MM,1834.0,1834.0,275.1,1834.0,30
CDM,489793,INS TIB CNSTRN SZ6 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,489794,PLATE BN MINI ST 6HL,2093.0,2093.0,313.95,2093.0,30
CDM,489795,HEAD FEM HIP +4 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,489796,PLATE BN HMSPHR 28H 2.8,42785.0,42785.0,6417.75,42785.0,30
CDM,489797,INSERT TIB KN SZ7 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,489798,SCREW BN 2.3MM 4MM,1216.0,1216.0,182.4,1216.0,30
CDM,489799,MODEL LF VSP BNDL RECON,26426.0,26426.0,3963.9,26426.0,42
CDM,489800,SPACER SPN 4D 9X12X14MM,8416.0,8416.0,1262.4,8416.0,30
CDM,489801,CAGE SPN 12D 30X10X25MM,19532.0,19532.0,2929.8,19532.0,30
CDM,489802,SCREW SPN 25MM 5.5MM,1130.0,1130.0,169.5,1130.0,30
CDM,489803,INSERT TIB KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489804,STEM FEM HIP SZ9,8858.0,8858.0,1328.7,8858.0,30
CDM,489805,INSERT TIB LT SZ00 10MM,6878.0,6878.0,1031.7,6878.0,30
CDM,489806,SCREW BN P-AX 3.5X32MM,3389.0,3389.0,508.35,3389.0,30
CDM,489807,SCREW BN 3.5MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,489808,SCREW #1 P-AX 3.5MM-28MM,3389.0,3389.0,508.35,3389.0,30
CDM,489809,ROD SPNL TI 4.0MM-5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,489810,EXPANDER TISS 40CC,6622.0,6622.0,993.3,6622.0,30
CDM,489811,CUP ACTB TRFLNG LT 54MM,44069.0,44069.0,6610.35,44069.0,30
CDM,489812,CONN ROD OFST MTNR 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,489813,INSERT TIB KN 18MM,14095.0,14095.0,2114.25,14095.0,30
CDM,489814,SCREW SPNL STD ST 4.5X6,2967.0,2967.0,445.05,2967.0,30
CDM,489815,SCREW SPN S/T 7.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,489816,IMPLANT GRFTBOLT FX10MM,4252.0,4252.0,637.8,4252.0,30
CDM,489818,SCREW TI 10X4MM STD SPNL,1130.0,1130.0,169.5,1130.0,30
CDM,489819,SCREW BN 4MM 8MM TI STD,1130.0,1130.0,169.5,1130.0,30
CDM,489820,INTBDY DVC 55X22X12 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,489821,STEM FEM HIP 140MM 19MM,8699.0,8699.0,1304.85,8699.0,30
CDM,489822,WEDGE TIB KN SZ6 15MM,4892.0,4892.0,733.8,4892.0,30
CDM,489823,CONE TIB CENTRAL LG,20429.0,20429.0,3064.35,20429.0,30
CDM,489824,WEDGE FEM KN SZXLG,20429.0,20429.0,3064.35,20429.0,30
CDM,489825,SCREW MXLFCL CP 2.3X8MM,1166.0,1166.0,174.9,1166.0,30
CDM,489826,BIT DRILL 58X1.9X6+7MM C,3189.0,3189.0,478.35,3189.0,42
CDM,489827,SCREW BN 4MM 40MM,1356.0,1356.0,203.4,1356.0,30
CDM,489828,PLATE BN TBLR 9X76MM,3393.0,3393.0,508.95,3393.0,30
CDM,489829,KIT ENDO KNTLS STRL,4429.0,4429.0,664.35,4429.0,30
CDM,489830,SCREW BN SPN 6.5MM 60MM,3765.0,3765.0,564.75,3765.0,30
CDM,489832,IMPLANT BREAST 445CC,6139.5,6139.5,920.92,6139.5,30
CDM,489833,EXPANDER TISS 300CC,5980.0,5980.0,897.0,5980.0,30
CDM,489835,SPACER SPNL 50X18X13 6D,13287.0,13287.0,1993.05,13287.0,30
CDM,489836,CMPNT FEM KN RT SZ8,7206.0,7206.0,1080.9,7206.0,30
CDM,489837,PLATE MED PEEK-OPTMA LCK,11339.0,11339.0,1700.85,11339.0,30
CDM,489838,CANNULA SIDE DEL 120 11G,3397.0,3397.0,509.55,3397.0,42
CDM,489839,TISS ACLR DRML 8CM 20CM,16211.0,16211.0,2431.65,16211.0,30
CDM,489840,INSRT ARTC 3-5 D XL 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,489841,BASEPLATE TIB ATTUNE 6 K,5639.0,5639.0,845.85,5639.0,30
CDM,489842,CMPNT FEM KN RT SZ2.5,8416.0,8416.0,1262.4,8416.0,30
CDM,489843,TRAY TIB SZ2.5F 2.5T,5758.0,5758.0,863.7,5758.0,30
CDM,489845,INSERT TIB KN SZ6 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,489846,STEM FEM HIP 20MM 195MM,25910.0,25910.0,3886.5,25910.0,30
CDM,489847,INSERT TIB KN SZ4 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,489848,CAGE SPNL 12X14 6D -05,4429.0,4429.0,664.35,4429.0,30
CDM,489852,GRAFT DERML MATRX 4X7CM,4429.0,4429.0,664.35,4429.0,30
CDM,489853,CMPNT FEM HIP SZ7,7530.0,7530.0,1129.5,7530.0,30
CDM,489854,BASEPLATE TIB ATTUNE 8 K,5639.0,5639.0,845.85,5639.0,30
CDM,489855,STEM FEM HIPREV 22X195MM,25910.0,25910.0,3886.5,25910.0,30
CDM,489856,PLT BN TIB LT 300MM 13HL,7078.0,7078.0,1061.7,7078.0,30
CDM,489857,NAIL BN HUM 10/8.5MM,4872.0,4872.0,730.8,4872.0,30
CDM,489858,SCREW BN CANC 5MM 38MM,2392.0,2392.0,358.8,2392.0,30
CDM,489859,MESH SURG HERNIA 10X15CM,3721.0,3721.0,558.15,3721.0,30
CDM,489860,PLATE BN 0.6X100X100M,8557.0,8557.0,1283.55,8557.0,30
CDM,489861,PLATE BN 1MM 14HL,3775.0,3775.0,566.25,3775.0,30
CDM,489862,SPCR SPNL 45X18X13MM 6D,13287.0,13287.0,1993.05,13287.0,30
CDM,489863,CAGE SPN 10D 36X27X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,489864,CAGE SPN 6D 45X22X14MM,15348.0,15348.0,2302.2,15348.0,30
CDM,489865,BEARING KN 63/67MMX18MM,4606.0,4606.0,690.9,4606.0,30
CDM,489868,SCREW BN CMPRS 6.5X40MM,642.0,642.0,96.3,642.0,30
CDM,489884,TUBE ET NIM EMG 6MM,2586.5,2586.5,387.98,2586.5,42
CDM,489885,TUBE ET NIM EMG 7MM,2586.5,2586.5,387.98,2586.5,42
CDM,489886,TUBE ET NIM EMG 8MM,2586.5,2586.5,387.98,2586.5,42
CDM,489893,SIZER BREAST 300CC,773.0,773.0,115.95,773.0,42
CDM,489894,SIZER BREAST 330CC,541.0,541.0,81.15,541.0,42
CDM,489895,MONITOR CARDIAC INSERT,20152.0,20152.0,3022.8,20152.0,30
CDM,489898,SEALANT FIBRN PREFL 10ML,3616.0,3616.0,542.4,3616.0,42
CDM,489902,LIGASURE SLR/DVDR 23CM,3560.5,3560.5,534.08,3560.5,42
CDM,489903,COMPNT FEM STD KN SIZE 7,28401.0,28401.0,4260.15,28401.0,30
CDM,489904,WEDGE FEM KN SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,489905,CAGE SPNL 12X14 10D -09,4429.0,4429.0,664.35,4429.0,30
CDM,489907,COMPONENT TIB 3-14MM,4252.0,4252.0,637.8,4252.0,30
CDM,489908,ROD SPN 5.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,489909,PIN DRL KN ACL 4MM,1074.5,1074.5,161.18,1074.5,42
CDM,489911,PLATE BN 4H .4X10X10X10,3189.0,3189.0,478.35,3189.0,30
CDM,489912,INSERT TIB KN SZE-F 17MM,4606.0,4606.0,690.9,4606.0,30
CDM,489913,SCREW BN 3.5MM 12MM,1781.0,1781.0,267.15,1781.0,30
CDM,489914,HEAD FEM HIP 12/14+12X36,4429.0,4429.0,664.35,4429.0,30
CDM,489915,PLATE BN 6H 117MM 3.5MM,6409.0,6409.0,961.35,6409.0,30
CDM,489916,SCREW SPN 3.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,489917,CUP ACTB TRIFLNG RT 56MM,44069.0,44069.0,6610.35,44069.0,30
CDM,489918,GRAFT BN WEDGE 10MMX5MM,7069.0,7069.0,1060.35,7069.0,30
CDM,489919,WEDGE ILIUM 10MM,3411.0,3411.0,511.65,3411.0,30
CDM,489920,SCREW BN 7MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,489921,ROD SPN 3.5X45MM,2711.0,2711.0,406.65,2711.0,30
CDM,489922,SCREW SPN 8.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,489924,STNT THORAC 28X28MM 10CM,67672.0,67672.0,10150.8,67672.0,30
CDM,489926,IMPLANT SPN BODY RDC,3012.0,3012.0,451.8,3012.0,30
CDM,489927,CAGE SPNL 8D 50X22X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,489929,LEAD NRSTM 0.170IN 28CM,12410.0,12410.0,1861.5,12410.0,30
CDM,489930,CMPNT FEM HIP SZ7.5,7530.0,7530.0,1129.5,7530.0,30
CDM,489931,LINER HIP 28D 46MM SZG,4606.0,4606.0,690.9,4606.0,30
CDM,489932,INSERT TIB KN SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489933,INSERT TIB LT SZ00 8MM,6878.0,6878.0,1031.7,6878.0,30
CDM,489934,IMPLANT CRANIAL PEEK,44953.0,44953.0,6742.95,44953.0,30
CDM,489935,GRAFT BN FEM HEMI CNDYL,37647.0,37647.0,5647.05,37647.0,30
CDM,489936,BLOCK AUG KN SZ1 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489937,BLOCK AUG KN SZ1 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489938,BIT DRIL TWST 2.0MM 62MM,1446.0,1446.0,216.9,1446.0,42
CDM,489940,PLATE CRANIO 100D 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,489941,PLATE BN STRT.6MM 1.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,489942,PLATE BN CRV10HL.6X1.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,489943,SCREW BN SLF 1.7MM 4MM,1194.0,1194.0,179.1,1194.0,30
CDM,489944,SCREW BN 1.7MM 5MM,1070.0,1070.0,160.5,1070.0,30
CDM,489945,SCRW BN 1.7MM 5MM SLFDRL,1340.0,1340.0,201.0,1340.0,30
CDM,489946,SCREW BN 1.9MM 5MM,1317.0,1317.0,197.55,1317.0,30
CDM,489947,CAGE SPN 6D 12X14X44MM,50934.0,50934.0,7640.1,50934.0,30
CDM,489948,SHELL HIP ACTB SZ24,1879.0,1879.0,281.85,1879.0,30
CDM,489949,HEAD FEM HIP-3MM 12/14,4606.0,4606.0,690.9,4606.0,30
CDM,489950,GLENOSPHERE EXT LCK 38MM,5647.0,5647.0,847.05,5647.0,30
CDM,489951,CMPNT SHLDR LCK 42MM,5647.0,5647.0,847.05,5647.0,30
CDM,489952,CAGE SPN 6D 27X30X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,489954,WEDGE KN BLCK POST 75X5,4606.0,4606.0,690.9,4606.0,30
CDM,489955,INSERT KN BEAR SZ7-9,4606.0,4606.0,690.9,4606.0,30
CDM,489956,PLATE BN 8H 4.5MM 195MM,7156.0,7156.0,1073.4,7156.0,30
CDM,489957,SCREW SPNL 4.5X14MM,3765.0,3765.0,564.75,3765.0,30
CDM,489958,CAGE SPN INTERBDY 16MM,19200.0,19200.0,2880.0,19200.0,30
CDM,489959,STEM FEM KN 20X80MM,4606.0,4606.0,690.9,4606.0,30
CDM,489960,SCREW BN 1.7MM 5MM,1194.0,1194.0,179.1,1194.0,30
CDM,489962,SCREW SPN 5.5MM 25MM,3389.0,3389.0,508.35,3389.0,30
CDM,489963,PLATE BN RT 5DEG SMALL,8088.0,8088.0,1213.2,8088.0,30
CDM,489964,SCREW BN HDED 3.5MM 26MM,2392.0,2392.0,358.8,2392.0,30
CDM,489965,SCREW BN 2.7MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,489966,AUGMENT FEM KN RT SZ1/2,13389.0,13389.0,2008.35,13389.0,30
CDM,489967,INSERT TIB KN SZ3 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,489969,IMPLANT BREAST 745CC,5315.0,5315.0,797.25,5315.0,30
CDM,489972,CAGE SPN 12D ALIF 35X10,21636.0,21636.0,3245.4,21636.0,30
CDM,489973,CATH GD 4FR 90CM,1514.5,1514.5,227.18,1514.5,42
CDM,489974,CATH GD 4FR 135CM,1449.0,1449.0,217.35,1449.0,42
CDM,489975,CAGE SPN 6D 12X14X20MM,50934.0,50934.0,7640.1,50934.0,30
CDM,489976,CMPNT FEM HIP SZ5,7530.0,7530.0,1129.5,7530.0,30
CDM,489977,NAIL BN 13X34MM,6840.0,6840.0,1026.0,6840.0,30
CDM,489978,SCREW BN 5MM 85MM,1913.0,1913.0,286.95,1913.0,30
CDM,489979,SCREW BN 5MM 95MM,2344.0,2344.0,351.6,2344.0,30
CDM,489980,SUTURE TGRTAPE CRLGE 2MM,3683.5,3683.5,552.52,3683.5,30
CDM,489981,SPACER SPNL 6D 22X13MM,13287.0,13287.0,1993.05,13287.0,30
CDM,489982,FORCEPS BPLR INS 10.5IN,769.5,769.5,115.42,769.5,42
CDM,489983,CAGE SPN 6D 10X45X22MM,13287.0,13287.0,1993.05,13287.0,30
CDM,489984,ROD SPN STR TI 3.5X200MM,3012.0,3012.0,451.8,3012.0,30
CDM,489985,ROD CNCTR 3.5/4-5.5/6MM,3012.0,3012.0,451.8,3012.0,30
CDM,489986,ROD SPNL 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,489987,CAGE SPN 55L 18WX10H 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,489989,MESH CRNL 50X76X.85MM,5789.0,5789.0,868.35,5789.0,30
CDM,489991,INSERT TIB KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,489992,CAGE SPNL 8D 55X18X14MM,13287.0,13287.0,1993.05,13287.0,30
CDM,489993,SPACER SPNL 7D 15X17X6MM,8083.0,8083.0,1212.45,8083.0,30
CDM,489994,PLATE SM MED TI 6.5MM,4983.0,4983.0,747.45,4983.0,30
CDM,489995,WEDGE FEM KN SZEF 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,489996,WEDGE FEM KN SZEF 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,489997,INSERT TIB KN 3.5 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,489998,SCREW SPN RDC 6.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,489999,SCREW BN 6.5MM 55MM,1356.0,1356.0,203.4,1356.0,30
CDM,490000,SCREW BN 6.5MM 65MM,1356.0,1356.0,203.4,1356.0,30
CDM,490001,SCREW BN CORT 4.5X38MM,1356.0,1356.0,203.4,1356.0,30
CDM,490002,SCREW BN 4.5MM 46MM,1356.0,1356.0,203.4,1356.0,30
CDM,490003,SCREW BN CORT 4.5X34MM,1356.0,1356.0,203.4,1356.0,30
CDM,490004,SCREW BN 6.5MM 50MM,1356.0,1356.0,203.4,1356.0,30
CDM,490005,SCREW BN 4.5MM 34MM,3109.0,3109.0,466.35,3109.0,30
CDM,490006,PEG BN THRD 2.7X24MM,1435.0,1435.0,215.25,1435.0,30
CDM,490007,PLATE BN 4H 2.4MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,490008,SCREW BN 2.4MM 4MM 38MM,743.0,743.0,111.45,743.0,30
CDM,490010,STEM XTN OFST 18X145X100,4606.0,4606.0,690.9,4606.0,30
CDM,490011,CONE TIB KN CENTER MED,20429.0,20429.0,3064.35,20429.0,30
CDM,490012,SCREW BN 5MM 14MM,2492.0,2492.0,373.8,2492.0,30
CDM,490013,SCREW BN 5MM 72MM,2392.0,2392.0,358.8,2392.0,30
CDM,490014,INSERT TIB KN SZ9 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,490015,AUGMENT TIB 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,490016,AUGMENT TIB 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,490017,INSERT TIB KN SZ8 8MM,8309.0,8309.0,1246.35,8309.0,30
CDM,490020,HEAD FEM HIP 6D +3.5MM,1170.0,1170.0,175.5,1170.0,30
CDM,490021,CAGE SPNL 36X27X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,490022,SPACER SPN 6D 14X12X26MM,20262.0,20262.0,3039.3,20262.0,30
CDM,490023,CATH EP 7FR 115CM,8257.5,8257.5,1238.63,8257.5,42
CDM,490024,NEEDLE BIPSY CHIBA 22X10,278.0,278.0,41.7,278.0,42
CDM,490030,CRT-D CRD 5.37X8.18X0.99,55316.0,55316.0,8297.4,55316.0,30
CDM,490036,ELCTRD LOOP 12X15,249.0,249.0,37.35,249.0,42
CDM,490050,BLADE SRG OSC 4MM 11CM,1385.5,1385.5,207.82,1385.5,42
CDM,490052,TUBE EAR VNT 12MM 1.14MM,329.0,329.0,49.35,329.0,30
CDM,490059,PROSTH OSS 4.5MM 3.0MM,3560.0,3560.0,655.4,3560.0,26
CDM,490066,SLEEVE LAPSCP 12MM 100MM,247.5,247.5,37.13,247.5,42
CDM,490093,SYSTEM CATH ARTHRCM 135C,17671.0,17671.0,2650.65,17671.0,42
CDM,490127,CANNULA IRR L25MM OD41GA,1005.0,1005.0,150.75,1005.0,42
CDM,490131,BLADE SHVR 4MM 11CM,1497.5,1497.5,224.63,1497.5,42
CDM,490134,GRAFT AMNIO TISS 2X1.5CM,3906.0,3906.0,585.9,3906.0,30
CDM,490137,TUBE EARVNT 1.02X2.5MM,206.0,206.0,30.9,206.0,30
CDM,490138,NAS SPL STD THK 5,470.0,470.0,70.5,470.0,42
CDM,490139,TUBE EARVNT 1.27X4.3MM,242.0,242.0,36.3,242.0,30
CDM,490157,PUNCH SURG 9.0MM,829.0,829.0,124.35,829.0,42
CDM,490164,CMPNT FEM KN RT SZ4,6764.0,6764.0,1014.6,6764.0,30
CDM,490171,ELECTRODE ESURG 70 6IN,2185.5,2185.5,327.82,2185.5,42
CDM,490174,SCREW BN 1.7MM 4MM,1362.0,1362.0,204.3,1362.0,30
CDM,490176,PROSTH OSS 1.5MM 3.0MM,3189.0,3189.0,587.09,3189.0,26
CDM,490178,HANDPIECE ESURG 1.7X10MM,2629.0,2629.0,394.35,2629.0,42
CDM,490180,FORCEP RADIAL JAW 240CM,150.5,150.5,22.57,150.5,42
CDM,490183,CRT-P 4.45X6.17X0.75CM,25776.0,25776.0,3866.4,25776.0,30
CDM,490188,RELOAD STPLR 60MM,1874.0,1874.0,281.1,1874.0,30
CDM,490206,INSERT TIB KN SZ4 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,490210,INS TIB CRU RET SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,490214,CATH SURG OCLDR 6FR,773.0,773.0,115.95,773.0,42
CDM,490218,ELECTRODE ESURG 6.5IN,74.5,74.5,11.18,74.5,42
CDM,490223,INSTR BX 18GA 20CM,351.5,351.5,52.73,351.5,42
CDM,490228,TIP MNPLT 6.7MM 6.0CM,641.5,641.5,96.22,641.5,42
CDM,490229,TIP MNPLT 6.7MM 8CM,654.0,654.0,98.1,654.0,42
CDM,490230,TIP MNPLT 6.7MM 10CM,654.0,654.0,98.1,654.0,42
CDM,490231,TIP MNPLT 5.1MM 6CM,654.0,654.0,98.1,654.0,42
CDM,490235,TROCAR LAP 12MM 100MM,264.5,264.5,39.67,264.5,42
CDM,490257,KIT CATH SHTH MNSHLD,452.0,452.0,67.8,452.0,42
CDM,490258,CATH ULTSND 10FR 90CM,11572.5,11572.5,1735.88,11572.5,42
CDM,490259,PCMKR 2CH W HOME MNTR,12210.0,12210.0,1831.5,12210.0,30
CDM,490260,CATH BLNDIL 1.2X12MM,3274.0,3274.0,491.1,3274.0,42
CDM,490261,PLATE BNE TI L58-80 LP,3012.0,3012.0,451.8,3012.0,30
CDM,490262,INSERT ARTC KN 6-9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,490263,COMP FEM HIP SZ4,7530.0,7530.0,1129.5,7530.0,30
CDM,490266,KIT INTRO SHTH 7FR 10CM,773.0,773.0,115.95,773.0,42
CDM,490267,CATH ULTSND 10FR 90CM,11997.0,11997.0,1799.55,11997.0,42
CDM,490268,CATH INTVN 5FR 135X20CM,3069.5,3069.5,460.43,3069.5,42
CDM,490269,ICD DEFIB CARD DF4,40464.0,40464.0,6069.6,40464.0,30
CDM,490270,LEAD ANCH SLV KT 4/6/9FR,424.0,424.0,63.6,424.0,30
CDM,490271,PCMKR CARD 51X42X8MM,12210.0,12210.0,1831.5,12210.0,30
CDM,490273,ICD-S 83.1X69.1X12.7MM,73260.0,73260.0,10989.0,73260.0,30
CDM,490274,LEAD ELECTRODE 45CM,16280.0,16280.0,2442.0,16280.0,30
CDM,490275,SCREW BN 6.5MM 15MM,3189.0,3189.0,478.35,3189.0,30
CDM,490276,SEPARATOR THRMB 150CM,9490.5,9490.5,1423.58,9490.5,42
CDM,490277,SCREW BN 6.5MM 60MM,4252.0,4252.0,637.8,4252.0,30
CDM,490280,CATH ANGIO 4FR 65CM,231.5,231.5,34.73,231.5,42
CDM,490282,SCREW BN 6.5MM 70MM,4252.0,4252.0,637.8,4252.0,30
CDM,490285,PORT PLUG IS-1,1085.0,1085.0,162.75,1085.0,30
CDM,490288,CATH GD 2.6FR 150CM,1514.5,1514.5,227.18,1514.5,42
CDM,490290,ICD DEFIB CRD 68X51X13MM,44201.0,44201.0,6630.15,44201.0,30
CDM,490291,CATH GD STDJLC 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,490293,STEM FEM HIP 17MM 190MM,17306.0,17306.0,2595.9,17306.0,30
CDM,490295,CATHETER VASC 160CM,5542.0,5542.0,831.3,5542.0,42
CDM,490296,CMPNT TRIFLNG LT SZ25,61298.0,61298.0,9194.7,61298.0,30
CDM,490298,STENT EPRSTH 5MM 10CM,13489.0,13489.0,2023.35,13489.0,30
CDM,490299,STENT EPRSTH 6MM 5CM,11974.0,11974.0,1796.1,11974.0,30
CDM,490300,STENT EPRSTH 6MM 15CM,15830.0,15830.0,2374.5,15830.0,30
CDM,490301,STENT EPRSTH 7MM 15CM,15830.0,15830.0,2374.5,15830.0,30
CDM,490302,STENT EPRSTH 5MM 5.0CM,11974.0,11974.0,1796.1,11974.0,30
CDM,490305,STENT EPRSTH 8MM 15CM,15830.0,15830.0,2374.5,15830.0,30
CDM,490319,INSERT KN BRNG SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,490320,KIT PROC 90 DEGREES,7971.0,7971.0,1195.65,7971.0,42
CDM,490321,KIT PROC 45 DEGREES,6057.5,6057.5,908.63,6057.5,42
CDM,490323,COIL EMBL 18MM 40CM,3720.0,3720.0,558.0,3720.0,30
CDM,490325,DEVICE EMBL 4.5MM 16MM,60678.0,60678.0,9101.7,60678.0,30
CDM,490327,SCREW SPN P-AX 5.5X35MM,4030.0,4030.0,604.5,4030.0,30
CDM,490328,COIL EMBL 8CM 2MM,3720.0,3720.0,558.0,3720.0,30
CDM,490329,SCREW BN SPNL 5.5MM 40MM,4030.0,4030.0,604.5,4030.0,30
CDM,490331,DEVICE DLV/FILLER,4144.5,4144.5,621.67,4144.5,42
CDM,490332,STEM FEM KN 24MM 110MM,4643.0,4643.0,696.45,4643.0,30
CDM,490333,INSERT KN RT SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,490334,STEM BN 8MM 0MM,7601.0,7601.0,1140.15,7601.0,30
CDM,490335,INSERT KN LT SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,490336,PLATE SPN 2LVL 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,490340,COMP KN 7+ SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,490341,BRACE TLSO A-P-L 1PC,8652.0,8652.0,1592.83,8652.0,26
CDM,490341,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",8652.0,8652.0,1782.0,2757.41,34
CDM,490348,PATCH VASC 2X9CM,3189.0,3189.0,478.35,3189.0,30
CDM,490349,PATCH VASC 1X6CM,3189.0,3189.0,478.35,3189.0,30
CDM,490351,SCREW SPN 5MM 40MM,4030.0,4030.0,604.5,4030.0,30
CDM,490352,KIT WND DRN 400CC 1/4IN,179.5,179.5,26.93,179.5,42
CDM,490353,DEVICE CLSR WND +1 45CM,361.5,361.5,54.23,361.5,42
CDM,490354,DEVICE CLSR WND +1 45CM,361.5,361.5,54.23,361.5,42
CDM,490357,PORT IMPL INFSN 6FR,3189.0,3189.0,478.35,3189.0,30
CDM,490360,INSERT ARTC KN 6-9 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,490362,CAGE SPNL 20MM,34325.0,34325.0,5148.75,34325.0,30
CDM,490363,CATH OCC 10FR 46MM 140CM,4093.0,4093.0,613.95,4093.0,42
CDM,490366,IMPLANT BREAST 310CC,4429.0,4429.0,664.35,4429.0,30
CDM,490368,IMPLANT BREAST 345CC,4429.0,4429.0,664.35,4429.0,30
CDM,490369,SCREW BN 4.5MM 37.5MM,2884.0,2884.0,432.6,2884.0,30
CDM,490371,IMPLANT BREAST 375CC,4429.0,4429.0,664.35,4429.0,30
CDM,490373,PIN BN FX 35MM,3721.0,3721.0,558.15,3721.0,30
CDM,490374,PLATE BN 8X6HL,3721.0,3721.0,558.15,3721.0,30
CDM,490377,STEM FEM HIP 20X235MM,10204.0,10204.0,1530.6,10204.0,30
CDM,490378,CMPNT AGMNT 4X16 DST RT,4252.0,4252.0,637.8,4252.0,30
CDM,490379,CMPNT AGMNT 4X12 DIST RT,4252.0,4252.0,637.8,4252.0,30
CDM,490381,SCREW BN 7MM 8MM 85MM,3721.0,3721.0,558.15,3721.0,30
CDM,490382,INSERT TIB KN 7/5,4606.0,4606.0,690.9,4606.0,30
CDM,490383,SCREW TI SPNL LCK ASMB,753.0,753.0,112.95,753.0,30
CDM,490384,SCREW BN SPNL 3.5X14MM P,4247.0,4247.0,637.05,4247.0,30
CDM,490385,SCREW BONE L16MM OD3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,490386,NAIL BN 9.3MM 30CM,4872.0,4872.0,730.8,4872.0,30
CDM,490387,ROD SPNL PRECNTRD 3.5X60,2711.0,2711.0,406.65,2711.0,30
CDM,490388,SHELL ACTB HIP 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,490389,STEM FEM HIP 10MM 119MM,10630.0,10630.0,1594.5,10630.0,30
CDM,490390,LINER ACTB HIP 54MM 32MM,6644.0,6644.0,996.6,6644.0,30
CDM,490391,PLATE VOLAR 4 PEG LT 7 H,6090.0,6090.0,913.5,6090.0,30
CDM,490394,ROD SPNL 3.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,490395,SCREW SPN 3.5X20X9X29MM,4247.0,4247.0,637.05,4247.0,30
CDM,490396,SCREW BN 1.5MM 11MM,519.0,519.0,77.85,519.0,30
CDM,490397,INSERT EVOL MP ADPTV CS,4606.0,4606.0,690.9,4606.0,30
CDM,490399,MARKER SURG SILICONE,219.0,219.0,32.85,219.0,30
CDM,490400,CAGE SPN 7D 14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,490403,ROD SPNL 3.5X400MM TI,2711.0,2711.0,406.65,2711.0,30
CDM,490405,CAGE SPN 0D 12X14X34MM,50934.0,50934.0,7640.1,50934.0,30
CDM,490406,SUTURE UND MON +3-0 27IN,105.0,105.0,15.75,105.0,42
CDM,490408,SPACER SPN 7D 28X10X7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,490411,SYSTEM VALVE DEL 23/25,9465.0,9465.0,1419.75,9465.0,42
CDM,490412,SYSTEM VALVE DEL 27/29,9465.0,9465.0,1419.75,9465.0,42
CDM,490416,VALVE TAVI 25MM,80745.0,80745.0,12111.75,80745.0,30
CDM,490417,VALVE TAVI 27MM,80745.0,80745.0,12111.75,80745.0,30
CDM,490418,PLATE BN 8HL RT 115MM,4429.0,4429.0,664.35,4429.0,30
CDM,490419,VALVE TAVI 29MM,80745.0,80745.0,12111.75,80745.0,30
CDM,490420,ANCHOR SUT SMALL JOINT,3189.0,3189.0,478.35,3189.0,30
CDM,490422,KIT INST DISP BIT 2.4MM,471.0,471.0,70.65,471.0,42
CDM,490423,COMPNT FEM KN RT SZ9,6764.0,6764.0,1014.6,6764.0,30
CDM,490424,TOOL LOADING 18FR,773.0,773.0,115.95,773.0,42
CDM,490425,TOOL LOADING 19FR,773.0,773.0,115.95,773.0,42
CDM,490426,BASEPLATE TIB ATTUNE 9 K,5639.0,5639.0,845.85,5639.0,30
CDM,490427,PLATE BN ELBOW LT,4429.0,4429.0,664.35,4429.0,30
CDM,490428,PEG BN FX 2.7MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,490429,PEG BN FX 2.3MM 30MM,1435.0,1435.0,215.25,1435.0,30
CDM,490430,ROD SPN CURV 3.5X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,490431,PLATE MESH 80X80MM .3MM,5596.0,5596.0,839.4,5596.0,30
CDM,490432,BURR RND 8 FLUT 5.5MM,773.0,773.0,115.95,773.0,42
CDM,490433,HEAD HUM SHLDR 19MM 50MM,6979.0,6979.0,1046.85,6979.0,30
CDM,490434,TRAY TIBIAL SIZE 5F/4T,5758.0,5758.0,863.7,5758.0,30
CDM,490439,COMPNT FEM RIGHT SIZE 5,8416.0,8416.0,1262.4,8416.0,30
CDM,490443,PLATE BN T 3H 7H 1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,490444,STENT EPRSTH 37X37X15CM,69026.0,69026.0,10353.9,69026.0,30
CDM,490446,BLADE SHVR 3MM 80MM,634.0,634.0,95.1,634.0,42
CDM,490447,CATH ANGIO 5FR 70CM,1035.5,1035.5,155.32,1035.5,42
CDM,490448,CATH ANGIO 5FR 80CM,1035.5,1035.5,155.32,1035.5,42
CDM,490449,STEM FEM HIP CMNTLS 135D,7995.0,7995.0,1199.25,7995.0,30
CDM,490450,PLATE BN CMPR 8H 67MM,3189.0,3189.0,478.35,3189.0,30
CDM,490452,SCREW BN 2.7X4.5X26MM,581.0,581.0,87.15,581.0,30
CDM,490453,SCREW BN 2.7X24MM,581.0,581.0,87.15,581.0,30
CDM,490454,SCREW BN 2.7MM 28MM,581.0,581.0,87.15,581.0,30
CDM,490455,SCREW BN 2.7MM 44MM,581.0,581.0,87.15,581.0,30
CDM,490459,SCREW BN 2.7X4.5X30MM,614.0,614.0,92.1,614.0,30
CDM,490464,PLATE BN 82MM 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,490467,PLATE BN 8H 3.5MM 94MM,3189.0,3189.0,478.35,3189.0,30
CDM,490468,SCREW BN 3.5MM 16MM,2304.0,2304.0,345.6,2304.0,30
CDM,490470,BLADE SHVR +3.5MM,572.0,572.0,85.8,572.0,42
CDM,490471,SCREW BN 3.5MM 12MM,484.0,484.0,72.6,484.0,30
CDM,490472,SCREW BN CORT 3.5X14MM,484.0,484.0,72.6,484.0,30
CDM,490473,SCREW BN 3.5MM 16MM,446.0,446.0,66.9,446.0,30
CDM,490474,SCREW BN 3.5MM 50MM,446.0,446.0,66.9,446.0,30
CDM,490475,BLADE CUT 1.5MM 98CM,16878.0,16878.0,2531.7,16878.0,42
CDM,490481,DRILL SURG SHRT MINI 2MM,1023.5,1023.5,153.53,1023.5,42
CDM,490483,DRILL SURG 2.7MM,1023.5,1023.5,153.53,1023.5,42
CDM,490484,ELCTRDE ESURG 24-28F 30D,974.0,974.0,146.1,974.0,42
CDM,490485,CAGE ALIF 14MM X-LG,21636.0,21636.0,3245.4,21636.0,30
CDM,490491,ROD SPN 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,490495,SCREW SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,490497,INSRT ARTC KN 10-11 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,490509,IMPLANT BREAST 295CC,4429.0,4429.0,664.35,4429.0,30
CDM,490510,STEM FEM CMNTKN 160X12MM,4606.0,4606.0,690.9,4606.0,30
CDM,490511,IMPLANT BREAST 325CC,4429.0,4429.0,664.35,4429.0,30
CDM,490513,WEDGE KN SZ3 5X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,490515,STEM SEG HIP 28MM 30MM,19931.0,19931.0,2989.65,19931.0,30
CDM,490516,STEM FEM 16MM 200MM,34166.0,34166.0,5124.9,34166.0,30
CDM,490521,STEM FEM 160MM 16MM,26977.0,26977.0,4046.55,26977.0,30
CDM,490522,CANNULA ART 15FR 31.8CM,2488.5,2488.5,373.27,2488.5,42
CDM,490523,STEM FEM HIP 126D 65MM,26898.0,26898.0,4034.7,26898.0,30
CDM,490524,SPACER FEM HIP 20MM,4252.0,4252.0,637.8,4252.0,30
CDM,490525,STENT PANC 5FR 3CM,1178.0,1178.0,176.7,1178.0,30
CDM,490528,PLATE BN CMF STRT 4HL,2182.0,2182.0,327.3,2182.0,30
CDM,490529,SCREW BN 1.5MM 4MM,431.0,431.0,64.65,431.0,30
CDM,490530,SCREW BN 1.5MM 5MM,431.0,431.0,64.65,431.0,30
CDM,490531,PLATE BN 4MM 6MM,3189.0,3189.0,478.35,3189.0,30
CDM,490533,CAGE ACTB 66/68/70X58MM,9051.0,9051.0,1357.65,9051.0,30
CDM,490534,SHELL ACTB HIP 58MM,5820.0,5820.0,873.0,5820.0,30
CDM,490535,LINER 66/68 70X32 10D,5820.0,5820.0,873.0,5820.0,30
CDM,490537,DISC ULNA RT BRNG 3X75MM,16917.0,16917.0,2537.55,16917.0,30
CDM,490540,PLATE SPN 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,490541,SCREW BN SPN 3MM 5MM,753.0,753.0,112.95,753.0,30
CDM,490542,SCREW BN SPN 3MM 7MM,753.0,753.0,112.95,753.0,30
CDM,490546,ROD SPN STRAIGHT 400MM,2711.0,2711.0,406.65,2711.0,30
CDM,490547,SHELL ACTB HIP 66MM,9543.0,9543.0,1431.45,9543.0,30
CDM,490548,TRIAL HIP RT 66/68/70MM,2320.5,2320.5,348.07,2320.5,42
CDM,490549,LINER ACTB LNGVT 60X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,490551,PLATE 117MM SS 3.5MM SCR,3439.0,3439.0,515.85,3439.0,30
CDM,490552,MESH SURG BIO 30X20CM,19670.0,19670.0,2950.5,19670.0,30
CDM,490553,PLATE SPN 2LVL 28MM CRVC,4429.0,4429.0,664.35,4429.0,30
CDM,490554,NAIL BN 10MM 34CM,6400.0,6400.0,960.0,6400.0,30
CDM,490555,SET ORTH LPS +0MM FEM HI,4429.0,4429.0,664.35,4429.0,30
CDM,490556,PLATE SPN 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,490557,XLINK SPN SLM 45-60MM,3389.0,3389.0,508.35,3389.0,30
CDM,490560,STEM FEM HIP 190X21MM,9567.0,9567.0,1435.05,9567.0,30
CDM,490561,SHELL ACTB HIP 64MM,4606.0,4606.0,690.9,4606.0,30
CDM,490562,SHELL ACTB HIP 4HL 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,490563,STEM FEM HIP 18MM 156MM,7973.0,7973.0,1195.95,7973.0,30
CDM,490564,INSERT TIB 6 KN 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,490565,CMPNT KN FEM RT 80MM,7087.0,7087.0,1063.05,7087.0,30
CDM,490566,INSERT EVOLTNMP ADP CS,4606.0,4606.0,690.9,4606.0,30
CDM,490568,SYS REFLUX MGMT BEAD 16,24360.0,24360.0,3654.0,24360.0,30
CDM,490572,CEMENT BN CA PHOS 10ML,13413.0,13413.0,2011.95,13413.0,30
CDM,490574,STENT PANC 5FR 4CM,1178.0,1178.0,176.7,1178.0,30
CDM,490576,STENT PANC 5FR 5CM,1178.0,1178.0,176.7,1178.0,30
CDM,490578,SHEATH STPLR DISP 45MM,306.0,306.0,45.9,306.0,42
CDM,490579,STENT PANC 5FR 6CM,1178.0,1178.0,176.7,1178.0,30
CDM,490580,STENT PANC 5FR 7CM,1178.0,1178.0,176.7,1178.0,30
CDM,490584,DEVICE CLS WND +2-0 30CM,325.5,325.5,48.83,325.5,42
CDM,490585,DEVICE CLSR WND +0 30CM,334.5,334.5,50.17,334.5,42
CDM,490586,DEVICE CLSR WND +0 30CM,334.5,334.5,50.17,334.5,42
CDM,490589,DEVICE CLSR WND 2-0 30CM,334.5,334.5,50.17,334.5,42
CDM,490590,PORT ACC 12MM 120MM,836.0,836.0,125.4,836.0,42
CDM,490591,BEARNG ULNA DISC BMET,7715.0,7715.0,1157.25,7715.0,30
CDM,490593,KIT LAPSCP DLYS DIL GD,1539.0,1539.0,230.85,1539.0,42
CDM,490594,CATH PRT DLYS 5.3MM 62CM,1424.5,1424.5,213.68,1424.5,42
CDM,490599,PROBE CRYOABLTN 10CM 3,11639.0,11639.0,1745.85,11639.0,42
CDM,490606,COMP HUM ELB LT 4X100MM,15358.0,15358.0,2303.7,15358.0,30
CDM,490607,ULNA COMP LT 3X75,16917.0,16917.0,2537.55,16917.0,30
CDM,490612,ULTRSND BIOP SNGL NDL GD,494.5,494.5,74.17,494.5,42
CDM,490613,CANNULA BTN 8MM 3CM,494.5,494.5,74.17,494.5,42
CDM,490616,SHEATH CATH GW 7FR 55CM,773.0,773.0,115.95,773.0,42
CDM,490617,SHEATH SHORT 9FR 7CM DIL,773.0,773.0,115.95,773.0,42
CDM,490618,GWIRE URO .038IN 150CM,698.0,698.0,104.7,698.0,42
CDM,490619,PROTECTOR WND MED/LG,2079.0,2079.0,311.85,2079.0,42
CDM,490621,DEVICE CLSR WND 1 45CM,358.5,358.5,53.77,358.5,42
CDM,490622,CANNULA ZONE DEL 200 8G,4011.0,4011.0,601.65,4011.0,42
CDM,490625,BIT DRILL 2MM,4093.0,4093.0,613.95,4093.0,42
CDM,490626,STEM ULN 75MM 4MM DSCVR,16917.0,16917.0,2537.55,16917.0,30
CDM,490627,SCREW BN 5.5MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,490628,DRAIN WND 10MMX20CM,105.0,105.0,15.75,105.0,42
CDM,490630,CANNULA ART 17FR 31.8CM,2512.0,2512.0,376.8,2512.0,42
CDM,490631,AWL ORTH STRL DISP,386.5,386.5,57.98,386.5,42
CDM,490632,GRAFT ST TIS 6X4CM,9209.0,9209.0,1381.35,9209.0,42
CDM,490634,SET INTRO BRST BIOP 9GA,1146.0,1146.0,171.9,1146.0,42
CDM,490635,SET INTRO BRSTBIO 9GA,1146.0,1146.0,171.9,1146.0,42
CDM,490636,STEM HUM 120MM,11959.0,11959.0,1793.85,11959.0,30
CDM,490637,DEVICE CLS WND +4-0 30CM,325.5,325.5,48.83,325.5,42
CDM,490638,DEVICE CLS WND +3-0 45CM,284.5,284.5,42.67,284.5,42
CDM,490639,SUT MONO SZ 3-0 24IN,321.5,321.5,48.23,321.5,42
CDM,490644,SLEEVE TI NCK TTL SHORT,2126.0,2126.0,318.9,2126.0,30
CDM,490645,CATH FOLEY 2W 26FR 30CC,47.0,47.0,7.05,47.0,42
CDM,490647,PATCH VASC 6X8CM,4086.0,4086.0,612.9,4086.0,30
CDM,490648,GRAFT BN 14X16X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,490649,CAGE SPN 12X17X10MM,8238.0,8238.0,1235.7,8238.0,30
CDM,490651,LNR ACTB HIP 0D 4MM 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,490652,SPACER SPN 9MM 30MM,9966.0,9966.0,1494.9,9966.0,30
CDM,490653,VALVE SHNT INLN 100MM,4709.0,4709.0,706.35,4709.0,30
CDM,490654,SCREW 6.5X40MM DARK STAR,3765.0,3765.0,564.75,3765.0,30
CDM,490655,SCRW 6.5X45MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
CDM,490656,SCRW 6.5X50MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
CDM,490657,ROD PREBENT 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,490658,ROD SPN PREBENT 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,490660,SCREW BN COCR 2.5X18MM,1929.0,1929.0,289.35,1929.0,30
CDM,490661,HEAD FEM HIP 12/14 +9MM,4606.0,4606.0,690.9,4606.0,30
CDM,490663,WEDGE TIBIAL 5 H5MM MBT,4612.0,4612.0,691.8,4612.0,30
CDM,490665,STAPLER IN 30MM,773.0,773.0,115.95,773.0,42
CDM,490666,PROTECTOR NRV 10X40MM,12933.0,12933.0,1939.95,12933.0,30
CDM,490668,GUIDEWIRE 1.6X150MM,309.5,309.5,46.42,309.5,42
CDM,490669,PLATE STRUXXUR 4LVL 84MM,4429.0,4429.0,664.35,4429.0,30
CDM,490670,KIT SPN ROBOT SCAN DISP,6267.5,6267.5,940.13,6267.5,42
CDM,490671,CMPNT SHLDR BASE MED 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,490672,KIT INST ROBOT DISP,6267.5,6267.5,940.13,6267.5,42
CDM,490673,BASEPLATE TIB KN SZ2,8010.0,8010.0,1201.5,8010.0,30
CDM,490674,INSERT ARTC KN 1-2 11MM,5823.0,5823.0,873.45,5823.0,30
CDM,490680,WEDGE FEM KN LGN 5-6,4606.0,4606.0,690.9,4606.0,30
CDM,490681,CMPNT FEM KN LT SZ6,6312.0,6312.0,946.8,6312.0,30
CDM,490682,SPACER SPNL 60X22X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,490683,SPACER SPNL 31MMX12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,490684,SCREW BN 5MM 85MM,2884.0,2884.0,432.6,2884.0,30
CDM,490685,ICD CRD 5.23X7.03CM,37644.0,37644.0,5646.6,37644.0,30
CDM,490686,SPCR SPNL VERT 27X11X12,9966.0,9966.0,1494.9,9966.0,30
CDM,490688,SCREWDRIVER SURG 2MM,1267.5,1267.5,190.13,1267.5,42
CDM,490689,CARDIAC MONITOR INSERT,19931.0,19931.0,2989.65,19931.0,30
CDM,490694,STENT COR 2.25X8MM,1827.0,1827.0,274.05,1827.0,30
CDM,490696,SCREW BN 2.4X11MM,1334.0,1334.0,200.1,1334.0,30
CDM,490698,SCREW BN 2.7MM 22MM,582.0,582.0,87.3,582.0,30
CDM,490699,CMPNT FEM KN LT CMNT 3,5094.0,5094.0,764.1,5094.0,30
CDM,490700,INSERT TIB KN 1.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,490701,HEAD RADL 15MM 24MM 2MM,8898.0,8898.0,1334.7,8898.0,30
CDM,490702,STENT COR 2.50X8MM,1827.0,1827.0,274.05,1827.0,30
CDM,490703,STENT COR 2.75X8MM,1827.0,1827.0,274.05,1827.0,30
CDM,490704,SCREW BN 6.5X50MM,1467.0,1467.0,220.05,1467.0,30
CDM,490705,SCREW SPN 6.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,490706,STENT COR 3.00X8MM,1827.0,1827.0,274.05,1827.0,30
CDM,490707,STENT COR 3.50X8MM,1827.0,1827.0,274.05,1827.0,30
CDM,490708,STENT COR 4.00X8MM,1827.0,1827.0,274.05,1827.0,30
CDM,490709,STENT COR 2.25X12MM,1827.0,1827.0,274.05,1827.0,30
CDM,490710,RELOAD STPLR 30MM,531.0,531.0,79.65,531.0,30
CDM,490711,STENT COR 2.50X12MM,1827.0,1827.0,274.05,1827.0,30
CDM,490712,RETRACTR SURG EIGR 12FR,2087.5,2087.5,313.13,2087.5,42
CDM,490713,STENT COR 2.75X12MM,1827.0,1827.0,274.05,1827.0,30
CDM,490714,STENT COR 3.00X12MM,1827.0,1827.0,274.05,1827.0,30
CDM,490715,STENT COR 3.50X12MM,1827.0,1827.0,274.05,1827.0,30
CDM,490716,STENT COR 4.00X12MM,1827.0,1827.0,274.05,1827.0,30
CDM,490720,GRAFT BN DBM 5ML,3765.0,3765.0,564.75,3765.0,30
CDM,490721,GRAFT BN DBM 10CC,4429.0,4429.0,664.35,4429.0,30
CDM,490724,PIN FX SPN 140MM,386.5,386.5,57.98,386.5,42
CDM,490725,DEVICE RET 2.4MM 230CM,1023.5,1023.5,153.53,1023.5,42
CDM,490726,SYSTEM URTH SUPP 22CM,4613.0,4613.0,691.95,4613.0,30
CDM,490730,STENT COR 2.25X16MM,1827.0,1827.0,274.05,1827.0,30
CDM,490735,SUTURE GRN BRD 2-0 36IN,73.5,73.5,11.03,73.5,42
CDM,490738,STEM FEM HIP COLR 97MM,8416.0,8416.0,1262.4,8416.0,30
CDM,490739,STEM FEM HIP SZ2,8416.0,8416.0,1262.4,8416.0,30
CDM,490740,STEM FEM HIP STD SZ5,8416.0,8416.0,1262.4,8416.0,30
CDM,490741,STENT COR 2.50X16MM,1827.0,1827.0,274.05,1827.0,30
CDM,490742,STEM FEM HIP 12/14 SZ7,8416.0,8416.0,1262.4,8416.0,30
CDM,490743,STEM FEM HIP 12/14 SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,490744,STENT COR 2.75X16MM,1827.0,1827.0,274.05,1827.0,30
CDM,490745,STEM FEM HIP STDCLR SZ3,8416.0,8416.0,1262.4,8416.0,30
CDM,490746,STEM FEM HIP SZ4 103MM,8416.0,8416.0,1262.4,8416.0,30
CDM,490747,STEM FEM HIP STD SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,490748,STEM FEM HIP SZ9 113MM,8416.0,8416.0,1262.4,8416.0,30
CDM,490749,STEM FEM HIP SZ10 115MM,8416.0,8416.0,1262.4,8416.0,30
CDM,490750,STEM FEM HIP OFFST 117MM,8416.0,8416.0,1262.4,8416.0,30
CDM,490751,STEM FEM HIP OFFST 119MM,8416.0,8416.0,1262.4,8416.0,30
CDM,490752,STEM FEM HIP 12/14MM,8416.0,8416.0,1262.4,8416.0,30
CDM,490753,STEM FEM HIP 12/14 SZ2,8416.0,8416.0,1262.4,8416.0,30
CDM,490754,STEM FEM HIP STD SIZE3,8416.0,8416.0,1262.4,8416.0,30
CDM,490755,STEM FEM HIP SZ4,8416.0,8416.0,1262.4,8416.0,30
CDM,490756,STEM FEM HIP SZ5 105MM,8416.0,8416.0,1262.4,8416.0,30
CDM,490759,STENT COR 3.00X16MM,1827.0,1827.0,274.05,1827.0,30
CDM,490760,STENT COR 3.50X16MM,1827.0,1827.0,274.05,1827.0,30
CDM,490761,STENT COR 4.00X16MM,1827.0,1827.0,274.05,1827.0,30
CDM,490764,STENT COR 2.25X20MM,1827.0,1827.0,274.05,1827.0,30
CDM,490765,STENT COR 2.50X20MM,1827.0,1827.0,274.05,1827.0,30
CDM,490766,STENT COR 2.75X20MM,1827.0,1827.0,274.05,1827.0,30
CDM,490767,STENT COR 3.00X20MM,1827.0,1827.0,274.05,1827.0,30
CDM,490768,STENT COR 3.50X20MM,1827.0,1827.0,274.05,1827.0,30
CDM,490769,STENT COR 4.00X20MM,1827.0,1827.0,274.05,1827.0,30
CDM,490772,STENT COR 2.25X24MM,1827.0,1827.0,274.05,1827.0,30
CDM,490773,STENT COR 2.50X24MM,1827.0,1827.0,274.05,1827.0,30
CDM,490774,STENT COR 2.75X24MM,1827.0,1827.0,274.05,1827.0,30
CDM,490775,STENT COR 3.00X24MM,1827.0,1827.0,274.05,1827.0,30
CDM,490776,STENT COR 3.50X24MM,1827.0,1827.0,274.05,1827.0,30
CDM,490777,STENT COR 4.00X24MM,1827.0,1827.0,274.05,1827.0,30
CDM,490778,STENT COR 4.50X24MM,1827.0,1827.0,274.05,1827.0,30
CDM,490780,STENT COR 2.25X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,490781,STENT COR 2.50X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,490782,STENT COR 2.75X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,490784,STENT COR 3.50X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,490785,STENT COR 4.00X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,490786,STENT COR 4.50X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,490788,STENT COR 2.25X32MM,1827.0,1827.0,274.05,1827.0,30
CDM,490789,STENT COR 2.50X32MM,1827.0,1827.0,274.05,1827.0,30
CDM,490790,STENT COR 2.75X32MM,1827.0,1827.0,274.05,1827.0,30
CDM,490791,STENT COR 3.00X32MM,1827.0,1827.0,274.05,1827.0,30
CDM,490792,STENT COR 3.50X32MM,1827.0,1827.0,274.05,1827.0,30
CDM,490793,STENT COR 4.00X32MM,1827.0,1827.0,274.05,1827.0,30
CDM,490796,STENT COR 2.25X38MM,1827.0,1827.0,274.05,1827.0,30
CDM,490797,STENT COR 2.50X38MM,1827.0,1827.0,274.05,1827.0,30
CDM,490798,STENT COR 2.75X38MM,1827.0,1827.0,274.05,1827.0,30
CDM,490799,STENT COR 3.00X38MM,1827.0,1827.0,274.05,1827.0,30
CDM,490800,STENT COR 3.50X38MM,1827.0,1827.0,274.05,1827.0,30
CDM,490801,STENT COR 4.00X38MM,1827.0,1827.0,274.05,1827.0,30
CDM,490802,GUIDEWIRE .36/.30 190/15,1023.5,1023.5,153.53,1023.5,42
CDM,490803,GWIRE VASC 190CM .014IN,921.0,921.0,138.15,921.0,42
CDM,490804,GUIDEWIRE VASC 190CM,1023.5,1023.5,153.53,1023.5,42
CDM,490805,CATH BLNDIL 1.25MM 5MM,773.0,773.0,115.95,773.0,42
CDM,490806,CATHETER BLNDIL 1.25X8MM,773.0,773.0,115.95,773.0,42
CDM,490807,CATH BLNDIL 1.25MM 10MM,773.0,773.0,115.95,773.0,42
CDM,490808,CATH BLNDIL 1.25MM 15MM,773.0,773.0,115.95,773.0,42
CDM,490809,CATH BLNDIL 1.5MM 10MM,773.0,773.0,115.95,773.0,42
CDM,490810,CATHETER BLNDIL 1.5X12MM,773.0,773.0,115.95,773.0,42
CDM,490811,CATH BLNDIL 1.5MM 15MM,773.0,773.0,115.95,773.0,42
CDM,490812,CATHETER BLNDIL 1.5X20MM,773.0,773.0,115.95,773.0,42
CDM,490813,CATH BLNDIL 1.75X10M,773.0,773.0,115.95,773.0,42
CDM,490814,CATHETER BLNDIL 1.75X15M,773.0,773.0,115.95,773.0,42
CDM,490815,CATHETER BLNDIL 2X10MM,773.0,773.0,115.95,773.0,42
CDM,490816,CATHETER BLNDL 1.75X20MM,773.0,773.0,115.95,773.0,42
CDM,490817,CATHETER BLNDIL 2X12MM,773.0,773.0,115.95,773.0,42
CDM,490818,CATH BLNDIL 2X15MM,773.0,773.0,115.95,773.0,42
CDM,490819,CATHETER BLNDIL 2X20MM,773.0,773.0,115.95,773.0,42
CDM,490820,CATH BLN 2.25MMX10MM,773.0,773.0,115.95,773.0,42
CDM,490821,CATH BLN 2.25MM 15MM,773.0,773.0,115.95,773.0,42
CDM,490822,CATHETER BLNDL 2.25X20MM,773.0,773.0,115.95,773.0,42
CDM,490823,CATHETER BLNDIL 2.5X10MM,773.0,773.0,115.95,773.0,42
CDM,490824,CATH BLN 2.5MMX12MM,773.0,773.0,115.95,773.0,42
CDM,490825,CATHETER BLNDIL 2.5X15MM,773.0,773.0,115.95,773.0,42
CDM,490826,CATHETER BLNDIL 2.5X20MM,773.0,773.0,115.95,773.0,42
CDM,490827,CATH BLNDL 2.75MM 10MM,773.0,773.0,115.95,773.0,42
CDM,490828,CATHETER BLNDL 2.75X15MM,773.0,773.0,115.95,773.0,42
CDM,490829,CATHETER BLNDL 2.75X20MM,773.0,773.0,115.95,773.0,42
CDM,490830,CATHETER BLNDIL 3X10MM,773.0,773.0,115.95,773.0,42
CDM,490831,CATHETER BLNDIL 3X12MM,773.0,773.0,115.95,773.0,42
CDM,490832,CATHETER BLNDIL 3X15MM,773.0,773.0,115.95,773.0,42
CDM,490833,CATHETER BLNDIL 3X20MM,773.0,773.0,115.95,773.0,42
CDM,490834,CATHETER BLNDIL 3X30MM,773.0,773.0,115.95,773.0,42
CDM,490835,CATHETER BLNDL 3.25X10MM,773.0,773.0,115.95,773.0,42
CDM,490836,CATHETER BLNDL 3.25X15MM,773.0,773.0,115.95,773.0,42
CDM,490837,CATHETER BLNDL 3.25X20MM,773.0,773.0,115.95,773.0,42
CDM,490838,CATHETER BLNDIL 3.5X10MM,773.0,773.0,115.95,773.0,42
CDM,490839,CATHETER BLNDIL 3.5X15MM,773.0,773.0,115.95,773.0,42
CDM,490840,CATHETER BLNDIL 3.5X20MM,773.0,773.0,115.95,773.0,42
CDM,490841,CATHETER BLNDIL 3.5X30MM,773.0,773.0,115.95,773.0,42
CDM,490842,CATHETER BLNDIL 4X10MM,773.0,773.0,115.95,773.0,42
CDM,490843,CATHETER BLNDIL 4X15MM,773.0,773.0,115.95,773.0,42
CDM,490844,CATHETER BLNDIL 4X20MM,773.0,773.0,115.95,773.0,42
CDM,490900,CATHETER BLNDIL 2.5X30MM,773.0,773.0,115.95,773.0,42
CDM,490901,GWIRE PERI .014 300CM,2701.5,2701.5,405.23,2701.5,42
CDM,490902,CATH IMAGING,4385.5,4385.5,657.83,4385.5,42
CDM,490903,SHEATH GD 6FR 119CM,2234.5,2234.5,335.18,2234.5,42
CDM,490904,CATH BLN 6F 5X40 200CM,2292.0,2292.0,343.8,2292.0,42
CDM,490905,SYSTEM PNCG TRANSCATH,43257.0,43257.0,6488.55,43257.0,30
CDM,490906,CATH BLNDIL 5X40MM 200CM,2415.0,2415.0,362.25,2415.0,42
CDM,490907,CATH BLNDIL 6X40MM 200CM,2415.0,2415.0,362.25,2415.0,42
CDM,490908,STENT VASC 6X80MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,490909,GWIRE VASC .014IN 475CM,1228.0,1228.0,184.2,1228.0,42
CDM,490910,DILATOR VSC 8F 20CM,196.5,196.5,29.48,196.5,42
CDM,490911,DILATOR VASC 10FR 20CM,196.5,196.5,29.48,196.5,42
CDM,490912,CATH ATHRCM 200CM 1.50MM,18392.0,18392.0,2758.8,18392.0,42
CDM,490913,CATH SUPP 90D XT 130CM,3929.0,3929.0,589.35,3929.0,42
CDM,490914,CATH ATHRCM 9.6CM 114CM,13724.0,13724.0,2058.6,13724.0,42
CDM,490915,PUMP HEART 21FR 85MM,168649.5,168649.5,25297.42,168649.5,42
CDM,490917,INTRO SHEATH 18FR 65CM,4385.5,4385.5,657.83,4385.5,42
CDM,490918,STENT COR 2.50X48MM,3537.0,3537.0,530.55,3537.0,30
CDM,490919,STENT COR 2.75X48MM,3537.0,3537.0,530.55,3537.0,30
CDM,490920,STENT COR 3.00X48MM,3537.0,3537.0,530.55,3537.0,30
CDM,490921,STENT COR 3.50X48MM,3537.0,3537.0,530.55,3537.0,30
CDM,490922,STENT COR 4.00X48MM,3537.0,3537.0,530.55,3537.0,30
CDM,490923,SHTH INTRO LD 40CM,2521.0,2521.0,378.15,2521.0,42
CDM,490924,CATH GD VASC 9FR 45CM,2275.5,2275.5,341.32,2275.5,42
CDM,490925,CATH GD 9FR 45CM,2275.5,2275.5,341.32,2275.5,42
CDM,490926,GWIRE VASC 190CM .014IN,1023.5,1023.5,153.53,1023.5,42
CDM,490929,STENT BIL 7X100MM 125CM,3846.0,3846.0,576.9,3846.0,30
CDM,490930,BURR CATH ARTHRM 1.25MM,9848.5,9848.5,1477.28,9848.5,42
CDM,490931,BURR CATH ARTHRM 1.50MM,9848.5,9848.5,1477.28,9848.5,42
CDM,490932,BURR CATH ARTHRM 2.50MM,9848.5,9848.5,1477.28,9848.5,42
CDM,490933,BURR CATH ARTHRM 1.75MM,9848.5,9848.5,1477.28,9848.5,42
CDM,490934,BURR CATH ARTHRM 2.00MM,9848.5,9848.5,1477.28,9848.5,42
CDM,490935,BURR CATH ARTHRM 2.15MM,9848.5,9848.5,1477.28,9848.5,42
CDM,490936,BURR CATH ARTHRM 2.25MM,9848.5,9848.5,1477.28,9848.5,42
CDM,490937,PACEMAKER 23F 105CM,45788.0,45788.0,6868.2,45788.0,30
CDM,490938,CATH BLN 6FR 10MM 2CM,1228.0,1228.0,184.2,1228.0,42
CDM,490939,LENS IOL +17.0 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,490940,LENS IOL 18.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,490943,EXPNDR BREAST 225-280CC,7530.0,7530.0,1129.5,7530.0,30
CDM,490944,EXPANDER TISS 340-420CC,7530.0,7530.0,1129.5,7530.0,30
CDM,490945,EXPNDR BREAST 460-550CC,7530.0,7530.0,1129.5,7530.0,30
CDM,490946,EXPANDER TISS 500-600CC,7530.0,7530.0,1129.5,7530.0,30
CDM,490947,EXPANDER TISS 580-690CC,7530.0,7530.0,1129.5,7530.0,30
CDM,490950,AUGMENT KN TIB SZ3 4MM,4428.0,4428.0,664.2,4428.0,30
CDM,490951,SEALANT DURAL 5ML,13730.0,13730.0,2059.5,13730.0,30
CDM,490952,EXPANDER TISS 600-750CC,7530.0,7530.0,1129.5,7530.0,30
CDM,490953,EXPANDER TISS 750-900CC,7530.0,7530.0,1129.5,7530.0,30
CDM,490954,EXPNDR BRST 250-300CC,5094.0,5094.0,764.1,5094.0,30
CDM,490955,EXPANDER TISS 12X9.8CM,5094.0,5094.0,764.1,5094.0,30
CDM,490956,EXPANDER BRST 380/450CC,5094.0,5094.0,764.1,5094.0,30
CDM,490957,EXPANDER BRST 460/550CC,5094.0,5094.0,764.1,5094.0,30
CDM,490958,EXPANDER TISS 15X11.5CM,5094.0,5094.0,764.1,5094.0,30
CDM,490959,EXPANDER TISS 16X12CM,5094.0,5094.0,764.1,5094.0,30
CDM,490960,EXPNDR BREAST 250-300CC,5094.0,5094.0,764.1,5094.0,30
CDM,490961,EXPNDR BRST SMTH 310/370,5094.0,5094.0,764.1,5094.0,30
CDM,490962,EXPNDR BRST 360/430CC,5094.0,5094.0,764.1,5094.0,30
CDM,490963,EXPNDR BRST 480-575CC,5094.0,5094.0,764.1,5094.0,30
CDM,490964,EXPNDR BREAST 600-720CC,5094.0,5094.0,764.1,5094.0,30
CDM,490965,EXPNDR BREAST 750-900CC,5094.0,5094.0,764.1,5094.0,30
CDM,490966,IMPLANT BREAST 175CC,4429.0,4429.0,664.35,4429.0,30
CDM,490967,IMPLANT BREAST 195CC,4429.0,4429.0,664.35,4429.0,30
CDM,490968,IMPLANT BREAST 215CC,4429.0,4429.0,664.35,4429.0,30
CDM,490969,IMPLANT BREAST 235CC,4429.0,4429.0,664.35,4429.0,30
CDM,490970,IMPLANT BREAST 255CC,4429.0,4429.0,664.35,4429.0,30
CDM,490971,IMPLANT BREAST 285CC,4429.0,4429.0,664.35,4429.0,30
CDM,490972,IMPLANT BREAST 305CC,4429.0,4429.0,664.35,4429.0,30
CDM,490973,IMPLANT BREAST 325CC,4429.0,4429.0,664.35,4429.0,30
CDM,490974,IMPLANT BREAST 355CC,4429.0,4429.0,664.35,4429.0,30
CDM,490975,IMPLANT BREAST 385CC,4429.0,4429.0,664.35,4429.0,30
CDM,490976,IMPLANT BREAST 415CC,4429.0,4429.0,664.35,4429.0,30
CDM,490977,IMPLANT BREAST 435CC,4429.0,4429.0,664.35,4429.0,30
CDM,490978,IMPLANT BREAST 455CC,4429.0,4429.0,664.35,4429.0,30
CDM,490979,IMPLANT BREAST 485CC,4429.0,4429.0,664.35,4429.0,30
CDM,490980,IMPLANT BREAST 505CC,4429.0,4429.0,664.35,4429.0,30
CDM,490981,IMPLANT BREAST 525CC,4429.0,4429.0,664.35,4429.0,30
CDM,490982,IMPLANT BREAST 540CC,4429.0,4429.0,664.35,4429.0,30
CDM,490983,IMPLANT BREAST 575CC,4429.0,4429.0,664.35,4429.0,30
CDM,490984,IMPLANT BREAST 590CC,4429.0,4429.0,664.35,4429.0,30
CDM,490985,IMPLANT BREAST 625CC,4429.0,4429.0,664.35,4429.0,30
CDM,490986,IMPLANT BREAST 650CC,4429.0,4429.0,664.35,4429.0,30
CDM,490987,CATH ATHEC 6F 135CM,6523.0,6523.0,978.45,6523.0,42
CDM,490988,IMPLANT BREAST 190CC,4429.0,4429.0,664.35,4429.0,30
CDM,490989,IMPLANT BREAST 205CC,4429.0,4429.0,664.35,4429.0,30
CDM,490990,IMPLANT BREAST 225CC,4429.0,4429.0,664.35,4429.0,30
CDM,490991,IMPLANT BREAST 240CC,4429.0,4429.0,664.35,4429.0,30
CDM,490992,IMPLANT BREAST 255CC,4429.0,4429.0,664.35,4429.0,30
CDM,490993,IMPLANT BREAST 280CC,4429.0,4429.0,664.35,4429.0,30
CDM,490994,IMPLANT BREAST 300CC,4429.0,4429.0,664.35,4429.0,30
CDM,490995,IMPLANT BREAST 330CC,4429.0,4429.0,664.35,4429.0,30
CDM,490996,IMPLANT BREAST 350CC,4429.0,4429.0,664.35,4429.0,30
CDM,490997,IMPLANT BREAST 385CC,4429.0,4429.0,664.35,4429.0,30
CDM,490998,IMPLANT BREAST 415CC,4429.0,4429.0,664.35,4429.0,30
CDM,490999,LINER ACTB HIP 3.5X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,491029,IMPLANT BREAST 470CC,4429.0,4429.0,664.35,4429.0,30
CDM,491030,GRAFT BTRFLY OTO .4-.6CM,3012.0,3012.0,451.8,3012.0,30
CDM,491034,IMPLANT BREAST 535CC,4429.0,4429.0,664.35,4429.0,30
CDM,491099,IMPLANT BREAST 620CC,4429.0,4429.0,664.35,4429.0,30
CDM,491103,SYSTEM DILATR URET 6-14F,1186.5,1186.5,177.97,1186.5,42
CDM,491110,IMPLANT BREAST 700CC,4429.0,4429.0,664.35,4429.0,30
CDM,491137,KIT PROSTH PENL ACC,4429.0,4429.0,664.35,4429.0,30
CDM,491154,IMP URN CTRL 51-60CM,11122.0,11122.0,1668.3,11122.0,30
CDM,491155,IMP URN CTRL 61-70CM,15153.0,15153.0,2272.95,15153.0,30
CDM,491157,CUFF URTH SPHNCR 4CM,25751.0,25751.0,3862.65,25751.0,30
CDM,491158,PUMP CONTROLS URN SYS,25600.0,25600.0,3840.0,25600.0,30
CDM,491176,RING RETR SM,773.0,773.0,115.95,773.0,42
CDM,491234,BLADE TYMP 2.5MM,350.5,350.5,52.58,350.5,42
CDM,491303,KIT W/ 3 IMPS 1 CONN,2297.0,2297.0,344.55,2297.0,30
CDM,491311,EXPANDER TISS 300CC,6622.0,6622.0,993.3,6622.0,30
CDM,491319,FORCEPS RADIAL JAW 2.0MM,400.5,400.5,60.08,400.5,42
CDM,491338,DEVICE BALLOON INFLATION,773.0,773.0,115.95,773.0,42
CDM,491348,GWIRE BN DISP 0.8X100MM,773.0,773.0,115.95,773.0,42
CDM,491356,GWIRE VASC .035IN 260CM,197.0,197.0,29.55,197.0,42
CDM,491360,GUIDE DRILL 4.8MM,2169.5,2169.5,325.43,2169.5,42
CDM,491363,BAG EQUIP CONSOLIDATION,2704.5,2704.5,497.9,2704.5,26
CDM,491365,CANN LIPO FLR 360D 3X8MM,773.0,773.0,115.95,773.0,42
CDM,491379,DRSG BRN ANMC AG 2X2IN,86.5,86.5,12.97,86.5,42
CDM,491381,FORCEP BX 2.2MM 240CM,533.0,533.0,79.95,533.0,42
CDM,491383,SPLINT NSL 2.38X1.53IN,274.0,274.0,41.1,274.0,42
CDM,491384,SPLINT NSL LG 4.4X6.7CM,232.0,232.0,34.8,232.0,42
CDM,491386,DRSG WND ADH 0.8X17.7IN,69.5,69.5,10.43,69.5,42
CDM,491389,CATH URTH INTRMT 20FR,23.0,23.0,3.45,23.0,42
CDM,491394,COMPONENT HUM 6MM 200MM,19243.0,19243.0,2886.45,19243.0,30
CDM,491395,CAGE SPN 14X16X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,491396,INSERT KN RT TIB 7 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,491397,LENS IOL +13.5 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,491398,SCREW SPN 5.50X55MM,3189.0,3189.0,478.35,3189.0,30
CDM,491399,ROD SPN CNSTND 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
CDM,491400,MONITOR CARDIAC INSERT,7244.0,7244.0,1086.6,7244.0,30
CDM,491401,PIN BLUNT 3.2MM 76MM,773.0,773.0,115.95,773.0,42
CDM,491402,TAPE SUTURE 1MM,1023.5,1023.5,153.53,1023.5,42
CDM,491407,SPACER SPN 3D 7X18X40MM,17716.0,17716.0,2657.4,17716.0,30
CDM,491409,STEM FEM HIP 24X127.6MM,8937.0,8937.0,1340.55,8937.0,30
CDM,491420,TAPE SUTURE 1.2MM,900.5,900.5,135.07,900.5,42
CDM,491454,INTRODUCER SHTH 7FR 55CM,773.0,773.0,115.95,773.0,42
CDM,491456,LEAD TINED 30CM 1.3MM,12654.0,12654.0,1898.1,12654.0,30
CDM,491459,KIT IMPLANT TOOL,2529.5,2529.5,379.43,2529.5,42
CDM,491460,CONTROL REMOTE PT NRSTM,4323.0,4323.0,648.45,4323.0,42
CDM,491464,BURR DISP 6MM,1013.5,1013.5,152.03,1013.5,42
CDM,491465,BURR DISP 6MM,1013.5,1013.5,152.03,1013.5,42
CDM,491466,BURR ORTH 5MM,1637.0,1637.0,245.55,1637.0,42
CDM,491467,BURR ORTH 6MM,1013.5,1013.5,152.03,1013.5,42
CDM,491474,DEVICE NEUROSTIMULATOR,42080.0,42080.0,6312.0,42080.0,30
CDM,491475,CHARGING SYSTEM NEURO,4385.5,4385.5,657.83,4385.5,42
CDM,491476,IMPLANT BREAST 615CC,5315.0,5315.0,797.25,5315.0,30
CDM,491492,GLND AUG SHLDR 15D SZXL,11073.0,11073.0,1660.95,11073.0,30
CDM,491495,DEVICE BX 13CM 9G 12MM,1587.5,1587.5,238.13,1587.5,42
CDM,491500,PLATE BN CMF 2HL 17MM,946.0,946.0,141.9,946.0,30
CDM,491501,INSERT ARTC KN 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,491502,SCREW BN 1.9MM 4MM,936.0,936.0,140.4,936.0,30
CDM,491503,CAGE SPN 7D 7X12X14.5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,491511,DRSG WND ADH 5X4IN,49.0,49.0,7.35,49.0,42
CDM,491512,DRESSING HDRGEL 8GM,48.5,48.5,7.28,48.5,42
CDM,491513,DRESSING COLLAGEN 2X2IN,165.0,165.0,24.75,165.0,42
CDM,491515,DRESSING NADH 10X8IN,107.0,107.0,16.05,107.0,42
CDM,491516,DRESSING WND 4X4IN,49.5,49.5,7.42,49.5,42
CDM,491517,DRSG WND ANMC AG 5X4IN,137.5,137.5,20.63,137.5,42
CDM,491518,DRSG GEL FBR AG+ 8X12IN,293.5,293.5,44.02,293.5,42
CDM,491525,CMPNT FEM KN LT SZ5,12180.0,12180.0,1827.0,12180.0,30
CDM,491526,INSERT TIB KN LTSZ5 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,491532,SCREW SPN 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,491533,ROD SPN 4.0-5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,491534,CAGE SPN 18X15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,491569,LENS IOL 22.0 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,491570,EXPAND BRST 750CC,7884.0,7884.0,1182.6,7884.0,30
CDM,491609,TUBE TRACH CUFF FEN SZ10,587.5,587.5,88.13,587.5,42
CDM,491611,DEVICE SUC IIRR MINI VER,1023.5,1023.5,153.53,1023.5,42
CDM,491616,CEMENT BN 40GM 20ML,813.0,813.0,121.95,813.0,30
CDM,491617,CEMENT BN PMMA GNTA 40GM,2456.0,2456.0,368.4,2456.0,30
CDM,491618,SCREW BN 3MM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,491619,INSERT TIB KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,491621,SCREW SPN 5.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,491622,NAIL BN FEM 11MM 170MM,4429.0,4429.0,664.35,4429.0,30
CDM,491623,BLADE HELICAL 125MM(TFN),4429.0,4429.0,664.35,4429.0,30
CDM,491624,SPACER SPNL 50X22X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,491625,SLEEVE HUM SHLDR 10MM,4252.0,4252.0,637.8,4252.0,30
CDM,491626,BASEPLATE KN SZ3 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,491627,SCREW BN 5MM 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,491628,SCREW BN 4.5MM 18MM,906.0,906.0,135.9,906.0,30
CDM,491629,SCREW BN BSPLT 4.5X23MM,1633.0,1633.0,244.95,1633.0,30
CDM,491630,SCREW BN BSPLT 4.5X29MM,1633.0,1633.0,244.95,1633.0,30
CDM,491631,BASEPLATE GLND 15MM 25MM,4606.0,4606.0,690.9,4606.0,30
CDM,491632,SPHERE GLND 36MM,7973.0,7973.0,1195.95,7973.0,30
CDM,491633,LINER ACTB HIP 22MM 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,491634,SCREW SPN 4.35MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,491635,SURFACE ARTC UCMPRT 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,491638,COMPONENT FEM KN SZF,35849.0,35849.0,5377.35,35849.0,30
CDM,491639,EXT STM 245MM 200MM 16MM,8535.0,8535.0,1280.25,8535.0,30
CDM,491641,INSERT TIB KN SZF 26MM,8272.0,8272.0,1240.8,8272.0,30
CDM,491642,SCREW SPN 6.5X50 PLYAXL,3389.0,3389.0,508.35,3389.0,30
CDM,491643,SCREW SPN 6.5X40 PLYAXL,3389.0,3389.0,508.35,3389.0,30
CDM,491644,ROD SPN CRV 65X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,491645,SCREW SPN 4.15MM 9MM,753.0,753.0,112.95,753.0,30
CDM,491647,BLADE TI HELICAL 95MM,4429.0,4429.0,664.35,4429.0,30
CDM,491648,SYSTEM NAVI UNIT,4093.0,4093.0,613.95,4093.0,42
CDM,491649,PLATE BN 220X13.5X3.7MM,7012.0,7012.0,1051.8,7012.0,30
CDM,491650,ROD SPN 120MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,491652,HEAD HUM SHLDR 16X43MM,4872.0,4872.0,730.8,4872.0,30
CDM,491653,ROD SPN 5.5MM 95MM,2711.0,2711.0,406.65,2711.0,30
CDM,491655,LINER ACTB HIP 62MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,491656,INS TIB 3X22.5 TC3,4747.0,4747.0,712.05,4747.0,30
CDM,491657,INSERT TIB KN 2.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,491658,IMPLANT KNEE 962652,4606.0,4606.0,690.9,4606.0,30
CDM,491659,INSERT ARTC KN 7-8X15GII,4429.0,4429.0,664.35,4429.0,30
CDM,491660,HEAD FEM HIP +0 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,491661,INSERT ARTC 10-11 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,491662,GRAFT EVAS 23X14.5M 16CM,44268.0,44268.0,6640.2,44268.0,30
CDM,491663,CMPNT FEM 2.5RT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
CDM,491664,LGC TIBIAL FIT TRAY CEM,5315.0,5315.0,797.25,5315.0,30
CDM,491665,COMPNT TIBTRY 2F 3T LOGC,5315.0,5315.0,797.25,5315.0,30
CDM,491666,INSRT TIB OPTTRK 18MM LG,4429.0,4429.0,664.35,4429.0,30
CDM,491667,PLATE TEMPUS ONELVL 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,491668,SCREW 4.0MMX14MM VARBLE,2259.0,2259.0,338.85,2259.0,30
CDM,491669,SHELL ACTB 54MM,6201.0,6201.0,930.15,6201.0,30
CDM,491670,LINER ACTB HIP 23 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,491677,NEEDLE ENDO 70CM,1008.0,1008.0,151.2,1008.0,42
CDM,491682,OCCLUDER CV 14FR 48MM,32425.0,32425.0,4863.75,32425.0,30
CDM,491687,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,491688,CMPNT KN FEM RT 5CM,31106.0,31106.0,4665.9,31106.0,30
CDM,491689,ROD KN FEM 14MMX25CM,12987.0,12987.0,1948.05,12987.0,30
CDM,491690,STEM FEM KN STR 90X17MM,4428.0,4428.0,664.2,4428.0,30
CDM,491691,BASEPLATE TIB STD 75MM,14887.0,14887.0,2233.05,14887.0,30
CDM,491693,CONE FEM HIP SZA 80MM,16725.0,16725.0,2508.75,16725.0,30
CDM,491694,INSERT TIB KN STD 22MM,4606.0,4606.0,690.9,4606.0,30
CDM,491695,SCREW BN DISTAL,3721.0,3721.0,558.15,3721.0,30
CDM,491696,PIN BN KN CMPNTRESS,2353.0,2353.0,352.95,2353.0,30
CDM,491697,CMPNT KN YOKE REINFC,4429.0,4429.0,664.35,4429.0,30
CDM,491698,CMPNT KN FEM BSHNG STD,2967.0,2967.0,445.05,2967.0,30
CDM,491699,CMPNT KN HINGED ROTATE,4240.0,4240.0,636.0,4240.0,30
CDM,491700,CMPNT KN TIB AXLE,4252.0,4252.0,637.8,4252.0,30
CDM,491701,BIT DRILL 2.3MM 30MM,773.0,773.0,115.95,773.0,42
CDM,491702,HEAD CASS DISP 16MM,386.5,386.5,57.98,386.5,42
CDM,491703,CAGE SPNL 12-17MM 16MM,27831.0,27831.0,4174.65,27831.0,30
CDM,491704,PLATE SPN CERV 30MM 1LVL,4429.0,4429.0,664.35,4429.0,30
CDM,491707,BSPLT TIB ATUN 9 RP CMNT,4651.0,4651.0,697.65,4651.0,30
CDM,491708,SPACER SPN 16X12 6D 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,491709,INSERT TIB KN 7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,491710,HEAD FEM HIP DL MBL 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,491720,SHELL ACTB HIP 62MM,8785.0,8785.0,1317.75,8785.0,30
CDM,491723,SPACER SPNL 45X22X8MMD,15945.0,15945.0,2391.75,15945.0,30
CDM,491725,SPACER SPNL 50X22X8MMD,15945.0,15945.0,2391.75,15945.0,30
CDM,491726,WEDGE FEM KN SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,491727,CMPNT FEM KN RT SZ5,17394.0,17394.0,2609.1,17394.0,30
CDM,491728,WEDGE FEM KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,491729,SCREW BN 3X26MM,3189.0,3189.0,478.35,3189.0,30
CDM,491731,BSE TIB MOD TI SZ4 PLUS,5599.0,5599.0,839.85,5599.0,30
CDM,491732,INSRT EVOLUTNMP ADPTV CS,4606.0,4606.0,690.9,4606.0,30
CDM,491733,STEM FEM HIP 5MM 109MM,10630.0,10630.0,1594.5,10630.0,30
CDM,491737,STEM FEM HIP 8D,4428.0,4428.0,664.2,4428.0,30
CDM,491738,INSERT ACTB HIP 7.5X22MM,6644.0,6644.0,996.6,6644.0,30
CDM,491739,INSERT TIB KN SZ5 9MM,17809.0,17809.0,2671.35,17809.0,30
CDM,491740,DOME PTLR KN 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,491741,PIN PSTN THRDED CR 3.5MM,1127.0,1127.0,169.05,1127.0,42
CDM,491745,SCREW SPN 7.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,491759,STEM FEM HIP 15MM 300MM,14173.0,14173.0,2125.95,14173.0,30
CDM,491760,COMPNT FEM HIP SZD 70MM,16725.0,16725.0,2508.75,16725.0,30
CDM,491761,INSERT TIB KN 2 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,491768,TRAY TIB OFST SZ2 RT,7567.0,7567.0,1135.05,7567.0,30
CDM,491769,AUGMENTATION 960843,4252.0,4252.0,637.8,4252.0,30
CDM,491770,LEAD NRSTM 70CM,6445.0,6445.0,966.75,6445.0,30
CDM,491772,TRAY TIB KN LM/RL SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,491774,INSERT TIB 2 9MM RL LTFX,4429.0,4429.0,664.35,4429.0,30
CDM,491775,INSERT TIB 2 7MM LT MDL,4429.0,4429.0,664.35,4429.0,30
CDM,491776,SPACER SPN 36X28X11MM 4D,11073.0,11073.0,1660.95,11073.0,30
CDM,491777,SPACER SPNL 17X14X8MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,491778,SPACER SPNL 32X10X7MM,9966.0,9966.0,1494.9,9966.0,30
CDM,491779,COMP FEM KN RT SZ5,5094.0,5094.0,764.1,5094.0,30
CDM,491781,STENT EPRSTH 8MM 10CM,11139.0,11139.0,1670.85,11139.0,30
CDM,491784,INTRO SHEATH 24FR 65CM,4385.5,4385.5,657.83,4385.5,42
CDM,491785,WDG TIB 4 H5 MBT STEP,4612.0,4612.0,691.8,4612.0,30
CDM,491786,SPACER SPNL 55X22X12MM T,13287.0,13287.0,1993.05,13287.0,30
CDM,491787,SCREW BN SPN 6.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,491788,SCREW BN SPN 6.5MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,491789,ROD SPNL 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,491790,KWIRE BLUNT 1.4MM,386.5,386.5,57.98,386.5,42
CDM,491792,SCREW SET SPN,753.0,753.0,112.95,753.0,30
CDM,491795,BSKT RTRV 3FR 20MM 120CM,1242.0,1242.0,186.3,1242.0,42
CDM,491803,NDL CANN PEDIGUARD #2,773.0,773.0,115.95,773.0,42
CDM,491804,HANDLE AWL CANN 10MM,6651.0,6651.0,997.65,6651.0,42
CDM,491805,PLT SDBYSD 4MM MOUTH 8MM,3389.0,3389.0,508.35,3389.0,30
CDM,491806,PLATE LMNPLSTY SDXSD 4X8,3389.0,3389.0,508.35,3389.0,30
CDM,491807,SCREW BN 2.7MM 5MM,753.0,753.0,112.95,753.0,30
CDM,491808,SCREW SPN 2.7MM 7MM,753.0,753.0,112.95,753.0,30
CDM,491809,SCREW SPN 3.2MM 5MM,753.0,753.0,112.95,753.0,30
CDM,491813,IMPLANT BREAST 330CC,5758.0,5758.0,863.7,5758.0,30
CDM,491817,SPACER LRDTC 15X13X9MM,4872.0,4872.0,730.8,4872.0,30
CDM,491821,SLEEVE CNTRNG 14D SM,4252.0,4252.0,637.8,4252.0,30
CDM,491826,BSKT RTRV 2.4F 16MM 90CM,1242.0,1242.0,186.3,1242.0,42
CDM,491840,SCREW BN ST 2.4MM 6MM,1280.0,1280.0,192.0,1280.0,30
CDM,491841,SCREW EXFX 4/3X100MM,917.5,917.5,137.63,917.5,42
CDM,491843,SCREW HND 2X3.5X24MM,602.0,602.0,90.3,602.0,30
CDM,491844,LINER SCTB HIP 40MM 58MM,4429.0,4429.0,664.35,4429.0,30
CDM,491845,CMPNT KN FEM RT 57.5MM,9301.0,9301.0,1395.15,9301.0,30
CDM,491846,BEARING KN 79/83X16MM,4606.0,4606.0,690.9,4606.0,30
CDM,491847,CMPNT KN FEM LT 70MM,6644.0,6644.0,996.6,6644.0,30
CDM,491848,PEG BN THRD LCK 2.3X21MM,1435.0,1435.0,215.25,1435.0,30
CDM,491850,SPCR SPN 32X12X8MM TPAL,9667.0,9667.0,1450.05,9667.0,30
CDM,491856,SCREW BN 5X55MM CORT,4429.0,4429.0,664.35,4429.0,30
CDM,491861,HEAD FEM HIP +8MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,491864,PIN HALF 3MM 80MM,848.0,848.0,127.2,848.0,42
CDM,491875,ROD CONN EX FIX 5X250MM,821.5,821.5,123.22,821.5,42
CDM,491878,GWIRE URO .035IN 150CM,231.5,231.5,34.73,231.5,42
CDM,491879,PLATE BN TIB 3.5X117MM,6409.0,6409.0,961.35,6409.0,30
CDM,491880,SCREW BN 3.5MM 90MM,2596.0,2596.0,389.4,2596.0,30
CDM,491881,SCREW BN 3.5MM 85MM,2000.0,2000.0,300.0,2000.0,30
CDM,491882,SCREW BN 3.5MM 70MM,1781.0,1781.0,267.15,1781.0,30
CDM,491883,PLATE 142MM 2.7/3.5M6HL,5479.0,5479.0,821.85,5479.0,30
CDM,491886,SCREW BN 2.7MM 30MM,610.0,610.0,91.5,610.0,30
CDM,491888,PLATE BN STD LT 3HL,3348.0,3348.0,502.2,3348.0,30
CDM,491889,PEG SMTH LCK 2.0X18MM,1244.0,1244.0,186.6,1244.0,30
CDM,491890,PEG BN THRD LCK 2.3X18MM,1340.0,1340.0,201.0,1340.0,30
CDM,491891,SCREW BN N-LCK 3.5X13MM,1244.0,1244.0,186.6,1244.0,30
CDM,491894,PLATE BN DIST ULNA,4429.0,4429.0,664.35,4429.0,30
CDM,491895,PEG BN THRD 2.3MM 10MM,1340.0,1340.0,201.0,1340.0,30
CDM,491896,PEG BN THRD LCK 2.3X12MM,1340.0,1340.0,201.0,1340.0,30
CDM,491898,PEG BN THRD 2.7MM 14MM,1435.0,1435.0,215.25,1435.0,30
CDM,491899,CMPNT FEM KN SZ3,6312.0,6312.0,946.8,6312.0,30
CDM,491900,HEAD FEM 11/13 TPR 22MM,4252.0,4252.0,637.8,4252.0,30
CDM,491901,LINER ACTB PNCL NTRL 38M,4429.0,4429.0,664.35,4429.0,30
CDM,491902,STEM FEM 205 11X16 SR,11585.0,11585.0,1737.75,11585.0,30
CDM,491903,SLEEVE CNTRNG 16B,4252.0,4252.0,637.8,4252.0,30
CDM,491904,CUP ACTB 38MM PNCL BNTM,4606.0,4606.0,690.9,4606.0,30
CDM,491905,PLATE BN CRNMX 20HL .5MM,3406.0,3406.0,510.9,3406.0,30
CDM,491906,COMP TIB CR CVD 12.5MM,4606.0,4606.0,690.9,4606.0,30
CDM,491907,SPACER SPN 8D 12X18X55MM,13952.0,13952.0,2092.8,13952.0,30
CDM,491908,SCREW BN SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,491909,ROD MED CRV PERC TI 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,491910,COMPNT KN FEM 60X56MM,11861.0,11861.0,1779.15,11861.0,30
CDM,491911,CMPNT AGMNT 2X4 DIS LT,4252.0,4252.0,637.8,4252.0,30
CDM,491912,INSERT TIB 2 KN 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,491913,CMPNT TIB KN TRAY 67MM,7888.0,7888.0,1183.2,7888.0,30
CDM,491914,WEDGE KN TIB AUG 67X10,4429.0,4429.0,664.35,4429.0,30
CDM,491915,STEM KN FEM EXT 12X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,491916,HEAD HUM SHLDR48X18MM,9661.0,9661.0,1449.15,9661.0,30
CDM,491917,SCREW SPN 3.5MM 10MM,3765.0,3765.0,564.75,3765.0,30
CDM,491918,PLATE SPN 87.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,491919,SCREW SPN 5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,491920,SHELL ACTB HIP 0D 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,491921,PLATE BN 2HL 91MM,6678.0,6678.0,1001.7,6678.0,30
CDM,491922,SPACER SPNL 26X24X10 12D,18536.0,18536.0,2780.4,18536.0,30
CDM,491923,CAP SPN LCK TI 10MM,1130.0,1130.0,169.5,1130.0,30
CDM,491925,STEM FEM HIP PRIM HO12,9301.0,9301.0,1395.15,9301.0,30
CDM,491926,LINER ACTB HIP 3X56X36,4429.0,4429.0,664.35,4429.0,30
CDM,491927,SLEEVE CNTRNG HIP 11MM,5360.0,5360.0,804.0,5360.0,30
CDM,491928,CMPNT PTLA 3PEG ASY40X10,4252.0,4252.0,637.8,4252.0,30
CDM,491929,BEARING KN E179/83X14,4606.0,4606.0,690.9,4606.0,30
CDM,491930,WEDGE KN TIB AUG 87X10,4606.0,4606.0,690.9,4606.0,30
CDM,491931,STEM FEM HIP PRIM HO13,7087.0,7087.0,1063.05,7087.0,30
CDM,491932,HEAD FEM HIP MOD 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,491933,SLEEVE TAPER HIP NK +0,2884.0,2884.0,432.6,2884.0,30
CDM,491934,COMPONENT FEM G LT KN NX,9301.0,9301.0,1395.15,9301.0,30
CDM,491935,NAIL BN 10MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,491936,SCREW BN 5X37MM,2383.0,2383.0,357.45,2383.0,30
CDM,491937,NAIL FEM 11MM 340MM,4460.0,4460.0,669.0,4460.0,30
CDM,491938,BLADE IM FX T NLEX,3189.0,3189.0,478.35,3189.0,30
CDM,491939,GRAFT PTLA LGMNT FRZ WHL,10320.0,10320.0,1548.0,10320.0,30
CDM,492006,INSERT KN RT 4+ 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,492044,STENT URET 7FR 22-30CM,1358.0,1358.0,203.7,1358.0,30
CDM,492067,ELECTRODE EMG NRVSN M5,4385.5,4385.5,657.83,4385.5,42
CDM,492078,CAGE SPN 6D 18X12X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,492083,PLATE BN 7H 127MM,4758.0,4758.0,713.7,4758.0,30
CDM,492084,INSERT EIS3S17L,4606.0,4606.0,690.9,4606.0,30
CDM,492085,OCCLUDER CV 10FR 32MM,32425.0,32425.0,4863.75,32425.0,30
CDM,492091,INSERT KN LT SZ4 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,492092,WIRE FX 2MM .079IN,711.0,711.0,106.65,711.0,42
CDM,492093,BASEPLATE SHLDR RT 8D,8858.0,8858.0,1328.7,8858.0,30
CDM,492157,DEVICE CATH GD 50X135CM,13788.0,13788.0,2068.2,13788.0,42
CDM,492238,SCREW CORT S/T 3.5X14MM,341.0,341.0,51.15,341.0,30
CDM,492244,STENT URET 6FR 26CM,1429.0,1429.0,214.35,1429.0,30
CDM,492247,STENT URET 6FR 24CM,1429.0,1429.0,214.35,1429.0,30
CDM,492249,STENT URET 7FR 24CM,1429.0,1429.0,214.35,1429.0,30
CDM,492250,STENT URET 7FR 26CM,1429.0,1429.0,214.35,1429.0,30
CDM,492255,INSERT TIB 2.5 17.5MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,492257,SCREW SPN 02.7MM 9MM,753.0,753.0,112.95,753.0,30
CDM,492260,STENT BIL 7X36M 135CM,4288.0,4288.0,643.2,4288.0,30
CDM,492261,ROD SPNL CRV TI 70X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,492262,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,492263,BASEPLATE TIB RT KN 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,492264,KWIRE FX 2 .028IN 6IN,97.5,97.5,14.63,97.5,42
CDM,492266,SCREW BN 4MM 42MM,2901.0,2901.0,435.15,2901.0,30
CDM,492267,SCREW BN 4.0MM 44MM,2696.0,2696.0,404.4,2696.0,30
CDM,492270,STEM XTN 20X145X100,4606.0,4606.0,690.9,4606.0,30
CDM,492271,INSERT TIB KN SZG 14MM,5700.0,5700.0,855.0,5700.0,30
CDM,492272,BLK AUG POST 10MM SZG,4429.0,4429.0,664.35,4429.0,30
CDM,492273,INSERT TIB KN E-F 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,492274,SPACER SPNL 32X12X12MM,11959.0,11959.0,1793.85,11959.0,30
CDM,492275,CMPNT PTLA KN 8MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,492276,ROD SPNL 30MM 3.5MM TI P,2711.0,2711.0,406.65,2711.0,30
CDM,492277,DRILL SHRP ATOLL 3.5MM,386.5,386.5,57.98,386.5,42
CDM,492278,ANCHOR SUT 1.8MM,4429.0,4429.0,664.35,4429.0,30
CDM,492279,KIT DRILL 1.8MM,4093.0,4093.0,613.95,4093.0,42
CDM,492280,STEM FLUTED MOB OPT TIB,4606.0,4606.0,690.9,4606.0,30
CDM,492281,COMP ART SUR LPS SZD 3-,4606.0,4606.0,690.9,4606.0,30
CDM,492282,STEM XTNSN PRECT 4TIB KN,4606.0,4606.0,690.9,4606.0,30
CDM,492283,CMPNT FEM KN LT SZ E,7530.0,7530.0,1129.5,7530.0,30
CDM,492284,COMP TIBIAL LEGACY SZE,4429.0,4429.0,664.35,4429.0,30
CDM,492285,SCREW BN 12MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,492286,ANCH FIX BN EXTRA LONG,2662.0,2662.0,399.3,2662.0,30
CDM,492289,ANCH FIX BN LOOP 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,492302,LINR ACTB SR 0D 28MM GVF,6644.0,6644.0,996.6,6644.0,30
CDM,492304,ANCHOR SUT 25MM,3039.0,3039.0,455.85,3039.0,30
CDM,492310,CAGE SPN 12D 22X10X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,492311,INSERT TIB KN SZ4 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,492312,PROSTHS PENL RSRV100ML,7568.0,7568.0,1135.2,7568.0,30
CDM,492313,PUMP INFL STRL,15656.0,15656.0,2348.4,15656.0,30
CDM,492314,PROSTH PENL SNAP FIT 21C,27063.0,27063.0,4059.45,27063.0,30
CDM,492315,GRAFT EVAS 28.5X12M 16CM,44268.0,44268.0,6640.2,44268.0,30
CDM,492316,GRAFT EVAS 28.5MM 3.3CM,13115.0,13115.0,1967.25,13115.0,30
CDM,492317,SCREW CANC SS F-T 4X10MM,341.0,341.0,51.15,341.0,30
CDM,492318,SCREW UNIFLX F-T 4X14MM,341.0,341.0,51.15,341.0,30
CDM,492319,HEAD LRG COCR 38MM NEUTR,4252.0,4252.0,637.8,4252.0,30
CDM,492320,INSERT KN TIB 12 63/67MM,4429.0,4429.0,664.35,4429.0,30
CDM,492321,INSERT HIP 38MM 57MM,4606.0,4606.0,690.9,4606.0,30
CDM,492322,LINER ACTB HIP 36X52MM,4429.0,4429.0,664.35,4429.0,30
CDM,492323,BODY PROX HIP 20MM 85MM,10404.0,10404.0,1560.6,10404.0,30
CDM,492324,STEM FEM HIP 140X14MM,8699.0,8699.0,1304.85,8699.0,30
CDM,492325,PLATE BN 10HL 3.5X232MM,6242.0,6242.0,936.3,6242.0,30
CDM,492327,BLOCK AUG KN SZ4 10MM,6406.0,6406.0,960.9,6406.0,30
CDM,492328,PLATE TIBPLT 4 70X46,17798.0,17798.0,2669.7,17798.0,30
CDM,492329,WEDGE AUGMT KN SZD 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,492330,COMP FEM KN 58X68MM,35849.0,35849.0,5377.35,35849.0,30
CDM,492331,AUGMENT FEM 30MM LT TRB,10641.0,10641.0,1596.15,10641.0,30
CDM,492332,INSERT TIB KN SZD 12MM,7858.0,7858.0,1178.7,7858.0,30
CDM,492333,SCREW BN FEM 5MM 52.5MM,2884.0,2884.0,432.6,2884.0,30
CDM,492334,BN GFT SUB MCROPOR 16ML,11539.0,11539.0,1730.85,11539.0,30
CDM,492335,STEM FEM KN 16MM 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,492336,AUG KN POST SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,492337,AUG FEM KN RT SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,492338,CMPNT FEM KN RT SZ5,18424.0,18424.0,2763.6,18424.0,30
CDM,492341,ANCHOR SUT CP-2 2.8MM,3820.0,3820.0,573.0,3820.0,30
CDM,492343,CMPNT FEM KN 9 RT,5094.0,5094.0,764.1,5094.0,30
CDM,492344,INSERT TIB KN SZ9 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,492346,HEAD HUM 23MM 56MM,8261.0,8261.0,1239.15,8261.0,30
CDM,492347,GUIDE PIN ORTH 2.5MM,773.0,773.0,115.95,773.0,42
CDM,492348,CMPNT KN FEM RT 75MM,8416.0,8416.0,1262.4,8416.0,30
CDM,492349,COMPONENT FEM KN RT SZ5,6312.0,6312.0,946.8,6312.0,30
CDM,492350,INSERT ARTC KN SZ2-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,492351,BEARING KN 71/75MM 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,492352,INSERT TIB KN + 71/75X18,4606.0,4606.0,690.9,4606.0,30
CDM,492353,ROD CURVED .0MMX85MM,3987.0,3987.0,598.05,3987.0,30
CDM,492354,INS ARTC KN 3-4 C-D 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,492355,CMPNT FEM STD KN LT SZ5,9301.0,9301.0,1395.15,9301.0,30
CDM,492357,BIT DRILL TWST 40X1.5MM,1173.0,1173.0,175.95,1173.0,42
CDM,492358,SCREW BN 2.3MM 7MM,1770.0,1770.0,265.5,1770.0,30
CDM,492359,SPACER SPN 17X14X7MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,492360,BSPLT KN TIB RT REV SZ3,7609.0,7609.0,1141.35,7609.0,30
CDM,492361,COMPNT FEM KN RT SZ6,17394.0,17394.0,2609.1,17394.0,30
CDM,492362,WEDGE FEM KN 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,492363,LINER ACTB HIP+4X60X36MM,6644.0,6644.0,996.6,6644.0,30
CDM,492364,ROD CURVED 4.0X45MM,3987.0,3987.0,598.05,3987.0,30
CDM,492365,PLATE LMNPLSTY SDXSD 4X6,3480.0,3480.0,522.0,3480.0,30
CDM,492366,LINER ACTB NTRL 58X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,492367,PLATE BN 4HL 1.8MM,3189.0,3189.0,478.35,3189.0,30
CDM,492368,LINER ACTB HIP+4 28X48MM,6644.0,6644.0,996.6,6644.0,30
CDM,492369,KIT DISP ORTH QFIX 2.8MM,4093.0,4093.0,613.95,4093.0,42
CDM,492370,INSERT ACTB 28MM 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,492371,SHELL HEMIS 70MM TRIDENT,8785.0,8785.0,1317.75,8785.0,30
CDM,492374,STEM FEM HIP 13MM 150MM,9977.0,9977.0,1496.55,9977.0,30
CDM,492375,LINER ACTB +4 NEUT 32X52,4429.0,4429.0,664.35,4429.0,30
CDM,492376,CAGE SPN 6D 18X10X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,492377,CUP ACTB 66MM CSTM LT,40969.0,40969.0,6145.35,40969.0,30
CDM,492378,STEM FEM HIP 15MM 180MM,14769.0,14769.0,2215.35,14769.0,30
CDM,492379,SHELL ACTB HIP HEMI 66MM,9536.0,9536.0,1430.4,9536.0,30
CDM,492380,BODY FEM HIP 20X95MM,10404.0,10404.0,1560.6,10404.0,30
CDM,492381,STEM FEM HIP 18MM 140MM,8699.0,8699.0,1304.85,8699.0,30
CDM,492382,LINER ACTB HIP SZI 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,492385,ILIUM WDGE 19-20MM LY,3757.0,3757.0,563.55,3757.0,30
CDM,492386,STENT ENDO 6FR 7X135CM,12812.0,12812.0,1921.8,12812.0,30
CDM,492388,PORT ACC 8MM 120MM,784.5,784.5,117.67,784.5,42
CDM,492389,PORT ACC 12MM 120MM,836.0,836.0,125.4,836.0,42
CDM,492393,STENT ENDO 5X79MM 135CM,12812.0,12812.0,1921.8,12812.0,30
CDM,492395,HEAD FEM +7MM 12/14 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,492396,CONNECTOR ROD 20X5.5MM,3765.0,3765.0,564.75,3765.0,30
CDM,492397,SPRC SPN 28X10X8MM T-PAL,9667.0,9667.0,1450.05,9667.0,30
CDM,492398,SCREW SPN 5.25MM 10MM,2259.0,2259.0,338.85,2259.0,30
CDM,492401,SCREW NON LOCK 4.5X23,906.0,906.0,135.9,906.0,30
CDM,492402,SCREW BN BSPLT 4.5X32MM,798.0,798.0,119.7,798.0,30
CDM,492403,STEM HUM SHLDR 78MM,9744.0,9744.0,1461.6,9744.0,30
CDM,492404,PLATE BN NAR LT,4429.0,4429.0,664.35,4429.0,30
CDM,492405,COMPNT FEM KN 45MM,7494.0,7494.0,1124.1,7494.0,30
CDM,492406,COMPNT SEG KN 35MM,7494.0,7494.0,1124.1,7494.0,30
CDM,492410,PATCH SFT TIS 1X5X10,3189.0,3189.0,478.35,3189.0,30
CDM,492412,MESH LRG 5.9CM 13.7CM,2111.0,2111.0,316.65,2111.0,30
CDM,492414,AUG FEM KN MED 30MM,10641.0,10641.0,1596.15,10641.0,30
CDM,492415,STEM FEM KN 15X155MM,4429.0,4429.0,664.35,4429.0,30
CDM,492416,CMPNT FEM KN RT SZE,35849.0,35849.0,5377.35,35849.0,30
CDM,492417,AUGMENT TIB 34MM 41MM,10641.0,10641.0,1596.15,10641.0,30
CDM,492418,INSERT ARTC 74X44X14MM,7858.0,7858.0,1178.7,7858.0,30
CDM,492420,STEM FEM 2 V40 117MM,8858.0,8858.0,1328.7,8858.0,30
CDM,492421,SCRW 7.5X70MM ILSCRL REV,4429.0,4429.0,664.35,4429.0,30
CDM,492422,SCREW BN SPN 7.5MM 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,492423,STEM FEM CMNTLS 3 HIP,9966.0,9966.0,1494.9,9966.0,30
CDM,492424,PLATE 162MM SS 4MM SCR S,2873.0,2873.0,430.95,2873.0,30
CDM,492425,INSERT TIB KN SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,492426,SCREW BN 2.4X2X20X7MM,3189.0,3189.0,478.35,3189.0,30
CDM,492427,SCREW 2.4X23X8MM SS T8SM,3189.0,3189.0,478.35,3189.0,30
CDM,492428,SCREW BN 2.4MM 25MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,492429,SCREW CMPR L/5 2.4X36X14,3189.0,3189.0,478.35,3189.0,30
CDM,492430,NAIL TRGN RT RSE 10X42,4872.0,4872.0,730.8,4872.0,30
CDM,492431,SCREW BN 5.0MM 55MM,2884.0,2884.0,432.6,2884.0,30
CDM,492433,COMPONENT FEM KN RT SZ10,5094.0,5094.0,764.1,5094.0,30
CDM,492434,INSERT TIB 10 5MM PST ST,4606.0,4606.0,690.9,4606.0,30
CDM,492435,COMPNT FEM RT KN SZ4,6312.0,6312.0,946.8,6312.0,30
CDM,492436,BASEPLT TIB KN RT SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,492437,INSERT TIB KN 15MM SZ1-2,4606.0,4606.0,690.9,4606.0,30
CDM,492439,INSERT TIB KN SZ4 17.5M,4429.0,4429.0,664.35,4429.0,30
CDM,492440,CATH BLNDIL 7MM 20MM,1072.5,1072.5,160.88,1072.5,42
CDM,492441,CMPNT TLR ANKL LT 35X36,20524.0,20524.0,3078.6,20524.0,30
CDM,492442,BEARING TIB ANKL 7MM,5169.0,5169.0,775.35,5169.0,30
CDM,492443,INSERT TIB SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,492444,CMPNT KN FEM LT 72.5MM,7087.0,7087.0,1063.05,7087.0,30
CDM,492445,INSERT TIB KN SZ6 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,492446,COMP TIB KN CVD 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,492447,SCREW BN 2.7MM 5MM 6MM,508.0,508.0,76.2,508.0,30
CDM,492448,SCREW BN 2.7MM 5MM 8MM,508.0,508.0,76.2,508.0,30
CDM,492449,SCREW BN CRTX 1.5X6MM,508.0,508.0,76.2,508.0,30
CDM,492450,SCREW BN CRTX 1.5X12MM,508.0,508.0,76.2,508.0,30
CDM,492451,PORT ACC 5MM 120MM,788.0,788.0,118.2,788.0,42
CDM,492452,SCREW 6MM 65MM SPNL P-AX,3765.0,3765.0,564.75,3765.0,30
CDM,492454,INSERT TIB KN 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,492455,CUP ACTB 60 PNCL GRPTN 1,4606.0,4606.0,690.9,4606.0,30
CDM,492456,INSERT ACTB 60X36IN CRMX,4872.0,4872.0,730.8,4872.0,30
CDM,492458,CMPNT KN FEM LT 57.5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,492459,STENT EVAS 22FR 16CM,111505.0,111505.0,16725.75,111505.0,30
CDM,492460,INSERT EIP4S12R,4429.0,4429.0,664.35,4429.0,30
CDM,492461,EXTRACTOR SURG TIP M5X.8,1842.0,1842.0,276.3,1842.0,42
CDM,492462,EXTRCTR SURG M5.5X.9-6G,1228.0,1228.0,184.2,1228.0,42
CDM,492464,EXTRCTR SURG TIP 3/8-16M,1842.0,1842.0,276.3,1842.0,42
CDM,492465,LINER ACTB HIP +4 58X36,6644.0,6644.0,996.6,6644.0,30
CDM,492466,HEAD FEM HIP 10MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,492467,VALVE AORTIC 25MM,15957.0,15957.0,2393.55,15957.0,30
CDM,492468,NAIL BN RT 1.5MM 34CM,9050.0,9050.0,1357.5,9050.0,30
CDM,492469,SHELL ACTB HIP 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,492470,LINER ACTB HIP 62MM 36MM,4872.0,4872.0,730.8,4872.0,30
CDM,492471,BIT DRILL 2.8MM,773.0,773.0,115.95,773.0,42
CDM,492472,PLATE BN HUM 4H LT,4872.0,4872.0,730.8,4872.0,30
CDM,492473,SCREW BN 4.3MM 44MM,1595.0,1595.0,239.25,1595.0,30
CDM,492474,SCREW BN 4.3MM 32MM,1913.0,1913.0,286.95,1913.0,30
CDM,492475,SCREW BN 4.3MM 26MM,1595.0,1595.0,239.25,1595.0,30
CDM,492476,SCREW BN 4.3MM 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,492477,SCREW BN 4.3MM 36MM,1595.0,1595.0,239.25,1595.0,30
CDM,492478,SCREW BN 4.3MM 24MM,1595.0,1595.0,239.25,1595.0,30
CDM,492480,CEMENT BN 20ML 40GM,813.0,813.0,121.95,813.0,30
CDM,492481,SCREW SPN 4.35X35MM,4429.0,4429.0,664.35,4429.0,30
CDM,492482,CANNULA ART FEM T 16FRX6,1786.5,1786.5,267.98,1786.5,42
CDM,492485,GRAFT EVAS 27MM 12CM,19174.0,19174.0,2876.1,19174.0,30
CDM,492486,BLADE SAW SAGTL SNG USE,2876.5,2876.5,431.48,2876.5,42
CDM,492492,CLIP SCALP DISP,275.5,275.5,41.33,275.5,42
CDM,492534,PLATE BN 1X3HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,492535,PLATE BN 3X3HL RT 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,492536,PLATE BN RT 3.4HL 1.3MM,2280.0,2280.0,342.0,2280.0,30
CDM,492542,PLATE BN 3X4HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,492543,PLATE BN 24HL 1.3X95MM,3987.0,3987.0,598.05,3987.0,30
CDM,492544,PLATE ORB RIM 1.3 X 9H,3189.0,3189.0,478.35,3189.0,30
CDM,492557,PLATE BN 3X3HL LT 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,492568,PLATE BN 12HL 1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,492569,PLATE BN X 4HL 1.5MM,2535.0,2535.0,380.25,2535.0,30
CDM,492570,PLATE BN 1X3HL 1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,492596,CMPNT KN TIB LM SZAA,5647.0,5647.0,847.05,5647.0,30
CDM,492597,COMPNT FEM KN LT SZ5,6312.0,6312.0,946.8,6312.0,30
CDM,492598,PLATE BN 8HL 4.5MM 195MM,7156.0,7156.0,1073.4,7156.0,30
CDM,492600,SCREW BN 5MM 44MM,2406.0,2406.0,360.9,2406.0,30
CDM,492601,SCREW BN 5MM 85MM,2406.0,2406.0,360.9,2406.0,30
CDM,492602,STEM FEM HIP 12/14 SZ9,8858.0,8858.0,1328.7,8858.0,30
CDM,492603,CMPNT KN DPHSL SEG 3CM,17113.0,17113.0,2566.95,17113.0,30
CDM,492604,INSERT TIB KN STD 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,492608,COMPONENT FEM AUGMT 12MM,4252.0,4252.0,637.8,4252.0,30
CDM,492609,WEDGE REV MBT5MM 6 STEP,4612.0,4612.0,691.8,4612.0,30
CDM,492610,TRAY TIB 6 MBT RVSN,11668.0,11668.0,1750.2,11668.0,30
CDM,492618,INSERT TIB KN SZ5 17.5MM,6265.0,6265.0,939.75,6265.0,30
CDM,492620,CMPNT KN FEM RT 70MM,20626.0,20626.0,3093.9,20626.0,30
CDM,492626,WEDGE KN BLCK POST 70X5,4606.0,4606.0,690.9,4606.0,30
CDM,492627,WEDGE KN AUG LO/RI 70X5,4606.0,4606.0,690.9,4606.0,30
CDM,492628,WEDGE KN AUG RO/LI 70X5,4606.0,4606.0,690.9,4606.0,30
CDM,492629,STEM KN FEM SP EXT20X120,4802.0,4802.0,720.3,4802.0,30
CDM,492642,IMPLANT BREAST 300CC,3721.0,3721.0,558.15,3721.0,30
CDM,492669,KIT LD CAP 4FR 3.2MM,266.0,266.0,39.9,266.0,30
CDM,492673,STEM FEM HIP PRSFT 13MM,14381.0,14381.0,2157.15,14381.0,30
CDM,492675,STEM EXT KN 30MM,8365.0,8365.0,1254.75,8365.0,30
CDM,492676,COMPNT FEM KN RT 65MM,21125.0,21125.0,3168.75,21125.0,30
CDM,492677,STEM FEM KN 80MM 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,492678,AXLE FEM KN GMRS SM,4429.0,4429.0,664.35,4429.0,30
CDM,492685,BUSHNG KN FEM SM,4252.0,4252.0,637.8,4252.0,30
CDM,492686,INSERT TIB KN SZ4 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,492687,PLATE BN CLVCL LT 130MM,4790.0,4790.0,718.5,4790.0,30
CDM,492688,STEM FEM KN 13.5MM 125MM,19267.0,19267.0,2890.05,19267.0,30
CDM,492689,GRAFT EVAS 14.5MM 12CM,46735.0,46735.0,7010.25,46735.0,30
CDM,492692,GRAFT CV 30MM 40CM,5460.0,5460.0,819.0,5460.0,30
CDM,492693,TRAY TIB OSET SZ1.5 RT,7567.0,7567.0,1135.05,7567.0,30
CDM,492694,INSERT TIB KN 1.5 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,492695,NAIL BN 9MM 380MM,8453.0,8453.0,1267.95,8453.0,30
CDM,492696,SCREW BN 6.5MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,492697,CMPNT FEM PS NPOR SZ3 RT,7087.0,7087.0,1063.05,7087.0,30
CDM,492698,INSERT TIB 4MM RT EVOL,4606.0,4606.0,690.9,4606.0,30
CDM,492699,SCREW BN 6.5MM 35MM,877.0,877.0,131.55,877.0,30
CDM,492700,SCREW BN 6.5MM 40MM,877.0,877.0,131.55,877.0,30
CDM,492701,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,492702,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,492703,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,492704,HEAD FEM HIP +8X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,492705,HEAD FEM HIP 11/13 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,492706,GUIDE PIN ORTH,2333.0,2333.0,349.95,2333.0,42
CDM,492712,SHEET THIN 76X50X.85MM,3764.0,3764.0,564.6,3764.0,30
CDM,492723,CRT-D CRD 5.37X8.08X0.99,58043.0,58043.0,8706.45,58043.0,30
CDM,492725,ICD CRD 5.23X7.14X0.99CM,40456.0,40456.0,6068.4,40456.0,30
CDM,492726,CRT-D CRD 5.37X8.18X0.99,56301.0,56301.0,8445.15,56301.0,30
CDM,492729,SHEATH INTRO GW 4F 11CM,182.0,182.0,27.3,182.0,42
CDM,492737,BLADE SAW 48.4MM,335.5,335.5,50.33,335.5,42
CDM,492738,CLIP LIGATING SM,129.0,129.0,19.35,129.0,30
CDM,492739,CLIP LIGATING MED,164.0,164.0,24.6,164.0,30
CDM,492740,BLADE MINI RND TIP,176.0,176.0,26.4,176.0,42
CDM,492755,CATH TRI-LUMEN 7.5F 140C,5014.0,5014.0,752.1,5014.0,42
CDM,492761,INTRO SHTH 6F LNG 90CM,3724.5,3724.5,558.67,3724.5,42
CDM,492762,CATH GD 6FR 125CM,1023.5,1023.5,153.53,1023.5,42
CDM,492764,CATH NEURON 6F 8CM 105CM,4267.5,4267.5,640.13,4267.5,42
CDM,492769,STYLET LD .014IN KIT XTN,494.5,494.5,74.17,494.5,42
CDM,492775,CONNECTPR CATH 9FR Y 3W,544.0,544.0,81.6,544.0,42
CDM,492786,CAGE SPN 4D 5X12X14MM,4872.0,4872.0,730.8,4872.0,30
CDM,492787,CAGE SPN 0D PEEK 14X12X6,4872.0,4872.0,730.8,4872.0,30
CDM,492788,SPACER SPN 4D 8X14X12MM,4872.0,4872.0,730.8,4872.0,30
CDM,492814,CATH ABL 8FR 115CM,14714.0,14714.0,2207.1,14714.0,42
CDM,492824,CRT-D CRD DDDR,63248.0,63248.0,9487.2,63248.0,30
CDM,492831,GWIRE NEUR 0.010IN 200CM,4093.0,4093.0,613.95,4093.0,42
CDM,492832,GUIDEWIRE SYNCH 10X300CM,4385.5,4385.5,657.83,4385.5,42
CDM,492834,GWIRE VASC 205CM .014IN,4093.0,4093.0,613.95,4093.0,42
CDM,492850,GWIRE VASC JTP 3X50J,231.5,231.5,34.73,231.5,42
CDM,492851,CRT-D 7.95X6.17X0.99CM,57025.0,57025.0,8553.75,57025.0,30
CDM,492852,CRT-D 7.70X6.17X0.99CM,57025.0,57025.0,8553.75,57025.0,30
CDM,492853,ICD CRD 7.45X6.17X0.99CM,40456.0,40456.0,6068.4,40456.0,30
CDM,492854,ICD CRD 2.43X2.69-2.89,40456.0,40456.0,6068.4,40456.0,30
CDM,492855,ICD CRD 7.45X6.17X0.99CM,40456.0,40456.0,6068.4,40456.0,30
CDM,492856,ICD CRD 2.43X2.69-2.89,40456.0,40456.0,6068.4,40456.0,30
CDM,492862,LEAD ICD 64CM,15287.0,15287.0,2293.05,15287.0,30
CDM,492864,LEAD ICD DF4 PF SC 59CM,17176.0,17176.0,2576.4,17176.0,30
CDM,492865,LEAD ICD DF4 PF SC 64CM,17705.0,17705.0,2655.75,17705.0,30
CDM,492869,LEAD ICD DF4 PF SC 64CM,17176.0,17176.0,2576.4,17176.0,30
CDM,492894,PACEMAKER CARD 10.4MM,13024.0,13024.0,1953.6,13024.0,30
CDM,492923,COIL EMBL DTCH 3MM 4CM,9731.0,9731.0,1459.65,9731.0,30
CDM,492962,COIL EMBL 10CM 5MM,9731.0,9731.0,1459.65,9731.0,30
CDM,492968,CATH ANGIO 5FR 100CM,773.0,773.0,115.95,773.0,42
CDM,492969,DETACHER COIL INSTNT,702.0,702.0,105.3,702.0,42
CDM,492984,COIL EMBL 10CM 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,492987,COIL EMBL 8CM 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,492989,COIL EMBL 20CM 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,492990,COIL EMBL 20CM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,492991,COIL EMBL 30CM 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,492993,COIL EMBL 30CM 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,492999,NEEDLE CATH 5FR 7CM,231.5,231.5,34.73,231.5,42
CDM,493028,COMPNT STEM FEM 14X240MM,10690.0,10690.0,1603.5,10690.0,30
CDM,493039,PACEMKR CARD 10.4MM,13024.0,13024.0,1953.6,13024.0,30
CDM,493046,CAGE SPN 7D 17X14X5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,493047,BOLD EXPANSION FEM NECK,4252.0,4252.0,637.8,4252.0,30
CDM,493048,HEAD FEM HIP -3.5MM 28MM,12707.0,12707.0,1906.05,12707.0,30
CDM,493051,CAGE SPNL 8D 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,493052,CAGE SPN 7D 12X15X5MM,8416.0,8416.0,1262.4,8416.0,30
CDM,493053,SCREW SPN 3.5X36MM,3012.0,3012.0,451.8,3012.0,30
CDM,493055,SCREW BN 4.3MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,493056,CMPNT FEM KN STD SZ5,28401.0,28401.0,4260.15,28401.0,30
CDM,493057,WEDGE KN 5+ 5MM 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,493058,SURF ARTC KN 16MM 3-5 CD,4606.0,4606.0,690.9,4606.0,30
CDM,493059,STEM FEM HIP 235MM 17MM,10204.0,10204.0,1530.6,10204.0,30
CDM,493060,LEAD PCNG 54MM,2699.0,2699.0,404.85,2699.0,30
CDM,493062,SCREW BN 5MM 45MM CREO,3765.0,3765.0,564.75,3765.0,30
CDM,493063,CMPNT TIB KN LT SZD,10165.0,10165.0,1524.75,10165.0,30
CDM,493064,INSERT FEM KN STND SZ7,28401.0,28401.0,4260.15,28401.0,30
CDM,493065,SURFACE ARTC KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,493066,ROD STRAIGHT 4X400MM,2711.0,2711.0,406.65,2711.0,30
CDM,493067,INSERT TIB KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,493068,PLATE PEG RADL LT 7-PEG,3534.0,3534.0,530.1,3534.0,30
CDM,493069,PEG FX GLND SHLDR 2.5X26,399.0,399.0,59.85,399.0,30
CDM,493070,BODY HUM SHLDR STD SZ+6,5537.0,5537.0,830.55,5537.0,30
CDM,493071,STEM HUM SHLDR 83MM 8MM,11959.0,11959.0,1793.85,11959.0,30
CDM,493073,PLATE 3LVL 39MM CERVICAL,4429.0,4429.0,664.35,4429.0,30
CDM,493074,SPACER SPN 8D 16X14X34MM,24116.0,24116.0,3617.4,24116.0,30
CDM,493075,STEM HIP STD 18MM 245MM,25910.0,25910.0,3886.5,25910.0,30
CDM,493076,HEAD FEM HIP 135D 35MM,16526.0,16526.0,2478.9,16526.0,30
CDM,493079,SCREW SPN P-AX 7.5X80MM,3765.0,3765.0,564.75,3765.0,30
CDM,493080,VALVE AORTIC 29MM,53830.0,53830.0,8074.5,53830.0,30
CDM,493082,BOLT NECK FIXATION 41MM,3109.0,3109.0,466.35,3109.0,30
CDM,493084,PLATE SPN 4LVL 78MM,4429.0,4429.0,664.35,4429.0,30
CDM,493085,SCREW SPN 3.7MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,493086,CAGE SPN 0P 9MM,8416.0,8416.0,1262.4,8416.0,30
CDM,493087,SPACER SPN 23X21X20MM 0D,4429.0,4429.0,664.35,4429.0,30
CDM,493088,SPACER SPN 23X21X20MM 0D,4429.0,4429.0,664.35,4429.0,30
CDM,493089,SPACER SPN 20X31X20MM,28039.0,28039.0,4205.85,28039.0,30
CDM,493090,SPACER SPNL 45X18X15MM,13287.0,13287.0,1993.05,13287.0,30
CDM,493091,SCRW ELLIPSE POLY 4.0X32,3765.0,3765.0,564.75,3765.0,30
CDM,493092,SCREW VERTEX 3.5X26,3765.0,3765.0,564.75,3765.0,30
CDM,493093,SCREW 4X30 ELIPS TI SPN,3765.0,3765.0,564.75,3765.0,30
CDM,493095,SCRW ELLIPSE POLY 4.0X28,3765.0,3765.0,564.75,3765.0,30
CDM,493098,BASEPLAT GLND 25MM 30MM,4606.0,4606.0,690.9,4606.0,30
CDM,493099,SPHERE GLND BASE 36X25MM,7973.0,7973.0,1195.95,7973.0,30
CDM,493100,SPACER SPN 7D16X12X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,493101,PLATE SPN 1LVL 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,493103,STEM HUM SHLDR 9X118MM,12402.0,12402.0,1860.3,12402.0,30
CDM,493104,STEM SHLDR 123MM 11MM,12402.0,12402.0,1860.3,12402.0,30
CDM,493108,INSERT KN SM 22MM,17705.0,17705.0,2655.75,17705.0,30
CDM,493109,COMPNT TIB KN REV SZHL,10165.0,10165.0,1524.75,10165.0,30
CDM,493110,WEDGE FEM KN SZLM 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,493111,WEDGE FEM KN SZSM,20429.0,20429.0,3064.35,20429.0,30
CDM,493112,AUG FEM LG LT 35M,12118.0,12118.0,1817.7,12118.0,30
CDM,493113,STEM REV KN 16MM +135MM,5315.0,5315.0,797.25,5315.0,30
CDM,493114,WEDGE FEM KN SZ11 10M,4606.0,4606.0,690.9,4606.0,30
CDM,493115,SCREW LANCER PLYX 7.5X35,3765.0,3765.0,564.75,3765.0,30
CDM,493116,PLATE BN NAR RT,5387.0,5387.0,808.05,5387.0,30
CDM,493117,SCREW SPN 6.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,493121,CAGE SPN 0D 12X14X26MM,50934.0,50934.0,7640.1,50934.0,30
CDM,493122,PLATE BN MDSHFT RT 7HL,4185.0,4185.0,627.75,4185.0,30
CDM,493123,INSERT TIB KN SZ4 14MM,8309.0,8309.0,1246.35,8309.0,30
CDM,493126,SCREW BN 20MM 9MM,3189.0,3189.0,478.35,3189.0,30
CDM,493127,COMP FEM KN LT SZ9,18159.0,18159.0,2723.85,18159.0,30
CDM,493128,AUGMENT FEM KN SZ9 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,493130,POST FEM KN REV 9-12MM,4606.0,4606.0,690.9,4606.0,30
CDM,493131,AUGUMENT FEM KN SZ9 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,493132,INSERT TIB KN SZ9 8MM,8309.0,8309.0,1246.35,8309.0,30
CDM,493133,SPACER SPN 4D 14X10X12MM,8416.0,8416.0,1262.4,8416.0,30
CDM,493134,INSERT KN SZ5-6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,493135,CAGE SPN 6D 26X23X12,8858.0,8858.0,1328.7,8858.0,30
CDM,493136,INSERT TIB KN SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,493137,PATELLA LIGAMENT PRE,12774.0,12774.0,1916.1,12774.0,30
CDM,493138,KIT IMPL ACL FIXATION,3721.0,3721.0,558.15,3721.0,30
CDM,493139,CAGE SPN 0D 9X23MM,4429.0,4429.0,664.35,4429.0,30
CDM,493141,SCREW BN 11MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,493142,REAMER SURG 12MM,1596.5,1596.5,239.47,1596.5,42
CDM,493143,CUTTER SURG RETRO 12.0MM,1596.5,1596.5,239.47,1596.5,42
CDM,493144,CAGE SPN 0D 50X18X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,493145,NAIL BN RT 10MM 340MM,6312.0,6312.0,946.8,6312.0,30
CDM,493146,CMPNT ANKL SYS SZ3 18MM,31517.0,31517.0,4727.55,31517.0,30
CDM,493147,STEM TIB ANKLE 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,493148,COMPONENT ANKLE +4 SZ3,29498.0,29498.0,4424.7,29498.0,30
CDM,493149,ROD SPN 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,493151,SCREW SPN 5.5MM 28MM,1130.0,1130.0,169.5,1130.0,30
CDM,493152,HEAD HUM OFST BF 24X56MM,4872.0,4872.0,730.8,4872.0,30
CDM,493153,CMPNT FEM KN RT SZ 3.5,8416.0,8416.0,1262.4,8416.0,30
CDM,493154,TRAY TIB SZ3.5F/3.5T,5758.0,5758.0,863.7,5758.0,30
CDM,493155,INSERT TIB KN SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,493156,INS TIB KN RT SZ2 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,493157,ROD TRNS 3.5-5.5X500MM,2711.0,2711.0,406.65,2711.0,30
CDM,493158,CMPNT FEM MED CONE 52MM,17340.0,17340.0,2601.0,17340.0,30
CDM,493159,INSERT TIB KN SZ5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,493160,INSERT TIB LT SZ00 9MM,6878.0,6878.0,1031.7,6878.0,30
CDM,493161,INSERT TIB ANK LT 11MM,7342.0,7342.0,1101.3,7342.0,30
CDM,493162,STPL COMP 15IX 11L,2392.0,2392.0,358.8,2392.0,30
CDM,493163,CMPNT PATELLA LT SZ3,7574.0,7574.0,1136.1,7574.0,30
CDM,493164,SCREW SPN 9.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,493165,COMP FEM HIP CLLR SZ3,7530.0,7530.0,1129.5,7530.0,30
CDM,493166,CUP ACTB HIP 3H 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,493167,LNR ACTB CUP 36/52-54MM,4429.0,4429.0,664.35,4429.0,30
CDM,493168,HEAD FEM CERM MED 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,493169,SCREW SPN 5.5X33MM,1130.0,1130.0,169.5,1130.0,30
CDM,493170,STEM FEM HIP 12/14 SZ13,8416.0,8416.0,1262.4,8416.0,30
CDM,493171,PLATE BN DR RT 2MM 49MM,4429.0,4429.0,664.35,4429.0,30
CDM,493172,SCREW BN 2.4MM 16MM,1317.0,1317.0,197.55,1317.0,30
CDM,493173,SCREW BN 2.4MM 16MM,2258.0,2258.0,338.7,2258.0,30
CDM,493174,SCREW BN 2.4X18MM,2258.0,2258.0,338.7,2258.0,30
CDM,493175,SCREW BN 2.4MM 20MM,2258.0,2258.0,338.7,2258.0,30
CDM,493176,SCREW BN 2.7MM 14MM,670.0,670.0,100.5,670.0,30
CDM,493177,CMPNT FEM KN SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,493178,INSERT KN RT SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,493179,BN SCR CANCELLOUS 30MM,1063.0,1063.0,159.45,1063.0,30
CDM,493183,CATH ATHRCM 145CM 1.25MM,15808.5,15808.5,2371.28,15808.5,42
CDM,493188,PLATE SPN 4LVL 62MM,4429.0,4429.0,664.35,4429.0,30
CDM,493190,GWIRE VASC .014 335CM,1228.0,1228.0,184.2,1228.0,42
CDM,493218,COIL EMBL 20MM 40CM,5157.0,5157.0,773.55,5157.0,30
CDM,493219,KIT CATH 26GA 1.9FR 50CM,773.0,773.0,115.95,773.0,42
CDM,493222,STENT EPRSTH 8MM 21MM,7498.0,7498.0,1124.7,7498.0,30
CDM,493223,STENT EPRSTH 8MM 29MM,7498.0,7498.0,1124.7,7498.0,30
CDM,493224,STENT EPRSTH 8MM 36MM,7498.0,7498.0,1124.7,7498.0,30
CDM,493225,STENT EPRSTH 10MM 24MM,7498.0,7498.0,1124.7,7498.0,30
CDM,493226,STENT EPRSTH 10MM 31MM,7498.0,7498.0,1124.7,7498.0,30
CDM,493227,CATH BLNDIL 3MM 20MM,1555.5,1555.5,233.32,1555.5,42
CDM,493229,CATH BLNDIL 7MM 20MM,2374.0,2374.0,356.1,2374.0,42
CDM,493240,SCREW SPN 5.5X36MM,1130.0,1130.0,169.5,1130.0,30
CDM,493245,NAIL BN RT 11MM 360MM,8478.0,8478.0,1271.7,8478.0,30
CDM,493259,SCREW BN 10.35MM 85MM,3291.0,3291.0,493.65,3291.0,30
CDM,493262,PLATE BN HEAD 3HL,4429.0,4429.0,664.35,4429.0,30
CDM,493277,SPACER SPNL 4D 25X11X7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,493288,CMPNT TIBIAL LT SIZE 4,9053.0,9053.0,1357.95,9053.0,30
CDM,493297,INSERT POLY SZ4 11MM,14926.0,14926.0,2238.9,14926.0,30
CDM,493298,GWIRE VASC .014IN 300CM,1023.5,1023.5,153.53,1023.5,42
CDM,493299,GWIRE VASC .014IN 182CM,1023.5,1023.5,153.53,1023.5,42
CDM,493301,COIL EMBL 15MM 40CM,5157.0,5157.0,773.55,5157.0,30
CDM,493303,GWIRE FILTER 5.5MM 190CM,6139.5,6139.5,920.92,6139.5,42
CDM,493339,SCREW BN HEADED 4MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,493342,CAGE SPNL 36X27X12MM10DG,8858.0,8858.0,1328.7,8858.0,30
CDM,493343,AWL ORTH ROI-A,386.5,386.5,57.98,386.5,42
CDM,493347,DEVICE CLSR PATCH 3X3CM,773.0,773.0,115.95,773.0,42
CDM,493350,CATH EP 7FR 115CM D CRV,8933.0,8933.0,1339.95,8933.0,42
CDM,493352,PLATE BN MDSHFT RT 8HL,4185.0,4185.0,627.75,4185.0,30
CDM,493369,CMPNT FEM CMNTLS LT SZ4,7397.0,7397.0,1109.55,7397.0,30
CDM,493376,STENT TRCHBR 7FR 9X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,493379,SYSTM DETCHMNT EMBO COIL,1783.0,1783.0,267.45,1783.0,42
CDM,493381,GWIRE VASC 260CM 3MM,309.0,309.0,46.35,309.0,42
CDM,493382,STEM KN ADPTR OFST 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,493385,CONN ROD SPN 4.75MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,493388,CATH GD 6FR 100CM,778.0,778.0,116.7,778.0,42
CDM,493389,CATH GD 6FR 100CM,778.0,778.0,116.7,778.0,42
CDM,493390,CATH BLNDIL 25MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,493393,CATH BLN 20X4CM ZMEDX,4093.0,4093.0,613.95,4093.0,42
CDM,493394,CATH GD 6FR 100CM,778.0,778.0,116.7,778.0,42
CDM,493395,CATH GD 6FR 100CM,778.0,778.0,116.7,778.0,42
CDM,493398,SCREW BN SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,493400,CUP ACTB CMNTLS LT 48MM,44069.0,44069.0,6610.35,44069.0,30
CDM,493409,KIT ANCHOR BN MENISCL,4429.0,4429.0,664.35,4429.0,30
CDM,493456,SCREW BN 10X30MM,3721.0,3721.0,558.15,3721.0,30
CDM,493463,SCREW BN 5MM 80MM,1658.0,1658.0,248.7,1658.0,30
CDM,493483,SCREW BN 5MM 4.3MM 58MM,1658.0,1658.0,248.7,1658.0,30
CDM,493488,SCREW BN NS LCK 5X36MM,1658.0,1658.0,248.7,1658.0,30
CDM,493503,SCREW BN NS LCK 5X30MM,1658.0,1658.0,248.7,1658.0,30
CDM,493532,REAMER HEAD STRL 12.0MM,4093.0,4093.0,613.95,4093.0,42
CDM,493541,KIT BN HARVEST 520MM,11895.5,11895.5,1784.33,11895.5,42
CDM,493542,CMPNT FEM NAR KN RT SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,493547,SURFACE ARTC KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,493550,STENT ILAC 6X80MM 120CM,3846.0,3846.0,576.9,3846.0,30
CDM,493553,STEM FEM HIP SZ11,8416.0,8416.0,1262.4,8416.0,30
CDM,493569,CATH GD 3DRT 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,493571,CATH BLNDIL 28MM 6X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,493573,CONN SPN ROD OFST 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,493575,SPCR SPN 6D 45X22X11MM,13287.0,13287.0,1993.05,13287.0,30
CDM,493579,LEAD ICD PCNG 8.6FR 65CM,16687.0,16687.0,2503.05,16687.0,30
CDM,493580,CATH GD VASC 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,493585,SCREW BN 1.2MM 4MM,1531.0,1531.0,229.65,1531.0,30
CDM,493586,CATH GD 5FR 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,493593,SLEEVE LAPSCP 5MM 100MM,231.5,231.5,34.73,231.5,42
CDM,493610,GRAFT CV 28MM 50CM,10555.0,10555.0,1583.25,10555.0,30
CDM,493612,LEAD ICD DF4 PF SC 64CM,15287.0,15287.0,2293.05,15287.0,30
CDM,493613,CATH GD SAL.75 7FR 100CM,714.0,714.0,107.1,714.0,42
CDM,493614,STEM HIP FEM SZ5,8858.0,8858.0,1328.7,8858.0,30
CDM,493625,CATH BLN OTW 7FR 5X2X135,4267.5,4267.5,640.13,4267.5,42
CDM,493626,CATH BLN 6X20MM 135CM,4267.5,4267.5,640.13,4267.5,42
CDM,493629,SCREW BN 4MM 36MM,2926.0,2926.0,438.9,2926.0,30
CDM,493631,CATH GD 8FR 100CM,714.0,714.0,107.1,714.0,42
CDM,493632,CATH ANGIO AL1 6FR 100CM,160.5,160.5,24.07,160.5,42
CDM,493633,ROD SPN UNV 3.5X90MM,2711.0,2711.0,406.65,2711.0,30
CDM,493637,CMPNT FEM PS CMNT SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,493638,TRAY BIOPSY BN 102MM,1050.5,1050.5,157.57,1050.5,42
CDM,493643,CRT-P CRD 6.10X4.45X0.76,26573.0,26573.0,3985.95,26573.0,30
CDM,493645,GRAFT STNT 18FR 145X16MM,38354.0,38354.0,5753.1,38354.0,30
CDM,493648,ROD SPN 3.5MM-400MM,2711.0,2711.0,406.65,2711.0,30
CDM,493649,SCREW SPN 3.5MM 28MM,3765.0,3765.0,564.75,3765.0,30
CDM,493651,HANDPIECE BRSTBIO 20MM,1587.5,1587.5,238.13,1587.5,42
CDM,493652,SCREW SPN 3.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,493653,GUID NDL DISP 9GA,171.0,171.0,25.65,171.0,42
CDM,493655,DEVICE BX 9G 3.7X1 13CM,4961.5,4961.5,744.23,4961.5,42
CDM,493658,PLATE CRNMXF ORBT LT SM,10959.0,10959.0,1643.85,10959.0,30
CDM,493662,SCREW BN SPN 3.5MM 26MM,3765.0,3765.0,564.75,3765.0,30
CDM,493665,CATH EP 7FR 115CM,8677.0,8677.0,1301.55,8677.0,42
CDM,493669,STEM HUM SHLDR 12MM 96MM,12402.0,12402.0,1860.3,12402.0,30
CDM,493675,NAIL 13MM 44CM FEM RT,8105.0,8105.0,1215.75,8105.0,30
CDM,493676,LEAD PCNG 4.7FR 86CM,6399.0,6399.0,959.85,6399.0,30
CDM,493684,CAP NAIL BN 5MM,1834.0,1834.0,275.1,1834.0,30
CDM,493697,SCREW BN 9.5MM 100MM,3884.0,3884.0,582.6,3884.0,30
CDM,493709,COMP FEM KN RT SZ-3N,7087.0,7087.0,1063.05,7087.0,30
CDM,493711,GRAFT BN 20CC,13141.0,13141.0,1971.15,13141.0,30
CDM,493712,SPACER SPN 0D 30X24X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,493717,INSERT TIB 4 H15MM RP,4429.0,4429.0,664.35,4429.0,30
CDM,493718,"Ostomy skin barrier, pectin-based, paste, per ounce ",21.0,21.0,7.75,12.0,34
CDM,493718,PASTE OSTOMY 2OZ,21.0,21.0,3.87,21.0,26
CDM,493723,CATH BLNDIL 2.75MM 8MM,773.0,773.0,115.95,773.0,42
CDM,493724,CATH BLNDIL 3MM 8MM LUM,773.0,773.0,115.95,773.0,42
CDM,493725,CATH BLNDIL 3.25MM 8MM,773.0,773.0,115.95,773.0,42
CDM,493726,CATH BLNDIL 3.5MM 8MM,773.0,773.0,115.95,773.0,42
CDM,493728,CATH BLNDIL 2MM 12MM,773.0,773.0,115.95,773.0,42
CDM,493729,CATH BLNDIL 12MM 2.25MM,773.0,773.0,115.95,773.0,42
CDM,493730,CATH BLNDIL 2.75MM 12MM,773.0,773.0,115.95,773.0,42
CDM,493731,CATH BLNDIL 3MM 12MM,773.0,773.0,115.95,773.0,42
CDM,493733,CATH BLNDIL 3.5MM 12MM,773.0,773.0,115.95,773.0,42
CDM,493734,CATH BLNDIL 3.75MM 12MM,773.0,773.0,115.95,773.0,42
CDM,493735,CATH BLNDIL 4MM 12MM,773.0,773.0,115.95,773.0,42
CDM,493737,CATH BLNDIL 2MM 15MM,773.0,773.0,115.95,773.0,42
CDM,493739,CATH BLNDIL 2.5MM 15MM,773.0,773.0,115.95,773.0,42
CDM,493740,CATH BLNDIL 2.75X15MM,773.0,773.0,115.95,773.0,42
CDM,493741,CATH BLNDIL 3MM 15MM,773.0,773.0,115.95,773.0,42
CDM,493742,CATH BLNDIL 3.25MM 15MM,773.0,773.0,115.95,773.0,42
CDM,493743,CATH BLNDIL 3.5MM 15MM,773.0,773.0,115.95,773.0,42
CDM,493745,CATH BLNDIL 15MM 4.00MM,773.0,773.0,115.95,773.0,42
CDM,493749,CATH BLNDIL 2.5MM 12MM,773.0,773.0,115.95,773.0,42
CDM,493751,CATH BLNDIL 1.5MM 12MM,773.0,773.0,115.95,773.0,42
CDM,493752,CATH BLNDIL 15MM 1.5MM,773.0,773.0,115.95,773.0,42
CDM,493753,CATH BLNDIL 20MM 1.5MM,773.0,773.0,115.95,773.0,42
CDM,493754,CATH BLNDIL 2MM 8MM LUM,773.0,773.0,115.95,773.0,42
CDM,493756,CATH BLNDIL 2.5MM 8MM,773.0,773.0,115.95,773.0,42
CDM,493759,SCREW BN 4MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,493760,SCREW BN 4.6MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,493761,SCREW BN 4.0MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,493762,CMPNT FEM HIP SZ4,7530.0,7530.0,1129.5,7530.0,30
CDM,493763,WEDGE KN SZMED,20429.0,20429.0,3064.35,20429.0,30
CDM,493764,NAIL BN 11.5MM 34CM,6400.0,6400.0,960.0,6400.0,30
CDM,493767,CATH BLNDIL 2MM0MM,773.0,773.0,115.95,773.0,42
CDM,493768,CATH BLNDIL 2.5MM0MM,773.0,773.0,115.95,773.0,42
CDM,493769,CATH BLNDIL 20MM 2.75MM,773.0,773.0,115.95,773.0,42
CDM,493770,CATH BLNDIL 3MM0MM,773.0,773.0,115.95,773.0,42
CDM,493771,CATH BLNDIL 20MM 3.25MM,773.0,773.0,115.95,773.0,42
CDM,493772,CATH BLNDIL 3.5MM0MM,773.0,773.0,115.95,773.0,42
CDM,493773,CATH BLNDIL 2.25MM0MM,773.0,773.0,115.95,773.0,42
CDM,493774,CATH BLNDIL 20MM 3.75MM,773.0,773.0,115.95,773.0,42
CDM,493775,CATH BLNDIL 4MM0MM,773.0,773.0,115.95,773.0,42
CDM,493776,CATH BLNDIL 2MM 30MM,773.0,773.0,115.95,773.0,42
CDM,493777,CATH BLNDIL 2.25MM 30MM,773.0,773.0,115.95,773.0,42
CDM,493778,CATH BLNDIL 2.5MM 30MM,773.0,773.0,115.95,773.0,42
CDM,493779,CATH BLNDIL 2.75MM 30MM,773.0,773.0,115.95,773.0,42
CDM,493780,CATH BLNDIL 3MM 30MM,773.0,773.0,115.95,773.0,42
CDM,493781,CATH BLNDIL 3.25MM 30MM,1023.5,1023.5,153.53,1023.5,42
CDM,493782,INSERT TIB RT SZ1 10MM,6878.0,6878.0,1031.7,6878.0,30
CDM,493783,SCREW SPN 4MM 26MM,3765.0,3765.0,564.75,3765.0,30
CDM,493784,CATH BLNDIL 3.5MM 30MM,773.0,773.0,115.95,773.0,42
CDM,493785,CATH BLNDIL 3.75MM 30MM,1023.5,1023.5,153.53,1023.5,42
CDM,493786,CATH BLNDIL 4MM 30MM,773.0,773.0,115.95,773.0,42
CDM,493838,SCREW BN 8MM 23MM,3721.0,3721.0,558.15,3721.0,30
CDM,493839,SCREW BN 9MM 23MM,3721.0,3721.0,558.15,3721.0,30
CDM,493841,WASHER EVOS ORTH 3.5 MM,824.0,824.0,123.6,824.0,30
CDM,493845,PLATE BN 11MM 81X10X2MM,4429.0,4429.0,664.35,4429.0,30
CDM,493850,SET PRSS MNTR 3FR 5CM,541.0,541.0,81.15,541.0,42
CDM,493869,DRILL SURG 2.7MM,1371.0,1371.0,205.65,1371.0,42
CDM,493871,CATH GD JR5 6FR 100CM,630.5,630.5,94.58,630.5,42
CDM,493872,SET VNTRC 17.4X13.8IN,127900.0,127900.0,19185.0,127900.0,42
CDM,493874,SCREW BN 2.7X4.3X14MM,1804.0,1804.0,270.6,1804.0,30
CDM,493875,SCREW BN LCK 2.7MM 16MM,1946.0,1946.0,291.9,1946.0,30
CDM,493878,HEAD HIP TPR NK-3X22MM,4252.0,4252.0,637.8,4252.0,30
CDM,493880,COMPONENT FEM LT SZ2,7087.0,7087.0,1063.05,7087.0,30
CDM,493881,INTRO SHTH FRVA 8FR 35CM,1023.5,1023.5,153.53,1023.5,42
CDM,493884,INSERT TIB KN SZ1-2 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,493885,PLATE BN X-SML 2.4/2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,493886,SCREW BN 3.5MM 46MM,446.0,446.0,66.9,446.0,30
CDM,493896,LEAD ICD DF4 8.6FR 55CM,12178.0,12178.0,1826.7,12178.0,30
CDM,493897,LEAD ICD 62CM,11265.0,11265.0,1689.75,11265.0,30
CDM,493898,CATH BLNDIL 1.5MM 8MM,773.0,773.0,115.95,773.0,42
CDM,493899,CATH BLNDIL 4MM 8MM LUM,773.0,773.0,115.95,773.0,42
CDM,493900,CATH BLNDIL 3.75MM 8MM,773.0,773.0,115.95,773.0,42
CDM,493903,GWIRE VASC .018IN 60CM,471.5,471.5,70.72,471.5,42
CDM,493904,GW VASC ANG .018IN 100CM,471.5,471.5,70.72,471.5,42
CDM,493905,GWIRE VASC 80CM .035IN,286.0,286.0,42.9,286.0,42
CDM,493906,CATH DRN BIL 10.2FR 40CM,773.0,773.0,115.95,773.0,42
CDM,493907,LINER CUP 32-48/50MM,4429.0,4429.0,664.35,4429.0,30
CDM,493911,CATH BLNDIL 6MM 20MM,921.0,921.0,138.15,921.0,42
CDM,493913,CATH BLNDIL 6MM 60MM,921.0,921.0,138.15,921.0,42
CDM,493917,CATH BLNDIL 8MM 60MM,921.0,921.0,138.15,921.0,42
CDM,493918,CATH BLNDIL 9MM 20MM,921.0,921.0,138.15,921.0,42
CDM,493924,STEM HIP STD COLR SZ3,8858.0,8858.0,1328.7,8858.0,30
CDM,493953,SLEEVE LAPSCP 100MM BLDL,67.5,67.5,10.13,67.5,42
CDM,493954,TROCAR LAP 5MM 100MM,104.0,104.0,15.6,104.0,42
CDM,493957,INSERT TIB KN SZ5-6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,493963,HEAD FEM HIP 3.5X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,493964,PCMKR DR 46.7X47.9X7.5MM,8902.0,8902.0,1335.3,8902.0,30
CDM,493965,STEM HIP 300MM 21MM,21446.0,21446.0,3216.9,21446.0,30
CDM,493971,HEAD BALL FEM HIP 60MM,4252.0,4252.0,637.8,4252.0,30
CDM,493972,SCREW BN 3.5MM 55MM,446.0,446.0,66.9,446.0,30
CDM,493973,CMPNT FEM KN LT SZ4,7206.0,7206.0,1080.9,7206.0,30
CDM,493974,NAIL BN 12MM 420MM,8982.0,8982.0,1347.3,8982.0,30
CDM,493975,SCREW BN NS LCK 5X44MM,1658.0,1658.0,248.7,1658.0,30
CDM,493976,SCREW BN NS LCK 5X46MM,1658.0,1658.0,248.7,1658.0,30
CDM,493977,INSRT KN LT SZ3-4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,493978,SCREW BN 5MM 4.3MM 66MM,1658.0,1658.0,248.7,1658.0,30
CDM,493979,ROD CNCT SPN 4.75-6X25MM,3012.0,3012.0,451.8,3012.0,30
CDM,493980,CMPNT TIB KN SZ4 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,493981,KIT INS 1.1MM STEP DRL,1596.5,1596.5,239.47,1596.5,42
CDM,493982,SUTURE FBRLNK 0 36IN LOO,773.0,773.0,115.95,773.0,42
CDM,493983,SPACER SPNL 23MMX9MM ELE,15059.0,15059.0,2258.85,15059.0,30
CDM,493984,PROSTHESIS PENL 13MM,32367.0,32367.0,4855.05,32367.0,30
CDM,493986,SCREW BN 3.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,493987,PERCUTANEOUS EXTENSION,1023.5,1023.5,153.53,1023.5,42
CDM,493989,ANCHOR SUTURE 2-0,3683.0,3683.0,552.45,3683.0,30
CDM,493990,CMPNT PATELLA KN SZ1,7574.0,7574.0,1136.1,7574.0,30
CDM,493992,ROD SPN 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,493993,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,493994,SPACER SPNL 40X18X9MM 6D,13287.0,13287.0,1993.05,13287.0,30
CDM,493995,SPACER SPN 0D 29X17X22MM,8858.0,8858.0,1328.7,8858.0,30
CDM,493996,GRAFT BN CLGN STRP 10CC,5271.0,5271.0,790.65,5271.0,30
CDM,493997,FIBER PUTTY 10CC,4429.0,4429.0,664.35,4429.0,30
CDM,494001,SCREW BN 5MM 4.3MM 74MM,1566.0,1566.0,234.9,1566.0,30
CDM,494003,BANDAGE TGDRM IMPREG,509.0,509.0,76.35,509.0,42
CDM,494004,PROBE 90MM SERFS SPR END,1285.5,1285.5,192.82,1285.5,42
CDM,494008,CATH GD STDJR5 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,494010,SPLINT NSL PACK / STENT,944.0,944.0,141.6,944.0,42
CDM,494012,STENT VASC 7X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
CDM,494018,PACEMAKER IMPLANT DDDR,14856.0,14856.0,2228.4,14856.0,30
CDM,494019,CTHGD VBT 8F 088 AL1 90,605.0,605.0,90.75,605.0,42
CDM,494063,CMPNT TIB ANKL LNG SZ4,31774.0,31774.0,4766.1,31774.0,30
CDM,494065,TUNNLER BN ARTHRO TRANSO,4093.0,4093.0,613.95,4093.0,42
CDM,494089,SET DILATION SHEATH 6FR,505.0,505.0,75.75,505.0,42
CDM,494090,NEEDLE URTHRL L12MM OD18,394.0,394.0,59.1,394.0,42
CDM,494092,CATH BLNDIL 1.2MM 12MM,773.0,773.0,115.95,773.0,42
CDM,494096,CATH THRMB 4/3FR 145CM,10145.5,10145.5,1521.83,10145.5,42
CDM,494097,KIT CATH VASC 8.5F 40CM,5397.5,5397.5,809.63,5397.5,42
CDM,494098,EXPANDER TISS 350CC,6511.0,6511.0,976.65,6511.0,30
CDM,494101,HNDPC PNEU CONST VISION,998.5,998.5,149.78,998.5,42
CDM,494102,CMPNT DOME ANKL SZ3,30937.0,30937.0,4640.55,30937.0,30
CDM,494103,PLATE BN SIZE 20,21866.0,21866.0,3279.9,21866.0,30
CDM,494104,SET IRR CLEARVISN 2 TUBE,338.0,338.0,50.7,338.0,42
CDM,494105,INSERT POLY ANKL SZ3 9MM,14926.0,14926.0,2238.9,14926.0,30
CDM,494106,SCREW BN 3.5MM 14MM,1244.0,1244.0,186.6,1244.0,30
CDM,494110,TUBE JJNSTM 18FR 45CM,1569.5,1569.5,235.43,1569.5,42
CDM,494112,LEAD DEFIB 58CM,19333.0,19333.0,2899.95,19333.0,30
CDM,494117,LEAD CRT PCNG 88CM,5385.0,5385.0,807.75,5385.0,30
CDM,494118,CRT - PACEMAKER 15MM,26842.0,26842.0,4026.3,26842.0,30
CDM,494119,STAPLER INT VASC 35MM,2347.5,2347.5,352.13,2347.5,42
CDM,494120,RELOAD STPLR 35MM,2279.0,2279.0,341.85,2279.0,30
CDM,494121,STAPLER INT 25MM,1385.5,1385.5,207.82,1385.5,42
CDM,494123,CANNULA PRFSN 7.5IN 12FR,1252.5,1252.5,187.88,1252.5,42
CDM,494125,CANNULA ART FEM T 18FRX6,1786.5,1786.5,267.98,1786.5,42
CDM,494127,BASEPLATE GLND SHLDR15MM,4252.0,4252.0,637.8,4252.0,30
CDM,494129,ENVELOPE MESH 2.5X2.7IN,4071.0,4071.0,610.65,4071.0,30
CDM,494130,ENVELOPE MESH 2.9X3.3IN,4071.0,4071.0,610.65,4071.0,30
CDM,494131,LEAD CRT PCNG 88CM,5385.0,5385.0,807.75,5385.0,30
CDM,494134,RELOAD STPLR 60MM,2136.0,2136.0,320.4,2136.0,30
CDM,494141,RELOAD STPLR 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,494143,SUTURE SH 3-0 1X30IN,21.5,21.5,3.23,21.5,42
CDM,494145,SCREW BN 3.5MM 20MM,1834.0,1834.0,275.1,1834.0,30
CDM,494146,SCREW BN 3.5MM 36MM,2092.0,2092.0,313.8,2092.0,30
CDM,494148,SCREW BN 3.5MM 18MM,1834.0,1834.0,275.1,1834.0,30
CDM,494149,LINER ACTB NEUT 28X50,4429.0,4429.0,664.35,4429.0,30
CDM,494150,INSERT TIB 3.5 9MM PST S,4429.0,4429.0,664.35,4429.0,30
CDM,494151,SCREW BN SPN 4.5MM 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,494152,SCREW BN 3.5MM 10MM,1244.0,1244.0,186.6,1244.0,30
CDM,494154,KWIRE FX 0.9MM 152MM,231.5,231.5,34.73,231.5,42
CDM,494155,PLATE BN RT 3HL NAR,3348.0,3348.0,502.2,3348.0,30
CDM,494156,SCREW BN POLY 3.5X12MM,1244.0,1244.0,186.6,1244.0,30
CDM,494157,CMPNT PTLR MTLBK 10X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,494158,CMPNT FEM KN RT SZ3,11073.0,11073.0,1660.95,11073.0,30
CDM,494160,BIT DRILL ORTHO 2.5MM,1187.0,1187.0,178.05,1187.0,42
CDM,494161,PLATE NARROW SHORT LEFT,3721.0,3721.0,558.15,3721.0,30
CDM,494162,CMPNT TIB KN 63MM,4606.0,4606.0,690.9,4606.0,30
CDM,494163,CMPNT PTLA 3PEG ASY25X8,4252.0,4252.0,637.8,4252.0,30
CDM,494164,BEARING TIB 10X63/67,4606.0,4606.0,690.9,4606.0,30
CDM,494165,INSERT TIB KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,494166,SCREW BN 6.5MM 75MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,494167,BEARING TIB 10X71/75,4606.0,4606.0,690.9,4606.0,30
CDM,494169,EXTNSN STM FLUT MBL TIB,4606.0,4606.0,690.9,4606.0,30
CDM,494170,COMPNT FEM 00576401451,7530.0,7530.0,1129.5,7530.0,30
CDM,494171,COMP ART SUR LPS SZD 3-,4429.0,4429.0,664.35,4429.0,30
CDM,494173,LEAD ICD DF4 PF SC 59CM,17176.0,17176.0,2576.4,17176.0,30
CDM,494174,GWIRE VASC 035IN 260CM,494.5,494.5,74.17,494.5,42
CDM,494197,ROD SPNL 3.5X110MM,2711.0,2711.0,406.65,2711.0,30
CDM,494207,GRAFT BN CLGN 10CC ALGRF,5271.0,5271.0,790.65,5271.0,30
CDM,494208,CUP ACTB TRIFLNG LT 60MM,44069.0,44069.0,6610.35,44069.0,30
CDM,494211,HEAD HUM SHLDR 23MM 52MM,6976.0,6976.0,1046.4,6976.0,30
CDM,494214,GRAFT TENDON /W BN 11MM,9904.0,9904.0,1485.6,9904.0,30
CDM,494215,GWIRE VASC J TIP 300CM,773.0,773.0,115.95,773.0,42
CDM,494217,REAMER SURG 11.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,494224,CEMENT BN CA PHOS 8CC,10206.5,10206.5,1530.97,10206.5,42
CDM,494234,SCREW BN 5.5MM 47.5MML/T,2790.0,2790.0,418.5,2790.0,30
CDM,494237,COIL EMBL 40CM 12MM INTL,5209.0,5209.0,781.35,5209.0,30
CDM,494239,KNIFE ACL GFT 10MM,1923.5,1923.5,288.52,1923.5,42
CDM,494243,INTRODUCER SHTH 4.1MM 40,798.5,798.5,119.78,798.5,42
CDM,494244,LINER ACTB HIP 28X40MM,4606.0,4606.0,690.9,4606.0,30
CDM,494245,SET INTRO SHTH 8FR 65CM,1023.5,1023.5,153.53,1023.5,42
CDM,494248,BAG RSC MNL PED 1L,93.0,93.0,13.95,93.0,42
CDM,494249,CATH THRMB 5FR 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,494250,CATH THRMB 5FR 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,494251,CATH THRMB 135CM 4FR,1023.5,1023.5,153.53,1023.5,42
CDM,494252,CMPNT FEM HIP CLLR SZ3,7530.0,7530.0,1129.5,7530.0,30
CDM,494254,CMPNT FEM KN SZ11,28401.0,28401.0,4260.15,28401.0,30
CDM,494255,WEDGE KN 10MM SZ11,4606.0,4606.0,690.9,4606.0,30
CDM,494256,STEM FEM +175MM 15MM,6876.0,6876.0,1031.4,6876.0,30
CDM,494258,CMPNT TIB KN CMNT SZ E,10165.0,10165.0,1524.75,10165.0,30
CDM,494316,INSERT TIB KN 10-11 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,494318,SCREW BN 6.5MM 80MM,2210.0,2210.0,331.5,2210.0,30
CDM,494328,STENT COR 2.25X8MM,5287.0,5287.0,793.05,5287.0,30
CDM,494379,SPACER SPNL 32MMX14MM,9523.0,9523.0,1428.45,9523.0,30
CDM,494381,STYLET LD 58CM .016IN,494.5,494.5,74.17,494.5,42
CDM,494382,GW ZPWR 035 150 CSS ANG,541.0,541.0,81.15,541.0,42
CDM,494403,STRATOFUSE DBM 100 5CC,3765.0,3765.0,564.75,3765.0,30
CDM,494416,SCREW SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,494448,STENT VASC 6FR 7X60MM,3846.0,3846.0,576.9,3846.0,30
CDM,494468,INSERT TIB KN SZ4.5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,494486,CATH BLNDL PTA 5X130X200,2128.5,2128.5,319.27,2128.5,42
CDM,494501,BLN INV A 2.0X150,3069.5,3069.5,460.43,3069.5,42
CDM,494503,CATH BLN 3MM 150CM 40MM,2619.5,2619.5,392.93,2619.5,42
CDM,494512,DEVICE CLSR VASC 6/7FR,9080.0,9080.0,1362.0,9080.0,30
CDM,494513,DEVICE CLSR VASC 5FR,9080.0,9080.0,1362.0,9080.0,30
CDM,494517,CATH CV 2.7FR 52CM,870.0,870.0,130.5,870.0,42
CDM,494518,CATH CV 4.2FR 71CM,870.0,870.0,130.5,870.0,42
CDM,494519,CATHETER CV 6.6FR,870.0,870.0,130.5,870.0,42
CDM,494520,SET GW HKL 38.8X10X16 TR,4093.0,4093.0,613.95,4093.0,42
CDM,494521,HEAD HUM SHRT 41MM,4606.0,4606.0,690.9,4606.0,30
CDM,494522,KIT CATH CV 7FR 34CM,870.0,870.0,130.5,870.0,42
CDM,494523,CMPNT FEM KN RT SZ3,21525.0,21525.0,3228.75,21525.0,30
CDM,494524,PORT IMPL INFSN 8.0FR,3189.0,3189.0,478.35,3189.0,30
CDM,494525,PORT IMPL INFSN 8FR,3189.0,3189.0,478.35,3189.0,30
CDM,494529,NAIL BN FEM 8.5MM 30CM,4872.0,4872.0,730.8,4872.0,30
CDM,494530,BLOCK FEM KN AUG SZ3 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,494531,INSERT TIB KN #3 15MM,7175.0,7175.0,1076.25,7175.0,30
CDM,494534,BAG TISS CLSR4CM WL DFCT,1719.0,1719.0,257.85,1719.0,42
CDM,494535,BAG TISS CLSR 4-5.5CM WL,1719.0,1719.0,257.85,1719.0,42
CDM,494536,BAG TISS CLSR 8IN 5.5CM,1719.0,1719.0,257.85,1719.0,42
CDM,494537,BAG TISS CLSR6.5CM WL DF,1719.0,1719.0,257.85,1719.0,42
CDM,494538,BAG TISS OST CLSR 7.5CM,1719.0,1719.0,257.85,1719.0,42
CDM,494539,BAG TISS CLSR SILO 9.5CM,1784.5,1784.5,267.68,1784.5,42
CDM,494541,CATHETER DRN 16FR 10IN A,231.5,231.5,34.73,231.5,42
CDM,494544,BAR SUPP STRNL STRUT,6267.0,6267.0,940.05,6267.0,30
CDM,494548,TROCAR LAPSCP SHRT 2/3MM,1023.5,1023.5,153.53,1023.5,42
CDM,494549,TROCAR LAPSCP 100X5MM,1023.5,1023.5,153.53,1023.5,42
CDM,494550,TROCAR LAPSCP SHRT 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,494553,KIT ANCHOR BN MNSCL REPR,7530.0,7530.0,1129.5,7530.0,30
CDM,494554,CMPNT ARTC SURF H20,4606.0,4606.0,690.9,4606.0,30
CDM,494555,COMPNT FEM JUNI KN SZ4,5980.0,5980.0,897.0,5980.0,30
CDM,494556,LINER ACTB CUP 3H 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,494557,GWIRE ORTH .045IN,340.0,340.0,51.0,340.0,42
CDM,494558,INSERT TIB KN 12MM SZE,7858.0,7858.0,1178.7,7858.0,30
CDM,494569,STIMULATOR URN XTRN TRL,1801.0,1801.0,270.15,1801.0,42
CDM,494570,WEDGE AUG KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,494571,BLOCK AUG KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,494576,GWIRE URO .018IN 150CM,723.5,723.5,108.53,723.5,42
CDM,494577,GWIRE URO .035IN 150CM,479.0,479.0,71.85,479.0,42
CDM,494578,GW ZPWR .038/150 STD ANG,479.5,479.5,71.92,479.5,42
CDM,494579,GWIRE URO .035IN 150CM,698.0,698.0,104.7,698.0,42
CDM,494581,CLAMP SPN 6-6.5 LT INLN,7973.0,7973.0,1195.95,7973.0,30
CDM,494599,CLAMP SPN 5.5MM 200MM,7973.0,7973.0,1195.95,7973.0,30
CDM,494603,NEEDLE BX 15GA 6.8CM,222.0,222.0,33.3,222.0,42
CDM,494610,SCREW LANCR PLYXL 7.5X50,3765.0,3765.0,564.75,3765.0,30
CDM,494612,STENT TRCHBR 10MM 5CM,16957.0,16957.0,2543.55,16957.0,30
CDM,494615,CROSS-CNCTR SPN 51-75MM,3012.0,3012.0,451.8,3012.0,30
CDM,494617,COMPNT ANK TIB STD SZ1,30937.0,30937.0,4640.55,30937.0,30
CDM,494618,COMPNT DOME ANK SZ2,30937.0,30937.0,4640.55,30937.0,30
CDM,494619,INSERT POLY SZ2 10MM,14926.0,14926.0,2238.9,14926.0,30
CDM,494622,LINER HIP ACTB F 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,494623,STEM HIP STD COLR SZ7,8858.0,8858.0,1328.7,8858.0,30
CDM,494624,STEM FEM 12/14 135D SZ11,8858.0,8858.0,1328.7,8858.0,30
CDM,494625,PUTTY DBM 10CC,4429.0,4429.0,664.35,4429.0,30
CDM,494626,VALVE AORTIC 25MM,53830.0,53830.0,8074.5,53830.0,30
CDM,494627,VALVE AORTIC 27MM,53830.0,53830.0,8074.5,53830.0,30
CDM,494629,KIT NRSTM LD PNE 30.5CM,638.0,638.0,95.7,638.0,30
CDM,494630,KIT NRSTM LD LF45 30.5CM,1276.0,1276.0,191.4,1276.0,30
CDM,494633,SCREW SPN P-AX 3.5X14MM,3389.0,3389.0,508.35,3389.0,30
CDM,494664,SCREW SPN 4.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,494671,CATH BLNDIL 8MM 40MM,921.0,921.0,138.15,921.0,42
CDM,494672,SHEATH GD 5FR 45CM,952.0,952.0,142.8,952.0,42
CDM,494673,SCREW SPN SET,753.0,753.0,112.95,753.0,30
CDM,494674,ROD SPN 4MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,494675,ROD SPN 4.0MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,494680,SPACER SPN 6D 50X18X17MM,15945.0,15945.0,2391.75,15945.0,30
CDM,494681,PLATE CRNMXF LVL1 9MM,2976.0,2976.0,446.4,2976.0,30
CDM,494686,SET REMOVAL SPINAL EXTRA,11767.0,11767.0,1765.05,11767.0,42
CDM,494687,NAIL BN FEM LT 12X360MM,8982.0,8982.0,1347.3,8982.0,30
CDM,494688,GWIRE VASC 300CM .018IN,1228.0,1228.0,184.2,1228.0,42
CDM,494690,REAMER SURG 10.0MM,1596.5,1596.5,239.47,1596.5,42
CDM,494692,GRFT BN STRFS SPNG50X20X,6976.0,6976.0,1046.4,6976.0,30
CDM,494693,COMPNT ANK TIB STD SZ4,31774.0,31774.0,4766.1,31774.0,30
CDM,494694,CAGE SPN 6D 36X27X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,494695,CUP ACTB TRIFLNG RT 56MM,44069.0,44069.0,6610.35,44069.0,30
CDM,494696,LINER ACTB HIP SZD 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,494697,COMP FEM HIP CLLR SZ2,7530.0,7530.0,1129.5,7530.0,30
CDM,494698,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,494699,IMPLANT TALAR RT SZ2,20305.0,20305.0,3045.75,20305.0,30
CDM,494700,INSERT TIB RT SZ2 9MM,6878.0,6878.0,1031.7,6878.0,30
CDM,494701,CMPNT TIB KN BS SZ2,11073.0,11073.0,1660.95,11073.0,30
CDM,494702,INSERT TIB KN SZ3 12MM,8309.0,8309.0,1246.35,8309.0,30
CDM,494703,IMP 37X27X12 12 DEG MD,21636.0,21636.0,3245.4,21636.0,30
CDM,494704,SPACER SPN 12D 37X27X14,21636.0,21636.0,3245.4,21636.0,30
CDM,494705,SCREW BN SPN 5.5MM 30MM,1130.0,1130.0,169.5,1130.0,30
CDM,494707,STENT GFT 16F 20X82MM,18649.0,18649.0,2797.35,18649.0,30
CDM,494708,STAPLE BN NTNL 18X14MM,5051.0,5051.0,757.65,5051.0,30
CDM,494709,SCREW BN QWIX 40X5.5MM,4252.0,4252.0,637.8,4252.0,30
CDM,494710,SCREW BN 45X5.5MM QWX FX,4252.0,4252.0,637.8,4252.0,30
CDM,494711,SCREW BN 5.5MM 65MM,3404.0,3404.0,510.6,3404.0,30
CDM,494712,SCREW BN 7.5MM 75MM,3721.0,3721.0,558.15,3721.0,30
CDM,494713,SPACER SPNL 23MMX7MM ELE,15059.0,15059.0,2258.85,15059.0,30
CDM,494714,INSERT TIB ANK RT 10MM,7342.0,7342.0,1101.3,7342.0,30
CDM,494715,IMPLANT ANKLE SZ1,34360.0,34360.0,5154.0,34360.0,30
CDM,494716,CUP ACTB TRIFLNG RT 58MM,44069.0,44069.0,6610.35,44069.0,30
CDM,494717,SCREW BN NS LCK 5X32MM,1658.0,1658.0,248.7,1658.0,30
CDM,494719,SCREW BN NS LCK 5X50MM,1658.0,1658.0,248.7,1658.0,30
CDM,494722,HEAD FEM HIP 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,494723,HEAD FEM HIP ADPT +7MM,4066.0,4066.0,609.9,4066.0,30
CDM,494724,PLATE SPN 5LVL 87MM,4429.0,4429.0,664.35,4429.0,30
CDM,494725,CAGE PLIF PLSM 24X10 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,494727,ROD STR COCR 4.0X400MM,2711.0,2711.0,406.65,2711.0,30
CDM,494728,CONCTR SPNL 10MM LATERAL,3012.0,3012.0,451.8,3012.0,30
CDM,494729,ANCHOR BN 4.75X19.1MM,4429.0,4429.0,664.35,4429.0,30
CDM,494730,COMPNT ANK TIB LNG SZ3,31774.0,31774.0,4766.1,31774.0,30
CDM,494731,INSERT POLY SZ2+ 10MM,14926.0,14926.0,2238.9,14926.0,30
CDM,494732,CMPNT FEM KN EXT 40MM,14399.0,14399.0,2159.85,14399.0,30
CDM,494733,TIBIA SEG LT 135D 98MM,23864.0,23864.0,3579.6,23864.0,30
CDM,494734,STEM HIP 15X120MM,11990.0,11990.0,1798.5,11990.0,30
CDM,494735,HEAD FEM HIP +0MM 36MM,6710.0,6710.0,1006.5,6710.0,30
CDM,494736,GLIDEWIRE .018 300CM,1981.0,1981.0,297.15,1981.0,42
CDM,494737,CATH GD 135CM 40-60MM,1379.5,1379.5,206.93,1379.5,42
CDM,494738,INSERT TIB7 12MM KNEE LT,4429.0,4429.0,664.35,4429.0,30
CDM,494740,IMPLANT BREAST 400CC,5315.0,5315.0,797.25,5315.0,30
CDM,494741,KWIRE FX 2.5MM 250MM,309.5,309.5,46.42,309.5,42
CDM,494742,INSERT TIB RT SZ1 9MM,6878.0,6878.0,1031.7,6878.0,30
CDM,494745,PLATE BN 2.7MM 142MM,6446.0,6446.0,966.9,6446.0,30
CDM,494746,SCREW BN 9.5MM 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,494747,CATH BLNDIL 3X80X171MM,2415.0,2415.0,362.25,2415.0,42
CDM,494752,PATCH DURA 3IN 1IN,3012.0,3012.0,451.8,3012.0,30
CDM,494753,PATCH DURA 5IN 5IN,4706.0,4706.0,705.9,4706.0,30
CDM,494754,PATCH DURA CLGN 2X2IN,3021.0,3021.0,453.15,3021.0,30
CDM,494755,PATCH DURA CLGN 1X1IN,3012.0,3012.0,451.8,3012.0,30
CDM,494756,PATCH DURA CLGN 3X3IN,4429.0,4429.0,664.35,4429.0,30
CDM,494757,PATCH DURA CLGN 5X4IN,4706.0,4706.0,705.9,4706.0,30
CDM,494758,TOOL DSCT MTCH 14CM 3MM,964.5,964.5,144.68,964.5,42
CDM,494759,STENT TRCHBR 12X30X4MM,13066.0,13066.0,1959.9,13066.0,30
CDM,494760,STENT TRCHBR 12X40X4MM,13066.0,13066.0,1959.9,13066.0,30
CDM,494761,STENT TRCHBR 14X30X4MM,13066.0,13066.0,1959.9,13066.0,30
CDM,494762,STENT TRCHBR 14X40X4MM,13066.0,13066.0,1959.9,13066.0,30
CDM,494763,SHEATH ACC TPR 15FR 13FR,999.0,999.0,149.85,999.0,42
CDM,494769,IMPLANT BREAST 250CC,3721.0,3721.0,558.15,3721.0,30
CDM,494771,IMPLANT BREAST 470CC,4429.0,4429.0,664.35,4429.0,30
CDM,494779,FLEX ALLOPATCH HD 1SQCM,370.0,370.0,55.5,370.0,29
CDM,494783,PATCH CV 16X10CM,4372.0,4372.0,655.8,4372.0,30
CDM,494784,CAPSULE ENDO CF DEV,2550.5,2550.5,382.57,2550.5,42
CDM,494786,NEEDLE ASP 21G 1.9X137MM,1801.0,1801.0,270.15,1801.0,42
CDM,494787,STAPLER INT 65MM,2501.0,2501.0,375.15,2501.0,42
CDM,494789,CATH BLN 2X100MM 200CM,2415.0,2415.0,362.25,2415.0,42
CDM,494790,GLIDEWIRE 0.035 400CM,921.0,921.0,138.15,921.0,42
CDM,494791,STENT EPRSTH 10CM 10MM,12189.0,12189.0,1828.35,12189.0,30
CDM,494792,SYSTEM MECH THRMB,46044.0,46044.0,6906.6,46044.0,42
CDM,494793,STENT EPRSTH 10MM 120CM,14338.0,14338.0,2150.7,14338.0,30
CDM,494796,CATH BLN KIT 7.5F,4385.5,4385.5,657.83,4385.5,42
CDM,494797,CATH BLNDIL 7MM 100MM,5883.5,5883.5,882.52,5883.5,42
CDM,494798,CATH BLNDIL 4MM 300MM,12764.5,12764.5,1914.67,12764.5,42
CDM,494799,CATH BLNDIL 130CM 6MM,12764.5,12764.5,1914.67,12764.5,42
CDM,494800,CATH BLNDIL 130CM 5MM,12764.5,12764.5,1914.67,12764.5,42
CDM,494801,CATH BLNDL 7MM 75CM 80MM,5883.5,5883.5,882.52,5883.5,42
CDM,494802,CATH BLNDL7MM 75CM 100MM,5883.5,5883.5,882.52,5883.5,42
CDM,494803,CATH BLNDL 8MM 75CM 80MM,7418.5,7418.5,1112.78,7418.5,42
CDM,494804,CATH BLNDL8MM 75CM 100MM,7418.5,7418.5,1112.78,7418.5,42
CDM,494805,CATH BLNDL 9MM 75CM 80MM,7418.5,7418.5,1112.78,7418.5,42
CDM,494806,CATH BLNDL 75CM 12X60MM,7418.5,7418.5,1112.78,7418.5,42
CDM,494808,STENT EPRSTH 7MM 2.5CM,12900.0,12900.0,1935.0,12900.0,30
CDM,494809,CATH BLNDIL 1MM 5MM,921.0,921.0,138.15,921.0,42
CDM,494810,CATH BLNDL 1MM 8MM PERC,921.0,921.0,138.15,921.0,42
CDM,494811,CATH BLNDIL 25MM 5X100CM,4093.0,4093.0,613.95,4093.0,42
CDM,494816,CATH GD 9FR 50CM,1870.5,1870.5,280.57,1870.5,42
CDM,494817,CATH ANGIO 4F .038 125CM,522.0,522.0,78.3,522.0,42
CDM,494818,SYSTEM TAVR 5,115350.0,115350.0,17302.5,115350.0,30
CDM,494820,MICROCATH VASC2.9F 135CM,4093.0,4093.0,613.95,4093.0,42
CDM,494821,GWIRE VASC 190CM .014IN,773.0,773.0,115.95,773.0,42
CDM,494822,GWIRE VASC 190CM .014IN,921.0,921.0,138.15,921.0,42
CDM,494823,STENT COR 2.5X20MM,13958.0,13958.0,2093.7,13958.0,30
CDM,494827,ICD VR MRI DF4,34136.0,34136.0,5120.4,34136.0,30
CDM,494828,FLEX SHEATH 10FR .038X30,773.0,773.0,115.95,773.0,42
CDM,494829,CATH CORN 4.0MM 12MM,24045.5,24045.5,3606.82,24045.5,42
CDM,494830,STENT VASC 6FR 10X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,494832,GWIRE VASC .018IN 108CM,1310.0,1310.0,196.5,1310.0,42
CDM,494833,CATH BLNDIL 4MM 60MM,6395.0,6395.0,959.25,6395.0,42
CDM,494834,CATH BLNDIL 5MM 250MM,10385.5,10385.5,1557.83,10385.5,42
CDM,494835,CATH BLN 2.5MM 170CM,2447.5,2447.5,367.13,2447.5,42
CDM,494836,CATH CORN 2.5MM 12MM,24045.5,24045.5,3606.82,24045.5,42
CDM,494838,CATH CORN 3.0MM 12MM,24045.5,24045.5,3606.82,24045.5,42
CDM,494839,CATH CORN 3.5MM 12MM,24045.5,24045.5,3606.82,24045.5,42
CDM,494840,DILATOR VASC 22FR 20CM,394.0,394.0,59.1,394.0,42
CDM,494841,STENT EPRSTH 10CM 11MM,12804.0,12804.0,1920.6,12804.0,30
CDM,494842,STENT EPRSTH 9MM 120CM,14338.0,14338.0,2150.7,14338.0,30
CDM,494843,SHEATH GD STR 75CM 6FR,2234.5,2234.5,335.18,2234.5,42
CDM,494844,SHEATH GD 6FR 105CM,2234.5,2234.5,335.18,2234.5,42
CDM,494845,CATH BLNDIL 6X20X200MM,2452.5,2452.5,367.88,2452.5,42
CDM,494846,CATH PTA 6F 6X40 200CM,2452.5,2452.5,367.88,2452.5,42
CDM,494847,CATH BLNDIL 7X20X200MM,2452.5,2452.5,367.88,2452.5,42
CDM,494848,CATH BLN 7X40MM 200CM,2452.5,2452.5,367.88,2452.5,42
CDM,494849,CATH BLNDIL 8X20X200MM,2452.5,2452.5,367.88,2452.5,42
CDM,494850,CATH BLNDIL 8X40MM 200CM,2452.5,2452.5,367.88,2452.5,42
CDM,494851,SHEATH GD 149CM 6FR,2046.5,2046.5,306.98,2046.5,42
CDM,494852,SHEATH GD STR 85CM 6FR,2234.5,2234.5,335.18,2234.5,42
CDM,494853,CATH GD 95CM 6FR,2046.5,2046.5,306.98,2046.5,42
CDM,494854,STENT BIL 10X100MM 125CM,4385.5,4385.5,657.83,4385.5,30
CDM,494856,CATH THRMB 10FR 100CM,34226.5,34226.5,5133.98,34226.5,42
CDM,494858,CATH THRMB 12FR 115CM,34226.5,34226.5,5133.98,34226.5,42
CDM,494860,CATH THRMB 7FR 130CM,28087.0,28087.0,4213.05,28087.0,42
CDM,494861,CATH THRMB 150CM,9081.0,9081.0,1362.15,9081.0,42
CDM,494862,SEPARATOR THRMB 190CM,8160.0,8160.0,1224.0,8160.0,42
CDM,494863,CATH THRMB 140CM .044IN,9209.0,9209.0,1381.35,9209.0,42
CDM,494865,IRRIGATION ASPIRATON SYS,11511.0,11511.0,1726.65,11511.0,42
CDM,494866,STENT EPRSTH 10X13X39MM,11274.0,11274.0,1691.1,11274.0,30
CDM,494867,STENT EPRSTH 10X13X29MM,11274.0,11274.0,1691.1,11274.0,30
CDM,494869,CATH GD STD 8FR 90CM,714.0,714.0,107.1,714.0,42
CDM,494870,DVC REVASC 3X20MM 200C,32742.5,32742.5,4911.38,32742.5,42
CDM,494872,DEVICE EMBL 14MM 2.5MM P,60678.0,60678.0,9101.7,60678.0,30
CDM,494873,INTRO SHEATH 14FR 65CM,4385.5,4385.5,657.83,4385.5,42
CDM,494875,CATH BLNDIL 5MM 60MM,6395.0,6395.0,959.25,6395.0,42
CDM,494877,GWIRE STRAIGHT 190CM,773.0,773.0,115.95,773.0,42
CDM,494879,CATHETER DUAL LUMEN 30FR,11594.5,11594.5,1739.17,11594.5,42
CDM,494880,INTRO SHEATH 10FR 33CM,4385.5,4385.5,657.83,4385.5,42
CDM,494881,STENT EPRSTH 7MM 15CM,14338.0,14338.0,2150.7,14338.0,30
CDM,494882,STENT VNS 16X60MM 80CM,5758.0,5758.0,863.7,5758.0,30
CDM,494883,STENT TRCHBR 20MM 16FR,6537.0,6537.0,980.55,6537.0,30
CDM,494884,SET INTR 70CM 16FR 20-35,2597.5,2597.5,389.63,2597.5,42
CDM,494885,VALVE HEART TRNSCTH 20MM,143943.0,143943.0,21591.45,143943.0,30
CDM,494886,LEAD DEFIB ICD 64CM,15287.0,15287.0,2293.05,15287.0,30
CDM,494887,CATH DRN 8.5FR 25CM RSLV,773.0,773.0,115.95,773.0,42
CDM,494890,CATH DRN 8.5F 17HL 40CM,773.0,773.0,115.95,773.0,42
CDM,494891,CATH DRN 10FR 40CM,773.0,773.0,115.95,773.0,42
CDM,494892,CATH DRN 12F 14CM 40CM,773.0,773.0,115.95,773.0,42
CDM,494893,STENT EPRSTH 5CM 11MM,10659.0,10659.0,1598.85,10659.0,30
CDM,494894,STENT EPRSTH 10X13X59MM,11274.0,11274.0,1691.1,11274.0,30
CDM,494895,CATH ATHR 6F 36MM 145CM,14836.5,14836.5,2225.47,14836.5,42
CDM,494896,CATH ATHRCM 5.9CM 135CM,14836.5,14836.5,2225.47,14836.5,42
CDM,494897,CATH ATHRCM 6.6CM 114CM,14836.5,14836.5,2225.47,14836.5,42
CDM,494900,STENT SLFEXP 14X60X75CM,4429.0,4429.0,664.35,4429.0,30
CDM,494902,STENT SLFEXP 16X90X75CM,4673.0,4673.0,700.95,4673.0,30
CDM,494903,STENT SLFEXP 18X60X75CM,4673.0,4673.0,700.95,4673.0,30
CDM,494904,STENT SLFEXP 14X90X75CM,4429.0,4429.0,664.35,4429.0,30
CDM,494905,STENT SLFEXP 18X90X75CM,4673.0,4673.0,700.95,4673.0,30
CDM,494906,STENT SLFEXP 20X55X75CM,4673.0,4673.0,700.95,4673.0,30
CDM,494907,STENT SLFEXP 20X80X75CM,4673.0,4673.0,700.95,4673.0,30
CDM,494908,STENT EPRSTH 8MM 25CM,23989.0,23989.0,3598.35,23989.0,30
CDM,494910,CATH MICRO 021IN 154CM,6907.0,6907.0,1036.05,6907.0,42
CDM,494911,CATHETER GD 115CM 5FR,6688.0,6688.0,1003.2,6688.0,42
CDM,494912,COIL EMBL ENDO 4MM 3MM,66214.0,66214.0,9932.1,66214.0,30
CDM,494913,CONTROLLER WEB DTCHMNT,1514.5,1514.5,227.18,1514.5,42
CDM,494915,CRT DEFIB CARD 71X51X12,57782.0,57782.0,8667.3,57782.0,30
CDM,494916,SHEATH GD 8FR 65CM,1023.5,1023.5,153.53,1023.5,42
CDM,494917,STENT COR 3.5X20MM,16078.0,16078.0,2411.7,16078.0,30
CDM,494920,ICD DR 69X51X12MM,45503.0,45503.0,6825.45,45503.0,30
CDM,494921,DEFIB ICD 69X51X12MM,41089.0,41089.0,6163.35,41089.0,30
CDM,494922,DEFIB ICD VR DF4,45503.0,45503.0,6825.45,45503.0,30
CDM,494923,ICD CHAMBER 1,41089.0,41089.0,6163.35,41089.0,30
CDM,494924,CRT-D DEFIB 74X51X12,63989.0,63989.0,9598.35,63989.0,30
CDM,494925,ICD SYS DUAL 69X51X12,66464.0,66464.0,9969.6,66464.0,30
CDM,494926,ICD SYS DUAL 69X51X12,66464.0,66464.0,9969.6,66464.0,30
CDM,494927,ICD SYS SING 63X51X12,64836.0,64836.0,9725.4,64836.0,30
CDM,494930,ICD SYS SING 63X51X12,64836.0,64836.0,9725.4,64836.0,30
CDM,494931,CRT-D HF 74X51X12,92035.0,92035.0,13805.25,92035.0,30
CDM,494932,CRT-D HF 74X51X13,92035.0,92035.0,13805.25,92035.0,30
CDM,494933,STENT COR 3.50 X 8MM,3537.0,3537.0,530.55,3537.0,30
CDM,494934,STENT COR 4.00 X 8MM,3537.0,3537.0,530.55,3537.0,30
CDM,494937,STENT COR 3.50 X 12MM,3537.0,3537.0,530.55,3537.0,30
CDM,494939,STENT COR 4.00 X 12MM,3537.0,3537.0,530.55,3537.0,30
CDM,494942,STENT COR 3.50 X 16MM,3537.0,3537.0,530.55,3537.0,30
CDM,494943,STENT COR 4.00 X 16MM,3537.0,3537.0,530.55,3537.0,30
CDM,494944,STENT COR 4.50 X 16MM,3537.0,3537.0,530.55,3537.0,30
CDM,494946,STENT COR 3.50 X 20MM,3537.0,3537.0,530.55,3537.0,30
CDM,494947,STENT COR 4.00 X 20MM,3537.0,3537.0,530.55,3537.0,30
CDM,494948,STENT COR 4.50 X 20MM,3537.0,3537.0,530.55,3537.0,30
CDM,494949,CATH ULTSND 9FR 90CM,10744.0,10744.0,1611.6,10744.0,42
CDM,494951,STENT COR 3.50 X 24MM,3537.0,3537.0,530.55,3537.0,30
CDM,494952,STENT COR 4.00 X 24MM,3537.0,3537.0,530.55,3537.0,30
CDM,494953,STENT COR 4.50 X 24MM,3846.0,3846.0,576.9,3846.0,30
CDM,494955,STENT COR 3.50 X 28MM,3537.0,3537.0,530.55,3537.0,30
CDM,494956,STENT COR 4.00 X 28MM,3537.0,3537.0,530.55,3537.0,30
CDM,494960,STENT COR 3.50 X 32MM,3537.0,3537.0,530.55,3537.0,30
CDM,494961,STENT COR 4.00 X 32MM,3537.0,3537.0,530.55,3537.0,30
CDM,494962,STENT COR 4.50 X 32MM,3537.0,3537.0,530.55,3537.0,30
CDM,494964,STENT COR 2.25MM 8MM,621.0,621.0,93.15,621.0,30
CDM,494965,STENT COR RX 2.25X12MM,621.0,621.0,93.15,621.0,30
CDM,494966,STENT COR 2.25MM 15MM,621.0,621.0,93.15,621.0,30
CDM,494967,STENT COR 2.25MM 18MM,621.0,621.0,93.15,621.0,30
CDM,494970,STENT COR 2.25MM 23MM,621.0,621.0,93.15,621.0,30
CDM,494971,STENT COR 2.25MM 28MM,621.0,621.0,93.15,621.0,30
CDM,494972,STENT COR 2.25MM 33MM,621.0,621.0,93.15,621.0,30
CDM,494973,STENT COR 2.25MM 38MM,621.0,621.0,93.15,621.0,30
CDM,494974,STENT COR 2.5MM 8MM,621.0,621.0,93.15,621.0,30
CDM,494975,STENT COR 2.5MM 12MM,621.0,621.0,93.15,621.0,30
CDM,494976,STENT COR 2.5MM 15MM,621.0,621.0,93.15,621.0,30
CDM,494977,STENT COR 2.5MM 18MM,621.0,621.0,93.15,621.0,30
CDM,494978,CATH GD STD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,494979,STENT COR 2.5MM 23MM,621.0,621.0,93.15,621.0,30
CDM,494980,STENT COR 2.5MM 28MM,621.0,621.0,93.15,621.0,30
CDM,494981,STENT COR 2.5MM 33MM,621.0,621.0,93.15,621.0,30
CDM,494982,STENT COR 2.5MM 38MM,621.0,621.0,93.15,621.0,30
CDM,494983,STENT COR 2.75MM 8MM,1827.0,1827.0,274.05,1827.0,30
CDM,494984,STENT COR 2.75MM 12MM,621.0,621.0,93.15,621.0,30
CDM,494985,STENT COR 2.75MM 15MM,621.0,621.0,93.15,621.0,30
CDM,494986,STENT COR 2.75MM 18MM,621.0,621.0,93.15,621.0,30
CDM,494987,STENT COR 2.75MM 23MM,621.0,621.0,93.15,621.0,30
CDM,494990,STENT COR 2.75MM 28MM,621.0,621.0,93.15,621.0,30
CDM,494991,STENT COR 2.75MM 33MM,621.0,621.0,93.15,621.0,30
CDM,494992,STENT COR 2.75MM 38MM,621.0,621.0,93.15,621.0,30
CDM,494993,STENT COR 3MM 8MM,621.0,621.0,93.15,621.0,30
CDM,494994,STENT COR 3MM 28MM,621.0,621.0,93.15,621.0,30
CDM,494995,STENT COR 3MM 33MM,621.0,621.0,93.15,621.0,30
CDM,494997,STENT COR 3MM 12MM,621.0,621.0,93.15,621.0,30
CDM,495050,STENT COR 3MM 15MM,621.0,621.0,93.15,621.0,30
CDM,495051,STENT COR 3MM 18MM,621.0,621.0,93.15,621.0,30
CDM,495052,STENT COR RX 3X23MM,621.0,621.0,93.15,621.0,30
CDM,495053,STENT COR 3.25MM 8MM,621.0,621.0,93.15,621.0,30
CDM,495054,STENT COR 3.25MM 12MM,1827.0,1827.0,274.05,1827.0,30
CDM,495055,STENT COR 3.25MM 15MM,621.0,621.0,93.15,621.0,30
CDM,495092,STENT COR 3.25MM 18MM,621.0,621.0,93.15,621.0,30
CDM,495094,STENT COR 3.25MM 23MM,621.0,621.0,93.15,621.0,30
CDM,495095,STENT COR RX 3.25X28MM,621.0,621.0,93.15,621.0,30
CDM,495098,STENT COR 3.25MM 33MM,1827.0,1827.0,274.05,1827.0,30
CDM,495102,STENT COR 3.5MM 8MM,621.0,621.0,93.15,621.0,30
CDM,495103,STENT COR RX 3.5X12MM,621.0,621.0,93.15,621.0,30
CDM,495104,STENT COR 3.5MM 15MM,621.0,621.0,93.15,621.0,30
CDM,495105,STENT COR 3.5MM 18MM,621.0,621.0,93.15,621.0,30
CDM,495240,STENT COR RX 3.5X23MM,621.0,621.0,93.15,621.0,30
CDM,495295,CLIP ANSRM PRM 20R 5MM,3189.0,3189.0,478.35,3189.0,30
CDM,495302,STENT COR RX 3.5X28MM,621.0,621.0,93.15,621.0,30
CDM,495309,CRT DEFIB CARD 73X51X13,63248.0,63248.0,9487.2,63248.0,30
CDM,495314,STENT COR RX 3.5X33MM,621.0,621.0,93.15,621.0,30
CDM,495315,STENT COR 3.5MM 38MM,621.0,621.0,93.15,621.0,30
CDM,495316,STENT COR 4MM 8MM,621.0,621.0,93.15,621.0,30
CDM,495317,STENT COR 4MM 12MM,621.0,621.0,93.15,621.0,30
CDM,495318,STENT COR 4MM 15MM,621.0,621.0,93.15,621.0,30
CDM,495319,STENT COR 4MM 18MM,621.0,621.0,93.15,621.0,30
CDM,495323,STENT COR 4MM 23MM,621.0,621.0,93.15,621.0,30
CDM,495324,STENT COR 4MM 28MM,621.0,621.0,93.15,621.0,30
CDM,495326,STENT VASC 8X60MM 80CM,3846.0,3846.0,576.9,3846.0,30
CDM,495337,STENT COR 4MM 33MM,621.0,621.0,93.15,621.0,30
CDM,495360,STENT COR 4MM 38MM,621.0,621.0,93.15,621.0,30
CDM,495361,STENT VASC 7X150MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,495364,CAP LD DF4 IS-1,389.0,389.0,58.35,389.0,30
CDM,495377,CATH GD .035IN 200CM,1637.0,1637.0,245.55,1637.0,42
CDM,495384,GWIRE VASC JTP 190CM,1023.5,1023.5,153.53,1023.5,42
CDM,495400,DEVICE PLASMABLADE 3.0,2447.5,2447.5,367.13,2447.5,42
CDM,495401,CATH BLNDIL 6X150MM 5FR,2415.0,2415.0,362.25,2415.0,42
CDM,495402,CATH GUIDE 100CM 5FR,618.5,618.5,92.78,618.5,42
CDM,495412,GWIRE VASC 0.018IN 80CM,773.0,773.0,115.95,773.0,42
CDM,495413,GWIRE VASC .018IN 180CM,773.0,773.0,115.95,773.0,42
CDM,495414,KIT STYLET LEAD 52CM,773.0,773.0,115.95,773.0,42
CDM,495415,CATH BLNDIL 5X100MM 200,2415.0,2415.0,362.25,2415.0,42
CDM,495418,GUIDEWIRE PRESSURE 180CM,4093.0,4093.0,613.95,4093.0,42
CDM,495419,PACK SEL IR THER ACCSSRY,2251.0,2251.0,337.65,2251.0,42
CDM,495420,DILATOR VASC 20FR 20CM,444.5,444.5,66.67,444.5,42
CDM,495422,CATH BLNDIL 5MM 200MM,9439.0,9439.0,1415.85,9439.0,42
CDM,495424,CATH ANGIO 5FR 110CM,541.0,541.0,81.15,541.0,42
CDM,495425,OCCLUDER CV 25MM,40304.0,40304.0,6045.6,40304.0,30
CDM,495426,GWIRE IAB .018IN 260CM,4092.5,4092.5,613.88,4092.5,42
CDM,495427,CATH EP 7FR 115CM,9178.5,9178.5,1376.78,9178.5,42
CDM,495428,NEEDLE CRYOSURG 90D,8953.0,8953.0,1342.95,8953.0,42
CDM,495429,PAD HMSTC 2.4CM X 1.2CM,272.0,272.0,40.8,272.0,42
CDM,495430,PCMKR 2CH W HOME MNTR,9511.0,9511.0,1426.65,9511.0,30
CDM,495433,CATH BLNDIL 3.25MM 6MM,4385.5,4385.5,657.83,4385.5,42
CDM,495434,CATH BLNDIL 3.25MM 10MM,4385.5,4385.5,657.83,4385.5,42
CDM,495435,CATH BLNDIL 3.25MM 15MM,4385.5,4385.5,657.83,4385.5,42
CDM,495437,GWIRE VASC 180CM .014IN,773.0,773.0,115.95,773.0,42
CDM,495439,CATH BLNDIL 4MM 15MM,4385.5,4385.5,657.83,4385.5,42
CDM,495443,CATH GD 8.4FR 45CM,2355.0,2355.0,353.25,2355.0,42
CDM,495444,PLUG OCL VO3 LF 9MM,8186.0,8186.0,1227.9,8186.0,30
CDM,495474,STYLET LD .014IN 45CM,400.5,400.5,60.08,400.5,42
CDM,495599,CATH ASAHI CSW135-26N-5,4385.5,4385.5,657.83,4385.5,42
CDM,495621,GDWRE VASC .014IN 190CM,962.0,962.0,144.3,962.0,42
CDM,495622,CATH THRMB 5FR 135CM,1023.5,1023.5,153.53,1023.5,42
CDM,495642,PACEMKR CARD 11MM,13024.0,13024.0,1953.6,13024.0,30
CDM,495659,SCALPEL SURGICAL 22.5D M,231.5,231.5,34.73,231.5,42
CDM,495740,BIT DRL 12.7CM 2.7MM,773.0,773.0,115.95,773.0,42
CDM,495741,BIT DRL 12.7CM 3.2MM,638.5,638.5,95.78,638.5,42
CDM,495813,BURR SURG 9.5MM 4MM,434.5,434.5,65.17,434.5,42
CDM,495815,BUR ROUND 2.5MM,231.5,231.5,34.73,231.5,42
CDM,495821,WIRE DRL PSR 1.5MM,463.0,463.0,69.45,463.0,42
CDM,495822,BURRS CRBDE TPR SD 1.2MM,223.5,223.5,33.52,223.5,42
CDM,495878,SHUNT CSF DRAIN EXT VENT,1023.5,1023.5,153.53,1023.5,42
CDM,495954,CMNT RESTR CMT18.5,2445.0,2445.0,366.75,2445.0,30
CDM,496001,CATH THRMB 135CM 5FR,1023.5,1023.5,153.53,1023.5,42
CDM,496021,CATH GD 90D CRV 7.1FR,1650.5,1650.5,247.57,1650.5,42
CDM,496031,CATH GD 65CM 2.4X1.9MM,2005.5,2005.5,300.82,2005.5,42
CDM,496032,CATH GD 7.1X5.7FR 65CM,2005.5,2005.5,300.82,2005.5,42
CDM,496058,CATH GD 130D CRV 7.1FR,1650.5,1650.5,247.57,1650.5,42
CDM,496059,CATH GD ATTAIN XTND HK,1473.5,1473.5,221.03,1473.5,42
CDM,49610,SUTURE CU-5 10-0 5.51MM,640.0,640.0,96.0,640.0,42
CDM,496128,CATHETER GD STR 8.5-9FR,2275.5,2275.5,341.32,2275.5,42
CDM,496167,CTHGD BRB 6F VBT 100,630.5,630.5,94.58,630.5,42
CDM,496176,CATHETER GD 90D 4FR LD D,1310.0,1310.0,196.5,1310.0,42
CDM,496187,CATH GD PRFSN ATN LH,1473.5,1473.5,221.03,1473.5,42
CDM,496220,CRT-P CRD LV-1 15CC,26573.0,26573.0,3985.95,26573.0,30
CDM,496276,ELECTRODE BIP 1.3MM DISP,2542.0,2542.0,381.3,2542.0,42
CDM,496281,FORCEPS BIP GRSP INS LNG,6206.0,6206.0,930.9,6206.0,42
CDM,496283,INTRO SHTH 5F 40X11CM,773.0,773.0,115.95,773.0,42
CDM,496284,INTRO SHTH NT/PD 6F 11CM,773.0,773.0,115.95,773.0,42
CDM,496285,KIT INTRO CATH 7FR 11CM,773.0,773.0,115.95,773.0,42
CDM,496286,PATCH DURA 3IN 1IN,4429.0,4429.0,664.35,4429.0,30
CDM,496289,PATCH DURA CLGN 3X1IN,3012.0,3012.0,451.8,3012.0,30
CDM,496290,PATCH DURA 7IN 5IN,6481.0,6481.0,972.15,6481.0,30
CDM,496291,PROBE CRYO 1.7MM 1150MM,3037.0,3037.0,455.55,3037.0,42
CDM,496292,TIP CRYO 3MM 8.5MM,4093.0,4093.0,613.95,4093.0,42
CDM,496294,RETRIEVAL BASKET 1.9FR,1351.0,1351.0,202.65,1351.0,42
CDM,496295,KERECIS OMEGA3 1SQCM,458.0,458.0,68.7,458.0,29
CDM,496319,SCREW BN 3.5MM 30MM,1674.0,1674.0,251.1,1674.0,30
CDM,496322,SCREW BN ELBW 3.5X45MM,1738.0,1738.0,260.7,1738.0,30
CDM,496323,SCREW BN 3.5MM 20MM,1674.0,1674.0,251.1,1674.0,30
CDM,496324,DRILL SURG 2.7MM 80MM,232.0,232.0,34.8,232.0,42
CDM,496325,NEEDLE INTSTM 5IN 20GA,649.5,649.5,97.42,649.5,42
CDM,496326,KWIRE ORTH 3.2MM,607.5,607.5,91.13,607.5,42
CDM,496327,BIT DRILL 3.2MM,2251.0,2251.0,337.65,2251.0,42
CDM,496328,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,496329,STENT GRAFT 15CM 31X31MM,69026.0,69026.0,10353.9,69026.0,30
CDM,496330,STEM XTN KN 30X75X13MM,4429.0,4429.0,664.35,4429.0,30
CDM,496331,BIT DRILL 50X1.5X5.6MM,1606.0,1606.0,240.9,1606.0,42
CDM,496332,BIT DRILL TWST STRL 8MM,1606.0,1606.0,240.9,1606.0,42
CDM,496333,PLATE BN 6HL 6MM,3268.0,3268.0,490.2,3268.0,30
CDM,496334,SCREW BN 5MM 2MM,1128.0,1128.0,169.2,1128.0,30
CDM,496335,STEM FEM CRL NONCLLAR 11,8858.0,8858.0,1328.7,8858.0,30
CDM,496336,SCREW LANCR PAX 8.5X70MM,3765.0,3765.0,564.75,3765.0,30
CDM,496337,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,496338,SCREW VAR SLFDRL 5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,496341,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,496342,INSERT POLY SZ3+ 11MM,14926.0,14926.0,2238.9,14926.0,30
CDM,496345,ROD SPN TPR3.5-5.5X700MM,2711.0,2711.0,406.65,2711.0,30
CDM,496351,SCREW BN 1.7MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,496352,SCREW BN 1.6MM 1MM 14MM,977.0,977.0,146.55,977.0,30
CDM,496353,INSERT HUM 6+ MM 42MM,4606.0,4606.0,690.9,4606.0,30
CDM,496354,STENT EPRSTH 31X31X20CM,69026.0,69026.0,10353.9,69026.0,30
CDM,496355,CAGE SPNL 12X14 10D -10,4429.0,4429.0,664.35,4429.0,30
CDM,496356,CAGE SPN MESH 10X10X7MM,5920.0,5920.0,888.0,5920.0,30
CDM,496357,ROD SPNL 5.5MM 600MM,2711.0,2711.0,406.65,2711.0,30
CDM,496358,CMPNT FEM KN D LT,8416.0,8416.0,1262.4,8416.0,30
CDM,496360,SPACER SPN 7M 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,496361,PLATE SPN 3LVL 47MM,4429.0,4429.0,664.35,4429.0,30
CDM,496362,SCREW SPN 4.0MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,496363,SCREW SPN 4.6MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,496364,SCREW SPN 4.0MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,496365,CNTR PIECE TURQ SPN 13MM,30058.0,30058.0,4508.7,30058.0,30
CDM,496366,END CAP 5 13MM,11122.0,11122.0,1668.3,11122.0,30
CDM,496367,BIT DRILL 4MM 25MM,2622.0,2622.0,393.3,2622.0,42
CDM,496368,GRAFT BN ALGRF INJ 3.0CC,13465.0,13465.0,2019.75,13465.0,30
CDM,496369,SCREW BN L70 OD7.5 QWIX,3721.0,3721.0,558.15,3721.0,30
CDM,496370,SCREW QWX FT 7.5X80MM,4429.0,4429.0,664.35,4429.0,30
CDM,496371,BIT DRILL 5.5X210MM,3233.5,3233.5,485.02,3233.5,42
CDM,496372,INSERT ARTC KN 1-2 13MM,5532.0,5532.0,829.8,5532.0,30
CDM,496373,GRFT ST TIS FSC LATA FRZ,7640.0,7640.0,1146.0,7640.0,30
CDM,496374,PLATE BN 4HL 116MM,4478.0,4478.0,671.7,4478.0,30
CDM,496375,PLATE SPN FLSH 14MM,10010.0,10010.0,1501.5,10010.0,30
CDM,496376,CAGE SPN 15D 35MM 14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496377,SCREW SPN 5.0MM 30MM,2259.0,2259.0,338.85,2259.0,30
CDM,496378,SCREW SPN 6.50MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,496379,SCREW SET SPN NS,753.0,753.0,112.95,753.0,30
CDM,496381,ROD SPN 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,496383,NEEDLE ASPIRATNG SPN,386.5,386.5,57.98,386.5,42
CDM,496384,SCREW SPN PLY AXL HEAD,3012.0,3012.0,451.8,3012.0,30
CDM,496385,SCREW BN CMPR 4MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,496386,CUP ACTB TRIFLNG RT 56MM,177144.0,177144.0,26571.6,177144.0,30
CDM,496387,SHELL ACTB HIP MOD 58MM,10420.0,10420.0,1563.0,10420.0,30
CDM,496388,SCREW SPN 4.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,496389,SCREW SPN 4.5MM 32MM,3765.0,3765.0,564.75,3765.0,30
CDM,496390,ROD SPN 4.0MM 95MM,2711.0,2711.0,406.65,2711.0,30
CDM,496391,LINER ACTB HIP 42/54MM,4606.0,4606.0,690.9,4606.0,30
CDM,496392,INSERT XLPE HIP 28/42MM,4429.0,4429.0,664.35,4429.0,30
CDM,496393,STEM HIP STD COLR SZ6,8858.0,8858.0,1328.7,8858.0,30
CDM,496394,HEAD HIP CERC SZ0 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,496395,LINER ACTB HIP SZC 28X38,4606.0,4606.0,690.9,4606.0,30
CDM,496396,SCREW BN 2MM 4MM,1058.0,1058.0,158.7,1058.0,30
CDM,496397,SCREW BN MXLFCL 2X14MM,1058.0,1058.0,158.7,1058.0,30
CDM,496398,CMPNT TIB ANK STD SZ3,31774.0,31774.0,4766.1,31774.0,30
CDM,496400,INSERT POLY SZ3 12MM,14926.0,14926.0,2238.9,14926.0,30
CDM,496402,INSRT TIB KN 7 21MM,4606.0,4606.0,690.9,4606.0,30
CDM,496404,PLATE BN 8HL 3.5MM 196MM,6021.0,6021.0,903.15,6021.0,30
CDM,496405,SCREW BN SPN 7.5MM 60MM,3765.0,3765.0,564.75,3765.0,30
CDM,496406,CAGE SPN 8D 27X36X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496409,PLATE SPN 28MM,9301.0,9301.0,1395.15,9301.0,30
CDM,496410,PLATE SPN 28MM,753.0,753.0,112.95,753.0,30
CDM,496411,CAGE SPN 8D 27X36X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496413,PLATE BN 2X2H 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,496414,DRILL BIT CANN 2.7MM,3646.5,3646.5,546.98,3646.5,42
CDM,496415,CUP ACTB 3H 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,496416,LNR ACTB CUP 36/60-68MM,4429.0,4429.0,664.35,4429.0,30
CDM,496418,PLUG OPTH SM MED,579.5,579.5,86.92,579.5,42
CDM,496419,CATH PERITONEAL 14CM,3189.0,3189.0,478.35,3189.0,30
CDM,496420,CLAMP MULTI-PIN HFMN 2,3462.5,3462.5,519.38,3462.5,42
CDM,496421,ROD EXFX CRBN 3MM 120MM,773.0,773.0,115.95,773.0,42
CDM,496422,INSERT HUM SHLDR 10X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,496423,FIBER PUTTY 5.0CC,3765.0,3765.0,564.75,3765.0,30
CDM,496424,CONE FEM KN LT SZ1 SZ2,13389.0,13389.0,2008.35,13389.0,30
CDM,496425,INSERT TIB KN SZ4 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,496426,BASEPLATE TIB LT,4606.0,4606.0,690.9,4606.0,30
CDM,496427,INSERT KN LT SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,496428,CAGE PLIF PLSM 24X10 9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496429,SCREW LANCER PAX 8.5X35,3765.0,3765.0,564.75,3765.0,30
CDM,496430,IMPLANT SHLDR POST TM,4252.0,4252.0,637.8,4252.0,30
CDM,496431,GLENOID SHLDR 4PG SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,496432,STEM HUM SHLDR 55MM 9MM,11959.0,11959.0,1793.85,11959.0,30
CDM,496433,INTBDY DVC 55X22X10 8D,13287.0,13287.0,1993.05,13287.0,30
CDM,496434,SCREW BN 3MM,1128.0,1128.0,169.2,1128.0,30
CDM,496435,SCREW BN 5.5MM 50MM,3404.0,3404.0,510.6,3404.0,30
CDM,496436,SCREW BN INTFR 23X10MM,3721.0,3721.0,558.15,3721.0,30
CDM,496437,CMPNT FEM KN SZ9,7206.0,7206.0,1080.9,7206.0,30
CDM,496438,HEAD HUM SHLDR 18MM 48MM,4872.0,4872.0,730.8,4872.0,30
CDM,496439,CAGE SPN 6D 14X16X8MM,8416.0,8416.0,1262.4,8416.0,30
CDM,496440,SCREW SPN 3.5MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,496441,SCREW SPNL S/T 4.0X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,496442,SCREW BN SLF TAP3.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,496443,CMPNT FEM 135D SZ10,8858.0,8858.0,1328.7,8858.0,30
CDM,496444,LINER HIP ACTB 45MM 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,496445,CUP ACTB HIP 66MM,8932.0,8932.0,1339.8,8932.0,30
CDM,496446,NAIL BN 9.3MM 32CM,4872.0,4872.0,730.8,4872.0,30
CDM,496447,NAIL IM CANN TIB 9MMX300,4429.0,4429.0,664.35,4429.0,30
CDM,496448,LINER ACTB HIP 52MM,4872.0,4872.0,730.8,4872.0,30
CDM,496449,LINER ACETB HIP 54MM,4872.0,4872.0,730.8,4872.0,30
CDM,496450,LINER ACTB 28MM 47MM,4429.0,4429.0,664.35,4429.0,30
CDM,496451,CAGE PLIF PLSM 24X10 7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496452,ROD LANCER PREBENTTI 5.5,2711.0,2711.0,406.65,2711.0,30
CDM,496454,REAMER SURG STRL 10MM,4068.0,4068.0,610.2,4068.0,42
CDM,496455,ENDPLATE SPN 20MM 20MM,3016.0,3016.0,452.4,3016.0,30
CDM,496456,ENDPLATE SPNL LWR 20MM,3016.0,3016.0,452.4,3016.0,30
CDM,496457,SPACER SPN 20MM 41MM,28039.0,28039.0,4205.85,28039.0,30
CDM,496458,PLATE BN SPNE 49MM,6644.0,6644.0,996.6,6644.0,30
CDM,496459,SPACER SPN ELEV 28X10MM,15059.0,15059.0,2258.85,15059.0,30
CDM,496460,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,496461,CAGE SPN MESH 15X12X8MM,7395.0,7395.0,1109.25,7395.0,30
CDM,496462,SCREW BN LCK 4MM 30MM,1658.0,1658.0,248.7,1658.0,30
CDM,496463,SCREW BN 4MM 36MM,1658.0,1658.0,248.7,1658.0,30
CDM,496464,SCRW BN 4MM 46MM,1658.0,1658.0,248.7,1658.0,30
CDM,496465,SCREW BN 4MM 3.3MM 48MM,1658.0,1658.0,248.7,1658.0,30
CDM,496466,SCREW BN 4MM 28MM,1658.0,1658.0,248.7,1658.0,30
CDM,496468,CMPNT TIB POLY SZ7 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,496469,SCREW SPN 6.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,496470,STEM FEM KN SZG,10165.0,10165.0,1524.75,10165.0,30
CDM,496471,WEDGE FEM KN SZ11 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,496472,INSERT KN SZ3.5 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,496473,LNR ACTB CUP 32/52-54MM,4429.0,4429.0,664.35,4429.0,30
CDM,496474,HEAD FEM CERM MED 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,496475,BN SCR CANCELLOUS 20MM,1063.0,1063.0,159.45,1063.0,30
CDM,496477,PLATE CUP FSN 10HL 18MM,4340.0,4340.0,651.0,4340.0,30
CDM,496478,SCREW BN 2.4MM 16MM,319.0,319.0,47.85,319.0,30
CDM,496479,SCREW BN 2.4MM 18MM,1196.0,1196.0,179.4,1196.0,30
CDM,496480,SCREW BN 2.4MM 14MM,319.0,319.0,47.85,319.0,30
CDM,496481,REAMER SURG 18MM,2046.5,2046.5,306.98,2046.5,42
CDM,496482,STEM TIB EXT TI 12X40MM,4252.0,4252.0,637.8,4252.0,30
CDM,496483,SPACER SPNL 40X18X15MM,13287.0,13287.0,1993.05,13287.0,30
CDM,496484,SPACER SPNL 40X18X13MM,13287.0,13287.0,1993.05,13287.0,30
CDM,496485,ROD TNDN 3MM 24.5CM,6002.0,6002.0,900.3,6002.0,30
CDM,496486,ROS SPN 4MM 400MM,2711.0,2711.0,406.65,2711.0,30
CDM,496487,SPACER SPN 8D 16X14X38MM,24116.0,24116.0,3617.4,24116.0,30
CDM,496488,STENT GRAFT 31X31X225MM,82649.0,82649.0,12397.35,82649.0,30
CDM,496489,CMPTN TIB ANKL LT SZ2,31028.0,31028.0,4654.2,31028.0,30
CDM,496490,INSERT TIB ANKLE SZ2 8MM,6878.0,6878.0,1031.7,6878.0,30
CDM,496491,WASHER ORTH 4MM,2069.0,2069.0,310.35,2069.0,30
CDM,496492,ROD SPNL 65MM 5.5MM CREO,2711.0,2711.0,406.65,2711.0,30
CDM,496493,STEM FEM #8,8858.0,8858.0,1328.7,8858.0,30
CDM,496494,SCREW BN HDLS 2.5X18MM,3189.0,3189.0,478.35,3189.0,30
CDM,496495,BIT DRILL TI CANN OVR,1707.0,1707.0,256.05,1707.0,42
CDM,496496,KWIRE FX .8MM 70MM,340.0,340.0,51.0,340.0,42
CDM,496497,IMPLANT SPN PLVC 7X80MM,13620.0,13620.0,2507.44,13620.0,26
CDM,496498,SCREW BN SPN 9.5MM 110MM,4030.0,4030.0,604.5,4030.0,30
CDM,496499,SHELL ACTB PLVS 60 2H,4606.0,4606.0,690.9,4606.0,30
CDM,496519,LINER ACTB HIP SZ G 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,496520,STEM LAT CMNTLSS PLUS #5,8858.0,8858.0,1328.7,8858.0,30
CDM,496523,INSERT KN TIB SZ1-2 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,496524,LINER ACTB HIP60/51 60MM,4872.0,4872.0,730.8,4872.0,30
CDM,496525,LINER ACTB HIP 28MM 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,496526,STEM FEM STD 245X16MM,25910.0,25910.0,3886.5,25910.0,30
CDM,496527,HEAD FEM HIP +3.5X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,496528,PIN DRILL 1.5MM 100MM,3189.0,3189.0,478.35,3189.0,30
CDM,496529,CMPNT TIB POLY SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,496530,CMPNT PTLR KN 8MM 31MM,4252.0,4252.0,637.8,4252.0,30
CDM,496531,BASEPLATE TIB KN 48X71MM,4606.0,4606.0,690.9,4606.0,30
CDM,496532,INSERT LNR KN F5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,496533,COMP FEM KN RT 66MM 72MM,7087.0,7087.0,1063.05,7087.0,30
CDM,496535,CAGE SPN 0D 45X18X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,496536,SPACER SPNL 4D 16X8X14MM,8416.0,8416.0,1262.4,8416.0,30
CDM,496537,TMPLT SURG IMPL,2192.0,2192.0,328.8,2192.0,42
CDM,496538,PIN HLF SLF CUT 150X6MM,1152.5,1152.5,172.88,1152.5,42
CDM,496539,CAGE SPN 12D 14X22X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,496540,LINER POLY 22.2X43MM,4429.0,4429.0,664.35,4429.0,30
CDM,496541,LINER HIP 50/43 50MM,4872.0,4872.0,730.8,4872.0,30
CDM,496542,COMPNT ANK TIB STD SZ2,31774.0,31774.0,4766.1,31774.0,30
CDM,496543,CATH DRN 35CMX700ML,1866.5,1866.5,279.98,1866.5,42
CDM,496544,CMPNT FEM PS NPOR SZ7 LT,7087.0,7087.0,1063.05,7087.0,30
CDM,496554,GRAFT SAP VEIN 30-39CM,22628.0,22628.0,3394.2,22628.0,30
CDM,496557,GRAFT VEIN SAPH 60-69CM,35355.0,35355.0,5303.25,35355.0,30
CDM,496558,ALLOGRAFT VEIN 70-79CM,36105.0,36105.0,5415.75,36105.0,30
CDM,496559,GRAFT VEIN SAPH 80CM,42276.0,42276.0,6341.4,42276.0,30
CDM,496565,GRAFT ART ST TIS 21-29CM,23743.0,23743.0,3561.45,23743.0,30
CDM,496566,GRAFT ART ST TIS 30+ CM,25389.0,25389.0,3808.35,25389.0,30
CDM,496567,GRAFT AOR ART 4/6-11CM,85456.0,85456.0,12818.4,85456.0,30
CDM,496568,SHUNT SYS W/CNTRL RSRV,28385.0,28385.0,4257.75,28385.0,30
CDM,496570,LENS IOL +28.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,496576,TREPHINE SURG 7.25MM,880.5,880.5,132.07,880.5,42
CDM,496577,BLADE TREPHINE 7.75MM,880.5,880.5,132.07,880.5,42
CDM,496578,VAC CORNEAL TREPH 8.25MM,880.5,880.5,132.07,880.5,42
CDM,496579,BLADE TREPHINE 8.75MM,880.5,880.5,132.07,880.5,42
CDM,496580,PUNCH SURG 7.25MM,829.0,829.0,124.35,829.0,42
CDM,496581,PLATE BN 12H 2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,496588,APPLICATOR HEMOSTAT PWD,270.5,270.5,40.58,270.5,42
CDM,496589,KNIFE OPTH 2.5MM XSTR 55,358.0,358.0,53.7,358.0,42
CDM,496594,SCREW BN 3MM 40MM 8MM,2618.0,2618.0,392.7,2618.0,30
CDM,496595,PLATE BN 11H 43MM 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,496596,SCREW BN 2.7MM 30MM,1317.0,1317.0,197.55,1317.0,30
CDM,496603,IMPLANT BREAST 380CC,5094.0,5094.0,764.1,5094.0,30
CDM,496615,STAPLER INT 100MM,1347.5,1347.5,202.13,1347.5,42
CDM,496617,CATH RPD INFS 7FR 2IN,232.0,232.0,34.8,232.0,42
CDM,496618,CONFORMER EYE SMALL,649.5,649.5,97.42,649.5,42
CDM,496619,RELOAD STPLR 100MM,1315.0,1315.0,197.25,1315.0,30
CDM,496620,STAPLER INT 100MM,1283.0,1283.0,192.45,1283.0,42
CDM,496634,DEVICE CLSR WND 0 45CM,358.5,358.5,53.77,358.5,42
CDM,496644,BLADE TRPHN CRNL 9.25MM,773.0,773.0,115.95,773.0,42
CDM,496648,LENS IOL +25.5 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,496649,LENS IOL +11.5 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,496653,STENT URET 6FR 24CM,3016.0,3016.0,452.4,3016.0,30
CDM,496654,STENT URET 6FR 26CM,3016.0,3016.0,452.4,3016.0,30
CDM,496655,LENS IOL +17.0 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,496657,LENS IOL +25.0 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,496659,IMPLANT BREAST 405CC,4540.0,4540.0,681.0,4540.0,30
CDM,496664,LENS IOL +16.5 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,496665,STENT URET 6FR 22CM,3016.0,3016.0,452.4,3016.0,30
CDM,496666,STENT URET 6FR 28CM,3016.0,3016.0,452.4,3016.0,30
CDM,496667,STENT URET 7FR 22CM,3016.0,3016.0,452.4,3016.0,30
CDM,496669,STENT URET 7FR 28CM,3016.0,3016.0,452.4,3016.0,30
CDM,496670,STENT URET 8FR 22CM,3016.0,3016.0,452.4,3016.0,30
CDM,496671,STENT URET 8FR 24CM,3016.0,3016.0,452.4,3016.0,30
CDM,496672,LENS IOL +21.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,496675,CATH URTH 8FR 16IN,13.0,13.0,1.95,13.0,42
CDM,496676,CATH URTH 10FR 16IN,13.0,13.0,1.95,13.0,42
CDM,496679,LENS IOL 20.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,496680,LENS IOL +20.5 DIOP,780.0,780.0,143.6,780.0,28
CDM,496681,LENS IOL +22.5 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,496683,SUTURE BLK MONO 5-0 18IN,178.0,178.0,26.7,178.0,42
CDM,496685,LENS IOL +25.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,496687,LENS IOL +21.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,496688,LENS IOL +22.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,496689,IMPLANT BREAST 500CC,4540.0,4540.0,681.0,4540.0,30
CDM,496692,LENS IOL +14.0 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,496695,LENS IOL 18.5 DIOP,866.5,866.5,159.52,866.5,28
CDM,496696,LENS IOL +22.0 DIOP,647.0,647.0,119.11,647.0,28
CDM,496697,LENS IOL +11.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,496698,LENS IOL +34.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,496702,LENS IOL +10.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,496703,LENS IOL +28.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,496704,LENS IOL +8.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,496705,SUTURE WHT BRD 2-0 48IN,792.5,792.5,118.88,792.5,42
CDM,496706,LENS IOL +26.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,496709,NDL BX BN MRW 13GA 2.5IN,518.5,518.5,77.78,518.5,42
CDM,496710,BLADE SURG EAR PROS,241.5,241.5,36.23,241.5,42
CDM,496714,COMPNT DOME ANK SZ1,30937.0,30937.0,4640.55,30937.0,30
CDM,496715,INSERT ANKLE SZ1/1+ 6MM,14926.0,14926.0,2238.9,14926.0,30
CDM,496717,SCREW BN 3MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,496719,GWIRE BN DISP 1.1X150MM,773.0,773.0,115.95,773.0,42
CDM,496720,SCREW SPN 3.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,496721,ROD SPN LOR TI 4X60MM,2711.0,2711.0,406.65,2711.0,30
CDM,496722,CONE TIB LG RT TRB6X36MM,10641.0,10641.0,1596.15,10641.0,30
CDM,496723,WEDGE KN SZJ 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,496724,STEM FEM KN 15MM 135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,496725,WEDGE KN SZJ 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,496726,CMPNT TIB KN SZJ,10165.0,10165.0,1524.75,10165.0,30
CDM,496727,WEDGE KN SZ13 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,496728,CMPNT KN FEM SZ13,28401.0,28401.0,4260.15,28401.0,30
CDM,496729,STEM EXT 16MM,6876.0,6876.0,1031.4,6876.0,30
CDM,496730,WEDGE KN SZ13 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,496732,SCREW BN 2.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,496733,INSERT KN TIB RT 18MM,9966.0,9966.0,1494.9,9966.0,30
CDM,496735,INSRT ARTC 6-8 G XL 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,496736,NAIL BN 13MM 38CM,4872.0,4872.0,730.8,4872.0,30
CDM,496738,CMPNT FEM KN LT SZ5,6764.0,6764.0,1014.6,6764.0,30
CDM,496739,SUTURE ZPLN SZ2 BLK WHT,263.0,263.0,39.45,263.0,42
CDM,496740,INSERT TIB 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,496744,ANCHOR FX REPAIR KT,5783.0,5783.0,867.45,5783.0,30
CDM,496745,SCREW SPN 5.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,496746,SCREW SPN 5.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,496747,SCREW SPN CANN 5.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,496748,ROD SPN 5.5MM 160MM,2711.0,2711.0,406.65,2711.0,30
CDM,496749,CAGE SPN 6D 14X16X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,496753,GRAFT CV 10MM 30CM,2756.0,2756.0,413.4,2756.0,30
CDM,496754,STEM FEM HIP SZ8 140MM,6201.0,6201.0,930.15,6201.0,30
CDM,496755,INSERT KN FULL 1PC XE,17274.0,17274.0,2591.1,17274.0,30
CDM,496757,FILLER BN VOID 5CC PTTY,4340.0,4340.0,651.0,4340.0,30
CDM,496758,SPACER SPN 22X15MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496759,KIT GENERATOR IPG,74324.0,74324.0,11148.6,74324.0,30
CDM,496760,KIT REMOTE CONTROL,4604.5,4604.5,690.67,4604.5,42
CDM,496761,CANNULA PRFSN 15F 5.0MM,829.5,829.5,124.42,829.5,42
CDM,496763,HEAD FEM HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,496764,SCREW LANCER PAX 8.5X40,3765.0,3765.0,564.75,3765.0,30
CDM,496767,LINER ACTB HIP62/53 62MM,4872.0,4872.0,730.8,4872.0,30
CDM,496768,LINER ACTB HIP 28X53MM,4429.0,4429.0,664.35,4429.0,30
CDM,496769,INSERT ANKLE SZ1/1+ 8MM,15502.0,15502.0,2325.3,15502.0,30
CDM,496770,SCREW BN 7MM 75MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,496771,SCREW MUC CMPR 80X32,3189.0,3189.0,478.35,3189.0,30
CDM,496772,STENT VASC 36MM 180MM,53830.0,53830.0,8074.5,53830.0,30
CDM,496774,INSERT TIB KN 8 6MM,8309.0,8309.0,1246.35,8309.0,30
CDM,496775,LINER ACTB 66 55 66MM,4872.0,4872.0,730.8,4872.0,30
CDM,496776,ACTB LINER 55MM 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,496777,SURF ARTC KN 10-13 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,496778,INSERT TIB KN SZ3-4,4606.0,4606.0,690.9,4606.0,30
CDM,496780,HEAD FEM HIP 12/14 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,496781,BLADE OPTH 2.3MM,231.5,231.5,34.73,231.5,42
CDM,496782,CMPNT BEARING LT MED 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,496784,INSERT SFJW FGRTY SPRG,227.5,227.5,34.13,227.5,42
CDM,496786,CANNULA PRFSN 16GA 10IN,290.5,290.5,43.58,290.5,42
CDM,496788,CANN PRFSN VSL2.5IN 3MM,109.5,109.5,16.43,109.5,42
CDM,496793,SCREW BN 4X45MM,2392.0,2392.0,358.8,2392.0,30
CDM,496794,SCREW BN 4MM 37.5MM,2392.0,2392.0,358.8,2392.0,30
CDM,496795,INSERT KN RT 5-6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,496796,CUP ACTB 3H 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,496797,SCREW BN 6.5MM 25MM,1170.0,1170.0,175.5,1170.0,30
CDM,496798,CMPNT TIB POLY SZ6 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,496799,INSERT TIB KN SZ3-4 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,496804,IPG RECHARGE 4.8CM 5.3CM,72109.0,72109.0,10816.35,72109.0,30
CDM,496805,SCREW BN 2.7 4.5MM 22MM,581.0,581.0,87.15,581.0,30
CDM,496806,SCREW BN 3.5MM 42MM,3009.0,3009.0,451.35,3009.0,30
CDM,496807,SCREW BN 3.5MM 46MM,1898.0,1898.0,284.7,1898.0,30
CDM,496808,SCREW BN 3.5MM 26MM,548.0,548.0,82.2,548.0,30
CDM,496809,SCREW BN 3.5MM 14MM,2304.0,2304.0,345.6,2304.0,30
CDM,496810,SCREW BN 3.5MM 30MM,579.0,579.0,86.85,579.0,30
CDM,496811,SCREW BN 3.5MM 22MM,548.0,548.0,82.2,548.0,30
CDM,496812,SCREW BN CRTX 3.5X24MM,548.0,548.0,82.2,548.0,30
CDM,496813,SCREW BN 3.5MM 28MM,548.0,548.0,82.2,548.0,30
CDM,496814,CMPNT PTLR KN 8MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,496815,BASEPLATE TIB KN 45X66MM,4606.0,4606.0,690.9,4606.0,30
CDM,496816,COMP FEM KN RT 62MM 68MM,7087.0,7087.0,1063.05,7087.0,30
CDM,496817,INSERT KN TIB E3-4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,496818,BEARING FX ANK SZ3+ 7MM,14926.0,14926.0,2238.9,14926.0,30
CDM,496819,PLATE CRNMXF 7HL 105MM,3189.0,3189.0,478.35,3189.0,30
CDM,496821,SCREW SPNL S/T 4.0X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,496822,CAGE SPNL 6D 12X15X6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,496823,SCREW SPNL S/T 3.5X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,496824,AUG FEM DIST SZ10 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,496825,AUG FEM POST SZ10 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,496826,WEDGE TIB KN 1-2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,496827,SCREW BN L100MM OD5.5MM,1672.0,1672.0,250.8,1672.0,30
CDM,496828,LINER ACTB 58 49 58MM,4872.0,4872.0,730.8,4872.0,30
CDM,496829,SCREW SPN 5.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,496830,NAIL 13MM 75CM FEM KN IM,14709.0,14709.0,2206.35,14709.0,30
CDM,496831,SCREW BN 5.0MM 67.5MM,2392.0,2392.0,358.8,2392.0,30
CDM,496832,SCREW SPN 4MM 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,496834,CONNECTOR ROD SPN 19MM,3012.0,3012.0,451.8,3012.0,30
CDM,496835,SLEEVE FEM KN PRCT 50MM,9072.0,9072.0,1360.8,9072.0,30
CDM,496836,STEM FEM HIP 22MM 300MM,11150.0,11150.0,1672.5,11150.0,30
CDM,496837,SHELL ACETB HIP MTL 68MM,4252.0,4252.0,637.8,4252.0,30
CDM,496838,LNR BIPOLAR 68-70 X 28,4252.0,4252.0,637.8,4252.0,30
CDM,496840,BOLT BN LOCK 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,496842,KWIRE FX 1.4MM,386.5,386.5,57.98,386.5,42
CDM,496843,STEM FEM HIP 135D SZ6,7995.0,7995.0,1199.25,7995.0,30
CDM,496844,INSERT TIB TKR CR 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,496845,BLADE SURG OSTME 52MM,4385.5,4385.5,657.83,4385.5,42
CDM,496846,BLADE SURG OSTME 52MM,4385.5,4385.5,657.83,4385.5,42
CDM,496848,CAGE SPNL 8D 27X36X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496849,ROD SPN LOR 4.0X025MM,2711.0,2711.0,406.65,2711.0,30
CDM,496856,LINER ACTB 56/49 56MM,4872.0,4872.0,730.8,4872.0,30
CDM,496857,LINER HUMERAL 40MM +2.5,4429.0,4429.0,664.35,4429.0,30
CDM,496858,SCREW SPN 5.5MM 24MM,1130.0,1130.0,169.5,1130.0,30
CDM,496859,KIT NEURO ACC DISP,3189.0,3189.0,478.35,3189.0,42
CDM,496860,BASE TIB KN SZ9,4651.0,4651.0,697.65,4651.0,30
CDM,496861,INSERT HUM SHLDR 12X32MM,4872.0,4872.0,730.8,4872.0,30
CDM,496862,SCREW BN 7MM 90MM,3975.0,3975.0,596.25,3975.0,30
CDM,496863,SCREW BN 7MM 95MM,3975.0,3975.0,596.25,3975.0,30
CDM,496864,SCREW BN 5MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,496865,SCREW BN 5.0MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,496866,SCREW BN LCK 4MM 38MM,1658.0,1658.0,248.7,1658.0,30
CDM,496867,SCREW BN 4MM 3.3MM 34MM,1658.0,1658.0,248.7,1658.0,30
CDM,496868,SCREW TI 4MM X 42MM,1658.0,1658.0,248.7,1658.0,30
CDM,496869,PLATE 385MM SS 4.5/5 16H,7870.0,7870.0,1180.5,7870.0,30
CDM,496870,SCREW BN 3MM 6MM 30MM,2618.0,2618.0,392.7,2618.0,30
CDM,496871,PLATE BN FT ANKL RT,6522.0,6522.0,978.3,6522.0,30
CDM,496872,SCREW BN 3MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,496873,PIN HLF EX FX 200X6X35MM,1396.5,1396.5,209.47,1396.5,42
CDM,496874,DRILL SURG SHRT STEP 3.8,2686.0,2686.0,402.9,2686.0,42
CDM,496875,CLIP EXFX GRY 1.5-1.8MM,128.5,128.5,19.27,128.5,42
CDM,496876,CLIP EXFX HLF PIN 4-6MM,121.5,121.5,18.23,121.5,42
CDM,496878,ANCHOR SUT 3.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,496879,NAIL BN 9MM 360MM,8982.0,8982.0,1347.3,8982.0,30
CDM,496880,SCREW BN 7MM 23MM,3721.0,3721.0,558.15,3721.0,30
CDM,496881,SCREW SET SPINE,753.0,753.0,112.95,753.0,30
CDM,496882,TULIP SPN HEAD 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,496883,SCREW SPN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,496884,SCREW SPN 7.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,496885,SCREW SPNL 7.5X35MM,3012.0,3012.0,451.8,3012.0,30
CDM,496886,SPACER SPNL 30X11X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496887,ROD PRECNTRD 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
CDM,496888,ROD PRECNTRD 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,496889,PIN EX FIX 6MM,409.0,409.0,61.35,409.0,42
CDM,496891,CMPNT TIB POLY SZ4 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,496892,CAGE SPNL 14D 27X36X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496893,SCREW BN HEX 2.7X22,426.0,426.0,63.9,426.0,30
CDM,496894,NAIL BN 13MM 44CM,6400.0,6400.0,960.0,6400.0,30
CDM,496895,SCREW BN 5MM 75MM,2764.0,2764.0,414.6,2764.0,30
CDM,496896,BOLT CIRC EXFX SHDR TLT,773.0,773.0,115.95,773.0,42
CDM,496897,CUBE EXFX ILZ 1HL,1319.5,1319.5,197.93,1319.5,42
CDM,496898,SLEEVE CENTERNG EXFX 6MM,1023.5,1023.5,153.53,1023.5,42
CDM,496899,KIT EXFX ID BND SPTL FRM,2112.5,2112.5,316.88,2112.5,42
CDM,496900,HINGE EXFIX M STD,1023.5,1023.5,153.53,1023.5,42
CDM,496901,SOCKET EX FIX THD 40MM,773.0,773.0,115.95,773.0,42
CDM,496902,SOCKET EXFX THD 60MM,773.0,773.0,115.95,773.0,42
CDM,496903,CAGE SPNL CERV LG 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,496904,LINER CUP G6 SZ40,4429.0,4429.0,664.35,4429.0,30
CDM,496905,INSERT TIB KN SZ5 19MM,4429.0,4429.0,664.35,4429.0,30
CDM,496906,GRAFT BN PUTTY 5CC,11516.0,11516.0,1727.4,11516.0,30
CDM,496907,PLATE BN 4.5MM 342MM,10557.0,10557.0,1583.55,10557.0,30
CDM,496908,SCREW BN 4.5MM 26MM,3079.0,3079.0,461.85,3079.0,30
CDM,496909,SCREW 4.5X14 CORT T25 ST,3079.0,3079.0,461.85,3079.0,30
CDM,496910,SCREW BN 4.5X30MM PRLC C,3079.0,3079.0,461.85,3079.0,30
CDM,496911,SCREW BN 4.5MM 24MM PRLC,3079.0,3079.0,461.85,3079.0,30
CDM,496912,SCREW 4.5X7.9X16MM PRLOC,3079.0,3079.0,461.85,3079.0,30
CDM,496913,SCREW BN 4.5MM 20MM,3079.0,3079.0,461.85,3079.0,30
CDM,496914,SCREW BN 4.5MM 26MM PRLC,505.0,505.0,75.75,505.0,30
CDM,496916,PIN FX 25MM 2.7MM,1023.5,1023.5,153.53,1023.5,42
CDM,496917,ROD SPN 4.0X075MM,2711.0,2711.0,406.65,2711.0,30
CDM,496918,SPACER SPN 18X9MM,4429.0,4429.0,664.35,4429.0,30
CDM,496919,SPACER SPN 8D 8X14X18MM,4429.0,4429.0,664.35,4429.0,30
CDM,496920,SCREW APN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,496921,PLATE SPN CERV 2LVL 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,496923,CMPNT ANKL SZ2+ 16MM,14926.0,14926.0,2238.9,14926.0,30
CDM,496924,CMPNT FEM NAR KN RT SZ10,8416.0,8416.0,1262.4,8416.0,30
CDM,496925,SURFACE ARTC 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,496926,NAIL LNG 125D 10X360MM,8602.0,8602.0,1290.3,8602.0,30
CDM,496927,INSERT TIB KN SZ7-8 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,496928,SCREW SPNL 4.0 3.5X34MM,3765.0,3765.0,564.75,3765.0,30
CDM,496929,CONN SPN 3.5-4/3.5-4MM,3012.0,3012.0,451.8,3012.0,30
CDM,496930,ROD SPN 4MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,496931,STEM FEM HIP 12/14 125MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496932,HEAD FEM HIP XL 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,496933,BASEPLATE KN TIB6 50X72,4606.0,4606.0,690.9,4606.0,30
CDM,496934,COMP FEM KN LT 70MM 76MM,7087.0,7087.0,1063.05,7087.0,30
CDM,496935,COMPNT PTLR KN 37MM 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,496936,BASEPLATE KN 42MM 66MM,4606.0,4606.0,690.9,4606.0,30
CDM,496937,COMP FEM KN RT 58MM 62MM,7087.0,7087.0,1063.05,7087.0,30
CDM,496938,INSERT KN TIB C3-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,496939,PLATE ANKL SCR SS 6HL,3721.0,3721.0,558.15,3721.0,30
CDM,496940,COMP FEM KN LT 62MM 68MM,7087.0,7087.0,1063.05,7087.0,30
CDM,496941,SCREW BN 6.5MM 45MM,1595.0,1595.0,239.25,1595.0,30
CDM,496942,CAGE SPN 14D 36X27X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,496944,ROD SPN 4.75MM 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,496945,STEM FEM KN 127X13MM,8181.0,8181.0,1227.15,8181.0,30
CDM,496946,CUP ACTBL TRI-FL RT 58MM,44069.0,44069.0,6610.35,44069.0,30
CDM,496947,INSRT ARTC KN 10-12 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,496948,STEM FEM KN 150X17.5MM,19167.0,19167.0,2875.05,19167.0,30
CDM,496949,ROD SPN 4MM 120MM,2711.0,2711.0,406.65,2711.0,30
CDM,496950,INSERT BRNG KN TIB3 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,496951,STEM HUM SHLDR 102X17MM,12402.0,12402.0,1860.3,12402.0,30
CDM,496952,SPHERE SHLDR 6MM 32MM,4872.0,4872.0,730.8,4872.0,30
CDM,496953,PLATE SPN CERV 2LVL 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,496955,CMPNT FEM HIP 28MM 54M,4252.0,4252.0,637.8,4252.0,30
CDM,496956,PLATE BN 6H 6.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,496957,PLATE BN HND SZ2,15679.0,15679.0,2351.85,15679.0,30
CDM,496958,COMPNT RAD WRST LT SZ2,28513.0,28513.0,4276.95,28513.0,30
CDM,496959,SCREW BN 4.5MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,496960,IMPL CRPL POLY SZ2 +4MM,4713.0,4713.0,706.95,4713.0,30
CDM,496961,BIT DRL 2.5MM CANN,1801.0,1801.0,270.15,1801.0,42
CDM,496962,BIT DRL 3.5MM CANN,1866.5,1866.5,279.98,1866.5,42
CDM,496964,SCREW BN 4.5MM 17.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,496965,KIT GENERATOR IPG,76622.0,76622.0,11493.3,76622.0,30
CDM,496966,SURF ARTC KN 14MM 10-11,4606.0,4606.0,690.9,4606.0,30
CDM,496968,INSERT TIB SZ7-8 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,496969,EXTENSION STM 120MM 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,496970,PLATE BN 5HL RT 2.7MM,3833.0,3833.0,574.95,3833.0,30
CDM,496971,SCREW BN S/T 3.5X14MM,477.0,477.0,71.55,477.0,30
CDM,496972,SCREW 3.5X46 SS CORT CLV,477.0,477.0,71.55,477.0,30
CDM,496973,KIT IMPLANT ANKLE,6953.0,6953.0,1042.95,6953.0,30
CDM,496974,PLATE LNG 127MM 2.7/3.5,4758.0,4758.0,713.7,4758.0,30
CDM,496976,IMPL EYLD WGHT LWR .8GM,3189.0,3189.0,478.35,3189.0,30
CDM,496977,SUTURE OTHCRD VIO/BLU,773.0,773.0,115.95,773.0,42
CDM,496980,SCREW BN LCK 3.5MM 14MM,670.0,670.0,100.5,670.0,30
CDM,496981,SCREW BN 4MM 50MM 17MM,2296.0,2296.0,344.4,2296.0,30
CDM,496982,SCREW BN 4MM 44MM 15MM,2344.0,2344.0,351.6,2344.0,30
CDM,496983,SCREW BN SPN 4.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,496984,STEM FEM KN 80MM 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,496985,CAGE SPNL 60X18X14MM CLY,13287.0,13287.0,1993.05,13287.0,30
CDM,496986,CATH DRN 120CM STD CARD,1220.0,1220.0,183.0,1220.0,42
CDM,496987,STEM FEM KN 120MM 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,496988,STEM FEM KN 9MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,496989,TEMPLATE ROD 500MM,386.5,386.5,57.98,386.5,42
CDM,496990,SCREW BN 8.5MM 80MM VRST,3765.0,3765.0,564.75,3765.0,30
CDM,496991,ROD SPN CNTOR 500X5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,496992,ROD SPN 500MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,496993,STEM HIP HIGH OFST SZ3,8858.0,8858.0,1328.7,8858.0,30
CDM,496994,CUP ACTB HIP RT 66MM,44069.0,44069.0,6610.35,44069.0,30
CDM,496995,STENT EPRSTH 9MM 10CM,12804.0,12804.0,1920.6,12804.0,30
CDM,496996,COMPNT ANKLE SZ3 8MM,14882.0,14882.0,2232.3,14882.0,30
CDM,496997,CAGE SPNL 14X9MM 6D,4429.0,4429.0,664.35,4429.0,30
CDM,496998,CAGE SPN 6D 14X7X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,496999,PLATE SPN 2LVL 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,497000,DRILL SURG DISP 11MM,386.5,386.5,57.98,386.5,42
CDM,497002,MODEL ANTM MNDB,17341.5,17341.5,2601.22,17341.5,42
CDM,497004,SPACER SPNL 4D 25X11X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497005,SCREW BN SPNL 8.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,497006,COMPNT FEM STD KN SIZE 9,28401.0,28401.0,4260.15,28401.0,30
CDM,497007,STEM FEM KN 14MM,6876.0,6876.0,1031.4,6876.0,30
CDM,497008,CMPNT FEM KN SZ9,4606.0,4606.0,690.9,4606.0,30
CDM,497009,INSERT TIB KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,497010,CMPNT FEM CMNT SYM SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,497011,TIBIA KN SZ7 12MM,4252.0,4252.0,637.8,4252.0,30
CDM,497012,CMPNT HUM ELBOW 3.5X84MM,16442.0,16442.0,2466.3,16442.0,30
CDM,497013,COMPONENT ULN 53X2.5 LT,18111.0,18111.0,2716.65,18111.0,30
CDM,497014,CMPNT HUM HEX XS,7148.0,7148.0,1072.2,7148.0,30
CDM,497015,CEMENT BN PMMA 40GM,924.0,924.0,138.6,924.0,30
CDM,497019,CMPNT FEM STM KN LT SZ3,18647.0,18647.0,2797.05,18647.0,30
CDM,497020,AUGMENT FEM 9PST 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,497021,TISSUE EXPANDER 350CC,6622.0,6622.0,993.3,6622.0,30
CDM,497022,SCRW SPNCANN 4.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,497023,SCREW SPN 5.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,497024,SCREW SPN 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,497025,SCREW SPN SET,753.0,753.0,112.95,753.0,30
CDM,497026,ROD SPN 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,497028,CAGE SPN 5D 12X27X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497029,KIT CUT GD LT SZ F5/T3,1637.0,1637.0,245.55,1637.0,42
CDM,497030,STEM FEM HIP CLLR 132MM,8416.0,8416.0,1262.4,8416.0,30
CDM,497032,SCREW BN T10 3.5X32MM,2518.0,2518.0,377.7,2518.0,30
CDM,497033,SCREW BN T10 3.5X34MM,2518.0,2518.0,377.7,2518.0,30
CDM,497034,SCREW BN LCK 3.5MM 38MM,2518.0,2518.0,377.7,2518.0,30
CDM,497035,SCREW BN 3.5MM 44MM,2518.0,2518.0,377.7,2518.0,30
CDM,497036,SCREW BN LCK 3.5MM 36MM,2518.0,2518.0,377.7,2518.0,30
CDM,497037,SCREW BN 5MM 46MM 15.5MM,2604.0,2604.0,390.6,2604.0,30
CDM,497038,SCREW BN 5MM 55MM,2604.0,2604.0,390.6,2604.0,30
CDM,497039,SCREW BN 2.7MM 36MM,1317.0,1317.0,197.55,1317.0,30
CDM,497040,SCREW BN 2.7MM 38MM,1317.0,1317.0,197.55,1317.0,30
CDM,497041,SCREW BN 2.7MM 50MM,1317.0,1317.0,197.55,1317.0,30
CDM,497043,SCREW BN 3.5MM 40MM,1370.0,1370.0,205.5,1370.0,30
CDM,497044,STEM FEM HIP 190MM 21MM,18523.0,18523.0,2778.45,18523.0,30
CDM,497045,INSERT ARTC 5-6 9MM DSH,4429.0,4429.0,664.35,4429.0,30
CDM,497046,STEM FEM HIP 159MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497047,LINER ACTB HIP 52MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,497048,NAIL BN TIB 10X35MM,4872.0,4872.0,730.8,4872.0,30
CDM,497049,SCREW BN 2.7MM 12MM,1804.0,1804.0,270.6,1804.0,30
CDM,497050,SCREW BN 2.7MM 18MM,1804.0,1804.0,270.6,1804.0,30
CDM,497051,SCREW BN SS 4X6X18X7MM,2151.0,2151.0,322.65,2151.0,30
CDM,497052,SCREW BN CANN 4X44MM,2607.0,2607.0,391.05,2607.0,30
CDM,497053,PLATE BN 125X10X2MM,4429.0,4429.0,664.35,4429.0,30
CDM,497054,SCREW BN 3.5MM 15MM,579.0,579.0,86.85,579.0,30
CDM,497055,CUP ACTB HIP LT 56MM,44069.0,44069.0,6610.35,44069.0,30
CDM,497056,SCREW BN 3MM 34MM 7MM,2618.0,2618.0,392.7,2618.0,30
CDM,497057,SCREW BN ANKL 3X18MM,3189.0,3189.0,478.35,3189.0,30
CDM,497058,PLATE BN LT 6 HL,6522.0,6522.0,978.3,6522.0,30
CDM,497059,SCREW BN 2.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,497060,SCREW BN HDLS LT 2.5X32,3189.0,3189.0,478.35,3189.0,30
CDM,497061,SCREW BN 2.7MM 70MM,610.0,610.0,91.5,610.0,30
CDM,497062,CAGE SPN 40X27X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,497063,LINER ACTB 62MM 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,497064,CEMENT BN CA PHS HA 10CC,15381.0,15381.0,2307.15,15381.0,30
CDM,497066,SCREW BN 3.5MM 32MM,670.0,670.0,100.5,670.0,30
CDM,497067,SCREW BN 3.5MM 24MM,1993.0,1993.0,298.95,1993.0,30
CDM,497068,SCREW BN 3.5MM 42MM,670.0,670.0,100.5,670.0,30
CDM,497069,SCREW BN 3.5X28MM,1370.0,1370.0,205.5,1370.0,30
CDM,497070,SET IMP TNDN DYSF 5.5MM,6953.0,6953.0,1042.95,6953.0,30
CDM,497071,STEM FEM HIP 102MM,8416.0,8416.0,1262.4,8416.0,30
CDM,497072,PLATE SUPR MDSHFT RT10HL,4185.0,4185.0,627.75,4185.0,30
CDM,497075,CAGE SPNL 6D 12X15WX7,8416.0,8416.0,1262.4,8416.0,30
CDM,497076,CAGE SPN 6D 14X16X6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,497077,INSERT KN TIB 3 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,497078,PLATE BN 17H 2MM,11468.0,11468.0,1720.2,11468.0,30
CDM,497079,SCREW BN 3.5X4.5X20MM,3189.0,3189.0,478.35,3189.0,30
CDM,497080,BIT DRILL DISP 2MM 60MM,1023.5,1023.5,153.53,1023.5,42
CDM,497082,CUP ACTB HIP LT 52MM,44069.0,44069.0,6610.35,44069.0,30
CDM,497083,HEAD FEM HIP +7 22.225MM,4252.0,4252.0,637.8,4252.0,30
CDM,497084,SCREW BN 8MM 14.5MM,2371.0,2371.0,355.65,2371.0,30
CDM,497085,NAIL BN RT 11MM 200MM,8195.0,8195.0,1229.25,8195.0,30
CDM,497086,SCREW BN 5MMMM 40MM,2538.0,2538.0,380.7,2538.0,30
CDM,497087,SCREW BN 27.5MM 5MM,1913.0,1913.0,286.95,1913.0,30
CDM,497088,SCREW BN 5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,497089,SCREW BN CMPRS 5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,497090,BIT DRILL 5X230MM,1093.5,1093.5,164.03,1093.5,42
CDM,497091,COMP FEM HIPSTD CLLR SZ6,7530.0,7530.0,1129.5,7530.0,30
CDM,497093,NUT ORTH LNG RSN,773.0,773.0,115.95,773.0,42
CDM,497094,POST SUPPORT EXFX 3H,1026.5,1026.5,153.97,1026.5,42
CDM,497095,ROD EX FIX THRD ILZ100MM,484.5,484.5,72.67,484.5,42
CDM,497096,ROD EXFX THRD 120MM,484.5,484.5,72.67,484.5,42
CDM,497097,INSERT LNR KN E3-4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,497098,SCREW BN 6.5X90X20MM,3189.0,3189.0,478.35,3189.0,30
CDM,497099,SCREW BN 6.5X85X20MM,3189.0,3189.0,478.35,3189.0,30
CDM,497100,WASHER BN 6.5MM 8MM,536.0,536.0,80.4,536.0,30
CDM,497101,COLLAR HUM STM 21.5MM,7216.0,7216.0,1082.4,7216.0,30
CDM,497102,STEM HUM SHLDR 9MM 80MM,21791.0,21791.0,3268.65,21791.0,30
CDM,497103,SCREW SPN 9.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,497104,CAGE SPN PLSMA 24X10 6MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497105,DRILL TWIST 1.9MM 29MM,1304.0,1304.0,195.6,1304.0,42
CDM,497106,CMPNT ACTB 15MM 50MM,7044.0,7044.0,1056.6,7044.0,30
CDM,497107,COMPNT SEG KN LPS 40MM,7494.0,7494.0,1124.1,7494.0,30
CDM,497108,STEM FEM KN 14.5X125MM,19267.0,19267.0,2890.05,19267.0,30
CDM,497109,SCREW SPN 3.5MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,497110,SCREW SPN P-AX 4.5X20MM,3389.0,3389.0,508.35,3389.0,30
CDM,497111,ROD SPN PCUT 4X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,497112,ROD SPN 4MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,497113,SCREW BN SPN 7.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,497114,CAGE SPNL 14X6X12MM 4D,8416.0,8416.0,1262.4,8416.0,30
CDM,497115,SCREW BN 6.5X80MMX20MM,3189.0,3189.0,478.35,3189.0,30
CDM,497116,BASEPLATE SHLDR AUG LG,11294.0,11294.0,1694.1,11294.0,30
CDM,497117,SCREW BN 4.75MM 45MM,1196.0,1196.0,179.4,1196.0,30
CDM,497118,SCREW BN 4.75MM 30MM,877.0,877.0,131.55,877.0,30
CDM,497119,STEM HUM SHLDR 83MM 14MM,11959.0,11959.0,1793.85,11959.0,30
CDM,497120,PLATE BN LCK 2.7MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,497121,SCREW BN 2.7MM 24MM,670.0,670.0,100.5,670.0,30
CDM,497122,SCREW BN 2.7MM 28MM,2258.0,2258.0,338.7,2258.0,30
CDM,497123,SCREW BN 4MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,497124,SCREW BN 4MM 5MM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,497125,SCREW BN 2.7/L24MM,1993.0,1993.0,298.95,1993.0,30
CDM,497126,BIT DRILL 2.6MM 4MM,1765.0,1765.0,264.75,1765.0,42
CDM,497127,HEAD HUM SHLDR 44MM,4872.0,4872.0,730.8,4872.0,30
CDM,497128,SCREW BN 4MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,497129,SCREW BN 2.7MM 22MM,670.0,670.0,100.5,670.0,30
CDM,497130,SCREW BN 2.7MM 20MM,1317.0,1317.0,197.55,1317.0,30
CDM,497131,SCREW BN THRD T10 3.5X26,670.0,670.0,100.5,670.0,30
CDM,497133,SCREW BN 3.5MM 38MM,1370.0,1370.0,205.5,1370.0,30
CDM,497134,PLATE BN STRAIGHT 5 HOLE,3962.0,3962.0,594.3,3962.0,30
CDM,497135,SCREW SPN 4.0MM 18MM,3389.0,3389.0,508.35,3389.0,30
CDM,497136,CMPNT PTLA KN 34MM 9MM,4252.0,4252.0,637.8,4252.0,30
CDM,497137,COMP FEM KN RT 60MM 65MM,7087.0,7087.0,1063.05,7087.0,30
CDM,497138,LINER TIB SZD3-4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,497140,CMPNT DOME ANK SZ4,30937.0,30937.0,4640.55,30937.0,30
CDM,497141,INSERT FX ANKL SZ4+ 7MM,14926.0,14926.0,2238.9,14926.0,30
CDM,497142,KIT GENERATOR IPG,74324.0,74324.0,11148.6,74324.0,30
CDM,497143,KWIRE FX 1.2MM 4MM,435.5,435.5,65.33,435.5,42
CDM,497144,ROD SPN 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,497145,SCREW 3.5MMX10MM PLY-AX,3389.0,3389.0,508.35,3389.0,30
CDM,497146,PLATE BN 7X23HL LT 2.8MM,25114.0,25114.0,3767.1,25114.0,30
CDM,497147,SCREW BN 2.4MM 16MM,1344.0,1344.0,201.6,1344.0,30
CDM,497148,SCREW BN 2.4X18MM,2327.0,2327.0,349.05,2327.0,30
CDM,497149,SCREW SPN 6.5X45MM,5315.0,5315.0,797.25,5315.0,30
CDM,497150,SCREW BN 2.5X14MM,3189.0,3189.0,478.35,3189.0,30
CDM,497151,BASEPLATE GLND SHLDR MED,11294.0,11294.0,1694.1,11294.0,30
CDM,497152,PLATE BASE GD SHDR LT,4385.5,4385.5,657.83,4385.5,42
CDM,497153,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,497154,PLATE 5LVL AMBSDR 90MM,4429.0,4429.0,664.35,4429.0,30
CDM,497155,TIP IMPLANT INSERTER 6MM,1023.5,1023.5,153.53,1023.5,42
CDM,497157,SCREW SPN 5X35MM SPN PAX,3389.0,3389.0,508.35,3389.0,30
CDM,497158,SCREW SPN 5X40MM SPN PAX,3389.0,3389.0,508.35,3389.0,30
CDM,497159,SCREW SPN 4X40MM SPN PAX,3765.0,3765.0,564.75,3765.0,30
CDM,497160,SCREW P-AX UNI 6.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,497161,ROD SPN 6X500MM 2 HEX,3012.0,3012.0,451.8,3012.0,30
CDM,497162,ADAPTER LD CHANNEL 10CM,4429.0,4429.0,664.35,4429.0,30
CDM,497163,CMPNT SHLDR 2MM,5509.0,5509.0,826.35,5509.0,30
CDM,497165,SHEATH CATH 7FR 55CM,4093.0,4093.0,613.95,4093.0,42
CDM,497166,SCREW BN 2.7MM 8MM,1463.0,1463.0,219.45,1463.0,30
CDM,497170,INSERT TIB KN LNR 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,497171,CAGE SPNL 16DEG 14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,497172,INTBDY DEVICE FUS 16MM,26132.0,26132.0,3919.8,26132.0,30
CDM,497173,INSERT TIB KN SZ7 12MM,8309.0,8309.0,1246.35,8309.0,30
CDM,497174,GRAFT EVAS 26X12MM 12CM,45597.0,45597.0,6839.55,45597.0,30
CDM,497175,CAGE SPN 20D 24X31X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497176,SCREW SPN 5MM 25MM,2259.0,2259.0,338.85,2259.0,30
CDM,497177,CAGE SPN 15D 24X31X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497178,PLATE SPN FLSH 12MM,10010.0,10010.0,1501.5,10010.0,30
CDM,497179,CAGE SPN 10D 12X31MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497180,STEM SLDR HUM SIZE 3,16388.0,16388.0,2458.2,16388.0,30
CDM,497181,HEAD HUM SHRT 50MM,5758.0,5758.0,863.7,5758.0,30
CDM,497182,ROD SPN LRD TI 3.5X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,497183,LINER ACTB HIP 28X50MM,4606.0,4606.0,690.9,4606.0,30
CDM,497184,SCREW BN 3.5MM 28MM,1356.0,1356.0,203.4,1356.0,30
CDM,497185,SCREW BN 3.5MM 2.5MM,1356.0,1356.0,203.4,1356.0,30
CDM,497186,SPACER SPN 6D 34X25X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497187,COMPNT FEM 5 RT,7087.0,7087.0,1063.05,7087.0,30
CDM,497188,COMPNT KN SZGH RL 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,497189,COMPNT KN SZGH RM 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,497190,SCREW SPN 6.2X35MM,4030.0,4030.0,604.5,4030.0,30
CDM,497191,SCREW SPNL POLY 5.2X40MM,4030.0,4030.0,604.5,4030.0,30
CDM,497193,SCREW SPNL ST 5.2X45MM,4030.0,4030.0,604.5,4030.0,30
CDM,497196,SCREW SPN 5.2X35MM,4030.0,4030.0,604.5,4030.0,30
CDM,497197,ROD SPN STR 5.5X300MM,2711.0,2711.0,406.65,2711.0,30
CDM,497198,CEMENT BN CRTDG 8ML,921.0,921.0,138.15,921.0,42
CDM,497199,SYSTEM BNCMNT SIZE 2,2173.5,2173.5,326.02,2173.5,42
CDM,497200,CEMENT BN PMMA MIXER,1657.0,1657.0,248.55,1657.0,42
CDM,497201,INSERT TIB KN SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,497202,HEAD HUM STD 26MM 54MM,6090.0,6090.0,913.5,6090.0,30
CDM,497203,SCREW BN 3MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,497204,CMPNT FEM KN SZB,11215.0,11215.0,1682.25,11215.0,30
CDM,497205,ROD SPN 4MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,497206,SCREW BN 2.5MM 26MM,1929.0,1929.0,289.35,1929.0,30
CDM,497207,PLATE BN 16HL 2.3MM RT,4429.0,4429.0,664.35,4429.0,30
CDM,497208,SCREW BN 2.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,497209,SCREW BN HDLSS 2.5X20MM,3189.0,3189.0,478.35,3189.0,30
CDM,497210,SCREW BN HDLS 2.5X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,497211,STEM FEM HIP CLLR 139MM,7995.0,7995.0,1199.25,7995.0,30
CDM,497212,PLATE BN 3X2H LT 23X.7MM,2559.0,2559.0,383.85,2559.0,30
CDM,497213,RING EXFX 155MM 2/3,4093.0,4093.0,613.95,4093.0,42
CDM,497214,SCREW SPN 5X20MM,1130.0,1130.0,169.5,1130.0,30
CDM,497216,ANCHOR SUT 5.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,497218,SUTURE TAPE BRD BLU 38IN,970.5,970.5,145.57,970.5,42
CDM,497219,BLADE CRV HIP SURG,3110.5,3110.5,466.57,3110.5,42
CDM,497220,ANCHOR BICEPS TENODESIS,4069.0,4069.0,610.35,4069.0,30
CDM,497221,WEDGE BN GRFT 10X20X22MM,7795.0,7795.0,1169.25,7795.0,30
CDM,497222,SHELL ACTB HIP HA 58F,4606.0,4606.0,690.9,4606.0,30
CDM,497223,INSERT HIP F 0D 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,497224,CAGE SPNL 8D 10X24X32MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497225,CAGE SPN 12MM 15MM 6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,497226,SCREW SPNL 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,497227,KIT INTERNAL BRACE W CC,6953.0,6953.0,1042.95,6953.0,30
CDM,497231,CANNULA ORTHO 8MM,860.0,860.0,129.0,860.0,42
CDM,497232,GRAFT BN ALGRF INJ 1.5CC,6733.0,6733.0,1009.95,6733.0,30
CDM,497233,SCREW BN MINI 3X28MM,3189.0,3189.0,478.35,3189.0,30
CDM,497234,SCREW BN 2.7MM 12MM,2258.0,2258.0,338.7,2258.0,30
CDM,497235,SCREW BN FULL 2.7X16MM,2258.0,2258.0,338.7,2258.0,30
CDM,497236,SCREW BN 3X4.3X40MM T9,3189.0,3189.0,478.35,3189.0,30
CDM,497237,KWIRE FX 1.15MM 3MM,435.5,435.5,65.33,435.5,42
CDM,497238,BIT DRILL 2.1MM,1617.5,1617.5,242.63,1617.5,42
CDM,497240,HEAD FEM HIP 12/14T 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,497241,COMP FEM HIP CLLR SZ4,7530.0,7530.0,1129.5,7530.0,30
CDM,497243,STEM SHORT CLRD STD SZ12,8858.0,8858.0,1328.7,8858.0,30
CDM,497244,BOLT EX FX WIRE CANN,208.5,208.5,31.27,208.5,42
CDM,497246,SCREW BN 2.7MM 40MM,1317.0,1317.0,197.55,1317.0,30
CDM,497247,SCREW SPN 5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,497248,SCREW SPN 5.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,497249,COMPT TIB BS CMNT SZ10,11073.0,11073.0,1660.95,11073.0,30
CDM,497250,INSERT TIB SZ10 8MM,8309.0,8309.0,1246.35,8309.0,30
CDM,497251,SCREW BN CMPR 7X65MM,3975.0,3975.0,596.25,3975.0,30
CDM,497252,CAGE SPNL DG6 12X14X21MM,50934.0,50934.0,7640.1,50934.0,30
CDM,497254,CAGE SPN 16MM XLRG,19200.0,19200.0,2880.0,19200.0,30
CDM,497259,INSERT HIP ACTB 58X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,497260,FLEX ALLOPATCH HD 1SQCM,413.0,413.0,61.95,413.0,29
CDM,497261,STEM FEM KN 127MM 11MM,8181.0,8181.0,1227.15,8181.0,30
CDM,497262,STEM TIB KN 10MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,497263,STEM FEM KN 17MM 135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,497264,CMPNT FEM KN SZ5,17220.0,17220.0,2583.0,17220.0,30
CDM,497265,STEM EXT KN 20MMX80MM,4606.0,4606.0,690.9,4606.0,30
CDM,497266,ROD SPN 4.0MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,497267,STEM FEM KN 15MM 150MM,4606.0,4606.0,690.9,4606.0,30
CDM,497268,STEM FEM KN EXT 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,497269,SCREW SPN P-AX 4.5X20MM,3765.0,3765.0,564.75,3765.0,30
CDM,497270,ROD SPN PRBNT 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,497272,INSERT DM XLPE 22/38MM,4429.0,4429.0,664.35,4429.0,30
CDM,497273,KIT MENISCAL ROOT REPAIR,9021.0,9021.0,1353.15,9021.0,30
CDM,497274,SCREW BN ORTH 7MM 25MM,3721.0,3721.0,558.15,3721.0,30
CDM,497275,SCREW BN 5MM 75MM,2604.0,2604.0,390.6,2604.0,30
CDM,497276,SCREW BN 5MM 50MM,2604.0,2604.0,390.6,2604.0,30
CDM,497277,WASHER BN 5MM,440.0,440.0,66.0,440.0,30
CDM,497278,STEM FEM KN 120X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,497279,WEDGE FEM KN SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,497280,INSERT TIB 3-5 18MM LCK,4429.0,4429.0,664.35,4429.0,30
CDM,497282,KIT SUT 1.35-1.6MM DRL,2363.5,2363.5,354.52,2363.5,42
CDM,497283,STEM FEM HIP 235MM 25MM,10204.0,10204.0,1530.6,10204.0,30
CDM,497284,LEAD NRSTM 4.32MM 33CM,12778.0,12778.0,1916.7,12778.0,30
CDM,497286,KIT LEAD PERC EXT 4.32MM,2950.0,2950.0,442.5,2950.0,30
CDM,497287,INSERT TIB KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,497288,NAIL BN 4MM 440MM,3189.0,3189.0,478.35,3189.0,30
CDM,497289,SCREW BN 4.5MM 40MM,2901.0,2901.0,435.15,2901.0,30
CDM,497290,SCREW BN 4.5MM 44MM,2901.0,2901.0,435.15,2901.0,30
CDM,497291,NAIL BN 8MM 9.5MM 160MM,5290.0,5290.0,793.5,5290.0,30
CDM,497292,IMPL TIB ALLPOLY SZ8 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,497293,LINER ACTB HIP SZE 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,497295,SCREW BN 2MM 12MM,2392.0,2392.0,358.8,2392.0,30
CDM,497296,PLATE CLAVICLE SUPR 7HL,4185.0,4185.0,627.75,4185.0,30
CDM,497297,CONNECTOR ROD SPN 6.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,497298,INSERT TIB KN 7 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,497299,INSERT TIB KN SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,497300,CAGE SPNL 6D 12X14X19MM,50934.0,50934.0,7640.1,50934.0,30
CDM,497301,PLATE BN LT 6/2HL 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,497302,SCREW BN THRD 2.7 14MM,1993.0,1993.0,298.95,1993.0,30
CDM,497303,CAGE SPNL 30X13MM 15D,8858.0,8858.0,1328.7,8858.0,30
CDM,497305,STENT 34MMX34MMX15CM,69026.0,69026.0,10353.9,69026.0,30
CDM,497306,CAGE SPNL 0D 55X18X10MM,13287.0,13287.0,1993.05,13287.0,30
CDM,497307,SCREW BN SPNL 3.5X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,497308,CAGE SPN 0D 12X14X22MM,50934.0,50934.0,7640.1,50934.0,30
CDM,497309,HEAD FEM HIP +4X12/14X22,4252.0,4252.0,637.8,4252.0,30
CDM,497310,PROS PENL SNAP FIT 12CM,14874.0,14874.0,2231.1,14874.0,30
CDM,497311,CUFF URTH SPHNCR 3.5CM,25751.0,25751.0,3862.65,25751.0,30
CDM,497312,SCREW BN SPN 4MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,497313,SCREW SPN 4.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,497314,INSERT TIB 3F/3.5T 17MM,7175.0,7175.0,1076.25,7175.0,30
CDM,497315,CMPNT FEM KN RT SZ4N,7206.0,7206.0,1080.9,7206.0,30
CDM,497316,STEM FEM REV 240X18MM,19319.0,19319.0,2897.85,19319.0,30
CDM,497317,SLEEVE KN FEM 30MM,9072.0,9072.0,1360.8,9072.0,30
CDM,497318,LOGICAL G-CUP 58,4606.0,4606.0,690.9,4606.0,30
CDM,497319,STEM HIP HIGH OFST SZ6,8858.0,8858.0,1328.7,8858.0,30
CDM,497320,STEM FEM HIP SZ20 300MM,21446.0,21446.0,3216.9,21446.0,30
CDM,497323,NAIL BN FEM 11.5MM 28CM,5311.0,5311.0,796.65,5311.0,30
CDM,497324,STENT EVAS 16MM 146MM,16149.0,16149.0,2422.35,16149.0,30
CDM,497325,SCREW BN 2.7MM 32MM,1317.0,1317.0,197.55,1317.0,30
CDM,497326,HIP COMP FEM JRNY SZ7,5980.0,5980.0,897.0,5980.0,30
CDM,497327,CMPNT HIP FEM CBLT SZ12,6201.0,6201.0,930.15,6201.0,30
CDM,497328,STEM FEM HIP 10MM,1170.0,1170.0,175.5,1170.0,30
CDM,497330,CMPNT TRIFLNG LT SZ25,58751.0,58751.0,8812.65,58751.0,30
CDM,497331,STEM FEM KN SEGMENT 45MM,14453.0,14453.0,2167.95,14453.0,30
CDM,497332,HEAD FEM HIP 12/14 36MM,5820.0,5820.0,873.0,5820.0,30
CDM,497334,CMPNT PTLR RSRFC SZ3,4252.0,4252.0,637.8,4252.0,30
CDM,497335,INSERT TIB KN 7-9+ 12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,497336,COMPONENT FEM KN LT SZ5,6201.0,6201.0,930.15,6201.0,30
CDM,497337,INSERT SPHERE S4 LT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,497338,BASEPLATE TIB KN LT SZ4,4872.0,4872.0,730.8,4872.0,30
CDM,497339,PLATE BN SHRT LT 1H 72MM,4907.0,4907.0,736.05,4907.0,30
CDM,497340,INSERT KN 11MM SZ5-6,4429.0,4429.0,664.35,4429.0,30
CDM,497341,SCREW BN SPNL 6.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,497342,BASEPLATE GLND 25MM 27MM,7087.0,7087.0,1063.05,7087.0,30
CDM,497344,COMP HUM SHLDR SZ7,8637.0,8637.0,1295.55,8637.0,30
CDM,497345,SCREW BN 34MM,1196.0,1196.0,179.4,1196.0,30
CDM,497346,SCREW BN SHDR 14MM,1196.0,1196.0,179.4,1196.0,30
CDM,497347,COMPNT SPHR GLND 39X27MM,6865.0,6865.0,1029.75,6865.0,30
CDM,497348,STEM HUM STD SZ11,8194.0,8194.0,1229.1,8194.0,30
CDM,497349,CMPNT HUM SHLDR 0D +0MM,5315.0,5315.0,797.25,5315.0,30
CDM,497350,LINER HUM SHLDR +0X39MM,4651.0,4651.0,697.65,4651.0,30
CDM,497352,CAGE SPNL 6D 12X14X22MM,50934.0,50934.0,7640.1,50934.0,30
CDM,497353,INSERT TIB 3-8MM,4606.0,4606.0,690.9,4606.0,30
CDM,497354,IMPL TIB ALPLY SZ3 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,497355,SPACER SPNL 14X12X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,497356,INSERT TIB KN 16MM,9966.0,9966.0,1494.9,9966.0,30
CDM,497357,PLATE BN HND 4HL 1.5X2.3,3189.0,3189.0,478.35,3189.0,30
CDM,497358,SCREW BN T6 2.3X8MM,1401.0,1401.0,210.15,1401.0,30
CDM,497359,SCREW BN 2.3MM 10MM,1401.0,1401.0,210.15,1401.0,30
CDM,497360,SCREW BN LCKNG 2.3X10MM,1783.0,1783.0,267.45,1783.0,30
CDM,497361,NAIL BN 10MM 200MM,13048.0,13048.0,1957.2,13048.0,30
CDM,497362,SCREW BN 45MM 4MM,2392.0,2392.0,358.8,2392.0,30
CDM,497363,SPACER SPN 14X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,497364,PLATE SPN CERV 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,497365,SPACER SPNL 27X11X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497366,ASSEMBLY SPN HEAD 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,497367,SCRW CANN 6.5X50MM FI,3012.0,3012.0,451.8,3012.0,30
CDM,497368,ROD SPN CURVED 35MM,1356.0,1356.0,203.4,1356.0,30
CDM,497371,SCREW BN 2.7MM 18MM,581.0,581.0,87.15,581.0,30
CDM,497372,SCREW BN SLFTP 3.5X18,446.0,446.0,66.9,446.0,30
CDM,497373,SCREW BN 3.5MM 19MM,579.0,579.0,86.85,579.0,30
CDM,497374,PLATE BN RECON 3.5X88MM,3721.0,3721.0,558.15,3721.0,30
CDM,497375,SCREW BN 3.5MM 38MM,620.0,620.0,93.0,620.0,30
CDM,497376,PLATE BN HUM LT 151MM,9683.0,9683.0,1452.45,9683.0,30
CDM,497377,SCREW BN 3.5MM 36MM,670.0,670.0,100.5,670.0,30
CDM,497378,SCREW BN 4MM 38MM,3189.0,3189.0,478.35,3189.0,30
CDM,497379,PLATE BN SLM 6HL,4140.0,4140.0,621.0,4140.0,30
CDM,497380,SCREW BN CMPR 4MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,497381,SCREW BN 2.7MM 34MM,1317.0,1317.0,197.55,1317.0,30
CDM,497382,LEAD NRSTM 50CM,10364.0,10364.0,1554.6,10364.0,30
CDM,497383,IPG NRSTM 61X4.95X1.34CM,72547.0,72547.0,10882.05,72547.0,30
CDM,497384,PLATE BN 2.7MM 88MM,4758.0,4758.0,713.7,4758.0,30
CDM,497385,COMPNT FEM RT SZ4.5,8416.0,8416.0,1262.4,8416.0,30
CDM,497386,TRAY TIB KN SZ4.5F/3.5T,5758.0,5758.0,863.7,5758.0,30
CDM,497387,INSERT TIB KN SZ4 6MM,8309.0,8309.0,1246.35,8309.0,30
CDM,497388,CAGE SPNL 0D 12X14X20MM,50934.0,50934.0,7640.1,50934.0,30
CDM,497389,INSERT HIP 0D E 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,497390,TISSUE EXP 13CM 13.5CM,6622.0,6622.0,993.3,6622.0,30
CDM,497391,ROD CROSSLINK SPNL LG,3012.0,3012.0,451.8,3012.0,30
CDM,497392,SCREW BN 2.7MM 16MM,634.0,634.0,95.1,634.0,30
CDM,497393,SCREW BN 2.7MM 19MM,634.0,634.0,95.1,634.0,30
CDM,497394,PLATE BN 6HL 2.4X37MM,4429.0,4429.0,664.35,4429.0,30
CDM,497397,SCREW BN CRTX ST2.7X20MM,581.0,581.0,87.15,581.0,30
CDM,497398,SCREW BN 4.7MM 30MM,1532.0,1532.0,229.8,1532.0,30
CDM,497402,INSERT TIB KN SZ7-8 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,497403,PLATE SPN CERV 3LVL 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,497404,SCREW BN 2.4MM 10MM,602.0,602.0,90.3,602.0,30
CDM,497405,SCREW BN 2.4MM 20MM,602.0,602.0,90.3,602.0,30
CDM,497406,SCREW BN 2.4MM 22MM,602.0,602.0,90.3,602.0,30
CDM,497407,SCREW BN 2.4MM 6MM,1949.0,1949.0,292.35,1949.0,30
CDM,497408,PLATE BN T 2/8HL 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,497409,DRILL SURG 1.8MM DISP,1650.0,1650.0,247.5,1650.0,42
CDM,497410,PLATE BN 114MM 6H,9469.0,9469.0,1420.35,9469.0,30
CDM,497411,SCREW BN SLFTP 3.5X20,484.0,484.0,72.6,484.0,30
CDM,497412,SCREW BN 3.5MM 30MM,3009.0,3009.0,451.35,3009.0,30
CDM,497413,SCREW BN 3.5MM 28MM,2304.0,2304.0,345.6,2304.0,30
CDM,497414,STEM HIP FEM HI OFST SZ7,8858.0,8858.0,1328.7,8858.0,30
CDM,497415,SUTURE BLU/BLK 39IN SZ 2,742.0,742.0,111.3,742.0,42
CDM,497416,COMPNT TIB LT SZ1 10MM,7342.0,7342.0,1101.3,7342.0,30
CDM,497417,IMPLANT TLR ANKLE LT SZ1,31028.0,31028.0,4654.2,31028.0,30
CDM,497418,INSERT TIB KN 18MM,9966.0,9966.0,1494.9,9966.0,30
CDM,497419,SUTURE POLY 2 38IN,340.0,340.0,51.0,340.0,42
CDM,497420,IMPL TIB ALPLY SZ6 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,497421,IMPLANT BREAST 560CC,5315.0,5315.0,797.25,5315.0,30
CDM,497422,GRAFT BN ALGRF 22X22X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,497423,SCREW SPN 4.5MM 36MM,3765.0,3765.0,564.75,3765.0,30
CDM,497426,ROD SPN TI 4.0-5.5X600MM,2870.0,2870.0,430.5,2870.0,30
CDM,497427,PLATE BN 130D 46MM,3721.0,3721.0,558.15,3721.0,30
CDM,497428,PROBE ESURG 2.5MM,1070.5,1070.5,160.57,1070.5,42
CDM,497435,PLATE SPN 1 LV 8MM SZ 8,4429.0,4429.0,664.35,4429.0,30
CDM,497436,PLT CVD 18H 246MM RT,12236.0,12236.0,1835.4,12236.0,30
CDM,497437,PLATE SPN LVL2 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,497438,SCREW BN 3.5X20MM,3009.0,3009.0,451.35,3009.0,30
CDM,497439,PLATE BN 9HL 3.5X125MM,5064.0,5064.0,759.6,5064.0,30
CDM,497440,SCREW BN 3.5MM 18MM,2304.0,2304.0,345.6,2304.0,30
CDM,497441,SCREW BN 3.5MM 60MM,501.0,501.0,75.15,501.0,30
CDM,497442,PIN HLF EX FX 200X6X25,2736.0,2736.0,410.4,2736.0,42
CDM,497443,CAGE SPNL 8D 32X24X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,497444,SCREW BN 3MM 19MM,2618.0,2618.0,392.7,2618.0,30
CDM,497445,SCREW BN 3MM 6MM 24MM,2618.0,2618.0,392.7,2618.0,30
CDM,497446,SCREW BN 2.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,497447,BIT DRILL 1.9MM 2.5MM,1617.5,1617.5,242.63,1617.5,42
CDM,497448,K WIRE 2.5MM,435.5,435.5,65.33,435.5,42
CDM,497449,SCREW BN GLND P-AX 26MM,1196.0,1196.0,179.4,1196.0,30
CDM,497450,CMPNT KN TIB SZ6 12MM,4252.0,4252.0,637.8,4252.0,30
CDM,497451,SCREW BN 4MM 48MM,2369.0,2369.0,355.35,2369.0,30
CDM,497452,SCREW BN LCK THRD 3.5X12,1993.0,1993.0,298.95,1993.0,30
CDM,497453,SCREW BN 3.5MM 8MM,2518.0,2518.0,377.7,2518.0,30
CDM,497454,INSERT TIB LT SZ1 10MM,6878.0,6878.0,1031.7,6878.0,30
CDM,497456,SCREW BN 5X40MM,3082.0,3082.0,462.3,3082.0,30
CDM,497457,SCREW BN 5MM 44MM,3082.0,3082.0,462.3,3082.0,30
CDM,497458,SCREW BN CORT 36X4.5MM,670.0,670.0,100.5,670.0,30
CDM,497459,SCREW BN 5MM 16MM,3082.0,3082.0,462.3,3082.0,30
CDM,497460,SCREW BN CMPR 4X50MM,3189.0,3189.0,478.35,3189.0,30
CDM,497461,SCREW BN 4MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,497462,PLATE BN FEM R 16H 343MM,11353.0,11353.0,1702.95,11353.0,30
CDM,497463,SCREW BN 5MM 14MM,3082.0,3082.0,462.3,3082.0,30
CDM,497464,STEM FEM HIP CMNT SZ11,6201.0,6201.0,930.15,6201.0,30
CDM,497465,COMP FEM HIP 28MM 48MM,4252.0,4252.0,637.8,4252.0,30
CDM,497466,CENTRALIZER STEM HIP 9MM,1170.0,1170.0,175.5,1170.0,30
CDM,497467,STEM FEM CMNT SZ13 130MM,6201.0,6201.0,930.15,6201.0,30
CDM,497468,CMPNT FEM DIST ONLY D 20,4892.0,4892.0,733.8,4892.0,30
CDM,497469,SCREW SPN PLY 4.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,497470,CMPNT KN FEM SZ3,8416.0,8416.0,1262.4,8416.0,30
CDM,497471,INSERT TIB KN SIZE 3F/2T,5758.0,5758.0,863.7,5758.0,30
CDM,497472,INSERT TIB KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,497473,COMPNT FEM KN LT SZ4,5094.0,5094.0,764.1,5094.0,30
CDM,497474,KIT INST 1 SPLNT CSTM PT,9340.0,9340.0,1401.0,9340.0,42
CDM,497476,SCREW BN 2.7MM 65MM,856.0,856.0,128.4,856.0,30
CDM,497477,SCREW BN 2.7X4.5X70MM,856.0,856.0,128.4,856.0,30
CDM,497478,SCREW BN 3.5MM 55MM,2304.0,2304.0,345.6,2304.0,30
CDM,497479,SCREW BN 3.5MM 75MM,2304.0,2304.0,345.6,2304.0,30
CDM,497480,SCREW BN 3.5MM 70MM,2304.0,2304.0,345.6,2304.0,30
CDM,497482,EXTRACTOR TIP 2.5MM-3.5M,3233.5,3233.5,485.02,3233.5,42
CDM,497483,EXTRACTOR TIP 3.5MM-4.5M,3110.5,3110.5,466.57,3110.5,42
CDM,497484,EXTRACTOR TIP 5.5MM-6.5M,3233.5,3233.5,485.02,3233.5,42
CDM,497485,EXTRACTOR TIP 3.5MM-4.5M,3233.5,3233.5,485.02,3233.5,42
CDM,497487,TUBE JJNSTM 18FR 30CM,2660.5,2660.5,399.07,2660.5,42
CDM,497489,GRAFT CV 28MM 40CM,10355.0,10355.0,1553.25,10355.0,30
CDM,497490,GRAFT CV 30MM 40CM,10355.0,10355.0,1553.25,10355.0,30
CDM,497491,GRAFT CV 32MM 40CM,10355.0,10355.0,1553.25,10355.0,30
CDM,497492,GRAFT CV 14MM 20CM,8287.0,8287.0,1243.05,8287.0,30
CDM,497493,GRAFT CV 14MM 20CM,8287.0,8287.0,1243.05,8287.0,30
CDM,497495,SUTURE TNDN BN 2.0MM,1595.0,1595.0,239.25,1595.0,30
CDM,497496,CATH IT 4FR 114CM .5MM,4429.0,4429.0,664.35,4429.0,30
CDM,497497,KIT REV INTHCL 86.4CM,3720.0,3720.0,558.0,3720.0,30
CDM,497498,KIT REV INTHCL 73.7CM,3720.0,3720.0,558.0,3720.0,30
CDM,497499,SPACER IMPL RAD HDRGEL,13132.0,13132.0,1969.8,13132.0,30
CDM,497502,RNG ANLPLS MTRL CLSSC 34,5383.0,5383.0,807.45,5383.0,30
CDM,497515,MESH SURG 3X6IN,844.0,844.0,126.6,844.0,30
CDM,497528,BOLT ORTH FT 5MM 60MM,7339.0,7339.0,1100.85,7339.0,30
CDM,497535,CANNULA PRFSN 18FR 12IN,773.0,773.0,115.95,773.0,42
CDM,497558,SCREW SPN 7.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,497561,CONN PERFUSION 3/8 X.5IN,137.0,137.0,20.55,137.0,42
CDM,497592,HEAD HUM SHD TALL 53MM,4606.0,4606.0,690.9,4606.0,30
CDM,497609,VALVE MITRAL 33MM,12881.0,12881.0,1932.15,12881.0,30
CDM,497623,TOOL DSCT BYPASS DISP,3642.5,3642.5,546.38,3642.5,42
CDM,497631,SEALANT FIBRN PREFL 4ML,1572.5,1572.5,235.88,1572.5,42
CDM,497643,VALVE AORTIC 21MM,53830.0,53830.0,8074.5,53830.0,30
CDM,497681,CANNULA PRFSN 3MM,94.5,94.5,14.18,94.5,42
CDM,497684,SUTURE VIO MONO 1 96IN,85.5,85.5,12.82,85.5,42
CDM,497706,SCREW BN SPN 5.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,497804,VALVE AORTIC 23MM,53830.0,53830.0,8074.5,53830.0,30
CDM,497805,BUTTON GSTRM 20FR 2.0CM,900.5,900.5,135.07,900.5,42
CDM,497808,BUTTON GSTRM 20FR 1.5CM,900.5,900.5,135.07,900.5,42
CDM,497809,NEEDLE ASP DISP 18GA,1873.0,1873.0,280.95,1873.0,42
CDM,497812,SET INFSN MICORBORE 93IN,231.5,231.5,34.73,231.5,42
CDM,497984,SET IV INFSN PRIMARY,231.5,231.5,34.73,231.5,42
CDM,497999,AD LWR EXTRM CUFFSUSP BK,902.0,902.0,166.06,902.0,26
CDM,497999,"Addition to lower extremity, below knee, cuff suspension ",902.0,902.0,81.41,125.96,34
CDM,498007,THERASKIN 1SQCM,468.0,468.0,70.2,468.0,29
CDM,498026,DIALYSIS CONC 45X 1GA,197.0,197.0,29.55,197.0,42
CDM,498029,WEDGE FEM SZ9 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,498107,BAG EQUIP SHOWER,3745.5,3745.5,689.55,3745.5,26
CDM,498107,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",3745.5,3745.5,600.64,929.41,34
CDM,498116,PROBE SUC 135MM 3.5MM,1547.0,1547.0,232.05,1547.0,42
CDM,498118,CATH THMB 2F 0.67MM 60CM,231.5,231.5,34.73,231.5,42
CDM,498119,CATH THRMB 3F 40CM,510.0,510.0,76.5,510.0,42
CDM,498120,CATH THRMB 3F 80CM,510.0,510.0,76.5,510.0,42
CDM,498121,CATH THRMB 4F 40CM,510.0,510.0,76.5,510.0,42
CDM,498122,CATH THRMB 4F 80CM,510.0,510.0,76.5,510.0,42
CDM,498123,CATH THRMB 5F 80CM,525.5,525.5,78.83,525.5,42
CDM,498124,CATH THRMB 6F 80CM,153.0,153.0,22.95,153.0,42
CDM,498125,CATH THRMB 7F 80CM,495.5,495.5,74.33,495.5,42
CDM,498126,CATH BIL DRN 5F 40CM,510.0,510.0,76.5,510.0,42
CDM,498127,CATH BIL DRN 6F 23CM,153.0,153.0,22.95,153.0,42
CDM,498128,WEDGE ILIUM TRICORT 9MM,3765.0,3765.0,564.75,3765.0,30
CDM,498129,VEST HOLSTER LG,3200.5,3200.5,589.21,3200.5,26
CDM,498130,IMPLANT CRANIAL PEEK,35652.0,35652.0,5347.8,35652.0,30
CDM,498132,CUFF APICAL LVAS,4092.5,4092.5,613.88,4092.5,42
CDM,498135,CATH PERITNL 58CM CSF,1490.0,1490.0,223.5,1490.0,42
CDM,498138,BURR SURG 22MM 2.3MM,773.0,773.0,115.95,773.0,42
CDM,498141,IMPLANT BREAST 370CC,4540.0,4540.0,681.0,4540.0,30
CDM,498142,IMPLANT ORBITAL 22MM,96.0,96.0,17.67,96.0,26
CDM,498142,Ocular implant ,96.0,96.0,744.98,1152.76,34
CDM,498147,KIT CATH CHLGM 4FR 60CM,991.0,991.0,148.65,991.0,42
CDM,498148,KNIFE OPTH ANG DISP 20G,288.0,288.0,43.2,288.0,42
CDM,498151,COMPNT TIB KN LT SZD,10165.0,10165.0,1524.75,10165.0,30
CDM,498152,COMPNT FEM STD KN SZ+9,30394.0,30394.0,4559.1,30394.0,30
CDM,498153,STEM FEM KN LT SZ9,28401.0,28401.0,4260.15,28401.0,30
CDM,498154,COMPNT FEM KN STD SZ+7,30394.0,30394.0,4559.1,30394.0,30
CDM,498155,CMPNT FEM KN SZ+5,30394.0,30394.0,4559.1,30394.0,30
CDM,498156,CMPNT FEM KN SZ5,30394.0,30394.0,4559.1,30394.0,30
CDM,498157,GWIRE BN DISP 1.4X150MM,773.0,773.0,115.95,773.0,42
CDM,498158,SET TUBING SURG,1228.0,1228.0,184.2,1228.0,42
CDM,498159,CATHETER URTH 16FR 12IN,13.0,13.0,1.95,13.0,42
CDM,498173,DEVICE CLSR CLP INT 45MM,8194.0,8194.0,1229.1,8194.0,30
CDM,498174,SNR ELITE MIC 7,12534.5,12534.5,1880.17,12534.5,42
CDM,498175,DILATOR URET 8-20X37,2998.5,2998.5,449.77,2998.5,42
CDM,498176,CANNULA FEM VNS 20FR,3284.5,3284.5,492.68,3284.5,42
CDM,498177,CANNULA FEM VNS 22FR,3284.5,3284.5,492.68,3284.5,42
CDM,498179,CANNULA FEM VEN 24FR,3284.5,3284.5,492.68,3284.5,42
CDM,498181,CANNULA FEM VNS 26FR,3284.5,3284.5,492.68,3284.5,42
CDM,498182,INTRO CATH 7FR 110CM,3438.0,3438.0,515.7,3438.0,42
CDM,498183,NDL CRYALB 2.1MM 175MM,8953.0,8953.0,1342.95,8953.0,42
CDM,498184,SNARE 2MM MICRO ELITE,11716.0,11716.0,1757.4,11716.0,42
CDM,498185,SNARE VASC ELTE180CM 4MM,13557.5,13557.5,2033.63,13557.5,42
CDM,498187,NDL CRYALB 2.5MM 175MM,8186.0,8186.0,1227.9,8186.0,42
CDM,498190,KIT CYRABL 1.5MM 175MM,8953.0,8953.0,1342.95,8953.0,42
CDM,498193,MESH SURG ST TIS 12X8CM,3189.0,3189.0,478.35,3189.0,30
CDM,498194,MESH SURG ST TIS 15X10CM,3189.0,3189.0,478.35,3189.0,30
CDM,498195,MESH SURG ST TIS 19X15CM,4429.0,4429.0,664.35,4429.0,30
CDM,498196,MESH SURG ST TIS 24X18CM,6365.0,6365.0,954.75,6365.0,30
CDM,498200,NDL CRYALB 2.1MM 175MM,8186.0,8186.0,1227.9,8186.0,42
CDM,498211,DEVICE CLSR CLP INT 50MM,8194.0,8194.0,1229.1,8194.0,30
CDM,498212,BLADE SAW SGTL25X5.5X.38,431.5,431.5,64.72,431.5,42
CDM,498334,SCREW BN 2.7X4.5X11MM,1804.0,1804.0,270.6,1804.0,30
CDM,498344,PLATE BN LT 13H 167MM,11916.0,11916.0,1787.4,11916.0,30
CDM,498345,AUGMENT FEM KN RT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,498346,CMPNT FEM REV STM LT SZ6,14877.0,14877.0,2231.55,14877.0,30
CDM,498347,PLATE BN 10HL 2.0MM,3823.0,3823.0,573.45,3823.0,30
CDM,498348,DRILL SURG 1.5MM,1023.5,1023.5,153.53,1023.5,42
CDM,498349,SCREW BN 2MM 15MM,571.0,571.0,85.65,571.0,30
CDM,498350,SCREW BN CORT 2X18MM,571.0,571.0,85.65,571.0,30
CDM,498351,SCREW BN 2.0MM 17MM,571.0,571.0,85.65,571.0,30
CDM,498352,PLATE BN 10HL 3.5X116MM,3758.0,3758.0,563.7,3758.0,30
CDM,498353,PLATE BN 20H 2.7X140MM,4429.0,4429.0,664.35,4429.0,30
CDM,498354,SCREW BN 2.7MM 17MM,634.0,634.0,95.1,634.0,30
CDM,498355,SCREW BN LCK T8 2.7X15MM,1946.0,1946.0,291.9,1946.0,30
CDM,498356,SCREW BN 2.7X4.5X22MM,1973.0,1973.0,295.95,1973.0,30
CDM,498359,INSERT TIB6 12MM KNEE LT,4429.0,4429.0,664.35,4429.0,30
CDM,498360,STEM HUM SHLDR 15MM 99MM,12402.0,12402.0,1860.3,12402.0,30
CDM,498361,CMPNT FEM KN LT SZ6,14173.0,14173.0,2125.95,14173.0,30
CDM,498362,INSERT TIB RT SZ3 8MM,7342.0,7342.0,1101.3,7342.0,30
CDM,498363,COMPNT TIB XTD SZ3,33556.0,33556.0,5033.4,33556.0,30
CDM,498364,CAGE SPN 6D 18X55X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,498366,SCREW BN LCK 2.7X10MM,1993.0,1993.0,298.95,1993.0,30
CDM,498368,SCREW BN 2.7MM 22MM,1993.0,1993.0,298.95,1993.0,30
CDM,498370,SCREW BN 2.7X20MM,2258.0,2258.0,338.7,2258.0,30
CDM,498371,PLATE BN FT ANKL 5HL,4429.0,4429.0,664.35,4429.0,30
CDM,498374,PLATE SPN 1LVL 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,498376,HEAD FEM HIP 1 +3MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,498377,FORCEPS BX 1.2MM 286CM,4052.0,4052.0,607.8,4052.0,42
CDM,498378,CONNECTOR ROD DMN LANCER,3012.0,3012.0,451.8,3012.0,30
CDM,498379,CONN SPN ROD 5MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,498380,PLATE BN 10HL 119MM,3189.0,3189.0,478.35,3189.0,30
CDM,498382,PLATE BN SLM Y 7HL,4429.0,4429.0,664.35,4429.0,30
CDM,498383,SCREW BN 4MM 32MM,1993.0,1993.0,298.95,1993.0,30
CDM,498385,SCREW BN 2.4MM 28MM,1317.0,1317.0,197.55,1317.0,30
CDM,498388,SCREW BN 4MM 38MM,1993.0,1993.0,298.95,1993.0,30
CDM,498389,SCREW BN 4MM 34MM,1993.0,1993.0,298.95,1993.0,30
CDM,498390,SCREW BN LCK 3.5X40MM,2518.0,2518.0,377.7,2518.0,30
CDM,498392,SCREW BN 4MM 26MM,1993.0,1993.0,298.95,1993.0,30
CDM,498393,SCREW BN 3.5MM 20MM,463.0,463.0,69.45,463.0,30
CDM,498394,STEM HIP STD OFST SZ4,8858.0,8858.0,1328.7,8858.0,30
CDM,498395,INSERT TIB KN LT5-6 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,498396,SCREW BN MINI 18MM,3294.0,3294.0,494.1,3294.0,30
CDM,498398,PLATE BN 5HL 101X10X2MM,3721.0,3721.0,558.15,3721.0,30
CDM,498399,SCREW BN 4.75MM 45MM,1170.0,1170.0,175.5,1170.0,30
CDM,498400,INSTR GUIDE RV SHDR LT,4385.5,4385.5,657.83,4385.5,42
CDM,498401,BOLT EX FIX CONN 20MM,76.0,76.0,11.4,76.0,42
CDM,498402,INSERT TIB KN SZ8 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,498403,PLATE SPN CERV 4LVL 67MM,4429.0,4429.0,664.35,4429.0,30
CDM,498404,PLATE BN LCK 7HL 125MM,3834.0,3834.0,575.1,3834.0,30
CDM,498405,STEM FEM HIP 25MM 300MM,11150.0,11150.0,1672.5,11150.0,30
CDM,498406,SCREW BN 2.7MM 4.5MM,614.0,614.0,92.1,614.0,30
CDM,498407,XCONN ROD TO ROD 45-66MM,3012.0,3012.0,451.8,3012.0,30
CDM,498408,STEM FEM HIP SZ12 140MM,7973.0,7973.0,1195.95,7973.0,30
CDM,498409,BLOCK TIB KN SZ5 30MM,6230.0,6230.0,934.5,6230.0,30
CDM,498411,LINER HIP ACTB 62X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,498412,KIT GENERATOR IPG,76622.0,76622.0,11493.3,76622.0,30
CDM,498413,SHELL ACTB HIP 3H 42MM,4606.0,4606.0,690.9,4606.0,30
CDM,498414,LINER ACTB HIP 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,498415,BEARING HIP 22.2MM 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,498416,STEM FEM RT 16X11X205MM,11587.0,11587.0,1738.05,11587.0,30
CDM,498417,FEM NP BCS SZ9 LT,7087.0,7087.0,1063.05,7087.0,30
CDM,498418,STEM SHLD HUM PRSF 12MM,7308.0,7308.0,1096.2,7308.0,30
CDM,498419,SCREW BN 4.0MM 30M,3189.0,3189.0,478.35,3189.0,30
CDM,498420,SCREW BN 3.5MM 44MM,446.0,446.0,66.9,446.0,30
CDM,498421,SCREW BN 3.5X34MM,2304.0,2304.0,345.6,2304.0,30
CDM,498422,STEM HUM SHLDR 14MM 98MM,12402.0,12402.0,1860.3,12402.0,30
CDM,498423,IMPL TIB ALPLY SZ6 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,498424,WEDGE FEM KN SZ9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,498425,INSERT ARTC KN 6-9 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,498426,CMPNT TIB KN SZ5 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,498427,SCREW BN 3.5MM 22MM,613.0,613.0,91.95,613.0,30
CDM,498428,COMPONENT FEM KN +6,6644.0,6644.0,996.6,6644.0,30
CDM,498429,CMPNT TIBTRY KN SZ6,4872.0,4872.0,730.8,4872.0,30
CDM,498430,INSERT TIB RT SZ6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,498431,SCREW BN 2.7MM 24MM,319.0,319.0,47.85,319.0,30
CDM,498432,SCREW BN 2.7MM 12MM,319.0,319.0,47.85,319.0,30
CDM,498433,SCREW BN 2.7MM 20MM,319.0,319.0,47.85,319.0,30
CDM,498434,CMPNT PTLR KN RSRFC SZ2,4252.0,4252.0,637.8,4252.0,30
CDM,498435,COMPNT FEM SPHR SZ4 RT,6201.0,6201.0,930.15,6201.0,30
CDM,498436,COMPNT TRAY RT SZT3-I4,4872.0,4872.0,730.8,4872.0,30
CDM,498437,INSERT SPHERE S4 RT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,498438,AUG BLOCK KN LT 15MM,4892.0,4892.0,733.8,4892.0,30
CDM,498439,CMPNT PATELLA SZ1,7574.0,7574.0,1136.1,7574.0,30
CDM,498440,CMPNT PATELLA LT SZ6,7574.0,7574.0,1136.1,7574.0,30
CDM,498441,INSERT TIB 3 15MM KN TRU,4429.0,4429.0,664.35,4429.0,30
CDM,498443,NAIL BN 12MM 200MM,8195.0,8195.0,1229.25,8195.0,30
CDM,498444,STENT EPRSTH 6X8X29MM,12667.0,12667.0,1900.05,12667.0,30
CDM,498445,AUG FEM POST REV 7X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,498447,IMPL TIB ALPLY SZ5 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,498448,IMPL TIB ALPLY SZ5 12MM,4651.0,4651.0,697.65,4651.0,30
CDM,498449,CAGE SPN 8D 24X32X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498450,INSERT TIB KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,498451,SCREW BN 2.7MM 16MM,563.0,563.0,84.45,563.0,30
CDM,498452,SCREW BN 3.5MM 24MM,1852.0,1852.0,277.8,1852.0,30
CDM,498453,NAIL BN 10MM 17MM,6840.0,6840.0,1026.0,6840.0,30
CDM,498454,COMPNT FEM 9 80X75.8MM,7087.0,7087.0,1063.05,7087.0,30
CDM,498455,INSERT KN TIB SZ2 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,498456,SCREW BN NLCK 3MM 12MM,319.0,319.0,47.85,319.0,30
CDM,498457,INSERT TIB KN 5 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,498458,KIT INTL BRACE 4.75X15MM,5293.0,5293.0,793.95,5293.0,30
CDM,498459,SCREW BN 7MM 80MM,3975.0,3975.0,596.25,3975.0,30
CDM,498460,SCREW BN 4.0MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,498461,SCREW BN 4MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,498462,SCREW BN 4MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,498463,SCREW BN CMPR 4.0 X80,3189.0,3189.0,478.35,3189.0,30
CDM,498465,STAPLE BN 20MM 20MM,7178.0,7178.0,1076.7,7178.0,30
CDM,498466,INSERT TIB KN SZ8 24MM,8309.0,8309.0,1246.35,8309.0,30
CDM,498467,SCREW BN 5MM 46MM,3189.0,3189.0,478.35,3189.0,30
CDM,498468,SCREW BN 5MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,498469,NAIL FEM 10MM 42CM,4872.0,4872.0,730.8,4872.0,30
CDM,498470,BEARING TIB KN 87/91X10,4606.0,4606.0,690.9,4606.0,30
CDM,498471,CMPNT FEM REV RT SZ3,18647.0,18647.0,2797.05,18647.0,30
CDM,498472,SCREW BN 3.5MM 38MM,319.0,319.0,47.85,319.0,30
CDM,498473,SCREW BN 3.5MM 45MM,324.0,324.0,48.6,324.0,30
CDM,498474,STEM FEM KN 120MM 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,498475,INSERT TIB KN SZ1-2 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,498476,CAGE SPN 6D CRV27X10X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498477,CMPNT FEM HIP SZ2,7530.0,7530.0,1129.5,7530.0,30
CDM,498478,CATHETER URTH 18FR 16IN,23.5,23.5,3.52,23.5,42
CDM,498479,SCREW BN NG 3.5X14MM,1280.0,1280.0,192.0,1280.0,30
CDM,498480,INSERT KN MED 16MM,17705.0,17705.0,2655.75,17705.0,30
CDM,498481,SCREW BN 2.7MM 28MM,1370.0,1370.0,205.5,1370.0,30
CDM,498482,CMPNT AUG FEM KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,498483,PLATE SPN CERV 3LVL 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,498484,SCREW SPN 6.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,498485,ROD CURVED 30MM SPNL,2711.0,2711.0,406.65,2711.0,30
CDM,498486,CAGE SPN 5D 27X12X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498487,SET SCREW BN 2.0X12MM,753.0,753.0,112.95,753.0,30
CDM,498488,PLATE SPNL OCCIPITAL SM,6644.0,6644.0,996.6,6644.0,30
CDM,498489,ROD OCPTL TI 120D 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,498490,SCREW SPN 4.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,498491,ROD SPNL CROSS LINK SM,3012.0,3012.0,451.8,3012.0,30
CDM,498492,DRILL OCC STR 3.7MM,773.0,773.0,115.95,773.0,42
CDM,498493,SCREW BN MTRSL 2.7X48MM,610.0,610.0,91.5,610.0,30
CDM,498494,STEM FEMORAL LARGE TEMP,10409.0,10409.0,1561.35,10409.0,30
CDM,498495,HEAD FEM MED 54MM,10409.0,10409.0,1561.35,10409.0,30
CDM,498496,SPACER SPNL 14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,498497,CAGE SPNL L6MMXW14MMXH14,6818.0,6818.0,1022.7,6818.0,30
CDM,498498,SPACER SPN 14X11MM,4429.0,4429.0,664.35,4429.0,30
CDM,498499,KWIRE FX 1.4MM 100MM,37.0,37.0,5.55,37.0,42
CDM,498500,DRILL BIT 1.8MM DISP,1678.0,1678.0,251.7,1678.0,42
CDM,498501,PLATE BN RT 3HL 48MM,4817.0,4817.0,722.55,4817.0,30
CDM,498502,SCREW BN 2.4MM 14MM,1854.0,1854.0,278.1,1854.0,30
CDM,498503,SCREW BN 2.4MM 22MM,879.0,879.0,131.85,879.0,30
CDM,498504,SCREW BN 2.4MM 14MM,879.0,879.0,131.85,879.0,30
CDM,498505,SCREW BN 2.4MM 10MM,879.0,879.0,131.85,879.0,30
CDM,498506,SCREW BN 2.4MM 16MM,1854.0,1854.0,278.1,1854.0,30
CDM,498507,SCREW BN LCK 2.4X18MM,1854.0,1854.0,278.1,1854.0,30
CDM,498508,SCREW BN 2.4MM 12MM,879.0,879.0,131.85,879.0,30
CDM,498510,CMPNT KN RT SZ7,7206.0,7206.0,1080.9,7206.0,30
CDM,498511,INSERT TIB KN CR SZ5,4428.0,4428.0,664.2,4428.0,30
CDM,498512,COMPNT ANKLE SZ2 8MM,11051.0,11051.0,1657.65,11051.0,30
CDM,498513,PLATE CRNMXF FX 7MM,2976.0,2976.0,446.4,2976.0,30
CDM,498514,WASHER BN HIP SZ3 7MM,319.0,319.0,47.85,319.0,30
CDM,498515,PLATE BN BROAD STR 2HL,4429.0,4429.0,664.35,4429.0,30
CDM,498516,SCREW BN SPNL 4X20MM,3765.0,3765.0,564.75,3765.0,30
CDM,498517,STEM HIP HIGH OFST SZ4,8858.0,8858.0,1328.7,8858.0,30
CDM,498518,IMPLANT TALAR RT SZ1,31028.0,31028.0,4654.2,31028.0,30
CDM,498519,GRAFT STNT 28MM 157MM,62582.0,62582.0,9387.3,62582.0,30
CDM,498521,SCREW BN 4MM 46MM,3189.0,3189.0,478.35,3189.0,30
CDM,498522,SCREW BN LCK 3.5X10MM,1993.0,1993.0,298.95,1993.0,30
CDM,498523,SCREW BN T10 3.5X20MM,1993.0,1993.0,298.95,1993.0,30
CDM,498524,PLATE BN SLM Y 3HL,4340.0,4340.0,651.0,4340.0,30
CDM,498525,WSHR BN 3.5MMX4MM,319.0,319.0,47.85,319.0,30
CDM,498528,CMPNT TIB KN HLF 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,498529,WEDGE FEM KN SZCD 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,498530,SCREW BN 2.4MM 20MM,1854.0,1854.0,278.1,1854.0,30
CDM,498531,PLATE BN 12HL 3.5X211MM,5148.0,5148.0,772.2,5148.0,30
CDM,498532,INSERT TIB KN SZ7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,498533,SCREW BN 12.7MM 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,498534,GUIDE CRNFCL SURG ALGN,1637.0,1637.0,245.55,1637.0,42
CDM,498535,SYSTEM HUM TI SM,5315.0,5315.0,797.25,5315.0,30
CDM,498536,BASEPLATE GLENOID SMALL,8858.0,8858.0,1328.7,8858.0,30
CDM,498537,STEM HUM SHLDR 90.4X16.5,5002.0,5002.0,750.3,5002.0,30
CDM,498538,LINER SHLDR SZ+3S,4606.0,4606.0,690.9,4606.0,30
CDM,498539,SCREW BN W/CAP 4.5X20MM,1595.0,1595.0,239.25,1595.0,30
CDM,498540,SCREW BN W/CAP 4.5X25MM,1595.0,1595.0,239.25,1595.0,30
CDM,498541,SCREW BN CAP 4.5X15MM,1595.0,1595.0,239.25,1595.0,30
CDM,498542,INSERT TIB KN SZ3-5 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,498543,COMPNT GLND SHLDR 16X38,4606.0,4606.0,690.9,4606.0,30
CDM,498545,SCREW BN 2.7X4.5X14MM,634.0,634.0,95.1,634.0,30
CDM,498546,SCREW BN T8 2.7MM 12MM,634.0,634.0,95.1,634.0,30
CDM,498547,PLATE BN 10H 3.5MM 127MM,3189.0,3189.0,478.35,3189.0,30
CDM,498548,SCREW BN 3.5MM 17MM,579.0,579.0,86.85,579.0,30
CDM,498549,SCREW BN 3.5MM 13MM,484.0,484.0,72.6,484.0,30
CDM,498550,PLATE BN 8HL 3.5MM 102MM,3189.0,3189.0,478.35,3189.0,30
CDM,498551,GRAFT BN 22X16X8MM ALGRF,4429.0,4429.0,664.35,4429.0,30
CDM,498552,GRAFT BN 22X16X5MM ALGRF,4429.0,4429.0,664.35,4429.0,30
CDM,498553,SCREW BN 3.2MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,498554,PLATE BN LCK SZ10 13MM,21866.0,21866.0,3279.9,21866.0,30
CDM,498556,SCREW BN LCK 3.5X22,2073.0,2073.0,310.95,2073.0,30
CDM,498557,PLATE BN SHRT 84MMX3.2MM,6644.0,6644.0,996.6,6644.0,30
CDM,498558,SCREW BN 2.5MM 12MM,2153.0,2153.0,322.95,2153.0,30
CDM,498559,SCREW BN 2.5MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,498560,SCREW BN 2.5MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,498561,SCREW BN HAND 2.5MM 12MM,1196.0,1196.0,179.4,1196.0,30
CDM,498562,SCREW BN 2.5MM 14MM,2462.0,2462.0,369.3,2462.0,30
CDM,498563,SCREW BN 2.5MM 18MM,1196.0,1196.0,179.4,1196.0,30
CDM,498564,SCREW BN 2.5MM 15MM,2462.0,2462.0,369.3,2462.0,30
CDM,498565,SCREW BN CORT 2.5X20MM,2462.0,2462.0,369.3,2462.0,30
CDM,498567,SPCR SPN STD 30X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,498568,IMPLANT TIB KN SZ4 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,498569,TRAY TIB POROUS SZ3F 3T,5758.0,5758.0,863.7,5758.0,30
CDM,498571,SCREW BN CANN 3.5X26MM,3189.0,3189.0,478.35,3189.0,30
CDM,498572,SCREW BN 2.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,498574,SHELL HIP ACTB SZ25MM,1535.0,1535.0,230.25,1535.0,30
CDM,498576,STEM SHORT CLRD STD SZ9,8416.0,8416.0,1262.4,8416.0,30
CDM,498577,STEM HUM PRSFT 14MM,7751.0,7751.0,1162.65,7751.0,30
CDM,498578,BIT DRILL DISP 2MM 60MM,1059.0,1059.0,158.85,1059.0,42
CDM,498579,SHEATH INTRO 12F 28CM,1228.0,1228.0,184.2,1228.0,42
CDM,498580,HEAD FEM CERM LG 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,498581,CMPNT FEM SPHR SZ4 LT,6201.0,6201.0,930.15,6201.0,30
CDM,498583,COMPNT TIB KN RT SZ2,4872.0,4872.0,730.8,4872.0,30
CDM,498584,CMPNT FEM KN RT SZ3,6201.0,6201.0,930.15,6201.0,30
CDM,498585,INSERT TIB RT SZ2 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,498586,BASEPLT GLEN 24.5MM 30MM,7087.0,7087.0,1063.05,7087.0,30
CDM,498587,SCREW BN SHDR 18MM,1595.0,1595.0,239.25,1595.0,30
CDM,498588,SCREW BN SHDR 22MM,1595.0,1595.0,239.25,1595.0,30
CDM,498589,SPHERE SHLDR 32MM 24.5MM,6865.0,6865.0,1029.75,6865.0,30
CDM,498590,COMPNT STEM SHLDR SZ9,8194.0,8194.0,1229.1,8194.0,30
CDM,498591,LINER SHD HUM +0MM 32MM,4651.0,4651.0,697.65,4651.0,30
CDM,498592,COMPONENT HUM 0D +9,5315.0,5315.0,797.25,5315.0,30
CDM,498593,KWIRE FX 450MM 2MM,754.5,754.5,113.17,754.5,42
CDM,498594,WIRE EXFIX OLV DMD 2MM,1023.5,1023.5,153.53,1023.5,42
CDM,498595,BOLT EX FIX 1.5-2MM,995.0,995.0,149.25,995.0,42
CDM,498596,BOLT EX FIX 1.5-2MM,995.0,995.0,149.25,995.0,42
CDM,498597,BOLT WR EXFX LNG 1.5X2MM,2446.0,2446.0,366.9,2446.0,42
CDM,498598,STRUT EX FIX 138-201MM,8476.0,8476.0,1271.4,8476.0,42
CDM,498599,STRUT EX FIX 60MM,862.5,862.5,129.38,862.5,42
CDM,498600,SHOE EXFX LNG LRG,8689.5,8689.5,1303.42,8689.5,42
CDM,498601,NUT BN ORTH SHRT,300.5,300.5,45.08,300.5,42
CDM,498602,NUT CON EXFX RNG M6 6MM,322.0,322.0,48.3,322.0,42
CDM,498603,WASHER HFMN EXFX 4MM,712.5,712.5,106.88,712.5,42
CDM,498604,WASHER BN UNIV 7MM,712.5,712.5,106.88,712.5,42
CDM,498606,ARCH EXFIX FOOT 180MM,9290.0,9290.0,1393.5,9290.0,42
CDM,498607,AUGMENT FEM KN 4MM 9,4606.0,4606.0,690.9,4606.0,30
CDM,498608,COMPNT ELB REPLC 100X5MM,16893.0,16893.0,2533.95,16893.0,30
CDM,498609,CMPNT ULN LT 4X115MM,16917.0,16917.0,2537.55,16917.0,30
CDM,498610,COMPT FEM KN SZ4.5,8416.0,8416.0,1262.4,8416.0,30
CDM,498611,BUTTON TROCH 25MM,4252.0,4252.0,637.8,4252.0,30
CDM,498612,CMPNT REM 20CM,15254.0,15254.0,2288.1,15254.0,30
CDM,498613,COMPONENT SEG TPR KN 5CM,25435.0,25435.0,3815.25,25435.0,30
CDM,498614,CAGE ENDOSKLTN LG 11MM,19200.0,19200.0,2880.0,19200.0,30
CDM,498615,IMPL FX PHLNX FNG TOE SM,4429.0,4429.0,664.35,4429.0,30
CDM,498617,SPACER SPN 8D 16X14X48MM,24116.0,24116.0,3617.4,24116.0,30
CDM,498618,INSERT TIB KN 18MM 5-6,4429.0,4429.0,664.35,4429.0,30
CDM,498619,SCREW BN 4MM 38MM 13MM,2369.0,2369.0,355.35,2369.0,30
CDM,498620,PLATE CRNMXF ORBT RT SM,10519.0,10519.0,1577.85,10519.0,30
CDM,498621,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,498622,ROD SPN 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,498623,ALLOGRAFT HUM 86-105MM,3479.0,3479.0,521.85,3479.0,30
CDM,498624,SCREW BN SPN 4.2MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,498625,PLATE SPN 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,498626,SCREW BN SPN 4.2MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,498627,SCREW BN SPN 4.2MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,498628,SCREW BN 5MM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,498629,SCREW 4X26MM MXLCK XTRM,319.0,319.0,47.85,319.0,30
CDM,498630,SCRW 4.0X 8 MM,319.0,319.0,47.85,319.0,30
CDM,498631,PLATE UNIV BETA 4SLOT,4912.0,4912.0,736.8,4912.0,30
CDM,498632,INSTR GUIDE RV SHDR RT,4385.5,4385.5,657.83,4385.5,42
CDM,498633,SCREW BN 2.4MM 30MM,1555.0,1555.0,233.25,1555.0,30
CDM,498634,SCREW FIXED SLFDRL 4X14,1130.0,1130.0,169.5,1130.0,30
CDM,498635,DRILL SURG 1.8MM FIBERTA,1023.5,1023.5,153.53,1023.5,42
CDM,498638,INSERT TIB RT SZ2 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,498639,SCREW BN OCCPTL 4.5X10MM,1130.0,1130.0,169.5,1130.0,30
CDM,498640,SCREW SPN OCCPTL 4.5X8MM,1130.0,1130.0,169.5,1130.0,30
CDM,498641,SCREW OCPTL 4.5X7MM,1130.0,1130.0,169.5,1130.0,30
CDM,498642,SCREW BN OCCPTL 4.5X6MM,1130.0,1130.0,169.5,1130.0,30
CDM,498643,IMPLANT TIB KN SZ5 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,498644,IMPL TIB ALPLY SZ6 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,498645,INSERT TIB KN SZ4 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,498646,HEAD FEM CERM LG 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,498647,INSERT TIB KN SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,498648,SCREW BN 2.0MM 14MM,3189.0,3189.0,478.35,3189.0,30
CDM,498649,SCREW BN CORT 2.7MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,498650,PLATE BN 9HL 151MM,4123.0,4123.0,618.45,4123.0,30
CDM,498651,NAIL ENDCAP ANKL,3189.0,3189.0,478.35,3189.0,30
CDM,498652,NAIL BN LT 11.5MM 150MM,13048.0,13048.0,1957.2,13048.0,30
CDM,498653,SCREW BN HDLSS 7X85MM,3975.0,3975.0,596.25,3975.0,30
CDM,498654,PLATE BN BRD HLS 7H,4429.0,4429.0,664.35,4429.0,30
CDM,498656,DRILL SURG 4.3MM,2185.5,2185.5,327.82,2185.5,42
CDM,498657,LINER ACTB HIP SZF 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,498658,SCREW BN 4MM 5MM 46MM,3189.0,3189.0,478.35,3189.0,30
CDM,498659,ROD CFBR EX FIX MED160X8,1652.0,1652.0,247.8,1652.0,42
CDM,498660,CLAMP EXFX MEDIUM,2444.0,2444.0,366.6,2444.0,42
CDM,498661,CLMP EXFIX MED MRI SAFE,2962.0,2962.0,444.3,2962.0,42
CDM,498662,INSERT TIB KN SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,498663,PLATE CRNMXF ORBT RT LG,10519.0,10519.0,1577.85,10519.0,30
CDM,498664,PLATE BN 4 HL .55X1.7MM,1922.0,1922.0,288.3,1922.0,30
CDM,498665,SCREW BN 1.9MM 3MM,1317.0,1317.0,197.55,1317.0,30
CDM,498666,SCREW BN MXLFCL 4MM 2MM,1128.0,1128.0,169.2,1128.0,30
CDM,498667,SHELL ACTB HIP 64MM,4606.0,4606.0,690.9,4606.0,30
CDM,498668,SCREW SPN 7.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,498669,SET SCREW SPN,753.0,753.0,112.95,753.0,30
CDM,498670,CANNULA IRR IO-FLX CNTR,541.0,541.0,81.15,541.0,42
CDM,498671,ROD SPNL 45X5.5MM CRV,2711.0,2711.0,406.65,2711.0,30
CDM,498672,SPACER SPNL 23MMX11MM EL,15059.0,15059.0,2258.85,15059.0,30
CDM,498673,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,498674,STEM FEM KN 130MM 11MM,17893.0,17893.0,2683.95,17893.0,30
CDM,498675,SCREW BN 4MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,498676,SCREW BN 4MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,498677,PLATE BN OBLIQ RIGHT,3721.0,3721.0,558.15,3721.0,30
CDM,498678,STENT GRAFT 15CN 28X28MM,77951.0,77951.0,11692.65,77951.0,30
CDM,498679,INSERT ARTC KNSZ5-6 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,498680,CAGE SPNL 0D 12X14X24MM,50934.0,50934.0,7640.1,50934.0,30
CDM,498681,PLATE BN 5HL,4429.0,4429.0,664.35,4429.0,30
CDM,498682,SCREW BN 4MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,498683,SCREW BN 3.5MM 55MM,670.0,670.0,100.5,670.0,30
CDM,498685,GFT BN ALGRF 22X22X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,498686,INSERT TIB KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,498688,PLATE BN TBLR 8HL 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,498690,PLATE BN Y 7HL,4429.0,4429.0,664.35,4429.0,30
CDM,498691,PLATE BN 42X6.5X1.3MM,4926.0,4926.0,738.9,4926.0,30
CDM,498692,SCREW BN 2.4MM 12MM,319.0,319.0,47.85,319.0,30
CDM,498693,SCREW BN 2.4MM 14MM,319.0,319.0,47.85,319.0,30
CDM,498694,SCREW BN 2.4MM 10MM,319.0,319.0,47.85,319.0,30
CDM,498695,BIT DRILL 1.3MM 2MM,1228.0,1228.0,184.2,1228.0,42
CDM,498696,BIT DRILL 1.6MM 2.4MM,2392.0,2392.0,358.8,2392.0,42
CDM,498697,CMPNT FEM KN LT SZ3.5,8416.0,8416.0,1262.4,8416.0,30
CDM,498698,INSERT TIB SZ3.5F 2.5T,5758.0,5758.0,863.7,5758.0,30
CDM,498699,PLATE BN .8X10MM,3189.0,3189.0,478.35,3189.0,30
CDM,498700,PLATE BN LT 4HL 56MM,5050.0,5050.0,757.5,5050.0,30
CDM,498701,SCREW BN 2.4MM 10MM,1854.0,1854.0,278.1,1854.0,30
CDM,498702,SCREW BN T8 2.7X4.5X10,614.0,614.0,92.1,614.0,30
CDM,498703,PLATE BN 3.5MM 147MM,5817.0,5817.0,872.55,5817.0,30
CDM,498704,SCRW SPNL P-AX 8.5X80MM,3765.0,3765.0,564.75,3765.0,30
CDM,498705,ROD SPN 5.5MM 400MM,2711.0,2711.0,406.65,2711.0,30
CDM,498706,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,498707,SCREW SPN STD 8.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,498708,SCREW SPN PDCL 7.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,498709,ROD SPN CONN 54-80MM,3012.0,3012.0,451.8,3012.0,30
CDM,498712,SCREW BN 3.5X18MM,1993.0,1993.0,298.95,1993.0,30
CDM,498727,STAPLER INT CIR 21MM,2146.5,2146.5,321.98,2146.5,42
CDM,498728,STAPLER INT CIR 25MM,2030.5,2030.5,304.57,2030.5,42
CDM,498729,STAPLER INT CIR 29MM,2151.5,2151.5,322.73,2151.5,42
CDM,498730,STAPLER INT CIR 33MM,2154.0,2154.0,323.1,2154.0,42
CDM,498731,RELOAD STPLR 1.5X40MM,2546.0,2546.0,381.9,2546.0,30
CDM,498732,RELOAD STPLR 2X40MM,2546.0,2546.0,381.9,2546.0,30
CDM,498733,STAPLER CUTTER CRVD 40MM,2347.5,2347.5,352.13,2347.5,42
CDM,498734,STAPLER CUTTER ENDO 40MM,2347.5,2347.5,352.13,2347.5,42
CDM,498736,STENT COR 3MM 38MM,621.0,621.0,93.15,621.0,30
CDM,498740,PORT ACC 12MM 150MM,870.0,870.0,130.5,870.0,42
CDM,498754,SYSTEM RETREIVAL 10MM,1637.0,1637.0,245.55,1637.0,42
CDM,498756,CANNULA VEN 29FR 55CM,3667.5,3667.5,550.13,3667.5,42
CDM,498758,STENT BILIARY 8MM 4CM,10187.0,10187.0,1528.05,10187.0,30
CDM,498759,STENT BILIARY 8MM 6CM,10187.0,10187.0,1528.05,10187.0,30
CDM,498760,STENT BILIARY 8MM 8CM,10187.0,10187.0,1528.05,10187.0,30
CDM,498761,STENT BILIARY 10MM 8CM,10187.0,10187.0,1528.05,10187.0,30
CDM,498762,DEVICE WNDCLS 15CM SZ2,643.5,643.5,96.53,643.5,42
CDM,498763,DEVICE WNDCLS 2-0 23CM,643.5,643.5,96.53,643.5,42
CDM,498764,GRAFT BN DBM 1ML,1506.0,1506.0,225.9,1506.0,30
CDM,498765,BNGF GRFTN DBM GEL SYR 5,3765.0,3765.0,564.75,3765.0,30
CDM,498766,BURR SURG RND 3.0MM,1023.5,1023.5,153.53,1023.5,42
CDM,498767,BURR CRNL SURG 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,498768,FORCEPS SPEC RET 230CM,773.0,773.0,115.95,773.0,42
CDM,498769,SUTURE NYL 10-0 AA-1824,670.5,670.5,100.58,670.5,42
CDM,498770,SUTURE BRM 10-0 1IN,773.0,773.0,115.95,773.0,42
CDM,498772,KERECIS OMEGA3 1SQCM,538.0,538.0,80.7,538.0,29
CDM,498773,CATH URTH 20FR 14IN,23.5,23.5,3.52,23.5,42
CDM,498774,SCREW BN 5MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,498775,IMPL FX HMRTOE 0D MED,4429.0,4429.0,664.35,4429.0,30
CDM,498776,KWIRE FX 1.1MM,386.5,386.5,57.98,386.5,42
CDM,498778,SURFACE ARTC KN 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,498779,SCREW BN 3.5MM 55MM,1356.0,1356.0,203.4,1356.0,30
CDM,498780,BLADE SHVR 13CM 4MM,1486.5,1486.5,222.97,1486.5,42
CDM,498781,NAIL FEM 10MM 420MM,4606.0,4606.0,690.9,4606.0,30
CDM,498783,BIT DRILL 1.4MM 54MM,1469.5,1469.5,220.43,1469.5,42
CDM,498784,SCREW BN 2.7MM 36MM,1370.0,1370.0,205.5,1370.0,30
CDM,498785,SCREW BN 2.7MM 14MM,1595.0,1595.0,239.25,1595.0,30
CDM,498796,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",4963.0,4963.0,1291.0,1997.66,34
CDM,498796,SOCKS KAFO FEM FX,4963.0,4963.0,913.69,4963.0,26
CDM,498797,"Addition to lower extremity fracture orthosis, drop lock knee joint ",924.0,924.0,100.06,154.84,34
CDM,498797,OTHTC ADD L-XTRM DRP LCK,924.0,924.0,170.11,924.0,26
CDM,498799,SCREW BN 2.7MM 34MM,2518.0,2518.0,377.7,2518.0,30
CDM,498800,SCREW BN 4MM 60MM,2344.0,2344.0,351.6,2344.0,30
CDM,498801,INSERT KN TIB LT 18MM,9966.0,9966.0,1494.9,9966.0,30
CDM,498803,PLATE BN SHRT 67X3.5MM,5587.0,5587.0,838.05,5587.0,30
CDM,498805,PLATE 135D 94MM SS 4.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,498806,SCREW LAG DHS 75MM 280.7,3189.0,3189.0,478.35,3189.0,30
CDM,498807,CMPNT FEM HIP CLR SZ1,7530.0,7530.0,1129.5,7530.0,30
CDM,498808,CMPNT BEARING LT LRG 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,498809,COMPNT FEM KN LFT SZ2.5,8416.0,8416.0,1262.4,8416.0,30
CDM,498810,EXPANDER TISS 450CC,5980.0,5980.0,897.0,5980.0,30
CDM,498811,DISC INTVRTB SPN MED 5MM,17469.0,17469.0,2620.35,17469.0,30
CDM,498813,STEM FEM HIP SZ7 107MM,8416.0,8416.0,1262.4,8416.0,30
CDM,498814,MESH BN CRNL 100X100MM,8557.0,8557.0,1283.55,8557.0,30
CDM,498816,CMPNT FEM PS CMNT SZ9,6688.0,6688.0,1003.2,6688.0,30
CDM,498817,CMPNT TIB POLY SZ9 10MM,4252.0,4252.0,637.8,4252.0,30
CDM,498818,ROD SPN STRGH 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
CDM,498819,ADAPTOR EX FX PIN 3-6MM,3176.5,3176.5,476.48,3176.5,42
CDM,498820,ROD EXFX THRD 6X100MM,773.0,773.0,115.95,773.0,42
CDM,498821,PLATE EXFX 10MM 60MM,1185.0,1185.0,177.75,1185.0,42
CDM,498822,BOLT EXFX HINGE MEDIUM,906.5,906.5,135.97,906.5,42
CDM,498823,NUT EXT FIX NUT SLF LCK,312.0,312.0,46.8,312.0,42
CDM,498824,STRUT EX FI X 183-295MM,12892.5,12892.5,1933.88,12892.5,42
CDM,498825,SCREW BN NS LCK 5X40MM,1658.0,1658.0,248.7,1658.0,30
CDM,498826,SCREW BN NS LCK 5X42MM,1658.0,1658.0,248.7,1658.0,30
CDM,498827,SCREW BN NS LCK 5X52MM,1658.0,1658.0,248.7,1658.0,30
CDM,498828,NAIL BN 12MM 13MM 40CM,7289.0,7289.0,1093.35,7289.0,30
CDM,498829,SCREW BN 6MM 105MM,4061.0,4061.0,609.15,4061.0,30
CDM,498830,STENT 20FR 31X31MM 10CM,77951.0,77951.0,11692.65,77951.0,30
CDM,498831,SCREW BN 3.5MM 48MM,2518.0,2518.0,377.7,2518.0,30
CDM,498832,SIZER STAPLE ORTH,1547.0,1547.0,232.05,1547.0,42
CDM,498833,PLATE BN MAXLCK SLOTLESS,4429.0,4429.0,664.35,4429.0,30
CDM,498834,INSERT TIB KN SZ1-2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,498835,WEDGE FEM KN SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,498836,WEDGE TIB KN 1-2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,498837,INSERT TIB KN SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,498838,STEM EXT KN 6D 11MM 30MM,4606.0,4606.0,690.9,4606.0,30
CDM,498839,CMPNT TIB KN TRAY RT SZ4,4872.0,4872.0,730.8,4872.0,30
CDM,498840,COMPNT FEM CMNT RT SZ4+,6201.0,6201.0,930.15,6201.0,30
CDM,498841,BIT DRILL 2.0MM,2093.5,2093.5,314.02,2093.5,42
CDM,498843,TIP IMPLANT INSERTER 5MM,1023.5,1023.5,153.53,1023.5,42
CDM,498844,BIT DRILL DISP 2MM,2093.5,2093.5,314.02,2093.5,42
CDM,498845,BIT MILLING FLATCPLNG2MM,2093.5,2093.5,314.02,2093.5,42
CDM,498846,INSERT TIB KN SZ5 18MM,8309.0,8309.0,1246.35,8309.0,30
CDM,498847,ROD SPNL 13MM OFST DMD,3012.0,3012.0,451.8,3012.0,30
CDM,498848,CONNECTOR DMNO OFST 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,498849,CONN SPN SD/FRNT LD 18MM,3012.0,3012.0,451.8,3012.0,30
CDM,498850,POST EX FIX 5 HL HLF PIN,2320.0,2320.0,348.0,2320.0,42
CDM,498851,POST HLFPN EXFX 4HL,1883.5,1883.5,282.52,1883.5,42
CDM,498852,PIN EXFX POST 2HL,1601.5,1601.5,240.22,1601.5,42
CDM,498853,BEAM ORTH FT 110MM 7MM,7437.0,7437.0,1115.55,7437.0,30
CDM,498854,PLATE SPN 2LVL 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,498855,SCREW SPN P-AX 4X14MM,3389.0,3389.0,508.35,3389.0,30
CDM,498856,ROD SPN 4MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,498857,INSERT TIB MED 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,498859,NAIL HUM CANN 7MM 280MM,4637.0,4637.0,695.55,4637.0,30
CDM,498860,PLT CLV RT 8H 120X3.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,498861,BIT DRILL DISP 2X110MM,1023.5,1023.5,153.53,1023.5,42
CDM,498863,WEDGE AUG KN LT 1-2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,498864,SCREW BN 3.5MM 80MM,501.0,501.0,75.15,501.0,30
CDM,498865,SCREW BN 3.5MM 80MM,1898.0,1898.0,284.7,1898.0,30
CDM,498866,PLATE BN 8HL 3.5MM 117MM,9130.0,9130.0,1369.5,9130.0,30
CDM,498867,SCREW BN 3.5MM 40MM,446.0,446.0,66.9,446.0,30
CDM,498868,SCREW BN 3.5MM 34MM,446.0,446.0,66.9,446.0,30
CDM,498869,PLATE BN 6H 3.5X77MM,3189.0,3189.0,478.35,3189.0,30
CDM,498870,SCREW BN 3.5MM 85MM,651.0,651.0,97.65,651.0,30
CDM,498871,CAGE SPN 9X28X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498872,CMPNT FEM SZ4 PRIM RT,8416.0,8416.0,1262.4,8416.0,30
CDM,498873,INSERT TIB KN RT SZ4,5315.0,5315.0,797.25,5315.0,30
CDM,498874,KEEL KN SZ2+3/4 15MM,2126.0,2126.0,318.9,2126.0,30
CDM,498875,SCREW SPN 3.2MM 7MM,753.0,753.0,112.95,753.0,30
CDM,498876,SCREW BN 4MM 58MM,3430.0,3430.0,514.5,3430.0,30
CDM,498877,SCREW BN 3.0MM 36MM,3430.0,3430.0,514.5,3430.0,30
CDM,498878,SCREW BN 3MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,498879,INSTRMNT 1ST MET TRNSLTR,1121.5,1121.5,168.22,1121.5,42
CDM,498880,BIT DRILL CANN 2.2X60MM,1874.5,1874.5,281.18,1874.5,42
CDM,498881,PACK INSTRUMENT ORTHO ST,2292.0,2292.0,343.8,2292.0,42
CDM,498882,GAUGE SURG DEPTH DISP D,1097.0,1097.0,164.55,1097.0,42
CDM,498884,DRIVER HEX 2.5MM,1473.5,1473.5,221.03,1473.5,42
CDM,498885,BURR SURG 2MM 20MM,2816.0,2816.0,422.4,2816.0,42
CDM,498886,DRIVER HEX 2MM,1473.5,1473.5,221.03,1473.5,42
CDM,498888,CAGE SPN 9X28X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498889,CAGE SPN 9X28X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498890,INSERT KN BRNG TIB5 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,498891,BIT DRILL SURG 120MM,773.0,773.0,115.95,773.0,42
CDM,498893,INSERT TIB KN SZ5-6 9MM,5823.0,5823.0,873.45,5823.0,30
CDM,498894,CONN ROD 4.75X5.5X25MM,3012.0,3012.0,451.8,3012.0,30
CDM,498895,SCREW BN 8.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,498896,SCREW BN 4MM 12MM,3765.0,3765.0,564.75,3765.0,30
CDM,498897,CONNECTOR ROD SP 34-45MM,3012.0,3012.0,451.8,3012.0,30
CDM,498898,AUG FEM KN SZC 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,498901,STEM HUM SHLDR 83MM 6MM,11959.0,11959.0,1793.85,11959.0,30
CDM,498902,CMPNT SHLDR GLN 4PEG SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,498904,INSERT TIB KN SZ7-8 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,498905,STEM HIP FEM LO OFST SZ6,8858.0,8858.0,1328.7,8858.0,30
CDM,498907,CAGE SPN 9X28X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498908,INSERT TIB LT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,498909,CMPNT TIB KN LT SZ5,4872.0,4872.0,730.8,4872.0,30
CDM,498910,IMPL TIB ALPLY SZ4 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,498911,PLATE BN CLVCL RT 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,498912,BIT DRILL DISP 2.7MM 45M,847.0,847.0,127.05,847.0,42
CDM,498913,INSERT TIB KN RT 3-4 13,4429.0,4429.0,664.35,4429.0,30
CDM,498914,PLATE BN 8HL 99MM,4429.0,4429.0,664.35,4429.0,30
CDM,498915,PLATE BN 6H,4429.0,4429.0,664.35,4429.0,30
CDM,498916,CAGE SPN 5D 27X12X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498917,ROD SPNL MIS 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,498918,DRILL SURG CANN 10.5MM,1596.5,1596.5,239.47,1596.5,42
CDM,498919,PLATE SPN ACDF 1LVL 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,498920,SCREW BN SPN 4.2MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,498921,SCREW BN 3.5X24MM,1781.0,1781.0,267.15,1781.0,30
CDM,498922,SCREW BN 3.5MM 30MM,1781.0,1781.0,267.15,1781.0,30
CDM,498923,SCREW BN 3.5MM 10MM,1781.0,1781.0,267.15,1781.0,30
CDM,498924,PLATE SCR 3.5X237 VAR,8588.0,8588.0,1288.2,8588.0,30
CDM,498925,SCREW BN 4MM 70MM 23.5MM,2369.0,2369.0,355.35,2369.0,30
CDM,498926,PLATE BN 12H 3.5X139MM,4153.0,4153.0,622.95,4153.0,30
CDM,498927,PLATE BN 121MM 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,498928,SCREW BN SLFTP 2.4X23MM,602.0,602.0,90.3,602.0,30
CDM,498929,SCREW BN 2.4MM 26MM,602.0,602.0,90.3,602.0,30
CDM,498930,SCREW BN 2.4MM 28MM,602.0,602.0,90.3,602.0,30
CDM,498931,SPCR SPN 33X18X28MM 7D,18425.0,18425.0,2763.75,18425.0,30
CDM,498932,DRILL FOR 2.4MM,1023.5,1023.5,153.53,1023.5,42
CDM,498933,SCREW BN 2.7MM 13MM,614.0,614.0,92.1,614.0,30
CDM,498935,SCREW BN T8 2.7X4.5X13MM,1973.0,1973.0,295.95,1973.0,30
CDM,498936,PLATE BN 9H 133MM,5271.0,5271.0,790.65,5271.0,30
CDM,498937,SCREW BN 2.4MM 24MM,586.0,586.0,87.9,586.0,30
CDM,498938,PLATE BN BROAD Y 4HL,4429.0,4429.0,664.35,4429.0,30
CDM,498939,CAGE SPN 9X28X7,8858.0,8858.0,1328.7,8858.0,30
CDM,498940,STEM FEMORAL KN SIZE 3,8416.0,8416.0,1262.4,8416.0,30
CDM,498941,IMPLANT TALAR RT SZ2,31028.0,31028.0,4654.2,31028.0,30
CDM,498942,SCREW SPNL 7.2X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,498943,SCREW SPNL 6.2MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,498944,ROD SPN STR 5.5X200MM,2711.0,2711.0,406.65,2711.0,30
CDM,498947,CAGE SPN 5D 12X10X27MM,8858.0,8858.0,1328.7,8858.0,30
CDM,498948,PLATE Y BONE BETA MAXLOC,4912.0,4912.0,736.8,4912.0,30
CDM,498949,SCREW BN 3.5MM 24MM NLCK,1356.0,1356.0,203.4,1356.0,30
CDM,498950,LINER ALT XLE+5LAT G5 36,4429.0,4429.0,664.35,4429.0,30
CDM,498951,SCREW BN 3.5MM 20MM ANK,1356.0,1356.0,203.4,1356.0,30
CDM,498952,SCREW BN 3.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,498953,INSERT TIB POR SZ5F/FT,5758.0,5758.0,863.7,5758.0,30
CDM,498955,NAIL FEM 10MM 340MM,4460.0,4460.0,669.0,4460.0,30
CDM,498956,TOOL TUNNLNG 30CM,1702.5,1702.5,255.38,1702.5,42
CDM,498957,PLATE BN 6HL 5.0MM 166MM,5402.0,5402.0,810.3,5402.0,30
CDM,498958,SCREW BN 5.0MM 80MM,1993.0,1993.0,298.95,1993.0,30
CDM,498959,SCREW BN 4.5MM 40MM 80MM,670.0,670.0,100.5,670.0,30
CDM,498960,SCREW BN 5MM 34MM,3082.0,3082.0,462.3,3082.0,30
CDM,498961,SCREW BN 5MM 20MM,1993.0,1993.0,298.95,1993.0,30
CDM,498962,SCREW BN 4.5MM 70MM,670.0,670.0,100.5,670.0,30
CDM,498963,SCREW BN 4.5MM 75MM,670.0,670.0,100.5,670.0,30
CDM,498964,NAIL BN 11MM 36CM,6840.0,6840.0,1026.0,6840.0,30
CDM,498965,NAIL BN 10MM 235MM,4762.0,4762.0,714.3,4762.0,30
CDM,498966,DRILL BIT SPN 14MM,773.0,773.0,115.95,773.0,42
CDM,498967,NAIL BN 130D 10MM 38CM,8105.0,8105.0,1215.75,8105.0,30
CDM,498968,SCREW BN 3.5MM 5MM 60MM,1435.0,1435.0,215.25,1435.0,30
CDM,498969,NAIL BN 12MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,498970,ADAPTER LNR ACTB 54-56MM,6644.0,6644.0,996.6,6644.0,30
CDM,498971,LINER ACTB HIP 54-56X28,6644.0,6644.0,996.6,6644.0,30
CDM,498972,STENT URET 7FR 80CM,2400.0,2400.0,360.0,2400.0,30
CDM,498973,SCREW BN 4.0MM 40MM,3430.0,3430.0,514.5,3430.0,30
CDM,498974,SCREW BN 3MM 30MM,3430.0,3430.0,514.5,3430.0,30
CDM,498975,BOLT ORTH FT 85MM 5MM,7339.0,7339.0,1100.85,7339.0,30
CDM,498976,BEAM BN FOOT 110MM 7MM,7437.0,7437.0,1115.55,7437.0,30
CDM,498977,BOLT ORTH FT 135MM 5MM,7339.0,7339.0,1100.85,7339.0,30
CDM,498978,BOLT EXFX HINGE LNG 16MM,980.0,980.0,147.0,980.0,42
CDM,498979,STRUT EX FIX 131-191MM,12892.5,12892.5,1933.88,12892.5,42
CDM,498980,PIN EXFX POST 3HL,1718.5,1718.5,257.77,1718.5,42
CDM,498981,AUGMENT FEM KN SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,498982,CMPNT FEM KN 7X60X53MM,7087.0,7087.0,1063.05,7087.0,30
CDM,498983,GLENOSPHERE SHLDR 42MM,7308.0,7308.0,1096.2,7308.0,30
CDM,498984,PLATE SPN 1LVL 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,498985,PLATE SPN 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,498986,PLATE SPN 2LVL 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,498987,SCREW BN SPN 4.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,498988,SCREW BN SPN 4.6MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,498989,PROBE IO-FLX MCROBLD SHV,1457.0,1457.0,218.55,1457.0,42
CDM,498990,CAGE SPN 5D 15X12X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,498991,PLATE SPN 1LVL 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,498992,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,498993,SCREW SPN TEMP FX DISP,386.5,386.5,57.98,386.5,42
CDM,498994,PLATE BN MNDBL 4H 77MM,1197.5,1197.5,179.63,1197.5,30
CDM,498995,SYSTEM BNCMNT VAC MX,961.5,961.5,144.22,961.5,42
CDM,498999,INSERT TIB KN SZ4 19MM,7175.0,7175.0,1076.25,7175.0,30
CDM,499000,CMPNT TIB POLY SZ5 14MM,4252.0,4252.0,637.8,4252.0,30
CDM,499001,SCREW BN 4.75MM 15MM,1170.0,1170.0,175.5,1170.0,30
CDM,499002,STEM HUM SHLDR 55MM 10MM,11959.0,11959.0,1793.85,11959.0,30
CDM,499003,SCREW BN 3.5MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,499004,SCREW BN 3.5MM 34MM,1356.0,1356.0,203.4,1356.0,30
CDM,499005,PLATE BN MET LEFT,7370.0,7370.0,1105.5,7370.0,30
CDM,499006,INSERT EIP4S14R,4429.0,4429.0,664.35,4429.0,30
CDM,499007,ANCHOR SUT 3.9MM 17.9MM,3189.0,3189.0,478.35,3189.0,30
CDM,499008,WASHER BOLT EX FIX 2MM,289.5,289.5,43.42,289.5,42
CDM,499009,SCREW BN 4.0MM 54MM,3430.0,3430.0,514.5,3430.0,30
CDM,499010,SCREW BN 4MM 42MM,3430.0,3430.0,514.5,3430.0,30
CDM,499011,ROD CONNECTOR SPNE 5.5,3012.0,3012.0,451.8,3012.0,30
CDM,499012,GLENOID SHLDR 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,499013,AUG FEM POST SZ10 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,499014,CMPNT KN CMNT RT SZ10,18159.0,18159.0,2723.85,18159.0,30
CDM,499015,INSERT KN TIB SZ10 12MM,8309.0,8309.0,1246.35,8309.0,30
CDM,499017,CAGE SPN 9X28X6MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499019,BOLT BN LCK 40MM,4252.0,4252.0,637.8,4252.0,30
CDM,499020,SCREW BN SPN 4.2MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499021,PLATE SPN 2LVL 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,499023,SCREW BN SPN 4.6MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,499024,IMPLANT BREAST 560CC,5315.0,5315.0,797.25,5315.0,30
CDM,499025,TRAY TIBIAL SIZE 4F/3T,5758.0,5758.0,863.7,5758.0,30
CDM,499026,CMPNT FEM KN RT SZ 4,8416.0,8416.0,1262.4,8416.0,30
CDM,499027,INSERT TIB KN SZ6-8MM,4606.0,4606.0,690.9,4606.0,30
CDM,499028,INSERT FEM KN RT SZ9,18159.0,18159.0,2723.85,18159.0,30
CDM,499029,SCREW SPNL 4.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,499030,STEM HIP LOW OFST SZ3,8858.0,8858.0,1328.7,8858.0,30
CDM,499031,SPACER SPN 8D 12X14X27MM,24116.0,24116.0,3617.4,24116.0,30
CDM,499032,SCREW BN 7MM 45MM,3975.0,3975.0,596.25,3975.0,30
CDM,499033,INSERT KN TIB RT 20MM,9966.0,9966.0,1494.9,9966.0,30
CDM,499034,PLATE BN LFT 7HL 2.7MM,4346.0,4346.0,651.9,4346.0,30
CDM,499035,SCREW BN 4MM 6MM 48MM,352.0,352.0,52.8,352.0,30
CDM,499036,SCREW BN 5MM 25MM,2538.0,2538.0,380.7,2538.0,30
CDM,499037,NAIL BN ANKL 10MM 20CM,8195.0,8195.0,1229.25,8195.0,30
CDM,499038,BIT DRILL 4.2MM 250MM,1110.0,1110.0,166.5,1110.0,42
CDM,499039,INTBDY DVC 24X30X13MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499042,CAGE SPNL 6D 12X14X23MM,50934.0,50934.0,7640.1,50934.0,30
CDM,499043,SCREW SPN 4.5MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,499044,CMPNT ACTB TRIFL RT SZ25,58906.0,58906.0,8835.9,58906.0,30
CDM,499045,HEAD FEM HIP 12/14 -6MM,5820.0,5820.0,873.0,5820.0,30
CDM,499046,MOLD FEM SPR LG 53X75MM,5891.0,5891.0,883.65,5891.0,42
CDM,499047,IMPL TIB ALPLY SZ9 12MM,4651.0,4651.0,697.65,4651.0,30
CDM,499049,CROSSLINK SPNL HD2HD MED,3012.0,3012.0,451.8,3012.0,30
CDM,499050,SCREW SET EXTENDED,753.0,753.0,112.95,753.0,30
CDM,499051,ENDPLATE SPNL 14X28X14MM,24714.0,24714.0,3707.1,24714.0,30
CDM,499052,SPACER SPNL 14MM 14MM,3558.0,3558.0,533.7,3558.0,30
CDM,499053,CORE SPN 14X35-45MM,24714.0,24714.0,3707.1,24714.0,30
CDM,499054,SPACER SPNL 14X14MM,3558.0,3558.0,533.7,3558.0,30
CDM,499055,SPCR ENDPLT UPPR 14X14MM,3558.0,3558.0,533.7,3558.0,30
CDM,499056,ENDPLATE SPN 7D 14X14MM,3558.0,3558.0,533.7,3558.0,30
CDM,499057,SCREW BN P-AX 7.5X90MM,3765.0,3765.0,564.75,3765.0,30
CDM,499058,GRAFT STNT 42MM 157MM,62582.0,62582.0,9387.3,62582.0,30
CDM,499059,ROD SPN 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,499060,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,499061,SCREW BN F-T 2.7X32MM,1370.0,1370.0,205.5,1370.0,30
CDM,499062,SCREW BN T10 3.5X42MM,2518.0,2518.0,377.7,2518.0,30
CDM,499063,SCREW BN 2.4MM 30MM,1317.0,1317.0,197.55,1317.0,30
CDM,499064,PLATE BN MESH CALC SM,4313.0,4313.0,646.95,4313.0,30
CDM,499065,STEM FEM KN 13MM 135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,499066,INSERT KN TIB RT 10MM,9966.0,9966.0,1494.9,9966.0,30
CDM,499067,STAPLE BN 18X15MM,5685.0,5685.0,852.75,5685.0,30
CDM,499068,PLATE Y BN 2HL,4429.0,4429.0,664.35,4429.0,30
CDM,499069,SCREW BN T10 3.5X22MM,2518.0,2518.0,377.7,2518.0,30
CDM,499070,SCREW BN NLCKG 2.7X45MM,1317.0,1317.0,197.55,1317.0,30
CDM,499071,COMPONENT ELB RT 3X75MM,16917.0,16917.0,2537.55,16917.0,30
CDM,499072,LNR ACTB DURLC 72X32,6644.0,6644.0,996.6,6644.0,30
CDM,499073,SCREW SPNL 3.5MM 14MM,4428.0,4428.0,664.2,4428.0,30
CDM,499074,SYSTEM SET SCREW,1063.0,1063.0,159.45,1063.0,30
CDM,499075,ROD SPN TI PRELRD 4X55MM,2711.0,2711.0,406.65,2711.0,30
CDM,499076,TIBIAL INSRT FIXED #4/10,4429.0,4429.0,664.35,4429.0,30
CDM,499078,HEAD FEM HIP LG +8X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,499079,SCREW BN MINI 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,499080,SCREW BN 3.7MM 38MM,4429.0,4429.0,664.35,4429.0,30
CDM,499081,GRAFT STNT 24MM 100MM,57506.0,57506.0,8625.9,57506.0,30
CDM,499082,CAGE SPN 0D 10X12X23MM,7530.0,7530.0,1129.5,7530.0,30
CDM,499083,GUIDEPIN ORTH 27MM,386.5,386.5,57.98,386.5,42
CDM,499085,COMPT HIP FEM SZ0,7530.0,7530.0,1129.5,7530.0,30
CDM,499086,SLEEVE TIB KN PRCT 61MM,10241.0,10241.0,1536.15,10241.0,30
CDM,499087,SCREW SPN PLYAX 4.5X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,499088,CANNULA BTN 10MM 5CM,148.0,148.0,22.2,148.0,42
CDM,499089,SCREW BN 5MM 35MM,2538.0,2538.0,380.7,2538.0,30
CDM,499091,KWIRE FX 2MM 315MM,773.0,773.0,115.95,773.0,42
CDM,499092,SCREW BN 5MM 20MM,1818.0,1818.0,272.7,1818.0,30
CDM,499093,INSERT TIB KN SZ5-6 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,499094,SPACER SPNL 15X12X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,499095,SCREW SPN VAR 5.0X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,499096,SCREW TEMP CERV PLATE,386.5,386.5,57.98,386.5,42
CDM,499098,DRILL FIXED 2.4MM 14MM,773.0,773.0,115.95,773.0,42
CDM,499100,PLATE BN 2HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,499101,SCREW BN 2MM 18MM,3189.0,3189.0,478.35,3189.0,30
CDM,499102,SCREW BN 2.0MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,499103,BIT DRILL CANN 1.6X95MM,3439.0,3439.0,515.85,3439.0,42
CDM,499104,INSERT ANKL SZ4 13MM,15059.0,15059.0,2258.85,15059.0,30
CDM,499105,GUIDE SURG CSTM,7173.0,7173.0,1075.95,7173.0,42
CDM,499106,DRILL SURG DISP 6MM,2529.5,2529.5,379.43,2529.5,42
CDM,499107,BIT DRILL SIZE 4,1342.5,1342.5,201.38,1342.5,42
CDM,499108,GRAFT WDG CTTN 22X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499109,SCREW BN 4.0MM 60MM,3430.0,3430.0,514.5,3430.0,30
CDM,499110,SCREW BN 3MM 28MM,3430.0,3430.0,514.5,3430.0,30
CDM,499111,BURR ORT 2MM 12MM,2816.0,2816.0,422.4,2816.0,42
CDM,499112,KWIRE BLNT 1.4MM 150MM,541.0,541.0,81.15,541.0,42
CDM,499113,COVER BN BURR HL 14M,3189.0,3189.0,478.35,3189.0,30
CDM,499114,SCREW BN 1.5MM 4MM,1363.0,1363.0,204.45,1363.0,30
CDM,499115,SCREW BN 1.5MM 5MM,1184.0,1184.0,177.6,1184.0,30
CDM,499116,PLATE BN 2H 0.4MM 16MM,2689.0,2689.0,403.35,2689.0,30
CDM,499117,COVER BUR HL 0.4X7MM,3189.0,3189.0,478.35,3189.0,30
CDM,499118,CONNECTOR ROD LT 16MM,7973.0,7973.0,1195.95,7973.0,30
CDM,499119,STEM FEM KN 16X100MM,4606.0,4606.0,690.9,4606.0,30
CDM,499120,PLATE CERV 2 LEVEL 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,499121,PLATE BN 10H 187MM,5228.0,5228.0,784.2,5228.0,30
CDM,499122,INSERT TIB KN SZ6 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,499123,STEM FEM 110MM 22MM,4643.0,4643.0,696.45,4643.0,30
CDM,499124,BEARING SHLDR STD 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,499125,BRNG HUM SHLDR +3 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,499126,CAGE SPNL 9X27 0DEG -10,8858.0,8858.0,1328.7,8858.0,30
CDM,499127,MESH DYNMC 90X90X.3MM,7763.0,7763.0,1164.45,7763.0,30
CDM,499128,BOOT EXTERN STIMULATOR,386.5,386.5,57.98,386.5,42
CDM,499129,BIT DRILL DISP 2.5X45MM,973.0,973.0,145.95,973.0,42
CDM,499130,BIT DRILL DISP 2.8MM 80M,1023.5,1023.5,153.53,1023.5,42
CDM,499131,INSERT HUM SHLDR 36X6MM,4606.0,4606.0,690.9,4606.0,30
CDM,499132,SCREW SPNL FEN 5.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,499133,SCREW SPN 5.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,499134,SCREW SPNL FEN 5.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,499136,SPACER SPNL 18X15MM,3558.0,3558.0,533.7,3558.0,30
CDM,499137,ENDPLATE SPN 0D 15X18,3558.0,3558.0,533.7,3558.0,30
CDM,499138,CAGE SPNL TLIF PEEK 12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499139,SPACER SPN 7D 12X14X21MM,12174.0,12174.0,1826.1,12174.0,30
CDM,499140,SCREW SPN SLFDRL 4X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499141,SCREW SPNL 4X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499142,PLATE 28MM FLCN BN SPN,4429.0,4429.0,664.35,4429.0,30
CDM,499143,STEM FEM 135X14MM,6644.0,6644.0,996.6,6644.0,30
CDM,499144,SHELL ACTB HIP 50 2-H,4606.0,4606.0,690.9,4606.0,30
CDM,499145,LINER ACTB HIP 36D 4MM,6049.0,6049.0,907.35,6049.0,30
CDM,499146,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,499147,STEM FEM HIP SZ4,8858.0,8858.0,1328.7,8858.0,30
CDM,499148,HEAD FEM HIP SZM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,499149,CAGE SPNL 14D 36X27X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499150,STEM FEM HIP 5MM 95MM,7530.0,7530.0,1129.5,7530.0,30
CDM,499151,DRILL FIXED 2.4X16MM,773.0,773.0,115.95,773.0,42
CDM,499152,BLOCK TIB KN SZ6 30MM,6230.0,6230.0,934.5,6230.0,30
CDM,499153,BLOCK TIB KN SZ6 30MM,6230.0,6230.0,934.5,6230.0,30
CDM,499154,SCREW SPN P-AX 4.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,499155,STEM FEM HIP 17X195MM,9695.0,9695.0,1454.25,9695.0,30
CDM,499156,KN BASEPLT TB JRNY SZ6-L,4606.0,4606.0,690.9,4606.0,30
CDM,499157,SCREW SPN SHNK 7.5MM50MM,3012.0,3012.0,451.8,3012.0,30
CDM,499158,TULIP SPN MOD P-AX,3012.0,3012.0,451.8,3012.0,30
CDM,499159,SCREW SET SPN,753.0,753.0,112.95,753.0,30
CDM,499160,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,499161,SPACER SPN 5D 10X30X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499162,SCREW SPN SHNK 7.5MM40MM,3012.0,3012.0,451.8,3012.0,30
CDM,499163,SCREW SPN SHNK 7.5MM45MM,3012.0,3012.0,451.8,3012.0,30
CDM,499164,SPACER SPN 5D 10X30X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499166,PLATE SPN CERVICAL 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,499167,SCREW SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499168,CAGE SPNL 8F 18X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,499170,STEM FEM 190MM 15MM,7805.0,7805.0,1170.75,7805.0,30
CDM,499171,PLATE BN 10H 187MM 3.5MM,5749.0,5749.0,862.35,5749.0,30
CDM,499172,IMPL KN TIB POST SZ4 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,499173,STEM FEM HIP SZ14,6201.0,6201.0,930.15,6201.0,30
CDM,499174,STEM FEM HIP 11MM,1170.0,1170.0,175.5,1170.0,30
CDM,499175,LINER HIP 47MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,499176,WEDGE TIB KN RL LT SZ3-4,4606.0,4606.0,690.9,4606.0,30
CDM,499177,GDPIN HEADLESS 46MM,773.0,773.0,115.95,773.0,42
CDM,499178,CAGE SPNL 36X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499179,LINER HIP ACTB 55MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,499180,CAGE SPNL 8D 8X36X27MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499181,CMPNT FEM HIP SZ0,7973.0,7973.0,1195.95,7973.0,30
CDM,499183,INSERT ACTB HIP 28/46MM,4429.0,4429.0,664.35,4429.0,30
CDM,499184,LINER ACTB HIP 46/60MM,4606.0,4606.0,690.9,4606.0,30
CDM,499185,NAIL BN FEM LT 12X235MM,4762.0,4762.0,714.3,4762.0,30
CDM,499186,SCREW BN SPN 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,499187,STEM HUM SHLDR 83MM 15MM,11959.0,11959.0,1793.85,11959.0,30
CDM,499188,INSERT TIB KN 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,499189,INSR UNI S1-2 LM/RL 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499191,IMPL KN TIB POST SZ8 7MM,4651.0,4651.0,697.65,4651.0,30
CDM,499192,SCREW BN 6.5MM 80MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,499193,GWIRE ORTH 3.2MM 300MM,575.0,575.0,86.25,575.0,42
CDM,499194,SCREW BN 6.5X40X50MM,3189.0,3189.0,478.35,3189.0,30
CDM,499195,SCREW BN 8MM 25MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,499196,PLATE BN BROAD STR 3H,4429.0,4429.0,664.35,4429.0,30
CDM,499197,GRAFT BN CANC ALGRF 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,499199,SCREW BN 1.85MM 6MM,1166.0,1166.0,174.9,1166.0,30
CDM,499200,SCREW BN 1.85MM 8MM,1348.0,1348.0,202.2,1348.0,30
CDM,499201,SCREW BN 3MM 12MM,1166.0,1166.0,174.9,1166.0,30
CDM,499202,PLATE BN 6H 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,499203,COMPNT FEM KN RT SZ5+,6201.0,6201.0,930.15,6201.0,30
CDM,499204,INSERT TIB RT #4R 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499205,GRAFT BN WDG 5.5CMX12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499206,PLATE POSTR TIBIA SM,5723.0,5723.0,858.45,5723.0,30
CDM,499207,SCREW BN 3.5MM 44MM,1356.0,1356.0,203.4,1356.0,30
CDM,499208,SCREW BN 3.5MM 28MM,1356.0,1356.0,203.4,1356.0,30
CDM,499211,NAIL FEM 10D 10X320MM,6649.0,6649.0,997.35,6649.0,30
CDM,499212,SCREW BN LCK NAIL 2X36MM,2656.0,2656.0,398.4,2656.0,30
CDM,499213,SCREW BN NAIL LCK 5X40MM,2738.0,2738.0,410.7,2738.0,30
CDM,499214,SCREW BN NAIL LCK 5X56MM,2738.0,2738.0,410.7,2738.0,30
CDM,499216,SPACER SPN 8D 9X16X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,499217,SPACER SPN 8D 16X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,499218,PLATE SPN 2LVL HPR-C 30M,4429.0,4429.0,664.35,4429.0,30
CDM,499219,CMPNT TIB KN LT SZ3,4872.0,4872.0,730.8,4872.0,30
CDM,499220,CMPNT FEM KN LT SZ3,6201.0,6201.0,930.15,6201.0,30
CDM,499221,INSERT TIB RT #3L 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,499223,BOLT BN FEM ALLOY 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,499224,SCREW BN LCK ST 5X40MM,3098.0,3098.0,464.7,3098.0,30
CDM,499225,SCREW BN FEM STRL 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,499226,PLATE BN FEM NK 1HL,4429.0,4429.0,664.35,4429.0,30
CDM,499227,PLATE OCCIPITAL MED,6644.0,6644.0,996.6,6644.0,30
CDM,499228,CROSSLINK 3.5/4.0MM,3012.0,3012.0,451.8,3012.0,30
CDM,499229,SCREW SPN SHNK 8.5MM45MM,3012.0,3012.0,451.8,3012.0,30
CDM,499230,ROD SPN 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,499231,INSERT TIB KN SZ5,5315.0,5315.0,797.25,5315.0,30
CDM,499232,BSPLT TIB EVL KN PRM 5/6,2126.0,2126.0,318.9,2126.0,30
CDM,499233,PIN FX 2.5MM 14MM,1858.0,1858.0,278.7,1858.0,42
CDM,499234,SCREW BN 2.7X4.5X10MM,1946.0,1946.0,291.9,1946.0,30
CDM,499235,PLATE BN 5H 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,499236,SCREW BN 2.4MM 34MM,602.0,602.0,90.3,602.0,30
CDM,499239,INSERT TIB 4 9MM KN BRNG,4606.0,4606.0,690.9,4606.0,30
CDM,499241,SCREW SPN SHNK 5.5MM45MM,3012.0,3012.0,451.8,3012.0,30
CDM,499242,SCREW SPNL 4.5X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,499243,BIT DRILL CERV 2.5X12MM,386.5,386.5,57.98,386.5,42
CDM,499244,STEM FEM HIP SZ22 240MM,20336.0,20336.0,3050.4,20336.0,30
CDM,499245,LINER ACTB HIP SZG 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,499246,PLATE CRV SWGD 2LVL 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,499247,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,499248,ROD SPN STRGH 5.5X450MM,2711.0,2711.0,406.65,2711.0,30
CDM,499249,ROD MIS PREBENT 35MM TI,2711.0,2711.0,406.65,2711.0,30
CDM,499250,SCREW SPNE CERV 3.5X60,2711.0,2711.0,406.65,2711.0,30
CDM,499253,PLATE BN 6H 29MM 3.5MM,4548.0,4548.0,682.2,4548.0,30
CDM,499254,SCREW BN 2.7MM 26MM,2258.0,2258.0,338.7,2258.0,30
CDM,499255,SCREW BN 2.7MM 32MM,2258.0,2258.0,338.7,2258.0,30
CDM,499256,COMPNT PTLR KN SZ4,4252.0,4252.0,637.8,4252.0,30
CDM,499257,COM0PNENT FEM LT SZ4+,6644.0,6644.0,996.6,6644.0,30
CDM,499258,INSERT TIB 4 12MM LT FX,4429.0,4429.0,664.35,4429.0,30
CDM,499259,INSERT HUM SHLDR 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,499260,COMPNT HUM SHD RSP NTRL,6228.0,6228.0,934.2,6228.0,30
CDM,499261,CMPNT GLND TTL SHLDR LG,4767.0,4767.0,715.05,4767.0,30
CDM,499262,BODY HUM 19.2X15.4X35MM,5438.0,5438.0,815.7,5438.0,30
CDM,499263,STEM PRESS FIT 25X12MM,5046.0,5046.0,756.9,5046.0,30
CDM,499264,HEAD HUM SHLDR 22X50MM,5560.0,5560.0,834.0,5560.0,30
CDM,499265,SCREW MOD BODY HUMERAL,1579.0,1579.0,236.85,1579.0,30
CDM,499266,INSERT TIB KN MED 12MM,17705.0,17705.0,2655.75,17705.0,30
CDM,499267,SCREW BN 1.5MM 8MM,625.0,625.0,93.75,625.0,30
CDM,499268,INSERT ANKLE SZ3 10MM,15502.0,15502.0,2325.3,15502.0,30
CDM,499269,BEARING KN 63/67X16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499270,CMPNT FEM NAR KN LT SZ7,7973.0,7973.0,1195.95,7973.0,30
CDM,499271,SURF ARTC KN 6-9 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,499272,CUP ACTB 3H 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,499273,SCREW SPN PAX 5.5X7X45MM,4030.0,4030.0,604.5,4030.0,30
CDM,499274,CANNULA BN GRFT FNSTRT,773.0,773.0,115.95,773.0,42
CDM,499275,SPACER SPN 26MM 13MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499276,HEAD FEM CERM SZSM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,499277,STEM FEM KN EVOL SZ4 L,7973.0,7973.0,1195.95,7973.0,30
CDM,499279,SENSOR MNTR 12X10X9IN LG,773.0,773.0,115.95,773.0,42
CDM,499280,IMPLANT CRANIAL PEEK SM,46505.0,46505.0,6975.75,46505.0,30
CDM,499281,STENT URET 7FR 24CM,3016.0,3016.0,452.4,3016.0,30
CDM,499283,BURR SURG 4MM,805.0,805.0,120.75,805.0,42
CDM,499284,GRAFT HEMI CNDYL MDL LT,51687.0,51687.0,7753.05,51687.0,30
CDM,499285,STENT PANC 5FR 9CM,1196.0,1196.0,179.4,1196.0,30
CDM,499286,EXTRACTOR SURG 12-24,2046.5,2046.5,306.98,2046.5,42
CDM,499287,EXTRACTOR SURG 1-6G M6,2046.5,2046.5,306.98,2046.5,42
CDM,499296,BLADE SHVR ASCP 5X125MM,572.0,572.0,85.8,572.0,42
CDM,499302,SUTURE UND MONO 2-0 36IN,37.5,37.5,5.63,37.5,42
CDM,499304,GRAFIX STRAVIX PL 1SQCM,3012.0,3012.0,451.8,3012.0,29
CDM,499305,GRAFIX STRAVIX PL 1SQCM,2435.0,2435.0,365.25,2435.0,29
CDM,499306,GRAFIX STRAVIX PL 1SQCM,1433.0,1433.0,214.95,1433.0,29
CDM,499307,ARTHROFLEX 1SQCM,2071.0,2071.0,310.65,2071.0,30
CDM,499309,GRAFIX STRAVIX PL 1SQCM,1505.0,1505.0,225.75,1505.0,29
CDM,499310,CUP ACTB TRIFLNG LT 62MM,44069.0,44069.0,6610.35,44069.0,30
CDM,499311,ELECTRODE ESURG 4IN,84.5,84.5,12.68,84.5,42
CDM,499312,CUP ACTB HIP LT 64MM,44069.0,44069.0,6610.35,44069.0,30
CDM,499313,CUP ACTB HIP RT 60MM,44069.0,44069.0,6610.35,44069.0,30
CDM,499314,CUP ACTB HIP LT 54MM,44069.0,44069.0,6610.35,44069.0,30
CDM,499315,CUP ACTB HIP RT 60MM,44069.0,44069.0,6610.35,44069.0,30
CDM,499320,MEMOD DERM TRZ INT 1SQCM,654.0,654.0,98.1,654.0,29
CDM,499321,MEMOD DERM TRZ INT 1SQCM,680.0,680.0,102.0,680.0,29
CDM,499322,MEMOD DERM TRZ INT 1SQCM,628.0,628.0,94.2,628.0,29
CDM,499323,MEMOD DERM TRZ INT 1SQCM,654.0,654.0,98.1,654.0,29
CDM,499324,MEMOD DERM TRZ INT 1SQCM,607.0,607.0,91.05,607.0,29
CDM,499325,MEMOD DERM TRZ INT 1SQCM,640.0,640.0,96.0,640.0,29
CDM,499326,MEMOD DERM TRZ INT 1SQCM,680.0,680.0,102.0,680.0,29
CDM,499329,SUTURE 2-0 V-5 10X30IN,773.0,773.0,115.95,773.0,42
CDM,499330,SUTURE V-7 2-0 10X30,773.0,773.0,115.95,773.0,42
CDM,499331,SUTURE SZ 2-0 10X30IN,701.5,701.5,105.22,701.5,42
CDM,499335,SUT NABS GRN/WH 2-0 30IN,611.0,611.0,91.65,611.0,42
CDM,499339,CLAMP ESURG ISLTR LNG,27626.5,27626.5,4143.98,27626.5,42
CDM,499341,STENT EPRSTH 9MM 5CM,11416.0,11416.0,1712.4,11416.0,30
CDM,499342,STENT EPRSTH 5CM 10MM,11416.0,11416.0,1712.4,11416.0,30
CDM,499343,CATH EP 6FR 92CM,789.25,789.25,118.39,789.25,42
CDM,499346,CATH ABL 7FR F-J CS 12,1480.0,1480.0,222.0,1480.0,42
CDM,499352,OCCLUDER CV 9F 30MM,38431.0,38431.0,5764.65,38431.0,30
CDM,499353,DEVICE EMBL 25MM 4.5MM,60678.0,60678.0,9101.7,60678.0,30
CDM,499356,GWIRE VASC .035IN 180CM,773.0,773.0,115.95,773.0,42
CDM,499358,DRILL BIT BN GRAFT 6MM,3875.0,3875.0,581.25,3875.0,42
CDM,499359,DRILL BIT BN GRAFT 8MM,3875.0,3875.0,581.25,3875.0,42
CDM,499360,DRILL BIT BN GRAFT 10MM,3875.0,3875.0,581.25,3875.0,42
CDM,499361,DRILL BIT BN GRAFT 12MM,3875.0,3875.0,581.25,3875.0,42
CDM,499366,CATH URTH INTRMT 18FR,15.5,15.5,2.33,15.5,42
CDM,499367,CUP ACTG TRIFLNG LT 50MM,44069.0,44069.0,6610.35,44069.0,30
CDM,499368,DEVICE EMBL 3MM 10MM,63712.0,63712.0,9556.8,63712.0,30
CDM,499369,DEVICE EMBL 4MM 16MM,63712.0,63712.0,9556.8,63712.0,30
CDM,499370,DEVICE EMBL 4.5MM 12MM,63712.0,63712.0,9556.8,63712.0,30
CDM,499377,ELECTRODE PT RTN 15FT,87.0,87.0,13.05,87.0,42
CDM,499378,BIT DRILL CANN 2X145MM,3167.0,3167.0,475.05,3167.0,42
CDM,499384,BLADE OPTH MINI SZ15,36.5,36.5,5.47,36.5,42
CDM,499388,DEV SURG SLV OUTR 14.5MM,773.0,773.0,115.95,773.0,42
CDM,499390,BAR SUPP PECTUS 13.5IN,1842.0,1842.0,276.3,1842.0,30
CDM,499391,BIT DRILL CANN AO 2MM,1432.5,1432.5,214.88,1432.5,42
CDM,499392,BLADE SURG OSTME 50MM,4385.5,4385.5,657.83,4385.5,42
CDM,499393,CAPSULE ENDO 11.4X26.2MM,4267.5,4267.5,640.13,4267.5,42
CDM,499396,SPECULUM VAG XSMALL,35.0,35.0,5.25,35.0,42
CDM,499397,STENT COR 3.25MM 38MM,621.0,621.0,93.15,621.0,30
CDM,499399,SYSTEM MNTR 2X15MM 4.5CM,68365.0,68365.0,10254.75,68365.0,30
CDM,499400,TUBE TRACH 4.5MM 39MM,1678.0,1678.0,251.7,1678.0,42
CDM,499402,CANISTER WND DRN 500ML,456.5,456.5,68.47,456.5,42
CDM,499403,GRAFT BN DBF PTTY 6CC,3765.0,3765.0,564.75,3765.0,30
CDM,499404,GRAFT SPEED TENDON W/ACL,10298.0,10298.0,1544.7,10298.0,30
CDM,499405,PLATE AMBSSDR 3-LVL 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,499406,SCSREW SPN SLFDRL 4X10,1130.0,1130.0,169.5,1130.0,30
CDM,499407,SPACER SPN 6D 14X10X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499408,BASEPLATE SHLDR 25X24.5,7087.0,7087.0,1063.05,7087.0,30
CDM,499409,SPHERE GLEN 36MM 34.5MM,6865.0,6865.0,1029.75,6865.0,30
CDM,499410,LINER HUM 36MM/+0MM,4651.0,4651.0,697.65,4651.0,30
CDM,499411,STEM HUM STD SZ10,8194.0,8194.0,1229.1,8194.0,30
CDM,499412,STEM HUM SHLDR RVRS 11MM,20595.0,20595.0,3089.25,20595.0,30
CDM,499413,INST SURG SHDR GD,4385.5,4385.5,657.83,4385.5,42
CDM,499414,GUIDE ADPT FEM RT SZ F 6,1023.5,1023.5,153.53,1023.5,42
CDM,499415,TUBING IRRIGATION SURG,778.0,778.0,116.7,778.0,42
CDM,499416,INSERT TIB KN SM 12MM,17705.0,17705.0,2655.75,17705.0,30
CDM,499417,SURF ARTC KN 8-9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499418,SCREW BN 3.5MM 10MM,1738.0,1738.0,260.7,1738.0,30
CDM,499419,SCREW BN LCK 3.5X24MM,1738.0,1738.0,260.7,1738.0,30
CDM,499420,DRILL SURG 3.5MM 70MM,773.0,773.0,115.95,773.0,42
CDM,499421,STEM FEM HIP 15MM 140MM,6201.0,6201.0,930.15,6201.0,30
CDM,499422,LINER ACTB HIP 53MM 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,499423,INSERT TIB LT SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499424,CMPNT FEM KN SPHR LT SZ6,6201.0,6201.0,930.15,6201.0,30
CDM,499426,CMPNT SEG KN 7CM,25435.0,25435.0,3815.25,25435.0,30
CDM,499427,WEDGE KN AUG LG,9573.0,9573.0,1435.95,9573.0,30
CDM,499428,INSERT SPHERE RT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499430,STEM FEM KN 18MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,499431,CAGE SPNLTLIF PEEK 13MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499432,SCREW BN 3.2MM 28MM,1356.0,1356.0,203.4,1356.0,30
CDM,499433,INSERT TIB KN SZ2 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,499434,NAIL 1.5X13MM 46CM 125D,8105.0,8105.0,1215.75,8105.0,30
CDM,499435,PLATE SPN ANT LMBAR 22MM,11073.0,11073.0,1660.95,11073.0,30
CDM,499436,CONNECTOR SPNL CX 50M,3012.0,3012.0,451.8,3012.0,30
CDM,499437,CONNECTOR SPNL CX 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,499438,SPACER TI WD 10X36MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499439,CAGE SPNL 6D 10X9X35MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499440,SCREW SPN 5.5/6.0MM,753.0,753.0,112.95,753.0,30
CDM,499441,INSERT ARTC KN SZB 20MM,7858.0,7858.0,1178.7,7858.0,30
CDM,499442,NAIL BN 10MM 11MM 30CM,4872.0,4872.0,730.8,4872.0,30
CDM,499443,GLENOID SHLDR 4 PEG SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,499444,PLATE BN NRW LT 120MM,6945.0,6945.0,1041.75,6945.0,30
CDM,499445,LINER DUAL HIP 44MM 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,499446,STEM FEM HIP 155X13MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499447,INSERT HIP 28X44MM,4429.0,4429.0,664.35,4429.0,30
CDM,499448,CMPNT KN SEG 4CM,25435.0,25435.0,3815.25,25435.0,30
CDM,499449,CMPNT FEM 14MM 24CM,15254.0,15254.0,2288.1,15254.0,30
CDM,499450,PLATE BN TIB RT9HL 220MM,6815.0,6815.0,1022.25,6815.0,30
CDM,499451,BOLT BN FEM ALLOY 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,499452,SCREW BN FEM STRL 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,499453,SCREW BN SLFTP 5X46MM,3189.0,3189.0,478.35,3189.0,30
CDM,499454,COMP FEM KN RT SZ6,6644.0,6644.0,996.6,6644.0,30
CDM,499455,ROD SPN 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,499456,PLATE BN STR 4HL 22MM,751.0,751.0,112.65,751.0,30
CDM,499457,HANDLE INSTR CANN DISP,778.0,778.0,116.7,778.0,42
CDM,499458,CAGE SPN INTERBDY 12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499459,SCREW BN 2MM 36MM,625.0,625.0,93.75,625.0,30
CDM,499460,INSERT ARTC KN 7-8 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499461,REAMER HEAD STRL 18.0MM,4093.0,4093.0,613.95,4093.0,42
CDM,499462,STEM REV KN 22MM +135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,499463,INSERT KN TIB RT 16MM,9966.0,9966.0,1494.9,9966.0,30
CDM,499464,SCREW SPNL PDCL 6.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,499465,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,499466,SCREW SPNL PDCL 6.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,499467,SCREW SPNL PDCL 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,499468,SCREW BN M/T 3.5X45MM,1690.0,1690.0,253.5,1690.0,30
CDM,499469,PLATE SPN 14MM 7MM,4872.0,4872.0,730.8,4872.0,30
CDM,499470,SPACER SPN 7D 14X8X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,499471,SCREW SPN 3.6MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499472,TEMPLATE BN/ORGN CUSTOM,4385.5,4385.5,657.83,4385.5,42
CDM,499473,PLATE MNDB MDFC TI,14397.0,14397.0,2159.55,14397.0,30
CDM,499474,GUIDE SURG TI MANDIBLE,16630.0,16630.0,2494.5,16630.0,42
CDM,499475,SPACER CER 6D 14X16X10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499476,KWIRE TROCAR .9MM 150MM,541.0,541.0,81.15,541.0,42
CDM,499477,CMPNT FEM NAR KN RT SZ9,7973.0,7973.0,1195.95,7973.0,30
CDM,499478,CAGE SPN 36X15X24MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499479,AUG ACTB HIP 15MM45MM,7044.0,7044.0,1056.6,7044.0,30
CDM,499480,INSERT TIB #4L 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,499481,INS KN TIB RT SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499482,LINER HUM H+3MM 39MM,4651.0,4651.0,697.65,4651.0,30
CDM,499483,STEM HUM SHLDR SZ12,8194.0,8194.0,1229.1,8194.0,30
CDM,499485,INSERT SPHERE LT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499486,CMPNT FEM KN LT SZ2+,6644.0,6644.0,996.6,6644.0,30
CDM,499487,STEM FEM HIP 5MM 95MM,7973.0,7973.0,1195.95,7973.0,30
CDM,499488,COMPNT TIBTRY T4I3 LT FX,4872.0,4872.0,730.8,4872.0,30
CDM,499489,CMPNT FEM KN SZ3+,6201.0,6201.0,930.15,6201.0,30
CDM,499490,INSERT TIB KN LT 3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499491,SCREW BN SPNL 4.5X24MM,3765.0,3765.0,564.75,3765.0,30
CDM,499492,SCREW BN SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,499493,SCREW BN SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,499494,COMPONENT KN FEM SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,499495,TRAY TIB SZ6F/6T,5758.0,5758.0,863.7,5758.0,30
CDM,499496,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,499497,STEM FEM KN 15MM 135MM,10364.0,10364.0,1554.6,10364.0,30
CDM,499498,CONNECTOR SPNL LAT 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,499499,CMPNT FEM KN LT SZ5,8416.0,8416.0,1262.4,8416.0,30
CDM,499500,PLATE SPNL 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,499501,PLATE SPNL 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,499502,CMPNT TIB BRG PS63/67X10,6142.0,6142.0,921.3,6142.0,30
CDM,499503,STEM KN FEM SP EXT14X120,4606.0,4606.0,690.9,4606.0,30
CDM,499504,CMPNT FEM CR CMNT SZ9,6644.0,6644.0,996.6,6644.0,30
CDM,499505,CMPNT TIB POLY SZ7 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,499506,PLATE HUM 6H 160MM 3.5MM,5804.0,5804.0,870.6,5804.0,30
CDM,499507,BASEPLATE TIB KN RT SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,499508,SPACER SPN 16MM 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,499509,SCREW SPNL S/T 4X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,499510,SPACER SPN 16MM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,499511,SCREW SPNL P-AX 5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,499512,SCREW SPN PAX 5X5.5X45MM,4030.0,4030.0,604.5,4030.0,30
CDM,499513,SCREW SPN PAX 5.5X6X40MM,4030.0,4030.0,604.5,4030.0,30
CDM,499514,ROD SPNL 70MM VPR,2711.0,2711.0,406.65,2711.0,30
CDM,499515,LINER ACTB HIP SZF 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,499516,ROD SPN 3.5/5.5MM 420MM,3012.0,3012.0,451.8,3012.0,30
CDM,499517,BIT DRILL 2.4MM,2783.0,2783.0,417.45,2783.0,42
CDM,499518,CMPNT TIB KN RT SZT4-I3,4872.0,4872.0,730.8,4872.0,30
CDM,499520,INSERT TIB #3R 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499521,CAGE SPNL 14X12X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,499522,CMPNT TIBIAL RT SIZE 3,9053.0,9053.0,1357.95,9053.0,30
CDM,499523,CMPNT ANKL SZ3 14MM,14926.0,14926.0,2238.9,14926.0,30
CDM,499524,CAGE SPN 12D 40X11MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499525,CAGE SPNL 28X11X10MM 12D,8858.0,8858.0,1328.7,8858.0,30
CDM,499526,INSERT TIB KN SZ5 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,499527,STENT GFT ENDRT 18F 28MM,26942.0,26942.0,4041.3,26942.0,30
CDM,499528,PLATE SPN 3LVL 57MM,4429.0,4429.0,664.35,4429.0,30
CDM,499530,LINER ACTB HIP 44/58MM,4606.0,4606.0,690.9,4606.0,30
CDM,499531,STEM FEM HIP SZ19 190MM,18523.0,18523.0,2778.45,18523.0,30
CDM,499532,CMPNT FEM KN PS RT SZ7,7397.0,7397.0,1109.55,7397.0,30
CDM,499533,STEM HUM SHLDR 101X16MM,12402.0,12402.0,1860.3,12402.0,30
CDM,499534,IMPLANT SHLDR SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,499535,HEAD HUM SHLDR 21X50MM,4872.0,4872.0,730.8,4872.0,30
CDM,499536,PLATE BN 17X10X.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,499537,PLATE SPN LAT 26MM 4HL,6644.0,6644.0,996.6,6644.0,30
CDM,499539,INSERT TIB LT SZ1 13MM,10852.0,10852.0,1627.8,10852.0,30
CDM,499540,SCREW BN 6.5MM 20MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,499541,PLATE BN 3D LEFT,4119.0,4119.0,617.85,4119.0,30
CDM,499542,SCREW BN 5MM 80MM,2604.0,2604.0,390.6,2604.0,30
CDM,499543,INSERT ANKL SZ2+ 8MM,14926.0,14926.0,2238.9,14926.0,30
CDM,499544,SCREW BN 4MM 20MM,2369.0,2369.0,355.35,2369.0,30
CDM,499545,SCREW BN 4MM 18MM,2369.0,2369.0,355.35,2369.0,30
CDM,499546,INSERT TIB KN RT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,499548,SCREW BN SLFDRL 4.2X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,499549,SCREW SPNL 4.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,499550,ROD SPN TPR 4/5.5X350MM,2711.0,2711.0,406.65,2711.0,30
CDM,499551,SCREW SPNL P-AX 5.0X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,499552,SPACER SPN 3.5D 14MM,3558.0,3558.0,533.7,3558.0,30
CDM,499553,SPACER SPN 14X16MM 0D,3558.0,3558.0,533.7,3558.0,30
CDM,499554,PLATE CERV ANT LVL3 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,499555,SCREW SPN 4.5MM 25MM,4030.0,4030.0,604.5,4030.0,30
CDM,499556,SCREW SPN 4.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,499557,SCREW SPN FNSTR 5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,499559,HEAD ECCNTRC SHLDR 16X42,5679.0,5679.0,851.85,5679.0,30
CDM,499560,GLENOID PEG SMALL SHLDR,4869.0,4869.0,730.35,4869.0,30
CDM,499561,BODY HUM 18.1X13.7X35MM,5554.0,5554.0,833.1,5554.0,30
CDM,499562,SCREW BN CANC 35MM,798.0,798.0,119.7,798.0,30
CDM,499563,LEAD EXT 35CM,3721.0,3721.0,558.15,3721.0,30
CDM,499564,KIT NRSTM TRIAL,773.0,773.0,115.95,773.0,42
CDM,499565,INSERT SPHERE RT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499566,COMPONENT FEM 5 KN LT CR,7973.0,7973.0,1195.95,7973.0,30
CDM,499567,PLATE 9HL 7PEG STD SZ,4340.0,4340.0,651.0,4340.0,30
CDM,499568,INSERT SPHERE LT S4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499569,COMPONENT FEM 3N KN RT P,7206.0,7206.0,1080.9,7206.0,30
CDM,499570,INSERT HIP STD NK 12/14,1170.0,1170.0,175.5,1170.0,30
CDM,499571,IMPLANT TIB SZ4 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,499572,STEM FEM HIP SZ3 96MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499573,CAGE SPNL 15X8MM,4429.0,4429.0,664.35,4429.0,30
CDM,499574,SCREWDRIVER HEX SHFT 2.5,386.5,386.5,57.98,386.5,42
CDM,499575,HIP SHELL ACTB CMNT 59MM,4429.0,4429.0,664.35,4429.0,30
CDM,499576,CAGE SPNL SHORT 9MM,23031.0,23031.0,3454.65,23031.0,30
CDM,499577,CAGE SPNL FUSION 7MM,23031.0,23031.0,3454.65,23031.0,30
CDM,499578,IMPLANT JOINT FNGR SZ40,4606.0,4606.0,690.9,4606.0,30
CDM,499579,PLATE CERV 1 LV 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499580,SCREW SPNL S/T 4X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499581,STEM FEM HIP SZ9,8416.0,8416.0,1262.4,8416.0,30
CDM,499582,WEDGE FEM SZ7 5MM 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,499583,PLATE BN FRAG DBL STK,4429.0,4429.0,664.35,4429.0,30
CDM,499584,PEG BN CORT 2.7X32MM,1690.0,1690.0,253.5,1690.0,30
CDM,499585,CMPNT TIB PS SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499586,STEM FEM HIP 135D SZ18,8416.0,8416.0,1262.4,8416.0,30
CDM,499587,STEM FEM 18MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,499588,CMPNT FEM HIP SZD 80MM,16725.0,16725.0,2508.75,16725.0,30
CDM,499589,INSERT TIB KN SZ7-8 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,499590,STEM FEM HIP 12MM 125MM,6644.0,6644.0,996.6,6644.0,30
CDM,499591,IMPLANT TIB KN SZ5 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,499592,SPHERE GLND 42MM,6644.0,6644.0,996.6,6644.0,30
CDM,499593,BASEPLATE SHLD 15D 29MM,7973.0,7973.0,1195.95,7973.0,30
CDM,499594,LINER HUM SHLDR36MM +3MM,4651.0,4651.0,697.65,4651.0,30
CDM,499595,PLATE BN FIB 6H RT 103MM,4872.0,4872.0,730.8,4872.0,30
CDM,499596,SCREW BN 4MM 50MM,2392.0,2392.0,358.8,2392.0,30
CDM,499597,SCREW BN 4MM 48MM,2392.0,2392.0,358.8,2392.0,30
CDM,499598,SCREW BN LCK 2.7MM 10MM,1953.0,1953.0,292.95,1953.0,30
CDM,499599,DRILL ORTHO DISP 2.7MM,2141.5,2141.5,321.23,2141.5,42
CDM,499600,DRILL SRG QRLS MRK 2MM,1053.0,1053.0,157.95,1053.0,42
CDM,499601,DRILL ORTHO DISP 2.8MM,1053.0,1053.0,157.95,1053.0,42
CDM,499602,GWIRE ORTHO 1.3X150MM,231.5,231.5,34.73,231.5,42
CDM,499603,CONN ROD SPN 5.5X6X12MM,3238.0,3238.0,485.7,3238.0,30
CDM,499604,SCREW SPN 5.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,499605,SCREW SPN 5.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,499606,SCREW FEN 6.5X50MM MOD,3012.0,3012.0,451.8,3012.0,30
CDM,499607,SCREW SPNE 7.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,499608,SCREW SPN 550X6MM,3765.0,3765.0,564.75,3765.0,30
CDM,499609,ROD SPN 5.5-6MM 5.5MM,3238.0,3238.0,485.7,3238.0,30
CDM,499610,GLND SPHR 27MM X 36MM,6865.0,6865.0,1029.75,6865.0,30
CDM,499611,STEM HUM SHLDR SZ13,8194.0,8194.0,1229.1,8194.0,30
CDM,499612,SCREW BN SHDR 30MM,1595.0,1595.0,239.25,1595.0,30
CDM,499613,CMPNT ANKL RT SZ5,9053.0,9053.0,1357.95,9053.0,30
CDM,499614,INSERT ANKLE SZ4+ 12MM,15502.0,15502.0,2325.3,15502.0,30
CDM,499615,BIT DRILL SIZE 5,1342.5,1342.5,201.38,1342.5,42
CDM,499616,SCREW BN MINI 20MM,3294.0,3294.0,494.1,3294.0,30
CDM,499617,PLATE SPN DSCTMY1LV 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,499618,SCREW BN SPN 4.6MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,499619,STEM HUM STD SZ7,8194.0,8194.0,1229.1,8194.0,30
CDM,499620,LINER HUM SHLDR +6X32MM,4651.0,4651.0,697.65,4651.0,30
CDM,499621,BIT DRILL SNG USE 4X40MM,2546.0,2546.0,381.9,2546.0,42
CDM,499622,CAGE SPN 7D 11MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499623,SCREW SPNL STR 5.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,499626,STEM HUM SHLDR 8MM 92MM,12402.0,12402.0,1860.3,12402.0,30
CDM,499627,WEDGE KN FEM SZ13 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,499628,WEDGE KN FEM SZ13 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,499630,CMPNT KN FEM SZ13,28401.0,28401.0,4260.15,28401.0,30
CDM,499631,INSERT TIB 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499632,BLOCK AGMNT TIV PMMA C H,4429.0,4429.0,664.35,4429.0,30
CDM,499633,SCREW SPN 3.5MM 24MM,3765.0,3765.0,564.75,3765.0,30
CDM,499634,SCREW SPN SLFTP 4X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499635,STEM FEM HIP SZ2,6644.0,6644.0,996.6,6644.0,30
CDM,499636,STEM FEM HIP 12/14 -3MM,1170.0,1170.0,175.5,1170.0,30
CDM,499637,PLATE BN ANKL 7HL 83MM,3189.0,3189.0,478.35,3189.0,30
CDM,499638,WASHER BN FIX 3.5MM,521.0,521.0,78.15,521.0,30
CDM,499639,STEM FEM HIP SZ7 107MM,8416.0,8416.0,1262.4,8416.0,30
CDM,499640,STEM FEM KN 30MM,10067.0,10067.0,1510.05,10067.0,30
CDM,499641,INSERT TIB KN SZ4 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,499642,IMPLANT KN TIB SZ4 8MM,4651.0,4651.0,697.65,4651.0,30
CDM,499643,NAIL BN HIP RT 11X340MM,7149.0,7149.0,1072.35,7149.0,30
CDM,499644,SPACER SPN 14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,499645,PLATE BN 124MM 167MM,24148.0,24148.0,3622.2,24148.0,30
CDM,499646,SCREW SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499647,SCREW FIX 4.5MMX12MM,1130.0,1130.0,169.5,1130.0,30
CDM,499648,PLATE SPN 3LV 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,499649,SCREW BN NLCKG 2.7X34MM,1370.0,1370.0,205.5,1370.0,30
CDM,499650,PLATE BN CALC LG,4313.0,4313.0,646.95,4313.0,30
CDM,499651,KIT DRILL 3.2MM,2251.0,2251.0,337.65,2251.0,42
CDM,499652,ENDPLATE SPN 12MM 13MM,3016.0,3016.0,452.4,3016.0,30
CDM,499653,PLATE AMBASSADOR THREE-L,4429.0,4429.0,664.35,4429.0,30
CDM,499654,INSERT OPTION 12/14 +4MM,1170.0,1170.0,175.5,1170.0,30
CDM,499655,INSERT TIB KN BRG 3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,499656,IMPL TIB ALPLY SZ7 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,499657,IMPLANT TIB KN SZ4 7MM,4651.0,4651.0,697.65,4651.0,30
CDM,499658,SCREW BN 5.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,499659,SCREW SPNL P-AX 4.5X20MM,3389.0,3389.0,508.35,3389.0,30
CDM,499661,STEM FEM HIP OFST 170X16,8858.0,8858.0,1328.7,8858.0,30
CDM,499662,INSERT XLPE 22/40MM,4429.0,4429.0,664.35,4429.0,30
CDM,499663,LINER HIP DUAL 40/52MM,4606.0,4606.0,690.9,4606.0,30
CDM,499664,GUIDE ALIGNMENT SURGICAL,1637.0,1637.0,245.55,1637.0,42
CDM,499665,PLATE BN 6H,4429.0,4429.0,664.35,4429.0,30
CDM,499666,NAIL BN 11MM 40CM,4872.0,4872.0,730.8,4872.0,30
CDM,499667,GUIDE PIN 27MM,386.5,386.5,57.98,386.5,42
CDM,499668,INTERBODY SPN FH9 25MM,7530.0,7530.0,1129.5,7530.0,30
CDM,499669,CAGE SPNL 6D 12X14X25MM,7530.0,7530.0,1129.5,7530.0,30
CDM,499670,ROD SPN 45MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,499671,SCREW SPN 4MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,499672,SCREW BN LCK ST 5X44MM,3098.0,3098.0,464.7,3098.0,30
CDM,499673,SCREW BN FEM STRL 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,499674,BOLT BN FEM ALLOY 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,499675,PLATE SPN 2LVL 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,499676,SPACER SPN 5D 10X30X7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499677,CMPNT FEM HIP SZ7,7530.0,7530.0,1129.5,7530.0,30
CDM,499679,SCREW BN 6.5MM 60MM,877.0,877.0,131.55,877.0,30
CDM,499681,COMP FEM HI CLLR SZ8,7973.0,7973.0,1195.95,7973.0,30
CDM,499682,BLOCK AUGMT KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499683,WEDGE TIB KN 3D 20MM,10287.0,10287.0,1543.05,10287.0,30
CDM,499684,COMPNT STEM XTN 105X15MM,4606.0,4606.0,690.9,4606.0,30
CDM,499685,STEM FEM KN CONN 3MM,4988.0,4988.0,748.2,4988.0,30
CDM,499686,COMPNT FEM ADPT KN 5MM,4988.0,4988.0,748.2,4988.0,30
CDM,499687,COMPONENT FEM 5 RT KN CM,16739.0,16739.0,2510.85,16739.0,30
CDM,499688,WEDGE FEM AUG SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499689,WEDGE FEM KN SZ5 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,499690,WEDGE KN FEM 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,499691,STEM XTN KN 16MM 105MM,4606.0,4606.0,690.9,4606.0,30
CDM,499693,TRAY TIB KN RT SZ4,5758.0,5758.0,863.7,5758.0,30
CDM,499694,WEDGE TIB KN CONE 20MM,10287.0,10287.0,1543.05,10287.0,30
CDM,499695,STEM XTN KN 105MM 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,499696,COMPONENT FEM 5 RT KN PS,10234.0,10234.0,1535.1,10234.0,30
CDM,499697,STEM FEM KN 18X105MM,4606.0,4606.0,690.9,4606.0,30
CDM,499698,INSERT TIB KN SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,499699,CAGE SPNL 36MM 11MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499700,IMPLANT BREAST 500CC,3311.0,3311.0,496.65,3311.0,30
CDM,499701,PLATE BN ULNA RT 108MM,4615.0,4615.0,692.25,4615.0,30
CDM,499702,SCREW BN LCK 3.5X40MM,1738.0,1738.0,260.7,1738.0,30
CDM,499703,CMPNT FEM KN LT SZ6+,6644.0,6644.0,996.6,6644.0,30
CDM,499704,INSERT TIB KN L SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499705,COMPONENT TIBTRY 5 RT FX,8338.0,8338.0,1250.7,8338.0,30
CDM,499706,CAGE SPNL 36X10MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499707,SCREW BN SPN 10.5MM 80MM,4030.0,4030.0,604.5,4030.0,30
CDM,499708,DISC SPN INTBRTB 19X6X17,21703.0,21703.0,3255.45,21703.0,30
CDM,499709,CMPNT CUP LINER 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,499710,CMPNT ACTB SZ36B 50-52MM,4429.0,4429.0,664.35,4429.0,30
CDM,499711,STEM HIP SZ4M,8416.0,8416.0,1262.4,8416.0,30
CDM,499712,CABLE MODULAR LVAD DVC,25983.0,25983.0,3897.45,25983.0,30
CDM,499714,WEDGE FEM KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,499715,WEDGE TIB KN 3-4X10-L/L,4606.0,4606.0,690.9,4606.0,30
CDM,499716,PIN FX STRL 80MM,510.0,510.0,76.5,510.0,42
CDM,499717,AUGMENT CONE KN LT SZD,12574.0,12574.0,1886.1,12574.0,30
CDM,499718,SCREW SPN 6.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,499719,SPACER SPN 18X12MM,3016.0,3016.0,452.4,3016.0,30
CDM,499720,ENDPLATE SPN LWR 12MM,3016.0,3016.0,452.4,3016.0,30
CDM,499721,STEM HIP FEM SZ2M,8416.0,8416.0,1262.4,8416.0,30
CDM,499722,COMP FEM HIP CLLR SZ6.5,7530.0,7530.0,1129.5,7530.0,30
CDM,499723,INSERT TIB SPHR SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,499724,CMPNT TIBTRY KN RT SZ3,4872.0,4872.0,730.8,4872.0,30
CDM,499725,INSERT TIB SPHR SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,499726,SCREW SPN 6.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,499728,CMPNT TIB KN LT SZ2,4872.0,4872.0,730.8,4872.0,30
CDM,499729,INSERT TIB SPHR #2L 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,499730,CMPNT TIB ANK SZ3 6MM,14926.0,14926.0,2238.9,14926.0,30
CDM,499731,INSERT TIB KN 12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,499732,NAIL BN FEM 10MM 40CM,4872.0,4872.0,730.8,4872.0,30
CDM,499733,SCREW SPNL CANN 5.5X60MM,3765.0,3765.0,564.75,3765.0,30
CDM,499734,COMPNT FEMORAL SIZE 4,8416.0,8416.0,1262.4,8416.0,30
CDM,499735,HEAD FEM HIP 12-14 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,499736,INSERT TIB KN SZ5 12MM,5352.0,5352.0,802.8,5352.0,30
CDM,499737,ROD SPN 5.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,499739,GRAFT BOLT SPN 8.5X30MM,3012.0,3012.0,451.8,3012.0,30
CDM,499741,SCREW SPN 8.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,499742,SCREW SPN 7.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,499743,SCREW SPN 8.5MM 70MM,3765.0,3765.0,564.75,3765.0,30
CDM,499745,KNIFE BAYONET STRL 170MM,1023.5,1023.5,153.53,1023.5,42
CDM,499747,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,499748,ROD SPN 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
CDM,499749,HEAD FEM BIOLOX DELTA,4429.0,4429.0,664.35,4429.0,30
CDM,499750,SCREW SPN 6.5MM 40MM,4030.0,4030.0,604.5,4030.0,30
CDM,499751,PLATE BN CLV LT 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,499752,SCREW SPN 4.6X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,499753,PLATE SPN 3LVL HPR-C 53M,4429.0,4429.0,664.35,4429.0,30
CDM,499754,STEM HUM SHLDR 10MM,7751.0,7751.0,1162.65,7751.0,30
CDM,499755,NAIL BN TIB 10MM 315MM,4429.0,4429.0,664.35,4429.0,30
CDM,499756,SCREW SPNE 30X5.5 CHSPK,1130.0,1130.0,169.5,1130.0,30
CDM,499757,SPACER SPN 30X24X13MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499758,SCREW SPN 8.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,499759,SCREW SPN 8.5MM 80MM,3389.0,3389.0,508.35,3389.0,30
CDM,499760,CMPNT FEM KN CMNT SZ7,6688.0,6688.0,1003.2,6688.0,30
CDM,499761,CMPNT POLY TIB SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499762,NAIL BN INTRCHNTR LT44CM,8105.0,8105.0,1215.75,8105.0,30
CDM,499763,SCREW BN SHDR 42MM,1196.0,1196.0,179.4,1196.0,30
CDM,499764,COMP GLND LG 50MM,6201.0,6201.0,930.15,6201.0,30
CDM,499765,SPACER SPN 6X12X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,499766,SPACER SPN 16X7X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,499767,PLATE SPN 2LVL 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,499768,PLATE BN CRNL 11HL 2.5MM,10056.0,10056.0,1508.4,10056.0,30
CDM,499769,CMPNT TIB CMNT T2,14473.0,14473.0,2170.95,14473.0,30
CDM,499770,STEM TIB 92MM 12MM,9199.0,9199.0,1379.85,9199.0,30
CDM,499771,COMPONENT FEM KN 18MM,6022.0,6022.0,903.3,6022.0,30
CDM,499772,STEM FEM KN SZNTRL,4429.0,4429.0,664.35,4429.0,30
CDM,499773,COMPONENT FEM F3 KN,29594.0,29594.0,4439.1,29594.0,30
CDM,499774,STEM FEM 12MM 157MM,10221.0,10221.0,1533.15,10221.0,30
CDM,499775,SPACER FEM SZF3 8X4MM,5683.0,5683.0,852.45,5683.0,30
CDM,499776,SCREW LAG 12.7 MM 110MM,3189.0,3189.0,478.35,3189.0,30
CDM,499778,SCREW BN 4.5MM 38MM,2991.0,2991.0,448.65,2991.0,30
CDM,499779,SCREW BN 4MM 3.3MM 56MM,2143.0,2143.0,321.45,2143.0,30
CDM,499780,SCREW SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,499781,AUG FEM KN CONE SZ5,13389.0,13389.0,2008.35,13389.0,30
CDM,499785,CMPNT FEM CMNT LT F2,29594.0,29594.0,4439.1,29594.0,30
CDM,499787,STEM TIB 92MM 15MM MED,10221.0,10221.0,1533.15,10221.0,30
CDM,499788,CMPNT FEM F2 12MM,6022.0,6022.0,903.3,6022.0,30
CDM,499789,SPCR FEM 8MM ENDURO F1,4606.0,4606.0,690.9,4606.0,30
CDM,499790,IMPL TIB ALPLY SZ7 12MM,4651.0,4651.0,697.65,4651.0,30
CDM,499791,TRAY TIB SZ4F/4T,5758.0,5758.0,863.7,5758.0,30
CDM,499792,WEDGE FEM KN SZ7 15X5MM,4606.0,4606.0,690.9,4606.0,30
CDM,499793,STEM FEM HIP 240MM SZ20,20336.0,20336.0,3050.4,20336.0,30
CDM,499794,CMPNT FEM HIP SZ15,8858.0,8858.0,1328.7,8858.0,30
CDM,499795,PIN PK SHDR DISP,773.0,773.0,115.95,773.0,42
CDM,499796,STEM HUM STD SZ8,8194.0,8194.0,1229.1,8194.0,30
CDM,499797,CMPNT ACTB SZ56,4606.0,4606.0,690.9,4606.0,30
CDM,499798,CMPNT ACTB SZ36C,4429.0,4429.0,664.35,4429.0,30
CDM,499799,STEM HIP SZ3M,8416.0,8416.0,1262.4,8416.0,30
CDM,499800,COMPONENT TIBTRY FX 5L,18137.0,18137.0,2720.55,18137.0,30
CDM,499801,STEM FEM XTN KN 150X16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499802,AUGMENT TIB SZ5 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,499803,AUGMENT TIB SZ5 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,499804,WEDGE FEM KN SZLG,14029.0,14029.0,2104.35,14029.0,30
CDM,499805,INSERT TIB 17MM,558.0,558.0,83.7,558.0,30
CDM,499806,COMPONENT FEM SZ6L,32259.0,32259.0,4838.85,32259.0,30
CDM,499807,AUGMENT FEM DIST SZ5 20M,4606.0,4606.0,690.9,4606.0,30
CDM,499808,AUGMENT FEM POST SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,499809,INSERT TIB KN SZ5 17MM,5352.0,5352.0,802.8,5352.0,30
CDM,499810,AUGMENT FEM DIST SZ6 20M,4606.0,4606.0,690.9,4606.0,30
CDM,499811,STEM FEM KN XTN 18X150MM,4606.0,4606.0,690.9,4606.0,30
CDM,499812,NAIL BN 10MM 21.5CM,4429.0,4429.0,664.35,4429.0,30
CDM,499813,IMPLANT TIB KN SZ5 7MM,4651.0,4651.0,697.65,4651.0,30
CDM,499814,CMPNT KN TIB SZ6 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,499815,BODY FEM HIP 20MM 105MM,10404.0,10404.0,1560.6,10404.0,30
CDM,499817,GRAFT HMDIAL 5MM 40CM,10630.0,10630.0,1594.5,10630.0,30
CDM,499818,SCREW BN 2.3X7MM,1992.0,1992.0,298.8,1992.0,30
CDM,499819,NAIL FEM RT 10X235MM,4762.0,4762.0,714.3,4762.0,30
CDM,499820,COMPONENT SHLDR LT LG 8D,7087.0,7087.0,1063.05,7087.0,30
CDM,499821,SCREW BN SPN 5.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,499822,CAGE SPN LRDTC 25MM,7530.0,7530.0,1129.5,7530.0,30
CDM,499823,SCREW BN SPN 6.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,499824,INSERT TIB 4 13MM LT FX,4429.0,4429.0,664.35,4429.0,30
CDM,499826,HEAD FEM HIP 22.2 +3MM,4252.0,4252.0,637.8,4252.0,30
CDM,499827,INSERT TIB 5 17MM LT FL,4429.0,4429.0,664.35,4429.0,30
CDM,499828,COMPONENT FEM L SZ5+ SPH,6644.0,6644.0,996.6,6644.0,30
CDM,499829,CAGE SPN 8MM 14X16MM,8416.0,8416.0,1262.4,8416.0,30
CDM,499830,SCREW SPNL S/T 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,499831,LINER ACTB HIP SZB 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,499832,SHELL HIP ACTB 3H 46MM,4606.0,4606.0,690.9,4606.0,30
CDM,499833,SPACER SPNL 4D 25X11X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499834,PEG FX THRD LCK 2.3X24MM,1228.0,1228.0,184.2,1228.0,30
CDM,499835,SCREW BN SPN 4.2MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,499836,PEG CORT NLCK 2.7X26MM,1690.0,1690.0,253.5,1690.0,30
CDM,499837,SCREW BN HDLS 3.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,499838,STEM FEM KN 220X20MM,4606.0,4606.0,690.9,4606.0,30
CDM,499839,WEDGE FEM KN S7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,499840,CAGE SPN 6D 45X22X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,499843,SCREW SPN 3.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,499844,SCREW SPN 3.5MM 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,499845,SCREW SPN 4MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,499846,PLATE BN 2.7/3.5MM 83MM,8670.0,8670.0,1300.5,8670.0,30
CDM,499847,SCREW BN SM 2.7X4.3X36MM,1973.0,1973.0,295.95,1973.0,30
CDM,499848,SCREW BN 2.7X4.3X46MM,1973.0,1973.0,295.95,1973.0,30
CDM,499849,CMPNT TIB KN RT SZ3,8338.0,8338.0,1250.7,8338.0,30
CDM,499850,TIBIAL AUGMENTATION SZ3,4429.0,4429.0,664.35,4429.0,30
CDM,499851,STEM XTN KN 65MM 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,499852,WEDGE FEM KN SZ3 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,499853,CMPNT FEM KN RT SZ3,16739.0,16739.0,2510.85,16739.0,30
CDM,499854,WEDGE AUG KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,499855,INSERT TIB KN SZ3 12MM,5352.0,5352.0,802.8,5352.0,30
CDM,499856,LINER HIP DUAL 48/62MM,4606.0,4606.0,690.9,4606.0,30
CDM,499857,INSERT HIP XLPE 28/48MM,4429.0,4429.0,664.35,4429.0,30
CDM,499858,INSERT ARTC KN 7-12 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,499860,CUP LNR SHLDR +0S .548IN,4606.0,4606.0,690.9,4606.0,30
CDM,499861,BODY HUM 35MM 38.7MM,5315.0,5315.0,797.25,5315.0,30
CDM,499862,INSERT TIB SZ5 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,499863,BLOCK AUGMNT DIST 20MM,4892.0,4892.0,733.8,4892.0,30
CDM,499864,LINER HIP 20D 36X54MM,4429.0,4429.0,664.35,4429.0,30
CDM,499865,WEDGE FEM KN SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,499866,WDG FEM KN CONE LT 20MM,13287.0,13287.0,1993.05,13287.0,30
CDM,499867,WEDGE FEM KN SZ6 15X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,499868,CAGE SPNL 14D 30X40X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499869,SCREW SPN ALIF 5.0X20MM,1130.0,1130.0,169.5,1130.0,30
CDM,499871,CAGE SPN 14D 27X36X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499872,SHELL ACTB HIP 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,499873,LINER ACTB HIP SZ28,4606.0,4606.0,690.9,4606.0,30
CDM,499874,STEM LAT FEM 6 MECTAGRIP,8858.0,8858.0,1328.7,8858.0,30
CDM,499875,HEAD FEM BLX D LG 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,499876,LINER ACTB HIP 28MM 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,499877,KIT SIDE DEL 11GA 120MM,15123.0,15123.0,2268.45,15123.0,30
CDM,499878,INSERT TIB KN SZ3-4 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,499879,SCREW BN SPNL 4.5X26MM,3765.0,3765.0,564.75,3765.0,30
CDM,499880,ROD PREBENT TI 3.5X110,2711.0,2711.0,406.65,2711.0,30
CDM,499881,ROD CONN SPN STR 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,499882,PLATE BN HUM RT 8H 151MM,9862.0,9862.0,1479.3,9862.0,30
CDM,499883,SCREW BN 4MM 30MM,1993.0,1993.0,298.95,1993.0,30
CDM,499884,SUTURE POLY BRAID 2.2MM,890.5,890.5,133.57,890.5,42
CDM,499885,SUT TAPE WHT/BLK 2.2MM,1023.5,1023.5,153.53,1023.5,42
CDM,499886,GRAFT STNT 16FR 146MM,16149.0,16149.0,2422.35,16149.0,30
CDM,499887,HD FEM PCA 36 MM -3MM,4252.0,4252.0,637.8,4252.0,30
CDM,499888,CMPNT ACTB 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,499889,CMPNT KN TIB SZ3 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499890,CMPNT ACTB LINER SZ36D,4429.0,4429.0,664.35,4429.0,30
CDM,499891,CAGE SPN 12D 10X21X32MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499892,INSERT ARTC KN 3-4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,499893,CAGE SPN 6D 16X21X32MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499894,CAGE SPN 6D 12X21X32MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499895,GLENOID SPHERE 42X27MM,6865.0,6865.0,1029.75,6865.0,30
CDM,499896,CAGE SPN 8D 30X40X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499897,CAGE SPN 14D 30X40X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499898,CAGE SPN 14D 27X36X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,499899,WEDGE FEM KN SZ4 15DX5P,4606.0,4606.0,690.9,4606.0,30
CDM,499900,INSERT TIB 5MM LT EVOL M,4429.0,4429.0,664.35,4429.0,30
CDM,499901,SCREW BN 5.0MM 18MM,2742.0,2742.0,411.3,2742.0,30
CDM,499902,SCREW BN 5.0MM 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,499903,INSERT TIB KN SZ6-9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,499924,OCCLUD CV 80CM 12FR,4385.5,4385.5,657.83,4385.5,42
CDM,499925,SHTH DLV 80CM 14FR 5.5IN,4385.5,4385.5,657.83,4385.5,42
CDM,499939,INSERT TIB KN SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,499940,STEM REV KN 14MM +175MM,6876.0,6876.0,1031.4,6876.0,30
CDM,499941,WEDGE FEM KN SZEF 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,499942,LENS IOL +11.5 DIOP,2155.5,2155.5,323.32,2155.5,32
CDM,499943,CAGE SPN 14D 24X32X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499945,PLATE SPN INTRNSC 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,499946,SCREW BN LCK 3.5X32MM,1898.0,1898.0,284.7,1898.0,30
CDM,499947,CMPNT TIB KN STD 65MM,21497.0,21497.0,3224.55,21497.0,30
CDM,499948,SCREW BN LCK ST 3.5X36MM,1898.0,1898.0,284.7,1898.0,30
CDM,499949,STEM HIP FEM 7MM 134MM,8858.0,8858.0,1328.7,8858.0,30
CDM,499950,SCREW BN LCK 3.5X40MM,3009.0,3009.0,451.35,3009.0,30
CDM,499951,HEAD HIP TPR NK+6X28MM,4252.0,4252.0,637.8,4252.0,30
CDM,499952,SCREW BN 3.5MM 38MM,3009.0,3009.0,451.35,3009.0,30
CDM,499953,CMPNT KN FEM LT SZ7,6764.0,6764.0,1014.6,6764.0,30
CDM,499954,CONN W/2 SCRWS 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,499955,PLATE SPNL INLN 6X6MM,3389.0,3389.0,508.35,3389.0,30
CDM,499956,PLATE SPNL INLN 6X8MM,3389.0,3389.0,508.35,3389.0,30
CDM,499957,INSERT TIB 6 STD 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,499958,CMPNT FEM REV STM RT SZ6,14877.0,14877.0,2231.55,14877.0,30
CDM,499960,SCREW SET SPN LCK,753.0,753.0,112.95,753.0,30
CDM,499961,LINER ACTB 36X54,4429.0,4429.0,664.35,4429.0,30
CDM,499962,PLATE BN 6HL 2.4MM,4429.0,4429.0,664.35,4429.0,30
CDM,499963,CATHETER EP 7FR 95CM,1644.25,1644.25,246.64,1644.25,42
CDM,499967,DRAIN INCS 1IN 18IN,80.0,80.0,12.0,80.0,42
CDM,499969,STENT CLN 25X60MM 270CM,10885.0,10885.0,1632.75,10885.0,30
CDM,499970,STENT CLN 22X60MM 270CM,10885.0,10885.0,1632.75,10885.0,30
CDM,499971,THERASKIN 1SQCM,1073.0,1073.0,160.95,1073.0,29
CDM,499972,DEVICE EMBL 4.25MM 18MM,63712.0,63712.0,9556.8,63712.0,30
CDM,499973,DEVICE EMBL 4.75MM 14MM,60966.0,60966.0,9144.9,60966.0,30
CDM,499974,DEVICE EMBL 3.25MM 10MM,63712.0,63712.0,9556.8,63712.0,30
CDM,499975,SCREW BN 2.4MM 80MM,824.0,824.0,123.6,824.0,30
CDM,499978,DEVICE EMBL 2.5MM 14MM,63712.0,63712.0,9556.8,63712.0,30
CDM,499979,CATH GD 5FR 125CM,6688.0,6688.0,1003.2,6688.0,42
CDM,499980,CATH MICRO 2.4F 17 154CM,6216.0,6216.0,932.4,6216.0,42
CDM,499981,CATH MICRO 2.4F 17,6216.0,6216.0,932.4,6216.0,42
CDM,499982,COIL EMBOL NEURO 4X2MM,69404.0,69404.0,10410.6,69404.0,30
CDM,499985,LEAD ICD 72CM,13704.0,13704.0,2055.6,13704.0,30
CDM,499987,CUP ACTG TRIFLNG LT 60MM,44069.0,44069.0,6610.35,44069.0,30
CDM,499988,CANN PRFSN 15IN 34FR,471.0,471.0,70.65,471.0,42
CDM,499989,CANN PRFSN 15IN 36FR VNS,471.0,471.0,70.65,471.0,42
CDM,499990,PUNCH AOR ROTATE 4.8MM,613.0,613.0,91.95,613.0,42
CDM,499991,PATCH REF EXTERNAL,3189.0,3189.0,478.35,3189.0,42
CDM,499994,CUP ACTB HIP TRFL LT58MM,44069.0,44069.0,6610.35,44069.0,30
CDM,499995,NEEDLE TRNSPTL 18GA 98CM,1269.0,1269.0,190.35,1269.0,42
CDM,499997,TUBE ESPH MED 16FR,3039.0,3039.0,455.85,3039.0,42
CDM,499998,DRILL RGD DISP 1.8MM,1023.5,1023.5,153.53,1023.5,42
CDM,500014,CATH BALL PTCA 2.0X6MM,4298.0,4298.0,644.7,4298.0,42
CDM,500015,CATH BALL PTCA 2.0X10MM,4298.0,4298.0,644.7,4298.0,42
CDM,500016,CATH BALL PTCA 2.0X15MM,4298.0,4298.0,644.7,4298.0,42
CDM,500017,CATH BALL PTCA 2.5X6MM,4298.0,4298.0,644.7,4298.0,42
CDM,500018,CATH BALL PTCA 2.5X10MM,4298.0,4298.0,644.7,4298.0,42
CDM,500019,CATH BALL PTCA 2.5X15MM,4298.0,4298.0,644.7,4298.0,42
CDM,500020,CATH BALL PTCA 3.0X6MM,4298.0,4298.0,644.7,4298.0,42
CDM,500021,CATH BALL PTCA 3.0X10MM,4298.0,4298.0,644.7,4298.0,42
CDM,500022,CATH BALL PTCA 3.0X15MM,4298.0,4298.0,644.7,4298.0,42
CDM,500023,CATH BALL PTCA 3.5X6MM,4298.0,4298.0,644.7,4298.0,42
CDM,500024,CATH BALL PTCA 3.5X10MM,4298.0,4298.0,644.7,4298.0,42
CDM,500025,CATH BALL PTCA 3.5X15MM,4298.0,4298.0,644.7,4298.0,42
CDM,500026,CANNULA OPTH 30GA 4MM,114.0,114.0,17.1,114.0,42
CDM,500027,LENS IOL +13.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,500032,CATH DRN PRTN 2.5MM 90CM,1250.0,1250.0,187.5,1250.0,42
CDM,500033,SUTURE 2-0 SH-2 10X30,740.0,740.0,111.0,740.0,42
CDM,500036,LENS IOL +19.5 DIOP,780.0,780.0,143.6,780.0,28
CDM,500037,NDL INJ CRVD CMNT 11GA,2640.0,2640.0,396.0,2640.0,42
CDM,500038,ALLOGRAFT 20X20CM,44290.0,44290.0,6643.5,44290.0,30
CDM,500039,CATHSND 3FR 1MM,4304.5,4304.5,645.67,4304.5,42
CDM,500040,MONITOR CARDIAC INSERT,20152.0,20152.0,3022.8,20152.0,30
CDM,500041,CATH ANGIO 5FR 100CM,522.0,522.0,78.3,522.0,42
CDM,500043,SYST MTRL VLV REPR,96125.0,96125.0,14418.75,96125.0,30
CDM,500045,LENS IOL +5.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500048,STRIPPER VEIN DISP,516.0,516.0,77.4,516.0,42
CDM,500051,ALLOGRAFT FIBER 1CC,3012.0,3012.0,451.8,3012.0,30
CDM,500052,ALLOGRAFT FIBER 2.5CC,3844.0,3844.0,576.6,3844.0,30
CDM,500053,ALLOGRAFT FIBER 10CC,6423.0,6423.0,963.45,6423.0,30
CDM,500054,ALLOGRAFT FIBER 15CC,8681.0,8681.0,1302.15,8681.0,30
CDM,500055,ALLOGRAFT FIBER 2.5CC,3906.0,3906.0,585.9,3906.0,30
CDM,500056,ALLOGRAFT FIBER 5CC,4429.0,4429.0,664.35,4429.0,30
CDM,500057,ALLOGRAFT FIBER 10CC,6644.0,6644.0,996.6,6644.0,30
CDM,500058,STENT TRCHBR 8X20X70MM,9744.0,9744.0,1461.6,9744.0,30
CDM,500059,STENT TRCHBR 10MM 20MMM,9301.0,9301.0,1395.15,9301.0,30
CDM,500060,GDWIRE 2.67F 180CM,1064.5,1064.5,159.68,1064.5,42
CDM,500062,CATH SLITTER ADJ SHTH,357.5,357.5,53.63,357.5,42
CDM,500063,LENS IOL +15.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500064,LENS IOL +20.0 DIOP,647.0,647.0,119.11,647.0,28
CDM,500066,ALLOGRAFT FIBER 5CC,4429.0,4429.0,664.35,4429.0,30
CDM,500067,LENS IOL +21.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,500070,CANNULA OPTH .5MM 23G,773.0,773.0,115.95,773.0,42
CDM,500071,PLATE BN 8HL 108X2MM,3189.0,3189.0,478.35,3189.0,30
CDM,500072,SCREW BN 3.5MM 42MM,1356.0,1356.0,203.4,1356.0,30
CDM,500073,SCREW SPN SHNK 6.5MM45MM,3012.0,3012.0,451.8,3012.0,30
CDM,500074,CMPNT FEM KN SZ5,4872.0,4872.0,730.8,4872.0,30
CDM,500075,INSERT ACTB HIP 28X59MM,4429.0,4429.0,664.35,4429.0,30
CDM,500076,SHELL ACTB HIP MLH 58MM,6315.0,6315.0,947.25,6315.0,30
CDM,500077,WEDGE KN FEM SZ13 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,500088,CANNULA INNR 6.5MM,64.0,64.0,9.6,64.0,42
CDM,500089,CANNULA INNR 8.5MM,64.0,64.0,9.6,64.0,42
CDM,500090,SYSTEM DLV 1 CATH 1 CLIP,148364.0,148364.0,22254.6,148364.0,42
CDM,500095,EXTRACTOR TIP 4.5MM-5.5M,3233.5,3233.5,485.02,3233.5,42
CDM,500096,EXTRCTR STRPD SCR 02MM,3233.5,3233.5,485.02,3233.5,42
CDM,500097,EXTRACTOR TIP 2.5MM-3.5M,3233.5,3233.5,485.02,3233.5,42
CDM,500098,EXTRACTOR TIP 4.5MM-5.5M,3233.5,3233.5,485.02,3233.5,42
CDM,500100,EXTRACTOR TIP 5.5MM-6.5M,3233.5,3233.5,485.02,3233.5,42
CDM,500101,EXTRACTOR TIP 6.0-7.0MM,3233.5,3233.5,485.02,3233.5,42
CDM,500102,LENS IOL +18.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500105,LENS IOL 19.5 DIOP,866.5,866.5,159.52,866.5,28
CDM,500106,CUP ACTG TRIFLNG LT 52MM,44069.0,44069.0,6610.35,44069.0,30
CDM,500108,CATH EP 7FR 115CM,9178.5,9178.5,1376.78,9178.5,42
CDM,500109,INTRO SHTH 12FR 63CM TIP,778.0,778.0,116.7,778.0,42
CDM,500110,CAGE SPN 40X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500111,COMPONENT FEM SPHERE SZ5,6201.0,6201.0,930.15,6201.0,30
CDM,500112,NAIL BN 8.5MM 255MM,5511.0,5511.0,826.65,5511.0,30
CDM,500113,NAIL FEM 10MM 300MM,6629.0,6629.0,994.35,6629.0,30
CDM,500114,SCRW T25 TI 5.0 X 55 MM,3189.0,3189.0,478.35,3189.0,30
CDM,500115,CAP END T40 0 MM EXT 159,3189.0,3189.0,478.35,3189.0,30
CDM,500116,INSERT TIB KN SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,500121,KIT SURFACE ELECTRODE,5500.0,5500.0,825.0,5500.0,42
CDM,500122,PLATE BN CRNMXF 14H,10385.0,10385.0,1557.75,10385.0,30
CDM,500123,SCREW BN 2.3MM 16MM,1216.0,1216.0,182.4,1216.0,30
CDM,500124,SCREW BN 8.0MM 2.7MM,2153.0,2153.0,322.95,2153.0,30
CDM,500125,SCREW BN CP LCK 2.3X8MM,1921.0,1921.0,288.15,1921.0,30
CDM,500126,CAGE SPN 20MM,32609.0,32609.0,4891.35,32609.0,30
CDM,500127,END CAP SPN 8D 20MM,3765.0,3765.0,564.75,3765.0,30
CDM,500128,PLATE SPN 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,500130,SUTURE FBRLNK 1.3MM,1491.0,1491.0,223.65,1491.0,30
CDM,500131,SCREW BN 7.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,500132,SCREW SPN P-AX 6.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,500133,SCREW SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,500134,SCREW SPN 5.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,500135,CAP SPN LCK THRD FEN,753.0,753.0,112.95,753.0,30
CDM,500136,SCREW SPN P-AX 7.5X30MM,4030.0,4030.0,604.5,4030.0,30
CDM,500137,SPACER SPN 14MM 20-22MM,25312.0,25312.0,3796.8,25312.0,30
CDM,500138,ANCHOR HUM STM FREE LG,11959.0,11959.0,1793.85,11959.0,30
CDM,500139,HEAD HUM SHLDR 18X50MM,4872.0,4872.0,730.8,4872.0,30
CDM,500140,PLATE BN 0D SMALL,8088.0,8088.0,1213.2,8088.0,30
CDM,500141,SCREW BN HEADED 2MM 12MM,2392.0,2392.0,358.8,2392.0,30
CDM,500142,SCREW BN HEADED 3MM 30MM,2392.0,2392.0,358.8,2392.0,30
CDM,500143,BASEPLATE TIB KN 71MM,10497.0,10497.0,1574.55,10497.0,30
CDM,500144,CMPNT KN FEM RT 8.5CM,23510.0,23510.0,3526.5,23510.0,30
CDM,500145,CMPNT FEM 14MM 26CM,15254.0,15254.0,2288.1,15254.0,30
CDM,500146,INSERT KN TIB STD 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,500147,NECK FEM HIP CBLT 15D,4252.0,4252.0,637.8,4252.0,30
CDM,500148,BASEPLATE SHLDR 28MM,5537.0,5537.0,830.55,5537.0,30
CDM,500149,BASEPLTE TIB KN LT SZ 1,8010.0,8010.0,1201.5,8010.0,30
CDM,500150,STEM HUM SHLDR 7X113MM,12402.0,12402.0,1860.3,12402.0,30
CDM,500151,STEM HIP LO OFST COL SZ4,8858.0,8858.0,1328.7,8858.0,30
CDM,500152,SCREW SPN 8.5MM 100MM,3012.0,3012.0,451.8,3012.0,30
CDM,500153,SCREW SPN 8.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,500154,SCREW SPN 8.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,500155,SPACER SPN 30X10X8-15MM,15059.0,15059.0,2258.85,15059.0,30
CDM,500156,PLATE BN 195X11.4X3.4MM,13459.0,13459.0,2018.85,13459.0,30
CDM,500157,PLATE CRNFCL 3X2H,1668.0,1668.0,250.2,1668.0,30
CDM,500158,BIT DRILL TWIST 1X40MM,1023.5,1023.5,153.53,1023.5,42
CDM,500159,PLATE BN NRW RT 160MM,7795.0,7795.0,1169.25,7795.0,30
CDM,500160,SPACER SPN 28X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,500161,STEM FEM HIP SZ8 110MM,8416.0,8416.0,1262.4,8416.0,30
CDM,500162,TRAY TIB SZ4.5F/4.5T,5758.0,5758.0,863.7,5758.0,30
CDM,500163,STEM FEM HIP SZ14 190MM,17596.0,17596.0,2639.4,17596.0,30
CDM,500165,NAIL FEM 5D BND 14X420MM,7287.0,7287.0,1093.05,7287.0,30
CDM,500166,SCREW LCK 0D XL25 5X80MM,2260.0,2260.0,339.0,2260.0,30
CDM,500167,SCREW BN LCK/MD NAIL 5MM,2531.0,2531.0,379.65,2531.0,30
CDM,500168,SCREW BN 0D XL25 5X40MM,2192.0,2192.0,328.8,2192.0,30
CDM,500169,SCREW BN 5MM 64MM,2531.0,2531.0,379.65,2531.0,30
CDM,500170,SCREW BN 5MM 38MM,2192.0,2192.0,328.8,2192.0,30
CDM,500171,SPACER SPN 15D 9X38X28MM,15878.0,15878.0,2381.7,15878.0,30
CDM,500172,GRAFT BOLT SPN 8.0X25MM,3012.0,3012.0,451.8,3012.0,30
CDM,500173,SCREW SPN 7.5MM 40MM,4030.0,4030.0,604.5,4030.0,30
CDM,500174,SCREW SPN 6.5MM 35MM,4030.0,4030.0,604.5,4030.0,30
CDM,500175,ROD SPN 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,500176,ROD SPN 4.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,500177,SPACER SPN 7D 14X16X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,500178,SPACER SPNL 12X14X6MM 7D,4429.0,4429.0,664.35,4429.0,30
CDM,500179,SPACER SPN 7D 6X14X16MM,4429.0,4429.0,664.35,4429.0,30
CDM,500180,PLATE CERV 3-LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,500181,SCREW BN 4.2X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,500182,KIT STYLET W/ CAP 56CM,1023.5,1023.5,153.53,1023.5,42
CDM,500183,STEM IM KNEE MOD,115154.0,115154.0,17273.1,115154.0,30
CDM,500184,CONE FEM HIP SZC 70MM,16725.0,16725.0,2508.75,16725.0,30
CDM,500185,SCREW CREO 5.5X50MM MOD,3012.0,3012.0,451.8,3012.0,30
CDM,500186,SCREW SPN 7.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,500187,SCREW SPNL 6.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,500188,ROD SPN 250MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,500189,SCREW SPN FEN 8.5X55MM,3012.0,3012.0,451.8,3012.0,30
CDM,500190,SCREW SPN 8.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,500191,NAIL BN 12MM 360MM,8478.0,8478.0,1271.7,8478.0,30
CDM,500192,PLATE STRUT 1.5MM 8H,3189.0,3189.0,478.35,3189.0,30
CDM,500193,CMPNT PTLR KN MED,7087.0,7087.0,1063.05,7087.0,30
CDM,500194,PLATE BN SM LT .4MM,7006.0,7006.0,1050.9,7006.0,30
CDM,500195,CAGE SPN 7D 40X27X10MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500196,CAGE SPN 8D 30X40X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500197,SCREW SPN 5X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,500198,SCREW SPN 5MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,500199,PLATE BN 4.5MM 142MM,1880.0,1880.0,282.0,1880.0,30
CDM,500200,SCREW BN 4.5 18MM,505.0,505.0,75.75,505.0,30
CDM,500201,SCREW BN 4.5MM 22MM,505.0,505.0,75.75,505.0,30
CDM,500202,SCREW BN 4.5MM 24MM,505.0,505.0,75.75,505.0,30
CDM,500203,SCREW BN 4.5X20MM PRLOC,505.0,505.0,75.75,505.0,30
CDM,500204,HINGE F EXFX CIRC SS,1023.5,1023.5,153.53,1023.5,42
CDM,500205,ROD EXFX THRD 250MM,1381.0,1381.0,207.15,1381.0,42
CDM,500206,PLATE CRNFCL 26HL 190MM,8079.0,8079.0,1211.85,8079.0,30
CDM,500207,CAGE SPN 12D 12X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,500208,CMPNT FEM KN RT SZ5,7973.0,7973.0,1195.95,7973.0,30
CDM,500209,COMPONENT TIB RT 5 STD,5315.0,5315.0,797.25,5315.0,30
CDM,500210,HNDSET PRGRM SPN PT,4579.0,4579.0,686.85,4579.0,42
CDM,500211,LEAD NRSTM TRAIL 70CM,6644.0,6644.0,996.6,6644.0,30
CDM,500212,SUTURE POLY BRAID 1.4MM,1003.0,1003.0,150.45,1003.0,42
CDM,500213,CABLE NRSTM EXT 60CM,1023.5,1023.5,153.53,1023.5,42
CDM,500214,CONE TIB KN SZ22,12623.0,12623.0,1893.45,12623.0,30
CDM,500215,STEM FEM KN 20MM 120MM,4606.0,4606.0,690.9,4606.0,30
CDM,500216,LINER ACTB +5MM SZD 36MM,7485.0,7485.0,1122.75,7485.0,30
CDM,500217,SLEEVE CNTRNG 14B LG,4252.0,4252.0,637.8,4252.0,30
CDM,500218,STEM FEM HIP 14X9X205MM,11215.0,11215.0,1682.25,11215.0,30
CDM,500219,STEM FEM HIP 14MM 135MM,6644.0,6644.0,996.6,6644.0,30
CDM,500220,SCREW BN SLFDRL 4.6X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,500222,SHELL ACTB HIP CMNT 49MM,4429.0,4429.0,664.35,4429.0,30
CDM,500223,INSERT ACTB HIP 49X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,500224,PLATE BN 3.5MM 142MM,5589.0,5589.0,838.35,5589.0,30
CDM,500225,STEM FEM KN RM 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,500226,STEM FEM KN 12X+135X3MM,10364.0,10364.0,1554.6,10364.0,30
CDM,500227,INSERT TIB RT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,500228,BIT DRILL ORTHO PACK,773.0,773.0,115.95,773.0,42
CDM,500229,CAGE LRDTC 24X10 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,500230,ANCHOR SUT 6.5MM 14.7MM,1069.0,1069.0,160.35,1069.0,30
CDM,500231,COMPONENT FEM KN CC,14173.0,14173.0,2125.95,14173.0,30
CDM,500232,STEM FEM HIP 15MM 140MM,6644.0,6644.0,996.6,6644.0,30
CDM,500233,STEM FEM HIP 16MM 145MM,6644.0,6644.0,996.6,6644.0,30
CDM,500234,SCREW BN 5.0MM 38MM,2393.0,2393.0,358.95,2393.0,30
CDM,500235,SPACER SPN 26X34X13MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500236,SCREW BN 4.3MM 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,500237,SCREW BN 4.3MM 28MM,1595.0,1595.0,239.25,1595.0,30
CDM,500238,SCREW BN 4.3MM 34MM,1595.0,1595.0,239.25,1595.0,30
CDM,500239,SCREW BN 3.5MM 22MM,319.0,319.0,47.85,319.0,30
CDM,500240,CMPNT FEM HIP CLLR SZ0,7973.0,7973.0,1195.95,7973.0,30
CDM,500241,PLATE FX 22MM 10HOLE,4340.0,4340.0,651.0,4340.0,30
CDM,500242,REAMER SURG FSN CUP 22MM,2128.5,2128.5,319.27,2128.5,42
CDM,500243,IMPLANT KN TIB SZ7 7MM,4651.0,4651.0,697.65,4651.0,30
CDM,500244,GRAFT STNT 28MM 117MM,57506.0,57506.0,8625.9,57506.0,30
CDM,500245,SCREW SPN P-AX 4X28MM,3765.0,3765.0,564.75,3765.0,30
CDM,500246,CAGE SPNL SHORT 11MM,23031.0,23031.0,3454.65,23031.0,30
CDM,500247,LINER ACTB HIP 58MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,500248,HEAD HUM SHLDR 44X27MM,4872.0,4872.0,730.8,4872.0,30
CDM,500249,SUTURE TIBERLINK 1.5IN,1037.0,1037.0,155.55,1037.0,30
CDM,500250,KIT SURG DRL SPEAR OBTR,1432.5,1432.5,214.88,1432.5,42
CDM,500251,KIT BN ANCHOR STD 4.75MM,6953.0,6953.0,1042.95,6953.0,30
CDM,500252,SYSTEM ANCHR 4.75MM,9997.0,9997.0,1499.55,9997.0,30
CDM,500254,CAP SPN LCK,753.0,753.0,112.95,753.0,30
CDM,500255,SCREW SPN FNSTRD 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,500256,SCREW SPN FEN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,500257,ANCH SUT 5.5MM 22MM,1260.0,1260.0,189.0,1260.0,30
CDM,500258,IMPL TIB ALPLY SZ7 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,500259,STEM FEM HIP SZ6 104MM,8416.0,8416.0,1262.4,8416.0,30
CDM,500260,PLATE BN 3.5X117MM 8HL,7398.0,7398.0,1109.7,7398.0,30
CDM,500261,SCREW BN 3.5MM 10MM,2304.0,2304.0,345.6,2304.0,30
CDM,500262,PLATE BN 138X3.5MM 10HL,9431.0,9431.0,1414.65,9431.0,30
CDM,500263,CONE TIB PERI L SD MED,20429.0,20429.0,3064.35,20429.0,30
CDM,500264,WEDGE KN FEM SZLG,20429.0,20429.0,3064.35,20429.0,30
CDM,500265,KIT GUIDE CUSTM ORTH,1637.0,1637.0,245.55,1637.0,42
CDM,500266,CATH INT CRBRL 1.5X2.8,2915.0,2915.0,437.25,2915.0,42
CDM,500267,SPACER SPN 15D15X26X34MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500268,SPACER SPN 16X34X17MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500269,ANCHOR SPN MIS 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,500270,PACK DEV SPN DISP,4144.5,4144.5,621.67,4144.5,42
CDM,500271,SCREW SPN 6.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,500272,INSERT HIP 28MM 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,500273,INSERT TIB KN 14MM SZ6+,4429.0,4429.0,664.35,4429.0,30
CDM,500274,SPACER SPNL 8D 14X9X12MM,8416.0,8416.0,1262.4,8416.0,30
CDM,500275,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,500276,LINER ACTB HIP E 28X48MM,4606.0,4606.0,690.9,4606.0,30
CDM,500277,SCREW BN SPN 3.5MM 34MM,3389.0,3389.0,508.35,3389.0,30
CDM,500278,SCREW SPN 3.5MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,500279,SCREW SPN 3.5MM 18MM,3389.0,3389.0,508.35,3389.0,30
CDM,500280,STEM FEM LT SZ8,18647.0,18647.0,2797.05,18647.0,30
CDM,500281,INSERT TIB LT SZ7 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,500282,SCREW SPN 7.5MM 50MM,4030.0,4030.0,604.5,4030.0,30
CDM,500283,SCREW SPN 7.5MM 45MM,4030.0,4030.0,604.5,4030.0,30
CDM,500284,CMPNT TIB POLY SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,500285,CMPNT FEM KN SZ8,6644.0,6644.0,996.6,6644.0,30
CDM,500286,SCREW SPN 4MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,500287,SPACER SPN 16X14X6MM SH,4429.0,4429.0,664.35,4429.0,30
CDM,500288,SCREW SPN 3.5MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,500289,SCREW SPN 3.5MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,500290,CAP SPN LCK CVR 6MM,1130.0,1130.0,169.5,1130.0,30
CDM,500291,PLATE SPN STND 4H 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,500292,INTERBODY 16X14X8MM 7D,4429.0,4429.0,664.35,4429.0,30
CDM,500293,PLATE SPN 4HL 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,500294,CAP SPN LCK CVR 8MM,1130.0,1130.0,169.5,1130.0,30
CDM,500295,SCREW SPN 3.5MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,500296,HEAD HIP TPR 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,500297,SCREW SPN 6.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,500298,SCREW SPN 8.5MM 80MM,4030.0,4030.0,604.5,4030.0,30
CDM,500299,ROD SPN 5.5MM 130MM,2711.0,2711.0,406.65,2711.0,30
CDM,500300,SCREW SPN 7.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,500302,CAGE SPN 12D 22X10X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,500303,SHELL ACTB HIP 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,500304,LINER ACTB HIP 54MM 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,500305,STEM LAT FEM 7 MECTAGRIP,8858.0,8858.0,1328.7,8858.0,30
CDM,500306,SPACER SPN 28MMX11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,500308,SCREW SPN 4MM 12MM,3765.0,3765.0,564.75,3765.0,30
CDM,500309,CAGE SPN 40X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500310,SURF ARTC KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,500311,CMPNT ACTB SZ54,4606.0,4606.0,690.9,4606.0,30
CDM,500312,STEM HIP FEM SZ3L,8858.0,8858.0,1328.7,8858.0,30
CDM,500313,SCREW BN SPN 8.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,500314,SPACER SPN 12D 45X20X12,8858.0,8858.0,1328.7,8858.0,30
CDM,500315,CAGE SPN 12D 22X12X40MM,13287.0,13287.0,1993.05,13287.0,30
CDM,500316,WEDGE TIB KN LTSZ7-8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,500320,INSERT TIB SZ10 6MM,8309.0,8309.0,1246.35,8309.0,30
CDM,500321,SCREW BN SLFTP 5X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,500322,SCREW BN 5.0MM 30MM,2393.0,2393.0,358.95,2393.0,30
CDM,500323,SCREW BN 5.0MM 36MM,2393.0,2393.0,358.95,2393.0,30
CDM,500325,SCREW BN S/TP 5MM 55MM,2393.0,2393.0,358.95,2393.0,30
CDM,500326,SCREW BN 5.0MM 65MM,2647.0,2647.0,397.05,2647.0,30
CDM,500327,SCREW BN 5.0MM 80MM,2393.0,2393.0,358.95,2393.0,30
CDM,500328,PLATE BN 12H 3.5MM 197MM,5966.0,5966.0,894.9,5966.0,30
CDM,500329,SPACER SPNL 18MM FORTIFY,3558.0,3558.0,533.7,3558.0,30
CDM,50033,PLATE BN 1.3MM 3MM 3.5MM,6522.0,6522.0,978.3,6522.0,30
CDM,500330,CONNECTOR ROD 58-70MM,3012.0,3012.0,451.8,3012.0,30
CDM,500331,CONNECTOR SPN ROD68-80MM,3012.0,3012.0,451.8,3012.0,30
CDM,500332,ENDPLATE UPPR 15X18MM,3558.0,3558.0,533.7,3558.0,30
CDM,500334,SCREW BN ANKL 3.5X16MM,3189.0,3189.0,478.35,3189.0,30
CDM,500335,SCREW BN 3.5MM 18MM,2258.0,2258.0,338.7,2258.0,30
CDM,500336,HEAD FEM HIP 12/14 3MM,5820.0,5820.0,873.0,5820.0,30
CDM,500337,STEM HIP HI COLR SZ6,8858.0,8858.0,1328.7,8858.0,30
CDM,500338,ROD EX FIX 11MM 100MM,3140.5,3140.5,471.07,3140.5,42
CDM,500339,SCREW CMPHDLS 2.5X28MM,3189.0,3189.0,478.35,3189.0,30
CDM,500340,SCREW BN HDLS LT 2.5X30,3189.0,3189.0,478.35,3189.0,30
CDM,500343,INSERT ARTC KN LT 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,500344,CAGE SPNL 28X11X12MM 12D,8858.0,8858.0,1328.7,8858.0,30
CDM,500345,CMPNT ACTB SZ52,4606.0,4606.0,690.9,4606.0,30
CDM,500346,WEDGE KN FEM CONE SZMED,12180.0,12180.0,1827.0,12180.0,30
CDM,500347,BASEPLATE SHLD RT 8/10D,8858.0,8858.0,1328.7,8858.0,30
CDM,500348,CAGE SPN MESH 12X12MM,5920.0,5920.0,888.0,5920.0,30
CDM,500349,SHELL ACTB HIP 66MM,4606.0,4606.0,690.9,4606.0,30
CDM,500350,LINER ACTB HIP SZ1 54X28,4606.0,4606.0,690.9,4606.0,30
CDM,500352,KIT BMA STANDARD-BSP,1.0,1.0,0.15,1.0,42
CDM,500353,GRAFT STNT 30MM 150MM,63833.0,63833.0,9574.95,63833.0,30
CDM,500354,SCREW SPN LK CIRCLR,753.0,753.0,112.95,753.0,30
CDM,500355,STEM HIP SZ1M,8858.0,8858.0,1328.7,8858.0,30
CDM,500356,SHELL ACTB HIP 68MM,4606.0,4606.0,690.9,4606.0,30
CDM,500357,STEM HUM SHLDR 12X130MM,20595.0,20595.0,3089.25,20595.0,30
CDM,500358,STEM HUM SHLDR 90.4X19.5,4429.0,4429.0,664.35,4429.0,30
CDM,500359,IMPLANT BREAST 165CC,5315.0,5315.0,797.25,5315.0,30
CDM,500360,SCREW SPN 8.5MM 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,500361,SCREW SPN 10.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,500362,SPACER SPNL 26X10X12-16M,15059.0,15059.0,2258.85,15059.0,30
CDM,500363,STEM FEM HIP 26MM 240MM,9208.0,9208.0,1381.2,9208.0,30
CDM,500364,BODY FEM HIP 28X95MM,10404.0,10404.0,1560.6,10404.0,30
CDM,500365,NAIL BN FEM 10MM 44CM,8105.0,8105.0,1215.75,8105.0,30
CDM,500366,PLATE BN 8HL 3.5X93MM,3721.0,3721.0,558.15,3721.0,30
CDM,500367,STEM HIP STD OFST SZ8,8858.0,8858.0,1328.7,8858.0,30
CDM,500368,BASEPLATE TIB KN RT SZ6,5758.0,5758.0,863.7,5758.0,30
CDM,500369,SCREW BN 3.5MM 42MM,579.0,579.0,86.85,579.0,30
CDM,500370,IMPLANT BREAST 590CC,5537.0,5537.0,830.55,5537.0,30
CDM,500371,ROD SPN 5.5MM 15MM,2711.0,2711.0,406.65,2711.0,30
CDM,500372,CAGE SPN 6D 18MM 14X40,13287.0,13287.0,1993.05,13287.0,30
CDM,500373,SCREW SPN 5.0MM 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,500374,SCREW BN FEN 5.0X35MM,3012.0,3012.0,451.8,3012.0,30
CDM,500375,SCREW SPN 5.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,500376,SCREW SPN MOD 4.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,500377,SCREW SPN 5.0MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,500378,SCREW SPN FEN 5.0X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,500381,SCREW SPN 6.5X35MM MOD,3012.0,3012.0,451.8,3012.0,30
CDM,500382,SCREW BN SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,500383,SCREW SPN 5.5/6MM,753.0,753.0,112.95,753.0,30
CDM,500384,ROD SPNL CD 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,500385,LINER ACTB 64 53 64MM,4872.0,4872.0,730.8,4872.0,30
CDM,500386,STEM FEM HIP SZ20 240MM,20336.0,20336.0,3050.4,20336.0,30
CDM,500387,STEM FEM HIP SZ6 107MM,8557.0,8557.0,1283.55,8557.0,30
CDM,500388,INSERT TIB SPHERE SZ4 LT,4429.0,4429.0,664.35,4429.0,30
CDM,500389,STEM XTN KN 65MM 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,500390,GRAFT ENDO AAA 32X14MM,53746.0,53746.0,8061.9,53746.0,30
CDM,500391,STENT GRFT 32MMX4.5CM,18819.0,18819.0,2822.85,18819.0,30
CDM,500392,STEM XTN 105X11MM GMK FL,4606.0,4606.0,690.9,4606.0,30
CDM,500393,STEM XTN KN 65MM 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,500394,INSERT TIB 2 10MM SMCNST,4606.0,4606.0,690.9,4606.0,30
CDM,500395,COMPONENT FEM 1 STD LT K,10234.0,10234.0,1535.1,10234.0,30
CDM,500396,STEM XTN KN 13X105MM,4606.0,4606.0,690.9,4606.0,30
CDM,500397,WEDGE FEM KN SZ4 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,500398,WEDGE FEM 8MM GMK 4 DIST,4429.0,4429.0,664.35,4429.0,30
CDM,500399,CMPNT TIB KN RT SZ2,6385.0,6385.0,957.75,6385.0,30
CDM,500400,WEDGE FEM KN 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,500401,LINER ACETB POLY 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,500402,INSERT TIB 4 13MM RT FX,4429.0,4429.0,664.35,4429.0,30
CDM,500403,INSERT TIB KN SZ4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,500404,CMPNT ELB DISC 3X75MM,18609.0,18609.0,2791.35,18609.0,30
CDM,500405,SCREW SPN 8.575X75MM,4030.0,4030.0,604.5,4030.0,30
CDM,500406,SCREW BN 6MM 35MM,2073.0,2073.0,310.95,2073.0,30
CDM,500407,CMPNT TIB DCM 12X71/75,4606.0,4606.0,690.9,4606.0,30
CDM,500408,SIZER BREAST 535CC,1801.0,1801.0,270.15,1801.0,42
CDM,500409,SIZER BREAST 300CC,1801.0,1801.0,270.15,1801.0,42
CDM,500410,STEM FEM HIP SZ8 110MM,8416.0,8416.0,1262.4,8416.0,30
CDM,500411,ANCHOR SUT 4.75MM 19.1MM,1196.0,1196.0,179.4,1196.0,30
CDM,500412,ANCHOR SUT 4.75MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,500413,INSERT DURATION UCG TIBI,4606.0,4606.0,690.9,4606.0,30
CDM,500414,WEDGE TIB KN 2MM 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,500415,SCREW SPN 7.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,500416,AUGMENT KN FEM SZ9 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,500417,INSERT KN TIB SZ9 18MM,8309.0,8309.0,1246.35,8309.0,30
CDM,500418,INSERT HIP ACTB 52X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,500419,BLADE SPRL 12.5X75MM,3189.0,3189.0,478.35,3189.0,30
CDM,500420,SCREW BN TI L42MM OD6MM,2143.0,2143.0,321.45,2143.0,30
CDM,500421,SCREW BN NLEX TI 6X8X58,2159.0,2159.0,323.85,2159.0,30
CDM,500422,CUP ACTB TRIFLNG RT 56MM,44069.0,44069.0,6610.35,44069.0,30
CDM,500423,WRENCH SURG DISP TRQ,278.5,278.5,41.77,278.5,42
CDM,500424,BASEPLATE GLENOID SM +10,7973.0,7973.0,1195.95,7973.0,30
CDM,500425,ANCHOR KNTLS PK 4.75MM,3236.0,3236.0,485.4,3236.0,30
CDM,500426,INSERT KN TIB RT 22MM,9966.0,9966.0,1494.9,9966.0,30
CDM,500427,CAGE ALIF 20D 36X14X27MM,8858.0,8858.0,1328.7,8858.0,30
CDM,500428,PLATE SPN SZ12 22X31.5MM,11073.0,11073.0,1660.95,11073.0,30
CDM,500429,SCREW SPN LUM 5.5X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,500430,SCREW SPN LUM 5.5X30MM,1130.0,1130.0,169.5,1130.0,30
CDM,500431,ENDCAP SPN 0D 20X45MM,5050.0,5050.0,757.5,5050.0,30
CDM,500432,END CAP SPNL 0D 20MM,3765.0,3765.0,564.75,3765.0,30
CDM,500434,SCREW BN 4MM 36MM,2296.0,2296.0,344.4,2296.0,30
CDM,500435,CAGE SPN 7D 36X13MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500436,BASEPLATE TIB KN RT SZ3,11030.0,11030.0,1654.5,11030.0,30
CDM,500437,CMPNT FEM KN RT SZ5,22068.0,22068.0,3310.2,22068.0,30
CDM,500438,INSERT KN RT SZ2-3X13MM,6078.0,6078.0,911.7,6078.0,30
CDM,500439,CAGE SPN 8D 27X36X10MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500440,INSERT TIB KN 3-4 21MM,5823.0,5823.0,873.45,5823.0,30
CDM,500441,STEM HIP FEM SZ2L,8858.0,8858.0,1328.7,8858.0,30
CDM,500442,CONN ROD SPN 51-70X5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,500443,SCREW BN SPN 7.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,500444,SPACER SPNL 33-53X12 12M,21366.0,21366.0,3204.9,21366.0,30
CDM,500445,SPACER SPN 14MM 12MM,3016.0,3016.0,452.4,3016.0,30
CDM,500446,SPACER SPNL 14MM 12MM,3016.0,3016.0,452.4,3016.0,30
CDM,500447,STEM HIP FEM SZ5M,8416.0,8416.0,1262.4,8416.0,30
CDM,500448,LEAD NMD INTRODUCER,247.5,247.5,37.13,247.5,42
CDM,500449,STEM FEM 20X295MM,42740.0,42740.0,6411.0,42740.0,30
CDM,500450,COMPONENT KN TIB 6-10MM,4252.0,4252.0,637.8,4252.0,30
CDM,500451,CAGE SPN 8D 40X30X10MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500452,SPACER SPN 18X15X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,500453,PLATE SPN 7MM 4H,4429.0,4429.0,664.35,4429.0,30
CDM,500454,CAP LOCK SPN 7MM,1130.0,1130.0,169.5,1130.0,30
CDM,500455,STEM HIP FEM SZ4S,8416.0,8416.0,1262.4,8416.0,30
CDM,500456,CAGE SPNL C 30-45X20MM,32609.0,32609.0,4891.35,32609.0,30
CDM,500457,SCREW BN SPN 7.5MM 70MM,3765.0,3765.0,564.75,3765.0,30
CDM,500458,SCREW SPN 6.5MM 40MM,4030.0,4030.0,604.5,4030.0,30
CDM,500459,SCREW SPN 5.5MM 45MM,4030.0,4030.0,604.5,4030.0,30
CDM,500460,DEVICE SPN BONE FILLER,2431.0,2431.0,364.65,2431.0,42
CDM,500461,CAGE SPN 0D 25X8X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,500462,SCREW BN 4MM 28MM,2392.0,2392.0,358.8,2392.0,30
CDM,500463,PLATE BN MF FUSION 4H,5833.0,5833.0,874.95,5833.0,30
CDM,500464,INSERT TIB KN SZ7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,500465,COMP FEM HIP CLLR SZ6.5,7530.0,7530.0,1129.5,7530.0,30
CDM,500466,SCREW BN 5.5MM 24MM P-AX,3765.0,3765.0,564.75,3765.0,30
CDM,500468,STEM HUM SHLD132.5D115MM,11959.0,11959.0,1793.85,11959.0,30
CDM,500469,ROD SPN CRV 4MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,500470,SCREW SPN 5.5MM 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,500471,SCREW SPN 5.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,500472,STEM HUM SHLDR 13X130MM,20595.0,20595.0,3089.25,20595.0,30
CDM,500474,STENT EPRSTH 40X40X20CM,67672.0,67672.0,10150.8,67672.0,30
CDM,500475,PLATE REPLACE IR2001T,11339.0,11339.0,1700.85,11339.0,30
CDM,500476,CAGE SPN 14D 30X39X16MM,8858.0,8858.0,1328.7,8858.0,30
CDM,500477,STEM FEM HIP 9MM 102.5MM,7973.0,7973.0,1195.95,7973.0,30
CDM,500478,CMPNT TIB KN RT SZ3,5758.0,5758.0,863.7,5758.0,30
CDM,500479,STEM XTN KN 65MM 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,500480,INSERT TIB KN SZ3 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,500481,STEM XTN 105MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,500482,CAGE SPN 14D 40X30X16MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500483,CAGE INTBDY 14D 30X40X10,19200.0,19200.0,2880.0,19200.0,30
CDM,500484,BASEPLATE TIB KN RT SZ7,11588.0,11588.0,1738.2,11588.0,30
CDM,500485,COMPNT FEM KN RT SZ7,23176.0,23176.0,3476.4,23176.0,30
CDM,500486,WEDGE FEM KN SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,500487,INSERT TIB KN SZ6-7 15MM,6078.0,6078.0,911.7,6078.0,30
CDM,500489,INSERT TIB KN SZ5 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,500490,ROD SPN 3.5MM 20MM,2711.0,2711.0,406.65,2711.0,30
CDM,500491,SHELL ACTB HIP 3H 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,500492,INSERT HIP PLY 0D B 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,500493,HEAD HUM SHRT 53MM,5758.0,5758.0,863.7,5758.0,30
CDM,500494,ENDPLATE SPNL 14X18MM,25312.0,25312.0,3796.8,25312.0,30
CDM,500495,ENDPLATE SPN 3.5F 14MM,3558.0,3558.0,533.7,3558.0,30
CDM,500496,KWIRE FX .9MM 102MM,386.5,386.5,57.98,386.5,42
CDM,500497,STEM HIP FEM LO OFST SZ5,8858.0,8858.0,1328.7,8858.0,30
CDM,500498,WEDGE KN SZLG,20429.0,20429.0,3064.35,20429.0,30
CDM,500499,WEDGE KN FEM SZXL,20429.0,20429.0,3064.35,20429.0,30
CDM,500500,IPG NRSTM RECHGFRE 1.1CM,74408.0,74408.0,11161.2,74408.0,30
CDM,500502,PLATE BN TIB 6H RT 91MM,11483.0,11483.0,1722.45,11483.0,30
CDM,500503,SCREW BN 3.5MM 65MM,2304.0,2304.0,345.6,2304.0,30
CDM,500504,SCREW BN 3.5MM 60MM,3009.0,3009.0,451.35,3009.0,30
CDM,500505,CMPNT TIB POLY SZ7 10MM,4252.0,4252.0,637.8,4252.0,30
CDM,500510,AUGMENT TIB SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,500511,COMPONENT TIBTRY FX 5R,18137.0,18137.0,2720.55,18137.0,30
CDM,500512,SPACER SPN 26X34MM 13MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500513,SPACER SPN 24X30X13MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500514,CMPNT FEM KN SZ5,6764.0,6764.0,1014.6,6764.0,30
CDM,500515,COMPNT BRNG KN RT TIB A3,9301.0,9301.0,1395.15,9301.0,30
CDM,500516,CAGE SPN ENDSKLT 36X11MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500517,STEM HIP FEM SZ3S,8416.0,8416.0,1262.4,8416.0,30
CDM,500518,LINER ACTB HIP G7 C 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,500519,SCREW BN MINI 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,500520,SPACER SPN SHRT 7MM,23031.0,23031.0,3454.65,23031.0,30
CDM,500521,CMPNT HIP SZ7,7973.0,7973.0,1195.95,7973.0,30
CDM,500522,WEDGE FEM 5MM GMK 6 POST,4429.0,4429.0,664.35,4429.0,30
CDM,500523,COMPNNT TIBTRY KN LT SZ4,6385.0,6385.0,957.75,6385.0,30
CDM,500524,WEDGE FEM KN SZ6 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,500525,COMPONENT FEM 6 KN LT CM,10234.0,10234.0,1535.1,10234.0,30
CDM,500526,AUGMENT TIB KN 4/5MM,4429.0,4429.0,664.35,4429.0,30
CDM,500527,INSERT TIB KN SZ4 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,500528,CMPNT FEM CMNTLS LT SZ7,7397.0,7397.0,1109.55,7397.0,30
CDM,500529,NAIL BN 130D 12MM 235MM,4762.0,4762.0,714.3,4762.0,30
CDM,500530,SCREW SPN 7.5X40M,3012.0,3012.0,451.8,3012.0,30
CDM,500531,SPACER SPN 26X10X10-14MM,15059.0,15059.0,2258.85,15059.0,30
CDM,500532,CMPNT KN FEM PROX LT 7CM,17020.0,17020.0,2553.0,17020.0,30
CDM,500533,CMPNT KN DPHSL 1.5CM,15559.0,15559.0,2333.85,15559.0,30
CDM,500534,STEM FEM BW 150X18.5MM,5812.0,5812.0,871.8,5812.0,30
CDM,500535,LINER ACTB HIP 5X36MM,6644.0,6644.0,996.6,6644.0,30
CDM,500536,COMP FEM 15D ANTEVERT,14660.0,14660.0,2199.0,14660.0,30
CDM,500537,INSERT HUM 9+MM 42MM,4428.0,4428.0,664.2,4428.0,30
CDM,500538,PEG FX GLND SHLDR 2.5X24,399.0,399.0,59.85,399.0,30
CDM,500539,CAGE INTBDY 8D 27X36X12,19200.0,19200.0,2880.0,19200.0,30
CDM,500540,BASEPLATE TIB KN SZ5,5639.0,5639.0,845.85,5639.0,30
CDM,500541,STEM FEM HIP 115MM,8416.0,8416.0,1262.4,8416.0,30
CDM,500542,BASEPLATE KN TIB LT SZ6,4606.0,4606.0,690.9,4606.0,30
CDM,500543,COMPONENT FEM 7,5980.0,5980.0,897.0,5980.0,30
CDM,500544,INSERT TIB KN SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,500545,INSERT TIB KN RT SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,500546,COMPONENT FEM KN SZ7,6764.0,6764.0,1014.6,6764.0,30
CDM,500548,BASEPLATE KN TIB SZ4,5639.0,5639.0,845.85,5639.0,30
CDM,500549,INSERT KN CRS RP SZ9 6MM,8309.0,8309.0,1246.35,8309.0,30
CDM,500550,INSERT KN ARTC 1-2 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,500551,PLATE SHLDR LT SM 10D,7973.0,7973.0,1195.95,7973.0,30
CDM,500552,INSERT ARTC LT 5X11 MDL,4429.0,4429.0,664.35,4429.0,30
CDM,500554,INSERT TIB KN 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,500555,ROD SPN 4.75MM 55MM,2711.0,2711.0,406.65,2711.0,30
CDM,500556,PLATE BN 6HL 2MM,3976.0,3976.0,596.4,3976.0,30
CDM,500557,SPACER SPN 28X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,500558,WEDGE TIB KN LGN SZ3-4,4606.0,4606.0,690.9,4606.0,30
CDM,500559,KIT ACL DISPOSABLES,2688.0,2688.0,403.2,2688.0,42
CDM,500560,CAGE SPNL 26X11X11MM,4429.0,4429.0,664.35,4429.0,30
CDM,500561,PLT BN 3DMIC120X120X.6MM,9618.0,9618.0,1442.7,9618.0,30
CDM,500562,KIT DISP SFT ANCHORS,2251.0,2251.0,337.65,2251.0,42
CDM,500563,ANCHOR SUT ACL FIXATION,3721.0,3721.0,558.15,3721.0,30
CDM,500564,BASEPLATE TIB KN SZ7,5639.0,5639.0,845.85,5639.0,30
CDM,500565,NAIL FEM CANN 10MM 440MM,8478.0,8478.0,1271.7,8478.0,30
CDM,500566,PLATE BN 6HL 3.5X70MM,2128.0,2128.0,319.2,2128.0,30
CDM,500567,SYSTEM CATH SINGLE,28624.0,28624.0,4293.6,28624.0,42
CDM,500568,PIN EXFX 30MM,147.5,147.5,22.13,147.5,42
CDM,500569,SPACER SPN INTBDY 24X9MM,8858.0,8858.0,1328.7,8858.0,30
CDM,500570,STEM HUM SZ13 3.86X.56IN,6644.0,6644.0,996.6,6644.0,30
CDM,500571,LINER CUP SHLDR SZ+6R,4606.0,4606.0,690.9,4606.0,30
CDM,500572,CAGE SPNL 32X10MM,19200.0,19200.0,2880.0,19200.0,30
CDM,500573,SCREW BN 3.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,500574,CATH HEMO 7.5FR 10CM,3888.0,3888.0,583.2,3888.0,42
CDM,500575,COMPONENT FEM 6 RT KN PS,10234.0,10234.0,1535.1,10234.0,30
CDM,500576,WEDGE FEM 8MM GMK 6 DIST,4429.0,4429.0,664.35,4429.0,30
CDM,500577,SHELL ACTB HIP 2HL SZ54,4606.0,4606.0,690.9,4606.0,30
CDM,500578,SCREW BN 6.5MM 40MM,877.0,877.0,131.55,877.0,30
CDM,500579,LINER FLAT HIP SZ3 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,500581,INSERT KN REV SZ9 12MM,8309.0,8309.0,1246.35,8309.0,30
CDM,500582,CARTRIDGE INJ ENDO,2038.5,2038.5,305.77,2038.5,42
CDM,500583,CMPNT KN TIB SZ6 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,500584,SCREW BN 2.0MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,500585,STEM HIP FEM SZ6M,8416.0,8416.0,1262.4,8416.0,30
CDM,500586,SCREW BN SPN 6MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,500587,COMPNT KN FEM LT SZ2,18525.0,18525.0,2778.75,18525.0,30
CDM,500588,STEM HUM SHLDR 94X10MM,12402.0,12402.0,1860.3,12402.0,30
CDM,500589,STEM FEM HIP 13MM 130MM,6644.0,6644.0,996.6,6644.0,30
CDM,500590,INS TIB KN TRUL SZ3 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,500591,INSERT TIB RT SZ5 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,500593,SCREW BN 6.5MM 30MM,877.0,877.0,131.55,877.0,30
CDM,500594,STEM LAT FEM 8 MECTAGRIP,8858.0,8858.0,1328.7,8858.0,30
CDM,500595,HEAD FEM HIP SZM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,500596,BASEPLATE KN TIB SZ8,5639.0,5639.0,845.85,5639.0,30
CDM,500597,STEM REV KN 12MM +135MM,6876.0,6876.0,1031.4,6876.0,30
CDM,500598,INSERT KN LT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,500599,STEM LAT CMNTLSS PLUS #6,8858.0,8858.0,1328.7,8858.0,30
CDM,500601,CUP ACTB TRIFLNG RT 66MM,40083.0,40083.0,6012.45,40083.0,30
CDM,500602,SCREW BN LAG 13X115MM,3189.0,3189.0,478.35,3189.0,30
CDM,500603,COMP ACTB TRI SZ26,53148.0,53148.0,7972.2,53148.0,30
CDM,500604,STEM FEM HIP 21X190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,500605,LINER ACTB HIP SZ26 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,500606,SCREW SPNL STRGH 7.5X60,3389.0,3389.0,508.35,3389.0,30
CDM,500607,NAIL- IM L375 OD11 TIB,4429.0,4429.0,664.35,4429.0,30
CDM,500608,SCREW SPN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,500609,SCREW SPN 6.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,500610,VALVE AORTIC 17MM,12881.0,12881.0,1932.15,12881.0,30
CDM,500613,INSERT TIB KN SZ8 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,500614,INSERT TIB KN SZ9 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,500615,INSERT TIB KN SZ10 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,500621,BLADE SAW 85X19X2MM,773.0,773.0,115.95,773.0,42
CDM,500624,SET PROBE ARRAY KNEE,2644.0,2644.0,396.6,2644.0,42
CDM,500626,DRILL PIN 125MMX4MM,525.5,525.5,78.83,525.5,42
CDM,500627,DRILL PIN 175MMX4MM,525.5,525.5,78.83,525.5,42
CDM,500628,CUP ACTG TRIFLNG LT 66MM,44069.0,44069.0,6610.35,44069.0,30
CDM,500629,NEEDLE PERCUTANEOUS ACCE,585.0,585.0,87.75,585.0,42
CDM,500630,NEEDLE PERCUTANEOUS ACCE,585.0,585.0,87.75,585.0,42
CDM,500631,NEEDLE PERCUTANEOUS ACCE,585.0,585.0,87.75,585.0,42
CDM,500632,CUP ACTG TRIFLNG RT 66MM,44069.0,44069.0,6610.35,44069.0,30
CDM,500634,VALVE HMSTS BORE LG,231.5,231.5,34.73,231.5,42
CDM,500636,LENS IOL +17.5 DIOP,647.0,647.0,119.11,647.0,28
CDM,500637,LENS IOL +21.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500638,TUBE TYMP VENT 1.14MM,463.0,463.0,69.45,463.0,30
CDM,500640,STENT VASC 8X100MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,500641,LENS IOL 22.5 DIOP,647.0,647.0,119.11,647.0,28
CDM,500642,LENS IOL +23.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,500643,CANNULA VNS 19FR 69.9CM,3303.0,3303.0,495.45,3303.0,42
CDM,500644,KIT CANNULA 21F 180CM,3201.0,3201.0,480.15,3201.0,42
CDM,500645,CANNULA FEM VNS 25F 60CM,3201.0,3201.0,480.15,3201.0,42
CDM,500649,STENT TRCHBR 10MM 40MMM,10187.0,10187.0,1528.05,10187.0,30
CDM,500650,STENT TRCH 7.9F 10X110MM,9744.0,9744.0,1461.6,9744.0,30
CDM,500651,STENT TRCHBRONC 8X10MM,9744.0,9744.0,1461.6,9744.0,30
CDM,500652,LENS IOL +15.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,500653,LENS IOL +16.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500654,KIT MINTRDCR 4FR 10CM,344.0,344.0,51.6,344.0,42
CDM,500655,LENS IOL +20.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,500656,EXPAND BRST 450CC,6932.0,6932.0,1039.8,6932.0,30
CDM,500657,DEVICE EMBL 3.25X12MM,63712.0,63712.0,9556.8,63712.0,30
CDM,500658,STENT BIL 8X120MM 125CM,4429.0,4429.0,664.35,4429.0,30
CDM,500659,ELCTRD J HOOK W ADPT 4MM,283.5,283.5,42.52,283.5,42
CDM,500661,DERMAPURE 1SQCM,487.0,487.0,73.05,487.0,29
CDM,500663,IMPLANT BREAST 350CC,5094.0,5094.0,764.1,5094.0,30
CDM,500666,IMPLANT BREAST 430CC,5094.0,5094.0,764.1,5094.0,30
CDM,500667,IMPLANT BREAST 470CC,5094.0,5094.0,764.1,5094.0,30
CDM,500668,IMPLANT BREAST 545CC,4540.0,4540.0,681.0,4540.0,30
CDM,500672,IMPLANT BREAST 775CC,5094.0,5094.0,764.1,5094.0,30
CDM,500673,FORCEPS BIP 1MM 8IN,2824.5,2824.5,423.68,2824.5,42
CDM,500674,FORCEP BIP STD 8.5IN,2824.5,2824.5,423.68,2824.5,42
CDM,500677,CATH FOL 20FR 5CC 6.7MM,231.5,231.5,34.73,231.5,42
CDM,500680,LENS IOL +15.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,500681,CABLE SPN 1.5MM,3713.0,3713.0,556.95,3713.0,30
CDM,500682,GRAFT STENT 23MM 49MM,16053.0,16053.0,2407.95,16053.0,30
CDM,500683,GRAFT STENT 25MM 49MM,14849.0,14849.0,2227.35,14849.0,30
CDM,500684,STENT GRAFT 28MM 49MM,16438.0,16438.0,2465.7,16438.0,30
CDM,500685,GRAFT STNT 102X25X14MM,38354.0,38354.0,5753.1,38354.0,30
CDM,500687,GRAFT STNT 24MM 152MM,62582.0,62582.0,9387.3,62582.0,30
CDM,500688,GRAFT STNT 38MM 150MM,59046.0,59046.0,8856.9,59046.0,30
CDM,500690,GRAFT STNT 40MM 150MM,62582.0,62582.0,9387.3,62582.0,30
CDM,500691,GRAFT STNT 24MM 112MM,59046.0,59046.0,8856.9,59046.0,30
CDM,500692,GRAFT STNT 28MM 150MM,63833.0,63833.0,9574.95,63833.0,30
CDM,500693,GRAFT STNT 32MM 150MM,59046.0,59046.0,8856.9,59046.0,30
CDM,500694,GRAFT STNT 46MM 150MM,62582.0,62582.0,9387.3,62582.0,30
CDM,500696,RELOAD STPLR 45MM,3156.0,3156.0,473.4,3156.0,30
CDM,500697,RELOAD STPLR 45MM,3156.0,3156.0,473.4,3156.0,30
CDM,500698,LENS IOL +23.0 DIOP,647.0,647.0,119.11,647.0,28
CDM,500699,GRAFT TIS 7X10CM,4522.0,4522.0,678.3,4522.0,30
CDM,500700,CATH BRCHYTHRPY 3.5FR,21743.0,21743.0,3261.45,21743.0,42
CDM,500708,IPG NRSTM 44MM 51MM,40887.0,40887.0,6133.05,40887.0,30
CDM,500709,KIT NRSTM PT PROGRAMMER,7255.0,7255.0,1088.25,7255.0,42
CDM,500710,BANDAGE 10YDX4IN ZNO,92.0,92.0,13.8,92.0,42
CDM,500711,LENS IOL +17.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500712,SUT SPRL SZ 3-0 30X30CM,328.0,328.0,49.2,328.0,42
CDM,500714,CATH URET 5F .038IN 65CM,231.5,231.5,34.73,231.5,42
CDM,500715,HANDPIECE ESURG 35CM 5MM,3765.5,3765.5,564.83,3765.5,42
CDM,500716,HNDPC ESURG 5MM 45CM,3765.5,3765.5,564.83,3765.5,42
CDM,500727,CANN PRFSN 15FR 11IN,829.5,829.5,124.42,829.5,42
CDM,500730,CANNULA DUAL 31FR 51CM,66508.0,66508.0,9976.2,66508.0,42
CDM,500731,LENS IOL +21.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,500732,DEVICE EMBL 4MM 14MM,63712.0,63712.0,9556.8,63712.0,30
CDM,500733,DEVICE EMBL 4.25MM 12MM,63712.0,63712.0,9556.8,63712.0,30
CDM,500734,DEVICE EMBL 5MM 25MM,60966.0,60966.0,9144.9,60966.0,30
CDM,500735,DEVICE EMBL 5.0X16MM,63712.0,63712.0,9556.8,63712.0,30
CDM,500736,DEVICE EMBL 4MM 10MM,63712.0,63712.0,9556.8,63712.0,30
CDM,500737,ADAPTER LD CHANNEL 10CM,4429.0,4429.0,664.35,4429.0,30
CDM,500739,LEAD NRSTM 60CM,4429.0,4429.0,664.35,4429.0,30
CDM,500740,KIT NRSTM 60CM,6910.0,6910.0,1036.5,6910.0,30
CDM,500741,DEVICE EMBL 5MM 18MM,63712.0,63712.0,9556.8,63712.0,30
CDM,500743,LENS IOL +16.5 DIOP,1.0,1.0,0.18,1.0,28
CDM,500744,FORCEP GRASP 7MM 230CM,773.0,773.0,115.95,773.0,42
CDM,500745,LENS IOL +19.5 DIOP,647.0,647.0,119.11,647.0,28
CDM,500746,LENS IOL +18.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,500747,LENS IOL +19.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500749,LENS IOL +24.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500750,LENS IOL +24.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,500751,LENS IOL +25.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500752,DEVICE EMBL 10MM 2.5MM,63712.0,63712.0,9556.8,63712.0,30
CDM,500753,IMPL EYLD WGHT SPHR 1GM,3189.0,3189.0,478.35,3189.0,30
CDM,500754,IMPL EYLD WGHT LWR 1.2GM,3189.0,3189.0,478.35,3189.0,30
CDM,500755,IMPL EYLD WT CRVLWR1.4GM,3189.0,3189.0,478.35,3189.0,30
CDM,500760,CATHETER URTH 8FR 10IN,13.0,13.0,1.95,13.0,42
CDM,500761,TRIFLANGE RT SZ26,53658.0,53658.0,8048.7,53658.0,30
CDM,500763,STENT EPRSTH 5X8X29MM,10997.0,10997.0,1649.55,10997.0,30
CDM,500764,STENT EPRSTH 8X11X29MM,12667.0,12667.0,1900.05,12667.0,30
CDM,500765,STENT TRCHBR 6FR 6X22MM,10471.0,10471.0,1570.65,10471.0,30
CDM,500766,CATH BLNDIL 2.25X22MM,773.0,773.0,115.95,773.0,42
CDM,500767,CATH BLNDIL 2.5X22MM,773.0,773.0,115.95,773.0,42
CDM,500768,CATH BLNDIL 2.75X22MM,773.0,773.0,115.95,773.0,42
CDM,500769,CATH BLNDIL 3X22MM,773.0,773.0,115.95,773.0,42
CDM,500770,CATH BLNDIL 3.25X22MM,773.0,773.0,115.95,773.0,42
CDM,500771,CATH BLNDIL 3.5X22MM,773.0,773.0,115.95,773.0,42
CDM,500772,CATH BLNDIL 3.75X22MM,773.0,773.0,115.95,773.0,42
CDM,500773,CATH BLNDIL 4X22MM,773.0,773.0,115.95,773.0,42
CDM,500774,CATH BLNDIL 4.5X22MM,773.0,773.0,115.95,773.0,42
CDM,500775,CATH BLNDIL 5X22MM,773.0,773.0,115.95,773.0,42
CDM,500776,CATH BLNDIL 2.0X26MM,773.0,773.0,115.95,773.0,42
CDM,500777,CATH BLNDIL 2.25X26MM,773.0,773.0,115.95,773.0,42
CDM,500778,CATH BLNDIL 2.5X26MM,773.0,773.0,115.95,773.0,42
CDM,500779,CATH BLNDIL 2.75X26MM,773.0,773.0,115.95,773.0,42
CDM,500780,CATH BLNDIL 3X26MM,773.0,773.0,115.95,773.0,42
CDM,500781,CATH BLNDIL 3.25X26MM,773.0,773.0,115.95,773.0,42
CDM,500782,CATH BLNDIL 3.5X26MM,773.0,773.0,115.95,773.0,42
CDM,500783,CATH BLNDIL 3.75X26MM,773.0,773.0,115.95,773.0,42
CDM,500784,CATH BLNDIL 4X26MM,773.0,773.0,115.95,773.0,42
CDM,500785,CATH BLNDIL 4.5X26MM,773.0,773.0,115.95,773.0,42
CDM,500786,CATH BLNDIL 5X26MM,773.0,773.0,115.95,773.0,42
CDM,500788,SUTURE SS 2-0 24IN,192.0,192.0,28.8,192.0,42
CDM,500790,LENS IOL +18.5 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,500793,AFO SPRL MLDD TO PATIENT,4471.0,4471.0,823.11,4471.0,26
CDM,500793,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",4471.0,4471.0,813.12,1258.2,34
CDM,500798,BOOT UNIV ANKL,1336.0,1336.0,245.96,1336.0,26
CDM,500798,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",1336.0,1336.0,197.04,304.89,34
CDM,500803,LENS IOL +16.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,500804,LENS IOL +24.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,500805,CUP ACTB TRIFLNG LT SZ56,44069.0,44069.0,6610.35,44069.0,30
CDM,500806,LENS IOL +26.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,500807,LENS IOL +27.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,500867,VLV & CNDT PULM 22-26MM,76881.0,76881.0,11532.15,76881.0,30
CDM,500875,VLV & CNDT PULM 27-30MM,96106.0,96106.0,14415.9,96106.0,30
CDM,500918,STENT COR 2.00MMX08MM,2010.0,2010.0,301.5,2010.0,30
CDM,500919,STENT COR 2.00MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500920,STENT COR 2.0MMX15MM,2010.0,2010.0,301.5,2010.0,30
CDM,500921,STENT COR 2.00MMX18MM,2010.0,2010.0,301.5,2010.0,30
CDM,500922,STENT COR 2.00MM X22 MM,2010.0,2010.0,301.5,2010.0,30
CDM,500923,STENT COR 2.00MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500924,STENT COR 2.00MMX30MM,2010.0,2010.0,301.5,2010.0,30
CDM,500925,STENT COR 2.25MMX08MM,2010.0,2010.0,301.5,2010.0,30
CDM,500926,STENT COR 2.25MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500927,STENT COR 2.25MMX15MM,2010.0,2010.0,301.5,2010.0,30
CDM,500928,STENT COR 2.25MMX18MM,2010.0,2010.0,301.5,2010.0,30
CDM,500929,STENT COR 2.25MMX22MM,2010.0,2010.0,301.5,2010.0,30
CDM,500930,STENT COR 2.25MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500931,STENT COR 2.25MMX30MM,2192.0,2192.0,328.8,2192.0,30
CDM,500932,FORCEP ENDO 1MM 270CM,4052.0,4052.0,607.8,4052.0,42
CDM,500933,STENT COR 2.25X34MM,2010.0,2010.0,301.5,2010.0,30
CDM,500934,STENT COR 2.25MMX38MM,2192.0,2192.0,328.8,2192.0,30
CDM,500935,STENT COR 2.50MMX08MM,2010.0,2010.0,301.5,2010.0,30
CDM,500936,STENT COR 2.50MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500937,STENT COR 2.50MMX15MM,2010.0,2010.0,301.5,2010.0,30
CDM,500938,STENT COR 2.50MMX18MM,2010.0,2010.0,301.5,2010.0,30
CDM,500939,STENT COR 2.50MMX22MM,2010.0,2010.0,301.5,2010.0,30
CDM,500940,STENT COR 2.50MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500941,STENT COR 2.50MMX30MM,2010.0,2010.0,301.5,2010.0,30
CDM,500942,STENT COR 2.50MMX34MM,2010.0,2010.0,301.5,2010.0,30
CDM,500943,STENT COR 2.50MMX38MM,2010.0,2010.0,301.5,2010.0,30
CDM,500944,STENT COR 2.75MMX08MM,2010.0,2010.0,301.5,2010.0,30
CDM,500945,STENT COR 2.75MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500946,STENT COR 2.75MMX15MM,2010.0,2010.0,301.5,2010.0,30
CDM,500947,STENT COR 2.75MMX18MM,2010.0,2010.0,301.5,2010.0,30
CDM,500948,STENT COR 2.75MMX22MM,2010.0,2010.0,301.5,2010.0,30
CDM,500949,STENT COR 2.75MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500950,STENT COR 2.75MMX30MM,2010.0,2010.0,301.5,2010.0,30
CDM,500951,STENT COR 2.75MMX34MM,2010.0,2010.0,301.5,2010.0,30
CDM,500952,STENT COR 2.75MM 38MM,2010.0,2010.0,301.5,2010.0,30
CDM,500953,STENT COR 3.00MMX08MM,2010.0,2010.0,301.5,2010.0,30
CDM,500954,STENT COR 3.00MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500955,STENT COR 3.00MMX15MM,2010.0,2010.0,301.5,2010.0,30
CDM,500956,STENT COR 3.00MMX18MM,2010.0,2010.0,301.5,2010.0,30
CDM,500957,STENT COR 3.00MMX22MM,2010.0,2010.0,301.5,2010.0,30
CDM,500958,STENT COR 3.00MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500959,STENT COR 3.00MMX30MM,2010.0,2010.0,301.5,2010.0,30
CDM,500960,STENT COR 3.00MMX34MM,2010.0,2010.0,301.5,2010.0,30
CDM,500961,STENT COR 3.00MMX38MM,2010.0,2010.0,301.5,2010.0,30
CDM,500962,STENT COR 3.50MMX08MM,2010.0,2010.0,301.5,2010.0,30
CDM,500963,STENT COR 3.50MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500964,STENT COR 3.50MMX15MM,2010.0,2010.0,301.5,2010.0,30
CDM,500965,STENT COR 3.50MMX18MM,2010.0,2010.0,301.5,2010.0,30
CDM,500966,STENT COR 3.50MMX22MM,2010.0,2010.0,301.5,2010.0,30
CDM,500967,STENT COR 3.50MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500968,STENT COR 3.50MMX30MM,2010.0,2010.0,301.5,2010.0,30
CDM,500969,STENT COR 3.50MMX34MM,2010.0,2010.0,301.5,2010.0,30
CDM,500970,STENT COR 3.50MMX38MM,2010.0,2010.0,301.5,2010.0,30
CDM,500971,STENT COR 4.00MMX08MM,2010.0,2010.0,301.5,2010.0,30
CDM,500972,STENT COR 4.00MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500973,STENT COR 4.00MMX15MM,2010.0,2010.0,301.5,2010.0,30
CDM,500974,STENT COR 4.00MMX18MM,2010.0,2010.0,301.5,2010.0,30
CDM,500975,STENT COR 4.00MMX22MM,2010.0,2010.0,301.5,2010.0,30
CDM,500976,STENT COR 4.00MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500977,STENT COR 4.00MMX30MM,2010.0,2010.0,301.5,2010.0,30
CDM,500978,STENT COR 4.00MMX34MM,2010.0,2010.0,301.5,2010.0,30
CDM,500979,STENT COR 4.00MMX38MM,2010.0,2010.0,301.5,2010.0,30
CDM,500980,STENT COR 4.50MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500981,STENT COR 4.50MMX15MM,2192.0,2192.0,328.8,2192.0,30
CDM,500982,STENT COR 4.50MMX18MM,2192.0,2192.0,328.8,2192.0,30
CDM,500983,STENT COR 4.50MMX22MM,2192.0,2192.0,328.8,2192.0,30
CDM,500984,STENT COR 4.50MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500985,STENT COR 4.50MMX30MM,2192.0,2192.0,328.8,2192.0,30
CDM,500986,STENT COR 5.00MMX12MM,2010.0,2010.0,301.5,2010.0,30
CDM,500987,STENT COR 5.00MMX15MM,2010.0,2010.0,301.5,2010.0,30
CDM,500988,STENT COR 5.00MMX18MM,2010.0,2010.0,301.5,2010.0,30
CDM,500989,STENT COR 5.00MMX22MM,2192.0,2192.0,328.8,2192.0,30
CDM,500990,STENT COR 5.00MMX26MM,2010.0,2010.0,301.5,2010.0,30
CDM,500991,STENT COR 5.00MMX30MM,2192.0,2192.0,328.8,2192.0,30
CDM,501117,NEEDLE BIOPSY 25GA,3185.0,3185.0,477.75,3185.0,42
CDM,501119,DERMAPURE 1SQCM,1331.0,1331.0,199.65,1331.0,29
CDM,501120,NRSTM NON RECHARGEABLE,45650.0,45650.0,6847.5,45650.0,30
CDM,501123,LENS IOL +22.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,501124,LENS IOL +14.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,501126,CATH BLNDIL 2X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,501127,CATH BLNDL 2X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,501128,CATH BLDL 2.5X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,501129,CATH BLDL 2.5X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,501130,CATH BLN 2.5X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
CDM,501131,LENS IOL +13.0 DIOP,780.0,780.0,143.6,780.0,28
CDM,501132,SYSTEM BLNDIL 16X40MM,4267.5,4267.5,640.13,4267.5,42
CDM,501133,SYSTEM BLNDIL 14X40MM,4267.5,4267.5,640.13,4267.5,42
CDM,501134,CATH HMDIAL 10FR 15CM,3683.5,3683.5,552.52,3683.5,42
CDM,501135,LENS IOL +12.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,501136,LENS IOL +11.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,501137,LENS IOL +18.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,501138,PROBE VITRTM 23GA,1502.5,1502.5,225.38,1502.5,42
CDM,501139,NAIL BN LT 9MM 360MM,8982.0,8982.0,1347.3,8982.0,30
CDM,501142,STENT EPRSTH 9X13X39MM,10997.0,10997.0,1649.55,10997.0,30
CDM,501143,STENT EPRSTH 11X16X29MM,11274.0,11274.0,1691.1,11274.0,30
CDM,501145,CANN SUC 4MM 30CM,834.0,834.0,125.1,834.0,42
CDM,501146,KNIFE OPTN 2.3MM,246.0,246.0,36.9,246.0,42
CDM,501148,TUBE EARVNT 1.14X3.6MM,196.0,196.0,29.4,196.0,30
CDM,501152,LENS IOL +19.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,501153,LENS IOL +20.0 DIOP,780.0,780.0,143.6,780.0,28
CDM,501154,LENS IOL +14.0 DIOP,647.0,647.0,119.11,647.0,28
CDM,501155,TUBE VENT 1.14MM,380.0,380.0,57.0,380.0,30
CDM,501159,CATH HEMO 7.5FR 8CM,3888.0,3888.0,583.2,3888.0,42
CDM,501160,WAND ENDO ESURG 1.3X10.5,870.0,870.0,130.5,870.0,42
CDM,501161,LENS IOL +13.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,501162,CATH DYLS LTRM 10F 19CM,3683.5,3683.5,552.52,3683.5,42
CDM,501163,CATH DYLS LTRM 10F 23CM,3683.5,3683.5,552.52,3683.5,42
CDM,501164,CATH DYSL LTRM 7.5F 19CM,4094.0,4094.0,614.1,4094.0,42
CDM,501167,LENS IOL +21.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,501169,DEVICE TISS RMVL DISP,4827.0,4827.0,724.05,4827.0,42
CDM,501170,LENS IOL +14.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,501171,GRAFT AMNIO TISS 2.5X2CM,4868.0,4868.0,730.2,4868.0,30
CDM,501172,CATH HEMDIAL 10FR 10CM,3683.5,3683.5,552.52,3683.5,42
CDM,501173,CATH HMDIAL 10FR 12CM,3683.5,3683.5,552.52,3683.5,42
CDM,501178,LENS IOL +17.0 DIOP,780.0,780.0,143.6,780.0,28
CDM,501179,LENS IOL +4.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,501180,LENS IOL +18.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,501181,BLADE SHVR 5.5MM 12.5CM,572.0,572.0,85.8,572.0,42
CDM,501184,LENS IOL +18.5 DIOP,780.0,780.0,143.6,780.0,28
CDM,501185,CANNULA ART 25FR 76.2CM,2889.5,2889.5,433.43,2889.5,42
CDM,501190,BTTN BLN 12F 2CM,993.0,993.0,148.95,993.0,42
CDM,501191,BUTTON BLN GSTRC 12F 1CM,993.0,993.0,148.95,993.0,42
CDM,501198,LENS IOL 16.5 DIOP,866.5,866.5,159.52,866.5,28
CDM,501200,DEVICE CLS WND +3-0 70CM,319.5,319.5,47.92,319.5,42
CDM,501204,BUTTON BLN 14FR 1.0CM,1023.5,1023.5,153.53,1023.5,42
CDM,501207,EXPANDER BREAST 475CC,9168.0,9168.0,1375.2,9168.0,30
CDM,501210,GWIRE VASC FLOPPY 260CM,4385.5,4385.5,657.83,4385.5,42
CDM,501214,BLADE SHVR 4MM 13CM,2985.5,2985.5,447.82,2985.5,42
CDM,501218,DVC PLVC POSTN REPR,2745.0,2745.0,411.75,2745.0,42
CDM,501219,EXTENSION GW VASC 165CM,773.0,773.0,115.95,773.0,42
CDM,501221,DEVICE EMBL 2.5MM 12MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501224,DEVICE EMBL 2.75MM 12MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501235,DEVICE EMBL 3.5MM 14MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501239,DEVICE EMBL 3.75MM 10MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501240,DEVICE EMBL 3.75MM 12MM,60966.0,60966.0,9144.9,60966.0,30
CDM,501241,DEVICE EMBL 3.75MM 14MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501246,DEVICE EMBL 4MM 12MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501254,DEVICE EMB 4.25MM 16MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501259,DEVICE EMBL 4.5MM 14MM,60966.0,60966.0,9144.9,60966.0,30
CDM,501261,DEVICE EMBL 4.5MM 18MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501262,DEVICE EMBL 4.5MM 20MM,60966.0,60966.0,9144.9,60966.0,30
CDM,501265,DEVICE EMBL 4.75MM 12MM,60966.0,60966.0,9144.9,60966.0,30
CDM,501267,DEVICE EMBL 4.75MM 16MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501274,DEVICE EMBL 5.0X20MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501276,DEVICE EMBL 5.0X.0MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501277,DEVICE EMBL 5MM 35MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501278,GWIRE ENDO .035IN 400CM,814.0,814.0,122.1,814.0,42
CDM,501280,KIT CATH PERI 8.3FR,1023.5,1023.5,153.53,1023.5,42
CDM,501281,OCCLUDER PFO RT25/LT18MM,44268.0,44268.0,6640.2,44268.0,30
CDM,501282,OCCLUDER CV 9F 18MM,44268.0,44268.0,6640.2,44268.0,30
CDM,501283,OCCLUDER PFO RT35/LT25MM,44268.0,44268.0,6640.2,44268.0,30
CDM,501284,CATH ULTSND IVL 8X60MM,17650.5,17650.5,2647.57,17650.5,42
CDM,501285,SYS VALVE AOR 26MM,124963.0,124963.0,18744.45,124963.0,30
CDM,501286,CANNULA INTROD 29FX46CM,66508.0,66508.0,9976.2,66508.0,42
CDM,501287,DILATOR VASC 14-26F 25CM,1637.0,1637.0,245.55,1637.0,42
CDM,501288,GDWIRE STRT .035 180CM,1952.5,1952.5,292.88,1952.5,42
CDM,501298,CATH ULTSND 2.5MM 40MM,14069.0,14069.0,2110.35,14069.0,42
CDM,501299,CATH ULTSND 3MM 40MM,14069.0,14069.0,2110.35,14069.0,42
CDM,501300,CATH ULTSND 3.5MM 40MM,14069.0,14069.0,2110.35,14069.0,42
CDM,501301,CATH ULTSND 4MM 40MM,14069.0,14069.0,2110.35,14069.0,42
CDM,501304,DEVICE EMBL 5MM 10MM,63712.0,63712.0,9556.8,63712.0,30
CDM,501306,CATH GD RADL ACC 7F100CM,5321.0,5321.0,798.15,5321.0,42
CDM,501307,CATH EP 7FR 115CM,4706.0,4706.0,705.9,4706.0,42
CDM,501308,CATH ULTSND 10FR 90CM,6742.25,6742.25,1011.34,6742.25,42
CDM,501309,CATH EP VAR RDS 10 POL,2648.75,2648.75,397.31,2648.75,42
CDM,501310,CATH EP 6FR 2MM 120CM,263.25,263.25,39.49,263.25,42
CDM,501311,CATH EP ABL 5FR 120CM,263.25,263.25,39.49,263.25,42
CDM,501312,GWIRE VASC 300CM .035IN,1013.5,1013.5,152.03,1013.5,42
CDM,501313,INTRO SHTH 7FR 80X23CM,748.5,748.5,112.28,748.5,42
CDM,501314,INTRO SHTH 6F 21G 80CM,773.0,773.0,115.95,773.0,42
CDM,501315,SYSTEM ACC FX CRV DBL,5116.0,5116.0,767.4,5116.0,42
CDM,501319,TUBE DRN 30CM 12FR SIL,2374.0,2374.0,356.1,2374.0,42
CDM,501320,TUBE DRN SIL 14FR 30CM,2374.0,2374.0,356.1,2374.0,42
CDM,501321,TUBE DRN 30CM 16FR SIL,2374.0,2374.0,356.1,2374.0,42
CDM,501322,BLADE SAW PRCSN 22.5X.38,712.0,712.0,106.8,712.0,42
CDM,501323,RELOAD STPLR 45MM,3156.0,3156.0,473.4,3156.0,30
CDM,501324,RELOAD STPLR 45MM,3156.0,3156.0,473.4,3156.0,30
CDM,501326,RELOAD STPLR 45MM,3156.0,3156.0,473.4,3156.0,30
CDM,501328,PIN GD TEMP 4.0X110MM,773.0,773.0,115.95,773.0,42
CDM,501329,PIN GD TEMP 4X140MM,773.0,773.0,115.95,773.0,42
CDM,501330,CUP ACTB TRFLNG LT 62MM,44069.0,44069.0,6610.35,44069.0,30
CDM,501333,VALVE PULM 23MM,76881.0,76881.0,11532.15,76881.0,30
CDM,501334,CMPNT TRIFLNG LT SZ25,53148.0,53148.0,7972.2,53148.0,30
CDM,501335,GRAFT CV 30CM 38MM,3846.0,3846.0,576.9,3846.0,30
CDM,501336,GRAFT CV 15CM 28X36X28MM,7087.0,7087.0,1063.05,7087.0,30
CDM,501337,GRAFT CV 15CM 32X40X32MM,7441.0,7441.0,1116.15,7441.0,30
CDM,501338,GRAFT CV 10X28MM 50CM,3888.0,3888.0,583.2,3888.0,30
CDM,501343,SUTURE WHT BRD 2-0 30IN,103.0,103.0,15.45,103.0,42
CDM,501344,SUTURE GRN BRD 2-0 30IN,101.0,101.0,15.15,101.0,42
CDM,501346,BRUSH FMCNL 32CM 19MM,231.5,231.5,34.73,231.5,42
CDM,501347,BLDE ARACH MEMBR 1 SIDE,925.5,925.5,138.82,925.5,42
CDM,501348,BLADE THK.38MM 25D 1MM,972.5,972.5,145.88,972.5,42
CDM,501350,BLADE NEURO THK1MM CRV,972.5,972.5,145.88,972.5,42
CDM,501351,STNT URET MTL 6X22,5943.0,5943.0,891.45,5943.0,30
CDM,501352,COUPLER ANSTM 1.5MM,3683.0,3683.0,552.45,3683.0,30
CDM,501353,COUPLER VASC ANSTM 4MM,3189.0,3189.0,478.35,3189.0,30
CDM,501355,VALVE MITRAL 31MM,27684.0,27684.0,4152.6,27684.0,30
CDM,501357,LENS IOL +27.0 DIOP,1.0,1.0,0.18,1.0,28
CDM,501358,LENS IOL +16.50 DIOP,780.0,780.0,143.6,780.0,28
CDM,501359,LENS IOL +16.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,501360,BLADE SAW 22.5X.38MM PRC,773.0,773.0,115.95,773.0,42
CDM,501361,SHELL ACTB RT 62MM,44069.0,44069.0,6610.35,44069.0,30
CDM,501362,GRAFT CV 10X26MM 50CM,3888.0,3888.0,583.2,3888.0,30
CDM,501363,GRAFT CV 10X24MM 50CM,3846.0,3846.0,576.9,3846.0,30
CDM,501369,BLADE SRG 3.5MM TRCT SBG,3278.0,3278.0,491.7,3278.0,42
CDM,501370,GRAFT CV 36MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,501371,GRAFT CV 38MM 40CM,3846.0,3846.0,576.9,3846.0,30
CDM,501372,EXTRACTOR SURG DISP 12FR,2055.5,2055.5,308.32,2055.5,42
CDM,501378,CMPNT TRIFLNG LT SZ26,53148.0,53148.0,7972.2,53148.0,30
CDM,501380,CANNULA PRFSN 5.5IN 7FR,290.5,290.5,43.58,290.5,42
CDM,501381,KIT IMPLANT URO DEVICE,4429.0,4429.0,664.35,4429.0,30
CDM,501383,GRAFT VASC 30CM 16MM,3895.0,3895.0,584.25,3895.0,30
CDM,501386,KIT VAC CMNT MX BWL,773.0,773.0,115.95,773.0,42
CDM,501387,PRESSURIZER FEM CANAL MD,231.5,231.5,34.73,231.5,42
CDM,501388,SYS QUICK DISCONN 1/8IN,1203.5,1203.5,180.53,1203.5,42
CDM,501390,GRAFT CV 38MM 30CM,2360.0,2360.0,354.0,2360.0,30
CDM,501392,AGENT HMSTC MTRX 5ML,1113.0,1113.0,166.95,1113.0,42
CDM,501395,GRAFT CV 15CM 34X42X34MM,8571.0,8571.0,1285.65,8571.0,30
CDM,501396,SHUNT CV STR 13CM,2284.0,2284.0,342.6,2284.0,42
CDM,501397,HANDPIECE INTPLS COAX ML,422.0,422.0,63.3,422.0,42
CDM,501398,ADAPTOR TAPER,8617.0,8617.0,1292.55,8617.0,30
CDM,501400,SHAFT 6IN TUBE 120IN,773.0,773.0,115.95,773.0,42
CDM,501401,SET IRR TBG-10FT WAND6IN,4385.5,4385.5,657.83,4385.5,42
CDM,501402,GRAFT VASC 80CM 4-7MM,8717.0,8717.0,1307.55,8717.0,30
CDM,501403,VALVE AORTIC SM,30741.0,30741.0,4611.15,30741.0,30
CDM,501404,VALVE AORTIC MD,30741.0,30741.0,4611.15,30741.0,30
CDM,501405,VALVE AORTIC LG,34605.0,34605.0,5190.75,34605.0,30
CDM,501406,VALVE AORTIC XLG,30741.0,30741.0,4611.15,30741.0,30
CDM,501408,CMPNT HIP LT SZ26,53148.0,53148.0,7972.2,53148.0,30
CDM,501409,CUP ACTB TRIFLNG LT 64MM,44069.0,44069.0,6610.35,44069.0,30
CDM,501410,DEVICE VNTRC AST POW MOD,4523.0,4523.0,832.68,4523.0,26
CDM,501410,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",4523.0,4523.0,912.51,1411.99,34
CDM,501413,OSTME THN BLDE 1.5IN 6MM,1694.5,1694.5,254.18,1694.5,42
CDM,501414,OSTME THN BLDE 1.5IN10MM,1694.5,1694.5,254.18,1694.5,42
CDM,501415,OSTME THN BLDE 3IN 10MM,1858.0,1858.0,278.7,1858.0,42
CDM,501416,OSTME THN BLDE 3IN 8MM,1694.5,1694.5,254.18,1694.5,42
CDM,501420,GWIRE VASC .014IN 200CM,2234.5,2234.5,335.18,2234.5,42
CDM,501421,BUR 9.0MM ACORN BUR TOOL,773.0,773.0,115.95,773.0,42
CDM,501423,TOOL DSCT BALL 12CM 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,501425,DEVICE CLS WND +3-0 45CM,319.5,319.5,47.92,319.5,42
CDM,501426,SUTURE FS-2 4-0 1X27IN,53.0,53.0,7.95,53.0,42
CDM,501427,TUBE TRACH 6.5MM 62MM,927.5,927.5,139.13,927.5,42
CDM,501428,KIT CRNTMY CRNL ACC DRG,2760.5,2760.5,414.07,2760.5,42
CDM,501430,BLADE SAW 9.4X34X1MM,575.0,575.0,86.25,575.0,42
CDM,501432,CLIP IRR STRL,947.0,947.0,142.05,947.0,42
CDM,501437,CATH RADL ACC 5.5F 130CM,982.5,982.5,147.38,982.5,42
CDM,501440,BUTTON GSTRM 16FR 1.2CM,993.0,993.0,148.95,993.0,42
CDM,501441,CATH ULTSNC 10.0MM 30MM,17650.5,17650.5,2647.57,17650.5,42
CDM,501442,GRAFT STNT 38MM 107MM,59046.0,59046.0,8856.9,59046.0,30
CDM,501443,MODEL ANTM IPS HLF MNDB,6032.0,6032.0,904.8,6032.0,42
CDM,501444,MODEL MNDB DISP,12253.0,12253.0,1837.95,12253.0,42
CDM,501447,NEEDLE ENDO 22GA 35CM,664.5,664.5,99.67,664.5,42
CDM,501448,BRNCHOSCP DISP 5.8MM,2374.0,2374.0,356.1,2374.0,42
CDM,501449,BRNCHOSCP DISP 5.8MM,2124.0,2124.0,318.6,2124.0,42
CDM,501450,BRONCHOSCOPE DISP 3.8MM,2124.0,2124.0,318.6,2124.0,42
CDM,501451,BRNCHOSCP DISP 2.8MM,2537.5,2537.5,380.63,2537.5,42
CDM,501452,GWIRE VASC .035IN 145CM,442.0,442.0,66.3,442.0,42
CDM,501531,SUT MON0SZ 3-0 27IN,319.5,319.5,47.92,319.5,42
CDM,501533,SCREW BN LCK 20MM,877.0,877.0,131.55,877.0,30
CDM,501535,STENT TRCHBR 12MM 20MMM,9301.0,9301.0,1395.15,9301.0,30
CDM,501536,CANN PRFSN 6MM 215810,1013.5,1013.5,152.03,1013.5,42
CDM,501537,SUTURE SH 2-0 1X27IN,28.5,28.5,4.28,28.5,42
CDM,501538,TROCAR LAPSCP 5MM 100MM,266.5,266.5,39.98,266.5,42
CDM,501539,NEEDLE BX 23GA,2046.5,2046.5,306.98,2046.5,42
CDM,501540,NEEDLE BX 21GA,1929.0,1929.0,289.35,1929.0,42
CDM,501541,NEEDLE BX 19GA,1929.0,1929.0,289.35,1929.0,42
CDM,501542,CLAMP FG HDRGRP 86MM,231.5,231.5,34.73,231.5,42
CDM,501543,INSERT CLAMP 86MM,231.5,231.5,34.73,231.5,42
CDM,501544,CATH ANGIO 5FR 65CM,278.5,278.5,41.77,278.5,42
CDM,501545,CATH ANGIO 5FR 80CM,278.5,278.5,41.77,278.5,42
CDM,501547,CATH ANGIO 5F SIM1 100CM,278.5,278.5,41.77,278.5,42
CDM,501551,BAG SPEC RETRVL 1850ML,1079.0,1079.0,161.85,1079.0,42
CDM,501557,FORCEPS BX 1.18MM 110CM,414.5,414.5,62.17,414.5,42
CDM,501561,BUTTON GSTRM 18FR 1.7CM,900.5,900.5,135.07,900.5,42
CDM,501562,BUTTON GSTRM 14FR 1.2CM,900.5,900.5,135.07,900.5,42
CDM,501563,BUTTON GSTRM 12FR 1.5CM,900.5,900.5,135.07,900.5,42
CDM,501564,KIT GSTRM 12FR 1.2CM,900.5,900.5,135.07,900.5,42
CDM,501565,KIT PEG 24FR,773.0,773.0,115.95,773.0,42
CDM,501570,TUBE FD CONN GSTRM 12FR,293.5,293.5,44.02,293.5,42
CDM,501572,TUBE FD CONN GSTRM 22FR,323.0,323.0,48.45,323.0,42
CDM,501573,TUBE FD CONN GSTRM 18FR,323.0,323.0,48.45,323.0,42
CDM,501581,KIT PEG GSTRM 24FR,773.0,773.0,115.95,773.0,42
CDM,501582,KIT PEG GSTRM 20FR,773.0,773.0,115.95,773.0,42
CDM,501585,TUBE JJNSTM 12FR,1023.5,1023.5,153.53,1023.5,42
CDM,501587,BUTTON GSTRM 18FR 1.0CM,900.5,900.5,135.07,900.5,42
CDM,501588,TUBE GSTRM 16FR 2.0CM,900.5,900.5,135.07,900.5,42
CDM,501589,BUTTON GSTRM 14FR 2.0CM,900.5,900.5,135.07,900.5,42
CDM,501590,BUTTON GSTRM 14FR 1.7CM,900.5,900.5,135.07,900.5,42
CDM,501592,BUTTON GSTRM 14FR 1.0CM,900.5,900.5,135.07,900.5,42
CDM,501593,BUTTON GSTRM 12FR 2.0CM,900.5,900.5,135.07,900.5,42
CDM,501594,BUTTON GSTRM 12FR 1.7CM,900.5,900.5,135.07,900.5,42
CDM,501595,BUTTON GSTRM 12FR 1.0CM,900.5,900.5,135.07,900.5,42
CDM,501596,KIT GSTRM 12FR 0.8CM,900.5,900.5,135.07,900.5,42
CDM,501597,TUBE JJNSTM 16FR 22CM,2357.5,2357.5,353.63,2357.5,42
CDM,501598,TUBE JJNSTM 16FR 15CM,2357.5,2357.5,353.63,2357.5,42
CDM,501599,TUBE JJNSTM 16FR 45CM,2357.5,2357.5,353.63,2357.5,42
CDM,501600,KIT GSTRM 14FR 3.5X45CM,2711.0,2711.0,406.65,2711.0,42
CDM,501601,KIT GSTRM 14FR 2.7X45CM,2711.0,2711.0,406.65,2711.0,42
CDM,501602,TUBE JJNSTM 14FR 22CM,2711.0,2711.0,406.65,2711.0,42
CDM,501603,KIT GSTRM 14FR 1.5X45CM,2711.0,2711.0,406.65,2711.0,42
CDM,501604,KIT GSTRM 14FR 1.2X30CM,2711.0,2711.0,406.65,2711.0,42
CDM,501606,TUBE JJNSTM 16FR 15CM,2428.0,2428.0,364.2,2428.0,42
CDM,501607,KIT GJJ JJN FD 14FR 30CM,2711.0,2711.0,406.65,2711.0,42
CDM,501608,SET EXT GJJ 14FR 22CM,2711.0,2711.0,406.65,2711.0,42
CDM,501609,KIT GJJ JJN FD 14FR 22CM,2711.0,2711.0,406.65,2711.0,42
CDM,501610,KIT GJJ JJN FD 14FR 22CM,2711.0,2711.0,406.65,2711.0,42
CDM,501611,SET EXT GJJ 14FR 15CM,2711.0,2711.0,406.65,2711.0,42
CDM,501612,KIT GJJ JJN FD 14FR 15CM,2711.0,2711.0,406.65,2711.0,42
CDM,501616,TUBE FD CONN GSTRM 14FR,323.0,323.0,48.45,323.0,42
CDM,501617,KIT FD TUBE 18FR 45CM,1616.5,1616.5,242.47,1616.5,42
CDM,501619,DEVICE EMB 5MM 14MM,60966.0,60966.0,9144.9,60966.0,30
CDM,501620,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,501621,ADAPTER SHORT SPN,773.0,773.0,115.95,773.0,42
CDM,501622,TAPE SUTURE 1.3MM 20IN,1228.0,1228.0,184.2,1228.0,30
CDM,501623,LINER ACTB HIP20D40X60MM,4429.0,4429.0,664.35,4429.0,30
CDM,501624,STEM FEM HI OFST 16X170,8858.0,8858.0,1328.7,8858.0,30
CDM,501625,CMPNT FEM HIP SZ1,7530.0,7530.0,1129.5,7530.0,30
CDM,501626,COMPNT FEM KN 3 RT,18159.0,18159.0,2723.85,18159.0,30
CDM,501627,IMPLANT KN TIB SZ3 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,501628,SPACER SPN 24X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,501629,COMPNT ANK TIB STD SZ5,31774.0,31774.0,4766.1,31774.0,30
CDM,501630,INSERT ANKL SZ4+ 11MM,14926.0,14926.0,2238.9,14926.0,30
CDM,501631,SCREW BN 4MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,501632,STENT EPRSTH 11X16X79MM,12254.0,12254.0,1838.1,12254.0,30
CDM,501633,COMPONENT FEM KN SZ6,6764.0,6764.0,1014.6,6764.0,30
CDM,501634,INSERT KN TIB RT SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,501635,CMPNT TIB KN SZ8 12MM,4651.0,4651.0,697.65,4651.0,30
CDM,501636,CAGE SPN 6D 8A12X15MM,8416.0,8416.0,1262.4,8416.0,30
CDM,501638,KIT BX BN MRW ASP 11GA,386.5,386.5,57.98,386.5,42
CDM,501639,ROD SPN 80MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,501640,SCREW SPN 70MM,3012.0,3012.0,451.8,3012.0,30
CDM,501641,INSERT TIB KN RT SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,501642,CMPNT KN FEM RT NAR SZ5N,6764.0,6764.0,1014.6,6764.0,30
CDM,501643,INSERT TIB KN RT SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,501644,PASSER LASSO RT 45D,1146.0,1146.0,171.9,1146.0,42
CDM,501645,STEM FEM HIP 20X126.8MM,8937.0,8937.0,1340.55,8937.0,30
CDM,501646,PLATE BN TRA 6HL 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,501647,PLATE BN 6HL 3.5X70MM,3189.0,3189.0,478.35,3189.0,30
CDM,501648,SCREW BN 2.7MM 60MM,634.0,634.0,95.1,634.0,30
CDM,501649,SCREW BN T8 2.7X50MM,634.0,634.0,95.1,634.0,30
CDM,501651,ROD SPN 75MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,501652,CMPNT SHLDR GLND MED,4606.0,4606.0,690.9,4606.0,30
CDM,501653,STEM HUM SHLDR 41MM,6644.0,6644.0,996.6,6644.0,30
CDM,501654,SCREW BN SHDR LG 40MM,6201.0,6201.0,930.15,6201.0,30
CDM,501655,HEAD HUM SHLDR 41MM 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,501656,SYSTEM BN IMPL ANCH,11073.0,11073.0,1660.95,11073.0,30
CDM,501657,PIN SET UNIVERS II ECLIP,1637.0,1637.0,245.55,1637.0,42
CDM,501658,SIZER SCREW CAGE,1023.5,1023.5,153.53,1023.5,42
CDM,501659,COMPONENT FEM KN 6,6764.0,6764.0,1014.6,6764.0,30
CDM,501660,BASEPLATE TIBIAL SIZE 6,5639.0,5639.0,845.85,5639.0,30
CDM,501661,INSERT TIB KN 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,501662,HEAD HIP CERM SZS 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,501663,INSERT KN BRNG SZ1 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,501664,CMPNT FEM KN LT SZ8,6764.0,6764.0,1014.6,6764.0,30
CDM,501665,INSERT TIB KN LT SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,501666,ROD SPN 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,501667,COMPONENT FEM KN LT SZ5N,6764.0,6764.0,1014.6,6764.0,30
CDM,501668,INSERT TIB KN LT SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,501669,BASEPLATE SHLDR 24MM,5315.0,5315.0,797.25,5315.0,30
CDM,501670,SCREW BN GLND 25MM,3721.0,3721.0,558.15,3721.0,30
CDM,501671,SCREW BN RVRS 5.5X24MM,1595.0,1595.0,239.25,1595.0,30
CDM,501672,SCREW BN 5.5MM 32MM,1595.0,1595.0,239.25,1595.0,30
CDM,501673,INSERT HUM SHLDR +6/33,4606.0,4606.0,690.9,4606.0,30
CDM,501674,SCREW BN SPN 9.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,501675,AUGMNT HIP LT PST RT ANT,7972.0,7972.0,1195.8,7972.0,30
CDM,501676,SURF 18MM KN RT 10-11 18,4606.0,4606.0,690.9,4606.0,30
CDM,501677,SCREW BN SPN 8.5MM 80MM,3389.0,3389.0,508.35,3389.0,30
CDM,501678,CAGE SPN STR 0D 7X9X22MM,8858.0,8858.0,1328.7,8858.0,30
CDM,501679,ROD SPN 5.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,501680,STEM FEM KN 18MM 160MM,8441.0,8441.0,1266.15,8441.0,30
CDM,501681,BASEPLATE TIB KN LT SZ2,11030.0,11030.0,1654.5,11030.0,30
CDM,501682,WEDGE TIB KN SZ1-2 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,501683,WEDGE FEM KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,501684,WEDGE FEM KN SZ4 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,501685,CMPNT FEM LT KN SZ4,22068.0,22068.0,3310.2,22068.0,30
CDM,501686,INSERT TIB KN SZ2-3X18MM,5785.0,5785.0,867.75,5785.0,30
CDM,501687,HEAD HUM SHLDR 46X21X50,4606.0,4606.0,690.9,4606.0,30
CDM,501688,KIT INST ACL TRT BLD SAW,1934.0,1934.0,290.1,1934.0,42
CDM,501689,CMPNT FEM KN LT SZ5,6764.0,6764.0,1014.6,6764.0,30
CDM,501690,INSERT KN TIB LT SZ5 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,501691,CMPNT TIB KN 7-9+ 18MM,9966.0,9966.0,1494.9,9966.0,30
CDM,501692,CMPNT FEM KN SZ8,6764.0,6764.0,1014.6,6764.0,30
CDM,501693,INSERT TIB KN RT SZ8 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,501694,INSERT KN CSTM 8X16,4429.0,4429.0,664.35,4429.0,30
CDM,501695,LINER ACTB HIP 28MM 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,501696,PLATE BN 5.2X17.5X300MM,4429.0,4429.0,664.35,4429.0,30
CDM,501697,ACL DISPOSABLE PACK BTB,2688.0,2688.0,403.2,2688.0,42
CDM,501698,INTBDY SPN 28X36X15MM,8858.0,8858.0,1328.7,8858.0,30
CDM,501699,PLATE BN STR LCK 15H,4340.0,4340.0,651.0,4340.0,30
CDM,501700,CAGE SPN 8D 27X36X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,501701,PLATE CRNFCL 1X2X1MM,3189.0,3189.0,478.35,3189.0,30
CDM,501702,SCREW LCK LRG HEAD LT,2550.0,2550.0,382.5,2550.0,30
CDM,501703,GENERATOR NRSTM W/PT CTR,75072.0,75072.0,11260.8,75072.0,30
CDM,501704,COMPNT BRNG KN LT TIB F4,9301.0,9301.0,1395.15,9301.0,30
CDM,501705,KIT DCMPRS IMP 15CC,7596.0,7596.0,1139.4,7596.0,30
CDM,501706,REAMER SURG SHDR DISP,4093.0,4093.0,613.95,4093.0,42
CDM,501707,CMPNT FEM KN RT SZ5,6764.0,6764.0,1014.6,6764.0,30
CDM,501708,SCREW SPN P-AXL 5.5X26MM,3765.0,3765.0,564.75,3765.0,30
CDM,501709,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,501710,GRAFT DERMIS ON DEMAND,3765.0,3765.0,564.75,3765.0,30
CDM,501711,SUTURE AUTOCAPTURE,773.0,773.0,115.95,773.0,42
CDM,501712,ANCHOR BN 4.9MM,3721.0,3721.0,558.15,3721.0,30
CDM,501713,STEM FEM HIP SZ6 104MM,8416.0,8416.0,1262.4,8416.0,30
CDM,501714,SCREW SPN 4.2MM 10MM,1130.0,1130.0,169.5,1130.0,30
CDM,501715,SCREW SPN 4.2X12MM,1130.0,1130.0,169.5,1130.0,30
CDM,501716,SCREW SPN 4.2MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,501717,PLATE SPN OCPTL LG 24MM,6644.0,6644.0,996.6,6644.0,30
CDM,501718,ROD SPN 3.5MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,501719,ROD SPN OCC RT,2711.0,2711.0,406.65,2711.0,30
CDM,501720,ROD SPN OCC LT,2711.0,2711.0,406.65,2711.0,30
CDM,501721,CLAMP SPN ROD-ROD 7MM,3012.0,3012.0,451.8,3012.0,30
CDM,501722,CLAMP ROD-ROD 7MM,3012.0,3012.0,451.8,3012.0,30
CDM,501723,CLAMP SPN ROD 9MM,2636.0,2636.0,395.4,2636.0,30
CDM,501724,CLAMP SPN ROD-ROD 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,501725,PLATE SPN CERV 3LVL 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,501727,STENT VASC 6X12MM 80CM,3721.0,3721.0,558.15,3721.0,30
CDM,501728,CUP HUM SHLDR REV 36X2MM,4606.0,4606.0,690.9,4606.0,30
CDM,501729,COMPNT FEM KN RT SZ5+,6644.0,6644.0,996.6,6644.0,30
CDM,501730,INSERT TIB RT SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,501731,ROD SPN 70MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,501732,STEM HIP FEM SZ5S,8416.0,8416.0,1262.4,8416.0,30
CDM,501733,HEAD FEM CERM LG 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,501734,INSERT TIB KN SZ6 20MM,8309.0,8309.0,1246.35,8309.0,30
CDM,501735,LINER HIP ACTB 0D 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,501738,SUTURE WHITE/BLUE SZ 2,355.5,355.5,53.33,355.5,42
CDM,501739,CMPNT FEM KN SZ6,6764.0,6764.0,1014.6,6764.0,30
CDM,501740,SCREW BN 4MM 50MM,2344.0,2344.0,351.6,2344.0,30
CDM,501741,WEDGES ILM TRCRT 26-45MM,5160.0,5160.0,774.0,5160.0,30
CDM,501742,SCREW SPN 8.5MM 90MM,3012.0,3012.0,451.8,3012.0,30
CDM,501744,CONNECTOR ROD SPN 35.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,501745,CONN ROD SPN 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,501746,SPACER SPN 28MMX10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,501747,STEM FEM HIP SZ7 41MM,8557.0,8557.0,1283.55,8557.0,30
CDM,501749,CMPNT FEM KN LM LR SZ6,5980.0,5980.0,897.0,5980.0,30
CDM,501750,INSERT TIB SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,501751,CMPNT FEM NAR KN RT SZ7,7973.0,7973.0,1195.95,7973.0,30
CDM,501752,GRAFT BN CANC 50X25X8MM,5293.0,5293.0,793.95,5293.0,30
CDM,501753,PLATE SPN 4LVL 68MM,4429.0,4429.0,664.35,4429.0,30
CDM,501754,COMPONENT FEM 4 LM-RT,5980.0,5980.0,897.0,5980.0,30
CDM,501756,INSERT TIB SZ7-8MM,4429.0,4429.0,664.35,4429.0,30
CDM,501757,SCREW SPN 7.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,501758,SCREW SPN FEN 8.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,501759,SCREW SPN 8.5X85MM,3012.0,3012.0,451.8,3012.0,30
CDM,501760,ENDPLATE 12MM 15X18 7D,3016.0,3016.0,452.4,3016.0,30
CDM,501761,SPACER SPN 7D 18X12X15MM,3016.0,3016.0,452.4,3016.0,30
CDM,501762,ROD SPN 140X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,501763,ROD SPNL CRV 5.5X150MM,2711.0,2711.0,406.65,2711.0,30
CDM,501764,SCREW SPN DBL THRD HD LT,3857.0,3857.0,578.55,3857.0,30
CDM,501765,ROD SPN 5.5X20MM,2711.0,2711.0,406.65,2711.0,30
CDM,501766,STEM FEM HIP 20MM 240MM,9208.0,9208.0,1381.2,9208.0,30
CDM,501767,SCREW SPN 6.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,501768,SPACER SPN 31X10X8-12MM,15059.0,15059.0,2258.85,15059.0,30
CDM,501769,WEDGE AUGMT GMK 6/12MM,4606.0,4606.0,690.9,4606.0,30
CDM,501770,INSERT KN TIB SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,501772,CMPNT TIB KN LT SZ5,5758.0,5758.0,863.7,5758.0,30
CDM,501773,WEDGE TIB KN 3D 25MM,10287.0,10287.0,1543.05,10287.0,30
CDM,501774,BLOCK AUGMT GMK 5MM 5 T,4429.0,4429.0,664.35,4429.0,30
CDM,501775,INSERT TIB 4 12MM KN FX,4606.0,4606.0,690.9,4606.0,30
CDM,501776,STEM HUM SHLDR 13X97MM,12402.0,12402.0,1860.3,12402.0,30
CDM,501777,INSERT TIB KN SZ4L 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,501778,STEM FEM HIP SZ4,8858.0,8858.0,1328.7,8858.0,30
CDM,501779,PLATE TIB KN XS 31MM,8691.0,8691.0,1303.65,8691.0,30
CDM,501780,FILLER BN VOID OSBT 10CC,5271.0,5271.0,790.65,5271.0,30
CDM,501783,COMPNT FEM HIP CLLRD SZ2,7530.0,7530.0,1129.5,7530.0,30
CDM,501784,STEM FEM HIP 70MM,16725.0,16725.0,2508.75,16725.0,30
CDM,501785,STEM XTN KN 105X22MM,4606.0,4606.0,690.9,4606.0,30
CDM,501786,INSERT TIB 5 10MM KN FX,4606.0,4606.0,690.9,4606.0,30
CDM,501787,CMPNT TIB KN RT SZ 5,5758.0,5758.0,863.7,5758.0,30
CDM,501788,STEM FEM HIP COCR 140X16,6201.0,6201.0,930.15,6201.0,30
CDM,501789,INSERT TIB KN SZ6 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,501790,SPACER SPN 12X14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,501791,PLATE CERV LVL2 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,501792,INSERT KN TIB LT 24MM,9966.0,9966.0,1494.9,9966.0,30
CDM,501793,VALVE MITRAL 29MM,27684.0,27684.0,4152.6,27684.0,30
CDM,501794,ROD SPN STR 95MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,501795,SPACER SPN 22X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,501796,CAGE SPN 12D 55X22X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,501797,CAGE ALIF 14D 24X32X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,501798,PLT SPNL SZ10 22X29.5MM,11073.0,11073.0,1660.95,11073.0,30
CDM,501799,PLATE BN 3D RIGHT,4119.0,4119.0,617.85,4119.0,30
CDM,501800,SCREW BN 30MM 2.7MM,1993.0,1993.0,298.95,1993.0,30
CDM,501801,SCREW BN S/T 70MM 5.5MM,2790.0,2790.0,418.5,2790.0,30
CDM,501802,SCREW BN 7MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,501803,SCREW BN 7MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,501804,INSERT TIB KN 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,501805,STEM HIP FEM SZ6S,8416.0,8416.0,1262.4,8416.0,30
CDM,501806,CMPNT TIB ALPLY SZ4 12MM,4252.0,4252.0,637.8,4252.0,30
CDM,501807,CMPNT FEM KN CMNT SZ5,6688.0,6688.0,1003.2,6688.0,30
CDM,501808,CMPNT FEM KN SZ4,8416.0,8416.0,1262.4,8416.0,30
CDM,501809,ROD SPN 5.5MM 510MM,2711.0,2711.0,406.65,2711.0,30
CDM,501810,CMPNT FEM KN 5-6 LNG10MM,4606.0,4606.0,690.9,4606.0,30
CDM,501811,WEDGE TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,501812,NAIL BN LT 11MM 23.5CM,4762.0,4762.0,714.3,4762.0,30
CDM,501813,CMPNT FEM KN SZ7,6764.0,6764.0,1014.6,6764.0,30
CDM,501814,INSERT TIB KN LT SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,501815,CONN SPN 5.5MM 30.5-43MM,3012.0,3012.0,451.8,3012.0,30
CDM,501816,CMPNT PTLA 28X7MM,4252.0,4252.0,637.8,4252.0,30
CDM,501817,INSERT TIB RT SZ00 9MM,6878.0,6878.0,1031.7,6878.0,30
CDM,501818,ANCHOR SUT 3.5MM 13.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,501819,CMPNT TIB ALPLY SZ7 10MM,4252.0,4252.0,637.8,4252.0,30
CDM,501820,STEM FEM HIP 15MM 190MM,9567.0,9567.0,1435.05,9567.0,30
CDM,501821,CUP ACTB G SER 3H 64MM,4606.0,4606.0,690.9,4606.0,30
CDM,501822,PLATE BN 7HL 2.0X103MM,4429.0,4429.0,664.35,4429.0,30
CDM,501823,SCREW BN LCK 2.7X17MM,1804.0,1804.0,270.6,1804.0,30
CDM,501824,SCREW BN 3.5MM 11MM,579.0,579.0,86.85,579.0,30
CDM,501825,COMP FEM KN RM/LL 7,5980.0,5980.0,897.0,5980.0,30
CDM,501826,IMPL TIBIA RT SZ9,4606.0,4606.0,690.9,4606.0,30
CDM,501827,INSERT SZ9-10 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,501828,STEM FEM 190MM REV CRL,19670.0,19670.0,2950.5,19670.0,30
CDM,501829,PASSER SNGL USE 60CM,773.0,773.0,115.95,773.0,42
CDM,501830,INSERT HUM SHLDR 4X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,501831,COMPONENT ANKLE 12MM SZ2,14926.0,14926.0,2238.9,14926.0,30
CDM,501832,INSERT KN SZ3 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,501833,COMPONENT FEM 3 LT CMNT,16739.0,16739.0,2510.85,16739.0,30
CDM,501834,CMPNT TIB KN FX LT SZ3,5758.0,5758.0,863.7,5758.0,30
CDM,501835,CAGE SPNL LONG 7MM,23031.0,23031.0,3454.65,23031.0,30
CDM,501836,GWIRE W INST KIT 4.5MM,2865.0,2865.0,429.75,2865.0,42
CDM,501837,SCREW BN 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,501838,PLATE MESH LG 0.4MM,4939.0,4939.0,740.85,4939.0,30
CDM,501839,ROD 5.5X65MM STRGHT TITN,2711.0,2711.0,406.65,2711.0,30
CDM,501840,CMPNT FEM KN SZ4,8416.0,8416.0,1262.4,8416.0,30
CDM,501841,SURF ARTC KN 3-5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,501842,PLATE BN CLAV LT 2.7MM,4921.0,4921.0,738.15,4921.0,30
CDM,501843,SCREW BN 2.7MM 18MM,581.0,581.0,87.15,581.0,30
CDM,501844,PLATE BN 15HL 213MM,10692.0,10692.0,1603.8,10692.0,30
CDM,501845,SCREW BN 3.5MM 24MM,2304.0,2304.0,345.6,2304.0,30
CDM,501846,SCREW BN 3.5MM 26MM,3009.0,3009.0,451.35,3009.0,30
CDM,501847,ANCHOR BN SHDR 1.8,3437.0,3437.0,515.55,3437.0,30
CDM,501848,SUTURE WHITE/BL SIZE 2,340.0,340.0,51.0,340.0,42
CDM,501849,CAGE SPN 0D 12X14X36MM,50934.0,50934.0,7640.1,50934.0,30
CDM,501850,SCREW SPN 3.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,501851,SPACER SPNL 8X14X6X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,501852,PLATE SPN 14MM 6MM,4872.0,4872.0,730.8,4872.0,30
CDM,501854,INSERT FEM HIP 0D 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,501855,STEM HIP SZ4 103X32.5MM,8557.0,8557.0,1283.55,8557.0,30
CDM,501857,PLATE BN 105MM 2.7MM,3833.0,3833.0,574.95,3833.0,30
CDM,501858,SCREW BNE L58MM OD4.0MM,352.0,352.0,52.8,352.0,30
CDM,501859,STEM FEM 150MM 21MM TPR,7805.0,7805.0,1170.75,7805.0,30
CDM,501860,SCREW SPN 5.5X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,501861,SCREW SPN 4.5MM 26MM,3765.0,3765.0,564.75,3765.0,30
CDM,501862,SCREW SPN 4.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,501863,CAGE SPNL 9X23 0DEG -10,8858.0,8858.0,1328.7,8858.0,30
CDM,501864,ANCHOR BN 24D 2-0,3683.0,3683.0,552.45,3683.0,30
CDM,501865,PUSHER CUTTER SUT KNOT,1891.0,1891.0,283.65,1891.0,42
CDM,501866,AUGMT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,501867,WEDGE AUGMT GMK 5/12MM,4606.0,4606.0,690.9,4606.0,30
CDM,501868,INSERT TIB KN SZ5 14MM,5352.0,5352.0,802.8,5352.0,30
CDM,501869,COMPONENT FEM 5 LT KN CM,16739.0,16739.0,2510.85,16739.0,30
CDM,501870,WEDGE FEM 8MM GMK 5 DIST,4429.0,4429.0,664.35,4429.0,30
CDM,501871,COMPONENT TIBTRY 5 LT FX,8338.0,8338.0,1250.7,8338.0,30
CDM,501872,COMP TIB SZ7 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,501873,INSERT TIB KN SZ6 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,501874,GRAFT SYN 47X40X6.3MM,4429.0,4429.0,664.35,4429.0,30
CDM,501875,BIT DRILL 54MM 1.4MM 12M,1270.5,1270.5,190.57,1270.5,42
CDM,501876,SCREW BN 1.7MM 8MM,1217.0,1217.0,182.55,1217.0,30
CDM,501877,STEM HIP HI SZ4 36X103MM,8557.0,8557.0,1283.55,8557.0,30
CDM,501878,SCREW ANKL FT CANN 7X95,3189.0,3189.0,478.35,3189.0,30
CDM,501879,CMPNT FEM KN SZ6,6764.0,6764.0,1014.6,6764.0,30
CDM,501880,INSERT TIB KN SZ6 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,501881,INSERT TIB 8-9MM,4606.0,4606.0,690.9,4606.0,30
CDM,501882,CMPNT ACTB 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,501884,WEDGE FEM KN SZ4 10X10MM,4606.0,4606.0,690.9,4606.0,30
CDM,501885,CONNECTOR JNT KN 1CM,11627.0,11627.0,1744.05,11627.0,30
CDM,501886,CMPNT FEM KN STR12.5X150,5705.0,5705.0,855.75,5705.0,30
CDM,501887,STEM FEM KN 225X12.5MM,5971.0,5971.0,895.65,5971.0,30
CDM,501888,COLLAR LCK KN 5D 55MM,13451.0,13451.0,2017.65,13451.0,30
CDM,501889,LINER HIP D 22MM 38MM,4606.0,4606.0,690.9,4606.0,30
CDM,501890,PLATE BN 4H LT 56MM,5465.0,5465.0,819.75,5465.0,30
CDM,501891,SCREW BN 2.4MM 15MM,1854.0,1854.0,278.1,1854.0,30
CDM,501892,SCREW BN 2.4MM 22MM,1854.0,1854.0,278.1,1854.0,30
CDM,501893,SCREW BN 3.5MM 12MM,571.0,571.0,85.65,571.0,30
CDM,501894,SCREW BN TI 3.5MM 16MM,571.0,571.0,85.65,571.0,30
CDM,501895,STEM FEM TI 14X200MM,14381.0,14381.0,2157.15,14381.0,30
CDM,501896,IMPLANT BREAST 480CC,3311.0,3311.0,496.65,3311.0,30
CDM,501897,PROBE ARTHSCP PRCR 8MM,5090.5,5090.5,763.58,5090.5,42
CDM,501899,IMPLANT FEM 12-14 +3MM,5820.0,5820.0,873.0,5820.0,30
CDM,501900,SPACER SPNL 8D16X14X24MM,24116.0,24116.0,3617.4,24116.0,30
CDM,501901,NAIL BN LT 10MM 42CM,8105.0,8105.0,1215.75,8105.0,30
CDM,501902,NAIL BN 10S 130X10MM40CM,7604.0,7604.0,1140.6,7604.0,30
CDM,501903,ROD SPN 4.0X30MM,2711.0,2711.0,406.65,2711.0,30
CDM,501904,STEM FEM HIP SZ5 102MM,8416.0,8416.0,1262.4,8416.0,30
CDM,501905,GRAFT VASC 60CM 36MM,3846.0,3846.0,576.9,3846.0,30
CDM,501906,GRAFT STNT 34MM 100MM,54969.0,54969.0,8245.35,54969.0,30
CDM,501907,CMPNT KN ALPLY SZ5 14MM,4252.0,4252.0,637.8,4252.0,30
CDM,501908,ANCHOR SUT W/NDL .9MM,3721.0,3721.0,558.15,3721.0,30
CDM,501909,STEM FEM KN RT SZ7,18647.0,18647.0,2797.05,18647.0,30
CDM,501910,GRAFT BN 10CC 2X6.25X8.1,5271.0,5271.0,790.65,5271.0,30
CDM,501911,CAGE STRT 0DEG 26DX9WX8H,8858.0,8858.0,1328.7,8858.0,30
CDM,501912,IMPLANT BREAST 205CC,5315.0,5315.0,797.25,5315.0,30
CDM,501913,BIT DRILL SGL USE 4X60MM,2472.0,2472.0,370.8,2472.0,42
CDM,501914,BASEPLATE TIB KN SZ3 11M,4606.0,4606.0,690.9,4606.0,30
CDM,501915,GRAFT STNT 42MM 150MM,60044.0,60044.0,9006.6,60044.0,30
CDM,501916,SCREW BN LCK 3.5X30,1356.0,1356.0,203.4,1356.0,30
CDM,501918,PLATE BN EDGELOCK CALC,4522.0,4522.0,678.3,4522.0,30
CDM,501919,SCREW BN 4.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,501920,KIT INSTRUMENT DISP 2MM,2046.5,2046.5,306.98,2046.5,42
CDM,501921,NAIL BN CANN 2MM 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,501922,CAGE SPN 20D 27X36X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,501924,WEDGE FEM 4MM GMK 3 DIST,4429.0,4429.0,664.35,4429.0,30
CDM,501925,BLOCK AUGMT GMK 10MM 3,4429.0,4429.0,664.35,4429.0,30
CDM,501926,TRAY TIB KN LT SZ3,6385.0,6385.0,957.75,6385.0,30
CDM,501927,STEM XTN FLUT 12X105MM,4606.0,4606.0,690.9,4606.0,30
CDM,501928,INSERT TIB KN LT SZ6 10M,4606.0,4606.0,690.9,4606.0,30
CDM,501930,CMPNT FEM KN LT SZ3,10234.0,10234.0,1535.1,10234.0,30
CDM,501931,PLATE SPN ACDF 1LVL 34MM,4429.0,4429.0,664.35,4429.0,30
CDM,501932,ANCHOR SUT 3.5MM 19.5MM,1276.0,1276.0,191.4,1276.0,30
CDM,501933,KIT DISP FOR ANCH 4.75MM,3223.0,3223.0,483.45,3223.0,42
CDM,501934,PROSTHESIS PNLE 20CM,43214.0,43214.0,6482.1,43214.0,30
CDM,501935,RETRACTOR SCROTAL DISP,2938.5,2938.5,440.77,2938.5,42
CDM,501936,SCREW BN 7MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,501937,SCREW BN 7MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,501938,SCREW BN 3.5MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,501939,SCREW NLCKG 4X32.5MM,319.0,319.0,47.85,319.0,30
CDM,501940,SCREW BN 4MM 40MM,319.0,319.0,47.85,319.0,30
CDM,501941,SCREW BN 4MM 12MM,319.0,319.0,47.85,319.0,30
CDM,501942,PLATE 3 SLT ALPHA LPS MX,4522.0,4522.0,678.3,4522.0,30
CDM,501943,STEM HUM SHLDR 83MM 5MM,11959.0,11959.0,1793.85,11959.0,30
CDM,501944,SUTURE LASSO CRV 90D,1432.5,1432.5,214.88,1432.5,42
CDM,501945,IMPLANT TALAR RT SZ3,33683.0,33683.0,5052.45,33683.0,30
CDM,501946,SCREW BN 4X6X60MM,338.0,338.0,50.7,338.0,30
CDM,501947,INSERT ARTC KN 1-2 15MM,5532.0,5532.0,829.8,5532.0,30
CDM,501948,STEM FEM HIP 155MM,8858.0,8858.0,1328.7,8858.0,30
CDM,501951,CATH IAB 7.5FR 40ML,4093.0,4093.0,613.95,4093.0,42
CDM,501952,LINER ACTB RNGLC ARC 36,4606.0,4606.0,690.9,4606.0,30
CDM,501953,SCREW SPN 8.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,501954,INS TIB PFC SGM SZ3 15MM,4747.0,4747.0,712.05,4747.0,30
CDM,501955,CAGE SPN 6D 18X16X6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,501956,DBM BN W/CHIPS 10CC,4429.0,4429.0,664.35,4429.0,30
CDM,501957,IMPL TIB ALPLY SZ2 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,501958,KIT TEMPLATE ANT DISP,1316.0,1316.0,197.4,1316.0,42
CDM,501959,PLATE BN LCK 6HL 2.7,9230.0,9230.0,1384.5,9230.0,30
CDM,501960,SCREW BN 2.7MM 16MM,319.0,319.0,47.85,319.0,30
CDM,501961,SHELL ACTB HIP 52MM,9060.0,9060.0,1359.0,9060.0,30
CDM,501962,SCREW BN 4.5MM 105MM,456.0,456.0,68.4,456.0,30
CDM,501963,CAGE SPN SZB 25MM,32609.0,32609.0,4891.35,32609.0,30
CDM,501964,ENDCAP SPN 0D 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,501965,SCREW BN SPN 8.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,501966,SCREW BN INTFR 6MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,501967,ANCHOR SUT W NDL #2,3721.0,3721.0,558.15,3721.0,30
CDM,501968,CUP ACTB 3H 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,501969,GFT TIB ANT TNDN +200MM,4496.0,4496.0,674.4,4496.0,30
CDM,501970,BODY STD FEMORAL PROXIMA,22515.0,22515.0,3377.25,22515.0,30
CDM,501971,INSERT TIB XXSM 14MM,17705.0,17705.0,2655.75,17705.0,30
CDM,501972,KNIFE ACL GFT 9MM,1731.5,1731.5,259.73,1731.5,42
CDM,501973,KNIFE ACL GFT 11MM,1731.5,1731.5,259.73,1731.5,42
CDM,501974,WDG TIB LLRM SZ1-2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,501975,WDG TIB LMRL SZ1-2 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,501976,WEDGE FEM KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,501977,INSERT TIB KN SZ2-3X13MM,5785.0,5785.0,867.75,5785.0,30
CDM,501978,SCREW BN 4.5MM .08MM,1196.0,1196.0,179.4,1196.0,30
CDM,501979,BASEPLATE SHLDR 24MM 3MM,9301.0,9301.0,1395.15,9301.0,30
CDM,501980,SCREW BN 4.5X15MM,1196.0,1196.0,179.4,1196.0,30
CDM,501981,SCREW BN 4.5MM 20MM,1196.0,1196.0,179.4,1196.0,30
CDM,501982,SCREW BN CORT 4.5X26MM,1196.0,1196.0,179.4,1196.0,30
CDM,501983,SPHERE GLND SHLDR 36MM,5315.0,5315.0,797.25,5315.0,30
CDM,501984,STEM HUM 10MM 32MM,11959.0,11959.0,1793.85,11959.0,30
CDM,501985,SCREW BN CORT 4.5MMX28MM,1196.0,1196.0,179.4,1196.0,30
CDM,501986,CUP HUM SHLDR PE/TA6V,4606.0,4606.0,690.9,4606.0,30
CDM,501987,SCREW BN CMPR 4.5MM 30MM,1196.0,1196.0,179.4,1196.0,30
CDM,501988,SCREW STD 4.5X40MM,1196.0,1196.0,179.4,1196.0,30
CDM,501989,SCREW BN LCK 4.5MM 25MM,1196.0,1196.0,179.4,1196.0,30
CDM,501990,STEM HUM 36/18 135MM,11959.0,11959.0,1793.85,11959.0,30
CDM,501991,CUP HUM 135/145D 36 +6,4606.0,4606.0,690.9,4606.0,30
CDM,501992,PLATE SPN CERV LVL2 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,501993,SCREW BN 4.2MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,501994,INTERBODY 10D 35X27X10MM,17606.0,17606.0,2640.9,17606.0,30
CDM,501996,INTBDY SPN 3HL 10MM,2711.0,2711.0,406.65,2711.0,30
CDM,501997,SCREW BN CANC 6.5X35MM,877.0,877.0,131.55,877.0,30
CDM,501998,STEM FEM HIP 11MM 120MM,6644.0,6644.0,996.6,6644.0,30
CDM,501999,SCREW SPN CANN 5.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,502000,CMPNT FEM NAR KN LT SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,502001,LINER ACTB SZE +5 36MM,7485.0,7485.0,1122.75,7485.0,30
CDM,502002,STEM FEM HIP 12/14 SZ7,6644.0,6644.0,996.6,6644.0,30
CDM,502003,CAGE SPN 12D 22X12X60MM,13287.0,13287.0,1993.05,13287.0,30
CDM,502004,SCREW BN SPN 6.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,502005,STEM HIP SZ11 117X43.5MM,8557.0,8557.0,1283.55,8557.0,30
CDM,502006,SCREW SPN 5.5MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,502007,INSERT TIB KN SZ7-8 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,502008,STEM FEM KN 150X15.5MM,5812.0,5812.0,871.8,5812.0,30
CDM,502009,COLLAR LCK KN 7D 55MM,13451.0,13451.0,2017.65,13451.0,30
CDM,502011,CAGE ALIF 8D 24X32X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502012,BLOCK AUGMT 5 10MM KN,4606.0,4606.0,690.9,4606.0,30
CDM,502013,INS TIBCNSTRN SZ2.5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,502014,LINER ACTB HIP 32MM 50MM,4429.0,4429.0,664.35,4429.0,30
CDM,502015,CMPNT FEM CMNTLS RT SZ8,7397.0,7397.0,1109.55,7397.0,30
CDM,502016,PLATE BN LCK 3H 7PEG,5581.0,5581.0,837.15,5581.0,30
CDM,502017,INTERBDY 15D 39X30X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502018,PLATE SPN ANT 4HL 12MM,9213.0,9213.0,1381.95,9213.0,30
CDM,502019,PLATE SPN LCK CVR 12MM,2711.0,2711.0,406.65,2711.0,30
CDM,502021,SCREW SPN 4MM 18MM,3389.0,3389.0,508.35,3389.0,30
CDM,502022,LEAD TRIAL STIM IMPLANT,638.0,638.0,95.7,638.0,30
CDM,502023,KIT PNE LEAD IMPLANT,1435.0,1435.0,215.25,1435.0,30
CDM,502024,INTERBODY 10D 39X30X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502025,PLATE SPN ANT 2HL 12MM,9877.0,9877.0,1481.55,9877.0,30
CDM,502026,PLATE SPN ANT 2HL 10MM,9877.0,9877.0,1481.55,9877.0,30
CDM,502027,SCREW SPN 5.5MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,502028,PLATE SPN LCK CVR 10MM,2711.0,2711.0,406.65,2711.0,30
CDM,502030,INSERT KN SZ4-5 11MM,5450.0,5450.0,817.5,5450.0,30
CDM,502031,CMPNT KN SLV 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,502032,SIZER BREAST 505CC,1801.0,1801.0,270.15,1801.0,42
CDM,502033,SIZER BREAST 485CC,1801.0,1801.0,270.15,1801.0,42
CDM,502034,SIZER BREAST 410CC,1801.0,1801.0,270.15,1801.0,42
CDM,502035,SIZER BREAST 455CC,1801.0,1801.0,270.15,1801.0,42
CDM,502036,SIZER BREAST 365CC,1801.0,1801.0,270.15,1801.0,42
CDM,502037,GRAFT CV 15CM 30X38X30MM,7087.0,7087.0,1063.05,7087.0,30
CDM,502038,SCREW BN 13MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,502039,CMPNT MOD PST SHLDR 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,502040,SPHERE SHLDR 33MM 24MM,5537.0,5537.0,830.55,5537.0,30
CDM,502041,BASEPLATE AUG SHLDR 24MM,6644.0,6644.0,996.6,6644.0,30
CDM,502042,SCREW BN PERPH 4.5X24MM,1595.0,1595.0,239.25,1595.0,30
CDM,502043,SCREW BN 4.5MM 20MM,1595.0,1595.0,239.25,1595.0,30
CDM,502044,REAMER SURG ANG DISP SM,1023.5,1023.5,153.53,1023.5,42
CDM,502046,SCREW BN 2.7MM 42MM,634.0,634.0,95.1,634.0,30
CDM,502047,SCREW BN CORT 2.0X16MM,571.0,571.0,85.65,571.0,30
CDM,502048,SCREW BN 2.7X4.5X46MM,581.0,581.0,87.15,581.0,30
CDM,502049,PLT BN LT 3H 2.7/3.5X80,7175.0,7175.0,1076.25,7175.0,30
CDM,502050,SCREW BN 2.7X4.5X48MM,634.0,634.0,95.1,634.0,30
CDM,502051,PLATE HUM LT 2.7/3.5X107,8106.0,8106.0,1215.9,8106.0,30
CDM,502052,PLATE BN LT 2.7/3.5X61MM,7956.0,7956.0,1193.4,7956.0,30
CDM,502053,SCREW BN 2.7X4.3X28MM,1973.0,1973.0,295.95,1973.0,30
CDM,502054,SCREW BN LCK ST 2.7X24MM,1973.0,1973.0,295.95,1973.0,30
CDM,502055,SCREW BN T8 S/T 2.7X26MM,1973.0,1973.0,295.95,1973.0,30
CDM,502056,SCREW SPNL 5.5X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,502057,PROBE NEURO MONITOR STER,921.0,921.0,138.15,921.0,42
CDM,502058,DILATOR TWO STERILE,1023.5,1023.5,153.53,1023.5,42
CDM,502059,TUBE PORTAL CANNULA ENDO,1023.5,1023.5,153.53,1023.5,42
CDM,502060,SET BLADE SHAPER,2046.5,2046.5,306.98,2046.5,42
CDM,502061,CATH BLADDER,1023.5,1023.5,153.53,1023.5,42
CDM,502062,GWIRE VASC .016IN 180CM,2706.5,2706.5,405.98,2706.5,42
CDM,502063,GWIRE VASC 25CM 180CM,2706.5,2706.5,405.98,2706.5,42
CDM,502065,INSERT TIB KN 10MM,5094.0,5094.0,764.1,5094.0,30
CDM,502066,HEAD FEM HIP +6MM 11/13,4252.0,4252.0,637.8,4252.0,30
CDM,502067,TOOL SURG 13CM 3MM,2449.5,2449.5,367.43,2449.5,42
CDM,502069,SCREW SPN VAR ANG 6X30MM,1130.0,1130.0,169.5,1130.0,30
CDM,502070,CMPNT FEM KN RM/LL SZ5,5980.0,5980.0,897.0,5980.0,30
CDM,502071,BASEPLATE TIB RT SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,502072,SCREW SPN 8.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
CDM,502073,SCREW SPN 8.5X40MM,3012.0,3012.0,451.8,3012.0,30
CDM,502074,SCREW SPN 8.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,502075,STEM FEM HIP 15MM 140MM,6644.0,6644.0,996.6,6644.0,30
CDM,502076,SCREW BN SPN 7.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,502077,CONE FEM HIP 80MM,16725.0,16725.0,2508.75,16725.0,30
CDM,502078,BIT DRILL 3.2MM 60MM,773.0,773.0,115.95,773.0,42
CDM,502079,KIT CUTTING DISP SZ17,4604.5,4604.5,690.67,4604.5,42
CDM,502080,INSERT TIB KN RT SZ7 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,502081,PLATE BN TIB 12HL 130MM,5016.0,5016.0,752.4,5016.0,30
CDM,502082,PLATE BN STD LT 3H 48MM,4817.0,4817.0,722.55,4817.0,30
CDM,502083,SCREW BN 2.4MM 12MM,1854.0,1854.0,278.1,1854.0,30
CDM,502084,AUGMENT KN RT MDL L/L,12574.0,12574.0,1886.1,12574.0,30
CDM,502085,INSERT TIB KN RT SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,502086,CMPNT FEM KN SZ2 RM/LL,5980.0,5980.0,897.0,5980.0,30
CDM,502087,INSERT TIB KN SZ3-4 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,502088,SCREW BN CANN 3.5X22MM,3294.0,3294.0,494.1,3294.0,30
CDM,502089,INSERT TIB KN L SZ8 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,502090,STEM HIP SZ3 101X36MM,8557.0,8557.0,1283.55,8557.0,30
CDM,502091,PLATE BN LT 5H 3.5X81MM,4537.0,4537.0,680.55,4537.0,30
CDM,502092,PLATE BN 2.7/3.5X93M 5H,7022.0,7022.0,1053.3,7022.0,30
CDM,502093,SCREW S/T LCK 3.5X15MM,3009.0,3009.0,451.35,3009.0,30
CDM,502094,CMPNT TIB ALPLY SZ9 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,502095,CMPNT TIB ALPLY SZ8 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,502096,BASEPLATE TIB LF SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,502097,DEVICE EMBL 4.25MM 10MM,63712.0,63712.0,9556.8,63712.0,30
CDM,502098,BIT DRILL DISP 2.8MM 110,1023.5,1023.5,153.53,1023.5,42
CDM,502099,SCREW BN 3.5MM 10MM,571.0,571.0,85.65,571.0,30
CDM,502100,INSERT TIB KN RT SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,502101,INSERT TIB KN SZ5 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,502102,INTBDY SPN 10D39X30X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502103,CAGE SPN 10D 39X30X10MM,17606.0,17606.0,2640.9,17606.0,30
CDM,502104,SCREW SPN 5.5MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,502105,INTBDY SPN 15D39X30X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502106,PLATE SPN LCK CVR 14MM,2711.0,2711.0,406.65,2711.0,30
CDM,502107,SCREW BN N-LCK 4.5X32MM,1595.0,1595.0,239.25,1595.0,30
CDM,502108,IPG NRSTM 5.55CM 4.95CM,72689.0,72689.0,10903.35,72689.0,30
CDM,502109,SET INST SYSTEM,2455.5,2455.5,368.32,2455.5,42
CDM,502110,STEM CMNT KN 15X50MM,4606.0,4606.0,690.9,4606.0,30
CDM,502111,INSRT TIB TRTHN KN 16MM,6737.0,6737.0,1010.55,6737.0,30
CDM,502112,INSERT TIB KN SZ6 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,502113,VALVE MITRAL 27MM,27684.0,27684.0,4152.6,27684.0,30
CDM,502114,CAGE SPN 9X23X10MM,15059.0,15059.0,2258.85,15059.0,30
CDM,502115,BIT DRILL DISP 2.8MM 45M,957.5,957.5,143.63,957.5,42
CDM,502116,LINER ACTB HIP 36X62MM,4429.0,4429.0,664.35,4429.0,30
CDM,502117,DEVICE SULF .50ML,514.0,514.0,77.1,514.0,30
CDM,502118,PLATE SPN ANT 4HL 14MM,9213.0,9213.0,1381.95,9213.0,30
CDM,502119,INTERBODY SPN 2HL 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,502120,NEEDLE BX BM 13GA 4IN,231.5,231.5,34.73,231.5,42
CDM,502121,NEEDLE BX BM 11GA 4IN,231.5,231.5,34.73,231.5,42
CDM,502123,STAPLER ROBTC 45MM,3726.0,3726.0,558.9,3726.0,42
CDM,502125,STAPLER CRVD TIP 45MM,4010.5,4010.5,601.58,4010.5,42
CDM,502130,SCREW HDLS CMPR 2.5X26MM,3189.0,3189.0,478.35,3189.0,30
CDM,502131,SPACER SPN 15D 28X36X13,8858.0,8858.0,1328.7,8858.0,30
CDM,502132,HEAD FEM HIP SZ3 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,502133,NEEDLE ASP 21G 20-40MM,1023.5,1023.5,153.53,1023.5,42
CDM,502134,SUTURE FBSWR 18IN,386.0,386.0,57.9,386.0,30
CDM,502136,STENT VASC 7X100MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502137,CATH THOR DRN 16FR 16IN,126.5,126.5,18.98,126.5,42
CDM,502138,BURR SURG RND 4.0MM,773.0,773.0,115.95,773.0,42
CDM,502139,SCREW SPN RTNR 3.5X14MM,4093.0,4093.0,613.95,4093.0,42
CDM,502141,NUT RETAINER STERILE,1277.0,1277.0,191.55,1277.0,42
CDM,502142,REAMER SURG 885MM,4093.0,4093.0,613.95,4093.0,42
CDM,502143,BLADE SAW 10MM 31MM,1170.5,1170.5,175.57,1170.5,42
CDM,502144,SET CATH ART 20GA 12CM,324.5,324.5,48.67,324.5,42
CDM,502146,GWIRE VASC 205CM,4093.0,4093.0,613.95,4093.0,42
CDM,502148,REAMER SURG 510MM,2022.0,2022.0,303.3,2022.0,42
CDM,502149,TUBE TRACH ADJ 6X110MM,1795.5,1795.5,269.32,1795.5,42
CDM,502151,BIT DRILL DISP 3.5X60MM,773.0,773.0,115.95,773.0,42
CDM,502153,SYSTEM ACC FX CRV SGL,5116.0,5116.0,767.4,5116.0,42
CDM,502154,DEVICE FSTNR 3MM 14CM,3189.0,3189.0,478.35,3189.0,30
CDM,502157,TIP SURG ULTRSNC 12CM,4540.5,4540.5,681.08,4540.5,42
CDM,502158,TIP ULTSNC MICRO 12CM,4385.5,4385.5,657.83,4385.5,42
CDM,502159,TIP ASP STANDARD 12CM,4385.5,4385.5,657.83,4385.5,42
CDM,502161,SAW MICRO OSTEOTOMY 55MM,4230.5,4230.5,634.58,4230.5,42
CDM,502162,SAW MICRO .55X4X20MM,4702.0,4702.0,705.3,4702.0,42
CDM,502165,CLAMP SPN ROD-ROD 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,502166,CLAMP SPN ROD-ROD 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,502167,SCREW SPN 3.5MM 26MM,3765.0,3765.0,564.75,3765.0,30
CDM,502168,INSERT HIP SZ1-2 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,502169,ANCHOR SUT SOFT #5,3348.0,3348.0,502.2,3348.0,30
CDM,502170,INSERT TIB KN SZ7 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,502172,TOOL DSCT 9CM 9MM,964.5,964.5,144.68,964.5,42
CDM,502173,DRILL TWIST 2MM 6MM,773.0,773.0,115.95,773.0,42
CDM,502174,TOOL DSCT MTCH 12CM 2.5M,1023.5,1023.5,153.53,1023.5,42
CDM,502175,BURR DIAM 2.5MM 3.1MM,1023.5,1023.5,153.53,1023.5,42
CDM,502176,TOOL DSCT BALL 12CM 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,502177,TOOL SURG 14CM 7.6MM,1023.5,1023.5,153.53,1023.5,42
CDM,502179,TOOL TELE BALL 2MM 12CM,1023.5,1023.5,153.53,1023.5,42
CDM,502180,BUR DMD BALL 14CM 5MM,994.0,994.0,149.1,994.0,42
CDM,502181,TOOL DSCT BALL 12CM 4MM,1023.5,1023.5,153.53,1023.5,42
CDM,502182,TOOL DSCT TPR 7CM 2.3MM,773.0,773.0,115.95,773.0,42
CDM,502183,TOOL DSCT TPR 9CM 3MM,773.0,773.0,115.95,773.0,42
CDM,502185,BUR ORTHO 14CM 6MM,1023.5,1023.5,153.53,1023.5,42
CDM,502186,TOOL DSCT BALL 14CM 5MM,994.0,994.0,149.1,994.0,42
CDM,502187,BUR ACORN 14CM 6MM,964.5,964.5,144.68,964.5,42
CDM,502189,BUR DMD BALL 9CM 9MM,1023.5,1023.5,153.53,1023.5,42
CDM,502190,TOOL DSCT BALL 14CM 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,502191,TOOL BALL FLUTE 14CM 4MM,1023.5,1023.5,153.53,1023.5,42
CDM,502193,TOOL DSCT 9CM 3MM,994.0,994.0,149.1,994.0,42
CDM,502194,TOOL DSCT BALL 14CM 3MM,994.0,994.0,149.1,994.0,42
CDM,502195,BUR DISP DMND 26CM 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,502196,BUR TOOL 21CM 3MM,1023.5,1023.5,153.53,1023.5,42
CDM,502197,DRILL TWST 3X30MM,1023.5,1023.5,153.53,1023.5,42
CDM,502198,DRILL TWST 3X30MM,1023.5,1023.5,153.53,1023.5,42
CDM,502199,TOOL SURG 13CM 4MM,2449.5,2449.5,367.43,2449.5,42
CDM,502200,CATH HEMO L-T 7.5FR 12CM,3888.0,3888.0,583.2,3888.0,42
CDM,502201,CATH HEMO L-T 7.5FR 15CM,3888.0,3888.0,583.2,3888.0,42
CDM,502205,TUBING SMKEVC 10FT 25IN,545.5,545.5,81.83,545.5,42
CDM,502210,TOOL WRENCH TORQUE,251.5,251.5,37.73,251.5,42
CDM,502211,GWIRE VASC .035IN 260CM,197.0,197.0,29.55,197.0,42
CDM,502215,ADPT BAG SPIKE NDL FREE,113.0,113.0,16.95,113.0,42
CDM,502216,CATH NEURO .13X.25X120CM,2719.5,2719.5,407.93,2719.5,42
CDM,502217,GUARD PIN .028IN,100.5,100.5,15.07,100.5,42
CDM,502218,PROBE DPLR 32CM,4093.0,4093.0,613.95,4093.0,42
CDM,502226,RETRIEVER 4MM 35MM 41MM,39266.0,39266.0,5889.9,39266.0,42
CDM,502227,RETRIEVER 3MM 25MM 32MM,39266.0,39266.0,5889.9,39266.0,42
CDM,502228,GWIRE VASC .014IN 200CM,4093.0,4093.0,613.95,4093.0,42
CDM,502229,CATH GD RADL ACC 7F 95CM,5321.0,5321.0,798.15,5321.0,42
CDM,502230,CATH GD RADL ACC 7F105CM,5321.0,5321.0,798.15,5321.0,42
CDM,502231,CATH ANGIO 5F 100CM,160.5,160.5,24.07,160.5,42
CDM,502233,CATH MICRO 2.1FR 167CM,5218.5,5218.5,782.77,5218.5,42
CDM,502234,GWIRE VASC 300CM .018IN,773.0,773.0,115.95,773.0,42
CDM,502236,ICD DF1 7 DR-T,26444.0,26444.0,3966.6,26444.0,30
CDM,502237,CATH BLNDIL 2.0X22MM,773.0,773.0,115.95,773.0,42
CDM,502238,VALVE TAVR SZ 23MM,115350.0,115350.0,17302.5,115350.0,30
CDM,502239,VALVE TAVR SZ 29MM,115350.0,115350.0,17302.5,115350.0,30
CDM,502240,VALVE TAVR SZ 26MM,115350.0,115350.0,17302.5,115350.0,30
CDM,502241,VALVE TAVR SIZE 34MM,115350.0,115350.0,17302.5,115350.0,30
CDM,502242,SYSTEM LOAD TAVR 23-29MM,3192.5,3192.5,478.88,3192.5,42
CDM,502243,SYSTEM LOAD TAVR 34MM,3192.5,3192.5,478.88,3192.5,42
CDM,502244,SYSTEM DLVR TAVR 23-29,4093.0,4093.0,613.95,4093.0,42
CDM,502245,SYSTEM DELIVERY TAVR 34M,4093.0,4093.0,613.95,4093.0,42
CDM,502247,CATH IAB 9FR 15CM,4093.0,4093.0,613.95,4093.0,42
CDM,502248,ICD DC DR-T DF4,26444.0,26444.0,3966.6,26444.0,30
CDM,502249,CATH INFS 2.8FR 140CM,3806.5,3806.5,570.98,3806.5,42
CDM,502250,PLUG VASC MED 5MM,6921.0,6921.0,1038.15,6921.0,30
CDM,502254,GUIDEWIRE .035IN 150CM,1694.5,1694.5,254.18,1694.5,42
CDM,502258,KIT PEG EVV DISP 20FR,1054.5,1054.5,158.18,1054.5,42
CDM,502259,PEG GASTRO 24FR,1054.5,1054.5,158.18,1054.5,42
CDM,502260,CATH ANGIO 6FR 110CM,1318.0,1318.0,197.7,1318.0,42
CDM,502262,CATH ULTSND IVL 4.0X60MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502264,CATH ULTSND IVL 5X60MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502265,CATH ULTSND IVL 5.5X60MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502266,CATH ULTSND IVL 6X60MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502267,CATH ULTSND IVL 6.5X60MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502268,CATH ULTSND IVL 7X60MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502269,STENT ILIOFEM 14X120MM,5480.0,5480.0,822.0,5480.0,30
CDM,502270,STENT ILIOFEM 14X150MM,5845.0,5845.0,876.75,5845.0,30
CDM,502272,GDWIRE VSC 150CM .035IN,278.5,278.5,41.77,278.5,42
CDM,502273,GWIRE FLPY 330X2.2CM,1334.5,1334.5,200.18,1334.5,42
CDM,502274,CATH ANGIO 65CM,222.5,222.5,33.38,222.5,42
CDM,502275,CATH GD 6FR .071IN 100MM,5091.5,5091.5,763.73,5091.5,42
CDM,502276,CATH GD 6FR .071IN 105MM,5091.5,5091.5,763.73,5091.5,42
CDM,502286,STENT INTRCR 4.5MM 30MM,31908.0,31908.0,4786.2,31908.0,30
CDM,502287,STENT VASC 4.5MM 21MM,31908.0,31908.0,4786.2,31908.0,30
CDM,502288,STENT INTRCR 4.0MM 21MM,31908.0,31908.0,4786.2,31908.0,30
CDM,502289,STENT INTRCR 3.0MM 24MM,31908.0,31908.0,4786.2,31908.0,30
CDM,502290,STENT INTRCR 3.0MM 15MM,27040.0,27040.0,4056.0,27040.0,30
CDM,502293,RETRIEVER VASC 6FR 90CM,4093.0,4093.0,613.95,4093.0,42
CDM,502294,INTRO SHEATH 26FR 65CM,4385.5,4385.5,657.83,4385.5,42
CDM,502295,OCCLUDER CV 11FR 37MM,31330.0,31330.0,4699.5,31330.0,30
CDM,502296,GWIRE VASC 0.035IN 300CM,618.5,618.5,92.78,618.5,42
CDM,502298,STENT VASC 2.5MMX13MM,58446.0,58446.0,8766.9,58446.0,30
CDM,502299,DVC INTRCRD VNTRC ASST,168649.5,168649.5,25297.42,168649.5,42
CDM,502301,KIT DEV BLLN 4CC 20MM,12023.0,12023.0,1803.45,12023.0,42
CDM,502302,KIT DEV BLLN 3CC 15MM,12023.0,12023.0,1803.45,12023.0,42
CDM,502310,SCREW BN 8.5MM 75MM CREO,3189.0,3189.0,478.35,3189.0,30
CDM,502311,SCREW SPN RDCTN 6.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,502312,SCREW DRKSTR RDCT 6.5X45,3389.0,3389.0,508.35,3389.0,30
CDM,502313,SCREW SPN RDC 5.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,502314,SCREW SPN RDCTN 7.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,502316,CAGE SPN 6D 7X10X27MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502317,CAGE SPN 6D 9X10X27MM,7308.0,7308.0,1096.2,7308.0,30
CDM,502318,STEM HUM SHLDR 135MM,11959.0,11959.0,1793.85,11959.0,30
CDM,502319,SCREW BN LOCK SHLD 40MM,1196.0,1196.0,179.4,1196.0,30
CDM,502320,SCREW BN 4.3MM 40MM,1595.0,1595.0,239.25,1595.0,30
CDM,502321,WEDGE KN 10MM SZCD,4606.0,4606.0,690.9,4606.0,30
CDM,502323,INSERT KN TIB RT SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,502324,CAGE SPN STR 0D 22X9X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502326,SCREW SPN 8.5MM 80MM,3389.0,3389.0,508.35,3389.0,30
CDM,502327,STENT EPRSTH 8X16X79MM,12501.0,12501.0,1875.15,12501.0,30
CDM,502328,STEM HIP FEM STDOFST SZ8,8858.0,8858.0,1328.7,8858.0,30
CDM,502329,COMPNT FEM KN RT SZ4,6764.0,6764.0,1014.6,6764.0,30
CDM,502330,INSERT TIB KN RT SZ4 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,502331,INSERT TIB KN XS 22MM,17705.0,17705.0,2655.75,17705.0,30
CDM,502332,STEM FEM HIP 140MM 10MM,8416.0,8416.0,1262.4,8416.0,30
CDM,502333,SHELL ACTB HIP MOD 60MM,10420.0,10420.0,1563.0,10420.0,30
CDM,502334,SCREW BN LCK 15MM,877.0,877.0,131.55,877.0,30
CDM,502335,HD FEM HIP 14/16 8X28MM,4429.0,4429.0,664.35,4429.0,30
CDM,502336,TIP INST SURG ULTSNC,4230.5,4230.5,634.58,4230.5,42
CDM,502338,SPACER SPN 6D 7X25MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502339,CATHETER INFS MCTH 27,5542.0,5542.0,831.3,5542.0,42
CDM,502343,CATH MAPPING 1.5CM,14463.0,14463.0,2169.45,14463.0,42
CDM,502344,CATH 3D MAP 2.0CM CRV D,11127.5,11127.5,1669.13,11127.5,42
CDM,502346,CATH 3D MAP 1.5CM CRV D,10447.0,10447.0,1567.05,10447.0,42
CDM,502347,CATH MAPPING 3.0CM,11097.0,11097.0,1664.55,11097.0,42
CDM,502348,CATH MAPPING 2.0CM,10447.0,10447.0,1567.05,10447.0,42
CDM,502350,CATH GD 2.5FR 130CM,3831.0,3831.0,574.65,3831.0,42
CDM,502351,CATH MICRO 150CM,3831.0,3831.0,574.65,3831.0,42
CDM,502352,COIL EMBL 18D 4MM 5CM,4429.0,4429.0,664.35,4429.0,30
CDM,502353,CATH VASC MCR 5F 130CM,1023.5,1023.5,153.53,1023.5,42
CDM,502354,CATH BLNDIL 4.50X8MM,773.0,773.0,115.95,773.0,42
CDM,502355,CATH BLNDIL 5.00X8MM,773.0,773.0,115.95,773.0,42
CDM,502356,CATH BLNDIL 4.50X12MM,773.0,773.0,115.95,773.0,42
CDM,502358,CATH BLNDIL 5.00X12MM,773.0,773.0,115.95,773.0,42
CDM,502359,CATH BLNDIL 4.50X15MM,773.0,773.0,115.95,773.0,42
CDM,502360,CATH BLNDIL 5.00X15MM,773.0,773.0,115.95,773.0,42
CDM,502361,CATH BLNDIL 4.50X20MM,773.0,773.0,115.95,773.0,42
CDM,502362,CATH BLNDIL 5.00X20MM,773.0,773.0,115.95,773.0,42
CDM,502363,CATH BALLN 2X40MM,773.0,773.0,115.95,773.0,42
CDM,502365,CATH BALLN 2.5X40MM,773.0,773.0,115.95,773.0,42
CDM,502367,CATH BALLN 3X40MM,773.0,773.0,115.95,773.0,42
CDM,502368,CATH BLNDIL 3.50X40MM,773.0,773.0,115.95,773.0,42
CDM,502370,CATH BLNDIL 4.00X40MM,773.0,773.0,115.95,773.0,42
CDM,502371,VALVE TAVR 29MM,130730.0,130730.0,19609.5,130730.0,30
CDM,502373,PLUG VASC 7MM 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,502375,CATH ANGIO PIG 6FR 110CM,160.5,160.5,24.07,160.5,42
CDM,502377,STENT VASC 6X40MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502378,STENT VASC 6X60MM 200XM,3846.0,3846.0,576.9,3846.0,30
CDM,502380,STENT VASC 6X10MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502381,STENT VASC 6X120MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502382,STENT VASC 6X150MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502383,STENT VASC 7X40MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502384,STENT VASC 7X60MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502385,STENT VASC 7X80MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502387,STENT VASC 7X120MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502389,STENT VASC 8X40MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502390,STENT VASC 8X60MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502405,STENT VASC 8X80MM 200CM,3846.0,3846.0,576.9,3846.0,30
CDM,502408,CATH BLN 3X40MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502409,CATH BLN 3X60MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502412,CATH BLN 4X20MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502414,CATH BLN 4X60MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502420,CATH BLN 5X40MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502422,CATH BLN 5X80MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502425,CATH BLN 5X240MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502426,CATH BLN 6X20MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502428,CATH BLN 6X60MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502429,CATH BLN 6X80MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502431,CATH BLN 6X150MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502434,CATH BLN 7X40MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502435,CATH BLN 7X60MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502436,CATH BLN 7X80MM 135CM,773.0,773.0,115.95,773.0,42
CDM,502452,CATH BLN 2X240MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502456,CATH BLN 2.5X80MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502461,CATH BLN 3X20MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502463,CATH BLN 3X60MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502464,CATH BLN 3X80MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502465,CATH BLN 3X100MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502468,CATH BLN 3X240MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502471,CATH BLN 3.5X60MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502477,CATH BLN 4X20MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502486,CATH BLN 5X40MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502493,CATH BLN 6X20MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502501,CATH BLN 7X20MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502503,CATH BLN 7X60MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502505,CATH BLN 7X100MM 150CM,1187.0,1187.0,178.05,1187.0,42
CDM,502513,CATH BLN 2X20MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502522,CATH BLN 2.5X40MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502528,CATH BLN 2.5X240MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502533,CATH BLN PTA 3X100MM,1269.0,1269.0,190.35,1269.0,42
CDM,502550,CATH BLN 4X120MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502551,CATH BLN 4X150MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502552,CATH BLN 4X240MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502553,CATH BLN 5X20MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502554,CATH BLN 5X40MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502557,CATH BLN 5X100MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502559,CATH BLN 5X150MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502562,CATH BLN 6X40MM 150CM,1269.0,1269.0,190.35,1269.0,42
CDM,502569,CATH INFSN 19FR 135CM,3479.0,3479.0,521.85,3479.0,42
CDM,502570,CATH INFSN 19FR 150CM,3479.0,3479.0,521.85,3479.0,42
CDM,502571,GUIDEWIRE PRESSURE,4093.0,4093.0,613.95,4093.0,42
CDM,502572,CATH ANGIO 5FR 70CM,340.0,340.0,51.0,340.0,42
CDM,502573,VALVE TAVR 20MM,150586.0,150586.0,22587.9,150586.0,30
CDM,502574,VALVE TAVR 23MM,130730.0,130730.0,19609.5,130730.0,30
CDM,502575,VALVE TAVR 26MM,130730.0,130730.0,19609.5,130730.0,30
CDM,502576,VALVE TAVR 29MM,130730.0,130730.0,19609.5,130730.0,30
CDM,502579,CATH INTVN ANG 2FR 130CM,4429.0,4429.0,664.35,4429.0,42
CDM,502580,CATH MICRO 2.4FR 130CM,3012.0,3012.0,451.8,3012.0,42
CDM,502581,CATH BLNDIL 20MM 4X100CM,3560.5,3560.5,534.08,3560.5,42
CDM,502582,STENT EPRSTH 6X8X29MM,10997.0,10997.0,1649.55,10997.0,30
CDM,502584,CATH IVL 8MM 30MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502585,CATH ULTSNC 9.0MM 30MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502586,CATH ULTSNC 12.0MM 30MM,17650.5,17650.5,2647.57,17650.5,42
CDM,502587,STENT ILIOFEM 14X80MM,5069.0,5069.0,760.35,5069.0,30
CDM,502590,STENT ILIOFEM 16X120MM,5480.0,5480.0,822.0,5480.0,30
CDM,502591,STENT ILIOFEM 16X150MM,5407.0,5407.0,811.05,5407.0,30
CDM,502594,STENT ILIOFEM 18X150MM,5845.0,5845.0,876.75,5845.0,30
CDM,502599,GWIRE VASC NS 180CM,1023.5,1023.5,153.53,1023.5,42
CDM,502602,NEEDL BX 19GA 10.2CM,173.5,173.5,26.02,173.5,42
CDM,502603,NEEDLE BX 15GA 9.9CM,173.5,173.5,26.02,173.5,42
CDM,502608,CATH ANGIO 5F SIM2 100CM,278.5,278.5,41.77,278.5,42
CDM,502610,CATH VASC 5FR 110CM,160.5,160.5,24.07,160.5,42
CDM,502612,GWIRE VASC .018IN 300CM,773.0,773.0,115.95,773.0,42
CDM,502615,BAND RAD DSTAT HEMO 24CM,301.5,301.5,45.23,301.5,42
CDM,502618,CATH ANGIO 5FR 100CM,324.5,324.5,48.67,324.5,42
CDM,502627,GWIRE VASC .025IN 145CM,231.5,231.5,34.73,231.5,42
CDM,502628,CATH MICRO 120CM .021IN,39649.0,39649.0,5947.35,39649.0,42
CDM,502629,GWIRE VASC 300CM .014IN,870.0,870.0,130.5,870.0,42
CDM,502631,SHEATH DIL 12FR 33CM,2087.5,2087.5,313.13,2087.5,42
CDM,502632,SHEATH DIL 5MM,2087.5,2087.5,313.13,2087.5,42
CDM,502636,DILATOR VASC 230CM,5090.5,5090.5,763.58,5090.5,42
CDM,502637,CATH BLNDIL 1.5MM 10MM,6139.5,6139.5,920.92,6139.5,42
CDM,502638,WIRE PGTL 230X62CM 45F,4962.5,4962.5,744.38,4962.5,42
CDM,502688,PLUG VASC MED 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,502689,PLUG VASC LARGE 10MM,8459.0,8459.0,1268.85,8459.0,30
CDM,502690,KIT ANCHOR BTB,4199.0,4199.0,629.85,4199.0,30
CDM,503066,CATH BLNOCC 2MM 10MM,15285.0,15285.0,2292.75,15285.0,42
CDM,503067,DEVICE CLSR 20MM,65365.0,65365.0,9804.75,65365.0,30
CDM,503070,SHEATH GD 3.6FR 70CM,834.0,834.0,125.1,834.0,42
CDM,503072,DEVICE CLSR 40MM,75293.0,75293.0,11293.95,75293.0,30
CDM,503073,DEVICE CLSR 35MM,75293.0,75293.0,11293.95,75293.0,30
CDM,503074,DEVICE CLSR 31MM,75293.0,75293.0,11293.95,75293.0,30
CDM,503075,DEVICE CLSR 27MM,75293.0,75293.0,11293.95,75293.0,30
CDM,503076,DEVICE CLSR 24MM,75293.0,75293.0,11293.95,75293.0,30
CDM,503077,GWIRE PRESSR 4.2CM 280CM,4385.5,4385.5,657.83,4385.5,42
CDM,503078,GWIRE PRESSR 3.2CM 280CM,4385.5,4385.5,657.83,4385.5,42
CDM,503089,CATH GUIDE EXT 7FR,3069.5,3069.5,460.43,3069.5,42
CDM,503090,CATH GD 6.0FR 0.056IN,3069.5,3069.5,460.43,3069.5,42
CDM,503091,CATH GD 5.5FR 0.051IN,3069.5,3069.5,460.43,3069.5,42
CDM,503093,CATH IVL 3.5X12MM,24045.5,24045.5,3606.82,24045.5,42
CDM,503097,DEVICE EMBL 3.5MM 10MM,63712.0,63712.0,9556.8,63712.0,30
CDM,503103,KIT STYLET LEAD 46CM,773.0,773.0,115.95,773.0,42
CDM,503104,KIT STYL ASORT 58CM,773.0,773.0,115.95,773.0,42
CDM,503106,STENT VASC 3X13X9MM,50739.0,50739.0,7610.85,50739.0,30
CDM,503107,CATH MICRO STR 156CM,4523.0,4523.0,678.45,4523.0,42
CDM,503109,STENT EPRSTH 5X8X19MM,9971.0,9971.0,1495.65,9971.0,30
CDM,503110,CAP LD PACING/DEFIB,424.0,424.0,63.6,424.0,30
CDM,503112,SCREW BN SPNL 4.5X23MM,3937.0,3937.0,590.55,3937.0,30
CDM,503116,COIL EMBL 60CM 24MM,5537.0,5537.0,830.55,5537.0,30
CDM,503117,COIL EMBL 20MM 60CM,5537.0,5537.0,830.55,5537.0,30
CDM,503118,COIL EMBL 60CM 28MM .02,5537.0,5537.0,830.55,5537.0,30
CDM,503119,COIL EMBL 60CM 32MM STD,5537.0,5537.0,830.55,5537.0,30
CDM,503121,BALLOON PTCA 4.5MM 15MM,6139.5,6139.5,920.92,6139.5,42
CDM,503122,BALLOON PTCA 4.5MM 10MM,6139.5,6139.5,920.92,6139.5,42
CDM,503123,BALLOON PTCA 4MM 20MM,6139.5,6139.5,920.92,6139.5,42
CDM,503124,BALLOON PTCA 3.5MM 10MM,6139.5,6139.5,920.92,6139.5,42
CDM,503125,BALLOON PTCA 4MM 10MM,6139.5,6139.5,920.92,6139.5,42
CDM,503126,BALLOON PTCA 3.5MM 20MM,6139.5,6139.5,920.92,6139.5,42
CDM,503127,BALLOON PTCA 3.5MM 15MM,6139.5,6139.5,920.92,6139.5,42
CDM,503129,BALLOON PTCA 3MM 20MM,6139.5,6139.5,920.92,6139.5,42
CDM,503130,BALLOON PTCA 3MM 15MM,6139.5,6139.5,920.92,6139.5,42
CDM,503131,BALLOON PTCA 3MM 10MM,6139.5,6139.5,920.92,6139.5,42
CDM,503133,BALLOON PTCA 2.5MM 20MM,6139.5,6139.5,920.92,6139.5,42
CDM,503134,BALLOON PTCA 2.5MM 15MM,6139.5,6139.5,920.92,6139.5,42
CDM,503136,BALLOON PTCA 2.5MM 10MM,6139.5,6139.5,920.92,6139.5,42
CDM,503137,BALLOON PTCA 2MM 20MM,6139.5,6139.5,920.92,6139.5,42
CDM,503139,BALLOON PTCA 2MM 15MM,6139.5,6139.5,920.92,6139.5,42
CDM,503140,BALLOON PTCA 2MM 10MM,6139.5,6139.5,920.92,6139.5,42
CDM,503183,STEM HIP SZ5 105MM 35MM,8557.0,8557.0,1283.55,8557.0,30
CDM,503185,STEM FEM HIP SZ7 109MM,8557.0,8557.0,1283.55,8557.0,30
CDM,503198,INSERT HIP F 0D 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,503212,LINER HIP H 28MM 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,503229,BLADE THK.38MM CRV 1MM,925.5,925.5,138.82,925.5,42
CDM,503230,SLR/DVDR BIP 18CM 13.5MM,3395.0,3395.0,509.25,3395.0,42
CDM,503235,BLADE KNF FEATHER SHP,1563.5,1563.5,234.53,1563.5,42
CDM,503236,BSCP FLEX STRL LF,8186.0,8186.0,1227.9,8186.0,42
CDM,503237,ICM 45.1X8.0X4.2MM,14307.0,14307.0,2146.05,14307.0,30
CDM,503238,CATH GLIDECATH 4FR 125CM,739.0,739.0,110.85,739.0,42
CDM,503240,CATH GD RADL ACC 6F 95CM,5091.5,5091.5,763.73,5091.5,42
CDM,503241,KIT PEG GSTRM 20FR,858.0,858.0,128.7,858.0,42
CDM,503242,KIT PEG GSTRM 24FR,829.0,829.0,124.35,829.0,42
CDM,503243,CLIP LGT 2.8MM 235CM,3189.0,3189.0,478.35,3189.0,30
CDM,503244,TRACH PUNCTURE BE6055,2742.0,2742.0,411.3,2742.0,42
CDM,503245,TUBE LRYNGTC SFT 8/55MM,1310.0,1310.0,196.5,1310.0,42
CDM,503247,PROS VOICE 16FR 10MM,2455.5,2455.5,452.06,2455.5,26
CDM,503250,TUBE MONT SLVA BYPS 8MM,1776.5,1776.5,266.48,1776.5,42
CDM,503252,TUBE BYPASS 10MM,1866.5,1866.5,279.98,1866.5,42
CDM,503254,TUBE BYPASS 16X191MM,1866.5,1866.5,279.98,1866.5,42
CDM,503255,TUBE MONT SALIVARY 18MM,1866.5,1866.5,279.98,1866.5,42
CDM,503256,TUBE BYPASS 20X191MM,1866.5,1866.5,279.98,1866.5,42
CDM,503257,TUBE ARWY OD10 MONT SAF,1858.0,1858.0,278.7,1858.0,42
CDM,503258,TUBE SAFE T TRCH XLNG 11,3189.0,3189.0,478.35,3189.0,30
CDM,503259,STENT ARWY OD12 MONT SAF,3189.0,3189.0,478.35,3189.0,30
CDM,503260,TUBE SF-T ARWY 13 XLNG,3189.0,3189.0,478.35,3189.0,30
CDM,503261,TUBE SF-T-TUBE ARWY 14XL,1948.5,1948.5,292.27,1948.5,42
CDM,503262,TUBE SAFE T TRCH XLNG 15,3189.0,3189.0,478.35,3189.0,30
CDM,503263,TUBE SF-T-TUBE ARWY 16XL,1948.5,1948.5,292.27,1948.5,42
CDM,503274,BUTTON BLN GSTRC 12F 1.2,1023.5,1023.5,153.53,1023.5,42
CDM,503275,BUTTON BLN 1.2CM 14FR,1023.5,1023.5,153.53,1023.5,42
CDM,503276,BUTTON BLN GSTRC 12F 1.5,1023.5,1023.5,153.53,1023.5,42
CDM,503277,BTTN BLN 12F 1.7CM,1023.5,1023.5,153.53,1023.5,42
CDM,503278,BUTTON BLN 1.5CM 14FR,1023.5,1023.5,153.53,1023.5,42
CDM,503279,BUTTON BLN 1.7CM 14FR,1023.5,1023.5,153.53,1023.5,42
CDM,503281,BUTTON GSTRM 16FR 1.5CM,993.0,993.0,148.95,993.0,42
CDM,503282,BUTTON GSTRM 16FR 1.7CM,993.0,993.0,148.95,993.0,42
CDM,503283,BTN BLN GSTR 16F 2CM,993.0,993.0,148.95,993.0,42
CDM,503284,BUTTON GSTRM 18FR 1.0CM,993.0,993.0,148.95,993.0,42
CDM,503285,BUTTON BLN 1.5CM 18FR,993.0,993.0,148.95,993.0,42
CDM,503286,BUTTON BLN 2CM 18FR,1023.5,1023.5,153.53,1023.5,42
CDM,503287,KIT GSTRMY 12FR 0.8CM,993.0,993.0,148.95,993.0,42
CDM,503288,BUTTON FEEDING 14FR .8CM,1023.5,1023.5,153.53,1023.5,42
CDM,503289,BUTTON BLN GSTRC 14F 2CM,1023.5,1023.5,153.53,1023.5,42
CDM,503290,TUBE LRYNGTC SFT 12/55MM,1310.0,1310.0,196.5,1310.0,42
CDM,503291,BUTTON GSTRM 18FR 1.5CM,993.0,993.0,148.95,993.0,42
CDM,503293,BUTTON GSTRM 16FR 1.0CM,993.0,993.0,148.95,993.0,42
CDM,503294,FORCEP GRASP 2.8CM 230CM,857.0,857.0,128.55,857.0,42
CDM,503303,STENT ESPH FLCVR 18X97MM,12845.0,12845.0,1926.75,12845.0,30
CDM,503313,CATH BLNDIL 2.0X8MM,773.0,773.0,115.95,773.0,42
CDM,503314,CATH BLNDIL 2.0X10MM,773.0,773.0,115.95,773.0,42
CDM,503315,CATH BLNDIL 2.0X12MM,773.0,773.0,115.95,773.0,42
CDM,503316,CATH BLNDIL 2.0X15MM,773.0,773.0,115.95,773.0,42
CDM,503317,CATH BLNDIL 2.0X18MM,773.0,773.0,115.95,773.0,42
CDM,503320,CATH BLNDIL 2.25X8MM,773.0,773.0,115.95,773.0,42
CDM,503321,CATH BLNDIL 2.25X10MM,773.0,773.0,115.95,773.0,42
CDM,503322,CATH BLNDL 2.25X12MM,773.0,773.0,115.95,773.0,42
CDM,503323,CATH BLNDL 2.25X15MM,773.0,773.0,115.95,773.0,42
CDM,503324,CATH BLNDIL 2.25MM 18MM,773.0,773.0,115.95,773.0,42
CDM,503327,CATH BLNDIL 2.5X8MM,773.0,773.0,115.95,773.0,42
CDM,503328,CATH BLNDIL 2.5MM 10MM,773.0,773.0,115.95,773.0,42
CDM,503329,CATH BLNDIL 2.5X12MM,773.0,773.0,115.95,773.0,42
CDM,503330,CATH BLNDIL 2.5MM 15MM,773.0,773.0,115.95,773.0,42
CDM,503331,CATH BLNDIL 2.5MM 18MM,773.0,773.0,115.95,773.0,42
CDM,503334,CATH BLNDIL 2.75X8MM,773.0,773.0,115.95,773.0,42
CDM,503335,CATH BLNDIL 2.75X10MM,773.0,773.0,115.95,773.0,42
CDM,503336,CATH BLNDIL 2.75X12MM,773.0,773.0,115.95,773.0,42
CDM,503337,CATH BLNDIL 2.75X15MM,773.0,773.0,115.95,773.0,42
CDM,503338,CATH BLNDIL 2.75X18MM,773.0,773.0,115.95,773.0,42
CDM,503341,CATH BLNDIL 3X8MM,773.0,773.0,115.95,773.0,42
CDM,503342,CATH BLNDIL 3X10MM,773.0,773.0,115.95,773.0,42
CDM,503344,CATH BLNDIL 3X12MM,773.0,773.0,115.95,773.0,42
CDM,503345,CATH BLNDIL 3X15MM,773.0,773.0,115.95,773.0,42
CDM,503346,CATH BLNDIL 3X18MM,773.0,773.0,115.95,773.0,42
CDM,503349,CATH BLNDIL 3.25X8MM,773.0,773.0,115.95,773.0,42
CDM,503350,CATH BLNDIL 3.25X10MM,773.0,773.0,115.95,773.0,42
CDM,503351,CATH BLNDIL 3.25X12MM,773.0,773.0,115.95,773.0,42
CDM,503352,CATH BLNDIL 3.25X15MM,773.0,773.0,115.95,773.0,42
CDM,503353,CATH BLNDIL 3.25X18MM,773.0,773.0,115.95,773.0,42
CDM,503356,CATH BLNDIL 4.5X8MM,773.0,773.0,115.95,773.0,42
CDM,503357,CATH BLNDIL 3.5X10MM,773.0,773.0,115.95,773.0,42
CDM,503358,CATH BLNDIL 3.5X12MM,773.0,773.0,115.95,773.0,42
CDM,503359,CATH BLNDIL 3.5X15MM,773.0,773.0,115.95,773.0,42
CDM,503360,CATH BLNDIL 3.5X18MM,773.0,773.0,115.95,773.0,42
CDM,503363,CATH BLNDIL 3.75X8MM,773.0,773.0,115.95,773.0,42
CDM,503364,CATH BLNDIL 3.75X10MM,773.0,773.0,115.95,773.0,42
CDM,503365,CATH BLNDIL 3.75X12MM,773.0,773.0,115.95,773.0,42
CDM,503366,CATH BLNDIL 3.75X15MM,773.0,773.0,115.95,773.0,42
CDM,503367,CATH BLNDIL 3.75X18MM,773.0,773.0,115.95,773.0,42
CDM,503370,CATH BLNDIL 4X8MM,773.0,773.0,115.95,773.0,42
CDM,503371,CATH BLNDIL 4X10MM,773.0,773.0,115.95,773.0,42
CDM,503372,CATH BLNDIL 4X12MM,773.0,773.0,115.95,773.0,42
CDM,503373,CATH BLNDIL 4X15MM,773.0,773.0,115.95,773.0,42
CDM,503374,CATH BLNDIL 4X18MM,773.0,773.0,115.95,773.0,42
CDM,503377,CATH BLNDIL 4.5X8MM,773.0,773.0,115.95,773.0,42
CDM,503378,CATH BLNDIL 4.5X10MM,773.0,773.0,115.95,773.0,42
CDM,503379,CATH BLNDIL4.5X12MM,773.0,773.0,115.95,773.0,42
CDM,503380,CATH BLNDIL 4.5X15MM,773.0,773.0,115.95,773.0,42
CDM,503381,CATH BLNDIL4.5X18MM,773.0,773.0,115.95,773.0,42
CDM,503384,CATH BLNDIL 5X8.0MM,773.0,773.0,115.95,773.0,42
CDM,503385,CATH BLNDIL 5X10MM,773.0,773.0,115.95,773.0,42
CDM,503386,CATH BLNDIL 5X12MM,773.0,773.0,115.95,773.0,42
CDM,503387,CATH BLNDIL 5X15MM,773.0,773.0,115.95,773.0,42
CDM,503388,CATH BLNDIL 5X18MM,773.0,773.0,115.95,773.0,42
CDM,503396,TUBE FD CONN GSTRM 16FR,323.0,323.0,48.45,323.0,42
CDM,503400,CATHETER INFS MIC 21,5542.0,5542.0,831.3,5542.0,42
CDM,503422,TOOL DSCT TPR 7CM 1.1MM,773.0,773.0,115.95,773.0,42
CDM,503423,CATH ABL CRV F 115CM,19441.0,19441.0,2916.15,19441.0,42
CDM,503425,STENT EPRSTH 6MM 22MM,7498.0,7498.0,1124.7,7498.0,30
CDM,503426,STENT EPRSTH 10MM 37MM,7498.0,7498.0,1124.7,7498.0,30
CDM,503428,CATH THRMB 100CM 135CM,49369.5,49369.5,7405.43,49369.5,42
CDM,503429,GUIDEWIRE FOR TAVR SZ XS,19441.0,19441.0,2916.15,19441.0,42
CDM,503432,CRTD XT QUAD MRI DF1,51380.0,51380.0,7707.0,51380.0,30
CDM,503433,ICD DEFB DLCHMBR MRI IS1,32761.0,32761.0,4914.15,32761.0,30
CDM,503434,CRTD XT MRI QUAD DF4,47527.0,47527.0,7129.05,47527.0,30
CDM,503435,CRTD XT MRI IS1 DF1,47527.0,47527.0,7129.05,47527.0,30
CDM,503436,ICD XT MRI DF4,31575.0,31575.0,4736.25,31575.0,30
CDM,503437,CRTD XT MRI IS1 DF4,47527.0,47527.0,7129.05,47527.0,30
CDM,503438,ICD DEFIB 68X51X13MM,35418.0,35418.0,5312.7,35418.0,30
CDM,503440,GW CNS TFE 035 145 15,386.5,386.5,57.98,386.5,42
CDM,503443,DRESSING WND FOAM 2X5IN,33.0,33.0,4.95,33.0,42
CDM,503445,KIT BNCMNT LATEX FREE,4429.0,4429.0,664.35,4429.0,30
CDM,503446,SCREW SPN P-AX5.5X6X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,503447,SCREW SPNL XTAB 7X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,503448,SCREW SPN P-AX5.5 7X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,503449,GUIDEWIRE ORTH 1.37MM,386.5,386.5,57.98,386.5,42
CDM,503450,ROD SPN 140MM,2711.0,2711.0,406.65,2711.0,30
CDM,503451,SHELL ACTB HIP 2H 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,503452,STEM FEM LAT PLUS #8,8858.0,8858.0,1328.7,8858.0,30
CDM,503453,HEAD FEM HIP SZ12/1 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,503454,SPACER SPN 8D 15X26X34MM,19200.0,19200.0,2880.0,19200.0,30
CDM,503455,IMPLANT FEM 4 LT CMNT PS,6644.0,6644.0,996.6,6644.0,30
CDM,503456,INSERT TIB KN SZ3 17MM,4872.0,4872.0,730.8,4872.0,30
CDM,503457,INTERBODY 35X27X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503458,SCREW SPN 5.5X30MM,1130.0,1130.0,169.5,1130.0,30
CDM,503459,INTERBODY 10D 35X27X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503460,SHELL ACTB HIP 2HL 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,503461,STEM LAT FEM 9 0139209,8858.0,8858.0,1328.7,8858.0,30
CDM,503462,INSERT TIB KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,503463,INTBDY SPN 3HL 12MM,2711.0,2711.0,406.65,2711.0,30
CDM,503465,INSERT ANKLE SZ3+ 14MM,15502.0,15502.0,2325.3,15502.0,30
CDM,503466,TRAY TIB KN ANKLE RT SZ4,8579.0,8579.0,1286.85,8579.0,30
CDM,503467,INSERT TIB KN L SZ6 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,503468,IMPLANT BREAST 320CC,5315.0,5315.0,797.25,5315.0,30
CDM,503469,COMPONENT FEM KN RT SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,503470,GDPIN HEADLESS 65MM,773.0,773.0,115.95,773.0,42
CDM,503471,PLATE SPN CERV 2LVL 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,503472,INSERT TIB KN SZ9 10MM,8309.0,8309.0,1246.35,8309.0,30
CDM,503473,GLNSPHR SHLDR LAT 40MM,6423.0,6423.0,963.45,6423.0,30
CDM,503474,CATH DRN PRTNL 2.2X1MM,2196.0,2196.0,329.4,2196.0,30
CDM,503475,CATH DRN VNTR 1.4MM 14CM,2244.0,2244.0,336.6,2244.0,30
CDM,503476,BASEPLATE TIB GNSIS2 4KN,4606.0,4606.0,690.9,4606.0,30
CDM,503477,INSERT ARTC KN 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,503478,SCREW BN 4MM 28MM,2344.0,2344.0,351.6,2344.0,30
CDM,503479,SCREW BN 4MM 24MM 8MM,2344.0,2344.0,351.6,2344.0,30
CDM,503480,SCREW BN CRNMXF 1LVL,1966.0,1966.0,294.9,1966.0,30
CDM,503481,LINER SHLDR STNDRD +6S,4606.0,4606.0,690.9,4606.0,30
CDM,503482,SCREW SPN P-AX 4X22MM,3765.0,3765.0,564.75,3765.0,30
CDM,503484,DEVICE ASST TRAVEL CASE,1229.0,1229.0,184.35,1229.0,42
CDM,503486,CONN LAT OFFST OPN S00 5,3012.0,3012.0,451.8,3012.0,30
CDM,503487,COMPNT PTLR KN 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,503488,GRAFT STNT 32-36MM 160MM,60044.0,60044.0,9006.6,60044.0,30
CDM,503489,GRAFT STNT 44MM 205MM,63428.0,63428.0,9514.2,63428.0,30
CDM,503490,COMPNT BRNG KN LT TIB 4,9301.0,9301.0,1395.15,9301.0,30
CDM,503491,ROD SPN 3.5MM 95MM,2711.0,2711.0,406.65,2711.0,30
CDM,503492,IMPLANT BREAST 395CC,4429.0,4429.0,664.35,4429.0,30
CDM,503493,SCREW SPN VAR 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,503494,SCREW BN SPN 8.5MM 70MM,3389.0,3389.0,508.35,3389.0,30
CDM,503495,CONNECTOR SPN 25D 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,503496,CMPNT FEM KN RT SZ1,7087.0,7087.0,1063.05,7087.0,30
CDM,503497,CMPNT TIB KN RT SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,503498,INSERT TIB RT SZ1 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,503499,TOOL TUNNELER SURG 20IN,448.5,448.5,67.28,448.5,42
CDM,503500,HEAD FEM HIP MED 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,503501,STEM FEM DIST 20MM,8092.0,8092.0,1213.8,8092.0,30
CDM,503502,COMPNT HIP STD H 20X50,21315.0,21315.0,3197.25,21315.0,30
CDM,503504,BASEPLATE AUG SHLDR SZSM,11294.0,11294.0,1694.1,11294.0,30
CDM,503505,CAGE SPNL 30X11MM 15D,8858.0,8858.0,1328.7,8858.0,30
CDM,503506,IMPLANT TIB KN SZ5 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,503507,COMPONENT FEM KN LT SZ4,6764.0,6764.0,1014.6,6764.0,30
CDM,503508,BASEPLATE TIB KN SZ3,5639.0,5639.0,845.85,5639.0,30
CDM,503509,INSERT TIB KN LT 4 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,503510,SCREW BN 5.5MM 28MM P-AX,3389.0,3389.0,508.35,3389.0,30
CDM,503511,SCREW SPN 4MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,503512,PLATE BN 2H 73MM,4429.0,4429.0,664.35,4429.0,30
CDM,503513,SCREW BN 2.7MM 58MM,610.0,610.0,91.5,610.0,30
CDM,503514,CAGE SPN 36MM 13MM,19200.0,19200.0,2880.0,19200.0,30
CDM,503515,INSERT ARTC KN 7-8 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,503516,CMPNT ACTB 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,503517,LINER ACTB HIP SZD 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,503518,COMPNT BRNG KN RT TIB A4,9301.0,9301.0,1395.15,9301.0,30
CDM,503519,SCREW BN SPN 4.2MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,503520,SCREW BN SPN 4.2MM 19MM,1130.0,1130.0,169.5,1130.0,30
CDM,503521,STEM FEM HIP 135D SZ20,8416.0,8416.0,1262.4,8416.0,30
CDM,503522,INTERBODY 10D 35X27X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503523,PLATE SPN ANT 4HL 10MM,9213.0,9213.0,1381.95,9213.0,30
CDM,503524,SCREW SPN VARI 5.5X25MM,1130.0,1130.0,169.5,1130.0,30
CDM,503525,IMPLANT BREAST 470CC,4850.0,4850.0,727.5,4850.0,30
CDM,503526,IMPLANT BREAST 165CC,4185.0,4185.0,627.75,4185.0,30
CDM,503527,ANCHOR SUT 3.0MM,3189.0,3189.0,478.35,3189.0,30
CDM,503528,DRILL SURG DISP 2.6MM,921.0,921.0,138.15,921.0,42
CDM,503529,CMPNT FEM KN SZ5,10234.0,10234.0,1535.1,10234.0,30
CDM,503530,STEM FEM KN 65MM 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,503531,SLEEVE FEM KN 55MM,9072.0,9072.0,1360.8,9072.0,30
CDM,503532,SPACER SPN 8D 24X30X15MM,19200.0,19200.0,2880.0,19200.0,30
CDM,503533,ROD SPN 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,503534,ROD SPN 5.5MM 130MM,2711.0,2711.0,406.65,2711.0,30
CDM,503535,INSERT TIB KN LT SZ7 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,503536,VALVE MITRAL SIZE 33,27684.0,27684.0,4152.6,27684.0,30
CDM,503538,INSERT TIB KN 2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,503540,DRILL SURG DISP 35MM,1637.0,1637.0,245.55,1637.0,42
CDM,503542,BURR DISP 4MM,3438.0,3438.0,515.7,3438.0,42
CDM,503543,SCREW SPN POLY 3.5X14MM,3389.0,3389.0,508.35,3389.0,30
CDM,503544,SCREW SPN 3.05MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,503545,SCREW SPNL 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,503546,SCREW SPN 4.5X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,503547,SCREW SPN 4.5MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,503548,SCREW SPN OCT SET,753.0,753.0,112.95,753.0,30
CDM,503549,SCREW SHLDR SET 4.5X10MM,1196.0,1196.0,179.4,1196.0,30
CDM,503550,SCREW BN 4.5MM .35MM,1196.0,1196.0,179.4,1196.0,30
CDM,503551,CUP HUM 135/145D 36 +6,4606.0,4606.0,690.9,4606.0,30
CDM,503552,LINER ACTB SZ-DMF 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,503553,SHELL ACTB OD52 VERSAFIT,4606.0,4606.0,690.9,4606.0,30
CDM,503554,PLATE BN RT CLV2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,503555,GRAFT STNT 38MM 112MM,62582.0,62582.0,9387.3,62582.0,30
CDM,503556,SCREW BN CRNFCL 1.5X5MM,1115.0,1115.0,167.25,1115.0,30
CDM,503558,INSERT TIB KN RT SZ7 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,503559,INSERT TIB KN LT SZ8 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,503560,PLT LCK VOLR 11HL 7PEG,4340.0,4340.0,651.0,4340.0,30
CDM,503561,CMPNT KN TIB SZ6 12MM,4252.0,4252.0,637.8,4252.0,30
CDM,503563,INSERT TIB KN SZ4 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,503566,STEM FEM HIP 12X150MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503567,PLATE BN 20HL2.3X158MM,5378.0,5378.0,806.7,5378.0,30
CDM,503568,SCREW BN 11MM 2MM,1607.0,1607.0,241.05,1607.0,30
CDM,503569,WEDGE KN LLRM LT 5-6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,503570,WEDGE TIB KN SZ5-6 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,503571,CAGE SPNL 26DX9WX7H 0DG,8858.0,8858.0,1328.7,8858.0,30
CDM,503572,FIBERS DBM 10CC,4429.0,4429.0,664.35,4429.0,30
CDM,503573,CMPNT KN TIB SZ9 14MM,4252.0,4252.0,637.8,4252.0,30
CDM,503574,HEAD FEM 32MM HIP OPTN,4429.0,4429.0,664.35,4429.0,30
CDM,503575,HEAD FEM HIP +4MM 32MM,1170.0,1170.0,175.5,1170.0,30
CDM,503576,INSERT TIB KN SZD 23MM,7858.0,7858.0,1178.7,7858.0,30
CDM,503578,STEM FEM HIP 190MM,18523.0,18523.0,2778.45,18523.0,30
CDM,503579,SCREW BN CRNFCL 1.5X4MM,933.0,933.0,139.95,933.0,30
CDM,503580,WEDGE TIB RT 15 LGN3-4,4606.0,4606.0,690.9,4606.0,30
CDM,503581,NAIL BN 10MM 345MM,4828.0,4828.0,724.2,4828.0,30
CDM,503582,SCREW BN 5MM 38MM,2738.0,2738.0,410.7,2738.0,30
CDM,503583,SCREW BN 5X48MM XL25,2738.0,2738.0,410.7,2738.0,30
CDM,503584,SCREW BN NAIL LCK 5X44MM,2738.0,2738.0,410.7,2738.0,30
CDM,503585,INTBDY SPN 10D39X30X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503586,STEM FEM HIP 6MM 97.5MM,7530.0,7530.0,1129.5,7530.0,30
CDM,503587,MASTERLOC LATERALIZED 10,8858.0,8858.0,1328.7,8858.0,30
CDM,503588,COMPONENT FEM 3 RM/LL,5980.0,5980.0,897.0,5980.0,30
CDM,503589,BASEPLATE TIBIA RT SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,503590,NAIL BN 11MM 380MM,6312.0,6312.0,946.8,6312.0,30
CDM,503591,STEM HUM SHLDR LT STD 0,22145.0,22145.0,3321.75,22145.0,30
CDM,503592,INSERT TIB KN SZ3 8MM,8309.0,8309.0,1246.35,8309.0,30
CDM,503593,COMP HUM RT EXTENSION,9842.0,9842.0,1476.3,9842.0,30
CDM,503594,TRAY HUM AUG LAT RT +0D,22145.0,22145.0,3321.75,22145.0,30
CDM,503596,INSERT TIB KN 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,503597,SLEEVE CNTRNG +7MM 12/14,1170.0,1170.0,175.5,1170.0,30
CDM,503598,PLATE BN JL STERNUM,3721.0,3721.0,558.15,3721.0,30
CDM,503599,SCREW LOCKING 2.3X14MM,1007.0,1007.0,151.05,1007.0,30
CDM,503600,SCREW SD LCK 2.3X12MM,1007.0,1007.0,151.05,1007.0,30
CDM,503601,SCREW BN LCK 2.3X16MM,899.0,899.0,134.85,899.0,30
CDM,503602,CMPNT FEM KN LM/RL SZ3,5980.0,5980.0,897.0,5980.0,30
CDM,503603,INSERT KN SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,503604,SCREW BN 4.5MM .20MM,1196.0,1196.0,179.4,1196.0,30
CDM,503605,STEM HUM SHLDR 32/14 135,11959.0,11959.0,1793.85,11959.0,30
CDM,503606,CUP HUM SHLDR 145D SZ+3,4606.0,4606.0,690.9,4606.0,30
CDM,503607,COMP GLND BETA LARGE,7308.0,7308.0,1096.2,7308.0,30
CDM,503608,CMPNT TIB ALPLY SZ7 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,503609,PLATE BN 8HL 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,503610,KIT PLATE BN ANK FX,4429.0,4429.0,664.35,4429.0,30
CDM,503612,CMPNT TIB SZ5 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,503613,IMPLANT KN TIB 8MM SZ6,4651.0,4651.0,697.65,4651.0,30
CDM,503614,SCREW SPN 3.5MM 120MM,3012.0,3012.0,451.8,3012.0,30
CDM,503615,SCREW SPN 3.5MM 34MM,3012.0,3012.0,451.8,3012.0,30
CDM,503616,SCREW SPN 4MM 34MM,3389.0,3389.0,508.35,3389.0,30
CDM,503617,INSERT ACTB HIP 54/28MM,4429.0,4429.0,664.35,4429.0,30
CDM,503618,SCREW BN 5MM 42MM,3098.0,3098.0,464.7,3098.0,30
CDM,503619,SCREW BN 5.0MM 75MM,2647.0,2647.0,397.05,2647.0,30
CDM,503620,SCREW BN S/TP 5MM 70MM,2393.0,2393.0,358.95,2393.0,30
CDM,503621,SCREW BN 5.0MM 60MM,2393.0,2393.0,358.95,2393.0,30
CDM,503622,SCREW BN 5.0MM 42MM,2393.0,2393.0,358.95,2393.0,30
CDM,503623,SCREW BN 5.0MM 40MM,2393.0,2393.0,358.95,2393.0,30
CDM,503624,SCREW BN 5.0MM 34MM,2647.0,2647.0,397.05,2647.0,30
CDM,503625,TAPE SUT 2.2MM 48MM 40IN,1023.5,1023.5,153.53,1023.5,42
CDM,503626,GUIDE AUG RMR BSH SURG,773.0,773.0,115.95,773.0,42
CDM,503627,REAMER ORTH INST DISP,773.0,773.0,115.95,773.0,42
CDM,503628,STEM HUM SHLDR 13X150MM,20595.0,20595.0,3089.25,20595.0,30
CDM,503629,DRILL SURG STP 2.7MM DIS,1064.5,1064.5,159.68,1064.5,42
CDM,503630,CAGE SPN 12D 36X24X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,503631,SCREW SPN 5.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,503632,SCREW SPN 5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,503633,SCREW SPN PAX 5.5X6X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,503634,ROD SPN 150MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,503635,KIT SPLINT DNTL SURG,8257.5,8257.5,1238.63,8257.5,42
CDM,503636,IMPL KN TIB SZ6 10MM,4651.0,4651.0,697.65,4651.0,30
CDM,503637,PLATE SPN ANT 4HL 10MM,9213.0,9213.0,1381.95,9213.0,30
CDM,503638,SCREW SPN 6MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,503639,INTERBODY 10D 39X30X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503640,SPACER SPNL 25X16X6MMD,13287.0,13287.0,1993.05,13287.0,30
CDM,503641,SUTURE WT/BLK 1.8MM 40IN,1013.5,1013.5,152.03,1013.5,42
CDM,503642,SCREW BUTTRESS 25MMX5MM,1130.0,1130.0,169.5,1130.0,30
CDM,503643,BASEPLATE KN TIB SZ9,5639.0,5639.0,845.85,5639.0,30
CDM,503644,SLEEVE FEM 40MM,9072.0,9072.0,1360.8,9072.0,30
CDM,503646,COMPNT FEM KN SZ4,14173.0,14173.0,2125.95,14173.0,30
CDM,503647,INSERT TIB KN SZ4 12MM,5603.0,5603.0,840.45,5603.0,30
CDM,503648,MODEL ANTM MXL ACRYL ABL,11011.0,11011.0,1651.65,11011.0,42
CDM,503649,MODEL ANTM MXL ORBIT CLR,11552.0,11552.0,1732.8,11552.0,42
CDM,503650,TEMPLATE CUSTOM MADE,16630.0,16630.0,2494.5,16630.0,42
CDM,503651,PLATE MDFC 3D SMALL,45707.0,45707.0,6856.05,45707.0,30
CDM,503652,SIZER BREAST 355CC,1801.0,1801.0,270.15,1801.0,42
CDM,503653,SIZER BREAST 385CC,1801.0,1801.0,270.15,1801.0,42
CDM,503654,SIZER BREAST 350CC,1801.0,1801.0,270.15,1801.0,42
CDM,503655,IMPLANT BREAST 320CC,4429.0,4429.0,664.35,4429.0,30
CDM,503656,SIZER BREAST 320CC,1801.0,1801.0,270.15,1801.0,42
CDM,503657,SIZER BREAST 300CC,1801.0,1801.0,270.15,1801.0,42
CDM,503658,SIZER BREAST 285CC,1801.0,1801.0,270.15,1801.0,42
CDM,503659,SCREW #1 P-AX 4.0MM-16MM,3389.0,3389.0,508.35,3389.0,30
CDM,503660,INSERT TIB KN RT SZ5 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,503661,SCREW BN 4MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,503662,SCREW CMPRSN 4.0X50MM,3189.0,3189.0,478.35,3189.0,30
CDM,503663,SCREW BN TI 44MM 4MM,3189.0,3189.0,478.35,3189.0,30
CDM,503664,LINER ACTB PNCL ESC +4MM,6644.0,6644.0,996.6,6644.0,30
CDM,503665,CAGE SPNL 9X27X10MM,15059.0,15059.0,2258.85,15059.0,30
CDM,503666,CMPNT FEM KN RT SZ3,7087.0,7087.0,1063.05,7087.0,30
CDM,503667,INSERT TIB KN SZ1-2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,503668,STEM FEM KN 13MM 190MM,16063.0,16063.0,2409.45,16063.0,30
CDM,503669,SCREW BN CANN STR 0D SM,4429.0,4429.0,664.35,4429.0,30
CDM,503670,NAIL BN 200MM,5789.0,5789.0,868.35,5789.0,30
CDM,503671,PLATE BN FEM LFT 14HL,7716.0,7716.0,1157.4,7716.0,30
CDM,503672,SCREW BN 5MM 12MM,1993.0,1993.0,298.95,1993.0,30
CDM,503673,SCREW BN 4.0MM 68MM,2663.0,2663.0,399.45,2663.0,30
CDM,503675,INSERT TIB KN SZ5 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,503676,BASEPLATE GLND +3MM 24MM,9301.0,9301.0,1395.15,9301.0,30
CDM,503677,SCREW BN 4.5MM 30MM,1196.0,1196.0,179.4,1196.0,30
CDM,503678,STEM HUM SHLDR 32/16 135,11959.0,11959.0,1793.85,11959.0,30
CDM,503679,SPACER SPN 7D 26X20X16MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503680,SCREW BN SPN 4MM 42MM,3389.0,3389.0,508.35,3389.0,30
CDM,503681,BIT DRL 3.0 CANN,386.5,386.5,57.98,386.5,42
CDM,503684,INSERT TIB KN SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,503685,PLATE BOX STERNAL,3189.0,3189.0,478.35,3189.0,30
CDM,503686,PLATE BN STERNAL X,3222.0,3222.0,483.3,3222.0,30
CDM,503687,SCREW BN LCK 2.3X18MM,899.0,899.0,134.85,899.0,30
CDM,503688,SCREW BN MINI 24MM,3189.0,3189.0,478.35,3189.0,30
CDM,503689,INSERT TIB KN R SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,503690,CMPNT GLN POST SZ8,10298.0,10298.0,1544.7,10298.0,30
CDM,503691,CAGE SPN 35X27X12MM,17606.0,17606.0,2640.9,17606.0,30
CDM,503692,PLATE BN LCKNG CRV 8HL,4340.0,4340.0,651.0,4340.0,30
CDM,503694,SCREW SPN 3.5MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,503695,SCREW BN SPN 6.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,503699,SCREW SPN 4.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,503700,SYSTM AC REPAIR KNTLS,8753.5,8753.5,1313.03,8753.5,42
CDM,503701,CABLE SPN SS CUTT NDL,3093.0,3093.0,463.95,3093.0,30
CDM,503702,KIT ACC LEAD,2554.0,2554.0,383.1,2554.0,42
CDM,503703,BOLT BN FEM NK SYS 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,503704,SCREW BN FEM STRL 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,503705,NAIL BN 13MMX280MM,4872.0,4872.0,730.8,4872.0,30
CDM,503706,CAGE SPN 10D 9X27MM,15059.0,15059.0,2258.85,15059.0,30
CDM,503708,CAGE SPN 9MM 27MM,15059.0,15059.0,2258.85,15059.0,30
CDM,503709,SCREW SPN POLY 3.5X12MM,3389.0,3389.0,508.35,3389.0,30
CDM,503710,SCREW SPN 3.5MM 18MM,3389.0,3389.0,508.35,3389.0,30
CDM,503711,SCREW SPN POLY 4.0X14MM,3389.0,3389.0,508.35,3389.0,30
CDM,503712,SCREW SPN 4.0MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,503713,SCREW SPN 5.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,503714,SCREW SPN 5.5X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,503715,SCREW SPNL 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,503716,ROD SPN CNTRD 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,503717,SCREW SPN POLY 4X12MM,3389.0,3389.0,508.35,3389.0,30
CDM,503718,BIT DRILL 3.5MM,773.0,773.0,115.95,773.0,42
CDM,503719,EXPNDR BREAST 480-575CC,5094.0,5094.0,764.1,5094.0,30
CDM,503720,PLATE BN 2HL 4X1.5MM,1512.0,1512.0,226.8,1512.0,30
CDM,503722,CAGE SPN 6D 12X14X27MM,50934.0,50934.0,7640.1,50934.0,30
CDM,503723,INSERT TIB KN SZ2 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,503724,SURFACE ARTC KN LT 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,503725,DISC INTVRT 5X14X15MM,18602.0,18602.0,2790.3,18602.0,30
CDM,503726,INSERT TIB KN 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,503727,CAGE SPN 6D 12X15X10MM,8416.0,8416.0,1262.4,8416.0,30
CDM,503728,CAGE SPN 6D 15X12X9MM,8416.0,8416.0,1262.4,8416.0,30
CDM,503730,ROD SPN TI 4.0X085MM,2711.0,2711.0,406.65,2711.0,30
CDM,503731,SCREW SPN 3.5MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,503732,IMPLANT SPN 5.5/6MM,3012.0,3012.0,451.8,3012.0,30
CDM,503733,ROD SPN STRT 3.5X200MM,2711.0,2711.0,406.65,2711.0,30
CDM,503734,STNT BIL 12X20MM 120CM,3823.0,3823.0,573.45,3823.0,30
CDM,503735,STENT EPRSTH 9X13X59MM,10997.0,10997.0,1649.55,10997.0,30
CDM,503736,SHEATH CATH 8.5FR 55CM,3356.0,3356.0,503.4,3356.0,42
CDM,503737,SCREW BN 4X24MM,3189.0,3189.0,478.35,3189.0,30
CDM,503738,SCREW BN CANN 6.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,503739,SCREW BN 4MM 28MM,1993.0,1993.0,298.95,1993.0,30
CDM,503740,PLATE BN ANT CP RT,11542.0,11542.0,1731.3,11542.0,30
CDM,503741,SCREW BN 6.5X55MM,3189.0,3189.0,478.35,3189.0,30
CDM,503742,WASHER BN SCRW 6.5/8.0MM,1308.0,1308.0,196.2,1308.0,30
CDM,503743,SCREW BN CANN 6.5MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,503744,SPACER SPN 25X16X8MM,13287.0,13287.0,1993.05,13287.0,30
CDM,503745,LINER ORT DUAL 50X64MM,4606.0,4606.0,690.9,4606.0,30
CDM,503746,INSERT ORT XLPE 28X50MM,4429.0,4429.0,664.35,4429.0,30
CDM,503747,INSERT KN TIB SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,503748,INSERT TIB TS KN 7 16MM,6737.0,6737.0,1010.55,6737.0,30
CDM,503749,CAGE SPNL LONG 9MM,23031.0,23031.0,3454.65,23031.0,30
CDM,503751,SCREW BN 4MM 26MM 9MM,2344.0,2344.0,351.6,2344.0,30
CDM,503752,SCREW BN SPN 8.5MM 100MM,3389.0,3389.0,508.35,3389.0,30
CDM,503753,STEM FEM HIP 118MM,8416.0,8416.0,1262.4,8416.0,30
CDM,503754,STEM FEM TI ALLY 315X13,15998.0,15998.0,2399.7,15998.0,30
CDM,503755,INSERT TIB KN LT SZ8 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,503756,ROD SPN 4MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,503757,COMPNT FEM KN RT SZ4,6764.0,6764.0,1014.6,6764.0,30
CDM,503758,INSERT TIB KN R SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,503759,PASSER SUTURE STR,1146.0,1146.0,171.9,1146.0,42
CDM,503760,CANNULA ARTHSCP 3CM 12MM,773.0,773.0,115.95,773.0,42
CDM,503761,SPACER SPN 28X22X18MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503762,STEM HUM SHLDR 135MM,11959.0,11959.0,1793.85,11959.0,30
CDM,503763,PLATE MXLFCL 16HL 1.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,503764,PLATE BN LCK 13HL 245MM,5687.0,5687.0,853.05,5687.0,30
CDM,503765,SCREW BN 5MM 26MM,1993.0,1993.0,298.95,1993.0,30
CDM,503766,SCREW BN 4.5MM 24MM,670.0,670.0,100.5,670.0,30
CDM,503767,SCREW BN 4.5MM 32M,670.0,670.0,100.5,670.0,30
CDM,503768,SCREW BN 5MM 8MM,1993.0,1993.0,298.95,1993.0,30
CDM,503769,SCREW BN 5MM 10MM,1993.0,1993.0,298.95,1993.0,30
CDM,503770,CONE FEM HIP SZB 70MM,16725.0,16725.0,2508.75,16725.0,30
CDM,503772,PLATE BN ANT LAT 8HL,4185.0,4185.0,627.75,4185.0,30
CDM,503773,PLATE BN THRD 1.6X65MM,319.0,319.0,47.85,319.0,30
CDM,503774,INTERBODY 10D 39X30X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503775,GRAFIX STRAVIX PL 1SQCM,2166.0,2166.0,324.9,2166.0,29
CDM,503776,INSERT GMK SFX 3 10MM LT,4429.0,4429.0,664.35,4429.0,30
CDM,503778,HOLDER PIN SWORD PACK L3,773.0,773.0,115.95,773.0,42
CDM,503779,INSERT TIB 4 17MM LT FX,4429.0,4429.0,664.35,4429.0,30
CDM,503781,BLCK CUT SZ3 LT MED DST,1023.5,1023.5,153.53,1023.5,42
CDM,503782,BLOCK TIB CUT LT SZ 4,1023.5,1023.5,153.53,1023.5,42
CDM,503785,INSERT TIB KN L SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,503786,SCREW SPN 3.5MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,503787,LINER HUM 36MM +2.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,503788,DRILL BIT FLAT 1.2X5.5MM,386.5,386.5,57.98,386.5,42
CDM,503789,DRILL BIT FLAT 1.3X7.0MM,386.5,386.5,57.98,386.5,42
CDM,503790,SCREW SPN 2MM 5MM,753.0,753.0,112.95,753.0,30
CDM,503791,SCEW BN 2.0MM 7MM,753.0,753.0,112.95,753.0,30
CDM,503792,SCREW SPN 2.4MM 5MM,753.0,753.0,112.95,753.0,30
CDM,503793,PLATE SPN CERV 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
CDM,503794,SCREW SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,503795,CONN SPN HD MOD 5.5-6.35,3238.0,3238.0,485.7,3238.0,30
CDM,503796,SCREW SPN 3.5MM 18MM,3389.0,3389.0,508.35,3389.0,30
CDM,503797,SCREW SPN 5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,503798,SCREW SPN 5.0MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,503799,SURFACE ARTC KN 6-9 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,503800,SCREW SPN 5.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,503801,SCREW SPN CREO 8.5X60MM,3012.0,3012.0,451.8,3012.0,30
CDM,503802,SCREW SPN CREO 7.5X60MM,3012.0,3012.0,451.8,3012.0,30
CDM,503803,SCREW SPN FEN 7.5X60MM,3012.0,3012.0,451.8,3012.0,30
CDM,503804,SCREW SPN 10.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,503805,SCREW BN 9.5MM 50MM CREO,3012.0,3012.0,451.8,3012.0,30
CDM,503806,ROD SPN 5.5X500MM,2711.0,2711.0,406.65,2711.0,30
CDM,503807,CMPNT TIB SZ5 5MM LAT,4429.0,4429.0,664.35,4429.0,30
CDM,503808,CMPNT TIB SZ5 5MM MDL,4429.0,4429.0,664.35,4429.0,30
CDM,503809,SCREW BUTTRESS 5.5X30MM,1130.0,1130.0,169.5,1130.0,30
CDM,503810,SCREW SPN 5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,503811,NAIL FEM LT 14.5MM 38CM,5311.0,5311.0,796.65,5311.0,30
CDM,503812,BIT DRILL STRL 6.4MM,1023.5,1023.5,153.53,1023.5,42
CDM,503813,SCREW ST SPNL LOCK CAP,753.0,753.0,112.95,753.0,30
CDM,503814,INTERBODY 3HL 10MM,2711.0,2711.0,406.65,2711.0,30
CDM,503815,INSERT TIB KN SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,503816,STEM HUM SHLDR SZ3,11959.0,11959.0,1793.85,11959.0,30
CDM,503817,INSERT SHLDR SZ3/4 36MM,6201.0,6201.0,930.15,6201.0,30
CDM,503818,SPACER HUM SHLDR SZ3/4,4917.0,4917.0,737.55,4917.0,30
CDM,503819,GUIDE PIN 3.0X100MM,1187.0,1187.0,178.05,1187.0,42
CDM,503820,SPHRE GLND SHLDR 33MM,7973.0,7973.0,1195.95,7973.0,30
CDM,503821,STEM HUM SHLDR SZ1,11959.0,11959.0,1793.85,11959.0,30
CDM,503822,INSERT SHLDR SZ1/2 33MM,6201.0,6201.0,930.15,6201.0,30
CDM,503823,SHELL ACETABULAR DM 048,4606.0,4606.0,690.9,4606.0,30
CDM,503824,STEM LAT FEM 5 MECTAGRIP,8858.0,8858.0,1328.7,8858.0,30
CDM,503826,CMPNT TIB SZ2 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,503827,INSTRUMENT FOR IMPLANT,5090.5,5090.5,763.58,5090.5,42
CDM,503829,PLATE SPN 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,503830,SCREW SPN S/D 4X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,503831,STEM FEM HIP 126D SZ2,7995.0,7995.0,1199.25,7995.0,30
CDM,503832,CAGE SPN PLIF 8.5X13MM,15059.0,15059.0,2258.85,15059.0,30
CDM,503833,SCREW BN FNSTR 4.5X30MM,3012.0,3012.0,451.8,3012.0,30
CDM,503834,ROD SPN CREO STR 90X5.5,2711.0,2711.0,406.65,2711.0,30
CDM,503835,PLT RECON 2.781 10HL,3528.0,3528.0,529.2,3528.0,30
CDM,503836,SCREW BN 2.7MM 32MM,614.0,614.0,92.1,614.0,30
CDM,503837,SCREW BN 2.7X4.5X34MM,581.0,581.0,87.15,581.0,30
CDM,503838,INSERT TIB KN RT SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,503839,CAGE GLN M 8 POST,10298.0,10298.0,1544.7,10298.0,30
CDM,503840,INTERBODY 10D 35X27X12,8858.0,8858.0,1328.7,8858.0,30
CDM,503841,STEM FEM HIP 12/14 SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,503842,SCREW SPN 4MM 15MM,1130.0,1130.0,169.5,1130.0,30
CDM,503844,CRIMP STRNL SS CBL IMPL,399.0,399.0,59.85,399.0,30
CDM,503845,KNIFE HNDPC APEX 11CM,4625.0,4625.0,693.75,4625.0,42
CDM,503846,STEM FEM KN 11MM +30MM,6418.0,6418.0,962.7,6418.0,30
CDM,503847,COMP TIB KN SZA,10165.0,10165.0,1524.75,10165.0,30
CDM,503848,IMPLANT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,503849,WEDGE KN 5MM SZCD,4606.0,4606.0,690.9,4606.0,30
CDM,503850,WEDGE FEM KN SZCD 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,503851,SURF ARTC KN 20MM 3-5 CD,4606.0,4606.0,690.9,4606.0,30
CDM,503852,PLATE 150MM TI 2MM CBL S,3721.0,3721.0,558.15,3721.0,30
CDM,503853,LINER HIP GRP 4 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,503854,STEM FEM HIP 175MM 17MM,8416.0,8416.0,1262.4,8416.0,30
CDM,503855,COMPONENT FEM LT KN 11,6644.0,6644.0,996.6,6644.0,30
CDM,503856,COMPNT FEM KN RT SZ11,7087.0,7087.0,1063.05,7087.0,30
CDM,503857,SPACER SPN 24X30X11MM,19200.0,19200.0,2880.0,19200.0,30
CDM,503858,GRAFT STNT 34MM 150MM,59046.0,59046.0,8856.9,59046.0,30
CDM,503859,INSERT TIB KN LT3-4 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,503860,SCREW BN 30MM,3721.0,3721.0,558.15,3721.0,30
CDM,503861,SCREW BN 5.5MM 36MM,1595.0,1595.0,239.25,1595.0,30
CDM,503862,CUP HUM SHLDR LT 33MM +2,7906.0,7906.0,1185.9,7906.0,30
CDM,503863,LINER HUM SHLDR 33+3MM,4606.0,4606.0,690.9,4606.0,30
CDM,503864,BIT DRILL 3MM,1637.0,1637.0,245.55,1637.0,42
CDM,503865,PIN INSTR KIT 2.8MM,2455.5,2455.5,368.32,2455.5,42
CDM,503866,PLATE BN STRNL L CSTM,3189.0,3189.0,478.35,3189.0,30
CDM,503867,SPACER HUM SHLDR 33 +6MM,4252.0,4252.0,637.8,4252.0,30
CDM,503868,STEM HUM SHLDR 5MM,8637.0,8637.0,1295.55,8637.0,30
CDM,503872,SCREW BN 2.3X5MM,1255.0,1255.0,188.25,1255.0,30
CDM,503873,SPACER SPN 0D 9X23X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503874,CMPNT CAGE GLEN MED,7751.0,7751.0,1162.65,7751.0,30
CDM,503875,DRILL BIT NANOTACK 1.3MM,1301.5,1301.5,195.22,1301.5,42
CDM,503876,ANCHOR SUT KNTLS 4.75MM,3593.0,3593.0,538.95,3593.0,30
CDM,503877,STEM FEM HIP 190MM,18523.0,18523.0,2778.45,18523.0,30
CDM,503878,INSERT TIB KN RT SZ8 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,503879,CMPNT FEM KN SZ4,6688.0,6688.0,1003.2,6688.0,30
CDM,503880,CMPNT TIB ALPLY SZ2 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,503881,SLEEVE TIB KN PRCT 69MM,10241.0,10241.0,1536.15,10241.0,30
CDM,503882,LINER ACTB R3 0D 4MM 62M,4429.0,4429.0,664.35,4429.0,30
CDM,503883,LINER ACTB B 28/48-50MM,6644.0,6644.0,996.6,6644.0,30
CDM,503884,INSERT TIB KN SZ7 16MM,6737.0,6737.0,1010.55,6737.0,30
CDM,503885,SCREW CREO FEN 4.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,503886,SCREW SPN FEN 4.5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,503887,SCREW FEN MOD 5X50MM,3012.0,3012.0,451.8,3012.0,30
CDM,503888,SCREW SPN 8.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
CDM,503889,ROD SPN 5.5MM 450MM,2711.0,2711.0,406.65,2711.0,30
CDM,503890,ROD SPN 5.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,503891,ROD REAMING 3X950MM,918.0,918.0,137.7,918.0,42
CDM,503893,ANCHOR KNTLS 4.75MM,3721.0,3721.0,558.15,3721.0,30
CDM,503894,HEAD REV SHLDR 36MM,10630.0,10630.0,1594.5,10630.0,30
CDM,503895,PLATE SPN SZ8 22X27.5MM,11073.0,11073.0,1660.95,11073.0,30
CDM,503896,CAGE ALIF 8D 24X32X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,503897,KIT MNDB RECON MODL/GD,11673.5,11673.5,1751.03,11673.5,42
CDM,503899,PLATE BN MDFC MNDB MED,34552.0,34552.0,5182.8,34552.0,30
CDM,503900,CMPNT TIB SZ5 17MM,4872.0,4872.0,730.8,4872.0,30
CDM,503901,IMPLANT FEM 5 RT CMNT PS,6644.0,6644.0,996.6,6644.0,30
CDM,503903,ENDCAP SPN 5D 17MM,3012.0,3012.0,451.8,3012.0,30
CDM,503904,SCREW BN 2MM 18MM,1017.0,1017.0,152.55,1017.0,30
CDM,503905,DRILL PIN OPN EYE 4MM,1023.5,1023.5,153.53,1023.5,42
CDM,503908,SPACER SHLDR HUM 33 +9MM,4252.0,4252.0,637.8,4252.0,30
CDM,503909,CUP HUM REV SHLDR 33MM,4651.0,4651.0,697.65,4651.0,30
CDM,503910,INSRT TIB KN SZ6-7 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,503911,PLATE SPN 4LVL 72MM,4429.0,4429.0,664.35,4429.0,30
CDM,503912,SCREW BN SPN 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,503913,INSERT TIB KN SZ6-7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,503914,PLATE SPN ANT 2HL 12MM,9877.0,9877.0,1481.55,9877.0,30
CDM,503915,SCREW SPN VARI 5.5X30MM,1130.0,1130.0,169.5,1130.0,30
CDM,503916,STEM TIB KN 16.5X150MM,5705.0,5705.0,855.75,5705.0,30
CDM,503917,SCREW BN 7MM 60MM,3975.0,3975.0,596.25,3975.0,30
CDM,503918,SCREW BN COMP 7X50MM,3975.0,3975.0,596.25,3975.0,30
CDM,503919,IMPLANT FIX 5X15MM,4429.0,4429.0,664.35,4429.0,30
CDM,503920,KIT SIZING SYSTEM,1637.0,1637.0,245.55,1637.0,42
CDM,503922,SUTURE WHT/BLUE SZ2,742.0,742.0,111.3,742.0,42
CDM,503923,CAGE SPNL 36X11MM 8D,8858.0,8858.0,1328.7,8858.0,30
CDM,503924,SCREW SPN 4.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,503925,ROD SPNL STR 4.0MM 200MM,2711.0,2711.0,406.65,2711.0,30
CDM,503926,CAGE SPNL LONG 7MM,23031.0,23031.0,3454.65,23031.0,30
CDM,503927,CAGE SPN SHORT 9MM,23031.0,23031.0,3454.65,23031.0,30
CDM,503928,SCREW SPN 5.5MM 34MM,3389.0,3389.0,508.35,3389.0,30
CDM,503929,ROD SPN STR 4X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,503930,SCREW SPNL 3.5MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,503931,BLOCK AUG KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,503932,WEDGE FEM KN SZ7 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,503933,INSERT TIB KN 16MM,9966.0,9966.0,1494.9,9966.0,30
CDM,503934,INSRT ARTC KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,503935,INSERT TIB KN 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,503936,PLATE BN LCK 39HL 2MM,6864.0,6864.0,1029.6,6864.0,30
CDM,503937,NAIL BN FEM LT 11X360MM,8982.0,8982.0,1347.3,8982.0,30
CDM,503938,SCREW BN 6.5MM 85MM,2204.0,2204.0,330.6,2204.0,30
CDM,503939,SCREW BN 6.5MM 80MM,2272.0,2272.0,340.8,2272.0,30
CDM,503940,SCREW BN 6.5MM 75MM,2272.0,2272.0,340.8,2272.0,30
CDM,503942,SCREW BN NAIL LCK 5X30MM,2656.0,2656.0,398.4,2656.0,30
CDM,503943,SCREW BN LCK IM NAIL 5MM,2656.0,2656.0,398.4,2656.0,30
CDM,503944,SCREW BN XL25 5X34MM,2656.0,2656.0,398.4,2656.0,30
CDM,503945,SPACER SPN 8D 11X24X30MM,19200.0,19200.0,2880.0,19200.0,30
CDM,503946,NAIL FEM BN RT 12X235MM,4762.0,4762.0,714.3,4762.0,30
CDM,503947,IMPLANT KN TIB SZ3 6M,4651.0,4651.0,697.65,4651.0,30
CDM,503948,BASEPLT W/SCR SHLDR 024M,7973.0,7973.0,1195.95,7973.0,30
CDM,503949,BLADE BVL 20K CPM 27+,4094.0,4094.0,614.1,4094.0,42
CDM,503950,LENS IOL +9.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,503951,SPLINT NSL BRTH-EZ,1023.5,1023.5,153.53,1023.5,42
CDM,503952,LENS IOL +17.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,503953,LENS IOL +21.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,503954,TUBE VENT EAR 1.27MM,103.0,103.0,15.45,103.0,30
CDM,503955,IMPLANT BREAST 125CC,4850.0,4850.0,727.5,4850.0,30
CDM,503958,IMPLANT BREAST 210CC,5758.0,5758.0,863.7,5758.0,30
CDM,503959,IMPLANT BREAST 235CC,5758.0,5758.0,863.7,5758.0,30
CDM,503960,IMPLANT BREAST 265CC,5758.0,5758.0,863.7,5758.0,30
CDM,503961,IMPLANT BREAST 290CC,5758.0,5758.0,863.7,5758.0,30
CDM,503962,IMPLANT BREAST 320CC,5758.0,5758.0,863.7,5758.0,30
CDM,503963,IMPLANT BREAST 340CC,5758.0,5758.0,863.7,5758.0,30
CDM,503964,IMPLANT BREAST 390CC,5537.0,5537.0,830.55,5537.0,30
CDM,503965,IMPLANT BREAST 430CC,5758.0,5758.0,863.7,5758.0,30
CDM,503966,IMPLANT BREAST 450CC,5758.0,5758.0,863.7,5758.0,30
CDM,503967,IMPLANT BREAST 480CC,5758.0,5758.0,863.7,5758.0,30
CDM,503968,IMPLANT BREAST 530CC,5537.0,5537.0,830.55,5537.0,30
CDM,503969,IMPLANT BREAST 545CC,5758.0,5758.0,863.7,5758.0,30
CDM,503970,LENS IOL +7.5 DIOP,722.0,722.0,132.92,722.0,28
CDM,503973,STENT DUODENAL 22X120MM,10885.0,10885.0,1632.75,10885.0,30
CDM,503974,KIT FLD TRNSF ASEP 48X60,406.0,406.0,60.9,406.0,42
CDM,503976,IMPLANT BREAST 600CC,4429.0,4429.0,664.35,4429.0,30
CDM,503977,IMPLANT BREAST 350CC,4429.0,4429.0,664.35,4429.0,30
CDM,503978,LENS IOL +10.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,503979,BLADE SURG OSTME 48MM,4385.5,4385.5,657.83,4385.5,42
CDM,503980,BLADE SURG OSTME 50MM,4385.5,4385.5,657.83,4385.5,42
CDM,503981,BLADE SURG OSTME 56MM,4385.5,4385.5,657.83,4385.5,42
CDM,503983,SLEEVE CNTRNG FEM +0MM,4252.0,4252.0,637.8,4252.0,30
CDM,503985,BLADE SURG OSTME 54MM,4385.5,4385.5,657.83,4385.5,42
CDM,503986,BLADE SURG OSTME 54MM,4385.5,4385.5,657.83,4385.5,42
CDM,503987,KIT CATH CLS SYS FEM 8FR,71.0,71.0,10.65,71.0,42
CDM,503991,K-WIRE TIP 3.2MM 150MM,839.5,839.5,125.92,839.5,42
CDM,503992,BLADE SURG STR 33MM,352.5,352.5,52.88,352.5,42
CDM,503993,STENT COR 5X15MM,1827.0,1827.0,274.05,1827.0,30
CDM,503994,STENT COR 4.5X18MM,1827.0,1827.0,274.05,1827.0,30
CDM,503995,STENT COR 5X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,503996,STENT COR 5X12MM,695.0,695.0,104.25,695.0,30
CDM,503997,STENT COR 4.5X33MM,1827.0,1827.0,274.05,1827.0,30
CDM,503998,STENT COR 4.5X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,503999,STENT COR 5X23MM,1827.0,1827.0,274.05,1827.0,30
CDM,504000,STENT COR 4.5X23MM,621.0,621.0,93.15,621.0,30
CDM,504001,STENT COR 5X18MM,1827.0,1827.0,274.05,1827.0,30
CDM,504002,STENT COR 4.5X15MM,1827.0,1827.0,274.05,1827.0,30
CDM,504004,STENT COR 5X33MM,3846.0,3846.0,576.9,3846.0,30
CDM,504005,STENT COR 4.5X12MM,621.0,621.0,93.15,621.0,30
CDM,504006,KIT CATH ENDO 180DEGREE,7971.0,7971.0,1195.65,7971.0,42
CDM,504009,PATCH CV 7CM 10CM,3846.0,3846.0,576.9,3846.0,30
CDM,504010,TRIFLNG ACTB RT HIP SZ28,53148.0,53148.0,7972.2,53148.0,30
CDM,504011,TIP SURG ULTRSNC 12CM,4540.5,4540.5,681.08,4540.5,42
CDM,504012,TRAY CATH 14FR,231.5,231.5,34.73,231.5,42
CDM,504013,COLORANT SWALLOW STUDIES,1023.5,1023.5,153.53,1023.5,42
CDM,504015,TIP IMPLANT INSERTER 7MM,1080.5,1080.5,162.07,1080.5,42
CDM,504016,SCREW SPN RTNR 3.5X12MM,1251.5,1251.5,187.72,1251.5,42
CDM,504017,SCREW RTNR TEMP 3.5X14MM,1251.5,1251.5,187.72,1251.5,42
CDM,504018,SCREW SPN RTNR 3.5X16MM,1563.5,1563.5,234.53,1563.5,42
CDM,504019,CATH BLNDIL 1.5MM 8MM,773.0,773.0,115.95,773.0,42
CDM,504020,TUBE TRACH IC 6.5MM,690.0,690.0,103.5,690.0,42
CDM,504022,CATH BLNDIL 2.25MM 8MM,773.0,773.0,115.95,773.0,42
CDM,504023,CATH BLNDIL 3.25MM 12MM,773.0,773.0,115.95,773.0,42
CDM,504024,CATH BLNDIL 2.25MM 15MM,773.0,773.0,115.95,773.0,42
CDM,504025,CATH BLNDIL 3.75MM 15MM,773.0,773.0,115.95,773.0,42
CDM,504027,CATH BLNDIL 1.2MM 8MM,1023.5,1023.5,153.53,1023.5,42
CDM,504028,CATH BLNDIL 1.2MM 12MM,773.0,773.0,115.95,773.0,42
CDM,504030,CATH BLNDIL 1.2MM 8MM,773.0,773.0,115.95,773.0,42
CDM,504031,CATH BLNDIL 1.2MM 15MM,773.0,773.0,115.95,773.0,42
CDM,504033,BLADE SRG OSC 3.4MM 13CM,1720.5,1720.5,258.07,1720.5,42
CDM,504034,CANNULA PRFSN 14FR 18MM,951.5,951.5,142.72,951.5,42
CDM,504035,CANNULA PRFSN 12FR 18MM,951.5,951.5,142.72,951.5,42
CDM,504037,TUBING IRR CASS DISP,723.5,723.5,108.53,723.5,42
CDM,504038,TUBING IRR CASS DISP,736.0,736.0,110.4,736.0,42
CDM,504042,SUTURE GRN BRD 2-0 36IN,149.5,149.5,22.43,149.5,42
CDM,504043,SUTURE WHT BRD 2-0 36IN,149.5,149.5,22.43,149.5,42
CDM,504044,CATH VASC ACCESS KIT,1228.0,1228.0,184.2,1228.0,42
CDM,504045,INTEGRA MESHED 1SQCM,1615.0,1615.0,242.25,1615.0,29
CDM,504046,ELECTRODE BLDE 90D 6IN,73.0,73.0,10.95,73.0,42
CDM,504047,CATH URET 5FR 70CM,188.0,188.0,28.2,188.0,42
CDM,504049,KIT CRNTMY CRNL ACC DRG,2652.0,2652.0,397.8,2652.0,42
CDM,504050,PUNCH AOR ROTATE 4.5MM,631.0,631.0,94.65,631.0,42
CDM,504051,CATH URET 4.8FR 8FR 70CM,256.5,256.5,38.48,256.5,42
CDM,504053,GRAFT BN RT MENISCS LATR,27961.0,27961.0,4194.15,27961.0,30
CDM,504054,STENT URET 8FR 28CM,3016.0,3016.0,452.4,3016.0,30
CDM,504055,CUP ACTB HIP RT 56MM,44069.0,44069.0,6610.35,44069.0,30
CDM,504056,COMPONENT FEM HIP LT SZ2,6201.0,6201.0,930.15,6201.0,30
CDM,504057,INSERT TIBIAL LEFT 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,504058,PIN REPOSITIONING 12MM,4093.0,4093.0,613.95,4093.0,42
CDM,504059,SCREW BN 1.7MM 3MM,1340.0,1340.0,201.0,1340.0,30
CDM,504060,SCREW BN 1.7MM 3MM,1194.0,1194.0,179.1,1194.0,30
CDM,504061,PLATE BN 4.5MM 301MM,8156.0,8156.0,1223.4,8156.0,30
CDM,504062,SCREW BN 5.0MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,504063,SCREW BN 5.0MM 20MM,2647.0,2647.0,397.05,2647.0,30
CDM,504064,SCREW BN 5.0MM 85MM,2393.0,2393.0,358.95,2393.0,30
CDM,504065,SCREW BN CRN 1.5X5MM,1233.0,1233.0,184.95,1233.0,30
CDM,504066,SCREW BN CRNFCL 1.8X5MM,1303.0,1303.0,195.45,1303.0,30
CDM,504067,CAGE SPNL 6D 5X12X15MM,8416.0,8416.0,1262.4,8416.0,30
CDM,504068,CONN LAT OFFST OPN S00 3,3012.0,3012.0,451.8,3012.0,30
CDM,504069,SCREW BN 1.5MM 6MM,625.0,625.0,93.75,625.0,30
CDM,504070,INSERT TIB KN RT 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,504071,PLATE CERV 2LVL 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,504072,INSERT TIB4 14MM KNEE LT,4429.0,4429.0,664.35,4429.0,30
CDM,504073,SCREW BN CRNL 2X8X12MM,1387.0,1387.0,208.05,1387.0,30
CDM,504074,PLATE LEFT PREBENT 6HL,3189.0,3189.0,478.35,3189.0,30
CDM,504075,SCREW BN CORT 4MM 44MM,352.0,352.0,52.8,352.0,30
CDM,504076,SCREW BN 3.5MM 55MM,319.0,319.0,47.85,319.0,30
CDM,504077,INSERT TIB KN SZ6-7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504078,INSERT ARTC KN 6-7 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,504079,INSERT KN 8-9/CD 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504080,WEDGE TIB KN SZ7-8 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,504081,INSERT ARTC KN SZ1-2 9MM,5532.0,5532.0,829.8,5532.0,30
CDM,504082,CMPNT TIB ALPLY SZ4 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,504083,INSERT TIB KN 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,504084,SCREW SPN P-AXL 3.5X36MM,3389.0,3389.0,508.35,3389.0,30
CDM,504085,SCREW SPN 4 PLY 3.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,504086,SCREW SPN MOD 5.5X25MM,3012.0,3012.0,451.8,3012.0,30
CDM,504087,ROD SPN 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
CDM,504088,SCREW SPN RDC 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,504089,SCREW BN 5.0X25MM,3012.0,3012.0,451.8,3012.0,30
CDM,504090,CONNECTOR ROD 12MM,3765.0,3765.0,564.75,3765.0,30
CDM,504091,CONNECTOR SPN LAT 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,504092,SPACER SPNL 8X28MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504093,CAGE SPN 15D 36X14X28MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504094,SCREW SPN 5X20MM,1130.0,1130.0,169.5,1130.0,30
CDM,504095,INSERT TIB PS + 79/83X24,4606.0,4606.0,690.9,4606.0,30
CDM,504096,INS FEM REV CCK SZ5 LT,18647.0,18647.0,2797.05,18647.0,30
CDM,504097,INSERT TIB LF SZ5 12MM,5603.0,5603.0,840.45,5603.0,30
CDM,504098,HD FEM PFC +10 28,4252.0,4252.0,637.8,4252.0,30
CDM,504099,COMP FEM HIP CLLR SZ1,7530.0,7530.0,1129.5,7530.0,30
CDM,504100,COMP GLND RT 8D SMALL,10298.0,10298.0,1544.7,10298.0,30
CDM,504101,CMPNT BEARING RT MED 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,504102,INSERT TIB KN 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,504103,STEM KN REV 6X12X135MM,10364.0,10364.0,1554.6,10364.0,30
CDM,504104,SUTURE FIBER #2 38IN,603.0,603.0,90.45,603.0,42
CDM,504105,CONN SPN ROD 33-36MM,3012.0,3012.0,451.8,3012.0,30
CDM,504106,SCREW SPN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,504107,SCREW SPN 6.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,504108,SCREW BN 3.5MM 48MM,446.0,446.0,66.9,446.0,30
CDM,504109,INSRT ACTB HIP 40MM SZE,4606.0,4606.0,690.9,4606.0,30
CDM,504110,INS TIB CNSTRN SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,504112,ROD SPN CONTRD 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,504113,SCREW BN 2MM 12MM,1766.0,1766.0,264.9,1766.0,30
CDM,504114,SCREW BN MXLFCL 14X2MM,1766.0,1766.0,264.9,1766.0,30
CDM,504115,SPCR SPNL 27X9X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504116,SCREW BN EXTRMT 5X55MM,3189.0,3189.0,478.35,3189.0,30
CDM,504117,STEM SHORT CLRD STD SZ11,8416.0,8416.0,1262.4,8416.0,30
CDM,504119,INSERT TIB KN SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,504120,INSERT TIB KN SZ2 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,504121,SPCR SPNL 27X9X7MM N,8858.0,8858.0,1328.7,8858.0,30
CDM,504122,INTEGRA MESHED 1SQCM,512.0,512.0,76.8,512.0,29
CDM,504123,INTEGRA MESHED 1SQCM,402.0,402.0,60.3,402.0,29
CDM,504124,LINER ACTB RNGLC MXRM 26,4606.0,4606.0,690.9,4606.0,30
CDM,504125,PLATE SPNL OCCPTL T SM,6644.0,6644.0,996.6,6644.0,30
CDM,504126,SCREW SPN 4.5MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,504127,SCREW SPNL 4.5MM 10MM,1130.0,1130.0,169.5,1130.0,30
CDM,504128,SCREW SPN 4.5MM 8MM,1130.0,1130.0,169.5,1130.0,30
CDM,504129,ROD SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,504130,SCREW SPNL STR 5.5X25MM,3389.0,3389.0,508.35,3389.0,30
CDM,504131,ROD SPN 3.5/5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,504132,STEM RADL ELB 7MM,8969.0,8969.0,1345.35,8969.0,30
CDM,504133,DRIVER UNV QC T20,386.5,386.5,57.98,386.5,42
CDM,504134,PLATE BN CRVD UP 10HL,3189.0,3189.0,478.35,3189.0,30
CDM,504135,SCREW BN 5.5MM 30MM XIA,3389.0,3389.0,508.35,3389.0,30
CDM,504136,SCRW3 TI MA 5.5 X 35 MM,3389.0,3389.0,508.35,3389.0,30
CDM,504137,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,504138,SCREW BN 45MM XIA TI SPN,3389.0,3389.0,508.35,3389.0,30
CDM,504139,CAGE SPN 15D 8.5-13X23MM,15059.0,15059.0,2258.85,15059.0,30
CDM,504141,PLATE BN MINI 6H 1.5MM,4225.0,4225.0,633.75,4225.0,30
CDM,504142,SCREW BN 2.7MM 10MM,1325.0,1325.0,198.75,1325.0,30
CDM,504143,BIT DRILL DISP 2.5X80MM,1023.5,1023.5,153.53,1023.5,42
CDM,504144,HEAD RAD ELB 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,504146,SCREW SPN POLY 3.5X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,504147,SCREW SPN POLY 4X32MM,3389.0,3389.0,508.35,3389.0,30
CDM,504148,SET CONNECTOR SCR TO SCR,753.0,753.0,112.95,753.0,30
CDM,504149,CUP HUM 135/145D 36 +3,4606.0,4606.0,690.9,4606.0,30
CDM,504150,SPACER HUM +9MM,4428.0,4428.0,664.2,4428.0,30
CDM,504151,INSRT ART CNSTRD 7-8 LT,4606.0,4606.0,690.9,4606.0,30
CDM,504152,COMPNT FEM KN LT SZ4,10234.0,10234.0,1535.1,10234.0,30
CDM,504153,INSERT TIB KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504154,RASP SURG 3.2MM 18.3MM,1023.5,1023.5,153.53,1023.5,42
CDM,504156,INSERT ANKLE SZ3 +13MM,14926.0,14926.0,2238.9,14926.0,30
CDM,504157,PLATE BN 236MM 9HL LCP,7598.0,7598.0,1139.7,7598.0,30
CDM,504158,SCREW BN 4.5MM 40MM,313.0,313.0,46.95,313.0,30
CDM,504159,SCREW SPN 4MM 18MM,1130.0,1130.0,169.5,1130.0,30
CDM,504160,HEAD FEM HIP +6MM,5820.0,5820.0,873.0,5820.0,30
CDM,504161,LINER ACTB SZI 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,504162,SPACER SPNL LNG 11MM,23031.0,23031.0,3454.65,23031.0,30
CDM,504163,STEM FEM PRFT 200MM,14381.0,14381.0,2157.15,14381.0,30
CDM,504164,PLATE BN 156MM 5 HL LCP,7295.0,7295.0,1094.25,7295.0,30
CDM,504165,TOOL DSCT MTCH 15CM1.7MM,1023.5,1023.5,153.53,1023.5,42
CDM,504166,SCREW BN 4.5MM 34MM,313.0,313.0,46.95,313.0,30
CDM,504167,SCREW BN 4.5X28MM,313.0,313.0,46.95,313.0,30
CDM,504168,SCREW BN 4.5X30MM,313.0,313.0,46.95,313.0,30
CDM,504169,SCREW BN 4.5MM 26MM,313.0,313.0,46.95,313.0,30
CDM,504170,SUTURE WT/BLU 1.8MM 40IN,1013.5,1013.5,152.03,1013.5,42
CDM,504171,CMPNT GLND SHLDR SZ40,4606.0,4606.0,690.9,4606.0,30
CDM,504172,LINER ACTB 10DD MED 28,4429.0,4429.0,664.35,4429.0,30
CDM,504173,PLATE BN CNRNFCL LF,40864.0,40864.0,6129.6,40864.0,30
CDM,504174,KIT ANCH SUT DISP 1.8MM,4093.0,4093.0,613.95,4093.0,42
CDM,504175,ANCHOR IMPL SYS 7MM 23MM,4429.0,4429.0,664.35,4429.0,30
CDM,504176,CAGE SPN 12X31X36MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504177,SCREW SPN 5.0X25.0MM,1130.0,1130.0,169.5,1130.0,30
CDM,504178,COMPONENT KN PS LPS 85MM,7494.0,7494.0,1124.1,7494.0,30
CDM,504179,POST TPR SHLDR 15.6X32MM,4428.0,4428.0,664.2,4428.0,30
CDM,504180,CMPNT GLND SHLDR 19X20MM,4606.0,4606.0,690.9,4606.0,30
CDM,504182,COMP HUM 56MM 52MM,17716.0,17716.0,2657.4,17716.0,30
CDM,504183,KIT I DELIVRY INST SHLDR,3888.0,3888.0,583.2,3888.0,42
CDM,504184,INSERT TIB KN XXS 16MM,17705.0,17705.0,2655.75,17705.0,30
CDM,504185,KIT ANCHOR SUT 3X14MM,3711.0,3711.0,556.65,3711.0,30
CDM,504186,CONE FEM LG 42MM,17340.0,17340.0,2601.0,17340.0,30
CDM,504187,INS TIB CNSTRN SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,504188,BASEPLATE SHLDR 24MM,6644.0,6644.0,996.6,6644.0,30
CDM,504189,BASEPLATE SHLDR MOD 30MM,4429.0,4429.0,664.35,4429.0,30
CDM,504190,SCREW BN 4.5MM 36MM,1595.0,1595.0,239.25,1595.0,30
CDM,504191,INSERT HUM SHLDR 36,4606.0,4606.0,690.9,4606.0,30
CDM,504192,SCREW SPN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,504193,PIN BN BTRS 27MM,957.0,957.0,143.55,957.0,30
CDM,504194,BIT DRILL CANN 90X2MM,773.0,773.0,115.95,773.0,42
CDM,504195,SCREW BN 2.7MM 8MM,319.0,319.0,47.85,319.0,30
CDM,504196,WASHER BN IMPL,319.0,319.0,47.85,319.0,30
CDM,504197,PIN VOLAR BUTTRSS 42MM,957.0,957.0,143.55,957.0,30
CDM,504198,PLATE BN WIRE 3HL,3534.0,3534.0,530.1,3534.0,30
CDM,504199,KWIRE BN 0.9MM 120MM,309.5,309.5,46.42,309.5,42
CDM,504200,BIT DRILL 1.8MM 100MM,1351.0,1351.0,202.65,1351.0,42
CDM,504201,CMPNT FEM KN LT SZ8,7397.0,7397.0,1109.55,7397.0,30
CDM,504202,INSERT TIB KN RT SZ5 10M,4606.0,4606.0,690.9,4606.0,30
CDM,504203,AUGMENT TIB 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,504204,AUGMENT TIB 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,504205,SCREW SPN 5MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,504206,STEM HUM SHLDR 101MM 7MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504207,STEM FEM HIP 15MM 200MM,11150.0,11150.0,1672.5,11150.0,30
CDM,504208,STEM FEM HIP 16MM 200MM,11150.0,11150.0,1672.5,11150.0,30
CDM,504209,CUP HUM 135/145D 36 +9,4606.0,4606.0,690.9,4606.0,30
CDM,504210,KIT CATH CANN 18F 105CM,66508.0,66508.0,9976.2,66508.0,42
CDM,504211,CMPNT FEM KN LT SZ10,6764.0,6764.0,1014.6,6764.0,30
CDM,504212,INSERT TIB KN LT 10 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,504213,STEM FEM KN PRSFT 150X19,14381.0,14381.0,2157.15,14381.0,30
CDM,504214,STEM FEM HIP SZ4 99MM,8416.0,8416.0,1262.4,8416.0,30
CDM,504215,SCREW SPN 4.0MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,504216,SCREW SPN POLY 4X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,504218,ROD SPN 4.0MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,504219,SCREW SPN POLY 4X30MM,3389.0,3389.0,508.35,3389.0,30
CDM,504222,COMPNT FEM 4 KN CMNT POT,6201.0,6201.0,930.15,6201.0,30
CDM,504224,PLATE SPN OCCPTL Y SML,6644.0,6644.0,996.6,6644.0,30
CDM,504225,SCREW SPN 4.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
CDM,504226,SCREW SPN 4.5MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,504227,ROD SPNL PRBNT 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,504228,SCREW TOP LOADING,3012.0,3012.0,451.8,3012.0,30
CDM,504229,NAIL TIB 8MM 36CM,4429.0,4429.0,664.35,4429.0,30
CDM,504230,SCREW BNE L72MM OD4MM LO,2143.0,2143.0,321.45,2143.0,30
CDM,504231,CAGE SPN 10D 31X36X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504232,DEVICE NEUROSTIMULATOR,42080.0,42080.0,6312.0,42080.0,30
CDM,504233,SPCR SPNL 27X9X9MM N,8858.0,8858.0,1328.7,8858.0,30
CDM,504234,COMPONENT PTLR KN MED LT,7087.0,7087.0,1063.05,7087.0,30
CDM,504235,COMP FEM KN RT SM,7087.0,7087.0,1063.05,7087.0,30
CDM,504236,CAGE SPN 10D 25X33X14MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504237,CAGE SPN 10D 33X12X25MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504238,SPACER SPN 12D 37X32X16M,18425.0,18425.0,2763.75,18425.0,30
CDM,504239,INS TIB KN SZ8-11 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504240,LINER ACTB HIP 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,504243,DISC INTVRT 5X16X15MM,20152.0,20152.0,3022.8,20152.0,30
CDM,504244,OFFSET SPN 4.0MM 15MM,3012.0,3012.0,451.8,3012.0,30
CDM,504245,ROD SPNL STR 3.5MM 200MM,2711.0,2711.0,406.65,2711.0,30
CDM,504247,SCREW BN CORT 3.5X90MM,501.0,501.0,75.15,501.0,30
CDM,504248,PLATE BN LT 7HL 103MM,4429.0,4429.0,664.35,4429.0,30
CDM,504249,INSERT HUM SHLDR 36X4MM,4606.0,4606.0,690.9,4606.0,30
CDM,504250,SCREW SPN V-ANG 4.6X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,504252,PLATE ANT CERV 2LVL 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,504253,PLATE BN LT 9H 220MM,6815.0,6815.0,1022.25,6815.0,30
CDM,504254,WEDGE KN TIB SZ6 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,504256,PLATE BN 4 HL 3.5MM 87MM,6340.0,6340.0,951.0,6340.0,30
CDM,504258,MESH SURG 15X20CM,17495.0,17495.0,2624.25,17495.0,30
CDM,504259,STENT URET 8FR 26CM,3016.0,3016.0,452.4,3016.0,30
CDM,504260,STENT URET 7FR 28CM,2029.0,2029.0,304.35,2029.0,30
CDM,504261,IMPL EYLD WGHT RND 1.6GM,3189.0,3189.0,478.35,3189.0,30
CDM,504262,LENS IOL +10.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,504268,LENS IOL +15.5 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,504269,BURR SHVR 15D 4MM 13CM,2985.5,2985.5,447.82,2985.5,42
CDM,504270,LENS IOL +11.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,504272,IMPLANT BREAST 380CC,4429.0,4429.0,664.35,4429.0,30
CDM,504273,IMPLANT BREAST 425CC,4429.0,4429.0,664.35,4429.0,30
CDM,504274,IMPLANT BREAST 215CC,4429.0,4429.0,664.35,4429.0,30
CDM,504276,IMPLANT MALAR EPTFE SM,3968.0,3968.0,595.2,3968.0,30
CDM,504278,CATH BLNDIL 1.2MM0MM,773.0,773.0,115.95,773.0,42
CDM,504283,AMP INJECTION ENDO 10ML,855.5,855.5,128.32,855.5,42
CDM,504284,STIMULATOR NERVE DISP,4093.0,4093.0,613.95,4093.0,42
CDM,504285,EXPNDR BREAST 380-470CC,5094.0,5094.0,764.1,5094.0,30
CDM,504286,LENS IOL +27.0 DIOP,837.5,837.5,154.18,837.5,28
CDM,504288,LENS IOL +11.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,504289,LENS IOL +24.0 DIOP,885.0,885.0,162.93,885.0,28
CDM,504290,LENS IOL +16.0 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,504291,ELECTRDE ENDO 5MM 20CM,26092.0,26092.0,3913.8,26092.0,42
CDM,504292,TUBE ENDBR 5FR BLK 50CM,1707.0,1707.0,256.05,1707.0,42
CDM,504297,BUTTON GSTRM 16FR 2.3CM,993.0,993.0,148.95,993.0,42
CDM,504298,BUTTON GSTRM 16FR 2.5CM,993.0,993.0,148.95,993.0,42
CDM,504299,BTN BLN GSTR 16F 3CM,1023.5,1023.5,153.53,1023.5,42
CDM,504300,INSERT TIBIAL 20MM,9966.0,9966.0,1494.9,9966.0,30
CDM,504301,INSERT TIB KN SZ5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,504304,CMPNT TIB KN SZ2 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,504305,CAGE ALIF 8D 27X36X12,8858.0,8858.0,1328.7,8858.0,30
CDM,504306,SCREW SPN 5.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,504307,SCREW BN SPN 6.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,504308,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,504309,SCREW BN 3.5MM 18MM,2169.0,2169.0,325.35,2169.0,30
CDM,504310,PIN FX AXIS 2.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,504311,PIN FX 35MM 2.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,504312,SCREW LAG T10 4.1X22MM,3189.0,3189.0,478.35,3189.0,30
CDM,504313,PLATE BN LCK POLY LT,8334.0,8334.0,1250.1,8334.0,30
CDM,504314,SCREW BN HDED 3.5MM 30MM,2392.0,2392.0,358.8,2392.0,30
CDM,504316,STENT VASC 6X27MM 80CM,3823.0,3823.0,573.45,3823.0,30
CDM,504317,SCREW SPN 3.5MM 16MM,319.0,319.0,47.85,319.0,30
CDM,504318,SCREW SPN 4.0MM 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,504319,SCREW SPNL 5.5MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,504320,SCREW SPN 5.5MM 38MM,3389.0,3389.0,508.35,3389.0,30
CDM,504321,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,504322,ROD SPN STR 4X200MM,2711.0,2711.0,406.65,2711.0,30
CDM,504323,SCREW SPN 5.5MM 20MM,1130.0,1130.0,169.5,1130.0,30
CDM,504325,BIT DRILL TWIST 1.1X7MM,1023.5,1023.5,153.53,1023.5,42
CDM,504331,GUIDE ORTHO CUTTING,15754.5,15754.5,2363.18,15754.5,42
CDM,504332,IMPL CRNL CUSTOM,20965.0,20965.0,3144.75,20965.0,30
CDM,504334,IMPLANT BN CRNL MDFC 75,22123.0,22123.0,3318.45,22123.0,30
CDM,504335,IMPLANT BN CRNL MDFC 76,26552.0,26552.0,3982.8,26552.0,30
CDM,504337,NAIL FEM 13MM 46CM,5311.0,5311.0,796.65,5311.0,30
CDM,504338,NAIL BN 10MM 40CM,5311.0,5311.0,796.65,5311.0,30
CDM,504339,LINER ACTB HIP 50-52X26,6644.0,6644.0,996.6,6644.0,30
CDM,504340,ADAPTER LNR HIP 50-52MM,6644.0,6644.0,996.6,6644.0,30
CDM,504341,HEAD FEM HIP 12/14 26MM,4429.0,4429.0,664.35,4429.0,30
CDM,504342,INSRT ARTC KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504343,STEM FEM HIP 19MM 115MM,10283.0,10283.0,1542.45,10283.0,30
CDM,504345,KIT NRSTM LEAD 70CM,21481.0,21481.0,3222.15,21481.0,30
CDM,504346,LEAD NRSTM 2X8CM 50CM,15037.0,15037.0,2255.55,15037.0,30
CDM,504347,CONNCTR SPN STRL 5/6-5/6,3012.0,3012.0,451.8,3012.0,30
CDM,504348,SCREW BN RTRO 8MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,504349,INSRT ARTC KN RT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,504350,TRIFLANGE ACTB HIP RT 26,53658.0,53658.0,8048.7,53658.0,30
CDM,504351,STEM KN REV 17X3MM +135,10364.0,10364.0,1554.6,10364.0,30
CDM,504352,INSRT ARTC KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,504353,INSERT TIB KN8-11EF 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,504354,INSERT TIB KN SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,504355,SPACER SPN 34MM 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504356,COMP GLND BETA MED,7308.0,7308.0,1096.2,7308.0,30
CDM,504357,NAIL BN FEM 11MM 320MM,5990.0,5990.0,898.5,5990.0,30
CDM,504358,SCREW BN LCK 5/76 XL25,2738.0,2738.0,410.7,2738.0,30
CDM,504359,SCREW BN XL25 5MM 64MM,2738.0,2738.0,410.7,2738.0,30
CDM,504360,STEM FEM HIP 12/14 SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,504361,PLATE BN RT 3.5MM 117MM,5692.0,5692.0,853.8,5692.0,30
CDM,504362,CAGE SPN 12X14 12-16 5D,23917.0,23917.0,3587.55,23917.0,30
CDM,504363,SCREW SPN LOCK SMALL,753.0,753.0,112.95,753.0,30
CDM,504364,SCREW BN 6.5MM 45MM VRST,3389.0,3389.0,508.35,3389.0,30
CDM,504365,ROD CONN SPN 6X5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,504366,COMPNT CUP ACTB 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,504367,LINER ACTB GRP D 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,504370,HEAD FEM CER SH 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,504371,STEM FEM HIP 40MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504372,CNN SPN LAT OFST LG 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,504373,SCREW SPN 5.5X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,504374,STEM FEM HIP 12/14 SZ3,8416.0,8416.0,1262.4,8416.0,30
CDM,504375,INSERT TIB KN 12.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,504376,RING ACTB HIP 50MM,3535.0,3535.0,530.25,3535.0,30
CDM,504377,HEAD FEM HIP +5D 28MM,4252.0,4252.0,637.8,4252.0,30
CDM,504379,SCREW SPN POLY 3.5X22MM,3389.0,3389.0,508.35,3389.0,30
CDM,504380,SCREW SPN POLY 3.5X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,504381,ROD SPN 4X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,504383,TIP HNDPC SURG ULTSNC,4702.0,4702.0,705.3,4702.0,42
CDM,504384,PLATE SPN 2HL 14MM,9877.0,9877.0,1481.55,9877.0,30
CDM,504385,SPACER SPN 6MM 16MM 35MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504386,CAGE SPN 15.5X3.2-6MM,4429.0,4429.0,664.35,4429.0,30
CDM,504387,CONN ROD SPN 5.5X36-41MM,3012.0,3012.0,451.8,3012.0,30
CDM,504388,WEDGE FEM KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,504389,STEM FEM 12/14 SZ6,8416.0,8416.0,1262.4,8416.0,30
CDM,504390,STEM FEM HIP 12/14 SZ5,8416.0,8416.0,1262.4,8416.0,30
CDM,504391,DISC INTVRT 6X18X17.8MM,20152.0,20152.0,3022.8,20152.0,30
CDM,504392,CONN RD 3.5-4/5.5-6.35MM,3012.0,3012.0,451.8,3012.0,30
CDM,504393,SCREW BN 1.85MM 16MM,1348.0,1348.0,202.2,1348.0,30
CDM,504394,SCREW BN 1.85MM 14MM,1166.0,1166.0,174.9,1166.0,30
CDM,504395,SCREW BN CRNFCL 2.3X5MM,1770.0,1770.0,265.5,1770.0,30
CDM,504396,CANNULA ART 3MM 1.3MM,188.5,188.5,28.27,188.5,42
CDM,504397,PLATE BN FULL MAXILLARY,48199.0,48199.0,7229.85,48199.0,30
CDM,504398,SCREW BN 7MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,504399,INSERT TIB KN SZ4-5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,504400,INSERT ARTC KN 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,504401,INSERT TIB KN SZ6-7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504402,GRAFT ENDO AAA 28.5X12MM,46660.0,46660.0,6999.0,46660.0,30
CDM,504403,PLATE BN 8HL 2.7MM 61MM,3189.0,3189.0,478.35,3189.0,30
CDM,504404,PIN FX 14MM 2MM,773.0,773.0,115.95,773.0,42
CDM,504405,PLATE BN 8HL 2.7MM 64MM,4136.0,4136.0,620.4,4136.0,30
CDM,504406,ANCHOR SUT 3.5M 10MM,3189.0,3189.0,478.35,3189.0,30
CDM,504407,NAIL MIDFOOT 8MM 125MM,13868.0,13868.0,2080.2,13868.0,30
CDM,504408,STEM PRSS FT SHLDR SZ10,6644.0,6644.0,996.6,6644.0,30
CDM,504409,INSERT ARTC KN EF 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,504410,INSERT TIB KN L SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504411,NAIL BN 11MM 23.5CM,4762.0,4762.0,714.3,4762.0,30
CDM,504412,CUP ACTB HIP PNCL 44MM,4606.0,4606.0,690.9,4606.0,30
CDM,504413,STEM HIP FEM STD SZ0,8416.0,8416.0,1262.4,8416.0,30
CDM,504414,NAIL FEMORAL 10MM 30CM,5311.0,5311.0,796.65,5311.0,30
CDM,504415,BOLT TEMP TENSION,2057.0,2057.0,308.55,2057.0,42
CDM,504419,SCREW BN 2.5MM 16MM,1196.0,1196.0,179.4,1196.0,30
CDM,504421,CMPNT KN FEM SZ2,6688.0,6688.0,1003.2,6688.0,30
CDM,504422,DRILL TWIST 2MM 91MM,1023.5,1023.5,153.53,1023.5,42
CDM,504423,PLATE BN FEM NAR,4883.0,4883.0,732.45,4883.0,30
CDM,504424,BOLT ORTH 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,504425,NDL DLV STRL 10GA 10CM,773.0,773.0,115.95,773.0,42
CDM,504426,STEM FEM HIP 12/14 SZ5,8416.0,8416.0,1262.4,8416.0,30
CDM,504427,SLEEVE FEM KN PRCT 55MM,9072.0,9072.0,1360.8,9072.0,30
CDM,504428,WEDGE FEM KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,504429,CMPNT SHLD SM 0D,7751.0,7751.0,1162.65,7751.0,30
CDM,504430,FIBER LSR REDC BFR 600,3143.5,3143.5,471.52,3143.5,42
CDM,504431,ANCHOR SUT #2 5.5X19.1MM,3593.0,3593.0,538.95,3593.0,30
CDM,504432,SCREW BN 3.5MM 50MM,1898.0,1898.0,284.7,1898.0,30
CDM,504433,SCREW BN 3.5MM 44MM,1898.0,1898.0,284.7,1898.0,30
CDM,504434,PLATE TIB RT 6H 91MM,5692.0,5692.0,853.8,5692.0,30
CDM,504435,CMPNT KN TIB SZ2 10MM,4252.0,4252.0,637.8,4252.0,30
CDM,504436,ROD SPN OFST 18X150X150,3012.0,3012.0,451.8,3012.0,30
CDM,504437,CAGE SPNL 37X29X14MM DIV,8858.0,8858.0,1328.7,8858.0,30
CDM,504438,INSERT TIB KN RT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504439,CMPNT FEM KN LT SZ9,6764.0,6764.0,1014.6,6764.0,30
CDM,504440,BASEPLATE TIB SZ10,5639.0,5639.0,845.85,5639.0,30
CDM,504441,INSERT TIB KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,504442,PLATE SPN 1LVL 20MM,4429.0,4429.0,664.35,4429.0,30
CDM,504443,SCREW BN SPN CERV 4X16MM,1130.0,1130.0,169.5,1130.0,30
CDM,504444,WEDGE FEM KN SZ4 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,504445,TIBIAL INSERT #4/14MM,4429.0,4429.0,664.35,4429.0,30
CDM,504446,CAGE SPN 20D 24X32X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504447,ANCHOR SUT KNOTLESS PK,4429.0,4429.0,664.35,4429.0,30
CDM,504448,BIT DRILL KNOTLESS 2.2MM,2664.5,2664.5,399.68,2664.5,42
CDM,504449,SUT TAPE BL 39.5IN,1023.5,1023.5,153.53,1023.5,42
CDM,504450,BASEPLATE GLN SHLDR 24MM,7973.0,7973.0,1195.95,7973.0,30
CDM,504451,STEM SHLDR 135D 32/10,11959.0,11959.0,1793.85,11959.0,30
CDM,504454,JOINT SLSTC FNGR SZ1,4606.0,4606.0,690.9,4606.0,30
CDM,504455,SPLINT OTHGN INTRMD,4385.5,4385.5,657.83,4385.5,42
CDM,504456,PLATE BN CRNF 4HL 1X6MM,3189.0,3189.0,478.35,3189.0,30
CDM,504457,COMPNT ANKLE SZ2 6MM,14926.0,14926.0,2238.9,14926.0,30
CDM,504458,GWIRE ORTHO .035X6IN,257.0,257.0,38.55,257.0,42
CDM,504459,SCREW BN MICRO 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,504460,SCREW BN SPN 5.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,504461,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,504462,STEM TIB KN 16MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,504463,CONE AUG KN RMLL C,12574.0,12574.0,1886.1,12574.0,30
CDM,504464,STENT EPRSTH 8X11X39MM,10997.0,10997.0,1649.55,10997.0,30
CDM,504467,PLATE BN STD LT,4429.0,4429.0,664.35,4429.0,30
CDM,504468,SCREW BN 6.5MM 20MM 45MM,2982.0,2982.0,447.3,2982.0,30
CDM,504469,PLATE BN 4H 27X8X3.5MM,4584.0,4584.0,687.6,4584.0,30
CDM,504470,SET IMPL ARTHSCP 4.75MM,6953.0,6953.0,1042.95,6953.0,30
CDM,504471,KIT TNDNS GFT SZ W/FL ST,2535.5,2535.5,380.32,2535.5,42
CDM,504472,SCREW BN SPN 4.2MM 14MM,1130.0,1130.0,169.5,1130.0,30
CDM,504473,CMPNT KN FEM LT SZ4,6764.0,6764.0,1014.6,6764.0,30
CDM,504474,INSERT TIB KN LT SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,504475,LINER ACTB RNGLC 2 28 HI,6644.0,6644.0,996.6,6644.0,30
CDM,504476,CAGE SPN 12D 34X25X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504477,STEM FEM HIP 21MM 250MM,9478.0,9478.0,1421.7,9478.0,30
CDM,504478,NAIL TIB 12MM 300MM,4429.0,4429.0,664.35,4429.0,30
CDM,504479,REAMER HEAD STRL 13.0MM,4093.0,4093.0,613.95,4093.0,42
CDM,504480,SCREW BN LCK 5/28 XL25,2738.0,2738.0,410.7,2738.0,30
CDM,504481,INSERT TIB KN SZ4.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,504482,LINER ACTB HIP SZD 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,504483,CMPNT FEM KN RT SZ10,6764.0,6764.0,1014.6,6764.0,30
CDM,504484,INSERT TIB KN RT SZ10,4606.0,4606.0,690.9,4606.0,30
CDM,504485,CAGE SPN 7D 10X16 7MM,4429.0,4429.0,664.35,4429.0,30
CDM,504486,PLATE SPN 16X7MM,4872.0,4872.0,730.8,4872.0,30
CDM,504487,SCREW BN 4.5MM 48MM,798.0,798.0,119.7,798.0,30
CDM,504488,INSERT HUM SHLDR 10X36MM,4606.0,4606.0,690.9,4606.0,30
CDM,504489,INSERT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504490,INSERT TIB KN RT 4 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,504491,SCREW BN 2.5MM 16MM,1196.0,1196.0,179.4,1196.0,30
CDM,504492,INSERT TIB KN 60MM,14173.0,14173.0,2125.95,14173.0,30
CDM,504493,STEM KN 200X10X16MM,11516.0,11516.0,1727.4,11516.0,30
CDM,504494,CONE HALF KN 33X12X48MM,21180.0,21180.0,3177.0,21180.0,30
CDM,504495,CMPNT KN FEM 60MM 57MM,32332.0,32332.0,4849.8,32332.0,30
CDM,504496,STEM TIB KN 160MM,11516.0,11516.0,1727.4,11516.0,30
CDM,504497,SCREW BN 2.5MM 12MM,1196.0,1196.0,179.4,1196.0,30
CDM,504498,SPACER SPN 0D 9X23X6MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504499,INSERT TIB KN R SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,504500,CUP SHLDR SUT 33MM,4651.0,4651.0,697.65,4651.0,30
CDM,504501,INSERT TIB 4 16MM,8309.0,8309.0,1246.35,8309.0,30
CDM,504502,PLATE BN CRNFCL 12HL,3721.0,3721.0,558.15,3721.0,30
CDM,504503,INSERT ARTC KN LT 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,504504,SCREW SPN 4.5MM 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,504505,ROD SPN CNTRD 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,504506,SCREW BN CANN 4X40MM,3189.0,3189.0,478.35,3189.0,30
CDM,504507,DRILL BIT SURG 2.8MM,2202.0,2202.0,330.3,2202.0,42
CDM,504508,CAGE SPN 12D 36X24X10MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504509,STEM TIB KN 5D SZB,4606.0,4606.0,690.9,4606.0,30
CDM,504510,COMPNT FEM KN SZ4,6644.0,6644.0,996.6,6644.0,30
CDM,504511,CMPNT KN FEM SZ3-4 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504513,GUIDE PIN ORTH 358MM 3.2,773.0,773.0,115.95,773.0,42
CDM,504514,CUP HUM SHLDR REV 32X2MM,4606.0,4606.0,690.9,4606.0,30
CDM,504515,INSERT HUM SHLDR 4X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,504516,COMPONENT FEM KN RT SZ9,6764.0,6764.0,1014.6,6764.0,30
CDM,504517,INSERT TIB KN SZ9 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,504518,INSERT KN TIB LT SZ5 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,504519,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,504520,ROD SPN 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,504521,DEVICE CLSR WND 10/12MM,1434.5,1434.5,215.18,1434.5,42
CDM,504522,STENT VASC 7X12MM 80CM,3721.0,3721.0,558.15,3721.0,30
CDM,504523,STENT EPRSTH 7X11X29MM,11274.0,11274.0,1691.1,11274.0,30
CDM,504524,CAGE SPNL 40MM 12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504525,INTERBODY 10D 39X30X12MM,17606.0,17606.0,2640.9,17606.0,30
CDM,504526,INTBDY SPN 2HL 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,504527,WEDGE TIB LT KN 3-4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504528,SPACER SPN 6MM 16MM 30MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504529,SCREW BN 2.3MM 10MM,899.0,899.0,134.85,899.0,30
CDM,504530,SPACER SPN 6D 11X36X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504531,SCREW SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,504532,AUG KN MDL SZ6+/7 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,504533,AUG KN LAT SZ6+/7 5MM,4429.0,4429.0,664.35,4429.0,30
CDM,504534,SPACER SPN 6D 12DX14WX8H,4429.0,4429.0,664.35,4429.0,30
CDM,504535,CMPNT HIP ACTB 48MM,4606.0,4606.0,690.9,4606.0,30
CDM,504536,CMPNT HIP ACTB 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,504537,GRAFT STNT 34-38MM 160MM,60044.0,60044.0,9006.6,60044.0,30
CDM,504538,SCREW BN 5MM 86MM,2738.0,2738.0,410.7,2738.0,30
CDM,504539,NAIL BN 10MM 300MM,6649.0,6649.0,997.35,6649.0,30
CDM,504540,SCREW SPN 3.8MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,504541,SCREW SPN 4.2MM 16MM,3389.0,3389.0,508.35,3389.0,30
CDM,504542,SCREW SPN 4.2MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,504543,SCREW SPN 5.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,504544,ROD SPN CRV 70X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,504545,ROD SPN CRV 4MM 80MM,2711.0,2711.0,406.65,2711.0,30
CDM,504546,PLATE BN 6H 1.5MM,3248.0,3248.0,487.2,3248.0,30
CDM,504547,SCREW BN 1.5MM 7MM,625.0,625.0,93.75,625.0,30
CDM,504548,STEM FEM 12/14 SZ9,8416.0,8416.0,1262.4,8416.0,30
CDM,504549,INTRBDY SPN 33X12X25MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504550,CAGE SPN 6D 8X5.9X50MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504552,ROD SPNL MTNR 200X3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,504553,CMPNT FEM KN LT SZ7,18424.0,18424.0,2763.6,18424.0,30
CDM,504554,AUGMENT FEM KN SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,504555,STEM FEM KN FLUT 25MM,4429.0,4429.0,664.35,4429.0,30
CDM,504556,STEM FEM FLUT KN 20X100,4606.0,4606.0,690.9,4606.0,30
CDM,504557,LINER ACTB HIP 28MM 49MM,4429.0,4429.0,664.35,4429.0,30
CDM,504558,CMPNT ANKL SHRT SZ5 +4,29498.0,29498.0,4424.7,29498.0,30
CDM,504559,CMPNT ANKLE SZ4+ 10MM,15502.0,15502.0,2325.3,15502.0,30
CDM,504560,CAGE SPN 16X6X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,504561,STEM HUM SHLDR 7MM 91MM,12402.0,12402.0,1860.3,12402.0,30
CDM,504562,INSERT ARTC KN 6-7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504563,PLATE BN 2.7-3.5X120MM,5692.0,5692.0,853.8,5692.0,30
CDM,504564,SCREW BN 2.7X4.3X42MM,1804.0,1804.0,270.6,1804.0,30
CDM,504565,SCREW BN 2.7X4.3X48MM SS,1804.0,1804.0,270.6,1804.0,30
CDM,504566,SCREW SPN 7.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,504567,SCREW SPN 7.5MM 60MM,3012.0,3012.0,451.8,3012.0,30
CDM,504568,SCREW SPN 6.5X30MM,3012.0,3012.0,451.8,3012.0,30
CDM,504569,SCREW SPN 6.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,504570,SCREW SPN FEN 7.5X45MM,3012.0,3012.0,451.8,3012.0,30
CDM,504571,CAGE SPN 12X14 12-16 0D,23917.0,23917.0,3587.55,23917.0,30
CDM,504572,CAGE SPNL 14X12X14-20MM,23917.0,23917.0,3587.55,23917.0,30
CDM,504574,SCREW HIP 6.5MM 25MM,1.0,1.0,0.15,1.0,30
CDM,504575,INSERT HIP SZ48/60-70,4429.0,4429.0,664.35,4429.0,30
CDM,504576,INSERT HIP SZ28/48,4429.0,4429.0,664.35,4429.0,30
CDM,504577,STEM HUM SHLDR 36/14MM,11959.0,11959.0,1793.85,11959.0,30
CDM,504578,CAGE SPNL 6D 8X5.9X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504579,CAGE SPN 6D 8X5.9X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504580,CMPNT KNEE TIB SZ3 5MM,4651.0,4651.0,697.65,4651.0,30
CDM,504581,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,504583,CAGE SPN 10D 25X10X33MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504584,INSERT ARTC KN 8-11 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,504585,CAGE SPNL 36X17MM LG,19200.0,19200.0,2880.0,19200.0,30
CDM,504586,SCREW BN SPN 5.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,504587,SCREW SPN 8.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,504588,ROD SPNL 65MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,504589,SCREW SPN 6.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,504590,INSERT TIB KN 8-11 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,504591,SURFACE KN ARTC 18MM,4606.0,4606.0,690.9,4606.0,30
CDM,504592,PLT BN PIN RADL CLMN 7HL,3534.0,3534.0,530.1,3534.0,30
CDM,504593,SCREW BN SPN 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,504594,STEM FEM HIP 12/14 SZ7,8416.0,8416.0,1262.4,8416.0,30
CDM,504595,INSERT TIB KN RT SZ6 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,504596,AUGMENT FEM KN RT 3 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504597,AUG CONE KN RT SZ3/4,13389.0,13389.0,2008.35,13389.0,30
CDM,504598,INSERT TIB KN 3 13MM,6737.0,6737.0,1010.55,6737.0,30
CDM,504599,REAMER SURG 5.5MM,1676.0,1676.0,251.4,1676.0,42
CDM,504600,TRIATHON TRITANIUM ASYM,12574.0,12574.0,1886.1,12574.0,30
CDM,504601,INSERT TIB KN SZ5 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,504602,PIN HALF 2.0MM 45MM,773.0,773.0,115.95,773.0,42
CDM,504603,SCREW BN HDLS 2X12MM,3189.0,3189.0,478.35,3189.0,30
CDM,504604,SCREW BN 2MM 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,504605,INSERT KN TIB SZ4 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,504606,SCREW SPN 4.2X15MM,1130.0,1130.0,169.5,1130.0,30
CDM,504607,COMPNT FEM KN 70X61MM,14592.0,14592.0,2188.8,14592.0,30
CDM,504608,STEM EXTENSION 155MM,4429.0,4429.0,664.35,4429.0,30
CDM,504609,SCREW SPN PLVC 11.5X55MM,12047.0,12047.0,1807.05,12047.0,30
CDM,504610,SCREW SPN PLVC 11.5X50MM,12047.0,12047.0,1807.05,12047.0,30
CDM,504611,SCREW SPN PLVC 11.5X40MM,12047.0,12047.0,1807.05,12047.0,30
CDM,504612,STENT GRAFT 10CM 21X21MM,67672.0,67672.0,10150.8,67672.0,30
CDM,504613,STENT THOR 31X26MM 10CM,67672.0,67672.0,10150.8,67672.0,30
CDM,504614,SPACER SPN 10X7.9X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504615,SCREW SPN POLY 4X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,504616,ROD BN EXFX 2 5X200,1023.5,1023.5,153.53,1023.5,42
CDM,504617,CMPNT FEM KN SZ3,6688.0,6688.0,1003.2,6688.0,30
CDM,504618,CMPNT TIB KN SZ1 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,504619,SCREW BN 2.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,504620,SCREW BN HDLS 2.5MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,504621,HEAD HUM SHLDR 43X16X1.5,4872.0,4872.0,730.8,4872.0,30
CDM,504622,PLATE SPN 4LVL 64MM,4429.0,4429.0,664.35,4429.0,30
CDM,504623,ROD SPN CNTOR 4X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,504625,SCREW BN 3.6X45MM,4429.0,4429.0,664.35,4429.0,30
CDM,504626,BASEPLATE SHLDR 20D 24MM,6644.0,6644.0,996.6,6644.0,30
CDM,504627,ROD SPN 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,504628,PLATE SPN 1LVL 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,504629,SURF ARTC KN 16MM 3-5 EF,4606.0,4606.0,690.9,4606.0,30
CDM,504630,INSRT ARTC KN 6-7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504631,DRILL FOR FIBERTAK 1.60M,1023.5,1023.5,153.53,1023.5,42
CDM,504632,ANCHOR SUT 2.4MM 11.3MM,1340.0,1340.0,201.0,1340.0,30
CDM,504633,PIN DRIL L85 PACK,773.0,773.0,115.95,773.0,42
CDM,504634,TAPE SUT 1.4MM,932.0,932.0,139.8,932.0,42
CDM,504636,SCREW SPN 5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,504637,SCREW SPN 6MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,504638,SCREW SPN 6MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,504639,SCREW SPN 5.5MM,753.0,753.0,112.95,753.0,30
CDM,504640,ROD SPN MED 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,504641,NAIL BN 125D 13MM 36CM,7604.0,7604.0,1140.6,7604.0,30
CDM,504642,LINER ACTB HIP 28/38MM,4429.0,4429.0,664.35,4429.0,30
CDM,504643,WEDGE KN SZSM,20429.0,20429.0,3064.35,20429.0,30
CDM,504644,SURFACE ARTC KN 6-9 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504645,PLATE BN LOPRO 3H 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,504646,INSRT TIB ARTC KN 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,504647,SCREW BN 2MM 30MM,1330.0,1330.0,199.5,1330.0,30
CDM,504648,WEDGE KN 10MM SZ7,4606.0,4606.0,690.9,4606.0,30
CDM,504649,NAIL BN 10MM 300MM,5211.0,5211.0,781.65,5211.0,30
CDM,504650,SCREW SPN 5.5MM 36MM,3389.0,3389.0,508.35,3389.0,30
CDM,504651,ROD SPN 3.5X5.5X500MM,2711.0,2711.0,406.65,2711.0,30
CDM,504653,CONN ROD SPNE 13MM,3012.0,3012.0,451.8,3012.0,30
CDM,504654,STEM FEM HIP 6H,8416.0,8416.0,1262.4,8416.0,30
CDM,504655,PLATE SPN FRTFY UE 14MM,3558.0,3558.0,533.7,3558.0,30
CDM,504656,ENDPLATE SPNL 24-32X14MM,24714.0,24714.0,3707.1,24714.0,30
CDM,504657,SPACER SPN 7D 14X16X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,504658,ANCHOR SUT 3.7MM,3189.0,3189.0,478.35,3189.0,30
CDM,504659,DRILL SURG 3.2MM,921.0,921.0,138.15,921.0,42
CDM,504660,INSRT TIB KN 6-7/CD 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,504661,INSERT TIB KN 7 9MM,6737.0,6737.0,1010.55,6737.0,30
CDM,504662,SCREW BN 5.5MM 45MM,2790.0,2790.0,418.5,2790.0,30
CDM,504663,SCREW BN 2.1MM 6MM,1226.0,1226.0,183.9,1226.0,30
CDM,504665,SCREW SPN XTAB 7X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,504666,LINER ACTB HIP SZ25 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,504667,GRAFT STNT 102MM 28-14MM,38354.0,38354.0,5753.1,38354.0,30
CDM,504668,HEAD FEM HIP 12/14 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,504669,HEAD HUM SHLDR 56MM 28MM,4606.0,4606.0,690.9,4606.0,30
CDM,504670,SPACER SPN 24X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504671,SPACER SPN 24MMX12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504672,SPACER SPN 10X7.9X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504673,CAGE SPN 7D 8X11X14MM,4429.0,4429.0,664.35,4429.0,30
CDM,504674,PLATE 2LVL 46MM CERVICAL,4429.0,4429.0,664.35,4429.0,30
CDM,504675,SCREW SPN 4MM 14MM VAR,1130.0,1130.0,169.5,1130.0,30
CDM,504676,ROD SPN 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,504677,PEG BN FX 2.7MM 12MM,1690.0,1690.0,253.5,1690.0,30
CDM,504678,SCREW BN 2.7MM 22MM,1690.0,1690.0,253.5,1690.0,30
CDM,504679,CMPNT PTLR STD+ 3 PEG,4252.0,4252.0,637.8,4252.0,30
CDM,504680,STENT GRAFT EVAS 113MM 3,26134.0,26134.0,3920.1,26134.0,30
CDM,504681,GRAFT EVAS 13MMX107MM,13823.0,13823.0,2073.45,13823.0,30
CDM,504682,STENT AAA 13MMX90MM,13823.0,13823.0,2073.45,13823.0,30
CDM,504683,INTRO CATH 24FR 25CM,2936.0,2936.0,440.4,2936.0,42
CDM,504684,INSERT ARTC KN LT 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,504685,PLATE BN CRV 266MM 4.5MM,6949.0,6949.0,1042.35,6949.0,30
CDM,504686,SCREW BN 5X30MM SPN PAX,3389.0,3389.0,508.35,3389.0,30
CDM,504687,HOOK SPN TRNSV PRC MED,3012.0,3012.0,451.8,3012.0,30
CDM,504688,HOOK SP LAMINAR LG TIP,3012.0,3012.0,451.8,3012.0,30
CDM,504689,INSERT TIB KN SZ7 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,504690,STEM HIP 36MM 101MM,8557.0,8557.0,1283.55,8557.0,30
CDM,504691,HEAD FEM HIP 28MM,4429.0,4429.0,664.35,4429.0,30
CDM,504692,CMPNT FEM RT KN SZ3,6764.0,6764.0,1014.6,6764.0,30
CDM,504693,INSERT TIB KN RT SZ3 6MM,4252.0,4252.0,637.8,4252.0,30
CDM,504694,INSERT TIB KN LT SZ5 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,504695,SCREW BN 3.5MM 20MM,1738.0,1738.0,260.7,1738.0,30
CDM,504696,PLANNING KIT SURG,9465.0,9465.0,1419.75,9465.0,42
CDM,504697,IMPLT CRNL CST 24,48411.0,48411.0,7261.65,48411.0,30
CDM,504699,HEAD FEM HIP +3.5MM 36MM,4252.0,4252.0,637.8,4252.0,30
CDM,504700,PLATE SPN CERV 1LV 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,504701,BIT DRIL 2.3MM 12MM,386.5,386.5,57.98,386.5,42
CDM,504702,SCREW BN SLFTP 5X38MM,3098.0,3098.0,464.7,3098.0,30
CDM,504703,BOLT BN FEM 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,504704,SCREW BN FEM NK SYS 75MM,3189.0,3189.0,478.35,3189.0,30
CDM,504705,STEM HIP SZ5 38.5X105MM,8557.0,8557.0,1283.55,8557.0,30
CDM,504706,SPACER SPN 12X9.9X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,504707,SPACER SPN 6D 10X7.9X50,13287.0,13287.0,1993.05,13287.0,30
CDM,504708,SURF ARTC KN 6-9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,504709,SPACER SPN 13X14 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,504710,CMPNT PTLA KN 29MM 8MM,4252.0,4252.0,637.8,4252.0,30
CDM,504711,STEM FEM HIP 12/14 SZ4,8416.0,8416.0,1262.4,8416.0,30
CDM,504712,NAIL BN ARTHDS 10X210MM,20927.0,20927.0,3139.05,20927.0,30
CDM,504713,PLATE BN 20MM 1 LVL,4429.0,4429.0,664.35,4429.0,30
CDM,504714,INSERT ANKLE SZ4+ 9MM,14926.0,14926.0,2238.9,14926.0,30
CDM,504715,SCREW BN 5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,504716,SCREW BN 5MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,504717,SCREW BN 5MM 50MM,3189.0,3189.0,478.35,3189.0,30
CDM,504718,SCREW BN P/T 5X65MM,3593.0,3593.0,538.95,3593.0,30
CDM,504719,GWIRE ORTH 3.2MM 600MM,1537.5,1537.5,230.63,1537.5,42
CDM,504720,DRILL SURG 4.1MM,3570.5,3570.5,535.58,3570.5,42
CDM,504721,DRILL SURG 4.1MM,2750.5,2750.5,412.57,2750.5,42
CDM,504722,DRILL SURG 4.1MM,2701.5,2701.5,405.23,2701.5,42
CDM,504724,KWIRE ORTH 2.5MM 150MM,927.5,927.5,139.13,927.5,42
CDM,504725,CMPNT KN MED RT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,504726,CMPNT LAT KN RT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,504727,INSERT TIB KN SZ9 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,504728,MESH SURG 6CM 16CM,5590.0,5590.0,838.5,5590.0,30
CDM,504729,SCREW SPN 4MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,504730,SCREW BN 2X17MM,925.0,925.0,138.75,925.0,30
CDM,504731,INSERT KN LT SZ1-2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,504732,ROD SPN 5.5MM 150MM,2711.0,2711.0,406.65,2711.0,30
CDM,504733,SCREW SPN 5.5MM 130MM,2711.0,2711.0,406.65,2711.0,30
CDM,504734,CONN ROD SPN 24.5-31X5.5,3012.0,3012.0,451.8,3012.0,30
CDM,504735,SCREW SPN 4.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,504736,AUG FEM KN LT SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504737,AUGMENT FEM KN LT SZ6,13389.0,13389.0,2008.35,13389.0,30
CDM,504738,INSERT TIB SZ5 13MM,6737.0,6737.0,1010.55,6737.0,30
CDM,504739,STEM HIP REV 240X19X50MM,20336.0,20336.0,3050.4,20336.0,30
CDM,504740,SCREW BN SLF TP 5X36MM,3098.0,3098.0,464.7,3098.0,30
CDM,504741,DRILL GUIDE NASION,4385.5,4385.5,657.83,4385.5,42
CDM,504742,LEAD NRSTM 50CM,6445.0,6445.0,966.75,6445.0,30
CDM,504743,INSERT KN 8-11 E-F 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,504744,HEMOSTAT BN PUTTY,6622.0,6622.0,993.3,6622.0,30
CDM,504745,INSERT TIB LT SZ1 15MM,9870.0,9870.0,1480.5,9870.0,30
CDM,504746,INSERT ANKL LT SZ1 17MM,9870.0,9870.0,1480.5,9870.0,30
CDM,504747,PROTECTOR NRV 3.5X20MM,10564.0,10564.0,1584.6,10564.0,30
CDM,504748,ROD SPN 3.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
CDM,504749,CONN ROD SPN R/R 30MM,3012.0,3012.0,451.8,3012.0,30
CDM,504750,SCREW SPN 4MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,504751,BASEPLTE TIB KN RT SZ5,4606.0,4606.0,690.9,4606.0,30
CDM,504752,COMPNT TIB ANKLE SZ2,26812.0,26812.0,4021.8,26812.0,30
CDM,504753,LINER ACTB HIP SZ22 3MM,4606.0,4606.0,690.9,4606.0,30
CDM,504754,COMPONENT FEM SZ8 RT,18647.0,18647.0,2797.05,18647.0,30
CDM,504755,WEDGE KN SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,504756,AUG REV KN DIST SZ6 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,504757,STEM EXT 16MM 100MM,4429.0,4429.0,664.35,4429.0,30
CDM,504758,INSERT KN RT SZ7+ 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,504759,INSERT ARTC KN .5 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,504760,INSERT TIB KN SZ7 14MM,8309.0,8309.0,1246.35,8309.0,30
CDM,504761,SCREW BN INTLCK 5X38MM,3189.0,3189.0,478.35,3189.0,30
CDM,504762,NAIL KN 16MM 300MM,9793.0,9793.0,1468.95,9793.0,30
CDM,504763,SPACER SPN 6D 20X12X9.9,13287.0,13287.0,1993.05,13287.0,30
CDM,504764,EXTENSION GLOBAL MRS 70M,8726.0,8726.0,1308.9,8726.0,30
CDM,504765,CAGE SPN 15D 33X25X18MM,19200.0,19200.0,2880.0,19200.0,30
CDM,504766,DISTRACTOR SUR 2HL 2.3MM,13527.0,13527.0,2029.05,13527.0,30
CDM,504767,TOOL BONE DISTRACTOR ADJ,4093.0,4093.0,613.95,4093.0,42
CDM,504768,DSTRCT CRNFCL 10H 10MM,18065.0,18065.0,2709.75,18065.0,30
CDM,504769,TOOL BONE DISTRACTOR ADJ,773.0,773.0,115.95,773.0,42
CDM,504770,LENS IOL +16.5 DIOP,826.0,826.0,152.07,826.0,28
CDM,504771,LENS IOL +21.5 DIOP,826.0,826.0,152.07,826.0,28
CDM,504772,LENS IOL +18.5 DIOP,826.0,826.0,152.07,826.0,28
CDM,504773,LENS IOL +21.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,504774,INSRT TIB KN DRTN XL13MM,4429.0,4429.0,664.35,4429.0,30
CDM,504775,CMPNT GLND SHLDR 36MM,5537.0,5537.0,830.55,5537.0,30
CDM,504776,INSERT SHLDR 33 +3MM,4606.0,4606.0,690.9,4606.0,30
CDM,504777,SCREW BN ITST 11MM 95MM,3189.0,3189.0,478.35,3189.0,30
CDM,504778,LINER ACTB HIP SZG 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,504779,INTERBODY 15D 39X30X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504780,KIT UTERINE BLEED VAC 2,6625.5,6625.5,993.83,6625.5,42
CDM,504781,CAGE SPNL 16X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,504782,INSERT TIB KN SZ3 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,504783,CERCLAGE TAPE W/O NEEDLE,3721.0,3721.0,558.15,3721.0,30
CDM,504784,TENSIONER CERCLAGE DISP,2476.0,2476.0,371.4,2476.0,42
CDM,504785,INST PASSR SUT DISP MD,2026.0,2026.0,303.9,2026.0,42
CDM,504786,STEM FEM HIP SZ14 190MM,18523.0,18523.0,2778.45,18523.0,30
CDM,504787,INSERT HUM SHLDR 6X32MM,4606.0,4606.0,690.9,4606.0,30
CDM,504788,STEM FEM HIP SZ2S,8858.0,8858.0,1328.7,8858.0,30
CDM,504789,STEM HUM SHLDRFX 6X113MM,12402.0,12402.0,1860.3,12402.0,30
CDM,504790,INSERT KN RT SZ5 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,504791,SCREW BN 3.5MM 42MM,1781.0,1781.0,267.15,1781.0,30
CDM,504792,PLATE BN 5H 3.5MM 147MM,7292.0,7292.0,1093.8,7292.0,30
CDM,504795,INSERT TIB KN 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,504796,PLATE BN RT 6H 166MM,7069.0,7069.0,1060.35,7069.0,30
CDM,504797,SCREW BN 4.5MM 60MM,670.0,670.0,100.5,670.0,30
CDM,504798,SCREW BN 5MM 24MM,1993.0,1993.0,298.95,1993.0,30
CDM,504799,SCREW BN 5MM 36MM,1993.0,1993.0,298.95,1993.0,30
CDM,504800,SCREW BN 5MMX48MM,1993.0,1993.0,298.95,1993.0,30
CDM,504801,CANN PRFSN 69.9CM 21FR,2889.5,2889.5,433.43,2889.5,42
CDM,504802,TRIFLNG HIP ACTB RT SZ25,53148.0,53148.0,7972.2,53148.0,30
CDM,504803,SUTURE CV-5 TTC-13 24IN,429.0,429.0,64.35,429.0,42
CDM,504804,PLEDGET CV 1.5X7X3MM,44.0,44.0,6.6,44.0,42
CDM,504805,CANNULA ART PRFSN 29FX40,525.5,525.5,78.83,525.5,42
CDM,504806,CAUT BTRY 2 TIP HI TMP,147.5,147.5,22.13,147.5,42
CDM,504807,COVER PIN KWR .028IN,13.0,13.0,1.95,13.0,42
CDM,504809,TRIFLNG HIP ACTB RT SZ25,53148.0,53148.0,7972.2,53148.0,30
CDM,504814,APPLICATR FBRJT 20GA 2IN,450.0,450.0,67.5,450.0,42
CDM,504815,CLAMP ESURG STANDARD,27626.5,27626.5,4143.98,27626.5,42
CDM,504816,SHELL ACTB PLVS RT 54MM,44069.0,44069.0,6610.35,44069.0,30
CDM,504817,CMPNT HIP TRIFLNG SZ25,60788.0,60788.0,9118.2,60788.0,30
CDM,504818,VALVE AOR 25MM 34MM,19928.0,19928.0,2989.2,19928.0,30
CDM,504819,MARKER SURG SHAPE U,303.0,303.0,45.45,303.0,30
CDM,504821,IMPLNT BN WIRE 1.22X30,1590.0,1590.0,238.5,1590.0,30
CDM,504822,SUTURE BLK MONO 8-0 12IN,195.5,195.5,29.32,195.5,42
CDM,504823,ADAPTER TAPER HIP 3CM,8858.0,8858.0,1328.7,8858.0,30
CDM,504825,CMPNT HIP TRIFLNG SZ24,53148.0,53148.0,7972.2,53148.0,30
CDM,504826,SUTURE MFL 2-0 10X36IN,662.0,662.0,99.3,662.0,42
CDM,504827,CANN COR PRFSN 45D 12FR,428.5,428.5,64.28,428.5,42
CDM,504828,CANNULA PRFSN 14FR 18MM,951.5,951.5,142.72,951.5,42
CDM,504829,CUP ACTB HIP RT 60MM,44069.0,44069.0,6610.35,44069.0,30
CDM,504831,MICROSAW RT ANG 4MM 10MM,4230.5,4230.5,634.58,4230.5,42
CDM,504832,CUP ACTB HIP RT 64MM,44069.0,44069.0,6610.35,44069.0,30
CDM,504834,SUTURE BLK MONO 7-0 30IN,625.0,625.0,93.75,625.0,42
CDM,504836,KIT INJ ORAL NDL 1CC,4385.5,4385.5,807.37,4385.5,26
CDM,504837,CANN COR PRFSN 90D 12FR,428.5,428.5,64.28,428.5,42
CDM,504838,VALVE AORTIC 20MM,56253.0,56253.0,8437.95,56253.0,30
CDM,504839,VALVE AOR 21MM,56253.0,56253.0,8437.95,56253.0,30
CDM,504840,VALVE AOR 22MM,56253.0,56253.0,8437.95,56253.0,30
CDM,504841,VALVE AOR CNDT 23MM,58191.0,58191.0,8728.65,58191.0,30
CDM,504842,VALVE AOR CNDT 24MM,58191.0,58191.0,8728.65,58191.0,30
CDM,504843,VALVE AOR CNDT 25MM,58191.0,58191.0,8728.65,58191.0,30
CDM,504844,VALVE AOR CRVLV 26MM,58191.0,58191.0,8728.65,58191.0,30
CDM,504852,LENS IOL 23.0 DIOP,3241.0,3241.0,486.15,3241.0,32
CDM,504855,LENS IOL 22.0 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,504856,IMPLANT BREAST 265CC,4850.0,4850.0,727.5,4850.0,30
CDM,504858,LENS IOL +25.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,504859,EXPAND BRST 350CC,7884.0,7884.0,1182.6,7884.0,30
CDM,504860,BUTTON BLN GSTRC 14F 2.3,1023.5,1023.5,153.53,1023.5,42
CDM,504861,BUTTN BLN GSTR 14F 2.5CM,1023.5,1023.5,153.53,1023.5,42
CDM,504862,BTN BLN GSTR 14F 2.7CM,1023.5,1023.5,153.53,1023.5,42
CDM,504863,BUTTON BLN STMA 14FR 3CM,1023.5,1023.5,153.53,1023.5,42
CDM,504864,BUTTON GSTRM 14F 4CM,1023.5,1023.5,153.53,1023.5,42
CDM,504865,BUTTON BLN 14FR 4.4CM,1023.5,1023.5,153.53,1023.5,42
CDM,504867,BUTTON BLN 14FR 5.5CM,993.0,993.0,148.95,993.0,42
CDM,504868,BUTTON G-TUBE 14FX6CM,993.0,993.0,148.95,993.0,42
CDM,504869,BUTTON GSTRM 14FR 6.5MM,993.0,993.0,148.95,993.0,42
CDM,504873,BUTTON GSTRM 18FR 3.0CM,993.0,993.0,148.95,993.0,42
CDM,504875,TUBE EMG 6MM,2333.0,2333.0,349.95,2333.0,42
CDM,504876,TUBE EMG 7MM,2333.0,2333.0,349.95,2333.0,42
CDM,504877,TUBE EMG 8MM,2333.0,2333.0,349.95,2333.0,42
CDM,504878,IMPL EYLD WGHT SPHR2.6GM,3189.0,3189.0,478.35,3189.0,30
CDM,504879,IMPL EYLD WEIGHT 2.2GM,3189.0,3189.0,478.35,3189.0,30
CDM,504880,KNIFE OPTH 2.5MM BVR XST,231.5,231.5,34.73,231.5,42
CDM,504881,LENS IOL +19.0 DIOP,826.0,826.0,152.07,826.0,28
CDM,504882,LENS IOL +23.0 DIOP,826.0,826.0,152.07,826.0,28
CDM,504883,LENS IOL +16.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,504884,LENS IOL +24.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,504886,LENS IOL +23.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,504887,STENT MICRO GLAUCOMA,13029.0,13029.0,1954.35,13029.0,30
CDM,504888,IMPLANT BN MALAR SM,3968.0,3968.0,595.2,3968.0,30
CDM,504889,LENS IOL +20.5 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,504890,DEVICE TISSUE REMOVAL,4093.0,4093.0,613.95,4093.0,42
CDM,504891,DEVICE TISSUE REMOVAL,3111.5,3111.5,466.73,3111.5,42
CDM,504892,DEVICE TISSUE REMOVAL,4385.5,4385.5,657.83,4385.5,42
CDM,504893,CUP ACTB HIP LT 60MM,44069.0,44069.0,6610.35,44069.0,30
CDM,504894,BAG SPEC RETRVL 140ML,525.5,525.5,78.83,525.5,42
CDM,504895,BAG SPEC RETRVL 1400ML,773.0,773.0,115.95,773.0,42
CDM,504897,TOOL DSCT 4MM 7CM,962.0,962.0,144.3,962.0,42
CDM,504898,LENS IOL +20.0 DIOP,1170.5,1170.5,215.49,1170.5,28
CDM,504899,LENS IOL +24.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,504900,LENS IOL +15.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,504901,NAIL BN SP CNDL 11MM26CM,5789.0,5789.0,868.35,5789.0,30
CDM,504902,INSERT TIB KN 8-11E-F 10,4606.0,4606.0,690.9,4606.0,30
CDM,504903,INSERT TIB KN SZ1-2 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,504904,CATH ANGIO 5PK 5FR 100CM,160.5,160.5,24.07,160.5,42
CDM,504905,CATH ABL CRV D-F 115CM,19441.0,19441.0,2916.15,19441.0,42
CDM,504906,LINER ACTB HIP SZF 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,504907,MESH HRN 15X10CM,3721.0,3721.0,558.15,3721.0,30
CDM,504908,GRAFT BN CANC 50X20X5MM,4983.0,4983.0,747.45,4983.0,30
CDM,504909,INSERT KN ARTC 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504910,CMPNT KN TIB SZ7 14MM,4252.0,4252.0,637.8,4252.0,30
CDM,504911,PLATE CERV LV1 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,504912,NAIL LT 125D 30CM 13MM,7604.0,7604.0,1140.6,7604.0,30
CDM,504913,ROD SPN 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,504914,SCREW BN SPN 3.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,504915,ROD SPN 500MM 6MM,2711.0,2711.0,406.65,2711.0,30
CDM,504916,PIN BN BUTTRESS 32MM,957.0,957.0,143.55,957.0,30
CDM,504917,INSERT ARTC KN LT 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,504918,INSERT KN STD+ 17.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,504919,TOOL DSCT BAL 15CM 2.2CM,964.5,964.5,144.68,964.5,42
CDM,504920,STEM HIP FEM SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,504921,SCREW BN CRNFCL 2X12MM,1387.0,1387.0,208.05,1387.0,30
CDM,504922,PLATE BN 4H 1.5MM 28MM,3215.0,3215.0,482.25,3215.0,30
CDM,504923,SCREW BN CANN 5.0X75MM,3189.0,3189.0,478.35,3189.0,30
CDM,504924,SCREW BN CANN 5X70MM,3189.0,3189.0,478.35,3189.0,30
CDM,504925,SCREW BN CANN 5X80MM,3189.0,3189.0,478.35,3189.0,30
CDM,504926,SCREW BN SLFTP 5X44MM,2393.0,2393.0,358.95,2393.0,30
CDM,504928,SCREW BN INTLK 5X46MM,3189.0,3189.0,478.35,3189.0,30
CDM,504929,SCREW BN 5MM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,504930,STEM HUM SHLDR 12X128MM,12402.0,12402.0,1860.3,12402.0,30
CDM,504932,SCREW SPN LCK T15,753.0,753.0,112.95,753.0,30
CDM,504933,SCREW SPN 3.8MM 10MM,3389.0,3389.0,508.35,3389.0,30
CDM,504934,SCREW SPN 3.8X12MM,3389.0,3389.0,508.35,3389.0,30
CDM,504935,SCREW SPN 4.2MM 20MM,3389.0,3389.0,508.35,3389.0,30
CDM,504936,SCREW SPN 4.2MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,504937,SCREW SPN 4.2MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,504938,SCREW SPN 4.2MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,504939,INSERT ARTC KN 4-5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,504940,FILLER BN VD SYNTH 20CC,7308.0,7308.0,1096.2,7308.0,30
CDM,504941,STEM HUM 36/12 135MM,11959.0,11959.0,1793.85,11959.0,30
CDM,504942,NEEDLE SUT T-5 26.5MM,38.5,38.5,5.78,38.5,42
CDM,504943,WEDGE TIB KN SZ1-2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,504944,WEDGE TIB KN SZ1/2 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,504945,CAGE SPN 5X14X17MM,4429.0,4429.0,664.35,4429.0,30
CDM,504946,CAGE SPNL 15.5X2.3-5MM,4429.0,4429.0,664.35,4429.0,30
CDM,504947,ROD SPN 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,504948,PLATE BN 16 HL 4.5MM,8317.0,8317.0,1247.55,8317.0,30
CDM,504949,CMPNT FEM KN LT SZ3N,6764.0,6764.0,1014.6,6764.0,30
CDM,504950,INSERT TIB KN LT SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,504951,SCREW BN SPN 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,504952,INSERT TIB KN SZ3 6MM,8309.0,8309.0,1246.35,8309.0,30
CDM,504953,DISC INTVRTB 19X5X15MM,21703.0,21703.0,3255.45,21703.0,30
CDM,504954,INSERT ARTC KN 8-11 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,504955,PLATE BN CRNFCL 6H 6MM,3189.0,3189.0,478.35,3189.0,30
CDM,504956,STEM FEM HIP REV SZ15,19670.0,19670.0,2950.5,19670.0,30
CDM,504957,CLAMP SPN ROD-ROD 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,504958,SCREW SPN 3.5X10MM,3389.0,3389.0,508.35,3389.0,30
CDM,504959,SCREW SPN 5.5MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,504960,INSERT KN R/HNG XSM 12MM,17705.0,17705.0,2655.75,17705.0,30
CDM,504961,SUTURE POLY SZ2 40IN,187.0,187.0,28.05,187.0,42
CDM,504962,SCREW BN 3.5X38MM,3389.0,3389.0,508.35,3389.0,30
CDM,504963,SCREW SPN 3.5MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,504964,LINER ACTB HIP 28MM 42MM,4429.0,4429.0,664.35,4429.0,30
CDM,504965,BASEPLATE TIB KN LT SZ8,15287.0,15287.0,2293.05,15287.0,30
CDM,504966,NAIL BN 2.1MM 30MM,5426.0,5426.0,813.9,5426.0,30
CDM,504967,NAIL BN 1.8X20MM,5426.0,5426.0,813.9,5426.0,30
CDM,504968,BIT DRILL CANN 2.1MMX100,2046.5,2046.5,306.98,2046.5,42
CDM,504969,SCREW SPN 4.0X26MM,3389.0,3389.0,508.35,3389.0,30
CDM,504970,SCREW SPN 4.0MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,504971,BUTTON ACL W/SUTURE,4199.0,4199.0,629.85,4199.0,30
CDM,504972,KIT IMPL BN ANCH ABS,3189.0,3189.0,478.35,3189.0,30
CDM,504973,SUTURE POLY SZ2 26IN,1023.5,1023.5,153.53,1023.5,42
CDM,504974,SUTURE FBSNR #2 26IN,1023.5,1023.5,153.53,1023.5,42
CDM,504975,BUTTON FX CNCAV 3H 11MM,3189.0,3189.0,478.35,3189.0,30
CDM,504976,GRAFT QDRCP 9-11X60-75MM,10940.0,10940.0,1641.0,10940.0,30
CDM,504977,SPACER SPN 34X11MM,8858.0,8858.0,1328.7,8858.0,30
CDM,504979,CAP NERVE PROT 3X15MM,9266.0,9266.0,1389.9,9266.0,30
CDM,504980,CAP NERVE PROT 4X15MM,9266.0,9266.0,1389.9,9266.0,30
CDM,504981,LINER HIP 40MM +5 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,504982,DRILL SURG CANN 7MM,1676.0,1676.0,251.4,1676.0,42
CDM,504983,PLATE BN PTLA 6H 2.7MM,8861.0,8861.0,1329.15,8861.0,30
CDM,504984,INSERT TIB KN SZ6 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,504985,LEAD NRSTM 16CH 60CM,10595.0,10595.0,1589.25,10595.0,30
CDM,504986,CAGE SPN 5D 15X12X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,504987,PLATE BN 10HL,3189.0,3189.0,478.35,3189.0,30
CDM,504988,SCREW BN 1.85MM 6MM,1785.0,1785.0,267.75,1785.0,30
CDM,504989,PLATE BN 1.25MM,3189.0,3189.0,478.35,3189.0,30
CDM,504990,INSERT HIP ACTB 28X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,504992,MICROSAW LT ANG 4MM 10MM,4230.5,4230.5,634.58,4230.5,42
CDM,504993,CMPNT FEM NAR KN LT SZ6,7973.0,7973.0,1195.95,7973.0,30
CDM,504994,STEM FEM HIP 150MM 22MM,4429.0,4429.0,664.35,4429.0,30
CDM,504995,SCREW SPN 7.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,504996,SCREW SPN RDCTN 7.5X50MM,3389.0,3389.0,508.35,3389.0,30
CDM,504997,SCREW SPN RDCTN 8.5X50MM,3389.0,3389.0,508.35,3389.0,30
CDM,504998,SCREW SPN 8.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,504999,INTBDY SPN 10D 39X30X14,8858.0,8858.0,1328.7,8858.0,30
CDM,505000,INSERT KN TIB SZ5 16MM,6737.0,6737.0,1010.55,6737.0,30
CDM,505001,SCREW SPN 6.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
CDM,505002,SCREW SPN 8.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,505003,STEM HIP STD OFST SZ9,8416.0,8416.0,1262.4,8416.0,30
CDM,505004,SPACER SPN 9MM 27MM 8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,505005,INSERT KN SZ6-7 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,505007,STEM FEM HIP 12/14 SZ4,8416.0,8416.0,1262.4,8416.0,30
CDM,505009,INSERT HIP 45/56-58MM,4429.0,4429.0,664.35,4429.0,30
CDM,505010,STEM HIP SZ7M,8416.0,8416.0,1262.4,8416.0,30
CDM,505011,ADAPTER LD CHANNEL 10CM,4429.0,4429.0,664.35,4429.0,30
CDM,505013,INSERT HIP 28/45MM,4429.0,4429.0,664.35,4429.0,30
CDM,505014,TOOL SURG 7CM 1.1X6MM,806.0,806.0,120.9,806.0,42
CDM,505015,SHELL ACTB HIP MOD 64MM,10420.0,10420.0,1563.0,10420.0,30
CDM,505016,LINER ACTB HIP SZ24 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,505017,NAIL FEM RT 11.5MM 42CM,9050.0,9050.0,1357.5,9050.0,30
CDM,505018,EXTENSION LEAD 30CM,3869.0,3869.0,580.35,3869.0,30
CDM,505019,SCREW SPN 7.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,505020,SCREW SPN 7.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,505021,PLATE BN 2-ANG SM 2.5MM,9325.0,9325.0,1398.75,9325.0,30
CDM,505022,SCREW SPN 6MM 35MM,1130.0,1130.0,169.5,1130.0,30
CDM,505023,INSERT KN TIB RT 22MM,9966.0,9966.0,1494.9,9966.0,30
CDM,505024,EXT KN FEM 140MM,8863.0,8863.0,1329.45,8863.0,30
CDM,505025,STEM KN FLUT G 17MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,505026,LINER ACTB HIP 28X47MM,4429.0,4429.0,664.35,4429.0,30
CDM,505027,STEM FEM HIP 12/14 SZ9,8416.0,8416.0,1262.4,8416.0,30
CDM,505028,PLUG DEFIB PORT,367.0,367.0,55.05,367.0,30
CDM,505029,SYSTEM ANCHOR LIGMNT RPR,6953.0,6953.0,1042.95,6953.0,30
CDM,505030,SCREW SPN 4.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,505031,COMPNT PTLR STD 7.5X26MM,4252.0,4252.0,637.8,4252.0,30
CDM,505033,CMPNT TIB KN RS 75 60X20,9920.0,9920.0,1488.0,9920.0,30
CDM,505034,CMPNT KN FEM LT ELP 7CM,23343.0,23343.0,3501.45,23343.0,30
CDM,505035,STEM FEM KN 22.5MM 150MM,5812.0,5812.0,871.8,5812.0,30
CDM,505036,PIN BN KN FIX,3189.0,3189.0,478.35,3189.0,30
CDM,505037,CMPNT FEM KN LT SZ8,7397.0,7397.0,1109.55,7397.0,30
CDM,505038,ROD SPN 5.5MM 180MM,2711.0,2711.0,406.65,2711.0,30
CDM,505040,PLATE BN S LT CLV 2.7MM,4429.0,4429.0,664.35,4429.0,30
CDM,505041,INSERT ARTC KN 6-7 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,505042,AUGMENT KN FEM RT SZ5,13389.0,13389.0,2008.35,13389.0,30
CDM,505043,SCREW SPN 8.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,505044,NAIL BN 9MM 360MM,5013.0,5013.0,751.95,5013.0,30
CDM,505045,DEV SURG SLV NAIL 8-11MM,1023.5,1023.5,153.53,1023.5,42
CDM,505046,TROCAR FOR NL LNG 8-11MM,773.0,773.0,115.95,773.0,42
CDM,505047,INSERT TIB LT SZ0 8MM,6878.0,6878.0,1031.7,6878.0,30
CDM,505048,CAGE SPNL 40X10MM,19200.0,19200.0,2880.0,19200.0,30
CDM,505049,INSERT ANKL SZ4 6MM,14926.0,14926.0,2238.9,14926.0,30
CDM,505050,TOOL TUNNELER SURG 12IN,448.5,448.5,67.28,448.5,42
CDM,505051,STEM KN REV 6MM 16MM,10364.0,10364.0,1554.6,10364.0,30
CDM,505052,STEM FEM HIP 12/14 SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,505053,CAGE SPN 15D 35X27X12MM,8858.0,8858.0,1328.7,8858.0,30
CDM,505054,CAGE SPN 10D 35X27X8MM,8858.0,8858.0,1328.7,8858.0,30
CDM,505055,INSERT TIB KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,505056,SCREW SPN 5.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,505057,COMPONENT KN FEM 4 RM/LL,5980.0,5980.0,897.0,5980.0,30
CDM,505058,INSERT KN TIB SZ3-4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,505059,PLATE BN STD LONG RT,5387.0,5387.0,808.05,5387.0,30
CDM,505060,STEM FEM HIP 22MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,505061,BASEPLATE KN TIB LT SZ4,4606.0,4606.0,690.9,4606.0,30
CDM,505064,STEM FEM HIP 23MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,505065,STEM FEM HIP 24MM 190MM,7805.0,7805.0,1170.75,7805.0,30
CDM,505066,NAIL 9MM 320MM FEM LT NL,6431.0,6431.0,964.65,6431.0,30
CDM,505067,SCREW BN 4MM 58MM,2143.0,2143.0,321.45,2143.0,30
CDM,505068,COMPNT CUP HUM SHLDR +6,4606.0,4606.0,690.9,4606.0,30
CDM,505069,STEM HUM 21MM 32MM,11959.0,11959.0,1793.85,11959.0,30
CDM,505070,INSERT ARTC KN 6-7 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,505071,CAGE ALIF 8D 24X32X14MM,8858.0,8858.0,1328.7,8858.0,30
CDM,505072,INSERT TIB KN 20MM,9966.0,9966.0,1494.9,9966.0,30
CDM,505073,SCREW BN 2MM 8MM,1593.0,1593.0,238.95,1593.0,30
CDM,505074,SCREW BN MNDB 3.2X8MM,989.0,989.0,148.35,989.0,30
CDM,505075,SCREW BN 2.5MM 34MM,3189.0,3189.0,478.35,3189.0,30
CDM,505076,PLATE BN STRUT 8HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,505077,CMPNT KNEE TIB SZ7 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,505079,PLANNING KIT SURG MNDB,38754.0,38754.0,5813.1,38754.0,42
CDM,505080,KIT SURG GUIDE MIDFACE,12918.0,12918.0,1937.7,12918.0,42
CDM,505082,CMPNT TIB KN SZ8 6MM,4651.0,4651.0,697.65,4651.0,30
CDM,505083,BALLOON PTCA 4.5MM 20MM,6139.5,6139.5,920.92,6139.5,42
CDM,505084,INSERT TIB KN LT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,505085,LENS IOL +26.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,505087,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,505088,SCREW SPN 6.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,505089,ROD SPN 5.5MM 100-200MM,3291.0,3291.0,493.65,3291.0,30
CDM,505090,PLATE BN 11 HL 56MM,4429.0,4429.0,664.35,4429.0,30
CDM,505091,SCREW SPN PLYAX 3.5X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,505093,CUP HUMERAL 36 +9,4606.0,4606.0,690.9,4606.0,30
CDM,505094,INSERT KN TIB SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,505095,KIT MIDFACE RECON MODEL,10926.0,10926.0,1638.9,10926.0,42
CDM,505096,PLATE MNDB BN TI MIDFACE,14397.0,14397.0,2159.55,14397.0,30
CDM,505097,GUIDE MDFC 3D PRNT SURG,16630.0,16630.0,2494.5,16630.0,42
CDM,505098,SUTURE NDL HD W/MGELDR,1676.0,1676.0,251.4,1676.0,42
CDM,505099,SUTURE TAPE WHITE 39.5IN,1023.5,1023.5,153.53,1023.5,42
CDM,505100,SCREW SPN 5.0X20MM,3389.0,3389.0,508.35,3389.0,30
CDM,505101,SCREW SPN 8.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,505103,PLATE 146MM TI6AL4V 10HL,3972.0,3972.0,595.8,3972.0,30
CDM,505104,SCREW BN 4MM 50MM,2392.0,2392.0,358.8,2392.0,30
CDM,505105,NAIL BN 130D 10MM 235MM,5567.0,5567.0,835.05,5567.0,30
CDM,505106,STEM FEM HIP 12/14 SZ3,8416.0,8416.0,1262.4,8416.0,30
CDM,505107,NECK HIP FEM STR LONG,4252.0,4252.0,637.8,4252.0,30
CDM,505108,PROBE PRCR SURG 10MM,5090.5,5090.5,763.58,5090.5,42
CDM,505109,ROD SPN PERC STRT 190MM,3012.0,3012.0,451.8,3012.0,30
CDM,505110,PLATE BN ORT VAR 11MM,5475.0,5475.0,821.25,5475.0,30
CDM,505111,INSERT TIB KN SZ3-4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,505112,SCREW SPN RDC 6.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,505113,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,505114,SCREW SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,505115,SCREW SPN 8.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,505116,SCREW SPN 8.5MM 100MM,3389.0,3389.0,508.35,3389.0,30
CDM,505118,NAIL BN SP CNDL 13X360MM,5789.0,5789.0,868.35,5789.0,30
CDM,505119,INSERT KN TIB SZ9 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,505120,SHELL ACTB HIP 3HL 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,505121,LINER HIP 56-58MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,505123,CLIP KN LCK ONE SIZE,4252.0,4252.0,637.8,4252.0,30
CDM,505124,INSERT KN SZ2 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,505125,INSERT KN TIB RT 7+ 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,505126,SHELL ACTB HIP 3H 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,505127,LINER ACTB HIP 50MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,505128,ENDPLATE SPN 20MM 20MM,9806.0,9806.0,1470.9,9806.0,30
CDM,505129,SPACER SPN 16D 20X25X30,3016.0,3016.0,452.4,3016.0,30
CDM,505130,SPACER SPN 20MM 26-34MM,28039.0,28039.0,4205.85,28039.0,30
CDM,505131,STEM FEM HIP STD 15D,19045.0,19045.0,2856.75,19045.0,30
CDM,505132,INSERT FULL KNEE KIT,17274.0,17274.0,2591.1,17274.0,30
CDM,505133,SHELL HIP 3HL 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,505134,LINER HIP 60-62MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,505135,CMPNT TIB KN 0DG SZE,4606.0,4606.0,690.9,4606.0,30
CDM,505136,LINER FEM HIP D 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,505137,SCREW BN CRTX 3.5X14MM,336.0,336.0,50.4,336.0,30
CDM,505138,SCREW BN 2X8MM 1LVL,1966.0,1966.0,294.9,1966.0,30
CDM,505139,DRL TWIST 1.5X105MM NTCH,1331.0,1331.0,199.65,1331.0,42
CDM,505140,DRILL TWST 115X1.9MM,1023.5,1023.5,153.53,1023.5,42
CDM,505142,INSERT KN TIB RT 12MM,9966.0,9966.0,1494.9,9966.0,30
CDM,505143,SYSTEM BLNDIL 7X24MM,4093.0,4093.0,613.95,4093.0,42
CDM,505144,BASEPLATE KN TIB RT SZ4,11030.0,11030.0,1654.5,11030.0,30
CDM,505145,CAGE 15D 7-11.5MM 9X23MM,15059.0,15059.0,2258.85,15059.0,30
CDM,505146,ANCHOR BN SELF-PUNCHNG,3203.0,3203.0,480.45,3203.0,30
CDM,505149,STEM EXT KN 80MM,3846.0,3846.0,576.9,3846.0,30
CDM,505152,CAGE SPN 12D 14X7MM,4606.0,4606.0,690.9,4606.0,30
CDM,505153,SCREW BN 2MM 11MM,925.0,925.0,138.75,925.0,30
CDM,505155,DISC SPN LARGE 5MM,21703.0,21703.0,3255.45,21703.0,30
CDM,505156,INSERT HIP 41/52-54MM,4429.0,4429.0,664.35,4429.0,30
CDM,505157,INSERT HIP SZ28/41MM,4429.0,4429.0,664.35,4429.0,30
CDM,505158,ROD SPN 4.0-5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
CDM,505159,SCREW SPN 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,505160,SCREW SPN 5.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
CDM,505161,COMPNT TIB KN LT 0D SZG,4606.0,4606.0,690.9,4606.0,30
CDM,505162,INSERT ARTC KN 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,505163,GRAFT ENDO AAA 23X12MM,46660.0,46660.0,6999.0,46660.0,30
CDM,505164,STEM FEM KN 15MM 127MM,8181.0,8181.0,1227.15,8181.0,30
CDM,505165,FILLER BN VOID 10CC,5094.0,5094.0,764.1,5094.0,30
CDM,505166,INST PASSR SUT DISP LG,2026.0,2026.0,303.9,2026.0,42
CDM,505167,PLATE BN 12H LT 285MM,5758.0,5758.0,863.7,5758.0,30
CDM,505168,LENS IOL +18.0 DIOP,826.0,826.0,152.07,826.0,28
CDM,505169,LENS IOL +15.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,505170,BASEPLATE LAT SHLDR 25MM,6201.0,6201.0,930.15,6201.0,30
CDM,505171,SCREW BN S/T 2.4MM 18MM,1344.0,1344.0,201.6,1344.0,30
CDM,505172,CAGE SPNL 37MM 12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,505173,CAGE SPN 12D 21X32X12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,505174,SCREW SPN 6.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,505175,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,505177,ROD SPN 5.5MMM 50M,2711.0,2711.0,406.65,2711.0,30
CDM,505178,SPACER SPN 28MM 7MM,8858.0,8858.0,1328.7,8858.0,30
CDM,505179,CMPNT KN FEM SZ6,6688.0,6688.0,1003.2,6688.0,30
CDM,505180,CMPNT KN TIB SZ3 16MM,4252.0,4252.0,637.8,4252.0,30
CDM,505181,STEM HIP FEM SZ8,8416.0,8416.0,1262.4,8416.0,30
CDM,505182,INSERT KN TIB 71/75X24MM,4606.0,4606.0,690.9,4606.0,30
CDM,505183,NAIL BN 13MM 11MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,505184,ANCHOR SUT 4.75MM,3721.0,3721.0,558.15,3721.0,30
CDM,505185,ANCHOR SUT 4.75MM,3721.0,3721.0,558.15,3721.0,30
CDM,505186,STENT GRAFT 28MM 4.5CM,16338.0,16338.0,2450.7,16338.0,30
CDM,505187,LENS IOL +24.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,505188,LENS IOL +18.0 DIOP,2699.5,2699.5,404.93,2699.5,32
CDM,505189,SCREW BN 4.5MM 50MM,2884.0,2884.0,432.6,2884.0,30
CDM,505190,PLUG CONN DBS IMPLANT,3189.0,3189.0,478.35,3189.0,30
CDM,505191,KIT IMPL NEUROSTIM,87606.0,87606.0,13140.9,87606.0,30
CDM,505192,KIT PATIENT PRGRMR,6707.5,6707.5,1006.13,6707.5,42
CDM,505193,CMPNT KN TIB SZ2 14MM,4252.0,4252.0,637.8,4252.0,30
CDM,505194,INSERT KN 8-9 C-D 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,505195,NAIL BN 1.8MM 25MM,5426.0,5426.0,813.9,5426.0,30
CDM,505196,SCREW SPN 5.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,505197,ROD SPN 4.5MM 240MM,3012.0,3012.0,451.8,3012.0,30
CDM,505203,ANCHOR SUT 5.5MM,3189.0,3189.0,478.35,3189.0,30
CDM,505207,ROD SPN 4/4.55X600MM,2711.0,2711.0,406.65,2711.0,30
CDM,505208,ANCHOR BN KNOTLESS 5.0,5156.0,5156.0,773.4,5156.0,30
CDM,505209,HEAD HUM SHLDR SZ3,12845.0,12845.0,1926.75,12845.0,30
CDM,505210,HEAD HUM SHLDR 21MM 56MM,4872.0,4872.0,730.8,4872.0,30
CDM,505211,PLATE BN 4H 1MM 30MM,1572.0,1572.0,235.8,1572.0,30
CDM,505212,MODEL ANATOMY ORGAN/BONE,3069.5,3069.5,460.43,3069.5,42
CDM,505213,INSRT ARTC KN RT 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,505214,STEM HUM REV SIZE 6,11073.0,11073.0,1660.95,11073.0,30
CDM,505215,HEAD GLND SHLDR 33MM,4606.0,4606.0,690.9,4606.0,30
CDM,505216,SCREW SPN 6.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
CDM,505217,INSRT ARTC KN RT 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,505218,KIT SYRINGE - 3WAY STPCK,386.5,386.5,57.98,386.5,42
CDM,505219,IMPLANT MESH SURG MEDIUM,14829.0,14829.0,2224.35,14829.0,30
CDM,505403,LENS IOL +16.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,505404,BAG SPEC RETRVL 750ML,716.5,716.5,107.47,716.5,42
CDM,505405,DEVICE TISSUE REMOVAL,4092.5,4092.5,613.88,4092.5,42
CDM,505406,LENS IOL +12.5 DIOP,837.5,837.5,154.18,837.5,28
CDM,505407,LENS IOL 16.5 DIOP,3290.0,3290.0,493.5,3290.0,32
CDM,505408,LENS IOL +28.5 DIOP,673.0,673.0,123.9,673.0,28
CDM,505409,LENS IOL +14.0 DIOP,646.0,646.0,118.93,646.0,28
CDM,505410,LENS IOL +10.0 DIOP,673.0,673.0,123.9,673.0,28
CDM,505411,LENS IOL +22.0 DIOP,673.0,673.0,123.9,673.0,28
CDM,505412,CABLE SPN SS W/NDLE 5P,1485.0,1485.0,222.75,1485.0,30
CDM,505413,FORCEP BX 2.8MM 240CM,231.5,231.5,34.73,231.5,42
CDM,505414,IMPLANT BREAST 175CC,4185.0,4185.0,627.75,4185.0,30
CDM,505415,IMPLANT BREAST 375CC,4850.0,4850.0,727.5,4850.0,30
CDM,505416,LENS IOL +13.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,505417,IMPLANT BREAST 800CC,4429.0,4429.0,664.35,4429.0,30
CDM,505419,LENS IOL +10.5 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,505420,LENS IOL +11.5 DIOP,861.0,861.0,158.51,861.0,28
CDM,505421,LENS IOL +19.5 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,505422,LENS IOL +22.5 DIOP,826.0,826.0,152.07,826.0,28
CDM,505423,KNIFE MYRNGTM 45D 6IN,231.5,231.5,34.73,231.5,42
CDM,505424,TUBE EAR VENT BLU 1.14MM,306.0,306.0,45.9,306.0,30
CDM,505425,LENS IOL +19.5 DIOP,826.0,826.0,152.07,826.0,28
CDM,505426,CATH URET DRN 14FR,13.0,13.0,1.95,13.0,42
CDM,505427,LENS IOL +25.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,505429,LENS IOL +22.0 DIOP,866.5,866.5,159.52,866.5,28
CDM,505431,LENS IOL +21.5 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,505433,LINER ACTB HIP +4MM 66MM,6644.0,6644.0,996.6,6644.0,30
CDM,505434,LINER ACTB HIP48/41 48MM,4872.0,4872.0,730.8,4872.0,30
CDM,505447,CMPNT KN FEM LT SZ3,6764.0,6764.0,1014.6,6764.0,30
CDM,505466,COMPT KN TIB BASE SZ2,4651.0,4651.0,697.65,4651.0,30
CDM,505467,SLEEVE FEM KN +0MM,4429.0,4429.0,664.35,4429.0,30
CDM,505470,SLEEVE TIB KN PRCT 61MM,10241.0,10241.0,1536.15,10241.0,30
CDM,505496,IMPLANT KN TIB SZ4 12MM,4651.0,4651.0,697.65,4651.0,30
CDM,505504,COMPNT KN TIB 12MM SZ6,4651.0,4651.0,697.65,4651.0,30
CDM,505579,INSERT KN TIB SZ9 14MM,8309.0,8309.0,1246.35,8309.0,30
CDM,505585,INSERT KN TIB SZ10 10MM,8309.0,8309.0,1246.35,8309.0,30
CDM,505593,INSERT TIB KN XXS 12MM,17705.0,17705.0,2655.75,17705.0,30
CDM,505595,INSERT TIB KN XXS 20MM,17705.0,17705.0,2655.75,17705.0,30
CDM,505599,INSERT KN XSM 16MM,17705.0,17705.0,2655.75,17705.0,30
CDM,505616,INSERT REV KN MED 20MM,17705.0,17705.0,2655.75,17705.0,30
CDM,505622,INSERT TIB KN LT SZ3 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,505627,INSERT TIB KN LT SZ4 6MM,4606.0,4606.0,690.9,4606.0,30
CDM,505628,INSERT TIB KN LT SZ4 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,505630,INSERT TIB KN L SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,505633,INSERT TIB KN L SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,505638,INSERT TIB KN SZ10,4606.0,4606.0,690.9,4606.0,30
CDM,505643,INSERT KN TIB RT SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,505648,INSERT TIB KN RT SZ4 7MM,4606.0,4606.0,690.9,4606.0,30
CDM,505649,INSERT TIB KN RT SZ4 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,505653,INSERT TIB KN R SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,505706,STEM FEM HIP 24MM 190MM,8699.0,8699.0,1304.85,8699.0,30
CDM,506181,KIT EMBL DTCH HANDLE,1842.0,1842.0,276.3,1842.0,42
CDM,506182,BLADE MYRINGOTOMY SPEAR,231.5,231.5,34.73,231.5,42
CDM,506183,CATH ANGIO 5FR 65CM,231.5,231.5,34.73,231.5,42
CDM,506184,LINER ACTB HIP 45/22,4429.0,4429.0,664.35,4429.0,30
CDM,506189,SET BRUSHES PWRD 2 EA,1023.5,1023.5,153.53,1023.5,42
CDM,506190,STYLET LD 60CM,263.0,263.0,39.45,263.0,42
CDM,506191,BAG SPEC RETRVL 240ML,445.0,445.0,66.75,445.0,42
CDM,506193,GDWIRE GSTR/URO SPRNG TP,695.5,695.5,104.33,695.5,42
CDM,506196,SLING TRNVG MID URETH,4429.0,4429.0,664.35,4429.0,30
CDM,506198,ANCHOR SYS SOFT TISSUE,686.0,686.0,102.9,686.0,30
CDM,509090,CATHETER DLYS 38.9CM,847.5,847.5,127.13,847.5,42
CDM,509091,CATH PRTNL 42CM,1098.0,1098.0,164.7,1098.0,42
CDM,509092,CATH GLYS 15FR 59CM,865.0,865.0,129.75,865.0,42
CDM,509093,STYLET DLYS 41CM,1023.0,1023.0,153.45,1023.0,42
CDM,509094,STYLET DLYS 61CM,1023.5,1023.5,153.53,1023.5,42
CDM,509095,ADAPTER DYLS 18.75CM,1023.5,1023.5,153.53,1023.5,42
CDM,509096,STYLET DLYS TUNNEL 23CM,218.5,218.5,32.77,218.5,42
CDM,509129,ELECTRODE ESURG LOOP 21F,2792.0,2792.0,418.8,2792.0,42
CDM,509131,DRAIN INCS .25IN 18IN,41.0,41.0,6.15,41.0,42
CDM,509135,BLADE 15D 3.5MM 22.5CM,2639.0,2639.0,395.85,2639.0,42
CDM,509144,CURETTE VAC DISP 11MM,41.0,41.0,6.15,41.0,42
CDM,509148,HANDPIECE ESURG 10FT 6IN,895.5,895.5,134.32,895.5,42
CDM,509153,BCKL SCLR 100X4.5X1.25MM,1387.0,1387.0,208.05,1387.0,30
CDM,509154,SPONGE SCLERAL 7.5X3.2MM,1139.0,1139.0,170.85,1139.0,30
CDM,509156,PUNCH DERMAL RZR TIP 5MM,60.5,60.5,9.07,60.5,42
CDM,509157,PUNCH DERMAL RZR TIP 6MM,393.5,393.5,59.02,393.5,42
CDM,509162,LENS IOL +29.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,509163,EXPANDER TISS 360-430CC,7530.0,7530.0,1129.5,7530.0,30
CDM,509164,EXPANDER TISS 480-575CC,7530.0,7530.0,1129.5,7530.0,30
CDM,509167,PRC SND LF NS,14871.0,14871.0,2737.75,14871.0,26
CDM,509171,TIP MNPLT CONTOR SMALL,970.5,970.5,145.57,970.5,42
CDM,509172,EXPANDER TISS BRST 535CC,9168.0,9168.0,1375.2,9168.0,30
CDM,509176,LENS IOL +15.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,509177,DEVICE FX FSTFX RVRS CRV,3497.0,3497.0,524.55,3497.0,30
CDM,509186,SCREW BN 1.3X14MM,547.0,547.0,82.05,547.0,30
CDM,509187,SCREW BN 1.3MM 16MM,547.0,547.0,82.05,547.0,30
CDM,509195,CLIP LIGATION SMALL,36.0,36.0,5.4,36.0,30
CDM,509196,CLIP LIGATION MEDIUM,208.0,208.0,31.2,208.0,30
CDM,509197,CLIP LIGATION LARGE,378.0,378.0,56.7,378.0,30
CDM,509213,BAR SUPP PECTUS 11.5IN,6267.0,6267.0,940.05,6267.0,30
CDM,509216,BLADE CRNL LONG 7.25MM,1289.5,1289.5,193.43,1289.5,42
CDM,510300,PACK POST VITRTM CSTM23G,4093.0,4093.0,613.95,4093.0,42
CDM,510301,PACK POST VITRTM CSTM25G,4093.0,4093.0,613.95,4093.0,42
CDM,510302,SCREW BN 2X7MM,773.0,773.0,115.95,773.0,30
CDM,510324,PROBE STIM TIP 1.3MM,1023.5,1023.5,153.53,1023.5,42
CDM,510325,TIP MNPLT 11.4CM 3.8CM,773.0,773.0,115.95,773.0,42
CDM,510326,TIP MNPLT 9CM 3.5CM,773.0,773.0,115.95,773.0,42
CDM,510328,GRAFIX STRAVIX PL 1SQCM,3012.0,3012.0,451.8,3012.0,29
CDM,510331,BURR CRBDE RND 45X3MM,323.0,323.0,48.45,323.0,42
CDM,510334,TISSUE EXP 11CM 10CM,6622.0,6622.0,993.3,6622.0,30
CDM,510335,TISSUE EXPANDER SMOOTH,6622.0,6622.0,993.3,6622.0,30
CDM,510336,TISSUE XPNDR BRST SMTH,6622.0,6622.0,993.3,6622.0,30
CDM,510337,TISSUE EXPNDR SMTH 500CC,6622.0,6622.0,993.3,6622.0,30
CDM,510340,NAIL TAN LT 11.5MM 36CM,6759.0,6759.0,1013.85,6759.0,30
CDM,510343,SYSTEM URTH SUPP BLU,4429.0,4429.0,664.35,4429.0,30
CDM,510347,SCREW BN 4MM 30MM,2344.0,2344.0,351.6,2344.0,30
CDM,510348,LENS IOL +22.0 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,510350,LENS IOL +17.5 DIOP,491.0,491.0,90.39,491.0,28
CDM,510363,GRAFT ST TIS 8X6CM,9594.0,9594.0,1439.1,9594.0,30
CDM,510364,TUBE LAPRO VAG 35MM,1023.5,1023.5,153.53,1023.5,42
CDM,510365,TUBE LAPRO VAG 45MM,1023.5,1023.5,153.53,1023.5,42
CDM,510376,DEVICE WNDCLS 23CM SZ0,643.5,643.5,96.53,643.5,42
CDM,510382,PROBE ESURG VTRCTMY 20G,1760.0,1760.0,264.0,1760.0,42
CDM,510394,ALLOGRAFT WEDGE 6MM,3370.0,3370.0,505.5,3370.0,30
CDM,510405,SPHERE EYE SILICONE 16MM,1021.0,1021.0,153.15,1021.0,30
CDM,510406,SPHERE EYE SILICONE 18MM,1021.0,1021.0,153.15,1021.0,42
CDM,510407,SPHERE EYE SILICONE 20MM,1021.0,1021.0,153.15,1021.0,42
CDM,510408,SPHERE EYE SILICONE 22MM,1021.0,1021.0,153.15,1021.0,42
CDM,510413,PUNCH SURG 7.5MM,829.0,829.0,124.35,829.0,42
CDM,510417,PROBE VITRTM 27+,2077.0,2077.0,311.55,2077.0,42
CDM,510418,FORCEPS OPTH 27+GA,1301.0,1301.0,195.15,1301.0,42
CDM,510421,SYSTEM VITRTM 27GA,1166.5,1166.5,174.97,1166.5,42
CDM,510424,DEVICE CLSR WND +1 60CM,358.5,358.5,53.77,358.5,42
CDM,510425,WAND ESURG W CABLE,3073.0,3073.0,460.95,3073.0,42
CDM,510434,LENS IOL +17.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,510435,PORT ACC 5MM 75MM,773.0,773.0,115.95,773.0,42
CDM,510437,SCREW BN 3.5MM 10MM,463.0,463.0,69.45,463.0,30
CDM,510438,SCREW BN LCK 3.5MN 12MM,463.0,463.0,69.45,463.0,30
CDM,510439,PLATE BN STD 6H 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,510445,IMPLANT COCHLR OSS KIT,18860.0,18860.0,3472.13,18860.0,26
CDM,510447,LENS IOL +19.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,510448,LENS IOL +19.0 DIOP,491.0,491.0,90.39,491.0,28
CDM,510449,LENS IOL +12.0 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,510451,LENS IOL +11.5 DIOP,2141.5,2141.5,321.23,2141.5,32
CDM,510466,TOOL DSCT 7CM 4MM,962.0,962.0,144.3,962.0,42
CDM,510467,IPG NRSTM 17MM 47MM,42098.0,42098.0,6314.7,42098.0,30
CDM,510468,LEAD NRSTM 28X33X41CM,15498.0,15498.0,2324.7,15498.0,30
CDM,510469,KIT NRSTM PT PROGRAMMER,7469.5,7469.5,1120.42,7469.5,42
CDM,510472,XTN NRSTM PERC 2.16MM,3097.0,3097.0,464.55,3097.0,30
CDM,510473,CHARGER NEUROSTIM,5116.0,5116.0,767.4,5116.0,42
CDM,510475,CANN SUC SPAT 3X150MM 3H,773.0,773.0,115.95,773.0,42
CDM,511131,RETRACTOR SG 32.5X18.3CM,773.0,773.0,115.95,773.0,42
CDM,511723,SCREW BN LCK 3.5MM 85MM,1379.0,1379.0,206.85,1379.0,30
CDM,511974,LENS IOL +20.5 DIOP,1220.0,1220.0,224.6,1220.0,28
CDM,511975,LENS IOL +11.0 DIOP,861.0,861.0,158.51,861.0,28
CDM,511978,SCREW SPN 5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,511979,SCREW SPN 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,511980,NAIL LNG 125D 10X380MM,7233.0,7233.0,1084.95,7233.0,30
CDM,511981,STENT EPRSTH 37X37X20CM,67672.0,67672.0,10150.8,67672.0,30
CDM,511982,LENS IOL +12.0 DIOP,3241.0,3241.0,596.67,3241.0,28
CDM,511983,EXPANDER OPTH 7MM,1269.0,1269.0,190.35,1269.0,42
CDM,511986,BAR SUPP PECTUS 10.5IN,6267.0,6267.0,940.05,6267.0,30
CDM,511987,LENS IOL +28.0 DIOP,722.0,722.0,132.92,722.0,28
CDM,512024,ADAPTER CONN PERF 1/4IN,91.5,91.5,13.72,91.5,42
CDM,512027,OSTME THN BLDE 3IN 8MM,2022.0,2022.0,303.3,2022.0,42
CDM,512029,OSTME THN BLDE 5IN 8MM,2022.0,2022.0,303.3,2022.0,42
CDM,512030,OSTME THN BLDE 5IN 10MM,2022.0,2022.0,303.3,2022.0,42
CDM,512032,OSTME THN BLDE 3IN 12MM,1537.0,1537.0,230.55,1537.0,42
CDM,512033,OSTME BLDE THN 3IN 20MM,1537.0,1537.0,230.55,1537.0,42
CDM,512037,SUTURE BLK MONO 2 20IN,34.5,34.5,5.17,34.5,42
CDM,512038,CMPNT TRIFLNG RT SZ26,53148.0,53148.0,7972.2,53148.0,30
CDM,512039,TUBE ET NIM EMG 8MM,2654.5,2654.5,398.18,2654.5,42
CDM,512044,CMPNT TRIFLNG RT SZ26,60788.0,60788.0,9118.2,60788.0,30
CDM,512045,TIP HNDPC SURG ULTSNC,4702.0,4702.0,705.3,4702.0,42
CDM,514731,CATHETER EMB 4FR 40CM,790.5,790.5,118.58,790.5,42
CDM,518381,SCREW BN 4MM 38MM,2296.0,2296.0,344.4,2296.0,30
CDM,520089,DILATOR BLN 5.5X240CM,1461.5,1461.5,219.22,1461.5,42
CDM,520090,DILATOR BLN 5.5X240CM,1461.5,1461.5,219.22,1461.5,42
CDM,520091,DILATOR BLN 5.5X240CM,1461.5,1461.5,219.22,1461.5,42
CDM,521347,SCREW SPN RES VAR 4.5X12,1130.0,1130.0,169.5,1130.0,30
CDM,522962,NET RETRIEVAL 3CM 5.5CM,857.0,857.0,128.55,857.0,42
CDM,525788,SCREW BN 5.0MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,527057,TENDON ACHLS BNBLK 160MM,7423.0,7423.0,1113.45,7423.0,30
CDM,527165,CAGE SPNL 16X14X7MM,4429.0,4429.0,664.35,4429.0,30
CDM,527174,CAGE SPN 16MM 14MM 6MM,4429.0,4429.0,664.35,4429.0,30
CDM,527284,SCREW BN CORT 2X10MM,1754.0,1754.0,263.1,1754.0,30
CDM,527285,SCREW BN TI 2X9MM,2344.0,2344.0,351.6,2344.0,30
CDM,527286,SCREW BN 2MM 10MM,2232.0,2232.0,334.8,2232.0,30
CDM,527720,TIP SERRATED IQ LG 12CM,5250.5,5250.5,787.58,5250.5,42
CDM,528431,SPACER SPN 28X10X8.5MM,7530.0,7530.0,1129.5,7530.0,30
CDM,528432,SPACER SPN 10.5X10 28MM,15059.0,15059.0,2258.85,15059.0,30
CDM,528715,CMPNT TIB KN RT SZ2,5758.0,5758.0,863.7,5758.0,30
CDM,529713,GRAFT BN FEM RT LATERAL,47248.0,47248.0,7087.2,47248.0,30
CDM,529773,BUTTON SUT PERL 9/16MM,86.5,86.5,12.97,86.5,42
CDM,529774,STENT BILIARY 4MM 10CM,10187.0,10187.0,1528.05,10187.0,30
CDM,529775,STENT BILIARY 6MM 10CM,10187.0,10187.0,1528.05,10187.0,30
CDM,529779,DEVICE VNTRC ASST HLSTR,3200.5,3200.5,589.21,3200.5,26
CDM,529780,ESG PLSMB 24F OVL 24-30D,3905.5,3905.5,585.83,3905.5,42
CDM,529781,BAND PLASMA ESG 12,3396.5,3396.5,509.48,3396.5,42
CDM,529782,ELECTRODE LOOP 24FR,3396.5,3396.5,509.48,3396.5,42
CDM,529789,DEVICE CLSR WND +1 60CM,358.5,358.5,53.77,358.5,42
CDM,529790,DISSECTOR 1PC 5MM 380MM,599.0,599.0,89.85,599.0,42
CDM,529791,DEVICE CLS WND +4-0 70CM,319.5,319.5,47.92,319.5,42
CDM,529794,CATH FOLEY 3W 18FR 5CC,231.5,231.5,34.73,231.5,42
CDM,529795,CATH FOLEY 3W 20FR 5CC,231.5,231.5,34.73,231.5,42
CDM,529796,VALVE AORTIC 19MM,27684.0,27684.0,4152.6,27684.0,30
CDM,529797,VALVE AORTIC 21MM,27684.0,27684.0,4152.6,27684.0,30
CDM,529798,VALVE AORTIC 23MM,27684.0,27684.0,4152.6,27684.0,30
CDM,529799,VALVE AORTIC 25MM,27684.0,27684.0,4152.6,27684.0,30
CDM,529800,VALVE AORTIC 27MM,27684.0,27684.0,4152.6,27684.0,30
CDM,529801,VALVE AORTIC 29MM,27684.0,27684.0,4152.6,27684.0,30
CDM,529803,KWIRE FX 0.8MM 230MM,309.5,309.5,46.42,309.5,42
CDM,529804,KWIRE FX 1.1MM 230MM,334.0,334.0,50.1,334.0,42
CDM,529805,KWIRE FX 230MM 1.6MM,309.5,309.5,46.42,309.5,42
CDM,529806,PIN FX 5/64IN THRD TROC,247.5,247.5,37.13,247.5,42
CDM,529807,PIN FX STNM 9IN 2.4MM,247.5,247.5,37.13,247.5,42
CDM,529808,PIN FX STNM 9IN 3.0MM,247.5,247.5,37.13,247.5,42
CDM,529809,PIN FX STNM 9IN 3.0MM,263.0,263.0,39.45,263.0,42
CDM,529810,PIN FX 9/64IN THRD TROC,263.0,263.0,39.45,263.0,42
CDM,529811,PIN FX STNM 9IN 4.0MM,263.0,263.0,39.45,263.0,42
CDM,529812,PIN FX STNM 9IN 5.0MM,263.0,263.0,39.45,263.0,42
CDM,529816,TIP SPETZLER UNIVRS CLAW,4385.5,4385.5,657.83,4385.5,42
CDM,529822,TIP ASP 45.7MM,4208.5,4208.5,631.27,4208.5,42
CDM,529823,TIP ASP CS CLAR MCTIP,18714.0,18714.0,2807.1,18714.0,42
CDM,529824,TIP ASP CURV CLAR 36KHZ,4165.5,4165.5,624.83,4165.5,42
CDM,529825,TIP ASP MCTIP 36,5238.5,5238.5,785.77,5238.5,42
CDM,529826,TIP ASP TISS 36KHZ,5296.5,5296.5,794.48,5296.5,42
CDM,529827,WRENCH TRQ ASP 36KHZ,1020.5,1020.5,153.07,1020.5,42
CDM,529828,TUBING IRR CRTDG DISP,3498.5,3498.5,524.77,3498.5,42
CDM,529830,PROTECTOR NRV 2X20MM,10121.0,10121.0,1518.15,10121.0,30
CDM,529833,IMPLANT BREAST 275CC,5315.0,5315.0,797.25,5315.0,30
CDM,529834,SEALER VESSEL EXTEND,4093.0,4093.0,613.95,4093.0,42
CDM,529836,RELOAD STPLR 6ROW 4.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,529837,GD PIN FLUTED 3.2X89MM,483.0,483.0,72.45,483.0,42
CDM,529838,GD PIN FLUTED 3.2X75MM,483.0,483.0,72.45,483.0,42
CDM,529839,SCREW GUIDE 3.2X50MM,483.0,483.0,72.45,483.0,42
CDM,529841,MATRIX DBM 11MM 85MM,7216.0,7216.0,1082.4,7216.0,30
CDM,529851,ELECTRODE ESG RLLRBLL,3396.5,3396.5,509.48,3396.5,42
CDM,529852,ELECTRODE NDL PLASMA ESG,3396.5,3396.5,509.48,3396.5,42
CDM,529853,INSERT TIB CMP2/11.5,4429.0,4429.0,664.35,4429.0,30
CDM,529859,STAPLER CLLR MED 28MM,3726.5,3726.5,558.98,3726.5,42
CDM,529860,STAPLER INT STD 31MM,6987.0,6987.0,1048.05,6987.0,42
CDM,530000,SCREW SPNL STRGH 6.5X35,3389.0,3389.0,508.35,3389.0,30
CDM,530001,ROD SPN STRGH 5.5X400MM,2711.0,2711.0,406.65,2711.0,30
CDM,530002,BLDE OPTH 15.8MM X 12MM,773.0,773.0,115.95,773.0,42
CDM,530003,SCREW SPNL STRGH 8.5X55,3389.0,3389.0,508.35,3389.0,30
CDM,530004,CONNECTOR SPN 5.5X38-44,3012.0,3012.0,451.8,3012.0,30
CDM,530005,CMPNT FEM KN RT SZ 2.5,7973.0,7973.0,1195.95,7973.0,30
CDM,530006,INSERT TIB KN SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,530007,CMPNT GLND CAGE XL,7308.0,7308.0,1096.2,7308.0,30
CDM,530008,ROD SPN CURV 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
CDM,530010,SCREW SPN 6.0MM 50MM,4247.0,4247.0,637.05,4247.0,30
CDM,530011,BAR ASSMBLY TENSYL RECLM,4084.5,4084.5,612.67,4084.5,42
CDM,530012,BOLT BN LCK HIP 75MM,2200.0,2200.0,330.0,2200.0,30
CDM,530013,PIN GUIDE 220MM 2.5MM,386.5,386.5,57.98,386.5,42
CDM,530015,BSPLT GLND SHLDR15D 25MM,7973.0,7973.0,1195.95,7973.0,30
CDM,530016,KIT STYLET W/CAP 50CM,1023.5,1023.5,153.53,1023.5,42
CDM,530017,KIT INTRO 12.7CM 22.8CM,773.0,773.0,115.95,773.0,42
CDM,530018,SCREW BN SPN 6.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,530019,ROD SPINAL PEEK 50MM 6.5,3012.0,3012.0,451.8,3012.0,30
CDM,530020,SCREW SET SPN,753.0,753.0,112.95,753.0,30
CDM,530023,CAGE SPN 14X6X12MM,4429.0,4429.0,664.35,4429.0,30
CDM,530024,SPACER SPN 22MM 8MM 7MM,15945.0,15945.0,2391.75,15945.0,30
CDM,530025,SCREW SPN 6.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
CDM,530026,STEM HIP FEMSTD 11X135,7530.0,7530.0,1129.5,7530.0,30
CDM,530027,INSERT TIB KN LT 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,530028,SCREW BN 5MM 3.5MM 85MM,3189.0,3189.0,478.35,3189.0,30
CDM,530029,SCREW BN 5MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,530031,SYSTEM STRTC BILAT,8186.0,8186.0,1227.9,8186.0,42
CDM,530032,PROBE NEURO IMG GD,4093.0,4093.0,613.95,4093.0,42
CDM,530033,DEVICE NXDRVE MCR-PSTNNG,5116.0,5116.0,767.4,5116.0,42
CDM,530037,PLATE BN CORONOID RT,4429.0,4429.0,664.35,4429.0,30
CDM,530038,DRILL SURG 2.7MM 40MM,386.5,386.5,57.98,386.5,42
CDM,530039,SCREW BN 3.5MM 18MM,1244.0,1244.0,186.6,1244.0,30
CDM,530040,SCREW BN 3.5MM 24MM,1642.0,1642.0,246.3,1642.0,30
CDM,530041,PIN AXIS BOOM 2.5X45MM,3189.0,3189.0,478.35,3189.0,30
CDM,530042,SCREW BN 2.7MM 14MM,1690.0,1690.0,253.5,1690.0,30
CDM,530043,SCREW BN 2.7MM 18MM,1690.0,1690.0,253.5,1690.0,30
CDM,530044,PEG BN FX 2.3MM 12MM,1435.0,1435.0,215.25,1435.0,30
CDM,530045,PEG FX 2.3MM 16MM,1228.0,1228.0,184.2,1228.0,30
CDM,530046,PEG FX 2.3MM 18MM,1228.0,1228.0,184.2,1228.0,30
CDM,530047,SPHERE SHLDR REV 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,530048,SCREW BN 5MM 38MM,1196.0,1196.0,179.4,1196.0,30
CDM,530049,SCREW BN GLND 5.0X34MM,1196.0,1196.0,179.4,1196.0,30
CDM,530050,SCREW BSPLT 6.5X30MM,3189.0,3189.0,478.35,3189.0,30
CDM,530051,PEG FX BN 2.3MM 24MM,1435.0,1435.0,215.25,1435.0,30
CDM,530052,STEM RADL ELBOW 8MM,8969.0,8969.0,1345.35,8969.0,30
CDM,530053,CONNECTOR ROD LG SPNE AD,3389.0,3389.0,508.35,3389.0,30
CDM,530054,ROD SPN OCPTL 62MM 3MM,2711.0,2711.0,406.65,2711.0,30
CDM,530055,SCREW SPN 4.5MM 30MM,4247.0,4247.0,637.05,4247.0,30
CDM,530056,SCREW SPN 4.5MM 34MM,4247.0,4247.0,637.05,4247.0,30
CDM,530057,SCREW BN SPNL 4.5X38MM,4247.0,4247.0,637.05,4247.0,30
CDM,530058,SCREW BN SPNL 4.5X40MM,4247.0,4247.0,637.05,4247.0,30
CDM,530059,OCCIPITAL PLATE SML,6644.0,6644.0,996.6,6644.0,30
CDM,530060,SCREW SPN ST 3500,753.0,753.0,112.95,753.0,30
CDM,530061,SCREW SPN 4.0MM 12MM,1506.0,1506.0,225.9,1506.0,30
CDM,530062,SCREW BN SPNL 4X14MM,1506.0,1506.0,225.9,1506.0,30
CDM,530063,CONNECTOR ROD SPN 16MM,3012.0,3012.0,451.8,3012.0,30
CDM,530065,CAGE SPNL 7D 12.5X16X5MM,4429.0,4429.0,664.35,4429.0,30
CDM,530066,SCREW SPN PLYAX 4.0X24MM,3389.0,3389.0,508.35,3389.0,30
CDM,530069,AUGMENT FEM 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,530070,STEM FEM 18MM 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,530071,INSERT TIB KN SZ8 16MM,8309.0,8309.0,1246.35,8309.0,30
CDM,530072,INSERT TIB KN SZ5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,530074,COMPNT FEM KN LT SZ5,7973.0,7973.0,1195.95,7973.0,30
CDM,530075,NAIL BN 125D 11MM 340MM,7233.0,7233.0,1084.95,7233.0,30
CDM,530076,SCREW SPN 8.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
CDM,530077,SCREW SPN 8.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,530078,STEM FEM HIP 150MM 20MM,7805.0,7805.0,1170.75,7805.0,30
CDM,530079,STENT EPRSTH 8X11X59MM,12667.0,12667.0,1900.05,12667.0,30
CDM,530080,CAGE 22MM 14 X 50 6 DEG,13287.0,13287.0,1993.05,13287.0,30
CDM,530081,CAGE SPN 6D 22X14X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,530082,SPACER SPN 50X18X14MM,14395.0,14395.0,2159.25,14395.0,30
CDM,530083,SPACER PK 14 45LX18WX14H,14395.0,14395.0,2159.25,14395.0,30
CDM,530084,ROD SPNL VPR 2 LRDTC 85M,2711.0,2711.0,406.65,2711.0,30
CDM,530086,VALVE AORTIC 23MM,19022.0,19022.0,2853.3,19022.0,30
CDM,530089,INSERT TIB KN SZ2 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,530090,PLATE SPN MED 42MM,6644.0,6644.0,996.6,6644.0,30
CDM,530091,SCREW SET SPN,753.0,753.0,112.95,753.0,30
CDM,530092,SCREW SPN 4.5MM 6MM,1506.0,1506.0,225.9,1506.0,30
CDM,530093,SCREW SPN 4.5MM 10MM,1506.0,1506.0,225.9,1506.0,30
CDM,530094,SCREW SPN 4.5MM 16MM,1506.0,1506.0,225.9,1506.0,30
CDM,530095,SCREW SPN PLYAX 4.0X14MM,3389.0,3389.0,508.35,3389.0,30
CDM,530096,SCREW SPN PLYAX 4.0X12MM,3765.0,3765.0,564.75,3765.0,30
CDM,530097,ROD SPNL 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,530099,CONNECTOR SPN LAT 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,530100,CMPNT BEARING LT MED 9MM,4651.0,4651.0,697.65,4651.0,30
CDM,530101,PLATE 317MM DIST FEM,6137.0,6137.0,920.55,6137.0,30
CDM,530102,CMPNT FEM NAR KN RT SZ9,9301.0,9301.0,1395.15,9301.0,30
CDM,530103,PLATE BN 3.5MM 127MM,6878.0,6878.0,1031.7,6878.0,30
CDM,530104,SCREW BN SPN 7.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
CDM,530106,PROSTH PENL PUMP PL 15CM,36386.0,36386.0,5457.9,36386.0,30
CDM,530107,SPACER SPN 6D 34X25X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,530108,NAIL BN FEM 11.5MM 34CM,8105.0,8105.0,1215.75,8105.0,30
CDM,530113,WASHER FACET 4.5,753.0,753.0,112.95,753.0,30
CDM,530114,ROD SPN 70MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,530115,ROD SPN 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,530116,CONN ROD SPN 5.5-3.5MM,3389.0,3389.0,508.35,3389.0,30
CDM,530118,HIP-PATIENT SPECIFIC CUP,5537.0,5537.0,830.55,5537.0,30
CDM,530120,LINER ACTB HIP B +2 32MM,4606.0,4606.0,690.9,4606.0,30
CDM,530121,STEM HIP-PATIENT SPECIFI,9966.0,9966.0,1494.9,9966.0,30
CDM,530122,HEAD HIP SH 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,530123,BASEPLATE SHLDR 25X25MM,6541.0,6541.0,981.15,6541.0,30
CDM,530124,INSERT TIB TC3 5 H25.0MM,6265.0,6265.0,939.75,6265.0,30
CDM,530125,NAIL BN FEM11.5MM 32CM,5311.0,5311.0,796.65,5311.0,30
CDM,530126,CONNECTOR ROD SPN 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,530127,SCREW BN SPN 4MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,530128,SCREW BN SPN 3.5MM 13MM,1130.0,1130.0,169.5,1130.0,30
CDM,530129,CAGE SPNL 15X7MM DIVERGE,8416.0,8416.0,1262.4,8416.0,30
CDM,530131,STENT EPRSTH 8X11X39MM,12986.0,12986.0,1947.9,12986.0,30
CDM,530134,STEM HUM SHLDR RVRS SZ8,8637.0,8637.0,1295.55,8637.0,30
CDM,530135,ROD SPN STR 4.75X130MM,3012.0,3012.0,451.8,3012.0,30
CDM,530136,ROD SPN 4.75MM 140MM,3012.0,3012.0,451.8,3012.0,30
CDM,530137,INSERT TIB KN SZ6 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,530138,SCREW BN SPN 7MM 28MM,753.0,753.0,112.95,753.0,30
CDM,530140,GRAFT STNT 32MM 49MM,18743.0,18743.0,2811.45,18743.0,30
CDM,530141,CMPNT AGMNT 2.5X16 DIS,4252.0,4252.0,637.8,4252.0,30
CDM,530142,CMPNT FEM KN RT SZ4.5,7973.0,7973.0,1195.95,7973.0,30
CDM,530143,BIT DRILL 4.5MM 195MM,773.0,773.0,115.95,773.0,42
CDM,530144,CMPNT FEM KN RT SZ5,7087.0,7087.0,1063.05,7087.0,30
CDM,530145,SCREW BN SPN 7.5MM 55MM,4429.0,4429.0,664.35,4429.0,30
CDM,530146,STEM HUM SHLDR 7MM 60MM,12402.0,12402.0,1860.3,12402.0,30
CDM,530147,KIT UNIVERSAL APEX SUT,3189.0,3189.0,478.35,3189.0,30
CDM,530148,GLENOID UNV SHLDR SZLG,4606.0,4606.0,690.9,4606.0,30
CDM,530151,HEAD HUM 20MM 52MM SHLDR,4606.0,4606.0,690.9,4606.0,30
CDM,530152,PROGRMMR NRSTM RCHRG PC,4860.5,4860.5,729.08,4860.5,42
CDM,530153,EXTN LD KT 60CM NEURO,4309.0,4309.0,646.35,4309.0,30
CDM,530154,ROD TUNNELING 3655-38,1146.0,1146.0,171.9,1146.0,42
CDM,530155,TACK ORTH PLT ANK DISP,1023.5,1023.5,153.53,1023.5,42
CDM,530156,SCREW BN 3.5MM 18MM,1356.0,1356.0,203.4,1356.0,30
CDM,530157,SCREW BN 3.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,530158,SCREW BN 2.7MM 2MM 20MM,319.0,319.0,47.85,319.0,30
CDM,530159,SCREW BN 2.7MM 18MM,319.0,319.0,47.85,319.0,30
CDM,530160,SCREW BN 3.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,530161,BIT DRILL 30MM 2MM,386.5,386.5,57.98,386.5,42
CDM,530162,PLATE SPN CERV 54MM 3LVL,4429.0,4429.0,664.35,4429.0,30
CDM,530163,WEDGE REV MBT15MM 5STEP,4612.0,4612.0,691.8,4612.0,30
CDM,530164,CMPNT FEM KN LEFT SZ4,7973.0,7973.0,1195.95,7973.0,30
CDM,530165,INSERT TIB KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,530166,SCREW BN SPN 5MM 40MM,3765.0,3765.0,564.75,3765.0,30
CDM,530167,CONNECTOR SPN 20MM,3012.0,3012.0,451.8,3012.0,30
CDM,530168,SCREW BN 1.3MM 5MM,1438.0,1438.0,215.7,1438.0,30
CDM,530169,SCREW BN STAP T4 1.3X9MM,1438.0,1438.0,215.7,1438.0,30
CDM,530170,SCREW BN SS CORT 52X4MM,338.0,338.0,50.7,338.0,30
CDM,530171,SCREW BN 4MM 30MM,2392.0,2392.0,358.8,2392.0,30
CDM,530172,STAPLE BN 15MM 15MM,10798.0,10798.0,1619.7,10798.0,30
CDM,530173,SCREW BN 4MM 26MM,2392.0,2392.0,358.8,2392.0,30
CDM,530174,SCREW BN NLCK 4MM 20MM,319.0,319.0,47.85,319.0,30
CDM,530176,DEVICE CLSR CLP INT 50MM,16609.0,16609.0,2491.35,16609.0,30
CDM,530178,KWIRE FX 229MM 1.6MM,139.0,139.0,20.85,139.0,42
CDM,530179,JOINT FINGER SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,530180,STENT EPRSTH 8X11X79MM,14399.0,14399.0,2159.85,14399.0,30
CDM,530182,GRAFT STENT 102X14X23MM,44180.0,44180.0,6627.0,44180.0,30
CDM,530183,STEM HUM SHLDR 7MM 70MM,10209.0,10209.0,1531.35,10209.0,30
CDM,530185,INSERT ACTB 54MM 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,530186,SCREW BN 6.5MM 35MM,1595.0,1595.0,239.25,1595.0,30
CDM,530187,CUP ACTB 52MM,4606.0,4606.0,690.9,4606.0,30
CDM,530188,INSERT ACTB 52MM 36MM HI,4429.0,4429.0,664.35,4429.0,30
CDM,530189,STEM FEM 109MM BLDE TPR,8858.0,8858.0,1328.7,8858.0,30
CDM,530190,HEAD FEM 3.5MM 12/14 TFR,4606.0,4606.0,690.9,4606.0,30
CDM,530191,COMP FEM 3 KN CMNT,6688.0,6688.0,1003.2,6688.0,30
CDM,530192,INSERT KNEE PS MEN SZ3,4429.0,4429.0,664.35,4429.0,30
CDM,530193,COMP KNEE TIBIAL SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,530194,COMP KNEE PATELLA 35MM,4252.0,4252.0,637.8,4252.0,30
CDM,530195,SCREW SPN 6.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,530196,SCREW SPN 7.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,530197,SCREW SPN 8.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
CDM,530199,CUP ACTB TRI HIP LT52MM,40969.0,40969.0,6145.35,40969.0,30
CDM,530200,LINER ACTB HIP G 36MM,6644.0,6644.0,996.6,6644.0,30
CDM,530201,ANCHOR SUT 8.0MM 19.1MM,3236.0,3236.0,485.4,3236.0,30
CDM,530202,SCREW SPNL STRGH 7.5X55,3389.0,3389.0,508.35,3389.0,30
CDM,530203,STEM KN FEM SP EXT15X120,4802.0,4802.0,720.3,4802.0,30
CDM,530204,COMPNT TIB PSC 63/67X16,6142.0,6142.0,921.3,6142.0,30
CDM,530205,STEM FEM HIP 21MM 155MM,8674.0,8674.0,1301.1,8674.0,30
CDM,530206,STEM HIP FEMSTD 14X150,7973.0,7973.0,1195.95,7973.0,30
CDM,530207,SCREW BN 7.3MM 95X32MM,3189.0,3189.0,478.35,3189.0,30
CDM,530208,PLATE SPN CERV 2LVL 37MM,4429.0,4429.0,664.35,4429.0,30
CDM,530209,LINER ACTB HIP SZ2 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,530210,COMP TI VAN PS FEM 62.5R,50535.0,50535.0,7580.25,50535.0,30
CDM,530211,COMPNT TIB MOD STEM 71MM,7188.0,7188.0,1078.2,7188.0,30
CDM,530212,SPACER HUM SHLDR+15X36MM,4252.0,4252.0,637.8,4252.0,30
CDM,530213,SCREW SPN 4MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,530214,ROD SP 100MM 3.5MM VRTX,2711.0,2711.0,406.65,2711.0,30
CDM,530215,CAGE 22MM 16 X 50 6 DEG,13287.0,13287.0,1993.05,13287.0,30
CDM,530216,ROD SPN STRGH 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,530217,PLATE SPN 3LVL 39MM,4429.0,4429.0,664.35,4429.0,30
CDM,530218,SCREW SPNL VAR 4.2X10MM,1130.0,1130.0,169.5,1130.0,30
CDM,530219,SPACER SPN 26X9MM,9523.0,9523.0,1428.45,9523.0,30
CDM,530220,ROD SPN CRVD 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
CDM,530222,CEMENT BN PMMA 40GM,3189.0,3189.0,478.35,3189.0,30
CDM,530223,GUIDE CUTTING KNEE,1555.5,1555.5,233.32,1555.5,42
CDM,530224,SCREW BN 25MM,833.0,833.0,124.95,833.0,30
CDM,530225,STEM FEM PRSFT PRIM ALTE,8416.0,8416.0,1262.4,8416.0,30
CDM,530226,PROGRAMMER NRSTM VRF 4,3274.0,3274.0,491.1,3274.0,42
CDM,530227,SCREW BN 2MM 6MM,547.0,547.0,82.05,547.0,30
CDM,530228,SCREW BN CORT 2MM 8MM,547.0,547.0,82.05,547.0,30
CDM,530230,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,530231,SCREW SPN 8.5X90MM,3389.0,3389.0,508.35,3389.0,30
CDM,530232,ADAPTER HD HIP BLX +0MM,4066.0,4066.0,609.9,4066.0,30
CDM,530233,SCREW SPN ELLPSE 4X12MM,3765.0,3765.0,564.75,3765.0,30
CDM,530234,SCREW SPN 4MM 10MM,3765.0,3765.0,564.75,3765.0,30
CDM,530235,CAGE SPN 15X12X17MM,10364.0,10364.0,1554.6,10364.0,30
CDM,530236,SCREW BN 2.7MM 12MM,1884.0,1884.0,282.6,1884.0,30
CDM,530237,SCREW BN 2.7 X 14MM,1370.0,1370.0,205.5,1370.0,30
CDM,530238,SCREW BN LCK 2.7X12MM,2518.0,2518.0,377.7,2518.0,30
CDM,530239,SCREW BN 2.7MM 10MM,1595.0,1595.0,239.25,1595.0,30
CDM,530243,PLATE BN .4MM,3189.0,3189.0,478.35,3189.0,30
CDM,530244,SLEEVE FEM KN PRCT 30MM,9072.0,9072.0,1360.8,9072.0,30
CDM,530245,CMPNT SHLDR LT XL 8D,7087.0,7087.0,1063.05,7087.0,30
CDM,530246,STEM FEM HIP EXT SZ5,8416.0,8416.0,1262.4,8416.0,30
CDM,530247,ROD SPN 240MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,530248,INSERT TIB KN SZ4 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,530249,INSERT TIB KN SZ4 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,530250,INSERT TIB KN SZ5 10MM,8309.0,8309.0,1246.35,8309.0,30
CDM,530252,GRAFT ST TIS 12X2CM,5399.0,5399.0,809.85,5399.0,30
CDM,530253,INS TIB CNSTRN SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,530254,INSERT TIB ANKL SZ3 10MM,12446.0,12446.0,1866.9,12446.0,30
CDM,530255,SPACER SPNL 55X18X8MMD,13952.0,13952.0,2092.8,13952.0,30
CDM,530256,ROD CONNCT SPN 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,530257,SCREW BN 3.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
CDM,530258,SHELL ACTB HIP 4H 62MM,4606.0,4606.0,690.9,4606.0,30
CDM,530259,INSERT TIB 2 22.5MM KN U,4429.0,4429.0,664.35,4429.0,30
CDM,530260,SCREW BN SPN 5.5MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,530262,SCREW SPN PLYAX 3.5X16MM,3765.0,3765.0,564.75,3765.0,30
CDM,530263,SCREW BN SPN 6.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
CDM,530264,SCRW SPN PAX 6.5X50MM,3389.0,3389.0,508.35,3389.0,30
CDM,530265,CAGE SPN 6D 12X15X6MM,8416.0,8416.0,1262.4,8416.0,30
CDM,530267,CMPNT FEM SZG 15MM,4892.0,4892.0,733.8,4892.0,30
CDM,530268,CMPNT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,530269,WEDGE KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
CDM,530270,SCREW BN 2.7MM 14MM,480.0,480.0,72.0,480.0,30
CDM,530271,SCREW BN 2.7MM 16MM,480.0,480.0,72.0,480.0,30
CDM,530272,STEM FEM KN 80MM 16MM,4429.0,4429.0,664.35,4429.0,30
CDM,530273,CMPNT FEM KN RT SZ4,18159.0,18159.0,2723.85,18159.0,30
CDM,530274,AUGMENT FEM KN 8MM 4,4606.0,4606.0,690.9,4606.0,30
CDM,530275,AUGMENT FEM 8MM ATTUNE 4,4606.0,4606.0,690.9,4606.0,30
CDM,530276,INSERT TIB KN SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,530277,SCREW BN 6.5MM HEAD 30D,2126.0,2126.0,318.9,2126.0,30
CDM,530278,INSERT ACTB 36X52MM,4606.0,4606.0,690.9,4606.0,30
CDM,530279,STEM FEM BLDE SZ6,8858.0,8858.0,1328.7,8858.0,30
CDM,530280,WRENCH TORQUE 36KHZ,1023.5,1023.5,153.53,1023.5,42
CDM,530281,TUBING IRR CRTDG DISP,4007.5,4007.5,601.13,4007.5,42
CDM,530282,TIP 36KHZ STD CRV EXT,4385.5,4385.5,657.83,4385.5,42
CDM,530283,BOLT ACS LAT TROCH 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,530285,SPACER SPNL 30X12MM,9523.0,9523.0,1428.45,9523.0,30
CDM,530286,PLATE Y BN ULNA ORTHO,3189.0,3189.0,478.35,3189.0,30
CDM,530287,PEG BN THRD 2.7MM 16MM,1212.0,1212.0,181.8,1212.0,30
CDM,530288,PEG BN FX 2.7MM 24MM,1212.0,1212.0,181.8,1212.0,30
CDM,530289,SCREW BN 2.5MM 10MM,1898.0,1898.0,284.7,1898.0,30
CDM,530290,SPACER SPNL 50X18X8MMD,13952.0,13952.0,2092.8,13952.0,30
CDM,530291,PLATE BN CRNFCL 3LVL 2H,1413.0,1413.0,211.95,1413.0,30
CDM,530292,PLATE BN CMF 6HL 18MM,3189.0,3189.0,478.35,3189.0,30
CDM,530293,PLATE BN 80X80X.6MM,4429.0,4429.0,664.35,4429.0,30
CDM,530294,LINER ACTB HIP 20X56X40,4429.0,4429.0,664.35,4429.0,30
CDM,530295,PLATE ROD TI L1.75-2.15I,3012.0,3012.0,451.8,3012.0,30
CDM,530296,KWIRE SPN SHRP 500X1.6MM,386.5,386.5,57.98,386.5,42
CDM,530298,NEEDLE BN ACCESS 8G,773.0,773.0,115.95,773.0,42
CDM,530299,NEEDLE BN BX 11G,773.0,773.0,115.95,773.0,42
CDM,530300,ROD SPN 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
CDM,530302,INSERT TIB KN SZ6 16MM,8309.0,8309.0,1246.35,8309.0,30
CDM,530303,ROD 110MM PRE-LORDOSED,2711.0,2711.0,406.65,2711.0,30
CDM,530305,WEDGE AUGMT 18MM 18X10MM,9722.0,9722.0,1458.3,9722.0,30
CDM,530306,COMP FEM 4 KN LT CMNT,8017.0,8017.0,1202.55,8017.0,30
CDM,530308,COMP FEM 0 37MM PTLFEM,4252.0,4252.0,637.8,4252.0,30
CDM,530309,COMP FEM 4 KN RT POST,8017.0,8017.0,1202.55,8017.0,30
CDM,530310,COMP FEM 4 10MM KN,4606.0,4606.0,690.9,4606.0,30
CDM,530311,COMP FEM 0 34MM PTLFEM,4252.0,4252.0,637.8,4252.0,30
CDM,530312,COMPONENT FEM F RT KN NX,9301.0,9301.0,1395.15,9301.0,30
CDM,530313,SLEEVE TIB KN PRCT 37MM,9744.0,9744.0,1461.6,9744.0,30
CDM,530314,AWL SURG BN,753.0,753.0,112.95,753.0,42
CDM,530315,SURFACE KN 3-5 CD 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,530316,CMPNT FEM KN LT NAR SZ3N,7973.0,7973.0,1195.95,7973.0,30
CDM,530317,GENERTR NRSTM 4.95X5.5CM,84971.0,84971.0,12745.65,84971.0,30
CDM,530318,PLATE BN 7HL 2X46MM,4011.0,4011.0,601.65,4011.0,30
CDM,530320,SCREW SPN 3.5MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,530321,ROD SPN 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,530322,AWL ORTH DISP SHORT,377.0,377.0,56.55,377.0,42
CDM,530323,CAGE SPN H8 7D 12X15.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,530324,SPACER SPNL 50X22X10MM,13952.0,13952.0,2092.8,13952.0,30
CDM,530325,CAGE SPN 6D 27X36X10MM,8858.0,8858.0,1328.7,8858.0,30
CDM,530326,PLATE SPN ANCH MED,11339.0,11339.0,1700.85,11339.0,30
CDM,530327,SPACER SPNL 35X19MM,8858.0,8858.0,1328.7,8858.0,30
CDM,530328,PLATE SPN THORCLM 15MM,6644.0,6644.0,996.6,6644.0,30
CDM,530329,STEM FEM HIP PRSFT SZ11,8416.0,8416.0,1262.4,8416.0,30
CDM,530330,PLATE PERITONEAL RT 17HL,4429.0,4429.0,664.35,4429.0,30
CDM,530331,HEAD FEM HIP 12/14 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,530332,AUGMENT TIB KN SZ3 10MM,6406.0,6406.0,960.9,6406.0,30
CDM,530333,COMPONENT FEM KN LT SZ5,7087.0,7087.0,1063.05,7087.0,30
CDM,530334,CONNECTOR SPN 5/6-6.0,3012.0,3012.0,451.8,3012.0,30
CDM,530335,ROD SPNL 85MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,530336,CLAMP SPN CONN 5.5MM 8MM,3012.0,3012.0,451.8,3012.0,30
CDM,530337,CLAMP SPN CONN 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,530338,ROD CNNCTR 5.5/5.5MM SPN,3012.0,3012.0,451.8,3012.0,30
CDM,530339,CLAMP SPN CONN 12MM,3012.0,3012.0,451.8,3012.0,30
CDM,530340,ROD SPN 95MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,530341,KIT INST RCUF DISP,1676.0,1676.0,251.4,1676.0,42
CDM,530342,ANCH SUT 2.6MM,3189.0,3189.0,478.35,3189.0,30
CDM,530343,SCREW SPN PAX 7.5X50MM,3389.0,3389.0,508.35,3389.0,30
CDM,530344,SCREW SPNL P-AX 7.5X45MM,3765.0,3765.0,564.75,3765.0,30
CDM,530345,SCREW DRKSTR PAX6.5X50MM,3389.0,3389.0,508.35,3389.0,30
CDM,530346,GRAFT MESH 15X10CM,4429.0,4429.0,664.35,4429.0,30
CDM,530347,INSERT TIB KN SZ9 8MM,4606.0,4606.0,690.9,4606.0,30
CDM,530348,BASEPLATE KN TIB SZ9,4651.0,4651.0,697.65,4651.0,30
CDM,530349,COMP FEM 5 KN RT CMNT,8017.0,8017.0,1202.55,8017.0,30
CDM,530350,COMP FEM 30MMX10MM,4252.0,4252.0,637.8,4252.0,30
CDM,530351,AUGMENT FEM KN 4MM 4,4606.0,4606.0,690.9,4606.0,30
CDM,530352,INSERT TIB KN SZ4 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,530353,STEM FEM KN 10MM 220MM,4606.0,4606.0,690.9,4606.0,30
CDM,530354,COMPONENT FEMUR RT SZ6,14173.0,14173.0,2125.95,14173.0,30
CDM,530355,INSERT TIB RT KN SZ6 12M,5094.0,5094.0,764.1,5094.0,30
CDM,530356,SPACER SPN 8D 8X30MM,9523.0,9523.0,1428.45,9523.0,30
CDM,530357,SCREW BN 4.5MM 24MM UNIV,1913.0,1913.0,286.95,1913.0,30
CDM,530358,SCREW PERIPHRL 4.5X30MM,1595.0,1595.0,239.25,1595.0,30
CDM,530360,ROD CNCTR 3.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,530361,SCREW SPN PLYAX 4.0X28MM,3389.0,3389.0,508.35,3389.0,30
CDM,530362,CONNECTOR ROD SPN3.5X3.5,3012.0,3012.0,451.8,3012.0,30
CDM,530363,CAP SPN ROD CONN SCREW,3012.0,3012.0,451.8,3012.0,30
CDM,530365,SCREW SPN QUARTEX 4X16MM,3389.0,3389.0,508.35,3389.0,30
CDM,530366,SCREW QUARTEX 4MM 18MM,3765.0,3765.0,564.75,3765.0,30
CDM,530367,SCREW SPN 4MM 26MM,3765.0,3765.0,564.75,3765.0,30
CDM,530368,SCREW SPN 4MM 30MM,3765.0,3765.0,564.75,3765.0,30
CDM,530369,STEM FEM 200MM 15MM PRSF,14381.0,14381.0,2157.15,14381.0,30
CDM,530370,PLATE XLNK L 2.15-2.95,3012.0,3012.0,451.8,3012.0,30
CDM,530371,ROD SPN CRV 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,530372,SPHERE GLND SHLDR 2X32MM,4872.0,4872.0,730.8,4872.0,30
CDM,530373,PLATE BN 6HL 1MM 8MM,3189.0,3189.0,478.35,3189.0,30
CDM,530374,SCREW SPN 4MM 24MM,3765.0,3765.0,564.75,3765.0,30
CDM,530375,ROD SPN 3.5MM 105MM,2711.0,2711.0,406.65,2711.0,30
CDM,530376,ROD SPN CRV 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
CDM,530377,BLOCK AUGMT 7-8 10MM KN,4606.0,4606.0,690.9,4606.0,30
CDM,530378,INSERT TIB KN 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,530379,WEDGE TIB KN 18MM,12623.0,12623.0,1893.45,12623.0,30
CDM,530380,SHELL ACTB HIP 3H 64MM,4606.0,4606.0,690.9,4606.0,30
CDM,530381,LINER ACTB HIP 64X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,530382,INSERT TIB KN 10-11 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,530383,INSERT TIB KN SZ2.5 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,530384,INSRT TIB 5 14MM PST STB,4606.0,4606.0,690.9,4606.0,30
CDM,530385,SLEEVE ADPT KN 21MM,4429.0,4429.0,664.35,4429.0,30
CDM,530386,INSERT TIB KN 21MM SZ4-5,6078.0,6078.0,911.7,6078.0,30
CDM,530387,BASEPLATE TIB KN RT SZ5,11030.0,11030.0,1654.5,11030.0,30
CDM,530388,STEM FEM KN RT SZ4,22068.0,22068.0,3310.2,22068.0,30
CDM,530389,STEM FEM PRSFT LGN 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,530390,BOLT BN FX LGN 18MM,3721.0,3721.0,558.15,3721.0,30
CDM,530391,INSERT TIB KN 4-5 18MM,6078.0,6078.0,911.7,6078.0,30
CDM,530393,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,530395,LINER ACTB HIP 64X36MM,4429.0,4429.0,664.35,4429.0,30
CDM,530396,CMPNT FEM HIP 28MM 85MM,10404.0,10404.0,1560.6,10404.0,30
CDM,530397,STEM FEM HIP 140MM 21MM,8699.0,8699.0,1304.85,8699.0,30
CDM,530398,COMP FEM 3 12MM KN,4252.0,4252.0,637.8,4252.0,30
CDM,530399,LEAD NRSTM RCHRG 54X54MM,116040.0,116040.0,17406.0,116040.0,30
CDM,530400,STEM TIB 12MM 115MM,4429.0,4429.0,664.35,4429.0,30
CDM,530401,AUGMENT KN SZE 20MM,4892.0,4892.0,733.8,4892.0,30
CDM,530402,LINER ACTB HIP 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,530403,STEM HIP FEMSTD 13X145,8858.0,8858.0,1328.7,8858.0,30
CDM,530405,STEM HUM SHLDR 8MM 118MM,12114.0,12114.0,1817.1,12114.0,30
CDM,530406,CMPNT GLND SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
CDM,530407,PLATE BN T 3H-5H 1.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,530408,SPACER SPN 45X18X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,530409,CAGE SPNL 12X14 6D -12,4429.0,4429.0,664.35,4429.0,30
CDM,530410,BLADE SAW LG 21X85MM,1260.5,1260.5,189.07,1260.5,42
CDM,530411,SCREW SPNL STRGH 6.5X55,3389.0,3389.0,508.35,3389.0,30
CDM,530412,PLATE 349MM SS 4.5,7618.0,7618.0,1142.7,7618.0,30
CDM,530413,STEM FEM 117MM COLR ATS,8858.0,8858.0,1328.7,8858.0,30
CDM,530414,PIN BN HLF EXFX 80X3MM,973.5,973.5,146.03,973.5,42
CDM,530415,PIN APX EXFX 60X3MM,973.5,973.5,146.03,973.5,42
CDM,530416,SCREW BN 2.5MM 12MM,3189.0,3189.0,478.35,3189.0,30
CDM,530418,SCREW SPN 7.5MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,530419,ROD SPNL CRV 55MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,530420,SCREW BN 6.5MM 40MM,798.0,798.0,119.7,798.0,30
CDM,530421,SCREW SPN 4.5MM 44MM,798.0,798.0,119.7,798.0,30
CDM,530422,STEM FEM HIP 15MM 165MM,8858.0,8858.0,1328.7,8858.0,30
CDM,530425,LINER ACTB HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,530426,INSERT ARTC KN 6-9 11MM,4606.0,4606.0,690.9,4606.0,30
CDM,530427,LINER HIP SZF 54-56MM,4429.0,4429.0,664.35,4429.0,30
CDM,530428,INSERT TIB KN 7 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,530429,ROD TNDN 6MM 25CM,6002.0,6002.0,900.3,6002.0,30
CDM,530430,DLV DISP CMNT NDL 10G,2763.5,2763.5,414.52,2763.5,42
CDM,530431,ROD SPNL CRV 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
CDM,530432,BIT DRILL POST CERV2.5MM,386.5,386.5,57.98,386.5,42
CDM,530433,SCREW SPN 7.5MMX45MM,3012.0,3012.0,451.8,3012.0,30
CDM,530434,SCREW SPN 7.5MMX55MM,3012.0,3012.0,451.8,3012.0,30
CDM,530435,SCREW 70 8.5 S/T BN,3012.0,3012.0,451.8,3012.0,30
CDM,530436,SCREW SPN 8.5MM 60MM,3012.0,3012.0,451.8,3012.0,30
CDM,530437,GUIDEWIRE ORTH 21IN,386.5,386.5,57.98,386.5,42
CDM,530438,CAGE AUGMENTED RIGHT MED,7087.0,7087.0,1063.05,7087.0,30
CDM,530439,STEM FEM KN 30MM 14MM,4429.0,4429.0,664.35,4429.0,30
CDM,530440,INSERT ARTC KN 4-11 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,530441,INSERT ARTC KN 7-12 16MM,4606.0,4606.0,690.9,4606.0,30
CDM,530442,CMPNT FEM KN LT SZ3,7973.0,7973.0,1195.95,7973.0,30
CDM,530443,TIB IMP INS SZ3 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,530444,PLATE BN RT 4HL 108MM,4758.0,4758.0,713.7,4758.0,30
CDM,530445,STEM HUM SHLDR 9X70MM,10209.0,10209.0,1531.35,10209.0,30
CDM,530448,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,530449,AUGMENT FEM KN 4MM 4,4606.0,4606.0,690.9,4606.0,30
CDM,530452,CMPNT BEARING RT SM 9MM,4606.0,4606.0,690.9,4606.0,30
CDM,530453,WEDGE KN TIB AUG 63X5,4429.0,4429.0,664.35,4429.0,30
CDM,530454,WEDGE KN AUG RO/LI 60X5,4606.0,4606.0,690.9,4606.0,30
CDM,530455,WEDGE KN BLCK POST 60X5,4606.0,4606.0,690.9,4606.0,30
CDM,530457,ANCHOR SUT 1.4M,3189.0,3189.0,478.35,3189.0,30
CDM,530458,BIT DRILL SRG FLX 1.4MM,1441.0,1441.0,216.15,1441.0,42
CDM,530459,CANNULA ORTH 8MM,860.0,860.0,129.0,860.0,42
CDM,530461,BLDE SHVR 5.5MM DIAMD BR,1179.0,1179.0,176.85,1179.0,42
CDM,530463,SURFACE ARTC KN 6-9 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,530464,CMPNT KN RT R3-5 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,530465,INSERT TIB KN SZ3.5 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,530466,INSERT TIB KN SZ5-6 13MM,5532.0,5532.0,829.8,5532.0,30
CDM,530467,STEM KN FEM 40MM,4428.0,4428.0,664.2,4428.0,30
CDM,530468,STEM FEMUR PMI,42076.0,42076.0,6311.4,42076.0,30
CDM,530469,ADAPTER STEM OFST KN 2MM,4429.0,4429.0,664.35,4429.0,30
CDM,530470,STEM FEM HIP 18X190MM,17596.0,17596.0,2639.4,17596.0,30
CDM,530472,CANNULA MULTI DEL 200 8G,3233.5,3233.5,485.02,3233.5,42
CDM,530474,SCREW SPN 4.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
CDM,530475,SPACER SPN 16X16X24MM,23503.0,23503.0,3525.45,23503.0,30
CDM,530476,ENDPLATE SPNL 16X18MM 0D,3690.0,3690.0,553.5,3690.0,30
CDM,530477,ENDPLATE SPNL 16X18MM 0D,3690.0,3690.0,553.5,3690.0,30
CDM,530478,SCREW BN 105MM,3291.0,3291.0,493.65,3291.0,30
CDM,530479,INSERT TIB KN SZ5-6 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,530480,CAGE SPNL 15.5X4.2MM,4429.0,4429.0,664.35,4429.0,30
CDM,530481,PROBE ESURG 180MM,1636.5,1636.5,245.47,1636.5,42
CDM,530482,CANNULA ARTHSCP 165MM,2726.0,2726.0,408.9,2726.0,42
CDM,530483,BLADE CURVED FULL RADIUS,1686.5,1686.5,252.97,1686.5,42
CDM,530484,BLADE SHVR 180MM 4MM,773.0,773.0,115.95,773.0,42
CDM,530486,SUTURE PASSER REACH,1989.0,1989.0,298.35,1989.0,42
CDM,530487,DEVICE SUT PASS UP 70D,2406.5,2406.5,360.98,2406.5,42
CDM,530488,SCREW BN 5MM 4.4MM 100MM,2672.0,2672.0,400.8,2672.0,30
CDM,530489,SCREW BN 5MM 4.4MM 105MM,2672.0,2672.0,400.8,2672.0,30
CDM,530490,SCREW BN 5MM 4.4MM 110MM,2672.0,2672.0,400.8,2672.0,30
CDM,530491,SCREW BN 5MM 4.4MM 115MM,2672.0,2672.0,400.8,2672.0,30
CDM,530493,SCREW BN CANC 4.0X14MM,305.0,305.0,45.75,305.0,30
CDM,530494,AUG FEM POST REV SZ4 8MM,4429.0,4429.0,664.35,4429.0,30
CDM,530495,NAIL BN TIB 8.3MM 280MM,4872.0,4872.0,730.8,4872.0,30
CDM,530496,SLEEVE FEM KN 45MM,9072.0,9072.0,1360.8,9072.0,30
CDM,530497,SURFACE ARTC KN 10-12 12,4606.0,4606.0,690.9,4606.0,30
CDM,530498,NAIL BN 12X13MM 36CM,4872.0,4872.0,730.8,4872.0,30
CDM,530499,NAIL BN 125D 13MM 40CM,9050.0,9050.0,1357.5,9050.0,30
CDM,530500,PLATE BN 2.7/3.5 MM 82MM,4758.0,4758.0,713.7,4758.0,30
CDM,530501,BASEPLATE TIB KN SZG,4872.0,4872.0,730.8,4872.0,30
CDM,530502,CMPNT FEM STD KN LT SZ10,9301.0,9301.0,1395.15,9301.0,30
CDM,530503,SCREW BN SPN 3.5X22MM,3765.0,3765.0,564.75,3765.0,30
CDM,530504,ROD SPN 4MM 240MM,2711.0,2711.0,406.65,2711.0,30
CDM,530505,SCREW SPN 4.5MM 35MM,4429.0,4429.0,664.35,4429.0,30
CDM,530506,ROD SPN 3.5MM 25MM,2711.0,2711.0,406.65,2711.0,30
CDM,530509,CONN SPN ROD 5.5/6MM,3012.0,3012.0,451.8,3012.0,30
CDM,530510,PLATE BN 10DG,8088.0,8088.0,1213.2,8088.0,30
CDM,530513,STENT GRAFT 22X22X100MM,81915.0,81915.0,12287.25,81915.0,30
CDM,530514,SCREW BN ANK FT 4X30MM,2392.0,2392.0,358.8,2392.0,30
CDM,530516,CUP ACTB TRI HIP LT 56MM,44069.0,44069.0,6610.35,44069.0,30
CDM,530517,STEM FEM HIP 135D SZ16,8416.0,8416.0,1262.4,8416.0,30
CDM,530518,AUG FEM DISTREV SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,530519,BASEPLATE TIB KN RT SZF,4872.0,4872.0,730.8,4872.0,30
CDM,530520,CMPNT FEM STD KN RT SZ9,7973.0,7973.0,1195.95,7973.0,30
CDM,530521,CONNECTOR ROD XTD 5.5X20,3012.0,3012.0,451.8,3012.0,30
CDM,530522,PLATE PLYM THORCLM 23MM,6644.0,6644.0,996.6,6644.0,30
CDM,530523,PLATE SPN THRCLMBR 21MM,6644.0,6644.0,996.6,6644.0,30
CDM,530524,SPACER SPN 50X20X14MM,9523.0,9523.0,1428.45,9523.0,30
CDM,530525,SPCR 20MM 12 X 50 18 DEG,9523.0,9523.0,1428.45,9523.0,30
CDM,530526,CAGE SPN 7D 12X14X11MM,4429.0,4429.0,664.35,4429.0,30
CDM,530527,SCREW SPN 4.6MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,530528,SCREW SPN 3.5MM 22MM,3389.0,3389.0,508.35,3389.0,30
CDM,530529,SCREW SPN 4.5MM 32MM,3389.0,3389.0,508.35,3389.0,30
CDM,530530,ROD SPN 3.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
CDM,530531,PLATE BN 10HL 100MM RT,4429.0,4429.0,664.35,4429.0,30
CDM,530532,SCREW BN NLCK 3.5MM 30MM,319.0,319.0,47.85,319.0,30
CDM,530533,SCREW BN NLCK 3.5MM 38MM,319.0,319.0,47.85,319.0,30
CDM,530534,SCREW BN NLCK 3.5MM 40MM,319.0,319.0,47.85,319.0,30
CDM,530535,SCREW BN LCK 3.5MM 26MM,1953.0,1953.0,292.95,1953.0,30
CDM,530536,SLED BN FX OLCRN 58MM,4540.0,4540.0,681.0,4540.0,30
CDM,530537,BIT DRILL 2.0MM X 130MM,1105.0,1105.0,165.75,1105.0,42
CDM,530538,SCREW BN 3.2MM 26MM,1595.0,1595.0,239.25,1595.0,30
CDM,530539,DRILL SURG 2.1MM 110MM,1310.0,1310.0,196.5,1310.0,42
CDM,530540,SCREW CANN 2.3MM X 16MM,3189.0,3189.0,478.35,3189.0,30
CDM,530541,SCREW 2.3MM 22MM CANN,3189.0,3189.0,478.35,3189.0,30
CDM,530542,SCREW 3.5MM 4.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
CDM,530543,SCREW CANN 3X26MM,3189.0,3189.0,478.35,3189.0,30
CDM,530544,GWIRE 0.7 WIRE-0.7/080,309.5,309.5,46.42,309.5,42
CDM,530545,SCREW CANN 1.7MMX14MM,3189.0,3189.0,478.35,3189.0,30
CDM,530546,SCREW BN CORT 3.2MM 30MM,319.0,319.0,47.85,319.0,30
CDM,530547,SCREW BN 2.3X3X28X2.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,530548,HEAD HIP 28MM 41MM,4252.0,4252.0,637.8,4252.0,30
CDM,530549,CMPNT FEM KN 4 LT,18159.0,18159.0,2723.85,18159.0,30
CDM,530550,AUGMENT FEM KN SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,531132,INSERT POLY ANKL SZ3+ 12,15502.0,15502.0,2325.3,15502.0,30
CDM,531133,PLATE BN CRNFCL 12H 94MM,3721.0,3721.0,558.15,3721.0,30
CDM,531223,ROD SPN CNTOR 4MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,531503,SCREW SPN 3.5MM 14MM,3389.0,3389.0,508.35,3389.0,30
CDM,531504,SCREW SPN 4.0MM 26MM,3389.0,3389.0,508.35,3389.0,30
CDM,533915,SCREW BN 5MM 35MM,3189.0,3189.0,478.35,3189.0,30
CDM,533916,SCREW BN 5.0MM 40MM,3189.0,3189.0,478.35,3189.0,30
CDM,533917,SCREW BN 5.0MM 80MM,3189.0,3189.0,478.35,3189.0,30
CDM,533918,SCREW BN 5MM 90MM,3189.0,3189.0,478.35,3189.0,30
CDM,533919,DRILL SURG SHRT,1752.0,1752.0,262.8,1752.0,42
CDM,533920,DRILL SURG LNG,1752.0,1752.0,262.8,1752.0,42
CDM,533921,NAIL BN LRG 11.5MM 250MM,13048.0,13048.0,1957.2,13048.0,30
CDM,533922,ANCHOR SUT 1.8MM,4123.0,4123.0,618.45,4123.0,30
CDM,533923,KIT INSTRMNT DISP 1.8MM,4093.0,4093.0,613.95,4093.0,42
CDM,533924,CUTTER ASCPC LNG HIP 4MM,773.0,773.0,115.95,773.0,42
CDM,533925,BURR SURG DMND 4.0MM,1023.5,1023.5,153.53,1023.5,42
CDM,533926,SHELL ACTB HIP 5H 58MM,4606.0,4606.0,690.9,4606.0,30
CDM,533927,ROD SPNL TPR 4-5.5X500MM,3012.0,3012.0,451.8,3012.0,30
CDM,533928,STEM FEM KN 16MM 150MM,4429.0,4429.0,664.35,4429.0,30
CDM,533929,BASEPLATE TIB SZE,4872.0,4872.0,730.8,4872.0,30
CDM,533930,AUG TIB 67X38MM LG C,10641.0,10641.0,1596.15,10641.0,30
CDM,533931,WEDGE TIB 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,533932,STEM FEM KN SZ L 155MM,4429.0,4429.0,664.35,4429.0,30
CDM,533933,TRIAL HIP DISP 56/58/60,4093.0,4093.0,613.95,4093.0,42
CDM,533934,CAGE ACTB HIP 56/58/60MM,9051.0,9051.0,1357.65,9051.0,30
CDM,533935,LINER EXTD CVRG 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,533936,BSPLT TIB SZ8 NPOR RT,5758.0,5758.0,863.7,5758.0,30
CDM,533937,ROD SPN 5.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,533938,LINER ACTB 44X28,4429.0,4429.0,664.35,4429.0,30
CDM,533939,ROD SPNL 3.5/5.5X450MM,2711.0,2711.0,406.65,2711.0,30
CDM,533940,ROD SPNL 3.5/5.5X120MM,2711.0,2711.0,406.65,2711.0,30
CDM,533941,ROD SPNL STD 240MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,533942,SCREW BN LCK 3.2MM 10MM,1834.0,1834.0,275.1,1834.0,30
CDM,533943,PLATE BN SHEAR VOLAR,3534.0,3534.0,530.1,3534.0,30
CDM,533944,SCREW BN 3X29MM,2679.0,2679.0,401.85,2679.0,30
CDM,533945,ROD SPN L200 FX,2711.0,2711.0,406.65,2711.0,30
CDM,533946,PLATE BN PHLNG 2.0 2/6H,3721.0,3721.0,558.15,3721.0,30
CDM,533947,IMPLANT BREAST 210CC,5315.0,5315.0,797.25,5315.0,30
CDM,533948,COMPNT FEM LT KN SZ4,7397.0,7397.0,1109.55,7397.0,30
CDM,533949,SCREW BN 3.5MM 65MM,354.0,354.0,53.1,354.0,30
CDM,533950,SCREW BN 3.5X6X100MM,375.0,375.0,56.25,375.0,30
CDM,533951,SCREW BN 3.5MM 105MM,375.0,375.0,56.25,375.0,30
CDM,533952,ROD SPN STR 5.5 450MM,2711.0,2711.0,406.65,2711.0,30
CDM,533953,SURFACE ARTC KN 6-9 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,533955,STENT GFT EVAS 38X100MM,57577.0,57577.0,8636.55,57577.0,30
CDM,533956,SCREW BN 1.3MM 18MM,547.0,547.0,82.05,547.0,30
CDM,533957,HEAD FEM HIP REV +7X40MM,4429.0,4429.0,664.35,4429.0,30
CDM,533959,NAIL FEM CANN 12MM 420MM,8478.0,8478.0,1271.7,8478.0,30
CDM,533960,GRAFT CV 6MM 35CM,9071.0,9071.0,1360.65,9071.0,30
CDM,533961,INSERT TIB 17MM SZ5,4429.0,4429.0,664.35,4429.0,30
CDM,533962,CUP ACTB HIP G4 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,533963,LINER HIP NEU G4 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,533964,SPACER SPN 34X10-14MM 8D,15945.0,15945.0,2391.75,15945.0,30
CDM,533965,CAGE SPN MESH 15X12X13MM,7953.0,7953.0,1192.95,7953.0,30
CDM,533966,STEM KN FEM 20MM 60MM,4606.0,4606.0,690.9,4606.0,30
CDM,533967,SLEEVE FEM KN PRCT 45MM,9072.0,9072.0,1360.8,9072.0,30
CDM,533968,INSERT TIB KN SZ8 10MM,8309.0,8309.0,1246.35,8309.0,30
CDM,533969,TISSEEL 4 ML TOPICAL,1265.0,1265.0,189.75,1265.0,30
CDM,533972,SCREW BN 3MM 27MM,3189.0,3189.0,478.35,3189.0,30
CDM,533973,SCREW BN HAND SS 1.3X5MM,547.0,547.0,82.05,547.0,30
CDM,533974,SCREW BN 1.3X13MM,547.0,547.0,82.05,547.0,30
CDM,533976,COMP FEM SIZE 6 KN CMT,6644.0,6644.0,996.6,6644.0,30
CDM,533977,CMPNT TIB KN SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
CDM,533978,ROD SPN CRVD 5.5X95MM,2711.0,2711.0,406.65,2711.0,30
CDM,533979,PROBE SUC 3.5MM 180MM,2938.5,2938.5,440.77,2938.5,42
CDM,533980,DEVICE SUT 45D,2428.5,2428.5,364.27,2428.5,42
CDM,533981,SHELL ACTB HIP 13H 66MM,9418.0,9418.0,1412.7,9418.0,30
CDM,533982,SCREW BN 6.5MM 50MM,877.0,877.0,131.55,877.0,30
CDM,533983,INSERT TIB KN SZ8 18MM,8309.0,8309.0,1246.35,8309.0,30
CDM,533984,STM KN 3L LT REV CNDRL,14306.0,14306.0,2145.9,14306.0,30
CDM,533985,AUG FEM POST REV SZ3 4MM,4429.0,4429.0,664.35,4429.0,30
CDM,533986,DEVICE TROCH REATT STD,7384.0,7384.0,1107.6,7384.0,30
CDM,533987,SPACER SPN 31X10-14MM 8D,15945.0,15945.0,2391.75,15945.0,30
CDM,533988,LINER ACTB HIP 40MM 68MM,4429.0,4429.0,664.35,4429.0,30
CDM,533989,INS REV SHLDR +9MM 36MM,4428.0,4428.0,664.2,4428.0,30
CDM,533990,AUGMT BLCK WDG KN L 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,533991,AUGMT BLOCK WDGE KN 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,533992,INSERT TIB KN SZ2 19MM,7175.0,7175.0,1076.25,7175.0,30
CDM,533993,SPACER SPNL 30MMX12MM,9523.0,9523.0,1428.45,9523.0,30
CDM,533994,STEM FEM HIP 170MM,8858.0,8858.0,1328.7,8858.0,30
CDM,533996,CMPNT RADL WRIST RT SZSM,17041.0,17041.0,2556.15,17041.0,30
CDM,533997,CMPNT TIB KN LT SZE,5647.0,5647.0,847.05,5647.0,30
CDM,533998,CUP ACTB CLSTR GR6 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,533999,LINER HIP NTRL G6 36MM,4429.0,4429.0,664.35,4429.0,30
CDM,534000,WEDGE TIB KN 3-4 15MM,4606.0,4606.0,690.9,4606.0,30
CDM,534001,ROD CONN SPN OPN 2 SCRW,3012.0,3012.0,451.8,3012.0,30
CDM,534002,ROD SPN CONN 6MM,3012.0,3012.0,451.8,3012.0,30
CDM,534003,CAGE SPN 4-LOBE 14X15MM,7733.0,7733.0,1159.95,7733.0,30
CDM,534005,CAGE SPN 7D 14.5X12X6MM,4429.0,4429.0,664.35,4429.0,30
CDM,534006,SPACER SPN 12X19X12MM,21366.0,21366.0,3204.9,21366.0,30
CDM,534008,CONNECTOR ROD SPN 5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,534011,SCREW BN 5MM 30MM,3189.0,3189.0,478.35,3189.0,30
CDM,534012,GRAFT BN 6CC,4429.0,4429.0,664.35,4429.0,30
CDM,534013,ROD SPNL STRT 5.5X250MM,2711.0,2711.0,406.65,2711.0,30
CDM,534014,PLATE DISTAL TIB 223.508,4429.0,4429.0,664.35,4429.0,30
CDM,534015,BASEPLATE TIB KN LGE-2,8861.0,8861.0,1329.15,8861.0,30
CDM,534016,STEM TIB KN 80MM 18MM,4429.0,4429.0,664.35,4429.0,30
CDM,534017,STEM FEM KN RT SZ3,17394.0,17394.0,2609.1,17394.0,30
CDM,534018,WEDGE FEM KN SZ3,4606.0,4606.0,690.9,4606.0,30
CDM,534019,INSERT TIB KN SZ3 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,534021,TRAY TIB INSRT 3.5F/4.5T,4606.0,4606.0,690.9,4606.0,30
CDM,534022,PIN TEMPFX SQHD 2.3IN,773.0,773.0,115.95,773.0,42
CDM,534023,KIT DISP SVLCK 3.5X8.5MM,2251.0,2251.0,337.65,2251.0,42
CDM,534024,SCREW SPNL 3.5X16MM,3765.0,3765.0,564.75,3765.0,30
CDM,534025,SCREW SPNL 3.5X22MM,3765.0,3765.0,564.75,3765.0,30
CDM,534026,SCREW SPNL 3.5X24MM,3765.0,3765.0,564.75,3765.0,30
CDM,534028,SCREW SPNL 4.5X36MM,3765.0,3765.0,564.75,3765.0,30
CDM,534029,SCREW SPN 4.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,534030,SCREW SPNL 4.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,534031,CONN SPNL ROD 10MM,3012.0,3012.0,451.8,3012.0,30
CDM,534032,SCREW SPNL 3.5X26MM,3765.0,3765.0,564.75,3765.0,30
CDM,534033,COMPNT FEM RT KN MDL SZ3,5980.0,5980.0,897.0,5980.0,30
CDM,534034,INS FEM REV CCK SZ3 LT,18647.0,18647.0,2797.05,18647.0,30
CDM,534035,INSERT TIB KN SZ3 17MM,5603.0,5603.0,840.45,5603.0,30
CDM,534036,SCREW BN 2.7MM 14MM,1356.0,1356.0,203.4,1356.0,30
CDM,534037,SCREW BN 2.7MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,534038,SCREW BN 3.5MM 22MM,1356.0,1356.0,203.4,1356.0,30
CDM,534039,SCREW BN 3.5MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,534040,PLATE ORT STR 77X9X1.5MM,7468.0,7468.0,1120.2,7468.0,30
CDM,534043,SCREW SPN 6.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
CDM,534044,INSERT ARTC KN RT SZ1-2,4606.0,4606.0,690.9,4606.0,30
CDM,534047,ANCHOR SUT 2.3MM,3189.0,3189.0,478.35,3189.0,30
CDM,534051,NAIL BN KN 16X200MM,9793.0,9793.0,1468.95,9793.0,30
CDM,534052,SCRW BN 5X34MM INTRLCKNG,4252.0,4252.0,637.8,4252.0,30
CDM,534053,SCRW BN 5X40MM OSTEOBRDG,4252.0,4252.0,637.8,4252.0,30
CDM,534054,GRAFT EVAS 28MM 96MM,25291.0,25291.0,3793.65,25291.0,30
CDM,534055,INSERT TIB KN SZ 9 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,534056,BLOCK AUG POST SZ2,4606.0,4606.0,690.9,4606.0,30
CDM,534057,NAIL BN FEM 10MM 360MM,6312.0,6312.0,946.8,6312.0,30
CDM,534058,HEAD FEM HIP 28MM +1.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,534059,RING ACTB HIP 48MM,3535.0,3535.0,530.25,3535.0,30
CDM,534060,LINER DUR ALTRX +7 36X48,38188.0,38188.0,5728.2,38188.0,30
CDM,534061,SCREW BN WRST 2.3MM 24MM,319.0,319.0,47.85,319.0,30
CDM,534062,WIRE-K FX 1.6X100MM,972.5,972.5,145.88,972.5,42
CDM,534065,SCREW BN 3.2X8MM,1595.0,1595.0,239.25,1595.0,30
CDM,534066,PLATE BN HL 3.2X2.7MM,3721.0,3721.0,558.15,3721.0,30
CDM,534068,SCREW BN 3.8MM 26MM,479.0,479.0,71.85,479.0,30
CDM,534069,PLATE SPN 3LVL 48MM,4429.0,4429.0,664.35,4429.0,30
CDM,534070,PLT SPN LAT 14MM,3012.0,3012.0,451.8,3012.0,30
CDM,534072,SUTURE UND BRD +4-0 18IN,76.5,76.5,11.47,76.5,42
CDM,534073,STEM RADL ELBW 9X0X33MM,8969.0,8969.0,1345.35,8969.0,30
CDM,534074,SCRW BN CMPR 3X34MM,3189.0,3189.0,478.35,3189.0,30
CDM,534075,SCRW BN CMPR 3X38MM,3189.0,3189.0,478.35,3189.0,30
CDM,534076,TRAY TIBIAL LNG SIZE 5,26309.0,26309.0,3946.35,26309.0,30
CDM,534077,KIT ARTHSCP FX ARTHX SUT,6953.0,6953.0,1042.95,6953.0,30
CDM,534078,SCREW BN SPN 6MM 24MM,753.0,753.0,112.95,753.0,30
CDM,534079,ROD SPN CREO 35X5.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,534080,CAGE SPN 6D 50X22X12MM,13287.0,13287.0,1993.05,13287.0,30
CDM,534081,PLATE BN 2X2HL 23MM,3189.0,3189.0,478.35,3189.0,30
CDM,534083,INSERT TIB KN SZ4.5 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,534085,INSERT TIB KN SZ5 6MM,8309.0,8309.0,1246.35,8309.0,30
CDM,534086,PIN TEMPFX HDLSS 3IN,773.0,773.0,115.95,773.0,42
CDM,534087,STENT GFT 20FR 36X16X145,32106.0,32106.0,4815.9,32106.0,30
CDM,534088,GUIDE AAA 16FR 28MM,9009.5,9009.5,1351.42,9009.5,42
CDM,534089,INSERT TIB 1.5 9MM KN TR,4429.0,4429.0,664.35,4429.0,30
CDM,534090,LINER ACTB HIP SZ D 36MM,4606.0,4606.0,690.9,4606.0,30
CDM,534092,SPACER SPN 15X18X12MM,3016.0,3016.0,452.4,3016.0,30
CDM,534093,SPACER SPN 18X12MM,3016.0,3016.0,452.4,3016.0,30
CDM,534094,SUTURE WHT/GRN #2 36IN,263.0,263.0,39.45,263.0,42
CDM,534096,KIT SURG BNGF STRL,18957.0,18957.0,2843.55,18957.0,30
CDM,534097,CANNULA SIDE DEL 200 8G,4093.0,4093.0,613.95,4093.0,42
CDM,534098,CAGE SPNL 32X10X8MM,9523.0,9523.0,1428.45,9523.0,30
CDM,534099,SUB BNGF FOAM 10CC,4837.0,4837.0,725.55,4837.0,30
CDM,534100,CAGE SPNL 10X32X9MM CASC,9523.0,9523.0,1428.45,9523.0,30
CDM,534101,AUGMENT FEM KN 4MM 7,4606.0,4606.0,690.9,4606.0,30
CDM,534102,INSERT TIB KN SZ7 20MM,8309.0,8309.0,1246.35,8309.0,30
CDM,534103,SLEEVE TIB KN PRCT 53MM,10241.0,10241.0,1536.15,10241.0,30
CDM,534104,AUGMENT FEM KN SZ8 4MM,4606.0,4606.0,690.9,4606.0,30
CDM,534105,STEM FEM KN 110MM 20MM,4606.0,4606.0,690.9,4606.0,30
CDM,534107,STEM FEM KN 14MM 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,534108,INSERT TIB KN SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,534112,COMPNT FEM RT KN PST SZ2,6312.0,6312.0,946.8,6312.0,30
CDM,534113,STEM FEM KN 10MM 100MM,4606.0,4606.0,690.9,4606.0,30
CDM,534114,CMPNT FEM KN LT SZ1,18424.0,18424.0,2763.6,18424.0,30
CDM,534115,AUGMENT FEM LT SZ1 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,534116,AUGMENT FEM KN LT 1 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,534117,AUGMENT FEM POST SZ1 5MM,4606.0,4606.0,690.9,4606.0,30
CDM,534118,INSERT TIB KN 3.5 17MM,4429.0,4429.0,664.35,4429.0,30
CDM,534119,INSERT TIB KN SZ5+ 12MM,4429.0,4429.0,664.35,4429.0,30
CDM,534120,SPACER HIP WDGE 46MM,13967.0,13967.0,2095.05,13967.0,30
CDM,534121,SHELL ACTB HIP 2-H 56MM,4606.0,4606.0,690.9,4606.0,30
CDM,534122,SCREW BN 6.5MM 25MM,877.0,877.0,131.55,877.0,30
CDM,534123,LINER ACTB HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,534124,STEM FEM HIP LAT SZ2 -,8858.0,8858.0,1328.7,8858.0,30
CDM,534125,HEAD FEM HIP SM 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,534126,CUP ACTB TRIFLNG HIP64MM,44069.0,44069.0,6610.35,44069.0,30
CDM,534127,SCREW BN 4.5MM 48MM UNIV,1356.0,1356.0,203.4,1356.0,30
CDM,534128,CMPNT TIB KN RS 160X10,10306.0,10306.0,1545.9,10306.0,30
CDM,534129,CMPNT FEM KN 14MM 30CM,15254.0,15254.0,2288.1,15254.0,30
CDM,534130,PLATE BN 6HL 1.5MM,3721.0,3721.0,558.15,3721.0,30
CDM,534131,SCREW BN 1.5MM 15MM,625.0,625.0,93.75,625.0,30
CDM,534132,STEM FEM HIP SZ15 190MM,17596.0,17596.0,2639.4,17596.0,30
CDM,534133,CAGE SPNL 31X10X13MM,13287.0,13287.0,1993.05,13287.0,30
CDM,534134,SCREW SPN 8.5MM 90MM,4030.0,4030.0,604.5,4030.0,30
CDM,534135,CNCTR SPN 5.5-6X600MM,3012.0,3012.0,451.8,3012.0,30
CDM,534136,ROD SPN NS 120MM,3012.0,3012.0,451.8,3012.0,30
CDM,534137,SCREW SPNL P-AX 6.5X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,534138,SCREW SPNL P-AX 6.5X35MM,3765.0,3765.0,564.75,3765.0,30
CDM,534139,SCREW SPN P-AX 6.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,534143,AUGMENT FEM KN 4MM 8,4606.0,4606.0,690.9,4606.0,30
CDM,534144,COMPNT FEM KN 8 RT,18159.0,18159.0,2723.85,18159.0,30
CDM,534145,SPACER SPN 31X12-16MM 8D,15945.0,15945.0,2391.75,15945.0,30
CDM,534146,CAGE SPN CT 8X14X17MM,4429.0,4429.0,664.35,4429.0,30
CDM,534148,SCREW SPN ANCHORING,377.0,377.0,56.55,377.0,30
CDM,534149,SCREW BN 1.3MM 11MM,547.0,547.0,82.05,547.0,30
CDM,534150,PLATE OLECRNON HK 8HL RT,4429.0,4429.0,664.35,4429.0,30
CDM,534151,SCREW BN CORT 3.2MM 22MM,1595.0,1595.0,239.25,1595.0,30
CDM,534152,SCREW BN 3.2MM 24MM,1595.0,1595.0,239.25,1595.0,30
CDM,534153,ROD SPN 30MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,534154,CMPNT BEARING RT SM 7MM,4651.0,4651.0,697.65,4651.0,30
CDM,534155,SCREW SPN 8.5X55MM,3765.0,3765.0,564.75,3765.0,30
CDM,534159,CANNULA BTN 8MM 5CM,494.5,494.5,74.17,494.5,42
CDM,534160,SCREW BN CORT 3.2MM 14MM,1834.0,1834.0,275.1,1834.0,30
CDM,534162,CATH BLNDIL 6X120MM135CM,5628.0,5628.0,844.2,5628.0,42
CDM,534163,PLT BN SPN CERV 2LVL36MM,4429.0,4429.0,664.35,4429.0,30
CDM,534166,ROD 6.0X600 COCR,2711.0,2711.0,406.65,2711.0,30
CDM,534167,SCREW BN SPN 8.5MM 80MM,4429.0,4429.0,664.35,4429.0,30
CDM,534168,ROD CNCTR 70MM 5/6-6MM,3012.0,3012.0,451.8,3012.0,30
CDM,534169,CONNECTOR ROD CD HZN CL5,3012.0,3012.0,451.8,3012.0,30
CDM,534170,INTERBODY SPN 13X24X30MM,8858.0,8858.0,1328.7,8858.0,30
CDM,534171,SCREW SPN 4.0MM 16MM,1130.0,1130.0,169.5,1130.0,30
CDM,534172,INSERT TIB KN 74X46X20MM,5700.0,5700.0,855.0,5700.0,30
CDM,534173,SLEEVE TIB KN PRCT 45MM,9744.0,9744.0,1461.6,9744.0,30
CDM,534174,CAGE SPN MESH 14X14X9MM,7056.0,7056.0,1058.4,7056.0,30
CDM,534175,STEM ULN WRIST 2CM 4.5MM,10484.0,10484.0,1572.6,10484.0,30
CDM,534176,SCREW BN LCK 3.5X16,2073.0,2073.0,310.95,2073.0,30
CDM,534177,INSERT TIB KNEE 14X75MM,4606.0,4606.0,690.9,4606.0,30
CDM,534179,SCREW BN 1.5MM 16MM,625.0,625.0,93.75,625.0,30
CDM,534180,SCREW SPN 3.5MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,534181,SCREW BN 4.75MM 35MM,877.0,877.0,131.55,877.0,30
CDM,534182,CAGE SPN 7D 6X14X17MM,4429.0,4429.0,664.35,4429.0,30
CDM,534183,HEAD FEM HIP 12/14 32MM,4429.0,4429.0,664.35,4429.0,30
CDM,534184,BLCK AUGMT 15 NXGN 4 RT,4892.0,4892.0,733.8,4892.0,30
CDM,534185,WEDGE TIB KN SZ4 15MM,4892.0,4892.0,733.8,4892.0,30
CDM,534186,STEM HUM SHLDR 122X12MM,11959.0,11959.0,1793.85,11959.0,30
CDM,534187,BEARING HUM SHLDR 44X36,11693.0,11693.0,1753.95,11693.0,30
CDM,534188,SYSTEM IMPLNT TNPDSIS,4185.0,4185.0,627.75,4185.0,30
CDM,534189,COMP FEMUR 2 CMNT STRL,6688.0,6688.0,1003.2,6688.0,30
CDM,534190,COMP FEM PTLFEM 31X7MM,4252.0,4252.0,637.8,4252.0,30
CDM,534192,APPLIER CLP PRLD 11IN,538.0,538.0,80.7,538.0,30
CDM,534193,SHEATH URE 15X46MM,907.5,907.5,136.13,907.5,42
CDM,534194,APPLIER CLP LOAD M/L,606.0,606.0,90.9,606.0,30
CDM,534195,APPLIER CLP PRLD 9.375IN,558.0,558.0,83.7,558.0,30
CDM,534196,APPLIER CLP LOAD LG,870.0,870.0,130.5,870.0,30
CDM,534197,SCREW SET 3.5MM,753.0,753.0,112.95,753.0,30
CDM,534198,GRAFT BN DBM 45X11MM,3765.0,3765.0,564.75,3765.0,30
CDM,534199,CAGE SPN MESH 12X12X9MM,5920.0,5920.0,888.0,5920.0,30
CDM,534200,MESH DBM MTRX 11MM 45MM,4429.0,4429.0,664.35,4429.0,30
CDM,534201,DBM RSRB 85X11MM 11.5CC,4429.0,4429.0,664.35,4429.0,30
CDM,534202,INSERT TIB KN SZ1-2 11MM,4429.0,4429.0,664.35,4429.0,30
CDM,534203,CMPNT FEM STD KN LT SZ9,7973.0,7973.0,1195.95,7973.0,30
CDM,534204,SURFACE ARTC KN 6-9 16MM,4651.0,4651.0,697.65,4651.0,30
CDM,534205,EXTENSION STM 17MM 75MM,4429.0,4429.0,664.35,4429.0,30
CDM,534206,CAGE SPNL 35X10X14MM,13287.0,13287.0,1993.05,13287.0,30
CDM,534208,CAGE SPN CNCRD 9X12X27,9523.0,9523.0,1428.45,9523.0,30
CDM,534209,SCREW BN SPN 9.5MM 90MM,4429.0,4429.0,664.35,4429.0,30
CDM,534210,SPACER SPNL 32X10X9MM,9523.0,9523.0,1428.45,9523.0,30
CDM,534211,STEM FEM 315X18MM 13MM,18116.0,18116.0,2717.4,18116.0,30
CDM,534212,VALVE SHUNT CSF REG,4429.0,4429.0,664.35,4429.0,30
CDM,534214,HEAD FEM +15MM 36MM OFST,4252.0,4252.0,637.8,4252.0,30
CDM,534215,SCREW BN CANN 2.3MMX20MM,3189.0,3189.0,478.35,3189.0,30
CDM,534217,MESH SURG HRN 10X10CM,5833.0,5833.0,874.95,5833.0,30
CDM,534218,SCREW SPN P-AX 6.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,534219,SCREW SPN 9.5MM 80MM,3389.0,3389.0,508.35,3389.0,30
CDM,534220,AUGMENT TIB 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,534221,AUGMENT TIB 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,534222,INSERT TIB KN SZ7 10MM,8309.0,8309.0,1246.35,8309.0,30
CDM,534223,LINER ACTB HIP 40MM,4429.0,4429.0,664.35,4429.0,30
CDM,534224,LINER ACE A CONN GXL,4429.0,4429.0,664.35,4429.0,30
CDM,534225,STEM HUM SHLDR 11MM 70MM,10209.0,10209.0,1531.35,10209.0,30
CDM,534226,BASEPLATE TIB KN LT SZE,4872.0,4872.0,730.8,4872.0,30
CDM,534227,SURF ARTC KN 6-9 13MM,4606.0,4606.0,690.9,4606.0,30
CDM,534228,SCREW BN 1.3MM 4MM,1438.0,1438.0,215.7,1438.0,30
CDM,534229,IPG NRSTM 5.3X4.8CM,65466.0,65466.0,9819.9,65466.0,30
CDM,534230,SCREW SPN 3.5MM 16MM,3765.0,3765.0,564.75,3765.0,30
CDM,534231,PLATE SPN 4LVL 60MM,4429.0,4429.0,664.35,4429.0,30
CDM,534232,STENT GRAFT 34X34X225MM,95202.0,95202.0,14280.3,95202.0,30
CDM,534233,STENT GRAFT 34X34X97MM,81915.0,81915.0,12287.25,81915.0,30
CDM,534234,ROD SPN 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
CDM,534235,CUP ACTB TRFL HIP LT62MM,40969.0,40969.0,6145.35,40969.0,30
CDM,534236,AUGMENT ACTB 15 54/56MM,5805.0,5805.0,870.75,5805.0,30
CDM,534237,BODY CLCR 210MM 16MM,24289.0,24289.0,3643.35,24289.0,30
CDM,534238,SHELL ACTB HIP 3H 50MM,4606.0,4606.0,690.9,4606.0,30
CDM,534239,BLOCK TIB KN SZ5 10MM,6406.0,6406.0,960.9,6406.0,30
CDM,534240,CMPNT FEM SZF 15MM,4892.0,4892.0,733.8,4892.0,30
CDM,534241,NAIL BN FEM 12MM 420MM,8478.0,8478.0,1271.7,8478.0,30
CDM,534242,SCREW BN FEN 120MM,3721.0,3721.0,558.15,3721.0,30
CDM,534243,STENT GRAFT 37X37174MM,88558.0,88558.0,13283.7,88558.0,30
CDM,534244,STENT GRAFT 34-40X200MM,95202.0,95202.0,14280.3,95202.0,30
CDM,534245,INS TIB KN TRUL SZ2 15MM,4429.0,4429.0,664.35,4429.0,30
CDM,534246,SCREW SPNL P-AX 8.5X50MM,3765.0,3765.0,564.75,3765.0,30
CDM,534247,SCREW SPNL P-AX 8.5X40MM,3765.0,3765.0,564.75,3765.0,30
CDM,534248,SCREW SPNL P-AX 7.5X40MM,3389.0,3389.0,508.35,3389.0,30
CDM,534249,KIT NRSTM LEAD 50CM,21481.0,21481.0,3222.15,21481.0,30
CDM,534250,INSERT ARTC SZ3-4 13MM,4429.0,4429.0,664.35,4429.0,30
CDM,534251,KIT SUT MNI ASCP 7X2.4MM,1504.0,1504.0,225.6,1504.0,42
CDM,534252,INSRT TIB 3 9MM KN TRULI,4429.0,4429.0,664.35,4429.0,30
CDM,534253,WEDGE TIB KN SZ6 15MM,4892.0,4892.0,733.8,4892.0,30
CDM,534255,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
CDM,534256,SPACER SPN 8D 29X9X22MM,9523.0,9523.0,1428.45,9523.0,30
CDM,534257,SPACER SPNL 29X11MM,9523.0,9523.0,1428.45,9523.0,30
CDM,534258,PLT BN MANDIBLE 20HL 2MM,11520.0,11520.0,1728.0,11520.0,30
CDM,534259,CMPNT KN CMNTLS LT SZ1,7397.0,7397.0,1109.55,7397.0,30
CDM,534260,CMPNT PTLR KN 10MM 32MM,4252.0,4252.0,637.8,4252.0,30
CDM,534261,BLOCK TIB KN 10MM,6406.0,6406.0,960.9,6406.0,30
CDM,534262,SHELL ACTB HIP 5H 54MM,4606.0,4606.0,690.9,4606.0,30
CDM,534263,SCREW SPN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,534264,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
CDM,534265,ROD SPN 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,30
CDM,534266,SCREW BN SPN 6.5MM 45MM,3389.0,3389.0,508.35,3389.0,30
CDM,534267,SCREW BN SPN 6.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
CDM,534268,VALVE AORTIC 27MM,19022.0,19022.0,2853.3,19022.0,30
CDM,534270,PLATE SPN SM MDL,6644.0,6644.0,996.6,6644.0,30
CDM,534271,ROD SPNL PRBENT 3.5MM,2711.0,2711.0,406.65,2711.0,30
CDM,534272,SCREW SPNL 4.5X14MM,1130.0,1130.0,169.5,1130.0,30
CDM,534273,SCREW SPN SET SQ THRD,753.0,753.0,112.95,753.0,30
CDM,534275,PLATE 313MM SS 4.5/5 12H,7529.0,7529.0,1129.35,7529.0,30
CDM,534276,PLATE BN T 3&7H 1.5X40MM,3189.0,3189.0,478.35,3189.0,30
CDM,534277,SCREW BN 1.5MM 12MM,625.0,625.0,93.75,625.0,30
CDM,534278,SCREW BN 1.5MM 12MM,1563.0,1563.0,234.45,1563.0,30
CDM,534279,CAGE CERV 16.5X14X8 7D,4429.0,4429.0,664.35,4429.0,30
CDM,534280,SHELL ACTB HIP 13H 58MM,9418.0,9418.0,1412.7,9418.0,30
CDM,534281,PLATE BN LCK 8H 132MM,3721.0,3721.0,558.15,3721.0,30
CDM,534282,PLATE BN LCK 2.3MM,5128.0,5128.0,769.2,5128.0,30
CDM,534283,COMPONENT FEM KN LG,7087.0,7087.0,1063.05,7087.0,30
CDM,534284,SCREW BN 3MM 20MM,3189.0,3189.0,478.35,3189.0,30
CDM,534285,SCREW BN 3.5MM 32MM,1356.0,1356.0,203.4,1356.0,30
CDM,534286,KWIRE FX 150MM 1.2MM,386.5,386.5,57.98,386.5,42
CDM,534289,KIT INST GRVTY DSP 3.5MM,1105.0,1105.0,165.75,1105.0,42
CDM,534290,ANCHOR PEEK 3.5MM,3315.0,3315.0,497.25,3315.0,30
CDM,534291,PLATE BN TBLR STR 10HL,4429.0,4429.0,664.35,4429.0,30
CDM,534292,PLATE BN SMALL 50MM,6396.0,6396.0,959.4,6396.0,30
CDM,534293,SCREW BN 3.5MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,534294,SCREW BN 3.5MM 40MM,1356.0,1356.0,203.4,1356.0,30
CDM,534295,SCREW BN 3.5MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,534296,SCREW BN 2.7MM 10MM,1356.0,1356.0,203.4,1356.0,30
CDM,534297,SCREW BN 2.7MM 12MM,1356.0,1356.0,203.4,1356.0,30
CDM,534298,SCREW BN 2.7MM 2MM 10MM,319.0,319.0,47.85,319.0,30
CDM,534299,SCREW BN 3.5MM 20MM,1356.0,1356.0,203.4,1356.0,30
CDM,534304,PLATE BN 77MM,7468.0,7468.0,1120.2,7468.0,30
CDM,534305,CMPNT PTLR KN 11MM 38MM,4252.0,4252.0,637.8,4252.0,30
CDM,534306,BASEPLATE TIB KN SZ8,5758.0,5758.0,863.7,5758.0,30
CDM,534307,PLATE BN 5 HL 5 PEG FXNG,4340.0,4340.0,651.0,4340.0,30
CDM,534308,CONNECT ROD SPN 70X5.5MM,3012.0,3012.0,451.8,3012.0,30
CDM,534309,CAGE SPNL 28X11X11MM,13287.0,13287.0,1993.05,13287.0,30
CDM,534310,SCREW BN 6.5MM 25MM,3189.0,3189.0,478.35,3189.0,30
CDM,534311,SCREW BN 5MM 22MM,1196.0,1196.0,179.4,1196.0,30
CDM,534312,SCREW BN 5MM 26MM,1196.0,1196.0,179.4,1196.0,30
CDM,534313,BASEPLATE SHLDR STD 25MM,5315.0,5315.0,797.25,5315.0,30
CDM,534314,SCREW BN 6.5MM 15MM,877.0,877.0,131.55,877.0,30
CDM,534315,SCREW BN 6.5MM 20MM,877.0,877.0,131.55,877.0,30
CDM,534316,CAGE SPN 7D 12X15.5MM,4429.0,4429.0,664.35,4429.0,30
CDM,534318,SCREW SPN 5.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
CDM,534319,SCREW BN 7MM 8MM 110MM,2790.0,2790.0,418.5,2790.0,30
CDM,534320,HEAD RADL ELB 12X24MM,4606.0,4606.0,690.9,4606.0,30
CDM,534321,SCREW SPNL 4X30MM,3765.0,3765.0,564.75,3765.0,30
CDM,534322,SCREW SPNL 3.5X20MM,3765.0,3765.0,564.75,3765.0,30
CDM,534323,SCREW SPNL 3.5X18MM,3765.0,3765.0,564.75,3765.0,30
CDM,534324,SCREW SPN 3.5X12MM,3765.0,3765.0,564.75,3765.0,30
CDM,534327,SPACER SPNL 60X22X12MM,13952.0,13952.0,2092.8,13952.0,30
CDM,534328,STENT GRAFT 37X37X97MM,81915.0,81915.0,12287.25,81915.0,30
CDM,534329,SCREW SPN 4.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,534330,SCREW SPN 3.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
CDM,534331,SCREW BN SPN 3.5MM 28MM,3389.0,3389.0,508.35,3389.0,30
CDM,534332,CONNECTR ROD SPN 3.5-3.5,3012.0,3012.0,451.8,3012.0,30
CDM,534333,ROD SPN 3.5X70MM,2711.0,2711.0,406.65,2711.0,30
CDM,534334,COMPNT FEM KN RT SZ8,7397.0,7397.0,1109.55,7397.0,30
CDM,534346,MARKER SEED 18GA 12CM,3721.0,3721.0,558.15,3721.0,30
CDM,534347,NEEDLE BX 25GA,3798.0,3798.0,569.7,3798.0,42
CDM,534348,SYSTEM BX FN 19GA,4385.5,4385.5,657.83,4385.5,42
CDM,534349,BASKET RETR 15MM 286CM,4052.0,4052.0,607.8,4052.0,42
CDM,534353,CATH BLNDIL 5.5CM 240CM,1461.5,1461.5,219.22,1461.5,42
CDM,534360,STENT BILIARY 8MM 10CM,11767.0,11767.0,1765.05,11767.0,30
CDM,534361,STENT BILIARY 10MM 10CM,11767.0,11767.0,1765.05,11767.0,30
CDM,534362,GRAFIX STRAVIX PL 1SQCM,2166.0,2166.0,324.9,2166.0,29
CDM,534364,VEST HOLSTER MEDIUM,3200.5,3200.5,589.21,3200.5,26
CDM,534365,VEST HOLSTER SMALL,3200.5,3200.5,589.21,3200.5,26
CDM,534366,STRIP RTNL 5X6.9X125MM,514.0,514.0,77.1,514.0,30
CDM,534367,PROBE LTHTRP 1.9FR 375CM,3511.5,3511.5,526.73,3511.5,42
CDM,534368,ROD SPNL 500X3.5-5MM,2711.0,2711.0,406.65,2711.0,30
CDM,534372,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",5716.5,5716.5,550.56,851.92,34
CDM,534372,DEVICE VNTRC ASST BTRY,5716.5,5716.5,1052.41,5716.5,26
CDM,534373,MODULE POWER UNIT,41572.5,41572.5,7653.5,41572.5,26
CDM,534373,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",41572.5,41572.5,14093.25,21807.45,34
CDM,534374,KIT HRTMT 3 CONTROLLER,28870.0,28870.0,4907.9,28870.0,38
CDM,534374,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",28870.0,28870.0,17090.22,26444.86,34
CDM,534375,BATTERY VAD BKUP 11V,3849.0,3849.0,708.6,3849.0,26
CDM,534376,DEVICE LVAD OUTFLOW GRFT,21260.0,21260.0,3189.0,21260.0,30
CDM,534379,RING ANLPLS 4D 24MM,6152.0,6152.0,922.8,6152.0,30
CDM,534380,RING ANLPLS MTRL 26MM,6152.0,6152.0,922.8,6152.0,30
CDM,534381,RING MTRL 28MM,6152.0,6152.0,922.8,6152.0,30
CDM,534382,RING ANLPLS 30MM,6152.0,6152.0,922.8,6152.0,30
CDM,534383,RING MTRL 32MM,6152.0,6152.0,922.8,6152.0,30
CDM,534384,RING ANLPLS MTRL 36MM,6152.0,6152.0,922.8,6152.0,30
CDM,534385,RING MTRL 38MM,6152.0,6152.0,922.8,6152.0,30
CDM,534386,RING MTRL 40MM,6152.0,6152.0,922.8,6152.0,30
CDM,534390,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",37415.0,37415.0,4912.81,7601.93,34
CDM,534390,DEVICE VNTRC ASST BTRY,37415.0,37415.0,6888.1,37415.0,26
CDM,534391,SHUNT CV 18MM 1MM,1504.0,1504.0,225.6,1504.0,42
CDM,534392,SHUNT CV 18MM 1.25MM,1504.0,1504.0,225.6,1504.0,42
CDM,534393,SHUNT CV 18MM 1.5MM,1504.0,1504.0,225.6,1504.0,42
CDM,534394,SHUNT CV 18MM 1.7MM,965.5,965.5,144.82,965.5,42
CDM,534395,SHUNT CV 18MM 2MM,965.5,965.5,144.82,965.5,42
CDM,534397,SHUNT CV 18MM 2.5MM,937.0,937.0,140.55,937.0,42
CDM,534398,SHUNT CV 18MM 2.75MM,965.5,965.5,144.82,965.5,42
CDM,534399,SHUNT CV 18MM 3MM,965.5,965.5,144.82,965.5,42
CDM,534401,BLADE SAW 1.28MM 90MM,2207.0,2207.0,331.05,2207.0,42
CDM,534402,BLADE SAW 1.28X19.5X105,2618.0,2618.0,392.7,2618.0,42
CDM,534405,DEVICE CLSR WND +0 15CM,381.5,381.5,57.23,381.5,42
CDM,534406,INSERT CLAMP 90MM,464.0,464.0,69.6,464.0,42
CDM,534407,STAPLER INT 60MM,773.0,773.0,115.95,773.0,42
CDM,534408,STAPLER INT 30MM,773.0,773.0,115.95,773.0,42
CDM,534409,RELOAD STPLR 30MM,512.0,512.0,76.8,512.0,30
CDM,538084,PLATE BN RT 18H 363MM,5758.0,5758.0,863.7,5758.0,30
CDM,540443,LENS IOL +12.0 DIOP,1271.5,1271.5,234.08,1271.5,28
CDM,54418,RASP SURG 13X6.5MM,847.5,847.5,127.13,847.5,42
CDM,546506,CATH EP C 2-8-2X120 6FR,2333.0,2333.0,349.95,2333.0,42
CDM,546507,GWIRE VASC .035IN 260CM,442.0,442.0,66.3,442.0,42
CDM,547582,DILATOR BLN 8X180CM,1085.5,1085.5,162.82,1085.5,42
CDM,550553,CMPNT FEM KN SZ C,4252.0,4252.0,637.8,4252.0,30
CDM,551065,BURR SURG EGG STRL 54X4,516.0,516.0,77.4,516.0,42
CDM,55283,CONNECTR PRFSN 3/8X1/2IN,137.0,137.0,20.55,137.0,42
CDM,55983,NEEDLE PORT LAPBAND 20GA,116.0,116.0,17.4,116.0,42
CDM,594494,SHEATH GD 7FR 45CM,773.0,773.0,115.95,773.0,42
CDM,594495,SHEATH GD 7FR 45CM,773.0,773.0,115.95,773.0,42
CDM,595534,SUTURE SH 2-0 1X30IN,231.5,231.5,34.73,231.5,42
CDM,595804,SCREW BN 3.5MM 38MM,1244.0,1244.0,186.6,1244.0,30
CDM,596165,SCREW BN 3.5MM 30MM,1356.0,1356.0,203.4,1356.0,30
CDM,596166,SCREW BN 3.5MM 32MM,1356.0,1356.0,203.4,1356.0,30
CDM,596170,SCREW BN 3.5MM 30MM,1244.0,1244.0,186.6,1244.0,30
CDM,596173,SCREW BN 3.5MM 46MM,1244.0,1244.0,186.6,1244.0,30
CDM,596792,SCREW BN 3.5MM 42MM,1244.0,1244.0,186.6,1244.0,30
CDM,597039,SCREW BN 3.5MM 40MM,1244.0,1244.0,186.6,1244.0,30
CDM,597666,STENT TRCHBR 7FR 10X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,597780,SCREW BN 3.5MM 38MM,1356.0,1356.0,203.4,1356.0,30
CDM,598509,SCREW BN 2.4MM 11MM,879.0,879.0,131.85,879.0,30
CDM,598526,BIT DRILL DISP 6MM 3MM,386.5,386.5,57.98,386.5,42
CDM,598582,CMPNT TIB KN LT SZT3-I4,4872.0,4872.0,730.8,4872.0,30
CDM,598605,RING EXFX FOOT LNG 180MM,10682.5,10682.5,1602.38,10682.5,42
CDM,599070,SCREW BN 3.5MM 50MM,1244.0,1244.0,186.6,1244.0,30
CDM,599519,COMPONENT FEM RT SZ3+,6644.0,6644.0,996.6,6644.0,30
CDM,600176,HLA 2 TYP 1 AG EQV LR EA,822.48,822.48,151.42,822.48,28
CDM,600176,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",822.48,822.48,42.63,284.22,49
CDM,600205,PLATE CALCANEOUS RT XL,4429.0,4429.0,664.35,4429.0,30
CDM,603826,PLATE BN MED,5089.0,5089.0,763.35,5089.0,30
CDM,604108,PLATE BN RT 5D 1.6MM,7051.0,7051.0,1057.65,7051.0,30
CDM,604222,NATRIURETIC PEPTIDE,1141.18,1141.18,210.09,1141.18,28
CDM,604223,CMPD FENTPF 2500MCG 50ML,397.92,397.92,59.69,397.92,30
CDM,604224,CMPD FNTRP 2MCG-0.2%200B,1190.54,1190.54,178.58,1190.54,30
CDM,604225,CMPD CUST TPN 1000ML,2898.55,2898.55,434.78,2898.55,30
CDM,604226,CMPD CUST TPN NEO 250ML,1581.64,1581.64,237.25,1581.64,30
CDM,604227,BENZOCAINE 20% 57G TOP,44.88,44.88,6.73,44.88,42
CDM,604460,PLATE BN CMPR 20X20MM,4859.0,4859.0,728.85,4859.0,30
CDM,604479,ZIDOVUDINE 50MG PO,13.0,13.0,1.95,13.0,28
CDM,604491,SCREW BN 7X65MM CANN T,3189.0,3189.0,478.35,3189.0,30
CDM,604494,SCREW BN CANN 7.0X55MM,3189.0,3189.0,478.35,3189.0,30
CDM,604626,SCREW BN HD CAN 4.0X34MM,3189.0,3189.0,478.35,3189.0,30
CDM,604700,SCREW BN 4.2MM 22MM,2806.0,2806.0,420.9,2806.0,30
CDM,604730,SCREW BN 4.2MM 20MM,2806.0,2806.0,420.9,2806.0,30
CDM,604731,SCREW BN LCK 4.2X16MM,2806.0,2806.0,420.9,2806.0,30
CDM,604772,SCREW BN 2.5MM 10MM,2727.0,2727.0,409.05,2727.0,30
CDM,604792,SCREW BN 4.0MM 38MM,3189.0,3189.0,478.35,3189.0,30
CDM,604930,SCREW BN 5.5MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,604934,SCREW BN 7MM 60MM,3189.0,3189.0,478.35,3189.0,30
CDM,604987,SCREW BN 2.5X22MM,3189.0,3189.0,478.35,3189.0,30
CDM,605261,PORT ACC 12MM 100MM,3884.5,3884.5,582.67,3884.5,42
CDM,605305,DRILL BIT 1.7X120MM CANN,386.5,386.5,57.98,386.5,42
CDM,605306,KWIRE FX 0.9MM 150MM,347.0,347.0,52.05,347.0,42
CDM,605559,SCREW BN 7MM 72MM,3189.0,3189.0,478.35,3189.0,30
CDM,605664,SCREW BN 4MM 30M,3189.0,3189.0,478.35,3189.0,30
CDM,605728,SCREW BN 4MM 48MM,3189.0,3189.0,478.35,3189.0,30
CDM,605830,SCREW BN 2.5MM 8MM,2727.0,2727.0,409.05,2727.0,30
CDM,605907,SCREW BN CAN MED 7X84MM,3189.0,3189.0,478.35,3189.0,30
CDM,605920,SCREW BN 7MM 76MM,3189.0,3189.0,478.35,3189.0,30
CDM,605957,SCREW BN CANN 5.5X75MM,3189.0,3189.0,478.35,3189.0,30
CDM,605965,SCREW BN 4MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,605985,SCREW BN MED 7MM 74MM,3189.0,3189.0,478.35,3189.0,30
CDM,605986,SCREW BN CANN 5.5X38MM,3189.0,3189.0,478.35,3189.0,30
CDM,605988,SCREW BN 4.2MM 36MM,2806.0,2806.0,420.9,2806.0,30
CDM,606002,SCREW BN 5.5MM 65MM,3189.0,3189.0,478.35,3189.0,30
CDM,606167,KWIRE FX 1.1MM 150MM,347.0,347.0,52.05,347.0,42
CDM,606187,PLATE BN SM,5089.0,5089.0,763.35,5089.0,30
CDM,606921,SCREW BN 5.5MM 26MM,3189.0,3189.0,478.35,3189.0,30
CDM,606951,SCREW BN NLCK 4.2X32MM,2200.0,2200.0,330.0,2200.0,30
CDM,607174,SCREW BN CANN 5.5X46MM,3189.0,3189.0,478.35,3189.0,30
CDM,607421,KWIRE BLNT 1.6MM 150MM,386.5,386.5,57.98,386.5,42
CDM,608305,SCREW BN 4MM 32MM,3189.0,3189.0,478.35,3189.0,30
CDM,608483,PLATE BN 4HL 1.1MM,3534.0,3534.0,530.1,3534.0,30
CDM,608670,CATH GD 6FR 100CM,714.0,714.0,107.1,714.0,42
CDM,608671,GRIP TROCH 3CBL SM 75MM,4606.0,4606.0,690.9,4606.0,30
CDM,609176,SCREW SPN 9.5MM 80MM,3012.0,3012.0,451.8,3012.0,30
CDM,609185,SCREW BN 2.5MM 20MM CANN,2607.0,2607.0,391.05,2607.0,30
CDM,609381,PLATE BN 5HL,4859.0,4859.0,728.85,4859.0,30
CDM,609413,SCREW BN 5.5MM 46MM,3189.0,3189.0,478.35,3189.0,30
CDM,609424,SCREW BN BN MED 7X55MM,3189.0,3189.0,478.35,3189.0,30
CDM,609425,SCREW BN 7X60MM,3189.0,3189.0,478.35,3189.0,30
CDM,609426,SCREW BN LCK 5.2X40MM,2910.0,2910.0,436.5,2910.0,30
CDM,609427,SCREW BN PLT 5.2MM 38MM,2910.0,2910.0,436.5,2910.0,30
CDM,609489,PLATE BN SCREW 5.2X34MM,2910.0,2910.0,436.5,2910.0,30
CDM,609504,SCREW BN 5.5MM 42MM,3189.0,3189.0,478.35,3189.0,30
CDM,609588,KIT INTL BRAC LISFRANC,6953.0,6953.0,1042.95,6953.0,30
CDM,609621,BIT DRILL 3.3MM 245MM,1539.0,1539.0,230.85,1539.0,42
CDM,609674,SCREW BN 7MM 78MM,3189.0,3189.0,478.35,3189.0,30
CDM,609809,PLATE BN MED DIST 2MM,7782.0,7782.0,1167.3,7782.0,30
CDM,609891,SCREW BN 3.5MM 42MM,2105.0,2105.0,315.75,2105.0,30
CDM,609969,SCREW BN CANN 4.5X30MM,3189.0,3189.0,478.35,3189.0,30
CDM,609972,SCREW BN 3.5MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,610001,STENT TRCHBR 7FR 9X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,610006,STENT TRCHBR 7FR 6X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,610646,ARTHROFLEX 1SQCM,1070.0,1070.0,160.5,1070.0,30
CDM,610739,SCREW BN LCK 3.5MM 42MM,2727.0,2727.0,409.05,2727.0,30
CDM,610777,SCREW BN NLCKG 4.2X22MM,2200.0,2200.0,330.0,2200.0,30
CDM,610848,SCREW BN HD CANN 7X50MM,3189.0,3189.0,478.35,3189.0,30
CDM,610862,SCREW BN 7MM 70MM,3189.0,3189.0,478.35,3189.0,30
CDM,611305,PLATE BN LT 8H,8928.0,8928.0,1339.2,8928.0,30
CDM,611362,DOME TALAR STD SZ4,27903.0,27903.0,4185.45,27903.0,30
CDM,611363,PLATE BN SZ4 3MM,15506.0,15506.0,2325.9,15506.0,30
CDM,611492,SCREW BN HDLS 4X44MM,3189.0,3189.0,478.35,3189.0,30
CDM,611551,INSERT ANKL SZ3 10MM,15502.0,15502.0,2325.3,15502.0,30
CDM,612309,CATH ANGIO 6FR 80CM,3659.0,3659.0,548.85,3659.0,42
CDM,613544,CMPNT PSTNR STEM HIP 9,2445.0,2445.0,366.75,2445.0,30
CDM,614113,INSERT POLY SZ4 9MM,15502.0,15502.0,2325.3,15502.0,30
CDM,614131,SCREW BN 5MM 48MM,2393.0,2393.0,358.95,2393.0,30
CDM,614249,SCREW BN MINI 2.5X28MM,3077.0,3077.0,461.55,3077.0,30
CDM,614506,SCREW BN 4MM 28MM,3189.0,3189.0,478.35,3189.0,30
CDM,614673,PLATE BN TIB RT 9 HL,4429.0,4429.0,664.35,4429.0,30
CDM,614718,SCREW BN N-LCK 5.2X32MM,2272.0,2272.0,340.8,2272.0,30
CDM,614722,PLATE BN ANK ANT RT STD,8928.0,8928.0,1339.2,8928.0,30
CDM,614935,GLENOSPHERE RVRS 36MM,5315.0,5315.0,797.25,5315.0,30
CDM,615004,SCREW BN LCK XL25 5/68MM,2192.0,2192.0,328.8,2192.0,30
CDM,615446,HEMOSTAT BN PUTTY 8CC,12840.0,12840.0,1926.0,12840.0,30
CDM,615463,GRAFT BN PRSV ALGRF 20MM,8681.0,8681.0,1302.15,8681.0,30
CDM,615542,PLATE BN SCREW 5.2X44MM,2910.0,2910.0,436.5,2910.0,30
CDM,640455,SUTURE KS 4-0 1X27IN,38.0,38.0,5.7,38.0,42
CDM,65523,SCREW BN 3.5MM 30MM,1549.0,1549.0,232.35,1549.0,30
CDM,65527,TAK PLATE 1.6MM,773.0,773.0,115.95,773.0,42
CDM,65528,DRILL SURG 2.5MM,1074.5,1074.5,161.18,1074.5,42
CDM,66777,SCREW BN 3.5MM 10MM,2105.0,2105.0,315.75,2105.0,30
CDM,67037,SCREW BN 4MM 36MM,3189.0,3189.0,478.35,3189.0,30
CDM,67068,KIT STYLET STR CAP 50CM,1023.5,1023.5,153.53,1023.5,42
CDM,676302,PEN G BEN 1200000 U INJ,2077.27,2077.27,382.43,2077.27,23
CDM,67643,BURR SURG 5MM,2000.5,2000.5,300.07,2000.5,42
CDM,67644,BURR CRNL RND 3MM,2000.5,2000.5,300.07,2000.5,42
CDM,676700,ALLERGEN IGE REC/PURIF E,31.88,31.88,5.87,31.88,28
CDM,676700,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",31.88,31.88,8.07,53.79,47
CDM,676999,NS 1000 ML,145.83,145.83,21.87,145.83,28
CDM,677006,DEXTROSE 10% 1000 ML INJ,156.7,156.7,23.5,156.7,38
CDM,677010,NS 150 ML,148.02,148.02,22.2,148.02,28
CDM,677014,D5/0.225NACL 1000ML INJ,156.7,156.7,23.5,156.7,38
CDM,677020,D5W 250 ML INJ,148.02,148.02,22.2,148.02,28
CDM,677023,D5W 100 ML INJ,148.02,148.02,22.2,148.02,28
CDM,677024,D5W 50 ML INJ,148.02,148.02,22.2,148.02,28
CDM,677028,D5W 150 ML INJ,148.02,148.02,22.2,148.02,28
CDM,677029,DEXTROSE 70% 500 ML INJ,646.87,646.87,97.03,646.87,38
CDM,677035,LACTATED RINGERS 500 ML,646.87,646.87,97.03,646.87,28
CDM,677039,0.45% NACL 1000 ML INJ,156.7,156.7,23.5,156.7,38
CDM,677043,0.9% NACL 1000 ML IRR,148.6,148.6,22.29,148.6,38
CDM,677044,0.9% NACL 500 ML IRR,148.6,148.6,22.29,148.6,38
CDM,677045,NS 100 ML,148.02,148.02,22.2,148.02,28
CDM,677046,NS 50 ML,148.02,148.02,22.2,148.02,28
CDM,677068,STERILE WATER 1 L IRRIG,148.6,148.6,22.29,148.6,38
CDM,677075,NS 500 ML,646.87,646.87,97.03,646.87,28
CDM,677078,K20/NS 1000 ML INJ,148.02,148.02,22.2,148.02,27
CDM,677079,K40/NS 1000 ML INJ,148.02,148.02,22.2,148.02,27
CDM,677080,K20/D5NS 1000 ML INJ,156.7,156.7,23.5,156.7,27
CDM,677085,K20/D5NS0.45 1000 ML INJ,156.7,156.7,23.5,156.7,27
CDM,677104,PETROLATUM 95% 113 G TOP,45.01,45.01,6.75,45.01,42
CDM,677201,0.45% NACL 250 ML INJ,156.7,156.7,23.5,156.7,38
CDM,677248,ADENOSINE 90 MG INJ,5486.27,5486.27,822.94,5486.27,28
CDM,677292,ALBUMIN INF 25% 50ML INJ,1847.92,1847.92,277.19,1847.92,27
CDM,677298,ALBUMIN INF 5% 50ML INJ,966.36,966.36,144.95,966.36,27
CDM,677324,ALDESLEUK SINGLE VL INJ,40924.4,40924.4,7534.18,40924.4,23
CDM,677324,"Injection, aldesleukin, per single use vial ",40924.4,40924.4,7248.0,8154.01,2
CDM,677451,ETOMIDATE 20 MG INJ,611.87,611.87,91.78,611.87,38
CDM,677560,AMOXICILLIN 250 MG PO,69.28,69.28,10.39,69.28,42
CDM,677564,AMOXICILLIN 500 MG PO,69.28,69.28,10.39,69.28,42
CDM,677608,AMPICILLIN 250 MG INJ,213.54,213.54,32.03,213.54,27
CDM,677611,H PYLORI BRTH UREASE NR,819.52,819.52,150.87,819.52,28
CDM,677611,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",819.52,819.52,30.31,323.8,47
CDM,677633,AMIFOSTINE 500 MG INJ,9270.01,9270.01,1390.5,9270.01,28
CDM,677633,"Injection, amifostine, 500 mg ",9270.01,9270.01,1398.83,1573.69,2
CDM,677685,ANTIVENIN LATR MACTANS,1244.86,1244.86,186.73,1244.86,35
CDM,677710,VIT K PHYTONAD 10 MG INJ,800.7,800.7,120.11,800.7,27
CDM,677744,DRUG SCR ANY NBR PER DOS,666.0,666.0,122.61,666.0,28
CDM,677745,DRUG SCR ANY NBR PER DOS,666.0,666.0,122.61,666.0,28
CDM,677814,ATROPINE 1% 2 ML OPHTH,633.32,633.32,95.0,633.32,42
CDM,677819,ATROPINE 1 MG/1 ML INJ,213.54,213.54,32.03,213.54,27
CDM,677839,AMOXICILL/CLAV 875 MG PO,322.5,322.5,48.38,322.5,42
CDM,677844,AMOXICILL/CLAV 500 MG PO,247.13,247.13,37.07,247.13,42
CDM,677863,AZACITIDINE 100 MG INJ,9006.45,9006.45,1350.97,9006.45,27
CDM,677863,"Injection, azacitidine, 1 mg ",9006.45,9006.45,0.56,0.63,2
CDM,677868,AZATHIOPRINE 50 MG PO,34.42,34.42,5.16,34.42,28
CDM,677868,"Azathioprine, oral, 50 mg ",34.42,34.42,2.34,2.63,2
CDM,677870,AZITHROMYCIN 250 MG PO,280.3,280.3,42.05,280.3,28
CDM,677909,BACITRACIN 28.4 G TOP,177.83,177.83,26.67,177.83,42
CDM,677913,BACLOFEN 20 MG KIT,7555.37,7555.37,1390.94,7555.37,23
CDM,677915,BACLOFEN 10 MG INJ,3777.67,3777.67,695.47,3777.67,23
CDM,677916,MUPIROCIN 2% 22G TOP,1329.24,1329.24,199.39,1329.24,42
CDM,677917,MUPIROCIN 2% 1G TOP,48.19,48.19,7.23,48.19,42
CDM,677920,BSS 15ML OPH,283.3,283.3,42.49,283.3,38
CDM,677922,GENOTYPIC BIOINFORMATICS,1911.53,1911.53,351.91,1911.53,28
CDM,677922,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,1911.53,1911.53,58.66,427.58,47
CDM,677929,BASILIXIMAB 20 MG INJ,48276.78,48276.78,8887.76,48276.78,23
CDM,677929,"Injection, basiliximab, 20 mg ",48276.78,48276.78,5863.96,6596.96,2
CDM,677936,CARMUSTINE 100 MG INJ,62599.87,62599.87,11524.64,62599.87,23
CDM,677936,"Injection, carmustine, 100 mg ",62599.87,62599.87,484.07,544.58,2
CDM,677994,ANTIADALIMUMAB AB QN CLA,935.67,935.67,172.26,935.67,28
CDM,678024,POVIDONE IOD 10%28.4GTOP,223.01,223.01,33.45,223.01,42
CDM,678117,BIVALIRUDIN 250 MG INJ,14619.93,14619.93,2192.99,14619.93,27
CDM,678117,"Injection, bivalirudin, 1 mg ",14619.93,14619.93,0.25,0.29,2
CDM,678120,BLEOMYCIN SULF 15 U INJ,896.69,896.69,134.5,896.69,27
CDM,678120,"Injection, bleomycin sulfate, 15 units ",896.69,896.69,32.18,36.2,2
CDM,678195,BUDESON NC UD 0.25MG INH,227.75,227.75,34.16,227.75,28
CDM,678197,BUDESONIDE 3 MG EC PO,213.96,213.96,32.09,213.96,42
CDM,678223,BUSULFAN 60 MG INJ,32114.84,32114.84,5912.34,32114.84,23
CDM,678374,ESMOLO 2.5G/NACL250MLINJ,4393.94,4393.94,659.09,4393.94,28
CDM,678512,CEFUROXIME 250 MG PO,259.2,259.2,38.88,259.2,42
CDM,678532,CEFUROXIME 500 MG PO,452.08,452.08,67.81,452.08,42
CDM,678549,CEPHALEXIN 250 MG PO,69.28,69.28,10.39,69.28,42
CDM,678550,CEPHALEXIN 500 MG PO,84.38,84.38,12.66,84.38,42
CDM,678760,CIPROFLOXACIN 250 MG PO,48.19,48.19,7.23,48.19,42
CDM,678764,CIPROFLOXACIN 500 MG PO,108.47,108.47,16.27,108.47,42
CDM,678774,CISATRACURIUM 20 MG INJ,733.53,733.53,110.03,733.53,30
CDM,678775,CIP/DEX0.3/0.1%7.5MLOTIC,3039.22,3039.22,455.88,3039.22,31
CDM,678778,CLADRIBINE 10 MG INJ,8564.15,8564.15,1576.66,8564.15,23
CDM,678789,CLARITHROMYCIN 250 MG PO,238.11,238.11,35.72,238.11,42
CDM,678791,CLARITHROMYCIN 500 MG PO,195.92,195.92,29.39,195.92,42
CDM,678801,CLINDAMYCIN 1% 30 G TOP,2821.3,2821.3,423.19,2821.3,42
CDM,678808,CLINDAMYCIN 150 MG PO,69.28,69.28,10.39,69.28,42
CDM,678810,CLINDAMYCIN 300 MG PO,280.3,280.3,42.05,280.3,42
CDM,678826,CLOFARABINE 20 MG INJ,41115.24,41115.24,7569.32,41115.24,23
CDM,678846,CLONIDINE HCL 1 MG INJ,658.55,658.55,98.78,658.55,27
CDM,678846,"Injection, clonidine hydrochloride, 1 mg ",658.55,658.55,22.23,25.01,2
CDM,678900,CLOTRIMAZOLE 10 MG PO,48.19,48.19,7.23,48.19,42
CDM,678912,CLOTRIMAZOLE 1% 45G VAG,328.53,328.53,49.28,328.53,42
CDM,679068,PROCHLORPERAZINE 5 MG PO,32.13,32.13,4.82,32.13,28
CDM,679112,NEOMY/POL/BAC/HYD3.5GOPH,1699.99,1699.99,255.0,1699.99,42
CDM,679131,DORZ/TIM 2.23/0.68% 10ML,2580.25,2580.25,387.04,2580.25,42
CDM,679136,COSYNTROPIN 0.25 MG INJ,2338.66,2338.66,350.8,2338.66,27
CDM,679204,CYCLOPENTOLAT 1% 2ML OPH,298.27,298.27,44.74,298.27,42
CDM,679225,CYCLOSPORINE 100 MG PO,233.26,233.26,34.99,233.26,28
CDM,679229,CYCLOSPORINE 25 MG PO,57.56,57.56,8.63,57.56,28
CDM,679231,CYCLOSPORINE 25 MG PO,54.49,54.49,8.17,54.49,28
CDM,679233,CYCLOSPORINE 100 MG PO,219.06,219.06,32.86,219.06,28
CDM,679235,CYCLOSPORINE 100 MG PO,204.81,204.81,30.72,204.81,28
CDM,679242,CYPROHEP 2MG/5ML LIQ PO,57.56,57.56,8.63,57.56,42
CDM,679247,ISOVUE-M 300 15 ML INJ,271.32,271.32,40.7,271.32,27
CDM,679266,CYTOMEGALO IG HUMAN INJ,12223.03,12223.03,2250.26,12223.03,23
CDM,679266,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",12223.03,12223.03,2319.54,2609.48,2
CDM,679310,DACTINOMYCIN 0.5 MG INJ,18679.35,18679.35,3438.87,18679.35,23
CDM,679310,"Injection, dactinomycin, 0.5 mg ",18679.35,18679.35,508.81,572.42,2
CDM,679330,DARBEPOETIN 300MCG NESRD,38555.38,38555.38,7098.05,38555.38,23
CDM,679331,DARBEPOETIN 500MCG NESRD,64256.98,64256.98,11829.71,64256.98,23
CDM,679386,DECITABINE 50 MG INJ,19532.85,19532.85,2929.93,19532.85,27
CDM,679386,"Injection, decitabine, 1 mg ",19532.85,19532.85,1.83,2.06,2
CDM,679390,VIT K PHYTON 1 MG/ML INJ,56.6,56.6,8.49,56.6,27
CDM,67940,SCREW BN LCK 10X2.7MM,2727.0,2727.0,409.05,2727.0,30
CDM,679455,DOFETILIDE 500 MCG PO,83.7,83.7,12.55,83.7,42
CDM,679483,DESMOPRESSIN 0.1 MG PO,96.88,96.88,14.53,96.88,42
CDM,679568,DEXTROSE 50% 50 ML INJ,253.39,253.39,38.01,253.39,38
CDM,679572,DEXTROSE 50% 50 ML INJ,226.06,226.06,33.91,226.06,38
CDM,679600,DIAZEPAM 10 MG PO,64.26,64.26,9.64,64.26,42
CDM,679604,DIAZEPAM 2 MG PO,64.26,64.26,9.64,64.26,42
CDM,679608,DIAZEPAM 5 MG PO,64.26,64.26,9.64,64.26,42
CDM,679630,MRI BONE MARROW BLD,609.43,609.43,112.2,609.43,25
CDM,679630,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",609.43,609.43,454.65,876.36,9
CDM,679705,DIG IMMUNE FAB 40 MG INJ,34570.1,34570.1,6364.36,34570.1,23
CDM,679705,"Injection, digoxin immune fab (ovine), per vial ",34570.1,34570.1,6115.12,6879.51,2
CDM,679770,DACARBAZINE 200 MG INJ,119.95,119.95,17.99,119.95,27
CDM,679784,DIPHENHYDRAMINE 50 MG PO,14.84,14.84,2.23,14.84,42
CDM,679837,CHLOROTHIAZIDE 500MG INJ,8021.87,8021.87,1203.28,8021.87,27
CDM,67994,SCREW BN 2.5MM 14MM,2727.0,2727.0,409.05,2727.0,30
CDM,680032,ERYTHROMYCIN 400 MG PO,69.28,69.28,10.39,69.28,42
CDM,68005,SCREW BN LKG 2.5X18MM,2727.0,2727.0,409.05,2727.0,30
CDM,680079,ENOXAPARIN 150 MG INJ,2777.98,2777.98,416.7,2777.98,27
CDM,680141,RACEPINEPHRINE 2.25% INH,54.2,54.2,8.13,54.2,42
CDM,680163,EPIRUBICIN 50 MG INJ,1460.16,1460.16,219.02,1460.16,27
CDM,680163,"Injection, epirubicin hcl, 2 mg ",1460.16,1460.16,1.91,2.14,2
CDM,680177,EPOET ALFA 10000U NESRD,2886.41,2886.41,531.39,2886.41,23
CDM,680177,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",2886.41,2886.41,10.4,11.7,2
CDM,680211,ERYTHROMYCIN 0.5% 1G OPH,203.55,203.55,30.53,203.55,42
CDM,680361,ETOPOSIDE 100 MG INJ,2588.78,2588.78,388.32,2588.78,27
CDM,680364,ETOPOSIDE 50 MG PO,1863.06,1863.06,279.46,1863.06,28
CDM,680364,"Etoposide; oral, 50 mg ",1863.06,1863.06,96.97,109.09,2
CDM,680390,NOVOSEVEN RT 1 MG INJ,18518.16,18518.16,3409.19,18518.16,23
CDM,680393,NOVOSEVEN RT 5 MG INJ,89582.47,89582.47,16492.13,89582.47,23
CDM,680410,INTRALIPID 20% 100ML INJ,1458.87,1458.87,218.83,1458.87,30
CDM,680412,INTRALIPID 20% 250ML INJ,943.41,943.41,141.51,943.41,38
CDM,680438,FENTANYL 12 MCG/HR PAT,566.64,566.64,85.0,566.64,42
CDM,680532,FLUCONAZOLE 100 MG PO,452.08,452.08,67.81,452.08,42
CDM,680536,FLUCONAZOLE 200 MG PO,654.05,654.05,98.11,654.05,42
CDM,680549,FLUDARABINE PHOS 50MGINJ,5259.03,5259.03,788.85,5259.03,27
CDM,680549,"Injection, fludarabine phosphate, 50 mg ",5259.03,5259.03,293.5,330.19,2
CDM,680673,FOMEPIZOLE 1500 MG INJ,22390.42,22390.42,4122.08,22390.42,23
CDM,680677,FONDAPARINUX 7.5 MG INJ,3256.6,3256.6,488.49,3256.6,27
CDM,680678,FONDAPARINUX 2.5 MG INJ,1596.5,1596.5,239.47,1596.5,27
CDM,680679,FONDAPARINUX 5 MG INJ,3256.6,3256.6,488.49,3256.6,27
CDM,680685,FONDAPARINUX 10 MG INJ,3256.6,3256.6,488.49,3256.6,27
CDM,680724,GENTAMICIN 0.3% 5ML OPH,528.35,528.35,79.25,528.35,42
CDM,680800,GLUCAGON 1 MG INJ,3296.0,3296.0,606.79,3296.0,23
CDM,680800,"Injection, glucagon hydrochloride, per 1 mg ",3296.0,3296.0,242.51,272.82,2
CDM,680848,PEG + ELEC 4000ML LIQ PO,659.73,659.73,98.96,659.73,38
CDM,680866,ETANERCEPT 25 MG INJ,6144.03,6144.03,921.6,6144.03,27
CDM,680866,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",6144.03,6144.03,1150.47,1294.27,2
CDM,680982,HEPARIN 2000 UNIT INJ,226.06,226.06,33.91,226.06,27
CDM,680988,HEPARIN 5000U / 1ML INJ,213.54,213.54,32.03,213.54,27
CDM,681009,HBIG HUMAN 0.5 ML IM,2053.91,2053.91,378.12,2053.91,24
CDM,681252,HYDROXYZINE PAM 25 MG PO,32.13,32.13,4.82,32.13,42
CDM,681256,HYDROXYZINE HCL 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,681272,HYDROXYZINE PAM 50 MG PO,32.13,32.13,4.82,32.13,42
CDM,681325,IBUTILIDE FUM 1 MG INJ,6791.95,6791.95,1250.4,6791.95,23
CDM,681325,"Injection, ibutilide fumarate, 1 mg ",6791.95,6791.95,397.58,447.28,2
CDM,681329,IFOSFAMIDE 1 G INJ,1226.13,1226.13,183.92,1226.13,27
CDM,681549,IRON SUCROSE 100 MG INJ,1575.29,1575.29,236.29,1575.29,27
CDM,681592,ISOPROTERENOL 1MG INJ,24623.1,24623.1,3693.47,24623.1,30
CDM,681633,ITRACONAZOLE 100 MG PO,452.08,452.08,67.81,452.08,42
CDM,681637,ITRACON 100MG/10ML LIQPO,452.08,452.08,67.81,452.08,42
CDM,681645,KETOTIFEN 0.025% 5ML OPH,361.68,361.68,54.25,361.68,42
CDM,681653,IVIG GAMUNEX-C 5G,6149.7,6149.7,1132.16,6149.7,23
CDM,681655,IVIG GAMUNEX-C 20G,22096.15,22096.15,4067.9,22096.15,23
CDM,681708,KETAMINE 50 MG INJ,681.2,681.2,102.18,681.2,35
CDM,681716,KETAMINE 10 MG/ML INJ,380.53,380.53,57.08,380.53,30
CDM,681717,"Injection, pegaspargase, per single dose vial ",135957.01,135957.01,34579.02,38901.4,2
CDM,681717,PEGASPARGA SINGLE VL INJ,135957.01,135957.01,25029.69,135957.01,23
CDM,681720,KETOCONAZOLE 200 MG PO,159.72,159.72,23.96,159.72,42
CDM,681724,KETOCONAZOLE 2% 15G TOP,418.95,418.95,62.84,418.95,42
CDM,681725,KETOCONAZOL 2% 120ML TOP,1244.86,1244.86,186.73,1244.86,42
CDM,681801,LATANOP 0.005% 2.5ML OPH,533.94,533.94,80.09,533.94,42
CDM,681823,"Injection, levocarnitine, per 1 gm ",1498.58,1498.58,39.09,43.98,2
CDM,681823,LEVOCARNITINE 1 G INJ,1498.58,1498.58,224.79,1498.58,28
CDM,681830,LEUPRO DEPOT 3.75 MG INJ,14714.91,14714.91,2709.01,14714.91,23
CDM,681843,LEVOFLOXACIN 500 MG PO,343.58,343.58,51.54,343.58,42
CDM,681844,NOREPINEPHRINE 4 MG INJ,452.08,452.08,67.81,452.08,38
CDM,68189,STNT TRCHBR 7FR 7X59MM,11297.0,11297.0,1694.55,11297.0,30
CDM,681907,LIDOCAINE 2% 5 ML TOP,322.5,322.5,48.38,322.5,38
CDM,681976,LIDOCAINE 4% 50 ML TOP,313.43,313.43,47.01,313.43,42
CDM,681980,LIDOCAINE 5% 35.44G TOP,1880.84,1880.84,282.13,1880.84,42
CDM,682048,LINEZ/D5W 600MG/300MLINJ,3002.15,3002.15,450.32,3002.15,27
CDM,682049,LINEZOLID 600 MG PO,2366.49,2366.49,354.97,2366.49,30
CDM,682051,LIOTHYRONINE 5 MCG PO,69.28,69.28,10.39,69.28,42
CDM,682089,LORAZEPAM 2 MG PO,64.26,64.26,9.64,64.26,42
CDM,682102,ADACEL VAC >= 7 YRS IM,1004.9,1004.9,150.74,1004.9,28
CDM,682102,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",1004.9,1004.9,67.94,76.43,2
CDM,682108,LORAZEPAM 0.5 MG PO,64.26,64.26,9.64,64.26,42
CDM,682112,LORAZEPAM 1 MG PO,64.26,64.26,9.64,64.26,42
CDM,682176,LIDOCAINE 4% 4 ML TOP,412.9,412.9,61.94,412.9,42
CDM,682190,LYM IG EQUINE 250MG INJ,18941.53,18941.53,3487.14,18941.53,23
CDM,682190,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",18941.53,18941.53,5097.71,5734.93,2
CDM,682285,BUPIVAC 125 MG/50 ML MDV,226.06,226.06,33.91,226.06,28
CDM,682288,BUPIV2.5/EPI0.005MG 30ML,361.68,361.68,54.25,361.68,35
CDM,682296,BUPIV5MG/EPI0.005MG 30ML,385.8,385.8,57.87,385.8,35
CDM,682308,BUPIVACAINE 15 MG INJ,217.99,217.99,32.7,217.99,28
CDM,682324,NEO/POLY B/DEX 3.5G OPH,878.86,878.86,131.83,878.86,31
CDM,682328,NEO/POLY B/DEX 5ML OPHTH,545.11,545.11,81.77,545.11,31
CDM,682397,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",33481.09,33481.09,198.83,223.68,2
CDM,682397,MELPHALAN NOS 50 MG INJ,33481.09,33481.09,6163.87,33481.09,23
CDM,682478,METHADONE 10 MG/1 ML PO,65.17,65.17,9.78,65.17,28
CDM,682599,MICAFUNGIN 50 MG INJ,2793.12,2793.12,418.97,2793.12,27
CDM,682644,METRONIDAZOLE 250 MG PO,69.28,69.28,10.39,69.28,42
CDM,682650,METRONIDAZ 0.75% 70G VAG,2495.37,2495.37,374.31,2495.37,42
CDM,682652,METRONIDAZOLE 500 MG PO,39.16,39.16,5.87,39.16,42
CDM,682736,MINOCYCLINE 50 MG PO,81.33,81.33,12.2,81.33,42
CDM,682748,ACETYLCHOLINE 1% 2 ML OP,1900.94,1900.94,285.14,1900.94,38
CDM,682805,MMR VAC LIVE SQ,1541.96,1541.96,231.29,1541.96,28
CDM,682805,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",1541.96,1541.96,81.18,156.41,5
CDM,682832,MORPHINE 15 MG PO,48.19,48.19,7.23,48.19,42
CDM,682834,MORPHINE ER 100 MG PO,238.11,238.11,35.72,238.11,42
CDM,682846,MORPHINE 20MG/ML LIQ PO,69.28,69.28,10.39,69.28,42
CDM,682880,MORPHINE ER 30 MG PO,81.33,81.33,12.2,81.33,42
CDM,682896,ACETYLCY 20% 30ML LIQ PO,285.12,285.12,42.77,285.12,38
CDM,682934,2% NACL 15 ML OPHTH,515.4,515.4,77.31,515.4,38
CDM,682936,5% NACL 15 ML OPHTH,358.67,358.67,53.8,358.67,38
CDM,682960,TROPICAMIDE 0.5%15ML OPH,289.35,289.35,43.4,289.35,38
CDM,682961,TROPICAMIDE 1% 15ML OPH,187.88,187.88,28.18,187.88,38
CDM,683048,NALTREXONE 50 MG PO,207.95,207.95,31.19,207.95,42
CDM,683090,NELARABINE 250 MG INJ,12490.3,12490.3,2299.46,12490.3,23
CDM,683096,NEO/POLY/BAC 0.9 G TOP,69.28,69.28,10.39,69.28,42
CDM,683128,NEO/POLY/BAC 14.2G TOP,72.31,72.31,10.85,72.31,42
CDM,683132,NEO/POLY/BAC 3.5G OPHTH,1489.0,1489.0,223.35,1489.0,42
CDM,683136,NEO/POLY/GRAM 10ML OPH,346.62,346.62,51.99,346.62,42
CDM,683168,PHENYLEPHR 0.50% NASAL,223.01,223.01,33.45,223.01,42
CDM,683185,PHENYLEPHRIN 10% 5ML OPH,212.45,212.45,31.87,212.45,38
CDM,683272,NITROF MONO/MAC 100MG PO,68.17,68.17,10.23,68.17,42
CDM,683299,PERMETHRIN 1% 59ML TOP,209.01,209.01,31.35,209.01,42
CDM,683300,NITROPRUSSIDE 50 MG INJ,14729.01,14729.01,2209.35,14729.01,30
CDM,683332,VECURONIUM 10 MG INJ,809.26,809.26,121.39,809.26,38
CDM,683444,NYSTATIN 15 G TOP,500.33,500.33,75.05,500.33,42
CDM,683452,NYSTATIN 15 G TOP,521.45,521.45,78.22,521.45,42
CDM,683456,NYSTATIN 5 ML LIQ PO,69.28,69.28,10.39,69.28,42
CDM,683474,OCTREOT 10 MG DEPO IM,41115.24,41115.24,7569.32,41115.24,23
CDM,683478,OCTREOT 20 MG DEPO IM,54665.84,54665.84,10063.98,54665.84,23
CDM,683482,OCTREOT 30 MG DEPO IM,81139.92,81139.92,14937.86,81139.92,23
CDM,683560,PROPARACA 0.5% 15ML OPH,313.08,313.08,46.96,313.08,42
CDM,683621,OXCARBAZEPINE 300 MG PO,123.57,123.57,18.54,123.57,42
CDM,683627,OXYCODONE 5 MG PO,69.28,69.28,10.39,69.28,42
CDM,683628,OXYCODONE 5MG/5ML LIQ PO,69.28,69.28,10.39,69.28,42
CDM,683629,OXYCODONE ER 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,683630,OXYCODONE ER 20 MG PO,150.68,150.68,22.6,150.68,42
CDM,683631,OXYCODONE ER 40 MG PO,271.25,271.25,40.69,271.25,42
CDM,683649,RSV-MAB RECOM 50 MG IM,24392.87,24392.87,4490.73,24392.87,24
CDM,683649,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",24392.87,24392.87,2610.1,2936.36,2
CDM,683654,PAMIDRONATE 30 MG INJ,427.16,427.16,64.07,427.16,27
CDM,683740,PCN V K 250 MG PO,69.28,69.28,10.39,69.28,42
CDM,683744,PCN V K 500 MG PO,69.28,69.28,10.39,69.28,42
CDM,683785,"Injection, pentostatin, 10 mg ",33075.15,33075.15,3247.45,3653.38,2
CDM,683785,PENTOSTATIN 10 MG INJ,33075.15,33075.15,6089.14,33075.15,23
CDM,683786,PENTOSAN 100 MG PO,158.35,158.35,23.75,158.35,42
CDM,683812,OXYCOD/APAP 5/325 MG PO,69.28,69.28,10.39,69.28,42
CDM,683815,OXYCOD/APAP 10/325 MG PO,84.38,84.38,12.66,84.38,42
CDM,683824,PERPHENAZINE 4 MG PO,37.1,37.1,5.57,37.1,42
CDM,683828,PERPHENAZINE 8 MG PO,46.97,46.97,7.05,46.97,42
CDM,683831,PERMETHRIN 5% 60G TOP,1722.07,1722.07,258.31,1722.07,42
CDM,684000,VIT K PHYT 1MG/0.5ML INJ,213.54,213.54,32.03,213.54,27
CDM,684004,PILOCARPINE 1% 15ML OPH,2253.19,2253.19,337.98,2253.19,42
CDM,684020,PILOCARPINE 2% 15ML OPH,2306.31,2306.31,345.95,2306.31,42
CDM,684028,PILOCARPINE 4% 15ML OPH,2418.13,2418.13,362.72,2418.13,42
CDM,684120,POLYMIXB 500000 U INJ,406.91,406.91,61.04,406.91,38
CDM,684125,BACITR/POLYMIXB 15 G TOP,247.13,247.13,37.07,247.13,42
CDM,684132,BACITR/POLYMXB 3.5G OPH,985.6,985.6,147.84,985.6,42
CDM,684137,IPOL VAC IMSQ,848.23,848.23,127.23,848.23,28
CDM,684137,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",848.23,848.23,61.13,164.24,5
CDM,684138,POLYMXB/TRIMETH 10ML OPH,249.56,249.56,37.43,249.56,42
CDM,684176,POTASSI ACET 40 MEQ INJ,226.06,226.06,33.91,226.06,38
CDM,684179,K10 / WFI 50 ML INJ,549.51,549.51,82.43,549.51,27
CDM,684181,K20 / WFI 100 ML INJ,549.51,549.51,82.43,549.51,27
CDM,684244,PREDNISOLONE 1% 5 ML OPH,430.51,430.51,64.58,430.51,42
CDM,684312,ESTROGEN CONJ 25 MG INJ,4310.86,4310.86,793.63,4310.86,23
CDM,684312,"Injection, estrogen conjugated, per 25 mg ",4310.86,4310.86,491.56,553.0,2
CDM,684456,PROMETHAZIN 12.5 MG SUPP,181.7,181.7,27.25,181.7,42
CDM,684468,PROMETHAZINE 25 MG PO,32.13,32.13,4.82,32.13,42
CDM,684580,ALPROSTADIL 500 MCG INJ,1817.63,1817.63,272.64,1817.63,37
CDM,684626,DOXEPIN 50MG /5ML LIQ PO,57.25,57.25,8.59,57.25,42
CDM,684631,BUDESONIDE NC 0.5 MG INH,244.98,244.98,36.75,244.98,28
CDM,684632,IVIG PRIVIGEN 5G,10869.54,10869.54,2001.08,10869.54,23
CDM,684637,ESTRADIO 0.025MG 1XW PAT,635.94,635.94,95.39,635.94,42
CDM,684638,ADENOSINE 12 MG INJ,663.42,663.42,99.51,663.42,28
CDM,684642,PYRAZINAMIDE 500 MG PO,92.75,92.75,13.91,92.75,42
CDM,684645,PYRIDOSTIGMIN 10 MG INJ,853.57,853.57,128.04,853.57,38
CDM,684718,"Injection, regadenoson, 0.1 mg ",6195.16,6195.16,4.34,4.88,2
CDM,684718,REGADENOSON 0.4 MG INJ,6195.16,6195.16,929.27,6195.16,27
CDM,684722,REMIFENTANIL 2 MG INJ,2090.28,2090.28,313.54,2090.28,30
CDM,684723,REMIFENTANIL 1 MG INJ,1205.19,1205.19,180.78,1205.19,38
CDM,684791,RISPERD CONSTA 25 MG INJ,6904.04,6904.04,1271.03,6904.04,23
CDM,684796,ROCURONIUM 50 MG MDV,165.31,165.31,24.8,165.31,30
CDM,684812,MESALAMINE 4 G RECTAL,837.92,837.92,125.69,837.92,42
CDM,684924,SILVER SULFA 1% 400G TOP,1660.77,1660.77,249.12,1660.77,42
CDM,684928,SILVER SULFAD 1% 50G TOP,443.05,443.05,66.46,443.05,42
CDM,684988,NA BICARB 5 MEQ INJ,226.06,226.06,33.91,226.06,38
CDM,685004,NA BICARB 50 MEQ INJ,266.73,266.73,40.01,266.73,38
CDM,685053,NS 1000 ML,685.4,685.4,102.81,685.4,28
CDM,685060,23.4% NACL 30 ML INJ,226.06,226.06,33.91,226.06,27
CDM,685116,SOD ACETATE 40 MEQ INJ,226.06,226.06,33.91,226.06,38
CDM,685208,DESMOPRESSIN 4 MCG INJ,1207.13,1207.13,181.07,1207.13,27
CDM,685292,SULFASALAZINE 500 MG PO,57.25,57.25,8.59,57.25,42
CDM,685296,SULFASALAZ ER 500 MG PO,69.28,69.28,10.39,69.28,42
CDM,685321,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",1750.01,1750.01,81.93,92.17,2
CDM,685321,SUMATRIPTAN SUCC 6MG INJ,1750.01,1750.01,262.5,1750.01,27
CDM,685366,TACROLIMUS IMM 1 MG PO,154.26,154.26,23.14,154.26,28
CDM,685370,TACROLIMUS 5 MG INJ,3738.27,3738.27,688.22,3738.27,23
CDM,685496,"Injection, tetanus immune globulin, human, up to 250 units ",4661.1,4661.1,723.1,813.49,2
CDM,685496,TETANUS IG HUM 250 U INJ,4661.1,4661.1,858.11,4661.1,23
CDM,68565,LEAD ICD DEFIB 65CM,17458.0,17458.0,2618.7,17458.0,30
CDM,685740,CHLORPROMAZINE 100 MG PO,220.31,220.31,33.05,220.31,42
CDM,685744,CHLORPROMAZINE 10 MG PO,158.32,158.32,23.75,158.32,42
CDM,685752,CHLORPROMAZINE 25 MG PO,227.59,227.59,34.14,227.59,42
CDM,685784,CHLORPROMAZINE 50 MG PO,284.48,284.48,42.67,284.48,42
CDM,685847,TRAMADOL 50 MG PO,69.28,69.28,10.39,69.28,42
CDM,685870,"Injection, tigecycline, 1 mg ",2768.88,2768.88,0.74,0.84,2
CDM,685870,TIGECYCLINE 50 MG INJ,2768.88,2768.88,415.33,2768.88,27
CDM,685880,TIMOLOL 0.25% 5 ML OPH,408.11,408.11,61.22,408.11,31
CDM,685888,TIMOLOL 0.5% 5 ML OPH,396.95,396.95,59.54,396.95,31
CDM,685896,SULFAMET/TMP 800/160MGPO,69.28,69.28,10.39,69.28,42
CDM,685908,SULFAMET/TMP 400/80MG PO,69.28,69.28,10.39,69.28,42
CDM,685909,TIROF12.5MG/NACL250MLINJ,6222.13,6222.13,933.32,6222.13,27
CDM,685913,TOBR0.3%/DEX0.1%3.5G OPH,4283.49,4283.49,642.52,4283.49,31
CDM,685932,TOBRAMYCIN 0.3% 5 ML OPH,399.75,399.75,59.96,399.75,31
CDM,685974,TOPIRAMATE 25 MG PO,96.44,96.44,14.47,96.44,42
CDM,686053,TRETINOIN 10 MG PO,762.56,762.56,114.38,762.56,42
CDM,686224,TRIMETHOPRIM 100 MG PO,39.16,39.16,5.87,39.16,42
CDM,686280,WITCH HAZEL 50% RECT,81.33,81.33,12.2,81.33,42
CDM,686354,URSODIOL 20 MG/ML LIQ PO,60.24,60.24,9.04,60.24,42
CDM,686356,URSODIOL 300 MG PO,123.57,123.57,18.54,123.57,42
CDM,686412,ENALAPRILAT 2.5 MG INJ,1281.01,1281.01,192.15,1281.01,38
CDM,686420,VERAPAMIL 5 MG INJ,187.69,187.69,28.15,187.69,38
CDM,686444,EDETAT CA DIS 1000MG INJ,9628.1,9628.1,1772.53,9628.1,23
CDM,686444,"Injection, edetate calcium disodium, up to 1000 mg ",9628.1,9628.1,8479.38,9539.31,2
CDM,686471,VINORELBINE TARTRAT 50MG,1162.78,1162.78,174.42,1162.78,27
CDM,686590,ZICONOTIDE 500 MCG INJ,71109.73,71109.73,13091.3,71109.73,23
CDM,686598,ZIDOVUDINE 200 MG INJ,767.11,767.11,115.07,767.11,27
CDM,686619,OLANZAPINE 10 MG PO,423.9,423.9,63.59,423.9,42
CDM,686620,OLANZAPINE 5 MG PO,344.08,344.08,51.61,344.08,42
CDM,687183,ABACAVIR 300 MG PO,370.72,370.72,55.61,370.72,42
CDM,687185,ACAMPROSATE 333 MG PO,69.28,69.28,10.39,69.28,42
CDM,687186,ACEBUTOLOL 200 MG PO,64.26,64.26,9.64,64.26,42
CDM,687187,ACETAMINOPH 120 MG RECT,11.1,11.1,1.67,11.1,42
CDM,687189,ACETAMINOPHEN 325 MG PO,5.56,5.56,0.83,5.56,42
CDM,687190,ACETAMINOPHEN 500MG PO,5.56,5.56,0.83,5.56,42
CDM,687192,ACETAMINOPHEN 650MG PO,22.21,22.21,3.33,22.21,42
CDM,687193,ACETAMINOPH 650 MG RECT,11.1,11.1,1.67,11.1,42
CDM,687195,ACETAZOLAMIDE 250 MG PO,69.28,69.28,10.39,69.28,42
CDM,687196,ACETAZOLAM ER 500 MG PO,120.17,120.17,18.03,120.17,42
CDM,687198,ACYCLOV 200MG/5ML LIQ PO,93.41,93.41,14.01,93.41,42
CDM,687199,ACYCLOVIR 200 MG PO,120.55,120.55,18.08,120.55,42
CDM,687200,ACYCLOVIR 800 MG PO,241.11,241.11,36.17,241.11,42
CDM,687204,DIPYRI/ ASA 200/25 MG PO,117.52,117.52,17.63,117.52,42
CDM,687208,ALBUTEROL 4 MG PO,69.28,69.28,10.39,69.28,42
CDM,687215,ALISKIREN 150 MG PO,117.52,117.52,17.63,117.52,42
CDM,687217,ALLOPURINOL 100 MG PO,69.28,69.28,10.39,69.28,42
CDM,687218,ALLOPURINOL 300 MG PO,39.16,39.16,5.87,39.16,42
CDM,687219,ALPRAZOLAM ER 1 MG PO,138.64,138.64,20.8,138.64,42
CDM,687220,ALPRAZOLAM 0.25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687221,ALPRAZOLAM ER 0.5 MG PO,117.52,117.52,17.63,117.52,42
CDM,687222,ALPRAZOLAM 0.5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687223,ALPRAZOLAM 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687224,ALUM HYDRO 1920MG LIQ PO,58.09,58.09,8.71,58.09,42
CDM,687225,ALVIMOPAN 12 MG PO,2656.79,2656.79,398.52,2656.79,30
CDM,687226,AMANTADINE 100 MG PO,76.63,76.63,11.49,76.63,42
CDM,687227,AMANTAD 100MG/10ML LIQPO,44.74,44.74,6.71,44.74,42
CDM,687228,AMINOCAPROIC 500 MG PO,126.58,126.58,18.99,126.58,42
CDM,687229,AMILORIDE 5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687230,AMIODARONE 200 MG PO,195.92,195.92,29.39,195.92,42
CDM,687231,AMITRIPTYLINE 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687232,AMITRIPTYLINE 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687233,AMITRIPTYLINE 50 MG PO,69.28,69.28,10.39,69.28,42
CDM,687234,AMITRIPTYLINE 75 MG PO,69.28,69.28,10.39,69.28,42
CDM,687235,AMLODIPINE 5 MG PO,87.39,87.39,13.11,87.39,42
CDM,687236,AMLODIPINE 10 MG PO,31.11,31.11,4.67,31.11,42
CDM,687238,AMMONIUM LAC 12% 140GTOP,271.25,271.25,40.69,271.25,42
CDM,687244,ANAGRELIDE 0.5 MG PO,295.37,295.37,44.31,295.37,42
CDM,687249,HYDROCORTI 2.5% 30G RECT,714.98,714.98,107.25,714.98,31
CDM,687250,ARIPIPRAZOLE 5 MG PO,494.3,494.3,74.14,494.3,42
CDM,687251,ARIPIPRAZOLE 30 MG PO,702.27,702.27,105.34,702.27,42
CDM,687253,ARIPIPRAZOLE 10 MG PO,494.3,494.3,74.14,494.3,42
CDM,687254,ARIPIPRAZOLE 15 MG PO,895.19,895.19,134.28,895.19,42
CDM,687257,APREPITANT 40 MG PO,2029.55,2029.55,304.43,2029.55,28
CDM,687257,"Aprepitant, oral, 5 mg ",2029.55,2029.55,4.35,4.89,2
CDM,687261,ASENAPINE 5 MG PO,379.77,379.77,56.97,379.77,42
CDM,687262,ASENAPINE 10 MG PO,446.07,446.07,66.91,446.07,42
CDM,687268,ASPIRIN 325 MG PO,5.56,5.56,0.83,5.56,42
CDM,687271,ATAZANAVIR 150 MG PO,593.76,593.76,89.06,593.76,42
CDM,687272,ATENOLOL 50 MG PO,64.26,64.26,9.64,64.26,42
CDM,687273,ATENOLOL 25 MG PO,64.26,64.26,9.64,64.26,42
CDM,687274,ATOVAQU 750MG/5ML LIQ PO,783.68,783.68,117.55,783.68,42
CDM,687275,ATORVASTATIN 10 MG PO,138.64,138.64,20.8,138.64,42
CDM,687276,ATOMOXETINE 40 MG PO,195.92,195.92,29.39,195.92,42
CDM,687277,ATOMOXETINE 25 MG PO,189.91,189.91,28.49,189.91,42
CDM,687278,ATOMOXETINE 60 MG PO,195.92,195.92,29.39,195.92,42
CDM,687283,DAPSONE 25 MG PO,60.24,60.24,9.04,60.24,42
CDM,687286,BACLOFEN 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687287,BALSALAZIDE 750 MG PO,54.2,54.2,8.13,54.2,42
CDM,687289,DULOXETINE 20 MG PO,241.11,241.11,36.17,241.11,42
CDM,687290,DULOXETINE 30 MG PO,186.87,186.87,28.03,186.87,42
CDM,687291,DULOXETINE 60 MG PO,192.89,192.89,28.93,192.89,42
CDM,687294,ATORVASTATIN 40 MG PO,189.91,189.91,28.49,189.91,42
CDM,687295,BENZTROPINE 0.5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687296,BENZTROPINE 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687302,BETHANECHOL 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687303,BETHANECHOL 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687304,BICALUTAMIDE 50 MG PO,654.05,654.05,98.11,654.05,42
CDM,687309,BISACODYL 5 MG PO,50.28,50.28,7.54,50.28,42
CDM,687310,BISMUTH SUBSAL 262 MG PO,60.24,60.24,9.04,60.24,42
CDM,687313,BRIMONID 0.2% 10 ML OPH,897.35,897.35,134.6,897.35,42
CDM,687316,BUMETANIDE 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687322,BUSPIRONE 10 MG PO,78.33,78.33,11.75,78.33,42
CDM,687324,BUSPIRONE 15 MG PO,69.28,69.28,10.39,69.28,42
CDM,687325,BUSPIRONE 5 MG PO,48.19,48.19,7.23,48.19,42
CDM,687328,CALAM/ZINC 8% 177 ML TOP,84.38,84.38,12.66,84.38,42
CDM,687332,ERGOCALCIFERO 1.25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687337,CALCITONIN 3.7 ML NASAL,2332.98,2332.98,349.95,2332.98,42
CDM,687338,CALCITRIOL 0.25 MCG PO,48.19,48.19,7.23,48.19,29
CDM,687339,CALCITRIOL 1 MCG/ML PO,461.16,461.16,69.17,461.16,29
CDM,687343,CANDESARTAN 8 MG PO,87.39,87.39,13.11,87.39,42
CDM,687344,CANDESARTAN 16 MG PO,87.39,87.39,13.11,87.39,42
CDM,687345,CAPTOPRIL 12.5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687346,CAPTOPRIL 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687347,CARBAMAZE 200 MG PO,69.28,69.28,10.39,69.28,42
CDM,687349,CARBAMAZE 100 MG PO,69.28,69.28,10.39,69.28,42
CDM,687353,CARVEDILOL 25 MG PO,78.26,78.26,11.74,78.26,42
CDM,687354,CARVEDILOL 3.125 MG PO,78.26,78.26,11.74,78.26,42
CDM,687355,CARVEDILOL 6.25 MG PO,78.26,78.26,11.74,78.26,42
CDM,687357,CEFDINIR 300 MG PO,247.13,247.13,37.07,247.13,42
CDM,687358,CITALOPR 10MG/5ML LIQ PO,138.64,138.64,20.8,138.64,42
CDM,687359,CITALOPRAM 20 MG PO,141.67,141.67,21.25,141.67,42
CDM,687360,CITALOPRAM 40 MG PO,150.68,150.68,22.6,150.68,42
CDM,687362,CELECOXIB 100 MG PO,99.44,99.44,14.92,99.44,42
CDM,687363,CELECOXIB 200 MG PO,150.94,150.94,22.64,150.94,42
CDM,687365,CEVIMELINE 30 MG PO,93.41,93.41,14.01,93.41,42
CDM,687370,CHLORDIAZEPOXID 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687371,CHLORDIAZEPOXID 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687372,CHLORDIAZEPOXIDE 5 MG PO,34.21,34.21,5.13,34.21,42
CDM,687373,CHLORTHALIDONE 25 MG PO,39.16,39.16,5.87,39.16,42
CDM,687376,CHOLESTYRAMINE 4 G PO,96.44,96.44,14.47,96.44,42
CDM,687377,CHOLESTYRAMINE 4 G PO,117.52,117.52,17.63,117.52,42
CDM,687380,CILOSTAZOL 50 MG PO,72.31,72.31,10.85,72.31,42
CDM,687381,CILOSTAZOL 100 MG PO,72.31,72.31,10.85,72.31,42
CDM,687384,CINACALCET 30MG NESRD PO,452.08,452.08,67.81,452.08,42
CDM,687391,CLOMIPRAMINE 25 MG PO,238.11,238.11,35.72,238.11,42
CDM,687393,CLONAZEPAM 0.5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687394,CLONAZEPAM 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687396,CLONIDINE 0.1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687397,CLONIDINE 0.2 MG PO,69.28,69.28,10.39,69.28,42
CDM,687398,CLONIDINE 0.3 MG PO,69.28,69.28,10.39,69.28,42
CDM,687399,CLONIDINE 0.1 MG/DAY PAT,738.45,738.45,110.77,738.45,42
CDM,687400,CLONIDINE 0.2 MG/DAY PAT,1591.49,1591.49,238.72,1591.49,42
CDM,687401,CLONIDINE 0.3 MG/DAY PAT,2025.54,2025.54,303.83,2025.54,42
CDM,687402,CLOPIDOGREL 75 MG PO,254.36,254.36,38.15,254.36,42
CDM,687403,CLOPIDOGREL 300 MG PO,855.4,855.4,128.31,855.4,42
CDM,687404,CLORAZEPATE 3.75 MG PO,72.31,72.31,10.85,72.31,42
CDM,687406,CLOZAPINE 25 MG PO,48.08,48.08,7.21,48.08,28
CDM,687407,CLOZAPINE 100 MG PO,122.39,122.39,18.36,122.39,28
CDM,687411,COLCHICINE 0.6 MG PO,69.28,69.28,10.39,69.28,42
CDM,687412,COLESEVELAM 625 MG PO,69.28,69.28,10.39,69.28,42
CDM,687413,COLESTIPOL 1 G PO,45.19,45.19,6.78,45.19,42
CDM,687416,PROCHLORPERAZ 25 MG SUPP,131.39,131.39,19.71,131.39,42
CDM,687417,WARFARIN 10 MG PO,23.82,23.82,3.57,23.82,42
CDM,687418,WARFARIN 2.5 MG PO,57.52,57.52,8.63,57.52,42
CDM,687419,WARFARIN 4 MG PO,57.52,57.52,8.63,57.52,42
CDM,687420,WARFARIN 2 MG PO,57.52,57.52,8.63,57.52,42
CDM,687421,WARFARIN 3 MG PO,57.52,57.52,8.63,57.52,42
CDM,687422,WARFARIN 5 MG PO,57.52,57.52,8.63,57.52,42
CDM,687423,WARFARIN 7.5 MG PO,57.52,57.52,8.63,57.52,42
CDM,687429,CYCLOBENZAPRINE 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687430,CYPROHEPTADINE 4 MG PO,69.28,69.28,10.39,69.28,42
CDM,687436,DANTROLENE 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687438,DARUNAVIR 600 MG PO,663.1,663.1,99.47,663.1,42
CDM,687439,ESTRADIOL 42.5 G VAGINAL,3807.23,3807.23,571.08,3807.23,31
CDM,687440,DEMECLOCYCLINE 150 MG PO,412.9,412.9,61.94,412.9,42
CDM,687441,DEMECLOCYCLINE 300 MG PO,629.94,629.94,94.49,629.94,42
CDM,687442,DESIPRAMINE 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687445,DESMOPRESSIN 0.2 MG PO,238.11,238.11,35.72,238.11,42
CDM,687447,DESMOPRES 0.01% 5MLNASAL,3968.5,3968.5,595.27,3968.5,31
CDM,687448,DESVENLAFAX ER 50 MG PO,198.9,198.9,29.84,198.9,42
CDM,687456,DICLOXACILLIN 250 MG PO,54.2,54.2,8.13,54.2,42
CDM,687457,DICYCLOMINE 10 MG PO,48.19,48.19,7.23,48.19,42
CDM,687458,DICYCLOMINE 20 MG PO,69.28,69.28,10.39,69.28,42
CDM,687460,DICYCLOM 10MG/5ML LIQ PO,69.28,69.28,10.39,69.28,42
CDM,687461,DIGOXIN 125 MCG PO,69.28,69.28,10.39,69.28,42
CDM,687463,DIGOXIN 250 MCG PO,69.28,69.28,10.39,69.28,42
CDM,687465,DILTIAZEM ER 120 MG PO,69.28,69.28,10.39,69.28,42
CDM,687466,DILTIAZEM ER 180 MG PO,72.31,72.31,10.85,72.31,42
CDM,687467,DILTIAZEM ER 240 MG PO,84.38,84.38,12.66,84.38,42
CDM,687468,DILTIAZEM 30 MG PO,69.28,69.28,10.39,69.28,42
CDM,687469,DILTIAZEM ER 300 MG PO,123.57,123.57,18.54,123.57,42
CDM,687470,DILTIAZEM 60 MG PO,69.28,69.28,10.39,69.28,42
CDM,687472,DIPHENH2%/ZINC0.1%28GTOP,114.49,114.49,17.17,114.49,42
CDM,687474,DIPYRIDAMOLE 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687475,DISOPYRAMIDE 100 MG PO,69.28,69.28,10.39,69.28,42
CDM,687476,DISOPYRAMIDE 150 MG PO,69.28,69.28,10.39,69.28,42
CDM,687479,DIVALPROEX ER 250 MG PO,48.19,48.19,7.23,48.19,42
CDM,687480,DIVALPROEX ER 500 MG PO,48.19,48.19,7.23,48.19,42
CDM,687482,DIVALPROEX DR 125 MG PO,69.28,69.28,10.39,69.28,42
CDM,687483,VALPRO ACID 250MG/5ML PO,93.41,93.41,14.01,93.41,42
CDM,687484,DIVALPROEX DR 250 MG PO,78.33,78.33,11.75,78.33,42
CDM,687485,DIVALPROEX DR 500 MG PO,138.64,138.64,20.8,138.64,42
CDM,687489,DOFETILIDE 125 MCG PO,108.47,108.47,16.27,108.47,42
CDM,687490,DOFETILIDE 250 MCG PO,108.47,108.47,16.27,108.47,42
CDM,687492,DORZOLAMIDE 2% 10 ML OPH,1793.43,1793.43,269.01,1793.43,42
CDM,687493,DONEPEZIL 5 MG PO,265.2,265.2,39.78,265.2,42
CDM,687494,DONEPEZIL 10 MG PO,295.37,295.37,44.31,295.37,42
CDM,687495,DOXAZOSIN 1 MG PO,72.31,72.31,10.85,72.31,42
CDM,687496,DOXAZOSIN 2 MG PO,72.31,72.31,10.85,72.31,42
CDM,687497,DOXAZOSIN 4 MG PO,72.31,72.31,10.85,72.31,42
CDM,687498,DOXEPIN 100 MG PO,69.28,69.28,10.39,69.28,42
CDM,687499,DOXEPIN 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687502,DOXEPIN 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687503,DOXEPIN 50 MG PO,69.28,69.28,10.39,69.28,42
CDM,687504,DOXEPIN 75 MG PO,69.28,69.28,10.39,69.28,42
CDM,687505,DRONEDARONE 400 MG PO,195.92,195.92,29.39,195.92,42
CDM,687506,TRIAMTER/HCTZ 37.5/25 PO,69.28,69.28,10.39,69.28,42
CDM,687507,EFAVIRENZ 600 MG PO,666.12,666.12,99.92,666.12,42
CDM,687508,EMTRICITABINE 200 MG PO,470.2,470.2,70.53,470.2,42
CDM,687509,EMTR/TENOF 200/300 MG PO,1522.16,1522.16,228.32,1522.16,42
CDM,687510,ENALAPRIL 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687512,ENTACAPONE 200 MG PO,123.57,123.57,18.54,123.57,42
CDM,687513,EPLERENONE 25 MG PO,180.81,180.81,27.12,180.81,42
CDM,687514,ESCITALOPRAM 10 MG PO,129.57,129.57,19.44,129.57,42
CDM,687515,BUTAL/ACETA/CAFF PO,69.28,69.28,10.39,69.28,42
CDM,687517,ESTRADIOL 0.5 MG PO,24.6,24.6,3.69,24.6,42
CDM,687518,ESTRADIOL 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687519,ESTRADIOL 0.05MG 1XW PAT,635.94,635.94,95.39,635.94,42
CDM,687520,ESTRADIOL 0.075 MG PAT,635.94,635.94,95.39,635.94,42
CDM,687527,ETHAMBUTOL 400 MG PO,87.39,87.39,13.11,87.39,42
CDM,687529,RIVASTIG 4.6 MG PATCH,319.5,319.5,47.92,319.5,42
CDM,687530,RIVASTIG 9.5 MG PATCH,337.59,337.59,50.64,337.59,42
CDM,687534,RIVASTIGMINE 1.5 MG PO,129.57,129.57,19.44,129.57,42
CDM,687535,RIVASTIGMINE 3 MG PO,150.68,150.68,22.6,150.68,42
CDM,687536,EZETIMIBE 10 MG PO,144.61,144.61,21.69,144.61,42
CDM,687539,FAMOTIDINE 20 MG PO,96.44,96.44,14.47,96.44,42
CDM,687549,FENTANYL 100 MCG/HR PAT,2209.4,2209.4,331.41,2209.4,42
CDM,687550,FENTANYL 25 MCG/HR PAT,678.18,678.18,101.73,678.18,42
CDM,687551,FENTANYL 50 MCG/HR PAT,1235.8,1235.8,185.37,1235.8,42
CDM,687552,FENTANYL 75 MCG/HR PAT,1877.84,1877.84,281.68,1877.84,42
CDM,687559,FINASTERIDE 5 MG PO,144.36,144.36,21.65,144.36,28
CDM,687559,"Finasteride, 5 mg ",144.36,144.36,0.21,0.23,2
CDM,687560,OMEGA-3 ACID ESTER 1G PO,36.02,36.02,5.4,36.02,42
CDM,687562,FLECAINIDE 50 MG PO,63.28,63.28,9.49,63.28,42
CDM,687563,FLECAINIDE 100MG PO,69.28,69.28,10.39,69.28,42
CDM,687564,FLUDROCORTISO 0.1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687565,FLUCYTOSINE 500 MG PO,896.65,896.65,134.5,896.65,30
CDM,687566,FLUOXETINE 10 MG PO,129.57,129.57,19.44,129.57,42
CDM,687567,FLUOXETI 20MG/5ML LIQ PO,238.11,238.11,35.72,238.11,42
CDM,687568,FLUOXETINE 20 MG PO,135.61,135.61,20.34,135.61,42
CDM,687569,FLUPHENAZINE 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687571,FLUPHENAZINE 2.5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687572,FLUPHENAZINE 5 MG PO,34.21,34.21,5.13,34.21,42
CDM,687579,FLUTICAS 50MCG 16G NASAL,1892.9,1892.9,283.94,1892.9,31
CDM,687580,FLUVOXAMINE 50 MG PO,159.72,159.72,23.96,159.72,42
CDM,687581,FLUVOXAMINE 100 MG PO,162.74,162.74,24.41,162.74,42
CDM,687584,FOLIC ACID 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687586,FUROSEMIDE 20 MG PO,69.28,69.28,10.39,69.28,42
CDM,687587,FOSFOMYCIN 3 G PO,1481.61,1481.61,222.24,1481.61,42
CDM,687588,FUROSEM 40MG/5ML LIQ PO,81.33,81.33,12.2,81.33,42
CDM,687589,FUROSEMIDE 40 MG PO,69.28,69.28,10.39,69.28,42
CDM,687590,FUROSEMIDE 80 MG PO,69.28,69.28,10.39,69.28,42
CDM,687591,GABAPENTIN 100 MG PO,69.28,69.28,10.39,69.28,42
CDM,687592,GABAPENTIN 300 MG PO,75.46,75.46,11.32,75.46,42
CDM,687593,GABAPENTIN 400 MG PO,96.44,96.44,14.47,96.44,42
CDM,687594,GABAPENTIN 600 MG PO,109.0,109.0,16.35,109.0,42
CDM,687595,GABAPENTIN 800 MG PO,135.61,135.61,20.34,135.61,42
CDM,687596,GALANTAMINE 4 MG PO,138.64,138.64,20.8,138.64,42
CDM,687602,GEMFIBROZIL 600 MG PO,69.28,69.28,10.39,69.28,42
CDM,687603,GLIMEPIRIDE 2 MG PO,69.28,69.28,10.39,69.28,42
CDM,687604,GLIMEPIRIDE 4 MG PO,69.28,69.28,10.39,69.28,42
CDM,687606,GLIMEPIRIDE 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687616,GLYCOPYRROLATE 1 MG PO,93.41,93.41,14.01,93.41,42
CDM,687618,GUAIFENESIN ER 600 MG PO,69.28,69.28,10.39,69.28,42
CDM,687620,GUAI200MG/CODE20MG LIQPO,69.28,69.28,10.39,69.28,42
CDM,687623,GUANFACINE 1 MG PO,69.28,69.28,10.39,69.28,42
CDM,687624,HALOPERI 10MG/5ML LIQ PO,69.28,69.28,10.39,69.28,42
CDM,687627,HALOPERIDOL 1 MG PO,54.1,54.1,8.12,54.1,42
CDM,687629,HALOPERIDOL 5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687630,BISO/HCTZ 2.5/6.25 MG PO,120.55,120.55,18.08,120.55,42
CDM,687631,BISO/HCTZ 5/6.25 MG PO,120.55,120.55,18.08,120.55,42
CDM,687632,BISO/HCTZ 10/6.25 MG PO,120.55,120.55,18.08,120.55,42
CDM,687634,HYDROC5/HOMA1.5/5MLLIQPO,69.28,69.28,10.39,69.28,42
CDM,687635,HYDRALAZINE 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687636,HYDRALAZINE 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687637,HYDRALAZINE 50 MG PO,69.28,69.28,10.39,69.28,42
CDM,687640,HYDROCORTIS 1% 28G TOP,120.55,120.55,18.08,120.55,42
CDM,687644,HYDROCORTISONE 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687645,HCTZ 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687648,HYDROMORPHONE 2 MG PO,69.28,69.28,10.39,69.28,42
CDM,687649,HYDROMORPHONE 4 MG PO,69.28,69.28,10.39,69.28,42
CDM,687651,HYDROXYZINE HCL 10 MG PO,64.26,64.26,9.64,64.26,42
CDM,687652,HYDROXYZ 10MG/5ML LIQ PO,64.26,64.26,9.64,64.26,42
CDM,687657,IBUPROFEN 200 MG PO,35.54,35.54,5.33,35.54,42
CDM,687658,IBUPROF 200MG/10ML LIQPO,35.54,35.54,5.33,35.54,42
CDM,687659,IBUPROFEN 400 MG PO,69.28,69.28,10.39,69.28,42
CDM,687660,IBUPROFEN 600 MG PO,69.28,69.28,10.39,69.28,42
CDM,687661,IBUPROFEN 800 MG PO,69.28,69.28,10.39,69.28,42
CDM,687663,IMIPRAMINE 10 MG PO,54.2,54.2,8.13,54.2,42
CDM,687664,IMIPRAMINE 25 MG PO,54.2,54.2,8.13,54.2,42
CDM,687667,LOPERAMIDE 2 MG PO,69.28,69.28,10.39,69.28,42
CDM,687668,INDAPAMIDE 2.5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687669,INDOMETHACIN 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687670,INDOMETHACIN 50 MG PO,69.28,69.28,10.39,69.28,42
CDM,687682,IPRATROP 0.03% 30ML NAS,1350.34,1350.34,202.55,1350.34,42
CDM,687690,ISONIAZID 100 MG PO,69.28,69.28,10.39,69.28,42
CDM,687691,ISONIAZID 300 MG PO,24.6,24.6,3.69,24.6,42
CDM,687692,ISOSORB DINIT 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687693,ISOSORB DINIT 20 MG PO,69.28,69.28,10.39,69.28,42
CDM,687694,ISOSORB DINIT 30 MG PO,69.28,69.28,10.39,69.28,42
CDM,687695,ISOSORB DINIT 5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687696,ISOSOR MONO ER 30 MG PO,117.52,117.52,17.63,117.52,42
CDM,687699,ISOSOR MONO ER 60 MG PO,120.55,120.55,18.08,120.55,42
CDM,687703,POTASSI CHL ER 20 MEQ PO,69.28,69.28,10.39,69.28,42
CDM,687707,KALETRA 400/100MG LIQPO,485.26,485.26,72.79,485.26,31
CDM,687708,POTASSIUM 20MEQ LIQ PO,45.19,45.19,6.78,45.19,42
CDM,687710,POTASSI CHL ER 10 MEQ PO,69.28,69.28,10.39,69.28,42
CDM,687711,POTASSI CIT ER 10 MEQ PO,69.28,69.28,10.39,69.28,42
CDM,687712,KETOROLAC 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687713,LABETALOL 300 MG PO,44.71,44.71,6.71,44.71,42
CDM,687714,LABETALOL 100 MG PO,64.26,64.26,9.64,64.26,42
CDM,687715,LABETALOL 200 MG PO,44.71,44.71,6.71,44.71,42
CDM,687716,LACOSAMIDE 100 MG PO,316.48,316.48,47.47,316.48,42
CDM,687720,LEFLUNOMIDE 10 MG PO,259.37,259.37,38.91,259.37,42
CDM,687721,LEFLUNOMIDE 20 MG PO,759.57,759.57,113.94,759.57,42
CDM,687722,LETROZOLE 2.5 MG PO,443.05,443.05,66.46,443.05,42
CDM,687724,LAMOTRIGINE 25 MG PO,81.33,81.33,12.2,81.33,42
CDM,687725,LACTULOSE 20 G PO,138.64,138.64,20.8,138.64,42
CDM,687726,LAMOTRIGINE 100 MG PO,195.92,195.92,29.39,195.92,42
CDM,687727,LAMIVUDINE 150 MG PO,277.29,277.29,41.59,277.29,42
CDM,687728,LEUCOVORIN 25 MG PO,530.48,530.48,79.57,530.48,42
CDM,687729,LEUCOVORIN 5 MG PO,96.44,96.44,14.47,96.44,42
CDM,687730,LEVETIRACETAM 500 MG PO,138.64,138.64,20.8,138.64,42
CDM,687731,LEVETIR 500MG/5ML LIQ PO,129.57,129.57,19.44,129.57,42
CDM,687732,LEVOFLOXACIN 750 MG PO,581.74,581.74,87.26,581.74,42
CDM,687733,LEVOTHYROXINE 50 MCG PO,48.19,48.19,7.23,48.19,42
CDM,687734,LEVOTHYROXINE 88 MCG PO,48.19,48.19,7.23,48.19,42
CDM,687735,LEVOTHYROXINE 100 MCG PO,48.19,48.19,7.23,48.19,42
CDM,687736,LEVOTHYROXINE 112 MCG PO,48.19,48.19,7.23,48.19,42
CDM,687737,LEVOTHYROXINE 125 MCG PO,48.19,48.19,7.23,48.19,42
CDM,687738,LEVOTHYROXINE 150 MCG PO,48.19,48.19,7.23,48.19,42
CDM,687739,LEVOTHYROXINE 25 MCG PO,48.19,48.19,7.23,48.19,42
CDM,687740,LEVOTHYROXINE 200 MCG PO,48.19,48.19,7.23,48.19,42
CDM,687743,CHLORDIAZEPOXID/CLID PO,69.28,69.28,10.39,69.28,42
CDM,687746,LIOTHYRONINE 25 MCG PO,69.28,69.28,10.39,69.28,42
CDM,687747,LISINOPRIL 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687748,LISINOPRIL 40 MG PO,84.38,84.38,12.66,84.38,42
CDM,687749,LISINOPRIL 5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687750,LISINOPRIL 20 MG PO,69.28,69.28,10.39,69.28,42
CDM,687751,LITHIUM CARB 150 MG PO,69.28,69.28,10.39,69.28,42
CDM,687752,LITHIUM CARB 300 MG PO,69.28,69.28,10.39,69.28,42
CDM,687753,LITHIUM CARB ER 300MG PO,34.21,34.21,5.13,34.21,42
CDM,687757,LITHIUM CARB ER 450MG PO,69.28,69.28,10.39,69.28,42
CDM,687758,LOXAPINE 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687759,DIPHENOX/ATRO 5ML LIQ PO,69.28,69.28,10.39,69.28,42
CDM,687760,DIPHENOX/ATROPINE PO,69.28,69.28,10.39,69.28,42
CDM,687762,LORATADINE 10 MG PO,150.68,150.68,22.6,150.68,42
CDM,687764,LOSARTAN 25 MG PO,93.41,93.41,14.01,93.41,42
CDM,687765,LOSARTAN 50 MG PO,93.41,93.41,14.01,93.41,42
CDM,687768,CLOTR/BETA 1/0.05%15GTOP,874.1,874.1,131.12,874.1,42
CDM,687769,LUBIPROSTONE 24 MCG PO,171.76,171.76,25.76,171.76,42
CDM,687772,PREGABALIN 25 MG PO,96.44,96.44,14.47,96.44,42
CDM,687774,PREGABALIN 50 MG PO,96.44,96.44,14.47,96.44,42
CDM,687775,PREGABALIN 75 MG PO,96.44,96.44,14.47,96.44,42
CDM,687776,TRIAMTER/HCTZ 75/50 PO,24.6,24.6,3.69,24.6,42
CDM,687777,MECLIZINE 12.5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687778,MECLIZINE 25 MG PO,69.28,69.28,10.39,69.28,42
CDM,687782,MELOXICAM 7.5 MG PO,165.78,165.78,24.87,165.78,42
CDM,687783,MEGESTROL ACET 40 MG PO,69.28,69.28,10.39,69.28,28
CDM,687784,MEGESTROL ACET 400MG PO,298.38,298.38,44.76,298.38,28
CDM,687785,MEMANTINE 5 MG PO,178.74,178.74,26.81,178.74,42
CDM,687787,PHYTONADIONE 5 MG PO,1126.41,1126.41,168.96,1126.41,42
CDM,687789,MESALAMINE ER 250 MG PO,69.28,69.28,10.39,69.28,42
CDM,687790,MESALAMINE DR 400 MG PO,69.28,69.28,10.39,69.28,42
CDM,687791,PYRIDOSTIGMINE 60 MG PO,69.28,69.28,10.39,69.28,42
CDM,687795,METFORMIN 500 MG PO,69.28,69.28,10.39,69.28,42
CDM,687796,METFORMIN 850 MG PO,78.33,78.33,11.75,78.33,42
CDM,687800,METHENAMINE HIPP 1 G PO,87.39,87.39,13.11,87.39,42
CDM,687801,METHIMAZOLE 5 MG PO,69.28,69.28,10.39,69.28,42
CDM,687802,METHOCARBAMOL 500 MG PO,48.19,48.19,7.23,48.19,42
CDM,687803,METHOCARBAMOL 750 MG PO,34.21,34.21,5.13,34.21,42
CDM,687806,METHYLERGONOV 0.2 MG PO,69.28,69.28,10.39,69.28,42
CDM,687808,METHYLPHENID ER 18 MG PO,171.76,171.76,25.76,171.76,42
CDM,687809,METHYLPHENID ER 27 MG PO,177.83,177.83,26.67,177.83,42
CDM,687810,METOCLOPRAMIDE 10 MG PO,69.28,69.28,10.39,69.28,42
CDM,687811,METOCLO 10MG/10ML LIQ PO,81.33,81.33,12.2,81.33,42
CDM,687812,METOLAZONE 10 MG PO,120.55,120.55,18.08,120.55,42
CDM,687813,METOLAZONE 2.5 MG PO,87.39,87.39,13.11,87.39,42
CDM,687814,METOLAZONE 5 MG PO,96.44,96.44,14.47,96.44,42
CDM,687815,METOPROLOL 100 MG PO,64.26,64.26,9.64,64.26,42
CDM,687816,METOPROLOL 50 MG PO,64.26,64.26,9.64,64.26,42
CDM,687817,METOPROLOL 25 MG PO,64.26,64.26,9.64,64.26,42
CDM,687818,METOPROLOL ER 25 MG PO,64.26,64.26,9.64,64.26,42
CDM,687819,METOPROLOL ER 50 MG PO,64.26,64.26,9.64,64.26,42
CDM,687820,METOPROLOL ER 100 MG PO,67.08,67.08,10.06,67.08,42
CDM,687822,MEXILETINE 150 MG PO,69.28,69.28,10.39,69.28,42
CDM,687823,MEXILETINE 200 MG PO,69.28,69.28,10.39,69.28,42
CDM,687824,MEXILETINE 250 MG PO,69.28,69.28,10.39,69.28,42
CDM,687825,MIDODRINE 2.5 MG PO,24.6,24.6,3.69,24.6,42
CDM,687828,MAG OH 2400MG/30ML LIQPO,35.54,35.54,5.33,35.54,42
CDM,687832,MINOXIDIL 10 MG PO,65.46,65.46,9.82,65.46,28
CDM,687833,MINOXIDIL 2.5 MG PO,69.28,69.28,10.39,69.28,28
CDM,687834,POLYETHYLEN (PEG) 238GPO,237.08,237.08,35.56,237.08,42
CDM,687835,POLYETHYLEN (PEG) 17G PO,99.44,99.44,14.92,99.44,42
CDM,687837,MIRTAZAPINE 15 MG PO,168.76,168.76,25.31,168.76,42
CDM,687838,MIRTAZAPINE 30 MG PO,150.68,150.68,22.6,150.68,42
CDM,687841,MODAFINIL 100 MG PO,400.85,400.85,60.13,400.85,42
CDM,687842,MODAFINIL 200 MG PO,777.09,777.09,116.56,777.09,42
CDM,687844,MONTELUKAST 5 MG PO,174.8,174.8,26.22,174.8,42
CDM,687846,MONTELUKAST 10 MG PO,174.8,174.8,26.22,174.8,42
CDM,687847,MORPHINE ER 15 MG PO,72.31,72.31,10.85,72.31,42
CDM,687857,SIMETHICONE 80 MG PO,72.31,72.31,10.85,72.31,42
CDM,687862,NAPROXEN 250 MG PO,31.37,31.37,4.71,31.37,42
CDM,687863,NAPROXEN 500 MG PO,72.31,72.31,10.85,72.31,42
CDM,687866,NEBIVOLOL 5 MG PO,92.24,92.24,13.84,92.24,42
CDM,687870,NEOMYCIN 500 MG PO,99.44,99.44,14.92,99.44,42
CDM,687872,OSELTAMIVIR 75 MG PO,352.62,352.62,52.89,352.62,42
CDM,687880,NIACIN ER 500 MG PO,102.42,102.42,15.36,102.42,42
CDM,687881,NICARDIPINE 30 MG PO,72.31,72.31,10.85,72.31,42
CDM,687884,NICOTINE 2 MG PO,72.31,72.31,10.85,72.31,42
CDM,687885,NICOTINE 7 MG PATCH,63.28,63.28,9.49,63.28,42
CDM,687886,NIFEDIPINE 10 MG PO,72.31,72.31,10.85,72.31,42
CDM,687888,NICOTINE 14 MG PATCH,63.28,63.28,9.49,63.28,42
CDM,687889,NIFEDIPINE ER 30 MG PO,81.33,81.33,12.2,81.33,42
CDM,687890,NICOTINE 21 MG PATCH,63.28,63.28,9.49,63.28,42
CDM,687891,NIFEDIPINE ER 60 MG PO,138.64,138.64,20.8,138.64,42
CDM,687892,NIMODIPINE 30 MG PO,289.65,289.65,43.45,289.65,42
CDM,687897,NITAZOXANIDE 500 MG PO,569.53,569.53,85.43,569.53,30
CDM,687898,NITROGLYCERIN 2% 1G TOP,72.31,72.31,10.85,72.31,42
CDM,687900,NITROGLY 0.4 MG PO,72.31,72.31,10.85,72.31,42
CDM,687901,NORETHINDRONE 5 MG PO,72.31,72.31,10.85,72.31,30
CDM,687902,NORTRIPTYLINE 10 MG PO,72.31,72.31,10.85,72.31,42
CDM,687903,NORTRIPTYLINE 25 MG PO,36.86,36.86,5.53,36.86,42
CDM,687905,NITROGLY 0.4 MG/HR PATCH,99.44,99.44,14.92,99.44,42
CDM,687906,NITROGLY 0.6 MG/HR PATCH,102.42,102.42,15.36,102.42,42
CDM,687907,NITROGLY 0.1 MG/HR PATCH,78.33,78.33,11.75,78.33,42
CDM,687908,NITROGLY 0.2 MG/HR PATCH,81.33,81.33,12.2,81.33,42
CDM,687909,NITROGLY 0.3 MG/HR PATCH,138.64,138.64,20.8,138.64,42
CDM,687916,OXAZEPAM 10 MG PO,72.31,72.31,10.85,72.31,42
CDM,687919,GUAIFENESIN 200 MG PO,72.31,72.31,10.85,72.31,42
CDM,687925,OXYCODONE 15 MG PO,72.31,72.31,10.85,72.31,42
CDM,687926,OXAZEPAM 15 MG PO,72.31,72.31,10.85,72.31,42
CDM,687927,OXCARBAZEPINE 150 MG PO,75.35,75.35,11.3,75.35,42
CDM,687928,PALIPERIDONE ER 3 MG PO,482.74,482.74,72.41,482.74,42
CDM,687930,OXYBUTY 5 MG/5 ML LIQ PO,45.19,45.19,6.78,45.19,42
CDM,687932,OXYCODONE ER 80 MG PO,455.1,455.1,68.27,455.1,42
CDM,687933,PALIPERIDONE ER 6 MG PO,482.74,482.74,72.41,482.74,42
CDM,687934,PALIPERIDONE ER 9 MG PO,723.18,723.18,108.48,723.18,42
CDM,687935,OXYBUTYNIN 5 MG PO,72.31,72.31,10.85,72.31,42
CDM,687936,OXYBUTYNIN ER 5 MG PO,168.76,168.76,25.31,168.76,42
CDM,687942,PANTOPRAZOLE 40 MG PO,41.93,41.93,6.29,41.93,42
CDM,687943,PANTOPRAZOLE 20 MG PO,45.19,45.19,6.78,45.19,42
CDM,687949,BROMOCRIPTINE 2.5 MG PO,186.87,186.87,28.03,186.87,42
CDM,687950,TRANYLCYPROMINE 10 MG PO,72.31,72.31,10.85,72.31,42
CDM,687951,PAROXETINE 10 MG PO,153.68,153.68,23.05,153.68,42
CDM,687952,PAROXETINE 20 MG PO,58.77,58.77,8.82,58.77,42
CDM,687956,PENTOXIFYLL ER 400 MG PO,28.31,28.31,4.25,28.31,42
CDM,687957,BISMUTH 525 MG PO,51.2,51.2,7.68,51.2,42
CDM,687958,PERPHENAZINE 2 MG PO,67.08,67.08,10.06,67.08,42
CDM,687959,CHLORHEX 0.12% 15ML PO,36.15,36.15,5.42,36.15,42
CDM,687967,PHENYTOIN ER 30 MG PO,72.31,72.31,10.85,72.31,42
CDM,687968,PHENYTOIN ER 100 MG PO,72.31,72.31,10.85,72.31,42
CDM,687969,PHENYTO 100MG/4ML LIQ PO,72.31,72.31,10.85,72.31,42
CDM,687970,PHENYTOIN 50 MG PO,72.31,72.31,10.85,72.31,42
CDM,687973,PILOCARPINE 5 MG PO,90.41,90.41,13.56,90.41,42
CDM,687975,PIOGLITAZONE 15 MG PO,186.87,186.87,28.03,186.87,42
CDM,687976,PIOGLITAZONE 30 MG PO,289.35,289.35,43.4,289.35,42
CDM,687977,PIOGLITAZONE 45 MG PO,319.5,319.5,47.92,319.5,42
CDM,687980,POSACONAZOLE 200 MG PO,991.66,991.66,148.75,991.66,42
CDM,687982,PRAMIPEXOLE 0.5 MG PO,111.51,111.51,16.73,111.51,42
CDM,687983,PRAMIPEXOLE 0.25 MG PO,99.44,99.44,14.92,99.44,42
CDM,687984,PRAMIPEXOLE 0.125 MG PO,90.41,90.41,13.56,90.41,42
CDM,687987,PRAVASTATIN 10 MG PO,111.51,111.51,16.73,111.51,42
CDM,687988,PRAVASTATIN 20 MG PO,153.68,153.68,23.05,153.68,42
CDM,687989,PRASUGREL 10 MG PO,321.47,321.47,48.22,321.47,42
CDM,687990,PRAVASTATIN 40 MG PO,229.06,229.06,34.36,229.06,42
CDM,687991,PRAZOSIN 1 MG PO,72.31,72.31,10.85,72.31,42
CDM,687992,PRAZOSIN 2 MG PO,72.31,72.31,10.85,72.31,42
CDM,687993,PRAZOSIN 5 MG PO,72.31,72.31,10.85,72.31,42
CDM,687994,PREDNISOLONE 15MG PO,84.38,84.38,12.66,84.38,28
CDM,687994,"Prednisolone oral, per 5 mg ",84.38,84.38,0.31,0.35,2
CDM,688001,ESTROGEN CON 0.625 MG PO,72.31,72.31,10.85,72.31,42
CDM,688002,ESTROGEN CON 0.3 MG PO,72.31,72.31,10.85,72.31,42
CDM,688003,ESTROGEN CON 0.45 MG PO,102.42,102.42,15.36,102.42,42
CDM,688005,ESTROGEN CON 1.25 MG PO,72.31,72.31,10.85,72.31,42
CDM,688009,PRIMAQUINE 26.3 MG PO,72.31,72.31,10.85,72.31,42
CDM,688010,PRIMIDONE 250 MG PO,144.61,144.61,21.69,144.61,42
CDM,688011,PRIMIDONE 50 MG PO,72.31,72.31,10.85,72.31,42
CDM,688012,PROBENECID 500 MG PO,108.47,108.47,16.27,108.47,42
CDM,688014,PROGESTERONE 100 MG VAG,305.18,305.18,45.78,305.18,42
CDM,688015,PROGESTERONE 100 MG PO,75.35,75.35,11.3,75.35,42
CDM,688016,PROMETHAZINE 25 MG SUPP,217.03,217.03,32.55,217.03,42
CDM,688019,PROMETH 6.25MG/5ML LIQPO,67.08,67.08,10.06,67.08,42
CDM,688020,PROPAFENONE 150 MG PO,150.68,150.68,22.6,150.68,42
CDM,688024,PROPAFENONE 225 MG PO,81.33,81.33,12.2,81.33,42
CDM,688025,PROPRANOLOL 10 MG PO,67.08,67.08,10.06,67.08,42
CDM,688026,PROPRANOLOL 20 MG PO,67.08,67.08,10.06,67.08,42
CDM,688027,PROPRANOLOL 40 MG PO,67.08,67.08,10.06,67.08,42
CDM,688033,PROPYLTHIOURAC 50 MG PO,72.31,72.31,10.85,72.31,42
CDM,688035,MEDROXYPROGEST 10 MG PO,72.31,72.31,10.85,72.31,42
CDM,688036,MEDROXYPROGEST 2.5 MG PO,72.31,72.31,10.85,72.31,42
CDM,688038,MERCAPTOPURINE 50 MG PO,204.03,204.03,30.6,204.03,28
CDM,688038,"Mercaptopurine, oral, 50 mg ",204.03,204.03,3.72,4.19,2
CDM,688040,QUETIAPINE 50 MG PO,174.8,174.8,26.22,174.8,42
CDM,688041,QUETIAPINE 400 MG PO,449.11,449.11,67.37,449.11,42
CDM,688043,QUETIAPINE 300 MG PO,415.92,415.92,62.39,415.92,42
CDM,688044,QUETIAPINE 200 MG PO,322.5,322.5,48.38,322.5,42
CDM,688045,QUETIAPINE 25 MG PO,102.42,102.42,15.36,102.42,42
CDM,688046,QUETIAPINE 100 MG PO,174.8,174.8,26.22,174.8,42
CDM,688049,QUETIAPINE ER 200 MG PO,352.62,352.62,52.89,352.62,42
CDM,688050,QUETIAPINE ER 300 MG PO,386.53,386.53,57.98,386.53,42
CDM,688051,QUETIAPINE ER 400 MG PO,658.55,658.55,98.78,658.55,42
CDM,688053,QUETIAPINE ER 50 MG PO,213.96,213.96,32.09,213.96,42
CDM,688054,RAMELTEON 8 MG PO,147.68,147.68,22.15,147.68,42
CDM,688055,RALOXIFENE 60 MG PO,162.74,162.74,24.41,162.74,42
CDM,688056,RAMIPRIL 1.25 MG PO,72.31,72.31,10.85,72.31,42
CDM,688057,RAMIPRIL 2.5 MG PO,63.28,63.28,9.49,63.28,42
CDM,688058,RAMIPRIL 5 MG PO,84.38,84.38,12.66,84.38,42
CDM,688059,RAMIPRIL 10 MG PO,102.42,102.42,15.36,102.42,42
CDM,688060,RANOLAZINE ER 500 MG PO,177.83,177.83,26.67,177.83,42
CDM,688061,RALTEGRAVIR 400 MG PO,672.15,672.15,100.82,672.15,42
CDM,688063,ZIDOVUDINE 100 MG PO,106.93,106.93,16.04,106.93,28
CDM,688064,RIFABUTIN 150 MG PO,370.72,370.72,55.61,370.72,42
CDM,688065,RIFAMPIN 150 MG PO,96.44,96.44,14.47,96.44,42
CDM,688066,RIBAVIRIN 200 MG PO,464.16,464.16,69.62,464.16,42
CDM,688067,RIFAMPIN 300 MG PO,129.57,129.57,19.44,129.57,42
CDM,688069,RISPERIDONE 0.5 MG PO,150.68,150.68,22.6,150.68,42
CDM,688070,RISPERID 1MG/ML LIQ PO,138.64,138.64,20.8,138.64,42
CDM,688071,RISPERIDONE 0.25 MG PO,183.84,183.84,27.58,183.84,42
CDM,688072,RISPERIDONE 1 MG PO,204.94,204.94,30.74,204.94,42
CDM,688073,RISPERIDONE 2 MG PO,337.59,337.59,50.64,337.59,42
CDM,688074,RISPERIDONE 3 MG PO,400.85,400.85,60.13,400.85,42
CDM,688075,RISPERIDONE 4 MG PO,467.19,467.19,70.08,467.19,42
CDM,688076,METHYLPHENIDATE 10 MG PO,72.31,72.31,10.85,72.31,42
CDM,688078,RISPERIDONE 1 MG PO,238.11,238.11,35.72,238.11,42
CDM,688079,METHYLPHENIDATE 20 MG PO,26.49,26.49,3.97,26.49,42
CDM,688080,RISPERIDONE 0.5 MG PO,201.9,201.9,30.29,201.9,42
CDM,688081,METHYLPHENIDATE 5 MG PO,72.31,72.31,10.85,72.31,42
CDM,688082,ROPINIROLE 0.25 MG PO,102.42,102.42,15.36,102.42,42
CDM,688084,ROPINIROLE 1 MG PO,102.42,102.42,15.36,102.42,42
CDM,688085,ROPINIROLE 2 MG PO,102.42,102.42,15.36,102.42,42
CDM,688087,MESALAMINE 1000 MG SUPP,437.07,437.07,65.56,437.07,42
CDM,688097,SCOPOLAM 1MG/3 DAY PATCH,164.93,164.93,24.74,164.93,42
CDM,688101,SELENIUM 2.5% 118 ML TOP,602.82,602.82,90.42,602.82,42
CDM,688106,SERTRALINE 25 MG PO,144.61,144.61,21.69,144.61,42
CDM,688107,SERTRALINE 20MG PO,72.31,72.31,10.85,72.31,42
CDM,688109,SERTRALINE 50 MG PO,144.61,144.61,21.69,144.61,42
CDM,688110,SERTRALINE 100 MG PO,144.61,144.61,21.69,144.61,42
CDM,688115,CARB/LEV ER 25/100 MG PO,48.19,48.19,7.23,48.19,42
CDM,688117,CARB/LEVO 10/100 MG PO,72.31,72.31,10.85,72.31,42
CDM,688120,CARB/LEVO 25/250 MG PO,72.31,72.31,10.85,72.31,42
CDM,688121,CARB/LEVO 25/100 MG PO,72.31,72.31,10.85,72.31,42
CDM,688126,SODIUM BICARB 650 MG PO,67.08,67.08,10.06,67.08,42
CDM,688129,SPIRONOLACTONE 25 MG PO,72.31,72.31,10.85,72.31,42
CDM,688130,SPIRONOLACTONE 50 MG PO,78.33,78.33,11.75,78.33,42
CDM,688131,SUCCIMER 100 MG PO,379.77,379.77,56.97,379.77,42
CDM,688132,PSEUDOEPHEDRINE 30 MG PO,63.28,63.28,9.49,63.28,42
CDM,688134,SUCRALFATE 1 G PO,72.31,72.31,10.85,72.31,42
CDM,688135,SUCRAL 1 G/10 ML LIQ PO,126.58,126.58,18.99,126.58,42
CDM,688136,SUMATRIPTAN 50 MG PO,774.66,774.66,116.2,774.66,42
CDM,688140,LEVOTHYROXINE 75 MCG PO,48.19,48.19,7.23,48.19,42
CDM,688144,TAMSULOSIN 0.4 MG PO,112.83,112.83,16.92,112.83,42
CDM,688146,TAPENTADOL 50 MG PO,99.08,99.08,14.86,99.08,42
CDM,688147,TENOFOVIR 300 MG PO,666.14,666.14,99.92,666.14,42
CDM,688149,TEMAZEPAM 15 MG PO,66.04,66.04,9.91,66.04,42
CDM,688151,TERAZOSIN 1 MG PO,62.1,62.1,9.31,62.1,42
CDM,688153,TERAZOSIN 5 MG PO,66.04,66.04,9.91,66.04,42
CDM,688156,TERBUTALINE 2.5 MG PO,62.1,62.1,9.31,62.1,30
CDM,688159,BENZONATATE 100 MG PO,72.31,72.31,10.85,72.31,42
CDM,688164,DRONABINOL 2.5 MG PO,126.14,126.14,18.92,126.14,42
CDM,688193,TOBR0.3%/DEX0.1%2.5MLOPH,1627.01,1627.01,244.05,1627.01,31
CDM,688194,TOPIRAMATE 100 MG PO,229.06,229.06,34.36,229.06,42
CDM,688199,TOLVAPTAN 15 MG PO,7412.03,7412.03,1111.8,7412.03,30
CDM,688200,TORSEMIDE 100 MG PO,147.68,147.68,22.15,147.68,42
CDM,688201,TORSEMIDE 20 MG PO,48.19,48.19,7.23,48.19,42
CDM,688204,TRAZODONE 100 MG PO,72.31,72.31,10.85,72.31,42
CDM,688205,TRAZODONE 150 MG PO,75.35,75.35,11.3,75.35,42
CDM,688206,TRAZODONE 50 MG PO,72.31,72.31,10.85,72.31,42
CDM,688207,TRIAMCINOLON 0.1% 5G TOP,1850.71,1850.71,277.61,1850.71,42
CDM,688208,TRIAMCINO 0.2% 63G TOP,3920.94,3920.94,588.14,3920.94,42
CDM,688211,TRIAMCINOLO 0.1% 15G TOP,195.92,195.92,29.39,195.92,42
CDM,688213,TRIAMCINO 0.1%453.6G TOP,913.29,913.29,136.99,913.29,42
CDM,688219,TRIHEXYPHENIDYL 2 MG PO,72.31,72.31,10.85,72.31,42
CDM,688220,TRIHEXYPHENIDYL 5 MG PO,72.31,72.31,10.85,72.31,42
CDM,688227,VALSARTAN 160 MG PO,176.72,176.72,26.51,176.72,42
CDM,688228,VALACYCLOVIR 500 MG PO,189.91,189.91,28.49,189.91,42
CDM,688229,VALPROIC ACID 250 MG PO,66.04,66.04,9.91,66.04,42
CDM,688230,VALSARTAN 80 MG PO,68.8,68.8,10.32,68.8,42
CDM,688231,VALGANCICLOVIR 450 MG PO,1501.05,1501.05,225.16,1501.05,42
CDM,688233,ENALAPRIL 2.5 MG PO,48.19,48.19,7.23,48.19,42
CDM,688234,ENALAPRIL 5 MG PO,72.31,72.31,10.85,72.31,42
CDM,688238,VENLAFAXINE 37.5 MG PO,75.06,75.06,11.26,75.06,42
CDM,688239,VENLAFAXINE 25 MG PO,75.06,75.06,11.26,75.06,42
CDM,688240,VENLAFAXINE 100 MG PO,85.06,85.06,12.76,85.06,42
CDM,688241,VENLAFAXINE 75 MG PO,82.58,82.58,12.39,82.58,42
CDM,688242,VENLAFAXINE ER 75 MG PO,147.64,147.64,22.15,147.64,42
CDM,688243,VENLAFAXIN ER 37.5 MG PO,135.12,135.12,20.27,135.12,42
CDM,688244,VERAPAMIL 120 MG PO,60.03,60.03,9.0,60.03,42
CDM,688245,VENLAFAXINE ER 150 MG PO,160.14,160.14,24.02,160.14,42
CDM,688246,VERAPAMIL ER AM 240MG PO,60.03,60.03,9.0,60.03,42
CDM,688247,VERAPAMIL 80 MG PO,60.03,60.03,9.0,60.03,42
CDM,688248,VERAPAMIL ER AM 180MG PO,60.03,60.03,9.0,60.03,42
CDM,688250,VERAPAMIL ER AM 120MG PO,67.56,67.56,10.13,67.56,42
CDM,688253,TETRAHYDROZ 0.05%15ML OP,65.06,65.06,9.76,65.06,42
CDM,688262,VORICONAZOLE 200 MG PO,1261.21,1261.21,189.18,1261.21,42
CDM,688263,WARFARIN 1 MG PO,60.03,60.03,9.0,60.03,42
CDM,688269,ZIPRASIDONE 20 MG PO,287.76,287.76,43.16,287.76,42
CDM,688270,ZIPRASIDONE 40 MG PO,210.18,210.18,31.53,210.18,42
CDM,688271,ZIPRASIDONE 60 MG PO,230.22,230.22,34.53,230.22,42
CDM,688272,ZIPRASIDONE 80 MG PO,230.22,230.22,34.53,230.22,42
CDM,688273,ZOLPIDEM 5 MG PO,184.41,184.41,27.66,184.41,42
CDM,688274,ZOLPIDEM 10 MG PO,184.41,184.41,27.66,184.41,42
CDM,688275,OLANZAPINE 5 MG PO,39.16,39.16,5.87,39.16,42
CDM,688277,OLANZAPINE 10 MG PO,39.16,39.16,5.87,39.16,42
CDM,688278,OLANZAPINE 7.5 MG PO,39.16,39.16,5.87,39.16,42
CDM,688279,OLANZAPINE 2.5 MG PO,39.16,39.16,5.87,39.16,42
CDM,688280,OLANZAPINE 15 MG PO,707.43,707.43,106.11,707.43,42
CDM,688281,ZONISAMIDE 100 MG PO,60.54,60.54,9.08,60.54,42
CDM,688282,ZONISAMIDE 25 MG PO,49.49,49.49,7.42,49.49,42
CDM,688288,FUROSEM 10 MG/ML LIQ PO,72.31,72.31,10.85,72.31,42
CDM,688291,DABIGATRAN 150 MG PO,160.43,160.43,24.06,160.43,42
CDM,688292,DABIGATRAN 75 MG PO,174.8,174.8,26.22,174.8,42
CDM,688297,PETROLATUM 42% 100G TOP,165.78,165.78,24.87,165.78,42
CDM,688302,FOSAPREPITANT 150 MG INJ,7085.82,7085.82,1062.87,7085.82,27
CDM,688303,RIFAXIMIN 550 MG PO,810.82,810.82,121.62,810.82,42
CDM,688304,TOLVAPTAN 30 MG PO,6798.83,6798.83,1019.82,6798.83,30
CDM,688305,FLUOROMETHO 0.1% 5ML OPH,1516.14,1516.14,227.42,1516.14,42
CDM,688310,MOXIFLOXAC 0.5% 3 ML OPH,2643.31,2643.31,396.5,2643.31,42
CDM,688311,DOCOSANOL 10% 2G TOP,230.62,230.62,34.59,230.62,42
CDM,688312,AMLODIPINE 2.5 MG PO,63.28,63.28,9.49,63.28,42
CDM,688314,IRON DEXTRAN 100 MG INJ,1045.14,1045.14,192.41,1045.14,23
CDM,688320,IG RHOPHYLAC 1500 IU,4853.1,4853.1,727.97,4853.1,27
CDM,688320,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",4853.1,4853.1,6.09,6.85,2
CDM,688322,FLUOCINOND 0.05% 15G TOP,488.3,488.3,73.25,488.3,31
CDM,688325,CEFTRIAXONE 1 G INJ,206.0,206.0,30.9,206.0,27
CDM,688328,CEFTRIAXONE 500MG INJ,206.0,206.0,30.9,206.0,27
CDM,688329,CEFTRIAXONE 250 MG INJ,206.0,206.0,30.9,206.0,27
CDM,688330,ERYTHRO LACTO 500 MG INJ,1390.51,1390.51,208.58,1390.51,27
CDM,688337,KETOROLAC 30 MG INJ,206.0,206.0,37.92,206.0,23
CDM,688338,KETOROLAC 60 MG INJ,206.0,206.0,37.92,206.0,23
CDM,688349,LEVOF 500MG/D5W100ML INJ,602.83,602.83,90.42,602.83,27
CDM,688350,LEVOF 750MG/D5W150ML INJ,572.53,572.53,85.88,572.53,27
CDM,688360,HYDROCOD/APAP 5/325 PO,63.28,63.28,9.49,63.28,42
CDM,688361,HYDROCOD/APAP 7.5/325 PO,63.28,63.28,9.49,63.28,42
CDM,688362,HYDROCOD/APAP 10/325 PO,63.28,63.28,9.49,63.28,42
CDM,688363,OXYCOD/APAP 7.5/325MG PO,63.28,63.28,9.49,63.28,42
CDM,688367,FLUTICASONE 110MCG 12G,63.28,63.28,9.49,63.28,30
CDM,688368,FLUTICASONE 44MCG 10.6G,63.28,63.28,9.49,63.28,30
CDM,688369,IPRATROPIUM 17MCG 12.9G,63.28,63.28,9.49,63.28,30
CDM,688370,ALBUTEROL 90MCG 8G INH,63.28,63.28,9.49,63.28,30
CDM,688374,QUETIAPINE ER 150 MG PO,376.75,376.75,56.51,376.75,42
CDM,688379,RIVAROXABAN 10 MG PO,337.59,337.59,50.64,337.59,42
CDM,688390,DIPHENHYDRAMINE 25 MG PO,25.13,25.13,3.77,25.13,42
CDM,688397,CEFAZOLIN 1 G INJ,206.0,206.0,30.9,206.0,27
CDM,688398,505WG CEFAZOL 500 MG INJ,206.0,206.0,30.9,206.0,27
CDM,688401,ACETAMINOPHEN 325MG RECT,14.8,14.8,2.22,14.8,42
CDM,688404,ETHAMBUTOL 100 MG PO,63.28,63.28,9.49,63.28,42
CDM,688405,ALBENDAZOLE 200 MG PO,2304.45,2304.45,345.67,2304.45,30
CDM,688406,FOSAMPRENAVIR 700 MG PO,539.53,539.53,80.93,539.53,42
CDM,688413,CIDOFOVIR 375 MG INJ,16319.48,16319.48,3004.42,16319.48,23
CDM,688414,LURASIDONE 40 MG PO,611.87,611.87,91.78,611.87,42
CDM,688415,LURASIDONE 80 MG PO,611.87,611.87,91.78,611.87,42
CDM,688416,AMIODARONE 150 MG INJ,190.86,190.86,28.63,190.86,27
CDM,688424,CETIRIZINE 5 MG/5 ML PO,37.62,37.62,5.64,37.62,42
CDM,688426,RIMANTADINE 100 MG PO,96.44,96.44,14.47,96.44,42
CDM,688430,NEVIRAPINE 200 MG PO,370.72,370.72,55.61,370.72,42
CDM,688435,DEXTROSE 25% 10 ML INJ,210.96,210.96,31.64,210.96,38
CDM,688436,TICAGRELOR 90 MG PO,140.34,140.34,21.05,140.34,42
CDM,688438,DICYCLOMINE 20 MG INJ,1526.8,1526.8,229.02,1526.8,27
CDM,688438,"Injection, dicyclomine hcl, up to 20 mg ",1526.8,1526.8,26.03,29.28,2
CDM,688439,INDOMETHACIN 25 MG PO,192.89,192.89,28.93,192.89,42
CDM,688440,NICARDIPINE 20 MG PO,54.2,54.2,8.13,54.2,42
CDM,688442,RIVAROXABAN 15 MG PO,334.56,334.56,50.18,334.56,42
CDM,688443,RIVAROXABAN 20 MG PO,334.56,334.56,50.18,334.56,42
CDM,688446,MICAFUNGIN 100 MG INJ,4771.32,4771.32,715.7,4771.32,27
CDM,688450,BELATACEPT 250 MG INJ,18673.32,18673.32,3437.76,18673.32,23
CDM,688460,GUAIFE 200MG/10ML LIQ PO,54.2,54.2,8.13,54.2,42
CDM,688462,"Injection, minocycline hydrochloride, 1 mg ",2125.46,2125.46,3.28,3.69,2
CDM,688462,MINOCYCLINE HCL 100 MG,2125.46,2125.46,391.3,2125.46,23
CDM,688463,EVEROLIMUS 0.25 MG PO,140.24,140.24,21.04,140.24,30
CDM,688465,IVIG GAMUNEX-C 10G,11048.93,11048.93,2034.11,11048.93,23
CDM,688466,SOTALOL 80 MG PO,102.42,102.42,15.36,102.42,42
CDM,688467,IBUPROFEN 800MG INJ,402.9,402.9,60.44,402.9,27
CDM,688468,CARBAMAZE ER 100 MG PO,54.2,54.2,8.13,54.2,42
CDM,688469,CARBAMAZE ER 200 MG PO,54.2,54.2,8.13,54.2,42
CDM,688473,CARBAMIDE 6.5% 15ML OTIC,132.6,132.6,19.89,132.6,42
CDM,688485,HYDROCO/APAP 15ML LIQ PO,189.91,189.91,28.49,189.91,42
CDM,688492,HYALURONIDASE RECB 150 U,2452.3,2452.3,367.85,2452.3,27
CDM,688492,"Injection, hyaluronidase, recombinant, 1 usp unit ",2452.3,2452.3,0.46,0.52,2
CDM,688494,DENOSUMAB 60 MG INJ,16046.8,16046.8,2954.22,16046.8,23
CDM,688498,ATAZANAVIR 200 MG PO,651.03,651.03,97.65,651.03,42
CDM,688499,ATOMOXETINE 10 MG PO,265.2,265.2,39.78,265.2,42
CDM,688500,CHLORAMBUCIL 2 MG PO,175.73,175.73,26.36,175.73,28
CDM,688500,"Chlorambucil, oral, 2 mg ",175.73,175.73,344.87,387.98,2
CDM,688501,HYDROCORTISO 100MG ENEMA,370.72,370.72,55.61,370.72,42
CDM,688503,DESIPRAMINE 10 MG PO,48.19,48.19,7.23,48.19,42
CDM,688505,FLUPHENA 2.5MG/5ML LIQPO,90.41,90.41,13.56,90.41,42
CDM,688507,VORICONAZOLE 200 MG INJ,3498.6,3498.6,524.79,3498.6,27
CDM,688509,MEROPENEM 500 MG INJ,621.01,621.01,93.15,621.01,27
CDM,688510,MEROPENEM 1 G INJ,1278.39,1278.39,191.76,1278.39,27
CDM,688511,FOSCARNET 6000 MG INJ,4491.85,4491.85,673.78,4491.85,27
CDM,688511,"Injection, foscarnet sodium, per 1000 mg ",4491.85,4491.85,78.33,88.13,2
CDM,688513,GUAI/DEX 200/20MG/10MLPO,54.2,54.2,8.13,54.2,42
CDM,688514,ACETAMINOPHEN 160MG PO,12.95,12.95,1.94,12.95,42
CDM,688515,FULVESTRANT 250 MG INJ,18788.43,18788.43,2818.26,18788.43,27
CDM,688515,"Injection, fulvestrant, 25 mg ",18788.43,18788.43,11.18,12.57,2
CDM,688516,ALTEPLASE RECOMB 2 MG,3171.79,3171.79,583.93,3171.79,23
CDM,688519,INFLIXIMAB 100 MG INJ,15659.04,15659.04,2882.83,15659.04,23
CDM,688520,GRANISETRON 1000 MCG INJ,605.86,605.86,90.88,605.86,27
CDM,688520,"Injection, granisetron hydrochloride, 100 mcg ",605.86,605.86,0.38,0.43,2
CDM,688523,ONDANSETRON 4 MG INJ,190.86,190.86,28.63,190.86,27
CDM,688527,FOSPHEN PE 500 MG INJ,387.23,387.23,58.08,387.23,27
CDM,688528,FOSPHEN PE 100 MG INJ,875.49,875.49,131.32,875.49,27
CDM,688531,PARICALCITOL 2 MCG PO,744.49,744.49,111.67,744.49,42
CDM,688532,PARICALCITOL 2 MCG INJ,248.67,248.67,37.3,248.67,27
CDM,688543,CYTARABINE 2000 MG INJ,524.06,524.06,78.61,524.06,27
CDM,688545,CYTARABINE 100 MG INJ,190.86,190.86,28.63,190.86,27
CDM,688552,ADENOSINE 6 MG INJ,215.09,215.09,32.26,215.09,28
CDM,688564,NS 50 ML,553.27,553.27,82.99,553.27,28
CDM,688566,0.45% NACL 500 ML INJ,663.35,663.35,99.5,663.35,38
CDM,688567,DEXTROSE 10% 500 ML INJ,663.35,663.35,99.5,663.35,38
CDM,688576,ALBUMIN INF 5% 250ML INJ,2023.62,2023.62,372.55,2023.62,23
CDM,688577,MAG SUL 1G/D5W 100ML INJ,221.14,221.14,33.17,221.14,27
CDM,688582,ALBUMIN INF 5% 500 ML,4592.57,4592.57,845.49,4592.57,23
CDM,688583,ALBUMIN INF 25% 100 ML,5207.54,5207.54,781.13,5207.54,27
CDM,688588,CYCLO 0.2/PHE 1% 2ML OPH,777.62,777.62,116.64,777.62,42
CDM,688590,PHENELZINE 15 MG PO,54.2,54.2,8.13,54.2,42
CDM,688599,MAG SULF 2G/WFI 50ML INJ,278.68,278.68,41.8,278.68,27
CDM,688607,AMPICILLIN 2 G INJ,336.25,336.25,50.44,336.25,27
CDM,688642,ENALAPRILAT1250MCG/MLINJ,174.8,174.8,26.22,174.8,30
CDM,688652,CMPD MORPH 30MG 30B,408.94,408.94,61.34,408.94,30
CDM,688654,IMOVAX 1 ML VAC IM,4306.85,4306.85,792.89,4306.85,24
CDM,688654,"Rabies vaccine, for intramuscular use ",4306.85,4306.85,593.38,667.56,2
CDM,688658,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",1114.81,1114.81,54.1,60.87,2
CDM,688658,VAQTA PED 2 DOSE VAC IM,1114.81,1114.81,167.22,1114.81,28
CDM,688659,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",2081.18,2081.18,113.21,127.36,2
CDM,688659,VAQTA ADULT 1 ML VAC IM,2081.18,2081.18,312.18,2081.18,28
CDM,688660,PNEUMOVAX 23 VAC IMSQ,2005.45,2005.45,369.2,2005.45,24
CDM,688660,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",2005.45,2005.45,30.45,188.82,5
CDM,688667,FLUCO 200MG/NACL100MLINJ,330.2,330.2,49.53,330.2,27
CDM,688668,FLUCO 400MG/NACL200MLINJ,315.04,315.04,47.26,315.04,27
CDM,688669,GENTAMI 80MG/NS 50ML INJ,175.69,175.69,26.35,175.69,27
CDM,688670,GENTAMI 100MG/NS100MLINJ,175.69,175.69,26.35,175.69,27
CDM,688678,CEFTRIAXONE 2 G INJ,175.69,175.69,26.35,175.69,27
CDM,688682,AMPICIL/SULBAC 3 G INJ,218.1,218.1,32.72,218.1,27
CDM,688683,AMPICIL/SULBAC 1.5 G INJ,175.69,175.69,26.35,175.69,27
CDM,688686,ACYCLOVIR 500 MG INJ,551.33,551.33,82.7,551.33,27
CDM,688688,METHYLPRED 4 MG PO,51.48,51.48,7.72,51.48,28
CDM,688690,EVEROLIMUS 0.5 MG PO,406.72,406.72,61.01,406.72,30
CDM,688695,METHOTREXATE 2.5 MG PO,145.38,145.38,21.81,145.38,28
CDM,688695,"Methotrexate; oral, 2.5 mg ",145.38,145.38,0.31,0.35,2
CDM,688697,AZITHROMYCIN 500 MG INJ,318.09,318.09,47.71,318.09,27
CDM,688701,CEFUROXIME 750 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688702,CEFUROXIME 1.5 G INJ,175.69,175.69,26.35,175.69,27
CDM,688703,CEFOXITIN 1 G INJ,272.62,272.62,40.89,272.62,27
CDM,688704,CEFOXITIN 2 G INJ,366.54,366.54,54.98,366.54,27
CDM,688705,CIPRO/D5W 200MG/100ML IV,175.69,175.69,26.35,175.69,27
CDM,688706,CIPRO/D5W 400MG/200ML IV,175.69,175.69,26.35,175.69,27
CDM,688708,"Injection, ziprasidone mesylate, 10 mg ",767.53,767.53,10.34,11.63,2
CDM,688708,ZIPRASIDONE 20 MG INJ,767.53,767.53,115.13,767.53,27
CDM,688713,BENZTROPINE 2 MG INJ,1587.42,1587.42,238.11,1587.42,27
CDM,688713,"Injection, benztropine mesylate, per 1 mg ",1587.42,1587.42,20.85,23.46,2
CDM,688714,LACOSAMIDE 200 MG INJ,1411.67,1411.67,211.75,1411.67,28
CDM,688715,COLISTIMETHATE 150MG INJ,1026.97,1026.97,154.05,1026.97,27
CDM,688715,"Injection, colistimethate sodium, up to 150 mg ",1026.97,1026.97,13.95,15.7,2
CDM,688716,ERTAPENEM SOD 1 G INJ,2162.96,2162.96,324.44,2162.96,27
CDM,688717,HALOPERIDL DEC 100MG INJ,1481.37,1481.37,222.21,1481.37,27
CDM,688717,"Injection, haloperidol decanoate, per 50 mg ",1481.37,1481.37,8.36,9.41,2
CDM,688718,OCTREOT 50MCG ND SQIV,162.12,162.12,24.32,162.12,36
CDM,688719,OCTREOT 100MCG ND SQIV,310.27,310.27,46.54,310.27,36
CDM,688720,OCTREOT 500MCG ND SQIV,1344.61,1344.61,201.69,1344.61,36
CDM,688721,AMPICILLIN 1 G INJ,290.81,290.81,43.62,290.81,27
CDM,688722,AMPICILLIN 500 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688723,HYDROCORT SUCC 100MG INJ,230.62,230.62,34.59,230.62,27
CDM,688724,HYDROCORT SUCC 250MG INJ,426.79,426.79,64.02,426.79,27
CDM,688725,HYDROCORT SUCC 500MG INJ,823.98,823.98,123.6,823.98,27
CDM,688730,TENIVAC VAC >= 7 YRS IM,591.85,591.85,88.78,591.85,28
CDM,688730,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",591.85,591.85,36.21,69.76,5
CDM,688734,PRALATREXATE 20 MG INJ,69688.71,69688.71,12829.69,69688.71,23
CDM,688736,LEVETIRACETAM 250 MG PO,48.19,48.19,7.23,48.19,42
CDM,688741,DAPTACEL < 7 YRS VAC IM,569.52,569.52,85.43,569.52,28
CDM,688741,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",569.52,569.52,41.3,93.84,5
CDM,688742,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",1569.2,1569.2,164.18,184.7,2
CDM,688742,PENTACEL VAC IM,1569.2,1569.2,235.38,1569.2,28
CDM,688743,METHYLPRED 16 MG PO,109.04,109.04,16.36,109.04,28
CDM,688744,LIDOCAINE 3.5% 1ML OPHTH,804.75,804.75,120.71,804.75,38
CDM,688748,FENTANYL CIT 0.1 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688749,FENTANYL CIT 0.25 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688750,FENTANYL CIT 1 MG INJ,306.36,306.36,45.95,306.36,27
CDM,688752,APIXABAN 2.5 MG PO,292.34,292.34,43.85,292.34,42
CDM,688753,APIXABAN 5 MG PO,177.83,177.83,26.67,177.83,42
CDM,688754,PEN G BEN 600000 U INJ,1199.56,1199.56,220.84,1199.56,23
CDM,688760,DOXORUBICIN 10 MG INJ,239.49,239.49,35.92,239.49,27
CDM,688762,DOXORUBICIN 50 MG INJ,1284.43,1284.43,192.66,1284.43,27
CDM,688766,CYCLOPHOSPHAMIDE 25MG PO,245.38,245.38,36.81,245.38,28
CDM,688767,CYCLOPHOSPHAMIDE 50MG PO,239.22,239.22,35.88,239.22,28
CDM,688768,PHENYTOIN 100 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688769,PHENYTOIN 250 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688770,VANCO 125 MG INJ,44.03,44.03,6.6,44.03,29
CDM,688771,BUSULFAN 2 MG PO,402.72,402.72,74.14,402.72,24
CDM,688771,"Busulfan; oral, 2 mg ",402.72,402.72,179.35,201.76,2
CDM,688772,CISPLATIN 10MG INJ,175.69,175.69,26.35,175.69,27
CDM,688773,TERBUTALINE 1 MG INJ,162.67,162.67,24.4,162.67,27
CDM,688774,DAUNORUBICIN 20 MG INJ,2556.79,2556.79,383.52,2556.79,27
CDM,688774,"Injection, daunorubicin, 10 mg ",2556.79,2556.79,34.12,38.39,2
CDM,688786,VINCRISTINE SULF 2MG INJ,331.48,331.48,49.72,331.48,27
CDM,688791,CMPD AZATHIOP 50MG/ML PO,153.73,153.73,23.06,153.73,39
CDM,688792,CMPD BACLOFEN 5MG/ML PO,48.43,48.43,7.26,48.43,39
CDM,688800,CHLORAMPHENICOL 1 G INJ,1096.62,1096.62,164.49,1096.62,27
CDM,688803,CEFTAZIDIME 1 G INJ,175.69,175.69,26.35,175.69,27
CDM,688808,ALBUTERLNC UD 0.63MG INH,60.59,60.59,9.09,60.59,28
CDM,688809,ALBUTERLNC UD 1.25MG INH,60.59,60.59,9.09,60.59,28
CDM,688810,MIDAZOLAM 5 MG/1 ML INJ,48.43,48.43,7.26,48.43,27
CDM,688815,RANIBIZUMAB 0.3 MG INJ,19724.53,19724.53,3631.29,19724.53,23
CDM,688816,RANIBIZUMAB 0.5 MG INJ,32872.22,32872.22,6051.78,32872.22,23
CDM,688828,DEXMED 200MCG/D5W50MLINJ,1309.71,1309.71,196.46,1309.71,35
CDM,688831,HEPARIN 2000 U/NS 1L INJ,218.1,218.1,32.72,218.1,27
CDM,688836,DORNASEALFA UD 2.5MG INH,2559.84,2559.84,383.98,2559.84,28
CDM,688836,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",2559.84,2559.84,68.4,76.95,2
CDM,688839,VINCRISTINE SULF 1MG INJ,201.44,201.44,30.22,201.44,27
CDM,688853,MORPHINE SULF 2MG INJ,142.39,142.39,21.36,142.39,27
CDM,688886,DARUNAVIR 800 MG PO,1332.93,1332.93,199.94,1332.93,42
CDM,688889,PROCHLORPERAZ 10 MG INJ,560.43,560.43,84.06,560.43,27
CDM,688891,DEFEROX MESY 500 MG INJ,225.12,225.12,33.77,225.12,27
CDM,688891,"Injection, deferoxamine mesylate, 500 mg ",225.12,225.12,8.83,9.94,2
CDM,688893,ESTRAD CYP 5MG DEPO INJ,277.08,277.08,41.56,277.08,27
CDM,688893,"Injection, depo-estradiol cypionate, up to 5 mg ",277.08,277.08,50.35,56.64,2
CDM,688896,DIHYDROERGOT 1 MG INJ,2020.6,2020.6,303.09,2020.6,27
CDM,688896,"Injection, dihydroergotamine mesylate, per 1 mg ",2020.6,2020.6,60.31,67.84,2
CDM,688897,DIAZEPAM 10 MG INJ,475.63,475.63,71.34,475.63,27
CDM,688897,"Injection, diazepam, up to 5 mg ",475.63,475.63,6.97,7.84,2
CDM,688898,DIPHENHYDRAMNE 50 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688898,"Injection, diphenhydramine hcl, up to 50 mg ",175.69,175.69,1.16,1.31,2
CDM,688899,DOBUTAM 250 MG 20 ML INJ,178.74,178.74,26.81,178.74,27
CDM,688901,DOPAMINE 200 MG INJ,142.39,142.39,21.36,142.39,27
CDM,688906,ETHANOLAMINE 100 MG INJ,6752.55,6752.55,1243.14,6752.55,23
CDM,688906,"Injection, ethanolamine oleate, 100 mg ",6752.55,6752.55,638.71,718.55,2
CDM,688909,FLUPHENAZ DEC 25 MG INJ,409.59,409.59,61.44,409.59,27
CDM,688909,"Injection, fluphenazine decanoate, up to 25 mg ",409.59,409.59,11.42,12.85,2
CDM,688911,GENTAMICIN 20 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688912,GENTAMICIN 80 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688913,HALOPERIDOL LACT 5MG INJ,175.69,175.69,26.35,175.69,27
CDM,688913,"Injection, haloperidol, up to 5 mg ",175.69,175.69,1.49,1.67,2
CDM,688915,HEPARIN 1000U / 1 ML INJ,5.86,5.86,0.88,5.86,27
CDM,68892,SCREW BN 2.5MM 18MM,2044.0,2044.0,306.6,2044.0,30
CDM,688920,DIGOXIN 0.5 MG INJ,233.26,233.26,34.99,233.26,27
CDM,688921,LEUCOVORIN CA 50 MG INJ,239.49,239.49,35.92,239.49,27
CDM,688922,"Injection, lorazepam, 2 mg ",175.69,175.69,1.68,1.89,2
CDM,688922,LORAZEPAM 2 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688924,"Injection, methocarbamol, up to 10 ml ",1411.67,1411.67,10.37,11.66,2
CDM,688924,METHOCARBAM 1G/10ML INJ,1411.67,1411.67,211.75,1411.67,27
CDM,688925,"Injection, methylergonovine maleate, up to 0.2 mg ",442.31,442.31,26.61,29.93,2
CDM,688925,METHYLERGONOV 0.2 MG INJ,442.31,442.31,66.35,442.31,27
CDM,688926,METOCLOPRAMIDE 10 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688927,MIDAZOLAM 5 MG/5 ML INJ,175.69,175.69,26.35,175.69,27
CDM,688929,"Injection, nalbuphine hydrochloride, per 10 mg ",887.61,887.61,4.13,4.65,2
CDM,688929,NALBUPHINE 10 MG INJ,887.61,887.61,133.14,887.61,27
CDM,688930,"Injection, neostigmine methylsulfate, up to 0.5 mg ",18.13,18.13,1.05,1.18,2
CDM,688930,NEOSTIG METH 0.5 MG INJ,18.13,18.13,2.72,18.13,27
CDM,688932,"Injection, orphenadrine citrate, up to 60 mg ",442.26,442.26,11.64,13.09,2
CDM,688932,ORPHENADRINE 60 MG INJ,442.26,442.26,66.34,442.26,27
CDM,688933,OXYTOCIN 10 U INJ,175.69,175.69,26.35,175.69,27
CDM,688937,"Injection, pralidoxime chloride, up to 1 gm ",3483.79,3483.79,113.19,127.34,2
CDM,688937,PRALIDOXIME 1 G INJ,3483.79,3483.79,522.57,3483.79,27
CDM,68894,SCREW BN LCK 2.5X16MM,2727.0,2727.0,409.05,2727.0,30
CDM,688940,"Injection, propranolol hcl, up to 1 mg ",336.25,336.25,12.73,14.32,2
CDM,688940,PROPRANOLOL 1 MG INJ,336.25,336.25,50.44,336.25,27
CDM,688941,"Injection, pyridoxine hcl, 100 mg ",330.2,330.2,12.92,14.53,2
CDM,688941,PYRIDOXINE 100 MG INJ,330.2,330.2,49.53,330.2,27
CDM,688942,"Injection, phentolamine mesylate, up to 5 mg ",4796.54,4796.54,511.15,575.04,2
CDM,688942,PHENTOLAMINE MES 5MG INJ,4796.54,4796.54,883.04,4796.54,23
CDM,688943,"Injection, sincalide, 5 micrograms ",2571.94,2571.94,182.42,205.23,2
CDM,688943,SINCALIDE 5 MCG INJ,2571.94,2571.94,385.79,2571.94,27
CDM,688944,"Injection, streptomycin, up to 1 gm ",687.66,687.66,40.93,46.05,2
CDM,688944,STREPTOMYCIN 1 G INJ,687.66,687.66,103.15,687.66,27
CDM,688945,"Injection, thiamine hcl, 100 mg ",196.34,196.34,2.49,2.8,2
CDM,688945,THIAMINE 100 MG INJ,196.34,196.34,29.45,196.34,27
CDM,688946,CHLORPROMAZINE 25 MG INJ,702.79,702.79,105.42,702.79,27
CDM,688947,CHLORPROMAZINE 50 MG INJ,808.84,808.84,121.33,808.84,27
CDM,688948,TOBRAMYCIN 80 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688949,MIDAZOLAM 2 MG INJ,175.69,175.69,26.35,175.69,27
CDM,688952,TACROLIMUS IMM 5 MG PO,633.92,633.92,95.09,633.92,28
CDM,688957,NA BICARB 50 MEQ INJ,174.8,174.8,26.22,174.8,38
CDM,688959,IBUPROFEN LYS 20MG INJ,8485.4,8485.4,1272.81,8485.4,30
CDM,68896,SCREW BN LCK 2.5X12MM,2727.0,2727.0,409.05,2727.0,30
CDM,688962,ENOXAPARIN 30 MG INJ,745.19,745.19,111.78,745.19,27
CDM,688963,ENOXAPARIN 40 MG INJ,993.62,993.62,149.04,993.62,27
CDM,688964,ENOXAPARIN 60 MG INJ,1487.43,1487.43,223.11,1487.43,27
CDM,688965,ENOXAPARIN 80 MG INJ,1757.05,1757.05,263.56,1757.05,27
CDM,688966,ENOXAPARIN 100 MG INJ,2193.27,2193.27,328.99,2193.27,27
CDM,688967,ENOXAPARIN 120 MG INJ,2629.51,2629.51,394.43,2629.51,27
CDM,688968,FIDAXOMICIN 200 MG PO,4156.3,4156.3,623.45,4156.3,30
CDM,688969,PENTAMIDI 300 MG INH,2777.98,2777.98,416.7,2777.98,28
CDM,688969,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",2777.98,2777.98,109.83,123.56,2
CDM,68897,SCREW BN 2.5X20MM,2727.0,2727.0,409.05,2727.0,30
CDM,688976,PORACTANT 120 MG INST,7173.64,7173.64,1076.05,7173.64,30
CDM,688977,MAG SUL 20G/WFI 500MLINJ,221.14,221.14,33.17,221.14,27
CDM,688979,AMPHET/DEXTRO ER 5 MG PO,278.68,278.68,41.8,278.68,42
CDM,688984,MAG SULFATE 1G INJ,160.55,160.55,24.08,160.55,27
CDM,688985,BACLOFEN 50MCG INTRATHEC,1823.69,1823.69,273.55,1823.69,27
CDM,688985,"Injection, baclofen, 50 mcg for intrathecal trial ",1823.69,1823.69,58.81,66.16,2
CDM,688988,AMOXICI 400MG/5ML LIQ PO,45.42,45.42,6.81,45.42,42
CDM,688991,OXYCODONE ER 15 MG PO,130.28,130.28,19.54,130.28,42
CDM,688994,RISPERD CONSTA 50 MG INJ,11051.31,11051.31,2034.55,11051.31,23
CDM,689000,PCNG K 5 MILLION U INJ,287.79,287.79,43.17,287.79,27
CDM,689001,POT PHOS 45MMOL/15ML INJ,207.95,207.95,31.19,207.95,38
CDM,689002,ZOLEDRONIC ACID 4MG INJ,11013.53,11013.53,1652.03,11013.53,28
CDM,689003,ADO-TRASTUZUMAB 100MG,51948.45,51948.45,9563.71,51948.45,23
CDM,689004,ADO-TRASTUZUMAB 160MG,69928.07,69928.07,12873.76,69928.07,23
CDM,689005,FILGRASTIM 300 MCG INJ,6340.56,6340.56,1167.3,6340.56,23
CDM,689006,FILGRASTIM 480 MCG INJ,8727.74,8727.74,1606.78,8727.74,23
CDM,689009,TACROLIMUS IMM 0.5 MG PO,72.65,72.65,10.9,72.65,28
CDM,689011,DEXAMETH NA PHOS 10 MG,160.55,160.55,24.08,160.55,27
CDM,689013,MILRINONE LAC 10 MG INJ,245.38,245.38,36.81,245.38,27
CDM,689014,MILRINONE LAC 20 MG INJ,2368.98,2368.98,355.35,2368.98,27
CDM,689015,MILRIN 20MG/D5W100ML INJ,518.03,518.03,77.7,518.03,27
CDM,689017,ACETAZOLAMIDE 500 MG INJ,1293.54,1293.54,194.03,1293.54,27
CDM,689018,PROTAMINE 50 MG INJ,305.95,305.95,45.89,305.95,27
CDM,689019,PROTAMINE 250 MG INJ,808.84,808.84,121.33,808.84,27
CDM,689021,ACETYLCYSTEIN 6000MG INJ,4071.5,4071.5,610.73,4071.5,27
CDM,689021,"Injection, acetylcysteine, 100 mg ",4071.5,4071.5,0.73,0.82,2
CDM,689022,"Injection, triamcinolone acetonide, preservative free, 1 mg ",3726.17,3726.17,30.81,34.66,2
CDM,689022,TRIAMCINOL ACE 40MG OPH,3726.17,3726.17,685.99,3726.17,23
CDM,689028,VINORELBINE TARTRAT 10MG,515.08,515.08,77.26,515.08,27
CDM,689033,CLOBAZAM 10 MG PO,318.09,318.09,47.71,318.09,42
CDM,689039,CARBOPLATIN 50 MGMDV,227.48,227.48,34.12,227.48,27
CDM,689040,IDARUBICIN HCL 5 MG INJ,1740.99,1740.99,261.15,1740.99,27
CDM,689040,"Injection, idarubicin hydrochloride, 5 mg ",1740.99,1740.99,58.01,65.26,2
CDM,689045,SOD PHOS 45 MMOL INJ,162.74,162.74,24.41,162.74,38
CDM,689050,D5NS 1000 ML,160.55,160.55,24.08,160.55,28
CDM,689051,D5/0.45NS 1000 ML INJ,144.21,144.21,21.63,144.21,28
CDM,689053,NS 250 ML,160.55,160.55,24.08,160.55,28
CDM,689054,NS 500 ML,160.55,160.55,24.08,160.55,28
CDM,689055,NS 1000 ML,160.55,160.55,24.08,160.55,28
CDM,689056,LACTATED RINGERS 1000 ML,160.55,160.55,24.08,160.55,28
CDM,689057,D5W 500 ML INJ,160.55,160.55,24.08,160.55,28
CDM,689058,D5W 1000ML,160.55,160.55,24.08,160.55,27
CDM,689058,"Infusion, d5w, 1000 cc ",160.55,160.55,4.3,4.84,2
CDM,689071,ETRAVIRINE 200 MG PO,530.13,530.13,79.52,530.13,42
CDM,689072,GLUCARPIDASE 1000 U INJ,284862.25,284862.25,42729.34,284862.25,28
CDM,689072,"Injection, glucarpidase, 10 units ",284862.25,284862.25,502.4,565.21,2
CDM,689076,"Injection, mitomycin, 5 mg ",3470.04,3470.04,69.33,77.99,2
CDM,689076,MITOMYCIN 5 MG INJ,3470.04,3470.04,638.83,3470.04,23
CDM,689078,"Injection, methylnaltrexone, 0.1 mg ",1787.34,1787.34,1.74,1.96,2
CDM,689078,METHYLNLTRXONE 12 MG INJ,1787.34,1787.34,268.1,1787.34,36
CDM,689083,BOSENTAN 62.5 MG PO,3208.15,3208.15,481.22,3208.15,30
CDM,689085,POSACONAZOLE ER 100MG PO,1608.63,1608.63,241.29,1608.63,30
CDM,689089,ENTECAVIR 0.5 MG PO,1317.78,1317.78,197.67,1317.78,42
CDM,689091,DIAZEPAM 5 MG/5ML LIQ PO,151.45,151.45,22.72,151.45,42
CDM,689094,PHENYLEPHRI 2.5% 2ML OPH,2160.93,2160.93,324.14,2160.93,42
CDM,689102,ACETYLCYS 20% 4ML LIQ PO,348.35,348.35,52.25,348.35,38
CDM,689103,LEVOCARNITINE 1000 MG PO,81.78,81.78,12.27,81.78,42
CDM,689104,LEVOCARNITINE 330 MG PO,45.42,45.42,6.81,45.42,42
CDM,689108,MORPHINE SULF 4MG INJ,160.55,160.55,24.08,160.55,27
CDM,689113,ROPIVACAINE 20 MG INJ,190.86,190.86,28.63,190.86,28
CDM,68913,PLATE BN 4H 30MM,4859.0,4859.0,728.85,4859.0,30
CDM,689134,RILPIVIRINE 25 MG PO,775.52,775.52,116.33,775.52,42
CDM,689138,AMIODARONE 450 MG INJ,154.5,154.5,23.18,154.5,27
CDM,689143,DASATINIB 70 MG PO,3447.45,3447.45,517.12,3447.45,30
CDM,689144,DASATINIB 100 MG PO,6210.27,6210.27,931.54,6210.27,30
CDM,689145,CALCITONIN SALMON 400 U,33232.68,33232.68,4984.9,33232.68,27
CDM,689145,"Injection, calcitonin salmon, up to 400 units ",33232.68,33232.68,1372.12,1543.64,2
CDM,689148,LIDOC VIS 2% 15ML LIQ PO,39.38,39.38,5.91,39.38,42
CDM,689149,"Injection, testosterone cypionate, 1 mg ",2.78,2.78,0.04,0.04,2
CDM,689149,TESTOSTERNE CY 200MG INJ,2.78,2.78,0.42,2.78,28
CDM,689150,BUPRENORPHINE 2 MG PO,133.27,133.27,19.99,133.27,28
CDM,689151,BUPRENORPHINE 8 MG PO,248.41,248.41,37.26,248.41,28
CDM,689155,PIP SOD/TAZ 2.25 G INJ,366.54,366.54,54.98,366.54,27
CDM,689156,PIP SOD/TAZ 3.375 G INJ,548.31,548.31,82.25,548.31,27
CDM,689157,PIP SOD/TAZ 4.5 G INJ,693.72,693.72,104.06,693.72,27
CDM,689158,COPPER 4 MG INJ,473.21,473.21,70.98,473.21,38
CDM,689160,OSELTAMIVIR 30 MG PO,130.28,130.28,19.54,130.28,42
CDM,689163,ALBUTERLNCCONC 2.5MG INH,39.38,39.38,5.91,39.38,28
CDM,689163,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",39.38,39.38,0.22,0.25,2
CDM,689164,ALBUTERL NC UD 2.5MG INH,39.38,39.38,5.91,39.38,28
CDM,689165,IPRATROPIUM NC 0.5MG INH,39.38,39.38,5.91,39.38,28
CDM,689165,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",39.38,39.38,0.49,0.55,2
CDM,689166,ALBUT/IPRA 2.5/0.5MG INH,63.61,63.61,9.54,63.61,28
CDM,689166,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",63.61,63.61,0.25,0.28,2
CDM,689168,PROPOFOL 200 MG INJ,209.02,209.02,31.35,209.02,28
CDM,689169,PROPOFOL 500 MG INJ,184.16,184.16,27.62,184.16,28
CDM,689170,PROPOFOL 1000 MG INJ,908.79,908.79,136.32,908.79,28
CDM,689173,MORPHINE EPD/IT PF 5 MG,514.98,514.98,77.25,514.98,28
CDM,689175,ARGININE 10% 300 ML INJ,961.54,961.54,144.23,961.54,38
CDM,689176,K20/NS0.45 1000 ML INJ,142.39,142.39,21.36,142.39,27
CDM,689181,NS 25 ML,125.67,125.67,18.85,125.67,28
CDM,689182,DIAZOXIDE 50MG/ML LIQ PO,290.81,290.81,43.62,290.81,42
CDM,689183,EPOPROSTENOL 1.5 MG INJ,1257.18,1257.18,188.58,1257.18,27
CDM,689183,"Injection, epoprostenol, 0.5 mg ",1257.18,1257.18,21.08,23.71,2
CDM,689184,MICONAZOLE 2% 85 G TOP,257.49,257.49,38.62,257.49,42
CDM,689185,FLUOCINOND 0.05% 15G TOP,1578.32,1578.32,236.75,1578.32,31
CDM,689201,NS 100 ML,71.17,71.17,10.68,71.17,28
CDM,689202,IVIG GAMMAGARD S/D 10 G,26174.16,26174.16,4818.66,26174.16,23
CDM,689203,IVIG GAMMAGARD S/D 5 G,13087.07,13087.07,2409.33,13087.07,23
CDM,689212,PERAMPANEL 4 MG PO,602.83,602.83,90.42,602.83,42
CDM,689224,AMMON LAC12% 225-226GTOP,221.14,221.14,33.17,221.14,42
CDM,689226,DENOSUMAB 120 MG INJ,30633.45,30633.45,5639.62,30633.45,23
CDM,689229,GENTAMICIN 0.1% 15 G TOP,830.04,830.04,124.51,830.04,42
CDM,689235,SACUB/VALS 24/26MG PO,218.1,218.1,32.72,218.1,42
CDM,689236,SACUB/VALS 49/51MG PO,218.1,218.1,32.72,218.1,42
CDM,689237,SACUB/VALS 97/103MG PO,218.1,218.1,32.72,218.1,42
CDM,689239,DOLUTEGRAVIR 50 MG PO,1175.39,1175.39,176.31,1175.39,42
CDM,689240,MOMETASONE 200MCG 13G,30.26,30.26,4.54,30.26,30
CDM,689241,MOMETASONE 100MCG 13G,27.24,27.24,4.09,27.24,30
CDM,689242,MOMET/FOR 100/5MCG 60INH,54.49,54.49,8.17,54.49,30
CDM,689243,MOMET/FOR 200/5MCG 60INH,54.49,54.49,8.17,54.49,30
CDM,689244,DEXRAZOXANE 250 MG INJ,4193.27,4193.27,771.98,4193.27,23
CDM,689244,"Injection, dexrazoxane hydrochloride, per 250 mg ",4193.27,4193.27,128.85,144.96,2
CDM,689245,MEMANTINE 10 MG PO,196.89,196.89,29.53,196.89,42
CDM,689247,IVIG PRIVIGEN 10G,21739.1,21739.1,4002.17,21739.1,23
CDM,689248,IVIG PRIVIGEN 20G,43478.19,43478.19,8004.33,43478.19,23
CDM,689251,CISATRACURIUM 200 MG INJ,5743.76,5743.76,861.56,5743.76,30
CDM,689255,DEXAMETH IMP 0.7MG OPH,19382.99,19382.99,3568.41,19382.99,23
CDM,689255,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",19382.99,19382.99,263.12,296.01,2
CDM,689256,PERAMPANEL 8 MG PO,550.55,550.55,82.58,550.55,42
CDM,689264,ATROPINE 1 MG/10 ML INJ,260.76,260.76,39.11,260.76,27
CDM,689265,ERIBULIN 1 MG INJ,14525.41,14525.41,2674.13,14525.41,23
CDM,689267,CMPD FNTRP400MCG0.15200B,1190.54,1190.54,178.58,1190.54,30
CDM,689273,CMPD CARDIOPLEGIA,3120.27,3120.27,468.04,3120.27,30
CDM,689276,BLINATUMOMAB 1 MCG INJ,1439.69,1439.69,265.05,1439.69,23
CDM,689277,"5% dextrose in lactated ringers infusion, up to 1000 cc ",160.67,160.67,10.09,11.36,2
CDM,689277,D5 LR 1000 ML,160.67,160.67,24.1,160.67,28
CDM,689278,PREDNISONE IR/DR 1 MG PO,34.21,34.21,5.13,34.21,28
CDM,689279,PREDNISONE 10 MG PO,34.21,34.21,5.13,34.21,28
CDM,689280,PREDNISONE 20 MG PO,34.21,34.21,5.13,34.21,28
CDM,689281,PREDNISONE 5 MG PO,34.21,34.21,5.13,34.21,28
CDM,689283,PREDNISONE 50 MG PO,34.21,34.21,5.13,34.21,28
CDM,689286,PEMBROLIZUMAB 100 MG INJ,52801.45,52801.45,9720.75,52801.45,23
CDM,689287,HEPARIN 5000U/0.5ML INJ,71.12,71.12,10.67,71.12,27
CDM,689288,SIROLIMUS 0.5 MG PO,218.61,218.61,32.79,218.61,28
CDM,689289,"Injection, tocilizumab, 1 mg ",108.35,108.35,7.62,8.57,2
CDM,689289,TOCILIZUMAB 1 MG INJ,108.35,108.35,19.95,108.35,23
CDM,689290,IXABEPILONE 15 MG INJ,15713.43,15713.43,2892.84,15713.43,23
CDM,689291,D5W 25 ML INJ,111.21,111.21,16.68,111.21,28
CDM,689292,AMIKACIN 10 MG/ML INJ,6.3,6.3,0.94,6.3,27
CDM,689296,HYDRALAZINE 1 MG/ML INJ,15.77,15.77,2.37,15.77,27
CDM,689297,AZITHROMYCIN 2 MG/ML INJ,1.79,1.79,0.27,1.79,27
CDM,689298,LEUCOVORIN 10 MG/ML INJ,52.69,52.69,7.9,52.69,27
CDM,689300,CEFEPIME 100 MG/ML INJ,17.36,17.36,2.6,17.36,27
CDM,689301,CEFEPIME 280 MG/ML INJ,47.39,47.39,7.11,47.39,27
CDM,689302,CEFOXITIN 100 MG/ML INJ,19.45,19.45,2.92,19.45,27
CDM,689304,CEFTRIAXONE 350MG/ML INJ,31.59,31.59,4.74,31.59,27
CDM,689309,FLUCONAZOLE 2 MG/ML INJ,1.56,1.56,0.23,1.56,27
CDM,689311,PRAXBIND 2.5 G INJ,17623.23,17623.23,2643.48,17623.23,31
CDM,689312,TBO-FILGRASTM 300MCG INJ,3890.43,3890.43,716.23,3890.43,23
CDM,689313,TBO-FILGRASTM 480MCG INJ,6227.11,6227.11,1146.41,6227.11,23
CDM,689314,ACETAMINOPHEN 160MG PO,5.24,5.24,0.79,5.24,42
CDM,689315,IBUPROF 200MG/10ML LIQPO,11.82,11.82,1.77,11.82,42
CDM,689317,DEXAMTH NAP 0.1MG/ML INJ,1.56,1.56,0.23,1.56,27
CDM,689318,CEFEPIME HCL 1 G INJ,173.84,173.84,26.08,173.84,27
CDM,689319,CEFEPIME HCL 2 G INJ,258.13,258.13,38.72,258.13,27
CDM,689320,CMPD CARDIOPLEGIA,1197.4,1197.4,179.61,1197.4,30
CDM,689321,PANCRELIPASE 6000 U PO,39.51,39.51,5.93,39.51,42
CDM,689323,CEFTOLOZ TAZOBACT 1.5 G,1759.7,1759.7,323.96,1759.7,23
CDM,689324,DEXTROSE 20% 500 ML INJ,309.39,309.39,46.41,309.39,38
CDM,689326,LEVETIRAC 500MG/5ML INJ,276.6,276.6,41.49,276.6,27
CDM,689340,LOPERAMIDE 0.133MG PO,44.77,44.77,6.72,44.77,42
CDM,689349,VALPROIC ACID 50MG PO,31.68,31.68,4.75,31.68,42
CDM,689351,CARBAMAZ 100MG/5ML LIQPO,92.21,92.21,13.83,92.21,42
CDM,689353,LEVOFLOXACIN 25MG PO,21.06,21.06,3.16,21.06,42
CDM,689354,THEOPHYLL ER 100 MG PO,34.13,34.13,5.12,34.13,42
CDM,689355,THEOPHYLL ER 200 MG PO,48.78,48.78,7.32,48.78,42
CDM,689356,THEOPHYLL ER 300 MG PO,60.96,60.96,9.14,60.96,42
CDM,689359,LIDOCAINE 4% 5G TOP,57.94,57.94,8.69,57.94,42
CDM,689360,TOBRAMYCIN NC 300 MG INH,734.94,734.94,110.24,734.94,28
CDM,689360,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",734.94,734.94,21.81,24.54,2
CDM,689361,MEROPENEM 20 MG/ML INJ,13.15,13.15,1.97,13.15,27
CDM,689362,ISOPROTERENOL 0.2MG INJ,21411.4,21411.4,3211.71,21411.4,30
CDM,689363,GLYCOPYRRO 1MG/5ML LIQPO,15.77,15.77,2.37,15.77,42
CDM,689365,CEFTRIAXONE 100MG/ML INJ,5.24,5.24,0.79,5.24,27
CDM,689366,DOPA 800MG/D5W 250ML INJ,492.61,492.61,73.89,492.61,27
CDM,689370,INDOMETHACIN 5MG PO,26.33,26.33,3.95,26.33,42
CDM,689371,POSACONAZ 40MG/ML LIQ PO,130.8,130.8,19.62,130.8,30
CDM,689372,HYDROXYZINE HCL 2MG PO,2.61,2.61,0.39,2.61,42
CDM,689373,FLUOXETINE 4MG PO,2.61,2.61,0.39,2.61,42
CDM,689374,GABAPENTIN 50MG PO,10.52,10.52,1.58,10.52,42
CDM,689376,CITALOPRAM 2MG PO,13.15,13.15,1.97,13.15,42
CDM,689377,HYDROCORTISONE 5 MG PO,34.21,34.21,5.13,34.21,42
CDM,689385,CEFTAROLINE 600 MG INJ,2853.78,2853.78,525.38,2853.78,23
CDM,689386,RYANODEX 250 MG INJ,33444.76,33444.76,5016.71,33444.76,31
CDM,689388,TEMOZOLOMIDE 5 MG PO,243.92,243.92,36.59,243.92,28
CDM,689389,TEMOZOLOMIDE 20 MG PO,985.4,985.4,147.81,985.4,28
CDM,689390,TEMOZOLOMIDE 100 MG PO,3278.2,3278.2,491.73,3278.2,28
CDM,689399,METHOTREXATE 250 MG MDV,142.06,142.06,21.31,142.06,27
CDM,689400,METHOTREXATE 50 MG INJ,123.81,123.81,18.57,123.81,27
CDM,689401,METHOTREXATE 250 MG INJ,237.08,237.08,35.56,237.08,27
CDM,689402,METHOTREXATE 1 G INJ,903.54,903.54,135.53,903.54,27
CDM,689403,SOTALOL 5 MG PO,26.33,26.33,3.95,26.33,42
CDM,689404,MAG SULFATE 40 MG/ML INJ,2.61,2.61,0.39,2.61,27
CDM,689405,LUBIPROSTONE 8 MCG PO,150.85,150.85,22.63,150.85,42
CDM,689408,DESCOVY 200/25 MG PO,1034.54,1034.54,155.18,1034.54,42
CDM,689414,TEMOZOLOMIDE 140 MG PO,4170.92,4170.92,625.64,4170.92,28
CDM,689415,FERUMOXYTOL 510MG NESRD,9501.74,9501.74,1749.27,9501.74,24
CDM,689415,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",9501.74,9501.74,0.43,0.48,2
CDM,689429,GENVOYA PO,1425.01,1425.01,213.75,1425.01,30
CDM,689431,3% NACL 500 ML INJ,136.49,136.49,20.47,136.49,27
CDM,689437,TETRACAINE 0.5% 4 ML OPH,203.98,203.98,30.6,203.98,42
CDM,689438,RIBAVIRIN 6 GM INH,92534.97,92534.97,13880.25,92534.97,30
CDM,689440,DARATUMUMAB 100MG INJ,6116.31,6116.31,1126.01,6116.31,23
CDM,689441,LEVETIRACETAM 100MG PO,7.15,7.15,1.07,7.15,42
CDM,689442,VALGANCIC 50MG/ML LIQ PO,124.18,124.18,18.63,124.18,42
CDM,689447,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",2239.1,2239.1,272.76,306.85,2
CDM,689447,TRUMENBA VAC IM,2239.1,2239.1,335.87,2239.1,29
CDM,689451,ALPROSTADL 10 MCG/ML INJ,40.68,40.68,6.1,40.68,37
CDM,689454,AMIODARONE 1.8 MG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689455,AMIODARONE 6 MG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689462,CISATRACURIUM0.4MG/MLINJ,11.97,11.97,1.8,11.97,30
CDM,689463,CISATRACURIUM 2MG/ML INJ,55.07,55.07,8.26,55.07,30
CDM,689466,DOBUTAMNE 1000MCG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689467,DOBUTAMNE 2000MCG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689468,DOBUTAMNE 4000MCG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689469,DOPAMINE 800 MCG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689470,DOPAMINE 1600 MCG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689471,DOPAMINE 3200 MCG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689479,FENTANYL 10 MCG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689480,FENTANYL 50 MCG/ML INJ,16.74,16.74,2.51,16.74,27
CDM,689487,HUMULIN R 0.2 U/ML INJ,2.38,2.38,0.36,2.38,36
CDM,689488,HUMULIN R 1 U/ML INJ,2.38,2.38,0.36,2.38,36
CDM,689489,ISOPROTERENOL20MCG/MLINJ,474.16,474.16,71.12,474.16,30
CDM,689491,KETAMINE 2 MG/ML INJ,4.28,4.28,0.64,4.28,30
CDM,689492,KETAMINE 10 MG/ML INJ,19.74,19.74,2.96,19.74,30
CDM,689498,MIDAZOLAM 1 MG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689499,MIDAZOLAM 5 MG/ML INJ,16.74,16.74,2.51,16.74,27
CDM,689500,MILRINONE 200 MCG/ML INJ,2.38,2.38,0.36,2.38,27
CDM,689501,MILRINONE 800 MCG/ML INJ,76.63,76.63,11.49,76.63,27
CDM,689512,NITROPRSIDE500MCG/MLINJ,45.48,45.48,6.82,45.48,30
CDM,689515,OCTREOT 10MCG/ML ND SQIV,20.22,20.22,3.03,20.22,36
CDM,689516,"Injection, pentobarbital sodium, per 50 mg ",833.39,833.39,68.97,77.59,2
CDM,689516,PENTOBARB 50 MG/ML INJ,833.39,833.39,125.01,833.39,27
CDM,689521,PROCAINAMIDE 4 MG/ML INJ,4.78,4.78,0.88,4.78,23
CDM,689523,ROCURONIUM 10 MG/ML INJ,36.38,36.38,5.46,36.38,30
CDM,689524,NA BICARB 1 MEQ/ML INJ,4.83,4.83,0.72,4.83,30
CDM,689526,TERBUTALINE 1 MG/ML INJ,102.0,102.0,15.3,102.0,27
CDM,689532,COSYNTROPIN 1 MCG/ML INJ,7.15,7.15,1.07,7.15,27
CDM,689533,ENOXAPARIN 20 MG/ML INJ,110.13,110.13,16.52,110.13,27
CDM,689534,CIPROFLOX 2 MG/ML IV,2.38,2.38,0.36,2.38,27
CDM,689536,GENTAMICIN 4 MG/ML INJ,4.78,4.78,0.72,4.78,27
CDM,689541,SMOFLIPID 20% 250ML INJ,571.19,571.19,85.68,571.19,30
CDM,689542,ENVARSUS XR 1 MG PO,110.13,110.13,16.52,110.13,28
CDM,689542,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",110.13,110.13,2.27,2.55,2
CDM,689548,CIPROFL 250MG/5ML LIQ PO,19.15,19.15,2.87,19.15,42
CDM,689550,VIT K PHYT 1MG/0.5ML INJ,362.85,362.85,54.43,362.85,27
CDM,689553,PRISMASOL BGK 2/0,622.95,622.95,93.44,622.95,30
CDM,689555,PHOXILLUM B22K 4/0,690.44,690.44,103.57,690.44,30
CDM,68956,CAGE SPNL 24-40MM 14MM,23929.0,23929.0,3589.35,23929.0,30
CDM,689566,CMPD OXYTOCIN 30U 500B,113.19,113.19,16.98,113.19,30
CDM,689567,MIDOSTAURIN 25 MG PO,2233.68,2233.68,335.05,2233.68,30
CDM,689569,OXYTOCIN 10 U INJ,19.58,19.58,2.94,19.58,27
CDM,689570,CMPD CARDIOPLEGIA,1811.99,1811.99,271.8,1811.99,30
CDM,689572,"Injection, pertuzumab, 1 mg ",47769.67,47769.67,20.42,22.97,2
CDM,689572,PERTUZUMAB 420 MG INJ,47769.67,47769.67,8794.4,47769.67,23
CDM,689576,MORPHINE EPD/IT PF 10 MG,169.81,169.81,25.47,169.81,28
CDM,689585,TIROFIBAN 3.75 MG INJ,3093.64,3093.64,464.05,3093.64,27
CDM,689594,KETOROLAC 0.5% 5 ML OPH,1378.06,1378.06,206.71,1378.06,42
CDM,689595,REMIFENTANIL 5 MG INJ,3670.49,3670.49,550.57,3670.49,30
CDM,689596,DOPAM 400MG/D5W250ML INJ,280.82,280.82,42.12,280.82,27
CDM,689597,CMPD HYDRALAZ 4MG/ML PO,4.35,4.35,0.65,4.35,39
CDM,689599,OSELTAMIV 30MG/5ML LIQPO,211.17,211.17,31.68,211.17,42
CDM,689600,AMINOPHYLLIN 5 MG/ML INJ,2.18,2.18,0.33,2.18,27
CDM,689601,AMINOPHYLLN 25 MG/ML INJ,8.7,8.7,1.3,8.7,27
CDM,689602,AMINOPHYLLIN 500 MG INJ,161.1,161.1,24.16,161.1,27
CDM,689605,OXCARBAZEPINE 60MG PO,6.52,6.52,0.98,6.52,42
CDM,689608,C1 EST BERINERT 500U INJ,33829.78,33829.78,6228.06,33829.78,23
CDM,689609,TALC STERILE POWD 3GM,1610.64,1610.64,241.6,1610.64,31
CDM,689611,ACTHIB 4 DOSE VAC IM,333.07,333.07,49.96,333.07,28
CDM,689611,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",333.07,333.07,17.28,19.45,2
CDM,689615,MISOPROSTOL 200 MCG PO,30.49,30.49,4.57,30.49,28
CDM,689616,ARSENIC TRIOX 12 MG INJ,10706.93,10706.93,1606.04,10706.93,27
CDM,689620,DEXTROSE 10% 250 ML INJ,121.24,121.24,18.19,121.24,38
CDM,689621,BETAMETHSN 6 MG INJ,198.1,198.1,29.71,198.1,27
CDM,689621,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",198.1,198.1,9.31,10.48,2
CDM,689623,SEMGLEE 20 U INJ,71.84,71.84,10.78,71.84,36
CDM,689624,ADMELOG 20 U INJ,106.66,106.66,16.0,106.66,36
CDM,689625,HUMULIN N 20 U INJ,56.59,56.59,8.49,56.59,36
CDM,689626,HUMULIN R 20 U INJ,56.59,56.59,8.49,56.59,36
CDM,689629,HUMULIN R 5 U INJ,15.25,15.25,2.29,15.25,36
CDM,689631,ZOLEDR 5MG/WFI 100ML INJ,3509.37,3509.37,526.41,3509.37,28
CDM,689634,SIMETHICONE 20 MG PO,2.61,2.61,0.39,2.61,42
CDM,689635,CEFTAZIDME 100 MG/ML INJ,10.89,10.89,1.63,10.89,27
CDM,689636,ARIPIPRAZOLE 1 MG PO,71.84,71.84,10.78,71.84,42
CDM,689637,ACYCLOVIR 40MG PO,10.89,10.89,1.63,10.89,42
CDM,689638,CMPD PANTOPRAZ ER 2MG PO,4.35,4.35,0.65,4.35,39
CDM,689640,CMPD ALLOPUR 20MG/ML PO,2.18,2.18,0.33,2.18,39
CDM,689641,FELBAMATE 120MG PO,26.11,26.11,3.92,26.11,42
CDM,689642,LAMIVUDI 10 MG/1ML LIQPO,6.52,6.52,0.98,6.52,42
CDM,689649,DICYCLOMINE 2 MG PO,4.35,4.35,0.65,4.35,42
CDM,689652,K40/D5NS0.45 1000 ML INJ,178.57,178.57,26.79,178.57,27
CDM,689653,CMPD AMIODAR 5MG/MLPO,2.18,2.18,0.33,2.18,39
CDM,689654,CMPD AMLODIP 1MG/ML PO,8.7,8.7,1.3,8.7,39
CDM,689655,CMPD ATENOLOL 2MG/MLPO,2.18,2.18,0.33,2.18,39
CDM,689656,CMPD FLUCYTOSN 50MG/MLPO,219.88,219.88,32.98,219.88,39
CDM,689657,CMPD BOSENT 6.25MG/1MLPO,206.8,206.8,31.02,206.8,39
CDM,689661,POT PHOS 0.12MMOL/ML INJ,2.18,2.18,0.33,2.18,30
CDM,689662,POT PHOS 0.05MMOL/ML INJ,2.18,2.18,0.33,2.18,30
CDM,689663,SOD PHOS 0.12MMOL/ML INJ,2.18,2.18,0.33,2.18,30
CDM,689664,SOD PHOS 0.05MMOL/ML INJ,2.18,2.18,0.33,2.18,30
CDM,689665,CEFAZOLIN 330MG/ML INJ,26.11,26.11,3.92,26.11,27
CDM,689670,IVABRADINE 5 MG PO,180.69,180.69,27.1,180.69,42
CDM,689671,CEFDINIR 250MG/5ML LIQPO,132.79,132.79,19.92,132.79,42
CDM,689672,DOBUTAM 500MG/250ML INJ,759.79,759.79,113.97,759.79,27
CDM,689673,CMPD SPIRONO 5MG/ML PO,32.65,32.65,4.9,32.65,39
CDM,689675,AZITHROMYCIN 200MG PO,21.76,21.76,3.26,21.76,28
CDM,689684,CMPD VANCO 2G 500B,589.97,589.97,88.5,589.97,30
CDM,689685,BELATACEPT 1 MG INJJW,82.58,82.58,15.2,82.58,23
CDM,689686,BELATACEPT 1 MG INJ,82.58,82.58,15.2,82.58,23
CDM,689687,VANCOMYCIN 125 MG PO,526.13,526.13,78.92,526.13,42
CDM,689692,GUANFACINE ER 1 MG PO,164.72,164.72,24.71,164.72,42
CDM,689693,DEXMETHYLPHEN ER 20MG PO,170.38,170.38,25.56,170.38,42
CDM,689694,DEXMETHYLPHEN ER 5 MG PO,141.99,141.99,21.3,141.99,42
CDM,689695,LISDEXAMFETA 30 MG PO,185.51,185.51,27.83,185.51,42
CDM,689696,LISDEXAMFETA 20 MG PO,185.51,185.51,27.83,185.51,42
CDM,689697,ISAVUCONAZONM 372 MG INJ,3467.85,3467.85,638.43,3467.85,23
CDM,689697,"Injection, isavuconazonium, 1 mg ",3467.85,3467.85,1.34,1.51,2
CDM,689699,NOREPI 16MCG/ML INJ,1.9,1.9,0.28,1.9,30
CDM,689700,NOREPI 64MCG/ML INJ,5.68,5.68,0.85,5.68,30
CDM,689706,ARSENIC TRIOX 10 MG INJ,6207.55,6207.55,931.13,6207.55,27
CDM,689708,ETHIODIZED OIL INJ,9526.18,9526.18,1428.93,9526.18,30
CDM,689709,COBICISTAT 150 MG PO,160.92,160.92,24.14,160.92,42
CDM,689712,PARICALCITOL 1 MCG PO,174.17,174.17,26.13,174.17,42
CDM,689717,MORPHINE SULF 10MG INJ,88.97,88.97,13.35,88.97,27
CDM,689718,DAUNO/CYT 44/100 MG INJ,56780.36,56780.36,10453.26,56780.36,23
CDM,689720,RITUXIMAB 100 MG INJ,9817.73,9817.73,1807.44,9817.73,23
CDM,689722,CARMUSTINE 7.7MG IMPLANT,249749.05,249749.05,37462.36,249749.05,35
CDM,689724,THROMBIN 5000 U TOPICAL,1155.16,1155.16,173.27,1155.16,30
CDM,689727,MIDODRINE 10 MG PO,30.29,30.29,4.54,30.29,42
CDM,689729,TBO-FILGRASTM 300MCG INJ,2795.86,2795.86,514.72,2795.86,23
CDM,689730,ATROPINE 1% 5ML OPH,779.98,779.98,117.0,779.98,38
CDM,689738,CEFTAZ/AVIBACT 2.5 G INJ,4337.14,4337.14,798.47,4337.14,23
CDM,689740,GEMCITBIN NOS 200 MG INJ,736.42,736.42,110.46,736.42,27
CDM,689741,LANREOTIDE 60 MG INJ,44590.56,44590.56,8209.12,44590.56,23
CDM,689742,LANREOTIDE 90 MG INJ,59396.65,59396.65,10934.92,59396.65,23
CDM,689743,LANREOTIDE 120 MG INJ,70043.55,70043.55,12895.02,70043.55,23
CDM,689744,MEROPNM/VABORB 2G INJ,2394.8,2394.8,440.88,2394.8,23
CDM,689745,VARENICLINE 0.5 MG PO,152.5,152.5,22.88,152.5,42
CDM,689746,RETACRIT BS 2000U NESRD,416.5,416.5,76.68,416.5,23
CDM,689747,RETACRIT BS 4000U NESRD,738.32,738.32,135.92,738.32,23
CDM,689748,RETACRIT BS 10000U NESRD,1601.59,1601.59,294.85,1601.59,23
CDM,689752,RIVAROXABAN 2.5 MG PO,162.82,162.82,24.42,162.82,42
CDM,689760,AMOX/CLAV 600MG/5ML LIQ,47.34,47.34,7.1,47.34,42
CDM,689762,COLLAGENASE 1.5G TOP,143.89,143.89,21.58,143.89,42
CDM,689763,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",9963.49,9963.49,1510.31,1699.1,2
CDM,689763,MIRENA 52 MG IUD,9963.49,9963.49,1494.52,9963.49,28
CDM,689764,ETONOGESTREL IMPLANT,7752.33,7752.33,1162.85,7752.33,28
CDM,689764,"Etonogestrel (contraceptive) implant system, including implant and supplies ",7752.33,7752.33,1509.65,1698.35,2
CDM,689765,HUMALOG 75/25 5 U INJ,17.03,17.03,2.55,17.03,36
CDM,689767,TBO-FILGRASTIM 1 MCG INJ,8.77,8.77,1.61,8.77,23
CDM,689772,LOPERAMIDE 2 MG PO,43.53,43.53,6.53,43.53,42
CDM,689773,TRESIBA 5 U INJ,20.83,20.83,3.12,20.83,36
CDM,689774,FLUOROURACIL 500 MG INJ,251.78,251.78,37.77,251.78,27
CDM,689774,"Injection, fluorouracil, 500 mg ",251.78,251.78,4.12,4.64,2
CDM,689775,"Injection, mesna, 200 mg ",75.72,75.72,2.28,2.56,2
CDM,689775,MESNA 200 MG INJ,75.72,75.72,11.36,75.72,27
CDM,689777,FULPHILA BS 6 MG INJ,36701.93,36701.93,6756.83,36701.93,23
CDM,689780,INFUVITE ADULT 10 ML,826.67,826.67,124.0,826.67,38
CDM,689784,METHADONE 10 MG/1 ML PO,212.05,212.05,31.81,212.05,28
CDM,689787,DOTAREM 10 ML INJ,840.54,840.54,126.08,840.54,27
CDM,689788,DOTAREM 15 ML INJ,1260.82,1260.82,189.12,1260.82,27
CDM,689789,DOTAREM 20 ML INJ,1459.6,1459.6,218.94,1459.6,27
CDM,689790,GADOXETATE 10 ML INJ,2061.61,2061.61,309.24,2061.61,27
CDM,689790,"Injection, gadoxetate disodium, 1 ml ",2061.61,2061.61,18.86,21.21,2
CDM,689792,READI-CAT 2 450ML PO,46.47,46.47,6.97,46.47,30
CDM,689793,ISOVUE 300 50 ML INJ,753.46,753.46,113.02,753.46,27
CDM,689794,ISOVUE 300 100 ML INJ,1277.85,1277.85,191.68,1277.85,27
CDM,689796,ISOVUE 370 50 ML INJ,819.72,819.72,122.96,819.72,27
CDM,689797,ISOVUE 370 100 ML INJ,1419.84,1419.84,212.98,1419.84,27
CDM,689799,ISOVUE 370 125 ML INJ,1677.3,1677.3,251.59,1677.3,27
CDM,689801,PREGABALIN 100 MG PO,1245.67,1245.67,186.85,1245.67,42
CDM,689802,PREGABALIN 150 MG PO,1245.67,1245.67,186.85,1245.67,42
CDM,689803,ESLICARBAZEPIN 400 MG PO,611.46,611.46,91.72,611.46,42
CDM,689806,MAG SUL 4G/WFI 100ML INJ,174.17,174.17,26.13,174.17,27
CDM,689807,CLOTRIMAZOL 1% 28.4G TOP,37.86,37.86,5.68,37.86,42
CDM,689808,INDOMETHACIN 50 MG SUPP,2054.03,2054.03,308.1,2054.03,30
CDM,689809,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",602.0,602.0,2.74,3.08,2
CDM,689809,NA FERRIC GLUCON 62.5 MG,602.0,602.0,90.3,602.0,27
CDM,689810,APREPITANT 130 MG INJ,4062.64,4062.64,747.93,4062.64,23
CDM,689812,LURASIDONE 60 MG PO,772.39,772.39,115.86,772.39,42
CDM,689813,LACOSAMIDE 200 MG PO,318.04,318.04,47.71,318.04,42
CDM,689814,DMSO 50% 50 ML INJ,6465.01,6465.01,1190.21,6465.01,23
CDM,689814,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",6465.01,6465.01,903.9,1016.89,2
CDM,689816,GADOBUTROL 2 ML INJ,1387.64,1387.64,208.15,1387.64,27
CDM,689817,GADOBUTROL 7.5 ML INJ,1041.21,1041.21,156.18,1041.21,27
CDM,689818,GADOBUTROL 10 ML INJ,1387.64,1387.64,208.15,1387.64,27
CDM,689820,INDOCYANINE-GN 25 MG INJ,1378.19,1378.19,253.72,1378.19,25
CDM,689821,GANCICLOVIR 500 MG INJ,1003.35,1003.35,150.5,1003.35,27
CDM,689825,ISOSULFAN BLUE 50 MG INJ,9242.22,9242.22,1701.49,9242.22,25
CDM,689830,OXYMETAZO 0.05% 30ML NAS,71.93,71.93,10.79,71.93,42
CDM,689833,LIDO/PRILO 2.5% 5G TOP,145.78,145.78,21.87,145.78,42
CDM,689834,ISOVUE 370 150 ML INJ,1963.17,1963.17,294.48,1963.17,27
CDM,689835,MICAFUNGIN 4 MG/ML INJ,90.86,90.86,13.63,90.86,27
CDM,689836,DOTAREM 5 ML INJ,473.29,473.29,70.99,473.29,27
CDM,689839,METHOXSALEN 200 MCG INJ,4304.28,4304.28,645.64,4304.28,30
CDM,689844,TRANEXAM ACID 650 MG PO,86.04,86.04,12.91,86.04,42
CDM,689847,NORE/EE 0.5/0.035 MG PO,461.22,461.22,69.18,461.22,30
CDM,689853,RAVULZMAB-CWVZ 300MG INJ,51183.09,51183.09,9422.81,51183.09,23
CDM,689859,DEXTROM ER 30MG/5ML LIQ,1.73,1.73,0.26,1.73,42
CDM,689862,"Cocaine hydrochloride nasal solution (goprelto), 1 mg ",1955.08,1955.08,2.0,2.25,2
CDM,689862,GOPRELTO 160 MG NASAL,1955.08,1955.08,293.26,1955.08,28
CDM,689864,ISAVUCONAZONIUM 186MG PO,1221.92,1221.92,183.29,1221.92,30
CDM,689871,CANNABIDIOL 100MG PO,98.11,98.11,14.72,98.11,42
CDM,689873,CYANOCOBAL 1000 MCG INJ,137.68,137.68,20.65,137.68,27
CDM,689873,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",137.68,137.68,1.43,1.6,2
CDM,689874,HYDROXYZIN HCL 50 MG INJ,382.06,382.06,57.31,382.06,27
CDM,689875,MEPIVACAIN 2% 20 ML INJ,149.73,149.73,22.46,149.73,28
CDM,689876,MEPIVACAIN 1% 30 ML INJ,106.71,106.71,16.01,106.71,28
CDM,689877,HYDRALAZINE 20 MG INJ,225.45,225.45,33.82,225.45,27
CDM,689878,FLUMAZENIL 0.1 MG INJ,27.54,27.54,4.13,27.54,30
CDM,689882,PLERIXAFOR 1 MG INJ,2805.26,2805.26,516.45,2805.26,23
CDM,689883,PLERIXAFOR 1MG INJJW,2805.26,2805.26,516.45,2805.26,23
CDM,689885,BOSENTAN 125 MG PO,2023.91,2023.91,303.59,2023.91,30
CDM,689886,CMPD PHENYLEPN 1MG 10S,6.88,6.88,1.03,6.88,30
CDM,689887,SHINGRIX VAC IM,1998.1,1998.1,299.71,1998.1,29
CDM,689887,"Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use ",1998.1,1998.1,283.72,319.18,2
CDM,689888,TAMOXIFEN 10 MG PO,20.73,20.73,3.11,20.73,28
CDM,689888,"Tamoxifen citrate, oral, 10 mg ",20.73,20.73,0.37,0.42,2
CDM,689889,BIKTARVY 50/200/25 MG PO,1425.01,1425.01,213.75,1425.01,30
CDM,689890,VENETOCLAX 50 MG PO,765.99,765.99,114.9,765.99,30
CDM,689891,VENETOCLAX 10 MG PO,162.54,162.54,24.38,162.54,30
CDM,689892,VENETOCLAX 100 MG PO,1252.52,1252.52,187.88,1252.52,30
CDM,689893,PLERIXAFOR 24 MG INJ,67341.73,67341.73,12397.61,67341.73,23
CDM,689894,CMPD HEP 50U 100ML,6.88,6.88,1.03,6.88,30
CDM,689895,CAPLACIZMAB-YHDP 11MGINJ,48620.5,48620.5,7293.07,48620.5,28
CDM,689895,"Injection, caplacizumab-yhdp, 1 mg ",48620.5,48620.5,978.26,1100.54,2
CDM,689899,PANCRELIPASE 24000 U PO,130.8,130.8,19.62,130.8,42
CDM,689900,CMPD HYDROCHLQ 25MG/MLPO,8.61,8.61,1.29,8.61,39
CDM,689901,HYDROXYCHLOROQN 200MG PO,77.95,77.95,11.69,77.95,30
CDM,689903,AMINOLEVULINC 1500 MG PO,22078.95,22078.95,3311.84,22078.95,30
CDM,689908,TIOTROPIUM 2.5MCG 60INH,1139.31,1139.31,170.9,1139.31,30
CDM,689913,HBIG HUMAN 5 ML IM,6419.4,6419.4,1181.81,6419.4,24
CDM,689917,DEXAMETHASONE 6 MG PO,29.27,29.27,4.39,29.27,28
CDM,689920,PIMAVANSERIN 34 MG PO,1600.56,1600.56,240.08,1600.56,30
CDM,689922,ENALAPRILAT 25MCG/ML INJ,13.76,13.76,2.06,13.76,30
CDM,689931,CMPD CLONID 20 MCG/ML PO,1.73,1.73,0.26,1.73,39
CDM,689932,LACOSAMIDE 10MG PO,20.66,20.66,3.1,20.66,42
CDM,689934,FENOFIBRATE 48 MG PO,30.97,30.97,4.65,30.97,42
CDM,689935,FENOFIBRATE 145 MG PO,86.04,86.04,12.91,86.04,42
CDM,689936,TIZANIDINE 2 MG PO,29.27,29.27,4.39,29.27,42
CDM,689940,DEXAMETHASONE 0.5 MG PO,22.37,22.37,3.36,22.37,28
CDM,689942,SILDENAFIL CIT 20 MG PO,287.41,287.41,43.11,287.41,28
CDM,689944,HYDROXYUREA 500 MG PO,22.37,22.37,3.36,22.37,28
CDM,689945,MYCOPHENOLIC 180 MG PO,82.61,82.61,12.39,82.61,28
CDM,689945,"Mycophenolic acid, oral, 180 mg ",82.61,82.61,0.47,0.53,2
CDM,689946,MYCOPHENOLATE 250 MG PO,65.38,65.38,9.81,65.38,28
CDM,689953,DEFITELIO 200 MG INJ,6047.47,6047.47,907.12,6047.47,31
CDM,689954,DEXMEDETOMID 200 MCG INJ,628.72,628.72,94.31,628.72,35
CDM,689955,"Injection, lefamulin, 1 mg ",1252.52,1252.52,0.9,1.01,2
CDM,689955,LEFAMULIN 150 MG INJ,1252.52,1252.52,187.88,1252.52,28
CDM,689960,PCNG K 50000 U/ML INJ,1.6,1.6,0.24,1.6,27
CDM,689961,NIMODIP 30MG/5ML LIQ PO,693.12,693.12,103.97,693.12,42
CDM,689963,DEXAMETHAS 0.1% 5ML OPH,715.59,715.59,107.34,715.59,42
CDM,689964,DEXMED 400MCG/NS100MLINJ,1026.24,1026.24,153.94,1026.24,35
CDM,689965,CMPD TACROL 0.5MG/ML PO,32.2,32.2,4.83,32.2,39
CDM,689967,PRISMASOL BK 0/0/1.2,769.68,769.68,115.45,769.68,30
CDM,689968,LEUPRO 7.5 MG DEPO INJ,3972.69,3972.69,731.37,3972.69,23
CDM,689969,LEUPRO 22.5 MG DEPO INJ,11919.65,11919.65,2194.41,11919.65,23
CDM,689970,LEUPRO 30 MG DEPO INJ,15892.34,15892.34,2925.78,15892.34,23
CDM,689971,LEUPRO 45 MG DEPO INJ,23839.29,23839.29,4388.81,23839.29,23
CDM,689972,PEG/PG 0.4/0.3% 15ML OPH,113.15,113.15,16.97,113.15,42
CDM,689975,CMPD METHHEXT 100MG 10ML,335.96,335.96,50.39,335.96,30
CDM,689976,METHADONE 5 MG PO,65.46,65.46,9.82,65.46,28
CDM,689977,METHADONE 10 MG PO,69.7,69.7,10.46,69.7,28
CDM,689979,BUSULFAN 1 MG INJJW,544.99,544.99,100.33,544.99,23
CDM,689980,ISRADIPINE 2.5 MG PO,20.73,20.73,3.11,20.73,42
CDM,689981,"Injection, medroxyprogesterone acetate, 1 mg ",632.64,632.64,0.73,0.82,2
CDM,689981,MEDRXYPRGTRN 150MG INJ,632.64,632.64,94.9,632.64,27
CDM,689982,MYCOPHE 200MG/1ML LIQ PO,60.56,60.56,9.08,60.56,37
CDM,689983,HYDROXYUREA 100MG PO,3.19,3.19,0.48,3.19,28
CDM,689984,SILDENAFIL CIT 10MG PO,33.48,33.48,5.02,33.48,28
CDM,689986,CMPD ISRADIPIN 1MG/ML PO,7.98,7.98,1.2,7.98,39
CDM,689987,NA BICARB 2.5 MEQ INJ,318.6,318.6,47.79,318.6,38
CDM,689989,OMNIPAQUE 12 500ML PO,151.38,151.38,22.71,151.38,30
CDM,689990,BOTULISM IG HUMAN IV,353368.14,353368.14,53005.22,353368.14,29
CDM,689990,"Botulism immune globulin, human, for intravenous use ",353368.14,353368.14,62342.4,70135.2,2
CDM,689991,PHOXILLUM BK 4/2.5,744.45,744.45,111.67,744.45,35
CDM,689992,EPHEDRINE 50 MG INJ,491.44,491.44,73.72,491.44,35
CDM,689993,PRISMASOL BGK 0/2.5,818.53,818.53,122.78,818.53,35
CDM,689994,PRISMASOL BGK 2/3.5,631.62,631.62,94.74,631.62,30
CDM,689995,CMPD NITROGL1000MCG 10ML,212.57,212.57,31.89,212.57,30
CDM,689996,VORTIOXETINE 10 MG PO,234.59,234.59,35.19,234.59,30
CDM,689997,IMATINIB 100 MG PO,1086.79,1086.79,163.02,1086.79,28
CDM,689997,"Imatinib, 100 mg ",1086.79,1086.79,3.88,4.36,2
CDM,689999,PLASMA-LYTE A 1L INJ,685.4,685.4,102.81,685.4,35
CDM,690002,CLINIMIX 5/15 2L INJ,1045.93,1045.93,156.89,1045.93,30
CDM,690006,MISOPROSTOL 25 MCG PO,9.57,9.57,1.44,9.57,28
CDM,690019,TERBUTALINE 5 MG PO,108.46,108.46,16.27,108.46,30
CDM,690024,BUPROPION XL 150 MG PO,71.71,71.71,10.76,71.71,30
CDM,690026,PANCRELIPASE 3000 U PO,27.1,27.1,4.07,27.1,42
CDM,690027,RAVULIZ-CWVZ 1100MG INJ,173770.29,173770.29,31991.11,173770.29,23
CDM,690030,D5/0.45NS 500 ML INJ,573.85,573.85,86.08,573.85,28
CDM,690032,METHACHOLINE 64MGKIT INH,275.69,275.69,41.35,275.69,28
CDM,690032,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",275.69,275.69,1.91,2.14,2
CDM,690039,CLINIMIX E 5/15 2L INJ,1120.18,1120.18,168.03,1120.18,30
CDM,690050,AMPHET/DEXTRO ER 10MG PO,170.04,170.04,25.51,170.04,42
CDM,690051,AMPHET/DEXTRO 10 MG PO,110.52,110.52,16.58,110.52,30
CDM,690052,BUPROPION IR 75 MG PO,76.5,76.5,11.47,76.5,30
CDM,690053,BUPROPION IR 100 MG PO,99.18,99.18,14.88,99.18,30
CDM,690054,BUPROPION XL 300 MG PO,73.31,73.31,11.0,73.31,30
CDM,690055,IVERMECTIN 3 MG PO,238.06,238.06,35.71,238.06,30
CDM,690056,LINAGLIPTIN 5 MG PO,304.13,304.13,45.62,304.13,30
CDM,690057,RITONAVIR 100 MG PO,436.47,436.47,65.47,436.47,30
CDM,690058,RITONAVIR 100 MG PO,162.82,162.82,24.42,162.82,30
CDM,690060,HCTZ 5 MG PO,1.6,1.6,0.24,1.6,42
CDM,690061,CAFF CITR 20MG/ML LIQ PO,382.45,382.45,57.37,382.45,42
CDM,690063,NA BICARB 0.5 MEQ/ML INJ,1.7,1.7,0.26,1.7,30
CDM,690065,ERAVACYCLINE 50 MG INJ,690.01,690.01,103.5,690.01,28
CDM,690065,"Injection, eravacycline, 1 mg ",690.01,690.01,1.59,1.79,2
CDM,690066,DAPAGLIFLOZIN 10 MG PO,300.27,300.27,45.04,300.27,30
CDM,690067,LOKELMA 10 G PO,376.07,376.07,56.41,376.07,42
CDM,690068,GOSERELIN 3.6 MG IMPLANT,6141.48,6141.48,921.22,6141.48,27
CDM,690068,"Goserelin acetate implant, per 3.6 mg ",6141.48,6141.48,844.2,949.73,2
CDM,690070,DIANEAL 1.5%DEXT 3L INJ,301.19,301.19,45.18,301.19,31
CDM,690071,DIANEAL 2.5%DEXT 3L INJ,307.55,307.55,46.13,307.55,31
CDM,690072,DIANEAL 4.25%DEXT 3L INJ,313.93,313.93,47.09,313.93,31
CDM,690073,DIANEAL LC 1.5%DEX 2LINJ,299.59,299.59,44.94,299.59,31
CDM,690075,DIANEAL LC 2.5%DEX 2LINJ,333.05,333.05,49.96,333.05,31
CDM,690077,DIANEAL LC 4.25%DEX2LINJ,336.24,336.24,50.44,336.24,31
CDM,690082,MEPIVACAIN 1.5% 30ML INJ,160.95,160.95,24.14,160.95,28
CDM,690083,RUXOLITINIB 10 MG PO,2084.35,2084.35,312.65,2084.35,30
CDM,690084,METOCLOPRM 0.2 MG/ML INJ,1.6,1.6,0.24,1.6,27
CDM,690086,FENTANYL 5 MCG/ML INJ,1.6,1.6,0.24,1.6,27
CDM,690087,ZIDOVUDINE 4 MG/ML INJ,9.57,9.57,1.44,9.57,27
CDM,690088,TOBRAMYCIN 10 MG/ML INJ,3.19,3.19,0.48,3.19,27
CDM,690091,CEFTAZIDME 280 MG/ML INJ,23.91,23.91,3.59,23.91,27
CDM,690092,DIGOXIN 20 MCG/ML INJ,4.78,4.78,0.72,4.78,27
CDM,690093,ACETAZLMDE 100 MG/ML INJ,105.17,105.17,15.78,105.17,27
CDM,690094,CEFUROXIME 100 MG/ML INJ,6.37,6.37,0.96,6.37,27
CDM,690096,CMPD LAMOTRIG 1MG/ML PO,1.6,1.6,0.24,1.6,39
CDM,690105,STRIBILD PO,2341.71,2341.71,351.26,2341.71,30
CDM,690106,DIANEAL LC 2.5%DEX 6LINJ,411.13,411.13,61.67,411.13,31
CDM,690107,LEFAMULIN 600 MG PO,1679.58,1679.58,251.94,1679.58,30
CDM,690108,NILOTINIB 200 MG PO,1445.66,1445.66,216.85,1445.66,30
CDM,690109,PENICILLAMINE 250 MG PO,2132.16,2132.16,319.82,2132.16,30
CDM,690110,BECAPLERMIN GEL 15 G,13831.7,13831.7,2074.76,13831.7,28
CDM,690110,"Becaplermin gel 0.01%, 0.5 gm ",13831.7,13831.7,59.17,66.57,2
CDM,690117,INVEGA SUSTEN 156 MG INJ,15673.15,15673.15,2885.43,15673.15,23
CDM,690118,INVEGA SUSTEN 234 MG INJ,23510.44,23510.44,4328.27,23510.44,23
CDM,690119,ARISTADA 441 MG INJ,11303.97,11303.97,2081.06,11303.97,23
CDM,690120,ARISTADA 662 MG INJ,16968.26,16968.26,3123.86,16968.26,23
CDM,690121,ARISTADA 882 MG INJ,22607.92,22607.92,4162.12,22607.92,23
CDM,690127,DIANEAL LC 4.25%DEX6LINJ,382.45,382.45,57.37,382.45,31
CDM,690130,ZIDOVUDINE 2400 MG PO,2.89,2.89,0.43,2.89,37
CDM,690133,TALC STERILE POWD 4GM,1379.13,1379.13,206.87,1379.13,31
CDM,690134,VORICONAZOLE 5MG/ML INJ,34.77,34.77,5.22,34.77,27
CDM,690135,LEVETIRACTM 15 MG/ML INJ,333.09,333.09,49.96,333.09,27
CDM,690141,FOSPHEN PE 10 MG/ML INJ,8.69,8.69,1.3,8.69,27
CDM,690143,LEVOFLOXACIN 5 MG/ML INJ,5.8,5.8,0.87,5.8,27
CDM,690145,TICAGRELOR 60 MG PO,114.45,114.45,17.17,114.45,42
CDM,690146,DIANEAL LC 1.5%DEX 6LINJ,363.61,363.61,54.54,363.61,31
CDM,690147,ANTIVENIN ANAVIP120MGINJ,9755.34,9755.34,1463.3,9755.34,27
CDM,690147,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",9755.34,9755.34,1352.18,1521.2,2
CDM,690148,MAG SULFATE 5G/10ML INJ,68.08,68.08,10.21,68.08,27
CDM,690149,CMPD HEP 25000U 250ML,136.18,136.18,20.43,136.18,30
CDM,690150,HEPAR 25000U/ 250ML INJ,620.68,620.68,93.1,620.68,27
CDM,690151,CLINIMIX 5/15 1L INJ,630.32,630.32,94.55,630.32,30
CDM,690152,CLINIMIX E 5/15 1L INJ,568.97,568.97,85.35,568.97,30
CDM,690154,PEGFILGRASTIM 6 MG INJ,54781.24,54781.24,10085.23,54781.24,23
CDM,690155,PEGFILGRASTIM 6 MG INJ,60054.98,60054.98,11056.12,60054.98,23
CDM,690156,DEXMEDETOMID 4 MCG/MLINJ,9.7,9.7,1.46,9.7,35
CDM,690157,DARUNAVIR 100MG PO,40.56,40.56,6.08,40.56,42
CDM,690159,CABERGOLINE 0.5 MG PO,441.84,441.84,66.28,441.84,28
CDM,690159,"Cabergoline, oral, 0.25 mg ",441.84,441.84,3.81,4.29,2
CDM,690161,RITUX/HYALUR 1400 MG INJ,44245.23,44245.23,8145.55,44245.23,23
CDM,690162,RITUX/HYALUR 1600 MG INJ,50565.78,50565.78,9309.16,50565.78,23
CDM,690165,LEVOTHYROXINE 137 MCG PO,18.84,18.84,2.83,18.84,42
CDM,690166,LEVOTHYROXINE 175 MCG PO,18.84,18.84,2.83,18.84,42
CDM,690167,BUPIV2.5/EPI0.005MG 10ML,102.76,102.76,15.41,102.76,35
CDM,690169,METHADONE 1 MG/ML PO,65.46,65.46,9.82,65.46,28
CDM,690170,VALSARTAN 40 MG PO,23.18,23.18,3.48,23.18,42
CDM,690172,IBUPROFEN LYS 5MG/ML INJ,954.68,954.68,143.2,954.68,30
CDM,690173,MYXREDLIN 100U/100ML INJ,507.04,507.04,76.06,507.04,36
CDM,690176,CMPD BUP/EPI/KET/KETO,94.17,94.17,14.13,94.17,30
CDM,690179,IRON SUCROSE 1 MG/ML INJ,7.25,7.25,1.09,7.25,27
CDM,690180,"Injection, meperidine hydrochloride, per 100 mg ",68.08,68.08,7.71,8.67,2
CDM,690180,MEPERIDINE 25 MG INJ,68.08,68.08,10.21,68.08,27
CDM,690181,METHADONE 1MG/ML INJ,15.93,15.93,2.39,15.93,27
CDM,690185,CMPD TRETINOIN2.5MG/MLPO,91.27,91.27,13.69,91.27,39
CDM,690186,KETAMINE 100 MG INJ,41.41,41.41,6.21,41.41,35
CDM,690187,LIPID EMULS 20% 1ML INJ,3.07,3.07,0.46,3.07,38
CDM,690188,TENECTEPLASE 50 MG INJ,46608.03,46608.03,8580.54,46608.03,23
CDM,690190,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",227.75,227.75,1.32,1.48,2
CDM,690190,TRIAMCINOLN ACE 40MG INJ,227.75,227.75,34.16,227.75,27
CDM,690193,CMPD ARGIN/LYSIN 50G INJ,1250.21,1250.21,187.53,1250.21,30
CDM,690196,RYLAZE 10 MG INJ,29535.0,29535.0,5437.39,29535.0,23
CDM,69020,SCREW BN 3MM 20MM,3077.0,3077.0,461.55,3077.0,30
CDM,690200,DOXYCYCL MONO 5MG PO,4.35,4.35,0.65,4.35,42
CDM,690201,AMIODARONE 100 MG PO,102.85,102.85,15.43,102.85,42
CDM,690202,ESCITALOPRAM 5 MG PO,57.94,57.94,8.69,57.94,42
CDM,690203,MIRTAZAPINE 7.5 MG PO,36.21,36.21,5.43,36.21,42
CDM,690204,PROMETHAZINE 12.5 MG PO,20.8,20.8,3.12,20.8,42
CDM,690206,BSS 500ML OPH,455.49,455.49,68.32,455.49,38
CDM,690207,BSS PLUS 500ML OPH,983.06,983.06,147.46,983.06,38
CDM,690211,ROPIVACAINE 150 MG INJ,460.49,460.49,69.07,460.49,28
CDM,690212,ROPIVACA 200MG/20ML INJ,438.22,438.22,65.73,438.22,28
CDM,690213,ROPIVACAINE 100 MG INJ,182.66,182.66,27.4,182.66,28
CDM,690214,ROPIVACAINE 40 MG INJ,225.28,225.28,33.79,225.28,28
CDM,690215,METOCLOPRAMIDE 5 MG PO,16.37,16.37,2.46,16.37,42
CDM,690216,CYCLOBENZAPRINE 5 MG PO,16.37,16.37,2.46,16.37,42
CDM,690217,LIDOCAINE 2% 11 ML TOP,91.96,91.96,13.79,91.96,38
CDM,690218,MENQUADFI VAC IM,1434.81,1434.81,215.22,1434.81,29
CDM,690218,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",1434.81,1434.81,239.39,269.31,2
CDM,690221,MIDODRINE 5 MG PO,16.37,16.37,2.46,16.37,42
CDM,690222,CARVEDILOL 12.5 MG PO,23.93,23.93,3.59,23.93,42
CDM,690223,HCTZ 12.5 MG PO,16.37,16.37,2.46,16.37,42
CDM,690224,FLUOROURACIL 5% 40 G TOP,667.65,667.65,100.15,667.65,42
CDM,690225,CANGRELOR 50 MG INJ,5797.19,5797.19,1067.26,5797.19,23
CDM,690225,"Injection, cangrelor, 1 mg ",5797.19,5797.19,24.92,28.03,2
CDM,690226,TALC STERILE POWD 2GM,901.95,901.95,135.29,901.95,31
CDM,690230,BACLOFEN 5 MG PO,16.37,16.37,2.46,16.37,42
CDM,690231,BUSPIRONE 7.5 MG PO,18.9,18.9,2.83,18.9,42
CDM,690232,CIPROFLOXCN 0.3%2.5MLOPH,289.34,289.34,43.4,289.34,42
CDM,690236,CHLOROPROCAINE 600MG INJ,575.35,575.35,86.3,575.35,28
CDM,690236,"Injection, chloroprocaine hydrochloride, per 1 mg ",575.35,575.35,0.04,0.04,2
CDM,690237,BORTEZOMIB 3.5 MG INJ,16750.32,16750.32,2512.55,16750.32,27
CDM,690238,AMIKACIN SULFATE 500 MG,1165.83,1165.83,174.87,1165.83,27
CDM,690242,ETHYL ALCOHOL 99%5ML INJ,5792.16,5792.16,868.82,5792.16,38
CDM,690247,TRYPAN BLU 0.06%0.5ML OP,1494.02,1494.02,224.1,1494.02,38
CDM,690253,EXEMESTANE 25 MG PO,368.97,368.97,55.35,368.97,28
CDM,690253,"Exemestane, 25 mg ",368.97,368.97,3.05,3.43,2
CDM,690254,ANASTROZOLE 1 MG PO,363.64,363.64,54.55,363.64,28
CDM,690254,"Anastrozole, oral, 1 mg ",363.64,363.64,0.63,0.7,2
CDM,690256,HYDROCORTISN 5 MG/ML INJ,8.81,8.81,1.32,8.81,27
CDM,690257,HYDROCORTISN 1 MG/ML INJ,1.26,1.26,0.19,1.26,27
CDM,690258,METOCLOPRMD 5 MG/ML INJ,8.81,8.81,1.32,8.81,27
CDM,690261,ACETAMINO NOS 10MG INJ,10.72,10.72,1.61,10.72,27
CDM,690265,NEXTERONE AMIO 150MG INJ,656.92,656.92,98.54,656.92,28
CDM,690266,NEXTERONE AMIO 360MG INJ,772.39,772.39,115.86,772.39,28
CDM,690277,TOBRAMYCIN 1200 MG MDV,927.15,927.15,139.07,927.15,27
CDM,690280,OFLOXACIN 0.3% 5ML OTIC,1266.01,1266.01,189.9,1266.01,31
CDM,690283,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",1737.15,1737.15,319.06,358.94,2
CDM,690283,VAXNEUVANCE VAC IM,1737.15,1737.15,319.81,1737.15,24
CDM,690286,DACARBAZINE 100 MG INJ,137.31,137.31,20.6,137.31,27
CDM,690287,OXYCODONE 10 MG PO,16.37,16.37,2.46,16.37,42
CDM,690294,METHYLENE BLUE 50 MG INJ,1967.11,1967.11,362.14,1967.11,25
CDM,690297,505WGCAGL1G/NACL 50MLINJ,339.04,339.04,50.86,339.04,28
CDM,690298,505WG CAGLUC 2G/100MLINJ,679.81,679.81,101.97,679.81,28
CDM,690302,NOREPI 16MG/NS 250ML INJ,879.28,879.28,131.89,879.28,38
CDM,690307,CYTARABINE 100 MG INJ,80.74,80.74,12.11,80.74,27
CDM,690311,ESMOLOL 100 MG INJ,160.92,160.92,24.14,160.92,28
CDM,690313,ESMOLOL 10 MG/ML INJ,19.15,19.15,2.87,19.15,28
CDM,690315,ALLOPURINOL 500MG INJ,37877.9,37877.9,6973.32,37877.9,23
CDM,690316,ALLOPURINOL 5MG/ML INJ,330.73,330.73,60.89,330.73,23
CDM,690317,VASOPRES 0.01UNIT/ML INJ,2.2,2.2,0.33,2.2,28
CDM,690318,VASOPRES 0.2 UNIT/ML INJ,24.38,24.38,3.66,24.38,28
CDM,690319,VASOPRES 1 UNIT/ML INJ,117.5,117.5,17.63,117.5,28
CDM,690320,VASOPRESSIN 20 UNIT INJ,1872.08,1872.08,280.81,1872.08,28
CDM,690321,TECLIST-CQYV 30 MG INJ,12307.39,12307.39,2265.79,12307.39,23
CDM,690322,TECLIST-CQYV 153 MG INJ,52808.38,52808.38,9722.02,52808.38,23
CDM,690323,505BX CLINDA 600MG NS 50,232.95,232.95,34.94,232.95,28
CDM,690324,505BX CLINDA 900MG NS 50,283.02,283.02,42.45,283.02,28
CDM,690325,CLINDAMYCIN 600 MG INJ,133.82,133.82,20.07,133.82,28
CDM,690326,CLINDAMYCIN 300 MG INJ,133.82,133.82,20.07,133.82,28
CDM,690327,CLINDAMYCIN 900 MG INJ,128.29,128.29,19.24,128.29,28
CDM,690328,CLINDAMYCIN 18 MG/ML INJ,2.89,2.89,0.43,2.89,28
CDM,690330,PHENYLEPHN 20 MCG/ML INJ,2.18,2.18,0.33,2.18,28
CDM,690331,PHENYLEPHN 60 MCG/ML INJ,2.18,2.18,0.33,2.18,28
CDM,690332,PHENYLEPH 120 MCG/ML INJ,2.18,2.18,0.33,2.18,28
CDM,690333,PHENYLEPHRINE 10 MG INJ,190.86,190.86,28.63,190.86,28
CDM,690334,BUPIVACAINE 75 MG INJ,168.46,168.46,25.27,168.46,28
CDM,690335,BUPIVACAINE 75 MG INJ,243.3,243.3,36.49,243.3,28
CDM,690336,BUPIVACAINE 150 MG INJ,262.02,262.02,39.3,262.02,28
CDM,690337,BUPIVACAINE 225 MG INJ,275.38,275.38,41.31,275.38,28
CDM,690338,METRON500MG/NACL100MLINJ,357.45,357.45,53.62,357.45,28
CDM,690340,METRONIDAZOL 5 MG/ML INJ,1.45,1.45,0.22,1.45,28
CDM,690341,AZTREONAM 1 G INJ,1063.32,1063.32,159.5,1063.32,28
CDM,690342,AZTREONAM 2 G INJ,1878.23,1878.23,281.73,1878.23,28
CDM,690345,DARAT 1800MG/HYALU-FIHJ,53345.02,53345.02,9820.82,53345.02,23
CDM,690345,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",53345.02,53345.02,65.28,73.44,2
CDM,690346,RIG KEDRAB 300 U IMSQ,5183.72,5183.72,954.32,5183.72,24
CDM,690350,NITROGLYCERIN 50 MG INJ,227.86,227.86,34.18,227.86,28
CDM,690351,NITROGLYC 400 MCG/ML INJ,2.2,2.2,0.33,2.2,28
CDM,690352,NITROG 50MG/D5W 250MLINJ,188.15,188.15,28.22,188.15,28
CDM,690353,NITROGLYC 200 MCG/ML INJ,2.2,2.2,0.33,2.2,28
CDM,690355,GEMCITABINE NOS 1 G INJ,466.56,466.56,69.98,466.56,27
CDM,690359,"Injection, olanzapine, 0.5 mg ",1323.92,1323.92,1.25,1.41,2
CDM,690359,OLANZAPINE 10 MG INJ,1323.92,1323.92,198.59,1323.92,27
CDM,690361,"Injection, mycophenolate mofetil, 10 mg ",1807.35,1807.35,0.69,0.78,2
CDM,690361,MYCOPHENO MOF 500 MG INJ,1807.35,1807.35,271.1,1807.35,28
CDM,690362,TOCILIZUMAB 200MG COVID,8549.71,8549.71,1574.0,8549.71,23
CDM,690363,TOCILIZUMAB 400MG COVID,17099.42,17099.42,3148.0,17099.42,23
CDM,690365,CALASPAR 3750 U INJ,116389.22,116389.22,21427.26,116389.22,24
CDM,690365,"Injection, calaspargase pegol-mknl, 10 units ",116389.22,116389.22,97.78,110.0,2
CDM,690366,BEVACIZUMAB 100 MG INJ,5130.99,5130.99,944.62,5130.99,23
CDM,690366,"Injection, bevacizumab, 10 mg ",5130.99,5130.99,92.75,104.34,2
CDM,690367,AVSOLA BS 100 MG INJ,3219.26,3219.26,592.67,3219.26,23
CDM,690370,DAPTOMYCIN 350MG INJ,158.63,158.63,23.79,158.63,27
CDM,690371,DAPTOMYCIN 500 MG INJ,814.15,814.15,122.12,814.15,27
CDM,690372,IMPORT LIPODOX 20 MG INJ,6239.07,6239.07,1148.61,6239.07,25
CDM,690372,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",6239.07,6239.07,650.79,732.14,2
CDM,690373,RASBURICASE 1.5 MG INJ,6850.27,6850.27,1261.13,6850.27,23
CDM,690374,OBINUTUZUMAB 1000 MG INJ,42117.54,42117.54,7753.84,42117.54,23
CDM,690375,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",4491.81,4491.81,34.05,38.31,2
CDM,690375,MVASI BS 100 MG INJ,4491.81,4491.81,826.94,4491.81,23
CDM,690377,ABATACEPT 250 MG INJ,8884.47,8884.47,1635.63,8884.47,23
CDM,690377,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",8884.47,8884.47,55.98,62.97,2
CDM,690378,POLATUZUMAB 30 MG INJ,22833.45,22833.45,4203.64,22833.45,23
CDM,690379,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",4615.44,4615.44,51.67,58.13,2
CDM,690379,RIABNI BS 100 MG INJ,4615.44,4615.44,849.7,4615.44,23
CDM,690380,RUXIENCE BS 100 MG INJ,4615.44,4615.44,849.7,4615.44,23
CDM,690381,BRENTUXIMAB 50 MG INJ,58923.03,58923.03,10847.73,58923.03,23
CDM,690382,RENFLEXIS BS 100 MG INJ,4851.06,4851.06,893.08,4851.06,23
CDM,690385,BLINATUMOMAB 35 MCG INJ,26542.6,26542.6,4886.49,26542.6,23
CDM,690386,INOTUZUMAB OZ 0.9 MG INJ,118664.87,118664.87,21846.2,118664.87,23
CDM,690387,BORTEZOMIB 3.5 MG INJ,432.73,432.73,64.91,432.73,27
CDM,690388,"Injection, ramucirumab, 5 mg ",8927.63,8927.63,91.22,102.62,2
CDM,690388,RAMUCIRUMAB 100 MG INJ,8927.63,8927.63,1643.58,8927.63,23
CDM,690389,CETUXIMAB 100 MG INJ,4928.04,4928.04,907.25,4928.04,23
CDM,690389,"Injection, cetuximab, 10 mg ",4928.04,4928.04,96.81,108.91,2
CDM,690390,DURVALUMAB 120 MG INJ,6101.44,6101.44,1123.28,6101.44,23
CDM,690391,IRINOTECAN 40 MG INJ,186.62,186.62,27.99,186.62,27
CDM,690392,CARFILZOMIB 10 MG INJ,3197.1,3197.1,588.59,3197.1,23
CDM,690392,"Injection, carfilzomib, 1 mg ",3197.1,3197.1,63.53,71.47,2
CDM,690393,GEMTUZUMAB 4.5 MG INJ,52034.27,52034.27,9579.51,52034.27,23
CDM,690393,"Injection, gemtuzumab ozogamicin, 0.1 mg ",52034.27,52034.27,293.97,330.72,2
CDM,690394,CMPD MITOMYCIN 0.2MG OPH,1483.66,1483.66,222.55,1483.66,30
CDM,690395,NIVOLUMAB 40 MG INJ,7874.37,7874.37,1449.67,7874.37,23
CDM,690396,"Injection, oxaliplatin, 0.5 mg ",174.96,174.96,0.1,0.11,2
CDM,690396,OXALIPLATIN 50 MG INJ,174.96,174.96,26.24,174.96,27
CDM,690397,ATEZOLIZUMAB 840 MG INJ,39234.2,39234.2,7223.02,39234.2,23
CDM,690397,"Injection, atezolizumab, 10 mg ",39234.2,39234.2,109.8,123.52,2
CDM,690398,"Injection, temsirolimus, 1 mg ",10252.66,10252.66,39.36,44.28,2
CDM,690398,TEMSIROLIMUS 25 MG INJ,10252.66,10252.66,1887.51,10252.66,23
CDM,690399,"Injection, trastuzumab, excludes biosimilar, 10 mg ",10033.37,10033.37,99.94,112.43,2
CDM,690399,TRASTUZUMAB 150 MG INJ,10033.37,10033.37,1847.14,10033.37,23
CDM,690400,BENDAMUS HCL 25 MG INJ,4783.41,4783.41,880.63,4783.41,23
CDM,690401,TRUXIMA BS 100 MG INJ,5443.59,5443.59,1002.16,5443.59,23
CDM,690402,"Injection, panitumumab, 10 mg ",10104.52,10104.52,203.12,228.51,2
CDM,690402,PANITUMUMAB 100 MG INJ,10104.52,10104.52,1860.24,10104.52,23
CDM,690403,URSODIOL 250 MG PO,46.66,46.66,7.0,46.66,42
CDM,690404,ZIRABEV BS 100 MG INJ,3949.43,3949.43,727.09,3949.43,24
CDM,690405,"Injection, siltuximab, 10 mg ",9412.85,9412.85,196.03,220.53,2
CDM,690405,SILTUXIMAB 100 MG INJ,9412.85,9412.85,1732.91,9412.85,23
CDM,690406,IMIPEN/CILAS/RELEB 1.25G,2218.49,2218.49,332.77,2218.49,27
CDM,690406,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",2218.49,2218.49,3.22,3.63,2
CDM,690407,CEFIDEROCOL 1 G INJ,1558.31,1558.31,286.88,1558.31,23
CDM,690407,"Injection, cefiderocol, 10 mg ",1558.31,1558.31,2.9,3.27,2
CDM,690408,INFLECTRA BS 100 MG INJ,6092.11,6092.11,1121.56,6092.11,23
CDM,690410,ARGATROB 250MG NESRD INJ,2022.54,2022.54,372.35,2022.54,23
CDM,690411,DOCETAXEL 20 MG INJ,2410.95,2410.95,361.64,2410.95,27
CDM,690412,INEBILIZ-CDON 100 MG INJ,201643.73,201643.73,37122.61,201643.73,23
CDM,690412,"Injection, inebilizumab-cdon, 1 mg ",201643.73,201643.73,619.31,696.73,2
CDM,690414,UMEC/VILA 62.5/25 7INH,991.44,991.44,148.72,991.44,30
CDM,690417,HUMULIN R U-500 3 ML PEN,52.25,52.25,7.84,52.25,40
CDM,690417,"Insulin delivery device, disposable pen (including insulin); 3 ml size ",52.25,52.25,41.53,46.72,2
CDM,690418,BRIVARACETAM 50 MG PO,267.11,267.11,40.07,267.11,30
CDM,690419,"Injection, onabotulinumtoxina, 1 unit ",4082.4,4082.4,7.84,8.82,2
CDM,690419,ONABOTULINUMTOXA 100 U,4082.4,4082.4,751.57,4082.4,23
CDM,690420,HEMIN 350 MG INJ,65284.57,65284.57,12018.89,65284.57,23
CDM,690420,"Injection, hemin, 1 mg ",65284.57,65284.57,41.11,46.25,2
CDM,690423,BRIVARACETAM 50 MG INJ,607.69,607.69,91.15,607.69,30
CDM,690424,BRIVARACE 10MG/ML LIQ PO,31.05,31.05,4.66,31.05,42
CDM,690428,EPCORIT-BYSP 4 MG INJ,8169.47,8169.47,1504.0,8169.47,23
CDM,690429,EPCORIT-BYSP 48 MG INJ,82472.64,82472.64,15183.21,82472.64,23
CDM,690430,BUMETANIDE 1 MG INJ,200.53,200.53,30.08,200.53,27
CDM,690431,BUMETANIDE 0.1 MG/ML INJ,3.19,3.19,0.48,3.19,27
CDM,690432,BUMETANIDE 0.25MG/ML INJ,16.74,16.74,2.51,16.74,27
CDM,690434,GLYCOPYRROL 0.2 MG INJ,246.1,246.1,36.91,246.1,27
CDM,690436,NICARDIPIN 25MG/10ML INJ,371.22,371.22,55.68,371.22,28
CDM,690438,NICARDIPINE 0.1MG/ML INJ,2.38,2.38,0.36,2.38,28
CDM,690439,NICARDIPINE 0.5MG/ML INJ,9.57,9.57,1.44,9.57,28
CDM,690441,BEYFORTUS 0.5 ML IM,3186.6,3186.6,477.99,3186.6,29
CDM,690441,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",3186.6,3186.6,745.11,838.25,2
CDM,690443,ARTESUNATE 110 MG INJ,26975.33,26975.33,4966.16,26975.33,23
CDM,690443,"Injection, artesunate, 1 mg ",26975.33,26975.33,59.11,66.5,2
CDM,690444,GLOFITA-GXBM 2.5 MG INJ,16448.57,16448.57,3028.18,16448.57,23
CDM,690445,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",142460.6,142460.6,264.21,297.23,2
CDM,690445,LONCAST-LPYL 10 MG INJ,142460.6,142460.6,26227.0,142460.6,23
CDM,690446,ARTEMET/LUME 20/120MG PO,75.82,75.82,11.37,75.82,42
CDM,690447,CEFPODOXIME 200 MG PO,94.48,94.48,14.17,94.48,42
CDM,690448,"Injection, tafasitamab-cxix, 2 mg ",8552.04,8552.04,17.64,19.84,2
CDM,690448,TAFASITAM-CXIX 200MG INJ,8552.04,8552.04,1574.43,8552.04,23
CDM,690449,CLOBETASOL 0.05% 15G TOP,955.28,955.28,143.29,955.28,42
CDM,690450,CLOBETASOL 0.05% 15G TOP,1112.75,1112.75,166.91,1112.75,42
CDM,690451,LETERMOVIR 480 MG INJ,3426.56,3426.56,513.98,3426.56,30
CDM,690452,LETERMOVIR 480 MG PO,2356.95,2356.95,353.54,2356.95,30
CDM,690454,TIZANIDINE 4 MG PO,16.33,16.33,2.45,16.33,42
CDM,690457,GILTERITINIB 40 MG PO,2260.48,2260.48,339.07,2260.48,30
CDM,690458,QUIZARTINIB 17.7 MG PO,3515.53,3515.53,527.33,3515.53,30
CDM,690459,QUIZARTINIB 26.5 MG PO,3515.53,3515.53,527.33,3515.53,30
CDM,690460,CARBACH 0.01% 1.5 ML INJ,479.14,479.14,71.87,479.14,38
CDM,690464,DROPERIDOL 5 MG INJ,108.48,108.48,16.27,108.48,27
CDM,690464,"Injection, droperidol, up to 5 mg ",108.48,108.48,12.15,13.66,2
CDM,690465,DESOG/EE 0.15/0.02 MG PO,514.38,514.38,77.16,514.38,30
CDM,690467,"Injection, romidepsin, lyophilized, 0.1 mg ",20595.12,20595.12,38.11,42.87,2
CDM,690467,ROMIDEP LYOPH 10 MG INJ,20595.12,20595.12,3791.56,20595.12,23
CDM,690468,505HP NA THIOS 12.5GINJ,184.16,184.16,27.62,184.16,28
CDM,690468,"Injection, sodium thiosulfate (hope), 100 mg ",184.16,184.16,1.01,1.13,2
CDM,690469,HYDROXOCOBALAM 5 G IV,9924.03,9924.03,1827.01,9924.03,23
CDM,690469,"Injection, hydroxocobalamin, intravenous, 25 mg ",9924.03,9924.03,6.33,7.12,2
CDM,690470,TALQUET-TGVS 3 MG INJ,5002.69,5002.69,921.0,5002.69,23
CDM,690471,TALQUET-TGVS 40 MG INJ,56117.84,56117.84,10331.29,56117.84,23
CDM,690472,CYCLOPHOS NOS 1 G INJ,4244.53,4244.53,781.42,4244.53,23
CDM,690473,CYCLOPHOS NOS 2 G INJ,8891.47,8891.47,1636.92,8891.47,23
CDM,690474,LEVOTHY NOS 100 MCG INJ,2453.78,2453.78,368.07,2453.78,28
CDM,690475,LEVOTHY NOS 20MCG/MLINJ,352.68,352.68,52.9,352.68,28
CDM,690476,METHYLPRED ACE 40 MG INJ,327.18,327.18,49.08,327.18,27
CDM,690477,METHYLPRED ACE 80 MG INJ,478.63,478.63,71.79,478.63,27
CDM,690478,METHYLPRED SS 40MG/MLINJ,111.54,111.54,16.73,111.54,27
CDM,690479,METHYLPRED SS 2.5MG/ML,6.37,6.37,0.96,6.37,27
CDM,690480,METHYLPRED SS 1 G MDV,978.64,978.64,146.8,978.64,27
CDM,690481,METHYLPRED SS 125 MGINJ,199.64,199.64,29.95,199.64,27
CDM,690482,METHYLPRED SS 2 G INJ,1697.76,1697.76,254.66,1697.76,27
CDM,690483,METHYLPRED SS 40 MG INJ,120.46,120.46,18.07,120.46,27
CDM,690484,METHYLPRED SS 500 MG MDV,670.94,670.94,100.64,670.94,27
CDM,690485,CA GLUC NOS 1 G INJ,160.55,160.55,24.08,160.55,28
CDM,690486,CA GLUC NOS 50MG/ML INJ,6.3,6.3,0.94,6.3,28
CDM,690487,ACETAMINO NOS 1000MG INJ,139.97,139.97,21.0,139.97,27
CDM,690489,ELRANAT-BCMM 44 MG INJ,40927.81,40927.81,7534.81,40927.81,23
CDM,690490,ELRANAT-BCMM 76 MG INJ,70693.17,70693.17,13014.61,70693.17,23
CDM,690491,GIAPREZA 2.5 MG INJ,10429.95,10429.95,1564.49,10429.95,31
CDM,690492,0.45% NACL 100 ML INJ,60.54,60.54,9.08,60.54,38
CDM,690493,MYCOPHENOLATE 500 MG PO,88.65,88.65,13.3,88.65,28
CDM,690494,PANTOPRAZOLE 40 MG INJ,78.15,78.15,11.72,78.15,28
CDM,690495,PANTOPRAZ 4 MG/ML INJ,8.16,8.16,1.22,8.16,28
CDM,690498,BIORPHEN 500 MCG INJ,67.65,67.65,10.15,67.65,28
CDM,690498,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",67.65,67.65,0.22,0.25,2
CDM,690499,"Injection, pemetrexed, not otherwise specified, 10 mg ",324.0,324.0,7.19,8.09,2
CDM,690499,PEMETREXED NOS 100MG INJ,324.0,324.0,59.65,324.0,23
CDM,690500,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",342.05,342.05,38.87,99.7,5
CDM,690500,RECOMBIVAX PED 5MCG IM,342.05,342.05,62.97,342.05,24
CDM,690501,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",745.79,745.79,95.81,254.18,5
CDM,690501,RECOMBIVAX ADLT 10MCG IM,745.79,745.79,137.3,745.79,24
CDM,690502,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",1463.42,1463.42,260.0,292.5,2
CDM,690502,RECOMBIVAX DIAL 40MCG IM,1463.42,1463.42,269.42,1463.42,24
CDM,690508,DOXYCYCL HYCL 100 MG PO,63.72,63.72,9.56,63.72,42
CDM,690509,ISATUXIMAB-IRFC 100MGINJ,4718.52,4718.52,868.68,4718.52,23
CDM,690509,"Injection, isatuximab-irfc, 10 mg ",4718.52,4718.52,99.83,112.31,2
CDM,690510,"Injection, vedolizumab, intravenous, 1 mg ",43467.84,43467.84,29.29,32.95,2
CDM,690510,VEDOLIZUMAB 300 MG IV,43467.84,43467.84,8002.43,43467.84,23
CDM,690511,BRILL BL G OPH 0.5ML INJ,1086.48,1086.48,200.02,1086.48,25
CDM,690512,LIDO D5W 2G/500 ML INJ,171.1,171.1,25.66,171.1,29
CDM,690513,CAPECITABINE 500 MG PO,476.18,476.18,87.66,476.18,26
CDM,690514,CMPD HYMOR 10MG 50ML,104.2,104.2,15.63,104.2,30
CDM,690515,HYDROMORPH 10 MG INJ,185.68,185.68,27.85,185.68,29
CDM,690516,HYDROMORPH 2 MG INJ,162.68,162.68,24.4,162.68,29
CDM,690517,HYDROMORPH 0.5 MG INJ,114.64,114.64,17.2,114.64,29
CDM,690518,HYDROMORPH 1 MG INJ,131.84,131.84,19.78,131.84,29
CDM,690519,HYDROMORPH 0.2 MG/ML INJ,2.2,2.2,0.33,2.2,29
CDM,690520,HYDROMORPH 1 MG/ML INJ,6.62,6.62,0.99,6.62,29
CDM,690521,LIDO 0.5% 250MG/50ML INJ,91.24,91.24,13.69,91.24,30
CDM,690522,LIDO 1% 20MG/2ML INJ,53.68,53.68,8.05,53.68,30
CDM,690523,LIDO 1% 50MG/5ML INJ,189.55,189.55,28.43,189.55,30
CDM,690524,LIDO 1% 300MG/30ML INJ,189.55,189.55,28.43,189.55,30
CDM,690525,LIDO 2% 100MG/5ML INJ,105.12,105.12,15.77,105.12,30
CDM,690526,LIDO 2% 200MG/10ML INJ,189.55,189.55,28.43,189.55,30
CDM,690527,LIDO 2% 100MG/5ML INJ,189.55,189.55,28.43,189.55,30
CDM,690528,LIDO 4% 200MG/5ML INJ,189.55,189.55,28.43,189.55,30
CDM,690529,LIDO 8000 MCG/ML INJ,6.62,6.62,0.99,6.62,30
CDM,690530,LIDO 4000 MCG/ML INJ,2.2,2.2,0.33,2.2,30
CDM,690531,LIDO 300MG/EPI0.15MG INJ,180.54,180.54,27.08,180.54,30
CDM,690532,LIDO 75MG/EPI0.025MG INJ,189.55,189.55,28.43,189.55,30
CDM,690533,LIDO 400MG/EPI 0.1MG INJ,528.22,528.22,79.23,528.22,30
CDM,690538,TETRABENAZINE 12.5 MG PO,141.48,141.48,21.22,141.48,42
CDM,690539,ENALAPRILAT 1.25 MG INJ,68.32,68.32,10.25,68.32,38
CDM,690543,CARIPRAZINE 1.5 MG PO,460.08,460.08,69.01,460.08,30
CDM,690544,CARIPRAZINE 3 MG PO,460.08,460.08,69.01,460.08,30
CDM,690545,CARIPRAZINE 4.5 MG PO,460.08,460.08,69.01,460.08,42
CDM,690546,CARIPRAZINE 6 MG PO,460.08,460.08,69.01,460.08,42
CDM,690547,MIDAZOLAM 10MG PO,75.6,75.6,11.34,75.6,38
CDM,690549,IMETELSTAT 47 MG INJ,14731.2,14731.2,2712.01,14731.2,25
CDM,690550,ROMIPLOSTIM 125 MCG INJ,7678.41,7678.41,1413.6,7678.41,25
CDM,690551,NAFCILLIN 1 G INJ,366.54,366.54,54.98,366.54,30
CDM,690552,NAFCILLIN 2 G INJ,714.9,714.9,107.23,714.9,30
CDM,690553,NAFCILLIN 40 MG/ML INJ,7.25,7.25,1.09,7.25,30
CDM,690554,SEVELAMER 800MG NESRD PO,98.77,98.77,14.82,98.77,42
CDM,690555,SEVELAM 0.8G NESRD LIQPO,302.24,302.24,45.34,302.24,42
CDM,690556,ERTAPENEM 20MG/ML INJ,22.68,22.68,3.4,22.68,27
CDM,690559,CALC ACET 667MG NESRD PO,61.02,61.02,9.15,61.02,42
CDM,690562,ACD A/ANTICO-CIT-DEX 750,97.44,97.44,14.62,97.44,35
CDM,690563,"Injection, luspatercept-aamt, 0.25 mg ",24039.72,24039.72,52.07,58.58,2
CDM,690563,LUSPAT-AAMT 25 MG INJ,24039.72,24039.72,4425.71,24039.72,23
CDM,690564,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",21452.04,21452.04,427.09,480.48,2
CDM,690564,ZIEXTENZO BS 6 MG INJ,21452.04,21452.04,3949.32,21452.04,23
CDM,690565,VANCOMYCIN 50MG/ML LIQPO,12.67,12.67,1.9,12.67,42
CDM,690566,AZITHROMYCIN 40MG PO,18.18,18.18,2.73,18.18,28
CDM,690567,CLINDAMYCIN 15MG PO,8.7,8.7,1.3,8.7,42
CDM,690568,CEPHALEX 50MG/ML LIQ PO,4.55,4.55,0.68,4.55,42
CDM,690569,NEVIRAPI 10MG/1ML LIQ PO,19.18,19.18,2.88,19.18,42
CDM,690571,CLOBAZAM 2.5 MG PO,149.95,149.95,22.49,149.95,42
CDM,690573,CMPD CARVED 1.25MG/ML PO,5.04,5.04,0.76,5.04,39
CDM,690575,CMPD SULFASAL 100MG/MLPO,7.87,7.87,1.18,7.87,39
CDM,690576,CMPD PROPYLTHI 5MG/ML PO,4.97,4.97,0.75,4.97,39
CDM,690578,PROCHLORPERAZINE 10MG PO,32.13,32.13,4.82,32.13,28
CDM,690579,TYENNE BS 200 MG INJ,5837.4,5837.4,1074.67,5837.4,26
CDM,690580,TYENNE BS 400 MG INJ,11674.8,11674.8,2149.33,11674.8,26
CDM,690581,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",20940.12,20940.12,212.54,239.11,2
CDM,690581,UDENYCA BS 6 MG INJ,20940.12,20940.12,3855.08,20940.12,23
CDM,690582,CYCLOSPORIN 250 MG INJ,665.28,665.28,99.79,665.28,28
CDM,690582,"Injection, cyclosporine, 250 mg ",665.28,665.28,51.05,57.44,2
CDM,690584,VALACYCLOVIR 50 MG PO,25.44,25.44,3.82,25.44,42
CDM,690585,CLARITHROMY 50MG PO,27.26,27.26,4.09,27.26,42
CDM,690587,FAMOTIDINE 8MG PO,19.99,19.99,3.0,19.99,42
CDM,690589,CMPD FLECAINID 20MG/MLPO,19.38,19.38,2.91,19.38,39
CDM,690590,SULFAMET/TMP 200/40MG PO,8.55,8.55,1.28,8.55,42
CDM,690591,HALOPERIDOL 2 MG PO,13.36,13.36,2.0,13.36,42
CDM,690593,ENALAPRIL 1 MG PO,18.59,18.59,2.79,18.59,42
CDM,690594,CARBAMAZE 20MG PO,18.45,18.45,2.77,18.45,42
CDM,690597,METOCLOPRAMIDE 1 MG PO,6.71,6.71,1.01,6.71,42
CDM,690598,CMPD OMEPR/BICAR2MG/MLPO,4.55,4.55,0.68,4.55,39
CDM,690599,PCN V K 50MG PO,1.51,1.51,0.23,1.51,42
CDM,690601,PONATINIB 30 MG PO,3748.68,3748.68,562.3,3748.68,39
CDM,690602,POT CHL 1.3MEQ/1ML LIQPO,7.02,7.02,1.05,7.02,42
CDM,690603,NYSTATIN 100000U PO,6.85,6.85,1.03,6.85,42
CDM,690604,CYPROHEPTADINE 0.4MG PO,2.64,2.64,0.4,2.64,42
CDM,690606,THEOPHYLL 5.3MG/ML LIQPO,3.4,3.4,0.51,3.4,42
CDM,690607,FLUCONAZOL 200MG/5ML LIQ,25.53,25.53,3.83,25.53,42
CDM,690608,LACTULOSE 667MG PO,2.55,2.55,0.38,2.55,42
CDM,690609,CMPD METOPROL 10MG/ML PO,3.94,3.94,0.59,3.94,39
CDM,690611,PHENYTOIN 25 MG PO,1.62,1.62,0.24,1.62,42
CDM,690612,SUCRALFATE 100MG PO,3.28,3.28,0.49,3.28,42
CDM,690613,CMPD HYDROCORT 2MG/ML PO,4.84,4.84,0.73,4.84,39
CDM,690615,DAPAGLIFLOZIN 5 MG PO,216.0,216.0,32.4,216.0,30
CDM,690616,D5NS 500 ML,58.32,58.32,8.75,58.32,28
CDM,690617,CMPD DILTIAZ 12MG/ML PO,2.81,2.81,0.42,2.81,39
CDM,690619,POTASS CL 0.08MEQ/ML INJ,1.62,1.62,0.24,1.62,27
CDM,690621,POTASS CL 0.2MEQ/ML INJ,4.05,4.05,0.61,4.05,27
CDM,690622,CMPD LEUCOVOR 5MG/ML PO,135.71,135.71,20.36,135.71,39
CDM,690623,LISINOPRIL 1MG PO,2.81,2.81,0.42,2.81,42
CDM,690624,CMPD LOSARTA 2.5MG/ML PO,1.73,1.73,0.26,1.73,39
CDM,690626,LIDO 34MG/EPI0.017MG INJ,217.99,217.99,32.7,217.99,30
CDM,690627,LURASIDONE 20 MG PO,401.76,401.76,60.26,401.76,42
CDM,690631,PYRIMETHAMINE 25 MG PO,6221.67,6221.67,933.25,6221.67,30
CDM,690632,ISOPROTERENOL64MCG/MLINJ,408.24,408.24,61.24,408.24,30
CDM,690633,MIDAZOLAM 0.3MG/ML INJ,1.08,1.08,0.16,1.08,27
CDM,690635,FLOXURIDINE 500 MG INJ,19375.2,19375.2,3566.97,19375.2,23
CDM,690635,"Injection, floxuridine, 500 mg ",19375.2,19375.2,4937.11,5554.25,2
CDM,690636,ECULIZUMAB 300 MG INJ,85971.84,85971.84,15827.42,85971.84,25
CDM,690638,FUROSEMIDE 20 MG INJ,80.9,80.9,12.13,80.9,29
CDM,690639,FUROSEMIDE 40 MG INJ,80.9,80.9,12.13,80.9,29
CDM,690643,FUROSEMIDE 100 MG INJ,80.9,80.9,12.13,80.9,29
CDM,690644,FUROSEMIDE 0.2MG/ML INJ,2.38,2.38,0.36,2.38,29
CDM,690645,FUROSEMIDE 2 MG/ML INJ,7.25,7.25,1.09,7.25,29
CDM,690647,FUROSEMIDE 10 MG/ML INJ,17.38,17.38,2.61,17.38,29
CDM,690650,AMINOCAPROC 20 MG/ML INJ,2.38,2.38,0.36,2.38,29
CDM,690651,FAMOTIDINE 20 MG INJ,80.9,80.9,12.13,80.9,29
CDM,690652,FAMOTIDINE 2 MG/ML INJ,1.73,1.73,0.26,1.73,29
CDM,690653,SMX/TMP 3.2/0.64 MG/ML,1.6,1.6,0.24,1.6,29
CDM,690654,SMX/TMP 5.5/1.1 MG/ML,1.9,1.9,0.28,1.9,29
CDM,690655,AXATIL-CSFR 9 MG INJ,23698.44,23698.44,4362.88,23698.44,25
CDM,690656,AXATIL-CSFR 22 MG INJ,57929.04,57929.04,10664.74,57929.04,25
CDM,690659,DOXYCYCL HYCL 1MG/ML INJ,4.53,4.53,0.68,4.53,29
CDM,690660,DOXYCYCL HYCL 100 MG INJ,452.62,452.62,67.89,452.62,29
CDM,690661,RIFAMPIN 6 MG/ML INJ,20.66,20.66,3.1,20.66,29
CDM,690662,RIFAMPIN 600 MG INJ,1266.84,1266.84,190.03,1266.84,29
CDM,690664,DIGOXIN 50 MCG PO,31.38,31.38,4.71,31.38,42
CDM,690667,PIP/TAZ60MG/7.5MG PER ML,14.0,14.0,2.1,14.0,27
CDM,690669,ALTEPLASE RECOMB 50 MG,22068.72,22068.72,4062.85,22068.72,23
CDM,690670,ALTEPLASE RECOMB 100 MG,44138.52,44138.52,8125.9,44138.52,23
CDM,690671,XANOMEL/TROS 50/20MG PO,332.64,332.64,49.9,332.64,42
CDM,690672,XANOMEL/TROS 100/20MG PO,332.64,332.64,49.9,332.64,42
CDM,690676,DINUTUXIMAB 17.5 MG INJ,86634.35,86634.35,12995.15,86634.35,30
CDM,690677,CMPD CLONAZ 0.1 MG/ML PO,1.08,1.08,0.16,1.08,39
CDM,690678,CMPD RIFAMPIN 10MG/ML PO,1.59,1.59,0.24,1.59,39
CDM,690679,FAM-TRAS-NXKI 100 MG INJ,17496.0,17496.0,3221.01,17496.0,23
CDM,690679,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",17496.0,17496.0,35.52,39.96,2
CDM,690680,DOSTARLIM-GXLY 500MG INJ,59176.44,59176.44,10894.38,59176.44,23
CDM,690680,"Injection, dostarlimab-gxly, 10 mg ",59176.44,59176.44,302.68,340.51,2
CDM,690681,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",33268.32,33268.32,85.6,96.3,2
CDM,690681,MIRVETUX-GYNX 100 MG INJ,33268.32,33268.32,6124.7,33268.32,23
CDM,690684,VANCO 5 MG/ML INJ,1.45,1.45,0.22,1.45,29
CDM,690685,CALCIUM CHL 20 MG/ML INJ,3.1,3.1,0.47,3.1,29
CDM,690687,EPI NOS 0.1 MG INJ,6.02,6.02,0.9,6.02,29
CDM,690690,METOPROLOL 5 MG INJ,80.9,80.9,12.13,80.9,29
CDM,690691,DILTIAZEM 25 MG INJ,88.97,88.97,13.35,88.97,29
CDM,690694,EPI NOS 1 MG INJ,181.76,181.76,27.26,181.76,29
CDM,690695,DILTIAZEM 125 MG INJ,196.19,196.19,29.43,196.19,29
CDM,690696,VANCO 500 MG INJ,197.58,197.58,29.64,197.58,29
CDM,690697,VANCO 750 MG INJ,236.58,236.58,35.49,236.58,29
CDM,690698,EPI NOS 1 MG INJ,251.27,251.27,37.69,251.27,29
CDM,690699,CMPD VANCO 1.25G 250B,291.18,291.18,43.68,291.18,30
CDM,690700,CMPD VANCOMYCIN TOPICAL,314.14,314.14,47.12,314.14,30
CDM,690701,VANCO 1 G INJ,317.08,317.08,47.56,317.08,29
CDM,690702,EPI NOS 1 MG INJ,317.87,317.87,47.68,317.87,29
CDM,690703,VANCO 1.5 G INJ,349.13,349.13,52.37,349.13,29
CDM,690705,NALOX NOS 0.4MG INJ,478.63,478.63,71.79,478.63,29
CDM,690706,NALOX NOS 2 MG INJ,869.29,869.29,130.39,869.29,29
CDM,690707,THIOTEPA NOS 15 MG INJ,7740.76,7740.76,1425.07,7740.76,25
CDM,690708,OBECABTAGENE INJ,3261825.0,3261825.0,596913.97,3261825.0,35
CDM,690708,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",3261825.0,3261825.0,737362.5,737362.5,3
CDM,690710,CALCIUM CHL 100MG/ML INJ,21.03,21.03,3.15,21.03,29
CDM,690711,CALCIUM CHL 1 G INJ,231.49,231.49,34.72,231.49,29
CDM,690712,CALCIUM CHL 1 G INJ,217.99,217.99,32.7,217.99,29
CDM,690713,HEPAR 1000U/NS 500ML INJ,63.72,63.72,9.56,63.72,27
CDM,690716,"Injection, tisotumab vedotin-tftv, 1 mg ",35725.32,35725.32,223.94,251.93,2
CDM,690716,TISOTUMAB-TFTV 40 MG INJ,35725.32,35725.32,6577.03,35725.32,23
CDM,690719,PEGFILGRASTIM 6 MG INJ,54781.24,54781.24,10085.23,54781.24,23
CDM,690721,PACLITAX-PROTEIN100MGINJ,15776.93,15776.93,2904.53,15776.93,23
CDM,690722,ACD A/ANTICO-CIT-DEX1000,2448.49,2448.49,367.27,2448.49,35
CDM,690723,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",377.91,377.91,0.27,0.31,2
CDM,690723,MIDAZOL/0.9NS 100 MG IV,377.91,377.91,56.69,377.91,28
CDM,690727,EPI NOS 20MCG/ML INJ,4.78,4.78,0.72,4.78,29
CDM,690728,EPI NOS 40MCG/ML INJ,9.57,9.57,1.44,9.57,29
CDM,690729,EPI NOS 60MCG/ML INJ,19.15,19.15,2.87,19.15,29
CDM,690730,POLY1.4%/POV0.6%0.4MLOPH,14.04,14.04,2.11,14.04,42
CDM,690733,SULFAMET/TMP 800/160MGPO,40.22,40.22,6.03,40.22,42
CDM,690734,FLUZONE HD PF IM,698.0,698.0,128.5,698.0,24
CDM,690734,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",698.0,698.0,92.48,104.04,2
CDM,690735,FLUZONE TRI 0.5 ML PF IM,207.0,207.0,38.11,207.0,24
CDM,690735,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",207.0,207.0,25.05,28.18,2
CDM,690736,MAGNESIUM CITR 296ML PO,13.0,13.0,1.95,13.0,42
CDM,690738,CLEVIDIPINE 50MG INJ,3682.97,3682.97,678.03,3682.97,26
CDM,690739,MANNITOL 100G INJ,958.55,958.55,143.78,958.55,30
CDM,690740,MANNITOL 12.5G INJ,47.0,47.0,7.05,47.0,30
CDM,690741,FLUORESCEIN 500MG INJ,325.61,325.61,48.84,325.61,31
CDM,690742,CARBOPROST 0.25MG INJ,3244.45,3244.45,597.3,3244.45,26
CDM,690743,TRANEXAMIC 1000MG INJ,357.87,357.87,53.68,357.87,30
CDM,690744,TRANEXAMIC 10MG/ML INJ,1.0,1.0,0.15,1.0,30
CDM,690745,METHYLSA/MENTHOL 85G TOP,37.0,37.0,5.55,37.0,42
CDM,690746,LIDOCAINE 4% PATCH,14.0,14.0,2.1,14.0,42
CDM,690748,CMPD VANCO 1.75G 500B,290.0,290.0,43.5,290.0,30
CDM,690749,ATORVASTATIN 20 MG PO,55.0,55.0,8.25,55.0,42
CDM,690750,ATORVASTATIN 80 MG PO,55.0,55.0,8.25,55.0,42
CDM,690751,AZITHROMYCIN 500 MG PO,13.0,13.0,1.95,13.0,28
CDM,690752,505HK CEFAZOLIN 3 G INJ,68.0,68.0,10.2,68.0,27
CDM,690752,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",68.0,68.0,1.35,1.52,2
CDM,690753,DEXAMETHASONE 2 MG PO,13.0,13.0,1.95,13.0,28
CDM,690754,FENTANYL CIT 0.05 MG INJ,47.0,47.0,7.05,47.0,27
CDM,690755,HALOPERIDOL 2 MG PO,13.0,13.0,1.95,13.0,42
CDM,690756,HEPARIN 10000U / 1ML INJ,47.0,47.0,7.05,47.0,27
CDM,690757,HYDROMORPH 0.25 MG INJ,47.0,47.0,7.05,47.0,29
CDM,690758,KETOROLAC 15 MG INJ,47.0,47.0,8.65,47.0,23
CDM,690759,505WG MEROPEN 2 G INJ,312.0,312.0,46.8,312.0,27
CDM,690759,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",312.0,312.0,2.05,2.31,2
CDM,690760,PRASUGREL 5 MG PO,137.0,137.0,20.55,137.0,42
CDM,690761,TRANEXAMIC 1000MG INJ,210.0,210.0,31.5,210.0,30
CDM,690762,RETACRIT BS 3000U NESRD,331.0,331.0,60.94,331.0,23
CDM,690763,CISATRACURIUM 10 MG INJ,140.0,140.0,21.0,140.0,35
CDM,690764,MORPHINE 30 MG PO,13.0,13.0,1.95,13.0,42
CDM,690766,LACTAT RINGER 3 L IRRIG,125.0,125.0,18.75,125.0,38
CDM,690767,0.9% NACL 3000 ML IRR,115.0,115.0,17.25,115.0,38
CDM,690769,ISOVUE 250 50 ML INJ,180.0,180.0,27.0,180.0,27
CDM,690772,PENTAMIDINE 6MG/ML INJ,50.28,50.28,7.54,50.28,30
CDM,690773,PENTAMIDINE 300MG INJ,2568.9,2568.9,385.33,2568.9,30
CDM,690774,POSACONAZOLE 300MG INJ,5132.46,5132.46,769.87,5132.46,30
CDM,690775,VALPROATE 500MG INJ,134.98,134.98,20.25,134.98,30
CDM,691011,CAT 1 WOUND PROCEDURE,577.99,577.99,86.7,577.99,36
CDM,691012,CAT 2 WOUND PROCEDURE,1224.36,1224.36,183.65,1224.36,36
CDM,691013,CAT 3 WOUND PROCEDURE,3178.33,3178.33,476.75,3178.33,36
CDM,691431,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,38
CDM,691432,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,38
CDM,691433,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,38
CDM,691434,IV EACH ADD HOUR,356.0,356.0,60.52,356.0,38
CDM,691435,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,38
CDM,691436,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,42
CDM,691437,INJECTION IM OR SQ,185.0,185.0,31.45,185.0,38
CDM,691438,IVP SINGLE/INITIAL DRUG,531.0,531.0,90.27,531.0,38
CDM,691439,IVP EA ADD SEQ NEW DRUG,322.0,322.0,54.74,322.0,38
CDM,691440,CHEMO SQ/IM NON HORM ANP,509.0,509.0,86.53,509.0,36
CDM,691441,CHEMO IV PUSH SING/IN DR,1827.0,1827.0,310.59,1827.0,36
CDM,691442,CHEMO IV SING/IN DR 1 HR,1267.0,1267.0,215.39,1267.0,36
CDM,691443,CHEMO IV EA ADD HOUR,629.0,629.0,106.93,629.0,36
CDM,691444,CHEMO INTART UP TO 1 HR,1111.39,1111.39,188.94,1111.39,36
CDM,691445,IRRIGATION OF VAD,80.03,80.03,14.73,80.03,26
CDM,691446,UNLISTED CHEMO PROC,2898.24,2898.24,492.7,2898.24,36
CDM,691447,CHEMO IV EA AD SEQ 1 HR,361.0,361.0,61.37,361.0,36
CDM,691452,IVP EA ADD SEQ SAME DRUG,273.0,273.0,40.95,273.0,42
CDM,691455,OP VISIT LEVEL 1 EST,448.0,448.0,67.2,448.0,34
CDM,691457,REM TUN CV CATH WO/P-P,6227.36,6227.36,934.1,6227.36,36
CDM,691458,OP VISIT LEVEL 2 EST,387.0,387.0,58.05,387.0,34
CDM,691459,DECLOT THROM IMP VAD CTH,1724.92,1724.92,258.74,1724.92,36
CDM,691460,CHEMO IV PUSH EA ADD DRG,250.0,250.0,42.5,250.0,36
CDM,691461,CHEMO SQ/IM HORMONL ANPL,272.15,272.15,46.27,272.15,36
CDM,691462,BX ASP BONE MARROW DX,3700.99,3700.99,555.15,3700.99,36
CDM,691463,APP ONBODY INJ,105.84,105.84,17.99,105.84,38
CDM,691464,IMMUNIZ ADMIN SGL,301.0,301.0,51.17,301.0,38
CDM,691465,IMMUNIZ ADMIN EA ADDTL,300.69,300.69,45.1,300.69,42
CDM,691466,OP VISIT LEVEL 5 NP,779.0,779.0,116.85,779.0,34
CDM,691467,OP VISIT LEVEL 4 NP,737.0,737.0,110.55,737.0,34
CDM,691468,OP VISIT LEVEL 3 NP,452.0,452.0,67.8,452.0,34
CDM,691469,BASIC CARE NP,505.58,505.58,75.84,505.58,34
CDM,691470,OP VISIT LEVEL 5 EST,769.0,769.0,115.35,769.0,34
CDM,691471,OP VISIT LEVEL 4 EST,623.0,623.0,93.45,623.0,34
CDM,691472,OP VISIT LEVEL 3 EST,306.0,306.0,45.9,306.0,34
CDM,691473,UL PROC HEM OR LYMPH SYS,7609.81,7609.81,1141.47,7609.81,36
CDM,691474,BX SKIN SGL LSN PUNCH,914.4,914.4,137.16,914.4,36
CDM,691706,RVS TCO ST/ATH/AN A/R,58971.15,58971.15,8845.67,58971.15,36
CDM,69663,PLATE BN LAPDS RT STD,6085.0,6085.0,912.75,6085.0,30
CDM,698133,WORK HD/CON 2 HRS INT PT,976.71,976.71,146.51,976.71,38
CDM,698133,Work hardening/conditioning; initial 2 hours ,976.71,976.71,274.0,326.0,2
CDM,698135,WORK HDNG/COND ADL HR PT,652.31,652.31,97.85,652.31,38
CDM,698135,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,652.31,652.31,274.0,326.0,2
CDM,698299,CEFAZOLIN 100 MG/ML INJ,8.41,8.41,1.26,8.41,27
CDM,700741,LOCM 300-399 IC 1ML,13.5,13.5,2.02,13.5,27
CDM,70181,KWIRE FX 1.6MM 100MM,347.0,347.0,52.05,347.0,42
CDM,70259,ADAPTER MALE DOUBLE,85.5,85.5,12.82,85.5,42
CDM,70714,TISSUE EXPANDR SMTH 14-T,6622.0,6622.0,993.3,6622.0,30
CDM,70769,CAGE SPN ANT 14MM 15D,19200.0,19200.0,2880.0,19200.0,30
CDM,70770,SCREW SPN 5MM 25MM,1130.0,1130.0,169.5,1130.0,30
CDM,707820,ADMIN INFLUENZA VACCINE,218.84,218.84,37.2,218.84,38
CDM,707820,Administration of influenza virus vaccine ,218.84,218.84,21.0,21.0,1
CDM,707821,ADMIN PNEUMOCOCCAL VAC,218.84,218.84,37.2,218.84,38
CDM,70926,STENT TRCHBR 7FR 10X38MM,10725.0,10725.0,1608.75,10725.0,30
CDM,71019,STENT BIL 7FR 4CM,829.0,829.0,124.35,829.0,30
CDM,71020,STENT BIL 7FR 7CM,829.0,829.0,124.35,829.0,30
CDM,71021,STENT BIL 7FR 10CM,829.0,829.0,124.35,829.0,30
CDM,71022,CATH PSH BIL 5FR 170CM,726.5,726.5,108.97,726.5,42
CDM,71024,CTHPSH BIL 7F 170,726.5,726.5,108.97,726.5,42
CDM,71037,DILATOR BLN 30MM 90CM,4093.0,4093.0,613.95,4093.0,42
CDM,71038,DILATOR BLN 35MM 90CM,4093.0,4093.0,613.95,4093.0,42
CDM,71039,DILATOR BLN 40MM 90CM,4093.0,4093.0,613.95,4093.0,42
CDM,71040,BLN CATH RTRV 9-12MM,1013.5,1013.5,152.03,1013.5,42
CDM,71041,BLN CATH RTRV 12-15MM,1013.5,1013.5,152.03,1013.5,42
CDM,71042,BLN CATH RTRV 15-18MM,1013.5,1013.5,152.03,1013.5,42
CDM,71068,CATH ENDO 170CM 10FR,646.0,646.0,96.9,646.0,42
CDM,71069,CATHETER PSH 11F LF .035,646.0,646.0,96.9,646.0,42
CDM,71071,CTHGD 6F 320 CM,773.0,773.0,115.95,773.0,42
CDM,71072,CATH BIL 6-4FR 4X200CM,773.0,773.0,115.95,773.0,42
CDM,71074,CATH BIL 7-4FR 4X200CM,773.0,773.0,115.95,773.0,42
CDM,71075,CATH BIL DILATION 9F,773.0,773.0,115.95,773.0,42
CDM,71077,CATH BIL 10-6FR 4X200CM,773.0,773.0,115.95,773.0,42
CDM,71078,CTHDX SOEH N 11.5F,773.0,773.0,115.95,773.0,42
CDM,714629,ROD SPN CRVD 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
CDM,717139,COMPNT ANK TIB LNG SZ5,31774.0,31774.0,4766.1,31774.0,30
CDM,717468,STENT COR 3.00X28MM,1827.0,1827.0,274.05,1827.0,30
CDM,71782,SCREW BN 4.2MM 14MM,2806.0,2806.0,420.9,2806.0,30
CDM,71966,CAGE SPN LMBR 10D 12MM,19200.0,19200.0,2880.0,19200.0,30
CDM,72049,CATHETER SUPRPUB RTNR 14,773.0,773.0,115.95,773.0,42
CDM,72309,SCREW SPN 6.50MM 50MM,3012.0,3012.0,451.8,3012.0,30
CDM,72479,CATH URET COUDE TIP 16FR,27.5,27.5,4.13,27.5,42
CDM,72532,CATH URET 20FR 2W 5CC,191.0,191.0,28.65,191.0,42
CDM,72796,TRAY CATH WO/CATH,207.0,207.0,31.05,207.0,42
CDM,73166,CATH URTH INTRMT 10FR,15.5,15.5,2.33,15.5,42
CDM,73178,CATH URTH INTRMT 12FR,15.5,15.5,2.33,15.5,42
CDM,73195,SCREW SPN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,73248,SCREW SPN 5.5MM 25MM,2259.0,2259.0,338.85,2259.0,30
CDM,73269,SCREW SPN 6.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,73285,SCREW SPN 5.0MM 25MM,3012.0,3012.0,451.8,3012.0,30
CDM,73354,SCREW SPN 7.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
CDM,73564,CAGE SPN 10D 12X18X55MM,13287.0,13287.0,1993.05,13287.0,30
CDM,73737,SCREW SPN 7.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
CDM,73753,CAGE SPN 15D 6X38X28MM,18868.0,18868.0,2830.2,18868.0,30
CDM,73763,CATH DRN THOR 32FR 23IN,145.0,145.0,21.75,145.0,42
CDM,73783,STEM HUM SHLDR 15MM 90MM,13287.0,13287.0,1993.05,13287.0,30
CDM,73851,KIT CATH TROCAR 28F,338.0,338.0,50.7,338.0,42
CDM,73981,END CAP 10D 13MM,11122.0,11122.0,1668.3,11122.0,30
CDM,73999,SPACER SPN 15D 7X38X28MM,15878.0,15878.0,2381.7,15878.0,30
CDM,74207,ROD SPN LRDTC 3.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
CDM,743912,DEVICE CATH GD 40X135CM,14801.0,14801.0,2220.15,14801.0,42
CDM,747576,BLADE SAW 2K ASSTD,773.0,773.0,115.95,773.0,42
CDM,747577,BASEPLATE TIB LMRL SZ6,5395.0,5395.0,809.25,5395.0,30
CDM,747579,INSERT TIB LT 5-6X8 MDL,4429.0,4429.0,664.35,4429.0,30
CDM,747581,COMPNT FEM LG PTLFEM LT,8833.0,8833.0,1324.95,8833.0,30
CDM,747582,COMP TRCLR LG PTLFEM RT,8833.0,8833.0,1324.95,8833.0,30
CDM,747583,PLATE BN 3.5X133MM,5870.0,5870.0,880.5,5870.0,30
CDM,747585,PLATE BN TI 35MM,3534.0,3534.0,530.1,3534.0,30
CDM,747586,SCREW BN TI 2.7MM 16MM,1356.0,1356.0,203.4,1356.0,30
CDM,75132,PLATE SPN 3LVL 1.9H 54MM,4429.0,4429.0,664.35,4429.0,30
CDM,75243,STENT GRAFT 16X24X146MM,17207.0,17207.0,2581.05,17207.0,30
CDM,75249,PROBE STIM MNPLR,921.0,921.0,138.15,921.0,42
CDM,75552,VAG IRR SET 1500CC,59.0,59.0,8.85,59.0,42
CDM,764629,ISONIAZID 1000MG MDV,2018.4,2018.4,371.59,2018.4,26
CDM,764654,MIDAZOLAM 10 MG/10ML MDV,47.0,47.0,7.05,47.0,27
CDM,764661,EXAGAMGLOGENE INJ,9999999.0,9999999.0,1699999.83,9999999.0,35
CDM,764661,"Injection, exagamglogene autotemcel, per treatment ",9999999.0,9999999.0,6179800.0,6179800.0,3
CDM,764664,FOLIC ACID 1 MG INJ,610.2,610.2,91.53,610.2,29
CDM,764667,AMINOCAPROIC 5 G INJ,155.07,155.07,23.26,155.07,29
CDM,764674,SMX/TMP 800/160MG MDV,263.55,263.55,39.53,263.55,29
CDM,764715,EPI NOS 10 MG MDV,690.0,690.0,103.5,690.0,29
CDM,764717,NALOX NOS 4 MG MDV,17696.88,17696.88,2654.53,17696.88,29
CDM,764718,VANCO 5 G MDV,681.94,681.94,102.29,681.94,29
CDM,764737,LIDO 1% 200MG/20ML MDV,47.0,47.0,7.05,47.0,30
CDM,764739,LIDO 1% 500MG/50ML MDV,47.0,47.0,7.05,47.0,30
CDM,764746,LIDO 2% 400MG/20ML MDV,47.0,47.0,7.05,47.0,30
CDM,764751,LIDO 250MG/EPI0.25MG MDV,91.3,91.3,13.7,91.3,30
CDM,764754,LIDO 200MG/EPI 0.2MG MDV,64.58,64.58,9.69,64.58,30
CDM,764755,LIDO 300MG/EPI 0.3MG MDV,153.78,153.78,23.07,153.78,30
CDM,764757,LIDO 400MG/EPI 0.2MG MDV,65.54,65.54,9.83,65.54,30
CDM,764758,LIDO 600MG/EPI 0.3MG MDV,72.56,72.56,10.88,72.56,30
CDM,764807,DEXTROSE 70% 2000ML MDV,196.25,196.25,29.44,196.25,38
CDM,764819,BALFAXAR 640 U IX INJ,12979.7,12979.7,2389.56,12979.7,23
CDM,764820,BALFAXAR 1280 U IX INJ,25959.4,25959.4,4779.13,25959.4,23
CDM,764823,CYCLOPHOS NOS 500 MGINJ,2727.04,2727.04,502.05,2727.04,23
CDM,764826,505DR CYCLOPHOS 2 G MDV,9432.68,9432.68,1736.56,9432.68,23
CDM,764826,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",9432.68,9432.68,1.01,1.13,2
CDM,764840,ASCORBIC ACID 25 G MDV,1727.51,1727.51,259.13,1727.51,38
CDM,764846,AMTAGVI INJ,6983412.0,6983412.0,1047511.8,6983412.0,39
CDM,764871,BUMETANIDE 2.5 MG MDV,167.4,167.4,25.11,167.4,27
CDM,764896,PHENYLEPHRINE 50 MG MDV,954.3,954.3,143.15,954.3,28
CDM,764906,PHENYLEPHRINE 100 MG MDV,1908.6,1908.6,286.29,1908.6,28
CDM,764950,HUMATE-P 600 U VWF:RCO,5375.94,5375.94,989.71,5375.94,23
CDM,764950,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",5375.94,5375.94,1.79,2.01,2
CDM,764959,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",4742.58,4742.58,1.99,2.24,2
CDM,764959,RECOMBINATE 400 U INJ,4742.58,4742.58,873.11,4742.58,23
CDM,764977,BENEFIX 500 U INJ,4667.93,4667.93,859.37,4667.93,23
CDM,764977,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",4667.93,4667.93,2.35,2.65,2
CDM,765157,"Antithrombin iii (human), per i.u. ",13520.91,13520.91,4.97,5.6,2
CDM,765157,THROMBATE III 500 U INJ,13520.91,13520.91,2489.2,13520.91,23
CDM,765266,"Anti-inhibitor, per i.u. ",10637.57,10637.57,3.02,3.4,2
CDM,765266,FEIBA 650 U INJ,10637.57,10637.57,1958.38,10637.57,23
CDM,765349,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",6653.15,6653.15,1.77,1.99,2
CDM,765349,NOVOEIGHT 500 U INJ,6653.15,6653.15,1224.84,6653.15,23
CDM,767693,KCENTRA 1 U INJ,16.85,16.85,3.1,16.85,23
CDM,767693,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",16.85,16.85,3.89,4.38,2
CDM,77006,PLATE BN LT 4HL 1.4MM,5484.0,5484.0,822.6,5484.0,30
CDM,77073,PLATE BN TRAUMA 4HL 25MM,4859.0,4859.0,728.85,4859.0,30
CDM,77088,WASHER BN FLAT 4.0,319.0,319.0,47.85,319.0,30
CDM,77093,SCREW BN 3.5MM 40MM,2105.0,2105.0,315.75,2105.0,30
CDM,77122,SCREW BN 7.0MM 55MM,3189.0,3189.0,478.35,3189.0,30
CDM,77135,SCREW BN CANN 7MM 44MM,3189.0,3189.0,478.35,3189.0,30
CDM,77152,TRAY GSTRC LAV 34FR 36IN,210.0,210.0,31.5,210.0,42
CDM,77183,SCREW BN 7MM 76MM MNSTR,3189.0,3189.0,478.35,3189.0,30
CDM,772272,BENDEKA 100 MG MDV,15927.19,15927.19,2932.2,15927.19,23
CDM,772272,"Injection, bendamustine hcl (bendeka), 1 mg ",15927.19,15927.19,17.42,19.6,2
CDM,772275,BUPIVAC 250 MG/50 ML MDV,262.02,262.02,39.3,262.02,28
CDM,772283,CISPLATIN 100MG MDV,399.84,399.84,59.98,399.84,27
CDM,772294,DEXAMETH NA PHOS 20MGMDV,321.1,321.1,48.16,321.1,27
CDM,772297,DOCETAXEL 160 MG MDV,15674.08,15674.08,2351.11,15674.08,27
CDM,772321,ETOPOSIDE 1 G MDV,671.08,671.08,100.66,671.08,27
CDM,772343,GENTAMICIN 800 MG MDV,333.0,333.0,49.95,333.0,27
CDM,772344,HEPAR 10000U/10ML MDV,97.98,97.98,14.7,97.98,27
CDM,772348,KANJINTI BS 420 MG MDV,30118.13,30118.13,5544.75,30118.13,24
CDM,772498,KETAMINE 500 MG MDV,47.0,47.0,7.05,47.0,30
CDM,772499,LABETALOL 100 MG MDV,92.0,92.0,13.8,92.0,28
CDM,77449,WIRE OLIVE 7X1.60MM 8CM,386.5,386.5,57.98,386.5,42
CDM,77452,SCREW BN NONLCK 4.2X24MM,2200.0,2200.0,330.0,2200.0,30
CDM,77453,SCREW BN 4.2MM 34MM,2200.0,2200.0,330.0,2200.0,30
CDM,77477,PLATE BN SCREW 5.2X32MM,2910.0,2910.0,436.5,2910.0,30
CDM,77699,PLATE BN STD FLAT RT 8HL,8928.0,8928.0,1339.2,8928.0,30
CDM,77702,SCREW BN LCK 4.2X32MM,2806.0,2806.0,420.9,2806.0,30
CDM,77705,SCREW BN 5.2MM 34MM,2272.0,2272.0,340.8,2272.0,30
CDM,77790,PLATE ANKL FIB STR 5HL,3721.0,3721.0,558.15,3721.0,30
CDM,77791,WASHER BN ORT FLAT/DOME,1356.0,1356.0,203.4,1356.0,30
CDM,77917,DRILL CANN 2.9X140MM,386.5,386.5,57.98,386.5,42
CDM,77951,SCREW SPN 4.0MM 12MM,3389.0,3389.0,508.35,3389.0,30
CDM,78092,SCREW BN LCKNG 3.5X40MM,2727.0,2727.0,409.05,2727.0,30
CDM,78093,KWIRE FX 1.6MM 150MM,347.0,347.0,52.05,347.0,42
CDM,782395,OCTREOTID ND 1000MCG MDV,389.84,389.84,58.48,389.84,36
CDM,785987,PROCAINAMIDE 1 G MDV,2528.26,2528.26,465.45,2528.26,23
CDM,785988,PROCHLORPERAZ 10 MG MDV,560.43,560.43,84.06,560.43,27
CDM,786009,CEA,2336.38,2336.38,430.13,2336.38,28
CDM,786009,Carcinoembryonic antigen (CEA) ,2336.38,2336.38,8.53,76.56,47
CDM,786068,BLOCK AUGMT KN 4.5 10MM,4606.0,4606.0,690.9,4606.0,30
CDM,786362,ROCURONIUM 100 MG MDV,330.62,330.62,49.59,330.62,30
CDM,786382,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",21833.84,21833.84,16.18,18.2,2
CDM,786382,TRAZIMERA BS 420 MG MDV,21833.84,21833.84,4019.61,21833.84,24
CDM,786436,ANAKINRA 100 MG INJ,2541.67,2541.67,381.25,2541.67,39
CDM,786527,"Injection, vinblastine sulfate, 1 mg ",486.39,486.39,4.97,5.59,2
CDM,786527,VINBLASTINE 10 MG MDV,486.39,486.39,72.96,486.39,27
CDM,793052,KWIRE FX 1.6MM 150MM,768.5,768.5,115.28,768.5,42
CDM,79512,NEEDLE BX 11.4 14GA,661.5,661.5,99.22,661.5,42
CDM,796767,LIVTENCITY 200 MG PO,1586.83,1586.83,238.02,1586.83,31
CDM,79699,PACKING WND .25IN 5YD,37.0,37.0,5.55,37.0,42
CDM,797074,LINER HIP DUAL 38/50MM,4606.0,4606.0,690.9,4606.0,30
CDM,799052,BRACHYTX NS YTTRIUM 90,90042.0,90042.0,16576.73,90042.0,26
CDM,799061,TRYPANOSOMA CRUZI IGG,596.01,596.01,109.73,596.01,28
CDM,799777,INSERT TIB 4.5 17MM KN,4429.0,4429.0,664.35,4429.0,30
CDM,8000,TOWER 9TH FLR TELEMETRY,7136.0,7136.0,,,0
CDM,800011,FRUCTOSAMINE,518.53,518.53,95.46,518.53,28
CDM,800011,Glycated protein ,518.53,518.53,7.54,85.54,49
CDM,800014,PROS SPEC AG (PSA) SCR,2190.36,2190.36,403.25,2190.36,30
CDM,800014,Prostate cancer screening; prostate specific antigen test (psa) ,2190.36,2190.36,8.69,57.93,44
CDM,800025,BARTONELLA Q IGG,479.79,479.79,88.33,479.79,28
CDM,800026,BARTONELLA H IGM,479.79,479.79,88.33,479.79,28
CDM,800027,BARTONELLA Q IGM,479.79,479.79,88.33,479.79,28
CDM,800028,BARTONELLA H IGG,479.79,479.79,88.33,479.79,28
CDM,8001,TOWER 5TH FLR STEPDOWN,12296.0,12296.0,,,0
CDM,800133,ELECTROLYTE PANEL,1671.82,1671.82,307.78,1671.82,28
CDM,8002,TOWER 7TH FLR TELEMETRY,7136.0,7136.0,,,0
CDM,800266,CA 15-3 QN,1478.12,1478.12,272.12,1478.12,28
CDM,800276,CA 125 QN,1332.07,1332.07,245.23,1332.07,28
CDM,800276,"Immunoassay for tumor antigen, quantitative; CA 125 ",1332.07,1332.07,9.36,67.54,47
CDM,800286,CA 19-9 QN,1478.12,1478.12,272.12,1478.12,28
CDM,800286,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",1478.12,1478.12,9.36,67.54,47
CDM,8003,TOWER 12TH FLR TELEMETRY,7136.0,7136.0,,,0
CDM,8004,SC 4TH FLR TELEMETRY,7136.0,7136.0,,,0
CDM,8005,TOWER 9TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,80054,STENT ILIOFEM 16X60MM,5069.0,5069.0,760.35,5069.0,30
CDM,800544,"Antibody; cytomegalovirus (CMV), IgM ",268.0,268.0,7.58,129.1,47
CDM,800544,CMV IGM QUAL,268.0,268.0,49.34,268.0,28
CDM,800546,N TELOPEPTIDE UR,596.01,596.01,109.73,596.01,28
CDM,800548,PROPEPTIDE TYPE 1 COLLAG,1561.0,1561.0,287.38,1561.0,28
CDM,800554,IMMUNOFIX ELECTRO UR,846.33,846.33,155.81,846.33,28
CDM,800581,HEPATIC FUNCTION PANEL,2354.26,2354.26,433.42,2354.26,28
CDM,800591,ACUTE HEPATITIS PANEL,2154.6,2154.6,396.66,2154.6,28
CDM,800591,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",2154.6,2154.6,21.43,168.75,47
CDM,8006,TOWER 5TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,80060,MARKER BRST BX 20GA 9CM,513.0,513.0,76.95,513.0,30
CDM,8007,TOWER 7TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,8008,TOWER 12TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,8009,SC 4TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,8010,ICU STEPDOWN,12296.0,12296.0,,,0
CDM,8011,CCU STEPDOWN,12296.0,12296.0,,,0
CDM,8012,CCU MED SURG OVERFLOW,2994.0,2994.0,,,0
CDM,8013,CVICU STEPDOWN,12296.0,12296.0,,,0
CDM,80135,PLUG DEFIB LD IS4/DF4,511.0,511.0,76.65,511.0,30
CDM,8014,CVICU MED SURG OVERFLOW,2994.0,2994.0,,,0
CDM,8018,WH 8TH FLR HROB,5405.0,5405.0,,,0
CDM,80182,CRT-P HF-T MRI,17360.0,17360.0,2604.0,17360.0,30
CDM,8020,WH 8TH FLR MED SURG,2994.0,2994.0,,,0
CDM,8021,TOWER ER HOLD ICU,14607.0,14607.0,,,0
CDM,8022,TOWER ER HOLD TELEMETRY,7136.0,7136.0,,,0
CDM,8023,ER HOLD MED SURG,2994.0,2994.0,,,0
CDM,8024,WH MED SURG,2994.0,2994.0,,,0
CDM,8027,WH OB ROOM,2267.0,2267.0,,,0
CDM,8028,WH HROB ROOM,5405.0,5405.0,,,0
CDM,8029,ICU MED SURG OVERFLOW,2994.0,2994.0,,,0
CDM,8030,INTENSIVE CARE UNIT,14607.0,14607.0,,,0
CDM,80320,GRAFT BN PRSV 5X19MM,8695.0,8695.0,1304.25,8695.0,30
CDM,8034,CARDIOVASCULAR ICU,16701.0,16701.0,,,0
CDM,8036,WH 8TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,8037,WH ISOLATION,4756.0,4756.0,,,0
CDM,8042,LEVEL I NEWBORN,1954.0,1954.0,,,0
CDM,8044,LEVEL III NEWBORN,16818.0,16818.0,,,0
CDM,8045,LEVEL IV NEWBORN,19010.0,19010.0,,,0
CDM,8056,SC 3N MED SURG,2994.0,2994.0,,,0
CDM,8057,SC 3N STEPDOWN,12296.0,12296.0,,,0
CDM,8058,TOWER 9TH FLR MED SURG,2994.0,2994.0,,,0
CDM,8059,TOWER 5TH FLR MED SURG,2994.0,2994.0,,,0
CDM,8060,TOWER 7TH FLR MED SURG,2994.0,2994.0,,,0
CDM,8061,TOWER 12TH FLR MED SURG,2994.0,2994.0,,,0
CDM,8062,SC 3N ISOLATION,4756.0,4756.0,,,0
CDM,8063,SC 4TH FLR MED SURG,2994.0,2994.0,,,0
CDM,80656,SRFC ARTC KNSZCD 1-2 H10,5094.0,5094.0,764.1,5094.0,30
CDM,8075,CARDIAC CRITICAL CARE,14607.0,14607.0,,,0
CDM,8077,SC 2ND FLR MED SURG,2994.0,2994.0,,,0
CDM,8078,SC 2ND FLR TELEMETRY,7136.0,7136.0,,,0
CDM,8079,WH HOLD MED SURG,2994.0,2994.0,,,0
CDM,8080,SC 2ND FLR ISOLATION,4756.0,4756.0,,,0
CDM,8082,WH 8TH FLR OB,2267.0,2267.0,,,0
CDM,8084,TOWER EMA HOLD MED SURG,2994.0,2994.0,,,0
CDM,80862,INSERT BRNG TIB KN7 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,8092,SC 3 CENTRAL MED SURG,2994.0,2994.0,,,0
CDM,8093,SC 3 CENTRAL TELEMETRY,7136.0,7136.0,,,0
CDM,8094,SC 3 CENTRAL ISOLATION,4756.0,4756.0,,,0
CDM,8098,TOWER 6TH FLR MED SURG,2994.0,2994.0,,,0
CDM,8099,TOWER 6TH FLR TELEMETRY,7136.0,7136.0,,,0
CDM,80990,SCREW BN LCK 4.2X24MM,2806.0,2806.0,420.9,2806.0,30
CDM,809971,SCREW BN 4.2MM 26MM,2200.0,2200.0,330.0,2200.0,30
CDM,8100,TOWER 6TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,810000,UA W O MICRO AUTO,649.63,649.63,119.6,649.63,28
CDM,810011,CORTISOL FREE URINE,2226.1,2226.1,409.83,2226.1,28
CDM,810011,Cortisol; free ,2226.1,2226.1,7.52,60.29,47
CDM,810124,PH BODY FLUID,291.0,291.0,53.57,291.0,28
CDM,810125,PH STOOL,291.0,291.0,53.57,291.0,28
CDM,810146,SP GRAV BDY FLUID NOT UR,351.61,351.61,64.73,351.61,28
CDM,810146,Specific gravity (except urine) ,351.61,351.61,1.48,11.16,47
CDM,8108,LEVEL II NEWBORN,11678.0,11678.0,,,0
CDM,8113,SC EMA HOLD MED SURG,2994.0,2994.0,,,0
CDM,8114,WH 3RD FLR PEDIATRIC,2994.0,2994.0,,,0
CDM,8115,WH 3RD FLR PED ISOLATION,4756.0,4756.0,,,0
CDM,8116,NEUROSURGICAL ICU,14607.0,14607.0,,,0
CDM,8117,OBER FAMILY BIRTH UNIT,2267.0,2267.0,,,0
CDM,8118,OBER HIGH RISK,5405.0,5405.0,,,0
CDM,8119,HVC SURGICAL HOLD,2994.0,2994.0,,,0
CDM,81198,SYST BONE MILL DUAL BLDE,1653.5,1653.5,248.03,1653.5,42
CDM,8120,TOWER 7N MED SURG,2994.0,2994.0,,,0
CDM,8121,TOWER 7N ISOLATION,4756.0,4756.0,,,0
CDM,8122,TOWER 7N TELEMETRY,7136.0,7136.0,,,0
CDM,8123,PEDIATRIC ICU,14607.0,14607.0,,,0
CDM,8124,PICU PEDS OVERFLOW,2994.0,2994.0,,,0
CDM,8125,PICU STEPDOWN,12296.0,12296.0,,,0
CDM,8126,NSICU MED SURG OVERFLOW,2994.0,2994.0,,,0
CDM,8128,NSICU STEPDOWN,12296.0,12296.0,,,0
CDM,8131,SH FSER HOLD ICU,14607.0,14607.0,,,0
CDM,8132,SH FSER HOLD TELEMETRY,7136.0,7136.0,,,0
CDM,8133,SH FSER HOLD MED SURG,2994.0,2994.0,,,0
CDM,8134,SH FSER HOLD OB,2267.0,2267.0,,,0
CDM,8135,TOWER 11S MED SURG,2994.0,2994.0,,,0
CDM,8136,TOWER 11S TELEMETRY,7136.0,7136.0,,,0
CDM,8137,TOWER 11S ISOLATION,4756.0,4756.0,,,0
CDM,8138,W3 PED MED SURG OVERFLOW,2994.0,2994.0,,,0
CDM,81381,PLATE BN 10HL 3.5X177MM,5955.0,5955.0,893.25,5955.0,30
CDM,8139,W8 MED SURG OVERFLOW,2994.0,2994.0,,,0
CDM,8140,EMAT MED SURG OVERFLOW,2994.0,2994.0,,,0
CDM,81402,MARKER IMP SYS 15GA,1678.0,1678.0,251.7,1678.0,30
CDM,8143,TOWER 6N MED SURG,2994.0,2994.0,,,0
CDM,8144,TOWER 6N TELEMETRY,7136.0,7136.0,,,0
CDM,8145,PED ONCOLOGY,2994.0,2994.0,,,0
CDM,814502,CMPNT PTLA KN E+ 8X32MM,4252.0,4252.0,637.8,4252.0,30
CDM,8149,PEDIATRIC ER HOLD,2994.0,2994.0,,,0
CDM,8150,PEDIATRIC ER HOLD ICU,14607.0,14607.0,,,0
CDM,8151,DISCHARGE LOUNGE,2994.0,2994.0,,,0
CDM,8152,TOWER 11TH FLR MED SURG,2994.0,2994.0,,,0
CDM,815208,RING TNSN EYEJT PRELOAD,3173.0,3173.0,475.95,3173.0,30
CDM,8153,TOWER 11TH FLR TELEMETRY,7136.0,7136.0,,,0
CDM,8154,TOWER 11TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,8155,IR MED SURG,2994.0,2994.0,,,0
CDM,81557,SCREW BN 4.2MM 18MM,2806.0,2806.0,420.9,2806.0,30
CDM,81558,SCREW BN 4.2MM 18MM,2200.0,2200.0,330.0,2200.0,30
CDM,8156,IR TELEMETRY,7136.0,7136.0,,,0
CDM,8157,TOWER 6N B STEPDOWN,12296.0,12296.0,,,0
CDM,8158,TOWER 6N B MED SURG,2994.0,2994.0,,,0
CDM,8159,TOWER 6N B ISOLATION,4756.0,4756.0,,,0
CDM,8160,TOWER EMA8 HOLD,2994.0,2994.0,,,0
CDM,816031,DRESSING CLGN 2X2IN,114.5,114.5,17.18,114.5,42
CDM,8161,TOWER PACU8 HOLD,2994.0,2994.0,,,0
CDM,8162,TOWER PACU8 HOLD ICU,14607.0,14607.0,,,0
CDM,8163,TOWER 6N ISOLATION,4756.0,4756.0,,,0
CDM,8164,SDU OVERFLOW MED SURG,2994.0,2994.0,,,0
CDM,8165,SDU OVERFLOW TELEMETRY,7136.0,7136.0,,,0
CDM,8166,LAU OVERFLOW MED SURG,2994.0,2994.0,,,0
CDM,8167,LAU OVERFLOW TELEMETRY,7136.0,7136.0,,,0
CDM,8168,LAU OVERFLOW ISOLATION,4756.0,4756.0,,,0
CDM,816833,SCREW BN 4MM 36MM,2344.0,2344.0,351.6,2344.0,30
CDM,8169,INTENSIVE CARE ECMO CVIC,66809.0,66809.0,,,0
CDM,8170,INTENSIVE CARE ECMO CCU,58427.0,58427.0,,,0
CDM,8171,TOWER 4TH FLR MED SURG,2994.0,2994.0,,,0
CDM,8172,TOWER 4TH FLR TELEMETRY,7136.0,7136.0,,,0
CDM,8173,TOWER 4TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,8174,TOWER 10TH FLR MED SURG,2994.0,2994.0,,,0
CDM,8175,TOWER 10TH FLR TELEMETRY,7136.0,7136.0,,,0
CDM,8176,TOWER 10TH FLR ISOLATION,4756.0,4756.0,,,0
CDM,8177,TOWER NEURO STEPDOWN,12296.0,12296.0,,,0
CDM,817781,ANCHOR SUT 2.7MM 2-0 3/8,955.0,955.0,143.25,955.0,30
CDM,8178,TOWER NSD MED SURG,2994.0,2994.0,,,0
CDM,81782,PLATE BN 5HL 3.5/4.5MM,8822.0,8822.0,1323.3,8822.0,30
CDM,8179,TOWER NSD ISOLATION,4756.0,4756.0,,,0
CDM,81798,PLATE BN 9H 3.5/4.5MM,9249.0,9249.0,1387.35,9249.0,30
CDM,8180,INTENSIVE CARE ECMO MSIC,58427.0,58427.0,,,0
CDM,8181,SC 3 CENTRAL STEPDOWN,12296.0,12296.0,,,0
CDM,8182,PED ONCOLOGY STEPDOWN,12296.0,12296.0,,,0
CDM,8183,LEVEL II NEWBORN,11678.0,11678.0,,,0
CDM,8184,BV FSER HOLD ICU,14607.0,14607.0,,,0
CDM,81840,SCREW BN N-LCK 3.5X70MM,2105.0,2105.0,315.75,2105.0,30
CDM,81842,SCREW BN 4.2MM 30MM,2200.0,2200.0,330.0,2200.0,30
CDM,81843,SCREW BN 4.2MM 36MM,2200.0,2200.0,330.0,2200.0,30
CDM,8185,BV FSER HOLD TELEMETRY,7136.0,7136.0,,,0
CDM,8186,BV FSER HOLD MED SURG,2994.0,2994.0,,,0
CDM,8187,BV FSER HOLD OB,2267.0,2267.0,,,0
CDM,8188,LEVEL III NEWBORN,16818.0,16818.0,,,0
CDM,8190,LEVEL II NEWBORN,11678.0,11678.0,,,0
CDM,8191,LEVEL III NEWBORN,16818.0,16818.0,,,0
CDM,8192,LEVEL IV NEWBORN,19010.0,19010.0,,,0
CDM,8193,LEVEL II NEWBORN,11678.0,11678.0,,,0
CDM,8194,LEVEL III NEWBORN,16818.0,16818.0,,,0
CDM,8195,LEVEL IV NEWBORN,19010.0,19010.0,,,0
CDM,820101,RUBEOLA IGM,104.29,104.29,19.2,104.29,28
CDM,820108,OLIGOCLONAL BANDS,5218.12,5218.12,960.66,5218.12,28
CDM,820108,Oligoclonal immune (oligoclonal bands) ,5218.12,5218.12,12.33,111.99,47
CDM,820122,ANCA-P ATYPICAL AB TITER,369.0,369.0,67.93,369.0,28
CDM,820123,RUBEOLA IGG,736.05,736.05,135.51,736.05,28
CDM,820128,HEPATITIS C AB QUAL,1617.0,1617.0,297.69,1617.0,28
CDM,820128,Hepatitis C antibody; ,1617.0,1617.0,6.42,71.93,49
CDM,820130,PREALBUMIN,1317.2,1317.2,242.5,1317.2,28
CDM,820130,Prealbumin ,1317.2,1317.2,6.57,43.77,47
CDM,820132,HEP A AB TOTAL,673.5,673.5,123.99,673.5,28
CDM,820132,Hepatitis A antibody (HAAb) ,673.5,673.5,5.58,58.64,47
CDM,82023,SCREW BN LCK 5MM 84MM,2656.0,2656.0,398.4,2656.0,30
CDM,820260,ANCA CYTOPLASMIC TITER,369.0,369.0,67.93,369.0,28
CDM,820262,ANCA PERINUCLEAR TITER,369.0,369.0,67.93,369.0,28
CDM,820401,ALBUMIN OTHER QN,452.95,452.95,83.39,452.95,28
CDM,820401,"Albumin; other source, quantitative, each specimen ",452.95,452.95,3.2,23.34,49
CDM,821087,KERECIS OMEGA3 1SQCM,619.0,619.0,92.85,619.0,29
CDM,821230,PIN GUIDE 3MM 75MM,386.5,386.5,57.98,386.5,42
CDM,821232,GUIDE SURG REV SHLDR,1637.0,1637.0,245.55,1637.0,42
CDM,821729,ANTITHROMBIN 3 ACT,2604.58,2604.58,479.5,2604.58,28
CDM,821729,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",2604.58,2604.58,5.33,60.95,47
CDM,82177,TUBE TRACH CUFF FN SZ4,592.0,592.0,88.8,592.0,42
CDM,82229,NAIL FEM 10MM 380MM,8713.0,8713.0,1306.95,8713.0,30
CDM,822407,THROMBIN TIME,715.21,715.21,131.67,715.21,28
CDM,822407,Thrombin time; plasma ,715.21,715.21,2.6,31.7,47
CDM,822418,BG WITH CALC O2 SAT,1633.06,1633.06,300.65,1633.06,28
CDM,822420,Blood count; hematocrit (Hct) ,482.75,482.75,1.07,13.38,49
CDM,822420,HEMATOCRIT,482.75,482.75,88.87,482.75,28
CDM,82275,SCREW SPN PLVC 10.0X45MM,12047.0,12047.0,1807.05,12047.0,30
CDM,82280,SCREW BN NLCKG 4.2X44MM,2200.0,2200.0,330.0,2200.0,30
CDM,82281,SCREW BN 4.2MM 38MM,2200.0,2200.0,330.0,2200.0,30
CDM,82285,SCREW BN LCKING 5.2X42MM,2910.0,2910.0,436.5,2910.0,30
CDM,82286,SCREW BN PLT 5.2MMX36MM,2749.0,2749.0,412.35,2749.0,30
CDM,82397,SCREW SPN PLVC 10.5X50MM,12955.0,12955.0,1943.25,12955.0,30
CDM,824666,HDL CHOLESTEROL DM,730.11,730.11,134.41,730.11,28
CDM,824666,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",730.11,730.11,3.69,41.76,49
CDM,82472,BLADE SAW 80X12.5MM,263.0,263.0,39.45,263.0,42
CDM,824826,CHROM ANAL 20-25 CELLS,2993.0,2993.0,551.01,2993.0,28
CDM,824826,Chromosome analysis; analyze 20-25 cells ,2993.0,2993.0,65.07,628.08,47
CDM,824910,ORGANIC ACIDS QL EA SPEC,3840.0,3840.0,706.94,3840.0,28
CDM,824910,"Organic acids; qualitative, each specimen ",3840.0,3840.0,7.4,76.44,47
CDM,825010,HEPARIN ANTI XA,943.0,943.0,173.61,943.0,28
CDM,825010,Heparin assay ,943.0,943.0,5.89,73.2,47
CDM,825507,CK-ISOENZYMES,1332.07,1332.07,245.23,1332.07,28
CDM,825507,"Creatine kinase (CK), (CPK); isoenzymes ",1332.07,1332.07,6.03,74.42,47
CDM,825972,CRYPTOCOCCUS AG OIA,115.02,115.02,21.18,115.02,28
CDM,826224,CMV IGG QUAL,1007.24,1007.24,185.43,1007.24,28
CDM,82742,PLATE BN VOLR 3HL 2.3MM,5072.0,5072.0,760.8,5072.0,30
CDM,827452,FOLATE (FOLIC ACID) SER,801.63,801.63,147.58,801.63,28
CDM,827452,Folic acid; serum ,801.63,801.63,6.62,82.22,47
CDM,828921,ASPERGILLUS FLAVUS AB,554.28,554.28,102.04,554.28,28
CDM,828922,ASPERGILLUS FUMIGATUS AB,363.0,363.0,66.83,363.0,28
CDM,828923,ASPERGILLUS NIGER AB,554.28,554.28,102.04,554.28,28
CDM,8291,SUTURE OPTH 10-0 12IN,318.0,318.0,47.7,318.0,42
CDM,830200,HEMOGLOBIN FRACT HPLC,163.9,163.9,30.17,163.9,28
CDM,830200,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",163.9,163.9,8.13,91.01,47
CDM,830322,HEMOGLOBIN PLASMA,1114.51,1114.51,205.18,1114.51,28
CDM,830322,Hemoglobin; plasma ,1114.51,1114.51,3.29,41.44,47
CDM,830457,"Hemoglobin; methemoglobin, quantitative ",1332.07,1332.07,3.69,24.6,47
CDM,830457,METHEMOGLOBIN QUANT,1332.07,1332.07,245.23,1332.07,28
CDM,831557,HCG QUALITATIVE SERUM,843.32,843.32,155.26,843.32,28
CDM,83185,PLATE BN 7HL 0.5MM 1.6MM,1809.0,1809.0,271.35,1809.0,30
CDM,833507,PROGESTERONE,1737.0,1737.0,319.78,1737.0,28
CDM,833507,Progesterone ,1737.0,1737.0,9.39,99.97,47
CDM,833609,RENIN,2828.1,2828.1,520.65,2828.1,28
CDM,833609,Renin ,2828.1,2828.1,9.9,124.65,47
CDM,833892,INSULIN AB,2077.12,2077.12,382.4,2077.12,28
CDM,833892,Insulin antibodies ,2077.12,2077.12,9.63,118.43,47
CDM,833908,INSULIN TOTAL,347.0,347.0,63.88,347.0,28
CDM,833908,Insulin; total ,347.0,347.0,5.14,63.29,47
CDM,834031,TESTOSTERONE FREE,1019.2,1019.2,187.63,1019.2,28
CDM,834031,Testosterone; free ,1019.2,1019.2,11.46,187.68,47
CDM,834042,TESTOSTERONE TOTAL,2446.0,2446.0,450.31,2446.0,28
CDM,834042,Testosterone; total ,2446.0,2446.0,11.61,146.15,47
CDM,834067,TISS CULT NEOPLAS BM BLD,2993.0,2993.0,551.01,2993.0,28
CDM,834067,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",2993.0,2993.0,64.69,716.81,47
CDM,834508,T3 TOTAL,1016.16,1016.16,187.08,1016.16,28
CDM,834508,Triiodothyronine T3; total (TT-3) ,1016.16,1016.16,6.38,78.09,47
CDM,834542,T4 FREE,1311.21,1311.21,241.39,1311.21,28
CDM,834553,THYROXINE T4 TOTAL,658.58,658.58,121.24,658.58,28
CDM,834553,Thyroxine; total ,658.58,658.58,3.09,33.35,47
CDM,834724,THYROXINE BG (TBG),2035.39,2035.39,374.72,2035.39,28
CDM,834724,Thyroxine binding globulin (TBG) ,2035.39,2035.39,6.65,55.52,47
CDM,834804,TSH,1880.41,1880.41,346.18,1880.41,28
CDM,835160,PAMG-1 CVS QL,1096.68,1096.68,201.9,1096.68,28
CDM,838159,MERCURY BLD QUANT,2372.14,2372.14,436.71,2372.14,28
CDM,838739,MYOGLOBIN BLD,1153.28,1153.28,212.32,1153.28,28
CDM,838881,Receptor assay; non-endocrine (specify receptor) ,402.3,402.3,16.46,200.07,47
CDM,838881,SOLUBLE TRANSFER REC QN,402.3,402.3,74.06,402.3,28
CDM,838985,HEP C GENOTYPE,4142.3,4142.3,762.6,4142.3,28
CDM,838985,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,4142.3,4142.3,115.85,772.35,47
CDM,83989,SUTURE VIO BRD 4-0 18IN,78.5,78.5,11.78,78.5,42
CDM,840629,PROLACTIN,1559.0,1559.0,287.01,1559.0,28
CDM,840629,Prolactin ,1559.0,1559.0,8.72,109.91,47
CDM,840892,PHOSPHATIDYLSER AB IGA,959.57,959.57,176.66,959.57,28
CDM,840893,PHOSPHATIDYLSER AB IGG,959.57,959.57,176.66,959.57,28
CDM,840894,PHOSPHATIDYLSER AB IGM,959.57,959.57,176.66,959.57,28
CDM,840904,PHOSPHOLIPIDS SPECTRO,703.27,703.27,129.47,703.27,28
CDM,84122,CATH HMST 2.8MM 300CM,1254.5,1254.5,188.18,1254.5,42
CDM,842213,Thiamine (Vitamin B-1) ,2410.9,2410.9,9.55,119.91,47
CDM,842213,VITAMIN B1 THIAMINE,2410.9,2410.9,443.85,2410.9,28
CDM,842291,Antibody; Coxiella burnetii (Q fever) ,673.5,673.5,5.45,92.51,47
CDM,842291,Q FEVER AB QUAL,673.5,673.5,123.99,673.5,28
CDM,842462,SCLERODERMA 70 AB,2336.38,2336.38,430.13,2336.38,28
CDM,842620,SEX HORMONE BG,783.75,783.75,144.29,783.75,28
CDM,842620,Sex hormone binding globulin (SHBG) ,783.75,783.75,9.78,86.82,47
CDM,842995,SODIUM STOOL,1472.15,1472.15,271.02,1472.15,28
CDM,843533,HEP B DNA QN,1153.28,1153.28,212.32,1153.28,28
CDM,843533,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",1153.28,1153.28,19.28,218.77,47
CDM,843540,BORDETELLA PERTUSSIS IGG,190.71,190.71,35.11,190.71,28
CDM,843541,BORDETELLA PERTUSSIS IGM,235.44,235.44,43.34,235.44,28
CDM,843542,BORDETELLA PERTUSSIS IGA,1144.35,1144.35,210.67,1144.35,28
CDM,843552,COXSACKIE A AB QL,250.31,250.31,46.08,250.31,28
CDM,843554,COXSACKIE B AB QL,166.86,166.86,30.72,166.86,28
CDM,843564,ECHOVIRUS AB QUAL,438.05,438.05,80.65,438.05,28
CDM,844759,TRIGLYCERIDES,774.0,774.0,142.49,774.0,28
CDM,845209,IMMUNOFIX ELECTRO SER,846.33,846.33,155.81,846.33,28
CDM,845512,URIC ACID UR,569.0,569.0,104.75,569.0,28
CDM,845523,URIC ACID BODY FLD,569.18,569.18,104.79,569.18,28
CDM,845901,NIACIN VIT B 3,518.53,518.53,95.46,518.53,28
CDM,845901,"Vitamin, not otherwise specified ",518.53,518.53,7.68,51.18,47
CDM,846513,MURAMIDASE LYSOZYME,2187.36,2187.36,402.69,2187.36,28
CDM,846513,Muramidase ,2187.36,2187.36,8.44,88.84,47
CDM,850202,"Blood count; red blood cell (RBC), automated ",411.21,411.21,1.36,13.76,47
CDM,850202,RBC COUNT BLD AUTO,411.21,411.21,75.7,411.21,28
CDM,85030,PROBE ERASR HMSTC 18GA,152.0,152.0,22.8,152.0,42
CDM,850304,WBC COUNT BLD AUTO,351.61,351.61,64.73,351.61,28
CDM,850360,NASAL OR SPUTUM EOS SMR,518.53,518.53,95.46,518.53,28
CDM,850360,Nasal smear for eosinophils ,518.53,518.53,2.61,19.59,47
CDM,850371,SMR BLD PARASIT/INCL BDY,518.53,518.53,95.46,518.53,28
CDM,850371,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",518.53,518.53,2.7,33.35,49
CDM,852425,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",625.81,625.81,10.32,137.42,47
CDM,852425,FACTOR 8 VW MULTIMERS,625.81,625.81,115.21,625.81,28
CDM,85305,TUBE TRACH CFLS 10CFN,444.0,444.0,66.6,444.0,42
CDM,85309,TUBE TRACH 120D 44MM,318.0,318.0,47.7,318.0,42
CDM,853750,FIBRINOGEN ACTIVITY,1007.24,1007.24,185.43,1007.24,28
CDM,856093,PROTIME,646.0,646.0,118.93,646.0,28
CDM,856504,SED RATE AUTO,649.63,649.63,119.6,649.63,28
CDM,860001,ISLET CELL AB,1230.0,1230.0,226.44,1230.0,28
CDM,860020,PLT AB HEPARIN INDUCED,2625.43,2625.43,483.34,2625.43,28
CDM,860088,BRUCELLA AB QL IGG,730.11,730.11,134.41,730.11,28
CDM,860150,ENCEPH WEST NILE AB IGG,383.0,383.0,70.51,383.0,28
CDM,860151,ENCEPH WEST NILE AB IGM,383.0,383.0,70.51,383.0,28
CDM,860152,WEST NILE VIR AMP PROBE,1406.59,1406.59,258.95,1406.59,28
CDM,860301,DS DNA AB,1221.82,1221.82,224.94,1221.82,28
CDM,860301,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,1221.82,1221.82,6.18,78.09,47
CDM,860362,INTRINSIC FACT AB,1451.26,1451.26,267.18,1451.26,28
CDM,860362,Intrinsic factor antibodies ,1451.26,1451.26,6.79,82.86,47
CDM,860704,CROSSMATCH IMM SPIN,1183.0,1183.0,201.11,1183.0,33
CDM,860704,Compatibility test each unit; immediate spin technique ,1183.0,1183.0,22.2,63.49,8
CDM,860828,ANTIBODY ELUTION EA,544.0,544.0,92.48,544.0,33
CDM,860828,"Antibody elution (RBC), each elution ",544.0,544.0,19.94,85.69,8
CDM,861385,COMPLEMENT C2,1785.08,1785.08,328.63,1785.08,28
CDM,861410,ANTIBODY SCREEN EA,1093.0,1093.0,201.22,1093.0,28
CDM,861410,"Antibody screen, RBC, each serum technique ",1093.0,1093.0,4.4,56.5,47
CDM,861432,COMPLEMENT C4,1114.51,1114.51,205.18,1114.51,28
CDM,861501,COLD AGGLUTININ TITER,673.5,673.5,123.99,673.5,28
CDM,861501,Cold agglutinin; titer ,673.5,673.5,3.63,37.43,47
CDM,861512,ANTIBODY ID EA,875.0,875.0,148.75,875.0,33
CDM,861512,"Antibody identification, RBC antibodies, each panel for each serum technique ",875.0,875.0,17.52,62.92,8
CDM,861818,Antibody; Blastomyces ,569.18,569.18,5.81,61.27,47
CDM,861818,BLASTOMYCES AB QUAL,569.18,569.18,104.79,569.18,28
CDM,861909,Antibody; Leptospira ,1114.51,1114.51,7.29,66.27,47
CDM,861909,LEPTOSPIRA AB QUAL,1114.51,1114.51,205.18,1114.51,28
CDM,861998,THYROID PEROXIDASE AB,1284.4,1284.4,236.46,1284.4,28
CDM,862602,HUM GRAN EHRL AB QL IGG,783.75,783.75,144.29,783.75,28
CDM,862999,HEP A AB IGM QUAL,1183.07,1183.07,217.8,1183.07,28
CDM,862999,"Hepatitis A antibody (HAAb), IgM antibody ",1183.07,1183.07,5.07,56.7,47
CDM,863014,MONO SCR (HETEROPHILE),730.11,730.11,134.41,730.11,28
CDM,863033,AMOEBIC AB,101.0,101.0,18.59,101.0,28
CDM,863148,H PYLORI AG EIA STOOL,1358.91,1358.91,250.18,1358.91,28
CDM,863148,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1358.91,1358.91,6.47,43.14,49
CDM,863150,VARIC ZOSTER IGM,822.48,822.48,151.42,822.48,28
CDM,86342,PRBC WASH,1638.17,1638.17,278.49,1638.17,36
CDM,86342,"Red blood cells, washed, each unit ",1638.17,1638.17,181.42,181.42,6
CDM,86346,FFP,527.58,527.58,89.69,527.58,36
CDM,86346,"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit ",527.58,527.58,38.28,38.28,6
CDM,86348,CRYOPRECIPITATE,543.87,543.87,92.46,543.87,36
CDM,863605,RA QN,625.81,625.81,115.21,625.81,28
CDM,86362,PLTS PHERESIS LR EA UNIT,6100.1,6100.1,1037.02,6100.1,36
CDM,86362,"Platelets, pheresis, leukocytes reduced, each unit ",6100.1,6100.1,846.28,846.28,6
CDM,863718,THYROGLOBULIN AB QUANT,573.0,573.0,105.49,573.0,28
CDM,863718,Thyroglobulin antibody ,573.0,573.0,7.16,88.29,47
CDM,86377,PRBC LR,2657.0,2657.0,451.69,2657.0,36
CDM,86377,"Red blood cells, leukocytes reduced, each unit ",2657.0,2657.0,336.66,336.66,6
CDM,863945,RUBELLA IGG,569.18,569.18,104.79,569.18,28
CDM,863956,RUBELLA IGM,2288.69,2288.69,421.35,2288.69,28
CDM,864004,RPR QUAL,710.0,710.0,130.71,710.0,28
CDM,864128,VDRL CSF QUAL,673.5,673.5,123.99,673.5,28
CDM,864218,HEP C RNA QN,2515.15,2515.15,463.04,2515.15,28
CDM,864218,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",2515.15,2515.15,19.28,218.77,47
CDM,864220,HEPATITIS BE AB QL,953.62,953.62,175.56,953.62,28
CDM,864220,Hepatitis Be antibody (HBeAb) ,953.62,953.62,5.21,58.29,47
CDM,864231,HEP BE AG EIA,1451.26,1451.26,267.18,1451.26,28
CDM,864231,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1451.26,1451.26,5.19,44.1,47
CDM,864242,HEP B CORE AB TOTAL,1210.0,1210.0,222.76,1210.0,28
CDM,864242,Hepatitis B core antibody (HBcAb); total ,1210.0,1210.0,5.42,60.78,47
CDM,864253,HEP B S AG EIA QL,1066.0,1066.0,196.25,1066.0,28
CDM,864253,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1066.0,1066.0,4.65,44.1,47
CDM,864311,HEP B CORE AB IGM QL,1701.0,1701.0,313.15,1701.0,28
CDM,864311,Hepatitis B core antibody (HBcAb); IgM antibody ,1701.0,1701.0,5.3,59.33,47
CDM,866028,"Antibody; Toxoplasma, IgM ",2288.0,2288.0,6.48,156.32,47
CDM,866028,TOXOPLASMA IGM QUAL,2288.0,2288.0,421.22,2288.0,28
CDM,866630,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",1692.66,1692.66,6.88,93.43,47
CDM,866630,EBV NUCLEAR AG AB QUAL,1692.66,1692.66,311.62,1692.66,28
CDM,868882,ABO TYPE,628.75,628.75,115.75,628.75,28
CDM,868882,"Blood typing, serologic; ABO ",628.75,628.75,1.35,21.88,47
CDM,869088,PRETREAT RBC'S CHEM EA,238.38,238.38,40.52,238.38,33
CDM,869088,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",238.38,238.38,1.35,42.18,8
CDM,869089,PRETREAT SERUM ABSORP EA,607.91,607.91,103.34,607.91,33
CDM,869089,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",607.91,607.91,22.2,54.71,8
CDM,869090,PRETREAT SERUM INHIB EA,518.53,518.53,88.15,518.53,33
CDM,869090,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",518.53,518.53,22.2,50.89,5
CDM,869092,PRETREAT RBC'S DENS EA,756.91,756.91,128.67,756.91,33
CDM,869092,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",756.91,756.91,25.74,253.05,8
CDM,869095,PLATELET CROSSMATCH AHG,2688.03,2688.03,456.97,2688.03,33
CDM,870159,CYTO FWB SMEAR & INTERP,482.12,482.12,81.96,482.12,33
CDM,870159,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",482.12,482.12,9.27,105.91,12
CDM,870160,CYTO FWB FILTER & INTERP,482.12,482.12,81.96,482.12,33
CDM,870160,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",482.12,482.12,7.56,105.24,12
CDM,870162,CYTOLOGY CONC & INTERP,482.12,482.12,81.96,482.12,33
CDM,870162,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",482.12,482.12,10.1,96.81,12
CDM,870163,CYTO FORENSIC,482.12,482.12,81.96,482.12,33
CDM,870163,"Cytopathology, forensic (eg, sperm) ",482.12,482.12,1.69,31.21,12
CDM,870164,CYTO SMEAR SCR & INTERP,482.12,482.12,81.96,482.12,33
CDM,870164,"Cytopathology, smears, any other source; screening and interpretation ",482.12,482.12,7.15,116.63,12
CDM,870165,CYTO SMEAR PSI,482.12,482.12,81.96,482.12,33
CDM,870165,"Cytopathology, smears, any other source; preparation, screening and interpretation ",482.12,482.12,8.43,118.64,12
CDM,870166,CYTOPATH EXTENDED,604.95,604.95,102.84,604.95,33
CDM,870166,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",604.95,604.95,16.88,188.01,12
CDM,870167,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",482.12,482.12,15.21,43.91,12
CDM,870167,FNA SAMPLE ADEQUACY IMM,482.12,482.12,81.96,482.12,33
CDM,870168,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",604.95,604.95,18.57,207.83,12
CDM,870168,FNA INTERP & REPORT,604.95,604.95,102.84,604.95,33
CDM,870171,"Level I - Surgical pathology, gross examination only ",187.73,187.73,4.23,24.51,12
CDM,870171,SURG PATH LEVEL 1,187.73,187.73,31.91,187.73,33
CDM,870172,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",1068.64,1068.64,10.1,53.29,12
CDM,870172,SURG PATH LEVEL 2,1068.64,1068.64,181.67,1068.64,33
CDM,870173,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",604.95,604.95,14.36,63.34,12
CDM,870173,SURG PATH LEVEL 3,604.95,604.95,102.84,604.95,33
CDM,870174,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",604.95,604.95,22.77,71.38,12
CDM,870174,SURG PATH LEVEL 4,604.95,604.95,102.84,604.95,33
CDM,870175,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",1068.64,1068.64,33.3,416.05,12
CDM,870175,SURG PATH LEVEL 5,1068.64,1068.64,181.67,1068.64,33
CDM,870176,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",1068.64,1068.64,41.33,578.72,12
CDM,870176,SURG PATH LEVEL 6,1068.64,1068.64,181.67,1068.64,33
CDM,870177,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,187.73,187.73,4.23,16.47,12
CDM,870177,PATH DECALCIFICATION,187.73,187.73,28.16,187.73,37
CDM,870178,PATH STAIN GROUP 1,1068.64,1068.64,181.67,1068.64,33
CDM,870178,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",1068.64,1068.64,5.07,172.21,12
CDM,870179,PATH STAIN GROUP 2,1068.0,1068.0,181.56,1068.0,33
CDM,870179,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",1068.0,1068.0,4.23,141.0,12
CDM,870180,HISTOCHEM STAIN & FS,1068.64,1068.64,160.3,1068.64,37
CDM,870180,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,1068.64,1068.64,11.8,132.71,12
CDM,870182,HISTOCHM ENZYME STAIN EA,1068.64,1068.64,181.67,1068.64,33
CDM,870182,"Special stain including interpretation and report; Group III, for enzyme constituents ",1068.64,1068.64,10.1,219.06,12
CDM,870187,PATH CONSULT FS 1 SPEC,604.95,604.95,102.84,604.95,33
CDM,870187,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",604.95,604.95,24.45,81.4,12
CDM,870188,PATH CONSULT FS EA ADDTL,187.73,187.73,28.16,187.73,37
CDM,870188,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,187.73,187.73,11.13,49.94,12
CDM,870190,"Immunofluorescence, per specimen; initial single antibody stain procedure ",604.95,604.95,11.8,219.73,12
CDM,870190,TISSUE BIOPSY DIF AB INI,604.95,604.95,102.84,604.95,33
CDM,870192,EM DIAGNOSTIC,2694.0,2694.0,457.98,2694.0,33
CDM,870192,"Electron microscopy, diagnostic ",2694.0,2694.0,48.49,834.9,12
CDM,870194,MORPHOMETRIC SKELETAL,604.95,604.95,102.84,604.95,33
CDM,870194,Morphometric analysis; skeletal muscle ,604.95,604.95,36.7,124.0,12
CDM,870195,MORPHOMETRIC NERVE,1068.64,1068.64,181.67,1068.64,33
CDM,870195,Morphometric analysis; nerve ,1068.64,1068.64,56.53,236.36,12
CDM,870196,MORPHOMETRIC TUMOR,604.95,604.95,102.84,604.95,33
CDM,870196,"Morphometric analysis; tumor (eg, DNA ploidy) ",604.95,604.95,33.97,174.47,12
CDM,870197,NERVE TEASING PREP,1068.64,1068.64,181.67,1068.64,33
CDM,870197,Nerve teasing preparations ,1068.64,1068.64,43.02,246.25,12
CDM,870198,ISH/FISH INITIAL PROBE,1068.64,1068.64,181.67,1068.64,33
CDM,870198,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",1068.64,1068.64,16.04,265.93,12
CDM,87178,KIT CATH 12FR 16CM,1341.0,1341.0,201.15,1341.0,42
CDM,87418,INTRO GW .009-.018IN,58.0,58.0,8.7,58.0,42
CDM,886040,ADTP SEMI PRIVATE,10255.0,10255.0,,,0
CDM,886042,MCP SEMI PRIVATE,9411.0,9411.0,,,0
CDM,886043,MCP DETOX SEMI PRIVATE,9411.0,9411.0,,,0
CDM,886132,ATP2 SEMI PRIVATE,9411.0,9411.0,,,0
CDM,886133,ATP2 DETOX SEMI PRIVATE,9411.0,9411.0,,,0
CDM,886422,ATP SEMI PRIVATE,9411.0,9411.0,,,0
CDM,886423,ATP DETOX SEMI PRIVATE,9411.0,9411.0,,,0
CDM,886442,SRTP SEMI PRIVATE,9411.0,9411.0,,,0
CDM,886443,SRTP DETOX SEMI PRIVATE,9411.0,9411.0,,,0
CDM,89614,ELECTRODE ESURG PNCL 10',55.5,55.5,8.32,55.5,42
CDM,899459,INSERT ARTC KN 7-12 14MM,4606.0,4606.0,690.9,4606.0,30
CDM,90211,ADAPTER CATH .018IN,386.5,386.5,57.98,386.5,42
CDM,90218,KIT DCMPRS 14FR 175CM,1064.5,1064.5,159.68,1064.5,42
CDM,90222,NEEDLE TRANBRNCH 21GA,800.5,800.5,120.08,800.5,42
CDM,905876,ROD SPN 5.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
CDM,908001,CAGE SPN 10D 10X18X45MM,13287.0,13287.0,1993.05,13287.0,30
CDM,908796,SYSTEM PRESS 10CM 30CM,1938.0,1938.0,290.7,1938.0,42
CDM,909278,PLATE BN 10HL 3.5X230MM,5153.0,5153.0,772.95,5153.0,30
CDM,912710,PLATE CRNMXF BN 12MM,2330.0,2330.0,349.5,2330.0,30
CDM,913336,CRT DEFIB CARD DF4,51380.0,51380.0,7707.0,51380.0,30
CDM,913689,PLATE BN MED .3X47MM,4429.0,4429.0,664.35,4429.0,30
CDM,913808,ANCHOR BN W/SUTURE,3721.0,3721.0,558.15,3721.0,30
CDM,913974,CAGE SPN 7D 12X15X7MM,8416.0,8416.0,1262.4,8416.0,30
CDM,914754,SCREW POLYAX THDRBLT 5.5,4030.0,4030.0,604.5,4030.0,30
CDM,915478,CAGE SPN 12D 32X22X10MM,20197.0,20197.0,3029.55,20197.0,30
CDM,915846,BEARING TIB KN SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
CDM,915848,CMPNT FEM KN SZ5 L MED,7087.0,7087.0,1063.05,7087.0,30
CDM,915861,PLATE BN KN SM 2.7MM,7686.0,7686.0,1152.9,7686.0,30
CDM,917505,CATH ABL 7FR 115CM,4763.0,4763.0,714.45,4763.0,42
CDM,917934,SCREW SPN 3.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
CDM,92909,BLADE TREPHINE 8MM,880.5,880.5,132.07,880.5,42
CDM,93220,CAUTERY BIP 20/23GA,524.5,524.5,78.67,524.5,42
CDM,93776,MARKER BRST BX 20GA 5CM,489.0,489.0,73.35,489.0,30
CDM,93878,SUTURE OPTH 5-0 18IN,335.5,335.5,50.33,335.5,42
CDM,94022,STENT BIL 8.5FR 5CM,861.0,861.0,129.15,861.0,30
CDM,94024,STENT BIL 8.5FR 7CM,861.0,861.0,129.15,861.0,30
CDM,94025,STENT BIL 8.5FR 9CM,861.0,861.0,129.15,861.0,30
CDM,94026,STENT BIL 8.5FR 12CM,861.0,861.0,129.15,861.0,30
CDM,94028,STENT BIL 10FR 5CM,861.0,861.0,129.15,861.0,30
CDM,94029,STENT BIL 10FR 7CM,861.0,861.0,129.15,861.0,30
CDM,94030,STENT BIL 10FR 9CM,861.0,861.0,129.15,861.0,30
CDM,94031,STENT BIL 10FR 12CM,861.0,861.0,129.15,861.0,30
CDM,94033,STENT BIL 11.5FR 5CM,861.0,861.0,129.15,861.0,30
CDM,94034,STENT BIL 11.5FR 7CM,861.0,861.0,129.15,861.0,30
CDM,94035,STENT BIL 11.5FR 9CM,861.0,861.0,129.15,861.0,30
CDM,94037,STENT BIL 11.5FR 15CM,861.0,861.0,129.15,861.0,30
CDM,94038,BSKT RTRV WEB2 2X200X8,1438.5,1438.5,215.78,1438.5,42
CDM,94039,CATH ENDO 5.5-4FR 200CM,773.0,773.0,115.95,773.0,42
CDM,94153,CATH BILIARY ART UT12FR,837.0,837.0,125.55,837.0,42
CDM,94297,NEEDLE BX 22GA 15CM,231.5,231.5,34.73,231.5,42
CDM,94665,CATH ART 4LUM 7FR 110CM,773.0,773.0,115.95,773.0,42
CDM,94998,BSKT RTRV HRDWRE 5F 1.5,2046.5,2046.5,306.98,2046.5,42
CDM,95047,MANIFOLD 3W RTHND ROTRON,117.0,117.0,17.55,117.0,42
CDM,95300,STENT BIL 8.5FR 12CM,955.0,955.0,143.25,955.0,30
CDM,95301,STENT BILI 8.5FR 15CM,955.0,955.0,143.25,955.0,30
CDM,95302,STENT BIL 8.5FR 5CM,955.0,955.0,143.25,955.0,30
CDM,95303,STENT BIL 8.5FR 7CM,955.0,955.0,143.25,955.0,30
CDM,95304,STENT BIL 8.5FR 9CM,955.0,955.0,143.25,955.0,30
CDM,95312,STENT BILI 7FR 10CM,955.0,955.0,143.25,955.0,30
CDM,95314,STENT BIL 7FR 5CM,955.0,955.0,143.25,955.0,30
CDM,95315,STENT BIL 7FR 7CM,955.0,955.0,143.25,955.0,30
CDM,95316,STENT BIL 7FR 9CM,955.0,955.0,143.25,955.0,30
CDM,95317,STENT BILI 7FR 12CM,955.0,955.0,143.25,955.0,30
CDM,95318,STENT BILI 7FR 15CM,1100.0,1100.0,165.0,1100.0,30
CDM,95320,STENT BIL 10FR 5CM,955.0,955.0,143.25,955.0,30
CDM,95321,STENT BIL 10FR 7CM,955.0,955.0,143.25,955.0,30
CDM,95322,STENT BIL 10FR 9CM,955.0,955.0,143.25,955.0,30
CDM,95323,STENT BIL 10FR 12CM,955.0,955.0,143.25,955.0,30
CDM,95324,STENT BIL 10FR 15CM,718.0,718.0,107.7,718.0,30
CDM,95326,STENT BILI 11.5FR 5CM,955.0,955.0,143.25,955.0,30
CDM,95327,STENT BILI 11.5FR 7CM,1100.0,1100.0,165.0,1100.0,30
CDM,95328,STENT BILI 11.5FR 9CM,955.0,955.0,143.25,955.0,30
CDM,95329,STENT BILI 11.5FR 12CM,955.0,955.0,143.25,955.0,30
CDM,954185,TAP CORT DISP 3.5MM,4429.0,4429.0,664.35,4429.0,42
CDM,95516,TUBE TRACH CFLS SZ 4,444.0,444.0,66.6,444.0,42
CDM,95542,TRAY PEG 20F,773.0,773.0,115.95,773.0,42
CDM,95550,KIT PEG SIL 20F,773.0,773.0,115.95,773.0,42
CDM,95752,CATH ANGIO 5FR 90CM,231.5,231.5,34.73,231.5,42
CDM,95772,SYSTM CSF DRN XTRN 35CM,1342.5,1342.5,201.38,1342.5,42
CDM,96511,GWRE PTFE 035 145J,220.0,220.0,33.0,220.0,42
CDM,96570,GWIRE VASC .035IN 150CM,507.0,507.0,76.05,507.0,42
CDM,96577,CATH ANGIO 6.7FR 100CM,335.5,335.5,50.33,335.5,42
CDM,96753,ADAPTER CATH Y,323.0,323.0,48.45,323.0,42
CDM,986934,CATHETER BLNDIL 12X80X20,949.0,949.0,142.35,949.0,42
CPT,0001U,"Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported ",,,324.0,2160.0,77
CPT,0002M,"Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo",,,226.53,1510.2,44
CPT,0002U,"Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LCMS/MS) using multiple r",,,11.25,75.0,77
CPT,0003M,"Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo",,,226.53,1510.2,44
CPT,0003U,"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing serum, algorithm reported as a ",,,427.5,2850.0,77
CPT,0004M,"Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score ",,,35.55,237.0,44
CPT,0005U,"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score ",,,342.0,2280.0,77
CPT,0006M,"Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk classifier ",,,67.5,450.0,44
CPT,0007M,"Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole peripheral blood, algorithm reported as a nomogram of tumor disease index ",,,168.75,1125.0,44
CPT,0007U,"Drug test(s), presumptive, with definitive confirmation of positive results, any number of drug classes, urine, includes specimen verification including DNA authentication in comparison to buccal DNA,",,,51.49,343.29,77
CPT,0008U,"Helicobacter pylori detection and antibiotic resistance, DNA, 16S and 23S rRNA, gyrA, pbp1, rdxA and rpoB, next generation sequencing, formalin-fixed paraffin embedded or fresh tissue, predictive, rep",,,269.06,1793.73,77
CPT,0009U,"Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting, reported as ERBB2 gene ",,,48.15,321.0,77
CPT,0010U,"Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate ",,,192.27,1281.78,77
CPT,0011M,"Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and urine, algorithms to predict high-grade prostate cancer risk ",,,342.0,2280.0,77
CPT,0011U,"Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds a",,,51.49,343.29,77
CPT,0012M,"Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo",,,342.0,2280.0,77
CPT,0013M,"Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo",,,342.0,2280.0,77
CPT,0014M,"LIVER DISEASE, ANALYSIS OF 3 BIOMARKERS (HYALURONIC ACID ºHA», PROCOLLAGEN III AMINO TERMINAL PEPTIDE ºPIIINP», TISSUE INHIBITOR OF METALLOPROTEINASE 1 ºTIMP-1»), USING IMMUNOASSAYS, UTILIZING SERUM, ",,,176.19,176.19,2
CPT,0015M,"Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical ster",,,587.42,3916.11,75
CPT,0016M,"Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, b",,,1570.33,10468.89,75
CPT,0016U,"Oncology (hematolymphoid neoplasia), RNA, BCR/ABL1 major and minor breakpoint fusion transcripts, quantitative PCR amplification, blood or bone marrow, report of fusion not detected or detected with q",,,73.78,491.88,77
CPT,0017M,"Oncology (diffuse large B-cell lymphoma ºDLBCL»), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin-embedded tissue, algorithm reported as cell of",,,1129.59,7530.63,75
CPT,0017U,"Oncology (hematolymphoid neoplasia), JAK2 mutation, DNA, PCR amplification of exons 12-14 and sequence analysis, blood or bone marrow, report of JAK2 mutation not detected or detected ",,,41.25,274.98,77
CPT,0018M,"Transplantation medicine (allograft rejection, renal), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection ",,,288.33,1922.19,77
CPT,0018U,"Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy ",,,1350.94,9006.27,77
CPT,0019M,"Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populations ",,,566.36,2137.2,73
CPT,0019T,EXTRACORP SHOCK WV TX MS NOS ,,,990.0,990.0,1
CPT,0019U,"Oncology, RNA, gene expression by whole transcriptome sequencing, formalin-fixed paraffin embedded tissue or fresh frozen tissue, predictive algorithm reported as potential targets for therapeutic age",,,1653.75,11025.0,77
CPT,0020M,"Oncology (central nervous system), analysis of 30,000 DNA methylation loci by methylation array, utilizing DNA extracted from tumor tissue, diagnostic algorithm reported as probability of matching a r",,,2375.0,7500.0,68
CPT,0021U,"Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm ",,,342.0,2280.0,77
CPT,0022U,"Targeted genomic sequence analysis panel, cholangiocarcinoma and non-small cell lung neoplasia, DNA and RNA analysis, 1-23 genes, interrogation for sequence variants and rearrangements, reported as pr",,,877.5,5850.0,75
CPT,0023U,"Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or nondetection of FLT3 mutation and indication fo",,,111.83,745.53,77
CPT,0024U,"Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative ",,,15.39,102.57,77
CPT,0025U,"Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative ",,,51.49,343.29,77
CPT,0026U,"Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result (""Positive, high probability of",,,1620.0,10800.0,77
CPT,0027U,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 ",,,54.86,365.73,77
CPT,0029U,"Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823) ",,,334.02,2226.81,44
CPT,0030U,"Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823) ",,,60.36,402.39,77
CPT,0031U,"CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F, *1K, *6, *7) ",,,78.66,524.43,44
CPT,0032U,"COMT (catechol-O-methyltransferase) (eg, drug metabolism) gene analysis, c.472G>A (rs4680) variant ",,,78.66,524.43,77
CPT,0033U,"HTR2A (5-hydroxytryptamine receptor 2A), HTR2C (5-hydroxytryptamine receptor 2C) (eg, citalopram metabolism) gene analysis, common variants (ie, HTR2A rs7997012 [c.614-2211T>C], HTR2C rs3813929 [c.-75",,,157.33,723.72,6
CPT,0034U,"TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5) ",,,209.78,1398.51,77
CPT,0035U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative ",,,243.45,1622.97,77
CPT,0036U,"Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses ",,,2151.0,14340.0,77
CPT,0037U,"Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instabiit",,,1575.0,10500.0,77
CPT,0038U,"Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative ",,,13.32,88.8,77
CPT,0039U,"Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity ",,,6.18,41.22,77
CPT,0040U,"BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative ",,,184.45,1229.7,77
CPT,0041U,"Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM ",,,7.74,51.63,77
CPT,0042T,"Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and m",,,203.14,203.14,1
CPT,0042U,"Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG ",,,7.74,51.63,77
CPT,0043U,"Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM ",,,6.69,44.58,77
CPT,0044U,"Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG ",,,6.69,44.58,77
CPT,0045U,"Oncology (breast ductal carcinoma in situ), mRNA, gene expression progiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm",,,1742.85,11619.0,77
CPT,0046U,"FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants, quantitative ",,,165.51,1222.29,77
CPT,0047U,"Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm report as a risk scor",,,1742.85,11619.0,77
CPT,0048U,"Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes, including interrogation for somatic mutations and microsatellite instability, matched",,,1313.82,8758.8,77
CPT,0049U,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative ",,,183.34,1222.29,77
CPT,0050U,"Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements ",,,1312.47,8749.8,77
CPT,0051U,"Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative results, detected or not-detected, per date of service ",,,111.11,740.76,77
CPT,0052U,"Lipoprotein, blood, high resolution fractionation and quantitation of lipoproteins, including all five major lipoprotein classes and subclasses of HDL, LDL, and VLDL by vertical auto profile ultracent",,,15.24,101.58,77
CPT,0053U,"Oncology (prostate cancer), FISH analysis of 4 genes, needle biopsy specimen, algorithm reported as probability of higher tumor grade ",,,2030.0,2030.0,2
CPT,0054T,"Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure) ",,,291.0,2900.0,76
CPT,0054U,"Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with chromatography, capillary blood, quantitative report with therapeutic and toxic range",,,89.43,596.22,77
CPT,0055T,"Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure) ",,,291.0,2900.0,76
CPT,0055U,"Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma ",,,1458.0,9720.0,77
CPT,0058U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative ",,,145.33,968.88,77
CPT,0059U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative ",,,145.33,968.88,77
CPT,0060U,"Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal blood ",,,341.57,2277.15,77
CPT,0061U,"Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis ",,,11.3,75.3,77
CPT,0062U,"Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score ",,,171.32,1142.16,77
CPT,0063U,"Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder ",,,337.5,2250.0,77
CPT,0064U,"Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative ",,,14.1,93.99,77
CPT,0065U,"Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) ",,,8.14,54.27,77
CPT,0066U,"Placental alpha-micro globulin-1 (PAMG-1), immunoassay with direct optical observation, cervico-vaginal fluid, each specimen ",,,6.88,15.29,3
CPT,0067U,"Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1], carcinoembryonic antigen-related cell adhesion molecule 6 [CEACAM6], hyaluron",,,853.65,5691.0,77
CPT,0068U,"Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified probe technique with qualitative report of the presence or absence of each species",,,64.18,427.89,77
CPT,0069U,"Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue, algorithm reported as an expression score ",,,171.0,1140.0,77
CPT,0070U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, common and select rare variants (ie, *2, *3, *4, *4N, *5, *6, *7, *8, *9, *10, *11, *12, *13, *14A, ",,,304.37,2029.11,77
CPT,0071T,"Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue ",,,1404.42,8866.0,73
CPT,0071U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, full gene sequence (List separately in addition to code for primary procedure) ",,,270.0,1800.0,77
CPT,0072T,"Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue ",,,1404.42,8866.0,73
CPT,0072U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, CYP2D6-2D7 hybrid gene) (List separately in addition to code for pri",,,202.91,1352.73,77
CPT,0073U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, CYP2D7-2D6 hybrid gene) (List separately in addition to code for pri",,,202.91,1352.73,77
CPT,0074U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, nonduplicated gene when duplication/multiplication is trans) (List s",,,202.91,1352.73,77
CPT,0075T,"Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel ",,,612.26,4953.0,50
CPT,0075U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, 5? gene duplication/multiplication) (List separately in addition to ",,,202.91,1352.73,77
CPT,0076T,"Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; each additional vessel (List separately in addition to cod",,,306.13,4953.0,26
CPT,0076U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, 3? gene duplication/multiplication) (List separately in addition to ",,,202.91,1352.73,77
CPT,0077U,"Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype ",,,19.54,130.29,77
CPT,0078U,"Pain management (opioid-use disorder) genotyping panel, 16 common variants (ie, ABCB1, COMT, DAT1, DBH, DOR, DRD1, DRD2, DRD4, GABA, GAL, HTR2A, HTTLPR, MTHFR, MUOR, OPRK1, OPRM1), buccal swab or othe",,,202.91,450.91,3
CPT,0080U,"Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diamet",,,1584.0,10560.0,77
CPT,0082U,"Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and presumptive, any number of drug classes, by instrument chemistry analyzer (utilizing imm",,,111.11,740.76,77
CPT,0083U,"Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as likelihood of sensitivity or resistance to drugs or drug combinations ",,,75.31,502.05,77
CPT,0084U,"Red blood cell antigen typing, DNA, genotyping of 10 blood groups with phenotype pdediction of 37 red blood cell antigens ",,,324.0,2160.0,77
CPT,0086U,"Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism targets, reported as positive or negative with phenotypic minimum inhibitory conc",,,90.0,600.0,77
CPT,0087U,"Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue, allograft rejection and injury algorithm reported as a probability score ",,,1421.74,9478.26,77
CPT,0088U,"Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection ",,,1421.74,9478.26,77
CPT,0089U,"Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es) ",,,342.0,2280.0,77
CPT,0090U,"Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a categori",,,877.5,5850.0,77
CPT,0092U,"Oncology (lung), three protein biomarkers, immunoassay using Q4 magnetic nanosensor technology, plasma, algorithm reported as risk score for likelihood of malignancy ",,,1119.6,7464.0,77
CPT,0093U,"Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not detected ",,,27.96,186.42,77
CPT,0094U,"Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis ",,,3411.99,22746.6,77
CPT,0095T,"Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure) ",,,697.0,2303.0,23
CPT,0095U,"Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2, pro eosinophil major basic protein]), specim",,,347.39,2315.94,77
CPT,0096U,"Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine ",,,15.79,105.27,77
CPT,0098T,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure) ",,,697.0,2303.0,23
CPT,0100T,"Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intraocular retinal electrode array, with vitrectomy ",,,2706.0,21174.0,115
CPT,0101T,"Extracorporeal shock wave involving musculoskeletal system, not otherwise specified ",,,422.14,8866.0,117
CPT,0101U,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination A of NGS, San",,,784.78,5231.85,79
CPT,0102T,"Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle ",,,592.7,8866.0,117
CPT,0102U,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, San",,,586.78,3911.85,79
CPT,0103U,"Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with MRNA analyti",,,784.78,5231.85,79
CPT,0105U,"Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KI",,,427.5,2850.0,77
CPT,0106T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation ",,,76.34,76.34,44
CPT,0106U,"Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rat",,,393.52,2623.47,77
CPT,0107T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation ",,,46.43,46.43,44
CPT,0107U,"Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method ",,,7.2,48.0,77
CPT,0108T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia ",,,46.43,46.43,44
CPT,0108U,"Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-",,,1998.04,14850.0,77
CPT,0109T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia ",,,46.43,46.43,44
CPT,0109U,"Infectious disease (Aspergillus species), real-time PCR for detection of DNA from 4 species (A. fumigatus, A. terreus, A. niger, and A. flavus), blood, lavage fluid, or tissue, qualitative reporting o",,,64.18,427.89,77
CPT,0110T,"Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation ",,,76.34,76.34,44
CPT,0110U,"Prescription drug monitoring, one or more oral oncology drug(s) and substances, definitive tandem mass spectrometry  with chromatography, serum or plasma from capillary blood or venous blood, quantita",,,12.2,81.33,77
CPT,0111U,"Oncology (colon cancer), targeted KRAS (codons 12, 13, and 61) and NRAS (codons 12, 13, and 61) gene analysis, utilizing formalin-fixed paraffin-embedded tissue ",,,307.03,2046.87,77
CPT,0112U,"Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene ",,,160.26,1068.39,77
CPT,0113U,"Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score ",,,342.0,2280.0,77
CPT,0114U,"Gastroenterology (Barrett's esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett's esophagus ",,,872.1,5814.03,77
CPT,0115U,"Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial targets, amplified probe technique, including multiplex reverse transcription for RNA ",,,123.91,826.05,77
CPT,0116U,"Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm results reported as a patient-compliance measurement with risk of drug to drug inter",,,111.11,740.76,77
CPT,0117U,"Pain management, analysis of 11 endogenous analytes (methymalonic acid, xanthurenic acid, homocysteine, proglutamic acid, vanilmandelate, 5-hydroxyindoleacetic acidm, hydroxymethyglutarate, ethylmalon",,,378.29,2521.95,77
CPT,0118U,"Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donoe-derived cell-free DNA in the total cell-f",,,1238.96,8259.75,77
CPT,0119U,"Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events ",,,37.69,251.28,77
CPT,0120U,"Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixed paraffin-embedded tissu",,,1129.59,7530.63,77
CPT,0121U,"Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood ",,,229.14,1527.6,77
CPT,0122U,"Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood ",,,236.8,1578.69,77
CPT,0123U,"Mechanical fragility, RBC, shear stress and spectral analysis profiling ",,,160.93,1072.89,77
CPT,0129U,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and eletion/duplication analysis panel (A",,,586.78,3911.85,79
CPT,0130U,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), targeted mRNA sequence analysis panel (APC, CDH1, CHEK2, MLH1, MSH2, ",,,263.2,1754.7,77
CPT,0131U,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel (13 genes) (List separately i",,,319.5,1469.55,6
CPT,0132U,"Hereditary ovarian cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel (17 genes) (List separately ",,,333.74,1535.16,6
CPT,0133U,"Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure) ",,,310.63,2070.87,77
CPT,0134U,"Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (18 genes) (List separately in addi",,,336.78,2245.17,77
CPT,0135U,"Hereditary gynecological cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (12 genes) (List separate",,,315.25,1450.13,6
CPT,0136U,"ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,183.34,1222.29,77
CPT,0137U,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in additional to code for primary procedure) ",,,127.3,848.64,77
CPT,0138U,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) mRNA sequence analysis (List separately in addition to code for primary procedure)",,,210.75,1404.99,77
CPT,0140U,"Infectious disease (fungi), fungal pathogen identification, DNA (15 fungal targets), blood culture, amplified probe technique, each target reported as detected or not detected ",,,70.54,470.25,75
CPT,0141U,"Infectious disease (bacteria and fungi), gram-positive organism identification and drug resistance element detection, DNA (20 gram-positive bacterial targets, 4 resistance genes, 1 pan gram-negative b",,,70.54,470.25,75
CPT,0142U,"Infectious disease (bacteria and fungi), gram-negative bacterial identification and drug resistance element detection, DNA (21 gram-negative bacterial targets, 6 resistance genes, 1 pan gram-positive ",,,70.54,470.25,75
CPT,0143U,"Drug assay, definitive, 120 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or meta",,,114.43,114.43,2
CPT,0144U,"Drug assay, definitive, 160 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or meta",,,114.43,114.43,2
CPT,0145U,"Drug assay, definitive, 65 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metab",,,114.43,114.43,2
CPT,0146U,"Drug assay, definitive, 80 or more drugs or metabolites, urine, by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or me",,,114.43,114.43,2
CPT,0147U,"Drug assay, definitive, 85 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metab",,,114.43,114.43,2
CPT,0148U,"Drug assay, definitive, 100 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or meta",,,114.43,114.43,2
CPT,0149U,"Drug assay, definitive, 60 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metab",,,114.43,114.43,2
CPT,0150U,"Drug assay, definitive, 120 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or meta",,,114.43,114.43,2
CPT,0152U,"Infectious disease (bacteria, fungi, parasites, and DNA viruses), DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens ",,,956.79,6378.6,75
CPT,0153U,"Oncology (breast), mRNA, gene expression profiling by next-generation sequencing of 101 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a triple negative breast cancer ",,,1421.74,9478.26,75
CPT,0154U,FGFR3 (fibroblast growth factor receptor 3) gene analysis ,,,216.96,1446.42,77
CPT,0155U,"PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis ",,,123.67,824.49,77
CPT,0156U,"Copy number (eg, intellectual disability, dysmorphology), sequence analysis ",,,783.0,5220.0,75
CPT,0157U,"APC (APC regulator of WNT signaling pathway) (eg, familial adenomatosis polyposis [FAP]) mRNA sequence analysis ",,,127.3,848.64,75
CPT,0158U,"MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,127.3,848.64,75
CPT,0159U,"MSH2 (mutS homolog 2) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,127.3,848.64,75
CPT,0160U,"MSH6 (mutS homolog 6) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,127.3,848.64,75
CPT,0161U,"PMS2 (PMS1 homolog 2, mismatch repair system component) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedur",,,127.3,848.64,75
CPT,0162U,"Hereditary colon cancer (Lynch syndrome), targeted mRNA sequence analysis panel (MLH1, MSH2, MSH6, PMS2) (List separately in addition to code for primary procedure) ",,,218.94,1459.62,75
CPT,0163U,"Oncology (colorectal) screening, biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins(teratocarcinoma derived growth factor-1 [TDGF-1, Cropto-1], carcinoembryonic antige",,,175.84,1172.25,75
CPT,0164T,"Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure) ",,,291.0,2900.0,55
CPT,0164U,"Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results ",,,50.41,336.06,75
CPT,0165T,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure) ",,,291.0,2900.0,55
CPT,0165U,"Peanut allergen-specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA), blood, individual epitope results and interpretation ",,,208.69,1391.28,75
CPT,0166U,"Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utili",,,226.53,1510.2,77
CPT,0167U,"Gonadotropin, chorionic (hCG), immunoassay with direct optical observation, blood ",,,7.52,7.52,2
CPT,0169U,"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants ",,,209.78,1398.51,77
CPT,0170U,"Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis ",,,877.5,5850.0,77
CPT,0171T,LUMBAR SPINE PROCES DISTRACT ,,,3542.0,3542.0,1
CPT,0171U,"Targeted genomic sequence analysis panel, acute myeloid leukemia, myelodysplastic syndrome, and myeloproliferative neoplasms, DNA analysis, 23 genes, interrogation for sequence variants, rearrangement",,,683.58,4557.18,75
CPT,0172T,LUMBAR SPINE PROCESS ADDL ,,,990.0,990.0,1
CPT,0172U,"Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous recombination deficiency pathways, DNA, formalin-fixed paraffin-embedded tissue, a",,,1363.5,9090.0,77
CPT,0173U,"Psychiatry (ie, depression, anxiety), genomic analysis panel, includes variant analysis of 14 genes ",,,209.78,1398.51,75
CPT,0174T,"Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of fil",,,17.73,17.73,1
CPT,0174U,"Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 che",,,587.42,3916.11,75
CPT,0175T,"Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of fil",,,17.73,17.73,1
CPT,0175U,"Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes ",,,601.24,4008.27,75
CPT,0176T,AQU CANAL DILAT W/O RETENT ,,,4238.0,4584.0,20
CPT,0176U,"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA) ",,,28.89,192.57,77
CPT,0177T,AQU CANAL DILAT W RETENT ,,,4238.0,4584.0,20
CPT,0177U,"Oncology (breast cancer), DNA, PIK3CA gene analysis of 11 gene variants utilizing plasma, reported as PIK3CA gene mutation status ",,,123.67,824.49,77
CPT,0178U,"Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA), blood, report of minimum eliciting exposure for a clinical reaction ",,,206.94,1379.58,75
CPT,0179U,"Oncology (non-small cell lung cancer), cell-free DNA, targeted sesquence analysis of 23 gene (single nucleotide variations, insertions and deletions, fusions without prior knowledge of partner/breakpo",,,874.44,5829.63,75
CPT,0180U,"Red cell antigen (ABO blood group) genotyping (ABO), gene analysis Sanger/chain termination/conventional sequencing, ABO gene, including subtyping, 7 exons ",,,123.67,824.49,75
CPT,0181U,"Red cell antigen (colton blood group) genotyping (CO), gene analysis, AQP1 (aquaporin 1) exon 1 ",,,83.34,555.6,77
CPT,0182U,"Red cell antigen (cromlton blood group) genotyping (CROM), gene analysis, CD55 (CD55 molecule) exons 1-10 ",,,135.61,904.05,77
CPT,0183U,"Red cell antigen (Diego blood group) genotyping (DI), gene analysis, SLC4A1 (solute carrier family 4 member 1) exon 19 ",,,83.34,555.6,77
CPT,0184T,"Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness) ",,,1257.0,6446.0,100
CPT,0184U,"Red cell antigen (Dombrock blood group) genotyping (DO), gene analysis ART4 (ADP-ribosyltransferase 4) exon 2 ",,,83.34,555.6,77
CPT,0185U,"Red cell antigen (H blood group) genotyping (FUT1), gene analysis, FUT1 (fucosyltransferase) exon 4 ",,,83.34,555.6,77
CPT,0186U,"Red cell antigen (H blood group) genotyping (FUT2), gene analysis, FUT2 (fycosyltransferase 2) exon 2 ",,,83.34,555.6,77
CPT,0187U,"Red cell antigen (Duffy blood group) genotyping (FY), gene analysis, ACKR1 (atypical chemokine receptor 1) exons 1-2 ",,,123.67,824.49,77
CPT,0188U,"Red cell antigen (Gerbich blood group) genotyping (GE), gene analysis, GYPC (glycophorin C) exons 1-4 ",,,123.67,824.49,77
CPT,0189U,"Red cell antigen (MNS blood group) genotyping (GYPA), gene analysis, GYPA (flycophorin A) introns 1, 5, exon 2 ",,,123.67,824.49,77
CPT,0190T,PLACEMENT OF INTRAOCULAR RADIATION SOURCE APPLICATOR (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) ,,,607.0,990.0,21
CPT,0190U,"Red cell antigen (MNS blood group) genotyping (GYPB), gene analysis, GYPB (glycophorin B) introns 1, 5, pseudoexon 3 ",,,123.67,824.49,77
CPT,0191T,"INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVOIR, INTERNAL APPROACH, INTO THE TRABECULAR MESHWORK; INITIAL INSERTION ",,,1257.0,3542.0,21
CPT,0191U,"Red cell antigen (Indian blood group) genotyping (IN), gene analysis CD44 (CD44 molecule) exons 2, 3, 6 ",,,123.67,824.49,77
CPT,0192U,"Red cell antigen (Kidd blood group) genotyping (JK), gene analysis, SLC14A1 (solute carrier family 14 member 1) gene promoter, exon 9 ",,,123.67,824.49,77
CPT,0193U,"Red cell antigen (JR blood group) genotyping (JR), gene analysis, ABCG2 (ATP binding cassette subfamily G member 2) exons 2-26 ",,,127.3,848.64,77
CPT,0194U,"Red cell antigen (Kell blood group) genotyping (KEL), gene analysis, KEL (Kell metallo-endopeptidase) exon 8 ",,,83.34,555.6,77
CPT,0195U,"KLF1 (Kruppel-like factor 1), targeted sequencing (ie, exon 13) ",,,168.86,1125.75,77
CPT,0196U,"Red cell antigen (Lutheran blood group) genotyping (LU), gene analysis, BCAM (basal cell adhesion molecule) exon 3 ",,,83.34,555.6,77
CPT,0197U,"Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW), gene analysis, ICAM4 (intercellular adhesion molecule 4) exon 1 ",,,83.34,555.6,77
CPT,0198T,"Measurement of ocular blood flow by repetitive intraocular pressure sampling, with interpretation and report ",,,166.16,990.0,68
CPT,0198U,"Red cell antigen (RH blood group) genotyping (RHD and RHCE), gene analysis Sanger/chain termination/conventional sequencing, RHD (Rh blood group D antigen) exons 1-10 and RHCE (Rhblood group CcEe anti",,,127.3,848.64,77
CPT,0199U,"Red cell antigen (Scianna blood group) genotyping (SC), gene analysis, ERMAP (erythroblast membrane associated protein) exons 4, 12 ",,,123.67,824.49,77
CPT,0200T,"Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, w",,,1694.0,7161.0,74
CPT,0200U,"Red cell antigen (Kx blood group) genotyping (XK), gene analysis, XK (X-linked Kx blood group) exons 1-3 ",,,123.67,824.49,77
CPT,0201T,"Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when",,,1694.0,8866.0,74
CPT,0201U,"Red cell antigen (Yt blood group) genotyping (YT), gene analysis, ACHE (acetylcholinesterase (Cartwright blood group)) exon 2 ",,,83.34,555.6,77
CPT,0202T,"Posterior vertebral joint(s) arthroplasty (eg, facet jointºs» replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, i",,,2224.34,9431.0,79
CPT,0202U,"Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua",,,187.55,1250.34,75
CPT,0203U,Azutoimmun IBD mRNA gen Xprsn PRFL 17 Gen Whl Bld ,,,342.0,2280.0,77
CPT,0204U,Onc Thyr mRNA Gene Xprsn Alys 593 Genes FNA ,,,2919.6,2919.6,2
CPT,0205T,"INTRAVASCULAR CATHETER-BASED CORONARY VESSEL OR GRAFT SPECTROSCOPY (EG, INFRARED) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION INCLUDING IMAGING SUPERVISION, INTERPRETATION, AND REPORT",,,607.0,990.0,21
CPT,0205U,Oph Age-related Mac Degeneration Alys 3 Gen Vrnt ,,,21.15,141.0,77
CPT,0206U,Neurology Alzheimer Disease Cell Aggregation ,,,996.93,6646.2,75
CPT,0207T,"Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral ",,,291.0,2900.0,100
CPT,0207U,Neurology Alzheimer Disease Quantitative Imaging ,,,230.04,1533.6,75
CPT,0208T,"Pure tone audiometry (threshold), automated; air only ",,,69.11,69.11,44
CPT,0209T,"Pure tone audiometry (threshold), automated; air and bone ",,,85.87,85.87,44
CPT,0209U,Cytog Const Alys Interrog Gen Reg F/Copy Number ,,,354.22,2361.45,75
CPT,0210T,"Speech audiometry threshold, automated; ",,,51.01,51.01,44
CPT,0210U,Syphilis Tst Non-Treponemal Antibody IA Quan Rpr ,,,8.38,55.89,77
CPT,0211T,"Speech audiometry threshold, automated; with speech recognition ",,,78.96,78.96,44
CPT,0211U,Onc Pan-Tumor DNA & RNA Next-Generation Sequencing ,,,3804.75,25365.0,77
CPT,0212T,"Comprehensive audiometry threshold evaluation and speech recognition (0209T, 0211T combined), automated ",,,75.01,75.01,44
CPT,0212U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Proband ,,,2463.84,16425.6,75
CPT,0213T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; single level ",,,422.53,3523.0,118
CPT,0213U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Ea Cmprtr ,,,1219.48,8129.85,75
CPT,0214T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; second level (List separatel",,,213.16,2900.0,78
CPT,0214U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Proband ,,,2351.07,15673.8,75
CPT,0215T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; third and any additional lev",,,215.62,2900.0,78
CPT,0215U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Ea Cmprtr ,,,1158.59,7723.95,75
CPT,0216T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; single level ",,,376.94,3523.0,160
CPT,0216U,Neuro Inh Ataxia Genomic DNA Seq Alys 12 Bld/Slv ,,,691.66,4611.06,75
CPT,0217T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; second level (List separately in",,,193.87,2900.0,120
CPT,0217U,Neuro Inh Ataxia Genomic DNA Seq Alys 51 Bld/Slv ,,,989.26,6595.05,75
CPT,0218T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; third and any additional level(s",,,196.37,2900.0,120
CPT,0218U,Neuro Muscular Dystrophy Dmd Seq Alys Bld/Saliva ,,,1025.55,6837.0,77
CPT,0219T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical ",,,697.0,9431.0,79
CPT,0219U,Nfct Agent HIV Trgt Viral Next-Gnrj Seq Alys Alg ,,,326.25,2175.0,75
CPT,0220T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic ",,,2224.34,9431.0,79
CPT,0220U,Onc Brst CA Image Alys w/ AI Assmt 12 Features ,,,317.81,2118.75,75
CPT,0221T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar ",,,1694.0,8866.0,116
CPT,0221U,Abo Gnotyp Gene Alys Next-Generation Seq Abo Gen ,,,123.67,824.49,75
CPT,0222T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List ",,,291.0,2900.0,76
CPT,0222U,RHD & RHCE Gnotyp Next-Genrj Seq RH Prox Promoter ,,,127.3,848.64,75
CPT,0223U,"Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua",,,187.55,1250.34,75
CPT,0224U,"Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes titer(s), when performed ",,,23.14,154.29,75
CPT,0225U,"Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory syndrome coronavirus 2(SARS- CoV-2), amplified probe technique,including multiple ",,,187.55,1250.34,75
CPT,0226U,"Surrogate viral neutralization test (sVNT), severe acute respiratory s yndrome coronavirus 2 (SARS-CoV-2) (Corornavirus disease (COVID-19)), ( ELISA, plasma, serum ",,,19.03,126.84,75
CPT,0227U,"Drug Assay, presumptive, 30 or more drugs or metabolites, urine, liquid chromatography with tandem mass spectrometry using multiple reaction monitoring w drug or metabolite description, incl simple va",,,27.96,186.42,75
CPT,0228T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, CERVICAL OR THORACIC; SINGLE LEVEL ",,,607.0,1418.0,21
CPT,0228U,"Oncology (prostate), multianalyte molecular progile by photometric detection of macromolecules absorbed on nanosponge array slides w machine learning, utilizing first morning voided urine, algorithm r",,,77.86,519.09,75
CPT,0229T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, CERVICAL OR THORACIC; EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE",,,607.0,990.0,21
CPT,0229U,"BCAT1 or IKZF1 (eg, colorectal cancer) promoter methylation analysis ",,,152.64,1152.0,75
CPT,0230T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, LUMBAR OR SACRAL; SINGLE LEVEL ",,,607.0,1418.0,21
CPT,0230U,"AR (androgen receptor), full sequence analyis, including small sequence changes in exonic and intronic regions, deletions, duplications, short tandem repeat (STR) expansions, mobile element insertions",,,135.61,904.05,75
CPT,0231T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, LUMBAR OR SACRAL; EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,607.0,990.0,21
CPT,0231U,"CACNA1A, full gene analysis, including small sequence changes in exonic and intronic regions, deletions duplications, Short Tandem Requests (STR) gene expansions, mobile element insertions, and varian",,,380.82,2538.81,75
CPT,0232T,"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed ",,,291.0,2900.0,159
CPT,0232U,"CSTB (cystatin B), full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, Short Tandem Requests (STR) expansions, mobile element insertions, and ",,,123.67,824.49,75
CPT,0233U,"FXN (frataxin), gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, short tandem requests (STR) expansions, mobile element insertions, and variants",,,123.67,824.49,75
CPT,0234T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; renal artery ",,,1257.0,13472.0,100
CPT,0234U,"MECP2 (methyl CpG binding protein 2) full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element insertions, and variants in non-unique",,,237.54,1583.61,75
CPT,0235T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; visceral artery (except renal), each vessel ",,,3715.0,6581.0,25
CPT,0235U,"PTEN (Phosphatase and tensin monolog) full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element insertions and variants in non-unique",,,270.0,1800.0,75
CPT,0236T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta ",,,1257.0,13472.0,100
CPT,0236U,"SMN1 (survival of motor neuton 1, telomeric) and SMN2 (survival of motor neuron 2, centromeric) full gene analysis, including small sequence changes in exonic and intronic regions, duplications and de",,,271.22,1808.1,75
CPT,0237T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel ",,,1257.0,13472.0,100
CPT,0237U,"Cardiac ion channelopathies, genomic sequence analysis panel including ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, RYR2, and SCN5A, including small sequence changes in exonic and intronic re",,,263.2,1754.7,75
CPT,0238T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel ",,,3933.0,13472.0,80
CPT,0238U,"Oncology (Lynch syndrome), genomic DNA sequence analysis of MLH1, MSH2, MSH6, PMS2, and EPCAM, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element ",,,263.2,1754.7,75
CPT,0239U,"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants, including substitutions, insertions, deletions, selec",,,1575.0,10500.0,77
CPT,0240U,"Inf dis, pathogen spec DNA/RNA, 21 targets, SARS-CoV-2, ampol probe tec, incl multplx rev tx to RNA targ, ea analyte rep as det or not det ",,,64.18,295.24,6
CPT,0241U,"Inf dis, pathogen-spec RNA, 4 targ SARS-CoV-2, Influ A, B, RSV, Upper  resp spec, ea pathogen rep as det or not det ",,,64.18,295.24,6
CPT,0242U,"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplifications, and gene rearra",,,2250.0,15000.0,77
CPT,0243U,"Obstetrics (preeclampsia), biochemical assay of placental-growth factor, time-resolved fluorescence immunoassay, maternal serum, predictive algorithm reported as a risk score for preeclampsia ",,,28.98,193.23,75
CPT,0244U,"Oncology (solid organ), DNA, comprehensive genomic profiling, 257 genes, interrogation for single-nucleotide variants, insertions/deletions, copy number alterations, gene rearrangements, tumor-mutatio",,,1575.0,10500.0,79
CPT,0245U,"Oncology (thyroid), mutation analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers using next-generation sequencing, fine needle aspirate, report includes associated risk of maligna",,,569.73,3798.21,75
CPT,0246U,"Red blood cell antigen typing, DNA, genotyping of at least 16 blood groups with phenotype prediction of at least 51 red blood cell antigens ",,,324.0,2160.0,75
CPT,0247U,"Obstetrics (preterm birth), insulin-like growth factor-binding protein 4 (IBP4), sex hormone-binding globulin (SHBG), quantitative measurement by LC-MS/MS, utilizing maternal serum, combined with clin",,,337.5,2250.0,75
CPT,0248U,"Oncology, spheroid cell culture in 3D microenvironment, 12 drug panel, response prediction for each drug ",,,1365.24,9101.58,75
CPT,0249T,"LIGATION, HEMORRHOIDAL VASCULAR BUNDLE(S), INCLUDING ULTRASOUND GUIDANCE ",,,3058.0,3058.0,1
CPT,0249U,"Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, incl laser capture microdissection, w algorithmic analysis and interpretative report ",,,998.61,6657.39,75
CPT,0250U,"Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden ",,,1313.82,8758.8,75
CPT,0251U,"Hepcidin-25, enzyme-linked immunosorbent assay (ELISA), serum or plasma ",,,7.77,51.81,75
CPT,0252U,"Fetal aneuploidy short tandem-repeat comparative analysis, fetal DNA from products of conception, reported as normal, monosomy, trisomy, or partial deletion/duplications, mosaicism, and segmental ane ",,,341.57,2277.15,75
CPT,0253T,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space ",,,1404.42,8866.0,74
CPT,0253U,"Reproductive medicine, RNA gene expression profile 238 genes by next-generation sequencing, endometrial tissue, predictive algorithm reported as endometrial window of implantation ",,,1421.74,9478.26,75
CPT,0254U,"Reproductive medicine, analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy, and a mitochondrial DNA score in euploid embryos, results reported as normal, monosomy, ",,,341.57,2277.15,75
CPT,0255U,"Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of capacitated sperm and prob",,,14.22,94.8,75
CPT,0256U,"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, tandem mass spectrometry (MS/MS), urine, with algorithmic analysis and interpretive report ",,,71.98,479.85,75
CPT,0257U,"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood ",,,320.61,2137.41,75
CPT,0258U,"Autoimmune (psoriasis), mRNA, next-generation sequencing, gene expression profiling of 50- 100 genes, skin-surface collection using adhesive patch, algorithm reported as likelihood of response to psor",,,1653.75,11025.0,75
CPT,0259U,"Nephrology (chronic kidney disease), nuclear magnetic resonance spectroscopy measurement of myo-inositol, valine, and creatinine, algorithmically combined with cystatin C and demographic data to deter",,,23.72,158.13,75
CPT,0260U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping ",,,568.59,3790.59,75
CPT,0261U,"Oncology (colorectal cancer), image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border and tumor core), tissue, r",,,1130.96,7539.75,75
CPT,0262U,"Oncology (solid tumor), gene expression profiling by real-time RT-PCR of 7 gene pathways (ER, AR, PI3K, MAPK, HH, TGFB, Notch), formalin-fixed paraffin-embedded (FFPE), algorithm reported as gene path",,,1440.0,9600.0,75
CPT,0263T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure including unilater",,,1404.42,6801.0,57
CPT,0263U,"Neurology (autism spectrum disorder [ASD]), quantitative measurements of 16 central carbon metabolites , liquid chromatography tandem mass spectrometry (LC-MS/MS), plasma, algorithmic analysis with re",,,337.5,2250.0,75
CPT,0264T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone mar",,,1404.42,6801.0,57
CPT,0264U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping ",,,568.59,3790.59,75
CPT,0265T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; unilateral or bilateral bone marrow h",,,1404.42,6801.0,57
CPT,0265U,"Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen and formalin-fixed paraffin-embedded (FFPE) tissue, saliva, buccal swabs or cell ",,,2464.11,16427.4,75
CPT,0266T,"Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programmin",,,2706.0,16939.0,32
CPT,0266U,"Unexplained constitutional or other heritable disorders or syndromes, tissue-specific gene expression by whole-transcriptome and next-generation sequencing, blood, formalin-fixed paraffin-embedded (FF",,,1440.0,9600.0,75
CPT,0267T,"Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,1404.42,2399.0,33
CPT,0267U,"Rare constitutional and other heritable disorders, identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping and whole g",,,3032.7,20217.99,75
CPT,0268T,"Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,2706.0,16939.0,33
CPT,0268U,"Hematology (atypical hemolytic uremic syndrome [aHUS]), genomic sequence analysis of 15 genes, blood, buccal swab, or amniotic fluid ",,,273.68,1824.51,75
CPT,0269T,"Revision or removal of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and r",,,1753.0,3058.0,33
CPT,0269U,"Hematology (autosomal dominant congenital thrombocytopenia), genomic sequence analysis of 14 genes, blood, buccal swab, or amniotic fluid ",,,273.68,1824.51,75
CPT,0270T,"Revision or removal of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,1404.42,2399.0,33
CPT,0270U,"Hematology (congenital coagulation disorders), genomic sequence analysis of 20 genes, blood, buccal swab, or amniotic fluid ",,,273.68,1824.51,75
CPT,0271T,"Revision or removal of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,1404.42,2399.0,33
CPT,0271U,"Hematology (congenital neutropenia), genomic sequence analysis of 23 genes, blood, buccal swab, or amniotic fluid ",,,273.68,1824.51,75
CPT,0272U,"Hematology (genetic bleeding disorders), genomic sequence analysis of 51 genes, blood, buccal swab, or amniotic fluid, comprehensive ",,,273.68,1824.51,75
CPT,0273U,"Hematology (genetic hyperfibrinolysis, delayed bleeding), genomic sequence analysis of 8 genes (F13A1, F13B, FGA, FGB, FGG, SERPINA1, SERPINE1, SERPINF2, PLAU), blood, buccal swab, or amniotic fluid ",,,273.68,1824.51,75
CPT,0274T,"Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde",,,756.43,9431.0,74
CPT,0274U,"Hematology (genetic platelet disorders), genomic sequence analysis of 43 genes, blood, buccal swab, or amniotic fluid ",,,273.68,1824.51,75
CPT,0275T,"Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde",,,1753.0,8866.0,51
CPT,0275U,"Hematology (heparin-induced thrombocytopenia), platelet antibody reactivity by flow cytometry, serum ",,,8.27,55.11,75
CPT,0276U,"Hematology (inherited thrombocytopenia), geonomic sequence analysis of 42 genes, blood, buccal swab, or amniotic fluid ",,,1101.85,7345.68,75
CPT,0277U,"Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic fluid ",,,273.68,1824.51,75
CPT,0278T,"Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes) ",,,32.9,2900.0,77
CPT,0278U,"Hematology (genetic thrombosis), genomic sequence analysis of 12 genes, blood, buccal swab, or amniotic fluid ",,,273.68,1824.51,75
CPT,0279U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen III binding ",,,5.19,34.59,75
CPT,0280U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen IV binding ",,,7.77,51.81,75
CPT,0281U,"Hematology (von Willebrand disease [VWD]), von Willebrand propeptide, enzyme-linked immunosorbent assays (ELISA), plasma, diagnostic report of von Willebrand factor (VWF) propeptide antigen level ",,,7.77,51.81,75
CPT,0282T,PERIPH FIELD STIMUL TRIAL ,,,3542.0,3542.0,1
CPT,0282U,"Red blood cell antigen typing, DNA, genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes ",,,324.0,2160.0,75
CPT,0283T,PERIPH FIELD STIMUL PERM ,,,5000.0,5000.0,1
CPT,0283U,"von Willebrand factor (VWF), type 2B, platelet-binding evaluation, radioimmunoassay, plasma ",,,8.28,55.2,75
CPT,0284T,PERIPH FIELD STIMUL REVISE ,,,2399.0,2399.0,1
CPT,0284U,"von Willebrand factor (VWF), type 2N, factor VIII and VWF binding evaluation, enzyme-linked immunosorbent assays (ELISA), plasma ",,,7.77,51.81,75
CPT,0285U,"Oncology, disease progression and response monitoring to radiation, chemotherapy, or other systemic cancer treatments, cell-free DNA, quantitative branced chain DNA amplification, plasma, reporting ",,,199.49,1329.93,73
CPT,0286U,"CEP72 (centrosomal protein, 72-Kda) NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) gene analysis, conmmon variants ",,,60.36,402.39,75
CPT,0287U,"Oncology (thyroid), DNA and mRNA, next generation sequencing analysis of 112 genes, fine needle aspirate or formalin-fixed paraffin-embedded (FFPE) tissue, algorithmic prediction of cancer recurrence,",,,1620.0,10800.0,75
CPT,0288T,ANOSCOPY W/RF DELIVERY ,,,3058.0,3058.0,1
CPT,0288U,"Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1,BRCA1,CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3, SH3BGR, WNT3A) and 3 reference genes (ESD, TBP, YAP1), formalin-fixed paraffin emb",,,1742.85,11619.0,75
CPT,0289T,LASER INC FOR PKP/LKP DONOR ,,,990.0,990.0,1
CPT,0289U,"Neurology (Alzheimer Disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm reported as predictive risk score ",,,342.0,2280.0,75
CPT,0290T,"CORNEAL INCISIONS IN THE RECIPIENT CORNEA CREATED USING A LASER, IN PREPARATION FOR PENETRATING OR LAMELLAR KERATOPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,607.0,990.0,21
CPT,0290U,"Pain management, mRNA, gene expression profiling by RNA sequencing of 36 genes, whole blood, algorithm reported as predictive risk score ",,,342.0,2280.0,75
CPT,0291T,IV OCT FOR PROC INIT VESSEL ,,,990.0,990.0,1
CPT,0291U,"Psychiatry (mood disorders), mRNA, gene expression profiling by RNA sequencing of 144 genes, whole blood, algorithm reported as predictive risk score ",,,789.75,5265.0,73
CPT,0292T,IV OCT FOR PROC ADDL VESSEL ,,,990.0,990.0,1
CPT,0292U,"Psychiatry (stress disorders), mRNA, gene expression profiling by RNA sequencing of 72 genes, whole blood, algorithm reported as predictive risk score ",,,789.75,5265.0,73
CPT,0293U,"Psychiatry (suicidial ideation), mRNA, gene expression profiling by RNA sequencing of 54 genes, whole blood, algorithm reported as predictive risk score ",,,342.0,2280.0,75
CPT,0294U,"Longevity and mortality risk, mRNA, gene expression profiling by RNA sequencing of 18 genes, whole blood, algorithm reported as predictive risk score ",,,342.0,2280.0,75
CPT,0295U,"Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2, FOXA1, HER2, Ki-67, p16, PR, SIAH2), with 4 clinicpathologic factors, utilizing fo",,,1508.12,16305.0,75
CPT,0296U,"Oncology (oral and/or oropharyngeal cancer), gene expression profiling by RNA sequencing at least 20 molecular features, saliva, algorithm reported as positive or negative for signature associated wit",,,877.5,5850.0,75
CPT,0297U,"Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed paraffin-embedded (FFPE) tissue, blood or bone marrow, comparative sequence analyses ",,,1313.82,8758.8,73
CPT,0298U,"Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed paraffin-embedded (FFPE) tissue, blood or bone marrow, comparative sequence analyses ",,,1313.82,8758.8,75
CPT,0299T,"HExtracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; initial wound ",,,990.0,990.0,1
CPT,0299U,"Oncology (pan tumor), whole genome optical genome mapping of paired malignant and normal DNA specimens, fresh frozen tissue, blood, or bone marrow, comparative structural variant identification ",,,838.45,5589.66,73
CPT,0300T,"HExtracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; each additional wound (List separately in addition to code for primary proced ",,,990.0,990.0,1
CPT,0300U,"Oncology (pan tumor), whole genome sequencing and optical genome mapping of paired malignant and normal DNA specimens, comparative sequecne analyses and variant identification ",,,1882.41,12549.39,73
CPT,0301T,"HDestruction/reduction of malignant breast tumor with externally applied focused microwave, including interstitial placement of disposable catheter with combined temperature monitoring probe and micr ",,,2399.0,2399.0,1
CPT,0301U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); ",,,118.22,788.16,73
CPT,0302T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,6070.0,6070.0,1
CPT,0302U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); following liquid enrichment ",,,162.62,1084.11,73
CPT,0303T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,3542.0,3542.0,1
CPT,0303U,"Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood with algorithmic analysis and result reported as an RBC adhesion index; h",,,990.73,6604.86,73
CPT,0304T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,6070.0,6070.0,1
CPT,0304U,"Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood with algorithmic analysis and result reported as an RBC adhesion index; n",,,934.11,6227.4,73
CPT,0305U,"Hematology, red blood cell (RBC) functionality and deformity as a function of shear stress, whole blood, reported as a maximum elongation index ",,,298.16,1987.74,73
CPT,0306U,"Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis, cell-free DNA, initial (baseline) assessment to determine a patient specific panel for future comparisons to ev",,,1745.3,11635.35,73
CPT,0307T,HRemoval of intracardiac ischemia monitoring device ,,,3058.0,3058.0,1
CPT,0307U,"Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis of a patient-specific panel, cell-free DNA, subsequent assessment with comparison to previously analyzed patient",,,357.52,2383.47,73
CPT,0308T,Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis ,,,870.0,18085.0,115
CPT,0308U,"Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD ",,,175.84,1172.25,75
CPT,0309U,"Cardiology (cardiovascular disease), analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of metalloproteinase-1 [TIMP-1], and kidney injury molecule-1 [KIM-1]), plasma, algorithm reported",,,175.84,1172.25,75
CPT,0310U,"Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NTproBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD ",,,175.84,1172.25,75
CPT,0311U,"Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)??based antimicrobial susceptibility for each organisms identifi",,,3.64,24.24,75
CPT,0312U,"Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA), fl",,,378.29,2521.95,75
CPT,0313T,"VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); LAPAROSCOPIC REVISION OR REPLACEMENT OF VAGAL TRUNK NEUROSTIMULATOR ELECTRODE ARRAY, INCLUDING CONNECTION TO EXISTING PULSE GENERATOR ",,,870.0,2399.0,21
CPT,0313U,"Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, ",,,1620.0,10800.0,75
CPT,0314T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); LAPAROSCOPIC REMOVAL OF VAGAL TRUNK NEUROSTIMULATOR ELECTRODE ARRAY AND PULSE GENERATOR ,,,1257.0,2399.0,21
CPT,0314U,"Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as a c",,,877.5,5850.0,73
CPT,0315T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); REMOVAL OF PULSE GENERATOR ,,,1257.0,2399.0,21
CPT,0315U,"Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm ",,,3825.0,25500.0,73
CPT,0316T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); REPLACEMENT OF PULSE GENERATOR ,,,1257.0,5077.0,21
CPT,0316U,"Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine ",,,8.4,55.98,75
CPT,0317T,"VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); NEUROSTIMULATOR PULSE GENERATOR ELECTRONIC ANALYSIS, INCLUDES REPROGRAMMING WHEN PERFORMED ",,,990.0,990.0,1
CPT,0317U,"Oncology (lung cancer), four-probe FISH (3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive algorithmgenerated evaluation reported as decreased or increased risk for lung cancer ",,,913.5,6090.0,75
CPT,0318U,"Pediatrics (congenital epigenetic disorders), whole genome methylation analysis by microarray for 50 or more genes, blood ",,,796.72,5311.44,73
CPT,0319U,"""Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using pretransplant peripheral blood, algorithm reported as a risk scorefor early acute rejection"" ",,,1192.5,7950.0,73
CPT,0320U,"Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection ",,,1192.5,7950.0,73
CPT,0321U,"Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogens, identification of 20 bacterial and fungal organisms and identification of 16 associated antibiotic-resistance genes, m",,,285.68,1904.52,75
CPT,0322U,"Neurology (autism spectrum disorder [ASD]), quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites, liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma, ",,,337.5,2250.0,75
CPT,0323U,"Infectious agent detection by nucleic acid (DNA/RNA), central nervous system pathogen, metagenomic next-generation sequencing , cerebrospinal fluid (CSF), identification of pathogenic bacteria, viruse",,,956.79,6378.6,75
CPT,0324U,"Oncology (ovarian), spheroid cell culture, 4-drug panel (carboplatin, doxorubicin, gemcitabine, paclitaxel), tumor chemotherapy response prediction for each drug ",,,1112.14,1112.14,2
CPT,0325U,"Oncology (ovarian), spheroid cell culture poly (ADP-ribose) polymerase (PARP) inhibitors (niraparib, olaparib, rucaparib, valparib), tumor response prediction for each drug ",,,1112.14,1112.14,2
CPT,0326U,"Target genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes, iterrogation for sequence variants, gene copy number amplifications, gene rearrang",,,2250.0,15000.0,73
CPT,0327U,"Fetal aneuploidy (trisomy 13, 18, and 21), DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy, includes sex reporting, if performed ",,,357.75,2385.0,75
CPT,0328U,"Drug assay, definitive, 120 or more drugs and metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS), includes specimen validity and algorithmic analysis descr",,,51.49,343.29,75
CPT,0329T,"Monitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report ",,,792.74,792.74,44
CPT,0329U,"Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications and deletions, gene rearrangements, microsatellite instability and tumor mutation",,,1547.09,10313.94,73
CPT,0330T,"Tear film imaging, unilateral or bilateral, with interpretation and report ",,,32.76,32.76,1
CPT,0330U,"Infectious agent detection by nucleic acid (DNA/RNA), vaginal pathogen panel, identification of 27 organisms, amplified probe technique, vaginal swab ",,,187.55,1250.34,75
CPT,0331T,"Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; ",,,1246.75,1246.75,1
CPT,0331U,"Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations ",,,838.45,5589.66,73
CPT,0332T,"Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; with tomographic SPECT ",,,1246.75,1246.75,1
CPT,0332U,"Oncology (pan-tumor), genetic profiling of 8 DNA-regulatory markers by qPCR, whole blood, reported as a high or low probability of responding to immune checkpoint-inhibitor therapy ",,,513.93,3426.18,73
CPT,0333U,"Oncology (liver), surveillance for HCC in high-rish patients, analysis of methylation patterns on circulating cfDNA plus measurement of serum of APF/APF-L3 and oncoprotein DCP, algorithm reported as n",,,298.04,1986.96,73
CPT,0334U,"Oncology (solid organ), target geonomic sequence analysis, FFPE tumor tissue, DNA analysis, 84 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements,",,,2321.08,10500.0,75
CPT,0335T,Insertion of sinus tarsi implant ,,,1257.0,8866.0,116
CPT,0335U,"Rare diseases, whole genome sequence analysis, incl small sequence changes, copy number variants, deletions, duplications, mobile element insertions, UPD, inversions, aneuploidy, mitochondrial genome ",,,2351.07,15673.8,75
CPT,0336T,LAP ABLAT UTERINE FIBROIDS ,,,6070.0,6070.0,1
CPT,0336U,"Rare diseases, whole genome sequence analysis, incl small sequence changes, copy number variants, deletions, duplications, mobile element insertions, UPD, inversions, aneuploidy, mitochondrial genome ",,,1158.59,7723.95,75
CPT,0337U,"Oncology (Plasma cell disorders and myeloma), circulating plasma cell immunologic selection, id, morphological characterization, and enumeration of plasma cells based on differential CD138, CD38, CD19",,,1095.75,7305.0,73
CPT,0338T,"Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r",,,600.79,10746.0,97
CPT,0338U,"Oncology (Solid Tumor), circulating tumor cell selection, id, morphological characterization, detection and enumeration based on differential EpCAM, cytokeratins 8, 18 and 19, and CD45 protein biomark",,,1095.75,7305.0,73
CPT,0339T,"Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r",,,901.19,10746.0,97
CPT,0339U,"Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first void urine following digital rectal examination, algorithn reporteed a",,,342.0,2280.0,75
CPT,0340T,"HAblation, pulmonary tumor(s), including pleura or chest wall when involved by tumor extension, percutaneous, cryoablation, unilateral, includes imaging guidance ",,,3542.0,3542.0,1
CPT,0340U,"Oncology (pan-cancer), analysis of MRD from plasma, with assays personalized to each patient based on prior next generation sequencing of the patient's tumor and germline DNA, reported as absence or p",,,1615.5,10770.0,75
CPT,0341U,"Fetal aneuploidy DNA sequencing comparative analysis, fetal DNA from products of conception, reported as normal (euploidy), monosomy, trisomy, or partial deletion/duplication, mosaicism and segmental ",,,855.09,5700.6,73
CPT,0342T,Therapeutic apheresis with selective HDL delipidation and plasma reinfusion ,,,484.48,6801.0,102
CPT,0342U,"Oncology (pancreatic cancer), multiplex immonoassay of C5, C4, Cystatin C, factor B, osteoprotegerin, gelsolin, IGFBP3, CA125 and multiplex electrochemiluminescent immunoassay for CA19-9, serum, diagn",,,403.65,2691.0,75
CPT,0343U,"Oncology (prostate), exosome-based analysis of 442 small noncoding RNAs by quantitative reverse transcription polymerase chain reaction, urine, reported as molecular evidence of no-, low-, intermediat",,,342.0,2280.0,75
CPT,0344U,"Hepatology (nonalcoholic fatty liver disease), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectometry, serum, reported as at-risk for nonalcoholic steato",,,356.48,2376.51,73
CPT,0345T,Transcatheter mitral valve repair percutaneous approach via the coronary sinus ,,,3715.0,4953.0,24
CPT,0345U,"Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 ",,,601.24,4008.27,75
CPT,0346U,"Beta amyloid, AB40 and AB42 by liquid chromatography with tandem mass spectromety, ratio, plasma ",,,41.97,41.97,1
CPT,0347T,Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) ,,,129.12,2900.0,100
CPT,0347U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes ",,,601.24,4008.27,75
CPT,0348T,"Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when performed) ",,,38.46,433.84,29
CPT,0348U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes ",,,334.02,2226.81,75
CPT,0349T,"Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist, when performed) ",,,154.52,433.84,29
CPT,0349U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions ",,,334.02,2226.81,75
CPT,0350T,"Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed) ",,,83.86,359.25,29
CPT,0350U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis and reported phenotypes ",,,601.24,4008.27,75
CPT,0351T,"Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; real-time intraoperative ",,,320.7,1177.67,46
CPT,0351U,"Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor related apoptosis-inducing ligand interferon gamma induced protein-10, and C-reactive protein, serum, algorithm repor",,,117.23,781.5,75
CPT,0352T,"Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred ",,,82.27,1311.42,70
CPT,0352U,"Infectious disease (bact vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis-assoc bacteria, algorithm reported as detected or not detected and separate",,,64.18,142.63,3
CPT,0353T,"Optical coherence tomography of breast, surgical cavity; real-time intraoperative ",,,198.62,411.97,46
CPT,0353U,"Infectious agent detection by nucleic acid, Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technque, urine, vaginal, pharyngeal or rectal, each pathogen reported as detecte",,,70.18,70.18,2
CPT,0354T,"Optical coherence tomography of breast, surgical cavity; interpretation and report, real-time or referred ",,,1177.67,1311.42,26
CPT,0354U,"Human papilloma virus, high-risk types (ie, 16, 18, 31, 33, 45, 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction ",,,35.09,35.09,2
CPT,0355T,"GASTROINTESTINAL TRACT IMAGING, INTRALUMINAL (EG, CAPSULE ENDOSCOPY), COLON, WITH INTERPRETATION AND REPORT ",,,2048.0,2048.0,1
CPT,0355U,"Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants ",,,61.65,411.0,73
CPT,0356T,"INSERTION OF DRUG-ELUTING IMPLANT (INCLUDING PUNCTAL DILATION AND IMPLANT REMOVAL WHEN PERFORMED) INTO LACRIMAL CANALICULUS, EACH ",,,990.0,990.0,1
CPT,0356U,"Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence ",,,810.0,5400.0,73
CPT,0358T,"Bioelectrical impedance analysis whole body composition assessment, with interpretation and report ",,,10.9,10.9,44
CPT,0358U,"Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative ",,,117.23,781.5,73
CPT,0359U,"Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer ",,,342.0,2280.0,73
CPT,0360U,"Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy ",,,378.29,2521.95,73
CPT,0361U,"Neurofilament light chain, digital immunoassay, plasma, quantitative ",,,116.23,240.36,3
CPT,0362U,"Oncology (papillary thyroid cancer), gene-expression profiling via targeted hybrid capture-enrichment rna sequencing of 82 content genes and 10 housekeeping genes, formalin-fixed paraffin embedded (ff",,,1620.0,10800.0,73
CPT,0363U,"Oncology (urothelial), mrna, gene expression profiling by real-time quantitative pcr of 5 genes (mdk, hoxa13, cdc2 ºcdk1», igfbp5, and cxcr2), utilizing urine, algorithm incorporates age, sex, smoking",,,342.0,2280.0,73
CPT,0364U,"Oncology (hematolymphoid neoplasm), genomic seq anal using multiplex (PCR) & next gen seq w altorithm, quantification of dominatnt clonal sequ, reported as presence or absence of minimal residual dise",,,1595.77,6021.75,73
CPT,0365U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer ",,,403.65,2691.0,73
CPT,0366U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer ",,,403.65,2691.0,73
CPT,0367U,"Oncology (Bladder), analysis of 10 protein biomarkers by immunoassays, urine, diagnostic algorithm reported as a risk score for probability of rapid recurrence of recurrent or persistent cancer follow",,,405.98,2706.54,73
CPT,0368U,"Oncology (colorectal cancer), eval for mutations of APC, BRAF, CTNNB1, KRAS, NRAS, IPK3CA, SMAD4, and TP53, and methylation markers, multiplex quantitative polymerase chain reaction (qPCR), circulatin",,,331.35,1250.34,73
CPT,0369U,"Infection agent detection by nucleic acid, gastrointestinal pathogens, 31 bacterial, viral, and parasitic organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified",,,187.55,862.3,4
CPT,0370U,"Infectious agent detection by nucleic acid, surgical wound patogens, 34 microorganisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified probe technique, wound swab ",,,187.55,862.3,4
CPT,0371U,"Infectious agent detection by nucleic a3cid, genitourinary pathogen, semiquantitative identification, DNA from 16 bacterial organisms and 1 fungal organism, multiplex amplified probe technique via qua",,,187.55,1250.34,73
CPT,0372U,"Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe technique, urine, reported as an antimicrobial stewardship risk score ",,,187.55,1250.34,73
CPT,0373U,"Infectious agent detection by nucleic acid, respiratory tract infection, 17 bacteria, 8 fungus, 13 virus, and 16 antibiotic-resistance genes, multiples amplified probe technique, upper or lower respir",,,187.55,862.3,4
CPT,0374U,"Infectious agent detection by nucleic acid, genitourinary pathogens, identification 21 bacterial and fungal organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplifi",,,187.55,862.3,4
CPT,0375T,"TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTOMY WITH END PLATE PREPARATION (INCLUDES OSTEOPHYTECTOMY FOR NERVE ROOT OR SPINAL CORD DECOMPRESSION AND MICRODISSECTION)",,,2174.0,2963.0,20
CPT,0375U,"Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prea0lbumin, and cancer antigen 1",,,403.65,2691.0,73
CPT,0376T,"INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVOIR, INTERNAL APPROACH, INTO THE TRABECULAR MESHWORK; EACH ADDITIONAL DEVICE INSERTION (LIST SEPARATELY IN ADDITION TO ",,,607.0,990.0,21
CPT,0376U,"Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific morta",,,317.81,2118.75,73
CPT,0377T,ANOSCOPY WITH DIRECTED SUBMUCOSAL INJECTION OF BULKING AGENT FOR FECAL INCONTINENCE ,,,870.0,3058.0,21
CPT,0377U,"Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance spectrometry with report of a lipoprotein profile (incl 23 variables) ",,,21.41,142.74,73
CPT,0378U,"RFC1 repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab ",,,61.65,411.0,73
CPT,0379U,"Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq, interrogation for sequence variants, gene copy number amplifications, gene rearrange",,,2614.37,9865.53,73
CPT,0380U,"Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication anaylsis with reported genotype and phenotype ",,,187.55,187.55,1
CPT,0381U,"Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of allo-isoleucine, leucine, isoleucine, and valine, liquid chromatography with tandem mass spectr",,,35.08,132.36,73
CPT,0382U,"Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and tyrosine, liquid chromatography with tandem mass spectrometry ",,,41.05,154.92,73
CPT,0383U,"Tyrosinemia typr I monitoring by patient-collected blood card sample, quantitative measurement of tyrosine, phenylalanine, methionine, succinylacetone, nitisinone, liquid chromatography with tandem ma",,,41.38,156.15,73
CPT,0384U,"Nephrology (chronic kidney disease), carboxymethyllysine, methylglyoxal hydroimidazolone, and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry and HbA1c and estimated glomeru",,,337.5,2250.0,73
CPT,0385U,"Nephrology (chronic kidney disease), apolipoprotein A4, CD5 antigen-like, and insulin-like growth factor binding protein 3 by enzyme-linked immunoassay, plasma, algorithm, combining results with HDL, ",,,175.84,1172.25,73
CPT,0387T,"TRANSCATHETER INSERTION OR REPLACEMENT OF PERMANENT LEADLESS PACEMAKER, VENTRICULAR ",,,1471.0,5077.0,21
CPT,0387U,"Oncology, autophagy and beclin 1 revulator 1 and loricrin by immunohistochemistry, formalinfixed paraffin-embedded tissue, report for risk of progression ",,,426.82,2845.5,73
CPT,0388T,"TRANSCATHETER REMOVAL OF PERMANENT LEADLESS PACEMAKER, VENTRICULAR ",,,1471.0,3058.0,21
CPT,0388U,"Oncology, next-generation sequencing with ident of single nucleotide variants, copy number variants, insertions and deletions, and scructural variants in 37 cancer related genes, plasma, with report f",,,2782.5,10500.0,73
CPT,0389U,"Pediatric febrile illness (Kawasaki disease) interferon alphainducible protein 27 and mast cell-expressed membraine protein 1, RNA, using reverse transcription polymerase chain reaction, blood, report",,,55.81,210.6,73
CPT,0390U,"Obstetrics (preeclampsia), kinase insert domain receptor, Endoglin, and retinol-binding protein 4, by immunoassay, serum, algorithm reported as a risk score ",,,28.98,193.23,73
CPT,0391U,"Oncology, DNA and RNA by nex-gen sequencing, utilizing FFPE tissue, 437 genes, interpretive report for single nucleotide variants, splicesite variants, inserts/deletions, copy number alterations, gene",,,1620.0,10800.0,73
CPT,0392T,Lap es sph augment dev place ,,,6070.0,6070.0,1
CPT,0392U,"Drug metabolism (ADHD), gene-drug interactions, variant analysis of 16 genes, including deletion/duplication analysis of CYP2D6, reported as impact of gene-drug interaction for each drug ",,,601.24,4008.27,73
CPT,0393T,Es sph augmnt device removal ,,,3542.0,3542.0,1
CPT,0393U,"Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative ",,,243.45,1622.97,73
CPT,0394T,"High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed ",,,155.85,1072.92,3
CPT,0394U,"Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative ",,,89.43,596.22,73
CPT,0395T,"High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed ",,,577.47,2830.6,3
CPT,0395U,"Oncology (lung), multi-omics, plasma, algorithm reported as malignancy risk for lung nodules in early-stage disease ",,,633.98,2392.35,73
CPT,0396T,INTRA-OPERATIVE USE OF KINETIC BALANCE SENSOR FOR IMPLANT STABILITY DURING KNEE REPLACEMENT ARTHROPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ,,,607.0,990.0,21
CPT,0397T,"Endoscopic retrograde cholangiopancreatography (ERCP), with optical endomicroscopy (List separately in addition to code for primary procedure) ",,,291.0,3979.0,91
CPT,0398T,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when ",,,2224.34,7058.0,32
CPT,0398U,"Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm reported as risk score for progression to high-grade dysplasia or cancer ",,,1395.23,5265.0,73
CPT,0399U,"Neurology (cerebral folate deficiency), serum, detection of anti-human folate receptor IgGbinding antibody and blocking antibodies by enzyme-linked immunoassay, qualitative and blocking autoantibodies",,,238.5,900.0,73
CPT,0400U,"Obstetrics (exp carrier screen), 145 genes by nextgeneration sequencing, fragment analysis and multiplex ligationdependent probe amplification, DNA, reported as carrier positive or negative ",,,1158.22,4370.64,73
CPT,0401U,"Cardiology (CAD), 9 genes (12 variants), targeted variant genotyping, blood, saliva, or buccal swab, algorithm reported as a genetic risk score for a coronary event ",,,389.3,1469.04,73
CPT,0402T,"Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative pachymetry, when performed ",,,607.0,4830.0,116
CPT,0402U,"Infectious agent, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, multiples amplified probe technique, vaginal, endocervical, or male urine, each pathogen r",,,64.18,427.89,73
CPT,0403U,"Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer ",,,342.0,2280.0,73
CPT,0404T,"TRANSCERVICAL UTERINE FIBROID(S) ABLATION WITH ULTRASOUND GUIDANCE, RADIOFREQUENCY ",,,1753.0,3542.0,45
CPT,0404U,"Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression ",,,145.33,968.88,73
CPT,0405U,"Oncology (pancreatic), 59 methylation haplotype block markers, next-generation sequencing, plasma, reported as cancer signal detected or not detected ",,,796.72,5311.44,73
CPT,0406T,"NASAL ENDOSCOPY, SURGICAL, ETHMOID SINUS, PLACEMENT OF DRUG ELUTING IMPLANT; ",,,990.0,1714.0,21
CPT,0406U,"Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer ",,,342.0,2280.0,73
CPT,0407T,"NASAL ENDOSCOPY, SURGICAL, ETHMOID SINUS, PLACEMENT OF DRUG ELUTING IMPLANT; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT ",,,990.0,1714.0,21
CPT,0407U,"Nephrology (diabetic chronic kidney disease), multiplex electrochiluminescent immunoassay of soluble tumor necrosis factor receptor 1, 2, and kidney injury molecule 1 combined with clinical data, plas",,,427.5,2850.0,73
CPT,0408T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator",,,2706.0,21174.0,102
CPT,0408U,"Infectious agent antigen detection by bulk acoustic  wave biosensor immumoassay, severe acute reporatory syndrome conronavirus 2 (COVID-19) ",,,11.24,42.39,73
CPT,0409T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator",,,2706.0,21174.0,122
CPT,0409U,"Oncology (solid tumor), DNA (80 genes) & RNA (36 genes), by next-generation sequencing from plasma, including single nucleotide variants, insertions, deletions, copy number alterations, microsatellite",,,1313.82,8758.8,73
CPT,0410T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; atrial electrod",,,1471.0,16577.0,80
CPT,0410U,"Oncology (pancreatic), DNA, whole genome sequencing with 5-hydrosymethylcytosine enrichment, whole blood or plasma, algorithm reported as cancer detected or not detected ",,,522.0,3480.0,73
CPT,0411T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; ventricular ele",,,1471.0,16577.0,80
CPT,0411U,"Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 ",,,601.24,4008.27,73
CPT,0412T,Removal of permanent cardiac contractility modulation system; pulse generator only ,,,1257.0,12057.0,122
CPT,0412U,"Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry and  ApoE isoform-specific peotyotyping, plasma combined with age ",,,596.25,2250.0,73
CPT,0413T,Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular) ,,,1257.0,16577.0,96
CPT,0413U,"Oncology (hematolymphoid neoplasm), optical genome mapping for ocpy number alterations, aneuploidy, and balanced/complex structural rearrangements, DNA from blood or bone marrow, report of clinically ",,,568.59,3790.59,73
CPT,0414T,Removal and replacement of permanent cardiac contractility modulation system pulse generator only ,,,2706.0,21174.0,122
CPT,0414U,"Oncology (lung), augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK, BRAF, EGFR, ERBB2, MET, NTRK1-3, RET, ROSI), and KRAS G12C and PL-L1, if performed, formalin-fixed",,,317.81,2118.75,73
CPT,0415T,Repositioning of previously implanted cardiac contractility modulation transvenous electrode (atrial or ventricular lead) ,,,511.0,16577.0,96
CPT,0415U,"Cardiovascular disease , IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by immunoassay combined with age, sex, family history, and personal history of diabetes, blood, algorithm reported as a 5",,,175.84,1172.25,73
CPT,0416T,Relocation of skin pocket for implanted cardiac contractility modulation pulse generator ,,,769.0,7161.0,116
CPT,0417U,"Rare diseases (constitutional/heritable disorders), whole mitochordrial genome sequence with heteroplasmy detection and deletion analysis, nuclear-encoded mitochrondrial gene analysis of 335 nuclear g",,,2259.81,8527.59,73
CPT,0418U,"Oncology (breast), augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features, reported as a recurrence score ",,,317.81,2118.75,73
CPT,0419T,"Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas ",,,291.0,3523.0,116
CPT,0419U,"Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or buccal swab, report of each gene phenotype ",,,601.24,4008.27,73
CPT,0420T,"Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas ",,,291.0,3523.0,116
CPT,0420U,"Oncology (urothelial), mRNA expression profiling by real-time quantitative PCR of MDK HOXA13, CDC2, IGFBP5, and CXCR2 in combination with droplet digital PCR analysis of 6 single-nucleotide polymorphi",,,1261.9,3984.96,68
CPT,0421T,"Transurethral waterjet ablation of prostate, including control of post-operative bleeding, including ultrasound guidance, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,2753.0,53
CPT,0421U,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 8 RNA markers and fecal hemoglobin, algorithm reported as a positive or negative for colorectal cancer risk ",,,404.55,1526.61,73
CPT,0422T,"Tactile breast imaging by computer-aided tactile sensors, unilateral or bilateral ",,,78.21,83.86,25
CPT,0422U,"Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment cell-free circulating D",,,1846.05,5829.63,68
CPT,0423U,"Psychiatry (eg, depression, anxiety), geonomic analysis panel, including variant analysis of 26 genes, buccal swab, report including metabolizer status and risk of drug toxicity by condition ",,,331.35,1250.34,39
CPT,0424T,"INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; COMPLETE SYSTEM (TRANSVENOUS PLACEMENT OF RIGHT OR LEFT STIMULATION LEAD, SENSING LEAD, IMPLANTABLE PULSE GENER",,,1257.0,5552.91,45
CPT,0424U,"Oncology (prostate), exosome-based analysis of 53 small noncoding RNAs by quantitative reverse transcription polymerase chain reaction, urine, reported as no molecular evidence, low-, moderate- or ele",,,604.2,2280.0,73
CPT,0425T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,870.0,3542.0,45
CPT,0425U,"Genome, rapid sequence analysis, each comparator genome ",,,3889.67,12283.17,68
CPT,0426T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,870.0,5077.0,45
CPT,0426U,"Genome, ultra-rapid sequence analysis ",,,7203.09,22746.6,68
CPT,0427T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; PULSE GENERATOR ONLY ,,,870.0,5552.91,45
CPT,0427U,"Monocyte distribution width, whole blood ",,,3.56,13.44,73
CPT,0428T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; PULSE GENERATOR ONLY ,,,870.0,3058.0,45
CPT,0429T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,870.0,3058.0,45
CPT,0429U,"Human papillomavirus (HPV), oropharyngeal swab, 14 high-risk types ",,,27.9,105.27,73
CPT,0430T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,870.0,3058.0,45
CPT,0430U,"Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative ",,,48.93,184.62,73
CPT,0431T,"REMOVAL AND REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA, PULSE GENERATOR ONLY ",,,1257.0,5552.91,45
CPT,0431U,"Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative ",,,29.08,109.71,73
CPT,0432T,REPOSITIONING OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,870.0,3058.0,45
CPT,0432U,"Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative ",,,29.08,109.71,73
CPT,0433T,REPOSITIONING OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,870.0,3058.0,45
CPT,0433U,"Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific antigen, reported as likelihood of cancer ",,,604.2,2280.0,73
CPT,0434T,INTERROGATION DEVICE EVALUATION IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM FOR CENTRAL SLEEP APNEA ,,,742.8,990.0,24
CPT,0434U,"Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with reported phenotypes ",,,331.35,1250.34,73
CPT,0435T,PROGRAMMING DEVICE EVALUATION OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM FOR CENTRAL SLEEP APNEA; SINGLE SESSION ,,,742.8,990.0,24
CPT,0435U,"Oncology, chemotherapeutic drug cytotoxicity assay of cancer stem cells, from culturedCSCs and primary tumor cells, categorical drug response reported based on cytotoxicity percentage observed, minimu",,,2411.92,9101.58,73
CPT,0436T,PROGRAMMING DEVICE EVALUATION OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM FOR CENTRAL SLEEP APNEA; DURING SLEEP STUDY ,,,994.46,1564.0,24
CPT,0436U,"Oncology (lung), plasma analysis of 388 proteins, using aptamer-based proteomics technology, predictive algorithm reported as clinical benefit from immune checkpoint inhibitor therapy ",,,1429.03,4512.72,68
CPT,0437T,"Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure) ",,,291.0,2900.0,76
CPT,0437U,"Psychiatry (anxiety disorders), mRNA, gene expression profiling by RNA sequencing of 15 biomarkers, whole blood, algorithm reported as predictive risk score ",,,604.2,2280.0,73
CPT,0438T,"HTransperineal placement of biodegradable material, peri-prostatic (via needle), single or multiple, includes image guidance ",,,3058.0,3058.0,1
CPT,0438U,"Drug metabolism (adverse drug reactions and drug response), buccal specimen, gene-drug interactions, variant analysis of 33 genes, including deletion/duplication analysis of CYP2D6, including reported",,,331.35,1250.34,73
CPT,0439U,"Cardiology (Coronary Heart Disease), DNA, analysis of 5 single-nucleotide polymorphisms and 3 DNA methylation markers, qPCR and digital PCR, whole blood, algorighm reported as a 4-tiered risk score fo",,,811.3,2562.0,68
CPT,0440T,"Ablation, percutaneous, cryoablation, includes imaging guidance; upper extremity distal/peripheral nerve ",,,607.0,6801.0,100
CPT,0440U,"Cardiology (Coronary Heart Disease), DNA, analysis of 10 single-necleotide polymorphisms (SNPs) and 6 DNA methylation markers, qPCD and digital PCR, whole blood, algorithm reported as detected for CHD",,,811.3,2562.0,68
CPT,0441T,"Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve ",,,607.0,6801.0,100
CPT,0441U,"Infectious disease (bacterial, fungal or viral infection), semiquantitative biomechanical assessment, whole blood with algorighmic analysis and result reported as an Index ",,,421.88,1332.24,68
CPT,0442T,"Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve) ",,,870.0,6801.0,100
CPT,0442U,"Infectious disease (respiratory infection), Myxovirus resistance protein A and C-reactive protein, fingerstick whole blood specimen, each biomarker reported as present or absent ",,,32.9,124.14,73
CPT,0443T,"Real-time spectral analysis of prostate tissue by fluorescence spectroscopy, including imaging guidance (List separately in addition to code for primary procedure) ",,,36.67,2900.0,36
CPT,0443U,"Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid ",,,110.42,348.69,68
CPT,0444T,"Initial placement of a drug-eluting ocular insert under one or more eyelids, including fitting, training, and insertion, unilateral or bilateral ",,,184.34,6446.0,78
CPT,0444U,"Oncology (solid organ neoplasia), targeted genomic sequence analysis panel of 361 genes, interrogation for gene fusions, translocations, or other rearrangements, using DNA from formalin-fixed paraffin",,,2321.08,8758.8,73
CPT,0445T,"Subsequent placement of a drug-eluting ocular insert under one or more eyelids, including re-training, and removal of existing insert, unilateral or bilateral ",,,291.0,6446.0,76
CPT,0445U,"B-amyloid and phosphotau, electrochemiluminescent immunoassay, cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology ",,,207.1,781.5,73
CPT,0446T,"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training ",,,291.0,3523.0,116
CPT,0446U,"Autoimmune diseases (systemic lupus erythematosus), analysis of 10 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components reported with an algorithmic risk score for curren",,,668.32,2521.95,73
CPT,0447T,Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision ,,,291.0,2900.0,116
CPT,0447U,"Autoimmune diseases, analysis of 11 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components reported with an algorithmic prognostic risk score for developing a clinical flar",,,668.32,2521.95,73
CPT,0448T,"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor, including system activation ",,,291.0,3523.0,116
CPT,0449T,"Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device ",,,1257.0,6801.0,100
CPT,0449U,"Carrier screening for severe inherited conditions (CF, spinal musc atrophy, beta hemoglobinopathies), regardless of race or self-identified ancestry, genomic sequence analysis panel, must include anal",,,1450.78,5474.64,73
CPT,0450T,"Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; each additional device (List separately in addition to code for primary procedur",,,291.0,2900.0,76
CPT,0450U,"Oncology (Multiple myloma),liquid chromatography with tandem mass spectrometry (LCMS/MS),monoclonal paraprotein sequencing analysis,serum,results reported as baseline presence or absence of detectable",,,43.43,89.72,3
CPT,0451U,"Oncology (multiple myeloma), LCMC/MS,peptide ion quantification, serun, results compared with baseline to determine monoclonal paraprotein abundance ",,,43.43,89.72,3
CPT,0452U,"Oncology (bladder),methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTR-qMSP),urine reported as likelihood of bladder cancer ",,,152.64,576.0,73
CPT,0453T,"INSERTION OR REPLACEMENT OF A PERMANENTLY IMPLANTABLE AORTIC COUNTERPULSATION VENTRICULAR ASSIST SYSTEM, ENDOVASCULAR APPROACH, AND PROGRAMMING OF SENSING AND THERAPEUTIC PARAMETERS; MECHANO-ELECTRICA",,,1471.0,2007.0,20
CPT,0453U,"Oncology (colorectal cancer),cellfree DNA (cfDNA),methylationbased quantitative PCR assay (SEPTIN9,IKZF1,BCATI,Septin9-2,VAV3,BCAN),plasma,reported as presence or absence of circulating tumor DNA ",,,152.64,576.0,73
CPT,0454T,"INSERTION OR REPLACEMENT OF A PERMANENTLY IMPLANTABLE AORTIC COUNTERPULSATION VENTRICULAR ASSIST SYSTEM, ENDOVASCULAR APPROACH, AND PROGRAMMING OF SENSING AND THERAPEUTIC PARAMETERS; SUBCUTANEOUS ELEC",,,1471.0,2007.0,20
CPT,0454U,"Rare diseases (constitutional/heritable disorders),identification of copy number variations,inversions,insertions,translocations,and other structural variants by optical genome mapping ",,,1004.51,3790.59,73
CPT,0455U,"Infectious agents (Sexually transmitted infection),Chlamydia tracomatic, Neisseria gonorrhoeae,and Trichomonas vaginalis,multiples amplified probe technique,vaginal,endocervical,gynecological specimen",,,113.39,427.89,73
CPT,0457T,REMOVAL OF PERMANENTLY IMPLANTABLE AORTIC COUNTERPULSATION VENTRICULAR ASSIST SYSTEM; MECHANO-ELECTRICAL SKIN INTERFACE ,,,1257.0,1714.0,20
CPT,0457U,"Perfluoroalkyl substances (PFAS) (eg perfluorooctanoic acid, perflurooctaine sulfonic acid),9 PFAS compounds by LC-MS/MS,plasma or serum, quantitative ",,,158.0,596.22,73
CPT,0458T,REMOVAL OF PERMANENTLY IMPLANTABLE AORTIC COUNTERPULSATION VENTRICULAR ASSIST SYSTEM; SUBCUTANEOUS ELECTRODE ,,,1257.0,1714.0,20
CPT,0458U,"Oncology (breast cancer),S100A8 and S100A9,by enzymelinked immunosorbent assay (ELISA),terafluid with age, algorithm reported as a risk score ",,,207.1,781.5,73
CPT,0459U,"B-amyloid (Abeta42) and total tau (tTau), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology ",,,207.1,781.5,73
CPT,0460T,REPOSITIONING OF PREVIOUSLY IMPLANTED AORTIC COUNTERPULSATION VENTRICULAR ASSIST DEVICE; SUBCUTANEOUS ELECTRODE ,,,1257.0,1714.0,20
CPT,0460U,"Oncology, whole blood or buccal,DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes, with variant analysis and reported phenotypes ",,,871.23,2751.24,68
CPT,0461U,"Oncology,parmacogenomic analysis of single-necleotide polymorphism (SNP)genotyping by real time PCR of 24 genes,whole blood or buccal swab,with variant analysis, incl impacted gene-drug interactions ",,,871.23,2751.24,68
CPT,0462U,"Melatonin levels test,sleep study,7 or 9 sample melatonin profile (cortisol optional),enzyme-linked immunosorbent assay (ELISA),saliva screening/preliminary ",,,13.73,51.81,73
CPT,0463U,"Oncology (cervix),mRNA gene expression profiling of 14 biomarkers (E6&E7 of the highest-risk human papillomavirus (HPV) types 16,18,31,33,42,52,58),by real time nucleic acid sequence-based amplifica ",,,722.0,2280.0,68
CPT,0464T,"Visual evoked potential, testing for glaucoma, with interpretation and report ",,,138.21,138.21,44
CPT,0464U,"Oncology (colorectal) screening,quantitative real-time target and signal amplification,methylated DNA markers,incl LASS4,LRRC4 and PPP24RC,a reference marker ZDHHC1,and a protein marker (fecal hemoglo",,,470.58,1775.76,73
CPT,0465T,SUPRACHOROIDAL INJECTION OF A PHARMACOLOGIC AGENT (DOES NOT INCLUDE SUPPLY OF MEDICATION) ,,,742.8,990.0,24
CPT,0465U,"Oncology (urothelial carcinoma),DNA,quantitative methylationspecific PCR of 2 genes (ONECUT2,VIM),algorithmic analysis reported as positive or negative ",,,1540.72,5814.03,73
CPT,0466T,"INSERTION OF CHEST WALL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY, INCLUDING CONNECTION TO PULSE GENERATOR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,607.0,827.0,20
CPT,0466U,"Cardiology (Coronary artery disease (CAD)),DNA,genomewide association studies (564856 single-nucleotide polymorphisms (SNPs),targeted variant genotyping),patient lifestyle & clinical data,buccal swab,",,,328.16,1036.29,68
CPT,0467T,"REVISION OR REPLACEMENT OF CHEST WALL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY, INCLUDING CONNECTION TO EXISTING PULSE GENERATOR ",,,607.0,827.0,20
CPT,0467U,"Oncology (bladder),DNA,nextgeneration sequencing (NGS) of 60 genes and whole genome aneuploidy,urine,altorighms reported as minimal residual disease (MRD) status positive or negative and quantitative ",,,1207.66,4557.18,73
CPT,0468T,REMOVAL OF CHEST WALL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY ,,,607.0,827.0,20
CPT,0468U,"Hepatology (nonalcoholic steatohepatitis(NASH)),miR-34a5p,alpha 2-macroglobulin, YKL40, HbA1c, serum and whole blood, algorithm reported as a single score for NASH activity & fibrosis ",,,200.11,755.1,73
CPT,0469U,"Rare diseases (constitutional/heritble disorders),whole genome seq analysis for chromosonal abnormalities, copy number variants,duplications,deletions,inversions,unbalanced translocations,regions of ",,,1138.04,3593.82,71
CPT,0470U,"Oncology (oropharyngeal),detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets,cell-free HPV 15 and 18 DNA from plasma ",,,568.01,1793.73,68
CPT,0471U,"Oncology (colorectal cancer),qualitative real-time PCR of 35 variants of KRAS & NRAS genes (exons 2,3,4),formalinfixed paraffine-embedded (FFPE),predictive,identification of detected mutations ",,,604.2,2280.0,73
CPT,0472T,"Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal prosthesis), in person, with iterative adjustment of the implantable device to test functi",,,124.04,124.04,44
CPT,0472U,"Carbonic anhydrase VI (CA VI),paraotid specific/secretory protein (PSP) and salivary protein (SP1 IgG,IgM,IgA antibodies, enzyme-linked immunosorbent assay (ELISA), semiqualitative,blood,reported as ",,,26.5,83.7,68
CPT,0473T,"Device evaluation and interrogation of intraocular retinal electrode array (eg, retinal prosthesis), in person, including reprogramming and visual training, when performed, with review and report by a",,,113.19,113.19,44
CPT,0473U,"Oncology (solid tumor),nextgeneration sequencing (NGS) of DNA from formalin-fixed paraffinembedded (FFPE) tissue with comparative sequence analysis from a matched normal specimen (blood or saliva), 68",,,2025.0,13500.0,73
CPT,0474T,"Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space ",,,818.92,6801.0,119
CPT,0474U,"Hereditary pan-cancer (eg, Hereditary sarcomas, hereditary endocrine tumors, hereditary cutaneous melanoma),genomic sequence analysis panel of 88 genes with 20 duplications/deletions using nextgen ",,,1036.64,3911.85,73
CPT,0475U,"Hereditary prostate cancer-related disorders,genomic sequence analysis panel using next-generation sequencing (NGS),Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA),and array",,,1036.64,3911.85,73
CPT,0476U,"Drug metabolism, psychiatry (eg major depressive disorder, general anxiety disorder, ADHD, schizophrenia), whole blood, buccal swab, and pharmacogenomic genotyping of 14 genes and CYP2D6 copy number v",,,331.35,1250.34,73
CPT,0477U,"Drug metabolism, psychiatry (ev major depressive disorder, general anxiety disorder, ADHD, schizophrenia), whole blood buccal swab, and pharmacogenomic genotyping of 14 genes and CYP2D6 copy number va",,,331.35,1250.34,73
CPT,0478U,"Oncology (non-small cell lung cancer), DNA and RNA, digital PCR analysis of 9 genes (EGFR, KRAS, BRAF, ALK, ROS1, RET, NTRK 1/2/3, ERBB2, and Met) in formalin-fixed paraffin-embedded (FFPE) tissue, in",,,525.34,1658.97,68
CPT,0479T,"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children ",,,466.59,3523.0,159
CPT,0479U,"Tau, phosphorylated, pTau217 ",,,13.73,51.81,73
CPT,0480T,"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part ther",,,185.08,2900.0,119
CPT,0480U,"Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation sequencing (DNA and RNA), bioinformatic analysis, with positive pathogen identification ",,,1690.33,6378.6,73
CPT,0481T,"Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed ",,,291.0,3523.0,91
CPT,0481U,"IDH1, IDH2, and TERT promoter (eg, central nervous system tumors), next-generatin sequencing (single-nucleotide variants (SNV), deletions, and insertions) ",,,536.02,2022.72,73
CPT,0482U,"Obstetrics (preeclampsia), biochemical assay of suoluble fms-like tyrosine kinasi 1 and placental growth factor, serum, ratio reported for sFIt-1/PIGF, with risk of progression for preeclampsia with s",,,102.42,386.46,73
CPT,0483T,"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed ",,,3715.0,18061.0,28
CPT,0483U,"Infectios disease (Neisseria gonorrhoeae), sensitivity, ciprofloxacin resistance (gyrA S91F point mutation), oral, rectal, or vaginal swab, algorithm reported as probability of fluoroquinolone resista",,,33.34,105.27,68
CPT,0484T,"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical) ",,,3715.0,18061.0,28
CPT,0484U,"Infectious disease (Mycoplasma genitalium), macrolide sensitivity (23S rRNA point mutation), oral, rectal or vaginal sway, algorithm reported as probability of macrolide resistance ",,,33.34,105.27,68
CPT,0485T,"Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral ",,,31.16,31.16,1
CPT,0485U,"Oncology (solid tumor), cell-free DNA and RNA by next-generation sequencing, interpretative report for germline mutations, clonal hematopoiesis of indeterminate potential, and tumor-derived single-nuc",,,3467.01,10948.44,68
CPT,0486U,"Oncology (pan-solid tumor), next-generation sequencing analysis of tumor methylation markers present in cell-free circulating tumor DNA, algorithm reported as quantitative measurement of methylation a",,,1562.04,4932.75,68
CPT,0487U,"Oncology (solid tumor), cell-free circulating DNA, targeted, genomic sequence analysis panel of 84 genes, interrogation for sequence variants, aneuploidy-corrected gene copy number amplifications and ",,,2321.08,8758.8,73
CPT,0488U,"Obstetrics (fetal antigen noninvasive prenatal test), cell-free DNA sequence analysis for detection of fetal presence or absence of 1 or more of the Rh, C, c, D, E, Duffy, or Kell antigen in alloimmun",,,603.45,2277.15,73
CPT,0489T,"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting, isolation and preparation of harvested cells including incubation with cell dissociation e",,,325.39,4953.0,111
CPT,0489U,"Obstetrics (single gene noninvasive prenatal test), cell-free DNA sequence analysis of 1 or more targets to identify paternally inherited pathogenic variants, and relative mutation-dosage analysis bas",,,1095.94,3460.86,68
CPT,0490T,Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands ,,,607.0,4953.0,111
CPT,0490U,"Oncology (cutaneous or uveal melanoma), circulating tumor cell selection, morphological characterization and enumeration based on differential CD146, high molecular-weight melanoma- associated antigen",,,1935.83,7305.0,73
CPT,0491T,"ABLATIVE LASER TREATMENT, NON-CONTACT, FULL FIELD AND FRACTIONAL ABLATION, OPEN WOUND, PER DAY, TOTAL TREATMENT SURFACE AREA; FIRST 20 SQ CM OR LESS ",,,607.0,827.0,20
CPT,0491U,"Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule, cytokeratins 8, 18 & 19, CD45 protein ",,,1935.83,7305.0,73
CPT,0492T,"ABLATIVE LASER TREATMENT, NON-CONTACT, FULL FIELD AND FRACTIONAL ABLATION, OPEN WOUND, PER DAY, TOTAL TREATMENT SURFACE AREA; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO ",,,607.0,827.0,20
CPT,0492U,"Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule (EpCAM), cytokeratins 8, 18 & 19, CD45 ",,,1935.83,7305.0,73
CPT,0493U,"Transplantation medicine, quantification of donor-derived cell-free DNA (cfDNA) using next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA ",,,2188.84,8259.75,73
CPT,0494T,"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservatio",,,3715.0,4953.0,24
CPT,0494U,"Red blood cell antigen (fetal RhD gene analysis), next-generation sequencing of circulating cell-free DNA (cfDNA) of blood in pregnant individuals known to be RhD negative, reported as positive or neg",,,603.45,2277.15,73
CPT,0495T,"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu",,,3715.0,4953.0,24
CPT,0495U,"Oncology (prostate), analysis of circulating plasma proteins (tPSA, fPSA, KLK2, PSP94 and GDF15), germline polygenic risk score (60 variants), clinical information (age, family history of prostate can",,,604.2,2280.0,73
CPT,0496T,"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu",,,3715.0,4953.0,24
CPT,0496U,"Oncology (colorectal), cell-free DNA, 8 genes for mutations, 7 genes for methylation by real-time RT-PCR, and 4 proteins by enzyme-linked immunosorbent assay, blood, reported positive or negative for ",,,461.57,1457.58,68
CPT,0497U,"Oncology (prostate), mRNA gene-expression profiling by real-time RT-PCR of 6 genes (FOXM1, MCM3, MTUS1, TTC21B, ALAS1, PPP2CA), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm repo",,,3079.04,11619.0,73
CPT,0498U,"Oncology (colorectal), next-generation seequencing for mutation detection in 43 genes and methylation pattern in 45 genes, blood and formalin-fixed paraffin-embedded (FFPE) tissue, report of variants ",,,1278.04,4035.93,68
CPT,0499T,"CYSTOURETHROSCOPY, WITH MECHANICAL DILATION AND URETHRAL THERAPEUTIC DRUG DELIVERY FOR URETHRAL STRICTURE OR STENOSIS, INCLUDING FLUOROSCOPY, WHEN PERFORMED ",,,1257.0,1815.0,44
CPT,0499U,"Oncology (colorectal and lung), DNA from formalin-fixed paraffin-embedded (FFPE) tissue, next-generation sequencing of 8 genes (NRAS, EGFR, CTNNB1, PIK3CA, APC, BRAF, KRAS and TP53), mutation detectio",,,475.34,1793.73,73
CPT,0500U,"Autoinflammatory disease (VEXAS syndrome), DNA, UBA1 gene mutations, targeted variant analysis (M41T, M41V, M41L, c. 118-2A>C, c.118-1G>C, c.118-9_118-2del, S56F, S621C) ",,,139.44,526.2,73
CPT,0501U,"Oncology (colorectal), blood, quantitative measurement of cell-free DNA (cfDNA) ",,,182.4,576.0,68
CPT,0502U,"Human papillomavirus (HPC), E6/E7 markers for high-risk types (16,18,31,33,35,39,45,51,52,56,58,59,66 and 68), cervical cells, branched-chain capture hybridization, reported as negative or positive fo",,,27.9,105.27,73
CPT,0503U,"Neurology (Lazheimer disease), beta amyloid (AB40,AB42,AB42/40 ratio) and tau-protein (ptau217, np-tau217, ptau217/np-tau217 ratio), blood, immunoprecipitation with quantitation by liquid chomatograph",,,596.25,2250.0,73
CPT,0504U,"Infectious disease (urinary tract infection), identification of 17 pathologic organisms, urine, real-time PCR, reported as positive or negative for each organism ",,,331.35,1250.34,73
CPT,0505T,"Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultraso",,,2224.34,13472.0,79
CPT,0505U,"Infectious disease (vaginal infection), identification of 32 pathogenic organisms, swab, real-time PCR, reported as positive or negative for each organism ",,,540.42,2039.31,73
CPT,0506T,"Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with interpretation and report ",,,103.4,103.4,44
CPT,0506U,"Gastroenterology (Barrett's esophagus), esophageal cells, DNA methylation analysis by next-generation sequencing of at least 89 differentially methylated genomic regions, algorithm reported as likelih",,,1540.72,5814.03,73
CPT,0507T,"Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or bilateral, with interpretation and report ",,,44.49,990.0,68
CPT,0507U,"Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected ",,,922.2,3480.0,73
CPT,0509T,"Electroretinography (ERG) with interpretation and report, pattern (PERG) ",,,103.38,103.38,44
CPT,0510T,Removal of sinus tarsi implant ,,,1011.06,6446.0,123
CPT,0510U,"Oncology (pancreatic cancer), augumentative algorithmic analysis of 16 genes from previously sequenced RNA whole-transcriptome data, reported as probability of predicted molecular subtype ",,,450.21,1421.73,68
CPT,0511T,Removal and reinsertion of sinus tarsi implant ,,,985.47,6446.0,123
CPT,0511U,"Oncology (solid tumor), tumor cell culture in 3D microenvironment, 36 or more drug panel, reported as tumor-response prediction for each drug ",,,2411.92,9101.58,73
CPT,0512T,"Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound ",,,291.0,3523.0,72
CPT,0512U,"Oncology (prostate), augmentative algorithmic analysis of digitized whole-slide imaging of histologic features for microsatellite instability (MSI) status, formalin-fixed paraffin-embedded (FFPE) tiss",,,561.47,2118.75,73
CPT,0513T,"Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure) ",,,291.0,2900.0,32
CPT,0513U,"Oncology (prostate), augmentative algorighmic analysis of digitized whole-slide imaging of histologic features for microsatellite instability (MSI) and homologous recombination deficience (HRD) status",,,561.47,2118.75,73
CPT,0514U,"Gastroenterology (irritable bowel disease (IBD), immunoassay for quantitative determination of adalimumab (ADL) levels in venous serum in patients undergoing adalimumab therapy, results reported as a ",,,30.67,115.71,73
CPT,0515T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (inclu",,,2706.0,21174.0,101
CPT,0515U,"Gastoenterology (irritable bowel disease (IBD)), immunoassay for quantitative determination of infliximab (IFX) levels in venous serum in patients undergoing infliximab therapy, results reported as a ",,,30.67,115.71,73
CPT,0516T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; electrode only ",,,1753.0,13472.0,79
CPT,0516U,"Drug metabolism, whole blood, pharmacogenomic genotyping of 40 genes and CYP2D6 copy number variant analysis, reported as metabolizer status ",,,331.35,1250.34,73
CPT,0517T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pul",,,1753.0,13472.0,79
CPT,0517U,"Therapeutic drug monitoring, 80 or more psychoactive drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therapeutic minimally and maximally effective dose of prescribed and non-prescr",,,196.3,740.76,73
CPT,0518T,Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; battery component only ,,,1404.42,6446.0,79
CPT,0518U,"Therapeutic drug monitoring, 90 or more pain and mental health drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic minimally effective range of prescribed and non-prescribed",,,196.3,740.76,73
CPT,0519T,"Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; both components (battery and transmitter) ",,,1404.42,6446.0,79
CPT,0519U,"Therapeutic drug monitoring, medications specific to pain, depression, and anxiety, LC-MS/MS, plasma, 110 or more drugs or substances, qualitative and quantitative therpeutic minimally effective range",,,196.3,740.76,73
CPT,0520T,"Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only ",,,2706.0,21174.0,79
CPT,0520U,"Therapeutic drug monitoring, 200 or more drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic minimally effective range of prescribed and non-prescribed medications ",,,196.3,740.76,73
CPT,0521T,"Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording, and disconnection per patient encounter, wireless cardiac stimulator for left ventricular ",,,742.8,990.0,24
CPT,0522T,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including",,,742.8,990.0,24
CPT,0523T,CFFR W/ 3D MAP INTRAPROC,23777.3,23777.3,3566.59,23777.3,36
CPT,0523T,"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interp",23777.3,23777.3,291.0,2900.0,32
CPT,0524T,"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation, diagnostic imaging, ima",,,1404.42,6446.0,79
CPT,0524U,KRYPTOR OB SFLT1/PLGF IA,336.57,336.57,50.49,336.57,41
CPT,0525T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system ",,,2224.34,13472.0,79
CPT,0526T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; electrode only ",,,1753.0,13472.0,79
CPT,0527T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; implantable moni",,,1753.0,13472.0,79
CPT,0528T,"Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values, with analysis, review, and report ",,,742.8,990.0,24
CPT,0529T,"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report ",,,742.8,990.0,24
CPT,0530T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; complete system (electrode and implantable monitor) ",,,1404.42,6446.0,79
CPT,0531T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; electrode only ",,,1404.42,6446.0,79
CPT,0532T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; implantable monitor only ",,,1404.42,6446.0,79
CPT,0532U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome and mitochondrial DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations ",,,4779.64,15093.6,68
CPT,0533U,"Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19, CYP2C, CYP2D6, CYP3A5, CYP4F2, DPYD, G6PD, GGCX, NUDT15, SLCO1B1, TPMT, ",,,395.94,1250.34,68
CPT,0535U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma or serum, quantitative ",,,59.03,186.42,68
CPT,0536U,"Red blood cell antigen (fetal RhD), PCR analysis of exon 4 of RHD gene and housekeeping control gene GAPDH from whole blood in pregnant individuals at 10+ weeks gestation ",,,182.4,576.0,68
CPT,0537U,"Oncology (colorectal cancer), analysis of cell-free DNA for epigenomic patterns, nextgeneration sequencing, >2500 differentially methylated regions (DMRs), plasma, algorithm reported as pos or neg ",,,1420.25,4485.0,69
CPT,0538U,"Oncology (solid tumor), nextgeneration targeted sequencing analysis, formalin-fixed paraffinembedded (FFPE) tumor tissue, DNA analysis of 600 genes, interrogation for singlenucleotide variants, inse ",,,2840.07,8968.65,68
CPT,0539U,"Oncology (solid tumor), cell-free circulating tumor DNA (ctDNA), 152 genes, next-generation sequencing, interrogation for single-nucleotide variants, insertions/deletions, gene rearrangements ",,,3124.08,9865.53,68
CPT,0540T,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,742.8,990.0,24
CPT,0540U,"Transplantation medicine, quantification of donorderived cell-free DNA using next-generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine ",,,2615.59,8259.75,68
CPT,0541T,"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum 36 channel grid, generation of magnetic-field time-series images, quantitative an",,,625.57,4700.0,46
CPT,0542T,"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum 36 channel grid, generation of magnetic-field time-series images, quantitative an",,,30.3,4700.0,46
CPT,0543T,"Transapical mitral valve repair, including transthoracic echocardiography, when performed, with placement of artificial chordae tendineae ",,,3715.0,16577.0,26
CPT,0543U,"Oncology (solid tumor), next-generation sequencing of DNA from formalin-fixed paraffinembedded (FFPE) tissue of 517 genes, interrogation for single-nucleotide variants, multinucleotide variants ",,,2840.07,8968.65,68
CPT,0544T,"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture ",,,3715.0,16577.0,26
CPT,0545T,"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach ",,,3715.0,16577.0,26
CPT,0545U,"Acetylcholine receptor (AChR), antibody identification by immunofluorescence, using live cells, reported as positive or negative ",,,35.84,113.19,68
CPT,0546T,"Radiofrequency spectroscopy, real time, intraoperative margin assessment, at the time of partial mastectomy, with report ",,,143.19,143.19,2
CPT,0546U,"Low-density lipoprotein receptor-related protein 4 (LRP4), antibody identification by immunofluorescence, using live cells, reported as positive or negative ",,,35.84,113.19,68
CPT,0547T,"Bone-material quality testing by microindentation(s) of the tibia(s), with results reported as a score ",,,265.57,2303.0,92
CPT,0547U,"Neurofilament light chain (NfL), chemiluminescent enzyme immunoassay, plasma, quantitative ",,,110.42,348.69,68
CPT,0548U,"Glial fibrillary acidic protein (GFAP), chemiluminescent enzyme immunoassay, using plasma ",,,110.42,348.69,68
CPT,0549U,"Oncology (urothelial), DNA, quantitative methylated real-time PCR of TRNA-Cys, SIM2, and NKX1-1, using urine, diagnostic algorithm reported as a probability index for bladder cancer ",,,722.0,2280.0,68
CPT,0552T,"Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional ",,,13.54,3523.0,60
CPT,0553U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrangements, aneuploidy, and ",,,721.1,2277.15,68
CPT,0554T,"Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; retrieval and transmission of the scan data, a",,,52.62,57.73,26
CPT,0554U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from trophectoderm biopsy for aneuploidy, ploidy, a mitochondrial DNA score ",,,721.1,2277.15,68
CPT,0555T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; retrieval and transmission of the scan data ,,,23.18,99.9,28
CPT,0555U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural arrangements ",,,721.1,2277.15,68
CPT,0556T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; assessment of bone strength and fracture risk ,,,51.7,986.19,28
CPT,0556U,"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific DNA and RNA by real-time PCR, 12 targets, nasopharyngeal or oropharyngeal swab, including multiplex reverse ",,,135.5,427.89,68
CPT,0557T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; interpretation and report ,,,13.15,39.16,26
CPT,0557U,"Infectious disease (bacterial vaginosis and vaginitis), realtime amplification of DNA markers for Atopobium vaginae, Gardnerella vaginalis, Megasphaera types 1 and 2, bacterial vaginosis associated ",,,249.84,788.97,68
CPT,0558T,Computed tomography scan taken for the purpose of biomechanical computed tomography analysis ,,,84.11,459.25,18
CPT,0558U,"Oncology (colorectal), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted colorectal cancer protein marker (BF7 antigen), using serum, result reported as indicative of response ",,,19.77,62.43,68
CPT,0559T,Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure ,,,18.17,75.47,26
CPT,0559U,"Oncology (breast), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted breast cancer protein marker (BF9 antigen), serum, result reported as indicative of response ",,,19.77,62.43,68
CPT,0560T,Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code for primary procedure) ,,,34.39,34.39,2
CPT,0560U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood and tumor tissue, baseline assessment for design and construction of a personalized variant panel to ",,,3684.53,11635.35,68
CPT,0561T,Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide ,,,75.47,87.81,26
CPT,0561U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood, subsequent assessment with comparison to initial assessment to evaluate for MRD ",,,754.77,2383.47,68
CPT,0562T,Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure) ,,,26.84,26.84,2
CPT,0562U,"Oncology (solid tumor), targeted genomic sequence analysis, 33 genes, detection of single-nucleotide variants (SNVs), insertions and deletions, copy-number amplifications, and translocations in human ",,,568.01,1793.73,68
CPT,0563T,"Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral ",,,71.07,2900.0,115
CPT,0563U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 11 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respi ",,,395.94,1250.34,68
CPT,0564U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 10 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respiratory sp",,,395.94,1250.34,68
CPT,0565T,Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; tissue harvesting and cellular implant creation ,,,291.0,6446.0,95
CPT,0565U,"Oncology (hepatocellular carcinoma), next-generation sequencing methylation pattern assay to detect 6626 epigenetic alterations, cellfree DNA, plasma, algorithm reported as ",,,1102.0,3480.0,68
CPT,0566T,"Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; injection of cellular implant into knee joint including ultrasound guidance, unilateral ",,,291.0,3523.0,95
CPT,0566U,"Oncology (lung), qPCRbased analysis of 13 differentially methylated regions (CCDC181, HOXA7, LRRC8A, MARCHF11, MIR129-2, NCOR2, PANTR1, PRKCB, SLC9A3, TBR1_2, TRAP1, VWC2, ZNF781), pleural fluid, ",,,395.94,1250.34,68
CPT,0567U,"Rare diseases (constitutional/heritable disorders), whole-genome sequence analysis combination of short and long reads, for single-nucleotide variants, insertions/deletions and characterized intronic ",,,4779.64,15093.6,68
CPT,0568U,"Neurology (dementia), beta amyloid (A?40, A?42, A?42/40 ratio), tau-protein phosphorylated at residue (eg, pTau217), neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP), ",,,852.15,2691.0,68
CPT,0569T,"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis ",,,3715.0,16577.0,27
CPT,0570T,"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure) ",,,2264.0,16577.0,27
CPT,0570U,"Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxylterminal hydrolase L1 (UCHL1), immunoassay, whole blood or plasma, individual components ",,,247.47,781.5,68
CPT,0571T,"Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation thre",,,2706.0,21174.0,101
CPT,0571U,"Oncology (solid tumor), DNA (80 genes) and RNA (10 genes), by next-generation sequencing, plasma, including single-nucleotide variants, insertions/deletions, copy-number alterations, microsatellite in",,,2773.62,8758.8,68
CPT,0572T,Insertion of substernal implantable defibrillator electrode ,,,1753.0,13472.0,79
CPT,0573T,Removal of substernal implantable defibrillator electrode ,,,1404.42,6446.0,79
CPT,0574T,Repositioning of previously implanted substernal implantable defibrillator-pacing electrode ,,,1404.42,6446.0,79
CPT,0575U,"Transplantation medicine (liver allograft rejection), miRNA gene expression profiling by RT-PCR of 4 genes (miR-122, miR-885, miR-23a housekeeping, spike-in control), ",,,361.0,1140.0,68
CPT,0576U,"Transplantation medicine (liver allograft rejection), quantitative donor-derived cell-free DNA (cfDNA) by whole genome nextgeneration sequencing, ",,,3078.0,9720.0,68
CPT,0577U,"Oncology (ovarian), serum, analysis of 39 glycoproteins by liquid chromatography with tandem mass spectrometry (LC-MS/MS) in multiple reaction ",,,246.92,740.76,34
CPT,0578U,"Oncology (cutaneous melanoma), RNA, gene expression profiling by realtime qPCR of 10 genes (8 content and 2 housekeeping), utilizing formalin-fixed ",,,3679.35,11619.0,68
CPT,0579U,"Nephrology (diabetic chronic kidney disease), enzymelinked immunosorbent assay (ELISA) of apolipoprotein A4 (APOA4), CD5 antigen-like (CD5L) combined ",,,371.21,1172.25,68
CPT,0580T,Removal of substernal implantable defibrillator pulse generator only ,,,1404.42,12057.0,101
CPT,0580U,"Borrelia burgdorferi, antibody detection of 24 recombinant protein groups, by immunoassay, IgG ",,,16.35,51.63,68
CPT,0581T,"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral ",,,1404.42,6446.0,79
CPT,0581U,"Transplantation medicine, antibody to non-human leukocyte antigens (nonHLA), blood specimen, flow cytometry, single-antigen bead technology, 39 targets ",,,309.51,977.4,68
CPT,0582T,"Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative imaging and needle guidance ",,,1804.0,13472.0,47
CPT,0582U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome DNA sequencing for singlenucleotide variants, insertions/deletions, copy number variations, blood, ",,,7203.09,22746.6,68
CPT,0583T,"Tympanostomy (requiring insertion of ventilating tube), using an automated tube delivery system, iontophoresis local anesthesia ",,,769.0,6446.0,95
CPT,0583U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome comparator DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations ",,,3601.54,11373.3,68
CPT,0584T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; percutaneous ",,,3715.0,4953.0,24
CPT,0584U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quakinginduced conformational conversion, qualitative ",,,513.94,1622.97,68
CPT,0585T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; laparoscopic ",,,3715.0,4953.0,24
CPT,0585U,"Targeted genomic sequence analysis panel, solid organ neoplasm, circulating cell-free DNA (cfDNA) analysis from plasma of 521 genes, interrogation for sequence variants, ",,,2773.62,8758.8,68
CPT,0586T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; open ",,,3715.0,4953.0,24
CPT,0586U,"Oncology, mRNA, gene expression profiling of 216 genes (204 targeted and 12 housekeeping genes), RNA expression analysis, formalinfixed paraffin-embedded ",,,2773.62,8758.8,68
CPT,0587T,"Percutaneous implantation or replacement of integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, prog",,,511.0,3523.0,95
CPT,0587U,"Therapeutic drug monitoring, 60-150 drugs and metabolites, urine, saliva, quantitative liquid chromatography with tandem mass spectrometry (LCMS/MS), ",,,108.71,343.29,68
CPT,0588T,"Revision or removal of percutaneously placed integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, pro",,,911.0,5958.0,95
CPT,0588U,"Infectious disease (bacterial or viral), 32 genes (29 informative and 3 housekeeping), immune response mRNA, gene expression profiling by splitwell multiplex infection ",,,722.0,2280.0,68
CPT,0589T,"Electronic analysis with simple programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse wid",,,95.72,95.72,44
CPT,0589U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 24 PFAS compounds by high-performance liquid chromatography ",,,188.8,596.22,68
CPT,0590T,"Electronic analysis with complex programming of implanted integrated neurostimulation system for bladder dysfunction (eg, electrode array and receiver), including contact group(s), amplitude, pulse wi",,,109.24,109.24,44
CPT,0591T,"Health and well-being coaching face-to-face; individual, initial assessment ",,,46.43,46.43,44
CPT,0591U,"Oncology (prostate cancer), biochemical analysis of 3 proteins (total PSA, free PSA, and HE4), plasma, serum, prognostic algorithm incorporating 3 proteins and digital ",,,722.0,2280.0,68
CPT,0592T,"Health and well-being coaching face-to-face; individual, follow-up session, at least 30 minutes ",,,46.43,46.43,44
CPT,0592U,"Oncology (hematolymphoid neoplasms), DNA, targeted genomic sequence of 417 genes, interrogation for gene fusions, translocations, rearrangements ",,,2773.62,8758.8,68
CPT,0593T,"Health and well-being coaching face-to-face; group (2 or more individuals), at least 30 minutes ",,,20.08,20.08,44
CPT,0593U,"Infectious disease (genitourinary pathogens), DNA, 46 targets (28 pathogens, 18 resistance genes), RT-PCR amplified probe technique, urine, each ",,,603.1,1904.52,68
CPT,0594T,"Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including intraoperative imaging, initial and subsequent alignment assessments, computations of adjust",,,1753.0,9431.0,78
CPT,0595U,"Infectious disease (tropical fever pathogens), vectorborne and zoonotic pathogens, including 2 viruses (Chikungunya virus and Dengue virus serotypes 1, 2, 3, and 4), ",,,249.84,788.97,68
CPT,0596T,"Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement ",,,511.0,3979.0,94
CPT,0597T,"Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement ",,,511.0,3979.0,94
CPT,0598T,"Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; first anatomic site (eg, lower extremity, right leg)",,,147.0,341.69,25
CPT,0598U,"Gastroenterology (irritable bowel syndrome), IgG antibodies to 18 food items by microarray-based immunoassay, whole blood or serum, report as elevated ",,,285.0,900.0,68
CPT,0599T,"Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; each additional anatomic site (eg, upper extremity, ",,,73.5,73.5,1
CPT,0599U,"Oncology (pancreatic cancer), multiplex immunoassay of ICAM1, TIMP1, CTSD, THBS1, and CA 19-9, serum, diagnostic algorithm reported as positive or negative ",,,852.15,2691.0,68
CPT,0600T,"Ablation, irreversible electroporation; 1 or more tumors per organ, other than liver or prostate, including imaging guidance, when performed, percutaneous ",,,2224.34,9431.0,78
CPT,0601T,"Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open ",,,2224.34,9431.0,78
CPT,0602T,"Glomerular filtration rate (GFR) measurement(s), transdermal, including sensor placement and administration of a single dose of fluorescent pyrazine agent ",,,245.02,372.85,58
CPT,0603T,"Glomerular filtration rate (GFR) monitoring, transdermal, including sensor placement and administration of more than one dose of fluorescent pyrazine agent, each 24 hours ",,,618.13,940.8,58
CPT,0604T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; initial device provision, set-up and pa",,,22.95,156.51,70
CPT,0605T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; remote surveillance center technical su",,,48.94,596.49,70
CPT,0606T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; review, interpretation and report by th",,,35.27,39.1,26
CPT,0607T,"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture, ",,,36.84,54.73,46
CPT,0608T,"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture, ",,,638.89,638.89,2
CPT,0609T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); acquisition of single voxel data, per disc, on biomarkers (ie, lactic acid, carbohyd",,,310.68,390.45,14
CPT,0610T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); transmission of biomarker data for software analysis ",,,208.12,231.75,14
CPT,0611T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); postprocessing for algorithmic analysis of biomarker data for determination of relat",,,73.7,310.68,14
CPT,0612T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); interpretation and report ",,,34.3,38.15,14
CPT,0613T,"Percutaneous transcatheter implantation of interatrial septal shunt device, including right and left heart catheterization, intracardiac echocardiography, and imaging guidance by the proceduralist, wh",,,3715.0,16577.0,26
CPT,0614T,Removal and replacement of substernal implantable defibrillator pulse generator ,,,2706.0,21174.0,100
CPT,0615T,"Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and pupillary dynamics for the assessment of concussion, with interpretation and report ",,,112.04,112.04,2
CPT,0616T,"Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, without insertion of intraocular lens ",,,1632.0,5278.0,32
CPT,0617T,"Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with removal of crystalline lens and insertion of intraocular lens ",,,2259.0,5278.0,32
CPT,0618T,"Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with secondary intraocular lens placement or intraocular lens exchange ",,,2259.0,5278.0,32
CPT,0619T,"Cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery, including transrectal ultrasound and fluoroscopy, when performed ",,,1603.31,8866.0,48
CPT,0620T,"Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ul",,,3933.0,13472.0,79
CPT,0621T,Trabeculostomy ab interno by laser; ,,,3880.0,6801.0,47
CPT,0622T,Trabeculostomy ab interno by laser; with use of ophthalmic endoscope ,,,3715.0,6446.0,47
CPT,0623T,"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and",,,202.14,202.14,2
CPT,0624T,"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and",,,73.28,73.28,2
CPT,0625T,"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysi",,,38.98,38.98,2
CPT,0626T,"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computeriz",,,91.37,91.37,2
CPT,0627T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level ",,,219.45,9431.0,80
CPT,0628T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; each additional level (List separ",,,65.34,2900.0,56
CPT,0629T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level ",,,217.8,9431.0,80
CPT,0630T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; each additional level (List separately in a",,,65.34,2900.0,56
CPT,0631T,"Transcutaneous visible light hyperspectral imaging measurement of oxyhemoglobin, deoxyhemoglobin, and tissue oxygenation, with interpretation and report, per extremity ",,,24.18,24.18,1
CPT,0632T,"Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance ",,,3933.0,16577.0,58
CPT,0633T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material ",,,147.11,459.25,18
CPT,0634T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) ",,,241.04,459.25,18
CPT,0635T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast material(s) ",,,241.04,459.25,18
CPT,0636T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) ",,,310.68,459.25,18
CPT,0637T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) ",,,459.25,496.96,18
CPT,0638T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s) ",,,459.25,496.96,18
CPT,0639T,"Wireless skin sensor thermal anisotropy measurement(s) and assessment of flow in cerebrospinal fluid shunt, including ultrasound guidance, when performed ",,,113.52,2303.0,46
CPT,0640T,"Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), other than for screening for peripheral arterial disease, image acquisit",,,104.44,104.44,2
CPT,0643T,"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach ",,,3715.0,16577.0,26
CPT,0644T,"Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach, with intraoperative reinfusion of aspirated bloo",,,1753.0,16577.0,58
CPT,0645T,"Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart catheterization, venous angiography, coronary sinus angiography, imaging guidance, and ",,,3933.0,13472.0,78
CPT,0646T,"Transcatheter tricuspid valve implantation (TTVI)/replacement with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ve",,,3715.0,16577.0,26
CPT,0647T,"Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report ",,,769.0,7161.0,94
CPT,0648T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,310.68,1418.92,30
CPT,0649T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,1418.92,1418.92,6
CPT,0650T,"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the implantable device to test the function of the device and select optimal permanen",,,70.77,70.77,6
CPT,0651T,"Magnetically controlled capsule endoscopy, esophagus through stomach, including intraprocedural positioning of capsule, with interpretation and report ",,,307.71,5115.0,50
CPT,0652T,"Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,742.8,5115.0,94
CPT,0653T,"Esophagogastroduodenoscopy, flexible, transnasal; with biopsy, single or multiple ",,,742.8,5115.0,94
CPT,0654T,"Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter ",,,769.0,7161.0,94
CPT,0655T,"Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging ",,,1404.42,8866.0,94
CPT,0656T,Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments ,,,5050.0,13472.0,47
CPT,0657T,Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments ,,,5050.0,13472.0,47
CPT,0658T,Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score ,,,32.82,75.14,26
CPT,0659T,"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction, including catheter placement, imaging guid",,,3715.0,4953.0,24
CPT,0660T,"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach ",,,5050.0,8069.0,62
CPT,0661T,Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant ,,,5050.0,8069.0,62
CPT,0664T,"Donor hysterectomy (including cold preservation); open, from cadaver donor ",,,3715.0,10746.0,46
CPT,0665T,"Donor hysterectomy (including cold preservation); open, from living donor ",,,3715.0,10746.0,46
CPT,0666T,"Donor hysterectomy (including cold preservation); laparoscopic or robotic, from living donor ",,,3715.0,6446.0,46
CPT,0667T,Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor ,,,3715.0,4953.0,24
CPT,0668T,"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparation of uterine vein(s) an",,,3715.0,4953.0,24
CPT,0669T,"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each ",,,3715.0,4953.0,24
CPT,0670T,"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each ",,,3715.0,4953.0,24
CPT,0671T,"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more ",,,1142.61,8866.0,95
CPT,0672T,"Endovaginal cryogen-cooled, monopolar radiofrequency remodeling of the tissues surrounding the female bladder neck and proximal urethra for urinary incontinence ",,,2264.0,6446.0,47
CPT,0673T,"Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance ",,,769.0,7161.0,95
CPT,0674T,"Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including an implantable pulse generator and d",,,3880.0,18085.0,47
CPT,0675T,"Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to",,,3441.0,13472.0,47
CPT,0676T,"Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to",,,1804.0,3441.0,47
CPT,0677T,"Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse",,,1804.0,9431.0,47
CPT,0678T,"Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse",,,697.0,2900.0,47
CPT,0679T,"Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function ",,,1804.0,9431.0,47
CPT,0680T,"Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing lead(s) ",,,3441.0,13472.0,47
CPT,0681T,"Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing dual leads ",,,1804.0,5958.0,47
CPT,0682T,"Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function ",,,1804.0,5958.0,47
CPT,0686T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance ",,,2224.34,16875.68,75
CPT,0689T,"Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained without diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tiss",,,103.44,359.25,51
CPT,0690T,"Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained with diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tissue,",,,79.02,84.8,50
CPT,0691T,"Automated analysis of an existing computed tomography study for vertebral fracture(s), including assessment of bone density when performed, data preparation, interpretation, and report ",,,10.32,16.44,72
CPT,0693T,Comprehensive full body computer-based markerless 3D kinematic and kinetic motion analysis and report ,,,473.18,473.18,24
CPT,0694T,"3-dimensional volumetric imaging and reconstruction of breast or axillary lymph node tissue, each excised specimen, 3-dimensional automatic specimen reorientation, interpretation and report, real-time",,,51.14,51.14,6
CPT,0695T,"Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, d",,,305.07,305.07,44
CPT,0696T,"Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, d",,,81.29,81.29,44
CPT,0697T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,317.25,317.25,24
CPT,0698T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,368.9,368.9,6
CPT,0699T,"Injection, posterior chamber of eye, medication ",,,1142.61,8866.0,73
CPT,0700T,Molecular fluorescent imaging of suspicious nevus; first lesion ,,,32.31,48.03,25
CPT,0701T,Molecular fluorescent imaging of suspicious nevus; each additional lesion (List separately in addition to code for primary procedure) ,,,9.71,14.19,25
CPT,0707T,"Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance a",,,1404.42,8866.0,95
CPT,0708T,Intradermal cancer immunotherapy; preparation and initial injection ,,,164.2,4953.0,68
CPT,0709T,Intradermal cancer immunotherapy; each additional injection (List separately in addition to code for primary procedure) ,,,49.03,4953.0,68
CPT,0712T,Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and ass,,,191.95,191.95,44
CPT,0714T,"Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume less than 50 mL ",,,1603.31,11082.29,122
CPT,0716T,Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score ,,,291.0,2900.0,32
CPT,0717T,"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, including incubation with ",,,4469.0,6446.0,46
CPT,0718T,"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilateral ",,,1804.0,5958.0,46
CPT,0719T,"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment ",,,3715.0,6446.0,46
CPT,0720T,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,769.0,2217.91,76
CPT,0721T,"Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without concurrent CT examination of any structure contained in previously acquired diagnos",,,878.18,878.18,12
CPT,0723T,"Quantitative magnetic resonance cholangiopancreatography (QMRCP), including data preparation and transmission, interpretation and report, obtained without diagnostic magnetic resonance imaging (MRI) e",,,1283.18,1283.18,24
CPT,0725T,"Vestibular device implantation, unilateral ",,,3715.0,10746.0,46
CPT,0726T,"Removal of implanted vestibular device, unilateral ",,,3715.0,6446.0,46
CPT,0727T,"Removal and replacement of implanted vestibular device, unilateral ",,,3715.0,10746.0,46
CPT,0730T,"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance ",,,5050.0,6801.0,46
CPT,0732T,"Immunotherapy administration with electroporation, intramuscular ",,,3715.0,4953.0,24
CPT,0735T,"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately in addition to code for pr",,,291.0,2900.0,54
CPT,0736T,"Colonic lavage, 35 or more liters of water, gravity-fed, with induced defecation, including insertion of rectal catheter ",,,291.0,2900.0,78
CPT,0737T,Xenograft implantation into the articular surface ,,,1804.0,9431.0,46
CPT,0738T,"Treatment planning for magnetic field induction ablation of malignant prostate tissue, using data from previously performed magnetic resonance imaging (MRI) examination ",,,130.52,130.52,44
CPT,0739T,"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and intraprocedural temperature ",,,1804.0,4953.0,47
CPT,0740T,Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education ,,,37.54,37.54,44
CPT,0741T,"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software, data collection, transmission, and storage, each 30 days ",,,91.15,91.15,44
CPT,0742T,"Absolute quantitation of myocardial blood flow (AQMBF), single-photon emission computed tomography (SPECT), with exercise or pharmacologic stress, and at rest, when performed (List separately in addit",,,62.92,62.92,1
CPT,0743T,"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD), with concurrent vertebral fracture assessment, utilizing data from a computed tomograph",,,326.32,326.32,24
CPT,0744T,"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, polyester, ePTFE, bovine peri",,,1753.0,9431.0,79
CPT,0745T,"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus), derived from anatomical image data (eg, CT, MRI, or myoca",,,208.08,4953.0,28
CPT,0746T,Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiation treatment plan ,,,266.0,4953.0,27
CPT,0747T,"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy, arrhythmia ",,,1174.98,4953.0,27
CPT,0748T,"Injections of stem cell product into perianal perifistular soft tissue, including fistula preparation (eg, removal of setons, fistula curettage, closure of internal openings) ",,,1804.0,4953.0,47
CPT,0766T,"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, with identification and mapping of the treatment location, including noninvasive electroneurograph",,,678.85,678.85,44
CPT,0775T,"ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS, WITH IMAGE GUIDANCE, INCLUDES PLACEMENT OF INTRA-ARTICULAR IMPLANT(S) (EG, BONE ALLOGRAFTºS», SYNTHETIC DEVICEºS») ",,,2706.0,5552.91,24
CPT,0777T,Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure) ,,,27.08,2303.0,66
CPT,0778T,"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion, posture, gait, and muscle function ",,,196.33,341.08,68
CPT,0780T,Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract ,,,43.49,2900.0,91
CPT,0781T,"Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; ",,,2753.0,8866.0,63
CPT,0782T,"Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; ",,,2753.0,8866.0,63
CPT,0784T,"Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging guidance, when performed ",,,2264.0,13472.0,55
CPT,0785T,"Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator ",,,1694.0,8866.0,71
CPT,0786T,"Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed ",,,2264.0,13472.0,55
CPT,0787T,"Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator ",,,1694.0,8866.0,71
CPT,0789T,"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/",,,49.94,49.94,44
CPT,0790T,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed ",,,6051.0,13472.0,25
CPT,0791T,"Motor-cognitive, semi-immersive virtual reality-facilitated gait training, each 15 minutes (List separately in addition to code for primary procedure) ",,,17.2,326.0,46
CPT,0793T,"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance ",,,7058.0,13472.0,54
CPT,0794T,"Patient-specific, assistive, rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient's tumor-specific cancer marker information obtained from prior molecular pathol",,,291.0,2900.0,32
CPT,0795T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,3441.0,13472.0,47
CPT,0796T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,3441.0,13472.0,47
CPT,0797T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,3441.0,13472.0,55
CPT,0798T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,3441.0,8866.0,63
CPT,0799T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,3441.0,8866.0,63
CPT,0800T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,1694.0,8866.0,71
CPT,0801T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,3441.0,13472.0,47
CPT,0802T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,3441.0,13472.0,47
CPT,0803T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,3441.0,13472.0,55
CPT,0805T,"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie, caval valve implantation ºCAVI»); percutaneous femoral vein approach ",,,3715.0,6446.0,47
CPT,0806T,"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie, caval valve implantation ºCAVI»); open femoral vein approach ",,,3715.0,6446.0,47
CPT,0807T,"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed tomography (CT) images, ",,,196.33,196.33,24
CPT,0808T,Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) images taken for the purpose,,,378.08,378.08,24
CPT,0810T,"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies ",,,2264.0,8866.0,63
CPT,0811T,"Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of equipment ",,,280.94,280.94,44
CPT,0812T,"Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report generation, up to 10 days ",,,153.33,153.33,1
CPT,0813T,"Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric bariatric balloon ",,,769.0,5115.0,71
CPT,0814T,"Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral ",,,1804.0,4953.0,47
CPT,0816T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,1804.0,13472.0,55
CPT,0817T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,1804.0,13472.0,55
CPT,0818T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous ",,,1694.0,8866.0,71
CPT,0819T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subfascial ",,,1694.0,8866.0,71
CPT,0823T,"Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculogr",,,3441.0,13472.0,55
CPT,0824T,"Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculograp",,,1694.0,8866.0,71
CPT,0825T,"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or righ",,,3441.0,13472.0,55
CPT,0857T,"Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition to code for primary proced",,,35.66,141.41,49
CPT,0859T,"Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), other than for screening for peripheral arterial disease, image acquisit",,,13.7,13.7,1
CPT,0861T,Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter) ,,,1694.0,8866.0,71
CPT,0862T,"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only ",,,769.0,8866.0,71
CPT,0863T,"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; transmitter component only ",,,769.0,8866.0,71
CPT,0864T,"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy ",,,911.0,2303.0,38
CPT,0865T,"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion identification, characterization, and quantification, wi",,,315.18,315.18,24
CPT,0866T,"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion detection, characterization, and quantification, with br",,,315.18,315.18,24
CPT,0867T,"Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater or equal to 50 mL ",,,1804.0,4830.0,47
CPT,0869T,"Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed ",,,1804.0,8866.0,62
CPT,0870T,"Implantation of subcutaneous peritoneal ascites pump system, percutaneous, including pump-pocket creation, insertion of tunneled indwelling bladder and peritoneal catheters with pump connections, incl",,,1804.0,14425.0,46
CPT,0871T,"Replacement of a subcutaneous peritoneal ascites pump, including reconnection between pump and indwelling bladder and peritoneal catheters, including initial programming and imaging, when performed ",,,1804.0,14425.0,46
CPT,0872T,"Replacement of indwelling bladder and peritoneal catheters, including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump, including imaging and programming, when",,,1804.0,5958.0,46
CPT,0873T,"Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated peritoneal catheter, associated bladder catheter), including imaging and programming, whe",,,1804.0,5958.0,46
CPT,0874T,"Removal of a peritoneal ascites pump system, including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters ",,,1804.0,5958.0,46
CPT,0882T,"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; initial nerve (List s",,,1804.0,2900.0,47
CPT,0883T,"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; each additional nerve",,,1804.0,2900.0,47
CPT,0884T,"Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for esophageal s",,,2264.0,6446.0,47
CPT,0885T,"Colonoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, includ",,,2753.0,6446.0,47
CPT,0886T,"Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, incl",,,1804.0,4830.0,47
CPT,0888T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance ",,,2753.0,23625.68,72
CPT,0894T,Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion ,,,3715.0,4953.0,24
CPT,0898T,"Noninvasive prostate cancer estimation map, derived from augmentative analysis of image-guided fusion biopsy and pathology, including visualization of margin volume and location, with margin determina",,,997.04,997.04,1
CPT,0901T,"Placement of bone marrow sampling port, including imaging guidance when performed ",,,1804.0,4953.0,47
CPT,0902T,"QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile ECG device ",,,3807.0,4700.0,2
CPT,0903T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; with interpretation and report ",,,3807.0,4700.0,2
CPT,0904T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only ",,,3807.0,4700.0,2
CPT,0905T,"Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; interpretation and report only ",,,3807.0,4700.0,2
CPT,0906T,"Concurrent optical and magnetic stimulation (COMS) therapy, wound assessment and dressing care; first application, total wound(s) surface area less than or equal to 50 sq cm ",,,433.17,433.17,44
CPT,0908T,"Open implantation of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed ",,,1804.0,18085.0,47
CPT,0909T,"Replacement of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed ",,,1804.0,18085.0,47
CPT,0910T,"Removal of integrated neurostimulation system, vagus nerve ",,,1804.0,5958.0,47
CPT,0913T,"Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting), including mechanical dilation by nondrug-delivery balloon angioplasty, endo",,,5587.49,10746.0,47
CPT,0914T,"Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting) performed on a separate target lesion from the target lesion treated with ba",,,1804.0,2900.0,46
CPT,0915T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse",,,3441.0,14425.0,47
CPT,0916T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse",,,2753.0,14425.0,47
CPT,0917T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; singl",,,2753.0,13472.0,47
CPT,0918T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; dual ",,,2753.0,13472.0,47
CPT,0919T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); pulse generator only ,,,2753.0,8866.0,63
CPT,0920T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous pacing lead only ,,,2753.0,8866.0,63
CPT,0921T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous defibrillation lead only ,,,2753.0,8866.0,63
CPT,0922T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); dual (pacing and defibrillation) transvenous leads only ,,,2753.0,8866.0,63
CPT,0923T,Removal and replacement of permanent cardiac contractility modulation-defibrillation pulse generator only ,,,3441.0,14425.0,47
CPT,0924T,"Repositioning of previously implanted cardiac contractility modulation-defibrillation transvenous electrode(s)/lead(s), including fluoroscopic guidance and programming of sensing and therapeutic param",,,1804.0,3979.0,63
CPT,0925T,Relocation of skin pocket for implanted cardiac contractility modulation-defibrillation pulse generator ,,,1804.0,8866.0,63
CPT,0930T,"Electrophysiologic evaluation of cardiac contractility modulation-defibrillator leads, including defibrillation-threshold evaluation (induction of arrhythmia, evaluation of sensing and therapy for arr",,,1804.0,4100.0,46
CPT,0931T,"Electrophysiologic evaluation of cardiac contractility modulation-defibrillator leads, including defibrillation-threshold evaluation (induction of arrhythmia, evaluation of sensing and therapy for arr",,,1804.0,4100.0,46
CPT,0933T,"Transcatheter implantation of wireless left atrial pressure sensor for long-term left atrial pressure monitoring, including sensor calibration and deployment, right heart catheterization, transseptal ",,,5101.0,10746.0,46
CPT,0935T,"Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement of ureteral sheath(s) and mul",,,3441.0,8866.0,63
CPT,0941T,"Cystourethroscopy, flexible; with insertion and expansion of prostatic urethral scaffold using integrated cystoscopic visualization ",,,2753.0,8866.0,63
CPT,0942T,"Cystourethroscopy, flexible; with removal and replacement of prostatic urethral scaffold ",,,2753.0,8866.0,63
CPT,0943T,"Cystourethroscopy, flexible; with removal of prostatic urethral scaffold ",,,1804.0,8866.0,63
CPT,0944T,3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwave ablation ,,,236.89,986.19,27
CPT,0945T,"Intraoperative assessment for abnormal (tumor) tissue, in-vivo, following partial mastectomy (eg, lumpectomy) using computer-aided fluorescence imaging (List separately in addition to code for primary",,,1804.0,4953.0,46
CPT,0946T,"Orthopedic implant movement analysis using paired computed tomography (CT) examination of the target structure, including data acquisition, data preparation and transmission, interpretation and report",,,143.56,143.56,24
CPT,0947T,"Magnetic resonance image guided low intensity focused ultrasound (MRgFUS), stereotactic blood-brain barrier disruption using microbubble resonators to increase the concentration of blood-based biomark",,,5050.0,6446.0,22
CPT,0950T,"Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1804.0,4830.0,46
CPT,0951T,"Totally implantable active middle ear hearing implant; initial placement, including mastoidectomy, placement of and attachment to sound processor ",,,3715.0,6446.0,46
CPT,0952T,"Totally implantable active middle ear hearing implant; revision or replacement, with mastoidectomy and replacement of sound processor ",,,3715.0,6446.0,46
CPT,0953T,"Totally implantable active middle ear hearing implant; revision or replacement, without mastoidectomy and replacement of sound processor ",,,3715.0,6446.0,46
CPT,0954T,"Totally implantable active middle ear hearing implant; replacement of sound processor only, with attachment to existing transducers ",,,3715.0,6446.0,46
CPT,0955T,"Totally implantable active middle ear hearing implant; removal, including removal of sound processor and all implant components ",,,1804.0,4953.0,46
CPT,0956T,"Partial craniectomy, channel creation, and tunneling of electrode for sub-scalp implantation of an electrode array, receiver, and telemetry unit for continuous bilateral electroencephalography monitor",,,5050.0,14425.0,46
CPT,0957T,"Revision of sub-scalp implanted electrode array, receiver, and telemetry unit for electrode, when required, including imaging guidance ",,,1804.0,4100.0,46
CPT,0958T,"Removal of sub-scalp implanted electrode array, receiver, and telemetry unit for continuous bilateral electroencephalography monitoring system, including imaging guidance ",,,1804.0,5958.0,46
CPT,0959T,"Removal or replacement of magnet from coil assembly that is connected to continuous bilateral electroencephalography monitoring system, including imaging guidance ",,,1804.0,2303.0,22
CPT,0960T,"Replacement of sub-scalp implanted electrode array, receiver, and telemetry unit with tunneling of electrode for continuous bilateral electroencephalography monitoring system, including imaging guidan",,,1804.0,14425.0,46
CPT,0963T,Anoscopy with directed submucosal injection of bulking agent into anal canal ,,,1804.0,2303.0,22
CPT,0967T,"Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring component and flexible sheath connected to external vacuum source and monitoring syste",,,1804.0,4100.0,46
CPT,0968T,"Insertion or replacement of epicranial neurostimulator system, including electrode array and pulse generator, with connection to electrode array ",,,1804.0,4953.0,46
CPT,0969T,Removal of epicranial neurostimulator system ,,,1804.0,4953.0,46
CPT,0970T,"Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each tumor ",,,1804.0,4830.0,46
CPT,0971T,"Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral ",,,1804.0,4830.0,46
CPT,0973T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs;",,,1804.0,2900.0,46
CPT,0974T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs;",,,1804.0,2900.0,46
CPT,0975T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands",,,1804.0,2900.0,46
CPT,0976T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands",,,1804.0,2900.0,46
CPT,0978T,"Submucosal cryolysis therapy; soft palate, base of tongue, and lingual tonsil ",,,1804.0,2303.0,22
CPT,0979T,Submucosal cryolysis therapy; soft palate only ,,,1804.0,2303.0,22
CPT,0980T,Submucosal cryolysis therapy; base of tongue and lingual tonsil only ,,,1804.0,2303.0,22
CPT,0981T,"Transcatheter implantation of wireless inferior vena cava sensor for long-term hemodynamic monitoring, including deployment of the sensor, radiological supervision and interpretation, right heart cath",,,5050.0,6446.0,22
CPT,0984T,"Intravascular imaging of extracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,1804.0,2303.0,22
CPT,0985T,"Intravascular imaging of extracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,1804.0,2303.0,22
CPT,0986T,"Intravascular imaging of intracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,1804.0,2303.0,22
CPT,0987T,"Intravascular imaging of intracranial cerebral vessels using optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention, including all associated radiological supe",,,1804.0,2303.0,22
CPT,0988T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,1804.0,4953.0,46
CPT,0989T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous and subfascial ",,,1804.0,5958.0,46
CPT,0990T,"Transcervical instillation of biodegradable hydrogel materials, intrauterine ",,,1804.0,4953.0,46
CPT,0991T,"Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging ",,,3623.0,6446.0,46
CPT,0994T,"Endovascular delivery of aortic wall stabilization drug therapy through a sheath positioned within an abdominal aortic aneurysm, with aortic roadmapping, balloon occlusion, imaging guidance, and radio",,,3715.0,6446.0,46
CPT,0995T,"Endovascular delivery of aortic wall stabilization drug therapy through a sheath positioned within an abdominal aortic aneurysm, with aortic roadmapping, balloon occlusion, imaging guidance, and radio",,,3715.0,6446.0,46
CPT,0996T,"Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy, including removal of crystalline lens or dislocated intraocular lens prosthesis,",,,3623.0,6446.0,46
CPT,0999T,"Autologous muscle cell therapy, harvesting of muscle progenitor cells, including ultrasound guidance, when performed ",,,1804.0,4953.0,46
CPT,10004,"Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,291.0,3435.0,65
CPT,10005,"Fine needle aspiration biopsy, including ultrasound guidance; first lesion ",,,511.0,3523.0,105
CPT,10006,"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,291.0,3435.0,65
CPT,10007,"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion ",,,511.0,3523.0,105
CPT,10008,"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,291.0,3435.0,65
CPT,10009,"Fine needle aspiration biopsy, including CT guidance; first lesion ",,,511.0,3523.0,105
CPT,1000T,"Autologous muscle cell therapy, administration of muscle progenitor cells into the urethral sphincter, including cystoscopy and post-void residual ultrasound, when performed ",,,1804.0,4953.0,46
CPT,10010,"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,291.0,3435.0,68
CPT,10011,"Fine needle aspiration biopsy, including MR guidance; first lesion ",,,511.0,3523.0,108
CPT,10012,"Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,291.0,3435.0,68
CPT,1001T,"Autologous muscle cell therapy, injection of muscle progenitor cells into the external anal sphincter, including ultrasound guidance, when performed ",,,1804.0,4953.0,46
CPT,10021,"Fine needle aspiration biopsy, without imaging guidance; first lesion ",,,291.0,2900.0,119
CPT,10022,FINE NEEDLE ASPIRATION; WITH IMAGING GUIDANCE ,,,607.0,4421.0,22
CPT,10030,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous ",,,511.0,3250.0,119
CPT,10035,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion ",,,511.0,3979.0,119
CPT,10036,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in additi",,,291.0,4421.0,79
CPT,1003T,"Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement (eg, first carpometacarpal total joint) ",,,5050.0,9431.0,46
CPT,10040,"Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) ",,,291.0,2900.0,77
CPT,10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single ",,,291.0,2900.0,119
CPT,10061,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple ",,,291.0,3523.0,119
CPT,10080,Incision and drainage of pilonidal cyst; simple ,,,511.0,3250.0,119
CPT,10081,Incision and drainage of pilonidal cyst; complicated ,,,511.0,3250.0,119
CPT,10120,"Incision and removal of foreign body, subcutaneous tissues; simple ",,,291.0,2900.0,119
CPT,10121,"Incision and removal of foreign body, subcutaneous tissues; complicated ",,,769.0,4100.0,139
CPT,1012T,"Motorized ab interno trephination of sclera (sclerostomy), or trabecular meshwork (trabeculostomy), 1 or more, including injection of antifibrotic agents, when performed ",,,5050.0,6801.0,46
CPT,1013T,"Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and neurostimulator pulse generator or receiver, requiring pocket creation and connecti",,,5050.0,13472.0,46
CPT,10140,"Incision and drainage of hematoma, seroma or fluid collection ",,,607.0,4100.0,119
CPT,1014T,"Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes ",,,5050.0,13472.0,46
CPT,1015T,"Revision or removal, lower esophageal sphincter neurostimulator pulse generator or receiver ",,,4469.0,6446.0,46
CPT,10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst ",,,291.0,2900.0,119
CPT,10180,"Incision and drainage, complex, postoperative wound infection ",,,870.0,4830.0,139
CPT,1019T,"Lymphovenous bypass, including robotic assistance, when performed, per extremity ",,,5050.0,6801.0,46
CPT,1020T,"Raman spectroscopy of 1 or more skin lesions, with probability score for malignant risk derived by algorithmic analysis of data from each lesion ",,,81.36,81.36,24
CPT,1021T,Active thoracic irrigation (separate procedure) ,,,1804.0,3250.0,46
CPT,1022T,"Percutaneous tissue displacement, any method, including imaging guidance; intra-abdominal/pelvic structures (List separately in addition to code for primary procedure) ",,,1804.0,2900.0,46
CPT,1023T,"Percutaneous tissue displacement, any method, including imaging guidance; intrathoracic structures (List separately in addition to code for primary procedure) ",,,1804.0,2900.0,46
CPT,1024T,"Percutaneous tissue displacement, any method, including imaging guidance; soft tissue (List separately in addition to code for primary procedure) ",,,1804.0,2900.0,46
CPT,1026T,"Transvaginal laser photobiomodulation therapy of pelvis, provided by a physician or other qualified health care professional ",,,3715.0,6446.0,46
CPT,1027T,"Percutaneous insertion or replacement of neurostimulation catheter via left subclavian or left jugular vein into the superior vena cava, with verification of capture of phrenic nerves, mapping and ",,,3715.0,4953.0,24
CPT,1037T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant pancreatic tissue, including imaging guidance ",,,5050.0,6446.0,22
CPT,1038T,"Autologous muscle cell therapy, injection(s) of muscle progenitor cells into the tongue, including esophagoscopy, when performed ",,,1804.0,4953.0,46
CPT,1040T,"Bronchoscopy, flexible, with bronchial cryotherapy, 1 lung, including trachea, when performed ",,,1804.0,4953.0,46
CPT,1042T,Implantation of absorbable urologic scaffold for prostatic urethra restoration of reconstructed bladder neck and urethral anastomosis (List separately in addition to code for primary procedure) ,,,1804.0,4953.0,46
CPT,1044T,"Harvest of full-thickness skin for autologous heterogeneous skin construct graft, including direct closure of donor site; first 5 sq cm or less ",,,1804.0,4953.0,46
CPT,1045T,"Harvest of full-thickness skin for autologous heterogeneous skin construct graft, including direct closure of donor site; each additional 5 sq cm, or part thereof (List separately in addition ",,,1804.0,4953.0,46
CPT,1046T,"Autologous heterogeneous skin construct graft application, trunk, arms, legs; first 50 sq cm or less, or 0.5% of body area of infants and children ",,,1804.0,4953.0,46
CPT,1047T,"Autologous heterogeneous skin construct graft application, trunk, arms, legs; each additional 50 sq cm, or each additional 0.5% of body area of infants and children, or part thereof (List separately ",,,1804.0,4953.0,46
CPT,1048T,"Autologous heterogeneous skin construct graft application, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 50 sq cm or less, or 0.5% of ",,,1804.0,4953.0,46
CPT,1049T,"Autologous heterogeneous skin construct graft application, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 50 sq cm, or each additional",,,1804.0,4953.0,46
CPT,1050T,"Insertion, subcutaneous heart failure decompensation monitor, containing sensors that measure, at a minimum, heart rate, impedance, respiration rate, physical activity, heart sounds ",,,1804.0,4953.0,46
CPT,1051T,Removal of subcutaneous heart failure decompensation monitor ,,,3715.0,4953.0,24
CPT,11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface ,,,291.0,2900.0,119
CPT,11001,"Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure) ",,,291.0,2900.0,79
CPT,11004,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum ",,,1632.0,4953.0,46
CPT,11005,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure ",,,1632.0,4953.0,46
CPT,11006,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure ",,,1632.0,4953.0,46
CPT,11008,"Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary",,,1694.0,5958.0,37
CPT,11010,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues ",,,511.0,3979.0,139
CPT,11011,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle ",,,511.0,3979.0,139
CPT,11012,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone ",,,511.0,3979.0,139
CPT,11040,"DEBRIDE SKIN, PARTIAL ",,,4421.0,4421.0,1
CPT,11041,"DEBRIDE SKIN, FULL ",,,4421.0,4421.0,1
CPT,11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less ",,,248.69,3979.0,183
CPT,11043,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less ",,,291.0,3979.0,183
CPT,11044,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less ",,,511.0,3979.0,183
CPT,11045,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,77.11,2900.0,123
CPT,11046,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary proced",,,140.83,2900.0,123
CPT,11047,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary proc",,,233.87,2900.0,123
CPT,11055,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion ",,,291.0,2900.0,119
CPT,11056,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions ",,,291.0,2900.0,119
CPT,11057,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions ",,,291.0,2900.0,119
CPT,11100,"BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS OTHERWISE LISTED; SINGLE LESION ",,,607.0,4421.0,22
CPT,11101,"BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS OTHERWISE LISTED; EACH SEPARATE/ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED ",,,607.0,4421.0,22
CPT,11102,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion ",,,291.0,3435.0,108
CPT,11103,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,291.0,3435.0,68
CPT,11104,"Punch biopsy of skin (including simple closure, when performed); single lesion ",,,291.0,3435.0,108
CPT,11105,"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,291.0,3435.0,68
CPT,11106,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion ",,,511.0,3523.0,108
CPT,11107,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,291.0,3435.0,68
CPT,11200,"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions ",,,291.0,2900.0,119
CPT,11201,"Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure) ",,,291.0,2900.0,37
CPT,11300,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less ",,,291.0,2900.0,77
CPT,11301,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm ",,,291.0,2900.0,77
CPT,11302,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm ",,,291.0,2900.0,77
CPT,11303,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm ",,,291.0,2900.0,77
CPT,11305,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less ",,,291.0,2900.0,77
CPT,11306,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm ",,,291.0,2900.0,77
CPT,11307,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm ",,,291.0,2900.0,77
CPT,11308,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm ",,,291.0,2900.0,77
CPT,11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less ",,,291.0,2900.0,77
CPT,11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm ",,,291.0,2900.0,77
CPT,11312,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm ",,,291.0,2900.0,77
CPT,11313,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm ",,,291.0,2900.0,77
CPT,11400,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less ",,,511.0,3523.0,119
CPT,11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm ",,,291.0,3523.0,119
CPT,11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm ",,,511.0,3523.0,119
CPT,11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm ",,,511.0,3523.0,119
CPT,11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm ",,,607.0,4100.0,139
CPT,11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm ",,,769.0,4100.0,139
CPT,11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less ",,,511.0,3523.0,119
CPT,11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm ",,,511.0,3523.0,119
CPT,11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm ",,,511.0,3523.0,119
CPT,11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm ",,,607.0,4100.0,119
CPT,11424,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm ",,,769.0,4100.0,139
CPT,11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm ",,,870.0,4830.0,139
CPT,11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less ",,,511.0,3523.0,119
CPT,11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm ",,,511.0,3523.0,119
CPT,11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm ",,,511.0,3523.0,119
CPT,11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm ",,,511.0,3523.0,119
CPT,11444,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm ",,,511.0,3523.0,139
CPT,11446,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm ",,,870.0,4830.0,139
CPT,11450,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair ",,,870.0,4830.0,139
CPT,11451,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair ",,,870.0,4830.0,139
CPT,11462,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair ",,,870.0,4830.0,139
CPT,11463,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair ",,,870.0,4830.0,139
CPT,11470,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair ",,,870.0,4830.0,139
CPT,11471,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair ",,,870.0,4830.0,139
CPT,11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less ",,,511.0,3523.0,119
CPT,11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm ",,,511.0,3523.0,119
CPT,11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm ",,,291.0,3523.0,119
CPT,11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm ",,,511.0,3523.0,119
CPT,11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm ",,,511.0,3979.0,139
CPT,11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm ",,,769.0,4100.0,139
CPT,11620,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less ",,,511.0,3523.0,119
CPT,11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm ",,,511.0,3523.0,119
CPT,11622,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm ",,,511.0,3523.0,119
CPT,11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm ",,,511.0,3250.0,119
CPT,11624,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm ",,,769.0,4100.0,139
CPT,11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm ",,,870.0,4830.0,139
CPT,11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less ",,,511.0,3523.0,119
CPT,11641,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm ",,,511.0,3523.0,119
CPT,11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm ",,,511.0,3523.0,119
CPT,11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm ",,,511.0,3523.0,119
CPT,11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm ",,,769.0,4100.0,139
CPT,11646,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm ",,,870.0,4830.0,139
CPT,11719,"Trimming of nondystrophic nails, any number ",,,291.0,2900.0,77
CPT,11720,Debridement of nail(s) by any method(s); 1 to 5 ,,,291.0,2900.0,119
CPT,11721,Debridement of nail(s) by any method(s); 6 or more ,,,291.0,2900.0,119
CPT,11730,"Avulsion of nail plate, partial or complete, simple; single ",,,291.0,2900.0,119
CPT,11732,"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure) ",,,291.0,2900.0,79
CPT,11740,Evacuation of subungual hematoma ,,,291.0,2900.0,119
CPT,11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal ",,,291.0,3523.0,119
CPT,11752,REMOVE NAIL BED/TIP ,,,2399.0,4421.0,2
CPT,11755,"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) ",,,511.0,3523.0,119
CPT,11760,Repair of nail bed ,,,291.0,2900.0,119
CPT,11762,Reconstruction of nail bed with graft ,,,769.0,4100.0,119
CPT,11765,"Wedge excision of skin of nail fold (eg, for ingrown toenail) ",,,291.0,2900.0,119
CPT,11770,Excision of pilonidal cyst or sinus; simple ,,,1257.0,6446.0,139
CPT,11771,Excision of pilonidal cyst or sinus; extensive ,,,1257.0,6446.0,139
CPT,11772,Excision of pilonidal cyst or sinus; complicated ,,,1257.0,6446.0,139
CPT,11900,"Injection, intralesional; up to and including 7 lesions ",,,291.0,2900.0,119
CPT,11901,"Injection, intralesional; more than 7 lesions ",,,291.0,2900.0,119
CPT,11920,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less ",,,291.0,2900.0,119
CPT,11921,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm ",,,291.0,2900.0,119
CPT,11922,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition",,,291.0,2900.0,79
CPT,11950,"Subcutaneous injection of filling material (eg, collagen); 1 cc or less ",,,291.0,2900.0,77
CPT,11951,"Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc ",,,291.0,2900.0,77
CPT,11952,"Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc ",,,291.0,2900.0,77
CPT,11954,"Subcutaneous injection of filling material (eg, collagen); over 10.0 cc ",,,511.0,3250.0,77
CPT,11960,"Insertion of tissue expander(s) for other than breast, including subsequent expansion ",,,870.0,5958.0,139
CPT,11970,Replacement of tissue expander with permanent implant ,,,1257.0,6801.0,139
CPT,11971,Removal of tissue expander without insertion of implant ,,,607.0,4830.0,139
CPT,11975,INSERT CONTRACEPTIVE CAP ,,,4421.0,4421.0,1
CPT,11976,"Removal, implantable contraceptive capsules ",,,511.0,3523.0,119
CPT,11977,REMOVAL/REINSERT CONTRA CAP ,,,4421.0,4421.0,1
CPT,11980,Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) ,,,291.0,2900.0,119
CPT,11981,"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) ",,,291.0,2900.0,119
CPT,11982,"Removal, non-biodegradable drug delivery implant ",,,291.0,2900.0,119
CPT,11983,"Removal with reinsertion, non-biodegradable drug delivery implant ",,,291.0,2900.0,119
CPT,12001,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less ",,,291.0,2900.0,119
CPT,12002,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm ",,,291.0,2900.0,77
CPT,12004,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm ",,,291.0,2900.0,119
CPT,12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm ",,,291.0,3979.0,139
CPT,12006,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm ",,,291.0,3979.0,139
CPT,12007,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm ",,,291.0,3979.0,139
CPT,12011,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less ",,,291.0,2900.0,77
CPT,12013,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm ",,,291.0,2900.0,77
CPT,12014,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm ",,,291.0,2900.0,119
CPT,12015,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm ",,,291.0,2900.0,119
CPT,12016,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm ",,,291.0,3979.0,139
CPT,12017,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm ",,,291.0,3979.0,139
CPT,12018,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm ",,,291.0,3979.0,139
CPT,12020,Treatment of superficial wound dehiscence; simple closure ,,,291.0,3523.0,139
CPT,12021,Treatment of superficial wound dehiscence; with packing ,,,291.0,3523.0,139
CPT,12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less ",,,291.0,2900.0,119
CPT,12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm ",,,291.0,2900.0,119
CPT,12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm ",,,291.0,3979.0,139
CPT,12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm ",,,291.0,3979.0,139
CPT,12036,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm ",,,291.0,3979.0,139
CPT,12037,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm ",,,769.0,4100.0,139
CPT,12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less ",,,291.0,2900.0,119
CPT,12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm ",,,291.0,2900.0,119
CPT,12044,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm ",,,291.0,3979.0,139
CPT,12045,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm ",,,291.0,3979.0,139
CPT,12046,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm ",,,511.0,3979.0,139
CPT,12047,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm ",,,769.0,4100.0,139
CPT,12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less ",,,291.0,2900.0,119
CPT,12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm ",,,291.0,2900.0,119
CPT,12053,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm ",,,291.0,2900.0,119
CPT,12054,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm ",,,291.0,3979.0,139
CPT,12055,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm ",,,291.0,3979.0,139
CPT,12056,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm ",,,291.0,3979.0,139
CPT,12057,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm ",,,291.0,3979.0,139
CPT,13100,"Repair, complex, trunk; 1.1 cm to 2.5 cm ",,,291.0,3979.0,139
CPT,13101,"Repair, complex, trunk; 2.6 cm to 7.5 cm ",,,291.0,6446.0,139
CPT,13102,"Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,13120,"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm ",,,291.0,3979.0,139
CPT,13121,"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm ",,,291.0,6446.0,139
CPT,13122,"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,13131,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm ",,,291.0,3979.0,139
CPT,13132,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm ",,,291.0,6446.0,139
CPT,13133,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,13150,CMPLX RPR E/N/E/L 1.0 CM/< ,,,2302.0,4421.0,21
CPT,13151,"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm ",,,291.0,6446.0,139
CPT,13152,"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm ",,,291.0,6446.0,139
CPT,13153,"Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,291.0,6446.0,99
CPT,13160,"Secondary closure of surgical wound or dehiscence, extensive or complicated ",,,769.0,4100.0,139
CPT,13300,Comp unusual REP >7.5 cm ,,,4421.0,4421.0,1
CPT,14000,"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less ",,,769.0,4100.0,139
CPT,14001,"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm ",,,769.0,6446.0,139
CPT,14020,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less ",,,769.0,6446.0,139
CPT,14021,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm ",,,769.0,6446.0,139
CPT,14040,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less ",,,769.0,4100.0,139
CPT,14041,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm ",,,769.0,6446.0,139
CPT,14060,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less ",,,769.0,6446.0,139
CPT,14061,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm ",,,769.0,6446.0,139
CPT,14300,SKIN TISSUE REARRANGEMENT ,,,2552.0,4421.0,21
CPT,14301,"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm ",,,1257.0,8866.0,119
CPT,14302,"Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,291.0,3880.0,79
CPT,14350,"Filleted finger or toe flap, including preparation of recipient site ",,,769.0,6446.0,139
CPT,15000,"WOUND PREP, 1ST 100 SQ CM ",,,1560.0,4421.0,21
CPT,15001,"WOUND PREP, ADDL 100 SQ CM ",,,988.0,4421.0,21
CPT,15002,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; firs",,,657.62,4950.0,183
CPT,15003,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each",,,131.8,4950.0,143
CPT,15004,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, m",,,291.0,4950.0,183
CPT,15005,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, m",,,224.43,4950.0,143
CPT,15011,Harvest of skin for skin cell suspension autograft; first 25 sq cm or less ,,,1632.0,8866.0,84
CPT,15012,Harvest of skin for skin cell suspension autograft; each additional 25 sq cm or part thereof (List separately in addition to code for primary procedure) ,,,1632.0,3435.0,68
CPT,15013,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin ",,,1632.0,9431.0,46
CPT,15014,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; each additional 25 sq cm of harvested skin or part thereo",,,1632.0,3435.0,46
CPT,15015,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less ",,,1632.0,8866.0,84
CPT,15016,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; each additional 480 sq cm or part thereof (List separately in addi",,,1632.0,3435.0,68
CPT,15017,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multi",,,1632.0,8866.0,84
CPT,15018,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multi",,,1632.0,3435.0,68
CPT,15040,"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less ",,,769.0,4100.0,139
CPT,15050,"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter ",,,291.0,3979.0,139
CPT,15100,"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) ",,,769.0,4100.0,139
CPT,15101,"Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary pr",,,291.0,6446.0,99
CPT,15110,"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children ",,,769.0,4100.0,139
CPT,15111,"Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedur",,,291.0,2900.0,99
CPT,15115,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children ",,,769.0,4100.0,139
CPT,15116,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and child",,,291.0,2900.0,99
CPT,15120,"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except ",,,870.0,5958.0,139
CPT,15121,"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and",,,291.0,6446.0,99
CPT,15130,"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children ",,,870.0,4830.0,139
CPT,15131,"Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,15135,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children ",,,870.0,5958.0,139
CPT,15136,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children",,,291.0,2900.0,99
CPT,15150,"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less ",,,769.0,4100.0,139
CPT,15151,"Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,15152,"Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for prima",,,291.0,2900.0,99
CPT,15155,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less ",,,870.0,5958.0,139
CPT,15156,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for",,,291.0,2900.0,99
CPT,15157,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infant",,,291.0,2900.0,99
CPT,15170,ACELL GRAFT TRUNK/ARMS/LEGS ,,,4421.0,4421.0,1
CPT,15171,ACELL GRAFT T/ARM/LEG ADD-ON ,,,4421.0,4421.0,1
CPT,15175,ACELLULAR GRAFT F/N/HF/G ,,,4421.0,4421.0,1
CPT,15176,ACELL GRAFT F/N/HF/G ADD-ON ,,,4421.0,4421.0,1
CPT,15200,"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less ",,,1142.61,6446.0,139
CPT,15201,"Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less ",,,769.0,4100.0,139
CPT,15221,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,15240,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less ",,,769.0,6446.0,139
CPT,15241,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separat",,,291.0,6446.0,99
CPT,15260,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less ",,,769.0,4100.0,139
CPT,15261,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedu",,,291.0,3441.0,99
CPT,15271,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,295.78,3523.0,163
CPT,15272,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code f",,,47.55,2900.0,123
CPT,15273,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children ",,,586.25,4830.0,163
CPT,15274,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additiona",,,152.27,2900.0,123
CPT,15275,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or les",,,309.69,3523.0,163
CPT,15276,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq",,,64.09,2900.0,123
CPT,15277,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; fi",,,656.16,4100.0,163
CPT,15278,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; ea",,,180.29,2900.0,123
CPT,15300,APPLY SKINALLOGRFT T/ARM/LG ,,,1560.0,4421.0,21
CPT,15301,APPLY SKNALLOGRFT T/A/L ADDL ,,,988.0,4421.0,21
CPT,15320,APPLY SKIN ALLOGRFT F/N/HF/G ,,,1560.0,4421.0,21
CPT,15321,APLY SKNALLOGRFT F/N/HFG ADD ,,,988.0,4421.0,21
CPT,15330,APLY ACELL ALOGRFT T/ARM/LEG ,,,1560.0,4421.0,21
CPT,15331,APLY ACELL GRFT T/A/L ADD-ON ,,,988.0,4421.0,21
CPT,15335,APPLY ACELL GRAFT F/N/HF/G ,,,1560.0,4421.0,21
CPT,15336,APLY ACELL GRFT F/N/HF/G ADD ,,,988.0,4421.0,21
CPT,15340,APPLY CULT SKIN SUBSTITUTE ,,,4421.0,4421.0,1
CPT,15341,APPLY CULT SKIN SUB ADD-ON ,,,4421.0,4421.0,1
CPT,15342,"CULTURED SKIN GRAFT, 25 CM ",,,4421.0,4421.0,1
CPT,15343,CULTURE SKN GRAFT ADDL 25 CM ,,,4421.0,4421.0,1
CPT,15350,SKIN HOMOGRAFT ,,,4421.0,4421.0,1
CPT,15351,SKIN HOMOGRAFT ADD-ON ,,,4421.0,4421.0,1
CPT,15360,APPLY CULT DERM SUB T/A/L ,,,4421.0,4421.0,1
CPT,15361,APLY CULT DERM SUB T/A/L ADD ,,,4421.0,4421.0,1
CPT,15365,APPLY CULT DERM SUB F/N/HF/G ,,,4421.0,4421.0,1
CPT,15366,APPLY CULT DERM F/HF/G ADD ,,,4421.0,4421.0,1
CPT,15400,APPLY SKIN XENOGRAFT T/A/L ,,,1560.0,4421.0,21
CPT,15401,APPLY SKN XENOGRFT T/A/L ADD ,,,1560.0,4421.0,21
CPT,15420,APPLY SKIN XGRAFT F/N/HF/G ,,,1560.0,4421.0,21
CPT,15421,APPLY SKN XGRFT F/N/HF/G ADD ,,,988.0,4421.0,21
CPT,15430,APPLY ACELLULAR XENOGRAFT ,,,1560.0,4421.0,21
CPT,15431,APPLY ACELLULAR XGRAFT ADD ,,,988.0,4421.0,21
CPT,15570,"Formation of direct or tubed pedicle, with or without transfer; trunk ",,,769.0,6446.0,139
CPT,15572,"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs ",,,1257.0,6446.0,139
CPT,15574,"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet ",,,769.0,6446.0,139
CPT,15576,"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral ",,,769.0,6446.0,139
CPT,15580,Cross finger flap ,,,4421.0,4421.0,1
CPT,15600,Delay of flap or sectioning of flap (division and inset); at trunk ,,,1257.0,6446.0,139
CPT,15610,"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs ",,,1142.61,6446.0,139
CPT,15620,"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet ",,,769.0,6446.0,139
CPT,15625,Section cross fing flap ,,,4421.0,4421.0,1
CPT,15630,"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips ",,,769.0,6446.0,139
CPT,15650,"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location ",,,769.0,6446.0,139
CPT,15730,"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) ",,,1257.0,8866.0,128
CPT,15731,"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) ",,,1257.0,6446.0,139
CPT,15732,"HMuscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae) ",,,2048.0,4421.0,22
CPT,15733,"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) ",,,1257.0,8866.0,128
CPT,15734,"Muscle, myocutaneous, or fasciocutaneous flap; trunk ",,,1257.0,6446.0,139
CPT,15736,"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity ",,,769.0,6446.0,139
CPT,15738,"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity ",,,1257.0,6446.0,139
CPT,15740,Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel ,,,769.0,4100.0,139
CPT,15750,Flap; neurovascular pedicle ,,,870.0,5958.0,139
CPT,15756,Free muscle or myocutaneous flap with microvascular anastomosis ,,,1257.0,6446.0,79
CPT,15757,Free skin flap with microvascular anastomosis ,,,1257.0,6446.0,79
CPT,15758,Free fascial flap with microvascular anastomosis ,,,1257.0,6446.0,79
CPT,15760,"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area ",,,769.0,4100.0,139
CPT,15769,"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) ",,,1404.42,8866.0,108
CPT,15770,Graft; derma-fat-fascia ,,,1257.0,6446.0,139
CPT,15771,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate ",,,1404.42,8866.0,108
CPT,15772,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for pri",,,291.0,3435.0,68
CPT,15773,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate ",,,769.0,8866.0,108
CPT,15774,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; each additional 25 cc injectate, or part thereof (List separat",,,291.0,3435.0,68
CPT,15775,Punch graft for hair transplant; 1 to 15 punch grafts ,,,291.0,6446.0,139
CPT,15776,Punch graft for hair transplant; more than 15 punch grafts ,,,291.0,6446.0,139
CPT,15777,"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,123
CPT,15778,"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma ",,,1632.0,6446.0,68
CPT,15780,"Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis) ",,,1404.42,4830.0,61
CPT,15781,"Dermabrasion; segmental, face ",,,511.0,3523.0,77
CPT,15782,"Dermabrasion; regional, other than face ",,,511.0,3523.0,77
CPT,15783,"Dermabrasion; superficial, any site (eg, tattoo removal) ",,,291.0,3523.0,77
CPT,15786,"Abrasion; single lesion (eg, keratosis, scar) ",,,291.0,2900.0,77
CPT,15787,Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure) ,,,291.0,2900.0,37
CPT,15788,"Chemical peel, facial; epidermal ",,,291.0,3441.0,77
CPT,15789,"Chemical peel, facial; dermal ",,,291.0,3441.0,77
CPT,15792,"Chemical peel, nonfacial; epidermal ",,,511.0,3441.0,77
CPT,15793,"Chemical peel, nonfacial; dermal ",,,291.0,3441.0,77
CPT,15810,SALABRASION ,,,4421.0,4421.0,1
CPT,15811,SALABRASION ,,,4421.0,4421.0,1
CPT,15819,Cervicoplasty ,,,769.0,4421.0,54
CPT,15820,"Blepharoplasty, lower eyelid; ",,,769.0,6446.0,139
CPT,15821,"Blepharoplasty, lower eyelid; with extensive herniated fat pad ",,,769.0,6446.0,139
CPT,15822,"Blepharoplasty, upper eyelid; ",,,769.0,6446.0,139
CPT,15823,"Blepharoplasty, upper eyelid; with excessive skin weighting down lid ",,,769.0,6446.0,139
CPT,15824,Rhytidectomy; forehead ,,,769.0,6446.0,139
CPT,15825,"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) ",,,1257.0,6446.0,139
CPT,15826,Rhytidectomy; glabellar frown lines ,,,1257.0,6446.0,139
CPT,15828,"Rhytidectomy; cheek, chin, and neck ",,,1257.0,6446.0,139
CPT,15829,Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap ,,,1404.42,6446.0,139
CPT,15830,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy ",,,1257.0,6801.0,139
CPT,15831,EXCISE EXCESSIVE SKIN TISSUE ,,,2302.0,4421.0,21
CPT,15832,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh ",,,1257.0,6446.0,139
CPT,15833,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg ",,,1257.0,6446.0,139
CPT,15834,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip ",,,1257.0,6446.0,139
CPT,15835,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock ",,,1257.0,6446.0,139
CPT,15836,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm ",,,769.0,6446.0,139
CPT,15837,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand ",,,769.0,4100.0,103
CPT,15838,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad ",,,769.0,5588.0,103
CPT,15839,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area ",,,769.0,6446.0,139
CPT,15840,Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) ,,,1404.42,6446.0,139
CPT,15841,Graft for facial nerve paralysis; free muscle graft (including obtaining graft) ,,,1404.42,6446.0,139
CPT,15842,Graft for facial nerve paralysis; free muscle flap by microsurgical technique ,,,769.0,6446.0,119
CPT,15845,Graft for facial nerve paralysis; regional muscle transfer ,,,1404.42,6446.0,139
CPT,15847,"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for pr",,,291.0,6446.0,99
CPT,15850,"REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON ",,,607.0,4421.0,22
CPT,15851,"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) ",,,607.0,4100.0,119
CPT,15852,Dressing change (for other than burns) under anesthesia (other than local) ,,,291.0,2900.0,119
CPT,15853,Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code) ,,,291.0,3435.0,68
CPT,15854,Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code) ,,,291.0,3435.0,68
CPT,15860,"Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft ",,,291.0,2900.0,119
CPT,15876,Suction assisted lipectomy; head and neck ,,,1257.0,6446.0,139
CPT,15877,Suction assisted lipectomy; trunk ,,,1257.0,6446.0,139
CPT,15878,Suction assisted lipectomy; upper extremity ,,,769.0,6446.0,139
CPT,15879,Suction assisted lipectomy; lower extremity ,,,1257.0,6446.0,139
CPT,15920,"Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture ",,,769.0,6446.0,139
CPT,15922,"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure ",,,1404.42,6446.0,139
CPT,15931,"Excision, sacral pressure ulcer, with primary suture; ",,,1257.0,6446.0,139
CPT,15933,"Excision, sacral pressure ulcer, with primary suture; with ostectomy ",,,1257.0,6446.0,139
CPT,15934,"Excision, sacral pressure ulcer, with skin flap closure; ",,,1257.0,6446.0,139
CPT,15935,"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy ",,,1404.42,6446.0,139
CPT,15936,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; ",,,769.0,6446.0,139
CPT,15937,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy ",,,769.0,6446.0,139
CPT,15940,"Excision, ischial pressure ulcer, with primary suture; ",,,1257.0,6446.0,139
CPT,15941,"Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) ",,,1257.0,6446.0,139
CPT,15944,"Excision, ischial pressure ulcer, with skin flap closure; ",,,1257.0,6446.0,139
CPT,15945,"Excision, ischial pressure ulcer, with skin flap closure; with ostectomy ",,,769.0,6446.0,139
CPT,15946,"Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure ",,,1142.61,6446.0,139
CPT,15950,"Excision, trochanteric pressure ulcer, with primary suture; ",,,994.46,6446.0,139
CPT,15951,"Excision, trochanteric pressure ulcer, with primary suture; with ostectomy ",,,1404.42,6446.0,139
CPT,15952,"Excision, trochanteric pressure ulcer, with skin flap closure; ",,,1142.61,6446.0,139
CPT,15953,"Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy ",,,1404.42,6446.0,139
CPT,15956,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; ",,,769.0,6446.0,139
CPT,15958,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy ",,,1404.42,6446.0,139
CPT,15999,"Unlisted procedure, excision pressure ulcer ",,,511.0,4421.0,61
CPT,16000,"Initial treatment, first degree burn, when no more than local treatment is required ",,,291.0,2900.0,77
CPT,16010,TREATMENT OF BURN(S) ,,,4421.0,4421.0,1
CPT,16015,TREATMENT OF BURN(S) ,,,4421.0,4421.0,1
CPT,16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) ",,,291.0,3523.0,119
CPT,16025,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) ",,,291.0,3979.0,139
CPT,16030,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) ",,,291.0,3979.0,139
CPT,16035,Escharotomy; initial incision ,,,291.0,2900.0,103
CPT,16036,Escharotomy; each additional incision (List separately in addition to code for primary procedure) ,,,697.0,4100.0,37
CPT,17000,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion ",,,291.0,2900.0,119
CPT,17003,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addi",,,291.0,2900.0,79
CPT,17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions ",,,291.0,3523.0,119
CPT,17106,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm ",,,291.0,3523.0,119
CPT,17107,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm ",,,291.0,3523.0,119
CPT,17108,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm ",,,607.0,4100.0,119
CPT,17110,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions ",,,291.0,2900.0,119
CPT,17111,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions",,,291.0,2900.0,119
CPT,17250,"Chemical cauterization of granulation tissue (ie, proud flesh) ",,,291.0,2900.0,119
CPT,17260,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less ",,,291.0,2900.0,119
CPT,17261,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm ",,,291.0,2900.0,119
CPT,17262,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm ",,,291.0,2900.0,119
CPT,17263,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm ",,,291.0,2900.0,119
CPT,17264,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm ",,,291.0,2900.0,119
CPT,17266,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm ",,,291.0,3523.0,119
CPT,17270,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less ",,,291.0,2900.0,119
CPT,17271,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm ",,,291.0,2900.0,119
CPT,17272,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm ",,,291.0,2900.0,119
CPT,17273,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm ",,,291.0,2900.0,119
CPT,17274,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm ",,,291.0,3523.0,119
CPT,17276,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm ",,,291.0,3523.0,119
CPT,17280,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less ",,,291.0,2900.0,119
CPT,17281,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm ",,,291.0,2900.0,119
CPT,17282,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm ",,,291.0,2900.0,119
CPT,17283,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm ",,,291.0,2900.0,119
CPT,17284,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm ",,,291.0,4421.0,119
CPT,17286,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm ",,,291.0,2900.0,119
CPT,17304,"1 STAGE MOHS, UP TO 5 SPEC ",,,4421.0,4421.0,1
CPT,17305,"2 STAGE MOHS, UP TO 5 SPEC ",,,4421.0,4421.0,1
CPT,17306,"3 STAGE MOHS, UP TO 5 SPEC ",,,4421.0,4421.0,1
CPT,17307,MOHS ADDL STAGE UP TO 5 SPEC ,,,4421.0,4421.0,1
CPT,17310,MOHS ANY STAGE > 5 SPEC EACH ,,,4421.0,4421.0,1
CPT,17311,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,291.0,3523.0,119
CPT,17312,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,291.0,2900.0,79
CPT,17313,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,291.0,3523.0,119
CPT,17314,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,291.0,2900.0,79
CPT,17315,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,291.0,2900.0,79
CPT,17340,"Cryotherapy (CO2 slush, liquid N2) for acne ",,,291.0,2900.0,77
CPT,17360,"Chemical exfoliation for acne (eg, acne paste, acid) ",,,291.0,2900.0,77
CPT,17380,"Electrolysis epilation, each 30 minutes ",,,291.0,2900.0,77
CPT,17999,"Unlisted procedure, skin, mucous membrane and subcutaneous tissue ",,,291.0,4421.0,103
CPT,19000,Puncture aspiration of cyst of breast; ,,,511.0,4950.0,119
CPT,19001,Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) ,,,291.0,4950.0,79
CPT,19020,"Mastotomy with exploration or drainage of abscess, deep ",,,870.0,4950.0,139
CPT,19030,Injection procedure only for mammary ductogram or galactogram ,,,291.0,4950.0,79
CPT,19081,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including s",,,769.0,4950.0,119
CPT,19082,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,291.0,4950.0,79
CPT,19083,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including u",,,769.0,4950.0,119
CPT,19084,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,291.0,4950.0,79
CPT,19085,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including m",,,769.0,6446.0,119
CPT,19086,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,291.0,4950.0,79
CPT,19100,"Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) ",,,607.0,4950.0,139
CPT,19101,"Biopsy of breast; open, incisional ",,,870.0,4950.0,139
CPT,19102,BX BREAST PERCUT W/IMAGE ,,,1560.0,4421.0,21
CPT,19103,BX BREAST PERCUT W/DEVICE ,,,1560.0,4421.0,21
CPT,19105,"Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma ",,,1404.42,8866.0,119
CPT,19110,"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct ",,,870.0,4950.0,139
CPT,19112,Excision of lactiferous duct fistula ,,,1257.0,6446.0,139
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions ",,,1257.0,10083.0,125
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion ",,,1257.0,10083.0,125
CPT,19126,"Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addi",,,291.0,6446.0,99
CPT,19140,REMOVAL OF BREAST TISSUE ,,,2552.0,4421.0,21
CPT,19160,PARTIAL MASTECTOMY ,,,2302.0,4421.0,21
CPT,19162,P-MASTECTOMY W/LN REMOVAL ,,,4421.0,4895.0,21
CPT,19180,REMOVAL OF BREAST ,,,2552.0,4421.0,21
CPT,19182,REMOVAL OF BREAST ,,,2552.0,4421.0,21
CPT,19200,REMOVAL OF BREAST ,,,4421.0,4421.0,1
CPT,19220,REMOVAL OF BREAST ,,,4421.0,4421.0,1
CPT,19240,REMOVAL OF BREAST ,,,4421.0,4421.0,1
CPT,19260,EXCISION OF CHEST WALL TUMOR INCLUDING RIBS ,,,1876.0,4421.0,22
CPT,19271,"EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITHOUT MEDIASTINAL LYMPHADENECTOMY ",,,4421.0,4421.0,1
CPT,19272,"EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITH MEDIASTINAL LYMPHADENECTOMY ",,,4421.0,4421.0,1
CPT,19281,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance ",,,697.0,4950.0,119
CPT,19282,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in additi",,,291.0,4950.0,79
CPT,19283,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance ",,,511.0,4950.0,119
CPT,19284,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance (List separately in additi",,,291.0,4950.0,79
CPT,19285,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance ",,,511.0,4950.0,119
CPT,19286,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition",,,291.0,4950.0,79
CPT,19287,"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance ",,,511.0,6446.0,119
CPT,19288,"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in a",,,291.0,4950.0,79
CPT,19290,PLACE NEEDLE WIRE BREAST ,,,988.0,4421.0,21
CPT,19291,PLACE NEEDLE WIRE BREAST ,,,988.0,4421.0,21
CPT,19294,"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for pr",,,291.0,4950.0,88
CPT,19295,PLACE BREAST CLIP PERCUT ,,,988.0,4421.0,21
CPT,19296,"Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; o",,,2224.34,16336.0,139
CPT,19297,"Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; c",,,2264.0,16336.0,99
CPT,19298,Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) pa,,,1753.0,16336.0,139
CPT,19300,Mastectomy for gynecomastia ,,,1404.42,6446.0,139
CPT,19301,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); ",,,1257.0,6446.0,139
CPT,19302,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy ",,,1753.0,10746.0,139
CPT,19303,"Mastectomy, simple, complete ",,,1471.0,6446.0,139
CPT,19304,"MASTECTOMY, SUBCUTANEOUS ",,,1471.0,4421.0,42
CPT,19305,"Mastectomy, radical, including pectoral muscles, axillary lymph nodes ",,,1632.0,6581.0,70
CPT,19306,"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) ",,,1632.0,6581.0,70
CPT,19307,"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle ",,,1753.0,8866.0,119
CPT,19316,Mastopexy ,,,1471.0,6446.0,139
CPT,19318,Breast reduction ,,,1471.0,10083.0,125
CPT,19324,"MAMMAPLASTY, AUGMENTATION; WITHOUT PROSTHETIC IMPLANT ",,,1471.0,4421.0,42
CPT,19325,Breast augmentation with implant ,,,2224.34,13563.0,125
CPT,19328,Removal of intact breast implant ,,,607.0,10083.0,125
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) ",,,607.0,10083.0,125
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) ",,,870.0,13563.0,125
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy ,,,1257.0,13563.0,125
CPT,19350,Nipple/areola reconstruction ,,,1404.42,6446.0,139
CPT,19355,Correction of inverted nipples ,,,1404.42,6446.0,139
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) ",,,1876.0,13563.0,125
CPT,19361,Breast reconstruction; with latissimus dorsi flap ,,,1632.0,13563.0,72
CPT,19364,"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) ",,,1876.0,6801.0,79
CPT,19366,BREAST RECONSTRUCTION WITH OTHER TECHNIQUE ,,,1876.0,4421.0,42
CPT,19367,Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap ,,,2259.0,6801.0,37
CPT,19368,"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging) ",,,2259.0,6801.0,37
CPT,19369,Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap ,,,2259.0,6801.0,37
CPT,19370,"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy ",,,1404.42,6446.0,139
CPT,19371,"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents ",,,1404.42,6446.0,139
CPT,19380,"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue exc",,,1753.0,6801.0,139
CPT,19396,Preparation of moulage for custom breast implant ,,,1257.0,6446.0,103
CPT,19499,"Unlisted procedure, breast ",,,607.0,4950.0,103
CPT,20000,INCISION OF ABSCESS ,,,4421.0,4421.0,1
CPT,20005,"INCISION AND DRAINAGE OF SOFT TISSUE ABSCESS, SUBFASCIAL (IE, INVOLVES THE SOFT TISSUE BELOW THE DEEP FASCIA) ",,,870.0,4421.0,42
CPT,20100,Exploration of penetrating wound (separate procedure); neck ,,,291.0,4950.0,77
CPT,20101,Exploration of penetrating wound (separate procedure); chest ,,,769.0,4950.0,61
CPT,20102,Exploration of penetrating wound (separate procedure); abdomen/flank/back ,,,769.0,4950.0,61
CPT,20103,Exploration of penetrating wound (separate procedure); extremity ,,,511.0,4950.0,119
CPT,20150,"Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision ",,,1404.42,6801.0,61
CPT,20200,"Biopsy, muscle; superficial ",,,769.0,4950.0,139
CPT,20205,"Biopsy, muscle; deep ",,,769.0,6446.0,139
CPT,20206,"Biopsy, muscle, percutaneous needle ",,,607.0,4950.0,139
CPT,20220,"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) ",,,511.0,4950.0,139
CPT,20225,"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) ",,,769.0,4950.0,139
CPT,20240,"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) ",,,870.0,4950.0,139
CPT,20245,"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) ",,,1257.0,6446.0,139
CPT,20250,"Biopsy, vertebral body, open; thoracic ",,,1257.0,6446.0,139
CPT,20251,"Biopsy, vertebral body, open; lumbar or cervical ",,,1257.0,6446.0,139
CPT,20500,Injection of sinus tract; therapeutic (separate procedure) ,,,607.0,4950.0,119
CPT,20501,Injection of sinus tract; diagnostic (sinogram) ,,,291.0,4950.0,79
CPT,20520,Removal of foreign body in muscle or tendon sheath; simple ,,,511.0,4950.0,119
CPT,20525,Removal of foreign body in muscle or tendon sheath; deep or complicated ,,,1257.0,6446.0,139
CPT,20526,"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel ",,,291.0,4950.0,119
CPT,20527,"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) ",,,291.0,4950.0,119
CPT,20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) ",,,291.0,4950.0,119
CPT,20551,Injection(s); single tendon origin/insertion ,,,291.0,4950.0,119
CPT,20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) ",,,291.0,4950.0,119
CPT,20553,"Injection(s); single or multiple trigger point(s), 3 or more muscles ",,,291.0,4950.0,119
CPT,20555,Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) ,,,607.0,8866.0,119
CPT,20560,Needle insertion(s) without injection(s); 1 or 2 muscle(s) ,,,291.0,4950.0,108
CPT,20561,Needle insertion(s) without injection(s); 3 or more muscles ,,,291.0,4950.0,108
CPT,20600,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance ",,,291.0,4950.0,119
CPT,20604,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting ",,,291.0,4950.0,119
CPT,20605,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance ",,,291.0,4950.0,119
CPT,20606,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent re",,,511.0,4950.0,119
CPT,20610,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance ",,,291.0,4950.0,119
CPT,20611,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting ",,,291.0,4950.0,119
CPT,20612,Aspiration and/or injection of ganglion cyst(s) any location ,,,291.0,4950.0,119
CPT,20615,Aspiration and injection for treatment of bone cyst ,,,511.0,4950.0,119
CPT,20650,"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) ",,,1257.0,6446.0,139
CPT,20660,"Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) ",,,769.0,4950.0,103
CPT,20661,"Application of halo, including removal; cranial ",,,291.0,6446.0,103
CPT,20662,"Application of halo, including removal; pelvic ",,,994.46,6446.0,119
CPT,20663,"Application of halo, including removal; femoral ",,,1257.0,6446.0,119
CPT,20664,"Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) ",,,769.0,6446.0,83
CPT,20665,Removal of tongs or halo applied by another individual ,,,291.0,4950.0,119
CPT,20670,"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) ",,,607.0,4950.0,139
CPT,20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) ",,,1257.0,6446.0,139
CPT,20690,"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system ",,,870.0,5958.0,140
CPT,20692,"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) ",,,1257.0,6446.0,140
CPT,20693,"Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs» or barºs») ",,,1257.0,6446.0,140
CPT,20694,"Removal, under anesthesia, of external fixation system ",,,607.0,4950.0,139
CPT,20696,"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequ",,,1257.0,8866.0,119
CPT,20697,"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, remov",,,511.0,7161.0,119
CPT,20700,"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) ",,,291.0,4950.0,68
CPT,20701,"Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) ",,,291.0,4950.0,68
CPT,20702,"Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) ",,,291.0,4950.0,68
CPT,20703,"Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) ",,,291.0,4950.0,68
CPT,20704,"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) ",,,291.0,4950.0,68
CPT,20705,"Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) ",,,291.0,4950.0,68
CPT,20802,"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation ",,,2179.0,13472.0,70
CPT,20805,"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation ",,,2179.0,13472.0,70
CPT,20808,"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation ",,,2179.0,13472.0,70
CPT,20816,"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation ",,,1753.0,9431.0,70
CPT,20822,"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation ",,,994.46,6581.0,77
CPT,20824,"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation ",,,1753.0,9431.0,70
CPT,20827,"Replantation, thumb (includes distal tip to MP joint), complete amputation ",,,1753.0,9431.0,70
CPT,20838,"Replantation, foot, complete amputation ",,,2179.0,13472.0,70
CPT,20900,"Bone graft, any donor area; minor or small (eg, dowel or button) ",,,1257.0,6446.0,140
CPT,20902,"Bone graft, any donor area; major or large ",,,1471.0,6446.0,140
CPT,20910,Cartilage graft; costochondral ,,,291.0,6446.0,139
CPT,20912,Cartilage graft; nasal septum ,,,1257.0,6446.0,139
CPT,20920,Fascia lata graft; by stripper ,,,769.0,6446.0,139
CPT,20922,"Fascia lata graft; by incision and area exposure, complex or sheet ",,,1142.61,6446.0,139
CPT,20924,"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) ",,,1471.0,6446.0,139
CPT,20926,"TISSUE GRAFTS, OTHER (EG, PARATENON, FAT, DERMIS) ",,,1471.0,4421.0,42
CPT,20930,"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure) ",,,291.0,4950.0,79
CPT,20931,"Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure) ",,,291.0,4950.0,79
CPT,20932,"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for prima",,,291.0,4950.0,68
CPT,20933,"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary proce",,,291.0,4950.0,68
CPT,20934,"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure) ",,,291.0,4950.0,68
CPT,20936,"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary p",,,1694.0,5958.0,59
CPT,20937,Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) ,,,1694.0,5958.0,59
CPT,20938,"Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary pro",,,1694.0,5958.0,59
CPT,20939,"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure) ",,,291.0,4950.0,88
CPT,20950,"Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome ",,,511.0,4950.0,119
CPT,20955,Bone graft with microvascular anastomosis; fibula ,,,1471.0,6801.0,103
CPT,20956,Bone graft with microvascular anastomosis; iliac crest ,,,1753.0,9431.0,92
CPT,20957,Bone graft with microvascular anastomosis; metatarsal ,,,1753.0,9431.0,92
CPT,20962,"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal ",,,1471.0,6801.0,103
CPT,20969,"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe ",,,1471.0,6801.0,103
CPT,20970,Free osteocutaneous flap with microvascular anastomosis; iliac crest ,,,1471.0,6801.0,103
CPT,20972,Free osteocutaneous flap with microvascular anastomosis; metatarsal ,,,1471.0,9431.0,119
CPT,20973,Free osteocutaneous flap with microvascular anastomosis; great toe with web space ,,,1471.0,9431.0,119
CPT,20974,Electrical stimulation to aid bone healing; noninvasive (nonoperative) ,,,82.05,4950.0,87
CPT,20975,Electrical stimulation to aid bone healing; invasive (operative) ,,,291.0,4950.0,99
CPT,20979,"Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) ",,,291.0,4950.0,77
CPT,20982,"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when p",,,607.0,6801.0,103
CPT,20983,"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when p",,,870.0,9431.0,103
CPT,20985,"Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) ",,,291.0,4950.0,79
CPT,20986,CPTR-ASST DIR MS PX IO IMG ,,,4421.0,4421.0,1
CPT,20987,CPTR-ASST DIR MS PX  PRE IMG ,,,4421.0,4421.0,1
CPT,20999,"Unlisted procedure, musculoskeletal system, general ",,,291.0,4950.0,103
CPT,21010,"Arthrotomy, temporomandibular joint ",,,870.0,4950.0,139
CPT,21011,"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm ",,,511.0,4950.0,119
CPT,21012,"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater ",,,511.0,4950.0,119
CPT,21013,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm ",,,511.0,4950.0,119
CPT,21014,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater ",,,511.0,4950.0,119
CPT,21015,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm ",,,769.0,6581.0,139
CPT,21016,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater ",,,870.0,8866.0,119
CPT,21025,"Excision of bone (eg, for osteomyelitis or bone abscess); mandible ",,,870.0,6801.0,139
CPT,21026,"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) ",,,870.0,4950.0,139
CPT,21029,"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) ",,,870.0,4950.0,139
CPT,21030,Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage ,,,870.0,4950.0,103
CPT,21031,Excision of torus mandibularis ,,,607.0,4950.0,103
CPT,21032,Excision of maxillary torus palatinus ,,,607.0,4950.0,103
CPT,21034,Excision of malignant tumor of maxilla or zygoma ,,,1257.0,6801.0,139
CPT,21040,"Excision of benign tumor or cyst of mandible, by enucleation and/or curettage ",,,870.0,4950.0,139
CPT,21041,Removal of jaw bone lesion ,,,4421.0,4421.0,1
CPT,21044,Excision of malignant tumor of mandible; ,,,870.0,6801.0,139
CPT,21045,Excision of malignant tumor of mandible; radical resection ,,,1753.0,6801.0,92
CPT,21046,"Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») ",,,870.0,6801.0,139
CPT,21047,"Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesionºs») ",,,870.0,6801.0,139
CPT,21048,"Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») ",,,870.0,6801.0,119
CPT,21049,"Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesionºs») ",,,870.0,6801.0,119
CPT,21050,"Condylectomy, temporomandibular joint (separate procedure) ",,,1257.0,6801.0,139
CPT,21060,"Meniscectomy, partial or complete, temporomandibular joint (separate procedure) ",,,870.0,6801.0,139
CPT,21070,Coronoidectomy (separate procedure) ,,,1257.0,6801.0,139
CPT,21073,"Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) ",,,607.0,4950.0,119
CPT,21076,Impression and custom preparation; surgical obturator prosthesis ,,,769.0,4950.0,61
CPT,21077,Impression and custom preparation; orbital prosthesis ,,,1753.0,6801.0,61
CPT,21079,Impression and custom preparation; interim obturator prosthesis ,,,697.0,6801.0,61
CPT,21080,Impression and custom preparation; definitive obturator prosthesis ,,,1404.42,6801.0,61
CPT,21081,Impression and custom preparation; mandibular resection prosthesis ,,,1753.0,6801.0,61
CPT,21082,Impression and custom preparation; palatal augmentation prosthesis ,,,1404.42,6801.0,61
CPT,21083,Impression and custom preparation; palatal lift prosthesis ,,,1404.42,6801.0,61
CPT,21084,Impression and custom preparation; speech aid prosthesis ,,,1404.42,6801.0,61
CPT,21085,Impression and custom preparation; oral surgical splint ,,,291.0,4950.0,61
CPT,21086,Impression and custom preparation; auricular prosthesis ,,,1404.42,6801.0,61
CPT,21087,Impression and custom preparation; nasal prosthesis ,,,1753.0,6801.0,61
CPT,21088,Impression and custom preparation; facial prosthesis ,,,1404.42,6801.0,61
CPT,21089,Unlisted maxillofacial prosthetic procedure ,,,291.0,4950.0,61
CPT,21100,"Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) ",,,870.0,6801.0,139
CPT,21110,"Application of interdental fixation device for conditions other than fracture or dislocation, includes removal ",,,607.0,4950.0,119
CPT,21116,Injection procedure for temporomandibular joint arthrography ,,,291.0,4950.0,79
CPT,21120,"Genioplasty; augmentation (autograft, allograft, prosthetic material) ",,,1632.0,10746.0,139
CPT,21121,"Genioplasty; sliding osteotomy, single piece ",,,1404.42,10746.0,139
CPT,21122,"Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) ",,,1632.0,10746.0,139
CPT,21123,"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) ",,,1404.42,10746.0,139
CPT,21125,"Augmentation, mandibular body or angle; prosthetic material ",,,1632.0,10746.0,139
CPT,21127,"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) ",,,1753.0,8866.0,139
CPT,21137,Reduction forehead; contouring only ,,,1257.0,6446.0,103
CPT,21138,Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) ,,,1257.0,6801.0,103
CPT,21139,Reduction forehead; contouring and setback of anterior frontal sinus wall ,,,1753.0,6801.0,61
CPT,21141,"Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft ",,,1471.0,6801.0,112
CPT,21142,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft ",,,1471.0,6801.0,112
CPT,21143,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft ",,,1753.0,6801.0,92
CPT,21145,"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) ",,,1753.0,6801.0,92
CPT,21146,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft) ",,,1471.0,6801.0,112
CPT,21147,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteoto",,,1753.0,6801.0,92
CPT,21150,"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) ",,,1753.0,6801.0,83
CPT,21151,"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) ",,,1753.0,6801.0,92
CPT,21154,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I ",,,1753.0,6801.0,92
CPT,21155,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I ",,,1753.0,6801.0,92
CPT,21159,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I ",,,1753.0,6801.0,92
CPT,21160,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I ",,,1753.0,6801.0,92
CPT,21172,"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) ",,,1753.0,6801.0,103
CPT,21175,"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining au",,,1753.0,6801.0,103
CPT,21179,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) ",,,1753.0,6801.0,92
CPT,21180,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) ",,,1753.0,6801.0,92
CPT,21181,"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial ",,,1632.0,10746.0,139
CPT,21182,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,1753.0,6801.0,92
CPT,21183,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,1753.0,6801.0,92
CPT,21184,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,1753.0,6801.0,92
CPT,21188,"Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) ",,,1753.0,6801.0,92
CPT,21193,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft ",,,1753.0,6801.0,103
CPT,21194,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft) ",,,1753.0,6801.0,92
CPT,21195,"Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation ",,,1753.0,6801.0,103
CPT,21196,"Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation ",,,1753.0,6801.0,83
CPT,21198,"Osteotomy, mandible, segmental; ",,,1257.0,12538.0,103
CPT,21199,"Osteotomy, mandible, segmental; with genioglossus advancement ",,,1753.0,12538.0,103
CPT,21206,"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) ",,,1753.0,6801.0,139
CPT,21208,"Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) ",,,1753.0,10746.0,139
CPT,21209,"Osteoplasty, facial bones; reduction ",,,1753.0,6801.0,139
CPT,21210,"Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) ",,,1753.0,10746.0,139
CPT,21215,"Graft, bone; mandible (includes obtaining graft) ",,,1753.0,10746.0,139
CPT,21230,"Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) ",,,1753.0,10746.0,139
CPT,21235,"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) ",,,769.0,10746.0,139
CPT,21240,"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) ",,,1471.0,6801.0,139
CPT,21242,"Arthroplasty, temporomandibular joint, with allograft ",,,1753.0,6801.0,139
CPT,21243,"Arthroplasty, temporomandibular joint, with prosthetic joint replacement ",,,1876.0,6801.0,139
CPT,21244,"Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) ",,,1753.0,10746.0,139
CPT,21245,"Reconstruction of mandible or maxilla, subperiosteal implant; partial ",,,1753.0,10746.0,139
CPT,21246,"Reconstruction of mandible or maxilla, subperiosteal implant; complete ",,,1753.0,10746.0,139
CPT,21247,"Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia) ",,,1753.0,6801.0,92
CPT,21248,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial ",,,1753.0,10746.0,139
CPT,21249,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete ",,,1753.0,10746.0,139
CPT,21255,Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) ,,,1753.0,6801.0,92
CPT,21256,"Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) ",,,1753.0,6801.0,61
CPT,21260,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach ",,,1753.0,6801.0,61
CPT,21261,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach ",,,1753.0,6801.0,61
CPT,21263,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement ",,,1753.0,6801.0,61
CPT,21267,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach ",,,1753.0,10746.0,139
CPT,21268,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach ",,,1753.0,6801.0,92
CPT,21270,"Malar augmentation, prosthetic material ",,,1753.0,6801.0,139
CPT,21275,Secondary revision of orbitocraniofacial reconstruction ,,,1753.0,10746.0,139
CPT,21280,Medial canthopexy (separate procedure) ,,,1404.42,6801.0,139
CPT,21282,Lateral canthopexy ,,,769.0,6446.0,139
CPT,21295,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach ",,,607.0,4950.0,139
CPT,21296,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach ",,,607.0,4950.0,139
CPT,21299,Unlisted craniofacial and maxillofacial procedure ,,,291.0,4950.0,61
CPT,21300,TREATMENT OF SKULL FRACTURE ,,,1560.0,4421.0,21
CPT,21310,CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION ,,,870.0,4421.0,42
CPT,21315,Closed treatment of nasal bone fracture with manipulation; without stabilization ,,,769.0,4950.0,139
CPT,21320,Closed treatment of nasal bone fracture with manipulation; with stabilization ,,,769.0,4950.0,139
CPT,21325,Open treatment of nasal fracture; uncomplicated ,,,1404.42,6446.0,139
CPT,21330,"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation ",,,1632.0,6446.0,139
CPT,21335,Open treatment of nasal fracture; with concomitant open treatment of fractured septum ,,,1404.42,10746.0,139
CPT,21336,"Open treatment of nasal septal fracture, with or without stabilization ",,,1404.42,6446.0,139
CPT,21337,"Closed treatment of nasal septal fracture, with or without stabilization ",,,769.0,4950.0,139
CPT,21338,Open treatment of nasoethmoid fracture; without external fixation ,,,1471.0,6446.0,139
CPT,21339,Open treatment of nasoethmoid fracture; with external fixation ,,,1632.0,6446.0,139
CPT,21340,"Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus ",,,1404.42,6801.0,139
CPT,21343,Open treatment of depressed frontal sinus fracture ,,,1753.0,6801.0,103
CPT,21344,"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches ",,,1753.0,6801.0,112
CPT,21345,"Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint ",,,769.0,10746.0,139
CPT,21346,Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation ,,,1471.0,6446.0,103
CPT,21347,Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches ,,,1753.0,6801.0,112
CPT,21348,Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) ,,,1753.0,6801.0,112
CPT,21355,"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation ",,,1257.0,6801.0,139
CPT,21356,"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) ",,,1257.0,6446.0,139
CPT,21360,"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod ",,,1471.0,7161.0,119
CPT,21365,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical ap",,,1753.0,7161.0,119
CPT,21366,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) ",,,1753.0,6801.0,103
CPT,21385,Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) ,,,1753.0,8866.0,119
CPT,21386,Open treatment of orbital floor blowout fracture; periorbital approach ,,,1753.0,6801.0,103
CPT,21387,Open treatment of orbital floor blowout fracture; combined approach ,,,1753.0,6801.0,103
CPT,21390,"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant ",,,1753.0,10746.0,119
CPT,21395,Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) ,,,1753.0,10746.0,103
CPT,21400,"Closed treatment of fracture of orbit, except blowout; without manipulation ",,,291.0,4950.0,139
CPT,21401,"Closed treatment of fracture of orbit, except blowout; with manipulation ",,,769.0,6446.0,139
CPT,21406,"Open treatment of fracture of orbit, except blowout; without implant ",,,1471.0,6801.0,119
CPT,21407,"Open treatment of fracture of orbit, except blowout; with implant ",,,1753.0,6801.0,119
CPT,21408,"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) ",,,1753.0,6801.0,77
CPT,21421,"Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint ",,,1404.42,6446.0,139
CPT,21422,Open treatment of palatal or maxillary fracture (LeFort I type); ,,,1753.0,6801.0,103
CPT,21423,"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches ",,,1753.0,6801.0,83
CPT,21431,Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint ,,,1753.0,6801.0,92
CPT,21432,Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation ,,,1753.0,6801.0,92
CPT,21433,"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches ",,,1753.0,6801.0,92
CPT,21435,"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation) ",,,1753.0,6801.0,92
CPT,21436,"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) ",,,1753.0,6801.0,92
CPT,21440,Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) ,,,1257.0,6446.0,119
CPT,21445,Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) ,,,1471.0,6801.0,139
CPT,21450,Closed treatment of mandibular fracture; without manipulation ,,,291.0,6446.0,139
CPT,21451,Closed treatment of mandibular fracture; with manipulation ,,,769.0,6446.0,139
CPT,21452,"Percutaneous treatment of mandibular fracture, with external fixation ",,,769.0,4950.0,139
CPT,21453,Closed treatment of mandibular fracture with interdental fixation ,,,1257.0,6801.0,139
CPT,21454,Open treatment of mandibular fracture with external fixation ,,,1632.0,6446.0,139
CPT,21461,Open treatment of mandibular fracture; without interdental fixation ,,,1471.0,6801.0,139
CPT,21462,Open treatment of mandibular fracture; with interdental fixation ,,,1753.0,6801.0,139
CPT,21465,Open treatment of mandibular condylar fracture ,,,1471.0,6801.0,139
CPT,21470,"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints ",,,1753.0,6801.0,119
CPT,21480,Closed treatment of temporomandibular dislocation; initial or subsequent ,,,291.0,4950.0,139
CPT,21485,"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent ",,,769.0,4950.0,139
CPT,21490,Open treatment of temporomandibular dislocation ,,,1257.0,6801.0,139
CPT,21493,TREAT HYOID BONE FRACTURE ,,,4421.0,4421.0,1
CPT,21494,TREAT HYOID BONE FRACTURE ,,,4421.0,4421.0,1
CPT,21495,TREAT HYOID BONE FRACTURE ,,,2048.0,4421.0,2
CPT,21497,"Interdental wiring, for condition other than fracture ",,,769.0,4950.0,139
CPT,21499,"Unlisted musculoskeletal procedure, head ",,,291.0,4950.0,61
CPT,21501,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; ",,,870.0,4950.0,139
CPT,21502,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy ",,,870.0,4950.0,139
CPT,21510,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax ",,,1257.0,6801.0,103
CPT,21550,"Biopsy, soft tissue of neck or thorax ",,,607.0,4950.0,119
CPT,21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater ",,,1257.0,8866.0,119
CPT,21554,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater ",,,1257.0,8866.0,119
CPT,21555,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm ",,,769.0,4950.0,139
CPT,21556,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm ",,,870.0,4950.0,139
CPT,21557,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm ",,,769.0,4950.0,103
CPT,21558,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater ",,,1257.0,8866.0,119
CPT,21600,"Excision of rib, partial ",,,870.0,5958.0,139
CPT,21601,Excision of chest wall tumor including rib(s) ,,,1404.42,6446.0,92
CPT,21602,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy ",,,1753.0,9431.0,92
CPT,21603,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy ",,,1753.0,9431.0,92
CPT,21610,Costotransversectomy (separate procedure) ,,,870.0,5958.0,139
CPT,21615,Excision first and/or cervical rib; ,,,1753.0,9431.0,92
CPT,21616,Excision first and/or cervical rib; with sympathectomy ,,,1753.0,9431.0,92
CPT,21620,"Ostectomy of sternum, partial ",,,870.0,6801.0,103
CPT,21627,Sternal debridement ,,,1753.0,9431.0,92
CPT,21630,Radical resection of sternum ,,,1753.0,9431.0,92
CPT,21632,Radical resection of sternum; with mediastinal lymphadenectomy ,,,1753.0,4421.0,33
CPT,21685,Hyoid myotomy and suspension ,,,870.0,4950.0,119
CPT,21700,Division of scalenus anticus; without resection of cervical rib ,,,870.0,4950.0,139
CPT,21705,Division of scalenus anticus; with resection of cervical rib ,,,1753.0,9431.0,92
CPT,21720,"Division of sternocleidomastoid for torticollis, open operation; without cast application ",,,1257.0,6446.0,139
CPT,21725,"Division of sternocleidomastoid for torticollis, open operation; with cast application ",,,511.0,6446.0,139
CPT,21740,Reconstructive repair of pectus excavatum or carinatum; open ,,,1471.0,12538.0,112
CPT,21742,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy ",,,1404.42,6801.0,119
CPT,21743,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy ",,,1404.42,6801.0,119
CPT,21750,Closure of median sternotomy separation with or without debridement (separate procedure) ,,,1753.0,9431.0,92
CPT,21800,TREATMENT OF RIB FRACTURE ,,,988.0,4421.0,21
CPT,21805,TREATMENT OF RIB FRACTURE ,,,1560.0,4421.0,21
CPT,21810,TREATMENT OF RIB FRACTURE(S) ,,,4421.0,4421.0,1
CPT,21811,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs ",,,1257.0,8866.0,119
CPT,21812,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs ",,,697.0,8866.0,119
CPT,21813,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs ",,,994.46,8866.0,119
CPT,21820,Closed treatment of sternum fracture ,,,291.0,4950.0,139
CPT,21825,Open treatment of sternum fracture with or without skeletal fixation ,,,1753.0,9431.0,92
CPT,21899,"Unlisted procedure, neck or thorax ",,,291.0,4950.0,61
CPT,21920,"Biopsy, soft tissue of back or flank; superficial ",,,511.0,4950.0,119
CPT,21925,"Biopsy, soft tissue of back or flank; deep ",,,870.0,4950.0,139
CPT,21930,"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm ",,,769.0,4950.0,139
CPT,21931,"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater ",,,994.46,8866.0,119
CPT,21932,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm ",,,769.0,7161.0,119
CPT,21933,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater ",,,1257.0,8866.0,119
CPT,21935,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm ",,,769.0,6446.0,139
CPT,21936,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater ",,,1257.0,8866.0,119
CPT,22010,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic ",,,1753.0,9431.0,92
CPT,22015,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral ",,,1753.0,9431.0,92
CPT,22100,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical ",,,1257.0,9431.0,119
CPT,22101,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic ",,,1257.0,9431.0,119
CPT,22102,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar ",,,1257.0,9431.0,119
CPT,22103,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to co",,,291.0,8866.0,95
CPT,22110,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical ",,,1753.0,9431.0,92
CPT,22112,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic ",,,1753.0,9431.0,92
CPT,22114,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar ",,,1753.0,9431.0,92
CPT,22116,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (List separately in ad",,,291.0,4950.0,68
CPT,22206,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic ",,,1753.0,9431.0,92
CPT,22207,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar ",,,1753.0,9431.0,92
CPT,22208,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment (List separately in addition to cod",,,291.0,4950.0,68
CPT,22210,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical ",,,1753.0,9431.0,92
CPT,22212,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic ",,,1753.0,9431.0,92
CPT,22214,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar ",,,1753.0,9431.0,92
CPT,22216,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure) ",,,291.0,4950.0,68
CPT,22220,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical ",,,1753.0,9431.0,92
CPT,22222,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic ",,,1753.0,9431.0,92
CPT,22224,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar ",,,1753.0,12538.0,92
CPT,22226,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure) ",,,291.0,4950.0,68
CPT,22305,CLOSED TX SPINE PROCESS FX ,,,988.0,4421.0,22
CPT,22310,"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing ",,,291.0,4950.0,139
CPT,22315,"Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction ",,,769.0,4950.0,139
CPT,22318,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting ",,,870.0,12538.0,103
CPT,22319,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting ",,,870.0,12538.0,103
CPT,22325,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar ",,,1257.0,9431.0,103
CPT,22326,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical ",,,1257.0,9431.0,103
CPT,22327,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic ",,,1257.0,9431.0,103
CPT,22328,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment",,,291.0,4950.0,79
CPT,22505,"Manipulation of spine requiring anesthesia, any region ",,,769.0,4950.0,139
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic ",,,1404.42,11494.0,105
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral ",,,1404.42,11494.0,105
CPT,22512,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacra",,,291.0,10083.0,81
CPT,22513,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,1257.0,11494.0,104
CPT,22514,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,1257.0,11494.0,104
CPT,22515,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,291.0,11494.0,79
CPT,22520,PERCUT VERTEBROPLASTY THOR ,,,4238.0,4584.0,21
CPT,22521,PERCUT VERTEBROPLASTY LUMB ,,,4238.0,4584.0,21
CPT,22522,PERCUT VERTEBROPLASTY ADDL ,,,4238.0,4584.0,21
CPT,22523,PERCUT KYPHOPLASTY THOR ,,,4421.0,4421.0,1
CPT,22524,PERCUT KYPHOPLASTY LUMBAR ,,,4421.0,4421.0,1
CPT,22525,PERCUT KYPHOPLASTY ADD-ON ,,,4421.0,4421.0,1
CPT,22526,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level ",,,1257.0,8866.0,95
CPT,22527,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure) ",,,1257.0,8866.0,95
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic ",,,2179.0,55425.0,89
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar ",,,2179.0,55425.0,89
CPT,22534,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately ",,,291.0,33750.0,69
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process ",,,2179.0,35795.0,82
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 ",,,2174.0,35795.0,85
CPT,22552,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List ",,,2259.0,35795.0,40
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 ",,,2174.0,35795.0,103
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic ",,,2179.0,55425.0,91
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar ",,,2179.0,55425.0,91
CPT,22585,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primar",,,2540.0,33750.0,38
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace ",,,2179.0,55425.0,89
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) ",,,2179.0,35795.0,91
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) ",,,2179.0,35795.0,91
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment ",,,2179.0,35795.0,91
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) ",,,2179.0,55425.0,91
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) ",,,2174.0,55425.0,101
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) ",,,291.0,33750.0,80
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; ",,,2706.0,55425.0,89
CPT,22632,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List se",,,291.0,33750.0,69
CPT,22633,"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), ",,,2706.0,71591.0,89
CPT,22634,"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), ",,,291.0,71591.0,65
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments ",,,2179.0,71591.0,89
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments ",,,2179.0,71591.0,89
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments ",,,2179.0,71591.0,89
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments ",,,2179.0,71591.0,89
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments ",,,2179.0,71591.0,89
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments ",,,2179.0,71591.0,89
CPT,22818,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments ",,,2179.0,13472.0,92
CPT,22819,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments ",,,2179.0,13472.0,92
CPT,22830,Exploration of spinal fusion ,,,2224.34,9431.0,92
CPT,22836,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments ",,,1632.0,13472.0,68
CPT,22837,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments ",,,1632.0,13472.0,68
CPT,22838,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed ",,,1632.0,13472.0,68
CPT,22840,"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) ",,,291.0,12538.0,68
CPT,22841,Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) ,,,291.0,30596.0,87
CPT,22842,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) ",,,291.0,30596.0,86
CPT,22843,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) ",,,291.0,30596.0,86
CPT,22844,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for primary procedure",,,291.0,30596.0,86
CPT,22845,Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) ,,,1804.0,30596.0,77
CPT,22846,Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) ,,,1804.0,30596.0,78
CPT,22847,Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) ,,,1804.0,30596.0,78
CPT,22848,Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) ,,,291.0,30596.0,86
CPT,22849,Reinsertion of spinal fixation device ,,,2179.0,30596.0,110
CPT,22850,"Removal of posterior nonsegmental instrumentation (eg, Harrington rod) ",,,2224.34,12538.0,92
CPT,22851,APPLY SPINE PROSTH DEVICE ,,,990.0,4421.0,2
CPT,22852,Removal of posterior segmental instrumentation ,,,2224.34,9431.0,92
CPT,22853,"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc spac",,,291.0,4950.0,79
CPT,22854,"Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectom",,,291.0,4950.0,79
CPT,22855,Removal of anterior instrumentation ,,,2224.34,12538.0,92
CPT,22856,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection)",,,2174.0,12538.0,104
CPT,22857,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar ",,,2179.0,30596.0,109
CPT,22858,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection)",,,291.0,4950.0,88
CPT,22859,"Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous ",,,291.0,4950.0,79
CPT,22860,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separately in addition to code ",,,697.0,4950.0,68
CPT,22861,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical ",,,2179.0,13472.0,92
CPT,22862,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar ",,,2179.0,13472.0,92
CPT,22864,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical ",,,2224.34,12538.0,92
CPT,22865,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar ",,,2224.34,12538.0,92
CPT,22867,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level ",,,1876.0,9431.0,104
CPT,22868,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately",,,291.0,4950.0,79
CPT,22869,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level ",,,870.0,9431.0,104
CPT,22870,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in",,,291.0,4950.0,79
CPT,22899,"Unlisted procedure, spine ",,,291.0,4950.0,103
CPT,22900,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm ",,,1404.42,6446.0,139
CPT,22901,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater ",,,1257.0,8866.0,119
CPT,22902,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm ",,,769.0,7161.0,119
CPT,22903,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater ",,,1257.0,8866.0,119
CPT,22904,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm ",,,769.0,7161.0,119
CPT,22905,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater ",,,1257.0,8866.0,119
CPT,22999,"Unlisted procedure, abdomen, musculoskeletal system ",,,291.0,4950.0,103
CPT,23000,"Removal of subdeltoid calcareous deposits, open ",,,769.0,4950.0,139
CPT,23020,"Capsular contracture release (eg, Sever type procedure) ",,,870.0,5958.0,139
CPT,23030,"Incision and drainage, shoulder area; deep abscess or hematoma ",,,607.0,4950.0,139
CPT,23031,"Incision and drainage, shoulder area; infected bursa ",,,1257.0,6446.0,139
CPT,23035,"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area ",,,994.46,6446.0,139
CPT,23040,"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body ",,,1257.0,6446.0,139
CPT,23044,"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body ",,,1404.42,6446.0,139
CPT,23065,"Biopsy, soft tissue of shoulder area; superficial ",,,511.0,4950.0,119
CPT,23066,"Biopsy, soft tissue of shoulder area; deep ",,,870.0,4950.0,139
CPT,23071,"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater ",,,994.46,8866.0,119
CPT,23073,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater ",,,1257.0,8866.0,119
CPT,23075,"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm ",,,769.0,4950.0,139
CPT,23076,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm ",,,769.0,4950.0,139
CPT,23077,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm ",,,769.0,6446.0,139
CPT,23078,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater ",,,1257.0,8866.0,119
CPT,23100,"Arthrotomy, glenohumeral joint, including biopsy ",,,870.0,4950.0,139
CPT,23101,"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage ",,,1404.42,10746.0,139
CPT,23105,"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy ",,,1471.0,6446.0,139
CPT,23106,"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy ",,,1404.42,6446.0,139
CPT,23107,"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body ",,,1471.0,6446.0,139
CPT,23120,Claviculectomy; partial ,,,1404.42,6446.0,139
CPT,23125,Claviculectomy; total ,,,1404.42,6446.0,139
CPT,23130,"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release ",,,1404.42,6801.0,139
CPT,23140,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; ,,,1404.42,6446.0,139
CPT,23145,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) ,,,1404.42,6446.0,139
CPT,23146,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft ,,,1694.0,6446.0,139
CPT,23150,Excision or curettage of bone cyst or benign tumor of proximal humerus; ,,,1404.42,6446.0,139
CPT,23155,Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) ,,,1694.0,6446.0,139
CPT,23156,Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft ,,,1694.0,6446.0,139
CPT,23170,"Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle ",,,870.0,5958.0,139
CPT,23172,"Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula ",,,870.0,5958.0,139
CPT,23174,"Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck ",,,870.0,5958.0,139
CPT,23180,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle ",,,1471.0,6446.0,139
CPT,23182,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula ",,,1471.0,6446.0,139
CPT,23184,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus ",,,1471.0,6446.0,139
CPT,23190,"Ostectomy of scapula, partial (eg, superior medial angle) ",,,1404.42,6446.0,139
CPT,23195,"Resection, humeral head ",,,1694.0,6446.0,139
CPT,23200,Radical resection of tumor; clavicle ,,,1753.0,9431.0,92
CPT,23210,Radical resection of tumor; scapula ,,,1753.0,9431.0,92
CPT,23220,"Radical resection of tumor, proximal humerus ",,,1753.0,9431.0,92
CPT,23221,PARTIAL REMOVAL OF HUMERUS ,,,4421.0,4421.0,1
CPT,23222,PARTIAL REMOVAL OF HUMERUS ,,,4421.0,4421.0,1
CPT,23330,"Removal of foreign body, shoulder; subcutaneous ",,,511.0,4950.0,139
CPT,23331,REMOVE SHOULDER FOREIGN BODY ,,,988.0,4421.0,21
CPT,23332,REMOVE SHOULDER FOREIGN BODY ,,,4421.0,4421.0,1
CPT,23333,"Removal of foreign body, shoulder; deep (subfascial or intramuscular) ",,,511.0,4950.0,119
CPT,23334,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component ",,,1257.0,8866.0,119
CPT,23335,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder) ",,,1142.61,6446.0,112
CPT,23350,Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography ,,,291.0,4950.0,79
CPT,23395,"Muscle transfer, any type, shoulder or upper arm; single ",,,1753.0,6801.0,139
CPT,23397,"Muscle transfer, any type, shoulder or upper arm; multiple ",,,1753.0,10746.0,139
CPT,23400,"Scapulopexy (eg, Sprengels deformity or for paralysis) ",,,1694.0,10746.0,139
CPT,23405,"Tenotomy, shoulder area; single tendon ",,,870.0,5958.0,139
CPT,23406,"Tenotomy, shoulder area; multiple tendons through same incision ",,,870.0,5958.0,139
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute ",,,1753.0,6801.0,139
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic ",,,1753.0,10746.0,139
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty ",,,1753.0,6801.0,139
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) ",,,1753.0,10746.0,139
CPT,23430,Tenodesis of long tendon of biceps ,,,1471.0,6801.0,139
CPT,23440,Resection or transplantation of long tendon of biceps ,,,1471.0,6446.0,139
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation ",,,1753.0,9431.0,139
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) ",,,1753.0,10746.0,139
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block ",,,1753.0,9431.0,139
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer ",,,1753.0,10746.0,139
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block ",,,1753.0,6801.0,139
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability ",,,1753.0,10746.0,139
CPT,23470,"Arthroplasty, glenohumeral joint; hemiarthroplasty ",,,2179.0,37269.0,79
CPT,23472,"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) ",,,2179.0,37269.0,79
CPT,23473,"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component ",,,2179.0,32558.0,93
CPT,23474,"Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component ",,,2224.34,30445.0,89
CPT,23480,"Osteotomy, clavicle, with or without internal fixation; ",,,1471.0,6801.0,139
CPT,23485,"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) ",,,2179.0,10746.0,139
CPT,23490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle ",,,1257.0,9431.0,139
CPT,23491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus ",,,1257.0,9431.0,139
CPT,23500,Closed treatment of clavicular fracture; without manipulation ,,,291.0,4950.0,139
CPT,23505,Closed treatment of clavicular fracture; with manipulation ,,,511.0,4950.0,139
CPT,23515,"Open treatment of clavicular fracture, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,23520,Closed treatment of sternoclavicular dislocation; without manipulation ,,,607.0,4950.0,139
CPT,23525,Closed treatment of sternoclavicular dislocation; with manipulation ,,,291.0,4950.0,139
CPT,23530,"Open treatment of sternoclavicular dislocation, acute or chronic; ",,,1257.0,9431.0,139
CPT,23532,"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) ",,,1471.0,6446.0,139
CPT,23540,Closed treatment of acromioclavicular dislocation; without manipulation ,,,291.0,4950.0,139
CPT,23545,Closed treatment of acromioclavicular dislocation; with manipulation ,,,291.0,4950.0,139
CPT,23550,"Open treatment of acromioclavicular dislocation, acute or chronic; ",,,1257.0,9431.0,139
CPT,23552,"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) ",,,1471.0,9431.0,139
CPT,23570,Closed treatment of scapular fracture; without manipulation ,,,291.0,4950.0,139
CPT,23575,"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) ",,,291.0,4950.0,139
CPT,23585,"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,23600,Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation ,,,291.0,4950.0,119
CPT,23605,"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction ",,,870.0,4950.0,139
CPT,23615,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; ",,,1471.0,9431.0,139
CPT,23616,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral prostheti",,,1471.0,9431.0,139
CPT,23620,Closed treatment of greater humeral tuberosity fracture; without manipulation ,,,291.0,4950.0,119
CPT,23625,Closed treatment of greater humeral tuberosity fracture; with manipulation ,,,769.0,4950.0,139
CPT,23630,"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed ",,,1753.0,9431.0,139
CPT,23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia ",,,291.0,4950.0,139
CPT,23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia ",,,607.0,4950.0,139
CPT,23660,Open treatment of acute shoulder dislocation ,,,1257.0,9431.0,139
CPT,23665,"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation ",,,511.0,4950.0,139
CPT,23670,"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,23675,"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation ",,,291.0,4950.0,139
CPT,23680,"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,23700,"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) ",,,607.0,4950.0,139
CPT,23800,"Arthrodesis, glenohumeral joint; ",,,1471.0,9431.0,139
CPT,23802,"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) ",,,2179.0,10746.0,139
CPT,23900,Interthoracoscapular amputation (forequarter) ,,,2224.34,9431.0,70
CPT,23920,Disarticulation of shoulder; ,,,2224.34,9431.0,70
CPT,23921,Disarticulation of shoulder; secondary closure or scar revision ,,,769.0,6446.0,139
CPT,23929,"Unlisted procedure, shoulder ",,,291.0,4950.0,103
CPT,23930,"Incision and drainage, upper arm or elbow area; deep abscess or hematoma ",,,607.0,4950.0,139
CPT,23931,"Incision and drainage, upper arm or elbow area; bursa ",,,769.0,4950.0,139
CPT,23935,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow ",,,870.0,4950.0,139
CPT,24000,"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body ",,,1404.42,6446.0,139
CPT,24006,"Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) ",,,1404.42,6446.0,139
CPT,24065,"Biopsy, soft tissue of upper arm or elbow area; superficial ",,,607.0,4950.0,119
CPT,24066,"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) ",,,769.0,4950.0,139
CPT,24071,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater ",,,1257.0,8866.0,119
CPT,24073,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater ",,,1257.0,8866.0,119
CPT,24075,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm ",,,769.0,4950.0,139
CPT,24076,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm ",,,769.0,4950.0,139
CPT,24077,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm ",,,769.0,6446.0,139
CPT,24079,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater ",,,1257.0,8866.0,119
CPT,24100,"Arthrotomy, elbow; with synovial biopsy only ",,,607.0,4950.0,139
CPT,24101,"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,1404.42,6446.0,139
CPT,24102,"Arthrotomy, elbow; with synovectomy ",,,1404.42,6446.0,139
CPT,24105,"Excision, olecranon bursa ",,,1257.0,6446.0,139
CPT,24110,"Excision or curettage of bone cyst or benign tumor, humerus; ",,,870.0,4950.0,139
CPT,24115,"Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) ",,,1257.0,6446.0,139
CPT,24116,"Excision or curettage of bone cyst or benign tumor, humerus; with allograft ",,,1257.0,6446.0,139
CPT,24120,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; ,,,1257.0,6446.0,139
CPT,24125,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) ,,,1257.0,6446.0,139
CPT,24126,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft ,,,1257.0,6446.0,139
CPT,24130,"Excision, radial head ",,,1257.0,6446.0,139
CPT,24134,"Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus ",,,870.0,5958.0,139
CPT,24136,"Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck ",,,870.0,5958.0,139
CPT,24138,"Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process ",,,870.0,5958.0,139
CPT,24140,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus ",,,1257.0,6446.0,139
CPT,24145,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck ",,,1257.0,6446.0,139
CPT,24147,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process ",,,870.0,5958.0,139
CPT,24149,"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) ",,,1471.0,6446.0,103
CPT,24150,"Radical resection of tumor, shaft or distal humerus ",,,1257.0,6801.0,119
CPT,24151,EXTENSIVE HUMERUS SURGERY ,,,4421.0,4421.0,1
CPT,24152,"Radical resection of tumor, radial head or neck ",,,1257.0,6801.0,119
CPT,24153,EXTENSIVE RADIUS SURGERY ,,,4421.0,4421.0,1
CPT,24155,Resection of elbow joint (arthrectomy) ,,,1257.0,6446.0,139
CPT,24160,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components ",,,870.0,5958.0,139
CPT,24164,"Removal of prosthesis, includes debridement and synovectomy when performed; radial head ",,,1257.0,6446.0,139
CPT,24200,"Removal of foreign body, upper arm or elbow area; subcutaneous ",,,511.0,4950.0,77
CPT,24201,"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) ",,,769.0,4950.0,139
CPT,24220,Injection procedure for elbow arthrography ,,,291.0,4950.0,79
CPT,24300,"Manipulation, elbow, under anesthesia ",,,607.0,4950.0,119
CPT,24301,"Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) ",,,1471.0,6446.0,139
CPT,24305,"Tendon lengthening, upper arm or elbow, each tendon ",,,1404.42,6446.0,139
CPT,24310,"Tenotomy, open, elbow to shoulder, each tendon ",,,1257.0,6446.0,139
CPT,24320,"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) ",,,1257.0,6446.0,139
CPT,24330,"Flexor-plasty, elbow (eg, Steindler type advancement); ",,,1257.0,9431.0,139
CPT,24331,"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement ",,,1257.0,6801.0,139
CPT,24332,"Tenolysis, triceps ",,,870.0,5958.0,119
CPT,24340,Tenodesis of biceps tendon at elbow (separate procedure) ,,,1257.0,6801.0,139
CPT,24341,"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) ",,,1257.0,6801.0,139
CPT,24342,"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft ",,,1257.0,6801.0,139
CPT,24343,"Repair lateral collateral ligament, elbow, with local tissue ",,,1404.42,6446.0,119
CPT,24344,"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) ",,,1753.0,7602.0,119
CPT,24345,"Repair medial collateral ligament, elbow, with local tissue ",,,870.0,5958.0,139
CPT,24346,"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) ",,,1471.0,6801.0,119
CPT,24350,REPAIR OF TENNIS ELBOW ,,,2302.0,4421.0,21
CPT,24351,REPAIR OF TENNIS ELBOW ,,,2302.0,4421.0,21
CPT,24352,REPAIR OF TENNIS ELBOW ,,,2302.0,4421.0,21
CPT,24354,REPAIR OF TENNIS ELBOW ,,,2302.0,4421.0,21
CPT,24356,REVISION OF TENNIS ELBOW ,,,2302.0,4421.0,21
CPT,24357,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous ",,,1257.0,8866.0,119
CPT,24358,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open ",,,1257.0,8866.0,119
CPT,24359,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment ",,,1257.0,8866.0,119
CPT,24360,"Arthroplasty, elbow; with membrane (eg, fascial) ",,,1753.0,15000.0,146
CPT,24361,"Arthroplasty, elbow; with distal humeral prosthetic replacement ",,,1876.0,25232.37,130
CPT,24362,"Arthroplasty, elbow; with implant and fascia lata ligament reconstruction ",,,1876.0,18475.74,146
CPT,24363,"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) ",,,2550.0,25232.37,130
CPT,24365,"Arthroplasty, radial head; ",,,1876.0,6801.0,139
CPT,24366,"Arthroplasty, radial head; with implant ",,,1876.0,13472.0,123
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component ",,,1876.0,18475.74,110
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component ",,,2550.0,25232.37,110
CPT,24400,"Osteotomy, humerus, with or without internal fixation ",,,1471.0,6801.0,139
CPT,24410,"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) ",,,1471.0,6801.0,139
CPT,24420,"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) ",,,1257.0,6801.0,139
CPT,24430,"Repair of nonunion or malunion, humerus; without graft (eg, compression technique) ",,,1257.0,9431.0,139
CPT,24435,"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) ",,,1471.0,9431.0,139
CPT,24470,"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) ",,,1257.0,6801.0,139
CPT,24495,"Decompression fasciotomy, forearm, with brachial artery exploration ",,,870.0,5958.0,139
CPT,24498,"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft ",,,1257.0,9431.0,139
CPT,24500,Closed treatment of humeral shaft fracture; without manipulation ,,,291.0,4950.0,139
CPT,24505,"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction ",,,291.0,4950.0,139
CPT,24515,"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage ",,,1471.0,9431.0,139
CPT,24516,"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws ",,,1471.0,9431.0,139
CPT,24530,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation ",,,291.0,4950.0,139
CPT,24535,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction ",,,291.0,4950.0,139
CPT,24538,"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension ",,,870.0,4950.0,139
CPT,24545,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension ",,,1471.0,9431.0,139
CPT,24546,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension ",,,1876.0,9431.0,139
CPT,24560,"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation ",,,291.0,4950.0,139
CPT,24565,"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation ",,,291.0,4950.0,139
CPT,24566,"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation ",,,870.0,4950.0,139
CPT,24575,"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,24576,"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation ",,,291.0,4950.0,139
CPT,24577,"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation ",,,291.0,4950.0,139
CPT,24579,"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,24582,"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation ",,,870.0,4950.0,139
CPT,24586,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); ,,,1471.0,9431.0,139
CPT,24587,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty ,,,1876.0,9431.0,139
CPT,24600,Treatment of closed elbow dislocation; without anesthesia ,,,291.0,4950.0,139
CPT,24605,Treatment of closed elbow dislocation; requiring anesthesia ,,,769.0,4950.0,139
CPT,24615,Open treatment of acute or chronic elbow dislocation ,,,1257.0,9431.0,139
CPT,24620,"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation ",,,769.0,4950.0,139
CPT,24635,"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,24640,"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation ",,,291.0,4950.0,77
CPT,24650,Closed treatment of radial head or neck fracture; without manipulation ,,,291.0,4950.0,119
CPT,24655,Closed treatment of radial head or neck fracture; with manipulation ,,,291.0,4950.0,139
CPT,24665,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; ",,,1471.0,9431.0,139
CPT,24666,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement ",,,1471.0,9431.0,139
CPT,24670,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); without manipulation ",,,291.0,4950.0,139
CPT,24675,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); with manipulation ",,,291.0,4950.0,139
CPT,24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,24800,"Arthrodesis, elbow joint; local ",,,1471.0,6801.0,139
CPT,24802,"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) ",,,1876.0,9431.0,139
CPT,24900,"Amputation, arm through humerus; with primary closure ",,,2224.34,9431.0,70
CPT,24920,"Amputation, arm through humerus; open, circular (guillotine) ",,,2224.34,9431.0,70
CPT,24925,"Amputation, arm through humerus; secondary closure or scar revision ",,,1257.0,6446.0,139
CPT,24930,"Amputation, arm through humerus; re-amputation ",,,1753.0,9431.0,70
CPT,24931,"Amputation, arm through humerus; with implant ",,,2224.34,9431.0,70
CPT,24935,"Stump elongation, upper extremity ",,,1753.0,9431.0,61
CPT,24940,"Cineplasty, upper extremity, complete procedure ",,,2224.34,9431.0,92
CPT,24999,"Unlisted procedure, humerus or elbow ",,,291.0,4950.0,103
CPT,25000,"Incision, extensor tendon sheath, wrist (eg, de Quervains disease) ",,,994.46,6446.0,139
CPT,25001,"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) ",,,607.0,4950.0,119
CPT,25020,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve ",,,994.46,6446.0,139
CPT,25023,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve ",,,1257.0,6446.0,139
CPT,25024,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve ",,,1257.0,6446.0,139
CPT,25025,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve ",,,994.46,6446.0,139
CPT,25028,"Incision and drainage, forearm and/or wrist; deep abscess or hematoma ",,,607.0,4950.0,139
CPT,25031,"Incision and drainage, forearm and/or wrist; bursa ",,,870.0,4950.0,139
CPT,25035,"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) ",,,870.0,4950.0,139
CPT,25040,"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body ",,,1404.42,6446.0,139
CPT,25065,"Biopsy, soft tissue of forearm and/or wrist; superficial ",,,511.0,4950.0,119
CPT,25066,"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) ",,,870.0,4950.0,139
CPT,25071,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater ",,,994.46,8866.0,119
CPT,25073,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater ",,,1257.0,8866.0,119
CPT,25075,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm ",,,769.0,4950.0,139
CPT,25076,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm ",,,769.0,6446.0,139
CPT,25077,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm ",,,769.0,6446.0,139
CPT,25078,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater ",,,1257.0,8866.0,119
CPT,25085,"Capsulotomy, wrist (eg, contracture) ",,,1257.0,6446.0,139
CPT,25100,"Arthrotomy, wrist joint; with biopsy ",,,870.0,4950.0,139
CPT,25101,"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,1257.0,6446.0,139
CPT,25105,"Arthrotomy, wrist joint; with synovectomy ",,,1404.42,6446.0,139
CPT,25107,"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex ",,,1257.0,6446.0,139
CPT,25109,"Excision of tendon, forearm and/or wrist, flexor or extensor, each ",,,1404.42,6446.0,119
CPT,25110,"Excision, lesion of tendon sheath, forearm and/or wrist ",,,994.46,6446.0,139
CPT,25111,"Excision of ganglion, wrist (dorsal or volar); primary ",,,994.46,6446.0,139
CPT,25112,"Excision of ganglion, wrist (dorsal or volar); recurrent ",,,994.46,6446.0,139
CPT,25115,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors ",,,994.46,6446.0,139
CPT,25116,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal r",,,1404.42,6446.0,139
CPT,25118,"Synovectomy, extensor tendon sheath, wrist, single compartment; ",,,870.0,4950.0,139
CPT,25119,"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna ",,,1257.0,6446.0,139
CPT,25120,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); ,,,1257.0,6446.0,139
CPT,25125,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) ,,,994.46,6446.0,139
CPT,25126,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft ,,,1257.0,6446.0,139
CPT,25130,Excision or curettage of bone cyst or benign tumor of carpal bones; ,,,1257.0,6446.0,139
CPT,25135,Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) ,,,1257.0,6446.0,139
CPT,25136,Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft ,,,1257.0,6446.0,139
CPT,25145,"Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist ",,,870.0,5958.0,139
CPT,25150,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna ",,,870.0,5958.0,139
CPT,25151,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius ",,,870.0,5958.0,139
CPT,25170,"Radical resection of tumor, radius or ulna ",,,1257.0,6446.0,119
CPT,25210,Carpectomy; 1 bone ,,,1257.0,6446.0,139
CPT,25215,Carpectomy; all bones of proximal row ,,,1404.42,6446.0,139
CPT,25230,Radial styloidectomy (separate procedure) ,,,1404.42,6446.0,139
CPT,25240,"Excision distal ulna partial or complete (eg, Darrach type or matched resection) ",,,1404.42,6446.0,139
CPT,25246,Injection procedure for wrist arthrography ,,,291.0,4950.0,79
CPT,25248,"Exploration with removal of deep foreign body, forearm or wrist ",,,870.0,4950.0,139
CPT,25250,Removal of wrist prosthesis; (separate procedure) ,,,607.0,4950.0,139
CPT,25251,"Removal of wrist prosthesis; complicated, including total wrist ",,,607.0,5958.0,139
CPT,25259,"Manipulation, wrist, under anesthesia ",,,607.0,4950.0,119
CPT,25260,"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle ",,,1404.42,6446.0,139
CPT,25263,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle ",,,870.0,5958.0,139
CPT,25265,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle ",,,1257.0,6446.0,139
CPT,25270,"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle ",,,1404.42,6446.0,139
CPT,25272,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle ",,,1257.0,6446.0,139
CPT,25274,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle ",,,1404.42,6446.0,139
CPT,25275,"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) ",,,1404.42,6446.0,139
CPT,25280,"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,1404.42,6446.0,139
CPT,25290,"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,1257.0,6446.0,139
CPT,25295,"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,1257.0,6446.0,139
CPT,25300,Tenodesis at wrist; flexors of fingers ,,,1257.0,6446.0,139
CPT,25301,Tenodesis at wrist; extensors of fingers ,,,1257.0,6446.0,139
CPT,25310,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon ",,,1257.0,6446.0,139
CPT,25312,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon ",,,1404.42,6801.0,139
CPT,25315,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; ",,,1257.0,6446.0,139
CPT,25316,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer ",,,1257.0,9431.0,139
CPT,25320,"Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability ",,,1257.0,6801.0,139
CPT,25332,"Arthroplasty, wrist, with or without interposition, with or without external or internal fixation ",,,1404.42,6801.0,139
CPT,25335,"Centralization of wrist on ulna (eg, radial club hand) ",,,1257.0,6801.0,139
CPT,25337,"Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without o",,,1753.0,6801.0,139
CPT,25350,"Osteotomy, radius; distal third ",,,1257.0,6801.0,139
CPT,25355,"Osteotomy, radius; middle or proximal third ",,,1257.0,6801.0,139
CPT,25360,Osteotomy; ulna ,,,1257.0,6801.0,139
CPT,25365,Osteotomy; radius AND ulna ,,,1257.0,6801.0,139
CPT,25370,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna ",,,1257.0,6801.0,139
CPT,25375,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna ",,,1404.42,6801.0,139
CPT,25390,"Osteoplasty, radius OR ulna; shortening ",,,1257.0,6801.0,139
CPT,25391,"Osteoplasty, radius OR ulna; lengthening with autograft ",,,1471.0,6801.0,139
CPT,25392,"Osteoplasty, radius AND ulna; shortening (excluding 64876) ",,,1257.0,6446.0,139
CPT,25393,"Osteoplasty, radius AND ulna; lengthening with autograft ",,,1471.0,6801.0,139
CPT,25394,"Osteoplasty, carpal bone, shortening ",,,1404.42,6801.0,119
CPT,25400,"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) ",,,1257.0,6801.0,139
CPT,25405,"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) ",,,1471.0,9431.0,139
CPT,25415,"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) ",,,1257.0,9431.0,139
CPT,25420,"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) ",,,1471.0,9431.0,139
CPT,25425,Repair of defect with autograft; radius OR ulna ,,,1257.0,6801.0,139
CPT,25426,Repair of defect with autograft; radius AND ulna ,,,1404.42,6801.0,139
CPT,25430,"Insertion of vascular pedicle into carpal bone (eg, Hori procedure) ",,,1257.0,6801.0,119
CPT,25431,"Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone ",,,1257.0,6801.0,119
CPT,25440,"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) ",,,1471.0,6801.0,139
CPT,25441,Arthroplasty with prosthetic replacement; distal radius ,,,1876.0,13472.0,123
CPT,25442,Arthroplasty with prosthetic replacement; distal ulna ,,,1876.0,13472.0,123
CPT,25443,Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) ,,,1753.0,6801.0,139
CPT,25444,Arthroplasty with prosthetic replacement; lunate ,,,1876.0,9431.0,139
CPT,25445,Arthroplasty with prosthetic replacement; trapezium ,,,1753.0,6801.0,139
CPT,25446,Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) ,,,2550.0,13472.0,123
CPT,25447,"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) ",,,1404.42,6801.0,139
CPT,25448,"Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed ",,,1632.0,8866.0,84
CPT,25449,"Revision of arthroplasty, including removal of implant, wrist joint ",,,1753.0,6801.0,139
CPT,25450,Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna ,,,1257.0,6801.0,139
CPT,25455,Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna ,,,1257.0,6801.0,139
CPT,25490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius ",,,1257.0,6801.0,139
CPT,25491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna ",,,1257.0,6801.0,139
CPT,25492,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna ",,,1257.0,6801.0,139
CPT,25500,Closed treatment of radial shaft fracture; without manipulation ,,,291.0,4950.0,119
CPT,25505,Closed treatment of radial shaft fracture; with manipulation ,,,511.0,4950.0,139
CPT,25515,"Open treatment of radial shaft fracture, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,25520,Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) ,,,291.0,4950.0,139
CPT,25525,"Open treatment of radial shaft fracture, includes internal fixation, when performed, and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes percutaneous",,,1471.0,9431.0,139
CPT,25526,"Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixat",,,1753.0,9431.0,139
CPT,25530,Closed treatment of ulnar shaft fracture; without manipulation ,,,291.0,4950.0,119
CPT,25535,Closed treatment of ulnar shaft fracture; with manipulation ,,,291.0,4950.0,139
CPT,25545,"Open treatment of ulnar shaft fracture, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,25560,Closed treatment of radial and ulnar shaft fractures; without manipulation ,,,291.0,4950.0,119
CPT,25565,Closed treatment of radial and ulnar shaft fractures; with manipulation ,,,291.0,4950.0,139
CPT,25574,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna ",,,1257.0,9431.0,139
CPT,25575,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna ",,,1257.0,9431.0,139
CPT,25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation ",,,291.0,4950.0,119
CPT,25605,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation ",,,511.0,6446.0,139
CPT,25606,Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation ,,,1257.0,6446.0,139
CPT,25607,"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation ",,,1753.0,9431.0,139
CPT,25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments ,,,1753.0,9431.0,139
CPT,25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments ,,,1753.0,9431.0,139
CPT,25611,TREAT FRACTURE RADIUS/ULNA ,,,2302.0,4421.0,21
CPT,25620,TREAT FRACTURE RADIUS/ULNA ,,,3026.0,4421.0,21
CPT,25622,Closed treatment of carpal scaphoid (navicular) fracture; without manipulation ,,,291.0,4950.0,77
CPT,25624,Closed treatment of carpal scaphoid (navicular) fracture; with manipulation ,,,511.0,4950.0,139
CPT,25628,"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,25630,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); without manipulation, each bone ",,,291.0,4950.0,119
CPT,25635,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); with manipulation, each bone ",,,291.0,4950.0,139
CPT,25645,"Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone ",,,1257.0,9431.0,139
CPT,25650,Closed treatment of ulnar styloid fracture ,,,291.0,4950.0,77
CPT,25651,Percutaneous skeletal fixation of ulnar styloid fracture ,,,607.0,4950.0,119
CPT,25652,Open treatment of ulnar styloid fracture ,,,1257.0,9431.0,119
CPT,25660,"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation ",,,291.0,4950.0,139
CPT,25670,"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones ",,,1257.0,6446.0,139
CPT,25671,Percutaneous skeletal fixation of distal radioulnar dislocation ,,,607.0,4950.0,139
CPT,25675,Closed treatment of distal radioulnar dislocation with manipulation ,,,291.0,4950.0,139
CPT,25676,"Open treatment of distal radioulnar dislocation, acute or chronic ",,,870.0,4950.0,139
CPT,25680,"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation ",,,291.0,4950.0,139
CPT,25685,Open treatment of trans-scaphoperilunar type of fracture dislocation ,,,1257.0,6446.0,139
CPT,25690,"Closed treatment of lunate dislocation, with manipulation ",,,607.0,4950.0,139
CPT,25695,Open treatment of lunate dislocation ,,,870.0,4950.0,139
CPT,25800,"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) ",,,1471.0,9431.0,139
CPT,25805,"Arthrodesis, wrist; with sliding graft ",,,1753.0,9431.0,139
CPT,25810,"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) ",,,1876.0,9431.0,139
CPT,25820,"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) ",,,1471.0,6801.0,139
CPT,25825,"Arthrodesis, wrist; with autograft (includes obtaining graft) ",,,1753.0,9431.0,139
CPT,25830,"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) ",,,1753.0,6801.0,139
CPT,25900,"Amputation, forearm, through radius and ulna; ",,,2224.34,9431.0,70
CPT,25905,"Amputation, forearm, through radius and ulna; open, circular (guillotine) ",,,2224.34,9431.0,70
CPT,25907,"Amputation, forearm, through radius and ulna; secondary closure or scar revision ",,,1257.0,6446.0,139
CPT,25909,"Amputation, forearm, through radius and ulna; re-amputation ",,,1257.0,6446.0,103
CPT,25915,Krukenberg procedure ,,,1753.0,9431.0,70
CPT,25920,Disarticulation through wrist; ,,,1753.0,9431.0,70
CPT,25922,Disarticulation through wrist; secondary closure or scar revision ,,,994.46,6446.0,139
CPT,25924,Disarticulation through wrist; re-amputation ,,,1753.0,9431.0,70
CPT,25927,Transmetacarpal amputation; ,,,1404.42,6446.0,92
CPT,25929,Transmetacarpal amputation; secondary closure or scar revision ,,,769.0,6446.0,139
CPT,25931,Transmetacarpal amputation; re-amputation ,,,1404.42,4950.0,61
CPT,25999,"Unlisted procedure, forearm or wrist ",,,291.0,4950.0,103
CPT,26010,Drainage of finger abscess; simple ,,,291.0,4950.0,77
CPT,26011,"Drainage of finger abscess; complicated (eg, felon) ",,,607.0,4950.0,139
CPT,26020,"Drainage of tendon sheath, digit and/or palm, each ",,,769.0,4950.0,139
CPT,26025,"Drainage of palmar bursa; single, bursa ",,,607.0,4950.0,139
CPT,26030,Drainage of palmar bursa; multiple bursa ,,,769.0,4950.0,139
CPT,26034,"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) ",,,769.0,4950.0,139
CPT,26035,"Decompression fingers and/or hand, injection injury (eg, grease gun) ",,,769.0,6446.0,119
CPT,26037,"Decompressive fasciotomy, hand (excludes 26035) ",,,769.0,6446.0,119
CPT,26040,"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous ",,,769.0,6446.0,139
CPT,26045,"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial ",,,1257.0,6446.0,139
CPT,26055,"Tendon sheath incision (eg, for trigger finger) ",,,769.0,4950.0,139
CPT,26060,"Tenotomy, percutaneous, single, each digit ",,,769.0,4950.0,139
CPT,26070,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint ",,,769.0,4950.0,139
CPT,26075,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each ",,,769.0,6446.0,139
CPT,26080,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each ",,,769.0,6446.0,139
CPT,26100,"Arthrotomy with biopsy; carpometacarpal joint, each ",,,769.0,4950.0,139
CPT,26105,"Arthrotomy with biopsy; metacarpophalangeal joint, each ",,,607.0,4950.0,139
CPT,26110,"Arthrotomy with biopsy; interphalangeal joint, each ",,,607.0,4950.0,139
CPT,26111,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater ",,,994.46,8866.0,119
CPT,26113,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater ",,,994.46,8866.0,119
CPT,26115,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm ",,,769.0,4950.0,139
CPT,26116,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm ",,,769.0,4950.0,139
CPT,26117,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm ",,,769.0,6446.0,139
CPT,26118,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater ",,,1257.0,8866.0,119
CPT,26121,"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) ",,,1404.42,6446.0,139
CPT,26123,"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graf",,,1404.42,6446.0,139
CPT,26125,"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graf",,,291.0,6446.0,99
CPT,26130,"Synovectomy, carpometacarpal joint ",,,769.0,6446.0,139
CPT,26135,"Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit ",,,1404.42,6446.0,139
CPT,26140,"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint ",,,769.0,4950.0,139
CPT,26145,"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon ",,,769.0,6446.0,139
CPT,26160,"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger ",,,769.0,6446.0,139
CPT,26170,"Excision of tendon, palm, flexor or extensor, single, each tendon ",,,769.0,6446.0,139
CPT,26180,"Excision of tendon, finger, flexor or extensor, each tendon ",,,769.0,6446.0,139
CPT,26185,"Sesamoidectomy, thumb or finger (separate procedure) ",,,769.0,6446.0,139
CPT,26200,Excision or curettage of bone cyst or benign tumor of metacarpal; ,,,769.0,4950.0,139
CPT,26205,Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) ,,,1257.0,6446.0,139
CPT,26210,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; ",,,769.0,4950.0,139
CPT,26215,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) ",,,769.0,6446.0,139
CPT,26230,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal ",,,769.0,10746.0,139
CPT,26235,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger ",,,769.0,6446.0,139
CPT,26236,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger ",,,769.0,6446.0,139
CPT,26250,"Radical resection of tumor, metacarpal ",,,769.0,6446.0,139
CPT,26255,EXTENSIVE HAND SURGERY ,,,2302.0,4421.0,21
CPT,26260,"Radical resection of tumor, proximal or middle phalanx of finger ",,,769.0,6446.0,139
CPT,26261,EXTENSIVE FINGER SURGERY ,,,2302.0,4421.0,21
CPT,26262,"Radical resection of tumor, distal phalanx of finger ",,,769.0,4950.0,139
CPT,26320,Removal of implant from finger or hand ,,,769.0,4950.0,139
CPT,26340,"Manipulation, finger joint, under anesthesia, each joint ",,,291.0,4950.0,119
CPT,26341,"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord ",,,291.0,4950.0,119
CPT,26350,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon ",,,607.0,5958.0,139
CPT,26352,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon ",,,1471.0,6446.0,139
CPT,26356,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon ",,,1404.42,6446.0,139
CPT,26357,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon ",,,1404.42,6446.0,139
CPT,26358,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon ",,,1471.0,6446.0,139
CPT,26370,"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon ",,,1404.42,6446.0,139
CPT,26372,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon ",,,1471.0,6446.0,139
CPT,26373,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon ",,,1257.0,6446.0,139
CPT,26390,"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod ",,,1471.0,6446.0,139
CPT,26392,"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod ",,,1257.0,6446.0,139
CPT,26410,"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon ",,,769.0,6446.0,139
CPT,26412,"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon ",,,1257.0,6446.0,139
CPT,26415,"Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod ",,,1404.42,6446.0,139
CPT,26416,"Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod ",,,1257.0,6446.0,139
CPT,26418,"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon ",,,769.0,6446.0,139
CPT,26420,"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon ",,,1404.42,6446.0,139
CPT,26426,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger ",,,1257.0,6446.0,139
CPT,26428,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger ",,,1257.0,6446.0,139
CPT,26432,"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) ",,,769.0,6446.0,139
CPT,26433,"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) ",,,769.0,6446.0,139
CPT,26434,"Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) ",,,1257.0,6446.0,139
CPT,26437,"Realignment of extensor tendon, hand, each tendon ",,,769.0,6446.0,139
CPT,26440,"Tenolysis, flexor tendon; palm OR finger, each tendon ",,,769.0,6446.0,139
CPT,26442,"Tenolysis, flexor tendon; palm AND finger, each tendon ",,,1257.0,6446.0,139
CPT,26445,"Tenolysis, extensor tendon, hand OR finger, each tendon ",,,769.0,6446.0,139
CPT,26449,"Tenolysis, complex, extensor tendon, finger, including forearm, each tendon ",,,1257.0,6446.0,139
CPT,26450,"Tenotomy, flexor, palm, open, each tendon ",,,769.0,6446.0,139
CPT,26455,"Tenotomy, flexor, finger, open, each tendon ",,,769.0,6446.0,139
CPT,26460,"Tenotomy, extensor, hand or finger, open, each tendon ",,,769.0,6446.0,139
CPT,26471,"Tenodesis; of proximal interphalangeal joint, each joint ",,,769.0,4950.0,139
CPT,26474,"Tenodesis; of distal joint, each joint ",,,769.0,4950.0,139
CPT,26476,"Lengthening of tendon, extensor, hand or finger, each tendon ",,,607.0,4950.0,139
CPT,26477,"Shortening of tendon, extensor, hand or finger, each tendon ",,,607.0,4950.0,139
CPT,26478,"Lengthening of tendon, flexor, hand or finger, each tendon ",,,607.0,4950.0,139
CPT,26479,"Shortening of tendon, flexor, hand or finger, each tendon ",,,607.0,4950.0,139
CPT,26480,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon ",,,1257.0,6446.0,139
CPT,26483,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon ",,,1257.0,6446.0,139
CPT,26485,"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon ",,,870.0,5958.0,139
CPT,26489,"Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon ",,,1257.0,6446.0,139
CPT,26490,"Opponensplasty; superficialis tendon transfer type, each tendon ",,,1257.0,6446.0,139
CPT,26492,"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon ",,,1257.0,6446.0,139
CPT,26494,Opponensplasty; hypothenar muscle transfer ,,,1257.0,6446.0,139
CPT,26496,Opponensplasty; other methods ,,,1257.0,6446.0,139
CPT,26497,Transfer of tendon to restore intrinsic function; ring and small finger ,,,1257.0,6446.0,139
CPT,26498,Transfer of tendon to restore intrinsic function; all 4 fingers ,,,1404.42,6446.0,139
CPT,26499,"Correction claw finger, other methods ",,,1257.0,6446.0,139
CPT,26500,"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) ",,,769.0,6446.0,139
CPT,26502,"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) ",,,1404.42,6446.0,139
CPT,26504,HAND TENDON RECONSTRUCTION ,,,2552.0,4421.0,21
CPT,26508,"Release of thenar muscle(s) (eg, thumb contracture) ",,,769.0,6446.0,139
CPT,26510,"Cross intrinsic transfer, each tendon ",,,1257.0,6446.0,139
CPT,26516,"Capsulodesis, metacarpophalangeal joint; single digit ",,,607.0,5958.0,139
CPT,26517,"Capsulodesis, metacarpophalangeal joint; 2 digits ",,,1257.0,6446.0,139
CPT,26518,"Capsulodesis, metacarpophalangeal joint; 3 or 4 digits ",,,1257.0,6446.0,139
CPT,26520,"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint ",,,769.0,6446.0,139
CPT,26525,"Capsulectomy or capsulotomy; interphalangeal joint, each joint ",,,769.0,6446.0,139
CPT,26530,"Arthroplasty, metacarpophalangeal joint; each joint ",,,1257.0,6801.0,139
CPT,26531,"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint ",,,1753.0,10746.0,139
CPT,26535,"Arthroplasty, interphalangeal joint; each joint ",,,1404.42,6801.0,139
CPT,26536,"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint ",,,1753.0,6801.0,139
CPT,26540,"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint ",,,769.0,6446.0,139
CPT,26541,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) ",,,1404.42,10746.0,139
CPT,26542,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) ",,,769.0,6446.0,139
CPT,26545,"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint ",,,1404.42,6446.0,139
CPT,26546,"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) ",,,1471.0,6446.0,139
CPT,26548,"Repair and reconstruction, finger, volar plate, interphalangeal joint ",,,1404.42,6446.0,139
CPT,26550,Pollicization of a digit ,,,870.0,5958.0,139
CPT,26551,"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft ",,,1471.0,6801.0,103
CPT,26553,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single ",,,870.0,6801.0,103
CPT,26554,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double ",,,870.0,6801.0,103
CPT,26555,"Transfer, finger to another position without microvascular anastomosis ",,,1257.0,6446.0,139
CPT,26556,"Transfer, free toe joint, with microvascular anastomosis ",,,1753.0,9431.0,92
CPT,26560,Repair of syndactyly (web finger) each web space; with skin flaps ,,,769.0,4950.0,139
CPT,26561,Repair of syndactyly (web finger) each web space; with skin flaps and grafts ,,,1257.0,6446.0,139
CPT,26562,"Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) ",,,1404.42,6446.0,139
CPT,26565,"Osteotomy; metacarpal, each ",,,1404.42,6446.0,139
CPT,26567,"Osteotomy; phalanx of finger, each ",,,1404.42,6446.0,139
CPT,26568,"Osteoplasty, lengthening, metacarpal or phalanx ",,,1257.0,6446.0,139
CPT,26580,Repair cleft hand ,,,769.0,6446.0,139
CPT,26585,REPAIR FINGER DEFORMITY ,,,4421.0,4421.0,1
CPT,26587,"Reconstruction of polydactylous digit, soft tissue and bone ",,,769.0,6446.0,139
CPT,26590,"Repair macrodactylia, each digit ",,,769.0,6446.0,139
CPT,26591,"Repair, intrinsic muscles of hand, each muscle ",,,1257.0,6446.0,139
CPT,26593,"Release, intrinsic muscles of hand, each muscle ",,,769.0,6446.0,139
CPT,26596,"Excision of constricting ring of finger, with multiple Z-plasties ",,,769.0,4950.0,139
CPT,26597,RELEASE OF SCAR CONTRACTURE ,,,4421.0,4421.0,1
CPT,26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone ",,,291.0,4950.0,77
CPT,26605,"Closed treatment of metacarpal fracture, single; with manipulation, each bone ",,,291.0,4950.0,139
CPT,26607,"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone ",,,769.0,4950.0,139
CPT,26608,"Percutaneous skeletal fixation of metacarpal fracture, each bone ",,,1404.42,6446.0,139
CPT,26615,"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone ",,,1404.42,9431.0,139
CPT,26641,"Closed treatment of carpometacarpal dislocation, thumb, with manipulation ",,,291.0,4950.0,77
CPT,26645,"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation ",,,291.0,4950.0,139
CPT,26650,"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation ",,,870.0,4950.0,139
CPT,26665,"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed ",,,1404.42,9431.0,139
CPT,26670,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia ",,,291.0,4950.0,77
CPT,26675,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia ",,,291.0,4950.0,139
CPT,26676,"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint ",,,870.0,4950.0,139
CPT,26685,"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint ",,,1257.0,6446.0,139
CPT,26686,"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction ",,,1257.0,9431.0,139
CPT,26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia ",,,291.0,4950.0,77
CPT,26705,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia ",,,291.0,4950.0,139
CPT,26706,"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation ",,,769.0,4950.0,139
CPT,26715,"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed ",,,1404.42,6446.0,139
CPT,26720,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each ",,,291.0,4950.0,119
CPT,26725,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each ",,,291.0,4950.0,119
CPT,26727,"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each ",,,1404.42,10746.0,139
CPT,26735,"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each ",,,1404.42,6446.0,139
CPT,26740,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each ",,,291.0,4950.0,119
CPT,26742,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each ",,,291.0,4950.0,139
CPT,26746,"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each ",,,1404.42,6446.0,139
CPT,26750,"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each ",,,291.0,4950.0,77
CPT,26755,"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each ",,,291.0,4950.0,77
CPT,26756,"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each ",,,870.0,4950.0,139
CPT,26765,"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each ",,,1404.42,6446.0,139
CPT,26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia ",,,291.0,4950.0,77
CPT,26775,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia ",,,291.0,4950.0,61
CPT,26776,"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation ",,,870.0,4950.0,139
CPT,26785,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single ",,,870.0,4950.0,139
CPT,26820,"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) ",,,1694.0,6446.0,139
CPT,26841,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; ",,,1471.0,6446.0,139
CPT,26842,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) ",,,1471.0,6446.0,139
CPT,26843,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; ",,,1257.0,6446.0,139
CPT,26844,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) ",,,1257.0,6446.0,139
CPT,26850,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; ",,,1471.0,6446.0,139
CPT,26852,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) ",,,1471.0,6446.0,139
CPT,26860,"Arthrodesis, interphalangeal joint, with or without internal fixation; ",,,1257.0,6446.0,139
CPT,26861,"Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure) ",,,291.0,4950.0,99
CPT,26862,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) ",,,1404.42,6446.0,139
CPT,26863,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure) ",,,291.0,6446.0,99
CPT,26910,"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer ",,,1257.0,6446.0,139
CPT,26951,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure ",,,769.0,4950.0,139
CPT,26952,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) ",,,769.0,6446.0,139
CPT,26989,"Unlisted procedure, hands or fingers ",,,291.0,4950.0,103
CPT,26990,"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma ",,,607.0,4950.0,139
CPT,26991,"Incision and drainage, pelvis or hip joint area; infected bursa ",,,607.0,4950.0,139
CPT,26992,"Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) ",,,870.0,6801.0,103
CPT,27000,"Tenotomy, adductor of hip, percutaneous (separate procedure) ",,,870.0,4950.0,139
CPT,27001,"Tenotomy, adductor of hip, open ",,,1257.0,6446.0,139
CPT,27003,"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy ",,,1257.0,6446.0,139
CPT,27005,"Tenotomy, hip flexor(s), open (separate procedure) ",,,1753.0,9431.0,92
CPT,27006,"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) ",,,1404.42,6446.0,103
CPT,27025,"Fasciotomy, hip or thigh, any type ",,,1753.0,9431.0,92
CPT,27027,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral ",,,870.0,8866.0,119
CPT,27030,"Arthrotomy, hip, with drainage (eg, infection) ",,,1257.0,6801.0,103
CPT,27033,"Arthrotomy, hip, including exploration or removal of loose or foreign body ",,,1257.0,6801.0,139
CPT,27035,"Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves ",,,1404.42,6446.0,139
CPT,27036,"Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius,",,,1753.0,6801.0,83
CPT,27040,"Biopsy, soft tissue of pelvis and hip area; superficial ",,,511.0,4950.0,139
CPT,27041,"Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular ",,,511.0,4950.0,139
CPT,27043,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater ",,,1257.0,8866.0,119
CPT,27045,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater ",,,1257.0,8866.0,119
CPT,27047,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm ",,,769.0,4950.0,139
CPT,27048,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm ",,,769.0,6446.0,139
CPT,27049,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm ",,,769.0,6446.0,139
CPT,27050,"Arthrotomy, with biopsy; sacroiliac joint ",,,994.46,6446.0,139
CPT,27052,"Arthrotomy, with biopsy; hip joint ",,,994.46,6446.0,139
CPT,27054,"Arthrotomy with synovectomy, hip joint ",,,1404.42,6446.0,92
CPT,27057,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle) with debridement of nonviable muscle, unilater",,,870.0,8866.0,119
CPT,27059,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater ",,,1257.0,8866.0,119
CPT,27060,Excision; ischial bursa ,,,1632.0,6446.0,139
CPT,27062,Excision; trochanteric bursa or calcification ,,,1404.42,6446.0,139
CPT,27065,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed ",,,1632.0,6446.0,139
CPT,27066,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed ",,,1404.42,6446.0,139
CPT,27067,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision ",,,1694.0,6446.0,139
CPT,27070,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial ",,,1753.0,9431.0,92
CPT,27071,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular) ",,,1753.0,9431.0,83
CPT,27075,"Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis ",,,1753.0,9431.0,92
CPT,27076,"Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum ",,,1753.0,9431.0,92
CPT,27077,"Radical resection of tumor; innominate bone, total ",,,2224.34,9431.0,92
CPT,27078,Radical resection of tumor; ischial tuberosity and greater trochanter of femur ,,,2224.34,9431.0,92
CPT,27079,EXTENSIVE HIP SURGERY ,,,4421.0,4421.0,1
CPT,27080,"Coccygectomy, primary ",,,870.0,5958.0,139
CPT,27086,"Removal of foreign body, pelvis or hip; subcutaneous tissue ",,,607.0,4950.0,139
CPT,27087,"Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) ",,,1257.0,6446.0,139
CPT,27090,Removal of hip prosthesis; (separate procedure) ,,,1142.61,29627.0,92
CPT,27091,"Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer ",,,1142.61,29627.0,92
CPT,27093,Injection procedure for hip arthrography; without anesthesia ,,,291.0,4950.0,79
CPT,27095,Injection procedure for hip arthrography; with anesthesia ,,,291.0,4950.0,79
CPT,27096,"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed ",,,291.0,4950.0,95
CPT,27097,"Release or recession, hamstring, proximal ",,,1257.0,6446.0,139
CPT,27098,"Transfer, adductor to ischium ",,,1257.0,6446.0,139
CPT,27100,Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) ,,,1471.0,6801.0,139
CPT,27105,Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) ,,,1404.42,6801.0,139
CPT,27110,Transfer iliopsoas; to greater trochanter of femur ,,,1471.0,6801.0,139
CPT,27111,Transfer iliopsoas; to femoral neck ,,,1404.42,6801.0,139
CPT,27120,"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type) ",,,2224.34,9431.0,92
CPT,27122,"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure) ",,,2224.34,9431.0,92
CPT,27125,"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) ",,,2224.34,37269.0,71
CPT,27130,"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft ",,,2179.0,37269.0,80
CPT,27132,"Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft ",,,2224.34,37269.0,75
CPT,27134,"Revision of total hip arthroplasty; both components, with or without autograft or allograft ",,,2224.34,32558.0,90
CPT,27137,"Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft ",,,2224.34,32558.0,90
CPT,27138,"Revision of total hip arthroplasty; femoral component only, with or without allograft ",,,2224.34,32558.0,90
CPT,27140,Osteotomy and transfer of greater trochanter of femur (separate procedure) ,,,2224.34,9431.0,92
CPT,27146,"Osteotomy, iliac, acetabular or innominate bone; ",,,1753.0,9431.0,92
CPT,27147,"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip ",,,1753.0,9431.0,92
CPT,27151,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy ",,,1753.0,9431.0,92
CPT,27156,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip ",,,1753.0,9431.0,92
CPT,27158,"Osteotomy, pelvis, bilateral (eg, congenital malformation) ",,,1753.0,9431.0,92
CPT,27161,"Osteotomy, femoral neck (separate procedure) ",,,1753.0,9431.0,92
CPT,27165,"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast ",,,1753.0,9431.0,92
CPT,27170,"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) ",,,1753.0,12538.0,92
CPT,27175,"Treatment of slipped femoral epiphysis; by traction, without reduction ",,,1753.0,9431.0,92
CPT,27176,"Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ ",,,2224.34,9431.0,83
CPT,27177,Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) ,,,1753.0,9431.0,92
CPT,27178,Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning ,,,1753.0,9431.0,83
CPT,27179,Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) ,,,1753.0,9431.0,61
CPT,27181,Open treatment of slipped femoral epiphysis; osteotomy and internal fixation ,,,1753.0,9431.0,92
CPT,27185,"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur ",,,1753.0,9431.0,92
CPT,27187,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur ",,,1753.0,9431.0,92
CPT,27193,TREAT PELVIC RING FRACTURE ,,,988.0,4421.0,22
CPT,27194,TREAT PELVIC RING FRACTURE ,,,1418.0,4421.0,22
CPT,27197,"Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or d",,,291.0,4950.0,119
CPT,27198,"Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or d",,,291.0,4950.0,119
CPT,27200,Closed treatment of coccygeal fracture ,,,291.0,4950.0,119
CPT,27202,Open treatment of coccygeal fracture ,,,870.0,9431.0,139
CPT,27215,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fracture patterns that do not disrupt the pelvic ring, includes internal fixation, when pe",,,511.0,4950.0,37
CPT,27216,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or",,,1694.0,5958.0,37
CPT,27217,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis ",,,769.0,4950.0,37
CPT,27218,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral il",,,769.0,4950.0,37
CPT,27220,Closed treatment of acetabulum (hip socket) fracture(s); without manipulation ,,,291.0,4950.0,77
CPT,27222,"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction ",,,291.0,4950.0,92
CPT,27226,"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation ",,,1753.0,6801.0,83
CPT,27227,"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation ",,,1753.0,6801.0,83
CPT,27228,"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse",,,1753.0,6801.0,83
CPT,27230,"Closed treatment of femoral fracture, proximal end, neck; without manipulation ",,,291.0,4950.0,139
CPT,27232,"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction ",,,769.0,4950.0,92
CPT,27235,"Percutaneous skeletal fixation of femoral fracture, proximal end, neck ",,,1471.0,6446.0,103
CPT,27236,"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement ",,,1753.0,29627.0,92
CPT,27238,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation ",,,291.0,4950.0,139
CPT,27240,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction ",,,769.0,4950.0,92
CPT,27244,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage ",,,1753.0,9431.0,92
CPT,27245,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage ",,,1753.0,6801.0,83
CPT,27246,"Closed treatment of greater trochanteric fracture, without manipulation ",,,291.0,4950.0,139
CPT,27248,"Open treatment of greater trochanteric fracture, includes internal fixation, when performed ",,,1753.0,9431.0,92
CPT,27250,"Closed treatment of hip dislocation, traumatic; without anesthesia ",,,291.0,4950.0,139
CPT,27252,"Closed treatment of hip dislocation, traumatic; requiring anesthesia ",,,511.0,4950.0,139
CPT,27253,"Open treatment of hip dislocation, traumatic, without internal fixation ",,,1404.42,6446.0,92
CPT,27254,"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation ",,,1404.42,6446.0,92
CPT,27256,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation ",,,291.0,4950.0,119
CPT,27257,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia ",,,511.0,6446.0,139
CPT,27258,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); ",,,1404.42,6446.0,92
CPT,27259,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening ",,,1404.42,6446.0,92
CPT,27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia ,,,291.0,4950.0,139
CPT,27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia ,,,769.0,4950.0,139
CPT,27267,"Closed treatment of femoral fracture, proximal end, head; without manipulation ",,,607.0,4950.0,119
CPT,27268,"Closed treatment of femoral fracture, proximal end, head; with manipulation ",,,607.0,5958.0,112
CPT,27269,"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed ",,,769.0,6581.0,92
CPT,27275,"Manipulation, hip joint, requiring general anesthesia ",,,769.0,4950.0,139
CPT,27278,"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of intra-articular device(s), without cortic",,,2550.0,13472.0,68
CPT,27279,"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of transarticular device(s) and/or intra-art",,,1876.0,13472.0,104
CPT,27280,"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed ",,,2179.0,13472.0,92
CPT,27282,"Arthrodesis, symphysis pubis (including obtaining graft) ",,,2224.34,9431.0,92
CPT,27284,"Arthrodesis, hip joint (including obtaining graft); ",,,2179.0,13472.0,92
CPT,27286,"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy ",,,2179.0,13472.0,92
CPT,27290,Interpelviabdominal amputation (hindquarter amputation) ,,,2179.0,13472.0,70
CPT,27295,Disarticulation of hip ,,,2179.0,13472.0,70
CPT,27299,"Unlisted procedure, pelvis or hip joint ",,,291.0,4950.0,103
CPT,27301,"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region ",,,1257.0,6446.0,139
CPT,27303,"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) ",,,870.0,6801.0,103
CPT,27305,"Fasciotomy, iliotibial (tenotomy), open ",,,870.0,4950.0,139
CPT,27306,"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) ",,,1257.0,6446.0,139
CPT,27307,"Tenotomy, percutaneous, adductor or hamstring; multiple tendons ",,,1257.0,6446.0,139
CPT,27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) ",,,1404.42,6446.0,139
CPT,27315,"PARTIAL REMOVAL, THIGH NERVE ",,,1560.0,4421.0,21
CPT,27320,"PARTIAL REMOVAL, THIGH NERVE ",,,1560.0,4421.0,21
CPT,27323,"Biopsy, soft tissue of thigh or knee area; superficial ",,,511.0,4950.0,139
CPT,27324,"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) ",,,607.0,4950.0,139
CPT,27325,"Neurectomy, hamstring muscle ",,,769.0,4950.0,139
CPT,27326,"Neurectomy, popliteal (gastrocnemius) ",,,769.0,4950.0,139
CPT,27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm ",,,870.0,4950.0,139
CPT,27328,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm ",,,769.0,6446.0,139
CPT,27329,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm ",,,769.0,6581.0,139
CPT,27330,"Arthrotomy, knee; with synovial biopsy only ",,,1404.42,6446.0,139
CPT,27331,"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies ",,,1404.42,6446.0,139
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral ",,,1404.42,10083.0,125
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral ",,,1404.42,10083.0,125
CPT,27334,"Arthrotomy, with synovectomy, knee; anterior OR posterior ",,,1404.42,6446.0,139
CPT,27335,"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area ",,,1471.0,6446.0,139
CPT,27337,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater ",,,1257.0,8866.0,119
CPT,27339,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater ",,,1257.0,8866.0,119
CPT,27340,"Excision, prepatellar bursa ",,,1257.0,6446.0,139
CPT,27345,"Excision of synovial cyst of popliteal space (eg, Baker's cyst) ",,,1404.42,6446.0,139
CPT,27347,"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee ",,,1404.42,6446.0,139
CPT,27350,Patellectomy or hemipatellectomy ,,,1471.0,6446.0,139
CPT,27355,Excision or curettage of bone cyst or benign tumor of femur; ,,,1257.0,6446.0,139
CPT,27356,Excision or curettage of bone cyst or benign tumor of femur; with allograft ,,,1471.0,6446.0,139
CPT,27357,Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) ,,,1694.0,6446.0,139
CPT,27358,Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure) ,,,291.0,6446.0,99
CPT,27360,"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) ",,,1404.42,6446.0,139
CPT,27364,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater ",,,1257.0,8866.0,119
CPT,27365,"Radical resection of tumor, femur or knee ",,,1753.0,9431.0,92
CPT,27369,Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography ,,,291.0,4950.0,68
CPT,27370,INJECTION OF CONTRAST FOR KNEE ARTHROGRAPHY ,,,607.0,4421.0,22
CPT,27372,"Removal of foreign body, deep, thigh region or knee area ",,,1404.42,10746.0,139
CPT,27380,Suture of infrapatellar tendon; primary ,,,607.0,5958.0,139
CPT,27381,"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft ",,,1257.0,6446.0,139
CPT,27385,Suture of quadriceps or hamstring muscle rupture; primary ,,,1257.0,6446.0,139
CPT,27386,"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft ",,,1257.0,6446.0,139
CPT,27390,"Tenotomy, open, hamstring, knee to hip; single tendon ",,,607.0,4950.0,139
CPT,27391,"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg ",,,870.0,4950.0,139
CPT,27392,"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral ",,,1257.0,6446.0,139
CPT,27393,Lengthening of hamstring tendon; single tendon ,,,870.0,5958.0,139
CPT,27394,"Lengthening of hamstring tendon; multiple tendons, 1 leg ",,,1257.0,6446.0,139
CPT,27395,"Lengthening of hamstring tendon; multiple tendons, bilateral ",,,1257.0,6801.0,139
CPT,27396,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon ",,,1257.0,6446.0,139
CPT,27397,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons ",,,1257.0,6801.0,139
CPT,27400,"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) ",,,1257.0,6801.0,139
CPT,27403,"Arthrotomy with meniscus repair, knee ",,,1471.0,6446.0,139
CPT,27405,"Repair, primary, torn ligament and/or capsule, knee; collateral ",,,1471.0,6801.0,139
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate ",,,1471.0,9431.0,139
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments ",,,1471.0,6801.0,139
CPT,27412,"Autologous chondrocyte implantation, knee ",,,1257.0,9431.0,103
CPT,27415,"Osteochondral allograft, knee, open ",,,1257.0,9431.0,83
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») ",,,1471.0,8866.0,119
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) ",,,1257.0,6801.0,139
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) ",,,1257.0,6801.0,139
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) ",,,1753.0,10746.0,139
CPT,27424,Reconstruction of dislocating patella; with patellectomy ,,,1257.0,6801.0,139
CPT,27425,"Lateral retinacular release, open ",,,1404.42,10746.0,139
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular ",,,1257.0,9431.0,139
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) ",,,1471.0,9431.0,139
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular ",,,1471.0,9431.0,139
CPT,27430,"Quadricepsplasty (eg, Bennett or Thompson type) ",,,1471.0,6801.0,139
CPT,27435,"Capsulotomy, posterior capsular release, knee ",,,1404.42,6446.0,139
CPT,27437,"Arthroplasty, patella; without prosthesis ",,,1471.0,32558.0,139
CPT,27438,"Arthroplasty, patella; with prosthesis ",,,1876.0,32558.0,142
CPT,27440,"Arthroplasty, knee, tibial plateau; ",,,1876.0,32558.0,122
CPT,27441,"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy ",,,1876.0,15396.45,142
CPT,27442,"Arthroplasty, femoral condyles or tibial plateau(s), knee; ",,,1876.0,15396.45,142
CPT,27443,"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy ",,,1876.0,15396.45,142
CPT,27445,"Arthroplasty, knee, hinge prosthesis (eg, Walldius type) ",,,2224.34,14000.0,37
CPT,27446,"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment ",,,2179.0,37269.0,80
CPT,27447,"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) ",,,2179.0,37269.0,80
CPT,27448,"Osteotomy, femur, shaft or supracondylar; without fixation ",,,1753.0,9431.0,92
CPT,27450,"Osteotomy, femur, shaft or supracondylar; with fixation ",,,1753.0,9431.0,92
CPT,27454,"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) ",,,1753.0,9431.0,92
CPT,27455,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); before epiphyseal closure ",,,1753.0,9431.0,92
CPT,27457,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); after epiphyseal closure ",,,1753.0,6801.0,83
CPT,27458,"Osteotomy(ies), femur, unilateral, with insertion of an externally controlled intramedullary lengthening device, including iliotibial band release when performed, imaging, alignment assessments, compu",,,1632.0,9431.0,67
CPT,27465,"Osteoplasty, femur; shortening (excluding 64876) ",,,1753.0,9431.0,92
CPT,27466,"Osteoplasty, femur; lengthening ",,,1753.0,9431.0,92
CPT,27468,"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer ",,,1753.0,3880.0,33
CPT,27470,"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) ",,,1753.0,9431.0,92
CPT,27472,"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) ",,,1753.0,9431.0,92
CPT,27475,"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur ",,,1471.0,6581.0,103
CPT,27477,"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal ",,,1694.0,6581.0,92
CPT,27479,"Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula ",,,1471.0,6446.0,103
CPT,27485,"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) ",,,1694.0,6446.0,92
CPT,27486,"Revision of total knee arthroplasty, with or without allograft; 1 component ",,,2224.34,32558.0,90
CPT,27487,"Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component ",,,2224.34,32558.0,90
CPT,27488,"Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee ",,,1753.0,29627.0,92
CPT,27495,"Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur ",,,1753.0,9431.0,92
CPT,27496,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); ",,,1404.42,6446.0,139
CPT,27497,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve ",,,1257.0,6446.0,139
CPT,27498,"Decompression fasciotomy, thigh and/or knee, multiple compartments; ",,,994.46,6446.0,139
CPT,27499,"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve ",,,1257.0,6446.0,139
CPT,27500,"Closed treatment of femoral shaft fracture, without manipulation ",,,291.0,4950.0,139
CPT,27501,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation ",,,291.0,4950.0,139
CPT,27502,"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction ",,,769.0,4950.0,139
CPT,27503,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction ",,,291.0,6446.0,139
CPT,27506,"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws ",,,1753.0,6801.0,92
CPT,27507,"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage ",,,1471.0,6801.0,103
CPT,27508,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation ",,,291.0,4950.0,139
CPT,27509,"Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or transcondylar, with or without intercondylar extension, or distal femoral epiphyseal sepa",,,1257.0,6446.0,139
CPT,27510,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation ",,,291.0,4950.0,139
CPT,27511,"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed ",,,1471.0,6801.0,103
CPT,27513,"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed ",,,1753.0,6801.0,103
CPT,27514,"Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed ",,,1753.0,6801.0,92
CPT,27516,Closed treatment of distal femoral epiphyseal separation; without manipulation ,,,291.0,4950.0,139
CPT,27517,"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction ",,,291.0,4950.0,139
CPT,27519,"Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed ",,,1753.0,6801.0,92
CPT,27520,"Closed treatment of patellar fracture, without manipulation ",,,291.0,4950.0,139
CPT,27524,"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair ",,,1257.0,9431.0,119
CPT,27530,"Closed treatment of tibial fracture, proximal (plateau); without manipulation ",,,291.0,4950.0,139
CPT,27532,"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction ",,,607.0,4950.0,139
CPT,27535,"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed ",,,1257.0,6801.0,103
CPT,27536,"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation ",,,1753.0,6801.0,83
CPT,27538,"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation ",,,291.0,4950.0,139
CPT,27540,"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed ",,,1753.0,6801.0,83
CPT,27550,Closed treatment of knee dislocation; without anesthesia ,,,291.0,4950.0,139
CPT,27552,Closed treatment of knee dislocation; requiring anesthesia ,,,607.0,4950.0,139
CPT,27556,"Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction ",,,1753.0,6801.0,83
CPT,27557,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair ",,,1753.0,6801.0,83
CPT,27558,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction ",,,1753.0,6801.0,83
CPT,27560,Closed treatment of patellar dislocation; without anesthesia ,,,291.0,4950.0,139
CPT,27562,Closed treatment of patellar dislocation; requiring anesthesia ,,,291.0,4950.0,139
CPT,27566,"Open treatment of patellar dislocation, with or without partial or total patellectomy ",,,870.0,9431.0,139
CPT,27570,Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) ,,,607.0,4950.0,139
CPT,27580,"Arthrodesis, knee, any technique ",,,2224.34,9431.0,92
CPT,27590,"Amputation, thigh, through femur, any level; ",,,2179.0,13472.0,70
CPT,27591,"Amputation, thigh, through femur, any level; immediate fitting technique including first cast ",,,2179.0,13472.0,70
CPT,27592,"Amputation, thigh, through femur, any level; open, circular (guillotine) ",,,2179.0,13472.0,70
CPT,27594,"Amputation, thigh, through femur, any level; secondary closure or scar revision ",,,1257.0,6446.0,139
CPT,27596,"Amputation, thigh, through femur, any level; re-amputation ",,,1753.0,9431.0,70
CPT,27598,Disarticulation at knee ,,,2224.34,9431.0,70
CPT,27599,"Unlisted procedure, femur or knee ",,,291.0,4950.0,103
CPT,27600,"Decompression fasciotomy, leg; anterior and/or lateral compartments only ",,,1257.0,6446.0,139
CPT,27601,"Decompression fasciotomy, leg; posterior compartment(s) only ",,,1257.0,6446.0,139
CPT,27602,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) ",,,1257.0,6446.0,139
CPT,27603,"Incision and drainage, leg or ankle; deep abscess or hematoma ",,,870.0,4950.0,139
CPT,27604,"Incision and drainage, leg or ankle; infected bursa ",,,870.0,4950.0,139
CPT,27605,"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia ",,,607.0,4950.0,139
CPT,27606,"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia ",,,607.0,4950.0,139
CPT,27607,"Incision (eg, osteomyelitis or bone abscess), leg or ankle ",,,870.0,4950.0,139
CPT,27610,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body ",,,870.0,5958.0,139
CPT,27612,"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening ",,,1257.0,6446.0,139
CPT,27613,"Biopsy, soft tissue of leg or ankle area; superficial ",,,511.0,4950.0,119
CPT,27614,"Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) ",,,870.0,4950.0,139
CPT,27615,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm ",,,769.0,6446.0,139
CPT,27616,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater ",,,1257.0,8866.0,119
CPT,27618,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm ",,,769.0,4950.0,139
CPT,27619,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm ",,,769.0,6446.0,139
CPT,27620,"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,1404.42,6446.0,139
CPT,27625,"Arthrotomy, with synovectomy, ankle; ",,,1404.42,6446.0,139
CPT,27626,"Arthrotomy, with synovectomy, ankle; including tenosynovectomy ",,,1404.42,6446.0,139
CPT,27630,"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle ",,,1257.0,6446.0,139
CPT,27632,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater ",,,1257.0,8866.0,119
CPT,27634,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater ",,,1257.0,8866.0,119
CPT,27635,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; ",,,1257.0,6446.0,139
CPT,27637,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) ",,,1257.0,6446.0,139
CPT,27638,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft ",,,1257.0,6446.0,139
CPT,27640,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia ",,,870.0,5958.0,139
CPT,27641,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula ",,,870.0,5958.0,139
CPT,27645,Radical resection of tumor; tibia ,,,1753.0,9431.0,92
CPT,27646,Radical resection of tumor; fibula ,,,1753.0,9431.0,92
CPT,27647,Radical resection of tumor; talus or calcaneus ,,,1257.0,6446.0,139
CPT,27648,Injection procedure for ankle arthrography ,,,291.0,4950.0,79
CPT,27650,"Repair, primary, open or percutaneous, ruptured Achilles tendon; ",,,1257.0,6801.0,139
CPT,27652,"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) ",,,1257.0,6801.0,139
CPT,27654,"Repair, secondary, Achilles tendon, with or without graft ",,,1257.0,6801.0,139
CPT,27656,"Repair, fascial defect of leg ",,,870.0,4950.0,139
CPT,27658,"Repair, flexor tendon, leg; primary, without graft, each tendon ",,,607.0,4950.0,139
CPT,27659,"Repair, flexor tendon, leg; secondary, with or without graft, each tendon ",,,870.0,4950.0,139
CPT,27664,"Repair, extensor tendon, leg; primary, without graft, each tendon ",,,870.0,5958.0,139
CPT,27665,"Repair, extensor tendon, leg; secondary, with or without graft, each tendon ",,,870.0,5958.0,139
CPT,27675,"Repair, dislocating peroneal tendons; without fibular osteotomy ",,,870.0,4950.0,139
CPT,27676,"Repair, dislocating peroneal tendons; with fibular osteotomy ",,,1257.0,6446.0,139
CPT,27680,"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon ",,,1257.0,6446.0,139
CPT,27681,"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») ",,,870.0,5958.0,139
CPT,27685,"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) ",,,1257.0,6446.0,139
CPT,27686,"Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each ",,,1257.0,6446.0,139
CPT,27687,"Gastrocnemius recession (eg, Strayer procedure) ",,,1257.0,6446.0,139
CPT,27690,"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) ",,,1471.0,6801.0,139
CPT,27691,"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longu",,,1471.0,6801.0,139
CPT,27692,Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure) ,,,291.0,6446.0,99
CPT,27695,"Repair, primary, disrupted ligament, ankle; collateral ",,,870.0,5958.0,139
CPT,27696,"Repair, primary, disrupted ligament, ankle; both collateral ligaments ",,,870.0,5958.0,139
CPT,27698,"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) ",,,870.0,5958.0,139
CPT,27700,"Arthroplasty, ankle; ",,,1753.0,6801.0,139
CPT,27702,"Arthroplasty, ankle; with implant (total ankle) ",,,2540.0,26677.0,101
CPT,27703,"Arthroplasty, ankle; revision, total ankle ",,,2224.34,26677.0,96
CPT,27704,Removal of ankle implant ,,,870.0,5958.0,139
CPT,27705,Osteotomy; tibia ,,,870.0,6801.0,139
CPT,27707,Osteotomy; fibula ,,,870.0,5958.0,139
CPT,27709,Osteotomy; tibia and fibula ,,,870.0,5958.0,139
CPT,27712,"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) ",,,2224.34,9431.0,92
CPT,27713,"Osteotomy(ies), tibia, including fibula when performed, unilateral, with insertion of an externally controlled intramedullary lengthening device, including imaging, alignment assessments, computations",,,1632.0,9431.0,67
CPT,27715,"Osteoplasty, tibia and fibula, lengthening or shortening ",,,1471.0,9431.0,103
CPT,27720,"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) ",,,1753.0,9431.0,119
CPT,27722,"Repair of nonunion or malunion, tibia; with sliding graft ",,,1753.0,9431.0,119
CPT,27724,"Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) ",,,1753.0,9431.0,92
CPT,27725,"Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method ",,,1753.0,9431.0,92
CPT,27726,Repair of fibula nonunion and/or malunion with internal fixation ,,,1257.0,9431.0,119
CPT,27727,"Repair of congenital pseudarthrosis, tibia ",,,1753.0,9431.0,92
CPT,27730,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia ",,,870.0,5958.0,139
CPT,27732,"Arrest, epiphyseal (epiphysiodesis), open; distal fibula ",,,870.0,5958.0,139
CPT,27734,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula ",,,870.0,5958.0,139
CPT,27740,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; ",,,870.0,5958.0,139
CPT,27742,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur ",,,870.0,6801.0,139
CPT,27745,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia ",,,1257.0,9431.0,139
CPT,27750,Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation ,,,291.0,4950.0,139
CPT,27752,"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction ",,,607.0,4950.0,139
CPT,27756,"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) ",,,1257.0,6446.0,139
CPT,27758,"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage ",,,1471.0,9431.0,139
CPT,27759,"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage ",,,1471.0,9431.0,139
CPT,27760,Closed treatment of medial malleolus fracture; without manipulation ,,,291.0,4950.0,139
CPT,27762,"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction ",,,607.0,4950.0,139
CPT,27766,"Open treatment of medial malleolus fracture, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,27767,Closed treatment of posterior malleolus fracture; without manipulation ,,,291.0,4950.0,119
CPT,27768,Closed treatment of posterior malleolus fracture; with manipulation ,,,291.0,4950.0,119
CPT,27769,"Open treatment of posterior malleolus fracture, includes internal fixation, when performed ",,,1257.0,9431.0,119
CPT,27780,Closed treatment of proximal fibula or shaft fracture; without manipulation ,,,291.0,4950.0,139
CPT,27781,Closed treatment of proximal fibula or shaft fracture; with manipulation ,,,511.0,4950.0,139
CPT,27784,"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,27786,Closed treatment of distal fibular fracture (lateral malleolus); without manipulation ,,,291.0,4950.0,139
CPT,27788,Closed treatment of distal fibular fracture (lateral malleolus); with manipulation ,,,291.0,4950.0,139
CPT,27792,"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,27808,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation ",,,291.0,4950.0,139
CPT,27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation ",,,511.0,4950.0,139
CPT,27814,"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,27816,Closed treatment of trimalleolar ankle fracture; without manipulation ,,,291.0,4950.0,139
CPT,27818,Closed treatment of trimalleolar ankle fracture; with manipulation ,,,511.0,4950.0,139
CPT,27822,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip ",,,1257.0,9431.0,139
CPT,27823,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip ",,,1257.0,9431.0,139
CPT,27824,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation ",,,291.0,4950.0,139
CPT,27825,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation ",,,769.0,4950.0,139
CPT,27826,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only ",,,1257.0,9431.0,139
CPT,27827,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only ",,,1257.0,9431.0,139
CPT,27828,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula ",,,1471.0,9431.0,139
CPT,27829,"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed ",,,870.0,9431.0,139
CPT,27830,Closed treatment of proximal tibiofibular joint dislocation; without anesthesia ,,,291.0,4950.0,139
CPT,27831,Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia ,,,511.0,4950.0,139
CPT,27832,"Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula ",,,870.0,9431.0,139
CPT,27840,Closed treatment of ankle dislocation; without anesthesia ,,,291.0,4950.0,139
CPT,27842,"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation ",,,607.0,4950.0,139
CPT,27846,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation ",,,1257.0,9431.0,139
CPT,27848,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation ",,,1257.0,9431.0,139
CPT,27860,Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) ,,,607.0,4950.0,139
CPT,27870,"Arthrodesis, ankle, open ",,,1471.0,9431.0,139
CPT,27871,"Arthrodesis, tibiofibular joint, proximal or distal ",,,1471.0,9431.0,139
CPT,27880,"Amputation, leg, through tibia and fibula; ",,,2179.0,13472.0,70
CPT,27881,"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast ",,,1753.0,9431.0,70
CPT,27882,"Amputation, leg, through tibia and fibula; open, circular (guillotine) ",,,1753.0,9431.0,70
CPT,27884,"Amputation, leg, through tibia and fibula; secondary closure or scar revision ",,,1257.0,6446.0,139
CPT,27886,"Amputation, leg, through tibia and fibula; re-amputation ",,,1753.0,12538.0,70
CPT,27888,"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves ",,,2224.34,9431.0,70
CPT,27889,Ankle disarticulation ,,,1257.0,6446.0,139
CPT,27892,"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve ",,,1257.0,6446.0,139
CPT,27893,"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve ",,,1257.0,6446.0,139
CPT,27894,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve ",,,1257.0,6446.0,139
CPT,27899,"Unlisted procedure, leg or ankle ",,,291.0,4950.0,103
CPT,28001,"Incision and drainage, bursa, foot ",,,769.0,4950.0,103
CPT,28002,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space ",,,994.46,6446.0,139
CPT,28003,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas ",,,1257.0,6446.0,139
CPT,28005,"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot ",,,1257.0,6446.0,139
CPT,28008,"Fasciotomy, foot and/or toe ",,,1257.0,6446.0,139
CPT,28010,"Tenotomy, percutaneous, toe; single tendon ",,,870.0,4950.0,103
CPT,28011,"Tenotomy, percutaneous, toe; multiple tendons ",,,994.46,6446.0,139
CPT,28020,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint ",,,870.0,4950.0,139
CPT,28022,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint ",,,870.0,4950.0,139
CPT,28024,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint ",,,870.0,4950.0,139
CPT,28030,REMOVAL OF FOOT NERVE ,,,2552.0,4421.0,21
CPT,28035,"Release, tarsal tunnel (posterior tibial nerve decompression) ",,,1142.61,6446.0,139
CPT,28039,"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater ",,,607.0,4950.0,119
CPT,28041,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater ",,,1257.0,6446.0,119
CPT,28043,"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm ",,,769.0,4950.0,139
CPT,28045,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm ",,,769.0,6446.0,139
CPT,28046,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm ",,,769.0,6446.0,139
CPT,28047,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater ",,,1257.0,8866.0,119
CPT,28050,Arthrotomy with biopsy; intertarsal or tarsometatarsal joint ,,,870.0,4950.0,139
CPT,28052,Arthrotomy with biopsy; metatarsophalangeal joint ,,,870.0,4950.0,139
CPT,28054,Arthrotomy with biopsy; interphalangeal joint ,,,870.0,4950.0,139
CPT,28055,"Neurectomy, intrinsic musculature of foot ",,,1142.61,6446.0,139
CPT,28060,"Fasciectomy, plantar fascia; partial (separate procedure) ",,,870.0,4950.0,139
CPT,28062,"Fasciectomy, plantar fascia; radical (separate procedure) ",,,1257.0,6446.0,139
CPT,28070,"Synovectomy; intertarsal or tarsometatarsal joint, each ",,,1257.0,6446.0,139
CPT,28072,"Synovectomy; metatarsophalangeal joint, each ",,,1257.0,6446.0,139
CPT,28080,"Excision, interdigital (Morton) neuroma, single, each ",,,994.46,6446.0,139
CPT,28086,"Synovectomy, tendon sheath, foot; flexor ",,,870.0,4950.0,139
CPT,28088,"Synovectomy, tendon sheath, foot; extensor ",,,870.0,4950.0,139
CPT,28090,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot ",,,994.46,6446.0,139
CPT,28092,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each ",,,994.46,6446.0,139
CPT,28100,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; ",,,870.0,4950.0,139
CPT,28102,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) ",,,1257.0,9431.0,139
CPT,28103,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft ",,,1257.0,9431.0,139
CPT,28104,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; ",,,870.0,4950.0,139
CPT,28106,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) ",,,1257.0,9431.0,139
CPT,28107,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft ",,,1257.0,9431.0,139
CPT,28108,"Excision or curettage of bone cyst or benign tumor, phalanges of foot ",,,870.0,4950.0,139
CPT,28110,"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) ",,,1257.0,6446.0,139
CPT,28111,"Ostectomy, complete excision; first metatarsal head ",,,1257.0,6446.0,139
CPT,28112,"Ostectomy, complete excision; other metatarsal head (second, third or fourth) ",,,1257.0,6446.0,139
CPT,28113,"Ostectomy, complete excision; fifth metatarsal head ",,,1257.0,6446.0,139
CPT,28114,"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) ",,,1257.0,6446.0,139
CPT,28116,"Ostectomy, excision of tarsal coalition ",,,1257.0,6446.0,139
CPT,28118,"Ostectomy, calcaneus; ",,,1404.42,6446.0,139
CPT,28119,"Ostectomy, calcaneus; for spur, with or without plantar fascial release ",,,1404.42,6446.0,139
CPT,28120,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus ",,,1404.42,10746.0,139
CPT,28122,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus ",,,1257.0,6446.0,139
CPT,28124,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe ",,,870.0,4950.0,119
CPT,28126,"Resection, partial or complete, phalangeal base, each toe ",,,1257.0,6446.0,139
CPT,28130,Talectomy (astragalectomy) ,,,1257.0,6446.0,139
CPT,28140,Metatarsectomy ,,,1257.0,6446.0,139
CPT,28150,"Phalangectomy, toe, each toe ",,,1257.0,6446.0,139
CPT,28153,"Resection, condyle(s), distal end of phalanx, each toe ",,,1257.0,6446.0,139
CPT,28160,"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each ",,,1257.0,6446.0,139
CPT,28171,Radical resection of tumor; tarsal (except talus or calcaneus) ,,,1257.0,6446.0,139
CPT,28173,Radical resection of tumor; metatarsal ,,,1257.0,6446.0,139
CPT,28175,Radical resection of tumor; phalanx of toe ,,,994.46,6446.0,139
CPT,28190,"Removal of foreign body, foot; subcutaneous ",,,511.0,4950.0,119
CPT,28192,"Removal of foreign body, foot; deep ",,,769.0,4950.0,139
CPT,28193,"Removal of foreign body, foot; complicated ",,,511.0,6446.0,139
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon ",,,1257.0,6446.0,139
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) ",,,1257.0,6446.0,139
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon ",,,1257.0,6446.0,139
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) ",,,1257.0,9431.0,139
CPT,28220,"Tenolysis, flexor, foot; single tendon ",,,870.0,4950.0,103
CPT,28222,"Tenolysis, flexor, foot; multiple tendons ",,,607.0,4950.0,139
CPT,28225,"Tenolysis, extensor, foot; single tendon ",,,607.0,4950.0,139
CPT,28226,"Tenolysis, extensor, foot; multiple tendons ",,,607.0,4950.0,139
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) ",,,870.0,4950.0,103
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) ",,,870.0,4950.0,103
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon ",,,870.0,4950.0,139
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) ",,,1257.0,9431.0,139
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle ",,,870.0,4950.0,139
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) ",,,1257.0,6446.0,139
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) ",,,1257.0,6446.0,139
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening ",,,994.46,6446.0,139
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) ",,,1471.0,6446.0,139
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) ",,,607.0,6801.0,139
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) ",,,1257.0,6446.0,139
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) ",,,870.0,4950.0,103
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) ",,,870.0,4950.0,139
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) ",,,1257.0,6446.0,139
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) ",,,1404.42,6446.0,139
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head ",,,1257.0,6446.0,139
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant ",,,1257.0,6446.0,139
CPT,28290,CORRECTION OF BUNION ,,,1560.0,4421.0,22
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant ",,,1257.0,9431.0,103
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method ",,,870.0,5958.0,139
CPT,28293,CORRECTION OF BUNION ,,,2302.0,4421.0,22
CPT,28294,CORRECTION OF BUNION ,,,2302.0,4421.0,22
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method ",,,870.0,5958.0,119
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method ",,,1257.0,6446.0,139
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method ",,,1257.0,6446.0,139
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method ",,,1257.0,6446.0,139
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method ",,,1694.0,6446.0,139
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation ",,,870.0,9431.0,139
CPT,28302,Osteotomy; talus ,,,870.0,4950.0,139
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; ",,,870.0,9431.0,139
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) ",,,1257.0,9431.0,139
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal ",,,1471.0,6446.0,139
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) ",,,1471.0,6446.0,139
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each ",,,870.0,4950.0,139
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) ",,,1471.0,9431.0,139
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) ",,,1257.0,6446.0,139
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe ",,,1257.0,6446.0,139
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) ",,,870.0,4950.0,139
CPT,28315,"Sesamoidectomy, first toe (separate procedure) ",,,1404.42,6446.0,139
CPT,28320,"Repair, nonunion or malunion; tarsal bones ",,,1471.0,9431.0,139
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) ",,,1471.0,6446.0,139
CPT,28340,"Reconstruction, toe, macrodactyly; soft tissue resection ",,,1404.42,6446.0,139
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection ",,,1404.42,6446.0,139
CPT,28344,"Reconstruction, toe(s); polydactyly ",,,1404.42,6446.0,139
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web ",,,994.46,6446.0,139
CPT,28360,"Reconstruction, cleft foot ",,,1753.0,9431.0,61
CPT,28400,Closed treatment of calcaneal fracture; without manipulation ,,,291.0,3523.0,139
CPT,28405,Closed treatment of calcaneal fracture; with manipulation ,,,291.0,3979.0,139
CPT,28406,"Percutaneous skeletal fixation of calcaneal fracture, with manipulation ",,,870.0,4830.0,139
CPT,28415,"Open treatment of calcaneal fracture, includes internal fixation, when performed; ",,,1257.0,9431.0,139
CPT,28420,"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) ",,,1471.0,9431.0,139
CPT,28430,Closed treatment of talus fracture; without manipulation ,,,291.0,2900.0,119
CPT,28435,Closed treatment of talus fracture; with manipulation ,,,769.0,4100.0,139
CPT,28436,"Percutaneous skeletal fixation of talus fracture, with manipulation ",,,870.0,4830.0,139
CPT,28445,"Open treatment of talus fracture, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,28446,"Open osteochondral autograft, talus (includes obtaining graftºs») ",,,1471.0,9431.0,119
CPT,28450,"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each ",,,291.0,4421.0,119
CPT,28455,"Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each ",,,291.0,4421.0,119
CPT,28456,"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each ",,,870.0,4830.0,139
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each ",,,1257.0,9431.0,139
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each ",,,291.0,4950.0,119
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each ",,,291.0,4950.0,119
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each ",,,870.0,4950.0,139
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each ",,,1471.0,9431.0,139
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation ",,,291.0,4950.0,119
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation ",,,291.0,4950.0,119
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation ",,,870.0,4950.0,139
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed ",,,1257.0,6446.0,139
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each ",,,291.0,4950.0,119
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each ",,,291.0,4950.0,119
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each ",,,1257.0,6446.0,139
CPT,28530,Closed treatment of sesamoid fracture ,,,291.0,4950.0,119
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation ",,,1257.0,6446.0,139
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia ",,,291.0,4950.0,119
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia ",,,607.0,4950.0,139
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation ",,,870.0,4950.0,139
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed ",,,870.0,9431.0,139
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia ,,,291.0,4950.0,119
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia ,,,607.0,4950.0,139
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation ",,,1257.0,6446.0,139
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed ",,,1257.0,6446.0,139
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia ,,,291.0,4950.0,119
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia ,,,291.0,4950.0,139
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation ",,,870.0,4950.0,139
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed ",,,1257.0,9431.0,139
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia ,,,291.0,4950.0,119
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia ,,,607.0,4950.0,139
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation ",,,1257.0,6446.0,139
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed ",,,1257.0,6446.0,139
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia ,,,291.0,4950.0,119
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia ,,,291.0,4950.0,139
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation ",,,1257.0,6446.0,139
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed ",,,1257.0,6446.0,139
CPT,28705,Arthrodesis; pantalar ,,,1471.0,9431.0,139
CPT,28715,Arthrodesis; triple ,,,1471.0,9431.0,139
CPT,28725,Arthrodesis; subtalar ,,,1471.0,9431.0,139
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; ",,,1471.0,9431.0,139
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) ",,,1471.0,9431.0,139
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) ",,,1876.0,9431.0,139
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint ",,,1471.0,9431.0,139
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint ",,,1471.0,9431.0,139
CPT,28755,"Arthrodesis, great toe; interphalangeal joint ",,,1471.0,6446.0,139
CPT,28760,"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) ",,,1471.0,9431.0,139
CPT,28800,"Amputation, foot; midtarsal (eg, Chopart type procedure) ",,,1404.42,6446.0,92
CPT,28805,"Amputation, foot; transmetatarsal ",,,1257.0,6446.0,103
CPT,28810,"Amputation, metatarsal, with toe, single ",,,870.0,4830.0,139
CPT,28820,"Amputation, toe; metatarsophalangeal joint ",,,870.0,4830.0,139
CPT,28825,"Amputation, toe; interphalangeal joint ",,,870.0,4830.0,139
CPT,28890,"Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guidance, involving the planta",,,994.46,6446.0,103
CPT,28899,"Unlisted procedure, foot or toes ",,,291.0,4421.0,103
CPT,29000,Application of halo type body cast (see 20661-20663 for insertion) ,,,291.0,4421.0,121
CPT,29010,"Application of Risser jacket, localizer, body; only ",,,291.0,2900.0,121
CPT,29015,"Application of Risser jacket, localizer, body; including head ",,,291.0,2900.0,121
CPT,29020,APPLICATION OF BODY CAST ,,,4421.0,4421.0,1
CPT,29025,APPLICATION OF BODY CAST ,,,4421.0,4421.0,1
CPT,29035,"Application of body cast, shoulder to hips; ",,,291.0,2900.0,121
CPT,29040,"Application of body cast, shoulder to hips; including head, Minerva type ",,,291.0,2900.0,121
CPT,29044,"Application of body cast, shoulder to hips; including 1 thigh ",,,291.0,2900.0,121
CPT,29046,"Application of body cast, shoulder to hips; including both thighs ",,,291.0,2900.0,121
CPT,29049,"Application, cast; figure-of-eight ",,,199.82,2900.0,121
CPT,29055,"Application, cast; shoulder spica ",,,291.0,2900.0,121
CPT,29058,"Application, cast; plaster Velpeau ",,,246.78,2900.0,121
CPT,29065,"Application, cast; shoulder to hand (long arm) ",,,193.21,2900.0,121
CPT,29075,"Application, cast; elbow to finger (short arm) ",,,175.42,2900.0,121
CPT,29085,"Application, cast; hand and lower forearm (gauntlet) ",,,192.58,2900.0,121
CPT,29086,"Application, cast; finger (eg, contracture) ",,,155.56,2900.0,121
CPT,29105,APP LONG ARM SPLINT OTCO,867.37,867.37,147.45,867.37,32
CPT,29105,Application of long arm splint (shoulder to hand) ,867.37,867.37,164.26,2900.0,121
CPT,29125,APP SHARM SPL STATC OTCO,758.07,758.07,128.87,758.07,32
CPT,29125,Application of short arm splint (forearm to hand); static ,758.07,758.07,133.09,2900.0,121
CPT,29126,APP SH ARM SPL DYNM OTCO,1177.42,1177.42,200.16,1177.42,32
CPT,29126,Application of short arm splint (forearm to hand); dynamic ,1177.42,1177.42,157.31,2900.0,121
CPT,29130,APP FNGR SPL STATIC OTCO,437.27,437.27,74.34,437.27,32
CPT,29130,Application of finger splint; static ,437.27,437.27,83.82,2900.0,121
CPT,29131,Application of finger splint; dynamic ,,,108.83,2900.0,121
CPT,29200,Strapping; thorax ,,,62.0,2900.0,121
CPT,29220,STRAPPING OF LOW BACK ,,,4421.0,4421.0,1
CPT,29240,"Strapping; shoulder (eg, Velpeau) ",,,58.21,2900.0,121
CPT,29260,Strapping; elbow or wrist ,,,57.09,2900.0,121
CPT,29280,Strapping; hand or finger ,,,58.1,2900.0,121
CPT,29305,Application of hip spica cast; 1 leg ,,,291.0,2900.0,163
CPT,29325,Application of hip spica cast; 1 and one-half spica or both legs ,,,291.0,2900.0,163
CPT,29345,Application of long leg cast (thigh to toes); ,,,268.92,2900.0,163
CPT,29355,Application of long leg cast (thigh to toes); walker or ambulatory type ,,,281.0,2900.0,121
CPT,29358,Application of long leg cast brace ,,,291.0,2900.0,121
CPT,29365,Application of cylinder cast (thigh to ankle) ,,,246.82,2900.0,121
CPT,29405,Application of short leg cast (below knee to toes); ,,,160.6,2900.0,121
CPT,29425,Application of short leg cast (below knee to toes); walking or ambulatory type ,,,151.23,2900.0,121
CPT,29435,Application of patellar tendon bearing (PTB) cast ,,,246.58,2900.0,121
CPT,29440,Adding walker to previously applied cast ,,,86.59,2900.0,121
CPT,29445,Application of rigid total contact leg cast ,,,254.36,2900.0,121
CPT,29450,"Application of clubfoot cast with molding or manipulation, long or short leg ",,,288.68,2900.0,121
CPT,29505,Application of long leg splint (thigh to ankle or toes) ,,,180.63,2900.0,121
CPT,29515,Application of short leg splint (calf to foot) ,,,145.17,2900.0,121
CPT,29520,Strapping; hip ,,,67.45,2900.0,121
CPT,29530,Strapping; knee ,,,57.97,2900.0,121
CPT,29540,Strapping; ankle and/or foot ,,,55.83,2900.0,121
CPT,29550,Strapping; toes ,,,38.61,2900.0,121
CPT,29580,Strapping; Unna boot ,,,121.95,2900.0,121
CPT,29580,UNNA BOOT BI,2031.2,2031.2,373.94,2031.2,26
CPT,29580,UNNA BOOT LT,1167.63,1167.63,214.96,1167.63,26
CPT,29580,UNNA BOOT RT,1167.63,1167.63,214.96,1167.63,26
CPT,29581,APPLY VEN WND COMP BK BI,1079.39,1079.39,198.72,1079.39,26
CPT,29581,APPLY VEN WND COMP BK LT,1079.39,1079.39,198.72,1079.39,26
CPT,29581,APPLY VEN WND COMP BK RT,1079.39,1079.39,198.72,1079.39,26
CPT,29581,"Application of multi-layer compression system; leg (below knee), including ankle and foot ",,,169.06,2900.0,121
CPT,29582,"HApplication of multi-layer compression system; thigh and leg, including ankle and foot, when performed ",,,990.0,4421.0,2
CPT,29583,HApplication of multi-layer compression system; upper arm and forearm ,,,990.0,4421.0,2
CPT,29584,"Application of multi-layer compression system; upper arm, forearm, hand, and fingers ",,,150.16,2900.0,121
CPT,29590,APPLICATION OF FOOT SPLINT ,,,4421.0,4421.0,1
CPT,29700,"Removal or bivalving; gauntlet, boot or body cast ",,,128.69,2900.0,121
CPT,29705,Removal or bivalving; full arm or full leg cast ,,,126.81,2900.0,121
CPT,29710,"Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. ",,,244.23,4421.0,121
CPT,29715,REMOVAL/REVISION OF CAST ,,,4421.0,4421.0,1
CPT,29720,"Repair of spica, body cast or jacket ",,,172.48,2900.0,121
CPT,29730,Windowing of cast ,,,127.38,2900.0,121
CPT,29740,Wedging of cast (except clubfoot casts) ,,,196.09,2900.0,121
CPT,29750,Wedging of clubfoot cast ,,,211.53,2900.0,121
CPT,29799,"Unlisted procedure, casting or strapping ",,,291.0,4421.0,77
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) ",,,1257.0,10083.0,105
CPT,29804,"Arthroscopy, temporomandibular joint, surgical ",,,1257.0,10083.0,105
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) ",,,1257.0,10083.0,105
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy ",,,1257.0,10083.0,105
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion ",,,1257.0,10083.0,105
CPT,29815,SHOULDER ARTHROSCOPY ,,,4421.0,4421.0,1
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body ",,,1257.0,10083.0,105
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial ",,,1257.0,10083.0,105
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete ",,,1257.0,10083.0,105
CPT,29822,"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps ancho",,,1257.0,10083.0,105
CPT,29823,"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps ",,,1257.0,10083.0,105
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) ",,,1404.42,10083.0,105
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation ",,,1257.0,10083.0,105
CPT,29826,"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for",,,291.0,10083.0,81
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair ",,,1753.0,10083.0,105
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis ",,,1257.0,10083.0,85
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) ",,,1257.0,10083.0,105
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body ",,,1257.0,10083.0,105
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial ",,,1257.0,10083.0,105
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete ",,,1257.0,10083.0,105
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited ",,,1257.0,10083.0,105
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive ",,,1257.0,10083.0,105
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) ",,,1257.0,10083.0,105
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage ",,,1257.0,10083.0,105
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial ",,,1257.0,10083.0,105
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete ",,,1257.0,10083.0,105
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement ",,,1257.0,10083.0,105
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability ",,,1257.0,10083.0,105
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament ",,,994.46,10083.0,125
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) ",,,994.46,10083.0,105
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) ",,,994.46,10083.0,105
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) ",,,1471.0,10083.0,105
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) ",,,1471.0,10083.0,105
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) ",,,1471.0,10083.0,105
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body ",,,1471.0,10083.0,105
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum ",,,1471.0,10083.0,105
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy ",,,1404.42,10083.0,105
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») ",,,1257.0,10083.0,85
CPT,29867,"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) ",,,1257.0,10083.0,85
CPT,29868,"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral ",,,1257.0,10083.0,85
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) ",,,1257.0,10083.0,105
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage ",,,1257.0,10083.0,105
CPT,29873,"Arthroscopy, knee, surgical; with lateral release ",,,1257.0,10083.0,105
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) ",,,1257.0,10083.0,105
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) ",,,1404.42,10083.0,105
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) ",,,1404.42,10083.0,105
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) ",,,1404.42,10083.0,105
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture ",,,1257.0,10083.0,105
CPT,29880,"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s",,,1404.42,10083.0,105
CPT,29881,"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s)",,,1404.42,10083.0,105
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) ",,,1257.0,10083.0,105
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) ",,,1257.0,10083.0,105
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) ",,,1257.0,10083.0,105
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) ",,,1257.0,10083.0,105
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion ",,,1257.0,10083.0,105
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation ",,,1257.0,10083.0,105
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction ,,,1257.0,10083.0,105
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction ,,,1257.0,10083.0,105
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect ",,,1257.0,10083.0,105
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) ",,,1257.0,10083.0,105
CPT,29893,Endoscopic plantar fasciotomy ,,,1257.0,10083.0,125
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body ",,,1257.0,10083.0,105
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial ",,,1257.0,10083.0,105
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited ",,,1257.0,10083.0,105
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive ",,,1257.0,10083.0,105
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis ",,,1257.0,10083.0,105
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy ",,,1257.0,10083.0,105
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement ",,,1257.0,10083.0,105
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) ",,,994.46,10083.0,105
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body ",,,1257.0,10083.0,85
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy ",,,1257.0,10083.0,85
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement ",,,1257.0,10083.0,85
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis ",,,1257.0,10083.0,85
CPT,29909,ARTHROSCOPY OF JOINT ,,,4421.0,4421.0,1
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) ",,,1471.0,10083.0,85
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) ",,,1471.0,10083.0,85
CPT,29916,"Arthroscopy, hip, surgical; with labral repair ",,,1471.0,10083.0,85
CPT,29999,"Unlisted procedure, arthroscopy ",,,291.0,10083.0,85
CPT,30000,"Drainage abscess or hematoma, nasal, internal approach ",,,291.0,2900.0,119
CPT,30020,"Drainage abscess or hematoma, nasal septum ",,,291.0,2900.0,119
CPT,30100,"Biopsy, intranasal ",,,607.0,4100.0,119
CPT,30110,"Excision, nasal polyp(s), simple ",,,607.0,4100.0,103
CPT,30115,"Excision, nasal polyp(s), extensive ",,,870.0,4830.0,139
CPT,30117,"Excision or destruction (eg, laser), intranasal lesion; internal approach ",,,769.0,6446.0,139
CPT,30118,"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) ",,,1257.0,6446.0,139
CPT,30120,Excision or surgical planing of skin of nose for rhinophyma ,,,607.0,4830.0,139
CPT,30124,"Excision dermoid cyst, nose; simple, skin, subcutaneous ",,,607.0,4100.0,119
CPT,30125,"Excision dermoid cyst, nose; complex, under bone or cartilage ",,,870.0,6801.0,139
CPT,30130,"Excision inferior turbinate, partial or complete, any method ",,,1257.0,6446.0,139
CPT,30140,"Submucous resection inferior turbinate, partial or complete, any method ",,,870.0,4950.0,139
CPT,30150,Rhinectomy; partial ,,,1257.0,6801.0,139
CPT,30160,Rhinectomy; total ,,,1471.0,6801.0,139
CPT,30200,"Injection into turbinate(s), therapeutic ",,,291.0,3523.0,77
CPT,30210,Displacement therapy (Proetz type) ,,,769.0,4100.0,77
CPT,30220,"Insertion, nasal septal prosthesis (button) ",,,769.0,6446.0,139
CPT,30300,"Removal foreign body, intranasal; office type procedure ",,,291.0,2900.0,77
CPT,30310,"Removal foreign body, intranasal; requiring general anesthesia ",,,607.0,4100.0,139
CPT,30320,"Removal foreign body, intranasal; by lateral rhinotomy ",,,769.0,4100.0,139
CPT,30400,"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip ",,,1471.0,6446.0,139
CPT,30410,"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip ",,,1753.0,6801.0,139
CPT,30420,"Rhinoplasty, primary; including major septal repair ",,,1753.0,6801.0,139
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) ",,,1257.0,6446.0,139
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) ",,,1753.0,6801.0,139
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) ",,,1753.0,10746.0,139
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only ",,,1753.0,10746.0,139
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies ",,,1753.0,10746.0,139
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) ",,,1753.0,10746.0,139
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) ,,,1753.0,10746.0,108
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling ",,,1753.0,10746.0,108
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft ",,,1404.42,6446.0,139
CPT,30540,Repair choanal atresia; intranasal ,,,1753.0,6801.0,139
CPT,30545,Repair choanal atresia; transpalatine ,,,1753.0,6801.0,139
CPT,30560,Lysis intranasal synechia ,,,291.0,4950.0,139
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) ,,,1471.0,6801.0,139
CPT,30600,Repair fistula; oronasal ,,,1471.0,6801.0,139
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) ,,,1753.0,10746.0,139
CPT,30630,Repair nasal septal perforations ,,,1404.42,10746.0,139
CPT,30801,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial ",,,607.0,4100.0,139
CPT,30802,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) ",,,607.0,4100.0,139
CPT,30901,"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method ",,,291.0,2900.0,119
CPT,30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method ",,,291.0,3523.0,139
CPT,30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial ",,,291.0,3523.0,139
CPT,30906,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent ",,,291.0,3523.0,139
CPT,30915,Ligation arteries; ethmoidal ,,,870.0,5958.0,139
CPT,30920,"Ligation arteries; internal maxillary artery, transantral ",,,1257.0,6446.0,139
CPT,30930,"Fracture nasal inferior turbinate(s), therapeutic ",,,1404.42,6446.0,139
CPT,30999,"Unlisted procedure, nose ",,,291.0,4421.0,103
CPT,31000,Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) ,,,291.0,2900.0,119
CPT,31002,Lavage by cannulation; sphenoid sinus ,,,607.0,4100.0,119
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal ",,,870.0,4950.0,139
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps ",,,1257.0,6801.0,139
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps ",,,1471.0,6801.0,139
CPT,31040,"Pterygomaxillary fossa surgery, any approach ",,,1632.0,4950.0,61
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; ",,,870.0,6801.0,139
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) ",,,1471.0,6801.0,139
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) ",,,870.0,4950.0,139
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) ",,,1471.0,6801.0,139
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) ",,,1471.0,6801.0,139
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) ",,,1471.0,6801.0,139
CPT,31084,"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision ",,,1471.0,6801.0,139
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision ",,,1471.0,6801.0,139
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision ",,,1471.0,6801.0,139
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision ",,,1471.0,6801.0,139
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) ",,,1753.0,6801.0,139
CPT,31200,"Ethmoidectomy; intranasal, anterior ",,,870.0,6801.0,139
CPT,31201,"Ethmoidectomy; intranasal, total ",,,769.0,6446.0,139
CPT,31205,"Ethmoidectomy; extranasal, total ",,,1257.0,6446.0,139
CPT,31225,Maxillectomy; without orbital exenteration ,,,1632.0,4953.0,46
CPT,31230,Maxillectomy; with orbital exenteration (en bloc) ,,,1632.0,4953.0,46
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) ",,,291.0,4950.0,119
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) ",,,291.0,4950.0,139
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) ",,,769.0,4950.0,139
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) ",,,769.0,4950.0,139
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage ",,,769.0,4950.0,139
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ",,,1404.42,6446.0,139
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection ",,,870.0,4950.0,139
CPT,31241,"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery ",,,994.46,6446.0,112
CPT,31242,"Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation, posterior nasal nerve ",,,2259.0,6801.0,68
CPT,31243,"Nasal/sinus endoscopy, surgical; with destruction by cryoablation, posterior nasal nerve ",,,2259.0,6801.0,68
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed ",,,1694.0,8866.0,128
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) ",,,1471.0,10083.0,125
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) ",,,1694.0,10083.0,125
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ",,,1257.0,10083.0,125
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy ",,,1694.0,10083.0,114
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus ",,,1694.0,10083.0,114
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus ",,,1257.0,10083.0,125
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed ",,,1257.0,10083.0,125
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; ",,,1257.0,6446.0,139
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus ",,,1257.0,6446.0,139
CPT,31290,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region ",,,1257.0,6446.0,88
CPT,31291,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region ",,,1257.0,6446.0,88
CPT,31292,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall ",,,1257.0,6446.0,103
CPT,31293,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall ",,,1257.0,6446.0,103
CPT,31294,"Nasal/sinus endoscopy, surgical, with optic nerve decompression ",,,1257.0,6446.0,103
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa ",,,1257.0,8866.0,119
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium ",,,1257.0,8866.0,119
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium ",,,1257.0,8866.0,119
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia ",,,1471.0,8866.0,128
CPT,31299,"Unlisted procedure, accessory sinuses ",,,291.0,4950.0,61
CPT,31300,"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy ",,,1404.42,6446.0,139
CPT,31320,"HLaryngotomy (thyrotomy, laryngofissure); diagnostic ",,,1560.0,4421.0,22
CPT,31360,"Laryngectomy; total, without radical neck dissection ",,,1632.0,4953.0,46
CPT,31365,"Laryngectomy; total, with radical neck dissection ",,,1632.0,4953.0,46
CPT,31367,"Laryngectomy; subtotal supraglottic, without radical neck dissection ",,,1632.0,4953.0,46
CPT,31368,"Laryngectomy; subtotal supraglottic, with radical neck dissection ",,,1632.0,4953.0,46
CPT,31370,Partial laryngectomy (hemilaryngectomy); horizontal ,,,1632.0,4953.0,46
CPT,31375,Partial laryngectomy (hemilaryngectomy); laterovertical ,,,1632.0,4953.0,46
CPT,31380,Partial laryngectomy (hemilaryngectomy); anterovertical ,,,1632.0,4953.0,46
CPT,31382,Partial laryngectomy (hemilaryngectomy); antero-latero-vertical ,,,1632.0,4953.0,46
CPT,31390,"Pharyngolaryngectomy, with radical neck dissection; without reconstruction ",,,1632.0,4953.0,46
CPT,31395,"Pharyngolaryngectomy, with radical neck dissection; with reconstruction ",,,1632.0,4953.0,46
CPT,31400,"Arytenoidectomy or arytenoidopexy, external approach ",,,870.0,6801.0,139
CPT,31420,Epiglottidectomy ,,,870.0,6801.0,139
CPT,31500,"Intubation, endotracheal, emergency procedure ",,,291.0,3523.0,119
CPT,31502,Tracheotomy tube change prior to establishment of fistula tract ,,,291.0,3523.0,119
CPT,31505,"Laryngoscopy, indirect; diagnostic (separate procedure) ",,,291.0,2900.0,77
CPT,31510,"Laryngoscopy, indirect; with biopsy ",,,769.0,4100.0,139
CPT,31511,"Laryngoscopy, indirect; with removal of foreign body ",,,291.0,3979.0,139
CPT,31512,"Laryngoscopy, indirect; with removal of lesion ",,,870.0,4830.0,139
CPT,31513,"Laryngoscopy, indirect; with vocal cord injection ",,,291.0,3979.0,139
CPT,31515,"Laryngoscopy direct, with or without tracheoscopy; for aspiration ",,,291.0,3523.0,139
CPT,31520,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn ",,,291.0,2900.0,119
CPT,31525,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn ",,,769.0,4100.0,139
CPT,31526,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope ",,,769.0,4100.0,139
CPT,31527,"Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator ",,,870.0,4830.0,139
CPT,31528,"Laryngoscopy direct, with or without tracheoscopy; with dilation, initial ",,,870.0,4830.0,139
CPT,31529,"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent ",,,870.0,4830.0,139
CPT,31530,"Laryngoscopy, direct, operative, with foreign body removal; ",,,769.0,4100.0,139
CPT,31531,"Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope ",,,769.0,6446.0,139
CPT,31535,"Laryngoscopy, direct, operative, with biopsy; ",,,870.0,4830.0,139
CPT,31536,"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope ",,,1257.0,6446.0,139
CPT,31540,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; ",,,1257.0,6446.0,139
CPT,31541,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope ",,,1404.42,6446.0,139
CPT,31545,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) ",,,1404.42,6446.0,139
CPT,31546,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft) ",,,1471.0,6446.0,139
CPT,31551,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age ",,,1753.0,6801.0,103
CPT,31552,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older ",,,1753.0,6801.0,103
CPT,31553,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age ",,,1753.0,6801.0,103
CPT,31554,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older ",,,1753.0,6801.0,103
CPT,31560,"Laryngoscopy, direct, operative, with arytenoidectomy; ",,,1694.0,6446.0,139
CPT,31561,"Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope ",,,1632.0,6446.0,139
CPT,31570,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; ",,,769.0,4100.0,139
CPT,31571,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope ",,,870.0,4830.0,139
CPT,31572,"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral ",,,870.0,7161.0,119
CPT,31573,"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral ",,,769.0,7161.0,119
CPT,31574,"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral ",,,769.0,7161.0,119
CPT,31575,"Laryngoscopy, flexible; diagnostic ",,,291.0,2900.0,119
CPT,31576,"Laryngoscopy, flexible; with biopsy(ies) ",,,769.0,4100.0,139
CPT,31577,"Laryngoscopy, flexible; with removal of foreign body(s) ",,,291.0,3979.0,139
CPT,31578,"Laryngoscopy, flexible; with removal of lesion(s), non-laser ",,,769.0,4100.0,139
CPT,31579,"Laryngoscopy, flexible or rigid telescopic, with stroboscopy ",,,291.0,3523.0,119
CPT,31580,"Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion ",,,1753.0,6801.0,139
CPT,31582,REVISION OF LARYNX ,,,3026.0,4421.0,22
CPT,31584,"Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed ",,,1471.0,6446.0,103
CPT,31585,TREAT LARYNX FRACTURE ,,,4421.0,4421.0,1
CPT,31586,TREAT LARYNX FRACTURE ,,,4421.0,4421.0,1
CPT,31587,"Laryngoplasty, cricoid split, without graft placement ",,,1753.0,6801.0,92
CPT,31588,REVISION OF LARYNX ,,,3026.0,4421.0,22
CPT,31590,Laryngeal reinnervation by neuromuscular pedicle ,,,1753.0,6801.0,139
CPT,31591,"Laryngoplasty, medialization, unilateral ",,,1471.0,6801.0,103
CPT,31592,Cricotracheal resection ,,,1471.0,6801.0,103
CPT,31595,"SECTION RECURRENT LARYNGEAL NERVE, THERAPEUTIC (SEPARATE PROCEDURE), UNILATERAL ",,,870.0,4421.0,42
CPT,31599,"Unlisted procedure, larynx ",,,291.0,4421.0,103
CPT,31600,"Tracheostomy, planned (separate procedure); ",,,870.0,4830.0,119
CPT,31601,"Tracheostomy, planned (separate procedure); younger than 2 years ",,,1632.0,4830.0,61
CPT,31603,"Tracheostomy, emergency procedure; transtracheal ",,,607.0,4100.0,139
CPT,31605,"Tracheostomy, emergency procedure; cricothyroid membrane ",,,291.0,3523.0,119
CPT,31610,"Tracheostomy, fenestration procedure with skin flaps ",,,1632.0,4830.0,61
CPT,31611,"Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) ",,,1257.0,6446.0,139
CPT,31612,"Tracheal puncture, percutaneous with transtracheal aspiration and/or injection ",,,607.0,4830.0,139
CPT,31613,"Tracheostoma revision; simple, without flap rotation ",,,870.0,4830.0,139
CPT,31614,"Tracheostoma revision; complex, with flap rotation ",,,870.0,6801.0,139
CPT,31615,Tracheobronchoscopy through established tracheostomy incision ,,,291.0,3523.0,139
CPT,31620,ENDOBRONCHIAL US ADD-ON ,,,988.0,4421.0,21
CPT,31622,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) ",,,769.0,4100.0,139
CPT,31623,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings ",,,769.0,4100.0,139
CPT,31624,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage ",,,769.0,4100.0,139
CPT,31625,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites ",,,769.0,4100.0,139
CPT,31626,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple ",,,1257.0,6446.0,119
CPT,31627,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedureºs») ",,,291.0,2900.0,79
CPT,31628,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe ",,,769.0,4100.0,139
CPT,31629,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) ",,,870.0,5958.0,139
CPT,31630,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture ",,,870.0,5958.0,139
CPT,31631,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) ",,,870.0,5958.0,139
CPT,31632,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure) ",,,291.0,3979.0,95
CPT,31633,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), each additional lobe (List separately in addition to code for primary",,,291.0,3979.0,95
CPT,31634,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessment of air leak, with administration of occlusive substance (eg, fibrin glue), if ",,,1257.0,6446.0,119
CPT,31635,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body ",,,769.0,4100.0,139
CPT,31636,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus ",,,870.0,5958.0,139
CPT,31637,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; each additional major bronchus stented (List separately in addition to code for primary procedure) ",,,291.0,3523.0,115
CPT,31638,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as req",,,870.0,5958.0,139
CPT,31640,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor ",,,870.0,5958.0,139
CPT,31641,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) ",,,870.0,5958.0,139
CPT,31643,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application ",,,769.0,16336.0,139
CPT,31645,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial ",,,769.0,4100.0,139
CPT,31646,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay ",,,291.0,3523.0,139
CPT,31647,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), in",,,870.0,7161.0,119
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe ",,,870.0,7161.0,119
CPT,31649,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) ",,,607.0,4100.0,119
CPT,31651,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), ea",,,291.0,7161.0,95
CPT,31652,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspirationºs»/biopsyºies",,,870.0,8866.0,119
CPT,31653,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspirationºs»/biopsyºies",,,870.0,8866.0,119
CPT,31654,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) fo",,,291.0,3979.0,95
CPT,31656,BRONCHOSCOPY INJ FOR X-RAY ,,,988.0,4421.0,21
CPT,31660,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe ",,,1257.0,8866.0,119
CPT,31661,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes ",,,1257.0,8866.0,119
CPT,31700,INSERTION OF AIRWAY CATHETER ,,,988.0,4421.0,21
CPT,31708,INSTILL AIRWAY CONTRAST DYE ,,,4421.0,4421.0,1
CPT,31710,INSERTION OF AIRWAY CATHETER ,,,4421.0,4421.0,1
CPT,31715,INJECTION FOR BRONCHUS X-RAY ,,,4421.0,4421.0,1
CPT,31717,Catheterization with bronchial brush biopsy ,,,291.0,3523.0,139
CPT,31720,Catheter aspiration (separate procedure); nasotracheal ,,,291.0,3523.0,139
CPT,31725,"Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside ",,,607.0,4953.0,88
CPT,31730,Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy ,,,769.0,4100.0,139
CPT,31750,Tracheoplasty; cervical ,,,1753.0,6801.0,139
CPT,31755,"Tracheoplasty; tracheopharyngeal fistulization, each stage ",,,870.0,6801.0,139
CPT,31760,Tracheoplasty; intrathoracic ,,,1632.0,4953.0,46
CPT,31766,Carinal reconstruction ,,,1632.0,4953.0,46
CPT,31770,Bronchoplasty; graft repair ,,,1632.0,4953.0,46
CPT,31775,Bronchoplasty; excision stenosis and anastomosis ,,,1632.0,4953.0,46
CPT,31780,Excision tracheal stenosis and anastomosis; cervical ,,,1632.0,4953.0,46
CPT,31781,Excision tracheal stenosis and anastomosis; cervicothoracic ,,,1632.0,4953.0,46
CPT,31785,Excision of tracheal tumor or carcinoma; cervical ,,,1471.0,6446.0,119
CPT,31786,Excision of tracheal tumor or carcinoma; thoracic ,,,1632.0,4953.0,46
CPT,31800,Suture of tracheal wound or injury; cervical ,,,769.0,4100.0,79
CPT,31805,Suture of tracheal wound or injury; intrathoracic ,,,1632.0,4953.0,46
CPT,31820,Surgical closure tracheostomy or fistula; without plastic repair ,,,607.0,4830.0,139
CPT,31825,Surgical closure tracheostomy or fistula; with plastic repair ,,,870.0,4830.0,139
CPT,31830,Revision of tracheostomy scar ,,,870.0,4830.0,139
CPT,31899,"Unlisted procedure, trachea, bronchi ",,,291.0,4421.0,103
CPT,32000,DRAINAGE OF CHEST ,,,988.0,4421.0,21
CPT,32001,Total lung lavage ,,,4421.0,4421.0,1
CPT,32002,TREATMENT OF COLLAPSED LUNG ,,,4421.0,4421.0,1
CPT,32005,TREAT LUNG LINING CHEMICALLY ,,,4421.0,4421.0,1
CPT,32019,INSERT PLEURAL CATHETER ,,,4421.0,4421.0,1
CPT,32020,INSERTION OF CHEST TUBE ,,,4421.0,4421.0,1
CPT,32035,Thoracostomy; with rib resection for empyema ,,,1632.0,4953.0,46
CPT,32036,Thoracostomy; with open flap drainage for empyema ,,,1632.0,4953.0,46
CPT,32095,BIOPSY THROUGH CHEST WALL ,,,4421.0,4421.0,1
CPT,32096,"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral ",,,1632.0,5588.0,37
CPT,32097,"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral ",,,1632.0,5588.0,37
CPT,32098,"Thoracotomy, with biopsy(ies) of pleura ",,,1632.0,5588.0,37
CPT,32100,Thoracotomy; with exploration ,,,1632.0,4953.0,46
CPT,32110,Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear ,,,1632.0,5588.0,46
CPT,32120,Thoracotomy; for postoperative complications ,,,1632.0,6581.0,46
CPT,32124,Thoracotomy; with open intrapleural pneumonolysis ,,,1632.0,4953.0,46
CPT,32140,"Thoracotomy; with cyst(s) removal, includes pleural procedure when performed ",,,1632.0,4953.0,46
CPT,32141,"Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed ",,,1632.0,4953.0,46
CPT,32150,Thoracotomy; with removal of intrapleural foreign body or fibrin deposit ,,,1632.0,4953.0,46
CPT,32151,Thoracotomy; with removal of intrapulmonary foreign body ,,,1632.0,4953.0,46
CPT,32160,Thoracotomy; with cardiac massage ,,,1632.0,5588.0,46
CPT,32200,"Pneumonostomy, with open drainage of abscess or cyst ",,,1632.0,6581.0,46
CPT,32201,DRAIN PERCUT LUNG LESION ,,,4421.0,4421.0,1
CPT,32215,Pleural scarification for repeat pneumothorax ,,,1632.0,4953.0,46
CPT,32220,"Decortication, pulmonary (separate procedure); total ",,,1632.0,6070.0,37
CPT,32225,"Decortication, pulmonary (separate procedure); partial ",,,1632.0,6070.0,37
CPT,32310,"Pleurectomy, parietal (separate procedure) ",,,1632.0,6070.0,37
CPT,32320,Decortication and parietal pleurectomy ,,,1632.0,6070.0,37
CPT,32400,"Biopsy, pleura, percutaneous needle ",,,607.0,4100.0,139
CPT,32402,OPEN BIOPSY CHEST LINING ,,,4421.0,4421.0,1
CPT,32405,"BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS NEEDLE ",,,607.0,4421.0,42
CPT,32408,"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed ",,,769.0,7161.0,108
CPT,32420,PUNCTURE/CLEAR LUNG ,,,988.0,4421.0,21
CPT,32421,THORACENTESIS FOR ASPIRATION ,,,4421.0,4421.0,1
CPT,32422,THORACENTESIS W/TUBE INSERT ,,,4421.0,4421.0,1
CPT,32440,"Removal of lung, pneumonectomy; ",,,1632.0,4953.0,46
CPT,32442,"Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) ",,,1632.0,4953.0,46
CPT,32445,"Removal of lung, pneumonectomy; extrapleural ",,,1632.0,4953.0,46
CPT,32480,"Removal of lung, other than pneumonectomy; single lobe (lobectomy) ",,,1632.0,4953.0,46
CPT,32482,"Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) ",,,1632.0,4953.0,46
CPT,32484,"Removal of lung, other than pneumonectomy; single segment (segmentectomy) ",,,1632.0,4953.0,46
CPT,32486,"Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) ",,,1632.0,4953.0,46
CPT,32488,"Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) ",,,1632.0,4953.0,46
CPT,32491,"Removal of lung, other than pneumonectomy; with resection-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume reduction, sternal split or transthoracic approach, includes any p",,,1632.0,4953.0,46
CPT,32500,PARTIAL REMOVAL OF LUNG ,,,4421.0,4421.0,1
CPT,32501,Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,46
CPT,32503,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s) ",,,1632.0,4953.0,46
CPT,32504,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction ",,,1632.0,4953.0,46
CPT,32505,"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial ",,,1632.0,5588.0,46
CPT,32506,"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,32507,Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,46
CPT,32520,REMOVE LUNG & REVISE CHEST ,,,4421.0,4421.0,1
CPT,32522,REMOVE LUNG & REVISE CHEST ,,,4421.0,4421.0,1
CPT,32525,REMOVE LUNG & REVISE CHEST ,,,4421.0,4421.0,1
CPT,32540,Extrapleural enucleation of empyema (empyemectomy) ,,,1632.0,4953.0,46
CPT,32550,Insertion of indwelling tunneled pleural catheter with cuff ,,,870.0,8866.0,119
CPT,32551,"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) ",,,511.0,3523.0,119
CPT,32552,Removal of indwelling tunneled pleural catheter with cuff ,,,511.0,3250.0,119
CPT,32553,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple ",,,769.0,5115.0,99
CPT,32554,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance ",,,511.0,3523.0,119
CPT,32555,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance ",,,511.0,3523.0,119
CPT,32556,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance ",,,769.0,4100.0,119
CPT,32557,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance ",,,511.0,3523.0,119
CPT,32560,"Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) ",,,511.0,4421.0,119
CPT,32561,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day ",,,511.0,3523.0,119
CPT,32562,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day ",,,511.0,3523.0,119
CPT,32601,"Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy ",,,1257.0,6801.0,103
CPT,32602,THORACOSCOPY DIAGNOSTIC ,,,4421.0,4421.0,1
CPT,32603,THORACOSCOPY DIAGNOSTIC ,,,4421.0,4421.0,1
CPT,32604,"Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy ",,,1257.0,6801.0,103
CPT,32605,THORACOSCOPY DIAGNOSTIC ,,,4421.0,4421.0,1
CPT,32606,"Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy ",,,1257.0,6801.0,103
CPT,32607,"Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral ",,,1257.0,8866.0,119
CPT,32608,"Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral ",,,1257.0,8866.0,119
CPT,32609,Thoracoscopy; with biopsy(ies) of pleura ,,,1257.0,8866.0,119
CPT,32650,"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) ",,,2550.0,13472.0,37
CPT,32651,"Thoracoscopy, surgical; with partial pulmonary decortication ",,,2550.0,13472.0,37
CPT,32652,"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis ",,,2550.0,13472.0,37
CPT,32653,"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit ",,,2540.0,9431.0,37
CPT,32654,"Thoracoscopy, surgical; with control of traumatic hemorrhage ",,,1632.0,4953.0,46
CPT,32655,"Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed ",,,2550.0,13472.0,37
CPT,32656,"Thoracoscopy, surgical; with parietal pleurectomy ",,,2550.0,13472.0,37
CPT,32657,THORACOSCOPY SURGICAL ,,,4421.0,4421.0,1
CPT,32658,"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac ",,,1632.0,4953.0,46
CPT,32659,"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage ",,,1632.0,4953.0,46
CPT,32660,THORACOSCOPY SURGICAL ,,,4421.0,4421.0,1
CPT,32661,"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass ",,,1632.0,4953.0,46
CPT,32662,"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass ",,,1632.0,5588.0,46
CPT,32663,"Thoracoscopy, surgical; with lobectomy (single lobe) ",,,1632.0,5588.0,46
CPT,32664,"Thoracoscopy, surgical; with thoracic sympathectomy ",,,870.0,5958.0,79
CPT,32665,"Thoracoscopy, surgical; with esophagomyotomy (Heller type) ",,,1632.0,5588.0,46
CPT,32666,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral ",,,1632.0,5588.0,70
CPT,32667,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) ",,,1632.0,5588.0,46
CPT,32668,"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) ",,,1632.0,5588.0,46
CPT,32669,"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy) ",,,1632.0,5588.0,46
CPT,32670,"Thoracoscopy, surgical; with removal of two lobes (bilobectomy) ",,,1632.0,5588.0,46
CPT,32671,"Thoracoscopy, surgical; with removal of lung (pneumonectomy) ",,,1632.0,5588.0,46
CPT,32672,"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed ",,,1632.0,4953.0,46
CPT,32673,"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral ",,,1632.0,4953.0,46
CPT,32674,"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,32701,"Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment ",,,1632.0,33826.0,24
CPT,32800,Repair lung hernia through chest wall ,,,1632.0,4953.0,46
CPT,32810,Closure of chest wall following open flap drainage for empyema (Clagett type procedure) ,,,1632.0,4953.0,46
CPT,32815,Open closure of major bronchial fistula ,,,1632.0,4953.0,46
CPT,32820,"Major reconstruction, chest wall (posttraumatic) ",,,1632.0,6051.0,46
CPT,32850,"Donor pneumonectomy(s) (including cold preservation), from cadaver donor ",,,1632.0,4953.0,46
CPT,32851,"Lung transplant, single; without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,32852,"Lung transplant, single; with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,32853,"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,32854,"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,32855,"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmon",,,1632.0,4953.0,46
CPT,32856,"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmon",,,1632.0,4953.0,46
CPT,32900,"Resection of ribs, extrapleural, all stages ",,,1632.0,4953.0,46
CPT,32905,"Thoracoplasty, Schede type or extrapleural (all stages); ",,,1632.0,4953.0,46
CPT,32906,"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula ",,,1632.0,4953.0,46
CPT,32940,"Pneumonolysis, extraperiosteal, including filling or packing procedures ",,,1632.0,4953.0,46
CPT,32960,"Pneumothorax, therapeutic, intrapleural injection of air ",,,511.0,4421.0,77
CPT,32994,"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, ",,,1471.0,9431.0,112
CPT,32997,Total lung lavage (unilateral) ,,,769.0,4100.0,37
CPT,32998,"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, ",,,1471.0,9431.0,119
CPT,32999,"Unlisted procedure, lungs and pleura ",,,511.0,4421.0,61
CPT,33010,PERICARDIOCENTESIS; INITIAL ,,,870.0,4421.0,42
CPT,33011,PERICARDIOCENTESIS; SUBSEQUENT ,,,870.0,4421.0,42
CPT,33015,TUBE PERICARDIOSTOMY ,,,4421.0,4421.0,1
CPT,33016,"Pericardiocentesis, including imaging guidance, when performed ",,,511.0,7161.0,108
CPT,33017,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly ",,,1632.0,16577.0,48
CPT,33018,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; birth through 5 years of age or any age with congenital card",,,1632.0,16577.0,48
CPT,33019,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance ",,,1632.0,16577.0,48
CPT,33020,Pericardiotomy for removal of clot or foreign body (primary procedure) ,,,1632.0,4953.0,46
CPT,33025,Creation of pericardial window or partial resection for drainage ,,,1632.0,4953.0,46
CPT,33030,"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33031,"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33050,Resection of pericardial cyst or tumor ,,,1632.0,4953.0,46
CPT,33120,"Excision of intracardiac tumor, resection with cardiopulmonary bypass ",,,1632.0,8763.0,46
CPT,33130,Resection of external cardiac tumor ,,,1632.0,4953.0,46
CPT,33140,"Transmyocardial laser revascularization, by thoracotomy; (separate procedure) ",,,1632.0,6051.0,46
CPT,33141,"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33200,INSERTION OF HEART PACEMAKER ,,,4421.0,4421.0,1
CPT,33201,INSERTION OF HEART PACEMAKER ,,,4421.0,4421.0,1
CPT,33202,"Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) ",,,1632.0,15974.0,65
CPT,33203,"Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) ",,,1632.0,15974.0,65
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial ,,,2224.34,28842.0,89
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular ,,,2224.34,28842.0,89
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular ,,,2224.34,28842.0,89
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) ,,,1753.0,15974.0,89
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) ,,,1753.0,15974.0,89
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead ,,,1753.0,28842.0,89
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads ,,,2224.34,28842.0,89
CPT,33214,"Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lea",,,2224.34,28842.0,89
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode ,,,1404.42,15974.0,89
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator ",,,1753.0,15974.0,89
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator ",,,1753.0,15974.0,89
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator ",,,1404.42,15974.0,89
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator ,,,1404.42,15974.0,89
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads ,,,2550.0,28842.0,89
CPT,33222,Relocation of skin pocket for pacemaker ,,,769.0,15974.0,89
CPT,33223,Relocation of skin pocket for implantable defibrillator ,,,769.0,15974.0,89
CPT,33224,"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of po",,,2224.34,28842.0,89
CPT,33225,"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber syste",,,3441.0,28842.0,65
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) ",,,1404.42,15974.0,89
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system ,,,1753.0,28842.0,89
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system ,,,2224.34,28842.0,89
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system ,,,3441.0,28842.0,89
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads ,,,2706.0,78479.0,89
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads ,,,2706.0,78479.0,89
CPT,33233,Removal of permanent pacemaker pulse generator only ,,,1694.0,15974.0,89
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular ",,,1404.42,15974.0,89
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system ,,,1404.42,15974.0,89
CPT,33236,"Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular ",,,1632.0,15974.0,65
CPT,33237,Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system ,,,1632.0,15974.0,65
CPT,33238,Removal of permanent transvenous electrode(s) by thoracotomy ,,,1632.0,15974.0,65
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead ,,,2706.0,78479.0,89
CPT,33241,Removal of implantable defibrillator pulse generator only ,,,1404.42,15974.0,89
CPT,33242,REP ICD-generator/lead ,,,4421.0,4950.0,3
CPT,33243,Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy ,,,2259.0,15974.0,65
CPT,33244,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction ,,,1404.42,15974.0,89
CPT,33245,INSERT EPIC ELTRD PACE-DEFIB ,,,4421.0,4421.0,1
CPT,33246,INSERT EPIC ELTRD/GENERATOR ,,,4421.0,4421.0,1
CPT,33247,Insert ICD lead-oth appr ,,,4421.0,4421.0,1
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber ",,,2706.0,78479.0,89
CPT,33250,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33251,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33253,RECONSTRUCT ATRIA ,,,4421.0,4421.0,1
CPT,33254,"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) ",,,1632.0,4953.0,46
CPT,33255,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33256,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33257,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze procedure) (List separately in addition to code for primary proce",,,1632.0,4953.0,46
CPT,33258,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition ",,,1632.0,4953.0,46
CPT,33259,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to ",,,1632.0,4953.0,46
CPT,33261,Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system ,,,1257.0,78479.0,125
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system ,,,1257.0,78479.0,125
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system ,,,1257.0,78479.0,125
CPT,33265,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33266,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33267,"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) ",,,1632.0,4953.0,46
CPT,33268,"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip",,,1632.0,4953.0,46
CPT,33269,"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) ",,,1632.0,4953.0,46
CPT,33270,"Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of ",,,1257.0,78479.0,125
CPT,33271,Insertion of subcutaneous implantable defibrillator electrode ,,,1257.0,78479.0,125
CPT,33272,Removal of subcutaneous implantable defibrillator electrode ,,,1257.0,78479.0,125
CPT,33273,Repositioning of previously implanted subcutaneous implantable defibrillator electrode ,,,1257.0,12057.0,125
CPT,33274,"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and dev",,,2550.0,18085.0,114
CPT,33275,"Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed ",,,1404.42,8866.0,108
CPT,33276,"Insertion of phrenic nerve stimulator system (pulse generator and stimulating leadºs»), including vessel catheterization, all imaging guidance, and pulse generator initial analysis with diagnostic mod",,,2550.0,21174.0,68
CPT,33277,Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure) ,,,291.0,3435.0,68
CPT,33278,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s) ",,,1694.0,8866.0,84
CPT,33279,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) only ",,,1694.0,8866.0,84
CPT,33280,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator only ",,,1694.0,8866.0,84
CPT,33281,Repositioning of phrenic nerve stimulator transvenous lead(s) ,,,1694.0,8866.0,84
CPT,33282,IMPLANTATION OF PATIENT-ACTIVATED CARDIAC EVENT RECORDER ,,,607.0,4421.0,22
CPT,33284,"REMOVAL OF AN IMPLANTABLE, PATIENT-ACTIVATED CARDIAC EVENT RECORDER ",,,607.0,4421.0,22
CPT,33285,"Insertion, subcutaneous cardiac rhythm monitor, including programming ",,,1753.0,13472.0,92
CPT,33286,"Removal, subcutaneous cardiac rhythm monitor ",,,511.0,3979.0,108
CPT,33287,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator ",,,2264.0,18085.0,68
CPT,33288,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(",,,1804.0,13472.0,68
CPT,33289,"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective",,,2550.0,21174.0,72
CPT,33300,Repair of cardiac wound; without bypass ,,,1632.0,6051.0,46
CPT,33305,Repair of cardiac wound; with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33310,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass ",,,1632.0,4953.0,46
CPT,33315,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33320,Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33321,Suture repair of aorta or great vessels; with shunt bypass ,,,1632.0,4953.0,46
CPT,33322,Suture repair of aorta or great vessels; with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33330,"Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33332,INSERT MAJOR VESSEL GRAFT ,,,4421.0,4421.0,1
CPT,33335,"Insertion of graft, aorta or great vessels; with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33340,"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appen",,,1632.0,16577.0,72
CPT,33361,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach ,,,1632.0,4953.0,70
CPT,33362,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach ,,,1632.0,4953.0,70
CPT,33363,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach ,,,1632.0,4953.0,70
CPT,33364,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach ,,,1632.0,4953.0,70
CPT,33365,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) ",,,1632.0,4953.0,70
CPT,33366,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy) ",,,1632.0,4953.0,70
CPT,33367,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separa",,,1632.0,4953.0,46
CPT,33368,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg, femoral, iliac, axillary vessels) (Li",,,1632.0,4953.0,46
CPT,33369,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List ",,,1632.0,4953.0,46
CPT,33370,"Transcatheter placement and subsequent removal of cerebral embolic protection device(s), including arterial access, catheterization, imaging, and radiological supervision and interpretation, percutane",,,291.0,3435.0,68
CPT,33390,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) ",,,1632.0,4953.0,46
CPT,33391,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) ",,,1632.0,4953.0,46
CPT,33400,REPAIR OF AORTIC VALVE ,,,4421.0,4421.0,1
CPT,33401,VALVULOPLASTY OPEN ,,,4421.0,4421.0,1
CPT,33403,VALVULOPLASTY W/CP BYPASS ,,,4421.0,4421.0,1
CPT,33404,Construction of apical-aortic conduit ,,,1632.0,4953.0,46
CPT,33405,"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve ",,,1632.0,4953.0,46
CPT,33406,"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) ",,,1632.0,4953.0,46
CPT,33410,"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve ",,,1632.0,12538.0,46
CPT,33411,"Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus ",,,1632.0,4953.0,46
CPT,33412,"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) ",,,1632.0,4953.0,46
CPT,33413,"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) ",,,1632.0,4953.0,46
CPT,33414,Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract ,,,1632.0,4953.0,46
CPT,33415,Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis ,,,1632.0,4953.0,46
CPT,33416,"Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) ",,,1632.0,4953.0,46
CPT,33417,Aortoplasty (gusset) for supravalvular stenosis ,,,1632.0,4953.0,46
CPT,33418,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis ",,,1632.0,6581.0,46
CPT,33419,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addition to code for primary ",,,291.0,2900.0,37
CPT,33420,"Valvotomy, mitral valve; closed heart ",,,1632.0,4953.0,46
CPT,33422,"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33425,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; ",,,1632.0,4953.0,46
CPT,33426,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring ",,,1632.0,4953.0,46
CPT,33427,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring ",,,1632.0,4953.0,46
CPT,33430,"Replacement, mitral valve, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33440,"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmo",,,1632.0,4953.0,46
CPT,33460,"Valvectomy, tricuspid valve, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33463,"Valvuloplasty, tricuspid valve; without ring insertion ",,,1632.0,4953.0,46
CPT,33464,"Valvuloplasty, tricuspid valve; with ring insertion ",,,1632.0,4953.0,46
CPT,33465,"Replacement, tricuspid valve, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33468,Tricuspid valve repositioning and plication for Ebstein anomaly ,,,1632.0,4953.0,46
CPT,33470,"VALVOTOMY, PULMONARY VALVE, CLOSED HEART; TRANSVENTRICULAR ",,,4421.0,4421.0,1
CPT,33471,"Valvotomy, pulmonary valve, closed heart, via pulmonary artery ",,,4421.0,4421.0,1
CPT,33472,REVISION OF PULMONARY VALVE ,,,4421.0,4421.0,1
CPT,33474,"Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33475,"Replacement, pulmonary valve ",,,1632.0,4953.0,46
CPT,33476,"Right ventricular resection for infundibular stenosis, with or without commissurotomy ",,,1632.0,4953.0,46
CPT,33477,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed ",,,1632.0,16577.0,48
CPT,33478,"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection ",,,1632.0,4953.0,46
CPT,33496,Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) ,,,1632.0,12538.0,46
CPT,33500,Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33501,Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33502,Repair of anomalous coronary artery from pulmonary artery origin; by ligation ,,,1632.0,4953.0,46
CPT,33503,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33504,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33505,Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) ,,,1632.0,4953.0,46
CPT,33506,Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta ,,,1632.0,4953.0,46
CPT,33507,"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation ",,,1632.0,4953.0,46
CPT,33508,"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure) ",,,291.0,4421.0,37
CPT,33509,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic ",,,1632.0,4953.0,46
CPT,33510,"Coronary artery bypass, vein only; single coronary venous graft ",,,1632.0,4953.0,46
CPT,33511,"Coronary artery bypass, vein only; 2 coronary venous grafts ",,,1632.0,4953.0,46
CPT,33512,"Coronary artery bypass, vein only; 3 coronary venous grafts ",,,1632.0,4953.0,46
CPT,33513,"Coronary artery bypass, vein only; 4 coronary venous grafts ",,,1632.0,4953.0,46
CPT,33514,"Coronary artery bypass, vein only; 5 coronary venous grafts ",,,1632.0,4953.0,46
CPT,33516,"Coronary artery bypass, vein only; 6 or more coronary venous grafts ",,,1632.0,4953.0,46
CPT,33517,"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33518,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33519,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33521,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33522,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33523,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33530,"Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33533,"Coronary artery bypass, using arterial graft(s); single arterial graft ",,,1632.0,4953.0,46
CPT,33534,"Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts ",,,1632.0,4953.0,46
CPT,33535,"Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts ",,,1632.0,4953.0,46
CPT,33536,"Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts ",,,1632.0,4953.0,46
CPT,33542,"Myocardial resection (eg, ventricular aneurysmectomy) ",,,1632.0,4953.0,46
CPT,33545,"Repair of postinfarction ventricular septal defect, with or without myocardial resection ",,,1632.0,4953.0,46
CPT,33548,"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) ",,,1632.0,4953.0,46
CPT,33572,"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed in conjunction with coronary artery bypass graft procedure, each vessel (List sep",,,1632.0,4953.0,46
CPT,33600,Closure of atrioventricular valve (mitral or tricuspid) by suture or patch ,,,1632.0,4953.0,46
CPT,33602,Closure of semilunar valve (aortic or pulmonary) by suture or patch ,,,1632.0,4953.0,46
CPT,33606,Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) ,,,1632.0,4953.0,46
CPT,33608,Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery ,,,1632.0,4953.0,46
CPT,33610,"Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect ",,,1632.0,4953.0,46
CPT,33611,Repair of double outlet right ventricle with intraventricular tunnel repair; ,,,1632.0,4953.0,46
CPT,33612,Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction ,,,1632.0,4953.0,46
CPT,33615,"Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) ",,,1632.0,4953.0,46
CPT,33617,"Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure ",,,1632.0,4953.0,46
CPT,33619,"Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) ",,,1632.0,4953.0,46
CPT,33620,"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) ",,,1632.0,4953.0,46
CPT,33621,"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) ",,,1632.0,4953.0,46
CPT,33622,"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia, creation of c",,,1632.0,4953.0,46
CPT,33641,"Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch ",,,1632.0,4953.0,46
CPT,33645,"Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage ",,,1632.0,4953.0,46
CPT,33647,"Repair of atrial septal defect and ventricular septal defect, with direct or patch closure ",,,1632.0,4953.0,46
CPT,33660,"Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair ",,,1632.0,4953.0,46
CPT,33665,"Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair ",,,1632.0,4953.0,46
CPT,33670,"Repair of complete atrioventricular canal, with or without prosthetic valve ",,,1632.0,4953.0,46
CPT,33675,Closure of multiple ventricular septal defects; ,,,1632.0,4953.0,46
CPT,33676,Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) ,,,1632.0,4953.0,46
CPT,33677,"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset ",,,1632.0,4953.0,46
CPT,33681,"Closure of single ventricular septal defect, with or without patch; ",,,1632.0,4953.0,46
CPT,33684,"Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) ",,,1632.0,4953.0,46
CPT,33688,"Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset ",,,1632.0,4953.0,46
CPT,33690,Banding of pulmonary artery ,,,1632.0,4953.0,46
CPT,33692,Complete repair tetralogy of Fallot without pulmonary atresia; ,,,1632.0,4953.0,46
CPT,33694,Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch ,,,1632.0,4953.0,46
CPT,33697,Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect ,,,1632.0,4953.0,46
CPT,33702,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; ",,,1632.0,4953.0,46
CPT,33710,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect ",,,1632.0,4953.0,46
CPT,33720,"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33722,CLOSURE OF AORTICO-LEFT VENTRICULAR TUNNEL ,,,4421.0,4421.0,1
CPT,33724,"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) ",,,1632.0,4953.0,46
CPT,33726,Repair of pulmonary venous stenosis ,,,1632.0,4953.0,46
CPT,33730,"Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) ",,,1632.0,4953.0,46
CPT,33732,Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane ,,,1632.0,4953.0,46
CPT,33735,Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) ,,,1632.0,6051.0,46
CPT,33736,Atrial septectomy or septostomy; open heart with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33737,"Atrial septectomy or septostomy; open heart, with inflow occlusion ",,,4421.0,4421.0,1
CPT,33741,"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, any method (eg, Rashkind, S",,,1632.0,12528.0,48
CPT,33745,"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when ",,,1632.0,16577.0,50
CPT,33746,"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when ",,,1632.0,16577.0,48
CPT,33750,Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) ,,,1632.0,4953.0,46
CPT,33755,Shunt; ascending aorta to pulmonary artery (Waterston type operation) ,,,1632.0,4953.0,46
CPT,33762,Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) ,,,1632.0,4953.0,46
CPT,33764,"Shunt; central, with prosthetic graft ",,,1632.0,4953.0,46
CPT,33766,Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) ,,,1632.0,4953.0,46
CPT,33767,Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) ,,,1632.0,4953.0,46
CPT,33768,"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure) ",,,1632.0,4953.0,46
CPT,33770,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect ,,,1632.0,4953.0,46
CPT,33771,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect ,,,1632.0,4953.0,46
CPT,33774,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; ",,,1632.0,4953.0,46
CPT,33775,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band ",,,1632.0,4953.0,46
CPT,33776,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect ",,,1632.0,4953.0,46
CPT,33777,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction ",,,1632.0,4953.0,46
CPT,33778,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); ",,,1632.0,4953.0,46
CPT,33779,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band ",,,1632.0,4953.0,46
CPT,33780,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect ",,,1632.0,4953.0,46
CPT,33781,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction ",,,1632.0,4953.0,46
CPT,33782,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation ",,,1632.0,4953.0,46
CPT,33783,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia ",,,1632.0,4953.0,46
CPT,33786,"Total repair, truncus arteriosus (Rastelli type operation) ",,,1632.0,4953.0,46
CPT,33788,Reimplantation of an anomalous pulmonary artery ,,,1632.0,4953.0,46
CPT,33800,"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure) ",,,1632.0,4953.0,46
CPT,33802,Division of aberrant vessel (vascular ring); ,,,1632.0,4953.0,46
CPT,33803,Division of aberrant vessel (vascular ring); with reanastomosis ,,,1632.0,4953.0,46
CPT,33813,Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass ,,,4421.0,4421.0,1
CPT,33814,"Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33820,Repair of patent ductus arteriosus; by ligation ,,,2550.0,16279.0,37
CPT,33822,"Repair of patent ductus arteriosus; by division, younger than 18 years ",,,2550.0,13472.0,37
CPT,33824,"Repair of patent ductus arteriosus; by division, 18 years and older ",,,2550.0,16279.0,37
CPT,33840,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis ",,,1632.0,4953.0,46
CPT,33845,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft ",,,1632.0,4953.0,46
CPT,33851,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement ",,,1632.0,4953.0,46
CPT,33852,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33853,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33858,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection ",,,1632.0,4953.0,46
CPT,33859,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) ",,,1632.0,4953.0,46
CPT,33860,"ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, INCLUDES VALVE SUSPENSION, WHEN PERFORMED ",,,4421.0,4421.0,1
CPT,33861,ASCENDING AORTIC GRAFT ,,,4421.0,4421.0,1
CPT,33863,"Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) ",,,1632.0,4953.0,46
CPT,33864,"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) ",,,1632.0,4953.0,46
CPT,33866,"Aortic hemiarch graft including isolation and control of the arch vessels, beveled open distal aortic anastomosis extending under one or more of the arch vessels, and total circulatory arrest or isola",,,291.0,4421.0,46
CPT,33870,"TRANSVERSE ARCH GRAFT, WITH CARDIOPULMONARY BYPASS ",,,4421.0,4421.0,1
CPT,33871,"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle",,,1632.0,4953.0,46
CPT,33875,"Descending thoracic aorta graft, with or without bypass ",,,1632.0,4953.0,46
CPT,33877,"Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33880,"Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment o",,,1632.0,4953.0,46
CPT,33881,"Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment o",,,1632.0,4953.0,46
CPT,33882,Endovascular repair of the thoracic aorta by deployment of a branched endograft multipiece system involving an aorto-aortic tube device with a fenestration for the left subclavian artery stent graft(s,,,1632.0,4953.0,45
CPT,33883,"Delayed placement of proximal extension prosthesis(es) not involving coverage of the left subclavian artery origin, after endovascular repair of the thoracic aorta, including pre-procedure sizing and ",,,1632.0,4953.0,46
CPT,33884,"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disrupti",,,4421.0,4421.0,1
CPT,33886,"Delayed placement of distal extension prosthesis(es) from the level of the left subclavian artery to the celiac artery, after endovascular repair of descending thoracic aorta, including pre-procedure ",,,1632.0,4953.0,46
CPT,33889,"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral ",,,4421.0,4421.0,1
CPT,33891,"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision ",,,4421.0,4421.0,1
CPT,33894,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches ",,,1632.0,6581.0,46
CPT,33895,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches ",,,1632.0,6581.0,46
CPT,33897,Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta ,,,1632.0,4953.0,46
CPT,33900,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral ",,,2224.34,13472.0,92
CPT,33901,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral ",,,2224.34,13472.0,92
CPT,33902,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral ",,,2550.0,13472.0,92
CPT,33903,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral ",,,2224.34,13472.0,92
CPT,33904,"Percutaneous pulmonary artery revascularization by stent placement, each additional vessel or separate lesion, normal or abnormal connections (List separately in addition to code for primary procedure",,,291.0,3435.0,68
CPT,33910,Pulmonary artery embolectomy; with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33915,Pulmonary artery embolectomy; without cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33916,"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33917,Repair of pulmonary artery stenosis by reconstruction with patch or graft ,,,1632.0,4953.0,46
CPT,33918,REPAIR PULMONARY ATRESIA ,,,4421.0,4421.0,1
CPT,33919,REPAIR PULMONARY ATRESIA ,,,4421.0,4421.0,1
CPT,33920,"Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery ",,,1632.0,4953.0,46
CPT,33922,Transection of pulmonary artery with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33924,"Ligation and takedown of a systemic-to-pulmonary artery shunt, performed in conjunction with a congenital heart procedure (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33925,Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33926,Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass ,,,1632.0,4953.0,46
CPT,33927,Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy ,,,1632.0,4953.0,46
CPT,33928,Removal and replacement of total replacement heart system (artificial heart) ,,,1632.0,4953.0,46
CPT,33929,Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,46
CPT,33930,Donor cardiectomy-pneumonectomy (including cold preservation) ,,,1632.0,4953.0,46
CPT,33933,"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inf",,,1632.0,4953.0,46
CPT,33935,Heart-lung transplant with recipient cardiectomy-pneumonectomy ,,,1632.0,4953.0,46
CPT,33940,Donor cardiectomy (including cold preservation) ,,,1632.0,4953.0,46
CPT,33944,"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior",,,428.28,4953.0,90
CPT,33945,"Heart transplant, with or without recipient cardiectomy ",,,1632.0,4953.0,46
CPT,33946,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous ",,,1632.0,4953.0,46
CPT,33947,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial ",,,1632.0,4953.0,46
CPT,33948,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous ",,,1632.0,4953.0,46
CPT,33949,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial ",,,1632.0,4953.0,46
CPT,33951,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of",,,1632.0,4953.0,46
CPT,33952,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (inclu",,,1632.0,4953.0,46
CPT,33953,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age ",,,1632.0,4953.0,46
CPT,33954,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older ",,,1632.0,4953.0,46
CPT,33955,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age ",,,1632.0,4953.0,46
CPT,33956,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older ",,,1632.0,4953.0,46
CPT,33957,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of a",,,1632.0,4953.0,46
CPT,33958,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (include",,,1632.0,4953.0,46
CPT,33959,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (incl",,,1632.0,4953.0,46
CPT,33960,EXTERNAL CIRCULATION ASSIST ,,,4421.0,4421.0,1
CPT,33961,EXTERNAL CIRCULATION ASSIST ,,,4421.0,4421.0,1
CPT,33962,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, 6 years and older (includes fluoro",,,1632.0,4953.0,46
CPT,33963,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age (includ",,,1632.0,4953.0,46
CPT,33964,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition central cannula(e) by sternotomy or thoracotomy, 6 years and older (includes fluoroscopi",,,1632.0,4953.0,46
CPT,33965,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of a",,,1632.0,4953.0,46
CPT,33966,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older ",,,1632.0,4953.0,46
CPT,33967,"Insertion of intra-aortic balloon assist device, percutaneous ",,,2550.0,18085.0,37
CPT,33968,"Removal of intra-aortic balloon assist device, percutaneous ",,,607.0,18085.0,79
CPT,33969,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age ",,,1632.0,4953.0,46
CPT,33970,"Insertion of intra-aortic balloon assist device through the femoral artery, open approach ",,,1632.0,6581.0,46
CPT,33971,"Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft ",,,1632.0,4953.0,46
CPT,33973,Insertion of intra-aortic balloon assist device through the ascending aorta ,,,1632.0,4953.0,46
CPT,33974,"Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft ",,,1632.0,4953.0,46
CPT,33975,"Insertion of ventricular assist device; extracorporeal, single ventricle ",,,1632.0,4953.0,46
CPT,33976,"Insertion of ventricular assist device; extracorporeal, biventricular ",,,1632.0,4953.0,46
CPT,33977,"Removal of ventricular assist device; extracorporeal, single ventricle ",,,1632.0,4953.0,46
CPT,33978,"Removal of ventricular assist device; extracorporeal, biventricular ",,,1632.0,4953.0,46
CPT,33979,"Insertion of ventricular assist device, implantable intracorporeal, single ventricle ",,,1632.0,6581.0,46
CPT,33980,"Removal of ventricular assist device, implantable intracorporeal, single ventricle ",,,1632.0,4953.0,46
CPT,33981,"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump ",,,1632.0,4953.0,46
CPT,33982,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33983,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass ",,,1632.0,4953.0,46
CPT,33984,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older ",,,1632.0,4953.0,46
CPT,33985,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age ",,,1632.0,4953.0,46
CPT,33986,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older ",,,1632.0,4953.0,46
CPT,33987,"Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,33988,"Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS ",,,1632.0,4953.0,46
CPT,33989,"Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS ",,,1632.0,4953.0,46
CPT,33990,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only ",,,1632.0,4953.0,46
CPT,33991,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture ",,,1632.0,4953.0,46
CPT,33992,"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion ",,,1632.0,4953.0,46
CPT,33993,Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion ,,,1632.0,4953.0,46
CPT,33995,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only ",,,1632.0,5588.0,46
CPT,33997,"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion ",,,1632.0,4953.0,46
CPT,33999,"Unlisted procedure, cardiac surgery ",,,511.0,4421.0,61
CPT,34001,"Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision ",,,1632.0,4953.0,46
CPT,34051,"Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision ",,,1632.0,4953.0,46
CPT,34101,"Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision ",,,1257.0,9431.0,119
CPT,34111,"Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision ",,,1753.0,9431.0,61
CPT,34151,"Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision ",,,1632.0,4953.0,46
CPT,34201,"Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision ",,,1753.0,9431.0,61
CPT,34203,"Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision ",,,1753.0,9431.0,61
CPT,34401,"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision ",,,1632.0,4953.0,46
CPT,34421,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision ",,,1404.42,5958.0,61
CPT,34451,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision ",,,1632.0,4953.0,46
CPT,34471,"Thrombectomy, direct or with catheter; subclavian vein, by neck incision ",,,511.0,4421.0,61
CPT,34490,"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision ",,,1404.42,5958.0,61
CPT,34501,"Valvuloplasty, femoral vein ",,,1753.0,9431.0,61
CPT,34502,"Reconstruction of vena cava, any method ",,,1632.0,5588.0,46
CPT,34510,"Venous valve transposition, any vein donor ",,,1753.0,9431.0,61
CPT,34520,Cross-over vein graft to venous system ,,,1753.0,9431.0,61
CPT,34530,Saphenopopliteal vein anastomosis ,,,1404.42,5958.0,61
CPT,34701,"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiolo",,,1632.0,6581.0,88
CPT,34702,"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiolo",,,1632.0,6446.0,88
CPT,34703,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s),",,,1632.0,6581.0,112
CPT,34704,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s),",,,1632.0,6446.0,88
CPT,34705,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), ",,,1632.0,6581.0,88
CPT,34706,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), ",,,1632.0,6446.0,88
CPT,34707,"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological ",,,1632.0,7602.0,88
CPT,34708,"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological ",,,1632.0,7602.0,88
CPT,34709,"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneury",,,607.0,4953.0,88
CPT,34710,"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, inc",,,1471.0,6446.0,88
CPT,34711,"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, inc",,,607.0,4953.0,88
CPT,34712,"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation ",,,1257.0,6446.0,88
CPT,34713,"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilateral (List separately in ",,,291.0,3435.0,88
CPT,34714,"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (List separately in addition",,,291.0,3435.0,88
CPT,34715,"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to code for primary procedure) ",,,291.0,3435.0,88
CPT,34716,"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or supraclavicular incision",,,291.0,3441.0,88
CPT,34717,"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and device selection, all ipsilate",,,1632.0,16577.0,48
CPT,34718,"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, including pre-procedure sizing ",,,1632.0,16577.0,48
CPT,34800,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis ,,,4421.0,4421.0,1
CPT,34802,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb) ,,,4421.0,4421.0,1
CPT,34803,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs) ,,,4421.0,4421.0,1
CPT,34804,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis ,,,4421.0,4421.0,1
CPT,34805,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis ,,,4421.0,4421.0,1
CPT,34806,"HTranscatheter placement of wireless physiologic sensor in aneurysmal sac during endovascular repair, including radiological supervision and interpretation, instrument calibration, and collection of ",,,4421.0,4421.0,1
CPT,34808,Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,46
CPT,34812,"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure) ",,,742.8,6051.0,70
CPT,34813,Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,46
CPT,34820,"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List separately in addition to ",,,1632.0,6051.0,46
CPT,34825,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel ",,,4421.0,4421.0,1
CPT,34826,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; each additional vessel (List separately ",,,4421.0,4421.0,1
CPT,34830,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis ",,,1632.0,12538.0,46
CPT,34831,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis ",,,1632.0,12538.0,46
CPT,34832,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis ",,,1632.0,12538.0,46
CPT,34833,"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal incision, unilateral (List s",,,1632.0,12538.0,88
CPT,34834,"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure) ",,,1632.0,12538.0,88
CPT,34839,Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time ,,,1632.0,4421.0,22
CPT,34841,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,1632.0,6581.0,46
CPT,34842,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,1632.0,6581.0,46
CPT,34843,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,1632.0,6581.0,46
CPT,34844,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,1632.0,6581.0,46
CPT,34845,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,1632.0,6581.0,46
CPT,34846,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,1632.0,6581.0,46
CPT,34847,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,1632.0,6581.0,46
CPT,34848,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,1632.0,6581.0,46
CPT,34900,"HEndovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis ",,,4421.0,4421.0,1
CPT,35001,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, carotid, subclavian artery, b",,,1632.0,4953.0,46
CPT,35002,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision ",,,1632.0,4953.0,46
CPT,35005,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, vertebral ar",,,1632.0,4953.0,46
CPT,35011,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by ",,,1753.0,9431.0,61
CPT,35013,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision ",,,1632.0,4953.0,46
CPT,35021,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, ",,,1632.0,4953.0,46
CPT,35022,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision ",,,1632.0,4953.0,46
CPT,35045,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ul",,,1753.0,9431.0,61
CPT,35081,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,1632.0,6051.0,46
CPT,35082,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta ",,,1632.0,4953.0,46
CPT,35091,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,1632.0,4953.0,46
CPT,35092,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteri",,,1632.0,4953.0,46
CPT,35102,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,1632.0,6051.0,46
CPT,35103,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypo",,,1632.0,4953.0,46
CPT,35111,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, splenic arte",,,1632.0,5588.0,46
CPT,35112,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery ",,,1632.0,4953.0,46
CPT,35121,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, cel",,,1632.0,4953.0,46
CPT,35122,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery ",,,1632.0,4953.0,46
CPT,35131,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery",,,1632.0,4953.0,46
CPT,35132,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external) ",,,1632.0,4953.0,46
CPT,35141,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femor",,,1632.0,4953.0,70
CPT,35142,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial ",,,1632.0,4953.0,46
CPT,35151,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, popliteal ar",,,1632.0,4953.0,46
CPT,35152,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery ",,,1632.0,4953.0,46
CPT,35161,REPAIR DEFECT OF ARTERY ,,,4421.0,4421.0,1
CPT,35162,REPAIR ARTERY RUPTURE ,,,4421.0,4421.0,1
CPT,35180,"Repair, congenital arteriovenous fistula; head and neck ",,,511.0,4421.0,61
CPT,35182,"Repair, congenital arteriovenous fistula; thorax and abdomen ",,,1632.0,4953.0,46
CPT,35184,"Repair, congenital arteriovenous fistula; extremities ",,,1404.42,5958.0,61
CPT,35188,"Repair, acquired or traumatic arteriovenous fistula; head and neck ",,,1471.0,9431.0,139
CPT,35189,"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen ",,,1632.0,4953.0,46
CPT,35190,"Repair, acquired or traumatic arteriovenous fistula; extremities ",,,1753.0,9431.0,61
CPT,35201,"Repair blood vessel, direct; neck ",,,1753.0,9431.0,83
CPT,35206,"Repair blood vessel, direct; upper extremity ",,,1404.42,6446.0,83
CPT,35207,"Repair blood vessel, direct; hand, finger ",,,1404.42,6446.0,139
CPT,35211,"Repair blood vessel, direct; intrathoracic, with bypass ",,,1632.0,4953.0,46
CPT,35216,"Repair blood vessel, direct; intrathoracic, without bypass ",,,1632.0,6581.0,46
CPT,35221,"Repair blood vessel, direct; intra-abdominal ",,,1632.0,5588.0,46
CPT,35226,"Repair blood vessel, direct; lower extremity ",,,511.0,6446.0,83
CPT,35231,Repair blood vessel with vein graft; neck ,,,1404.42,6446.0,83
CPT,35236,Repair blood vessel with vein graft; upper extremity ,,,1753.0,9431.0,83
CPT,35241,"Repair blood vessel with vein graft; intrathoracic, with bypass ",,,1632.0,4953.0,46
CPT,35246,"Repair blood vessel with vein graft; intrathoracic, without bypass ",,,1632.0,4953.0,46
CPT,35251,Repair blood vessel with vein graft; intra-abdominal ,,,1632.0,4953.0,46
CPT,35256,Repair blood vessel with vein graft; lower extremity ,,,1753.0,9431.0,83
CPT,35261,Repair blood vessel with graft other than vein; neck ,,,1404.42,6446.0,83
CPT,35266,Repair blood vessel with graft other than vein; upper extremity ,,,1753.0,9431.0,83
CPT,35271,"Repair blood vessel with graft other than vein; intrathoracic, with bypass ",,,1632.0,4953.0,46
CPT,35276,"Repair blood vessel with graft other than vein; intrathoracic, without bypass ",,,1632.0,4953.0,46
CPT,35281,Repair blood vessel with graft other than vein; intra-abdominal ,,,1632.0,4953.0,46
CPT,35286,Repair blood vessel with graft other than vein; lower extremity ,,,1753.0,9431.0,83
CPT,35301,"Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision ",,,1632.0,6581.0,70
CPT,35302,"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery ",,,1632.0,4953.0,46
CPT,35303,"Thromboendarterectomy, including patch graft, if performed; popliteal artery ",,,1632.0,4953.0,46
CPT,35304,"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery ",,,1632.0,4953.0,46
CPT,35305,"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel ",,,1632.0,4953.0,46
CPT,35306,"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,35311,"Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision ",,,1632.0,4953.0,46
CPT,35321,"Thromboendarterectomy, including patch graft, if performed; axillary-brachial ",,,1753.0,9431.0,83
CPT,35331,"Thromboendarterectomy, including patch graft, if performed; abdominal aorta ",,,1632.0,4953.0,46
CPT,35341,"Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal ",,,1632.0,4953.0,46
CPT,35351,"Thromboendarterectomy, including patch graft, if performed; iliac ",,,1632.0,4953.0,46
CPT,35355,"Thromboendarterectomy, including patch graft, if performed; iliofemoral ",,,1632.0,4953.0,46
CPT,35361,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliac ",,,1632.0,4953.0,46
CPT,35363,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral ",,,1632.0,4953.0,46
CPT,35371,"Thromboendarterectomy, including patch graft, if performed; common femoral ",,,1632.0,4953.0,46
CPT,35372,"Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral ",,,1603.31,9431.0,92
CPT,35381,RECHANNELING OF ARTERY ,,,4421.0,4421.0,1
CPT,35390,"Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,35400,Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure) ,,,134.28,4953.0,62
CPT,35450,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35452,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35454,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35456,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35458,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35459,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35460,REPAIR VENOUS BLOCKAGE ,,,4421.0,4421.0,1
CPT,35470,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35471,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35472,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35473,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35474,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35475,REPAIR ARTERIAL BLOCKAGE ,,,4421.0,4421.0,1
CPT,35476,REPAIR VENOUS BLOCKAGE ,,,4421.0,4421.0,1
CPT,35480,"ATHERECTOMY, OPEN ",,,4421.0,4421.0,1
CPT,35481,"ATHERECTOMY, OPEN ",,,4421.0,4421.0,1
CPT,35482,"ATHERECTOMY, OPEN ",,,4421.0,4421.0,1
CPT,35483,"ATHERECTOMY, OPEN ",,,4421.0,4421.0,1
CPT,35484,"ATHERECTOMY, OPEN ",,,4421.0,4421.0,1
CPT,35485,"ATHERECTOMY, OPEN ",,,4421.0,4421.0,1
CPT,35490,"ATHERECTOMY, PERCUTANEOUS ",,,4421.0,4421.0,1
CPT,35491,"ATHERECTOMY, PERCUTANEOUS ",,,4421.0,4421.0,1
CPT,35492,"ATHERECTOMY, PERCUTANEOUS ",,,4421.0,4421.0,1
CPT,35493,"ATHERECTOMY, PERCUTANEOUS ",,,4421.0,4950.0,4
CPT,35494,"ATHERECTOMY, PERCUTANEOUS ",,,4421.0,4421.0,1
CPT,35495,"ATHERECTOMY, PERCUTANEOUS ",,,4421.0,4421.0,1
CPT,35500,"Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure) ",,,291.0,3441.0,37
CPT,35501,"Bypass graft, with vein; common carotid-ipsilateral internal carotid ",,,1632.0,4953.0,46
CPT,35506,"Bypass graft, with vein; carotid-subclavian or subclavian-carotid ",,,1632.0,6051.0,46
CPT,35507,ARTERY BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35508,"Bypass graft, with vein; carotid-vertebral ",,,1632.0,4953.0,46
CPT,35509,"Bypass graft, with vein; carotid-contralateral carotid ",,,1632.0,4953.0,46
CPT,35510,"Bypass graft, with vein; carotid-brachial ",,,1632.0,4953.0,46
CPT,35511,"Bypass graft, with vein; subclavian-subclavian ",,,1632.0,4953.0,46
CPT,35512,"Bypass graft, with vein; subclavian-brachial ",,,1632.0,4953.0,46
CPT,35515,"Bypass graft, with vein; subclavian-vertebral ",,,1632.0,4953.0,46
CPT,35516,"Bypass graft, with vein; subclavian-axillary ",,,1632.0,4953.0,46
CPT,35518,"Bypass graft, with vein; axillary-axillary ",,,1632.0,4953.0,46
CPT,35521,"Bypass graft, with vein; axillary-femoral ",,,1632.0,4953.0,46
CPT,35522,"Bypass graft, with vein; axillary-brachial ",,,1632.0,4953.0,46
CPT,35523,"Bypass graft, with vein; brachial-ulnar or -radial ",,,1632.0,4953.0,46
CPT,35525,"Bypass graft, with vein; brachial-brachial ",,,1632.0,4953.0,46
CPT,35526,"Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid ",,,1632.0,4953.0,46
CPT,35531,"Bypass graft, with vein; aortoceliac or aortomesenteric ",,,1632.0,4953.0,46
CPT,35533,"Bypass graft, with vein; axillary-femoral-femoral ",,,1632.0,4953.0,46
CPT,35535,"Bypass graft, with vein; hepatorenal ",,,1632.0,4953.0,46
CPT,35536,"Bypass graft, with vein; splenorenal ",,,1632.0,4953.0,46
CPT,35537,"Bypass graft, with vein; aortoiliac ",,,1632.0,4953.0,46
CPT,35538,"Bypass graft, with vein; aortobi-iliac ",,,1632.0,4953.0,46
CPT,35539,"Bypass graft, with vein; aortofemoral ",,,1632.0,4953.0,46
CPT,35540,"Bypass graft, with vein; aortobifemoral ",,,1632.0,4953.0,46
CPT,35541,ARTERY BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35546,ARTERY BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35548,ARTERY BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35549,ARTERY BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35551,ARTERY BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35556,"Bypass graft, with vein; femoral-popliteal ",,,1632.0,6581.0,46
CPT,35558,"Bypass graft, with vein; femoral-femoral ",,,1632.0,6581.0,46
CPT,35560,"Bypass graft, with vein; aortorenal ",,,1632.0,4953.0,46
CPT,35563,"Bypass graft, with vein; ilioiliac ",,,1632.0,4953.0,46
CPT,35565,"Bypass graft, with vein; iliofemoral ",,,1632.0,4953.0,46
CPT,35566,"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels ",,,1632.0,6581.0,46
CPT,35570,"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial ",,,1632.0,4953.0,46
CPT,35571,"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels ",,,1632.0,4953.0,46
CPT,35572,"Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure) ",,,291.0,4421.0,37
CPT,35582,VEIN BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35583,In-situ vein bypass; femoral-popliteal ,,,1632.0,4953.0,46
CPT,35585,"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery ",,,1632.0,4953.0,46
CPT,35587,"In-situ vein bypass; popliteal-tibial, peroneal ",,,1632.0,4953.0,46
CPT,35600,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, open ",,,1632.0,6581.0,46
CPT,35601,"Bypass graft, with other than vein; common carotid-ipsilateral internal carotid ",,,1632.0,4953.0,46
CPT,35602,"Bypass graft, with other than vein; carotid-contralateral carotid ",,,1632.0,4953.0,45
CPT,35606,"Bypass graft, with other than vein; carotid-subclavian ",,,1632.0,6051.0,46
CPT,35612,"Bypass graft, with other than vein; subclavian-subclavian ",,,1632.0,4953.0,46
CPT,35616,"Bypass graft, with other than vein; subclavian-axillary ",,,1632.0,4953.0,46
CPT,35621,"Bypass graft, with other than vein; axillary-femoral ",,,1632.0,4953.0,46
CPT,35623,"Bypass graft, with other than vein; axillary-popliteal or -tibial ",,,1632.0,4953.0,46
CPT,35626,"Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid ",,,1632.0,4953.0,46
CPT,35631,"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal ",,,1632.0,4953.0,46
CPT,35632,"Bypass graft, with other than vein; ilio-celiac ",,,1632.0,4953.0,46
CPT,35633,"Bypass graft, with other than vein; ilio-mesenteric ",,,1632.0,4953.0,46
CPT,35634,"Bypass graft, with other than vein; iliorenal ",,,1632.0,4953.0,46
CPT,35636,"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis) ",,,1632.0,4953.0,46
CPT,35637,"Bypass graft, with other than vein; aortoiliac ",,,1632.0,4953.0,46
CPT,35638,"Bypass graft, with other than vein; aortobi-iliac ",,,1632.0,4953.0,46
CPT,35641,ARTERY BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35642,"Bypass graft, with other than vein; carotid-vertebral ",,,1632.0,4953.0,46
CPT,35645,"Bypass graft, with other than vein; subclavian-vertebral ",,,1632.0,6051.0,46
CPT,35646,"Bypass graft, with other than vein; aortobifemoral ",,,1632.0,4953.0,46
CPT,35647,"Bypass graft, with other than vein; aortofemoral ",,,1632.0,12538.0,46
CPT,35650,"Bypass graft, with other than vein; axillary-axillary ",,,1632.0,4953.0,46
CPT,35651,ARTERY BYPASS GRAFT ,,,4421.0,4421.0,1
CPT,35654,"Bypass graft, with other than vein; axillary-femoral-femoral ",,,1632.0,4953.0,46
CPT,35656,"Bypass graft, with other than vein; femoral-popliteal ",,,1632.0,6581.0,46
CPT,35661,"Bypass graft, with other than vein; femoral-femoral ",,,1632.0,6581.0,46
CPT,35663,"Bypass graft, with other than vein; ilioiliac ",,,1632.0,4953.0,46
CPT,35665,"Bypass graft, with other than vein; iliofemoral ",,,1632.0,4953.0,46
CPT,35666,"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery ",,,1632.0,4953.0,46
CPT,35671,"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery ",,,1632.0,4953.0,46
CPT,35681,"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,35682,"Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,35683,"Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,35685,"Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,37
CPT,35686,Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure) ,,,291.0,2900.0,37
CPT,35691,Transposition and/or reimplantation; vertebral to carotid artery ,,,1632.0,4953.0,46
CPT,35693,Transposition and/or reimplantation; vertebral to subclavian artery ,,,1632.0,4953.0,46
CPT,35694,Transposition and/or reimplantation; subclavian to carotid artery ,,,1632.0,4953.0,46
CPT,35695,Transposition and/or reimplantation; carotid to subclavian artery ,,,1632.0,4953.0,46
CPT,35697,"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,35700,"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery, or other distal vessels, more than 1 month after original operation (List separately in additi",,,1632.0,4953.0,46
CPT,35701,"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian) ",,,1632.0,4953.0,46
CPT,35702,"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar) ",,,1632.0,4953.0,68
CPT,35703,"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal) ",,,1632.0,4953.0,68
CPT,35721,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; FEMORAL ARTERY ",,,4421.0,4421.0,1
CPT,35741,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; POPLITEAL ARTERY ",,,4421.0,4421.0,1
CPT,35761,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; OTHER VESSELS ",,,3058.0,4421.0,2
CPT,35800,"Exploration for postoperative hemorrhage, thrombosis or infection; neck ",,,1603.31,9431.0,92
CPT,35820,"Exploration for postoperative hemorrhage, thrombosis or infection; chest ",,,1632.0,4953.0,46
CPT,35840,"Exploration for postoperative hemorrhage, thrombosis or infection; abdomen ",,,1632.0,6581.0,46
CPT,35860,"Exploration for postoperative hemorrhage, thrombosis or infection; extremity ",,,1404.42,6446.0,83
CPT,35870,Repair of graft-enteric fistula ,,,1632.0,4953.0,46
CPT,35875,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); ,,,1753.0,10746.0,139
CPT,35876,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft ,,,1753.0,10746.0,139
CPT,35879,"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty ",,,1753.0,9431.0,61
CPT,35881,"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition ",,,1753.0,9431.0,61
CPT,35883,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium) ",,,1471.0,9431.0,119
CPT,35884,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft ",,,1471.0,9431.0,119
CPT,35901,Excision of infected graft; neck ,,,1632.0,4953.0,46
CPT,35903,Excision of infected graft; extremity ,,,1404.42,6051.0,61
CPT,35905,Excision of infected graft; thorax ,,,1632.0,6051.0,46
CPT,35907,Excision of infected graft; abdomen ,,,1632.0,4953.0,46
CPT,36000,"Introduction of needle or intracatheter, vein ",,,291.0,3435.0,45
CPT,36002,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm ",,,511.0,3523.0,119
CPT,36005,Injection procedure for extremity venography (including introduction of needle or intracatheter) ,,,291.0,2900.0,79
CPT,36010,"Introduction of catheter, superior or inferior vena cava ",,,291.0,2900.0,79
CPT,36011,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) ",,,291.0,3441.0,79
CPT,36012,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) ",,,291.0,3441.0,79
CPT,36013,"Introduction of catheter, right heart or main pulmonary artery ",,,291.0,6581.0,79
CPT,36014,"Selective catheter placement, left or right pulmonary artery ",,,291.0,6581.0,79
CPT,36015,"Selective catheter placement, segmental or subsegmental pulmonary artery ",,,291.0,6581.0,79
CPT,36100,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,291.0,6581.0,79
CPT,36120,HIntroduction of needle or intracatheter; retrograde brachial artery ,,,990.0,4421.0,2
CPT,36140,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,291.0,4950.0,79
CPT,36145,ARTERY TO VEIN SHUNT ,,,4421.0,4421.0,1
CPT,36147,ACCESS AV DIAL GRFT FOR EVAL ,,,2048.0,4421.0,2
CPT,36148,ACCESS AV DIAL GRFT FOR PROC ,,,990.0,4421.0,2
CPT,36160,"Introduction of needle or intracatheter, aortic, translumbar ",,,291.0,3880.0,79
CPT,36200,"Introduction of catheter, aorta ",,,291.0,6581.0,79
CPT,36215,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,291.0,6581.0,79
CPT,36216,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,291.0,6581.0,79
CPT,36217,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,291.0,6581.0,79
CPT,36218,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,291.0,4950.0,79
CPT,36221,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,870.0,6581.0,103
CPT,36222,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,870.0,6581.0,103
CPT,36223,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,870.0,9431.0,103
CPT,36224,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,1257.0,9431.0,103
CPT,36225,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,870.0,6581.0,103
CPT,36226,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,1257.0,9431.0,103
CPT,36227,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,291.0,4950.0,79
CPT,36228,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,291.0,4950.0,79
CPT,36245,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,6581.0,79
CPT,36246,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,6581.0,79
CPT,36247,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,6581.0,79
CPT,36248,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,291.0,2900.0,79
CPT,36251,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,870.0,6581.0,103
CPT,36252,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,870.0,6581.0,103
CPT,36253,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,870.0,9431.0,103
CPT,36254,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,870.0,5958.0,103
CPT,36260,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,1257.0,28186.0,139
CPT,36261,Revision of implanted intra-arterial infusion pump ,,,870.0,5958.0,139
CPT,36262,Removal of implanted intra-arterial infusion pump ,,,607.0,5958.0,139
CPT,36299,"Unlisted procedure, vascular injection ",,,291.0,4421.0,37
CPT,36400,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,1632.0,3435.0,21
CPT,36405,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,1632.0,3435.0,21
CPT,36406,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,1632.0,3435.0,21
CPT,36410,VENIPUNCTURE 3+YRS DX/TX,1085.92,1085.92,162.89,1085.92,30
CPT,36410,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",1085.92,1085.92,11.64,3435.0,23
CPT,36415,Collection of venous blood by venipuncture ,,,3.0,2550.0,84
CPT,36415,VENIPUNCTURE,61.0,61.0,11.23,61.0,87
CPT,36416,COLL CAPILLARY BLOOD,109.91,109.91,16.49,109.91,37
CPT,36416,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",109.91,109.91,0.37,3435.0,56
CPT,36420,"Venipuncture, cutdown; younger than age 1 year ",,,291.0,3435.0,127
CPT,36425,"Venipuncture, cutdown; age 1 or over ",,,291.0,3435.0,127
CPT,36430,BLOOD TRANSFUSION,2911.63,2911.63,494.98,2911.63,33
CPT,36430,"Transfusion, blood or blood components ",2911.63,2911.63,291.0,3523.0,119
CPT,36440,"Push transfusion, blood, 2 years or younger ",,,291.0,3523.0,119
CPT,36450,"Exchange transfusion, blood; newborn ",,,291.0,4421.0,119
CPT,36455,"Exchange transfusion, blood; other than newborn ",,,291.0,3523.0,119
CPT,36456,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,291.0,4421.0,128
CPT,36460,"Transfusion, intrauterine, fetal ",,,291.0,4421.0,119
CPT,36465,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,769.0,8866.0,128
CPT,36466,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,769.0,8866.0,128
CPT,36468,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,291.0,2900.0,119
CPT,36469,INJECTION(S) SPIDER VEINS ,,,4421.0,4421.0,1
CPT,36470,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,291.0,2900.0,119
CPT,36471,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,291.0,2900.0,119
CPT,36473,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,911.0,6446.0,119
CPT,36474,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,291.0,2900.0,79
CPT,36475,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,1257.0,8866.0,139
CPT,36476,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,291.0,4584.0,99
CPT,36478,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,1257.0,8866.0,139
CPT,36479,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,291.0,4584.0,99
CPT,36481,Percutaneous portal vein catheterization by any method ,,,291.0,2900.0,79
CPT,36482,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,1257.0,9431.0,112
CPT,36483,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,291.0,3435.0,88
CPT,36488,"INSERTION OF CATHETER, VEIN ",,,4421.0,4421.0,1
CPT,36489,"INSERTION OF CATHETER, VEIN ",,,4421.0,4421.0,1
CPT,36490,"INSERTION OF CATHETER, VEIN ",,,4421.0,4421.0,1
CPT,36491,"INSERTION OF CATHETER, VEIN ",,,4421.0,4421.0,1
CPT,36493,REPOSITIONING OF CVC ,,,4421.0,4421.0,1
CPT,36500,CATH VN BLD SMPL,7570.83,7570.83,1135.62,7570.83,29
CPT,36500,Venous catheterization for selective organ blood sampling ,7570.83,7570.83,291.0,2900.0,79
CPT,36510,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,291.0,4421.0,37
CPT,36511,THER APHERESIS WBC,14165.0,14165.0,2607.78,14165.0,50
CPT,36511,Therapeutic apheresis; for white blood cells ,,,769.0,4100.0,103
CPT,36512,THER APHERESIS RBC,4760.33,4760.33,876.38,4760.33,50
CPT,36512,Therapeutic apheresis; for red blood cells ,,,769.0,4100.0,103
CPT,36513,Therapeutic apheresis; for platelets ,,,291.0,2900.0,103
CPT,36514,THER APHERESIS PLASMA,16260.37,16260.37,2993.53,16260.37,25
CPT,36514,Therapeutic apheresis; for plasma pheresis ,16260.37,16260.37,769.0,4100.0,103
CPT,36515,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,3058.0,4421.0,2
CPT,36516,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,1404.42,10746.0,103
CPT,36520,Plasma and/or cell exchange ,,,4421.0,4421.0,1
CPT,36521,Apheresis w/ adsorp/reinfuse ,,,4421.0,4421.0,1
CPT,36522,PHOTOPHERESIS EXTRACORP,15655.8,15655.8,2882.23,15655.8,50
CPT,36522,"Photopheresis, extracorporeal ",,,870.0,6801.0,103
CPT,36530,INSERTION OF INFUSION PUMP ,,,4421.0,4421.0,1
CPT,36531,REVISION OF INFUSION PUMP ,,,4421.0,4421.0,1
CPT,36532,REMOVAL OF INFUSION PUMP ,,,4421.0,4421.0,1
CPT,36533,INSERTION OF ACCESS DEVICE ,,,4421.0,4421.0,1
CPT,36534,REVISION OF ACCESS DEVICE ,,,4421.0,4421.0,1
CPT,36535,REMOVAL OF ACCESS DEVICE ,,,4421.0,4421.0,1
CPT,36540,COLLECT BLOOD VENOUS DEVICE ,,,4421.0,4421.0,1
CPT,36550,DECLOT VASCULAR DEVICE ,,,4421.0,4421.0,1
CPT,36555,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,511.0,21331.0,89
CPT,36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,511.0,21331.0,89
CPT,36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,1753.0,21331.0,89
CPT,36558,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,1404.42,21331.0,89
CPT,36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1404.42,21331.0,89
CPT,36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1404.42,21331.0,89
CPT,36563,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,1753.0,21331.0,89
CPT,36565,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,1404.42,21331.0,89
CPT,36566,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,1753.0,21331.0,89
CPT,36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,511.0,21331.0,89
CPT,36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,511.0,21331.0,89
CPT,36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1404.42,21331.0,89
CPT,36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1404.42,21331.0,89
CPT,36572,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,511.0,21331.0,89
CPT,36573,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,769.0,21331.0,89
CPT,36575,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,511.0,21331.0,89
CPT,36576,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,511.0,21331.0,89
CPT,36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,1404.42,21331.0,89
CPT,36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,511.0,21331.0,89
CPT,36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,1404.42,21331.0,89
CPT,36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,1404.42,21331.0,89
CPT,36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,1753.0,21331.0,89
CPT,36584,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,511.0,21331.0,89
CPT,36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,1404.42,21331.0,89
CPT,36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,511.0,21331.0,89
CPT,36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,769.0,21331.0,89
CPT,36591,COLL BLOOD IMPLANTED VAD,1107.83,1107.83,203.95,1107.83,104
CPT,36591,Collection of blood specimen from a completely implantable venous access device ,,,291.0,21331.0,66
CPT,36592,COLL BLOOD CATHETER NOS,1107.83,1107.83,203.95,1107.83,104
CPT,36592,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,291.0,21331.0,66
CPT,36593,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,291.0,21331.0,89
CPT,36595,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,1404.42,21331.0,89
CPT,36596,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,511.0,21331.0,89
CPT,36597,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,511.0,21331.0,89
CPT,36598,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,291.0,21331.0,89
CPT,36600,ARTERIAL PUNCTURE,183.6,183.6,33.8,183.6,56
CPT,36600,"Arterial puncture, withdrawal of blood for diagnosis ",,,291.0,21331.0,66
CPT,36620,ARTERIAL CATH PERCUTAN,2195.64,2195.64,329.35,2195.64,27
CPT,36620,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",2195.64,2195.64,291.0,21331.0,65
CPT,36625,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,291.0,21331.0,43
CPT,36640,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,1404.42,21331.0,89
CPT,36660,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,1632.0,21331.0,43
CPT,36680,Placement of needle for intraosseous infusion ,,,291.0,21331.0,89
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,1753.0,21331.0,89
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,1404.42,21331.0,89
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,1753.0,21331.0,89
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,1753.0,21331.0,89
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,1753.0,21331.0,89
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,1753.0,21331.0,89
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,1404.42,21331.0,89
CPT,36822,INSERTION OF CANNULA(S) ,,,4421.0,4421.0,1
CPT,36823,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,1632.0,21331.0,43
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,1753.0,21331.0,89
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,1753.0,21331.0,89
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,89
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,89
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,89
CPT,36834,REPAIR A-V ANEURYSM ,,,4421.0,4421.0,1
CPT,36835,Insertion of Thomas shunt (separate procedure) ,,,1404.42,21331.0,89
CPT,36836,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,2264.0,21331.0,65
CPT,36837,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,2264.0,21331.0,65
CPT,36838,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,1753.0,21331.0,89
CPT,36860,External cannula declotting (separate procedure); without balloon catheter ,,,511.0,21331.0,89
CPT,36861,External cannula declotting (separate procedure); with balloon catheter ,,,1753.0,21331.0,89
CPT,36870,PERCUT THROMBECT AV FISTULA ,,,4421.0,4421.0,1
CPT,36901,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,607.0,4100.0,119
CPT,36902,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,1753.0,12219.0,83
CPT,36903,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,2224.34,13472.0,103
CPT,36904,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,1753.0,21331.0,103
CPT,36905,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2224.34,21331.0,83
CPT,36906,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2550.0,21331.0,103
CPT,36907,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,291.0,12219.0,59
CPT,36908,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,291.0,7950.0,79
CPT,36909,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,291.0,2900.0,79
CPT,37140,"Venous anastomosis, open; portocaval ",,,1632.0,4953.0,46
CPT,37145,"Venous anastomosis, open; renoportal ",,,1632.0,4953.0,46
CPT,37160,"Venous anastomosis, open; caval-mesenteric ",,,1632.0,4953.0,46
CPT,37180,"Venous anastomosis, open; splenorenal, proximal ",,,1632.0,4953.0,46
CPT,37181,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,1632.0,4953.0,46
CPT,37182,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2224.34,13472.0,92
CPT,37183,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,1753.0,13472.0,103
CPT,37184,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,2224.34,9431.0,119
CPT,37185,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,291.0,2900.0,79
CPT,37186,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,291.0,2900.0,79
CPT,37187,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2224.34,9431.0,119
CPT,37188,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,1404.42,8866.0,119
CPT,37191,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,1257.0,9431.0,103
CPT,37192,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,1257.0,6446.0,103
CPT,37193,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,1257.0,6446.0,103
CPT,37195,"Thrombolysis, cerebral, by intravenous infusion ",,,291.0,4950.0,77
CPT,37197,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,1257.0,8866.0,119
CPT,37200,Transcatheter biopsy ,,,1471.0,9431.0,119
CPT,37201,TRANSCATHETER THERAPY INFUSE ,,,4421.0,4421.0,1
CPT,37202,TRANSCATHETER THERAPY INFUSE ,,,4421.0,4421.0,1
CPT,37203,TRANSCATHETER RETRIEVAL ,,,4421.0,4421.0,1
CPT,37204,TRANSCATHETER OCCLUSION ,,,4421.0,4421.0,1
CPT,37205,TRANSCATH IV STENT PERCUT ,,,4421.0,4421.0,1
CPT,37206,TRANSCATH IV STENT/PERC ADDL ,,,4421.0,7950.0,2
CPT,37207,TRANSCATH IV STENT OPEN ,,,4421.0,4421.0,1
CPT,37208,TRANSCATH IV STENT/OPEN ADDL ,,,4421.0,4421.0,1
CPT,37209,CHANGE IV CATH AT THROMB TX ,,,4421.0,4421.0,1
CPT,37210,EMBOLIZATION UTERINE FIBROID ,,,4421.0,4421.0,1
CPT,37211,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,1753.0,21331.0,89
CPT,37212,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1404.42,21331.0,89
CPT,37213,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,511.0,21331.0,89
CPT,37214,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,511.0,21331.0,89
CPT,37215,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,1632.0,27040.0,89
CPT,37216,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,1632.0,27040.0,65
CPT,37217,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1257.0,7950.0,88
CPT,37218,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1257.0,7950.0,88
CPT,37220,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,3880.0,54
CPT,37221,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,54
CPT,37222,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,607.0,6581.0,30
CPT,37223,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,607.0,6581.0,30
CPT,37224,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,1471.0,6581.0,54
CPT,37225,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,54
CPT,37226,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,54
CPT,37227,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,1471.0,16939.0,54
CPT,37228,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,6581.0,54
CPT,37229,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,54
CPT,37230,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,1471.0,7058.0,54
CPT,37231,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,1471.0,16939.0,54
CPT,37232,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,607.0,6581.0,30
CPT,37233,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,607.0,7058.0,30
CPT,37234,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,607.0,6581.0,30
CPT,37235,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,607.0,6581.0,30
CPT,37236,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,1257.0,18276.0,103
CPT,37237,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,607.0,18276.0,79
CPT,37238,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1257.0,18276.0,103
CPT,37239,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,607.0,18276.0,79
CPT,37241,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,1257.0,21331.0,103
CPT,37242,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,1257.0,21331.0,103
CPT,37243,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1257.0,21331.0,103
CPT,37244,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,1257.0,21331.0,103
CPT,37246,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1753.0,12528.0,85
CPT,37247,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,291.0,12528.0,61
CPT,37248,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1753.0,12528.0,85
CPT,37249,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,291.0,12528.0,61
CPT,37250,IV US FIRST VESSEL ADD-ON ,,,4421.0,4421.0,1
CPT,37251,IV US EACH ADD VESSEL ADD-ON ,,,4421.0,4421.0,1
CPT,37252,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,291.0,4950.0,79
CPT,37253,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,291.0,4950.0,79
CPT,37254,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1632.0,9431.0,67
CPT,37255,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1632.0,4950.0,67
CPT,37256,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1632.0,9431.0,67
CPT,37257,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1632.0,4950.0,67
CPT,37258,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1632.0,13472.0,67
CPT,37259,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1632.0,4950.0,67
CPT,37260,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1632.0,13472.0,67
CPT,37261,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1632.0,4950.0,67
CPT,37262,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,1632.0,4950.0,67
CPT,37263,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1632.0,9431.0,67
CPT,37264,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1632.0,4950.0,67
CPT,37265,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1632.0,9431.0,67
CPT,37266,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1632.0,4950.0,67
CPT,37267,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1632.0,13472.0,67
CPT,37268,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1632.0,4950.0,67
CPT,37269,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1632.0,13472.0,67
CPT,37270,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1632.0,4950.0,67
CPT,37271,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1632.0,13472.0,67
CPT,37272,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1632.0,4950.0,67
CPT,37273,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1632.0,13472.0,67
CPT,37274,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1632.0,4950.0,67
CPT,37275,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1632.0,18085.0,67
CPT,37276,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1632.0,4950.0,67
CPT,37277,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1632.0,18085.0,67
CPT,37278,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1632.0,4950.0,67
CPT,37279,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,1632.0,4950.0,67
CPT,37280,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1632.0,9431.0,67
CPT,37281,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1632.0,4950.0,67
CPT,37282,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1632.0,9431.0,67
CPT,37283,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1632.0,4950.0,67
CPT,37284,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1632.0,13472.0,67
CPT,37285,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1632.0,4950.0,67
CPT,37286,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1632.0,13472.0,67
CPT,37287,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1632.0,4950.0,67
CPT,37288,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1632.0,13472.0,67
CPT,37289,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1632.0,4950.0,67
CPT,37290,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1632.0,13472.0,67
CPT,37291,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1632.0,4950.0,67
CPT,37292,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1632.0,18085.0,67
CPT,37293,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1632.0,4950.0,67
CPT,37294,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1632.0,18085.0,67
CPT,37295,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1632.0,4950.0,67
CPT,37296,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1632.0,9431.0,67
CPT,37297,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1632.0,4950.0,67
CPT,37298,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1632.0,9431.0,67
CPT,37299,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1632.0,4950.0,67
CPT,37500,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,1257.0,3979.0,90
CPT,37501,Unlisted vascular endoscopy procedure ,,,511.0,4950.0,61
CPT,37565,"Ligation, internal jugular vein ",,,511.0,3441.0,61
CPT,37600,Ligation; external carotid artery ,,,1404.42,5958.0,61
CPT,37605,Ligation; internal or common carotid artery ,,,1404.42,5958.0,61
CPT,37606,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,1404.42,5958.0,61
CPT,37607,Ligation or banding of angioaccess arteriovenous fistula ,,,1257.0,6446.0,139
CPT,37609,"Ligation or biopsy, temporal artery ",,,769.0,4100.0,139
CPT,37615,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,511.0,3250.0,61
CPT,37616,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,1632.0,4953.0,46
CPT,37617,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,1404.42,5958.0,70
CPT,37618,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,1603.31,4953.0,70
CPT,37619,Ligation of inferior vena cava ,,,1257.0,9431.0,103
CPT,37620,REVISION OF MAJOR VEIN ,,,4421.0,4950.0,4
CPT,37650,Ligation of femoral vein ,,,870.0,5958.0,139
CPT,37660,Ligation of common iliac vein ,,,1632.0,4953.0,46
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,870.0,5958.0,139
CPT,37718,"Ligation, division, and stripping, short saphenous vein ",,,1257.0,6446.0,139
CPT,37720,REMOVAL OF LEG VEIN ,,,4421.0,4421.0,1
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1257.0,6446.0,139
CPT,37730,REMOVAL OF LEG VEINS ,,,4421.0,4421.0,1
CPT,37735,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1257.0,6446.0,139
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1257.0,6446.0,139
CPT,37761,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,511.0,6446.0,99
CPT,37765,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,1257.0,6446.0,119
CPT,37766,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,1257.0,6446.0,119
CPT,37780,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,511.0,6446.0,139
CPT,37785,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1257.0,6446.0,139
CPT,37788,"Penile revascularization, artery, with or without vein graft ",,,1632.0,4953.0,46
CPT,37790,Penile venous occlusive procedure ,,,1257.0,6446.0,139
CPT,37799,"Unlisted procedure, vascular surgery ",,,511.0,4421.0,103
CPT,38100,Splenectomy; total (separate procedure) ,,,1632.0,6581.0,46
CPT,38101,Splenectomy; partial (separate procedure) ,,,1632.0,4953.0,46
CPT,38102,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,38115,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,1632.0,4953.0,46
CPT,38120,"Laparoscopy, surgical, splenectomy ",,,1876.0,10083.0,85
CPT,38129,"Unlisted laparoscopy procedure, spleen ",,,1257.0,10083.0,85
CPT,38200,Injection procedure for splenoportography ,,,291.0,2900.0,79
CPT,38204,ALLO DONOR ACQ REL DMSTC,99576.59,99576.59,14936.49,99576.59,38
CPT,38204,ALLO DONOR ACQ UNR DMSTC,99576.59,99576.59,14936.49,99576.59,38
CPT,38204,ALLO DONOR ACQ UNR INTL,99576.59,99576.59,14936.49,99576.59,38
CPT,38204,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,697.0,3435.0,22
CPT,38205,BLD/STEM HARVEST ALLOGEN,127818.87,127818.87,19172.83,127818.87,74
CPT,38205,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,291.0,27568.0,38
CPT,38206,BLD/STEM HARVEST AUTOLOG,8372.0,8372.0,1541.29,8372.0,87
CPT,38206,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,769.0,27568.0,62
CPT,38207,ALLO CRYO PRES/STOR THER,7476.0,7476.0,1270.92,7476.0,66
CPT,38207,AUTO CRYO PRES/STOR THER,11333.22,11333.22,2086.45,11333.22,29
CPT,38207,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,291.0,3523.0,77
CPT,38208,ALLO THAW CELLS THER,290.17,290.17,49.33,290.17,33
CPT,38208,AUTO THAW CELLS THER,438.81,438.81,80.78,438.81,29
CPT,38208,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,291.0,3523.0,77
CPT,38209,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,291.0,3523.0,77
CPT,38210,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,291.0,3523.0,77
CPT,38211,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,291.0,3523.0,77
CPT,38212,RBC REMOVE,4726.71,4726.71,803.54,4726.71,33
CPT,38212,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,4726.71,4726.71,291.0,3523.0,77
CPT,38213,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,291.0,3523.0,77
CPT,38214,ALLO PLASMA VOL DEP,2453.45,2453.45,417.09,2453.45,33
CPT,38214,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,2453.45,2453.45,291.0,3523.0,77
CPT,38215,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,291.0,3523.0,77
CPT,38220,Diagnostic bone marrow; aspiration(s) ,,,511.0,3523.0,119
CPT,38221,Diagnostic bone marrow; biopsy(ies) ,,,511.0,3523.0,119
CPT,38222,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,607.0,4100.0,128
CPT,38225,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,1632.0,4953.0,46
CPT,38225,T-CELL CAR-T HRVST PRDAY,9325.62,9325.62,1398.84,9325.62,76
CPT,38226,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,1632.0,4953.0,46
CPT,38226,T-CELL CAR-T PREP TRANSP,9325.62,9325.62,1398.84,9325.62,114
CPT,38227,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,1632.0,4953.0,46
CPT,38227,T-CELL CAR-T RECPT PREP,119238.19,119238.19,17885.73,119238.19,114
CPT,38228,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,1632.0,3523.0,62
CPT,38228,T-CELL CAR-T ADMN INF,1880.24,1880.24,319.64,1880.24,136
CPT,38228,T-CELL CAR-T ADMN INJ,1880.24,1880.24,319.64,1880.24,68
CPT,38230,Bone marrow harvesting for transplantation; allogeneic ,,,769.0,6446.0,103
CPT,38231,Stem cell collection ,,,4421.0,4421.0,1
CPT,38232,Bone marrow harvesting for transplantation; autologous ,,,1257.0,8866.0,119
CPT,38240,HPC ALLO TRANSP PER DNR,109712.89,109712.89,20198.14,109712.89,100
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,1876.0,184633.0,106
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Adult Mismatched,,,198665.0,198665.0,1
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Allogeneic Unrelated,,,2100.0,124363.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Allogeneic Unrelated Includes Double Cord Blood,,,217543.0,217543.0,1
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Allogeneic Unrelated Includes Single Cord Blood,,,198665.0,198665.0,1
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Allogenic Related Adult,,,5720.0,197168.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Allogenic Related Ped,,,5720.0,230252.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Allogenic Unrelated Adult,,,5720.0,236217.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Allogenic Unrelated Ped,,,5720.0,294840.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous/Allogeneic,,,2100.0,144928.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous/Allogeneic Double Cord Blood,,,2100.0,144928.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous/Allogeneic Single Cord Blood,,,2100.0,144928.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Mini,,,2100.0,127449.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Unrelated Cord Blood,,,2100.0,124363.0,2
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Unrelated Double Cord Blood,,,2100.0,124363.0,2
CPT,38241,HPC AUTO TRANSP PER DNR,26260.0,26260.0,4834.47,23108.8,100
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,769.0,131728.0,250
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Adult,,,131250.0,131250.0,1
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Auto Adult,,,5720.0,112481.0,2
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Auto Ped,,,5720.0,154700.0,2
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Autologous/Allogeneic,,,2100.0,144928.0,2
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Autologous/Allogeneic Double Cord Blood,,,2100.0,144928.0,2
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Autologous/Allogeneic Single Cord Blood,,,2100.0,144928.0,2
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Autologous/Autologous,,,2100.0,144928.0,2
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,144166.0,145
CPT,38242,ALLO LYMPHOCYTE INFUS,7732.37,7732.37,1423.53,7732.37,115
CPT,38242,Allogeneic lymphocyte infusions ,,,769.0,4100.0,61
CPT,38242,Allogeneic lymphocyte infusions Post-Transplant,,,,,0
CPT,38243,HPC CELL BOOST,11329.0,11329.0,2085.67,11329.0,100
CPT,38243,Hematopoietic progenitor cell (HPC); HPC boost ,,,607.0,4100.0,119
CPT,38300,Drainage of lymph node abscess or lymphadenitis; simple ,,,607.0,4100.0,139
CPT,38305,Drainage of lymph node abscess or lymphadenitis; extensive ,,,870.0,4830.0,139
CPT,38308,Lymphangiotomy or other operations on lymphatic channels ,,,870.0,4830.0,139
CPT,38380,Suture and/or ligation of thoracic duct; cervical approach ,,,1632.0,4953.0,46
CPT,38381,Suture and/or ligation of thoracic duct; thoracic approach ,,,1632.0,4953.0,46
CPT,38382,Suture and/or ligation of thoracic duct; abdominal approach ,,,1632.0,4953.0,46
CPT,38500,"Biopsy or excision of lymph node(s); open, superficial ",,,870.0,4950.0,139
CPT,38505,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,607.0,4950.0,139
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,870.0,10083.0,125
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,870.0,10083.0,125
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,870.0,10083.0,125
CPT,38530,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,870.0,4830.0,139
CPT,38531,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,1404.42,5958.0,92
CPT,38542,"Dissection, deep jugular node(s) ",,,870.0,9431.0,139
CPT,38550,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1257.0,6446.0,139
CPT,38555,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1471.0,6446.0,139
CPT,38562,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2224.34,9431.0,70
CPT,38564,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,1632.0,4953.0,46
CPT,38570,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1753.0,10083.0,105
CPT,38571,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,2224.34,10083.0,105
CPT,38572,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,2224.34,10083.0,105
CPT,38573,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2174.0,10083.0,114
CPT,38589,"Unlisted laparoscopy procedure, lymphatic system ",,,1257.0,10083.0,85
CPT,38700,Suprahyoid lymphadenectomy ,,,870.0,4830.0,119
CPT,38720,Cervical lymphadenectomy (complete) ,,,1471.0,6446.0,103
CPT,38724,Cervical lymphadenectomy (modified radical neck dissection) ,,,1471.0,6446.0,112
CPT,38740,Axillary lymphadenectomy; superficial ,,,870.0,9431.0,139
CPT,38745,Axillary lymphadenectomy; complete ,,,1471.0,9431.0,139
CPT,38746,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,38747,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,38760,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,870.0,4830.0,139
CPT,38765,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1632.0,4953.0,46
CPT,38770,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1632.0,4953.0,46
CPT,38780,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,1632.0,4953.0,46
CPT,38790,Injection procedure; lymphangiography ,,,291.0,2900.0,79
CPT,38792,Injection procedure; radioactive tracer for identification of sentinel node ,,,291.0,3523.0,119
CPT,38794,"Cannulation, thoracic duct ",,,291.0,4421.0,37
CPT,38900,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,291.0,2900.0,79
CPT,38999,"Unlisted procedure, hemic or lymphatic system ",,,291.0,4421.0,103
CPT,39000,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,1632.0,4953.0,46
CPT,39010,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,1632.0,4953.0,46
CPT,39200,Resection of mediastinal cyst ,,,1632.0,4953.0,46
CPT,39220,Resection of mediastinal tumor ,,,1632.0,4953.0,46
CPT,39400,MEDIASTINOSCOPY INCL BIOPSY ,,,4421.0,4950.0,4
CPT,39401,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,1257.0,6801.0,103
CPT,39402,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,1257.0,6801.0,103
CPT,39499,"Unlisted procedure, mediastinum ",,,1632.0,4953.0,46
CPT,39501,"Repair, laceration of diaphragm, any approach ",,,1632.0,4953.0,46
CPT,39502,REPAIR PARAESOPHAGEAL HERNIA ,,,4421.0,4421.0,1
CPT,39503,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,1632.0,4953.0,46
CPT,39520,REPAIR OF DIAPHRAGM HERNIA ,,,4421.0,4421.0,1
CPT,39530,REPAIR OF DIAPHRAGM HERNIA ,,,4421.0,4421.0,1
CPT,39531,REPAIR OF DIAPHRAGM HERNIA ,,,4421.0,4421.0,1
CPT,39540,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,1632.0,4953.0,46
CPT,39541,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,1632.0,4953.0,46
CPT,39545,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,1632.0,4953.0,46
CPT,39560,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,1632.0,4953.0,46
CPT,39561,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,1632.0,4953.0,46
CPT,39599,"Unlisted procedure, diaphragm ",,,1632.0,4953.0,46
CPT,40490,Biopsy of lip ,,,291.0,2900.0,77
CPT,40500,"Vermilionectomy (lip shave), with mucosal advancement ",,,769.0,4100.0,139
CPT,40510,Excision of lip; transverse wedge excision with primary closure ,,,870.0,4830.0,139
CPT,40520,Excision of lip; V-excision with primary direct linear closure ,,,769.0,4100.0,139
CPT,40525,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,870.0,4830.0,139
CPT,40527,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,870.0,4830.0,139
CPT,40530,"Resection of lip, more than one-fourth, without reconstruction ",,,870.0,4830.0,139
CPT,40650,"Repair lip, full thickness; vermilion only ",,,291.0,6446.0,139
CPT,40652,"Repair lip, full thickness; up to half vertical height ",,,291.0,6446.0,139
CPT,40654,"Repair lip, full thickness; over one-half vertical height, or complex ",,,769.0,6446.0,139
CPT,40700,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,1753.0,10746.0,139
CPT,40701,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,1753.0,10746.0,139
CPT,40702,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,1257.0,6801.0,103
CPT,40720,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,1404.42,10746.0,139
CPT,40761,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,1257.0,6801.0,139
CPT,40799,"Unlisted procedure, lips ",,,291.0,4421.0,61
CPT,40800,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,511.0,3250.0,77
CPT,40801,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,291.0,3979.0,139
CPT,40804,"Removal of embedded foreign body, vestibule of mouth; simple ",,,697.0,4100.0,77
CPT,40805,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,291.0,3979.0,119
CPT,40806,Incision of labial frenum (frenotomy) ,,,291.0,2900.0,119
CPT,40808,"Biopsy, vestibule of mouth ",,,291.0,2900.0,119
CPT,40810,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,607.0,4100.0,103
CPT,40812,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,607.0,4100.0,103
CPT,40814,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,870.0,4830.0,139
CPT,40816,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,870.0,4830.0,139
CPT,40818,Excision of mucosa of vestibule of mouth as donor graft ,,,291.0,3523.0,139
CPT,40819,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,607.0,4100.0,139
CPT,40820,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,607.0,4100.0,119
CPT,40830,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,291.0,2900.0,77
CPT,40831,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,291.0,3523.0,139
CPT,40840,Vestibuloplasty; anterior ,,,870.0,4830.0,139
CPT,40842,"Vestibuloplasty; posterior, unilateral ",,,1257.0,6446.0,139
CPT,40843,"Vestibuloplasty; posterior, bilateral ",,,1257.0,6446.0,139
CPT,40844,Vestibuloplasty; entire arch ,,,1753.0,6801.0,139
CPT,40845,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,1753.0,6801.0,139
CPT,40899,"Unlisted procedure, vestibule of mouth ",,,291.0,6446.0,103
CPT,41000,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,291.0,3523.0,119
CPT,41005,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,291.0,3523.0,139
CPT,41006,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,607.0,4100.0,139
CPT,41007,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,607.0,4100.0,139
CPT,41008,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,607.0,4100.0,139
CPT,41009,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,291.0,3523.0,139
CPT,41010,Incision of lingual frenum (frenotomy) ,,,607.0,4100.0,139
CPT,41015,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,291.0,3523.0,139
CPT,41016,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,607.0,4830.0,139
CPT,41017,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,607.0,4100.0,139
CPT,41018,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,607.0,4100.0,139
CPT,41019,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,607.0,7161.0,119
CPT,41100,Biopsy of tongue; anterior two-thirds ,,,291.0,3523.0,119
CPT,41105,Biopsy of tongue; posterior one-third ,,,769.0,4100.0,119
CPT,41108,Biopsy of floor of mouth ,,,511.0,3523.0,119
CPT,41110,Excision of lesion of tongue without closure ,,,607.0,4100.0,119
CPT,41112,Excision of lesion of tongue with closure; anterior two-thirds ,,,769.0,4100.0,139
CPT,41113,Excision of lesion of tongue with closure; posterior one-third ,,,769.0,4100.0,139
CPT,41114,Excision of lesion of tongue with closure; with local tongue flap ,,,870.0,4830.0,139
CPT,41115,Excision of lingual frenum (frenectomy) ,,,607.0,4100.0,119
CPT,41116,"Excision, lesion of floor of mouth ",,,607.0,4830.0,139
CPT,41120,Glossectomy; less than one-half tongue ,,,1753.0,6801.0,139
CPT,41130,Glossectomy; hemiglossectomy ,,,1632.0,4953.0,46
CPT,41135,"Glossectomy; partial, with unilateral radical neck dissection ",,,1632.0,4830.0,46
CPT,41140,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,1632.0,4953.0,46
CPT,41145,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,1632.0,4953.0,46
CPT,41150,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,1632.0,4953.0,46
CPT,41153,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,1632.0,4953.0,46
CPT,41155,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,1632.0,4953.0,46
CPT,41250,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,291.0,3979.0,139
CPT,41251,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,291.0,3979.0,139
CPT,41252,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,291.0,3979.0,139
CPT,41500,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,607.0,4421.0,42
CPT,41510,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,607.0,4100.0,139
CPT,41512,"Tongue base suspension, permanent suture technique ",,,870.0,6801.0,119
CPT,41520,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,870.0,6801.0,139
CPT,41530,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,607.0,7161.0,119
CPT,41599,"Unlisted procedure, tongue, floor of mouth ",,,291.0,4421.0,61
CPT,41800,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,291.0,3523.0,139
CPT,41805,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,607.0,4100.0,119
CPT,41806,Removal of embedded foreign body from dentoalveolar structures; bone ,,,607.0,4100.0,119
CPT,41820,"Gingivectomy, excision gingiva, each quadrant ",,,607.0,4830.0,119
CPT,41821,"Operculectomy, excision pericoronal tissues ",,,607.0,4100.0,119
CPT,41822,"Excision of fibrous tuberosities, dentoalveolar structures ",,,607.0,4100.0,103
CPT,41823,"Excision of osseous tuberosities, dentoalveolar structures ",,,870.0,4830.0,103
CPT,41825,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,607.0,4100.0,103
CPT,41826,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,607.0,4830.0,103
CPT,41827,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,870.0,6801.0,139
CPT,41828,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,607.0,4100.0,103
CPT,41830,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,607.0,4830.0,103
CPT,41850,"Destruction of lesion (except excision), dentoalveolar structures ",,,607.0,4421.0,103
CPT,41870,Periodontal mucosal grafting ,,,769.0,4100.0,103
CPT,41872,"Gingivoplasty, each quadrant (specify) ",,,1404.42,6801.0,61
CPT,41874,"Alveoloplasty, each quadrant (specify) ",,,607.0,4100.0,103
CPT,41899,"Unlisted procedure, dentoalveolar structures ",,,291.0,4421.0,103
CPT,42000,"Drainage of abscess of palate, uvula ",,,291.0,3979.0,139
CPT,42100,"Biopsy of palate, uvula ",,,607.0,4100.0,119
CPT,42104,"Excision, lesion of palate, uvula; without closure ",,,769.0,4100.0,119
CPT,42106,"Excision, lesion of palate, uvula; with simple primary closure ",,,769.0,4100.0,119
CPT,42107,"Excision, lesion of palate, uvula; with local flap closure ",,,870.0,4830.0,139
CPT,42120,Resection of palate or extensive resection of lesion ,,,1471.0,6446.0,139
CPT,42140,"Uvulectomy, excision of uvula ",,,769.0,4100.0,139
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,1632.0,6446.0,139
CPT,42160,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,607.0,4100.0,119
CPT,42180,"Repair, laceration of palate; up to 2 cm ",,,291.0,3523.0,139
CPT,42182,"Repair, laceration of palate; over 2 cm or complex ",,,870.0,4830.0,139
CPT,42200,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,1753.0,6801.0,139
CPT,42205,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,1404.42,6801.0,139
CPT,42210,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,1753.0,6801.0,139
CPT,42215,Palatoplasty for cleft palate; major revision ,,,1753.0,10746.0,139
CPT,42220,Palatoplasty for cleft palate; secondary lengthening procedure ,,,1753.0,6801.0,139
CPT,42225,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,1753.0,6801.0,119
CPT,42226,"Lengthening of palate, and pharyngeal flap ",,,1753.0,6801.0,139
CPT,42227,"Lengthening of palate, with island flap ",,,1753.0,6801.0,61
CPT,42235,"Repair of anterior palate, including vomer flap ",,,1753.0,6801.0,139
CPT,42260,Repair of nasolabial fistula ,,,1471.0,6446.0,139
CPT,42280,Maxillary impression for palatal prosthesis ,,,291.0,4421.0,119
CPT,42281,Insertion of pin-retained palatal prosthesis ,,,769.0,6446.0,119
CPT,42299,"Unlisted procedure, palate, uvula ",,,291.0,4421.0,61
CPT,42300,"Drainage of abscess; parotid, simple ",,,607.0,4100.0,139
CPT,42305,"Drainage of abscess; parotid, complicated ",,,870.0,4830.0,139
CPT,42310,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,291.0,3523.0,139
CPT,42320,"Drainage of abscess; submaxillary, external ",,,291.0,3523.0,139
CPT,42325,CREATE SALIVARY CYST DRAIN ,,,4421.0,4421.0,1
CPT,42326,CREATE SALIVARY CYST DRAIN ,,,4421.0,4421.0,1
CPT,42330,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,607.0,4100.0,103
CPT,42335,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,1257.0,6446.0,119
CPT,42340,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,769.0,4100.0,139
CPT,42400,Biopsy of salivary gland; needle ,,,511.0,3523.0,119
CPT,42405,Biopsy of salivary gland; incisional ,,,769.0,4100.0,139
CPT,42408,Excision of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,139
CPT,42409,Marsupialization of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,139
CPT,42410,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,1257.0,6801.0,139
CPT,42415,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,1753.0,10746.0,139
CPT,42420,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,1753.0,10746.0,139
CPT,42425,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,1753.0,10746.0,139
CPT,42426,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,1632.0,6581.0,46
CPT,42440,Excision of submandibular (submaxillary) gland ,,,1257.0,6801.0,139
CPT,42450,Excision of sublingual gland ,,,870.0,4830.0,139
CPT,42500,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,1257.0,6446.0,139
CPT,42505,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,1471.0,6801.0,139
CPT,42507,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,1257.0,6801.0,139
CPT,42508,PAROTID DUCT DIVERSION ,,,2552.0,4421.0,21
CPT,42509,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,1471.0,6801.0,139
CPT,42510,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,1404.42,6801.0,139
CPT,42550,Injection procedure for sialography ,,,291.0,2900.0,79
CPT,42600,Closure salivary fistula ,,,607.0,4100.0,139
CPT,42650,Dilation salivary duct ,,,607.0,4100.0,119
CPT,42660,"Dilation and catheterization of salivary duct, with or without injection ",,,291.0,4421.0,119
CPT,42665,"Ligation salivary duct, intraoral ",,,1404.42,10746.0,139
CPT,42699,"Unlisted procedure, salivary glands or ducts ",,,291.0,4421.0,103
CPT,42700,Incision and drainage abscess; peritonsillar ,,,291.0,3523.0,139
CPT,42720,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,607.0,4100.0,139
CPT,42725,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,870.0,6801.0,139
CPT,42800,Biopsy; oropharynx ,,,511.0,3250.0,103
CPT,42802,BIOPSY OF THROAT ,,,988.0,4421.0,21
CPT,42804,"Biopsy; nasopharynx, visible lesion, simple ",,,607.0,4100.0,139
CPT,42806,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,870.0,4830.0,139
CPT,42808,"Excision or destruction of lesion of pharynx, any method ",,,870.0,4830.0,139
CPT,42809,Removal of foreign body from pharynx ,,,291.0,3523.0,119
CPT,42810,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,1257.0,6446.0,139
CPT,42815,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,1753.0,6801.0,139
CPT,42820,Tonsillectomy and adenoidectomy; younger than age 12 ,,,1257.0,6446.0,139
CPT,42821,Tonsillectomy and adenoidectomy; age 12 or over ,,,1404.42,6446.0,139
CPT,42825,"Tonsillectomy, primary or secondary; younger than age 12 ",,,1471.0,6446.0,139
CPT,42826,"Tonsillectomy, primary or secondary; age 12 or over ",,,1404.42,6446.0,139
CPT,42830,"Adenoidectomy, primary; younger than age 12 ",,,1404.42,6446.0,139
CPT,42831,"Adenoidectomy, primary; age 12 or over ",,,1404.42,6446.0,139
CPT,42835,"Adenoidectomy, secondary; younger than age 12 ",,,1404.42,6446.0,139
CPT,42836,"Adenoidectomy, secondary; age 12 or over ",,,1404.42,6446.0,139
CPT,42842,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,1632.0,4830.0,61
CPT,42844,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,1753.0,6801.0,61
CPT,42845,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,1632.0,4953.0,46
CPT,42860,Excision of tonsil tags ,,,1257.0,6446.0,139
CPT,42870,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,1257.0,6446.0,139
CPT,42890,Limited pharyngectomy ,,,1753.0,10746.0,139
CPT,42892,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,1753.0,10746.0,139
CPT,42894,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,1632.0,4953.0,46
CPT,42900,Suture pharynx for wound or injury ,,,607.0,4100.0,139
CPT,42950,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,870.0,4830.0,139
CPT,42953,Pharyngoesophageal repair ,,,1632.0,4953.0,46
CPT,42955,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,769.0,4100.0,139
CPT,42960,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,291.0,3523.0,139
CPT,42961,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,1632.0,4830.0,46
CPT,42962,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,870.0,4830.0,139
CPT,42970,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,291.0,2900.0,119
CPT,42971,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,1632.0,4953.0,46
CPT,42972,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,769.0,6446.0,139
CPT,42975,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,291.0,3435.0,108
CPT,42999,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,291.0,4421.0,103
CPT,43020,"Esophagotomy, cervical approach, with removal of foreign body ",,,769.0,4100.0,77
CPT,43030,Cricopharyngeal myotomy ,,,1753.0,6801.0,61
CPT,43045,"Esophagotomy, thoracic approach, with removal of foreign body ",,,1632.0,4953.0,46
CPT,43100,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,1632.0,4953.0,46
CPT,43101,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,1632.0,4953.0,46
CPT,43107,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,1632.0,4953.0,46
CPT,43108,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,1632.0,4953.0,46
CPT,43112,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,1632.0,4953.0,46
CPT,43113,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,1632.0,4953.0,46
CPT,43116,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,1632.0,4953.0,46
CPT,43117,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,1632.0,4953.0,46
CPT,43118,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,1632.0,4953.0,46
CPT,43121,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,1632.0,4953.0,46
CPT,43122,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,1632.0,4953.0,46
CPT,43123,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,1632.0,4953.0,46
CPT,43124,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,1632.0,4953.0,46
CPT,43130,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,1753.0,6801.0,83
CPT,43135,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,1632.0,4953.0,46
CPT,43180,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,870.0,8866.0,119
CPT,43191,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,607.0,4100.0,119
CPT,43192,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,607.0,5115.0,119
CPT,43193,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,607.0,5115.0,119
CPT,43194,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,607.0,5115.0,119
CPT,43195,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,769.0,5115.0,119
CPT,43196,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,769.0,5115.0,119
CPT,43197,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,119
CPT,43198,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,607.0,4100.0,119
CPT,43200,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,139
CPT,43201,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,607.0,4100.0,139
CPT,43202,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,607.0,4100.0,139
CPT,43204,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,607.0,4100.0,139
CPT,43205,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,607.0,4100.0,139
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,607.0,5115.0,119
CPT,43210,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,1257.0,8866.0,119
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,769.0,4100.0,119
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,8866.0,119
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,119
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,119
CPT,43215,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,607.0,4100.0,139
CPT,43216,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,4830.0,139
CPT,43217,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,139
CPT,43219,ESOPHAGUS ENDOSCOPY ,,,988.0,4421.0,21
CPT,43220,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,769.0,4100.0,139
CPT,43226,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,607.0,4100.0,139
CPT,43227,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,769.0,4100.0,139
CPT,43228,ESOPH ENDOSCOPY ABLATION ,,,1560.0,4421.0,21
CPT,43229,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,8866.0,119
CPT,43231,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,769.0,4100.0,139
CPT,43232,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,769.0,4100.0,139
CPT,43233,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,119
CPT,43234,UPPER GI ENDOSCOPY EXAM ,,,988.0,4421.0,21
CPT,43235,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,139
CPT,43236,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,742.8,4100.0,139
CPT,43237,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,769.0,4100.0,139
CPT,43238,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,769.0,4100.0,139
CPT,43239,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,742.8,4100.0,139
CPT,43240,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,870.0,4830.0,139
CPT,43241,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,769.0,4100.0,139
CPT,43242,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,769.0,4100.0,139
CPT,43243,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,769.0,4100.0,139
CPT,43244,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,769.0,4100.0,139
CPT,43245,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,769.0,4100.0,139
CPT,43246,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,769.0,4100.0,139
CPT,43247,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,742.8,4100.0,139
CPT,43248,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,742.8,4100.0,139
CPT,43249,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,769.0,4100.0,139
CPT,43250,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,769.0,4100.0,139
CPT,43251,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,139
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,769.0,5115.0,119
CPT,43253,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,769.0,6446.0,119
CPT,43254,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,769.0,6446.0,119
CPT,43255,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,769.0,4100.0,139
CPT,43256,UPPR GI ENDOSCOPY W/STENT ,,,2302.0,4421.0,21
CPT,43257,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,1257.0,6446.0,139
CPT,43258,OPERATIVE UPPER GI ENDOSCOPY ,,,2302.0,4421.0,21
CPT,43259,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,769.0,6446.0,139
CPT,43260,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,870.0,4950.0,139
CPT,43261,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,870.0,4950.0,139
CPT,43262,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,870.0,4950.0,139
CPT,43263,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,870.0,4950.0,139
CPT,43264,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,870.0,4950.0,139
CPT,43265,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,1632.0,6861.0,103
CPT,43266,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1257.0,8866.0,119
CPT,43267,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,4421.0,21
CPT,43268,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,4421.0,21
CPT,43269,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,4421.0,21
CPT,43270,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,6446.0,119
CPT,43271,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,4421.0,21
CPT,43272,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,4421.0,21
CPT,43273,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,291.0,8866.0,95
CPT,43274,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,1257.0,8866.0,119
CPT,43275,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,1257.0,8866.0,119
CPT,43276,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,1257.0,8866.0,119
CPT,43277,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1257.0,8866.0,119
CPT,43278,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,1257.0,8866.0,119
CPT,43279,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,1753.0,9431.0,63
CPT,43280,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1876.0,10083.0,85
CPT,43281,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1876.0,10083.0,85
CPT,43282,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,2224.34,10083.0,65
CPT,43283,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1632.0,10083.0,50
CPT,43284,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1876.0,10083.0,105
CPT,43285,Removal of esophageal sphincter augmentation device ,,,1471.0,10083.0,105
CPT,43286,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,1632.0,10083.0,48
CPT,43287,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,1632.0,10083.0,48
CPT,43288,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,1632.0,10083.0,48
CPT,43289,"Unlisted laparoscopy procedure, esophagus ",,,1257.0,10083.0,85
CPT,43290,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,769.0,7161.0,108
CPT,43291,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,742.8,5115.0,108
CPT,43300,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,1632.0,4953.0,46
CPT,43305,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,1632.0,4953.0,46
CPT,43310,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,1632.0,5588.0,46
CPT,43312,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,1632.0,4953.0,46
CPT,43313,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,1632.0,5588.0,46
CPT,43314,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,1632.0,5588.0,46
CPT,43320,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,1632.0,4953.0,46
CPT,43324,REVISE ESOPHAGUS & STOMACH ,,,4421.0,4421.0,1
CPT,43325,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,1632.0,4953.0,46
CPT,43326,REVISE ESOPHAGUS & STOMACH ,,,4421.0,4421.0,1
CPT,43327,Esophagogastric fundoplasty partial or complete; laparotomy ,,,1632.0,4953.0,46
CPT,43328,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,1632.0,4953.0,46
CPT,43330,Esophagomyotomy (Heller type); abdominal approach ,,,1632.0,4953.0,46
CPT,43331,Esophagomyotomy (Heller type); thoracic approach ,,,1632.0,4953.0,46
CPT,43332,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,46
CPT,43333,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,46
CPT,43334,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,46
CPT,43335,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,46
CPT,43336,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,46
CPT,43337,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,46
CPT,43338,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,43340,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,1632.0,4953.0,46
CPT,43341,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,1632.0,4953.0,46
CPT,43350,SURGICAL OPENING ESOPHAGUS ,,,4421.0,4421.0,1
CPT,43351,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,1632.0,4953.0,46
CPT,43352,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,1632.0,4953.0,46
CPT,43360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,1632.0,4953.0,46
CPT,43361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,1632.0,4953.0,46
CPT,43400,"Ligation, direct, esophageal varices ",,,2540.0,9431.0,37
CPT,43401,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES ",,,4421.0,4421.0,1
CPT,43405,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,1632.0,4953.0,46
CPT,43410,Suture of esophageal wound or injury; cervical approach ,,,1632.0,4953.0,46
CPT,43415,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,1632.0,4953.0,46
CPT,43420,Closure of esophagostomy or fistula; cervical approach ,,,870.0,4830.0,103
CPT,43425,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,1632.0,4953.0,46
CPT,43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,607.0,4100.0,139
CPT,43453,"Dilation of esophagus, over guide wire ",,,607.0,4100.0,139
CPT,43456,DILATE ESOPHAGUS ,,,1560.0,4421.0,21
CPT,43458,DILATE ESOPHAGUS ,,,1560.0,4421.0,21
CPT,43460,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,1632.0,4953.0,46
CPT,43496,Free jejunum transfer with microvascular anastomosis ,,,1632.0,4953.0,46
CPT,43497,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,1404.42,8866.0,108
CPT,43499,"Unlisted procedure, esophagus ",,,607.0,4421.0,103
CPT,43500,Gastrotomy; with exploration or foreign body removal ,,,1632.0,4953.0,46
CPT,43501,Gastrotomy; with suture repair of bleeding ulcer ,,,1632.0,4953.0,46
CPT,43502,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,1632.0,4953.0,46
CPT,43510,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,742.8,4421.0,61
CPT,43520,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,1632.0,4953.0,46
CPT,43600,BIOPSY OF STOMACH ,,,988.0,4421.0,21
CPT,43605,"Biopsy of stomach, by laparotomy ",,,1632.0,4830.0,37
CPT,43610,"Excision, local; ulcer or benign tumor of stomach ",,,1632.0,4953.0,46
CPT,43611,"Excision, local; malignant tumor of stomach ",,,1632.0,4953.0,46
CPT,43620,"Gastrectomy, total; with esophagoenterostomy ",,,1632.0,4953.0,46
CPT,43621,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,1632.0,4953.0,46
CPT,43622,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,1632.0,4953.0,46
CPT,43631,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,1632.0,4953.0,46
CPT,43632,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,1632.0,4953.0,46
CPT,43633,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,1632.0,4953.0,46
CPT,43634,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,1632.0,4953.0,46
CPT,43635,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,1632.0,4953.0,46
CPT,43638,"REMOVAL OF STOMACH, PARTIAL ",,,4421.0,4421.0,1
CPT,43639,"REMOVAL OF STOMACH, PARTIAL ",,,4421.0,4421.0,1
CPT,43640,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,1632.0,4953.0,46
CPT,43641,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,1632.0,4953.0,46
CPT,43644,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2179.0,12457.0,69
CPT,43645,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2540.0,12457.0,45
CPT,43647,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,1257.0,13472.0,99
CPT,43648,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,1257.0,8866.0,99
CPT,43651,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1753.0,10083.0,85
CPT,43652,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1753.0,10083.0,85
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1753.0,10083.0,105
CPT,43659,"Unlisted laparoscopy procedure, stomach ",,,1257.0,10083.0,85
CPT,43750,PLACE GASTROSTOMY TUBE ,,,1560.0,4421.0,21
CPT,43752,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,291.0,2900.0,119
CPT,43753,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,291.0,3523.0,119
CPT,43754,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,291.0,3523.0,119
CPT,43755,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,291.0,3523.0,119
CPT,43756,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,607.0,4100.0,119
CPT,43757,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,607.0,4100.0,119
CPT,43760,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,607.0,4421.0,42
CPT,43761,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,291.0,3523.0,139
CPT,43762,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,291.0,3523.0,108
CPT,43763,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,291.0,3523.0,108
CPT,43770,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2224.34,20231.0,72
CPT,43771,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,1694.0,20231.0,48
CPT,43772,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,1404.42,20231.0,72
CPT,43773,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,1753.0,20231.0,72
CPT,43774,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,1404.42,20231.0,72
CPT,43775,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2224.34,9431.0,61
CPT,43800,Pyloroplasty ,,,1632.0,4953.0,46
CPT,43810,Gastroduodenostomy ,,,1632.0,4953.0,46
CPT,43820,Gastrojejunostomy; without vagotomy ,,,1632.0,4953.0,46
CPT,43825,"Gastrojejunostomy; with vagotomy, any type ",,,1632.0,4953.0,46
CPT,43830,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1142.61,4830.0,61
CPT,43831,"Gastrostomy, open; neonatal, for feeding ",,,742.8,4421.0,61
CPT,43832,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,1632.0,4953.0,46
CPT,43840,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,1694.0,6906.0,61
CPT,43842,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,1632.0,6906.0,37
CPT,43843,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2259.0,12457.0,43
CPT,43845,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,1632.0,12457.0,43
CPT,43846,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,1632.0,12457.0,43
CPT,43847,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,1632.0,12457.0,43
CPT,43848,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,1632.0,12457.0,43
CPT,43850,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY ,,,4421.0,4421.0,1
CPT,43855,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY ,,,4421.0,4421.0,1
CPT,43860,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,1632.0,4953.0,46
CPT,43865,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,1632.0,4953.0,70
CPT,43870,"Closure of gastrostomy, surgical ",,,607.0,4830.0,139
CPT,43880,Closure of gastrocolic fistula ,,,1632.0,4953.0,46
CPT,43881,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,1632.0,4953.0,46
CPT,43882,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,1632.0,4953.0,46
CPT,43886,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,607.0,5958.0,119
CPT,43887,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,607.0,4100.0,119
CPT,43888,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,870.0,5958.0,119
CPT,43889,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,1632.0,9431.0,67
CPT,43999,"Unlisted procedure, stomach ",,,742.8,12457.0,89
CPT,44005,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,1632.0,10746.0,88
CPT,44010,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,88
CPT,44015,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,1632.0,4953.0,46
CPT,44020,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,88
CPT,44021,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,1632.0,4953.0,46
CPT,44025,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,88
CPT,44050,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,1632.0,6446.0,88
CPT,44055,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,1632.0,10746.0,88
CPT,44100,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,607.0,4100.0,139
CPT,44110,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,1632.0,4953.0,46
CPT,44111,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,1632.0,4953.0,46
CPT,44120,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,1632.0,6581.0,46
CPT,44121,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,44125,"Enterectomy, resection of small intestine; with enterostomy ",,,1632.0,4953.0,46
CPT,44126,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,1632.0,6581.0,46
CPT,44127,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,1632.0,6581.0,46
CPT,44128,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,1632.0,4953.0,46
CPT,44130,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,1632.0,4953.0,46
CPT,44132,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,1632.0,4953.0,46
CPT,44133,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,1632.0,12538.0,46
CPT,44135,Intestinal allotransplantation; from cadaver donor ,,,1632.0,12538.0,46
CPT,44136,Intestinal allotransplantation; from living donor ,,,1632.0,12538.0,46
CPT,44137,"Removal of transplanted intestinal allograft, complete ",,,1632.0,4953.0,46
CPT,44139,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,1632.0,4953.0,46
CPT,44140,"Colectomy, partial; with anastomosis ",,,1632.0,6581.0,46
CPT,44141,"Colectomy, partial; with skin level cecostomy or colostomy ",,,1632.0,4953.0,46
CPT,44143,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1632.0,4953.0,46
CPT,44144,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,1632.0,4953.0,46
CPT,44145,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,1632.0,4953.0,46
CPT,44146,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,1632.0,4953.0,46
CPT,44147,"Colectomy, partial; abdominal and transanal approach ",,,1632.0,4953.0,46
CPT,44150,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,1632.0,6581.0,46
CPT,44151,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,1632.0,4953.0,46
CPT,44152,REMOVAL OF COLON/ILEOSTOMY ,,,4421.0,4421.0,1
CPT,44153,REMOVAL OF COLON/ILEOSTOMY ,,,4421.0,4421.0,1
CPT,44155,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,1632.0,4953.0,46
CPT,44156,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,1632.0,4953.0,46
CPT,44157,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,1632.0,4953.0,46
CPT,44158,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,1632.0,4953.0,46
CPT,44160,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1632.0,4953.0,46
CPT,44180,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,1257.0,9431.0,99
CPT,44186,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,1753.0,9431.0,99
CPT,44187,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,1257.0,6274.0,68
CPT,44188,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,1257.0,6274.0,68
CPT,44200,"LAPAROSCOPY, ENTEROLYSIS ",,,4421.0,4421.0,1
CPT,44201,"LAPAROSCOPY, JEJUNOSTOMY ",,,4421.0,4421.0,1
CPT,44202,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1876.0,6801.0,59
CPT,44203,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,2259.0,6801.0,39
CPT,44204,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,2259.0,6801.0,39
CPT,44205,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1632.0,6274.0,48
CPT,44206,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1632.0,6274.0,48
CPT,44207,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,1632.0,6274.0,48
CPT,44208,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,1632.0,6274.0,48
CPT,44209,"Laparoscope proc, intestine ",,,4421.0,4421.0,1
CPT,44210,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,1632.0,6274.0,48
CPT,44211,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,1632.0,6274.0,48
CPT,44212,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,1632.0,6274.0,48
CPT,44213,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,1257.0,6227.0,68
CPT,44227,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,1257.0,6274.0,68
CPT,44238,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,1753.0,6801.0,63
CPT,44239,"LAPAROSCOPE PROC, RECTUM ",,,4421.0,4421.0,1
CPT,44300,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,769.0,4100.0,92
CPT,44310,"Ileostomy or jejunostomy, non-tube ",,,1632.0,4953.0,46
CPT,44312,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,607.0,5958.0,139
CPT,44314,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1404.42,6446.0,92
CPT,44316,Continent ileostomy (Kock procedure) (separate procedure) ,,,1632.0,4953.0,46
CPT,44320,Colostomy or skin level cecostomy; ,,,1632.0,4953.0,46
CPT,44322,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,1632.0,4953.0,46
CPT,44340,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1257.0,6446.0,139
CPT,44345,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1404.42,6446.0,103
CPT,44346,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,1404.42,6446.0,103
CPT,44360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,769.0,4100.0,139
CPT,44361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,769.0,4100.0,139
CPT,44363,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,769.0,4100.0,139
CPT,44364,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,139
CPT,44365,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,769.0,4100.0,139
CPT,44366,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,769.0,4100.0,139
CPT,44369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,769.0,4100.0,139
CPT,44370,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,1694.0,8866.0,139
CPT,44372,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,769.0,4100.0,139
CPT,44373,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,769.0,4100.0,139
CPT,44376,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,769.0,4100.0,139
CPT,44377,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,769.0,4100.0,139
CPT,44378,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,769.0,4100.0,139
CPT,44379,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1694.0,8866.0,139
CPT,44380,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,139
CPT,44381,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,607.0,4320.0,119
CPT,44382,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,607.0,4100.0,139
CPT,44383,ILEOSCOPY W/STENT ,,,4238.0,4584.0,21
CPT,44384,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,119
CPT,44385,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,139
CPT,44386,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,607.0,4100.0,139
CPT,44388,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,139
CPT,44389,"Colonoscopy through stoma; with biopsy, single or multiple ",,,607.0,4100.0,139
CPT,44390,Colonoscopy through stoma; with removal of foreign body(s) ,,,607.0,4100.0,139
CPT,44391,"Colonoscopy through stoma; with control of bleeding, any method ",,,607.0,4100.0,139
CPT,44392,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,4100.0,139
CPT,44393,COLONOSCOPY LESION REMOVAL ,,,988.0,4421.0,21
CPT,44394,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,139
CPT,44397,COLONOSCOPY W/STENT ,,,988.0,4421.0,21
CPT,44401,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,119
CPT,44402,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,119
CPT,44403,Colonoscopy through stoma; with endoscopic mucosal resection ,,,607.0,4320.0,119
CPT,44404,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,607.0,4320.0,119
CPT,44405,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,607.0,4320.0,119
CPT,44406,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,607.0,4320.0,119
CPT,44407,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,607.0,4320.0,119
CPT,44408,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,4320.0,119
CPT,44500,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,742.8,4100.0,77
CPT,44602,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,1404.42,4830.0,70
CPT,44603,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,1632.0,4953.0,46
CPT,44604,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,1632.0,4953.0,46
CPT,44605,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,1632.0,4953.0,46
CPT,44615,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,1632.0,4953.0,46
CPT,44620,"Closure of enterostomy, large or small intestine; ",,,1632.0,4953.0,46
CPT,44625,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,1632.0,4953.0,46
CPT,44626,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,1404.42,4953.0,70
CPT,44640,Closure of intestinal cutaneous fistula ,,,1632.0,4953.0,46
CPT,44650,Closure of enteroenteric or enterocolic fistula ,,,1632.0,4953.0,46
CPT,44660,Closure of enterovesical fistula; without intestinal or bladder resection ,,,1632.0,4953.0,46
CPT,44661,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,1632.0,4953.0,46
CPT,44680,Intestinal plication (separate procedure) ,,,1632.0,4953.0,46
CPT,44700,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,1632.0,4953.0,46
CPT,44701,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,291.0,2900.0,37
CPT,44705,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,607.0,3435.0,64
CPT,44715,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,1632.0,4953.0,46
CPT,44720,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,46
CPT,44721,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,46
CPT,44799,"Unlisted procedure, small intestine ",,,607.0,4421.0,103
CPT,44800,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,1632.0,4953.0,46
CPT,44820,Excision of lesion of mesentery (separate procedure) ,,,1632.0,4953.0,46
CPT,44850,Suture of mesentery (separate procedure) ,,,1632.0,4953.0,46
CPT,44899,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,1632.0,4953.0,46
CPT,44900,"Incision and drainage of appendiceal abscess, open ",,,1632.0,4953.0,46
CPT,44901,DRAIN APP ABSCESS PERCUT ,,,4421.0,4421.0,1
CPT,44950,Appendectomy; ,,,1404.42,6446.0,103
CPT,44955,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,291.0,2900.0,37
CPT,44960,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,1632.0,4953.0,46
CPT,44970,"Laparoscopy, surgical, appendectomy ",,,1257.0,10083.0,85
CPT,44979,"Unlisted laparoscopy procedure, appendix ",,,1257.0,10083.0,85
CPT,45000,Transrectal drainage of pelvic abscess ,,,607.0,4100.0,139
CPT,45005,"Incision and drainage of submucosal abscess, rectum ",,,769.0,4100.0,139
CPT,45020,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,769.0,4100.0,139
CPT,45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,607.0,4100.0,139
CPT,45108,Anorectal myomectomy ,,,870.0,4830.0,139
CPT,45110,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,1632.0,5588.0,46
CPT,45111,"Proctectomy; partial resection of rectum, transabdominal approach ",,,1632.0,4953.0,46
CPT,45112,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,1632.0,4953.0,46
CPT,45113,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,1632.0,4953.0,46
CPT,45114,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,1632.0,4953.0,46
CPT,45116,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,1632.0,4953.0,46
CPT,45119,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,1632.0,4953.0,46
CPT,45120,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,1632.0,4953.0,46
CPT,45121,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,1632.0,4953.0,46
CPT,45123,"Proctectomy, partial, without anastomosis, perineal approach ",,,2540.0,9431.0,37
CPT,45126,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,1632.0,12538.0,46
CPT,45130,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,1632.0,4953.0,46
CPT,45135,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,1632.0,4953.0,46
CPT,45136,Excision of ileoanal reservoir with ileostomy ,,,1632.0,4953.0,46
CPT,45150,Division of stricture of rectum ,,,769.0,4100.0,139
CPT,45160,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,870.0,4830.0,139
CPT,45170,EXCISION OF RECTAL LESION ,,,1560.0,4421.0,21
CPT,45171,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,607.0,5115.0,119
CPT,45172,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,870.0,8866.0,119
CPT,45190,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,870.0,8866.0,139
CPT,45300,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,511.0,3523.0,119
CPT,45303,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,4100.0,119
CPT,45305,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,607.0,4100.0,139
CPT,45307,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,607.0,4830.0,139
CPT,45308,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,4100.0,139
CPT,45309,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,4100.0,139
CPT,45315,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,4100.0,139
CPT,45317,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,4100.0,139
CPT,45320,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,607.0,4830.0,139
CPT,45321,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,607.0,4830.0,139
CPT,45327,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,607.0,5958.0,139
CPT,45330,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,511.0,3523.0,119
CPT,45331,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,511.0,3523.0,139
CPT,45332,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,607.0,4100.0,139
CPT,45333,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,511.0,3523.0,139
CPT,45334,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,607.0,4100.0,139
CPT,45335,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,511.0,3523.0,139
CPT,45337,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,4100.0,139
CPT,45338,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,139
CPT,45339,SIGMOIDOSCOPY W/ABLATE TUMR ,,,988.0,4421.0,21
CPT,45340,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,607.0,4100.0,139
CPT,45341,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,607.0,4100.0,139
CPT,45342,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,607.0,4100.0,139
CPT,45345,SIGMOIDOSCOPY W/STENT ,,,988.0,4421.0,21
CPT,45346,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,119
CPT,45347,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,119
CPT,45349,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,607.0,4320.0,119
CPT,45350,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,607.0,4320.0,119
CPT,45355,SURGICAL COLONOSCOPY ,,,988.0,4421.0,21
CPT,45378,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,742.8,4100.0,139
CPT,45379,"Colonoscopy, flexible; with removal of foreign body(s) ",,,769.0,4100.0,139
CPT,45380,"Colonoscopy, flexible; with biopsy, single or multiple ",,,769.0,4100.0,139
CPT,45381,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,769.0,4100.0,139
CPT,45382,"Colonoscopy, flexible; with control of bleeding, any method ",,,769.0,4100.0,139
CPT,45383,LESION REMOVAL COLONOSCOPY ,,,1560.0,4421.0,21
CPT,45384,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,769.0,4100.0,139
CPT,45385,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,139
CPT,45386,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,769.0,4100.0,139
CPT,45387,COLONOSCOPY W/STENT ,,,988.0,4421.0,21
CPT,45388,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,119
CPT,45389,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,119
CPT,45390,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,769.0,4320.0,119
CPT,45391,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,769.0,4100.0,139
CPT,45392,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,769.0,4100.0,139
CPT,45393,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,769.0,4320.0,119
CPT,45395,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,1257.0,6274.0,68
CPT,45397,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,1257.0,6274.0,68
CPT,45398,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,769.0,4320.0,119
CPT,45399,"Unlisted procedure, colon ",,,607.0,5115.0,119
CPT,45400,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,1257.0,6227.0,68
CPT,45402,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,1257.0,6227.0,68
CPT,45499,"Unlisted laparoscopy procedure, rectum ",,,1257.0,6801.0,83
CPT,45500,Proctoplasty; for stenosis ,,,870.0,4830.0,139
CPT,45505,Proctoplasty; for prolapse of mucous membrane ,,,870.0,5958.0,139
CPT,45520,Perirectal injection of sclerosing solution for prolapse ,,,511.0,3250.0,119
CPT,45540,"Proctopexy (eg, for prolapse); abdominal approach ",,,1632.0,4953.0,46
CPT,45541,"Proctopexy (eg, for prolapse); perineal approach ",,,870.0,5958.0,103
CPT,45550,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,1632.0,4953.0,46
CPT,45560,Repair of rectocele (separate procedure) ,,,870.0,5958.0,139
CPT,45562,"Exploration, repair, and presacral drainage for rectal injury; ",,,1632.0,4953.0,46
CPT,45563,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,1632.0,4953.0,46
CPT,45800,Closure of rectovesical fistula; ,,,1632.0,4953.0,46
CPT,45805,Closure of rectovesical fistula; with colostomy ,,,1632.0,4953.0,46
CPT,45820,Closure of rectourethral fistula; ,,,1632.0,4953.0,46
CPT,45825,Closure of rectourethral fistula; with colostomy ,,,1632.0,4953.0,46
CPT,45900,Reduction of procidentia (separate procedure) under anesthesia ,,,511.0,3523.0,139
CPT,45905,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,607.0,4100.0,139
CPT,45910,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,607.0,4100.0,139
CPT,45915,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,607.0,4100.0,139
CPT,45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,769.0,4100.0,139
CPT,45999,"Unlisted procedure, rectum ",,,511.0,4421.0,61
CPT,46020,Placement of seton ,,,1257.0,6446.0,139
CPT,46030,"Removal of anal seton, other marker ",,,607.0,4100.0,139
CPT,46040,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,769.0,6446.0,139
CPT,46045,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,870.0,4830.0,139
CPT,46050,"Incision and drainage, perianal abscess, superficial ",,,511.0,3523.0,139
CPT,46060,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,769.0,4100.0,139
CPT,46070,"Incision, anal septum (infant) ",,,607.0,4100.0,103
CPT,46080,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,769.0,6446.0,139
CPT,46083,"Incision of thrombosed hemorrhoid, external ",,,291.0,3523.0,99
CPT,46200,"Fissurectomy, including sphincterotomy, when performed ",,,870.0,4830.0,139
CPT,46210,REMOVAL OF ANAL CRYPT ,,,1560.0,4421.0,21
CPT,46211,REMOVAL OF ANAL CRYPTS ,,,1560.0,4421.0,21
CPT,46220,"Excision of single external papilla or tag, anus ",,,607.0,4100.0,139
CPT,46221,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,511.0,3523.0,119
CPT,46230,"Excision of multiple external papillae or tags, anus ",,,607.0,4100.0,139
CPT,46250,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,1257.0,6446.0,139
CPT,46255,"Hemorrhoidectomy, internal and external, single column/group; ",,,1257.0,6446.0,139
CPT,46257,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,1257.0,6446.0,139
CPT,46258,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,1257.0,6446.0,139
CPT,46260,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,1257.0,6446.0,139
CPT,46261,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,1404.42,6446.0,139
CPT,46262,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,1404.42,6446.0,139
CPT,46270,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,1257.0,6446.0,139
CPT,46275,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,1257.0,6446.0,139
CPT,46280,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,1404.42,6446.0,139
CPT,46285,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,607.0,4830.0,139
CPT,46288,Closure of anal fistula with rectal advancement flap ,,,1404.42,6446.0,139
CPT,46320,"Excision of thrombosed hemorrhoid, external ",,,607.0,4100.0,119
CPT,46500,"Injection of sclerosing solution, hemorrhoids ",,,511.0,3250.0,61
CPT,46505,Chemodenervation of internal anal sphincter ,,,607.0,4100.0,119
CPT,46600,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,291.0,2900.0,119
CPT,46601,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,291.0,3523.0,119
CPT,46604,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,4100.0,103
CPT,46606,"Anoscopy; with biopsy, single or multiple ",,,607.0,4100.0,103
CPT,46607,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,607.0,4320.0,119
CPT,46608,Anoscopy; with removal of foreign body ,,,607.0,4100.0,139
CPT,46610,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,4830.0,139
CPT,46611,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,4100.0,139
CPT,46612,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,4830.0,139
CPT,46614,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,4100.0,103
CPT,46615,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,870.0,4830.0,139
CPT,46700,"Anoplasty, plastic operation for stricture; adult ",,,1257.0,6446.0,139
CPT,46705,"Anoplasty, plastic operation for stricture; infant ",,,1632.0,4953.0,46
CPT,46706,Repair of anal fistula with fibrin glue ,,,607.0,4830.0,139
CPT,46707,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,1404.42,8866.0,77
CPT,46710,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,1257.0,6446.0,88
CPT,46712,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,1257.0,6446.0,88
CPT,46715,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,1632.0,4953.0,46
CPT,46716,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,1632.0,4953.0,46
CPT,46730,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,1632.0,4953.0,46
CPT,46735,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,1632.0,4953.0,46
CPT,46740,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,1632.0,4953.0,46
CPT,46742,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,1632.0,4953.0,46
CPT,46744,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,1632.0,4953.0,46
CPT,46746,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,1632.0,4953.0,46
CPT,46748,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,1632.0,4953.0,46
CPT,46750,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,1257.0,6446.0,139
CPT,46751,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,1632.0,4953.0,46
CPT,46753,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,1257.0,6446.0,139
CPT,46754,"Removal of Thiersch wire or suture, anal canal ",,,769.0,4100.0,139
CPT,46760,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,870.0,5958.0,139
CPT,46761,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,1257.0,6446.0,139
CPT,46762,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,3058.0,5078.0,42
CPT,46900,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,3523.0,119
CPT,46910,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,697.0,4100.0,103
CPT,46916,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,119
CPT,46917,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4830.0,139
CPT,46922,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4830.0,139
CPT,46924,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,139
CPT,46930,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,511.0,5115.0,119
CPT,46934,DESTRUCTION OF HEMORRHOIDS ,,,4421.0,4421.0,1
CPT,46935,DESTRUCTION OF HEMORRHOIDS ,,,4421.0,4421.0,1
CPT,46936,DESTRUCTION OF HEMORRHOIDS ,,,4421.0,4421.0,1
CPT,46937,CRYOTHERAPY OF RECTAL LESION ,,,1560.0,4421.0,21
CPT,46938,CRYOTHERAPY OF RECTAL LESION ,,,1560.0,4421.0,21
CPT,46940,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,607.0,4100.0,103
CPT,46942,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,511.0,3523.0,119
CPT,46945,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,697.0,4830.0,103
CPT,46946,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,870.0,4830.0,139
CPT,46947,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,1404.42,10746.0,139
CPT,46948,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,1404.42,7161.0,108
CPT,46999,"Unlisted procedure, anus ",,,511.0,4421.0,103
CPT,47000,"Biopsy of liver, needle; percutaneous ",,,607.0,4100.0,139
CPT,47001,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,291.0,2900.0,79
CPT,47010,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,1632.0,4953.0,46
CPT,47011,PERCUT DRAIN LIVER LESION ,,,4421.0,4421.0,1
CPT,47015,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,769.0,4100.0,37
CPT,47100,"Biopsy of liver, wedge ",,,1632.0,4830.0,46
CPT,47120,"Hepatectomy, resection of liver; partial lobectomy ",,,1632.0,12538.0,46
CPT,47122,"Hepatectomy, resection of liver; trisegmentectomy ",,,1632.0,4953.0,46
CPT,47125,"Hepatectomy, resection of liver; total left lobectomy ",,,1632.0,4953.0,46
CPT,47130,"Hepatectomy, resection of liver; total right lobectomy ",,,1632.0,4953.0,46
CPT,47133,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,1632.0,4953.0,46
CPT,47134,"PARTIAL REMOVAL, DONOR LIVER ",,,4421.0,4421.0,1
CPT,47135,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,1632.0,4953.0,46
CPT,47136,TRANSPLANTATION OF LIVER ,,,4421.0,4421.0,1
CPT,47140,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,1632.0,4953.0,46
CPT,47141,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,1632.0,4953.0,46
CPT,47142,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,1632.0,4953.0,46
CPT,47143,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1632.0,4953.0,46
CPT,47144,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1632.0,4953.0,46
CPT,47145,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1632.0,4953.0,46
CPT,47146,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,1632.0,4953.0,46
CPT,47147,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,1632.0,4953.0,46
CPT,47300,Marsupialization of cyst or abscess of liver ,,,1632.0,4953.0,46
CPT,47350,Management of liver hemorrhage; simple suture of liver wound or injury ,,,1632.0,4953.0,46
CPT,47360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,1632.0,4953.0,46
CPT,47361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,1632.0,4953.0,46
CPT,47362,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,1632.0,4953.0,46
CPT,47370,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,1471.0,13472.0,85
CPT,47371,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,1471.0,13472.0,85
CPT,47379,"Unlisted laparoscopic procedure, liver ",,,1753.0,10083.0,85
CPT,47380,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,1632.0,6446.0,88
CPT,47381,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,1632.0,6446.0,88
CPT,47382,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1471.0,9431.0,103
CPT,47383,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,1753.0,9431.0,119
CPT,47384,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,67
CPT,47399,"Unlisted procedure, liver ",,,511.0,4421.0,61
CPT,47400,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,1632.0,4953.0,46
CPT,47420,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,1632.0,4953.0,46
CPT,47425,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,1632.0,4953.0,46
CPT,47460,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,1632.0,4953.0,46
CPT,47480,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,1632.0,4953.0,46
CPT,47490,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,1404.42,5958.0,61
CPT,47500,INJECTION FOR LIVER X-RAYS ,,,4421.0,4421.0,1
CPT,47505,INJECTION FOR LIVER X-RAYS ,,,4421.0,4421.0,1
CPT,47510,INSERT CATHETER BILE DUCT ,,,1560.0,4421.0,21
CPT,47511,INSERT BILE DUCT DRAIN ,,,4238.0,4584.0,21
CPT,47525,CHANGE BILE DUCT CATHETER ,,,988.0,4421.0,21
CPT,47530,REVISE/REINSERT BILE TUBE ,,,988.0,4421.0,21
CPT,47531,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,607.0,5958.0,119
CPT,47532,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,870.0,8866.0,119
CPT,47533,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,870.0,8866.0,119
CPT,47534,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,870.0,8866.0,119
CPT,47535,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,870.0,8866.0,119
CPT,47536,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,870.0,8866.0,119
CPT,47537,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,607.0,4100.0,119
CPT,47538,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,1257.0,9431.0,119
CPT,47539,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,1257.0,9431.0,119
CPT,47540,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,1257.0,9431.0,119
CPT,47541,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,870.0,8866.0,119
CPT,47542,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,291.0,2900.0,79
CPT,47543,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,291.0,2900.0,79
CPT,47544,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,291.0,4450.0,79
CPT,47550,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,37
CPT,47552,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,870.0,5958.0,139
CPT,47553,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1257.0,9431.0,139
CPT,47554,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1257.0,9431.0,139
CPT,47555,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1257.0,6446.0,139
CPT,47556,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,1257.0,9431.0,139
CPT,47560,LAPAROSCOPY W/CHOLANGIO ,,,2302.0,2490.0,20
CPT,47561,LAPARO W/CHOLANGIO/BIOPSY ,,,2302.0,2490.0,20
CPT,47562,"Laparoscopy, surgical; cholecystectomy ",,,1753.0,14628.0,85
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1753.0,14628.0,85
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1753.0,14628.0,85
CPT,47570,"Laparoscopy, surgical; cholecystoenterostomy ",,,1632.0,14628.0,70
CPT,47579,"Unlisted laparoscopy procedure, biliary tract ",,,1257.0,14628.0,85
CPT,47600,Cholecystectomy; ,,,1471.0,10083.0,90
CPT,47605,Cholecystectomy; with cholangiography ,,,1632.0,6446.0,88
CPT,47610,Cholecystectomy with exploration of common duct; ,,,1632.0,6446.0,88
CPT,47612,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,1632.0,6446.0,88
CPT,47620,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,1632.0,10746.0,88
CPT,47630,REMOVE BILE DUCT STONE ,,,2302.0,4421.0,21
CPT,47700,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,1632.0,4953.0,46
CPT,47701,"Portoenterostomy (eg, Kasai procedure) ",,,1632.0,4953.0,46
CPT,47711,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,1632.0,4953.0,46
CPT,47712,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,1632.0,4953.0,46
CPT,47715,Excision of choledochal cyst ,,,1632.0,4953.0,46
CPT,47716,FUSION OF BILE DUCT CYST ,,,4421.0,4421.0,1
CPT,47719,FUSION OF BILE DUCT CYST ,,,4421.0,4421.0,1
CPT,47720,Cholecystoenterostomy; direct ,,,1632.0,4953.0,46
CPT,47721,Cholecystoenterostomy; with gastroenterostomy ,,,1632.0,4953.0,46
CPT,47740,Cholecystoenterostomy; Roux-en-Y ,,,1632.0,4953.0,46
CPT,47741,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,1632.0,4953.0,46
CPT,47760,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,46
CPT,47765,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,1632.0,4953.0,46
CPT,47780,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,46
CPT,47785,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,46
CPT,47800,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,1632.0,4953.0,46
CPT,47801,Placement of choledochal stent ,,,1632.0,4953.0,46
CPT,47802,U-tube hepaticoenterostomy ,,,4421.0,4421.0,1
CPT,47900,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,1632.0,4953.0,46
CPT,47999,"Unlisted procedure, biliary tract ",,,742.8,4421.0,61
CPT,48000,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,1632.0,4953.0,46
CPT,48001,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,1632.0,4953.0,46
CPT,48005,RESECT/DEBRIDE PANCREAS ,,,4421.0,4421.0,1
CPT,48020,Removal of pancreatic calculus ,,,1632.0,4953.0,46
CPT,48100,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,1632.0,4953.0,46
CPT,48102,"Biopsy of pancreas, percutaneous needle ",,,607.0,4100.0,139
CPT,48105,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,1632.0,4953.0,46
CPT,48120,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,1632.0,4953.0,46
CPT,48140,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,1632.0,4953.0,46
CPT,48145,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,1632.0,4953.0,46
CPT,48146,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,1632.0,4953.0,46
CPT,48148,Excision of ampulla of Vater ,,,1632.0,4953.0,46
CPT,48150,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,46
CPT,48152,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,46
CPT,48153,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,46
CPT,48154,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,46
CPT,48155,"Pancreatectomy, total ",,,1632.0,4953.0,46
CPT,48160,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,1632.0,4953.0,46
CPT,48180,FUSE PANCREAS AND BOWEL ,,,4421.0,4421.0,1
CPT,48400,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,46
CPT,48500,Marsupialization of pancreatic cyst ,,,1632.0,4953.0,46
CPT,48510,"External drainage, pseudocyst of pancreas, open ",,,472.88,4953.0,62
CPT,48511,DRAIN PANCREATIC PSEUDOCYST ,,,4421.0,4421.0,1
CPT,48520,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,1632.0,4953.0,46
CPT,48540,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,1632.0,4953.0,46
CPT,48545,Pancreatorrhaphy for injury ,,,1632.0,4953.0,46
CPT,48547,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,1632.0,4953.0,46
CPT,48548,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,1632.0,4953.0,46
CPT,48550,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,1632.0,4421.0,22
CPT,48551,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,1632.0,4421.0,22
CPT,48552,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,1632.0,4421.0,22
CPT,48554,Transplantation of pancreatic allograft ,,,1632.0,4421.0,22
CPT,48556,Removal of transplanted pancreatic allograft ,,,1632.0,4421.0,22
CPT,48999,"Unlisted procedure, pancreas ",,,511.0,4421.0,61
CPT,49000,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,79
CPT,49002,Reopening of recent laparotomy ,,,1632.0,4953.0,46
CPT,49010,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1404.42,6446.0,112
CPT,49013,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,1632.0,4953.0,46
CPT,49014,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,1632.0,4953.0,46
CPT,49020,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,1632.0,4953.0,46
CPT,49021,DRAIN ABDOMINAL ABSCESS ,,,4421.0,4421.0,1
CPT,49040,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,1632.0,4953.0,46
CPT,49041,DRAIN PERCUT ABDOM ABSCESS ,,,4421.0,4421.0,1
CPT,49060,"Drainage of retroperitoneal abscess, open ",,,1632.0,4953.0,46
CPT,49061,DRAIN PERCUT RETROPER ABSC ,,,4421.0,4421.0,1
CPT,49062,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,1632.0,4953.0,46
CPT,49080,PUNCTURE PERITONEAL CAVITY ,,,1560.0,4421.0,21
CPT,49081,REMOVAL OF ABDOMINAL FLUID ,,,1560.0,4421.0,21
CPT,49082,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,742.8,4100.0,119
CPT,49083,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,742.8,4100.0,119
CPT,49084,"Peritoneal lavage, including imaging guidance, when performed ",,,742.8,4100.0,119
CPT,49085,REMOVE ABDOMEN FOREIGN BODY ,,,1560.0,4421.0,21
CPT,49180,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,607.0,4100.0,139
CPT,49185,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,511.0,7161.0,119
CPT,49186,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,1632.0,4830.0,46
CPT,49187,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,1632.0,4830.0,46
CPT,49188,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,1632.0,4830.0,46
CPT,49189,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,1632.0,5958.0,46
CPT,49190,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,1632.0,5958.0,46
CPT,49200,REMOVAL OF ABDOMINAL LESION ,,,4421.0,4421.0,1
CPT,49201,"REMOVE ABDOM LESION, COMPLEX ",,,4421.0,4421.0,1
CPT,49203,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,1603.31,4421.0,34
CPT,49204,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,2540.0,4421.0,10
CPT,49205,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,2540.0,4421.0,10
CPT,49215,Excision of presacral or sacrococcygeal tumor ,,,1632.0,4953.0,46
CPT,49220,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,4421.0,4421.0,1
CPT,49250,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1404.42,6446.0,139
CPT,49255,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,1404.42,6446.0,92
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1257.0,10083.0,105
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1471.0,10083.0,105
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1471.0,10083.0,105
CPT,49323,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1257.0,10083.0,85
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1471.0,10083.0,85
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1471.0,10083.0,85
CPT,49326,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,291.0,10083.0,61
CPT,49327,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,291.0,10083.0,61
CPT,49329,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,607.0,10083.0,85
CPT,49400,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,291.0,2900.0,79
CPT,49402,Removal of peritoneal foreign body from peritoneal cavity ,,,870.0,5958.0,139
CPT,49405,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,769.0,8866.0,119
CPT,49406,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,769.0,8866.0,119
CPT,49407,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,769.0,6446.0,119
CPT,49411,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,607.0,4100.0,119
CPT,49412,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1632.0,4953.0,46
CPT,49418,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,870.0,8866.0,119
CPT,49419,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,870.0,9431.0,139
CPT,49420,"INSERT ABDOM DRAIN, TEMP ",,,988.0,4421.0,21
CPT,49421,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,870.0,5958.0,139
CPT,49422,Removal of tunneled intraperitoneal catheter ,,,607.0,5958.0,139
CPT,49423,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,607.0,4100.0,103
CPT,49424,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,291.0,2900.0,79
CPT,49425,Insertion of peritoneal-venous shunt ,,,769.0,4100.0,79
CPT,49426,Revision of peritoneal-venous shunt ,,,870.0,5958.0,139
CPT,49427,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,291.0,2900.0,79
CPT,49428,Ligation of peritoneal-venous shunt ,,,769.0,4421.0,37
CPT,49429,Removal of peritoneal-venous shunt ,,,870.0,5958.0,103
CPT,49435,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,607.0,4100.0,79
CPT,49436,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,607.0,4100.0,119
CPT,49440,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,119
CPT,49441,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,119
CPT,49442,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,5115.0,119
CPT,49446,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,119
CPT,49450,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,119
CPT,49451,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,119
CPT,49452,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,119
CPT,49460,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,607.0,4100.0,119
CPT,49465,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,291.0,2900.0,119
CPT,49491,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,103
CPT,49492,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1404.42,6446.0,103
CPT,49495,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1404.42,6446.0,139
CPT,49496,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1404.42,6446.0,139
CPT,49500,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1404.42,6446.0,139
CPT,49501,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1404.42,8866.0,139
CPT,49505,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1404.42,6446.0,139
CPT,49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1404.42,8866.0,139
CPT,49520,"Repair recurrent inguinal hernia, any age; reducible ",,,1404.42,7161.0,139
CPT,49521,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,139
CPT,49525,"Repair inguinal hernia, sliding, any age ",,,1404.42,6446.0,139
CPT,49540,Repair lumbar hernia ,,,870.0,5958.0,139
CPT,49550,"Repair initial femoral hernia, any age; reducible ",,,1404.42,6446.0,139
CPT,49553,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,139
CPT,49555,Repair recurrent femoral hernia; reducible ,,,1404.42,6446.0,139
CPT,49557,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1404.42,8866.0,139
CPT,49560,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,4421.0,42
CPT,49561,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1471.0,4584.0,42
CPT,49565,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,4421.0,42
CPT,49566,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1876.0,4584.0,42
CPT,49568,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,990.0,5078.0,42
CPT,49570,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,1471.0,4421.0,42
CPT,49572,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,42
CPT,49580,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,1471.0,4421.0,42
CPT,49582,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,42
CPT,49585,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,1471.0,4421.0,42
CPT,49587,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,42
CPT,49590,REPAIR SPIGELIAN HERNIA ,,,1257.0,4421.0,42
CPT,49591,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1404.42,10083.0,74
CPT,49592,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1753.0,10083.0,74
CPT,49593,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1404.42,10083.0,74
CPT,49594,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1753.0,10083.0,74
CPT,49595,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1404.42,10083.0,74
CPT,49596,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2540.0,10083.0,50
CPT,49600,"Repair of small omphalocele, with primary closure ",,,1404.42,6446.0,139
CPT,49605,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,1471.0,6446.0,88
CPT,49606,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,1632.0,4953.0,46
CPT,49610,Repair of omphalocele (Gross type operation); first stage ,,,1632.0,4953.0,46
CPT,49611,Repair of omphalocele (Gross type operation); second stage ,,,1632.0,4953.0,46
CPT,49613,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1404.42,10083.0,74
CPT,49614,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1753.0,10083.0,74
CPT,49615,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1404.42,10083.0,74
CPT,49616,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2540.0,10083.0,50
CPT,49617,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2540.0,10083.0,50
CPT,49618,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2540.0,10083.0,50
CPT,49621,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2540.0,9431.0,84
CPT,49622,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2540.0,9431.0,84
CPT,49623,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,291.0,4950.0,68
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1471.0,10083.0,105
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1753.0,9431.0,119
CPT,49652,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,3542.0,21
CPT,49653,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,3542.0,21
CPT,49654,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,3542.0,21
CPT,49655,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,3542.0,21
CPT,49656,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,3542.0,21
CPT,49657,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,3542.0,21
CPT,49659,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,1753.0,10083.0,85
CPT,49900,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,1632.0,4953.0,46
CPT,49904,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,1632.0,4953.0,46
CPT,49905,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,1632.0,6801.0,46
CPT,49906,Free omental flap with microvascular anastomosis ,,,1632.0,4953.0,46
CPT,49999,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,4421.0,103
CPT,50010,"Renal exploration, not necessitating other specific procedures ",,,1632.0,4953.0,46
CPT,50020,"Drainage of perirenal or renal abscess, open ",,,870.0,4830.0,103
CPT,50021,RENAL ABSCESS PERCUT DRAIN ,,,4421.0,4421.0,1
CPT,50040,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,79
CPT,50045,"Nephrotomy, with exploration ",,,1632.0,4953.0,46
CPT,50060,Nephrolithotomy; removal of calculus ,,,1632.0,4953.0,46
CPT,50065,Nephrolithotomy; secondary surgical operation for calculus ,,,1632.0,4953.0,46
CPT,50070,Nephrolithotomy; complicated by congenital kidney abnormality ,,,1632.0,4953.0,46
CPT,50075,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,1632.0,4953.0,46
CPT,50080,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1753.0,6861.0,87
CPT,50081,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1753.0,6861.0,87
CPT,50100,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,1632.0,4953.0,46
CPT,50120,Pyelotomy; with exploration ,,,1632.0,4953.0,46
CPT,50125,"Pyelotomy; with drainage, pyelostomy ",,,1632.0,4953.0,46
CPT,50130,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,1632.0,4953.0,46
CPT,50135,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) ",,,4421.0,4421.0,1
CPT,50200,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,4100.0,139
CPT,50205,Renal biopsy; by surgical exposure of kidney ,,,1632.0,4953.0,46
CPT,50220,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,1632.0,4953.0,46
CPT,50225,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,1632.0,5588.0,46
CPT,50230,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,1632.0,4953.0,46
CPT,50234,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,1632.0,5588.0,46
CPT,50236,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,1632.0,4953.0,46
CPT,50240,"Nephrectomy, partial ",,,1632.0,4953.0,46
CPT,50250,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,1632.0,10746.0,88
CPT,50280,Excision or unroofing of cyst(s) of kidney ,,,1632.0,4953.0,46
CPT,50290,Excision of perinephric cyst ,,,1632.0,4953.0,46
CPT,50300,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,1632.0,4953.0,46
CPT,50320,"Donor nephrectomy (including cold preservation); open, from living donor ",,,1632.0,4953.0,46
CPT,50323,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,1632.0,4953.0,46
CPT,50325,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,1632.0,4953.0,46
CPT,50327,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,46
CPT,50328,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,46
CPT,50329,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,1632.0,4953.0,46
CPT,50340,Recipient nephrectomy (separate procedure) ,,,1632.0,4953.0,46
CPT,50360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,1632.0,4953.0,46
CPT,50365,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,1632.0,4953.0,46
CPT,50370,Removal of transplanted renal allograft ,,,1632.0,4953.0,46
CPT,50380,"Renal autotransplantation, reimplantation of kidney ",,,1632.0,4953.0,46
CPT,50382,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,119
CPT,50384,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,119
CPT,50385,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,5115.0,119
CPT,50386,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,4830.0,119
CPT,50387,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,4100.0,119
CPT,50389,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,511.0,3523.0,119
CPT,50390,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,511.0,3523.0,139
CPT,50391,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,291.0,3523.0,119
CPT,50392,INSERT KIDNEY DRAIN ,,,988.0,4421.0,21
CPT,50393,INSERT URETERAL TUBE ,,,988.0,4421.0,21
CPT,50394,INJECTION FOR KIDNEY X-RAY ,,,4421.0,4421.0,1
CPT,50395,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,4421.0,42
CPT,50396,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,511.0,3523.0,139
CPT,50398,CHANGE KIDNEY TUBE ,,,988.0,4421.0,21
CPT,50400,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,1694.0,6581.0,46
CPT,50405,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,1694.0,6051.0,46
CPT,50430,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,511.0,3979.0,119
CPT,50431,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,511.0,3979.0,119
CPT,50432,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,7161.0,119
CPT,50433,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,7161.0,119
CPT,50434,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,511.0,3979.0,119
CPT,50435,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,511.0,3979.0,119
CPT,50436,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1404.42,8866.0,108
CPT,50437,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1404.42,5958.0,92
CPT,50500,"Nephrorrhaphy, suture of kidney wound or injury ",,,1632.0,4953.0,46
CPT,50520,Closure of nephrocutaneous or pyelocutaneous fistula ,,,511.0,3250.0,79
CPT,50525,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,1632.0,4953.0,46
CPT,50526,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,1632.0,4953.0,46
CPT,50540,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,1632.0,4953.0,46
CPT,50541,"Laparoscopy, surgical; ablation of renal cysts ",,,1753.0,10083.0,85
CPT,50542,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2224.34,13472.0,85
CPT,50543,"Laparoscopy, surgical; partial nephrectomy ",,,2224.34,10083.0,85
CPT,50544,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,10083.0,85
CPT,50545,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1632.0,10083.0,74
CPT,50546,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1632.0,10083.0,70
CPT,50547,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1632.0,10083.0,70
CPT,50548,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1632.0,10083.0,70
CPT,50549,"Unlisted laparoscopy procedure, renal ",,,1257.0,10083.0,85
CPT,50551,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,4100.0,139
CPT,50553,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,4830.0,139
CPT,50555,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,139
CPT,50557,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,4830.0,139
CPT,50559,RENAL ENDOSCOPY/RADIOTRACER ,,,4421.0,4421.0,1
CPT,50561,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,4830.0,139
CPT,50562,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,511.0,3523.0,119
CPT,50570,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,119
CPT,50572,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,511.0,3523.0,119
CPT,50574,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,511.0,3523.0,119
CPT,50575,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1603.31,6801.0,61
CPT,50576,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,4100.0,103
CPT,50578,RENAL ENDOSCOPY/RADIOTRACER ,,,4421.0,4421.0,1
CPT,50580,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4100.0,103
CPT,50590,"Lithotripsy, extracorporeal shock wave ",,,1404.42,19193.0,69
CPT,50592,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,9431.0,119
CPT,50593,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2224.34,19193.0,105
CPT,50600,Ureterotomy with exploration or drainage (separate procedure) ,,,1632.0,6446.0,88
CPT,50605,"Ureterotomy for insertion of indwelling stent, all types ",,,1632.0,6446.0,88
CPT,50606,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,291.0,2900.0,79
CPT,50610,Ureterolithotomy; upper one-third of ureter ,,,1632.0,6446.0,88
CPT,50620,Ureterolithotomy; middle one-third of ureter ,,,1632.0,6446.0,88
CPT,50630,Ureterolithotomy; lower one-third of ureter ,,,1632.0,6446.0,88
CPT,50650,"Ureterectomy, with bladder cuff (separate procedure) ",,,1632.0,6446.0,88
CPT,50660,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,1632.0,6446.0,88
CPT,50684,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,79
CPT,50686,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,291.0,4421.0,77
CPT,50688,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,4100.0,139
CPT,50690,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,291.0,2900.0,79
CPT,50693,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,8866.0,119
CPT,50694,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,8866.0,119
CPT,50695,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,8866.0,119
CPT,50700,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,1632.0,4953.0,46
CPT,50705,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,291.0,2900.0,79
CPT,50706,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,291.0,2900.0,79
CPT,50715,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,1632.0,4953.0,46
CPT,50722,Ureterolysis for ovarian vein syndrome ,,,1632.0,4953.0,46
CPT,50725,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,1632.0,4953.0,46
CPT,50727,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1404.42,4830.0,61
CPT,50728,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,1632.0,4953.0,46
CPT,50740,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,1632.0,4953.0,46
CPT,50750,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,1632.0,4953.0,46
CPT,50760,Ureteroureterostomy ,,,1632.0,4953.0,46
CPT,50770,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,1632.0,4953.0,46
CPT,50780,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,1632.0,4830.0,46
CPT,50782,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,1632.0,4953.0,46
CPT,50783,Ureteroneocystostomy; with extensive ureteral tailoring ,,,1632.0,4953.0,46
CPT,50785,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,1632.0,4953.0,46
CPT,50800,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,1632.0,4953.0,46
CPT,50810,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,1632.0,4953.0,46
CPT,50815,"Ureterocolon conduit, including intestine anastomosis ",,,1632.0,4953.0,46
CPT,50820,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,1632.0,4953.0,46
CPT,50825,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,1632.0,4953.0,46
CPT,50830,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,1632.0,4953.0,46
CPT,50840,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,1632.0,4953.0,46
CPT,50845,Cutaneous appendico-vesicostomy ,,,1632.0,4953.0,46
CPT,50860,"Ureterostomy, transplantation of ureter to skin ",,,1632.0,4953.0,46
CPT,50900,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,1632.0,4953.0,46
CPT,50920,Closure of ureterocutaneous fistula ,,,1632.0,4953.0,46
CPT,50930,Closure of ureterovisceral fistula (including visceral repair) ,,,1632.0,4953.0,46
CPT,50940,Deligation of ureter ,,,1632.0,4953.0,46
CPT,50945,"Laparoscopy, surgical; ureterolithotomy ",,,1753.0,10083.0,85
CPT,50947,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1753.0,10083.0,105
CPT,50948,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,10083.0,105
CPT,50949,"Unlisted laparoscopy procedure, ureter ",,,1753.0,10083.0,85
CPT,50951,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,139
CPT,50953,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,4100.0,139
CPT,50955,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4830.0,139
CPT,50957,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,4830.0,139
CPT,50959,URETER ENDOSCOPY & TRACER ,,,4421.0,4421.0,1
CPT,50961,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,139
CPT,50970,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,139
CPT,50972,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,511.0,3523.0,139
CPT,50974,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,139
CPT,50976,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,4100.0,139
CPT,50978,URETER ENDOSCOPY & TRACER ,,,4421.0,4421.0,1
CPT,50980,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,139
CPT,51000,DRAINAGE OF BLADDER ,,,4421.0,4421.0,1
CPT,51005,DRAINAGE OF BLADDER ,,,4421.0,4421.0,1
CPT,51010,DRAINAGE OF BLADDER ,,,988.0,4421.0,21
CPT,51020,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1404.42,6446.0,139
CPT,51030,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1404.42,4421.0,74
CPT,51040,"Cystostomy, cystotomy with drainage ",,,1142.61,6446.0,139
CPT,51045,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,511.0,6446.0,139
CPT,51050,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,139
CPT,51060,Transvesical ureterolithotomy ,,,1142.61,6801.0,61
CPT,51065,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1404.42,6446.0,139
CPT,51080,Drainage of perivesical or prevesical space abscess ,,,607.0,4100.0,139
CPT,51100,Aspiration of bladder; by needle ,,,291.0,2900.0,119
CPT,51101,Aspiration of bladder; by trocar or intracatheter ,,,607.0,3250.0,119
CPT,51102,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,4830.0,119
CPT,51500,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,139
CPT,51520,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1404.42,6446.0,139
CPT,51525,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,1404.42,5958.0,61
CPT,51530,Cystotomy; for excision of bladder tumor ,,,1404.42,5958.0,61
CPT,51535,"Cystotomy for excision, incision, or repair of ureterocele ",,,1404.42,4950.0,61
CPT,51550,"Cystectomy, partial; simple ",,,1632.0,4953.0,46
CPT,51555,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,1632.0,4953.0,46
CPT,51565,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,1632.0,4953.0,46
CPT,51570,"Cystectomy, complete; (separate procedure) ",,,1632.0,4953.0,46
CPT,51575,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,46
CPT,51580,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,1632.0,4953.0,46
CPT,51585,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,46
CPT,51590,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,1632.0,4953.0,46
CPT,51595,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,46
CPT,51596,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,1632.0,4953.0,46
CPT,51597,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,1632.0,4953.0,46
CPT,51600,Injection procedure for cystography or voiding urethrocystography ,,,291.0,4950.0,37
CPT,51605,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,291.0,4950.0,37
CPT,51610,Injection procedure for retrograde urethrocystography ,,,291.0,4950.0,37
CPT,51700,"Bladder irrigation, simple, lavage and/or instillation ",,,291.0,4950.0,119
CPT,51701,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,291.0,4950.0,119
CPT,51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,291.0,4950.0,119
CPT,51703,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,291.0,4950.0,119
CPT,51705,Change of cystostomy tube; simple ,,,291.0,4950.0,119
CPT,51710,Change of cystostomy tube; complicated ,,,511.0,4950.0,139
CPT,51715,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,139
CPT,51720,Bladder instillation of anticarcinogenic agent (including retention time) ,,,291.0,4950.0,97
CPT,51721,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1632.0,4953.0,68
CPT,51725,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,291.0,4950.0,119
CPT,51726,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,291.0,4950.0,139
CPT,51727,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,511.0,4950.0,119
CPT,51728,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,511.0,4950.0,119
CPT,51729,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,511.0,4950.0,119
CPT,51736,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,291.0,4950.0,77
CPT,51741,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,291.0,4950.0,77
CPT,51772,URETHRA PRESSURE PROFILE ,,,988.0,4421.0,21
CPT,51784,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,291.0,4950.0,77
CPT,51785,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,291.0,4950.0,139
CPT,51792,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,291.0,4950.0,77
CPT,51795,URINE VOIDING PRESSURE STUDY ,,,4421.0,4421.0,1
CPT,51797,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,291.0,4950.0,79
CPT,51798,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,291.0,4950.0,77
CPT,51800,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,1632.0,10746.0,88
CPT,51820,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,1632.0,10746.0,88
CPT,51840,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,1603.31,10746.0,103
CPT,51841,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,1632.0,10746.0,79
CPT,51845,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1603.31,6801.0,103
CPT,51860,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,4950.0,103
CPT,51865,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,79
CPT,51880,Closure of cystostomy (separate procedure) ,,,607.0,4950.0,139
CPT,51900,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,79
CPT,51920,Closure of vesicouterine fistula; ,,,1257.0,6446.0,79
CPT,51925,Closure of vesicouterine fistula; with hysterectomy ,,,1632.0,4953.0,46
CPT,51940,"Closure, exstrophy of bladder ",,,1632.0,4953.0,46
CPT,51960,"Enterocystoplasty, including intestinal anastomosis ",,,1632.0,4953.0,46
CPT,51980,Cutaneous vesicostomy ,,,1404.42,4950.0,61
CPT,51990,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1753.0,9431.0,99
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1753.0,10732.0,105
CPT,51999,"Unlisted laparoscopy procedure, bladder ",,,1257.0,6801.0,83
CPT,52000,Cystourethroscopy (separate procedure) ,,,511.0,17048.0,119
CPT,52001,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,769.0,4950.0,139
CPT,52005,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,17048.0,119
CPT,52007,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,4950.0,139
CPT,52010,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,511.0,4950.0,139
CPT,52204,"Cystourethroscopy, with biopsy(s) ",,,870.0,4950.0,139
CPT,52214,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,4950.0,139
CPT,52224,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,4950.0,139
CPT,52234,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,4950.0,139
CPT,52235,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,139
CPT,52240,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,139
CPT,52250,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1404.42,16336.0,139
CPT,52260,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,769.0,4950.0,139
CPT,52265,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,511.0,4950.0,119
CPT,52270,"Cystourethroscopy, with internal urethrotomy; female ",,,769.0,4950.0,139
CPT,52275,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,4950.0,139
CPT,52276,Cystourethroscopy with direct vision internal urethrotomy ,,,1142.61,6446.0,139
CPT,52277,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,4950.0,139
CPT,52281,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,769.0,4950.0,139
CPT,52282,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,8866.0,139
CPT,52283,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,4950.0,139
CPT,52284,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,1632.0,8866.0,84
CPT,52285,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,742.8,4950.0,139
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,769.0,5115.0,119
CPT,52290,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,4950.0,139
CPT,52300,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,4950.0,139
CPT,52301,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,139
CPT,52305,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,4950.0,139
CPT,52310,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,769.0,4950.0,139
CPT,52315,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,4950.0,139
CPT,52317,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,4950.0,139
CPT,52318,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,4950.0,139
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1404.42,10083.0,125
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,139
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,10083.0,125
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,10083.0,125
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,17048.0,105
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,10083.0,125
CPT,52335,Cystourethroscopy ,,,4421.0,4421.0,1
CPT,52336,Cysto w rmvl/manip CAL ,,,4421.0,4421.0,1
CPT,52337,Cysto w lithotripsy ,,,4421.0,4421.0,1
CPT,52338,Cysto w Bx/fulgur les ,,,4421.0,4421.0,1
CPT,52339,Cysto w tumor resection ,,,4421.0,4421.0,1
CPT,52340,TUR cong post valve/fold ,,,4421.0,4421.0,1
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,10083.0,125
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,10083.0,125
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,10083.0,125
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,10083.0,125
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,10083.0,125
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,10083.0,125
CPT,52347,"CYSTOSCOPY, RESECT DUCTS ",,,4421.0,4421.0,1
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,10083.0,125
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1404.42,10083.0,125
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1603.31,17048.0,83
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,10083.0,125
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,10083.0,125
CPT,52356,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,17048.0,99
CPT,52400,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,139
CPT,52402,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,139
CPT,52441,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,291.0,6446.0,103
CPT,52442,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,291.0,2900.0,103
CPT,52443,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,1632.0,6446.0,67
CPT,52450,Transurethral incision of prostate ,,,1257.0,6446.0,139
CPT,52500,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,139
CPT,52510,DILATION PROSTATIC URETHRA ,,,2302.0,4421.0,21
CPT,52597,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1632.0,6801.0,67
CPT,52601,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,10083.0,125
CPT,52606,CONTROL POSTOP BLEEDING ,,,988.0,4421.0,21
CPT,52612,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,4421.0,21
CPT,52614,"PROSTATECTOMY, SECOND STAGE ",,,988.0,4421.0,21
CPT,52620,REMOVE RESIDUAL PROSTATE ,,,988.0,4421.0,21
CPT,52630,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,6801.0,139
CPT,52640,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,4950.0,139
CPT,52647,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1603.31,8866.0,90
CPT,52648,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1603.31,8866.0,139
CPT,52649,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1603.31,8866.0,119
CPT,52700,Transurethral drainage of prostatic abscess ,,,870.0,4830.0,139
CPT,53000,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,4830.0,139
CPT,53010,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,4830.0,139
CPT,53020,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,4830.0,139
CPT,53025,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,4830.0,103
CPT,53040,Drainage of deep periurethral abscess ,,,870.0,4830.0,139
CPT,53060,Drainage of Skene's gland abscess or cyst ,,,607.0,4830.0,103
CPT,53080,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,742.8,6446.0,139
CPT,53085,Drainage of perineal urinary extravasation; complicated ,,,1142.61,4830.0,61
CPT,53200,Biopsy of urethra ,,,607.0,4830.0,139
CPT,53210,"Urethrectomy, total, including cystostomy; female ",,,1404.42,6446.0,139
CPT,53215,"Urethrectomy, total, including cystostomy; male ",,,1603.31,6446.0,139
CPT,53220,Excision or fulguration of carcinoma of urethra ,,,870.0,5958.0,139
CPT,53230,Excision of urethral diverticulum (separate procedure); female ,,,870.0,5958.0,139
CPT,53235,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,139
CPT,53240,"Marsupialization of urethral diverticulum, male or female ",,,870.0,5958.0,139
CPT,53250,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,4830.0,139
CPT,53260,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,4830.0,139
CPT,53265,Excision or fulguration; urethral caruncle ,,,870.0,4830.0,139
CPT,53270,Excision or fulguration; Skene's glands ,,,870.0,4830.0,139
CPT,53275,Excision or fulguration; urethral prolapse ,,,870.0,4830.0,139
CPT,53400,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,139
CPT,53405,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,5958.0,139
CPT,53410,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,5958.0,139
CPT,53415,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2259.0,6801.0,37
CPT,53420,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,139
CPT,53425,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,5958.0,139
CPT,53430,"Urethroplasty, reconstruction of female urethra ",,,870.0,5958.0,139
CPT,53431,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,5958.0,139
CPT,53440,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,10732.0,125
CPT,53442,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,5958.0,139
CPT,53443,RECONSTRUCTION OF URETHRA ,,,4421.0,4421.0,1
CPT,53444,Insertion of tandem cuff (dual cuff) ,,,870.0,10732.0,125
CPT,53445,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,10732.0,125
CPT,53446,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,9431.0,139
CPT,53447,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,16279.0,139
CPT,53448,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,511.0,3880.0,37
CPT,53449,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,5958.0,139
CPT,53450,"Urethromeatoplasty, with mucosal advancement ",,,607.0,5958.0,139
CPT,53451,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2224.34,13472.0,92
CPT,53452,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,1632.0,6446.0,92
CPT,53453,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1404.42,4830.0,92
CPT,53454,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,291.0,3523.0,108
CPT,53460,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,4830.0,139
CPT,53500,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1404.42,6446.0,103
CPT,53502,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,4830.0,139
CPT,53505,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,5958.0,139
CPT,53510,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,4830.0,139
CPT,53515,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,5958.0,139
CPT,53520,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,5958.0,139
CPT,53600,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,291.0,3523.0,119
CPT,53601,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,291.0,3523.0,119
CPT,53605,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,769.0,4100.0,139
CPT,53620,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,511.0,3250.0,103
CPT,53621,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,291.0,3523.0,119
CPT,53660,Dilation of female urethra including suppository and/or instillation; initial ,,,291.0,2900.0,119
CPT,53661,Dilation of female urethra including suppository and/or instillation; subsequent ,,,291.0,2900.0,77
CPT,53665,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,4830.0,139
CPT,53670,Insert urinary catheter ,,,4421.0,4421.0,1
CPT,53675,Insert urinary catheter ,,,4421.0,4421.0,1
CPT,53850,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,769.0,7602.0,103
CPT,53852,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,6801.0,103
CPT,53853,PROSTATIC WATER THERMOTHER ,,,4421.0,4421.0,1
CPT,53854,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1404.42,8866.0,108
CPT,53855,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,511.0,3250.0,119
CPT,53860,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,769.0,7161.0,119
CPT,53865,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1632.0,6446.0,68
CPT,53866,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,911.0,3435.0,84
CPT,53899,"Unlisted procedure, urinary system ",,,291.0,4421.0,103
CPT,54000,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,697.0,4830.0,139
CPT,54001,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,4830.0,139
CPT,54015,"Incision and drainage of penis, deep ",,,769.0,6446.0,139
CPT,54050,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,2900.0,77
CPT,54055,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,697.0,4100.0,61
CPT,54056,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,77
CPT,54057,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4100.0,139
CPT,54060,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4100.0,139
CPT,54065,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,139
CPT,54100,Biopsy of penis; (separate procedure) ,,,607.0,4100.0,139
CPT,54105,Biopsy of penis; deep structures ,,,607.0,4830.0,139
CPT,54110,Excision of penile plaque (Peyronie disease); ,,,870.0,6801.0,139
CPT,54111,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,6801.0,139
CPT,54112,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,6801.0,139
CPT,54115,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,4830.0,139
CPT,54120,Amputation of penis; partial ,,,870.0,5958.0,139
CPT,54125,Amputation of penis; complete ,,,769.0,4100.0,79
CPT,54130,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,1632.0,4953.0,46
CPT,54135,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,46
CPT,54150,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,4830.0,139
CPT,54152,CIRCUMCISION ,,,988.0,4421.0,21
CPT,54160,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,697.0,4830.0,139
CPT,54161,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,4950.0,139
CPT,54162,Lysis or excision of penile post-circumcision adhesions ,,,870.0,4830.0,139
CPT,54163,Repair incomplete circumcision ,,,870.0,4830.0,139
CPT,54164,Frenulotomy of penis ,,,870.0,4830.0,139
CPT,54200,Injection procedure for Peyronie disease; ,,,291.0,3523.0,77
CPT,54205,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,139
CPT,54220,Irrigation of corpora cavernosa for priapism ,,,291.0,3523.0,139
CPT,54230,Injection procedure for corpora cavernosography ,,,291.0,2900.0,79
CPT,54231,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,742.8,4421.0,61
CPT,54235,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,291.0,2900.0,77
CPT,54240,Penile plethysmography ,,,291.0,4421.0,119
CPT,54250,Nocturnal penile tumescence and/or rigidity test ,,,291.0,4421.0,119
CPT,54300,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6801.0,139
CPT,54304,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6801.0,139
CPT,54308,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6801.0,139
CPT,54312,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,139
CPT,54316,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,139
CPT,54318,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,139
CPT,54322,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,139
CPT,54324,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6801.0,139
CPT,54326,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,139
CPT,54328,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6801.0,139
CPT,54332,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,6446.0,103
CPT,54336,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,10746.0,103
CPT,54340,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,139
CPT,54344,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,139
CPT,54348,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,139
CPT,54352,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6801.0,139
CPT,54360,Plastic operation on penis to correct angulation ,,,1257.0,6801.0,139
CPT,54380,Plastic operation on penis for epispadias distal to external sphincter; ,,,1142.61,6446.0,139
CPT,54385,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1142.61,6446.0,139
CPT,54390,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2259.0,6801.0,37
CPT,54400,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,27277.0,139
CPT,54401,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,27277.0,139
CPT,54402,REMOVE PENIS PROSTHESIS ,,,4421.0,4421.0,1
CPT,54405,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,27277.0,139
CPT,54406,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,139
CPT,54407,REMOVE MULTI-COMP PROSTHESIS ,,,4421.0,4421.0,1
CPT,54408,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6801.0,139
CPT,54409,REVISE PENIS PROSTHESIS ,,,4421.0,4421.0,1
CPT,54410,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,27277.0,139
CPT,54411,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,291.0,27277.0,103
CPT,54415,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,139
CPT,54416,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,27277.0,139
CPT,54417,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,511.0,27277.0,103
CPT,54420,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1404.42,6446.0,139
CPT,54430,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,1632.0,4953.0,46
CPT,54435,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1404.42,6446.0,139
CPT,54437,Repair of traumatic corporeal tear(s) ,,,870.0,7161.0,119
CPT,54438,"Replantation, penis, complete amputation including urethral repair ",,,4421.0,4421.0,1
CPT,54440,Plastic operation of penis for injury ,,,1404.42,6446.0,139
CPT,54450,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,291.0,3523.0,139
CPT,54500,"Biopsy of testis, needle (separate procedure) ",,,607.0,4100.0,139
CPT,54505,"Biopsy of testis, incisional (separate procedure) ",,,607.0,4830.0,139
CPT,54510,REMOVAL OF TESTIS LESION ,,,4421.0,4421.0,1
CPT,54512,Excision of extraparenchymal lesion of testis ,,,870.0,4830.0,139
CPT,54520,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,139
CPT,54522,"Orchiectomy, partial ",,,1257.0,6446.0,139
CPT,54530,"Orchiectomy, radical, for tumor; inguinal approach ",,,1404.42,6446.0,139
CPT,54535,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,1404.42,5958.0,61
CPT,54550,Exploration for undescended testis (inguinal or scrotal area) ,,,1404.42,6446.0,139
CPT,54560,Exploration for undescended testis with abdominal exploration ,,,1142.61,6446.0,103
CPT,54600,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1404.42,6446.0,139
CPT,54620,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,139
CPT,54640,"Orchiopexy, inguinal or scrotal approach ",,,1404.42,6446.0,139
CPT,54650,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1404.42,6446.0,103
CPT,54660,Insertion of testicular prosthesis (separate procedure) ,,,870.0,4830.0,139
CPT,54670,Suture or repair of testicular injury ,,,1257.0,6446.0,139
CPT,54680,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,139
CPT,54690,"Laparoscopy, surgical; orchiectomy ",,,1753.0,9431.0,119
CPT,54692,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1753.0,9431.0,99
CPT,54699,"Unlisted laparoscopy procedure, testis ",,,1257.0,6801.0,83
CPT,54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,4830.0,139
CPT,54800,"Biopsy of epididymis, needle ",,,511.0,3523.0,139
CPT,54820,EXPLORATION OF EPIDIDYMIS ,,,988.0,4421.0,21
CPT,54830,Excision of local lesion of epididymis ,,,1257.0,6446.0,139
CPT,54840,"Excision of spermatocele, with or without epididymectomy ",,,1142.61,6446.0,139
CPT,54860,Epididymectomy; unilateral ,,,1257.0,6446.0,139
CPT,54861,Epididymectomy; bilateral ,,,1404.42,6446.0,139
CPT,54865,"Exploration of epididymis, with or without biopsy ",,,607.0,4830.0,139
CPT,54900,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1142.61,6446.0,139
CPT,54901,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1404.42,6446.0,139
CPT,55000,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,511.0,3250.0,77
CPT,55040,Excision of hydrocele; unilateral ,,,1257.0,6446.0,139
CPT,55041,Excision of hydrocele; bilateral ,,,1404.42,6446.0,139
CPT,55060,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1404.42,6446.0,139
CPT,55100,Drainage of scrotal wall abscess ,,,607.0,4100.0,139
CPT,55110,Scrotal exploration ,,,870.0,4830.0,139
CPT,55120,Removal of foreign body in scrotum ,,,870.0,4830.0,139
CPT,55150,Resection of scrotum ,,,607.0,4830.0,139
CPT,55175,Scrotoplasty; simple ,,,607.0,6801.0,139
CPT,55180,Scrotoplasty; complicated ,,,870.0,4830.0,139
CPT,55200,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,4830.0,139
CPT,55250,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,697.0,4830.0,139
CPT,55300,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,291.0,2900.0,79
CPT,55400,"Vasovasostomy, vasovasorrhaphy ",,,607.0,4830.0,139
CPT,55450,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,2399.0,4421.0,2
CPT,55500,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,139
CPT,55520,Excision of lesion of spermatic cord (separate procedure) ,,,1404.42,6446.0,139
CPT,55530,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1404.42,6446.0,139
CPT,55535,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1404.42,6446.0,139
CPT,55540,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1404.42,6446.0,139
CPT,55550,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1753.0,9431.0,119
CPT,55559,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,6801.0,83
CPT,55600,Vesiculotomy; ,,,607.0,4830.0,119
CPT,55605,Vesiculotomy; complicated ,,,511.0,3250.0,79
CPT,55650,"Vesiculectomy, any approach ",,,511.0,3250.0,79
CPT,55680,Excision of Mullerian duct cyst ,,,607.0,4830.0,139
CPT,55700,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,769.0,3979.0,90
CPT,55705,"Biopsy, prostate, any approach, nonimaging-guided ",,,769.0,4100.0,139
CPT,55706,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,769.0,4421.0,119
CPT,55707,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,67
CPT,55708,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1632.0,4830.0,67
CPT,55709,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,67
CPT,55710,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1632.0,4830.0,67
CPT,55711,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,67
CPT,55712,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,67
CPT,55713,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,1632.0,6446.0,67
CPT,55714,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,1632.0,6446.0,67
CPT,55715,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,67
CPT,55720,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,4830.0,139
CPT,55725,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,4830.0,139
CPT,55801,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,1632.0,4953.0,46
CPT,55810,"Prostatectomy, perineal radical; ",,,1632.0,5588.0,46
CPT,55812,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,46
CPT,55815,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,46
CPT,55821,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,1632.0,4953.0,46
CPT,55831,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,1632.0,4953.0,46
CPT,55840,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,1632.0,5588.0,46
CPT,55842,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,5588.0,46
CPT,55845,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,10746.0,88
CPT,55859,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,21
CPT,55860,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,16336.0,103
CPT,55862,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,16336.0,46
CPT,55865,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,16336.0,46
CPT,55866,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2224.34,20647.0,89
CPT,55867,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2224.34,9431.0,92
CPT,55868,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,1632.0,9431.0,67
CPT,55869,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,1632.0,9431.0,67
CPT,55870,Electroejaculation ,,,511.0,4421.0,119
CPT,55873,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,1753.0,20951.0,125
CPT,55874,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,9431.0,128
CPT,55875,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,16336.0,125
CPT,55876,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,4100.0,119
CPT,55877,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,67
CPT,55880,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1632.0,8866.0,108
CPT,55881,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1632.0,4953.0,68
CPT,55882,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,1632.0,13472.0,68
CPT,55899,"Unlisted procedure, male genital system ",,,291.0,4421.0,103
CPT,55920,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,8866.0,119
CPT,55970,Intersex surgery; male to female ,,,1603.31,4421.0,46
CPT,55980,Intersex surgery; female to male ,,,1404.42,4421.0,46
CPT,56300,Diagnostic laparoscopy ,,,4421.0,4421.0,1
CPT,56301,Laparoscopic fulgur FALL ,,,4421.0,4421.0,1
CPT,56302,Laparoscopic occl FALL ,,,4421.0,4421.0,1
CPT,56303,Laparoscopic fulgur les ,,,4421.0,4421.0,1
CPT,56304,Laparoscopy w ADHESIO ,,,4421.0,4421.0,1
CPT,56305,Laparoscopy w biopsy ,,,4421.0,4421.0,1
CPT,56306,Laparoscopic aspiration ,,,4421.0,4421.0,1
CPT,56307,Laparoscopic rmvl adnexa ,,,4421.0,4421.0,1
CPT,56308,LAVH ,,,4421.0,4421.0,1
CPT,56309,Lapscp rmvl leiomyomata ,,,4421.0,4421.0,1
CPT,56310,Laparoscopic enterolysis ,,,4421.0,4421.0,1
CPT,56311,Lapscp retroperit LN Bx ,,,4421.0,4421.0,1
CPT,56312,Lapscp bilat pelv LYMPH ,,,4421.0,4421.0,1
CPT,56313,Lapscp pelvic LYMPH & Bx ,,,4421.0,4421.0,1
CPT,56314,Lapscp lymphocele drain ,,,4421.0,4421.0,1
CPT,56315,Laparoscopic APPY ,,,4421.0,4421.0,1
CPT,56316,Lapscp REP init IH ,,,4421.0,4421.0,1
CPT,56317,Lapscp REP recur IH ,,,4421.0,4421.0,1
CPT,56318,Laparoscopic orchiectomy ,,,4421.0,4421.0,1
CPT,56320,Lapscp lig sperm vein ,,,4421.0,4421.0,1
CPT,56321,Lapscp adrenalectomy ,,,4421.0,4421.0,1
CPT,56322,Lapscp truncal vagotomy ,,,4421.0,4421.0,1
CPT,56323,Lapscp select vagotomy ,,,4421.0,4421.0,1
CPT,56324,Lapscp cholcystentstmy ,,,4421.0,4421.0,1
CPT,56340,Lapscp cholecystectomy ,,,4421.0,4421.0,1
CPT,56341,Lapscp CHOLE&cholangrphy ,,,4421.0,4421.0,1
CPT,56342,Lapscp CHOLE w CDE ,,,4421.0,4421.0,1
CPT,56343,Lapscp salpingostomy ,,,4421.0,4421.0,1
CPT,56344,Lapscp fimbrioplasty ,,,4421.0,4421.0,1
CPT,56345,Laparoscopic splenectomy ,,,4421.0,4421.0,1
CPT,56346,Lapscp temp gastrostomy ,,,4421.0,4421.0,1
CPT,56347,Laparoscopic jejunostomy ,,,4421.0,4421.0,1
CPT,56348,Lapscp intest resect ,,,4421.0,4421.0,1
CPT,56349,Lapscp EG fundoplasty ,,,4421.0,4421.0,1
CPT,56350,Diagnostic hysteroscopy ,,,4421.0,4421.0,1
CPT,56351,Hystscp w Bx/polypectomy ,,,4421.0,4421.0,1
CPT,56352,Hystscp IU ADHESIO ,,,4421.0,4421.0,1
CPT,56353,Hystscp div IU septum ,,,4421.0,4421.0,1
CPT,56354,Hystscp rmvl leiomyomata ,,,4421.0,4421.0,1
CPT,56355,Hystscp impacted FB rmvl ,,,4421.0,4421.0,1
CPT,56356,Hystscp w endomet ablat ,,,4421.0,4421.0,1
CPT,56362,Laparoscopic THC w/o Bx ,,,4421.0,4421.0,1
CPT,56363,Pertnscp cholangram w bx ,,,4421.0,4421.0,1
CPT,56399,Unlist px-laparascopy ,,,4421.0,4421.0,1
CPT,56405,Incision and drainage of vulva or perineal abscess ,,,291.0,3979.0,119
CPT,56420,Incision and drainage of Bartholin's gland abscess ,,,291.0,3523.0,119
CPT,56440,Marsupialization of Bartholin's gland cyst ,,,870.0,4830.0,139
CPT,56441,Lysis of labial adhesions ,,,607.0,4830.0,139
CPT,56442,"Hymenotomy, simple incision ",,,607.0,4830.0,139
CPT,56501,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,103
CPT,56515,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,769.0,6446.0,139
CPT,56605,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,511.0,3523.0,119
CPT,56606,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,291.0,2900.0,79
CPT,56620,Vulvectomy simple; partial ,,,1404.42,6446.0,139
CPT,56625,Vulvectomy simple; complete ,,,1404.42,7161.0,139
CPT,56630,"Vulvectomy, radical, partial; ",,,1603.31,10746.0,92
CPT,56631,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2550.0,13472.0,37
CPT,56632,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2550.0,13472.0,37
CPT,56633,"Vulvectomy, radical, complete; ",,,2550.0,13472.0,37
CPT,56634,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2550.0,13472.0,37
CPT,56637,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2550.0,13472.0,37
CPT,56640,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,1632.0,4953.0,46
CPT,56700,Partial hymenectomy or revision of hymenal ring ,,,607.0,4830.0,139
CPT,56720,INCISION OF HYMEN ,,,988.0,4421.0,21
CPT,56740,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,139
CPT,56800,Plastic repair of introitus ,,,1257.0,6446.0,139
CPT,56805,Clitoroplasty for intersex state ,,,1404.42,4830.0,61
CPT,56810,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1404.42,6446.0,139
CPT,56820,Colposcopy of the vulva; ,,,291.0,2900.0,119
CPT,56821,Colposcopy of the vulva; with biopsy(s) ,,,291.0,3523.0,119
CPT,57000,Colpotomy; with exploration ,,,607.0,4830.0,139
CPT,57010,Colpotomy; with drainage of pelvic abscess ,,,870.0,4830.0,139
CPT,57020,Colpocentesis (separate procedure) ,,,870.0,4830.0,139
CPT,57022,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,769.0,4100.0,103
CPT,57023,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,4830.0,139
CPT,57061,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,103
CPT,57065,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,139
CPT,57100,Biopsy of vaginal mucosa; simple (separate procedure) ,,,511.0,3523.0,119
CPT,57105,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,4830.0,139
CPT,57106,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,103
CPT,57107,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,4830.0,103
CPT,57109,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,6051.0,103
CPT,57110,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,88
CPT,57111,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,79
CPT,57112,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,4421.0,21
CPT,57120,Colpocleisis (Le Fort type) ,,,1603.31,6446.0,83
CPT,57130,Excision of vaginal septum ,,,870.0,4830.0,139
CPT,57135,Excision of vaginal cyst or tumor ,,,870.0,4830.0,139
CPT,57150,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,291.0,2900.0,77
CPT,57155,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,511.0,16336.0,139
CPT,57156,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,291.0,3523.0,119
CPT,57160,Fitting and insertion of pessary or other intravaginal support device ,,,291.0,2900.0,77
CPT,57170,Diaphragm or cervical cap fitting with instructions ,,,291.0,2900.0,77
CPT,57180,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,291.0,3523.0,97
CPT,57200,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,4950.0,139
CPT,57210,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,4950.0,139
CPT,57220,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6801.0,139
CPT,57230,Plastic repair of urethrocele ,,,1257.0,6446.0,139
CPT,57240,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.31,6446.0,139
CPT,57250,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.31,6446.0,139
CPT,57260,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.31,6446.0,139
CPT,57265,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.31,10746.0,139
CPT,57267,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,291.0,10746.0,99
CPT,57268,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,139
CPT,57270,"Repair of enterocele, abdominal approach (separate procedure) ",,,1632.0,4950.0,37
CPT,57280,"Colpopexy, abdominal approach ",,,1632.0,6446.0,79
CPT,57282,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1753.0,6801.0,103
CPT,57283,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1753.0,6801.0,103
CPT,57284,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1603.31,6801.0,103
CPT,57285,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,8866.0,119
CPT,57287,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1404.42,6446.0,103
CPT,57288,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1603.31,10732.0,125
CPT,57289,"Pereyra procedure, including anterior colporrhaphy ",,,1694.0,6446.0,139
CPT,57291,Construction of artificial vagina; without graft ,,,1603.31,6446.0,139
CPT,57292,Construction of artificial vagina; with graft ,,,1471.0,6581.0,103
CPT,57295,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,119
CPT,57296,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,1632.0,4953.0,46
CPT,57300,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,139
CPT,57305,Closure of rectovaginal fistula; abdominal approach ,,,1632.0,6446.0,88
CPT,57307,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,1632.0,4953.0,46
CPT,57308,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,1632.0,4950.0,37
CPT,57310,Closure of urethrovaginal fistula; ,,,1257.0,6801.0,119
CPT,57311,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,79
CPT,57320,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,119
CPT,57330,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,1694.0,5958.0,61
CPT,57335,Vaginoplasty for intersex state ,,,1257.0,6446.0,103
CPT,57400,Dilation of vagina under anesthesia (other than local) ,,,870.0,4830.0,139
CPT,57410,Pelvic examination under anesthesia (other than local) ,,,870.0,4830.0,139
CPT,57415,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,4830.0,139
CPT,57420,"Colposcopy of the entire vagina, with cervix if present; ",,,291.0,3523.0,119
CPT,57421,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,511.0,3523.0,119
CPT,57423,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,9431.0,119
CPT,57425,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,9431.0,103
CPT,57426,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,1694.0,7161.0,99
CPT,57452,Colposcopy of the cervix including upper/adjacent vagina; ,,,291.0,3523.0,119
CPT,57454,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,291.0,3523.0,119
CPT,57455,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,291.0,3523.0,119
CPT,57456,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,291.0,3523.0,119
CPT,57460,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,4830.0,103
CPT,57461,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,119
CPT,57465,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,291.0,4421.0,46
CPT,57500,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,511.0,3523.0,119
CPT,57505,Endocervical curettage (not done as part of a dilation and curettage) ,,,511.0,3523.0,119
CPT,57510,Cautery of cervix; electro or thermal ,,,697.0,4830.0,103
CPT,57511,"Cautery of cervix; cryocautery, initial or repeat ",,,291.0,3523.0,119
CPT,57513,Cautery of cervix; laser ablation ,,,870.0,4830.0,139
CPT,57520,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,4830.0,139
CPT,57522,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,4830.0,139
CPT,57530,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,139
CPT,57531,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,4953.0,46
CPT,57540,"Excision of cervical stump, abdominal approach; ",,,1632.0,4953.0,46
CPT,57545,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,1632.0,4953.0,46
CPT,57550,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,139
CPT,57555,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,1603.31,5958.0,61
CPT,57556,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.31,6801.0,139
CPT,57558,Dilation and curettage of cervical stump ,,,1257.0,6446.0,139
CPT,57700,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,4830.0,139
CPT,57720,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,139
CPT,57800,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,4830.0,119
CPT,57820,D & C OF RESIDUAL CERVIX ,,,2302.0,4421.0,21
CPT,58100,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,291.0,2900.0,119
CPT,58110,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,79
CPT,58120,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,4830.0,139
CPT,58140,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,1694.0,10746.0,103
CPT,58145,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1404.42,6446.0,139
CPT,58146,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,1694.0,5958.0,61
CPT,58150,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,1694.0,10746.0,112
CPT,58152,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,1632.0,12538.0,88
CPT,58180,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1694.0,10746.0,88
CPT,58200,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,88
CPT,58210,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,88
CPT,58240,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1632.0,4953.0,46
CPT,58260,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.31,8866.0,119
CPT,58262,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.31,8866.0,119
CPT,58263,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1603.31,8866.0,119
CPT,58267,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,1694.0,6581.0,37
CPT,58270,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1603.31,8866.0,119
CPT,58275,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,1694.0,6581.0,37
CPT,58280,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,1694.0,5958.0,37
CPT,58285,"Vaginal hysterectomy, radical (Schauta type operation) ",,,1632.0,6581.0,46
CPT,58290,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1753.0,6801.0,103
CPT,58291,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1603.31,6801.0,103
CPT,58292,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1753.0,6801.0,103
CPT,58293,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,3058.0,4421.0,2
CPT,58294,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1603.31,6801.0,103
CPT,58300,Insertion of intrauterine device (IUD) ,,,44.66,4950.0,111
CPT,58301,Removal of intrauterine device (IUD) ,,,291.0,4950.0,119
CPT,58321,Artificial insemination; intra-cervical ,,,291.0,4950.0,77
CPT,58322,Artificial insemination; intra-uterine ,,,291.0,4950.0,77
CPT,58323,Sperm washing for artificial insemination ,,,10.98,4950.0,79
CPT,58340,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,291.0,4950.0,79
CPT,58345,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,4950.0,103
CPT,58346,Insertion of Heyman capsules for clinical brachytherapy ,,,697.0,4950.0,139
CPT,58350,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,139
CPT,58353,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.31,10746.0,125
CPT,58356,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1603.31,10083.0,105
CPT,58400,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1694.0,6446.0,88
CPT,58410,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,1632.0,4953.0,46
CPT,58520,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1632.0,6446.0,88
CPT,58540,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,1632.0,10746.0,88
CPT,58541,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1753.0,20647.0,89
CPT,58542,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,20647.0,89
CPT,58543,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2224.34,20647.0,89
CPT,58544,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,20647.0,89
CPT,58545,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1753.0,8866.0,139
CPT,58546,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2224.34,10746.0,139
CPT,58548,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2224.34,20647.0,89
CPT,58550,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1753.0,20647.0,91
CPT,58551,"Laparoscopy, remove myoma ",,,4421.0,4421.0,1
CPT,58552,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,20647.0,91
CPT,58553,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2224.34,20647.0,91
CPT,58554,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,20647.0,91
CPT,58555,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,10083.0,125
CPT,58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,10083.0,125
CPT,58559,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,10083.0,125
CPT,58560,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,10083.0,125
CPT,58561,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,10083.0,125
CPT,58562,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,10083.0,125
CPT,58563,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.31,10083.0,125
CPT,58565,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,10083.0,125
CPT,58570,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2224.34,20647.0,91
CPT,58571,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,20647.0,91
CPT,58572,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2224.34,20647.0,91
CPT,58573,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,20647.0,91
CPT,58575,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1694.0,10083.0,70
CPT,58578,"Unlisted laparoscopy procedure, uterus ",,,1257.0,10083.0,85
CPT,58579,"Unlisted hysteroscopy procedure, uterus ",,,291.0,10083.0,105
CPT,58580,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2259.0,6801.0,68
CPT,58600,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,5115.0,119
CPT,58605,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,769.0,4100.0,79
CPT,58611,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,4953.0,88
CPT,58615,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,103
CPT,58660,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1753.0,10083.0,105
CPT,58661,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1753.0,10083.0,105
CPT,58662,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1753.0,10083.0,105
CPT,58670,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,10083.0,105
CPT,58671,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,10083.0,105
CPT,58672,"Laparoscopy, surgical; with fimbrioplasty ",,,1753.0,10083.0,105
CPT,58673,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1753.0,10083.0,105
CPT,58674,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,10083.0,105
CPT,58679,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,10083.0,85
CPT,58700,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1694.0,6446.0,79
CPT,58720,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6801.0,79
CPT,58740,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1632.0,6446.0,79
CPT,58750,Tubotubal anastomosis ,,,1694.0,6446.0,79
CPT,58752,Tubouterine implantation ,,,1694.0,6446.0,79
CPT,58760,Fimbrioplasty ,,,1694.0,6446.0,79
CPT,58770,Salpingostomy (salpingoneostomy) ,,,1404.42,6446.0,103
CPT,58800,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,139
CPT,58805,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,103
CPT,58820,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,139
CPT,58822,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,79
CPT,58823,DRAIN PELVIC ABSCESS PERCUT ,,,4421.0,4421.0,1
CPT,58825,"Transposition, ovary(s) ",,,1257.0,6446.0,79
CPT,58900,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,139
CPT,58920,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,103
CPT,58925,"Ovarian cystectomy, unilateral or bilateral ",,,1603.31,6446.0,103
CPT,58940,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1694.0,6446.0,79
CPT,58943,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,1694.0,5958.0,37
CPT,58950,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,1694.0,5958.0,37
CPT,58951,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,1632.0,4953.0,46
CPT,58952,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,1632.0,4953.0,46
CPT,58953,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,1632.0,4953.0,46
CPT,58954,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,1632.0,4953.0,46
CPT,58956,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,1632.0,4953.0,46
CPT,58957,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; ",,,4421.0,4421.0,1
CPT,58958,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,1632.0,4953.0,46
CPT,58960,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2540.0,10746.0,79
CPT,58970,"Follicle puncture for oocyte retrieval, any method ",,,511.0,3880.0,139
CPT,58974,"Embryo transfer, intrauterine ",,,511.0,3523.0,139
CPT,58976,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,291.0,3523.0,139
CPT,58999,"Unlisted procedure, female genital system (nonobstetrical) ",,,291.0,4421.0,103
CPT,59000,Amniocentesis; diagnostic ,,,511.0,3250.0,103
CPT,59001,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,291.0,2900.0,103
CPT,59012,"Cordocentesis (intrauterine), any method ",,,291.0,4421.0,77
CPT,59015,"Chorionic villus sampling, any method ",,,511.0,3250.0,77
CPT,59020,Fetal contraction stress test ,,,291.0,2900.0,77
CPT,59025,FETAL NONSTRESS TEST,1295.83,1295.83,220.29,1295.83,33
CPT,59025,Fetal non-stress test ,1295.83,1295.83,291.0,2900.0,61
CPT,59030,Fetal scalp blood sampling ,,,291.0,4421.0,77
CPT,59050,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,291.0,2900.0,37
CPT,59051,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,1632.0,4953.0,46
CPT,59070,"Transabdominal amnioinfusion, including ultrasound guidance ",,,291.0,3523.0,119
CPT,59072,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,291.0,3523.0,119
CPT,59074,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,291.0,3523.0,119
CPT,59076,"Fetal shunt placement, including ultrasound guidance ",,,291.0,3523.0,119
CPT,59100,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,1603.31,4830.0,77
CPT,59120,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,79
CPT,59121,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,79
CPT,59130,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,1632.0,4953.0,46
CPT,59135,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY ",,,4421.0,4421.0,1
CPT,59136,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,1632.0,4953.0,46
CPT,59140,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,1632.0,4953.0,46
CPT,59150,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,10083.0,85
CPT,59151,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,10083.0,85
CPT,59160,"Curettage, postpartum ",,,1257.0,6446.0,139
CPT,59200,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,291.0,3523.0,119
CPT,59300,"Episiotomy or vaginal repair, by other than attending ",,,870.0,4830.0,103
CPT,59320,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,4830.0,139
CPT,59325,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,88
CPT,59350,Hysterorrhaphy of ruptured uterus ,,,1632.0,4421.0,22
CPT,59400,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,1632.0,3880.0,22
CPT,59409,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,4830.0,103
CPT,59410,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3441.0,64
CPT,59412,"External cephalic version, with or without tocolysis ",,,1404.42,4830.0,77
CPT,59414,Delivery of placenta (separate procedure) ,,,1404.42,4830.0,61
CPT,59425,Antepartum care only; 4-6 visits ,,,697.0,6411.0,38
CPT,59426,Antepartum care only; 7 or more visits ,,,697.0,6411.0,38
CPT,59430,Postpartum care only (separate procedure) ,,,607.0,6411.0,80
CPT,59510,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,1632.0,4421.0,22
CPT,59514,Cesarean delivery only; ,,,1632.0,4953.0,46
CPT,59515,Cesarean delivery only; including postpartum care ,,,1632.0,6581.0,88
CPT,59525,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,1632.0,3441.0,22
CPT,59610,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,1632.0,3880.0,22
CPT,59612,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,103
CPT,59614,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,1632.0,4421.0,22
CPT,59618,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,1632.0,4421.0,22
CPT,59620,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,1632.0,4421.0,22
CPT,59622,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,1632.0,4421.0,22
CPT,59812,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1404.42,6446.0,139
CPT,59820,"Treatment of missed abortion, completed surgically; first trimester ",,,1404.42,6446.0,139
CPT,59821,"Treatment of missed abortion, completed surgically; second trimester ",,,1404.42,6446.0,139
CPT,59830,"Treatment of septic abortion, completed surgically ",,,870.0,4953.0,88
CPT,59840,"Induced abortion, by dilation and curettage ",,,1404.42,6446.0,139
CPT,59841,"Induced abortion, by dilation and evacuation ",,,1404.42,6446.0,139
CPT,59850,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,4953.0,104
CPT,59851,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,4953.0,104
CPT,59852,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,4953.0,88
CPT,59855,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,1632.0,4953.0,46
CPT,59856,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,769.0,4100.0,88
CPT,59857,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,870.0,4953.0,88
CPT,59866,Multifetal pregnancy reduction(s) (MPR) ,,,291.0,3523.0,77
CPT,59870,Uterine evacuation and curettage for hydatidiform mole ,,,1404.42,6446.0,139
CPT,59871,Removal of cerclage suture under anesthesia (other than local) ,,,1404.42,6446.0,139
CPT,59897,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,291.0,2900.0,103
CPT,59898,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,10083.0,105
CPT,59899,"Unlisted procedure, maternity care and delivery ",,,291.0,4421.0,103
CPT,60000,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,4100.0,139
CPT,60001,ASPIRATE/INJECT THYRIOD CYST ,,,4421.0,4421.0,1
CPT,60100,"Biopsy thyroid, percutaneous core needle ",,,511.0,3523.0,119
CPT,60200,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,9431.0,139
CPT,60210,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,9431.0,103
CPT,60212,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,9431.0,103
CPT,60220,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,9431.0,119
CPT,60225,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,9431.0,119
CPT,60240,"Thyroidectomy, total or complete ",,,1753.0,10746.0,103
CPT,60252,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,1753.0,10746.0,103
CPT,60254,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,1632.0,10746.0,79
CPT,60260,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1753.0,6801.0,103
CPT,60270,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,769.0,4100.0,37
CPT,60271,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6801.0,103
CPT,60280,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,9431.0,139
CPT,60281,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,9431.0,139
CPT,60300,"Aspiration and/or injection, thyroid cyst ",,,511.0,3250.0,119
CPT,60500,Parathyroidectomy or exploration of parathyroid(s); ,,,1753.0,10746.0,103
CPT,60502,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,1753.0,10746.0,119
CPT,60505,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,1632.0,4953.0,46
CPT,60512,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,291.0,6446.0,79
CPT,60520,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6801.0,103
CPT,60521,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,46
CPT,60522,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,46
CPT,60540,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,1632.0,10746.0,88
CPT,60545,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,1632.0,4953.0,46
CPT,60600,Excision of carotid body tumor; without excision of carotid artery ,,,1632.0,4953.0,46
CPT,60605,Excision of carotid body tumor; with excision of carotid artery ,,,1632.0,4953.0,46
CPT,60650,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,6801.0,83
CPT,60659,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,6801.0,83
CPT,60660,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1632.0,8866.0,84
CPT,60661,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,68
CPT,60699,"Unlisted procedure, endocrine system ",,,607.0,9431.0,103
CPT,61000,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,511.0,4421.0,119
CPT,61001,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,511.0,4421.0,119
CPT,61020,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,511.0,3523.0,139
CPT,61026,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,511.0,3523.0,139
CPT,61050,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,291.0,3523.0,139
CPT,61055,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,291.0,3523.0,139
CPT,61070,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,511.0,3523.0,139
CPT,61105,Twist drill hole for subdural or ventricular puncture ,,,1632.0,4953.0,46
CPT,61107,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,1632.0,4953.0,46
CPT,61108,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,1632.0,4953.0,46
CPT,61120,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,1632.0,4953.0,46
CPT,61140,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,1632.0,4953.0,46
CPT,61150,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,1632.0,4953.0,46
CPT,61151,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,1632.0,4953.0,46
CPT,61154,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,1632.0,4953.0,46
CPT,61156,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,1632.0,4953.0,46
CPT,61210,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,1632.0,4953.0,46
CPT,61215,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,28186.0,139
CPT,61250,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,1632.0,4953.0,46
CPT,61253,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,1632.0,4953.0,46
CPT,61304,"Craniectomy or craniotomy, exploratory; supratentorial ",,,1632.0,4953.0,46
CPT,61305,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,1632.0,4953.0,46
CPT,61312,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,1632.0,4953.0,46
CPT,61313,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,1632.0,4953.0,46
CPT,61314,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,1632.0,4953.0,46
CPT,61315,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,1632.0,4953.0,46
CPT,61316,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,4953.0,88
CPT,61320,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,1632.0,4953.0,46
CPT,61321,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,1632.0,4953.0,46
CPT,61322,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,1632.0,4953.0,46
CPT,61323,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,1632.0,4953.0,46
CPT,61330,"Decompression of orbit only, transcranial approach ",,,1404.42,12538.0,61
CPT,61332,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY ,,,4421.0,4421.0,1
CPT,61333,"Exploration of orbit (transcranial approach), with removal of lesion ",,,1632.0,12538.0,46
CPT,61334,EXPLORE ORBIT/REMOVE OBJECT ,,,4421.0,4421.0,1
CPT,61340,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,1632.0,4953.0,46
CPT,61343,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,1632.0,4953.0,46
CPT,61345,"Other cranial decompression, posterior fossa ",,,1632.0,4953.0,46
CPT,61440,INCISE SKULL FOR SURGERY ,,,4421.0,4421.0,1
CPT,61450,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,1632.0,4953.0,46
CPT,61458,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,1632.0,4953.0,46
CPT,61460,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,1632.0,4953.0,46
CPT,61470,INCISE SKULL FOR SURGERY ,,,4421.0,4421.0,1
CPT,61480,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY ",,,4421.0,4421.0,1
CPT,61490,INCISE SKULL FOR SURGERY ,,,4421.0,4421.0,1
CPT,61500,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2540.0,9431.0,79
CPT,61501,Craniectomy; for osteomyelitis ,,,1632.0,4953.0,46
CPT,61510,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,1632.0,4953.0,46
CPT,61512,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,1632.0,4953.0,46
CPT,61514,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,1632.0,4953.0,46
CPT,61516,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,1632.0,4953.0,46
CPT,61517,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,46
CPT,61518,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,1632.0,4953.0,46
CPT,61519,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,1632.0,4953.0,46
CPT,61520,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,1632.0,4953.0,46
CPT,61521,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,1632.0,4953.0,46
CPT,61522,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,1632.0,4953.0,46
CPT,61524,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,1632.0,4953.0,46
CPT,61526,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,1632.0,4953.0,46
CPT,61530,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,1632.0,4953.0,46
CPT,61531,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,769.0,4421.0,37
CPT,61533,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,1632.0,4953.0,46
CPT,61534,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,1632.0,4953.0,46
CPT,61535,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,1632.0,4953.0,46
CPT,61536,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,1632.0,4953.0,46
CPT,61537,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,1632.0,4953.0,46
CPT,61538,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,1632.0,4953.0,46
CPT,61539,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,1632.0,4953.0,46
CPT,61540,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,1632.0,4953.0,46
CPT,61541,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,1632.0,4953.0,46
CPT,61542,REMOVAL OF BRAIN TISSUE ,,,4421.0,4421.0,1
CPT,61543,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,1632.0,4953.0,46
CPT,61544,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,1632.0,4953.0,46
CPT,61545,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,1632.0,4953.0,46
CPT,61546,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,1632.0,4953.0,46
CPT,61548,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,1632.0,4953.0,46
CPT,61550,Craniectomy for craniosynostosis; single cranial suture ,,,1632.0,4953.0,46
CPT,61552,Craniectomy for craniosynostosis; multiple cranial sutures ,,,1632.0,4953.0,46
CPT,61556,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,1632.0,4953.0,46
CPT,61557,Craniotomy for craniosynostosis; bifrontal bone flap ,,,1632.0,4953.0,46
CPT,61558,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,1632.0,4953.0,46
CPT,61559,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,1632.0,4953.0,46
CPT,61563,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,1632.0,4953.0,46
CPT,61564,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,1632.0,4953.0,46
CPT,61566,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,1632.0,4953.0,46
CPT,61567,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,1632.0,4953.0,46
CPT,61570,Craniectomy or craniotomy; with excision of foreign body from brain ,,,1632.0,4953.0,46
CPT,61571,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,1632.0,4953.0,46
CPT,61575,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,1632.0,4953.0,46
CPT,61576,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,1632.0,4953.0,46
CPT,61580,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,1632.0,4953.0,46
CPT,61581,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,1632.0,4953.0,46
CPT,61582,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,46
CPT,61583,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,46
CPT,61584,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,1632.0,4953.0,46
CPT,61585,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,1632.0,4953.0,46
CPT,61586,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,1632.0,4953.0,46
CPT,61590,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,1632.0,4953.0,46
CPT,61591,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,1632.0,4953.0,46
CPT,61592,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,1632.0,4953.0,46
CPT,61595,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,1632.0,4953.0,46
CPT,61596,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,1632.0,4953.0,46
CPT,61597,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,1632.0,4953.0,46
CPT,61598,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,1632.0,4953.0,46
CPT,61600,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,1632.0,4953.0,46
CPT,61601,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,46
CPT,61605,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,1632.0,4953.0,46
CPT,61606,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,46
CPT,61607,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,1632.0,4953.0,46
CPT,61608,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,46
CPT,61609,TRANSECT ARTERY SINUS ,,,4421.0,4421.0,1
CPT,61610,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,4421.0,4421.0,1
CPT,61611,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,46
CPT,61612,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,4421.0,4421.0,1
CPT,61613,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,1632.0,4953.0,46
CPT,61615,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,1632.0,4953.0,46
CPT,61616,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,1632.0,4953.0,46
CPT,61618,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,1632.0,4953.0,46
CPT,61619,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,1632.0,4953.0,46
CPT,61623,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,13472.0,103
CPT,61624,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2179.0,13472.0,92
CPT,61626,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,13472.0,103
CPT,61630,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,1632.0,6581.0,62
CPT,61635,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,1632.0,6581.0,62
CPT,61640,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,1632.0,6581.0,62
CPT,61641,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,62
CPT,61642,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,62
CPT,61645,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,1632.0,6446.0,88
CPT,61650,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,1632.0,21331.0,46
CPT,61651,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,1632.0,21331.0,46
CPT,61680,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,1632.0,4953.0,46
CPT,61682,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,1632.0,4953.0,46
CPT,61684,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,1632.0,4953.0,46
CPT,61686,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,1632.0,4953.0,46
CPT,61690,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,1632.0,4953.0,46
CPT,61692,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,1632.0,4953.0,46
CPT,61697,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,6581.0,46
CPT,61698,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,6581.0,46
CPT,61700,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,46
CPT,61702,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,46
CPT,61703,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,1632.0,4953.0,46
CPT,61705,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,1632.0,4953.0,46
CPT,61708,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,1632.0,4953.0,46
CPT,61710,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,1632.0,4953.0,46
CPT,61711,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,1632.0,4953.0,46
CPT,61715,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,1632.0,13472.0,68
CPT,61720,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,1753.0,6801.0,61
CPT,61735,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,1632.0,4953.0,46
CPT,61736,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,1632.0,4953.0,46
CPT,61737,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,1632.0,4953.0,46
CPT,61750,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,1632.0,4953.0,46
CPT,61751,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,1632.0,4953.0,46
CPT,61760,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,769.0,4100.0,37
CPT,61770,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,1753.0,8866.0,77
CPT,61781,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,291.0,4421.0,79
CPT,61782,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,291.0,4421.0,79
CPT,61783,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,291.0,4421.0,79
CPT,61790,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1142.61,6446.0,139
CPT,61791,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1142.61,6446.0,139
CPT,61793,FOCUS RADIATION BEAM ,,,4421.0,4421.0,1
CPT,61795,BRAIN SURGERY USING COMPUTER ,,,988.0,4421.0,21
CPT,61796,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2540.0,47546.0,25
CPT,61797,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,769.0,47546.0,25
CPT,61798,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2540.0,47546.0,25
CPT,61799,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,769.0,47546.0,25
CPT,61800,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,291.0,47546.0,67
CPT,61850,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,1632.0,4953.0,46
CPT,61855,Impl subcort electrodes ,,,4421.0,4421.0,1
CPT,61860,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,1632.0,4953.0,46
CPT,61862,"IMPLANT NEUROSTIMUL, SUBCORT ",,,4421.0,4421.0,1
CPT,61863,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,70
CPT,61864,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,70
CPT,61865,Impl cereb subcort elec ,,,4421.0,4421.0,1
CPT,61867,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,70
CPT,61868,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,70
CPT,61870,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL ",,,4421.0,4421.0,1
CPT,61875,IMPLANT NEUROELECTRODES ,,,4421.0,4421.0,1
CPT,61880,Revision or removal of intracranial neurostimulator electrodes ,,,1404.42,5958.0,61
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,36293.0,125
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,36293.0,125
CPT,61888,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,5958.0,139
CPT,61889,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,1632.0,4953.0,46
CPT,61891,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2550.0,13472.0,68
CPT,61892,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1694.0,8866.0,84
CPT,62000,"Elevation of depressed skull fracture; simple, extradural ",,,1404.42,6801.0,61
CPT,62005,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,1632.0,4953.0,46
CPT,62010,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,1632.0,4953.0,46
CPT,62100,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,1632.0,4953.0,46
CPT,62115,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,1632.0,4953.0,46
CPT,62116,REDUCTION OF SKULL DEFECT ,,,4421.0,4421.0,1
CPT,62117,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,1632.0,4953.0,46
CPT,62120,"Repair of encephalocele, skull vault, including cranioplasty ",,,1632.0,4953.0,46
CPT,62121,"Craniotomy for repair of encephalocele, skull base ",,,1632.0,4953.0,46
CPT,62140,Cranioplasty for skull defect; up to 5 cm diameter ,,,1632.0,5552.91,70
CPT,62141,Cranioplasty for skull defect; larger than 5 cm diameter ,,,1632.0,4953.0,46
CPT,62142,Removal of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,46
CPT,62143,Replacement of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,46
CPT,62145,Cranioplasty for skull defect with reparative brain surgery ,,,1632.0,4953.0,46
CPT,62146,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,1632.0,5278.0,70
CPT,62147,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,1632.0,4953.0,46
CPT,62148,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,46
CPT,62160,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,291.0,2900.0,79
CPT,62161,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,1632.0,4953.0,46
CPT,62162,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,46
CPT,62163,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY ",,,4421.0,4421.0,1
CPT,62164,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,46
CPT,62165,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,1632.0,4953.0,46
CPT,62180,Ventriculocisternostomy (Torkildsen type operation) ,,,1632.0,4953.0,46
CPT,62190,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,1632.0,4953.0,46
CPT,62192,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,46
CPT,62194,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,4830.0,139
CPT,62200,"Ventriculocisternostomy, third ventricle; ",,,1632.0,4953.0,46
CPT,62201,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,1632.0,4953.0,46
CPT,62220,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,1632.0,4953.0,46
CPT,62223,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,46
CPT,62225,"Replacement or irrigation, ventricular catheter ",,,607.0,4100.0,139
CPT,62230,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,6801.0,139
CPT,62252,Reprogramming of programmable cerebrospinal shunt ,,,291.0,3523.0,77
CPT,62256,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,769.0,4100.0,79
CPT,62258,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,1632.0,4953.0,46
CPT,62263,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,511.0,3523.0,139
CPT,62264,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,511.0,3523.0,139
CPT,62267,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,511.0,5588.0,119
CPT,62268,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,511.0,3523.0,139
CPT,62269,"Biopsy of spinal cord, percutaneous needle ",,,607.0,4100.0,139
CPT,62270,"Spinal puncture, lumbar, diagnostic; ",,,511.0,3523.0,139
CPT,62272,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,511.0,3523.0,139
CPT,62273,"Injection, epidural, of blood or clot patch ",,,511.0,3523.0,139
CPT,62274,1 inject anes-subarach ,,,4421.0,4421.0,1
CPT,62275,1 epidur inject-C/thor ,,,4421.0,4421.0,1
CPT,62276,1 subar inject anes-diff ,,,4421.0,4421.0,1
CPT,62277,1 subar inject anes-cont ,,,4421.0,4421.0,1
CPT,62278,1 epidural inject anes-L ,,,4421.0,4421.0,1
CPT,62279,Cont epidur inject-lumb ,,,4421.0,4421.0,1
CPT,62280,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,511.0,3523.0,139
CPT,62281,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,511.0,3523.0,139
CPT,62282,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,511.0,3523.0,139
CPT,62284,"Injection procedure for myelography and/or computed tomography, lumbar ",,,291.0,2900.0,79
CPT,62287,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1142.61,8866.0,139
CPT,62288,Subarachnoid inject NEC ,,,4421.0,4421.0,1
CPT,62289,Lumbar/caudal inject NEC ,,,4421.0,4421.0,1
CPT,62290,"Injection procedure for discography, each level; lumbar ",,,291.0,2900.0,79
CPT,62291,"Injection procedure for discography, each level; cervical or thoracic ",,,291.0,2900.0,79
CPT,62292,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,4830.0,119
CPT,62294,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,511.0,6446.0,139
CPT,62298,Other spinal injection ,,,4421.0,4421.0,1
CPT,62302,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,511.0,4320.0,119
CPT,62303,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,511.0,4320.0,119
CPT,62304,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,511.0,4320.0,119
CPT,62305,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,511.0,4320.0,119
CPT,62310,INJECT SPINE CERV/THORACIC ,,,988.0,4421.0,22
CPT,62311,INJECT SPINE LUMBAR/SACRAL ,,,988.0,4421.0,22
CPT,62318,INJECT SPINE W/CATH CRV/THRC ,,,988.0,4421.0,22
CPT,62319,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,4421.0,22
CPT,62320,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,119
CPT,62321,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,119
CPT,62322,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,119
CPT,62323,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,119
CPT,62324,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,119
CPT,62325,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,119
CPT,62326,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,119
CPT,62327,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,119
CPT,62328,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,511.0,3523.0,108
CPT,62329,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,511.0,3523.0,108
CPT,62330,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,1632.0,9431.0,67
CPT,62331,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1632.0,3435.0,67
CPT,62350,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,6801.0,139
CPT,62351,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,9431.0,120
CPT,62355,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,4830.0,139
CPT,62360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,26596.0,139
CPT,62361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,26596.0,139
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,26596.0,139
CPT,62365,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,5958.0,139
CPT,62367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,291.0,3979.0,119
CPT,62368,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,291.0,3979.0,119
CPT,62369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,291.0,2900.0,77
CPT,62370,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,291.0,2900.0,119
CPT,62380,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1753.0,9431.0,104
CPT,63001,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,1753.0,9431.0,120
CPT,63003,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,1753.0,9431.0,120
CPT,63005,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1753.0,12538.0,120
CPT,63011,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1753.0,9431.0,120
CPT,63012,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1753.0,12538.0,120
CPT,63015,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,1753.0,9431.0,120
CPT,63016,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,1753.0,9431.0,120
CPT,63017,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,9431.0,120
CPT,63020,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,12538.0,120
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1753.0,12538.0,106
CPT,63032,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1632.0,4953.0,67
CPT,63035,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,291.0,8866.0,95
CPT,63040,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1753.0,12538.0,120
CPT,63042,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1753.0,12538.0,120
CPT,63043,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1694.0,8866.0,75
CPT,63044,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1694.0,8866.0,75
CPT,63045,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1753.0,12538.0,119
CPT,63046,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1753.0,12538.0,120
CPT,63047,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1753.0,12538.0,120
CPT,63048,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,291.0,8866.0,95
CPT,63050,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,1632.0,6051.0,46
CPT,63051,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,1632.0,6051.0,46
CPT,63052,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,291.0,8866.0,84
CPT,63053,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,291.0,8866.0,84
CPT,63055,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1753.0,12538.0,120
CPT,63056,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,1753.0,12538.0,120
CPT,63057,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,291.0,4950.0,79
CPT,63064,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,1753.0,9431.0,78
CPT,63066,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,291.0,4950.0,37
CPT,63075,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1753.0,12538.0,104
CPT,63076,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,291.0,12538.0,79
CPT,63077,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,1632.0,12538.0,46
CPT,63078,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,1632.0,4953.0,46
CPT,63081,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2224.34,12538.0,71
CPT,63082,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,742.8,12538.0,70
CPT,63085,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,1632.0,12538.0,46
CPT,63086,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,1632.0,4953.0,46
CPT,63087,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,1632.0,6051.0,46
CPT,63088,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,1632.0,4953.0,46
CPT,63090,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,1632.0,12538.0,46
CPT,63091,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,1632.0,4953.0,46
CPT,63101,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,12538.0,46
CPT,63102,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,6051.0,46
CPT,63103,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,4953.0,46
CPT,63170,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,1632.0,8866.0,62
CPT,63172,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,1632.0,8866.0,62
CPT,63173,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,1632.0,8866.0,62
CPT,63180,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS ",,,4421.0,4421.0,1
CPT,63182,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS ",,,4421.0,4421.0,1
CPT,63185,Laminectomy with rhizotomy; 1 or 2 segments ,,,4421.0,13472.0,53
CPT,63190,Laminectomy with rhizotomy; more than 2 segments ,,,4421.0,13472.0,53
CPT,63191,Laminectomy with section of spinal accessory nerve ,,,4421.0,13472.0,53
CPT,63194,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL ",,,4421.0,4421.0,1
CPT,63195,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC ",,,4421.0,4421.0,1
CPT,63196,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL ",,,4421.0,4421.0,1
CPT,63197,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,1632.0,8866.0,62
CPT,63198,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL ",,,4421.0,4421.0,1
CPT,63199,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC ",,,4421.0,4421.0,1
CPT,63200,"Laminectomy, with release of tethered spinal cord, lumbar ",,,4950.0,13472.0,53
CPT,63250,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,1632.0,8866.0,62
CPT,63251,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,1632.0,8866.0,62
CPT,63252,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,4421.0,13472.0,53
CPT,63265,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1753.0,9431.0,128
CPT,63266,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,1753.0,9431.0,108
CPT,63267,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,1632.0,8866.0,99
CPT,63268,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,1753.0,9431.0,108
CPT,63270,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,1632.0,8866.0,62
CPT,63271,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,1632.0,8866.0,62
CPT,63272,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2179.0,13472.0,77
CPT,63273,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,1632.0,8866.0,62
CPT,63275,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,1632.0,8866.0,62
CPT,63276,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,1632.0,8866.0,62
CPT,63277,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,4950.0,13472.0,53
CPT,63278,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,1632.0,8866.0,62
CPT,63280,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,1632.0,8866.0,62
CPT,63281,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,1632.0,8866.0,62
CPT,63282,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,4950.0,13472.0,53
CPT,63283,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,1632.0,8866.0,62
CPT,63285,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,1632.0,12538.0,62
CPT,63286,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,1632.0,12538.0,62
CPT,63287,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,4950.0,13472.0,53
CPT,63290,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,4421.0,13472.0,53
CPT,63295,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,1632.0,8866.0,62
CPT,63300,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,1632.0,12538.0,46
CPT,63301,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,1632.0,4953.0,46
CPT,63302,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,46
CPT,63303,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,46
CPT,63304,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,1632.0,4953.0,46
CPT,63305,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,1632.0,4953.0,46
CPT,63306,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,46
CPT,63307,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,46
CPT,63308,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,1632.0,4953.0,46
CPT,63600,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,4950.0,139
CPT,63610,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,4950.0,139
CPT,63615,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,4421.0,22
CPT,63620,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2540.0,47546.0,25
CPT,63621,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,769.0,47546.0,25
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,36293.0,126
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,36293.0,105
CPT,63660,REVISE/REMOVE NEUROELECTRODE ,,,988.0,4421.0,21
CPT,63661,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,7161.0,119
CPT,63662,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,7161.0,119
CPT,63663,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,9431.0,119
CPT,63664,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,9431.0,119
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,36293.0,125
CPT,63688,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,139
CPT,63700,Repair of meningocele; less than 5 cm diameter ,,,1632.0,4953.0,46
CPT,63702,Repair of meningocele; larger than 5 cm diameter ,,,1632.0,4953.0,46
CPT,63704,Repair of myelomeningocele; less than 5 cm diameter ,,,1632.0,4953.0,46
CPT,63706,Repair of myelomeningocele; larger than 5 cm diameter ,,,1632.0,4953.0,46
CPT,63707,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,1632.0,4953.0,46
CPT,63709,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,1632.0,6051.0,46
CPT,63710,"Dural graft, spinal ",,,1632.0,4953.0,46
CPT,63740,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,1632.0,4953.0,46
CPT,63741,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,6801.0,103
CPT,63744,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6801.0,139
CPT,63746,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,4830.0,139
CPT,64400,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,291.0,3523.0,119
CPT,64402,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,4421.0,22
CPT,64405,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,291.0,3523.0,119
CPT,64408,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,291.0,3523.0,119
CPT,64410,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,4421.0,42
CPT,64412,N BLOCK INJ SPINAL ACCESSOR ,,,4421.0,4421.0,1
CPT,64413,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,4421.0,22
CPT,64415,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,511.0,3523.0,139
CPT,64416,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,99
CPT,64417,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,511.0,3523.0,139
CPT,64418,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,511.0,3523.0,119
CPT,64420,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,511.0,3523.0,139
CPT,64421,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,511.0,3523.0,139
CPT,64425,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,511.0,3523.0,119
CPT,64430,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,511.0,3523.0,139
CPT,64435,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,511.0,3523.0,119
CPT,64440,Inject anes 1 paravert N ,,,4421.0,4421.0,1
CPT,64441,Inject anes >1 paravert ,,,4421.0,4421.0,1
CPT,64442,Inject anes 1 L facet N ,,,4421.0,4421.0,1
CPT,64443,Inject anes L facet-ADDL ,,,4421.0,4421.0,1
CPT,64445,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,511.0,3523.0,119
CPT,64446,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,77
CPT,64447,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,511.0,3523.0,77
CPT,64448,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,77
CPT,64449,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,511.0,3523.0,119
CPT,64450,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,511.0,3523.0,119
CPT,64451,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,511.0,3523.0,108
CPT,64454,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,511.0,3523.0,108
CPT,64455,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,291.0,2900.0,119
CPT,64461,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,511.0,3250.0,119
CPT,64462,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,291.0,2900.0,79
CPT,64463,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,511.0,3250.0,119
CPT,64466,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,68
CPT,64467,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,68
CPT,64468,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,68
CPT,64469,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,68
CPT,64470,INJ PARAVERTEBRAL C/T ,,,988.0,4421.0,21
CPT,64472,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,4421.0,21
CPT,64473,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,68
CPT,64474,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,68
CPT,64475,INJ PARAVERTEBRAL L/S ,,,988.0,4421.0,21
CPT,64476,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,4421.0,21
CPT,64479,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,511.0,3523.0,139
CPT,64480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,291.0,2900.0,99
CPT,64483,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,511.0,3523.0,139
CPT,64484,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,291.0,2900.0,99
CPT,64486,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,79
CPT,64487,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,79
CPT,64488,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,291.0,2900.0,79
CPT,64489,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,291.0,2900.0,79
CPT,64490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,511.0,3523.0,119
CPT,64491,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,291.0,2900.0,79
CPT,64492,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,291.0,2900.0,79
CPT,64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,511.0,3523.0,119
CPT,64494,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,291.0,2900.0,79
CPT,64495,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,291.0,2900.0,79
CPT,64505,"Injection, anesthetic agent; sphenopalatine ganglion ",,,291.0,3523.0,119
CPT,64508,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,4421.0,22
CPT,64510,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,511.0,3523.0,139
CPT,64517,"Injection, anesthetic agent; superior hypogastric plexus ",,,511.0,3979.0,139
CPT,64520,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,511.0,3523.0,139
CPT,64530,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,511.0,3523.0,139
CPT,64550,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,990.0,4421.0,2
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,36293.0,125
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,106
CPT,64560,IMPLANT NEUROELECTRODES ,,,4421.0,4421.0,1
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,36293.0,126
CPT,64565,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,3542.0,36293.0,26
CPT,64566,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,291.0,4950.0,119
CPT,64567,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1632.0,4950.0,43
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,36293.0,103
CPT,64569,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,9431.0,119
CPT,64570,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,8866.0,119
CPT,64573,IMPLANT NEUROELECTRODES ,,,988.0,4421.0,21
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,139
CPT,64577,IMPLANT NEUROELECTRODES ,,,988.0,4421.0,21
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,36293.0,125
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,13472.0,125
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,18085.0,94
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,13472.0,94
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1753.0,10083.0,94
CPT,64585,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,10083.0,125
CPT,64590,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,36293.0,125
CPT,64595,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,139
CPT,64596,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,13472.0,70
CPT,64597,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,291.0,10083.0,70
CPT,64598,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1694.0,10083.0,70
CPT,64600,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,511.0,3523.0,139
CPT,64605,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,4830.0,139
CPT,64610,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,4830.0,139
CPT,64611,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,291.0,2900.0,119
CPT,64612,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,3523.0,163
CPT,64613,DESTROY NERVE NECK MUSCLE ,,,4421.0,4421.0,1
CPT,64614,DESTROY NERVE EXTREM MUSC ,,,4421.0,4421.0,1
CPT,64615,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,2900.0,163
CPT,64616,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,2900.0,163
CPT,64617,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,511.0,3250.0,119
CPT,64620,"Destruction by neurolytic agent, intercostal nerve ",,,511.0,3523.0,139
CPT,64622,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,4421.0,21
CPT,64623,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,4421.0,21
CPT,64624,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1142.61,4830.0,108
CPT,64625,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1142.61,7161.0,108
CPT,64626,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,4421.0,21
CPT,64627,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,4421.0,21
CPT,64628,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2179.0,9431.0,92
CPT,64629,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,291.0,3435.0,68
CPT,64630,Destruction by neurolytic agent; pudendal nerve ,,,511.0,3979.0,139
CPT,64632,Destruction by neurolytic agent; plantar common digital nerve ,,,291.0,2900.0,119
CPT,64633,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,4830.0,119
CPT,64634,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,291.0,2900.0,79
CPT,64635,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,5115.0,119
CPT,64636,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,291.0,2900.0,79
CPT,64640,Destruction by neurolytic agent; other peripheral nerve or branch ,,,511.0,3523.0,119
CPT,64642,Chemodenervation of one extremity; 1-4 muscle(s) ,,,511.0,3250.0,119
CPT,64643,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,291.0,4421.0,79
CPT,64644,Chemodenervation of one extremity; 5 or more muscles ,,,511.0,3250.0,119
CPT,64645,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,291.0,4421.0,79
CPT,64646,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,511.0,3250.0,119
CPT,64647,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,511.0,4421.0,119
CPT,64650,Chemodenervation of eccrine glands; both axillae ,,,291.0,3523.0,119
CPT,64653,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,291.0,3523.0,119
CPT,64654,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,1632.0,14425.0,67
CPT,64655,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,1632.0,6446.0,67
CPT,64656,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,1632.0,18085.0,67
CPT,64657,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1632.0,5958.0,67
CPT,64658,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1632.0,5958.0,67
CPT,64659,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1632.0,5958.0,67
CPT,64680,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,511.0,3979.0,139
CPT,64681,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,511.0,3979.0,139
CPT,64702,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,4830.0,139
CPT,64704,Neuroplasty; nerve of hand or foot ,,,607.0,4830.0,139
CPT,64708,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,4830.0,139
CPT,64712,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,4830.0,139
CPT,64713,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,4830.0,139
CPT,64714,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,4830.0,139
CPT,64716,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1142.61,6446.0,139
CPT,64718,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,4830.0,139
CPT,64719,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,4830.0,139
CPT,64721,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,4950.0,139
CPT,64722,Decompression; unspecified nerve(s) (specify) ,,,607.0,4830.0,139
CPT,64726,Decompression; plantar digital nerve ,,,607.0,4830.0,139
CPT,64727,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,291.0,2900.0,99
CPT,64728,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1632.0,4830.0,67
CPT,64732,Transection or avulsion of; supraorbital nerve ,,,769.0,4100.0,139
CPT,64734,Transection or avulsion of; infraorbital nerve ,,,769.0,4100.0,139
CPT,64736,Transection or avulsion of; mental nerve ,,,769.0,4100.0,139
CPT,64738,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,769.0,4100.0,139
CPT,64740,Transection or avulsion of; lingual nerve ,,,870.0,4830.0,139
CPT,64742,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,4830.0,139
CPT,64744,Transection or avulsion of; greater occipital nerve ,,,870.0,4830.0,139
CPT,64746,Transection or avulsion of; phrenic nerve ,,,769.0,4100.0,139
CPT,64752,INCISION OF VAGUS NERVE ,,,4421.0,4421.0,1
CPT,64755,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,1632.0,4953.0,46
CPT,64760,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,1632.0,4953.0,46
CPT,64761,INCISION OF PELVIS NERVE ,,,4421.0,4421.0,1
CPT,64763,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,769.0,4421.0,77
CPT,64766,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,1142.61,5958.0,77
CPT,64771,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,4830.0,139
CPT,64772,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,4830.0,139
CPT,64774,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,4830.0,139
CPT,64776,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1142.61,6446.0,139
CPT,64778,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,64782,"Excision of neuroma; hand or foot, except digital nerve ",,,1142.61,6446.0,139
CPT,64783,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,64784,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1142.61,6446.0,139
CPT,64786,Excision of neuroma; sciatic nerve ,,,1257.0,6801.0,139
CPT,64787,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,291.0,2900.0,99
CPT,64788,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1142.61,6446.0,139
CPT,64790,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1142.61,6446.0,139
CPT,64792,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6801.0,139
CPT,64795,Biopsy of nerve ,,,870.0,4830.0,139
CPT,64802,"Sympathectomy, cervical ",,,769.0,4100.0,139
CPT,64804,"Sympathectomy, cervicothoracic ",,,769.0,4100.0,61
CPT,64809,"Sympathectomy, thoracolumbar ",,,1632.0,4953.0,46
CPT,64818,"Sympathectomy, lumbar ",,,1632.0,4953.0,46
CPT,64820,"Sympathectomy; digital arteries, each digit ",,,1142.61,4830.0,61
CPT,64821,Sympathectomy; radial artery ,,,1404.42,6446.0,139
CPT,64822,Sympathectomy; ulnar artery ,,,870.0,5958.0,119
CPT,64823,Sympathectomy; superficial palmar arch ,,,870.0,5958.0,119
CPT,64831,"Suture of digital nerve, hand or foot; 1 nerve ",,,1142.61,6446.0,139
CPT,64832,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,64834,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,6801.0,139
CPT,64835,Suture of 1 nerve; median motor thenar ,,,1257.0,6801.0,139
CPT,64836,Suture of 1 nerve; ulnar motor ,,,1257.0,6801.0,139
CPT,64837,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,64840,Suture of posterior tibial nerve ,,,870.0,6801.0,139
CPT,64856,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,6801.0,139
CPT,64857,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,6801.0,139
CPT,64858,Suture of sciatic nerve ,,,870.0,5958.0,139
CPT,64859,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,291.0,2900.0,99
CPT,64861,Suture of; brachial plexus ,,,1142.61,6446.0,139
CPT,64862,Suture of; lumbar plexus ,,,1257.0,6801.0,139
CPT,64864,Suture of facial nerve; extracranial ,,,1257.0,6801.0,139
CPT,64865,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6801.0,139
CPT,64866,Anastomosis; facial-spinal accessory ,,,1632.0,4953.0,46
CPT,64868,Anastomosis; facial-hypoglossal ,,,1632.0,4953.0,46
CPT,64870,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,4421.0,21
CPT,64872,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,291.0,2900.0,99
CPT,64874,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,291.0,6446.0,99
CPT,64876,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,291.0,6446.0,99
CPT,64885,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,6801.0,139
CPT,64886,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,6801.0,139
CPT,64890,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,6801.0,139
CPT,64891,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,6801.0,139
CPT,64892,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,6801.0,139
CPT,64893,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,6801.0,139
CPT,64895,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6801.0,139
CPT,64896,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6801.0,139
CPT,64897,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6801.0,139
CPT,64898,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6801.0,139
CPT,64901,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,64902,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,99
CPT,64905,Nerve pedicle transfer; first stage ,,,870.0,6801.0,139
CPT,64907,Nerve pedicle transfer; second stage ,,,607.0,6801.0,139
CPT,64910,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,6801.0,119
CPT,64911,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,6801.0,119
CPT,64912,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,6801.0,112
CPT,64913,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,291.0,3435.0,88
CPT,64999,"Unlisted procedure, nervous system ",,,291.0,4421.0,103
CPT,65091,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,139
CPT,65093,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,139
CPT,65101,Enucleation of eye; without implant ,,,1257.0,6446.0,139
CPT,65103,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,139
CPT,65105,"Enucleation of eye; with implant, muscles attached to implant ",,,1404.42,6446.0,139
CPT,65110,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1404.42,6446.0,139
CPT,65112,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1404.42,10746.0,139
CPT,65114,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1404.42,10746.0,139
CPT,65125,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,1142.61,5115.0,77
CPT,65130,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,139
CPT,65135,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,5958.0,139
CPT,65140,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,139
CPT,65150,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,5958.0,139
CPT,65155,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,139
CPT,65175,Removal of ocular implant ,,,607.0,5958.0,139
CPT,65205,"Removal of foreign body, external eye; conjunctival superficial ",,,291.0,2900.0,77
CPT,65210,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,291.0,2900.0,77
CPT,65220,"Removal of foreign body, external eye; corneal, without slit lamp ",,,291.0,2900.0,77
CPT,65222,"Removal of foreign body, external eye; corneal, with slit lamp ",,,291.0,2900.0,77
CPT,65235,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,4830.0,139
CPT,65260,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,291.0,6446.0,139
CPT,65265,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1142.61,6446.0,139
CPT,65270,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,4830.0,139
CPT,65272,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,4830.0,139
CPT,65273,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,4953.0,88
CPT,65275,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1404.42,6446.0,139
CPT,65280,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1404.42,6446.0,139
CPT,65285,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1404.42,6446.0,139
CPT,65286,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,769.0,4100.0,119
CPT,65290,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,139
CPT,65400,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,4100.0,139
CPT,65410,Biopsy of cornea ,,,511.0,3979.0,139
CPT,65420,Excision or transposition of pterygium; without graft ,,,870.0,4830.0,139
CPT,65426,Excision or transposition of pterygium; with graft ,,,1142.61,6446.0,139
CPT,65430,"Scraping of cornea, diagnostic, for smear and/or culture ",,,291.0,2900.0,77
CPT,65435,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,769.0,4421.0,99
CPT,65436,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,4830.0,119
CPT,65450,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,291.0,4421.0,119
CPT,65600,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,4830.0,103
CPT,65710,Keratoplasty (corneal transplant); anterior lamellar ,,,1404.42,10746.0,139
CPT,65730,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1404.42,10746.0,139
CPT,65750,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1404.42,10746.0,139
CPT,65755,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1404.42,10746.0,139
CPT,65756,Keratoplasty (corneal transplant); endothelial ,,,1404.42,10746.0,119
CPT,65757,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,291.0,4421.0,37
CPT,65760,Keratomileusis ,,,911.0,10746.0,95
CPT,65765,Keratophakia ,,,911.0,10746.0,95
CPT,65767,Epikeratoplasty ,,,911.0,10746.0,95
CPT,65770,Keratoprosthesis ,,,1753.0,10746.0,123
CPT,65771,Radial keratotomy ,,,911.0,10746.0,95
CPT,65772,Corneal relaxing incision for correction of surgically induced astigmatism ,,,769.0,6446.0,139
CPT,65775,Corneal wedge resection for correction of surgically induced astigmatism ,,,1142.61,6446.0,139
CPT,65778,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,4421.0,119
CPT,65779,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,5958.0,119
CPT,65780,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1404.42,6581.0,139
CPT,65781,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1404.42,6801.0,139
CPT,65782,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1404.42,6581.0,139
CPT,65785,Implantation of intrastromal corneal ring segments ,,,1404.42,6801.0,103
CPT,65800,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,291.0,3523.0,139
CPT,65805,DRAINAGE OF EYE ,,,988.0,4421.0,21
CPT,65810,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1142.61,6446.0,139
CPT,65815,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,4830.0,139
CPT,65820,Goniotomy ,,,607.0,4830.0,139
CPT,65850,Trabeculotomy ab externo ,,,1142.61,6446.0,139
CPT,65855,Trabeculoplasty by laser surgery ,,,511.0,3523.0,119
CPT,65860,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,511.0,6446.0,119
CPT,65865,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,4830.0,139
CPT,65870,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1142.61,6446.0,139
CPT,65875,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1142.61,6446.0,139
CPT,65880,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1404.42,6446.0,139
CPT,65900,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1142.61,6446.0,139
CPT,65920,"Removal of implanted material, anterior segment of eye ",,,1142.61,10746.0,139
CPT,65930,"Removal of blood clot, anterior segment of eye ",,,1142.61,6446.0,139
CPT,66020,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,4100.0,139
CPT,66030,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,4100.0,139
CPT,66130,"Excision of lesion, sclera ",,,1142.61,10746.0,139
CPT,66150,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1404.42,6446.0,139
CPT,66155,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1404.42,6446.0,139
CPT,66160,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,4830.0,139
CPT,66165,GLAUCOMA SURGERY ,,,2552.0,4421.0,21
CPT,66170,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1142.61,6446.0,139
CPT,66172,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1142.61,6446.0,139
CPT,66174,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1404.42,12538.0,119
CPT,66175,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1404.42,12538.0,119
CPT,66179,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1404.42,8866.0,119
CPT,66180,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1404.42,6801.0,139
CPT,66183,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,8866.0,119
CPT,66184,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1142.61,8866.0,119
CPT,66185,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,4830.0,139
CPT,66220,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,4421.0,42
CPT,66225,Repair of scleral staphyloma with graft ,,,1404.42,6446.0,139
CPT,66250,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,4830.0,139
CPT,66500,Iridotomy by stab incision (separate procedure); except transfixion ,,,291.0,3523.0,139
CPT,66505,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,4100.0,139
CPT,66600,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,139
CPT,66605,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1142.61,6801.0,139
CPT,66625,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,769.0,6446.0,139
CPT,66630,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,769.0,6446.0,139
CPT,66635,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1142.61,6446.0,139
CPT,66680,"Repair of iris, ciliary body (as for iridodialysis) ",,,1142.61,6446.0,139
CPT,66682,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,4830.0,139
CPT,66683,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,1632.0,6801.0,68
CPT,66700,Ciliary body destruction; diathermy ,,,769.0,4100.0,139
CPT,66710,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,4830.0,139
CPT,66711,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,4830.0,139
CPT,66720,Ciliary body destruction; cryotherapy ,,,870.0,4830.0,139
CPT,66740,Ciliary body destruction; cyclodialysis ,,,870.0,4830.0,139
CPT,66761,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,511.0,3523.0,119
CPT,66762,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,511.0,3523.0,119
CPT,66770,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,511.0,3523.0,119
CPT,66820,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,291.0,3523.0,119
CPT,66821,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,511.0,3979.0,139
CPT,66825,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1142.61,6446.0,139
CPT,66830,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1142.61,6446.0,139
CPT,66840,"Removal of lens material; aspiration technique, 1 or more stages ",,,1142.61,6446.0,139
CPT,66850,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,1142.61,10746.0,139
CPT,66852,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1404.42,6801.0,139
CPT,66920,Removal of lens material; intracapsular ,,,1142.61,6446.0,139
CPT,66930,"Removal of lens material; intracapsular, for dislocated lens ",,,1404.42,6446.0,139
CPT,66940,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,769.0,6446.0,139
CPT,66982,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1142.61,8069.0,139
CPT,66983,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,1142.61,8069.0,139
CPT,66984,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,1142.61,8069.0,139
CPT,66985,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,1142.61,6446.0,139
CPT,66986,Exchange of intraocular lens ,,,1142.61,6446.0,139
CPT,66987,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1404.42,8866.0,108
CPT,66988,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,1404.42,8866.0,108
CPT,66989,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1404.42,8069.0,108
CPT,66990,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,291.0,2900.0,79
CPT,66991,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,1404.42,8069.0,108
CPT,66999,"Unlisted procedure, anterior segment of eye ",,,607.0,4421.0,103
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1142.61,6446.0,139
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1142.61,6446.0,139
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,4950.0,139
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,4950.0,139
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6801.0,139
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,291.0,4950.0,119
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,4950.0,139
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,511.0,4950.0,139
CPT,67036,"Vitrectomy, mechanical, pars plana approach; ",,,1404.42,10083.0,125
CPT,67038,STRIP RETINAL MEMBRANE ,,,3026.0,4421.0,21
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1404.42,10746.0,125
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1404.42,10746.0,125
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1404.42,10083.0,105
CPT,67042,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1404.42,10083.0,105
CPT,67043,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1404.42,10746.0,105
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1142.61,10083.0,105
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,511.0,10083.0,105
CPT,67107,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1404.42,10083.0,125
CPT,67108,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1404.42,10746.0,125
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,1142.61,10083.0,63
CPT,67112,REREPAIR DETACHED RETINA ,,,4421.0,4895.0,21
CPT,67113,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1404.42,10083.0,105
CPT,67115,Release of encircling material (posterior segment) ,,,870.0,10083.0,125
CPT,67120,"Removal of implanted material, posterior segment; extraocular ",,,870.0,10083.0,125
CPT,67121,"Removal of implanted material, posterior segment; intraocular ",,,870.0,10083.0,125
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,291.0,10083.0,125
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,511.0,10083.0,105
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,291.0,10083.0,105
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,511.0,10083.0,105
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1404.42,10083.0,125
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,511.0,10083.0,105
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,511.0,10083.0,105
CPT,67225,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,291.0,10083.0,81
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,10083.0,125
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,511.0,10083.0,105
CPT,67229,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,511.0,3250.0,119
CPT,67250,Scleral reinforcement (separate procedure); without graft ,,,1142.61,6446.0,139
CPT,67255,Scleral reinforcement (separate procedure); with graft ,,,1142.61,6446.0,139
CPT,67299,"Unlisted procedure, posterior segment ",,,769.0,4421.0,61
CPT,67311,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1142.61,6446.0,139
CPT,67312,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1404.42,6446.0,139
CPT,67314,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1142.61,6446.0,139
CPT,67316,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1142.61,6446.0,139
CPT,67318,"Strabismus surgery, any procedure, superior oblique muscle ",,,1142.61,6446.0,139
CPT,67320,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,291.0,6446.0,99
CPT,67331,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,291.0,6446.0,99
CPT,67332,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,291.0,6446.0,99
CPT,67334,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,291.0,6446.0,99
CPT,67335,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,291.0,6446.0,99
CPT,67340,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,291.0,6446.0,99
CPT,67343,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,1142.61,10746.0,139
CPT,67345,Chemodenervation of extraocular muscle ,,,291.0,3523.0,119
CPT,67346,Biopsy of extraocular muscle ,,,607.0,5958.0,139
CPT,67350,BIOPSY EYE MUSCLE ,,,988.0,4421.0,21
CPT,67399,"Unlisted procedure, extraocular muscle ",,,291.0,4421.0,61
CPT,67400,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,139
CPT,67405,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1142.61,6446.0,139
CPT,67412,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1142.61,6446.0,139
CPT,67413,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1142.61,6446.0,139
CPT,67414,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1404.42,6446.0,103
CPT,67415,Fine needle aspiration of orbital contents ,,,607.0,4830.0,139
CPT,67420,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1404.42,6446.0,139
CPT,67430,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1404.42,6446.0,139
CPT,67440,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1404.42,6446.0,139
CPT,67445,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1404.42,6446.0,139
CPT,67450,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1404.42,6446.0,139
CPT,67500,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,291.0,2900.0,77
CPT,67505,Retrobulbar injection; alcohol ,,,291.0,3523.0,119
CPT,67515,Injection of medication or other substance into Tenon's capsule ,,,291.0,3523.0,119
CPT,67516,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,291.0,3435.0,62
CPT,67550,Orbital implant (implant outside muscle cone); insertion ,,,1404.42,6446.0,139
CPT,67560,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,5958.0,139
CPT,67570,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1404.42,6446.0,139
CPT,67599,"Unlisted procedure, orbit ",,,291.0,4421.0,61
CPT,67700,"Blepharotomy, drainage of abscess, eyelid ",,,291.0,3523.0,119
CPT,67710,Severing of tarsorrhaphy ,,,607.0,4100.0,119
CPT,67715,Canthotomy (separate procedure) ,,,607.0,4830.0,139
CPT,67800,Excision of chalazion; single ,,,291.0,3523.0,119
CPT,67801,"Excision of chalazion; multiple, same lid ",,,607.0,4100.0,119
CPT,67805,"Excision of chalazion; multiple, different lids ",,,291.0,3523.0,119
CPT,67808,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,4830.0,139
CPT,67810,Incisional biopsy of eyelid skin including lid margin ,,,291.0,3523.0,119
CPT,67820,"Correction of trichiasis; epilation, by forceps only ",,,291.0,2900.0,77
CPT,67825,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,291.0,3523.0,77
CPT,67830,Correction of trichiasis; incision of lid margin ,,,769.0,4100.0,139
CPT,67835,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,4830.0,139
CPT,67840,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,769.0,4100.0,119
CPT,67850,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,4100.0,119
CPT,67875,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,4100.0,119
CPT,67880,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1142.61,6446.0,139
CPT,67882,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1142.61,6446.0,139
CPT,67900,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1142.61,6446.0,139
CPT,67901,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1142.61,6446.0,139
CPT,67902,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,139
CPT,67903,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1142.61,6446.0,139
CPT,67904,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1142.61,6446.0,139
CPT,67906,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,139
CPT,67908,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1142.61,6446.0,139
CPT,67909,Reduction of overcorrection of ptosis ,,,1142.61,6446.0,139
CPT,67911,Correction of lid retraction ,,,1142.61,6446.0,139
CPT,67912,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1142.61,6446.0,139
CPT,67914,Repair of ectropion; suture ,,,1142.61,6446.0,139
CPT,67915,Repair of ectropion; thermocauterization ,,,1142.61,6446.0,119
CPT,67916,Repair of ectropion; excision tarsal wedge ,,,1142.61,6446.0,139
CPT,67917,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1142.61,6446.0,139
CPT,67921,Repair of entropion; suture ,,,1142.61,6446.0,139
CPT,67922,Repair of entropion; thermocauterization ,,,1142.61,6446.0,103
CPT,67923,Repair of entropion; excision tarsal wedge ,,,1142.61,6446.0,139
CPT,67924,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1142.61,6446.0,139
CPT,67930,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,5115.0,119
CPT,67935,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,4830.0,139
CPT,67938,"Removal of embedded foreign body, eyelid ",,,291.0,2900.0,119
CPT,67950,Canthoplasty (reconstruction of canthus) ,,,870.0,4830.0,139
CPT,67961,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1142.61,6446.0,139
CPT,67966,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1142.61,6446.0,139
CPT,67971,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1142.61,6446.0,139
CPT,67973,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1142.61,6446.0,139
CPT,67974,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,139
CPT,67975,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1142.61,6446.0,139
CPT,67999,"Unlisted procedure, eyelids ",,,291.0,4421.0,61
CPT,68020,"Incision of conjunctiva, drainage of cyst ",,,769.0,4100.0,103
CPT,68040,"Expression of conjunctival follicles (eg, for trachoma) ",,,291.0,2900.0,77
CPT,68100,Biopsy of conjunctiva ,,,511.0,3979.0,119
CPT,68110,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,4830.0,119
CPT,68115,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,4830.0,139
CPT,68130,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,4830.0,139
CPT,68135,"Destruction of lesion, conjunctiva ",,,607.0,4830.0,119
CPT,68200,Subconjunctival injection ,,,291.0,2900.0,77
CPT,68320,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1142.61,6446.0,139
CPT,68325,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1404.42,6446.0,139
CPT,68326,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1404.42,6446.0,139
CPT,68328,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1142.61,6446.0,139
CPT,68330,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1142.61,6446.0,139
CPT,68335,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1404.42,6446.0,139
CPT,68340,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1142.61,6446.0,139
CPT,68360,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,5958.0,139
CPT,68362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,4830.0,139
CPT,68371,"Harvesting conjunctival allograft, living donor ",,,870.0,4830.0,139
CPT,68399,"Unlisted procedure, conjunctiva ",,,291.0,4421.0,61
CPT,68400,"Incision, drainage of lacrimal gland ",,,607.0,4100.0,119
CPT,68420,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,511.0,5115.0,119
CPT,68440,Snip incision of lacrimal punctum ,,,291.0,3523.0,99
CPT,68500,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,139
CPT,68505,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,139
CPT,68510,Biopsy of lacrimal gland ,,,607.0,4830.0,139
CPT,68520,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,139
CPT,68525,Biopsy of lacrimal sac ,,,607.0,4830.0,139
CPT,68530,"Removal of foreign body or dacryolith, lacrimal passages ",,,291.0,3441.0,119
CPT,68540,Excision of lacrimal gland tumor; frontal approach ,,,1142.61,6446.0,139
CPT,68550,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,139
CPT,68700,Plastic repair of canaliculi ,,,870.0,4830.0,139
CPT,68705,"Correction of everted punctum, cautery ",,,291.0,3523.0,119
CPT,68720,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1404.42,6446.0,139
CPT,68745,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1404.42,6446.0,139
CPT,68750,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1404.42,6446.0,139
CPT,68760,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,291.0,3441.0,119
CPT,68761,"Closure of the lacrimal punctum; by plug, each ",,,291.0,3441.0,119
CPT,68770,Closure of lacrimal fistula (separate procedure) ,,,511.0,6446.0,139
CPT,68801,"Dilation of lacrimal punctum, with or without irrigation ",,,291.0,2900.0,77
CPT,68810,"Probing of nasolacrimal duct, with or without irrigation; ",,,291.0,3523.0,139
CPT,68811,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,4830.0,139
CPT,68815,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,4830.0,139
CPT,68816,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,5115.0,119
CPT,68840,"Probing of lacrimal canaliculi, with or without irrigation ",,,291.0,2900.0,119
CPT,68841,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1142.61,4830.0,108
CPT,68850,Injection of contrast medium for dacryocystography ,,,291.0,2900.0,79
CPT,68899,"Unlisted procedure, lacrimal system ",,,291.0,4421.0,61
CPT,69000,"Drainage external ear, abscess or hematoma; simple ",,,511.0,3250.0,119
CPT,69005,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,4100.0,103
CPT,69020,"Drainage external auditory canal, abscess ",,,511.0,3250.0,119
CPT,69090,Ear piercing ,,,697.0,6411.0,62
CPT,69100,Biopsy external ear ,,,291.0,3523.0,77
CPT,69105,Biopsy external auditory canal ,,,697.0,4100.0,61
CPT,69110,"Excision external ear; partial, simple repair ",,,607.0,4100.0,139
CPT,69120,Excision external ear; complete amputation ,,,870.0,4830.0,139
CPT,69140,"Excision exostosis(es), external auditory canal ",,,870.0,4830.0,139
CPT,69145,"Excision soft tissue lesion, external auditory canal ",,,769.0,4100.0,139
CPT,69150,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,139
CPT,69155,Radical excision external auditory canal lesion; with neck dissection ,,,1632.0,4953.0,46
CPT,69200,Removal foreign body from external auditory canal; without general anesthesia ,,,291.0,2900.0,77
CPT,69205,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,4100.0,139
CPT,69209,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,291.0,4421.0,119
CPT,69210,"Removal impacted cerumen requiring instrumentation, unilateral ",,,291.0,2900.0,119
CPT,69220,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,291.0,2900.0,77
CPT,69222,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,291.0,2900.0,103
CPT,69300,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,139
CPT,69310,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6801.0,139
CPT,69320,"Reconstruction external auditory canal for congenital atresia, single stage ",,,1753.0,10746.0,139
CPT,69399,"Unlisted procedure, external ear ",,,291.0,4421.0,77
CPT,69400,INFLATE MIDDLE EAR CANAL ,,,4421.0,4421.0,1
CPT,69401,INFLATE MIDDLE EAR CANAL ,,,4421.0,4421.0,1
CPT,69405,CATHETERIZE MIDDLE EAR CANAL ,,,4421.0,4421.0,1
CPT,69410,INSET MIDDLE EAR (BAFFLE) ,,,4421.0,4421.0,1
CPT,69420,Myringotomy including aspiration and/or eustachian tube inflation ,,,291.0,6446.0,119
CPT,69421,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,769.0,6446.0,139
CPT,69424,Ventilating tube removal requiring general anesthesia ,,,607.0,5958.0,119
CPT,69433,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,291.0,8904.0,99
CPT,69436,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,769.0,8904.0,119
CPT,69440,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,139
CPT,69450,"Tympanolysis, transcanal ",,,607.0,8904.0,119
CPT,69501,Transmastoid antrotomy (simple mastoidectomy) ,,,1753.0,10746.0,139
CPT,69502,Mastoidectomy; complete ,,,1632.0,10746.0,139
CPT,69505,Mastoidectomy; modified radical ,,,1753.0,10746.0,139
CPT,69511,Mastoidectomy; radical ,,,1753.0,10746.0,139
CPT,69530,Petrous apicectomy including radical mastoidectomy ,,,1753.0,10746.0,139
CPT,69535,"Resection temporal bone, external approach ",,,1632.0,12538.0,46
CPT,69540,Excision aural polyp ,,,769.0,4100.0,103
CPT,69550,Excision aural glomus tumor; transcanal ,,,1753.0,6801.0,139
CPT,69552,Excision aural glomus tumor; transmastoid ,,,1753.0,10746.0,139
CPT,69554,Excision aural glomus tumor; extended (extratemporal) ,,,1632.0,12538.0,46
CPT,69601,Revision mastoidectomy; resulting in complete mastoidectomy ,,,1753.0,10746.0,139
CPT,69602,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,1753.0,10746.0,139
CPT,69603,Revision mastoidectomy; resulting in radical mastoidectomy ,,,1753.0,10746.0,139
CPT,69604,Revision mastoidectomy; resulting in tympanoplasty ,,,1753.0,8904.0,119
CPT,69605,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3542.0,5078.0,42
CPT,69610,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,994.46,8904.0,83
CPT,69620,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,8904.0,119
CPT,69631,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69632,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1753.0,8904.0,119
CPT,69633,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1753.0,8904.0,119
CPT,69635,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69636,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69637,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1753.0,8904.0,119
CPT,69641,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69642,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69643,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69644,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69645,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69646,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1753.0,8904.0,119
CPT,69650,Stapes mobilization ,,,1404.42,10746.0,139
CPT,69660,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1753.0,8904.0,119
CPT,69661,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1753.0,6801.0,139
CPT,69662,Revision of stapedectomy or stapedotomy ,,,1753.0,6801.0,139
CPT,69666,Repair oval window fistula ,,,1404.42,6446.0,139
CPT,69667,Repair round window fistula ,,,1404.42,6446.0,139
CPT,69670,Mastoid obliteration (separate procedure) ,,,1257.0,6801.0,139
CPT,69676,Tympanic neurectomy ,,,1257.0,6446.0,139
CPT,69700,"Closure postauricular fistula, mastoid (separate procedure) ",,,769.0,6446.0,139
CPT,69705,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1753.0,8866.0,108
CPT,69706,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1753.0,8866.0,108
CPT,69710,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6801.0,95
CPT,69711,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,6801.0,139
CPT,69714,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2179.0,13472.0,123
CPT,69715,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,6070.0,42
CPT,69716,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2179.0,9431.0,92
CPT,69717,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1753.0,7602.0,123
CPT,69718,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,6070.0,42
CPT,69719,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2179.0,9431.0,92
CPT,69720,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1753.0,6801.0,139
CPT,69725,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1753.0,6801.0,103
CPT,69726,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1404.42,8069.0,108
CPT,69727,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1404.42,8069.0,108
CPT,69728,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1404.42,5958.0,92
CPT,69729,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2179.0,9431.0,92
CPT,69730,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2179.0,9431.0,92
CPT,69740,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1753.0,6801.0,139
CPT,69745,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1753.0,6801.0,139
CPT,69799,"Unlisted procedure, middle ear ",,,291.0,4421.0,103
CPT,69801,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,769.0,6446.0,139
CPT,69802,INCISE INNER EAR ,,,4421.0,4895.0,21
CPT,69805,Endolymphatic sac operation; without shunt ,,,1753.0,10746.0,139
CPT,69806,Endolymphatic sac operation; with shunt ,,,1753.0,10746.0,139
CPT,69820,HFenestration semicircular canal ,,,3026.0,4421.0,22
CPT,69840,HRevision fenestration operation ,,,3026.0,4421.0,22
CPT,69905,Labyrinthectomy; transcanal ,,,1753.0,10746.0,139
CPT,69910,Labyrinthectomy; with mastoidectomy ,,,1753.0,10746.0,139
CPT,69915,"Vestibular nerve section, translabyrinthine approach ",,,1404.42,10746.0,139
CPT,69930,"Cochlear device implantation, with or without mastoidectomy ",,,2706.0,74502.0,125
CPT,69949,"Unlisted procedure, inner ear ",,,291.0,4421.0,103
CPT,69950,"Vestibular nerve section, transcranial approach ",,,1632.0,4953.0,46
CPT,69955,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6801.0,103
CPT,69960,Decompression internal auditory canal ,,,1753.0,6801.0,61
CPT,69970,"Removal of tumor, temporal bone ",,,1471.0,6801.0,103
CPT,69979,"Unlisted procedure, temporal bone, middle fossa approach ",,,291.0,4421.0,103
CPT,69990,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,291.0,2900.0,79
CPT,70010,"Myelography, posterior fossa, radiological supervision and interpretation ",,,59.52,616.1,36
CPT,70015,"Cisternography, positive contrast, radiological supervision and interpretation ",,,52.95,920.54,36
CPT,70030,"Radiologic examination, eye, for detection of foreign body ",,,16.49,89.63,36
CPT,70100,"Radiologic examination, mandible; partial, less than 4 views ",,,20.76,110.63,36
CPT,70100,XR MANDIBLE < 4 V,2122.28,2122.28,390.71,2122.28,56
CPT,7010F,Patient information entered into a recall system that includes: target date for the next exam specified and a process to follow up with patients regarding missed or unscheduled appointments (ML) ,,,0.02,0.02,2
CPT,70110,"Radiologic examination, mandible; complete, minimum of 4 views ",,,24.44,154.52,36
CPT,70110,XR MANDIBLE 4 + V,2380.24,2380.24,438.2,2380.24,56
CPT,70120,"Radiologic examination, mastoids; less than 3 views per side ",,,24.15,154.52,36
CPT,70130,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,30.84,169.89,36
CPT,70134,"Radiologic examination, internal auditory meati, complete ",,,28.9,313.62,36
CPT,70140,"Radiologic examination, facial bones; less than 3 views ",,,17.84,83.86,36
CPT,70140,XR FACIAL BONES < 3 V,1230.4299999999998,1230.4299999999998,210.54,1317.25,56
CPT,70150,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,26.67,154.52,36
CPT,70150,XR FACIAL BONES 3 + V,1436.16,1436.16,264.4,1436.16,56
CPT,70160,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,20.76,108.16,36
CPT,70160,XR NASAL BONES COMP,960.48,960.48,176.82,960.48,56
CPT,70170,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,33.89,313.62,36
CPT,70190,Radiologic examination; optic foramina ,,,22.88,98.28,36
CPT,70200,"Radiologic examination; orbits, complete, minimum of 4 views ",1324.57,1324.57,26.67,154.52,36
CPT,70200,XR ORBITS 4 + V,1324.57,1324.57,243.85,1324.57,28
CPT,7020F,"Mammogram assessment category (eg, Mammography Quality Standards Act ºMQSA», Breast Imaging Reporting and Data System ºBI-RADS», or FDA approved equivalent categories) entered into an internal databas",,,0.02,0.02,2
CPT,70210,"Radiologic examination, sinuses, paranasal, less than 3 views ",801.34,801.34,19.73,88.39,36
CPT,70210,XR SINUSES < 3 V,801.34,801.34,147.53,801.34,28
CPT,70220,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,23.51,100.75,36
CPT,70220,XR SINUSES 3 + V,1485.58,1485.58,273.5,1485.58,56
CPT,70240,"Radiologic examination, sella turcica ",,,16.49,87.16,36
CPT,70250,"Radiologic examination, skull; less than 4 views ",,,22.26,154.52,36
CPT,70250,XR SKULL < 4 V,1721.59,1721.59,316.94,1721.59,84
CPT,7025F,Patient information entered into a reminder system with a target due date for the next mammogram (RAD) ,,,0.02,0.02,2
CPT,70260,"Radiologic examination, skull; complete, minimum of 4 views ",,,27.29,154.52,36
CPT,70260,XR SKULL 4 + V,2645.52,2645.52,487.04,2645.52,56
CPT,70300,"Radiologic examination, teeth; single view ",,,8.07,83.86,36
CPT,70310,"Radiologic examination, teeth; partial examination, less than full mouth ",,,16.49,313.62,36
CPT,70320,"Radiologic examination, teeth; complete, full mouth ",,,30.84,313.62,36
CPT,70328,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,19.61,94.57,36
CPT,70328,XR TMJ UNI LT,1589.86,1589.86,292.69,1589.86,28
CPT,70328,XR TMJ UNI RT,1558.69,1558.69,286.95,1558.69,28
CPT,70330,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,32.65,153.83,36
CPT,70332,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,46.84,313.62,36
CPT,70336,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,844.23,33
CPT,70350,"Cephalogram, orthodontic ",,,10.27,83.86,36
CPT,70355,"Orthopantogram (eg, panoramic x-ray) ",980.63,980.63,8.69,83.86,36
CPT,70355,XR ORTHOPANTOGRAM,980.63,980.63,180.53,980.63,28
CPT,70360,"Radiologic examination; neck, soft tissue ",,,16.49,83.86,36
CPT,70360,XR NECK SOFT TISSUE,1143.44,1143.44,210.51,1143.44,84
CPT,70370,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,50.83,324.23,36
CPT,70371,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,44.64,313.62,36
CPT,70380,"Radiologic examination, salivary gland for calculus ",,,26.04,108.16,36
CPT,70390,"Sialography, radiological supervision and interpretation ",,,69.66,351.41,36
CPT,70450,CT HEAD/BRAIN W/O CONT,6543.64,6543.64,1204.68,6543.64,72
CPT,70450,"Computed tomography, head or brain; without contrast material ",,,154.52,459.25,21
CPT,70460,CT HEAD/BRAIN W/CONT,7510.33,7510.33,1382.65,7510.33,48
CPT,70460,"Computed tomography, head or brain; with contrast material(s) ",,,221.02,459.25,21
CPT,70470,CT HD/BR W&W/O CONT,9328.91,9328.91,1717.45,9328.91,48
CPT,70470,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,276.34,532.67,21
CPT,70471,CTA H&N W/CON+NONCON IMG,22650.6,22650.6,3397.59,22650.6,62
CPT,70471,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,481.18,12
CPT,70472,CT CER PER W CONC CT/CTA,6053.01,6053.01,907.95,6053.01,62
CPT,70473,CT CER PER W/O CONC CT/A,12106.01,12106.01,1815.9,12106.01,62
CPT,70473,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,241.92,12
CPT,70480,CT ORBIT/SELLA/IAC WO,7372.91,7372.91,1357.35,7372.91,72
CPT,70480,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,459.25,21
CPT,70481,CT ORBIT/SELLA/IAC W,7372.91,7372.91,1357.35,7372.91,72
CPT,70481,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,221.02,459.25,21
CPT,70482,CT ORBIT/SELLA/IAC W&WO,9448.52,9448.52,1739.47,9448.52,72
CPT,70482,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,276.34,532.67,21
CPT,70486,CT MAXIFAC W/O CNT,7372.91,7372.91,1357.35,7372.91,72
CPT,70486,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,459.25,21
CPT,70487,CT MAXIFAC W/CONTRAST,7510.33,7510.33,1382.65,7510.33,72
CPT,70487,"Computed tomography, maxillofacial area; with contrast material(s) ",,,221.02,459.25,21
CPT,70488,CT MAXIFAC W&W/O CONT,7712.39,7712.39,1419.85,7712.39,48
CPT,70488,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,276.34,532.67,21
CPT,70490,CT NECK W/O CONTRAST,7372.91,7372.91,1357.35,7372.91,72
CPT,70490,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,459.25,21
CPT,70491,CT NECK W/CONTRAST,7510.33,7510.33,1382.65,7510.33,72
CPT,70491,"Computed tomography, soft tissue neck; with contrast material(s) ",,,221.02,459.25,21
CPT,70492,CT NECK W&W/O CONT,7712.39,7712.39,1419.85,7712.39,72
CPT,70492,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,276.34,532.67,21
CPT,70496,CTA HEAD,11265.48,11265.48,2073.97,11265.48,72
CPT,70496,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,282.39,544.32,21
CPT,70498,CTA NECK,11385.12,11385.12,2096.0,11385.12,72
CPT,70498,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,282.39,544.32,21
CPT,70540,MRI OR/FCE/NCK W/O CONT,9648.6,9648.6,1776.31,9648.6,25
CPT,70540,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",9648.6,9648.6,313.62,844.23,33
CPT,70542,MRI OR/FCE/NCK W/CONT,9113.15,9113.15,1677.73,9113.15,25
CPT,70542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",9113.15,9113.15,524.55,1011.09,33
CPT,70543,MRI OR/FCE/NCK W&WO,12217.86,12217.86,2249.31,12217.86,25
CPT,70543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",12217.86,12217.86,616.1,1871.82,33
CPT,70544,MRA HD W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CPT,70544,"Magnetic resonance angiography, head; without contrast material(s) ",7719.79,7719.79,313.62,851.36,33
CPT,70545,MRA HD W/CONTRAST,8007.74,8007.74,1474.22,8007.74,25
CPT,70545,"Magnetic resonance angiography, head; with contrast material(s) ",8007.74,8007.74,341.2,851.36,33
CPT,70546,MRA HD W&WO CONTRAST,12648.33,12648.33,2328.56,12648.33,25
CPT,70546,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",12648.33,12648.33,616.1,1678.83,33
CPT,70547,MRA NECK W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CPT,70547,"Magnetic resonance angiography, neck; without contrast material(s) ",7719.79,7719.79,313.62,851.36,33
CPT,70548,MRA NECK W/CONTRAST,7719.79,7719.79,1421.21,7719.79,25
CPT,70548,"Magnetic resonance angiography, neck; with contrast material(s) ",7719.79,7719.79,341.2,851.36,33
CPT,70549,MRA NECK W&WO CONT,12648.33,12648.33,2328.56,12648.33,25
CPT,70549,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",12648.33,12648.33,616.1,1678.83,33
CPT,70551,MRI BRAIN W/O CONTRAST,7094.33,7094.33,1306.07,7094.33,24
CPT,70551,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",7094.33,7094.33,313.62,844.23,33
CPT,70552,MRI BRAIN W/CONTRAST,8574.71,8574.71,1578.6,8574.71,24
CPT,70552,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",8574.71,8574.71,341.2,1012.53,33
CPT,70553,MRI BRAIN W&WO CONT,13183.79,13183.79,2427.14,13183.79,24
CPT,70553,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",13183.79,13183.79,616.1,1875.09,33
CPT,70554,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,1052.6,33
CPT,70555,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,146.0,1731.66,33
CPT,70557,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,1286.87,33
CPT,70558,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,1366.34,33
CPT,70559,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,341.2,1370.22,33
CPT,71045,CHEST XRAY 1 V,1030.03,1030.03,189.63,1030.03,84
CPT,71045,"Radiologic examination, chest; single view ",,,9.41,83.86,36
CPT,71046,CHEST XRAY 2 V,1196.54,1196.54,220.28,1196.54,84
CPT,71046,"Radiologic examination, chest; 2 views ",,,17.35,85.92,36
CPT,71047,CHEST XRAY 3 V,1293.48,1293.48,238.13,1293.48,84
CPT,71047,"Radiologic examination, chest; 3 views ",,,22.12,106.93,36
CPT,71048,CHEST XRAY 4+,1589.86,1589.86,292.69,1589.86,28
CPT,71048,"Radiologic examination, chest; 4 or more views ",1589.86,1589.86,22.76,154.52,36
CPT,71100,"Radiologic examination, ribs, unilateral; 2 views ",,,19.41,95.81,36
CPT,71100,XR RIBS UNI 2 V LT,1436.16,1436.16,264.4,1436.16,84
CPT,71100,XR RIBS UNI 2 V RT,1436.16,1436.16,264.4,1436.16,84
CPT,71101,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,23.82,154.52,36
CPT,71101,XR RIBS UNI W/CXR 3+V LT,1992.36,1992.36,366.79,1992.36,84
CPT,71101,XR RIBS UNI W/CXR 3+V RT,1992.36,1992.36,366.79,1992.36,84
CPT,71110,"Radiologic examination, ribs, bilateral; 3 views ",,,24.46,154.52,36
CPT,71110,XR RIBS BI 3 V,1604.6950000000002,1604.6950000000002,274.58,1717.93,56
CPT,71111,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,33.6,154.52,36
CPT,71111,XR RIBS BI W/CXR 4 + V,2210.06,2210.06,406.87,2210.06,84
CPT,71120,"Radiologic examination; sternum, minimum of 2 views ",,,19.41,88.39,36
CPT,71120,XR STERNUM 2 + V,1066.6,1066.6,196.36,1066.6,56
CPT,71130,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",873.6,873.6,23.51,113.1,36
CPT,71130,XR SC JOINTS 3 + V,873.6,873.6,160.83,873.6,28
CPT,71250,CT CHEST W/O CONTRAST,7372.91,7372.91,1357.35,7372.91,75
CPT,71250,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,459.25,21
CPT,71260,CT CHEST W/CONTRAST,7510.33,7510.33,1382.65,7510.33,75
CPT,71260,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,276.34,532.67,21
CPT,71270,CT CHEST W&W/O CONT,9448.52,9448.52,1739.47,9448.52,75
CPT,71270,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,665.82,21
CPT,71271,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,97.55,459.25,21
CPT,71271,LUNG CA SCREEN WO CON,454.14,454.14,83.61,454.14,50
CPT,71275,CTA CHEST,10531.57,10531.57,1938.86,10531.57,75
CPT,71275,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,668.46,21
CPT,71550,MRI CHEST W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CPT,71550,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",7719.79,7719.79,313.62,844.23,33
CPT,71551,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,525.53,1058.71,33
CPT,71552,MRI CHEST W&WO CONT,8574.71,8574.71,1578.6,8574.71,25
CPT,71552,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",8574.71,8574.71,616.1,1865.19,33
CPT,71555,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,934.83,33
CPT,72020,"Radiologic examination, spine, single view, specify level ",,,13.74,83.86,36
CPT,72020,XR SPINE 1 V SPEC LEVEL,980.63,980.63,180.53,980.63,56
CPT,72040,"Radiologic examination, spine, cervical; 2 or 3 views ",,,21.62,106.93,36
CPT,72040,XR C-SPINE 2-3 VIEWS,1324.57,1324.57,243.85,1324.57,84
CPT,72050,"Radiologic examination, spine, cervical; 4 or 5 views ",,,29.18,154.52,36
CPT,72050,XR C-SPINE 4-5 V,2122.28,2122.28,390.71,2122.28,84
CPT,72052,"Radiologic examination, spine, cervical; 6 or more views ",,,39.28,176.07,36
CPT,72052,XR C-SPINE 6 + V,1657.58,1657.58,305.16,1657.58,84
CPT,72070,"Radiologic examination, spine; thoracic, 2 views ",,,20.04,154.52,36
CPT,72070,XR T-SPINE 2 VIEWS,2122.28,2122.28,390.71,2122.28,84
CPT,72072,"Radiologic examination, spine; thoracic, 3 views ",,,23.82,154.52,36
CPT,72072,XR T-SPINE 3 VIEWS,1456.3,1456.3,268.1,1456.3,84
CPT,72074,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,30.14,154.52,36
CPT,72074,XR T-SPINE 4 + VIEWS,1191.945,1191.945,208.83,1249.57,56
CPT,72080,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,21.93,90.87,36
CPT,72081,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",425.14,425.14,22.24,113.1,36
CPT,72081,XR SPINE 1 VIEW,425.14,425.14,78.27,425.14,28
CPT,72082,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",702.17,702.17,40.51,204.48,36
CPT,72082,XR SPINE 2 OR 3 VIEWS,702.17,702.17,129.27,702.17,28
CPT,72083,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",1338.16,1338.16,43.98,232.38,36
CPT,72083,XR SPINE 4 OR 5 VIEWS,1338.16,1338.16,246.36,1338.16,28
CPT,72084,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",1338.16,1338.16,53.12,289.17,36
CPT,72084,XR SPINE MIN 6 VIEWS,1338.16,1338.16,246.36,1338.16,28
CPT,72100,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,21.62,154.52,36
CPT,72100,XR L-SPINE 2/3 VIEWS,2252.17,2252.17,414.62,2252.17,84
CPT,72110,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,29.82,154.52,36
CPT,72110,XR L-SPINE 4 + VIEWS,2380.24,2380.24,438.2,2380.24,84
CPT,72114,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,42.42,172.36,36
CPT,72114,XR L-SPINE W/BEND VIEW,2122.28,2122.28,390.71,2122.28,56
CPT,72120,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",1324.57,1324.57,25.72,154.52,36
CPT,72120,XR L-SPINE BEND ONLY,1324.57,1324.57,243.85,1324.57,28
CPT,72125,CT C-SPINE W/O CONTRAST,8308.88,8308.88,1529.66,8308.88,75
CPT,72125,"Computed tomography, cervical spine; without contrast material ",,,154.52,459.25,21
CPT,72126,CT C-SPINE W/CONTRAST,8308.88,8308.88,1529.66,8308.88,75
CPT,72126,"Computed tomography, cervical spine; with contrast material ",,,276.34,616.1,21
CPT,72127,CT C-SPINE W&W/O CONT,8219.75,8219.75,1441.2,8611.17,50
CPT,72127,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,665.82,21
CPT,72128,CT T-SPINE W/O CONTRAST,8308.88,8308.88,1529.66,8308.88,75
CPT,72128,"Computed tomography, thoracic spine; without contrast material ",,,154.52,459.25,21
CPT,72129,CT T-SPINE W/CONTRAST,8308.88,8308.88,1529.66,8308.88,75
CPT,72129,"Computed tomography, thoracic spine; with contrast material ",,,276.34,532.67,21
CPT,72130,CT T-SPINE W&W/O CONT,8611.17,8611.17,1585.32,8611.17,25
CPT,72130,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",8611.17,8611.17,341.2,665.82,21
CPT,72131,CT L-SPINE W/O CONTRAST,9083.18,9083.18,1672.21,9083.18,75
CPT,72131,"Computed tomography, lumbar spine; without contrast material ",,,154.52,459.25,21
CPT,72132,CT L-SPINE W/CONTRAST,10053.09,10053.09,1850.77,10053.09,75
CPT,72132,"Computed tomography, lumbar spine; with contrast material ",,,276.34,616.1,21
CPT,72133,CT L-SPINE W&W/O CONT,8105.75,8105.75,1399.22,8611.17,75
CPT,72133,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,665.82,21
CPT,72141,MRI C-SPINE W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CPT,72141,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",7719.79,7719.79,313.62,844.23,33
CPT,72142,MRI C-SPINE W/CONTRAST,10721.01,10721.01,1973.74,10721.01,25
CPT,72142,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",10721.01,10721.01,525.3,1012.53,33
CPT,72146,MRI T-SPINE W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CPT,72146,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",7719.79,7719.79,313.62,937.38,33
CPT,72147,MRI T-SPINE W/CONTRAST,10721.01,10721.01,1973.74,10721.01,25
CPT,72147,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",10721.01,10721.01,525.3,1012.53,33
CPT,72148,MRI L-SPINE W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CPT,72148,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",7719.79,7719.79,313.62,937.38,33
CPT,72149,MRI L-SPINE W/CONT,10721.01,10721.01,1973.74,10721.01,25
CPT,72149,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",10721.01,10721.01,525.3,1012.53,33
CPT,72156,MRI C-SPINE W&W/O CONT,12862.8,12862.8,2368.04,12862.8,25
CPT,72156,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",12862.8,12862.8,616.1,1875.09,33
CPT,72157,MRI T-SPINE W&W/O CONT,13290.27,13290.27,2446.74,13290.27,25
CPT,72157,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",13290.27,13290.27,616.1,1875.09,33
CPT,72158,MRI L-SPINE W&W/O CONT,12541.85,12541.85,2308.95,12541.85,25
CPT,72158,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",12541.85,12541.85,616.1,1875.09,33
CPT,72159,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,964.86,33
CPT,72170,"Radiologic examination, pelvis; 1 or 2 views ",,,17.52,154.52,36
CPT,72170,XR PELVIS 1/2 VIEWS,1589.86,1589.86,292.69,1589.86,84
CPT,72190,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,26.4,154.52,36
CPT,72191,CTA PELVIS,10657.66,10657.66,1962.08,10657.66,25
CPT,72191,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",10657.66,10657.66,333.3,642.44,21
CPT,72192,CT PELVIS W/O CONTRAST,6784.49,6784.49,1249.02,6784.49,75
CPT,72192,"Computed tomography, pelvis; without contrast material ",,,154.52,459.25,21
CPT,72193,CT PELVIS W/CONTRAST,7510.33,7510.33,1382.65,7510.33,75
CPT,72193,"Computed tomography, pelvis; with contrast material(s) ",,,267.42,515.45,21
CPT,72194,CT PELVIS W&W/O CONT,7995.28,7995.28,1471.93,7995.28,25
CPT,72194,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",7995.28,7995.28,331.83,639.62,21
CPT,72195,MRI PELVIS W/O CONT,7719.79,7719.79,1421.21,7719.79,25
CPT,72195,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",7719.79,7719.79,313.62,845.72,33
CPT,72196,MRI PELVIS W/CONTRAST,10290.55,10290.55,1894.49,10290.55,25
CPT,72196,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",10290.55,10290.55,437.98,844.23,33
CPT,72197,MRI PELVIS W&WO CONT,12327.36,12327.36,2269.47,12327.36,25
CPT,72197,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",12327.36,12327.36,616.1,1874.66,33
CPT,72198,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,939.74,33
CPT,72200,"Radiologic examination, sacroiliac joints; less than 3 views ",,,18.79,154.52,36
CPT,72202,"Radiologic examination, sacroiliac joints; 3 or more views ",,,22.88,154.52,36
CPT,72202,XR SI JOINTS 3 + V,1578.89,1578.89,290.67,1578.89,56
CPT,72220,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,18.15,89.63,36
CPT,72220,XR SACRUM/COCCYX 2 + V,1066.6,1066.6,196.36,1066.6,84
CPT,72240,"Myelography, cervical, radiological supervision and interpretation ",,,75.22,920.54,36
CPT,72255,"Myelography, thoracic, radiological supervision and interpretation ",,,69.23,920.54,36
CPT,72265,"Myelography, lumbosacral, radiological supervision and interpretation ",4754.99,4754.99,75.84,920.54,36
CPT,72265,XR MYELOGRAM L-SPINE,4754.99,4754.99,875.39,4754.99,28
CPT,72270,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,116.2,920.54,36
CPT,72285,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,48.1,2174.18,36
CPT,72295,"Discography, lumbar, radiological supervision and interpretation ",,,49.99,2174.18,36
CPT,73000,"Radiologic examination; clavicle, complete ",,,18.47,90.87,36
CPT,73000,XR CLAVICLE COMP LT,1436.16,1436.16,264.4,1436.16,84
CPT,73000,XR CLAVICLE COMP RT,1436.16,1436.16,264.4,1436.16,84
CPT,73010,"Radiologic examination; scapula, complete ",,,20.04,154.52,36
CPT,73010,XR SCAPULA COMP LT,1436.16,1436.16,264.4,1436.16,56
CPT,73010,XR SCAPULA COMP RT,1436.16,1436.16,264.4,1436.16,56
CPT,73020,"Radiologic examination, shoulder; 1 view ",,,14.37,83.86,36
CPT,73020,XR SHOULDER 1 V LT,1196.54,1196.54,220.28,1196.54,84
CPT,73020,XR SHOULDER 1 V RT,1196.54,1196.54,220.28,1196.54,84
CPT,73030,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,18.79,94.57,36
CPT,73030,XR SHOULDER 2 + V LT,1589.86,1589.86,292.69,1589.86,84
CPT,73030,XR SHOULDER 2 + V RT,1589.86,1589.86,292.69,1589.86,84
CPT,73040,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,69.54,616.1,36
CPT,73050,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",1436.16,1436.16,25.72,83.86,36
CPT,73050,XR AC JNTS BI W/WO WT,1436.16,1436.16,264.4,1436.16,28
CPT,73060,"Radiologic examination; humerus, minimum of 2 views ",,,18.15,89.63,36
CPT,73060,XR HUMERUS 2 + V LT,1436.16,1436.16,264.4,1436.16,84
CPT,73060,XR HUMERUS 2 + V RT,1436.16,1436.16,264.4,1436.16,84
CPT,73070,"Radiologic examination, elbow; 2 views ",,,18.15,83.86,36
CPT,73070,XR ELBOW 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,84
CPT,73070,XR ELBOW 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,84
CPT,73080,"Radiologic examination, elbow; complete, minimum of 3 views ",,,22.26,89.63,36
CPT,73080,XR ELBOW 3 + V LT,1578.89,1578.89,290.67,1578.89,84
CPT,73080,XR ELBOW 3 + V RT,1578.89,1578.89,290.67,1578.89,84
CPT,73085,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,65.44,616.1,36
CPT,73090,"Radiologic examination; forearm, 2 views ",,,17.52,83.86,36
CPT,73090,XR FOREARM 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,84
CPT,73090,XR FOREARM 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,84
CPT,73092,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,18.15,154.52,36
CPT,73092,XR UP EXTREM INFANT2V LT,825.12,825.12,151.9,825.12,28
CPT,73092,XR UP EXTREM INFANT2V RT,825.12,825.12,151.9,825.12,28
CPT,73100,"Radiologic examination, wrist; 2 views ",,,19.61,94.57,36
CPT,73100,XR WRIST 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,56
CPT,73100,XR WRIST 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,56
CPT,73110,"Radiologic examination, wrist; complete, minimum of 3 views ",,,21.16,121.75,36
CPT,73110,XR WRIST 3 + V LT,1578.89,1578.89,290.67,1578.89,84
CPT,73110,XR WRIST 3 + V RT,1578.89,1578.89,290.67,1578.89,84
CPT,73115,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,61.7,384.72,36
CPT,73120,"Radiologic examination, hand; 2 views ",,,17.21,154.52,36
CPT,73120,XR HAND 2 V LT,1436.16,1436.16,264.4,1436.16,84
CPT,73120,XR HAND 2 V RT,1436.16,1436.16,264.4,1436.16,84
CPT,73130,"Radiologic examination, hand; minimum of 3 views ",,,21.16,106.93,36
CPT,73130,XR HAND 3 + V LT,1578.89,1578.89,290.67,1578.89,84
CPT,73130,XR HAND 3 + V RT,1578.89,1578.89,290.67,1578.89,84
CPT,73140,"Radiologic examination, finger(s), minimum of 2 views ",,,16.49,116.81,36
CPT,73140,XR FINGER(S) 2 + V LT,858.03,858.03,157.96,858.03,84
CPT,73140,XR FINGER(S) 2 + V RT,858.03,858.03,157.96,858.03,84
CPT,73200,CT UP EXTREM W/O CONT LT,7120.74,7120.74,1310.93,7120.74,75
CPT,73200,CT UP EXTREM W/O CONT RT,7120.74,7120.74,1310.93,7120.74,75
CPT,73200,"Computed tomography, upper extremity; without contrast material ",,,154.52,459.25,21
CPT,73201,CT UP EXTREM W/CONT LT,7120.74,7120.74,1310.93,7120.74,50
CPT,73201,CT UP EXTREM W/CONT RT,7120.74,7120.74,1310.93,7120.74,50
CPT,73201,"Computed tomography, upper extremity; with contrast material(s) ",,,230.54,459.25,21
CPT,73202,CT UP EXTRM W&W/O CON LT,7526.004999999999,7526.004999999999,1299.14,7995.28,50
CPT,73202,CT UP EXTRM W&W/O CON RT,7526.004999999999,7526.004999999999,1299.14,7995.28,50
CPT,73202,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,290.28,559.53,21
CPT,73206,CTA UPPER EXTREMITY LT,9686.14,9686.14,1783.22,9686.14,25
CPT,73206,CTA UPPER EXTREMITY RT,9686.14,9686.14,1783.22,9686.14,25
CPT,73206,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,292.35,563.52,21
CPT,73218,MRI UPPER EX W/O CONT LT,8900.17,8900.17,1638.52,8900.17,25
CPT,73218,MRI UPPER EX W/O CONT RT,8900.17,8900.17,1638.52,8900.17,25
CPT,73218,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,843.33,33
CPT,73219,MRI UPPER EX W/CONT LT,9222.64,9222.64,1697.89,9222.64,25
CPT,73219,MRI UPPER EX W/CONT RT,9222.64,9222.64,1697.89,9222.64,25
CPT,73219,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,524.55,1011.09,33
CPT,73220,MRI UP EX W&WO CONT LT,12217.86,12217.86,2249.31,12217.86,25
CPT,73220,MRI UP EX W&WO CONT RT,12217.86,12217.86,2249.31,12217.86,25
CPT,73220,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,437.98,1164.69,33
CPT,73221,MRI UP JNT W/O CONT LT,7398.8,7398.8,1362.12,7398.8,25
CPT,73221,MRI UP JNT W/O CONT RT,7398.8,7398.8,1362.12,7398.8,25
CPT,73221,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,844.23,33
CPT,73222,MRI UP JNT W/CONT LT,9113.15,9113.15,1677.73,9113.15,25
CPT,73222,MRI UP JNT W/CONT RT,9113.15,9113.15,1677.73,9113.15,25
CPT,73222,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,524.55,1011.09,33
CPT,73223,MRI UP JNT W&WO CONT LT,12217.86,12217.86,2249.31,12217.86,25
CPT,73223,MRI UP JNT W&WO CONT RT,12217.86,12217.86,2249.31,12217.86,25
CPT,73223,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,1871.82,33
CPT,73225,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,432.34,956.61,33
CPT,73501,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,17.51,89.63,36
CPT,73501,XR HIP W PEL UNI 1 V LT,1589.08,1589.08,292.55,1589.08,56
CPT,73501,XR HIP W PEL UNI 1 V RT,1589.08,1589.08,292.55,1589.08,56
CPT,73502,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,26.33,136.58,36
CPT,73502,XR HIP W PEL UN 2-3 V LT,1763.31,1763.31,324.63,1763.31,84
CPT,73502,XR HIP W PEL UN 2-3 V RT,1763.31,1763.31,324.63,1763.31,84
CPT,73503,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,32.63,174.83,36
CPT,73503,XR HIP W PEL UN M4 VW LT,1937.57,1937.57,356.71,1937.57,56
CPT,73503,XR HIP W PEL UN M4 VW RT,1856.115,1856.115,326.71,1937.57,56
CPT,73521,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,24.44,154.52,36
CPT,73521,XR HIP W PEL BI 2 VIEW,1589.08,1589.08,292.55,1589.08,56
CPT,73522,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,29.49,154.52,36
CPT,73522,XR HIP W PEL BI 3-4 VIEW,1763.31,1763.31,324.63,1763.31,84
CPT,73523,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",1937.57,1937.57,35.48,173.59,36
CPT,73523,XR HIP W PEL BI MIN5 VW,1937.57,1937.57,356.71,1937.57,28
CPT,73525,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,66.7,616.1,36
CPT,73525,XR ARTHROGRAM HIP LT,2570.5,2570.5,473.23,2570.5,28
CPT,73525,XR ARTHROGRAM HIP RT,2570.5,2570.5,473.23,2570.5,28
CPT,73551,"Radiologic examination, femur; 1 view ",,,16.89,83.86,36
CPT,73551,XR FEMUR 1 VIEW LT,1589.08,1589.08,292.55,1589.08,56
CPT,73551,XR FEMUR 1 VIEW RT,1589.08,1589.08,292.55,1589.08,56
CPT,73552,"Radiologic examination, femur; minimum 2 views ",,,20.03,99.51,36
CPT,73552,XR FEMUR MIN 2 V LT,1763.31,1763.31,324.63,1763.31,84
CPT,73552,XR FEMUR MIN 2 V RT,1763.31,1763.31,324.63,1763.31,84
CPT,73560,"Radiologic examination, knee; 1 or 2 views ",,,19.1,95.81,36
CPT,73560,XR KNEE 1 OR 2 V LT,1436.16,1436.16,264.4,1436.16,84
CPT,73560,XR KNEE 1 OR 2 V RT,1436.16,1436.16,264.4,1436.16,84
CPT,73562,"Radiologic examination, knee; 3 views ",,,22.49,116.81,36
CPT,73562,XR KNEE 3 V BI,3157.78,3157.78,581.35,3157.78,28
CPT,73562,XR KNEE 3 V LT,1578.89,1578.89,290.67,1578.89,84
CPT,73562,XR KNEE 3 V RT,1578.89,1578.89,290.67,1578.89,84
CPT,73564,"Radiologic examination, knee; complete, 4 or more views ",,,24.44,154.52,36
CPT,73564,XR KNEE 4 + V LT,1664.88,1664.88,306.5,1664.88,84
CPT,73564,XR KNEE 4 + V RT,1664.88,1664.88,306.5,1664.88,84
CPT,73565,"Radiologic examination, knee; both knees, standing, anteroposterior ",1988.72,1988.72,19.61,116.81,36
CPT,73565,XR KNEE AP STAND BI,1988.72,1988.72,366.12,1988.72,28
CPT,73580,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,87.51,616.1,36
CPT,73590,"Radiologic examination; tibia and fibula, 2 views ",,,16.9,88.39,36
CPT,73590,XR TIBIA/FIBULA 2 V LT,1589.86,1589.86,292.69,1589.86,84
CPT,73590,XR TIBIA/FIBULA 2 V RT,1589.86,1589.86,292.69,1589.86,84
CPT,73592,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,18.15,87.16,36
CPT,73592,XR TIB/FIB INFNT 2V LT,825.12,825.12,151.9,825.12,56
CPT,73592,XR TIB/FIB INFNT 2V RT,794.56,794.56,140.65,825.12,56
CPT,73600,"Radiologic examination, ankle; 2 views ",,,18.15,89.63,36
CPT,73600,XR ANKLE 2 VIEWS LT,2072.11,2072.11,264.4,2708.06,84
CPT,73600,XR ANKLE 2 VIEWS RT,2072.11,2072.11,264.4,2708.06,84
CPT,73610,"Radiologic examination, ankle; complete, minimum of 3 views ",,,21.16,103.22,36
CPT,73610,XR ANKLE 3 + V LT,1578.89,1578.89,290.67,1578.89,84
CPT,73610,XR ANKLE 3 + V RT,1578.89,1578.89,290.67,1578.89,84
CPT,73615,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,66.7,616.1,36
CPT,73620,"Radiologic examination, foot; 2 views ",,,17.52,83.86,36
CPT,73620,XR FOOT 2 VIEWS LT,1436.16,1436.16,264.4,1436.16,56
CPT,73620,XR FOOT 2 VIEWS RT,1436.16,1436.16,264.4,1436.16,56
CPT,73630,"Radiologic examination, foot; complete, minimum of 3 views ",,,20.68,95.81,36
CPT,73630,XR FOOT 3 + V LT,1578.89,1578.89,290.67,1578.89,84
CPT,73630,XR FOOT 3 + V RT,1578.89,1578.89,290.67,1578.89,84
CPT,73650,"Radiologic examination; calcaneus, minimum of 2 views ",,,18.15,83.86,36
CPT,73650,XR CALCANEUS 2 + V LT,1436.16,1436.16,264.4,1436.16,56
CPT,73650,XR CALCANEUS 2 + V RT,1436.16,1436.16,264.4,1436.16,56
CPT,73660,"Radiologic examination; toe(s), minimum of 2 views ",,,16.49,83.86,36
CPT,73660,XR TOE(S) 2 + V LT,801.34,801.34,147.53,801.34,84
CPT,73660,XR TOE(S) 2 + V RT,801.34,801.34,147.53,801.34,84
CPT,73700,CT LOWER EXTRM W/O C LT,7120.74,7120.74,1310.93,7120.74,75
CPT,73700,CT LOWER EXTRM W/O C RT,7120.74,7120.74,1310.93,7120.74,75
CPT,73700,"Computed tomography, lower extremity; without contrast material ",,,154.52,459.25,21
CPT,73701,CT LOWER EXTRM W/CON LT,7510.33,7510.33,1382.65,7510.33,75
CPT,73701,CT LOWER EXTRM W/CON RT,7510.33,7510.33,1382.65,7510.33,75
CPT,73701,"Computed tomography, lower extremity; with contrast material(s) ",,,230.54,459.25,21
CPT,73702,CT LW EXTRM W&W/O CON LT,7995.28,7995.28,1471.93,7995.28,25
CPT,73702,CT LW EXTRM W&W/O CON RT,7995.28,7995.28,1471.93,7995.28,25
CPT,73702,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,290.28,559.53,21
CPT,73706,CTA LOW EXTREMITY LT,9686.14,9686.14,1783.22,9686.14,50
CPT,73706,CTA LOW EXTREMITY RT,9686.14,9686.14,1783.22,9686.14,50
CPT,73706,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,292.35,563.52,21
CPT,73718,MRI LOW EXT W/O CONT LT,7826.27,7826.27,1440.82,7826.27,25
CPT,73718,MRI LOW EXT W/O CONT RT,7826.27,7826.27,1440.82,7826.27,25
CPT,73718,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,843.33,33
CPT,73719,MRI LOW EXT W/CONT LT,9113.15,9113.15,1677.73,9113.15,25
CPT,73719,MRI LOW EXT W/CONT RT,9113.15,9113.15,1677.73,9113.15,25
CPT,73719,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,1011.09,33
CPT,73720,MRI LOW EXT W&WO CONT LT,12217.86,12217.86,2249.31,12217.86,25
CPT,73720,MRI LOW EXT W&WO CONT RT,12217.86,12217.86,2249.31,12217.86,25
CPT,73720,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,437.98,950.36,33
CPT,73721,MRI LW JNT W/O CONT LT,7503.8,7503.8,1381.45,7503.8,25
CPT,73721,MRI LW JNT W/O CONT RT,7503.8,7503.8,1381.45,7503.8,25
CPT,73721,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,844.23,33
CPT,73722,MRI LW JNT W/CONTRAST LT,9113.15,9113.15,1677.73,9113.15,25
CPT,73722,MRI LW JNT W/CONTRAST RT,9113.15,9113.15,1677.73,9113.15,25
CPT,73722,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,524.55,1011.09,33
CPT,73723,MRI LW JNT W&WO CONT LT,12217.86,12217.86,2249.31,12217.86,25
CPT,73723,MRI LW JNT W&WO CONT RT,12217.86,12217.86,2249.31,12217.86,25
CPT,73723,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,1871.82,33
CPT,73725,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,937.44,33
CPT,74018,ABD XR 1V,1066.6,1066.6,196.36,1066.6,84
CPT,74018,"Radiologic examination, abdomen; 1 view ",,,16.08,83.86,36
CPT,74019,ABD XR 2V,1436.16,1436.16,264.4,1436.16,84
CPT,74019,"Radiologic examination, abdomen; 2 views ",,,19.26,154.52,36
CPT,74021,ABD XR 3+V,1480.08,1480.08,272.48,1480.08,56
CPT,74021,"Radiologic examination, abdomen; 3 or more views ",,,22.43,154.52,36
CPT,74022,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,28.9,154.52,36
CPT,74022,XR ABD ACUTE W/CHEST,2380.24,2380.24,438.2,2380.24,84
CPT,74150,CT ABDOMEN W/O CONT,7510.33,7510.33,1382.65,7510.33,75
CPT,74150,"Computed tomography, abdomen; without contrast material ",,,154.52,459.25,21
CPT,74160,CT ABDOMEN W/CONT,7631.56,7631.56,1404.97,7631.56,50
CPT,74160,"Computed tomography, abdomen; with contrast material(s) ",,,267.42,515.45,21
CPT,74170,CT ABDOMEN W&WO CONT,9010.45,9010.45,1658.82,9010.45,50
CPT,74170,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,331.83,639.62,21
CPT,74174,CTA ABD&PEL W CONT,10657.66,10657.66,1962.08,10657.66,75
CPT,74174,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,886.15,21
CPT,74175,CTA ABDOMEN,10531.57,10531.57,1938.86,10531.57,50
CPT,74175,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,333.3,642.44,21
CPT,74176,CT ABD&PELVIS W/O CONT,14291.6,14291.6,2631.08,14291.6,75
CPT,74176,"Computed tomography, abdomen and pelvis; without contrast material ",,,139.53,459.25,21
CPT,74177,CT ABD&PELVIS W/CONT,15137.04,15137.04,2786.73,15137.04,75
CPT,74177,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,266.24,513.19,21
CPT,74178,CT ABD&PELVIS W&WO CONT,17004.12,17004.12,3130.46,17004.12,75
CPT,74178,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,678.33,21
CPT,74181,MRI ABDOMEN W/O CONT,9972.58,9972.58,1835.95,9972.58,25
CPT,74181,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",9972.58,9972.58,313.62,844.23,33
CPT,74182,MRI ABDOMEN W/CONT,10187.05,10187.05,1875.44,10187.05,25
CPT,74182,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",10187.05,10187.05,525.53,1012.98,33
CPT,74183,MRI ABDOMEN W&WO CONT,12327.36,12327.36,2269.47,12327.36,25
CPT,74183,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",12327.36,12327.36,616.1,1874.66,33
CPT,74185,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,941.43,33
CPT,74190,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,46.41,657.03,36
CPT,74210,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,46.0,341.2,36
CPT,74220,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",1589.86,1589.86,46.0,341.2,36
CPT,74220,XR ESOPHAGUS,1589.86,1589.86,292.69,1589.86,28
CPT,74221,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",2908.99,2908.99,65.53,277.33,36
CPT,74221,XR ESOPH DOUBL CONT,2908.99,2908.99,535.55,2908.99,28
CPT,74230,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",788.52,788.52,50.83,357.58,36
CPT,74230,XR SWLW FUNC W/C&V,788.52,788.52,145.17,788.52,28
CPT,74235,"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation ",,,94.19,218.42,10
CPT,74240,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",2380.24,2380.24,57.26,341.2,36
CPT,74240,XR UGI SNGL CONTRAST,2380.24,2380.24,438.2,2380.24,28
CPT,74246,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",2511.97,2511.97,64.42,348.94,36
CPT,74246,XR UGI DBL CONTRAST,2511.97,2511.97,462.45,2511.97,28
CPT,74248,"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination) ",2908.99,2908.99,42.2,115.61,10
CPT,74248,XRAY SM INTEST W MLT IMG,2908.99,2908.99,436.35,2908.99,34
CPT,74250,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",1955.78,1955.78,50.83,303.23,36
CPT,74250,XR SMALL INTESTINE,1955.78,1955.78,360.06,1955.78,28
CPT,74251,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,50.08,1092.18,36
CPT,74261,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,573.1,21
CPT,74262,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,336.89,649.36,21
CPT,74263,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,459.25,1133.24,21
CPT,74270,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",2290.58,2290.58,66.54,378.54,36
CPT,74270,XR CONT ENEMA W/WO KUB,2290.58,2290.58,421.7,2290.58,28
CPT,74280,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",3632.98,3632.98,87.33,576.85,36
CPT,74280,XR ENEMA W/ AIR,3632.98,3632.98,668.83,3632.98,28
CPT,74283,THER ENEMA W/CONT OR AIR,2433.28,2433.28,447.97,2433.28,28
CPT,74283,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",2433.28,2433.28,94.13,590.9,36
CPT,74290,"Cholecystography, oral contrast ",,,28.9,341.2,36
CPT,74300,"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation ",2434.59,2434.59,23.06,100.23,10
CPT,74300,XR CHOLANG INTRAOP,2434.59,2434.59,365.19,2434.59,34
CPT,74301,"Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure) ",,,17.89,85.39,10
CPT,74328,"Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation ",,,112.0,236.79,10
CPT,74329,"Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation ",,,58.9,236.79,10
CPT,74330,"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation ",3703.0,3703.0,112.0,236.79,10
CPT,74330,XR ERCP,3703.0,3703.0,555.45,3703.0,34
CPT,74340,"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation ",1589.86,1589.86,93.18,197.88,10
CPT,74340,XR INTRO LONG GI TUBE,1589.86,1589.86,238.48,1589.86,34
CPT,74355,"Percutaneous placement of enteroclysis tube, radiological supervision and interpretation ",,,93.51,197.88,10
CPT,74360,"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation ",,,111.66,236.79,10
CPT,74363,"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation ",,,72.2,306.59,10
CPT,74400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,65.78,405.21,36
CPT,74410,"Urography, infusion, drip technique and/or bolus technique; ",,,76.07,428.68,36
CPT,74415,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,82.86,466.98,36
CPT,74420,"Urography, retrograde, with or without KUB ",,,93.19,616.1,36
CPT,74425,"Urography, antegrade, radiological supervision and interpretation ",,,46.42,404.49,36
CPT,74430,"Cystography, minimum of 3 views, radiological supervision and interpretation ",2080.19,2080.19,22.88,341.2,36
CPT,74430,XR CYSTOGRAM 3 + V,2080.19,2080.19,382.96,2080.19,28
CPT,74440,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,44.06,313.62,36
CPT,74445,"Corpora cavernosography, radiological supervision and interpretation ",,,39.36,159.52,36
CPT,74450,"Urethrocystography, retrograde, radiological supervision and interpretation ",2080.19,2080.19,51.77,313.62,36
CPT,74450,XR CYSTOURETHRO RETRO,2080.19,2080.19,382.96,2080.19,28
CPT,74455,"Urethrocystography, voiding, radiological supervision and interpretation ",2252.17,2252.17,60.4,318.05,36
CPT,74455,XR CYSTOURETHRO VDNG,2252.17,2252.17,414.62,2252.17,28
CPT,74470,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,44.71,634.33,36
CPT,74485,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,62.6,2289.17,36
CPT,74712,MRI FETAL SNGL 1ST GEST,7143.51,7143.51,1315.12,7143.51,25
CPT,74712,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",7143.51,7143.51,313.62,930.32,33
CPT,74713,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure) ",,,142.95,559.78,9
CPT,74740,"Hysterosalpingography, radiological supervision and interpretation ",,,50.83,313.62,36
CPT,74742,"Transcervical catheterization of fallopian tube, radiological supervision and interpretation ",,,50.97,236.79,10
CPT,74775,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,52.11,309.65,36
CPT,75557,CAR MRI MORPH FUNC WO CM,2300.78,2300.78,423.57,2300.78,25
CPT,75557,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,2300.78,2300.78,313.62,795.69,33
CPT,75559,CAR MRI MRP FN WO CM STR,2300.78,2300.78,423.57,2300.78,25
CPT,75559,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,2300.78,2300.78,313.62,1207.48,33
CPT,75561,CAR MRI MRP FN WO/W CM,3517.15,3517.15,647.51,3517.15,25
CPT,75561,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",3517.15,3517.15,589.18,1135.66,33
CPT,75563,CAR MRI MR FN WO/W CM ST,3517.15,3517.15,647.51,3517.15,25
CPT,75563,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",3517.15,3517.15,736.66,1419.93,33
CPT,75565,CAR MRI VELOCITY FLW MAP,3517.15,3517.15,527.57,3517.15,29
CPT,75565,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,3517.15,3517.15,78.65,151.59,9
CPT,75571,CT HEART WO CN W QUAN CA,893.9,893.9,164.57,893.9,50
CPT,75571,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,61.38,459.25,21
CPT,75572,CTHEART W CN STR MOR FNC,6726.31,6726.31,1238.31,6726.31,25
CPT,75572,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",6726.31,6726.31,177.21,459.25,21
CPT,75573,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,250.93,483.67,21
CPT,75574,CT HEART W CN ART/GRAFTS,6726.31,6726.31,1238.31,6726.31,25
CPT,75574,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",6726.31,6726.31,341.2,891.31,21
CPT,75577,QUANT & CHAR C ARTH PLQ,2376.25,2376.25,356.44,2376.25,42
CPT,75577,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,24
CPT,75580,NINVS CFFR SW ANLYS CTA,3879.31,3879.31,714.18,3879.31,27
CPT,75580,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",3879.31,3879.31,1344.84,1344.84,12
CPT,75600,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,165.06,3365.2,36
CPT,75605,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",14404.06,14404.06,85.3,5757.7,36
CPT,75605,SP AORTOGM TH W/FILM,14404.06,14404.06,2651.79,14404.06,28
CPT,75625,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,84.67,3365.2,36
CPT,75625,SP AORTOGM ABD W/FILM,14404.06,14404.06,2651.79,14404.06,56
CPT,75630,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",13105.11,13105.11,84.04,3365.2,36
CPT,75630,SP AORTOGM ABD W/RNF,13105.11,13105.11,2412.65,13105.11,28
CPT,75635,CTA ABD AORTA IF LWEX RO,12351.77,12351.77,2273.96,12351.77,75
CPT,75635,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,333.3,642.44,21
CPT,75705,"Angiography, spinal, selective, radiological supervision and interpretation ",12805.06,12805.06,123.14,5757.7,36
CPT,75705,SP ANGIO SPINAL SELECT,12805.06,12805.06,2357.41,12805.06,28
CPT,75710,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,106.74,3365.2,36
CPT,75710,SP ANGIO EXT UNI LT,14404.06,14404.06,2651.79,14404.06,56
CPT,75710,SP ANGIO EXT UNI RT,14404.06,14404.06,2651.79,14404.06,56
CPT,75716,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,128.55,3365.2,36
CPT,75716,SP ANGIO EXT BI,10829.12,10829.12,1993.64,10829.12,56
CPT,75726,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,95.08,5757.7,36
CPT,75726,SP ANG VISC SEL W/WO F,14404.06,14404.06,2651.79,14404.06,56
CPT,75731,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,110.52,949.01,36
CPT,75731,SP ANG ADREN SEL UNI LT,14404.06,14404.06,2651.79,14404.06,28
CPT,75731,SP ANG ADREN SEL UNI RT,14404.06,14404.06,2651.79,14404.06,28
CPT,75733,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,123.19,3365.2,36
CPT,75736,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,104.22,5757.7,36
CPT,75736,SP ANGIO PELVIC,14404.06,14404.06,2651.79,14404.06,56
CPT,75741,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,86.56,3365.2,36
CPT,75741,SP ANGIO PULM SEL UNI LT,8383.01,8383.01,1543.31,8383.01,56
CPT,75741,SP ANGIO PULM SEL UNI RT,8383.01,8383.01,1543.31,8383.01,56
CPT,75743,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",14404.06,14404.06,94.44,3365.2,36
CPT,75743,SP ANGIO PULM SEL BI,14404.06,14404.06,2651.79,14404.06,28
CPT,75746,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,98.54,1327.01,36
CPT,75756,"Angiography, internal mammary, radiological supervision and interpretation ",,,109.9,3365.2,36
CPT,75774,"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure) ",,,71.43,949.01,10
CPT,75774,SP ANGIO ADDL VESSEL,8851.38,8851.38,1327.71,8851.38,68
CPT,75801,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,192.73,826.97,36
CPT,75803,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,193.08,1842.44,36
CPT,75805,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,217.27,3722.48,36
CPT,75807,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,238.12,3724.33,36
CPT,75809,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,30.84,215.6,36
CPT,75810,SP SPLENOPORTOGRAM,10560.18,10560.18,1944.13,10560.18,28
CPT,75810,"Splenoportography, radiological supervision and interpretation ",10560.18,10560.18,447.6,3718.0,36
CPT,75820,SP VENOGRAM EXT UNI LT,5067.87,5067.87,932.99,5067.87,56
CPT,75820,SP VENOGRAM EXT UNI RT,5067.87,5067.87,932.99,5067.87,56
CPT,75820,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,36.87,826.97,36
CPT,75822,SP VENOGRAM EXT BI,10560.18,10560.18,1944.13,10560.18,28
CPT,75822,"Venography, extremity, bilateral, radiological supervision and interpretation ",10560.18,10560.18,58.03,1327.01,36
CPT,75825,SP VENOCAVAGM INF,10560.18,10560.18,1944.13,10560.18,56
CPT,75825,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,80.26,3365.2,36
CPT,75827,SP VENOCAVAGM SUP,10560.18,10560.18,1944.13,10560.18,56
CPT,75827,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,82.47,949.01,36
CPT,75831,SP VENOGM RENAL UNI LT,10560.18,10560.18,1944.13,10560.18,28
CPT,75831,SP VENOGM RENAL UNI RT,10560.18,10560.18,1944.13,10560.18,28
CPT,75831,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,85.94,3365.2,36
CPT,75833,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,96.97,3365.2,36
CPT,75840,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,88.77,3365.2,36
CPT,75842,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,106.74,106.74,1
CPT,75860,SP VENOGM SIN/JUG CATH,7122.45,7122.45,1311.24,7122.45,56
CPT,75860,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,86.25,3365.2,36
CPT,75870,SP VENOGM SP SAG SNS,10560.18,10560.18,1944.13,10560.18,28
CPT,75870,"Venography, superior sagittal sinus, radiological supervision and interpretation ",10560.18,10560.18,88.14,949.01,36
CPT,75872,"Venography, epidural, radiological supervision and interpretation ",,,87.83,949.01,36
CPT,75880,"Venography, orbital, radiological supervision and interpretation ",,,36.87,826.97,36
CPT,75885,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",8383.01,8383.01,87.19,3365.2,36
CPT,75885,SP PORTOGM W/HEMODYN,8383.01,8383.01,1543.31,8383.01,28
CPT,75887,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",14404.06,14404.06,87.19,1327.01,36
CPT,75887,SP PORTGM W/O HEMDYN,14404.06,14404.06,2651.79,14404.06,28
CPT,75889,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",10560.18,10560.18,87.83,3365.2,36
CPT,75889,SP VENOGM HEP W/DYN,10560.18,10560.18,1944.13,10560.18,28
CPT,75891,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,88.14,3365.2,36
CPT,75893,SP VENOUS SAMP CATH,9241.08,9241.08,1701.28,9241.08,28
CPT,75893,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",9241.08,9241.08,88.77,5757.7,36
CPT,75894,SP TRANSCTH THPY EMBL,18474.85,18474.85,2771.23,18474.85,68
CPT,75894,"Transcatheter therapy, embolization, any method, radiological supervision and interpretation ",,,857.26,1818.64,10
CPT,75898,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,37.3,3744.74,36
CPT,75898,SP TRANSCATH ANGIO F/U,6205.85,6205.85,1142.5,6205.85,56
CPT,75901,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation ",,,65.11,316.65,10
CPT,75902,"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation ",,,49.36,125.5,10
CPT,75956,"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian arte",,,328.51,328.51,1
CPT,75957,"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian ",,,281.48,281.48,1
CPT,75958,"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disrupti",,,187.25,187.25,1
CPT,75959,"Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and interpretation ",,,165.15,165.15,1
CPT,75970,SP TRANSCATH BIOPSY,14404.06,14404.06,2160.61,14404.06,68
CPT,75970,"Transcatheter biopsy, radiological supervision and interpretation ",,,365.2,869.63,10
CPT,75984,"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation ",3562.12,3562.12,67.34,146.62,10
CPT,75984,SP CHG TUBE/DRN W/C,3562.12,3562.12,534.32,3562.12,34
CPT,75989,"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and inte",8090.29,8090.29,122.85,459.25,9
CPT,75989,SP PERC DRAIN,8090.29,8090.29,1213.54,8090.29,35
CPT,76000,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",2779.1,2779.1,37.39,313.62,36
CPT,76000,XR FLUOROSCOPY 0-60 MIN,2779.1,2779.1,511.63,2779.1,28
CPT,76010,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,16.26,83.86,36
CPT,76014,MR SFTY TCS INIT 15MIN,63.49,63.49,11.69,63.49,27
CPT,76014,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",63.49,63.49,9.26,99.9,27
CPT,76015,MR SFTY TCS EA ADD 30MIN,63.49,63.49,9.52,63.49,31
CPT,76015,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",63.49,63.49,44.6,44.6,1
CPT,76016,MR SFTY MD OR QHP,228.24,228.24,42.02,228.24,27
CPT,76016,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",228.24,228.24,38.41,166.95,27
CPT,76017,MR SFTY MED PHYSIC EXAM,626.57,626.57,115.35,626.57,27
CPT,76017,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",626.57,626.57,161.68,702.81,27
CPT,76018,MR SFTY IMPLNT ELEC PREP,237.94,237.94,43.8,237.94,27
CPT,76018,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",237.94,237.94,68.05,295.81,27
CPT,76019,MR SFTY IMPLNT POS/IMMOB,153.97,153.97,28.35,153.97,27
CPT,76019,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",153.97,153.97,80.19,452.63,27
CPT,76080,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",3713.96,3713.96,30.45,313.62,36
CPT,76080,XR ABSCESS/FIST/SIN,3713.96,3713.96,683.74,3713.96,28
CPT,76098,"Radiological examination, surgical specimen ",1055.63,1055.63,9.64,657.03,36
CPT,76098,XR SURGICAL SPECIMEN,1055.63,1055.63,194.34,1055.63,28
CPT,76100,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,48.91,223.74,36
CPT,76120,"Cineradiography/videoradiography, except where specifically included ",,,40.93,336.58,36
CPT,76125,Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure) ,,,28.03,59.45,10
CPT,76140,"Consultation on X-ray examination made elsewhere, written report ",,,17.11,146.26,9
CPT,76145,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,2164.76,32
CPT,76376,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,16.58,459.25,10
CPT,76377,3D CT W POST IMG IND,1238.24,1238.24,185.74,1238.24,29
CPT,76377,3D OTH W POST IMG IND,1238.24,1238.24,185.74,1238.24,34
CPT,76377,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,38.64,459.25,10
CPT,76380,CT LTD/LOC,4322.55,4322.55,795.78,4322.55,25
CPT,76380,"Computed tomography, limited or localized follow-up study ",4322.55,4322.55,83.86,459.25,21
CPT,76390,Magnetic resonance spectroscopy ,,,432.71,1041.71,33
CPT,76391,"Magnetic resonance (eg, vibration) elastography ",,,184.8,356.2,33
CPT,76496,UL FLUORO PROCEDURE,9058.1,9058.1,1667.6,9058.1,28
CPT,76496,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",9058.1,9058.1,83.86,239.28,32
CPT,76497,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,459.25,18
CPT,76498,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,235.77,30
CPT,76499,UL DX RAD PROCEDURE,477.5,477.5,87.91,477.5,30
CPT,76499,Unlisted diagnostic radiographic procedure ,477.5,477.5,83.86,359.25,26
CPT,76506,"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnor",1564.14,1564.14,55.31,293.34,15
CPT,76506,US ENCEPHALOGRAM,1564.14,1564.14,287.96,1564.14,28
CPT,76510,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter ",,,71.12,162.53,15
CPT,76511,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only ",,,43.06,154.52,15
CPT,76512,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) ",,,34.86,154.52,15
CPT,76513,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral ",,,52.83,156.3,15
CPT,76514,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) ",,,2.51,23.58,15
CPT,76516,"Ophthalmic biometry by ultrasound echography, A-scan; ",,,41.8,154.52,15
CPT,76519,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation ",,,46.53,154.52,15
CPT,76529,Ophthalmic ultrasonic foreign body localization ,,,41.17,195.83,15
CPT,76536,US HEAD AND NECK,1688.0,1688.0,310.76,1688.0,56
CPT,76536,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation ",,,55.31,305.23,15
CPT,76604,US CHST W/MEDIASTINUM,1158.96,1158.96,213.36,1158.96,56
CPT,76604,"Ultrasound, chest (includes mediastinum), real time with image documentation ",,,50.83,154.52,15
CPT,76641,US BRST BI W AX COMP,1721.59,1721.59,316.94,1721.59,28
CPT,76641,US BRST UNI LT W AX COMP,964.76,964.76,177.61,964.76,28
CPT,76641,US BRST UNI RT W AX COMP,964.76,964.76,177.61,964.76,28
CPT,76641,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete ",,,63.11,248.91,15
CPT,76642,US BRST BI W AX LTD,222.28,222.28,40.92,222.28,28
CPT,76642,US BRST UNI LT W AX LTD,964.76,964.76,177.61,964.76,28
CPT,76642,US BRST UNI RT W AX LTD,964.76,964.76,177.61,964.76,28
CPT,76642,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited ",,,48.32,193.36,15
CPT,76700,US ABDOMEN COMPLETE,2738.39,2738.39,504.14,2738.39,56
CPT,76700,"Ultrasound, abdominal, real time with image documentation; complete ",,,76.85,285.46,15
CPT,76705,US ABDOMEN LTD,1688.0,1688.0,310.76,1688.0,56
CPT,76705,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) ",,,55.31,218.07,15
CPT,76706,US AAA SCREEN,1791.95,1791.95,329.9,1791.95,56
CPT,76706,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) ",,,59.06,299.52,15
CPT,76770,US RETROPERITONEAL COM,2738.39,2738.39,504.14,2738.39,56
CPT,76770,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete ",,,76.85,269.4,15
CPT,76775,US RETRO LTD,1791.95,1791.95,329.9,1791.95,56
CPT,76775,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited ",,,32.34,154.52,15
CPT,76776,US RENAL TRANSPLANT,1686.44,1686.44,310.47,1686.44,28
CPT,76776,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation ",1686.44,1686.44,86.0,407.68,15
CPT,76800,US SPINAL CANAL,1807.26,1807.26,332.72,1807.26,28
CPT,76800,"Ultrasound, spinal canal and contents ",1807.26,1807.26,55.31,436.56,15
CPT,76801,US PREG 1ST TRIMTR,1762.9,1762.9,324.55,1762.9,56
CPT,76801,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation ",,,41.05,257.56,15
CPT,76802,US PRG 1ST TRI EA ADD,510.67,510.67,76.6,510.67,68
CPT,76802,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately",,,22.57,86.49,10
CPT,76805,US PREG AFTER 1ST TRI,1886.75,1886.75,347.35,1886.75,28
CPT,76805,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation ",1886.75,1886.75,82.07,321.29,15
CPT,76810,US PRG AFT 1ST TRI AD,816.47,816.47,122.47,816.47,34
CPT,76810,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List",816.47,816.47,42.42,315.34,10
CPT,76811,US PREG W/FTL AN EX SGL,1671.15,1671.15,307.66,1671.15,28
CPT,76811,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation ",1671.15,1671.15,79.63,325.72,15
CPT,76812,US PREG W/FTL EX EA ADDL,816.47,816.47,122.47,816.47,34
CPT,76812,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separa",816.47,816.47,46.91,271.51,10
CPT,76813,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation ",,,54.72,214.36,15
CPT,76814,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separat",,,26.35,107.97,10
CPT,76815,US PREGNANCY LTD,1155.88,1155.88,212.8,1155.88,56
CPT,76815,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses ",,,51.57,184.71,15
CPT,76816,US PREGNANCY FLW UP,1090.15,1090.15,200.7,1090.15,28
CPT,76816,"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ sy",1090.15,1090.15,43.28,252.62,15
CPT,76817,US PREG UT TRANSVAGINAL,1837.81,1837.81,338.34,1837.81,84
CPT,76817,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal ",,,56.61,208.19,15
CPT,76818,Fetal biophysical profile; with non-stress testing ,,,61.35,255.34,15
CPT,76819,Fetal biophysical profile; without non-stress testing ,869.98,869.98,44.95,183.01,15
CPT,76819,US FET BIO PH PR W/O NST,869.98,869.98,160.16,869.98,28
CPT,76820,DOP VELOCMTY UMBILCL ART,807.29,807.29,148.62,807.29,28
CPT,76820,"Doppler velocimetry, fetal; umbilical artery ",807.29,807.29,20.99,154.52,15
CPT,76821,DOP VELOCM MID CEREB ART,374.56,374.56,68.96,374.56,28
CPT,76821,"Doppler velocimetry, fetal; middle cerebral artery ",374.56,374.56,51.88,202.01,15
CPT,76825,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; ",,,76.85,657.83,15
CPT,76826,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study ",626.57,626.57,27.74,424.98,15
CPT,76826,US FETAL CARDIOVASC F/U,626.57,626.57,115.35,626.57,28
CPT,76827,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete ",,,41.48,154.52,15
CPT,76828,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study ",,,6.4,154.52,15
CPT,76830,US TRANSVAGINAL,2210.89,2210.89,407.02,2210.89,56
CPT,76830,"Ultrasound, transvaginal ",,,59.75,313.88,15
CPT,76831,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed ",,,58.95,313.62,15
CPT,76856,US PELVIC COMPLETE,2045.76,2045.76,376.62,2045.76,56
CPT,76856,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete ",,,59.75,266.93,15
CPT,76857,US PELVIC LTD OR FU,886.79,886.79,163.26,886.79,56
CPT,76857,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) ",,,30.76,154.52,15
CPT,76870,US SCROTUM AND CNTS,2065.64,2065.64,380.28,2065.64,56
CPT,76870,"Ultrasound, scrotum and contents ",,,37.07,257.09,15
CPT,76872,US TRANSRECTAL,2314.88,2314.88,426.17,2314.88,28
CPT,76872,"Ultrasound, transrectal; ",2314.88,2314.88,51.88,607.73,15
CPT,76873,US PROSTATE VOLUME,1986.15,1986.15,365.65,1986.15,28
CPT,76873,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) ",1986.15,1986.15,82.78,365.72,15
CPT,76881,US JOINT COMP,1432.64,1432.64,263.75,1432.64,28
CPT,76881,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation ",1432.64,1432.64,34.72,175.96,15
CPT,76882,US EXTREM NON VASC LTD,1027.47,1027.47,189.16,1027.47,56
CPT,76882,"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendonºs», muscleºs», nerveºs», other soft-tissue structureºs», or soft-tiss",,,9.64,154.52,15
CPT,76883,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity ",,,12.94,144.29,15
CPT,76885,US INFANT HIP DYNAM,1053.44,1053.44,193.94,1053.44,28
CPT,76885,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) ",1053.44,1053.44,58.95,366.96,15
CPT,76886,US INFANT HIP STATIC,1041.21,1041.21,191.69,1041.21,28
CPT,76886,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) ",1041.21,1041.21,54.81,257.56,15
CPT,76932,"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation ",,,49.39,123.38,10
CPT,76936,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) ",,,154.98,608.46,15
CPT,76937,IMAGE GUIDE VASC ACCESS,1276.68,1276.68,191.5,1276.68,34
CPT,76937,US GUIDANCE VASC ACCESS,1276.68,1276.68,191.5,1276.68,34
CPT,76937,"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular ne",,,16.49,51.89,10
CPT,76940,"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation ",,,59.55,218.4,10
CPT,76941,"Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation ",,,52.22,163.18,10
CPT,76942,USG NDL PLACEMENT,6647.0,6647.0,997.05,6647.0,34
CPT,76942,"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation ",6647.0,6647.0,35.18,115.18,10
CPT,76945,"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation ",,,53.86,121.02,10
CPT,76946,"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation ",,,11.53,115.18,10
CPT,76948,"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation ",,,11.53,115.18,10
CPT,76965,Ultrasonic guidance for interstitial radioelement application ,,,20.68,684.23,10
CPT,76975,"Gastrointestinal endoscopic ultrasound, supervision and interpretation ",,,53.55,315.03,15
CPT,76977,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method ",,,3.66,154.52,15
CPT,76978,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion ",,,218.8,482.5,15
CPT,76979,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to code for primary procedure)",,,159.75,352.26,10
CPT,76981,"Ultrasound, elastography; parenchyma (eg, organ) ",,,69.56,285.46,15
CPT,76982,"Ultrasound, elastography; first target lesion ",,,59.38,237.79,15
CPT,76983,"Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure) ",,,30.23,85.09,10
CPT,76984,"Ultrasound, intraoperative thoracic aorta (eg, epiaortic), diagnostic ",,,27.21,27.21,1
CPT,76987,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; including placement and manipulation of transducer, image acquisition, interpretation and ",,,84.2,84.2,1
CPT,76988,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; placement, manipulation of transducer, and image acquisition only ",,,53.44,53.44,1
CPT,76989,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; interpretation and report only ",,,31.28,31.28,1
CPT,76998,US INTRAOPERATIVE,1637.0,1637.0,245.55,1637.0,34
CPT,76998,"Ultrasonic guidance, intraoperative ",1637.0,1637.0,52.65,101.48,8
CPT,76999,US UNLSTD PROC,2045.76,2045.76,376.62,2045.76,30
CPT,76999,"Unlisted ultrasound procedure (eg, diagnostic, interventional) ",2045.76,2045.76,83.86,359.25,5
CPT,77001,FLUORO GUID CTRL ACC DEV,8309.83,8309.83,1246.47,8309.83,34
CPT,77001,"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any",8309.83,8309.83,53.15,137.17,10
CPT,77002,"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) ",3698.0,3698.0,48.27,156.14,10
CPT,77002,XR FLUORO NDL,3698.0,3698.0,554.7,3698.0,34
CPT,77003,Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code,1997.86,1997.86,44.15,141.1,10
CPT,77003,XR FLUORO FOR SPINE INJ,1997.86,1997.86,299.68,1997.86,34
CPT,77011,CT STEREO LOCALIZATION,9206.04,9206.04,1380.91,9206.04,29
CPT,77011,Computed tomography guidance for stereotactic localization ,9206.04,9206.04,422.47,814.33,9
CPT,77012,CT GUID NDL PLCMT,7853.02,7853.02,1177.95,7853.02,29
CPT,77012,"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation ",7853.02,7853.02,260.01,501.17,9
CPT,77013,CT GUIDANCE TISSUE ABLAT,12110.92,12110.92,1816.64,12110.92,29
CPT,77013,"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation ",12110.92,12110.92,93.05,459.25,9
CPT,77021,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,410.94,1143.15,9
CPT,77022,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,125.54,1646.35,9
CPT,77046,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,180.42,347.77,33
CPT,77047,MRI BREAST WO CONT BI,7934.26,7934.26,1460.7,7934.26,25
CPT,77047,"Magnetic resonance imaging, breast, without contrast material; bilateral ",7934.26,7934.26,179.33,345.67,33
CPT,77048,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,297.13,572.72,33
CPT,77049,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,295.68,569.93,33
CPT,77053,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",,,37.07,313.62,18
CPT,77054,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",,,50.94,313.62,18
CPT,77061,Diagnostic digital breast tomosynthesis; unilateral ,,,105.28,323.76,18
CPT,77062,Diagnostic digital breast tomosynthesis; bilateral ,,,82.62,412.62,18
CPT,77063,BREAST TOMO SCREENING,201.82,201.82,37.16,201.82,28
CPT,77063,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",201.82,201.82,20.19,88.91,52
CPT,77065,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,74.3,323.76,52
CPT,77065,MAMMO DIAG CAD UNI LT,717.1,717.1,132.02,717.1,27
CPT,77065,MAMMO DIAG CAD UNI RT,717.1,717.1,132.02,717.1,27
CPT,77066,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",799.64,799.64,95.24,412.62,52
CPT,77066,MAMMO DIAG CAD BI,799.64,799.64,147.21,799.64,27
CPT,77067,MAMMO SCR CAD 1BRST,555.0,555.0,102.18,555.0,28
CPT,77067,MAMMO SCR CAD BI,555.01,555.01,102.18,555.01,28
CPT,77067,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,78.62,341.52,52
CPT,77071,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,29.64,359.25,32
CPT,77072,Bone age studies ,,,12.48,154.52,36
CPT,77072,XR BONE AGE STUDIES,1436.16,1436.16,264.4,1436.16,84
CPT,77073,"Bone length studies (orthoroentgenogram, scanogram) ",1436.16,1436.16,20.36,154.52,36
CPT,77073,XR BONE LENGTH STUDIES,1436.16,1436.16,264.4,1436.16,28
CPT,77074,"Radiologic examination, osseous survey; limited (eg, for metastases) ",1430.7,1430.7,40.89,164.95,36
CPT,77074,XR BONE SURVEY LTD,1430.7,1430.7,263.39,1430.7,28
CPT,77075,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",2645.52,2645.52,61.27,269.4,36
CPT,77075,XR BONE SURVEY COMP,2645.52,2645.52,487.04,2645.52,28
CPT,77076,"Radiologic examination, osseous survey, infant ",2779.1,2779.1,38.02,271.87,36
CPT,77076,XR BONE SURVEY INFANT,2779.1,2779.1,511.63,2779.1,28
CPT,77077,"Joint survey, single view, 2 or more joints (specify) ",,,20.68,154.52,36
CPT,77078,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,459.25,21
CPT,77080,DXA BONE DENSITY AXIAL,1037.34,1037.34,190.97,1037.34,28
CPT,77080,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",1037.34,1037.34,34.23,189.05,36
CPT,77081,DXA BONE DENSITY PERIPHL,415.3,415.3,76.46,415.3,28
CPT,77081,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",415.3,415.3,14.69,83.86,36
CPT,77084,MRI BONE MARROW BLD,609.43,609.43,112.2,609.43,25
CPT,77084,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",609.43,609.43,313.62,876.36,33
CPT,77085,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,36.05,154.52,36
CPT,77086,VRT FRCT AS W DUAL DXA,978.61,978.61,180.16,978.61,28
CPT,77086,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,978.61,978.61,23.47,97.04,36
CPT,77089,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,36.62,80.76,30
CPT,77090,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,1.98,359.25,32
CPT,77091,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,24.97,359.25,32
CPT,77092,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,9.67,21.33,30
CPT,77261,Therapeutic radiology treatment planning; simple ,,,86.68,167.07,5
CPT,77262,Therapeutic radiology treatment planning; intermediate ,,,130.75,252.04,5
CPT,77263,Therapeutic radiology treatment planning; complex ,,,194.69,375.27,5
CPT,77280,TR SIMULATION SIMPLE,2489.69,2489.69,423.25,2489.69,30
CPT,77280,Therapeutic radiology simulation-aided field setting; simple ,2489.69,2489.69,135.64,852.17,12
CPT,77285,TR SIMULATION INTERMED,3203.63,3203.63,544.62,3203.63,30
CPT,77285,Therapeutic radiology simulation-aided field setting; intermediate ,3203.63,3203.63,217.74,1436.17,12
CPT,77290,TR SIMULATION COMPLEX,4866.09,4866.09,827.24,4866.09,30
CPT,77290,Therapeutic radiology simulation-aided field setting; complex ,4866.09,4866.09,254.22,1324.56,12
CPT,77293,RSP MOTION MGMT SIM,3139.63,3139.63,470.94,3139.63,34
CPT,77293,Respiratory motion management simulation (List separately in addition to code for primary procedure) ,3139.63,3139.63,312.91,1098.61,12
CPT,77295,"3-dimensional radiotherapy plan, including dose-volume histograms ",11341.67,11341.67,230.24,2078.13,12
CPT,77295,3D RADIOTHER PLAN W DVH,11341.67,11341.67,1928.08,11341.67,30
CPT,77299,"Unlisted procedure, therapeutic radiology clinical treatment planning ",,,481.9,541.66,2
CPT,77300,"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and ",1299.83,1299.83,30.76,126.69,12
CPT,77300,TR DOSIMETRY BASIC,1299.83,1299.83,220.97,1299.83,30
CPT,77301,INT MOD RADTX PLAN,12431.88,12431.88,2113.42,12431.88,30
CPT,77301,"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications ",12431.88,12431.88,998.69,5275.5,12
CPT,77306,TELE ISODOSE SIMPLE,5739.34,5739.34,975.69,5739.34,30
CPT,77306,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) ",5739.34,5739.34,64.38,280.52,12
CPT,77307,TELE ISODOSE COMP,9090.61,9090.61,1545.4,9090.61,30
CPT,77307,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) ",9090.61,9090.61,117.91,509.2,12
CPT,77316,BRCHY ISO SIMPLE,4442.8,4442.8,755.28,4442.8,30
CPT,77316,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) ",4442.8,4442.8,100.29,642.54,12
CPT,77317,BRCHY ISO INTERMEDIATE,5196.05,5196.05,883.33,5196.05,30
CPT,77317,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) ",5196.05,5196.05,130.68,847.02,12
CPT,77318,BRCHY ISO COMPLEX,7465.78,7465.78,1269.18,7465.78,30
CPT,77318,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) ",7465.78,7465.78,177.44,1145.6,12
CPT,77321,"Special teletherapy port plan, particles, hemibody, total body ",4002.84,4002.84,37.39,303.75,12
CPT,77321,TR SPECIAL PORT PLAN,4002.84,4002.84,680.48,4002.84,30
CPT,77331,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician ",1623.12,1623.12,16.26,101.52,12
CPT,77331,TR DOSIMETRY,1623.12,1623.12,275.93,1623.12,30
CPT,77332,TR TREAT DEVICE SIMPLE,1299.83,1299.83,220.97,1299.83,30
CPT,77332,"Treatment devices, design and construction; simple (simple block, simple bolus) ",1299.83,1299.83,45.89,101.0,12
CPT,77333,TR TREAT DEVICE INTRMED,2639.67,2639.67,448.74,2639.67,30
CPT,77333,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) ",2639.67,2639.67,8.07,358.82,12
CPT,77334,TR TREAT DEVICE CPLEX,3351.27,3351.27,569.72,3351.27,30
CPT,77334,"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) ",3351.27,3351.27,75.84,244.27,12
CPT,77336,"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation onc",1733.11,1733.11,65.76,541.66,8
CPT,77336,TR MED PHYSICS CONT,1733.11,1733.11,294.63,1733.11,30
CPT,77338,"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan ",9605.54,9605.54,244.75,917.18,12
CPT,77338,TR MLC DEVICES IMRT,9605.54,9605.54,1632.94,9605.54,30
CPT,77370,Special medical radiation physics consultation ,3139.63,3139.63,100.35,541.66,8
CPT,77370,TR MED PHYSICS SPECIAL,3139.63,3139.63,533.74,3139.63,30
CPT,77371,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based ",,,1173.9,47546.0,21
CPT,77372,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based ",26935.22,26935.22,861.78,47546.0,21
CPT,77372,SRS DL ONE SESS LINR ACC,26935.22,26935.22,4958.77,26935.22,25
CPT,77373,SRS DL PER FRACTION,14406.66,14406.66,2652.27,14406.66,25
CPT,77373,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",14406.66,14406.66,1100.58,33826.0,21
CPT,77385,"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple ",,,351.03,351.03,1
CPT,77386,"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex ",,,351.58,351.58,1
CPT,77387,"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed ",1131.51,1131.51,33.41,371.13,12
CPT,77387,LOC GUID RAD TX DEL,1131.51,1131.51,169.73,1131.51,34
CPT,77399,"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services ",,,481.9,541.66,2
CPT,77401,"Radiation treatment delivery, superficial and/or ortho voltage, per day ",,,17.52,17.52,1
CPT,77402,RAD TR LVL 1 W IMG GUID,6325.89,6325.89,1075.4,6325.89,30
CPT,77402,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed ",6325.89,6325.89,69.28,446.75,8
CPT,77407,RAD TR LVL 2 SNGL ISO,6193.63,6193.63,1052.92,6193.63,30
CPT,77407,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed ",6193.63,6193.63,81.7,1072.92,8
CPT,77412,RAD TR LVL 3 MULT ISO+PR,6757.5,6757.5,1148.78,6757.5,30
CPT,77412,"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin ",6757.5,6757.5,91.02,1072.92,8
CPT,77417,TR PORT IMAGE,761.57,761.57,114.24,761.57,36
CPT,77417,Therapeutic radiology port image(s) ,761.57,761.57,12.16,44.87,8
CPT,77423,"High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s) ",,,43.69,325.72,10
CPT,77424,"Intraoperative radiation treatment delivery, x-ray, single treatment session ",,,615.33,31188.01,9
CPT,77425,"Intraoperative radiation treatment delivery, electrons, single treatment session ",,,434.22,31188.01,9
CPT,77427,"Radiation treatment management, 5 treatments ",,,205.34,395.81,5
CPT,77431,Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only ,,,112.29,216.44,5
CPT,77432,Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session) ,,,538.85,1038.65,5
CPT,77435,"Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",,,587.72,1325.56,6
CPT,77469,Intraoperative radiation treatment management ,,,290.53,607.52,6
CPT,77470,SP TREATMENT,4216.17,4216.17,716.75,4216.17,30
CPT,77470,"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) ",4216.17,4216.17,40.86,839.36,12
CPT,77520,"Proton treatment delivery; simple, without compensation ",,,305.32,3423.68,10
CPT,77522,"Proton treatment delivery; simple, with compensation ",,,403.81,3433.56,10
CPT,77523,Proton treatment delivery; intermediate ,,,502.3,3993.41,10
CPT,77525,Proton treatment delivery; complex ,,,600.79,4414.94,10
CPT,77600,"Hyperthermia, externally generated; superficial (ie, heating to a depth of 4 cm or less) ",,,278.6,1747.84,12
CPT,77605,"Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) ",,,532.39,3110.86,12
CPT,77610,Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators ,,,808.24,2235.52,12
CPT,77615,Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators ,,,781.86,3567.79,12
CPT,77620,Hyperthermia generated by intracavitary probe(s) ,,,118.78,2025.63,12
CPT,77750,Infusion or instillation of radioelement solution (includes 3-month follow-up care) ,,,52.01,604.52,12
CPT,77761,Intracavitary radiation source application; simple ,,,98.19,821.37,12
CPT,77762,Intracavitary radiation source application; intermediate ,,,141.27,945.55,12
CPT,77763,Intracavitary radiation source application; complex ,,,175.63,1244.39,12
CPT,77767,"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel ",,,151.17,720.32,12
CPT,77768,"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions ",,,248.58,1086.81,12
CPT,77770,RMT AL HDR INT/INTRA 1CH,8356.76,8356.76,1538.48,8356.76,28
CPT,77770,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel ",8356.76,8356.76,195.15,909.98,12
CPT,77771,RMT AL HDR INT/INTR 2-12,7152.79,7152.79,1316.83,7152.79,28
CPT,77771,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels ",7152.79,7152.79,355.45,1515.28,12
CPT,77772,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels ",,,561.81,2327.71,12
CPT,77778,CB INTERST APP COMP,12957.22,12957.22,2385.42,12957.22,28
CPT,77778,"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed ",12957.22,12957.22,200.07,1734.33,12
CPT,77789,SURFACE APP LDR,3573.1,3573.1,657.81,3573.1,28
CPT,77789,Surface application of low dose rate radionuclide source ,3573.1,3573.1,17.64,270.64,12
CPT,77790,"Supervision, handling, loading of radiation source ",,,20.0,38.54,10
CPT,77799,"Unlisted procedure, clinical brachytherapy ",,,397.46,446.75,2
CPT,78012,NM THYROID UPTAKE W STIM,2900.3,2900.3,533.95,2900.3,28
CPT,78012,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",2900.3,2900.3,60.71,471.74,30
CPT,78013,"Thyroid imaging (including vascular flow, when performed); ",,,157.54,558.57,30
CPT,78014,NM THYROID SCN UP/STIM V,3357.19,3357.19,618.06,3357.19,28
CPT,78014,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",3357.19,3357.19,188.44,704.26,30
CPT,78015,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,100.52,654.89,30
CPT,78016,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,136.03,796.41,30
CPT,78018,NM THYROID METS W BDY,9599.31,9599.31,1767.23,9599.31,28
CPT,78018,Thyroid carcinoma metastases imaging; whole body ,9599.31,9599.31,212.09,890.72,30
CPT,78020,Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure) ,,,49.36,111.46,7
CPT,78070,NM PLANAR PARATHYROID,6942.87,6942.87,1278.18,6942.87,28
CPT,78070,"Parathyroid planar imaging (including subtraction, when performed); ",6942.87,6942.87,70.82,840.07,30
CPT,78071,NM PARATHY SPECT,6942.87,6942.87,1278.18,6942.87,28
CPT,78071,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",6942.87,6942.87,261.58,957.39,30
CPT,78072,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,84.3,1170.48,30
CPT,78075,"Adrenal imaging, cortex and/or medulla ",5556.76,5556.76,212.09,1623.62,30
CPT,78075,NM ADRENAL,5556.76,5556.76,1023.0,5556.76,28
CPT,78099,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,78102,Bone marrow imaging; limited area ,,,79.75,495.61,30
CPT,78103,Bone marrow imaging; multiple areas ,,,123.62,514.14,30
CPT,78104,Bone marrow imaging; whole body ,,,158.92,696.89,30
CPT,78110,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,36.87,1623.62,30
CPT,78111,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,78.42,1623.62,30
CPT,78120,Red cell volume determination (separate procedure); single sampling ,,,67.72,471.74,30
CPT,78121,Red cell volume determination (separate procedure); multiple samplings ,,,75.59,611.66,30
CPT,78122,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,68.96,611.66,30
CPT,78130,Red cell survival study ,,,111.6,471.74,30
CPT,78140,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",1018.64,1018.64,93.86,471.74,30
CPT,78140,NM RBC SEQUEST,1018.64,1018.64,187.53,1018.64,28
CPT,78185,"Spleen imaging only, with or without vascular flow ",,,92.17,505.49,30
CPT,78191,Platelet survival study ,,,124.63,552.48,30
CPT,78195,Lymphatics and lymph nodes imaging ,6360.93,6360.93,158.92,969.24,30
CPT,78195,NM LYMPHIMAG,6360.93,6360.93,1171.05,6360.93,28
CPT,78199,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,78201,Liver imaging; static only ,5090.62,5090.62,92.17,1623.62,30
CPT,78201,NM LIVER,5090.62,5090.62,937.18,5090.62,28
CPT,78202,Liver imaging; with vascular flow ,,,112.76,1623.62,30
CPT,78215,Liver and spleen imaging; static only ,4746.4,4746.4,114.69,579.57,30
CPT,78215,NM LIVER & SPLEEN,4746.4,4746.4,873.81,4746.4,28
CPT,78216,Liver and spleen imaging; with vascular flow ,,,85.67,471.74,30
CPT,78226,HEPA IMAG INCL GB,8557.4,8557.4,1575.42,8557.4,28
CPT,78226,"Hepatobiliary system imaging, including gallbladder when present; ",8557.4,8557.4,264.74,945.04,30
CPT,78227,HEPA IMAG INCL GB W PHA,8557.4,8557.4,1575.42,8557.4,28
CPT,78227,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",8557.4,8557.4,363.28,1284.82,30
CPT,78230,Salivary gland imaging; ,,,84.98,520.32,30
CPT,78231,Salivary gland imaging; with serial images ,,,92.92,471.74,30
CPT,78232,Salivary gland function study ,,,70.54,471.74,30
CPT,78258,Esophageal motility ,,,112.76,603.05,30
CPT,78261,Gastric mucosa imaging ,,,160.09,569.69,30
CPT,78262,Gastroesophageal reflux study ,,,165.72,704.26,30
CPT,78264,"Gastric emptying imaging study (eg, solid, liquid, or both); ",6016.74,6016.74,160.88,958.12,30
CPT,78264,NM GASTRIC EMPTYING,6016.74,6016.74,1107.68,6016.74,28
CPT,78265,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,322.63,1137.16,30
CPT,78266,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,386.28,1288.52,30
CPT,78267,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,4.98,41.96,65
CPT,78268,"Urea breath test, C-14 (isotopic); analysis ",,,42.48,360.52,65
CPT,78278,Acute gastrointestinal blood loss imaging ,4284.87,4284.87,190.16,985.3,30
CPT,78278,NM ACUTE GI BLOOD LOSS,4284.87,4284.87,788.84,4284.87,28
CPT,78282,Gastrointestinal protein loss ,,,126.73,492.05,30
CPT,78290,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",6248.27,6248.27,118.78,974.18,30
CPT,78290,NM INTESTINE IMAGING,6248.27,6248.27,1150.31,6248.27,28
CPT,78291,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,119.56,726.5,30
CPT,78299,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,78300,Bone and/or joint imaging; limited area ,,,97.4,641.81,30
CPT,78305,Bone and/or joint imaging; multiple areas ,,,143.23,769.7,30
CPT,78306,Bone and/or joint imaging; whole body ,5672.52,5672.52,166.9,829.0,30
CPT,78306,NM BONE WHOLE BODY,5672.52,5672.52,1044.31,5672.52,28
CPT,78315,Bone and/or joint imaging; 3 phase study ,6942.87,6942.87,186.48,971.71,30
CPT,78315,NM BONE 3 PHASE,6942.87,6942.87,1278.18,6942.87,28
CPT,78350,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,19.1,78.51,30
CPT,78351,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,14.49,39.58,30
CPT,78399,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,78414,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,95.81,611.66,30
CPT,78428,Cardiac shunt detection ,,,88.1,498.08,30
CPT,78429,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; with concurrently a",,,79.91,2672.0,13
CPT,78430,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",4008.31,4008.31,75.81,2672.0,13
CPT,78430,PET MYOCARD PER SGL W CT,4008.31,4008.31,737.93,4008.31,28
CPT,78431,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",6251.36,6251.36,88.0,3038.18,13
CPT,78431,PET MYOCARD PER MTL W CT,6251.36,6251.36,1150.88,6251.36,28
CPT,78432,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",,,93.93,3713.18,13
CPT,78433,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",7640.23,7640.23,102.64,3713.18,13
CPT,78433,PET MYOCARD PER DUAL CT,7640.23,7640.23,1406.57,7640.23,28
CPT,78434,AB QUANT MYOCARD BF PET,4008.31,4008.31,601.25,4008.31,32
CPT,78434,"Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (List separately in addition to code for primary procedure) ",4008.31,4008.31,29.63,2672.0,10
CPT,78445,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,73.75,546.26,30
CPT,78451,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",11751.02,11751.02,154.91,1623.62,30
CPT,78451,NM MYOCRD SPECT R/S SGL,11751.02,11751.02,2163.36,11751.02,28
CPT,78452,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",14453.78,14453.78,299.49,1623.62,30
CPT,78452,NM MYOCRD SPECT R/S MULT,14453.78,14453.78,2660.94,14453.78,28
CPT,78453,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,144.47,1623.62,30
CPT,78454,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,121.45,1623.62,30
CPT,78456,"Acute venous thrombosis imaging, peptide ",,,162.18,1623.62,30
CPT,78457,"Venous thrombosis imaging, venogram; unilateral ",,,103.8,1623.62,30
CPT,78458,"Venous thrombosis imaging, venogram; bilateral ",,,111.21,546.26,30
CPT,78459,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; ",,,999.4,2672.0,13
CPT,78466,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,102.66,473.41,30
CPT,78468,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,141.47,611.66,30
CPT,78469,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,161.65,1623.62,30
CPT,78472,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",8790.48,8790.48,163.54,595.63,30
CPT,78472,NM MUGA R/S SINGLE,8790.48,8790.48,1618.33,8790.48,28
CPT,78473,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,196.96,719.09,30
CPT,78481,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,116.2,611.66,30
CPT,78483,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,151.87,611.66,30
CPT,78491,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",,,999.4,2672.0,13
CPT,78492,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",3652.3,3652.3,999.4,2672.0,13
CPT,78492,PET MYOCARD MULTI R/S,3652.3,3652.3,672.39,3652.3,28
CPT,78494,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,151.87,569.69,30
CPT,78496,"Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass technique (List separately in addition to code for primary procedure) ",,,18.15,133.64,10
CPT,78499,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,78579,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,146.02,540.55,30
CPT,78580,NM PULM PERF PARTIC,3587.17,3587.17,660.4,3587.17,28
CPT,78580,"Pulmonary perfusion imaging (eg, particulate) ",3587.17,3587.17,134.09,659.83,30
CPT,78582,PULM VENT & PERF IMAG,7171.31,7171.31,1320.24,7171.31,28
CPT,78582,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",7171.31,7171.31,254.33,914.15,30
CPT,78597,QUANT DIF PULM PERF,4862.16,4862.16,895.12,4862.16,28
CPT,78597,"Quantitative differential pulmonary perfusion, including imaging when performed ",4862.16,4862.16,149.8,546.73,30
CPT,78598,QUANT DIF PULM PRF & VNT,4862.16,4862.16,895.12,4862.16,28
CPT,78598,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",4862.16,4862.16,239.2,852.43,30
CPT,78599,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,78600,"Brain imaging, less than 4 static views; ",,,112.76,538.85,30
CPT,78601,"Brain imaging, less than 4 static views; with vascular flow ",,,132.74,638.83,30
CPT,78605,"Brain imaging, minimum 4 static views; ",,,132.74,611.66,30
CPT,78606,"Brain imaging, minimum 4 static views; with vascular flow ",9248.91,9248.91,151.18,980.35,30
CPT,78606,NM BRAIN MIN 4 STATIC VF,9248.91,9248.91,1702.72,9248.91,28
CPT,78608,"Brain imaging, positron emission tomography (PET); metabolic evaluation ",8944.54,8944.54,999.4,2672.0,13
CPT,78608,PET BRAIN METABOLIC INIT,8944.54,8944.54,1646.69,8944.54,28
CPT,78609,"Brain imaging, positron emission tomography (PET); perfusion evaluation ",,,72.78,2672.0,10
CPT,78610,"Brain imaging, vascular flow only ",,,61.7,611.66,30
CPT,78630,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",2801.51,2801.51,196.58,997.65,30
CPT,78630,NM CISTERNOGRAM,2801.51,2801.51,515.76,2801.51,28
CPT,78635,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,99.35,1010.0,30
CPT,78645,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",6248.27,6248.27,134.09,975.41,30
CPT,78645,NM CSF SHUNT EVAL,6248.27,6248.27,1150.31,6248.27,28
CPT,78650,Cerebrospinal fluid leakage detection and localization ,,,181.25,1623.62,30
CPT,78660,Radiopharmaceutical dacryocystography ,,,82.86,471.74,30
CPT,78699,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,78700,Kidney imaging morphology; ,,,118.78,501.79,30
CPT,78701,Kidney imaging morphology; with vascular flow ,,,139.15,673.42,30
CPT,78707,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",6248.27,6248.27,166.06,622.81,30
CPT,78707,NM KDNEY SCAN FLW&FNC,6248.27,6248.27,1150.31,6248.27,28
CPT,78708,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",7980.12,7980.12,102.38,611.66,30
CPT,78708,NM KDNEY FLW&FNC W/RX,7980.12,7980.12,1469.14,7980.12,28
CPT,78709,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",13738.13,13738.13,172.67,987.77,30
CPT,78709,NM KIDNEY FLW&FNC MUL,13738.13,13738.13,2529.19,13738.13,28
CPT,78725,"Kidney function study, non-imaging radioisotopic study ",,,69.66,471.74,30
CPT,78730,Urinary bladder residual study (List separately in addition to code for primary procedure) ,,,57.26,216.83,18
CPT,78740,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,82.86,673.42,30
CPT,78761,Testicular imaging with vascular flow ,,,124.79,594.4,30
CPT,78799,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,78800,NM TUMOR LOCAL LTD,9365.09,9365.09,1724.11,9365.09,28
CPT,78800,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",9365.09,9365.09,132.74,730.21,30
CPT,78801,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,164.95,778.34,30
CPT,78802,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,216.19,1623.62,30
CPT,78803,NM TUMOR LCL SPECT,13063.04,13063.04,2404.91,13063.04,28
CPT,78803,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",13063.04,13063.04,256.16,1067.26,30
CPT,78804,NM TUM LC WB 2/MORE DAYS,11207.67,11207.67,2063.33,11207.67,28
CPT,78804,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",11207.67,11207.67,169.31,1935.74,30
CPT,78808,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,41.87,1639.38,26
CPT,78811,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) ",,,999.4,2672.0,13
CPT,78812,Positron emission tomography (PET) imaging; skull base to mid-thigh ,,,1043.71,2672.0,13
CPT,78813,Positron emission tomography (PET) imaging; whole body ,,,1043.71,2672.0,13
CPT,78814,PET/CT TUMR LTD AREA INI,9021.01,9021.01,1660.77,9021.01,28
CPT,78814,PET/CT TUMR LTD AREA SUB,9021.01,9021.01,1660.77,9021.01,28
CPT,78814,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) ",,,999.4,2672.0,13
CPT,78815,PET/CT TM SK BS MIDTH IN,9021.01,9021.01,1660.77,9021.01,28
CPT,78815,PET/CT TM SK BS MIDTH SU,9021.01,9021.01,1660.77,9021.01,28
CPT,78815,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh ,,,1043.71,2672.0,13
CPT,78816,PET/CT TUMR WHOL BOD INI,9021.01,9021.01,1660.77,9021.01,28
CPT,78816,PET/CT TUMR WHOL BOD SUB,9021.01,9021.01,1660.77,9021.01,28
CPT,78816,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body ,,,1043.71,2672.0,13
CPT,78830,NM TUMOR SNG AREA SD IMG,3306.73,3306.73,608.77,3306.73,28
CPT,78830,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",3306.73,3306.73,380.97,1717.27,30
CPT,78831,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,565.37,2028.36,30
CPT,78832,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,746.84,2607.93,30
CPT,78835,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) ,,,73.15,161.3,10
CPT,78999,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,1639.38,20
CPT,79005,RADIOPHM THPY ORAL ADMIN,2690.39,2690.39,495.3,2690.39,28
CPT,79005,"Radiopharmaceutical therapy, by oral administration ",2690.39,2690.39,42.75,321.95,24
CPT,79101,RADIOPHARM THPY IV ADMIN,2690.39,2690.39,495.3,2690.39,28
CPT,79101,"Radiopharmaceutical therapy, by intravenous administration ",2690.39,2690.39,43.37,321.95,24
CPT,79200,"Radiopharmaceutical therapy, by intracavitary administration ",,,49.05,321.95,24
CPT,79300,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,47.81,374.79,24
CPT,79403,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,71.17,321.95,24
CPT,79440,"Radiopharmaceutical therapy, by intra-articular administration ",,,41.8,321.95,24
CPT,79445,RDPHM INTRA ARTERIAL ADM,2988.3,2988.3,550.15,2988.3,28
CPT,79445,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",2988.3,2988.3,83.91,323.33,24
CPT,79999,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,914.41,14
CPT,80047,BASIC METABOLIC CALC ION,1376.79,1376.79,253.47,1376.79,84
CPT,80047,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,6.18,67.45,82
CPT,80048,BMP TOTAL CALCIUM,1135.4,1135.4,209.03,1135.4,84
CPT,80048,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,3.81,25.38,82
CPT,80050,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,32.17,81.01,41
CPT,80051,ELECTROLYTE PANEL,1671.82,1671.82,307.78,1671.82,84
CPT,80051,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,3.15,29.19,82
CPT,80053,COMP METABOLIC PANEL,4815.0,4815.0,886.44,4815.0,84
CPT,80053,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,4.75,31.68,82
CPT,80055,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,21.51,143.43,80
CPT,80061,LIPID PANEL,203.0,203.0,37.37,203.0,84
CPT,80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,6.03,105.22,82
CPT,80069,RENAL FUNCTION PANEL,1057.93,1057.93,194.76,1057.93,84
CPT,80069,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,3.91,26.04,82
CPT,80074,ACUTE HEPATITIS PANEL,2154.6,2154.6,396.66,2154.6,28
CPT,80074,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",2154.6,2154.6,21.43,168.75,80
CPT,80076,HEPATIC FUNCTION PANEL,2354.26,2354.26,433.42,2354.26,84
CPT,80076,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,3.68,25.32,80
CPT,80081,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,33.69,239.41,80
CPT,80143,ACETAMINOPHEN QN,80.79,80.79,14.87,80.79,84
CPT,80143,Acetaminophen ,,,8.39,55.92,80
CPT,80145,ADALIMUMAB QN,1998.68,1998.68,367.96,1998.68,28
CPT,80145,Adalimumab ,1998.68,1998.68,17.36,115.71,80
CPT,80150,AMIKACIN PEAK QN,1633.06,1633.06,300.65,1633.06,28
CPT,80150,AMIKACIN QUANT,1633.06,1633.06,300.65,1633.06,28
CPT,80150,AMIKACIN TROUGH QN,1633.06,1633.06,300.65,1633.06,28
CPT,80150,Amikacin ,,,6.79,60.29,80
CPT,80151,AMIODARONE QN,69.01,69.01,12.7,69.01,28
CPT,80151,Amiodarone ,69.01,69.01,8.39,55.92,80
CPT,80155,CAFFEINE QN,116.18,116.18,21.39,116.18,28
CPT,80155,Caffeine ,116.18,116.18,17.36,115.71,80
CPT,80156,CARBAMAZEPINE TOTAL,1308.25,1308.25,240.85,1308.25,28
CPT,80156,Carbamazepine; total ,1308.25,1308.25,6.56,60.29,80
CPT,80157,Carbamazepine; free ,,,5.96,39.75,80
CPT,80158,CYCLOSPORINE QUANT,1233.74,1233.74,227.13,1233.74,28
CPT,80158,Cyclosporine ,1233.74,1233.74,8.12,93.81,80
CPT,80159,CLOZAPINE QN,891.04,891.04,164.04,891.04,28
CPT,80159,Clozapine ,891.04,891.04,9.07,60.45,80
CPT,80161,"Carbamazepine; -10,11-epoxide ",,,8.39,55.92,80
CPT,80162,DIGOXIN QN,1284.4,1284.4,236.46,1284.4,84
CPT,80162,Digoxin; total ,,,5.98,48.52,80
CPT,80163,Digoxin; free ,,,5.98,42.43,80
CPT,80164,VALPROIC ACID (DEPAKENE),3349.61,3349.61,616.66,3349.61,28
CPT,80164,Valproic acid (dipropylacetic acid); total ,3349.61,3349.61,6.09,68.55,80
CPT,80165,VALPROIC ACID FREE,83.16,83.16,15.31,83.16,28
CPT,80165,Valproic acid (dipropylacetic acid); free ,83.16,83.16,6.09,43.32,80
CPT,80167,Felbamate ,,,8.39,55.92,80
CPT,80168,ETHOSUXIMIDE (ZARONTIN),2288.69,2288.69,421.35,2288.69,28
CPT,80168,Ethosuximide ,2288.69,2288.69,7.35,79.13,80
CPT,80169,EVEROLIMUS QN,1919.92,1919.92,353.46,1919.92,28
CPT,80169,Everolimus ,1919.92,1919.92,6.18,118.73,80
CPT,80170,GENTAMICIN (GARAMYCIN)QN,1937.03,1937.03,356.61,1937.03,28
CPT,80170,GENTAMICIN PEAK QN,1937.03,1937.03,356.61,1937.03,28
CPT,80170,GENTAMICIN TROUGH QN,1937.03,1937.03,356.61,1937.03,28
CPT,80170,Gentamicin ,,,7.37,52.4,80
CPT,80171,GABAPENTIN NEURONTIN QN,2416.81,2416.81,444.93,2416.81,28
CPT,80171,"Gabapentin, whole blood, serum, or plasma ",2416.81,2416.81,9.75,65.01,80
CPT,80173,HALOPERIDOL HALDOL QN,2452.6,2452.6,451.52,2452.6,28
CPT,80173,Haloperidol ,2452.6,2452.6,7.1,47.34,80
CPT,80175,LAMOTRIGINE LAMICTAL QN,1233.74,1233.74,227.13,1233.74,28
CPT,80175,Lamotrigine ,1233.74,1233.74,5.96,42.48,80
CPT,80176,LIDOCAINE QN,1332.07,1332.07,245.23,1332.07,28
CPT,80176,Lidocaine ,1332.07,1332.07,6.61,69.91,80
CPT,80177,LEVETIRACETAM QN,1087.72,1087.72,200.25,1087.72,28
CPT,80177,Levetiracetam ,1087.72,1087.72,5.96,42.48,80
CPT,80178,LITHIUM QN,953.62,953.62,175.56,953.62,28
CPT,80178,Lithium ,953.62,953.62,2.97,28.47,82
CPT,80179,SALICYLATE QN,80.79,80.79,14.87,80.79,84
CPT,80179,Salicylate ,,,8.39,55.92,80
CPT,80180,Mycophenolate (mycophenolic acid) ,,,8.12,57.83,80
CPT,80181,Flecainide ,,,8.39,55.92,80
CPT,80183,OXCARBAZEPINE QN,911.89,911.89,167.88,911.89,28
CPT,80183,Oxcarbazepine ,911.89,911.89,5.96,42.48,80
CPT,80184,PHENOBARBITAL LUMINAL QN,3593.98,3593.98,661.65,3593.98,28
CPT,80184,Phenobarbital ,3593.98,3593.98,6.89,52.4,80
CPT,80185,PHENYTOIN DILANT TOT QN,1144.35,1144.35,210.67,1144.35,84
CPT,80185,Phenytoin; total ,,,5.96,72.08,80
CPT,80186,PHENYTOIN DILANTIN FR QN,673.5,673.5,123.99,673.5,28
CPT,80186,Phenytoin; free ,673.5,673.5,6.19,113.87,80
CPT,80187,POSACONAZOLE,1137.48,1137.48,209.41,1137.48,28
CPT,80187,Posaconazole ,1137.48,1137.48,12.2,81.33,80
CPT,80188,PRIMIDONE (MYSOLINE) QN,1168.18,1168.18,215.06,1168.18,28
CPT,80188,Primidone ,1168.18,1168.18,7.47,59.04,80
CPT,80189,ITRACONAZOLE SPORONOZ QN,1211.88,1211.88,223.11,1211.88,28
CPT,80189,Itraconazole ,1211.88,1211.88,12.2,81.33,80
CPT,80190,Procainamide; ,,,22.85,180.0,80
CPT,80192,PROCAINAMIDE & NAPA QN,1814.83,1814.83,334.11,1814.83,28
CPT,80192,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",1814.83,1814.83,7.54,93.81,80
CPT,80193,Leflunomide ,,,17.36,115.71,80
CPT,80194,Quinidine ,,,6.57,52.4,80
CPT,80195,SIROLIMUS RAPAMUNE QN,1108.6,1108.6,204.09,1108.6,28
CPT,80195,Sirolimus ,1108.6,1108.6,6.18,45.0,80
CPT,80197,TACROLIMUS QUANT,774.79,774.79,142.64,774.79,28
CPT,80197,Tacrolimus ,774.79,774.79,6.18,41.19,80
CPT,80198,THEOPHYLLINE QUANT,1183.07,1183.07,217.8,1183.07,28
CPT,80198,Theophylline ,1183.07,1183.07,6.36,52.4,80
CPT,80199,Tiagabine ,,,12.2,81.33,80
CPT,80200,TOBRAMYCIN PEAK,1037.03,1037.03,190.92,1037.03,28
CPT,80200,TOBRAMYCIN QUANT,1037.03,1037.03,190.92,1037.03,28
CPT,80200,TOBRAMYCIN TROUGH,1037.03,1037.03,190.92,1037.03,28
CPT,80200,Tobramycin ,,,7.26,68.55,80
CPT,80201,TOPIRAMATE QUANT,1233.74,1233.74,227.13,1233.74,28
CPT,80201,Topiramate ,1233.74,1233.74,5.36,72.91,80
CPT,80202,VANCOMYCIN PEAK,2336.38,2336.38,430.13,2336.38,28
CPT,80202,VANCOMYCIN QUANT,2336.38,2336.38,430.13,2336.38,28
CPT,80202,VANCOMYCIN TROUGH,2336.38,2336.38,430.13,2336.38,28
CPT,80202,Vancomycin ,,,6.09,68.55,80
CPT,80203,ZONISAMIDE ZONEGRAN QN,321.83,321.83,59.25,321.83,28
CPT,80203,Zonisamide ,321.83,321.83,5.96,42.48,80
CPT,80204,METHOTREXATE RHEUMAT QN,114.45,114.45,21.07,114.45,28
CPT,80204,Methotrexate ,114.45,114.45,17.36,115.71,80
CPT,80210,Rufinamide ,,,12.2,81.33,80
CPT,80220,Hydroxychloroquine ,,,8.39,55.92,80
CPT,80230,INFLIXIMAB,1320.94,1320.94,243.19,1320.94,28
CPT,80230,Infliximab ,1320.94,1320.94,17.36,115.71,80
CPT,80235,LACOSAMIDE,366.92,366.92,67.55,366.92,28
CPT,80235,Lacosamide ,366.92,366.92,12.2,81.33,80
CPT,80280,Vedolizumab ,,,17.36,115.71,80
CPT,80285,VORICONAZOLE,880.63,880.63,162.12,880.63,28
CPT,80285,Voriconazole ,880.63,880.63,12.2,81.33,80
CPT,80299,APIXABAN (ELIQUIS) QN,1574.12,1574.12,289.8,1574.12,28
CPT,80299,BUSULFAN MYLERAN QN,3184.98,3184.98,586.35,3184.98,28
CPT,80299,DEXAMETHASONE QN,172.42,172.42,31.74,172.42,28
CPT,80299,DIGITOXIN QN,1853.6,1853.6,341.25,1853.6,28
CPT,80299,PERAMPANEL QN,405.0,405.0,74.56,405.0,28
CPT,80299,"Quantitation of therapeutic drug, not elsewhere specified ",,,8.39,69.91,80
CPT,80299,TRAZADONE (DESYREL) QN,1504.93,1504.93,277.06,1504.93,28
CPT,80299,USTEKINUMAB DRUG LEVEL,473.39,473.39,87.15,473.39,28
CPT,80305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,5.67,37.8,82
CPT,80306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,7.71,51.42,80
CPT,80307,DRUG SCR ANY NBR PER DOS,666.0,666.0,122.61,666.0,84
CPT,80307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,27.96,187.39,80
CPT,80320,Alcohols ,,,0.01,0.01,2
CPT,80320,DEF DRUG ALCOHOLS,80.79,80.79,12.12,80.79,39
CPT,80320,ISOPROPYL ALCOHOL DOA,335.25,335.25,50.29,335.25,39
CPT,80320,METHANOL DOA,335.25,335.25,50.29,335.25,39
CPT,80321,Alcohol biomarkers; 1 or 2 ,757.42,757.42,0.01,0.01,2
CPT,80321,DEF DRUG ALCOHOLS BM 1-2,757.42,757.42,113.61,757.42,39
CPT,80322,Alcohol biomarkers; 3 or more ,,,0.01,0.01,2
CPT,80323,"Alkaloids, not otherwise specified ",,,0.01,0.01,2
CPT,80323,NICOTINE BLD,305.85,305.85,45.88,305.85,39
CPT,80323,NICOTINE URINE,55.0,55.0,8.25,55.0,39
CPT,80324,AMPHETAMINE QN,144.0,144.0,21.6,144.0,39
CPT,80324,Amphetamines; 1 or 2 ,144.0,144.0,0.01,0.01,2
CPT,80325,Amphetamines; 3 or 4 ,,,0.01,0.01,2
CPT,80326,Amphetamines; 5 or more ,,,0.01,0.01,2
CPT,80327,Anabolic steroids; 1 or 2 ,,,0.01,0.01,2
CPT,80328,Anabolic steroids; 3 or more ,,,0.01,0.01,2
CPT,80329,"Analgesics, non-opioid; 1 or 2 ",,,0.01,0.01,2
CPT,80330,"Analgesics, non-opioid; 3-5 ",,,0.01,0.01,2
CPT,80331,"Analgesics, non-opioid; 6 or more ",,,0.01,0.01,2
CPT,80332,"Antidepressants, serotonergic class; 1 or 2 ",,,0.01,0.01,2
CPT,80333,"Antidepressants, serotonergic class; 3-5 ",168.0,168.0,0.01,0.01,2
CPT,80333,DEF DRUG ANTIDEPRESS 3-5,168.0,168.0,25.2,168.0,39
CPT,80334,"Antidepressants, serotonergic class; 6 or more ",,,0.01,0.01,2
CPT,80335,"Antidepressants, tricyclic and other cyclicals; 1 or 2 ",196.6,196.6,0.01,0.01,2
CPT,80335,DEF DRUG ANTIDEP TRI 1-2,196.6,196.6,29.49,196.6,39
CPT,80336,"Antidepressants, tricyclic and other cyclicals; 3-5 ",,,0.01,0.01,2
CPT,80337,"Antidepressants, tricyclic and other cyclicals; 6 or more ",130.0,130.0,0.01,0.01,2
CPT,80337,DEF DRUG ANTIDEP TRI 6+,130.0,130.0,19.5,130.0,39
CPT,80338,"Antidepressants, not otherwise specified ",,,0.01,0.01,2
CPT,80339,"Antiepileptics, not otherwise specified; 1-3 ",,,0.01,0.01,2
CPT,80340,"Antiepileptics, not otherwise specified; 4-6 ",,,0.01,0.01,2
CPT,80341,"Antiepileptics, not otherwise specified; 7 or more ",,,0.01,0.01,2
CPT,80342,"Antipsychotics, not otherwise specified; 1-3 ",,,0.01,0.01,2
CPT,80343,"Antipsychotics, not otherwise specified; 4-6 ",,,0.01,0.01,2
CPT,80344,"Antipsychotics, not otherwise specified; 7 or more ",,,0.01,0.01,2
CPT,80345,Barbiturates ,,,0.01,0.01,2
CPT,80346,Benzodiazepines; 1-12 ,,,0.01,0.01,2
CPT,80346,FLUNITRAZEPAM BY GC/MS,387.0,387.0,58.05,387.0,39
CPT,80346,LORAZEPAM,724.14,724.14,108.62,724.14,39
CPT,80347,Benzodiazepines; 13 or more ,,,0.01,0.01,2
CPT,80348,Buprenorphine ,,,0.01,0.01,2
CPT,80349,"Cannabinoids, natural ",,,0.01,0.01,2
CPT,80350,"Cannabinoids, synthetic; 1-3 ",,,0.01,0.01,2
CPT,80351,"Cannabinoids, synthetic; 4-6 ",,,0.01,0.01,2
CPT,80352,"Cannabinoids, synthetic; 7 or more ",,,0.01,0.01,2
CPT,80353,Cocaine ,,,0.01,0.01,2
CPT,80354,DEF DRUG FENTANYL,293.0,293.0,43.95,293.0,39
CPT,80354,Fentanyl ,293.0,293.0,0.01,0.01,2
CPT,80355,"Gabapentin, non-blood ",,,0.01,0.01,2
CPT,80356,Heroin metabolite ,,,0.01,0.01,2
CPT,80357,Ketamine and norketamine ,,,0.01,0.01,2
CPT,80358,Methadone ,,,0.01,0.01,2
CPT,80359,"Methylenedioxyamphetamines (MDA, MDEA, MDMA) ",,,0.01,0.01,2
CPT,80360,Methylphenidate ,,,0.01,0.01,2
CPT,80361,"Opiates, 1 or more ",,,0.01,0.01,2
CPT,80362,Opioids and opiate analogs; 1 or 2 ,,,0.01,0.01,2
CPT,80363,Opioids and Opiate analogs; 3 or 4 ,,,0.01,0.01,2
CPT,80364,Opioids and Opiate analogs; 5 or more ,,,0.01,0.01,2
CPT,80365,Oxycodone ,,,0.01,0.01,2
CPT,80366,Pregabalin ,,,0.01,0.01,2
CPT,80367,Propoxyphene ,,,0.01,0.01,2
CPT,80368,Sedative hypnotics (non-benzodiazepines) ,,,0.01,0.01,2
CPT,80369,DEF DRUG SKELETAL MR 1-2,168.0,168.0,25.2,168.0,39
CPT,80369,Skeletal muscle relaxants; 1 or 2 ,168.0,168.0,0.01,0.01,2
CPT,80370,Skeletal muscle relaxants; 3 or more ,,,0.01,0.01,2
CPT,80371,"Stimulants, synthetic ",,,0.01,0.01,2
CPT,80372,Tapentadol ,,,0.01,0.01,2
CPT,80373,Tramadol ,,,0.01,0.01,2
CPT,80374,"Stereoisomer (enantiomer) analysis, single drug class ",,,0.01,0.01,2
CPT,80375,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3 ",,,0.01,0.01,2
CPT,80376,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6 ",,,0.01,0.01,2
CPT,80377,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more ",,,0.01,0.01,2
CPT,80400,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,14.68,130.74,80
CPT,80402,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,39.13,313.94,80
CPT,80406,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,35.22,403.94,80
CPT,80408,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,56.48,376.5,80
CPT,80410,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,36.17,241.11,80
CPT,80412,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,360.73,2404.86,80
CPT,80414,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,23.24,199.79,80
CPT,80415,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,25.15,216.46,80
CPT,80416,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,94.19,627.96,80
CPT,80417,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,19.8,131.97,80
CPT,80418,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,260.77,2318.39,80
CPT,80420,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,72.85,485.64,80
CPT,80422,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,20.73,235.48,80
CPT,80424,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,22.73,228.6,80
CPT,80426,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,66.78,768.19,80
CPT,80428,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,30.02,295.04,80
CPT,80430,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,58.2,387.99,80
CPT,80432,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,74.52,721.0,80
CPT,80434,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,128.26,855.09,80
CPT,80435,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,46.35,494.42,80
CPT,80436,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,41.02,370.53,80
CPT,80438,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,22.68,224.58,80
CPT,80439,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,30.24,444.86,80
CPT,80503,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,17.0,58.93,23
CPT,80504,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,36.27,152.32,23
CPT,80505,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,68.27,213.98,23
CPT,80506,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,32.62,96.32,23
CPT,81000,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,1.81,17.89,80
CPT,81001,UA W MICRO AUTO,649.63,649.63,119.6,649.63,84
CPT,81001,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,1.43,9.51,80
CPT,81002,PH UR MANUAL,22.5,22.5,4.14,22.5,28
CPT,81002,SPEC GRAV UR MANUAL,41.71,41.71,7.68,41.71,28
CPT,81002,UA W O MICRO MANUAL,536.38,536.38,98.75,536.38,28
CPT,81002,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,1.57,14.48,80
CPT,81003,UA W O MICRO AUTO,649.63,649.63,119.6,649.63,84
CPT,81003,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,1.01,6.75,82
CPT,81005,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,0.98,12.17,80
CPT,81007,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,3.5,89.94,82
CPT,81015,Urinalysis; microscopic only ,,,1.37,16.47,80
CPT,81020,Urinalysis; 2 or 3 glass test ,,,2.12,19.02,80
CPT,81025,PREG URINE QUAL BY DOO,920.81,920.81,169.52,920.81,84
CPT,81025,"Urine pregnancy test, by visual color comparison methods ",,,3.87,25.83,80
CPT,81050,VOLUME MEASUREMENT UR,86.41,86.41,15.91,86.41,28
CPT,81050,"Volume measurement for timed collection, each ",86.41,86.41,1.64,14.1,80
CPT,81099,Unlisted urinalysis procedure ,,,47.13,53.11,2
CPT,81105,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,55.0,366.66,80
CPT,81106,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,55.0,366.66,80
CPT,81107,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,55.0,366.66,80
CPT,81108,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,55.0,366.66,80
CPT,81109,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,55.0,366.66,80
CPT,81110,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,55.0,366.66,80
CPT,81111,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,55.0,366.66,80
CPT,81112,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,55.0,366.66,80
CPT,81120,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",938.43,938.43,86.96,579.75,80
CPT,81120,IDH1 COMMON VARIANTS,938.43,938.43,172.76,938.43,28
CPT,81121,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",1430.84,1430.84,133.11,887.37,80
CPT,81121,IDH2 COMMON VARIANTS,1430.84,1430.84,263.42,1430.84,28
CPT,81161,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,125.55,837.0,80
CPT,81162,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,821.2,5836.7,80
CPT,81163,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,210.6,1404.0,80
CPT,81164,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,262.9,1752.69,80
CPT,81165,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,127.3,848.64,80
CPT,81166,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,135.61,904.05,80
CPT,81167,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,127.3,848.64,80
CPT,81168,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,93.29,621.93,80
CPT,81170,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",1453.04,1453.04,135.0,900.0,80
CPT,81170,ABL1 VARS KINASE DOMAIN,1453.04,1453.04,267.5,1453.04,28
CPT,81171,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81172,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,123.67,824.49,80
CPT,81173,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,135.61,904.05,80
CPT,81174,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,83.34,555.6,80
CPT,81175,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,304.43,2029.5,80
CPT,81176,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,108.86,725.7,80
CPT,81177,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81178,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81179,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81180,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81181,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81182,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81183,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81184,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81185,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,380.82,2538.81,80
CPT,81186,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,83.34,555.6,80
CPT,81187,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81188,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81189,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,123.67,824.49,80
CPT,81190,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,83.34,555.6,80
CPT,81191,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,93.29,621.93,80
CPT,81192,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,93.29,621.93,80
CPT,81193,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,93.29,621.93,80
CPT,81194,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,233.23,1554.84,80
CPT,81195,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,5589.66,71
CPT,81200,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,21.26,288.8,82
CPT,81201,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,123.0,2340.0,82
CPT,81202,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,123.0,840.0,82
CPT,81203,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,90.0,600.0,82
CPT,81204,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,61.65,411.0,80
CPT,81205,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,42.75,481.33,82
CPT,81206,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",1755.26,1755.26,73.78,491.88,82
CPT,81206,BCR/ABL1 MAJOR BREAKPT,1755.26,1755.26,323.14,1755.26,28
CPT,81207,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",1809.0,1809.0,65.18,434.52,82
CPT,81207,BCR/ABL1 MINOR BREAKPT,1809.0,1809.0,333.04,1809.0,28
CPT,81208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,96.58,643.86,82
CPT,81209,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,17.69,288.8,82
CPT,81210,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",1755.26,1755.26,78.93,526.2,82
CPT,81210,BRAF V600 VARIANTS,1755.26,1755.26,323.14,1755.26,28
CPT,81212,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,176.7,1320.0,82
CPT,81215,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,60.93,1125.75,82
CPT,81216,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,83.3,2817.55,82
CPT,81217,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,60.93,1125.75,82
CPT,81218,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",1301.71,1301.71,108.86,773.68,82
CPT,81218,CEBPA FULL GENE SEQ ANAL,1301.71,1301.71,239.64,1301.71,28
CPT,81219,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",655.0,655.0,54.73,389.02,82
CPT,81219,CALR COMMON VAR IN EXON9,655.0,655.0,120.59,655.0,28
CPT,81220,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",4114.12,4114.12,250.47,2817.55,82
CPT,81220,CFTR COMMON VARIANTS,4114.12,4114.12,757.41,4114.12,28
CPT,81221,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,43.75,291.66,82
CPT,81222,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,123.0,1305.21,82
CPT,81223,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,224.55,2817.55,82
CPT,81224,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,75.94,551.76,82
CPT,81225,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,131.11,874.08,82
CPT,81226,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,60.93,1352.73,82
CPT,81227,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,60.93,524.43,82
CPT,81228,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,123.0,2700.0,82
CPT,81229,CYTOGEN MA COPY NO & SNP,17960.45,17960.45,3306.52,17960.45,28
CPT,81229,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",17960.45,17960.45,522.0,6809.07,82
CPT,81230,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,78.66,524.43,80
CPT,81231,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,78.66,524.43,80
CPT,81232,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,78.66,524.43,80
CPT,81233,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,78.93,526.2,80
CPT,81234,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,61.65,411.0,80
CPT,81235,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",1755.26,1755.26,146.06,973.74,82
CPT,81235,EGFR COMMON VARIANTS,1755.26,1755.26,323.14,1755.26,28
CPT,81236,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,127.3,848.64,80
CPT,81237,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,78.93,526.2,80
CPT,81238,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,270.0,1800.0,80
CPT,81239,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,123.67,824.49,80
CPT,81240,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",449.94,449.94,29.56,197.07,82
CPT,81240,F2 GENE 20210G>A VARIANT,449.94,449.94,82.83,449.94,28
CPT,81241,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",423.16,423.16,33.02,220.11,82
CPT,81241,F5 GENE LEIDEN VARIANT,423.16,423.16,77.9,423.16,28
CPT,81242,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,16.48,288.8,82
CPT,81243,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",992.35,992.35,25.67,288.8,82
CPT,81243,FMR1 DETECT ABN ALLELES,992.35,992.35,182.69,992.35,28
CPT,81244,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",439.16,439.16,20.2,288.8,82
CPT,81244,FMR1 CHARACTERIZE ALLELE,439.16,439.16,80.85,439.16,28
CPT,81245,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",1356.0,1356.0,74.48,496.53,82
CPT,81245,FLT3 INTERNAL TANDEM DUP,1356.0,1356.0,249.64,1356.0,28
CPT,81246,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",628.12,628.12,37.35,249.0,82
CPT,81246,FLT3 TYROSINE KINASE DOM,628.12,628.12,115.64,628.12,28
CPT,81247,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,78.66,524.43,80
CPT,81248,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,168.86,1125.75,80
CPT,81249,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,270.0,1800.0,80
CPT,81250,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,26.32,288.8,82
CPT,81251,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,21.26,288.8,82
CPT,81252,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,45.5,303.36,82
CPT,81253,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,27.68,288.8,82
CPT,81254,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,15.75,288.8,82
CPT,81255,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,23.15,288.8,82
CPT,81256,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",965.55,965.55,29.41,196.08,82
CPT,81256,HFE COM VAR C282Y H63D,965.55,965.55,177.76,965.55,28
CPT,81257,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,46.02,551.76,82
CPT,81258,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,168.86,1125.75,80
CPT,81259,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",2025.0,2025.0,270.0,1800.0,80
CPT,81259,HBA1/HBA2 FULL GENE SEQ,2025.0,2025.0,372.8,2025.0,28
CPT,81260,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,17.69,328.74,82
CPT,81261,IGH REARRANGE AMPLIFIED,1755.26,1755.26,323.14,1755.26,28
CPT,81261,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",1755.26,1755.26,89.1,716.11,82
CPT,81262,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,30.85,288.8,82
CPT,81263,IGH VAR REG SOMATIC MUT,1586.0,1586.0,291.98,1586.0,28
CPT,81263,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",1586.0,1586.0,132.53,883.56,82
CPT,81264,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,77.73,518.19,82
CPT,81265,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",427.5,427.5,104.88,699.21,82
CPT,81265,STR MARKERS SPECIMEN ANA,427.5,427.5,78.7,427.5,28
CPT,81266,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,123.0,914.43,82
CPT,81267,CHIMERISM W/OUT CELL SEL,983.39,983.39,181.04,983.39,28
CPT,81267,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",983.39,983.39,93.36,622.38,82
CPT,81268,CHIMERISM W/ CELL SELECT,1160.0,1160.0,213.56,1160.0,28
CPT,81268,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",1160.0,1160.0,117.36,782.37,82
CPT,81269,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",3823.01,3823.01,91.08,607.2,80
CPT,81269,HBA1/HBA2 DUP/DEL VARS,3823.01,3823.01,703.82,3823.01,28
CPT,81270,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",2574.0,2574.0,41.25,274.98,82
CPT,81270,JAK2 V617F VARIANT,2574.0,2574.0,473.87,2574.0,28
CPT,81271,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81272,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",1596.32,1596.32,148.28,988.53,82
CPT,81272,KIT TARGET SEQ ANAL GIST,1596.32,1596.32,293.88,1596.32,28
CPT,81273,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,56.19,374.61,82
CPT,81274,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,123.67,824.49,80
CPT,81275,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",1755.26,1755.26,86.96,579.75,82
CPT,81275,KRAS VAR EXN2 CODON12&13,1755.26,1755.26,323.14,1755.26,28
CPT,81276,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",938.43,938.43,86.96,579.75,82
CPT,81276,KRAS ADDL VARS TO EXON 2,938.43,938.43,172.76,938.43,28
CPT,81277,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,522.0,3480.0,62
CPT,81278,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,93.29,621.93,80
CPT,81279,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,83.34,555.6,80
CPT,81283,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,33.02,220.11,80
CPT,81284,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,61.65,411.0,80
CPT,81285,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,123.67,824.49,80
CPT,81286,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,123.67,824.49,80
CPT,81287,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",605.43,605.43,56.09,373.92,82
CPT,81287,MGMT PROMOTER METHLATED,605.43,605.43,111.46,605.43,28
CPT,81288,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",1507.5,1507.5,86.54,576.96,82
CPT,81288,MLH1 PROMOTR METHYLATION,1507.5,1507.5,277.53,1507.5,28
CPT,81289,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,83.34,555.6,80
CPT,81290,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,17.69,288.8,82
CPT,81291,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",905.91,905.91,29.4,196.02,82
CPT,81291,MTHFR COMMON VARIANTS,905.91,905.91,166.78,905.91,28
CPT,81292,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,303.93,2026.2,82
CPT,81293,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,60.93,993.0,82
CPT,81294,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,91.08,1056.58,82
CPT,81295,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,151.71,1526.15,82
CPT,81296,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,129.53,1013.19,82
CPT,81297,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,95.99,1056.58,82
CPT,81298,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,287.83,2817.55,82
CPT,81299,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,60.93,924.0,80
CPT,81300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,60.93,714.0,82
CPT,81301,MICROSATELLITE INSTABILI,2975.3,2975.3,547.75,2975.3,28
CPT,81301,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",2975.3,2975.3,156.85,1045.68,82
CPT,81302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,123.0,1583.61,82
CPT,81303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,54.0,360.0,82
CPT,81304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,67.5,450.0,82
CPT,81305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",2454.01,2454.01,78.93,526.2,80
CPT,81305,MYD88 GENE L265P VARIANT,2454.01,2454.01,451.78,2454.01,28
CPT,81306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",1381.88,1381.88,131.11,874.08,80
CPT,81306,NUDT15 COMMON VARIANT(S),1381.88,1381.88,254.4,1381.88,28
CPT,81307,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,282.88,2029.5,62
CPT,81308,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,135.61,904.05,62
CPT,81309,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",1687.5,1687.5,123.67,824.49,62
CPT,81309,PIK3CA TARGETED SEQ ANAL,1687.5,1687.5,310.67,1687.5,28
CPT,81310,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",1862.84,1862.84,60.93,739.56,82
CPT,81310,NPM1 EXON 12 VARIANTS,1862.84,1862.84,342.95,1862.84,28
CPT,81311,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",1430.84,1430.84,133.11,887.37,82
CPT,81311,NRAS EXON 2&3 VARIANTS,1430.84,1430.84,263.42,1430.84,28
CPT,81312,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81313,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,114.77,765.15,82
CPT,81314,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",1596.32,1596.32,148.28,988.53,82
CPT,81314,PDGFRA TARGET GEN SEQAN,1596.32,1596.32,293.88,1596.32,28
CPT,81315,PML/RARA COMMON BREAKPT,2807.26,2807.26,516.82,2807.26,28
CPT,81315,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",2807.26,2807.26,93.29,621.93,82
CPT,81316,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,93.29,621.93,82
CPT,81317,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,304.43,2817.55,82
CPT,81318,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,60.93,993.0,82
CPT,81319,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,60.93,610.5,82
CPT,81320,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,131.11,874.08,80
CPT,81321,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",4526.49,4526.49,149.9,1800.0,82
CPT,81321,PTEN FULL SEQ ANALYSIS,4526.49,4526.49,833.33,4526.49,28
CPT,81322,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,20.97,288.8,82
CPT,81323,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,87.6,900.0,82
CPT,81324,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,123.0,2275.08,82
CPT,81325,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,123.0,2308.74,82
CPT,81326,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,20.97,288.8,82
CPT,81327,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,83.67,576.0,80
CPT,81328,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,78.66,524.43,80
CPT,81329,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,61.65,411.0,80
CPT,81330,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,21.15,288.8,82
CPT,81331,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,22.98,153.21,82
CPT,81332,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,19.64,130.95,82
CPT,81333,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,61.65,411.0,80
CPT,81334,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,148.28,988.53,80
CPT,81335,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",1279.0,1279.0,78.66,524.43,80
CPT,81335,TPMT COMMON VARIANTS,1279.0,1279.0,235.46,1279.0,28
CPT,81336,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,135.61,904.05,80
CPT,81337,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,83.34,555.6,80
CPT,81338,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,67.65,450.99,80
CPT,81339,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,83.34,555.6,80
CPT,81340,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",1755.26,1755.26,60.93,626.76,82
CPT,81340,TRB@REARRANGE AMPLIFY,1755.26,1755.26,323.14,1755.26,28
CPT,81341,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,22.32,148.77,82
CPT,81342,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",1755.0,1755.0,90.67,604.5,82
CPT,81342,TRG@REARRANGE ABNCLONAL,1755.0,1755.0,323.1,1755.0,28
CPT,81343,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81344,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,61.65,411.0,80
CPT,81345,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,83.34,555.6,80
CPT,81346,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,78.66,524.43,80
CPT,81347,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",1687.5,1687.5,86.96,579.75,80
CPT,81347,SF3B1 COMMON VARIANTS,1687.5,1687.5,310.67,1687.5,28
CPT,81348,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,78.93,526.2,80
CPT,81349,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,539.07,3593.82,77
CPT,81350,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,105.3,702.0,82
CPT,81351,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",2250.0,2250.0,288.83,1925.55,80
CPT,81351,TP53 FULL GENE SEQ ANAL,2250.0,2250.0,414.23,2250.0,28
CPT,81352,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,148.28,988.53,80
CPT,81353,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,138.6,924.0,80
CPT,81354,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1200.35,3790.59,68
CPT,81355,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,39.69,264.6,82
CPT,81357,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,86.96,579.75,80
CPT,81360,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,86.96,579.75,80
CPT,81361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,78.66,524.43,80
CPT,81362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,168.86,1125.75,80
CPT,81363,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,91.08,607.2,80
CPT,81364,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",2399.65,2399.65,146.06,973.74,80
CPT,81364,HBB FULL GENE SEQUENCE,2399.65,2399.65,441.78,2399.65,28
CPT,81370,HLA CLASS 1&2 TYPING LR,900.0,900.0,165.69,900.0,28
CPT,81370,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",900.0,900.0,149.9,1206.36,82
CPT,81371,HLA 1&2 TYPE VERIFY LR,983.39,983.39,181.04,983.39,28
CPT,81371,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",983.39,983.39,109.68,1213.56,82
CPT,81372,HLA 1 TYPING COMPLETE LR,1230.76,1230.76,226.58,1230.76,28
CPT,81372,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",1230.76,1230.76,149.9,1210.77,82
CPT,81373,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,57.34,382.29,82
CPT,81374,HLA 1 TYP 1 AG EQV LR EA,315.9,315.9,58.16,315.9,28
CPT,81374,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",315.9,315.9,33.45,288.8,82
CPT,81375,HLA CLASS 2 TYPING LR,678.63,678.63,124.94,678.63,28
CPT,81375,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",678.63,678.63,99.33,662.22,82
CPT,81376,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,55.0,366.66,82
CPT,81377,HLA 2 TYP 1 AG EQV LR EA,822.48,822.48,151.42,822.48,28
CPT,81377,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",822.48,822.48,42.63,284.22,82
CPT,81378,HLA CLASS 1&2 TYPING HR,2250.0,2250.0,414.23,2250.0,28
CPT,81378,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",2250.0,2250.0,155.51,1036.71,82
CPT,81379,HLA 1 TYPING COMPLETE HR,2580.75,2580.75,475.12,2580.75,28
CPT,81379,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",2580.75,2580.75,150.92,1006.14,82
CPT,81380,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,79.76,531.75,82
CPT,81381,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,60.93,509.7,82
CPT,81382,HLA 2 TYPE 1 LOCUS HR EA,983.39,983.39,181.04,983.39,28
CPT,81382,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",983.39,983.39,55.66,481.33,82
CPT,81383,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,49.11,481.33,82
CPT,81400,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,28.78,288.8,82
CPT,81401,APOE GENOTYPING,4753.24,4753.24,875.07,4753.24,28
CPT,81401,MOLPATH TIER 2 LEVEL 2,2227.5,2227.5,410.08,2227.5,28
CPT,81401,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,61.65,411.0,82
CPT,81402,MOLPATH TIER 2 LEVEL 3,728.53,728.53,134.12,728.53,28
CPT,81402,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",728.53,728.53,67.65,481.33,82
CPT,81403,MOLPATH TIER 2 LEVEL 4,897.0,897.0,165.14,897.0,28
CPT,81403,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",897.0,897.0,83.34,555.6,82
CPT,81404,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,123.67,824.49,82
CPT,81405,MOLPATH TIER 2 LEVEL 6,1463.15,1463.15,269.37,1463.15,28
CPT,81405,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",1463.15,1463.15,135.61,1056.58,82
CPT,81406,MOLPATH TIER 2 LEVEL 7,2284.5,2284.5,420.58,2284.5,28
CPT,81406,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",2284.5,2284.5,127.3,1526.15,82
CPT,81407,MOLPATH TIER 2 LEVEL 8,2250.0,2250.0,414.23,2250.0,28
CPT,81407,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",2250.0,2250.0,380.82,2817.55,82
CPT,81408,COL1A1 FULL GENE SEQ,2250.0,2250.0,414.23,2250.0,28
CPT,81408,MOLPATH TIER 2 LEVEL 9,16144.86,16144.86,2972.27,16144.86,28
CPT,81408,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,900.0,6809.07,82
CPT,81410,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,226.8,1512.0,82
CPT,81411,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,607.59,4050.57,82
CPT,81412,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,597.31,7345.68,82
CPT,81413,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,263.2,1883.85,80
CPT,81414,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,263.2,1883.85,80
CPT,81415,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,2151.0,14340.0,82
CPT,81416,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,5400.0,36000.0,82
CPT,81417,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,144.0,960.0,82
CPT,81418,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,412.69,2751.24,73
CPT,81419,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,1101.85,7345.68,80
CPT,81420,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,341.57,2277.15,82
CPT,81422,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,341.57,2277.15,80
CPT,81425,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,0.01,15093.6,80
CPT,81426,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,0.01,8129.85,80
CPT,81427,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,0.01,7012.95,80
CPT,81430,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,731.25,4875.0,82
CPT,81431,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,305.81,2038.71,82
CPT,81432,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,305.57,3911.85,82
CPT,81433,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer); duplication/deletion analysis panel, must include analyses for BRCA",,,197.52,1413.7,4
CPT,81434,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,269.06,1793.73,82
CPT,81435,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,263.2,3911.85,82
CPT,81436,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis); duplication/deletion analysis panel, must include analysis of at leas",,,263.2,1525.92,4
CPT,81437,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,197.52,3911.85,82
CPT,81438,"Hereditary neuroendocrine tumor disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma); duplication/deletion analysis panel, must include analy",,,197.52,1413.7,4
CPT,81439,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,263.2,1883.85,80
CPT,81440,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,1495.8,9972.0,82
CPT,81441,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,1101.85,7345.68,80
CPT,81442,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,602.1,6430.8,82
CPT,81443,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",2250.0,2250.0,1101.85,7345.68,80
CPT,81443,INHER BMARROW FAIL 15OR>,2250.0,2250.0,414.23,2250.0,28
CPT,81445,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",4827.31,4827.31,269.06,1793.73,82
CPT,81445,TRGET 5-50G SEQ COPY/REA,4827.31,4827.31,888.71,4827.31,28
CPT,81448,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,263.2,1754.7,80
CPT,81449,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,269.06,1793.73,80
CPT,81450,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",6457.94,6457.94,341.79,2278.59,82
CPT,81450,TGET SEQ COPY/REA/ISF/MR,6457.94,6457.94,1188.91,6457.94,28
CPT,81451,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,341.79,2278.59,80
CPT,81455,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",23567.45,23567.45,1313.82,8758.8,82
CPT,81455,TGET >51 G SEQ COPYOR RE,23567.45,23567.45,4338.77,23567.45,28
CPT,81456,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",1500.0,1500.0,1313.82,8758.8,80
CPT,81456,TGET 51OR> SEQ RNA ANALY,1500.0,1500.0,276.15,1500.0,28
CPT,81457,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,852.03,2690.61,73
CPT,81458,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,994.03,3139.05,73
CPT,81459,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2840.07,8968.65,73
CPT,81460,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,579.15,3861.0,82
CPT,81462,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1136.04,3587.49,73
CPT,81463,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1278.04,4035.93,73
CPT,81464,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3124.08,9865.53,73
CPT,81465,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,421.2,2808.0,82
CPT,81470,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,411.3,2742.0,82
CPT,81471,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,0.01,2742.0,80
CPT,81479,UNLISTED MOLPATH & GSP,2250.0,2250.0,337.5,2250.0,39
CPT,81479,Unlisted molecular pathology procedure ,2250.0,2250.0,215.82,243.2,2
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,378.29,2521.95,82
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,472.5,3150.0,82
CPT,81500,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,117.23,781.5,82
CPT,81503,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,403.65,2691.0,82
CPT,81504,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,234.0,1560.0,82
CPT,81506,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,31.01,206.76,82
CPT,81507,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,357.75,2385.0,82
CPT,81508,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,24.43,162.9,82
CPT,81509,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,669.32,4462.11,82
CPT,81510,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,24.99,166.62,82
CPT,81511,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,69.08,460.5,82
CPT,81512,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,31.28,208.56,82
CPT,81513,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,64.18,427.89,80
CPT,81514,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,118.35,788.97,80
CPT,81515,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,249.84,788.97,71
CPT,81517,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,79.29,528.57,73
CPT,81518,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,1742.85,11619.0,80
CPT,81519,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,1742.85,11619.0,82
CPT,81520,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,1129.59,7530.63,80
CPT,81521,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,1742.85,11619.0,80
CPT,81522,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,1742.85,11619.0,62
CPT,81523,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,1742.85,11619.0,80
CPT,81525,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,1402.2,9348.0,82
CPT,81528,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,228.99,1526.61,82
CPT,81529,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,3236.85,21579.0,80
CPT,81535,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,260.76,1738.38,82
CPT,81536,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,79.9,532.68,82
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,1291.95,8613.0,82
CPT,81539,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,342.0,2280.0,80
CPT,81540,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,1687.5,11250.0,82
CPT,81541,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,1742.85,11619.0,80
CPT,81542,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,1742.85,11619.0,62
CPT,81546,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,1620.0,10800.0,80
CPT,81551,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,913.5,6090.0,77
CPT,81552,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,3499.2,23328.0,62
CPT,81554,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,2475.0,16228.8,80
CPT,81558,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3078.0,9720.0,71
CPT,81560,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,288.33,1922.19,77
CPT,81595,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,597.31,9720.0,82
CPT,81596,CHR HCV 6 BIOCHEM ALG,1208.73,1208.73,222.53,1208.73,28
CPT,81596,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",1208.73,1208.73,32.49,216.57,80
CPT,81599,Unlisted multianalyte assay with algorithmic analysis ,,,478.39,539.06,2
CPT,82009,ACETONE BLD QL,272.765,272.765,4.97,518.53,84
CPT,82009,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,2.03,19.57,80
CPT,82010,BETA HYDROXYBUTYRATE,232.41,232.41,42.79,232.41,28
CPT,82010,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",232.41,232.41,3.68,48.47,82
CPT,82013,Acetylcholinesterase ,,,5.53,63.35,80
CPT,82016,"Acylcarnitines; qualitative, each specimen ",,,7.42,69.88,80
CPT,82017,ACYLCARNITINES QN EA SP,605.0,605.0,111.38,605.0,28
CPT,82017,"Acylcarnitines; quantitative, each specimen ",605.0,605.0,7.59,50.61,80
CPT,82024,ACTH QN,6022.78,6022.78,1108.79,6022.78,28
CPT,82024,Adrenocorticotropic hormone (ACTH) ,6022.78,6022.78,17.38,219.21,80
CPT,82030,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,11.61,146.35,80
CPT,82040,ALBUMIN SERUM QN,452.95,452.95,83.39,452.95,28
CPT,82040,"Albumin; serum, plasma or whole blood ",452.95,452.95,2.23,26.67,82
CPT,82042,ALBUMIN OTHER QN,452.95,452.95,83.39,452.95,28
CPT,82042,"Albumin; other source, quantitative, each specimen ",452.95,452.95,3.2,23.34,82
CPT,82043,"Albumin; urine (eg, microalbumin), quantitative ",893.0,893.0,2.6,106.01,82
CPT,82043,MICROALBUMIN QN,893.0,893.0,164.4,893.0,28
CPT,82044,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,2.37,64.5,82
CPT,82045,Albumin; ischemia modified ,,,15.27,111.38,80
CPT,82075,Alcohol (ethanol); breath ,,,0.01,90.0,80
CPT,82077,ALCOHOL QN EXC UA OR BRE,80.79,80.79,14.87,80.79,84
CPT,82077,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,7.77,51.81,80
CPT,82085,ALDOLASE,1332.07,1332.07,245.23,1332.07,28
CPT,82085,Aldolase ,1332.07,1332.07,4.37,55.83,80
CPT,82088,ALDOSTERONE QN,4651.9,4651.9,856.41,4651.9,28
CPT,82088,ALDOSTERONE UR QN,4651.9,4651.9,856.41,4651.9,28
CPT,82088,Aldosterone ,,,18.34,122.25,80
CPT,82103,A-1-ANTITRYPSIN TOT,1357.0,1357.0,249.82,1357.0,28
CPT,82103,Alpha-1-antitrypsin; total ,1357.0,1357.0,6.05,60.29,80
CPT,82104,A-1-ANTITRYPSIN PHENO,80.45,80.45,14.81,80.45,28
CPT,82104,Alpha-1-antitrypsin; phenotype ,80.45,80.45,6.51,190.25,80
CPT,82105,ALPHA FETOPROT SERUM,1332.07,1332.07,245.23,1332.07,28
CPT,82105,Alpha-fetoprotein (AFP); serum ,1332.07,1332.07,7.55,79.13,80
CPT,82106,Alpha-fetoprotein (AFP); amniotic fluid ,,,7.65,79.13,80
CPT,82107,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,28.98,211.29,80
CPT,82108,ALUMINUM,189.85,189.85,34.95,189.85,28
CPT,82108,Aluminum ,189.85,189.85,11.47,98.58,80
CPT,82120,"Amines, vaginal fluid, qualitative ",,,2.7,17.97,82
CPT,82127,"Amino acids; single, qualitative, each specimen ",,,6.38,69.88,80
CPT,82128,"Amino acids; multiple, qualitative, each specimen ",,,6.24,60.86,80
CPT,82131,"Amino acids; single, quantitative, each specimen ",,,10.34,92.86,80
CPT,82135,AMINOLEVULINIC ACID ALA,121.68,121.68,22.4,121.68,28
CPT,82135,"Aminolevulinic acid, delta (ALA) ",121.68,121.68,7.4,86.61,80
CPT,82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,8.0,58.83,80
CPT,82139,AMINO ACIDS QN 6 OR MORE,1755.0,1755.0,323.1,1755.0,28
CPT,82139,"Amino acids, 6 or more amino acids, quantitative, each specimen ",1755.0,1755.0,7.59,50.61,80
CPT,82140,AMMONIA,1710.0,1710.0,314.81,1710.0,84
CPT,82140,Ammonia ,,,6.56,82.86,80
CPT,82143,Amniotic fluid scan (spectrophotometric) ,,,4.21,40.89,80
CPT,82150,AMYLASE BLD,920.81,920.81,169.52,920.81,84
CPT,82150,AMYLASE FL,673.5,673.5,123.99,673.5,28
CPT,82150,AMYLASE ISOENZYME,119.06,119.06,21.92,119.06,28
CPT,82150,AMYLASE UR,673.5,673.5,123.99,673.5,28
CPT,82150,Amylase ,,,2.92,36.73,82
CPT,82154,Androstanediol glucuronide ,,,12.97,148.78,80
CPT,82157,ANDROSTENEDIONE,2565.0,2565.0,472.22,2565.0,28
CPT,82157,Androstenedione ,2565.0,2565.0,13.18,168.05,80
CPT,82160,Androsterone ,,,11.5,153.0,80
CPT,82163,Angiotensin II ,,,9.23,101.27,80
CPT,82164,ANGIOTENSIN CONV ENZ CSF,345.67,345.67,63.64,345.67,28
CPT,82164,ANGIOTENSIN I CONV ENZ,1931.07,1931.07,355.51,1931.07,28
CPT,82164,Angiotensin I - converting enzyme (ACE) ,,,6.57,82.86,80
CPT,82166,ASSAY ANTI-MULLERIAN HOR,667.53,667.53,113.48,667.53,32
CPT,82166,Anti-mullerian hormone (AMH) ,667.53,667.53,17.38,115.86,73
CPT,82172,APOLIPOPROTEIN A1,806.0,806.0,148.38,806.0,28
CPT,82172,APOLIPOPROTEIN B,891.04,891.04,164.04,891.04,28
CPT,82172,"Apolipoprotein, each ",,,9.49,95.25,80
CPT,82175,ARSENIC BLD,1853.6,1853.6,341.25,1853.6,28
CPT,82175,ARSENIC UR,959.57,959.57,176.66,959.57,28
CPT,82175,Arsenic ,,,8.54,109.76,80
CPT,82180,"Ascorbic acid (Vitamin C), blood ",968.51,968.51,4.45,55.03,80
CPT,82180,VIT C ASCORBIC ACID,968.51,968.51,178.3,968.51,28
CPT,82190,"Atomic absorption spectroscopy, each analyte ",,,7.16,52.4,80
CPT,82232,BETA 2 MICROGLOBULIN,1220.0,1220.0,224.6,1220.0,28
CPT,82232,Beta-2 microglobulin ,1220.0,1220.0,7.28,68.98,80
CPT,82233,Beta-amyloid; 1-40 (Abeta 40) ,,,122.47,386.76,68
CPT,82234,Beta-amyloid; 1-42 (Abeta 42) ,,,122.47,386.76,68
CPT,82239,BILE ACIDS TOT,98.31,98.31,18.1,98.31,28
CPT,82239,Bile acids; total ,98.31,98.31,7.7,51.36,80
CPT,82240,Bile acids; cholylglycine ,,,11.96,79.74,80
CPT,82247,BILIRUBIN TOT BLD,336.0,336.0,61.86,336.0,84
CPT,82247,BILIRUBIN TOT FL,336.0,336.0,61.86,336.0,28
CPT,82247,Bilirubin; total ,,,2.26,25.32,82
CPT,82248,BILIRUBIN DIRECT,411.21,411.21,75.7,411.21,84
CPT,82248,Bilirubin; direct ,,,2.26,25.32,80
CPT,82252,"Bilirubin; feces, qualitative ",,,2.05,25.81,80
CPT,82261,"Biotinidase, each specimen ",,,7.59,50.61,80
CPT,82270,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",452.95,452.95,1.97,13.76,80
CPT,82270,OCCULT BLD SCN 3 SPEC,452.95,452.95,83.39,452.95,28
CPT,82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,2.39,15.96,82
CPT,82271,OCC BLD PEROX OTH SOURCE,452.95,452.95,83.39,452.95,84
CPT,82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,1.9,12.69,80
CPT,82272,OCCBLD PEROX 1-3 DIAG,452.95,452.95,83.39,452.95,84
CPT,82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,7.16,55.83,82
CPT,82286,Bradykinin ,,,2.32,37.74,80
CPT,82300,CADMIUM,2142.66,2142.66,394.46,2142.66,28
CPT,82300,Cadmium ,2142.66,2142.66,10.64,109.68,80
CPT,82306,VITAMIN D 25OH W/WO FRAC,664.52,664.52,122.34,664.52,28
CPT,82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",664.52,664.52,13.32,163.69,80
CPT,82308,CALCITONIN,2452.6,2452.6,451.52,2452.6,28
CPT,82308,Calcitonin ,2452.6,2452.6,12.06,83.06,80
CPT,82310,CALCIUM TOTAL,518.53,518.53,95.46,518.53,84
CPT,82310,CALCIUM UR RANDOM QN,75.0,75.0,13.81,75.0,28
CPT,82310,Calcium; total ,,,2.32,27.51,82
CPT,82330,CALCIUM IONIZED,1457.0,1457.0,268.23,1457.0,28
CPT,82330,Calcium; ionized ,1457.0,1457.0,6.16,69.27,82
CPT,82331,Calcium; after calcium infusion test ,,,6.0,40.02,80
CPT,82340,CALCIUM UR TIMED QN,518.53,518.53,95.46,518.53,28
CPT,82340,"Calcium; urine quantitative, timed specimen ",518.53,518.53,2.71,33.35,80
CPT,82355,Calculus; qualitative analysis ,,,5.21,65.26,80
CPT,82360,"Calculus; quantitative analysis, chemical ",,,5.79,73.06,80
CPT,82365,Calculus; infrared spectroscopy ,76.09,76.09,5.81,69.27,80
CPT,82365,STONE ANALYSIS INFRARED,76.09,76.09,14.01,76.09,28
CPT,82370,Calculus; X-ray diffraction ,,,5.63,71.12,80
CPT,82373,Carbohydrate deficient transferrin ,,,8.13,54.18,80
CPT,82374,CARBON DIOXIDE BLD,587.04,587.04,108.07,587.04,28
CPT,82374,Carbon dioxide (bicarbonate) ,587.04,587.04,2.2,26.82,82
CPT,82375,CARBOXYHEMOGLOBIN QN,1633.06,1633.06,300.65,1633.06,84
CPT,82375,Carboxyhemoglobin; quantitative ,,,5.54,66.59,80
CPT,82376,Carboxyhemoglobin; qualitative ,,,6.33,42.21,80
CPT,82378,CEA,2336.38,2336.38,430.13,2336.38,28
CPT,82378,Carcinoembryonic antigen (CEA) ,2336.38,2336.38,8.53,76.56,80
CPT,82379,CARNITINE TOT & FREE QN,281.0,281.0,51.73,281.0,28
CPT,82379,"Carnitine (total and free), quantitative, each specimen ",281.0,281.0,7.59,50.61,80
CPT,82380,CAROTENE,1183.07,1183.07,217.8,1183.07,28
CPT,82380,Carotene ,1183.07,1183.07,4.15,54.33,80
CPT,82382,Catecholamines; total urine ,,,12.29,81.9,80
CPT,82383,Catecholamines; blood ,,,13.09,87.24,80
CPT,82384,CATECHOL FRACTION BLD,4639.99,4639.99,854.22,4639.99,28
CPT,82384,CATECHOL FRACTION UR,3036.73,3036.73,559.06,3036.73,28
CPT,82384,Catecholamines; fractionated ,,,11.36,141.44,80
CPT,82387,Cathepsin-D ,,,8.13,124.07,80
CPT,82390,CERULOPLASMIN,792.69,792.69,145.93,792.69,28
CPT,82390,Ceruloplasmin ,792.69,792.69,4.83,60.55,80
CPT,82397,ANTIADALIMUMAB AB QN CLA,935.67,935.67,172.26,935.67,28
CPT,82397,Chemiluminescent assay ,,,6.35,42.36,80
CPT,82397,ICAM BY CLA,720.0,720.0,132.55,720.0,28
CPT,82397,INFLIXIMAB AB QN CLA,1834.09,1834.09,337.66,1834.09,28
CPT,82397,PTH-RELATED PEPTIDE CA,1692.66,1692.66,311.62,1692.66,28
CPT,82397,USTEKINUMAB AB QN BY CLA,473.39,473.39,87.15,473.39,28
CPT,82415,Chloramphenicol ,,,5.7,71.9,80
CPT,82435,CHLORIDE BLD,140.0,140.0,25.77,140.0,28
CPT,82435,Chloride; blood ,140.0,140.0,2.07,25.14,82
CPT,82436,CHLORIDE UR,1332.0,1332.0,245.22,1332.0,28
CPT,82436,Chloride; urine ,1332.0,1332.0,2.59,28.12,80
CPT,82438,CHLORIDE CSF,1332.07,1332.07,245.23,1332.07,28
CPT,82438,CHLORIDE OTHER,2155.0,2155.0,396.74,2155.0,28
CPT,82438,Chloride; other source ,,,2.25,21.27,80
CPT,82441,"Chlorinated hydrocarbons, screen ",,,2.7,34.04,80
CPT,82465,CHOLESTEROL BLD,1773.14,1773.14,326.44,1773.14,84
CPT,82465,"Cholesterol, serum or whole blood, total ",,,1.96,24.57,82
CPT,82480,Cholinesterase; serum ,1260.54,1260.54,3.54,44.42,80
CPT,82480,PSEUDOCHOLINESTERASE,1260.54,1260.54,232.07,1260.54,28
CPT,82482,Cholinesterase; RBC ,,,4.41,58.64,80
CPT,82485,"Chondroitin B sulfate, quantitative ",,,9.29,102.1,80
CPT,82495,CHROMIUM,831.0,831.0,152.99,831.0,28
CPT,82495,Chromium ,831.0,831.0,9.13,93.23,80
CPT,82507,CITRATE URINE,197.78,197.78,36.41,197.78,28
CPT,82507,Citrate ,197.78,197.78,12.51,153.17,80
CPT,82523,C-TELOPEPTIDE CTX,280.0,280.0,51.55,280.0,28
CPT,82523,"Collagen cross links, any method ",,,8.41,56.04,82
CPT,82523,N TELOPEPTIDE UR,596.01,596.01,109.73,596.01,28
CPT,82523,PROPEPTIDE TYPE 1 COLLAG,1561.0,1561.0,287.38,1561.0,28
CPT,82525,COPPER BLD,1114.51,1114.51,205.18,1114.51,28
CPT,82525,COPPER URINE,1221.82,1221.82,224.94,1221.82,28
CPT,82525,Copper ,,,5.58,69.94,80
CPT,82528,Corticosterone ,,,10.13,127.3,80
CPT,82530,CORTISOL FREE URINE,2226.1,2226.1,409.83,2226.1,28
CPT,82530,Cortisol; free ,2226.1,2226.1,7.52,60.29,80
CPT,82533,CORTISOL TOTAL,1200.96,1200.96,221.1,1200.96,28
CPT,82533,CORTISOL TOTAL .5 HR,1200.96,1200.96,221.1,1200.96,28
CPT,82533,CORTISOL TOTAL 1 HR,1200.96,1200.96,221.1,1200.96,28
CPT,82533,CORTISOL TOTAL BASELINE,1200.96,1200.96,221.1,1200.96,28
CPT,82533,CORTISOL TOTAL SALIVARY,718.18,718.18,132.22,718.18,28
CPT,82533,Cortisol; total ,,,7.34,91.47,80
CPT,82540,Creatine ,,,2.09,27.51,80
CPT,82542,COENZYME Q10 QN CHR,130.83,130.83,24.09,130.83,28
CPT,82542,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,10.84,91.01,80
CPT,82542,HPLC MS QUANTITATIVE,2360.23,2360.23,434.52,2360.23,28
CPT,82550,CREAT KINASE (CK) TOTAL,959.57,959.57,176.66,959.57,84
CPT,82550,"Creatine kinase (CK), (CPK); total ",,,2.93,36.73,82
CPT,82552,CK-ISOENZYMES,1332.07,1332.07,245.23,1332.07,28
CPT,82552,"Creatine kinase (CK), (CPK); isoenzymes ",1332.07,1332.07,6.03,74.42,80
CPT,82553,CK MB FRACTION,103.5,103.5,19.05,103.5,28
CPT,82553,"Creatine kinase (CK), (CPK); MB fraction only ",103.5,103.5,5.2,34.65,80
CPT,82554,"Creatine kinase (CK), (CPK); isoforms ",,,5.34,35.61,80
CPT,82565,CREATININE BLD,673.5,673.5,123.99,673.5,84
CPT,82565,Creatinine; blood ,,,2.3,29.3,82
CPT,82570,CREATININE OTHER,673.5,673.5,123.99,673.5,28
CPT,82570,CREATININE UR,673.5,673.5,123.99,673.5,28
CPT,82570,Creatinine; other source ,,,2.33,29.36,82
CPT,82575,CREATININE CLEARANCE,1347.0,1347.0,247.98,1347.0,28
CPT,82575,Creatinine; clearance ,1347.0,1347.0,4.26,52.83,80
CPT,82585,CRYOFIBRINOGEN,1221.82,1221.82,224.94,1221.82,28
CPT,82585,Cryofibrinogen ,1221.82,1221.82,6.36,48.61,80
CPT,82595,CRYOGLOBULINS QL SQN,822.48,822.48,151.42,822.48,28
CPT,82595,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",822.48,822.48,2.91,36.73,80
CPT,82600,CYANIDE,1007.24,1007.24,185.43,1007.24,28
CPT,82600,Cyanide ,1007.24,1007.24,8.73,106.09,80
CPT,82607,Cyanocobalamin (Vitamin B-12); ,1910.22,1910.22,6.79,85.54,80
CPT,82607,VITAMIN B12,1910.22,1910.22,351.67,1910.22,28
CPT,82608,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,6.44,84.01,80
CPT,82610,CYSTATIN C,190.71,190.71,35.11,190.71,28
CPT,82610,Cystatin C ,190.71,190.71,8.33,55.56,80
CPT,82615,"Cystine and homocystine, urine, qualitative ",,,4.3,44.51,80
CPT,82626,DHEA,693.0,693.0,127.58,693.0,28
CPT,82626,Dehydroepiandrosterone (DHEA) ,693.0,693.0,11.37,136.96,80
CPT,82627,DHEA-S,1114.51,1114.51,205.18,1114.51,28
CPT,82627,Dehydroepiandrosterone-sulfate (DHEA-S) ,1114.51,1114.51,10.0,66.69,80
CPT,82633,DESOXYCORTICOSTERONE,420.0,420.0,77.32,420.0,28
CPT,82633,"Desoxycorticosterone, 11- ",420.0,420.0,13.94,166.09,80
CPT,82634,"Deoxycortisol, 11- ",,,13.18,166.09,80
CPT,82638,Dibucaine number ,,,5.51,69.42,80
CPT,82642,DIHYDROTESTOSTERONE DHT,120.12,120.12,22.11,120.12,28
CPT,82642,Dihydrotestosterone (DHT) ,120.12,120.12,13.18,87.84,80
CPT,82652,VITAMIN D 1-25 W/WO FRAC,118.66,118.66,21.85,118.66,28
CPT,82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",118.66,118.66,17.32,216.11,80
CPT,82653,"Elastase, pancreatic (EL-1), fecal; quantitative ",327.6,327.6,10.34,68.91,80
CPT,82653,FECAL ELASTASE QN IA,327.6,327.6,60.31,327.6,28
CPT,82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,5.19,37.6,80
CPT,82657,DISACCHARIDASES MULT NRS,517.0,517.0,95.18,517.0,28
CPT,82657,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,9.98,91.01,80
CPT,82657,NEUTRP FNCT OXI BRST NRS,632.92,632.92,116.52,632.92,28
CPT,82658,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,19.81,132.09,80
CPT,82664,"Electrophoretic technique, not elsewhere specified ",,,27.68,184.5,80
CPT,82668,ERYTHROPOIETIN QN,1454.24,1454.24,267.73,1454.24,28
CPT,82668,Erythropoietin ,1454.24,1454.24,8.46,102.57,80
CPT,82670,ESTRADIOL TOTAL,1630.0,1630.0,300.08,1630.0,28
CPT,82670,Estradiol; total ,1630.0,1630.0,12.57,157.5,80
CPT,82671,Estrogens; fractionated ,,,14.53,182.79,80
CPT,82672,ESTROGEN TOTAL,649.63,649.63,119.6,649.63,28
CPT,82672,Estrogens; total ,649.63,649.63,9.77,120.31,80
CPT,82677,ESTRIOL,361.0,361.0,66.46,361.0,28
CPT,82677,Estriol ,361.0,361.0,10.88,152.36,80
CPT,82679,ESTRONE,1624.11,1624.11,299.0,1624.11,28
CPT,82679,Estrone ,1624.11,1624.11,11.23,144.36,82
CPT,82681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,12.57,83.82,80
CPT,82693,ETHYLENE GLYCOL,1114.51,1114.51,205.18,1114.51,28
CPT,82693,Ethylene glycol ,1114.51,1114.51,6.71,44.7,80
CPT,82696,Etiocholanolone ,,,11.81,139.15,80
CPT,82705,FECAL FAT QUAL,581.08,581.08,106.98,581.08,28
CPT,82705,"Fat or lipids, feces; qualitative ",581.08,581.08,2.29,28.9,80
CPT,82710,"Fat or lipids, feces; quantitative ",,,7.56,95.34,80
CPT,82715,"Fat differential, feces, quantitative ",,,10.34,97.22,80
CPT,82725,"Fatty acids, nonesterified ",,,8.45,73.06,80
CPT,82726,VERY LONG CHAIN FATTY AC,2559.91,2559.91,471.28,2559.91,28
CPT,82726,Very long chain fatty acids ,2559.91,2559.91,8.89,91.01,80
CPT,82728,FERRITIN,1266.52,1266.52,233.17,1266.52,28
CPT,82728,Ferritin ,1266.52,1266.52,6.13,77.37,80
CPT,82731,FETAL FIBRONECTIN SQN,2993.31,2993.31,551.07,2993.31,28
CPT,82731,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",2993.31,2993.31,28.98,193.23,80
CPT,82735,Fluoride ,,,8.34,105.89,80
CPT,82746,FOLATE (FOLIC ACID) SER,801.63,801.63,147.58,801.63,28
CPT,82746,Folic acid; serum ,801.63,801.63,6.62,82.22,80
CPT,82747,Folic acid; RBC ,,,7.94,52.95,80
CPT,82757,"Fructose, semen ",,,7.8,57.28,80
CPT,82759,"Galactokinase, RBC ",,,9.67,121.87,80
CPT,82760,Galactose ,,,5.04,56.47,80
CPT,82775,Galactose-1-phosphate uridyl transferase; quantitative ,,,9.48,119.56,80
CPT,82776,Galactose-1-phosphate uridyl transferase; screen ,,,5.28,47.25,80
CPT,82777,Galectin-3 ,,,19.91,132.75,80
CPT,82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,4.19,52.83,80
CPT,82784,IGA EA,840.0,840.0,154.64,840.0,28
CPT,82784,IGD EA,1901.28,1901.28,350.03,1901.28,28
CPT,82784,IGG CSF EA,71.51,71.51,13.16,71.51,28
CPT,82784,IGG EA,1221.82,1221.82,224.94,1221.82,28
CPT,82784,IGM CSF EA,71.51,71.51,13.16,71.51,28
CPT,82784,IGM EA,783.75,783.75,144.29,783.75,28
CPT,82785,Gammaglobulin (immunoglobulin); IgE ,2154.6,2154.6,7.41,92.62,80
CPT,82785,IGE,2154.6,2154.6,396.66,2154.6,28
CPT,82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",196.0,196.0,3.61,38.29,80
CPT,82787,IGG SUBCLASSES EA,196.0,196.0,36.08,196.0,28
CPT,82800,"Gases, blood, pH only ",,,2.78,33.0,80
CPT,82803,BG WITH CALC O2 SAT,1633.06,1633.06,300.65,1633.06,84
CPT,82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,11.73,109.76,80
CPT,82805,BG WITH MEAS O2 SAT,1633.06,1633.06,300.65,1633.06,28
CPT,82805,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",1633.06,1633.06,35.45,236.31,80
CPT,82810,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,4.4,50.46,80
CPT,82820,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,6.0,40.02,80
CPT,82930,"Gastric acid analysis, includes pH if performed, each specimen ",,,3.02,20.13,80
CPT,82938,Gastrin after secretin stimulation ,,,7.96,100.46,80
CPT,82941,GASTRIN,2327.4,2327.4,428.47,2327.4,28
CPT,82941,Gastrin ,2327.4,2327.4,7.93,97.25,80
CPT,82943,GLUCAGON,213.62,213.62,39.33,213.62,28
CPT,82943,Glucagon ,213.62,213.62,6.43,78.93,80
CPT,82945,GLUCOSE BODY FLD QN,673.5,673.5,123.99,673.5,28
CPT,82945,GLUCOSE CSF QN,673.5,673.5,123.99,673.5,28
CPT,82945,"Glucose, body fluid, other than blood ",,,1.77,12.74,80
CPT,82946,Glucagon tolerance test ,,,7.12,53.31,80
CPT,82947,GLUCOSE BLD QN,747.0,747.0,137.52,747.0,84
CPT,82947,"Glucose; quantitative, blood (except reagent strip) ",,,1.77,22.34,82
CPT,82948,"Glucose; blood, reagent strip ",,,2.27,17.89,80
CPT,82950,GLUCOSE 1 HR W GLUCOLA,730.11,730.11,134.41,730.11,28
CPT,82950,Glucose; post glucose dose (includes glucose) ,730.11,730.11,2.14,26.96,82
CPT,82951,GTT 1ST 3 SPECIMENS,1260.0,1260.0,231.97,1260.0,28
CPT,82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",1260.0,1260.0,5.79,41.76,82
CPT,82952,GTT EA ADDTL >3 SPEC,318.85,318.85,58.7,318.85,28
CPT,82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",318.85,318.85,1.76,22.89,82
CPT,82955,G-6-PD QUANT,1284.0,1284.0,236.38,1284.0,28
CPT,82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,1284.0,1284.0,4.37,53.7,80
CPT,82960,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,2.72,33.99,80
CPT,82962,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,1.48,18.87,80
CPT,82963,"Glucosidase, beta ",,,9.67,121.87,80
CPT,82965,Glutamate dehydrogenase ,,,5.92,39.45,80
CPT,82977,GAMMA GT,1144.35,1144.35,210.67,1144.35,28
CPT,82977,"Glutamyltransferase, gamma (GGT) ",1144.35,1144.35,3.24,38.64,82
CPT,82978,GLUTATHIONE,295.0,295.0,54.31,295.0,28
CPT,82978,Glutathione ,295.0,295.0,6.95,71.5,80
CPT,82979,"Glutathione reductase, RBC ",,,4.25,39.1,80
CPT,82985,FRUCTOSAMINE,518.53,518.53,95.46,518.53,28
CPT,82985,Glycated protein ,518.53,518.53,7.54,85.54,82
CPT,83001,FSH,2089.0,2089.0,384.58,2089.0,28
CPT,83001,Gonadotropin; follicle stimulating hormone (FSH) ,2089.0,2089.0,8.36,105.54,82
CPT,83002,Gonadotropin; luteinizing hormone (LH) ,1683.76,1683.76,8.33,102.57,82
CPT,83002,LH,1683.76,1683.76,309.98,1683.76,28
CPT,83003,GROWTH HORMONE (HGH),1108.6,1108.6,204.09,1108.6,28
CPT,83003,"Growth hormone, human (HGH) (somatotropin) ",1108.6,1108.6,7.5,93.75,80
CPT,83006,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",3014.2,3014.2,29.93,226.8,80
CPT,83006,ST2 BIO MKR GS ILRL,3014.2,3014.2,554.91,3014.2,28
CPT,83009,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,30.31,220.97,80
CPT,83010,HAPTOGLOBIN QUANT,1394.67,1394.67,256.76,1394.67,28
CPT,83010,Haptoglobin; quantitative ,1394.67,1394.67,5.66,63.96,80
CPT,83012,Haptoglobin; phenotypes ,,,12.1,80.67,80
CPT,83013,H PYLORI BRTH UREASE NR,819.52,819.52,150.87,819.52,28
CPT,83013,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",819.52,819.52,30.31,323.8,80
CPT,83014,Helicobacter pylori; drug administration ,,,3.54,39.62,80
CPT,83015,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,9.42,105.69,80
CPT,83018,COBALT QN,831.0,831.0,152.99,831.0,28
CPT,83018,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",831.0,831.0,9.88,95.02,80
CPT,83020,HEMOGLOBIN ELECTRO,1451.26,1451.26,267.18,1451.26,28
CPT,83020,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",1451.26,1451.26,5.79,65.29,82
CPT,83021,HEMOGLOBIN FRACT HPLC,163.9,163.9,30.17,163.9,28
CPT,83021,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",163.9,163.9,8.13,91.01,80
CPT,83026,"Hemoglobin; by copper sulfate method, non-automated ",,,1.8,13.38,80
CPT,83030,"Hemoglobin; F (fetal), chemical ",,,4.83,46.9,80
CPT,83033,"Hemoglobin; F (fetal), qualitative ",,,3.6,32.66,80
CPT,83036,HEMOGLOBIN A1C,158.22,158.22,29.13,158.22,84
CPT,83036,Hemoglobin; glycosylated (A1C) ,,,4.37,53.73,82
CPT,83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,4.37,40.66,82
CPT,83045,"Hemoglobin; methemoglobin, qualitative ",,,2.92,28.12,80
CPT,83050,"Hemoglobin; methemoglobin, quantitative ",1332.07,1332.07,3.69,24.6,80
CPT,83050,METHEMOGLOBIN QUANT,1332.07,1332.07,245.23,1332.07,28
CPT,83051,HEMOGLOBIN PLASMA,1114.51,1114.51,205.18,1114.51,28
CPT,83051,Hemoglobin; plasma ,1114.51,1114.51,3.29,41.44,80
CPT,83060,"Hemoglobin; sulfhemoglobin, quantitative ",,,3.93,26.4,80
CPT,83065,Hemoglobin; thermolabile ,,,3.3,27.0,80
CPT,83068,"Hemoglobin; unstable, screen ",,,3.93,28.41,80
CPT,83069,Hemoglobin; urine ,,,1.78,16.47,80
CPT,83070,"Hemosiderin, qualitative ",,,2.14,26.96,80
CPT,83080,"b-Hexosaminidase, each assay ",,,7.59,50.61,80
CPT,83088,HISTAMINE BLOOD,1495.98,1495.98,275.41,1495.98,28
CPT,83088,Histamine ,1495.98,1495.98,13.29,158.63,80
CPT,83090,HOMOCYSTEINE QN,1719.5,1719.5,316.56,1719.5,28
CPT,83090,Homocysteine ,1719.5,1719.5,8.06,53.76,80
CPT,83150,HOMOVANILLIC ACID UR,120.0,120.0,22.09,120.0,28
CPT,83150,Homovanillic acid (HVA) ,120.0,120.0,10.08,109.76,80
CPT,83491,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,8.05,96.93,80
CPT,83497,5 HIAA,1451.0,1451.0,267.13,1451.0,28
CPT,83497,"Hydroxyindolacetic acid, 5-(HIAA) ",1451.0,1451.0,5.81,69.27,80
CPT,83498,HYDROXYPROG 17D,189.0,189.0,34.79,189.0,28
CPT,83498,"Hydroxyprogesterone, 17-d ",189.0,189.0,12.23,152.77,80
CPT,83500,Hydroxyproline; free ,,,10.19,139.07,80
CPT,83505,Hydroxyproline; total ,,,10.94,158.63,80
CPT,83516,ANTI-MPO AB ANCA,30.24,30.24,5.57,30.24,28
CPT,83516,ANTI-PR3 AB ANCA,141.0,141.0,25.96,141.0,28
CPT,83516,ANTIGLOMERULAR B MIA QL,2672.0,2672.0,491.92,2672.0,28
CPT,83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,5.19,56.21,82
CPT,83516,MDA5 (CADM-140) AB IA QL,196.87,196.87,36.24,196.87,28
CPT,83516,MYOSITIS EJ AB QL IA,196.87,196.87,36.24,196.87,28
CPT,83516,MYOSITIS KU AB QL IA,196.87,196.87,36.24,196.87,28
CPT,83516,MYOSITIS MI-2 AB QL IA,196.87,196.87,36.24,196.87,28
CPT,83516,MYOSITIS NXP-2 AB QL IA,196.87,196.87,36.24,196.87,28
CPT,83516,MYOSITIS OJ AB QL IA,196.87,196.87,36.24,196.87,28
CPT,83516,MYOSITIS PL-12 AB QL IA,196.87,196.87,36.24,196.87,28
CPT,83516,MYOSITIS PL-7 AB QL IA,196.87,196.87,36.24,196.87,28
CPT,83516,PARIETAL CELL AB IA QL,899.0,899.0,165.51,899.0,28
CPT,83516,PHOSPHOLIPASE A2 R AB IA,529.2,529.2,97.43,529.2,28
CPT,83516,SAE1 (SUMO ACT ENZ) AB,196.87,196.87,36.24,196.87,28
CPT,83516,SOL LIVER AG IGG QL IA,112.5,112.5,20.71,112.5,28
CPT,83516,SRP AB QL RIPA IA,1010.23,1010.23,185.98,1010.23,28
CPT,83518,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,4.34,37.48,82
CPT,83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",700.88,700.88,8.28,55.2,80
CPT,83519,PROCOLLAGEN 1 N TERM RIA,700.88,700.88,129.03,700.88,28
CPT,83520,ADAMTS 13 AB IA QN,793.8,793.8,146.14,793.8,28
CPT,83520,ALPH SUB UNIT FREE IA QN,266.84,266.84,49.13,266.84,28
CPT,83520,BETA-AMYLOID 42/40 CLEIA,927.36,927.36,170.73,927.36,28
CPT,83520,GM1 AB IA QN IGG,231.84,231.84,42.68,231.84,28
CPT,83520,INHIBIN B IA QN,1537.7,1537.7,283.09,1537.7,28
CPT,83520,INSULIN LIKE GFBP3 IA QN,522.14,522.14,96.13,522.14,28
CPT,83520,INTERFERON GAMMA IA QN,350.0,350.0,64.44,350.0,28
CPT,83520,INTERLEUKIN 1 BETA IA QN,145.94,145.94,26.87,145.94,28
CPT,83520,INTERLEUKIN 12 IA QN,145.94,145.94,26.87,145.94,28
CPT,83520,INTERLEUKIN 13 IA QN,145.94,145.94,26.87,145.94,28
CPT,83520,INTERLEUKIN 17 IA QN,145.94,145.94,26.87,145.94,28
CPT,83520,INTERLEUKIN 2 IA QN,145.94,145.94,26.87,145.94,28
CPT,83520,INTERLEUKIN 2 REC EIA QN,370.0,370.0,68.12,370.0,28
CPT,83520,INTERLEUKIN 4 IA QN,145.94,145.94,26.87,145.94,28
CPT,83520,INTERLEUKIN 5 IA QN,145.94,145.94,26.87,145.94,28
CPT,83520,INTERLEUKIN 8 IA QN,145.94,145.94,26.87,145.94,28
CPT,83520,INTERLEUKIN-10 IA QN,146.0,146.0,26.88,146.0,28
CPT,83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,7.77,70.11,82
CPT,83520,LEPTIN IA QN,123.2,123.2,22.68,123.2,28
CPT,83520,PANCREATIC POLYPEPTID QN,631.75,631.75,116.31,631.75,28
CPT,83520,REG3A AGVHD MKR QN IA,3014.2,3014.2,554.91,3014.2,28
CPT,83520,THROMBOPOIETIN IA QN,621.59,621.59,114.43,621.59,28
CPT,83520,THYROTROPIN REC AB QN IA,385.0,385.0,70.88,385.0,28
CPT,83520,TRYPTASE IA QN,911.89,911.89,167.88,911.89,28
CPT,83520,TU NECROSIS FAC ALPHA QN,237.0,237.0,43.63,237.0,28
CPT,83520,VEGF IA QN,2679.11,2679.11,493.22,2679.11,28
CPT,83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,7.77,51.81,80
CPT,83521,LIGHT CHAINS KAP FREE,157.92,157.92,29.07,157.92,28
CPT,83521,LIGHT CHAINS LAM FREE,157.92,157.92,29.07,157.92,28
CPT,83525,INSULIN TOTAL,347.0,347.0,63.88,347.0,28
CPT,83525,Insulin; total ,347.0,347.0,5.14,63.29,80
CPT,83527,INSULIN FREE,271.16,271.16,49.92,271.16,28
CPT,83527,Insulin; free ,271.16,271.16,5.83,60.46,80
CPT,83528,Intrinsic factor ,,,8.92,90.31,80
CPT,83529,INTERLEUKIN 6 IA QN,340.0,340.0,62.59,340.0,28
CPT,83529,Interleukin-6 (IL-6) ,340.0,340.0,7.77,51.81,80
CPT,83540,IRON,452.0,452.0,83.21,452.0,28
CPT,83540,Iron ,452.0,452.0,2.91,36.73,80
CPT,83550,IRON BINDING,1522.79,1522.79,280.35,1522.79,28
CPT,83550,Iron binding capacity ,1522.79,1522.79,3.93,52.34,80
CPT,83570,Isocitric dehydrogenase (IDH) ,,,3.98,50.4,80
CPT,83582,"Ketogenic steroids, fractionation ",,,6.96,65.69,80
CPT,83586,"Ketosteroids, 17- (17-KS); total ",,,5.76,78.09,80
CPT,83593,"Ketosteroids, 17- (17-KS); fractionation ",,,12.83,146.55,80
CPT,83605,LACTIC ACID,878.0,878.0,161.64,878.0,84
CPT,83605,LACTIC ACID BODY FL,2801.29,2801.29,515.72,2801.29,28
CPT,83605,Lactate (lactic acid) ,,,5.21,60.03,82
CPT,83615,LDH (LD),673.5,673.5,123.99,673.5,84
CPT,83615,LDH (LD) BODY FLUID,673.5,673.5,123.99,673.5,28
CPT,83615,"Lactate dehydrogenase (LD), (LDH); ",,,2.72,33.35,80
CPT,83625,LDH ISOENZYMES,1221.82,1221.82,224.94,1221.82,28
CPT,83625,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",1221.82,1221.82,5.76,48.44,80
CPT,83630,LACTOFERRIN STOOL IA QL,252.0,252.0,46.39,252.0,28
CPT,83630,"Lactoferrin, fecal; qualitative ",252.0,252.0,8.87,59.1,80
CPT,83631,LACTOFERRIN FECAL QN,435.92,435.92,80.25,435.92,28
CPT,83631,"Lactoferrin, fecal; quantitative ",435.92,435.92,8.83,64.39,80
CPT,83632,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,9.1,114.04,80
CPT,83633,"Lactose, urine, qualitative ",,,5.06,65.34,80
CPT,83655,LEAD BLOOD,1451.26,1451.26,267.18,1451.26,28
CPT,83655,LEAD URINE,694.33,694.33,127.83,694.33,28
CPT,83655,Lead ,,,5.45,66.04,82
CPT,83661,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,9.9,121.99,80
CPT,83662,Fetal lung maturity assessment; foam stability test ,,,8.51,100.54,80
CPT,83663,Fetal lung maturity assessment; fluorescence polarization ,,,8.51,56.73,80
CPT,83664,Fetal lung maturity assessment; lamellar body density ,,,7.02,57.96,80
CPT,83670,Leucine aminopeptidase (LAP) ,,,4.41,38.64,80
CPT,83690,LIPASE,673.5,673.5,123.99,673.5,84
CPT,83690,Lipase ,,,3.1,39.1,80
CPT,83695,LIPOPROTEIN (A),45.36,45.36,8.35,45.36,28
CPT,83695,Lipoprotein (a) ,45.36,45.36,6.44,42.96,80
CPT,83698,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,20.84,138.93,80
CPT,83700,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,5.07,36.93,80
CPT,83701,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,15.24,101.58,80
CPT,83704,LDL CHOLESTEROL NMR BLD,878.0,878.0,161.64,878.0,28
CPT,83704,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",878.0,878.0,15.39,103.52,80
CPT,83718,HDL CHOLESTEROL DM,730.11,730.11,134.41,730.11,28
CPT,83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",730.11,730.11,3.69,41.76,82
CPT,83719,"Lipoprotein, direct measurement; VLDL cholesterol ",,,5.74,38.25,80
CPT,83721,"Lipoprotein, direct measurement; LDL cholesterol ",,,4.73,32.54,82
CPT,83722,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,15.39,102.57,80
CPT,83727,Luteinizing releasing factor (LRH) ,,,7.74,77.28,80
CPT,83735,MAGNESIUM BLD,959.57,959.57,176.66,959.57,84
CPT,83735,MAGNESIUM RBC,119.18,119.18,21.94,119.18,28
CPT,83735,MAGNESIUM URINE,932.0,932.0,171.58,932.0,28
CPT,83735,Magnesium ,,,3.02,37.8,80
CPT,83775,Malate dehydrogenase ,,,3.32,41.79,80
CPT,83785,MANGANESE,400.85,400.85,73.8,400.85,28
CPT,83785,Manganese ,400.85,400.85,11.99,135.43,80
CPT,83789,IODINE MS QN EACH SPEC,655.0,655.0,120.59,655.0,28
CPT,83789,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",655.0,655.0,10.85,91.01,80
CPT,83825,MERCURY BLD QUANT,2372.14,2372.14,436.71,2372.14,28
CPT,83825,MERCURY UR QUANT,959.57,959.57,176.66,959.57,28
CPT,83825,"Mercury, quantitative ",,,7.32,86.15,80
CPT,83835,METANEPHRINES FRACT,1716.0,1716.0,315.92,1716.0,28
CPT,83835,Metanephrines ,1716.0,1716.0,7.62,94.91,80
CPT,83857,Methemalbumin ,,,4.83,60.11,80
CPT,83861,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,7.06,67.44,82
CPT,83864,"Mucopolysaccharides, acid, quantitative ",,,12.83,87.91,80
CPT,83872,"Mucin, synovial fluid (Ropes test) ",,,2.64,32.48,80
CPT,83873,"Myelin basic protein, cerebrospinal fluid ",,,7.74,96.9,80
CPT,83874,MYOGLOBIN BLD,1153.28,1153.28,212.32,1153.28,28
CPT,83874,MYOGLOBIN URINE,1087.72,1087.72,200.25,1087.72,28
CPT,83874,Myoglobin ,,,5.81,73.06,80
CPT,83876,Myeloperoxidase (MPO) ,,,22.89,152.58,80
CPT,83880,NATRIURETIC PEPTIDE,1083.1399999999999,1083.1399999999999,188.72,1141.18,84
CPT,83880,Natriuretic peptide ,,,17.67,117.78,82
CPT,83880,PRO-BNP QT,1141.18,1141.18,210.09,1141.18,84
CPT,83883,ALPHA 2 MACRO NEPHELOM,201.45,201.45,37.09,201.45,28
CPT,83883,"Nephelometry, each analyte not elsewhere specified ",201.45,201.45,6.12,46.21,80
CPT,83884,Neurofilament light chain (NfL) ,,,110.42,348.69,68
CPT,83885,Nickel ,,,11.03,136.75,80
CPT,83915,NUCLEOTIDASE 5'-,1701.0,1701.0,313.15,1701.0,28
CPT,83915,Nucleotidase 5'- ,1701.0,1701.0,5.02,52.83,80
CPT,83916,OLIGOCLONAL BANDS,5218.12,5218.12,960.66,5218.12,28
CPT,83916,Oligoclonal immune (oligoclonal bands) ,5218.12,5218.12,12.33,111.99,80
CPT,83918,ORGANIC ACIDS TOTAL QN,1171.15,1171.15,215.61,1171.15,28
CPT,83918,"Organic acids; total, quantitative, each specimen ",1171.15,1171.15,10.62,72.42,80
CPT,83919,ORGANIC ACIDS QL EA SPEC,3840.0,3840.0,706.94,3840.0,28
CPT,83919,"Organic acids; qualitative, each specimen ",3840.0,3840.0,7.4,76.44,80
CPT,83921,METHYLMALONIC ACID QN,4169.13,4169.13,767.54,4169.13,28
CPT,83921,"Organic acid, single, quantitative ",4169.13,4169.13,9.54,63.63,80
CPT,83930,OSMOLALITY BLD,998.3,998.3,183.79,998.3,28
CPT,83930,Osmolality; blood ,998.3,998.3,2.97,36.01,80
CPT,83935,OSMOLALITY UR,616.0,616.0,113.41,616.0,28
CPT,83935,Osmolality; urine ,616.0,616.0,3.07,36.01,80
CPT,83937,Osteocalcin (bone g1a protein) ,,,13.43,89.55,80
CPT,83945,OXALATE,1332.0,1332.0,245.22,1332.0,28
CPT,83945,Oxalate ,1332.0,1332.0,6.5,73.06,80
CPT,83950,Oncoprotein; HER-2/neu ,,,28.98,209.0,80
CPT,83951,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,28.98,220.8,80
CPT,83970,PTH INTACT,1254.6,1254.6,230.97,1254.6,28
CPT,83970,Parathormone (parathyroid hormone) ,1254.6,1254.6,18.58,197.59,80
CPT,83986,PH BODY FLUID,291.0,291.0,53.57,291.0,28
CPT,83986,PH STOOL,291.0,291.0,53.57,291.0,28
CPT,83986,"pH; body fluid, not otherwise specified ",,,1.61,10.74,82
CPT,83987,pH; exhaled breath condensate ,,,1.61,37.19,80
CPT,83992,PHENCYCLIDINE QUANT,37.03,37.03,5.55,37.03,37
CPT,83992,Phencyclidine (PCP) ,37.03,37.03,0.01,83.43,41
CPT,83993,CALPROTECTIN FECAL,2574.78,2574.78,474.02,2574.78,28
CPT,83993,"Calprotectin, fecal ",2574.78,2574.78,8.83,64.39,80
CPT,84030,NEWBORN SCREEN (PKU),1475.11,1475.11,271.57,1475.11,28
CPT,84030,"Phenylalanine (PKU), blood ",1475.11,1475.11,2.48,26.15,80
CPT,84035,"Phenylketones, qualitative ",,,1.79,27.57,80
CPT,84060,"Phosphatase, acid; total ",,,3.44,41.44,80
CPT,84066,"Phosphatase, acid; prostatic ",,,4.35,55.03,80
CPT,84075,ALK PHOS (ALP),496.0,496.0,91.31,496.0,28
CPT,84075,"Phosphatase, alkaline; ",496.0,496.0,2.33,29.36,82
CPT,84078,"Phosphatase, alkaline; heat stable (total not included) ",,,3.72,41.44,80
CPT,84080,ALK PHOS BONE SPECIFIC,357.56,357.56,65.83,357.56,28
CPT,84080,ALK PHOS ISOENZYMES,846.33,846.33,155.81,846.33,28
CPT,84080,"Phosphatase, alkaline; isoenzymes ",,,6.65,66.59,80
CPT,84081,Phosphatidylglycerol ,,,7.43,93.75,80
CPT,84085,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,4.25,36.56,80
CPT,84087,Phosphohexose isomerase ,,,4.83,57.08,80
CPT,84100,PHOSPHORUS BLD,777.77,777.77,143.19,777.77,84
CPT,84100,PHOSPHORUS OTHER,694.44,694.44,127.85,694.44,28
CPT,84100,Phosphorus inorganic (phosphate); ,,,2.13,20.87,80
CPT,84105,PHOSPHORUS UR,700.0,700.0,128.87,700.0,28
CPT,84105,Phosphorus inorganic (phosphate); urine ,700.0,700.0,2.6,28.35,80
CPT,84106,"Porphobilinogen, urine; qualitative ",,,2.62,24.19,80
CPT,84110,PORPHOBILINOGEN UR QUAN,1773.14,1773.14,326.44,1773.14,28
CPT,84110,"Porphobilinogen, urine; quantitative ",1773.14,1773.14,3.8,44.42,80
CPT,84112,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,44.15,294.33,80
CPT,84112,PAMG-1 CVS QL,1096.68,1096.68,201.9,1096.68,84
CPT,84119,"Porphyrins, urine; qualitative ",,,6.01,47.69,80
CPT,84120,PORPHYRINS UR QN + FRACT,128.0,128.0,23.56,128.0,28
CPT,84120,"Porphyrins, urine; quantitation and fractionation ",128.0,128.0,6.62,78.93,80
CPT,84126,"Porphyrins, feces, quantitative ",,,17.6,143.0,80
CPT,84132,POTASSIUM BLD,552.0,552.0,101.62,552.0,84
CPT,84132,"Potassium; serum, plasma or whole blood ",,,2.14,25.81,82
CPT,84133,POTASSIUM UR,499.0,499.0,91.87,499.0,28
CPT,84133,Potassium; urine ,499.0,499.0,2.13,24.42,80
CPT,84134,PREALBUMIN,1317.2,1317.2,242.5,1317.2,28
CPT,84134,Prealbumin ,1317.2,1317.2,6.57,43.77,80
CPT,84135,Pregnanediol ,,,9.57,118.61,80
CPT,84138,Pregnanetriol ,,,9.47,116.99,80
CPT,84140,PREGNENOLONE,336.75,336.75,62.0,336.75,28
CPT,84140,Pregnenolone ,336.75,336.75,9.3,72.91,80
CPT,84143,17-hydroxypregnenolone ,,,10.26,117.8,80
CPT,84144,PROGESTERONE,1737.0,1737.0,319.78,1737.0,28
CPT,84144,Progesterone ,1737.0,1737.0,9.39,99.97,80
CPT,84145,PROCALCITONIN PCT,2607.6,2607.6,480.06,2607.6,28
CPT,84145,Procalcitonin (PCT) ,2607.6,2607.6,12.25,81.66,80
CPT,84146,PROLACTIN,1559.0,1559.0,287.01,1559.0,28
CPT,84146,Prolactin ,1559.0,1559.0,8.72,109.91,80
CPT,84150,"Prostaglandin, each ",,,18.8,140.69,80
CPT,84152,Prostate specific antigen (PSA); complexed (direct measurement) ,,,8.28,59.68,80
CPT,84153,PROS SPEC AG (PSA) TOTAL,2267.84,2267.84,417.51,2267.84,28
CPT,84153,Prostate specific antigen (PSA); total ,2267.84,2267.84,8.28,55.17,80
CPT,84154,PROS SPEC AG FREE,2205.26,2205.26,405.99,2205.26,28
CPT,84154,Prostate specific antigen (PSA); free ,2205.26,2205.26,8.28,92.68,80
CPT,84155,"Protein, total, except by refractometry; serum, plasma or whole blood ",482.75,482.75,1.65,29.36,82
CPT,84155,TOTAL PROTEIN BLD,482.75,482.75,88.87,482.75,28
CPT,84156,"Protein, total, except by refractometry; urine ",825.45,825.45,1.65,12.02,80
CPT,84156,TOTAL PROTEIN URINE QN,825.45,825.45,151.97,825.45,28
CPT,84157,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,1.8,12.02,82
CPT,84157,TOT PROTEIN BODY FLDS QN,628.75,628.75,115.75,628.75,28
CPT,84157,TOTAL PROTEIN CSF QN,628.75,628.75,115.75,628.75,28
CPT,84157,TOTAL PROTEIN OTH SRC QN,103.5,103.5,19.05,103.5,28
CPT,84160,"Protein, total, by refractometry, any source ",,,2.52,16.91,80
CPT,84163,Pregnancy-associated plasma protein-A (PAPP-A) ,,,6.77,49.39,80
CPT,84165,PROTEIN ELECTRO SER,1346.99,1346.99,247.98,1346.99,28
CPT,84165,"Protein; electrophoretic fractionation and quantitation, serum ",1346.99,1346.99,4.83,61.18,82
CPT,84166,PROTEIN ELECTRO CSF,1253.0,1253.0,230.68,1253.0,28
CPT,84166,PROTEIN ELECTRO URINE,1683.76,1683.76,309.98,1683.76,28
CPT,84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,8.02,58.49,82
CPT,84181,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,7.66,72.91,82
CPT,84182,AGNA-1/SOX1 AB IB,296.0,296.0,54.49,296.0,28
CPT,84182,AMPHIPHYSIN AB IB,296.0,296.0,54.49,296.0,28
CPT,84182,CRMP5 IGG BY WB,296.0,296.0,54.49,296.0,28
CPT,84182,DNER LINE BLOT,650.16,650.16,119.69,650.16,28
CPT,84182,MA TA AB WB-BD,2473.45,2473.45,455.36,2473.45,28
CPT,84182,NEUR NUC AB 1 HU WB&BAND,2756.6,2756.6,507.49,2756.6,28
CPT,84182,PCA-TR/DNER AB IB,296.0,296.0,54.49,296.0,28
CPT,84182,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,13.14,87.63,82
CPT,84182,RI AB WB BAND ID,675.0,675.0,124.27,675.0,28
CPT,84182,WESTERN BLOT PROBE B ID,405.0,405.0,74.56,405.0,28
CPT,84182,YO AB WB BAND ID,675.0,675.0,124.27,675.0,28
CPT,84182,ZIC4 AB WB BAND ID,650.16,650.16,119.69,650.16,28
CPT,84202,PROTOPORPHYRIN ZINC QN,1332.07,1332.07,245.23,1332.07,28
CPT,84202,"Protoporphyrin, RBC; quantitative ",1332.07,1332.07,6.46,69.27,80
CPT,84203,"Protoporphyrin, RBC; screen ",,,4.38,34.19,80
CPT,84206,PROINSULIN,345.46,345.46,63.6,345.46,28
CPT,84206,Proinsulin ,345.46,345.46,12.01,87.91,80
CPT,84207,PYRIDOXAL 5 PHOS VIT B6,2321.5,2321.5,427.39,2321.5,28
CPT,84207,Pyridoxal phosphate (Vitamin B-6) ,2321.5,2321.5,12.65,157.5,80
CPT,84210,Pyruvate ,,,6.52,60.95,80
CPT,84220,Pyruvate kinase ,,,4.25,49.71,80
CPT,84228,Quinine ,,,5.23,66.04,80
CPT,84233,Receptor assay; estrogen ,,,39.55,305.16,80
CPT,84234,Receptor assay; progesterone ,,,29.2,305.16,80
CPT,84235,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,32.05,235.82,80
CPT,84238,Receptor assay; non-endocrine (specify receptor) ,402.3,402.3,16.46,200.07,80
CPT,84238,SOLUBLE TRANSFER REC QN,402.3,402.3,74.06,402.3,28
CPT,84244,RENIN,2828.1,2828.1,520.65,2828.1,28
CPT,84244,Renin ,2828.1,2828.1,9.9,124.65,80
CPT,84252,Riboflavin (Vitamin B-2) ,92.28,92.28,9.11,75.54,80
CPT,84252,VITAMIN B2 (RIBOFL),92.28,92.28,16.99,92.28,28
CPT,84255,SELENIUM,1308.25,1308.25,240.85,1308.25,28
CPT,84255,Selenium ,1308.25,1308.25,11.49,88.84,80
CPT,84260,SEROTONIN,2288.69,2288.69,421.35,2288.69,28
CPT,84260,Serotonin ,2288.69,2288.69,13.94,102.57,80
CPT,84270,SEX HORMONE BG,783.75,783.75,144.29,783.75,28
CPT,84270,Sex hormone binding globulin (SHBG) ,783.75,783.75,9.78,86.82,80
CPT,84275,Sialic acid ,,,6.05,71.9,80
CPT,84285,Silica ,,,11.34,133.58,80
CPT,84295,SODIUM BLD,468.0,468.0,86.16,468.0,84
CPT,84295,"Sodium; serum, plasma or whole blood ",,,2.16,26.96,82
CPT,84300,SODIUM UR,404.0,404.0,74.38,404.0,28
CPT,84300,Sodium; urine ,404.0,404.0,2.28,27.63,80
CPT,84302,SODIUM BODY FLUID,479.79,479.79,88.33,479.79,28
CPT,84302,SODIUM STOOL,1472.15,1472.15,271.02,1472.15,28
CPT,84302,Sodium; other source ,,,2.19,15.55,80
CPT,84305,SOMATOMEDIN C IGF-1,310.0,310.0,57.07,310.0,28
CPT,84305,Somatomedin ,310.0,310.0,9.57,194.35,80
CPT,84307,Somatostatin ,,,8.23,191.81,80
CPT,84311,ADENOSINE DEAMINASE SPEC,978.08,978.08,180.06,978.08,28
CPT,84311,CHOLESTEROL OTHER SPEC,76.95,76.95,9.28,103.5,56
CPT,84311,PHOSPHOLIPIDS SPECTRO,703.27,703.27,129.47,703.27,28
CPT,84311,POTASSIUM FECES AA,219.04,219.04,40.33,219.04,28
CPT,84311,"Spectrophotometry, analyte not elsewhere specified ",,,3.65,24.3,80
CPT,84315,SP GRAV BDY FLUID NOT UR,351.61,351.61,64.73,351.61,28
CPT,84315,Specific gravity (except urine) ,351.61,351.61,1.48,11.16,80
CPT,84375,"Sugars, chromatographic, TLC or paper chromatography ",,,7.87,117.0,80
CPT,84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,2.48,27.74,80
CPT,84377,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,2.48,27.74,80
CPT,84378,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,5.19,58.06,80
CPT,84379,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,5.19,58.06,80
CPT,84392,"Sulfate, urine ",,,2.47,187.68,80
CPT,84393,TAU PHOSPHORYLATED EA,1050.0,1050.0,178.5,1050.0,36
CPT,84393,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",1050.0,1050.0,122.47,386.76,68
CPT,84394,TOTAL TAU,1050.0,1050.0,178.5,1050.0,36
CPT,84394,"Tau, total (tTau) ",1050.0,1050.0,122.47,386.76,68
CPT,84402,TESTOSTERONE FREE,1019.2,1019.2,187.63,1019.2,28
CPT,84402,Testosterone; free ,1019.2,1019.2,11.46,187.68,80
CPT,84403,TESTOSTERONE TOTAL,2446.0,2446.0,450.31,2446.0,28
CPT,84403,Testosterone; total ,2446.0,2446.0,11.61,146.15,80
CPT,84410,TESTOSTERONE BIOAVAL D M,640.71,640.71,117.95,640.71,28
CPT,84410,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",640.71,640.71,23.08,170.34,80
CPT,84425,Thiamine (Vitamin B-1) ,2410.9,2410.9,9.55,119.91,80
CPT,84425,VITAMIN B1 THIAMINE,2410.9,2410.9,443.85,2410.9,28
CPT,84430,Thiocyanate ,,,5.23,63.55,80
CPT,84431,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,15.8,105.33,80
CPT,84432,THYROGLOBULIN,240.0,240.0,44.18,240.0,28
CPT,84432,Thyroglobulin ,240.0,240.0,7.23,112.68,80
CPT,84433,THIOPURINE METHTRAN NRS,2702.96,2702.96,497.61,2702.96,28
CPT,84433,Thiopurine S-methyltransferase (TPMT) ,2702.96,2702.96,9.98,66.51,80
CPT,84436,THYROXINE T4 TOTAL,658.58,658.58,121.24,658.58,28
CPT,84436,Thyroxine; total ,658.58,658.58,3.09,33.35,80
CPT,84437,"Thyroxine; requiring elution (eg, neonatal) ",,,2.91,33.35,80
CPT,84439,T4 FREE,1311.21,1311.21,241.39,1311.21,84
CPT,84439,Thyroxine; free ,,,4.06,42.8,80
CPT,84442,THYROXINE BG (TBG),2035.39,2035.39,374.72,2035.39,28
CPT,84442,Thyroxine binding globulin (TBG) ,2035.39,2035.39,6.65,55.52,80
CPT,84443,TSH,1880.41,1880.41,346.18,1880.41,84
CPT,84443,Thyroid stimulating hormone (TSH) ,,,7.56,95.34,82
CPT,84445,THYROID STIM IMMUNO TSI,1504.93,1504.93,277.06,1504.93,28
CPT,84445,Thyroid stimulating immune globulins (TSI) ,1504.93,1504.93,22.89,152.58,80
CPT,84446,Tocopherol alpha (Vitamin E) ,1641.98,1641.98,6.38,78.09,80
CPT,84446,VITAMIN E,1641.98,1641.98,302.29,1641.98,28
CPT,84449,Transcortin (cortisol binding globulin) ,,,8.1,93.12,80
CPT,84450,AST (SGOT),790.0,790.0,145.44,790.0,28
CPT,84450,Transferase; aspartate amino (AST) (SGOT) ,790.0,790.0,2.33,29.36,82
CPT,84460,ALT (SGPT),703.27,703.27,129.47,703.27,28
CPT,84460,Transferase; alanine amino (ALT) (SGPT) ,703.27,703.27,2.38,29.36,82
CPT,84466,TRANSFERRIN,1054.95,1054.95,194.22,1054.95,28
CPT,84466,Transferrin ,1054.95,1054.95,5.74,59.04,80
CPT,84478,TRIGLYCERIDES,774.0,774.0,142.49,774.0,84
CPT,84478,TRIGLYCERIDES OTHER,414.22,414.22,76.26,414.22,28
CPT,84478,Triglycerides ,,,2.58,34.33,82
CPT,84479,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,2.91,27.51,80
CPT,84480,T3 TOTAL,1016.16,1016.16,187.08,1016.16,28
CPT,84480,Triiodothyronine T3; total (TT-3) ,1016.16,1016.16,6.38,78.09,80
CPT,84481,T3 FREE,846.33,846.33,155.81,846.33,28
CPT,84481,Triiodothyronine T3; free ,846.33,846.33,7.62,96.15,80
CPT,84482,T3 REVERSE,774.79,774.79,142.64,774.79,28
CPT,84482,Triiodothyronine T3; reverse ,774.79,774.79,7.09,194.09,80
CPT,84484,TROPONIN QUANT,881.0,881.0,162.19,881.0,84
CPT,84484,"Troponin, quantitative ",,,5.61,125.57,80
CPT,84485,TRYPSIN DUODENAL,103.5,103.5,19.05,103.5,28
CPT,84485,Trypsin; duodenal fluid ,103.5,103.5,3.24,42.57,80
CPT,84488,"Trypsin; feces, qualitative ",,,3.29,40.23,80
CPT,84490,"Trypsin; feces, quantitative, 24-hour collection ",,,4.47,41.99,80
CPT,84510,Tyrosine ,,,4.78,59.04,80
CPT,84512,"Troponin, qualitative ",,,4.54,31.33,80
CPT,84520,BUN,544.0,544.0,100.15,544.0,28
CPT,84520,UREA NITROGEN OTHER,488.68,488.68,89.97,488.68,28
CPT,84520,Urea nitrogen; quantitative ,,,1.78,22.43,82
CPT,84525,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,2.31,21.27,80
CPT,84540,URINE UREA NITROGEN,569.18,569.18,104.79,569.18,28
CPT,84540,"Urea nitrogen, urine ",569.18,569.18,2.5,20.46,80
CPT,84545,"Urea nitrogen, clearance ",,,3.24,24.88,80
CPT,84550,URIC ACID BLD,587.04,587.04,108.07,587.04,84
CPT,84550,Uric acid; blood ,,,2.03,24.57,82
CPT,84560,URIC ACID BODY FLD,569.18,569.18,104.79,569.18,28
CPT,84560,URIC ACID UR,569.0,569.0,104.75,569.0,28
CPT,84560,Uric acid; other source ,,,2.29,26.96,80
CPT,84577,"Urobilinogen, feces, quantitative ",,,7.56,50.4,80
CPT,84578,"Urobilinogen, urine; qualitative ",,,2.01,18.24,80
CPT,84580,"Urobilinogen, urine; quantitative, timed specimen ",,,4.3,29.33,80
CPT,84583,"Urobilinogen, urine; semiquantitative ",,,2.72,27.25,80
CPT,84585,VMA URINE,53.0,53.0,9.76,53.0,28
CPT,84585,"Vanillylmandelic acid (VMA), urine ",53.0,53.0,6.98,81.27,80
CPT,84586,VASO INTEST PEPTIDE(VIP),424.0,424.0,78.06,424.0,28
CPT,84586,Vasoactive intestinal peptide (VIP) ,424.0,424.0,14.09,105.99,80
CPT,84588,ADH (VASOPRESSIN),3349.61,3349.61,616.66,3349.61,28
CPT,84588,"Vasopressin (antidiuretic hormone, ADH) ",3349.61,3349.61,15.27,192.65,80
CPT,84590,VITAMIN A,1683.76,1683.76,309.98,1683.76,28
CPT,84590,Vitamin A ,1683.76,1683.76,5.22,75.4,80
CPT,84591,NIACIN VIT B 3,518.53,518.53,95.46,518.53,28
CPT,84591,"Vitamin, not otherwise specified ",518.53,518.53,7.68,51.18,80
CPT,84597,VITAMIN K,685.38,685.38,126.18,685.38,28
CPT,84597,Vitamin K ,685.38,685.38,6.17,77.74,80
CPT,84600,"Volatiles (eg, acetic anhydride, diethylether) ",,,7.7,86.15,80
CPT,84620,"Xylose absorption test, blood and/or urine ",,,5.81,66.27,80
CPT,84630,ZINC BLOOD,1266.52,1266.52,233.17,1266.52,28
CPT,84630,Zinc ,1266.52,1266.52,5.13,64.16,80
CPT,84681,C-PEPTIDE,1656.92,1656.92,305.04,1656.92,28
CPT,84681,C-peptide ,1656.92,1656.92,9.36,114.91,80
CPT,84702,"Gonadotropin, chorionic (hCG); quantitative ",,,6.77,85.37,80
CPT,84702,HCG BETA QUANTITATIVE,1546.66,1546.66,284.74,1546.66,84
CPT,84702,HCG QUANT TUMOR,1546.66,1546.66,284.74,1546.66,28
CPT,84703,"Gonadotropin, chorionic (hCG); qualitative ",,,3.38,42.28,82
CPT,84703,HCG QL SERUM/URINE INSTR,226.8,226.8,41.75,226.8,56
CPT,84703,HCG QUALITATIVE SERUM,843.32,843.32,155.26,843.32,84
CPT,84704,"Gonadotropin, chorionic (hCG); free beta chain ",,,6.88,49.36,80
CPT,84830,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,5.71,38.1,80
CPT,84999,OSMOLAL FECES,37.03,37.03,5.55,37.03,39
CPT,84999,POTASSIUM BODY FLUID,75.0,75.0,11.25,75.0,39
CPT,84999,Unlisted chemistry procedure ,,,47.13,53.11,2
CPT,85002,Bleeding time ,,,2.17,25.14,80
CPT,85004,Blood count; automated differential WBC count ,,,2.91,20.2,80
CPT,85007,"Blood count; blood smear, microscopic examination with manual differential WBC count ",601.34,601.34,1.71,19.57,80
CPT,85007,MANUAL DIFFERENTIAL,601.34,601.34,110.71,601.34,28
CPT,85008,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,1.54,15.32,80
CPT,85009,"Blood count; manual differential WBC count, buffy coat ",,,2.28,21.1,80
CPT,85013,Blood count; spun microhematocrit ,,,3.15,32.02,80
CPT,85014,Blood count; hematocrit (Hct) ,482.75,482.75,1.07,13.38,82
CPT,85014,HEMATOCRIT,482.75,482.75,88.87,482.75,28
CPT,85018,Blood count; hemoglobin (Hgb) ,482.75,482.75,1.07,13.38,82
CPT,85018,HEMOGLOBIN,482.75,482.75,88.87,482.75,28
CPT,85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,3.5,43.75,82
CPT,85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,2.91,36.73,80
CPT,85027,CBC AUTOMATED,628.75,628.75,115.75,628.75,84
CPT,85032,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,1.94,13.24,80
CPT,85041,"Blood count; red blood cell (RBC), automated ",411.21,411.21,1.36,13.76,80
CPT,85041,RBC COUNT BLD AUTO,411.21,411.21,75.7,411.21,28
CPT,85044,"Blood count; reticulocyte, manual ",,,1.94,24.42,80
CPT,85045,"Blood count; reticulocyte, automated ",569.18,569.18,1.8,21.88,80
CPT,85045,RETIC COUNT AUTO,569.18,569.18,104.79,569.18,28
CPT,85046,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",90.0,90.0,2.51,28.15,80
CPT,85046,RETIC CT AUTO W/RET-HE,90.0,90.0,16.57,90.0,28
CPT,85048,"Blood count; leukocyte (WBC), automated ",,,1.14,14.25,80
CPT,85048,EOSINOPHIL COUNT BLD AUT,569.18,569.18,104.79,569.18,28
CPT,85048,WBC COUNT BLD AUTO,351.61,351.61,64.73,351.61,28
CPT,85049,"Blood count; platelet, automated ",673.5,673.5,2.02,14.02,80
CPT,85049,PLATELET AUTOMATED,673.5,673.5,123.99,673.5,28
CPT,85055,Reticulated platelet assay ,,,16.08,107.22,80
CPT,85060,"Blood smear, peripheral, interpretation by physician with written report ",,,18.48,60.08,44
CPT,85097,"Bone marrow, smear interpretation ",,,37.15,656.15,45
CPT,85130,Chromogenic substrate assay ,,,5.35,594.04,80
CPT,85170,Clot retraction ,,,4.94,48.9,80
CPT,85175,"Clot lysis time, whole blood dilution ",,,6.21,61.11,80
CPT,85210,"Clotting; factor II, prothrombin, specific ",2428.75,2428.75,5.84,64.1,80
CPT,85210,FACTOR 2 PROTHROMBIN,2428.75,2428.75,447.13,2428.75,28
CPT,85220,"Clotting; factor V (AcG or proaccelerin), labile factor ",2223.14,2223.14,7.94,97.08,80
CPT,85220,FACTOR 5 LABILE,2223.14,2223.14,409.28,2223.14,28
CPT,85230,"Clotting; factor VII (proconvertin, stable factor) ",1605.0,1605.0,8.05,97.71,80
CPT,85230,FACTOR 7 STABLE,1605.0,1605.0,295.48,1605.0,28
CPT,85240,"Clotting; factor VIII (AHG), 1-stage ",932.0,932.0,8.05,98.81,80
CPT,85240,FACTOR 8 ACTIVITY 1STAGE,932.0,932.0,171.58,932.0,28
CPT,85244,Clotting; factor VIII related antigen ,,,9.19,112.97,80
CPT,85245,"Clotting; factor VIII, VW factor, ristocetin cofactor ",924.0,924.0,10.32,119.15,80
CPT,85245,FACTOR 8 RISTOCETIN,924.0,924.0,170.11,924.0,28
CPT,85246,"Clotting; factor VIII, VW factor antigen ",408.22,408.22,10.32,129.1,80
CPT,85246,FACTOR 8 VW AG,408.22,408.22,75.15,408.22,28
CPT,85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",625.81,625.81,10.32,137.42,80
CPT,85247,FACTOR 8 VW MULTIMERS,625.81,625.81,115.21,625.81,28
CPT,85250,Clotting; factor IX (PTC or Christmas) ,2222.0,2222.0,8.57,103.95,80
CPT,85250,FACTOR 9 ACTIVITY,2222.0,2222.0,409.07,2222.0,28
CPT,85260,Clotting; factor X (Stuart-Prower) ,2226.1,2226.1,8.05,101.61,80
CPT,85260,FACTOR 10 ASSAY,2226.1,2226.1,409.83,2226.1,28
CPT,85270,Clotting; factor XI (PTA) ,1782.08,1782.08,8.05,101.61,80
CPT,85270,FACTOR 11 ACTIVITY,1782.08,1782.08,328.08,1782.08,28
CPT,85280,Clotting; factor XII (Hageman) ,256.59,256.59,8.71,101.61,80
CPT,85280,FACTOR 12 ASSAY,256.59,256.59,47.24,256.59,28
CPT,85290,Clotting; factor XIII (fibrin stabilizing) ,1537.0,1537.0,7.35,57.28,80
CPT,85290,FACTOR 13 ACTIVITY QN,1537.0,1537.0,282.96,1537.0,28
CPT,85291,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,4.1,50.46,80
CPT,85292,Clotting; prekallikrein assay (Fletcher factor assay) ,,,8.52,107.51,80
CPT,85293,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,8.52,107.51,80
CPT,85300,ANTITHROMBIN 3 ACT,2604.58,2604.58,479.5,2604.58,28
CPT,85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",2604.58,2604.58,5.33,60.95,80
CPT,85301,ANTITHROMBIN 3 AG,80.45,80.45,14.81,80.45,28
CPT,85301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",80.45,80.45,4.86,61.33,80
CPT,85302,"Clotting inhibitors or anticoagulants; protein C, antigen ",2020.49,2020.49,5.4,68.23,80
CPT,85302,PROTEIN C AG,2020.49,2020.49,371.97,2020.49,28
CPT,85303,"Clotting inhibitors or anticoagulants; protein C, activity ",2020.49,2020.49,6.23,41.52,80
CPT,85303,PROTEIN C ACTIVITY,2020.49,2020.49,371.97,2020.49,28
CPT,85305,"Clotting inhibitors or anticoagulants; protein S, total ",2011.56,2011.56,5.22,67.08,80
CPT,85305,PROTEIN S ANTIGEN TOTAL,2011.56,2011.56,370.33,2011.56,28
CPT,85306,"Clotting inhibitors or anticoagulants; protein S, free ",,,6.89,45.96,80
CPT,85306,PROTEIN S FREE,2020.49,2020.49,371.97,2020.49,28
CPT,85306,PROTEIN S FUNCTIONAL,336.75,336.75,62.0,336.75,28
CPT,85307,APC RESISTANCE,1260.54,1260.54,232.07,1260.54,28
CPT,85307,Activated Protein C (APC) resistance assay ,1260.54,1260.54,6.89,46.38,80
CPT,85335,FACTOR 8 INHIBITOR,795.1,795.1,146.38,795.1,28
CPT,85335,FACTOR 9 INHIBITOR ASSAY,1463.66,1463.66,269.46,1463.66,28
CPT,85335,Factor inhibitor test ,,,5.79,38.61,80
CPT,85337,Thrombomodulin ,,,7.77,131.96,80
CPT,85345,Coagulation time; Lee and White ,,,2.11,24.42,80
CPT,85347,ACT CLOT TIME,112.5,112.5,20.71,112.5,28
CPT,85347,ACT CLOT TIME KAOLIN CK,1193.23,1193.23,219.67,1193.23,28
CPT,85347,ACT KAOLIN/HEPARINAS CKH,1007.24,1007.24,185.43,1007.24,28
CPT,85347,Coagulation time; activated ,,,1.93,23.55,80
CPT,85348,Coagulation time; other methods ,,,2.02,13.76,80
CPT,85360,Euglobulin lysis ,,,3.78,47.28,80
CPT,85362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,3.1,38.64,80
CPT,85366,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,11.75,241.38,80
CPT,85370,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,5.59,53.61,80
CPT,85378,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,4.37,60.83,80
CPT,85379,D-DIMER QUANT,252.0,252.0,46.39,252.0,84
CPT,85379,"Fibrin degradation products, D-dimer; quantitative ",,,4.58,66.93,80
CPT,85380,D-DIMER ULTRASEN QL SEMI,778.0,778.0,143.23,778.0,28
CPT,85380,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",778.0,778.0,4.58,31.85,80
CPT,85384,FIBRINOGEN ACTIVITY,1007.24,1007.24,185.43,1007.24,28
CPT,85384,FUNCT FIBRINOGEN ACT CFF,1193.23,1193.23,219.67,1193.23,28
CPT,85384,Fibrinogen; activity ,,,4.37,32.51,80
CPT,85385,Fibrinogen; antigen ,,,6.51,43.38,80
CPT,85390,COAG INTERPRETATION,337.68,337.68,62.17,337.68,28
CPT,85390,"Fibrinolysins or coagulopathy screen, interpretation and report ",337.68,337.68,6.97,46.44,82
CPT,85396,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,14.99,47.97,45
CPT,85397,ADAMTS-13,1230.76,1230.76,226.58,1230.76,28
CPT,85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",1230.76,1230.76,13.89,92.58,80
CPT,85400,Fibrinolytic factors and inhibitors; plasmin ,,,3.47,48.44,80
CPT,85410,ALPHA-2 ANTIPLASMIN,271.16,271.16,49.92,271.16,28
CPT,85410,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,271.16,271.16,3.47,23.13,80
CPT,85415,Fibrinolytic factors and inhibitors; plasminogen activator ,,,7.74,51.57,80
CPT,85420,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,2.94,27.51,80
CPT,85421,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,4.58,57.8,80
CPT,85441,Heinz bodies; direct ,,,1.89,23.84,80
CPT,85445,"Heinz bodies; induced, acetyl phenylhydrazine ",,,3.07,36.85,80
CPT,85460,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",747.0,747.0,3.48,43.75,80
CPT,85460,KB STAIN (FETAL BLEED),747.0,747.0,137.52,747.0,28
CPT,85461,FETAL SCREEN (ROSETTE),673.5,673.5,123.99,673.5,28
CPT,85461,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",673.5,673.5,4.21,34.33,80
CPT,85475,"Hemolysin, acid ",,,3.99,58.29,80
CPT,85520,HEPARIN ANTI XA,943.0,943.0,173.61,943.0,28
CPT,85520,Heparin assay ,943.0,943.0,5.89,73.2,80
CPT,85525,Heparin neutralization ,,,5.33,119.15,80
CPT,85530,Heparin-protamine tolerance test ,,,5.89,80.49,80
CPT,85536,"Iron stain, peripheral blood ",,,3.1,21.01,80
CPT,85540,Leukocyte alkaline phosphatase with count ,,,3.87,46.9,80
CPT,85547,"Mechanical fragility, RBC ",,,3.87,28.84,80
CPT,85549,MURAMIDASE LYSOZYME,2187.36,2187.36,402.69,2187.36,28
CPT,85549,Muramidase ,2187.36,2187.36,8.44,88.84,80
CPT,85555,OSMOTIC FRAGILITY UNINC,675.0,675.0,124.27,675.0,28
CPT,85555,"Osmotic fragility, RBC; unincubated ",675.0,675.0,3.36,36.73,80
CPT,85557,"Osmotic fragility, RBC; incubated ",,,6.01,75.86,80
CPT,85576,PLATELET AGGREGATION,337.68,337.68,62.17,337.68,28
CPT,85576,PLT AGG ACTIVATOR F ACTF,464.18,464.18,85.46,464.18,28
CPT,85576,PLT AGGREG RAPID-TEG CRT,1193.23,1193.23,219.67,1193.23,28
CPT,85576,PLT AGGREGATE A ACID,464.18,464.18,85.46,464.18,28
CPT,85576,PLT AGGREGATE ADP,464.18,464.18,85.46,464.18,28
CPT,85576,PLT AGGREGATE COLL/ADP,372.48,372.48,68.57,372.48,28
CPT,85576,PLT AGGREGATE COLL/EPI,730.11,730.11,134.41,730.11,28
CPT,85576,PLT AGGREGATE P2Y12,1099.62,1099.62,202.44,1099.62,28
CPT,85576,PLTAGG KAOLIN/HEPARINASE,464.18,464.18,85.46,464.18,28
CPT,85576,"Platelet, aggregation (in vitro), each agent ",,,11.21,116.38,84
CPT,85597,Phospholipid neutralization; platelet ,,,8.09,53.94,80
CPT,85598,HEXAGONAL PHOSPHOLIPID,110.82,110.82,20.4,110.82,28
CPT,85598,Phospholipid neutralization; hexagonal phospholipid ,110.82,110.82,8.09,59.39,80
CPT,85610,PROTIME,646.0,646.0,118.93,646.0,84
CPT,85610,Prothrombin time; ,,,1.93,22.34,82
CPT,85611,PT SUBSTITUTION MIXING,483.0,483.0,88.92,483.0,28
CPT,85611,"Prothrombin time; substitution, plasma fractions, each ",483.0,483.0,1.77,43.75,80
CPT,85612,Russell viper venom time (includes venom); undiluted ,,,7.87,52.47,80
CPT,85613,RUSSELL VIPER DILUTED,1150.32,1150.32,211.77,1150.32,28
CPT,85613,Russell viper venom time (includes venom); diluted ,1150.32,1150.32,4.31,57.16,80
CPT,85635,Reptilase test ,,,4.43,55.86,80
CPT,85651,"Sedimentation rate, erythrocyte; non-automated ",,,1.92,20.09,80
CPT,85652,SED RATE AUTO,649.63,649.63,119.6,649.63,84
CPT,85652,"Sedimentation rate, erythrocyte; automated ",,,1.22,13.96,80
CPT,85660,SICKLE CELL SCREEN,452.95,452.95,83.39,452.95,28
CPT,85660,"Sickling of RBC, reduction ",452.95,452.95,2.48,24.39,80
CPT,85670,THROMBIN TIME,715.21,715.21,131.67,715.21,28
CPT,85670,Thrombin time; plasma ,715.21,715.21,2.6,31.7,80
CPT,85675,Thrombin time; titer ,,,3.08,28.84,80
CPT,85705,"Thromboplastin inhibition, tissue ",,,4.33,135.86,80
CPT,85730,PTT,801.63,801.63,147.58,801.63,84
CPT,85730,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,2.7,34.04,80
CPT,85732,PTT SUBSTITUTION MIXING,846.33,846.33,155.81,846.33,28
CPT,85732,PTT-LA MIXING STUDY,801.63,801.63,147.58,801.63,28
CPT,85732,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,2.91,36.73,80
CPT,85810,VISCOSITY,1701.59,1701.59,313.26,1701.59,28
CPT,85810,Viscosity ,1701.59,1701.59,5.25,55.52,80
CPT,85999,Unlisted hematology and coagulation procedure ,,,47.13,53.11,2
CPT,86000,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,3.14,39.04,80
CPT,86001,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,3.52,23.46,80
CPT,86003,ALLERGEN IGE EACH,163.9,163.9,30.17,163.9,28
CPT,86003,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",163.9,163.9,2.35,62.34,80
CPT,86005,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,3.59,28.21,80
CPT,86008,ALLERGEN IGE REC/PURIF E,31.88,31.88,5.87,31.88,28
CPT,86008,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",31.88,31.88,8.07,53.79,80
CPT,86015,ACTIN ASMA AB IGG QN IA,92.37,92.37,17.01,92.37,28
CPT,86015,"Actin (smooth muscle) antibody (ASMA), each ",92.37,92.37,5.42,36.15,80
CPT,86021,Antibody identification; leukocyte antibodies ,,,6.77,45.15,80
CPT,86022,Antibody identification; platelet antibodies ,,,8.27,55.11,80
CPT,86022,PLATELET AB HLA CLASS,264.38,264.38,48.67,264.38,28
CPT,86022,PLT AB HEPARIN INDUCED,2625.43,2625.43,483.34,2625.43,28
CPT,86023,Antibody identification; platelet associated immunoglobulin assay ,,,5.61,60.0,80
CPT,86036,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,5.42,36.15,80
CPT,86037,ANCA CYTOPLASMIC TITER,369.0,369.0,67.93,369.0,28
CPT,86037,ANCA PERINUCLEAR TITER,369.0,369.0,67.93,369.0,28
CPT,86037,ANCA-P ATYPICAL AB TITER,369.0,369.0,67.93,369.0,28
CPT,86037,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,5.42,36.15,80
CPT,86038,ANA QUAL SCREEN,1782.08,1782.08,328.08,1782.08,28
CPT,86038,Antinuclear antibodies (ANA); ,1782.08,1782.08,5.44,68.44,80
CPT,86039,ANA QUANT TITER,125.25,125.25,23.06,125.25,28
CPT,86039,Antinuclear antibodies (ANA); titer ,125.25,125.25,5.02,43.75,80
CPT,86041,ACHR RCPT BND AB,279.0,279.0,47.43,279.0,32
CPT,86041,Acetylcholine receptor (AChR); binding antibody ,279.0,279.0,8.28,55.2,73
CPT,86042,ACHR RCPT BLCK AB,1487.06,1487.06,252.8,1487.06,32
CPT,86042,Acetylcholine receptor (AChR); blocking antibody ,1487.06,1487.06,8.28,55.2,73
CPT,86043,ACHR RCPT MODLG AB,1487.06,1487.06,252.8,1487.06,32
CPT,86043,Acetylcholine receptor (AChR); modulating antibody ,1487.06,1487.06,5.42,36.15,73
CPT,86051,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,5030.38,5030.38,5.19,34.59,80
CPT,86051,NEUROMYELIT OPT AB IA QN,5030.38,5030.38,926.09,5030.38,28
CPT,86052,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,5.42,36.15,80
CPT,86053,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,9.58,113.19,80
CPT,86060,ANTISTREPTOLYSIN O QN,730.11,730.11,134.41,730.11,28
CPT,86060,Antistreptolysin 0; titer ,730.11,730.11,3.29,41.44,80
CPT,86063,Antistreptolysin 0; screen ,,,2.6,32.83,80
CPT,86077,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,69.46,45
CPT,86078,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,38.14,149.16,44
CPT,86079,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,31.26,69.46,44
CPT,86140,C-REACTIVE PROTEIN,747.97,747.97,137.7,747.97,84
CPT,86140,C-reactive protein; ,,,2.33,24.88,80
CPT,86141,C-reactive protein; high sensitivity (hsCRP) ,,,5.83,42.02,80
CPT,86146,BETA 2 GLYCOPROT1 AB IGA,244.12,244.12,44.94,244.12,28
CPT,86146,BETA 2 GLYCOPROT1 AB IGG,244.12,244.12,44.94,244.12,28
CPT,86146,BETA 2 GLYCOPROT1 AB IGM,244.12,244.12,44.94,244.12,28
CPT,86146,"Beta 2 Glycoprotein I antibody, each ",,,11.45,76.35,80
CPT,86147,CARDIOLIPIN AB IGA,1114.51,1114.51,205.18,1114.51,28
CPT,86147,CARDIOLIPIN AB IGG,1114.51,1114.51,205.18,1114.51,28
CPT,86147,CARDIOLIPIN AB IGM,1114.51,1114.51,205.18,1114.51,28
CPT,86147,"Cardiolipin (phospholipid) antibody, each Ig class ",,,11.45,139.5,80
CPT,86148,Anti-phosphatidylserine (phospholipid) antibody ,,,7.23,75.23,80
CPT,86148,PHOSPHATIDYLSER AB IGA,959.57,959.57,176.66,959.57,28
CPT,86148,PHOSPHATIDYLSER AB IGG,959.57,959.57,176.66,959.57,28
CPT,86148,PHOSPHATIDYLSER AB IGM,959.57,959.57,176.66,959.57,28
CPT,86152,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,112.85,752.34,80
CPT,86153,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); physician interpretation and report, when required ",,,110.9,110.9,6
CPT,86155,"Chemotaxis assay, specify method ",,,7.2,65.34,80
CPT,86156,Cold agglutinin; screen ,,,3.63,29.54,80
CPT,86157,COLD AGGLUTININ TITER,673.5,673.5,123.99,673.5,28
CPT,86157,Cold agglutinin; titer ,673.5,673.5,3.63,37.43,80
CPT,86160,C1 ESTERASE INHIBITOR IA,324.81,324.81,59.8,324.81,28
CPT,86160,COMPLEMENT C1 Q,1114.51,1114.51,205.18,1114.51,28
CPT,86160,COMPLEMENT C2,1785.08,1785.08,328.63,1785.08,28
CPT,86160,COMPLEMENT C3,1299.32,1299.32,239.2,1299.32,28
CPT,86160,COMPLEMENT C4,1114.51,1114.51,205.18,1114.51,28
CPT,86160,COMPLEMENT C5,2321.5,2321.5,427.39,2321.5,28
CPT,86160,COMPLEMENT FACTOR SC5B-9,643.97,643.97,118.55,643.97,28
CPT,86160,"Complement; antigen, each component ",,,5.4,48.87,80
CPT,86161,COMPLEMENT C1 EST ACT,324.81,324.81,59.8,324.81,28
CPT,86161,"Complement; functional activity, each component ",324.81,324.81,5.4,48.87,80
CPT,86162,COMPLEMENT TOT CH50,1168.18,1168.18,215.06,1168.18,28
CPT,86162,Complement; total hemolytic (CH50) ,1168.18,1168.18,9.14,113.35,80
CPT,86171,"Complement fixation tests, each antigen ",,,4.5,53.55,80
CPT,86200,ANTI-CCP,1430.44,1430.44,263.34,1430.44,28
CPT,86200,"Cyclic citrullinated peptide (CCP), antibody ",1430.44,1430.44,5.83,42.48,80
CPT,86215,DNASE ANTIBODY,1266.52,1266.52,233.17,1266.52,28
CPT,86215,"Deoxyribonuclease, antibody ",1266.52,1266.52,5.96,74.76,80
CPT,86225,DS DNA AB,1221.82,1221.82,224.94,1221.82,28
CPT,86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,1221.82,1221.82,6.18,78.09,80
CPT,86226,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,5.45,78.09,80
CPT,86231,ENDOMYSIAL FA AB QL,178.0,178.0,32.77,178.0,28
CPT,86231,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",178.0,178.0,5.44,36.27,80
CPT,86235,ANTI-RNA POLY3 RP155 IGG,179.78,179.78,33.1,179.78,28
CPT,86235,ANTI-TIF-1GAMMA AB,196.87,196.87,36.24,196.87,28
CPT,86235,ANTI-U3 RNP FIBRILLARIN,196.87,196.87,36.24,196.87,28
CPT,86235,CENTROMERE B AB IA,1055.0,1055.0,194.23,1055.0,28
CPT,86235,CHROMATIN AB,25.2,25.2,4.64,25.2,28
CPT,86235,EJ ANTIBODY,202.5,202.5,37.28,202.5,28
CPT,86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,8.07,99.91,80
CPT,86235,HISTONE AB QN EIA,2133.71,2133.71,392.82,2133.71,28
CPT,86235,JO-1 ANTIBODY,881.0,881.0,162.19,881.0,28
CPT,86235,PL-12 AB,202.5,202.5,37.28,202.5,28
CPT,86235,PL-7 AB,202.5,202.5,37.28,202.5,28
CPT,86235,PM SCL (PM1) AB,220.49,220.49,40.59,220.49,28
CPT,86235,RIBOSOMAL P AB,95.76,95.76,17.63,95.76,28
CPT,86235,RNP ANTIBODY,1055.0,1055.0,194.23,1055.0,28
CPT,86235,SCLERODERMA 70 AB,2336.38,2336.38,430.13,2336.38,28
CPT,86235,SJOGRENS A AB (SSA),104.29,104.29,19.2,104.29,28
CPT,86235,SJOGRENS B AB (SSB),104.29,104.29,19.2,104.29,28
CPT,86235,SMITH ANTIBODY,1055.0,1055.0,194.23,1055.0,28
CPT,86235,SSA-52 (RO52) ENA IGG AB,196.87,196.87,36.24,196.87,28
CPT,86235,U1 RNP ENA IGG AB,196.87,196.87,36.24,196.87,28
CPT,86235,U2 RNP ENA AB,196.87,196.87,36.24,196.87,28
CPT,86255,ADRENAL FA AB QL,1115.0,1115.0,205.27,1115.0,28
CPT,86255,AGNA-1 AB BY FA,1846.07,1846.07,339.86,1846.07,28
CPT,86255,AMPA-R-1 CBA,650.16,650.16,119.69,650.16,28
CPT,86255,AMPA-R-2 CBA,650.16,650.16,119.69,650.16,28
CPT,86255,AMPA-R1 ANTIBODY,1204.0,1204.0,221.66,1204.0,28
CPT,86255,AMPA-R2 ANTIBODY,1204.0,1204.0,221.66,1204.0,28
CPT,86255,AMPHIPHYSIN AB FA,2339.0,2339.0,430.61,2339.0,28
CPT,86255,ANNA-1 (ANTI-HU) SCR FA,2088.68,2088.68,384.53,2088.68,28
CPT,86255,ANNA-3 SCR BY IFA,650.16,650.16,119.69,650.16,28
CPT,86255,ANTI-RI AB FA QL,389.19,389.19,71.65,389.19,28
CPT,86255,CASPR2-IGG AB CBA-IF,296.0,296.0,54.49,296.0,28
CPT,86255,COPEPTIN QL SCR IFA,1012.5,1012.5,186.4,1012.5,28
CPT,86255,CRMP-5 IGG BY FA,2339.0,2339.0,430.61,2339.0,28
CPT,86255,DNER AB,650.16,650.16,119.69,650.16,28
CPT,86255,DPPX AB BY CBA-IFA,650.16,650.16,119.69,650.16,28
CPT,86255,DPPX AB BY IFA,650.16,650.16,119.69,650.16,28
CPT,86255,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,5.42,67.25,82
CPT,86255,GABA-B-R AB BY FA,1204.0,1204.0,221.66,1204.0,28
CPT,86255,GABA-B-R AB CBA-IFA,650.16,650.16,119.69,650.16,28
CPT,86255,IGLON5 AB,650.16,650.16,119.69,650.16,28
CPT,86255,IGLON5-IGG AB BY CBA,650.16,650.16,119.69,650.16,28
CPT,86255,ITPR1 AB,650.16,650.16,119.69,650.16,28
CPT,86255,ITPR1 CB IFA,650.16,650.16,119.69,650.16,28
CPT,86255,LGI1-IGG AB CBA-IFA,296.0,296.0,54.49,296.0,28
CPT,86255,MA2-TA AB,650.16,650.16,119.69,650.16,28
CPT,86255,MGLUR1-IGG AB CBA-IF,650.16,650.16,119.69,650.16,28
CPT,86255,MGLUR1-IGG IFA,650.16,650.16,119.69,650.16,28
CPT,86255,NEURONAL NUC FA AB QL,296.0,296.0,54.49,296.0,28
CPT,86255,NMDA RECEPTOR NR1 IFA,4422.45,4422.45,814.17,4422.45,28
CPT,86255,NMDA-R ANTIBODY,1204.0,1204.0,221.66,1204.0,28
CPT,86255,NMDA-RCPT AB CBA,1204.0,1204.0,221.66,1204.0,28
CPT,86255,PCA-2 AB BY FA,296.0,296.0,54.49,296.0,28
CPT,86255,PCA-TR AB BY FA,296.0,296.0,54.49,296.0,28
CPT,86255,PURK CELL (YO) FA AB QL,2530.11,2530.11,465.79,2530.11,28
CPT,86255,STRIATED MUSC FA AB SCR,1327.0,1327.0,244.3,1327.0,28
CPT,86255,ZIC4 AB,650.16,650.16,119.69,650.16,28
CPT,86256,AMPA-R-1 IF TITER,650.16,650.16,119.69,650.16,28
CPT,86256,AMPA-R-2 IF TITER,650.16,650.16,119.69,650.16,28
CPT,86256,ANTI-GAD65 AB TITER,650.16,650.16,119.69,650.16,28
CPT,86256,ANTI-LGI1 AB TIT,296.0,296.0,54.49,296.0,28
CPT,86256,CASPR2 IGG AB TITER IFA,296.0,296.0,54.49,296.0,28
CPT,86256,DPPX AB BY IFA TIT,650.16,650.16,119.69,650.16,28
CPT,86256,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,5.42,68.23,82
CPT,86256,GABA-B-R AB IFA TIT,650.16,650.16,119.69,650.16,28
CPT,86256,IGLON5 AB BY IFA TIT,650.16,650.16,119.69,650.16,28
CPT,86256,ITPR1 IF TITER,650.16,650.16,119.69,650.16,28
CPT,86256,MGLUR1-IGGAB IFA TIT,650.16,650.16,119.69,650.16,28
CPT,86256,MYELIN FA AB TIT,946.17,946.17,174.19,946.17,28
CPT,86256,NMDA RECEPTOR AB TIT FA,7170.11,7170.11,1320.02,7170.11,28
CPT,86258,GLIADIN AB IGA IA QN,226.49,226.49,41.7,226.49,28
CPT,86258,GLIADIN AB IGG IA QN,226.49,226.49,41.7,226.49,28
CPT,86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,5.42,36.15,80
CPT,86277,"Growth hormone, human (HGH), antibody ",,,7.08,89.3,80
CPT,86280,Hemagglutination inhibition test (HAI) ,,,3.69,41.76,80
CPT,86294,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,11.51,76.71,82
CPT,86300,CA 15-3 QN,1478.12,1478.12,272.12,1478.12,28
CPT,86300,CA 27-29 QN,783.75,783.75,144.29,783.75,28
CPT,86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,9.36,67.54,80
CPT,86301,CA 19-9 QN,1478.12,1478.12,272.12,1478.12,28
CPT,86301,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",1478.12,1478.12,9.36,67.54,80
CPT,86304,CA 125 QN,1332.07,1332.07,245.23,1332.07,28
CPT,86304,"Immunoassay for tumor antigen, quantitative; CA 125 ",1332.07,1332.07,9.36,67.54,80
CPT,86305,Human epididymis protein 4 (HE4) ,,,9.36,70.0,80
CPT,86308,Heterophile antibodies; screening ,,,2.33,20.4,82
CPT,86308,MONO SCR (HETEROPHILE),730.11,730.11,134.41,730.11,84
CPT,86309,Heterophile antibodies; titer ,,,2.91,22.69,80
CPT,86310,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,3.32,40.43,80
CPT,86316,ALPHA-FETOPROTEIN FLD QN,512.56,512.56,94.36,512.56,28
CPT,86316,CHROMOGRANIN A IA QN,858.23,858.23,158.0,858.23,28
CPT,86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,9.36,101.06,80
CPT,86316,NEURON SPEC ENOLASE QN,316.44,316.44,58.26,316.44,28
CPT,86317,DIPHTHERIA AB QN,226.49,226.49,41.7,226.49,28
CPT,86317,H INFLU AB IGG QN,605.0,605.0,111.38,605.0,28
CPT,86317,HB S AB QN,1785.08,1785.08,328.63,1785.08,28
CPT,86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,6.75,71.24,80
CPT,86317,TETANUS AB IGG QN,226.49,226.49,41.7,226.49,28
CPT,86318,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,8.14,96.01,82
CPT,86320,Immunoelectrophoresis; serum ,,,13.46,126.81,82
CPT,86325,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,10.41,99.97,82
CPT,86327,Immunoelectrophoresis; crossed (2-dimensional assay) ,,,13.46,128.75,4
CPT,86328,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,20.38,135.84,79
CPT,86329,Immunodiffusion; not elsewhere specified ,,,6.32,60.0,80
CPT,86331,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",125.0,125.0,5.39,67.25,80
CPT,86331,PIGEON SERUM GD,125.0,125.0,23.01,125.0,28
CPT,86332,C1Q BINDING IMM COMP,158.22,158.22,29.13,158.22,28
CPT,86332,Immune complex assay ,158.22,158.22,10.97,182.3,80
CPT,86334,IMMUNOFIX ELECTRO SER,846.33,846.33,155.81,846.33,28
CPT,86334,Immunofixation electrophoresis; serum ,,,10.05,126.76,82
CPT,86334,MM DARATUM-SPECIFIC IFE,40.5,40.5,7.46,40.5,28
CPT,86335,BETA2 TRNSFER OTH FLD IF,917.84,917.84,168.97,917.84,28
CPT,86335,IMMUNOFIX ELECTRO CSF,119.18,119.18,21.94,119.18,28
CPT,86335,IMMUNOFIX ELECTRO UR,846.33,846.33,155.81,846.33,28
CPT,86335,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,13.21,96.27,82
CPT,86336,INHIBIN A,1537.7,1537.7,283.09,1537.7,28
CPT,86336,Inhibin A ,1537.7,1537.7,7.02,62.74,80
CPT,86337,INSULIN AB,2077.12,2077.12,382.4,2077.12,28
CPT,86337,Insulin antibodies ,2077.12,2077.12,9.63,118.43,80
CPT,86340,INTRINSIC FACT AB,1451.26,1451.26,267.18,1451.26,28
CPT,86340,Intrinsic factor antibodies ,1451.26,1451.26,6.79,82.86,80
CPT,86341,GAD65 LINE BLOT,1204.0,1204.0,221.66,1204.0,28
CPT,86341,GLUTAMIC ACID DECARB A,227.64,227.64,41.91,227.64,28
CPT,86341,IA2 AUTOANTIBODY,610.93,610.93,112.47,610.93,28
CPT,86341,ISLET CELL AB,1230.0,1230.0,226.44,1230.0,28
CPT,86341,Islet cell antibody ,,,10.61,153.14,80
CPT,86341,ZINC TRANSP 8 AB QN IA,1630.0,1630.0,300.08,1630.0,28
CPT,86343,LEUKOCYTE HISTAMINE RELE,2439.96,2439.96,449.2,2439.96,28
CPT,86343,Leukocyte histamine release test (LHR) ,2439.96,2439.96,5.61,70.72,80
CPT,86344,Leukocyte phagocytosis ,,,4.68,45.34,80
CPT,86352,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,61.14,407.58,82
CPT,86353,LYMPH TRANSFORM,1925.13,1925.13,354.42,1925.13,28
CPT,86353,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",1925.13,1925.13,22.06,228.69,80
CPT,86355,B CELLS TOTAL COUNT,777.77,777.77,143.19,777.77,28
CPT,86355,"B cells, total count ",777.77,777.77,16.98,123.75,80
CPT,86356,HEMOGLOBIN F FC,1204.0,1204.0,221.66,1204.0,28
CPT,86356,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,12.05,87.83,80
CPT,86356,UNLISTED ANTIGEN TOT CT,777.0,777.0,143.05,777.0,28
CPT,86357,NK CELLS TOTAL CT,777.77,777.77,143.19,777.77,28
CPT,86357,"Natural killer (NK) cells, total count ",777.77,777.77,16.98,123.75,80
CPT,86359,T CELLS TOTAL,777.77,777.77,143.19,777.77,28
CPT,86359,T cells; total count ,777.77,777.77,16.98,228.69,80
CPT,86360,T CELLS CD4 8 RATIO,1394.67,1394.67,256.76,1394.67,28
CPT,86360,"T cells; absolute CD4 and CD8 count, including ratio ",1394.67,1394.67,21.14,218.77,80
CPT,86361,T CELLS CD4 COUNT,531.0,531.0,97.76,531.0,28
CPT,86361,T cells; absolute CD4 count ,531.0,531.0,12.05,213.4,80
CPT,86362,MOG-IGG1 AB BY CBA EACH,3189.38,3189.38,587.16,3189.38,28
CPT,86362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",3189.38,3189.38,5.42,36.15,80
CPT,86363,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,9.58,113.19,80
CPT,86364,TRANSGLUTAMIN AB IGA QN,178.77,178.77,32.91,178.77,28
CPT,86364,TRANSGLUTAMIN AB IGG QN,178.77,178.77,32.91,178.77,28
CPT,86364,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,5.19,34.59,80
CPT,86366,MUSK AB,2268.0,2268.0,385.56,2268.0,32
CPT,86366,Muscle-specific kinase (MuSK) antibody ,2268.0,2268.0,8.28,55.2,73
CPT,86367,STEM CELLS TOTAL CT,891.04,891.04,164.04,891.04,28
CPT,86367,"Stem cells (ie, CD34), total count ",891.04,891.04,35.0,233.34,80
CPT,86376,LIVER-KIDNEY MICRO AB,1284.4,1284.4,236.46,1284.4,28
CPT,86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,6.55,63.96,80
CPT,86376,THYROID PEROXIDASE AB,1284.4,1284.4,236.46,1284.4,28
CPT,86381,MITOCHONDRIAL M2 AB IA,92.33,92.33,17.0,92.33,28
CPT,86381,"Mitochondrial antibody (eg, M2), each ",92.33,92.33,11.45,76.35,80
CPT,86382,"Neutralization test, viral ",,,7.61,50.73,80
CPT,86384,Nitroblue tetrazolium dye test (NTD) ,,,6.12,40.83,80
CPT,86386,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,9.8,65.34,82
CPT,86403,"Particle agglutination; screen, each antibody ",,,5.19,60.95,80
CPT,86406,"Particle agglutination; titer, each antibody ",,,4.79,53.9,80
CPT,86408,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,18.96,126.39,80
CPT,86409,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,35.82,238.83,78
CPT,86413,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,23.14,154.29,78
CPT,86430,Rheumatoid factor; qualitative ,,,2.76,23.03,80
CPT,86431,RA QN,625.81,625.81,115.21,625.81,28
CPT,86431,RA QN FL,50.62,50.62,9.32,50.62,28
CPT,86431,Rheumatoid factor; quantitative ,,,2.55,26.96,80
CPT,86480,TB GAMMA INTERFERON RESP,384.42,384.42,70.77,384.42,28
CPT,86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",384.42,384.42,27.89,203.31,80
CPT,86481,TB TEST CMIA EGIP T-CELL,733.06,733.06,134.96,733.06,28
CPT,86481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",733.06,733.06,45.0,300.0,80
CPT,86485,Skin test; candida ,,,13.4,91.44,41
CPT,86486,"Skin test; unlisted antigen, each ",,,4.09,24.67,41
CPT,86490,Skin test; coccidioidomycosis ,,,12.23,23.55,3
CPT,86510,Skin test; histoplasmosis ,,,5.09,55.66,41
CPT,86580,"Skin test; tuberculosis, intradermal ",,,6.94,24.67,41
CPT,86581,STRPTCS PNEUM AB IA,170.28,170.28,28.95,170.28,36
CPT,86581,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",170.28,170.28,87.43,276.09,68
CPT,86590,"Streptokinase, antibody ",,,5.7,61.09,80
CPT,86592,RPR QUAL,710.0,710.0,130.71,710.0,28
CPT,86592,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,1.92,19.59,80
CPT,86592,VDRL CSF QUAL,673.5,673.5,123.99,673.5,28
CPT,86593,RPR QUANT,193.7,193.7,35.66,193.7,28
CPT,86593,"Syphilis test, non-treponemal antibody; quantitative ",,,1.98,24.88,80
CPT,86593,VDRL CSF QN,251.6,251.6,46.32,251.6,28
CPT,86596,VOLTAGE-GATED C C AB RIA,1450.49,1450.49,267.04,1450.49,28
CPT,86596,"Voltage-gated calcium channel antibody, each ",1450.49,1450.49,5.42,43.21,80
CPT,86602,Antibody; actinomyces ,,,4.58,35.81,80
CPT,86602,T SACCHARI,140.06,140.06,25.79,140.06,28
CPT,86602,T VULGARIS,140.06,140.06,25.79,140.06,28
CPT,86603,Antibody; adenovirus ,,,5.79,38.61,80
CPT,86606,ASPERGILLUS FLAVUS AB,554.28,554.28,102.04,554.28,28
CPT,86606,ASPERGILLUS FUMIGATUS AB,363.0,363.0,66.83,363.0,28
CPT,86606,ASPERGILLUS NIGER AB,554.28,554.28,102.04,554.28,28
CPT,86606,Antibody; Aspergillus ,,,6.77,76.56,80
CPT,86609,"Antibody; bacterium, not elsewhere specified ",125.0,125.0,5.8,61.27,80
CPT,86609,MICROPOLYSPORA FAENI AB,125.0,125.0,23.01,125.0,28
CPT,86611,Antibody; Bartonella ,,,4.58,33.0,80
CPT,86611,BARTONELLA H IGG,479.79,479.79,88.33,479.79,28
CPT,86611,BARTONELLA H IGM,479.79,479.79,88.33,479.79,28
CPT,86611,BARTONELLA Q IGG,479.79,479.79,88.33,479.79,28
CPT,86611,BARTONELLA Q IGM,479.79,479.79,88.33,479.79,28
CPT,86612,Antibody; Blastomyces ,569.18,569.18,5.81,61.27,80
CPT,86612,BLASTOMYCES AB QUAL,569.18,569.18,104.79,569.18,28
CPT,86615,Antibody; Bordetella ,,,5.94,84.21,80
CPT,86615,BORDETELLA PERTUSSIS IGA,1144.35,1144.35,210.67,1144.35,28
CPT,86615,BORDETELLA PERTUSSIS IGG,190.71,190.71,35.11,190.71,28
CPT,86615,BORDETELLA PERTUSSIS IGM,235.44,235.44,43.34,235.44,28
CPT,86617,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,6.97,59.68,80
CPT,86617,LYME AB IGG WESTERN BLOT,466.38,466.38,85.86,466.38,28
CPT,86617,LYME AB IGM WESTERN BLOT,466.38,466.38,85.86,466.38,28
CPT,86618,Antibody; Borrelia burgdorferi (Lyme disease) ,1773.14,1773.14,7.66,75.95,82
CPT,86618,LYME DISEASE AB QL,1773.14,1773.14,326.44,1773.14,28
CPT,86619,Antibody; Borrelia (relapsing fever) ,,,6.02,67.8,80
CPT,86622,Antibody; Brucella ,,,4.02,26.79,80
CPT,86622,BRUCELLA AB QL IGG,730.11,730.11,134.41,730.11,28
CPT,86622,BRUCELLA AB QL IGM,730.11,730.11,134.41,730.11,28
CPT,86625,Antibody; Campylobacter ,,,5.9,86.04,80
CPT,86628,Antibody; Candida ,,,5.4,87.77,80
CPT,86631,Antibody; Chlamydia ,,,5.32,92.51,80
CPT,86632,"Antibody; Chlamydia, IgM ",1144.35,1144.35,5.71,63.44,80
CPT,86632,CHLAMYDIA TRACH IGM,1144.35,1144.35,210.67,1144.35,28
CPT,86635,Antibody; Coccidioides ,294.0,294.0,5.16,61.27,80
CPT,86635,COCCIDIOID AB QUAL,294.0,294.0,54.13,294.0,28
CPT,86638,Antibody; Coxiella burnetii (Q fever) ,673.5,673.5,5.45,92.51,80
CPT,86638,Q FEVER AB QUAL,673.5,673.5,123.99,673.5,28
CPT,86641,Antibody; Cryptococcus ,,,6.48,88.15,80
CPT,86644,Antibody; cytomegalovirus (CMV) ,,,6.48,122.51,80
CPT,86644,CMV AB QL SQN,580.0,580.0,106.78,580.0,28
CPT,86644,CMV IGG QUAL,1007.24,1007.24,185.43,1007.24,28
CPT,86645,"Antibody; cytomegalovirus (CMV), IgM ",268.0,268.0,7.58,129.1,80
CPT,86645,CMV IGM QUAL,268.0,268.0,49.34,268.0,28
CPT,86648,Antibody; Diphtheria ,,,6.84,127.62,80
CPT,86651,"Antibody; encephalitis, California (La Crosse) ",,,5.94,113.87,80
CPT,86652,"Antibody; encephalitis, Eastern equine ",,,5.94,113.87,80
CPT,86653,"Antibody; encephalitis, St. Louis ",,,5.94,113.87,80
CPT,86654,"Antibody; encephalitis, Western equine ",,,5.94,113.87,80
CPT,86658,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,5.86,79.33,80
CPT,86658,COXSACKIE A AB QL,250.31,250.31,46.08,250.31,28
CPT,86658,COXSACKIE B AB QL,166.86,166.86,30.72,166.86,28
CPT,86658,ECHOVIRUS AB QUAL,438.05,438.05,80.65,438.05,28
CPT,86663,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,5.9,86.04,80
CPT,86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",1692.66,1692.66,6.88,93.43,80
CPT,86664,EBV NUCLEAR AG AB QUAL,1692.66,1692.66,311.62,1692.66,28
CPT,86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,8.16,102.77,80
CPT,86665,EBV CAPSID IGG QUAL,1692.66,1692.66,311.62,1692.66,28
CPT,86665,EBV CAPSID IGM QUAL,1692.66,1692.66,311.62,1692.66,28
CPT,86666,Antibody; Ehrlichia ,,,4.58,33.0,80
CPT,86666,E CHAFFEENSIS AB QL IGG,783.75,783.75,144.29,783.75,28
CPT,86666,E CHAFFEENSIS AB QL IGM,783.75,783.75,144.29,783.75,28
CPT,86666,HUM GRAN EHRL AB QL IGG,783.75,783.75,144.29,783.75,28
CPT,86666,HUM GRAN EHRL AB QL IGM,783.75,783.75,144.29,783.75,28
CPT,86668,Antibody; Francisella tularensis ,467.0,467.0,6.37,42.48,80
CPT,86668,FRAN TULAREN AB QUAL,467.0,467.0,85.97,467.0,28
CPT,86671,A PULLULANS AB,125.0,125.0,23.01,125.0,28
CPT,86671,"Antibody; fungus, not elsewhere specified ",,,5.51,51.04,80
CPT,86671,SACCHAROMYCES AB IGA,119.18,119.18,21.94,119.18,28
CPT,86671,SACCHAROMYCES AB IGG,119.18,119.18,21.94,119.18,28
CPT,86674,Antibody; Giardia lamblia ,,,6.62,92.51,80
CPT,86677,Antibody; Helicobacter pylori ,,,7.58,65.17,80
CPT,86682,"Antibody; helminth, not elsewhere specified ",,,5.85,95.8,80
CPT,86682,ECHINOCOCCUS AB,1066.82,1066.82,196.4,1066.82,28
CPT,86682,SCHISTOSOMA AB QUAL,232.41,232.41,42.79,232.41,28
CPT,86682,STRONGYLOIDES AB QL IGG,545.33,545.33,100.4,545.33,28
CPT,86682,TOXOCARA C AB,250.31,250.31,46.08,250.31,28
CPT,86684,Antibody; Haemophilus influenza ,,,7.13,86.04,80
CPT,86687,Antibody; HTLV-I ,,,4.09,57.02,80
CPT,86688,Antibody; HTLV-II ,,,6.3,66.41,80
CPT,86689,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,8.71,58.05,80
CPT,86692,"Antibody; hepatitis, delta agent ",110.88,110.88,7.72,51.48,80
CPT,86692,HEPATITIS DELTA AB QUAL,110.88,110.88,20.41,110.88,28
CPT,86694,"Antibody; herpes simplex, non-specific type test ",,,6.48,43.17,80
CPT,86695,"Antibody; herpes simplex, type 1 ",220.0,220.0,5.94,46.41,80
CPT,86695,HERPES SIMPLEX 1 AB IGG,220.0,220.0,40.5,220.0,28
CPT,86696,"Antibody; herpes simplex, type 2 ",232.0,232.0,8.71,62.83,80
CPT,86696,HERPES SIMPLEX 2 AB IGG,232.0,232.0,42.71,232.0,28
CPT,86698,Antibody; histoplasma ,1063.0,1063.0,6.21,71.09,80
CPT,86698,HISTOPLASMA AB QL,1063.0,1063.0,195.7,1063.0,28
CPT,86701,Antibody; HIV-1 ,175.0,175.0,4.0,50.69,82
CPT,86701,HIV-1 AB QUAL,175.0,175.0,32.22,175.0,28
CPT,86702,Antibody; HIV-2 ,175.0,175.0,6.08,61.82,80
CPT,86702,HIV-2 AB QUAL,175.0,175.0,32.22,175.0,28
CPT,86703,"Antibody; HIV-1 and HIV-2, single result ",,,6.17,91.18,80
CPT,86704,HEP B CORE AB TOTAL,1210.0,1210.0,222.76,1210.0,28
CPT,86704,Hepatitis B core antibody (HBcAb); total ,1210.0,1210.0,5.42,60.78,80
CPT,86705,HEP B CORE AB IGM QL,1701.0,1701.0,313.15,1701.0,28
CPT,86705,Hepatitis B core antibody (HBcAb); IgM antibody ,1701.0,1701.0,5.3,59.33,80
CPT,86706,HEP B SURFACE AB QUAL,331.92,331.92,61.11,331.92,28
CPT,86706,Hepatitis B surface antibody (HBsAb) ,331.92,331.92,4.83,54.1,80
CPT,86707,HEPATITIS BE AB QL,953.62,953.62,175.56,953.62,28
CPT,86707,Hepatitis Be antibody (HBeAb) ,953.62,953.62,5.21,58.29,80
CPT,86708,HEP A AB TOTAL,673.5,673.5,123.99,673.5,28
CPT,86708,Hepatitis A antibody (HAAb) ,673.5,673.5,5.58,58.64,80
CPT,86709,HEP A AB IGM QUAL,1183.07,1183.07,217.8,1183.07,28
CPT,86709,"Hepatitis A antibody (HAAb), IgM antibody ",1183.07,1183.07,5.07,56.7,80
CPT,86710,Antibody; influenza virus ,,,6.1,100.28,80
CPT,86711,Antibody; JC (John Cunningham) virus ,450.0,450.0,7.6,50.67,80
CPT,86711,JC VIRUS AB BY INHIBIT,450.0,450.0,82.84,450.0,28
CPT,86713,Antibody; Legionella ,2993.0,2993.0,6.89,45.9,80
CPT,86713,LEGIONELLA AB QUAL,2993.0,2993.0,551.01,2993.0,28
CPT,86717,Antibody; Leishmania ,,,5.51,110.11,80
CPT,86720,Antibody; Leptospira ,1114.51,1114.51,7.29,66.27,80
CPT,86720,LEPTOSPIRA AB QUAL,1114.51,1114.51,205.18,1114.51,28
CPT,86723,Antibody; Listeria monocytogenes ,,,5.94,79.5,80
CPT,86727,Antibody; lymphocytic choriomeningitis ,,,5.79,111.84,80
CPT,86732,Antibody; mucormycosis ,,,6.75,66.82,80
CPT,86735,Antibody; mumps ,,,5.87,88.98,80
CPT,86735,MUMPS IGG QUAL,890.0,890.0,163.85,890.0,28
CPT,86735,MUMPS IGM QUAL,98.31,98.31,18.1,98.31,28
CPT,86738,Antibody; mycoplasma ,,,5.96,39.72,80
CPT,86738,MYCOPLASMA AB IGG QL,1174.14,1174.14,216.16,1174.14,28
CPT,86738,MYCOPLASMA AB IGM QL,292.03,292.03,53.76,292.03,28
CPT,86741,Antibody; Neisseria meningitidis ,,,5.94,51.04,80
CPT,86744,Antibody; Nocardia ,,,7.2,135.63,80
CPT,86747,Antibody; parvovirus ,,,6.76,71.24,80
CPT,86747,PARVOVIRUS IGG,953.0,953.0,175.45,953.0,28
CPT,86747,PARVOVIRUS IGM,953.0,953.0,175.45,953.0,28
CPT,86750,Antibody; Plasmodium (malaria) ,,,5.94,43.03,80
CPT,86753,AMOEBIC AB,101.0,101.0,18.59,101.0,28
CPT,86753,"Antibody; protozoa, not elsewhere specified ",,,5.58,47.4,80
CPT,86753,BABESIOSIS IGG AB,378.47,378.47,69.68,378.47,28
CPT,86753,BABESIOSIS IGM AB,378.47,378.47,69.68,378.47,28
CPT,86753,CHAGAS SCN EIA,697.32,697.32,128.38,697.32,28
CPT,86753,TRYPANOSOMA CRUZI IGG,596.01,596.01,109.73,596.01,28
CPT,86756,Antibody; respiratory syncytial virus ,,,7.15,47.67,80
CPT,86757,Antibody; Rickettsia ,,,8.71,62.83,80
CPT,86757,ROCKY MTN SF AB QN IGG,1168.18,1168.18,215.06,1168.18,28
CPT,86757,ROCKY MTN SF AB QN IGM,1168.18,1168.18,215.06,1168.18,28
CPT,86757,TYPHUS FEVER AB IGG QL,461.61,461.61,84.98,461.61,28
CPT,86759,Antibody; rotavirus ,,,8.2,60.63,80
CPT,86762,Antibody; rubella ,,,6.48,43.17,80
CPT,86762,RUBELLA IGG,569.18,569.18,104.79,569.18,28
CPT,86762,RUBELLA IGM,2288.69,2288.69,421.35,2288.69,28
CPT,86765,Antibody; rubeola ,,,5.8,48.52,80
CPT,86765,RUBEOLA IGG,736.05,736.05,135.51,736.05,28
CPT,86765,RUBEOLA IGM,104.29,104.29,19.2,104.29,28
CPT,86768,Antibody; Salmonella ,,,5.94,71.24,80
CPT,86769,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,18.96,126.39,77
CPT,86771,Antibody; Shigella ,,,11.02,73.44,80
CPT,86774,Antibody; tetanus ,,,6.66,98.75,80
CPT,86777,Antibody; Toxoplasma ,995.1,995.1,6.48,122.51,80
CPT,86777,TOXOPLASMA IGG QUAL,995.1,995.1,183.2,995.1,28
CPT,86778,"Antibody; Toxoplasma, IgM ",2288.0,2288.0,6.48,156.32,80
CPT,86778,TOXOPLASMA IGM QUAL,2288.0,2288.0,421.22,2288.0,28
CPT,86780,Antibody; Treponema pallidum ,219.0,219.0,5.96,44.53,82
CPT,86780,TREPONEMA PALLIDUM AB,219.0,219.0,40.32,219.0,28
CPT,86784,Antibody; Trichinella ,,,5.65,68.41,80
CPT,86787,Antibody; varicella-zoster ,,,5.8,84.59,80
CPT,86787,VARIC ZOSTER IGG,2512.23,2512.23,462.5,2512.23,28
CPT,86787,VARIC ZOSTER IGM,822.48,822.48,151.42,822.48,28
CPT,86787,VARICELLA ZOSTER AB CSF,67.5,67.5,12.43,67.5,28
CPT,86788,"Antibody; West Nile virus, IgM ",,,7.58,50.55,80
CPT,86788,ENCEPH WEST NILE AB IGM,383.0,383.0,70.51,383.0,28
CPT,86788,ENCPH WST NIL AB IGM CSF,383.0,383.0,70.51,383.0,28
CPT,86789,Antibody; West Nile virus ,,,6.48,47.22,80
CPT,86789,ENCEPH WEST NILE AB IGG,383.0,383.0,70.51,383.0,28
CPT,86789,ENCPH WST NIL AB IGG CSF,383.0,383.0,70.51,383.0,28
CPT,86790,"Antibody; virus, not elsewhere specified ",,,5.8,79.13,80
CPT,86790,CHIKUNGUNYA AB IGG,1266.52,1266.52,233.17,1266.52,28
CPT,86790,CHIKUNGUNYA AB IGM,1266.52,1266.52,233.17,1266.52,28
CPT,86790,DENGUE VIRUS AB IGG QL,184.76,184.76,34.01,184.76,28
CPT,86790,DENGUE VIRUS AB IGM QL,184.76,184.76,34.01,184.76,28
CPT,86790,HEPATITIS E AB QL IGM,348.63,348.63,64.18,348.63,28
CPT,86790,HTLV 1 2 AB QL,1249.0,1249.0,229.94,1249.0,28
CPT,86793,Antibody; Yersinia ,,,5.94,167.48,80
CPT,86794,"Antibody; Zika virus, IgM ",226.8,226.8,7.58,50.55,80
CPT,86794,ZIKA VIRUS AB IGM,226.8,226.8,41.75,226.8,28
CPT,86800,THYROGLOBULIN AB QUANT,573.0,573.0,105.49,573.0,28
CPT,86800,Thyroglobulin antibody ,573.0,573.0,7.16,88.29,80
CPT,86803,HEPATITIS C AB QUAL,1617.0,1617.0,297.69,1617.0,28
CPT,86803,Hepatitis C antibody; ,1617.0,1617.0,6.42,71.93,82
CPT,86804,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,6.97,59.68,80
CPT,86805,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,71.34,568.53,80
CPT,86806,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,21.42,200.57,80
CPT,86807,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,35.39,235.95,80
CPT,86808,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,13.36,171.09,80
CPT,86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,11.61,141.44,80
CPT,86813,"HLA typing; A, B, or C, multiple antigens ",,,26.1,329.03,80
CPT,86816,"HLA typing; DR/DQ, single antigen ",,,13.58,154.85,80
CPT,86817,"HLA typing; DR/DQ, multiple antigens ",,,47.76,365.35,80
CPT,86821,"HLA typing; lymphocyte culture, mixed (MLC) ",,,16.45,320.39,80
CPT,86825,HLA CX NONCYTOTOXIC,762.83,762.83,140.44,762.83,28
CPT,86825,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",762.83,762.83,49.27,328.47,82
CPT,86826,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,16.44,109.59,82
CPT,86828,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",450.0,450.0,28.89,192.57,80
CPT,86828,HLA TYP AB QL CL1&CL2,450.0,450.0,82.84,450.0,28
CPT,86829,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",581.08,581.08,28.89,192.57,80
CPT,86829,HLA TYP AB QL CL1 OR CL2,581.08,581.08,106.98,581.08,28
CPT,86830,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,42.98,286.56,80
CPT,86831,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,36.85,245.64,80
CPT,86832,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",965.55,965.55,145.69,971.25,80
CPT,86832,HLA TYPAB IDHIDEF QL CL1,965.55,965.55,177.76,965.55,28
CPT,86833,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",965.55,965.55,146.61,977.4,80
CPT,86833,HLA TYPAB IDHIDEF QL CL2,965.55,965.55,177.76,965.55,28
CPT,86834,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",2250.0,2250.0,160.9,1145.65,80
CPT,86834,HLA TYP AB SEMIQN PAN C1,2250.0,2250.0,414.23,2250.0,28
CPT,86835,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,145.33,1034.79,80
CPT,86849,Unlisted immunology procedure ,,,47.13,53.11,2
CPT,86850,ANTIBODY SCREEN EA,1093.0,1093.0,201.22,1093.0,28
CPT,86850,"Antibody screen, RBC, each serum technique ",1093.0,1093.0,4.4,56.5,80
CPT,86860,ANTIBODY ELUTION EA,544.0,544.0,92.48,544.0,33
CPT,86860,"Antibody elution (RBC), each elution ",544.0,544.0,19.94,149.16,41
CPT,86870,ANTIBODY ID EA,875.0,875.0,148.75,875.0,33
CPT,86870,"Antibody identification, RBC antibodies, each panel for each serum technique ",875.0,875.0,17.52,291.26,41
CPT,86880,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,2.43,24.8,80
CPT,86880,DIRECT COOMBS AHG EA,673.0,673.0,123.9,673.0,28
CPT,86880,DIRECT COOMBS COMP EA,86.96,86.96,16.01,86.96,28
CPT,86880,DIRECT COOMBS IGG EA,86.0,86.0,15.83,86.0,28
CPT,86885,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",244.12,244.12,2.57,25.84,80
CPT,86885,INDIRECT COOMBS QL EA,244.12,244.12,44.94,244.12,28
CPT,86886,ANTIBODY TITER EA INDIR,1394.0,1394.0,256.64,1394.0,28
CPT,86886,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",1394.0,1394.0,2.33,24.8,80
CPT,86890,"Autologous blood or component, collection processing and storage; predeposited ",,,27.45,149.16,41
CPT,86891,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,56.78,656.15,41
CPT,86900,ABO TYPE,628.75,628.75,115.75,628.75,28
CPT,86900,"Blood typing, serologic; ABO ",628.75,628.75,1.35,21.88,80
CPT,86901,"Blood typing, serologic; Rh (D) ",484.0,484.0,1.35,21.88,80
CPT,86901,RH TYPE,484.0,484.0,89.1,484.0,28
CPT,86902,AG SC DON BLD REA SER EA,1034.08,1034.08,190.37,1034.08,28
CPT,86902,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",1034.08,1034.08,2.86,19.05,80
CPT,86904,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,7.35,49.02,80
CPT,86905,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",957.49,957.49,1.72,21.88,80
CPT,86905,RBC ANTIGEN TYPING EA,957.49,957.49,176.27,957.49,28
CPT,86906,BLOOD TYPE RH PHENOTYPE,1034.08,1034.08,190.37,1034.08,28
CPT,86906,"Blood typing, serologic; Rh phenotyping, complete ",1034.08,1034.08,3.49,23.25,80
CPT,86910,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,11.36,37.49,41
CPT,86911,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,14.15,32.13,41
CPT,86920,CROSSMATCH IMM SPIN,1183.0,1183.0,201.11,1183.0,33
CPT,86920,Compatibility test each unit; immediate spin technique ,1183.0,1183.0,22.2,149.16,41
CPT,86921,CROSSMATCH INCUB,300.0,300.0,51.0,300.0,33
CPT,86921,Compatibility test each unit; incubation technique ,300.0,300.0,19.94,149.16,41
CPT,86922,CROSSMATCH AHG,300.0,300.0,51.0,300.0,33
CPT,86922,Compatibility test each unit; antiglobulin technique ,,,23.48,149.16,41
CPT,86922,PLATELET CROSSMATCH AHG,2688.03,2688.03,456.97,2688.03,33
CPT,86923,Compatibility test each unit; electronic ,1183.07,1183.07,17.69,149.16,41
CPT,86923,ELECTRONIC XMATCH,1183.07,1183.07,201.12,1183.07,33
CPT,86927,"Fresh frozen plasma, thawing, each unit ",,,12.55,149.16,41
CPT,86930,"Frozen blood, each unit; freezing (includes preparation) ",,,73.67,383.3,41
CPT,86931,"Frozen blood, each unit; thawing ",,,55.33,546.93,41
CPT,86932,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,930.23,41
CPT,86940,HEMOLYSIN AGGLUTIN AUTO,150.0,150.0,27.61,150.0,28
CPT,86940,"Hemolysins and agglutinins; auto, screen, each ",150.0,150.0,3.95,26.31,80
CPT,86941,Hemolysins and agglutinins; incubated ,200.0,200.0,5.45,36.33,80
CPT,86941,INCUBATED AUTO SCREEN,200.0,200.0,36.82,200.0,28
CPT,86945,IRRADIATION BLD EA,300.0,300.0,51.0,300.0,33
CPT,86945,"Irradiation of blood product, each unit ",300.0,300.0,18.34,169.53,41
CPT,86950,Leukocyte transfusion ,,,30.29,149.16,41
CPT,86960,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,18.67,149.16,41
CPT,86965,Pooling of platelets or other blood products ,,,20.59,149.16,41
CPT,86970,PRETREAT RBC'S CHEM EA,238.38,238.38,40.52,238.38,33
CPT,86970,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",238.38,238.38,1.35,42.18,41
CPT,86971,PRETREAT RBC'S ENZ EA,150.0,150.0,25.5,150.0,33
CPT,86971,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",150.0,150.0,14.8,291.26,41
CPT,86972,PRETREAT RBC'S DENS EA,756.91,756.91,128.67,756.91,33
CPT,86972,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",756.91,756.91,25.74,253.05,41
CPT,86975,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,9.46,270.22,41
CPT,86976,PRETREAT SERUM DIL EA,75.0,75.0,12.75,75.0,33
CPT,86976,Pretreatment of serum for use in RBC antibody identification; by dilution ,75.0,75.0,22.2,50.89,38
CPT,86977,PRETREAT SERUM INHIB EA,518.53,518.53,88.15,518.53,33
CPT,86977,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",518.53,518.53,22.2,149.16,38
CPT,86978,PRETREAT SERUM ABSORP EA,607.91,607.91,103.34,607.91,33
CPT,86978,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",607.91,607.91,22.2,54.71,41
CPT,86985,SPLITTING OF PRODUCT,100.0,100.0,17.0,100.0,33
CPT,86985,"Splitting of blood or blood products, each unit ",100.0,100.0,9.46,149.16,41
CPT,86999,Unlisted transfusion medicine procedure ,,,24.67,37.88,35
CPT,87003,"Animal inoculation, small animal, with observation and dissection ",,,7.58,86.15,80
CPT,87015,AFB CONCENTRATION,55.29,55.29,10.18,55.29,28
CPT,87015,"Concentration (any type), for infectious agents ",,,3.01,37.8,80
CPT,87015,INF AGENT CONCENTRATION,148.98,148.98,27.43,148.98,28
CPT,87040,CULTURE BLOOD,959.0,959.0,176.55,959.0,28
CPT,87040,CULTURE STEM CELLS,1072.29,1072.29,197.41,1072.29,28
CPT,87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,4.64,58.64,80
CPT,87045,CULTURE STOOL,1200.96,1200.96,221.1,1200.96,28
CPT,87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",1200.96,1200.96,4.25,53.55,80
CPT,87046,CULT STL ADD'L PATHOGENS,1200.96,1200.96,221.1,1200.96,28
CPT,87046,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",1200.96,1200.96,3.97,28.32,80
CPT,87070,CULT ENVIRON EPIDEMI,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULT THROAT,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE BODY FLUID,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE BONE MARROW,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE CATHETER TIP,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE CSF,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE EAR,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE EYE,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE GENITAL,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE RESPIRATORY,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE SPUTUM,1275.46,1275.46,234.81,1275.46,28
CPT,87070,CULTURE SURGICAL SPEC,1200.96,1200.96,221.1,1200.96,28
CPT,87070,CULTURE WOUND,1230.0,1230.0,226.44,1230.0,28
CPT,87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,3.88,48.87,80
CPT,87071,CULT QN BRONCH LAVAGE,504.0,504.0,92.79,504.0,28
CPT,87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",504.0,504.0,4.45,29.67,80
CPT,87073,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,4.35,28.98,80
CPT,87075,CULTURE ANAEROBIC,1201.0,1201.0,221.1,1201.0,28
CPT,87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",1201.0,1201.0,4.26,53.7,80
CPT,87076,ANAEROBIC ORG ID,50.47,50.47,9.29,50.47,28
CPT,87076,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",50.47,50.47,3.64,73.06,80
CPT,87077,AEROBIC ORG ID,50.47,50.47,9.29,50.47,28
CPT,87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",50.47,50.47,3.64,26.21,82
CPT,87081,CULT ECOLI 0157 H7 SCR,1200.96,1200.96,221.1,1200.96,28
CPT,87081,CULT GC SCR,1233.74,1233.74,227.13,1233.74,28
CPT,87081,CULT H PYLORI SCR,900.0,900.0,165.69,900.0,28
CPT,87081,CULT LEGIONELLA SCR,1332.07,1332.07,245.23,1332.07,28
CPT,87081,CULT STREP GROUP B SCR,1200.96,1200.96,221.1,1200.96,28
CPT,87081,CULT VIBRIO SCR,1200.96,1200.96,221.1,1200.96,28
CPT,87081,CULT YERSINIA SCR,1200.96,1200.96,221.1,1200.96,28
CPT,87081,"Culture, presumptive, pathogenic organisms, screening only; ",,,2.98,36.73,80
CPT,87084,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,11.75,81.21,80
CPT,87086,CULT COLONY COUNT UR,1275.46,1275.46,234.81,1275.46,28
CPT,87086,"Culture, bacterial; quantitative colony count, urine ",1275.46,1275.46,3.63,43.75,80
CPT,87088,CULT W PRESUMPTIVE ID UR,25.0,25.0,4.6,25.0,28
CPT,87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",25.0,25.0,3.64,45.34,80
CPT,87101,CULT FUNGUS SKIN,998.0,998.0,183.73,998.0,28
CPT,87101,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",998.0,998.0,3.47,43.75,80
CPT,87102,CULT FUNGUS OTHER SRC,1183.07,1183.07,217.8,1183.07,28
CPT,87102,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",1183.07,1183.07,3.78,47.63,80
CPT,87103,CULT FUNGUS BLOOD,1200.96,1200.96,221.1,1200.96,28
CPT,87103,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",1200.96,1200.96,9.21,61.38,80
CPT,87106,"Culture, fungi, definitive identification, each organism; yeast ",50.47,50.47,4.64,58.64,80
CPT,87106,YEAST ID,50.47,50.47,9.29,50.47,28
CPT,87107,"Culture, fungi, definitive identification, each organism; mold ",50.0,50.0,4.64,33.5,80
CPT,87107,MOLD ID,50.0,50.0,9.21,50.0,28
CPT,87109,CULT MYCOPLASMA,1201.0,1201.0,221.1,1201.0,28
CPT,87109,"Culture, mycoplasma, any source ",1201.0,1201.0,6.93,69.27,80
CPT,87110,CULT CHLAMYDIA,1573.45,1573.45,289.67,1573.45,28
CPT,87110,"Culture, chlamydia, any source ",1573.45,1573.45,8.82,111.21,80
CPT,87116,CULT AFB,616.86,616.86,113.56,616.86,28
CPT,87116,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",616.86,616.86,4.86,60.98,80
CPT,87118,AFB IDENTIFICATION,151.0,151.0,27.8,151.0,28
CPT,87118,"Culture, mycobacterial, definitive identification, each isolate ",151.0,151.0,6.57,61.33,80
CPT,87140,CULT TYPING IFT,300.0,300.0,55.23,300.0,28
CPT,87140,"Culture, typing; immunofluorescent method, each antiserum ",300.0,300.0,2.51,31.7,80
CPT,87143,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,5.63,70.72,80
CPT,87147,CULT TYPE AGGLUT,504.0,504.0,92.79,504.0,28
CPT,87147,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",504.0,504.0,2.33,29.36,80
CPT,87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,9.02,65.05,80
CPT,87150,CULT TYPING AMP PROBE,108.0,108.0,19.88,108.0,28
CPT,87150,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",108.0,108.0,15.79,118.03,82
CPT,87152,"Culture, typing; identification by pulse field gel typing ",,,3.48,23.22,80
CPT,87153,CULT TYPING SEQ EA ISO,2179.55,2179.55,401.26,2179.55,28
CPT,87153,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",2179.55,2179.55,51.91,387.92,82
CPT,87154,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,98.13,654.18,80
CPT,87158,"Culture, typing; other methods ",414.41,414.41,3.48,23.22,80
CPT,87158,ORGANISM IDENTIFICATION,414.41,414.41,76.29,414.41,28
CPT,87164,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,4.83,32.22,82
CPT,87166,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,5.09,33.9,80
CPT,87168,Macroscopic examination; arthropod ,,,1.92,13.32,80
CPT,87169,MACRO EXAM PARASITE,362.88,362.88,66.81,362.88,28
CPT,87169,Macroscopic examination; parasite ,362.88,362.88,1.94,13.32,80
CPT,87172,"Pinworm exam (eg, cellophane tape prep) ",,,1.92,13.32,80
CPT,87176,HOMOGENIZATION TISSUE,50.47,50.47,9.29,50.47,28
CPT,87176,"Homogenization, tissue, for culture ",50.47,50.47,2.65,28.84,80
CPT,87177,O&P SMEAR CONC ID,890.0,890.0,163.85,890.0,28
CPT,87177,"Ova and parasites, direct smears, concentration and identification ",890.0,890.0,4.0,49.42,80
CPT,87181,E TEST AGAR METH,27.54,27.54,5.07,27.54,28
CPT,87181,SUSC AGAR DIL EACH AGENT,27.54,27.54,5.07,27.54,28
CPT,87181,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,2.14,26.96,80
CPT,87183,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,33.34,105.27,68
CPT,87184,SUSC 1-12 DISKS,43.36,43.36,7.98,43.36,28
CPT,87184,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",43.36,43.36,3.37,39.1,80
CPT,87185,SUSC BETA LACTAM,151.2,151.2,27.84,151.2,28
CPT,87185,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",151.2,151.2,2.14,15.4,80
CPT,87186,FUNGAL MIC,541.0,541.0,99.6,541.0,28
CPT,87186,SUSC MIC,80.0,80.0,14.73,80.0,28
CPT,87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,3.89,49.04,80
CPT,87187,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,14.14,120.51,80
CPT,87188,SUSC MACROBROTH EA AGENT,567.0,567.0,104.38,567.0,28
CPT,87188,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",567.0,567.0,2.99,37.63,80
CPT,87190,SUSC AFB PROP EA AGENT,998.97,998.97,183.91,998.97,28
CPT,87190,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",998.97,998.97,1.02,21.93,80
CPT,87197,Serum bactericidal titer (Schlichter test) ,,,6.76,45.06,80
CPT,87205,GRAM STAIN PRIMARY SRCE,730.11,730.11,134.41,730.11,28
CPT,87205,SMEAR EOSINOPHILS STAIN,518.53,518.53,95.46,518.53,28
CPT,87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,1.92,22.2,82
CPT,87206,CYCLOSPORA SMEAR FLUOR,131.08,131.08,24.13,131.08,28
CPT,87206,SMEAR AFB,616.86,616.86,113.56,616.86,28
CPT,87206,SMEAR FUNGI FLUOR STAIN,75.0,75.0,13.81,75.0,28
CPT,87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,2.43,22.2,82
CPT,87207,SMR BLD PARASIT/INCL BDY,518.53,518.53,95.46,518.53,28
CPT,87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",518.53,518.53,2.7,33.35,82
CPT,87209,O&P SPECIAL STAIN,795.57,795.57,146.46,795.57,28
CPT,87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",795.57,795.57,8.09,58.93,82
CPT,87210,KOH PREP WET MOUNT,126.0,126.0,23.2,126.0,28
CPT,87210,SMEAR WET MOUNT,587.0,587.0,108.07,587.0,84
CPT,87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,2.62,19.59,84
CPT,87220,KOH PREP TISSUE,90.0,90.0,16.57,90.0,28
CPT,87220,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",90.0,90.0,1.92,19.59,80
CPT,87230,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,8.88,97.08,80
CPT,87250,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,8.8,97.22,80
CPT,87252,CULT CMV,1200.96,1200.96,221.1,1200.96,28
CPT,87252,CULT VARICELLA ZOSTER,340.19,340.19,62.63,340.19,28
CPT,87252,CULT VIRUS CPE,1656.92,1656.92,305.04,1656.92,28
CPT,87252,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,11.73,146.47,80
CPT,87253,VIRUS DEFINITIVE ID,793.8,793.8,146.14,793.8,28
CPT,87253,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",793.8,793.8,9.09,102.77,80
CPT,87254,CULT VIRUS SHELL VIAL,2082.2,2082.2,383.33,2082.2,28
CPT,87254,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",2082.2,2082.2,8.23,58.68,80
CPT,87255,HSV CULTURE/TYPING ELVIS,1480.0,1480.0,272.47,1480.0,28
CPT,87255,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",1480.0,1480.0,15.24,106.5,80
CPT,87260,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,6.49,57.71,80
CPT,87265,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,5.39,57.71,80
CPT,87267,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,6.04,40.26,80
CPT,87269,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,6.12,40.83,80
CPT,87270,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,5.39,57.71,80
CPT,87271,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,6.04,40.26,80
CPT,87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,5.39,57.71,80
CPT,87273,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,5.39,37.19,80
CPT,87274,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,5.39,57.71,80
CPT,87275,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,5.51,37.19,80
CPT,87276,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,7.23,57.71,80
CPT,87278,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,1007.24,1007.24,7.02,57.71,80
CPT,87278,LEG PNEUMOPHILIA AG IFT,1007.24,1007.24,185.43,1007.24,28
CPT,87279,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,7.39,49.29,80
CPT,87280,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,6.04,57.71,80
CPT,87281,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,256.28,256.28,5.39,37.19,80
CPT,87281,PNEUMOCYSTIS CARINII IFT,256.28,256.28,47.18,256.28,28
CPT,87283,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,15.62,182.4,80
CPT,87285,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,5.48,57.71,80
CPT,87290,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,6.04,57.71,80
CPT,87299,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,7.25,57.71,80
CPT,87300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,5.39,35.94,80
CPT,87301,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,5.39,57.71,80
CPT,87305,ASPERGILLUS AG EIA,569.18,569.18,104.79,569.18,28
CPT,87305,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",569.18,569.18,5.39,37.6,80
CPT,87320,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,6.75,57.71,80
CPT,87324,C DIFFICILE TOXIN AG EIA,135.21,135.21,24.89,135.21,28
CPT,87324,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",135.21,135.21,5.39,57.71,80
CPT,87327,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,6.04,40.26,80
CPT,87328,CRYPTOSPORIDIUM AG EIA,175.82,175.82,32.37,175.82,28
CPT,87328,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",175.82,175.82,6.22,57.71,80
CPT,87329,GIARDIA AG EIA,1394.67,1394.67,256.76,1394.67,28
CPT,87329,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1394.67,1394.67,5.39,37.6,80
CPT,87332,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,5.39,57.71,80
CPT,87335,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,5.7,57.71,80
CPT,87336,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,7.2,48.0,80
CPT,87337,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,5.39,37.19,80
CPT,87338,H PYLORI AG EIA STOOL,1358.91,1358.91,250.18,1358.91,28
CPT,87338,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1358.91,1358.91,6.47,43.14,82
CPT,87339,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,7.2,48.0,80
CPT,87340,HEP B S AG EIA QL,1066.0,1066.0,196.25,1066.0,28
CPT,87340,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1066.0,1066.0,4.65,44.1,80
CPT,87341,HBSAG NEUTRALIZATION EIA,111.0,111.0,20.44,111.0,28
CPT,87341,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",111.0,111.0,4.65,30.99,80
CPT,87350,HEP BE AG EIA,1451.26,1451.26,267.18,1451.26,28
CPT,87350,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1451.26,1451.26,5.19,44.1,80
CPT,87380,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,8.26,82.74,80
CPT,87385,HISTOPLASMA CAPS AG EIA,562.0,562.0,103.46,562.0,28
CPT,87385,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",562.0,562.0,5.96,57.71,80
CPT,87389,HIV-1AG HIV-1/2AB SINGLE,1161.0,1161.0,213.74,1161.0,28
CPT,87389,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1161.0,1161.0,10.84,80.11,82
CPT,87390,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.83,88.87,80
CPT,87391,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,9.86,88.87,80
CPT,87400,INFLUENZA A AG IA,665.17,665.17,122.46,665.17,84
CPT,87400,INFLUENZA B AG IA,665.17,665.17,122.46,665.17,84
CPT,87400,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,6.36,42.39,82
CPT,87420,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,6.26,57.71,82
CPT,87420,RSV AG IA,915.27,915.27,168.5,915.27,84
CPT,87425,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",2993.31,2993.31,5.39,57.71,80
CPT,87425,ROTAVIRUS AG EIA,2993.31,2993.31,551.07,2993.31,28
CPT,87426,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,15.9,105.99,79
CPT,87426,SARSCOV CORONAVIRU AG IA,38.71,38.71,7.13,38.71,84
CPT,87427,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",175.82,175.82,5.39,37.19,80
CPT,87427,SHIGA LIKE TOXIN EIA,175.82,175.82,32.37,175.82,28
CPT,87428,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",35.0,35.0,31.63,210.87,77
CPT,87428,SARSCOV&INF VIR AB AG IA,35.0,35.0,6.44,35.0,28
CPT,87430,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,7.56,57.71,82
CPT,87430,STREP A AG IA,1007.24,1007.24,185.43,1007.24,84
CPT,87449,BLASTOMYCES AG EIA,569.18,569.18,104.79,569.18,28
CPT,87449,COCCIDIODES AG EIA QN,569.18,569.18,104.79,569.18,28
CPT,87449,FUNGITELL B-D-GLUCAN IA,1503.36,1503.36,276.77,1503.36,28
CPT,87449,INFECT ANTGN DETEC NOS,135.21,135.21,24.89,135.21,28
CPT,87449,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,5.39,57.71,82
CPT,87449,LEGIONELLA AG EIA,1358.91,1358.91,250.18,1358.91,28
CPT,87451,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,4.73,31.53,80
CPT,87467,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.97,75.96,80
CPT,87468,ANAPLASMA PHAGOCYT AMP,1729.35,1729.35,318.37,1729.35,28
CPT,87468,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",1729.35,1729.35,15.79,105.27,80
CPT,87469,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,15.79,105.27,80
CPT,87471,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,15.79,176.84,80
CPT,87472,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,19.28,218.77,80
CPT,87475,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,9.02,101.03,80
CPT,87476,BORRELIA BURGDORFERI AMP,750.98,750.98,138.26,750.98,28
CPT,87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",750.98,750.98,15.79,176.84,80
CPT,87478,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,15.79,105.27,80
CPT,87480,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,9.02,101.03,80
CPT,87481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,15.79,176.84,80
CPT,87482,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,25.08,218.77,80
CPT,87483,CNS DNA AMP PROB TY12-25,1008.0,1008.0,185.57,1008.0,28
CPT,87483,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",1008.0,1008.0,187.55,1342.38,80
CPT,87484,E CHAFFEENSIS AMP PROBE,2267.84,2267.84,417.51,2267.84,28
CPT,87484,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",2267.84,2267.84,15.79,105.27,80
CPT,87485,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,9.02,101.03,80
CPT,87486,CHLAMYDIA P AMP PROBE,212.0,212.0,39.03,212.0,28
CPT,87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",212.0,212.0,15.79,176.84,80
CPT,87487,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,19.28,218.77,80
CPT,87490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,10.24,101.03,80
CPT,87491,CHLAMYDIA T AMP PROBE,760.0,760.0,139.92,760.0,28
CPT,87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",760.0,760.0,15.79,176.84,80
CPT,87492,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,24.06,218.77,80
CPT,87493,C DIFF TOX B NAP1 ST AMP,336.75,336.75,62.0,336.75,28
CPT,87493,C DIFF TOX GENE AMP PROB,336.75,336.75,62.0,336.75,28
CPT,87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,16.77,118.03,82
CPT,87494,CHLM TRCH&NEISR GONO MUL,112.5,112.5,19.13,112.5,37
CPT,87494,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",112.5,112.5,66.67,210.54,68
CPT,87495,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,13.51,101.03,80
CPT,87496,CMV AMP PROBE,1035.0,1035.0,190.54,1035.0,28
CPT,87496,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",1035.0,1035.0,15.79,176.84,80
CPT,87497,CMV DNA QN,1159.26,1159.26,213.42,1159.26,28
CPT,87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",1159.26,1159.26,19.28,218.77,80
CPT,87498,ENTEROVIRUS AMP/REVERS T,3923.0,3923.0,722.22,3923.0,28
CPT,87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",3923.0,3923.0,15.79,115.17,80
CPT,87500,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,15.79,115.17,80
CPT,87501,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,23.09,169.56,80
CPT,87502,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,43.11,287.4,82
CPT,87503,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,13.15,87.66,80
CPT,87505,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,57.73,409.89,80
CPT,87506,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,118.35,788.97,80
CPT,87507,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",3956.06,3956.06,187.55,1331.71,80
CPT,87507,NAT GI MULT 12-25 TARGET,3956.06,3956.06,728.31,3956.06,28
CPT,87510,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,9.02,101.03,80
CPT,87511,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,15.79,176.84,80
CPT,87512,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,18.79,218.77,80
CPT,87513,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,33.34,105.27,71
CPT,87516,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,15.79,176.84,80
CPT,87517,HEP B DNA QN,1153.28,1153.28,212.32,1153.28,28
CPT,87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",1153.28,1153.28,19.28,218.77,80
CPT,87520,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,14.05,101.03,80
CPT,87521,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,15.79,176.84,82
CPT,87522,HEP C RNA QN,2515.15,2515.15,463.04,2515.15,28
CPT,87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",2515.15,2515.15,19.28,218.77,80
CPT,87523,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,19.28,128.52,73
CPT,87525,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,13.41,101.03,80
CPT,87526,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,17.67,176.84,80
CPT,87527,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,18.79,218.77,80
CPT,87528,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,9.02,101.03,80
CPT,87529,HERPES SIMP AMP PROBE,171.4,171.4,31.55,171.4,28
CPT,87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",171.4,171.4,15.79,176.84,80
CPT,87530,HERPES SIMP DNA QN,1661.44,1661.44,305.87,1661.44,28
CPT,87530,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",1661.44,1661.44,19.28,218.77,80
CPT,87531,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,26.1,174.0,80
CPT,87532,HERPES 6 AMP PROBE,2267.84,2267.84,417.51,2267.84,28
CPT,87532,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",2267.84,2267.84,15.79,176.84,80
CPT,87533,HERPES 6 DNA QN,1916.2,1916.2,352.77,1916.2,28
CPT,87533,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",1916.2,1916.2,18.79,218.77,80
CPT,87534,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,9.86,101.03,80
CPT,87535,HIV-1 AMP PROBE,175.0,175.0,32.22,175.0,28
CPT,87535,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",175.0,175.0,15.79,176.84,80
CPT,87536,HIV 1 RNA QN,4435.0,4435.0,816.48,4435.0,28
CPT,87536,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",4435.0,4435.0,38.3,255.3,80
CPT,87537,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,9.86,101.03,80
CPT,87538,HIV-2 AMP PROBE,175.34,175.34,32.28,175.34,28
CPT,87538,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",175.34,175.34,15.79,176.84,80
CPT,87539,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,26.38,218.77,80
CPT,87540,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,9.02,101.03,80
CPT,87541,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",832.5,832.5,15.79,176.84,80
CPT,87541,LEGIONELLA AMP PROBE,832.5,832.5,153.26,832.5,28
CPT,87542,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,18.79,218.77,80
CPT,87550,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,9.02,101.03,80
CPT,87551,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,21.71,176.84,80
CPT,87552,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,19.28,218.77,80
CPT,87555,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,12.1,101.03,80
CPT,87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,18.76,176.84,80
CPT,87556,MTB AMP PROBE,1899.87,1899.87,148.61,2992.5,56
CPT,87557,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,19.28,218.77,80
CPT,87560,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,12.28,101.03,80
CPT,87561,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,15.79,176.84,80
CPT,87562,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,19.28,218.77,80
CPT,87563,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,15.79,105.27,80
CPT,87564,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",2285.0,2285.0,72.93,230.31,71
CPT,87564,MTB RIFAMPIN RST AMP,2285.0,2285.0,388.45,2285.0,34
CPT,87580,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,9.02,101.03,80
CPT,87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",211.92,211.92,15.79,176.84,80
CPT,87581,MYCOPLASMA PNEU AMP PR,211.92,211.92,39.01,211.92,28
CPT,87582,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,56.96,907.86,80
CPT,87590,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,12.1,101.03,80
CPT,87591,GC AMP PROBE,758.0,758.0,139.55,758.0,28
CPT,87591,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",758.0,758.0,15.79,176.84,80
CPT,87592,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,19.28,218.77,80
CPT,87593,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",109.1,109.1,45.75,153.93,75
CPT,87593,ORTHOPOXVIRUS AMP PRB EA,109.1,109.1,20.09,109.1,28
CPT,87594,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",2331.0,2331.0,33.34,105.27,71
CPT,87594,PNEUMCYSTS JIROVECII AMP,2331.0,2331.0,396.27,2331.0,34
CPT,87623,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,15.79,112.13,80
CPT,87624,HPV HIGH RISK TYPES POOL,5274.54,5274.54,971.04,5274.54,28
CPT,87624,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",5274.54,5274.54,15.79,112.13,80
CPT,87625,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,18.25,121.65,80
CPT,87626,HPV SEP HI-RSK TYP&POOL,5274.54,5274.54,896.67,5274.54,34
CPT,87626,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",5274.54,5274.54,66.69,210.6,71
CPT,87627,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,645.78,2039.31,68
CPT,87631,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,64.18,427.89,82
CPT,87632,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,98.13,688.83,80
CPT,87633,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",212.0,212.0,187.55,1345.18,82
CPT,87633,RESP MPLEX RT AMP 12-25,212.0,212.0,39.03,212.0,28
CPT,87634,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,31.59,210.6,82
CPT,87635,COVID-19 DNA/RNA AMP,62.0,62.0,11.41,62.0,84
CPT,87635,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,23.09,153.93,79
CPT,87636,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,64.18,427.89,79
CPT,87637,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",468.0,468.0,64.18,427.89,79
CPT,87637,SARSCOV2&INFAB&RSV AMP P,468.0,468.0,86.16,468.0,28
CPT,87638,RUBEOLA (MEASLES) AMP PR,403.2,403.2,60.48,403.2,42
CPT,87640,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,15.79,115.17,80
CPT,87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",131.19,131.19,15.79,115.17,80
CPT,87641,STAPH AUREUS MRSA AMP,131.19,131.19,24.15,131.19,28
CPT,87650,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,9.02,101.03,82
CPT,87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,15.79,176.84,82
CPT,87652,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,18.79,218.77,80
CPT,87653,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,15.79,115.17,80
CPT,87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,9.02,65.81,80
CPT,87661,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",220.49,220.49,15.79,112.39,80
CPT,87661,TRICH VAGINALIS AMP PRBE,220.49,220.49,40.59,220.49,28
CPT,87662,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",3502.3,3502.3,23.09,153.93,80
CPT,87662,ZIKA VIRUS AMP PR ANY SO,3502.3,3502.3,644.77,3502.3,28
CPT,87797,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,13.51,101.03,80
CPT,87798,ATOPOBIUM VAGINAE AMP PR,1551.77,1551.77,285.68,1551.77,28
CPT,87798,BABESIOSIS AMP PROBE,1299.32,1299.32,239.2,1299.32,28
CPT,87798,BORD PERTUSSIS AMP PR,1222.0,1222.0,224.97,1222.0,28
CPT,87798,BORDETELL PARAPERTUS AMP,211.92,211.92,39.01,211.92,28
CPT,87798,BVAB-2 AMP PR,1551.77,1551.77,285.68,1551.77,28
CPT,87798,EBV AMP PROBE,1898.79,1898.79,349.57,1898.79,28
CPT,87798,HHV-7 AMP PROBE,562.5,562.5,103.56,562.5,28
CPT,87798,HTLV1 AMP PROBE,1343.99,1343.99,247.43,1343.99,28
CPT,87798,HTLV2 AMP PROBE,1343.99,1343.99,247.43,1343.99,28
CPT,87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,15.79,176.84,80
CPT,87798,J C VIRUS AMP PROBE,2181.41,2181.41,401.6,2181.41,28
CPT,87798,J C VIRUS AMP PROBE CSF,2181.41,2181.41,401.6,2181.41,28
CPT,87798,MEGASPHAERA-1 AMP PR,1551.77,1551.77,285.68,1551.77,28
CPT,87798,NOROVIRUS AMP PROBE,2993.0,2993.0,551.01,2993.0,28
CPT,87798,T GONDII AMP PROBE,1790.0,1790.0,329.54,1790.0,28
CPT,87798,T WHIPPLEI AMP PROBE,2137.0,2137.0,393.42,2137.0,28
CPT,87798,VARICELLA ZOSTER DNA AMP,1099.62,1099.62,202.44,1099.62,28
CPT,87798,WEST NILE VIR AMP PROBE,1406.59,1406.59,258.95,1406.59,28
CPT,87799,ADENOVIRUS AMP QN,1007.24,1007.24,185.43,1007.24,28
CPT,87799,BK POLYOMA VIRUS AMP QN,1600.0,1600.0,294.56,1600.0,28
CPT,87799,EB VIRUS DNA QN,1695.0,1695.0,312.05,1695.0,28
CPT,87799,HERPES (HHV) 8 AMP QN,651.88,651.88,120.01,651.88,28
CPT,87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,19.28,139.01,80
CPT,87799,PARVOVIRUS AMP QN,2014.23,2014.23,370.82,2014.23,28
CPT,87799,VARICELLA ZOSTER DNA QN,3502.3,3502.3,644.77,3502.3,28
CPT,87800,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,19.65,131.01,80
CPT,87801,BCTPCR MULT ORG DET AMP,1620.0,1620.0,298.24,1620.0,28
CPT,87801,CANDIDA SPECIES AMP PROB,196.87,196.87,36.24,196.87,28
CPT,87801,DONOR HIV-1/HCV/HBV NAT,1299.32,1299.32,239.2,1299.32,28
CPT,87801,FUNPCR MULT ORG DET AMP,2655.0,2655.0,488.79,2655.0,28
CPT,87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,31.59,210.6,82
CPT,87802,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,5.73,38.19,80
CPT,87803,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,7.2,48.0,80
CPT,87804,INFLUENZA VIRUS A AG OIA,744.0,744.0,136.97,744.0,28
CPT,87804,INFLUENZA VIRUS B AG OIA,744.99,744.99,137.15,744.99,28
CPT,87804,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,7.45,49.65,82
CPT,87806,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,14.75,98.31,82
CPT,87807,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,5.89,39.3,82
CPT,87808,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,6.88,45.87,82
CPT,87809,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,9.79,65.28,82
CPT,87810,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,15.62,105.87,80
CPT,87811,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,18.62,124.14,79
CPT,87812,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,70.76,223.44,68
CPT,87850,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,11.05,73.68,80
CPT,87880,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,7.44,57.71,82
CPT,87880,STREP A OPTICAL IA,899.32,899.32,165.56,899.32,56
CPT,87899,CAMPYLOBACTER AG OIA,79.8,79.8,14.69,79.8,28
CPT,87899,CRYPTOCOCCAL AG IA TIT,133.18,133.18,24.52,133.18,28
CPT,87899,CRYPTOCOCCUS AG OIA,115.02,115.02,21.18,115.02,28
CPT,87899,CRYPTOCOCCUS AG OIA CSF,115.02,115.02,21.18,115.02,28
CPT,87899,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,7.23,57.71,82
CPT,87899,STREP PNEUMO AG OIA,345.67,345.67,63.64,345.67,28
CPT,87900,GENOTYPIC BIOINFORMATICS,1911.53,1911.53,351.91,1911.53,28
CPT,87900,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,1911.53,1911.53,58.66,427.58,80
CPT,87901,HIV 1 GENOTYPE RT & PROT,1575.0,1575.0,289.96,1575.0,28
CPT,87901,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",1575.0,1575.0,115.85,772.35,80
CPT,87902,HEP C GENOTYPE,4142.3,4142.3,762.6,4142.3,28
CPT,87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,4142.3,4142.3,115.85,772.35,80
CPT,87903,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,219.9,1585.57,80
CPT,87904,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,11.73,84.59,80
CPT,87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,5.5,41.88,82
CPT,87906,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,57.93,386.19,80
CPT,87910,CMV GENOTYPE ANAL,29301.88,29301.88,5394.48,29301.88,28
CPT,87910,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,29301.88,29301.88,115.85,772.35,80
CPT,87912,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,115.85,772.35,80
CPT,87913,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,0.01,772.35,77
CPT,87999,Unlisted microbiology procedure ,,,47.13,218.77,5
CPT,88000,"Necropsy (autopsy), gross examination only; without CNS ",,,8.45,210.41,21
CPT,88005,"Necropsy (autopsy), gross examination only; with brain ",,,9.84,245.65,21
CPT,88007,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,10.31,257.16,21
CPT,88012,"Necropsy (autopsy), gross examination only; infant with brain ",,,8.45,210.41,21
CPT,88014,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,7.75,192.96,21
CPT,88016,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,10.8,269.03,21
CPT,88020,"Necropsy (autopsy), gross and microscopic; without CNS ",,,14.53,362.54,21
CPT,88025,"Necropsy (autopsy), gross and microscopic; with brain ",,,14.06,350.68,21
CPT,88027,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,15.01,374.05,21
CPT,88028,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,8.45,210.41,21
CPT,88029,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,8.45,210.41,21
CPT,88036,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,4.22,105.38,21
CPT,88037,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,3.75,93.51,21
CPT,88040,Necropsy (autopsy); forensic examination ,,,23.45,584.46,21
CPT,88045,Necropsy (autopsy); coroner's call ,,,2.34,58.62,21
CPT,88099,Unlisted necropsy (autopsy) procedure ,,,47.13,53.11,2
CPT,88104,CYTO FWB SMEAR & INTERP,482.12,482.12,81.96,482.12,33
CPT,88104,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",482.12,482.12,9.27,105.91,27
CPT,88106,CYTO FWB FILTER & INTERP,482.12,482.12,81.96,482.12,33
CPT,88106,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",482.12,482.12,7.56,105.24,27
CPT,88108,CYTOLOGY CONC & INTERP,482.12,482.12,81.96,482.12,33
CPT,88108,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",482.12,482.12,10.1,96.81,27
CPT,88112,CYTO LIQUID BASE NON C/V,604.95,604.95,102.84,604.95,33
CPT,88112,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",604.95,604.95,31.07,117.05,27
CPT,88120,CYTO INSITU HYB 3-5 MAN,2397.51,2397.51,407.58,2397.51,33
CPT,88120,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",2397.51,2397.51,149.16,1008.8,27
CPT,88121,CYTO INSITU HYB 3-5 COMP,1913.18,1913.18,325.24,1913.18,33
CPT,88121,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",1913.18,1913.18,291.26,751.28,27
CPT,88125,CYTO FORENSIC,482.12,482.12,81.96,482.12,33
CPT,88125,"Cytopathology, forensic (eg, sperm) ",482.12,482.12,1.69,49.76,27
CPT,88130,Sex chromatin identification; Barr bodies ,,,8.09,53.94,62
CPT,88140,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,3.6,33.35,62
CPT,88141,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,16.26,62.31,27
CPT,88142,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,9.12,62.54,62
CPT,88143,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,10.37,69.12,62
CPT,88147,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,14.42,151.68,62
CPT,88148,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,7.99,55.62,62
CPT,88150,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,7.99,55.62,62
CPT,88152,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,12.44,82.92,62
CPT,88153,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,10.81,72.09,62
CPT,88155,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,6.59,43.95,62
CPT,88160,CYTO SMEAR SCR & INTERP,482.12,482.12,81.96,482.12,33
CPT,88160,"Cytopathology, smears, any other source; screening and interpretation ",482.12,482.12,7.15,116.63,27
CPT,88161,CYTO SMEAR PSI,482.12,482.12,81.96,482.12,33
CPT,88161,"Cytopathology, smears, any other source; preparation, screening and interpretation ",482.12,482.12,8.43,118.64,27
CPT,88162,CYTOPATH EXTENDED,604.95,604.95,102.84,604.95,33
CPT,88162,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",604.95,604.95,16.88,188.01,27
CPT,88164,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,7.99,55.62,62
CPT,88165,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,13.54,126.66,62
CPT,88166,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,7.99,55.62,62
CPT,88167,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,7.99,55.62,62
CPT,88172,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",482.12,482.12,15.21,149.16,27
CPT,88172,FNA SAMPLE ADEQUACY IMM,482.12,482.12,81.96,482.12,33
CPT,88173,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",604.95,604.95,18.57,207.83,27
CPT,88173,FNA INTERP & REPORT,604.95,604.95,102.84,604.95,33
CPT,88174,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,11.42,76.11,62
CPT,88175,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",143.28,143.28,11.97,83.17,62
CPT,88175,PAP AUTO W MAN RESCN TLP,143.28,143.28,26.38,143.28,28
CPT,88177,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",187.73,187.73,6.62,21.93,27
CPT,88177,FNA ADEQUACY IMM ADDL,187.73,187.73,28.16,187.73,37
CPT,88182,DNA CELL CYCLE FC,604.95,604.95,102.84,604.95,33
CPT,88182,"Flow cytometry, cell cycle or DNA analysis ",604.95,604.95,19.82,247.33,27
CPT,88184,FC 1ST MARK,482.0,482.0,81.94,482.0,33
CPT,88184,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",482.0,482.0,49.27,291.26,23
CPT,88185,FC ADD,482.0,482.0,72.3,482.0,37
CPT,88185,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",482.0,482.0,16.33,51.79,23
CPT,88187,"Flow cytometry, interpretation; 2 to 8 markers ",,,27.75,157.19,27
CPT,88188,"Flow cytometry, interpretation; 9 to 15 markers ",,,47.58,196.06,27
CPT,88189,"Flow cytometry, interpretation; 16 or more markers ",,,64.47,258.39,27
CPT,88199,Unlisted cytopathology procedure ,,,49.76,76.21,17
CPT,88230,TISS CULT CHROM BLD NM,1980.0,1980.0,364.52,1980.0,28
CPT,88230,Tissue culture for non-neoplastic disorders; lymphocyte ,1980.0,1980.0,52.42,456.74,62
CPT,88233,TISSUE CULT SKIN SOL BX,758.8,758.8,139.7,758.8,28
CPT,88233,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,758.8,758.8,63.33,456.74,62
CPT,88235,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,67.64,456.74,62
CPT,88237,TISS CULT NEOPLAS BM BLD,2993.0,2993.0,551.01,2993.0,28
CPT,88237,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",2993.0,2993.0,64.69,716.81,62
CPT,88239,Tissue culture for neoplastic disorders; solid tumor ,,,66.38,456.74,62
CPT,88240,"Cryopreservation, freezing and storage of cells, each cell line ",,,5.88,41.07,62
CPT,88241,"Thawing and expansion of frozen cells, each aliquot ",,,5.44,41.07,62
CPT,88245,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,77.93,519.51,62
CPT,88248,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,77.93,519.51,62
CPT,88249,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,77.93,872.61,62
CPT,88261,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,118.95,793.02,62
CPT,88262,CHROM & KARY 15-20 2 KAR,1788.0,1788.0,329.17,1788.0,28
CPT,88262,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",1788.0,1788.0,56.47,642.68,62
CPT,88263,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,67.63,642.68,62
CPT,88264,CHROM ANAL 20-25 CELLS,2993.0,2993.0,551.01,2993.0,28
CPT,88264,Chromosome analysis; analyze 20-25 cells ,2993.0,2993.0,65.07,628.08,62
CPT,88267,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,84.86,642.68,62
CPT,88269,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,78.15,642.68,62
CPT,88271,CYTOGEN DNA ISH PROBE EA,791.91,791.91,145.79,791.91,28
CPT,88271,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",791.91,791.91,9.64,64.26,62
CPT,88272,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,18.32,122.1,62
CPT,88273,CYTOGEN IN SITU 10-30,315.0,315.0,57.99,315.0,28
CPT,88273,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",315.0,315.0,15.66,108.49,62
CPT,88274,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,19.07,127.14,62
CPT,88275,CYTOGEN I P ISH 100-300,756.0,756.0,139.18,756.0,28
CPT,88275,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",756.0,756.0,23.04,153.57,62
CPT,88280,CHROM ADDTL KARYOTYPE,1788.0,1788.0,329.17,1788.0,28
CPT,88280,"Chromosome analysis; additional karyotypes, each study ",1788.0,1788.0,15.06,456.74,62
CPT,88283,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,30.87,456.74,62
CPT,88285,"Chromosome analysis; additional cells counted, each study ",,,12.11,80.73,62
CPT,88289,Chromosome analysis; additional high resolution study ,,,15.49,662.45,62
CPT,88291,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,25.11,88.84,27
CPT,88299,Unlisted cytogenetic study ,,,49.76,76.21,17
CPT,88300,"Level I - Surgical pathology, gross examination only ",187.73,187.73,4.23,24.67,27
CPT,88300,SURG PATH LEVEL 1,187.73,187.73,31.91,187.73,33
CPT,88302,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",1068.64,1068.64,10.1,53.29,27
CPT,88302,SURG PATH LEVEL 2,1068.64,1068.64,181.67,1068.64,33
CPT,88304,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",604.95,604.95,14.36,63.34,27
CPT,88304,SURG PATH LEVEL 3,604.95,604.95,102.84,604.95,33
CPT,88305,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",604.95,604.95,22.77,71.38,27
CPT,88305,SURG PATH LEVEL 4,604.95,604.95,102.84,604.95,33
CPT,88307,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",1068.64,1068.64,33.3,416.05,27
CPT,88307,SURG PATH LEVEL 5,1068.64,1068.64,181.67,1068.64,33
CPT,88309,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",1068.64,1068.64,41.33,656.15,27
CPT,88309,SURG PATH LEVEL 6,1068.64,1068.64,181.67,1068.64,33
CPT,88311,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,187.73,187.73,4.23,16.47,27
CPT,88311,PATH DECALCIFICATION,187.73,187.73,28.16,187.73,37
CPT,88312,PATH STAIN GROUP 1,1068.64,1068.64,181.67,1068.64,33
CPT,88312,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",1068.64,1068.64,5.07,172.21,27
CPT,88313,PATH STAIN GROUP 2,1068.0,1068.0,181.56,1068.0,33
CPT,88313,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",1068.0,1068.0,4.23,141.0,27
CPT,88314,HISTOCHEM STAIN & FS,1068.64,1068.64,160.3,1068.64,37
CPT,88314,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,1068.64,1068.64,11.8,132.71,27
CPT,88319,HISTOCHM ENZYME STAIN EA,1068.64,1068.64,181.67,1068.64,33
CPT,88319,"Special stain including interpretation and report; Group III, for enzyme constituents ",1068.64,1068.64,10.1,656.15,27
CPT,88321,Consultation and report on referred slides prepared elsewhere ,,,33.84,152.62,26
CPT,88323,Consultation and report on referred material requiring preparation of slides ,75.0,75.0,14.36,86.56,27
CPT,88323,PATH CONS PREP SLIDES,75.0,75.0,12.75,75.0,33
CPT,88325,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,107.2,241.52,27
CPT,88329,Pathology consultation during surgery; ,,,27.05,92.1,26
CPT,88331,PATH CONSULT FS 1 SPEC,604.95,604.95,102.84,604.95,33
CPT,88331,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",604.95,604.95,24.45,149.16,27
CPT,88332,PATH CONSULT FS EA ADDTL,187.73,187.73,28.16,187.73,37
CPT,88332,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,187.73,187.73,11.13,49.94,27
CPT,88333,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",1068.64,1068.64,23.5,656.15,27
CPT,88333,TOUCH PREP INITIAL SITE,1068.64,1068.64,181.67,1068.64,33
CPT,88334,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",1068.0,1068.0,14.38,42.65,27
CPT,88334,TOUCH PREP EA ADD SITE,1068.0,1068.0,160.2,1068.0,37
CPT,88341,IHC AB STAIN EA ADD,604.95,604.95,90.74,604.95,37
CPT,88341,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",604.95,604.95,40.96,138.58,45
CPT,88342,IHC AB STAIN,604.95,604.95,102.84,604.95,33
CPT,88342,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",604.95,604.95,13.5,157.73,27
CPT,88344,IHC EA MULTIPLEX AB PROC,604.95,604.95,102.84,604.95,33
CPT,88344,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",604.95,604.95,68.9,291.26,45
CPT,88346,"Immunofluorescence, per specimen; initial single antibody stain procedure ",604.95,604.95,11.8,291.26,27
CPT,88346,TISSUE BIOPSY DIF AB INI,604.95,604.95,102.84,604.95,33
CPT,88348,EM DIAGNOSTIC,2694.0,2694.0,457.98,2694.0,33
CPT,88348,"Electron microscopy, diagnostic ",2694.0,2694.0,48.49,834.9,27
CPT,88350,IF PER SPEC EA ADDL AB S,604.95,604.95,90.74,604.95,37
CPT,88350,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",604.95,604.95,39.23,165.1,27
CPT,88355,MORPHOMETRIC SKELETAL,604.95,604.95,102.84,604.95,33
CPT,88355,Morphometric analysis; skeletal muscle ,604.95,604.95,36.7,149.16,27
CPT,88356,MORPHOMETRIC NERVE,1068.64,1068.64,181.67,1068.64,33
CPT,88356,Morphometric analysis; nerve ,1068.64,1068.64,49.76,236.36,27
CPT,88358,MORPHOMETRIC TUMOR,604.95,604.95,102.84,604.95,33
CPT,88358,"Morphometric analysis; tumor (eg, DNA ploidy) ",604.95,604.95,33.97,174.47,27
CPT,88360,M A IHC QT/SQT EA AB MAN,347.61,347.61,59.09,347.61,33
CPT,88360,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",347.61,347.61,52.36,158.4,27
CPT,88361,IHC QN/SQN EA AB COMP,1068.64,1068.64,181.67,1068.64,33
CPT,88361,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",1068.64,1068.64,88.33,291.26,27
CPT,88362,NERVE TEASING PREP,1068.64,1068.64,181.67,1068.64,33
CPT,88362,Nerve teasing preparations ,1068.64,1068.64,43.02,656.15,27
CPT,88363,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,14.99,85.17,27
CPT,88364,ISH/FISH EA ADDL PROBE,429.86,429.86,64.48,429.86,37
CPT,88364,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",429.86,429.86,62.8,193.23,45
CPT,88365,ISH/FISH INITIAL PROBE,1068.64,1068.64,181.67,1068.64,33
CPT,88365,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",1068.64,1068.64,16.04,265.93,27
CPT,88366,ISH/FISH MULTPLX PROBE,2326.5,2326.5,395.5,2326.5,33
CPT,88366,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",2326.5,2326.5,77.57,417.65,45
CPT,88367,MORPH ANAL CMP INI PROBE,604.95,604.95,102.84,604.95,33
CPT,88367,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",604.95,604.95,84.11,291.26,27
CPT,88368,MORPH ANAL MAN INI PROBE,1068.64,1068.64,181.67,1068.64,33
CPT,88368,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",1068.64,1068.64,99.54,291.26,27
CPT,88369,MORPH ANAL MAN EA PROBE,347.12,347.12,52.07,347.12,37
CPT,88369,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",347.12,347.12,43.53,195.89,45
CPT,88371,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,10.0,115.51,64
CPT,88372,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,11.8,126.99,64
CPT,88373,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,35.18,82.74,45
CPT,88374,MORPH ANAL CMP MLP PROBE,2030.68,2030.68,345.22,2030.68,33
CPT,88374,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",2030.68,2030.68,143.07,465.44,45
CPT,88375,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,37.06,114.3,45
CPT,88377,MORPH ANAL MAN MLP PROBE,2342.35,2342.35,398.2,2342.35,33
CPT,88377,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",2342.35,2342.35,133.11,652.64,45
CPT,88380,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,166.32,26
CPT,88381,MICRODISSECTION MANUAL,564.0,564.0,84.6,564.0,37
CPT,88381,"Microdissection (ie, sample preparation of microscopically identified target); manual ",564.0,564.0,94.76,343.73,27
CPT,88387,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,5.66,26.87,27
CPT,88388,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies); in conjunction with a touch imprint, intraoperative co",,,4.19,8.06,3
CPT,88399,Unlisted surgical pathology procedure ,,,49.76,49.76,15
CPT,88720,"Bilirubin, total, transcutaneous ",,,2.26,17.22,80
CPT,88738,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,2.26,16.88,62
CPT,88740,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,4.22,28.11,80
CPT,88741,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,4.22,28.11,80
CPT,88749,"Unlisted in vivo (eg, transcutaneous) laboratory service ",,,47.13,53.11,2
CPT,89049,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,46.8,406.39,45
CPT,89050,CELL COUNT BODY FLD,252.0,252.0,46.39,252.0,28
CPT,89050,CELL COUNT CSF,891.04,891.04,164.04,891.04,84
CPT,89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,2.12,28.12,80
CPT,89051,CELL CT & DIFF CSF,891.04,891.04,164.04,891.04,84
CPT,89051,CELL CT&DIFF BODY FL,891.04,891.04,164.04,891.04,28
CPT,89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,2.52,31.27,80
CPT,89055,FECAL WBC COUNT QL,479.79,479.79,88.33,479.79,28
CPT,89055,"Leukocyte assessment, fecal, qualitative or semiquantitative ",479.79,479.79,1.92,13.24,80
CPT,89060,CRYSTALS BODY FL,1016.16,1016.16,187.08,1016.16,28
CPT,89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",1016.16,1016.16,3.3,41.76,82
CPT,89125,"Fat stain, feces, urine, or respiratory secretions ",,,2.65,22.2,80
CPT,89160,"Meat fibers, feces ",,,2.18,20.92,80
CPT,89190,NASAL OR SPUTUM EOS SMR,518.53,518.53,95.46,518.53,28
CPT,89190,Nasal smear for eosinophils ,518.53,518.53,2.61,19.59,80
CPT,89220,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,13.25,149.16,41
CPT,89230,Sweat collection by iontophoresis ,,,1.62,49.76,41
CPT,89240,Unlisted miscellaneous pathology test ,,,49.76,49.76,33
CPT,89250,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,2244.14,38
CPT,89251,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,2333.86,38
CPT,89253,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,238.5,40
CPT,89254,Oocyte identification from follicular fluid ,,,149.16,425.72,40
CPT,89255,Preparation of embryo for transfer (any method) ,,,49.76,325.87,40
CPT,89257,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,334.36,40
CPT,89258,Cryopreservation; embryo(s) ,,,294.25,656.15,40
CPT,89259,Cryopreservation; sperm ,,,149.16,261.0,40
CPT,89260,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,103.41,40
CPT,89261,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,96.44,40
CPT,89264,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,317.83,40
CPT,89268,Insemination of oocytes ,,,149.16,391.61,40
CPT,89272,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,294.25,656.15,40
CPT,89280,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,294.25,696.57,40
CPT,89281,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,827.82,40
CPT,89290,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,832.79,40
CPT,89291,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,1047.56,40
CPT,89300,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,4.43,33.35,82
CPT,89310,Semen analysis; motility and count (not including Huhner test) ,,,3.87,41.76,80
CPT,89320,"Semen analysis; volume, count, motility, and differential ",,,5.54,66.59,80
CPT,89321,"Semen analysis; sperm presence and motility of sperm, if performed ",,,5.42,39.1,82
CPT,89322,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,6.98,50.84,62
CPT,89325,Sperm antibodies ,,,4.8,60.0,80
CPT,89329,Sperm evaluation; hamster penetration test ,,,8.82,58.77,80
CPT,89330,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,4.67,40.89,80
CPT,89331,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,8.82,64.27,62
CPT,89335,"Cryopreservation, reproductive tissue, testicular ",,,49.76,140.85,40
CPT,89337,"Cryopreservation, mature oocyte(s) ",,,149.16,548.34,40
CPT,89342,Storage (per year); embryo(s) ,,,149.16,206.89,40
CPT,89343,Storage (per year); sperm/semen ,,,54.28,230.51,40
CPT,89344,"Storage (per year); reproductive tissue, testicular/ovarian ",,,84.8,183.69,40
CPT,89346,Storage (per year); oocyte(s) ,,,183.69,291.26,40
CPT,89352,Thawing of cryopreserved; embryo(s) ,,,11.21,183.69,40
CPT,89353,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,11.21,183.69,40
CPT,89354,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,11.21,183.69,40
CPT,89356,"Thawing of cryopreserved; oocytes, each aliquot ",,,7.99,183.69,40
CPT,89398,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,15
CPT,90281,"Immune globulin (Ig), human, for intramuscular use ",,,136.31,316.6,17
CPT,90283,"Immune globulin (IgIV), human, for intravenous use ",,,75.89,253.63,17
CPT,90284,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,20.33,64.08,17
CPT,90288,BOTULISM IG HUMAN IV,353368.14,353368.14,53005.22,353368.14,29
CPT,90288,"Botulism immune globulin, human, for intravenous use ",353368.14,353368.14,62342.4,70135.2,2
CPT,90291,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,2518.61,5754.4,17
CPT,90371,HBIG HUMAN 0.5 ML IM,2053.91,2053.91,378.12,2053.91,24
CPT,90371,HBIG HUMAN 5 ML IM,6419.4,6419.4,1181.81,6419.4,24
CPT,90371,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,371.56,29
CPT,90375,RIG HYPERRAB 150 U IMSQ,3710.51,3710.51,683.1,3710.51,24
CPT,90375,RIG HYPERRAB 150U IMSQJW,3710.51,3710.51,683.1,3710.51,24
CPT,90375,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,729.23,29
CPT,90376,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,933.97,29
CPT,90377,RIG KEDRAB 1500 U IMSQ,18785.89,18785.89,3458.48,18785.89,24
CPT,90377,RIG KEDRAB 300 U IMSQ,5183.72,5183.72,954.32,5183.72,24
CPT,90377,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,641.78,29
CPT,90378,RSV-MAB RECOM 50 MG IM,24392.87,24392.87,4490.73,24392.87,24
CPT,90378,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",24392.87,24392.87,1157.39,2936.36,29
CPT,90380,BEYFORTUS 0.5 ML IM,3186.6,3186.6,477.99,3186.6,29
CPT,90380,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",3186.6,3186.6,745.11,1892.29,17
CPT,90381,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,745.11,1892.29,17
CPT,90382,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1768.08,1768.08,15
CPT,90384,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,118.75,348.53,17
CPT,90385,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,212.0,29
CPT,90386,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,13.93,1761.59,17
CPT,90389,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,930.65,2084.99,17
CPT,90396,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3128.94,6262.61,17
CPT,90399,Unlisted immune globulin ,,,1133.91,1133.91,15
CPT,90460,"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine o",,,28.77,55.43,3
CPT,90461,"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid compone",,,14.46,27.86,3
CPT,90471,IMMUNIZ ADMIN SGL,301.0,301.0,46.05,426.56,342
CPT,90471,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) ",,,6.71,12.92,3
CPT,90472,IMMUNIZ ADMIN EA ADDTL,300.69,300.69,40.63,426.56,336
CPT,90472,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition",,,6.86,13.21,3
CPT,90473,Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid) ,,,4.7,9.05,3
CPT,90474,Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) ,,,4.7,9.05,3
CPT,90480,"Immunization administration by intramuscular injection, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine; first or only component of each vaccine a",,,42.4,42.4,2
CPT,90581,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,141.93,307.56,17
CPT,90585,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,234.18,601.82,17
CPT,90586,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,234.18,601.82,17
CPT,90587,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,94.62,209.88,17
CPT,90593,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,1093.13,1093.13,15
CPT,90611,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.03,435.45,17
CPT,90619,MENQUADFI VAC IM,1434.81,1434.81,215.22,1434.81,29
CPT,90619,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",1434.81,1434.81,239.39,562.81,17
CPT,90620,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,320.77,798.76,17
CPT,90621,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",2239.1,2239.1,272.76,717.99,17
CPT,90621,TRUMENBA VAC IM,2239.1,2239.1,335.87,2239.1,29
CPT,90622,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.01,0.03,17
CPT,90623,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,330.8,800.51,17
CPT,90624,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,844.69,844.69,15
CPT,90625,"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use ",,,394.24,443.52,2
CPT,90626,"Tick-borne encephalitis virus vaccine, inactivated; 0.25 mL dosage, for intramuscular use ",,,414.93,466.79,2
CPT,90627,"Tick-borne encephalitis virus vaccine, inactivated; 0.5 mL dosage, for intramuscular use ",,,414.93,466.79,2
CPT,90630,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use ",,,25.76,28.98,2
CPT,90632,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",2081.18,2081.18,104.05,195.38,29
CPT,90632,VAQTA ADULT 1 ML VAC IM,2081.18,2081.18,312.18,2081.18,28
CPT,90633,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",1114.81,1114.81,47.17,113.98,29
CPT,90633,VAQTA PED 2 DOSE VAC IM,1114.81,1114.81,167.22,1114.81,28
CPT,90634,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,83.21,83.21,15
CPT,90636,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,449.49,29
CPT,90644,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,35.43,62.83,17
CPT,90647,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,99.69,29
CPT,90648,ACTHIB 4 DOSE VAC IM,333.07,333.07,49.96,333.07,28
CPT,90648,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",333.07,333.07,15.78,43.25,29
CPT,90649,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,229.62,300.06,17
CPT,90650,"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use ",,,190.08,213.85,2
CPT,90651,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,412.21,1046.11,17
CPT,90653,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,75.03,260.12,29
CPT,90654,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use ",,,23.98,26.97,2
CPT,90655,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,17.91,35.46,17
CPT,90656,FLUZONE TRI 0.5 ML PF IM,207.0,207.0,38.11,207.0,24
CPT,90656,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",207.0,207.0,25.05,61.53,29
CPT,90657,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,7.67,29.23,17
CPT,90658,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,23.1,58.49,17
CPT,90660,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.03,78.73,29
CPT,90661,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,28.21,131.18,29
CPT,90662,FLUZONE HD PF IM,698.0,698.0,128.5,698.0,24
CPT,90662,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",698.0,698.0,88.6,260.12,29
CPT,90670,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,324.61,683.3,17
CPT,90671,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",1737.15,1737.15,285.74,713.67,29
CPT,90671,VAXNEUVANCE VAC IM,1737.15,1737.15,319.81,1737.15,24
CPT,90672,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,35.12,39.51,2
CPT,90673,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,51.25,260.12,29
CPT,90674,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,43.15,48.54,2
CPT,90675,IMOVAX 1 ML VAC IM,4306.85,4306.85,792.89,4306.85,24
CPT,90675,"Rabies vaccine, for intramuscular use ",4306.85,4306.85,545.72,835.33,29
CPT,90676,"Rabies vaccine, for intradermal use ",,,627.68,627.68,15
CPT,90677,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,829.19,29
CPT,90678,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,422.91,1014.63,17
CPT,90679,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,401.41,1020.94,17
CPT,90680,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,137.58,326.32,17
CPT,90681,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,198.9,495.05,17
CPT,90682,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,92.48,104.04,2
CPT,90683,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,415.75,1014.42,17
CPT,90684,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,912.26,29
CPT,90685,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,27.39,30.81,2
CPT,90686,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,28.29,31.82,2
CPT,90687,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,13.23,14.88,2
CPT,90688,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,26.44,29.74,2
CPT,90689,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
CPT,90690,"Typhoid vaccine, live, oral ",,,152.92,372.96,17
CPT,90691,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,440.93,29
CPT,90694,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,97.46,109.64,2
CPT,90696,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,208.53,29
CPT,90697,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,216.26,529.81,17
CPT,90698,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",1569.2,1569.2,144.47,374.37,29
CPT,90698,PENTACEL VAC IM,1569.2,1569.2,235.38,1569.2,28
CPT,90700,DAPTACEL < 7 YRS VAC IM,569.52,569.52,85.43,569.52,28
CPT,90700,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",569.52,569.52,36.31,98.16,32
CPT,90702,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,12.18,106.59,20
CPT,90707,MMR VAC LIVE SQ,1541.96,1541.96,231.29,1541.96,28
CPT,90707,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",1541.96,1541.96,81.18,310.42,32
CPT,90710,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,196.86,917.96,32
CPT,90713,IPOL VAC IMSQ,848.23,848.23,127.23,848.23,28
CPT,90713,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",848.23,848.23,53.96,164.24,32
CPT,90714,TENIVAC VAC >= 7 YRS IM,591.85,591.85,88.78,591.85,28
CPT,90714,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",591.85,591.85,36.21,102.69,32
CPT,90715,ADACEL VAC >= 7 YRS IM,1004.9,1004.9,150.74,1004.9,28
CPT,90715,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",1004.9,1004.9,59.06,104.62,29
CPT,90716,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,115.68,610.53,20
CPT,90717,"Yellow fever vaccine, live, for subcutaneous use ",,,77.78,815.14,32
CPT,90723,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,140.46,351.66,17
CPT,90732,PNEUMOVAX 23 VAC IMSQ,2005.45,2005.45,369.2,2005.45,24
CPT,90732,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",2005.45,2005.45,30.45,353.7,32
CPT,90733,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,140.04,269.81,20
CPT,90734,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,225.57,561.54,17
CPT,90736,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,304.89,378.84,17
CPT,90738,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,412.31,965.58,17
CPT,90739,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,470.53,29
CPT,90740,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",1463.42,1463.42,225.79,435.71,29
CPT,90740,RECOMBIVAX DIAL 40MCG IM,1463.42,1463.42,269.42,1463.42,24
CPT,90743,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,199.15,29
CPT,90744,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",342.05,342.05,35.23,99.7,32
CPT,90744,RECOMBIVAX PED 5MCG IM,342.05,342.05,62.97,342.05,24
CPT,90746,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",745.79,745.79,87.23,254.18,32
CPT,90746,RECOMBIVAX ADLT 10MCG IM,745.79,745.79,137.3,745.79,24
CPT,90747,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,694.06,32
CPT,90748,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,60.31,131.89,17
CPT,90750,SHINGRIX VAC IM,1998.1,1998.1,299.71,1998.1,29
CPT,90750,"Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use ",1998.1,1998.1,283.72,319.18,2
CPT,90756,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,40.89,46.0,2
CPT,90759,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,92.82,195.62,17
CPT,90845,Psychoanalysis ,,,109.38,210.74,3
CPT,90846,"Family psychotherapy (without the patient present), 50 minutes ",,,121.94,234.93,3
CPT,90847,"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes ",,,138.78,267.38,3
CPT,90849,Multiple-family group psychotherapy ,,,77.64,149.59,3
CPT,90853,Group psychotherapy (other than of a multiple-family group) ,543.0,543.0,34.01,65.52,3
CPT,90853,IOP PSY GRP (NOT FAMILY),543.0,543.0,92.31,543.0,32
CPT,90865,"Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview) ",,,153.38,295.5,3
CPT,90869,Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management ,,,556.29,1071.79,3
CPT,90870,ECT WITH MONITORING,1585.92,1585.92,269.61,1585.92,31
CPT,90870,Electroconvulsive therapy (includes necessary monitoring) ,1585.92,1585.92,117.87,1206.0,9
CPT,90875,"Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive ps",,,80.75,155.57,3
CPT,90876,"Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive ps",,,136.35,262.7,3
CPT,90880,Hypnotherapy ,,,141.3,272.24,3
CPT,90882,"Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions ",,,91.34,175.97,3
CPT,90885,"Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes ",,,59.13,113.92,3
CPT,90887,"Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist pat",,,90.38,174.12,3
CPT,90901,Biofeedback training by any modality ,,,32.16,95.4,115
CPT,90912,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,64.2,190.57,71
CPT,90913,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,25.83,77.97,71
CPT,90935,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,178.11,343.16,3
CPT,90937,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,240.65,463.64,3
CPT,90940,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,55.99,107.88,47
CPT,90945,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,120.16,231.52,3
CPT,90947,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,202.74,390.61,3
CPT,90951,"End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counsel",,,1206.05,2323.65,3
CPT,90952,"End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counsel",,,850.63,1638.89,3
CPT,90953,"End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counsel",,,566.96,1092.33,3
CPT,90954,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,991.75,1910.78,3
CPT,90955,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,561.06,1080.98,3
CPT,90956,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,380.04,732.21,3
CPT,90957,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,795.46,1532.6,3
CPT,90958,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,536.47,1033.61,3
CPT,90959,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,352.11,678.4,3
CPT,90960,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month",,,352.11,678.4,3
CPT,90961,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month ",,,284.42,547.97,3
CPT,90962,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month ",,,205.8,396.51,3
CPT,90963,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and",,,635.53,1224.46,3
CPT,90964,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and developme",,,530.89,1022.86,3
CPT,90965,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and developm",,,504.96,972.89,3
CPT,90966,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older ",,,262.49,505.72,3
CPT,90967,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age ",,,22.68,43.7,3
CPT,90968,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age ",,,17.75,34.19,3
CPT,90969,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age ",,,17.31,33.35,3
CPT,90970,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older ",,,9.15,17.63,3
CPT,90989,"Dialysis training, patient, including helper where applicable, any mode, completed course ",,,419.87,808.94,3
CPT,90993,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
CPT,90997,"Hemoperfusion (eg, with activated charcoal or resin) ",,,209.85,404.31,3
CPT,90999,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
CPT,91010,ESOPHAGUS MOTILITY STDY,3326.37,3326.37,612.38,3326.37,58
CPT,91010,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,37.53,2900.0,122
CPT,91013,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,16.18,2900.0,80
CPT,91020,Gastric motility (manometric) studies ,,,35.25,2900.0,122
CPT,91022,Duodenal motility (manometric) study ,,,171.66,2900.0,122
CPT,91030,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,9.95,2900.0,80
CPT,91034,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,217.86,2900.0,80
CPT,91035,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",2517.7,2517.7,291.0,3250.0,80
CPT,91035,GASTROESOPH RFLX ELECTRD,2517.7,2517.7,463.51,2517.7,31
CPT,91037,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,116.04,2900.0,80
CPT,91038,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,82.53,2900.0,80
CPT,91040,ESOPH BALLOON DISTENSION,1878.59,1878.59,345.85,1878.59,31
CPT,91040,"Esophageal balloon distension study, diagnostic, with provocation when performed ",1878.59,1878.59,291.0,2900.0,80
CPT,91065,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,15.84,2900.0,80
CPT,91110,CAPSULE ENDOSCOPY ILEUM,2115.41,2115.41,389.45,2115.41,31
CPT,91110,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",2115.41,2115.41,769.0,4100.0,77
CPT,91111,CAPSULE ENDOSCOPY ESOPHG,2115.41,2115.41,389.45,2115.41,31
CPT,91111,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",2115.41,2115.41,769.0,4100.0,80
CPT,91112,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,36
CPT,91113,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,989.4,1906.24,47
CPT,91117,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,175.41,2900.0,80
CPT,91120,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,990.0,56
CPT,91122,Anorectal manometry ,,,33.15,990.0,12
CPT,91124,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,46
CPT,91125,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,46
CPT,91132,"Electrogastrography, diagnostic, transcutaneous; ",,,5.69,2900.0,80
CPT,91133,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,5.69,2900.0,80
CPT,91200,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",,,18.75,186.77,10
CPT,91299,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,33
CPT,91304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,508.59,29
CPT,91318,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,173.5,29
CPT,91319,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,251.22,29
CPT,91320,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,164.87,446.18,29
CPT,91321,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,389.71,29
CPT,91322,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,428.37,29
CPT,91323,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,535.06,535.06,15
CPT,92002,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,74.07,164.55,47
CPT,92004,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,108.14,291.62,47
CPT,92012,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,62.05,172.81,47
CPT,92014,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,78.8,245.73,47
CPT,92015,Determination of refractive state ,,,18.27,35.2,3
CPT,92018,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,98.9,4830.0,80
CPT,92019,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,88.59,4830.0,80
CPT,92020,Gonioscopy (separate procedure) ,,,31.52,60.72,47
CPT,92025,"Computerized corneal topography, unilateral or bilateral, with interpretation and report ",,,14.27,27.48,3
CPT,92060,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,8.38,51.56,47
CPT,92065,Orthoptic training; performed by a physician or other qualified health care professional ,,,42.27,81.44,3
CPT,92066,Orthoptic training; under supervision of a physician or other qualified health care professional ,,,30.32,58.41,3
CPT,92081,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,6.81,33.25,47
CPT,92082,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,8.83,49.66,47
CPT,92083,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,12.91,69.26,47
CPT,92100,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,57.66,164.46,47
CPT,92132,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), anterior segment, with interpretation and report, unilateral or bilateral ",,,17.46,33.64,3
CPT,92133,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve ",,,17.46,33.64,3
CPT,92134,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina ",,,17.46,33.64,3
CPT,92136,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,109.91,47
CPT,92137,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,420.39,70
CPT,92229,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,72.73,242.35,49
CPT,92230,Fluorescein angioscopy with interpretation and report ,,,63.47,242.87,47
CPT,92235,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,47.07,219.0,47
CPT,92240,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,128.67,359.26,47
CPT,92242,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,203.7,512.78,47
CPT,92250,Fundus photography with interpretation and report ,,,7.92,30.72,47
CPT,92260,Ophthalmodynamometry ,,,37.23,99.3,47
CPT,92265,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,10.39,79.35,47
CPT,92270,Electro-oculography with interpretation and report ,,,14.02,148.61,47
CPT,92273,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,115.26,222.07,47
CPT,92274,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,68.56,132.1,47
CPT,92283,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,5.45,86.31,47
CPT,92284,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,7.92,57.25,47
CPT,92285,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,5.0,37.67,47
CPT,92286,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,18.54,35.72,47
CPT,92287,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,113.16,218.02,47
CPT,92310,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia ",,,91.34,175.97,3
CPT,92311,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, 1 eye ",,,96.33,185.6,3
CPT,92312,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, both eyes ",,,117.9,227.15,3
CPT,92313,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lens ",,,87.57,168.72,3
CPT,92314,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens, both eyes except for apha",,,48.7,93.84,3
CPT,92315,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, 1 eye ",,,54.54,105.08,3
CPT,92316,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyes ",,,79.17,152.53,3
CPT,92317,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneoscleral lens ",,,41.63,80.2,3
CPT,92325,"Modification of contact lens (separate procedure), with medical supervision of adaptation ",,,17.45,33.61,3
CPT,92326,Replacement of contact lens ,,,73.81,142.22,3
CPT,92340,"Fitting of spectacles, except for aphakia; monofocal ",,,59.39,114.42,3
CPT,92341,"Fitting of spectacles, except for aphakia; bifocal ",,,59.39,114.42,3
CPT,92342,"Fitting of spectacles, except for aphakia; multifocal, other than bifocal ",,,59.39,114.42,3
CPT,92352,Fitting of spectacle prosthesis for aphakia; monofocal ,,,31.98,83.08,47
CPT,92353,Fitting of spectacle prosthesis for aphakia; multifocal ,,,44.31,95.79,47
CPT,92354,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,759.17,47
CPT,92355,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,370.15,47
CPT,92358,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,84.13,47
CPT,92370,Repair and refitting spectacles; except for aphakia ,,,19.18,36.96,3
CPT,92371,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,54.1,47
CPT,92502,Otolaryngologic examination under general anesthesia ,,,130.25,2900.0,80
CPT,92504,Binocular microscopy (separate diagnostic procedure) ,,,21.04,55.42,47
CPT,92507,TX SPEECH INDIVIDUAL SP,494.63,494.63,84.09,494.63,34
CPT,92507,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",494.63,494.63,42.08,326.0,83
CPT,92508,TX SPEECH GROUP SP,240.14,240.14,40.82,240.14,34
CPT,92508,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",240.14,240.14,21.33,326.0,83
CPT,92511,Nasopharyngoscopy with endoscope (separate procedure) ,,,83.52,2303.0,89
CPT,92512,"Nasal function studies (eg, rhinomanometry) ",,,51.21,124.98,47
CPT,92516,"Facial nerve function studies (eg, electroneuronography) ",,,40.56,140.15,47
CPT,92517,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,104.91,202.13,47
CPT,92518,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,98.0,188.8,47
CPT,92519,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,162.82,313.71,47
CPT,92520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,64.28,175.97,81
CPT,92521,"Evaluation of speech fluency (eg, stuttering, cluttering) ",584.19,584.19,121.44,326.0,83
CPT,92521,SP/EVAL FLUENCY,584.19,584.19,99.31,584.19,34
CPT,92522,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",480.26,480.26,101.7,326.0,83
CPT,92522,SP/EVAL SOUND PRODUCTION,480.26,480.26,81.64,480.26,34
CPT,92523,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",1102.15,1102.15,206.53,462.27,83
CPT,92523,SP/EVAL SND W/ LANG EVAL,1102.15,1102.15,187.37,1102.15,34
CPT,92524,BEHAV QL ANALYSIS VOICE,494.63,494.63,84.09,494.63,34
CPT,92524,Behavioral and qualitative analysis of voice and resonance ,494.63,494.63,99.8,326.0,83
CPT,92526,TX SWAL/ORAL FUNCTION SP,844.07,844.07,143.49,844.07,36
CPT,92526,Treatment of swallowing dysfunction and/or oral function for feeding ,844.07,844.07,48.14,170.82,81
CPT,92531,"Spontaneous nystagmus, including gaze ",,,24.36,46.93,47
CPT,92532,Positional nystagmus test ,,,24.36,46.93,47
CPT,92533,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,10.15,50.38,47
CPT,92534,Optokinetic nystagmus test ,,,24.36,46.93,47
CPT,92537,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,9.9,19.07,47
CPT,92538,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,5.29,11.75,47
CPT,92540,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,19.16,54.72,47
CPT,92541,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,20.03,47
CPT,92542,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,23.03,47
CPT,92544,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,18.26,47
CPT,92545,"Oscillating tracking test, with recording ",,,6.69,18.26,47
CPT,92546,Sinusoidal vertical axis rotational testing ,,,10.83,221.9,47
CPT,92547,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,50.46,47
CPT,92548,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,129.93,47
CPT,92549,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,21.81,42.02,47
CPT,92550,Tympanometry and reflex threshold measurements ,,,25.23,48.61,47
CPT,92551,"Screening test, pure tone, air only ",,,14.61,28.15,3
CPT,92552,Pure tone audiometry (threshold); air only ,,,20.33,75.58,47
CPT,92553,Pure tone audiometry (threshold); air and bone ,,,30.91,91.36,47
CPT,92555,Speech audiometry threshold; ,,,17.16,57.25,47
CPT,92556,Speech audiometry threshold; with speech recognition ,,,26.64,88.84,47
CPT,92557,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,54.86,105.69,47
CPT,92558,"Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis ",,,11.01,21.21,3
CPT,92562,"Loudness balance test, alternate binaural or monaural ",,,18.99,93.89,47
CPT,92563,Tone decay test ,,,17.16,67.36,47
CPT,92565,"Stenger test, pure tone ",,,18.06,41.44,47
CPT,92567,Tympanometry (impedance testing) ,,,24.81,47.8,47
CPT,92568,"Acoustic reflex testing, threshold ",,,17.16,33.06,47
CPT,92570,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,38.52,74.22,47
CPT,92571,Filtered speech test ,,,17.63,59.78,47
CPT,92572,Staggered spondaic word test ,,,3.84,107.8,47
CPT,92575,Sensorineural acuity level test ,,,13.77,139.76,47
CPT,92576,Synthetic sentence identification test ,,,20.54,85.67,47
CPT,92577,"Stenger test, speech ",,,33.41,64.36,47
CPT,92579,Visual reinforcement audiometry (VRA) ,,,33.03,88.03,47
CPT,92582,Conditioning play audiometry ,,,33.66,169.08,47
CPT,92583,Select picture audiometry ,,,41.33,112.2,47
CPT,92584,Electrocochleography ,,,114.93,221.43,47
CPT,92587,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,114.1,47
CPT,92588,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,129.01,47
CPT,92590,Hearing aid examination and selection; monaural ,,,100.45,193.54,3
CPT,92591,Hearing aid examination and selection; binaural ,,,159.84,307.96,3
CPT,92592,Hearing aid check; monaural ,,,100.45,193.54,3
CPT,92593,Hearing aid check; binaural ,,,100.45,193.54,3
CPT,92594,Electroacoustic evaluation for hearing aid; monaural ,,,100.45,193.54,3
CPT,92595,Electroacoustic evaluation for hearing aid; binaural ,,,100.45,193.54,3
CPT,92596,Ear protector attenuation measurements ,,,27.55,151.38,47
CPT,92597,EVAL USE/FIT VOICE PR SP,491.03,491.03,83.48,491.03,36
CPT,92597,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,491.03,491.03,64.75,198.72,81
CPT,92601,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,153.13,313.22,47
CPT,92602,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,107.28,206.69,47
CPT,92603,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,102.94,295.15,47
CPT,92604,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,70.08,177.13,47
CPT,92605,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,44
CPT,92606,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,44
CPT,92607,EV SGD W/PT FIRST HR SP,404.28,404.28,68.73,404.28,36
CPT,92607,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",404.28,404.28,110.79,248.87,81
CPT,92608,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,24.95,97.51,81
CPT,92609,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,69.22,207.14,81
CPT,92610,EVAL ORAL/PHARYNG SWL SP,1510.76,1510.76,256.83,1510.76,36
CPT,92610,Evaluation of oral and pharyngeal swallowing function ,1510.76,1510.76,48.72,171.54,81
CPT,92611,FLUORO EVAL OF SWALW SP,1621.84,1621.84,275.71,1621.84,36
CPT,92611,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,1621.84,1621.84,53.04,182.34,81
CPT,92612,ENDO EVAL OF SWALLOW SP,101.0,101.0,17.17,101.0,36
CPT,92612,Flexible endoscopic evaluation of swallowing by cine or video recording; ,101.0,101.0,175.47,398.59,81
CPT,92614,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,133.82,309.43,81
CPT,92616,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,202.04,449.78,81
CPT,92618,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,44
CPT,92620,"Evaluation of central auditory function, with report; initial 60 minutes ",,,52.13,178.69,47
CPT,92621,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,12.9,43.38,47
CPT,92622,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,44
CPT,92623,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,44
CPT,92625,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,51.24,134.44,47
CPT,92626,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,97.65,188.14,47
CPT,92627,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,24.57,47.34,47
CPT,92640,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,61.39,216.63,47
CPT,92650,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,34.63,66.73,47
CPT,92651,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,110.59,213.08,47
CPT,92652,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,145.26,279.87,47
CPT,92653,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,106.35,204.9,47
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,90
CPT,92921,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,8
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,90
CPT,92925,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,8
CPT,92928,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,31885.0,70
CPT,92929,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,31885.0,10
CPT,92930,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,52
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,31885.0,70
CPT,92934,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,31885.0,10
CPT,92937,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,31885.0,70
CPT,92938,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2540.0,31885.0,10
CPT,92941,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,826.02,31885.0,49
CPT,92943,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,31885.0,70
CPT,92944,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,31885.0,10
CPT,92945,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,5956.0,7602.0,22
CPT,92950,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,7950.0,82
CPT,92953,Temporary transcutaneous pacing ,,,1.14,7950.0,38
CPT,92960,CARDIOVERSION EXTERNAL,5543.665,5543.665,829.69,6206.79,70
CPT,92960,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,196.45,7950.0,38
CPT,92961,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,308.83,7950.0,38
CPT,92970,Cardioassist-method of circulatory assist; internal ,,,347.26,7950.0,29
CPT,92971,Cardioassist-method of circulatory assist; external ,,,141.7,7950.0,29
CPT,92972,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,22
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,219.76,12528.0,45
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,201.0,7950.0,39
CPT,92975,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,468.48,18061.0,7
CPT,92977,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,18061.0,37
CPT,92978,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,221.25,7950.0,39
CPT,92979,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,110.49,7950.0,39
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,31885.0,70
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,31885.0,70
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,31885.0,70
CPT,92992,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,11418.0,11418.0,2
CPT,92993,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,11418.0,11418.0,2
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,31885.0,70
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,456.86,20029.0,45
CPT,93000,"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report ",,,35.91,4700.0,5
CPT,93005,EKG TRACING ONLY,680.0,680.0,115.6,680.0,36
CPT,93005,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report ",680.0,680.0,20.57,4700.0,5
CPT,93010,"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only ",,,15.81,4700.0,5
CPT,93015,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and re",,,151.03,4700.0,5
CPT,93016,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretatio",,,40.39,4700.0,5
CPT,93017,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an",,,76.88,4700.0,5
CPT,93017,STRESS TEST,2483.26,2483.26,422.15,2483.26,72
CPT,93018,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only ",,,59.66,4700.0,5
CPT,93024,Ergonovine provocation test ,,,51.3,4700.0,5
CPT,93025,Microvolt T-wave alternans for assessment of ventricular arrhythmias ,,,311.04,4700.0,5
CPT,93040,"Rhythm ECG, 1-3 leads; with interpretation and report ",,,19.62,4700.0,5
CPT,93041,RHYTHM STRIP TRACE,445.45,445.45,75.73,445.45,36
CPT,93041,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report ",445.45,445.45,6.55,4700.0,5
CPT,93042,"Rhythm ECG, 1-3 leads; interpretation and report only ",,,13.5,4700.0,5
CPT,93050,"Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine ce",,,3807.0,4700.0,2
CPT,93145,"Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (BAT) modulation system including telemetric iterative communication with the implantable device to monitor dev",,,3807.0,4700.0,2
CPT,93146,"Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (BAT) modulation system including telemetric iterative communication with the implantable device to monitor dev",,,3807.0,4700.0,2
CPT,93150,"Therapy activation of implanted phrenic nerve stimulator system, including all interrogation and programming ",,,3807.0,4700.0,2
CPT,93151,Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system ,,,3807.0,4700.0,2
CPT,93152,Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography ,,,3807.0,4700.0,2
CPT,93153,Interrogation without programming of implanted phrenic nerve stimulator system ,,,3807.0,4700.0,2
CPT,93224,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other ",,,224.59,4700.0,5
CPT,93225,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) ",,,56.74,4700.0,5
CPT,93225,HOLTER RECORD VISUAL,647.91,647.91,110.14,647.91,72
CPT,93226,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report ,2590.24,2590.24,99.91,4700.0,5
CPT,93226,HOLTER SCAN VISUAL,2590.24,2590.24,440.34,2590.24,36
CPT,93227,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional ,,,68.11,4700.0,5
CPT,93228,"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with",,,32.2,4700.0,5
CPT,93229,"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with",,,845.54,4700.0,5
CPT,93241,"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation ",,,208.89,4700.0,5
CPT,93242,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording) ,,,17.71,4700.0,5
CPT,93243,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report ,,,72.73,4700.0,5
CPT,93244,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; review and interpretation ,,,30.97,4700.0,5
CPT,93245,"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation ",,,116.69,4700.0,5
CPT,93246,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording) ,,,17.71,4700.0,5
CPT,93247,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report ,,,146.31,4700.0,5
CPT,93248,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation ,,,34.06,4700.0,5
CPT,93260,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,26.25,4700.0,5
CPT,93261,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,26.25,4700.0,5
CPT,93264,"Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads of pulmonary artery pressure recordings, interpretation(s), trend analysis, and ",,,3807.0,4700.0,2
CPT,93268,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,55.81,4700.0,5
CPT,93270,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,55.78,4700.0,5
CPT,93271,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,107.5,4700.0,5
CPT,93272,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,44.95,4700.0,5
CPT,93278,"Signal-averaged electrocardiography (SAECG), with or without ECG ",,,53.3,4700.0,5
CPT,93279,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,22.52,4700.0,5
CPT,93280,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,26.01,4700.0,5
CPT,93281,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,30.48,4700.0,5
CPT,93282,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,27.55,4700.0,5
CPT,93283,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,31.32,4700.0,5
CPT,93284,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,35.51,4700.0,5
CPT,93285,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,21.27,4700.0,5
CPT,93286,PERIPROC EVAL/PROG PM,13331.47,13331.47,1999.72,13331.47,40
CPT,93286,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",13331.47,13331.47,13.98,4700.0,5
CPT,93287,PERIPROC EVAL/PROG ICD,13331.47,13331.47,1999.72,13331.47,40
CPT,93287,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",13331.47,13331.47,15.81,4700.0,5
CPT,93288,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,21.67,4700.0,5
CPT,93289,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,26.01,4700.0,5
CPT,93290,INTEROGT EVAL IMP CV MON,109.9,109.9,18.68,109.9,36
CPT,93290,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",109.9,109.9,12.03,4700.0,5
CPT,93291,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,19.3,4700.0,5
CPT,93292,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,14.97,4700.0,5
CPT,93293,"Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s) by a ph",,,48.41,4700.0,5
CPT,93294,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, or leadless pacemaker system with interim analysis, review(s) and report(s) by a physician ",,,45.73,4700.0,5
CPT,93295,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other quali",,,82.68,4700.0,5
CPT,93296,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system, remote data acquisition(s),",,,42.18,4700.0,5
CPT,93297,"Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements fro",,,32.2,4700.0,5
CPT,93298,"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data, analysis, review(s) and report(s) by a physici",,,36.81,4700.0,5
CPT,93303,ECHO ANOMALIES COMP,2307.21,2307.21,392.23,2307.21,36
CPT,93303,Transthoracic echocardiography for congenital cardiac anomalies; complete ,2307.21,2307.21,174.69,4700.0,5
CPT,93304,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study ,,,87.91,4700.0,5
CPT,93306,ECHO2D COMP W CF DOP,5754.23,5754.23,978.22,5754.23,72
CPT,93306,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc",,,223.16,4700.0,5
CPT,93307,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography ",,,176.58,4700.0,5
CPT,93308,ECHO 2D W/WOM MODE LTD,1817.88,1817.88,309.04,1817.88,72
CPT,93308,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study ",,,88.64,4700.0,5
CPT,93312,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report ",3635.84,3635.84,162.16,4700.0,5
CPT,93312,TEE 2D W/WOM MODE COMP,3635.84,3635.84,618.09,3635.84,36
CPT,93313,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only ",,,14.79,4700.0,5
CPT,93314,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only ",,,172.31,4700.0,5
CPT,93315,"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report ",,,181.44,4700.0,5
CPT,93316,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only ,,,34.44,4700.0,5
CPT,93317,"Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only ",,,181.44,4700.0,5
CPT,93318,"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (",,,667.56,4700.0,5
CPT,93319,"3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac struct",,,73.74,4700.0,5
CPT,93320,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete ",1920.26,1920.26,78.45,4700.0,5
CPT,93320,ECHO DOPPLER COMP,1920.26,1920.26,288.04,1920.26,40
CPT,93321,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in ",943.56,943.56,50.86,4700.0,5
CPT,93321,ECHO DOPPLER LTD,943.56,943.56,141.53,943.56,40
CPT,93325,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) ,1562.01,1562.01,66.44,4700.0,5
CPT,93325,ECHO COLOR FLOW MAPPING,1562.01,1562.01,234.3,1562.01,40
CPT,93350,ECHO STRESS,5285.91,5285.91,898.6,5285.91,72
CPT,93350,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or",,,157.81,4700.0,5
CPT,93351,ECHO STRESS W CONT ECG,3930.66,3930.66,668.21,3930.66,72
CPT,93351,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or",,,326.59,4700.0,5
CPT,93352,Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure) ,,,45.3,4700.0,5
CPT,93355,"Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg, TAVR, transcatheter pulmonary valve replacement, mitral valve re",20406.65,20406.65,286.42,551.85,3
CPT,93355,TEE GUIDANCE INTRACARD,20406.65,20406.65,3061.0,20406.65,42
CPT,93356,MYOCARD STRAIN IMAGE,368.85,368.85,55.33,368.85,42
CPT,93356,Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) ,368.85,368.85,48.45,93.35,3
CPT,93451,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,18061.0,72
CPT,93452,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,18061.0,72
CPT,93453,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,18061.0,72
CPT,93454,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,16577.0,66
CPT,93455,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,16577.0,66
CPT,93456,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,18061.0,72
CPT,93457,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,18061.0,72
CPT,93458,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,18061.0,72
CPT,93459,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,18061.0,72
CPT,93460,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,18061.0,72
CPT,93461,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,18061.0,72
CPT,93462,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,259.61,16577.0,45
CPT,93463,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,126.12,2900.0,36
CPT,93464,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,199.49,2900.0,36
CPT,93503,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,16577.0,82
CPT,93505,Endomyocardial biopsy ,,,607.0,16577.0,82
CPT,93530,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,20
CPT,93531,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,20
CPT,93532,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,20
CPT,93533,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,20
CPT,93561,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,990.0,990.0,1
CPT,93562,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,990.0,990.0,1
CPT,93563,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,73.28,16577.0,38
CPT,93564,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,76.28,16577.0,38
CPT,93565,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,56.94,16577.0,38
CPT,93566,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,194.02,16577.0,38
CPT,93567,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,164.04,16577.0,38
CPT,93568,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,173.85,16577.0,38
CPT,93569,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,32
CPT,93571,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,87.96,2900.0,36
CPT,93572,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,218.37,2900.0,36
CPT,93573,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,32
CPT,93574,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,32
CPT,93575,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,32
CPT,93580,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,90
CPT,93581,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,90
CPT,93582,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,102
CPT,93583,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,922.28,7950.0,72
CPT,93584,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,22
CPT,93585,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,22
CPT,93586,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,22
CPT,93587,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,22
CPT,93588,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,22
CPT,93590,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,81
CPT,93591,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,81
CPT,93592,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,16577.0,80
CPT,93593,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,18061.0,67
CPT,93594,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,18061.0,67
CPT,93595,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,18061.0,67
CPT,93596,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,18061.0,67
CPT,93597,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,18061.0,67
CPT,93598,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,89.49,2900.0,35
CPT,93600,BUNDLE OF HIS RECORDING,30923.22,30923.22,5692.96,30923.22,28
CPT,93600,Bundle of His recording ,30923.22,30923.22,89.09,30393.0,43
CPT,93602,INTRA ATRIAL RECORDING,31142.29,31142.29,5733.3,31142.29,26
CPT,93602,Intra-atrial recording ,31142.29,31142.29,50.64,30393.0,45
CPT,93603,Right ventricular recording ,,,76.88,30393.0,45
CPT,93609,IV/IA MAP ID ORIGIN,46357.23,46357.23,6953.58,46357.23,32
CPT,93609,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,46357.23,46357.23,126.06,30393.0,43
CPT,93610,IA PACING,31142.29,31142.29,5733.3,31142.29,26
CPT,93610,Intra-atrial pacing ,31142.29,31142.29,61.94,30393.0,45
CPT,93612,IV PACING,31142.29,31142.29,5733.3,31142.29,26
CPT,93612,Intraventricular pacing ,31142.29,31142.29,74.16,30393.0,45
CPT,93613,INTRACARD EP 3D MAPPING,35468.06,35468.06,5320.21,35468.06,32
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,35468.06,35468.06,291.0,30393.0,43
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,13.0,30393.0,45
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,14.02,30393.0,45
CPT,93618,ARRHYTHMIA INDUCE ELECT,30923.22,30923.22,5692.96,30923.22,28
CPT,93618,Induction of arrhythmia by electrical pacing ,30923.22,30923.22,188.09,30393.0,45
CPT,93619,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",27964.99,27964.99,376.68,30393.0,45
CPT,93619,EP W/O ARRHYTHMIA,27964.99,27964.99,5148.35,27964.99,26
CPT,93620,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,27964.99,27964.99,426.0,30393.0,45
CPT,93620,EP W/ARRHYTHMIA,27964.99,27964.99,5148.35,27964.99,26
CPT,93621,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,27964.99,27964.99,291.0,30393.0,43
CPT,93621,EP W/LA REC W/ARRHYTHMIA,27964.99,27964.99,4194.75,27964.99,32
CPT,93622,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,27964.99,27964.99,291.0,30393.0,43
CPT,93622,EP W/LVREC W/ARRHYTHMIA,27964.99,27964.99,4194.75,27964.99,32
CPT,93623,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,31142.29,31142.29,291.0,30393.0,43
CPT,93623,STIM & PACE AFTER IV INF,31142.29,31142.29,4671.34,31142.29,32
CPT,93624,EP FOLLOWUP,24928.97,24928.97,4589.42,24928.97,26
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",24928.97,24928.97,92.97,30393.0,45
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,287.48,30393.0,43
CPT,93640,AICD LEAD TEST INIT,7965.71,7965.71,1194.86,7965.71,30
CPT,93640,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",7965.71,7965.71,291.0,30393.0,61
CPT,93641,AICD LEAD/GEN TEST INIT,7965.71,7965.71,1194.86,7965.71,30
CPT,93641,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",7965.71,7965.71,291.0,30393.0,61
CPT,93642,AICD EVAL & REPROGRAM,7965.71,7965.71,1466.49,7965.71,26
CPT,93642,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",7965.71,7965.71,97.16,30393.0,61
CPT,93644,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,69.06,7950.0,37
CPT,93650,ABLATION AV NODE W/WO,52793.64,52793.64,9719.31,52793.64,25
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",52793.64,52793.64,1753.0,39148.0,68
CPT,93653,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",177368.51,177368.51,2706.0,39148.0,84
CPT,93653,EP REPOS ELE SVT SGL,177368.51,177368.51,32653.54,177368.51,25
CPT,93654,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",218395.69,218395.69,2706.0,39148.0,84
CPT,93654,EP REPOS ELE VT 3D MAP,218395.69,218395.69,40206.65,218395.69,25
CPT,93655,EP INTRACARD DX TX,52793.64,52793.64,7919.05,52793.64,30
CPT,93655,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",52793.64,52793.64,291.0,36635.0,61
CPT,93656,COM EP REPO CTH TX AFIB,233407.32,233407.32,42970.29,233407.32,25
CPT,93656,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",233407.32,233407.32,2706.0,39148.0,84
CPT,93657,ADD INTRACRD AFIB/PV ISO,52793.64,52793.64,7919.05,52793.64,30
CPT,93657,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,52793.64,52793.64,291.0,36635.0,61
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",3320.58,3320.58,290.81,30393.0,41
CPT,93660,TILT TABLE W/WO RX,3320.58,3320.58,564.5,3320.58,32
CPT,93662,INTRACARDIAC ECHO,20443.52,20443.52,3066.53,20443.52,30
CPT,93662,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",20443.52,20443.52,177.78,30393.0,41
CPT,93668,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,0.29,27.56,47
CPT,93701,Bioimpedance-derived physiologic cardiovascular analysis ,,,30.53,58.81,3
CPT,93702,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,134.1,258.37,47
CPT,93724,"Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpret",,,179.06,344.98,3
CPT,93740,Temperature gradient studies ,,,7.0,13.5,3
CPT,93745,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,33
CPT,93750,INTEROGT VAD INC PROGRAM,239.08,239.08,40.64,239.08,37
CPT,93750,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",239.08,239.08,63.69,2900.0,80
CPT,93770,Determination of venous pressure ,,,1.36,2.63,3
CPT,93784,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,418.67,47
CPT,93786,AMB BP MONITOR REC ONLY,623.46,623.46,105.99,623.46,37
CPT,93786,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",623.46,623.46,6.62,42.71,47
CPT,93788,AMB BP MONITOR SCAN W/RT,623.46,623.46,105.99,623.46,38
CPT,93788,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with report ",623.46,623.46,202.95,391.02,3
CPT,93790,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; review with interpretation and report ",,,68.5,131.99,3
CPT,93792,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,44
CPT,93793,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,44
CPT,93797,CR EXER NON-MON,334.53,334.53,56.87,334.53,37
CPT,93797,Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session) ,334.53,334.53,22.86,138.0,4
CPT,93798,CR EXER MON,347.26,347.26,59.03,347.26,37
CPT,93798,Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session) ,347.26,347.26,36.8,155.0,4
CPT,93799,UNLISTED CARDIO SERVICE,5552.06,5552.06,943.85,5552.06,37
CPT,93799,Unlisted cardiovascular service or procedure ,5552.06,5552.06,291.0,2900.0,33
CPT,93880,DUP EXTRACRANIAL BIL,4836.0,4836.0,822.12,4836.0,66
CPT,93880,Duplex scan of extracranial arteries; complete bilateral study ,,,162.52,1482.0,51
CPT,93882,DUP EXTRCRNIAL UNI/LTD,1798.15,1798.15,305.69,1798.15,33
CPT,93882,Duplex scan of extracranial arteries; unilateral or limited study ,1798.15,1798.15,162.52,1482.0,51
CPT,93886,DOP TRANSCRANIAL COMP,10444.78,10444.78,1775.61,10444.78,33
CPT,93886,Transcranial Doppler study of the intracranial arteries; complete study ,10444.78,10444.78,162.52,1482.0,51
CPT,93888,DOP TRANSCRANIAL LTD,1905.61,1905.61,323.95,1905.61,33
CPT,93888,Transcranial Doppler study of the intracranial arteries; limited study ,1905.61,1905.61,162.52,1482.0,51
CPT,93890,Transcranial Doppler study of the intracranial arteries; vasoreactivity study ,,,210.54,405.64,3
CPT,93892,TCD EMBOLI DETECT WO INJ,778.02,778.02,132.26,778.02,35
CPT,93892,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,778.02,778.02,219.36,1482.0,49
CPT,93893,TCD EMBOLI DETECT W INJ,936.15,936.15,159.15,936.15,35
CPT,93893,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,936.15,936.15,213.63,1482.0,49
CPT,93895,"Quantitative carotid intima media thickness and carotid atheroma evaluation, bilateral ",,,1264.0,1482.0,2
CPT,93896,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,1482.0,46
CPT,93897,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,1482.0,46
CPT,93898,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,1482.0,46
CPT,93922,DOP ART 1-2 LEVEL UNI,2501.73,2501.73,425.29,2501.73,33
CPT,93922,DOP ART 1-2 LEVELS BIL,2501.73,2501.73,425.29,2501.73,33
CPT,93922,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,53.23,1482.0,51
CPT,93923,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",820.87,820.87,100.64,1482.0,51
CPT,93923,DOP ART >3 LEVELS BIL,820.87,820.87,139.55,820.87,33
CPT,93924,DOP LE ART W/EXER BIL,1028.03,1028.03,174.77,1028.03,33
CPT,93924,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",1028.03,1028.03,109.86,1482.0,51
CPT,93925,DUP LE ART BIL,5431.51,5431.51,923.36,5431.51,66
CPT,93925,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,162.52,1482.0,51
CPT,93926,DUP LE ART UNI LT,3533.69,3533.69,600.73,3533.69,66
CPT,93926,DUP LE ART UNI RT,3533.69,3533.69,600.73,3533.69,66
CPT,93926,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,162.52,1482.0,51
CPT,93930,DUP UE ART BIL,5431.51,5431.51,923.36,5431.51,33
CPT,93930,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,5431.51,5431.51,162.52,1482.0,51
CPT,93931,DUP UE ART UNI LT,3533.69,3533.69,600.73,3533.69,66
CPT,93931,DUP UE ART UNI RT,3533.69,3533.69,600.73,3533.69,66
CPT,93931,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,162.52,1482.0,51
CPT,93970,DUP VEIN BIL,3533.69,3533.69,600.73,3533.69,66
CPT,93970,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,162.52,1482.0,51
CPT,93971,DUP VEIN UNI LT,1905.61,1905.61,323.95,1905.61,66
CPT,93971,DUP VEIN UNI RT,1905.61,1905.61,323.95,1905.61,66
CPT,93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,162.52,1482.0,51
CPT,93975,DUP AB/PEL/SC COMP,3369.52,3369.52,572.82,3369.52,66
CPT,93975,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,162.52,1482.0,51
CPT,93976,DUP AB/PEL/SC LTD,1905.0,1905.0,323.85,1905.0,66
CPT,93976,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,162.52,1482.0,51
CPT,93978,DUP AO/IVC/IV/BPG COMP,1905.61,1905.61,323.95,1905.61,33
CPT,93978,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",1905.61,1905.61,162.52,1482.0,51
CPT,93979,DUP AO/IVC/IV/BPG LTD,2993.31,2993.31,508.86,2993.31,33
CPT,93979,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",2993.31,2993.31,162.52,1482.0,51
CPT,93980,DUP PENILE COMP,3168.21,3168.21,538.6,3168.21,33
CPT,93980,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,3168.21,3168.21,109.7,1482.0,51
CPT,93981,DUP PENILE LTD,1905.61,1905.61,323.95,1905.61,33
CPT,93981,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,1905.61,1905.61,93.26,1482.0,51
CPT,93985,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,271.47,1482.0,51
CPT,93986,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,154.47,1482.0,51
CPT,93990,DUP A/V STUDY,3533.69,3533.69,600.73,3533.69,33
CPT,93990,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",3533.69,3533.69,114.59,1482.0,51
CPT,93998,Unlisted noninvasive vascular diagnostic study ,,,1264.0,1482.0,2
CPT,94002,VENT MGMT INITIAL IP/OBS,5945.31,5945.31,1010.7,5945.31,76
CPT,94002,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day ",,,106.26,204.73,3
CPT,94003,VENT MGMT IP/OBS SUB DAY,5889.075000000001,5889.075000000001,991.58,5945.31,76
CPT,94003,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day ",,,77.16,148.66,3
CPT,94004,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day ",,,56.28,108.43,3
CPT,94010,SPIROMETRY,1206.42,1206.42,205.09,1206.42,38
CPT,94010,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation ",1206.42,1206.42,19.21,37.02,3
CPT,94011,Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age ,,,116.44,224.35,3
CPT,94012,"Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age ",,,187.66,361.57,3
CPT,94013,"Measurement of lung volumes (ie, functional residual capacity ºFRC», forced vital capacity ºFVC», and expiratory reserve volume ºERV») in an infant or child through 2 years of age ",,,25.45,49.04,3
CPT,94060,BRONCH EV SPIR PRE/POST,1504.38,1504.38,255.74,1504.38,38
CPT,94060,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration ",1504.38,1504.38,42.53,81.93,3
CPT,94070,"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigenºs», cold air, methacholine) ",,,66.95,128.98,3
CPT,94150,VITAL CAPACITY,518.65,518.65,88.17,518.65,38
CPT,94150,"Vital capacity, total (separate procedure) ",518.65,518.65,3.84,7.4,3
CPT,94200,"Maximum breathing capacity, maximal voluntary ventilation ",,,11.31,21.79,3
CPT,94375,RESP FLOW VOLUME LOOP,927.7,927.7,157.71,927.7,38
CPT,94375,Respiratory flow volume loop ,927.7,927.7,22.38,43.12,3
CPT,94450,Breathing response to hypoxia (hypoxia response curve) ,,,17.41,33.55,3
CPT,94610,Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube ,271.97,271.97,74.78,144.07,3
CPT,94610,SURFACTANT,271.97,271.97,46.23,271.97,38
CPT,94617,"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s) ",,,73.83,142.25,3
CPT,94618,"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed ",,,13.38,25.78,3
CPT,94619,"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s) ",,,58.62,112.94,3
CPT,94621,"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings ",,,69.15,133.23,3
CPT,94625,PULM REHAB PER SES WO OX,452.83,452.83,76.98,452.83,37
CPT,94625,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,452.83,452.83,77.91,150.11,47
CPT,94626,PULM REHAB PER SES W OX,452.83,452.83,76.98,452.83,37
CPT,94626,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,452.83,452.83,89.55,172.53,47
CPT,94640,INH TX AC AWY OBST,626.84,626.84,106.56,626.84,74
CPT,94640,MDI VENT,626.84,626.84,106.56,626.84,74
CPT,94640,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,36.21,47
CPT,94642,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,325.56,47
CPT,94642,INHALATION PENTAMIDINE,559.3,559.3,95.08,559.3,74
CPT,94644,CONT INHAL TRMT 1ST HOUR,1124.39,1124.39,191.15,1124.39,74
CPT,94644,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,40.76,108.8,47
CPT,94645,CONT IN TRMT EA ADD HOUR,1124.39,1124.39,168.66,1124.39,82
CPT,94645,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,15.45,31.98,47
CPT,94660,CPAP VENT INIT&MGMT NB,3935.38,3935.38,669.01,3935.38,37
CPT,94660,CPAP VENT INT&MGMT,3935.38,3935.38,669.01,3935.38,37
CPT,94660,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,72.61,139.9,47
CPT,94662,"Continuous negative pressure ventilation (CNP), initiation and management ",,,52.3,100.77,47
CPT,94664,DEM AER GEN/NEB/MDI/IPPB,539.68,539.68,91.75,539.68,74
CPT,94664,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,24.42,47.05,47
CPT,94667,CHEST WALL INITIAL,480.67,480.67,81.71,480.67,74
CPT,94667,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,26.91,51.85,47
CPT,94668,CHEST WALL SUBSEQUENT,314.78,314.78,53.51,314.78,74
CPT,94668,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,16.04,72.79,47
CPT,94669,MECH CHEST WALL OSCILL,937.33,937.33,159.35,937.33,74
CPT,94669,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,79.85,47
CPT,94680,EXP GAS ANYL R&E SMP,510.59,510.59,86.8,510.59,38
CPT,94680,"Oxygen uptake, expired gas analysis; rest and exercise, direct, simple ",510.59,510.59,24.57,47.34,3
CPT,94681,EXP GAS INC CO2 OUTPUT,510.59,510.59,86.8,510.59,38
CPT,94681,"Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted ",510.59,510.59,63.93,123.17,3
CPT,94690,"Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) ",,,24.87,47.92,3
CPT,94726,PLETHYSMOGRAPHY,225.49,225.49,38.33,225.49,38
CPT,94726,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",225.49,225.49,48.39,93.23,47
CPT,94727,GAS DILUTION/WASHOUT,434.88,434.88,73.93,434.88,38
CPT,94727,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",434.88,434.88,34.98,67.39,47
CPT,94728,Airway resistance by oscillometry ,,,34.98,67.39,47
CPT,94729,DIFFUSING CAPACITY,595.96,595.96,89.39,595.96,42
CPT,94729,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",595.96,595.96,52.95,102.02,47
CPT,94760,Noninvasive ear or pulse oximetry for oxygen saturation; single determination ,119.18,119.18,11.75,22.63,3
CPT,94760,SINGLE DX PULSE OX,119.18,119.18,17.88,119.18,42
CPT,94761,MULTIPLE DX PULSE OX,262.54,262.54,39.38,262.54,42
CPT,94761,"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) ",262.54,262.54,31.18,60.08,3
CPT,94762,Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure) ,,,51.95,100.08,3
CPT,94772,"Circadian respiratory pattern recording (pediatric pneumogram), 12-24 hour continuous recording, infant ",,,161.66,311.46,3
CPT,94775,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,44
CPT,94776,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,44
CPT,94780,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,103.88,103.88,44
CPT,94781,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,42.07,44
CPT,95004,"Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests ",,,4.28,8.24,3
CPT,95012,Nitric oxide expired gas determination ,,,21.25,40.95,3
CPT,95017,"Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal), sequential and incremental, with venoms, immediate type reaction, including test interpret",,,10.53,20.29,3
CPT,95018,"Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal), sequential and incremental, with drugs or biologicals, immediate type reaction, including ",,,26.03,50.14,3
CPT,95024,"Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests ",,,6.55,12.63,3
CPT,95027,"Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, including test interpretation and report, specify number of te",,,6.55,12.63,3
CPT,95028,"Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests ",,,10.19,19.62,3
CPT,95044,Patch or application test(s) (specify number of tests) ,,,8.83,17.02,3
CPT,95052,Photo patch test(s) (specify number of tests) ,,,11.1,21.39,3
CPT,95056,Photo tests ,,,7.92,15.26,3
CPT,95060,Ophthalmic mucous membrane tests ,,,15.39,29.65,3
CPT,95065,Direct nasal mucous membrane test ,,,8.83,17.02,3
CPT,95070,"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds ",,,101.11,194.81,3
CPT,95076,"Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); initial 120 minutes of testing ",,,143.32,276.14,3
CPT,95079,"Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); each additional 60 minutes of testing (List separately in addition to code for primary",,,102.06,196.64,3
CPT,95115,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,39.25,47
CPT,95117,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,61.12,47
CPT,95120,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; singl",,,30.45,58.67,3
CPT,95125,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 or ",,,30.45,58.67,3
CPT,95130,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; singl",,,30.45,58.67,3
CPT,95131,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 sti",,,30.45,58.67,3
CPT,95132,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 3 sti",,,30.45,58.67,3
CPT,95133,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 4 sti",,,30.45,58.67,3
CPT,95134,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 5 sti",,,40.59,78.2,3
CPT,95144,"Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials) ",,,30.45,58.67,3
CPT,95146,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venoms ,,,30.45,58.67,3
CPT,95147,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms ,,,30.45,58.67,3
CPT,95148,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms ,,,30.45,58.67,3
CPT,95149,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms ,,,40.59,78.2,3
CPT,95170,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole body extract of biting insect or other arthropod (specify number of doses) ,,,7.32,14.1,3
CPT,95180,"Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum) ",,,107.63,207.36,3
CPT,95249,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,44
CPT,95250,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,61.59,271.32,47
CPT,95251,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,44
CPT,95700,EEG CONT MIN 8 CHNLS,1375.36,1375.36,233.81,1375.36,37
CPT,95700,"Electroencephalogram (EEG) continuous recording, with video when performed, setup, patient education, and takedown when performed, administered in person by EEG technologist, minimum of 8 channels ",1375.36,1375.36,330.76,637.27,3
CPT,95705,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitored ",,,330.76,637.27,3
CPT,95706,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance ",,,330.76,637.27,3
CPT,95707,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance ",,,330.76,637.27,3
CPT,95708,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitored ",,,634.63,1222.73,3
CPT,95709,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenance ",,,634.63,1222.73,3
CPT,95710,"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenance ",,,634.63,1222.73,3
CPT,95711,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; unmonitored ",3698.63,3698.63,330.76,637.27,3
CPT,95711,VEEG 2-12 HR UNMONITORED,3698.63,3698.63,628.77,3698.63,37
CPT,95712,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenance ",3698.63,3698.63,330.76,637.27,3
CPT,95712,VEEG 2-12 HR W INT MON,3698.63,3698.63,628.77,3698.63,37
CPT,95713,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance ",3698.63,3698.63,634.63,1222.73,3
CPT,95713,VEEG 2-12 HR W CONT MON,3698.63,3698.63,628.77,3698.63,37
CPT,95714,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitored ",3698.63,3698.63,634.63,1222.73,3
CPT,95714,VEEG 12-26 HR UNMONITOR,3698.63,3698.63,628.77,3698.63,37
CPT,95715,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenance ",3698.63,3698.63,634.63,1222.73,3
CPT,95715,VEEG 12-26 W INT MON,3698.63,3698.63,628.77,3698.63,37
CPT,95716,"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenance ",3698.63,3698.63,1187.88,2288.65,3
CPT,95716,VEEG 12-26 HR CONT,3698.63,3698.63,628.77,3698.63,37
CPT,95782,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1073.7,2710.0,14
CPT,95783,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,1142.06,2710.0,14
CPT,95800,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,181.95,2710.0,14
CPT,95801,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,56.07,2710.0,14
CPT,95803,"Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording) ",,,119.07,229.41,3
CPT,95805,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,237.84,2710.0,14
CPT,95806,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,225.1,2710.0,14
CPT,95807,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,234.67,2710.0,14
CPT,95808,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,234.67,2710.0,14
CPT,95810,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,234.67,2710.0,14
CPT,95811,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,314.94,2710.0,14
CPT,95812,EEG 41-60 MIN,1375.36,1375.36,233.81,1375.36,37
CPT,95812,Electroencephalogram (EEG) extended monitoring; 41-60 minutes ,1375.36,1375.36,63.96,123.23,3
CPT,95813,EEG EXT MNTR 61-119 MIN,1375.36,1375.36,233.81,1375.36,37
CPT,95813,Electroencephalogram (EEG) extended monitoring; 61-119 minutes ,1375.36,1375.36,63.96,123.23,3
CPT,95816,EEG REC AW & DROWSY,1234.38,1234.38,209.84,1234.38,37
CPT,95816,Electroencephalogram (EEG); including recording awake and drowsy ,1234.38,1234.38,60.6,116.76,3
CPT,95819,EEG REC AW & ASLEEP,1966.3,1966.3,334.27,1966.3,37
CPT,95819,Electroencephalogram (EEG); including recording awake and asleep ,1966.3,1966.3,60.6,116.76,3
CPT,95822,Electroencephalogram (EEG); recording in coma or sleep only ,,,82.74,159.41,3
CPT,95824,Electroencephalogram (EEG); cerebral death evaluation only ,,,19.21,37.02,3
CPT,95829,Electrocorticogram at surgery (separate procedure) ,,,6.75,13.01,3
CPT,95830,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording ,,,123.12,237.21,3
CPT,95836,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,136.83,263.63,47
CPT,95851,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,22.84,48.23,81
CPT,95852,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,16.54,39.74,81
CPT,95857,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,51.41,122.93,47
CPT,95860,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,16.96,114.73,47
CPT,95861,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,33.88,141.92,47
CPT,95863,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,42.72,213.31,47
CPT,95864,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,81.61,224.67,47
CPT,95865,Needle electromyography; larynx ,,,30.54,122.95,47
CPT,95866,Needle electromyography; hemidiaphragm ,,,9.64,123.58,47
CPT,95867,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,26.68,118.53,47
CPT,95868,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,31.89,122.32,47
CPT,95869,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,9.48,134.96,47
CPT,95870,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,9.69,114.73,47
CPT,95872,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,27.8,71.16,47
CPT,95873,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,9.33,92.87,47
CPT,95874,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,9.33,102.98,47
CPT,95875,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,18.93,118.53,47
CPT,95885,NDL ELEC PARA VEL LTD,691.88,691.88,103.78,691.88,41
CPT,95885,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",691.88,691.88,44.58,85.89,47
CPT,95886,NDL ELEC PARA VEL 5 OR M,691.88,691.88,103.78,691.88,41
CPT,95886,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",691.88,691.88,46.96,92.87,47
CPT,95887,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,47.76,92.02,47
CPT,95905,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,163.72,47
CPT,95907,NERVE COND 1-2 STDS,422.15,422.15,71.77,422.15,37
CPT,95907,Nerve conduction studies; 1-2 studies ,422.15,422.15,49.8,95.95,47
CPT,95908,NERVE COND 3-4 STDS,422.15,422.15,71.77,422.15,37
CPT,95908,Nerve conduction studies; 3-4 studies ,422.15,422.15,60.2,115.98,47
CPT,95909,NERVE COND 5-6 STDS,422.15,422.15,71.77,422.15,37
CPT,95909,Nerve conduction studies; 5-6 studies ,422.15,422.15,72.22,139.15,47
CPT,95910,NERVE COND 7-8 STDS,422.15,422.15,71.77,422.15,37
CPT,95910,Nerve conduction studies; 7-8 studies ,422.15,422.15,93.22,179.61,47
CPT,95911,NERVE COND 9-10 STDS,768.08,768.08,130.57,768.08,37
CPT,95911,Nerve conduction studies; 9-10 studies ,768.08,768.08,108.06,208.2,47
CPT,95912,NERVE COND 11-12 STDS,768.08,768.08,130.57,768.08,37
CPT,95912,Nerve conduction studies; 11-12 studies ,768.08,768.08,122.27,235.56,47
CPT,95913,NERVE COND 13+ STDS,768.08,768.08,130.57,768.08,37
CPT,95913,Nerve conduction studies; 13 or more studies ,768.08,768.08,136.71,263.39,47
CPT,95921,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,17.19,81.25,47
CPT,95922,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,17.19,82.91,47
CPT,95923,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,17.19,140.02,47
CPT,95924,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,71.31,137.39,47
CPT,95925,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,63.49,238.71,47
CPT,95926,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,98.06,215.97,47
CPT,95927,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,98.06,282.7,47
CPT,95928,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,44
CPT,95929,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,44
CPT,95930,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,11.61,90.73,47
CPT,95933,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,36.16,93.26,47
CPT,95937,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,15.15,128.01,47
CPT,95938,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,295.5,620.71,47
CPT,95939,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,407.99,823.91,47
CPT,95940,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,39.75,76.59,47
CPT,95954,"Pharmacological or physical activation requiring physician or other qualified health care professional attendance during EEG recording of activation phase (eg, thiopental activation test) ",,,22.58,43.49,3
CPT,95955,"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery) ",,,90.55,174.47,3
CPT,95957,"Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis) ",,,76.72,147.82,3
CPT,95958,"Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoring ",,,80.0,154.12,3
CPT,95961,"Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour",,,59.25,114.16,3
CPT,95962,"Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; each additio",,,59.25,114.16,3
CPT,95965,"Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral cortex localization) ",,,129.54,249.58,3
CPT,95966,"Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor, language, or visual cortex localization) ",,,156.81,302.12,3
CPT,95970,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,30.2,58.18,47
CPT,95971,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,50.56,97.42,47
CPT,95972,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,94.77,182.59,47
CPT,95976,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,51.41,99.04,47
CPT,95977,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,68.28,131.55,47
CPT,95980,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,47.98,92.45,47
CPT,95981,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,32.92,76.15,47
CPT,95982,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,50.59,115.26,47
CPT,95983,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,64.43,124.13,47
CPT,95984,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,56.2,108.29,47
CPT,95990,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,65.89,2900.0,80
CPT,95991,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,2900.0,77
CPT,95992,CANALITH REPO PROC PT,354.82,354.82,60.32,354.82,35
CPT,95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",354.82,354.82,32.61,7950.0,116
CPT,96000,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,114.25,220.13,47
CPT,96001,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,136.37,262.73,47
CPT,96002,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,26.3,50.66,47
CPT,96003,"Dynamic fine wire electromyography, during walking or other functional activities, 1 muscle ",,,24.3,46.82,3
CPT,96004,"Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyogra",,,115.94,223.37,3
CPT,96040,"Medical genetics and genetic counseling services, each 30 minutes face-to-face with patient/family ",,,42.63,82.13,3
CPT,96041,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,44
CPT,96105,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,81.11,194.57,81
CPT,96110,"Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument ",,,81.11,156.26,3
CPT,96112,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",,,172.0,331.4,3
CPT,96113,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",,,76.74,147.85,3
CPT,96116,"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities»)",,,133.88,257.93,3
CPT,96125,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,93.27,217.73,37
CPT,96127,"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder ºADHD» scale), with scoring and documentation, per standardized instrument ",,,40.59,50.0,3
CPT,96160,"Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument ",,,50.8,97.88,3
CPT,96161,"Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument ",,,50.8,97.88,3
CPT,96202,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,18.43,28.52,34
CPT,96203,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,4.84,7.5,34
CPT,96360,IV HYDRAT INIT UP TO 1HR,697.0,697.0,118.49,697.0,1102
CPT,96360,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,65.75,575.87,18
CPT,96361,IV HYDRAT EA ADD HR,165.0,165.0,28.05,165.0,1178
CPT,96361,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,19.21,126.78,18
CPT,96365,IV INITIAL UP TO 1 HOUR,1044.0,1044.0,177.48,1044.0,1140
CPT,96365,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour ",,,80.2,154.53,3
CPT,96366,IV EACH ADD HOUR,375.935,375.935,60.52,395.87,1140
CPT,96366,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) ",,,25.96,50.03,3
CPT,96367,IV ADDL SEQ INF UP TO 1H,172.92,172.92,29.4,172.92,608
CPT,96367,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for ",,,40.7,78.41,3
CPT,96368,IV CONCURRENT INFUSION,335.85,335.85,50.38,335.85,462
CPT,96368,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure) ",,,24.24,46.7,3
CPT,96369,"Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s) ",,,174.19,335.62,3
CPT,96370,Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) ,,,18.84,36.3,3
CPT,96371,Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for pr,,,84.09,162.01,3
CPT,96372,INJECTION IM OR SQ,195.52999999999997,195.52999999999997,31.45,476.88,1178
CPT,96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular ",,,25.07,48.29,3
CPT,96373,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial ",,,21.57,41.56,3
CPT,96374,IVP SINGLE/INITIAL DRUG,553.31,553.31,90.27,1327.41,1254
CPT,96374,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug ",,,63.69,122.71,3
CPT,96375,IVP EA ADD SEQ NEW DRUG,326.9,326.9,54.74,781.58,1368
CPT,96375,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary pro",,,27.66,53.29,3
CPT,96376,IVP EA ADD SEQ SAME DRUG,273.875,273.875,40.95,274.75,1428
CPT,96376,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in additi",,,16.05,30.92,3
CPT,96377,APP ONBODY INJ,105.84,105.84,17.99,105.84,114
CPT,96377,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,2303.0,110
CPT,96379,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,24
CPT,96401,CHEMO SQ/IM NON HORM ANP,509.0,509.0,86.53,509.0,144
CPT,96401,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic ",,,61.64,118.75,3
CPT,96402,CHEMO SQ/IM HORMONL ANPL,272.15,272.15,46.27,272.15,108
CPT,96402,"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic ",,,53.69,103.43,3
CPT,96405,CHEMO INTRALESION 1-7,183.9,183.9,31.26,183.9,36
CPT,96405,"Chemotherapy administration; intralesional, up to and including 7 lesions ",183.9,183.9,43.84,84.47,3
CPT,96406,"Chemotherapy administration; intralesional, more than 7 lesions ",,,66.42,127.97,3
CPT,96409,CHEMO IV PUSH SING/IN DR,1827.0,1827.0,310.59,1827.0,144
CPT,96409,"Chemotherapy administration; intravenous, push technique, single or initial substance/drug ",,,141.31,272.27,3
CPT,96411,CHEMO IV PUSH EA ADD DRG,250.0,250.0,42.5,250.0,108
CPT,96411,"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure) ",,,81.87,157.74,3
CPT,96413,CHEMO IV SING/IN DR 1 HR,1267.0,1267.0,215.39,1267.0,180
CPT,96413,"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug ",,,199.22,383.82,3
CPT,96415,CHEMO IV EA ADD HOUR,629.0,629.0,106.93,629.0,144
CPT,96415,"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) ",,,45.11,86.9,3
CPT,96416,CHEM INF > 8HR REQ PUMP,828.48,828.48,140.84,828.48,72
CPT,96416,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump ",,,213.58,411.51,3
CPT,96417,CHEMO IV EA AD SEQ 1 HR,361.0,361.0,61.37,361.0,108
CPT,96417,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) ",,,97.48,187.82,3
CPT,96420,"Chemotherapy administration, intra-arterial; push technique ",,,57.21,110.22,3
CPT,96422,CHEMO INTART UP TO 1 HR,1111.39,1111.39,188.94,1111.39,72
CPT,96422,"Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour ",,,56.3,108.46,3
CPT,96423,"Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure) ",,,22.38,43.12,3
CPT,96425,CHEM IN ART INF>8+PUMP,361.0,361.0,61.37,361.0,108
CPT,96425,"Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump ",,,65.58,126.35,3
CPT,96440,"Chemotherapy administration into pleural cavity, requiring and including thoracentesis ",,,158.12,304.63,3
CPT,96446,Chemotherapy administration into the peritoneal cavity via implanted port or catheter ,,,218.34,420.67,3
CPT,96450,CHEMO CNS SPINAL PUNC,2538.04,2538.04,431.47,2538.04,140
CPT,96450,"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture ",,,136.78,263.54,3
CPT,96521,Refilling and maintenance of portable pump ,,,176.4,339.86,47
CPT,96522,REFILL/MAINT PUMP DRG DL,589.94,589.94,108.61,589.94,26
CPT,96522,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",589.94,589.94,127.65,245.94,47
CPT,96523,IRRIGATION OF VAD,80.03,80.03,14.73,80.03,52
CPT,96523,Irrigation of implanted venous access device for drug delivery systems ,,,32.34,62.31,47
CPT,96542,CHEM SUBAR/INTRAVENT S/M,4212.84,4212.84,716.18,4212.84,36
CPT,96542,"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents ",4212.84,4212.84,124.66,240.19,3
CPT,96547,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,32
CPT,96548,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,32
CPT,96549,UNLISTED CHEMO PROC,2898.24,2898.24,492.7,2898.24,36
CPT,96567,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,70.25,2900.0,80
CPT,96570,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,94.45,2900.0,80
CPT,96571,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.09,2900.0,80
CPT,96573,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,76
CPT,96574,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,118
CPT,96900,Actinotherapy (ultraviolet light) ,,,18.3,47.13,47
CPT,96902,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,20.74,62.25,49
CPT,96904,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,80.59,155.28,47
CPT,96910,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,26.68,221.27,47
CPT,96912,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,30.53,187.79,47
CPT,96913,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,30.15,284.84,47
CPT,96920,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,181.06,2303.0,89
CPT,96921,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,185.48,2303.0,89
CPT,96922,Excimer laser treatment for psoriasis; over 500 sq cm ,,,257.01,2303.0,89
CPT,97010,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,326.0,49
CPT,97012,"Application of a modality to 1 or more areas; traction, mechanical ",,,11.42,326.0,117
CPT,97012,TRACTION MECHANCL PTCQ,270.65,270.65,46.01,270.65,34
CPT,97012,TRACTION MECHANICAL PT,327.95,327.95,55.75,327.95,34
CPT,97014,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,19.34,326.0,49
CPT,97016,Application of a modality to 1 or more areas; vasopneumatic devices ,,,9.49,326.0,151
CPT,97016,VASOPNEUMATIC DEV PTCQ,286.71,286.71,48.74,286.71,34
CPT,97016,VASOPNEUMATIC DEVICES PT,286.71,286.71,48.74,286.71,34
CPT,97018,Application of a modality to 1 or more areas; paraffin bath ,327.95,327.95,5.24,326.0,83
CPT,97018,PARAFFIN BATH OT,327.95,327.95,55.75,327.95,34
CPT,97022,Application of a modality to 1 or more areas; whirlpool ,,,12.26,326.0,151
CPT,97024,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,6.4,326.0,83
CPT,97026,Application of a modality to 1 or more areas; infrared ,,,5.82,326.0,83
CPT,97028,Application of a modality to 1 or more areas; ultraviolet ,,,7.32,326.0,83
CPT,97032,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,11.7,326.0,117
CPT,97032,ELEC STIMULATION/15M PT,428.69,428.69,72.88,428.69,34
CPT,97032,ELEC STMULATON/15M PTCQ,437.27,437.27,74.34,437.27,34
CPT,97033,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,15.02,326.0,151
CPT,97034,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,12.61,326.0,83
CPT,97035,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,11.34,326.0,151
CPT,97035,ULTRASOUND/15 MIN OT,394.24,394.24,67.02,394.24,34
CPT,97035,ULTRASOUND/15 MIN PT,394.24,394.24,67.02,394.24,34
CPT,97035,ULTRASOUND/15 MIN PTCQ,394.24,394.24,67.02,394.24,34
CPT,97036,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,28.72,326.0,83
CPT,97037,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,326.0,46
CPT,97039,Unlisted modality (specify type and time if constant attendance) ,,,274.0,326.0,2
CPT,97110,THER EXERCIS 15 MIN OTCO,437.27,437.27,74.34,437.27,34
CPT,97110,THER EXERCIS 15 MIN PTCQ,437.27,437.27,74.34,437.27,68
CPT,97110,THER EXERCISES 15 MIN OT,437.27,437.27,74.34,437.27,34
CPT,97110,THER EXERCISES 15 MIN PT,437.27,437.27,74.34,437.27,68
CPT,97110,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,23.12,326.0,151
CPT,97112,NEROMUSC REDUCT 15M OTCO,394.24,394.24,67.02,394.24,34
CPT,97112,NEROMUSC REDUCT 15M PTCQ,394.24,394.24,67.02,394.24,68
CPT,97112,NEUROMUSC REEDUCT 15M OT,394.24,394.24,67.02,394.24,34
CPT,97112,NEUROMUSC REEDUCT 15M PT,394.24,394.24,67.02,394.24,68
CPT,97112,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,22.66,326.0,151
CPT,97113,AQUATC THERAPY 15MN PTCQ,458.75,458.75,77.99,458.75,34
CPT,97113,AQUATIC THERAPY 15MIN OT,458.75,458.75,77.99,458.75,34
CPT,97113,AQUATIC THERAPY 15MIN PT,458.75,458.75,77.99,458.75,34
CPT,97113,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,29.29,326.0,151
CPT,97116,GAIT TRAINING 15 MIN PT,370.94,370.94,63.06,370.94,68
CPT,97116,GAIT TRAINNG 15 MN PTCQ,370.94,370.94,63.06,370.94,68
CPT,97116,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,19.86,326.0,117
CPT,97124,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,18.88,326.0,117
CPT,97129,COGSKLS DVLMNT INT15M OT,270.65,270.65,46.01,270.65,34
CPT,97129,COGSKLS DVLMNT INT15M SP,270.65,270.65,46.01,270.65,34
CPT,97129,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,18.17,326.0,117
CPT,97130,COGSKLS DVLMNT EA15M SP,270.65,270.65,46.01,270.65,34
CPT,97130,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",270.65,270.65,19.56,326.0,83
CPT,97139,Unlisted therapeutic procedure (specify) ,,,274.0,326.0,2
CPT,97140,MANL THER TECH 15M OTCO,437.27,437.27,74.34,437.27,34
CPT,97140,MANL THER TECH 15M PTCQ,437.27,437.27,74.34,437.27,68
CPT,97140,MANUAL THER TECH 15M OT,437.27,437.27,74.34,437.27,34
CPT,97140,MANUAL THER TECH 15M PT,437.27,437.27,74.34,437.27,34
CPT,97140,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,22.05,326.0,151
CPT,97150,THER PROCEDURES GROUP PT,360.19,360.19,61.23,360.19,68
CPT,97150,THER PROCEDURES GRP PTCQ,360.19,360.19,61.23,360.19,68
CPT,97150,"Therapeutic procedure(s), group (2 or more individuals) ",,,14.34,326.0,151
CPT,97151,"Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care professional's time face-",,,274.0,326.0,2
CPT,97152,"Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with the patient, each 15 min",,,274.0,326.0,2
CPT,97153,"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes ",,,274.0,326.0,2
CPT,97154,"Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 1",,,274.0,326.0,2
CPT,97155,"Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with",,,274.0,326.0,2
CPT,97156,"Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), ea",,,274.0,326.0,2
CPT,97157,"Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of guar",,,274.0,326.0,2
CPT,97158,"Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each 15 minutes ",,,274.0,326.0,2
CPT,97161,EVAL PT LOW COMPLEX,758.07,758.07,128.87,758.07,68
CPT,97161,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,78.18,326.0,117
CPT,97162,EVAL PT MOD COMPLEX,798.35,798.35,135.72,798.35,68
CPT,97162,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,78.18,326.0,117
CPT,97163,EVAL PT HIGH COMPLEX,838.61,838.61,142.56,838.61,68
CPT,97163,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,78.18,326.0,117
CPT,97164,RE-EVALUATION PT,564.51,564.51,95.97,564.51,68
CPT,97164,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,53.6,326.0,117
CPT,97165,EVAL OT LOW COMPLEX,758.07,758.07,128.87,758.07,34
CPT,97165,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",758.07,758.07,80.21,326.0,117
CPT,97166,EVAL OT MOD COMPLEX,798.35,798.35,135.72,798.35,34
CPT,97166,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",798.35,798.35,80.21,326.0,117
CPT,97167,EVAL OT HIGH COMPLEX,838.61,838.61,142.56,838.61,34
CPT,97167,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",838.61,838.61,80.21,326.0,117
CPT,97168,RE-EVALUATION OT,564.51,564.51,95.97,564.51,34
CPT,97168,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",564.51,564.51,54.36,326.0,117
CPT,97169,"Athletic training evaluation, low complexity, requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An examination of affected body a",,,274.0,326.0,2
CPT,97170,"Athletic training evaluation, moderate complexity, requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical activity; An examination of a",,,274.0,326.0,2
CPT,97171,"Athletic training evaluation, high complexity, requiring these components: A medical history and physical activity profile, with 3 or more comorbidities that affect physical activity; A comprehensive ",,,274.0,326.0,2
CPT,97172,Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient's current functional status when there is a documented change; and A revised plan of ca,,,274.0,326.0,2
CPT,97530,THER ACTIV DIR 15 MIN OT,508.94,508.94,86.52,508.94,34
CPT,97530,THER ACTIV DIR 15 MIN PT,508.94,508.94,86.52,508.94,68
CPT,97530,THER ACTV DIR 15 MN OTCO,508.94,508.94,86.52,508.94,34
CPT,97530,THER ACTV DIR 15 MN PTCQ,508.94,508.94,86.52,508.94,68
CPT,97530,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,27.66,326.0,151
CPT,97533,SENSORY INTEGRATN 15M OT,378.72,378.72,64.38,378.72,34
CPT,97533,SENSRY INTEGRTN 15M OTCO,378.72,378.72,64.38,378.72,34
CPT,97533,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,34.79,326.0,117
CPT,97535,SELF/HOME ONE/ONE 15M OT,437.27,437.27,74.34,437.27,34
CPT,97535,SELF/HOME ONE/ONE 15M PT,437.27,437.27,74.34,437.27,68
CPT,97535,SELFHOME ONEONE 15M OTCO,437.27,437.27,74.34,437.27,34
CPT,97535,SELFHOME ONEONE 15M PTCQ,437.27,437.27,74.34,437.27,68
CPT,97535,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,24.43,326.0,151
CPT,97537,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,24.43,326.0,83
CPT,97542,WHEELCHAIR MGT 15M PT,394.24,394.24,67.02,394.24,68
CPT,97542,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,20.49,326.0,117
CPT,97545,WORK HD/CON 2 HRS INT PT,976.71,976.71,146.51,976.71,38
CPT,97545,Work hardening/conditioning; initial 2 hours ,976.71,976.71,274.0,326.0,46
CPT,97546,WORK HDNG/COND ADL HR PT,652.31,652.31,97.85,652.31,38
CPT,97546,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,652.31,652.31,127.99,326.0,46
CPT,97550,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,48.35,108.3,78
CPT,97551,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,24.05,53.63,78
CPT,97552,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,19.58,44.41,78
CPT,97597,DEBRIDE WND INI 20SQCM,1058.52,1058.52,194.87,1058.52,28
CPT,97597,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",1058.52,1058.52,59.39,2900.0,156
CPT,97598,DEBRID WND EA ADD 20SQCM,1058.52,1058.52,194.87,1058.52,28
CPT,97598,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",1058.52,1058.52,41.95,2900.0,156
CPT,97602,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,14.4,161.58,47
CPT,97605,NEG PRESSURE 50CM OR <,1016.23,1016.23,187.09,1016.23,28
CPT,97605,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",1016.23,1016.23,37.78,93.78,81
CPT,97606,NEG PRESSURE > 50 CM,1248.67,1248.67,229.88,1248.67,28
CPT,97606,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",1248.67,1248.67,45.13,102.09,81
CPT,97607,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,50.07,632.94,81
CPT,97608,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,50.55,659.73,81
CPT,97610,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,344.24,778.57,78
CPT,97750,PHYS PER TEST/MSR 15M PT,177.4,177.4,30.16,177.4,36
CPT,97750,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",177.4,177.4,26.68,68.13,149
CPT,97755,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,34.27,95.54,81
CPT,97760,ORTH MGT TRAIN EA 15M OT,415.76,415.76,70.68,415.76,36
CPT,97760,ORTH MGT TRAIN EA 15M PT,415.76,415.76,70.68,415.76,36
CPT,97760,ORTH MGT TRN EA 15M PTCQ,415.76,415.76,70.68,415.76,36
CPT,97760,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,36.19,93.13,149
CPT,97761,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,35.1,82.4,81
CPT,97763,ORTH/PROS MGT SBSQ ENCOT,416.04,416.04,70.73,416.04,34
CPT,97763,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",416.04,416.04,39.19,326.0,117
CPT,97802,MNT INIT ASSESS EA 15MIN,76.3,76.3,12.97,76.3,36
CPT,97802,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",76.3,76.3,28.17,73.14,81
CPT,97803,MNT REASSESS EA 15 MIN,64.87,64.87,11.03,64.87,36
CPT,97803,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",64.87,64.87,24.3,65.6,81
CPT,97804,MNT GROUP EA 30 MIN,110.65,110.65,18.81,110.65,36
CPT,97804,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",110.65,110.65,13.01,38.84,81
CPT,97810,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,44
CPT,97811,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,44
CPT,97813,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,44
CPT,97814,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,44
CPT,98925,Osteopathic manipulative treatment (OMT); 1-2 body regions involved ,,,33.84,65.2,3
CPT,98926,Osteopathic manipulative treatment (OMT); 3-4 body regions involved ,,,51.14,98.52,3
CPT,98927,Osteopathic manipulative treatment (OMT); 5-6 body regions involved ,,,61.03,117.59,3
CPT,98928,Osteopathic manipulative treatment (OMT); 7-8 body regions involved ,,,70.91,136.61,3
CPT,98929,Osteopathic manipulative treatment (OMT); 9-10 body regions involved ,,,77.19,148.72,3
CPT,98940,"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions ",,,23.54,45.34,3
CPT,98941,"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions ",,,29.76,57.34,3
CPT,98942,"Chiropractic manipulative treatment (CMT); spinal, 5 regions ",,,36.6,70.52,3
CPT,98960,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",244.22,244.22,31.3,60.31,47
CPT,98960,MED MGMT LACT EDU 30 MIN,244.22,244.22,36.63,244.22,40
CPT,98961,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,28.19,72.28,47
CPT,98962,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,78.38,47
CPT,98966,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,12.43,93.84,37
CPT,98967,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,22.84,109.47,37
CPT,98968,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,31.93,140.54,37
CPT,98970,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,11.28,17.45,34
CPT,98971,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,20.94,32.4,34
CPT,98972,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,31.35,48.51,34
CPT,98975,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,18.52,42.83,81
CPT,98976,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,44.88,124.79,81
CPT,98977,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,44.3,124.79,81
CPT,98980,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,48.16,117.13,81
CPT,98981,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,37.17,95.72,81
CPT,99000,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,11.73,36
CPT,99001,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.09,11.73,36
CPT,99002,"Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, designing, fitting, packaging, handling, delivery or mailing) when devices such ",,,6.09,11.73,3
CPT,99024,"Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to t",,,21.09,40.63,3
CPT,99050,"Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service ",,,45.54,87.74,3
CPT,99058,"Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service ",,,24.36,46.93,3
CPT,99078,"Physician or other qualified health care professional qualified by education, training, licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg, prenata",,,6.09,11.73,3
CPT,99091,"Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified ",,,72.63,139.93,3
CPT,99151,MOD SED MD 1ST 15 <5YRS,1729.76,1729.76,259.46,1729.76,42
CPT,99152,MOD SED MD 1ST 15 >5YRS,1729.76,1729.76,259.46,1729.76,126
CPT,99153,MOD SED MD EADD 15,330.75,330.75,49.61,330.75,126
CPT,99172,"Visual function screening, automated or semi-automated bilateral quantitative determination of visual acuity, ocular alignment, color vision by pseudoisochromatic plates, and field of vision (may incl",,,21.29,41.01,3
CPT,99174,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,44
CPT,99175,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,122.85,47
CPT,99177,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,5.34,10.29,47
CPT,99183,"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session ",,,195.21,376.1,3
CPT,99190,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,148.09,826.59,47
CPT,99191,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,93.11,579.53,47
CPT,99192,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,68.79,413.61,47
CPT,99195,"Phlebotomy, therapeutic (separate procedure) ",401.94,401.94,20.13,168.97,47
CPT,99195,THERAPEUTIC PHLEB,401.94,401.94,68.33,401.94,37
CPT,99202,BASIC CARE NP,505.58,505.58,75.84,505.58,68
CPT,99202,OP VISIT LEVEL 2 NP,505.0,505.0,75.75,505.0,170
CPT,99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When",,,61.56,118.61,3
CPT,99203,OP VISIT LEVEL 3 NP,452.0,452.0,67.8,452.0,170
CPT,99203,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When us",,,84.59,162.97,3
CPT,99204,OP VISIT LEVEL 4 NP,737.0,737.0,110.55,737.0,170
CPT,99204,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh",,,125.25,241.31,3
CPT,99205,OP VISIT LEVEL 5 NP,779.0,779.0,116.85,779.0,170
CPT,99205,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u",,,157.56,303.57,3
CPT,99211,OP VISIT LEVEL 1 EST,448.0,448.0,67.2,448.0,238
CPT,99211,Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional ,,,36.53,70.37,3
CPT,99212,OP VISIT LEVEL 2 EST,387.0,387.0,58.05,387.0,170
CPT,99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision mak",,,48.7,93.84,3
CPT,99213,OP VISIT LEVEL 3 EST,306.0,306.0,45.9,306.0,170
CPT,99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making",,,56.82,109.47,3
CPT,99214,OP VISIT LEVEL 4 EST,623.0,623.0,93.45,623.0,170
CPT,99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision m",,,72.95,140.54,3
CPT,99215,OP VISIT LEVEL 5 EST,769.0,769.0,115.35,769.0,170
CPT,99215,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision makin",,,114.3,220.22,3
CPT,99221,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low le",,,86.97,167.56,3
CPT,99222,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical",,,143.63,276.72,3
CPT,99223,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical dec",,,184.95,356.34,3
CPT,99231,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low",,,45.78,88.2,3
CPT,99232,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medi",,,67.77,130.57,3
CPT,99233,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical ",,,92.93,179.04,3
CPT,99234,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,148.6,286.31,3
CPT,99235,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,205.2,395.35,3
CPT,99236,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,247.84,477.51,3
CPT,99238,Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter ,,,79.78,153.72,3
CPT,99239,Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter ,,,110.25,212.42,3
CPT,99242,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using tota",,,92.1,177.45,3
CPT,99243,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total t",,,119.11,229.49,3
CPT,99244,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using to",,,170.46,328.42,3
CPT,99245,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total ",,,227.13,437.6,3
CPT,99252,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total ",,,95.14,183.31,3
CPT,99253,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total tim",,,125.55,241.89,3
CPT,99254,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using tota",,,173.84,334.92,3
CPT,99255,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total ti",,,235.35,453.44,3
CPT,99281,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,50.75,1722.0,46
CPT,99281,LVL 1 EMER DEPT,618.0,618.0,113.77,618.0,66
CPT,99281,LVL 1 FREE STD EMER DEPT,635.86,635.86,117.06,635.86,44
CPT,99282,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,50.75,1722.0,46
CPT,99282,LVL 2 EMER DEPT,1007.0,1007.0,185.39,1007.0,66
CPT,99282,LVL 2 FREE STD EMER DEPT,1033.29,1033.29,190.23,1033.29,44
CPT,99283,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,111.63,3212.0,46
CPT,99283,LVL 3 EMER DEPT,2205.0,2205.0,405.94,2205.0,66
CPT,99283,LVL 3 FREE STD EMER DEPT,2058.65,2058.65,379.0,2058.65,44
CPT,99284,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,111.63,3350.0,46
CPT,99284,LVL 4 EMER DEPT,3840.0,3840.0,706.94,3840.0,66
CPT,99284,LVL 4 FREE STD EMER DEPT,3937.18,3937.18,724.83,3937.18,44
CPT,99285,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,324.72,5749.0,46
CPT,99285,LVL 5 EMER DEPT,5031.0,5031.0,926.21,5031.0,66
CPT,99285,LVL 5 FREE STD EMER DEPT,5113.56,5113.56,941.41,5113.56,44
CPT,99288,"Physician or other qualified health care professional direction of emergency medical systems (EMS) emergency care, advanced life support ",,,79.72,153.6,3
CPT,99291,CRIT CARE 1ST 30-74 MINS,6944.4,6944.4,1278.46,6944.4,48
CPT,99291,CRIT CARE 1ST 30-74M ER,6944.4,6944.4,1278.46,6944.4,48
CPT,99291,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,172.52,5749.0,50
CPT,99292,CRIT CARE EACH ADD 30MIN,3401.97,3401.97,510.3,3401.97,60
CPT,99292,CRIT CARE ECH ADD 30M ER,3401.97,3401.97,510.3,3401.97,60
CPT,99292,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,172.52,5749.0,43
CPT,99315,Nursing facility discharge management; 30 minutes or less total time on the date of the encounter ,,,75.5,145.45,3
CPT,99316,Nursing facility discharge management; more than 30 minutes total time on the date of the encounter ,,,92.27,177.76,3
CPT,99341,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using to",,,81.91,157.82,3
CPT,99342,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total",,,109.13,210.25,3
CPT,99344,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using ",,,178.43,343.77,3
CPT,99345,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using tota",,,212.91,410.21,3
CPT,99347,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When",,,55.99,107.88,3
CPT,99348,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When us",,,82.35,158.66,3
CPT,99349,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh",,,120.66,232.47,3
CPT,99350,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u",,,173.84,334.92,3
CPT,99358,Prolonged evaluation and management service before and/or after direct patient care; first hour ,,,140.61,270.91,3
CPT,99359,Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service) ,,,67.62,130.28,3
CPT,99360,"Standby service, requiring prolonged attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG) ",,,104.7,201.72,3
CPT,99374,"Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care m",,,74.19,142.94,3
CPT,99375,"Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care m",,,131.07,252.53,3
CPT,99377,"Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of",,,74.19,142.94,3
CPT,99378,"Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of",,,102.68,197.82,3
CPT,99379,"Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, ",,,74.19,142.94,3
CPT,99380,"Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, ",,,102.68,197.82,3
CPT,99381,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,50.53,97.36,3
CPT,99382,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,54.86,105.69,3
CPT,99383,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,57.09,109.99,3
CPT,99384,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,69.0,132.94,3
CPT,99385,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,68.73,132.42,3
CPT,99386,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,83.88,161.61,3
CPT,99387,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,104.7,201.72,3
CPT,99391,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,60.89,117.31,3
CPT,99392,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,64.95,125.14,3
CPT,99393,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,69.0,132.94,3
CPT,99394,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,57.16,110.14,3
CPT,99395,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,62.91,121.21,3
CPT,99396,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,88.28,170.08,3
CPT,99397,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,82.45,158.86,3
CPT,99401,LACT COUNSEL INDIV 15MIN,70.54,70.54,10.58,70.54,35
CPT,99401,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes ,70.54,70.54,20.29,39.1,3
CPT,99402,LACT COUNSEL INDIV 30MIN,141.08,141.08,21.16,141.08,35
CPT,99402,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes ,141.08,141.08,61.5,118.49,3
CPT,99403,LACT COUNSEL INDIV 45MIN,211.62,211.62,31.74,211.62,35
CPT,99403,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes ,211.62,211.62,99.56,191.81,3
CPT,99404,LACT COUNSEL INDIV 60MIN,282.16,282.16,42.32,282.16,35
CPT,99404,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes ,282.16,282.16,133.34,256.89,3
CPT,99406,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,17.61,33.93,47
CPT,99407,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,34.45,66.38,47
CPT,99411,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes ,,,57.16,110.14,3
CPT,99412,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes ,,,47.76,92.02,3
CPT,99460,"Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant ",,,70.83,136.47,3
CPT,99461,"Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center ",,,103.71,199.81,3
CPT,99462,"Subsequent hospital care, per day, for evaluation and management of normal newborn ",,,37.76,72.74,3
CPT,99463,"Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date ",,,94.64,182.33,3
CPT,99464,ATC DEL&INITIAL STABILIZ,1148.39,1148.39,172.26,1148.39,42
CPT,99464,Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn ,1148.39,1148.39,89.18,171.81,3
CPT,99465,DEL RESUS PPV CHEST COMP,2591.71,2591.71,440.59,2591.71,38
CPT,99465,"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output ",2591.71,2591.71,182.19,351.02,3
CPT,99466,"Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; first 30-74 minutes of hands-on care duri",,,291.31,561.27,3
CPT,99467,"Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; each additional 30 minutes (List separate",,,145.47,280.27,3
CPT,99468,"Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger ",,,1092.75,2105.37,3
CPT,99469,"Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger ",,,478.38,921.68,3
CPT,99471,"Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age ",,,972.62,1873.9,3
CPT,99472,"Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age ",,,482.1,928.85,3
CPT,99475,"Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age ",,,671.49,1293.74,3
CPT,99476,"Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age ",,,400.29,771.23,3
CPT,99478,"Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1,500 grams) ",,,172.62,332.58,3
CPT,99497,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,78.26,121.1,34
CPT,99498,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,70.47,109.04,34
HCPCS,A0225,"Ambulance service, neonatal transport, base rate, emergency transport, one way ",,,601.56,601.56,1
HCPCS,A0425,"Ground mileage, per statute mile ",,,10.98,10.98,1
HCPCS,A0426,"Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) ",,,379.93,379.93,1
HCPCS,A0427,"Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) ",,,601.56,601.56,1
HCPCS,A0428,"Ambulance service, basic life support, non-emergency transport, (bls) ",,,316.61,316.61,1
HCPCS,A0429,"Ambulance service, basic life support, emergency transport (bls-emergency) ",,,506.58,506.58,1
HCPCS,A0430,"Ambulance service, conventional air services, transport, one way (fixed wing) ",,,4306.84,4306.84,1
HCPCS,A0431,"Ambulance service, conventional air services, transport, one way (rotary wing) ",,,5007.35,5007.35,1
HCPCS,A0432,"Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers ",,,554.08,554.08,1
HCPCS,A0433,"Advanced life support, level 2 (als 2) ",,,870.68,870.68,1
HCPCS,A0434,Specialty care transport (sct) ,,,1028.99,1028.99,1
HCPCS,A0435,"Fixed wing air mileage, per statute mile ",,,12.9,12.9,1
HCPCS,A0436,"Rotary wing air mileage, per statute mile ",,,34.39,34.39,1
HCPCS,A2001,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1674.43,17
HCPCS,A2002,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2004,"Xcellistem, 1 mg ",,,16.98,41.34,17
HCPCS,A2005,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2006,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2007,RESTRATA 1SQCM,1060.5,1060.5,81.45,2044.0,232
HCPCS,A2007,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,263.3,336.92,17
HCPCS,A2008,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,193.62,336.92,17
HCPCS,A2009,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2010,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2011,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2012,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2013,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1872.73,17
HCPCS,A2014,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,77.52,407.44,17
HCPCS,A2015,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2016,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2018,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2019,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,734.4,17
HCPCS,A2020,Ac5 advanced wound system (ac5) ,,,15900.0,15900.0,15
HCPCS,A2021,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2532.54,17
HCPCS,A2022,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1909.44,17
HCPCS,A2023,"Innovamatrix pd, 1 mg ",,,19.58,45.13,17
HCPCS,A2024,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2025,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,272.0,336.92,17
HCPCS,A2026,RESTRATA MINIMATRIX 5MG,375.0,375.0,56.25,375.0,42
HCPCS,A2027,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2029,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2030,"Miro3d fibers, per milligram ",,,43.51,43.51,15
HCPCS,A2031,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2032,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,62.35,62.35,15
HCPCS,A2033,"Myriad morcells, 4 milligrams ",,,34.98,34.98,15
HCPCS,A2034,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,4076.81,4076.81,15
HCPCS,A2035,"Corplex p or theracor p or allacor p, per milligram ",,,303.4,303.4,15
HCPCS,A2036,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2038,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2039,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,A2040,"Microlyte painguard, per square centimeter ",,,336.92,336.92,15
HCPCS,A2041,"Foundation drs+ duo, per square centimeter ",,,336.92,336.92,15
HCPCS,A2042,"Foundation drs+ solo, per square centimeter ",,,336.92,336.92,15
HCPCS,A2043,"Biobrane, per square centimeter ",,,336.92,336.92,15
HCPCS,A2045,"Novashield or novogen wound matrix, per square centimeter ",,,336.92,336.92,15
HCPCS,A4100,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,337.24,337.24,15
HCPCS,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.51,0.79,34
HCPCS,A4217,"Sterile water/saline, 500 ml ",,,3.61,5.59,34
HCPCS,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,24.58,38.03,34
HCPCS,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,46.62,72.13,34
HCPCS,A4224,"Supplies for maintenance of insulin infusion catheter, per week ",,,24.58,38.03,34
HCPCS,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.3,5.1,34
HCPCS,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.48,0.75,34
HCPCS,A4234,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.24,3.47,34
HCPCS,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.95,1.47,34
HCPCS,A4236,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.1,1.71,34
HCPCS,A4238,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,266.67,412.64,34
HCPCS,A4239,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,259.62,401.72,34
HCPCS,A4248,"Chlorhexidine containing antiseptic, 1 ml ",,,0.04,0.04,2
HCPCS,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,7.9,12.23,34
HCPCS,A4255,"Platforms for home blood glucose monitor, 50 per box ",,,5.56,8.6,34
HCPCS,A4256,"Normal, low and high calibrator solution / chips ",,,3.21,4.97,34
HCPCS,A4257,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,17.28,26.74,34
HCPCS,A4258,"Spring-powered device for lancet, each ",,,2.01,3.12,34
HCPCS,A4259,"Lancets, per box of 100 ",,,1.35,2.09,34
HCPCS,A4263,STENT LCRML 2X.64X40MM,938.5,938.5,140.78,938.5,30
HCPCS,A4263,STENT LCRML DCT 4MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,A4263,STENT LCRML DCT.64X270MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,A4264,SYSTEM BIRTH CTRL,4429.0,4429.0,664.35,4429.0,30
HCPCS,A4265,"Paraffin, per pound ",,,4.62,7.14,34
HCPCS,A4271,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,32.4,50.13,34
HCPCS,A4280,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,7.23,11.19,34
HCPCS,A4295,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.08,3.22,34
HCPCS,A4296,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,7.39,11.44,34
HCPCS,A4297,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,9.49,14.69,34
HCPCS,A4310,Insertion tray without drainage bag and without catheter (accessories only) ,,,9.97,15.42,34
HCPCS,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,19.31,29.89,34
HCPCS,A4312,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,24.41,37.78,34
HCPCS,A4313,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,25.08,38.81,34
HCPCS,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,32.91,50.92,34
HCPCS,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,35.71,55.26,34
HCPCS,A4316,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,38.45,59.49,34
HCPCS,A4318,"Female external urinary collection cup, with or without ring attachment, per day ",,,8.59,13.29,34
HCPCS,A4320,"Irrigation tray with bulb or piston syringe, any purpose ",,,6.19,9.58,34
HCPCS,A4322,"Irrigation syringe, bulb or piston, each ",,,4.13,6.39,34
HCPCS,A4326,"Male external catheter with integral collection chamber, any type, each ",,,14.6,22.59,34
HCPCS,A4327,"Female external urinary collection device; meatal cup, each ",,,60.09,92.98,34
HCPCS,A4328,"Female external urinary collection device; pouch, each ",,,13.34,20.64,34
HCPCS,A4330,"Perianal fecal collection pouch with adhesive, each ",,,8.25,12.76,34
HCPCS,A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",,,4.3,6.66,34
HCPCS,A4332,"Lubricant, individual sterile packet, each ",,,0.14,0.22,34
HCPCS,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.0,4.65,34
HCPCS,A4334,"Urinary catheter anchoring device, leg strap, each ",,,6.66,10.3,34
HCPCS,A4336,"Incontinence supply, urethral insert, any type, each ",,,1.95,3.01,34
HCPCS,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,14.62,22.62,34
HCPCS,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,42.99,66.52,34
HCPCS,A4341,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,330.36,511.19,34
HCPCS,A4342,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,834.16,1290.75,34
HCPCS,A4344,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,19.84,30.69,34
HCPCS,A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,26.51,41.03,34
HCPCS,A4349,"Male external catheter, with or without adhesive, disposable, each ",,,2.73,4.22,34
HCPCS,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.08,3.22,34
HCPCS,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,7.39,11.44,34
HCPCS,A4353,"Intermittent urinary catheter, with insertion supplies ",,,9.49,14.69,34
HCPCS,A4354,Insertion tray with drainage bag but without catheter ,,,15.99,24.74,34
HCPCS,A4355,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,12.07,18.68,34
HCPCS,A4356,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,61.78,95.59,34
HCPCS,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,11.17,17.29,34
HCPCS,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,7.64,11.82,34
HCPCS,A4360,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.66,1.03,34
HCPCS,A4361,"Ostomy faceplate, each ",,,24.85,38.46,34
HCPCS,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.24,6.56,34
HCPCS,A4363,"Ostomy clamp, any type, replacement only, each ",,,2.73,4.22,34
HCPCS,A4364,"Adhesive, liquid or equal, any type, per oz ",,,3.54,5.48,34
HCPCS,A4366,"Ostomy vent, any type, each ",,,1.75,2.7,34
HCPCS,A4367,"Ostomy belt, each ",,,8.47,13.11,34
HCPCS,A4368,"Ostomy filter, any type, each ",,,0.34,0.53,34
HCPCS,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.29,5.09,34
HCPCS,A4371,"Ostomy skin barrier, powder, per oz ",,,4.94,7.64,34
HCPCS,A4372,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,5.69,8.81,34
HCPCS,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,8.49,13.14,34
HCPCS,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,23.25,35.97,34
HCPCS,A4376,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,64.42,99.68,34
HCPCS,A4377,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,5.8,8.98,34
HCPCS,A4378,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,41.63,64.42,34
HCPCS,A4379,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,20.33,31.46,34
HCPCS,A4380,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,50.54,78.2,34
HCPCS,A4381,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,6.26,9.69,34
HCPCS,A4382,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,33.34,51.58,34
HCPCS,A4383,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,38.16,59.05,34
HCPCS,A4384,"Ostomy faceplate equivalent, silicone ring, each ",,,13.01,20.12,34
HCPCS,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,6.9,10.67,34
HCPCS,A4387,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.04,4.7,34
HCPCS,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,5.9,9.13,34
HCPCS,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,8.4,12.99,34
HCPCS,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,13.0,20.11,34
HCPCS,A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,9.57,14.8,34
HCPCS,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,11.07,17.13,34
HCPCS,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,12.24,18.93,34
HCPCS,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,3.51,5.42,34
HCPCS,A4395,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.07,34
HCPCS,A4396,Ostomy belt with peristomal hernia support ,,,54.81,84.8,34
HCPCS,A4398,"Ostomy irrigation supply; bag, each ",,,18.71,28.96,34
HCPCS,A4399,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,15.79,24.43,34
HCPCS,A4400,Ostomy irrigation set ,,,56.24,87.02,34
HCPCS,A4402,"Lubricant, per ounce ",,,1.83,2.84,34
HCPCS,A4404,"Ostomy ring, each ",,,1.93,2.98,34
HCPCS,A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,4.63,7.16,34
HCPCS,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce ",21.0,21.0,7.75,12.0,34
HCPCS,A4406,PASTE OSTOMY 2OZ,21.0,21.0,3.87,21.0,26
HCPCS,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,11.86,18.35,34
HCPCS,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,13.37,20.68,34
HCPCS,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",,,8.4,12.99,34
HCPCS,A4410,BARRIER SKN 1.75X2.25IN,13.0,13.0,2.39,13.0,26
HCPCS,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",13.0,13.0,12.24,18.93,34
HCPCS,A4411,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,6.9,10.67,34
HCPCS,A4412,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,3.67,5.67,34
HCPCS,A4413,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,7.46,11.54,34
HCPCS,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,6.66,10.3,34
HCPCS,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,8.12,12.57,34
HCPCS,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,3.73,5.78,34
HCPCS,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.04,7.81,34
HCPCS,A4418,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.45,3.79,34
HCPCS,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",13.0,13.0,2.34,3.62,34
HCPCS,A4419,POUCH OST 2.25IN 9IN,13.0,13.0,2.39,13.0,26
HCPCS,A4422,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.14,0.22,34
HCPCS,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.51,3.88,34
HCPCS,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,6.44,9.97,34
HCPCS,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",,,4.84,7.5,34
HCPCS,A4426,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,3.7,5.72,34
HCPCS,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,3.78,5.85,34
HCPCS,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,8.83,13.66,34
HCPCS,A4429,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,11.17,17.29,34
HCPCS,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,11.53,17.85,34
HCPCS,A4431,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,8.4,12.99,34
HCPCS,A4432,KIT UROS 2.25IN 9IN,31.0,31.0,5.71,31.0,26
HCPCS,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",31.0,31.0,4.85,7.51,34
HCPCS,A4433,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,4.54,7.03,34
HCPCS,A4434,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.09,7.88,34
HCPCS,A4435,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",,,7.8,12.07,34
HCPCS,A4436,"Irrigation supply; sleeve, reusable, per month ",,,22.07,34.15,34
HCPCS,A4437,"Irrigation supply; sleeve, disposable, per month ",,,22.07,34.15,34
HCPCS,A4438,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,1.86,2.88,34
HCPCS,A4450,"Tape, non-waterproof, per 18 square inches ",,,0.1,0.15,34
HCPCS,A4452,"Tape, waterproof, per 18 square inches ",,,0.47,0.73,34
HCPCS,A4453,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,13.34,20.64,34
HCPCS,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.64,2.54,34
HCPCS,A4456,"Adhesive remover, wipes, any type, each ",,,0.33,0.51,34
HCPCS,A4459,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,152.4,235.82,34
HCPCS,A4461,"Surgical dressing holder, non-reusable, each ",,,4.46,6.91,34
HCPCS,A4463,"Surgical dressing holder, reusable, each ",,,18.02,27.89,34
HCPCS,A4479,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,671.06,1038.38,34
HCPCS,A4481,"Tracheostoma filter, any type, any size, each ",,,0.49,0.76,34
HCPCS,A4541,Monthly supplies for use of device coded at e0733 ,,,39.02,60.37,34
HCPCS,A4542,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,500.51,774.47,34
HCPCS,A4544,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.02,9.32,34
HCPCS,A4545,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,39.63,61.33,34
HCPCS,A4556,"Electrodes, (e.g., apnea monitor), per pair ",,,13.97,21.62,34
HCPCS,A4557,"Lead wires, (e.g., apnea monitor), per pair ",,,12.81,19.82,34
HCPCS,A4558,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,6.27,9.7,34
HCPCS,A4559,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.12,0.19,34
HCPCS,A4561,"Pessary, reusable, rubber, any type ",,,27.87,43.13,34
HCPCS,A4562,"Pessary, reusable, non rubber, any type ",,,69.31,107.25,34
HCPCS,A4563,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1605.24,2483.9,34
HCPCS,A4565,Slings ,,,10.43,16.14,34
HCPCS,A4593,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,48.88,75.63,34
HCPCS,A4594,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,2940.36,4549.83,34
HCPCS,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,12.58,19.46,34
HCPCS,A4596,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,39.02,130.51,49
HCPCS,A4602,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.04,7.81,34
HCPCS,A4604,Tubing with integrated heating element for use with positive airway pressure device ,,,46.89,72.56,34
HCPCS,A4605,"Tracheal suction catheter, closed system, each ",,,22.21,34.37,34
HCPCS,A4608,"Transtracheal oxygen catheter, each ",,,67.87,105.02,34
HCPCS,A4614,"Peak expiratory flow rate meter, hand held ",,,32.2,49.82,34
HCPCS,A4615,"Cannula, nasal ",,,0.99,1.53,34
HCPCS,A4616,"Tubing (oxygen), per foot ",,,0.08,0.12,34
HCPCS,A4617,Mouth piece ,,,4.2,6.5,34
HCPCS,A4618,Breathing circuits ,,,10.24,15.85,34
HCPCS,A4619,Face tent ,,,2.44,3.78,34
HCPCS,A4620,Variable concentration mask ,,,0.86,1.34,34
HCPCS,A4623,"Tracheostomy, inner cannula ",,,7.54,11.67,34
HCPCS,A4624,"Tracheal suction catheter, any type other than closed system, each ",,,3.04,4.7,34
HCPCS,A4625,Tracheostomy care kit for new tracheostomy ,,,7.97,12.33,34
HCPCS,A4626,"Tracheostomy cleaning brush, each ",,,3.67,5.67,34
HCPCS,A4628,"Oral and/or oropharyngeal suction catheter, each ",,,5.06,7.84,34
HCPCS,A4629,Tracheostomy care kit for established tracheostomy ,,,6.3,9.75,34
HCPCS,A4630,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,8.44,13.05,34
HCPCS,A4633,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,55.57,85.98,34
HCPCS,A4635,"Underarm pad, crutch, replacement, each ",,,5.88,9.1,34
HCPCS,A4636,"Replacement, handgrip, cane, crutch, or walker, each ",,,3.77,5.84,34
HCPCS,A4637,"Replacement, tip, cane, crutch, walker, each. ",,,2.09,3.23,34
HCPCS,A4639,"Replacement pad for infrared heating pad system, each ",,,38.89,60.18,34
HCPCS,A4640,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,60.15,93.08,34
HCPCS,A4642,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,1788.06,4442.43,17
HCPCS,A4648,INTRO BIOPSY 9GA,2342.0,2342.0,351.3,2342.0,30
HCPCS,A4648,KIT MARKER 18GA 20CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,A4648,MARKER BIOPSY W/NDL 14GA,1373.0,1373.0,205.95,1373.0,30
HCPCS,A4648,MARKER BRST 18GA 7CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,A4648,MARKER BRST BX 20GA 5CM,489.0,489.0,73.35,489.0,30
HCPCS,A4648,MARKER BRST BX 20GA 7CM,513.0,513.0,76.95,513.0,30
HCPCS,A4648,MARKER BRST BX 20GA 9CM,513.0,513.0,76.95,513.0,30
HCPCS,A4648,MARKER BRST BX TITANIUM,739.0,739.0,110.85,739.0,30
HCPCS,A4648,MARKER BX 18G 120MM,1212.0,1212.0,181.8,1212.0,30
HCPCS,A4648,MARKER BX SITE 12GA 13CM,847.0,847.0,127.05,847.0,60
HCPCS,A4648,MARKER DEVICE 15GA,1930.0,1930.0,289.5,1930.0,30
HCPCS,A4648,MARKER DIAG 18GA 100CM,847.0,847.0,127.05,847.0,30
HCPCS,A4648,MARKER FDCL 0.8MM 3.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,A4648,MARKER FDCL 0.9MM 13MM,2493.0,2493.0,373.95,2493.0,30
HCPCS,A4648,MARKER FDCL 10MM,2612.0,2612.0,391.8,2612.0,30
HCPCS,A4648,MARKER FDCL STR 5MM,2612.0,2612.0,391.8,2612.0,30
HCPCS,A4648,MARKER FDCL TIS 3X3CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,A4648,MARKER IMP SYS 15GA,1678.0,1678.0,251.7,1678.0,30
HCPCS,A4648,MARKER IMPL BRST,766.0,766.0,114.9,766.0,30
HCPCS,A4648,MARKER MRI BRST 9GA 13CM,766.0,766.0,114.9,766.0,30
HCPCS,A4648,MARKER RAD 17GA 20CM,1308.0,1308.0,196.2,1308.0,30
HCPCS,A4648,MARKER SEED 18GA 12CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,A4648,MARKER SEED 18GA 7CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,A4648,MARKER SITE 18GA 100CM,1212.0,1212.0,181.8,1212.0,30
HCPCS,A4648,MARKER SURG SHAPE DISC,303.0,303.0,45.45,303.0,30
HCPCS,A4648,MARKER SURG SHAPE U,303.0,303.0,45.45,303.0,30
HCPCS,A4648,MARKER SURG SILICONE,219.0,219.0,32.85,219.0,30
HCPCS,A4648,MARKER TISS W/DLV 7.5CM,3422.0,3422.0,513.3,3422.0,30
HCPCS,A4648,NEEDLE RAD 18GA 20CM,1515.0,1515.0,227.25,1515.0,30
HCPCS,A4648,SYS DLV REFCTR 16G 7.5CM,3422.0,3422.0,513.3,3422.0,30
HCPCS,A4648,SYSTEM DEL SAVI NDL 10CM,3422.0,3422.0,513.3,3422.0,30
HCPCS,A4648,SYSTEM DEL SAVI NDL7.5CM,3422.0,3422.0,513.3,3422.0,30
HCPCS,A4722,DIANEAL LC 1.5%DEX 2LINJ,299.59,299.59,44.94,299.59,31
HCPCS,A4722,DIANEAL LC 2.5%DEX 2LINJ,333.05,333.05,49.96,333.05,31
HCPCS,A4722,DIANEAL LC 4.25%DEX2LINJ,336.24,336.24,50.44,336.24,31
HCPCS,A4723,DIANEAL 1.5%DEXT 3L INJ,301.19,301.19,45.18,301.19,31
HCPCS,A4723,DIANEAL 2.5%DEXT 3L INJ,307.55,307.55,46.13,307.55,31
HCPCS,A4723,DIANEAL 4.25%DEXT 3L INJ,313.93,313.93,47.09,313.93,31
HCPCS,A4726,DIANEAL LC 1.5%DEX 6LINJ,363.61,363.61,54.54,363.61,31
HCPCS,A4726,DIANEAL LC 2.5%DEX 6LINJ,411.13,411.13,61.67,411.13,31
HCPCS,A4726,DIANEAL LC 4.25%DEX6LINJ,382.45,382.45,57.37,382.45,31
HCPCS,A4802,"Protamine sulfate, for hemodialysis, per 50 mg ",,,14.55,16.37,2
HCPCS,A5051,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,2.79,4.32,34
HCPCS,A5052,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.01,3.12,34
HCPCS,A5053,"Ostomy pouch, closed; for use on faceplate, each ",,,1.99,3.07,34
HCPCS,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.43,3.76,34
HCPCS,A5055,Stoma cap ,,,1.65,2.56,34
HCPCS,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,6.33,9.79,34
HCPCS,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,13.0,20.11,34
HCPCS,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,4.79,7.41,34
HCPCS,A5062,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,2.96,4.59,34
HCPCS,A5063,BAG OST 1.75IN 12IN,13.0,13.0,2.39,13.0,26
HCPCS,A5063,KIT COL ILSTM 2.25X12IN,31.0,31.0,5.71,31.0,26
HCPCS,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",,,3.67,5.67,34
HCPCS,A5071,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,8.14,12.6,34
HCPCS,A5072,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,4.08,6.32,34
HCPCS,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,4.08,6.32,34
HCPCS,A5081,"Stoma plug or seal, any type ",,,4.31,6.67,34
HCPCS,A5082,Continent device; catheter for continent stoma ,,,13.7,21.2,34
HCPCS,A5083,"Continent device, stoma absorptive cover for continent stoma ",,,0.87,1.35,34
HCPCS,A5093,Ostomy accessory; convex insert ,,,2.24,3.47,34
HCPCS,A5102,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,30.55,47.28,34
HCPCS,A5105,"Urinary suspensory with leg bag, with or without tube, each ",,,55.2,85.42,34
HCPCS,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,43.59,67.44,34
HCPCS,A5113,"Leg strap; latex, replacement only, per set ",,,5.42,8.38,34
HCPCS,A5114,"Leg strap; foam or fabric, replacement only, per set ",,,10.3,15.93,34
HCPCS,A5120,"Skin barrier, wipes or swabs, each ",,,0.31,0.49,34
HCPCS,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,10.09,15.61,34
HCPCS,A5122,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,14.78,22.87,34
HCPCS,A5126,Adhesive or non-adhesive; disk or foam pad ,,,1.51,2.34,34
HCPCS,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,19.58,30.3,34
HCPCS,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,15.31,23.7,34
HCPCS,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,86.1,133.23,34
HCPCS,A5501,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,258.21,399.55,34
HCPCS,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,43.5,67.31,34
HCPCS,A5504,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,43.5,67.31,34
HCPCS,A5505,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,43.5,67.31,34
HCPCS,A5506,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,43.5,67.31,34
HCPCS,A5507,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,43.5,67.31,34
HCPCS,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,35.11,54.33,34
HCPCS,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,52.4,81.09,34
HCPCS,A5514,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,52.4,81.09,34
HCPCS,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,41.93,64.89,34
HCPCS,A6011,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.09,4.78,34
HCPCS,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,28.47,44.06,34
HCPCS,A6022,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,28.47,44.06,34
HCPCS,A6023,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,257.66,398.69,34
HCPCS,A6024,"Collagen dressing wound filler, sterile, per 6 inches ",,,8.37,12.95,34
HCPCS,A6154,"Wound pouch, each ",,,19.47,30.12,34
HCPCS,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,9.97,15.42,34
HCPCS,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,22.27,34.46,34
HCPCS,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,7.14,11.05,34
HCPCS,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,4.56,7.06,34
HCPCS,A6204,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,8.42,13.02,34
HCPCS,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,9.95,15.39,34
HCPCS,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.12,15.66,34
HCPCS,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,26.98,41.75,34
HCPCS,A6211,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,39.77,61.53,34
HCPCS,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,13.15,20.34,34
HCPCS,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,13.95,21.58,34
HCPCS,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.07,34
HCPCS,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.29,2.0,34
HCPCS,A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,3.51,5.42,34
HCPCS,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,2.89,4.47,34
HCPCS,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.29,5.09,34
HCPCS,A6224,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,4.87,7.54,34
HCPCS,A6229,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,4.87,7.54,34
HCPCS,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,6.35,9.82,34
HCPCS,A6232,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,9.29,14.38,34
HCPCS,A6233,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,25.96,40.18,34
HCPCS,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,8.86,13.72,34
HCPCS,A6235,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,22.77,35.24,34
HCPCS,A6236,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,36.89,57.08,34
HCPCS,A6237,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,10.71,16.57,34
HCPCS,A6238,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,30.88,47.77,34
HCPCS,A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,16.58,25.65,34
HCPCS,A6241,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.48,5.38,34
HCPCS,A6242,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,8.2,12.69,34
HCPCS,A6243,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,16.68,25.81,34
HCPCS,A6244,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,53.19,82.31,34
HCPCS,A6245,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,9.84,15.23,34
HCPCS,A6246,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,13.45,20.82,34
HCPCS,A6247,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,32.2,49.82,34
HCPCS,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,21.99,34.03,34
HCPCS,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,2.7,4.17,34
HCPCS,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,4.41,6.82,34
HCPCS,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,8.58,13.27,34
HCPCS,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.61,2.5,34
HCPCS,A6255,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.12,6.38,34
HCPCS,A6257,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.07,3.2,34
HCPCS,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,5.83,9.03,34
HCPCS,A6259,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,14.81,22.92,34
HCPCS,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.58,4.0,34
HCPCS,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.14,0.22,34
HCPCS,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.55,0.85,34
HCPCS,A6407,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.53,3.91,34
HCPCS,A6410,"Eye pad, sterile, each ",,,0.5,0.78,34
HCPCS,A6441,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,0.92,1.43,34
HCPCS,A6442,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.22,0.34,34
HCPCS,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.38,0.59,34
HCPCS,A6444,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.76,1.18,34
HCPCS,A6445,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.43,0.66,34
HCPCS,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.52,0.81,34
HCPCS,A6447,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,0.92,1.43,34
HCPCS,A6448,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.56,2.41,34
HCPCS,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.38,3.67,34
HCPCS,A6450,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.38,3.67,34
HCPCS,A6451,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.38,3.67,34
HCPCS,A6452,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,7.98,12.35,34
HCPCS,A6453,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.85,1.32,34
HCPCS,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.06,1.65,34
HCPCS,A6455,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,1.89,2.93,34
HCPCS,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.7,2.63,34
HCPCS,A6457,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.54,2.38,34
HCPCS,A6520,"Gradient compression garment, glove, padded, for nighttime use, each ",,,120.13,185.88,34
HCPCS,A6521,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,476.66,737.57,34
HCPCS,A6522,"Gradient compression garment, arm, padded, for nighttime use, each ",,,291.9,451.67,34
HCPCS,A6523,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,692.57,1071.66,34
HCPCS,A6524,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,364.17,563.51,34
HCPCS,A6525,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,735.2,1137.63,34
HCPCS,A6526,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,658.41,1018.8,34
HCPCS,A6527,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1210.73,1873.44,34
HCPCS,A6528,"Gradient compression garment, bra, for nighttime use, each ",,,633.1,979.64,34
HCPCS,A6529,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1000.39,1547.97,34
HCPCS,A6530,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,37.12,57.43,34
HCPCS,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,58.58,90.64,34
HCPCS,A6532,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,82.54,127.71,34
HCPCS,A6533,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,52.12,80.64,34
HCPCS,A6534,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,59.52,92.1,34
HCPCS,A6535,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,68.52,106.03,34
HCPCS,A6536,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,70.25,108.71,34
HCPCS,A6537,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,83.29,128.87,34
HCPCS,A6538,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,97.52,150.9,34
HCPCS,A6539,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,92.97,143.85,34
HCPCS,A6540,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,110.85,171.52,34
HCPCS,A6541,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,131.3,203.17,34
HCPCS,A6544,"Gradient compression stocking, garter belt ",,,36.95,57.18,34
HCPCS,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,115.34,178.47,34
HCPCS,A6548,"Accessory to custom gradient compression garment, silicone band, any size ",,,19.82,30.66,34
HCPCS,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,29.78,46.08,34
HCPCS,A6552,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,55.07,85.22,34
HCPCS,A6553,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,215.06,332.78,34
HCPCS,A6554,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,75.73,117.19,34
HCPCS,A6555,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,215.06,332.78,34
HCPCS,A6556,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,294.74,456.07,34
HCPCS,A6557,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,294.74,456.07,34
HCPCS,A6558,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,304.16,470.65,34
HCPCS,A6562,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,964.6,1492.59,34
HCPCS,A6563,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,964.6,1492.59,34
HCPCS,A6564,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1039.09,1607.86,34
HCPCS,A6565,"Gradient compression gauntlet, custom, each ",,,166.68,257.91,34
HCPCS,A6566,"Gradient compression garment, neck/head, each ",,,242.01,374.48,34
HCPCS,A6567,"Gradient compression garment, neck/head, custom, each ",,,760.4,1176.62,34
HCPCS,A6568,"Gradient compression garment, torso and shoulder, each ",,,157.95,244.4,34
HCPCS,A6569,"Gradient compression garment, torso/shoulder, custom, each ",,,899.4,1391.71,34
HCPCS,A6570,"Gradient compression garment, genital region, each ",,,107.62,166.52,34
HCPCS,A6571,"Gradient compression garment, genital region, custom, each ",,,646.8,1000.83,34
HCPCS,A6572,"Gradient compression garment, toe caps, each ",,,99.85,154.51,34
HCPCS,A6573,"Gradient compression garment, toe caps, custom, each ",,,236.96,366.66,34
HCPCS,A6574,"Gradient compression arm sleeve and glove combination, custom, each ",,,302.09,467.45,34
HCPCS,A6575,"Gradient  compression arm sleeve and glove combination, each ",,,97.9,151.48,34
HCPCS,A6576,"Gradient  compression arm sleeve, custom, medium weight, each ",,,185.4,286.89,34
HCPCS,A6577,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,153.45,237.45,34
HCPCS,A6578,"Gradient  compression arm sleeve, each ",,,75.57,116.94,34
HCPCS,A6579,"Gradient compression glove, custom, medium weight, each ",,,297.6,460.49,34
HCPCS,A6580,"Gradient  compression glove, custom, heavy weight, each ",,,295.41,457.11,34
HCPCS,A6581,"Gradient compression glove, each ",,,69.34,107.3,34
HCPCS,A6582,"Gradient compression gauntlet, each ",,,46.25,71.56,34
HCPCS,A6583,"Gradient compression wrap with adjustable straps, below knee, each ",,,152.12,235.39,34
HCPCS,A6585,"Gradient compression wrap with adjustable straps, above knee, each ",,,180.12,278.71,34
HCPCS,A6586,"Gradient compression wrap with adjustable straps, full leg, each ",,,530.66,821.13,34
HCPCS,A6587,"Gradient compression wrap with adjustable straps, foot, each ",,,69.51,107.56,34
HCPCS,A6588,"Gradient compression wrap with adjustable straps, arm, each ",,,231.68,358.49,34
HCPCS,A6589,"Gradient pressure wrap with adjustable straps, bra, each ",,,91.46,141.52,34
HCPCS,A6590,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,400.14,619.16,34
HCPCS,A6591,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,86.11,133.24,34
HCPCS,A6594,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,33.3,51.52,34
HCPCS,A6595,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,32.76,50.69,34
HCPCS,A6596,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.17,0.26,34
HCPCS,A6597,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.47,2.28,34
HCPCS,A6598,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.71,1.1,34
HCPCS,A6599,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.61,2.5,34
HCPCS,A6600,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,2.92,4.51,34
HCPCS,A6601,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.28,5.07,34
HCPCS,A6602,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,4.78,7.39,34
HCPCS,A6603,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.24,3.47,34
HCPCS,A6604,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.31,2.03,34
HCPCS,A6605,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.49,2.31,34
HCPCS,A6606,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,4.44,6.86,34
HCPCS,A6607,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.19,1.84,34
HCPCS,A6608,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,4.95,7.66,34
HCPCS,A6610,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,215.06,332.78,34
HCPCS,A7000,"Canister, disposable, used with suction pump, each ",,,9.97,15.44,34
HCPCS,A7001,"Canister, non-disposable, used with suction pump, each ",,,40.65,62.9,34
HCPCS,A7002,"Tubing, used with suction pump, each ",,,4.42,6.84,34
HCPCS,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,1.8,2.78,34
HCPCS,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.51,2.34,34
HCPCS,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,14.27,22.08,34
HCPCS,A7006,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.09,14.07,34
HCPCS,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,3.96,6.13,34
HCPCS,A7008,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,12.65,19.58,34
HCPCS,A7009,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,56.94,88.11,34
HCPCS,A7010,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.17,29.66,34
HCPCS,A7012,"Water collection device, used with large volume nebulizer ",,,3.52,5.44,34
HCPCS,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.69,1.07,34
HCPCS,A7014,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,3.89,6.01,34
HCPCS,A7015,"Aerosol mask, used with dme nebulizer ",,,1.56,2.41,34
HCPCS,A7016,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,9.52,14.73,34
HCPCS,A7017,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,148.49,229.78,34
HCPCS,A7018,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.39,0.6,34
HCPCS,A7020,"Interface for cough stimulating device, includes all components, replacement only ",,,19.59,30.31,34
HCPCS,A7021,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,129.55,200.46,34
HCPCS,A7025,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,58.89,91.13,34
HCPCS,A7026,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,38.91,60.21,34
HCPCS,A7027,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,146.0,225.91,34
HCPCS,A7028,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,40.82,63.17,34
HCPCS,A7029,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,18.24,28.22,34
HCPCS,A7030,"Full face mask used with positive airway pressure device, each ",,,105.02,162.51,34
HCPCS,A7031,"Face mask interface, replacement for full face mask, each ",,,40.73,63.02,34
HCPCS,A7032,"Cushion for use on nasal mask interface, replacement only, each ",,,22.85,35.35,34
HCPCS,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,18.39,28.46,34
HCPCS,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,66.26,102.53,34
HCPCS,A7035,Headgear used with positive airway pressure device ,,,21.75,33.65,34
HCPCS,A7036,Chinstrap used with positive airway pressure device ,,,12.65,19.58,34
HCPCS,A7037,Tubing used with positive airway pressure device ,,,14.03,21.71,34
HCPCS,A7038,"Filter, disposable, used with positive airway pressure device ",,,2.45,3.79,34
HCPCS,A7039,"Filter, non disposable, used with positive airway pressure device ",,,7.19,11.13,34
HCPCS,A7040,One way chest drain valve ,,,55.06,85.2,34
HCPCS,A7041,Water seal drainage container and tubing for use with implanted chest tube ,,,103.48,160.13,34
HCPCS,A7044,"Oral interface used with positive airway pressure device, each ",,,100.91,156.14,34
HCPCS,A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,13.89,21.49,34
HCPCS,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,16.16,25.0,34
HCPCS,A7047,"Oral interface used with respiratory suction pump, each ",,,163.69,253.3,34
HCPCS,A7048,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,57.6,89.13,34
HCPCS,A7501,"Tracheostoma valve, including diaphragm, each ",,,142.18,220.0,34
HCPCS,A7502,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,67.59,104.59,34
HCPCS,A7503,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,15.36,23.77,34
HCPCS,A7504,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,0.92,1.43,34
HCPCS,A7505,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,6.35,9.82,34
HCPCS,A7506,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.44,0.68,34
HCPCS,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.38,5.23,34
HCPCS,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,3.89,6.01,34
HCPCS,A7509,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,1.91,2.95,34
HCPCS,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,64.28,99.46,34
HCPCS,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,63.69,98.55,34
HCPCS,A7522,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,61.14,94.61,34
HCPCS,A7524,"Tracheostoma stent/stud/button, each ",,,104.81,162.19,34
HCPCS,A7525,"Tracheostomy mask, each ",,,2.79,4.32,34
HCPCS,A7526,"Tracheostomy tube collar/holder, each ",,,4.59,7.1,34
HCPCS,A7527,"Tracheostomy/laryngectomy tube plug/stop, each ",,,4.84,7.5,34
HCPCS,A8000,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,207.64,321.3,34
HCPCS,A8001,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,207.64,321.3,34
HCPCS,A9155,"Artificial saliva, 30 ml ",,,13.61,15.31,2
HCPCS,A9156,"Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml ",,,3.16,3.55,2
HCPCS,A9180,"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker ",,,1.16,1.31,2
HCPCS,A9500,TC99M SESTAMIBI DX DOSE,2900.3,2900.3,435.05,2900.3,33
HCPCS,A9500,"Technetium tc-99m sestamibi, diagnostic, per study dose ",2900.3,2900.3,84.0,1194.04,29
HCPCS,A9502,TC99M TETROFOSMIN DXDOSE,452.24,452.24,67.84,452.24,33
HCPCS,A9502,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",452.24,452.24,102.32,309.79,29
HCPCS,A9503,TC99M MEDRONATE DX 30MCI,952.37,952.37,142.86,952.37,33
HCPCS,A9503,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",952.37,952.37,15.6,170.82,29
HCPCS,A9504,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,532.97,1393.18,17
HCPCS,A9505,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,146.94,29
HCPCS,A9506,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,870.79,27
HCPCS,A9507,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,4585.27,6456.86,17
HCPCS,A9508,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1075.89,2525.48,17
HCPCS,A9509,I123 SODIUM IOD DX 1 MCI,1194.69,1194.69,179.2,1194.69,34
HCPCS,A9509,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",1194.69,1194.69,197.37,461.15,17
HCPCS,A9510,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,91.39,163.74,17
HCPCS,A9512,TC99M PERTECHNETA DX MCI,526.34,526.34,78.95,526.34,34
HCPCS,A9512,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",526.34,526.34,2.18,29.2,17
HCPCS,A9513,LU177 DOTATATE TX 1MCI,800.55,800.55,136.09,800.55,31
HCPCS,A9513,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",800.55,800.55,358.85,847.84,29
HCPCS,A9515,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,7344.0,29
HCPCS,A9516,I123 SOD DX 100-999 UCI,530.95,530.95,79.64,530.95,33
HCPCS,A9516,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",530.95,530.95,115.01,269.08,29
HCPCS,A9517,I131 SOD IOD CAP TX MCI,84.88,84.88,14.43,84.88,32
HCPCS,A9517,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",84.88,84.88,63.79,97.39,17
HCPCS,A9520,TC99M TILMANOC DX 0.5MCI,1447.44,1447.44,217.12,1447.44,33
HCPCS,A9520,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",1447.44,1447.44,793.88,971.72,14
HCPCS,A9521,TC99M EXAMETAZM DX 25MCI,4389.84,4389.84,658.48,4389.84,33
HCPCS,A9521,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",4389.84,4389.84,2056.76,4246.84,29
HCPCS,A9524,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,2296.89,29
HCPCS,A9526,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,860.39,2122.52,17
HCPCS,A9527,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,226.59,1050.25,17
HCPCS,A9528,I131 SOD IOD CAP DX MCI,483.1,483.1,72.47,483.1,34
HCPCS,A9528,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",483.1,483.1,104.02,258.45,17
HCPCS,A9530,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,12.11,55.04,17
HCPCS,A9531,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,4.63,11.5,17
HCPCS,A9532,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,225.87,1243.01,17
HCPCS,A9536,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,853.95,2121.64,17
HCPCS,A9537,TC99M MEBROFEN DX 15MCI,844.29,844.29,126.64,844.29,33
HCPCS,A9537,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",844.29,844.29,67.8,300.67,29
HCPCS,A9538,TC99M PYROPHOS DX 25MCI,336.48,336.48,50.47,336.48,33
HCPCS,A9538,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",336.48,336.48,76.86,120.39,29
HCPCS,A9539,TC99M PENTETATE DX 25MCI,143.52,143.52,21.53,143.52,34
HCPCS,A9539,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",143.52,143.52,40.91,76.11,17
HCPCS,A9540,TC99M MACRO ALB DX 10MCI,1345.96,1345.96,201.89,1345.96,33
HCPCS,A9540,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",1345.96,1345.96,36.0,80.53,29
HCPCS,A9541,TC99M SULFUR CO DX 20MCI,2062.15,2062.15,309.32,2062.15,33
HCPCS,A9541,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",2062.15,2062.15,320.84,1991.21,29
HCPCS,A9542,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,4384.44,10893.22,17
HCPCS,A9543,Y90 IBRITUM TIU TX 40MCI,142061.38,142061.38,24150.43,142061.38,34
HCPCS,A9543,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",142061.38,142061.38,80165.58,150585.06,29
HCPCS,A9546,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,1.43,3.55,17
HCPCS,A9547,IN111 OXYQUINO DX 0.5MCI,2548.38,2548.38,466.35,2548.38,29
HCPCS,A9547,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",2548.38,2548.38,2203.37,3091.79,29
HCPCS,A9548,IN111 PENTETAT DX 0.5MCI,5471.86,5471.86,1001.35,5471.86,29
HCPCS,A9548,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",5471.86,5471.86,1062.6,1975.89,29
HCPCS,A9551,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,782.61,1748.81,17
HCPCS,A9552,F18 FDG DX 45MCI,2548.38,2548.38,382.26,2548.38,35
HCPCS,A9552,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",2548.38,2548.38,186.48,1142.71,27
HCPCS,A9553,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,459.93,5082.59,17
HCPCS,A9554,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,1721.55,29
HCPCS,A9555,RUBIDIUM RB82 DX 60 MCI,3809.62,3809.62,571.44,3809.62,34
HCPCS,A9555,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",3809.62,3809.62,498.05,1312.65,17
HCPCS,A9556,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,60.18,198.32,17
HCPCS,A9557,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,2055.13,5228.25,29
HCPCS,A9558,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,811.67,29
HCPCS,A9559,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,236.92,542.59,17
HCPCS,A9560,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,288.56,29
HCPCS,A9561,TC99M OXIDRONAT DX 30MCI,3357.19,3357.19,503.58,3357.19,34
HCPCS,A9561,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",3357.19,3357.19,57.45,138.09,17
HCPCS,A9562,TC99M MERTIATID DX 15MCI,2227.32,2227.32,334.1,2227.32,36
HCPCS,A9562,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",2227.32,2227.32,2102.17,2102.17,15
HCPCS,A9563,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,737.34,29
HCPCS,A9564,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,166.74,414.25,17
HCPCS,A9567,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,22.44,55.76,17
HCPCS,A9568,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,1280.38,3434.27,17
HCPCS,A9569,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,2237.76,2517.48,17
HCPCS,A9570,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,2923.45,6183.59,29
HCPCS,A9571,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,12713.03,29
HCPCS,A9572,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,5302.49,27
HCPCS,A9573,"Injection, gadopiclenol, 1 ml ",,,5.0,8.53,17
HCPCS,A9575,DOTAREM 10 ML INJ,840.54,840.54,126.08,840.54,27
HCPCS,A9575,DOTAREM 15 ML INJ,1260.82,1260.82,189.12,1260.82,27
HCPCS,A9575,DOTAREM 20 ML INJ,1459.6,1459.6,218.94,1459.6,27
HCPCS,A9575,DOTAREM 5 ML INJ,473.29,473.29,70.99,473.29,27
HCPCS,A9575,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.24,29
HCPCS,A9576,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,3.68,29
HCPCS,A9577,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,4.74,29
HCPCS,A9578,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,4.56,29
HCPCS,A9579,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,3.84,29
HCPCS,A9580,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,288.56,716.96,17
HCPCS,A9581,GADOXETATE 10 ML INJ,2061.61,2061.61,309.24,2061.61,27
HCPCS,A9581,"Injection, gadoxetate disodium, 1 ml ",2061.61,2061.61,17.99,39.03,29
HCPCS,A9582,I123 IOBENGUANE DX 15MCI,11653.6,11653.6,2132.61,11653.6,32
HCPCS,A9582,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",11653.6,11653.6,6130.09,7145.92,29
HCPCS,A9584,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,3677.51,29
HCPCS,A9585,GADOBUTROL 10 ML INJ,1387.64,1387.64,208.15,1387.64,27
HCPCS,A9585,GADOBUTROL 2 ML INJ,1387.64,1387.64,208.15,1387.64,27
HCPCS,A9585,GADOBUTROL 7.5 ML INJ,1041.21,1041.21,156.18,1041.21,27
HCPCS,A9585,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.8,29
HCPCS,A9586,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,4837.95,29
HCPCS,A9587,GA68 DOTATATE DX 0.1MCI,487.74,487.74,89.26,487.74,29
HCPCS,A9587,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",487.74,487.74,66.67,131.52,29
HCPCS,A9588,F18 FLUCICLOVINE DX 1MCI,558.28,558.28,102.17,558.28,29
HCPCS,A9588,"Fluciclovine f-18, diagnostic, 1 millicurie ",558.28,558.28,619.98,854.02,29
HCPCS,A9589,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,1716.73,3773.92,17
HCPCS,A9590,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,470.59,14
HCPCS,A9591,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,1220.11,29
HCPCS,A9592,CU64 DOTATATE DX 1MCI,2673.71,2673.71,489.29,2673.71,29
HCPCS,A9592,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",2673.71,2673.71,1155.0,1574.84,29
HCPCS,A9593,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,1457.84,29
HCPCS,A9594,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,1118.65,29
HCPCS,A9595,F18 PIFLUFOLAST DX 1MCI,15253.66,15253.66,2791.42,15253.66,29
HCPCS,A9595,"Piflufolastat f-18, diagnostic, 1 millicurie ",15253.66,15253.66,738.07,918.2,29
HCPCS,A9596,GA68 ILLUCCIX DX 1MCI,12753.3,12753.3,2333.85,12753.3,29
HCPCS,A9596,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",12753.3,12753.3,1239.84,1445.3,29
HCPCS,A9600,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,10987.8,29
HCPCS,A9601,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,983.15,29
HCPCS,A9602,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,2267.21,29
HCPCS,A9603,"Injection, pafolacianine, 0.1 mg ",,,173.4,195.07,2
HCPCS,A9604,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,8373.47,23916.3,29
HCPCS,A9606,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,453.39,29
HCPCS,A9607,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,687.94,29
HCPCS,A9608,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,1778.73,29
HCPCS,A9609,F18 FLUDEOXYGL 15 MCI,2548.38,2548.38,382.26,2548.38,39
HCPCS,A9611,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,1404.5,27
HCPCS,A9612,FLUORESCEIN 500MG INJ,325.61,325.61,48.84,325.61,31
HCPCS,A9615,"Injection, pegulicianine, 1 mg ",,,42.46,99.4,27
HCPCS,A9616,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,3103.95,3103.95,15
HCPCS,A9697,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,3323.1,3323.1,15
HCPCS,A9698,AMINOLEVULINC 1500 MG PO,22078.95,22078.95,3311.84,22078.95,30
HCPCS,A9698,ETHIODIZED OIL INJ,9526.18,9526.18,1428.93,9526.18,30
HCPCS,A9698,OMNIPAQUE 12 500ML PO,151.38,151.38,22.71,151.38,30
HCPCS,A9698,READI-CAT 2 450ML PO,46.47,46.47,6.97,46.47,30
HCPCS,A9699,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,123742.09,123742.09,15
HCPCS,A9800,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,960.63,1210.29,29
HCPCS,C1062,"Intravertebral body fracture augmentation with implant (e.g., metal, polymer) ",,,3441.0,3441.0,1
HCPCS,C1713,ANCH BN 3.5MM 19.5MM,3515.0,3515.0,527.25,3515.0,30
HCPCS,C1713,ANCH BN SUT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCH FIX BN EXTRA LONG,2662.0,2662.0,399.3,2662.0,30
HCPCS,C1713,ANCH FIX BN LOOP 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCH HYBRD KN,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCH SNC FRC FBR0 2.5X10,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCH STPL BN 12X10X10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCH SUT 2.6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCH SUT 3.7MM 17.9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCH SUT 4.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCH SUT 4.75MM 14.MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCH SUT 5.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCH SUT 5.5MM 20MM,3069.5,3069.5,460.43,3069.5,30
HCPCS,C1713,ANCH SUT 5.5MM 22MM,1260.0,1260.0,189.0,1260.0,30
HCPCS,C1713,ANCH SUT 6.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCH SUT FSTN RC 6.5,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCH SUT FSTN RC R 6.5MM,3586.0,3586.0,537.9,3586.0,30
HCPCS,C1713,ANCH SUT KNOTLS 4.75MM,3960.0,3960.0,558.15,4199.0,60
HCPCS,C1713,ANCH SUT SZ3-0 DB1.3MM,3236.0,3236.0,485.4,3236.0,30
HCPCS,C1713,ANCHOR 2.9MM JUGGERKNOT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR BICEPS TENODESIS,4069.0,4069.0,610.35,4069.0,30
HCPCS,C1713,ANCHOR BN 2.3MM,3608.0,3608.0,541.2,3608.0,30
HCPCS,C1713,ANCHOR BN 2.5 X 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR BN 24D 2-0,3683.0,3683.0,552.45,3683.0,30
HCPCS,C1713,ANCHOR BN 3.9MM,12822.0,12822.0,1923.3,12822.0,30
HCPCS,C1713,ANCHOR BN 4.75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR BN 4.75X19.1MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR BN 4.75X24.5MM,3675.0,3675.0,551.25,3675.0,30
HCPCS,C1713,ANCHOR BN 4.9MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR BN ACHILLES 3.9MM,12791.0,12791.0,1918.65,12791.0,30
HCPCS,C1713,ANCHOR BN BLK/BLU,3672.0,3672.0,550.8,3672.0,30
HCPCS,C1713,ANCHOR BN BLU/BLK 2.3MM,3608.0,3608.0,541.2,3608.0,30
HCPCS,C1713,ANCHOR BN FBRTK 2.6,3672.0,3672.0,550.8,3672.0,30
HCPCS,C1713,ANCHOR BN IMP SYS #2 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR BN KIT 9MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR BN KNOTLESS 5.0,5156.0,5156.0,773.4,5156.0,30
HCPCS,C1713,ANCHOR BN KNTLS 1.4MM,3608.0,3608.0,541.2,3608.0,30
HCPCS,C1713,ANCHOR BN KNTLS 4.75MM,4199.0,4199.0,629.85,4199.0,30
HCPCS,C1713,ANCHOR BN LIG 4.75MM,4628.0,4628.0,694.2,4628.0,30
HCPCS,C1713,ANCHOR BN NDL SZ0 1.8MM,4706.0,4706.0,705.9,4706.0,30
HCPCS,C1713,ANCHOR BN SELF-PUNCHNG,3203.0,3203.0,480.45,3203.0,30
HCPCS,C1713,ANCHOR BN SHDR 1.8,3437.0,3437.0,515.55,3437.0,30
HCPCS,C1713,ANCHOR BN SHLD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR BN SUT 5.5MM,4655.0,4655.0,698.25,4655.0,30
HCPCS,C1713,ANCHOR BN SYS-CRV DN,3422.0,3422.0,513.3,3422.0,30
HCPCS,C1713,ANCHOR BN SYSTEM 10MM,10115.0,10115.0,1517.25,10115.0,30
HCPCS,C1713,ANCHOR BN SZ2 36IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR BN TNDN 4.75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR BN TNDN 5.5MM,3698.0,3698.0,551.25,3721.0,60
HCPCS,C1713,ANCHOR BN TNDN BICEP,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR BN W/SUTURE,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR BONE IMPLANT,6976.0,6976.0,1046.4,6976.0,30
HCPCS,C1713,ANCHOR DBL LD KNTLS KN,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR FX BLK 4.75MM,8883.0,8883.0,1332.45,8883.0,30
HCPCS,C1713,ANCHOR FX REPAIR KT,5783.0,5783.0,867.45,5783.0,30
HCPCS,C1713,ANCHOR GRYPHON 210813,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR HUM STM FREE MED,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1713,ANCHOR IMPL SYS 2.9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR IMPL SYS 4.75MM,5909.0,5909.0,886.35,5909.0,30
HCPCS,C1713,ANCHOR IMPL SYS 7MM 23MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR IMPL SYS 8X23MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR IMPL SYSTM 3.9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR KN DBL LOADED,3323.0,3323.0,498.45,3323.0,30
HCPCS,C1713,ANCHOR KNTLS 4.75MM,3721.0,3721.0,558.15,3721.0,60
HCPCS,C1713,ANCHOR KNTLS PK 4.75MM,3478.5,3478.5,485.4,3721.0,60
HCPCS,C1713,ANCHOR KNTLS WHT/BLK,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,ANCHOR ORTH BN TNDN,12068.0,12068.0,1810.2,12068.0,30
HCPCS,C1713,ANCHOR PEEK 3.5MM,3315.0,3315.0,497.25,3315.0,30
HCPCS,C1713,ANCHOR PEEK KNTLS 6.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SPN ALIF 6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ANCHOR SPN MIS 25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,ANCHOR SUT #1,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT #2,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT #2 5.5X19.1MM,3593.0,3593.0,538.95,3593.0,30
HCPCS,C1713,ANCHOR SUT #5 38IN,542.0,542.0,81.3,542.0,30
HCPCS,C1713,ANCHOR SUT 1.4M,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 1.4MM,3461.5,3461.5,478.35,3646.0,150
HCPCS,C1713,ANCHOR SUT 1.8MM,4276.0,4276.0,478.35,5647.0,120
HCPCS,C1713,ANCHOR SUT 2-0 V-5,3875.0,3875.0,581.25,3875.0,30
HCPCS,C1713,ANCHOR SUT 2.2MM 2-0 3/8,955.0,955.0,143.25,955.0,30
HCPCS,C1713,ANCHOR SUT 2.3MM,3454.0,3454.0,478.35,4334.0,240
HCPCS,C1713,ANCHOR SUT 2.4MM 11.3MM,1340.0,1340.0,201.0,1340.0,30
HCPCS,C1713,ANCHOR SUT 2.4X6.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 2.4X8.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 2.5MM 8MM,3320.0,3320.0,498.0,3320.0,30
HCPCS,C1713,ANCHOR SUT 2.7MM 2-0 3/8,955.0,955.0,143.25,955.0,30
HCPCS,C1713,ANCHOR SUT 2.7MM 8.5MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,ANCHOR SUT 2.8MM,4353.5,4353.5,430.65,5836.0,60
HCPCS,C1713,ANCHOR SUT 2.9MM 12.5MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,ANCHOR SUT 2.9MM 15.5MM,2168.5,2168.5,172.2,3189.0,60
HCPCS,C1713,ANCHOR SUT 24D 1.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT 25MM,3039.0,3039.0,455.85,3039.0,30
HCPCS,C1713,ANCHOR SUT 2MM 1.3MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,ANCHOR SUT 3.0MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.0MM 12.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR SUT 3.5M 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.5M 12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.5MM,3320.0,3320.0,430.65,4429.0,90
HCPCS,C1713,ANCHOR SUT 3.5MM 13.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.5MM 19.5MM,2232.5,2232.5,191.4,3189.0,90
HCPCS,C1713,ANCHOR SUT 3.5MM 8.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.9MM 17.9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3.9X11.2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 3MM 14.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 4.5MM,3189.0,3189.0,478.35,3189.0,120
HCPCS,C1713,ANCHOR SUT 4.5MM 14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 4.5MM 24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 4.5MM 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 4.75MM,3564.0,3564.0,478.35,5836.0,210
HCPCS,C1713,ANCHOR SUT 4.75MM 14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 4.75MM 15.8MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,ANCHOR SUT 4.75MM 19.1MM,3189.0,3189.0,179.4,3497.0,120
HCPCS,C1713,ANCHOR SUT 4.75MM 22MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,ANCHOR SUT 4.75MM 24.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 4.75X19.1MMM,8092.0,8092.0,1213.8,8092.0,30
HCPCS,C1713,ANCHOR SUT 5.5MM,3381.5,3381.5,478.35,3721.0,330
HCPCS,C1713,ANCHOR SUT 5.5MM 14.7MM,3189.0,3189.0,478.35,3189.0,150
HCPCS,C1713,ANCHOR SUT 5.5MM 15.0MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 5.5MM 16.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 5.5MM 16MM,782.0,782.0,117.3,782.0,30
HCPCS,C1713,ANCHOR SUT 5.5MM 19.1MM,2232.5,2232.5,191.4,3189.0,60
HCPCS,C1713,ANCHOR SUT 5.5MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 5.5MM 24.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 5.5X24MM,7884.0,7884.0,1182.6,7884.0,30
HCPCS,C1713,ANCHOR SUT 5MM,2822.5,2822.5,397.05,2998.0,60
HCPCS,C1713,ANCHOR SUT 5MM 15.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 6.25MM 19.1MM,3203.0,3203.0,480.45,3203.0,30
HCPCS,C1713,ANCHOR SUT 6.5MM,3157.0,3157.0,430.65,3906.0,90
HCPCS,C1713,ANCHOR SUT 6.5MM 14.7MM,2129.0,2129.0,160.35,3189.0,90
HCPCS,C1713,ANCHOR SUT 7.0MM 19.5MM,3236.0,3236.0,485.4,3236.0,30
HCPCS,C1713,ANCHOR SUT 7MM 19.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT 8.0MM 19.1MM,3236.0,3236.0,485.4,3236.0,30
HCPCS,C1713,ANCHOR SUT 8.0MM 19.5MM,3236.0,3236.0,485.4,3236.0,30
HCPCS,C1713,ANCHOR SUT ACL FIXATION,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT BICEPS,3744.0,3744.0,561.6,3744.0,30
HCPCS,C1713,ANCHOR SUT BLK/WHT 1.3MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,ANCHOR SUT BLUE 1.8MM,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1713,ANCHOR SUT BN #1,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT BTTN,4071.0,4071.0,610.65,4071.0,30
HCPCS,C1713,ANCHOR SUT CP-2 2.8MM,3820.0,3820.0,573.0,3820.0,30
HCPCS,C1713,ANCHOR SUT DX,3633.0,3633.0,544.95,3633.0,30
HCPCS,C1713,ANCHOR SUT KNOTLESS 3MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT KNOTLESS PK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR SUT KNTLS #2,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT KNTLS 1.7MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT KNTLS 4.75MM,3593.0,3593.0,538.95,3593.0,30
HCPCS,C1713,ANCHOR SUT KNTLS SZ2,4075.0,4075.0,558.15,4429.0,60
HCPCS,C1713,ANCHOR SUT KNTLSS 1.8MM,7674.0,7674.0,1151.1,7674.0,30
HCPCS,C1713,ANCHOR SUT ORTHO 1.3MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT PSHLCK 2.9,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR SUT SFT 2.6,3515.0,3515.0,527.25,3515.0,30
HCPCS,C1713,ANCHOR SUT SMALL JOINT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT SOFT #5,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,ANCHOR SUT SZ 2 36IN,3721.0,3721.0,558.15,3721.0,60
HCPCS,C1713,ANCHOR SUT SZ2 36IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUT SZ2-0,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT TAPE 6.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT TENDONS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ANCHOR SUT W NDL #2,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT W/NDL .9MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,ANCHOR SUT W/QFIX NDLS,4706.0,4706.0,705.9,4706.0,30
HCPCS,C1713,ANCHOR SUTURE 2-0,3683.0,3683.0,552.45,3683.0,30
HCPCS,C1713,ANCHOR SUTURE 2.8MM,4185.0,4185.0,627.75,4185.0,30
HCPCS,C1713,ANCHOR SUTURE 3.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUTURE 3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ANCHOR SUTURE 4.75MM,4684.0,4684.0,558.15,5647.0,60
HCPCS,C1713,ANCHOR SYS SOFT TISSUE,686.0,686.0,102.9,686.0,30
HCPCS,C1713,ANCHR JUGERKNOT SHRT SZ2,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ASSEMBLY ORTH BSPLT,22730.0,22730.0,3409.5,22730.0,30
HCPCS,C1713,ASSEMBLY SPN HEAD 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BAR CRSLNK TI SPN CONECT,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,BAR PECTUS SUPPORT 17IN,6267.0,6267.0,940.05,6267.0,30
HCPCS,C1713,BAR SPN CLS TRNSV 15MM,2922.0,2922.0,438.3,2922.0,30
HCPCS,C1713,BAR SPN CLS TRNSV 20MM,2922.0,2922.0,438.3,2922.0,30
HCPCS,C1713,BAR SPN CLS TRNSV 25MM,3188.0,3188.0,478.2,3188.0,30
HCPCS,C1713,BAR SPNL 15MM TRNSV NS,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,BAR SPNL 20 6 CLK-X TI T,2892.0,2892.0,433.8,2892.0,30
HCPCS,C1713,BAR SPNL 20MM TRNSV NS,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,BAR SPNL 25MM TRNSV NS,3188.0,3188.0,478.2,3188.0,30
HCPCS,C1713,BAR SPNL 30 6 CLK-X TI T,2892.0,2892.0,433.8,2892.0,30
HCPCS,C1713,BAR SPNL 4MM SYNPSE LNG,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BAR SPNL AXN TI 3.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BAR SPNL GRN 15MM 6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BAR SPNL GRN 25MM 6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BAR SPNL TI L25MM OD6MM,2892.0,2892.0,433.8,2892.0,30
HCPCS,C1713,BASEPLATE SHDR 10D,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1713,BEAM BN FOOT 110MM 7MM,7437.0,7437.0,1115.55,7437.0,30
HCPCS,C1713,BEAM ORTH FT 110MM 7MM,7437.0,7437.0,1115.55,7437.0,30
HCPCS,C1713,BEAM ORTH FT 120MM 7MM,8850.0,8850.0,1327.5,8850.0,30
HCPCS,C1713,BEAM ORTH FT 80MM 7MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,BEAM ORTH FT 85MM 7MM,8850.0,8850.0,1327.5,8850.0,30
HCPCS,C1713,BLADE BN 90X10.35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BLADE BN HCL 85MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BLADE BN HLCL 115MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE BN HLCL 75MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE BN HLCL 80MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE BN HLCL 85MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE BN SPRL FXTN 85MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE FIXTN TI 11X95MM T,3849.0,3849.0,577.35,3849.0,30
HCPCS,C1713,BLADE FIXTN TI L100MM OD,3849.0,3849.0,577.35,3849.0,30
HCPCS,C1713,BLADE FIXTN TI L105MM OD,3849.0,3849.0,577.35,3849.0,30
HCPCS,C1713,BLADE FIXTN TI L115MM OD,3849.0,3849.0,577.35,3849.0,30
HCPCS,C1713,BLADE FIXTN TI L34MM HUM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BLADE FIXTN TI11.0X110 T,3849.0,3849.0,577.35,3849.0,30
HCPCS,C1713,BLADE HELCL TI 100MM- ST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BLADE HELICAL 10.35X120M,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE HELICAL 125MM(TFN),4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BLADE HLCL 105MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE HLCL 110MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE HLCL 11X100MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE HLCL 11X105,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE HLCL 11X110,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BLADE HLCL 11X95MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE HLCL 90MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE HLCL PERF 125MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE IM 10.35MM 95MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE IM 12.5MM 70MM,4241.0,4241.0,636.15,4241.0,30
HCPCS,C1713,BLADE IM FX HUM 40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BLADE IM FX HUM 42MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BLADE IM FX HUM 44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BLADE IM FX T NLEX,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BLADE IM TI 90MM TROCANT,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLADE SPRL 12.5X75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BLADE SPRL FOR NAIL 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BLADE SURG 105MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BLADE TFNA HELICAL110MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BLADE TI HELICAL 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BLADE TI HELICAL 95MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BLADE TROCH F/NAIL SYST,3849.0,3849.0,577.35,3849.0,30
HCPCS,C1713,BLDE IM NL 100MM 10.35MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BLOCKER SPN CONN,753.0,753.0,112.95,753.0,30
HCPCS,C1713,BLOCKER SPN ROD CLSR,753.0,753.0,112.95,753.0,30
HCPCS,C1713,BN SCR CANCELLOUS 20MM,1063.0,1063.0,159.45,1063.0,30
HCPCS,C1713,BN SCR CANCELLOUS 30MM,1063.0,1063.0,159.45,1063.0,30
HCPCS,C1713,BODY OPEN SPN STD HEIGHT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BODY SPN OPEN TALL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLD EXPANSION FEM NECK,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,BOLT ACS LAT TROCH 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT BN FEM 105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT BN FEM 75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT BN FEM ALLOY 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT BN FEM ALLOY 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT BN FEM ALLOY 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT BN FEM NK SYS 90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT BN FX LGN 18MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,BOLT BN HIP 9.5X45MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1713,BOLT BN LCK 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,BOLT BN LCK HIP 75MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,BOLT BN LOCK 44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT GRAFT FX ACL 28X8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT LCK TI 4.9X64,2242.0,2242.0,336.3,2242.0,30
HCPCS,C1713,BOLT LOCKING 4.9MMX44MM,2242.0,2242.0,336.3,2242.0,30
HCPCS,C1713,BOLT LOCKING 4.9MMX54MM,2242.0,2242.0,336.3,2242.0,30
HCPCS,C1713,BOLT LOCKING 4.9X50MM TI,2242.0,2242.0,336.3,2242.0,30
HCPCS,C1713,BOLT NECK FIXATION 41MM,3109.0,3109.0,466.35,3109.0,30
HCPCS,C1713,BOLT ORTH 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT ORTH 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT ORTH 34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT ORTH 36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT ORTH 38MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT ORTH 42MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BOLT ORTH FT 135MM 5MM,7339.0,7339.0,1100.85,7339.0,30
HCPCS,C1713,BOLT ORTH FT 5MM 60MM,7339.0,7339.0,1100.85,7339.0,30
HCPCS,C1713,BOLT ORTH FT 85MM 5MM,7339.0,7339.0,1100.85,7339.0,30
HCPCS,C1713,BOLT PED 6.25X40 MON,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,BOLT PED 6.25X45 MON,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,BOLT SPN 6.75MM 40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPN 6.75MM 45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPN 8MM 40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,BOLT SPN TI 35X8 NRSRGL,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,BOLT SPNL 35MM 7.25MM AR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 35X6.75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 40MM 5.75MM LC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 40MM 6.75MM TI,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 40MM 7.25MM LC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 40MM 7.75MM LC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 40MM 8MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 50MM 6.75MM TI,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 50MM 8.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 50X5.75MM ARC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 50X6.75MM L/T,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL 50X7.75MM L/T,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL REV 45X7.25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT SPNL REV 50X7.25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,BOLT TI LCK 42X4.9X3.5MM,2242.0,2242.0,336.3,2242.0,30
HCPCS,C1713,BUTTON ACL W/SUTURE,4199.0,4199.0,629.85,4199.0,30
HCPCS,C1713,BUTTON BN FX IMPL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BUTTON CBL 3.5MM,1934.0,1934.0,290.1,1934.0,30
HCPCS,C1713,BUTTON CBL HEX LCK 2.5MM,1563.0,1563.0,234.45,1563.0,30
HCPCS,C1713,BUTTON CRCLGE 4.5MM,2121.0,2121.0,318.15,2121.0,30
HCPCS,C1713,BUTTON ENDO FX ACL 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BUTTON FX 14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BUTTON FX CLVCL DIST,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BUTTON FX CNCAV 3H 11MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BUTTON FXTN LG 34MM PTLR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BUTTON KNOTLESS DIS CLAV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,BUTTON RETRO LNG 55 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,BUTTON SUT 12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE BN 1.8MM 635MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE BN CRMP 1MM 750MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE DALL MLES GRIP 2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CABLE FXTN 1.8MM 635CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE GRIP MED 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE GRP MED 2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CABLE ORTH 1.7X750MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE ORTH 2MM,2616.0,2616.0,392.4,2616.0,30
HCPCS,C1713,CABLE ORTH CLMP SS 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE ORTH COCR 2X75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE ORTHO 1.7X750MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE PIN IMPLANT 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CABLE SADDLE 4.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CABLE SLV DLMLS HIP 2.0,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,CABLE SM GRIP W/2 1.6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CABLE SPN 1MM 470MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CABLE SPN DBL LP CRMP,3396.0,3396.0,509.4,3396.0,30
HCPCS,C1713,CABLE SPN SGL W CRIMP,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CABLE SPN SS CUTT NDL,3093.0,3093.0,463.95,3093.0,30
HCPCS,C1713,CABLE SPN SS W/NDLE 5P,1485.0,1485.0,222.75,1485.0,30
HCPCS,C1713,CABLE SPN TI W/ CRMP,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CABLE SPN TI W/NDLE,1965.0,1965.0,294.75,1965.0,30
HCPCS,C1713,CABLE SPNL SGL CRIMPED W,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CABLE STERNL CUT 1.1MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CABLE/SLV ORTH 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CANN POLY 6.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CAP SPN LCK,753.0,753.0,112.95,753.0,30
HCPCS,C1713,CAP SPN LCK FOR CONN,753.0,753.0,112.95,753.0,30
HCPCS,C1713,CLAMP AXIAL ROD TO ROD,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CLAMP ROD-ROD 7MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CLAMP SPN 6-6.5 LT INLN,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,CLAMP SPN CONN 12MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,CLAMP SPN ROD 9MM,2636.0,2636.0,395.4,2636.0,30
HCPCS,C1713,CLAMP SPN ROD-ROD 10MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,CLAMP SPN ROD-ROD 7MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CLAMP SPN ROD-ROD 8MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,CLAMP SURG SPN 5.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CLAMP TB TI OD22MM CRNL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CLAMP-SCREW,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,CLIP STRNL TLN CLSE 14MM,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,CMPNT BN MDBLR RT 45MM,17247.0,17247.0,2587.05,17247.0,30
HCPCS,C1713,CMPNT MNDB NAR LT 45MM,12481.0,12481.0,1872.15,12481.0,30
HCPCS,C1713,CMPNT MNDB NAR RT 50MM,12481.0,12481.0,1872.15,12481.0,30
HCPCS,C1713,CNCTR ILIAC 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CNCTR LAT CERV OFST 14MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CNCTR LG OFST ILIUS PLVC,5562.0,5562.0,834.3,5562.0,30
HCPCS,C1713,CNCTR LTRL OFFST SPNL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNCTR LW PRFL 14MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CNCTR ROD 29-30MM XIA MA,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CNCTR ROD 3.5MM 6MM SPNL,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CNCTR ROD OPN CLS ROD TO,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNCTR ROD SPN 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNCTR ROD SPNL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNCTR ROD SS 6.35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CNCTR ROD TI SPN AXIAL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNCTR ROD TI SPN TRANSVE,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNCTR SPN 5.5-6X600MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNCTR SPNL CRSLNK 60-70M,4850.0,4850.0,727.5,4850.0,30
HCPCS,C1713,CNCTR SPNL SM CLRS LATRL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNN SPN LAT OFST LG 40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNNCTR ROD 30-36MM XIA M,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CNNCTR ROD 5.5 XPDM CLS,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNNCTR ROD SPN 11MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNNCTR ROD SPN 3.5X90MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CNNCTR SPN END-END 4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNNCTR SPN END/END 4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CNTCR ROD SPN 4MM 21MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,COLLAR HOOK/SCREWS 6.0MM,2199.0,2199.0,329.85,2199.0,30
HCPCS,C1713,COMPONENT GLND 44MM,5814.0,5814.0,872.1,5814.0,30
HCPCS,C1713,CON ROD SM SPNL TI TOP,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONCTR ROD SPN 6.35X6.35,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONCTR ROD SPN ANG,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONCTR SPNL 10MM LATERAL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN CLMSHL SPNL 5.5-5.5,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN CLS LAT 5.,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN CROSS 42-58MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN CROSS SPN 35-46MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN CROSS SPN 39-56MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN EYE 25OMM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CONN LAT OFFST OPN S00 3,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN LAT OFFST OPN S00 5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN MAC LX 39-43 STD,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN RD 3.5-4/5.5-6.35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN RD SPN BYPS 200X5.5,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,CONN ROD 10MM SPINAL,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD 20MM SPINAL,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD 24MM TRNSV,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN ROD 3.5MM 240MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,CONN ROD 30MM 6.35MM SPN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD 4.5-5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD 4.75X5.5X25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD 42X5.5MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD 45X4.5MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD LAT OFST,3370.0,3370.0,505.5,3370.0,30
HCPCS,C1713,CONN ROD LOPRO 11MM,5820.0,5820.0,873.0,5820.0,30
HCPCS,C1713,CONN ROD MAC SPN 42MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD OFST MTNR 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 10MM,3520.0,3520.0,528.0,3520.0,30
HCPCS,C1713,CONN ROD SPN 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 19MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN ROD SPN 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 20MM MTNR,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,CONN ROD SPN 20X4.75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 24.5-31X5.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 3.5/3.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 3.5MM,3727.0,3727.0,559.05,3727.0,30
HCPCS,C1713,CONN ROD SPN 3.5MM 3.5MM,3622.0,3622.0,543.3,3622.0,30
HCPCS,C1713,CONN ROD SPN 3.5MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,CONN ROD SPN 3.5MM 5MM,3458.0,3458.0,518.7,3458.0,30
HCPCS,C1713,CONN ROD SPN 3.5X5.5MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,CONN ROD SPN 30-35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 35-44MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD SPN 35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN ROD SPN 39MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD SPN 4.5-4.75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 4.5X12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 4.5X14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 4.5X4.5X3MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,CONN ROD SPN 4.75MM 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 4.75MM 25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 42-58MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 43-54MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN ROD SPN 5.5-3.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN ROD SPN 5.5-6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 5.5MM 1IN,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,CONN ROD SPN 5.5MM 22MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD SPN 5.5MM 30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 5.5MM 33MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 5.5MM 39MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN ROD SPN 5.5MM 40MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,CONN ROD SPN 5.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 5.5MM 5.5MM,3149.5,3149.5,451.8,3287.0,60
HCPCS,C1713,CONN ROD SPN 5.5X20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 5.5X36-41MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 5.5X36MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD SPN 5.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 5.5X41-51MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 5.5X5.5MM,3149.5,3149.5,451.8,3287.0,60
HCPCS,C1713,CONN ROD SPN 5.5X6X12MM,3238.0,3238.0,485.7,3238.0,30
HCPCS,C1713,CONN ROD SPN 51-70X5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 6.0/6.0MM,3360.0,3360.0,504.0,3360.0,30
HCPCS,C1713,CONN ROD SPN 6.35-5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 6.35MM,3100.0,3100.0,451.8,3631.0,120
HCPCS,C1713,CONN ROD SPN 6.3MM 25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN 6.5/6.5MM,2244.0,2244.0,336.6,2244.0,30
HCPCS,C1713,CONN ROD SPN 80MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN CL5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN F/F 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN GRN 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN ROD SPN OPN LAT 10M,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN PRL 3.5/5.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN R/R 30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN T 33-39MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPN XPDM 20MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN ROD SPN XVR TI 5,5274.0,5274.0,791.1,5274.0,30
HCPCS,C1713,CONN ROD SPNE 13MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD SPNL 154.853,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,CONN ROD SPNL 6MM,3321.0,3321.0,498.15,3321.0,30
HCPCS,C1713,CONN ROD TI 1 XVR SPNL,5299.0,5299.0,794.85,5299.0,30
HCPCS,C1713,CONN ROD TSRH3D 5.5 LG,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN ROD XVR LOPRO 7,6126.0,6126.0,918.9,6126.0,30
HCPCS,C1713,CONN ROD XVR LOPRO 8,6418.0,6418.0,962.7,6418.0,30
HCPCS,C1713,CONN ROD XVR TI 9,6418.0,6418.0,962.7,6418.0,30
HCPCS,C1713,CONN SCREW SPN LD TOP,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 3.5-4/3.5-4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 3.5-4X4.5-5MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,CONN SPN 3.5/4-5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 38MM FX CROSS,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN SPN 4.5MM 4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 4.75X6X35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 4/6.375MM 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 475-4.75,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 5.5-5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 5.5MM 30.5-43MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 5.5MM 38-50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 5.5MM 41-49MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,CONN SPN 5.5X32-37MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,CONN SPN 5/6-6MM 35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN 53-73MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN SPN CROSS 50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN CROSS 55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN FX 34MM CROSS,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONN SPN HD MOD 5.5-6.35,3238.0,3238.0,485.7,3238.0,30
HCPCS,C1713,CONN SPN OFF 3.5/4-5.5/6,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN OPN/OPN 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN RD2RD 4.5X12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 200MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 3.5X33-39MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 3.5X39-45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 33-36MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 5.5 MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 5.5-6.35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 5.5/6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 5.5MM 6MM,3200.5,3200.5,451.8,3389.0,60
HCPCS,C1713,CONN SPN ROD 5.5X25MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN SPN ROD 5MM 8MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 60MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD 75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD L 5-6/5-6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,CONN SPN ROD LAT OFST,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD OFST 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD OP-END 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD RDC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD-3.5MM 9MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD2ROD 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN ROD2ROD 4.5-5/6,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN SD/FRNT LD 16MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN SD/FRNT LD 18MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN SIDE/SIDE 16MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN SIDE/TOP 16MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN STR 3.5X3.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN SPN SZ-LG 3.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN SPN THRD HEAD 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPN TRNSV 5.5/6.0MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONN SPNL 3.5-4/3.5-4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPNL 4.75-6MM 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN SPNL ROD 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONN TI LP 33/36.5 6.0MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,CONN TI LP 38.5/48 6.0MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,CONN TI LP 49/69 6.0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CONN W/2 SCRWS 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNCTR ROD QRTX 4.0-6.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNCTR ROD SPN 4.5X15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNCTR SPN 5.5MM 6.35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNCTR SPN 5/6X6X35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNCTR SPN LAT OFST 4.0,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNCTR SPN STRL 5/6-5/6,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNCTR SPNL LNG 3.5-4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNCTR SPNL ROD 3.5-4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECT ROD 5.5X6.35MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,CONNECT ROD SPN 70X5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR BN M-AXL 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CONNECTOR CROSS 28-33MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR CROSS 42-58MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR CROSS SMALL,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR DMNO OFST 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR END TO END SPN,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR ILLIAC TI 30MM,4407.0,4407.0,661.05,4407.0,30
HCPCS,C1713,CONNECTOR MAC 23 MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR MAC 50-67 MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD 10MM 6.35M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CONNECTOR ROD 12MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD 13MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD 20X5.5MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD 26MM XIA X,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD 3.2MM 3.5M,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR ROD 38-45MM XI,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD 4.5/6.0,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD 5.5-6.35MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,CONNECTOR ROD 5.5MM 90D,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CONNECTOR ROD 5.5MM TSRH,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD 58-70MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD 60MM 5.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,CONNECTOR ROD 6MM CLW,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD 6MM SM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,CONNECTOR ROD ANT CNTCR,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,CONNECTOR ROD CD HZN CL5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD CLMP OFST,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD DMN CL6.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD DMN LANCER,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD II XTND SM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,CONNECTOR ROD L SPN 6MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,CONNECTOR ROD LAT 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD LG SPNE AD,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR ROD LT 16MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,CONNECTOR ROD MED 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD OMN XTND,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SCRL,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,CONNECTOR ROD SP 34-45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SP 40-54MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD SP LAT OFS,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR ROD SP XLNK HK,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN 130MM,4784.0,4784.0,717.6,4784.0,30
HCPCS,C1713,CONNECTOR ROD SPN 16MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN 19MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN 20MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,CONNECTOR ROD SPN 35.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN 6.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN CL5.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN INTER,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN MED AD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN MED LT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN NTRL L,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD SPN SD6.35,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN TRANS,2259.0,2259.0,225.9,3012.0,60
HCPCS,C1713,CONNECTOR ROD SPN3.5X3.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPN46-64MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD SPNL J HK,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD TAN 5/6MM,3408.0,3408.0,511.2,3408.0,30
HCPCS,C1713,CONNECTOR ROD TITANIUM A,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR ROD XTD 5.5X20,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR ROD XTD EXTRE,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SCREW SPN 15MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR SPN 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 25D 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 25MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,CONNECTOR SPN 3.5X3.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 30-33MM,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,CONNECTOR SPN 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR SPN 4.75-5/6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5.5/6MM,3200.5,3200.5,451.8,3389.0,60
HCPCS,C1713,CONNECTOR SPN 5.5MM 60MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5.5X33-35,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5.5X35-38,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5.5X38-44,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5.5X44-56,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5.5X56-80,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5.5X6.35MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,CONNECTOR SPN 5.5X6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5/6-6.0,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN 5/6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN CLS 11MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN LAT 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN LAT 25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN LAT 35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR SPN LAT 70MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR SPN OFST 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN ROD 0D,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR SPN ROD 12MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR SPN ROD PRLL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN ROD3.5-5.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN ROD68-80MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN SM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPN SZM 5.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CONNECTOR SPNL CX 45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPNL CX 50M,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR SPNL LAT 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTOR VERTEX 6902200,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,CONNECTOR/ROD SPN INLINE,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,CONNECTORS TRNSVRS 5.5/6,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,CONNECTR ROD SPN 3.5-3.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTR ROD SPN 31-40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CONNECTR SPN 5.5X49-66MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,COUPLER SPN RGD 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,COUPLER SPN RGD 22-25MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,COUPLER SPN RGD 25-31MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,COUPLER SPN RGD 26-28MM,6002.0,6002.0,900.3,6002.0,30
HCPCS,C1713,COUPLER SPN RGD 28-31MM,6002.0,6002.0,900.3,6002.0,30
HCPCS,C1713,COUPLER SPN RGD 31-35MM,6002.0,6002.0,900.3,6002.0,30
HCPCS,C1713,COUPLER SPN RGD 31-43MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,COUPLER SPN RGD 35-40MM,6002.0,6002.0,900.3,6002.0,30
HCPCS,C1713,COVER PLTE SPN ZERO 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,COVER SCREW BN WRST 60MM,1371.0,1371.0,205.65,1371.0,30
HCPCS,C1713,COVER SPN LCK 8-12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,CROSS CONCTR 33-42MM,28346.0,28346.0,4251.9,28346.0,30
HCPCS,C1713,CROSS CONNECTOR 58-74MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CROSS-CNCTR SPN 41-55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CROSS-CNCTR SPN 51-75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CROSSLINK 3.5/4.0MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CROSSLINK 50X65MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CROSSLINK 65X80MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CROSSLINK SPNL 30X35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CROSSLINK SPNL 34MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CROSSLINK SPNL 40X50MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,CROSSLINK SPNL 45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CROSSLINK SPNL 68MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CROSSLINK SPNL HD2HD MED,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,CVR BUR HL 14 ZUMA,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,DEVICE FSTFX MNSCL,3497.0,3497.0,524.55,3497.0,30
HCPCS,C1713,DEVICE FX FSTFX RVRS CRV,3497.0,3497.0,524.55,3497.0,30
HCPCS,C1713,DEVICE MENSICAL AIR CUR,3422.0,3422.0,513.3,3422.0,30
HCPCS,C1713,DEVICE SUT MNSCL STRL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,DEVICE TROCH REATT STD,7384.0,7384.0,1107.6,7384.0,30
HCPCS,C1713,DIAPHYSIS BN FEM 60MM,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1713,DISTRACTOR SUR 2HL 2.3MM,13527.0,13527.0,2029.05,13527.0,30
HCPCS,C1713,DUP DELETE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ENDCAP 0D 16MM,11361.0,11361.0,1704.15,11361.0,30
HCPCS,C1713,ENDO BUTTON FX 4X12MM,2212.0,2212.0,331.8,2212.0,30
HCPCS,C1713,ENDPLATE 12MM 15X18 7D,3016.0,3016.0,452.4,3016.0,30
HCPCS,C1713,ENDPLATE INLAY MED 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ENDPLATE SPN 0D 15X18,3558.0,3558.0,533.7,3558.0,30
HCPCS,C1713,ENDPLATE SPN 0D 18MM,8371.0,8371.0,1255.65,8371.0,30
HCPCS,C1713,ENDPLATE SPN 12MM 13MM,5345.0,5345.0,452.4,7674.0,60
HCPCS,C1713,ENDPLATE SPN 20MM 20MM,9806.0,9806.0,1470.9,9806.0,30
HCPCS,C1713,ENDPLATE UPPR 15X18MM,3558.0,3558.0,533.7,3558.0,30
HCPCS,C1713,EXP TI POLY SCREW 8MMX65,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,FASTENER SPN PLT COVER,753.0,753.0,112.95,753.0,30
HCPCS,C1713,GRAFT BOLT SPN 8.0X25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,GRAFT BOLT SPN 8.5X30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,GRIP TROCH 3CBL SM 75MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1713,GRIP TROCH 3CBL STD 85MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,GRIP TROCH 5CBL STD125MM,4767.0,4767.0,715.05,4767.0,30
HCPCS,C1713,GRIP TROCH 8CBL SM 185MM,6404.0,6404.0,960.6,6404.0,30
HCPCS,C1713,GRIP TROCH 8CBL STD195MM,6404.0,6404.0,960.6,6404.0,30
HCPCS,C1713,GRIP TROCH W/CABLES MED,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,GRIP TROCH11CBL STD265MM,8417.0,8417.0,1262.55,8417.0,30
HCPCS,C1713,HD 3-D TI FOR CLKX,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HEAD SPN SCREW 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HOOK LAMINAR 4.5,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1713,HOOK LAMINAR 6.0,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1713,HOOK NARR BLD MD 6.35,3996.0,3996.0,599.4,3996.0,30
HCPCS,C1713,HOOK SP LAMINAR LG TIP,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HOOK SPN 5.5/6.0MM 8MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HOOK SPN 6.35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HOOK SPN SM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,HOOK SPN TRNSV PRC MED,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HOOK SPNL SM PDCL TI LP,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HOOK TI 5.5MM W5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HOOK WIDE BLD W/SHLF MD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,HOOK WRIST DORSAL 6 HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,IMP 37X27X12 12 DEG MD,21636.0,21636.0,3245.4,21636.0,30
HCPCS,C1713,IMP SYS FX 4.75MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1713,IMPL FX HMRTOE 0D MED,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,IMPL FX PHLNX FNG TOE SM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,IMPL MNDB RT NAR 45MM,12481.0,12481.0,1872.15,12481.0,30
HCPCS,C1713,IMPL ORTH SUT FX,8815.0,8815.0,1322.25,8815.0,30
HCPCS,C1713,IMPL SCROILIAC 9.5X40MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1713,IMPL SPN DL PRLL 5.5/6.0,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,IMPLANT ANCHOR FIXATION,9278.0,9278.0,1391.7,9278.0,30
HCPCS,C1713,IMPLANT BN ANCHOR SYS,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,IMPLANT BN CRNL MDFC 75,22123.0,22123.0,3318.45,22123.0,30
HCPCS,C1713,IMPLANT BN CRNL MDFC 76,26552.0,26552.0,3982.8,26552.0,30
HCPCS,C1713,IMPLANT BN DEL SYS BICEP,4582.0,4582.0,687.3,4582.0,30
HCPCS,C1713,IMPLANT BN MNDBL SML,47991.0,47991.0,7198.65,47991.0,30
HCPCS,C1713,IMPLANT BN STAPLE FX 0D,5365.0,5365.0,804.75,5365.0,30
HCPCS,C1713,IMPLANT BN STAPLE FX 25D,4766.0,4766.0,714.9,4766.0,30
HCPCS,C1713,IMPLANT BUNION SM,5253.0,5253.0,787.95,5253.0,30
HCPCS,C1713,IMPLANT CRANIAL LG,86366.0,86366.0,12954.9,86366.0,30
HCPCS,C1713,IMPLANT FIX 5X15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,IMPLANT FX 14MM SYS ST,2998.0,2998.0,449.7,2998.0,30
HCPCS,C1713,IMPLANT FX 5MM 40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,IMPLANT FX CURVED,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,IMPLANT FX MNSCL REPAIR,5090.5,5090.5,763.58,5090.5,30
HCPCS,C1713,IMPLANT GRFTBOLT FX10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,IMPLANT KN ANCHR SYSTM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,IMPLANT KNTLS AC OPN RPR,8115.0,8115.0,1217.25,8115.0,30
HCPCS,C1713,IMPLANT MNDB 45MM,17247.0,17247.0,2587.05,17247.0,30
HCPCS,C1713,IMPLANT MNDB 45MM NAR,12481.0,12481.0,1872.15,12481.0,30
HCPCS,C1713,IMPLANT MNDB LT NAR 50MM,12481.0,12481.0,1872.15,12481.0,30
HCPCS,C1713,IMPLANT MNDB MED LT FOSS,10466.0,10466.0,1569.9,10466.0,30
HCPCS,C1713,IMPLANT MNDB MED RT,10466.0,10466.0,1569.9,10466.0,30
HCPCS,C1713,IMPLANT MNDB SM RT FOSSA,10466.0,10466.0,1569.9,10466.0,30
HCPCS,C1713,IMPLANT ORTH FX SYS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,IMPLANT SPN 5.5/6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,IMPLANT SPN BODY RDC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,IMPLANT SPN OCT 5.5/6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,IMPLANT SPN PRLL SD LD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,IMPLANT SYSTEM 3.5MM,14186.0,14186.0,2127.9,14186.0,30
HCPCS,C1713,IMPLANT THRD 12MM 50MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1713,IMPLANT TMPMNDB LT 50MM,12481.0,12481.0,1872.15,12481.0,30
HCPCS,C1713,IMPLANT TOE CANN 2.75MM,4540.0,4540.0,681.0,4540.0,30
HCPCS,C1713,IMPLANT TOE SZMED,5729.0,5729.0,859.35,5729.0,30
HCPCS,C1713,IMPLANT WASHER 13MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,IMPLANT WASHER 7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,IMPLNT BN WIRE 1.22X30,1590.0,1590.0,238.5,1590.0,30
HCPCS,C1713,IMPLNT CRNL 100-150SQCM,66110.0,66110.0,9916.5,66110.0,30
HCPCS,C1713,IMPLT CRNL CST 24,48411.0,48411.0,7261.65,48411.0,30
HCPCS,C1713,INTBDY SPN 15D39X30X14MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1713,INTRTN IM NL HP CP 0MM,2179.0,2179.0,326.85,2179.0,30
HCPCS,C1713,KIT ANCH MNSCL REPR ROOT,6488.0,6488.0,973.2,6488.0,30
HCPCS,C1713,KIT ANCHOR BN 10MM,13279.0,13279.0,1991.85,13279.0,30
HCPCS,C1713,KIT ANCHOR BN KNTLS,4604.0,4604.0,690.6,4604.0,30
HCPCS,C1713,KIT ANCHOR BN MENISCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,KIT ANCHOR BN MNSCL REPR,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1713,KIT ANCHOR BTB,4199.0,4199.0,629.85,4199.0,30
HCPCS,C1713,KIT ANCHOR BUTTON 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,KIT ANCHOR SUT 3X14MM,3515.5,3515.5,498.0,3711.0,60
HCPCS,C1713,KIT ARTH FX MNSCL ROOT,8197.0,8197.0,1229.55,8197.0,30
HCPCS,C1713,KIT ARTHSCP FX 1.1MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,KIT ARTHSCP FX ARTHX SUT,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,KIT ARTHSCP FX TGHTRP RT,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,KIT BN ANCHOR STD 4.75MM,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,KIT BN PIN-NAIL LONG,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,KIT BUTTON BN PEC FX LG,7671.0,7671.0,1150.65,7671.0,30
HCPCS,C1713,KIT DIST BICEP 7MM 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,KIT ENDO KNTLS STRL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,KIT IM NAIL 11MM 380MM,8602.0,8602.0,1290.3,8602.0,30
HCPCS,C1713,KIT IMP SYNDSMS RPR,5465.0,5465.0,819.75,5465.0,30
HCPCS,C1713,KIT IMPL ACL FIXATION,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,KIT IMPL BN ANCH ABS,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,KIT IMPL BN ANCH ACL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,KIT IMPLANT ANKLE,6953.0,6953.0,1042.95,6953.0,60
HCPCS,C1713,KIT INERBRAC LGMNT AUG,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,KIT INTERNAL BRACE W CC,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,KIT INTL BRAC LISFRANC,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,KIT INTL BRACE 4.75X15MM,5293.0,5293.0,793.95,5293.0,30
HCPCS,C1713,KIT KN MPFL 6MM 4.75MM,6916.0,6916.0,1037.4,6916.0,30
HCPCS,C1713,KIT LGMNT REPR FX,5000.0,5000.0,750.0,5000.0,30
HCPCS,C1713,KIT LRG GRIP CABLE 2.0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,KIT MENISCAL ROOT REPAIR,9021.0,9021.0,1353.15,9021.0,30
HCPCS,C1713,KIT ORT REP AC IMPL,4983.0,4983.0,747.45,4983.0,30
HCPCS,C1713,KIT ORT SEC FIX ACL/PCL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,KIT PLATE BN ANK FX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,KIT SCREW BN 0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,KIT SCREW BN IMP SHDR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,KIT SURG ORTHOGNATHICS,18101.0,18101.0,2715.15,18101.0,30
HCPCS,C1713,KIT SURG TRUMATCH BSC MX,35911.0,35911.0,5386.65,35911.0,30
HCPCS,C1713,KIT SYNDSMS FXN #5 2.8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,KNEE-PRIMARY LCK PIN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,LO PRO NEURO SC 4MM,1167.0,1167.0,175.05,1167.0,30
HCPCS,C1713,LOOP FIXED CORT 25MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,MESH BN CRNL 100X100MM,9168.5,9168.5,1283.55,9780.0,60
HCPCS,C1713,MESH BN CRNL 45X38X.4MM,6283.0,6283.0,942.45,6283.0,60
HCPCS,C1713,MESH CNTR 0.6X100X100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,MESH CRNL 80MM 53MM .6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,MESH MALBL NEURO 100X100,9983.0,9983.0,1497.45,9983.0,30
HCPCS,C1713,MESH PLT 1.5/.2 85MM,3478.0,3478.0,521.7,3478.0,30
HCPCS,C1713,MESH PLT 6.5X4.5CM,10340.0,10340.0,1551.0,10340.0,30
HCPCS,C1713,MESH PLT NEURO 85X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,MINI PLATE 50-320-08,1529.0,1529.0,229.35,1529.0,30
HCPCS,C1713,NAIL 1.5 125D 1034 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 1.5 125D 1036 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 1.5 130D 1036 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 1.5 130D 1038 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 1.5MM 36CM RT TROCH,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 1.5X13MM 46CM 125D,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL 10MM 15.5MM 34CM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1713,NAIL 10MM 400MM RT TROCH,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 11.5MM 38CM FEM LT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL 11/135DX170,5807.0,5807.0,871.05,5807.0,30
HCPCS,C1713,NAIL 11MM 235MM TIB IM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL 11MM 320MM RT DIST,5436.0,5436.0,815.4,5436.0,30
HCPCS,C1713,NAIL 11MM 32CM RT DIST,7351.0,7351.0,1102.65,7351.0,30
HCPCS,C1713,NAIL 11MM 34CM RT TROCH,7608.0,7608.0,1141.2,7608.0,30
HCPCS,C1713,NAIL 11MM 400CM LT TROCH,7608.0,7608.0,1141.2,7608.0,30
HCPCS,C1713,NAIL 11MM 42CM LT FEM HI,9254.0,9254.0,1388.1,9254.0,30
HCPCS,C1713,NAIL 11MM 42CM RT TROCH,8024.0,8024.0,1203.6,8024.0,30
HCPCS,C1713,NAIL 125D 1034 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 1036 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 1038 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 1040 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 11.534 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 11.536 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 11.538 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 11.540 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 11.540 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 1330 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 125D 1344 L,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL 12MM 200MM KN,9793.0,9793.0,1468.95,9793.0,30
HCPCS,C1713,NAIL 130 D 11.5/42LT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL 130D 1030 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 1036 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 1036 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 1038 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 1040 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 11.534 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 11.538 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 11.540 L,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 11.540 R,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 130D 11X180MM,5200.0,5200.0,780.0,5200.0,30
HCPCS,C1713,NAIL 130D 1336 L,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL 13MM 36CM FEM RT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL 13MM 40CM TRCH 125,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 13MM 42CM LT 130D,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL 13MM 42CM RT TROCH,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL 13MM 44CM FEM RT,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL 13MM 74CM LT T2 IM,25488.0,25488.0,3823.2,25488.0,30
HCPCS,C1713,NAIL 13MM 75CM FEM KN IM,14709.0,14709.0,2206.35,14709.0,30
HCPCS,C1713,NAIL 15MM 380MM FEM NLX,4460.0,4460.0,669.0,4460.0,30
HCPCS,C1713,NAIL 38CM 125D 1.5X13MM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL 40 X14 456.641S,8024.0,8024.0,1203.6,8024.0,30
HCPCS,C1713,NAIL 8.5X32 TIB META,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL 9MM 320MM FEM LT NL,6431.0,6431.0,964.65,6431.0,30
HCPCS,C1713,NAIL 9MM 380MM LT FEM IM,8663.0,8663.0,1299.45,8663.0,30
HCPCS,C1713,NAIL BN 1.5X11.5MM 40CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN 1.8MM 25MM,5426.0,5426.0,813.9,5426.0,30
HCPCS,C1713,NAIL BN 1.8X20MM,5426.0,5426.0,813.9,5426.0,30
HCPCS,C1713,NAIL BN 10MM 10.5CM,14789.0,14789.0,2218.35,14789.0,30
HCPCS,C1713,NAIL BN 10MM 10CM,13288.0,13288.0,1993.2,13288.0,30
HCPCS,C1713,NAIL BN 10MM 11MM 30CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 10MM 11MM 36CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 10MM 13MM 40CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 10MM 17MM,6840.0,6840.0,1026.0,6840.0,30
HCPCS,C1713,NAIL BN 10MM 180MM,6573.0,6573.0,985.95,6573.0,30
HCPCS,C1713,NAIL BN 10MM 18CM,5545.0,5545.0,831.75,5545.0,30
HCPCS,C1713,NAIL BN 10MM 200MM,9042.5,9042.5,755.55,13048.0,60
HCPCS,C1713,NAIL BN 10MM 20CM,9376.0,9376.0,1406.4,9376.0,30
HCPCS,C1713,NAIL BN 10MM 21.5CM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,NAIL BN 10MM 235MM,5164.5,5164.5,714.3,5567.0,60
HCPCS,C1713,NAIL BN 10MM 240MM,8189.0,8189.0,1228.35,8189.0,30
HCPCS,C1713,NAIL BN 10MM 24CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 10MM 26CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 10MM 27CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 10MM 28CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 10MM 300MM,5930.0,5930.0,781.65,6649.0,60
HCPCS,C1713,NAIL BN 10MM 30CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN 10MM 315MM,5013.0,5013.0,751.95,5013.0,30
HCPCS,C1713,NAIL BN 10MM 32CM,4872.0,4872.0,730.8,4872.0,60
HCPCS,C1713,NAIL BN 10MM 330MM,5013.0,5013.0,751.95,5013.0,30
HCPCS,C1713,NAIL BN 10MM 345MM,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1713,NAIL BN 10MM 34CM,5636.0,5636.0,730.8,6400.0,60
HCPCS,C1713,NAIL BN 10MM 360MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN 10MM 36CM,6300.5,6300.5,730.8,9050.0,150
HCPCS,C1713,NAIL BN 10MM 38CM,6201.0,6201.0,730.8,9050.0,180
HCPCS,C1713,NAIL BN 10MM 40CM,6201.0,6201.0,796.65,9050.0,90
HCPCS,C1713,NAIL BN 10MM 700MM,25488.0,25488.0,3823.2,25488.0,30
HCPCS,C1713,NAIL BN 10MM 9CM,13288.0,13288.0,1993.2,13288.0,30
HCPCS,C1713,NAIL BN 10S 130X10MM40CM,7604.0,7604.0,1140.6,7604.0,30
HCPCS,C1713,NAIL BN 10X13MM 38CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 11.5MM 18CM,6775.0,6775.0,1016.25,6775.0,30
HCPCS,C1713,NAIL BN 11.5MM 20MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 11.5MM 21.5CM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,NAIL BN 11.5MM 30CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 11.5MM 32CM,5636.0,5636.0,730.8,6400.0,60
HCPCS,C1713,NAIL BN 11.5MM 34CM,6300.5,6300.5,930.15,6400.0,90
HCPCS,C1713,NAIL BN 11.5MM 36CM,6300.5,6300.5,930.15,6400.0,90
HCPCS,C1713,NAIL BN 11.5MM 38CM,6201.0,6201.0,730.8,9050.0,180
HCPCS,C1713,NAIL BN 11.5MM 40CM,6300.5,6300.5,930.15,6400.0,120
HCPCS,C1713,NAIL BN 11.5MM 70CM,32099.0,32099.0,4814.85,32099.0,30
HCPCS,C1713,NAIL BN 11.5MM24CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 11.5MM34CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 11MM 23.5CM,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,NAIL BN 11MM 235MM,5567.0,5567.0,835.05,5567.0,30
HCPCS,C1713,NAIL BN 11MM 315MM,6836.0,6836.0,1025.4,6836.0,30
HCPCS,C1713,NAIL BN 11MM 330MM,5112.0,5112.0,751.95,5211.0,60
HCPCS,C1713,NAIL BN 11MM 340MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN 11MM 360MM,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1713,NAIL BN 11MM 36CM,6840.0,6840.0,1026.0,6840.0,30
HCPCS,C1713,NAIL BN 11MM 380MM,7395.0,7395.0,946.8,8478.0,60
HCPCS,C1713,NAIL BN 11MM 400MM,6597.0,6597.0,965.55,8024.0,90
HCPCS,C1713,NAIL BN 11MM 40CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 11MM 420MM,6437.0,6437.0,965.55,6437.0,30
HCPCS,C1713,NAIL BN 11MM 44CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 11X13MM 34CM,7289.0,7289.0,1093.35,7289.0,30
HCPCS,C1713,NAIL BN 11X180MM,5147.0,5147.0,772.05,5147.0,30
HCPCS,C1713,NAIL BN 125D 1.5MM 36CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN 125D 10MM 38CM,7681.0,7681.0,946.8,9050.0,90
HCPCS,C1713,NAIL BN 125D 10X18MM,4629.0,4629.0,694.35,4629.0,30
HCPCS,C1713,NAIL BN 125D 10X340MM,8602.0,8602.0,1290.3,8602.0,30
HCPCS,C1713,NAIL BN 125D 11MM 170MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN 125D 11MM 340MM,7233.0,7233.0,1084.95,7233.0,30
HCPCS,C1713,NAIL BN 125D 11MM 400MM,8602.0,8602.0,1290.3,8602.0,30
HCPCS,C1713,NAIL BN 125D 11MM 420MM,8602.0,8602.0,1290.3,8602.0,30
HCPCS,C1713,NAIL BN 125D 13MM 36CM,7604.0,7604.0,1140.6,7604.0,30
HCPCS,C1713,NAIL BN 125D 13MM 40CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN 125D 360MM 11MM,7233.0,7233.0,1084.95,7233.0,30
HCPCS,C1713,NAIL BN 125G 10MM 32CM,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL BN 12MM 13MM 40CM,6080.5,6080.5,730.8,7289.0,60
HCPCS,C1713,NAIL BN 12MM 200MM,8195.0,8195.0,1229.25,8195.0,30
HCPCS,C1713,NAIL BN 12MM 235MM,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,NAIL BN 12MM 240MM,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1713,NAIL BN 12MM 345MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN 12MM 360MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN 12MM 36CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 12MM 380MM,10378.0,10378.0,1556.7,10378.0,30
HCPCS,C1713,NAIL BN 12MM 400MM,8478.0,8478.0,1271.7,8478.0,60
HCPCS,C1713,NAIL BN 12MM 420MM,8982.0,8982.0,1271.7,11890.0,90
HCPCS,C1713,NAIL BN 12MM X 240MM,20927.0,20927.0,3139.05,20927.0,30
HCPCS,C1713,NAIL BN 12X13MM 36CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 12X240MM,7845.0,7845.0,1176.75,7845.0,30
HCPCS,C1713,NAIL BN 12X315MM,5013.0,5013.0,751.95,5013.0,30
HCPCS,C1713,NAIL BN 130D 1.5X3MM,7704.0,7704.0,1155.6,7704.0,30
HCPCS,C1713,NAIL BN 130D 10MM 235MM,5567.0,5567.0,835.05,5567.0,30
HCPCS,C1713,NAIL BN 130D 10MM 360MM,11470.0,11470.0,1720.5,11470.0,30
HCPCS,C1713,NAIL BN 130D 10MM 38CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN 130D 11.5MM 18CM,6775.0,6775.0,1016.25,6775.0,30
HCPCS,C1713,NAIL BN 130D 11MM 360MM,8769.0,8769.0,1315.35,8769.0,30
HCPCS,C1713,NAIL BN 130D 12MM 235MM,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,NAIL BN 130D 12X360MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN 130D 13MM 36CM,7604.0,7604.0,1140.6,7604.0,30
HCPCS,C1713,NAIL BN 130D 13MM 38CM,7604.0,7604.0,1140.6,7604.0,30
HCPCS,C1713,NAIL BN 130D 13MM 40CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN 130D 9MM 340MM,6805.0,6805.0,1020.75,6805.0,30
HCPCS,C1713,NAIL BN 13MM 11MM 36CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 13MM 11MM 38CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 13MM 15.5MM 36CM,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL BN 13MM 16CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 13MM 20MM,9064.0,9064.0,1359.6,9064.0,30
HCPCS,C1713,NAIL BN 13MM 21.5CM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,NAIL BN 13MM 240MM,6836.0,6836.0,1025.4,6836.0,30
HCPCS,C1713,NAIL BN 13MM 24CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 13MM 30CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 13MM 32CM,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL BN 13MM 34CM,5536.5,5536.5,730.8,6201.0,60
HCPCS,C1713,NAIL BN 13MM 36CM,5636.0,5636.0,730.8,6400.0,60
HCPCS,C1713,NAIL BN 13MM 38CM,5855.5,5855.5,730.8,9543.0,180
HCPCS,C1713,NAIL BN 13MM 40CM,5636.0,5636.0,730.8,6400.0,150
HCPCS,C1713,NAIL BN 13MM 42CM,5636.0,5636.0,730.8,6400.0,90
HCPCS,C1713,NAIL BN 13MM 44CM,6400.0,6400.0,960.0,6400.0,60
HCPCS,C1713,NAIL BN 13MMX280MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 13X0X38MM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN 13X18X125,6775.0,6775.0,1016.25,6775.0,30
HCPCS,C1713,NAIL BN 13X34MM,6840.0,6840.0,1026.0,6840.0,30
HCPCS,C1713,NAIL BN 14MM 200MM,9793.0,9793.0,1468.95,9793.0,30
HCPCS,C1713,NAIL BN 15.5-11MM 400MM,8727.0,8727.0,1309.05,8727.0,30
HCPCS,C1713,NAIL BN 16MM 150MM,4784.0,4784.0,717.6,4784.0,30
HCPCS,C1713,NAIL BN 18CM 12MM,6847.0,6847.0,1027.05,6847.0,30
HCPCS,C1713,NAIL BN 18MM 200MM,9793.0,9793.0,1468.95,9793.0,30
HCPCS,C1713,NAIL BN 2.1MM 30MM,5426.0,5426.0,813.9,5426.0,30
HCPCS,C1713,NAIL BN 2.5MM 440MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL BN 200MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN 2MM 440MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL BN 3.0MM 440MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL BN 3.5MM 440MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL BN 3MM 44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL BN 40CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN 42CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN 4MM 440MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL BN 7MM 9.5MM 255MM,8504.0,8504.0,1275.6,8504.0,30
HCPCS,C1713,NAIL BN 7MM 9.5MM 300MM,9682.0,9682.0,1452.3,9682.0,30
HCPCS,C1713,NAIL BN 8.3MM 38CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 8.5MM 225MM,5511.0,5511.0,826.65,5511.0,30
HCPCS,C1713,NAIL BN 8.5MM 255MM,5511.0,5511.0,826.65,5511.0,30
HCPCS,C1713,NAIL BN 8.5MM 28CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 8.5MM 34CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN 8/7MM 28CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 8MM 115MM,13868.0,13868.0,2080.2,13868.0,30
HCPCS,C1713,NAIL BN 8MM 240MM,6757.0,6757.0,1013.55,6757.0,30
HCPCS,C1713,NAIL BN 8MM 25.5CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 8MM 280CM,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,NAIL BN 8MM 315MM,6581.0,6581.0,987.15,6581.0,30
HCPCS,C1713,NAIL BN 8MM 9.5MM 160MM,5290.0,5290.0,793.5,5290.0,60
HCPCS,C1713,NAIL BN 9.3MM 11MM 34CM,6930.0,6930.0,1039.5,6930.0,30
HCPCS,C1713,NAIL BN 9.3MM 11MM 36CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 9.3MM 30CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 9.3MM 32CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN 9MM 170MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN 9MM 345MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN 9MM 360MM,6997.5,6997.5,751.95,8982.0,60
HCPCS,C1713,NAIL BN 9MM 375MM,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1713,NAIL BN 9MM 380MM,8717.5,8717.5,1267.95,8982.0,60
HCPCS,C1713,NAIL BN 9MM 420MM,6863.0,6863.0,751.95,8713.0,60
HCPCS,C1713,NAIL BN ANKL 10MM 20CM,8195.0,8195.0,1229.25,8195.0,30
HCPCS,C1713,NAIL BN ARTHDS 10X210MM,20927.0,20927.0,3139.05,20927.0,30
HCPCS,C1713,NAIL BN ARTHDS 14X300MM,9793.0,9793.0,1468.95,9793.0,30
HCPCS,C1713,NAIL BN BENT 8/7MM 16CM,6492.0,6492.0,973.8,6492.0,30
HCPCS,C1713,NAIL BN BOX,299.0,299.0,44.85,299.0,30
HCPCS,C1713,NAIL BN CANN 10MM 360MM,6437.0,6437.0,965.55,6437.0,30
HCPCS,C1713,NAIL BN CANN 11MM 320MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1713,NAIL BN CANN 11MM 380MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN CANN 2MM 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN CANN 9MM 375MM,6581.0,6581.0,987.15,6581.0,30
HCPCS,C1713,NAIL BN CHILD LT 7X260MM,14629.0,14629.0,2194.35,14629.0,30
HCPCS,C1713,NAIL BN FEM 1.5MM 34CM,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL BN FEM 10D 11X360MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,NAIL BN FEM 10MM 13X34CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 10MM 170MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN FEM 10MM 340MM,11544.0,11544.0,1731.6,11544.0,30
HCPCS,C1713,NAIL BN FEM 10MM 360MM,6312.0,6312.0,669.0,6437.0,120
HCPCS,C1713,NAIL BN FEM 10MM 36CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 10MM 380MM,6151.0,6151.0,898.5,6312.0,60
HCPCS,C1713,NAIL BN FEM 10MM 400MM,6374.5,6374.5,946.8,6437.0,60
HCPCS,C1713,NAIL BN FEM 10MM 40CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 10MM 42CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN FEM 10MM 44CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN FEM 10MM 50CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN FEM 10MM 8CM,13288.0,13288.0,1993.2,13288.0,30
HCPCS,C1713,NAIL BN FEM 10X34MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 11.5MM 22CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN FEM 11.5MM 26CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN FEM 11.5MM 28CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN FEM 11.5MM 30CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 11.5MM 34CM,6708.0,6708.0,796.65,8105.0,60
HCPCS,C1713,NAIL BN FEM 11.5MM 38CM,9050.0,9050.0,1357.5,9050.0,60
HCPCS,C1713,NAIL BN FEM 11MM 170MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN FEM 11MM 320MM,5990.0,5990.0,898.5,5990.0,30
HCPCS,C1713,NAIL BN FEM 11MM 32CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 11MM 340MM,8478.0,8478.0,868.35,8769.0,90
HCPCS,C1713,NAIL BN FEM 11MM 360MM,6437.0,6437.0,965.55,6437.0,30
HCPCS,C1713,NAIL BN FEM 11MM 380MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN FEM 11MM 38CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 11MM 400MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN FEM 11MM 40CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 11MM 42CM,6873.0,6873.0,1030.95,6873.0,30
HCPCS,C1713,NAIL BN FEM 11X13MM 34CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 11X400MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN FEM 12MM 170MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN FEM 12MM 340MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN FEM 12MM 360MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN FEM 12MM 380MM,8982.0,8982.0,1008.6,11890.0,90
HCPCS,C1713,NAIL BN FEM 12MM 38CM,4872.0,4872.0,730.8,4872.0,60
HCPCS,C1713,NAIL BN FEM 12MM 420MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN FEM 12MM 440MM,6540.5,6540.5,965.55,6644.0,60
HCPCS,C1713,NAIL BN FEM 130D 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN FEM 13MM 240MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN FEM 13MM 34CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 13MM 36CM,5091.5,5091.5,730.8,5311.0,60
HCPCS,C1713,NAIL BN FEM 13MM 38CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 13MM 40CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN FEM 13MM 44CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN FEM 5D 12X360MM,5990.0,5990.0,898.5,5990.0,30
HCPCS,C1713,NAIL BN FEM 8.5MM 30CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN FEM 9MM 280MM,6247.0,6247.0,937.05,6247.0,30
HCPCS,C1713,NAIL BN FEM 9MM 360MM,6601.0,6601.0,990.15,6601.0,30
HCPCS,C1713,NAIL BN FEM LT 10X360MM,8982.0,8982.0,1347.3,8982.0,30
HCPCS,C1713,NAIL BN FEM LT 10X400MM,6437.0,6437.0,965.55,6437.0,30
HCPCS,C1713,NAIL BN FEM LT 11X320MM,9967.0,9967.0,1495.05,9967.0,30
HCPCS,C1713,NAIL BN FEM LT 11X340MM,8769.0,8769.0,1315.35,8769.0,30
HCPCS,C1713,NAIL BN FEM LT 11X360MM,8982.0,8982.0,1347.3,8982.0,30
HCPCS,C1713,NAIL BN FEM LT 12MM 34CM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN FEM LT 12X235MM,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,NAIL BN FEM LT 12X360MM,8982.0,8982.0,1347.3,8982.0,30
HCPCS,C1713,NAIL BN FEM LT 12X400MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,NAIL BN FEM RET 9X380MM,5990.0,5990.0,898.5,5990.0,30
HCPCS,C1713,NAIL BN FEM RT 10MM 28CM,6437.0,6437.0,965.55,6437.0,30
HCPCS,C1713,NAIL BN FEM RT 10X460MM,8982.0,8982.0,1347.3,8982.0,30
HCPCS,C1713,NAIL BN FEM RT 11X235MM,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,NAIL BN FEM RT 9MM 340MM,6431.0,6431.0,964.65,6431.0,30
HCPCS,C1713,NAIL BN FEM11.5MM 32CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN FEMCANN 11X400MM,7950.0,7950.0,1192.5,7950.0,30
HCPCS,C1713,NAIL BN HIP RT 11X340MM,7149.0,7149.0,1072.35,7149.0,30
HCPCS,C1713,NAIL BN HUM 10/8.5MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN HUM 8/7MM 22CM,6492.0,6492.0,973.8,6492.0,30
HCPCS,C1713,NAIL BN HUM 8MM 150MM,13632.0,13632.0,2044.8,13632.0,30
HCPCS,C1713,NAIL BN HUM 9MM 30CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN IM 2.0MM 440MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL BN INTRCHNTR LT44CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN INTRTN 11.5X36,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL BN KIT 11MM 360MM,7233.0,7233.0,1084.95,7233.0,30
HCPCS,C1713,NAIL BN KIT R1/5 11X300,8769.0,8769.0,1315.35,8769.0,30
HCPCS,C1713,NAIL BN KN 11X17MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN KN 16X200MM,9793.0,9793.0,1468.95,9793.0,30
HCPCS,C1713,NAIL BN LNG 130X340X11,5438.0,5438.0,815.7,5438.0,30
HCPCS,C1713,NAIL BN LNG 130X380X11,5436.0,5436.0,815.4,5436.0,30
HCPCS,C1713,NAIL BN LRG 11.5MM 250MM,13048.0,13048.0,1957.2,13048.0,30
HCPCS,C1713,NAIL BN LT 1.5MM 40CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN LT 10MM 40CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN LT 10MM 42CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN LT 11.5MM 150MM,13048.0,13048.0,1957.2,13048.0,30
HCPCS,C1713,NAIL BN LT 11.5MM 200MM,13048.0,13048.0,1957.2,13048.0,30
HCPCS,C1713,NAIL BN LT 11.5MM 38CM,6759.0,6759.0,1013.85,6759.0,30
HCPCS,C1713,NAIL BN LT 11MM 23.5CM,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,NAIL BN LT 130D 10X38MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN LT 130D 11X360MM,8602.0,8602.0,1290.3,8602.0,30
HCPCS,C1713,NAIL BN LT 130D 11X380MM,8769.0,8769.0,1315.35,8769.0,30
HCPCS,C1713,NAIL BN LT 13MM 38CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN LT 44CM 13MM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN LT 7MM 260MM,16094.0,16094.0,2414.1,16094.0,30
HCPCS,C1713,NAIL BN LT 8.5MM 255MM,9682.0,9682.0,1452.3,9682.0,30
HCPCS,C1713,NAIL BN LT 8.5MM 285MM,5346.0,5346.0,801.9,5346.0,30
HCPCS,C1713,NAIL BN LT 9MM 360MM,8982.0,8982.0,1347.3,8982.0,30
HCPCS,C1713,NAIL BN LT 9X320MM 125D,6601.0,6601.0,990.15,6601.0,30
HCPCS,C1713,NAIL BN MED LT 10X200MM,13048.0,13048.0,1957.2,13048.0,30
HCPCS,C1713,NAIL BN NTRL 11.5X13MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN PROX 12MM 17CM,4842.0,4842.0,726.3,4842.0,30
HCPCS,C1713,NAIL BN RT 1.5MM 34CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN RT 10MM 340MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1713,NAIL BN RT 10MM 420MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1713,NAIL BN RT 11.5MM 200MM,13048.0,13048.0,1957.2,13048.0,30
HCPCS,C1713,NAIL BN RT 11.5MM 36CM,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL BN RT 11MM 200MM,8195.0,8195.0,1229.25,8195.0,30
HCPCS,C1713,NAIL BN RT 11MM 360MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL BN RT 130D 11X340MM,8769.0,8769.0,1315.35,8769.0,30
HCPCS,C1713,NAIL BN RT 38CM 10MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN RT FEM 12X380MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1713,NAIL BN RTRGD 10X32MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN SP CNDL 11MM26CM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN SP CNDL 13X320MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN SP CNDL 13X360MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1713,NAIL BN STD 11MM 200MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN TI 30CM 1.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL BN TIB 10MM 24CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN TIB 10MM 28CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN TIB 10MM 315MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN TIB 10MM 330MM,4650.5,4650.5,664.35,4872.0,60
HCPCS,C1713,NAIL BN TIB 10MM 345MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN TIB 10MM 34CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN TIB 10MM 360MM,5109.0,5109.0,664.35,5789.0,60
HCPCS,C1713,NAIL BN TIB 10MM 375MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN TIB 10X35MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN TIB 11.5MM 25CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN TIB 11MM 315MM,5672.0,5672.0,850.8,5672.0,30
HCPCS,C1713,NAIL BN TIB 11MM 38CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN TIB 12MM 330MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN TIB 12MM 360MM,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1713,NAIL BN TIB 13MM 20CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN TIB 32CM 10MM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL BN TIB 8.3MM 280MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN TIB 8.5MM 26CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN TIB 8X330MM,5362.0,5362.0,804.3,5362.0,30
HCPCS,C1713,NAIL BN TIB 9MM 300MM,5013.0,5013.0,751.95,5013.0,30
HCPCS,C1713,NAIL BN TIB 9MM 330MM,5401.0,5401.0,751.95,5789.0,60
HCPCS,C1713,NAIL BN TIB 9MM 375MM,6803.0,6803.0,1020.45,6803.0,30
HCPCS,C1713,NAIL BN TIB STD 11X300MM,7214.0,7214.0,1082.1,7214.0,30
HCPCS,C1713,NAIL BN TIB STD 11X360M,6836.0,6836.0,1025.4,6836.0,30
HCPCS,C1713,NAIL BN TROCH 10MM 18CM,5545.0,5545.0,831.75,5545.0,30
HCPCS,C1713,NAIL BN TROCH 10MM 30CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN TROCH 10MM 32CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN TROCH 10MM 34CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL BN TROCH 10MM 36CM,8577.5,8577.5,1215.75,9050.0,120
HCPCS,C1713,NAIL BN TROCH 10MM 38CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL BN W/ATTCH BOLT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL BN11.5MM 40CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL BN15.5-11MM 380MM,8522.0,8522.0,1278.3,8522.0,30
HCPCS,C1713,NAIL BN15.5-11MM 400MM,8522.0,8522.0,1278.3,8522.0,30
HCPCS,C1713,NAIL CANN LFT 400MM STER,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL ENDCAP ANKL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NAIL FAN LIME 1332 LT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM 10D 10MM 360MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,NAIL FEM 10D 10X320MM,6649.0,6649.0,997.35,6649.0,30
HCPCS,C1713,NAIL FEM 10MM 300MM,7070.0,7070.0,994.35,7511.0,60
HCPCS,C1713,NAIL FEM 10MM 320MM,6724.0,6724.0,1008.6,6724.0,30
HCPCS,C1713,NAIL FEM 10MM 340MM,4460.0,4460.0,669.0,4460.0,30
HCPCS,C1713,NAIL FEM 10MM 380MM,8713.0,8713.0,1306.95,8713.0,30
HCPCS,C1713,NAIL FEM 10MM 38CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM 10MM 420MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1713,NAIL FEM 10MM 42CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM 10MM 71634234,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM 11.5MM 46CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL FEM 11MM 320MM,4460.0,4460.0,669.0,4460.0,30
HCPCS,C1713,NAIL FEM 11MM 340MM,4460.0,4460.0,669.0,4460.0,30
HCPCS,C1713,NAIL FEM 11MM 360MM,4460.0,4460.0,669.0,4460.0,30
HCPCS,C1713,NAIL FEM 11MM 42CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM 12MM 320MM,7105.0,7105.0,1065.75,7105.0,30
HCPCS,C1713,NAIL FEM 12MM 360MM,8434.0,8434.0,1265.1,8434.0,30
HCPCS,C1713,NAIL FEM 12MM 380MM,5990.0,5990.0,898.5,5990.0,30
HCPCS,C1713,NAIL FEM 12MM 420MM,6724.0,6724.0,1008.6,6724.0,30
HCPCS,C1713,NAIL FEM 13MM 360MM,7105.0,7105.0,1065.75,7105.0,30
HCPCS,C1713,NAIL FEM 13MM 380MM,4460.0,4460.0,669.0,4460.0,30
HCPCS,C1713,NAIL FEM 13MM 46CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL FEM 13MM 71634438,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM 13MM 71635440,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM 5D 11X360MM,5990.0,5990.0,898.5,5990.0,30
HCPCS,C1713,NAIL FEM 5D BND 14X420MM,7287.0,7287.0,1093.05,7287.0,30
HCPCS,C1713,NAIL FEM 71770824,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM 9X380MM T2 ALOY,8663.0,8663.0,1299.45,8663.0,30
HCPCS,C1713,NAIL FEM BN RT 12X235MM,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,NAIL FEM CANN 10MM 320MM,10378.0,10378.0,1556.7,10378.0,30
HCPCS,C1713,NAIL FEM CANN 10MM 340MM,6437.0,6437.0,965.55,6437.0,30
HCPCS,C1713,NAIL FEM CANN 10MM 380MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1713,NAIL FEM CANN 10MM 400MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1713,NAIL FEM CANN 10MM 420MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1713,NAIL FEM CANN 10MM 440MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL FEM CANN 11MM 360MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL FEM CANN 11MM 400MM,6437.0,6437.0,965.55,6437.0,30
HCPCS,C1713,NAIL FEM CANN 11MM 420MM,8478.0,8478.0,1271.7,8478.0,60
HCPCS,C1713,NAIL FEM CANN 11MM 440MM,11208.0,11208.0,1681.2,11208.0,30
HCPCS,C1713,NAIL FEM CANN 12MM 380MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL FEM CANN 12MM 400MM,6374.5,6374.5,946.8,6437.0,60
HCPCS,C1713,NAIL FEM CANN 12MM 420MM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL FEM CANN 14X38,4460.0,4460.0,669.0,4460.0,30
HCPCS,C1713,NAIL FEM IM 11.5MM 44CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM IM 12X460MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL FEM LT 10X300MM,6629.0,6629.0,994.35,6629.0,30
HCPCS,C1713,NAIL FEM LT 11.5MM 32CM,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL FEM LT 11.5MM 36CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL FEM LT 11.5MM 42CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL FEM LT 11MM 400CM,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,NAIL FEM LT 14.5MM 38CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL FEM NTRL LT 11X38,7289.0,7289.0,1093.35,7289.0,30
HCPCS,C1713,NAIL FEM PIRIFRM14X360MM,9700.0,9700.0,1455.0,9700.0,30
HCPCS,C1713,NAIL FEM RT 10X235MM,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,NAIL FEM RT 11.5MM 42CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL FEM RT 13MM 40CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL FEM RT 13MM 42CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL FEM RTRGD NTRL13X20,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM RTRO 11.5X36MM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL FEM TAN LF 10X36,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL FEM TROCH 456.417S,8024.0,8024.0,1203.6,8024.0,30
HCPCS,C1713,NAIL FEMORAL 10MM 30CM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL FEN 11MM 42CM LT,6597.0,6597.0,989.55,6597.0,30
HCPCS,C1713,NAIL FUSION KNEE 11MMX65,14645.0,14645.0,2196.75,14645.0,30
HCPCS,C1713,NAIL GAMMA 340 120 LT,8727.0,8727.0,1309.05,8727.0,30
HCPCS,C1713,NAIL GAMMA 360 120 LT,8522.0,8522.0,1278.3,8522.0,30
HCPCS,C1713,NAIL GMA3 LT 125X34X11,8522.0,8522.0,1278.3,8522.0,30
HCPCS,C1713,NAIL GMA3 LT 125X36X11,8769.0,8769.0,1315.35,8769.0,30
HCPCS,C1713,NAIL GMA3 LT 130X34X11,8522.0,8522.0,1278.3,8522.0,30
HCPCS,C1713,NAIL GMA3 RT 125X36X11,8769.0,8769.0,1315.35,8769.0,30
HCPCS,C1713,NAIL GMA3 RT 125X40X11,8522.0,8522.0,1278.3,8522.0,30
HCPCS,C1713,NAIL HIP IM TRB 10X85MM,14236.0,14236.0,2135.4,14236.0,30
HCPCS,C1713,NAIL HUM CANN 11MM 250MM,4794.0,4794.0,719.1,4794.0,30
HCPCS,C1713,NAIL HUM CANN 7MM 150MM,7528.0,7528.0,1129.2,7528.0,30
HCPCS,C1713,NAIL HUM CANN 7MM 230MM,4637.0,4637.0,695.55,4637.0,30
HCPCS,C1713,NAIL HUM CANN 7MM 240MM,4637.0,4637.0,695.55,4637.0,30
HCPCS,C1713,NAIL HUM CANN 7MM 250MM,4637.0,4637.0,695.55,4637.0,30
HCPCS,C1713,NAIL HUM CANN 7MM 260MM,4637.0,4637.0,695.55,4637.0,30
HCPCS,C1713,NAIL HUM CANN 7MM 270MM,4637.0,4637.0,695.55,4637.0,30
HCPCS,C1713,NAIL HUM CANN 7MM 280MM,4637.0,4637.0,695.55,4637.0,30
HCPCS,C1713,NAIL HUM CANN 9MM 240MM,8829.0,8829.0,1324.35,8829.0,30
HCPCS,C1713,NAIL HUM CANN 9MM 250MM,7888.0,7888.0,1183.2,7888.0,30
HCPCS,C1713,NAIL HUM CANN 9MM 270MM,8071.0,8071.0,1210.65,8071.0,30
HCPCS,C1713,NAIL HUM TIB 12MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1713,NAIL IM 13MM 300MM TIB,5958.0,5958.0,893.7,5958.0,30
HCPCS,C1713,NAIL IM CANN FEM 12X38,4742.0,4742.0,711.3,4742.0,30
HCPCS,C1713,NAIL IM CANN TIB 9MMX300,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL IM GMA3 125X38X11 R,8769.0,8769.0,1315.35,8769.0,30
HCPCS,C1713,NAIL IM HUM TRGN 10/8.5,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL IM HUM TRGN 8/7X26,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL IM KNEE 13X25,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL IM KNEE 13X36,6318.0,6318.0,947.7,6318.0,30
HCPCS,C1713,NAIL IM TI 11MM X 130MM,8024.0,8024.0,1203.6,8024.0,30
HCPCS,C1713,NAIL IM TI 11X380MM FEM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,NAIL IM TI 125DD L170MM,5779.0,5779.0,866.85,5779.0,30
HCPCS,C1713,NAIL IM TI 130DD 11X380M,7608.0,7608.0,1141.2,7608.0,30
HCPCS,C1713,NAIL IM TI L170MM TROCH,5779.0,5779.0,866.85,5779.0,30
HCPCS,C1713,NAIL IM TI L36CM OD11MM,7142.0,7142.0,1071.3,7142.0,30
HCPCS,C1713,NAIL IM TI L36CM OD13MM,6993.0,6993.0,1048.95,6993.0,30
HCPCS,C1713,NAIL IM TI L420MM OD10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL IM TIBIA 10MMX300MM,6448.0,6448.0,967.2,6448.0,30
HCPCS,C1713,NAIL IM TIBIAL 12X390,5672.0,5672.0,850.8,5672.0,30
HCPCS,C1713,NAIL INTMD T2 STD 11X380,5879.0,5879.0,881.85,5879.0,30
HCPCS,C1713,NAIL INTMD T2 STD 12X400,5879.0,5879.0,881.85,5879.0,30
HCPCS,C1713,NAIL INTRTN 10MM 34CM LT,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL INTRTN 10MMX40CM,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL INTRTN 130 10MM18CM,4629.0,4629.0,694.35,4629.0,30
HCPCS,C1713,NAIL INTRTN IM 10X36 LT,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL INTRTN IM 11.5X38RT,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL KN 15CM 11.5MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL KN 16MM 300MM,9793.0,9793.0,1468.95,9793.0,30
HCPCS,C1713,NAIL KN 18MM 200MM,4784.0,4784.0,717.6,4784.0,30
HCPCS,C1713,NAIL KN GOLD 13MMX40CM,6318.0,6318.0,947.7,6318.0,30
HCPCS,C1713,NAIL KNEE GOLD 1026,5061.0,5061.0,759.15,5061.0,30
HCPCS,C1713,NAIL KNEE GOLD 1028,4839.0,4839.0,725.85,4839.0,30
HCPCS,C1713,NAIL KNEE GOLD 1032,6318.0,6318.0,947.7,6318.0,30
HCPCS,C1713,NAIL KNEE GOLD 1034,6318.0,6318.0,947.7,6318.0,30
HCPCS,C1713,NAIL KNEE GOLD 1036,5323.0,5323.0,798.45,5323.0,30
HCPCS,C1713,NAIL KNEE GOLD 1038,4706.0,4706.0,705.9,4706.0,30
HCPCS,C1713,NAIL KNEE GREY 8.532,4839.0,4839.0,725.85,4839.0,30
HCPCS,C1713,NAIL KNEE GREY 8.534,4839.0,4839.0,725.85,4839.0,30
HCPCS,C1713,NAIL LNG 125D 10X340MM,7233.0,7233.0,1084.95,7233.0,30
HCPCS,C1713,NAIL LNG 125D 10X360MM,8602.0,8602.0,1290.3,8602.0,30
HCPCS,C1713,NAIL LNG 125D 10X380MM,7233.0,7233.0,1084.95,7233.0,30
HCPCS,C1713,NAIL LNG 125D 11X300MM,10166.0,10166.0,1524.9,10166.0,30
HCPCS,C1713,NAIL LNG 125D 11X360MM,7233.0,7233.0,1084.95,7233.0,30
HCPCS,C1713,NAIL LNG 125D 11X380MM,8602.0,8602.0,1290.3,8602.0,30
HCPCS,C1713,NAIL LNG LT 11X400X125,7233.0,7233.0,1084.95,7233.0,30
HCPCS,C1713,NAIL LT 125D 30CM 13MM,7604.0,7604.0,1140.6,7604.0,30
HCPCS,C1713,NAIL LT FEM ORTH 11X36MM,6597.0,6597.0,989.55,6597.0,30
HCPCS,C1713,NAIL LT FEM RECN 11X36MM,6412.0,6412.0,961.8,6412.0,30
HCPCS,C1713,NAIL LT FEM RECN 11X38MM,5289.0,5289.0,793.35,5289.0,30
HCPCS,C1713,NAIL LT IMHS CP10X34X125,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL LT IMHS CP12X38X130,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL LT TROCH 10X40X125,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL LT TROCH 125D 10X38,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL MIDFOOT 8MM 125MM,13868.0,13868.0,2080.2,13868.0,30
HCPCS,C1713,NAIL ORTHO TI 130DD ANG,7608.0,7608.0,1141.2,7608.0,30
HCPCS,C1713,NAIL OSTBRG18/14MMX150MM,4784.0,4784.0,717.6,4784.0,30
HCPCS,C1713,NAIL RECON 13 400LT,6597.0,6597.0,989.55,6597.0,30
HCPCS,C1713,NAIL RT FEM 1.5MM 42CM,9050.0,9050.0,1357.5,9050.0,30
HCPCS,C1713,NAIL RT FEM T2 RCN 9X380,6597.0,6597.0,989.55,6597.0,30
HCPCS,C1713,NAIL RT T2 IM11.5X700MM,28471.0,28471.0,4270.65,28471.0,30
HCPCS,C1713,NAIL SHORT TFN 11X130,5779.0,5779.0,866.85,5779.0,30
HCPCS,C1713,NAIL T2 TIB 10X345MM,5211.0,5211.0,781.65,5211.0,30
HCPCS,C1713,NAIL T2 TIB STD 10X375MM,5211.0,5211.0,781.65,5211.0,30
HCPCS,C1713,NAIL T2 TIB STD 11X375MM,6803.0,6803.0,1020.45,6803.0,30
HCPCS,C1713,NAIL T2 TIB STD 12X345MM,6836.0,6836.0,1025.4,6836.0,30
HCPCS,C1713,NAIL T2 TIB STD 12X375MM,6836.0,6836.0,1025.4,6836.0,30
HCPCS,C1713,NAIL T2 TIB STD. 10360MM,6836.0,6836.0,1025.4,6836.0,30
HCPCS,C1713,NAIL TAN LT 11.5MM 36CM,6759.0,6759.0,1013.85,6759.0,30
HCPCS,C1713,NAIL TI 130MM X 380MM,7608.0,7608.0,1141.2,7608.0,30
HCPCS,C1713,NAIL TIB 10MM 38CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL TIB 10X330MM,5211.0,5211.0,781.65,5211.0,30
HCPCS,C1713,NAIL TIB 11MM 345MM,7388.0,7388.0,1108.2,7388.0,30
HCPCS,C1713,NAIL TIB 12MM 300MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL TIB 13X32MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL TIB 8.5MM 35CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL TIB 8MM 36CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL TIB 9MM 300MM,5211.0,5211.0,781.65,5211.0,30
HCPCS,C1713,NAIL TIB CANN TI 9X330MM,6448.0,6448.0,967.2,6448.0,30
HCPCS,C1713,NAIL TIB FEM 13X30,6318.0,6318.0,947.7,6318.0,30
HCPCS,C1713,NAIL TIB MT-NL IM 10X36,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,NAIL TIB NTRL 8.3MM 32CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL TIB T2 8MM 30CM LCK,6836.0,6836.0,1025.4,6836.0,30
HCPCS,C1713,NAIL TIB T2 9MM 27CM LCK,5592.0,5592.0,838.8,5592.0,30
HCPCS,C1713,NAIL TIB T2 9MM 31.5CM,6598.0,6598.0,989.7,6598.0,30
HCPCS,C1713,NAIL TIB T2 9MM 33CM,6836.0,6836.0,1025.4,6836.0,30
HCPCS,C1713,NAIL TIB T2 IM 12MM 20CM,8578.0,8578.0,1286.7,8578.0,30
HCPCS,C1713,NAIL TIBIAL 04.004.552S,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL TIBIAL 04.004.655S,6448.0,6448.0,967.2,6448.0,30
HCPCS,C1713,NAIL TRGN 9/7.5MM 28CM,4577.0,4577.0,686.55,4577.0,30
HCPCS,C1713,NAIL TRGN INT 11.5X36,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1713,NAIL TRGN LT 10X36,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL TRGN LT LME 11.5X38,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL TRGN RT RSE 10X42,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NAIL TROCH 11 300MM,7646.0,7646.0,1146.9,7646.0,30
HCPCS,C1713,NAIL TROCH 13X36CM,8105.0,8105.0,1215.75,8105.0,30
HCPCS,C1713,NAIL W/O COLR KN10X150MM,4784.0,4784.0,717.6,4784.0,30
HCPCS,C1713,NAIL WO CBL KN 20/16MM,4784.0,4784.0,717.6,4784.0,30
HCPCS,C1713,NAIL- IM L285 OD8 TIB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIL- IM L330 OD11 TIB,6448.0,6448.0,967.2,6448.0,30
HCPCS,C1713,NAIL- IM L375 OD11 TIB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,NAIl KNEE GLD 15X13,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,NUT BN CMPNTRESSED,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,NUT BN ORTH 5MM,2397.0,2397.0,359.55,2397.0,30
HCPCS,C1713,NUT CLARIS LOCKING,798.0,798.0,119.7,798.0,30
HCPCS,C1713,NUT CORT DBL LEAD 5.5,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,NUT FIXATION VAS,889.0,889.0,133.35,889.0,30
HCPCS,C1713,NUT LCK CLARIS M6 SLF BR,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,NUT LCK MNRCH DOME SPNE,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,NUT LCK TI MTNR OC,731.0,731.0,109.65,731.0,30
HCPCS,C1713,NUT LK 7.5 SYNPS SPN TI,1116.0,1116.0,167.4,1116.0,30
HCPCS,C1713,NUT ORTHO 11MM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,NUT SPN LCK FOR CONN,753.0,753.0,112.95,753.0,30
HCPCS,C1713,NUT SPN LCK MPAXL,2214.0,2214.0,332.1,2214.0,30
HCPCS,C1713,NUT SPN LCK TI ST SCR,753.0,753.0,112.95,753.0,30
HCPCS,C1713,NUT SPNL VSP SS 5/16IN,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,NUT SPNL VSP TPR 3/8IN,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,OCCIPITAL PLATE SML,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,OFFSET SPN 4.0MM 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,OFFSETS SCR SPN CLS 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,OFFSETS SCR SPN OPEN 10,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PEG BN 2.2X18MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN 2.5MM 10MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN 2.7MM 20MM,1395.5,1395.5,203.4,1435.0,60
HCPCS,C1713,PEG BN 2.7MM 21MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN 2MM 14MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG BN 2MM 19MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG BN CORT 2.3MM 24MM,1744.0,1744.0,261.6,1744.0,30
HCPCS,C1713,PEG BN CORT 2.7X32MM,1690.0,1690.0,253.5,1690.0,30
HCPCS,C1713,PEG BN CORT LCK 2.3X18MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,PEG BN FEM KN MOD,877.0,877.0,131.55,877.0,30
HCPCS,C1713,PEG BN FX 2.3MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN FX 2.3MM 12MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN FX 2.3MM 14MM,1228.0,1228.0,184.2,1228.0,30
HCPCS,C1713,PEG BN FX 2.3MM 20MM,1228.0,1228.0,184.2,1228.0,30
HCPCS,C1713,PEG BN FX 2.3MM 30MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN FX 2.7MM 12MM,1690.0,1690.0,253.5,1690.0,30
HCPCS,C1713,PEG BN FX 2.7MM 20MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN FX 2.7MM 24MM,1212.0,1212.0,181.8,1212.0,30
HCPCS,C1713,PEG BN FX 28MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN FX SMTH 2MM 22MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN FX SMTH 2MM 24MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN FX THRD 12MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,PEG BN FX THRD 2.3X20MM,1340.0,1340.0,201.0,1340.0,30
HCPCS,C1713,PEG BN FX THRD 2.5X20MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN HI-CMPR 2.7X18MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN LCK 2.3X24MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN LCK 2.7MM 16MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN LCK SMTH 2X17MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG BN N-LCK 2.7X18MM,1212.0,1212.0,181.8,1212.0,30
HCPCS,C1713,PEG BN P-T 2.5MM 16MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN P-T 2.5MM 22MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN SMTH 2MM 12MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN SMTH 2MM 18MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN SMTH LCK 2.2X16MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG BN THRD 2.3MM 10MM,1340.0,1340.0,201.0,1340.0,30
HCPCS,C1713,PEG BN THRD 2.7MM 12MM,1212.0,1212.0,181.8,1212.0,30
HCPCS,C1713,PEG BN THRD 2.7MM 14MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN THRD 2.7MM 16MM,1212.0,1212.0,181.8,1212.0,30
HCPCS,C1713,PEG BN THRD 2.7X24MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN THRD LCK 2.3X12MM,1340.0,1340.0,201.0,1340.0,30
HCPCS,C1713,PEG BN THRD LCK 2.3X14MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN THRD LCK 2.3X17MM,1340.0,1340.0,201.0,1340.0,30
HCPCS,C1713,PEG BN THRD LCK 2.3X18MM,1340.0,1340.0,201.0,1340.0,30
HCPCS,C1713,PEG BN THRD LCK 2.3X21MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN THRD LCK 2.3X22MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG BN UNTHRD 1.8MM 14MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN VOLR 1.8MM 16MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN VOLR 1.8MM 18MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN VOLR 1.8MM 22MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN VOLR 1.8MM 24MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN WRIST 2.3MM 20MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN WRIST 2.5MM 16MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN WRIST 2.5MM 18MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG BN WRIST 2.5MM 22MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,PEG CORT NLCK 2.7X26MM,1690.0,1690.0,253.5,1690.0,30
HCPCS,C1713,PEG FX 10MM WRST THRD,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG FX 2.3MM 16MM,1284.0,1284.0,184.2,1340.0,60
HCPCS,C1713,PEG FX 2.3MM 18MM,1228.0,1228.0,184.2,1228.0,30
HCPCS,C1713,PEG FX 2.5MM 18MM,1018.0,1018.0,152.7,1018.0,30
HCPCS,C1713,PEG FX 2.5MM 20MM,1018.0,1018.0,152.7,1018.0,30
HCPCS,C1713,PEG FX 2.5MM 22MM,1018.0,1018.0,152.7,1018.0,30
HCPCS,C1713,PEG FX 2.5MM 26MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,PEG FX 2.7MM 23MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG FX 24X2.5 FP24 THRD,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,PEG FX 2MM 16MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG FX 2MM 24MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG FX BN 2.3MM 24MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG FX BN 2.5MM 24MM,1356.0,1356.0,203.4,1356.0,60
HCPCS,C1713,PEG FX BN 2.5MM 26MM,1187.0,1187.0,152.7,1356.0,60
HCPCS,C1713,PEG FX BN 2MM 100MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG FX BN 2MM 20MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG FX BN 2MM 26MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG FX BN 2MM 28MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG FX CORT LCK 2.3X14MM,1116.0,1116.0,167.4,1116.0,30
HCPCS,C1713,PEG FX CORT LCK 2.3X26MM,1116.0,1116.0,167.4,1116.0,30
HCPCS,C1713,PEG FX FOSSA DIST2X17MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG FX GLND SHLDR 2.5X24,399.0,399.0,59.85,399.0,30
HCPCS,C1713,PEG FX GLND SHLDR 2.5X26,399.0,399.0,59.85,399.0,30
HCPCS,C1713,PEG FX LCK 2X21MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG FX SHDR 4MM 45MM,1898.0,1898.0,284.7,1898.0,30
HCPCS,C1713,PEG FX STD 4.0X32.0MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG FX STD 4.0X40MM,1563.0,1563.0,234.45,1563.0,30
HCPCS,C1713,PEG FX STD 4.0X42.5MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG FX STD 4.0X45.0MM,1563.0,1563.0,234.45,1563.0,30
HCPCS,C1713,PEG FX STD 4.0X55.0MM,1563.0,1563.0,234.45,1563.0,30
HCPCS,C1713,PEG FX THRD 2.5X18,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG FX THRD LCK 2.3X24MM,1228.0,1228.0,184.2,1228.0,30
HCPCS,C1713,PEG FX TRX UNTHREAD 10MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,PEG FX VOLR THRD 14MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,PEG FX VOLR UNTHRD 12MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG HI-COMP LCK 2.7X19MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG HI-COMP LCK 2.7X22MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG HI-COMP LCK 2.7X24MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG HI-COMP LCK 2.7X26MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG LCK 2.0X22MM,1675.0,1675.0,251.25,1675.0,30
HCPCS,C1713,PEG LCK SMOOTH 2X20MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG LCK SMOOTH 2X23MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,PEG LCK SMTH 2X22MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG SMOOTH LCK 2.2X22MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG SMTH FX 2X14MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG SMTH FX 2X16,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PEG SMTH LCK 2.0X18MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG STD ORT 4X25MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,PEG THRD LCK 2.3X19MM,1340.0,1340.0,201.0,1340.0,30
HCPCS,C1713,PIN AXIS BOOM 2.5X45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN BN 1.8MM 12MM,1660.0,1660.0,249.0,1660.0,30
HCPCS,C1713,PIN BN 1.8MM 18MM,1317.5,1317.5,145.35,1666.0,60
HCPCS,C1713,PIN BN 1.8MM 20MM,1666.0,1666.0,249.9,1666.0,30
HCPCS,C1713,PIN BN BOX LONG,399.0,399.0,59.85,399.0,30
HCPCS,C1713,PIN BN BOX STANDARD,399.0,399.0,59.85,399.0,30
HCPCS,C1713,PIN BN BTRS 27MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,PIN BN BTRS LCK 1.8X22MM,1805.0,1805.0,270.75,1805.0,30
HCPCS,C1713,PIN BN BUTTRESS 32MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,PIN BN FX 1.8MM 20MM,1805.0,1805.0,270.75,1805.0,30
HCPCS,C1713,PIN BN FX 35MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PIN BN FX 60MM 2.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN BN FX T8 1.8X16MM,1660.0,1660.0,249.0,1660.0,30
HCPCS,C1713,PIN BN KN CMPNTRESS,2353.0,2353.0,352.95,2353.0,30
HCPCS,C1713,PIN BN KN FIX,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN BN PSTN 4.5MM,2195.0,2195.0,329.25,2195.0,30
HCPCS,C1713,PIN BN TRNSV 36MM,732.0,732.0,109.8,732.0,30
HCPCS,C1713,PIN BN TRNSV 44MM,709.5,709.5,106.42,709.5,30
HCPCS,C1713,PIN CRLG PSTN SS 3.5MM,2195.0,2195.0,329.25,2195.0,30
HCPCS,C1713,PIN DRILL 1.5MM 100MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN FIX BN SHLDR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN FX 1.5MM RSRB RFSDPA,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,PIN FX 1.8MM 14MM,1660.0,1660.0,249.0,1660.0,30
HCPCS,C1713,PIN FX 35MM 2.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN FX 508MM 3.2MM NTRL,638.0,638.0,95.7,638.0,30
HCPCS,C1713,PIN FX AXIS 2.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN FX ORTH LCK 5MM,1075.0,1075.0,161.25,1075.0,30
HCPCS,C1713,PIN FX SPNE AEG THRD,618.0,618.0,92.7,618.0,30
HCPCS,C1713,PIN FX STRDR ORT 14X1.8,1666.0,1666.0,249.9,1666.0,30
HCPCS,C1713,PIN FX T8 1.8X18MM,1805.0,1805.0,270.75,1805.0,30
HCPCS,C1713,PIN FX WRST BTRS 24X14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN FX WRST BTRS 27X14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN FXTN KN HLD SLTD,2105.0,2105.0,315.75,2105.0,30
HCPCS,C1713,PIN LOCKING S-ROM OD3.5M,1362.0,1362.0,204.3,1362.0,30
HCPCS,C1713,PIN NEXFIX RESORB 1.5X50,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN PSTN CRCLGE 4.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PIN RUSH 4.8 DX203,1507.0,1507.0,226.05,1507.0,30
HCPCS,C1713,PIN RUSH 4.8 DX260,1507.0,1507.0,226.05,1507.0,30
HCPCS,C1713,PIN RUSH 4.8 DX337,1507.0,1507.0,226.05,1507.0,30
HCPCS,C1713,PIN SPN FX 2.5X11MM,377.0,377.0,56.55,377.0,30
HCPCS,C1713,PIN VOLAR BUTTRSS 42MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,PLATE 0D 53MM 2.4/2.7MM,5750.0,5750.0,862.5,5750.0,30
HCPCS,C1713,PLATE 1 LEV 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 1 LEV 34MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 1 LVL HELIX 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 1 LVL LMB 37MM TI,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE 1 LVL LUMB 39MM,26574.0,26574.0,3986.1,26574.0,30
HCPCS,C1713,PLATE 1 SLT BETA LPS MXL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 1.375IN TI 6.35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE 1.5 T 4/9 HL 50,2833.0,2833.0,424.95,2833.0,30
HCPCS,C1713,PLATE 1.5 TI T/3 HL 40,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 1/3 95.5MM 7HL LCK,2428.0,2428.0,364.2,2428.0,30
HCPCS,C1713,PLATE 1/3 TBLR 145X9X1MM,1477.0,1477.0,221.55,1477.0,30
HCPCS,C1713,PLATE 1/3 TBLR 73MM 6HL,1217.0,1217.0,182.55,1217.0,30
HCPCS,C1713,PLATE 1/3 TBLR 85MM 7HL,1182.0,1182.0,177.3,1182.0,30
HCPCS,C1713,PLATE 1/3 TBLR 97MM 8HL,1165.0,1165.0,174.75,1165.0,30
HCPCS,C1713,PLATE 1/3 TUBLR 5HL 25MM,1171.0,1171.0,175.65,1171.0,30
HCPCS,C1713,PLATE 1/3TBLR LCK 68 5H,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,PLATE 10 HL CRV BN,9523.0,9523.0,1428.45,9523.0,30
HCPCS,C1713,PLATE 10 HL LCK 136X4MM,2995.0,2995.0,449.25,2995.0,30
HCPCS,C1713,PLATE 100MM SS 2.7MM SCR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 109MM 3.5MM SCR 4H,7069.0,7069.0,1060.35,7069.0,30
HCPCS,C1713,PLATE 10HL LCK BDY STRNL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 10MM TC L1 BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 117MM SS 3.5MM SCR,3439.0,3439.0,515.85,3439.0,30
HCPCS,C1713,PLATE 118MM SS 2.7MM6H,4150.0,4150.0,622.5,4150.0,30
HCPCS,C1713,PLATE 118X14X3.8MM LG FR,3612.0,3612.0,541.8,3612.0,30
HCPCS,C1713,PLATE 118X14X3.8MM SS,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 12.5MM SS 6.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 120 TI FULL HL BN,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE 120MM SS 3.5MM SCR,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE 12MM 34X9X2.7MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 12MM ONE LEVEL SPN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 135D 94MM SS 4.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 135MM SS 3.5MM SCR,5634.0,5634.0,845.1,5634.0,30
HCPCS,C1713,PLATE 139 SS 4.5 SCR LG,6350.0,6350.0,952.5,6350.0,30
HCPCS,C1713,PLATE 140MM ALTIVA,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,PLATE 142MM 2.7/3.5M6HL,5479.0,5479.0,821.85,5479.0,30
HCPCS,C1713,PLATE 142X11X3.7MM 6H,5479.0,5479.0,821.85,5479.0,30
HCPCS,C1713,PLATE 145 SS 3.5 SCR 12,5465.0,5465.0,819.75,5465.0,30
HCPCS,C1713,PLATE 146MM TI6AL4V 10HL,3972.0,3972.0,595.8,3972.0,30
HCPCS,C1713,PLATE 14MM 1 LVL SPNL FL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 150MM TI 2MM CBL S,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 152X3.5MM 10H LCK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 153MM SS 2.7/3.5MM,5690.0,5690.0,853.5,5690.0,30
HCPCS,C1713,PLATE 15MM TI AEG BN ANT,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE 16 CRVC 1LVL FALCO,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 161MM 3.5MM SCR 8H,5689.0,5689.0,853.35,5689.0,30
HCPCS,C1713,PLATE 161X3.5 SCR8HL LO,6868.0,6868.0,1030.2,6868.0,30
HCPCS,C1713,PLATE 162MM SS 4MM SCR S,2873.0,2873.0,430.95,2873.0,30
HCPCS,C1713,PLATE 165X105 OSTFR CRNF,10673.0,10673.0,1600.95,10673.0,30
HCPCS,C1713,PLATE 165X95MM MXLFCL,11143.0,11143.0,1671.45,11143.0,30
HCPCS,C1713,PLATE 16MM 42X9X2.7MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 16MM TI 4.75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 170MM 4.5MM SCR LG,7456.0,7456.0,1118.4,7456.0,30
HCPCS,C1713,PLATE 170MM SS 4.5MM SCR,7830.0,7830.0,1174.5,7830.0,30
HCPCS,C1713,PLATE 18.5 LRNZ XDRV THN,3036.0,3036.0,455.4,3036.0,30
HCPCS,C1713,PLATE 181MM SS 3.5MM SCR,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 185MM 6H GRIP SUPE,5368.0,5368.0,805.2,5368.0,30
HCPCS,C1713,PLATE 188MM 14 HL CMPR,3159.0,3159.0,473.85,3159.0,30
HCPCS,C1713,PLATE 1LVL TNSN 449.069,18607.0,18607.0,2791.05,18607.0,30
HCPCS,C1713,PLATE 2 ANG 162MM,11675.0,11675.0,1751.25,11675.0,30
HCPCS,C1713,PLATE 2 SLT BETA MXLCK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 2-LEV ACP 37MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE 2.0 COND LT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 2.0 COND RT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 2.0 LC DCP 4H 27,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 2.4MM LT CNDRL HD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 2.7 50MM 5H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 20 HL ADP,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 20 UPS 3.5,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE 200MM 3.5MM SCR 14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 211MM LT PROX FEM,7032.0,7032.0,1054.8,7032.0,30
HCPCS,C1713,PLATE 23 TI LCK VNTR BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 24MM 1 LVL HLX BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 24MM 2 LVL AVTR BN,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE 25 INTGR LCK ZPHR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 25-35MM BN OCPTL,7374.5,7374.5,451.8,11737.0,180
HCPCS,C1713,PLATE 25-35MM OCPTL BN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE 255D CRSNT 8X2.5MM,5143.0,5143.0,771.45,5143.0,30
HCPCS,C1713,PLATE 25MM SS 3.5MM SCR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 25MM SUBTEMPORAL,1899.0,1899.0,284.85,1899.0,30
HCPCS,C1713,PLATE 26-30X11MM LEVA,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE 278MM SS4.5 SCR LG,8259.0,8259.0,1238.85,8259.0,30
HCPCS,C1713,PLATE 27MM ZYG 5 HL 2MM,2425.0,2425.0,363.75,2425.0,30
HCPCS,C1713,PLATE 28MM FLCN BN SPN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 28MM L1 CMPR BN SP,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE 2H LP 218-0091,1016.0,1016.0,152.4,1016.0,30
HCPCS,C1713,PLATE 2LVL 32MM CERVICAL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 2LVL 46MM CERVICAL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 2LVL TNSN 449.083,22367.0,22367.0,3355.05,22367.0,30
HCPCS,C1713,PLATE 3 SLT ALPHA LPS MX,4522.0,4522.0,678.3,4522.0,30
HCPCS,C1713,PLATE 3 SLT BETA LPS MXL,4522.0,4522.0,678.3,4522.0,30
HCPCS,C1713,PLATE 3-D CNTR MSH RGD,7655.0,7655.0,1148.25,7655.0,30
HCPCS,C1713,PLATE 3-LEV ACP 42MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE 3-LEV ACP 57MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE 3.5 LC DCP,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,PLATE 3.5 LC DCP 90MM,2687.0,2687.0,403.05,2687.0,30
HCPCS,C1713,PLATE 3.5 RECON 245.18,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 3.5 RECON 245.32,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 3.5 SS T 241.14,1530.0,1530.0,229.5,1530.0,30
HCPCS,C1713,PLATE 30X30X.8 ORBT FLR,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 313MM SS 4.5/5 12H,7529.0,7529.0,1129.35,7529.0,30
HCPCS,C1713,PLATE 317MM DIST FEM,6137.0,6137.0,920.55,6137.0,30
HCPCS,C1713,PLATE 31X7X1MM 2.7MM,1328.0,1328.0,199.2,1328.0,30
HCPCS,C1713,PLATE 32MM 1 LVL BN SCRL,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE 32MM FLCN BN SPNL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 32MM ZYG 6 HL 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 349MM SS 4.5,7618.0,7618.0,1142.7,7618.0,30
HCPCS,C1713,PLATE 34MM 2 LVL FLCN BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 34MM BN LMBR SPNE,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,PLATE 34MM TI 2 LVL UNIP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 34MM TI 4.75MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE 36MM 2 LVL UNIPLT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 36MM 2LVL FLCN BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 36MMX 8MM,20197.0,20197.0,3029.55,20197.0,30
HCPCS,C1713,PLATE 37.5 TI INTGR LCK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 37MM TI 4.75MM SCR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 385MM SS 4.5/5 16H,7870.0,7870.0,1180.5,7870.0,30
HCPCS,C1713,PLATE 38MM BN LMBR SPNL,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE 38MM CVR BN SPNL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,PLATE 39 TI ANTEGRA BN S,26574.0,26574.0,3986.1,26574.0,30
HCPCS,C1713,PLATE 39MM TI PRMD BN AN,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE 39X5X1.2MM 2MM SCR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 3LVL 39MM CERVICAL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 3LVL 51MM CERVICAL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 4 HL 2 MM SCR ZYG,2296.0,2296.0,344.4,2296.0,30
HCPCS,C1713,PLATE 4 LVL HELIX 74MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE 4-LEV ACP 60MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,PLATE 4.5 NAR DCP PLATE,1931.0,1931.0,281.7,1984.0,60
HCPCS,C1713,PLATE 40 INTGR LCK ZPHR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 40MM 1 LVL HLX BN,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE 40MM BN LMBR SPNL,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE 40MM CVR BN SPNL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,PLATE 40MM FALCON 3 LVL,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE 41-48MM TI 4.75MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE 41MM TI 5.5MM L1,15242.0,15242.0,2286.3,15242.0,30
HCPCS,C1713,PLATE 41MM TI ANTEGRA BN,26574.0,26574.0,3986.1,26574.0,30
HCPCS,C1713,PLATE 420.84 BRG,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 43-40MM TI HL BN,26574.0,26574.0,3986.1,26574.0,30
HCPCS,C1713,PLATE 43MM TI ANTGRA BN,26574.0,26574.0,3986.1,26574.0,30
HCPCS,C1713,PLATE 43X29 MM TI1 LVLBN,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE 44MM FLCN 3 LVL BN,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE 48MM 3 LVL FLCN BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 48MM 3 LVL XTND BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 49MM TI 5.5MM,18607.0,18607.0,2791.05,18607.0,30
HCPCS,C1713,PLATE 49X21MM 2.3MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 5 PEG 5H LT,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1713,PLATE 50/70 SPN TI CRSL,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE 50MM TI 4MM ROD BN,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE 51MM SS 3.5MM SCR,1530.0,1530.0,229.5,1530.0,30
HCPCS,C1713,PLATE 52-70MM TI 4.75MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE 52.5 ANT CERV P,8473.0,8473.0,1270.95,8473.0,30
HCPCS,C1713,PLATE 54 FLCN BN SPNL ST,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE 55 INTGR LCK ZPHR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 57.5 TI INTGR LCK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 5D LG 57MM SS 2.4,5260.0,5260.0,789.0,5260.0,30
HCPCS,C1713,PLATE 5D SM 42MM,5272.0,5272.0,790.8,5272.0,30
HCPCS,C1713,PLATE 5HL Y SHAPE,2753.0,2753.0,412.95,2753.0,30
HCPCS,C1713,PLATE 5LVL AMBSDR 90MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 60 TI 3 LVL SKYLN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 60MM 3 LVL BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 60MM TI 4MM ROD BN,6445.0,6445.0,966.75,6445.0,30
HCPCS,C1713,PLATE 60MM TI ANT CERV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 62.5 ANT CERV P,8473.0,8473.0,1270.95,8473.0,30
HCPCS,C1713,PLATE 62MM 2.7MM OSTM 6H,6120.0,6120.0,918.0,6120.0,30
HCPCS,C1713,PLATE 62MMX5MM FRAG 4 HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 64MM 4LVL FLCN BN,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,PLATE 67.5MM TI,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE 68MM 4LVL FLCN BN,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE 68MM SPNE,26431.0,26431.0,3964.65,26431.0,30
HCPCS,C1713,PLATE 6D 20MMX8MM INTERC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 6HL CHS 130D 102MM,3284.0,3284.0,492.6,3284.0,30
HCPCS,C1713,PLATE 6HL MAXLOCK,7999.0,7999.0,1199.85,7999.0,30
HCPCS,C1713,PLATE 7 HL 7 PEG LCK VOL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE 70MM TI,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE 72MM 4 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 73MM 2.7/3.5MM 3HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE 76 BN SPNL CERV ST,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE 76MM TI 3.5MM 4HL,6895.0,6895.0,1034.25,6895.0,30
HCPCS,C1713,PLATE 77MM 2.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 77MM TI 5.5MM,23935.0,23935.0,3590.25,23935.0,30
HCPCS,C1713,PLATE 78MM 4H 140D,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 7HL DCP 39X5X1.2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 7SLT ALPH LPS MXLC,8433.0,8433.0,1264.95,8433.0,30
HCPCS,C1713,PLATE 8 HOLE BONE LEFT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 81MM TI 5.5MM,22367.0,22367.0,3355.05,22367.0,30
HCPCS,C1713,PLATE 86MM 2.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 8H LT 23471608,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE 90D 75X19MM SS 3.5,4156.0,4156.0,623.4,4156.0,30
HCPCS,C1713,PLATE 90X90MM MXLFCL MSH,8886.0,8886.0,1332.9,8886.0,30
HCPCS,C1713,PLATE 94MM SS3.5MM 6HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 94X3.5MM SCR 5HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE 9HL 236MM LCP LT,7347.0,7347.0,1102.05,7347.0,30
HCPCS,C1713,PLATE 9HL 7PEG STD SZ,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE 9MM CHIN MOD 2MMSC,2971.0,2971.0,445.65,2971.0,30
HCPCS,C1713,PLATE AEG 23 1 LVL,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE ALPA MAXLOCK LPS O,7206.0,7206.0,1080.9,7206.0,30
HCPCS,C1713,PLATE AMBASSADOR THREE-L,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE AMBSSDR 3-LVL 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ANCHORING S,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1713,PLATE ANG RT MNDB 7X23MM,20502.0,20502.0,3075.3,20502.0,30
HCPCS,C1713,PLATE ANKL FIB STR 5HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE ANKL SCR SS 6HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE ANT BUTTRESS 26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE ANT CER L1 16MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE ANT CER L1 26MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE ANT CERV 2LVL 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ANT CERV SPNE 32,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ANT CSPN 12MM 1LVL,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE ANT CSPN 14MM 1LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ANT CSPN 16MM 1LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ANT CSPN 28MM 2LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ANT CSPN 30MM 2LVL,4761.5,4761.5,664.35,5094.0,60
HCPCS,C1713,PLATE ANT CSPN 32MM 2LVL,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE ANT CSPN 34MM 2LVL,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE ANT CSPN 48MM 2LVL,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE ANT CSPN 51MM 3LVL,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE ANT SPN 72.5MM,8658.0,8658.0,1298.7,8658.0,30
HCPCS,C1713,PLATE ANTEGRA LMBR 3.9,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE ANTEGRA SCRL 3.7,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE ANTERR BUTTRS 22MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE AO 450.354 CERVICA,4418.0,4418.0,662.7,4418.0,30
HCPCS,C1713,PLATE AVTR ANT L4 76MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE AVTR BN 2LVL 34MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE AXSOS TTL STAB 6HL,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1713,PLATE B 24MM L1 REV SPNE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BAND TNSN 39MM ANT,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE BM TI HUM SM RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN .3X37X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN .4MM,3689.0,3689.0,478.35,4189.0,60
HCPCS,C1713,PLATE BN .4MM 70MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN .4X14X14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN .5 2X3,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN .5MM,1475.0,1475.0,221.25,1475.0,30
HCPCS,C1713,PLATE BN .5MM 21MM,405.0,405.0,60.75,405.0,30
HCPCS,C1713,PLATE BN .5MM Y CRNMXF,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN .6MM,4097.0,4097.0,564.75,4429.0,60
HCPCS,C1713,PLATE BN .6MM 30MM,10936.0,10936.0,1640.4,10936.0,30
HCPCS,C1713,PLATE BN .7MM 3X3H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN .8MM 3X4HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN .8X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 0.5MM 22MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,PLATE BN 0.6MM 17MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 0.6MM 30MM,1563.0,1563.0,234.45,1563.0,30
HCPCS,C1713,PLATE BN 0.6X100X100M,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1713,PLATE BN 0.8MM 43.6MM,4850.0,4850.0,727.5,4850.0,30
HCPCS,C1713,PLATE BN 0D SMALL,8088.0,8088.0,1213.2,8088.0,30
HCPCS,C1713,PLATE BN 0HL,8541.0,8541.0,1281.15,8541.0,30
HCPCS,C1713,PLATE BN 1 LVL 2.3MM,2284.0,2284.0,342.6,2284.0,30
HCPCS,C1713,PLATE BN 1.25MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 1.3MM,5763.0,5763.0,864.45,5763.0,30
HCPCS,C1713,PLATE BN 1.3MM 2MM,3721.0,3721.0,558.15,3721.0,60
HCPCS,C1713,PLATE BN 1.3MM 3HL,6085.0,6085.0,912.75,6085.0,30
HCPCS,C1713,PLATE BN 1.3MM 3MM 3.5MM,6522.0,6522.0,978.3,6522.0,30
HCPCS,C1713,PLATE BN 1.5MM,2310.0,2310.0,346.5,2310.0,30
HCPCS,C1713,PLATE BN 1.5MM 4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 1.6MM 16HL,4304.5,4304.5,645.67,4304.5,30
HCPCS,C1713,PLATE BN 1/3TBLR 107MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 1/3TUB 6HL 71MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10 HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 100MM CRNMX TI3,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 100X5X1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 102MM SS 3.5MM,7114.0,7114.0,1067.1,7114.0,30
HCPCS,C1713,PLATE BN 104 SS 3.5 SCR8,3442.0,3442.0,516.3,3442.0,30
HCPCS,C1713,PLATE BN 105MM 2.7MM,3777.0,3777.0,558.15,3833.0,60
HCPCS,C1713,PLATE BN 109MM 3.5MM,7620.0,7620.0,1143.0,7620.0,30
HCPCS,C1713,PLATE BN 10DG,8088.0,8088.0,1213.2,8088.0,30
HCPCS,C1713,PLATE BN 10H 118.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10H 177MM 3.5MM,8761.0,8761.0,1314.15,8761.0,30
HCPCS,C1713,PLATE BN 10H 187MM,5228.0,5228.0,784.2,5228.0,30
HCPCS,C1713,PLATE BN 10H 187MM 3.5MM,5749.0,5749.0,862.35,5749.0,30
HCPCS,C1713,PLATE BN 10H 2.7/3.5MM,5592.0,5592.0,838.8,5592.0,30
HCPCS,C1713,PLATE BN 10H 230MM 3.5MM,6318.0,6318.0,947.7,6318.0,30
HCPCS,C1713,PLATE BN 10H 3.5/4.5MM,11907.0,11907.0,1786.05,11907.0,30
HCPCS,C1713,PLATE BN 10H 3.5MM 127MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10H 3.5MM 137MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10H 3.5MM 140MM,3500.0,3500.0,525.0,3500.0,30
HCPCS,C1713,PLATE BN 10H 3.5MM 187MM,7075.0,7075.0,1061.25,7075.0,30
HCPCS,C1713,PLATE BN 10H 5.5X223MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN 10HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10HL 100MM LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 10HL 100MM RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 10HL 119MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10HL 132MM 2MM,3495.0,3495.0,524.25,3495.0,30
HCPCS,C1713,PLATE BN 10HL 167MM,1108.0,1108.0,166.2,1108.0,30
HCPCS,C1713,PLATE BN 10HL 2.0MM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1713,PLATE BN 10HL 2.7X94MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10HL 232MM,6069.0,6069.0,910.35,6069.0,30
HCPCS,C1713,PLATE BN 10HL 238MM,7392.0,7392.0,1108.8,7392.0,30
HCPCS,C1713,PLATE BN 10HL 2MM 63MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 10HL 3.5X116MM,3758.0,3758.0,563.7,3758.0,30
HCPCS,C1713,PLATE BN 10HL 3.5X118MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10HL 3.5X177MM,5955.0,5955.0,893.25,5955.0,30
HCPCS,C1713,PLATE BN 10HL 3.5X230MM,5735.5,5735.5,772.95,6318.0,60
HCPCS,C1713,PLATE BN 10HL 3.5X232MM,6242.0,6242.0,936.3,6242.0,30
HCPCS,C1713,PLATE BN 10HL 3.5X235MM,7811.0,7811.0,1171.65,7811.0,30
HCPCS,C1713,PLATE BN 10HL 4.5MM 19MM,7472.0,7472.0,1120.8,7472.0,30
HCPCS,C1713,PLATE BN 10HL 4.5X188MM,3714.5,3714.5,556.2,3721.0,60
HCPCS,C1713,PLATE BN 10HL 4.5X242MM,6110.0,6110.0,916.5,6110.0,30
HCPCS,C1713,PLATE BN 10HL 5MM 238MM,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1713,PLATE BN 10HL 5X267MM,12822.0,12822.0,1923.3,12822.0,30
HCPCS,C1713,PLATE BN 10HL 84X2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10HL 97MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 10HL LG LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 10HL LG RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 10HL ORBT 1.2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 10MM 25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE BN 11 HL 56MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 111MM 3.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 114MM 6H,9469.0,9469.0,1420.35,9469.0,30
HCPCS,C1713,PLATE BN 116MM 2.7/3.5MM,4478.0,4478.0,671.7,4478.0,30
HCPCS,C1713,PLATE BN 117X9X1MM,2064.0,2064.0,309.6,2064.0,30
HCPCS,C1713,PLATE BN 118MM 2.7MM,3781.0,3781.0,567.15,3781.0,30
HCPCS,C1713,PLATE BN 118MM 3.5MM,6745.0,6745.0,1011.75,6745.0,30
HCPCS,C1713,PLATE BN 11H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 11H 177MM 3.5MM,4398.0,4398.0,659.7,4398.0,30
HCPCS,C1713,PLATE BN 11H 2.7-3.5X199,5233.0,5233.0,664.35,6037.0,60
HCPCS,C1713,PLATE BN 11H 43MM 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 11HL 3.5MM,5045.0,5045.0,756.75,5045.0,30
HCPCS,C1713,PLATE BN 11HL 3.5X142MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 11HL 3.5X181MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE BN 11HL 4.5X206MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 11MM,8873.0,8873.0,1330.95,8873.0,30
HCPCS,C1713,PLATE BN 11MM 81X10X2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 12 HL 3.5MM,1116.0,1116.0,167.4,1116.0,30
HCPCS,C1713,PLATE BN 121MM 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 125X10X2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 12H 2.4MM 2.7MM,7784.0,7784.0,1167.6,7784.0,30
HCPCS,C1713,PLATE BN 12H 2.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 12H 2.8MM,4541.0,4541.0,681.15,4541.0,30
HCPCS,C1713,PLATE BN 12H 249MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 12H 278MM,5703.0,5703.0,855.45,5703.0,30
HCPCS,C1713,PLATE BN 12H 2X6MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 12H 3.5MM 197MM,5966.0,5966.0,894.9,5966.0,30
HCPCS,C1713,PLATE BN 12H 3.5MM 266MM,6474.0,6474.0,971.1,6474.0,30
HCPCS,C1713,PLATE BN 12H 3.5X139MM,4153.0,4153.0,622.95,4153.0,30
HCPCS,C1713,PLATE BN 12H 3.5X235MM,10006.0,10006.0,1500.9,10006.0,30
HCPCS,C1713,PLATE BN 12H 3.5X268MM,6276.0,6276.0,941.4,6276.0,30
HCPCS,C1713,PLATE BN 12H 4.5X199MM,2469.0,2469.0,370.35,2469.0,30
HCPCS,C1713,PLATE BN 12H LT 285MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN 12HL .5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 12HL 1.2MM 71MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 12HL 1.3X47MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 12HL 1.5MM,3550.0,3550.0,478.35,4381.0,120
HCPCS,C1713,PLATE BN 12HL 1.5X59MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 12HL 1.6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 12HL 184MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 12HL 1MM,3890.0,3890.0,583.5,3890.0,30
HCPCS,C1713,PLATE BN 12HL 2.0MM,2742.0,2742.0,411.3,2742.0,30
HCPCS,C1713,PLATE BN 12HL 2.3MM RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 12HL 2.4MM,3571.0,3571.0,535.65,3571.0,30
HCPCS,C1713,PLATE BN 12HL 266MM,6785.0,6785.0,1017.75,6785.0,30
HCPCS,C1713,PLATE BN 12HL 3.5X163MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 12HL 3.5X211MM,5148.0,5148.0,772.2,5148.0,30
HCPCS,C1713,PLATE BN 12HL 3.5X271MM,8058.0,8058.0,1208.7,8058.0,30
HCPCS,C1713,PLATE BN 12HL 4.5X224MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 12HL 5MM 274MM,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1713,PLATE BN 12MMX.5MM STR C,317.0,317.0,47.55,317.0,30
HCPCS,C1713,PLATE BN 130D 2HL 47MM,3704.0,3704.0,555.6,3704.0,30
HCPCS,C1713,PLATE BN 130D 46MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 130DX90MM,3654.0,3654.0,548.1,3654.0,30
HCPCS,C1713,PLATE BN 135D 10HL 174MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 135D 206MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 135D 4.5X78MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 135D 6HL 110MM,3709.0,3709.0,556.35,3709.0,30
HCPCS,C1713,PLATE BN 135D78X19X5.8MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,PLATE BN 138X3.5MM 10HL,9431.0,9431.0,1414.65,9431.0,30
HCPCS,C1713,PLATE BN 13HL 240MM,3835.0,3835.0,575.25,3835.0,30
HCPCS,C1713,PLATE BN 13HL 4.5X247MM,3733.0,3733.0,559.95,3733.0,30
HCPCS,C1713,PLATE BN 13MM LOR X-DRV,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 145D 4HL 78MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 145D 5HL 94MM,3709.0,3709.0,556.35,3709.0,30
HCPCS,C1713,PLATE BN 147MM 3.5MM,7292.0,7292.0,1093.8,7292.0,30
HCPCS,C1713,PLATE BN 14H 301MM 4.5MM,8156.0,8156.0,1223.4,8156.0,30
HCPCS,C1713,PLATE BN 14H 4.5MM 260MM,4090.0,4090.0,613.5,4090.0,30
HCPCS,C1713,PLATE BN 14HL 3.5X189MM,3234.0,3234.0,485.1,3234.0,30
HCPCS,C1713,PLATE BN 14HL 4.5X260MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 14HL 4.5X3.5MM,4742.0,4742.0,711.3,4742.0,30
HCPCS,C1713,PLATE BN 14HL 4.5X301MM,9288.0,9288.0,1393.2,9288.0,30
HCPCS,C1713,PLATE BN 14HL LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 14HL RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE BN 14X14X.5MM,1612.0,1612.0,241.8,1612.0,30
HCPCS,C1713,PLATE BN 150D 5HL 94MM,3421.0,3421.0,513.15,3421.0,30
HCPCS,C1713,PLATE BN 156MM 5 HL LCP,7295.0,7295.0,1094.25,7295.0,30
HCPCS,C1713,PLATE BN 15HL 213MM,10692.0,10692.0,1603.8,10692.0,30
HCPCS,C1713,PLATE BN 16 HL 4.5MM,8317.0,8317.0,1247.55,8317.0,30
HCPCS,C1713,PLATE BN 163MM 3.5MM,7544.0,7544.0,1131.6,7544.0,30
HCPCS,C1713,PLATE BN 165X95MM OSTFR,11019.0,11019.0,1652.85,11019.0,30
HCPCS,C1713,PLATE BN 16H 4.5MM 296MM,4906.0,4906.0,735.9,4906.0,30
HCPCS,C1713,PLATE BN 16H 4.5MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 16HL 1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 16HL 2.3MM LT,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE BN 16HL 2.3MM RT,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE BN 16HL 232X3.5MM,5031.0,5031.0,754.65,5031.0,30
HCPCS,C1713,PLATE BN 16HL 299MM,5794.0,5794.0,869.1,5794.0,30
HCPCS,C1713,PLATE BN 16HL 300MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 16HL 5MM 343MM,7165.0,7165.0,1074.75,7165.0,30
HCPCS,C1713,PLATE BN 16HL 70MM 267MM,7864.0,7864.0,1179.6,7864.0,30
HCPCS,C1713,PLATE BN 16MM 135MM,3151.0,3151.0,472.65,3151.0,30
HCPCS,C1713,PLATE BN 16X10X.5MM,1546.0,1546.0,231.9,1546.0,30
HCPCS,C1713,PLATE BN 170X13.5X4.2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 17H 2MM,11468.0,11468.0,1720.2,11468.0,30
HCPCS,C1713,PLATE BN 17MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE BN 17X10X.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 18.4X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 18.5MM,2908.0,2908.0,436.2,2908.0,30
HCPCS,C1713,PLATE BN 18H 0.7MM,3768.0,3768.0,565.2,3768.0,30
HCPCS,C1713,PLATE BN 18HL 4.5X332MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 18HL 43X.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 18HL 46X23MM,4124.0,4124.0,618.6,4124.0,30
HCPCS,C1713,PLATE BN 18MM 2Y CRNMXF,1612.0,1612.0,241.8,1612.0,30
HCPCS,C1713,PLATE BN 18X18X2MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN 190MM 4.5MM,6630.0,6630.0,994.5,6630.0,30
HCPCS,C1713,PLATE BN 195X11.4X3.4MM,13459.0,13459.0,2018.85,13459.0,30
HCPCS,C1713,PLATE BN 1HL RT 69MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN 1LVL SKNLC 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 1MM 14HL,3775.0,3775.0,566.25,3775.0,30
HCPCS,C1713,PLATE BN 1ST REV LT,8836.0,8836.0,1325.4,8836.0,30
HCPCS,C1713,PLATE BN 1STP 135D 270MM,4277.0,4277.0,641.55,4277.0,30
HCPCS,C1713,PLATE BN 1X3HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 1X3HL 1.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2 HL 3.5X 20MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN 2 HL 3.5X 25MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN 2 HL 3.5X 30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN 2-ANG SM 2.5MM,9325.0,9325.0,1398.75,9325.0,30
HCPCS,C1713,PLATE BN 2.4/2.7MM 27MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.4/2.7MM 35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.4MM 170MM,773.0,773.0,115.95,773.0,30
HCPCS,C1713,PLATE BN 2.4MM 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.4MM 24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.4MM 30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.4MM 57MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2.4MM 58MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 2.4MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2.5MM,13616.0,13616.0,2042.4,13616.0,30
HCPCS,C1713,PLATE BN 2.5MM 208MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.5X11X116MM,5129.0,5129.0,769.35,5129.0,30
HCPCS,C1713,PLATE BN 2.6MM,4584.0,4584.0,687.6,4584.0,30
HCPCS,C1713,PLATE BN 2.7-3.5MM 73MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.7-3.5X120MM,5692.0,5692.0,853.8,5692.0,30
HCPCS,C1713,PLATE BN 2.7/3.5 69MM 2M,3900.0,3900.0,585.0,3900.0,30
HCPCS,C1713,PLATE BN 2.7/3.5 MM 82MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 103MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 129MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 130MM,9915.0,9915.0,1487.25,9915.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 134MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 177MM,4218.0,4218.0,632.7,4218.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 72MM,4907.0,4907.0,736.05,4907.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 82MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 83MM,8670.0,8670.0,1300.5,8670.0,30
HCPCS,C1713,PLATE BN 2.7/3.5MM 90MM,4429.0,4429.0,613.8,4478.0,90
HCPCS,C1713,PLATE BN 2.7/3.5X125MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.7/3.5X202MM,7398.0,7398.0,1109.7,7398.0,30
HCPCS,C1713,PLATE BN 2.7/3.5X93M 5H,7022.0,7022.0,1053.3,7022.0,30
HCPCS,C1713,PLATE BN 2.7MM 142MM,6446.0,6446.0,966.9,6446.0,30
HCPCS,C1713,PLATE BN 2.7MM 24MM,5047.0,5047.0,757.05,5047.0,30
HCPCS,C1713,PLATE BN 2.7MM 3.5MM,5307.0,5307.0,558.15,6893.0,60
HCPCS,C1713,PLATE BN 2.7MM 49MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2.7MM 73MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 2.7MM 75MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 2.7MM 82MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN 2.7MM 85MM,4684.5,4684.5,669.3,4907.0,90
HCPCS,C1713,PLATE BN 2.7MM 88MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN 2.7MM 97MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2.7MM 99MM,4147.0,4147.0,622.05,4147.0,30
HCPCS,C1713,PLATE BN 2.7X3.5X151MM,4123.0,4123.0,618.45,4123.0,30
HCPCS,C1713,PLATE BN 2.7X3.5X73MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2.7X66MM,3440.0,3440.0,516.0,3440.0,30
HCPCS,C1713,PLATE BN 2.8MM 11HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2/8HL 2.4X54MM,3354.0,3354.0,503.1,3354.0,30
HCPCS,C1713,PLATE BN 200-325 SQ CM,103638.0,103638.0,15545.7,103638.0,30
HCPCS,C1713,PLATE BN 200X200X.6MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 207MM 3.5MM,7303.0,7303.0,1095.45,7303.0,30
HCPCS,C1713,PLATE BN 20D 41MM 2.4MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 20H 2.7X140MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 20H 3X160MM,5688.0,5688.0,853.2,5688.0,30
HCPCS,C1713,PLATE BN 20HL 0.8MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 20HL2.3X158MM,5378.0,5378.0,806.7,5378.0,30
HCPCS,C1713,PLATE BN 20MM 1 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 220X13.5X3.7MM,7012.0,7012.0,1051.8,7012.0,30
HCPCS,C1713,PLATE BN 224X13.5X4.2MM,3403.0,3403.0,510.45,3403.0,30
HCPCS,C1713,PLATE BN 22MM 51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 236MM 9HL LCP,7598.0,7598.0,1139.7,7598.0,30
HCPCS,C1713,PLATE BN 240X14X3.8MM,3835.0,3835.0,575.25,3835.0,30
HCPCS,C1713,PLATE BN 24HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 24HL 1.3X95MM,3987.0,3987.0,598.05,3987.0,30
HCPCS,C1713,PLATE BN 26HL 2.5MM,5947.0,5947.0,892.05,5947.0,30
HCPCS,C1713,PLATE BN 2H 0.4MM 16MM,2689.0,2689.0,403.35,2689.0,30
HCPCS,C1713,PLATE BN 2H 1.5MM,18579.0,18579.0,2786.85,18579.0,30
HCPCS,C1713,PLATE BN 2H 15MM,702.0,702.0,105.3,702.0,30
HCPCS,C1713,PLATE BN 2H 2.4MM 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2H 2.7/3.5X82MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2H 58MM 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2H 73MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2H 8H 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2H 90MM,4478.0,4478.0,671.7,4478.0,30
HCPCS,C1713,PLATE BN 2HL,1251.0,1251.0,187.65,1251.0,30
HCPCS,C1713,PLATE BN 2HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2HL 1.6MM 14MM,1198.0,1198.0,179.7,1198.0,30
HCPCS,C1713,PLATE BN 2HL 15MM 15MM,4567.0,4567.0,685.05,4567.0,30
HCPCS,C1713,PLATE BN 2HL 2.4X2.7MM,4457.0,4457.0,668.55,4457.0,30
HCPCS,C1713,PLATE BN 2HL 2.4X27MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2HL 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2HL 20MM,652.0,652.0,97.8,652.0,30
HCPCS,C1713,PLATE BN 2HL 25MM,1021.0,1021.0,153.15,1021.0,30
HCPCS,C1713,PLATE BN 2HL 4X1.5MM,1512.0,1512.0,226.8,1512.0,30
HCPCS,C1713,PLATE BN 2HL 90MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2HL 91MM,6678.0,6678.0,1001.7,6678.0,30
HCPCS,C1713,PLATE BN 2LVL 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2LVL SKNLC 41MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2LVL SKNLC 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2MM 36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2MM 43MM,3600.0,3600.0,540.0,3600.0,30
HCPCS,C1713,PLATE BN 2MM 5MM,3078.0,3078.0,461.7,3078.0,30
HCPCS,C1713,PLATE BN 2MM STR FX MNDB,5400.0,5400.0,810.0,5400.0,30
HCPCS,C1713,PLATE BN 2MMX56MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE BN 2MMX76MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 2X2H 14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2X2H7X8X20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2X2HL .8MM 17MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2X2HL 0.6X23MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2X2HL 1.25MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2X2HL 1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2X2HL 23MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2X2HL 90D .7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2X3HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 2Y 18MM,2895.0,2895.0,434.25,2895.0,30
HCPCS,C1713,PLATE BN 2Y 6HL .4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3 HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3 HL 61MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 3.5MM 109MM,6776.0,6776.0,1016.4,6776.0,30
HCPCS,C1713,PLATE BN 3.5MM 115MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3.5MM 120MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3.5MM 127MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1713,PLATE BN 3.5MM 138MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3.5MM 142MM,5589.0,5589.0,838.35,5589.0,30
HCPCS,C1713,PLATE BN 3.5MM 147MM,5817.0,5817.0,872.55,5817.0,30
HCPCS,C1713,PLATE BN 3.5MM 159MM,6695.0,6695.0,1004.25,6695.0,30
HCPCS,C1713,PLATE BN 3.5MM 163MM,7251.0,7251.0,1087.65,7251.0,30
HCPCS,C1713,PLATE BN 3.5MM 168MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 3.5MM 189MM,9005.0,9005.0,1350.75,9005.0,30
HCPCS,C1713,PLATE BN 3.5MM 199MM,7527.0,7527.0,1129.05,7527.0,30
HCPCS,C1713,PLATE BN 3.5MM 214MM,4279.0,4279.0,641.85,4279.0,30
HCPCS,C1713,PLATE BN 3.5MM 263MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 3.5MM 267MM,4342.0,4342.0,651.3,4342.0,30
HCPCS,C1713,PLATE BN 3.5MM 268MM,6448.0,6448.0,967.2,6448.0,30
HCPCS,C1713,PLATE BN 3.5MM 34MM,5972.0,5972.0,895.8,5972.0,30
HCPCS,C1713,PLATE BN 3.5MM 56MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3.5MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3.5MM 6HL,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1713,PLATE BN 3.5MM 91MM,5717.0,5717.0,804.45,6071.0,60
HCPCS,C1713,PLATE BN 3.5MM 98MM,3234.0,3234.0,485.1,3234.0,30
HCPCS,C1713,PLATE BN 3.5MM 9MM,7398.0,7398.0,1109.7,7398.0,30
HCPCS,C1713,PLATE BN 3.5X117MM 8HL,7398.0,7398.0,1109.7,7398.0,30
HCPCS,C1713,PLATE BN 3.5X133MM,5870.0,5870.0,880.5,5870.0,30
HCPCS,C1713,PLATE BN 3/6HL 22MM 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3/7HL 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3/8HL 1.5X46MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3/8HL 2.4X54MM,3569.0,3569.0,535.35,3569.0,30
HCPCS,C1713,PLATE BN 3/8HL 2.4X56MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 37-35MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE BN 38.5X10X1.5MM,3474.0,3474.0,521.1,3474.0,30
HCPCS,C1713,PLATE BN 38MM 45MM,5830.0,5830.0,874.5,5830.0,30
HCPCS,C1713,PLATE BN 3D LEFT,4119.0,4119.0,617.85,4119.0,30
HCPCS,C1713,PLATE BN 3D RIGHT,4119.0,4119.0,617.85,4119.0,30
HCPCS,C1713,PLATE BN 3H 0.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3H 109MM 3.5MM,7620.0,7620.0,1143.0,7620.0,30
HCPCS,C1713,PLATE BN 3H 3.5MM 62MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 3H 51.3X24.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3H 7H 1.3MM 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3H 86MM,5984.0,5984.0,897.6,5984.0,30
HCPCS,C1713,PLATE BN 3HL .75MM 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3HL 1.3MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3HL 17MM,652.0,652.0,97.8,652.0,30
HCPCS,C1713,PLATE BN 3HL 2.4MM,4131.0,4131.0,619.65,4131.0,60
HCPCS,C1713,PLATE BN 3HL 2.7 34MM,652.0,652.0,97.8,652.0,30
HCPCS,C1713,PLATE BN 3HL 2.7MM 34MM,864.0,864.0,129.6,864.0,30
HCPCS,C1713,PLATE BN 3HL 2.7MM 79MM,3978.0,3978.0,558.15,4235.0,60
HCPCS,C1713,PLATE BN 3HL 2.7MM 92MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 3HL 21.6X48.9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3HL 24.4X51.3MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3HL 3.5MM 109MM,5969.0,5969.0,895.35,5969.0,30
HCPCS,C1713,PLATE BN 3HL 3.5MM 90MM,5200.0,5200.0,780.0,5200.0,30
HCPCS,C1713,PLATE BN 3HL 3.5X87MM,3230.0,3230.0,484.5,3230.0,30
HCPCS,C1713,PLATE BN 3HL 77MM,3963.0,3963.0,524.55,4429.0,60
HCPCS,C1713,PLATE BN 3HL73X2.7/3.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 3LVL SKNLC 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3X2H LT 23X.7MM,2559.0,2559.0,383.85,2559.0,30
HCPCS,C1713,PLATE BN 3X2HL 23MM,1495.0,1495.0,224.25,1495.0,30
HCPCS,C1713,PLATE BN 3X3H 1.25MM,3575.0,3575.0,536.25,3575.0,30
HCPCS,C1713,PLATE BN 3X3H 1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 3X3HL 1.0MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3X3HL 1.5MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE BN 3X3HL 1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3X3HL 5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3X3HL LT 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3X3HL RT 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3X4H .5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3X4HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 3X8H 1.6MM 44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4 HL .55X1.7MM,1922.0,1922.0,288.3,1922.0,30
HCPCS,C1713,PLATE BN 4 HL 2X31MM,2950.0,2950.0,442.5,2950.0,30
HCPCS,C1713,PLATE BN 4 HL 3.5MM 87MM,6340.0,6340.0,951.0,6340.0,30
HCPCS,C1713,PLATE BN 4 HL 3.5X 20MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN 4 HL 3.5X 25MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN 4 HL 3.5X 30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN 4.1MM 2MM,4085.0,4085.0,612.75,4085.0,30
HCPCS,C1713,PLATE BN 4.2X13.5X224MM,3920.0,3920.0,588.0,3920.0,30
HCPCS,C1713,PLATE BN 4.5 6H 115MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4.5/5MM 147MM,3923.0,3923.0,588.45,3923.0,30
HCPCS,C1713,PLATE BN 4.5MM 119MM,2605.0,2605.0,390.75,2605.0,30
HCPCS,C1713,PLATE BN 4.5MM 142MM,1880.0,1880.0,282.0,1880.0,30
HCPCS,C1713,PLATE BN 4.5MM 159MM,6203.0,6203.0,930.45,6203.0,30
HCPCS,C1713,PLATE BN 4.5MM 170MM,5434.5,5434.5,544.05,7242.0,60
HCPCS,C1713,PLATE BN 4.5MM 193MM,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1713,PLATE BN 4.5MM 230MM,6642.0,6642.0,996.3,6642.0,60
HCPCS,C1713,PLATE BN 4.5MM 234MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN 4.5MM 286MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN 4.5MM 296MM,4263.0,4263.0,639.45,4263.0,30
HCPCS,C1713,PLATE BN 4.5MM 301MM,8156.0,8156.0,1223.4,8156.0,30
HCPCS,C1713,PLATE BN 4.5MM 342MM,10557.0,10557.0,1583.55,10557.0,30
HCPCS,C1713,PLATE BN 4.5MM 399MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN 4.5X188MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4.5X5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 40MM 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 40X 2.7MM,4654.0,4654.0,698.1,4654.0,30
HCPCS,C1713,PLATE BN 40X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 40X40MM OSTFRM,4621.0,4621.0,693.15,4621.0,30
HCPCS,C1713,PLATE BN 42X6.5X1.3MM,4926.0,4926.0,738.9,4926.0,30
HCPCS,C1713,PLATE BN 44X1.3X2MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 46MM 2HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 48-51MM TI HL,26574.0,26574.0,3986.1,26574.0,30
HCPCS,C1713,PLATE BN 4H,319.0,319.0,47.85,319.0,30
HCPCS,C1713,PLATE BN 4H .4X10X10X10,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H 0.4MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,PLATE BN 4H 1.5MM 28MM,3215.0,3215.0,482.25,3215.0,30
HCPCS,C1713,PLATE BN 4H 10X16X.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H 136MM,2873.0,2873.0,430.95,2873.0,30
HCPCS,C1713,PLATE BN 4H 16MM 84MM,5227.0,5227.0,764.1,5360.0,60
HCPCS,C1713,PLATE BN 4H 1MM 30MM,1572.0,1572.0,235.8,1572.0,30
HCPCS,C1713,PLATE BN 4H 2.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H 2.4MM 36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H 2.7/3.5MM,5576.0,5576.0,716.7,6374.0,60
HCPCS,C1713,PLATE BN 4H 2.7/3.5X82MM,6782.0,6782.0,1017.3,6782.0,30
HCPCS,C1713,PLATE BN 4H 2.7MM 33MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H 2/2.5MM 4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H 23X232MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN 4H 27X8X3.5MM,4584.0,4584.0,687.6,4584.0,30
HCPCS,C1713,PLATE BN 4H 2MM 5MM,4085.0,4085.0,612.75,4085.0,30
HCPCS,C1713,PLATE BN 4H 3.5MM 93MM,7010.0,7010.0,1051.5,7010.0,30
HCPCS,C1713,PLATE BN 4H 30MM,4859.0,4859.0,728.85,4859.0,30
HCPCS,C1713,PLATE BN 4H 58.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H 78MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H 80MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4H 89MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 4H CVR 6MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,PLATE BN 4H FX BAR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4H LT 56MM,5465.0,5465.0,819.75,5465.0,30
HCPCS,C1713,PLATE BN 4HL,3329.0,3329.0,499.35,3329.0,30
HCPCS,C1713,PLATE BN 4HL .5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 0.6MM 20MM,476.0,476.0,71.4,476.0,30
HCPCS,C1713,PLATE BN 4HL 0.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 0.8MM,2093.0,2093.0,313.95,2093.0,30
HCPCS,C1713,PLATE BN 4HL 1.1MM,3534.0,3534.0,530.1,3534.0,60
HCPCS,C1713,PLATE BN 4HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 1.3MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 1.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL 1.5MMX34MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL 1.8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 109MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL 10MM 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 115MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 4HL 116MM,4478.0,4478.0,671.7,4478.0,30
HCPCS,C1713,PLATE BN 4HL 127MM 3.5MM,7132.0,7132.0,1069.8,7132.0,30
HCPCS,C1713,PLATE BN 4HL 135D 78MM,3327.0,3327.0,499.05,3327.0,30
HCPCS,C1713,PLATE BN 4HL 140D 78MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL 150D 78MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 15MM,4859.0,4859.0,728.85,4859.0,30
HCPCS,C1713,PLATE BN 4HL 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 190MM 4.5MM,5929.0,5929.0,889.35,5929.0,30
HCPCS,C1713,PLATE BN 4HL 2.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 2.4MM 31MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 2.7MM 41MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 2.7X3.5MM,4092.0,4092.0,613.8,4092.0,30
HCPCS,C1713,PLATE BN 4HL 23MM,1039.0,1039.0,155.85,1039.0,30
HCPCS,C1713,PLATE BN 4HL 24.4X59.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL 24MM .4MM,1083.0,1083.0,162.45,1083.0,30
HCPCS,C1713,PLATE BN 4HL 2MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL 2MM 24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 3.5MM 46MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 3.5X127MM,7172.0,7172.0,1075.8,7172.0,30
HCPCS,C1713,PLATE BN 4HL 4.5MM 175MM,6476.0,6476.0,971.4,6476.0,30
HCPCS,C1713,PLATE BN 4HL 5MM 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 5X10X0.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 71MM,746.0,746.0,111.9,746.0,30
HCPCS,C1713,PLATE BN 4HL 79MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL 7MM 5X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4HL 86MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL 89MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 4HL LT 2.7MM,4032.0,4032.0,604.8,4032.0,30
HCPCS,C1713,PLATE BN 4MM 6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4X6 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4X6H 0.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 4X6H LT 0.8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 5 HL 5 PEG FXNG,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN 5 HL 7 PEG,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN 5.2X17.5X242MM,7439.0,7439.0,1115.85,7439.0,30
HCPCS,C1713,PLATE BN 5.2X17.5X300MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 5.2X17.5X314MM,8053.0,8053.0,1207.95,8053.0,30
HCPCS,C1713,PLATE BN 5.5X97MM PRX LA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 50MM 74MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 54MM 2MM,3968.0,3968.0,595.2,3968.0,30
HCPCS,C1713,PLATE BN 56MM 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 57X9X1MM,1923.0,1923.0,288.45,1923.0,30
HCPCS,C1713,PLATE BN 5CBL 200MM,3832.0,3832.0,574.8,3832.0,30
HCPCS,C1713,PLATE BN 5D LG 57MM,5260.0,5260.0,789.0,5260.0,30
HCPCS,C1713,PLATE BN 5H 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 5H 2.7/3.5X99MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 5H 2.7MM 105MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 5H 3.5MM 114MM,5364.0,5364.0,804.6,5364.0,30
HCPCS,C1713,PLATE BN 5H 3.5MM 147MM,7292.0,7292.0,1093.8,7292.0,30
HCPCS,C1713,PLATE BN 5H 3.5MM 72MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 5H 3.5MM 90MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 5H 3.5MM 99MM,3624.0,3624.0,543.6,3624.0,30
HCPCS,C1713,PLATE BN 5H 91MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,PLATE BN 5HL,4859.0,4859.0,664.35,8157.0,90
HCPCS,C1713,PLATE BN 5HL 0.4MM,3136.0,3136.0,470.4,3136.0,30
HCPCS,C1713,PLATE BN 5HL 101X10X2MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 5HL 135D 94MM,3709.0,3709.0,556.35,3709.0,30
HCPCS,C1713,PLATE BN 5HL 2.0MM 29MM,1076.0,1076.0,161.4,1076.0,30
HCPCS,C1713,PLATE BN 5HL 2.0MM 38MM,2950.0,2950.0,442.5,2950.0,30
HCPCS,C1713,PLATE BN 5HL 2.4MM,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE BN 5HL 3.5/4.5MM,8822.0,8822.0,1323.3,8822.0,30
HCPCS,C1713,PLATE BN 5HL 3.5MM,7051.0,7051.0,1057.65,7051.0,30
HCPCS,C1713,PLATE BN 5HL 3.5MM 145MM,7051.0,7051.0,1057.65,7051.0,30
HCPCS,C1713,PLATE BN 5HL 3.5MM 70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 5HL 4.5X98MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 5HL 61MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 5HL 87MM,780.0,780.0,117.0,780.0,30
HCPCS,C1713,PLATE BN 5HL 8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 5HL 91MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 5HL 94MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,PLATE BN 5HL LT 90MM,4662.0,4662.0,699.3,4662.0,30
HCPCS,C1713,PLATE BN 5HL RT 2.7MM,3833.0,3833.0,574.95,3833.0,30
HCPCS,C1713,PLATE BN 5PEG RT 5HL,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1713,PLATE BN 5X12HL 2.4MM,8294.0,8294.0,1244.1,8294.0,30
HCPCS,C1713,PLATE BN 63IN,30981.0,30981.0,4647.15,30981.0,30
HCPCS,C1713,PLATE BN 69MM 2.7/3.5MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN 69X9X1MM,1923.0,1923.0,288.45,1923.0,30
HCPCS,C1713,PLATE BN 6H,3809.0,3809.0,478.35,4429.0,90
HCPCS,C1713,PLATE BN 6H .5MM,2808.0,2808.0,421.2,2808.0,30
HCPCS,C1713,PLATE BN 6H 0.4MM 18MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6H 1.5MM,3248.0,3248.0,487.2,3248.0,30
HCPCS,C1713,PLATE BN 6H 113MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 6H 117MM 3.5MM,6409.0,6409.0,961.35,6409.0,30
HCPCS,C1713,PLATE BN 6H 12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6H 142MM,4814.0,4814.0,722.1,4814.0,30
HCPCS,C1713,PLATE BN 6H 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 6H 2.4MM 75MM,4755.0,4755.0,713.25,4755.0,30
HCPCS,C1713,PLATE BN 6H 2.7/3.5X112,4289.0,4289.0,643.35,4289.0,30
HCPCS,C1713,PLATE BN 6H 23MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6H 29MM 3.5MM,4548.0,4548.0,682.2,4548.0,30
HCPCS,C1713,PLATE BN 6H 3.5MM 116MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 6H 3.5MM 158MM,6173.0,6173.0,925.95,6173.0,30
HCPCS,C1713,PLATE BN 6H 3.5X77MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6H 4.5MM 159MM,6203.0,6203.0,930.45,6203.0,30
HCPCS,C1713,PLATE BN 6H 58MM 2.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6H 6.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 6H 90.5MM,3455.0,3455.0,478.35,3721.0,90
HCPCS,C1713,PLATE BN 6H LT 3.5X85MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 6HL 0.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 1.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 6HL 103MM,826.0,826.0,123.9,826.0,30
HCPCS,C1713,PLATE BN 6HL 104MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE BN 6HL 110MM,3305.0,3305.0,478.35,3421.0,60
HCPCS,C1713,PLATE BN 6HL 112MM,3874.0,3874.0,581.1,3874.0,30
HCPCS,C1713,PLATE BN 6HL 116MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 118MM 2.7MM,4150.0,4150.0,622.5,4150.0,30
HCPCS,C1713,PLATE BN 6HL 150D 110MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 16MM,2500.0,2500.0,375.0,2500.0,30
HCPCS,C1713,PLATE BN 6HL 18MM,2185.0,2185.0,327.75,2185.0,30
HCPCS,C1713,PLATE BN 6HL 1MM 8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 2.0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 6HL 2.4MM,4396.5,4396.5,654.6,4429.0,90
HCPCS,C1713,PLATE BN 6HL 2.4MM 47MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 6HL 2.4MM 51MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE BN 6HL 2.4MM 54MM,4783.0,4783.0,717.45,4783.0,60
HCPCS,C1713,PLATE BN 6HL 2.4MM 66MM,5195.0,5195.0,779.25,5195.0,30
HCPCS,C1713,PLATE BN 6HL 2.4MM 75MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1713,PLATE BN 6HL 2.4X36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 2.4X37MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 6HL 2.7/3.5MM,6273.0,6273.0,724.8,7714.0,60
HCPCS,C1713,PLATE BN 6HL 2.7MM 59MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 2MM,3848.5,3848.5,558.15,3976.0,60
HCPCS,C1713,PLATE BN 6HL 2MM 45MM,2950.0,2950.0,442.5,2950.0,30
HCPCS,C1713,PLATE BN 6HL 3.5MM 100MM,9673.0,9673.0,1450.95,9673.0,30
HCPCS,C1713,PLATE BN 6HL 3.5MM 119MM,7192.5,7192.5,1065.0,7285.0,60
HCPCS,C1713,PLATE BN 6HL 3.5MM 158MM,5623.0,5623.0,843.45,5623.0,30
HCPCS,C1713,PLATE BN 6HL 3.5MM 194MM,5966.0,5966.0,894.9,5966.0,30
HCPCS,C1713,PLATE BN 6HL 3.5MM 70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 3.5MM 78MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 3.5MM 84MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 3.5X160MM,5632.0,5632.0,844.8,5632.0,30
HCPCS,C1713,PLATE BN 6HL 3.5X70MM,2658.5,2658.5,319.2,3189.0,60
HCPCS,C1713,PLATE BN 6HL 3.5X85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL 4.5MM 142MM,5533.0,5533.0,829.95,5533.0,30
HCPCS,C1713,PLATE BN 6HL 4.5X116MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,PLATE BN 6HL 4MM 147MM,5516.0,5516.0,827.4,5516.0,30
HCPCS,C1713,PLATE BN 6HL 5.0MM 166MM,5402.0,5402.0,810.3,5402.0,30
HCPCS,C1713,PLATE BN 6HL 6MM,3268.0,3268.0,490.2,3268.0,30
HCPCS,C1713,PLATE BN 6HL 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 6HL 94MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 6HL LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 6HL MDFC .6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 73MM 2.7/3.5MM,4075.0,4075.0,558.15,4429.0,60
HCPCS,C1713,PLATE BN 75X10X1.5X3.5MM,2802.0,2802.0,420.3,2802.0,30
HCPCS,C1713,PLATE BN 77MM,7468.0,7468.0,1120.2,7468.0,30
HCPCS,C1713,PLATE BN 78IN,17694.0,17694.0,2654.1,17694.0,30
HCPCS,C1713,PLATE BN 7H,7376.0,7376.0,478.35,8351.0,90
HCPCS,C1713,PLATE BN 7H 127MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN 7H 140MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE BN 7H 2.7X3.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 7H 3.5MM 125MM,4273.0,4273.0,640.95,4273.0,30
HCPCS,C1713,PLATE BN 7H 4.5MM 134MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 7H 97MM,2356.0,2356.0,353.4,2356.0,30
HCPCS,C1713,PLATE BN 7H SM 1.6MM,3579.0,3579.0,536.85,3579.0,30
HCPCS,C1713,PLATE BN 7HL 0.5MM 1.6MM,1809.0,1809.0,271.35,1809.0,30
HCPCS,C1713,PLATE BN 7HL 1.6MM,3384.0,3384.0,478.35,3579.0,60
HCPCS,C1713,PLATE BN 7HL 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 7HL 119MM,894.0,894.0,134.1,894.0,30
HCPCS,C1713,PLATE BN 7HL 14MM,5138.0,5138.0,770.7,5138.0,30
HCPCS,C1713,PLATE BN 7HL 2.0X103MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 7HL 2.4MM,4032.0,4032.0,545.25,4429.0,60
HCPCS,C1713,PLATE BN 7HL 2.4MM 55MM,4545.0,4545.0,681.75,4545.0,30
HCPCS,C1713,PLATE BN 7HL 2.4MM 68MM,5512.0,5512.0,826.8,5512.0,30
HCPCS,C1713,PLATE BN 7HL 2.4X68MM,4587.0,4587.0,688.05,4587.0,30
HCPCS,C1713,PLATE BN 7HL 2.7MM 67MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 7HL 2.7X68MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 7HL 2X46MM,4011.0,4011.0,601.65,4011.0,30
HCPCS,C1713,PLATE BN 7HL 3.5X106MM,6724.0,6724.0,1008.6,6724.0,30
HCPCS,C1713,PLATE BN 7HL 4.5MM 134MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 7HL 96X2MM,3495.0,3495.0,524.25,3495.0,30
HCPCS,C1713,PLATE BN 7HL LT 110MM,5019.0,5019.0,752.85,5019.0,30
HCPCS,C1713,PLATE BN 7HL RT 110MM,5174.0,5174.0,776.1,5174.0,30
HCPCS,C1713,PLATE BN 7PEG 3HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN 7X.8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 7X23HL 2.0MM,7482.0,7482.0,1122.3,7482.0,30
HCPCS,C1713,PLATE BN 7X23HL LT 2.8MM,25114.0,25114.0,3767.1,25114.0,30
HCPCS,C1713,PLATE BN 8 HOLE 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8.3MM 31MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 80MM 12HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 80X22.4X3.8MM,6857.0,6857.0,1028.55,6857.0,30
HCPCS,C1713,PLATE BN 80X80X.6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 81X9X1MM,1962.0,1962.0,294.3,1962.0,30
HCPCS,C1713,PLATE BN 82MM 3.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 85X53X0.3MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 87MM 3.5MM,5667.0,5667.0,850.05,5667.0,30
HCPCS,C1713,PLATE BN 8H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8H 128MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8H 145M 3.5MM,5840.0,5840.0,876.0,5840.0,30
HCPCS,C1713,PLATE BN 8H 2.0MM 48MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8H 2.4X68MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8H 3.5/4.5MM,10361.0,10361.0,1456.5,11012.0,60
HCPCS,C1713,PLATE BN 8H 3.5MM 94MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8H 3.5X128MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8H 4.5MM 195MM,7156.0,7156.0,1073.4,7156.0,30
HCPCS,C1713,PLATE BN 8H 70MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 8HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8HL 1.5MM 44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 104MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 108X2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 122.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 142MM,4324.0,4324.0,648.6,4324.0,30
HCPCS,C1713,PLATE BN 8HL 148MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 152MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 172MM,6893.0,6893.0,1033.95,6893.0,30
HCPCS,C1713,PLATE BN 8HL 194MM 3.5MM,5966.0,5966.0,894.9,5966.0,30
HCPCS,C1713,PLATE BN 8HL 196X3.5MM,5848.0,5848.0,877.2,5848.0,30
HCPCS,C1713,PLATE BN 8HL 1MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 8HL 2.4MM 57MM,3554.0,3554.0,533.1,3554.0,30
HCPCS,C1713,PLATE BN 8HL 2.4MM 63MM,3831.0,3831.0,574.65,3831.0,30
HCPCS,C1713,PLATE BN 8HL 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8HL 2.7MM 61MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 2.7MM 64MM,4136.0,4136.0,620.4,4136.0,30
HCPCS,C1713,PLATE BN 8HL 240MM,9673.0,9673.0,1450.95,9673.0,30
HCPCS,C1713,PLATE BN 8HL 246MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8HL 2MM 48MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 2MM 53MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 3.5MM 102MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 3.5MM 112MM,3376.0,3376.0,506.4,3376.0,30
HCPCS,C1713,PLATE BN 8HL 3.5MM 117MM,9130.0,9130.0,1369.5,9130.0,30
HCPCS,C1713,PLATE BN 8HL 3.5MM 196MM,6021.0,6021.0,903.15,6021.0,30
HCPCS,C1713,PLATE BN 8HL 3.5MM 199MM,7527.0,7527.0,1129.05,7527.0,30
HCPCS,C1713,PLATE BN 8HL 3.5MM 4.5MM,9710.0,9710.0,1456.5,9710.0,30
HCPCS,C1713,PLATE BN 8HL 3.5X194MM,5426.0,5426.0,813.9,5426.0,30
HCPCS,C1713,PLATE BN 8HL 3.5X93MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 8HL 4.5MM 152MM,3308.5,3308.5,489.45,3354.0,60
HCPCS,C1713,PLATE BN 8HL 4.5MM 195MM,7156.0,7156.0,1073.4,7156.0,30
HCPCS,C1713,PLATE BN 8HL 4MM 173MM,5360.0,5360.0,804.0,5360.0,30
HCPCS,C1713,PLATE BN 8HL 4X96MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 8HL 94.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 98MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 8HL 99MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8HL LG LT,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE BN 8HL LG RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8HL LT,4514.0,4514.0,677.1,4514.0,30
HCPCS,C1713,PLATE BN 8HL RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8HL RT 115MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 8X6HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 90D 2/3HL 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 90X90 OSTFM CRN,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,PLATE BN 90X90MM OSTFRM,8175.0,8175.0,1226.25,8175.0,30
HCPCS,C1713,PLATE BN 93X9X1MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,PLATE BN 95D 10HL 178MM,4229.0,4229.0,634.35,4229.0,30
HCPCS,C1713,PLATE BN 95D 14HL 242MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 95D 16HL 274MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 95D 6HL 114MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN 95D 8HL 146MM,4229.0,4229.0,634.35,4229.0,30
HCPCS,C1713,PLATE BN 98X11X3.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 9H 133MM,5271.0,5271.0,790.65,5271.0,30
HCPCS,C1713,PLATE BN 9H 3.5/4.5MM,9249.0,9249.0,1387.35,9249.0,30
HCPCS,C1713,PLATE BN 9H 4.5X16X151MM,3151.0,3151.0,472.65,3151.0,30
HCPCS,C1713,PLATE BN 9HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN 9HL 130MM LT,5604.0,5604.0,840.6,5604.0,30
HCPCS,C1713,PLATE BN 9HL 151MM,4123.0,4123.0,618.45,4123.0,30
HCPCS,C1713,PLATE BN 9HL 2.7-3.5X151,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN 9HL 238MM,5286.0,5286.0,792.9,5286.0,30
HCPCS,C1713,PLATE BN 9HL 3.5/4.5MM,10489.0,10489.0,1573.35,10489.0,30
HCPCS,C1713,PLATE BN 9HL 3.5X125MM,5064.0,5064.0,759.6,5064.0,30
HCPCS,C1713,PLATE BN 9HL LFT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN 9MM 13MM,2895.0,2895.0,434.25,2895.0,30
HCPCS,C1713,PLATE BN ACTB 6HL 70.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN ADP 20H 4MM,3956.0,3956.0,593.4,3956.0,30
HCPCS,C1713,PLATE BN ANG 2.5MM MNDB,30064.0,30064.0,4509.6,30064.0,30
HCPCS,C1713,PLATE BN ANK ANT RT STD,8928.0,8928.0,1339.2,8928.0,30
HCPCS,C1713,PLATE BN ANK FX STR 14H,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN ANKL 7HL 83MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN ANKL LT ANT,9191.0,9191.0,1378.65,9191.0,30
HCPCS,C1713,PLATE BN ANKL OFST 3DI,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN ANKL RT ANT,9191.0,9191.0,1378.65,9191.0,30
HCPCS,C1713,PLATE BN ANT CP RT,11542.0,11542.0,1731.3,11542.0,30
HCPCS,C1713,PLATE BN ANT LAT 8HL,4185.0,4185.0,627.75,4185.0,30
HCPCS,C1713,PLATE BN ANTMCL 3D .4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN ASMBLY SIZE 30,17278.0,17278.0,2591.7,17278.0,30
HCPCS,C1713,PLATE BN BLU 2X3HL 9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN BRD HLS 7H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN BRIDGE,6843.0,6843.0,1026.45,6843.0,30
HCPCS,C1713,PLATE BN BRIDGE 4HL,4099.0,4099.0,614.85,4099.0,30
HCPCS,C1713,PLATE BN BRIDGE 6HL,4241.0,4241.0,636.15,4241.0,30
HCPCS,C1713,PLATE BN BROAD STR 2HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN BROAD STR 3H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN BROAD Y 4HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN BTRS SPN 25MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE BN BUR CVR LG 26MM,3128.0,3128.0,469.2,3128.0,30
HCPCS,C1713,PLATE BN BUR H XLG 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CALC LG,4313.0,4313.0,646.95,4313.0,30
HCPCS,C1713,PLATE BN CALC MED,4313.0,4313.0,646.95,4313.0,30
HCPCS,C1713,PLATE BN CERT L1 14MM,4479.0,4479.0,671.85,4479.0,30
HCPCS,C1713,PLATE BN CLAV 8HL LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN CLAV LFT THIRD,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN CLAV LT 2.7MM,4921.0,4921.0,738.15,4921.0,30
HCPCS,C1713,PLATE BN CLSR SYS JL 8H,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE BN CLV LT 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN CLV RT 7H 120MM,4167.0,4167.0,625.05,4167.0,30
HCPCS,C1713,PLATE BN CLVCL LT 11HL,4185.0,4185.0,627.75,4185.0,30
HCPCS,C1713,PLATE BN CLVCL LT 130MM,4790.0,4790.0,718.5,4790.0,30
HCPCS,C1713,PLATE BN CLVCL LT 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN CLVCL RT 2.7MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,PLATE BN CMF 18HL 0.4MM,3768.0,3768.0,565.2,3768.0,30
HCPCS,C1713,PLATE BN CMF 26HL 190MM,8079.0,8079.0,1211.85,8079.0,30
HCPCS,C1713,PLATE BN CMF 2HL 17MM,946.0,946.0,141.9,946.0,30
HCPCS,C1713,PLATE BN CMF 2HL MED,1135.0,1135.0,170.25,1135.0,30
HCPCS,C1713,PLATE BN CMF 2X2HL 1.0MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CMF 3X4HL 0.8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CMF 41X42MM,5448.0,5448.0,817.2,5448.0,30
HCPCS,C1713,PLATE BN CMF 4X6HL 0.8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CMF 6HL 18MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CMF STR 5HL,2449.0,2449.0,367.35,2449.0,30
HCPCS,C1713,PLATE BN CMF STRT 4HL,2182.0,2182.0,327.3,2182.0,30
HCPCS,C1713,PLATE BN CMG LVL1 7HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CMP 2.7MM 20MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN CMPR 10HL 126MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN CMPR 11H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN CMPR 20X20MM,4859.0,4859.0,728.85,4859.0,30
HCPCS,C1713,PLATE BN CMPR 8H 67MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CMPR 9HL 164MM,2383.0,2383.0,357.45,2383.0,30
HCPCS,C1713,PLATE BN CNRNFCL LF,40864.0,40864.0,6129.6,40864.0,30
HCPCS,C1713,PLATE BN CNT 88X10.9X2.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN CNTR 3HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN COMP 6HL 1.1MM,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE BN CORONOID RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN CRNF 4HL 1X6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNFCL 12H 94MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN CRNFCL 12HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN CRNFCL 2MM,42599.0,42599.0,6389.85,42599.0,30
HCPCS,C1713,PLATE BN CRNFCL 3LVL 2H,1413.0,1413.0,211.95,1413.0,30
HCPCS,C1713,PLATE BN CRNFCL 6H 6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNFCL 6HL 1X35,2743.0,2743.0,411.45,2743.0,30
HCPCS,C1713,PLATE BN CRNFCL 7MM,2971.0,2971.0,445.65,2971.0,30
HCPCS,C1713,PLATE BN CRNFCL 9MM 14MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN CRNFCL LT 1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNFCL LT 3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNFCL LT 5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNFCL RT 0MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNFCL RT 3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNL 1.5MM,2310.0,2310.0,346.5,2310.0,30
HCPCS,C1713,PLATE BN CRNL 11HL 2.5MM,10056.0,10056.0,1508.4,10056.0,30
HCPCS,C1713,PLATE BN CRNL 2HL 17MM,1198.0,1198.0,179.7,1198.0,30
HCPCS,C1713,PLATE BN CRNL 7H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNL PEEK,35410.0,35410.0,5311.5,35410.0,30
HCPCS,C1713,PLATE BN CRNL- 2 HL 9MM,916.0,916.0,137.4,916.0,30
HCPCS,C1713,PLATE BN CRNM 3ANG 43X48,7809.0,7809.0,1171.35,7809.0,30
HCPCS,C1713,PLATE BN CRNM 6H 10X1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNM 6H 8X11MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRNMX 20HL .5MM,3406.0,3406.0,510.9,3406.0,30
HCPCS,C1713,PLATE BN CRNMXF .6MM 3MM,2976.0,2976.0,446.4,2976.0,30
HCPCS,C1713,PLATE BN CRNMXF .6X100MM,11348.0,11348.0,1702.2,11348.0,30
HCPCS,C1713,PLATE BN CRNMXF 0.6X12MM,1774.0,1774.0,266.1,1774.0,30
HCPCS,C1713,PLATE BN CRNMXF 10H 44MM,2842.0,2842.0,426.3,2842.0,30
HCPCS,C1713,PLATE BN CRNMXF 11HL,9515.0,9515.0,1427.25,9515.0,30
HCPCS,C1713,PLATE BN CRNMXF 14H,10385.0,10385.0,1557.75,10385.0,30
HCPCS,C1713,PLATE BN CRNMXF 20H .5MM,3956.0,3956.0,593.4,3956.0,30
HCPCS,C1713,PLATE BN CRNMXF 2HL 12MM,949.0,949.0,142.35,949.0,30
HCPCS,C1713,PLATE BN CRNMXF 6H 24MM,3047.0,3047.0,457.05,3047.0,30
HCPCS,C1713,PLATE BN CRPL WRIST MED,13654.0,13654.0,2048.1,13654.0,30
HCPCS,C1713,PLATE BN CRPL WRIST SM,19621.0,19621.0,2943.15,19621.0,30
HCPCS,C1713,PLATE BN CRRT 6H 1.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN CRV 10HL 3.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRV 14HL 289MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE BN CRV 1MM 1.5MM,3837.0,3837.0,575.55,3837.0,30
HCPCS,C1713,PLATE BN CRV 266MM 4.5MM,6949.0,6949.0,1042.35,6949.0,30
HCPCS,C1713,PLATE BN CRV 339MM 4.5MM,9992.0,9992.0,1498.8,9992.0,30
HCPCS,C1713,PLATE BN CRV 3D 6X2HL,3381.0,3381.0,507.15,3381.0,30
HCPCS,C1713,PLATE BN CRV 6HL 2X33X1,2743.0,2743.0,411.45,2743.0,30
HCPCS,C1713,PLATE BN CRV RT 5HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN CRV10HL.6X1.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CRVD UP 10HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CUBOID 2.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN CVR BUR LG 27MM,2833.0,2833.0,424.95,2833.0,30
HCPCS,C1713,PLATE BN DBL YPL 6HL 7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN DIST FEM LT 4H,5272.0,5272.0,790.8,5272.0,30
HCPCS,C1713,PLATE BN DIST ULNA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN DISTAL RT SHRT,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN DR RT 2MM 49MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN DRSL SHRT,5298.0,5298.0,794.7,5298.0,30
HCPCS,C1713,PLATE BN DRSL ULN 5 HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN DSTL TIB 4HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN EDGELOCK CALC,4522.0,4522.0,678.3,4522.0,30
HCPCS,C1713,PLATE BN ELB 9HL SHORT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN ELBOW LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN EXT 5HL LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN FEM 12H 278MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FEM 14HL 310MM,7716.0,7716.0,1157.4,7716.0,30
HCPCS,C1713,PLATE BN FEM 2H 133MM,7965.0,7965.0,1194.75,7965.0,30
HCPCS,C1713,PLATE BN FEM 4.5MM 226MM,11936.0,11936.0,1790.4,11936.0,30
HCPCS,C1713,PLATE BN FEM 4.5MM 277MM,7290.0,7290.0,1093.5,7290.0,30
HCPCS,C1713,PLATE BN FEM 4H 3.5MM,4852.0,4852.0,727.8,4852.0,30
HCPCS,C1713,PLATE BN FEM 5HL RT SZSM,9702.0,9702.0,1455.3,9702.0,30
HCPCS,C1713,PLATE BN FEM 9H 246MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FEM LFT 14HL,7716.0,7716.0,1157.4,7716.0,30
HCPCS,C1713,PLATE BN FEM LT13H 324MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FEM NAR,4883.0,4883.0,732.45,4883.0,30
HCPCS,C1713,PLATE BN FEM NK 1HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN FEM R 16H 343MM,11353.0,11353.0,1702.95,11353.0,30
HCPCS,C1713,PLATE BN FEM RT 318MM,12521.0,12521.0,1878.15,12521.0,30
HCPCS,C1713,PLATE BN FEM RT 9H 146MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FEM RT 9X245MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN FIB 112MM 3.5MM,3679.0,3679.0,551.85,3679.0,30
HCPCS,C1713,PLATE BN FIB 3.5X181MM,4398.0,4398.0,659.7,4398.0,30
HCPCS,C1713,PLATE BN FIB 4H RT 74MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN FIB 6H RT 103MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FIB 6HL 106MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN FIB 8HL 137MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN FIB LCK 6H,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN FIB LT DIST 4HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN FIB RT 155X3.5,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN FIB RT 7HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN FIB STR 12HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN FRAG DBL STK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN FSN LT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN FSN SHORT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FSN STD BEND,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FT ANKL 5HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN FT ANKL RT,6522.0,6522.0,978.3,6522.0,30
HCPCS,C1713,PLATE BN FT EXTRLK 2.7MM,5116.0,5116.0,767.4,5116.0,30
HCPCS,C1713,PLATE BN FULL 130MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN FULL ARTC 80MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FULL H 110MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN FULL MAXILLARY,48199.0,48199.0,7229.85,48199.0,30
HCPCS,C1713,PLATE BN FULL SLOT 80MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN FUS REV RT,8836.0,8836.0,1325.4,8836.0,30
HCPCS,C1713,PLATE BN FX RT 8H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN FX RT CNTRL 3RD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN GRIP 2HL 135MM,6086.0,6086.0,912.9,6086.0,30
HCPCS,C1713,PLATE BN GRIP 4HL 190MM,8903.0,8903.0,1335.45,8903.0,30
HCPCS,C1713,PLATE BN GRIP 6HL 245MM,12158.0,12158.0,1823.7,12158.0,30
HCPCS,C1713,PLATE BN GRIP SHRT 50MM,4518.0,4518.0,677.7,4518.0,30
HCPCS,C1713,PLATE BN H LT 1.5X22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN H LT 8HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN H RT 1.5X22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN HEAD 3HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN HIP 10H 154.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN HK 6HL LT 3.2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN HK RT 6HL 1.2MM,5662.0,5662.0,849.3,5662.0,30
HCPCS,C1713,PLATE BN HL 3.2X2.7MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN HMSPHR 28H 2.8,42785.0,42785.0,6417.75,42785.0,30
HCPCS,C1713,PLATE BN HND 4HL 1.5X2.3,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN HND SZ2,15679.0,15679.0,2351.85,15679.0,30
HCPCS,C1713,PLATE BN HOOK 4HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN HOOK LT 8HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN HUM 12H 202MM,7211.0,7211.0,1081.65,7211.0,30
HCPCS,C1713,PLATE BN HUM 16H 254MM,7680.0,7680.0,1152.0,7680.0,30
HCPCS,C1713,PLATE BN HUM 3H 86MM,5984.0,5984.0,897.6,5984.0,30
HCPCS,C1713,PLATE BN HUM 4H 92MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN HUM 4H LT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN HUM 4H RT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN HUM 8HL 194MM,6494.0,6494.0,974.1,6494.0,30
HCPCS,C1713,PLATE BN HUM LT 151MM,9683.0,9683.0,1452.45,9683.0,30
HCPCS,C1713,PLATE BN HUM RT 4H 105MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN HUM RT 5H 145MM,7258.0,7258.0,1088.7,7258.0,30
HCPCS,C1713,PLATE BN HUM RT 8H 151MM,9862.0,9862.0,1479.3,9862.0,30
HCPCS,C1713,PLATE BN HUM TIT 3H,9461.0,9461.0,1419.15,9461.0,30
HCPCS,C1713,PLATE BN IMPL KIT LG,84497.0,84497.0,12674.55,84497.0,30
HCPCS,C1713,PLATE BN IPS CSTM 6AL-4V,9761.0,9761.0,1464.15,9761.0,30
HCPCS,C1713,PLATE BN JL STERNUM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN KN SM 2.7MM,7686.0,7686.0,1152.9,7686.0,30
HCPCS,C1713,PLATE BN L 100D 4HL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE BN L 18H 363MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN L 2.7/3.5MM90MM,3573.0,3573.0,535.95,3573.0,30
HCPCS,C1713,PLATE BN L 2X4HL 2MM,2408.0,2408.0,361.2,2408.0,30
HCPCS,C1713,PLATE BN L 3H 3.5MM 52MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN L RT 2X3HL 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LAB TIB 149MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN LAPDS RT STD,6085.0,6085.0,912.75,6085.0,30
HCPCS,C1713,PLATE BN LARGE 65X40.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LAT ANKL LT,8828.0,8828.0,1324.2,8828.0,30
HCPCS,C1713,PLATE BN LC DCP 3.5X155,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LCK 1.5X2.3MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK 10HL 187MM,8599.0,8599.0,1289.85,8599.0,30
HCPCS,C1713,PLATE BN LCK 11HL 1.8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK 12 HL 2.4MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE BN LCK 12H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LCK 12HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN LCK 13HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK 13HL 2.4MM,4859.0,4859.0,728.85,4859.0,30
HCPCS,C1713,PLATE BN LCK 13HL 245MM,5687.0,5687.0,853.05,5687.0,30
HCPCS,C1713,PLATE BN LCK 14HL 1.8MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN LCK 2.3MM,5128.0,5128.0,769.2,5128.0,30
HCPCS,C1713,PLATE BN LCK 2.4MM 8HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK 2.7MM 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK 20H 2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK 2MMX3.5MM,7733.0,7733.0,1159.95,7733.0,60
HCPCS,C1713,PLATE BN LCK 39HL 2MM,6864.0,6864.0,1029.6,6864.0,30
HCPCS,C1713,PLATE BN LCK 3H 7PEG,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1713,PLATE BN LCK 5HL 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LCK 6HL 2.7,9230.0,9230.0,1384.5,9230.0,30
HCPCS,C1713,PLATE BN LCK 6HL LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK 7 PEG 3 HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK 71MM 5HL,6972.0,6972.0,1045.8,6972.0,30
HCPCS,C1713,PLATE BN LCK 7HL 125MM,3834.0,3834.0,575.1,3834.0,30
HCPCS,C1713,PLATE BN LCK 8H 1.1MM,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE BN LCK 8H 1.8MM,3795.0,3795.0,569.25,3795.0,30
HCPCS,C1713,PLATE BN LCK 8H 132MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN LCK CRV 10HL,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN LCK LG 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LCK POLY LT,8334.0,8334.0,1250.1,8334.0,30
HCPCS,C1713,PLATE BN LCK STR 8 HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN LCK STRT 8HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN LCK SZ10 13MM,21866.0,21866.0,3279.9,21866.0,30
HCPCS,C1713,PLATE BN LCK T8,8334.0,8334.0,1250.1,8334.0,30
HCPCS,C1713,PLATE BN LCKG STRT 10HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN LCKNG CRV 8HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN LCKNG STR 6HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN LCP 11HL 4.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LCP L283MM RT F,7438.0,7438.0,1115.7,7438.0,30
HCPCS,C1713,PLATE BN LFT 7HL 2.7MM,4346.0,4346.0,651.9,4346.0,30
HCPCS,C1713,PLATE BN LG 15F 317MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN LG ARCH 1.5MM,7295.0,7295.0,1094.25,7295.0,30
HCPCS,C1713,PLATE BN LISFRANC RT SM,7051.0,7051.0,1057.65,7051.0,30
HCPCS,C1713,PLATE BN LMBR SPNE 36MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,PLATE BN LNG 12 HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LNG 2HL 16MM,600.0,600.0,90.0,600.0,30
HCPCS,C1713,PLATE BN LNG 4H 19MM,1139.0,1139.0,170.85,1139.0,30
HCPCS,C1713,PLATE BN LNG LT 5D,7051.0,7051.0,1057.65,7051.0,30
HCPCS,C1713,PLATE BN LNG RT 3X3,2885.0,2885.0,432.75,2885.0,30
HCPCS,C1713,PLATE BN LOPRO 3H 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LRG 38MM 55MM,8296.0,8296.0,1244.4,8296.0,30
HCPCS,C1713,PLATE BN LT 1.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN LT 10D SM,8088.0,8088.0,1213.2,8088.0,30
HCPCS,C1713,PLATE BN LT 10HL 177MM,6551.0,6551.0,982.65,6551.0,30
HCPCS,C1713,PLATE BN LT 11H 3.5MM,6860.0,6860.0,1029.0,6860.0,30
HCPCS,C1713,PLATE BN LT 13H 167MM,11916.0,11916.0,1787.4,11916.0,30
HCPCS,C1713,PLATE BN LT 13H 3.5MM,6420.0,6420.0,963.0,6420.0,30
HCPCS,C1713,PLATE BN LT 1H 86MM,6314.0,6314.0,947.1,6314.0,30
HCPCS,C1713,PLATE BN LT 2.4/2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 2.7/3.5X125,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 2.7/3.5X61MM,7956.0,7956.0,1193.4,7956.0,30
HCPCS,C1713,PLATE BN LT 21.6X48.9MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN LT 24.4X89.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 26HL 193MM,8779.0,8779.0,1316.85,8779.0,30
HCPCS,C1713,PLATE BN LT 2H 91MM,6678.0,6678.0,1001.7,6678.0,30
HCPCS,C1713,PLATE BN LT 2HL 112MM,6314.0,6314.0,947.1,6314.0,30
HCPCS,C1713,PLATE BN LT 2X3HL 1.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LT 3HL 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 3X4HL 0.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LT 4H 86MM,3768.0,3768.0,565.2,3768.0,30
HCPCS,C1713,PLATE BN LT 4HL 1.4MM,5484.0,5484.0,822.6,5484.0,30
HCPCS,C1713,PLATE BN LT 4HL 4.5X82MM,7220.0,7220.0,1083.0,7220.0,30
HCPCS,C1713,PLATE BN LT 4HL 56MM,5050.0,5050.0,757.5,5050.0,30
HCPCS,C1713,PLATE BN LT 4HL 73MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN LT 4HL 86MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN LT 50.5MM 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 5D SMALL,8088.0,8088.0,1213.2,8088.0,30
HCPCS,C1713,PLATE BN LT 5H 2.7X3.5MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN LT 5H 3.5X81MM,4537.0,4537.0,680.55,4537.0,30
HCPCS,C1713,PLATE BN LT 5H 7PEG,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN LT 5HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LT 5HL 61MM,4003.0,4003.0,600.45,4003.0,30
HCPCS,C1713,PLATE BN LT 5HL 99MM,3816.0,3816.0,572.4,3816.0,30
HCPCS,C1713,PLATE BN LT 6 HL,6522.0,6522.0,978.3,6522.0,30
HCPCS,C1713,PLATE BN LT 6/2HL 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 6H 131MM,5148.0,5148.0,772.2,5148.0,30
HCPCS,C1713,PLATE BN LT 6HL,8928.0,8928.0,1339.2,8928.0,30
HCPCS,C1713,PLATE BN LT 6HL 112MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 7+3H 2.4MM,5016.0,5016.0,752.4,5016.0,30
HCPCS,C1713,PLATE BN LT 73X5.7X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 7HL 1.5X36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LT 7HL 103MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 7HL 2.0X39MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN LT 7HL 3.5MM,7590.0,7590.0,1138.5,7590.0,30
HCPCS,C1713,PLATE BN LT 85X4.5MM 6H,5972.0,5972.0,895.8,5972.0,30
HCPCS,C1713,PLATE BN LT 8H,8928.0,8928.0,1339.2,8928.0,30
HCPCS,C1713,PLATE BN LT 90MM 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN LT 9H 220MM,6815.0,6815.0,1022.25,6815.0,30
HCPCS,C1713,PLATE BN LT 9HL 151MM,4153.0,4153.0,622.95,4153.0,30
HCPCS,C1713,PLATE BN LT 9HL 155MM,4333.0,4333.0,649.95,4333.0,30
HCPCS,C1713,PLATE BN LT 9HL 245MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN LT RIBS 8-9 8HL,7632.0,7632.0,1144.8,7632.0,30
HCPCS,C1713,PLATE BN LT TB 10 HLE LK,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN LT/6H 3.5X158MM,5045.0,5045.0,756.75,5045.0,30
HCPCS,C1713,PLATE BN MAXLCK SLOTLESS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MD VAR 4HL 88MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MDFC .6MM,2093.0,2093.0,313.95,2093.0,30
HCPCS,C1713,PLATE BN MDFC 11H .5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MDFC 4H .6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MDFC 4HL .5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MDFC 4X6,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MDFC MNDB MED,34552.0,34552.0,5182.8,34552.0,30
HCPCS,C1713,PLATE BN MDL 7HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MDL 8HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MDSHFT RT 7HL,4185.0,4185.0,627.75,4185.0,30
HCPCS,C1713,PLATE BN MDSHFT RT 8HL,4185.0,4185.0,627.75,4185.0,30
HCPCS,C1713,PLATE BN MED,5089.0,5089.0,763.35,5089.0,30
HCPCS,C1713,PLATE BN MED .3X47MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MED 150MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MED 2H 12MM,590.0,590.0,88.5,590.0,30
HCPCS,C1713,PLATE BN MED 2MM 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MED 7H 8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MED DIST 2MM,7782.0,7782.0,1167.3,7782.0,30
HCPCS,C1713,PLATE BN MEDIUM,35410.0,35410.0,5311.5,35410.0,30
HCPCS,C1713,PLATE BN MESH 40X40X43MM,5213.0,5213.0,781.95,5213.0,30
HCPCS,C1713,PLATE BN MESH CALC SM,4313.0,4313.0,646.95,4313.0,30
HCPCS,C1713,PLATE BN MET LEFT,7370.0,7370.0,1105.5,7370.0,30
HCPCS,C1713,PLATE BN MF FUSION 4H,5833.0,5833.0,874.95,5833.0,30
HCPCS,C1713,PLATE BN MIDFACE,43190.0,43190.0,6478.5,43190.0,30
HCPCS,C1713,PLATE BN MIDFACE .8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MIDFCE .3MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,PLATE BN MIDFOOT SHORT,8334.0,8334.0,1250.1,8334.0,30
HCPCS,C1713,PLATE BN MIDSHAFT 6 HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MINI 4H W/BAR,1765.0,1765.0,264.75,1765.0,30
HCPCS,C1713,PLATE BN MINI 4HL 1.5MM,3642.0,3642.0,534.45,3721.0,60
HCPCS,C1713,PLATE BN MINI 4HL MD 1MM,1562.0,1562.0,234.3,1562.0,30
HCPCS,C1713,PLATE BN MINI 6H 1.5MM,4225.0,4225.0,633.75,4225.0,30
HCPCS,C1713,PLATE BN MINI MD 6HL 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MINI ST 6HL,2093.0,2093.0,313.95,2093.0,30
HCPCS,C1713,PLATE BN MNDB 12H 1.25MM,4180.0,4180.0,627.0,4180.0,30
HCPCS,C1713,PLATE BN MNDB 16H 1.6MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN MNDB 17H,10663.0,10663.0,1599.45,10663.0,30
HCPCS,C1713,PLATE BN MNDB 2.0-2.5MM,3876.0,3876.0,581.4,3876.0,30
HCPCS,C1713,PLATE BN MNDB 20H 2.5MM,5347.0,5347.0,802.05,5347.0,30
HCPCS,C1713,PLATE BN MNDB 4H 1.6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MNDB 4HL 1.6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MNDB 4HL 1MM,2934.0,2934.0,440.1,2934.0,30
HCPCS,C1713,PLATE BN MNDB 7X23HL 2MM,19049.0,19049.0,2857.35,19049.0,30
HCPCS,C1713,PLATE BN MNDB 8HL 1MM,8053.0,8053.0,1207.95,8053.0,30
HCPCS,C1713,PLATE BN MNDB MDFC THN,36393.0,36393.0,5458.95,36393.0,30
HCPCS,C1713,PLATE BN MNDB RT 7X23HL,7482.0,7482.0,1122.3,7482.0,30
HCPCS,C1713,PLATE BN MNDBL 12H 2.0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MNDBL 4H 1X24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MNDBL 4H 77MM,1197.5,1197.5,179.63,1197.5,30
HCPCS,C1713,PLATE BN MNDBL 6HL 1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MSH 111MM 191MM,4500.0,4500.0,675.0,4500.0,30
HCPCS,C1713,PLATE BN MTP CP LT 3.5MM,7733.0,7733.0,1159.95,7733.0,30
HCPCS,C1713,PLATE BN MTP CP RT,7733.0,7733.0,1159.95,7733.0,30
HCPCS,C1713,PLATE BN MXF 3X4HL 0.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MXF 3X4HL 0.8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MXF 4HL 10X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN MXFCL .6MM,2435.0,2435.0,365.25,2435.0,30
HCPCS,C1713,PLATE BN MXFCL LNG 0.6MM,2435.0,2435.0,365.25,2435.0,30
HCPCS,C1713,PLATE BN MXFCL RT 2.0MM,2435.0,2435.0,365.25,2435.0,30
HCPCS,C1713,PLATE BN MXLFCL 1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN MXLFCL 1.5X.6MM,1390.0,1390.0,208.5,1390.0,30
HCPCS,C1713,PLATE BN MXLFCL 2HL 15X6,930.0,930.0,139.5,930.0,30
HCPCS,C1713,PLATE BN MXLFCL 6HL 16X6,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN NAR 2MM 53MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN NAR 2MM 56MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN NAR 2X2H 1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN NAR 5MM 151MM,2655.0,2655.0,398.25,2655.0,30
HCPCS,C1713,PLATE BN NAR 8HL 151MM,5563.0,5563.0,834.45,5563.0,30
HCPCS,C1713,PLATE BN NAR LT,4656.0,4656.0,664.35,4883.0,90
HCPCS,C1713,PLATE BN NAR LT 4H,3329.0,3329.0,499.35,3329.0,30
HCPCS,C1713,PLATE BN NAR RT,4908.0,4908.0,664.35,5387.0,60
HCPCS,C1713,PLATE BN NARROW 16HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN NRRW 9HL 169MM,2696.0,2696.0,404.4,2696.0,30
HCPCS,C1713,PLATE BN NRW LT 120MM,6945.0,6945.0,1041.75,6945.0,30
HCPCS,C1713,PLATE BN NRW LT 3HL,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,PLATE BN NRW RT 160MM,7795.0,7795.0,1169.25,7795.0,30
HCPCS,C1713,PLATE BN OBLG L.8MM 2X3,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN OBLG R.8MM 2X3,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN OBLIQ RIGHT,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN ORBT 12HL .6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN ORBTL 12H 0.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN ORT VAR 11MM,5475.0,5475.0,821.25,5475.0,30
HCPCS,C1713,PLATE BN ORTH 57MM 2.4MM,4967.0,4967.0,745.05,4967.0,30
HCPCS,C1713,PLATE BN ORTHO 5HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN P-AX LOCKING,8047.0,8047.0,1207.05,8047.0,30
HCPCS,C1713,PLATE BN P/L LT 207MM,3734.0,3734.0,560.1,3734.0,30
HCPCS,C1713,PLATE BN PHLNG 2.0 2/6H,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN PIN RADL 3H,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE BN PIN RADL 5HL,4092.0,4092.0,613.8,4092.0,30
HCPCS,C1713,PLATE BN PIN ULNA 7HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN PLVC 3HL 42.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN PLVC 4HL 58.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN PRBNT MND 1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN PRFL 40MM,22766.0,22766.0,3414.9,22766.0,30
HCPCS,C1713,PLATE BN PROX 2HL 88MM,9058.0,9058.0,1358.7,9058.0,30
HCPCS,C1713,PLATE BN PTLA 3HL 2.7MM,7686.0,7686.0,1152.9,7686.0,30
HCPCS,C1713,PLATE BN PTLA 6H 2.7MM,8861.0,8861.0,1329.15,8861.0,30
HCPCS,C1713,PLATE BN PTSPC 2MM,20759.0,20759.0,3113.85,20759.0,30
HCPCS,C1713,PLATE BN QTR 4HL 31MM,826.0,826.0,123.9,826.0,30
HCPCS,C1713,PLATE BN QTR 5HL 39MM,2242.0,2242.0,336.3,2242.0,30
HCPCS,C1713,PLATE BN QTR 6HL 47MM,1642.0,1642.0,246.3,1642.0,30
HCPCS,C1713,PLATE BN QTR 7HL 55MM,1684.0,1684.0,252.6,1684.0,30
HCPCS,C1713,PLATE BN QTR 8HL 63MM,1091.0,1091.0,163.65,1091.0,30
HCPCS,C1713,PLATE BN RAD 5HL 46MM,4040.0,4040.0,606.0,4040.0,30
HCPCS,C1713,PLATE BN RAD HD,5430.0,5430.0,814.5,5430.0,30
HCPCS,C1713,PLATE BN RADIUS 10HL,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE BN RADIUS 8HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RECON 3.5X88MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN REV LT 5HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN REV RT 5HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN RI ELB STD,3931.0,3931.0,589.65,3931.0,30
HCPCS,C1713,PLATE BN RT 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN RT 1.5MM 9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN RT 12H 285MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN RT 12HL 266MM,7644.0,7644.0,1146.6,7644.0,30
HCPCS,C1713,PLATE BN RT 12HL 324MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN RT 14HL 239MM,7457.0,7457.0,1118.55,7457.0,30
HCPCS,C1713,PLATE BN RT 15HL,6665.0,6665.0,999.75,6665.0,30
HCPCS,C1713,PLATE BN RT 18H 363MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE BN RT 18HL 355MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN RT 1HL 86MM,6314.0,6314.0,947.1,6314.0,30
HCPCS,C1713,PLATE BN RT 2.7/3.5X77MM,4027.0,4027.0,604.05,4027.0,30
HCPCS,C1713,PLATE BN RT 2.7/3.5X88MM,4907.0,4907.0,736.05,4907.0,30
HCPCS,C1713,PLATE BN RT 24.4X59.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN RT 26HL 2X190MM,7152.0,7152.0,1072.8,7152.0,30
HCPCS,C1713,PLATE BN RT 2HL 112MM,6314.0,6314.0,947.1,6314.0,30
HCPCS,C1713,PLATE BN RT 2HL 20MM,652.0,652.0,97.8,652.0,30
HCPCS,C1713,PLATE BN RT 2HL 85MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT 3.4HL 1.3MM,2280.0,2280.0,342.0,2280.0,30
HCPCS,C1713,PLATE BN RT 3.5MM 105MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT 3.5MM 117MM,5692.0,5692.0,853.8,5692.0,30
HCPCS,C1713,PLATE BN RT 3.5MM 235MM,7811.0,7811.0,1171.65,7811.0,30
HCPCS,C1713,PLATE BN RT 3.5MM 52MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN RT 3.5MM 87MM,5762.0,5762.0,864.3,5762.0,30
HCPCS,C1713,PLATE BN RT 3H 74MM,5674.0,5674.0,851.1,5674.0,30
HCPCS,C1713,PLATE BN RT 3HL,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,PLATE BN RT 3HL 48MM,4817.0,4817.0,722.55,4817.0,30
HCPCS,C1713,PLATE BN RT 3HL 73MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT 3HL NAR,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,PLATE BN RT 3X3HL 3.5MM,1477.0,1477.0,221.55,1477.0,30
HCPCS,C1713,PLATE BN RT 4HL 108MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN RT 4HL 2.7MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN RT 4HL 3.5X76MM,6895.0,6895.0,1034.25,6895.0,30
HCPCS,C1713,PLATE BN RT 4HL 3.5X81MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT 5D 1.6MM,7051.0,7051.0,1057.65,7051.0,30
HCPCS,C1713,PLATE BN RT 5D MED,8088.0,8088.0,1213.2,8088.0,30
HCPCS,C1713,PLATE BN RT 5DEG SMALL,8088.0,8088.0,1213.2,8088.0,30
HCPCS,C1713,PLATE BN RT 5H 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT 5HL 121MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN RT 5HL 167MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN RT 5HL 99MM,3816.0,3816.0,572.4,3816.0,30
HCPCS,C1713,PLATE BN RT 6/2HL 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT 67/10/1.2MM,2348.0,2348.0,352.2,2348.0,30
HCPCS,C1713,PLATE BN RT 6H 112MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN RT 6H 166MM,7069.0,7069.0,1060.35,7069.0,30
HCPCS,C1713,PLATE BN RT 6H 3H 51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT 6HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT 7H 131MM,4346.0,4346.0,651.9,4346.0,30
HCPCS,C1713,PLATE BN RT 7H STD,3527.0,3527.0,529.05,3527.0,30
HCPCS,C1713,PLATE BN RT 7HL 1.5X36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN RT 7HL 125MM,3929.0,3929.0,589.35,3929.0,30
HCPCS,C1713,PLATE BN RT 7HL 2.0X39MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN RT 7X23 2.5MM,7625.0,7625.0,1143.75,7625.0,30
HCPCS,C1713,PLATE BN RT 8H 156MM,5316.0,5316.0,797.4,5316.0,30
HCPCS,C1713,PLATE BN RT 93MM 3.5MM,5695.0,5695.0,854.25,5695.0,30
HCPCS,C1713,PLATE BN RT 9H 238MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN RT CLV2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT LCK 8H,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN RT SM 7H 64MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN RT STD 4HL,3329.0,3329.0,499.35,3329.0,30
HCPCS,C1713,PLATE BN RT STND 0MM,7370.0,7370.0,1105.5,7370.0,30
HCPCS,C1713,PLATE BN S LT CLV 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SB/TMP 21X33X37,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1713,PLATE BN SCREW 5.2X32MM,2910.0,2910.0,436.5,2910.0,30
HCPCS,C1713,PLATE BN SCREW 5.2X34MM,2910.0,2910.0,436.5,2910.0,30
HCPCS,C1713,PLATE BN SCREW 5.2X44MM,2910.0,2910.0,436.5,2910.0,30
HCPCS,C1713,PLATE BN SGTL MED 28MM,3047.0,3047.0,457.05,3047.0,30
HCPCS,C1713,PLATE BN SHEAR VOLAR,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE BN SHFT 10H 210MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN SHFT LCP LT 7H,8351.0,8351.0,1252.65,8351.0,30
HCPCS,C1713,PLATE BN SHNT LG 24MM,3036.0,3036.0,455.4,3036.0,30
HCPCS,C1713,PLATE BN SHORT RT,5063.0,5063.0,759.45,5063.0,30
HCPCS,C1713,PLATE BN SHRT 118MM,6630.0,6630.0,994.5,6630.0,30
HCPCS,C1713,PLATE BN SHRT 2.7X15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SHRT 27X3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SHRT 4HL 78MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN SHRT 67X3.5MM,5587.0,5587.0,838.05,5587.0,30
HCPCS,C1713,PLATE BN SHRT 69MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN SHRT 75X2.7/3.5,4907.0,4907.0,736.05,4907.0,30
HCPCS,C1713,PLATE BN SHRT 84MMX3.2MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE BN SHRT LT 0D,5763.0,5763.0,864.45,5763.0,30
HCPCS,C1713,PLATE BN SHRT LT 1H 69MM,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE BN SHRT LT 1H 72MM,4907.0,4907.0,736.05,4907.0,30
HCPCS,C1713,PLATE BN SIZE 20,21866.0,21866.0,3279.9,21866.0,30
HCPCS,C1713,PLATE BN SKNLC 1LVL 29MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SKNLC 2LVL 39MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SKNLC L1 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SKYLN 24 ANT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SKYLN 35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE BN SKYLN 40 ANT,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE BN SKYLN 57 ANT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SKYLN 64 RFLX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SLIM LEVEL III,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SLIM LOC 43MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SLIM-LOC 27MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SLIM-LOC 3L 63,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SLM 6HL,4140.0,4140.0,621.0,4140.0,30
HCPCS,C1713,PLATE BN SLM Y 3HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN SLM Y 7HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SM,5089.0,5089.0,763.35,5089.0,30
HCPCS,C1713,PLATE BN SM 42MM 30MM,4908.0,4908.0,736.2,4908.0,30
HCPCS,C1713,PLATE BN SM 4HL 0.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN SM LT .4MM,7006.0,7006.0,1050.9,7006.0,30
HCPCS,C1713,PLATE BN SM LT 1ST&2ND,7051.0,7051.0,1057.65,7051.0,30
HCPCS,C1713,PLATE BN SM LT 3.5MM 8H,10010.0,10010.0,1501.5,10010.0,30
HCPCS,C1713,PLATE BN SMALL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN SMALL 50MM,6396.0,6396.0,959.4,6396.0,30
HCPCS,C1713,PLATE BN SPN 50X36MM MSH,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN SPN ARCT 160MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,PLATE BN SPN LMBR 18MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE BN SPN SKNLC 37MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SPNE 11MM L1,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN SPNE 18MM 1 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SPNE 20MM 2 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SPNE 22MM 2 LVL,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN SPNE 24MM 1 LVL,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN SPNE 24MM 2 LVL,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE BN SPNE 49MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE BN SPNE 58MM 3 LVL,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE BN SPNL 12 ANT CRV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SPNL 2LVL 49MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SPNL OCPTL SM,11580.0,11580.0,1737.0,11580.0,30
HCPCS,C1713,PLATE BN SS 1.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN SS 52X7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN SS 86MM LCP 2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN SS AMBI CHS,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN SS L168 LCP 8HL,6076.0,6076.0,911.4,6076.0,30
HCPCS,C1713,PLATE BN SS L168MM LCP R,6076.0,6076.0,911.4,6076.0,30
HCPCS,C1713,PLATE BN SS L76MM LCP,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN STD 11HL RT,5174.0,5174.0,776.1,5174.0,30
HCPCS,C1713,PLATE BN STD 2X8HL 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN STD 3HL LT 65MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STD 3HL RT 65MM,4938.0,4938.0,740.7,4938.0,30
HCPCS,C1713,PLATE BN STD 4HL,3408.0,3408.0,511.2,3408.0,30
HCPCS,C1713,PLATE BN STD 5HL LT 90MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STD 6H 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STD FLAT RT 8HL,8928.0,8928.0,1339.2,8928.0,30
HCPCS,C1713,PLATE BN STD LG LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STD LONG,4620.0,4620.0,693.0,4620.0,30
HCPCS,C1713,PLATE BN STD LONG LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STD LONG RT,5387.0,5387.0,808.05,5387.0,30
HCPCS,C1713,PLATE BN STD LT,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE BN STD LT 3H 48MM,4817.0,4817.0,722.55,4817.0,30
HCPCS,C1713,PLATE BN STD LT 3HL,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,PLATE BN STD LT 6HL,8928.0,8928.0,1339.2,8928.0,30
HCPCS,C1713,PLATE BN STERNAL X,3222.0,3222.0,483.3,3222.0,30
HCPCS,C1713,PLATE BN STERNLCK 6HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN STNDRD LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STR 170MM 2.4MM,8292.0,8292.0,1243.8,8292.0,30
HCPCS,C1713,PLATE BN STR 29X3.8X.8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN STR 4HL 22MM,751.0,751.0,112.65,751.0,30
HCPCS,C1713,PLATE BN STR 6H 1.6X29MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STR 6H 2MM,3314.0,3314.0,497.1,3314.0,30
HCPCS,C1713,PLATE BN STR 6HL,1410.0,1410.0,211.5,1410.0,30
HCPCS,C1713,PLATE BN STR 6HL 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN STR 8H,3569.0,3569.0,535.35,3569.0,30
HCPCS,C1713,PLATE BN STR 8H 2.4X63MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN STR 8H 2.7MM,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1713,PLATE BN STR GOLD 4HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN STR LCK 15H,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN STR LCK SS 10H,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN STR TBLR 8 HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN STRAIGHT 5 HOLE,3962.0,3962.0,594.3,3962.0,30
HCPCS,C1713,PLATE BN STRAIGHT 6 HOLE,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE BN STRN 6HL 2.3MM,3447.0,3447.0,517.05,3447.0,30
HCPCS,C1713,PLATE BN STRNL 10H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STRNL 10H 1.8MM,3841.0,3841.0,576.15,3841.0,30
HCPCS,C1713,PLATE BN STRNL 10HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN STRNL 11MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE BN STRNL 14MM,5177.0,5177.0,720.9,5548.0,90
HCPCS,C1713,PLATE BN STRNL 17MM,5177.0,5177.0,720.9,5548.0,90
HCPCS,C1713,PLATE BN STRNL L CSTM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN STRNL LG 11MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE BN STRNL LG 14MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE BN STRNL LV1 14MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE BN STRNL NRW 6HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN STRNL SM 11MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE BN STRNL SM 17MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE BN STRNL SM 20MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE BN STRNL SZSM 11MM,5548.0,5548.0,832.2,5548.0,30
HCPCS,C1713,PLATE BN STRT 8HL,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,PLATE BN STRT 8HL 2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN STRT.6MM 1.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN STRUT 8HL 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN SZ4 3MM,15506.0,15506.0,2325.9,15506.0,30
HCPCS,C1713,PLATE BN SZ5 3MM,15506.0,15506.0,2325.9,15506.0,30
HCPCS,C1713,PLATE BN T 2+3HL 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN T 2/8HL 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN T 3&7H 1.5X40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 3+7H 2.0MM,3547.0,3547.0,532.05,3547.0,30
HCPCS,C1713,PLATE BN T 3.5MM 3H 50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 3H 3.5MM 63MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 3H 3.5MM 74MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 3H 3.5MM 96MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 3H 7H 1.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 3H-5H 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 3HL 3.5X67MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 3X4HL 0.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 4H 3.5MM 78MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T 4HL 2.7MM,4214.0,4214.0,632.1,4214.0,30
HCPCS,C1713,PLATE BN T 4HL 84MM,2954.0,2954.0,443.1,2954.0,30
HCPCS,C1713,PLATE BN T 5X2H 30MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN T 6X4HL 33MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN T CMPR 4HL,4859.0,4859.0,728.85,4859.0,30
HCPCS,C1713,PLATE BN T LT 5HL,5484.0,5484.0,822.6,5484.0,30
HCPCS,C1713,PLATE BN T-PLATE 4HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN TBLR 141X9X1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN TBLR 8HL 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN TBLR 9X100MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN TBLR 9X76MM,3393.0,3393.0,508.95,3393.0,30
HCPCS,C1713,PLATE BN TBLR STR 10HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN THCK LCP 4.5MM,4235.0,4235.0,635.25,4235.0,30
HCPCS,C1713,PLATE BN THK SZMED 2.5MM,9841.0,9841.0,1476.15,9841.0,30
HCPCS,C1713,PLATE BN THORACIC LVL1,4682.0,4682.0,702.3,4682.0,30
HCPCS,C1713,PLATE BN THRD 1.6X65MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,PLATE BN TI 12HL 2.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN TI 21MM MOUNT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN TI 28MM,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE BN TI 35MM,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE BN TI 3HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN TI 45X38MM RCTN,5197.0,5197.0,779.55,5197.0,30
HCPCS,C1713,PLATE BN TI 52 THRCLMBR,10962.0,10962.0,1644.3,10962.0,30
HCPCS,C1713,PLATE BN TI 6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN TI L42.5MM SPN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN TI L45-58MM SPN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE BN TI L45MM HRZN,17905.0,17905.0,2685.75,17905.0,30
HCPCS,C1713,PLATE BN TI L51MMXW9MMX,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,PLATE BN TI L65MMXW10.3,2233.0,2233.0,334.95,2233.0,30
HCPCS,C1713,PLATE BN TI SM STRNL 8,4396.0,4396.0,659.4,4396.0,30
HCPCS,C1713,PLATE BN TI SPNL 35MM LV,11686.0,11686.0,1752.9,11686.0,30
HCPCS,C1713,PLATE BN TIB 12HL 130MM,5016.0,5016.0,752.4,5016.0,30
HCPCS,C1713,PLATE BN TIB 3.5MM 102MM,6547.0,6547.0,982.05,6547.0,30
HCPCS,C1713,PLATE BN TIB 3.5MM 91MM,8780.0,8780.0,1317.0,8780.0,30
HCPCS,C1713,PLATE BN TIB 3.5X117MM,6409.0,6409.0,961.35,6409.0,30
HCPCS,C1713,PLATE BN TIB 6H RT 91MM,11483.0,11483.0,1722.45,11483.0,30
HCPCS,C1713,PLATE BN TIB LT 4HL 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN TIB LT 6H 119MM,5771.0,5771.0,865.65,5771.0,30
HCPCS,C1713,PLATE BN TIB RT 13H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN TIB RT 9 HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN TIB RT3.5X151MM,10006.0,10006.0,1500.9,10006.0,30
HCPCS,C1713,PLATE BN TIB RT9HL 220MM,6815.0,6815.0,1022.25,6815.0,30
HCPCS,C1713,PLATE BN TMPRL 8HL 52MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN TRA 6HL 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN TRAUMA 4HL 25MM,4859.0,4859.0,728.85,4859.0,30
HCPCS,C1713,PLATE BN TUBE 7HL 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN ULN RT 3SLOT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN ULNA 108MM,4615.0,4615.0,692.25,4615.0,30
HCPCS,C1713,PLATE BN ULNA 73MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN ULNA OSTEOTOMY,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE BN ULNA RT 108MM,4615.0,4615.0,692.25,4615.0,30
HCPCS,C1713,PLATE BN ULNA SHRT 6HL,4092.0,4092.0,613.8,4092.0,30
HCPCS,C1713,PLATE BN ULNAR 8HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN ULNAR SIZE 20,19357.0,19357.0,2903.55,19357.0,30
HCPCS,C1713,PLATE BN UNV 8HL,4541.0,4541.0,681.15,4541.0,30
HCPCS,C1713,PLATE BN UNV CRNIO 3,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN V-AX CRV 4HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BN V-LCK LG 3.5MM,5608.0,5608.0,841.2,5608.0,30
HCPCS,C1713,PLATE BN VDR LT NAR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN VOLAR 9HL 7PEG,7951.0,7951.0,1192.65,7951.0,30
HCPCS,C1713,PLATE BN VOLR 3HL 2.3MM,5072.0,5072.0,760.8,5072.0,30
HCPCS,C1713,PLATE BN VOLR 7PEG 3H,4750.5,4750.5,664.35,5072.0,60
HCPCS,C1713,PLATE BN VSP .5X1.5 HL,6120.0,6120.0,918.0,6120.0,30
HCPCS,C1713,PLATE BN VSP 3.5 HL,6120.0,6120.0,918.0,6120.0,30
HCPCS,C1713,PLATE BN VSP SPN 1.5HL,5056.0,5056.0,758.4,5056.0,30
HCPCS,C1713,PLATE BN VSP SS 2.5 HL,5310.0,5310.0,675.0,6120.0,60
HCPCS,C1713,PLATE BN VSP SS 3.5 HL,5598.0,5598.0,839.7,5598.0,30
HCPCS,C1713,PLATE BN W BAR 4H 2.4MM,2640.0,2640.0,396.0,2640.0,30
HCPCS,C1713,PLATE BN W TI 4 HL,3329.0,3329.0,499.35,3329.0,30
HCPCS,C1713,PLATE BN W/BAR 6H 2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN WIDE RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN WIRE 3HL,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE BN WRIST VOLAR 6HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN WRST HBCP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN WRST MINI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN X 4H 0.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN X 4HL 1.5MM,2535.0,2535.0,380.25,2535.0,30
HCPCS,C1713,PLATE BN X 4HL 2MM,2232.0,2232.0,334.8,2232.0,30
HCPCS,C1713,PLATE BN X-LONG LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN X-SML 2.4/2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN XL 17MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE BN XPLATE 8H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN XSM 14.35MM,2852.0,2852.0,427.8,2852.0,30
HCPCS,C1713,PLATE BN XTN NTRL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN XTRA SM/SM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BN Y 2X4HL 2MM,2471.0,2471.0,370.65,2471.0,30
HCPCS,C1713,PLATE BN Y 3X8HL 1.3X32,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN Y 6HL 0.4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BN Y 6HL 21MM,1612.0,1612.0,241.8,1612.0,30
HCPCS,C1713,PLATE BN Y 7HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BN1X3 Y TI MDFC,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BND ANT TENSIM 37,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE BNE 67M 489.466,8825.0,8825.0,1323.75,8825.0,30
HCPCS,C1713,PLATE BNE L104MM LCP RT,6295.0,6295.0,944.25,6295.0,30
HCPCS,C1713,PLATE BNE LCP L142 STNLS,6451.0,6451.0,967.65,6451.0,30
HCPCS,C1713,PLATE BNE MESH GL 1.5MM,5143.0,5143.0,771.45,5143.0,30
HCPCS,C1713,PLATE BNE OD2.4MM 12HLE,5377.0,5377.0,806.55,5377.0,30
HCPCS,C1713,PLATE BNE ORTH LCK 4 HL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BNE PELVIC 3.5 X 1,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BNE SS L149MM LAT,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE BNE TI 20MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE BNE TI 25MM,4037.0,4037.0,605.55,4037.0,30
HCPCS,C1713,PLATE BNE TI 30MM,3578.0,3578.0,536.7,3578.0,30
HCPCS,C1713,PLATE BNE TI 8MM SPCG MI,4241.0,4241.0,636.15,4241.0,30
HCPCS,C1713,PLATE BNE TI L35MM ANT L,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE BNE TI L36-39 SP,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE BNE TI L37MM ANT L,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE BNE TI L39-45 SP,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE BNE TI L41MM ANT S,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE BNE TI L43MM ANT L,16610.0,16610.0,2491.5,16610.0,30
HCPCS,C1713,PLATE BNE TI L43MM ANT S,18607.0,18607.0,2791.05,18607.0,30
HCPCS,C1713,PLATE BNE TI L58-80 LP,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE BNE TI L76MM THRCL,15068.0,15068.0,2260.2,15068.0,30
HCPCS,C1713,PLATE BNE TI STRNL 12 HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE BONE 1.0MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BONE 10X33 443.170,4241.0,4241.0,636.15,4241.0,30
HCPCS,C1713,PLATE BONE 12.0MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BONE 3.5MM 16MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE BONE 45MM,11686.0,11686.0,1752.9,11686.0,30
HCPCS,C1713,PLATE BONE L MED LEFT,1633.0,1633.0,244.95,1633.0,30
HCPCS,C1713,PLATE BONE L41MM 4HOLE,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE BOX STERNAL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BRD 167X16X4.8MM S,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BRD DCP 12H/4.5,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BRD DCP 7H/4.5,2515.0,2515.0,377.25,2515.0,30
HCPCS,C1713,PLATE BRL 238X19X5.8MM,4277.0,4277.0,641.55,4277.0,30
HCPCS,C1713,PLATE BROAD DCP 6 HOLE,2515.0,2515.0,377.25,2515.0,30
HCPCS,C1713,PLATE BTRS 20X17MM BN SP,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE BUR H CVR 26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BUR HL CVR 13MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,PLATE BURH LRG 5X18.5MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,PLATE BURR HL LP XL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE BUTRS AVS ARIA SPN,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE CABLE ORTH 10H STR,8478.0,8478.0,1271.7,8478.0,30
HCPCS,C1713,PLATE CALCANEOUS RT XL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CBL RDY 16X187 6HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CBLRDY 16X305 10HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 1 LV 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 1-LEVEL 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 1LVL 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 1LVL 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 2 LEVEL 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 2 LVL 38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 24MM 1LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 26MM 1LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 2LV 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 2LVL 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 2LVL 30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 2LVL 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 3-LVL 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 30MM 1 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 38MM 2LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 46MM 2LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 48MM 3LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 63MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 64 4 LVL,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,PLATE CERV 66MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 69MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 69MM 4LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 73MM 4LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 77MM 4LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV 81MM 4LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV ANT LCK 39,9258.0,9258.0,1388.7,9258.0,30
HCPCS,C1713,PLATE CERV ANT LVL3 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV LV 1 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV LV1 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV LVL2 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERV VNTR 40MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE CERVICAL 1 LVL 18M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERVICAL 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERVICAL 2LVL 43MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERVICAL 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CERVICAL SPINE LOC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CHIN GRFN 2X3MM,2971.0,2971.0,445.65,2971.0,30
HCPCS,C1713,PLATE CITADEL 20MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE CLAV LAT RT 2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CLAVICLE SUPR 7HL,4185.0,4185.0,627.75,4185.0,30
HCPCS,C1713,PLATE CLOSED FUSION LG,4216.0,4216.0,632.4,4216.0,30
HCPCS,C1713,PLATE CLVCL LT 8 H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CLVCL SM RT 6HL,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE CLVCL STR 8 HL,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE CNDLR 7HL 1.5X36LT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE CNDYL 4.5 8H/206-L,7035.0,7035.0,1055.25,7035.0,30
HCPCS,C1713,PLATE CNDYLR4.5 6H/170-L,6903.0,6903.0,1035.45,6903.0,30
HCPCS,C1713,PLATE COMP TENS BAND 2.4,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE CONDYLAR 2.4MM LFT,3554.0,3554.0,533.1,3554.0,30
HCPCS,C1713,PLATE COVER 49-0037,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,PLATE COVER SPN 36MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,PLATE COVER SPN 6-9MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,PLATE COVR SPN LMBR 33MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,PLATE CRANIAL MNDB SMALL,28794.0,28794.0,4319.1,28794.0,30
HCPCS,C1713,PLATE CRANIO 100D 8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE CRESCEMT 1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CRN 1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CRNFCL 1X2X1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE CRNFCL 26HL 190MM,8079.0,8079.0,1211.85,8079.0,30
HCPCS,C1713,PLATE CRNFCL 3X2H,1668.0,1668.0,250.2,1668.0,30
HCPCS,C1713,PLATE CRNL PROSTH CSTM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE CRNMXF 2X3HL .5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE CRNMXF 5X.6MM,2976.0,2976.0,446.4,2976.0,30
HCPCS,C1713,PLATE CRNMXF 7HL 105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE CRNMXF BN 12MM,2330.0,2330.0,349.5,2330.0,30
HCPCS,C1713,PLATE CRNMXF FX 7MM,2976.0,2976.0,446.4,2976.0,30
HCPCS,C1713,PLATE CRNMXF L1 1X11MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE CRNMXF LVL1 9MM,2976.0,2976.0,446.4,2976.0,30
HCPCS,C1713,PLATE CRNMXF ORBT LT SM,10959.0,10959.0,1643.85,10959.0,30
HCPCS,C1713,PLATE CRNMXF ORBT RT LG,10519.0,10519.0,1577.85,10519.0,30
HCPCS,C1713,PLATE CRNMXF ORBT RT SM,10519.0,10519.0,1577.85,10519.0,30
HCPCS,C1713,PLATE CROSS CONN 42MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE CRSNT 31X1.25 4HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CRSSLK NRW MINI LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CRT 33X1.25MM 4HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CRV SWGD 2LVL 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CSPN 3LVL 51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CSPN AVTR 54MM3LVL,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE CSPN LCKNG 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE CUP FSN 10HL 18MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE CUSTOM MAND LG 3D,42540.0,42540.0,6381.0,42540.0,30
HCPCS,C1713,PLATE DANEK 811.307,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE DANEK 811.308,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE DANEK 811.322,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE DCS 95DG 8H 28198S,4664.0,4664.0,699.6,4664.0,30
HCPCS,C1713,PLATE DIST ANT 11HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE DIST FEM 13H 316MM,7903.0,7903.0,1184.55,7909.0,60
HCPCS,C1713,PLATE DIST FEM 9H 236,7897.0,7897.0,1184.55,7897.0,30
HCPCS,C1713,PLATE DIST FEM 9H 236MM,7909.0,7909.0,1186.35,7909.0,30
HCPCS,C1713,PLATE DIST FEM LT 6HL,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE DIST LAT FIB LT 8H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE DISTAL RAD LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE DISTAL RAD RT,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE DISTAL RADIUS 66MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE DISTAL TIB 223.508,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE DRSL 3 HL 2.4,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE DST FIB LCK RT 10H,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE DST MDL RT 3.5X216,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE F-T .75MM SS 1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE FANG BN SPN 21MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE FEM BN 355MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE FEM BN RT 13HL,5441.0,5441.0,816.15,5441.0,30
HCPCS,C1713,PLATE FEM L L. 324MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE FEM MDL DSTL RT 4H,5272.0,5272.0,790.8,5272.0,30
HCPCS,C1713,PLATE FEM NCB LT 5 HL,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE FEMORAL LOCKING,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE FIB 9HL 149MM,3834.0,3834.0,575.1,3834.0,30
HCPCS,C1713,PLATE FIB BN 2.3MM 32HL,5838.0,5838.0,875.7,5838.0,30
HCPCS,C1713,PLATE FIB DIST LAT LT 4H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE FIB DIST LAT LT 6H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE FIB DIST LAT RT 4H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE FIB RT 11HL 147MM,4464.0,4464.0,669.6,4464.0,30
HCPCS,C1713,PLATE FLCN 50 3LVL ANTRC,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE FSN LCP WRST 112MM,8766.0,8766.0,1314.9,8766.0,30
HCPCS,C1713,PLATE FULL 4 HOLE 10MM,10276.0,10276.0,1541.4,10276.0,30
HCPCS,C1713,PLATE FULL 4 HOLE 8MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE FULL SLOT 110MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE FULL SLOT 40MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE FULL SLOT 50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE FX 22MM 10HOLE,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE FX 6H W/BAR,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE FX LCK 4HL 3.5MM,3997.0,3997.0,599.55,3997.0,30
HCPCS,C1713,PLATE FX RT 115MM,6857.0,6857.0,1028.55,6857.0,30
HCPCS,C1713,PLATE GAP 35X39MM,2272.0,2272.0,340.8,2272.0,30
HCPCS,C1713,PLATE H BN 8HL LG,4396.0,4396.0,659.4,4396.0,30
HCPCS,C1713,PLATE HIP CHS 130D 4HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE HIP CHS 135D 4HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE HK BN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE HK BN + SCREW,1037.0,1037.0,155.55,1037.0,30
HCPCS,C1713,PLATE HOOK DORSAL 4HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE HOOK WRIST 4HL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE HUM 6H 160MM 3.5MM,5804.0,5804.0,870.6,5804.0,30
HCPCS,C1713,PLATE HUM LT 11HL 94MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE HUM LT 2.7/3.5X107,8106.0,8106.0,1215.9,8106.0,30
HCPCS,C1713,PLATE HUMERAL SUTURE 5H,9461.0,9461.0,1419.15,9461.0,30
HCPCS,C1713,PLATE INTCNTNTL 6D 20X11,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE J TI 8 HL LCK BN,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE JL 8 HL 60 DEG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE L LCK RT 2X53MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE L OBL 1.5X2HX3H RT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE L RT 6HOLE,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE L-SHAPE LT LNG,2310.0,2310.0,346.5,2310.0,30
HCPCS,C1713,PLATE L-SHAPE LT MED,2310.0,2310.0,346.5,2310.0,30
HCPCS,C1713,PLATE L-SHAPE RT LNG,2310.0,2310.0,346.5,2310.0,30
HCPCS,C1713,PLATE L5MM LNDRF RT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE L7MM LNDRF RT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LAT TIB B 9H 181 L,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE LCDCP 3.5 5H 64M,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LCK ANG 6HOLE,4593.0,4593.0,688.95,4593.0,30
HCPCS,C1713,PLATE LCK CMPR 12H 162MM,2792.0,2792.0,418.8,2792.0,30
HCPCS,C1713,PLATE LCK STRNL TLN 10HL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE LCK TIB 6 HL,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1713,PLATE LCP 3.5 X 142MM 6,6451.0,6451.0,967.65,6451.0,30
HCPCS,C1713,PLATE LCP 4HL 116X3.5MM,6379.0,6379.0,956.85,6379.0,30
HCPCS,C1713,PLATE LCP 5H 2.4X44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LCP 90X11X2.5 5HL,5256.0,5256.0,788.4,5256.0,30
HCPCS,C1713,PLATE LCP DIST HUM 3.5,4679.0,4679.0,701.85,4679.0,30
HCPCS,C1713,PLATE LCP LT 4HL 76X3.5,7243.0,7243.0,1086.45,7243.0,30
HCPCS,C1713,PLATE LCP TIB 4 HL 4.5,7036.0,7036.0,1055.4,7036.0,30
HCPCS,C1713,PLATE LEFT PREBENT 6HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LG 1.6MM 2X7 STR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LG 67.3X37.3 CANC,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LG BN RT LAT DIST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE LG TI 8 H LCK BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE LG TI 8 HL LCK BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE LG TI RT 4HL 114MM,11042.0,11042.0,1656.3,11042.0,30
HCPCS,C1713,PLATE LINDORF 1 CP TITAN,3133.0,3133.0,469.95,3133.0,30
HCPCS,C1713,PLATE LINDORF 50-282-11,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LK STNL 6 HL 2.0MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE LMBR 17MM AEG,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE LMNOPL DUAL 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE LMNPLSTY 4X12,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE LMNPLSTY SDXSD 4X6,3480.0,3480.0,522.0,3480.0,30
HCPCS,C1713,PLATE LMNPLSTY SDXSD 4X8,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE LNG 111MM 2.7/3.5,5820.5,5820.5,813.75,6216.0,60
HCPCS,C1713,PLATE LNG 127MM 2.7/3.5,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE LNG LT 3X3 HL,2885.0,2885.0,432.75,2885.0,30
HCPCS,C1713,PLATE LNG MDFC RT 2X2HL,2041.0,2041.0,306.15,2041.0,30
HCPCS,C1713,PLATE LOCK 00493600603,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,PLATE LOCKING GRID 3X2 T,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LOPR 1.25IN 6.35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE LOPRO 34MM SPNE,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,PLATE LOPRO TI EP 32MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,PLATE LOPRO TI EP 38MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,PLATE LOW PROF 2.4MM 4,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE LT 7 HL L,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LT L HPS HND 2MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE LT L100X1.5MM,2310.0,2310.0,346.5,2310.0,30
HCPCS,C1713,PLATE LT PRT RADL HEAD,5563.0,5563.0,834.45,5563.0,30
HCPCS,C1713,PLATE LUMBR AFFIX 35MM S,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1713,PLATE LUMBR AFFIX 45MM S,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1713,PLATE LV1 L40MM SPN LMBR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE MDFC 3D SMALL,45707.0,45707.0,6856.05,45707.0,30
HCPCS,C1713,PLATE MDFC 6HL .6MM,2440.0,2440.0,366.0,2440.0,30
HCPCS,C1713,PLATE MDFC LT2X3HL .7MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE MDFC RT .7MM 2X3HL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE MDFC RT .7MM 3X4HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE MED 10MM ASPN BN,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1713,PLATE MED 12MM ASPN BN,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1713,PLATE MED 82MM SS2.7/3.5,4758.0,4758.0,713.7,4758.0,30
HCPCS,C1713,PLATE MED DIST TBL LCKNG,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE MED MDFC RT 2X2HL,1633.0,1633.0,244.95,1633.0,30
HCPCS,C1713,PLATE MED PEEK-OPTMA LCK,11339.0,11339.0,1700.85,11339.0,30
HCPCS,C1713,PLATE MED TI 8 HL LCK,4369.0,4369.0,646.35,4429.0,60
HCPCS,C1713,PLATE MESH 80X80MM .3MM,5596.0,5596.0,839.4,5596.0,30
HCPCS,C1713,PLATE MESH LG 0.4MM,4939.0,4939.0,740.85,4939.0,30
HCPCS,C1713,PLATE MF TT 420.71,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE MF TT 446.10,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE MF TT 447.074,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE MI .5 18 HL STRUT,3768.0,3768.0,565.2,3768.0,30
HCPCS,C1713,PLATE MIC 7MM LT MXLFCL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE MIC LNDRF L3MM,3133.0,3133.0,469.95,3133.0,30
HCPCS,C1713,PLATE MICRO 5MM 5030205,3136.0,3136.0,470.4,3136.0,30
HCPCS,C1713,PLATE MICRO BONE ST 4HOL,861.0,861.0,129.15,861.0,30
HCPCS,C1713,PLATE MICRO REG T-SHAPE,2607.0,2607.0,391.05,2607.0,30
HCPCS,C1713,PLATE MLSPN 44-48X4.75MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE MNDB 1.5X2/2.3 14H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE MNDB BN CUSTOM,8794.0,8794.0,1319.1,8794.0,30
HCPCS,C1713,PLATE MNDB BN TI MIDFACE,14397.0,14397.0,2159.55,14397.0,30
HCPCS,C1713,PLATE MNDB MDFC TI,14397.0,14397.0,2159.55,14397.0,30
HCPCS,C1713,PLATE MNDB RT RECN 2.4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE MNDB W/O ANG 2.0MM,16366.0,16366.0,2454.9,16366.0,30
HCPCS,C1713,PLATE MNDBL RECON 20HL,4779.0,4779.0,716.85,4779.0,30
HCPCS,C1713,PLATE MNI MNDB 4HL STR,1023.5,1023.5,153.53,1023.5,30
HCPCS,C1713,PLATE MTL 4 HL,3705.0,3705.0,555.75,3705.0,30
HCPCS,C1713,PLATE MXFCL MIC .6 4HL,1191.0,1191.0,178.65,1191.0,30
HCPCS,C1713,PLATE MXFCL REG DBL Y,2607.0,2607.0,391.05,2607.0,30
HCPCS,C1713,PLATE MXLCK 2SLT BETA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE MXLFCL 16HL 1.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE MXLFCL LOPRO SQ1.6,3011.0,3011.0,451.65,3011.0,30
HCPCS,C1713,PLATE MXLFCL MSH 74X50MM,3752.0,3752.0,562.8,3752.0,30
HCPCS,C1713,PLATE NAR DCP 5H/4.5 87,1818.0,1818.0,272.7,1818.0,30
HCPCS,C1713,PLATE NAR DCP 6H/4.5 103,1878.0,1878.0,281.7,1878.0,30
HCPCS,C1713,PLATE NAR DCP 8H/4.5 135,2605.0,2605.0,390.75,2605.0,30
HCPCS,C1713,PLATE NARROW DCP 10 HOLE,2469.0,2469.0,370.35,2469.0,30
HCPCS,C1713,PLATE NARROW SHORT LEFT,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE NCB PERIPRSTHTC RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE NR PRBN 23MM TI 1L,6334.0,6334.0,950.1,6334.0,30
HCPCS,C1713,PLATE OCCIPITAL MED,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE OCCIPITAL SM 24MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE OLCRN 11 HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE OLCRN 3.5 X 86MM R,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE OLCRN PL-LE09,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE OLECRANON 11 HOLE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE OLECRANON 4HOLE LC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE OLECRNON HK 8HL RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE OLECRNON RT 6HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ONE-THIRD TBLR 3.5,1414.0,1414.0,212.1,1414.0,30
HCPCS,C1713,PLATE ORB RIM 1.3 X 9H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE ORBIT FLR 10HL 1.5,2832.0,2832.0,424.8,2832.0,30
HCPCS,C1713,PLATE ORBT 12HL .04MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE ORBT FLR .3X1.5,3273.0,3273.0,490.95,3273.0,30
HCPCS,C1713,PLATE ORBT FLR RT 1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ORT 39X7MM 5HLE,1454.0,1454.0,218.1,1454.0,30
HCPCS,C1713,PLATE ORT STR 77X9X1.5MM,7468.0,7468.0,1120.2,7468.0,30
HCPCS,C1713,PLATE ORT WDG 6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE ORTH 38X11X3.3MM,1485.0,1485.0,222.75,1485.0,30
HCPCS,C1713,PLATE ORTH BN 15MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE PEG BN ULN 5H,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE PEG PLT BN ULN 7HL,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1713,PLATE PEG RADL LT 7-PEG,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE PELVIC 3.5 X 12 X,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE PELVIC 3.5 X 5 X 5,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE PELVIC 3.5 X 6 X 7,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE PELVIC 3.5 X 7 X 8,3439.0,3439.0,515.85,3439.0,30
HCPCS,C1713,PLATE PELVIC CRVD 3.5 X,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE PERITONEAL RT 17HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE PIN 3 HOLE DORSAL,4092.0,4092.0,613.8,4092.0,30
HCPCS,C1713,PLATE PLYM THORCLM 23MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE POSTR TIBIA SM,5723.0,5723.0,858.45,5723.0,30
HCPCS,C1713,PLATE PRBNT 73X18X2.5MM,6440.0,6440.0,966.0,6440.0,30
HCPCS,C1713,PLATE PRELRDTC SPN55.8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE PREM ANT CERV 23MM,7392.0,7392.0,1108.8,7392.0,30
HCPCS,C1713,PLATE PREM ANT CERV 25MM,7392.0,7392.0,1108.8,7392.0,30
HCPCS,C1713,PLATE PREM ANT CERV 35MM,8126.0,8126.0,1218.9,8126.0,30
HCPCS,C1713,PLATE PREM ANT CERV 37.5,8126.0,8126.0,1218.9,8126.0,30
HCPCS,C1713,PLATE PREM ANT CERV 40MM,8126.0,8126.0,1218.9,8126.0,30
HCPCS,C1713,PLATE PREM ANT CERV 42.5,8126.0,8126.0,1218.9,8126.0,30
HCPCS,C1713,PLATE PREM ANT CERV 55MM,8473.0,8473.0,1270.95,8473.0,30
HCPCS,C1713,PLATE PREM ANT CERV 60MM,8473.0,8473.0,1270.95,8473.0,30
HCPCS,C1713,PLATE PREM ANT CERV 70MM,8473.0,8473.0,1270.95,8473.0,30
HCPCS,C1713,PLATE PROX 150X4MM 8 HL,6314.0,6314.0,947.1,6314.0,30
HCPCS,C1713,PLATE PROX LAT RT 6HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE PROX MDL LT 3.5 4H,4234.0,4234.0,635.1,4234.0,30
HCPCS,C1713,PLATE PROX TIB 4.5LCP226,7000.0,7000.0,1050.0,7000.0,30
HCPCS,C1713,PLATE PRTC 30M DLT XTND,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE PRX LAT LK 6HL 3.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE PTERIONAL LT 17HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE PTERIONAL MESH LFT,10673.0,10673.0,1600.95,10673.0,30
HCPCS,C1713,PLATE RECON FRAG 8H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE RECONSTR 245.01 3.,3470.0,3470.0,520.5,3470.0,30
HCPCS,C1713,PLATE REG F/1.5 SCRW,1317.0,1317.0,197.55,1317.0,30
HCPCS,C1713,PLATE REPLACE IR2001T,11339.0,11339.0,1700.85,11339.0,30
HCPCS,C1713,PLATE RGD MESH 40X40X43,6161.0,6161.0,924.15,6161.0,30
HCPCS,C1713,PLATE RIB 32HOLE C PLATE,5838.0,5838.0,875.7,5838.0,30
HCPCS,C1713,PLATE ROD TI L1.75-2.15I,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE S MNDB 2ANG 2.3MM,5200.0,5200.0,780.0,5200.0,30
HCPCS,C1713,PLATE SACRAL 36MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SCR 3.5X237 VAR,8588.0,8588.0,1288.2,8588.0,30
HCPCS,C1713,PLATE SCR EXTENSION,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,PLATE SF TUB 1/3X3X37,1102.0,1102.0,165.3,1102.0,30
HCPCS,C1713,PLATE SF TUB 1/3X4X49,1274.0,1274.0,191.1,1274.0,30
HCPCS,C1713,PLATE SHORT 115MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE SHRT 1.5MM ALY MOD,3730.0,3730.0,559.5,3730.0,30
HCPCS,C1713,PLATE SHRT BND 118TI STR,8262.0,8262.0,1239.3,8262.0,30
HCPCS,C1713,PLATE SHRT MXLFCL 2HL,912.0,912.0,136.8,912.0,30
HCPCS,C1713,PLATE SM 34X16X2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SM 58.9X37.3X1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE SM 81X10 12 HL BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SM BUR HL CRNL TI,2958.0,2958.0,443.7,2958.0,30
HCPCS,C1713,PLATE SM CLS FSN BN TLR,4216.0,4216.0,632.4,4216.0,30
HCPCS,C1713,PLATE SM FX BN CLCNS SYS,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE SM MED TI 6.5MM,4983.0,4983.0,747.45,4983.0,30
HCPCS,C1713,PLATE SM TI 6 HL LCK BN,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE SM TI ELLIPSE BN S,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SM TI RT 3HL 93MM,11042.0,11042.0,1656.3,11042.0,30
HCPCS,C1713,PLATE SNOMA ANT CER 12MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SNOMA ANT CER 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SNOMA ANT CER 18MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SNOMA ANT CER 28MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SNOMA ANT CER 31MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SNOMA ANT CER 34MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE SNOMA ANT CER 37MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SNOMA ANT CER 48MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SNTH 3.5 9 HOL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE SP 12MM 1 LEVEL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SP 16MM 1 LEVEL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SP 20MM 1 LEVEL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SP 28MM 2 LEVEL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SP 30MM 2 LEVEL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SP 45MM 3 LEVEL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SP 51MM 3 LEVEL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPIN 1LEV 14MM CER,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPINE LOCKING 73MM,15068.0,15068.0,2260.2,15068.0,30
HCPCS,C1713,PLATE SPN -6D 12X14X5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1 LV 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1 LV 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1 LV 8MM SZ 8,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1 LVL 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1 LVL 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1 LVL 24MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN 1 SCREW SZ06,4762.0,4762.0,714.3,4762.0,30
HCPCS,C1713,PLATE SPN 1 SIDED 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1.55IN,7145.0,7145.0,1071.75,7145.0,30
HCPCS,C1713,PLATE SPN 1.6V 1LVL 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1.9H 3LVL 58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 10MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,PLATE SPN 10MM 23MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 110MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN 120MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,PLATE SPN 12MM,3720.5,3720.5,451.8,4429.0,120
HCPCS,C1713,PLATE SPN 12MM 2.0X35MM,3801.0,3801.0,570.15,3801.0,30
HCPCS,C1713,PLATE SPN 12X17.4X2.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 12X22X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
HCPCS,C1713,PLATE SPN 12X46X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
HCPCS,C1713,PLATE SPN 12X58X9X2.7MM,4667.0,4667.0,700.05,4667.0,30
HCPCS,C1713,PLATE SPN 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN 14MM 6MM,4650.5,4650.5,664.35,4872.0,60
HCPCS,C1713,PLATE SPN 14MM 7MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 14MM TI L1,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 14X14.4X2.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 15D -15MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN 15MM 19MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 16MM TI L1,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 16X17.4X2.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 16X58X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
HCPCS,C1713,PLATE SPN 16X75X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
HCPCS,C1713,PLATE SPN 16X7MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 180MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,PLATE SPN 18MM TI L1,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 19MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 1CVL 26MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN 1H,753.0,753.0,112.95,753.0,30
HCPCS,C1713,PLATE SPN 1H 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN 1HL 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN 1LV 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LV 19MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LV 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LVL 10MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,PLATE SPN 1LVL 11MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 1LVL 12MM,4650.5,4650.5,664.35,4872.0,60
HCPCS,C1713,PLATE SPN 1LVL 12MM CRVC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LVL 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LVL 14MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,PLATE SPN 1LVL 16MM CRVC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LVL 17MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 1LVL 18MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 1LVL 19MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LVL 20MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,PLATE SPN 1LVL 21MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LVL 22MM,7751.0,7751.0,664.35,11073.0,60
HCPCS,C1713,PLATE SPN 1LVL 23MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 1LVL 23MM 37MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE SPN 1LVL 24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LVL 25MM,8858.0,8858.0,664.35,13287.0,60
HCPCS,C1713,PLATE SPN 1LVL 26MM,7751.0,7751.0,664.35,11073.0,60
HCPCS,C1713,PLATE SPN 1LVL 27MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 1LVL 28MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 1LVL 32MM,7751.0,7751.0,664.35,11073.0,60
HCPCS,C1713,PLATE SPN 1LVL 37MM 23MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN 1LVL 39MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN 1LVL 40MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE SPN 1LVL 41MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN 2 LEV 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2 LEVEL 34MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2 LVL 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2 LVL 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2.0MM 33/10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2.15IN 5.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 20MM 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 21MM,4901.0,4901.0,664.35,12402.0,90
HCPCS,C1713,PLATE SPN 22MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 23MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 24MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN 25MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 25X6.35MM,5474.0,5474.0,821.1,5474.0,30
HCPCS,C1713,PLATE SPN 27.5MM,4901.0,4901.0,735.15,4901.0,30
HCPCS,C1713,PLATE SPN 28MM,5027.0,5027.0,112.95,9301.0,60
HCPCS,C1713,PLATE SPN 29MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2HL 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2HL 14MM,7153.0,7153.0,664.35,9877.0,60
HCPCS,C1713,PLATE SPN 2HL 16MM,9877.0,9877.0,1481.55,9877.0,30
HCPCS,C1713,PLATE SPN 2HL 18MM,9877.0,9877.0,1481.55,9877.0,30
HCPCS,C1713,PLATE SPN 2HL 8MM,4540.0,4540.0,681.0,4540.0,30
HCPCS,C1713,PLATE SPN 2LV 24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LV 34X16X2.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LV 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LV 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 26MM,4761.5,4761.5,664.35,5094.0,90
HCPCS,C1713,PLATE SPN 2LVL 28MM,4540.0,4540.0,664.35,4651.0,90
HCPCS,C1713,PLATE SPN 2LVL 28MM CRVC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 29MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 30MM,4540.0,4540.0,664.35,4651.0,150
HCPCS,C1713,PLATE SPN 2LVL 31MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 32MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,PLATE SPN 2LVL 33MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 34MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,PLATE SPN 2LVL 36MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 2LVL 37MM CRVC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 38MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,PLATE SPN 2LVL 40MM,4540.0,4540.0,664.35,4651.0,60
HCPCS,C1713,PLATE SPN 2LVL 41MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 43MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 44MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL 51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2LVL HPR-C 30M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 2MM 27MM,4241.0,4241.0,636.15,4241.0,30
HCPCS,C1713,PLATE SPN 2MM 6MM 29MM,4035.0,4035.0,605.25,4035.0,30
HCPCS,C1713,PLATE SPN 3.5 37MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN 3.5MM 31MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN 30-34MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN 30MM,7236.0,7236.0,112.95,9301.0,90
HCPCS,C1713,PLATE SPN 30X16X2.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 31MM TI 4.75MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,PLATE SPN 32.5MM,7961.0,7961.0,1194.15,7961.0,30
HCPCS,C1713,PLATE SPN 34-36MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN 34-36X6.35MM,6442.0,6442.0,966.3,6442.0,30
HCPCS,C1713,PLATE SPN 34MM TI L2,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN 35MM,6195.0,6195.0,664.35,7961.0,90
HCPCS,C1713,PLATE SPN 36-39MM 5.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 36MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN 36MM TI L2,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN 37.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 38MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN 39-45MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN 39.8X16X2.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3H 39MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN 3HL 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3L 48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3L 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LV 48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LV 50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 1.9H 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 39MM,4650.5,4650.5,664.35,4872.0,90
HCPCS,C1713,PLATE SPN 3LVL 42MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 3LVL 43MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 44MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 3LVL 45M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 45MM,4650.5,4650.5,664.35,4872.0,180
HCPCS,C1713,PLATE SPN 3LVL 47MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 48MM,4650.5,4650.5,664.35,4872.0,90
HCPCS,C1713,PLATE SPN 3LVL 48MM CRVC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 51MM,4650.5,4650.5,664.35,4872.0,180
HCPCS,C1713,PLATE SPN 3LVL 53MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 54MM,4429.0,4429.0,664.35,4429.0,210
HCPCS,C1713,PLATE SPN 3LVL 57MM,4429.0,4429.0,664.35,4429.0,150
HCPCS,C1713,PLATE SPN 3LVL 59MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 60MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,PLATE SPN 3LVL 61MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 63MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 3LVL 65MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 66MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL 68MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 3LVL HPR-C 53M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4 HL 12MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1713,PLATE SPN 4 LVL 58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 40MM,4651.0,4651.0,664.35,13159.0,120
HCPCS,C1713,PLATE SPN 42MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN 44MM TI L3,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SPN 45MM,5393.5,5393.5,764.1,5693.0,60
HCPCS,C1713,PLATE SPN 46X26X4.5MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN 47.5MM,5297.0,5297.0,794.55,5297.0,30
HCPCS,C1713,PLATE SPN 47X16X2MM,4418.0,4418.0,662.7,4418.0,30
HCPCS,C1713,PLATE SPN 48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 48MM TI L3,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SPN 4CM,11063.0,11063.0,1659.45,11063.0,30
HCPCS,C1713,PLATE SPN 4H SZ5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4HL 14MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1713,PLATE SPN 4HL 16MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1713,PLATE SPN 4HL 17.3X1.8MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,PLATE SPN 4HL 35MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN 4HL 37MM,20221.0,20221.0,3033.15,20221.0,30
HCPCS,C1713,PLATE SPN 4HL 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4HL SZ6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 62MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 64MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 4LVL 65MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 66MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 68MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,PLATE SPN 4LVL 69MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 71MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 72MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,PLATE SPN 4LVL 73MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 75MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 4LVL 76MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 78MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL 85MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4LVL CRV 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 4MM 10MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,PLATE SPN 4MM 6MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 4MM 8MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 5-7MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,PLATE SPN 5.5MM 22MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN 5.5MM 28-30MM,5101.0,5101.0,765.15,5101.0,30
HCPCS,C1713,PLATE SPN 51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 52.5MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN 52MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE SPN 55MM AFFIX 2,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1713,PLATE SPN 57.5MM,5158.0,5158.0,664.35,5887.0,60
HCPCS,C1713,PLATE SPN 58MM 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN 58MM TI L3,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SPN 5CM,10917.0,10917.0,1637.55,10917.0,30
HCPCS,C1713,PLATE SPN 5LV 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 5LVL 39MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 5LVL 87MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 60MM,4872.0,4872.0,664.35,5887.0,90
HCPCS,C1713,PLATE SPN 62.5MM,5158.0,5158.0,664.35,5887.0,60
HCPCS,C1713,PLATE SPN 63MM L2,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1713,PLATE SPN 65MM,5093.5,5093.5,730.8,5315.0,60
HCPCS,C1713,PLATE SPN 67.5MM,5204.5,5204.5,764.1,5315.0,60
HCPCS,C1713,PLATE SPN 6CM,11063.0,11063.0,1659.45,11063.0,30
HCPCS,C1713,PLATE SPN 6MM 10MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 6MM 14MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN 6X2MM 29MM,4241.0,4241.0,636.15,4241.0,30
HCPCS,C1713,PLATE SPN 70MM,9489.0,9489.0,1423.35,9489.0,30
HCPCS,C1713,PLATE SPN 72X16X2.5MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN 75MM,5537.0,5537.0,664.35,8473.0,90
HCPCS,C1713,PLATE SPN 76X16X2.5MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN 77.5MM,5558.0,5558.0,664.35,6687.0,60
HCPCS,C1713,PLATE SPN 7MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 7MM 4H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 80MM,4761.5,4761.5,451.8,5503.0,120
HCPCS,C1713,PLATE SPN 82.5MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN 85MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 87.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN 88X26X4.5MM,15630.0,15630.0,2344.5,15630.0,30
HCPCS,C1713,PLATE SPN 8MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,PLATE SPN 8MM 31MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN 8X26X9X2.7MM,3050.0,3050.0,457.5,3050.0,30
HCPCS,C1713,PLATE SPN 90MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN 91X26X4.5MM,15630.0,15630.0,2344.5,15630.0,30
HCPCS,C1713,PLATE SPN 97X26X4.5MM,12568.0,12568.0,1885.2,12568.0,30
HCPCS,C1713,PLATE SPN 9MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN ACDF 1LVL 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN ACDF 1LVL 34MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN ADJ SMALL,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN AFFXD 2 45MM,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1713,PLATE SPN ANCH MED,11339.0,11339.0,1700.85,11339.0,30
HCPCS,C1713,PLATE SPN ANT 19MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE SPN ANT 1LVL 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN ANT 2H 10MM,9877.0,9877.0,1481.55,9877.0,30
HCPCS,C1713,PLATE SPN ANT 2HL 10MM,9877.0,9877.0,1481.55,9877.0,30
HCPCS,C1713,PLATE SPN ANT 2HL 12MM,9877.0,9877.0,1481.55,9877.0,60
HCPCS,C1713,PLATE SPN ANT 2HL 16MM,9877.0,9877.0,1481.55,9877.0,30
HCPCS,C1713,PLATE SPN ANT 2HL 7MM,4540.0,4540.0,681.0,4540.0,30
HCPCS,C1713,PLATE SPN ANT 2LVL 26MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE SPN ANT 4HL 10MM,9213.0,9213.0,1381.95,9213.0,60
HCPCS,C1713,PLATE SPN ANT 4HL 12MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1713,PLATE SPN ANT 4HL 14MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1713,PLATE SPN ANT LMBAR 20MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN ANT LMBAR 22MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN ANT LMBAR 24MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN ANT LMBAR 28MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN ANT LMBAR 30MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN ANT LMBR 24X15,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN AVTR 2LVL 32MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE SPN AVTR 3LVL 42MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN BN 12MM,23917.0,23917.0,3587.55,23917.0,30
HCPCS,C1713,PLATE SPN BN 2LVL 42MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE SPN BTRS 24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN CER 2LVL 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1L 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1L 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1LV 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1LVL 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1LVL 12MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN CERV 1LVL 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1LVL 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1LVL 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1LVL 24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1LVL 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 1LVL 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 28MM 1LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 2LV 30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 2LVL 26MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN CERV 2LVL 28MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN CERV 2LVL 30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 2LVL 34MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN CERV 2LVL 37MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 2LVL 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 30MM 1LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 3LVL 39MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 3LVL 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 3LVL 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 3LVL 48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 3LVL 51MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,PLATE SPN CERV 3LVL 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 3LVL 57MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN CERV 3LVL 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 42.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 4LVL 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 4LVL 64MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 4LVL 67MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 4LVL 68MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN CERV 4LVL 69MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 4LVL 72MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 4LVL 76MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 4LVL 84MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 54MM 3LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 57.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV L2 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV LV3 57MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERV LVL2 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CERVICAL 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN COVER,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE SPN CRV 1LVL 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN CVR 10-14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,PLATE SPN CVR 34MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,PLATE SPN CVR 42MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,PLATE SPN CVR PRFL 6-7MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,PLATE SPN DSCTMY1LV 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN END 0D 26X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN FIX 2LVL 24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN FIXD 1LVL 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN FLSH 12MM,10010.0,10010.0,1501.5,10010.0,30
HCPCS,C1713,PLATE SPN FLSH 14MM,10010.0,10010.0,1501.5,10010.0,30
HCPCS,C1713,PLATE SPN FRTFY UE 14MM,3558.0,3558.0,533.7,3558.0,30
HCPCS,C1713,PLATE SPN FSN WD 10MM,23917.0,23917.0,3587.55,23917.0,30
HCPCS,C1713,PLATE SPN FSN WD 14MM,23917.0,23917.0,3587.55,23917.0,30
HCPCS,C1713,PLATE SPN FSN WD 8MM,23917.0,23917.0,3587.55,23917.0,30
HCPCS,C1713,PLATE SPN FULL HL 90MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN FXTN 7MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE SPN HUMP GRW 16MM,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLATE SPN INTERBODY 7MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN INTERBODY 9MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN INTRNSC 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN KEEL 35MM,13159.0,13159.0,1973.85,13159.0,30
HCPCS,C1713,PLATE SPN L1 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN L3 58MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1713,PLATE SPN L4 81MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN L60 RFLX HBRD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LAT 18MM 4HL,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN LAT 1HL 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LAT 24MM 4HL,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN LAT 26MM 4HL,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN LAT 2HL 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LAT 2HL LG,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1713,PLATE SPN LCK,2109.0,2109.0,316.35,2109.0,30
HCPCS,C1713,PLATE SPN LCK 10MM,4495.5,4495.5,112.95,8238.0,60
HCPCS,C1713,PLATE SPN LCK 12MM,8238.0,8238.0,1235.7,8238.0,30
HCPCS,C1713,PLATE SPN LCK 5.5X58MM,9135.0,9135.0,1370.25,9135.0,30
HCPCS,C1713,PLATE SPN LCK 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LCK COVER 9MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,PLATE SPN LCK CRV 10MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,PLATE SPN LCK CVR 10MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE SPN LCK CVR 12MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE SPN LCK CVR 14MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE SPN LCK CVR 18MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLATE SPN LCK PST 8MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE SPN LCKN COVER 8MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,PLATE SPN LCP 10HL 3.5MM,3242.0,3242.0,486.3,3242.0,30
HCPCS,C1713,PLATE SPN LG BTTRS,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN LMBR 36MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1713,PLATE SPN LMNPLSTY MED,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN LMPLSTY 4X12MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN LMPLSTY 6X10MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN LNG 8-10MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,PLATE SPN LOPRO 32MM,5027.0,5027.0,112.95,9301.0,60
HCPCS,C1713,PLATE SPN LOPRO 8HL 21MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LRTC 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN LV 2 34MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN LV2 44MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,PLATE SPN LVL 1 22MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN LVL 1 24MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN LVL 2 37MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL 3 1.9H 48M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL 3 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL 3 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL 3 55MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL1 12MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN LVL1 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL1 18MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLATE SPN LVL1 20MM,8238.0,8238.0,664.35,12047.0,60
HCPCS,C1713,PLATE SPN LVL2 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL2 24MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLATE SPN LVL2 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL2 28MM,4761.5,4761.5,664.35,5094.0,60
HCPCS,C1713,PLATE SPN LVL2 30MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN LVL2 32MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN LVL2 34MM,4761.5,4761.5,664.35,5094.0,60
HCPCS,C1713,PLATE SPN LVL2 36MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLATE SPN LVL2 38MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SPN LVL3 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN LVL3 51MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SPN LVL3 57MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SPN LVL3 60MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SPN LVL4 93MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN MD BTTRS,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN MDL 1LV 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN MDL 1LV 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN MED 30-40MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN MED 42MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN MED 8MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE SPN OCCIPITAL 40MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN OCCPTL Y SML,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN OCCU 50MM,12656.0,12656.0,1898.4,12656.0,30
HCPCS,C1713,PLATE SPN OCPTL LG 24MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN OCPTL SM 20MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN OCPTL SMALL,11287.0,11287.0,1693.05,11287.0,30
HCPCS,C1713,PLATE SPN PAX SCR HL 7MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN PIN,377.0,377.0,56.55,377.0,30
HCPCS,C1713,PLATE SPN PRECNTRD 10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN PST WD 10MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE SPN PST WD 12MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE SPN RFLX 18MM 1LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN SACRAL 36MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,PLATE SPN SACRAL 40MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,PLATE SPN SACRUM 18MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN SACRUM 20MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN SACRUM 22MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN SACRUM 24MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN SACRUM 26MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN SCRL 1LVL 39MM,11686.0,11686.0,1752.9,11686.0,30
HCPCS,C1713,PLATE SPN SCRM L1 34MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN SHLF 7MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN SM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN SM 2H,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1713,PLATE SPN SM BTTRS,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN SM MDL,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN SML 20MM 12MM,4060.0,4060.0,609.0,4060.0,30
HCPCS,C1713,PLATE SPN SML 42MM 34MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN SML 45MM 37MM,4264.0,4264.0,639.6,4264.0,30
HCPCS,C1713,PLATE SPN SML 48MM 40MM,4264.0,4264.0,639.6,4264.0,30
HCPCS,C1713,PLATE SPN SML 54MM 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN SPC LG 40-50MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN SPOON 5H 100MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN SPOON 6H 120MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN STD 8MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1713,PLATE SPN STND 4H 6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN STRXX 4LVL76MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN SZ12 22X31.5MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN SZ8 22X27.5MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLATE SPN T 32MM SS L1,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,PLATE SPN THORC NONCM 2,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,PLATE SPN THORCLM 15MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN THORLMBR 56MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1713,PLATE SPN THRCLMBR 21MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPN TI 56 RFLX HBR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN TI L55 THRCLM,9135.0,9135.0,1370.25,9135.0,30
HCPCS,C1713,PLATE SPN TROUGH SM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN UNV 25MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPN W MTH 8MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE SPN W/SCR AXL 63MM,23917.0,23917.0,3587.55,23917.0,30
HCPCS,C1713,PLATE SPN XLIF MOD 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN XLNK 4HL VRTX,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN XPND 5X8-12MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPN XTEND 63MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPN ZERO 14MM,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1713,PLATE SPNE 19MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPNL 1 SIDED 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL 1LVL 28MM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1713,PLATE SPNL 2-LEVEL 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL 20MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,PLATE SPNL 24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPNL 2H 14MM,9877.0,9877.0,1481.55,9877.0,30
HCPCS,C1713,PLATE SPNL 2LVL 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL 60MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL 63MM 3 LVL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL ANT 2HL 6MM,4540.0,4540.0,681.0,4540.0,30
HCPCS,C1713,PLATE SPNL ANT 2HL 9MM,4540.0,4540.0,681.0,4540.0,30
HCPCS,C1713,PLATE SPNL ANT 4HL 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL BN 12MM,23917.0,23917.0,3587.55,23917.0,30
HCPCS,C1713,PLATE SPNL CERV L1 12MM,5317.0,5317.0,797.55,5317.0,30
HCPCS,C1713,PLATE SPNL CERV L1 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL CERV L3 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL INLN 6X6MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPNL INLN 6X8MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLATE SPNL LAT 4HL 22MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPNL OCCIPITAL SM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPNL OCCPTL T SM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPNL OCT 38-48MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLATE SPNL PRBNT 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SPNL ZPHR TI 27,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SS 7HL 57MM 2.4MM,4967.0,4967.0,745.05,4967.0,30
HCPCS,C1713,PLATE STAB 14MM XS TI 1,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE STAB 20MM LG TI 1,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE STD 118MM,8510.0,8510.0,1276.5,8510.0,30
HCPCS,C1713,PLATE STD LP .375 6.35MM,5022.0,5022.0,753.3,5022.0,30
HCPCS,C1713,PLATE STERNAL LOCK 6HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE STLCK 1LVL 24X16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE STLCK 2LVL 38X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE STLCK 2LVL 40X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE STLCK 3LVL 50X42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE STLCK 3LVL 59X51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE STLCK 3LVL 68X60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE STLCK 3LVL 71X63MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE STR 71MMX1.3MM,3547.0,3547.0,532.05,3547.0,30
HCPCS,C1713,PLATE STRAIGHT 1.3 6HX23,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE STRAIT BRD DYN CMP,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE STRN LK 18HL 1.5MM,3699.0,3699.0,554.85,3699.0,30
HCPCS,C1713,PLATE STRNL 20HL STR 1.0,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE STRNL 4HL STR 33X2,3494.0,3494.0,524.1,3494.0,30
HCPCS,C1713,PLATE STRNL DBL 14 M,5629.0,5629.0,844.35,5629.0,30
HCPCS,C1713,PLATE STRNL DBL 14 SM,5629.0,5629.0,844.35,5629.0,30
HCPCS,C1713,PLATE STRNL DBL 17 SM,5629.0,5629.0,844.35,5629.0,30
HCPCS,C1713,PLATE STRNL DBL 20 M,5629.0,5629.0,844.35,5629.0,30
HCPCS,C1713,PLATE STRNL LCK 7HL MINI,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE STRNL LCK10HL1.8MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE STRNL LK 8HL STR,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE STRNL SGL 11 LG,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 11 M,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 11 SM,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 11 XS,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 14 M,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 14 SM,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 14 XL,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 14 XS,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 17 LG,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 17 M,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 17 SM,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 17MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE STRNL SGL 20 LG,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 20 M,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL SGL 20 XL,4876.0,4876.0,731.4,4876.0,30
HCPCS,C1713,PLATE STRNL TLN XL 14MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE STRNM LCK 1.8MM 6H,3341.0,3341.0,501.15,3341.0,30
HCPCS,C1713,PLATE STRT 1.5X100 20HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE STRUT 1.5MM 8H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE STRUT 8 HOLE,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLATE STRUXXUR 4LVL 84MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SUPR MDSHFT RT10HL,4185.0,4185.0,627.75,4185.0,30
HCPCS,C1713,PLATE SYN 449.104,22367.0,22367.0,3355.05,22367.0,30
HCPCS,C1713,PLATE SYNT CONTOUR MESH,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1713,PLATE SYNTHES 487.213,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SYNTHES 487.345,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SYNTHES 487.348,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE SYNTHES 487.354,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE T 2.4 LCP 3H/3H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE T 3 HL HD 9HL 2X50,2863.0,2863.0,429.45,2863.0,30
HCPCS,C1713,PLATE T 3HLHD 9HL 1.5X50,2605.0,2605.0,390.75,2605.0,30
HCPCS,C1713,PLATE T 4 HL HD 9HL 2X50,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE T BN 2HL 18MM,652.0,652.0,97.8,652.0,30
HCPCS,C1713,PLATE T BN 3HL 32MM,2813.0,2813.0,421.95,2813.0,30
HCPCS,C1713,PLATE T BN 4/6H 3.5MM,3033.0,3033.0,454.95,3033.0,30
HCPCS,C1713,PLATE T BN LT 3.5MM 63MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE T BN LT 3.5MM 74MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE T BN LT 3.5MM 96MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE T TI 2.7X32 TI 3HL,803.0,803.0,120.45,803.0,30
HCPCS,C1713,PLATE T TI CNDRL 2.7 7HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE TALON SNGL FT 11MM,4806.0,4806.0,720.9,4806.0,30
HCPCS,C1713,PLATE TEMPUS 1LEVEL 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE TEMPUS ONELVL 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE THINFLAP SQUARE,2334.0,2334.0,350.1,2334.0,30
HCPCS,C1713,PLATE THNFLAP CRNFCL 4HL,1289.0,1289.0,193.35,1289.0,30
HCPCS,C1713,PLATE THNFLAP CRNFCL 6HL,1429.0,1429.0,214.35,1429.0,30
HCPCS,C1713,PLATE THNFLP CRNFCL 10HL,2118.0,2118.0,317.7,2118.0,30
HCPCS,C1713,PLATE THNFLP CRNFCL 6HL,2283.0,2283.0,342.45,2283.0,30
HCPCS,C1713,PLATE TI 1 LVL LUM 41MM,26574.0,26574.0,3986.1,26574.0,30
HCPCS,C1713,PLATE TI 1.5 SCR 3X8 HL,3601.0,3601.0,540.15,3601.0,30
HCPCS,C1713,PLATE TI 109MM,23935.0,23935.0,3590.25,23935.0,30
HCPCS,C1713,PLATE TI 40X26X4.5MM,9135.0,9135.0,1370.25,9135.0,30
HCPCS,C1713,PLATE TI 43X26X4.5MM,8222.0,8222.0,1233.3,8222.0,30
HCPCS,C1713,PLATE TI 6 HL LCK BN STR,4859.0,4859.0,728.85,4859.0,30
HCPCS,C1713,PLATE TI 61X26X4.5MM,8222.0,8222.0,1233.3,8222.0,30
HCPCS,C1713,PLATE TI 64X26X4.5MM,11301.0,11301.0,1695.15,11301.0,30
HCPCS,C1713,PLATE TI 77MM,23935.0,23935.0,3590.25,23935.0,30
HCPCS,C1713,PLATE TI 8 H J LCK SYS,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1713,PLATE TI 85MM,22367.0,22367.0,3355.05,22367.0,30
HCPCS,C1713,PLATE TI CNDRL 2.7 57 7H,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE TI CSLP/SM STATURE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE TI MINI 36X3.5X9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE TI MINI 47X7X1 2.7,1576.0,1576.0,236.4,1576.0,30
HCPCS,C1713,PLATE TI NEURO BUR HLE 2,1684.0,1684.0,252.6,1684.0,30
HCPCS,C1713,PLATE TI WRST FSN SHRT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE TI/PMMA 4 46 PX66,6514.0,6514.0,977.1,6514.0,30
HCPCS,C1713,PLATE TIB 12HL 213MM,7365.0,7365.0,1104.75,7365.0,30
HCPCS,C1713,PLATE TIB 14H 3.5X239MM,4675.0,4675.0,701.25,4675.0,30
HCPCS,C1713,PLATE TIB 26MM SR NOILS,8691.0,8691.0,1303.65,8691.0,30
HCPCS,C1713,PLATE TIB 8HL 4.5MM,6589.0,6589.0,988.35,6589.0,30
HCPCS,C1713,PLATE TIB BN 4.5MM 226MM,5996.0,5996.0,899.4,5996.0,30
HCPCS,C1713,PLATE TIB OPTN NXGN 7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1713,PLATE TIB RT 6H 91MM,5692.0,5692.0,853.8,5692.0,30
HCPCS,C1713,PLATE TIB TI 9HOLE LISS,7662.0,7662.0,1149.3,7662.0,30
HCPCS,C1713,PLATE TIB XS 12MM,9363.0,9363.0,1404.45,9363.0,30
HCPCS,C1713,PLATE TIBPLT XS 26MM,8691.0,8691.0,1303.65,8691.0,30
HCPCS,C1713,PLATE TSLP 70MM,15825.0,15825.0,2373.75,15825.0,30
HCPCS,C1713,PLATE TT ORBITAL 1.0/11,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE ULNAR RIGHT 3 HOLE,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLATE ULS DCP 7H 92 3.5,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,PLATE UNIV BETA 4SLOT,4912.0,4912.0,736.8,4912.0,30
HCPCS,C1713,PLATE VNTR ANT CERV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE VNTR CERV 62.5,6630.0,6630.0,994.5,6630.0,30
HCPCS,C1713,PLATE VOLAR 4 PEG LT 7 H,6090.0,6090.0,913.5,6090.0,30
HCPCS,C1713,PLATE VSP SPINE A 1.0 SL,5902.0,5902.0,885.3,5902.0,30
HCPCS,C1713,PLATE W/CBL LG 110MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE W/CBL LG 160MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE W/CBL LG 210MM,5418.0,5418.0,812.7,5418.0,30
HCPCS,C1713,PLATE W/CBL MED 2MM,5418.0,5418.0,812.7,5418.0,30
HCPCS,C1713,PLATE X 2.4/2.7MM VA-LCK,5047.0,5047.0,757.05,5047.0,30
HCPCS,C1713,PLATE XL 153MM 2.7/3.5MM,5690.0,5690.0,853.5,5690.0,30
HCPCS,C1713,PLATE XLNK L 2.15-2.95,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLATE Y 2.0 3H HEAD 7H,3547.0,3547.0,532.05,3547.0,30
HCPCS,C1713,PLATE Y BN 2HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE Y BN LCK 10H 192MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLATE Y BN ULNA ORTHO,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATE Y BONE BETA MAXLOC,4912.0,4912.0,736.8,4912.0,30
HCPCS,C1713,PLATE-X 1.0 5 HOLE,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLATEHYBRD 26 2LEVEL,1674.0,1674.0,251.1,1674.0,30
HCPCS,C1713,PLG SPNL ALTIUS G587,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,PLT 10D SM42MM 2.4/2.7MM,4969.0,4969.0,745.35,4969.0,30
HCPCS,C1713,PLT 110D SS3.5MM SCR LCP,3918.0,3918.0,587.7,3918.0,30
HCPCS,C1713,PLT 118MM STRFSN LCPWRST,8262.0,8262.0,1239.3,8262.0,30
HCPCS,C1713,PLT 2X2 7MM BRDG TAB.6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLT 30.0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT 32.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT 3X3 4MM BRDG TAB.6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLT 45.0MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,PLT 50.0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT 52.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT 5D SM 42MM 2.4/2.7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT 62.5MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,PLT 65.0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT 90X90MM OSTFRM CRNFC,8175.0,8175.0,1226.25,8175.0,30
HCPCS,C1713,PLT ANG 6 HL 30X112MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT BN 3DMIC120X120X.6MM,9618.0,9618.0,1442.7,9618.0,30
HCPCS,C1713,PLT BN FEM RT316MM 13HL,7894.0,7894.0,1184.1,7894.0,30
HCPCS,C1713,PLT BN LCK 104X3.5MM 6HL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT BN LT 3H 2.7/3.5X80,7175.0,7175.0,1076.25,7175.0,30
HCPCS,C1713,PLT BN MANDIBLE 20HL 2MM,11520.0,11520.0,1728.0,11520.0,30
HCPCS,C1713,PLT BN MDFC 4X6HL .7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLT BN PIN RADL CLMN 7HL,3534.0,3534.0,530.1,3534.0,30
HCPCS,C1713,PLT BN SPN CERV 2LVL36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT BN TIB LT 300MM 13HL,7078.0,7078.0,1061.7,7078.0,30
HCPCS,C1713,PLT CERVICAL 42.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT CERVICAL 82.5MM,5503.0,5503.0,825.45,5503.0,30
HCPCS,C1713,PLT CERVICAL 85MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,PLT CERVICAL 87.5MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,PLT CERVICAL 90MM,5747.0,5747.0,862.05,5747.0,30
HCPCS,C1713,PLT CERVICAL 95MM,6983.0,6983.0,1047.45,6983.0,30
HCPCS,C1713,PLT CLAVICLE LKNG 9 HL,4309.0,4309.0,646.35,4309.0,60
HCPCS,C1713,PLT CLV RT 8H 120X3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT CLVRLF LNG64 2.4/2.7,4539.0,4539.0,680.85,4539.0,30
HCPCS,C1713,PLT CONDY 11 HL 221MM,3776.0,3776.0,566.4,3776.0,30
HCPCS,C1713,PLT CONDY 13 HL 253MM,3888.0,3888.0,583.2,3888.0,30
HCPCS,C1713,PLT CRV 278MM 4.5MM 12HL,8259.0,8259.0,1238.85,8259.0,30
HCPCS,C1713,PLT CVD 18H 246MM RT,12236.0,12236.0,1835.4,12236.0,30
HCPCS,C1713,PLT LCK AXS 12X5HL 274MM,5682.0,5682.0,852.3,5682.0,30
HCPCS,C1713,PLT LCK VOLR 11HL 7PEG,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,PLT LT11HL 177X2.7/3.5MM,4187.0,4187.0,628.05,4187.0,30
HCPCS,C1713,PLT LTHB 9 HL 181MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,PLT MED 52MM10D2.4/2.7MM,4601.0,4601.0,690.15,4601.0,30
HCPCS,C1713,PLT MED DI TB 6HL RT,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,PLT MESH300X150MM SUBTMP,6700.0,6700.0,1005.0,6700.0,30
HCPCS,C1713,PLT MINI SAG01-305-06-09,2511.0,2511.0,376.65,2511.0,30
HCPCS,C1713,PLT MINI SAG01-335-06-09,2511.0,2511.0,376.65,2511.0,30
HCPCS,C1713,PLT PROX LAT TIB 5.5MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,PLT PROX MED TIB 4.5 8 H,4145.0,4145.0,621.75,4145.0,30
HCPCS,C1713,PLT RECON 2.781 10HL,3528.0,3528.0,529.2,3528.0,30
HCPCS,C1713,PLT SDBYSD 4MM MOUTH 8MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLT SDBYSD 6MM MOUTH 6MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLT SLOTLS ALPA LPS MXLK,4336.0,4336.0,650.4,4336.0,30
HCPCS,C1713,PLT SPN 2 LVL 30MM CRVCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLT SPN L1 CITADEL 28MM-,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLT SPN LAT 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,PLT SPN PAX SCR HL 11MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,PLT SPNL SZ10 22X29.5MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,PLT TARSAL FUSION 16 MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,PLT TI LAT MOD 6X26.5MM,10276.0,10276.0,1541.4,10276.0,30
HCPCS,C1713,PLT TIBIOTLR TTC FUSN RT,14209.0,14209.0,2131.35,14209.0,30
HCPCS,C1713,PLT TROCH GRIP SM 255MM,7996.0,7996.0,1199.4,7996.0,30
HCPCS,C1713,PLT Y SCR 27X.75X1.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,PLTE 30MM UPPR THOR POST,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,PLTE CONN CROSSLINK 28MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,PLTSPN CERV ASSY 77.5,7091.0,7091.0,1063.65,7091.0,30
HCPCS,C1713,PLUG ANCHOR STD 16MM,4047.0,4047.0,607.05,4047.0,30
HCPCS,C1713,PLUG ANCHOR STD 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PLUG SPN TALON FLAT LCK,753.0,753.0,112.95,753.0,30
HCPCS,C1713,POST TPR 13.5 X 31 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,PROSTHESIS CRV DISC 15MM,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1713,PROSTHESIS CRV DISC 17MM,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1713,ROD 00119709510,14789.0,14789.0,2218.35,14789.0,30
HCPCS,C1713,ROD 1/4 IN HEX END,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD 110MM PRE-LORDOSED,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3-D 25 CM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5-5.5MM TRAN 400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5X200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 3.5X60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 4.0MM TI CURVED 75MM,3987.0,3987.0,598.05,3987.0,30
HCPCS,C1713,ROD 4.0MMX40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 5.5 MM STRAGHT 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 5.5X150MM STRAIGHT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 5.5X300MM STRAIGHT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 5.5X400MM STRAIGHT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 5.5X600 TITAN TRNSTN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD 5.5X65MM STRGHT TITN,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 6.0X600 COCR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 65 6.0 CURV SFT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 6MMX440MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 75 6.0 CURV SFT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD 80MX6MM PRECONT SPNL,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD 85 6.0 CURV SFT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD 90 MM SPINAL,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD ACME SPN 4CM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD BLCKBRD PRBNT3.5X100,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD BN ORTH 4.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ROD CCM CURV 4.75X35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD CD HRZN SOL 5.5/6.0,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD CLRS EXT OMNAX CNCTR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCT CLS 15X5.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CNCT CLS 30X5.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CNCT SPN 4.75-6X25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR 15MM OFST LAT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR 25MM 5/6-6MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CNCTR 3.5/4-5.5/6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR 3.5/5.5MM MTNR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR 3.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR 5.5 CLMP,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR 5.5MM RT SPNL,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1713,ROD CNCTR 5.5X6MM OPN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR 70MM 5/6-6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR LT 9MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CNCTR OFST 3.5/4.0MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNCTR SPN 20X5/6-6MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CNNCTR 5.5/5.5MM SPN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CNNCTR SPN XTN 6MM,3408.0,3408.0,511.2,3408.0,30
HCPCS,C1713,ROD COCR DD 3.5-5.5X600,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CON SPN OFST,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CON SPNL 22X5.5,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CONCTR 19MM ANG SPN,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CONCTR 25MM 5/6-5.5,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CONCTR LG CLS JNCTN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONN BRDG 27,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CONN BRDG 36,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CONN LGCY 7041310,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CONN SPN 0D,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONN SPN 38-47MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD CONN SPN 5.5X5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONN SPN 6.35/5.5MM,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,ROD CONN SPN 6X5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONN SPN A4 5.5MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD CONN SPN BRDG 33MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CONN SPN F7 5.5MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD CONN SPN MED 3.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD CONN SPN OPN 2 SCRW,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONN SPN OPN/CLS,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONN SPN REV R TO R,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD CONN SPN STR 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONN SPNL TI 10X,6418.0,6418.0,962.7,6418.0,30
HCPCS,C1713,ROD CONN TRANS 3.5/4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONN VUEPNT 120X3.5,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD CONN XIA 3 45-60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD CONNCT SPN 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONNCTR SD5.5CL6.35,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONNECTOR 55-5365,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CONNECTOR SPNE 5.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CROSSLINK SPNL LG,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD CURVED .0MMX85MM,3987.0,3987.0,598.05,3987.0,30
HCPCS,C1713,ROD CURVED 3.5MMX50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD CURVED 30MM SPNL,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD CURVED 4.0X45MM,3987.0,3987.0,598.05,3987.0,30
HCPCS,C1713,ROD CYPHER 40MM PREBENT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD FEMUR CUSTOM 6CM,31889.0,31889.0,4783.35,31889.0,30
HCPCS,C1713,ROD HARD 6.0MM X 125MM 4,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD HK CNCTR TI HD TO HD,3577.0,3577.0,536.55,3577.0,30
HCPCS,C1713,ROD HUMRL 8X260,7184.0,7184.0,1077.6,7184.0,30
HCPCS,C1713,ROD INS THRD OLCRN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,ROD KN FEM 14MMX25CM,12987.0,12987.0,1948.05,12987.0,30
HCPCS,C1713,ROD LANCER PREBENTTI 5.5,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LANCER PREBENTTI5.5X,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LEGACY 3.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LEGACY 4.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LEGACY 5.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LEGACY 7.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LEGACY 8.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LEGACY 9.0CM SPINE,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LEGACY BLUE ALLOWY,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LEGACY TI 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD LNCR PRBNT TI 5.5X70,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD LOPROOC PREBENT 3.5X,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD LORDOSED 3.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD MAX DBL RADIUS 60 MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD MAX RAD DBL RDS 70,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD MD CRV PERCUTNS 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD MED CRV PERC TI 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD MIS PREBENT 35MM TI,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD MMSI PREBENT 5.5 X35,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD NS CURV 4.75X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD OCPTL TI 120D 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD ORTH 200X8MM PLRS,5382.0,5382.0,807.3,5382.0,30
HCPCS,C1713,ROD ORTH HUM 8X220MM,4680.0,4680.0,702.0,4680.0,30
HCPCS,C1713,ROD ORTH HUM 8X240MM,4680.0,4680.0,702.0,4680.0,30
HCPCS,C1713,ROD ORTHROS MIS 55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PERC CRV 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PRCRVD TI LONG 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PRE BENT 4.75 110,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD PRE BENT 4.75 30,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD PRE BENT 4.75 40,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD PRE BENT 4.75 50,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD PRE BENT 4.75 60,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD PRE BENT 4.75 70,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD PRE BNT 30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD PRE-BENT 5.5MMX80MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD PRE-BENT 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PRE-BENT 5.5X110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PRE-BENT 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT 130MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT 5.5X140MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT 5.5X35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT 5.5X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT RPUBLCN 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT TI 3.5X110,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT TI 5.5X30,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBENT TITANIUM 120,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD PREBNT 90D 300X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PREBNT67DG 3.5X300MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PRECNTRD 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD PRECNTRD 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SOFT 6.0MM X 150MM 4,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SP 100MM 3.5MM VRTX,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPAL TI L300 EXPEDIU,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPAL TI L500 6.0,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL 3.5 X 200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL 40MM SOLERA,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL 5.5 X 85MM PR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL 50MM SOLERA,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL COCR 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL CURVED 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL L120MM 188316,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL MOSS MIAMI SI,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPINAL PEEK 50MM 6.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPINAL PREBENT 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL PREBENT 5.5 X,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINAL TI 6.0MM X 15,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPINAL TI SFT 6.0X12,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPINE 40MM CURVED,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINE 50MM CURVED,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINE 60MM CURVED,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINE 70MM CURVED,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINE 80MM CURVED,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINE PREB 100 CRVD,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPINE STRAIGHT 200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPL 45MM 5.5MM CYPHR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 0D 5.5X350X50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 100MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 100MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 100MM 4.75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 100MM 4MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 100MM 6MM PRCNTR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 110MM 4.75MM,2861.5,2861.5,406.65,3012.0,60
HCPCS,C1713,ROD SPN 110MM 4MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 115D 3.5MM 125MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 120-175MM3.5-4MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 120MM,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPN 120MM 3.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 120MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 125MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 12CMX3.5MM ATLS,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 140MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 140MM 5.5MM STR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 140X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 150MM 4.75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 150MM 5.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 2.9MMX120MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 200MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 200MM 3.5-5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 20MM 5/6-5.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD SPN 240MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 240MM 3.5MM COCR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 250MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.0MM 200MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 3.0X5.5 PRE-CUT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.2X240MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5-5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 3.5-5.5MM 350MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5-5.5MM 600MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 3.5/4.75MM 600MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 3.5/5.5MM 420MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 3.5/5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5/5.5X420MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 055MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,120
HCPCS,C1713,ROD SPN 3.5MM 105MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 110MM,2711.0,2711.0,406.65,2711.0,150
HCPCS,C1713,ROD SPN 3.5MM 115MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 120MM,2861.5,2861.5,406.65,3012.0,60
HCPCS,C1713,ROD SPN 3.5MM 150MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 200MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 3.5MM 20MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 240MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 3.5MM 25MM,2711.0,2711.0,406.65,2711.0,150
HCPCS,C1713,ROD SPN 3.5MM 300MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPN 3.5MM 30MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPN 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,150
HCPCS,C1713,ROD SPN 3.5MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,120
HCPCS,C1713,ROD SPN 3.5MM 55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,240
HCPCS,C1713,ROD SPN 3.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM 70MM,2790.5,2790.5,406.65,2870.0,210
HCPCS,C1713,ROD SPN 3.5MM 80MM,2861.5,2861.5,406.65,3012.0,300
HCPCS,C1713,ROD SPN 3.5MM 85MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,180
HCPCS,C1713,ROD SPN 3.5MM 95MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MM-400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5MMX120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5X100MM STRAT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5X240MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5X30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5X400 MTNR,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPN 3.5X45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5X5.5X500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 3.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 300MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 300MM 3.5MM COCR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 300MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 300X5.5X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 30MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 30MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 30X3.5MM CRV,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 30X4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 30X4MM CRV TI NS,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 30X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 35MM 4.75MM,2861.5,2861.5,406.65,3012.0,60
HCPCS,C1713,ROD SPN 35MM 5.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 4-5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4-6MM 500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.0-5.5MM 500MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 4.0MM 120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.0MM 55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.0MM 65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.0MM 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.0MM 95MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.0MMX50MM CRVD,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPN 4.0X075MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.0X30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.0X400MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.0X60MM TI CRVD,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPN 4.5 5.0/6.0 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.5MM 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.5MM 200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.5MM 240MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.5MM 300MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.5MM 400MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.5MM 450MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.5X300MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.5X350MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.5X500MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.75MM 120MM,2861.5,2861.5,406.65,3012.0,90
HCPCS,C1713,ROD SPN 4.75MM 140MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.75MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.75MM 40MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 4.75MM 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.75MM 500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.75MM 50MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 4.75MM 55MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 4.75MM 65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.75MM 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.75MM 75MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 4.75MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.75MM 8MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.75X160MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.75X170MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4.75X45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.75X60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4.75X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4/4.55X600MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 40CM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 40MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,150
HCPCS,C1713,ROD SPN 40X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 40X5.5MM,4743.0,4743.0,664.35,5057.0,60
HCPCS,C1713,ROD SPN 450MM,2861.5,2861.5,406.65,3012.0,60
HCPCS,C1713,ROD SPN 450MM 5.5MM TSR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 45MM 3.5MM,2870.0,2870.0,430.5,2870.0,30
HCPCS,C1713,ROD SPN 45MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 45MM 5.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 45X10MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,ROD SPN 45X5.5MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1713,ROD SPN 46MM 480MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 480MM 179777480,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPN 480MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 4MM 100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4MM 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4MM 120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4MM 240MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPN 4MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4MM 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4MM 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4MM 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 4X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5 MM 25CM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5 TO 4MM 400MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,ROD SPN 5.5-6MM 5.5MM,3238.0,3238.0,485.7,3238.0,30
HCPCS,C1713,ROD SPN 5.5/6.0,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM,4274.5,4274.5,451.8,5537.0,60
HCPCS,C1713,ROD SPN 5.5MM 100-200MM,3291.0,3291.0,493.65,3291.0,30
HCPCS,C1713,ROD SPN 5.5MM 100MM,2711.0,2711.0,406.65,2711.0,210
HCPCS,C1713,ROD SPN 5.5MM 105MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM 110MM,2670.5,2670.5,394.5,2711.0,90
HCPCS,C1713,ROD SPN 5.5MM 115MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM 120MM,2711.0,2711.0,406.65,2711.0,180
HCPCS,C1713,ROD SPN 5.5MM 130MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 5.5MM 140MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM 150MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPN 5.5MM 15MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM 160MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 5.5MM 180MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 5.5MM 200MM,2861.5,2861.5,406.65,3012.0,90
HCPCS,C1713,ROD SPN 5.5MM 300MM,2861.5,2861.5,406.65,3012.0,150
HCPCS,C1713,ROD SPN 5.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM 320MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,210
HCPCS,C1713,ROD SPN 5.5MM 400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,300
HCPCS,C1713,ROD SPN 5.5MM 420MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 5.5MM 450MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,240
HCPCS,C1713,ROD SPN 5.5MM 480MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,180
HCPCS,C1713,ROD SPN 5.5MM 50MM,2670.5,2670.5,394.5,2711.0,180
HCPCS,C1713,ROD SPN 5.5MM 510MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5MM 55MM,2670.5,2670.5,394.5,2711.0,210
HCPCS,C1713,ROD SPN 5.5MM 6.5MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1713,ROD SPN 5.5MM 600MM,2861.5,2861.5,406.65,3012.0,60
HCPCS,C1713,ROD SPN 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,390
HCPCS,C1713,ROD SPN 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,180
HCPCS,C1713,ROD SPN 5.5MM 6MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD SPN 5.5MM 70MM,2711.0,2711.0,406.65,2711.0,270
HCPCS,C1713,ROD SPN 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,120
HCPCS,C1713,ROD SPN 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,240
HCPCS,C1713,ROD SPN 5.5MM 85MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPN 5.5MM 90MM,2711.0,2711.0,406.65,2711.0,210
HCPCS,C1713,ROD SPN 5.5MM 95MM,2711.0,2711.0,406.65,2711.0,120
HCPCS,C1713,ROD SPN 5.5MMM 50M,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X125MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X130MM PREBNT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X150MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X20MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X500,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 5.5X500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X7.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 5.MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 500MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 500MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 500MM 5.5MM 4MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,ROD SPN 500MM 6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 500X4.75-5.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ROD SPN 50MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 50MM 5.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 50MM 6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 50X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 50X4.75MM SXTNT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 55MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 55X4.75MM SXTNT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 6 X 110 MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 6.0MM 3.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 6.0MM 300MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6.0MM 45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 6.35MM 20MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 60 48239060,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 600MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 60MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 60MM 6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 60X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 65MM 5.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 65X4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 15MM,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1713,ROD SPN 6MM 18MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,ROD SPN 6MM 21MM,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1713,ROD SPN 6MM 24MM,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1713,ROD SPN 6MM 25.5-30.5MM,5072.0,5072.0,760.8,5072.0,30
HCPCS,C1713,ROD SPN 6MM 30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 31.5-34MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,ROD SPN 6MM 35-41MM,5479.0,5479.0,821.85,5479.0,30
HCPCS,C1713,ROD SPN 6MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 42-55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD SPN 6MM 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 480MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 500MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 6MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 56-83MM,5479.0,5479.0,821.85,5479.0,30
HCPCS,C1713,ROD SPN 6MM 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 6X500MM 2 HEX,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 70MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 70MM 48239070,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 70MM 5.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 70X10MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1713,ROD SPN 75MM 5.5MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPN 80MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 80MM 48239080,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 80MM 5.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN 80X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 85MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 85MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 90D,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN 90MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 90MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 90MM 6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 95MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN 95MM 5.5MM,2670.5,2670.5,394.5,2711.0,60
HCPCS,C1713,ROD SPN ALLOY 5.5X85MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN ANT 55X5.5MM,3033.0,3033.0,454.95,3033.0,30
HCPCS,C1713,ROD SPN BLCK 4.5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,ROD SPN CAP 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CAPPED 50X4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CCM 5.5X500,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CERV 240X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CHR ALOY 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CHRMLLY 5.5X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CNST 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNSTND 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNSTRD 5.5X60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNTOR 4MM 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNTOR 4X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNTOR 5.5X125MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNTOR 5.5X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNTOR 500X5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CNTRD 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNTRD 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNTRD 3.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CNTRD 5.5X35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CONN 10MM ILIAC,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD SPN CONN 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONN 20MM ILIAC,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD SPN CONN 35-37MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD SPN CONN 38-43MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD SPN CONN 42-51MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD SPN CONN 5.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONN 54-80MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONN 6.35 6.35,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONN 6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONN BRDG MED,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD SPN CONN LG,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONN MED 8351521,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONN OPN 100MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONN/AXL 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONNECT AXL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CONT 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CONTRD 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CP4 NS 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CREO 35X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CREO STR 90X5.5,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 100X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 100X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 120X4MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 3.5MM 100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 3.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 3.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 3.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN CRV 4.75MM 100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 40X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 40X6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CRV 4MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 4MM 55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 4MM 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 4MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 4MM 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPN CRV 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 5.5MM 65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 5.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 5.5MM 85MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CRV 5.5X150MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 5.5X30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 50MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 50X6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CRV 60X6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CRV 65X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 70X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 70X4MM,3987.0,3987.0,598.05,3987.0,30
HCPCS,C1713,ROD SPN CRV 70X6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CRV 75MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 80M 4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV 80X6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CRV 90MM 4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN CRV MIS 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRV NS 45X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRVD 3.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRVD 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRVD 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRVD 5.5X45MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN CRVD 5.5X95MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRVD 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CRVD TI 40X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 3.5X20MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 3.5X30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 3.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 3.5X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 5.5CCM 55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURV 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURVD 5.5X110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURVED 35MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,ROD SPN CURVED 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURVED 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN CURVED 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN EXT 5.5/6X4X300,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN FIX 75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN FX 12X150X150MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN GRY 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN GRY 75X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN HARD 6.0X200MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN HARD 6MM 400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN HEX 20X5.5MM,3756.0,3756.0,563.4,3756.0,30
HCPCS,C1713,ROD SPN HEX 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN HEX TAPER 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN HNGD 3.5MM 80MM,6290.0,6290.0,943.5,6290.0,30
HCPCS,C1713,ROD SPN HRD 75MM 6.0MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN HUM 3.5MM 120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN HXHD 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN L200 FX,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LAT 3.5/4.0 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN LGCY 100X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LONG 15MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LOR 4.0X025MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LOR TI 4X60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LORD 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LORD 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LRD TI 3.5X30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LRDTC 100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LRDTC 3.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LRDTC 3.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LRDTC 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LRDTC 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN LRDTC 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN MED 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN MTNR 3.5X60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN NS 120MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN OCC LT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN OCC RT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN OCIPITAL 45 DEG,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN OCPTL 110D,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN OCPTL 62MM 3MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN OFST 18X150X150,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN PCUT 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PCUT 4X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PEEK 3X120MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN PERC STRT 190MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN PRBN 5.5MM 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBND 50X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 3.5X240MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 35X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 4MM 30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 4MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 4MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 5.5MM 30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 5.5MM 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 5.5MM 75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 5.5X130MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 5.5X40MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN PRBNT 5.5X450MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 5.5X60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 60X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 80-200X3.5,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 90X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT 9X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRBNT HEX 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRCNTRD 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRCRV 45D 240MM,3366.0,3366.0,504.9,3366.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X100,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X120,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X35,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X55,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X60,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X65,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X80,2870.0,2870.0,430.5,2870.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X85,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BENT 5.5X90,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BNT 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BNT 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE BNT 5.5X75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRE-CUT 3.5X30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBENT 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBENT 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBENT 5.5X65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBENT 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBENT 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBENT 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBENT 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBENT 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBNT 3.5X100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREBNT 5.5X110MM,2870.0,2870.0,430.5,2870.0,30
HCPCS,C1713,ROD SPN PREBNT 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PREC L90 OD5.5,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRECNTRD 50X3.5,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRECUT 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRECUT 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRELRD 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRELRD 120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRELRD 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRELRD 45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRELRD 45X5.5MM,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPN PRELRD 55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRELRD 65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRELRD 75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN PRLRD 65MM 5.5MM,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPN PRLSD 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN RAD 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN SFT 6.0MM 75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN SLRA 55X4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN SOLRA 60X4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 2.9MM 150MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN STR 2.9X240MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN STR 3.5MM 160MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 3.5MM 240MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN STR 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 3.5MM 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 4.75X130MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN STR 4MM 240MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN STR 4MM 300MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN STR 4X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 4X200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 5.5 450MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 5.5X200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 5.5X300MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR 95MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STR TI 3.5X200MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN STRAIGHT 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRAIGHT 400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRAIGHT3.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X150MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X450MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 5.5X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGH 6.0X450MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRGHT 5.5X125MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRT 3.5MM 300MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRT 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRT 3.5X200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRT 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN STRT 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN SYS 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN SYS 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN TI 3.5MM 065MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN TI 4.0-5.5X600MM,2870.0,2870.0,430.5,2870.0,30
HCPCS,C1713,ROD SPN TI 4.0X085MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN TI 60MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1713,ROD SPN TI 6X130 DIAPASN,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN TI L1 DIAPASON,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN TI PRELRD 4X55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN TPR 4/5.5X350MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN TPR3.5-5.5X700MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN TRNS 3.5/5.5X300,2636.0,2636.0,395.4,2636.0,30
HCPCS,C1713,ROD SPN TTNM 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN UNION 120MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPN UNION 150MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN UNION 480MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN UNION 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN UNION POST 40MM,2870.0,2870.0,430.5,2870.0,30
HCPCS,C1713,ROD SPN UNION POST 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN UNION POST 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN UNV 3.5X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN USS SFT NX 100X6,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPN XBAR 5.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,ROD SPN XBAR MED 5.5MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD SPN XIA 3.5IN 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN XIA 3.5IN 40X6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN XIA 4.25IN40X6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN XIA 45MM 4.25IN,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN XIA 5.0IN 80X6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN XIA 50MM 4.25IN,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN XIA 70MM 4.25IN,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPN XPDM 5.5MM 30MM,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPNE 60MM,6405.0,6405.0,960.75,6405.0,30
HCPCS,C1713,ROD SPNL 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 110MM 6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 110X5.5MM XPDM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 120MM 3.2/3.5MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1713,ROD SPNL 120MM 4MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 120X3.5MM COCR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 130X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 13MM OFST DMD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 150MM TI NHNC,6533.0,6533.0,979.95,6533.0,30
HCPCS,C1713,ROD SPNL 15MM 6MM CLK-X,2892.0,2892.0,433.8,2892.0,30
HCPCS,C1713,ROD SPNL 200X3.5-5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 20X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 240 3.5,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 240MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 240MM 4MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 24CM 3.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 250MM 4MM TI PR,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPNL 3-5.5MM ASCNT L,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.2MM 240MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5-5.5MM 700MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 3.5/5.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5/5.5X450MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5MM 70MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5MMX30 CCM+ P,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5MMX35 CCM+ P,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X150MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X200MM CNTRN,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X200MM TI,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X240MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPNL 3.5X300 SRR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 3.5X400MM TI,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 300MM XPDM TI,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD SPNL 300X3.5-5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 30MM 3.5MM TI P,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 30MM 5.5MM CYPH,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 30MM 5.5MM VPR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 30MM 6MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPNL 35MM 5.5MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPNL 35MMX6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 4.0 X 200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 4.5X400MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 4.75MM 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 4.75MM 70MM,2711.0,2711.0,406.65,2711.0,60
HCPCS,C1713,ROD SPNL 4/6MM TI 195,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 40MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1713,ROD SPNL 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPNL 40MM PLRS,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 420X3.5/5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 430X4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 450MM 4.5MM XPD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 45MM 4.75MM SXT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 45MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 45X5.5 TI PRBNT,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 45X5.5MM CRV,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 480X5.5MM HEL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 4MMX100MM,4061.0,4061.0,609.15,4061.0,30
HCPCS,C1713,ROD SPNL 4MMX120MM,4061.0,4061.0,609.15,4061.0,30
HCPCS,C1713,ROD SPNL 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 5.5MM 500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 5.5MM 600MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 5.5MM 85MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 5.5MM VIT HEX,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 5.5MMTI PRBNT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 5.5X140MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 5.5X300MM TI P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ROD SPNL 5.5X45MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 500MM 6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ROD SPNL 500X3.5-5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 500X4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 508X6.35 TSRH,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 50MM,6670.5,6670.5,406.65,10630.0,60
HCPCS,C1713,ROD SPNL 50MM 3.5MM CRV,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 50MM PRECONTOUR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 50X6.35 CD HRZN,3417.0,3417.0,512.55,3417.0,30
HCPCS,C1713,ROD SPNL 55MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 55MM 5.5MM THUN,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 55X5.5MM MS,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 6000X4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 600MM 3.5/5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 600MM COCR STR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 600MM FIREBIRD,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 60MM 4MM TI CRV,3287.0,3287.0,493.05,3287.0,30
HCPCS,C1713,ROD SPNL 60MM 5.5MM,2711.0,2711.0,406.65,2711.0,90
HCPCS,C1713,ROD SPNL 60MM 5.5MM FIRE,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 60X3.5MM VRTX S,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 65MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 65MM 5.5MM CREO,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 6MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 6MM 48232601,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 70MM 3.5MM TI P,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 70MM 6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 70MM VPR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 72-120MM 3.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 80MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1713,ROD SPNL 80MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 80MM 3.5MM ALTI,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 80MM 4MM TI CRV,2670.5,2670.5,394.5,2711.0,60
HCPCS,C1713,ROD SPNL 85MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 85X4.75MM COCR,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL 90MM 4.75MM STR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 90MM MAXRDS,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL 95MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL BLU 80MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CBLT CRV NS90,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CD 4.75X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CD 40MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CONN 3.5-5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL CONN 5.5/6.0MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL CROSS LINK SM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL CRV 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRV 35MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRV 5.5X150MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRV 5.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRV 55MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRV NS 35X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRV NS 45X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRV TI 30X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRV TI 70X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CRVD 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CURV 5.5MM 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CURV 5.5MM 50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CURV 5.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CURV 5.5X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CURVD 30X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CURVD 60X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CURVD 70X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CYPHR 50X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CYPHR 55X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CYPHR 60X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CYPHR 65MX5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CYPHR 70X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL CYPHR 75X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL GRY 110MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL L60CM OD5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL LN 75MM 5.5MM,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SPNL MIS 5.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL MIS 90MM 4.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL MTNR 200X3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL NEURO 18,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL PCUT 3.5X40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PCUT 3.5X90MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PEEK 200X3MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL PRBENT 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRBNT 3.5X120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRBNT 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRBNT 35MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRBNT 4X60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRBNT 5.5X95MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRBNT 5.7X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL PRBNT 65MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRBNT 70X6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL PRBNT 90X6MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRBT 5.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PREBENT 5.5X45,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PREBNT 5.5X150,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PRECNTRD 3.5X60,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PTHFD 120X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL PTHFD 140X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL SM OMNAXL CNCTR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL STD 240MM 3.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL STR 3.5MM 200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL STR 4.0MM 200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL STRT 140MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL STRT 5.5X250MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI .25X240,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI 3.5MM-5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI 4.0MM-5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI 40 MM PRBNT,3592.0,3592.0,538.8,3592.0,30
HCPCS,C1713,ROD SPNL TI 45MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI 5.5MM 40MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI 5.5MMX8CM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI 5.5X85MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI 50MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL TI 65MM 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL TI 70 OD8.5 CLS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,ROD SPNL TI 80MM 5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI L100 DIAPA,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI L50 XIA MA,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL TI L55MM OD6.0M,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL TI L65X5.5MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI L75 OD5.5 M-,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI L75MM OD5.5M,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI L80 DIAPAS,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TI L9 DPSN,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL TPR 4-5.5X500MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD SPNL VPR 2 LRDTC 85M,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SPNL XIA STD SS SCLS,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD STR 5.5X300,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STR 5.5X400,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STR COCR 4.0X400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STRAIGHT 110MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STRAIGHT 120MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STRAIGHT 4X400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STRAIGHT 5.5X100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STRAIGHT 5.5X200MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STRAIGHT 5.5X450MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD STRAIGHT 5.5X600MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD SYNPS 4.0MM TI 120M,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD SYNPS 4.0MM TI 240MM,2630.0,2630.0,394.5,2630.0,30
HCPCS,C1713,ROD TI 3.5MM X 240MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD TI 5 CURVED.5X30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD TI AXON CRV 3.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD TI AXON CRV 3.5X80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD TI HARD 5.5X300,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD TI HARD 6.0X350MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD TI HARD 6.0X500MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD TI HARD 6.0X50MM,1869.0,1869.0,280.35,1869.0,30
HCPCS,C1713,ROD TI HEX RAD 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD TI SOFT 6.0X50MM,1605.0,1605.0,240.75,1605.0,30
HCPCS,C1713,ROD TI UNIT 6.0X450MM,6950.0,6950.0,1042.5,6950.0,30
HCPCS,C1713,ROD TI6AL4V ALY 14X460MM,46208.0,46208.0,6931.2,46208.0,30
HCPCS,C1713,ROD TNDN 3MM 24.5CM,6002.0,6002.0,900.3,6002.0,30
HCPCS,C1713,ROD TNDN 4MM 25CM,6002.0,6002.0,900.3,6002.0,30
HCPCS,C1713,ROD TNDN 6MM 25CM,6002.0,6002.0,900.3,6002.0,30
HCPCS,C1713,ROD TOP CONN 5.5/6.0MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,ROD TRNCN LG TI TOP LD N,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,ROD TRNCN MED TI TOP LD,3765.0,3765.0,564.75,3765.0,60
HCPCS,C1713,ROD TRNCN SM TI TOP LD A,8367.0,8367.0,1255.05,8367.0,30
HCPCS,C1713,ROD TRNS 3.5-5.5X500MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD UNION 160 MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD UNION 170 MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROD USS EX-FIX 498.104,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD VERTEX 6955270,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD VITALIUM 4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,ROD VRTX SELECT OPN 13MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,RODMMSI PREBENT 5.5X30MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,RODMMSI PREBENT 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,ROS SPN 4MM 400MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SADDLE CABLE TALL,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCEW BN 2.0MM 7MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCR BN 3.5X5X10MM CVFX,841.0,841.0,126.15,841.0,30
HCPCS,C1713,SCR BN 3.5X5X12MM CVFX,841.0,841.0,126.15,841.0,30
HCPCS,C1713,SCR BN 3.5X5X14MM CVFX,1145.0,1145.0,171.75,1145.0,30
HCPCS,C1713,SCR BN 5MM 4.3MM 66MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCR BN 6.5MM 40MM DIV-L,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCR BN INTLK 5X30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCR BN MXDR LVL1 1.8X4MM,1112.0,1112.0,166.8,1112.0,30
HCPCS,C1713,SCR BN S/T CANN 5.5X50MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCR BN SPNE AXL 3.5X18MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCR BN VAR ANGL 5.5X22MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCR SPN NCLNLT 8.5X55MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW #1 P-AX 3.5MM-16MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW #1 P-AX 3.5MM-20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW #1 P-AX 3.5MM-24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW #1 P-AX 3.5MM-28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW #1 P-AX 4.0MM-16MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW #1 P-AX 4.0MM-24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW #1 P-AX 4.0MM-26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW 1.5MM 14MM TI CORT,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW 10.5X90 CD HZNLGC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 100X8.5MM S/T BN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 10MM 2.7MM,766.0,766.0,114.9,766.0,30
HCPCS,C1713,SCREW 13MM SKYLN TI SPN,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW 15MM STB HD TEMP,377.0,377.0,56.55,377.0,30
HCPCS,C1713,SCREW 17MM SKYLN TI SPNL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 2.0 TI CORT,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW 2.0 X 3.0 400.853,1167.0,1167.0,175.05,1167.0,30
HCPCS,C1713,SCREW 2.0X7.0 LORNZ,651.0,651.0,97.65,651.0,30
HCPCS,C1713,SCREW 2.3MM 22MM CANN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW 2.3X7MM TI MICMNDB,450.0,450.0,67.5,450.0,30
HCPCS,C1713,SCREW 2.3X9MM TI MICMNDB,569.0,569.0,85.35,569.0,30
HCPCS,C1713,SCREW 2.4X23X8MM SS T8SM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW 20X10 ORTH RTRSCRW,3093.0,3093.0,463.95,3093.0,30
HCPCS,C1713,SCREW 3.0 HDLS CMPR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW 3.5MM 4.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW 3.5MM 85MM LC DCP,456.0,456.0,68.4,456.0,30
HCPCS,C1713,SCREW 3.5MM SCD2.4X20,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW 3.5MM X 12MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 3.5MM X 14MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 3.5MMX10MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 3.5MMX10MM PLY-AX,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW 3.5MMX22MM PLYAX,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW 3.5X12 LOPRO LCK,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW 3.5X12 NON LOCK,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW 3.5X16MM PA CERV,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 3.5X2.4 04.615.024,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW 3.5X20 NON LOCK,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW 3.5X36 CANN LCK,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW 3.5X46 SS CORT CLV,477.0,477.0,71.55,477.0,30
HCPCS,C1713,SCREW 3.8MM 38MM ANKL FT,479.0,479.0,71.85,479.0,30
HCPCS,C1713,SCREW 30 4.35 BN XPDM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,SCREW 30 6.5 S/T BN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 30MM 7.5MM P-AX BN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 3D DBL HEX 1/4-32,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW 4.0 3.5X32MM SPN S,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 4.0 REFLEX L1 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 4.0 TI CANC BNE,246.0,246.0,36.9,246.0,30
HCPCS,C1713,SCREW 4.0MMX14MM VARBLE,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW 4.0MMX24MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 4.0X40 CAN LCK,1403.0,1403.0,210.45,1403.0,30
HCPCS,C1713,SCREW 4.35MMX14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW 4.5 X 14MM SELF-DR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW 4.5MMX28MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 4.5MMX32MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 4.5X14 CORT T25 ST,3079.0,3079.0,461.85,3079.0,30
HCPCS,C1713,SCREW 4.5X14 ELLIPSE,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 4.5X2.4X26 SYNPSE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 4.5X2.4X30 SYNPSE,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW 4.5X20MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 4.5X24MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 4.5X7.9X16MM PRLOC,3079.0,3079.0,461.85,3079.0,30
HCPCS,C1713,SCREW 400.456,1156.0,1156.0,173.4,1156.0,30
HCPCS,C1713,SCREW 400.655E,1451.0,1451.0,217.65,1451.0,30
HCPCS,C1713,SCREW 402.806,563.0,563.0,84.45,563.0,30
HCPCS,C1713,SCREW 45 6.2 TI CLKX,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 4X2.4X18 SYNPS TI,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW 4X2.4X22MM SYNPS,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW 4X2.4X28 SYNPS TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 4X20MM MTRX THRD,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW 4X26MM MXLCK XTRM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW 4X28MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 4X30 ELIPS TI SPN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 5.0 HEX 85MM,2612.0,2612.0,391.8,2612.0,30
HCPCS,C1713,SCREW 5.0 X 35 PREASMBL,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 5.0X25MM LEVA AF,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW 5.2T CLK X PD DL C,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW 5.5 TI PLY 5.5X40,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW 5.5X55 QWX LWR EX,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCREW 50MM 8.5MMS/T BN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 5X2MM MNDB SLF DRL,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW 6 2 MNDB LCK IMPL,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW 6.0 VIPER 40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,SCREW 6.0MM X 50MM 498.6,4105.0,4105.0,615.75,4105.0,30
HCPCS,C1713,SCREW 6.2T CLX PD DL CR,3458.0,3458.0,518.7,3458.0,30
HCPCS,C1713,SCREW 6.5 X 35 PREASMBL,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 6.5MM 30MM XIA TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 6.5MM 40MM TSRH TH,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 6.5X40 MALIBU,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 6.5X40MM DARK STAR,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 6.5X50MM SOLID PAX,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 6MM 50MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 6MM 65MM SPNL P-AX,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 6X60MM XPDM TI SPN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 7.5MM 70MM SPNL ST,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 7.5MMX45MM PEDICLE,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 7.5X60MM XPDM SPN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 7.5X70MM SPNL P-AX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 70 8.5 S/T BN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW 7X2 CD MINICRNMXF,755.0,755.0,113.25,755.0,30
HCPCS,C1713,SCREW 7X35MM XPDM CORT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 7X50MM DEFORMITY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 7X60 XPDM SPNL DL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 7X60MM PANGEA SPN,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW 7X75 SHRT THRD SS,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW 8.0T CLIX PD DL CR,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 8.5 X 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 8.5X35 482318535,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 8.5X40MM DARK STAR,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 8.5X45 482318545,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 8.5X55MM DARK STAR,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 8.5X55MM SPN P-AX,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW 8.5X55MM SPN PAX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 8.5X70 ILSCRL REV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW 8X60MM XPDM P AX,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW 9X55 XPDM SPN PAX,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW 9X55MM XPDM CORT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW ACUMTCH 23X21X21MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW ANKL FT CANN 7X95,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW ANT CSPN 4X16MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW AO 487.054 SC CANC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW APN 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW ARTRX AR-8933-24PT,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BABSRB 30X6-8,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BG NLCK 2.5X09MM,2044.0,2044.0,306.6,2044.0,30
HCPCS,C1713,SCREW BIOABS 15MM 5.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BIOABS AR-1400TC,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BIOABS TNDSIS 23X7,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BIOINT AR-1390B,2264.0,2264.0,339.6,2264.0,30
HCPCS,C1713,SCREW BIOINT AR-1390TB,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BIOINT AR-1400B,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BIOSURE INTRF RGNS,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BLACKBIRD 3.5X14,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BLACKBIRD 3.5X22,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BLCKBRD PAX 4.5X30,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 0D 62MM 5MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN 0D XL25 5X40MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1713,SCREW BN 1.2MM 4MM,1531.0,1531.0,229.65,1531.0,30
HCPCS,C1713,SCREW BN 1.2MM 6MM,1478.0,1478.0,221.7,1478.0,30
HCPCS,C1713,SCREW BN 1.2X10MM,1478.0,1478.0,221.7,1478.0,30
HCPCS,C1713,SCREW BN 1.2X12MM,1109.0,1109.0,166.35,1109.0,30
HCPCS,C1713,SCREW BN 1.3MM 10MM,792.0,792.0,82.05,1037.0,60
HCPCS,C1713,SCREW BN 1.3MM 11MM,1128.5,1128.5,82.05,1438.0,120
HCPCS,C1713,SCREW BN 1.3MM 12MM,836.0,836.0,82.05,1125.0,60
HCPCS,C1713,SCREW BN 1.3MM 13MM,1081.0,1081.0,155.55,1125.0,60
HCPCS,C1713,SCREW BN 1.3MM 14MM,1525.0,1525.0,183.0,1830.0,60
HCPCS,C1713,SCREW BN 1.3MM 16MM,1125.0,1125.0,82.05,1830.0,90
HCPCS,C1713,SCREW BN 1.3MM 18MM,883.5,883.5,82.05,1220.0,60
HCPCS,C1713,SCREW BN 1.3MM 4MM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C1713,SCREW BN 1.3MM 5MM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C1713,SCREW BN 1.3MM 6MM,992.5,992.5,82.05,1438.0,60
HCPCS,C1713,SCREW BN 1.3MM 7MM,992.5,992.5,82.05,1438.0,60
HCPCS,C1713,SCREW BN 1.3MM 8MM,1125.0,1125.0,82.05,1438.0,90
HCPCS,C1713,SCREW BN 1.3MM 9MM,547.0,547.0,82.05,547.0,30
HCPCS,C1713,SCREW BN 1.3X10MM SS T4,1438.0,1438.0,215.7,1438.0,30
HCPCS,C1713,SCREW BN 1.3X13MM,547.0,547.0,82.05,547.0,30
HCPCS,C1713,SCREW BN 1.3X14MM,547.0,547.0,82.05,547.0,30
HCPCS,C1713,SCREW BN 1.3X6MM,1125.0,1125.0,168.75,1125.0,30
HCPCS,C1713,SCREW BN 1.3X7MM,1125.0,1125.0,168.75,1125.0,30
HCPCS,C1713,SCREW BN 1.55X1.22X10MM,1166.0,1166.0,174.9,1166.0,30
HCPCS,C1713,SCREW BN 1.55X1.22X4MM,1349.0,1349.0,202.35,1349.0,30
HCPCS,C1713,SCREW BN 1.55X2.65X18MM,1350.0,1350.0,202.5,1350.0,30
HCPCS,C1713,SCREW BN 1.55X2.65X6MM,1202.0,1202.0,180.3,1202.0,30
HCPCS,C1713,SCREW BN 1.5MM,511.0,511.0,76.65,511.0,30
HCPCS,C1713,SCREW BN 1.5MM 10MM,1419.5,1419.5,191.4,1563.0,60
HCPCS,C1713,SCREW BN 1.5MM 10MM SS,625.0,625.0,93.75,625.0,30
HCPCS,C1713,SCREW BN 1.5MM 11MM,638.0,638.0,77.85,1516.0,180
HCPCS,C1713,SCREW BN 1.5MM 12MM,1276.0,1276.0,90.3,1810.0,180
HCPCS,C1713,SCREW BN 1.5MM 13MM,1276.0,1276.0,77.85,1810.0,150
HCPCS,C1713,SCREW BN 1.5MM 14MM,1516.0,1516.0,191.4,1810.0,90
HCPCS,C1713,SCREW BN 1.5MM 14MM SS,625.0,625.0,93.75,625.0,30
HCPCS,C1713,SCREW BN 1.5MM 15MM,1563.0,1563.0,93.75,1810.0,90
HCPCS,C1713,SCREW BN 1.5MM 16MM,1094.0,1094.0,93.75,1563.0,60
HCPCS,C1713,SCREW BN 1.5MM 18MM,625.0,625.0,60.3,1276.0,90
HCPCS,C1713,SCREW BN 1.5MM 20MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN 1.5MM 44MM SLFD,1184.0,1184.0,177.6,1184.0,30
HCPCS,C1713,SCREW BN 1.5MM 4MM,876.0,876.0,64.65,1363.0,210
HCPCS,C1713,SCREW BN 1.5MM 5MM,1112.0,1112.0,64.65,1201.0,150
HCPCS,C1713,SCREW BN 1.5MM 6MM,737.5,737.5,72.75,1563.0,180
HCPCS,C1713,SCREW BN 1.5MM 7MM,1112.0,1112.0,93.75,1563.0,90
HCPCS,C1713,SCREW BN 1.5MM 8MM,790.0,790.0,93.75,1563.0,120
HCPCS,C1713,SCREW BN 1.5MM 9MM,607.5,607.5,72.75,730.0,60
HCPCS,C1713,SCREW BN 1.5MM 9MM SS,625.0,625.0,93.75,625.0,30
HCPCS,C1713,SCREW BN 1.5X11MM,511.0,511.0,76.65,511.0,30
HCPCS,C1713,SCREW BN 1.5X15MM,527.0,527.0,79.05,527.0,30
HCPCS,C1713,SCREW BN 1.5X16MM,1206.0,1206.0,90.3,1810.0,60
HCPCS,C1713,SCREW BN 1.5X4MM,1112.0,1112.0,166.8,1112.0,30
HCPCS,C1713,SCREW BN 1.5X5MM,1009.0,1009.0,151.35,1009.0,30
HCPCS,C1713,SCREW BN 1.5X6MM,431.0,431.0,64.65,431.0,30
HCPCS,C1713,SCREW BN 1.5X7MM,779.5,779.5,67.05,1112.0,60
HCPCS,C1713,SCREW BN 1.5X8X1.5MM,1202.0,1202.0,180.3,1202.0,30
HCPCS,C1713,SCREW BN 1.5X9.0MM,511.0,511.0,76.65,511.0,30
HCPCS,C1713,SCREW BN 1.6MM 10MM,1772.0,1772.0,265.8,1772.0,30
HCPCS,C1713,SCREW BN 1.6MM 11MM,1425.0,1425.0,161.7,1772.0,60
HCPCS,C1713,SCREW BN 1.6MM 12MM,1078.0,1078.0,144.45,1772.0,90
HCPCS,C1713,SCREW BN 1.6MM 13MM,1425.0,1425.0,161.7,1772.0,60
HCPCS,C1713,SCREW BN 1.6MM 14MM,1554.0,1554.0,200.4,1772.0,60
HCPCS,C1713,SCREW BN 1.6MM 1MM 10MM,977.0,977.0,146.55,977.0,30
HCPCS,C1713,SCREW BN 1.6MM 1MM 12MM,977.0,977.0,146.55,977.0,30
HCPCS,C1713,SCREW BN 1.6MM 1MM 14MM,977.0,977.0,146.55,977.0,30
HCPCS,C1713,SCREW BN 1.6MM 4MM,840.0,840.0,126.0,840.0,30
HCPCS,C1713,SCREW BN 1.6MM 5MM,821.0,821.0,122.55,825.0,60
HCPCS,C1713,SCREW BN 1.6MM 6MM,1336.0,1336.0,200.4,1336.0,30
HCPCS,C1713,SCREW BN 1.6MM 7MM,1336.0,1336.0,200.4,1336.0,30
HCPCS,C1713,SCREW BN 1.6MM 8MM,1554.0,1554.0,200.4,1772.0,60
HCPCS,C1713,SCREW BN 1.6MM 9MM,1078.0,1078.0,161.7,1078.0,30
HCPCS,C1713,SCREW BN 1.6X14MM,963.0,963.0,144.45,963.0,30
HCPCS,C1713,SCREW BN 1.6X8MM,970.0,970.0,144.45,977.0,60
HCPCS,C1713,SCREW BN 1.7MM 3MM,1194.0,1194.0,132.0,1340.0,90
HCPCS,C1713,SCREW BN 1.7MM 4MM,1315.0,1315.0,190.2,1362.0,60
HCPCS,C1713,SCREW BN 1.7MM 5MM,1132.0,1132.0,160.5,1194.0,60
HCPCS,C1713,SCREW BN 1.7MM 8MM,1217.0,1217.0,152.85,3189.0,90
HCPCS,C1713,SCREW BN 1.85MM 10MM,1166.0,1166.0,174.9,1166.0,30
HCPCS,C1713,SCREW BN 1.85MM 14MM,1166.0,1166.0,174.9,1166.0,30
HCPCS,C1713,SCREW BN 1.85MM 16MM,1348.0,1348.0,202.2,1348.0,30
HCPCS,C1713,SCREW BN 1.85MM 18MM,1348.0,1348.0,202.2,1348.0,30
HCPCS,C1713,SCREW BN 1.85MM 2.65MM,1166.0,1166.0,174.9,1166.0,30
HCPCS,C1713,SCREW BN 1.85MM 4MM,1166.0,1166.0,174.9,1166.0,30
HCPCS,C1713,SCREW BN 1.85MM 5MM,1226.0,1226.0,183.9,1226.0,30
HCPCS,C1713,SCREW BN 1.85MM 6MM,1475.5,1475.5,174.9,1785.0,60
HCPCS,C1713,SCREW BN 1.85MM 8MM,1287.0,1287.0,183.9,1348.0,60
HCPCS,C1713,SCREW BN 1.85X2.65X4MM,1321.0,1321.0,198.15,1321.0,30
HCPCS,C1713,SCREW BN 1.85X2.65X6,1226.0,1226.0,183.9,1226.0,30
HCPCS,C1713,SCREW BN 1.85X265X8MM,1201.0,1201.0,180.15,1201.0,30
HCPCS,C1713,SCREW BN 1.85X4MM,1226.0,1226.0,183.9,1226.0,30
HCPCS,C1713,SCREW BN 1.85X5MM,1202.0,1202.0,180.3,1202.0,30
HCPCS,C1713,SCREW BN 1.8MM 20MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN 1.8MM 4MM,1091.0,1091.0,163.65,1091.0,30
HCPCS,C1713,SCREW BN 1.8MM 5MM,718.0,718.0,79.05,1112.0,90
HCPCS,C1713,SCREW BN 1.8MM 7MM,1112.0,1112.0,166.8,1112.0,30
HCPCS,C1713,SCREW BN 1.8MM 9MM,1563.0,1563.0,234.45,1563.0,30
HCPCS,C1713,SCREW BN 1.9MM 3MM,1317.0,1317.0,197.55,1317.0,30
HCPCS,C1713,SCREW BN 1.9MM 4MM,936.0,936.0,140.4,936.0,30
HCPCS,C1713,SCREW BN 1.9MM 5MM,1317.0,1317.0,197.55,1317.0,30
HCPCS,C1713,SCREW BN 1/2 THRD 4X50MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 10.35MM 100MM,3911.0,3911.0,508.95,4429.0,60
HCPCS,C1713,SCREW BN 10.35MM 115MM,3393.0,3393.0,508.95,3393.0,30
HCPCS,C1713,SCREW BN 10.35MM 80MM,3291.0,3291.0,493.65,3291.0,30
HCPCS,C1713,SCREW BN 10.35MM 85MM,3860.0,3860.0,493.65,4429.0,60
HCPCS,C1713,SCREW BN 10.35MM 90MM,3291.0,3291.0,493.65,3291.0,30
HCPCS,C1713,SCREW BN 10.35MM 95MM,3291.0,3291.0,493.65,3291.0,30
HCPCS,C1713,SCREW BN 10.35X110MM,3291.0,3291.0,493.65,3291.0,30
HCPCS,C1713,SCREW BN 10.5MM 100MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 10.5MM 105MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 10.5MM 110MM,3189.0,3189.0,478.35,3189.0,90
HCPCS,C1713,SCREW BN 10.5MM 115MM,3455.0,3455.0,478.35,3721.0,60
HCPCS,C1713,SCREW BN 10.5MM 120MM,3503.0,3503.0,478.35,3817.0,60
HCPCS,C1713,SCREW BN 10.5MM 130MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 10.5MM 75MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN 10.5MM 80MM,3455.0,3455.0,478.35,3721.0,90
HCPCS,C1713,SCREW BN 10.5MM 85MM,3201.5,3201.5,478.35,3214.0,90
HCPCS,C1713,SCREW BN 10.5MM 90MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 10.5MM 95MM,3809.0,3809.0,478.35,4429.0,60
HCPCS,C1713,SCREW BN 100MM 4.5MM,4058.0,4058.0,608.7,4058.0,30
HCPCS,C1713,SCREW BN 105MM,3291.0,3291.0,493.65,3291.0,30
HCPCS,C1713,SCREW BN 105MM 4.5MM,4058.0,4058.0,608.7,4058.0,30
HCPCS,C1713,SCREW BN 10MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 10MM 1.7MM,1019.0,1019.0,152.85,1019.0,30
HCPCS,C1713,SCREW BN 10MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 10MM 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 10MM 30MM,2264.5,2264.5,201.0,3189.0,60
HCPCS,C1713,SCREW BN 10MM 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 10MM 4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 10X30MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN 110MM 105MM,4058.0,4058.0,608.7,4058.0,30
HCPCS,C1713,SCREW BN 115MM 110MM,4058.0,4058.0,608.7,4058.0,30
HCPCS,C1713,SCREW BN 11MM 100MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 11MM 120MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 11MM 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 11MM 2MM,1607.0,1607.0,241.05,1607.0,30
HCPCS,C1713,SCREW BN 11MM 30MM,3189.0,3189.0,478.35,3189.0,90
HCPCS,C1713,SCREW BN 11MM 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 11MM 90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 100MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 12.7MM 105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 110MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 115MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 120MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 125MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 130MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 135MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 140MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 145MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 36MM,1292.0,1292.0,193.8,1292.0,30
HCPCS,C1713,SCREW BN 12.7MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7MM 8MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 12.7MM 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7X8X2.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7X8X2.7X50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12.7X9X85X21MM,2480.0,2480.0,372.0,2480.0,30
HCPCS,C1713,SCREW BN 12.7X9X90X21MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 120MM X 20MM,2758.0,2758.0,413.7,2758.0,30
HCPCS,C1713,SCREW BN 12MM 2.4MM,1453.0,1453.0,217.95,1453.0,30
HCPCS,C1713,SCREW BN 12MM 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 12MM 40MM,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1713,SCREW BN 12X3.5 VUEPOINT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 137.5MM 87.5 TP,3668.0,3668.0,550.2,3668.0,30
HCPCS,C1713,SCREW BN 13MM 105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 13MM 90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 13MM UNIPLT TI,3720.0,3720.0,558.0,3720.0,30
HCPCS,C1713,SCREW BN 13X2.7MM,1933.0,1933.0,289.95,1933.0,30
HCPCS,C1713,SCREW BN 13X2MM,925.0,925.0,138.75,925.0,30
HCPCS,C1713,SCREW BN 14MM 115MM 22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 14MM 5MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 14MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 14MM 75MM 22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 14MM 85MM 22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 14MM 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 15MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 15MM ORTH S/T R,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 16MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 16MM 140MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 16MM VARIABLE,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 17.5MM 8MM,2216.0,2216.0,332.4,2216.0,30
HCPCS,C1713,SCREW BN 17MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 18MM 5MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 1LVL 1.8X5MM,460.0,460.0,69.0,460.0,60
HCPCS,C1713,SCREW BN 1MM 7MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN 1MM 9MM,1297.0,1297.0,194.55,1297.0,30
HCPCS,C1713,SCREW BN 2.0MM 10MM,1011.0,1011.0,81.3,1330.0,90
HCPCS,C1713,SCREW BN 2.0MM 11MM,575.5,575.5,82.95,598.0,60
HCPCS,C1713,SCREW BN 2.0MM 12MM,1058.0,1058.0,95.1,2041.0,90
HCPCS,C1713,SCREW BN 2.0MM 14MM,1087.0,1087.0,95.1,3189.0,90
HCPCS,C1713,SCREW BN 2.0MM 16MM,1305.5,1305.5,163.05,1524.0,60
HCPCS,C1713,SCREW BN 2.0MM 16MM 12MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,SCREW BN 2.0MM 17MM,571.0,571.0,85.65,571.0,30
HCPCS,C1713,SCREW BN 2.0MM 18MM,516.0,516.0,77.4,516.0,30
HCPCS,C1713,SCREW BN 2.0MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.0MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.0MM 32MM,288.0,288.0,43.2,288.0,30
HCPCS,C1713,SCREW BN 2.0MM 36MM,288.0,288.0,43.2,288.0,30
HCPCS,C1713,SCREW BN 2.0MM 38MM,288.0,288.0,43.2,288.0,30
HCPCS,C1713,SCREW BN 2.0MM 6MM,1781.5,1781.5,262.35,1814.0,60
HCPCS,C1713,SCREW BN 2.0MM 7MM,971.5,971.5,138.75,1018.0,60
HCPCS,C1713,SCREW BN 2.0MM 9MM,1330.0,1330.0,138.75,1576.0,90
HCPCS,C1713,SCREW BN 2.0X5MM,940.0,940.0,141.0,940.0,30
HCPCS,C1713,SCREW BN 2.1MM 10MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 2.1MM 10MM 3MM,1347.0,1347.0,202.05,1347.0,30
HCPCS,C1713,SCREW BN 2.1MM 12MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 2.1MM 14MM,833.0,833.0,47.85,1347.0,60
HCPCS,C1713,SCREW BN 2.1MM 16MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 2.1MM 3MM 12MM,1347.0,1347.0,202.05,1347.0,30
HCPCS,C1713,SCREW BN 2.1MM 4MM,1226.0,1226.0,183.9,1226.0,30
HCPCS,C1713,SCREW BN 2.1MM 6MM,1226.0,1226.0,183.9,1226.0,30
HCPCS,C1713,SCREW BN 2.1MM 8MM,772.5,772.5,47.85,1226.0,60
HCPCS,C1713,SCREW BN 2.2MM 20MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN 2.3MM 10MM,1401.0,1401.0,107.7,1968.0,210
HCPCS,C1713,SCREW BN 2.3MM 11MM,1442.0,1442.0,134.85,1770.0,90
HCPCS,C1713,SCREW BN 2.3MM 12MM,1200.0,1200.0,107.7,1744.0,150
HCPCS,C1713,SCREW BN 2.3MM 13MM,1138.0,1138.0,134.85,1770.0,90
HCPCS,C1713,SCREW BN 2.3MM 14MM,1480.0,1480.0,180.0,1921.0,120
HCPCS,C1713,SCREW BN 2.3MM 15MM,1442.0,1442.0,170.7,1770.0,90
HCPCS,C1713,SCREW BN 2.3MM 16MM,1216.0,1216.0,107.7,1356.0,120
HCPCS,C1713,SCREW BN 2.3MM 17MM,1084.5,1084.5,59.85,1770.0,60
HCPCS,C1713,SCREW BN 2.3MM 18MM,1356.0,1356.0,203.4,1356.0,60
HCPCS,C1713,SCREW BN 2.3MM 19MM,1770.0,1770.0,265.5,1770.0,30
HCPCS,C1713,SCREW BN 2.3MM 20MM,1744.0,1744.0,180.0,2073.0,90
HCPCS,C1713,SCREW BN 2.3MM 22MM,1744.0,1744.0,261.6,1744.0,30
HCPCS,C1713,SCREW BN 2.3MM 24MM,1714.5,1714.5,203.4,2073.0,60
HCPCS,C1713,SCREW BN 2.3MM 26MM,1356.0,1356.0,47.85,1975.0,90
HCPCS,C1713,SCREW BN 2.3MM 28MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 2.3MM 30MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 2.3MM 4MM,1216.0,1216.0,182.4,1216.0,30
HCPCS,C1713,SCREW BN 2.3MM 5MM,951.0,951.0,107.7,1184.0,60
HCPCS,C1713,SCREW BN 2.3MM 6MM,1921.0,1921.0,174.9,2790.0,90
HCPCS,C1713,SCREW BN 2.3MM 7MM,1770.0,1770.0,265.5,1770.0,30
HCPCS,C1713,SCREW BN 2.3MM 8MM,718.0,718.0,107.7,718.0,30
HCPCS,C1713,SCREW BN 2.3MM 9MM,1348.5,1348.5,188.25,1442.0,60
HCPCS,C1713,SCREW BN 2.3MM3MM 14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.3X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.3X18MM,718.0,718.0,107.7,718.0,30
HCPCS,C1713,SCREW BN 2.3X24MM,1975.0,1975.0,296.25,1975.0,30
HCPCS,C1713,SCREW BN 2.3X3X28X2.3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.3X5MM,1255.0,1255.0,188.25,1255.0,30
HCPCS,C1713,SCREW BN 2.3X7MM,1442.0,1442.0,170.7,1992.0,90
HCPCS,C1713,SCREW BN 2.3X9MM,1454.0,1454.0,170.7,1770.0,60
HCPCS,C1713,SCREW BN 2.4MM 1.9MM,1334.0,1334.0,200.1,1334.0,60
HCPCS,C1713,SCREW BN 2.4MM 10MM,1344.0,1344.0,47.85,2153.0,390
HCPCS,C1713,SCREW BN 2.4MM 11MM,756.0,756.0,94.95,879.0,60
HCPCS,C1713,SCREW BN 2.4MM 12MM,998.5,998.5,46.95,2327.0,300
HCPCS,C1713,SCREW BN 2.4MM 12MM STD,963.0,963.0,144.45,963.0,30
HCPCS,C1713,SCREW BN 2.4MM 13MM,1754.0,1754.0,167.7,2344.0,90
HCPCS,C1713,SCREW BN 2.4MM 14MM,1217.5,1217.5,46.95,2153.0,330
HCPCS,C1713,SCREW BN 2.4MM 14MM SS,1540.0,1540.0,231.0,1540.0,30
HCPCS,C1713,SCREW BN 2.4MM 15MM,1854.0,1854.0,278.1,1854.0,30
HCPCS,C1713,SCREW BN 2.4MM 16MM,1344.0,1344.0,47.85,2327.0,330
HCPCS,C1713,SCREW BN 2.4MM 16MM TI L,2232.0,2232.0,334.8,2232.0,30
HCPCS,C1713,SCREW BN 2.4MM 18MM,1466.0,1466.0,102.9,2232.0,270
HCPCS,C1713,SCREW BN 2.4MM 20MM,1118.0,1118.0,90.3,2258.0,150
HCPCS,C1713,SCREW BN 2.4MM 20MM SS,1540.0,1540.0,231.0,1540.0,30
HCPCS,C1713,SCREW BN 2.4MM 22MM,1118.0,1118.0,90.3,2232.0,270
HCPCS,C1713,SCREW BN 2.4MM 22MM SS,1540.0,1540.0,231.0,1540.0,30
HCPCS,C1713,SCREW BN 2.4MM 24MM,788.0,788.0,87.9,1922.0,90
HCPCS,C1713,SCREW BN 2.4MM 24MM SS,1540.0,1540.0,231.0,1540.0,30
HCPCS,C1713,SCREW BN 2.4MM 25MM 8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.4MM 26MM,714.5,714.5,90.3,1922.0,120
HCPCS,C1713,SCREW BN 2.4MM 26MM SS,1660.0,1660.0,249.0,1660.0,30
HCPCS,C1713,SCREW BN 2.4MM 28MM,1317.0,1317.0,90.3,1922.0,150
HCPCS,C1713,SCREW BN 2.4MM 30MM,978.5,978.5,89.85,1555.0,120
HCPCS,C1713,SCREW BN 2.4MM 30MM SS,1660.0,1660.0,249.0,1660.0,30
HCPCS,C1713,SCREW BN 2.4MM 32MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW BN 2.4MM 34MM,717.5,717.5,90.3,833.0,60
HCPCS,C1713,SCREW BN 2.4MM 36MM,686.0,686.0,102.9,686.0,30
HCPCS,C1713,SCREW BN 2.4MM 38MM,686.0,686.0,102.9,686.0,30
HCPCS,C1713,SCREW BN 2.4MM 40MM,807.0,807.0,94.95,3189.0,90
HCPCS,C1713,SCREW BN 2.4MM 4MM 14MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW BN 2.4MM 4MM 16MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW BN 2.4MM 4MM 18MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW BN 2.4MM 4MM 20MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW BN 2.4MM 4MM 22MM,633.0,633.0,94.95,633.0,30
HCPCS,C1713,SCREW BN 2.4MM 4MM 28MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW BN 2.4MM 4MM 30MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW BN 2.4MM 4MM 36MM,833.0,833.0,124.95,833.0,30
HCPCS,C1713,SCREW BN 2.4MM 4MM 38MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW BN 2.4MM 5MM,1478.0,1478.0,221.7,1478.0,30
HCPCS,C1713,SCREW BN 2.4MM 6MM,1556.0,1556.0,111.45,1949.0,90
HCPCS,C1713,SCREW BN 2.4MM 80MM,824.0,824.0,123.6,824.0,30
HCPCS,C1713,SCREW BN 2.4MM 8MM,1280.0,1280.0,111.0,1453.0,90
HCPCS,C1713,SCREW BN 2.4MM 9MM,998.0,998.0,149.7,998.0,30
HCPCS,C1713,SCREW BN 2.4X11MM,1334.0,1334.0,200.1,1334.0,30
HCPCS,C1713,SCREW BN 2.4X12MM,1660.0,1660.0,249.0,1660.0,30
HCPCS,C1713,SCREW BN 2.4X18MM,2292.5,2292.5,338.7,2327.0,60
HCPCS,C1713,SCREW BN 2.4X18MM TI LOP,2232.0,2232.0,334.8,2232.0,30
HCPCS,C1713,SCREW BN 2.4X20MM,2232.0,2232.0,334.8,2232.0,30
HCPCS,C1713,SCREW BN 2.4X24MM,1487.5,1487.5,111.45,2232.0,60
HCPCS,C1713,SCREW BN 2.4X2X20X7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.4X32MM,1118.0,1118.0,167.7,1118.0,30
HCPCS,C1713,SCREW BN 2.4X4.5X26MM,1375.0,1375.0,206.25,1375.0,30
HCPCS,C1713,SCREW BN 2.4X4.5X28MM,1118.0,1118.0,167.7,1118.0,30
HCPCS,C1713,SCREW BN 2.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5MM 10MM,1898.0,1898.0,203.4,2727.0,90
HCPCS,C1713,SCREW BN 2.5MM 12MM,1754.5,1754.5,179.4,3189.0,120
HCPCS,C1713,SCREW BN 2.5MM 14MM,2594.5,2594.5,203.4,3189.0,150
HCPCS,C1713,SCREW BN 2.5MM 15MM,2594.5,2594.5,369.3,2727.0,60
HCPCS,C1713,SCREW BN 2.5MM 16MM,1642.5,1642.5,179.4,3189.0,180
HCPCS,C1713,SCREW BN 2.5MM 18MM,1700.0,1700.0,179.4,3189.0,120
HCPCS,C1713,SCREW BN 2.5MM 20MM,1627.0,1627.0,203.4,1898.0,60
HCPCS,C1713,SCREW BN 2.5MM 20MM CANN,2607.0,2607.0,391.05,2607.0,30
HCPCS,C1713,SCREW BN 2.5MM 22MM,2543.5,2543.5,284.7,3189.0,150
HCPCS,C1713,SCREW BN 2.5MM 24MM,2272.5,2272.5,203.4,3189.0,120
HCPCS,C1713,SCREW BN 2.5MM 26MM,2503.0,2503.0,289.35,3077.0,60
HCPCS,C1713,SCREW BN 2.5MM 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5MM 3.4MM18MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5MM 32MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 2.5MM 34MM,2616.5,2616.5,306.6,3189.0,60
HCPCS,C1713,SCREW BN 2.5MM 36MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 2.5MM 70MM,1882.0,1882.0,282.3,1882.0,30
HCPCS,C1713,SCREW BN 2.5MM 8MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN 2.5MMX20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5MMX24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5MMX9MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN 2.5X1.75MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5X13MM,791.0,791.0,118.65,791.0,30
HCPCS,C1713,SCREW BN 2.5X14MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 2.5X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5X20MM,2727.0,2727.0,203.4,3189.0,90
HCPCS,C1713,SCREW BN 2.5X22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.5X30MM,2591.0,2591.0,388.65,2591.0,30
HCPCS,C1713,SCREW BN 2.5X48MM,1794.0,1794.0,269.1,1794.0,30
HCPCS,C1713,SCREW BN 2.5X9MM,988.0,988.0,148.2,988.0,30
HCPCS,C1713,SCREW BN 2.7 4.5MM 22MM,581.0,581.0,87.15,581.0,30
HCPCS,C1713,SCREW BN 2.7 X 14MM,1370.0,1370.0,205.5,1370.0,30
HCPCS,C1713,SCREW BN 2.7/L24MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN 2.7MM 10MM,1345.5,1345.5,63.45,1975.0,360
HCPCS,C1713,SCREW BN 2.7MM 10MM LCK,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN 2.7MM 11MM,1987.0,1987.0,203.4,3189.0,120
HCPCS,C1713,SCREW BN 2.7MM 12MM,1127.5,1127.5,47.85,2258.0,540
HCPCS,C1713,SCREW BN 2.7MM 13MM,1356.0,1356.0,92.1,3189.0,90
HCPCS,C1713,SCREW BN 2.7MM 14MM,926.0,926.0,47.85,3189.0,510
HCPCS,C1713,SCREW BN 2.7MM 14MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 15MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN 2.7MM 16MM,1268.0,1268.0,47.85,2105.0,480
HCPCS,C1713,SCREW BN 2.7MM 17MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN 2.7MM 18MM,912.5,912.5,47.85,1834.0,510
HCPCS,C1713,SCREW BN 2.7MM 18MM HALU,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2.7MM 18MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 19MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN 2.7MM 2.1MM20MM,1295.0,1295.0,194.25,1295.0,30
HCPCS,C1713,SCREW BN 2.7MM 20MM,1070.5,1070.5,47.85,3189.0,420
HCPCS,C1713,SCREW BN 2.7MM 20MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 22MM,1674.0,1674.0,59.85,1993.0,420
HCPCS,C1713,SCREW BN 2.7MM 22MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 24MM,824.0,824.0,47.85,2616.0,360
HCPCS,C1713,SCREW BN 2.7MM 24MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 26MM,1932.5,1932.5,91.5,2616.0,180
HCPCS,C1713,SCREW BN 2.7MM 26MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 28MM,1343.5,1343.5,64.35,2258.0,180
HCPCS,C1713,SCREW BN 2.7MM 28MM SS,1883.0,1883.0,282.45,1883.0,30
HCPCS,C1713,SCREW BN 2.7MM 2MM 10MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 2.7MM 2MM 12MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 2.7MM 2MM 20MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 2.7MM 30MM,963.5,963.5,76.2,1883.0,180
HCPCS,C1713,SCREW BN 2.7MM 32MM,614.0,614.0,76.2,2258.0,210
HCPCS,C1713,SCREW BN 2.7MM 32MM SS,1883.0,1883.0,282.45,1883.0,30
HCPCS,C1713,SCREW BN 2.7MM 34MM,768.0,768.0,76.2,2518.0,180
HCPCS,C1713,SCREW BN 2.7MM 34MM SS,1883.0,1883.0,282.45,1883.0,30
HCPCS,C1713,SCREW BN 2.7MM 36MM,664.0,664.0,64.35,1706.0,240
HCPCS,C1713,SCREW BN 2.7MM 36MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 38MM,770.0,770.0,63.45,1571.0,180
HCPCS,C1713,SCREW BN 2.7MM 38MM SS,1883.0,1883.0,282.45,1883.0,30
HCPCS,C1713,SCREW BN 2.7MM 4.5MM,614.0,614.0,92.1,614.0,30
HCPCS,C1713,SCREW BN 2.7MM 40M,581.0,581.0,87.15,581.0,30
HCPCS,C1713,SCREW BN 2.7MM 40MM,610.0,610.0,63.45,1754.0,270
HCPCS,C1713,SCREW BN 2.7MM 40MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 42MM,1102.5,1102.5,76.2,2471.0,180
HCPCS,C1713,SCREW BN 2.7MM 44MM,610.0,610.0,76.2,2471.0,210
HCPCS,C1713,SCREW BN 2.7MM 45MM,1064.5,1064.5,63.45,1706.0,60
HCPCS,C1713,SCREW BN 2.7MM 46MM,836.0,836.0,64.35,1636.0,150
HCPCS,C1713,SCREW BN 2.7MM 48MM,1571.0,1571.0,96.45,2471.0,90
HCPCS,C1713,SCREW BN 2.7MM 48MM SS,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 50M,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7MM 50MM,813.0,813.0,63.45,1571.0,150
HCPCS,C1713,SCREW BN 2.7MM 52MM,800.0,800.0,120.0,800.0,30
HCPCS,C1713,SCREW BN 2.7MM 54MM,730.0,730.0,109.5,730.0,30
HCPCS,C1713,SCREW BN 2.7MM 54MM SS,1883.0,1883.0,282.45,1883.0,30
HCPCS,C1713,SCREW BN 2.7MM 55MM,495.0,495.0,64.35,1754.0,90
HCPCS,C1713,SCREW BN 2.7MM 56MM,1306.5,1306.5,109.5,1883.0,60
HCPCS,C1713,SCREW BN 2.7MM 58MM,610.0,610.0,91.5,610.0,30
HCPCS,C1713,SCREW BN 2.7MM 5MM,753.0,753.0,76.2,1388.0,90
HCPCS,C1713,SCREW BN 2.7MM 5MM 12MM,429.0,429.0,64.35,429.0,30
HCPCS,C1713,SCREW BN 2.7MM 5MM 16MM,426.0,426.0,63.45,429.0,60
HCPCS,C1713,SCREW BN 2.7MM 5MM 18MM,429.0,429.0,64.35,429.0,30
HCPCS,C1713,SCREW BN 2.7MM 5MM 20MM,423.0,423.0,63.45,423.0,30
HCPCS,C1713,SCREW BN 2.7MM 5MM 22MM,426.0,426.0,63.45,429.0,60
HCPCS,C1713,SCREW BN 2.7MM 5MM 26MM,423.0,423.0,63.45,423.0,30
HCPCS,C1713,SCREW BN 2.7MM 5MM 28MM,423.0,423.0,63.45,423.0,30
HCPCS,C1713,SCREW BN 2.7MM 5MM 34MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 2.7MM 5MM 6MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 2.7MM 5MM 8MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 2.7MM 60MM,1445.0,1445.0,95.1,1883.0,120
HCPCS,C1713,SCREW BN 2.7MM 62MM,800.0,800.0,120.0,800.0,30
HCPCS,C1713,SCREW BN 2.7MM 65MM,856.0,856.0,128.4,856.0,30
HCPCS,C1713,SCREW BN 2.7MM 70MM,610.0,610.0,91.5,610.0,30
HCPCS,C1713,SCREW BN 2.7MM 8MM,761.0,761.0,47.85,1463.0,180
HCPCS,C1713,SCREW BN 2.7X12,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN 2.7X12MM,1416.5,1416.5,111.0,3189.0,120
HCPCS,C1713,SCREW BN 2.7X13MM,2009.0,2009.0,301.35,2009.0,30
HCPCS,C1713,SCREW BN 2.7X14MM,824.0,824.0,111.0,1975.0,90
HCPCS,C1713,SCREW BN 2.7X16MM,1399.5,1399.5,111.0,2616.0,120
HCPCS,C1713,SCREW BN 2.7X18MM,1399.5,1399.5,111.0,1993.0,120
HCPCS,C1713,SCREW BN 2.7X20MM,1975.0,1975.0,69.45,2258.0,90
HCPCS,C1713,SCREW BN 2.7X24MM,649.5,649.5,87.15,718.0,60
HCPCS,C1713,SCREW BN 2.7X28MM,610.0,610.0,91.5,610.0,30
HCPCS,C1713,SCREW BN 2.7X4.3X14MM,1804.0,1804.0,270.6,1804.0,30
HCPCS,C1713,SCREW BN 2.7X4.3X28MM,1973.0,1973.0,295.95,1973.0,30
HCPCS,C1713,SCREW BN 2.7X4.3X42MM,1804.0,1804.0,270.6,1804.0,30
HCPCS,C1713,SCREW BN 2.7X4.3X46MM,1973.0,1973.0,295.95,1973.0,30
HCPCS,C1713,SCREW BN 2.7X4.3X48MM SS,1804.0,1804.0,270.6,1804.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X10MM,1946.0,1946.0,291.9,1946.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X11MM,1804.0,1804.0,270.6,1804.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X14MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X22MM,1973.0,1973.0,295.95,1973.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X26MM,581.0,581.0,87.15,581.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X30MM,614.0,614.0,92.1,614.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X34MM,581.0,581.0,87.15,581.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X46MM,581.0,581.0,87.15,581.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X48MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN 2.7X4.5X70MM,856.0,856.0,128.4,856.0,30
HCPCS,C1713,SCREW BN 2.7X52MM,1883.0,1883.0,282.45,1883.0,30
HCPCS,C1713,SCREW BN 2.7X58MM,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN 2.7X5MM 14MM,429.0,429.0,64.35,429.0,30
HCPCS,C1713,SCREW BN 2.7X60MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 2.9MM 12MM,2474.0,2474.0,371.1,2474.0,30
HCPCS,C1713,SCREW BN 20MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN 20MM 9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 23X8 ACL BTNDS,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 24MM 2MM,499.0,499.0,74.85,499.0,30
HCPCS,C1713,SCREW BN 25MM,833.0,833.0,124.95,833.0,30
HCPCS,C1713,SCREW BN 25MM 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 27.5MM 5MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 27MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 28MM 9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2MM 1.5MM,1226.0,1226.0,183.9,1226.0,30
HCPCS,C1713,SCREW BN 2MM 10MM,960.0,960.0,59.85,2232.0,390
HCPCS,C1713,SCREW BN 2MM 11MM,1477.5,1477.5,138.75,3189.0,210
HCPCS,C1713,SCREW BN 2MM 12MM,1671.0,1671.0,81.3,3189.0,300
HCPCS,C1713,SCREW BN 2MM 13MM,1625.0,1625.0,82.95,2035.0,90
HCPCS,C1713,SCREW BN 2MM 13MM 6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2MM 14MM,1490.5,1490.5,77.4,3189.0,300
HCPCS,C1713,SCREW BN 2MM 15MM,1073.5,1073.5,85.65,1576.0,60
HCPCS,C1713,SCREW BN 2MM 15MM 6MM,2941.0,2941.0,441.15,2941.0,30
HCPCS,C1713,SCREW BN 2MM 16MM,1576.0,1576.0,47.85,3189.0,210
HCPCS,C1713,SCREW BN 2MM 18MM,1017.0,1017.0,81.15,3189.0,270
HCPCS,C1713,SCREW BN 2MM 18MM 5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2MM 20MM,2523.0,2523.0,76.2,3189.0,120
HCPCS,C1713,SCREW BN 2MM 22MM,1365.0,1365.0,76.2,3189.0,120
HCPCS,C1713,SCREW BN 2MM 24MM,1625.0,1625.0,243.75,1625.0,30
HCPCS,C1713,SCREW BN 2MM 26MM,419.0,419.0,47.7,520.0,60
HCPCS,C1713,SCREW BN 2MM 28MM,1753.5,1753.5,97.2,2859.0,60
HCPCS,C1713,SCREW BN 2MM 3.5MM 10MM,949.0,949.0,142.35,949.0,30
HCPCS,C1713,SCREW BN 2MM 3.5MM 14MM,702.0,702.0,105.3,702.0,30
HCPCS,C1713,SCREW BN 2MM 3.5MM 16MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN 2MM 3.5MM 20MM,516.0,516.0,77.4,516.0,30
HCPCS,C1713,SCREW BN 2MM 3.5MM 8MM,598.0,598.0,89.7,598.0,30
HCPCS,C1713,SCREW BN 2MM 30MM,977.5,977.5,93.75,1330.0,60
HCPCS,C1713,SCREW BN 2MM 36MM,625.0,625.0,93.75,625.0,30
HCPCS,C1713,SCREW BN 2MM 40MM,541.0,541.0,81.15,541.0,30
HCPCS,C1713,SCREW BN 2MM 4MM,1058.0,1058.0,158.7,1058.0,30
HCPCS,C1713,SCREW BN 2MM 5MM,1058.0,1058.0,152.7,1896.0,90
HCPCS,C1713,SCREW BN 2MM 6MM,675.5,675.5,77.4,2277.0,240
HCPCS,C1713,SCREW BN 2MM 7MM,1576.0,1576.0,199.5,1772.0,90
HCPCS,C1713,SCREW BN 2MM 8MM,1304.5,1304.5,77.4,1772.0,300
HCPCS,C1713,SCREW BN 2MM 9MM,963.0,963.0,138.75,1772.0,90
HCPCS,C1713,SCREW BN 2MMX20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2X10MM,1766.0,1766.0,264.9,1766.0,30
HCPCS,C1713,SCREW BN 2X12MM,1330.0,1330.0,199.5,1330.0,30
HCPCS,C1713,SCREW BN 2X12MM 16MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,SCREW BN 2X15MM,925.0,925.0,138.75,925.0,30
HCPCS,C1713,SCREW BN 2X17MM,925.0,925.0,138.75,925.0,30
HCPCS,C1713,SCREW BN 2X18MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 2X3.5MM 12MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN 2X3.5X10MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN 2X3.5X9MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN 2X5MM,1008.0,1008.0,151.2,1008.0,30
HCPCS,C1713,SCREW BN 2X6MM,1330.0,1330.0,199.5,1330.0,30
HCPCS,C1713,SCREW BN 2X7MM,773.0,773.0,115.95,773.0,30
HCPCS,C1713,SCREW BN 2X8MM 1LVL,1966.0,1966.0,294.9,1966.0,30
HCPCS,C1713,SCREW BN 2X8X12MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,SCREW BN 3 EMER TI MTRX,1321.0,1321.0,198.15,1321.0,30
HCPCS,C1713,SCREW BN 3.0MM 20MM HEAD,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.0MM 22MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 3.0MM 24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.0MM 26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.0MM 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.0MM 32MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 3.0MM 32MM 14MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3.0MM 36MM,3430.0,3430.0,514.5,3430.0,30
HCPCS,C1713,SCREW BN 3.2MM 11MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 3.2MM 12MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN 3.2MM 13MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 3.2MM 15MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 3.2MM 16MM,1595.0,1595.0,203.4,1834.0,60
HCPCS,C1713,SCREW BN 3.2MM 18MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN 3.2MM 20MM,1475.5,1475.5,203.4,1595.0,60
HCPCS,C1713,SCREW BN 3.2MM 24MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 3.2MM 26MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 3.2MM 28MM,1475.5,1475.5,203.4,1595.0,60
HCPCS,C1713,SCREW BN 3.2MM 34MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.2X10MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 3.2X20MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN 3.2X22MM,1356.0,1356.0,203.4,1356.0,60
HCPCS,C1713,SCREW BN 3.2X8MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 3.5M 90MM,388.0,388.0,58.2,388.0,30
HCPCS,C1713,SCREW BN 3.5MM 10 ELLPSE,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 3.5MM 100MM,1218.0,1218.0,49.65,2105.0,60
HCPCS,C1713,SCREW BN 3.5MM 105MM,328.5,328.5,42.3,375.0,60
HCPCS,C1713,SCREW BN 3.5MM 10MM,1379.0,1379.0,47.85,3097.0,630
HCPCS,C1713,SCREW BN 3.5MM 110MM,375.0,375.0,56.25,375.0,30
HCPCS,C1713,SCREW BN 3.5MM 11MM,911.5,911.5,86.85,1244.0,60
HCPCS,C1713,SCREW BN 3.5MM 120MM,331.0,331.0,49.65,331.0,30
HCPCS,C1713,SCREW BN 3.5MM 12MM,1369.0,1369.0,47.85,4429.0,660
HCPCS,C1713,SCREW BN 3.5MM 13MM,401.5,401.5,47.85,484.0,60
HCPCS,C1713,SCREW BN 3.5MM 14MM,1379.0,1379.0,47.85,4429.0,840
HCPCS,C1713,SCREW BN 3.5MM 15MM,449.0,449.0,47.85,579.0,60
HCPCS,C1713,SCREW BN 3.5MM 16MM,1379.0,1379.0,42.3,3189.0,870
HCPCS,C1713,SCREW BN 3.5MM 17MM,579.0,579.0,86.85,579.0,30
HCPCS,C1713,SCREW BN 3.5MM 18MM,1379.0,1379.0,47.85,3189.0,870
HCPCS,C1713,SCREW BN 3.5MM 18MM MTNR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 3.5MM 19MM,579.0,579.0,86.85,579.0,30
HCPCS,C1713,SCREW BN 3.5MM 2.4MM 22M,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 3.5MM 2.4MM TI,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN 3.5MM 2.5MM,834.5,834.5,46.95,1356.0,120
HCPCS,C1713,SCREW BN 3.5MM 20MM,1369.0,1369.0,39.6,3189.0,930
HCPCS,C1713,SCREW BN 3.5MM 20MM ANK,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN 3.5MM 20MM ELLP,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 3.5MM 22.5MM,3914.0,3914.0,587.1,3914.0,30
HCPCS,C1713,SCREW BN 3.5MM 22MM,1391.0,1391.0,47.85,4429.0,990
HCPCS,C1713,SCREW BN 3.5MM 22MM MTNR,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 3.5MM 24MM,1642.0,1642.0,47.85,4429.0,870
HCPCS,C1713,SCREW BN 3.5MM 24MM NLCK,837.5,837.5,47.85,1356.0,60
HCPCS,C1713,SCREW BN 3.5MM 24MM SS,620.0,620.0,93.0,620.0,30
HCPCS,C1713,SCREW BN 3.5MM 25MM,1829.0,1829.0,131.55,2073.0,90
HCPCS,C1713,SCREW BN 3.5MM 26MM,1391.0,1391.0,46.95,4340.0,750
HCPCS,C1713,SCREW BN 3.5MM 26MM ORTH,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN 3.5MM 26MM SS,620.0,620.0,93.0,620.0,30
HCPCS,C1713,SCREW BN 3.5MM 27.5MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 3.5MM 28MM,1367.5,1367.5,47.85,3189.0,750
HCPCS,C1713,SCREW BN 3.5MM 28MM SS,394.0,394.0,59.1,394.0,30
HCPCS,C1713,SCREW BN 3.5MM 28MM TI L,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN 3.5MM 30M,590.0,590.0,88.5,590.0,30
HCPCS,C1713,SCREW BN 3.5MM 30MM,1356.0,1356.0,41.7,3189.0,990
HCPCS,C1713,SCREW BN 3.5MM 30MM CORT,1786.0,1786.0,267.9,1786.0,30
HCPCS,C1713,SCREW BN 3.5MM 30MM SS,477.0,477.0,71.55,477.0,30
HCPCS,C1713,SCREW BN 3.5MM 30MM SYNP,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 3.5MM 32.5MM,1829.0,1829.0,274.35,1829.0,30
HCPCS,C1713,SCREW BN 3.5MM 32MM,1244.0,1244.0,47.85,2727.0,720
HCPCS,C1713,SCREW BN 3.5MM 34MM,670.0,670.0,39.6,2575.0,780
HCPCS,C1713,SCREW BN 3.5MM 35MM,1828.5,1828.5,47.85,2440.0,180
HCPCS,C1713,SCREW BN 3.5MM 36M,708.0,708.0,106.2,708.0,30
HCPCS,C1713,SCREW BN 3.5MM 36MM,1116.0,1116.0,47.85,3389.0,720
HCPCS,C1713,SCREW BN 3.5MM 37.5MM MX,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5MM 38MM,1244.0,1244.0,47.85,3009.0,540
HCPCS,C1713,SCREW BN 3.5MM 38MM MTNR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 3.5MM 38MM TI L,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN 3.5MM 40MM,1364.5,1364.5,47.85,3189.0,810
HCPCS,C1713,SCREW BN 3.5MM 42MM,1415.5,1415.5,59.1,3189.0,480
HCPCS,C1713,SCREW BN 3.5MM 44MM,1580.0,1580.0,47.85,3189.0,480
HCPCS,C1713,SCREW BN 3.5MM 45MM,893.0,893.0,40.5,1788.0,240
HCPCS,C1713,SCREW BN 3.5MM 46MM,1244.0,1244.0,47.85,1898.0,240
HCPCS,C1713,SCREW BN 3.5MM 48MM,1367.5,1367.5,59.85,3189.0,330
HCPCS,C1713,SCREW BN 3.5MM 50M,590.0,590.0,88.5,590.0,30
HCPCS,C1713,SCREW BN 3.5MM 50MM,1116.0,1116.0,39.6,3189.0,480
HCPCS,C1713,SCREW BN 3.5MM 50MM TI,1690.0,1690.0,253.5,1690.0,30
HCPCS,C1713,SCREW BN 3.5MM 52MM,1379.0,1379.0,203.4,1781.0,90
HCPCS,C1713,SCREW BN 3.5MM 54MM,1379.0,1379.0,203.4,1781.0,90
HCPCS,C1713,SCREW BN 3.5MM 55MM,1013.0,1013.0,47.85,2471.0,300
HCPCS,C1713,SCREW BN 3.5MM 56MM,1566.5,1566.5,203.4,2000.0,120
HCPCS,C1713,SCREW BN 3.5MM 58MM,1689.5,1689.5,206.85,2000.0,60
HCPCS,C1713,SCREW BN 3.5MM 5MM,964.0,964.0,144.6,964.0,30
HCPCS,C1713,SCREW BN 3.5MM 5MM 30MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 3.5MM 5MM 36MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 3.5MM 5MM 40MM,2401.5,2401.5,358.8,2411.0,60
HCPCS,C1713,SCREW BN 3.5MM 5MM 44MM,2401.5,2401.5,358.8,2411.0,60
HCPCS,C1713,SCREW BN 3.5MM 5MM 46MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 3.5MM 5MM 50MM,2401.5,2401.5,358.8,2411.0,60
HCPCS,C1713,SCREW BN 3.5MM 5MM 60MM,1923.0,1923.0,215.25,2411.0,60
HCPCS,C1713,SCREW BN 3.5MM 60MM,1421.0,1421.0,47.85,3009.0,330
HCPCS,C1713,SCREW BN 3.5MM 65MM,1754.0,1754.0,42.3,2304.0,270
HCPCS,C1713,SCREW BN 3.5MM 65MM LCP,2301.0,2301.0,345.15,2301.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM,425.0,425.0,60.3,448.0,60
HCPCS,C1713,SCREW BN 3.5MM 6MM 10MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 12MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 14MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 18MM,300.0,300.0,39.6,336.0,60
HCPCS,C1713,SCREW BN 3.5MM 6MM 22MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 24MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 26MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 28MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 30MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 32MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 36MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 40MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 42MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 55MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN 3.5MM 6MM 60MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN 3.5MM 70MM,1936.5,1936.5,40.5,2392.0,390
HCPCS,C1713,SCREW BN 3.5MM 75MM,1121.0,1121.0,42.3,2304.0,240
HCPCS,C1713,SCREW BN 3.5MM 80MM,1367.5,1367.5,47.85,2073.0,330
HCPCS,C1713,SCREW BN 3.5MM 85MM,551.0,551.0,42.3,2000.0,270
HCPCS,C1713,SCREW BN 3.5MM 8MM,1611.0,1611.0,67.2,2518.0,150
HCPCS,C1713,SCREW BN 3.5MM 90MM,1766.0,1766.0,203.4,2596.0,90
HCPCS,C1713,SCREW BN 3.5MM 9MM,1244.0,1244.0,186.6,1244.0,60
HCPCS,C1713,SCREW BN 3.5MMX26MM,590.0,590.0,88.5,590.0,30
HCPCS,C1713,SCREW BN 3.5MMX30MM,1786.0,1786.0,267.9,1786.0,30
HCPCS,C1713,SCREW BN 3.5X110MM,331.0,331.0,49.65,331.0,30
HCPCS,C1713,SCREW BN 3.5X11MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,SCREW BN 3.5X12 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X12MM,2272.5,2272.5,203.4,3189.0,90
HCPCS,C1713,SCREW BN 3.5X13 ZPHR TI,2259.0,2259.0,225.9,3012.0,60
HCPCS,C1713,SCREW BN 3.5X13MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,SCREW BN 3.5X14 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X14 CSPN LCK,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 3.5X14MM,1130.0,1130.0,144.6,2727.0,90
HCPCS,C1713,SCREW BN 3.5X15 ZPHR TI,2635.5,2635.5,338.85,3012.0,60
HCPCS,C1713,SCREW BN 3.5X16 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X16M,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN 3.5X16MM,781.5,781.5,47.85,1244.0,60
HCPCS,C1713,SCREW BN 3.5X18 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X18MM,2545.0,2545.0,298.95,3097.0,60
HCPCS,C1713,SCREW BN 3.5X2.4MM 36MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 3.5X2.4MM 38MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 3.5X2.9MM 46MM,1379.0,1379.0,206.85,1379.0,30
HCPCS,C1713,SCREW BN 3.5X2.9X16MM,1852.0,1852.0,277.8,1852.0,30
HCPCS,C1713,SCREW BN 3.5X2.9X18MM,2157.0,2157.0,323.55,2157.0,30
HCPCS,C1713,SCREW BN 3.5X2.9X45MM,1379.0,1379.0,206.85,1379.0,30
HCPCS,C1713,SCREW BN 3.5X2.9X55MM,1379.0,1379.0,206.85,1379.0,30
HCPCS,C1713,SCREW BN 3.5X2.9X65MM,2434.0,2434.0,365.1,2434.0,30
HCPCS,C1713,SCREW BN 3.5X20 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X20MM,2784.0,2784.0,383.85,3009.0,60
HCPCS,C1713,SCREW BN 3.5X22 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X22MM,1356.0,1356.0,93.0,1834.0,120
HCPCS,C1713,SCREW BN 3.5X24 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X24MM,1098.5,1098.5,62.4,1781.0,60
HCPCS,C1713,SCREW BN 3.5X26MM,1730.0,1730.0,203.4,1781.0,90
HCPCS,C1713,SCREW BN 3.5X26MM P-AX,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 3.5X28,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.5X28 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X28.5MM HEX,61.0,61.0,9.15,61.0,30
HCPCS,C1713,SCREW BN 3.5X28MM,1370.0,1370.0,205.5,1370.0,30
HCPCS,C1713,SCREW BN 3.5X30 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X30MM,1192.5,1192.5,154.35,1356.0,60
HCPCS,C1713,SCREW BN 3.5X30MM TI COR,4608.0,4608.0,691.2,4608.0,30
HCPCS,C1713,SCREW BN 3.5X32 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X32MM,1904.5,1904.5,93.0,3189.0,60
HCPCS,C1713,SCREW BN 3.5X34MM,2427.5,2427.5,345.6,2551.0,60
HCPCS,C1713,SCREW BN 3.5X36MM,1219.5,1219.5,98.7,1781.0,60
HCPCS,C1713,SCREW BN 3.5X38MM,1980.0,1980.0,88.5,3389.0,120
HCPCS,C1713,SCREW BN 3.5X4.5X20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.5X4.5X22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.5X4.5X35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.5X4.5X65MM,456.0,456.0,68.4,456.0,30
HCPCS,C1713,SCREW BN 3.5X40MM,1568.5,1568.5,203.4,1781.0,60
HCPCS,C1713,SCREW BN 3.5X42 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X42MM,590.0,590.0,88.5,590.0,30
HCPCS,C1713,SCREW BN 3.5X46 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X46MM,2272.5,2272.5,203.4,3189.0,60
HCPCS,C1713,SCREW BN 3.5X47.5MM,993.0,993.0,148.95,993.0,30
HCPCS,C1713,SCREW BN 3.5X48MM,460.5,460.5,49.65,590.0,60
HCPCS,C1713,SCREW BN 3.5X50 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X50MM,2000.0,2000.0,300.0,2000.0,30
HCPCS,C1713,SCREW BN 3.5X56 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X5X18X6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.5X60 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X60MM,1623.0,1623.0,88.5,2656.0,60
HCPCS,C1713,SCREW BN 3.5X65 2.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 3.5X65MM,590.0,590.0,88.5,590.0,30
HCPCS,C1713,SCREW BN 3.5X6X100MM,328.5,328.5,42.3,375.0,60
HCPCS,C1713,SCREW BN 3.5X6X45MM,334.0,334.0,50.1,334.0,30
HCPCS,C1713,SCREW BN 3.5X6X70MM,392.0,392.0,58.8,392.0,30
HCPCS,C1713,SCREW BN 3.5X6X75MM,293.0,293.0,43.95,293.0,30
HCPCS,C1713,SCREW BN 3.5X6X90MM,375.0,375.0,56.25,375.0,30
HCPCS,C1713,SCREW BN 3.5X70MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,SCREW BN 3.5X80MM,282.0,282.0,42.3,282.0,30
HCPCS,C1713,SCREW BN 3.5X95MM,282.0,282.0,42.3,282.0,30
HCPCS,C1713,SCREW BN 3.5XL32MM,590.0,590.0,88.5,590.0,30
HCPCS,C1713,SCREW BN 3.6MM 12MM TI P,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 3.6MM 22MM,3004.0,3004.0,450.6,3004.0,30
HCPCS,C1713,SCREW BN 3.6MM 32MM,3004.0,3004.0,450.6,3004.0,30
HCPCS,C1713,SCREW BN 3.6X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 3.75MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.75MM 32MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 3.75MM 38MM TI,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.75MM 40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.7MM 16MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7MM 18MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7MM 20MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7MM 25MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 3.7MM 26MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7MM 28MM,2748.5,2748.5,358.8,3105.0,60
HCPCS,C1713,SCREW BN 3.7MM 32MM,2748.5,2748.5,358.8,3105.0,60
HCPCS,C1713,SCREW BN 3.7MM 34MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 3.7MM 36MM,2790.5,2790.5,358.8,3189.0,60
HCPCS,C1713,SCREW BN 3.7MM 38MM,3410.5,3410.5,358.8,4429.0,60
HCPCS,C1713,SCREW BN 3.7MM 38MM 25MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN 3.7MM 40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.7MM 40MM 25MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.7MM 44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3.7MM 46MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7MM 48MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 3.7MM 48MM 25MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN 3.7MM 50MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7MM 52MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7MM 54MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7X24MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.7X34MM,3105.0,3105.0,465.75,3105.0,30
HCPCS,C1713,SCREW BN 3.8MM 16MM,479.0,479.0,71.85,479.0,30
HCPCS,C1713,SCREW BN 3.8MM 18MM,2471.0,2471.0,370.65,2471.0,30
HCPCS,C1713,SCREW BN 3.8MM 20MM,2280.5,2280.5,284.7,2663.0,60
HCPCS,C1713,SCREW BN 3.8MM 22MM,1483.0,1483.0,222.45,1483.0,60
HCPCS,C1713,SCREW BN 3.8MM 23MM,2659.0,2659.0,398.25,2663.0,90
HCPCS,C1713,SCREW BN 3.8MM 24MM,1188.5,1188.5,71.85,1898.0,90
HCPCS,C1713,SCREW BN 3.8MM 26MM,2276.5,2276.5,71.85,2663.0,150
HCPCS,C1713,SCREW BN 3.8MM 32MM,2655.0,2655.0,398.25,2655.0,60
HCPCS,C1713,SCREW BN 3.8MM 35MM,2655.0,2655.0,398.25,2655.0,30
HCPCS,C1713,SCREW BN 3.8MM 38MM,2655.0,2655.0,398.25,2655.0,30
HCPCS,C1713,SCREW BN 3.8MM 41MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 30MM,3455.0,3455.0,478.35,3721.0,60
HCPCS,C1713,SCREW BN 30MM 2.7MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN 30MM 4.1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 30MM 5MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN 30MM OD3.5 SROM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 32MM 4MM,2369.0,2369.0,355.35,2369.0,30
HCPCS,C1713,SCREW BN 32MM 5MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN 34MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 34MM 4.5MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 35MM 3.5MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 35MM 4MM,2631.0,2631.0,394.65,2631.0,30
HCPCS,C1713,SCREW BN 37.5MM 87.5MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN 3MM,1128.0,1128.0,169.2,1128.0,30
HCPCS,C1713,SCREW BN 3MM 10MM,1594.5,1594.5,215.25,1754.0,90
HCPCS,C1713,SCREW BN 3MM 10MM 4MM,2928.0,2928.0,439.2,2928.0,30
HCPCS,C1713,SCREW BN 3MM 12MM,1594.5,1594.5,174.9,3189.0,150
HCPCS,C1713,SCREW BN 3MM 14MM,1754.0,1754.0,263.1,1754.0,30
HCPCS,C1713,SCREW BN 3MM 14MM 4MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 15MM 4MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 16MM,2471.5,2471.5,263.1,3189.0,90
HCPCS,C1713,SCREW BN 3MM 16MM 4MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 17MM 4MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 18MM,3125.0,3125.0,418.5,3189.0,90
HCPCS,C1713,SCREW BN 3MM 18MM 5MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 19MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 20MM,2826.0,2826.0,263.1,3189.0,240
HCPCS,C1713,SCREW BN 3MM 22MM,2627.0,2627.0,263.1,3189.0,120
HCPCS,C1713,SCREW BN 3MM 24MM,3077.0,3077.0,263.1,3189.0,120
HCPCS,C1713,SCREW BN 3MM 25MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3MM 26MM,2471.5,2471.5,263.1,3189.0,90
HCPCS,C1713,SCREW BN 3MM 27MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3MM 28MM,3309.5,3309.5,478.35,3430.0,60
HCPCS,C1713,SCREW BN 3MM 2MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3MM 30MM,3309.5,3309.5,478.35,3430.0,60
HCPCS,C1713,SCREW BN 3MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3MM 34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3MM 34MM 7MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 36MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 3MM 40MM,3189.0,3189.0,478.35,3189.0,120
HCPCS,C1713,SCREW BN 3MM 40MM 8MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 4MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3MM 4MM 18MM 3M,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3MM 5MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3MM 6MM 24MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 6MM 30MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 3MM 8MM,2312.0,2312.0,215.25,3189.0,60
HCPCS,C1713,SCREW BN 3X1.6X2.9MM SLF,1167.0,1167.0,175.05,1167.0,30
HCPCS,C1713,SCREW BN 3X12MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN 3X14 F-T SPNL,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 3X18 HDLS COMP,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3X18MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X24MM,2679.0,2679.0,401.85,2679.0,60
HCPCS,C1713,SCREW BN 3X25MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X26MM,2934.0,2934.0,401.85,3189.0,60
HCPCS,C1713,SCREW BN 3X28MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X29MM,2679.0,2679.0,401.85,2679.0,60
HCPCS,C1713,SCREW BN 3X30MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X34MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X36MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X38MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X4.3X40MM T9,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 3X40MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X4X1.2X36X16MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X4X1.2X38X18MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 3X4X14MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN 4 10 SYNPSE TI,6090.0,6090.0,913.5,6090.0,30
HCPCS,C1713,SCREW BN 4 12 MP-AXL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4 26 MTNR TI OC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4 28 SYNPSE TI,4446.0,4446.0,666.9,4446.0,30
HCPCS,C1713,SCREW BN 4 X 13 VNTR TI,2071.0,2071.0,169.5,3012.0,60
HCPCS,C1713,SCREW BN 4 X 15 VNTR TI,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW BN 4.0 16MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4.0MM 10MM,219.0,219.0,32.85,219.0,30
HCPCS,C1713,SCREW BN 4.0MM 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 4.0MM 14MM,206.0,206.0,30.9,206.0,30
HCPCS,C1713,SCREW BN 4.0MM 16MM TI C,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4.0MM 20MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 4.0MM 24MM,2926.0,2926.0,399.45,3189.0,60
HCPCS,C1713,SCREW BN 4.0MM 26MM,3189.0,3189.0,288.6,3478.0,90
HCPCS,C1713,SCREW BN 4.0MM 28MM,2926.0,2926.0,399.45,3189.0,60
HCPCS,C1713,SCREW BN 4.0MM 30M,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.0MM 30MM,219.0,219.0,32.85,219.0,30
HCPCS,C1713,SCREW BN 4.0MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.0MM 34MM,466.0,466.0,69.9,466.0,30
HCPCS,C1713,SCREW BN 4.0MM 38MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.0MM 40MM,2845.5,2845.5,339.15,3430.0,60
HCPCS,C1713,SCREW BN 4.0MM 42MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4.0MM 44MM,2942.5,2942.5,404.4,3189.0,60
HCPCS,C1713,SCREW BN 4.0MM 50MM,338.0,338.0,50.7,338.0,30
HCPCS,C1713,SCREW BN 4.0MM 52MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4.0MM 54MM,1884.0,1884.0,50.7,3430.0,60
HCPCS,C1713,SCREW BN 4.0MM 56MM,3294.0,3294.0,494.1,3294.0,30
HCPCS,C1713,SCREW BN 4.0MM 60MM,3430.0,3430.0,514.5,3430.0,30
HCPCS,C1713,SCREW BN 4.0MM 68MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 4.0MM 75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.0X12MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4.1MM 26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.25X12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 4.2MM 13MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 4.2MM 14MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN 4.2MM 16MM SPN,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN 4.2MM 18MM,2503.0,2503.0,330.0,2806.0,60
HCPCS,C1713,SCREW BN 4.2MM 20MM,2503.0,2503.0,330.0,2806.0,60
HCPCS,C1713,SCREW BN 4.2MM 22MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN 4.2MM 26MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN 4.2MM 28MM,2503.0,2503.0,330.0,2806.0,60
HCPCS,C1713,SCREW BN 4.2MM 30MM,2503.0,2503.0,330.0,2806.0,60
HCPCS,C1713,SCREW BN 4.2MM 34MM,2503.0,2503.0,330.0,2806.0,60
HCPCS,C1713,SCREW BN 4.2MM 35MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 4.2MM 36MM,2503.0,2503.0,330.0,2806.0,60
HCPCS,C1713,SCREW BN 4.2MM 38MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN 4.2MM 40MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN 4.2MM 44MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN 4.2MM 65MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN 4.2X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 4.2X40MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 4.2X45MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 4.35MM 16MM RSC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 4.35MM 25MM XPD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4.35MM 30MM XPD,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 4.35MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4.3MM 20MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 4.3MM 22MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 4.3MM 24MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 4.3MM 26MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 4.3MM 28MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 4.3MM 30MM,2392.0,2392.0,239.25,3189.0,60
HCPCS,C1713,SCREW BN 4.3MM 32MM,2551.0,2551.0,286.95,3189.0,60
HCPCS,C1713,SCREW BN 4.3MM 34MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 4.3MM 36MM,2392.0,2392.0,239.25,3189.0,90
HCPCS,C1713,SCREW BN 4.3MM 38MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 4.3MM 40MM,2392.0,2392.0,239.25,3189.0,90
HCPCS,C1713,SCREW BN 4.3MM 42MM,2392.0,2392.0,239.25,3189.0,90
HCPCS,C1713,SCREW BN 4.3MM 44MM,2392.0,2392.0,239.25,3189.0,90
HCPCS,C1713,SCREW BN 4.3MM 46MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 4.3MM 48MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.3MM 50MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 4.3MM 55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.3MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.5 18MM,505.0,505.0,75.75,505.0,30
HCPCS,C1713,SCREW BN 4.5MM,2224.0,2224.0,333.6,2224.0,30
HCPCS,C1713,SCREW BN 4.5MM .08MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 4.5MM .20MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 4.5MM .35MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 4.5MM 100MM,451.5,451.5,67.05,456.0,90
HCPCS,C1713,SCREW BN 4.5MM 105MM,456.0,456.0,68.4,456.0,30
HCPCS,C1713,SCREW BN 4.5MM 11MM,1118.0,1118.0,167.7,1118.0,30
HCPCS,C1713,SCREW BN 4.5MM 120MM,358.0,358.0,53.7,358.0,30
HCPCS,C1713,SCREW BN 4.5MM 125MM,456.0,456.0,68.4,456.0,30
HCPCS,C1713,SCREW BN 4.5MM 130MM,456.0,456.0,68.4,456.0,30
HCPCS,C1713,SCREW BN 4.5MM 14MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN 4.5MM 15MM,2303.5,2303.5,239.25,3012.0,60
HCPCS,C1713,SCREW BN 4.5MM 16MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN 4.5MM 17.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.5MM 18MM,1196.0,1196.0,135.9,1595.0,90
HCPCS,C1713,SCREW BN 4.5MM 20MM,1395.5,1395.5,40.5,3189.0,450
HCPCS,C1713,SCREW BN 4.5MM 20MM SPNL,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 4.5MM 22MM,1595.0,1595.0,41.55,3189.0,210
HCPCS,C1713,SCREW BN 4.5MM 24MM,1039.0,1039.0,44.4,3189.0,300
HCPCS,C1713,SCREW BN 4.5MM 24MM PRLC,3079.0,3079.0,461.85,3079.0,30
HCPCS,C1713,SCREW BN 4.5MM 24MM UNIV,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 4.5MM 25MM,1595.0,1595.0,65.4,2136.0,150
HCPCS,C1713,SCREW BN 4.5MM 26MM,1250.5,1250.5,44.4,3109.0,300
HCPCS,C1713,SCREW BN 4.5MM 26MM PRLC,505.0,505.0,75.75,505.0,30
HCPCS,C1713,SCREW BN 4.5MM 27.5MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 4.5MM 28M,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN 4.5MM 28MM,798.0,798.0,44.4,3189.0,240
HCPCS,C1713,SCREW BN 4.5MM 29MM,906.0,906.0,135.9,906.0,30
HCPCS,C1713,SCREW BN 4.5MM 30.0MM,2105.0,2105.0,315.75,2105.0,30
HCPCS,C1713,SCREW BN 4.5MM 30MM,1157.0,1157.0,55.2,3189.0,420
HCPCS,C1713,SCREW BN 4.5MM 32.5MM,2884.0,2884.0,432.6,2884.0,30
HCPCS,C1713,SCREW BN 4.5MM 32M,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN 4.5MM 32MM,1051.0,1051.0,34.8,3189.0,270
HCPCS,C1713,SCREW BN 4.5MM 34M,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN 4.5MM 34MM,1196.0,1196.0,44.4,3109.0,330
HCPCS,C1713,SCREW BN 4.5MM 35MM,1414.0,1414.0,65.4,2392.0,60
HCPCS,C1713,SCREW BN 4.5MM 36MM,1666.5,1666.5,38.1,3109.0,480
HCPCS,C1713,SCREW BN 4.5MM 37.5MM,2494.5,2494.5,315.75,2884.0,60
HCPCS,C1713,SCREW BN 4.5MM 38M,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN 4.5MM 38MM,1666.5,1666.5,55.2,3189.0,270
HCPCS,C1713,SCREW BN 4.5MM 40MM,1993.5,1993.5,46.95,4429.0,480
HCPCS,C1713,SCREW BN 4.5MM 40MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.5MM 40MM 80MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN 4.5MM 42MM,1975.5,1975.5,38.7,2901.0,270
HCPCS,C1713,SCREW BN 4.5MM 42MM UNIV,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 4.5MM 44MM,670.0,670.0,41.55,2901.0,270
HCPCS,C1713,SCREW BN 4.5MM 45MM,1595.0,1595.0,65.4,3189.0,150
HCPCS,C1713,SCREW BN 4.5MM 46MM,1475.5,1475.5,55.2,3189.0,210
HCPCS,C1713,SCREW BN 4.5MM 48MM,1595.0,1595.0,41.55,3189.0,270
HCPCS,C1713,SCREW BN 4.5MM 48MM UNIV,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN 4.5MM 50MM,1132.5,1132.5,46.95,4429.0,240
HCPCS,C1713,SCREW BN 4.5MM 50MM PRLC,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 4.5MM 52MM,1733.0,1733.0,41.55,3189.0,90
HCPCS,C1713,SCREW BN 4.5MM 54MM,2926.0,2926.0,53.7,3189.0,90
HCPCS,C1713,SCREW BN 4.5MM 55MM,670.0,670.0,65.4,3109.0,150
HCPCS,C1713,SCREW BN 4.5MM 56MM,1515.5,1515.5,41.55,2926.0,120
HCPCS,C1713,SCREW BN 4.5MM 58MM,277.0,277.0,35.25,534.0,90
HCPCS,C1713,SCREW BN 4.5MM 6.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.5MM 60MM,1595.0,1595.0,38.7,3189.0,330
HCPCS,C1713,SCREW BN 4.5MM 60MM 24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.5MM 62MM,289.0,289.0,43.35,289.0,30
HCPCS,C1713,SCREW BN 4.5MM 64MM,2711.0,2711.0,38.7,2790.0,90
HCPCS,C1713,SCREW BN 4.5MM 65MM,436.0,436.0,65.4,436.0,30
HCPCS,C1713,SCREW BN 4.5MM 66MM,289.0,289.0,43.35,289.0,30
HCPCS,C1713,SCREW BN 4.5MM 68MM,2950.0,2950.0,406.65,3189.0,60
HCPCS,C1713,SCREW BN 4.5MM 70MM,553.0,553.0,41.55,3189.0,180
HCPCS,C1713,SCREW BN 4.5MM 72MM,1333.5,1333.5,56.85,2288.0,60
HCPCS,C1713,SCREW BN 4.5MM 75MM,519.0,519.0,55.2,670.0,60
HCPCS,C1713,SCREW BN 4.5MM 76MM,469.0,469.0,70.35,469.0,30
HCPCS,C1713,SCREW BN 4.5MM 7MM,1280.0,1280.0,192.0,1280.0,30
HCPCS,C1713,SCREW BN 4.5MM 80MM,1430.5,1430.5,70.35,2392.0,60
HCPCS,C1713,SCREW BN 4.5MM 85MM,558.5,558.5,55.2,1738.0,120
HCPCS,C1713,SCREW BN 4.5MM 8MM 105MM,607.0,607.0,91.05,607.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 24MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 26MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 28MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 30MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 32MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 34MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 36MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 38MM,295.0,295.0,40.5,320.0,60
HCPCS,C1713,SCREW BN 4.5MM 8MM 40MM,281.0,281.0,42.15,281.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 42MM,334.5,334.5,40.5,399.0,60
HCPCS,C1713,SCREW BN 4.5MM 8MM 44MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 46MM,277.5,277.5,40.5,285.0,60
HCPCS,C1713,SCREW BN 4.5MM 8MM 50MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 54MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 60MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN 4.5MM 8MM 64MM,289.0,289.0,43.35,289.0,30
HCPCS,C1713,SCREW BN 4.5MM 90MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN 4.5MM 95MM,514.0,514.0,53.7,670.0,60
HCPCS,C1713,SCREW BN 4.5MM DIAX38MM,315.0,315.0,47.25,315.0,30
HCPCS,C1713,SCREW BN 4.5MMX48MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN 4.5X12MM VAR HD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 4.5X13MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 4.5X14MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,SCREW BN 4.5X14MM SPN,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN 4.5X15MM,1395.5,1395.5,179.4,1595.0,60
HCPCS,C1713,SCREW BN 4.5X16MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN 4.5X20MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 4.5X20MM PRLOC,505.0,505.0,75.75,505.0,30
HCPCS,C1713,SCREW BN 4.5X22MM ELLIPS,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 4.5X24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.5X24MM ELLIPS,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 4.5X26MM ELL TI,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 4.5X28MM,313.0,313.0,46.95,313.0,30
HCPCS,C1713,SCREW BN 4.5X3.2MM 20MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN 4.5X30MM,313.0,313.0,46.95,313.0,30
HCPCS,C1713,SCREW BN 4.5X30MM ELL TI,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 4.5X30MM PRLC C,3079.0,3079.0,461.85,3079.0,30
HCPCS,C1713,SCREW BN 4.5X36MM,2511.0,2511.0,376.65,2511.0,30
HCPCS,C1713,SCREW BN 4.5X38MM,2308.5,2308.5,339.15,2356.0,60
HCPCS,C1713,SCREW BN 4.5X40MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN 4.5X42.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.5X42MM LOPRO,3109.0,3109.0,466.35,3109.0,30
HCPCS,C1713,SCREW BN 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4.5X50MM,3769.0,3769.0,466.35,4429.0,60
HCPCS,C1713,SCREW BN 4.5X52MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW BN 4.5X58MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN 4.5X6.5X1.75MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW BN 4.5X65MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1713,SCREW BN 4.5X72MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.5X90MM,456.0,456.0,68.4,456.0,30
HCPCS,C1713,SCREW BN 4.6MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.6MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4.6X18MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 4.75MM 15MM,1170.0,1170.0,131.55,3189.0,90
HCPCS,C1713,SCREW BN 4.75MM 20MM,877.0,877.0,131.55,877.0,60
HCPCS,C1713,SCREW BN 4.75MM 25MM,877.0,877.0,131.55,877.0,60
HCPCS,C1713,SCREW BN 4.75MM 30MM,877.0,877.0,131.55,877.0,60
HCPCS,C1713,SCREW BN 4.75MM 35MM,877.0,877.0,131.55,877.0,60
HCPCS,C1713,SCREW BN 4.75MM 40MM,1023.5,1023.5,131.55,1170.0,60
HCPCS,C1713,SCREW BN 4.75MM 42MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 4.75MM 45MM,1183.0,1183.0,175.5,1196.0,60
HCPCS,C1713,SCREW BN 4.75X14MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 4.75X26MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 4.75X30MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 4.75X34MM,1913.0,1913.0,286.95,1913.0,60
HCPCS,C1713,SCREW BN 4.75X38MM,1913.0,1913.0,286.95,1913.0,60
HCPCS,C1713,SCREW BN 4.75X42MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 4.7MM 30MM,1532.0,1532.0,229.8,1532.0,30
HCPCS,C1713,SCREW BN 4.7MM 40MM,3370.0,3370.0,505.5,3370.0,30
HCPCS,C1713,SCREW BN 4.7MM 45MM,3370.0,3370.0,505.5,3370.0,30
HCPCS,C1713,SCREW BN 4.8X12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 4.8X14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 40 4.5 XIA II S,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 40MM 120MM,2758.0,2758.0,413.7,2758.0,30
HCPCS,C1713,SCREW BN 40X8.5MM MALIB,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 45MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 45MM 4MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 45MM XIA TI SPN,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN 45X5.5MM QWX FX,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCREW BN 45X8.5MM MLBU S,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 46MM 3.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4MM,1128.0,1128.0,169.2,1128.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 28MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 32MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 36MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 38MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 40MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 42MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 44MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 46MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 4MM 1.35MM 50MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4MM 10MM,3189.0,3189.0,399.45,3721.0,90
HCPCS,C1713,SCREW BN 4MM 12MM,558.0,558.0,28.8,3765.0,150
HCPCS,C1713,SCREW BN 4MM 12MM 2 LD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 4MM 12MM VAR SL,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 4MM 14MM,1130.0,1130.0,47.85,2261.0,150
HCPCS,C1713,SCREW BN 4MM 16MM,1434.0,1434.0,47.85,3189.0,150
HCPCS,C1713,SCREW BN 4MM 16MM 2 LD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 4MM 18MM,1409.5,1409.5,47.85,2663.0,180
HCPCS,C1713,SCREW BN 4MM 2.4MM 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4MM 2.4MM 24MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN 4MM 2.4MM 36MM,4446.0,4446.0,666.9,4446.0,30
HCPCS,C1713,SCREW BN 4MM 20MM,2369.0,2369.0,47.85,4429.0,180
HCPCS,C1713,SCREW BN 4MM 22.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4MM 22MM,2663.0,2663.0,47.85,3189.0,120
HCPCS,C1713,SCREW BN 4MM 24MM,2392.0,2392.0,55.2,3189.0,120
HCPCS,C1713,SCREW BN 4MM 24MM 8MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 4MM 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4MM 25MM MTRX T,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 4MM 25MM TI SPN,1461.0,1461.0,219.15,1461.0,30
HCPCS,C1713,SCREW BN 4MM 26MM,1572.0,1572.0,35.25,3143.0,240
HCPCS,C1713,SCREW BN 4MM 26MM 9MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 4MM 26MM ST ANK,2567.0,2567.0,385.05,2567.0,30
HCPCS,C1713,SCREW BN 4MM 27.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4MM 28MM,2168.5,2168.5,33.15,3189.0,270
HCPCS,C1713,SCREW BN 4MM 3.3MM 28MM,2079.0,2079.0,311.85,2079.0,30
HCPCS,C1713,SCREW BN 4MM 3.3MM 34MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN 4MM 3.3MM 38MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN 4MM 3.3MM 48MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN 4MM 3.3MM 56MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN 4MM 30M,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4MM 30MM,2368.0,2368.0,71.85,4429.0,300
HCPCS,C1713,SCREW BN 4MM 30MM FINN T,1461.0,1461.0,219.15,1461.0,30
HCPCS,C1713,SCREW BN 4MM 30MM MTRX T,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 4MM 30MM NLCKG,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4MM 32.5MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 4MM 32MM,1993.0,1993.0,67.35,3189.0,180
HCPCS,C1713,SCREW BN 4MM 32MM TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4MM 34MM,2551.0,2551.0,288.6,3189.0,180
HCPCS,C1713,SCREW BN 4MM 34MM 11.5MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 4MM 34MM TI CAN,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN 4MM 35MM,2599.0,2599.0,358.8,4429.0,120
HCPCS,C1713,SCREW BN 4MM 35MM XIA TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 4MM 36MM,2320.0,2320.0,203.4,3189.0,360
HCPCS,C1713,SCREW BN 4MM 37.5MM,1692.5,1692.5,148.95,2392.0,60
HCPCS,C1713,SCREW BN 4MM 38MM,2471.5,2471.5,227.85,3189.0,270
HCPCS,C1713,SCREW BN 4MM 38MM 13MM,2369.0,2369.0,355.35,2369.0,30
HCPCS,C1713,SCREW BN 4MM 40MM,2344.0,2344.0,47.85,3189.0,420
HCPCS,C1713,SCREW BN 4MM 40MM ORTH C,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4MM 42.5MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 4MM 42MM,2591.0,2591.0,47.85,3430.0,240
HCPCS,C1713,SCREW BN 4MM 42MM 14MM,2296.0,2296.0,344.4,2296.0,30
HCPCS,C1713,SCREW BN 4MM 44MM,2023.5,2023.5,47.85,3189.0,300
HCPCS,C1713,SCREW BN 4MM 44MM 15MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 4MM 45MM,368.0,368.0,47.85,2392.0,90
HCPCS,C1713,SCREW BN 4MM 45MM NLCKG,993.0,993.0,148.95,993.0,30
HCPCS,C1713,SCREW BN 4MM 46MM,2261.0,2261.0,52.8,3189.0,240
HCPCS,C1713,SCREW BN 4MM 46MM 15.5MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 4MM 48MM,2380.5,2380.5,267.9,3189.0,210
HCPCS,C1713,SCREW BN 4MM 50MM,2511.5,2511.5,47.85,4429.0,300
HCPCS,C1713,SCREW BN 4MM 50MM 17MM,2296.0,2296.0,344.4,2296.0,30
HCPCS,C1713,SCREW BN 4MM 52MM,2403.0,2403.0,321.45,2663.0,60
HCPCS,C1713,SCREW BN 4MM 54MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN 4MM 55MM,1654.0,1654.0,47.85,3189.0,90
HCPCS,C1713,SCREW BN 4MM 55MM 18.5MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 4MM 56MM,854.0,854.0,52.8,1356.0,60
HCPCS,C1713,SCREW BN 4MM 58MM,3294.0,3294.0,321.45,3430.0,90
HCPCS,C1713,SCREW BN 4MM 5MM,2462.0,2462.0,339.15,2663.0,60
HCPCS,C1713,SCREW BN 4MM 5MM 42MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4MM 5MM 46MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4MM 60MM,2604.0,2604.0,47.85,3294.0,210
HCPCS,C1713,SCREW BN 4MM 65MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 10MM,221.0,221.0,33.15,221.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 12MM,235.0,235.0,35.25,235.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 14MM,215.0,215.0,32.25,215.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 16MM,221.0,221.0,33.15,221.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 18MM,221.0,221.0,33.15,221.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 20MM,215.0,215.0,32.25,215.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 22MM,235.0,235.0,35.25,235.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 24MM,215.0,215.0,32.25,215.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 30MM,221.0,221.0,33.15,221.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 35MM,227.0,227.0,32.85,235.0,60
HCPCS,C1713,SCREW BN 4MM 6MM 40MM,207.0,207.0,29.85,215.0,60
HCPCS,C1713,SCREW BN 4MM 6MM 45MM,207.0,207.0,29.85,215.0,60
HCPCS,C1713,SCREW BN 4MM 6MM 48MM,352.0,352.0,52.8,352.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 50MM,217.0,217.0,29.85,235.0,60
HCPCS,C1713,SCREW BN 4MM 6MM 55MM,235.0,235.0,35.25,235.0,30
HCPCS,C1713,SCREW BN 4MM 6MM 60MM,293.0,293.0,43.95,293.0,30
HCPCS,C1713,SCREW BN 4MM 70MM,1765.0,1765.0,51.15,3189.0,60
HCPCS,C1713,SCREW BN 4MM 70MM 23.5MM,2369.0,2369.0,355.35,2369.0,30
HCPCS,C1713,SCREW BN 4MM 75MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN 4MM 85MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN 4MM 8MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4MM 8MM TI STD,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 4MM 90MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN 4X1.6X2.9MM,502.0,502.0,75.3,502.0,30
HCPCS,C1713,SCREW BN 4X10MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X13MM SKYLN,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 4X14MM,319.0,319.0,47.85,319.0,60
HCPCS,C1713,SCREW BN 4X16MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X18 182.418,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 4X18MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X20MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 4X26MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 4X28MM SPN P-AX,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 4X3.5X20MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN 4X3.5X22MM,2361.0,2361.0,354.15,2361.0,30
HCPCS,C1713,SCREW BN 4X3.5X24MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X3.5X28MM,2361.0,2361.0,354.15,2361.0,30
HCPCS,C1713,SCREW BN 4X3.5X30MM,2361.0,2361.0,354.15,2361.0,30
HCPCS,C1713,SCREW BN 4X3.5X36MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X3.5X38MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X3.5X48MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X3.5X6.2X40MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X30MM SPNE,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 4X30X14MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X32MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X34X14MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X40MM,2567.0,2567.0,47.85,3189.0,120
HCPCS,C1713,SCREW BN 4X40MM 13.5MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 4X40X14MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X42MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN 4X44MM,2591.0,2591.0,298.95,3189.0,60
HCPCS,C1713,SCREW BN 4X45MM,1355.5,1355.5,47.85,2392.0,60
HCPCS,C1713,SCREW BN 4X4MM 14MM,2918.0,2918.0,437.7,2918.0,30
HCPCS,C1713,SCREW BN 4X50MM,2631.0,2631.0,358.8,3037.0,90
HCPCS,C1713,SCREW BN 4X55MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 4X5X1.35X34MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4X5X1.35X64MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4X5X30MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN 4X5X52MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN 4X60X20MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN 4X6X60MM,338.0,338.0,50.7,338.0,30
HCPCS,C1713,SCREW BN 5 30 ASLS TI,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5 32 TI T25 STR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5 36 TI T25 STR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5 40 TI T25 STR,2031.0,2031.0,304.65,2031.0,30
HCPCS,C1713,SCREW BN 5.0MM 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.0MM 14MM,1069.0,1069.0,160.35,1069.0,30
HCPCS,C1713,SCREW BN 5.0MM 16MM,2833.5,2833.5,371.7,3189.0,60
HCPCS,C1713,SCREW BN 5.0MM 18MM,2742.0,2742.0,411.3,2742.0,30
HCPCS,C1713,SCREW BN 5.0MM 20MM,2647.0,2647.0,397.05,2647.0,30
HCPCS,C1713,SCREW BN 5.0MM 22MM,2647.0,2647.0,397.05,2647.0,30
HCPCS,C1713,SCREW BN 5.0MM 26MM,2647.0,2647.0,397.05,2647.0,30
HCPCS,C1713,SCREW BN 5.0MM 30MM,2791.0,2791.0,358.95,3189.0,60
HCPCS,C1713,SCREW BN 5.0MM 32MM,2526.5,2526.5,360.9,2647.0,60
HCPCS,C1713,SCREW BN 5.0MM 34MM,2647.0,2647.0,397.05,2647.0,30
HCPCS,C1713,SCREW BN 5.0MM 35MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 5.0MM 36MM,2399.5,2399.5,358.95,2406.0,60
HCPCS,C1713,SCREW BN 5.0MM 38MM,2574.0,2574.0,358.95,2755.0,60
HCPCS,C1713,SCREW BN 5.0MM 40MM,2791.0,2791.0,358.95,3189.0,60
HCPCS,C1713,SCREW BN 5.0MM 42MM,2393.0,2393.0,358.95,2393.0,30
HCPCS,C1713,SCREW BN 5.0MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.0MM 48MM,2406.0,2406.0,360.9,2406.0,30
HCPCS,C1713,SCREW BN 5.0MM 50MM,2656.0,2656.0,131.55,3189.0,150
HCPCS,C1713,SCREW BN 5.0MM 55MM,2884.0,2884.0,432.6,2884.0,30
HCPCS,C1713,SCREW BN 5.0MM 60MM,2393.0,2393.0,358.95,2393.0,30
HCPCS,C1713,SCREW BN 5.0MM 65MM,2647.0,2647.0,131.55,3189.0,150
HCPCS,C1713,SCREW BN 5.0MM 67.5MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 5.0MM 75MM,2776.5,2776.5,397.05,2906.0,60
HCPCS,C1713,SCREW BN 5.0MM 78MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.0MM 80MM,2638.5,2638.5,298.95,3189.0,120
HCPCS,C1713,SCREW BN 5.0MM 85MM,2393.0,2393.0,358.95,2393.0,30
HCPCS,C1713,SCREW BN 5.0MM 90MM,2393.0,2393.0,358.95,2393.0,30
HCPCS,C1713,SCREW BN 5.0MM X 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.0X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.0X24MM,2906.0,2906.0,435.9,2906.0,30
HCPCS,C1713,SCREW BN 5.0X25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 5.0X30MM,2406.0,2406.0,360.9,2406.0,30
HCPCS,C1713,SCREW BN 5.0X80MM,3593.0,3593.0,538.95,3593.0,30
HCPCS,C1713,SCREW BN 5.0X85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.2MM 34MM,2272.0,2272.0,340.8,2272.0,30
HCPCS,C1713,SCREW BN 5.2MM 38MM,2272.0,2272.0,340.8,2272.0,30
HCPCS,C1713,SCREW BN 5.2X25MM CLK-X,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 5.5MM 20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 5.5MM 24MM P-AX,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 5.5MM 25MM 4.5M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 5.5MM 26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.5MM 28MM P-AX,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN 5.5MM 30MM,2790.5,2790.5,358.8,3189.0,60
HCPCS,C1713,SCREW BN 5.5MM 30MM 4.5M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 5.5MM 30MM HALO,3238.0,3238.0,485.7,3238.0,30
HCPCS,C1713,SCREW BN 5.5MM 30MM XIA,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN 5.5MM 32.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.5MM 32MM,2392.0,2392.0,239.25,3189.0,60
HCPCS,C1713,SCREW BN 5.5MM 34MM,2216.0,2216.0,251.1,2758.0,60
HCPCS,C1713,SCREW BN 5.5MM 35MM,3100.5,3100.5,215.25,3470.0,120
HCPCS,C1713,SCREW BN 5.5MM 36MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 5.5MM 37.5MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 5.5MM 40MM,3130.0,3130.0,215.25,4429.0,150
HCPCS,C1713,SCREW BN 5.5MM 40MM SPNL,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 5.5MM 42.5MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 5.5MM 42MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 5.5MM 44MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 5.5MM 45MM,2989.5,2989.5,215.25,4429.0,150
HCPCS,C1713,SCREW BN 5.5MM 46MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.5MM 47.5MM ST,3467.0,3467.0,520.05,3467.0,30
HCPCS,C1713,SCREW BN 5.5MM 47.5MML/T,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 5.5MM 50MM,2073.0,2073.0,215.25,3404.0,90
HCPCS,C1713,SCREW BN 5.5MM 50MM TI S,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 5.5MM 55MM,2073.0,2073.0,179.4,3470.0,150
HCPCS,C1713,SCREW BN 5.5MM 60MM,2073.0,2073.0,179.4,3189.0,150
HCPCS,C1713,SCREW BN 5.5MM 65MM,3189.0,3189.0,215.25,3404.0,150
HCPCS,C1713,SCREW BN 5.5MM 70MM,2073.0,2073.0,215.25,2790.0,90
HCPCS,C1713,SCREW BN 5.5MM 75MM,2073.0,2073.0,215.25,2790.0,90
HCPCS,C1713,SCREW BN 5.5MM 80MM,2073.0,2073.0,215.25,2790.0,90
HCPCS,C1713,SCREW BN 5.5MM 85MM,2073.0,2073.0,215.25,2790.0,90
HCPCS,C1713,SCREW BN 5.5MM 8MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.5MM 90MM,1754.0,1754.0,215.25,2073.0,60
HCPCS,C1713,SCREW BN 5.5MM 95MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,SCREW BN 5.5MM TT SPNL D,4235.0,4235.0,635.25,4235.0,30
HCPCS,C1713,SCREW BN 5.5MM50MM TSRH,3198.0,3198.0,479.7,3198.0,30
HCPCS,C1713,SCREW BN 5.5MMX45MM,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,SCREW BN 5.5X20MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 5.5X28MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 5.5X40MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 5.5X45MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 5.5X50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.5X55 XIA3 TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 5.5X55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5.7MM 65MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 5.7MM 70MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 5.7MM 75MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 50MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN 50X7.5MM MLB SP,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW BN 50X8.5MM MLB SP,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 55 X70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 55MM 6.5MM,1323.0,1323.0,198.45,1323.0,30
HCPCS,C1713,SCREW BN 55X6MM XIA PLYA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 5MM,2312.0,2312.0,346.8,2312.0,30
HCPCS,C1713,SCREW BN 5MM 1.5MM,638.0,638.0,95.7,638.0,30
HCPCS,C1713,SCREW BN 5MM 100MM,2575.0,2575.0,386.25,2575.0,30
HCPCS,C1713,SCREW BN 5MM 10MM,2419.0,2419.0,298.95,3189.0,150
HCPCS,C1713,SCREW BN 5MM 12MM,1794.0,1794.0,169.5,3189.0,120
HCPCS,C1713,SCREW BN 5MM 14MM,2350.5,2350.5,239.25,3189.0,240
HCPCS,C1713,SCREW BN 5MM 15MM,2424.0,2424.0,363.6,2424.0,30
HCPCS,C1713,SCREW BN 5MM 16MM,2492.0,2492.0,316.65,3189.0,150
HCPCS,C1713,SCREW BN 5MM 18MM,3084.0,3084.0,462.6,3084.0,30
HCPCS,C1713,SCREW BN 5MM 20MM,2208.5,2208.5,239.25,4429.0,180
HCPCS,C1713,SCREW BN 5MM 22MM,1447.5,1447.5,59.85,3189.0,180
HCPCS,C1713,SCREW BN 5MM 24MM,2092.0,2092.0,298.95,2647.0,90
HCPCS,C1713,SCREW BN 5MM 25MM,2711.0,2711.0,131.55,4429.0,210
HCPCS,C1713,SCREW BN 5MM 26MM,2092.0,2092.0,59.85,3189.0,300
HCPCS,C1713,SCREW BN 5MM 28MM,2526.5,2526.5,313.8,3189.0,240
HCPCS,C1713,SCREW BN 5MM 28MM LT STD,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 5MM 2MM,1128.0,1128.0,169.2,1128.0,30
HCPCS,C1713,SCREW BN 5MM 3.5MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 30MM,2266.5,2266.5,59.85,3189.0,480
HCPCS,C1713,SCREW BN 5MM 30MM TI T25,2031.0,2031.0,304.65,2031.0,30
HCPCS,C1713,SCREW BN 5MM 32.5MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 5MM 32MM,2383.5,2383.5,119.7,2884.0,120
HCPCS,C1713,SCREW BN 5MM 34MM,2656.0,2656.0,160.95,3189.0,210
HCPCS,C1713,SCREW BN 5MM 35MM,2538.0,2538.0,274.35,4231.0,210
HCPCS,C1713,SCREW BN 5MM 36MM,2595.0,2595.0,298.95,3143.0,180
HCPCS,C1713,SCREW BN 5MM 37.5MM,1993.0,1993.0,286.95,2073.0,60
HCPCS,C1713,SCREW BN 5MM 38MM,2192.0,2192.0,178.8,2738.0,210
HCPCS,C1713,SCREW BN 5MM 4.3MM 58MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN 5MM 4.3MM 60MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN 5MM 4.3MM 64MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN 5MM 4.3MM 66MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN 5MM 4.3MM 74MM,1566.0,1566.0,234.9,1566.0,30
HCPCS,C1713,SCREW BN 5MM 4.3MM 76MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 100MM,2672.0,2672.0,400.8,2672.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 105MM,2672.0,2672.0,400.8,2672.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 110MM,2672.0,2672.0,400.8,2672.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 115MM,2672.0,2672.0,400.8,2672.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 16MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 20MM,1938.0,1938.0,290.7,1938.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 24MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 25MM,2594.0,2594.0,389.1,2594.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 30MM,2146.5,2146.5,254.85,2594.0,60
HCPCS,C1713,SCREW BN 5MM 4.4MM 38MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 42MM,1938.0,1938.0,290.7,1938.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 44MM,1938.0,1938.0,290.7,1938.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 70MM,2867.0,2867.0,381.75,3189.0,60
HCPCS,C1713,SCREW BN 5MM 4.4MM 75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 80MM,2739.0,2739.0,343.35,3189.0,60
HCPCS,C1713,SCREW BN 5MM 4.4MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 90MM,3179.0,3179.0,476.85,3179.0,30
HCPCS,C1713,SCREW BN 5MM 4.4MM 95MM,2594.0,2594.0,389.1,2594.0,30
HCPCS,C1713,SCREW BN 5MM 40CM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,SCREW BN 5MM 40MM,2656.0,2656.0,310.95,4429.0,390
HCPCS,C1713,SCREW BN 5MM 40MM HIP,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 5MM 42.5MM,2296.0,2296.0,286.95,2679.0,60
HCPCS,C1713,SCREW BN 5MM 42MM,2725.5,2725.5,179.4,3189.0,300
HCPCS,C1713,SCREW BN 5MM 42MM 13.9MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 5MM 44MM,2656.0,2656.0,316.65,3189.0,240
HCPCS,C1713,SCREW BN 5MM 44MM 14.6MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 5MM 44MM NLE,2755.0,2755.0,413.25,2755.0,30
HCPCS,C1713,SCREW BN 5MM 45MM,2105.0,2105.0,119.7,5510.0,300
HCPCS,C1713,SCREW BN 5MM 45MM CREO,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 5MM 46MM,2392.0,2392.0,298.95,3189.0,210
HCPCS,C1713,SCREW BN 5MM 46MM 15.3MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 5MM 46MM 15.5MM,2604.0,2604.0,390.6,2604.0,30
HCPCS,C1713,SCREW BN 5MM 47.5MM,2208.5,2208.5,286.95,2884.0,120
HCPCS,C1713,SCREW BN 5MM 48MM,2524.5,2524.5,290.7,3143.0,120
HCPCS,C1713,SCREW BN 5MM 50MM,2720.0,2720.0,59.85,4429.0,330
HCPCS,C1713,SCREW BN 5MM 50MM CPTR T,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN 5MM 52.5MM,1993.0,1993.0,286.95,2073.0,60
HCPCS,C1713,SCREW BN 5MM 52MM,2656.0,2656.0,321.45,3143.0,90
HCPCS,C1713,SCREW BN 5MM 54MM,2656.0,2656.0,321.45,2738.0,90
HCPCS,C1713,SCREW BN 5MM 55MM,2406.0,2406.0,131.55,3189.0,240
HCPCS,C1713,SCREW BN 5MM 55MM 18.3MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 5MM 56MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN 5MM 57.5MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 5MM 57MM,2644.0,2644.0,396.6,2644.0,30
HCPCS,C1713,SCREW BN 5MM 58MM,2643.0,2643.0,321.45,3143.0,60
HCPCS,C1713,SCREW BN 5MM 6.2MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN 5MM 60MM,2471.0,2471.0,59.85,3189.0,210
HCPCS,C1713,SCREW BN 5MM 60MM HIP,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 5MM 62.5MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 5MM 62MM,2697.0,2697.0,398.4,2738.0,60
HCPCS,C1713,SCREW BN 5MM 64MM,2531.0,2531.0,379.65,2531.0,30
HCPCS,C1713,SCREW BN 5MM 65MM,2406.0,2406.0,59.85,3189.0,210
HCPCS,C1713,SCREW BN 5MM 68MM,2899.5,2899.5,398.4,3143.0,60
HCPCS,C1713,SCREW BN 5MM 6MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 5MM 70MM,2471.0,2471.0,254.85,3189.0,360
HCPCS,C1713,SCREW BN 5MM 72MM,2292.0,2292.0,321.45,2656.0,120
HCPCS,C1713,SCREW BN 5MM 74MM,2458.0,2458.0,321.45,3143.0,120
HCPCS,C1713,SCREW BN 5MM 75MM,2471.0,2471.0,59.85,3593.0,360
HCPCS,C1713,SCREW BN 5MM 76MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN 5MM 78MM,3143.0,3143.0,471.45,3143.0,30
HCPCS,C1713,SCREW BN 5MM 80MM,2438.5,2438.5,59.85,3189.0,360
HCPCS,C1713,SCREW BN 5MM 82MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN 5MM 85MM,2406.0,2406.0,59.85,3091.0,240
HCPCS,C1713,SCREW BN 5MM 86MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN 5MM 88MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN 5MM 8MM,2591.0,2591.0,298.95,3189.0,90
HCPCS,C1713,SCREW BN 5MM 8MM 26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 8MM 62MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5MM 90MM,2471.0,2471.0,358.8,3189.0,150
HCPCS,C1713,SCREW BN 5MM 95MM,2168.5,2168.5,298.95,2344.0,60
HCPCS,C1713,SCREW BN 5MMMM 40MM,2538.0,2538.0,380.7,2538.0,30
HCPCS,C1713,SCREW BN 5MMX16MM,3084.0,3084.0,462.6,3084.0,30
HCPCS,C1713,SCREW BN 5MMX48MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN 5MMX70MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN 5MN 30MM,1069.0,1069.0,160.35,1069.0,30
HCPCS,C1713,SCREW BN 5X1.5MM,1112.0,1112.0,166.8,1112.0,30
HCPCS,C1713,SCREW BN 5X1.6X2.9 CRNMX,1167.0,1167.0,175.05,1167.0,30
HCPCS,C1713,SCREW BN 5X10MM,2846.0,2846.0,426.9,2846.0,30
HCPCS,C1713,SCREW BN 5X12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5X14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5X26MM OSTBRDG,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 5X3.5X50MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 5X3.5X65MM,2764.0,2764.0,414.6,2764.0,30
HCPCS,C1713,SCREW BN 5X30MM SPN PAX,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN 5X32MM,3098.0,3098.0,464.7,3098.0,30
HCPCS,C1713,SCREW BN 5X35MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 5X37.5MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 5X37MM,2383.0,2383.0,357.45,2383.0,30
HCPCS,C1713,SCREW BN 5X4.4X50MM,2774.0,2774.0,416.1,2774.0,30
HCPCS,C1713,SCREW BN 5X40MM,3082.0,3082.0,462.3,3082.0,30
HCPCS,C1713,SCREW BN 5X40MM JNT MED,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 5X42.5MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 5X42MM,2445.5,2445.5,360.9,2485.0,60
HCPCS,C1713,SCREW BN 5X45MM,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN 5X46MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN 5X48MM XL25,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN 5X50MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 5X50MM XPDM DL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 5X52.5MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 5X52MM XL25,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN 5X55MM CORT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 5X57MM,3091.0,3091.0,463.65,3091.0,30
HCPCS,C1713,SCREW BN 5X6.2X32MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN 5X70MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 5X75MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN 5X80MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN 5X90MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN 5X95MM,2884.0,2884.0,432.6,2884.0,30
HCPCS,C1713,SCREW BN 6.0MM,1201.0,1201.0,180.15,1201.0,30
HCPCS,C1713,SCREW BN 6.0MM 30MM,2503.0,2503.0,375.45,2503.0,30
HCPCS,C1713,SCREW BN 6.2MM 35MM CLK-,3458.0,3458.0,518.7,3458.0,30
HCPCS,C1713,SCREW BN 6.2X32X105MM,469.0,469.0,70.35,469.0,30
HCPCS,C1713,SCREW BN 6.4MM 44MM,3093.0,3093.0,463.95,3093.0,30
HCPCS,C1713,SCREW BN 6.4MM 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.4MM 90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.4X95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5 60 HL CMPR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5 65 16 SS HD,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5 85 SS CAN L,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 6.5 95 SS CANN,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN 6.5MM 100MM,2210.0,2210.0,70.35,3189.0,150
HCPCS,C1713,SCREW BN 6.5MM 105MM,2392.0,2392.0,239.25,3189.0,60
HCPCS,C1713,SCREW BN 6.5MM 110MM,2392.0,2392.0,239.25,3189.0,60
HCPCS,C1713,SCREW BN 6.5MM 115MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 6.5MM 120MM,756.0,756.0,113.4,756.0,30
HCPCS,C1713,SCREW BN 6.5MM 125MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 6.5MM 130MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 135MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 150MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 15MM,877.0,877.0,124.95,3189.0,210
HCPCS,C1713,SCREW BN 6.5MM 160MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 16MM,948.0,948.0,89.4,1300.0,60
HCPCS,C1713,SCREW BN 6.5MM 16MM 80MM,458.0,458.0,68.7,458.0,30
HCPCS,C1713,SCREW BN 6.5MM 16MM 90MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 6.5MM 2.0CM,1611.0,1611.0,241.65,1611.0,30
HCPCS,C1713,SCREW BN 6.5MM 20MM,1794.0,1794.0,131.55,3189.0,480
HCPCS,C1713,SCREW BN 6.5MM 20MM 45MM,2982.0,2982.0,447.3,2982.0,30
HCPCS,C1713,SCREW BN 6.5MM 20MM 55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 24MM ANTR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 25MM,1395.5,1395.5,131.55,3189.0,510
HCPCS,C1713,SCREW BN 6.5MM 25MM PRMD,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN 6.5MM 28MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN 6.5MM 30MM,1382.5,1382.5,60.75,3189.0,420
HCPCS,C1713,SCREW BN 6.5MM 32MM,430.0,430.0,60.75,798.0,90
HCPCS,C1713,SCREW BN 6.5MM 35MM,1544.0,1544.0,124.95,3189.0,480
HCPCS,C1713,SCREW BN 6.5MM 35MM OPT,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN 6.5MM 40MM,1196.0,1196.0,60.75,6602.0,570
HCPCS,C1713,SCREW BN 6.5MM 45MM,1331.5,1331.5,124.95,3189.0,360
HCPCS,C1713,SCREW BN 6.5MM 45MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 45MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 45MM VRST,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN 6.5MM 45MM XIA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 6.5MM 50MM,1363.0,1363.0,124.95,3765.0,450
HCPCS,C1713,SCREW BN 6.5MM 50MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 50MM XIA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 6.5MM 55MM,1595.0,1595.0,131.55,4247.0,270
HCPCS,C1713,SCREW BN 6.5MM 55MM SPNL,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 6.5MM 60MM,1259.5,1259.5,68.7,4252.0,330
HCPCS,C1713,SCREW BN 6.5MM 60MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 65MM,1356.0,1356.0,83.85,1595.0,90
HCPCS,C1713,SCREW BN 6.5MM 70MM,2392.0,2392.0,131.55,4252.0,120
HCPCS,C1713,SCREW BN 6.5MM 75MM,2300.5,2300.5,340.8,2329.0,60
HCPCS,C1713,SCREW BN 6.5MM 75MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 75MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 80MM,1384.5,1384.5,64.5,3189.0,180
HCPCS,C1713,SCREW BN 6.5MM 80MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 80MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 85MM,2204.0,2204.0,65.25,3189.0,240
HCPCS,C1713,SCREW BN 6.5MM 85MM 20MM,2982.0,2982.0,447.3,2982.0,30
HCPCS,C1713,SCREW BN 6.5MM 8MM,405.0,405.0,57.15,562.0,180
HCPCS,C1713,SCREW BN 6.5MM 8MM 25MM,393.0,393.0,58.95,393.0,30
HCPCS,C1713,SCREW BN 6.5MM 8MM 35MM,405.0,405.0,60.75,405.0,30
HCPCS,C1713,SCREW BN 6.5MM 8MM 70MM,629.0,629.0,94.35,629.0,30
HCPCS,C1713,SCREW BN 6.5MM 90MM,1595.0,1595.0,74.7,3189.0,150
HCPCS,C1713,SCREW BN 6.5MM 90MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM 95MM,2210.0,2210.0,331.5,2210.0,30
HCPCS,C1713,SCREW BN 6.5MM 95MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5MM HEAD 30D,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1713,SCREW BN 6.5MMX20MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 6.5X100X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X120X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X120X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X130X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X140X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X145X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X15MM,1172.0,1172.0,131.55,1467.0,60
HCPCS,C1713,SCREW BN 6.5X16X100MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 6.5X16X105MM,607.0,607.0,91.05,607.0,30
HCPCS,C1713,SCREW BN 6.5X16X110MM,2974.0,2974.0,446.1,2974.0,30
HCPCS,C1713,SCREW BN 6.5X16X115MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 6.5X16X135MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X16X35MM,458.0,458.0,68.7,458.0,30
HCPCS,C1713,SCREW BN 6.5X16X40MM,430.0,430.0,64.5,430.0,30
HCPCS,C1713,SCREW BN 6.5X16X60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X16X65MM,458.0,458.0,68.7,458.0,30
HCPCS,C1713,SCREW BN 6.5X16X70MM,458.0,458.0,68.7,458.0,30
HCPCS,C1713,SCREW BN 6.5X16X95MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 6.5X2.9MM 110MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X2.9MM 85MM,2974.0,2974.0,446.1,2974.0,30
HCPCS,C1713,SCREW BN 6.5X2.9MM 90MM,2974.0,2974.0,446.1,2974.0,60
HCPCS,C1713,SCREW BN 6.5X2.9MM 95MM,2974.0,2974.0,446.1,2974.0,30
HCPCS,C1713,SCREW BN 6.5X20MM,1323.0,1323.0,198.45,1323.0,30
HCPCS,C1713,SCREW BN 6.5X20X105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X20X70MM,2982.0,2982.0,447.3,2982.0,30
HCPCS,C1713,SCREW BN 6.5X24MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN 6.5X25 CANC,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN 6.5X25MM,1323.0,1323.0,198.45,1323.0,30
HCPCS,C1713,SCREW BN 6.5X30MM,1323.0,1323.0,131.55,1993.0,90
HCPCS,C1713,SCREW BN 6.5X32X110MM,469.0,469.0,70.35,469.0,30
HCPCS,C1713,SCREW BN 6.5X32X115MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X32X150MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X32X95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X35MM,1100.0,1100.0,131.55,1323.0,60
HCPCS,C1713,SCREW BN 6.5X35X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X40MM,861.0,861.0,59.85,1323.0,60
HCPCS,C1713,SCREW BN 6.5X40X16MM,2974.0,2974.0,446.1,2974.0,30
HCPCS,C1713,SCREW BN 6.5X40X50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X45MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN 6.5X50MM,1172.0,1172.0,131.55,1467.0,60
HCPCS,C1713,SCREW BN 6.5X50X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X55MM,1884.0,1884.0,86.85,3189.0,60
HCPCS,C1713,SCREW BN 6.5X60MM,430.0,430.0,64.5,430.0,30
HCPCS,C1713,SCREW BN 6.5X65MM,430.0,430.0,64.5,430.0,30
HCPCS,C1713,SCREW BN 6.5X65X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X45,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X55,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X80,2974.0,2974.0,446.1,2974.0,30
HCPCS,C1713,SCREW BN 6.5X75X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X80MMX20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X85X20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X85X32MM,2974.0,2974.0,446.1,2974.0,30
HCPCS,C1713,SCREW BN 6.5X8X45MM,430.0,430.0,64.5,430.0,30
HCPCS,C1713,SCREW BN 6.5X8X50MM,458.0,458.0,68.7,458.0,30
HCPCS,C1713,SCREW BN 6.5X8X55MM,458.0,458.0,68.7,458.0,30
HCPCS,C1713,SCREW BN 6.5X8X85MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN 6.5X90X20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.5X95MM,607.0,607.0,91.05,607.0,30
HCPCS,C1713,SCREW BN 6.7MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6.7MM 50MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 6.7MM 80MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 6/5MM 110MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN 60X4.5 TRGN TI,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN 6MM 100MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 105MM,4061.0,4061.0,609.15,4061.0,30
HCPCS,C1713,SCREW BN 6MM 110MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 115MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 14MM,2618.0,2618.0,392.7,2618.0,30
HCPCS,C1713,SCREW BN 6MM 25MM SPNL,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN 6MM 30MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 35MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 35MM MTRX T,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 6MM 35MM XIA 3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 6MM 40MM,4247.0,4247.0,310.95,4976.0,150
HCPCS,C1713,SCREW BN 6MM 45MM,4429.0,4429.0,310.95,4976.0,150
HCPCS,C1713,SCREW BN 6MM 45MM MTRX T,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 6MM 50MM,4429.0,4429.0,457.05,4541.0,120
HCPCS,C1713,SCREW BN 6MM 55MM,4105.0,4105.0,310.95,4429.0,90
HCPCS,C1713,SCREW BN 6MM 55MM XPDM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 6MM 60MM,3304.0,3304.0,310.95,4429.0,120
HCPCS,C1713,SCREW BN 6MM 65MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 68MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6MM 70MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 75MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 80MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6MM 8MM 54MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN 6MM 90MM,1929.5,1929.5,100.5,3189.0,60
HCPCS,C1713,SCREW BN 6MM 95MM,3047.0,3047.0,457.05,3047.0,30
HCPCS,C1713,SCREW BN 6MM20MM THORA S,3365.0,3365.0,504.75,3365.0,30
HCPCS,C1713,SCREW BN 6MM25MM THORA S,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 6X3.5X85MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN 6X45 XPDM TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 6X8X64MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 6X8X80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.0MM 44MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN 7.0MM 48MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.0MM 55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.0MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.2MM 130MM,4567.0,4567.0,685.05,4567.0,30
HCPCS,C1713,SCREW BN 7.3MM 100MM,3075.5,3075.5,444.3,3189.0,60
HCPCS,C1713,SCREW BN 7.3MM 105MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN 7.3MM 110MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 7.3MM 115MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 120MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 125MM,1600.0,1600.0,240.0,1600.0,30
HCPCS,C1713,SCREW BN 7.3MM 130MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 135MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 140MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 150MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 155MM,320.0,320.0,48.0,320.0,30
HCPCS,C1713,SCREW BN 7.3MM 16MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 16MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 28MM,320.0,320.0,48.0,320.0,30
HCPCS,C1713,SCREW BN 7.3MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 32MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 32MM 70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 32MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 40MM,1600.0,1600.0,240.0,1600.0,30
HCPCS,C1713,SCREW BN 7.3MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 55MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 7.3MM 5MM 100MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 5MM 90MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 7.3MM 60MM,3189.0,3189.0,478.35,3189.0,90
HCPCS,C1713,SCREW BN 7.3MM 75MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3MM 85MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN 7.3MM 95MM,3075.5,3075.5,444.3,3189.0,60
HCPCS,C1713,SCREW BN 7.3MM 95X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X105MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN 7.3X115X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X120X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X125X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X130X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X16X145MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X30X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X32X135MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X32X150MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X32X85MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN 7.3X50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X75MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN 7.3X8.2X2.9X145,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7.3X80MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN 7.3X90MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN 7.5 65 XPDM TI,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN 7.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 7.5MM 35MM XIA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7.5MM 40MM XIA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7.5MM 45MM TSRH,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 7.5MM 50MM SPNL,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 7.5MM 55MM SPNL,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 7.5MM 65MM,3665.0,3665.0,549.75,3665.0,30
HCPCS,C1713,SCREW BN 7.5MM 75MM,4075.0,4075.0,558.15,4429.0,60
HCPCS,C1713,SCREW BN 7.5MM 80MM,4006.0,4006.0,564.75,4247.0,60
HCPCS,C1713,SCREW BN 7.5MM 80MM CD H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7.5MM 80MM XIA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7.5MM 90MM,3665.0,3665.0,549.75,3665.0,30
HCPCS,C1713,SCREW BN 7.5X45 XIA CANN,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 7.75MM 35MM,3076.0,3076.0,461.4,3076.0,30
HCPCS,C1713,SCREW BN 75MM,3479.5,3479.5,493.65,3668.0,60
HCPCS,C1713,SCREW BN 7MM 1.5MM,638.0,638.0,95.7,638.0,30
HCPCS,C1713,SCREW BN 7MM 100MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 7MM 105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 105MM 16MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 7MM 105MM 32MM,3041.0,3041.0,456.15,3041.0,30
HCPCS,C1713,SCREW BN 7MM 110MM 32MM,3041.0,3041.0,456.15,3041.0,30
HCPCS,C1713,SCREW BN 7MM 125MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 115MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 120MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 125MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 130MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 16MM 90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 23MM,3455.0,3455.0,478.35,3721.0,60
HCPCS,C1713,SCREW BN 7MM 28MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 7MM 30MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 7MM 32MM 100MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 110MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 115MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 120MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 130MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 32MM 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 35MM MTRX T,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 7MM 36MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN 7MM 40MM,4976.0,4976.0,746.4,4976.0,30
HCPCS,C1713,SCREW BN 7MM 40MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 45MM,3975.0,3975.0,478.35,4976.0,90
HCPCS,C1713,SCREW BN 7MM 45MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 45MM MAXTOR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 45MM MTRX T,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 7MM 45MM XPDM T,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7MM 47.5MM,3467.0,3467.0,520.05,3467.0,30
HCPCS,C1713,SCREW BN 7MM 50MM,4082.5,4082.5,478.35,4976.0,120
HCPCS,C1713,SCREW BN 7MM 50MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 50MM XIA 3,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 7MM 55MM,3975.0,3975.0,478.35,4429.0,120
HCPCS,C1713,SCREW BN 7MM 55MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 55MM TI COR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7MM 60MM,3582.0,3582.0,478.35,3975.0,120
HCPCS,C1713,SCREW BN 7MM 60MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 60MM 20MM,4415.0,4415.0,662.25,4415.0,30
HCPCS,C1713,SCREW BN 7MM 65MM,3189.0,3189.0,478.35,3189.0,90
HCPCS,C1713,SCREW BN 7MM 65MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 70MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 7MM 70MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 72MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 74MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 75MM,3582.0,3582.0,478.35,3975.0,60
HCPCS,C1713,SCREW BN 7MM 75MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 75MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 76MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 76MM MNSTR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 78MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 80MM,3721.0,3721.0,478.35,3975.0,120
HCPCS,C1713,SCREW BN 7MM 80MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 85MM 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 85MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 8MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 7MM 8MM 100MM,2790.0,2790.0,418.5,2790.0,90
HCPCS,C1713,SCREW BN 7MM 8MM 105MM,2790.0,2790.0,418.5,2790.0,60
HCPCS,C1713,SCREW BN 7MM 8MM 110MM,2790.0,2790.0,418.5,2790.0,60
HCPCS,C1713,SCREW BN 7MM 8MM 115MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 7MM 8MM 2.1MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7MM 8MM 85MM,3255.5,3255.5,418.5,3721.0,60
HCPCS,C1713,SCREW BN 7MM 8MM 90MM,2790.0,2790.0,418.5,2790.0,60
HCPCS,C1713,SCREW BN 7MM 8MM 95MM,2963.0,2963.0,418.5,3136.0,90
HCPCS,C1713,SCREW BN 7MM 90MM,3382.5,3382.5,418.5,3975.0,60
HCPCS,C1713,SCREW BN 7MM 90MM 16MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 7MM 90MM 32MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 7MM 95MM,3382.5,3382.5,418.5,3975.0,60
HCPCS,C1713,SCREW BN 7MM 95MM 16MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 7X100X16MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 7X2.7MM,1933.0,1933.0,289.95,1933.0,30
HCPCS,C1713,SCREW BN 7X20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7X35MM PANGEA P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7X40 XPDM TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7X45 XPDM TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 7X60MM,3802.0,3802.0,478.35,4415.0,60
HCPCS,C1713,SCREW BN 7X65MM CANN T,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7X65MM L/T ANKL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 7X85X16MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 8 70 P-AX DI,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN 8.0MM 2.7MM,2153.0,2153.0,322.95,2153.0,30
HCPCS,C1713,SCREW BN 8.2X2.9MM 90MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN 8.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 8.5MM 40MM CREO,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 8.5MM 45MM SPNL,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 8.5MM 50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 8.5MM 70MM CREO,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 8.5MM 75MM CREO,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 8.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 8.5MM 80MM LGC,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 8.5MM 80MM VRST,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 8.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 8.5MM 95MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 80MM 75MM,4058.0,4058.0,608.7,4058.0,30
HCPCS,C1713,SCREW BN 80MM XIA 3 TI S,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 85MM/90MM,4058.0,4058.0,608.7,4058.0,30
HCPCS,C1713,SCREW BN 8MM 105MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 8MM 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 8MM 14.5MM,2371.0,2371.0,355.65,2371.0,30
HCPCS,C1713,SCREW BN 8MM 2.7MM,766.0,766.0,114.9,766.0,30
HCPCS,C1713,SCREW BN 8MM 20MM,3141.0,3141.0,463.95,3189.0,60
HCPCS,C1713,SCREW BN 8MM 23MM,3455.0,3455.0,478.35,3721.0,90
HCPCS,C1713,SCREW BN 8MM 25MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN 8MM 25MM 50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 8MM 28MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN 8MM 2MM,963.0,963.0,81.3,2216.0,90
HCPCS,C1713,SCREW BN 8MM 2MM CORT CR,949.0,949.0,142.35,949.0,30
HCPCS,C1713,SCREW BN 8MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 8MM 32MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 8MM 35MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BN 8MM 50MM,3013.0,3013.0,451.95,3013.0,30
HCPCS,C1713,SCREW BN 8MM 55MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BN 8MM 55MM XPDM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 8MM 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 8MM 65MM,4429.0,4429.0,558.15,5342.0,90
HCPCS,C1713,SCREW BN 8MM 70MM,4018.0,4018.0,602.7,4018.0,30
HCPCS,C1713,SCREW BN 8MM 75MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 8MM 80MM,4429.0,4429.0,451.95,5342.0,90
HCPCS,C1713,SCREW BN 8MM 85MM 32MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 8MM 90MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 8MM 90MM XPD,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN 8MM 95MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN 8X30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 8X80 EXP TI PLY,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 9.5MM 100MM,3884.0,3884.0,582.6,3884.0,30
HCPCS,C1713,SCREW BN 9.5MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 9.5MM 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 9.5MM 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCREW BN 9.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 9.5MM 45MM CREO,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN 9.5MM 50MM CREO,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN 9.5X80MM SOLERA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 95MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN 95MM 90MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN 9MM 20MM,3189.0,3189.0,478.35,3189.0,120
HCPCS,C1713,SCREW BN 9MM 23MM,3455.0,3455.0,478.35,3721.0,60
HCPCS,C1713,SCREW BN 9MM 2MM,845.0,845.0,126.75,845.0,30
HCPCS,C1713,SCREW BN 9MM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 9MM 35MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN 9MM 40MM XPDM T,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN 9MM 45MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN 9MM 50MM XPDM T,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN 9MM 65MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN ACF 4X13MM S/T,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN ACTB 25MM,833.0,833.0,124.95,833.0,30
HCPCS,C1713,SCREW BN ANGL 5.0X34MM,2406.0,2406.0,360.9,2406.0,30
HCPCS,C1713,SCREW BN ANK 4.5X40MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN ANK FT 4X30MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN ANKL 3.5MM 22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN ANKL 3.5X16MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN ANKL 3.5X24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN ANKL 3MM 22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN ANKL 3X18MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN ANKL 4.5X18,3109.0,3109.0,466.35,3109.0,30
HCPCS,C1713,SCREW BN ANKL 5MM 42MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN ATDR 1.6X4MM,817.0,817.0,122.55,817.0,30
HCPCS,C1713,SCREW BN BN MED 7X55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X20MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X23MM,1633.0,1633.0,244.95,1633.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X26MM,1633.0,1633.0,244.95,1633.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X29MM,1633.0,1633.0,244.95,1633.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X32MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X35MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X38MM,1633.0,1633.0,244.95,1633.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X41MM,1633.0,1633.0,244.95,1633.0,30
HCPCS,C1713,SCREW BN BSPLT 4.5X54MM,3229.0,3229.0,484.35,3229.0,30
HCPCS,C1713,SCREW BN CAN MED 7X84MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANC 3.5MM 16MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN CANC 3.5MM 18MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN CANC 3.8X18,479.0,479.0,71.85,479.0,30
HCPCS,C1713,SCREW BN CANC 35MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW BN CANC 4.0X14MM,305.0,305.0,45.75,305.0,30
HCPCS,C1713,SCREW BN CANC 4MM 12MM,1069.0,1069.0,160.35,1069.0,30
HCPCS,C1713,SCREW BN CANC 4MM 14MM,1069.0,1069.0,160.35,1069.0,30
HCPCS,C1713,SCREW BN CANC 4MM 16MM,416.0,416.0,41.1,558.0,60
HCPCS,C1713,SCREW BN CANC 4MM 18MM,588.0,588.0,32.85,957.0,60
HCPCS,C1713,SCREW BN CANC 4MM 20MM,588.0,588.0,32.85,957.0,60
HCPCS,C1713,SCREW BN CANC 4MM 22MM,574.5,574.5,28.8,957.0,60
HCPCS,C1713,SCREW BN CANC 4MM 24MM,588.0,588.0,32.85,957.0,60
HCPCS,C1713,SCREW BN CANC 4MM 26MM,219.0,219.0,32.85,219.0,30
HCPCS,C1713,SCREW BN CANC 4MM 28MM,588.0,588.0,32.85,957.0,60
HCPCS,C1713,SCREW BN CANC 4MM 32MM,348.0,348.0,52.2,348.0,30
HCPCS,C1713,SCREW BN CANC 4MM 36MM,235.0,235.0,35.25,235.0,30
HCPCS,C1713,SCREW BN CANC 4MM 50MM,1371.0,1371.0,205.65,1371.0,30
HCPCS,C1713,SCREW BN CANC 4X16X5MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X24X10MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X26X10MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X34X10MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X36X14MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X38X14MM,331.0,331.0,49.65,331.0,30
HCPCS,C1713,SCREW BN CANC 4X40X14MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X45X15MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X50X15MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X55X15MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 4X60X15MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BN CANC 5.0X32MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN CANC 5MM 36MM,2795.0,2795.0,419.25,2795.0,30
HCPCS,C1713,SCREW BN CANC 5MM 38MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN CANC 5MM 40MM,2795.0,2795.0,419.25,2795.0,30
HCPCS,C1713,SCREW BN CANC 5MM 44MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN CANC 5MM 46MM,2795.0,2795.0,419.25,2795.0,30
HCPCS,C1713,SCREW BN CANC 5MM 50MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN CANC 6.5X15MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN CANC 6.5X20MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN CANC 6.5X25MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN CANC 6.5X30,458.0,458.0,68.7,458.0,30
HCPCS,C1713,SCREW BN CANC 6.5X30MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN CANC 6.5X35MM,877.0,877.0,131.55,877.0,60
HCPCS,C1713,SCREW BN CANC 6.5X40MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN CANC SM 4X60MM,221.0,221.0,33.15,221.0,30
HCPCS,C1713,SCREW BN CANC6.5MM 2.5CM,2137.0,2137.0,320.55,2137.0,30
HCPCS,C1713,SCREW BN CANN 2.3MMX20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 2.5X18MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 2X10X4MM,2941.0,2941.0,441.15,2941.0,30
HCPCS,C1713,SCREW BN CANN 3.5X22MM,3294.0,3294.0,494.1,3294.0,30
HCPCS,C1713,SCREW BN CANN 3.5X26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 3.5X40MM,2238.0,2238.0,335.7,2238.0,30
HCPCS,C1713,SCREW BN CANN 3.75X34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 3.7X38MM,3087.0,3087.0,463.05,3087.0,30
HCPCS,C1713,SCREW BN CANN 3MM 28MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN CANN 3MM 30MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW BN CANN 4.0X20MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN CANN 4.0X26MM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C1713,SCREW BN CANN 4.5MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 4.5MM 34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 4.5MM 50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 4.5MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 4.5X30MM,2950.0,2950.0,406.65,3189.0,60
HCPCS,C1713,SCREW BN CANN 4MM 32MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN CANN 4MM 34MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN CANN 4MM 40MM,2380.5,2380.5,355.35,2392.0,60
HCPCS,C1713,SCREW BN CANN 4MM 48MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN CANN 4X32MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN CANN 4X36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 4X40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 4X44MM,2607.0,2607.0,391.05,2607.0,30
HCPCS,C1713,SCREW BN CANN 4X5X64MM,2261.0,2261.0,339.15,2261.0,30
HCPCS,C1713,SCREW BN CANN 5.0X75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 5.5X38MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 5.5X46MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 5.5X75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 5.5X90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 5X70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 5X80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5MM 45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5MM 50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5X100MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5X105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5X140MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5X145MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5X16X65,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5X70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 6.5X75MM,2974.0,2974.0,446.1,2974.0,30
HCPCS,C1713,SCREW BN CANN 6.7X55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 7.0X55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 7.3MM 70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN 7.3X115MM,2962.0,2962.0,444.3,2962.0,30
HCPCS,C1713,SCREW BN CANN 7MM 44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CANN LCK 3X24MM,1674.0,1674.0,251.1,1674.0,30
HCPCS,C1713,SCREW BN CANN STR 0D SM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN CAP 4.5X15MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CLICK X TI L45M,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN CLVCL 2.7X8MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN CMF 1.8MM 4MM,944.0,944.0,141.6,944.0,30
HCPCS,C1713,SCREW BN CMPR 3.5X12MM,1690.0,1690.0,253.5,1690.0,30
HCPCS,C1713,SCREW BN CMPR 3X14MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,SCREW BN CMPR 3X8MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,SCREW BN CMPR 4.0 X80,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CMPR 4.5MM 30MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN CMPR 4MM 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CMPR 4MM 48MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CMPR 4X50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CMPR 7X65MM,3975.0,3975.0,596.25,3975.0,30
HCPCS,C1713,SCREW BN CMPR 7X70MM,3975.0,3975.0,596.25,3975.0,30
HCPCS,C1713,SCREW BN CMPR 8MM,3091.0,3091.0,463.65,3091.0,30
HCPCS,C1713,SCREW BN CMPRS 36MM,614.0,614.0,92.1,614.0,30
HCPCS,C1713,SCREW BN CMPRS 5MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CMPRS 6.5X30MM,1284.0,1284.0,192.6,1284.0,30
HCPCS,C1713,SCREW BN CMPRS 6.5X40MM,642.0,642.0,96.3,642.0,30
HCPCS,C1713,SCREW BN CNDR 5X4.4X35MM,2594.0,2594.0,389.1,2594.0,30
HCPCS,C1713,SCREW BN COCR 2.5X18MM,1929.0,1929.0,289.35,1929.0,30
HCPCS,C1713,SCREW BN COMP 15MM 4.5MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN COMP 7X50MM,3975.0,3975.0,596.25,3975.0,30
HCPCS,C1713,SCREW BN CORT 1.5MM 18MM,602.0,602.0,90.3,602.0,30
HCPCS,C1713,SCREW BN CORT 1.5MM 20MM,602.0,602.0,90.3,602.0,30
HCPCS,C1713,SCREW BN CORT 2.0X16MM,571.0,571.0,85.65,571.0,30
HCPCS,C1713,SCREW BN CORT 2.3MM 10MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 2.3MM 14MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 2.3MM 18MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 2.3MM 22MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN CORT 2.3X16MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 2.3X20MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 2.5X20MM,2462.0,2462.0,369.3,2462.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 12MM,1228.0,1228.0,157.95,1403.0,60
HCPCS,C1713,SCREW BN CORT 2.7MM 14MM,1053.0,1053.0,47.85,1356.0,90
HCPCS,C1713,SCREW BN CORT 2.7MM 16MM,1156.5,1156.5,143.55,1356.0,60
HCPCS,C1713,SCREW BN CORT 2.7MM 18MM,1156.5,1156.5,84.45,1834.0,120
HCPCS,C1713,SCREW BN CORT 2.7MM 20MM,1156.5,1156.5,143.55,1356.0,90
HCPCS,C1713,SCREW BN CORT 2.7MM 22MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 24MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 26MM,693.0,693.0,64.35,957.0,60
HCPCS,C1713,SCREW BN CORT 2.7MM 28MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 30MM,690.0,690.0,63.45,957.0,60
HCPCS,C1713,SCREW BN CORT 2.7MM 32MM,732.5,732.5,76.2,957.0,60
HCPCS,C1713,SCREW BN CORT 2.7MM 36MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 40MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 45MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 50MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 55MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 60MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN CORT 2.7MM 8MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN CORT 2.7X12MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN CORT 2.7X14MM,1076.5,1076.5,47.85,1834.0,60
HCPCS,C1713,SCREW BN CORT 2.7X16MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 2MM 11MM,541.0,541.0,81.15,541.0,30
HCPCS,C1713,SCREW BN CORT 2MM 12MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN CORT 2MM 13MM,625.0,625.0,93.75,625.0,30
HCPCS,C1713,SCREW BN CORT 2MM 14MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN CORT 2MM 15MM,541.0,541.0,81.15,541.0,30
HCPCS,C1713,SCREW BN CORT 2MM 16MM,566.5,566.5,76.2,625.0,60
HCPCS,C1713,SCREW BN CORT 2MM 18MM,547.0,547.0,82.05,547.0,30
HCPCS,C1713,SCREW BN CORT 2MM 6MM,583.0,583.0,87.45,583.0,30
HCPCS,C1713,SCREW BN CORT 2MM 8MM,547.0,547.0,82.05,547.0,30
HCPCS,C1713,SCREW BN CORT 2X10MM,1754.0,1754.0,263.1,1754.0,30
HCPCS,C1713,SCREW BN CORT 2X12MM,1754.0,1754.0,263.1,1754.0,30
HCPCS,C1713,SCREW BN CORT 2X18MM,571.0,571.0,85.65,571.0,30
HCPCS,C1713,SCREW BN CORT 3.2MM 14MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN CORT 3.2MM 22MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 3.2MM 30MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN CORT 3.2MMX24MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN CORT 3.2X12MM,1714.5,1714.5,239.25,1834.0,60
HCPCS,C1713,SCREW BN CORT 3.2X14MM,1475.5,1475.5,203.4,1595.0,60
HCPCS,C1713,SCREW BN CORT 3.2X16MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 3.2X18MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 10MM,1188.5,1188.5,157.95,1324.0,60
HCPCS,C1713,SCREW BN CORT 3.5MM 12MM,1195.5,1195.5,157.95,1338.0,60
HCPCS,C1713,SCREW BN CORT 3.5MM 14MM,1324.0,1324.0,47.85,1416.0,90
HCPCS,C1713,SCREW BN CORT 3.5MM 16MM,1324.0,1324.0,157.95,1654.0,90
HCPCS,C1713,SCREW BN CORT 3.5MM 18MM,1156.5,1156.5,157.95,1260.0,60
HCPCS,C1713,SCREW BN CORT 3.5MM 20MM,1305.5,1305.5,143.55,1654.0,60
HCPCS,C1713,SCREW BN CORT 3.5MM 22MM,635.0,635.0,46.95,957.0,60
HCPCS,C1713,SCREW BN CORT 3.5MM 24MM,1108.5,1108.5,143.55,1260.0,60
HCPCS,C1713,SCREW BN CORT 3.5MM 26MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 28MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 30MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 32MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 34MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 38MM,610.5,610.5,39.6,957.0,60
HCPCS,C1713,SCREW BN CORT 3.5MM 40MM,877.5,877.5,119.7,957.0,60
HCPCS,C1713,SCREW BN CORT 3.5MM 45MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 50MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 55MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 60MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN CORT 3.5MM 8MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 3.5X10MM,448.0,448.0,67.2,448.0,30
HCPCS,C1713,SCREW BN CORT 3.5X14MM,401.5,401.5,47.85,484.0,60
HCPCS,C1713,SCREW BN CORT 3.5X16MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN CORT 3.5X20,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN CORT 3.5X22.5MM,957.0,957.0,143.55,957.0,30
HCPCS,C1713,SCREW BN CORT 3.5X24MM,558.0,558.0,83.7,558.0,30
HCPCS,C1713,SCREW BN CORT 3.5X28MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN CORT 3.5X30MM,438.5,438.5,47.85,558.0,60
HCPCS,C1713,SCREW BN CORT 3.5X32MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN CORT 3.5X34MM,366.5,366.5,47.85,414.0,60
HCPCS,C1713,SCREW BN CORT 3.5X36MM,414.0,414.0,62.1,414.0,30
HCPCS,C1713,SCREW BN CORT 3.5X40MM,558.0,558.0,83.7,558.0,30
HCPCS,C1713,SCREW BN CORT 3.5X50MM,338.5,338.5,50.4,341.0,60
HCPCS,C1713,SCREW BN CORT 3.5X6X46MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN CORT 3.5X6X48MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN CORT 3.5X90MM,501.0,501.0,75.15,501.0,30
HCPCS,C1713,SCREW BN CORT 30MMX4.5MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN CORT 36X4.5MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN CORT 3X14MM,1754.0,1754.0,263.1,1754.0,30
HCPCS,C1713,SCREW BN CORT 4.0X24MM,2308.0,2308.0,346.2,2308.0,30
HCPCS,C1713,SCREW BN CORT 4.0X26MM,2308.0,2308.0,346.2,2308.0,30
HCPCS,C1713,SCREW BN CORT 4.5MM 24MM,313.0,313.0,46.95,313.0,30
HCPCS,C1713,SCREW BN CORT 4.5MM 68MM,289.0,289.0,43.35,289.0,30
HCPCS,C1713,SCREW BN CORT 4.5MMX18MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN CORT 4.5MMX28MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN CORT 4.5X110MM,455.0,455.0,68.25,455.0,30
HCPCS,C1713,SCREW BN CORT 4.5X20MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN CORT 4.5X26MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN CORT 4.5X34MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN CORT 4.5X38MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN CORT 4.5X40MM,277.0,277.0,41.55,277.0,30
HCPCS,C1713,SCREW BN CORT 4.5X95MM,607.0,607.0,91.05,607.0,30
HCPCS,C1713,SCREW BN CORT 4MM 44MM,352.0,352.0,52.8,352.0,30
HCPCS,C1713,SCREW BN CORT 5X75MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN CORT 6.5X15MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN CORT 7.7X24MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN CORT LCK 3.2X8,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN CORT T6 2X12MM,520.0,520.0,78.0,520.0,30
HCPCS,C1713,SCREW BN CORT T6 2X20MM,541.0,541.0,81.15,541.0,30
HCPCS,C1713,SCREW BN CORTEX 4.5X14MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN CP LCK 2.3X12MM,1968.0,1968.0,295.2,1968.0,30
HCPCS,C1713,SCREW BN CP LCK 2.3X8MM,1921.0,1921.0,288.15,1921.0,30
HCPCS,C1713,SCREW BN CPTR 6.4X100MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CPTR GRY 4.5X65,1942.0,1942.0,291.3,1942.0,30
HCPCS,C1713,SCREW BN CPTR HEX 4.5X25,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN CPTR HEX 4.5X30,1942.0,1942.0,291.3,1942.0,30
HCPCS,C1713,SCREW BN CPTR HEX 4.5X35,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN CPTR HEX 4.5X40,1942.0,1942.0,291.3,1942.0,30
HCPCS,C1713,SCREW BN CPTR HEX 4.5X45,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN CPTR HEX 5X35,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN CPTR HEX 5X50,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN CPTR HEX 5X60,1942.0,1942.0,291.3,1942.0,30
HCPCS,C1713,SCREW BN CPTR HEX 5X70,1942.0,1942.0,291.3,1942.0,30
HCPCS,C1713,SCREW BN CPTR HEX 5X75,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN CPTR HEX 5X80,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN CPTR HEX 5X90,1942.0,1942.0,291.3,1942.0,30
HCPCS,C1713,SCREW BN CPTR INT 5X25,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BN CPTR P-T 4X50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CRN 1.5X40MM,1268.0,1268.0,190.2,1268.0,30
HCPCS,C1713,SCREW BN CRN 1.5X5MM,1233.0,1233.0,184.95,1233.0,30
HCPCS,C1713,SCREW BN CRNFCL 1.3X6MM,880.0,880.0,132.0,880.0,30
HCPCS,C1713,SCREW BN CRNFCL 1.3X8MM,839.0,839.0,125.85,839.0,30
HCPCS,C1713,SCREW BN CRNFCL 1.5X4MM,1017.0,1017.0,139.95,1101.0,60
HCPCS,C1713,SCREW BN CRNFCL 1.5X5MM,1115.0,1115.0,167.25,1115.0,30
HCPCS,C1713,SCREW BN CRNFCL 1.5X7MM,1048.0,1048.0,149.25,1101.0,60
HCPCS,C1713,SCREW BN CRNFCL 1.7X4MM,1085.0,1085.0,162.75,1085.0,30
HCPCS,C1713,SCREW BN CRNFCL 1.8X5MM,1303.0,1303.0,195.45,1303.0,30
HCPCS,C1713,SCREW BN CRNFCL 1.8X7MM,1164.0,1164.0,174.6,1164.0,30
HCPCS,C1713,SCREW BN CRNFCL 1.MM 9MM,794.0,794.0,119.1,794.0,30
HCPCS,C1713,SCREW BN CRNFCL 2.3X5MM,1770.0,1770.0,265.5,1770.0,30
HCPCS,C1713,SCREW BN CRNFCL 2X12MM,1387.0,1387.0,208.05,1387.0,30
HCPCS,C1713,SCREW BN CRNFCL 2X3X4MM,1005.0,1005.0,150.75,1005.0,30
HCPCS,C1713,SCREW BN CRNFCL 2X3X6MM,837.0,837.0,125.55,837.0,30
HCPCS,C1713,SCREW BN CRNFCL 2X3X8MM,941.0,941.0,141.15,941.0,30
HCPCS,C1713,SCREW BN CRNFCL 2X7MM,845.0,845.0,126.75,845.0,30
HCPCS,C1713,SCREW BN CRNL 2.3X11MM,1075.0,1075.0,161.25,1075.0,30
HCPCS,C1713,SCREW BN CRNL 2X8X12MM,1387.0,1387.0,208.05,1387.0,30
HCPCS,C1713,SCREW BN CRNMXF 1.5X5MM,1184.0,1184.0,177.6,1184.0,30
HCPCS,C1713,SCREW BN CRNMXF 1LVL,1966.0,1966.0,294.9,1966.0,30
HCPCS,C1713,SCREW BN CRPL WRIST 15MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CRPL WRST 26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN CRTCL 4.5X40MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN CRTX 1.5X11MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN CRTX 1.5X12MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN CRTX 1.5X6MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN CRTX 1.5X7MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN CRTX 1.5X8MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN CRTX 1.5X9MM,508.0,508.0,76.2,508.0,30
HCPCS,C1713,SCREW BN CRTX 2X9MM,541.0,541.0,81.15,541.0,30
HCPCS,C1713,SCREW BN CRTX 3.5X14MM,336.0,336.0,50.4,336.0,30
HCPCS,C1713,SCREW BN CRTX 3.5X24MM,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW BN CRTX ST2.7X20MM,581.0,581.0,87.15,581.0,30
HCPCS,C1713,SCREW BN CTR DRV 2.3ZX17,609.0,609.0,91.35,609.0,30
HCPCS,C1713,SCREW BN CTR DRV 2.3ZX19,609.0,609.0,91.35,609.0,30
HCPCS,C1713,SCREW BN D6MM 120/20MM,1674.0,1674.0,251.1,1674.0,30
HCPCS,C1713,SCREW BN DHS/DSC 95X22,3702.0,3702.0,555.3,3702.0,30
HCPCS,C1713,SCREW BN DISTAL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN ELB 2.7MM 16MM,1690.0,1690.0,253.5,1690.0,30
HCPCS,C1713,SCREW BN ELB 3.5MM 24MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW BN ELB 3.5X55,416.0,416.0,62.4,416.0,30
HCPCS,C1713,SCREW BN ELB T8 2.7MM,581.0,581.0,87.15,581.0,30
HCPCS,C1713,SCREW BN ELBOW,2360.0,2360.0,354.0,2360.0,30
HCPCS,C1713,SCREW BN ELBW 3.5X45MM,1738.0,1738.0,260.7,1738.0,30
HCPCS,C1713,SCREW BN EMER 2.3X7MM,1184.0,1184.0,177.6,1184.0,30
HCPCS,C1713,SCREW BN ENCR 6.5X25MM,1483.0,1483.0,222.45,1483.0,30
HCPCS,C1713,SCREW BN EXTRMT 5X55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN F-T 1.6MM 13MM,963.0,963.0,144.45,963.0,30
HCPCS,C1713,SCREW BN F-T 2.7X32MM,1370.0,1370.0,205.5,1370.0,30
HCPCS,C1713,SCREW BN F-T 4.6X26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN F-T 5MM 54MM,2969.0,2969.0,445.35,2969.0,30
HCPCS,C1713,SCREW BN FEM 5MM 52.5MM,2884.0,2884.0,432.6,2884.0,30
HCPCS,C1713,SCREW BN FEM NK SYS 75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FEM STRL 105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FEM STRL 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FEM STRL 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FEM STRL 90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FEM STRL 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FEN 120MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN FEN 5.0X35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN FIX 6.5MM 15MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN FIX HINGE YOKE,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FL THRD 3.5X26,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN FL THRD 3.5X30,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN FNSTR 4.5X30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN FT 3.75X36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FT 4X37.5MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN FT LCK 3.5X10,2519.0,2519.0,377.85,2519.0,30
HCPCS,C1713,SCREW BN FT LCK 3.5X12,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN FT LCK 3.5X14,2519.0,2519.0,377.85,2519.0,30
HCPCS,C1713,SCREW BN FT LCK 3.5X16,2519.0,2519.0,377.85,2519.0,30
HCPCS,C1713,SCREW BN FULL 2.7X16MM,2258.0,2258.0,338.7,2258.0,30
HCPCS,C1713,SCREW BN FUSION 32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN GLND 25MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN GLND 5.0X34MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN GLND 5.5X16MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN GLND 6.5X40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN GLND P-AX 26MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN GLND PLATE LT,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN HAND 2.5MM 12MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN HAND SS 1.3X5MM,547.0,547.0,82.05,547.0,30
HCPCS,C1713,SCREW BN HB FA-ST 4.5X16,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN HD CAN 4.0X34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HD CANN 7X50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HD L-T 4.5X50,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDED 2.5MM 16MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HDED 3.5MM 26MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HDED 3.5MM 28MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HDED 3.5MM 30MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HDED 4MM 28MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HDLS 16X2.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 2.5MM 34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 2.5X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 2.5X18MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 2.5X40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 22MM 3MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 2X12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 3.5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 3.5X22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 3.5X50MM,3294.0,3294.0,494.1,3294.0,30
HCPCS,C1713,SCREW BN HDLS 4MM 36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS 4X44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS CMPR 3X32,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS LT 2.5X30,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLS LT 2.5X32,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLSS 2.5X20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HDLSS 7X85MM,3975.0,3975.0,596.25,3975.0,30
HCPCS,C1713,SCREW BN HEADED 2MM 12MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HEADED 3MM 30MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HEADED 4MM 32MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN HEADED 4MM 34MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HEADED 4MM 38MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HEADED 4MM 40MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HEADED 4MM 52MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN HEADED 4MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HEADLESS OD4.5M,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HEX 2.7X10,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN HEX 2.7X12,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN HEX 2.7X14,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN HEX 2.7X16,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN HEX 2.7X18,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN HEX 2.7X20MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN HEX 2.7X22,426.0,426.0,63.9,426.0,30
HCPCS,C1713,SCREW BN HEX 2.7X26,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN HEX 2.7X40,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN HEX CPTR 4.5X55,2483.0,2483.0,372.45,2483.0,30
HCPCS,C1713,SCREW BN HIP 4.5MM 36MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN HIP 4.5MM 38MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN HIP 6.5MM 20MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN HIP 6.5MM 60MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN HIP 90X12.7MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HIP CHS PED HEX,824.0,824.0,123.6,824.0,30
HCPCS,C1713,SCREW BN HIP IMHS 4.5X48,2758.0,2758.0,413.7,2758.0,30
HCPCS,C1713,SCREW BN HND WRST 2.3X16,729.0,729.0,109.35,729.0,30
HCPCS,C1713,SCREW BN HRZN LGC 35X6.5,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN HUM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN HUM 3.5MM 14MM,425.0,425.0,63.75,425.0,30
HCPCS,C1713,SCREW BN HUM 3.5MM 16MM,375.0,375.0,56.25,375.0,30
HCPCS,C1713,SCREW BN HUM 3.5MM 18MM,436.0,436.0,65.4,436.0,30
HCPCS,C1713,SCREW BN HUM 4.5MM 18MM,2085.0,2085.0,312.75,2085.0,30
HCPCS,C1713,SCREW BN HUM 4.5MM 24MM,1800.0,1800.0,239.25,2005.0,60
HCPCS,C1713,SCREW BN HUM 4.5MM 27MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN HUM 4.5MM 30MM,1800.0,1800.0,239.25,2005.0,90
HCPCS,C1713,SCREW BN HUM 4.5MM 33MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN HUM 4.5MM 36MM,2005.0,2005.0,239.25,2085.0,90
HCPCS,C1713,SCREW BN HUM 4.5MM 42MM,1840.0,1840.0,239.25,2085.0,60
HCPCS,C1713,SCREW BN HUM 4.5MM 48MM,2005.0,2005.0,300.75,2005.0,30
HCPCS,C1713,SCREW BN HUM 5MM 70MM,2031.0,2031.0,304.65,2031.0,30
HCPCS,C1713,SCREW BN HUM 5MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN ILSCRL P-AX REV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN IM 10.5X90MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN IM 10.5X95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN IM 5.5 X 20 Z,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN INTERLCK 30MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCREW BN INTF 7MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN INTF 8MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN INTFR 23X10MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN INTFR 6MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN INTFR 9X30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN INTLCK 5X38MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN INTLK 5MM 36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN INTLK 5X28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN INTLK 5X36MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN INTLK 5X46MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN ITST 11MM 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN KIT 75MM/70MM,3884.0,3884.0,582.6,3884.0,30
HCPCS,C1713,SCREW BN L100MM OD5.5MM,1672.0,1672.0,250.8,1672.0,30
HCPCS,C1713,SCREW BN L10MM SPHRXII,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN L35 OD4.35 SPNE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN L3M OD1M SPNL,1295.0,1295.0,194.25,1295.0,30
HCPCS,C1713,SCREW BN L50MM OD5.5,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN L60 OD5 SPNL PA,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN L70 OD7.5 QWIX,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN LAG 10.5X125MM,3478.0,3478.0,521.7,3478.0,30
HCPCS,C1713,SCREW BN LAG 12.7MM 55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LAG 12.7MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LAG 12.7MM 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LAG 13X115MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LAG 85/80MM,3973.0,3973.0,595.95,3973.0,30
HCPCS,C1713,SCREW BN LAG INTRMD 85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCK,1356.0,1356.0,203.4,1356.0,90
HCPCS,C1713,SCREW BN LCK 0.5X58MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK 1.5MM 5MM,1563.0,1563.0,234.45,1563.0,30
HCPCS,C1713,SCREW BN LCK 10X2.7MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 14X2.7MM,883.0,883.0,132.45,883.0,30
HCPCS,C1713,SCREW BN LCK 15MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN LCK 18MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 2.3X13MM,1442.0,1442.0,216.3,1442.0,30
HCPCS,C1713,SCREW BN LCK 2.3X15MM,899.0,899.0,134.85,899.0,30
HCPCS,C1713,SCREW BN LCK 2.3X16MM,899.0,899.0,134.85,899.0,30
HCPCS,C1713,SCREW BN LCK 2.3X18MM,899.0,899.0,134.85,899.0,30
HCPCS,C1713,SCREW BN LCK 2.4 8MM,1660.0,1660.0,249.0,1660.0,30
HCPCS,C1713,SCREW BN LCK 2.4MM 8MM,2327.0,2327.0,349.05,2327.0,30
HCPCS,C1713,SCREW BN LCK 2.4X11MM,1772.0,1772.0,265.8,1772.0,30
HCPCS,C1713,SCREW BN LCK 2.4X12MM,1772.0,1772.0,265.8,1772.0,30
HCPCS,C1713,SCREW BN LCK 2.4X18MM,1854.0,1854.0,278.1,1854.0,30
HCPCS,C1713,SCREW BN LCK 2.5X11MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 2.5X12MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 2.5X16MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 2.5X65MM,1882.0,1882.0,282.3,1882.0,30
HCPCS,C1713,SCREW BN LCK 2.7MM 10MM,1953.0,1953.0,292.95,1953.0,30
HCPCS,C1713,SCREW BN LCK 2.7MM 12MM,1624.0,1624.0,194.25,1953.0,60
HCPCS,C1713,SCREW BN LCK 2.7MM 13MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 2.7MM 14MM,1953.0,1953.0,194.25,3189.0,90
HCPCS,C1713,SCREW BN LCK 2.7MM 16MM,1620.5,1620.5,134.85,1953.0,120
HCPCS,C1713,SCREW BN LCK 2.7MM 18MM,1325.5,1325.5,194.25,1356.0,60
HCPCS,C1713,SCREW BN LCK 2.7MM 20MM,1953.0,1953.0,292.95,1953.0,30
HCPCS,C1713,SCREW BN LCK 2.7MM 22MM,1356.0,1356.0,194.25,1833.0,90
HCPCS,C1713,SCREW BN LCK 2.7MM 26MM,2615.0,2615.0,306.15,3189.0,60
HCPCS,C1713,SCREW BN LCK 2.7MM 8MM,1571.0,1571.0,235.65,1571.0,30
HCPCS,C1713,SCREW BN LCK 2.7X10MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN LCK 2.7X12MM,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN LCK 2.7X17MM,1804.0,1804.0,270.6,1804.0,30
HCPCS,C1713,SCREW BN LCK 2.7X34MM,1890.0,1890.0,283.5,1890.0,30
HCPCS,C1713,SCREW BN LCK 2.7X36MM,1295.0,1295.0,194.25,1295.0,30
HCPCS,C1713,SCREW BN LCK 2.9X10MM,3013.0,3013.0,451.95,3013.0,30
HCPCS,C1713,SCREW BN LCK 20MM,1236.0,1236.0,131.55,1595.0,60
HCPCS,C1713,SCREW BN LCK 24X4MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN LCK 2MM 5MM,1749.0,1749.0,262.35,1749.0,30
HCPCS,C1713,SCREW BN LCK 2X12MM,1922.0,1922.0,288.3,1922.0,30
HCPCS,C1713,SCREW BN LCK 3.2MM 10MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN LCK 3.2X10MM,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 10MM,1467.5,1467.5,203.4,1579.0,60
HCPCS,C1713,SCREW BN LCK 3.5MM 12MM,1766.0,1766.0,236.85,1953.0,60
HCPCS,C1713,SCREW BN LCK 3.5MM 14MM,1953.0,1953.0,100.5,2073.0,90
HCPCS,C1713,SCREW BN LCK 3.5MM 16MM,1953.0,1953.0,292.95,1953.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 18MM,1953.0,1953.0,292.95,1953.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 20MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 22MM,1929.0,1929.0,289.35,1929.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 26MM,1953.0,1953.0,292.95,1953.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 28MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 30MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 32MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 34MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 36MM,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 38MM,1937.0,1937.0,203.4,2518.0,60
HCPCS,C1713,SCREW BN LCK 3.5MM 40MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 42MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 45MM,1953.0,1953.0,292.95,1953.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 50MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 55MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 60MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 65MM,1379.0,1379.0,206.85,1379.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 75MM,1781.0,1781.0,267.15,1781.0,30
HCPCS,C1713,SCREW BN LCK 3.5MM 85MM,1379.0,1379.0,206.85,1379.0,30
HCPCS,C1713,SCREW BN LCK 3.5MN 12MM,463.0,463.0,69.45,463.0,30
HCPCS,C1713,SCREW BN LCK 3.5X10MM,2575.0,2575.0,298.95,3157.0,60
HCPCS,C1713,SCREW BN LCK 3.5X12MM,1738.0,1738.0,260.7,1738.0,30
HCPCS,C1713,SCREW BN LCK 3.5X14MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5X16,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN LCK 3.5X16MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5X18MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 3.5X20MM,2599.0,2599.0,389.85,2599.0,30
HCPCS,C1713,SCREW BN LCK 3.5X22,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN LCK 3.5X24MM,1738.0,1738.0,260.7,1738.0,30
HCPCS,C1713,SCREW BN LCK 3.5X30,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5X30MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5X32MM,1898.0,1898.0,284.7,1898.0,30
HCPCS,C1713,SCREW BN LCK 3.5X34MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 3.5X36MM,1379.0,1379.0,206.85,1379.0,30
HCPCS,C1713,SCREW BN LCK 3.5X38MM,1379.0,1379.0,206.85,1379.0,30
HCPCS,C1713,SCREW BN LCK 3.5X40MM,2518.0,2518.0,260.7,3009.0,90
HCPCS,C1713,SCREW BN LCK 3.5X44MM,2456.0,2456.0,368.4,2456.0,30
HCPCS,C1713,SCREW BN LCK 3.5X46MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN LCK 3.5X65MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5X70MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5X75MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LCK 3.5X8MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCK 30MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN LCK 3MM 14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCK 3X12MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN LCK 3X16MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN LCK 4.0X28MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN LCK 4.0X55MM,1906.0,1906.0,285.9,1906.0,30
HCPCS,C1713,SCREW BN LCK 4.2X16MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN LCK 4.2X24MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN LCK 4.2X26MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN LCK 4.2X32MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN LCK 4.2X42MM,2806.0,2806.0,420.9,2806.0,30
HCPCS,C1713,SCREW BN LCK 4.5MM 25MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN LCK 4.5MM 44MM,1738.0,1738.0,260.7,1738.0,30
HCPCS,C1713,SCREW BN LCK 4.5X85MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN LCK 4MM 22MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN LCK 4MM 26MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN LCK 4MM 30MM,2143.0,2143.0,248.7,3143.0,90
HCPCS,C1713,SCREW BN LCK 4MM 34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCK 4MM 36MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN LCK 4MM 38MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN LCK 4MM 40MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN LCK 4MM 42MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN LCK 4MM 50MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN LCK 4MM 70MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN LCK 4X20MM,1906.0,1906.0,285.9,1906.0,30
HCPCS,C1713,SCREW BN LCK 4X38MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK 4X44MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK 4X46MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK 4X48MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN LCK 5.2X40MM,2910.0,2910.0,436.5,2910.0,30
HCPCS,C1713,SCREW BN LCK 5.2X50MM,2910.0,2910.0,436.5,2910.0,30
HCPCS,C1713,SCREW BN LCK 5.5MM 20MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN LCK 5/28 XL25,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK 5/68 XL25,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK 5/76 XL25,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK 5MM 24MM,1876.0,1876.0,281.4,1876.0,30
HCPCS,C1713,SCREW BN LCK 5MM 35MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCK 5MM 40MM,2485.0,2485.0,286.95,3189.0,90
HCPCS,C1713,SCREW BN LCK 5MM 42MM,2499.0,2499.0,339.0,2738.0,60
HCPCS,C1713,SCREW BN LCK 5MM 45MM,2696.0,2696.0,404.4,2696.0,30
HCPCS,C1713,SCREW BN LCK 5MM 50MM,1938.0,1938.0,290.7,1938.0,30
HCPCS,C1713,SCREW BN LCK 5MM 55MM,1938.0,1938.0,290.7,1938.0,30
HCPCS,C1713,SCREW BN LCK 5MM 56MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1713,SCREW BN LCK 5MM 60MM,2199.0,2199.0,286.95,2485.0,60
HCPCS,C1713,SCREW BN LCK 5MM 68MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCK 5MM 75MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5MM 78MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1713,SCREW BN LCK 5MM 80MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5MM 84MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN LCK 5MM 85MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5MM 90MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN LCK 5MM 95MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCK 5X18MM,1384.0,1384.0,160.35,1699.0,60
HCPCS,C1713,SCREW BN LCK 5X26MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5X28MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5X32.5MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCK 5X32MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5X34MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5X34MM STRL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCK 5X35,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCK 5X36MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5X4.4X40MM,2863.0,2863.0,429.45,2863.0,30
HCPCS,C1713,SCREW BN LCK 5X4.4X90MM,1938.0,1938.0,290.7,1938.0,30
HCPCS,C1713,SCREW BN LCK 5X40,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCK 5X40MM,1699.0,1699.0,254.85,1699.0,30
HCPCS,C1713,SCREW BN LCK 5X45MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCK 5X46MM,1938.0,1938.0,290.7,1938.0,30
HCPCS,C1713,SCREW BN LCK 5X60MM,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN LCK 5X65,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCK 5X65MM,1938.0,1938.0,290.7,1938.0,30
HCPCS,C1713,SCREW BN LCK 5X66MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK 5X85MM,2111.0,2111.0,316.65,2111.0,30
HCPCS,C1713,SCREW BN LCK 5X90MM,2111.0,2111.0,316.65,2111.0,30
HCPCS,C1713,SCREW BN LCK 6.5MM 30MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN LCK 7.3MM 80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCK F-T6.5X95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCK FT 4MM 45MM,3037.0,3037.0,455.55,3037.0,30
HCPCS,C1713,SCREW BN LCK FT6.5X105MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCK IM NAIL 5MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN LCK NAIL 2X36MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN LCK NAIL 5X50MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN LCK NAIL 5X70MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN LCK ST 2.7X24MM,1973.0,1973.0,295.95,1973.0,30
HCPCS,C1713,SCREW BN LCK ST 3.5X36MM,1898.0,1898.0,284.7,1898.0,30
HCPCS,C1713,SCREW BN LCK ST 5X40MM,3098.0,3098.0,464.7,3098.0,30
HCPCS,C1713,SCREW BN LCK ST 5X44MM,3098.0,3098.0,464.7,3098.0,30
HCPCS,C1713,SCREW BN LCK T8 2.7X15MM,1946.0,1946.0,291.9,1946.0,30
HCPCS,C1713,SCREW BN LCK THRD 3.5X12,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN LCK XL25 5/68MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1713,SCREW BN LCK/MD NAIL 5MM,2531.0,2531.0,379.65,2531.0,30
HCPCS,C1713,SCREW BN LCKG 5X55MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCKG ST 5X14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCKG ST 5X18MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LCKING 5.2X42MM,2910.0,2910.0,436.5,2910.0,30
HCPCS,C1713,SCREW BN LCKNG 2.3X10MM,1783.0,1783.0,267.45,1783.0,30
HCPCS,C1713,SCREW BN LCKNG 3.5X12MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCKNG 3.5X26MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCKNG 3.5X28MM,2184.5,2184.5,246.3,2727.0,60
HCPCS,C1713,SCREW BN LCKNG 3.5X40MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LCKNG 4.0X44MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN LCKNG 4.5X90MM,1738.0,1738.0,260.7,1738.0,30
HCPCS,C1713,SCREW BN LCKNG 4X42MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN LCKNG 5X80MM,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BN LCP 3.5X65MM,2105.0,2105.0,315.75,2105.0,30
HCPCS,C1713,SCREW BN LCP HEX4X6X28MM,466.0,466.0,69.9,466.0,30
HCPCS,C1713,SCREW BN LG HIP 5X50MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN LG HIP 6.5X20MM,1638.0,1638.0,245.7,1638.0,30
HCPCS,C1713,SCREW BN LG HIP 6.5X25MM,1590.0,1590.0,238.5,1590.0,30
HCPCS,C1713,SCREW BN LG HIP 6.5X30MM,1638.0,1638.0,245.7,1638.0,30
HCPCS,C1713,SCREW BN LG L65MM OD6.5M,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LKG 2.5X18MM,2727.0,2727.0,409.05,2727.0,30
HCPCS,C1713,SCREW BN LNG 2.7X10MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN LOC 42MM 3.7MM,3087.0,3087.0,463.05,3087.0,30
HCPCS,C1713,SCREW BN LOC CANN 48MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LOCK 3.5X14MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN LOCK SHLD 40MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN LOCKING,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BN LOPRO 4.5X26MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN LP 4.5MMX36MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN LPRO 5X4.3X27MM,2884.0,2884.0,432.6,2884.0,30
HCPCS,C1713,SCREW BN LT 5.5MM 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN LV1 2X6MM,1915.0,1915.0,287.25,1915.0,30
HCPCS,C1713,SCREW BN LV1 2X7MM,1607.0,1607.0,241.05,1607.0,30
HCPCS,C1713,SCREW BN M/T 3.5X45MM,1690.0,1690.0,253.5,1690.0,30
HCPCS,C1713,SCREW BN MDFC 12X2.7 XDR,766.0,766.0,114.9,766.0,30
HCPCS,C1713,SCREW BN MED 35MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1713,SCREW BN MED 4.2X50MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN MED 7MM 74MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN MIC 5X1.5MM CTR,675.0,675.0,101.25,675.0,30
HCPCS,C1713,SCREW BN MIC 5X1.8MM CTR,794.0,794.0,119.1,794.0,30
HCPCS,C1713,SCREW BN MIC 6.5X1.5MM C,662.0,662.0,99.3,662.0,30
HCPCS,C1713,SCREW BN MICRO 12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN MICRO 14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN MICRO 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN MICRO 20MM,3294.0,3294.0,494.1,3294.0,30
HCPCS,C1713,SCREW BN MICRO 22MM,3241.5,3241.5,478.35,3294.0,60
HCPCS,C1713,SCREW BN MICRO 30MM,3333.0,3333.0,499.95,3333.0,30
HCPCS,C1713,SCREW BN MINI 16MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN MINI 18MM,3313.5,3313.5,494.1,3333.0,60
HCPCS,C1713,SCREW BN MINI 2.5X28MM,3077.0,3077.0,461.55,3077.0,30
HCPCS,C1713,SCREW BN MINI 20MM,3294.0,3294.0,494.1,3294.0,30
HCPCS,C1713,SCREW BN MINI 22MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN MINI 24MM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1713,SCREW BN MINI 26MM,3333.0,3333.0,499.95,3333.0,30
HCPCS,C1713,SCREW BN MINI 28MM,3333.0,3333.0,499.95,3333.0,30
HCPCS,C1713,SCREW BN MINI 30MM,3294.0,3294.0,494.1,3294.0,30
HCPCS,C1713,SCREW BN MINI 3X28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN MLT 3MM 26MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN MLT 3MM 28MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN MLT 3MM 32MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN MLT 3MM 34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN MLTI-AX 3.5X14,6281.0,6281.0,942.15,6281.0,30
HCPCS,C1713,SCREW BN MLTI-AX 4-12MM,6281.0,6281.0,942.15,6281.0,30
HCPCS,C1713,SCREW BN MLTI-AX 4-14MM,6281.0,6281.0,942.15,6281.0,30
HCPCS,C1713,SCREW BN MLTI-AX 4-16MM,5539.0,5539.0,830.85,5539.0,30
HCPCS,C1713,SCREW BN MLTI-AX 4-18MM,5539.0,5539.0,830.85,5539.0,30
HCPCS,C1713,SCREW BN MNDB 10X2.0MM,1749.0,1749.0,262.35,1749.0,30
HCPCS,C1713,SCREW BN MNDB 16X2MM DRV,542.0,542.0,81.3,542.0,30
HCPCS,C1713,SCREW BN MNDB 2.3X14MM,718.0,718.0,107.7,718.0,30
HCPCS,C1713,SCREW BN MNDB 3.2X8MM,989.0,989.0,148.35,989.0,30
HCPCS,C1713,SCREW BN MOD GLND 35MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN MRS 3.5X18MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN MTCRPL 3.6X55MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN MTNR L20 OD4.35,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN MTPHSL 2.7X42MM,730.0,730.0,109.5,730.0,30
HCPCS,C1713,SCREW BN MTRSL 2.7X48MM,610.0,610.0,91.5,610.0,30
HCPCS,C1713,SCREW BN MXDRV 2.3X7MM,1255.0,1255.0,188.25,1255.0,30
HCPCS,C1713,SCREW BN MXFCL 1.8X4MM,1101.0,1101.0,165.15,1101.0,30
HCPCS,C1713,SCREW BN MXLFCL 1.7X4MM,1070.0,1070.0,160.5,1070.0,30
HCPCS,C1713,SCREW BN MXLFCL 14X2MM,1766.0,1766.0,264.9,1766.0,30
HCPCS,C1713,SCREW BN MXLFCL 2.3X4MM,1921.0,1921.0,288.15,1921.0,30
HCPCS,C1713,SCREW BN MXLFCL 2.7X14MM,1388.0,1388.0,208.2,1388.0,30
HCPCS,C1713,SCREW BN MXLFCL 2X14MM,1058.0,1058.0,158.7,1058.0,30
HCPCS,C1713,SCREW BN MXLFCL 4MM 2MM,1447.0,1447.0,169.2,1766.0,60
HCPCS,C1713,SCREW BN MXLFCL 6X2MM,1011.0,1011.0,151.65,1011.0,30
HCPCS,C1713,SCREW BN N-LCK 2.7X20MM,1549.0,1549.0,232.35,1549.0,30
HCPCS,C1713,SCREW BN N-LCK 3.5X13MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,SCREW BN N-LCK 3.5X14MM,1192.0,1192.0,178.8,1192.0,30
HCPCS,C1713,SCREW BN N-LCK 3.5X22MM,1754.0,1754.0,263.1,1754.0,30
HCPCS,C1713,SCREW BN N-LCK 3.5X28MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN N-LCK 3.5X70MM,2105.0,2105.0,315.75,2105.0,30
HCPCS,C1713,SCREW BN N-LCK 4.5X32MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN N-LCK 5.2X32MM,2272.0,2272.0,340.8,2272.0,30
HCPCS,C1713,SCREW BN NAIL LCK 5X30MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN NAIL LCK 5X40MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN NAIL LCK 5X44MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN NAIL LCK 5X56MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN NC 6.5X50MM,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,SCREW BN NC 7.5X55MM,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,SCREW BN NCB 5X6.2X90MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN NEOLAT 3.5X16MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN NG 3.5X14MM,1280.0,1280.0,192.0,1280.0,30
HCPCS,C1713,SCREW BN NLCK 2.5X10MM,2044.0,2044.0,306.6,2044.0,30
HCPCS,C1713,SCREW BN NLCK 2.7MM 14MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,SCREW BN NLCK 2.7MM 16MM,991.0,991.0,148.65,991.0,30
HCPCS,C1713,SCREW BN NLCK 2.7MM 20MM,1180.0,1180.0,177.0,1180.0,30
HCPCS,C1713,SCREW BN NLCK 2.7MM 22MM,1180.0,1180.0,177.0,1180.0,30
HCPCS,C1713,SCREW BN NLCK 2.7X16MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 10MM,991.0,991.0,148.65,991.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 12MM,991.0,991.0,148.65,991.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 14MM,991.0,991.0,148.65,991.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 16MM,991.0,991.0,148.65,991.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 18MM,991.0,991.0,148.65,991.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 20MM,991.0,991.0,148.65,991.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 22MM,991.0,991.0,148.65,991.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 24MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 26MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 28MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 30MM,319.0,319.0,47.85,319.0,60
HCPCS,C1713,SCREW BN NLCK 3.5MM 32MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 36MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 38MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 40MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 50MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 55MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 3.5MM 65MM,1419.0,1419.0,212.85,1419.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X10MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X12,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X14,1452.0,1452.0,217.8,1452.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X16,1452.0,1452.0,217.8,1452.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X16MM,2105.0,2105.0,315.75,2105.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X18,1022.0,1022.0,153.3,1022.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X20,1452.0,1452.0,217.8,1452.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X24,1022.0,1022.0,153.3,1022.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X28,1022.0,1022.0,153.3,1022.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X34,1022.0,1022.0,153.3,1022.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X50,1452.0,1452.0,217.8,1452.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X50MM,2105.0,2105.0,315.75,2105.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X55,1452.0,1452.0,217.8,1452.0,30
HCPCS,C1713,SCREW BN NLCK 3.5X60MM,335.0,335.0,50.25,335.0,30
HCPCS,C1713,SCREW BN NLCK 3MM 12MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCK 4.2X32MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN NLCK 4MM 20MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN NLCKG 2.7X10MM,1317.0,1317.0,197.55,1317.0,30
HCPCS,C1713,SCREW BN NLCKG 2.7X14MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN NLCKG 2.7X18MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN NLCKG 2.7X34MM,1370.0,1370.0,205.5,1370.0,30
HCPCS,C1713,SCREW BN NLCKG 2.7X45MM,1317.0,1317.0,197.55,1317.0,30
HCPCS,C1713,SCREW BN NLCKG 3.5MM,558.0,558.0,83.7,558.0,30
HCPCS,C1713,SCREW BN NLCKG 3.5X46MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN NLCKG 4.2X22MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN NLCKG 4.2X42MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN NLCKG 4.2X44MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN NLCKG 4.2X48MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN NLCKG 4.2X55MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN NLCKNG 4.2X50MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN NLEX TI 6X8X58,2159.0,2159.0,323.85,2159.0,30
HCPCS,C1713,SCREW BN NONLCK 4.2X24MM,2200.0,2200.0,330.0,2200.0,30
HCPCS,C1713,SCREW BN NS LCK 5X30MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X32MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X36MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X40MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X42MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X44MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X46MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X50MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X52MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN NS LCK 5X54MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW BN OCCPTL 4.5X10MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN OCCPTL 4.5X6MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN OD6 SPNL DL NIE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN ORT 6.0MM 30MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN ORTH 3.5X16MM,2169.0,2169.0,325.35,2169.0,30
HCPCS,C1713,SCREW BN ORTH 32MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN ORTH 4MM 15MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN ORTH 5MM 10MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN ORTH 5MM 15MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN ORTH 6MM 15MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN ORTH 6MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN ORTH 7MM 25MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BN ORTH LCK 20MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN OSTEO 5MMX24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN P-AX 3.5MM 14MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN P-AX 3.5X32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN P-AX 5MM 30MM,463.0,463.0,69.45,463.0,30
HCPCS,C1713,SCREW BN P-AX 6.5MM 45MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN P-AX 7.5X90MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN P-T 3X28MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN P/T 5X65MM,3593.0,3593.0,538.95,3593.0,30
HCPCS,C1713,SCREW BN PASS THRU,2089.0,2089.0,313.35,2089.0,30
HCPCS,C1713,SCREW BN PED 8.5X55MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN PERPH 4.5X24MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN PLT 41MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN PLT 5.2MM 38MM,2910.0,2910.0,436.5,2910.0,30
HCPCS,C1713,SCREW BN PLT 5.2MMX36MM,2749.0,2749.0,412.35,2749.0,30
HCPCS,C1713,SCREW BN POLY 2.5X24MM,1929.0,1929.0,289.35,1929.0,30
HCPCS,C1713,SCREW BN POLY 3.5X12MM,1244.0,1244.0,186.6,1244.0,30
HCPCS,C1713,SCREW BN POST 4.5X50MM,1674.0,1674.0,251.1,1674.0,30
HCPCS,C1713,SCREW BN POST 4.5X55MM,1674.0,1674.0,251.1,1674.0,30
HCPCS,C1713,SCREW BN QWIX 40X5.5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCREW BN RDC 6.5X50MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN RECONST 5.5X85,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN RECONST 5.5X90,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN RECONST 5.5X95,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN RELINE MAS SPNE,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN RT 2MM,7782.0,7782.0,1167.3,7782.0,30
HCPCS,C1713,SCREW BN RTRO 8MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN RVRS 5.5X24MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN S-T 1.5MM 13MM,527.0,527.0,79.05,527.0,30
HCPCS,C1713,SCREW BN S-T 4X42MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN S/T 2.4MM 18MM,1344.0,1344.0,201.6,1344.0,30
HCPCS,C1713,SCREW BN S/T 2.5X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN S/T 2.7MM 10MM,1463.0,1463.0,219.45,1463.0,30
HCPCS,C1713,SCREW BN S/T 2.7MM 14MM,423.0,423.0,63.45,423.0,30
HCPCS,C1713,SCREW BN S/T 2MM 10MM,940.0,940.0,141.0,940.0,30
HCPCS,C1713,SCREW BN S/T 3.5MM 16MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN S/T 3.5X14MM,477.0,477.0,71.55,477.0,30
HCPCS,C1713,SCREW BN S/T 70MM 5.5MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN S/T CANN 4X30MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN S/T LCK2.7X16MM,1636.0,1636.0,245.4,1636.0,30
HCPCS,C1713,SCREW BN S/T T4 1.3X12MM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C1713,SCREW BN S/TP 5MM 46MM,2393.0,2393.0,358.95,2393.0,30
HCPCS,C1713,SCREW BN S/TP 5MM 55MM,2393.0,2393.0,358.95,2393.0,30
HCPCS,C1713,SCREW BN S/TP 5MM 70MM,2393.0,2393.0,358.95,2393.0,30
HCPCS,C1713,SCREW BN SHDR 14MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN SHDR 18MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN SHDR 22MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN SHDR 30MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN SHDR 42MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW BN SHDR LG 40MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1713,SCREW BN SHDR SM 30MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1713,SCREW BN SHLDR 15MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN SHLDR 6X25MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN SLEEVE,2606.0,2606.0,390.9,2606.0,30
HCPCS,C1713,SCREW BN SLF 1.7MM 4MM,1194.0,1194.0,179.1,1194.0,30
HCPCS,C1713,SCREW BN SLF DRL 1.2X3MM,1531.0,1531.0,229.65,1531.0,30
HCPCS,C1713,SCREW BN SLF TAP3.5X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SLF TP 5X36MM,3098.0,3098.0,464.7,3098.0,30
HCPCS,C1713,SCREW BN SLFDRL 4.2X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SLFDRL 4.6X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SLFTAP 16MM,583.0,583.0,87.45,583.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X20,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X22,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X24,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X26,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X30,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X32,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X34,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X36,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X38,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X40,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X44,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X44MM,264.0,264.0,39.6,264.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X65,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 3.5X70,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X26MM,436.0,436.0,65.4,436.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X30MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X40MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X42MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X44MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X48MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X50MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X55MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN SLFTAP 4.5X60MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN SLFTP 2.4X23MM,602.0,602.0,90.3,602.0,30
HCPCS,C1713,SCREW BN SLFTP 2.7X10MM,429.0,429.0,64.35,429.0,30
HCPCS,C1713,SCREW BN SLFTP 2.7X24MM,429.0,429.0,64.35,429.0,30
HCPCS,C1713,SCREW BN SLFTP 3.5X18,446.0,446.0,66.9,446.0,30
HCPCS,C1713,SCREW BN SLFTP 3.5X20,484.0,484.0,72.6,484.0,30
HCPCS,C1713,SCREW BN SLFTP 3.5X65MM,778.0,778.0,116.7,778.0,30
HCPCS,C1713,SCREW BN SLFTP 3.5X75MM,375.0,375.0,56.25,375.0,30
HCPCS,C1713,SCREW BN SLFTP 4.5X38MM,313.0,313.0,46.95,313.0,30
HCPCS,C1713,SCREW BN SLFTP 4.5X44MM,313.0,313.0,46.95,313.0,30
HCPCS,C1713,SCREW BN SLFTP 4.5X90MM,447.0,447.0,67.05,447.0,30
HCPCS,C1713,SCREW BN SLFTP 5X12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN SLFTP 5X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN SLFTP 5X38MM,3098.0,3098.0,464.7,3098.0,30
HCPCS,C1713,SCREW BN SLFTP 5X44MM,2393.0,2393.0,358.95,2393.0,30
HCPCS,C1713,SCREW BN SLFTP 5X46MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN SM +4,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN SM 2.7X4.3X36MM,1973.0,1973.0,295.95,1973.0,30
HCPCS,C1713,SCREW BN SMT SPNE INNR,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN SP 5X28MM PLYAX,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPLN 7.5X75MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,SCREW BN SPN 10.5MM 80MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW BN SPN 14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN SPN 2.6MM 5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 2.6MM 7MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 2.6MM 9MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 20X5.5MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 3.5MM 10MM,4247.0,4247.0,508.35,4429.0,90
HCPCS,C1713,SCREW BN SPN 3.5MM 12MM,4338.0,4338.0,637.05,4429.0,90
HCPCS,C1713,SCREW BN SPN 3.5MM 13MM,1130.0,1130.0,169.5,1130.0,90
HCPCS,C1713,SCREW BN SPN 3.5MM 14MM,4247.0,4247.0,169.5,4429.0,150
HCPCS,C1713,SCREW BN SPN 3.5MM 15MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW BN SPN 3.5MM 16MM,2688.5,2688.5,169.5,4247.0,60
HCPCS,C1713,SCREW BN SPN 3.5MM 18MM,4247.0,4247.0,637.05,4247.0,90
HCPCS,C1713,SCREW BN SPN 3.5MM 19MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN SPN 3.5MM 20MM,3818.0,3818.0,508.35,4247.0,60
HCPCS,C1713,SCREW BN SPN 3.5MM 22MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 3.5MM 24MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 3.5MM 26MM,4006.0,4006.0,564.75,4247.0,60
HCPCS,C1713,SCREW BN SPN 3.5MM 28MM,3818.0,3818.0,508.35,4247.0,90
HCPCS,C1713,SCREW BN SPN 3.5MM 32MM,3818.0,3818.0,508.35,4247.0,60
HCPCS,C1713,SCREW BN SPN 3.5MM 34MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 3.5X22MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN 30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN 3D 5.5X20MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 3MM 5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 3MM 7MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 3MM 9MM,940.0,940.0,141.0,940.0,30
HCPCS,C1713,SCREW BN SPN 4.25MM 14MM,2078.0,2078.0,311.7,2078.0,30
HCPCS,C1713,SCREW BN SPN 4.2MM 12MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW BN SPN 4.2MM 14MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW BN SPN 4.2MM 15MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 4.2MM 16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 4.2MM 18MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 4.2MM 19MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 4.2MM 20MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 10MM,3129.0,3129.0,469.35,3129.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 12MM,2071.0,2071.0,169.5,3012.0,60
HCPCS,C1713,SCREW BN SPN 4.5MM 13MM,3236.5,3236.5,451.8,3461.0,60
HCPCS,C1713,SCREW BN SPN 4.5MM 14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 15MM,3012.0,3012.0,225.9,3461.0,90
HCPCS,C1713,SCREW BN SPN 4.5MM 17MM,3461.0,3461.0,519.15,3461.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 24MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 25MM,4338.0,4338.0,637.05,4429.0,90
HCPCS,C1713,SCREW BN SPN 4.5MM 26MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 28MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 30MM,4338.0,4338.0,637.05,4429.0,60
HCPCS,C1713,SCREW BN SPN 4.5MM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 34MM,3818.0,3818.0,508.35,4247.0,60
HCPCS,C1713,SCREW BN SPN 4.5MM 35MM,4429.0,4429.0,637.05,5094.0,150
HCPCS,C1713,SCREW BN SPN 4.5MM 36MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 4.5MM 45MM,4429.5,4429.5,564.75,5094.0,60
HCPCS,C1713,SCREW BN SPN 4.5MM 50MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW BN SPN 4.5MM 8MM,3147.5,3147.5,451.8,3283.0,60
HCPCS,C1713,SCREW BN SPN 4.6MM 12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 4.6MM 13MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW BN SPN 4.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 4.6MM 16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN 4MM 11MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN SPN 4MM 12MM,2635.5,2635.5,169.5,4429.0,180
HCPCS,C1713,SCREW BN SPN 4MM 13MM,2071.0,2071.0,169.5,3012.0,90
HCPCS,C1713,SCREW BN SPN 4MM 14MM,2259.0,2259.0,169.5,4247.0,210
HCPCS,C1713,SCREW BN SPN 4MM 15MM,2259.0,2259.0,225.9,3012.0,120
HCPCS,C1713,SCREW BN SPN 4MM 16MM,3012.0,3012.0,169.5,4429.0,210
HCPCS,C1713,SCREW BN SPN 4MM 17MM,2635.5,2635.5,338.85,3012.0,90
HCPCS,C1713,SCREW BN SPN 4MM 18MM,3629.5,3629.5,451.8,4247.0,90
HCPCS,C1713,SCREW BN SPN 4MM 19MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN SPN 4MM 20MM,2688.5,2688.5,169.5,4247.0,60
HCPCS,C1713,SCREW BN SPN 4MM 22MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 4MM 24MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 4MM 25MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 4MM 26MM,3818.0,3818.0,508.35,4247.0,60
HCPCS,C1713,SCREW BN SPN 4MM 28MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 4MM 30MM,4006.0,4006.0,564.75,4247.0,60
HCPCS,C1713,SCREW BN SPN 4MM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN 4MM 35MM,3765.0,3765.0,564.75,3765.0,60
HCPCS,C1713,SCREW BN SPN 4MM 36MM,3818.0,3818.0,508.35,4247.0,60
HCPCS,C1713,SCREW BN SPN 4MM 38MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 4MM 40MM,4006.0,4006.0,564.75,4247.0,60
HCPCS,C1713,SCREW BN SPN 4MM 42MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 4MM 6MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN SPN 4MM 8MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN SPN 5.5-6MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 5.5MM 20MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN SPN 5.5MM 25MM,2447.5,2447.5,169.5,3765.0,120
HCPCS,C1713,SCREW BN SPN 5.5MM 30MM,2447.5,2447.5,112.95,4247.0,240
HCPCS,C1713,SCREW BN SPN 5.5MM 35MM,3765.0,3765.0,112.95,4429.0,270
HCPCS,C1713,SCREW BN SPN 5.5MM 40MM,4006.0,4006.0,112.95,8491.0,420
HCPCS,C1713,SCREW BN SPN 5.5MM 45MM,4006.0,4006.0,169.5,6742.0,390
HCPCS,C1713,SCREW BN SPN 5.5MM 50MM,3765.0,3765.0,112.95,6742.0,300
HCPCS,C1713,SCREW BN SPN 5.5MM 55MM,3765.0,3765.0,338.85,4247.0,210
HCPCS,C1713,SCREW BN SPN 5.5MM 60MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 5.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN 5.5X45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN 50X5.5MM ML,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW BN SPN 5MM 25MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW BN SPN 5MM 30MM,3909.0,3909.0,508.35,4429.0,90
HCPCS,C1713,SCREW BN SPN 5MM 35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN 5MM 40MM,3765.0,3765.0,508.35,5342.0,150
HCPCS,C1713,SCREW BN SPN 5MM 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN 5MM 50MM,3818.0,3818.0,508.35,4247.0,60
HCPCS,C1713,SCREW BN SPN 5MM 6MM,3283.0,3283.0,492.45,3283.0,30
HCPCS,C1713,SCREW BN SPN 5MM 8MM,3283.0,3283.0,492.45,3283.0,30
HCPCS,C1713,SCREW BN SPN 6.25X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN 6.5MM 25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN 6.5MM 30MM,3389.0,3389.0,169.5,3765.0,210
HCPCS,C1713,SCREW BN SPN 6.5MM 35MM,3765.0,3765.0,169.5,4429.0,240
HCPCS,C1713,SCREW BN SPN 6.5MM 40MM,4247.0,4247.0,508.35,4627.0,480
HCPCS,C1713,SCREW BN SPN 6.5MM 45MM,4338.0,4338.0,508.35,4872.0,510
HCPCS,C1713,SCREW BN SPN 6.5MM 50MM,4247.0,4247.0,508.35,4872.0,510
HCPCS,C1713,SCREW BN SPN 6.5MM 55MM,4006.0,4006.0,508.35,4429.0,270
HCPCS,C1713,SCREW BN SPN 6.5MM 60MM,4247.0,4247.0,564.75,4429.0,150
HCPCS,C1713,SCREW BN SPN 6.5MM 65MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 6.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN 6MM 20MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 6MM 24MM,753.0,753.0,112.95,753.0,60
HCPCS,C1713,SCREW BN SPN 6MM 25MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,SCREW BN SPN 6MM 28MM,753.0,753.0,112.95,753.0,60
HCPCS,C1713,SCREW BN SPN 6MM 32MM,753.0,753.0,112.95,753.0,60
HCPCS,C1713,SCREW BN SPN 6MM 35MM,2447.5,2447.5,169.5,3765.0,60
HCPCS,C1713,SCREW BN SPN 6MM 36MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 6MM 40MM,2447.5,2447.5,169.5,3765.0,60
HCPCS,C1713,SCREW BN SPN 6MM 45MM,4097.0,4097.0,564.75,4429.0,60
HCPCS,C1713,SCREW BN SPN 6MM 50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN 6MM 55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN 7.5MM 30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN 7.5MM 35MM,4247.0,4247.0,508.35,5549.0,240
HCPCS,C1713,SCREW BN SPN 7.5MM 40MM,4006.0,4006.0,508.35,4429.0,300
HCPCS,C1713,SCREW BN SPN 7.5MM 45MM,4006.0,4006.0,508.35,4429.0,360
HCPCS,C1713,SCREW BN SPN 7.5MM 50MM,4006.0,4006.0,508.35,4429.0,270
HCPCS,C1713,SCREW BN SPN 7.5MM 55MM,4247.0,4247.0,564.75,4429.0,240
HCPCS,C1713,SCREW BN SPN 7.5MM 60MM,4097.0,4097.0,564.75,4429.0,120
HCPCS,C1713,SCREW BN SPN 7.5MM 65MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN 7.5MM 70MM,4006.0,4006.0,564.75,4247.0,90
HCPCS,C1713,SCREW BN SPN 7.5MM 80MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN 7.5X60MM SS,6728.0,6728.0,1009.2,6728.0,30
HCPCS,C1713,SCREW BN SPN 7MM 28MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN 7MM 40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN 8.5MM 100MM,3909.0,3909.0,508.35,4429.0,60
HCPCS,C1713,SCREW BN SPN 8.5MM 35MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BN SPN 8.5MM 40MM,3983.5,3983.5,508.35,4429.0,120
HCPCS,C1713,SCREW BN SPN 8.5MM 45MM,4338.0,4338.0,637.05,4429.0,90
HCPCS,C1713,SCREW BN SPN 8.5MM 50MM,3765.0,3765.0,508.35,4429.0,90
HCPCS,C1713,SCREW BN SPN 8.5MM 60MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,SCREW BN SPN 8.5MM 65MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 8.5MM 70MM,3909.0,3909.0,508.35,4429.0,60
HCPCS,C1713,SCREW BN SPN 8.5MM 80MM,3765.0,3765.0,508.35,4429.0,120
HCPCS,C1713,SCREW BN SPN 9.5MM 110MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW BN SPN 9.5MM 50MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 9.5MM 70MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN SPN 9.5MM 80MM,3765.0,3765.0,564.75,3765.0,60
HCPCS,C1713,SCREW BN SPN 9.5MM 90MM,4097.0,4097.0,564.75,4429.0,90
HCPCS,C1713,SCREW BN SPN CERV 4X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPN L45 OD4.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN LEVA 5X30MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN SPN OCT 3.5X36,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPN STD,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BN SPN TI 7.5X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPN U L50 OD5.5,6954.0,6954.0,1043.1,6954.0,30
HCPCS,C1713,SCREW BN SPN UNP4.5X30MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN UNP5.5X35MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPN UNP5.5X40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPNL,1566.0,1566.0,234.9,1566.0,30
HCPCS,C1713,SCREW BN SPNL 3.5X14MM P,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPNL 3.5X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN SPNL 3.5X18MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPNL 3.5X20MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPNL 3.5X22MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPNL 3.5X24MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPNL 30-34MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPNL 4.0X22MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW BN SPNL 4.0X42MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW BN SPNL 4.0X46MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW BN SPNL 4.0X48MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW BN SPNL 4.0X50MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW BN SPNL 4.0X52MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X22MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X23MM,3937.0,3937.0,590.55,3937.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X24MM,3765.0,3765.0,564.75,3765.0,60
HCPCS,C1713,SCREW BN SPNL 4.5X25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X26MM,3765.0,3765.0,564.75,3765.0,60
HCPCS,C1713,SCREW BN SPNL 4.5X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X38MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X40MM,4338.0,4338.0,637.05,4429.0,60
HCPCS,C1713,SCREW BN SPNL 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 4.5X50MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BN SPNL 4X10MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN SPNL 4X12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN SPNL 4X14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN SPNL 4X18MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPNL 4X20MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPNL 5.5MM 40MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW BN SPNL 5.5X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 5.5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 5.5X45MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,SCREW BN SPNL 5.5X50MM,4429.0,4429.0,664.35,4429.0,150
HCPCS,C1713,SCREW BN SPNL 5.5X55MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,SCREW BN SPNL 50-74MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN SPNL 6.5X35MM,3720.5,3720.5,451.8,4429.0,120
HCPCS,C1713,SCREW BN SPNL 6.5X40MM,4338.0,4338.0,637.05,4429.0,90
HCPCS,C1713,SCREW BN SPNL 6.5X45MM,4247.0,4247.0,451.8,5094.0,210
HCPCS,C1713,SCREW BN SPNL 6.5X50MM,4429.0,4429.0,451.8,5094.0,210
HCPCS,C1713,SCREW BN SPNL 6.5X55MM,4429.0,4429.0,451.8,5094.0,180
HCPCS,C1713,SCREW BN SPNL 6.5X60MM,4338.0,4338.0,637.05,4429.0,120
HCPCS,C1713,SCREW BN SPNL 6.5X65MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 6X45MM,3720.5,3720.5,451.8,4429.0,60
HCPCS,C1713,SCREW BN SPNL 7.5X 55,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 7.5X25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 7.5X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 7.5X35MM,4429.0,4429.0,664.35,4429.0,120
HCPCS,C1713,SCREW BN SPNL 7.5X40MM,4247.0,4247.0,451.8,4429.0,150
HCPCS,C1713,SCREW BN SPNL 7.5X45MM,4338.0,4338.0,451.8,5094.0,180
HCPCS,C1713,SCREW BN SPNL 7.5X50MM,3720.5,3720.5,451.8,4429.0,180
HCPCS,C1713,SCREW BN SPNL 7.5X55MM,4338.0,4338.0,637.05,4429.0,150
HCPCS,C1713,SCREW BN SPNL 7.5X60MM,4338.0,4338.0,637.05,4429.0,150
HCPCS,C1713,SCREW BN SPNL 7.5X75MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,SCREW BN SPNL 7.5X80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 7.5X85MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,SCREW BN SPNL 7.5X95MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,SCREW BN SPNL 7MM 55MM X,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 7X80MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,SCREW BN SPNL 8.5X35MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BN SPNL 8.5X40MM,3720.5,3720.5,451.8,4429.0,90
HCPCS,C1713,SCREW BN SPNL 8.5X45MM,3765.0,3765.0,451.8,4429.0,150
HCPCS,C1713,SCREW BN SPNL 8.5X50MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BN SPNL 8.5X55MM,3720.5,3720.5,451.8,4429.0,120
HCPCS,C1713,SCREW BN SPNL 8.5X60MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BN SPNL 8.5X65MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 8.5X70MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 8.5X75MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,SCREW BN SPNL 8.5X80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 8.5X85MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,SCREW BN SPNL 8.5X90MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 8X55MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BN SPNL 8X90,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN SPNL 9.5X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 9.5X40MM,3720.5,3720.5,451.8,4429.0,90
HCPCS,C1713,SCREW BN SPNL 9.5X45MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,SCREW BN SPNL 9.5X46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL 9.5X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL REDUCTION,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN SPNL VAR 14X4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN SPNL VAR 16X4MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN SPRCL 6.5X20MM,833.0,833.0,124.95,833.0,30
HCPCS,C1713,SCREW BN SPRCL 6.5X30MM,833.0,833.0,124.95,833.0,30
HCPCS,C1713,SCREW BN SS 4X6X18X7MM,2151.0,2151.0,322.65,2151.0,30
HCPCS,C1713,SCREW BN SS 7MM 2.4MM,1555.0,1555.0,233.25,1555.0,30
HCPCS,C1713,SCREW BN SS 7MM 2MM,625.0,625.0,93.75,625.0,30
HCPCS,C1713,SCREW BN SS 7X100X32MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN SS 7X75X16MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN SS 7X80X16MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW BN SS CORT 52X4MM,338.0,338.0,50.7,338.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 10MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 11MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 12MM,402.0,402.0,60.3,402.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 14MM,402.0,402.0,60.3,402.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 16MM,402.0,402.0,60.3,402.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 20MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 22MM,556.0,556.0,83.4,556.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 24MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 7MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN ST 1.5MM 8MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 18MM,553.0,553.0,82.95,553.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 20MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 22MM,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 24MM,985.0,985.0,147.75,985.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 26MM,553.0,553.0,82.95,553.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 28MM,553.0,553.0,82.95,553.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 30MM,553.0,553.0,82.95,553.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 32MM,553.0,553.0,82.95,553.0,30
HCPCS,C1713,SCREW BN ST 2.0MM 8MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN ST 2.4MM 13MM,1555.0,1555.0,233.25,1555.0,30
HCPCS,C1713,SCREW BN ST 2.4MM 14MM,1555.0,1555.0,233.25,1555.0,30
HCPCS,C1713,SCREW BN ST 2.4MM 20MM,2015.0,2015.0,302.25,2015.0,30
HCPCS,C1713,SCREW BN ST 2.4MM 6MM,1280.0,1280.0,192.0,1280.0,30
HCPCS,C1713,SCREW BN ST 2.4MM 8MM,2137.0,2137.0,320.55,2137.0,30
HCPCS,C1713,SCREW BN ST 2.4MM 9MM,2137.0,2137.0,320.55,2137.0,30
HCPCS,C1713,SCREW BN ST 3.5MM 34MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN ST 3.5MM 36MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN ST 4.0MM 36MM,466.0,466.0,69.9,466.0,30
HCPCS,C1713,SCREW BN ST 4.5MM 18MM,270.0,270.0,40.5,270.0,30
HCPCS,C1713,SCREW BN ST 6.5MM 90MM,2210.0,2210.0,331.5,2210.0,30
HCPCS,C1713,SCREW BN ST M5 SPN SHR,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,SCREW BN ST T25 5X30MM,3098.0,3098.0,464.7,3098.0,30
HCPCS,C1713,SCREW BN STAP T4 1.3X9MM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C1713,SCREW BN STD 20MM,3333.0,3333.0,499.95,3333.0,30
HCPCS,C1713,SCREW BN STD 22MM,3241.5,3241.5,478.35,3294.0,60
HCPCS,C1713,SCREW BN STD 24MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN STD 28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN STD 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN STD 32MM,3294.0,3294.0,494.1,3294.0,30
HCPCS,C1713,SCREW BN STD 34MM,3294.0,3294.0,494.1,3294.0,30
HCPCS,C1713,SCREW BN STEM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN STRAIGHT 4HL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X26MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X28MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X30MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X32MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X34MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X36MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X38MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X40MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X42MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X44MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X46MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X48MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X50MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL LCK 5X56MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN STRL SZ2,2902.0,2902.0,435.3,2902.0,30
HCPCS,C1713,SCREW BN SYNAPSE 3.5X20M,4446.0,4446.0,666.9,4446.0,30
HCPCS,C1713,SCREW BN T10 3.5/L16MM,463.0,463.0,69.45,463.0,30
HCPCS,C1713,SCREW BN T10 3.5X18MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN T10 3.5X20MM,1331.5,1331.5,100.5,1993.0,60
HCPCS,C1713,SCREW BN T10 3.5X22MM,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN T10 3.5X32MM,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN T10 3.5X34MM,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN T10 3.5X42MM,2518.0,2518.0,377.7,2518.0,30
HCPCS,C1713,SCREW BN T25 6X8X52MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN T25 6X8X56MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN T25 6X8X76MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN T6 2.3X8MM,1401.0,1401.0,210.15,1401.0,30
HCPCS,C1713,SCREW BN T8 2.7/L16MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN T8 2.7MM 12MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN T8 2.7X38MM,610.0,610.0,91.5,610.0,30
HCPCS,C1713,SCREW BN T8 2.7X4.5X10,614.0,614.0,92.1,614.0,30
HCPCS,C1713,SCREW BN T8 2.7X4.5X13MM,1973.0,1973.0,295.95,1973.0,30
HCPCS,C1713,SCREW BN T8 2.7X50MM,634.0,634.0,95.1,634.0,30
HCPCS,C1713,SCREW BN T8 S/T 2.7X26MM,1973.0,1973.0,295.95,1973.0,30
HCPCS,C1713,SCREW BN THRD 2.7 14MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW BN THRD T10 3.5X26,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW BN TI 10X3.5MM MNT,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN TI 12MM,1350.0,1350.0,202.5,1350.0,30
HCPCS,C1713,SCREW BN TI 12MM 4.5MM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW BN TI 2.4 6MM,750.0,750.0,112.5,750.0,30
HCPCS,C1713,SCREW BN TI 2.5MM 22MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN TI 2.7MM 12MM,877.5,877.5,59.85,1356.0,60
HCPCS,C1713,SCREW BN TI 2.7MM 14MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN TI 2.7MM 16MM,877.5,877.5,59.85,1356.0,60
HCPCS,C1713,SCREW BN TI 2.7MM 18MM,877.5,877.5,59.85,1356.0,60
HCPCS,C1713,SCREW BN TI 2.7MM 20MM,877.5,877.5,59.85,1356.0,60
HCPCS,C1713,SCREW BN TI 2.7MM 22MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN TI 2.7MM 24MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN TI 2X9MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN TI 3.5MM 16MM,571.0,571.0,85.65,571.0,30
HCPCS,C1713,SCREW BN TI 3.5MM 22MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN TI 3.5MM 24MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW BN TI 3.5X22MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN TI 3.5X24MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN TI 3.5X26X18MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN TI 3.5X30MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW BN TI 3.5X31X22MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN TI 30MM 3.5MM C,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BN TI 35X4.2MM CLK,3900.0,3900.0,585.0,3900.0,30
HCPCS,C1713,SCREW BN TI 3M OD1.2M,1334.0,1334.0,200.1,1334.0,30
HCPCS,C1713,SCREW BN TI 3MM 18MM,1754.0,1754.0,263.1,1754.0,30
HCPCS,C1713,SCREW BN TI 4.0X20MM SPN,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW BN TI 4.0X25MM LOK,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN TI 4.35L35 MTNR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN TI 4.5MM 95MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN TI 40X4.2MM CLK,3650.0,3650.0,547.5,3650.0,30
HCPCS,C1713,SCREW BN TI 44MM 4MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN TI 4X30MM SYNFX,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN TI 4X40MM ORTHO,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN TI 5.0 36MM SYN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN TI 5.0 42MM LOK,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN TI 5.0 HUM LOK,2182.0,2182.0,327.3,2182.0,30
HCPCS,C1713,SCREW BN TI 5X85MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN TI 6X40MM STRDR,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN TI 6X44MM STRDR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN TI CANC 5X24MM,2073.0,2073.0,310.95,2073.0,30
HCPCS,C1713,SCREW BN TI CANC 5X30MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN TI CLKX 30X4.2,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BN TI CORT 4X20MM,2607.0,2607.0,391.05,2607.0,30
HCPCS,C1713,SCREW BN TI CORT 4X22MM,2308.0,2308.0,346.2,2308.0,30
HCPCS,C1713,SCREW BN TI CORT 4X28MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN TI CORT 4X30MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN TI CORT 4X36MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SCREW BN TI L12MM SKYLIN,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BN TI L13MM SKYLIN,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN TI L15MM SKYLIN,1461.0,1461.0,219.15,1461.0,30
HCPCS,C1713,SCREW BN TI L20MM OD3.5M,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW BN TI L22MM OD6MM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW BN TI L24 OD3.5 MT,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN TI L3MM LPRO NE,502.0,502.0,75.3,502.0,30
HCPCS,C1713,SCREW BN TI L40 OD7 EXPD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN TI L40 XPDM SPN,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BN TI L42MM OD6MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BN TI L45 XPDM SPN,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1713,SCREW BN TI L50 OD6 EXPD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN TI L50 OD6.5 SP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN TI L50 XPDM SPN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN TI L55 OD7 EXPD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN TI L55 OD7.5 XP,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN TI L55 XPDM SPN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN TI L70MM OD7.5M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BN TI L80 OD8 EXPD,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN TI L8MM OD4.5MM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW BN TI L9MM OD4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BN TI LMNA LK TRNC,1055.0,1055.0,158.25,1055.0,30
HCPCS,C1713,SCREW BN TI SLF DRL 4MM,1201.0,1201.0,180.15,1201.0,30
HCPCS,C1713,SCREW BN TI SPNL LCK NS,731.0,731.0,109.65,731.0,30
HCPCS,C1713,SCREW BN TIB 4X80MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW BN TIB KN 5X60MM,2884.0,2884.0,432.6,2884.0,30
HCPCS,C1713,SCREW BN TIB XTN STEM,718.0,718.0,107.7,718.0,30
HCPCS,C1713,SCREW BN TIT L56 MM OD5.,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN TIT L76 MM OD5.,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN TITANIUM L50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BN TWSTOF 2X13MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN TWSTOF 2X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN VAL 2.4MM 12MM,2344.0,2344.0,351.6,2344.0,30
HCPCS,C1713,SCREW BN VAR 5X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN VAR 5X12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN VAR 5X50MM,2160.0,2160.0,324.0,2160.0,30
HCPCS,C1713,SCREW BN VARIAX 2.7X12MM,1975.0,1975.0,296.25,1975.0,30
HCPCS,C1713,SCREW BN VIPER 5X50,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,SCREW BN W/CAP 4.5X20MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN W/CAP 4.5X25MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW BN WCHT 6X35MM,2503.0,2503.0,375.45,2503.0,30
HCPCS,C1713,SCREW BN WRST 2.3MM 24MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN WRST SNPOF 22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN WRST SPHRCL 18,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BN XENA P-AX ST,4429.0,4429.0,664.35,4429.0,360
HCPCS,C1713,SCREW BN XL25 0.5MM 74MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN XL25 5MM 64MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN XL25 5X34MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW BN XL25 5X80MM,2738.0,2738.0,410.7,2738.0,30
HCPCS,C1713,SCREW BN XPDM 5.5MM 45MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BN XTRM FT 4X60MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW BN XTRML 2.7X30X28,1549.0,1549.0,232.35,1549.0,30
HCPCS,C1713,SCREW BN ZVTN SPN 4X16MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BNE 1.6X4 ATDR,825.0,825.0,123.75,825.0,30
HCPCS,C1713,SCREW BNE 3.0PR LNG,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BNE 3.5X28 CORT,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW BNE 4.5X13 FX,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BNE 5.0X60 LCK,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW BNE CANC 6.5X45,451.0,451.0,67.65,451.0,30
HCPCS,C1713,SCREW BNE CANC 6.5X50,430.0,430.0,64.5,430.0,30
HCPCS,C1713,SCREW BNE CD HRZN 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE CD HRZN LGCY 5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE CD HRZN LGCY40,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE EXPEDIUM TI L4,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1713,SCREW BNE L12 OD4.5 OC,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BNE L15 OD4 CANC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BNE L16 OD4.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BNE L18MM OD4MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW BNE L26 SPNL,1461.0,1461.0,219.15,1461.0,30
HCPCS,C1713,SCREW BNE L30 WRST,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BNE L45MM OD4.35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE L58MM OD4.0MM,352.0,352.0,52.8,352.0,30
HCPCS,C1713,SCREW BNE L72MM OD4MM LO,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCREW BNE MFA 3.5X16,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BNE MOUNTAINEER L1,4274.5,4274.5,618.0,4429.0,60
HCPCS,C1713,SCREW BNE NONBREAK OFST,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW BNE SPIRE LCK,1609.0,1609.0,241.35,1609.0,30
HCPCS,C1713,SCREW BNE SPNL 6X30 LMBR,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BNE SPNL 6X35 LMBR,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW BNE SS L110MM OD14,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BNE SS L70MM OD14.,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BNE SS L80MM OD14,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BNE SS L90MM OD14.,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BNE TI 2.4X10MM CO,1399.0,1399.0,209.85,1399.0,30
HCPCS,C1713,SCREW BNE TI 30X7MM EXP,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW BNE TI ANT 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE TI L16 OD3,3125.0,3125.0,468.75,3125.0,30
HCPCS,C1713,SCREW BNE TI L16 OD3.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE TI L22MM OD5.5,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BNE TI L38MM OD5.0,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BNE TI L40 OD7.0,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BNE TI L40 TRGN,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW BNE TI L40MM OD5.0,2755.0,2755.0,413.25,2755.0,30
HCPCS,C1713,SCREW BNE TI L40MM OD5.2,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BNE TI L40MM OD8MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SCREW BNE TI L45 OD6.2,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW BNE TI L45 OD7.0,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BNE TI L45MM OD7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE TI L50MM OD5.0,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BNE TI L50MMOD7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE TI L55MM OD6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE TI L55MMOD7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BNE TI L5MM LPRO N,1085.0,1085.0,162.75,1085.0,30
HCPCS,C1713,SCREW BNE TI SPNL 2.0,300.0,300.0,45.0,300.0,30
HCPCS,C1713,SCREW BNE TSRH TI L40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BNE TSRH TI L45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW BONE 14MM EMERGENC,933.0,933.0,139.95,933.0,30
HCPCS,C1713,SCREW BONE 3.5MMX40MM,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW BONE 401.024,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW BONE L12MM OD3.5MM,6281.0,6281.0,942.15,6281.0,30
HCPCS,C1713,SCREW BONE L16MM OD3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BONE L50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW BONE LOCKING 42X45,2755.0,2755.0,413.25,2755.0,30
HCPCS,C1713,SCREW BONE S-ROM L45MM O,1544.0,1544.0,231.6,1544.0,30
HCPCS,C1713,SCREW BONE TI 5.0 S 30MM,2817.0,2817.0,422.55,2817.0,30
HCPCS,C1713,SCREW BONE TI COR 2.0X10,1180.0,1180.0,177.0,1180.0,30
HCPCS,C1713,SCREW BONE TI ORT 2.0X8,1075.0,1075.0,161.25,1075.0,30
HCPCS,C1713,SCREW BONE TI RECESS 2.0,1180.0,1180.0,177.0,1180.0,30
HCPCS,C1713,SCREW BONE TITANIUM L50M,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW BSPLT 6.5X30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW BUTTRESS 25MM ARIA,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BUTTRESS 25MMX5MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BUTTRESS 5.5X25,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW BUTTRESS 5.5X30MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW CALC HEX 3.5X32MM,1788.0,1788.0,268.2,1788.0,30
HCPCS,C1713,SCREW CALC HEX 3.5X34MM,1788.0,1788.0,268.2,1788.0,30
HCPCS,C1713,SCREW CANC 3.5X20MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW CANC 4.0 SLF TAP,2771.0,2771.0,415.65,2771.0,30
HCPCS,C1713,SCREW CANC 4.0X10,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW CANC 4.0X13,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CANC 5.5X28,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CANC 5.5X39,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW CANC 5.5X42,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CANC 5X70MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW CANC 6.5X20 OPTTRC,1635.0,1635.0,245.25,1635.0,30
HCPCS,C1713,SCREW CANC 6.5X25 OPTTRC,1635.0,1635.0,245.25,1635.0,30
HCPCS,C1713,SCREW CANC 6.5X30 OPTTRC,1635.0,1635.0,245.25,1635.0,30
HCPCS,C1713,SCREW CANC 6.5X65,520.0,520.0,78.0,520.0,30
HCPCS,C1713,SCREW CANC 6.5X90,689.0,689.0,103.35,689.0,30
HCPCS,C1713,SCREW CANC CANN 4X44MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANC LOCK 5.5X30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CANC LOCK 5.5X33MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CANC LOCK 5.5X36MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CANC P-AX 3.5X32MM,4446.0,4446.0,666.9,4446.0,30
HCPCS,C1713,SCREW CANC POLY 3.5MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW CANC POLY 3.5X12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW CANC POLY 3.5X16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW CANC POLYAXI 3.5MM,4446.0,4446.0,666.9,4446.0,30
HCPCS,C1713,SCREW CANC POLYAXI 4.0MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW CANC SPN 4.35X14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CANC SS 6.5X55X16,559.0,559.0,83.85,559.0,30
HCPCS,C1713,SCREW CANC SS 6.5X60X32,498.0,498.0,74.7,498.0,30
HCPCS,C1713,SCREW CANC SS 6.5X65MM,498.0,498.0,74.7,498.0,30
HCPCS,C1713,SCREW CANC SS 6.5X80MM,556.0,556.0,83.4,556.0,30
HCPCS,C1713,SCREW CANC SS F-T 4X10MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CANC XPN HD TI L14,2990.0,2990.0,448.5,2990.0,30
HCPCS,C1713,SCREW CANCLS 4.0X14 ST,2303.0,2303.0,345.45,2303.0,30
HCPCS,C1713,SCREW CANN 1.7MMX14MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN 1.7X12MM S-D,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN 2.3MM X 16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN 22X 3.5MM,3097.0,3097.0,464.55,3097.0,30
HCPCS,C1713,SCREW CANN 28X3.5MM,2631.0,2631.0,394.65,2631.0,30
HCPCS,C1713,SCREW CANN 3.5X14,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN 3.5X20,2631.0,2631.0,394.65,2631.0,30
HCPCS,C1713,SCREW CANN 3.5X26,2876.0,2876.0,398.25,3097.0,60
HCPCS,C1713,SCREW CANN 3.5X32,2179.0,2179.0,326.85,2179.0,30
HCPCS,C1713,SCREW CANN 3.5X34,2179.0,2179.0,326.85,2179.0,30
HCPCS,C1713,SCREW CANN 3.5X48,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN 36X3.5MM,2238.0,2238.0,335.7,2238.0,30
HCPCS,C1713,SCREW CANN 38X3.5MM,2238.0,2238.0,335.7,2238.0,30
HCPCS,C1713,SCREW CANN 3X26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN 4.5 34,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW CANN 4.5 46,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW CANN 4.5 50,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW CANN 4X48MM,3277.0,3277.0,491.55,3277.0,30
HCPCS,C1713,SCREW CANN 6.7XL60,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN 8.5MM 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW CANN 8.5X60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW CANN F-T 7X80MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCREW CANN L/T 3.0X18MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW CANN LCK 4.5X40MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW CANN LCK 5X75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN LCK 7.3X30,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CANN SHRT 6.5X40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,SCREW CANN ST 3.0MMX20MM,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW CANN THRD 3.0X12,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW CANN THRD 3.0X14,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW CANN THRD 3.0X16,2924.0,2924.0,401.85,3169.0,60
HCPCS,C1713,SCREW CANN THRD 3.0X20,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW CANN THRD 3.0X22,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW CANN THRD 3.0X32,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW CANN THRD 3.0X34,2679.0,2679.0,401.85,2679.0,30
HCPCS,C1713,SCREW CAPT 6.4X95MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW CDRV 11X2,503.0,503.0,75.45,503.0,30
HCPCS,C1713,SCREW CDRV 13X2,516.0,516.0,77.4,516.0,30
HCPCS,C1713,SCREW CDRV 15X2,397.0,397.0,59.55,397.0,30
HCPCS,C1713,SCREW CDRV 2X5,569.0,569.0,85.35,569.0,30
HCPCS,C1713,SCREW CDRV 7X2,516.0,516.0,77.4,516.0,30
HCPCS,C1713,SCREW CDRV 9X2,569.0,569.0,85.35,569.0,30
HCPCS,C1713,SCREW CENTR-DRIVE MICRO,755.0,755.0,113.25,755.0,30
HCPCS,C1713,SCREW CERV 4.0X14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW CERV SPINE EXPANSN,1205.0,1205.0,180.75,1205.0,30
HCPCS,C1713,SCREW CLICKX 6.2X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW CLICKX 7.0 X 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW CLK-X 5.2X45,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW CLK-X 6.2X45,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW CLK-X 6.2X50,3909.0,3909.0,508.35,4429.0,60
HCPCS,C1713,SCREW CLS MAS 8.5 X9,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW CLSD HD MDLR FRBRD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CMPHDLS 2.5X28MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CMPR 6.5X50X16MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CMPR L/5 2.4X36X14,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CMPRSN 4.0X50MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CNSTRND 25X5.0 BDY,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW CORT 1.5 12,262.0,262.0,39.3,262.0,30
HCPCS,C1713,SCREW CORT 2.0 14,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW CORT 2.0MM X 14MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW CORT 2.0X12,516.0,516.0,77.4,516.0,30
HCPCS,C1713,SCREW CORT 2.7X10,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT 2.7X12,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT 2.7X14,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT 2.7X16,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT 2.7X18,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT 2.7X22,516.0,516.0,77.4,516.0,30
HCPCS,C1713,SCREW CORT 2.7X24,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT 2.7X6X90MM,329.0,329.0,49.35,329.0,30
HCPCS,C1713,SCREW CORT 3.5X12,331.0,331.0,49.65,331.0,30
HCPCS,C1713,SCREW CORT 4.0X18,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CORT 4.5MMX27.5MM,1712.0,1712.0,256.8,1712.0,30
HCPCS,C1713,SCREW CORT 4.5MMX32.5MM,1712.0,1712.0,256.8,1712.0,30
HCPCS,C1713,SCREW CORT 4.5MMX35MM,1712.0,1712.0,256.8,1712.0,30
HCPCS,C1713,SCREW CORT BN 3X16MM,1754.0,1754.0,263.1,1754.0,30
HCPCS,C1713,SCREW CORT CRNFCL 2X16MM,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW CORT F-T 3.5X6X16,414.0,414.0,62.1,414.0,30
HCPCS,C1713,SCREW CORT MF 1.5X6,326.0,326.0,48.9,326.0,30
HCPCS,C1713,SCREW CORT MF 1.5X7,284.0,284.0,42.6,284.0,30
HCPCS,C1713,SCREW CORT MF 1.5X8,284.0,284.0,42.6,284.0,30
HCPCS,C1713,SCREW CORT MF 1.5X9,501.0,501.0,75.15,501.0,30
HCPCS,C1713,SCREW CORT MF 2.7X6,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT MF 2.7X8,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT S/D 1.5 6,876.0,876.0,131.4,876.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X10MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X14MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X18MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X20MM,414.0,414.0,62.1,414.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X22MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X24MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X26MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X32MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X38MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X40MM,414.0,414.0,62.1,414.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X46MM,331.0,331.0,49.65,331.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X55MM,414.0,414.0,62.1,414.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X60MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X70MM,414.0,414.0,62.1,414.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X80MM,670.0,670.0,100.5,670.0,30
HCPCS,C1713,SCREW CORT S/T 3.5X95MM,331.0,331.0,49.65,331.0,30
HCPCS,C1713,SCREW CORT S/T 4.5X16MM,368.0,368.0,55.2,368.0,30
HCPCS,C1713,SCREW CORT S/T 4.5X20MM,368.0,368.0,55.2,368.0,30
HCPCS,C1713,SCREW CORT S/T 4.5X80MM,456.0,456.0,68.4,456.0,30
HCPCS,C1713,SCREW CORT TC100 3.5X32,332.0,332.0,49.8,332.0,30
HCPCS,C1713,SCREW CORT TC100 3.5X34,332.0,332.0,49.8,332.0,30
HCPCS,C1713,SCREW CORT TI 2.0X10,849.0,849.0,127.35,849.0,30
HCPCS,C1713,SCREW CORT TI 2.0X12,811.0,811.0,121.65,811.0,30
HCPCS,C1713,SCREW CORT TI 2.0X14,480.0,480.0,72.0,480.0,30
HCPCS,C1713,SCREW CORT TI 2.0X18,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW CORT TT 2.7 X 10,894.0,894.0,134.1,894.0,30
HCPCS,C1713,SCREW CORT TT 2.7 X 12,894.0,894.0,134.1,894.0,30
HCPCS,C1713,SCREW CORT TT 2.7 X 22,652.0,652.0,97.8,652.0,30
HCPCS,C1713,SCREW CORT TT 2.7 X 24,780.0,780.0,117.0,780.0,30
HCPCS,C1713,SCREW CORT TT 2.7X06 402,894.0,894.0,134.1,894.0,30
HCPCS,C1713,SCREW CORT TT 2.7X08,894.0,894.0,134.1,894.0,30
HCPCS,C1713,SCREW CORT TT 2.7X14,894.0,894.0,134.1,894.0,30
HCPCS,C1713,SCREW CORT TT 2.7X16,548.0,548.0,82.2,548.0,30
HCPCS,C1713,SCREW CORT TT 2.7X18,454.0,454.0,68.1,454.0,30
HCPCS,C1713,SCREW CORT TT 2.7X20,520.0,520.0,78.0,520.0,30
HCPCS,C1713,SCREW CORTEX 2.4 X 8MM,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW CORTEX TIT 8MM 401,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW CORTICAL 401.065E,877.0,877.0,131.55,877.0,30
HCPCS,C1713,SCREW CP SBTCH 12.7X95,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CPTR BLU 6.4X65MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CPTR BLU 6.4X75MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CPTR BLU 6.4X80MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW CREO 4.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW CREO 5.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW CREO 5.5X50MM MOD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CREO 7.5 X 40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW CREO FEN 4.5X45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CRNFCL 3X1.3X2.4MM,1395.0,1395.0,209.25,1395.0,30
HCPCS,C1713,SCREW CRNMXF 1.5X5MM,1563.0,1563.0,234.45,1563.0,30
HCPCS,C1713,SCREW CRTX 1.5 TI #12,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW CRTX 1.5X10,311.0,311.0,46.65,311.0,30
HCPCS,C1713,SCREW CRTX 1.5X14,239.0,239.0,35.85,239.0,30
HCPCS,C1713,SCREW CRTX 1.5X16,239.0,239.0,35.85,239.0,30
HCPCS,C1713,SCREW CRTX 2X4MM TI CRNF,997.0,997.0,149.55,997.0,30
HCPCS,C1713,SCREW CRTX TI 1.5X13,485.0,485.0,72.75,485.0,30
HCPCS,C1713,SCREW CRTX XPN 4.0X14,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CSPN FXANG 4X12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CSPN FXANG 4X14MM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW CSPN SLF DRL4.5X14,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW CSPN VAR ANG 4X14,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW CSPN VAR ANG4.5X12,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW CTR DR MICRO 1X3,702.0,702.0,105.3,702.0,30
HCPCS,C1713,SCREW CTR DR MICRO 1X4,672.0,672.0,100.8,672.0,30
HCPCS,C1713,SCREW CTR DRIVE 1.0X2MM,1802.0,1802.0,270.3,1802.0,30
HCPCS,C1713,SCREW CTR DRV MCR 1.5X4,755.0,755.0,113.25,755.0,30
HCPCS,C1713,SCREW CTR EMER 2.5X9,702.0,702.0,105.3,702.0,30
HCPCS,C1713,SCREW CTR MNDBL 3X1.2,715.0,715.0,107.25,715.0,30
HCPCS,C1713,SCREW CTR MNDBL 5X1,702.0,702.0,105.3,702.0,30
HCPCS,C1713,SCREW DANEK 859-855,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW DEPUY 4.35X35,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW DIFA 5 X 35 MM DEP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW DIFA 5 X 40 MM DEP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW DIFA 5 X 50 MM DEP,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW DIFA 6 X 40MM DEPU,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW DRCO LCK 3.5X16MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW DRILL 16X4.0MM VAR,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW DRKSTR CAN4.5X25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW DRKSTR CAN4.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW DRKSTR CAN4.5X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW DRKSTR CAN4.5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW DRKSTR CAN5.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW DRKSTR CAN5.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW DRKSTR CAN6.0X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW DRKSTR CAN6.0X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW DRKSTR CAN6.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW DRKSTR CAN7.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW DRKSTR CAN8.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW DRKSTR PAX6.5X50MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW DRKSTR RDCT 6.5X45,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW DUAL THRD 4.5X30MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,SCREW ELLIPSE 3.5X18MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW ELLPSE P-AX 4.5X20,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW EMER CRNFCL1.7X5MM,1531.0,1531.0,229.65,1531.0,30
HCPCS,C1713,SCREW EMERGENCY 1.7X4MM,1467.0,1467.0,220.05,1467.0,30
HCPCS,C1713,SCREW EMERGENCY 2.4 X 8M,750.0,750.0,112.5,750.0,30
HCPCS,C1713,SCREW EXP 5.50 DUAL 5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW EXP 5.50 POLYAXIAL,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW EXP DL-INNIE POLY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW EXP TI POLY 7.5X90,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW EXP TI POLY 8X50,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW EXPANSON HEAD,1886.0,1886.0,282.9,1886.0,30
HCPCS,C1713,SCREW FACET 5.25MM X30MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW FACET 5.25MMX40MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW FACET 5MM X 30MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW FAVORED ANGL 3.5X2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW FAVR ANG 3.5X12,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW FEN 6.5X50MM MOD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW FEN MOD 5X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW FIX 4.5MMX12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW FIX ARTIC 4.5X50,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW FIXED SLFDRL 4X14,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW FULL THRD 5.25X40,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,SCREW FX STD 7.5MM 23MM,3838.0,3838.0,575.7,3838.0,30
HCPCS,C1713,SCREW GLNOD 30 BSPLT,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1713,SCREW HD 45X6.5 CLARIS,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW HD 50X 6.5 CLRS P,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW HD 50X7.5MM CLR PS,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW HDLS CMP 2.5X26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW HDLS CMP LO 3X28,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW HDLS CMPR 2.5X26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW HEAD 40X5.5MM CLAR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW HEAD 45X5.5MM CLA,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW HEAD 55X7.5MM CLAR,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW HEAD MET MINI SZ11,9080.0,9080.0,1362.0,9080.0,30
HCPCS,C1713,SCREW HEADLESS 4.5X36 LT,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW HEX 3.8X14MM,479.0,479.0,71.85,479.0,30
HCPCS,C1713,SCREW HEX CRTCL 3.2X38MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW HIP 6.5MM 25MM,1.0,1.0,0.15,1.0,30
HCPCS,C1713,SCREW HIP BN 6.5X40X120,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW HLX SLFDRL 4X13MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW HND 2X3.5X24MM,602.0,602.0,90.3,602.0,30
HCPCS,C1713,SCREW INTF 10MM 20MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW INTFR ACL 23X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW INTFR PEEK 23X6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW INTFR PK OPTMA9X28,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW INTFR PKOPT 23X9MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW INTFRNCE AR5028C09,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW INTLK BN 5X40MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW INTRFX PEEK 30X9MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCREW ISOLA BONE VSP 6.5,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW ISOLA BONE VSP 7 X,3420.5,3420.5,461.4,3765.0,120
HCPCS,C1713,SCREW J&J 6.5X40,1590.0,1590.0,238.5,1590.0,30
HCPCS,C1713,SCREW L/T ANKL FT 7X60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW L40MM OD4.35MM SPI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW L50MM OD6.5MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW L65MM OD33MM SPINA,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW LAB AMBI 100,2480.0,2480.0,372.0,2480.0,30
HCPCS,C1713,SCREW LAB AMBI 70,2728.0,2728.0,409.2,2728.0,30
HCPCS,C1713,SCREW LAG 12.7 MM 110MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW LAG 12.7X9X95X21MM,2480.0,2480.0,372.0,2480.0,30
HCPCS,C1713,SCREW LAG DHS 100MM 280.,3234.0,3234.0,485.1,3234.0,30
HCPCS,C1713,SCREW LAG DHS 75MM 280.7,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW LAG SS 4.0X12,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW LAG T10 4.1X22MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW LANCER PAX 6.5X45,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LANCER PAX 8.5X35,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LANCER PAX 8.5X40,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LANCER PAX 8.5X80,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LANCER PLYX 7.5X35,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LANCR PAX 8.5X70MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LANCR PLYXL 7.5X50,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LCK 0D XL25 5X80MM,2260.0,2260.0,339.0,2260.0,30
HCPCS,C1713,SCREW LCK 2.4X8MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW LCK 2.7MM 26MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW LCK 2.7X28MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW LCK 2.7X30MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW LCK DRV 4X60MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW LCK HEX 10MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW LCK LRG HEAD LT,2550.0,2550.0,382.5,2550.0,30
HCPCS,C1713,SCREW LCK S/T T15 4X14MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW LCK ST 4X50MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW LCK STRDR 4X3.3X40,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW LCK STRNL 3X12,3125.0,3125.0,468.75,3125.0,30
HCPCS,C1713,SCREW LCKNG CRTCL 26MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW LCP SS FT 2.7X40MM,582.0,582.0,87.3,582.0,30
HCPCS,C1713,SCREW LEGACY MAS 7.5X40M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW LEGACY MAS 7.5X50M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW LEGACY MAS SS 6.5,5049.0,5049.0,664.35,5669.0,60
HCPCS,C1713,SCREW LEGACY REDUCTION M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW LMNR HOOK CERV FSN,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW LNCER PAX 6.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LNCR PLYAXL 8.5X90,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW LNG THRD HDLSS 22M,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW LOCK SS,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW LOCK TFN 458.948,2969.0,2969.0,445.35,2969.0,30
HCPCS,C1713,SCREW LOCKING 2.3X14MM,1007.0,1007.0,151.05,1007.0,30
HCPCS,C1713,SCREW LOCKING 3.5 X 26MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW LOCKING 3.5 X 28MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW LOCKING 3.5MM S/T,1788.0,1788.0,268.2,1788.0,30
HCPCS,C1713,SCREW LOCKING 5.0 X 70MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW LOCKING 5.0X34,2755.0,2755.0,413.25,2755.0,30
HCPCS,C1713,SCREW LOCKING AR-8933L12,1754.0,1754.0,263.1,1754.0,30
HCPCS,C1713,SCREW LOCKING FOR ENDCAP,1661.0,1661.0,249.15,1661.0,30
HCPCS,C1713,SCREW LOW PROF 2.4X14MM,1993.0,1993.0,298.95,1993.0,30
HCPCS,C1713,SCREW LPN 6MM SELF DRILL,1148.0,1148.0,172.2,1148.0,30
HCPCS,C1713,SCREW LPN EMERGENCY 4MM,1022.0,1022.0,153.3,1022.0,30
HCPCS,C1713,SCREW LPN EMERGENCY 5MM,1212.0,1212.0,181.8,1212.0,30
HCPCS,C1713,SCREW MALIBU 6.5X45MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW MALIBU P-AX 6.5X35,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW MAS CDH LEGACY 6.5,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW MAS CDH LEGACY 7.5,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW MDLR FRBRD 9.5X10,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW MEDIA LAT 3.5X20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW MIC MNDBL 4X1.5,662.0,662.0,99.3,662.0,30
HCPCS,C1713,SCREW MIC MNDBL 5X1.5,662.0,662.0,99.3,662.0,30
HCPCS,C1713,SCREW MIC NEURO 3.5X1.5,563.0,563.0,84.45,563.0,30
HCPCS,C1713,SCREW MINI MNDBL 5X2,543.0,543.0,81.45,543.0,30
HCPCS,C1713,SCREW MINI MNDBL 7X2,622.0,622.0,93.3,622.0,30
HCPCS,C1713,SCREW MNDBL 3.5X1.5,596.0,596.0,89.4,596.0,30
HCPCS,C1713,SCREW MNDBL 3.5X1.8,596.0,596.0,89.4,596.0,30
HCPCS,C1713,SCREW MNDBL 4X1.5,596.0,596.0,89.4,596.0,30
HCPCS,C1713,SCREW MNDBL 5X1.5,596.0,596.0,89.4,596.0,30
HCPCS,C1713,SCREW MNDBL 5X1.8,636.0,636.0,95.4,636.0,30
HCPCS,C1713,SCREW MNDBL 7X1.5,530.0,530.0,79.5,530.0,30
HCPCS,C1713,SCREW MNDBL 9X1.5,530.0,530.0,79.5,530.0,30
HCPCS,C1713,SCREW MNTR 4.35X30,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW MOD BODY HUMERAL,1579.0,1579.0,236.85,1579.0,30
HCPCS,C1713,SCREW MONSTER 3.5X30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW MOSS SI INNER ONLY,2204.0,2204.0,330.6,2204.0,30
HCPCS,C1713,SCREW MTRX MDFACE 8MM,1350.0,1350.0,202.5,1350.0,30
HCPCS,C1713,SCREW MTRX-MDFC S/T 5MM,1574.0,1574.0,236.1,1574.0,30
HCPCS,C1713,SCREW MTRXRB LCK 2.9X6MM,3013.0,3013.0,451.95,3013.0,30
HCPCS,C1713,SCREW MUC CMPR 80X32,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW MUL AX 5.5X30,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW MUL AX 5.5X35,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW MUL AX 5.5X40,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW MUL AX 5.5X45,6724.0,6724.0,1008.6,6724.0,30
HCPCS,C1713,SCREW MUL AX 5.5X50,6724.0,6724.0,1008.6,6724.0,30
HCPCS,C1713,SCREW MUL AX 6.5X30 TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW MUL AX 6.5X35,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW MUL AX 6.5X50,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW MUL AX 7.5X35 TI,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW MUL AX 7.5X45 TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW MUL AX TI 6.5X55,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW MXFCL LCK 2.7X9,1825.0,1825.0,273.75,1825.0,30
HCPCS,C1713,SCREW MXFCL MIC 2.7X10,1909.0,1909.0,286.35,1909.0,30
HCPCS,C1713,SCREW MXFCL MIC 2.7X16,1909.0,1909.0,286.35,1909.0,30
HCPCS,C1713,SCREW MXLCK 3.5X32.5MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW MXLFCL 2.7X5MM,2153.0,2153.0,322.95,2153.0,30
HCPCS,C1713,SCREW MXLFCL CP 2.3X8MM,1166.0,1166.0,174.9,1166.0,30
HCPCS,C1713,SCREW N-LCK S/S 3.5X45MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW NLCKG 3.5X24MM,993.0,993.0,148.95,993.0,30
HCPCS,C1713,SCREW NLCKG 3.5X26MM,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW NLCKG 4X32.5MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW NLCKG 4X35MM,993.0,993.0,148.95,993.0,30
HCPCS,C1713,SCREW NON LOCK 4.5X23,906.0,906.0,135.9,906.0,30
HCPCS,C1713,SCREW NON LOCKG 3.5 X 26,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCREW NONLK 2.7MM X 26MM,1549.0,1549.0,232.35,1549.0,30
HCPCS,C1713,SCREW OCCIPITAL 4.5X10MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW OCCIPITAL 4.5X8MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW OCCIPITAL 4.5X9MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW OCCIPITAL S/T 4X16,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW OCPTL 4.5X6,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW OCPTL 4.5X7MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW ORTH 9.5X25MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW ORTH LCK 6.5X65,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW ORTH NLCKG 3.5X22,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW P-AX 5.5X45X5.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW P-AX 5.5X50X4.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW P-AX 6.5X55X5.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW P-AX 8.5X90MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW P-AX CANC 3.5X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW P-AX UNI 6.5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW PAX 5.5X32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW PDCL TI 7.5X55,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW PED 8.5X85MM,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,SCREW PEDICLE 8.5X100MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW PEEK-OPT 28X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW PERIPHRL 4.5X30MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW PERPH LCK 30MM UNV,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SCREW PLUS DRIVE 1.3MM X,1210.0,1210.0,181.5,1210.0,30
HCPCS,C1713,SCREW PLYAXL 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW PLYAXL 60X6.0MM XI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW POLY 3.5MM 8MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW POLY 4.5MMX28MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW POLYAX THDRBLT 5.5,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW POLYAXIAL 6.5X55,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW POLYAXIAL 7.5X40,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW POLYAXIAL 7.5X45,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW POLYAXL 3.5X18MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW POLYX LRDTC SPN 32,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1713,SCREW PRIM SEMICN 4X14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW QUARTEX 4MM 18MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW QWX FT 7.5X80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW RDC ILC 8.5X100MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW RDC LCK 2 4.5X25MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW RDC LCK 2 5.5X50MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW RDC LCK 2 5.5X55MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW RDC PAX 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW RDC PAX 7.5X45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW RECON 6.4X105MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW RECON 6.4X90,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW RECON CRV 2.3MM,8882.0,8882.0,1332.3,8882.0,30
HCPCS,C1713,SCREW RECON STR 2.3MM,8882.0,8882.0,1332.3,8882.0,30
HCPCS,C1713,SCREW REDUCTION 6.5X45,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW RETAIN REPLACE,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1713,SCREW RETRO AR-1586LB-09,3093.0,3093.0,463.95,3093.0,30
HCPCS,C1713,SCREW REVISION 5.5X25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW RIB 2.3MM X 7MM,1992.0,1992.0,298.8,1992.0,30
HCPCS,C1713,SCREW S/T 4X30MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW S/T 4X32MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW S/T 4X40MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW S/T LCK 3.5X15MM,3009.0,3009.0,451.35,3009.0,30
HCPCS,C1713,SCREW S/T STD 4.0X6,2967.0,2967.0,445.05,2967.0,30
HCPCS,C1713,SCREW SAFETY 1.9MM 4MM,1102.0,1102.0,165.3,1102.0,30
HCPCS,C1713,SCREW SD LCK 2.3X12MM,1007.0,1007.0,151.05,1007.0,30
HCPCS,C1713,SCREW SELF DRILL 4.0X14,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SELF TAP DEPUY 10M,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SET 3.5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET ALOY CMN TI,718.0,718.0,107.7,718.0,30
HCPCS,C1713,SCREW SET BRKOF G5 4.75,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW SET BRKOFF 4.75IN,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SET CYPHER HF 5.5,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET EDEN SPINE,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET EXTENDED,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET LG RS-826-85,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPINE,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN,753.0,753.0,112.95,753.0,150
HCPCS,C1713,SCREW SET SPN 5.5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN CONNECTOR,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN LCK,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN LG ROD/ROD,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN LOCKING,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN NEW THREAD,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN NS,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN ORTHO LG,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN PDCL CANN,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET SPN UNIV,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SET SPNL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET TBOLT LANCER,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET TI L32 SPNL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET TI M8 BRKOF,2701.0,2701.0,405.15,2701.0,30
HCPCS,C1713,SCREW SET TI MTNR O,731.0,731.0,109.65,731.0,30
HCPCS,C1713,SCREW SET TI SPIN,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW SET TI SPNL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SET V-LOCK 90,1212.0,1212.0,181.8,1212.0,30
HCPCS,C1713,SCREW SET ZAVATION,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SHANK SPN 3.5X20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SHFT P-AX 3.5X34MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SHLDR RVRS,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW SHLDR SET 4.5X10MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW SHRT HDLS 5.0X34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW SIERA 3.5X12,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SKY VRBL S-T 20 TI,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SKYLINE ST 16MM CO,1461.0,1461.0,219.15,1461.0,30
HCPCS,C1713,SCREW SKYLN ST 12 OVSZ,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SLF DRL FXD 4X13MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SLF DRL VAR 4.0X12,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SLF-DRILLING VAR B,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SLFDRL VAR 4.5X14,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SLFDRL VAR 4X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SLFTAP 1.5MM TI LC,1810.0,1810.0,271.5,1810.0,60
HCPCS,C1713,SCREW SNTH TI SIDE-OP,4105.0,4105.0,615.75,4105.0,30
HCPCS,C1713,SCREW SP VAR 4X14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SP VR SLFDR 4X16MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SP VR SLFDR 4X18MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPINAL EDEN6.0X50M,4983.0,4983.0,747.45,4983.0,30
HCPCS,C1713,SCREW SPINE 4MM 14MM FX,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPINL VIPR 6X45,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPLN 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN .25IN 32MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 02.7MM 9MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 10.5MM 100MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 10.5MM 40MM,3388.5,3388.5,451.8,3765.0,60
HCPCS,C1713,SCREW SPN 10.5MM 45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 10.5MM 50MM,3388.5,3388.5,451.8,3765.0,90
HCPCS,C1713,SCREW SPN 10.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 10MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,SCREW SPN 12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 14 4 OCT FAV,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 14MM 4MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 15MM,1506.0,1506.0,112.95,3012.0,90
HCPCS,C1713,SCREW SPN 15X3.5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 16X3.5MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN 18/22MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.0MM 6MM,678.0,678.0,101.7,678.0,30
HCPCS,C1713,SCREW SPN 2.2MM 4MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.2MM 6MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.2X8MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.4MM 5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.4MM 6MM,753.0,753.0,112.95,753.0,60
HCPCS,C1713,SCREW SPN 2.4MM 7MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.4MM 8MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.5MM 6MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.7MM 26MM,633.0,633.0,94.95,633.0,30
HCPCS,C1713,SCREW SPN 2.7MM 7MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2.9MM 120MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 20MM 5.5MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 25MM 4.2MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 25MM 5.5MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 2INNI XPDM5.5,731.0,731.0,109.65,731.0,30
HCPCS,C1713,SCREW SPN 2MM 10MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 2MM 4MM,753.0,753.0,101.7,814.0,90
HCPCS,C1713,SCREW SPN 2MM 5MM,753.0,753.0,112.95,753.0,60
HCPCS,C1713,SCREW SPN 2MM 6MM,753.0,753.0,112.95,753.0,60
HCPCS,C1713,SCREW SPN 2MM 8MM,715.5,715.5,101.7,753.0,90
HCPCS,C1713,SCREW SPN 3 5.5MM 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 3 5MM 40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 3.05MM 16MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.2MM 10MM,1017.0,1017.0,152.55,1017.0,30
HCPCS,C1713,SCREW SPN 3.2MM 5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 3.2MM 7MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 3.2MM 8MM,1017.0,1017.0,152.55,1017.0,30
HCPCS,C1713,SCREW SPN 3.2MM 9MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 3.5 X 34 LS,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 3.5MM,1055.0,1055.0,158.25,1055.0,30
HCPCS,C1713,SCREW SPN 3.5MM 10MM,3577.0,3577.0,169.5,4429.0,240
HCPCS,C1713,SCREW SPN 3.5MM 120MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 3.5MM 12MM,3765.0,3765.0,169.5,4429.0,450
HCPCS,C1713,SCREW SPN 3.5MM 13MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 3.5MM 14MM,3577.0,3577.0,169.5,4429.0,480
HCPCS,C1713,SCREW SPN 3.5MM 15MM,1318.0,1318.0,169.5,1506.0,60
HCPCS,C1713,SCREW SPN 3.5MM 16MM,3389.0,3389.0,47.85,4429.0,420
HCPCS,C1713,SCREW SPN 3.5MM 17MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW SPN 3.5MM 18MM,3577.0,3577.0,169.5,4429.0,270
HCPCS,C1713,SCREW SPN 3.5MM 20MM,3765.0,3765.0,508.35,4429.0,120
HCPCS,C1713,SCREW SPN 3.5MM 22MM,3909.0,3909.0,508.35,4429.0,90
HCPCS,C1713,SCREW SPN 3.5MM 24MM,3577.0,3577.0,508.35,3765.0,150
HCPCS,C1713,SCREW SPN 3.5MM 26MM,3765.0,3765.0,508.35,4429.0,120
HCPCS,C1713,SCREW SPN 3.5MM 28MM,3765.0,3765.0,508.35,4429.0,120
HCPCS,C1713,SCREW SPN 3.5MM 30MM,3389.0,3389.0,508.35,3389.0,120
HCPCS,C1713,SCREW SPN 3.5MM 32MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 3.5MM 34MM,3765.0,3765.0,451.8,4429.0,90
HCPCS,C1713,SCREW SPN 3.5MM 36MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 3.5MM 40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.5MM 45MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 3.5MM 80MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW SPN 3.5MM 8MM,2115.0,2115.0,126.15,3389.0,60
HCPCS,C1713,SCREW SPN 3.5X10MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.5X12,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 3.5X12MM,3765.0,3765.0,564.75,3765.0,60
HCPCS,C1713,SCREW SPN 3.5X14MM,4006.0,4006.0,169.5,4429.0,150
HCPCS,C1713,SCREW SPN 3.5X18MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.5X18MM CERV,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 3.5X2.4MM 40MM,7499.0,7499.0,1124.85,7499.0,30
HCPCS,C1713,SCREW SPN 3.5X2.4X36MM,4608.0,4608.0,691.2,4608.0,30
HCPCS,C1713,SCREW SPN 3.5X20MM CERV,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW SPN 3.5X20X9X29MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 3.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 3.5X36MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 3.6MM 12MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW SPN 3.6MM 14MM,1130.0,1130.0,169.5,1130.0,90
HCPCS,C1713,SCREW SPN 3.6MM 16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 3.6MM 18MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 3.7MM 14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 3.8MM 10MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8MM 14MM,2259.5,2259.5,169.5,3389.0,90
HCPCS,C1713,SCREW SPN 3.8MM 16MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8MM 18MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8MM 20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8MM 24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8MM 26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8MM 32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8MM 45MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8X12MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 3.8X36MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 32MM .25IN,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 34MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 3MM 16MM,1461.0,1461.0,219.15,1461.0,30
HCPCS,C1713,SCREW SPN 4 PLY 3.5X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4 SHFT 3.5X28,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.0MM 10MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.0MM 12MM,1506.0,1506.0,169.5,3389.0,90
HCPCS,C1713,SCREW SPN 4.0MM 13MM,3276.0,3276.0,491.4,3276.0,30
HCPCS,C1713,SCREW SPN 4.0MM 14MM,3012.0,3012.0,169.5,3389.0,120
HCPCS,C1713,SCREW SPN 4.0MM 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 4.0MM 16MM,3389.0,3389.0,169.5,3765.0,180
HCPCS,C1713,SCREW SPN 4.0MM 18MM,2259.5,2259.5,169.5,3389.0,60
HCPCS,C1713,SCREW SPN 4.0MM 20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.0MM 22MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 4.0MM 24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.0MM 26MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 4.0MM 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.0MM 34MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.0MMX25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4.0MMX35MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 4.0X12MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW SPN 4.0X14,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN 4.0X22MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.0X26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.15MM 9MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 4.2MM 10MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.2MM 12MM,1506.0,1506.0,169.5,3389.0,120
HCPCS,C1713,SCREW SPN 4.2MM 14MM,2259.5,2259.5,169.5,3389.0,180
HCPCS,C1713,SCREW SPN 4.2MM 16MM,1506.0,1506.0,169.5,3389.0,150
HCPCS,C1713,SCREW SPN 4.2MM 20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.2MM 25MM,3050.0,3050.0,457.5,3050.0,30
HCPCS,C1713,SCREW SPN 4.2MM 26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.2MM 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.2MM 32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.2MM XTND ANT,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.2X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.2X15MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.2X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.2X35 487.144,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4.35MM 14MM,1318.0,1318.0,169.5,1506.0,60
HCPCS,C1713,SCREW SPN 4.35MM 15MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.35MM 16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.35MM 40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 4.35X14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN 4.35X16MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN 4.35X25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 4.35X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4.35X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4.3MM 14MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW SPN 4.3MM 16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.3MM 18MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.3MM 24MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN 4.3MM 6MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.5MM 10MM,1318.0,1318.0,169.5,1506.0,90
HCPCS,C1713,SCREW SPN 4.5MM 12MM,1694.5,1694.5,169.5,2259.0,90
HCPCS,C1713,SCREW SPN 4.5MM 13MM,2259.0,2259.0,225.9,3012.0,90
HCPCS,C1713,SCREW SPN 4.5MM 14MM,1882.5,1882.5,169.5,3389.0,210
HCPCS,C1713,SCREW SPN 4.5MM 15MM,2259.0,2259.0,225.9,3012.0,90
HCPCS,C1713,SCREW SPN 4.5MM 16MM,1483.5,1483.5,169.5,3389.0,180
HCPCS,C1713,SCREW SPN 4.5MM 17MM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW SPN 4.5MM 18MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW SPN 4.5MM 20MM,3389.0,3389.0,368.25,4247.0,90
HCPCS,C1713,SCREW SPN 4.5MM 22MM,3818.0,3818.0,508.35,4247.0,90
HCPCS,C1713,SCREW SPN 4.5MM 24MM,3389.0,3389.0,508.35,3389.0,90
HCPCS,C1713,SCREW SPN 4.5MM 25MM,3603.0,3603.0,169.5,5426.0,390
HCPCS,C1713,SCREW SPN 4.5MM 26MM,3577.0,3577.0,508.35,3765.0,150
HCPCS,C1713,SCREW SPN 4.5MM 28MM,3389.0,3389.0,508.35,3389.0,120
HCPCS,C1713,SCREW SPN 4.5MM 30MM,4006.0,4006.0,508.35,4429.0,270
HCPCS,C1713,SCREW SPN 4.5MM 32MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW SPN 4.5MM 34MM,3818.0,3818.0,508.35,4247.0,60
HCPCS,C1713,SCREW SPN 4.5MM 35MM,3765.0,3765.0,451.8,5342.0,210
HCPCS,C1713,SCREW SPN 4.5MM 36MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW SPN 4.5MM 40MM,4006.0,4006.0,451.8,4429.0,150
HCPCS,C1713,SCREW SPN 4.5MM 42MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 4.5MM 44MM,798.0,798.0,119.7,798.0,30
HCPCS,C1713,SCREW SPN 4.5MM 45MM,3577.0,3577.0,508.35,3765.0,90
HCPCS,C1713,SCREW SPN 4.5MM 5D,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 4.5MM 6MM,2259.0,2259.0,225.9,3012.0,90
HCPCS,C1713,SCREW SPN 4.5MM 8MM,2071.0,2071.0,169.5,3012.0,90
HCPCS,C1713,SCREW SPN 4.5MMX14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.5X14MM,1318.0,1318.0,169.5,1506.0,60
HCPCS,C1713,SCREW SPN 4.5X16MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 4.5X16MM TI,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 4.5X22MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.5X24MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 4.5X25MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 4.5X26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.5X28MM,3577.0,3577.0,508.35,3765.0,90
HCPCS,C1713,SCREW SPN 4.5X30MM,3765.0,3765.0,508.35,4429.0,90
HCPCS,C1713,SCREW SPN 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4.5X47MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 4.5X7MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN 4.6MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.6MM 12MM,1318.0,1318.0,169.5,1506.0,60
HCPCS,C1713,SCREW SPN 4.6MM 14MM,1196.0,1196.0,169.5,3765.0,150
HCPCS,C1713,SCREW SPN 4.6MM 16MM,2447.5,2447.5,169.5,3765.0,120
HCPCS,C1713,SCREW SPN 4.6MM 17MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.6MM 18MM,1318.0,1318.0,169.5,1506.0,60
HCPCS,C1713,SCREW SPN 4.6MM 20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4.6X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4.75MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 4.75MM 12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 4.75MM 14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 45MM 6.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 45MM 8.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 45MM TI SPN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4MM 10MM,3765.0,3765.0,508.35,4429.0,120
HCPCS,C1713,SCREW SPN 4MM 12MM,3012.0,3012.0,169.5,4429.0,570
HCPCS,C1713,SCREW SPN 4MM 13MM,1882.5,1882.5,169.5,3012.0,150
HCPCS,C1713,SCREW SPN 4MM 14MM,1506.0,1506.0,169.5,4247.0,690
HCPCS,C1713,SCREW SPN 4MM 14MM VAR,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 4MM 15MM,2071.0,2071.0,169.5,3012.0,180
HCPCS,C1713,SCREW SPN 4MM 16MM,2259.0,2259.0,169.5,4247.0,390
HCPCS,C1713,SCREW SPN 4MM 16MM PST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4MM 17MM,1130.0,1130.0,169.5,1130.0,90
HCPCS,C1713,SCREW SPN 4MM 18MM,3389.0,3389.0,169.5,4247.0,210
HCPCS,C1713,SCREW SPN 4MM 18MM PST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4MM 20MM,3200.5,3200.5,451.8,3389.0,120
HCPCS,C1713,SCREW SPN 4MM 22MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 4MM 24MM,3577.0,3577.0,508.35,3765.0,120
HCPCS,C1713,SCREW SPN 4MM 25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 4MM 25MM CREO,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 4MM 26MM,3765.0,3765.0,508.35,4429.0,120
HCPCS,C1713,SCREW SPN 4MM 28MM,3389.0,3389.0,508.35,3389.0,120
HCPCS,C1713,SCREW SPN 4MM 30MM,3577.0,3577.0,451.8,4429.0,120
HCPCS,C1713,SCREW SPN 4MM 32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4MM 34MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 4MM 35MM,4274.5,4274.5,618.0,4429.0,60
HCPCS,C1713,SCREW SPN 4MM 40MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN 4MM 45MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN 4X12MM,2824.0,2824.0,338.85,3389.0,90
HCPCS,C1713,SCREW SPN 4X14MM SYNPSE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 4X16 VAR ANG,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW SPN 4X20MM PA CERV,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 4X22MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 4X40MM SPN PAX,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 5.0MM 25MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,SCREW SPN 5.0MM 30MM,3012.0,3012.0,338.85,3389.0,90
HCPCS,C1713,SCREW SPN 5.0MM 36MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.0MM 40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.0X20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.0X25.0MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 5.0X26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.25MM 10MM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW SPN 5.25MM 8MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.2MM 21MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.2MM 24MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.2MM 28MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.2MM 30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.2MM 50MM,3937.0,3937.0,590.55,3937.0,30
HCPCS,C1713,SCREW SPN 5.2X35MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPN 5.2X45MM 2LD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 5.5-6MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 5.5/6.0MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 5.5/6MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 5.5/6MM 50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 5.50X55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW SPN 5.5MM,1882.5,1882.5,112.95,3012.0,180
HCPCS,C1713,SCREW SPN 5.5MM 100MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW SPN 5.5MM 130MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW SPN 5.5MM 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.5MM 20MM,1130.0,1130.0,169.5,1130.0,180
HCPCS,C1713,SCREW SPN 5.5MM 22MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN 5.5MM 24MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 5.5MM 25MM,3389.0,3389.0,169.5,4872.0,300
HCPCS,C1713,SCREW SPN 5.5MM 26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5MM 28MM,3012.0,3012.0,169.5,3389.0,120
HCPCS,C1713,SCREW SPN 5.5MM 30MM,3577.0,3577.0,169.5,4429.0,540
HCPCS,C1713,SCREW SPN 5.5MM 32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5MM 34MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 5.5MM 35MM,3577.0,3577.0,169.5,4429.0,510
HCPCS,C1713,SCREW SPN 5.5MM 36MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 5.5MM 38MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5MM 40MM,3765.0,3765.0,451.8,5980.0,780
HCPCS,C1713,SCREW SPN 5.5MM 45MM,4030.0,4030.0,112.95,5980.0,720
HCPCS,C1713,SCREW SPN 5.5MM 50MM,3765.0,3765.0,451.8,4872.0,270
HCPCS,C1713,SCREW SPN 5.5MM 50MM SHK,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.5MM 51MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 5.5MM 55MM,3389.0,3389.0,451.8,3765.0,180
HCPCS,C1713,SCREW SPN 5.5MM 55MM 2C,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.5MM 5MM 50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 5.5MM 6MM 50MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5MM 80MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 5.5MMX45MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5MMX50MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 5.5X20MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.5X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5X25MM,3621.0,3621.0,543.15,3621.0,30
HCPCS,C1713,SCREW SPN 5.5X26MM,2259.5,2259.5,169.5,3389.0,90
HCPCS,C1713,SCREW SPN 5.5X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5X30MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 5.5X32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5X33MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 5.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 5.5X36MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 5.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.5X45MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW SPN 5.5X48MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.5X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.5X55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5.5X6X45MM,4097.0,4097.0,564.75,4429.0,60
HCPCS,C1713,SCREW SPN 5.5X7.5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 5.5X7.5X45MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN 5.5X8X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5.5X9X60MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN 5.5X9X80MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN 5.5X9X90MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 5.7MM 20MM,3353.0,3353.0,502.95,3353.0,30
HCPCS,C1713,SCREW SPN 550X6MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 55MM 7MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 55MM 8.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5MM 10MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 5MM 15MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,SCREW SPN 5MM 20MM,2071.0,2071.0,169.5,3012.0,90
HCPCS,C1713,SCREW SPN 5MM 25MM,2259.0,2259.0,169.5,3012.0,120
HCPCS,C1713,SCREW SPN 5MM 25MM GFT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5MM 26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5MM 28MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 5MM 30MM,2447.5,2447.5,225.9,3389.0,90
HCPCS,C1713,SCREW SPN 5MM 30MM GFT,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 5MM 35MM,3765.0,3765.0,508.35,4429.0,150
HCPCS,C1713,SCREW SPN 5MM 35MM GFT,3441.0,3441.0,516.15,3441.0,30
HCPCS,C1713,SCREW SPN 5MM 40MM,3897.5,3897.5,451.8,4429.0,150
HCPCS,C1713,SCREW SPN 5MM 45MM,3577.0,3577.0,508.35,3765.0,90
HCPCS,C1713,SCREW SPN 5MM 50MM,4274.5,4274.5,618.0,4429.0,60
HCPCS,C1713,SCREW SPN 5X20MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW SPN 5X25MM,1130.0,1130.0,169.5,1130.0,90
HCPCS,C1713,SCREW SPN 5X30MM,2447.5,2447.5,169.5,3765.0,60
HCPCS,C1713,SCREW SPN 5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 5X35MM SPN PAX,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 5X40MM SPN PAX,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 6.0MM 50MM,5600.5,5600.5,637.05,6954.0,60
HCPCS,C1713,SCREW SPN 6.2MM 35MM,3458.0,3458.0,518.7,3458.0,30
HCPCS,C1713,SCREW SPN 6.2MM 40M,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 6.2MM 40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 6.2MM 65MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 6.2X35MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPN 6.2X45MM 2LD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 6.35MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 6.35MM 30MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 6.50MM 35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 6.50MM 50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 6.50MM 55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 6.5MM 20MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6.5MM 22MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6.5MM 24MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6.5MM 25MM,2447.5,2447.5,169.5,3765.0,90
HCPCS,C1713,SCREW SPN 6.5MM 30MM,3621.0,3621.0,169.5,4429.0,270
HCPCS,C1713,SCREW SPN 6.5MM 35MM,3621.0,3621.0,225.9,4429.0,540
HCPCS,C1713,SCREW SPN 6.5MM 40MM,4138.5,4138.5,451.8,6724.0,900
HCPCS,C1713,SCREW SPN 6.5MM 40MM PAX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 6.5MM 45MM,3765.0,3765.0,451.8,4429.0,990
HCPCS,C1713,SCREW SPN 6.5MM 50MM,3765.0,3765.0,451.8,4429.0,720
HCPCS,C1713,SCREW SPN 6.5MM 55MM,4030.0,4030.0,451.8,4872.0,510
HCPCS,C1713,SCREW SPN 6.5MM 60MM,3765.0,3765.0,451.8,4429.0,210
HCPCS,C1713,SCREW SPN 6.5MM 90MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 6.5X26MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6.5X28MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6.5X30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 6.5X35MM MOD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 6.5X40 PLYAXL,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 6.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 6.5X45MM,3727.5,3727.5,451.8,5315.0,150
HCPCS,C1713,SCREW SPN 6.5X50 PLYAXL,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 6.5X50MM,3388.5,3388.5,451.8,3765.0,60
HCPCS,C1713,SCREW SPN 6.5X55MM,3388.5,3388.5,451.8,3765.0,60
HCPCS,C1713,SCREW SPN 60MM 7MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 6MM 20MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6MM 22MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6MM 25MM,1130.0,1130.0,169.5,1130.0,60
HCPCS,C1713,SCREW SPN 6MM 26MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6MM 28MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 6MM 30MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 6MM 31MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 6MM 35MM,2447.5,2447.5,169.5,3765.0,60
HCPCS,C1713,SCREW SPN 6MM 36MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN 6MM 40MM,4338.0,4338.0,564.75,6201.0,120
HCPCS,C1713,SCREW SPN 6MM 45MM,4105.0,4105.0,564.75,4429.0,150
HCPCS,C1713,SCREW SPN 6MM 50MM,4384.5,4384.5,564.75,5647.0,150
HCPCS,C1713,SCREW SPN 6MM 55MM,4112.5,4112.5,508.35,4429.0,120
HCPCS,C1713,SCREW SPN 6MM 60MM,4105.0,4105.0,615.75,4105.0,30
HCPCS,C1713,SCREW SPN 6X20MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6X20X23MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6X25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN 6X28MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN 6X30X5.5MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN 6X32MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 7.0MM 50MM,4105.0,4105.0,615.75,4105.0,30
HCPCS,C1713,SCREW SPN 7.5MM 100MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 7.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 7.5MM 30MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 7.5MM 35MM,3743.0,3743.0,451.8,4429.0,390
HCPCS,C1713,SCREW SPN 7.5MM 40MM,3897.5,3897.5,451.8,4429.0,660
HCPCS,C1713,SCREW SPN 7.5MM 45MM,3897.5,3897.5,451.8,4429.0,810
HCPCS,C1713,SCREW SPN 7.5MM 50MM,3897.5,3897.5,451.8,4872.0,750
HCPCS,C1713,SCREW SPN 7.5MM 55MM,3765.0,3765.0,451.8,4429.0,450
HCPCS,C1713,SCREW SPN 7.5MM 60MM,3389.0,3389.0,451.8,3765.0,180
HCPCS,C1713,SCREW SPN 7.5MM 65MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 7.5MM 70MM,3200.5,3200.5,451.8,3389.0,60
HCPCS,C1713,SCREW SPN 7.5MM 80MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 7.5MM 90MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 7.5MMX45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 7.5MMX55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 7.5X40M,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 7.5X40MM,3388.5,3388.5,451.8,3765.0,90
HCPCS,C1713,SCREW SPN 7.5X45 PLYAXL,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 7.5X50 PLYAXL,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 7.5X55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 7.5X60MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 70MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 7MM 40MM,4706.0,4706.0,564.75,5647.0,60
HCPCS,C1713,SCREW SPN 7MM 45MM,4120.0,4120.0,508.35,5647.0,150
HCPCS,C1713,SCREW SPN 7MM 50MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN 7MM 75MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 7MM 80MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 7MM 90MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 7X45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 7X50MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW SPN 8.575X75MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPN 8.5MM 100MM,3200.5,3200.5,451.8,3389.0,120
HCPCS,C1713,SCREW SPN 8.5MM 110MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 8.5MM 25MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 8.5MM 35MM,3577.0,3577.0,451.8,4429.0,120
HCPCS,C1713,SCREW SPN 8.5MM 40MM,3389.0,3389.0,451.8,3765.0,240
HCPCS,C1713,SCREW SPN 8.5MM 45MM,3389.0,3389.0,451.8,3765.0,420
HCPCS,C1713,SCREW SPN 8.5MM 50MM,3389.0,3389.0,451.8,3765.0,330
HCPCS,C1713,SCREW SPN 8.5MM 55MM,3389.0,3389.0,451.8,3765.0,300
HCPCS,C1713,SCREW SPN 8.5MM 60MM,3765.0,3765.0,451.8,4429.0,300
HCPCS,C1713,SCREW SPN 8.5MM 70MM,3577.0,3577.0,451.8,4429.0,240
HCPCS,C1713,SCREW SPN 8.5MM 75MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 8.5MM 80MM,3765.0,3765.0,451.8,4429.0,360
HCPCS,C1713,SCREW SPN 8.5MM 85MM,3629.5,3629.5,451.8,4247.0,90
HCPCS,C1713,SCREW SPN 8.5MM 90MM,3765.0,3765.0,451.8,4247.0,240
HCPCS,C1713,SCREW SPN 8.5X100MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW SPN 8.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 8.5X50MM,3012.0,3012.0,451.8,3012.0,60
HCPCS,C1713,SCREW SPN 8.5X55MM,3388.5,3388.5,451.8,3765.0,60
HCPCS,C1713,SCREW SPN 8.5X60MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 8.5X70MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN 8.5X85MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 8.5X90MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 8MM 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 8MM 45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 8MM 70MM,3909.0,3909.0,508.35,4429.0,60
HCPCS,C1713,SCREW SPN 8MM 75MM,3566.0,3566.0,451.8,4120.0,60
HCPCS,C1713,SCREW SPN 8MM 80MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 8MM 90MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 9.0MM 80MM,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1713,SCREW SPN 9.5MM 100MM,3388.5,3388.5,451.8,3765.0,60
HCPCS,C1713,SCREW SPN 9.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 9.5MM 40MM,3577.0,3577.0,508.35,3765.0,90
HCPCS,C1713,SCREW SPN 9.5MM 45MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN 9.5MM 50MM,3388.5,3388.5,451.8,3765.0,60
HCPCS,C1713,SCREW SPN 9.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 9.5MM 60MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 9.5MM 65MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 9.5MM 75MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN 9.5MM 80MM,3200.5,3200.5,451.8,3389.0,60
HCPCS,C1713,SCREW SPN 9.5MM 85MM,3200.5,3200.5,451.8,3389.0,60
HCPCS,C1713,SCREW SPN 9.5MM 90MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW SPN 9.5X70MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN 90MM 8.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN 9MM 17MM 12MM,8238.0,8238.0,1235.7,8238.0,30
HCPCS,C1713,SCREW SPN 9MM 45MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN 9MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN 9MM 90MM,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1713,SCREW SPN ALIF 5.0X20MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN ANAX OS2500,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN ANCHORING,377.0,377.0,56.55,377.0,30
HCPCS,C1713,SCREW SPN ATS 3.5X28MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN BN 5.5X30 ZUMA,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN BRGD 5.5X20MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN BRGD 5.5X25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN BRKOF .35X6.35,1830.0,1830.0,274.5,1830.0,30
HCPCS,C1713,SCREW SPN BRKOF 4.75MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN BRKOF TSRH-3DX,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN CANC 3.5X10MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 3.5X12MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 3.5X14MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 3.5X16MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 3.5X18MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 3.5X22MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 3.5X24MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X10MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X12MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X14MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X16MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X18MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X22MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X24MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X26MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X28MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X30MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X32MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X34MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X36MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X38MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC 4X40MM,5083.0,5083.0,762.45,5083.0,30
HCPCS,C1713,SCREW SPN CANC POLY 4X12,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN CANN 2X18MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CANN 5.5X45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CANN 5.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CANN 6.5X35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CANN 6.5X45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CANN 6.5X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CANN 7.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CANN 8.5MM40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CANN 8.5MM50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CERV 3.5X18MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN CERV 3.8X22MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN CERV 4.0X30MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN CERV 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN CLK-X 6.2X55MM,4097.0,4097.0,564.75,4429.0,60
HCPCS,C1713,SCREW SPN CLK-X 6.2X60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CLK-X 7X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN CLK-X 7X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN CLK-X TI 7X35M,3458.0,3458.0,518.7,3458.0,30
HCPCS,C1713,SCREW SPN CLK-X TI 7X55M,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CLKX 6.2X60X60,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN CLOSURE TOP,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN COLLAR SET,2380.0,2380.0,357.0,2380.0,30
HCPCS,C1713,SCREW SPN CONNECR 4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CORT 6.5X25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CORT 7X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN CORT PA 3.5X34,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW SPN CR ANT 4.35X18,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW SPN CREO 4X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 5.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 5.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 5.5X45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 5.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 5X40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN CREO 6.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 6.5X50,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 6.5X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CREO 7.5X55,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 7.5X60MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CREO 8.5X45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO 8.5X60MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN CREO6.5X60X5.5,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO7.5X30X5.5,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN CREO7.5X50X5.5,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN DBL THRD HD LT,3857.0,3857.0,578.55,3857.0,30
HCPCS,C1713,SCREW SPN ELLIPSE 3.5X22,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN ELLPSE 4X12MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN EXP DI 7.00X50,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN F-T 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN FACET 4.5X25MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW SPN FANG 25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN FEN 4.5X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FEN 5.0X45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FEN 6.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FEN 7.5MM 35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FEN 7.5X45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FEN 7.5X60MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FEN 8.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FEN 8.5X55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FIX 6X25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN FNSTR 5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN FNSTRD 30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FREBRD MP-AXL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN FT 4.5X35MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW SPN FT 4.5X45MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW SPN FT 5.25X35MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,SCREW SPN FT 5.2X25MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,SCREW SPN FT 5.2X30MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,SCREW SPN FT 5.2X35MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,SCREW SPN FT 5.2X40MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1713,SCREW SPN FT FCET 4.5X25,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW SPN FX 4MM 16MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN HLX 4X15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN ILSCRL8.5X55MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN INNR 3.5X20MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN LCK 1.4MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW SPN LCK CAP,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN LCK SET,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN LCK T15,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN LK CIRCLR,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN LNG 55MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN LOCK LARG,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN LOCK SMALL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN LOCK/ROD SET,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN LOCKING,753.0,753.0,112.95,753.0,60
HCPCS,C1713,SCREW SPN LOTOP 6.5X50,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN LUM 5.5X25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN LUM 5.5X30MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN MA 4.5X26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN MALIBU 40X5.5,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN MESA 6.5X45,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN MINI 3.5X10MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN MOD 4.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN MOD 5.5X25MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN MP-AXL 3.5X14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN MTNR 3.5X26MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN MTRX 4X35MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW SPN MTRX 6X55MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN MTRX P-AX 6X40,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW SPN OASYS 3.5X12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN OCCPTL 4.5X8MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN OCPTL 10X4.5MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN OCPTL 12X4.5MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN OCT SET,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN OCT TI 16MM 4,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW SPN OPN LCK,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN P-AX 2.4X20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN P-AX 3.5X12MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 3.5X14MM,3818.0,3818.0,508.35,4247.0,60
HCPCS,C1713,SCREW SPN P-AX 3.5X16MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN P-AX 3.5X18MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 3.5X20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 3.5X34MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 4.35X25MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX 4.5X18MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 4.5X20MM,3577.0,3577.0,508.35,3765.0,60
HCPCS,C1713,SCREW SPN P-AX 4.5X25MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 4.5X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 4.5X32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 4.5X36MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 4.5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 40X7MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN P-AX 4X14MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 4X20MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN P-AX 4X22MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX 4X28MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX 5.5X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 5.5X35MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPN P-AX 5.5X36MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 5.5X40MM,3389.0,3389.0,502.2,4429.0,120
HCPCS,C1713,SCREW SPN P-AX 50X6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN P-AX 50X8.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN P-AX 5X32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 6.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX 6.5X40MM,3765.0,3765.0,564.75,3765.0,60
HCPCS,C1713,SCREW SPN P-AX 6.5X45MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 6.5X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN P-AX 6X45MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN P-AX 7.5X30MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPN P-AX 7.5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN P-AX 7.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX 7.5X60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX 7.5X80MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX 8.5X100MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 8.5X110MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 8.5X80MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AX 9.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX MIS 30MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN P-AX5.5 7X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AX5.5X6X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN P-AXL 3.5X36MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN P-AXL 45X5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN P-AXL 5.5X26MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PAX 4.5X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN PAX 4.5X40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN PAX 4X12MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN PAX 4X14MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN PAX 5.5X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN PAX 5.5X45X4.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN PAX 5.5X6X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PAX 5.5X6X40MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPN PAX 5.5X7X45MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPN PAX 5X5.5X45MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPN PAX 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PAX 6X40 MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PAX 6X45 MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PAX 6X50MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PAX 7.5X50MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PAX 7.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PAX 7X40MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PAX 7X45MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PAX 7X50MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PAX 8X40MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PAX 8X45MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PAX 8X50MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 5.5X40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN PDCL 5.5X45MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PDCL 5.5X55MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PDCL 5X50MM D,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 6.5X45MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PDCL 6X45MM D,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 6X50MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 6X50MM ST,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 6X55MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 7.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PDCL 7.5X55MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PDCL 7.5X60MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PDCL 7X40MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1713,SCREW SPN PDCL 7X45MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 7X45MM ST,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 7X50M,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 7X50MM D,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 7X55M,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 7X55M ST,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 8.5X10MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PDCL 8.5X55MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PDCL 8.5X60MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PDCL 8.5X80MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PDCL 8X35MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 8X40MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 8X45MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 8X50M D,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 8X55MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN PDCL 8X60MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1713,SCREW SPN PLY 3.5X24MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PLY 4.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PLY 5.5X34MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLY AXL HEAD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN PLYAX 3.5X12MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 3.5X14MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 3.5X16MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PLYAX 3.5X18MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PLYAX 3.5X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 3.5X30MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.0X12MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.0X14MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.0X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.0X26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.0X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.5X20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.5X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.5X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.5X30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.5X32MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.5X34MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PLYAX 4.5X36MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN POINTLOCK SET,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN POLY 3.5X12MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 3.5X14MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 3.5X22MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 3.5X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 3.5X26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 3.5X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 4.0X14MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 4.5X20MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN POLY 4.5X28MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN POLY 4.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN POLY 4X12MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 4X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 4X26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 4X30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 4X32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 5.5X44MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN POLY 9.5X80MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN POLYX 8.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PREASMBL6.5X55,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PROFCNT POST,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN PST 6.5X35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN PST 6.5X50MM,3535.5,3535.5,451.8,4059.0,60
HCPCS,C1713,SCREW SPN PST 6.5X55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN PST 7.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN PST 7.5X45MM,3535.5,3535.5,451.8,4059.0,60
HCPCS,C1713,SCREW SPN PST 7.5X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN PYR 4.35X12,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN QUARTEX 4X16MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN R-LN 5.5X45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN R-LN 7.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN R-LN 7.5X50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN RDC 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN RDC 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDC 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN RDC 5.5MM 40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN RDC 5.5MM 50MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN RDC 5.5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDC 6.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDC 6.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDC 6.5MM 55MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDC 6.5MM 60MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN RDC 6.5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDC 7.5MM 35MM,3389.0,3389.0,508.35,3389.0,60
HCPCS,C1713,SCREW SPN RDC 8.5MM 35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDC 8.5MM 90MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDC IL8.5X90MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN RDCTN 6.5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDCTN 7.5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDCTN 7.5X50MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RDCTN 8.5X50MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN RED 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN RED 8.5X50MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN REDUC ILC 80MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN RES FX 4.5X12,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN RES FX 4.5X14,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN RES FX 4.5X16,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN RES FX 4.5X18,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN RES VAR 4.5X12,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN RES VAR 4.5X14,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN RES VAR 4.5X16,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW SPN RES VAR 4.5X18,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN RFLX 4X14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN S/D 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN S/D 4X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN S/T 4.3MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN S/T 4.3X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN S/T 45X8.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN S/T 55MM 6.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN S/T 7.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN SD FIX 4.0X12,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW SPN SD FIX 4.0X14,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SD FIX 4.0X16,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SD FIX 4.0X18,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SD VAR 4.0X18,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SET,1515.0,1515.0,112.95,3012.0,210
HCPCS,C1713,SCREW SPN SET 2.5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET 3.5MM 4MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW SPN SET 4.75MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET 5X45MM,6378.0,6378.0,956.7,6378.0,30
HCPCS,C1713,SCREW SPN SET 6.35,731.0,731.0,109.65,731.0,30
HCPCS,C1713,SCREW SPN SET 7MM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW SPN SET BRK 5.5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET GRY,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET IMP OPN FX,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET IMPL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET LCK 2.5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET SCREW,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET SQ THRD,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SET STD M6,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN SHFT 3.5X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN SHFT 3.5X26MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN SHFT 4.0X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPN SHNK 5.5MM45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN SHNK 6.5MM45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN SHNK 7.5MM40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN SHNK 7.5MM45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN SHNK 7.5MM50MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN SHNK 8.5MM45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN SHRT BLD6.5X50,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFD 4X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SLFDRL 25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SLFDRL 3.5X13,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SLFDRL 4X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SLFDRL3.5X19MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SLFSTRT 4.0X12,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN SLFSTRT 4.0X14,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN SLFSTRT 4.0X16,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN SLFTAP 4.35X12,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN SLFTP 4.5X35MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN SLFTP 4X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN SLFTP 5X35MM,4886.0,4886.0,732.9,4886.0,30
HCPCS,C1713,SCREW SPN SLFTP 5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 6X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 6X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 6X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 7X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 7X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 7X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 8X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 8X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN SLFTP 8X50MM,5342.0,5342.0,801.3,5342.0,30
HCPCS,C1713,SCREW SPN SLFTP 8X70MM,5342.0,5342.0,801.3,5342.0,30
HCPCS,C1713,SCREW SPN SM 4MM 13MM,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW SPN SRR 3.5X12MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPN ST 3500,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN ST 5.5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPN ST FIX 4X14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN ST FIX 4X16MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN ST VAR 4.0X16,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN STD 5.5X45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN STD 5X22MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN STD 8.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN SYNPS 2.4X26X4,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN SYNPS 3.5X12X4,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN SYNPS 4X30X4,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN THRLMBR4.5X3.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN TI 7X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN TI L50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN TULIP,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN V-ANG 4.5X12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN V-ANG 4.6X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN V-ANG 5.5X40MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR 3.5X19MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN VAR 4.5X18MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN VAR 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR 4MM 16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR 4X14,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN VAR 5.0X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR 6X25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR 6X30MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR ANG 4X14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW SPN VAR ANG 5.5X23,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN VAR ANG 6X30MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR F-T 3X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VAR6.5X25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VARI 4.0X14MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPN VARI 5.5X25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN VARI 5.5X30MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPN XIA 4.5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1540,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1635,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1640,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1645,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1650,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1655,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1730,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1735,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1740,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1745,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1750,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-1755,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4823-545,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA 4X25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XIA TI 4X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XPDM 6.5X50MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW SPN XPDM 7X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XPDM 7X65MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW SPN XPDM 8X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPN XTAB 7X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPN XTN 4.2MM 18MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNAL BN SET 85MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPNE 3.5X16MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNE 30X5.5 CHSPK,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNE 4.5X12MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNE 4.5X13MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNE 5.5MM 35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNE 6X50MM,4673.0,4673.0,700.95,4673.0,30
HCPCS,C1713,SCREW SPNE 7.5MM 55MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNE 7X50MM,4673.0,4673.0,700.95,4673.0,30
HCPCS,C1713,SCREW SPNE CERV 3.5X60,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW SPNE LMBR LCK,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPNL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNL 2.7MM 5MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPNL 2.7X7MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPNL 2X8MM,2109.0,2109.0,316.35,2109.0,30
HCPCS,C1713,SCREW SPNL 3.5MM 12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 3.5MM 14MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1713,SCREW SPNL 3.5MM 15MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 3.5MM 20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL 3.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL 3.5MM 60MM,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW SPNL 3.5X16MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 3.5X18MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 3.5X20MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 3.5X22MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 3.5X24MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 3.5X26MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 3.5X28MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 3.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 3.8X20MM PST,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL 3.8X24MM PST,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL 30M BTRS,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 4.0 3.5X34MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 4.0MM 19MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 4.0MMX22MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL 4.0X20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL 4.0X26MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL 4.5MM 10MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 4.5MM 55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 4.5X14MM,2447.5,2447.5,169.5,3765.0,60
HCPCS,C1713,SCREW SPNL 4.5X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 4.5X36MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 4.5X38MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 4.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 4.6MM 14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 4MM 14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 4MM 28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL 4MM 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL 4X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 4X24MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 4X26MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 4X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 5.1X16MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 5.2X35MM,3745.0,3745.0,561.75,3745.0,30
HCPCS,C1713,SCREW SPNL 5.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPNL 5.5MM 24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL 5.5MM 30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL 5.5MM 32MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL 5.5MM 40MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 5.5X25MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL 6.2MM 40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 6.5MM 40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL 6.5MM 45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 6.5MM 50MM,3720.5,3720.5,451.8,4429.0,60
HCPCS,C1713,SCREW SPNL 6.5MM 55MM,3629.5,3629.5,451.8,4247.0,60
HCPCS,C1713,SCREW SPNL 6X45MM 70D,4983.0,4983.0,747.45,4983.0,30
HCPCS,C1713,SCREW SPNL 7.2X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL 7.5X35MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNL 7X45MM CAMM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPNL 7X45MM P-AX,4983.0,4983.0,747.45,4983.0,30
HCPCS,C1713,SCREW SPNL 8.5X90MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPNL CANC 5.5X24MM,1461.0,1461.0,219.15,1461.0,30
HCPCS,C1713,SCREW SPNL CANN 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPNL CANN 5.5X60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL CANN 6.5X55,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,SCREW SPNL CANN 6.5X60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL CANN 7.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL CANN 7.5X60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL DBL LD 4.5X16,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNL FEN 5.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNL FEN 5.5X45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNL OCT 10MM 4MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW SPNL OCT 4.0X12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPNL P-AX 3.5X12MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL P-AX 3.5X14MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 4.5X20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL P-AX 4.5X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL P-AX 4.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPNL P-AX 4X22MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL P-AX 5.0X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 5.5X28MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL P-AX 5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL P-AX 6.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 6.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 6.5X60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 7.5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL P-AX 7.5X45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 8.5X35MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPNL P-AX 8.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 8.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL P-AX 8.5X70MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL PA 3.5X34,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCREW SPNL PAX 5.5X20MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL PAX 5.5X24MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL PAX 7.5X60MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL PDC 2 24IN,377.0,377.0,56.55,377.0,30
HCPCS,C1713,SCREW SPNL PDCL 6.5X45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL PDCL 6.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL PDCL 6.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL POLY 3.5X14MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL POLY 5.2X40MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPNL RDC 45X5.5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCREW SPNL RDC ILC 100MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL RDC ILC 85MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPNL RDC ILC8.5X70,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL S/T 3.5X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL S/T 3.5X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL S/T 4.0X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL S/T 4.0X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL S/T 4X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL S/T 4X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL SIERRA 3.5X16,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL SKYLINE 18MM,1461.0,1461.0,219.15,1461.0,30
HCPCS,C1713,SCREW SPNL ST 5.2X45MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCREW SPNL ST VAR 4X17MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL STD ST 4.5X6,2967.0,2967.0,445.05,2967.0,30
HCPCS,C1713,SCREW SPNL STR 4.5X35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STR 5.5X25MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STR 5.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL STR 5.5X35MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STR 5.5X45MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STR 5.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL STR 7.5X40MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STR 7.5X45MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 4.5X30,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL STRGH 6.5X100,2954.0,2954.0,443.1,2954.0,30
HCPCS,C1713,SCREW SPNL STRGH 6.5X30,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL STRGH 6.5X35,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 6.5X40,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 6.5X45,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 6.5X50,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 6.5X55,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 7.5X50,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 7.5X55,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 7.5X60,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X30,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X35,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X40,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X45,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X50,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X55,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X70,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X80,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL STRGH 8.5X90,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCREW SPNL TSRH 88901000,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW SPNL UNI 5.5X30MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SPNL VAR 16X4.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW SPNL VAR 3.5X17MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL VAR 4.2X10MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW SPNL XIA P-AX 5X35,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SPNL XTAB 7X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW SROM 6.5X15 LG,1638.0,1638.0,245.7,1638.0,30
HCPCS,C1713,SCREW SS S/T 4X24MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW SS S/T 4X26MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW SS S/T 4X34MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW SS S/T 4X36MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW SS S/T 4X38MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW ST 5.5MM TI SPIN,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW ST LCK 4X46MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW ST PDCL SPNL XPDM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW ST SPN BTRS THRD,2259.0,2259.0,338.85,2259.0,30
HCPCS,C1713,SCREW ST SPN MP-AXL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW ST SPN VAR 2.5X7MM,731.0,731.0,109.65,731.0,30
HCPCS,C1713,SCREW ST SPNL LOCK CAP,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW ST SS SPNE PDCL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW ST TI X25 SPNE DRV,964.0,964.0,144.6,964.0,30
HCPCS,C1713,SCREW STAR FIRE SET SPN,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW STD 4.5X40MM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C1713,SCREW SURFX 3.5X24,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW SURFX 3.5X26,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW SYN 487.044,2651.0,2651.0,397.65,2651.0,30
HCPCS,C1713,SCREW SYN 5.0X46 LOCKING,2755.0,2755.0,413.25,2755.0,30
HCPCS,C1713,SCREW SYN MINI T 401.022,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW SYN MINITIT 2X20MM,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW SYNPS 4.0 3.5X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW SYNPS 4.0X350MM SP,2711.0,2711.0,406.65,2711.0,30
HCPCS,C1713,SCREW SYNTHES 487.046,2651.0,2651.0,397.65,2651.0,30
HCPCS,C1713,SCREW SYNTHES BONE 5.2X2,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW T15 LCK DRV 4X75MM,1961.0,1961.0,294.15,1961.0,30
HCPCS,C1713,SCREW T2 F/T LCK 5X55,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW T2 LCK F-T 4X26MM,3037.0,3037.0,455.55,3037.0,30
HCPCS,C1713,SCREW T25 STRDR 5X34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW TFNA 115MM-STERILE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW THOR STANDARD,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW THORLMBR 5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW THRLMBR SPN 5.5X50,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW TI 1.3 4MM,1395.0,1395.0,209.25,1395.0,30
HCPCS,C1713,SCREW TI 1.3 6MM,1332.0,1332.0,199.8,1332.0,30
HCPCS,C1713,SCREW TI 1.5 10MM,850.0,850.0,127.5,850.0,30
HCPCS,C1713,SCREW TI 1.5 12MM,989.0,989.0,148.35,989.0,30
HCPCS,C1713,SCREW TI 1.5 4MM,973.0,973.0,145.95,973.0,30
HCPCS,C1713,SCREW TI 10X4MM STD SPNL,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW TI 2.0MMX5MM MAXIL,755.0,755.0,113.25,755.0,30
HCPCS,C1713,SCREW TI 2.4 10MM,674.0,674.0,101.1,674.0,30
HCPCS,C1713,SCREW TI 24 3.5 OCT SPN,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCREW TI 40 4.35 OCT SPN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW TI 4MM X 42MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCREW TI 5MM 1.3MM CORT,1395.0,1395.0,209.25,1395.0,30
HCPCS,C1713,SCREW TI 6MM 2MM MINI MN,675.0,675.0,101.25,675.0,30
HCPCS,C1713,SCREW TI CANC POLY 3.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW TI CORT 1.0X9,1125.0,1125.0,168.75,1125.0,30
HCPCS,C1713,SCREW TI CORT 1.5X10MM,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW TI CORT 1.5X11MM,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW TI CORT 1.5X16M,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW TI CORT 1.5X18MM,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW TI CORT 1.5X20MM,482.0,482.0,72.3,482.0,30
HCPCS,C1713,SCREW TI CORT 1.5X7M,743.0,743.0,111.45,743.0,30
HCPCS,C1713,SCREW TI CORT 1.5X8MM,621.0,621.0,93.15,621.0,30
HCPCS,C1713,SCREW TI CORT 1.5X9MM,849.0,849.0,127.35,849.0,30
HCPCS,C1713,SCREW TI CORT 2.4X19,1118.0,1118.0,167.7,1118.0,30
HCPCS,C1713,SCREW TI CORT CRNFC 4X1,1295.0,1295.0,194.25,1295.0,30
HCPCS,C1713,SCREW TI L32 OD3MM ORTH,1913.0,1913.0,286.95,1913.0,30
HCPCS,C1713,SCREW TI L45MM OD8.5MM P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW TI MF CRTX 2X12MM,997.0,997.0,149.55,997.0,30
HCPCS,C1713,SCREW TI MNDB 15X2.7,1933.0,1933.0,289.95,1933.0,30
HCPCS,C1713,SCREW TI NON LOCK 3.5,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW TI SPN 50X6.5MM PA,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW TI SPNL LCK ASMB,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SCREW TI STD 3.5X28,399.0,399.0,59.85,399.0,30
HCPCS,C1713,SCREW TIB RETRO 7MMX20MM,3093.0,3093.0,463.95,3093.0,30
HCPCS,C1713,SCREW TOP LOADING,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW TRA CANN 2.0X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCREW TRA LCK 3.5X30,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,SCREW TRAD. 5.0X30,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW TRGN 5.0X55,2136.0,2136.0,320.4,2136.0,30
HCPCS,C1713,SCREW TRGN LCK 5.0X65,1942.0,1942.0,291.3,1942.0,30
HCPCS,C1713,SCREW TT LCK SELFDRILL 5,2882.5,2882.5,428.85,2906.0,90
HCPCS,C1713,SCREW UNIFLX F-T 4X14MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW UNIFLX F-T 4X26MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW UNIFLX F-T 4X30MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW UNIFLX F-T 4X32MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW UNIFLX F-T 4X34MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW UNIFLX F-T 4X36MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW UNIFLX F-T 4X38MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW UNIFLX F-T 4X40MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW UNIFLX F-T 4X45MM,341.0,341.0,51.15,341.0,30
HCPCS,C1713,SCREW V-AX ELB 2.7X18MM,1268.0,1268.0,190.2,1268.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X12MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X14MM,2456.0,2456.0,368.4,2456.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X16MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X18MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X20MM,1681.0,1681.0,252.15,1681.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X22MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X30MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X42MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X65MM,2656.0,2656.0,398.4,2656.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X70MM,1730.0,1730.0,259.5,1730.0,30
HCPCS,C1713,SCREW V-AX ELB 3.5X8MM,2456.0,2456.0,368.4,2456.0,30
HCPCS,C1713,SCREW V-AX NLCK 2.7X12,926.0,926.0,138.9,926.0,30
HCPCS,C1713,SCREW V-AX NLCK 2.7X16,926.0,926.0,138.9,926.0,30
HCPCS,C1713,SCREW V-AX ORTH 3.5X12MM,964.0,964.0,144.6,964.0,30
HCPCS,C1713,SCREW V-AX ORTH 3.5X18MM,964.0,964.0,144.6,964.0,30
HCPCS,C1713,SCREW V-AX ORTH 3.5X26MM,416.0,416.0,62.4,416.0,30
HCPCS,C1713,SCREW V-AX ORTH 3.5X34MM,1301.0,1301.0,195.15,1301.0,30
HCPCS,C1713,SCREW V-AX ORTH 3.5X38MM,1301.0,1301.0,195.15,1301.0,30
HCPCS,C1713,SCREW VA-SD HYBRD 4X12MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW VAR 4X12MM SLFDRL,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW VAR ANG 4.0X14MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW VAR ANGLE 4.2MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW VAR SLFDRL 5X14MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREW VAR SLFTP 4.5X16MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCREW VARI BNE 4.5X14,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW VARI BNE 4.5X16,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCREW VERTEX 3.5X26,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCREW VERTEX SET 3.5X5MM,2125.0,2125.0,318.75,2125.0,30
HCPCS,C1713,SCREW XDR 2.3X11,542.0,542.0,81.3,542.0,30
HCPCS,C1713,SCREW XDR 2.3X13,569.0,569.0,85.35,569.0,30
HCPCS,C1713,SCREW XENA PAX CT10BP540,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCREW XIA P-AX TI 6X40MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCREW ZUMA 5.5X25,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCREWS BN LCK OR CMPR,479.0,479.0,71.85,479.0,60
HCPCS,C1713,SCRW 3.5X17MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCRW 4.0X 8 MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,SCRW 4.5 PA 5.0 X 45 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW 4.5X3.2X16MM SYNPSE,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1713,SCRW 5.5 TI FX 4.5X30,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 5.5 TI FX 4.5X40,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 5.5 TI FX 4.5X45,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 5.5 TI FX 6.5X45,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 6.5X35MM TI COCRSPN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 6.5X45MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 6.5X45MM FXD,4467.0,4467.0,670.05,4467.0,30
HCPCS,C1713,SCRW 6.5X50MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 6.5X50MM FXD,4467.0,4467.0,670.05,4467.0,30
HCPCS,C1713,SCRW 6.5X60MM MA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW 7.5X30MM MA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW 7.5X40MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 7.5X45MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 7.5X70MM ILSCRL REV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW 8.5X45MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 8.5X50MM DRKSTARCAN,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW 8.5X65MM MA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW 8.5X80MM ILSCRL REV,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW 8.5X90MM ILSCRL REV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW 9.5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW BN 1.7MM 5MM SLFDRL,1340.0,1340.0,201.0,1340.0,30
HCPCS,C1713,SCRW BN 3.5MM 4.5MM 26MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW BN 3.5X18MM,2105.0,2105.0,315.75,2105.0,30
HCPCS,C1713,SCRW BN 4MM 46MM,1658.0,1658.0,248.7,1658.0,30
HCPCS,C1713,SCRW BN 5X34MM INTRLCKNG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCRW BN 5X40MM OSTEOBRDG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCRW BN 6.5MM 40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1713,SCRW BN 6.5MM 45MM THRSH,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW BN CMPR 3X34MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW BN CMPR 3X38MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW BN CPTR HTORQ5X55MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW BN INTLK 5X32MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW BN INTLK 5X42MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW BN L22 OD3.5 MOUNTA,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCRW BN L55 OD6.5 MALIBU,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1713,SCRW BN L60 OD6 EXPEDIUM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW BN LCK 3.5MM 2MM,1403.0,1403.0,210.45,1403.0,30
HCPCS,C1713,SCRW BN MTNRSPN3.5X40MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCRW BN PT HTORQ 4X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SCRW BN SM 2.3X12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW BN SNPR SPN6.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW BN SNPR SPN7.5X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW BN SPN 4X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW BN XPDM SPN 9X100MM,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCRW BN XPRTT25 6X8X38MM,2143.0,2143.0,321.45,2143.0,30
HCPCS,C1713,SCRW BN ZEVO TI 3.5X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCRW CA 16THD 7.5X35MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCRW CA 16THD 7.5X40MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCRW CA 16THD 7.5X45MM,2790.0,2790.0,418.5,2790.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 3.5X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 4.0X12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 4.0X14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 4.0X16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 4.0X18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 4.0X20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 4.0X22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANC AXON 4.0X24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CANN 6.5X50MM FI,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCRW CDH 6.5X50MM SS,5669.0,5669.0,850.35,5669.0,30
HCPCS,C1713,SCRW CDH 7.5X50MM SS,5669.0,5669.0,850.35,5669.0,30
HCPCS,C1713,SCRW CDH 7.5X55MM SS,5669.0,5669.0,850.35,5669.0,30
HCPCS,C1713,SCRW CORT 2X3.5X6 TI STD,682.0,682.0,102.3,682.0,30
HCPCS,C1713,SCRW CRTX 110/30 6.5 SS,1674.0,1674.0,251.1,1674.0,30
HCPCS,C1713,SCRW CX 1.5X18MM S,239.0,239.0,35.85,239.0,30
HCPCS,C1713,SCRW CX AXON 3.5X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CX AXON 3.5X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CX AXON 3.5X34MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CX AXON 3.5X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CX AXON 3.5X38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW CX AXON 3.5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW DRKSTARCAN 6.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW DRKSTARCAN 7.5X50MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW DRKSTARCAN 7.5X55MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW DRKSTR CAN 5.5X35MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW DRKSTR CAN 5.5X40MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW DRKSTR CAN 5.5X45MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW DRKSTR CAN 6.5X30MM,4030.0,4030.0,604.5,4030.0,30
HCPCS,C1713,SCRW ELLIPSE POL 4.5X12,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW ELLIPSE POLY 4.0X28,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW ELLIPSE POLY 4.0X32,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW ELLIPSE POLY 4.5X10,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW ELLIPSE POLY 4.5X16,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW EXP TI POLY 7.5 X 7,4120.0,4120.0,618.0,4120.0,30
HCPCS,C1713,SCRW EXP TI POLY 7.5X100,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW ICOS 4.0X30 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW ICOS 4.0X38 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW ICOS 4.0X55 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW ICOS 6.5X55 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW ICOS 6.5X70 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW ICOS 6.5X80 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW ICOS 6.5X90 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW II PA 5.0 X 40 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW II PA 5.5 X 55 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW II PA 7.5 X 60 MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW LEGACY HA 6.5X55MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW LEGACY HA 7.5X45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW LEGACY HA 7.5X55MM,6742.0,6742.0,1011.3,6742.0,30
HCPCS,C1713,SCRW NGT 3.5X28 2.5MM,1788.0,1788.0,268.2,1788.0,30
HCPCS,C1713,SCRW OFF 3X16 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW PA 8.5 X 40 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW PA 8.5 X 45 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW PA 8.5 X 50 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW PA 8.5 X 60 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW PA 8.5 X 70 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW PYRAMID 6.5X35MM,3417.0,3417.0,512.55,3417.0,30
HCPCS,C1713,SCRW RDCTN LCK2 7.5X30MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCRW RDCTN LCK2 7.5X45MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCRW RED L5.5 5.5X45 TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW RED L5.5 6.5X50 TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW RED L5.5 7.5X45 TI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW RESCUE VAR 4.5X12MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCRW SD 4.0X12MM VA,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCRW SD 4.0X13MM VA,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCRW SD 4.0X14MM VA,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCRW SD 4.0X15MM VA,3254.0,3254.0,488.1,3254.0,30
HCPCS,C1713,SCRW SD 4.5X13MM VA,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCRW SHAFT AXON 3.5X26MM,4695.0,4695.0,704.25,4695.0,30
HCPCS,C1713,SCRW SHAFT AXON 3.5X30MM,4695.0,4695.0,704.25,4695.0,30
HCPCS,C1713,SCRW SHAFT AXON 3.5X32MM,4695.0,4695.0,704.25,4695.0,30
HCPCS,C1713,SCRW SHRT SPN ST TI 25MM,731.0,731.0,109.65,731.0,30
HCPCS,C1713,SCRW SLF DRL VRBL 4.5X14,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCRW SLFTAP VAR 4.0X12MM,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCRW SOL CD HZN BN6X60MM,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW SPN 3.5X12MM MINI S,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW SPN 3.5X14MM MINI-S,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1713,SCRW SPN 4MM 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW SPN 5 .5X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW SPN 5.5MM 36MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCRW SPN PAX 6.5X50MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCRW SPN ST FXD 4.5X15 M,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SCRW SPNCANN 4.5X40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SCRW SPNL P-AX 8.5X80MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SCRW T25 TI 5.0 X 55 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SCRW TMPMNDB FOS 2.3X9MM,845.0,845.0,126.75,845.0,30
HCPCS,C1713,SCRW UNIAXIAL 5.5X45MM,6954.0,6954.0,1043.1,6954.0,30
HCPCS,C1713,SCRW VAR SD 3.5X11MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCRW WFN FT 6.0 X 25 MM,2471.0,2471.0,370.65,2471.0,30
HCPCS,C1713,SCRW XPDM TI SPN2 5X55MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCRW ZEVO TI SPNE 4X19MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SCRW3 TI MA 5.5 X 35 MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SCRW3 TI PA 6.5 X 65 MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SCSREW SPN SLFDRL 4X10,1130.0,1130.0,169.5,1130.0,30
HCPCS,C1713,SEMI-TUBULAR PLATE 8 HOL,947.0,947.0,142.05,947.0,30
HCPCS,C1713,SET CABLE ORTHO 2.0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SET CABLE/SLV 1.6MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SET CBL SLV STNLS 2.0,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SET CONNECTOR SCR TO SCR,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SET IMP TNDN DYSF 5.5MM,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,SET IMPL ARTHSCP 4.75MM,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,SET SCREW BN 2.0X12MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SET SCREW SPINAL,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,SET SCREW SPN,753.0,753.0,112.95,753.0,90
HCPCS,C1713,SET SCREW SPN 10X1.0MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SET SCREW SPN 5.5/6.0MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SET SCREW SPN 8X1.0MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SET SCREW SPN LARGE,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SET SCREW SPNL LCK,783.0,783.0,93.6,942.0,60
HCPCS,C1713,SETSCREW SPNL,753.0,753.0,112.95,753.0,30
HCPCS,C1713,SFX5.5TI LAT SZ A2,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,SHANK SPN 8.5MM 40MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,SHEATH ARTHSCP FX 23MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SHEATH ARTHSCP FX LG30MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1713,SHEATH TIBIAL FX SM 30MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SLED BN ANKL MEDL 42MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SLED BN FX OLCRN 58MM,4540.0,4540.0,681.0,4540.0,30
HCPCS,C1713,SLEEVE CNTRNG,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,SLEEVE RIB 6MM,2380.0,2380.0,357.0,2380.0,30
HCPCS,C1713,SLEEVE TIB 61MM PRCT,7420.0,7420.0,1113.0,7420.0,30
HCPCS,C1713,SLVROM TIB NRH POR 37MM,7420.0,7420.0,1113.0,7420.0,30
HCPCS,C1713,SPACER SPN 8D 16X14X34MM,24116.0,24116.0,3617.4,24116.0,30
HCPCS,C1713,SPACER SPNL 7D 15X17X6MM,8083.0,8083.0,1212.45,8083.0,30
HCPCS,C1713,SPLINT DNTL CSTM MADE,20965.0,20965.0,3144.75,20965.0,30
HCPCS,C1713,SPNL SCREW 8MM 70MM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1713,STAPLE BN 1.3MM 1.8MM,5685.0,5685.0,852.75,5685.0,30
HCPCS,C1713,STAPLE BN 10X10X10MM,5226.0,5226.0,783.9,5226.0,30
HCPCS,C1713,STAPLE BN 10X10X13MM,4127.0,4127.0,619.05,4127.0,30
HCPCS,C1713,STAPLE BN 12MM 12MM,8232.0,8232.0,1165.35,8695.0,60
HCPCS,C1713,STAPLE BN 12X10X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,STAPLE BN 15MM 15MM,10798.0,10798.0,1619.7,10798.0,30
HCPCS,C1713,STAPLE BN 15X12X12MM,6857.0,6857.0,1028.55,6857.0,30
HCPCS,C1713,STAPLE BN 15X25 CHARLT,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,STAPLE BN 16MM 18MM,8167.5,8167.5,830.55,10798.0,60
HCPCS,C1713,STAPLE BN 18X14MM,5685.0,5685.0,852.75,5685.0,30
HCPCS,C1713,STAPLE BN 18X15MM,5685.0,5685.0,852.75,5685.0,30
HCPCS,C1713,STAPLE BN 19MM 18MM 17MM,5685.0,5685.0,852.75,5685.0,30
HCPCS,C1713,STAPLE BN 20MM 20MM,5287.0,5287.0,509.4,7178.0,60
HCPCS,C1713,STAPLE BN 20X25 CHARLT,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,STAPLE BN 20X25MM,8951.0,8951.0,1342.65,8951.0,30
HCPCS,C1713,STAPLE BN 22MM 25MM,10798.0,10798.0,1619.7,10798.0,30
HCPCS,C1713,STAPLE BN 8MM 8MM,5536.5,5536.5,664.35,6644.0,60
HCPCS,C1713,STAPLE BN ADJ 10X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,STAPLE BN CMPR 15X15X15,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1713,STAPLE BN HAND 20X20MM,10798.0,10798.0,1619.7,10798.0,30
HCPCS,C1713,STAPLE BN KIT 15X15X15MM,7237.0,7237.0,1085.55,7237.0,30
HCPCS,C1713,STAPLE BN MFX 15X12X12MM,5108.0,5108.0,766.2,5108.0,30
HCPCS,C1713,STAPLE BN NTNL 18X14MM,5051.0,5051.0,757.65,5051.0,30
HCPCS,C1713,STAPLE BN SPD 11X10X10IN,3756.0,3756.0,563.4,3756.0,30
HCPCS,C1713,STAPLE BN SPD 18X15MM,6857.0,6857.0,1028.55,6857.0,30
HCPCS,C1713,STAPLE BN SPN CDL MED,6212.0,6212.0,931.8,6212.0,30
HCPCS,C1713,STAPLE BN SPN RSTRL MED,6212.0,6212.0,931.8,6212.0,30
HCPCS,C1713,STAPLE BN SS 7.9IN,3705.0,3705.0,555.75,3705.0,30
HCPCS,C1713,STAPLE BNE SS 151X 25MM,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,STAPLE COMP15X15,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,STAPLE HUMERUS 7MM W/TRO,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1713,STAPLE LG 13X17 MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,STAPLE LOPRO 1.8X1.3X2MM,6208.0,6208.0,931.2,6208.0,30
HCPCS,C1713,STAPLE SPN 24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,STAPLE SPN THORACIC 2HL,4578.0,4578.0,686.7,4578.0,90
HCPCS,C1713,STAPLE SURG 60MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,STAPLE WRIGHT 43110004,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,STPL BNE AEON 11X10X10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,STPL BNE AEON 15X12X12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,STPL BNE COMPRESION,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,STPL COMP 15IX 11L,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1713,SUTURE ANCHOR 4.75MM,3720.0,3720.0,530.1,3906.0,60
HCPCS,C1713,SUTURE CERCLAGE,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1713,SUTURE TNDN BN 1.2MM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1713,SUTURE TNDN BN 2.0MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1713,SYS IMPL ANCH W/BC SWVLK,12905.0,12905.0,1935.75,12905.0,30
HCPCS,C1713,SYS IMPL TNDN REPR 3.9MM,13000.0,13000.0,1950.0,13000.0,30
HCPCS,C1713,SYS IMPLANT BN,9303.0,9303.0,1395.45,9303.0,30
HCPCS,C1713,SYSTEM ANCHOR LIGMNT RPR,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,SYSTEM ANCHOR SUTURE,12068.0,12068.0,1810.2,12068.0,30
HCPCS,C1713,SYSTEM ANCHOR UCL 3.5MM,5222.0,5222.0,783.3,5222.0,30
HCPCS,C1713,SYSTEM ANCHR 4.75MM,9997.0,9997.0,1499.55,9997.0,30
HCPCS,C1713,SYSTEM ANCHR PTLA 4.75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,SYSTEM BN IMPL ANCH,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1713,SYSTEM BN IMPLANT REPAIR,6488.0,6488.0,973.2,6488.0,30
HCPCS,C1713,SYSTEM BN SCREW 6.25MM,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,SYSTEM CBL HIP 23X121MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1713,SYSTEM IMPL ANCHOR GRAFT,20671.0,20671.0,3100.65,20671.0,30
HCPCS,C1713,SYSTEM IMPL GRAFT ANCHR,9092.0,9092.0,1363.8,9092.0,30
HCPCS,C1713,SYSTEM IMPLANT 7.0MM,6953.0,6953.0,1042.95,6953.0,30
HCPCS,C1713,SYSTEM IMPLANT FIBER,5790.0,5790.0,868.5,5790.0,30
HCPCS,C1713,SYSTEM IMPLANT MULTI,16879.0,16879.0,2531.85,16879.0,30
HCPCS,C1713,SYSTEM IMPLANT RT,4907.0,4907.0,736.05,4907.0,30
HCPCS,C1713,SYSTEM IMPLANT SCREW,9278.0,9278.0,1391.7,9278.0,30
HCPCS,C1713,SYSTEM IMPLNT TNPDSIS,4185.0,4185.0,627.75,4185.0,30
HCPCS,C1713,SYSTEM KNOTLES AC REPAIR,8720.0,8720.0,1308.0,8720.0,30
HCPCS,C1713,SYSTEM MENISCAL REPAIR,3422.0,3422.0,513.3,3422.0,30
HCPCS,C1713,SYSTEM SET SCREW,1063.0,1063.0,159.45,1063.0,30
HCPCS,C1713,SYSTEM SPN CABLE STERNAL,1020.0,1020.0,153.0,1020.0,30
HCPCS,C1713,SYSTEM SPN PLTSCR 4.75MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,SYSTEM TGHTRP ANKL STBLZ,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1713,SYSTM AC REPAIR KNTLS,8753.5,8753.5,1313.03,8753.5,42
HCPCS,C1713,T-CONN SPN HD2HD 39-45MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,TULIP SPN HEAD 5.5MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,TULIP SPN MOD P-AX,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,WASHER 13MM FACET FIX SE,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,WASHER BN 12.7MM 6.5MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER BN 13.0MM,327.0,327.0,49.05,327.0,30
HCPCS,C1713,WASHER BN 13.5MM 4.0MM,1617.0,1617.0,242.55,1617.0,30
HCPCS,C1713,WASHER BN 1MM 9MM,586.0,586.0,87.9,586.0,30
HCPCS,C1713,WASHER BN 3.0MM,1267.0,1267.0,190.05,1267.0,30
HCPCS,C1713,WASHER BN 3.5MM,885.0,885.0,132.75,885.0,30
HCPCS,C1713,WASHER BN 4.5MM,682.0,682.0,102.3,682.0,30
HCPCS,C1713,WASHER BN 4.5MM 10MM,375.0,375.0,56.25,375.0,30
HCPCS,C1713,WASHER BN 5MM,440.0,440.0,66.0,440.0,30
HCPCS,C1713,WASHER BN 6.5MM 12.7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER BN 6.5MM 8MM,536.0,536.0,80.4,536.0,30
HCPCS,C1713,WASHER BN 7.0MM F/SM,293.0,293.0,43.95,293.0,30
HCPCS,C1713,WASHER BN 7.0X3.5X4MM,330.0,330.0,49.5,330.0,30
HCPCS,C1713,WASHER BN 7MM,404.0,404.0,60.6,404.0,30
HCPCS,C1713,WASHER BN 8MM 12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,WASHER BN BTN 2.7MM 5MM,638.0,638.0,95.7,638.0,30
HCPCS,C1713,WASHER BN CNTOR 5.5MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER BN FIX 3.5MM,521.0,521.0,78.15,521.0,30
HCPCS,C1713,WASHER BN FIX 7MM,479.0,479.0,71.85,479.0,30
HCPCS,C1713,WASHER BN FLAT 3.5MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER BN FLAT 3MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER BN FLAT 4.0,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER BN HIP SZ3 7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER BN IMPL,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER BN LCK ATCHMNT 5D,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,WASHER BN OLECRANON,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,WASHER BN ORT FLAT/DOME,1356.0,1356.0,203.4,1356.0,30
HCPCS,C1713,WASHER BN ORTH 10MM,356.0,356.0,53.4,356.0,30
HCPCS,C1713,WASHER BN ORTH 6.5/8MM,627.0,627.0,94.05,627.0,30
HCPCS,C1713,WASHER BN SCRW 6.5/8.0MM,1308.0,1308.0,196.2,1308.0,30
HCPCS,C1713,WASHER BN TI 13MM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1713,WASHER CNTOR 7MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER EVOS ORTH 3.5 MM,824.0,824.0,123.6,824.0,30
HCPCS,C1713,WASHER FACET 4.5,753.0,753.0,112.95,753.0,30
HCPCS,C1713,WASHER MDL MLR SLD ORTH,542.0,542.0,81.3,542.0,30
HCPCS,C1713,WASHER MINI 4.5,447.0,447.0,67.05,447.0,30
HCPCS,C1713,WASHER NUT ORTH 5MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1713,WASHER ORTH 1.0MM 9MM,613.0,613.0,91.95,613.0,30
HCPCS,C1713,WASHER ORTH 13.5MM 4MM,377.0,377.0,56.55,377.0,30
HCPCS,C1713,WASHER ORTH 13MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER ORTH 4MM,2069.0,2069.0,310.35,2069.0,30
HCPCS,C1713,WASHER ORTH 7X3.5X4MM,491.0,491.0,73.65,491.0,30
HCPCS,C1713,WASHER ORTH 8.0MM 3.2MM,961.0,961.0,144.15,961.0,30
HCPCS,C1713,WASHER ORTH TI 3.75MM,837.0,837.0,125.55,837.0,30
HCPCS,C1713,WASHER ORTHO 13.5X5.5MM,1594.0,1594.0,239.1,1594.0,30
HCPCS,C1713,WASHER ORTHO CNTOR 4MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WASHER SPHNL SS TPRD,905.0,905.0,135.75,905.0,30
HCPCS,C1713,WASHER SPN 17MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,WASHER SPN 17X17MM,753.0,753.0,112.95,753.0,30
HCPCS,C1713,WASHER SPN 2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1713,WASHER SPN CLK-X 18X6MM,377.0,377.0,56.55,377.0,30
HCPCS,C1713,WASHER SPN GRFT 15MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,WASHER SPN TI 5MM,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,WASHER SPNL 3MM VSP SS,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,WASHER SPNL 5MM VSP SS,1506.0,1506.0,225.9,1506.0,30
HCPCS,C1713,WASHER TI USS 18 - 7MM,377.0,377.0,56.55,377.0,30
HCPCS,C1713,WASHR VIPR FACET FX 13MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,WIRE WRST CLMP 24X14MM,1802.0,1802.0,270.3,1802.0,30
HCPCS,C1713,WSHR BN 3.5MMX4MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,WSHR BN HD 2.5MM,319.0,319.0,47.85,319.0,30
HCPCS,C1713,XCONN ROD TO ROD 45-66MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,XCONN SPN 35-46MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,XCONN SPN 5.5X42.5-67MM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1713,XLINK SPN SLM 45-60MM,3389.0,3389.0,508.35,3389.0,30
HCPCS,C1713,Z NAIL RET FEM CAP 0,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1714,CATH ATHR 6F 36MM 145CM,14836.5,14836.5,2225.47,14836.5,42
HCPCS,C1714,CATH ATHRCM 5.9CM 135CM,14836.5,14836.5,2225.47,14836.5,42
HCPCS,C1714,CATH ATHRCM 9.6CM 114CM,13724.0,13724.0,2058.6,13724.0,42
HCPCS,C1714,SYSTEM CATH ATHRCM 135CM,11485.5,11485.5,1722.83,11485.5,42
HCPCS,C1717,BRACHYTX NS HDR IR 192,1134.04,1134.04,192.79,1134.04,38
HCPCS,C1721,DEFIB ICD 69X51X12MM,41089.0,41089.0,6163.35,41089.0,30
HCPCS,C1721,ICD CRD 2.43X2.69-2.89,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1721,ICD CRD 5.23X7.03CM,37644.0,37644.0,5646.6,37644.0,30
HCPCS,C1721,ICD CRD 5.23X7.14X0.99CM,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1721,ICD CRD 7.45X6.17X0.99CM,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1721,ICD CRD DR-T DF-4,37896.0,37896.0,5684.4,37896.0,30
HCPCS,C1721,ICD CRD VR 5.37X7.79CM,37644.0,37644.0,5646.6,37644.0,30
HCPCS,C1721,ICD DC DR-T DF4,26444.0,26444.0,3966.6,26444.0,30
HCPCS,C1721,ICD DEFB DLCHMBR MRI IS1,32761.0,32761.0,4914.15,32761.0,30
HCPCS,C1721,ICD DEFIB 2.43 2.69-2.89,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1721,ICD DEFIB 68X51X13MM,35418.0,35418.0,5312.7,35418.0,30
HCPCS,C1721,ICD DEFIB CARD 51X66MM,42166.0,42166.0,6324.9,42166.0,30
HCPCS,C1721,ICD DEFIB CARD 7.68CM,38633.0,38633.0,5646.6,40456.0,90
HCPCS,C1721,ICD DEFIB CARD 7.79CM,39243.0,39243.0,5886.45,39243.0,30
HCPCS,C1721,ICD DEFIB CARD DF1,40464.0,40464.0,6069.6,40464.0,30
HCPCS,C1721,ICD DEFIB CARD DF4,40464.0,40464.0,6069.6,40464.0,30
HCPCS,C1721,ICD DEFIC CARD 7.68CM,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1721,ICD DF1 7 DR-T,26444.0,26444.0,3966.6,26444.0,30
HCPCS,C1721,ICD DF1 CARD DBL CMBR,44714.0,44714.0,6707.1,44714.0,30
HCPCS,C1721,ICD DF4 71X40X14MM,45503.0,45503.0,6825.45,45503.0,30
HCPCS,C1721,ICD DR 69X51X12MM,45503.0,45503.0,6825.45,45503.0,30
HCPCS,C1721,ICD DR MRI IS1 DF4,35959.0,35959.0,5393.85,35959.0,30
HCPCS,C1721,ICD DUAL CHMBR 35MM,45503.0,45503.0,6825.45,45503.0,30
HCPCS,C1721,ICD DUAL CHMBR 42MM,45503.0,45503.0,6825.45,45503.0,30
HCPCS,C1721,ICD SYS DUAL 69X51X12,66464.0,66464.0,9969.6,66464.0,60
HCPCS,C1722,DEFIB CARD .99CM D400,40964.0,40964.0,6144.6,40964.0,30
HCPCS,C1722,DEFIB ICD VR DF4,45503.0,45503.0,6825.45,45503.0,30
HCPCS,C1722,ICD CHAMBER 1,41089.0,41089.0,6163.35,41089.0,30
HCPCS,C1722,ICD CRD .99X5.37X7.79CM,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1722,ICD CRD 2.43X2.69-2.89,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1722,ICD CRD 5.23X6.71CM,37644.0,37644.0,5646.6,37644.0,30
HCPCS,C1722,ICD CRD 5.23X7.14X0.99CM,37644.0,37644.0,5646.6,37644.0,30
HCPCS,C1722,ICD CRD 5.3X7.79X0.99CM,37644.0,37644.0,5646.6,37644.0,30
HCPCS,C1722,ICD CRD 7.45X6.17X0.99CM,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1722,ICD DEFIB CARD 2.93IN,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1722,ICD DEFIB CARD 51X64MM,43244.0,43244.0,6486.6,43244.0,30
HCPCS,C1722,ICD DEFIB CARD 51X66MM,40131.0,40131.0,6019.65,40131.0,30
HCPCS,C1722,ICD DEFIB CARD 6.17CM,40456.0,40456.0,6068.4,40456.0,30
HCPCS,C1722,ICD DEFIB CARD 66X51X13,38409.0,38409.0,5761.35,38409.0,30
HCPCS,C1722,ICD DEFIB CARD 7.36CM,38633.0,38633.0,5646.6,40456.0,90
HCPCS,C1722,ICD DEFIB CARD DEVICE,81400.0,81400.0,12210.0,81400.0,30
HCPCS,C1722,ICD DEFIB CRD 68X51X13MM,44201.0,44201.0,6630.15,44201.0,30
HCPCS,C1722,ICD DF1 14MM 40J 40X73MM,45503.0,45503.0,6825.45,45503.0,30
HCPCS,C1722,ICD DF1 7 VR-T DX,26444.0,26444.0,3966.6,26444.0,30
HCPCS,C1722,ICD DF1 CARD SNLG CMBR,44714.0,44714.0,6707.1,44714.0,30
HCPCS,C1722,ICD DF4 71X40X14MM,45503.0,45503.0,6825.45,45503.0,30
HCPCS,C1722,ICD SGL 5.37X7.79CM,39243.0,39243.0,5886.45,39243.0,30
HCPCS,C1722,ICD SYS SING 63X51X12,64836.0,64836.0,9725.4,64836.0,60
HCPCS,C1722,ICD VR MRI DF4,34136.0,34136.0,5120.4,34136.0,30
HCPCS,C1722,ICD XT MRI DF4,31575.0,31575.0,4736.25,31575.0,30
HCPCS,C1722,ICD-S 12.7MM 83.1X69.1MM,73260.0,73260.0,10989.0,73260.0,30
HCPCS,C1722,ICD-S 83.1X69.1X12.7MM,73260.0,73260.0,10989.0,73260.0,30
HCPCS,C1724,BURR CATH ARTHRM 1.25MM,9848.5,9848.5,1477.28,9848.5,42
HCPCS,C1724,BURR CATH ARTHRM 1.50MM,9848.5,9848.5,1477.28,9848.5,42
HCPCS,C1724,BURR CATH ARTHRM 1.75MM,9848.5,9848.5,1477.28,9848.5,42
HCPCS,C1724,BURR CATH ARTHRM 2.00MM,9848.5,9848.5,1477.28,9848.5,42
HCPCS,C1724,BURR CATH ARTHRM 2.15MM,9848.5,9848.5,1477.28,9848.5,42
HCPCS,C1724,BURR CATH ARTHRM 2.25MM,9848.5,9848.5,1477.28,9848.5,42
HCPCS,C1724,BURR CATH ARTHRM 2.50MM,9848.5,9848.5,1477.28,9848.5,42
HCPCS,C1724,CATH ATHEC 6F 135CM,6523.0,6523.0,978.45,6523.0,42
HCPCS,C1724,CATH ATHR DMNDBCK360 2.5,17369.0,17369.0,2605.35,17369.0,42
HCPCS,C1724,CATH ATHRCM 1.7MM 150CM,12790.25,12790.25,1880.17,13046.0,84
HCPCS,C1724,CATH ATHRCM 145CM 1.25MM,15808.5,15808.5,2371.28,15808.5,84
HCPCS,C1724,CATH ATHRCM 2.0MM 150CM,13046.0,13046.0,1956.9,13046.0,42
HCPCS,C1724,CATH ATHRCM 200CM 1.50MM,18392.0,18392.0,2758.8,18392.0,42
HCPCS,C1724,CATH ATHRCM 6.6CM 114CM,14836.5,14836.5,2225.47,14836.5,42
HCPCS,C1724,CATH ATHRCM 6FR 130CM,11485.5,11485.5,1722.83,11485.5,42
HCPCS,C1724,CATH SET 6F 135MM,13225.0,13225.0,1983.75,13225.0,42
HCPCS,C1724,CATH SET 8FR 110CM,13225.0,13225.0,1983.75,13225.0,42
HCPCS,C1724,SYS ATHRCM 2.2MM 130CM,14836.5,14836.5,2225.47,14836.5,42
HCPCS,C1724,SYSTEM CATH ARTHRCM 1.5M,15808.5,15808.5,2371.28,15808.5,42
HCPCS,C1724,SYSTEM CATH ARTHRCM 135C,17671.0,17671.0,2650.65,17671.0,42
HCPCS,C1724,SYSTEM CATH ARTHRCM 2MM,15808.5,15808.5,2371.28,15808.5,42
HCPCS,C1725,BALLOON PTCA 2.5MM 10MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 2.5MM 15MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 2.5MM 20MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 2MM 10MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 2MM 15MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 2MM 20MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 3.5MM 10MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 3.5MM 15MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 3.5MM 20MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 3MM 10MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 3MM 15MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 3MM 20MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 4.5MM 10MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 4.5MM 15MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 4.5MM 20MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 4MM 10MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BALLOON PTCA 4MM 20MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,BLN AVTR+ RX 4X2X142,1515.5,1515.5,227.32,1515.5,42
HCPCS,C1725,BLN AVTR+ RX 4X4X142,1515.5,1515.5,227.32,1515.5,42
HCPCS,C1725,BLN AVTR+ RX 5X2X142,1515.5,1515.5,227.32,1515.5,42
HCPCS,C1725,BLN AVTR+ RX 5X4X142,1515.5,1515.5,227.32,1515.5,42
HCPCS,C1725,BLN AVTR+ RX 6X4X142,1515.5,1515.5,227.32,1515.5,42
HCPCS,C1725,BLN AVTR+ RX 7X2X142,1515.5,1515.5,227.32,1515.5,42
HCPCS,C1725,BLN INV A 2.0X150,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1725,BLN INV A 2.5X150,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1725,CATH ANGIO 16MM 4CM 80CM,2144.5,2144.5,321.68,2144.5,42
HCPCS,C1725,CATH ANGIO 6FR 80CM,3659.0,3659.0,548.85,3659.0,42
HCPCS,C1725,CATH ANGIO DIL 5.50X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH ANGIO DIL 5.50X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH ANGIO DIL 6X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH ANGIO DIL 6X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BALL PTCA 2.0X10MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 2.0X15MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 2.0X6MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 2.5X10MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 2.5X15MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 2.5X6MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 3.0X10MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 3.0X15MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 3.0X6MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 3.5X10MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 3.5X15MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALL PTCA 3.5X6MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BALLN 2.5X40MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BALLN 2X40MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BALLN 3X40MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BALLOON PTCA 4X15MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1725,CATH BLDL 10X20MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLDL 10X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLDL 10X60MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLDL 10X80MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLDL 12X20MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLDL 12X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLDL 12X60MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLDL 2.5X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLDL 2.5X60MM 150CM,1351.0,1351.0,202.65,1351.0,84
HCPCS,C1725,CATH BLDL 5.5X80MM 90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLDL 5X60MM 130CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLDL 6X40MM 90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 1.25 10MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 1.25MM 6MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 1.5MM 15MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 1.5MM 20MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 1.5X6MM 138CM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 1.75X20MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN 10FR 22MM,3724.5,3724.5,558.67,3724.5,42
HCPCS,C1725,CATH BLN 10X100MM 130CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLN 12FR 26MM 120CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN 130CM 6X40MM,2005.5,2005.5,300.82,2005.5,42
HCPCS,C1725,CATH BLN 2.25MM 12MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2.25MM 15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 2.25MM 20MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2.25MMX10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 2.5MM 12MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2.5MM 15MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2.5MM 170CM,2447.5,2447.5,367.13,2447.5,42
HCPCS,C1725,CATH BLN 2.5MM 20MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2.5MMX12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 2.5X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 2.5X120MM 150CM,1637.25,1637.25,202.65,1923.5,84
HCPCS,C1725,CATH BLN 2.5X120MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLN 2.5X200MM 150CM,1637.25,1637.25,202.65,1923.5,84
HCPCS,C1725,CATH BLN 2.5X200MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLN 2.5X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 2.5X220MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 2.5X240MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 2.5X40MM 150CM,1310.0,1310.0,190.35,1351.0,84
HCPCS,C1725,CATH BLN 2.5X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 2.5X6MM 138CM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2.5X80MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 2.5X80MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLN 2.75MM 12MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2.75MM 15MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2.75X20MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN 20X4CM ZMEDX,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN 22X4.5X110MM,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLN 2MM 12MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2MM 15MM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 2MM 20MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 2X100MM 200CM,2415.0,2415.0,362.25,2415.0,42
HCPCS,C1725,CATH BLN 2X20MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 2X240MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 2X6MM 138CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 3.25MM 12MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 3.5MM 12MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 3.5MM 15MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 3.5MM 20MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 3.5MM 6MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 3.5X60MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 3MM 150CM 40MM,2619.5,2619.5,392.93,2619.5,42
HCPCS,C1725,CATH BLN 3MM 15MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 3MM 20MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 3MM 6MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 3X100MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 3X20MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 3X240MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 3X40MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 3X60MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 3X60MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 3X80MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 4MM 100CM,3369.5,3369.5,505.43,3369.5,42
HCPCS,C1725,CATH BLN 4MM 12MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 4MM 15MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 4MM 20MM,798.5,798.5,119.78,798.5,42
HCPCS,C1725,CATH BLN 4X120MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 4X150MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 4X200MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLN 4X20MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 4X20MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 4X240MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 4X60MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 4X80MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLN 5.5X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 5.5X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 5.5X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 5.5X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 5.5X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 5X100MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 5X150MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 5X200MM 200CM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLN 5X20MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 5X240MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 5X40MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 5X40MM 150CM,1228.0,1228.0,178.05,1269.0,84
HCPCS,C1725,CATH BLN 5X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN 5X80MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 6F 5X40 200CM,2292.0,2292.0,343.8,2292.0,42
HCPCS,C1725,CATH BLN 6FR 10MM 2CM,1228.0,1228.0,184.2,1228.0,42
HCPCS,C1725,CATH BLN 6MM 100MM 200CM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLN 6MM 200MM 200CM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLN 6X150MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 6X20MM 135CM,2520.25,2520.25,115.95,4267.5,84
HCPCS,C1725,CATH BLN 6X20MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 6X40MM 150CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN 6X60MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 6X80MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 7FR 14MM 80CM,2144.5,2144.5,321.68,2144.5,42
HCPCS,C1725,CATH BLN 7X100MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 7X20MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 7X40MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 7X40MM 200CM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLN 7X60MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 7X60MM 150CM,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1725,CATH BLN 7X80MM 135CM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLN 9MM 40MM 75CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLN ANG 2.5X137X10,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BLN ANGIO 40MM 80CM,2144.5,2144.5,321.68,2144.5,42
HCPCS,C1725,CATH BLN DIL 142CM 40MM,1515.5,1515.5,227.32,1515.5,42
HCPCS,C1725,CATH BLN DL4X120MM 150CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLN DL4X200MM 150CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLN KIT 7.5F,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLN OTW 7FR 5X2X135,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1725,CATH BLN OTW4.0X40MM 150,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1725,CATH BLN PRPF 80MM 150CM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1725,CATH BLN PTA 3X100MM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLN PTCA 1.75X10MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 1.75X15MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BLN PTCA 2.0X10MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 2.0X15MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BLN PTCA 2.0X20MM,4298.0,4298.0,644.7,4298.0,42
HCPCS,C1725,CATH BLN PTCA 2.25X10MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 2.25X20MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 2.50X20MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 2.5X10MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 2.5X15MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 2.75X10MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 3.0X10MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 3.5X10MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 3.5X15MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 3.5X20MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 3X15MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 3X20MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 4.0X10MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 4.0X15MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLN PTCA 4.0X20MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLND 10F 100CM 32MM,3288.5,3288.5,493.27,3288.5,42
HCPCS,C1725,CATH BLNDIL .014IN 6MM,1515.5,1515.5,227.32,1515.5,84
HCPCS,C1725,CATH BLNDIL 1.25MM 10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 1.25MM 15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 1.25MM 5MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 1.2MM 12MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 1.2MM 15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 1.2MM 8MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1725,CATH BLNDIL 1.2MM0MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 1.2X12MM,3274.0,3274.0,491.1,3274.0,42
HCPCS,C1725,CATH BLNDIL 1.2X8MM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDIL 1.5MM 10MM,3456.25,3456.25,115.95,6139.5,84
HCPCS,C1725,CATH BLNDIL 1.5MM 12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 1.5MM 15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 1.5MM 8MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 1.5X12MM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1725,CATH BLNDIL 1.5X6MM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1725,CATH BLNDIL 1.75X10M,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 10MM 135X2CM,1228.0,1228.0,184.2,1228.0,42
HCPCS,C1725,CATH BLNDIL 10MM 2.5MM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLNDIL 10MM 20MM,1072.0,1072.0,160.8,1072.0,42
HCPCS,C1725,CATH BLNDIL 10MM 60MM,921.0,921.0,138.15,921.0,42
HCPCS,C1725,CATH BLNDIL 10X20MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 10X40MM 75CM,1072.0,1072.0,160.8,1072.0,42
HCPCS,C1725,CATH BLNDIL 10X40MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 12MM 2.25MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 12MM 40MM,1195.0,1195.0,160.8,1318.0,84
HCPCS,C1725,CATH BLNDIL 14MM 40MM,1318.0,1318.0,197.7,1318.0,42
HCPCS,C1725,CATH BLNDIL 15MM 1.5MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 15MM 4.00MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 16MM 40MM,1318.0,1318.0,197.7,1318.0,42
HCPCS,C1725,CATH BLNDIL 18MM 4X100CM,4093.0,4093.0,613.95,4093.0,84
HCPCS,C1725,CATH BLNDIL 18X4.5X110,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLNDIL 1MM 5MM,921.0,921.0,138.15,921.0,42
HCPCS,C1725,CATH BLNDIL 2.0X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.0X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.0X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.0X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.0X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.0X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.0X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.25MM 12MM,1948.5,1948.5,292.27,1948.5,42
HCPCS,C1725,CATH BLNDIL 2.25MM 15MM,1360.75,1360.75,115.95,1948.5,126
HCPCS,C1725,CATH BLNDIL 2.25MM 18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.25MM 20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.25MM 30MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.25MM 6MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.25MM 8MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.25MM0MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.25X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.25X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.25X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.25X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.50X12MM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDIL 2.50X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.5MM 10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.5MM 12MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1725,CATH BLNDIL 2.5MM 15MM,2579.25,2579.25,115.95,4385.5,168
HCPCS,C1725,CATH BLNDIL 2.5MM 18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.5MM 30MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.5MM 6MM,2579.25,2579.25,115.95,4385.5,126
HCPCS,C1725,CATH BLNDIL 2.5MM 8MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.5MM0MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.5X12MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1725,CATH BLNDIL 2.5X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.5X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.5X8MM,1409.75,1409.75,115.95,2046.5,126
HCPCS,C1725,CATH BLNDIL 2.75MM 12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.75MM 15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.75MM 20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.75MM 30MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.75MM 6MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.75MM 8MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.75X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.75X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.75X15MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2.75X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.75X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.75X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2.75X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 20MM 1.5MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 20MM 2.75MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 20MM 3.25MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 20MM 3.75MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 20MM 4X100CM,3826.75,3826.75,534.08,4093.0,84
HCPCS,C1725,CATH BLNDIL 20X4.5X110,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLNDIL 22MM 4X100CM,4093.0,4093.0,613.95,4093.0,84
HCPCS,C1725,CATH BLNDIL 22MM 5X100CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 23MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 23MM 5X100CM,4093.0,4093.0,613.95,4093.0,84
HCPCS,C1725,CATH BLNDIL 24MM 40MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 25MM 4X100CM,4093.0,4093.0,613.95,4093.0,84
HCPCS,C1725,CATH BLNDIL 25MM 5X100CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 26X4.5X110,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLNDIL 28MM 6X100CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 28X4.5X110,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLNDIL 2MM 10MM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLNDIL 2MM 12MM,1360.75,1360.75,115.95,1948.5,84
HCPCS,C1725,CATH BLNDIL 2MM 15MM,2579.25,2579.25,115.95,4385.5,168
HCPCS,C1725,CATH BLNDIL 2MM 1MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2MM 20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2MM 30MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 2MM 6MM,2579.25,2579.25,115.95,4385.5,84
HCPCS,C1725,CATH BLNDIL 2MM 8MM,1948.5,1948.5,115.95,2046.5,126
HCPCS,C1725,CATH BLNDIL 2MM 8MM LUM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2MM0MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2X120MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL 2X12MM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1725,CATH BLNDIL 2X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 2X200MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL 2X20MM 150CM,1351.0,1351.0,202.65,1351.0,84
HCPCS,C1725,CATH BLNDIL 2X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 2X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 2X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 2X80MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL 3.0MM 8MM,9209.0,9209.0,1381.35,9209.0,42
HCPCS,C1725,CATH BLNDIL 3.25MM 10MM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLNDIL 3.25MM 12MM,898.25,898.25,115.95,1023.5,126
HCPCS,C1725,CATH BLNDIL 3.25MM 15MM,2579.25,2579.25,115.95,4385.5,126
HCPCS,C1725,CATH BLNDIL 3.25MM 20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.25MM 30MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1725,CATH BLNDIL 3.25MM 6MM,2579.25,2579.25,115.95,4385.5,84
HCPCS,C1725,CATH BLNDIL 3.25MM 8MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 3.25X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.25X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.25X15MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1725,CATH BLNDIL 3.25X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.25X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.25X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.25X8MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1725,CATH BLNDIL 3.50X40MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.5MM 10MM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLNDIL 3.5MM 12MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 3.5MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C1725,CATH BLNDIL 3.5MM 15MM,2579.25,2579.25,115.95,4385.5,126
HCPCS,C1725,CATH BLNDIL 3.5MM 20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.5MM 30MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 3.5MM 6MM,1023.5,1023.5,115.95,4385.5,126
HCPCS,C1725,CATH BLNDIL 3.5MM 8MM,4991.0,4991.0,115.95,9209.0,126
HCPCS,C1725,CATH BLNDIL 3.5MM0MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.5X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.5X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.5X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.5X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.5X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.5X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.6FR 135CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 3.75MM 12MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 3.75MM 15MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 3.75MM 20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.75MM 30MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1725,CATH BLNDIL 3.75MM 6MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.75MM 8MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 3.75X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.75X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.75X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.75X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.75X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.75X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3.75X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 30MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 30MM 4X120CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLNDIL 33MM 4X100CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 3MM 10MM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLNDIL 3MM 12MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 3MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C1725,CATH BLNDIL 3MM 15MM,2579.25,2579.25,115.95,4385.5,126
HCPCS,C1725,CATH BLNDIL 3MM 20MM,1164.25,1164.25,115.95,1555.5,84
HCPCS,C1725,CATH BLNDIL 3MM 30MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 3MM 6MM,2579.25,2579.25,115.95,4385.5,84
HCPCS,C1725,CATH BLNDIL 3MM 8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3MM 8MM LUM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3MM0MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 3X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 3X40MM 135CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDIL 3X40MM 150CM,1351.0,1351.0,202.65,1351.0,84
HCPCS,C1725,CATH BLNDIL 3X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 3X80MM 150CM,1351.0,1351.0,202.65,1351.0,84
HCPCS,C1725,CATH BLNDIL 3X80X171MM,2415.0,2415.0,362.25,2415.0,42
HCPCS,C1725,CATH BLNDIL 3X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.00X40MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.0MM 8MM,9209.0,9209.0,1381.35,9209.0,42
HCPCS,C1725,CATH BLNDIL 4.0X25MM,2775.0,2775.0,416.25,2775.0,42
HCPCS,C1725,CATH BLNDIL 4.50X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.50X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.50X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.50X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.5MM 12MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1725,CATH BLNDIL 4.5MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C1725,CATH BLNDIL 4.5MM 15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.5MM 20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.5MM 6MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.5MM 8MM,398.25,398.25,3.52,773.0,84
HCPCS,C1725,CATH BLNDIL 4.5X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.5X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.5X20X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 4.5X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.5X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4.5X40X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 4.5X8MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 4MM 10MM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLNDIL 4MM 12MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 4MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C1725,CATH BLNDIL 4MM 15MM,2579.25,2579.25,115.95,4385.5,84
HCPCS,C1725,CATH BLNDIL 4MM 20MM,1072.0,1072.0,115.95,1072.5,126
HCPCS,C1725,CATH BLNDIL 4MM 30MM,773.0,773.0,115.95,773.0,84
HCPCS,C1725,CATH BLNDIL 4MM 40MM,1072.0,1072.0,160.8,1072.0,42
HCPCS,C1725,CATH BLNDIL 4MM 6MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4MM 8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4MM 8MM LUM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4MM0MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4X20MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 4X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 4X20MM 80CM,949.0,949.0,142.35,949.0,84
HCPCS,C1725,CATH BLNDIL 4X20X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 4X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 4X30X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 4X40MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 4X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 4X40MM 80CM,960.75,960.75,142.35,972.5,84
HCPCS,C1725,CATH BLNDIL 4X40X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 4X40X135CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH BLNDIL 4X60MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 4X60MM 150CM,1351.0,1351.0,202.65,1351.0,84
HCPCS,C1725,CATH BLNDIL 4X80MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 4X80MM 150CM,1351.0,1351.0,202.65,1351.0,84
HCPCS,C1725,CATH BLNDIL 4X80MM 80CM,960.75,960.75,142.35,972.5,84
HCPCS,C1725,CATH BLNDIL 4X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5.00X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5.00X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5.00X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5.00X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5.0MM 12MM,9209.0,9209.0,1381.35,9209.0,42
HCPCS,C1725,CATH BLNDIL 5.0X25MM,2775.0,2775.0,416.25,2775.0,42
HCPCS,C1725,CATH BLNDIL 5.0X35MM,2775.0,2775.0,416.25,2775.0,42
HCPCS,C1725,CATH BLNDIL 5.5MM 12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5.5MM 20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5.5X20X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 5.5X40MM90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 5.5X40X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 5MM 12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5MM 15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5MM 20MM,1072.0,1072.0,115.95,1072.5,126
HCPCS,C1725,CATH BLNDIL 5MM 6MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5MM 8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5X100MM 200,2415.0,2415.0,362.25,2415.0,42
HCPCS,C1725,CATH BLNDIL 5X100MM 90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 5X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5X12MM,3200.5,3200.5,115.95,5628.0,84
HCPCS,C1725,CATH BLNDIL 5X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5X20MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 5X20MM 50CM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1725,CATH BLNDIL 5X20MM 90CM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1725,CATH BLNDIL 5X20X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 5X22MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5X26MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5X30X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 5X40MM 135CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDIL 5X40MM 200CM,2415.0,2415.0,362.25,2415.0,42
HCPCS,C1725,CATH BLNDIL 5X40MM 90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 5X60MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 5X60MM 90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 5X8.0MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 5X80MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 6.0MM 35MM,2775.0,2775.0,416.25,2775.0,42
HCPCS,C1725,CATH BLNDIL 6MM 12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL 6MM 20MM,996.5,996.5,115.95,1310.0,168
HCPCS,C1725,CATH BLNDIL 6MM 250MM,2415.0,2415.0,362.25,2415.0,42
HCPCS,C1725,CATH BLNDIL 6MM 60MM,921.0,921.0,138.15,921.0,42
HCPCS,C1725,CATH BLNDIL 6MM 75X4CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 6X150MM 5FR,2415.0,2415.0,362.25,2415.0,42
HCPCS,C1725,CATH BLNDIL 6X20MM 135CM,949.0,949.0,142.35,949.0,168
HCPCS,C1725,CATH BLNDIL 6X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 6X20MM 50CM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1725,CATH BLNDIL 6X20MM 80CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDIL 6X20MM 90CM,2809.25,2809.25,202.65,4267.5,84
HCPCS,C1725,CATH BLNDIL 6X20X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 6X20X200MM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLNDIL 6X20X75CM,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1725,CATH BLNDIL 6X30X135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 6X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 6X40MM 200CM,2415.0,2415.0,362.25,2415.0,42
HCPCS,C1725,CATH BLNDIL 6X40MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 6X40X 135,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1725,CATH BLNDIL 6X40X120CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 6X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL 6X60MM 80CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDIL 7F 12X80X4,2144.5,2144.5,321.68,2144.5,42
HCPCS,C1725,CATH BLNDIL 7FR 16X100X4,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 7MM 20MM,1072.5,1072.5,160.8,2374.0,126
HCPCS,C1725,CATH BLNDIL 7MM 40MM,1109.0,1109.0,160.8,1146.0,84
HCPCS,C1725,CATH BLNDIL 7MM 90CM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1725,CATH BLNDIL 7X20MM 135CM,2620.0,2620.0,145.88,4267.5,84
HCPCS,C1725,CATH BLNDIL 7X20MM 50CM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1725,CATH BLNDIL 7X20MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 7X20X200MM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLNDIL 7X40MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 7X40MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 7X40X120CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNDIL 7X60MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 7X80MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 8MM 20MM,1072.0,1072.0,160.8,1072.0,42
HCPCS,C1725,CATH BLNDIL 8MM 40MM,996.5,996.5,138.15,1072.0,84
HCPCS,C1725,CATH BLNDIL 8MM 60MM,921.0,921.0,138.15,921.0,42
HCPCS,C1725,CATH BLNDIL 8X20MM 135CM,2608.25,2608.25,142.35,4267.5,84
HCPCS,C1725,CATH BLNDIL 8X20MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 8X20X200MM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLNDIL 8X40MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 8X40MM 200CM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLNDIL 8X40MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 8X60MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 8X60MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 8X80MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 8X80MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 9MM 20MM,1072.0,1072.0,138.15,1072.5,126
HCPCS,C1725,CATH BLNDIL 9X20MM 135CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDIL 9X20MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 9X40MM 135CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDIL 9X40MM 75CM,1072.0,1072.0,160.8,1072.0,42
HCPCS,C1725,CATH BLNDIL 9X40MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 9X60MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 9X80MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL 9X80MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDIL1.5X20MM 90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL1.5X40MM 90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL1.5X80MM 90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL2X120MM 150CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL2X200MM 150CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL2X20MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL2X40M 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL2X60MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDIL2X80MM 150CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL3X200MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL3X420MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL3X80MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL4.5X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL4.5X18MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDIL4X120MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDIL5.5X100MM90CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 10X20MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 10X40MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 10X40MM 75CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 10X60MM 135CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDL 10X80MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 12X20MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 12X40MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 12X60MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 12X80MM 135CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDL 14X20MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 14X40MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 14X40MM 80CM,2144.5,2144.5,321.68,2144.5,42
HCPCS,C1725,CATH BLNDL 14X60MM 135CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDL 14X80MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 1MM 8MM PERC,921.0,921.0,138.15,921.0,42
HCPCS,C1725,CATH BLNDL 2.25X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDL 2.25X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDL 2.5X12MM,1858.0,1858.0,278.7,1858.0,42
HCPCS,C1725,CATH BLNDL 2.5X8MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 2.75MM 10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATH BLNDL 21MM 110CM,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLNDL 23MM 110CM,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLNDL 24MM 110CM,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLNDL 25MM 110CM,4286.0,4286.0,642.9,4286.0,42
HCPCS,C1725,CATH BLNDL 2X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 2X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 2X200MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 3X120MM 150CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNDL 3X150MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 3X200MM 150CM,1637.25,1637.25,202.65,1923.5,84
HCPCS,C1725,CATH BLNDL 3X20MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 3X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 4X100MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 4X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 4X100MM 200CM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH BLNDL 4X120MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 4X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 4X150MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 4X150MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 4X200MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 4X200MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 4X20MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 4X250MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 4X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 5X100MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 5X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 5X120MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 5X150MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 5X150MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 5X200MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 5X200MM 150MM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 5X20MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 5X250MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 5X40MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 5X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 5X80MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 6FR 7MM 75CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 6X100MM 135CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 6X100MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 6X150MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 6X150MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 6X2/80MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 6X200MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 6X200MM 150CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 6X250MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 6X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 6X60MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 7X100MM 135CM,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATH BLNDL 7X150MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 7X200MM 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1725,CATH BLNDL 7X20MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 7X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 7X60MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 7X80MM 80CM,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATH BLNDL 8MM 75X4CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1725,CATH BLNDL 8X20MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 8X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 8X60MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 9X20MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 9X40MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL 9X60MM 75CM,819.0,819.0,122.85,819.0,42
HCPCS,C1725,CATH BLNDL PTA 5X130X200,2128.5,2128.5,319.27,2128.5,42
HCPCS,C1725,CATH BLNDL RX 2X12MM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1725,CATH BLNDL RX 2X8MM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1725,CATH BLNIL1.5X120MM 90CM,1923.5,1923.5,288.52,1923.5,42
HCPCS,C1725,CATH BLNOCC 16-34MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH BLNOCC 26-42MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH ESCP L85 L7 OD47.5,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,CATH GD 2.9FR 135CM,3683.5,3683.5,552.52,3683.5,42
HCPCS,C1725,CATH INTVN .014IN 135CM,4400.0,4400.0,660.0,4400.0,42
HCPCS,C1725,CATH IVL 150CMX1.5MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1725,CATH IVL 2.5MM 80MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1725,CATH IVL 3.5MM 80MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1725,CATH IVL 4MM 80MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1725,CATH IVL 5MM 80MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1725,CATH IVL 60MM 80MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1725,CATH IVL 8MM 30MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH MOZC RX PTCA2.00X15,1013.5,1013.5,152.03,1013.5,42
HCPCS,C1725,CATH MUST 8MM 40MM 75CM,1072.0,1072.0,160.8,1072.0,42
HCPCS,C1725,CATH OCCL 65CM 10-50MM,3765.5,3765.5,564.83,3765.5,42
HCPCS,C1725,CATH PTA 5X120MM 120CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1725,CATH PTA 6F 6X40 200CM,2452.5,2452.5,367.88,2452.5,42
HCPCS,C1725,CATH RINGER PTCA 4X20MM,13302.0,13302.0,1995.3,13302.0,42
HCPCS,C1725,CATH RNGR PTCA 2.5X20MM,13302.0,13302.0,1995.3,13302.0,42
HCPCS,C1725,CATH RNGR PTCA 3.5X20MM,13302.0,13302.0,1995.3,13302.0,42
HCPCS,C1725,CATH RNGR PTCA 3X20MM,13302.0,13302.0,1995.3,13302.0,42
HCPCS,C1725,CATH RNGR PTCA 4.5X20MM,13302.0,13302.0,1995.3,13302.0,42
HCPCS,C1725,CATH ULTSNC 10.0MM 30MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH ULTSNC 12.0MM 30MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH ULTSND 2.5MM 40MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1725,CATH ULTSND 3.5MM 40MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1725,CATH ULTSND 3MM 40MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1725,CATH ULTSND 4MM 40MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1725,CATH ULTSND IVL 4.0X60MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH ULTSND IVL 5.5X60MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH ULTSND IVL 5X60MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH ULTSND IVL 6.5X60MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH ULTSND IVL 6X60MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH ULTSND IVL 7X60MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH ULTSND IVL 8X60MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1725,CATH VASC 25F20CM 55CM,3667.5,3667.5,550.13,3667.5,42
HCPCS,C1725,CATHETER BLNDIL 1.25X8MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 1.5X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 1.5X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 1.75X15M,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 12X80X20,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATHETER BLNDIL 12X80X40,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATHETER BLNDIL 14X80X20,972.5,972.5,145.88,972.5,42
HCPCS,C1725,CATHETER BLNDIL 14X80X40,949.0,949.0,142.35,949.0,42
HCPCS,C1725,CATHETER BLNDIL 2.5X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 2.5X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 2.5X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 2.5X30MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 2X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 2X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 2X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3.5X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3.5X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3.5X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3.5X30MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3X12MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 3X30MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 4X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 4X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDIL 4X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDL 1.75X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDL 2.25X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDL 2.75X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDL 2.75X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDL 3.25X10MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDL 3.25X15MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,CATHETER BLNDL 3.25X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1725,DEVICE CATH 2FR 97-112CM,2251.0,2251.0,337.65,2251.0,84
HCPCS,C1725,MICROCATH VASC2.9F 135CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1725,MICROCATH VASC2.9F 150CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1726,BLNDIL ENDO 3.0CM 75CM,2374.0,2374.0,356.1,2374.0,126
HCPCS,C1726,BLNDIL ENDO 7.5FR 240CM,1547.0,1547.0,219.22,1632.5,126
HCPCS,C1726,CATH ABL FOCL 60 4X160,9557.0,9557.0,1433.55,9557.0,42
HCPCS,C1726,CATH ABL FOCL UL L 4X160,13752.0,13752.0,2062.8,13752.0,42
HCPCS,C1726,CATH BIL 10-6FR 4X200CM,773.0,773.0,115.95,773.0,42
HCPCS,C1726,CATH BIL 6-4FR 4X200CM,773.0,773.0,115.95,773.0,42
HCPCS,C1726,CATH BIL 7-4FR 4X200CM,773.0,773.0,115.95,773.0,42
HCPCS,C1726,CATH BIL DILATION 9F,773.0,773.0,115.95,773.0,42
HCPCS,C1726,CATH BLN 5FR 4MM 180CM,1842.0,1842.0,276.3,1842.0,42
HCPCS,C1726,CATH BLN 5FR 6MM 180CM,1805.0,1805.0,270.75,1805.0,42
HCPCS,C1726,CATH BLN 5FR 8MM 180CM,1805.0,1805.0,270.75,1805.0,42
HCPCS,C1726,CATH BLNDIL 10MM 2X180CM,1846.5,1846.5,276.98,1846.5,42
HCPCS,C1726,CATH BLNDIL 10MM 4X180CM,1846.5,1846.5,276.98,1846.5,42
HCPCS,C1726,CATH BLNDIL 18FR 10CM,1689.5,1689.5,253.43,1689.5,42
HCPCS,C1726,CATH BLNDIL 18FR 4CM,1655.5,1655.5,248.32,1655.5,42
HCPCS,C1726,CATH BLNDIL 30FR 12CM,1628.0,1628.0,244.2,1628.0,42
HCPCS,C1726,CATH BLNDIL 30FR 15CM,1628.0,1628.0,244.2,1628.0,42
HCPCS,C1726,CATH BLNDIL 4MM 2X180CM,1846.5,1846.5,276.98,1846.5,42
HCPCS,C1726,CATH BLNDIL 4MM 4X180CM,1846.5,1846.5,276.98,1846.5,42
HCPCS,C1726,CATH BLNDIL 5.5CM 240CM,1461.5,1461.5,219.22,1461.5,42
HCPCS,C1726,CATH BLNDIL 6MM 17MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1726,CATH BLNDIL 6MM 2X180CM,1846.5,1846.5,276.98,1846.5,42
HCPCS,C1726,CATH BLNDIL 6MM 4X180CM,1846.5,1846.5,276.98,1846.5,42
HCPCS,C1726,CATH BLNDIL 8MM 2X180CM,1846.5,1846.5,276.98,1846.5,42
HCPCS,C1726,CATH BLNDIL 8MM 4X180CM,1846.5,1846.5,276.98,1846.5,42
HCPCS,C1726,CATH BLNDIL BRNCH 5X24MM,3850.5,3850.5,577.58,3850.5,42
HCPCS,C1726,CATH BLNDIL EUST 6X16MM,8576.5,8576.5,1286.47,8576.5,42
HCPCS,C1726,CATH DIL 20MM,2883.0,2883.0,432.45,2883.0,42
HCPCS,C1726,CATH DIL 30MM,3709.5,3709.5,556.42,3709.5,42
HCPCS,C1726,CATH DIL 4CM 18MM,10053.0,10053.0,1507.95,10053.0,42
HCPCS,C1726,CATH EP L160 HALO ABLT,10846.0,10846.0,1626.9,10846.0,42
HCPCS,C1726,CATH ESPH 12MM 180CM,773.0,773.0,115.95,773.0,42
HCPCS,C1726,CATH ESPH 18MM 180CM,900.5,900.5,135.07,900.5,42
HCPCS,C1726,CATH ESPH 6FR 10MM 180CM,900.5,900.5,135.07,900.5,42
HCPCS,C1726,CATH ESPH 6FR 14MM 180CM,773.0,773.0,115.95,773.0,42
HCPCS,C1726,CATH ESPH 6FR 15MM 180CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1726,CATH ESPH 6FR 16MM 180CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1726,CATH ESPH 6FR 6MM 180CM,1013.5,1013.5,152.03,1013.5,42
HCPCS,C1726,CATH ESPH 6FR 8MM 180CM,900.5,900.5,135.07,900.5,42
HCPCS,C1726,CATH LCRML UNLAT BLN 2MM,2983.5,2983.5,447.52,2983.5,42
HCPCS,C1726,CATH SPC ESPH 16CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1726,CATH SPC ESPH 8CM 5MM,13583.0,13583.0,2037.45,13583.0,42
HCPCS,C1726,CATHETER BALLOON 8F 85CM,8927.5,8927.5,1339.13,8927.5,42
HCPCS,C1726,CATHETER BALLOON 8F 95CM,8927.5,8927.5,1339.13,8927.5,42
HCPCS,C1726,CATHETER BIL ULTSND BLN,320.0,320.0,48.0,320.0,42
HCPCS,C1726,DILATOR BLN 30MM 90CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1726,DILATOR BLN 35MM 90CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1726,DILATOR BLN 40MM 90CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1726,DILATOR BLN 5.5X240CM,1461.5,1461.5,219.22,1461.5,126
HCPCS,C1726,DILATOR BLN 8-9-10MM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1726,DILATOR BLN 8X180CM,1177.25,1177.25,162.82,1269.0,210
HCPCS,C1726,DILATOR ENDO 6-7-8MM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1726,KIT DEV BLLN 3CC 15MM,12023.0,12023.0,1803.45,12023.0,42
HCPCS,C1726,KIT DEV BLLN 4CC 20MM,12023.0,12023.0,1803.45,12023.0,42
HCPCS,C1726,SYSTEM BLNDIL 12X40MM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1726,SYSTEM BLNDIL 14MM 40MM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1726,SYSTEM BLNDIL 14X40MM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1726,SYSTEM BLNDIL 16X40MM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1726,SYSTEM BLNDIL 7X24MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1726,SYSTEM BLNDIL 85X24MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1726,TRAY KYPHOPLASTY 20/3MM,13302.0,13302.0,1995.3,13302.0,42
HCPCS,C1728,CATH BRCHYTHRPY 3.5FR,21743.0,21743.0,3261.45,21743.0,42
HCPCS,C1729,CATH 19G 5FR 20CM,231.5,231.5,34.73,231.5,42
HCPCS,C1729,CATH BIL DRN 5F 40CM,510.0,510.0,76.5,510.0,42
HCPCS,C1729,CATH BIL DRN 6F 23CM,153.0,153.0,22.95,153.0,42
HCPCS,C1729,CATH BILIARY ART UT12FR,837.0,837.0,125.55,837.0,42
HCPCS,C1729,CATH DRN 10.2FR 25CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN 10FR 40CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN 120CM STD CARD,1220.0,1220.0,183.0,1220.0,42
HCPCS,C1729,CATH DRN 12F 14CM 40CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN 12FR 23CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN 14FR 25CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN 14FR 41CM,1275.0,1275.0,191.25,1275.0,42
HCPCS,C1729,CATH DRN 16FR 25CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN 24FR 41CM,992.5,992.5,148.88,992.5,42
HCPCS,C1729,CATH DRN 25FR,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1729,CATH DRN 35CMX700ML,1866.5,1866.5,279.98,1866.5,42
HCPCS,C1729,CATH DRN 8.5F 17HL 40CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN 8.5FR 25CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN 8.5FR 25CM RSLV,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN BIL 10.2FR 40CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN MLCT 4-WNG 18FR,490.5,490.5,73.58,490.5,42
HCPCS,C1729,CATH DRN OPN LMBR 80,1572.0,1572.0,235.8,1572.0,42
HCPCS,C1729,CATH DRN PRTN 2.5MM 90CM,1250.0,1250.0,187.5,1250.0,42
HCPCS,C1729,CATH DRN SDPRT 14FR 29CM,2408.5,2408.5,361.27,2408.5,42
HCPCS,C1729,CATH DRN THOR 32FR 23IN,145.0,145.0,21.75,145.0,42
HCPCS,C1729,CATH DRN WND 12FR 25CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH DRN WND 14FR 25CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH MLCT 20FR 4-WING,490.5,490.5,73.58,490.5,42
HCPCS,C1729,CATH MLCT 24FR 4-WING,490.5,490.5,73.58,490.5,42
HCPCS,C1729,CATH MLCT 26FR 4-WING,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATH MLCT 4 WNG 22FR,446.0,446.0,66.9,446.0,42
HCPCS,C1729,CATH NPHSTM 16FR,446.0,446.0,66.9,446.0,42
HCPCS,C1729,CATH THOR DRN 16FR 16IN,126.5,126.5,18.98,126.5,42
HCPCS,C1729,CATH THOR RT ANG 28FR,145.0,145.0,21.75,145.0,42
HCPCS,C1729,CATH THORACIC 12FR,119.0,119.0,17.85,119.0,42
HCPCS,C1729,CATH URET 4.8FR 8FR 70CM,256.5,256.5,38.48,256.5,42
HCPCS,C1729,CATH VENT 1.5FR 33CM,2015.5,2015.5,302.32,2015.5,42
HCPCS,C1729,CATH XTRN CSF DRN 1.9MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1729,CATH XTRN DRN .7X1.5MM,1866.5,1866.5,279.98,1866.5,42
HCPCS,C1729,CATHETER DRN 10FR 25CM R,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATHETER DRN 16FR 10IN A,231.5,231.5,34.73,231.5,42
HCPCS,C1729,CATHETER DRN 7FR 25CM DW,773.0,773.0,115.95,773.0,42
HCPCS,C1729,CATHETER URTH 8FR 10IN,13.0,13.0,1.95,13.0,42
HCPCS,C1729,CTHDRN NEPH FRM 12F 25CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,KIT CATH CLS SYS FEM 8FR,71.0,71.0,10.65,71.0,42
HCPCS,C1729,KIT CATH PERI 8.3FR,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1729,KIT DCMPRS 14FR 175CM,1064.5,1064.5,159.68,1064.5,42
HCPCS,C1729,KIT DRN PLR W/CATH,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1729,KIT DRN PLRAL CATH,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1729,KIT PRICRDCTS 8.3FR 40CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1729,KIT XTRN DRN 46X1.65X.76,2374.0,2374.0,356.1,2374.0,42
HCPCS,C1729,KT XTRN DRN 46CM 1.65MM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1729,SET CATH NPHS 20FR 35CM,773.0,773.0,115.95,773.0,42
HCPCS,C1729,SET DRN 20FR 41CM,992.5,992.5,148.88,992.5,42
HCPCS,C1729,SHUNT CSF DRAIN EXT VENT,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1729,SYS DRN BAL WET SEAL SGL,1056.0,1056.0,158.4,1056.0,42
HCPCS,C1729,TRAY CATH DRN 5FR +,596.5,596.5,89.47,596.5,42
HCPCS,C1729,TRAY CATH DRN 8FR,424.5,424.5,63.67,424.5,42
HCPCS,C1729,TRAY DRN PLR CATH 15.5FR,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1730,CATH ABL 7FR 115CM,2725.0,2725.0,216.07,4169.5,168
HCPCS,C1730,CATH ABL 7FR F-J CS 12,1480.0,1480.0,222.0,1480.0,42
HCPCS,C1730,CATH EP 2-5-2MM SPC110CM,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1730,CATH EP 2FR 1.3MM 130CM,7520.5,7520.5,1128.08,7520.5,42
HCPCS,C1730,CATH EP 5FR 5X120CM,880.5,880.5,132.07,880.5,42
HCPCS,C1730,CATH EP 6FR 2MM 120CM,263.25,263.25,39.49,263.25,42
HCPCS,C1730,CATH EP 6FR 92CM,2292.0,2292.0,343.8,2292.0,42
HCPCS,C1730,CATH EP ABL 5FR 120CM,263.25,263.25,39.49,263.25,42
HCPCS,C1730,CATH EP ABL 7FR 115CM,3970.0,3970.0,595.5,3970.0,42
HCPCS,C1730,CATH EP C 2-8-2X120 6FR,2333.0,2333.0,349.95,2333.0,42
HCPCS,C1730,CATH EP J CRV 10X120 5FR,880.5,880.5,132.07,880.5,42
HCPCS,C1730,CATH MAP 117MM,8058.0,8058.0,1208.7,8058.0,42
HCPCS,C1730,CATHETER EP 5F 120CM 5MM,230.25,230.25,34.54,230.25,42
HCPCS,C1731,CATH EP 7FR 115CM,9178.5,9178.5,1376.78,9178.5,42
HCPCS,C1731,CATH EP 7FR 99CM,7096.0,7096.0,1064.4,7096.0,42
HCPCS,C1731,CATH MAP 15-25MM 117CM,8058.0,8058.0,1208.7,8058.0,42
HCPCS,C1731,CATHETER ABL 115CM 7FR,5115.0,5115.0,767.25,5115.0,42
HCPCS,C1731,CATHETER EP 7FR 95CM,1644.25,1644.25,246.64,1644.25,42
HCPCS,C1732,CATH 3D MAP 1.5CM CRV D,10447.0,10447.0,1567.05,10447.0,42
HCPCS,C1732,CATH 3D MAP 2.0CM CRV D,11127.5,11127.5,1669.13,11127.5,42
HCPCS,C1732,CATH 3D MAP F-J 36P SM,10447.0,10447.0,1567.05,10447.0,42
HCPCS,C1732,CATH ABL 7FR 115CM,6934.75,6934.75,714.45,9106.5,126
HCPCS,C1732,CATH ABL 8FR 115CM,14714.0,14714.0,2099.63,47323.0,126
HCPCS,C1732,CATH ABL 8FR 115CM D CRV,14795.5,14795.5,2219.32,14795.5,42
HCPCS,C1732,CATH ABL 8FR 115CM F CRV,14396.5,14396.5,2099.63,14795.5,84
HCPCS,C1732,CATH ABL CARD 7FR 115CM,10391.0,10391.0,1488.83,10856.5,84
HCPCS,C1732,CATH ABL MAP 8FR 4MM,14069.0,14069.0,2110.35,14069.0,84
HCPCS,C1732,CATH ELECTR MAP D-F/36P,10447.0,10447.0,1567.05,10447.0,42
HCPCS,C1732,CATH EP 7FR 115CM,8467.25,8467.25,705.9,9178.5,168
HCPCS,C1732,CATH EP 7FR 115CM D CRV,8933.0,8933.0,1339.95,8933.0,42
HCPCS,C1732,CATH EP 7R D CRV,8257.5,8257.5,1238.63,8257.5,42
HCPCS,C1732,CATH EP 8FR 115CM,12473.0,12473.0,1870.95,12473.0,42
HCPCS,C1732,CATH EP ABL DF 8FR 115CM,18320.5,18320.5,2748.07,18320.5,42
HCPCS,C1732,CATH EP ABL F 8FR 115CM,18320.5,18320.5,2748.07,18320.5,42
HCPCS,C1732,CATH EP ABL FJ 8FR 115CM,18320.5,18320.5,2748.07,18320.5,42
HCPCS,C1732,CATH EP VAR RDS 10 POL,2648.75,2648.75,397.31,2648.75,42
HCPCS,C1732,CATH MAP 13X13MM 105CM,9976.5,9976.5,1496.47,9976.5,42
HCPCS,C1732,CATH MAP 8FR 110CM,9976.5,9976.5,1496.47,9976.5,42
HCPCS,C1732,CATH MAP D 7FR 444MM,6115.0,6115.0,917.25,6115.0,42
HCPCS,C1732,CATH MAP F 7FR 444MM,6115.0,6115.0,917.25,6115.0,42
HCPCS,C1732,CATH MAPPING 1.5CM,14463.0,14463.0,2169.45,14463.0,42
HCPCS,C1732,CATH MAPPING 2.0CM,10447.0,10447.0,1567.05,10447.0,42
HCPCS,C1732,CATH MAPPING 3.0CM,11097.0,11097.0,1664.55,11097.0,42
HCPCS,C1733,CATH ABL 7FR 2MM 110CM,5090.5,5090.5,763.58,5090.5,42
HCPCS,C1733,CATH ABL PRTL VN 35MM,43230.5,43230.5,6484.57,43230.5,42
HCPCS,C1733,CATH EP ABL NAV PFA 31MM,40672.5,40672.5,6100.88,40672.5,42
HCPCS,C1733,CATH EP ABL NAV PFA 35MM,40672.5,40672.5,6100.88,40672.5,42
HCPCS,C1733,CATH EP ABL PFA 31MM,40672.5,40672.5,6100.88,40672.5,42
HCPCS,C1733,CATH EP ABL PFA 35MM,43230.5,43230.5,6484.57,43230.5,42
HCPCS,C1733,CATHETER ABL 31MM,43230.5,43230.5,6484.57,43230.5,42
HCPCS,C1734,GRAFT BN ALGRF INJ 1.5CC,6733.0,6733.0,1009.95,6733.0,30
HCPCS,C1734,GRAFT BN ALGRF INJ 3.0CC,13465.0,13465.0,2019.75,13465.0,30
HCPCS,C1735,CATHETER RENAL 6FR,81856.0,81856.0,13915.52,81856.0,38
HCPCS,C1737,IMPL SPN PLVC 11.5X60MM,10630.0,10630.0,1956.98,10630.0,26
HCPCS,C1737,IMPLANT SPN 11.5MM 45MM,10630.0,10630.0,1956.98,10630.0,26
HCPCS,C1737,IMPLANT SPN 11.5MM 50MM,10630.0,10630.0,1956.98,10630.0,26
HCPCS,C1737,IMPLANT SPN 11.5MM 65MM,10630.0,10630.0,1956.98,10630.0,26
HCPCS,C1737,IMPLANT SPN 9.5MM 60MM,12955.0,12955.0,2385.02,12955.0,26
HCPCS,C1737,IMPLANT SPN 9.5MM 70MM,12955.0,12955.0,2385.02,12955.0,26
HCPCS,C1737,IMPLANT SPN 9.5MM 80MM,12955.0,12955.0,2385.02,12955.0,26
HCPCS,C1737,IMPLANT SPN PLVC 7X30MM,14027.0,14027.0,2582.37,14027.0,26
HCPCS,C1737,IMPLANT SPN PLVC 7X35MM,13037.0,13037.0,2217.85,14027.0,52
HCPCS,C1737,IMPLANT SPN PLVC 7X40MM,13037.0,13037.0,2217.85,14027.0,52
HCPCS,C1737,IMPLANT SPN PLVC 7X45MM,13037.0,13037.0,2217.85,14027.0,52
HCPCS,C1737,IMPLANT SPN PLVC 7X50MM,13037.0,13037.0,2217.85,14027.0,52
HCPCS,C1737,IMPLANT SPN PLVC 7X55MM,13823.5,13823.5,2507.44,14027.0,52
HCPCS,C1737,IMPLANT SPN PLVC 7X60MM,13823.5,13823.5,2507.44,14027.0,52
HCPCS,C1737,IMPLANT SPN PLVC 7X65MM,13823.5,13823.5,2507.44,14027.0,52
HCPCS,C1737,IMPLANT SPN PLVC 7X70MM,12047.0,12047.0,2217.85,12047.0,26
HCPCS,C1737,IMPLANT SPN PLVC 7X75MM,13620.0,13620.0,2507.44,13620.0,26
HCPCS,C1737,IMPLANT SPN PLVC 7X80MM,13620.0,13620.0,2507.44,13620.0,26
HCPCS,C1743,SYSTEM SCFLD 3.5MM 28MM,9613.0,9613.0,1441.95,9613.0,30
HCPCS,C1743,SYSTEM SCFLD 3.5MM 38MM,9613.0,9613.0,1441.95,9613.0,30
HCPCS,C1743,SYSTEM SCFLD 3MM 28MM,9613.0,9613.0,1441.95,9613.0,30
HCPCS,C1743,SYSTEM SCFLD 3MM 38MM,9613.0,9613.0,1441.95,9613.0,30
HCPCS,C1747,SCOPE URET ASP DISP,17880.5,17880.5,2682.07,17880.5,42
HCPCS,C1750,CATH DLYS 15FR 62.5CM,1098.0,1098.0,164.7,1098.0,42
HCPCS,C1750,CATH DYLS LTRM 10F 19CM,3683.5,3683.5,552.52,3683.5,42
HCPCS,C1750,CATH DYLS LTRM 10F 23CM,3683.5,3683.5,552.52,3683.5,42
HCPCS,C1750,CATH DYSL LTRM 7.5F 19CM,4094.0,4094.0,614.1,4094.0,42
HCPCS,C1750,CATH GLIDE 14.5FR 19CM,3011.5,3011.5,451.73,3011.5,42
HCPCS,C1750,CATH GLYS 15FR 59CM,865.0,865.0,129.75,865.0,42
HCPCS,C1750,CATH HEMDIAL 10FR 10CM,3683.5,3683.5,552.52,3683.5,42
HCPCS,C1750,CATH HEMO 12FR 40CM,1743.5,1743.5,261.52,1743.5,42
HCPCS,C1750,CATH HEMO 14.5F 23CM,2251.0,2251.0,337.65,2251.0,42
HCPCS,C1750,CATH HEMO 14.5F 27CM,2251.0,2251.0,337.65,2251.0,42
HCPCS,C1750,CATH HEMO 14.5F 39CM,3011.5,3011.5,451.73,3011.5,42
HCPCS,C1750,CATH HEMO 19FR 36CM,1743.5,1743.5,261.52,1743.5,42
HCPCS,C1750,CATH HEMO 7.5FR 10CM,3888.0,3888.0,583.2,3888.0,42
HCPCS,C1750,CATH HEMO 7.5FR 8CM,3888.0,3888.0,583.2,3888.0,42
HCPCS,C1750,CATH HEMO L-T 7.5FR 12CM,3888.0,3888.0,583.2,3888.0,42
HCPCS,C1750,CATH HEMO L-T 7.5FR 15CM,3888.0,3888.0,583.2,3888.0,42
HCPCS,C1750,CATH HEMODLYS 19X12,1244.5,1244.5,186.68,1244.5,42
HCPCS,C1750,CATH HM SPLT XK 23 STR,2231.5,2231.5,334.73,2231.5,42
HCPCS,C1750,CATH HMDIAL 10FR 12CM,3683.5,3683.5,552.52,3683.5,42
HCPCS,C1750,CATH HMDIAL 10FR 15CM,3683.5,3683.5,552.52,3683.5,42
HCPCS,C1750,CATH HMDIAL 14.5FR 47CM,2251.0,2251.0,337.65,2251.0,42
HCPCS,C1750,CATH HMDIAL 14.5FR 50CM,2251.0,2251.0,337.65,2251.0,42
HCPCS,C1750,CATH HMDIL 20CM 14.5-15F,2087.5,2087.5,313.13,2087.5,42
HCPCS,C1750,CATH PRT DLYS 5.3MM 62CM,1424.5,1424.5,213.68,1424.5,42
HCPCS,C1750,CATH PRTNL 42CM,1098.0,1098.0,164.7,1098.0,42
HCPCS,C1750,CATHETER DLYS 38.9CM,847.5,847.5,127.13,847.5,42
HCPCS,C1750,GRAFT HMDIAL 5MM 40CM,10630.0,10630.0,1594.5,10630.0,60
HCPCS,C1750,GRAFT HMDIAL 6MM 53CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1750,GRAFT HMDIAL 7.4MM 50CM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1750,GRAFT HMDL 19F 5MM 40CM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1750,KIT CATH 27CM 16FR,2558.0,2558.0,383.7,2558.0,42
HCPCS,C1750,KIT HMDIAL 14.5FR 24CM,3011.5,3011.5,451.73,3011.5,42
HCPCS,C1750,SET CATH 41CM 15FR,2005.5,2005.5,300.82,2005.5,42
HCPCS,C1751,CATH 20GA 8CM PWRGLD FUL,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1751,CATH CV 2.7FR 52CM,870.0,870.0,130.5,870.0,42
HCPCS,C1751,CATH CV 4.2FR 71CM,870.0,870.0,130.5,870.0,42
HCPCS,C1751,CATH CV 7FR 6IN,365.0,365.0,54.75,365.0,42
HCPCS,C1751,CATH CV 9.6FR 56CM,870.0,870.0,130.5,870.0,42
HCPCS,C1751,CATH CV HOHN DL 7F,2087.5,2087.5,313.13,2087.5,42
HCPCS,C1751,CATH CV PICC 6FR 50CM,1228.0,1228.0,184.2,1228.0,42
HCPCS,C1751,CATH DLV 5.4/7FR 43CM,1686.5,1686.5,252.97,1686.5,42
HCPCS,C1751,CATH HCKMN 12F 23CM,1244.5,1244.5,186.68,1244.5,42
HCPCS,C1751,CATH INFS 2.8FR 140CM,3806.5,3806.5,570.98,3806.5,42
HCPCS,C1751,CATH INFS 27FR 3/8IN,12023.0,12023.0,1803.45,12023.0,42
HCPCS,C1751,CATH INFS 3.3F 145CM,3479.0,3479.0,521.85,3479.0,42
HCPCS,C1751,CATH INFS 5FR 100CM,860.0,860.0,129.0,860.0,42
HCPCS,C1751,CATH INFSN 19FR 135CM,3479.0,3479.0,521.85,3479.0,42
HCPCS,C1751,CATH INFSN 19FR 150CM,3479.0,3479.0,521.85,3479.0,42
HCPCS,C1751,CATH RPD INFS 7FR 2IN,232.0,232.0,34.8,232.0,42
HCPCS,C1751,CATH THRMB 135CM 4FR,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1751,CATH THRMB 135CM 5FR,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1751,CATH THRMB 5FR 135CM,1023.5,1023.5,153.53,1023.5,168
HCPCS,C1751,CATH VASC 2.6FR 135CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1751,CATH VASC 5FR 55CM,2179.5,2179.5,326.93,2179.5,42
HCPCS,C1751,CATHETER CV 6.6FR,870.0,870.0,130.5,870.0,42
HCPCS,C1751,CATHETER CV L23CM OD12FR,1637.0,1637.0,245.55,1637.0,42
HCPCS,C1751,CATHETER CV L27CM OD12FR,1637.0,1637.0,245.55,1637.0,42
HCPCS,C1751,CATHETER DUAL LUMEN 30FR,11594.5,11594.5,1739.17,11594.5,42
HCPCS,C1751,KIT CATH 1.2FR 25CM L-CT,1014.0,1014.0,152.1,1014.0,42
HCPCS,C1751,KIT CATH 26GA 1.9FR 50CM,773.0,773.0,115.95,773.0,42
HCPCS,C1751,KIT CATH 4FR 15GA 21.5IN,773.0,773.0,115.95,773.0,42
HCPCS,C1751,KIT CATH CV 16GA 12IN,347.0,347.0,52.05,347.0,42
HCPCS,C1751,KIT CATH CV 16GA 20CM,773.0,773.0,115.95,773.0,42
HCPCS,C1751,KIT CATH CV 7FR 34CM,870.0,870.0,130.5,870.0,42
HCPCS,C1751,KIT REPAIR CV HICKMAN 7F,1723.5,1723.5,258.52,1723.5,42
HCPCS,C1751,KIT REPR BRVC .5 LUM,1842.0,1842.0,276.3,1842.0,42
HCPCS,C1751,MCATH INFSN 2.6FR 150CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1751,SET PRSS MNTR 3FR 5CM,541.0,541.0,81.15,541.0,42
HCPCS,C1751,TRAY CATH 4FR 5CM 0.18IN,1175.0,1175.0,176.25,1175.0,42
HCPCS,C1751,TRAY CATH HKMN 12FR 27CM,1244.5,1244.5,186.68,1244.5,42
HCPCS,C1751,TRAY CATH PICC 4FR 55CM,1372.0,1372.0,205.8,1372.0,42
HCPCS,C1751,TRAY CATH PICC 5FR 55CM,1440.0,1440.0,216.0,1440.0,42
HCPCS,C1751,TRAY DBL 5F 15CM SPCTRUM,1462.5,1462.5,219.38,1462.5,42
HCPCS,C1751,TRAY TRPL PWRINJ,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1752,CATH DLYS 62.5CM 2CUF,1599.0,1599.0,239.85,1599.0,42
HCPCS,C1752,CATH DLYS PE 62.5CM,1599.0,1599.0,239.85,1599.0,42
HCPCS,C1752,KIT CATH 12FR 16CM,1341.0,1341.0,201.15,1341.0,42
HCPCS,C1752,KIT LAPSCP DLYS DIL GD,1539.0,1539.0,230.85,1539.0,42
HCPCS,C1753,BLN ULTR ENDOSC BFUC160F,352.0,352.0,52.8,352.0,42
HCPCS,C1753,CATH ULTSNC 9.0MM 30MM,17650.5,17650.5,2647.57,17650.5,42
HCPCS,C1753,CATH ULTSND 3.4FR 135CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1753,CATH ULTSND 3.5MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1753,CATH ULTSND 4.0MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1753,CATH ULTSND 4.5MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1753,CATH ULTSND 5.0MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1753,CATH ULTSND 5.5MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1753,CATH ULTSND 5FR 150CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1753,CATH ULTSND 6.0MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1753,CATH ULTSND 6.5MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1753,CATH ULTSND 6FR 120CM,13046.0,13046.0,1956.9,13046.0,42
HCPCS,C1753,CATH ULTSND 7.0MM 60 MM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1753,CATH ULTSND 8.5FR 90CM,4860.5,4860.5,729.08,4860.5,42
HCPCS,C1753,CATH ULTSND 8FR 90CM,11997.0,11997.0,1799.55,11997.0,42
HCPCS,C1753,CATH UTLSND 14IN 150CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1753,CATH VASC US 3FR 135CM,4304.5,4304.5,645.67,4304.5,42
HCPCS,C1753,CATHETER ULTSND 8FR 90CM,5590.5,5590.5,838.58,5590.5,42
HCPCS,C1753,CATHSND 3.6FR 135CM,4304.5,4304.5,645.67,4304.5,42
HCPCS,C1753,CATHSND 3FR 1MM,4304.5,4304.5,645.67,4304.5,42
HCPCS,C1755,CATH INTHC 4.2FR 104.1CM,3608.0,3608.0,541.2,3608.0,30
HCPCS,C1755,CATH INTHCL 4FR 140CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1755,CATH INTHCL 4FR 89CM,3608.0,3608.0,541.2,3608.0,30
HCPCS,C1755,CATH IT 4FR 114CM .5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1755,KIT REV INTHCL 73.7CM,3720.0,3720.0,558.0,3720.0,30
HCPCS,C1755,KIT REV INTHCL 86.4CM,3720.0,3720.0,558.0,3720.0,30
HCPCS,C1757,CATH EMB 7F 14MM 80CM,848.5,848.5,127.28,848.5,42
HCPCS,C1757,CATH EMBL 2FR 80CM,1629.0,1629.0,244.35,1629.0,42
HCPCS,C1757,CATH EMBL 5FR 80CM,1711.0,1711.0,256.65,1711.0,42
HCPCS,C1757,CATH MICRO .021IN 162CM,5172.0,5172.0,775.8,5172.0,42
HCPCS,C1757,CATH RTVR THRMB 12F 80CM,24531.5,24531.5,3679.72,24531.5,42
HCPCS,C1757,CATH THMB 2F 0.67MM 60CM,231.5,231.5,34.73,231.5,42
HCPCS,C1757,CATH THRM 6-16MM 80CM,33254.0,33254.0,4988.1,33254.0,42
HCPCS,C1757,CATH THRMB +3 KIT W PMP,10718.0,10718.0,1607.7,10718.0,42
HCPCS,C1757,CATH THRMB .014IN 145CM,3315.0,3315.0,497.25,3315.0,42
HCPCS,C1757,CATH THRMB 100CM,49369.5,49369.5,7405.43,49369.5,42
HCPCS,C1757,CATH THRMB 100CM 135CM,49369.5,49369.5,7405.43,49369.5,42
HCPCS,C1757,CATH THRMB 10FR 100CM,34226.5,34226.5,5133.98,34226.5,42
HCPCS,C1757,CATH THRMB 115CM 135CM,49369.5,49369.5,7405.43,49369.5,42
HCPCS,C1757,CATH THRMB 12FR 115CM,34226.5,34226.5,5133.98,34226.5,42
HCPCS,C1757,CATH THRMB 132CM,11639.0,11639.0,1745.85,11639.0,42
HCPCS,C1757,CATH THRMB 137CM .055IN,12713.5,12713.5,1907.03,12713.5,42
HCPCS,C1757,CATH THRMB 137CM .071IN,12713.5,12713.5,1907.03,12713.5,42
HCPCS,C1757,CATH THRMB 140CM .044IN,9209.0,9209.0,1381.35,9209.0,42
HCPCS,C1757,CATH THRMB 144CM .045IN,12713.5,12713.5,1907.03,12713.5,42
HCPCS,C1757,CATH THRMB 150CM,9081.0,9081.0,1362.15,9081.0,42
HCPCS,C1757,CATH THRMB 160CM .045IN,12713.5,12713.5,1907.03,12713.5,42
HCPCS,C1757,CATH THRMB 16MM 105CM,24531.5,24531.5,3679.72,24531.5,42
HCPCS,C1757,CATH THRMB 3F 40CM,510.0,510.0,76.5,510.0,42
HCPCS,C1757,CATH THRMB 3F 80CM,510.0,510.0,76.5,510.0,42
HCPCS,C1757,CATH THRMB 4/3FR 145CM,10145.5,10145.5,1521.83,10145.5,42
HCPCS,C1757,CATH THRMB 4F 40CM,510.0,510.0,76.5,510.0,42
HCPCS,C1757,CATH THRMB 4F 80CM,510.0,510.0,76.5,510.0,42
HCPCS,C1757,CATH THRMB 5F 80CM,525.5,525.5,78.83,525.5,42
HCPCS,C1757,CATH THRMB 5FR 131CM,10718.0,10718.0,1607.7,10718.0,42
HCPCS,C1757,CATH THRMB 6F 80CM,153.0,153.0,22.95,153.0,42
HCPCS,C1757,CATH THRMB 6FR 140CM,3315.0,3315.0,497.25,3315.0,42
HCPCS,C1757,CATH THRMB 7F 80CM,495.5,495.5,74.33,495.5,42
HCPCS,C1757,CATH THRMB 7FR 130CM,34354.25,34354.25,4213.05,40621.5,84
HCPCS,C1757,CATH THRMB 8FR 65CM,21743.0,21743.0,3261.45,21743.0,42
HCPCS,C1757,CATH THRMB ASP 3FR 145CM,10718.0,10718.0,1607.7,10718.0,42
HCPCS,C1757,CATH THRMB ASP 5F 115CM,8672.0,8672.0,1300.8,8672.0,42
HCPCS,C1757,CATH THRMB ASP 5F 125CM,8672.0,8672.0,1300.8,8672.0,42
HCPCS,C1757,CATH THRMB ASP 6F 115CM,8672.0,8672.0,1300.8,8672.0,42
HCPCS,C1757,CATH THRMB MGMT SYSTM,9720.5,9720.5,1458.08,9720.5,42
HCPCS,C1757,CATH THRMB RADPQ 4F 80CM,1637.0,1637.0,245.55,1637.0,42
HCPCS,C1757,CATH THRMB RADPQ 5F 80CM,1686.5,1686.5,252.97,1686.5,42
HCPCS,C1757,CATH THRMB SCTN 7FR,23022.0,23022.0,3223.13,25068.5,126
HCPCS,C1757,CATH THRMB SYSTM 24FR,38882.0,38882.0,5832.3,38882.0,42
HCPCS,C1757,CATH THRMBS 137CM,12713.5,12713.5,1907.03,12713.5,42
HCPCS,C1757,CATH THROM REP 132CM,13148.25,13148.25,1834.13,14069.0,84
HCPCS,C1757,CATH THROM REP 160CM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1757,CATH THROM REPFUSN,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1757,CATH THROMB 3FR 120CM,10718.0,10718.0,1607.7,10718.0,42
HCPCS,C1757,CATH THROMB 3FR 160CM,10718.0,10718.0,1607.7,10718.0,42
HCPCS,C1757,CATH THROMB 6FX131CM,11741.5,11741.5,1761.22,11741.5,42
HCPCS,C1757,CATH VASC 6F 132CM,7111.5,7111.5,1066.72,7111.5,42
HCPCS,C1757,CATHETER EMB 3FR 80CM,915.5,915.5,137.32,915.5,42
HCPCS,C1757,CATHETER EMB 4FR 40CM,790.5,790.5,118.58,790.5,42
HCPCS,C1757,CATHETER EMB 4FR 80CM,790.5,790.5,118.58,790.5,42
HCPCS,C1757,CATHETER EMB 5.5FR 80CM,790.5,790.5,118.58,790.5,42
HCPCS,C1757,CATHETER EMB 6FR 40CM,806.0,806.0,120.9,806.0,42
HCPCS,C1757,CATHETER EMBL 3FR 40CM,546.0,546.0,81.9,546.0,42
HCPCS,C1757,CATHETER EMBL 4FR 40CM,525.5,525.5,78.83,525.5,42
HCPCS,C1757,CATHETER THRMB 2FR 60CM,773.0,773.0,115.95,773.0,42
HCPCS,C1757,CATHETER THRMB 3FR 80CM,525.5,525.5,78.83,525.5,42
HCPCS,C1757,CATHETER THRMB 4FR 80CM,525.5,525.5,78.83,525.5,42
HCPCS,C1757,CATHETER THRMB 5FR 80CM,525.5,525.5,78.83,525.5,42
HCPCS,C1757,CATHETER THRMB 6FR 50CM,2740.0,2740.0,411.0,2740.0,42
HCPCS,C1757,CATHETER THRMB 6FR 80CM,525.5,525.5,78.83,525.5,42
HCPCS,C1757,DEVICE THRMB 6X40X10MM,32742.5,32742.5,4911.38,32742.5,42
HCPCS,C1757,DEVICE WIRE THRMB 2X20MM,32717.0,32717.0,4907.55,32717.0,42
HCPCS,C1757,DEVICE WIRE THRMB 4X20MM,32717.0,32717.0,4907.55,32717.0,42
HCPCS,C1757,DEVISE WIRE THRMB 3X20MM,32717.0,32717.0,4907.55,32717.0,42
HCPCS,C1757,DEVISE WIRE THRMB 4X20MM,32717.0,32717.0,4907.55,32717.0,42
HCPCS,C1757,DEVISE WIRE THRMB 6X30MM,32717.0,32717.0,4907.55,32717.0,42
HCPCS,C1757,KIT CATH 12F 100CM,49114.0,49114.0,7367.1,49114.0,42
HCPCS,C1757,KIT CATH ASP TB 6F 132CM,39086.5,39086.5,5862.98,39086.5,42
HCPCS,C1757,KIT CATH CANN 18F 105CM,66508.0,66508.0,9976.2,66508.0,42
HCPCS,C1757,KIT CATH CANN PRFSN,66508.0,66508.0,9976.2,66508.0,42
HCPCS,C1757,KIT CATH THRMB 68 132CM,14069.0,14069.0,2110.35,14069.0,42
HCPCS,C1757,KIT THRMB 6FR 120CM,21410.5,21410.5,3211.57,21410.5,42
HCPCS,C1757,KIT THRMB 6FR 90CM,7403.0,7403.0,1110.45,7403.0,42
HCPCS,C1757,KIT THRMB CATH 8FR 105CM,14581.0,14581.0,2187.15,14581.0,42
HCPCS,C1757,KIT THRMB MED DELIVERY,541.0,541.0,81.15,541.0,42
HCPCS,C1757,PACK CATH GD VASC 100CM,51155.0,51155.0,7673.25,51155.0,168
HCPCS,C1757,RETRIEVER 3MM 25MM 32MM,39266.0,39266.0,5889.9,39266.0,42
HCPCS,C1757,RETRIEVER 4MM 35MM 41MM,39266.0,39266.0,5889.9,39266.0,42
HCPCS,C1757,RETRIEVER 6X25MM,36810.0,36810.0,5521.5,36810.0,42
HCPCS,C1757,SEPARATOR THRMB 150CM,9490.5,9490.5,1423.58,9490.5,42
HCPCS,C1757,SEPARATOR THRMB 190CM,8160.0,8160.0,1224.0,8160.0,42
HCPCS,C1757,SHEATH CATH 8FR 65CM,16627.0,16627.0,2494.05,16627.0,42
HCPCS,C1757,SHEATH CATH 8FR 90CM,16627.0,16627.0,2494.05,16627.0,42
HCPCS,C1757,SYSTEM MECH THRMB,46044.0,46044.0,6906.6,46044.0,42
HCPCS,C1757,SYSTEM VNS THRMB 10FR,33254.0,33254.0,4988.1,33254.0,42
HCPCS,C1758,CATH URET 10FR,773.0,773.0,115.95,773.0,42
HCPCS,C1758,CATH URET 4FR 70CM,630.5,630.5,94.58,630.5,42
HCPCS,C1758,CATH URET 5/10FR 50CM,577.0,577.0,86.55,577.0,42
HCPCS,C1758,CATH URET 5F .038IN 65CM,231.5,231.5,34.73,231.5,42
HCPCS,C1758,CATH URET 5FR 70CM,209.75,209.75,26.25,364.5,168
HCPCS,C1758,CATH URET 6FR 70CM,231.5,231.5,34.73,231.5,42
HCPCS,C1758,CATH URET BSH5F 80CM1LUM,1583.5,1583.5,237.53,1583.5,42
HCPCS,C1758,CATH URET CONE 5FR 70CM,161.5,161.5,24.23,161.5,42
HCPCS,C1758,CATH URET LSR 7.4F 40VM,462.5,462.5,69.38,462.5,42
HCPCS,C1758,CATH URET TAPER 5 FR 70C,773.0,773.0,115.95,773.0,42
HCPCS,C1758,CATH URTH 10FR 16IN,13.0,13.0,1.95,13.0,42
HCPCS,C1758,CATH URTH 8FR 16IN,13.0,13.0,1.95,13.0,42
HCPCS,C1758,CATH URTH FOL SIL 14FR,261.0,261.0,39.15,261.0,42
HCPCS,C1758,CATH URTH INTRMT 20FR,23.0,23.0,3.45,23.0,42
HCPCS,C1758,CTH URET DL LUM 10FX6F,511.5,511.5,76.72,511.5,42
HCPCS,C1758,CTH URET PLLK 5F,309.5,309.5,46.42,309.5,42
HCPCS,C1759,CATH ULTSND 10FR 90CM,11572.5,11572.5,1011.34,11997.0,126
HCPCS,C1759,CATH ULTSND 9FR 90CM,10744.0,10744.0,1611.6,10744.0,42
HCPCS,C1759,CATHETER ULTSD 10FR 90CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1759,CATHETER ULTSND 8FR,11572.5,11572.5,1735.88,11572.5,42
HCPCS,C1759,CATHETER ULTSND 8FR 90CM,7784.0,7784.0,1167.6,7784.0,42
HCPCS,C1759,CATHETER ULTSND 9FR,6395.0,6395.0,959.25,6395.0,42
HCPCS,C1760,DEVICE CLOSURE 14FR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1760,DEVICE CLSR 6FR .035IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1760,DEVICE CLSR 6FR-12FR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1760,DEVICE CLSR 8FR .038IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1760,DEVICE CLSR CLGN SYS,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1760,DEVICE CLSR VASC 26-29FR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1760,DEVICE CLSR VASC 5FR,9080.0,9080.0,1362.0,9080.0,30
HCPCS,C1760,DEVICE CLSR VASC 6/7FR,9080.0,9080.0,1362.0,9080.0,30
HCPCS,C1760,DEVICE CLSR VASC 6FR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1761,CATH CORN 2.5MM 12MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1761,CATH CORN 3.0MM 12MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1761,CATH CORN 3.5MM 12MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1761,CATH CORN 4.0MM 12MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1761,CATH IVL 2.5X12MM 138CM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1761,CATH IVL 3.5X12MM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1761,CATH IVL 3.5X12MM 138CM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1761,CATH IVL 3X12MM 138CM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1761,CATH IVL 4X12MM 138CM,24045.5,24045.5,3606.82,24045.5,42
HCPCS,C1762,GRAFT BN OSTEO CELL,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1762,GRAFT BN TND 5X80MM,9609.0,9609.0,1441.35,9609.0,30
HCPCS,C1762,GRAFT FASCIA-LATA 99-150,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1762,GRAFT SFT TIS 20MM,15927.0,15927.0,2389.05,15927.0,30
HCPCS,C1762,GRAFT ST TIS 12X2CM,5399.0,5399.0,809.85,5399.0,30
HCPCS,C1762,GRAFT ST TIS 8X6CM,9594.0,9594.0,1439.1,9594.0,30
HCPCS,C1763,GFT SFT TIS OSS .6-.9CM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1763,GRAFT BN SUB 100X25X4MM,7915.0,7915.0,1187.25,7915.0,30
HCPCS,C1763,GRAFT BTRFLY OTO .4-.6CM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1763,GRAFT DURA CRANI 5X5CM,4061.0,4061.0,609.15,4061.0,30
HCPCS,C1763,GRAFT DURA CRN 2.5X2.5CM,3125.0,3125.0,468.75,3125.0,30
HCPCS,C1763,GRAFT DURA CRNL 2X1CM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1763,GRAFT EARDRUM 2PK 8MM,1213.0,1213.0,181.95,1213.0,30
HCPCS,C1763,GRAFT SFT TIS .4-.6CM,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1763,GRAFT SFT TIS NPL 1X.7CM,3437.0,3437.0,515.55,3437.0,30
HCPCS,C1763,GRAFT ST TIS CLGN 7X4CM,3637.0,3637.0,545.55,3637.0,30
HCPCS,C1763,GRAFT ST TIS HERN 10X7CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1763,GRAFT SYN TISS 15CC,7906.0,7906.0,1185.9,7906.0,30
HCPCS,C1763,GRAFT TIS 10X7CM,5298.0,5298.0,794.7,5298.0,30
HCPCS,C1763,GRAFT TIS 20X20CM,37053.0,37053.0,5557.95,37053.0,30
HCPCS,C1763,GRAFT TIS 4LYR 4CM 7CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1763,GRAFT TIS 7X10CM,4522.0,4522.0,678.3,4522.0,30
HCPCS,C1763,GRAFT TISS 2.5X2.5,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1763,GRAFT TISS >200MM,4496.0,4496.0,674.4,4496.0,30
HCPCS,C1763,GRFT SFT TIS 10X7CM SRGS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1763,MESH SURG 50MM 70MM,10984.0,10984.0,1647.6,10984.0,30
HCPCS,C1763,PATCH EPFLM OTOLOGIC LAM,3034.0,3034.0,455.1,3034.0,30
HCPCS,C1763,PLUG FISTULA .7CM,4629.0,4629.0,694.35,4629.0,30
HCPCS,C1763,SUB BNGF CAPHS 1.2CC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1763,SUB BNGF CAPHS 10CC,7124.0,7124.0,1068.6,7124.0,60
HCPCS,C1763,SUB BNGF CAPHS 2.5CC,3012.0,3012.0,451.8,3012.0,30
HCPCS,C1763,SUB BNGF CAPHS 20CC,12935.0,12935.0,1940.25,12935.0,30
HCPCS,C1763,SUB BNGF CAPHS 5CC,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1763,SUB BNGF FOAM 10CC,4837.0,4837.0,725.55,4837.0,30
HCPCS,C1763,SUB BNGF FOAM 2.5CC,3510.0,3510.0,526.5,3510.0,30
HCPCS,C1763,SUB BNGF FOAM 5CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1763,TISSUE SRGSIS 1CMX1.5CM,3437.0,3437.0,515.55,3437.0,30
HCPCS,C1763,TISSUE SYN HAP 10ML HLS2,6431.0,6431.0,964.65,6431.0,30
HCPCS,C1764,CARDIAC MONITOR INSERT,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1764,DEVICE ICM 46.5X9.4X3.1,16723.0,16723.0,2508.45,16723.0,30
HCPCS,C1764,DEVICE ICM 49X9.4X4.4,17458.0,17458.0,2618.7,17458.0,30
HCPCS,C1764,ICM 45.1X8.0X4.2MM,14307.0,14307.0,2146.05,14307.0,30
HCPCS,C1764,MONITOR CARDIAC INSERT,18315.0,18315.0,1086.6,20152.0,120
HCPCS,C1764,RECORDER ICM DX,15037.0,15037.0,2255.55,15037.0,30
HCPCS,C1765,BARRIER ADH 3IN 5IN,5000.5,5000.5,750.08,5000.5,42
HCPCS,C1765,BARRIER ADH 5IN 6IN,3144.5,3144.5,471.68,3144.5,42
HCPCS,C1765,BARRIER ADH ABS 3X4IN,2036.0,2036.0,305.4,2036.0,42
HCPCS,C1765,BARRIER ADH ABS 6X5IN,2805.5,2805.5,420.82,2805.5,42
HCPCS,C1766,CATH GD VASC 13F MED,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1766,INTR0 SHTH 8.5FR 71CM,4579.0,4579.0,686.85,4579.0,42
HCPCS,C1766,INTR0 SHTH 8.5FR 91CM,4579.0,4579.0,686.85,4579.0,42
HCPCS,C1766,INTRO DR 8.5F 22.4MM,4574.0,4574.0,686.1,4574.0,42
HCPCS,C1766,INTRO SHTH 8.5F 94CM,3453.0,3453.0,517.95,3453.0,42
HCPCS,C1766,SET STRBL RF WIRE 180CM,8441.5,8441.5,1266.22,8441.5,42
HCPCS,C1766,SHEATH CATH 6.5FR 45CM,3479.0,3479.0,521.85,3479.0,84
HCPCS,C1766,SHEATH CATH 6.5FR 55CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1766,SHEATH CATH 7FR 45CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1766,SHEATH CATH 7FR 55CM,3724.5,3724.5,503.4,4093.0,84
HCPCS,C1766,SHEATH CATH 8.5FR 55CM,3356.0,3356.0,503.4,3356.0,84
HCPCS,C1766,SHEATH STRBL 13FR 91CM,6651.0,6651.0,997.65,6651.0,42
HCPCS,C1766,SHEATH STRBL 5.7MM 4.2MM,7674.0,7674.0,1151.1,7674.0,42
HCPCS,C1766,SHEATH VASC STRBL7F 90CM,3560.5,3560.5,534.08,3560.5,42
HCPCS,C1767,GEN NRSTM 45X32X6.9MM,146429.0,146429.0,21964.35,146429.0,30
HCPCS,C1767,GEN NRSTM 52X52X6.9MM,145963.0,145963.0,21894.45,145963.0,30
HCPCS,C1767,GENERATOR NRSTM 5 IPG,72689.0,72689.0,10903.35,72689.0,30
HCPCS,C1767,GENERATOR NRSTM W/PT CTR,75072.0,75072.0,11260.8,75072.0,30
HCPCS,C1767,GENERATR NRSTM DBS 37601,76179.0,76179.0,11426.85,76179.0,30
HCPCS,C1767,GENERTR NRSTM 4.95X5.5CM,84971.0,84971.0,12745.65,84971.0,30
HCPCS,C1767,IPG NRSTM 44MM 51MM,40887.0,40887.0,6133.05,40887.0,30
HCPCS,C1767,IPG NRSTM 65MM 49MM,54477.0,54477.0,8171.55,54477.0,30
HCPCS,C1767,IPG NRSTM MR 4.95X5.55CM,68914.0,68914.0,10337.1,68914.0,30
HCPCS,C1767,IPG NRSTM RECHGFRE 1.1CM,74408.0,74408.0,11161.2,74408.0,30
HCPCS,C1767,IPG RSTR PRM ADVANC,55363.0,55363.0,8304.45,55363.0,30
HCPCS,C1767,KIT IMPL NEUROSTIM,87606.0,87606.0,13140.9,87606.0,30
HCPCS,C1767,NEUROSTIM RECHARGEABLE,76883.0,76883.0,10342.5,84816.0,60
HCPCS,C1767,NRSTM IMP 44MM 51MM,42098.0,42098.0,6314.7,42098.0,30
HCPCS,C1767,NRSTM IMPL 2.4INX2.2IN,38533.0,38533.0,4584.15,47612.0,90
HCPCS,C1767,NRSTM NON RECHARGEABLE,45650.0,45650.0,6847.5,45650.0,30
HCPCS,C1768,GFT CV DYNFLO SB 7X60,6059.0,6059.0,908.85,6059.0,30
HCPCS,C1768,GFT CV HMSH MCVL18X9X40,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GFT CV VNFLW2 STR A 6X50,4247.0,4247.0,637.05,4247.0,30
HCPCS,C1768,GFT VASC 20-80CM 3-6MM,28453.0,28453.0,4267.95,28453.0,30
HCPCS,C1768,GFT VSC FLX 6X70,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GFT VSC HMSH MCVL 8X30,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GFT VSC STRCH LGD 18X20,3400.0,3400.0,510.0,3400.0,30
HCPCS,C1768,GFT VSC SWL 4-7X40,3348.0,3348.0,502.2,3348.0,30
HCPCS,C1768,GFT VSC SWL STRCH 6X50,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GRAFT AOR ART 4/6-11CM,85456.0,85456.0,12818.4,85456.0,30
HCPCS,C1768,GRAFT ART FEM 10-30CM,28687.0,28687.0,4303.05,28687.0,30
HCPCS,C1768,GRAFT ART ST TIS 20CM,17730.0,17730.0,2659.5,17730.0,30
HCPCS,C1768,GRAFT ART ST TIS 21-29CM,23743.0,23743.0,3561.45,23743.0,30
HCPCS,C1768,GRAFT ART ST TIS 30+ CM,25389.0,25389.0,3808.35,25389.0,30
HCPCS,C1768,GRAFT ART ST TIS 36CM,17358.0,17358.0,2603.7,17358.0,30
HCPCS,C1768,GRAFT CV 10CM 32MM,3697.0,3697.0,554.55,3697.0,30
HCPCS,C1768,GRAFT CV 10MM 30CM,2972.5,2972.5,413.4,3189.0,60
HCPCS,C1768,GRAFT CV 10MM 40CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 10X24MM 50CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 10X26MM 50CM,3888.0,3888.0,583.2,3888.0,30
HCPCS,C1768,GRAFT CV 10X28MM 50CM,3888.0,3888.0,583.2,3888.0,30
HCPCS,C1768,GRAFT CV 10X30MM 50CM,3999.0,3999.0,599.85,3999.0,30
HCPCS,C1768,GRAFT CV 10X32MM 50CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 10X34MM 50CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 12MM 30CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 12X6MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 12X6MM 50CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GRAFT CV 12X7MM 40CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GRAFT CV 14MM 20CM,8287.0,8287.0,1243.05,8287.0,60
HCPCS,C1768,GRAFT CV 14MM 60CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 14X7MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 15.2X15.2CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 15CM 28X36X28MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1768,GRAFT CV 15CM 30X38X30MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1768,GRAFT CV 15CM 32X40X32MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1768,GRAFT CV 15CM 34MM,12180.0,12180.0,1827.0,12180.0,30
HCPCS,C1768,GRAFT CV 15CM 34X42X34MM,8571.0,8571.0,1285.65,8571.0,30
HCPCS,C1768,GRAFT CV 16MM 60CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 16X8MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 16X9MM 40CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GRAFT CV 18MM 60CM,2892.0,2892.0,433.8,2892.0,30
HCPCS,C1768,GRAFT CV 20MM 60CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 20X10MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 20X11MM 40CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GRAFT CV 22MM 60CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 24MM 12MM 8MM,11566.0,11566.0,1734.9,11566.0,30
HCPCS,C1768,GRAFT CV 24MM 30CM,2978.0,2978.0,446.7,2978.0,30
HCPCS,C1768,GRAFT CV 24MM 60CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 24X12MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 26MM 14MM 8MM,18072.0,18072.0,2710.8,18072.0,30
HCPCS,C1768,GRAFT CV 26MM 30CM,3172.0,3172.0,475.8,3172.0,30
HCPCS,C1768,GRAFT CV 26MM 40CM,5460.0,5460.0,819.0,5460.0,30
HCPCS,C1768,GRAFT CV 28MM 14MM 8MM,11566.0,11566.0,1734.9,11566.0,30
HCPCS,C1768,GRAFT CV 28MM 15CM,12180.0,12180.0,1827.0,12180.0,30
HCPCS,C1768,GRAFT CV 28MM 30CM,3077.0,3077.0,461.55,3077.0,30
HCPCS,C1768,GRAFT CV 28MM 40CM,7907.5,7907.5,819.0,10355.0,60
HCPCS,C1768,GRAFT CV 28MM 50CM,10555.0,10555.0,1583.25,10555.0,60
HCPCS,C1768,GRAFT CV 28MM 60CM,13393.0,13393.0,2008.95,13393.0,30
HCPCS,C1768,GRAFT CV 30CM 10MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 30CM 24MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 30CM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1768,GRAFT CV 30CM 30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1768,GRAFT CV 30CM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1768,GRAFT CV 30CM 38MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 30CM 6MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 30MM 15CM,12180.0,12180.0,1827.0,12180.0,30
HCPCS,C1768,GRAFT CV 30MM 30CM,3077.0,3077.0,461.55,3077.0,30
HCPCS,C1768,GRAFT CV 30MM 40CM,7907.5,7907.5,819.0,10355.0,60
HCPCS,C1768,GRAFT CV 30MM 60CM,8579.0,8579.0,564.75,13393.0,60
HCPCS,C1768,GRAFT CV 32MM 15CM,12180.0,12180.0,1827.0,12180.0,60
HCPCS,C1768,GRAFT CV 32MM 30CM,3077.0,3077.0,461.55,3077.0,30
HCPCS,C1768,GRAFT CV 32MM 40CM,7907.5,7907.5,819.0,10355.0,60
HCPCS,C1768,GRAFT CV 34MM 15CM,12180.0,12180.0,1827.0,12180.0,30
HCPCS,C1768,GRAFT CV 34MM 30CM,3172.0,3172.0,475.8,3172.0,30
HCPCS,C1768,GRAFT CV 34MM 40CM,5460.0,5460.0,819.0,5460.0,30
HCPCS,C1768,GRAFT CV 34X30,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1768,GRAFT CV 36MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 36X30,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1768,GRAFT CV 38MM 30CM,2841.5,2841.5,354.0,3323.0,60
HCPCS,C1768,GRAFT CV 38MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT CV 40CM 26MM,10355.0,10355.0,1553.25,10355.0,30
HCPCS,C1768,GRAFT CV 50CM 8MM 40CM,8283.0,8283.0,1242.45,8283.0,30
HCPCS,C1768,GRAFT CV 6MM 30CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 6MM 35CM,9071.0,9071.0,1360.65,9071.0,30
HCPCS,C1768,GRAFT CV 6MM 40CM,9340.0,9340.0,1401.0,9340.0,30
HCPCS,C1768,GRAFT CV 6MM 45CM,11647.0,11647.0,1747.05,11647.0,30
HCPCS,C1768,GRAFT CV 6MM 60CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV 8/24MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
HCPCS,C1768,GRAFT CV 8/26MM 15/40CM,5460.0,5460.0,819.0,5460.0,30
HCPCS,C1768,GRAFT CV 8/28MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
HCPCS,C1768,GRAFT CV 8/30MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
HCPCS,C1768,GRAFT CV 8/32MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
HCPCS,C1768,GRAFT CV 8/34MM 15/40CM,6004.0,6004.0,900.6,6004.0,30
HCPCS,C1768,GRAFT CV 8MM 30CM,3740.0,3740.0,561.0,3740.0,30
HCPCS,C1768,GRAFT CV 8MM 40CM,4324.5,4324.5,478.35,5460.0,60
HCPCS,C1768,GRAFT CV 8MM 60CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT CV PTFE 4X4X1.65MM,517.0,517.0,77.55,517.0,30
HCPCS,C1768,GRAFT CV TRFUR 14MM 20CM,7194.0,7194.0,1079.1,7194.0,30
HCPCS,C1768,GRAFT CV VLSLV 24MM 15CM,10574.0,10574.0,1586.1,10574.0,30
HCPCS,C1768,GRAFT CV VLSLV 26MM 15CM,10574.0,10574.0,1586.1,10574.0,30
HCPCS,C1768,GRAFT CV VLSLV 28MM 15CM,10574.0,10574.0,1586.1,10574.0,30
HCPCS,C1768,GRAFT CV VLSLV 30MM 15CM,10574.0,10574.0,1586.1,10574.0,30
HCPCS,C1768,GRAFT CV VLSLV 32MM 15CM,10574.0,10574.0,1586.1,10574.0,30
HCPCS,C1768,GRAFT CV VLSLV 34MM 15CM,10574.0,10574.0,1586.1,10574.0,30
HCPCS,C1768,GRAFT EVAS 23-13X166MM,38354.0,38354.0,5753.1,38354.0,60
HCPCS,C1768,GRAFT EVAS 32-16X166MM,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1768,GRAFT FLIXENE 6X50 25061,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1768,GRAFT SAP VEIN 30-39CM,22628.0,22628.0,3394.2,22628.0,30
HCPCS,C1768,GRAFT ST TISS 50CM .49MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GRAFT STENT 25-16MM 80MM,47812.0,47812.0,7171.8,47812.0,30
HCPCS,C1768,GRAFT STENT 25MM 75MM,11937.0,11937.0,1790.55,11937.0,30
HCPCS,C1768,GRAFT STRETCH 12MM X 40,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1768,GRAFT VASC 26X28MM 100MM,134575.0,134575.0,20186.25,134575.0,30
HCPCS,C1768,GRAFT VASC 30CM 16MM,3895.0,3895.0,584.25,3895.0,30
HCPCS,C1768,GRAFT VASC 30CM 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1768,GRAFT VASC 35CM 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1768,GRAFT VASC 36MM 60CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC 45CM 4-7MM,5829.0,5829.0,874.35,5829.0,30
HCPCS,C1768,GRAFT VASC 50CM 6MM CRFL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,GRAFT VASC 50CM 6X9MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1768,GRAFT VASC 50CM 7MM,6265.0,6265.0,637.05,8283.0,60
HCPCS,C1768,GRAFT VASC 50CM 7MM 6MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1768,GRAFT VASC 60CM 36MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC 6CM 40CM,5226.0,5226.0,783.9,5226.0,30
HCPCS,C1768,GRAFT VASC 6MM 50CM,3653.0,3653.0,547.95,3653.0,30
HCPCS,C1768,GRAFT VASC 6MM 80CM,8146.0,8146.0,1221.9,8146.0,30
HCPCS,C1768,GRAFT VASC 70CM 7MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GRAFT VASC 70CM 8MM,17061.0,17061.0,2559.15,17061.0,30
HCPCS,C1768,GRAFT VASC 80CM 4-7MM,8717.0,8717.0,1307.55,8717.0,30
HCPCS,C1768,GRAFT VASC 8MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC 90CM 8MM,20170.0,20170.0,3025.5,20170.0,30
HCPCS,C1768,GRAFT VASC DFX9006SC,8529.0,8529.0,1279.35,8529.0,30
HCPCS,C1768,GRAFT VASC RING 50CM 6MM,3733.0,3733.0,559.95,3733.0,30
HCPCS,C1768,GRAFT VASC STD 40CM 6MM,5169.0,5169.0,775.35,5169.0,30
HCPCS,C1768,GRAFT VASC STR 10MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 24MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 26MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 28MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 30MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 32MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 34MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 36MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 36MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 38MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 38MM 40CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 6MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC STR 8MM 30CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,GRAFT VASC THIN 50CM 6MM,8283.0,8283.0,1242.45,8283.0,30
HCPCS,C1768,GRAFT VASC THIN 80CM 6MM,13416.0,13416.0,2012.4,13416.0,30
HCPCS,C1768,GRAFT VASC THIN 80CM 7MM,12738.0,12738.0,1910.7,12738.0,30
HCPCS,C1768,GRAFT VASC THIN 80CM 8MM,13124.0,13124.0,1968.6,13124.0,30
HCPCS,C1768,GRAFT VASC THIN 90CM 6MM,13606.0,13606.0,2040.9,13606.0,30
HCPCS,C1768,GRAFT VEIN SAPH 60-69CM,35355.0,35355.0,5303.25,35355.0,30
HCPCS,C1768,GRAFT VEIN SAPH 72CM,40161.0,40161.0,6024.15,40161.0,30
HCPCS,C1768,GRAFT VEIN SAPH 80CM,42276.0,42276.0,6341.4,42276.0,30
HCPCS,C1768,GRFT CV HEMAGARD 14X7MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1768,GRFT SFT TISS SAPH 74 VE,46261.0,46261.0,6939.15,46261.0,30
HCPCS,C1768,GRFT VASC 60CM 8MM PRPH,6059.0,6059.0,908.85,6059.0,30
HCPCS,C1768,PATCH CV 16X10CM,4372.0,4372.0,655.8,4372.0,30
HCPCS,C1768,PATCH CV 1CM 10CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1768,PATCH CV 7CM 10CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1768,PATCH CV CLOSURE 7X15CM,5068.0,5068.0,760.2,5068.0,30
HCPCS,C1768,STENT GRAFT 30MM 40MM,134575.0,134575.0,20186.25,134575.0,30
HCPCS,C1769,DEVICE LCK BX CAP OLMPS,247.5,247.5,37.13,247.5,42
HCPCS,C1769,EXTENSION GW VASC 165CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GDWIRE 1.4MM 280MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GDWIRE 2.67F 180CM,1064.5,1064.5,159.68,1064.5,42
HCPCS,C1769,GDWIRE ESCPC 10INX2.4,1152.0,1152.0,172.8,1152.0,42
HCPCS,C1769,GDWIRE GSTR/URO SPRNG TP,695.5,695.5,104.33,695.5,42
HCPCS,C1769,GDWIRE STRT .035 180CM,1952.5,1952.5,292.88,1952.5,42
HCPCS,C1769,GDWIRE VASC .035IN 145CM,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GDWIRE VASC .035IN 300CM,1439.0,1439.0,215.85,1439.0,42
HCPCS,C1769,GDWIRE VASC 185CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GDWIRE VASC 7CM 180CM,442.0,442.0,66.3,442.0,42
HCPCS,C1769,GDWIRE VASC W/FLX TP.014,1596.5,1596.5,239.47,1596.5,42
HCPCS,C1769,GDWIRE VSC 11 CORSN DISP,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GDWIRE VSC 150CM .035IN,278.5,278.5,41.77,278.5,42
HCPCS,C1769,GDWR UNTHRDED 3.2X20MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GDWRE ARTHSCP .062IN 7IN,618.5,618.5,92.78,618.5,42
HCPCS,C1769,GDWRE VASC .014IN 190CM,962.0,962.0,144.3,962.0,42
HCPCS,C1769,GLDWR .018IN 180CM,1883.0,1883.0,282.45,1883.0,42
HCPCS,C1769,GLIDEWIRE .018 300CM,1981.0,1981.0,297.15,1981.0,42
HCPCS,C1769,GLIDEWIRE 0.035 400CM,921.0,921.0,138.15,921.0,42
HCPCS,C1769,GUIDE WIRE 3.2X230MM,438.0,438.0,65.7,438.0,42
HCPCS,C1769,GUIDEWIRE .035IN 150CM,1694.5,1694.5,254.18,1694.5,42
HCPCS,C1769,GUIDEWIRE .36/.27 190/15,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GUIDEWIRE .36/.30 190/15,1023.5,1023.5,153.53,1023.5,84
HCPCS,C1769,GUIDEWIRE 1.6X150MM,309.5,309.5,46.42,309.5,42
HCPCS,C1769,GUIDEWIRE 3.0X1000,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GUIDEWIRE ARTHSCP .045IN,309.5,309.5,46.42,309.5,42
HCPCS,C1769,GUIDEWIRE BEAD TIP 2.6MM,972.5,972.5,145.88,972.5,42
HCPCS,C1769,GUIDEWIRE DX 0.89X150MM,208.5,208.5,31.27,208.5,42
HCPCS,C1769,GUIDEWIRE ENDO 12IN,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE EVAS 260CM .03,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1769,GUIDEWIRE FOR TAVR SZ XS,19441.0,19441.0,2916.15,19441.0,42
HCPCS,C1769,GUIDEWIRE GLND 1.5MM,340.0,340.0,51.0,340.0,42
HCPCS,C1769,GUIDEWIRE ORT TROC 300MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE ORTH .062IN,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GUIDEWIRE ORTH 1.37MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE ORTH 1.45MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE ORTH 1.4X150MM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GUIDEWIRE ORTH 1.9MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE ORTH 2.3MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE ORTH 21IN,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE ORTH 3.2MM,1630.5,1630.5,244.57,1630.5,42
HCPCS,C1769,GUIDEWIRE ORTH 800MM 2.7,3438.0,3438.0,515.7,3438.0,42
HCPCS,C1769,GUIDEWIRE ORTH 800MM 2MM,3438.0,3438.0,515.7,3438.0,42
HCPCS,C1769,GUIDEWIRE PACK 01.7MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE PRESSURE,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GUIDEWIRE PRESSURE 180CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GUIDEWIRE SPN DISP 3MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GUIDEWIRE SYNCH 10X300CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1769,GUIDEWIRE THD P 3.2MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GUIDEWIRE VASC 180CM,1629.0,1629.0,244.35,1629.0,84
HCPCS,C1769,GUIDEWIRE VASC 190CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GUIDEWIRE VASC 200CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GUIDEWIRE VASC 230CM,1719.0,1719.0,257.85,1719.0,42
HCPCS,C1769,GUIDEWIRE VASC 260CM,337.0,337.0,34.8,442.0,84
HCPCS,C1769,GUIDEWIRE VASC 300CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GUIDEWIRE VASC 450MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GUIDEWIRE.014 145CM 7046,220.0,220.0,33.0,220.0,42
HCPCS,C1769,GUIDEWRE DRILL TIP 1.6MM,761.5,761.5,114.22,761.5,42
HCPCS,C1769,GW ATW 014 195 J FLPY,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GW CNS TFE 035 145 15,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GW RDRN ANG 018X480,1174.5,1174.5,176.18,1174.5,42
HCPCS,C1769,GW THUNDERBOLT 1.4,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GW VASC .014IN 190CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GW VASC .018IN 180CM 3CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GW VASC 3MM JTP 3MM 180C,551.0,551.0,82.65,551.0,42
HCPCS,C1769,GW VASC 90D .018IN 180CM,1629.0,1629.0,244.35,1629.0,42
HCPCS,C1769,GW VASC ANG .018IN 100CM,471.5,471.5,70.72,471.5,42
HCPCS,C1769,GW ZPWR .038/150 STD ANG,479.5,479.5,71.92,479.5,42
HCPCS,C1769,GW ZPWR 035 150 CSS ANG,541.0,541.0,81.15,541.0,42
HCPCS,C1769,GWIRE .016IN 180CM,2706.5,2706.5,405.98,2706.5,42
HCPCS,C1769,GWIRE .038IN FLEX TIP,1637.0,1637.0,245.55,1637.0,42
HCPCS,C1769,GWIRE .46MM 3CM 150CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE 0.7 WIRE-0.7/080,309.5,309.5,46.42,309.5,42
HCPCS,C1769,GWIRE 2.4MM,558.0,558.0,83.7,558.0,42
HCPCS,C1769,GWIRE 2.4MM ARTHX,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE 2.8X300MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ABL .035 HALO,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE ANG 3X260CM,541.0,541.0,81.15,541.0,42
HCPCS,C1769,GWIRE ANGIO 260CM .035IN,185.0,185.0,27.75,185.0,42
HCPCS,C1769,GWIRE ARTHSCP .062X6IN,618.5,618.5,92.78,618.5,42
HCPCS,C1769,GWIRE BALL TIP 2.5X800MM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE BN 1.45MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GWIRE BN 1.6MM 220MM,629.5,629.5,89.25,664.0,84
HCPCS,C1769,GWIRE BN DISP 0.8X100MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE BN DISP 1.1X150MM,898.25,898.25,115.95,1023.5,84
HCPCS,C1769,GWIRE BN DISP 1.4X150MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE BN DISP 1.6X220MM,834.5,834.5,125.17,834.5,42
HCPCS,C1769,GWIRE CATH .027IN 130CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE DBL TROCAR .45X6IN,446.5,446.5,66.97,446.5,42
HCPCS,C1769,GWIRE ENDO .018IN 260CM,1411.0,1411.0,211.65,1411.0,42
HCPCS,C1769,GWIRE ENDO .018IN 480CM,1411.0,1411.0,211.65,1411.0,42
HCPCS,C1769,GWIRE ENDO .035IN 180CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE ENDO .035IN 260CM,1330.5,1330.5,141.38,1351.0,294
HCPCS,C1769,GWIRE ENDO .035IN 400CM,814.0,814.0,122.1,814.0,42
HCPCS,C1769,GWIRE ENDO .035IN 450CM,1340.75,1340.75,199.57,1351.0,126
HCPCS,C1769,GWIRE EVAS SSTF 260CM,1351.0,1351.0,202.65,1351.0,42
HCPCS,C1769,GWIRE FLPY 330X2.2CM,1334.5,1334.5,200.18,1334.5,42
HCPCS,C1769,GWIRE FX BEADED 3.0MM,1809.0,1809.0,271.35,1809.0,42
HCPCS,C1769,GWIRE GI .035 IN 180CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE GOLD TAPER .01,2374.0,2374.0,356.1,2374.0,42
HCPCS,C1769,GWIRE IAB .018IN 260CM,4092.5,4092.5,613.88,4092.5,84
HCPCS,C1769,GWIRE INTRO .018IN,61.5,61.5,9.22,61.5,42
HCPCS,C1769,GWIRE NEUR 0.010IN 200CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE NEUR 0.014IN 200CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE ORT 1000MM,2288.0,2288.0,343.2,2288.0,42
HCPCS,C1769,GWIRE ORTH .035IN 5.75IN,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE ORTH .045IN,340.0,340.0,51.0,340.0,42
HCPCS,C1769,GWIRE ORTH .045IN 6IN,318.75,318.75,34.73,406.0,126
HCPCS,C1769,GWIRE ORTH .045IN CL,402.0,402.0,60.3,402.0,42
HCPCS,C1769,GWIRE ORTH .054IN 6IN,208.5,208.5,31.27,208.5,42
HCPCS,C1769,GWIRE ORTH .059IN 5IN,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GWIRE ORTH .062IN 5MM,487.0,487.0,73.05,487.0,42
HCPCS,C1769,GWIRE ORTH 1.1MM 150MM,390.5,390.5,56.85,402.0,84
HCPCS,C1769,GWIRE ORTH 1.25MM 150MM,331.25,331.25,48.23,341.0,84
HCPCS,C1769,GWIRE ORTH 1.35MM,634.0,634.0,95.1,634.0,42
HCPCS,C1769,GWIRE ORTH 1.35X150MM,309.5,309.5,46.42,309.5,42
HCPCS,C1769,GWIRE ORTH 1.4MM,294.0,294.0,44.1,294.0,42
HCPCS,C1769,GWIRE ORTH 1.4MM 150MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ORTH 1.6MM 150MM,501.5,501.5,75.22,501.5,42
HCPCS,C1769,GWIRE ORTH 1.6MM 200MM,619.5,619.5,92.92,619.5,42
HCPCS,C1769,GWIRE ORTH 1.6MM 510MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GWIRE ORTH 100CM 2.4MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ORTH 12IN 1.5X.062,730.5,730.5,109.58,730.5,42
HCPCS,C1769,GWIRE ORTH 150MM 1.6MM,410.5,410.5,61.58,410.5,42
HCPCS,C1769,GWIRE ORTH 150X1.25MM,379.0,379.0,56.85,379.0,42
HCPCS,C1769,GWIRE ORTH 150X2MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ORTH 2 1.45MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GWIRE ORTH 2.2MM 800MM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE ORTH 2.4MM,402.0,402.0,51.0,464.0,84
HCPCS,C1769,GWIRE ORTH 2.4MM 70CM,425.25,425.25,57.98,464.0,84
HCPCS,C1769,GWIRE ORTH 2.5MM 230MM,574.5,574.5,86.17,574.5,42
HCPCS,C1769,GWIRE ORTH 2.8MM 300MM,524.5,524.5,78.67,524.5,42
HCPCS,C1769,GWIRE ORTH 2.8MM 450MM,896.5,896.5,134.47,896.5,42
HCPCS,C1769,GWIRE ORTH 240X2MM,319.5,319.5,47.92,319.5,42
HCPCS,C1769,GWIRE ORTH 2MM 150MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ORTH 2MM 230MM,533.5,533.5,65.85,653.0,126
HCPCS,C1769,GWIRE ORTH 2MM 70CM,1388.0,1388.0,208.2,1388.0,42
HCPCS,C1769,GWIRE ORTH 2X7 8X8,1064.5,1064.5,159.68,1064.5,42
HCPCS,C1769,GWIRE ORTH 3.0MM 1250MM,1647.5,1647.5,247.13,1647.5,42
HCPCS,C1769,GWIRE ORTH 3.2MM 230MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ORTH 3.2MM 300MM,542.5,542.5,76.5,575.0,84
HCPCS,C1769,GWIRE ORTH 3.2MM 600MM,1537.5,1537.5,230.63,1537.5,42
HCPCS,C1769,GWIRE ORTH 3MM 100CM,998.0,998.0,145.88,1023.5,168
HCPCS,C1769,GWIRE ORTH 3MM 70CM,972.5,972.5,145.88,972.5,42
HCPCS,C1769,GWIRE ORTH 3MM 800MM,1133.0,1133.0,169.95,1133.0,42
HCPCS,C1769,GWIRE ORTH 6X.62IN STRCR,446.5,446.5,66.97,446.5,42
HCPCS,C1769,GWIRE ORTH CLBRT 3.2X300,1054.5,1054.5,158.18,1054.5,42
HCPCS,C1769,GWIRE ORTH DISP,232.0,232.0,34.8,232.0,42
HCPCS,C1769,GWIRE ORTH S2 3X1000MM,1048.0,1048.0,157.2,1048.0,42
HCPCS,C1769,GWIRE ORTH SPN BLNT,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GWIRE ORTH STD 1.6MM,294.0,294.0,44.1,294.0,42
HCPCS,C1769,GWIRE ORTH STD 3.2MM,294.0,294.0,44.1,294.0,42
HCPCS,C1769,GWIRE ORTH SURG 1.1MM,232.0,232.0,34.8,232.0,42
HCPCS,C1769,GWIRE ORTH SXTNT THRD,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ORTH T2 3X800MM,1072.5,1072.5,160.88,1072.5,42
HCPCS,C1769,GWIRE ORTH THRD 2.3MM,388.0,388.0,58.2,388.0,42
HCPCS,C1769,GWIRE ORTH THRD 3.2MM,868.5,868.5,130.28,868.5,42
HCPCS,C1769,GWIRE ORTH THRD SHRP1.37,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GWIRE ORTHO .035X5.75IN,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE ORTHO .035X6IN,257.0,257.0,38.55,257.0,42
HCPCS,C1769,GWIRE ORTHO .054IN 7IN,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE ORTHO .054X6IN,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE ORTHO .062IN 6IN,386.5,386.5,57.98,386.5,84
HCPCS,C1769,GWIRE ORTHO .062X9.25IN,243.5,243.5,36.52,243.5,42
HCPCS,C1769,GWIRE ORTHO .078IN 20IN,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ORTHO .094X9.25IN,243.5,243.5,36.52,243.5,42
HCPCS,C1769,GWIRE ORTHO .45X5.91IN,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE ORTHO 1.3X150MM,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE ORTHO 1.4X150MM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE ORTHO 2MM 150MM,309.5,309.5,46.42,309.5,42
HCPCS,C1769,GWIRE ORTHO 2MM 9IN,338.5,338.5,50.77,338.5,42
HCPCS,C1769,GWIRE PERI .014 300CM,2701.5,2701.5,405.23,2701.5,42
HCPCS,C1769,GWIRE PILOT ORTH 1.9MM,116.0,116.0,17.4,116.0,42
HCPCS,C1769,GWIRE PRESSR 3.2CM 280CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1769,GWIRE PRESSR 4.2CM 280CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1769,GWIRE SNSR ENDO .035X150,552.0,552.0,82.8,552.0,42
HCPCS,C1769,GWIRE SPN BLUNT 50MM,386.5,386.5,57.98,386.5,42
HCPCS,C1769,GWIRE ST ARTH .062IN,232.0,232.0,34.8,232.0,42
HCPCS,C1769,GWIRE STF 035IN 145CM,333.5,333.5,50.02,333.5,42
HCPCS,C1769,GWIRE STRAIGHT 190CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE STRGT 190CM,1146.0,1146.0,171.9,1146.0,42
HCPCS,C1769,GWIRE SURG VOICE PROTH,278.5,278.5,41.77,278.5,42
HCPCS,C1769,GWIRE SUT 1.1MM,1263.5,1263.5,189.53,1263.5,42
HCPCS,C1769,GWIRE TROCH TIP 2X55MM,417.5,417.5,62.63,417.5,42
HCPCS,C1769,GWIRE URO .018IN 150CM,723.5,723.5,108.53,723.5,42
HCPCS,C1769,GWIRE URO .032IN 150CM,504.5,504.5,75.67,504.5,42
HCPCS,C1769,GWIRE URO .035IN 150CM,502.25,502.25,34.73,698.0,252
HCPCS,C1769,GWIRE URO .038IN 150CM,464.75,464.75,34.73,698.0,84
HCPCS,C1769,GWIRE URO ANGLD .035X150,552.5,552.5,82.88,552.5,42
HCPCS,C1769,GWIRE VASC .014 335CM,1228.0,1228.0,184.2,1228.0,42
HCPCS,C1769,GWIRE VASC .014IN 180CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE VASC .014IN 182CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE VASC .014IN 185CM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1769,GWIRE VASC .014IN 190CM,1129.0,1129.0,130.5,1388.0,126
HCPCS,C1769,GWIRE VASC .014IN 200CM,2709.5,2709.5,335.18,4093.0,168
HCPCS,C1769,GWIRE VASC .014IN 210CM,3889.5,3889.5,583.42,3889.5,42
HCPCS,C1769,GWIRE VASC .014IN 215CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC .014IN 300CM,2234.5,2234.5,130.5,4385.5,252
HCPCS,C1769,GWIRE VASC .014IN 475CM,1228.0,1228.0,184.2,1228.0,42
HCPCS,C1769,GWIRE VASC .014X260MM,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1769,GWIRE VASC .016IN 180CM,2364.25,2364.25,303.3,2706.5,84
HCPCS,C1769,GWIRE VASC .018 180,1629.0,1629.0,244.35,1629.0,42
HCPCS,C1769,GWIRE VASC .018IN 108CM,1310.0,1310.0,196.5,1310.0,42
HCPCS,C1769,GWIRE VASC .018IN 150CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE VASC .018IN 180CM,1595.25,1595.25,115.95,2417.5,84
HCPCS,C1769,GWIRE VASC .018IN 200CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC .018IN 260CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE VASC .018IN 300CM,1678.5,1678.5,115.95,2584.0,126
HCPCS,C1769,GWIRE VASC .018IN 60CM,471.5,471.5,70.72,471.5,42
HCPCS,C1769,GWIRE VASC .018IN 9.75IN,201.0,201.0,30.15,201.0,42
HCPCS,C1769,GWIRE VASC .01IN 200CM,2091.5,2091.5,313.73,2091.5,42
HCPCS,C1769,GWIRE VASC .01IN 300CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1769,GWIRE VASC .024IN 200CM,4385.5,4385.5,657.83,4385.5,126
HCPCS,C1769,GWIRE VASC .025IN,194.5,194.5,29.18,194.5,42
HCPCS,C1769,GWIRE VASC .025IN 145CM,231.5,231.5,34.73,231.5,84
HCPCS,C1769,GWIRE VASC .032IN 180CM,309.0,309.0,46.35,309.0,42
HCPCS,C1769,GWIRE VASC .032IN 260CM,417.5,417.5,62.63,417.5,42
HCPCS,C1769,GWIRE VASC .035IN 145CM,607.5,607.5,66.3,773.0,84
HCPCS,C1769,GWIRE VASC .035IN 150CM,369.25,369.25,24.45,723.5,336
HCPCS,C1769,GWIRE VASC .035IN 180CM,680.5,680.5,34.73,1839.5,462
HCPCS,C1769,GWIRE VASC .035IN 220CM,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE VASC .035IN 260CM,751.75,751.75,29.55,2014.5,798
HCPCS,C1769,GWIRE VASC .26MM 200CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC .89MM 200CM,1269.0,1269.0,190.35,1269.0,42
HCPCS,C1769,GWIRE VASC 0.013IN 350CM,1596.5,1596.5,239.47,1596.5,42
HCPCS,C1769,GWIRE VASC 0.014IN 190CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE VASC 0.018IN 80CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE VASC 0.035IN 300CM,618.5,618.5,92.78,618.5,42
HCPCS,C1769,GWIRE VASC 0.18IN 80CM,656.0,656.0,98.4,656.0,42
HCPCS,C1769,GWIRE VASC 035IN 260CM,494.5,494.5,74.17,494.5,42
HCPCS,C1769,GWIRE VASC 108CM,1310.0,1310.0,196.5,1310.0,42
HCPCS,C1769,GWIRE VASC 150CM .032IN,504.5,504.5,75.67,504.5,42
HCPCS,C1769,GWIRE VASC 175CM .014IN,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC 180CM .009IN,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE VASC 180CM .014IN,921.0,921.0,115.95,1228.0,336
HCPCS,C1769,GWIRE VASC 180CM .035IN,230.0,230.0,34.5,230.0,42
HCPCS,C1769,GWIRE VASC 180X4.5CM,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE VASC 190CM .008IN,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE VASC 190CM .014IN,895.5,895.5,115.95,1023.5,672
HCPCS,C1769,GWIRE VASC 195CM .018IN,870.0,870.0,130.5,870.0,42
HCPCS,C1769,GWIRE VASC 200CM .014IN,2701.5,2701.5,196.5,4093.0,84
HCPCS,C1769,GWIRE VASC 200CM .018IN,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC 200CM .01IN,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC 205CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC 205CM .014IN,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC 20CM,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE VASC 210CM .018IN,1105.0,1105.0,165.75,1105.0,42
HCPCS,C1769,GWIRE VASC 25CM 180CM,2706.5,2706.5,405.98,2706.5,42
HCPCS,C1769,GWIRE VASC 260CM,263.0,263.0,39.45,263.0,42
HCPCS,C1769,GWIRE VASC 260CM 3MM,264.5,264.5,33.0,309.0,84
HCPCS,C1769,GWIRE VASC 275CM 0.35IN,3110.5,3110.5,466.57,3110.5,42
HCPCS,C1769,GWIRE VASC 275X2.9X3.2CM,2108.5,2108.5,316.27,2108.5,42
HCPCS,C1769,GWIRE VASC 275X4.2X4.2CM,2108.5,2108.5,316.27,2108.5,42
HCPCS,C1769,GWIRE VASC 300CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1769,GWIRE VASC 300CM .014IN,972.25,972.25,115.95,1310.0,882
HCPCS,C1769,GWIRE VASC 300CM .018IN,1166.5,1166.5,115.95,1391.5,294
HCPCS,C1769,GWIRE VASC 300CM .01IN,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,GWIRE VASC 300CM .035IN,893.25,893.25,115.95,1013.5,84
HCPCS,C1769,GWIRE VASC 30MM 260CM,1596.5,1596.5,239.47,1596.5,42
HCPCS,C1769,GWIRE VASC 335CM .014IN,1117.5,1117.5,167.63,1117.5,42
HCPCS,C1769,GWIRE VASC 3CM 180CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE VASC 7.0CM 75CM,400.0,400.0,60.0,400.0,42
HCPCS,C1769,GWIRE VASC 80CM .035IN,286.0,286.0,42.9,286.0,42
HCPCS,C1769,GWIRE VASC 95CM,1259.0,1259.0,188.85,1259.0,42
HCPCS,C1769,GWIRE VASC BNTSN 260X20,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE VASC FLOPPY 260CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1769,GWIRE VASC FLX 260CM,1290.0,1290.0,193.5,1290.0,42
HCPCS,C1769,GWIRE VASC J TIP 300CM,773.0,773.0,115.95,773.0,42
HCPCS,C1769,GWIRE VASC JTIP 185CM,4093.0,4093.0,613.95,4093.0,84
HCPCS,C1769,GWIRE VASC JTP 190CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE VASC JTP 3X50J,231.5,231.5,34.73,231.5,42
HCPCS,C1769,GWIRE VASC NS 180CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE VASC OD.008MRG N,3407.5,3407.5,511.13,3407.5,42
HCPCS,C1769,GWIRE VASC ORBT 360,1452.5,1452.5,217.88,1452.5,42
HCPCS,C1769,GWIRE VASE .018IN 300CM,819.0,819.0,122.85,819.0,42
HCPCS,C1769,GWIRE VASE 300CM .009IN,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,GWIRE W INST KIT 4.5MM,2865.0,2865.0,429.75,2865.0,42
HCPCS,C1769,GWIRE W/INST KIT 3.6MM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1769,GWIRE/DRILL TIP3.2X400MM,860.0,860.0,129.0,860.0,42
HCPCS,C1769,GWRE PTFE 035 145J,220.0,220.0,33.0,220.0,42
HCPCS,C1769,INTRO GW .009-.018IN,58.0,58.0,8.7,58.0,42
HCPCS,C1769,K-WIRE BN 2MM,231.5,231.5,34.73,231.5,42
HCPCS,C1769,KIT DIL VASC GW NDL 18GA,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,KIT EMBL DTCH HANDLE,1842.0,1842.0,276.3,1842.0,42
HCPCS,C1769,KIT MRKR DLVRY GW 150CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1769,KIT SUT 1.35-1.6MM DRL,2363.5,2363.5,354.52,2363.5,42
HCPCS,C1769,KWIRE FX 1.4MM 100MM,606.0,606.0,90.9,606.0,42
HCPCS,C1769,KWIRE ORTH .045IN 4IN,406.0,406.0,60.9,406.0,42
HCPCS,C1769,KWIRE ORTH 2.5MM 150MM,927.5,927.5,139.13,927.5,42
HCPCS,C1769,SET DILATOR 8-20FR 100CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1769,SPHNTM CANN 20MM 260CM,2411.0,2411.0,361.65,2411.0,42
HCPCS,C1769,SPHNTM GWIRE 4.4FR 20MM,3144.5,3144.5,471.68,3144.5,42
HCPCS,C1769,WIRE GD SURG THRD SHARP,386.5,386.5,57.98,386.5,42
HCPCS,C1771,IMPL GYN GNCR TVT 5 TRNV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1771,KIT SLING MALE INCNT,25796.0,25796.0,3869.4,25796.0,30
HCPCS,C1771,SLING GYN 7.75CM,6781.0,6781.0,1017.15,6781.0,30
HCPCS,C1771,SLING SUPRPUB MID-URTH,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1771,SLING TRNVG MID URETH,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1771,SLING URTH 0.3MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1771,SYSTEM URTH MESH 9CM,5250.0,5250.0,787.5,5250.0,30
HCPCS,C1771,SYSTEM URTH SUPP 2.7MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1771,SYSTEM URTH SUPP 22CM,4613.0,4613.0,691.95,4613.0,60
HCPCS,C1771,SYSTEM URTH SUPP 9CM,5065.0,5065.0,759.75,5065.0,30
HCPCS,C1771,SYSTEM URTH SUPP BLU,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1772,PUMP INFS IMPL HFLO CNST,71702.0,71702.0,10755.3,71702.0,30
HCPCS,C1772,PUMP INFS PAIN 20ML,43848.0,43848.0,6577.2,43848.0,30
HCPCS,C1772,PUMP INFS PAIN 40ML,43848.0,43848.0,6577.2,43848.0,30
HCPCS,C1772,PUMP PAIN INFN 20ML,45832.0,45832.0,6874.8,45832.0,30
HCPCS,C1773,CATH SNARE 10MM 120CM,2128.5,2128.5,319.27,2128.5,42
HCPCS,C1773,DEVICE LEAD LCK 65CM SS,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1773,KIT LD LCK 65CM,4093.0,4093.0,613.95,4093.0,84
HCPCS,C1773,KIT LD LCK 85CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1773,KIT SNARE 25MM 120CM,2128.5,2128.5,319.27,2128.5,42
HCPCS,C1773,KIT SNARE 4FR 5MM 120CM,2128.5,2128.5,319.27,2128.5,42
HCPCS,C1773,KIT SNARE 6FR 35MM 120CM,2128.5,2128.5,319.27,2128.5,42
HCPCS,C1773,KIT SNARE EXTRACT 175CM,4093.0,4093.0,613.95,4093.0,126
HCPCS,C1773,KIT SNARE RTRVL 20MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1773,KIT SNRE CATH 15MM 120CM,2128.5,2128.5,319.27,2128.5,42
HCPCS,C1773,KIT SNRE CATH 20MM 120CM,2128.5,2128.5,319.27,2128.5,42
HCPCS,C1773,RETRIEVER VASC 6FR 90CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1773,SET RTRVL 6.3F 11F 80CM,2210.0,2210.0,331.5,2210.0,42
HCPCS,C1773,SHEATH DIL 0.145IN,11690.5,11690.5,1753.58,11690.5,42
HCPCS,C1773,SHEATH DIL 11FR,9490.5,9490.5,1423.58,9490.5,42
HCPCS,C1773,SHEATH DIL 13FR,9490.5,9490.5,1423.58,9490.5,42
HCPCS,C1773,SHEATH DIL 9FR,9490.5,9490.5,1423.58,9490.5,42
HCPCS,C1773,SHEATH DIL 9FR 47.5CM,11690.5,11690.5,1753.58,11690.5,42
HCPCS,C1773,SHEATH DIL ROT SZ13FR,11690.5,11690.5,1753.58,11690.5,42
HCPCS,C1773,SNARE ESCPC 18-30X120 7F,2510.5,2510.5,376.57,2510.5,42
HCPCS,C1773,SNARE ESCPC 7F 27-45X120,2581.0,2581.0,387.15,2581.0,42
HCPCS,C1773,SNARE VASC 12F 13MM 94CM,8288.0,8288.0,1243.2,8288.0,42
HCPCS,C1773,SNARE VASC 16F 20MM 94CM,9864.0,9864.0,1479.6,9864.0,42
HCPCS,C1773,SNARE VASC 9-15MM 120CM,2581.0,2581.0,387.15,2581.0,42
HCPCS,C1773,SNR ELITE MIC 7,12534.5,12534.5,1880.17,12534.5,42
HCPCS,C1776,ACTB ALTRX 10D+4 62X44,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,ACTB CUP CLSTR G8 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,ACTB CUP HATRIFLNG 56MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,ACTB CUP TRIFLNG RT 50MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,ACTB LINER 55MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,ACTB NTRL 44MM HIP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,ACTB PE STD ID28 DYNASTY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,ADAPTER FEM 5D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,ADAPTER FEM KN LNG +5MM,10813.0,10813.0,1621.95,10813.0,30
HCPCS,C1776,ADAPTER HD +3.5MM 12/14,1579.0,1579.0,236.85,1579.0,30
HCPCS,C1776,ADAPTER HD FEM HIP 3.5MM,4066.0,4066.0,609.9,4066.0,30
HCPCS,C1776,ADAPTER HD HIP BLX +0MM,4066.0,4066.0,609.9,4066.0,30
HCPCS,C1776,ADAPTER HUM SHLDR +10MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,ADAPTER LNR ACTB 54-56MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,ADAPTER LNR HIP 50-52MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,ADAPTER SHLDR HEAD 36MM,7849.0,7849.0,1177.35,7849.0,30
HCPCS,C1776,ADAPTER STEM OFST KN 2MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,ADAPTER STEM TIB 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,ADAPTER TAPER HIP 3CM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,ADAPTOR SGM FEM 7D,5214.0,5214.0,782.1,5214.0,30
HCPCS,C1776,ADAPTOR TAPER,8617.0,8617.0,1292.55,8617.0,30
HCPCS,C1776,ADPR FEM CUSTOM PMI 1CM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,ADPT HUM SHLDR TPR OFST,2913.0,2913.0,436.95,2913.0,30
HCPCS,C1776,AGMNT FEM 3X8 POST 8MMCO,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,ANCHOR HUM STM FREE LG,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,ARTC SRFC SZG H 12,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,ARTC SURFC POST SZ4 12MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,ARTICULAR SURFACE 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,ARTICULAR SURFACE 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,ASMBLY HNG KN YOKE SZ4-6,20945.0,20945.0,3141.75,20945.0,30
HCPCS,C1776,ASSEMBLY KN RT SZ1-2 23M,266.0,266.0,39.9,266.0,30
HCPCS,C1776,AUB FEM MTL LT LG 50MM,12756.0,12756.0,1913.4,12756.0,30
HCPCS,C1776,AUG 4X4MM EVOL REV DIST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG ACTB HIP 10MM 59MM,7044.0,7044.0,1056.6,7044.0,30
HCPCS,C1776,AUG ACTB HIP 15MM45MM,7044.0,7044.0,1056.6,7044.0,30
HCPCS,C1776,AUG ACTB HIP TRB 15X70MM,7415.0,7415.0,1112.25,7415.0,30
HCPCS,C1776,AUG ACTB PNCL 30X62/64MM,5805.0,5805.0,870.75,5805.0,30
HCPCS,C1776,AUG BLOCK KN LT 15MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,AUG CONE KN RT SZ3/4,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,AUG DIST FEM SZ10 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM DIST SZ10 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM DISTREV SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM EVOL4POST REV4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM KN CONE SZ5,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,AUG FEM KN DIST SZC 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM KN IB2 TIVN LCK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM KN LT LARGE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN LT MED,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN LT SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN LT SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN MED 30MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUG FEM KN POST SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN POST SZ5 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN PST SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN REV SZ6 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN RT LARGE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN RT MED,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN RT SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN RT SZ6 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN RT SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN SZ4 10MM,4883.0,4883.0,732.45,4883.0,30
HCPCS,C1776,AUG FEM KN SZ6/7 5MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,AUG FEM KN SZ9 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM KN SZB 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM KN SZC 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM LG LT 35M,12118.0,12118.0,1817.7,12118.0,30
HCPCS,C1776,AUG FEM MTL RT LG 50MM,12756.0,12756.0,1913.4,12756.0,30
HCPCS,C1776,AUG FEM MTL RT SM 40MM,23899.0,23899.0,3584.85,23899.0,30
HCPCS,C1776,AUG FEM MTPHSL RT 35MM,12118.0,12118.0,1817.7,12118.0,30
HCPCS,C1776,AUG FEM PFC TC3 5KN 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,AUG FEM POST REV 7X8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM POST REV SZ3 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM POST REV SZ4 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM POST REV SZ5 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM POST SZ10 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM POST SZ10 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM POST SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG FEM REVDIST SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM REVDIST SZ5 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG FEM REVDIST SZ7 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG KN LAT SZ6+/7 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG KN MDL SZ6+/7 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG KN POST SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG KN RV POST SZ6 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG POS FEM SZ10 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG REV KN DIST SZ6 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG REV KN LM/RL SZ7 5MM,4756.0,4756.0,713.4,4756.0,30
HCPCS,C1776,AUG REV KN RM/LL SZ7 5MM,4756.0,4756.0,713.4,4756.0,30
HCPCS,C1776,AUG REV TIB HF SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG TIB 38MM 67MM LG,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUG TIB 67X38MM LG C,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUG TIB KN LAT 2+/3 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG TIB KN LM/RL 27 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG TIB KN LM/RL 3 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG TIB KN LT SZ5/6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG TIB KN MDL 2+/3 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUG TIB KN MED 15MM 59MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUG TIB KN RT SZ5/6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUG TIB KN SZ3 5MM,4756.0,4756.0,713.4,4756.0,60
HCPCS,C1776,AUG TIB KN SZ4 10MM,4756.0,4756.0,713.4,4756.0,60
HCPCS,C1776,AUG TIB KN SZ5 5MM,4756.0,4756.0,713.4,4756.0,60
HCPCS,C1776,AUG TIB MBT1 KN REV 15MM,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,AUG TIB MTL LG 60-37MM,18523.0,18523.0,2778.45,18523.0,30
HCPCS,C1776,AUGMENT ACTB 10 66/68MM,5805.0,5805.0,870.75,5805.0,30
HCPCS,C1776,AUGMENT ACTB 15 54/56MM,5805.0,5805.0,870.75,5805.0,30
HCPCS,C1776,AUGMENT ACTB 62MM INTEGR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT ACTB HIP 20MM,7044.0,7044.0,1056.6,7044.0,30
HCPCS,C1776,AUGMENT ACTB HIP 30X54MM,7044.0,7044.0,1056.6,7044.0,30
HCPCS,C1776,AUGMENT ACTB MTL SHM 10D,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT CONE KN LT SZD,12574.0,12574.0,1886.1,12574.0,30
HCPCS,C1776,AUGMENT DIST SZ4 HIP,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,AUGMENT FEM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM 12MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM 30MM LT TRB,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUGMENT FEM 30MM SM TRB,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUGMENT FEM 35MM MED CON,12756.0,12756.0,1913.4,12756.0,30
HCPCS,C1776,AUGMENT FEM 4MM PST TC3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT FEM 4MM RT TC3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT FEM 8MM ATTUNE 4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM 9PST 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT FEM ATTUNE 7 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM ATUN SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM DIST #5 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM DIST SZ5 20M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM DIST SZ6 20M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT FEM KN 4MM 4,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,AUGMENT FEM KN 4MM 5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN 4MM 7,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,AUGMENT FEM KN 4MM 8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN 4MM 9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN 8MM 4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN 8MM 5,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,AUGMENT FEM KN 8MM 7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN LT 1 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN LT 3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN LT 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN LT SM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN LT SZ6,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,AUGMENT FEM KN RM/LL SZE,12574.0,12574.0,1886.1,12574.0,30
HCPCS,C1776,AUGMENT FEM KN RT 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN RT 3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN RT 30MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUGMENT FEM KN RT 6 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN RT 7 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN RT SM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN RT SZ1/2,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,AUGMENT FEM KN RTSZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ1 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ2 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ3 4MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,AUGMENT FEM KN SZ3 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT FEM KN SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT FEM KN SZ6 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ6 8MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,AUGMENT FEM KN SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ8 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ8 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM KN SZ9 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM LG CONE 30MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUGMENT FEM LT SZ1 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM LT SZ5 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM POST #4 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM POST #5 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM POST SZ1 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM POST SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM POST SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM RT SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT FEM SZ2 H8MM PO,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT FEMORAL DISTAL 3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT HIP 20X62MM,7415.0,7415.0,1112.25,7415.0,30
HCPCS,C1776,AUGMENT KN FEM RT SZ5,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,AUGMENT KN FEM SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT KN FEM SZ9 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT KN POST SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT KN PST SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT KN RT MDL L/L,12574.0,12574.0,1886.1,12574.0,30
HCPCS,C1776,AUGMENT KN SZE 20MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,AUGMENT KN TIB SZ3 4MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,AUGMENT SMTR KN SZ2 4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,AUGMENT SMTR KN SZ2 8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,AUGMENT TIB 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,AUGMENT TIB 15MM,4606.0,4606.0,690.9,4606.0,120
HCPCS,C1776,AUGMENT TIB 31MM 31MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUGMENT TIB 31MM 36MM,11201.0,11201.0,1680.15,11201.0,30
HCPCS,C1776,AUGMENT TIB 34MM 41MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUGMENT TIB KN 34MM 51MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUGMENT TIB KN 4/5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMENT TIB KN 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB KN LT 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB KN RT 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB KN RT 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB KN SZ3 10MM,5417.5,5417.5,664.35,6406.0,60
HCPCS,C1776,AUGMENT TIB KN SZ4T 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB OSS SM TPR K,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,AUGMENT TIB SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB SZ5 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB SZ5 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENT TIB UNIV KN 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMENTATION 960843,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,AUGMNT ACTB SZ54MM 10MM,7044.0,7044.0,1056.6,7044.0,30
HCPCS,C1776,AUGMNT FEM 51MMX34MM NXG,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,AUGMNT FEM KN SZ3 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMNT HIP LT PST RT ANT,7972.0,7972.0,1195.8,7972.0,30
HCPCS,C1776,AUGMNT TIB 5/6 KN L 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMNT TIB KN L SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB KN LT SZ4 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB KN R SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB KN RM/LL 10MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,AUGMNT TIB KN RT SZ4 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB KN SZ2 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB KN SZ3 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB KN SZ6 5MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,AUGMNT TIB KN SZ7 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB LM/RL 10MM S1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMNT TIB LM/RL 10MM S3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB LM/RL 10MM S6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB LM/RL 10MM S7,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB LM/RL 10MM S8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMNT TIB LM/RL 4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB LM/RL 5MM SZ2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB LM/RL 5MM SZ8,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB LM/RL SZ5 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB RM/LL 10MM S1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMNT TIB RM/LL 10MM S8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMNT TIB RM/LL 5MM SZ5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB RM/LL 5MM SZ7,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMNT TIB RM/LL 5MM SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMNT TIB RM/LL S6 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMT BLCK WDG KN L 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMT BLOCK TIB KN 10MM,6406.0,6406.0,960.9,6406.0,30
HCPCS,C1776,AUGMT BLOCK WDGE KN 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMT BLOCK WEDGE KN 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AUGMT TIB KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AUGMT TIB OSS KN OSSEOTI,9573.0,9573.0,1435.95,9573.0,30
HCPCS,C1776,AUGUMENT FEM KN SZ9 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,AXLE FEM KN 648-1-120,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AXLE FEM KN GMRS SM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,AXLE FEM KN SZ5,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,AXLE/BUSHING KN HNGE STD,7538.0,7538.0,1130.7,7538.0,30
HCPCS,C1776,B-PLATE TIB1 KN TI NPOR,4759.0,4759.0,713.85,4759.0,30
HCPCS,C1776,BALL HIP CUP 52MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BALL HIP OD42 CCRT MOD,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BALL HIP OD51 CCRT MOD,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BASE TIB ATTUNE SIZE2,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASE TIB EVO STD LT SZ7,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,BASE TIB EVOL STD LT SZ6,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,BASE TIB KN CMNT SZ5,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASE TIB KN HINGE SZ4,7007.0,7007.0,1051.05,7007.0,30
HCPCS,C1776,BASE TIB KN LT STD SZ5,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,BASE TIB KN RP SZ9,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASE TIB KN STD LT SZ4,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,BASE TIB KN STD RT SZ3,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,BASE TIB KN SZ4,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASE TIB KN SZ9,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLAT GLND 25MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,BASEPLAT GLND 25MM 30MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE ATTN FB SZ7,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE ATTNE ROT SZ3,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE ATTNE TIB SZ8,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE AUG SHLDR 24MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,BASEPLATE AUG SHLDR SZSM,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,BASEPLATE BN GLND 8D,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE GLENOID SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BASEPLATE GLENOID SM +10,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE GLENOID SMALL,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,BASEPLATE GLN SHLDR 24MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE GLND +3MM 24MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,BASEPLATE GLND 15MM 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE GLND 25MM 27MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,BASEPLATE GLND SHLDR MED,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,BASEPLATE GLND SHLDR SM,5980.0,5980.0,897.0,5980.0,60
HCPCS,C1776,BASEPLATE GLND SHLDR15MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BASEPLATE GLND SM LT 8D,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE HUM RSP 30MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,BASEPLATE HUM SHLDR 30MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,BASEPLATE HUM SHLDR REV,6079.0,6079.0,911.85,6079.0,30
HCPCS,C1776,BASEPLATE KN 40MM 61MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,BASEPLATE KN 42MM 66MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN CMNT TIB 7,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,BASEPLATE KN LT SZ6,6107.5,6107.5,690.9,7609.0,60
HCPCS,C1776,BASEPLATE KN RT SZ 1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN RT SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN RT SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN SZ SM-2,8861.0,8861.0,1329.15,8861.0,30
HCPCS,C1776,BASEPLATE KN SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN SZ3 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN SZ4,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,BASEPLATE KN SZ7 15MM LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN TIB CMNT 2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN TIB LT SZ3,7609.0,7609.0,1141.35,7609.0,30
HCPCS,C1776,BASEPLATE KN TIB LT SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN TIB LT SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN TIB LT SZ7,8010.0,8010.0,1201.5,8010.0,30
HCPCS,C1776,BASEPLATE KN TIB RT SZ4,11030.0,11030.0,1654.5,11030.0,30
HCPCS,C1776,BASEPLATE KN TIB RT SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE KN TIB SZ2,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE KN TIB SZ3,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE KN TIB SZ4,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE KN TIB SZ8,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE KN TIB SZ9,5145.0,5145.0,697.65,5639.0,60
HCPCS,C1776,BASEPLATE KN TIB TI SZ5,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,BASEPLATE KN TIB6 50X72,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE LAT SHLDR 25MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,BASEPLATE POROUS SIZE 1,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,BASEPLATE SCRWFIX SZ5,6501.0,6501.0,975.15,6501.0,30
HCPCS,C1776,BASEPLATE SHLD 15D 29MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE SHLD RT 8/10D,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,BASEPLATE SHLDR +10MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE SHLDR +4X24MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,BASEPLATE SHLDR 10D,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,BASEPLATE SHLDR 12D,8568.0,8568.0,1285.2,8568.0,30
HCPCS,C1776,BASEPLATE SHLDR 15MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,BASEPLATE SHLDR 20D 24MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,BASEPLATE SHLDR 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BASEPLATE SHLDR 24MM,5979.5,5979.5,797.25,6644.0,150
HCPCS,C1776,BASEPLATE SHLDR 24MM 3MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,BASEPLATE SHLDR 25MM 35D,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE SHLDR 25X24.5,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,BASEPLATE SHLDR 25X25MM,6541.0,6541.0,981.15,6541.0,30
HCPCS,C1776,BASEPLATE SHLDR 28MM,5647.5,5647.5,830.55,5758.0,90
HCPCS,C1776,BASEPLATE SHLDR 29MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,BASEPLATE SHLDR AUG LG,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,BASEPLATE SHLDR LT 10D,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE SHLDR MOD 30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BASEPLATE SHLDR RT 10D,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLATE SHLDR RT 8D,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,BASEPLATE SHLDR SM 24MM,5559.0,5559.0,833.85,5559.0,30
HCPCS,C1776,BASEPLATE SHLDR SM RT 8D,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,BASEPLATE SHLDR STD 25MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,BASEPLATE TIB 4 RT/M L/L,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB ATTN SZ6,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB ATTNE 4 RP,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB ATTUN 2 RP,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB ATTUNE 10,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB ATTUNE 5 K,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE TIB ATTUNE 5RP,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB ATTUNE 6 K,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE TIB ATTUNE 6RP,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB ATTUNE 7 K,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE TIB ATTUNE 8 K,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE TIB ATTUNE 9 K,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE TIB CMNT SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB FNDTN 2 RT,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,BASEPLATE TIB GNSIS2 4KN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB HI FLX 2KN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB JRNLCK SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB JRNY SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN 45X66MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN 48X71MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN 5D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN 5D SZ E,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN 5D SZ F,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN 5D SZ G,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN 5D SZC,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,BASEPLATE TIB KN 5D SZG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN 71MM,10497.0,10497.0,1574.55,10497.0,30
HCPCS,C1776,BASEPLATE TIB KN LF SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN LFT SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN LGE-2,8861.0,8861.0,1329.15,8861.0,30
HCPCS,C1776,BASEPLATE TIB KN LT SZ1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN LT SZ2,11030.0,11030.0,1654.5,11030.0,30
HCPCS,C1776,BASEPLATE TIB KN LT SZ3,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,BASEPLATE TIB KN LT SZ4,6240.5,6240.5,730.8,7609.0,60
HCPCS,C1776,BASEPLATE TIB KN LT SZ5,8010.0,8010.0,690.9,11030.0,120
HCPCS,C1776,BASEPLATE TIB KN LT SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN LT SZ8,11448.0,11448.0,1141.35,15287.0,60
HCPCS,C1776,BASEPLATE TIB KN LT SZC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN LT SZD,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB KN LT SZE,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB KN LT SZH,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB KN REV SZ3,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,BASEPLATE TIB KN RT LNG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZ1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZ10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZ3,7818.0,7818.0,690.9,11030.0,120
HCPCS,C1776,BASEPLATE TIB KN RT SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZ5,9520.0,9520.0,1201.5,11030.0,60
HCPCS,C1776,BASEPLATE TIB KN RT SZ6,6683.5,6683.5,690.9,15530.0,210
HCPCS,C1776,BASEPLATE TIB KN RT SZ7,9598.5,9598.5,1141.35,11588.0,60
HCPCS,C1776,BASEPLATE TIB KN RT SZ8,6308.0,6308.0,690.9,8010.0,60
HCPCS,C1776,BASEPLATE TIB KN RT SZ9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZC,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZD,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZF,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB KN RT SZH,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB KN SIZE 3,19288.0,19288.0,2893.2,19288.0,30
HCPCS,C1776,BASEPLATE TIB KN STD79MM,10497.0,10497.0,1574.55,10497.0,30
HCPCS,C1776,BASEPLATE TIB KN SYS 4,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB KN SZ 3,13756.0,13756.0,2063.4,13756.0,30
HCPCS,C1776,BASEPLATE TIB KN SZ MED2,8861.0,8861.0,1329.15,8861.0,30
HCPCS,C1776,BASEPLATE TIB KN SZ-E,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN SZ1,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,BASEPLATE TIB KN SZ10,5315.5,5315.5,697.65,5980.0,60
HCPCS,C1776,BASEPLATE TIB KN SZ2,8010.0,8010.0,690.9,13756.0,150
HCPCS,C1776,BASEPLATE TIB KN SZ3,5145.0,5145.0,690.9,5647.0,150
HCPCS,C1776,BASEPLATE TIB KN SZ3 11M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN SZ4,11030.0,11030.0,690.9,13756.0,270
HCPCS,C1776,BASEPLATE TIB KN SZ5,5145.0,5145.0,690.9,13756.0,240
HCPCS,C1776,BASEPLATE TIB KN SZ6,5149.0,5149.0,690.9,11073.0,210
HCPCS,C1776,BASEPLATE TIB KN SZ7,5639.0,5639.0,690.9,13756.0,240
HCPCS,C1776,BASEPLATE TIB KN SZ8,5204.5,5204.5,690.9,6826.0,150
HCPCS,C1776,BASEPLATE TIB KN SZG,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB KN UNV SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN UNV SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KN UNV SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB KNEE 8,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB KNEE SZ10,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLATE TIB LF SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB LMRL SZ3,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,BASEPLATE TIB LMRL SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB LMRL SZ6,5395.0,5395.0,809.25,5395.0,30
HCPCS,C1776,BASEPLATE TIB LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB LT KN SZ1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB NTRLKN2 S1,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,BASEPLATE TIB RT 6MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,BASEPLATE TIB RT KN 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB RT SZ7,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,BASEPLATE TIB S1 KN MRH,8861.0,8861.0,1329.15,8861.0,30
HCPCS,C1776,BASEPLATE TIB STD 75MM,14887.0,14887.0,2233.05,14887.0,30
HCPCS,C1776,BASEPLATE TIB STD 83MM,10497.0,10497.0,1574.55,10497.0,30
HCPCS,C1776,BASEPLATE TIB SZ10,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE TIB SZ2 LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB SZ3,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,BASEPLATE TIB SZE,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,BASEPLATE TIB UNV SZ1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB UNV SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIB UNV SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIBIA RT SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE TIBIA SIZE 3 L,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,BASEPLATE TIBIA STEM SIZ,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,BASEPLATE TIBIAL 2 KNEE,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,BASEPLATE TIBIAL SIZE 6,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,BASEPLATE TIN KN RT SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLATE WM TIBIAL SZ3,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1776,BASEPLATETIB KN LGN RT,8010.0,8010.0,1201.5,8010.0,30
HCPCS,C1776,BASEPLT GLEN 24.5MM 30MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,BASEPLT GLND MED UNV STR,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,BASEPLT KN LT SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT KN RT SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT KN TB JRNY MDL-3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT KN TIB SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB ATTN CMNT 8,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLT TIB ATTUN4 CMNT,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLT TIB JRNY5 LT MDL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB JRNY5 RT MDL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB KN 2+ 21MM,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1776,BASEPLT TIB KN LM/RL SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB KN LT SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB KN LT SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB KN LT SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB KN RM/LL SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB KN RT SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB KN RT SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT TIB KN SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLT W/SCR SHLDR 024M,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BASEPLTE ATTNE FX SZ9,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BASEPLTE TIB 3D KN SZ10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLTE TIB KN LT SZ 1,8010.0,8010.0,1201.5,8010.0,30
HCPCS,C1776,BASEPLTE TIB KN RT SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASEPLTE TIB TRTHN 10X2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BASPLATE TIB KN SZ5,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,BASPLT TIB KN LM/RL SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BDY CLCR 100MMX55MM 46MM,14616.0,14616.0,2192.4,14616.0,90
HCPCS,C1776,BDY CONE 29MM RSTR +10MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,BDY HUM SMR RVRVS TI LCK,10719.0,10719.0,1607.85,10719.0,30
HCPCS,C1776,BEARING 71/75MMX10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING ACTB HIP 28X38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING ACTB HIP 28X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING ANKLE SZ1+ 8MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,BEARING ARTC E1 28X54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING ARTC HIP E1 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING BALL SS MBL 6MM,5169.0,5169.0,775.35,5169.0,30
HCPCS,C1776,BEARING E1 40MM RNGLC 26,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING FX ANK SZ3+ 7MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,BEARING FX KN RT 10MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,BEARING HIP 22.2MM 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING HIP 28MM 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING HIP 28MM 44MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING HIP 28MM 48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING HIP 42X28MM E1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING HIP E1 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING HIP SZE 28X42MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING HUM SHLDR 36MM,5980.0,5980.0,830.55,6423.0,90
HCPCS,C1776,BEARING HUM SHLDR 40MM,5514.5,5514.5,690.9,6423.0,90
HCPCS,C1776,BEARING HUM SHLDR 44X36,11693.0,11693.0,1753.95,11693.0,60
HCPCS,C1776,BEARING KN 63-67X14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 63/67MMX18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 63/67X13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 63/67X14MM,5477.0,5477.0,821.55,5477.0,30
HCPCS,C1776,BEARING KN 63/67X16MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,BEARING KN 71/75MM 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 71/75MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 71/75MM 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 79/83MM 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 79/83MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 79/83X13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 79/83X16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 87/91MM 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN 87/91X12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN E179/83X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN KN71/75X16,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN KN79/83X18,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN PS 63/67X18,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN PS 79/83X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN PS 87/91X12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN PS 87/91X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN PS 87/91X16,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN PS 87/91X18,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING KN PS+ 87/91X16,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING MBL PRIM UHMW7MM,5169.0,5169.0,775.35,5169.0,30
HCPCS,C1776,BEARING MBL REV SIZE 11M,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,BEARING MNSCL KN 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING NOILS KN 621642,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BEARING PRIM LPD 16X79MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING SHLDR STD 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING SZE 28X42MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING TIB 10X63/67,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING TIB 10X71/75,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING TIB 10X79/83,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING TIB 12X63/67,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING TIB ANKL 7MM,5169.0,5169.0,775.35,5169.0,30
HCPCS,C1776,BEARING TIB E SZ1 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB E-POLY 71X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING TIB E1 28X44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING TIB KN 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN 87/91X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARING TIB KN 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN SZ4 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN SZ5 11MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,BEARING TIB KN SZ5 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB KN SZ6 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARING TIB POST 0D 59MM,22588.0,22588.0,3388.2,22588.0,30
HCPCS,C1776,BEARING TIB VE SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BEARNG HUM SHLDR 36-44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARNG HUM SHLDR 41-44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BEARNG TIB 8MM STAR ANKL,5169.0,5169.0,775.35,5169.0,30
HCPCS,C1776,BEARNG TIB MAX 63/67MM,5477.0,5477.0,821.55,5477.0,30
HCPCS,C1776,BEARNG ULNA DISC BMET,7715.0,7715.0,1157.25,7715.0,30
HCPCS,C1776,BLCK AGMNT KN SX F 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLCK AUGMT 15 NXGN 4 RT,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,BLK AUG FEM DIST 10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BLK AUG POST 10MM SZG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AGMNT E 0059900352,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AGMNT F H5MM DIST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AGMNT KN SZE 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AGMNT SZC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AGMNT TIV PMMA C H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AGMNT TIV/PMMA 10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUG FEM KN 4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUG FEM KN 4 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUG HIP 20MM 13/15,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BLOCK AUG KN 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUG KN F 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUG KN SZ1 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,BLOCK AUG KN SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUG KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,BLOCK AUG KN SZ4 10MM,6406.0,6406.0,960.9,6406.0,30
HCPCS,C1776,BLOCK AUG KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUG KN SZ5-6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUG KN SZC 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUG KN SZE 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUG POST SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMNT DIST 20MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,BLOCK AUGMNT DIST 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUGMNT KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMNT POST 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUGMNT SZ4 10MM,7175.0,7175.0,1076.25,7175.0,30
HCPCS,C1776,BLOCK AUGMT 3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT 5 10MM KN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT 5.5MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUGMT 7-8 10MM KN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT 9 10MM,5815.0,5815.0,872.25,5815.0,30
HCPCS,C1776,BLOCK AUGMT 9 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT AXM 70X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT GMK 10MM 3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUGMT GMK 5MM 5 T,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUGMT KN 3-4 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT KN 4.5 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT KN SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT KN SZ4 10MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,BLOCK AUGMT KN SZ4.5 10M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK AUGMT KN SZD 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK AUGMT SR KN 5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BLOCK FEM HIP 10MM 13/15,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BLOCK FEM KN AUG SZ2 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK FEM KN AUG SZ3 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK KN AUGMNT SZG 10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK TIB AUG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK TIB KN 10MM,6406.0,6406.0,960.9,6406.0,30
HCPCS,C1776,BLOCK TIB KN SZ5 10MM,6406.0,6406.0,960.9,6406.0,30
HCPCS,C1776,BLOCK TIB KN SZ5 30MM,6230.0,6230.0,934.5,6230.0,30
HCPCS,C1776,BLOCK TIB KN SZ6 30MM,6230.0,6230.0,934.5,6230.0,60
HCPCS,C1776,BLOCK TIB KN SZ7-8 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BLOCK TIB SIZE 6+/7 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK TIB TIV PMMA 3 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BLOCK TIBIA SZ3/2 H10MM,5360.0,5360.0,804.0,5360.0,30
HCPCS,C1776,BLOCK TIBIAL NG TM CR MO,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,BODY CLCR 210MM 16MM,24289.0,24289.0,3643.35,24289.0,30
HCPCS,C1776,BODY CLCR 80MMX35MM 40MM,14616.0,14616.0,2192.4,14616.0,30
HCPCS,C1776,BODY CLCR 90MMX45MM 46MM,15201.0,15201.0,2280.15,15201.0,30
HCPCS,C1776,BODY CONE 60MM ACS F STD,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,BODY CONE 70MM ACS D HIP,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,BODY CONE 75MMX35MM 36MM,12178.0,12178.0,1826.7,12178.0,30
HCPCS,C1776,BODY CONE 80MM ACS E STD,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,BODY CONE FEM HIP+0X21MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,BODY CONE HIP +10MM 19MM,13476.0,13476.0,2021.4,13476.0,30
HCPCS,C1776,BODY CONE HIP +10MM 21MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,BODY CONE HIP +10MM 23MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,BODY CONE HIP 25MM 10MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,BODY CONE HIP STD 60MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,BODY FEM HIP 20MM 105MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,BODY FEM HIP 20MM 75MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,BODY FEM HIP 20X95MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,BODY FEM HIP 28X95MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,BODY FEM NEU/LEFT 70MM,22515.0,22515.0,3377.25,22515.0,30
HCPCS,C1776,BODY HUM 10MM -5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BODY HUM 18.1X13.7X35MM,5554.0,5554.0,833.1,5554.0,30
HCPCS,C1776,BODY HUM 19.2X15.4X35MM,5438.0,5438.0,815.7,5438.0,30
HCPCS,C1776,BODY HUM 35MM 38.7MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,BODY HUM SHLDR 0 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BODY HUM SHLDR 12 -5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BODY HUM SHLDR 12 0,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BODY HUM SHLDR 12MM 135D,5103.0,5103.0,765.45,5103.0,30
HCPCS,C1776,BODY HUM SHLDR 14MM 135D,5103.0,5103.0,765.45,5103.0,30
HCPCS,C1776,BODY HUM SHLDR LG 12.5MM,27918.0,27918.0,4187.7,27918.0,30
HCPCS,C1776,BODY HUM SHLDR LT 50MM,16505.0,16505.0,2475.75,16505.0,30
HCPCS,C1776,BODY HUM SHLDR MED 0MM,22743.0,22743.0,3411.45,22743.0,30
HCPCS,C1776,BODY HUM SHLDR MED 12.5,27062.0,27062.0,4059.3,27062.0,30
HCPCS,C1776,BODY HUM SHLDR SM 12.5MM,27918.0,27918.0,4187.7,27918.0,30
HCPCS,C1776,BODY HUM SHLDR STD SZ+6,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,BODY HUM SMR TI LCK SCR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BODY HUM SZ16 135MM,4939.0,4939.0,740.85,4939.0,30
HCPCS,C1776,BODY PROX HIP 20MM 85MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,BODY SHLDR HUM SM,23458.0,23458.0,3518.7,23458.0,30
HCPCS,C1776,BODY STD FEMORAL PROXIMA,22515.0,22515.0,3377.25,22515.0,30
HCPCS,C1776,BOLT OH 1.275IN PFC,3816.0,3816.0,572.4,3816.0,30
HCPCS,C1776,BOLT ORTH NEUT FEM ADPR,2977.0,2977.0,446.55,2977.0,30
HCPCS,C1776,BPLT KN TIB RM/LL SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BPLT TIB STD RM/LL SZ7 O,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BRNG HUM SHLDR +3 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSE TIB MOD TI SZ1 PLUS,4759.0,4759.0,713.85,4759.0,30
HCPCS,C1776,BSE TIB MOD TI SZ2 STD,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1776,BSE TIB MOD TI SZ3 PLUS,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1776,BSE TIB MOD TI SZ4 PLUS,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1776,BSE TIB MOD TI SZ4 STD,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1776,BSE TIB MOD TI SZ5 STD,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1776,BSEPLT TIB KN LM/RL SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLATETIB 1 KNEE 3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT FEM TIB SZ9 LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT GLND SHLDR 29MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,BSPLT GLND SHLDR15D 25MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,BSPLT KN TIB RT REV SZ3,7609.0,7609.0,1141.35,7609.0,30
HCPCS,C1776,BSPLT TIB ADV2 KTTINP51,5599.0,5599.0,839.85,5599.0,30
HCPCS,C1776,BSPLT TIB ATTUNE KN SZ5,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BSPLT TIB ATUN 9 RP CMNT,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,BSPLT TIB AXM 70MM H,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1776,BSPLT TIB EVL KN PRM 5/6,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,BSPLT TIB JRNY RM/LL SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT TIB KN LM/RL SZ1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT TIB KN LM/RL SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT TIB KN LM/RL SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT TIB KN RM/LL SZ1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT TIB KN RM/LL SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT TIB KN SZ11 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,BSPLT TIB KN SZ4 75MM,19288.0,19288.0,2893.2,19288.0,30
HCPCS,C1776,BSPLT TIB SZ8 NPOR RT,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,BSPLTE GLND SHLDR 25MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,BUMPER KN HNG 0D,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,BUSHNG FEM KN ROT HNG,4210.0,4210.0,631.5,4210.0,30
HCPCS,C1776,BUSHNG KN FEM SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,BUTTON TROCH 25MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CAGE ACTB 45MM 48MM,5888.0,5888.0,883.2,5888.0,30
HCPCS,C1776,CAGE ACTB 52 X 49 MM LT,5708.0,5708.0,856.2,5708.0,30
HCPCS,C1776,CAGE ACTB 52MM 48MM RT,11033.0,11033.0,1654.95,11033.0,30
HCPCS,C1776,CAGE ACTB 60 X 57 MM LT,5888.0,5888.0,883.2,5888.0,30
HCPCS,C1776,CAGE ACTB 66/68/70 58MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,CAGE ACTB 66/68/70X58MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,CAGE ACTB HIP 48MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,CAGE ACTB HIP 56/58/60MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,CAGE ACTB HIP 62/64 54MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,CAGE ACTB HIP 72/74X64MM,9527.0,9527.0,1429.05,9527.0,30
HCPCS,C1776,CAGE AUGMENTED RIGHT MED,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CAGE GLN M 8 POST,10298.0,10298.0,1544.7,10298.0,30
HCPCS,C1776,CAGE PRTRS HIP 56MM 53MM,5708.0,5708.0,856.2,5708.0,30
HCPCS,C1776,CEMENT RESTRICTOR 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CENTRALIZER HIP FEM 13MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CENTRALIZER STEM HIP 9MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CENTRALIZR STEM HIP 10MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CENTRALIZR STEM HIP 14MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CENTRALIZR STM HIP 8.5MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CLIP KN LCK ONE SIZE,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMNPT AUG KN LT SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMNT FEM KN LT SZ4.5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMNT RESTR CMT18.5,2445.0,2445.0,366.75,2445.0,30
HCPCS,C1776,CMPNT ACTB 15MM 50MM,7044.0,7044.0,1056.6,7044.0,30
HCPCS,C1776,CMPNT ACTB 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT ACTB 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT ACTB 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT ACTB HIP 27MM,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT ACTB HIP 28X51MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT ACTB HIP 28X52MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT ACTB HIP 60MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CMPNT ACTB LINER SZ36D,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT ACTB SZ36B 50-52MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT ACTB SZ36C,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT ACTB SZ52,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT ACTB SZ54,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT ACTB SZ56,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT ACTB TRIFL RT SZ25,58906.0,58906.0,8835.9,58906.0,30
HCPCS,C1776,CMPNT ADPT HIP UNV 0MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CMPNT AGMNT 2.5 12 RGT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT AGMNT 2.5X16 DIS,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 2.5X4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 2X4 DIS LT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 2X4 POST,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 3X12 DST RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 3X16 DIS LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT AGMNT 3X16 DIS RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 3X4 DIST RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 3X4 POST,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 3X8 DIST LT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 3X8 DIST RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 4X12 DIS LT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 4X12 DIST RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 4X16 DIST LT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 4X16 DST RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 4X4 DIS RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 4X4 POST,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 4X8 DIS RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 5X12 DST LT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 5X4 DIST LT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AGMNT 5X8 DIST,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT ANK LT LG 38X35MM,20524.0,20524.0,3078.6,20524.0,30
HCPCS,C1776,CMPNT ANKL RT SZ3 3MM,15506.0,15506.0,2325.9,15506.0,30
HCPCS,C1776,CMPNT ANKL RT SZ5,9053.0,9053.0,1357.95,9053.0,30
HCPCS,C1776,CMPNT ANKL RT/LT SZ3,23031.0,23031.0,3454.65,23031.0,30
HCPCS,C1776,CMPNT ANKL SHRT SZ5 +4,29498.0,29498.0,4424.7,29498.0,30
HCPCS,C1776,CMPNT ANKL SYS SZ3 18MM,31517.0,31517.0,4727.55,31517.0,30
HCPCS,C1776,CMPNT ANKL SZ2+ 16MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,CMPNT ANKL SZ3 14MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,CMPNT ANKLE SZ2+ 10MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,CMPNT ANKLE SZ2+ 8MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,CMPNT ANKLE SZ4+ 10MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,CMPNT ARTC PFXL 8.5X40MM,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,CMPNT ARTC SURF H20,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT ARTSRF NXG LPS 567,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT ASYM PTLR KN 11X38,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AUG FEM KN 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT AUG KN LT SZ3 12MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AUG KN LT SZ3/4,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,CMPNT AUG KN LT SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT AUG KN RT SZ5 4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AUG KN SZ C,11757.0,11757.0,1763.55,11757.0,30
HCPCS,C1776,CMPNT AUG KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT AUG KN SZ5 4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AUG KN SZ5 8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT AUG KN SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT AUG KN SZ7 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT AUG KN SZE 15MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,CMPNT AUG KN WDG SZ5 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT AUGMENT SIZE 3X8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT AUGMT KN 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT BEARING KN RT 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT LRG 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT LRG 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT LRG 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT LRG 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT MED 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT MED 9MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT BEARING LT SM 3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT SM 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT SM 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT SM 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT SM 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT XSM 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING LT XSM 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT BEARING LT XSM 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT BEARING RT LRG 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT LRG 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT LRG 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT LRG 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT LRG 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT BEARING RT MED 3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT MED 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT MED 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT SM 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT SM 7MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT BEARING RT SM 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT XSM 3MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT BEARING RT XSM 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT XSM 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BEARING RT XSM 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BIP HIP 48MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT BN TIB KN SIZE 4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BRNG KN LT MED 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BRNG KN LT SM 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT BRNG KN SZ3 SZ4,15112.0,15112.0,2266.8,15112.0,30
HCPCS,C1776,CMPNT CAGE GLEN MED,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1776,CMPNT CARPAL WRIST SZLG,13654.0,13654.0,2048.1,13654.0,30
HCPCS,C1776,CMPNT CCK KN REV RT SZ4,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,CMPNT CUP HIP ACTB RECON,55363.0,55363.0,8304.45,55363.0,30
HCPCS,C1776,CMPNT CUP LINER 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT DIST AUG SZ3 4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT DIST FEM MED RT 60,44662.0,44662.0,6699.3,44662.0,30
HCPCS,C1776,CMPNT DOME ANK SZ4,30937.0,30937.0,4640.55,30937.0,30
HCPCS,C1776,CMPNT DOME ANKL SZ3,30937.0,30937.0,4640.55,30937.0,30
HCPCS,C1776,CMPNT DOME KN 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT DRSL NK2 1-2 9 LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT DSTL FEM SM 60MM,44662.0,44662.0,6699.3,44662.0,30
HCPCS,C1776,CMPNT ELB +BRNG 4X75MM,18609.0,18609.0,2791.35,18609.0,30
HCPCS,C1776,CMPNT ELB 3.5MM 84MM,18086.0,18086.0,2712.9,18086.0,30
HCPCS,C1776,CMPNT ELB DISC 3X75MM,18609.0,18609.0,2791.35,18609.0,30
HCPCS,C1776,CMPNT ELB MED SZ4,4790.0,4790.0,718.5,4790.0,30
HCPCS,C1776,CMPNT ELB R 6MM 150MM,16893.0,16893.0,2533.95,16893.0,30
HCPCS,C1776,CMPNT ELB RT 5MM 115MM,18609.0,18609.0,2791.35,18609.0,30
HCPCS,C1776,CMPNT FEM 1.5 57X53MM KN,13955.0,13955.0,2093.25,13955.0,30
HCPCS,C1776,CMPNT FEM 10 RT 3D KN NP,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM 135D SZ10,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,CMPNT FEM 135D SZ12,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT FEM 14MM 24CM,15254.0,15254.0,2288.1,15254.0,30
HCPCS,C1776,CMPNT FEM 14MM 26CM,15254.0,15254.0,2288.1,15254.0,30
HCPCS,C1776,CMPNT FEM 2 KN RT MDL LL,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM 2.5 RT CS TC3,11861.0,11861.0,1779.15,11861.0,30
HCPCS,C1776,CMPNT FEM 2.5LT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM 2.5RT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM 2LT CR NPOR,6449.0,6449.0,967.35,6449.0,30
HCPCS,C1776,CMPNT FEM 3.5LT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM 3D SZ6 LT NPOR,8628.0,8628.0,1294.2,8628.0,30
HCPCS,C1776,CMPNT FEM 3PFC PSTB,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM 3RT CR NPOR,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,CMPNT FEM 4 LT,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,CMPNT FEM 4 LT 3D KN NPO,8628.0,8628.0,1294.2,8628.0,30
HCPCS,C1776,CMPNT FEM 4 PFC LT KN,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,CMPNT FEM 4 PFC S,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,CMPNT FEM 4 RT 3D KN NPO,8628.0,8628.0,1294.2,8628.0,30
HCPCS,C1776,CMPNT FEM 5 LT,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,CMPNT FEM 5PFC PSTB,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,CMPNT FEM 5RT CS NPOR,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,CMPNT FEM 6 LT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM 6 LT CS NPOR,6449.0,6449.0,967.35,6449.0,30
HCPCS,C1776,CMPNT FEM 6 RT CMNT PST,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM 6 SGM RT PS LR,6449.0,6449.0,967.35,6449.0,30
HCPCS,C1776,CMPNT FEM 8 RT 3D KN NPO,8628.0,8628.0,1294.2,8628.0,30
HCPCS,C1776,CMPNT FEM AUG 16MM SGM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT FEM AUGMT 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT FEM CMNT LT F2,29594.0,29594.0,4439.1,29594.0,30
HCPCS,C1776,CMPNT FEM CMNT LT SZ3.5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM CMNT LT SZ8,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM CMNT SYM SZ7,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM CMNTLS LT SZ4,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT FEM CMNTLS LT SZ6,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT FEM CMNTLS LT SZ7,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT FEM CMNTLS RT SZ6,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT FEM CMNTLS RT SZ8,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT FEM CONE 27X45X32,21180.0,21180.0,3177.0,21180.0,30
HCPCS,C1776,CMPNT FEM CR CMNT SZ9,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM CR-FLEX D-LT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM CR-FLEX E-LT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM CR-FLEX SZD,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM CR-FLEX SZF,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM D KN RT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM D RT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM DIST ONLY D 20,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,CMPNT FEM E RT KNEE,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM F RT CRFLX GSF,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM F2 12MM,6022.0,6022.0,903.3,6022.0,30
HCPCS,C1776,CMPNT FEM F4 KN RT,19675.0,19675.0,2951.25,19675.0,30
HCPCS,C1776,CMPNT FEM G KN LT LPSFLX,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM G RT KN,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM G RT KN CR-FLX,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM HIP +10MM 27MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,CMPNT FEM HIP +4 SZ12/14,2863.0,2863.0,429.45,2863.0,30
HCPCS,C1776,CMPNT FEM HIP 13MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CMPNT FEM HIP 19MM +20MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,CMPNT FEM HIP 200MM,17450.0,17450.0,2617.5,17450.0,30
HCPCS,C1776,CMPNT FEM HIP 24MM 85MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,CMPNT FEM HIP 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT FEM HIP 28MM 54M,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT FEM HIP 28MM 85MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,CMPNT FEM HIP 38MM,18430.0,18430.0,2764.5,18430.0,30
HCPCS,C1776,CMPNT FEM HIP CLLR SZ0,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM HIP CLLR SZ3,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP CLLR SZ6,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP CLR SZ1,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP COLR SZ6,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,CMPNT FEM HIP HEAD 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT FEM HIP LT 15D,14665.0,14665.0,2199.75,14665.0,30
HCPCS,C1776,CMPNT FEM HIP RT KN SZ4,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM HIP SIZE 7,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP STD SZ2,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP STD SZ8,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZ 3,7530.0,7530.0,1129.5,7530.0,60
HCPCS,C1776,CMPNT FEM HIP SZ 4,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZ 5,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZ 7,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZ B 60MM,18310.0,18310.0,2746.5,18310.0,30
HCPCS,C1776,CMPNT FEM HIP SZ0,7530.0,7530.0,996.6,7973.0,90
HCPCS,C1776,CMPNT FEM HIP SZ1,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZ10,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,CMPNT FEM HIP SZ11,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZ15,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,CMPNT FEM HIP SZ2,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZ3,7530.0,7530.0,1129.5,7530.0,60
HCPCS,C1776,CMPNT FEM HIP SZ4,7530.0,7530.0,1129.5,7530.0,90
HCPCS,C1776,CMPNT FEM HIP SZ5,7530.0,7530.0,1129.5,7530.0,60
HCPCS,C1776,CMPNT FEM HIP SZ6,7530.0,7530.0,1129.5,7530.0,90
HCPCS,C1776,CMPNT FEM HIP SZ7,7530.0,7530.0,1129.5,7530.0,90
HCPCS,C1776,CMPNT FEM HIP SZ7.5,7530.0,7530.0,1129.5,7530.0,60
HCPCS,C1776,CMPNT FEM HIP SZ8,7087.0,7087.0,996.6,7530.0,60
HCPCS,C1776,CMPNT FEM HIP SZ8.5,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZ9,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM HIP SZD 80MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CMPNT FEM HNG 4L,32259.0,32259.0,4838.85,32259.0,30
HCPCS,C1776,CMPNT FEM KN +HA S2+L,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN +HA S6+L,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN 140MM,14453.0,14453.0,2167.95,14453.0,30
HCPCS,C1776,CMPNT FEM KN 14MM 21CM,15254.0,15254.0,2288.1,15254.0,30
HCPCS,C1776,CMPNT FEM KN 14MM 30CM,15254.0,15254.0,2288.1,15254.0,30
HCPCS,C1776,CMPNT FEM KN 30.5X41MM,21180.0,21180.0,3177.0,21180.0,30
HCPCS,C1776,CMPNT FEM KN 32MM,17340.0,17340.0,2601.0,17340.0,30
HCPCS,C1776,CMPNT FEM KN 35MM,10067.0,10067.0,1510.05,10067.0,30
HCPCS,C1776,CMPNT FEM KN 4 LT,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,CMPNT FEM KN 5-6 LNG10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT FEM KN 50MM 58MM,35849.0,35849.0,5377.35,35849.0,30
HCPCS,C1776,CMPNT FEM KN 5DX5P SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT FEM KN 6 LT,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,CMPNT FEM KN 60MM,23392.5,23392.5,2167.95,32332.0,60
HCPCS,C1776,CMPNT FEM KN 63X53.5 LT,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN 63X59 RT,6449.0,6449.0,967.35,6449.0,30
HCPCS,C1776,CMPNT FEM KN 65MM,17863.0,17863.0,2679.45,17863.0,30
HCPCS,C1776,CMPNT FEM KN 65X64MM LT,25012.0,25012.0,3751.8,25012.0,30
HCPCS,C1776,CMPNT FEM KN 7 LT,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,CMPNT FEM KN 70MM 61MM,19459.0,19459.0,2918.85,19459.0,30
HCPCS,C1776,CMPNT FEM KN 70X69MM LT,25012.0,25012.0,3751.8,25012.0,30
HCPCS,C1776,CMPNT FEM KN 71MM 66MM,15352.0,15352.0,2302.8,15352.0,30
HCPCS,C1776,CMPNT FEM KN 7X60X53MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN 9 RT,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,CMPNT FEM KN AUG 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT FEM KN CMNT LT,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN CMNT LT SZ4,11470.0,11470.0,930.15,16739.0,60
HCPCS,C1776,CMPNT FEM KN CMNT RT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN CMNT S 3+L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN CMNT SZ1,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN CMNT SZ2,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN CMNT SZ4,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN CMNT SZ5,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,CMPNT FEM KN CMNT SZ7,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,CMPNT FEM KN CMT SZ5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN COCR CMNT,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN CUSTOM,149612.0,149612.0,22441.8,149612.0,30
HCPCS,C1776,CMPNT FEM KN D LT,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT FEM KN EXT 40MM,14399.0,14399.0,2159.85,14399.0,30
HCPCS,C1776,CMPNT FEM KN G RT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM KN HINGE SZ2-5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT FEM KN HNG AXLE,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT FEM KN L SZ6,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN LEFT SZ4,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM KN LM LR SZ6,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM KN LM/RL SZ1,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN LM/RL SZ2,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN LM/RL SZ3,6024.0,6024.0,897.0,6068.0,60
HCPCS,C1776,CMPNT FEM KN LM/RL SZ4,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN LM/RL SZ6,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN LM/RL SZ7,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN LM/RL SZ8,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN LT #2,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN LT 10MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN LT 3,8017.0,8017.0,1202.55,8017.0,30
HCPCS,C1776,CMPNT FEM KN LT 3CM,32819.0,32819.0,4922.85,32819.0,30
HCPCS,C1776,CMPNT FEM KN LT 76X66MM,35849.0,35849.0,5377.35,35849.0,30
HCPCS,C1776,CMPNT FEM KN LT 9MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,CMPNT FEM KN LT CMNT 3,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,CMPNT FEM KN LT D,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN LT E,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN LT LG 75MM,32056.0,32056.0,4808.4,32056.0,30
HCPCS,C1776,CMPNT FEM KN LT NAR SZ3N,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM KN LT NAR SZ9,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN LT POST SZ5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,CMPNT FEM KN LT S5,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN LT SMALL,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ E,12361.5,12361.5,1129.5,17193.0,60
HCPCS,C1776,CMPNT FEM KN LT SZ-E,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ1,7973.0,7973.0,1096.2,18424.0,90
HCPCS,C1776,CMPNT FEM KN LT SZ1.5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ10,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ11 74,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ2,6068.0,6068.0,897.0,6644.0,90
HCPCS,C1776,CMPNT FEM KN LT SZ2+,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ2.5,9226.5,9226.5,1063.05,11366.0,60
HCPCS,C1776,CMPNT FEM KN LT SZ3,7308.5,7308.5,897.0,18159.0,360
HCPCS,C1776,CMPNT FEM KN LT SZ3.5,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ3N,7368.5,7368.5,1014.6,7973.0,60
HCPCS,C1776,CMPNT FEM KN LT SZ4,6925.0,6925.0,764.1,17394.0,270
HCPCS,C1776,CMPNT FEM KN LT SZ4N,6814.5,6814.5,963.45,7206.0,60
HCPCS,C1776,CMPNT FEM KN LT SZ5,8416.0,8416.0,764.1,22068.0,390
HCPCS,C1776,CMPNT FEM KN LT SZ5N,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ6,6644.0,6644.0,764.1,18159.0,270
HCPCS,C1776,CMPNT FEM KN LT SZ6+,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ6N,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,CMPNT FEM KN LT SZ7,7087.0,7087.0,764.1,18424.0,150
HCPCS,C1776,CMPNT FEM KN LT SZ8,6764.0,6764.0,996.6,7397.0,180
HCPCS,C1776,CMPNT FEM KN LT SZ9,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,CMPNT FEM KN LT SZB,42280.0,42280.0,6342.0,42280.0,30
HCPCS,C1776,CMPNT FEM KN LT SZC,35849.0,35849.0,5377.35,35849.0,30
HCPCS,C1776,CMPNT FEM KN LT SZF,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN LT SZXL,14592.0,14592.0,2188.8,14592.0,30
HCPCS,C1776,CMPNT FEM KN LT XX-SM,41041.0,41041.0,6156.15,41041.0,30
HCPCS,C1776,CMPNT FEM KN MDL RT SZ5,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1776,CMPNT FEM KN MED LT,19974.5,19974.5,1183.95,32056.0,60
HCPCS,C1776,CMPNT FEM KN MED RT,7893.0,7893.0,1183.95,7893.0,30
HCPCS,C1776,CMPNT FEM KN NAR RT SZ5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN NPOR LT SZ5,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN OXNM LT SZ8,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,CMPNT FEM KN OXNM RT SZ4,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM KN OXNM RT SZ5,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM KN OXNM RT SZ6,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,CMPNT FEM KN OXNM RT SZ7,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,CMPNT FEM KN POR SZ2,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM KN POST RT SZ8,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,CMPNT FEM KN PS RT SZ7,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT FEM KN PSN SZ3,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,CMPNT FEM KN PTLL37X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT FEM KN R SZ3,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN R SZ4,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN RM/LL SZ1,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN RM/LL SZ3,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN RM/LL SZ4,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT FEM KN RM/LL SZ5,6024.0,6024.0,897.0,6068.0,60
HCPCS,C1776,CMPNT FEM KN RM/LL SZ6,5874.5,5874.5,852.15,6068.0,60
HCPCS,C1776,CMPNT FEM KN RM/LL SZ7,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN RM/LL SZ8,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM KN RS AXLE,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT FEM KN RS BUSHING,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT FEM KN RS RT 8.5CM,21185.0,21185.0,3177.75,21185.0,30
HCPCS,C1776,CMPNT FEM KN RSS LT 7CM,20351.0,20351.0,3052.65,20351.0,30
HCPCS,C1776,CMPNT FEM KN RSS RT 7CM,20351.0,20351.0,3052.65,20351.0,30
HCPCS,C1776,CMPNT FEM KN RT 3CM,30766.0,30766.0,4614.9,30766.0,30
HCPCS,C1776,CMPNT FEM KN RT 4.5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN RT 65MM,26479.0,26479.0,3093.9,32332.0,60
HCPCS,C1776,CMPNT FEM KN RT 68X58,35849.0,35849.0,5377.35,35849.0,30
HCPCS,C1776,CMPNT FEM KN RT 75MM,32332.0,32332.0,4849.8,32332.0,30
HCPCS,C1776,CMPNT FEM KN RT CR SZ6,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,CMPNT FEM KN RT CRU SZ7,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,CMPNT FEM KN RT E,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN RT NAR 4N,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ 2.5,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ 3.5,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ 4,7751.5,7751.5,1063.05,8416.0,60
HCPCS,C1776,CMPNT FEM KN RT SZ 6,25342.0,25342.0,3801.3,25342.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ F,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ1,6577.5,6577.5,910.2,7087.0,60
HCPCS,C1776,CMPNT FEM KN RT SZ1.5,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ10,6704.0,6704.0,996.6,6764.0,90
HCPCS,C1776,CMPNT FEM KN RT SZ2,6068.0,6068.0,764.1,7530.0,150
HCPCS,C1776,CMPNT FEM KN RT SZ2.5,7530.0,7530.0,996.6,8416.0,60
HCPCS,C1776,CMPNT FEM KN RT SZ3,9080.0,9080.0,724.2,21525.0,270
HCPCS,C1776,CMPNT FEM KN RT SZ4,6764.0,6764.0,764.1,25342.0,360
HCPCS,C1776,CMPNT FEM KN RT SZ4.5,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ4N,7206.0,7206.0,1080.9,7206.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ5,7530.0,7530.0,830.55,22068.0,420
HCPCS,C1776,CMPNT FEM KN RT SZ5+,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN RT SZ6,7087.0,7087.0,946.8,7973.0,120
HCPCS,C1776,CMPNT FEM KN RT SZ7,6312.0,6312.0,764.1,7397.0,180
HCPCS,C1776,CMPNT FEM KN RT SZ8,7206.0,7206.0,996.6,18424.0,90
HCPCS,C1776,CMPNT FEM KN RT SZC,35849.0,35849.0,5377.35,35849.0,30
HCPCS,C1776,CMPNT FEM KN RT SZD,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN RT SZE,21689.5,21689.5,1129.5,35849.0,60
HCPCS,C1776,CMPNT FEM KN RT TS SZ4,18424.0,18424.0,2763.6,18424.0,30
HCPCS,C1776,CMPNT FEM KN RT XS,28196.5,28196.5,2302.8,41041.0,60
HCPCS,C1776,CMPNT FEM KN RT XXSM,41041.0,41041.0,6156.15,41041.0,30
HCPCS,C1776,CMPNT FEM KN S4+L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN S7L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN SM 42MM,17340.0,17340.0,2601.0,17340.0,30
HCPCS,C1776,CMPNT FEM KN SM RT 60MM,32332.0,32332.0,4849.8,32332.0,30
HCPCS,C1776,CMPNT FEM KN SPHR LT SZ6,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN STD LT SZ11,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN STD RT SZ8,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN STD SZ11,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,CMPNT FEM KN STD SZ5,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,CMPNT FEM KN STR 13X150,5353.0,5353.0,802.95,5353.0,30
HCPCS,C1776,CMPNT FEM KN STR12.5X150,5705.0,5705.0,855.75,5705.0,30
HCPCS,C1776,CMPNT FEM KN SZ 3+L,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ 4+L,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ 5R,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ C,23266.0,23266.0,637.8,42280.0,60
HCPCS,C1776,CMPNT FEM KN SZ S1+R,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN SZ+5,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,CMPNT FEM KN SZ+7,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,CMPNT FEM KN SZ11,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,CMPNT FEM KN SZ12,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN SZ2,7751.0,7751.0,996.6,17393.0,150
HCPCS,C1776,CMPNT FEM KN SZ2 RM/LL,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM KN SZ2.5,9063.5,9063.5,996.6,11483.0,60
HCPCS,C1776,CMPNT FEM KN SZ3,7042.5,7042.5,930.15,11516.0,210
HCPCS,C1776,CMPNT FEM KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT FEM KN SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT FEM KN SZ3 8MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT FEM KN SZ3+,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM KN SZ3.5,7973.0,7973.0,1195.95,7973.0,60
HCPCS,C1776,CMPNT FEM KN SZ4,9949.5,9949.5,764.1,32259.0,360
HCPCS,C1776,CMPNT FEM KN SZ4 L,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ4R,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ5,10234.0,10234.0,730.8,30394.0,360
HCPCS,C1776,CMPNT FEM KN SZ5 L MED,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN SZ5L,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ5N,5869.0,5869.0,764.1,6644.0,60
HCPCS,C1776,CMPNT FEM KN SZ5R,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ6,7206.0,7206.0,764.1,20617.0,300
HCPCS,C1776,CMPNT FEM KN SZ6 5X15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT FEM KN SZ6L,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ6N,7206.0,7206.0,1080.9,7206.0,30
HCPCS,C1776,CMPNT FEM KN SZ6R,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM KN SZ7,10468.5,10468.5,764.1,23176.0,240
HCPCS,C1776,CMPNT FEM KN SZ8,6764.0,6764.0,764.1,7973.0,180
HCPCS,C1776,CMPNT FEM KN SZ8/9 5MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM KN SZ9,5869.0,5869.0,690.9,7206.0,120
HCPCS,C1776,CMPNT FEM KN SZB,23532.0,23532.0,1682.25,35849.0,60
HCPCS,C1776,CMPNT FEM KN SZC,17193.0,17193.0,996.6,42280.0,90
HCPCS,C1776,CMPNT FEM KN SZE,21246.5,21246.5,996.6,35849.0,90
HCPCS,C1776,CMPNT FEM KN SZF,6644.0,6644.0,996.6,6644.0,60
HCPCS,C1776,CMPNT FEM KN SZF 72MM,17193.0,17193.0,2578.95,17193.0,30
HCPCS,C1776,CMPNT FEM KN SZSM 32MM,17340.0,17340.0,2601.0,17340.0,30
HCPCS,C1776,CMPNT FEM KN TS RT SZ3,18424.0,18424.0,2763.6,18424.0,30
HCPCS,C1776,CMPNT FEM KN TS RT SZ7,18424.0,18424.0,2763.6,18424.0,30
HCPCS,C1776,CMPNT FEM KN TWN PEG LG,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT FEM KN TWN PEG MD,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT FEM KN TWN PEG SM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT FEM KN TWN PEG XS,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT FEM KN UNCNDL SZ2,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KN UNIPLR LSER,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT FEM KN XL,6222.0,6222.0,703.95,7751.0,60
HCPCS,C1776,CMPNT FEM KN XS,41041.0,41041.0,6156.15,41041.0,30
HCPCS,C1776,CMPNT FEM KN64X49.3X10.5,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM KNE SZC,36473.0,36473.0,5470.95,36473.0,30
HCPCS,C1776,CMPNT FEM KNEE LT SZG,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM LEFT SIZE 3,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1776,CMPNT FEM LG 72MM,37798.0,37798.0,5669.7,37798.0,30
HCPCS,C1776,CMPNT FEM LT KN SZ4,13581.0,13581.0,764.1,22068.0,60
HCPCS,C1776,CMPNT FEM LT SZ6,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM LT SZF LP,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM MED CONE 52MM,17340.0,17340.0,2601.0,17340.0,30
HCPCS,C1776,CMPNT FEM NAR KN LT SZ10,6644.0,6644.0,996.6,6644.0,60
HCPCS,C1776,CMPNT FEM NAR KN LT SZ11,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM NAR KN LT SZ3,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM NAR KN LT SZ4,6644.0,6644.0,996.6,6644.0,60
HCPCS,C1776,CMPNT FEM NAR KN LT SZ6,7308.5,7308.5,996.6,7973.0,90
HCPCS,C1776,CMPNT FEM NAR KN LT SZ7,8637.0,8637.0,1195.95,9301.0,60
HCPCS,C1776,CMPNT FEM NAR KN LT SZ8,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM NAR KN LT SZ9,7308.5,7308.5,996.6,7973.0,60
HCPCS,C1776,CMPNT FEM NAR KN RT SZ10,7530.0,7530.0,996.6,8416.0,60
HCPCS,C1776,CMPNT FEM NAR KN RT SZ11,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM NAR KN RT SZ12,8415.5,8415.5,1129.5,9301.0,60
HCPCS,C1776,CMPNT FEM NAR KN RT SZ4,6865.5,6865.5,996.6,7087.0,60
HCPCS,C1776,CMPNT FEM NAR KN RT SZ6,6644.0,6644.0,996.6,6644.0,60
HCPCS,C1776,CMPNT FEM NAR KN RT SZ7,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM NAR KN RT SZ8,7530.0,7530.0,996.6,8416.0,60
HCPCS,C1776,CMPNT FEM NAR KN RT SZ9,8637.0,8637.0,1195.95,9301.0,60
HCPCS,C1776,CMPNT FEM NPOR 5 LT CR,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,CMPNT FEM NPOR LT 4N,6449.0,6449.0,967.35,6449.0,30
HCPCS,C1776,CMPNT FEM POR F MINUS LT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM POR F RT KN,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT FEM POR SZF,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM PS CMNT SZ8,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM PS CMNT SZ9,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,CMPNT FEM PS NPOR SZ3 RT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM PS NPOR SZ7 LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM PTLL KN SZ4,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,CMPNT FEM REV CON SZ2 RT,18097.0,18097.0,2714.55,18097.0,30
HCPCS,C1776,CMPNT FEM REV RT SZ3,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,CMPNT FEM REV STM LT SZ6,14877.0,14877.0,2231.55,14877.0,30
HCPCS,C1776,CMPNT FEM REV STM RT SZ6,14877.0,14877.0,2231.55,14877.0,30
HCPCS,C1776,CMPNT FEM RT KN 3,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM RT KN 8,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT FEM RT KN SZ3,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,CMPNT FEM RT KN SZ5,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM RT KNEE SZ3,8017.0,8017.0,1202.55,8017.0,30
HCPCS,C1776,CMPNT FEM SM RT 35MM,12118.0,12118.0,1817.7,12118.0,30
HCPCS,C1776,CMPNT FEM SM+ KN PTL RT,8833.0,8833.0,1324.95,8833.0,30
HCPCS,C1776,CMPNT FEM SPHR SZ4 LT,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT FEM STD KN LT SZ10,7972.5,7972.5,996.6,9301.0,60
HCPCS,C1776,CMPNT FEM STD KN LT SZ11,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM STD KN LT SZ12,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM STD KN LT SZ5,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM STD KN LT SZ6,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM STD KN LT SZ7,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM STD KN LT SZ8,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM STD KN LT SZ9,7308.5,7308.5,996.6,7973.0,60
HCPCS,C1776,CMPNT FEM STD KN RT SZ10,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT FEM STD KN RT SZ11,7308.5,7308.5,996.6,7973.0,60
HCPCS,C1776,CMPNT FEM STD KN RT SZ12,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM STD KN RT SZ5,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM STD KN RT SZ6,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM STD KN RT SZ7,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT FEM STD KN RT SZ8,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM STD KN RT SZ9,7308.5,7308.5,996.6,7973.0,60
HCPCS,C1776,CMPNT FEM STD PTLFEM LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM STD PTLFEM RT,9098.0,9098.0,1364.7,9098.0,30
HCPCS,C1776,CMPNT FEM STM KN LT SZ3,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,CMPNT FEM SZ2 RT,7875.0,7875.0,967.35,9301.0,60
HCPCS,C1776,CMPNT FEM SZ3 LT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM SZ3LT PVT NPOR,12486.0,12486.0,1872.9,12486.0,30
HCPCS,C1776,CMPNT FEM SZ4 LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM SZ4 PRIM RT,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT FEM SZ4 RT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM SZ6 PRIM RT,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT FEM SZ7 LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT FEM SZC RT MED,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM SZD LT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM SZD LT MED/R,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM SZD RT MED/R,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM SZE LT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM SZE LT MED/R,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT FEM SZF 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT FEM SZF 15MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,CMPNT FEM SZF 20MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,CMPNT FEM SZF LT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT FEM SZG 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT FEM SZG 15MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,CMPNT FEM SZH 76MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM SZH LT,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT FEM TS RT SZ6,18424.0,18424.0,2763.6,18424.0,30
HCPCS,C1776,CMPNT FM NXGN CR-FLX E,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT GLENOID PEG 38MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT GLENOID PEG 42MM,4695.0,4695.0,704.25,4695.0,30
HCPCS,C1776,CMPNT GLENOID PEG 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT GLENOID PEG 50MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT GLN POST SZ8,10298.0,10298.0,1544.7,10298.0,30
HCPCS,C1776,CMPNT GLND 15D MED,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,CMPNT GLND 16D LG RT,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,CMPNT GLND 46MM 52MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT GLND 52 AFFINI PEG,6187.0,6187.0,928.05,6187.0,30
HCPCS,C1776,CMPNT GLND CAGE LG,5426.0,5426.0,813.9,5426.0,30
HCPCS,C1776,CMPNT GLND CAGE MED,5426.0,5426.0,813.9,5426.0,60
HCPCS,C1776,CMPNT GLND CAGE SM,6256.5,6256.5,813.9,7087.0,60
HCPCS,C1776,CMPNT GLND CAGE XL,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,CMPNT GLND CAGE XL 8D,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT GLND DVO 48,6187.0,6187.0,928.05,6187.0,30
HCPCS,C1776,CMPNT GLND LT 8D MED,10298.0,10298.0,1544.7,10298.0,30
HCPCS,C1776,CMPNT GLND MED 35MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT GLND PEG LG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT GLND PEG MED,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT GLND PEG SM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT GLND SHLDR 15D MED,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,CMPNT GLND SHLDR 15D SM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,CMPNT GLND SHLDR 19X20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT GLND SHLDR 24X33MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,CMPNT GLND SHLDR 24X39MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,CMPNT GLND SHLDR 3.2MM,8975.0,8975.0,1346.25,8975.0,30
HCPCS,C1776,CMPNT GLND SHLDR 36MM,5426.0,5426.0,787.2,5537.0,90
HCPCS,C1776,CMPNT GLND SHLDR 38MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT GLND SHLDR 40MM,4994.0,4994.0,690.9,5382.0,60
HCPCS,C1776,CMPNT GLND SHLDR 45MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT GLND SHLDR 48MM,4697.5,4697.5,690.9,4789.0,60
HCPCS,C1776,CMPNT GLND SHLDR LG 40MM,4839.0,4839.0,725.85,4839.0,30
HCPCS,C1776,CMPNT GLND SHLDR MED 38,6421.0,6421.0,963.15,6421.0,30
HCPCS,C1776,CMPNT GLND SHLDR SM 36MM,6421.0,6421.0,963.15,6421.0,30
HCPCS,C1776,CMPNT GLND SHLDR SZ40,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT GLND SHLDR SZ44,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT GLND SHLDR SZ48,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT GLND SHLRD 44MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT GLND SHLRD 56MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT GLND STD,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT GLND TTL SHLDR LG,4767.0,4767.0,715.05,4767.0,30
HCPCS,C1776,CMPNT GLND W/PEG 40X46MM,5625.0,5625.0,843.75,5625.0,30
HCPCS,C1776,CMPNT HD HIP 55X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT HD SHLDR 56X22MM,6090.0,6090.0,913.5,6090.0,30
HCPCS,C1776,CMPNT HEAD SHLDR 36MM,20595.0,20595.0,3089.25,20595.0,30
HCPCS,C1776,CMPNT HEAD SHLDR 39MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT HINGE KN SZ1-2,15112.0,15112.0,2266.8,15112.0,30
HCPCS,C1776,CMPNT HINGE KN SZE 17MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,CMPNT HIP 21MM +20X21MM,13476.0,13476.0,2021.4,13476.0,30
HCPCS,C1776,CMPNT HIP ACTB 48MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,CMPNT HIP CMNT SZ6,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT HIP CSTM,149612.0,149612.0,22441.8,149612.0,30
HCPCS,C1776,CMPNT HIP FEM 9MM 137MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,CMPNT HIP FEM CBLT SZ12,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT HIP FEM SZ8,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT HIP LT SZ26,53148.0,53148.0,7972.2,53148.0,30
HCPCS,C1776,CMPNT HIP SZ7,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT HIP TRIFLANGE SZ26,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT HIP TRIFLNG SZ24,53148.0,53148.0,7972.2,53148.0,30
HCPCS,C1776,CMPNT HIP TRIFLNG SZ25,60279.0,60279.0,8965.5,60788.0,60
HCPCS,C1776,CMPNT HNG KN LT LG 25MM,44277.0,44277.0,6641.55,44277.0,30
HCPCS,C1776,CMPNT HNG KN ROT,44277.0,44277.0,6641.55,44277.0,30
HCPCS,C1776,CMPNT HNG KN RT SZ3,32259.0,32259.0,4838.85,32259.0,30
HCPCS,C1776,CMPNT HUM DSCV CNDYL2SCR,6184.0,6184.0,927.6,6184.0,30
HCPCS,C1776,CMPNT HUM ELB 100X4MM,16893.0,16893.0,2533.95,16893.0,30
HCPCS,C1776,CMPNT HUM ELB 4MM 100MM,15358.0,15358.0,2303.7,15358.0,30
HCPCS,C1776,CMPNT HUM ELB 5MM 100MM,16893.0,16893.0,2533.95,16893.0,30
HCPCS,C1776,CMPNT HUM ELB CONDYL,6803.0,6803.0,1020.45,6803.0,30
HCPCS,C1776,CMPNT HUM ELB LT 5X200MM,17494.0,17494.0,2624.1,17494.0,30
HCPCS,C1776,CMPNT HUM ELB RT 5X200MM,17494.0,17494.0,2624.1,17494.0,30
HCPCS,C1776,CMPNT HUM ELB SM 4IN,17627.0,17627.0,2644.05,17627.0,30
HCPCS,C1776,CMPNT HUM ELBOW 3.5X84MM,16442.0,16442.0,2466.3,16442.0,30
HCPCS,C1776,CMPNT HUM HEX XS,7148.0,7148.0,1072.2,7148.0,30
HCPCS,C1776,CMPNT HUM HRA900-48/17WW,21539.0,21539.0,3230.85,21539.0,30
HCPCS,C1776,CMPNT HUM R/SHRLDR 40MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,CMPNT HUM SHLDR +0MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT HUM SHLDR 0D +0MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,CMPNT HUM SHLDR 1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT HUM SHLDR 25MM,38754.0,38754.0,5813.1,38754.0,30
HCPCS,C1776,CMPNT HUM SHLDR 36+0MM,4673.0,4673.0,700.95,4673.0,30
HCPCS,C1776,CMPNT HUM SHLDR 36.1,10537.0,10537.0,1580.55,10537.0,30
HCPCS,C1776,CMPNT HUM SHLDR 36MM,7131.0,7131.0,1069.65,7131.0,30
HCPCS,C1776,CMPNT HUM SHLDR 75MM,44534.0,44534.0,6680.1,44534.0,30
HCPCS,C1776,CMPNT HUM SHLDR REV NTRL,6228.0,6228.0,934.2,6228.0,30
HCPCS,C1776,CMPNT HUM SHLDR SM 48MM,25760.0,25760.0,3864.0,25760.0,30
HCPCS,C1776,CMPNT HUM SHLDR SMALL,36624.0,36624.0,5493.6,36624.0,30
HCPCS,C1776,CMPNT HUM SHLDR SZ3/4 42,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,CMPNT HUM SM ANT LEFT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT HUM SMALL,36274.0,36274.0,5441.1,36274.0,30
HCPCS,C1776,CMPNT HUM XS 4IN,17473.0,17473.0,2620.95,17473.0,30
HCPCS,C1776,CMPNT KN 10MM 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN 38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN 66X62MM,15352.0,15352.0,2302.8,15352.0,30
HCPCS,C1776,CMPNT KN ALPLY SZ5 14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN AUG 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT KN AUGM OFST 2.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT KN AUGM OFST 5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT KN AUGM OFST 7.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT KN BRNG LT LRG 3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN BRNG LT MED 3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN BRNG LT MED 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN BRNG RT LRG 3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN BRNG RT MED 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN BRNG RT MED 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN BRNG RT MED 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT KN BRNG RT SM 3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN CEMENTED DUAL,16057.0,16057.0,2408.55,16057.0,30
HCPCS,C1776,CMPNT KN CMNT LT SZ1,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN CMNT LT SZ6,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN CMNT LT SZ8,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN CMNT RT SZ1,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN CMNT RT SZ10,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,CMPNT KN CMNT RT SZ7,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN CMNTLS LT SZ1,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT KN CMNTLS RT SZ1,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT KN CMNTLS RT SZ2,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT KN DPHSL 1.5CM,15559.0,15559.0,2333.85,15559.0,30
HCPCS,C1776,CMPNT KN DPHSL PROSTHES,2088.0,2088.0,313.2,2088.0,30
HCPCS,C1776,CMPNT KN DPHSL SEG 11CM,18935.0,18935.0,2840.25,18935.0,30
HCPCS,C1776,CMPNT KN DPHSL SEG 3CM,17113.0,17113.0,2566.95,17113.0,30
HCPCS,C1776,CMPNT KN DPHSL SEG 5CM,17113.0,17113.0,2566.95,17113.0,30
HCPCS,C1776,CMPNT KN DPHSL SEG 7CM,17113.0,17113.0,2566.95,17113.0,30
HCPCS,C1776,CMPNT KN DPHSL SEG 9CM,18013.0,18013.0,2701.95,18013.0,30
HCPCS,C1776,CMPNT KN FEM 11X150,5353.0,5353.0,802.95,5353.0,30
HCPCS,C1776,CMPNT KN FEM 60MM 57MM,32332.0,32332.0,4849.8,32332.0,30
HCPCS,C1776,CMPNT KN FEM BSHNG STD,2967.0,2967.0,445.05,2967.0,30
HCPCS,C1776,CMPNT KN FEM CMN LT SZ5,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN FEM CMNT RT 2,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN FEM CMNT RT 5,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT KN FEM CPL 10CM,17173.0,17173.0,2575.95,17173.0,30
HCPCS,C1776,CMPNT KN FEM CSTM,100893.0,100893.0,15133.95,100893.0,30
HCPCS,C1776,CMPNT KN FEM HNG RT SZ3,22068.0,22068.0,3310.2,22068.0,30
HCPCS,C1776,CMPNT KN FEM LM/RL SZ5,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN FEM LT 55MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT KN FEM LT 57.5MM,14521.0,14521.0,1262.4,20626.0,60
HCPCS,C1776,CMPNT KN FEM LT 60MM,13635.0,13635.0,996.6,20626.0,60
HCPCS,C1776,CMPNT KN FEM LT 62.5MM,14177.5,14177.5,996.6,21711.0,60
HCPCS,C1776,CMPNT KN FEM LT 65MM,13856.5,13856.5,1063.05,20626.0,60
HCPCS,C1776,CMPNT KN FEM LT 67.5MM,13856.5,13856.5,1063.05,20626.0,60
HCPCS,C1776,CMPNT KN FEM LT 70MM,14177.5,14177.5,996.6,21711.0,60
HCPCS,C1776,CMPNT KN FEM LT 72.5MM,14399.0,14399.0,1063.05,21711.0,60
HCPCS,C1776,CMPNT KN FEM LT 75MM,14521.0,14521.0,1262.4,20626.0,60
HCPCS,C1776,CMPNT KN FEM LT 8.5CM,23510.0,23510.0,3526.5,23510.0,30
HCPCS,C1776,CMPNT KN FEM LT 80MM,15063.5,15063.5,1262.4,21711.0,60
HCPCS,C1776,CMPNT KN FEM LT ELP 7CM,23343.0,23343.0,3501.45,23343.0,30
HCPCS,C1776,CMPNT KN FEM LT SZ3,12079.0,12079.0,1014.6,17394.0,60
HCPCS,C1776,CMPNT KN FEM LT SZ4,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,CMPNT KN FEM LT SZ7,7080.5,7080.5,1014.6,7397.0,60
HCPCS,C1776,CMPNT KN FEM PROX LT 7CM,17020.0,17020.0,2553.0,17020.0,30
HCPCS,C1776,CMPNT KN FEM PROX RT 7CM,17020.0,17020.0,2553.0,17020.0,30
HCPCS,C1776,CMPNT KN FEM RT 55MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT KN FEM RT 57.5MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT KN FEM RT 5CM,31106.0,31106.0,4665.9,31106.0,30
HCPCS,C1776,CMPNT KN FEM RT 60MM,14177.5,14177.5,996.6,21711.0,60
HCPCS,C1776,CMPNT KN FEM RT 62.5MM,13856.5,13856.5,1063.05,20626.0,60
HCPCS,C1776,CMPNT KN FEM RT 65MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT KN FEM RT 67.5MM,13856.5,13856.5,1063.05,20626.0,60
HCPCS,C1776,CMPNT KN FEM RT 70MM,13856.5,13856.5,1063.05,20626.0,60
HCPCS,C1776,CMPNT KN FEM RT 72.5MM,13856.5,13856.5,1063.05,20626.0,60
HCPCS,C1776,CMPNT KN FEM RT 75MM,15063.5,15063.5,1262.4,21711.0,60
HCPCS,C1776,CMPNT KN FEM RT 8.5CM,23510.0,23510.0,3526.5,23510.0,30
HCPCS,C1776,CMPNT KN FEM RT 80MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT KN FEM RT ELP 7CM,23343.0,23343.0,3501.45,23343.0,30
HCPCS,C1776,CMPNT KN FEM RT NAR SZ5N,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,CMPNT KN FEM RT STD 7CM,21346.0,21346.0,3201.9,21346.0,30
HCPCS,C1776,CMPNT KN FEM RT SZ3.5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT KN FEM STD LT SZ8,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT KN FEM STR 15X150,5353.0,5353.0,802.95,5353.0,30
HCPCS,C1776,CMPNT KN FEM STR14.5X150,5705.0,5705.0,855.75,5705.0,30
HCPCS,C1776,CMPNT KN FEM SZ13,28401.0,28401.0,4260.15,28401.0,60
HCPCS,C1776,CMPNT KN FEM SZ2,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,CMPNT KN FEM SZ3,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT KN FEM SZ3-4 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN FEM SZ6,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,CMPNT KN FEM TIB 120MM,14453.0,14453.0,2167.95,14453.0,30
HCPCS,C1776,CMPNT KN HINGED ROTATE,4240.0,4240.0,636.0,4240.0,30
HCPCS,C1776,CMPNT KN JNT MDL ROT,44277.0,44277.0,6641.55,44277.0,30
HCPCS,C1776,CMPNT KN LGN 10X5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN LT CNSTR SZ5,17394.0,17394.0,2609.1,17394.0,30
HCPCS,C1776,CMPNT KN LT CNSTR SZ8,17394.0,17394.0,2609.1,17394.0,30
HCPCS,C1776,CMPNT KN LT NAR SZ4N,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,CMPNT KN LT SZ2,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT KN LT SZ4,6190.0,6190.0,910.2,6312.0,60
HCPCS,C1776,CMPNT KN LT SZ4 51MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN LT SZ7,17394.0,17394.0,2609.1,17394.0,30
HCPCS,C1776,CMPNT KN MED RT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT KN PAT RT SZ4,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT KN PLTR 38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN PST SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN PTLA DOME 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN PTLR IDUO LT G2,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,CMPNT KN RT R3-5 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN RT SM 60MM 57MM,27438.0,27438.0,4115.7,27438.0,30
HCPCS,C1776,CMPNT KN RT SZ2 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN RT SZ3,5537.0,5537.0,764.1,5980.0,60
HCPCS,C1776,CMPNT KN RT SZ4,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN RT SZ5,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,CMPNT KN RT SZ5N,7206.0,7206.0,1080.9,7206.0,30
HCPCS,C1776,CMPNT KN RT SZ6,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPNT KN RT SZ7,7206.0,7206.0,1080.9,7206.0,30
HCPCS,C1776,CMPNT KN SEG 25MM,7494.0,7494.0,1124.1,7494.0,30
HCPCS,C1776,CMPNT KN SEG 55MM,8159.0,8159.0,1223.85,8159.0,30
HCPCS,C1776,CMPNT KN SEGMENTAL 125MM,7494.0,7494.0,1124.1,7494.0,30
HCPCS,C1776,CMPNT KN SLV 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT KN SZ4,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT KN TIB 11X240,22457.0,22457.0,3368.55,22457.0,30
HCPCS,C1776,CMPNT KN TIB AXLE,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN TIB BASE SZ8,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,CMPNT KN TIB LM SZAA,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT KN TIB LT SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT KN TIB RT SZ5,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT KN TIB SM 60X45MM,15692.0,15692.0,2353.8,15692.0,30
HCPCS,C1776,CMPNT KN TIB SMALL/ML60,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT KN TIB SZ2,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT KN TIB SZ2 10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN TIB SZ2 14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN TIB SZ3 16MM,4429.0,4429.0,637.8,4606.0,60
HCPCS,C1776,CMPNT KN TIB SZ6 12MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT KN TIB SZ6 16MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT KN TIB SZ7 14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN TIB SZ9 14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KN WEDGE 16X83MM,517.0,517.0,77.55,517.0,30
HCPCS,C1776,CMPNT KN YOKE REINFC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT KNEE AUG SZ5,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT KNEE FEM 73X69,11861.0,11861.0,1779.15,11861.0,30
HCPCS,C1776,CMPNT KNEE FEM RT SZ5,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,CMPNT KNEE FEM SZE/LT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CMPNT KNEE FEM SZG/LT,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,CMPNT KNEE TIB SZ3 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT KNEE TIB SZ7 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT KNEE TIB SZ7 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT LAT KN RT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT LNEUTRLCARPAL BALL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT LPS FLX PC SZE RT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT MOD PST SHLDR 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT MTPHSL ACU HIP21MM,10298.0,10298.0,1544.7,10298.0,30
HCPCS,C1776,CMPNT NXGN LPSFLX D-RT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CMPNT OXNM FBR FEM RTMDL,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,CMPNT PAT KN 11X39MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PAT KN 9MM 33MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PATELA ADVN35X40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PATELLA 3PG 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PATELLA KN 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PATELLA KN 38CM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PATELLA KN LT SZ7,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT PATELLA KN SZ1,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT PATELLA LT SZ3,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT PATELLA LT SZ6,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT PATELLA SZ1,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT PATELLAR 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PATELLAR OVAL 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PETELLA STD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT PF SML+ LT,9098.0,9098.0,1364.7,9098.0,30
HCPCS,C1776,CMPNT PLATE TIB SIZE 3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT PLATE TIB SIZE 4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT PLATE TIB SIZE 5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT PLATE TIB SIZE 6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT PLATE TIB SIZE 7,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT PLATE TIB SIZE 8,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT PLY TIB SZ6-14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT POLY TIB SZ5 16MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,CMPNT POST SHLDR 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT POST SHLDR HYBRD,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PSTNR STEM HIP 11,2445.0,2445.0,366.75,2445.0,30
HCPCS,C1776,CMPNT PSTNR STEM HIP 9,2445.0,2445.0,366.75,2445.0,30
HCPCS,C1776,CMPNT PTL FEM KN LT SZ4,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CMPNT PTLA 28X7MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 29MM 3D ENCR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT PTLA 32X37MM ADVN,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 35 96-0101,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 35MM 3D ENCR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT PTLA 3PEG ASY25X8,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 3PEG ASY28X8,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 3PEG ASY31X8,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 3PEG ASY40X10,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 3PEG STD31X8,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 3PEG STD37X10,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 3PEG STD40X10,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 3PG ASY34X8.5,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA 3PG STD34X8.5,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA FEM KN SZ1,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT PTLA HIP 60X38MM,14089.0,14089.0,2113.35,14089.0,30
HCPCS,C1776,CMPNT PTLA KN 10MM 36MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT PTLA KN 10X29MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,CMPNT PTLA KN 10X37MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN 29MM 8MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT PTLA KN 31MM 9MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN 32MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,CMPNT PTLA KN 32MM SZ3,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN 34MM 9MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN 35MM,4340.0,4340.0,637.8,4428.0,60
HCPCS,C1776,CMPNT PTLA KN 38MM,4340.0,4340.0,637.8,4428.0,90
HCPCS,C1776,CMPNT PTLA KN 3PEG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN 3PEG 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN 41MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT PTLA KN 8MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN DOME 38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN E+ 8X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN E+ 9X38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN RT SZ3,7574.0,7574.0,1136.1,7574.0,30
HCPCS,C1776,CMPNT PTLA KN SZ2 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA KN SZ41 10MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,CMPNT PTLA KN33X29X7.1MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA SMTR 10X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLA SMTR 9X33MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR 3.7MM NTRL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT PTLR 32MM 8MM,1.0,1.0,0.15,1.0,30
HCPCS,C1776,CMPNT PTLR 9 35 LCS T/K,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 10MM 32MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT PTLR KN 10MM 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 10X32MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,CMPNT PTLR KN 10X35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 11MM 38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 11MM 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 19.5MM,8739.0,8739.0,1310.85,8739.0,30
HCPCS,C1776,CMPNT PTLR KN 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 29MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT PTLR KN 3 PEG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 30X26X6.1,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 35MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT PTLR KN 38MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT PTLR KN 3PEG 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 3PG 38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 40MM 11MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 41MM,4252.0,4252.0,637.8,4252.0,90
HCPCS,C1776,CMPNT PTLR KN 7.5MM 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 8.5X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 8MM 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 8MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 8MM 31MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 8X27MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 8X29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 9.5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 9.5X38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 9MM 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 9MM 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 9X29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN 9X31MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN MED,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT PTLR KN RND 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN RSRFC SZ2,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,CMPNT PTLR KN SZ34 9MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR KN X3 11X40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR MIC 10X35MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,CMPNT PTLR MTLBK 10X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR RSRFC #1,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR RSRFC #3,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR RSRFC 9X26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR RSRFC SZ3,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR RSRFC SZ4,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT PTLR STD+ 3 PEG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT RAD ELB 24MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT RADL WRIST LT SZLG,17041.0,17041.0,2556.15,17041.0,30
HCPCS,C1776,CMPNT RADL WRIST RT SZSM,17041.0,17041.0,2556.15,17041.0,30
HCPCS,C1776,CMPNT RADL WRIST RT SZXS,17041.0,17041.0,2556.15,17041.0,30
HCPCS,C1776,CMPNT RADL WRST RT SZMED,17041.0,17041.0,2556.15,17041.0,30
HCPCS,C1776,CMPNT REM 20CM,15254.0,15254.0,2288.1,15254.0,30
HCPCS,C1776,CMPNT ROT CONN NTRL MED,7986.0,7986.0,1197.9,7986.0,30
HCPCS,C1776,CMPNT RT KN TRICMP WOPAT,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,CMPNT RT RAISED FLNG 5DG,46208.0,46208.0,6931.2,46208.0,30
HCPCS,C1776,CMPNT SCRP PTLR #11,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT SEG COLR 17-19 35,10067.0,10067.0,1510.05,10067.0,30
HCPCS,C1776,CMPNT SEG HNG KN 30MM,7494.0,7494.0,1124.1,7494.0,30
HCPCS,C1776,CMPNT SEG KN 65MM,7494.0,7494.0,1124.1,7494.0,30
HCPCS,C1776,CMPNT SHD INTSEG 120MM,39259.0,39259.0,5888.85,39259.0,30
HCPCS,C1776,CMPNT SHD INTSEG 30MM,38032.0,38032.0,5704.8,38032.0,30
HCPCS,C1776,CMPNT SHD INTSEG 60MM,25093.0,25093.0,3763.95,25093.0,30
HCPCS,C1776,CMPNT SHD PRXBDY LG 42,25760.0,25760.0,3864.0,25760.0,30
HCPCS,C1776,CMPNT SHD PRXBDY LG 62,25760.0,25760.0,3864.0,25760.0,30
HCPCS,C1776,CMPNT SHD PRXBDY SM 58,18909.0,18909.0,2836.35,18909.0,30
HCPCS,C1776,CMPNT SHD PRXBDY SM 68,25760.0,25760.0,3864.0,25760.0,30
HCPCS,C1776,CMPNT SHD RIGHT SM DEG8,8931.0,8931.0,1339.65,8931.0,30
HCPCS,C1776,CMPNT SHLD SM 0D,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1776,CMPNT SHLDR +3MM 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT SHLDR +4MM 42MM,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,CMPNT SHLDR +4MM 46MM,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,CMPNT SHLDR +5MM 40MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,CMPNT SHLDR +6MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT SHLDR +6X+5X40MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,CMPNT SHLDR 127.5D 86MM,12432.0,12432.0,1864.8,12432.0,30
HCPCS,C1776,CMPNT SHLDR 15D LG,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,CMPNT SHLDR 2MM,5509.0,5509.0,826.35,5509.0,30
HCPCS,C1776,CMPNT SHLDR 36MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT SHLDR 36MM 4MM,4917.0,4917.0,737.55,4917.0,30
HCPCS,C1776,CMPNT SHLDR 3G 40MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT SHLDR BASE MED 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT SHLDR BSE LG 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT SHLDR CAGE LG,5426.0,5426.0,813.9,5426.0,30
HCPCS,C1776,CMPNT SHLDR CUP 3/4X42X6,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT SHLDR GLEN 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT SHLDR GLEN LG,10298.0,10298.0,1544.7,10298.0,30
HCPCS,C1776,CMPNT SHLDR GLN 4PEG SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT SHLDR GLND 39X24MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,CMPNT SHLDR GLND MED,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT SHLDR HUM 10 DIST,14570.0,14570.0,2185.5,14570.0,30
HCPCS,C1776,CMPNT SHLDR LCK 42MM,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT SHLDR LG 52MM,25760.0,25760.0,3864.0,25760.0,30
HCPCS,C1776,CMPNT SHLDR LT XL 8D,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT SHLDR OFST 3X39MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT SHLDR PARTIAL LG,12247.0,12247.0,1837.05,12247.0,30
HCPCS,C1776,CMPNT SHLDR RT 8D LG,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT SHLDR SZ1/2 39MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,CMPNT SHLDR SZ3/4 36MM,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,CMPNT SHLDR SZ44,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT SHLDR XS 21.5MM,5625.0,5625.0,843.75,5625.0,30
HCPCS,C1776,CMPNT SLEEVE TIB 3CM,7024.0,7024.0,1053.6,7024.0,30
HCPCS,C1776,CMPNT SLEEVE TIB RS 3CM,7024.0,7024.0,1053.6,7024.0,30
HCPCS,C1776,CMPNT SPACER KN 10MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,CMPNT SPACER KN 14MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,CMPNT SPACER KN 16MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,CMPNT SPACER KN UNIV,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT SPCR CAP KN 10MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,CMPNT SPCR CAP KN 14MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,CMPNT SPCR CAP KN 16MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,CMPNT STEM CNL 14X100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT STEM FEM KN LG,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,CMPNT STEM FEM KN RT SZ5,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,CMPNT STEM HIP 28MM 40MM,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1776,CMPNT STEM HIP 28MM 50MM,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1776,CMPNT STEM KN 14MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT STEM KN 14X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT STEM KN EXT 100MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TALAR ANKL 30X31MM,20524.0,20524.0,3078.6,20524.0,30
HCPCS,C1776,CMPNT TALAR RT/LT SIZE 4,23031.0,23031.0,3454.65,23031.0,30
HCPCS,C1776,CMPNT TFLNG HIP LT SZ25,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TFLNG HIP RT SZ23,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TFLNG HIP RT SZ24,64221.0,64221.0,9633.15,64221.0,90
HCPCS,C1776,CMPNT TFLNG HIP RT SZ25,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TFLNG HIP SZ23,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TFLNG HIP SZ24,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TIB 46MM 34MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,CMPNT TIB ALPLY SZ2 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB ALPLY SZ4 12MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB ALPLY SZ4 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB ALPLY SZ7 10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB ALPLY SZ7 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB ALPLY SZ8 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB ALPLY SZ9 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB ANK STD SZ3,31774.0,31774.0,4766.1,31774.0,30
HCPCS,C1776,CMPNT TIB ANK SZ3 6MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,CMPNT TIB ANKL 32.5X35MM,17933.0,17933.0,2689.95,17933.0,30
HCPCS,C1776,CMPNT TIB ANKL LNG SZ4,31774.0,31774.0,4766.1,31774.0,30
HCPCS,C1776,CMPNT TIB ANKL LT SZ2,9053.0,9053.0,1357.95,9053.0,30
HCPCS,C1776,CMPNT TIB ANKL SZ1,33556.0,33556.0,5033.4,33556.0,30
HCPCS,C1776,CMPNT TIB ANKL XL SZ2,33556.0,33556.0,5033.4,33556.0,30
HCPCS,C1776,CMPNT TIB ANKLE 40X33MM,17933.0,17933.0,2689.95,17933.0,30
HCPCS,C1776,CMPNT TIB BLCK 10 63/67,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB BLCK 10 79/83,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB BRG PS63/67X10,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,CMPNT TIB BRG PS63/67X16,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS71/75X14,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS71/75X16,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS71/75X18,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS71/75X22,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,CMPNT TIB BRG PS79/83X10,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS79/83X12,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS79/83X14,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS79/83X16,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS79/83X18,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,CMPNT TIB BRG PS79/83X22,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB BRG PS87/91X18,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB C8 UNICMPT,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB CMNT LM/RL SZ5,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,CMPNT TIB CMNT T2,14473.0,14473.0,2170.95,14473.0,30
HCPCS,C1776,CMPNT TIB DCM 12X71/75,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB FNDTN 2 NPO,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,CMPNT TIB INS 1-2 13 RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB INS 1-2 9 RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 0DG SZE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 10X71/75MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 13MM SZ1-2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT TIB KN 13MM SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 40MM,14453.0,14453.0,2167.95,14453.0,30
HCPCS,C1776,CMPNT TIB KN 42X72X25MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CMPNT TIB KN 4F/3T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 4R,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT TIB KN 5D SZD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 63/67X14MM,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB KN 63MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 7-9+ 18MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,CMPNT TIB KN 70MM 64MM,14461.0,14461.0,2169.15,14461.0,30
HCPCS,C1776,CMPNT TIB KN 71/75 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN 71/75X20MM,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,CMPNT TIB KN 71X160X9MM,10306.0,10306.0,1545.9,10306.0,30
HCPCS,C1776,CMPNT TIB KN 80MM,14453.0,14453.0,2167.95,14453.0,30
HCPCS,C1776,CMPNT TIB KN 8MM,5625.0,5625.0,843.75,5625.0,30
HCPCS,C1776,CMPNT TIB KN BASE SZ4,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT TIB KN BS SZ2,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,CMPNT TIB KN CEM SZ3,11668.0,11668.0,1750.2,11668.0,30
HCPCS,C1776,CMPNT TIB KN CMNT 5F/5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN CMNT 70MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,CMPNT TIB KN CMNT SZ E,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,CMPNT TIB KN CMNT SZ2,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB KN CMNT SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN CMNT SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN CONE LG,13730.0,13730.0,2059.5,13730.0,30
HCPCS,C1776,CMPNT TIB KN FX LT SZ3,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT TIB KN FX LT SZ5+,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB KN HLF 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN KLD RT SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN LEFT,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB KN LT SZ2,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB KN LT SZ3,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB KN LT SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN LT SZ5,5315.0,5315.0,730.8,5758.0,60
HCPCS,C1776,CMPNT TIB KN LT SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN LT SZD,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,CMPNT TIB KN LT SZE,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB KN LT SZT3-I4,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB KN MDL LT SZE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN NEUT 65MM,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,CMPNT TIB KN PLT SZ5,17798.0,17798.0,2669.7,17798.0,30
HCPCS,C1776,CMPNT TIB KN REV LT SZ2,13781.0,13781.0,2067.15,13781.0,30
HCPCS,C1776,CMPNT TIB KN RM/LL SZ5,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,CMPNT TIB KN RS 160X10,10577.0,10577.0,1545.9,10848.0,60
HCPCS,C1776,CMPNT TIB KN RS 51 160X9,10180.0,10180.0,1527.0,10180.0,30
HCPCS,C1776,CMPNT TIB KN RS 63 160X9,10306.0,10306.0,1545.9,10306.0,30
HCPCS,C1776,CMPNT TIB KN RS 63 56X18,10442.0,10442.0,1566.3,10442.0,30
HCPCS,C1776,CMPNT TIB KN RS 67 160X9,10306.0,10306.0,1545.9,10306.0,30
HCPCS,C1776,CMPNT TIB KN RS 75 60X20,9920.0,9920.0,1488.0,9920.0,30
HCPCS,C1776,CMPNT TIB KN RT SM 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN RT SZ 5,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT TIB KN RT SZ B,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB KN RT SZ1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN RT SZ2,6071.5,6071.5,863.7,6385.0,60
HCPCS,C1776,CMPNT TIB KN RT SZ3,5758.0,5758.0,690.9,8338.0,90
HCPCS,C1776,CMPNT TIB KN RT SZ4,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,CMPNT TIB KN RT SZ5+,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB KN RT SZAA,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB KN RT SZC,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB KN RT SZF,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB KN RT SZT4-I3,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB KN SIZE T4I3L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CMPNT TIB KN STD 65MM,21497.0,21497.0,3224.55,21497.0,30
HCPCS,C1776,CMPNT TIB KN STD LT SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN STD RT SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN STD SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ-SM,5410.0,5410.0,811.5,5410.0,30
HCPCS,C1776,CMPNT TIB KN SZ1 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB KN SZ1 56X41MM,17798.0,17798.0,2669.7,17798.0,30
HCPCS,C1776,CMPNT TIB KN SZ10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ2,4628.5,4628.5,690.9,4651.0,60
HCPCS,C1776,CMPNT TIB KN SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ2 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ2 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ3,11202.0,11202.0,690.9,17798.0,90
HCPCS,C1776,CMPNT TIB KN SZ3 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ3 66MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ360 79MM,7888.0,7888.0,1183.2,7888.0,30
HCPCS,C1776,CMPNT TIB KN SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ4 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ4 14MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,CMPNT TIB KN SZ4 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ5,4739.0,4739.0,690.9,4872.0,60
HCPCS,C1776,CMPNT TIB KN SZ5 10MM,4540.0,4540.0,664.35,4651.0,60
HCPCS,C1776,CMPNT TIB KN SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ5/4T,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,CMPNT TIB KN SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ6 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ7,5315.0,5315.0,730.8,5758.0,60
HCPCS,C1776,CMPNT TIB KN SZ8,4739.0,4739.0,690.9,4872.0,60
HCPCS,C1776,CMPNT TIB KN SZ8 12MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT TIB KN SZ8 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZ8 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT TIB KN SZ9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB KN SZA,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB KN SZC,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,CMPNT TIB KN SZD,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,CMPNT TIB KN SZG,7518.5,7518.5,730.8,10165.0,60
HCPCS,C1776,CMPNT TIB KN SZH,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,CMPNT TIB KN SZJ,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,CMPNT TIB KN SZLG 75MM,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,CMPNT TIB KN TRAY 67MM,7888.0,7888.0,1183.2,7888.0,30
HCPCS,C1776,CMPNT TIB KN TRAY 75MM,7888.0,7888.0,1183.2,7888.0,30
HCPCS,C1776,CMPNT TIB KN TRAY RT SZ4,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB KN TRAY SZ3,10119.0,10119.0,1517.85,10119.0,30
HCPCS,C1776,CMPNT TIB KN TRAY SZE,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB MOD MED 65MM,23496.0,23496.0,3524.4,23496.0,30
HCPCS,C1776,CMPNT TIB MOD SM W 60MM,20856.0,20856.0,3128.4,20856.0,30
HCPCS,C1776,CMPNT TIB POLY SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB POLY SZ4 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB POLY SZ5 14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB POLY SZ6 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB POLY SZ7 10MM,4429.0,4429.0,637.8,4606.0,60
HCPCS,C1776,CMPNT TIB POLY SZ7 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB POLY SZ7 16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB POLY SZ9 10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPNT TIB PS SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB SZ2 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT TIB SZ4 5MM MDL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT TIB SZ5 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CMPNT TIB SZ5 15 MDL RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT TIB SZ5 17MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIB SZ5 5MM LAT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT TIB SZ5 5MM MDL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT TIB SZ6+/7 15MDLRT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT TIB TRAY 71X47,7289.0,7289.0,1093.35,7289.0,30
HCPCS,C1776,CMPNT TIB TRAY 83,7888.0,7888.0,1183.2,7888.0,30
HCPCS,C1776,CMPNT TIB TRAY 87,7888.0,7888.0,1183.2,7888.0,30
HCPCS,C1776,CMPNT TIB TRAY 91,8303.0,8303.0,1245.45,8303.0,30
HCPCS,C1776,CMPNT TIB TRAY ML63XAP41,7888.0,7888.0,1183.2,7888.0,30
HCPCS,C1776,CMPNT TIB TRAY ML71XAP46,7888.0,7888.0,1183.2,7888.0,30
HCPCS,C1776,CMPNT TIB TRAY SZD RT,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,CMPNT TIB TRY SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIB UHMWPE 4 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT TIBIA KN SZB,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,CMPNT TIBIAL LT SIZE 4,9053.0,9053.0,1357.95,9053.0,30
HCPCS,C1776,CMPNT TIBIAL LT SIZE 5,9053.0,9053.0,1357.95,9053.0,30
HCPCS,C1776,CMPNT TIBIAL RT SIZE 3,9053.0,9053.0,1357.95,9053.0,30
HCPCS,C1776,CMPNT TIBIAL RT SIZE 4,9053.0,9053.0,1357.95,9053.0,30
HCPCS,C1776,CMPNT TIBTRY 3 25MM KN,20870.0,20870.0,3130.5,20870.0,30
HCPCS,C1776,CMPNT TIBTRY 3.5 FIT CMN,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,CMPNT TIBTRY 3F 4T FIT,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1776,CMPNT TIBTRY 4 KN CMNT M,20870.0,20870.0,3130.5,20870.0,30
HCPCS,C1776,CMPNT TIBTRY 4 KN NPO,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,CMPNT TIBTRY 6F FIT CMNT,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,CMPNT TIBTRY 6F/5T CMNT,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,CMPNT TIBTRY KN RT SZ1,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIBTRY KN RT SZ3,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TIBTRY KN SZ6,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CMPNT TLR ANKL LT 31X30,20524.0,20524.0,3078.6,20524.0,30
HCPCS,C1776,CMPNT TLR ANKL LT 35X36,20524.0,20524.0,3078.6,20524.0,30
HCPCS,C1776,CMPNT TLR ANKL RT/LT SZ2,23031.0,23031.0,3454.65,23031.0,30
HCPCS,C1776,CMPNT TLR LT ANKL 36X35,20524.0,20524.0,3078.6,20524.0,30
HCPCS,C1776,CMPNT TRFLNG HIP LT SZ24,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TRFLNG HIP LT SZ26,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TRFLNG HIP RT SZ26,64221.0,64221.0,9633.15,64221.0,60
HCPCS,C1776,CMPNT TRI-FLANGE ACETAB,54034.0,54034.0,8105.1,54034.0,30
HCPCS,C1776,CMPNT TRIFLNG HIP 58MM,66413.0,66413.0,9961.95,66413.0,30
HCPCS,C1776,CMPNT TRIFLNG HIP LT S24,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TRIFLNG HIP RT S25,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,CMPNT TRIFLNG HIP SZ24,53658.0,53658.0,8048.7,53658.0,30
HCPCS,C1776,CMPNT TRIFLNG HIP SZ25,53148.0,53148.0,7972.2,53148.0,30
HCPCS,C1776,CMPNT TRIFLNG HIP SZ26,53148.0,53148.0,7972.2,53148.0,30
HCPCS,C1776,CMPNT TRIFLNG LT SZ25,58751.0,58751.0,7972.2,61298.0,90
HCPCS,C1776,CMPNT TRIFLNG LT SZ26,53148.0,53148.0,7972.2,53148.0,30
HCPCS,C1776,CMPNT TRIFLNG RT SZ26,56968.0,56968.0,7972.2,60788.0,60
HCPCS,C1776,CMPNT TROCHEAR SM PA,9262.0,9262.0,1389.3,9262.0,30
HCPCS,C1776,CMPNT TTL TMP MDBLR SM,10466.0,10466.0,1569.9,10466.0,30
HCPCS,C1776,CMPNT ULN ELB SZ5/6,4790.0,4790.0,718.5,4790.0,30
HCPCS,C1776,CMPNT ULN LT 4X115MM,16917.0,16917.0,2537.55,16917.0,30
HCPCS,C1776,CMPNT ULNA 4MM 75MM,18609.0,18609.0,2791.35,18609.0,30
HCPCS,C1776,CMPNT WDG KN 1/2 SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CMPNT WDG KN 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT WEDGE KN SZD 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CMPNT WRST SM 28.9X9.3MM,5745.0,5745.0,861.75,5745.0,30
HCPCS,C1776,CMPNTN PTLR KN 9X35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPT FEM KN SZ9+,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,CMPTN KN LT SZ7,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,CMPTN KN PTLR 0 8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPTN KN PTLR 1 8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPTN KN PTLR 2 10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPTN KN PTLR 3 10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPTN KN PTLR 3 8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CMPTN TIB ANKL LT SZ2,31028.0,31028.0,4654.2,31028.0,30
HCPCS,C1776,CNTRLZR HIP 6259.8.150,2306.0,2306.0,345.9,2306.0,30
HCPCS,C1776,CNTRLZR HIP DIST12MM,1063.0,1063.0,159.45,1063.0,30
HCPCS,C1776,CNTRLZR HIP DISTAL 14MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CNTRLZR HIP GLDTR SZ6,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CNTRLZR STEM HIP 13MM,2239.0,2239.0,335.85,2239.0,30
HCPCS,C1776,CNTRLZR STEM HIP 14MM,2306.0,2306.0,345.9,2306.0,30
HCPCS,C1776,CNTRLZR STEM HIP 15MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CNTRLZR STEM HIP 16MM,2239.0,2239.0,335.85,2239.0,30
HCPCS,C1776,CNTRLZR STM 15MM ACUMTCH,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CNTRLZR STM FEM HIP 13MM,2179.0,2179.0,326.85,2179.0,30
HCPCS,C1776,CNTRLZR STM HIP 10.5MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CNTRLZR STM HIP 12MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,CNTRLZR STM HIP DIST 8MM,1809.0,1809.0,271.35,1809.0,30
HCPCS,C1776,COLLAR HUM STM 18.5MM,6998.0,6998.0,1049.7,6998.0,30
HCPCS,C1776,COLLAR HUM STM 19.5MM,6998.0,6998.0,1049.7,6998.0,30
HCPCS,C1776,COLLAR HUM STM 20.5MM,7216.0,7216.0,1082.4,7216.0,30
HCPCS,C1776,COLLAR HUM STM 21.5MM,7216.0,7216.0,1082.4,7216.0,30
HCPCS,C1776,COLLAR HUM STM 25.5MM,7216.0,7216.0,1082.4,7216.0,30
HCPCS,C1776,COLLAR HUM STM 27.5MM,7216.0,7216.0,1082.4,7216.0,30
HCPCS,C1776,COLLAR LCK KN 5D 55MM,13451.0,13451.0,2017.65,13451.0,30
HCPCS,C1776,COLLAR LCK KN 7D 55MM,13451.0,13451.0,2017.65,13451.0,30
HCPCS,C1776,COLLAR SUT SHLDR 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COLLAR SUT SHLDR 44MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COM FEM JRNY UNI SZ2 LT,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COM0PNENT FEM LT SZ4+,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMP 4 LT KN GNSIS2 NPOR,16809.0,16809.0,2521.35,16809.0,30
HCPCS,C1776,COMP 4 RT KN GNSIS2 NPOR,16809.0,16809.0,2521.35,16809.0,30
HCPCS,C1776,COMP 5 RT KN GNSIS2 NPOR,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP 6 RT KN GNSIS2 NPOR,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMP 7 RT KN GNSIS2 NPOR,8415.5,8415.5,1063.05,9744.0,60
HCPCS,C1776,COMP 8 LT KN GNSIS2 NPOR,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP ACTB TRI SZ26,53148.0,53148.0,7972.2,53148.0,30
HCPCS,C1776,COMP AGMNT SZ2 H12MM DI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMP AGMT SZ5/H8MM RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP ART 35X8.0X8.0MM,17052.0,17052.0,2557.8,17052.0,30
HCPCS,C1776,COMP ART SUR LPS SZC 2-,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP ART SUR LPS SZD 3-,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,COMP CONE KN XL,13730.0,13730.0,2059.5,13730.0,30
HCPCS,C1776,COMP CR-FLEX POR FEM SZ,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMP ELBW LT 6X150MM,15358.0,15358.0,2303.7,15358.0,30
HCPCS,C1776,COMP FEM 0 34MM PTLFEM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM 0 34MMX7MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM 0 37MM PTLFEM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM 10MM 4MM,13509.0,13509.0,2026.35,13509.0,30
HCPCS,C1776,COMP FEM 15D ANTEVERT,14660.0,14660.0,2199.0,14660.0,30
HCPCS,C1776,COMP FEM 2 KN CMNT,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMP FEM 2 MED F1R RT KN,5293.0,5293.0,793.95,5293.0,30
HCPCS,C1776,COMP FEM 3 10MM KN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP FEM 3 12MM KN,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM 3 56X35MM KN RT,17169.0,17169.0,2575.35,17169.0,30
HCPCS,C1776,COMP FEM 3 8X58MM KN LT,12556.0,12556.0,1883.4,12556.0,30
HCPCS,C1776,COMP FEM 3 KN CMNT,7221.5,7221.5,1003.2,7755.0,60
HCPCS,C1776,COMP FEM 3.5MM 2.5MM,24559.0,24559.0,3683.85,24559.0,30
HCPCS,C1776,COMP FEM 30MMX10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM 4 10MM KN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP FEM 4 KN CMNT,7755.0,7755.0,1163.25,7755.0,30
HCPCS,C1776,COMP FEM 4 KN LT CMNT,7330.5,7330.5,996.6,8017.0,60
HCPCS,C1776,COMP FEM 4 KN RT POST,8017.0,8017.0,1202.55,8017.0,30
HCPCS,C1776,COMP FEM 4 OXNM JUNI LM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMP FEM 5 KN LT CMNT,8017.0,8017.0,1202.55,8017.0,30
HCPCS,C1776,COMP FEM 5 KN RT CMNT,8017.0,8017.0,1202.55,8017.0,30
HCPCS,C1776,COMP FEM 69MM,37798.0,37798.0,5669.7,37798.0,30
HCPCS,C1776,COMP FEM 7 LT KN GNSIS2,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,COMP FEM 9 7X49MM KN RT,19127.0,19127.0,2869.05,19127.0,30
HCPCS,C1776,COMP FEM AGMT 8MM RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMP FEM CS/CR EFSRN2PL,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMP FEM DEUCE SZ5 LT,13996.0,13996.0,2099.4,13996.0,30
HCPCS,C1776,COMP FEM E RT KN NXG LP,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMP FEM F2 MED RT KN,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,COMP FEM HI CLLR SZ8,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMP FEM HIP 28MM 43MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM HIP 28MM 48MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM HIP 28X59MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM HIP CLLR SZ1,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEM HIP CLLR SZ2,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEM HIP CLLR SZ3,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEM HIP CLLR SZ4,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEM HIP CLLR SZ5,7530.0,7530.0,1129.5,7530.0,60
HCPCS,C1776,COMP FEM HIP CLLR SZ6.5,7530.0,7530.0,1129.5,7530.0,60
HCPCS,C1776,COMP FEM HIP E SZ60MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,COMP FEM HIP SZ4,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEM HIPSTD CLLR SZ6,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEM KN 2S+R,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN 58X68MM,35849.0,35849.0,5377.35,35849.0,30
HCPCS,C1776,COMP FEM KN 74MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN 90X74MM,13967.0,13967.0,2095.05,13967.0,30
HCPCS,C1776,COMP FEM KN CMNT S3L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN L SZ2,6201.0,6201.0,930.15,6201.0,60
HCPCS,C1776,COMP FEM KN L SZ3,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN LT 62MM 68MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN LT 70MM 76MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN LT SM SZ8,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,COMP FEM KN LT SZ3,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMP FEM KN LT SZ7,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMP FEM KN LT SZ9,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,COMP FEM KN R #3,25772.0,25772.0,3865.8,25772.0,30
HCPCS,C1776,COMP FEM KN R SZ5,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN R SZ6,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN REV PS SZ2,25772.0,25772.0,3865.8,25772.0,30
HCPCS,C1776,COMP FEM KN REV RT SZ5,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,COMP FEM KN RM/LL 7,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMP FEM KN RT 58MM 62MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN RT 60MM 65MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN RT 62MM 68MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN RT 66MM 72MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN RT SM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN RT SZ-3N,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP FEM KN RT SZ-5N,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,COMP FEM KN RT SZ-6N,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMP FEM KN RT SZ4,7529.5,7529.5,930.15,8858.0,60
HCPCS,C1776,COMP FEM KN RT SZ5,5094.0,5094.0,764.1,5094.0,60
HCPCS,C1776,COMP FEM KN RT SZ6,5869.0,5869.0,764.1,6644.0,60
HCPCS,C1776,COMP FEM KN RT SZ8,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,COMP FEM KN RT V40,14665.0,14665.0,2199.75,14665.0,30
HCPCS,C1776,COMP FEM KN S3+R,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN S5+L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN S5L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN SIZE 3,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,COMP FEM KN SZ11,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEM KN SZ2,4828.0,4828.0,724.2,4828.0,30
HCPCS,C1776,COMP FEM KN SZ4,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP FEM KN SZ6,6201.0,6201.0,930.15,6201.0,60
HCPCS,C1776,COMP FEM MED F2R KN NCEM,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,COMP FEM MED F5R KN CMNT,5293.0,5293.0,793.95,5293.0,30
HCPCS,C1776,COMP FEM MED KN,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,COMP FEM MED KN CMNT,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,COMP FEM OXNM FBR LT 5JR,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMP FEM PFC PORZ 2,13721.0,13721.0,2058.15,13721.0,30
HCPCS,C1776,COMP FEM PFC PORZ 2.5,13721.0,13721.0,2058.15,13721.0,30
HCPCS,C1776,COMP FEM PFC PORZ 2.5 LT,13721.0,13721.0,2058.15,13721.0,30
HCPCS,C1776,COMP FEM PFC PORZ 3 LT,13721.0,13721.0,2058.15,13721.0,30
HCPCS,C1776,COMP FEM PFC PORZ 4 LT,13721.0,13721.0,2058.15,13721.0,30
HCPCS,C1776,COMP FEM PTLFEM 31X7MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP FEM SIZE 6 KN CMT,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMP FEM SZE NXGN CR FL,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEMORAL 00596801651,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMP FEMUR 2 CMNT STRL,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,COMP GLENOID SHLDR SZS40,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP GLND 25D LG,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,COMP GLND BETA LARGE,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,COMP GLND BETA MED,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,COMP GLND LG 50MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP GLND LG 60MM,7062.0,7062.0,1059.3,7062.0,30
HCPCS,C1776,COMP GLND PEG SHLDR SZ30,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP GLND RT 8D SMALL,10298.0,10298.0,1544.7,10298.0,30
HCPCS,C1776,COMP GLND SHLDR 8D MED,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMP GLND SHLDR SM 30MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP GLND SHLDR SM 35MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP GLND XL 50MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMP HIP 24X75MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,COMP HIP 46MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP HIP BODY 24X95X95MM,10404.0,10404.0,1560.6,10404.0,30
HCPCS,C1776,COMP HIP LNR G2 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMP HIP TYP-I SZ-A 60MM,18310.0,18310.0,2746.5,18310.0,30
HCPCS,C1776,COMP HUM 56MM 52MM,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1776,COMP HUM CAGE SZ1,17274.0,17274.0,2591.1,17274.0,30
HCPCS,C1776,COMP HUM ELB LT 4X100MM,15358.0,15358.0,2303.7,15358.0,30
HCPCS,C1776,COMP HUM ELB LT 6X100MM,15358.0,15358.0,2303.7,15358.0,30
HCPCS,C1776,COMP HUM ELB RT 5X100MM,15358.0,15358.0,2303.7,15358.0,30
HCPCS,C1776,COMP HUM ELB RT 5X150MM,20144.0,20144.0,3021.6,20144.0,30
HCPCS,C1776,COMP HUM ELB RT 6X150MM,15358.0,15358.0,2303.7,15358.0,30
HCPCS,C1776,COMP HUM LT EXTENSION,9842.0,9842.0,1476.3,9842.0,30
HCPCS,C1776,COMP HUM RT EXTENSION,9842.0,9842.0,1476.3,9842.0,30
HCPCS,C1776,COMP HUM SHDLR +1.5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP HUM SHLDR 13X130MM,22416.0,22416.0,3362.4,22416.0,30
HCPCS,C1776,COMP HUM SHLDR SZ7,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,COMP KN 7+ SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP KN CONE SM,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,COMP KNEE PATELLA 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP KNEE TIBIAL SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP LCS PFJ TROCHEAR S,9539.0,9539.0,1430.85,9539.0,30
HCPCS,C1776,COMP PATELLA LARGE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMP PATELLAR KN 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP POLY TIBIA 4-12MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP POLY TIBIA 5-10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTELA POLY S+ LPRO,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP PTLA KN D35,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR 2 30MM BTN,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR 3 BTN ACT KN,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR 5 BTN ACT KN,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR 7 .5MM OFST,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR BTN ACT KN P1,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR KN 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR KN 8.5MM 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR KN 9MM 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR PRFX 8.5X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR TRI X3 8X27MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR TRI X3 9X31MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP PTLR TRI X3 9X33MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMP RADL LT DST WAR-LM,17041.0,17041.0,2556.15,17041.0,30
HCPCS,C1776,COMP SHD SZ1/2 +0X33MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMP SHLDR 42MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMP SHLDR BRNG 47MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMP SHLDR GLND RT SZ8,10298.0,10298.0,1544.7,10298.0,30
HCPCS,C1776,COMP SHLDR SZ1/2 33MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMP STEM KN EXT 13X120,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMP TI VAN PS FEM 62.5R,50535.0,50535.0,7580.25,50535.0,30
HCPCS,C1776,COMP TIB AUG 59MM MED LT,11201.0,11201.0,1680.15,11201.0,30
HCPCS,C1776,COMP TIB CR CVD 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,COMP TIB CR CVD 12.5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,COMP TIB CRUC CVD 12.5M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP TIB EVOL REV BASE N,6826.0,6826.0,1023.9,6826.0,30
HCPCS,C1776,COMP TIB KN 25X80X48MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMP TIB KN CVD 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP TIB KN SZ3,39856.0,39856.0,5978.4,39856.0,30
HCPCS,C1776,COMP TIB KN SZ3 12MM,5394.0,5394.0,809.1,5394.0,30
HCPCS,C1776,COMP TIB KN SZ3 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP TIB KN SZA,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,COMP TIB SZ7 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,COMP TIB UHMWPE 96-0653,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMP TIBIAL LEGACY SZE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMP TIBTRY XS 66X44MM,11836.0,11836.0,1775.4,11836.0,30
HCPCS,C1776,COMP TITAN SZ44/18,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1776,COMP TRCLR LG PTLFEM RT,8833.0,8833.0,1324.95,8833.0,30
HCPCS,C1776,COMPNNT TIBTRY KN LT SZ4,6385.0,6385.0,957.75,6385.0,30
HCPCS,C1776,COMPNT ACTB HIP 10X50MM,7044.0,7044.0,1056.6,7044.0,30
HCPCS,C1776,COMPNT ACTB HIP 44X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT ACTB SZ23 LT,51377.0,51377.0,7706.55,51377.0,30
HCPCS,C1776,COMPNT ACTB SZ24 RT,54477.0,54477.0,8171.55,54477.0,30
HCPCS,C1776,COMPNT AGMNT 2.5X4MM RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT AGMNT 2.5X8MM RT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT AGMNT 2X8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPNT AGMNT 4X8 DIST LT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT AGMNT LT 2.5X4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT AGMNT LT 2.5X8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT ANK TIB LNG SZ3,31774.0,31774.0,4766.1,31774.0,30
HCPCS,C1776,COMPNT ANK TIB LNG SZ5,31774.0,31774.0,4766.1,31774.0,30
HCPCS,C1776,COMPNT ANK TIB STD SZ1,30937.0,30937.0,4640.55,30937.0,30
HCPCS,C1776,COMPNT ANK TIB STD SZ2,31774.0,31774.0,4766.1,31774.0,30
HCPCS,C1776,COMPNT ANK TIB STD SZ4,31774.0,31774.0,4766.1,31774.0,30
HCPCS,C1776,COMPNT ANK TIB STD SZ5,31774.0,31774.0,4766.1,31774.0,30
HCPCS,C1776,COMPNT ANKLE SZ2 6MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,COMPNT ANKLE SZ2 8MM,11051.0,11051.0,1657.65,11051.0,30
HCPCS,C1776,COMPNT ANKLE SZ3 8MM,14882.0,14882.0,2232.3,14882.0,30
HCPCS,C1776,COMPNT ARTC 11.5X5 HMICP,13509.0,13509.0,2026.35,13509.0,30
HCPCS,C1776,COMPNT ARTC INST RT 5-6,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,COMPNT ARTC KN 23MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT ARTC KN 5-6 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPNT ATTNE RP BASE SZ7,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,COMPNT AUG FEM KN 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPNT AUGMT KN 960821,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT BRNG KN LT TIB 4,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT BRNG KN LT TIB C6,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT BRNG KN LT TIB F4,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT BRNG KN RT TIB A3,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT BRNG KN RT TIB A4,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT CEM FEM KN RT SZ4,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT CEM FEM KN RT SZ6,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT CNSTRN RT KN SZ4,17394.0,17394.0,2609.1,17394.0,30
HCPCS,C1776,COMPNT CRCTE LT KN 63X59,11861.0,11861.0,1779.15,11861.0,30
HCPCS,C1776,COMPNT CUP ACTB 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT CUP ACTB HIP 56MM,17274.0,17274.0,2591.1,17274.0,30
HCPCS,C1776,COMPNT CUP HUM SHLDR +6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT CUP SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT DOME ANK SZ1,30937.0,30937.0,4640.55,30937.0,30
HCPCS,C1776,COMPNT DOME ANK SZ2,30937.0,30937.0,4640.55,30937.0,30
HCPCS,C1776,COMPNT DOME ANKL SIZE 1,28970.5,28970.5,3454.65,34910.0,60
HCPCS,C1776,COMPNT DOME ANKL SIZE 2,27916.0,27916.0,4187.4,27916.0,30
HCPCS,C1776,COMPNT DOME ANKL SIZE 3,27916.0,27916.0,4187.4,27916.0,30
HCPCS,C1776,COMPNT DOME ANKL SIZE 4,27916.0,27916.0,4187.4,27916.0,30
HCPCS,C1776,COMPNT DOME ANKL SIZE 5,27916.0,27916.0,4187.4,27916.0,30
HCPCS,C1776,COMPNT ELB REPLC 100X5MM,16893.0,16893.0,2533.95,16893.0,30
HCPCS,C1776,COMPNT FEL XL RSRFC 10X5,13509.0,13509.0,2026.35,13509.0,30
HCPCS,C1776,COMPNT FEM 00575001502,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM 00576401451,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM 00584201301,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPNT FEM 00584201601,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPNT FEM 00596401752,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM 12MM 2.5 LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPNT FEM 135HICOL SZ14,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMPNT FEM 2 PST STB LOG,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT FEM 3 LT CR NPOR,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,COMPNT FEM 3 LT KN PST,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT FEM 3 LT MDL-P,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM 3 RT KN PST,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT FEM 4 71X65MM KN,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,COMPNT FEM 4 KN CMNT POT,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPNT FEM 4 LT KN PST,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT FEM 4 LT MDL-P,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM 4 RT CR NPOR,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,COMPNT FEM 4 RT CS TC3,11861.0,11861.0,1779.15,11861.0,30
HCPCS,C1776,COMPNT FEM 4 RT KN PST S,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT FEM 5 LT KN,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT FEM 5 LT MDL-P,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM 5 RT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM 5 RT KN PST S,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT FEM 9 80X75.8MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM ADPT KN 5MM,4988.0,4988.0,748.2,4988.0,30
HCPCS,C1776,COMPNT FEM AUG RT KN 4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT FEM AUGMT TC3 8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT FEM CMNT RT SZ4+,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPNT FEM D 64X57.6MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT FEM E KN RT NXGN,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT FEM F LT KN NXG,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT FEM F LT KN SZ3,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM G GSF RT KN,24480.0,24480.0,3672.0,24480.0,30
HCPCS,C1776,COMPNT FEM G RT STRL,17193.0,17193.0,2578.95,17193.0,30
HCPCS,C1776,COMPNT FEM GSM SZ2 LT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT FEM HIP CLLRD SZ2,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM HIP JRNY 6,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPNT FEM HIP SZ 1,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM HIP SZD 70MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,COMPNT FEM JUNI KN SZ4,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPNT FEM KN 3 RT,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,COMPNT FEM KN 45MM,7494.0,7494.0,1124.1,7494.0,30
HCPCS,C1776,COMPNT FEM KN 6 RT,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,COMPNT FEM KN 62X66MM,15352.0,15352.0,2302.8,15352.0,30
HCPCS,C1776,COMPNT FEM KN 6430-0-200,12315.0,12315.0,1847.25,12315.0,30
HCPCS,C1776,COMPNT FEM KN 65MM,21125.0,21125.0,3140.4,32332.0,90
HCPCS,C1776,COMPNT FEM KN 68X57.5MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN 6D 66X58MM,15352.0,15352.0,2302.8,15352.0,30
HCPCS,C1776,COMPNT FEM KN 70X61MM,14592.0,14592.0,2188.8,14592.0,30
HCPCS,C1776,COMPNT FEM KN 72X65.5,17193.0,17193.0,2578.95,17193.0,30
HCPCS,C1776,COMPNT FEM KN 8 RT,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,COMPNT FEM KN 90MM,12747.0,12747.0,1912.05,12747.0,30
HCPCS,C1776,COMPNT FEM KN CMNT L SZ2,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,COMPNT FEM KN CMTD SZ2,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,COMPNT FEM KN ICA,10028.0,10028.0,1504.2,10028.0,30
HCPCS,C1776,COMPNT FEM KN LFT SZ2.5,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMPNT FEM KN LT PS SZ3,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,COMPNT FEM KN LT SZ2,7198.0,7198.0,963.45,7973.0,60
HCPCS,C1776,COMPNT FEM KN LT SZ3,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN LT SZ4,6976.5,6976.5,764.1,10234.0,120
HCPCS,C1776,COMPNT FEM KN LT SZ5,6854.5,6854.5,764.1,7973.0,150
HCPCS,C1776,COMPNT FEM KN LT SZ5N,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,COMPNT FEM KN LT SZ6,12019.0,12019.0,996.6,17394.0,60
HCPCS,C1776,COMPNT FEM KN LT SZ7,6699.5,6699.5,946.8,7087.0,60
HCPCS,C1776,COMPNT FEM KN LT SZ8,6759.0,6759.0,946.8,7206.0,60
HCPCS,C1776,COMPNT FEM KN LT SZG,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM KN PSN SZ11+,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,COMPNT FEM KN RT 65MM,21125.0,21125.0,3168.75,21125.0,30
HCPCS,C1776,COMPNT FEM KN RT SZ11,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM KN RT SZ2,10408.5,10408.5,1195.95,21525.0,120
HCPCS,C1776,COMPNT FEM KN RT SZ3,7973.0,7973.0,946.8,8858.0,120
HCPCS,C1776,COMPNT FEM KN RT SZ3N,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,COMPNT FEM KN RT SZ4,5929.0,5929.0,764.1,6764.0,120
HCPCS,C1776,COMPNT FEM KN RT SZ5,6644.0,6644.0,946.8,11073.0,90
HCPCS,C1776,COMPNT FEM KN RT SZ5+,6422.5,6422.5,930.15,6644.0,60
HCPCS,C1776,COMPNT FEM KN RT SZ6,13569.0,13569.0,1461.6,17394.0,60
HCPCS,C1776,COMPNT FEM KN RT SZ7,6644.0,6644.0,764.1,23176.0,90
HCPCS,C1776,COMPNT FEM KN RT SZ8,6644.0,6644.0,910.2,7397.0,120
HCPCS,C1776,COMPNT FEM KN RT SZ9,6644.0,6644.0,764.1,6764.0,90
HCPCS,C1776,COMPNT FEM KN STD LT C,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM KN STD LT D,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD LT E,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD LT F,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD LT G,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD RT D,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD RT E,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD RT F,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD RT G,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD RT H,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN STD SZ+7,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,COMPNT FEM KN SZ12,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN SZ2 8MM,5240.0,5240.0,786.0,5240.0,30
HCPCS,C1776,COMPNT FEM KN SZ4,10408.5,10408.5,996.6,14173.0,120
HCPCS,C1776,COMPNT FEM KN SZ5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN SZ6,5869.0,5869.0,764.1,6644.0,90
HCPCS,C1776,COMPNT FEM KN SZ7,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM KN SZ8,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,COMPNT FEM KN SZ9,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM LG PTLFEM LT,8833.0,8833.0,1324.95,8833.0,30
HCPCS,C1776,COMPNT FEM LT KN,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,COMPNT FEM LT KN SZ3,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPNT FEM LT KN SZ4,7397.0,7397.0,910.2,18424.0,90
HCPCS,C1776,COMPNT FEM LT KN SZ6,18424.0,18424.0,2763.6,18424.0,30
HCPCS,C1776,COMPNT FEM LT KN SZ8,5094.0,5094.0,764.1,5094.0,60
HCPCS,C1776,COMPNT FEM LT SZ3 65X61,11861.0,11861.0,1779.15,11861.0,30
HCPCS,C1776,COMPNT FEM NAR KN LT 3,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,COMPNT FEM NAR KN RT 10,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM NAR KN RT SZ6,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,COMPNT FEM NONPO NT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM NPOR LT SZ2,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM NPOR RT KN 4,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM NXGN SZE,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM POR SZ3,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM PRECT LT SZD,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM PRECT LT SZF,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM PS PEFPSN4PR,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM RIGHT SIZE 5,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMPNT FEM RT 64X57.5MM,17193.0,17193.0,2578.95,17193.0,30
HCPCS,C1776,COMPNT FEM RT E 51.5X24,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPNT FEM RT KN 2 60X56,13955.0,13955.0,2093.25,13955.0,30
HCPCS,C1776,COMPNT FEM RT KN ITOTAL,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,COMPNT FEM RT KN MDL SZ3,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPNT FEM RT KN PST SZ2,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPNT FEM RT KN SZ1,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT FEM RT KN SZ4,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPNT FEM RT KN SZ5,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPNT FEM RT KN SZ7,6356.0,6356.0,910.2,6644.0,60
HCPCS,C1776,COMPNT FEM RT KN SZF,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM RT KN5.8X10.9,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM RT SZ1,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,COMPNT FEM RT SZ4.5,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMPNT FEM SPHR SZ4 RT,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPNT FEM STD KN LT 8,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FEM STD KN SIZE 7,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,COMPNT FEM STD KN SIZE 9,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,COMPNT FEM STD KN SZ+9,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,COMPNT FEM STD SIZE 7,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM SZ4 RT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT FEM SZF NXGN C,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT FEM SZT 60/54MM,14257.0,14257.0,2138.55,14257.0,30
HCPCS,C1776,COMPNT FEM TRTHN LM/RL2,9352.0,9352.0,1402.8,9352.0,30
HCPCS,C1776,COMPNT FEMORAL SIZE 4,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMPNT FM F LT KN NXG LP,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT FM KN SZ6,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT FM KN SZ7,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT GLDTR HIP BIP48MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT GLND 27MM,6046.0,6046.0,906.9,6046.0,30
HCPCS,C1776,COMPNT GLND 40MM 46MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT GLND 52MM 56MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT GLND AFFNITI 44MM,6187.0,6187.0,928.05,6187.0,30
HCPCS,C1776,COMPNT GLND PEG 38MM,9390.0,9390.0,1408.5,9390.0,30
HCPCS,C1776,COMPNT GLND SHLDR 16X38,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT GLND SHLDR 36MM,5979.5,5979.5,797.25,6644.0,60
HCPCS,C1776,COMPNT GLND SHLDR 38MM,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,COMPNT GLND SHLDR 42MM,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,COMPNT GLND SHLDR 46MM,6549.0,6549.0,982.35,6549.0,30
HCPCS,C1776,COMPNT GLND SHLDR 52MM,6311.5,6311.5,863.7,6865.0,60
HCPCS,C1776,COMPNT GLND TSA-X3 SZ56,7020.0,7020.0,1053.0,7020.0,30
HCPCS,C1776,COMPNT GLNOID SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT GLNOID SHLDR 46MM,6090.0,6090.0,913.5,6090.0,30
HCPCS,C1776,COMPNT GNSIS2 LT KN SZ6,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT HEAD FEM HIP 50MM,22588.0,22588.0,3388.2,22588.0,30
HCPCS,C1776,COMPNT HEAD HIP 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT HEAD SHLDR 3X33MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT HIP STD H 20X50,21315.0,21315.0,3197.25,21315.0,30
HCPCS,C1776,COMPNT HUM ELB 8IN SM,5005.0,5005.0,750.75,5005.0,30
HCPCS,C1776,COMPNT HUM SHD RSP NTRL,6228.0,6228.0,934.2,6228.0,30
HCPCS,C1776,COMPNT HUM SHLDR SMR,10891.0,10891.0,1633.65,10891.0,30
HCPCS,C1776,COMPNT HUMERAL SM LEFT,12845.0,12845.0,1926.75,12845.0,30
HCPCS,C1776,COMPNT ITOTAL KN IPLY XE,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1776,COMPNT KN ARTC 13MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,COMPNT KN COATED TIB 75,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN FEM 60X56MM,11861.0,11861.0,1779.15,11861.0,30
HCPCS,C1776,COMPNT KN FEM LT SZ2,18525.0,18525.0,2778.75,18525.0,30
HCPCS,C1776,COMPNT KN FEM LT SZ6N,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPNT KN FEM RT 4N,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPNT KN GMR SM,8668.0,8668.0,1300.2,8668.0,30
HCPCS,C1776,COMPNT KN LT 76.5X70.5MM,17193.0,17193.0,2578.95,17193.0,30
HCPCS,C1776,COMPNT KN LT PO FEM 5,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,COMPNT KN RT 68X61.5MM,17193.0,17193.0,2578.95,17193.0,30
HCPCS,C1776,COMPNT KN RT POR SZ5,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPNT KN RT SZ3,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPNT KN RT SZ4,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPNT KN SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN SZGH RL 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN SZGH RM 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB 1.5F/1.5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB 12MM SZ6,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,COMPNT KN TIB F 67MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB F 71MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB F 75MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB F 79MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB F 83MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB F 87MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB F 91MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KN TIB ROT 16,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT KNTIB CMNT RT SZ4,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT LGIC FIT TIB SZ3F,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,COMPNT LT KN CMNT SZ6,6449.0,6449.0,967.35,6449.0,30
HCPCS,C1776,COMPNT LT KN SZ6,25342.0,25342.0,3801.3,25342.0,30
HCPCS,C1776,COMPNT LT KN TTL SZ3,18424.0,18424.0,2763.6,18424.0,30
HCPCS,C1776,COMPNT NXGN FEM SZG RT,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPNT OXFRD UNI SZB,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,COMPNT PATELFEM KN SZ5,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,COMPNT PIN KN XX-SM,4397.0,4397.0,659.55,4397.0,30
HCPCS,C1776,COMPNT PRSN 3-5 LT KN 10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT PTLA DOME 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLA KN 10X38MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,COMPNT PTLA KN 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLA KN 32X8.5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLA KN RND 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR 11X38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR 11X39MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR 13X23MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT PTLR 38MM SGL PEG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR ALPLY 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR ASYM 10X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN 10MM 35MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,COMPNT PTLR KN 10X35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN 11X39MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN 13X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN 29MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,COMPNT PTLR KN 3 8X29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN 31X9MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN 32MM,4252.0,4252.0,637.8,4252.0,90
HCPCS,C1776,COMPNT PTLR KN 37MM 8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN 9MM 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN 9X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN DOME 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN LT SZ4,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,COMPNT PTLR KN RT LG,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPNT PTLR KN SZ3 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR KN SZ4,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR STD 7.5X26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR STD CMNT 3,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT PTLR TRI X3 8X29,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT RAD WRST LT SZ2,28513.0,28513.0,4276.95,28513.0,30
HCPCS,C1776,COMPNT RDL 36X29.2 SM LT,24484.0,24484.0,3672.6,24484.0,30
HCPCS,C1776,COMPNT RT KN 2 60X56MM,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,COMPNT RT KN TTL SZ2,18424.0,18424.0,2763.6,18424.0,30
HCPCS,C1776,COMPNT SEG B DIST FEM LT,36473.0,36473.0,5470.95,36473.0,30
HCPCS,C1776,COMPNT SEG KN 35MM,7494.0,7494.0,1124.1,7494.0,30
HCPCS,C1776,COMPNT SEG KN LPS 40MM,7494.0,7494.0,1124.1,7494.0,30
HCPCS,C1776,COMPNT SHLDR 36MM +3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT SHLDR 36MM +6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT SHLDR 41MM +3MM,5966.0,5966.0,894.9,5966.0,30
HCPCS,C1776,COMPNT SHLDR 5 4MM 2 PEG,6803.0,6803.0,1020.45,6803.0,30
HCPCS,C1776,COMPNT SHLDR BSE SM 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT SHLDR HEAD 42MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPNT SHLDR HUM SZ1 RT,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,COMPNT SHLDR PLT 4.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPNT SHLDR STD,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT SHLDR STD 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT SHLDR SZ.5 +9MM,4917.0,4917.0,737.55,4917.0,30
HCPCS,C1776,COMPNT SHLDR SZ10 135MM,4939.0,4939.0,740.85,4939.0,30
HCPCS,C1776,COMPNT SLV FEM KN 35MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,COMPNT SLV FEM KN 40MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,COMPNT SPHR GLND 39X27MM,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1776,COMPNT STEM FEM 14X240MM,10690.0,10690.0,1603.5,10690.0,30
HCPCS,C1776,COMPNT STEM HIP STND SZ5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPNT STEM ROT KN MED,44277.0,44277.0,6641.55,44277.0,30
HCPCS,C1776,COMPNT STEM SHLDR SZ9,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,COMPNT STEM XTN 105X15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT STM EXT LGIC 4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPNT STM TIB KN LG,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,COMPNT TIB 10MM PFC SGM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIB ANKLE SZ0,26812.0,26812.0,4021.8,26812.0,30
HCPCS,C1776,COMPNT TIB ANKLE SZ1,26812.0,26812.0,4021.8,26812.0,30
HCPCS,C1776,COMPNT TIB ANKLE SZ2,26812.0,26812.0,4021.8,26812.0,30
HCPCS,C1776,COMPNT TIB KN 0D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIB KN 0D SZF,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIB KN 71/75X12MM,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB KN 71/75X16MM,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB KN LCK BAR,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,COMPNT TIB KN LT 0D SZG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIB KN LT SZ3,13781.0,13781.0,2067.15,13781.0,30
HCPCS,C1776,COMPNT TIB KN LT SZD,7906.0,7906.0,847.05,10165.0,60
HCPCS,C1776,COMPNT TIB KN REV 3 15MM,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1776,COMPNT TIB KN REV SZHL,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,COMPNT TIB KN RT 5D SZH,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIB KN RT SZ2,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT TIB KN RT SZD,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,COMPNT TIB KN SZ1 39MM,11668.0,11668.0,1750.2,11668.0,30
HCPCS,C1776,COMPNT TIB KN SZ4 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIB KN SZF,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT TIB LT KN XS-XL,8599.0,8599.0,1289.85,8599.0,30
HCPCS,C1776,COMPNT TIB LT SZ1 10MM,7342.0,7342.0,1101.3,7342.0,30
HCPCS,C1776,COMPNT TIB MOD STEM 71MM,7188.0,7188.0,1078.2,7188.0,30
HCPCS,C1776,COMPNT TIB NXGN KN 52/15,18523.0,18523.0,2778.45,18523.0,30
HCPCS,C1776,COMPNT TIB OXFD SZE,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,COMPNT TIB PSC 63/67X12,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB PSC 63/67X16,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB PSC 63/67X18,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB PSC 63/67X20,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,COMPNT TIB PSC 71/75X10,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB PSC 71/75X14,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,COMPNT TIB PSC 71/75X18,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB PSC 79/83X14,6465.0,6465.0,969.75,6465.0,30
HCPCS,C1776,COMPNT TIB PSC 79/83X18,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB PSC 79/83X20,6142.0,6142.0,921.3,6142.0,30
HCPCS,C1776,COMPNT TIB REV LT SZF,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,COMPNT TIB RT KN SZE 0D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIB STM KN SZ2,17798.0,17798.0,2669.7,17798.0,30
HCPCS,C1776,COMPNT TIB TRAY KN #3,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT TIB XTD SZ0,33556.0,33556.0,5033.4,33556.0,30
HCPCS,C1776,COMPNT TIB XTD SZ3,33556.0,33556.0,5033.4,33556.0,30
HCPCS,C1776,COMPNT TIBIA 00584200401,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIBPLT 3 47X27MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPNT TIBTRY 2F 3T LOGC,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,COMPNT TIBTRY 61.8X40.7,11668.0,11668.0,1750.2,11668.0,30
HCPCS,C1776,COMPNT TIBTRY KN LT SZ6,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT TIBTRY T4I3 LT FX,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT TLR ANKL DOME+3MM,27903.0,27903.0,4185.45,27903.0,30
HCPCS,C1776,COMPNT TRAY RT SZT3-I4,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPNT TRCHR 2 LT PTLFE,5240.0,5240.0,786.0,5240.0,30
HCPCS,C1776,COMPNT TROCHEAR 1 RT,5240.0,5240.0,786.0,5240.0,30
HCPCS,C1776,COMPNT ULN CNRD MRY XLNG,16922.0,16922.0,2538.3,16922.0,30
HCPCS,C1776,COMPNT ULNAR XS LT ELBOW,16922.0,16922.0,2538.3,16922.0,30
HCPCS,C1776,COMPNT WDG KN SZEF RL,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,COMPONEN AGMNT SZ2.5 H1,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPONEN ARTCSURF 3-4-5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPONEN ARTCSURF 4-5-6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPONEN ARTCSURF E H10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPONEN ARTCSURF F 5-6-,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPONENT ANKLE +4 SZ3,29498.0,29498.0,4424.7,29498.0,30
HCPCS,C1776,COMPONENT ANKLE 12MM SZ2,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,COMPONENT ANKLE S +4 5LG,29498.0,29498.0,4424.7,29498.0,30
HCPCS,C1776,COMPONENT ARTCSURF BLU 8,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,COMPONENT CRPL SM WRST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPONENT ELB RT 3X75MM,16917.0,16917.0,2537.55,16917.0,30
HCPCS,C1776,COMPONENT FEM 1 KN RT CM,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,COMPONENT FEM 1 STD LT K,10234.0,10234.0,1535.1,10234.0,30
HCPCS,C1776,COMPONENT FEM 2 LT KN PS,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM 2.5 63MM,6449.0,6449.0,967.35,6449.0,30
HCPCS,C1776,COMPONENT FEM 2.5 RT KN,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,COMPONENT FEM 3 LT CMNT,16739.0,16739.0,2510.85,16739.0,30
HCPCS,C1776,COMPONENT FEM 3 LT KN,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPONENT FEM 3 RM/LL,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPONENT FEM 3 RT KN CM,10234.0,10234.0,1535.1,10234.0,30
HCPCS,C1776,COMPONENT FEM 3N KN RT P,7206.0,7206.0,1080.9,7206.0,30
HCPCS,C1776,COMPONENT FEM 4 KN RT PO,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM 4 LM-RT,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPONENT FEM 5 KN LT CR,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPONENT FEM 5 LT KN CM,16739.0,16739.0,2510.85,16739.0,30
HCPCS,C1776,COMPONENT FEM 5 RT KN CM,16739.0,16739.0,2510.85,16739.0,30
HCPCS,C1776,COMPONENT FEM 5 RT KN PS,10234.0,10234.0,1535.1,10234.0,30
HCPCS,C1776,COMPONENT FEM 6 KN LT CM,10234.0,10234.0,1535.1,10234.0,30
HCPCS,C1776,COMPONENT FEM 6 RT KN PS,10234.0,10234.0,1535.1,10234.0,30
HCPCS,C1776,COMPONENT FEM 60MM RT,49029.0,49029.0,7354.35,49029.0,30
HCPCS,C1776,COMPONENT FEM 67.5MM RT,47594.0,47594.0,7139.1,47594.0,30
HCPCS,C1776,COMPONENT FEM 7,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPONENT FEM AUGMT 12MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT FEM D RT KN CM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPONENT FEM E LT KN NX,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPONENT FEM EMPERIN 13,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,COMPONENT FEM F RT KN NX,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPONENT FEM F- LT KN C,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPONENT FEM F3 KN,29594.0,29594.0,4439.1,29594.0,30
HCPCS,C1776,COMPONENT FEM G LT KN NX,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPONENT FEM G- KN LT C,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPONENT FEM G- KN RT C,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,COMPONENT FEM GCK 1 LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT FEM GCK 2 LT T,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT FEM HIP LT SZ2,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPONENT FEM KN +6,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM KN 18MM,6022.0,6022.0,903.3,6022.0,30
HCPCS,C1776,COMPONENT FEM KN 3CM,32819.0,32819.0,4922.85,32819.0,30
HCPCS,C1776,COMPONENT FEM KN 4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT FEM KN 6,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,COMPONENT FEM KN 65MM,20936.0,20936.0,3140.4,20936.0,30
HCPCS,C1776,COMPONENT FEM KN 71X66MM,15352.0,15352.0,2302.8,15352.0,30
HCPCS,C1776,COMPONENT FEM KN CC,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,COMPONENT FEM KN CMNT 3,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1776,COMPONENT FEM KN LG,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT FEM KN LT,32332.0,32332.0,4849.8,32332.0,30
HCPCS,C1776,COMPONENT FEM KN LT 3,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,COMPONENT FEM KN LT CR 6,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT FEM KN LT SZ3,17220.0,17220.0,2583.0,17220.0,30
HCPCS,C1776,COMPONENT FEM KN LT SZ4,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,COMPONENT FEM KN LT SZ5,6644.0,6644.0,930.15,7087.0,60
HCPCS,C1776,COMPONENT FEM KN LT SZ5N,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,COMPONENT FEM KN LT SZ6,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,COMPONENT FEM KN LT SZ7,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM KN LT SZ8,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,COMPONENT FEM KN RT SZ10,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,COMPONENT FEM KN RT SZ11,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM KN RT SZ3,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPONENT FEM KN RT SZ5,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,COMPONENT FEM KN RT SZ5N,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM KN RT SZ6,7530.0,7530.0,996.6,8416.0,60
HCPCS,C1776,COMPONENT FEM KN RT SZ7,17394.0,17394.0,2609.1,17394.0,30
HCPCS,C1776,COMPONENT FEM KN RT SZ8,18310.0,18310.0,2746.5,18310.0,30
HCPCS,C1776,COMPONENT FEM KN RT SZ9,6704.0,6704.0,996.6,6764.0,60
HCPCS,C1776,COMPONENT FEM KN S1+L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPONENT FEM KN S4R,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPONENT FEM KN SIZE 3,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM KN SZ10,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,COMPONENT FEM KN SZ2,15993.0,15993.0,996.6,25342.0,60
HCPCS,C1776,COMPONENT FEM KN SZ3,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT FEM KN SZ6,6538.0,6538.0,946.8,6764.0,60
HCPCS,C1776,COMPONENT FEM KN SZ7,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,COMPONENT FEM KN SZF,35849.0,35849.0,5377.35,35849.0,30
HCPCS,C1776,COMPONENT FEM L SZ5+ SPH,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM LG 75X64MM,14592.0,14592.0,2188.8,14592.0,30
HCPCS,C1776,COMPONENT FEM LT KN 11,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM LT SZ2,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT FEM LT SZ3,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,COMPONENT FEM NONPO SZ2,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT FEM POST SZ3,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,COMPONENT FEM RT SZ3+,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPONENT FEM SPHERE SZ5,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPONENT FEM STD HIP,14665.0,14665.0,2199.75,14665.0,30
HCPCS,C1776,COMPONENT FEM SZ5,7397.0,7397.0,1109.55,7397.0,30
HCPCS,C1776,COMPONENT FEM SZ5 LT,17220.0,17220.0,2583.0,17220.0,30
HCPCS,C1776,COMPONENT FEM SZ6L,32259.0,32259.0,4838.85,32259.0,30
HCPCS,C1776,COMPONENT FEM SZ8 RT,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,COMPONENT FEM SZG NXGN,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPONENT FEMORAL AUG BL,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,COMPONENT FEMUR RT SZ6,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,COMPONENT GLND 38X4MM EQ,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,COMPONENT GLND 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPONENT HUM 0D +9,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,COMPONENT HUM 6MM 200MM,19243.0,19243.0,2886.45,19243.0,30
HCPCS,C1776,COMPONENT HUMERAL 52MM,6090.0,6090.0,913.5,6090.0,30
HCPCS,C1776,COMPONENT KN 8MM 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT KN FEM 4 RM/LL,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,COMPONENT KN FEM LT #11,12440.0,12440.0,1866.0,12440.0,30
HCPCS,C1776,COMPONENT KN FEM SZ6,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMPONENT KN PS LPS 85MM,7494.0,7494.0,1124.1,7494.0,30
HCPCS,C1776,COMPONENT KN PTLR 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT KN TIB 6-10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT PROXIMAL TIB,36925.0,36925.0,5538.75,36925.0,30
HCPCS,C1776,COMPONENT PTLR 30X7.0MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT PTLR 35X8MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,COMPONENT PTLR 38MM ITTL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT PTLR 38X9MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,COMPONENT PTLR KN 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT PTLR KN MED LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT PTLR LG CMNT 3,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT RADL RT WRST,17041.0,17041.0,2556.15,17041.0,30
HCPCS,C1776,COMPONENT SHLDR LT LG 8D,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,COMPONENT SHLDR REV 40MM,7601.0,7601.0,1140.15,7601.0,30
HCPCS,C1776,COMPONENT TIB 10MM PFC S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPONENT TIB 12.5MM PFC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPONENT TIB 3-14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,COMPONENT TIB 45X33.5MM,17933.0,17933.0,2689.95,17933.0,30
HCPCS,C1776,COMPONENT TIB 8MM PFC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPONENT TIB 8MM PFC SG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPONENT TIB CMNT SZ9,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,COMPONENT TIB KN 5X80MM,11668.0,11668.0,1750.2,11668.0,30
HCPCS,C1776,COMPONENT TIB KN CMNT #4,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPONENT TIB KN LT SZ1,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,COMPONENT TIB KN SZ3 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,COMPONENT TIB RT 5 STD,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,COMPONENT TIBPLT HINGE 6,17798.0,17798.0,2669.7,17798.0,30
HCPCS,C1776,COMPONENT TIBTRY 2 LT FX,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,COMPONENT TIBTRY 5 LT FX,8338.0,8338.0,1250.7,8338.0,30
HCPCS,C1776,COMPONENT TIBTRY 5 RT FX,8338.0,8338.0,1250.7,8338.0,30
HCPCS,C1776,COMPONENT TIBTRY FX 5L,18137.0,18137.0,2720.55,18137.0,30
HCPCS,C1776,COMPONENT TIBTRY FX 5R,18137.0,18137.0,2720.55,18137.0,30
HCPCS,C1776,COMPONENT TLR LT 6MM,15506.0,15506.0,2325.9,15506.0,30
HCPCS,C1776,COMPONENT ULN 155X4 RT,19277.0,19277.0,2891.55,19277.0,30
HCPCS,C1776,COMPONENT ULN 53X2.5 LT,18111.0,18111.0,2716.65,18111.0,30
HCPCS,C1776,COMPONENT ULN 75X4 RT,18137.0,18137.0,2720.55,18137.0,30
HCPCS,C1776,COMPONENT WRST CARPAL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COMPT FEM KN COATED #4,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPT FEM KN L 3,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,COMPT FEM KN L 4,25772.0,25772.0,3865.8,25772.0,30
HCPCS,C1776,COMPT FEM KN LT SZ11,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,COMPT FEM KN LT SZ3,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,COMPT FEM KN RT SZ7,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,COMPT FEM KN SZ11,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,COMPT FEM KN SZ4.5,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,COMPT FEM RT SZ3+,30394.0,30394.0,4559.1,30394.0,30
HCPCS,C1776,COMPT HIP FEM SZ0,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,COMPT KN TIB BASE SZ2,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,COMPT TIB BS CMNT SZ10,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,COMPT TIB TRAY KN CMNT,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CONE AUG KN RMLL C,12574.0,12574.0,1886.1,12574.0,30
HCPCS,C1776,CONE BDY HIP 23+20,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,CONE FEM 60MM ACS G STD,17606.0,17606.0,2640.9,17606.0,30
HCPCS,C1776,CONE FEM DIAPHYSL 30 LRG,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,CONE FEM HIP 20X27MM,13476.0,13476.0,2021.4,13476.0,30
HCPCS,C1776,CONE FEM HIP 50MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP 60MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP 80MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP B SZ60MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP BDY SZA 70,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP C 70MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP C STD 60MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP STD 70MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP SZA 80MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP SZB 70MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP SZC 70MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM HIP SZC 80MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,CONE FEM KN LG 32MM,13872.0,13872.0,2080.8,13872.0,30
HCPCS,C1776,CONE FEM KN LRG,13730.0,13730.0,2059.5,13730.0,30
HCPCS,C1776,CONE FEM KN LT 26MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,CONE FEM KN LT SZ1 SZ2,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,CONE FEM KN MED,13730.0,13730.0,2059.5,13730.0,30
HCPCS,C1776,CONE FEM KN MED 42MM,13872.0,13872.0,2080.8,13872.0,30
HCPCS,C1776,CONE FEM KN PROXIMAL,21180.0,21180.0,3177.0,21180.0,30
HCPCS,C1776,CONE FEM KN REV X LARGE,13730.0,13730.0,2059.5,13730.0,30
HCPCS,C1776,CONE FEM KN SM,13730.0,13730.0,2059.5,13730.0,30
HCPCS,C1776,CONE FEM KN SMALL,13730.0,13730.0,2059.5,13730.0,30
HCPCS,C1776,CONE FEM LG 42MM,17340.0,17340.0,2601.0,17340.0,30
HCPCS,C1776,CONE FEM M/L 60X41MM,21180.0,21180.0,3177.0,21180.0,30
HCPCS,C1776,CONE FEM TRIATH TRIT,17685.0,17685.0,2652.75,17685.0,30
HCPCS,C1776,CONE FEM XS/S 30X37MM,21180.0,21180.0,3177.0,21180.0,30
HCPCS,C1776,CONE FEMORAL 22 I.D. LE,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,CONE HALF KN 33X12X48MM,21180.0,21180.0,3177.0,21180.0,30
HCPCS,C1776,CONE KN 1/2 34.5X13X53MM,21180.0,21180.0,3177.0,21180.0,30
HCPCS,C1776,CONE KN AUG SMTR SZB,11757.0,11757.0,1763.55,11757.0,30
HCPCS,C1776,CONE KN FEM RT 30MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,CONE TIB 34.5X22X53MM,25888.0,25888.0,3883.2,25888.0,30
HCPCS,C1776,CONE TIB CENTRAL LG,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,CONE TIB KN 36X14X59MM,21180.0,21180.0,3177.0,21180.0,30
HCPCS,C1776,CONE TIB KN 36X26X29MM,26109.0,26109.0,3916.35,26109.0,30
HCPCS,C1776,CONE TIB KN AUG SZD,11757.0,11757.0,1763.55,11757.0,30
HCPCS,C1776,CONE TIB KN CENTER MED,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,CONE TIB KN FULL,26109.0,26109.0,3916.35,26109.0,30
HCPCS,C1776,CONE TIB KN LONG 20MM,12623.0,12623.0,1893.45,12623.0,30
HCPCS,C1776,CONE TIB KN MED,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,CONE TIB KN MTPHYSL 29MM,14350.0,14350.0,2152.5,14350.0,30
HCPCS,C1776,CONE TIB KN SHORT 18MM,11992.0,11992.0,1798.8,11992.0,30
HCPCS,C1776,CONE TIB KN SZ2,11162.0,11162.0,1674.3,11162.0,30
HCPCS,C1776,CONE TIB KN SZ22,12623.0,12623.0,1893.45,12623.0,30
HCPCS,C1776,CONE TIB KN SZLG 37.5MM,26109.0,26109.0,3916.35,26109.0,30
HCPCS,C1776,CONE TIB LG RT TRB6X36MM,10641.0,10641.0,1596.15,10641.0,30
HCPCS,C1776,CONE TIB PERI L SD MED,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,CONE TIBIAL LG,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,CONNECTION PC 80MM LT,12747.0,12747.0,1912.05,12747.0,30
HCPCS,C1776,CONNECTION SINGLE SZE,46505.0,46505.0,6975.75,46505.0,30
HCPCS,C1776,CONNECTOR JNT KN 1CM,11627.0,11627.0,1744.05,11627.0,60
HCPCS,C1776,CONNECTOR JNT KN 3CM,11627.0,11627.0,1744.05,11627.0,30
HCPCS,C1776,COUPLER FEM HIP LGN 2MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COUPLER FEM KN OFST 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,COUPLER FEM KN OFST 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CP ACTB MRTN +4 10 70MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CR-FLEX FEM CMPNT SZG,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,CUP ACET TRAB MTL OD62,11929.0,11929.0,1789.35,11929.0,30
HCPCS,C1776,CUP ACETABULAR 50MM,32775.0,32775.0,4916.25,32775.0,30
HCPCS,C1776,CUP ACETABULAR 52MM,32775.0,32775.0,4916.25,32775.0,30
HCPCS,C1776,CUP ACETB 56/50 DPPRO RV,7032.0,7032.0,1054.8,7032.0,30
HCPCS,C1776,CUP ACETB PINNACLE MARAT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACETB TRBCLR MTL 66M,10595.0,10595.0,1589.25,10595.0,30
HCPCS,C1776,CUP ACTB +4 44X64,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACTB +4 44X68,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACTB +4 S 64X44,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACTB +4 S 66X44,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACTB 3-TANIUM 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 38MM PNCL BNTM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 3H 48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 3H 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 3H 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 3H 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 40MM PNCL BNTM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 48MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,CUP ACTB 48MM NVATN CRWN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 49MM 32MM 10D,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACTB 49MM 32MM STD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACTB 50 PNCL GRPTN 1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 50MM ASR TPRD,16005.0,16005.0,2400.75,16005.0,30
HCPCS,C1776,CUP ACTB 50MM NVATN CRWN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 51MM 32MM 10D,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACTB 52 PNCL GRPTN 1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 52MM G2 INTEGRI,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 54MM G2 INTEGRI,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 54MM PNCL GRPTN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 54MM TPR ASR XL,16485.0,16485.0,2472.75,16485.0,30
HCPCS,C1776,CUP ACTB 56MM ASR TPRD,16485.0,16485.0,2472.75,16485.0,30
HCPCS,C1776,CUP ACTB 56MM PNCL DPR,8932.0,8932.0,1339.8,8932.0,30
HCPCS,C1776,CUP ACTB 56MM PNCL REV,7032.0,7032.0,1054.8,7032.0,30
HCPCS,C1776,CUP ACTB 58 DPPRO RVSN,7032.0,7032.0,1054.8,7032.0,30
HCPCS,C1776,CUP ACTB 58MM 25MM MLHD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 58MM ASR TPRD,16005.0,16005.0,2400.75,16005.0,30
HCPCS,C1776,CUP ACTB 58MM NVATN CRWN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 58X52MM,8491.0,8491.0,1273.65,8491.0,30
HCPCS,C1776,CUP ACTB 60 PNCL GRPTN 1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 60MM 25MM MLHD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 60MM ASR XL,16005.0,16005.0,2400.75,16005.0,30
HCPCS,C1776,CUP ACTB 60MM CRWN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 60MM G4 INTEGRI,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB 60MM PNCL REV G,8491.0,8491.0,1273.65,8491.0,30
HCPCS,C1776,CUP ACTB 62MM 3FLNG LT,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB 62MM TPR STM,16005.0,16005.0,2400.75,16005.0,30
HCPCS,C1776,CUP ACTB 65MM RT,51377.0,51377.0,7706.55,51377.0,30
HCPCS,C1776,CUP ACTB 66MM 3 FLNG RT,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB 66MM 3FLNG RT,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB 66MM CSTM LT,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB 66MM FLNGE LT,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB 66MM TRIFLNG RT,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB CLSTR GR6 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB CMNTLS LT 48MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB CRWN 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB CRWN 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB CRWN 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB CRWN G3 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB DOME 56MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CUP ACTB DOME 70MM,7283.0,7283.0,1092.45,7283.0,30
HCPCS,C1776,CUP ACTB G SER 3H 64MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HAP 58X52MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,CUP ACTB HIP 0D 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP 28MM 46MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CUP ACTB HIP 28MM 47MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CUP ACTB HIP 28X48MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CUP ACTB HIP 28X49MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CUP ACTB HIP 3H 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP 42X32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP 43MM 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP ACTB HIP 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP 48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP 48MM 54MM,8932.0,8932.0,1339.8,8932.0,30
HCPCS,C1776,CUP ACTB HIP 50MM,11929.0,11929.0,1789.35,11929.0,30
HCPCS,C1776,CUP ACTB HIP 52MM,6953.5,6953.5,690.9,9301.0,60
HCPCS,C1776,CUP ACTB HIP 54MM,8491.0,8491.0,1273.65,8491.0,30
HCPCS,C1776,CUP ACTB HIP 60MM,24337.5,24337.5,690.9,44069.0,60
HCPCS,C1776,CUP ACTB HIP 64MM,7283.0,7283.0,1092.45,7283.0,30
HCPCS,C1776,CUP ACTB HIP 66/68/70MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,CUP ACTB HIP 66MM,8932.0,8932.0,1339.8,8932.0,30
HCPCS,C1776,CUP ACTB HIP 68MM,7567.5,7567.5,996.6,8491.0,60
HCPCS,C1776,CUP ACTB HIP 68X62MM,8932.0,8932.0,1339.8,8932.0,30
HCPCS,C1776,CUP ACTB HIP 70MM,8491.0,8491.0,1273.65,8491.0,30
HCPCS,C1776,CUP ACTB HIP CLSTR G7 58,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP DOME 52MM,7283.0,7283.0,1092.45,7283.0,30
HCPCS,C1776,CUP ACTB HIP DOME 58MM,7283.0,7283.0,1092.45,7283.0,30
HCPCS,C1776,CUP ACTB HIP G-SER 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP G4 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP GRP 8 SZ64,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP HH 54MM,7283.0,7283.0,1092.45,7283.0,30
HCPCS,C1776,CUP ACTB HIP LT 52MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP LT 54MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP LT 56MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP LT 60MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP LT 64MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP LT 66MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP MLH 50MM,7283.0,7283.0,1092.45,7283.0,30
HCPCS,C1776,CUP ACTB HIP PLVS 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP PNCL 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP PNCL 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB HIP PNCL 64,8932.0,8932.0,1339.8,8932.0,30
HCPCS,C1776,CUP ACTB HIP REV 70MM,8932.0,8932.0,1339.8,8932.0,30
HCPCS,C1776,CUP ACTB HIP RT 52MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP RT 56MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP RT 60MM,43072.5,43072.5,6311.4,44069.0,120
HCPCS,C1776,CUP ACTB HIP RT 64MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP RT 66MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB HIP TRFL LT58MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB KN RT 49MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB METAL 58MM,7744.0,7744.0,1161.6,7744.0,30
HCPCS,C1776,CUP ACTB MODULAR 60MM,7744.0,7744.0,1161.6,7744.0,30
HCPCS,C1776,CUP ACTB OD45 ASR HIP,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,CUP ACTB PNCL 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB PNCL GRPTN 48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB PNCL MLTH2 54,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB RIGHT PNCL 62MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB SECT 2 PNCL 62,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB SECT 2 PNCL 64,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB SECT 2 PNCL 66,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP ACTB TRFL HIP LT62MM,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB TRFLNG 66MM RT,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB TRFLNG LFT 66MM,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB TRFLNG LT 54MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRFLNG LT 62MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRI HIP LT 56MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRI HIP LT52MM,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB TRI HIP RT 52MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFL HIP LT8MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG 62MM LT,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG 66MM RT,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB TRIFLNG HIP64MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG HIP66MM,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP ACTB TRIFLNG LT 60MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG LT 62MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG LT 64MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG LT SZ56,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG RT 54MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG RT 56MM,110606.5,110606.5,6610.35,177144.0,120
HCPCS,C1776,CUP ACTB TRIFLNG RT 58MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTB TRIFLNG RT 66MM,40969.0,40969.0,6012.45,44069.0,90
HCPCS,C1776,CUP ACTBL TRI-FL RT 58MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTG TRIFLNG LT 50MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTG TRIFLNG LT 52MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTG TRIFLNG LT 60MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTG TRIFLNG LT 66MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ACTG TRIFLNG RT 66MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP ALT MULTI G7 SZ56,8969.0,8969.0,1345.35,8969.0,30
HCPCS,C1776,CUP BIP ACTBHIP 9.8X57MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,CUP FEM 54MM 28MM OBLNG,16234.0,16234.0,2435.1,16234.0,30
HCPCS,C1776,CUP FEM KNEE LT FLX,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,CUP HIM REV 42MM LT +2MM,7685.0,7685.0,1152.75,7685.0,30
HCPCS,C1776,CUP HIP ACTB MLH 62MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,CUP HIP RT 62-64X54MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,CUP HIP TRIFLNG SZ56,59792.0,59792.0,8968.8,59792.0,30
HCPCS,C1776,CUP HUM 135/145D 36 +3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM 135/145D 36 +6,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,CUP HUM 135/145D 36 +9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM 38MM +3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM REV 4X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM REV SHLDR 33MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CUP HUM SHLDR 10X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 135/145D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 145D +9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 145D SZ+3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 2MM 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 32MM +3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 32MM +6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 32X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 36MM +3MM,5458.0,5458.0,818.7,5458.0,30
HCPCS,C1776,CUP HUM SHLDR 36MM +6MM,5248.0,5248.0,787.2,5248.0,60
HCPCS,C1776,CUP HUM SHLDR 36MM 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 36X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR 39MM +2MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CUP HUM SHLDR LT +2 36MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CUP HUM SHLDR LT +2 39MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CUP HUM SHLDR LT 33MM +2,7906.0,7906.0,1185.9,7906.0,30
HCPCS,C1776,CUP HUM SHLDR PE +6 38MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR PE/TA6V,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR REV 32X2MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR REV 32X4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR REV 36MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CUP HUM SHLDR REV 36X2MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUM SHLDR RT +2 36MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CUP HUM SHLDR UNIV 39MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CUP HUMERAL 36 +3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP HUMERAL 36 +9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP LNR SHLDR +0S .548IN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,CUP MULTI G7 SZ54,8969.0,8969.0,1345.35,8969.0,30
HCPCS,C1776,CUP PLVC ACTB HIP 48MM,8323.0,8323.0,1248.45,8323.0,30
HCPCS,C1776,CUP PNCL NTRL 520DX28ID4,20027.0,20027.0,3004.05,20027.0,30
HCPCS,C1776,CUP REV SHD +3 36 SZ1/2,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,CUP SHLDR 38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,CUP SHLDR 3MM SZ1/2 36MM,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,CUP SHLDR 3MM SZ3/4 42MM,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,CUP SHLDR SUT 33MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,CUP SHLDR SZ1/2 +3X36MM,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,CUP SHLDR SZ3/4 42MM,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,CUP THUMB CONICAL 9MM,16600.0,16600.0,2490.0,16600.0,30
HCPCS,C1776,CUP TM MODULAR 48MM MULT,11929.0,11929.0,1789.35,11929.0,30
HCPCS,C1776,CUP TRIFLNG ACETB LT66MM,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP TRIFLNG ACTB 66MM RT,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP TRIFLNG ACTB LT 56MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP TRIFLNG ACTB RT 62MM,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP TRIFLNG ACTB RT 64MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP TRIFLNG ACTB RT 66MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,CUP TRIFLNG ACTB66MM LFT,40969.0,40969.0,6145.35,40969.0,30
HCPCS,C1776,CUP TRILOGY MH 48 MM,7002.0,7002.0,1050.3,7002.0,30
HCPCS,C1776,CUP TRILOGY NON H 70 MM,6219.0,6219.0,932.85,6219.0,30
HCPCS,C1776,DEVICE PROS MDL KN UNCMP,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1776,DISC ULNA RT BRNG 3X75MM,16917.0,16917.0,2537.55,16917.0,30
HCPCS,C1776,DOME PAT KN 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,DOME PTELA 38 OVL 3PEG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,DOME PTL KN 5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,DOME PTLR KN 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,DOME TALAR STD SZ4,27903.0,27903.0,4185.45,27903.0,60
HCPCS,C1776,ENDCAP STEM KN UNIV,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,ENDCAP TIB KN 20MM,13708.0,13708.0,2056.2,13708.0,30
HCPCS,C1776,EVOLUTION MP CS INSERT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EVOLUTION REV TIB HALF A,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EVOLUTIONMP FEM CS/CR NO,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,EXT KN FEM 140MM,8863.0,8863.0,1329.45,8863.0,30
HCPCS,C1776,EXT STM 245MM 200MM 16MM,8535.0,8535.0,1280.25,8535.0,30
HCPCS,C1776,EXTEN STEM KN 12MM 190MM,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,EXTENSION 12MM X 65MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EXTENSION 14MM X 65MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,EXTENSION 19X100 KSP1810,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EXTENSION FEM HIP 50MM,8726.0,8726.0,1308.9,8726.0,30
HCPCS,C1776,EXTENSION GLOBAL MRS 60M,8726.0,8726.0,1308.9,8726.0,30
HCPCS,C1776,EXTENSION GLOBAL MRS 70M,8726.0,8726.0,1308.9,8726.0,30
HCPCS,C1776,EXTENSION POST 14MM,558.0,558.0,83.7,558.0,30
HCPCS,C1776,EXTENSION STM 100MM 17MM,4429.0,4429.0,637.8,4606.0,60
HCPCS,C1776,EXTENSION STM 10MM 130MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EXTENSION STM 11MM 130MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EXTENSION STM 120MM 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTENSION STM 125MM 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTENSION STM 150MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTENSION STM 15MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EXTENSION STM 175X14.5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTENSION STM 17MM 130MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EXTENSION STM 17MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EXTENSION STM 90MM 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTENSION STM KN 80MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTENSION STM PRECT 5 T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTENSION STM TIV L130MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,EXTENSN STM 100MM 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTENSN STM 115MM 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,EXTNSN STM FLUT MBL TIB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,FEM 1.5 LT CR NPOR,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,FEM AUGMENT SL LAT 25MM,5718.0,5718.0,857.7,5718.0,30
HCPCS,C1776,FEM CR SZD LT,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,FEM CR SZG LT,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,FEM CR SZG RT,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,FEM FLEX POR SZC LT N12,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,FEM HD COCR 32 +0,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,FEM HIP REV CTD 20X40MM,21315.0,21315.0,3197.25,21315.0,30
HCPCS,C1776,FEM NEXGEN SZE LT NEG,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,FEM NEXGEN SZG LT NEG,17514.0,17514.0,2627.1,17514.0,30
HCPCS,C1776,FEM NP BCS SZ4 LT,12269.0,12269.0,1840.35,12269.0,30
HCPCS,C1776,FEM NP BCS SZ5 LT,14726.0,14726.0,2208.9,14726.0,30
HCPCS,C1776,FEM NP BCS SZ6 RT,23412.0,23412.0,3511.8,23412.0,30
HCPCS,C1776,FEM NP BCS SZ7 LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,FEM NP BCS SZ8 RT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,FEM NP BCS SZ9 LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,FEM PFC SGM 63X59 2.5 RT,14578.0,14578.0,2186.7,14578.0,30
HCPCS,C1776,FEM PFC SGM 66X61 3 RT,15016.0,15016.0,2252.4,15016.0,30
HCPCS,C1776,FEM POR E NG LPSFLX GSF,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,FEM POR F NG LPSFLX LT K,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,FEM POR F NG LPSFLX RT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,FEM POR G NG LPSFLX LT K,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,FEM SIZE 4 LFT EVOL REV,14306.0,14306.0,2145.9,14306.0,30
HCPCS,C1776,FEM UNI MED-LT/LAT RT 52,8150.0,8150.0,1222.5,8150.0,30
HCPCS,C1776,FEMORAL BODY POROUS CALC,14616.0,14616.0,2192.4,14616.0,30
HCPCS,C1776,FEMORAL HEAD 26MM 12/14,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,FEMRL IMPLT CMNTD F5LN-C,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,FLEX HUM SHLDR +6MM 0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,FM CRM LNGE -3.5 OD28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,FNGR IMP 20 NFLX METACRP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,GLENOID HUM PEG E SZ50,5071.0,5071.0,760.65,5071.0,30
HCPCS,C1776,GLENOID HUM SHLDR E SZ42,5071.0,5071.0,760.65,5071.0,30
HCPCS,C1776,GLENOID PEG AFFINITI 56,6187.0,6187.0,928.05,6187.0,30
HCPCS,C1776,GLENOID PEG SHLDR 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,GLENOID PEG SMALL SHLDR,4869.0,4869.0,730.35,4869.0,30
HCPCS,C1776,GLENOID SHD PEG SZ-M40,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,GLENOID SHLDR 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,GLENOID SHLDR 4 PEG SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,GLENOID SHLDR 4PG SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,GLENOID SPHERE 42X27MM,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1776,GLENOID UNV SHLDR SZLG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,GLENOSPHERE 36MM LATERAL,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,GLENOSPHERE EXT LCK 38MM,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,GLENOSPHERE RVRS 36MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,GLENOSPHERE SHLDR 36MM,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,GLENOSPHERE SHLDR 38MM,6865.0,6865.0,1029.75,6865.0,90
HCPCS,C1776,GLENOSPHERE SHLDR 40MM,5647.0,5647.0,847.05,5647.0,30
HCPCS,C1776,GLENOSPHERE SHLDR 42MM,13951.5,13951.5,1096.2,20595.0,60
HCPCS,C1776,GLENOSPHERE SHLDR CUSTM,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,GLND AUG SHLDR 15D SZXL,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,GLND SPHERE SHLDR 39MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,GLND SPHR 27MM X 36MM,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1776,GLNSPHR HEAD SHLDR +3X36,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,GLNSPHR HEAD SHLDR 36MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,GLNSPHR HUM SHLDR 36+8MM,5271.0,5271.0,790.65,5271.0,30
HCPCS,C1776,GLNSPHR LAT SHLDR 3X42MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,GLNSPHR SHLDR +4MM 38MM,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,GLNSPHR SHLDR 10D 32MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,GLNSPHR SHLDR 2MM 40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,GLNSPHR SHLDR LAT 40MM,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,GRIP TROCH 5CBL SM 115MM,4767.0,4767.0,715.05,4767.0,30
HCPCS,C1776,HD FEM 14 16 OXI TPR 32,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HD FEM 40MM ART/EZE +1.5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HD FEM HIP 14/16 8X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HD FEM LFIT MRS +5X32M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HD FEM P.F.C. OD32 +5,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HD FEM PCA 36 MM -3MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HD FEM PFC +10 28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HD FM -2 12/14 44 ART/EZ,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HD FM 1/13 +6X44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HD FM CCR +1.5 12/14 44,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HD HUM SHLDR 21MM 52MM,5491.0,5491.0,823.65,5491.0,30
HCPCS,C1776,HD HUM SHLDR 30MM 46MM,5072.0,5072.0,760.8,5072.0,30
HCPCS,C1776,HD UNIPLR 44MM FEM HIP,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD ACTB HIP 44MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD ACTB HIP 46MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD ADPTR FEM OFST+2/-2,2977.0,2977.0,446.55,2977.0,30
HCPCS,C1776,HEAD ADPTR OFST HIP 2MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD ADPTR OFST HIP 4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD ADPTR OFST HIP 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD ASPHERE M +5X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD BALL FEM HIP 60MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BALL HIP 0D 45MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIB HIP 48MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP 42MM 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP 63MM 28MM SLFCN,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP 64MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP 65MM 28MM SLFCN,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP 68MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP 72MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP FEM HIP 53MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 28MM +16MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 28MM 50MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 28MM 54MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 43X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 44X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 47MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 48MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 51X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD BIP HIP 52MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD C-TAPER 36X2.5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD CALCAR REPLACEMENT,36695.0,36695.0,5504.25,36695.0,30
HCPCS,C1776,HEAD CERAMIC FEMORAL SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD CERAMIC FEMORAL TAP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD CERAMIC HIP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD CERAMIC MD 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD CERM HIP 40X1.5 12,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD ECCNTRC SHLDR 16X42,5679.0,5679.0,851.85,5679.0,30
HCPCS,C1776,HEAD ELBW RAD 22MM,5860.0,5860.0,879.0,5860.0,30
HCPCS,C1776,HEAD FEM +0MM 12/14 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM +0MM 12/14 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM +0MM OFST 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM +1.5 12/14 44 T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM +1.5MM 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM +15MM 36MM OFST,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM +3 36MM BIOLOX,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM +3.5MM 12/14 28,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM +3.5MM 12/14 32,6917.0,6917.0,1037.55,6917.0,30
HCPCS,C1776,HEAD FEM +3.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM +3.5X40MM 12/14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM +3MM 28MM HIP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM +5MM 10/12 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM +6MM 28MM HIP C,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM +6MM 40MM HIP S,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM +7MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,HEAD FEM +7MM 12/14 32MM,4340.5,4340.5,637.8,4429.0,60
HCPCS,C1776,HEAD FEM +8.5MM 12/14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM -2MM 12/14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM -2MM 12/14 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM -3.5MM 12/14 36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM -3.5MM 32MM HIP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM -3.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM -3.5MM SHRT 32M,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM -3/5MM 12/14 32,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM 0 HIP COCR 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM 11/13 +6 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM 11/13 TPR 22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM 12/14 +10.5 36M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM 12/14 +3.5 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM 12/14 -3.5X36,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM 12/14 22.2MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM 12/14 3.5X26MM,6143.0,6143.0,921.45,6143.0,30
HCPCS,C1776,HEAD FEM 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM 12/14 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM 12/14 STD HIP C,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM 12/14TAPER L-3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM 28MM +8.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM 3.5MM 12/14 TFR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM 32 OD ALMN CTPR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM 32MM +7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM 32MM HIP OPTN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM 32MM LNG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM 36MM 5MM MOM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM 42MM HIP BCH CN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM ALUM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM ARCOMXL +6 OD32,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM ARCOMXL +6 OD36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM ARCOMXL -3 OD32,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM BIOLOX DELTA,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM BIOLX 12/14-28L,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM BIP 44MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM BLX D +7.5X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM BLX D LG 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM CER SH 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM CERM +1.5X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM CERM -3 DLT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM CERM HIP+3.5X36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM CERM LG 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM CERM LG 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM CERM LG 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM CERM MED 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM CERM MED 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM CERM SZSM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM COCR +3MM 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM COCR -2.7X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM COCR -3MM 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM COCR 12/14 32MM,5641.0,5641.0,846.15,5641.0,30
HCPCS,C1776,HEAD FEM COCR 6TPR 7X32,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM CUP HIP 28 56M,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +0 12/14 36,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +0 28MM,4340.5,4340.5,637.8,4429.0,60
HCPCS,C1776,HEAD FEM HIP +0 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +0MM 12/14,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +0MM 28MM,4340.5,4340.5,637.8,4429.0,60
HCPCS,C1776,HEAD FEM HIP +0MM 32MM,4429.0,4429.0,637.8,4606.0,90
HCPCS,C1776,HEAD FEM HIP +0MM 36MM,4606.0,4606.0,637.8,6710.0,120
HCPCS,C1776,HEAD FEM HIP +0MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +0X12/14X28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +0X22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +0X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +0X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +1 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +1.5 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +1.5 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +1.5X28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +1.5X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +10 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +10 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +10 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +10MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +10MM 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +10MM 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +12MM 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +12S 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +12X40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +12X44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +13 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +15.5X40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +15MM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +16MM 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +2.5MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +2.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +3.5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +3.5MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +3.5MM 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +3.5MM 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +3.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +3.5X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +3.5X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +3M 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +3MM 12/14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +3MM 22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +3MM 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +3X12/14X22,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +3X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +4 28MM,4340.5,4340.5,637.8,4429.0,60
HCPCS,C1776,HEAD FEM HIP +4MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +4MM 32MM,4252.0,4252.0,175.5,4429.0,90
HCPCS,C1776,HEAD FEM HIP +4MM 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +4MM 44MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +4X12/14X22,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +5 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +5D 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +5MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +5MM 32MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,HEAD FEM HIP +5MM 36MM,4429.0,4429.0,637.8,4606.0,120
HCPCS,C1776,HEAD FEM HIP +5NN 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +6 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +6MM,5820.0,5820.0,873.0,5820.0,30
HCPCS,C1776,HEAD FEM HIP +6MM 11/13,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +6MM 12/14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +6MM 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +6MM 36MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,HEAD FEM HIP +7 22.225MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +7.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +7MM 28MM,4340.5,4340.5,637.8,4429.0,90
HCPCS,C1776,HEAD FEM HIP +7MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +7MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +7X12/14X32,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +8 12/14 32,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +8 12/14X22,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +8.5 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +8.5MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +8.5MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +8.5X40MM,4340.5,4340.5,637.8,4429.0,60
HCPCS,C1776,HEAD FEM HIP +8MM 22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +8MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +8MM 32MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,HEAD FEM HIP +8MM 36MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,HEAD FEM HIP +8MM 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP +8X12/14X28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +8X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +9 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP +9 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP +9X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP -2MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP -3 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP -3.0MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP -3.5/36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP -3.5MM 28MM,12707.0,12707.0,1906.05,12707.0,30
HCPCS,C1776,HEAD FEM HIP -3.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP -3.5X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP -3MM 36MM,4429.0,4429.0,637.8,4606.0,60
HCPCS,C1776,HEAD FEM HIP -3X40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP -4 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP -4MM 28MM,4340.5,4340.5,637.8,4429.0,60
HCPCS,C1776,HEAD FEM HIP -4MM 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP -5MM 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP -6MM 12/14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP 0D 28X44MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 0D 28X48MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 0MM 12/14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 0MM 22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 0MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 0X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 1 +3MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 10MM 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 11/13 +0MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 11/13 +12MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,HEAD FEM HIP 11/13 +3MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 11/13 +6X36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP 11/13 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 11/13 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 11/13 36MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,HEAD FEM HIP 11/13 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 12-14 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 12.0MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 +4X36,5100.0,5100.0,765.0,5100.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 +8 28,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 +9MM,5213.0,5213.0,690.9,5820.0,60
HCPCS,C1776,HEAD FEM HIP 12/14 -3 28,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 -3X36,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 -6MM,5820.0,5820.0,873.0,5820.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 28MM,4340.5,4340.5,637.8,4429.0,180
HCPCS,C1776,HEAD FEM HIP 12/14 32MM,4517.5,4517.5,664.35,4606.0,150
HCPCS,C1776,HEAD FEM HIP 12/14 36MM,4606.0,4606.0,664.35,5820.0,180
HCPCS,C1776,HEAD FEM HIP 12/14 3MM,5820.0,5820.0,873.0,5820.0,30
HCPCS,C1776,HEAD FEM HIP 12/14 40MM,4340.5,4340.5,637.8,4429.0,90
HCPCS,C1776,HEAD FEM HIP 12/14+12X36,4340.5,4340.5,637.8,4429.0,60
HCPCS,C1776,HEAD FEM HIP 12/14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 12/14T 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 12/14X46MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 135D 35MM,16526.0,16526.0,2478.9,16526.0,30
HCPCS,C1776,HEAD FEM HIP 14/16 +8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 14/16 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP 16/18 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 18X32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP 2.5MM 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP 2.5MM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP 22.2 +3MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 26X49MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM,4340.5,4340.5,637.8,4429.0,240
HCPCS,C1776,HEAD FEM HIP 28MM +1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 28MM +12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 28MM +5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM -3.5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 43MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,HEAD FEM HIP 28MM 45MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 47MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 50MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 51MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 52MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 55MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 57MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM 59MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28MM SZM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 28X45MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28X53MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 28X55MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 2D 0MM 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 3.5MM 28MM,5233.0,5233.0,664.35,6037.0,60
HCPCS,C1776,HEAD FEM HIP 3.5X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 32+10.5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 32-3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 32MM,4517.5,4517.5,637.8,4607.0,270
HCPCS,C1776,HEAD FEM HIP 32MM 99MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 36-3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 36MM,4429.0,4429.0,637.8,4606.0,480
HCPCS,C1776,HEAD FEM HIP 36MM +6MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 36X+15.5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 3MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 3MM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 40MM,4340.5,4340.5,637.8,4429.0,240
HCPCS,C1776,HEAD FEM HIP 40MM +3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP 40MM +4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 40MM +5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 40MM 1-6MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 43MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,HEAD FEM HIP 44MM,4429.0,4429.0,637.8,4606.0,90
HCPCS,C1776,HEAD FEM HIP 45MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 45X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 46MMX+5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 47MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 48MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 49MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,HEAD FEM HIP 49MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 50MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,HEAD FEM HIP 52MM,14306.0,14306.0,637.8,24360.0,90
HCPCS,C1776,HEAD FEM HIP 53MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 54MM,4270.0,4270.0,637.8,4288.0,90
HCPCS,C1776,HEAD FEM HIP 55MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,HEAD FEM HIP 5MM 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 5MM 36MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,HEAD FEM HIP 5X22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 61MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 663-00-28C,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP 6D + 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 6D +3.5MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,HEAD FEM HIP 6D 0MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,HEAD FEM HIP 6D 28X14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 6D MED 7X28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 6DD OD36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 7.5MM 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 7X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP 8.5MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP 9X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP ADPT +7MM,4066.0,4066.0,609.9,4066.0,30
HCPCS,C1776,HEAD FEM HIP BALL 56MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP BALL+5X41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP BIOLOX 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP BIP 22X40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP BIP 28X46MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP BIP 28X47MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP BIP 54MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP CERM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP CTAPR 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP CTPR +0X36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP CTPR-2.5X32,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP CUP 28X53MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP DL MBL 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP LG +8X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP MED 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP MOD 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP OFFST5X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP OFST 5X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP REV +7X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP SM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP STD 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP SZ-4 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP SZ12/1 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP SZ12/14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP SZ12/14 36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP SZ12/14+1MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP SZ3 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP SZ40/+7 XL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP SZ48MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP SZM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP SZM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP SZSM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP TAPER 12/14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP TYPE1 +9MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP UNIPLR 52MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP UNIV 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP XL 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM HIP ZRCN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP+10X12/14X28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP+11MM 14/16,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HIP-3MM 12/14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM HIP12/14 0X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM HP 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM LFIT V40 44MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM M2A -6X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM MED 54MM,10409.0,10409.0,1561.35,10409.0,30
HCPCS,C1776,HEAD FEM METAL ON METAL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM OD32 BIOLUX-DEL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FEM OPTN TYPE1 +6MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,HEAD FEM OXI 14 16 TPR 3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM PLUS12 SPC 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM R3 DELTA 32 +4,20175.0,20175.0,3026.25,20175.0,30
HCPCS,C1776,HEAD FEM RESURGAC 46MM,22588.0,22588.0,3388.2,22588.0,30
HCPCS,C1776,HEAD FEM SHORT 6 TAPER,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM SROM 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM SROM 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM SZT 54MM,6228.0,6228.0,934.2,6228.0,30
HCPCS,C1776,HEAD FEM UNIPLR HIP 43MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM VERSYS 32 +0,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM ZIRMC 32X3.5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM+0MM12/14SM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM+15.5MM 12/14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEM+15.5X12/14X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEM+3MM 11/13 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEMORAL 00801802801,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEMORAL 00801804002,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEMORAL 00801804004,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEMORAL 50MM BHR,22588.0,22588.0,3388.2,22588.0,30
HCPCS,C1776,HEAD FEMORAL CERAMIC O28,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FEMORAL VERSYS 22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEMORAL VERSYS 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FEMRL UNI ASR SZ41,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD FM +0X36MM SROM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FM +3 28 SROM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FM 32 +12 CBLT/CR,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FM CRM HIP 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FM HIP 12/14X-2X40,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD FM HIP CCR+1.5X40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD FM ZRCN +0 12.14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD GLND +4MM 39MM,5537.0,5537.0,830.55,5537.0,60
HCPCS,C1776,HEAD GLND 36MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,HEAD GLND 42MM +4MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,HEAD GLND SHLDR 33MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD GLND SHLDR 39MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD GLND SHLDR STD 39MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,HEAD HEMI 46MM,16277.0,16277.0,2441.55,16277.0,30
HCPCS,C1776,HEAD HIP +0MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP +0MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP +0X26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP +12 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP +12MM 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP +4MM 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP +4MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP +5 12/14 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP +5MM 12/14 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP +8MM 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP -2.5X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP -3MM 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP -4MM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP -5MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 12/14 +0X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 12/14 +12X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 12/14 +5 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 12/14 +9 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 12/14 22.225MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 12/14 32X-3MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 12/14 40MM +12,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 14/16 +8 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HIP 26MM 43MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 28MM 39MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 28MM 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 28MM 42MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 28MM 46MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 28MM 56MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 3.5D SZ-LG 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 36MM +12 12/14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 36MM 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 36MM 48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP 41MM 26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 44MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 45MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 49MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 50MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 51MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 53MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP 58MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP ART/EZE-3 12/14,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,HEAD HIP BALL 47MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP BIP UHR 36X22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP CERC SZ0 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP CERM SZS 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP COCR +3.5 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP CTAP 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HIP D +4X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP FEM +3.5MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM +3X28 11/13,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM 0D M 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP FEM 11/13 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM 36MM +1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP FEM SZ40,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 42MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 45MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 46MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 47MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 48MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 49MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 50MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 51MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 53MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 56MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 58MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP FEM UNIPLR 61MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP SH 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP SHRT 36MM,13962.0,13962.0,2094.3,13962.0,30
HCPCS,C1776,HEAD HIP SZ12/14 -2X22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP SZL 3.5D 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HIP TPR 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NCK+3X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NCK-6X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NK+3X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NK+6X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NK-3X22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NK-3X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NK-5X22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NK-6X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR NSK+6X32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR STD 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR STD NK 22MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP TPR STD NK 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP V40 LFIT 9-144,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP+12MM 11/13 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HIP+12MM 12/14 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD HOWMD C-TAPER 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM 12MM 40MM,6529.0,6529.0,979.35,6529.0,30
HCPCS,C1776,HEAD HUM 130MM 14MM,15729.0,15729.0,2359.35,15729.0,30
HCPCS,C1776,HEAD HUM 15MM 40MM,5801.0,5801.0,788.55,6345.0,60
HCPCS,C1776,HEAD HUM 15MM 44MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,HEAD HUM 15MM 44MM SHLDR,5838.0,5838.0,875.7,5838.0,30
HCPCS,C1776,HEAD HUM 15MM 45MM,6529.0,6529.0,979.35,6529.0,30
HCPCS,C1776,HEAD HUM 15MM 46MM,5491.0,5491.0,823.65,5491.0,30
HCPCS,C1776,HEAD HUM 15MM 48MM,5257.0,5257.0,788.55,5257.0,30
HCPCS,C1776,HEAD HUM 15MM 48MM SHLDR,5944.0,5944.0,891.6,5944.0,30
HCPCS,C1776,HEAD HUM 15MM 56MM,5257.0,5257.0,788.55,5257.0,30
HCPCS,C1776,HEAD HUM 16MM 40MM SHLDR,22181.0,22181.0,3327.15,22181.0,30
HCPCS,C1776,HEAD HUM 17X46MM,9661.0,9661.0,1449.15,9661.0,30
HCPCS,C1776,HEAD HUM 18MM 40MM,6574.5,6574.5,850.05,7482.0,60
HCPCS,C1776,HEAD HUM 18MM 44MM,5910.0,5910.0,788.55,7782.0,90
HCPCS,C1776,HEAD HUM 18MM 44MM SHLDR,5944.0,5944.0,891.6,5944.0,30
HCPCS,C1776,HEAD HUM 18MM 48MM,6201.0,6201.0,863.7,7866.0,90
HCPCS,C1776,HEAD HUM 18MM 52MM,5979.5,5979.5,863.7,6201.0,90
HCPCS,C1776,HEAD HUM 18MM 52MM SHLDR,5944.0,5944.0,891.6,5944.0,30
HCPCS,C1776,HEAD HUM 18MM 54MM SHLDR,5358.0,5358.0,803.7,5358.0,30
HCPCS,C1776,HEAD HUM 18MM 56MM,5910.0,5910.0,788.55,7482.0,90
HCPCS,C1776,HEAD HUM 18MM 56MM SHLDR,5944.0,5944.0,891.6,5944.0,30
HCPCS,C1776,HEAD HUM 19MM 52MM,4872.0,4872.0,730.8,4872.0,60
HCPCS,C1776,HEAD HUM 20MM 42MM SHLDR,7132.0,7132.0,1069.8,7132.0,30
HCPCS,C1776,HEAD HUM 20MM 52MM SHLDR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM 21MM 44MM,5894.0,5894.0,884.1,5894.0,30
HCPCS,C1776,HEAD HUM 21MM 44MM SHLDR,5944.0,5944.0,891.6,5944.0,30
HCPCS,C1776,HEAD HUM 21MM 45MM,6116.0,6116.0,917.4,6116.0,30
HCPCS,C1776,HEAD HUM 21MM 48MM,5583.5,5583.5,788.55,5910.0,60
HCPCS,C1776,HEAD HUM 21MM 52MM,5257.0,5257.0,730.8,6201.0,90
HCPCS,C1776,HEAD HUM 21MM 56MM,5583.5,5583.5,788.55,5910.0,60
HCPCS,C1776,HEAD HUM 21MM 56MM SHLDR,5944.0,5944.0,891.6,5944.0,30
HCPCS,C1776,HEAD HUM 22MM 40MM SHLDR,5302.0,5302.0,795.3,5302.0,30
HCPCS,C1776,HEAD HUM 22MM 44MM SHLDR,7132.0,7132.0,1069.8,7132.0,30
HCPCS,C1776,HEAD HUM 23MM 44MM,7483.0,7483.0,1122.45,7483.0,30
HCPCS,C1776,HEAD HUM 23MM 52MM,6177.5,6177.5,730.8,7483.0,60
HCPCS,C1776,HEAD HUM 23MM 56MM,8261.0,8261.0,1239.15,8261.0,30
HCPCS,C1776,HEAD HUM 24MM 46MM SHLDR,5365.0,5365.0,804.75,5365.0,30
HCPCS,C1776,HEAD HUM 24MM 52MM,6459.0,6459.0,968.85,6459.0,30
HCPCS,C1776,HEAD HUM 25MM 40MM SHLDR,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,HEAD HUM 26MM 44MM SHLDR,6348.0,6348.0,952.2,6348.0,30
HCPCS,C1776,HEAD HUM 26MM 48MM SHLDR,5365.0,5365.0,804.75,5365.0,30
HCPCS,C1776,HEAD HUM 27MM 52MM,6459.0,6459.0,968.85,6459.0,30
HCPCS,C1776,HEAD HUM 28MM 50MM SHLDR,5337.0,5337.0,800.55,5337.0,30
HCPCS,C1776,HEAD HUM ASC FLEX 39X14,6976.0,6976.0,1046.4,6976.0,30
HCPCS,C1776,HEAD HUM ASC FLX 46X17MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM ASC FLX 48X18MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM ASC FLX 52X23MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM BF OFFST 23X56,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM ELBOW YOKE,8241.0,8241.0,723.6,11658.0,60
HCPCS,C1776,HEAD HUM EQNX SHLDR 38MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM GLND RSP 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM OD22MM ID12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM OFFSET 42X16,5358.0,5358.0,803.7,5358.0,30
HCPCS,C1776,HEAD HUM OFST 17MM 46MM,6459.0,6459.0,968.85,6459.0,30
HCPCS,C1776,HEAD HUM OFST 18MM 46MM,5966.0,5966.0,894.9,5966.0,30
HCPCS,C1776,HEAD HUM OFST 19MM 46MM,6459.0,6459.0,968.85,6459.0,30
HCPCS,C1776,HEAD HUM OFST 21MM 46MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM OFST 23MM 46MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,HEAD HUM OFST 24MM 46MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,HEAD HUM OFST BF 24X56MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM OFST MOD 21X56,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM RSRFC 18X52MM,15507.0,15507.0,2326.05,15507.0,30
HCPCS,C1776,HEAD HUM RSRFC SIZE 3,12845.0,12845.0,1926.75,12845.0,30
HCPCS,C1776,HEAD HUM SHD TALL 47MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHD TALL 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHD TALL 53MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLD 36MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR -4MM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 12X40MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,HEAD HUM SHLDR 14X39MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 15MM 40MM,5408.0,5408.0,730.8,5944.0,60
HCPCS,C1776,HEAD HUM SHLDR 15MM 41MM,9661.0,9661.0,1372.05,21703.0,90
HCPCS,C1776,HEAD HUM SHLDR 15MM 44MM,5408.0,5408.0,730.8,5944.0,60
HCPCS,C1776,HEAD HUM SHLDR 15MM 48MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 15MM 52MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 15MM 56MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 15X48MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,HEAD HUM SHLDR 16MM 43MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 16MM 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 16MM 50MM,6976.0,6976.0,1046.4,6976.0,30
HCPCS,C1776,HEAD HUM SHLDR 16X43MM,13287.5,13287.5,730.8,21703.0,60
HCPCS,C1776,HEAD HUM SHLDR 16X50MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 17MM 45MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 17MM 46MM,12178.0,12178.0,1826.7,12178.0,30
HCPCS,C1776,HEAD HUM SHLDR 17X48MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 17X50MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 18MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 18MM 44MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 18MM 48MM,5408.0,5408.0,730.8,5944.0,120
HCPCS,C1776,HEAD HUM SHLDR 18MM 52MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 18MM 56MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 18X40MM,6899.0,6899.0,999.9,7132.0,60
HCPCS,C1776,HEAD HUM SHLDR 18X50MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 19MM 50MM,5925.5,5925.5,730.8,6979.0,90
HCPCS,C1776,HEAD HUM SHLDR 19MM 52MM,7266.5,7266.5,730.8,9661.0,60
HCPCS,C1776,HEAD HUM SHLDR 19X50MM,6976.0,6976.0,1046.4,6976.0,30
HCPCS,C1776,HEAD HUM SHLDR 20X42MM,6666.0,6666.0,999.9,6666.0,30
HCPCS,C1776,HEAD HUM SHLDR 21MM 44MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 21MM 48MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 21MM 56MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 21X50MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 22X42MM,4803.0,4803.0,710.1,4872.0,60
HCPCS,C1776,HEAD HUM SHLDR 22X44MM,6348.0,6348.0,952.2,6348.0,30
HCPCS,C1776,HEAD HUM SHLDR 22X46MM,5005.0,5005.0,750.75,5005.0,30
HCPCS,C1776,HEAD HUM SHLDR 22X50MM,5305.0,5305.0,757.5,5560.0,60
HCPCS,C1776,HEAD HUM SHLDR 22X54MM,4734.0,4734.0,710.1,4734.0,30
HCPCS,C1776,HEAD HUM SHLDR 23MM 52MM,5924.0,5924.0,730.8,6976.0,90
HCPCS,C1776,HEAD HUM SHLDR 23MM 54MM,6976.0,6976.0,1046.4,6976.0,30
HCPCS,C1776,HEAD HUM SHLDR 24MM 46MM,5491.0,5491.0,823.65,5491.0,30
HCPCS,C1776,HEAD HUM SHLDR 24MM 48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 24MM 54MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 24X40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 24X46MM,6666.0,6666.0,999.9,6666.0,30
HCPCS,C1776,HEAD HUM SHLDR 25X45MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,HEAD HUM SHLDR 25X50MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,HEAD HUM SHLDR 27MM 56MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 27X42MM,4961.0,4961.0,730.8,5050.0,60
HCPCS,C1776,HEAD HUM SHLDR 27X46MM,5472.5,5472.5,710.1,6211.0,60
HCPCS,C1776,HEAD HUM SHLDR 27X50MM,4734.0,4734.0,710.1,4734.0,30
HCPCS,C1776,HEAD HUM SHLDR 27X54MM,5050.0,5050.0,730.8,10318.0,120
HCPCS,C1776,HEAD HUM SHLDR 28MM 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 28X50NN,5302.0,5302.0,795.3,5302.0,30
HCPCS,C1776,HEAD HUM SHLDR 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HUM SHLDR 39X14MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 40MM 14MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,HEAD HUM SHLDR 40MM 17MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,HEAD HUM SHLDR 41MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 41MM 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 41X15MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 42X18X46,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 43MM 16MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 43X16MM,9661.0,9661.0,1449.15,9661.0,30
HCPCS,C1776,HEAD HUM SHLDR 43X16X1.5,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 44MM,4739.0,4739.0,690.9,4872.0,60
HCPCS,C1776,HEAD HUM SHLDR 44MM 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 44X16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 44X27MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,HEAD HUM SHLDR 45X15MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,HEAD HUM SHLDR 45X18MM,11627.0,11627.0,1744.05,11627.0,30
HCPCS,C1776,HEAD HUM SHLDR 45X19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 46MM 17MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 46X17X4MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 46X18X53,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 46X21X50,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 46X22MM,5005.0,5005.0,750.75,5005.0,30
HCPCS,C1776,HEAD HUM SHLDR 46X24MM,7663.0,7663.0,1149.45,7663.0,30
HCPCS,C1776,HEAD HUM SHLDR 47MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 47MM 15MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,HEAD HUM SHLDR 48MM 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 48MM 24MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 48MM SMR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 48X18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 48X19MM,6241.0,6241.0,936.15,6241.0,30
HCPCS,C1776,HEAD HUM SHLDR 48X21MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 49MM 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 4X19X44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 4X23X52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 50MM,13154.5,13154.5,690.9,21703.0,90
HCPCS,C1776,HEAD HUM SHLDR 50X21MM,8792.0,8792.0,1318.8,8792.0,30
HCPCS,C1776,HEAD HUM SHLDR 50X21X57,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 50X22MM,5050.0,5050.0,757.5,5050.0,30
HCPCS,C1776,HEAD HUM SHLDR 50X24X52,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 52MM 17MM,4960.5,4960.5,690.9,5315.0,60
HCPCS,C1776,HEAD HUM SHLDR 52MM 19MM,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,HEAD HUM SHLDR 52MM 20MM,5071.5,5071.5,690.9,5537.0,60
HCPCS,C1776,HEAD HUM SHLDR 52MM 23MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 52MM 26MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,HEAD HUM SHLDR 52X19MM,14258.0,14258.0,2138.7,14258.0,30
HCPCS,C1776,HEAD HUM SHLDR 53MM,4872.0,4872.0,730.8,4872.0,60
HCPCS,C1776,HEAD HUM SHLDR 54MM 27MM,7791.0,7791.0,1168.65,7791.0,30
HCPCS,C1776,HEAD HUM SHLDR 54X21X4MM,9661.0,9661.0,1449.15,9661.0,30
HCPCS,C1776,HEAD HUM SHLDR 54X21X64,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 54X27X55,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR 56MM 19MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,HEAD HUM SHLDR 56MM 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR OFST 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HEAD HUM SHLDR SHRT 53MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHLDR SZ2,12845.0,12845.0,1926.75,12845.0,30
HCPCS,C1776,HEAD HUM SHLDR SZ3,12845.0,12845.0,1926.75,12845.0,30
HCPCS,C1776,HEAD HUM SHLDR TPR 17X46,5050.0,5050.0,757.5,5050.0,30
HCPCS,C1776,HEAD HUM SHLDR48X18MM,9661.0,9661.0,1449.15,9661.0,30
HCPCS,C1776,HEAD HUM SHO 50X18MM,7557.0,7557.0,1133.55,7557.0,30
HCPCS,C1776,HEAD HUM SHRT 38MM,6808.0,6808.0,1021.2,6808.0,30
HCPCS,C1776,HEAD HUM SHRT 41MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHRT 44MM,5182.0,5182.0,690.9,5758.0,60
HCPCS,C1776,HEAD HUM SHRT 47MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD HUM SHRT 50MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,HEAD HUM SHRT 53MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,HEAD HUM STD 26MM 54MM,6090.0,6090.0,913.5,6090.0,30
HCPCS,C1776,HEAD HUMRL 26 COFIELD 2,5113.0,5113.0,766.95,5113.0,30
HCPCS,C1776,HEAD LRG COCR 38MM NEUTR,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD RAD ELB 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD RAD ELB 22MM LT,8535.0,8535.0,1280.25,8535.0,30
HCPCS,C1776,HEAD RAD ELB 22MM RT,8535.0,8535.0,1280.25,8535.0,30
HCPCS,C1776,HEAD RAD ELB 24MM LT,8535.0,8535.0,1280.25,8535.0,30
HCPCS,C1776,HEAD RAD ELB 24MM RT,8535.0,8535.0,1280.25,8535.0,30
HCPCS,C1776,HEAD RAD ELB 28MM RT,12486.0,12486.0,1872.9,12486.0,30
HCPCS,C1776,HEAD RAD ELB RT 28MM,15335.0,15335.0,2300.25,15335.0,30
HCPCS,C1776,HEAD RAD JTDV SY 12X20MM,8639.0,8639.0,1295.85,8639.0,30
HCPCS,C1776,HEAD RADIAL +2MM OD18MM,8579.0,8579.0,1286.85,8579.0,30
HCPCS,C1776,HEAD RADIAL 16X20 ELBOW,6068.0,6068.0,910.2,6068.0,30
HCPCS,C1776,HEAD RADIAL ELBOW 24MM,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,HEAD RADL 12X22MM ELB,8639.0,8639.0,1295.85,8639.0,30
HCPCS,C1776,HEAD RADL 15MM 24MM 2MM,8898.0,8898.0,1334.7,8898.0,30
HCPCS,C1776,HEAD RADL ELB 10MM 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD RADL ELB 12X24MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD RADL ELB 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD RADL ELB 26MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD RADL ELBOW 5.5X22MM,14395.0,14395.0,2159.25,14395.0,30
HCPCS,C1776,HEAD RADL XPLR 10X22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD RADL XPLR 22X14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD REV SHLDR 36MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,HEAD SELEX/MAG MOD 40MM,7353.0,7353.0,1102.95,7353.0,30
HCPCS,C1776,HEAD SHD EAS 40X15MM,13004.0,13004.0,1950.6,13004.0,30
HCPCS,C1776,HEAD SHLDR +6MM 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD SHLDR 15.75MM 40MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,HEAD SHLDR 42MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,HEAD SHLDR HUM 16X37MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD SHLDR HUM 40X15 MM,8792.0,8792.0,1318.8,8792.0,30
HCPCS,C1776,HEAD SHOULDER 36MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,HEAD STD NECK 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD ULNAR 16.0MM HD ELB,6992.0,6992.0,1048.8,6992.0,30
HCPCS,C1776,HEAD ULNAR 2 UHEAD ELBOW,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,HEAD ULNAR WRIST SZ3,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,HEAD UNIPLR 45MM ACUMTCH,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD UNIPLR 45MM ASR,6386.0,6386.0,957.9,6386.0,30
HCPCS,C1776,HEAD UNIPLR 46MM ASR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD UNIPLR 47MM ASR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HEAD UNIPLR 49MM ASR,6578.0,6578.0,986.7,6578.0,30
HCPCS,C1776,HEAD UNIPLR 51MM ULT,6386.0,6386.0,957.9,6386.0,30
HCPCS,C1776,HEAD UNIPLR 53MM ASR,6386.0,6386.0,957.9,6386.0,30
HCPCS,C1776,HEAD UNIPLR 55MM ASR,6386.0,6386.0,957.9,6386.0,30
HCPCS,C1776,HEAD UNIPLR FEM HIP 42MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD UNIPLR FEM HIP 44MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD UNIPLR FEM HIP 58MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD UNIPLR HIP 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD UNPLR 46MM ACMTCH F,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HEAD WRST CARP STD 7X15,4832.0,4832.0,724.8,4832.0,30
HCPCS,C1776,HEMI SHOULDER TOTAL CAP,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1776,HINGE FEM KN LT SZ3,9629.0,9629.0,1444.35,9629.0,30
HCPCS,C1776,HINGE FEM KN SZ6 5.0MM,4883.0,4883.0,732.45,4883.0,30
HCPCS,C1776,HINGE FEM KN SZMED,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,HINGE INSERT KN SZ3 11MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,HINGE INSERT KN SZ4 16MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,HINGE INSRT KN SZ5 16MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,HINGE TIB KN ROT STP 1SZ,16914.0,16914.0,2537.1,16914.0,30
HCPCS,C1776,HIP COMP FEM JRNY SZ7,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,HIP HEAD FEM +0 12/14 22,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HIP INSERT ACTB 45X22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HIP LINER ACTB 58X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HIP SHELL ACTB CMNT 45MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,HIP SHELL ACTB CMNT 59MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,HIP-PATIENT SPECIFIC CUP,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,HUM REV BDYEXT SHLDR SMR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IINSERT ARTC KN RT 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMP KNEE INT 6300-071-10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,IMP KNEE INT TIBUL S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMP KNEE ITOTAL 6MM,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1776,IMP STEM TIBIAL SZ1 WD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMP TIB BASE EVOLU REV N,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,IMPL CRPL POLY SZ2 +4MM,4713.0,4713.0,706.95,4713.0,30
HCPCS,C1776,IMPL KN TIB POST SZ4 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL KN TIB POST SZ8 7MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL KN TIB SZ6 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL KNEE 6200-08-911,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,IMPL SHDR GLNSPHR CSTM,14683.0,14683.0,2202.45,14683.0,30
HCPCS,C1776,IMPL TI6AL4V ALLOY/PORUS,41190.0,41190.0,6178.5,41190.0,60
HCPCS,C1776,IMPL TIB ALLPOLY SZ8 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ2 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ3 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ4 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ4 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ5 12MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ5 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ6 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ6 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ6 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ7 12MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ7 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ7 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIB ALPLY SZ9 12MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPL TIBIA RT SZ9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPL TOE SZ2S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPL TRFLNG DNCN RT SZ23,53591.0,53591.0,8038.65,53591.0,30
HCPCS,C1776,IMPL TRIFLNG LT SZ24MM,51377.0,51377.0,7706.55,51377.0,30
HCPCS,C1776,IMPLANT ACTB HIP CUST,11162.0,11162.0,1674.3,11162.0,30
HCPCS,C1776,IMPLANT ANKL LT SZ0,29837.0,29837.0,4475.55,29837.0,30
HCPCS,C1776,IMPLANT ANKLE RT SZ0,29837.0,29837.0,4475.55,29837.0,30
HCPCS,C1776,IMPLANT ANKLE SZ1,34360.0,34360.0,5154.0,34360.0,30
HCPCS,C1776,IMPLANT EXTRM SHLDR CSTM,55341.0,55341.0,8301.15,55341.0,30
HCPCS,C1776,IMPLANT FEM 12-14 +3MM,5820.0,5820.0,873.0,5820.0,30
HCPCS,C1776,IMPLANT FEM 3 ULT PLSH,5293.0,5293.0,793.95,5293.0,30
HCPCS,C1776,IMPLANT FEM 4 LT CMNT PS,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,IMPLANT FEM 4 ULT PLSH,5736.0,5736.0,860.4,5736.0,60
HCPCS,C1776,IMPLANT FEM 5 RT CMNT PS,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,IMPLANT FEM F1L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEM F2L ULT PLSH,5514.5,5514.5,793.95,5736.0,120
HCPCS,C1776,IMPLANT FEM F2R ULT PLSH,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEM F3L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEM F3R ULT PLSH,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEM F4R ULT PLSH,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEM F5L ULT PLSH,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEM F5R ULT PLSH,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEM KN CSTM,116771.0,116771.0,17515.65,116771.0,30
HCPCS,C1776,IMPLANT FEM PLSH CMNT,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEM ULT PLSH CMT,5736.0,5736.0,860.4,5736.0,30
HCPCS,C1776,IMPLANT FEMORAL RIGHT,23696.0,23696.0,3554.4,23696.0,30
HCPCS,C1776,IMPLANT FINGR DIST 30D,6573.0,6573.0,985.95,6573.0,30
HCPCS,C1776,IMPLANT FINGR DIST SZ30,9260.0,9260.0,1389.0,9260.0,30
HCPCS,C1776,IMPLANT FX 16MM 2.4MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,IMPLANT JOINT FNGR SZ40,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KN TIB 8MM SZ6,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT KN TIB SZ3 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT KN TIB SZ3 6M,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT KN TIB SZ4 12MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT KN TIB SZ4 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT KN TIB SZ7 7MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT KN TTL CUSTOM,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1776,IMPLANT KNEE 960631,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 960632,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 960660,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 960663,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 962632,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 962633,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 962640,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 962652,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 962653,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 962660,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 962661,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT KNEE 962662,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT MOD SHLDR RT SZ1,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,IMPLANT ORBT IDUO G2 RT,19488.0,19488.0,2923.2,19488.0,30
HCPCS,C1776,IMPLANT ORTH 1 CMNT STM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT ORTH 2 TIB CMNT,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,IMPLANT ORTH 3 CMNT STM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT ORTH 3 NAR CMNT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT ORTH 4 CMNT STM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,IMPLANT ORTH 5 CMNT STM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT ORTHO 30 FNGR NF,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT ORTHO 40 FNGR NF,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT ORTHO L10 TIBAL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,IMPLANT PNGR SIL SZ40,7007.0,7007.0,1051.05,7007.0,30
HCPCS,C1776,IMPLANT SCR SHLDR SPHERE,1935.0,1935.0,290.25,1935.0,30
HCPCS,C1776,IMPLANT SHLDR POST TM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,IMPLANT SHLDR SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT SLSTC NFLX 10 MC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT TALAR LT SZ1,20305.0,20305.0,3045.75,20305.0,30
HCPCS,C1776,IMPLANT TALAR LT SZ2,20305.0,20305.0,3045.75,20305.0,30
HCPCS,C1776,IMPLANT TALAR RT SZ0,22099.0,22099.0,3314.85,22099.0,30
HCPCS,C1776,IMPLANT TALAR RT SZ1,25666.5,25666.5,3045.75,31028.0,60
HCPCS,C1776,IMPLANT TALAR RT SZ2,25666.5,25666.5,3045.75,31028.0,60
HCPCS,C1776,IMPLANT TALAR RT SZ3,26994.0,26994.0,3045.75,33683.0,60
HCPCS,C1776,IMPLANT TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT TIB KN SZ3 7MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ4 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ4 7MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ5 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ5 6MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ5 7MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ5 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ6 7MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ7 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ8 5MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB KN SZ9 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TIB SZ4 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,IMPLANT TLR ANKLE LT SZ1,31028.0,31028.0,4654.2,31028.0,30
HCPCS,C1776,IMPLANT TOE DIP 13,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLANT TOE JNT 8MM,14616.0,14616.0,2192.4,14616.0,30
HCPCS,C1776,IMPLANT XLINK SZD 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLNT FEM COMP CMTD SZ2,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,IMPLNT HIP ACTB SHELL 5,7002.0,7002.0,1050.3,7002.0,30
HCPCS,C1776,IMPLNT KN LFT TRI W/OPAT,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,IMPLNT KNEE J&J 86-0123,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,IMPLNT TIB INSRT SZ2 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INESRT TIB KN SZ3 12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS ACETAB TRDNT 32 X3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS ACTB 44MM 28MM,6277.0,6277.0,941.55,6277.0,30
HCPCS,C1776,INS ACTB 48MM 28MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INS ACTB 50MM 28MM,6277.0,6277.0,941.55,6277.0,30
HCPCS,C1776,INS ACTB 50MM 36MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INS ACTB 52MM 36MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INS ACTB 54MM 36MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INS ACTB 56MM 36MM,7015.0,7015.0,1052.25,7015.0,30
HCPCS,C1776,INS ACTB 56MM 40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INS ACTB 58MM 36MM,7015.0,7015.0,1052.25,7015.0,30
HCPCS,C1776,INS ACTB 58MM 40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INS ACTB 60MM 36MM,7015.0,7015.0,1052.25,7015.0,30
HCPCS,C1776,INS ACTB 60MM 40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INS ACTB 62MM 44MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INS ACTB HIP 22.2X38MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS ARTC KN 15MM SZ3-4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS ARTC KN 3-4 C-D 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS ARTC KN 5-7 F 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS ARTC KN PST 7-8 21MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS ARTC KN SZ3-4 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS ARTC KN SZ5-6 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS DURAT 10D 28X52-55MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS EVOL ADP CS EAI3114R,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS EVOL ADP CS EAI6414R,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS EVOLCS SZ5/3 RT 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS FEM 7 12/14 SMT CMNT,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INS FEM KN CCK LT SZ6,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,INS FEM LCS COMP STD 10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS FEM P3 1- D 32,4794.0,4794.0,719.1,4794.0,30
HCPCS,C1776,INS FEM REV CCK SZ3 LT,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,INS FEM REV CCK SZ5 LT,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,INS HIP OPTN TYP 1 +3MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,INS HUM SHLDR SZ3/4 36MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,INS INTEROP DUR SD SZ32M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS KN TIB RT SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS KN TIB SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS KN TIB SZ6 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS NET CMPR MOLDED,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS ORTH 4 TPRD OFST,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INS ORTH 7 TPRD STD OFST,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,INS REV SHLDR +9MM 36MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INS REV SHLDR SZ1/2 39MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,INS REV SHLDR SZ3/4 36MM,7973.0,7973.0,1195.95,7973.0,60
HCPCS,C1776,INS REV SHLDR SZ3/4 39MM,7973.0,7973.0,1195.95,7973.0,60
HCPCS,C1776,INS SMT DUOFX 10TPRD STD,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,INS TIB 1 8MM LT MDL RL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB 2 12.5 KNROT PLT,4717.0,4717.0,707.55,4717.0,30
HCPCS,C1776,INS TIB 2 KN TRULNT 19MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 2.5 H8MM KN CRV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 2.5X10 RP STAB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 2.5X17.5 KN ROT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 2.5X8 STB XLNK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 20 SM/SM+ PSTAB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 2X10 RP STB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 3X10 RP,6183.0,6183.0,927.45,6183.0,30
HCPCS,C1776,INS TIB 3X10 RP STAB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 3X22.5 TC3,4747.0,4747.0,712.05,4747.0,30
HCPCS,C1776,INS TIB 3X8 LT MDL RL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 3X8 SGM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 4 20MM KN,18948.0,18948.0,2842.2,18948.0,30
HCPCS,C1776,INS TIB 4+ 14MM CS LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 6+ 12MM CS LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB 6+ 17MM CS RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB 70X17MM KN AXM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INS TIB 7S 17MM CS LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB ARTC KN SZ9 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB CNSTRN SZ2 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB CNSTRN SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB CNSTRN SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB CNSTRN SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB CNSTRN SZ4 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB CNSTRN SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB CNSTRN SZ5 12MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INS TIB CNSTRN SZ6 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB CRU RET SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB CRU RET SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB FX KN LT SZC,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,INS TIB KN 5 74X46X17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB KN ALPLY 2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB KN LT 7+ 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN LT SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN LT SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN LT SZ6+ 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN RT 8 STD 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN RT SZ2 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN RT SZ2 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN RT SZ5 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN SZ3 10MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INS TIB KN SZ6 12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN SZ8-11 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB KN TRUL SZ2 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN TRUL SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN TRUL SZ3 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB KN TRUL SZ5 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB LG 16 PS LPD,4759.0,4759.0,713.85,4759.0,30
HCPCS,C1776,INS TIB MED 12MM KX+ DRT,4759.0,4759.0,713.85,4759.0,30
HCPCS,C1776,INS TIB PFC SGM SZ3 15MM,4747.0,4747.0,712.05,4747.0,30
HCPCS,C1776,INS TIB PS KN SZ9 12MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INS TIB REV R3-5 22MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INS TIB SM 15MM KX+ DRTN,4997.0,4997.0,749.55,4997.0,30
HCPCS,C1776,INS TIB SZ3/1 12MM KN RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB SZ4/2 17MM KN RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB SZ5/2 14MM KN RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB SZ7/5 12MM KN LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB SZ7/5 14MM KN RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB SZ8/5 10MM KN RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INS TIB2KN POST STAB17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB5 KN MOD NET 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIB6 KN TRULIANT15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIBCNSTRN SZ2.5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS TIBCNSTRN SZ2.5 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INS XLPE HIP SZ63 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT 10 DEG X3 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT 11MM MEDIAL IPOLY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT 28MM 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT 58X40X12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT 74X46X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB +4X62X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB 10D 6.9X28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 28MM 0D D EC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 28MM 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 3.9MM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 32MM 0D J HI,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 36MM 0D G HI,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 36MM 0D J EC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 36X52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 42MM 48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 5.9MM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 50MM 28MM 20,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB 52MM 36MM HI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB 54MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB 60X36IN CRMX,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INSERT ACTB 6352-5-094,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB 66IN 36IN CE,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INSERT ACTB BRNG 50X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 0D 28MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ACTB HIP 0D 36MM,4739.0,4739.0,690.9,4872.0,60
HCPCS,C1776,INSERT ACTB HIP 0D 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB HIP 10D 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB HIP 15D 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 22X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 28/46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 28/52MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 28X51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 28X59MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 32X46MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSERT ACTB HIP 32X62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB HIP 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB HIP 4.9X32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB HIP 43X22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 44MM,5625.0,5625.0,690.9,6644.0,60
HCPCS,C1776,INSERT ACTB HIP 46X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 49X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 50X28MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INSERT ACTB HIP 51-77MM,10085.0,10085.0,1512.75,10085.0,30
HCPCS,C1776,INSERT ACTB HIP 52-55X32,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 52X36MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INSERT ACTB HIP 53X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 54/28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 58-61MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB HIP 62X40MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSERT ACTB HIP 62X46X32,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSERT ACTB HIP 7.5X22MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSERT ACTB HIP SZE 36MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ACTB HIP SZH 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB HIP X3 22D,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSERT ACTB HIP X3 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB HIP58MM 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB HIPSZ47 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ACTB X3 28X50MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,INSERT ACTB X3 TRDNT 32D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB X3 TRDNT 32E,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB X3 TRDNT 32G,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB X3 TRDNT 32H,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ACTB X3 TRDNT 32J,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ADPTV CS EVOLTN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ADPTV EVOL MP CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ANK SZ4+ 16MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,INSERT ANKL LT SZ1 17MM,9870.0,9870.0,1480.5,9870.0,30
HCPCS,C1776,INSERT ANKL SZ2+ 8MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT ANKL SZ3 10MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,INSERT ANKL SZ4 13MM,15059.0,15059.0,2258.85,15059.0,30
HCPCS,C1776,INSERT ANKL SZ4 6MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT ANKL SZ4+ 11MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT ANKLE SZ+2 12MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT ANKLE SZ1/1+ 6MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT ANKLE SZ1/1+ 8MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,INSERT ANKLE SZ3 +13MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT ANKLE SZ3 10MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,INSERT ANKLE SZ3+ 14MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,INSERT ANKLE SZ4+ 12MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,INSERT ANKLE SZ4+ 9MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT ART 5-6MM GH 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ART 7-10 E-F 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ART 7-10 G-H 14MM,5777.0,5777.0,866.55,5777.0,30
HCPCS,C1776,INSERT ART 7-10 G-H 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ART KN 3-4-5 11MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT ART KN 3-4-5 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ART KN 3-4-5 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ART KN 7-10 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ART KN SZ1-2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ART KN SZ3-4 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 1-2 C-D 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 10-11 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC 10-11 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 10-11 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 10-12 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 10-12 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 10-12 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 10-12 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 10-12 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 11MM 6-9 EF,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 15.5X69X18,7587.0,7587.0,1138.05,7587.0,30
HCPCS,C1776,INSERT ARTC 3-4 42 H14,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,INSERT ARTC 3-4 4MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,INSERT ARTC 3-4 C-D 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 3-4 C-H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC 3-4 E-F 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 3-4 E-F 17MM,6031.0,6031.0,904.65,6031.0,30
HCPCS,C1776,INSERT ARTC 3-4 E-F 20MM,5554.0,5554.0,833.1,5554.0,30
HCPCS,C1776,INSERT ARTC 3-5 C-D 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 3-5 C-D 11MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC 5-6 9MM DSH,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC 5-6 C-D 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC 5-6 C-D 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC 5-6 E-F 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 5-6 E-F 20MM,5777.0,5777.0,866.55,5777.0,30
HCPCS,C1776,INSERT ARTC 5-6 E-F 23MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 5-6 G-H 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 5-6 G-H 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 5-6 G-H 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 5-9 C-H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC 6-9 C-D 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 6-9 CD 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC 6-9 E-F 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 6-9 E-F 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 6-9 E-F 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 6-9 EF 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 6-9 G-H 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC 6-9 G-H 11MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC 6-913MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 7-10 12MM,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSERT ARTC 7-10 C-H STD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC 7-8 15MM,5532.0,5532.0,829.8,5532.0,30
HCPCS,C1776,INSERT ARTC 7-8 RT RET,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC 74X44X14MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT ARTC 74X46X10MM,5571.0,5571.0,690.9,6536.0,60
HCPCS,C1776,INSERT ARTC 9MM GNSIS 2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC E-F/5-6 12MM,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSERT ARTC GH RT 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC GRN G 12MM,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSERT ARTC KN .5 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN .5 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 1-2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 1-2 11MM,5214.5,5214.5,690.9,5823.0,90
HCPCS,C1776,INSERT ARTC KN 1-2 13MM,5532.0,5532.0,829.8,5532.0,30
HCPCS,C1776,INSERT ARTC KN 1-2 15MM,5532.0,5532.0,829.8,5532.0,30
HCPCS,C1776,INSERT ARTC KN 1-2 21MM,5823.0,5823.0,873.45,5823.0,30
HCPCS,C1776,INSERT ARTC KN 1-2 9MM,5952.5,5952.5,690.9,7299.0,60
HCPCS,C1776,INSERT ARTC KN 10MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,INSERT ARTC KN 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 12MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,INSERT ARTC KN 14MM,4606.0,4606.0,664.35,7858.0,90
HCPCS,C1776,INSERT ARTC KN 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 3-11 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-11 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-11 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-11 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-11 14MM,4628.5,4628.5,690.9,4651.0,60
HCPCS,C1776,INSERT ARTC KN 3-4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-4 13MM,5911.0,5911.0,829.8,6290.0,60
HCPCS,C1776,INSERT ARTC KN 3-4 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-4 15MM,5273.0,5273.0,752.1,5532.0,60
HCPCS,C1776,INSERT ARTC KN 3-4 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-4-5 9MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 3-4X13GII,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 3-4X21GII,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 3-5 10MM,4628.5,4628.5,690.9,4651.0,150
HCPCS,C1776,INSERT ARTC KN 3-5 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-5 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-9 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 3-9 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 4-11 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 4-11 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 4-11 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 4-5 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 5-6 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 5-6 11MM,5823.0,5823.0,873.45,5823.0,30
HCPCS,C1776,INSERT ARTC KN 5-6 13MM,14948.0,14948.0,2242.2,14948.0,30
HCPCS,C1776,INSERT ARTC KN 5-6 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 5-6 21MM,5823.0,5823.0,873.45,5823.0,30
HCPCS,C1776,INSERT ARTC KN 5-6 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 5-6X11GII,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 5-6X9 GII,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 58X40X14M,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT ARTC KN 6-7 11MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 6-7 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 6-7 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 6-9 10MM,4606.0,4606.0,690.9,4606.0,150
HCPCS,C1776,INSERT ARTC KN 6-9 11MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 6-9 12MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 6-9 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 6-9 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 6-9 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 6-9 20MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 7-12 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 7-12 11MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 7-12 12MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 7-12 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 7-12 14MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT ARTC KN 7-12 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN 7-8 11MM,5823.0,5823.0,873.45,5823.0,30
HCPCS,C1776,INSERT ARTC KN 7-8 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 7-8 13MM,4980.5,4980.5,664.35,5532.0,60
HCPCS,C1776,INSERT ARTC KN 7-8X13GII,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 7-8X15GII,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 7-8X18GII,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN 70X40X20,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT ARTC KN 74X44X20,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT ARTC KN 74X46X17,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT ARTC KN 8-11 12MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN 8-9 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN EF 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN LT 10MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT ARTC KN LT 11MM,4517.5,4517.5,664.35,4606.0,120
HCPCS,C1776,INSERT ARTC KN LT 12MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT ARTC KN LT 13MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT ARTC KN LT 14MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN LT 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN RT 11MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT ARTC KN RT 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN RT 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN RT 14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT ARTC KN RT SZ1-2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC KN SZ1-2 9MM,5532.0,5532.0,829.8,5532.0,30
HCPCS,C1776,INSERT ARTC KN SZ2-4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN SZ3-4 9MM,5823.0,5823.0,873.45,5823.0,30
HCPCS,C1776,INSERT ARTC KN SZ5-6 13,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC KN SZB 20MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT ARTC KN SZC,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT ARTC KNSZ1-2 13MM,11112.0,11112.0,1666.8,11112.0,30
HCPCS,C1776,INSERT ARTC KNSZ5-6 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC LT 1-2 21MM,6697.0,6697.0,1004.55,6697.0,30
HCPCS,C1776,INSERT ARTC LT 5X11 MDL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC LT KN 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT ARTC PST 5-6X13,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC SZ3-4 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC SZEF 46 H11,5245.0,5245.0,786.75,5245.0,30
HCPCS,C1776,INSERT ARTC UNCMP 2 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTC5-6X21 GS2 PS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ARTCH 74X46X13MM,5245.0,5245.0,786.75,5245.0,30
HCPCS,C1776,INSERT BRNG KN SZ1 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ2 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ2 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ2 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ2 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ3 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ5 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ7 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ8 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ8 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN SZ8 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB1 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB1 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB1 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB2 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB3 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB3 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB3 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB4 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG KN TIB7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG TIB KN7 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG TIB KN7 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BRNG TIB SZ1 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT BUMPER KN 0D,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT CLIP KN LCK CSTM,2913.0,2913.0,436.95,2913.0,30
HCPCS,C1776,INSERT DEP SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT DM XLPE 22/38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT DURATION UCG TIBI,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EIP4S12R,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT EIP4S14R,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT EIS3P14L,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EIS3S17L,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EIS5P12R,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT EVOL MP ADAP CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EVOL MP ADP CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EVOL MP ADPTV CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EVOL MP EAI3112L,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EVOL MP EAI6310R,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EVOLTN MP ADP CS,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT EVOLTNMP ADP CS,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT EVOLUTIONMP ADAP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EVOLUTIONMP ADAPT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT EVOLUTIONMP CS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT EVOLUTNMP ADP CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT FEM CMPLT LG 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT FEM HIP 0D 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT FEM HIP 14MM,2179.0,2179.0,326.85,2179.0,30
HCPCS,C1776,INSERT FEM HIP 3 28MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSERT FEM HIP 36X54MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INSERT FEM HIP 36X56MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INSERT FEM HIP TYP1 -6MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,INSERT FEM HIP TYPE1 0MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,INSERT FEM KN 14X130MM,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,INSERT FEM KN 22MM 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT FEM KN HNG SZB,8615.0,8615.0,1292.25,8615.0,30
HCPCS,C1776,INSERT FEM KN LT SZ2,21525.0,21525.0,3228.75,21525.0,30
HCPCS,C1776,INSERT FEM KN LT SZ4,17220.0,17220.0,2583.0,17220.0,30
HCPCS,C1776,INSERT FEM KN LT SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT FEM KN RT S8 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT FEM KN RT SZ9,18159.0,18159.0,2723.85,18159.0,30
HCPCS,C1776,INSERT FEM KN STND SZ7,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,INSERT FEM KN SZ6,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,INSERT FEM KN SZ7 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT FULL KNEE KIT,17274.0,17274.0,2591.1,17274.0,30
HCPCS,C1776,INSERT FX ANKL SZ4+ 7MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT GMK SFX 3 10MM LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT H10MM SZGRN E-F,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSERT HD HIP 3MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,INSERT HINGE KN SZ3 13MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,INSERT HINGE KN SZ3 16MM,7795.0,7795.0,1169.25,7795.0,30
HCPCS,C1776,INSERT HINGE KN SZ314MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HINGE KN SZ4 11MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,INSERT HINGE KN SZ4 19MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,INSERT HIP 0D E 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP 10D 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP 10D SZH 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP 135MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,INSERT HIP 22.2MM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP 28/45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP 28MM 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP 28X44MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP 38MM 57MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP 41/52-54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP 45/56-58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP 48MM 28MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INSERT HIP ACTB 28-28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP ACTB 28-52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP ACTB 28X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP ACTB 52X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP ACTB 58X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP ACTB D 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP F 0D 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP F 0D 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP PLY 0D B 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP PLY10D F 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP RSTR 28X54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP STD NK 12/14,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,INSERT HIP SZ E 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP SZ F 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP SZ H 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HIP SZ1-2 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ28 44MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ28 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ28/41MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ28/48,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ41 50-52MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ44 54-56MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ46 58-64MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ48/60-70,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP SZ57 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HIP XLPE 28/48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HUM +6 3/4 39MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1776,INSERT HUM 15MM 29MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM 6+ MM 42MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM 6MM 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM 8MM 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM 9+MM 42MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT HUM RVRS SHLDR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT HUM SHDLR 12X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR +0 36MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1776,INSERT HUM SHLDR +0 39MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,INSERT HUM SHLDR +0X36MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,INSERT HUM SHLDR +3 36MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,INSERT HUM SHLDR +6/33,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR +6X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR +6X39MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 10X32MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT HUM SHLDR 10X36MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT HUM SHLDR 10X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 12X32MM,4739.0,4739.0,690.9,4872.0,90
HCPCS,C1776,INSERT HUM SHLDR 12X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 12X40MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT HUM SHLDR 32MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT HUM SHLDR 32X8MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT HUM SHLDR 33+3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 36 +3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 36+6/39,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 36MM,4606.0,4606.0,664.2,8770.0,150
HCPCS,C1776,INSERT HUM SHLDR 36X+9MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT HUM SHLDR 36X4MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT HUM SHLDR 36X6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 36X8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 39MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT HUM SHLDR 4X32MM,4739.0,4739.0,690.9,4872.0,120
HCPCS,C1776,INSERT HUM SHLDR 4X36MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT HUM SHLDR 4X40MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT HUM SHLDR 6+ 33MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT HUM SHLDR 6+ 42MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT HUM SHLDR 6X32MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT HUM SHLDR 6X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 6X40MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT HUM SHLDR 8X32MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,INSERT HUM SHLDR 8X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT HUM SHLDR 8X40MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT HUM SHLDR 9+X33MM,17349.0,17349.0,2602.35,17349.0,30
HCPCS,C1776,INSERT HUM SHLDR 9X39MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT HUM SHLDR3/4 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN 10MM THK SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN 11MM SZ5-6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN 11MM SZ7-8,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN 15MM SZ7-8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN 3 CRV 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN 3-4 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN 3-4 C-D 17MM,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSERT KN 5-6 77X44X17MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT KN 5-6 C-H 74X4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN 5-6X18CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN 6-9 EF 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,INSERT KN 6-9 G-H 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN 8-11 E-F 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN 8-9 C-D 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN 8-9/CD 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN ARTC 1-2 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN ARTC 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN ARTC 2-6 14MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT KN ARTC 3-4 11MM,5532.0,5532.0,829.8,5532.0,30
HCPCS,C1776,INSERT KN ARTC 3-4 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN ARTC 5-6 15MM,5532.0,5532.0,829.8,5532.0,30
HCPCS,C1776,INSERT KN ARTC 5-6 18MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,INSERT KN ARTC SZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN ARTC SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN BEAR SZ7-9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BMPR 3DEG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT KN BRNG 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG II 0515,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG SZ1 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG SZ3 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG SZ8 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG TIB5 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN BRNG TIB6 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN COCR SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN CRS RP SZ9 6MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT KN CRU RET 3-4 LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN CSTM 8X16,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN FEM +10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN FULL 1PC XE,17274.0,17274.0,2591.1,17274.0,30
HCPCS,C1776,INSERT KN HINGE SZ2 13MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,INSERT KN HNG XS 28MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT KN LT 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN LT 3+ 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN LT 6-9 EF 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN LT SZ1-2 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN LT SZ3-4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN LT SZ4 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN LT SZ5,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,INSERT KN LT SZ5-6 10MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT KN LT SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN LT SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN LT TIB SZ4.5MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,INSERT KN MED 16MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT KN MNSCL SZ4 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN MNSCL SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN MNSCL SZ8 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN POLY SEG SZB,42280.0,42280.0,6342.0,42280.0,30
HCPCS,C1776,INSERT KN POST SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN PS RP SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN PS RP SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN PS RP SZ8 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN PS SZ6 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN PS XE 1PC,17274.0,17274.0,2591.1,17274.0,30
HCPCS,C1776,INSERT KN PST SZ5-6 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN R/HNG XSM 12MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT KN REV SM 14MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT KN REV SZ4 16MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT KN REV SZ9 12MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT KN RT 4+ 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT 5-6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN RT 6-9 GH 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN RT E SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT SZ2-3X13MM,6078.0,6078.0,911.7,6078.0,30
HCPCS,C1776,INSERT KN RT SZ3-4 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN RT SZ4 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT SZ4 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT SZ5 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT SZ5-6 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN RT SZ5-6 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN RT SZ6 14MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT KN RT SZ7+ 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT SZ8 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN RT TIB 7 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SM 22MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT KN SPHR SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN STD+ 17.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ2 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ2-3 15MM,6078.0,6078.0,911.7,6078.0,30
HCPCS,C1776,INSERT KN SZ3 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN SZ3 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ3-4 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ3-4 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ3-4 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ3-4 E-F 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN SZ3.5 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ3.5 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ4-5 11MM,5450.0,5450.0,817.5,5450.0,30
HCPCS,C1776,INSERT KN SZ4.5 19MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ5 13MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,INSERT KN SZ5 6MM,6821.0,6821.0,1023.15,6821.0,30
HCPCS,C1776,INSERT KN SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ5-6 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ5-6 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ6 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN SZ6 22MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT KN SZ6-7 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN SZ7-8 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN SZ9 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN SZC 12MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT KN SZC 17MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT KN TIB #1 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB #1 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB #2 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB #5 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB #7 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB #8 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB #8 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB 1.5MM 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB 12 63/67MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB 12MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT KN TIB 2 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB 2 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB 3 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB 5 LT 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB 5-6 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB 71/75X24MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB 7L 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB BEAR 9 3R,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB BRNG 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB C3-4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB E3-4 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB LT 18MM,9966.0,9966.0,1494.9,9966.0,60
HCPCS,C1776,INSERT KN TIB LT 22MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT KN TIB LT 24MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT KN TIB LT SZ5 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB LT SZ5 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB RT 10MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT KN TIB RT 12MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT KN TIB RT 16MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT KN TIB RT 18MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT KN TIB RT 20MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT KN TIB RT 22MM,9966.0,9966.0,1494.9,9966.0,60
HCPCS,C1776,INSERT KN TIB RT 7+ 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB RT SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB RT SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB RT SZ6 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB STD 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB STD 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB STD 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB STD LT SZ4,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,INSERT KN TIB STD+ 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB SZ1-2 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB SZ10 10MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT KN TIB SZ10 12MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT KN TIB SZ2 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB SZ3 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ3-4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB SZ3-4 18MM,5532.0,5532.0,829.8,5532.0,30
HCPCS,C1776,INSERT KN TIB SZ4 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ4 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB SZ4 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ4.5 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB SZ5 12MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT KN TIB SZ5 16MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT KN TIB SZ5 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ6 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT KN TIB SZ6 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ7 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ7-8 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN TIB SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ9 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB SZ9 12MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT KN TIB SZ9 14MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT KN TIB SZ9 18MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT KN TIB X3 7 HL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TIB XTRME SZB,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT KN TIB4 LT13MM 3D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN TRTHN 6 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN UHMWPE 2.5X15,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN X3 SZ7 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT KN XLK 2.5 +10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN XLPE 1-2 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KN XSM 16MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT KNEE PS MEN SZ3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT KNEE TIB 17.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT LCK KN SZ7-8 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT LNR HIP 56X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT LNR KN E3-4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT LNR KN F5-6 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT LPS UNIV SM 12MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT MNSCL KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT MNSCL KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT MNSCL KN SZ5 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT MP ADAPTV CS EVOL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT OPTION 12/14 +4MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,INSERT ORT XLPE 28X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT ORTH 18MM XS UNV,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT P/S I TIB BEARING,7153.0,7153.0,1072.95,7153.0,30
HCPCS,C1776,INSERT PCS KN SZ2 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PCS KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PIVOT MEDIAL 4-L,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT POLY ANKL SZ3 9MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT POLY ANKL SZ3+ 12,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,INSERT POLY BRNG 6MM,5169.0,5169.0,775.35,5169.0,30
HCPCS,C1776,INSERT POLY SZ2 10MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT POLY SZ2+ 10MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT POLY SZ3 12MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT POLY SZ3+ 11MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT POLY SZ4 11MM,14926.0,14926.0,2238.9,14926.0,30
HCPCS,C1776,INSERT POLY SZ4 9MM,15502.0,15502.0,2325.3,15502.0,30
HCPCS,C1776,INSERT POLYETHYLENE TRID,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT POST TIB 1 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT POST TIB 2 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT POST TIB 6 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT POST TIB 8 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT PS KN SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PS KN SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PS KN SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PS KN SZ8 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PSC KN SZ2.5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PSC KN SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PSC KN SZ4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT PTLA KN 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT PTLA KN DOME 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT REV KN MED 20MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT REV KN SZ7 13MM,11162.0,11162.0,1674.3,11162.0,30
HCPCS,C1776,INSERT REV SHLDR +6X39MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT REV SHLDR SZ3/4,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,INSERT RVRS SHLDR SZ3/4,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,INSERT SCKT HUM +4 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT SCKT HUM +4 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT SCKT HUM 4MM,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1776,INSERT SCKT HUM 8MM,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1776,INSERT SCKT HUM STD 32MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT SCKT HUM STD 36MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT SHD +0 1/2 36MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1776,INSERT SHD +0 1/2 39MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1776,INSERT SHD +0 3/4 39MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1776,INSERT SHLDR +6 36MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT SHLDR 12.5D 42X+6,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT SHLDR 12.5D 42X+9,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT SHLDR 33 +3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT SHLDR 4MM 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT SHLDR 7.5D 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SHLDR SM +4 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SHLDR SM +4 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT SHLDR SZ1 36MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,INSERT SHLDR SZ1/2 33MM,7087.0,7087.0,930.15,7973.0,90
HCPCS,C1776,INSERT SHLDR SZ1/2 36MM,8371.5,8371.5,1195.95,8770.0,60
HCPCS,C1776,INSERT SHLDR SZ1/2 39MM,8371.5,8371.5,1195.95,8770.0,90
HCPCS,C1776,INSERT SHLDR SZ3 36MM,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,INSERT SHLDR SZ3/4 +0X42,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,INSERT SHLDR SZ3/4 +3X39,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,INSERT SHLDR SZ3/4 +3X42,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,INSERT SHLDR SZ3/4 36MM,7485.5,7485.5,930.15,8770.0,60
HCPCS,C1776,INSERT SHLDR SZ3/4 39MM,8770.0,8770.0,1315.5,8770.0,60
HCPCS,C1776,INSERT SHLDR SZ3/4 3X39,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,INSERT SHLDR SZ3/4 42MM,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,INSERT SHLDR SZ3/4 8MM,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,INSERT SIGMA STAB XLK 2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SPHERE LT 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SPHERE LT S4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SPHERE RT 10MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT SPHERE S4 LT 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SPHERE S4 RT 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SPHR KN SZ1 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SPHR KN SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SRTC 5-6 C-H,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT SZ9-10 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TB KN RT SZ7 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB #3R 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB #4L 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB #9 12MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT TIB 1 9.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 1 9MM 3X,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 1-2 11MM RT,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,INSERT TIB 1-2 13MM KN L,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,INSERT TIB 1-2 19MM LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 1.5 17.5MM KN,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB 1.5 9MM KN TR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 1/6MM MNSCL,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB 10 16MM PST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 10 5MM PST ST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 10M KN RP LCS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 11.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 12.5M KN LCS,5555.0,5555.0,833.25,5555.0,30
HCPCS,C1776,INSERT TIB 12.5MM SZ4,5830.0,5830.0,874.5,5830.0,30
HCPCS,C1776,INSERT TIB 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 17.5MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 17MM,558.0,558.0,83.7,558.0,30
HCPCS,C1776,INSERT TIB 17MM SZ5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 + 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 10MM,5450.0,5450.0,707.55,6183.0,60
HCPCS,C1776,INSERT TIB 2 10MM SMCNST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 12MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 13MM CNDRL,7175.0,7175.0,1076.25,7175.0,30
HCPCS,C1776,INSERT TIB 2 13MM KN TRU,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 14MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 16MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 19MM KN X3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 22.5MM KN U,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 22MM X3 CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 6MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 6MM MNSCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 7.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 7MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 7MM LT MDL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 8MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 8MM CMNT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 2 9.5MM MNSCL,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB 2 9MM RL LTFX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 KN 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 KN TRL 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 MNSCL CMNT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2 STD 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 + 12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 10MM,5831.5,5831.5,849.0,6003.0,60
HCPCS,C1776,INSERT TIB 2.5 12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 12MM KN P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 13MM KN T,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 15MM PST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 17.5MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 9MM PST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 H10 SGM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5 L20.0MM K,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2.5X15.0MM,5123.0,5123.0,768.45,5123.0,30
HCPCS,C1776,INSERT TIB 20MM KN STAB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 27.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 2XS UNV 14MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB 3 11MM KN TRU,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3 12MM PST ST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3 14MM PST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3 15MM,5489.0,5489.0,823.35,5489.0,30
HCPCS,C1776,INSERT TIB 3 15MM KN TRU,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3 17.5MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3 18MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3 20MM ATTUNE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3 22MM X3 CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3 7.5MM MNSCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3 8MM PST STB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3 KN TRL 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3 MNSCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3 PST STB LOG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3-4 10MM RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3-4 15MM CRU,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3-5 18MM LCK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3-8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3.5 12MM KN P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3.5 13MM PST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3.5 15MM PST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3.5 9MM PST S,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3/6MM MNSCL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 3DKN 13MM RT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3F/3.5T 17MM,7175.0,7175.0,1076.25,7175.0,30
HCPCS,C1776,INSERT TIB 3MM LT EVOL M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 3X20 TC3,4747.0,4747.0,712.05,4747.0,30
HCPCS,C1776,INSERT TIB 4 10MM,5660.0,5660.0,849.0,5660.0,30
HCPCS,C1776,INSERT TIB 4 10MM LT MDL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 4 12MM EVOL C,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 12MM KN FX,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 4 12MM LT FX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 13MM LT FX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 13MM RT FX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 16MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT TIB 4 17MM KN MOD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 17MM LT FX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 19MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 22MM X3 CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 4 25MM X3 CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 4 8MM KN UHMW,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 4 9MM KN BRNG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 4 H15MM RP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 H25.0MM TC3,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB 4 KN PS 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 KN STRL 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 KN TRL 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4 MNSCL CMNT,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB 4 PST STB LOG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4+ 17MM KN RT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4.5 10MM KN P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4.5 12MM KN P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 4.5 17MM KN,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB 4MM RT EVOL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 5 10MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 10MM KN FX,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 5 12MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 13MM KN POS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 13MM KN TRU,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 13MM PST ST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 15MM KN POS,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 17MM LT FL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 20MM KN RP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 22.5 STB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5 22MM X3 CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 5 30MM KN UHM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB 5 9MM KN TRUL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5-6 EF 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 5-6 H8MM RMLL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 5MM LT EVOL M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 +10MM XLK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 6 13MM PST ST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 14MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT TIB 6 16MM KN X3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 6 16MM PST ST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 6 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 9MM KN POST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 9MM KN TRUL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 CRV 17.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 KN 17.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 KN TRL 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 KN TRL 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 LT MDL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 6 STD 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 6 THK11MM FEM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 7 8MM PST STB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 75MM,23496.0,23496.0,3524.4,23496.0,30
HCPCS,C1776,INSERT TIB 8 16MM KN ALL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 8 8MM KN POST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 8 G 13MM KN X,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 8-9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 8MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB 9 8MM PST STB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB 96-2114,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 96-2145,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB A 11MM KN LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB ANK LT 11MM,7342.0,7342.0,1101.3,7342.0,30
HCPCS,C1776,INSERT TIB ANK LT SZ2,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB ANK RT 10MM,7342.0,7342.0,1101.3,7342.0,30
HCPCS,C1776,INSERT TIB ANK SZ2+ 6MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANK SZ2+ 8MM,11184.0,11184.0,1677.6,11184.0,30
HCPCS,C1776,INSERT TIB ANKL 1/1+ 6MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKL 1/1+ 8MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKL 2+ 10MM,12446.0,12446.0,1866.9,12446.0,30
HCPCS,C1776,INSERT TIB ANKL 3+ 11MM,15112.0,15112.0,2266.8,15112.0,30
HCPCS,C1776,INSERT TIB ANKL PLY2.6MM,11184.0,11184.0,1677.6,11184.0,30
HCPCS,C1776,INSERT TIB ANKL SZ2 10MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB ANKL SZ2 8MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKL SZ3 10MM,12446.0,12446.0,1866.9,12446.0,30
HCPCS,C1776,INSERT TIB ANKL SZ3 6MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKL SZ3 8MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKL SZ3+ 7MM,8947.0,8947.0,1342.05,8947.0,30
HCPCS,C1776,INSERT TIB ANKL SZ4 10MM,12331.0,12331.0,1849.65,12331.0,30
HCPCS,C1776,INSERT TIB ANKL SZ4 6MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKL SZ4 8MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKL SZ4+ 7MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKL SZ4+ 9MM,11184.0,11184.0,1677.6,11184.0,30
HCPCS,C1776,INSERT TIB ANKL SZ5 6MM,9213.0,9213.0,1381.95,9213.0,30
HCPCS,C1776,INSERT TIB ANKLE SZ2 8MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB ARTC KN3X12.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB BEAR SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB BRG 24X63/67,5324.0,5324.0,798.6,5324.0,30
HCPCS,C1776,INSERT TIB BRN AS 71X16,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB BRNG 4 20MM,4747.0,4747.0,712.05,4747.0,30
HCPCS,C1776,INSERT TIB BRNG CS8 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB BRNG SZ1 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB CM1/7.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB CMNT SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB CMP2/11.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB CNSTRN 4 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB CR RP SZ5 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB CRCTE 5 8.0MM,4770.0,4770.0,715.5,4770.0,30
HCPCS,C1776,INSERT TIB CRU 5-6 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB CRV 6 +12.5M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB CRV 6 +15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB CRV SZ2.5 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB CRVD SZ4 12.5,4717.0,4717.0,707.55,4717.0,30
HCPCS,C1776,INSERT TIB EVOL MP 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB F LAT & TRIAL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB FEM KN LT14MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,INSERT TIB G KN 6 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB GVF 4 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB IUNI RT KNEE,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1776,INSERT TIB KN #2.5 15MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB KN #3 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN #3 15MM,7175.0,7175.0,1076.25,7175.0,30
HCPCS,C1776,INSERT TIB KN + 71/75X18,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 1 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 1-2 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 1.5 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 1.5 17.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 1.5F/2.5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 10-11 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 10-11 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 10MM,4850.0,4850.0,664.35,9966.0,600
HCPCS,C1776,INSERT TIB KN 10MM SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 10MM SZ4,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT TIB KN 11-12 12MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT TIB KN 11MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN 11X63/67MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 12.5MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN 12MM,6476.0,6476.0,664.35,14095.0,360
HCPCS,C1776,INSERT TIB KN 12MM SZ10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 12MM SZ5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 12MM SZE,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN 12X50X82MM,6019.0,6019.0,902.85,6019.0,30
HCPCS,C1776,INSERT TIB KN 13MM,4517.5,4517.5,664.35,4606.0,210
HCPCS,C1776,INSERT TIB KN 13MM SZ1-2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 13X71/75MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 13XSM/SM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 14MM,4606.0,4606.0,50.25,14095.0,300
HCPCS,C1776,INSERT TIB KN 14MM SZ6+,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 15MM,4517.5,4517.5,664.35,4606.0,180
HCPCS,C1776,INSERT TIB KN 15MM SZ1-2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 16MM,8351.5,8351.5,690.9,14095.0,360
HCPCS,C1776,INSERT TIB KN 16MM LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 17MM SZ5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 17MM SZD,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN 18MM,7286.0,7286.0,664.35,14095.0,210
HCPCS,C1776,INSERT TIB KN 18MM 5-6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 1F/1T,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,INSERT TIB KN 2 17.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 2 9MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN 2.5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 2.5 12.5MM,5347.0,5347.0,664.35,6265.0,60
HCPCS,C1776,INSERT TIB KN 2.5 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 2.5 17.5MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB KN 2.5 20MM,5347.0,5347.0,664.35,6265.0,60
HCPCS,C1776,INSERT TIB KN 2.5+ 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 2.5F/2.5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 2.5F/3.5T,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,INSERT TIB KN 2.5MM 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 2.5X12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 2.5X15MM,5388.0,5388.0,808.2,5388.0,30
HCPCS,C1776,INSERT TIB KN 2.5X17.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 2.5X22.5MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB KN 20MM,6232.0,6232.0,664.35,9966.0,180
HCPCS,C1776,INSERT TIB KN 20MM 71MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 21MM,14095.0,14095.0,2114.25,14095.0,60
HCPCS,C1776,INSERT TIB KN 21MM SZ4-5,6078.0,6078.0,911.7,6078.0,30
HCPCS,C1776,INSERT TIB KN 22.5MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB KN 23MM SZE,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN 26MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN 2F/2T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 2F/3T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 2XS 12MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN 2XS 16MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN 3 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 3 13MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT TIB KN 3-11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 3-4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 3-4 11MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN 3-4 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 3-4 21MM,5823.0,5823.0,873.45,5823.0,30
HCPCS,C1776,INSERT TIB KN 3.5 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 3.5 19MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 3.5 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 3.5F/3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 31MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 3F/4T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 3X15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 4 12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 4 13MM,7175.0,7175.0,1076.25,7175.0,30
HCPCS,C1776,INSERT TIB KN 4 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 4 G 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 4-5 15MM,6078.0,6078.0,911.7,6078.0,30
HCPCS,C1776,INSERT TIB KN 4-5 18MM,6078.0,6078.0,911.7,6078.0,30
HCPCS,C1776,INSERT TIB KN 4.5F/5.5T,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,INSERT TIB KN 4MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 5 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5F/5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5F/6T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 5X10MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN 5X12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 6 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 6 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 6 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 6 19MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT TIB KN 6 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 6-9 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 6/11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 60MM,9300.5,9300.5,664.2,14173.0,60
HCPCS,C1776,INSERT TIB KN 66X42X10MM,5187.0,5187.0,778.05,5187.0,30
HCPCS,C1776,INSERT TIB KN 6F/5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 6F/6T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 6MM,4429.0,4429.0,637.8,4606.0,60
HCPCS,C1776,INSERT TIB KN 7 12MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN 7 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 7 82X51X12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 7 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 7 9MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT TIB KN 7-10 50MM,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSERT TIB KN 7-8MM 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 7-9+ 12MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT TIB KN 7/5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 71/75X22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 74X46X10MM,5394.0,5394.0,809.1,5394.0,30
HCPCS,C1776,INSERT TIB KN 74X46X20MM,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSERT TIB KN 7MM,4429.0,4429.0,637.8,4606.0,90
HCPCS,C1776,INSERT TIB KN 8 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 8 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN 8 6MM,6457.5,6457.5,690.9,8309.0,60
HCPCS,C1776,INSERT TIB KN 8-11 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 8-11E-F 10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 80MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT TIB KN 87/91X12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 8MM,4429.0,4429.0,637.8,4606.0,150
HCPCS,C1776,INSERT TIB KN 8MM SZ10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 9 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 9 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 9 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 9 8MM,9452.0,9452.0,1417.8,9452.0,30
HCPCS,C1776,INSERT TIB KN 9.5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN 9MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN 9MM SZ1,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN 9MM SZ1-2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN BLUE 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN BR79/83X16,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN BRG 3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN BRG 3 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN BRN 6 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN BRN 8 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN BRNG 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN BRNG 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN BRNG 12MM,4606.0,4606.0,690.9,4606.0,120
HCPCS,C1776,INSERT TIB KN BRNG 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN BRNG 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN BRNG 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN BRNG 7 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN BRNG 9MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN CD 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN CR SZ5,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT TIB KN CRV 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN E-F 10MM,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,INSERT TIB KN E-F 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN EF7-10 12M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN EZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN HINGE SZ2,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,INSERT TIB KN HNG 12MM,558.0,558.0,83.7,558.0,30
HCPCS,C1776,INSERT TIB KN INS 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN L 10MM SZ6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN L SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN L SZ5 10MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN L SZ6 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN L SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN L SZ8 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN L SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LF 4F/3T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LNR 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN LT 10 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT 10MM,4517.5,4517.5,664.35,4606.0,180
HCPCS,C1776,INSERT TIB KN LT 11MM,4606.0,4606.0,690.9,4606.0,150
HCPCS,C1776,INSERT TIB KN LT 12MM,4606.0,4606.0,690.9,4606.0,180
HCPCS,C1776,INSERT TIB KN LT 13MM,4606.0,4606.0,690.9,4606.0,150
HCPCS,C1776,INSERT TIB KN LT 14MM,7286.0,7286.0,690.9,9966.0,120
HCPCS,C1776,INSERT TIB KN LT 16MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN LT 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT 2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN LT 2 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN LT 2+ 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT 2+ 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT 3 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN LT 4 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT 4+X17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT 7 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN LT C 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT S5 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN LT SZ 3-4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN LT SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ3 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN LT SZ4 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ4 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ4 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ5 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ6 10M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ7,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSERT TIB KN LT SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ7 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ8 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZ8 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT SZE 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT3-4 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LT5-6 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN LTSZ5 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN MED 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN MED 12MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT TIB KN MED 18MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN PEG 10MM,335.0,335.0,50.25,335.0,30
HCPCS,C1776,INSERT TIB KN POST 5 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PS 6 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PST 1-2X21,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PST 3 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PST 3 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PST 4 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PST 5 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PST 5 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PST 7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN PST 8 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN R 10MM SZ6,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN R SZ4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN R SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN R SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN R SZ6 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN R SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RP 4X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN RT 11MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN RT 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT 14MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN RT 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT 23MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN RT 3 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT 3+ 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT 3-4 13,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT 4 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT 4/12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT 6+ 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT 8MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,INSERT TIB KN RT 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT E 10MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,INSERT TIB KN RT S4 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT S4 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RT SZ10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ2+,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,INSERT TIB KN RT SZ3 6MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT TIB KN RT SZ4,4960.5,4960.5,690.9,5315.0,60
HCPCS,C1776,INSERT TIB KN RT SZ4 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ4 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ4 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ5 10M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ5 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ6 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ7 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ7 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ7 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ8 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ8 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RT SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN RTSZ5 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN RTSZ8 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN S5 RT 12MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT TIB KN SGL 6MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT TIB KN SGL 7MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT TIB KN SGL 8MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT TIB KN SIZE 3F/2T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,INSERT TIB KN SIZE4 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SIZE4 9MM,7175.0,7175.0,1076.25,7175.0,30
HCPCS,C1776,INSERT TIB KN SM 12MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT TIB KN SM 14MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN STAB 7 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN STD 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN STD 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN STD 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 1 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 1 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 1 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 2 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 2 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 3 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 3 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 4 22MM,7799.0,7799.0,1169.85,7799.0,30
HCPCS,C1776,INSERT TIB KN SZ 5 10MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB KN SZ 5 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 6 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ 6 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ 6 19MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ 7 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 8 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ 9 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ B 26MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZ C 23MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZ F,6186.0,6186.0,927.9,6186.0,30
HCPCS,C1776,INSERT TIB KN SZ1 10MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ1 11MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ1 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ1 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ1 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ1-2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ1-2 11MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ1-2 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ1-2 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ1-2 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ1-2 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ1-2 9MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,INSERT TIB KN SZ1/2 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ10 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ10 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ10 14MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ10 18MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ10 20MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ10 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ10 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ10 7MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ10 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ11 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ2 10MM,4517.5,4517.5,664.35,4606.0,150
HCPCS,C1776,INSERT TIB KN SZ2 11MM,4606.0,4606.0,664.35,6737.0,120
HCPCS,C1776,INSERT TIB KN SZ2 12.5MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ2 12MM,4517.5,4517.5,664.35,4606.0,150
HCPCS,C1776,INSERT TIB KN SZ2 13MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ2 14MM,4517.5,4517.5,664.35,4606.0,120
HCPCS,C1776,INSERT TIB KN SZ2 15MM,5347.0,5347.0,664.35,6265.0,90
HCPCS,C1776,INSERT TIB KN SZ2 16MM,4606.0,4606.0,664.35,6737.0,150
HCPCS,C1776,INSERT TIB KN SZ2 17.5MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB KN SZ2 17MM,5352.0,5352.0,664.35,7175.0,150
HCPCS,C1776,INSERT TIB KN SZ2 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ2 19MM,5802.0,5802.0,664.35,7175.0,60
HCPCS,C1776,INSERT TIB KN SZ2 25MM,7175.0,7175.0,1076.25,7175.0,30
HCPCS,C1776,INSERT TIB KN SZ2 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ2 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ2 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ2 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ2 9MM,5890.5,5890.5,664.35,11162.0,210
HCPCS,C1776,INSERT TIB KN SZ2-3 21MM,6078.0,6078.0,911.7,6078.0,30
HCPCS,C1776,INSERT TIB KN SZ2-3X13MM,5785.0,5785.0,867.75,5785.0,30
HCPCS,C1776,INSERT TIB KN SZ2-3X18MM,5785.0,5785.0,867.75,5785.0,30
HCPCS,C1776,INSERT TIB KN SZ2.5 10MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT TIB KN SZ2.5 11MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ2.5 15MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ2XS 21MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN SZ3,5173.0,5173.0,690.9,5740.0,60
HCPCS,C1776,INSERT TIB KN SZ3 10MM,4606.0,4606.0,664.35,8309.0,360
HCPCS,C1776,INSERT TIB KN SZ3 11MM,4606.0,4606.0,664.35,6454.0,180
HCPCS,C1776,INSERT TIB KN SZ3 12.5MM,6005.0,6005.0,664.35,6265.0,90
HCPCS,C1776,INSERT TIB KN SZ3 12MM,4979.0,4979.0,664.35,8309.0,420
HCPCS,C1776,INSERT TIB KN SZ3 13MM,4517.5,4517.5,664.35,4606.0,210
HCPCS,C1776,INSERT TIB KN SZ3 14MM,4979.0,4979.0,664.35,9567.0,270
HCPCS,C1776,INSERT TIB KN SZ3 15MM,5347.0,5347.0,664.35,6265.0,150
HCPCS,C1776,INSERT TIB KN SZ3 16MM,5671.5,5671.5,690.9,6737.0,90
HCPCS,C1776,INSERT TIB KN SZ3 17.5MM,4761.5,4761.5,664.35,5094.0,60
HCPCS,C1776,INSERT TIB KN SZ3 17MM,5352.0,5352.0,664.35,5840.0,150
HCPCS,C1776,INSERT TIB KN SZ3 19MM,6737.0,6737.0,690.9,7175.0,150
HCPCS,C1776,INSERT TIB KN SZ3 20MM,5347.0,5347.0,664.35,6265.0,60
HCPCS,C1776,INSERT TIB KN SZ3 22.5MM,5347.0,5347.0,664.35,6265.0,60
HCPCS,C1776,INSERT TIB KN SZ3 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ3 25MM,6720.0,6720.0,939.75,7175.0,60
HCPCS,C1776,INSERT TIB KN SZ3 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ3 6MM,6457.5,6457.5,690.9,8309.0,60
HCPCS,C1776,INSERT TIB KN SZ3 7MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ3 8MM,6457.5,6457.5,690.9,8309.0,90
HCPCS,C1776,INSERT TIB KN SZ3 9MM,4517.5,4517.5,664.35,4606.0,150
HCPCS,C1776,INSERT TIB KN SZ3+ 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ3-4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ3-4 10MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ3-4 11MM,4517.5,4517.5,664.35,4606.0,120
HCPCS,C1776,INSERT TIB KN SZ3-4 12MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ3-4 13MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ3-4 15MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,INSERT TIB KN SZ3-4 18MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ3-4 8MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ3-4 9MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ3-5 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ3.5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ3.5 11MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ3.5 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ3.5 13MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ3.5 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ3.5 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ3F/2T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ4 10MM,4850.0,4850.0,664.35,5187.0,420
HCPCS,C1776,INSERT TIB KN SZ4 11MM,4606.0,4606.0,664.35,6737.0,330
HCPCS,C1776,INSERT TIB KN SZ4 12.5MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT TIB KN SZ4 12MM,5352.0,5352.0,664.35,8309.0,360
HCPCS,C1776,INSERT TIB KN SZ4 13MM,4606.0,4606.0,664.35,7799.0,120
HCPCS,C1776,INSERT TIB KN SZ4 14MM,5104.5,5104.5,664.35,8309.0,240
HCPCS,C1776,INSERT TIB KN SZ4 15MM,12180.0,12180.0,664.35,19931.0,180
HCPCS,C1776,INSERT TIB KN SZ4 16MM,7884.0,7884.0,690.9,11162.0,120
HCPCS,C1776,INSERT TIB KN SZ4 17.5M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ4 17.5MM,4761.5,4761.5,664.35,5094.0,90
HCPCS,C1776,INSERT TIB KN SZ4 17MM,4517.5,4517.5,664.35,4606.0,120
HCPCS,C1776,INSERT TIB KN SZ4 18MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ4 19MM,6737.0,6737.0,690.9,7175.0,120
HCPCS,C1776,INSERT TIB KN SZ4 20MM,4606.0,4606.0,664.35,6265.0,120
HCPCS,C1776,INSERT TIB KN SZ4 22.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ4 22MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,120
HCPCS,C1776,INSERT TIB KN SZ4 6MM,6457.5,6457.5,690.9,8309.0,60
HCPCS,C1776,INSERT TIB KN SZ4 7MM,4606.0,4606.0,690.9,4606.0,120
HCPCS,C1776,INSERT TIB KN SZ4 8MM,4606.0,4606.0,664.35,8309.0,210
HCPCS,C1776,INSERT TIB KN SZ4 9MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ4-5 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ4-5 15MM,5450.0,5450.0,817.5,5450.0,30
HCPCS,C1776,INSERT TIB KN SZ4-5 21MM,5450.0,5450.0,817.5,5450.0,30
HCPCS,C1776,INSERT TIB KN SZ4.5 10MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ4.5 11MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,INSERT TIB KN SZ4.5 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ4.5 15MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,INSERT TIB KN SZ4.5 9MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ4L 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ5,4606.0,4606.0,664.35,5315.0,90
HCPCS,C1776,INSERT TIB KN SZ5 10MM,6457.5,6457.5,664.35,9924.0,360
HCPCS,C1776,INSERT TIB KN SZ5 11MM,4517.5,4517.5,664.35,4606.0,210
HCPCS,C1776,INSERT TIB KN SZ5 12.5MM,5347.0,5347.0,664.35,6265.0,90
HCPCS,C1776,INSERT TIB KN SZ5 12MM,4979.0,4979.0,664.35,8309.0,180
HCPCS,C1776,INSERT TIB KN SZ5 13MM,4517.5,4517.5,664.35,4606.0,120
HCPCS,C1776,INSERT TIB KN SZ5 14MM,5352.0,5352.0,664.35,8309.0,180
HCPCS,C1776,INSERT TIB KN SZ5 15MM,4606.0,4606.0,664.35,6265.0,180
HCPCS,C1776,INSERT TIB KN SZ5 16MM,7884.0,7884.0,690.9,11162.0,210
HCPCS,C1776,INSERT TIB KN SZ5 17.5MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB KN SZ5 17MM,4606.0,4606.0,664.35,5352.0,120
HCPCS,C1776,INSERT TIB KN SZ5 18MM,6457.5,6457.5,690.9,8309.0,60
HCPCS,C1776,INSERT TIB KN SZ5 19MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ5 20MM,5435.5,5435.5,690.9,6265.0,60
HCPCS,C1776,INSERT TIB KN SZ5 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ5 24MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ5 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ5 31MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT TIB KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ5 6MM,6457.5,6457.5,690.9,8309.0,180
HCPCS,C1776,INSERT TIB KN SZ5 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ5 8MM,6457.5,6457.5,690.9,8309.0,120
HCPCS,C1776,INSERT TIB KN SZ5 9MM,5671.5,5671.5,664.35,17809.0,180
HCPCS,C1776,INSERT TIB KN SZ5+ 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ5-6 10MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,INSERT TIB KN SZ5-6 11MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ5-6 12MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ5-6 13MM,4980.5,4980.5,664.35,5532.0,60
HCPCS,C1776,INSERT TIB KN SZ5-6 15MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,INSERT TIB KN SZ5-6 18MM,4980.5,4980.5,664.35,5532.0,60
HCPCS,C1776,INSERT TIB KN SZ5-6 9MM,5126.0,5126.0,664.35,5823.0,90
HCPCS,C1776,INSERT TIB KN SZ5/3 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ5F/4T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ6 10MM,4606.0,4606.0,664.35,8309.0,180
HCPCS,C1776,INSERT TIB KN SZ6 11MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ6 12MM,4850.0,4850.0,664.35,8309.0,210
HCPCS,C1776,INSERT TIB KN SZ6 13MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ6 14MM,4517.5,4517.5,664.35,4606.0,180
HCPCS,C1776,INSERT TIB KN SZ6 16MM,6737.0,6737.0,690.9,8309.0,180
HCPCS,C1776,INSERT TIB KN SZ6 17MM,5394.0,5394.0,809.1,5394.0,30
HCPCS,C1776,INSERT TIB KN SZ6 18MM,6457.5,6457.5,690.9,8309.0,60
HCPCS,C1776,INSERT TIB KN SZ6 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ6 20MM,6457.5,6457.5,690.9,8309.0,60
HCPCS,C1776,INSERT TIB KN SZ6 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ6 5MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ6 6MM,4606.0,4606.0,690.9,4606.0,180
HCPCS,C1776,INSERT TIB KN SZ6 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ6 8MM,6821.0,6821.0,690.9,8309.0,120
HCPCS,C1776,INSERT TIB KN SZ6 9MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ6+,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ6-7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ6-7 11MM,4897.0,4897.0,690.9,5188.0,90
HCPCS,C1776,INSERT TIB KN SZ6-7 13MM,5188.0,5188.0,778.2,5188.0,30
HCPCS,C1776,INSERT TIB KN SZ6-7 15MM,6078.0,6078.0,911.7,6078.0,30
HCPCS,C1776,INSERT TIB KN SZ6-8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ6-9 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ7 10MM,4850.0,4850.0,664.35,8309.0,210
HCPCS,C1776,INSERT TIB KN SZ7 11MM,6737.0,6737.0,690.9,11162.0,150
HCPCS,C1776,INSERT TIB KN SZ7 12MM,6457.5,6457.5,690.9,8309.0,150
HCPCS,C1776,INSERT TIB KN SZ7 13MM,4606.0,4606.0,690.9,4606.0,120
HCPCS,C1776,INSERT TIB KN SZ7 14MM,4606.0,4606.0,664.35,8309.0,180
HCPCS,C1776,INSERT TIB KN SZ7 15MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSERT TIB KN SZ7 16MM,5671.5,5671.5,690.9,6737.0,150
HCPCS,C1776,INSERT TIB KN SZ7 18MM,6457.5,6457.5,690.9,8309.0,90
HCPCS,C1776,INSERT TIB KN SZ7 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ7 20MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT TIB KN SZ7 22MM,6202.5,6202.5,690.9,7799.0,60
HCPCS,C1776,INSERT TIB KN SZ7 3 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ7 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ7 6MM,6457.5,6457.5,690.9,8309.0,150
HCPCS,C1776,INSERT TIB KN SZ7 7MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ7 8MM,6457.5,6457.5,690.9,8309.0,150
HCPCS,C1776,INSERT TIB KN SZ7 9MM,5093.5,5093.5,690.9,5581.0,150
HCPCS,C1776,INSERT TIB KN SZ7-10 E-F,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ7-8 10MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ7-8 11MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,INSERT TIB KN SZ7-8 13MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,INSERT TIB KN SZ7-8 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZ7-8 18MM,5532.0,5532.0,829.8,5532.0,30
HCPCS,C1776,INSERT TIB KN SZ7-8 21MM,5823.0,5823.0,873.45,5823.0,30
HCPCS,C1776,INSERT TIB KN SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB KN SZ8 10MM,4606.0,4606.0,664.35,8309.0,210
HCPCS,C1776,INSERT TIB KN SZ8 11MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ8 12MM,6457.5,6457.5,690.9,8309.0,120
HCPCS,C1776,INSERT TIB KN SZ8 13MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ8 14MM,6457.5,6457.5,690.9,8309.0,90
HCPCS,C1776,INSERT TIB KN SZ8 16MM,6457.5,6457.5,690.9,8309.0,120
HCPCS,C1776,INSERT TIB KN SZ8 18MM,6457.5,6457.5,690.9,8309.0,60
HCPCS,C1776,INSERT TIB KN SZ8 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ8 24MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT TIB KN SZ8 5MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ8 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ8 7MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ8 8MM,4606.0,4606.0,664.2,8309.0,150
HCPCS,C1776,INSERT TIB KN SZ8 9MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ9 10MM,4606.0,4606.0,664.35,8309.0,90
HCPCS,C1776,INSERT TIB KN SZ9 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ9 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZ9 20MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,120
HCPCS,C1776,INSERT TIB KN SZ9 6MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ9 7MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSERT TIB KN SZ9 8MM,6457.5,6457.5,690.9,8309.0,150
HCPCS,C1776,INSERT TIB KN SZ9-10 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZB 12MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZB 17MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZB 20MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZC,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,INSERT TIB KN SZC 14MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZC 17MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZC/D 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZD 12MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZD 14MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZD 23MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZE 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZE 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZE F 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZE-F 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZE-F 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZE-F 66MM,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,INSERT TIB KN SZEF 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZF 12MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZF 14MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSERT TIB KN SZF 26MM,8272.0,8272.0,1240.8,8272.0,30
HCPCS,C1776,INSERT TIB KN SZG 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN SZG 14MM,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSERT TIB KN SZG-H 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZG-H 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZG-H 23MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZGH 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN SZYLW/C-H,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN TTL 6 9MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT TIB KN UNV 12MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN X3 2 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN X3 5 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN XL 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KN XLK 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN XLNK 3 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB KN XS 16MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB KN XS 22MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT TIB KN XXS 12MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT TIB KN XXS 16MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT TIB KN XXS 20MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT TIB KN8-11EF 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB KNEE 14X75MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB LAT ORT G2,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LF SZ5 12MM,5603.0,5603.0,840.45,5603.0,30
HCPCS,C1776,INSERT TIB LG 9MM LT KN,4780.0,4780.0,717.0,4780.0,30
HCPCS,C1776,INSERT TIB LG NTRL KN,7986.0,7986.0,1197.9,7986.0,30
HCPCS,C1776,INSERT TIB LOGIC 3.5 11M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LPS 23MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB LT 1-2X8 JRNY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT 2X8 JRNY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT 3-4X8 JRNY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT 3-4X9 JRNY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT 5-6X10JRNY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT 5-6X8 MDL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT 6X11,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT SZ0 8MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB LT SZ00 10MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB LT SZ00 8MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB LT SZ00 9MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB LT SZ1 10MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB LT SZ1 13MM,10852.0,10852.0,1627.8,10852.0,30
HCPCS,C1776,INSERT TIB LT SZ1 15MM,9870.0,9870.0,1480.5,9870.0,30
HCPCS,C1776,INSERT TIB LT SZ1 8MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB LT SZ1 9MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB LT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT SZ5 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB LT SZ7 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB MED 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB MED UNV 14MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB MED UNV 16MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB MED UNV 23MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB PLY 5 10MM N2,5108.0,5108.0,766.2,5108.0,30
HCPCS,C1776,INSERT TIB PLY 7 10MM N2,5108.0,5108.0,766.2,5108.0,30
HCPCS,C1776,INSERT TIB POLY 3 8MM,9284.0,9284.0,1392.6,9284.0,30
HCPCS,C1776,INSERT TIB POLY 4+ 14MM,12543.0,12543.0,1881.45,12543.0,30
HCPCS,C1776,INSERT TIB POR SZ5F/FT,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,INSERT TIB PRI 10X71/75,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS + 63/67X14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS + 63/67X16,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS + 63/67X20,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS + 71/75X12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS + 71/75X14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS + 71/75X16,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS + 79/83X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS + 79/83X18,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS + 79/83X24,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR63/67X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR63/67X11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR63/67X12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR63/67X13,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR63/67X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR63/67X16,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS BR63/67X18,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS BR71/75X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR71/75X11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR71/75X12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR71/75X13,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR71/75X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR71/75X16,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS BR71/75X18,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS BR79/83X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR79/83X11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR79/83X12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR79/83X13,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR79/83X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR79/83X18,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR87/91X10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS BR87/91X12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR87/91X13,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS BR87/91X14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS BR87/91X16,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ2.5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ2.5 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ2.5 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ3.5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ3.5 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ3.5 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ3.5 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ4 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ4.5 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB PS SZ6 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PS SZ7 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PST ST 6 7MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PST SZ5 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB PST SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB R 3-5+ 14MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT TIB RM/LL 1-2 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RP STAB4X12.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT #3L 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT #4R 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT 3-4X9 MDL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT 5-6X9 JRNY,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT 8X11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB RT 8X9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB RT DCM 10X9,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT KN SZ6 12M,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT TIB RT SZ00 11MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB RT SZ00 8MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB RT SZ00 9MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB RT SZ1 10MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB RT SZ1 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT SZ1 8MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB RT SZ1 9MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB RT SZ2 12MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB RT SZ2 8MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB RT SZ2 9MM,6878.0,6878.0,1031.7,6878.0,30
HCPCS,C1776,INSERT TIB RT SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT SZ3 8MM,7342.0,7342.0,1101.3,7342.0,30
HCPCS,C1776,INSERT TIB RT SZ4 10MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT TIB RT SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT SZ5 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT SZ6 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB RT SZ7 12MM,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,INSERT TIB SGM 3 H17.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SM 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SM 80MM,21497.0,21497.0,3224.55,21497.0,30
HCPCS,C1776,INSERT TIB SM UNIV 26MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSERT TIB SPHERE SZ4 LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SPHR #2L 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SPHR SZ3 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SPHR SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB STD +H22.5,5555.0,5555.0,833.25,5555.0,30
HCPCS,C1776,INSERT TIB SZ1 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ1.5 17MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ10 6MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT TIB SZ10 8MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT TIB SZ2 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ2 RT H10MM,8593.0,8593.0,1288.95,8593.0,30
HCPCS,C1776,INSERT TIB SZ3 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ3 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ3 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ3 19MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ3.5F 2.5T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,INSERT TIB SZ4 12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ4 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ4 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ4 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ4 22.5MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB SZ4-5X13MM-L,5450.0,5450.0,817.5,5450.0,30
HCPCS,C1776,INSERT TIB SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ5 13MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT TIB SZ5 19MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1776,INSERT TIB SZ5 22MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1776,INSERT TIB SZ5 8MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ5 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ6 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ6 8MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSERT TIB SZ6 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ7 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ7 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ7-8 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSERT TIB SZ7-8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB SZ8 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB T1/1+ 10MM,6594.0,6594.0,989.1,6594.0,30
HCPCS,C1776,INSERT TIB TC3 5 H25.0MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSERT TIB TKR CR 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB TS KN 7 16MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT TIB UHMWPE 3 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB X3 TRTHN6X11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB XLG 16 PS LPD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIB XXSM 14MM,17705.0,17705.0,2655.75,17705.0,30
HCPCS,C1776,INSERT TIB1 KN TRLT 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB1.5 KN TRL10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB1.5 KN TRL11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB2 11IN PST STB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB2 FX KN 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB4 14MM KNEE LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB6 12MM KNEE LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIB6 KN 6MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSERT TIB7 12MM KNEE LT,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIA 2 LT F 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIA 4 LT E 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIA 4 RT E 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIA 6 RT F 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIA KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIA KN SZ2 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIA SZ5-6 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIA SZ6 LT 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIAL 20MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,INSERT TIBIAL 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIBIAL AUGMENT SI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIAL CROSSLINK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIAL KN 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIBIAL KN 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TIBIAL LEFT 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TIBIAL SZ11 10MM,9452.0,9452.0,1417.8,9452.0,30
HCPCS,C1776,INSERT TIBKN TRTHN 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT TRIATHON TIB 809,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRIATHON TIB 811,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN KN 8 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN PS TIB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN SZ8 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN TIB G-213,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN TIB G-316,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN TIB G-409,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN TIB G-413,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSERT TRTHN TIB G-416,5671.5,5671.5,690.9,6737.0,60
HCPCS,C1776,INSERT TRTHN TIB G-419,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN TIB G-509,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN TIB G-525,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN TIB G-622,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT TRTHN TIB G-722,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT UHMWPE KN2.5X12.5,4717.0,4717.0,707.55,4717.0,30
HCPCS,C1776,INSERT UNI ONLAY TIBIAL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT VE SZ3/4 +3X36MM,7441.0,7441.0,1116.15,7441.0,30
HCPCS,C1776,INSERT VE SZ3/4 42 MM+,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,INSERT X3 TRHN SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT X3 UNI ONLAY TIB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSERT XLPE 22/40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT XLPE HIP 28/42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSERT XLPE HIP SZ59/28,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSR CR DEEP SZ7-8 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSR GNS SZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSR GNS SZ5-6 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSR GNS SZ5-6 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSR HI FLEX SZ1-2 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSR HI FLEX SZ3-4 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSR RH SZB 17 MM N1185,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,INSR STD 3-4 LT 10MM,7915.0,7915.0,1187.25,7915.0,30
HCPCS,C1776,INSR STD 3-4 LT 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSR STD 3-4 LT 9MM,4984.0,4984.0,747.6,4984.0,30
HCPCS,C1776,INSR STD 5-6 LT 13MM,7915.0,7915.0,1187.25,7915.0,30
HCPCS,C1776,INSR STD 5-6 LT 18MM,5829.0,5829.0,874.35,5829.0,30
HCPCS,C1776,INSR STD 5-6 LT 21MM,6697.0,6697.0,1004.55,6697.0,30
HCPCS,C1776,INSR STD 5-6 LT 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSR STD 7-8 RT 9MM,7915.0,7915.0,1187.25,7915.0,30
HCPCS,C1776,INSR SZ7-10 G GREEN 20,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,INSR UNI S1-2 LM/RL 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRET TIB KN 5 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ACT 56X28MM 0D HIP,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,INSRT ACTB 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ACTB HIP 0D 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ACTB HIP 10D 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ACTB HIP 28G,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSRT ACTB HIP 32X52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ACTB HIP 40MM SZE,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ACTB HIP X3 32H,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,INSRT ACTB X3 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ADPTV EVOLTN MP CS,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,INSRT ART 5-6 LT CRU RET,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ART CNSTRD 7-8 LT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC 1-2 11 KN PST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT ARTC 3-5 D XL 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC 4-6 E XL 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT ARTC 5-6RT CRU RET,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC 6-8 G XL 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 10-11 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 10-11 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 10-11 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 10-11 16MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,INSRT ARTC KN 10-12 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 10-12 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 10-12 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 10-12 14MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,INSRT ARTC KN 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 6-7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN 8-11 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN LT 10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSRT ARTC KN LT 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN LT 12MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSRT ARTC KN RT 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN RT 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT ARTC KN RT 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT EVOL ADPT EAI5210L,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT EVOL ADPT EAI5210R,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT EVOL MP ADAPTV CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT EVOL MP ADAPTVE CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT EVOLMP ADAPTIVE CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT EVOLTN MP ADPTV CS,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT EVOLUTIONMP ADAPT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT EVOLUTNMP ADPTV CS,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,INSRT HP X3 REST 28/56MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,INSRT HUM SHLDR 36X+3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT INTERMED LT TIB SZ,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT KIT LFT KN TOTPLOY,11458.0,11458.0,1718.7,11458.0,30
HCPCS,C1776,INSRT KN LT SZ3-4 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT KN SZ3-4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT KN SZ5-6 9MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT POLY X3 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT SCKT SEMI +4 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT SCKT SEMI +4 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT SGM CRV XLK 10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TB KN CRCTE RT 14M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 2 10MM KN UHMW,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSRT TIB 2 20 KN UHMWPE,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSRT TIB 2 PST STB LOGI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 2.5 17MM KNMOD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 2.5 8MM AP CRV,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB 3 9MM KN TRULI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 3 PST STB LGC,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,INSRT TIB 3 PST STB LOG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 4 PST STB LGC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 4 PST STB LOGC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 4 PST STB LOGI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 5 14MM PST STB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB 5 17.5 KN RP P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 5 POST STAB LG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 5 PST LGC HFLX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 6 15MM KN POST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB 7 20MM PST STB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB ARTC KN 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB CRV 6 +20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB HNG SM 23MM,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,INSRT TIB KN 1 22MM 3X,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 1 G 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 1 G 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 2 G 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 2 G 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 3 G 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 3 G 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 4 G 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 5 21MM,10721.0,10721.0,1608.15,10721.0,30
HCPCS,C1776,INSRT TIB KN 5 G 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 5 G 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 6 22MM X3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 6 25MM X3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 6 G 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 6-7/CD 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 6481-3-313,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 7 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 7 21MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 7 22MM X3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 7 G 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 8 G 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 8 G 25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN 82X51X10MM,5394.0,5394.0,809.1,5394.0,30
HCPCS,C1776,INSRT TIB KN 9 16MM,5407.0,5407.0,811.05,5407.0,30
HCPCS,C1776,INSRT TIB KN DRTN XL13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB KN LG 16MM,6346.0,6346.0,951.9,6346.0,30
HCPCS,C1776,INSRT TIB KN LT G-H 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN PS SZ3 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN PS SZ7 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN PS SZ8 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN PS SZ8 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN STB 12.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN SZ4 15MM,6265.0,6265.0,939.75,6265.0,30
HCPCS,C1776,INSRT TIB KN SZ4 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN SZ5 16MM,8309.0,8309.0,1246.35,8309.0,30
HCPCS,C1776,INSRT TIB KN SZ6 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN SZ6-7 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN SZ8 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB LG 12.5MM KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB LT MDL KN DEV,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1776,INSRT TIB ONLAY SZ2 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB OPTTRK 18MM LG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB STD 17.5MM RP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB SZ4 14 AMK CN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB SZ5 25MM STAB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB TRTHN KN 16MM,6737.0,6737.0,1010.55,6737.0,30
HCPCS,C1776,INSRT TIB TRTHN SZ4 9,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB X3 SZ11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB10MM XLPCRV+SGM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB2 15 KN COCR UH,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB2 16MM PSTSTBFX,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB2 17.5MM XLPCRV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB2 18MM PSTSTBFX,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB2 8MM XLPCRV+SG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB2.5 11MM PSTSTB,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB2.5 13MM KNPOST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB2.5 15MM XLPCRV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB3 14MMRTKNCNFRM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB3 17.5MM XLKCRV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB4 15MM XLKCRVSG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB4 17.5MM XLKCRV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB5 17.5MM XLKCRV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB5 8MM XLPCRV+SG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB5 H15 STAB XLNK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB6 8MM XLKCRV+SG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,INSRT TIB8 18MM PSTSTBFX,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INSRT TIB8 7MM PSTSTBATN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INTERMED LT TIB INSERT S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,INTMD STM TIB SZ 0 NON,7478.0,7478.0,1121.7,7478.0,30
HCPCS,C1776,INTMD STM TIB SZ 3 POR,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,INTMD STM TIB SZ2 POR,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,INTMD STM TIB SZ4,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,INTMD STM TIB SZ4 POR,6688.0,6688.0,1003.2,6688.0,30
HCPCS,C1776,ITOTAL CR-IPOLY-IMPLANT,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1776,JNT DEV FEMUR SZ4 LT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,JNT TOE 15X2-5.5X1.2MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JNTDEV LNR HIP 26 36 MX,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT FEM HEAD C-TPR,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,JOINT FINGER SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT FLX HNG TOE SZ3S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT FNG PROC SIL SZ20,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT FNGR 40 DIST MCP P,6555.5,6555.5,980.7,6573.0,60
HCPCS,C1776,JOINT FNGR MOD SZ0,7007.0,7007.0,1051.05,7007.0,30
HCPCS,C1776,JOINT FNGR NFLX 50 MCP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT FNGR PREFLX SZ1,5740.0,5740.0,861.0,5740.0,30
HCPCS,C1776,JOINT HEAD FEM HIP +7.5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT HUM ELBW 2.5X84MM,18609.0,18609.0,2791.35,18609.0,30
HCPCS,C1776,JOINT SLSTC FNGR SZ1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOE 11,4676.0,4676.0,701.4,4676.0,30
HCPCS,C1776,JOINT TOE 15X1.2MM 2 10D,4676.0,4676.0,701.4,4676.0,30
HCPCS,C1776,JOINT TOE 16X2-5.5X1.2MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOE 19X2-5.5X1.2MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOE 4 REG FT FLX,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOE ANGL 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOE FLX HNG #5S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOE MTP SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOE SMRT 16X1.2MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOE SZ#4S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,JOINT TOT KNEE KEEL 2.5,5461.0,5461.0,819.15,5461.0,30
HCPCS,C1776,JOINT WRST UHMWPE MED,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KEEL KN SZ2+3/4 15MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,KIT ACTB HIP CSTM RT,116771.0,116771.0,17515.65,116771.0,30
HCPCS,C1776,KIT ACTB HIP RECON,116771.0,116771.0,17515.65,116771.0,30
HCPCS,C1776,KIT ACTB HIP TRI-FLANGE,116771.0,116771.0,17515.65,116771.0,30
HCPCS,C1776,KIT BRNG ULNA ELBOW E+,7715.0,7715.0,1157.25,7715.0,30
HCPCS,C1776,KIT FEM HIP CSTM,149612.0,149612.0,22441.8,149612.0,30
HCPCS,C1776,KIT FEM KN HINGE SZ C,11215.0,11215.0,1682.25,11215.0,30
HCPCS,C1776,KIT IMPL KN LT/RT CUSTOM,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1776,KIT IMPLANT ITTL CR IPOL,18602.0,18602.0,2790.3,18602.0,30
HCPCS,C1776,KIT IMPLANT TTL ID CR,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1776,KIT OSTM DIST FEM HIP,109264.0,109264.0,16389.6,109264.0,30
HCPCS,C1776,KIT REPL KN B POLY INS,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,KIT REV PIN BSHING,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KN BASEPLT TB JRNY SZ2-L,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KN BASEPLT TB JRNY SZ6-L,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KN INSERT TIB PST 7-8X21,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KNEE FEM GNSIS 2 OXNM S,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,KNEE GII NONPOR 71420116,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,KNEE GII OXFEM 71421118,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,KNEE GII PS FEM 71420100,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,KNEE GNS HI INS 71421523,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,KNEE GNS HIFLEX 71424509,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,KNEE JRNY PAT 74024629,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,KNEE POLY INSERT 6MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,KNEE TIB KLD ETPKN2PL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KNEE TIB KLD ETPKN2SR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KNEE TIB KLD ETPKN8PL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KNEE TIBIAL BASEPLATE SZ,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,KNEE UNI ORTH FXD DUAL,11974.0,11974.0,1796.1,11974.0,30
HCPCS,C1776,LGC TIBIAL FIT TRAY CEM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,LINER 10 D 58X28,4841.0,4841.0,726.15,4841.0,30
HCPCS,C1776,LINER 66/68 70X32 10D,5820.0,5820.0,873.0,5820.0,30
HCPCS,C1776,LINER ACE A CONN GXL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACET HIP 54MM SZI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACET POLY D 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACETAB EP-107925,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACETB 10DD +4 OD46,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACETB E ID28MM STD,5891.0,5891.0,883.65,5891.0,30
HCPCS,C1776,LINER ACETB HIP 10D MED,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACETB HIP 54MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACETB POLY 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACT NVTN CRWN CUP,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB +4 10DD 50X28,4785.0,4785.0,717.75,4785.0,30
HCPCS,C1776,LINER ACTB +4 36X54,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB +4 NEUT 32X52,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB +4 NEUT 40ID,10503.0,10503.0,1575.45,10503.0,30
HCPCS,C1776,LINER ACTB +5MM SZD 36MM,7485.0,7485.0,1122.75,7485.0,30
HCPCS,C1776,LINER ACTB 0D 12.7X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 0D 5.9X28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 0D NTRL 66-68,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,LINER ACTB 0D+4X54-56X36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 0DDX32 SROM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB 10D +4 36X64M,5847.0,5847.0,877.05,5847.0,30
HCPCS,C1776,LINER ACTB 10D +4 36X74M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 10D +4X58X36,9070.0,9070.0,1360.5,9070.0,30
HCPCS,C1776,LINER ACTB 10D 11.2X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 10D 14.7X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 10D 48MM 28MM,4963.0,4963.0,744.45,4963.0,30
HCPCS,C1776,LINER ACTB 10D 5.9X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 10D 9.4X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 10D H 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB 10D LG 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 10DD +4 36X52,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 10DD +4 36X54,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 10DD +4 36X56,5847.0,5847.0,877.05,5847.0,30
HCPCS,C1776,LINER ACTB 10DD +4 36X58,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 10DD +4 36X60,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 10DD +4 36X64,5626.0,5626.0,843.9,5626.0,30
HCPCS,C1776,LINER ACTB 10DD 58 36,6817.0,6817.0,1022.55,6817.0,30
HCPCS,C1776,LINER ACTB 10DD MED 28,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 24 54-56X32MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB 26 OD62 RNGLC,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB 28MM 47MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 28MM 49MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 2X32 XLNK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 32 SZ24,5422.0,5422.0,813.3,5422.0,30
HCPCS,C1776,LINER ACTB 32MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB 36MM 0D J HI,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 36MM 10D SZ28,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 36MM RNGLC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 36X54,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 36X56,5847.0,5847.0,877.05,5847.0,30
HCPCS,C1776,LINER ACTB 38MM 10D SZ27,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 3X36 XLNK,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 40MM 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 40X60MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,LINER ACTB 44X28,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB 45D 7X48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 5 GRN 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 56/49 56MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB 56X36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB 58 49 58MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB 62MM 32MM LNG,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB 62MM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 64 53 64MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB 66 55 66MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB 7.4MM 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB 7MM 60MM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB A-CLASS 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB A-CLS STD 32,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB ALTRX +4 NTRL,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB ARTC E1 28X50,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB B 28/48-50MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB CNST QU 36X68,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB CONT 7MM NN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB CONT 7MM O,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB CONTIN LL 58M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB CONTIN TRLG I,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB CONTN TRLG IT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB CUP 3H 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB DRLC +4 32X54,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB E1 32MM SZ27,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB ELEV RM SZG,6633.0,6633.0,994.95,6633.0,30
HCPCS,C1776,LINER ACTB F/32 STD R,6633.0,6633.0,994.95,6633.0,30
HCPCS,C1776,LINER ACTB FRDM 28 HIP S,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB G3 SZ32,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB GRP D 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HH OTHS 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP +4 10D,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP +4 32X52,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB HIP +4 32X52M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP +4 32X54M,4854.0,4854.0,728.1,4854.0,30
HCPCS,C1776,LINER ACTB HIP +4 32X56M,4854.0,4854.0,728.1,4854.0,30
HCPCS,C1776,LINER ACTB HIP +4 52X32,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP +4 58X36,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP +4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP +4MM 64MM,9608.0,9608.0,1441.2,9608.0,30
HCPCS,C1776,LINER ACTB HIP +4MM 66MM,6644.0,6644.0,996.6,6644.0,60
HCPCS,C1776,LINER ACTB HIP +4X58X4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP +4X64MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP +5MM 36H,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP +5MM 40MM,5960.0,5960.0,894.0,5960.0,30
HCPCS,C1776,LINER ACTB HIP 0D 32X52,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 0D 58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 0D 58X36,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 0D B 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 0D+4X56X4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 0D66X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 10.6X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 10.6X44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 10D +4MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 10D 28X50,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 10D 32MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB HIP 10D 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 10D3.5X36,6055.0,6055.0,908.25,6055.0,30
HCPCS,C1776,LINER ACTB HIP 15D 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 20D 32MM,9386.0,9386.0,1407.9,9386.0,30
HCPCS,C1776,LINER ACTB HIP 20X56X40,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 22MM 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 22MM 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 22X32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 23 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 23X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28-48MM,6090.0,6090.0,913.5,6090.0,30
HCPCS,C1776,LINER ACTB HIP 28/38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28MM,5536.5,5536.5,664.35,6644.0,120
HCPCS,C1776,LINER ACTB HIP 28MM 38MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 28MM 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28MM 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 28MM 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28MM 48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28MM 49MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28MM 51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28MM 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 28X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 28X44MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER ACTB HIP 28X47MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28X48,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28X50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 28X52MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 28X53MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 3.5X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 3.5X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 3.8X44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 32MM,4606.0,4606.0,664.35,6644.0,180
HCPCS,C1776,LINER ACTB HIP 32MM +3MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 32MM 48MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 32MM 50MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,LINER ACTB HIP 32MM 52MM,5536.5,5536.5,664.35,6644.0,60
HCPCS,C1776,LINER ACTB HIP 32MM 54MM,6644.0,6644.0,996.6,6644.0,60
HCPCS,C1776,LINER ACTB HIP 32MM SZB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 32X46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 32X62X74,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 36D 4MM,6049.0,6049.0,907.35,6049.0,30
HCPCS,C1776,LINER ACTB HIP 36MM,4960.5,4960.5,664.35,6644.0,210
HCPCS,C1776,LINER ACTB HIP 36MM 46MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP 36MM 50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 36MM 52MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 36MM 54MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB HIP 36MM 56MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,LINER ACTB HIP 36MM 58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 36MM 64MM,6055.0,6055.0,908.25,6055.0,30
HCPCS,C1776,LINER ACTB HIP 36MM SZ23,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 36MM SZ25,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 36MM SZG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 36X48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 36X52MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,LINER ACTB HIP 36X56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 36X62MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 36X66MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 38MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 38X48MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP 3X56X36,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 3X58X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 40MM,4517.5,4517.5,664.35,4606.0,180
HCPCS,C1776,LINER ACTB HIP 40MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 40MM 56MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 40MM 64MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB HIP 40MM 68MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 40X56X+4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 40X58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 41MM 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 42/54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 42MM 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 42MM 52MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP 43/22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 44/58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 44MM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 45/22,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 45D 7MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,LINER ACTB HIP 45X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER ACTB HIP 46/60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 46MM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 46X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 48/32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 48MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,LINER ACTB HIP 48MM 36MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB HIP 48X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 48X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 4X58X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 4X58X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 50-52X26,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 50-52X32,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 50MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,LINER ACTB HIP 50MM 28MM,6823.0,6823.0,1023.45,6823.0,30
HCPCS,C1776,LINER ACTB HIP 50MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 50MM 40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP 50X28MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 50X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 52/66MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 52MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP 52MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER ACTB HIP 52MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 52X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 53/28,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 53MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER ACTB HIP 54-56X28,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 54MM 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 54MM 32MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 54MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 54MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 54MM 44MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP 56-58X40M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 56/68MM,6036.0,6036.0,787.35,6823.0,60
HCPCS,C1776,LINER ACTB HIP 56MM,7401.5,7401.5,946.8,8491.0,60
HCPCS,C1776,LINER ACTB HIP 56MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 56X36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 56X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 58MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 58X36MM,5529.0,5529.0,829.35,5529.0,30
HCPCS,C1776,LINER ACTB HIP 5X36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 6.3X32X50,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 60MM,6478.0,6478.0,946.8,6644.0,60
HCPCS,C1776,LINER ACTB HIP 60MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 60X36MM,5124.5,5124.5,664.35,5820.0,60
HCPCS,C1776,LINER ACTB HIP 60X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 62MM 36MM,4650.5,4650.5,664.35,4872.0,60
HCPCS,C1776,LINER ACTB HIP 64MM 36MM,4650.5,4650.5,664.35,4872.0,60
HCPCS,C1776,LINER ACTB HIP 64X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 64X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 65MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP 66MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP 7.9X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP 70MM,9051.0,9051.0,1357.65,9051.0,30
HCPCS,C1776,LINER ACTB HIP 8.6X44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP B +2 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP C 38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP CANC 54MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP CNSTR 10D,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP E 28X48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP EPLY26X40,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP F 44MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP G 36MM,5536.5,5536.5,664.35,6644.0,60
HCPCS,C1776,LINER ACTB HIP G6 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP G7 C 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP PE51X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP PNCL +4,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP RT SZ26,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,LINER ACTB HIP STD 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP SZ D 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZ G 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP SZ-H 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP SZ1 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP SZ1 54X28,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZ2 28MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP SZ2 36MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB HIP SZ22 3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZ23 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP SZ24 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP SZ24 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZ25 36MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,LINER ACTB HIP SZ25 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZ26 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP SZ26 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZ27 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZ27 36MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,LINER ACTB HIP SZ28,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZ3 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP SZ56-58MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP SZ7 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP SZB 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZB 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP SZC 28X38,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZC 32MM,5536.5,5536.5,664.35,6644.0,60
HCPCS,C1776,LINER ACTB HIP SZD 36MM,5625.0,5625.0,690.9,6644.0,150
HCPCS,C1776,LINER ACTB HIP SZE 36MM,5625.0,5625.0,690.9,6644.0,60
HCPCS,C1776,LINER ACTB HIP SZF 36MM,5536.5,5536.5,664.35,6644.0,60
HCPCS,C1776,LINER ACTB HIP SZF 40MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,LINER ACTB HIP SZG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZG 36MM,5536.5,5536.5,664.35,6644.0,60
HCPCS,C1776,LINER ACTB HIP SZG 40MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,LINER ACTB HIP SZG 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP SZH 36MM,4429.0,4429.0,637.8,6644.0,90
HCPCS,C1776,LINER ACTB HIP SZH 40MM,4960.5,4960.5,690.9,5315.0,60
HCPCS,C1776,LINER ACTB HIP SZHH 28MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP SZI 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZJ 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZKK 32MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP SZKK 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZQU 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB HIP SZQU 68MM,8152.0,8152.0,1222.8,8152.0,30
HCPCS,C1776,LINER ACTB HIP XL 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP+4 0D 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP+4 28X48MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP+4 56X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP+4MM 32X52,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP+4X40X60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP+4X40X66MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP+4X60X36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP0D 28X52MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB HIP0D 62X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP10D36X52MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP10D36X54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP10D40X64MM,10503.0,10503.0,1575.45,10503.0,30
HCPCS,C1776,LINER ACTB HIP20D40X58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP20D40X60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP22 +3X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP36X54X56MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP40X22.225M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP48/41 48MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP52MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP56-58X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP60-62X36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB HIP60/51 60MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HIP62/53 62MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER ACTB HP 3.5MM 36MM,6574.0,6574.0,986.1,6574.0,30
HCPCS,C1776,LINER ACTB HP 36MM SZKK,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB KN 52MM,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,LINER ACTB KN SZ NN 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB LL NTRL 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB LNGVT 60X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB LT SZ26,49605.0,49605.0,7440.75,49605.0,30
HCPCS,C1776,LINER ACTB MED 42MM ALPH,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB MM NTRL 60X36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB NEUT +4 32X48,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB NEUT +4 32X50,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB NEUT 28X50,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB NTRL 48X32,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB NTRL 50X32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB NTRL 52X28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB NTRL 58X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB NTRL 62X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB NTRL 62X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB NTRL F 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB NTRL JJ 54X35,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB NVANTN CNNXN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB NVATN CNNXN,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,LINER ACTB NVATN CNNXN G,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER ACTB NVATN CRWN CU,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB NVTN CRWN CUP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB OO NTRL 64X40,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB PNCL 32X52,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB PNCL 32X66,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB PNCL ESC +4MM,6644.0,6644.0,996.6,6644.0,60
HCPCS,C1776,LINER ACTB PNCL NTRL 38M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB POLY 36X56,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB POLY 36X58,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB PRE 26 ID36MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,LINER ACTB R3 0D 4MM 62M,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB REFLC 20D F 5,5402.0,5402.0,810.3,5402.0,30
HCPCS,C1776,LINER ACTB RNGLC 2 25 HI,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB RNGLC 2 28 HI,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB RNGLC ARC 36,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB RNGLC MXRM 26,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB SH SZ23 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB SIZE 23 LEFT,45176.0,45176.0,6776.4,45176.0,30
HCPCS,C1776,LINER ACTB SZ-DMF 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB SZ24 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB SZA 28MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB SZC 32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB SZD 32MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,LINER ACTB SZD 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB SZE +5 36MM,7485.0,7485.0,1122.75,7485.0,30
HCPCS,C1776,LINER ACTB SZE 32MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,LINER ACTB SZE 36MM,4606.0,4606.0,664.35,6644.0,90
HCPCS,C1776,LINER ACTB SZF 36MM,5625.0,5625.0,690.9,6644.0,60
HCPCS,C1776,LINER ACTB SZG 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB SZH 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB SZH 44MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ACTB SZI 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ACTB XLNK 2X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ACTB XLPE 0D44MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER ADPR CNSTRN 46-48,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER ALT XLE+5LAT G5 36,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER BIP HIP 22MM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,LINER BIP HIP 42/43X26MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER BIP HIP 44/45/46MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER BIP HIP47/48/49X28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER BIP HIP53/54/55X28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER CNSTRN SIZE 40E,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER CONTINUUM NEUT SZ,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER CRWN CUP GRP3 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER CRWN CUP GRP4 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER CUP 32-48/50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER CUP ACTB 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER CUP EXTCOV G4 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER CUP G6 SZ40,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER CUP HIP 36-56/58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER CUP SHLDR SZ+6R,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER DUAL HIP 44MM 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER DUR ALTRX +7 36X48,38188.0,38188.0,5728.2,38188.0,30
HCPCS,C1776,LINER EXTD CVRG 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER FEM 20D 50-52X32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER FEM HIP 32X52MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER FEM HIP 32X54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER FEM HIP D 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER FLAT HIP SZ3 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP +4 40MM 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP +4 58X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 0D 32X56/68MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 0D SZG 28MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER HIP 10D +4X32X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 10D 32MM 52MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 10D 36X60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 10D 54MM 32MM,4963.0,4963.0,744.45,4963.0,30
HCPCS,C1776,LINER HIP 11.2X66X36X3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP 20D 36X54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 20D 44X60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 20D 6.4X32X56,5451.0,5451.0,817.65,5451.0,30
HCPCS,C1776,LINER HIP 28D 46MM SZG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP 28MM 38MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP 36MM 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 40MM +5 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP 47MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER HIP 48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP 48MM 28MM,9070.0,9070.0,1360.5,9070.0,30
HCPCS,C1776,LINER HIP 50/43 50MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER HIP 50/52/54X28MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER HIP 50MM 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 56-58MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 60-62MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP 60-62MM 48MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER HIP 62MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP ACTB 0D 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP ACTB 10D 40MM,5820.0,5820.0,873.0,5820.0,30
HCPCS,C1776,LINER HIP ACTB 45MM 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP ACTB 50X32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP ACTB 55MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER HIP ACTB 62X40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP ACTB F 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP COCR 40X22,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LINER HIP D 22MM 38MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP DUAL 38/50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP DUAL 40/52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP DUAL 48/62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP FEM 3.5MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP G7 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP GRP 4 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP H 28MM 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP HIP SZE 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP J 12.6MM 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP NEU G4 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP NTRL G3 32,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP NTRL G6 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP NTRL GRP8 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP OFST SZG 36MM,5931.0,5931.0,889.65,5931.0,30
HCPCS,C1776,LINER HIP STD 0D 40X58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP SZ 23 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP SZ LL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP SZ-JJ 28MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINER HIP SZ28MM 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP SZC 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP SZF 54-56MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HIP SZG 28X46,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HIP SZH 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM +2.5MM 38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM +2.5MM 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM 0MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM 0MM OFST 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM 36MM +2.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM 36MM/+0MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,LINER HUM 42MM +2.5MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,LINER HUM H+3MM 39MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,LINER HUM OFFST 2.5 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM RVRS 38 +2.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM SHD 0MM 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM SHLDR +0 36MM,4473.0,4473.0,651.0,4606.0,60
HCPCS,C1776,LINER HUM SHLDR +0 42MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR +0X39MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,LINER HUM SHLDR +0X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR +0X42MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR +25X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR +6X32MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,LINER HUM SHLDR 33+3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR 36MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,LINER HUM SHLDR 38MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,LINER HUM SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR 42+2.5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR 42MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR 42X+0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM SHLDR 42X+3MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER HUM SHLDR+2.4X38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM SHLDR+2.5 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM SHLDR+2.5 42MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM SHLDR+2.5 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER HUM SHLDR36MM +3MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,LINER HUMERAL 40MM +2.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER NN HD HXE MP6 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER OBLIQUE 36MM SZJJ,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER OFFSET THB 15D 8MM,16233.0,16233.0,2434.95,16233.0,30
HCPCS,C1776,LINER ORT ACTB 4MMX32MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER ORT DUAL 50X64MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER PE HIP CNSTRN 28FR,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINER PLY DYNSTY STD 36G,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER PLY RVRS TM +0 36M,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,LINER PLY RVRS TM +3 36M,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,LINER PLY RVRS TM +6 36M,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,LINER POLY 22.2X43MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER REV SHLDR 36+0MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER REV SHO 6X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER RVRS HUM 38 +0,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER RVS SHLDR LG 38MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER SCTB HIP 40MM 58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER SHD HUM +0MM 32MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,LINER SHLDR +2.5 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER SHLDR +3MM 36MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,LINER SHLDR +6MM 36MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,LINER SHLDR 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER SHLDR RVRS 38MM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,LINER SHLDR STNDRD +6S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER SHLDR SZ+3S,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER STD RIM E/32,6245.0,6245.0,936.75,6245.0,30
HCPCS,C1776,LINER STR THB 4MM 6MM,16233.0,16233.0,2434.95,16233.0,30
HCPCS,C1776,LINER SZ26 64MM RGNX,10068.0,10068.0,1510.2,10068.0,30
HCPCS,C1776,LINER TIB SZD3-4 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER XLE EXTCOV G8 40,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER XLPE 0 D POLY 60X,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER XLPE 0D 32X48,5162.0,5162.0,774.3,5162.0,30
HCPCS,C1776,LINER XLPE 10D 32X48,5451.0,5451.0,817.65,5451.0,30
HCPCS,C1776,LINER XLPE 10D 36X60,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINER XLPE 20 DEG 54X32,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER XLPE 20D 32X48,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LINER XLPE OFST 7 32X48,5670.0,5670.0,850.5,5670.0,30
HCPCS,C1776,LINER XPLE 10D 36X62,6574.0,6574.0,986.1,6574.0,30
HCPCS,C1776,LINR ACTB +4MM 56MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINR ACTB +4MM 60MM,7169.0,7169.0,1075.35,7169.0,30
HCPCS,C1776,LINR ACTB +4MM 64MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINR ACTB 10D +4 64MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINR ACTB 10D +4 68MM,7533.0,7533.0,1129.95,7533.0,30
HCPCS,C1776,LINR ACTB 10D +4MM 58MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINR ACTB 10D +4MM 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINR ACTB 10D +4MM 62MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINR ACTB 36MM BIOFM GPC,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,LINR ACTB NVATN CNXN GXL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINR ACTB NVATN CRWN CUP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LINR ACTB SR 0D 28MM GVF,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINR ACTB1MM OFST62/64MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LINR TRIFLN ACET RT SZ24,53148.0,53148.0,7972.2,53148.0,30
HCPCS,C1776,LNR ACTB 10DD +4 32X48,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB 10DD +4 32x50,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB 10DD 48X32,5669.0,5669.0,850.35,5669.0,30
HCPCS,C1776,LNR ACTB 45D 7X64MM OFST,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LNR ACTB BNTM 10D 46MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB COC HIP G7D40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB CONTQU 68X36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LNR ACTB CUP 32/52-54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB CUP 36/52-54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB CUP 36/60-68MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB DURLC 72X32,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,LNR ACTB DYNSTY 15D 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB HIP 0D 4MM 54MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB HIP 54/72-74MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LNR ACTB HIP GRP2 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB HIP SZF 28X44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LNR ACTB NVATN CRWN CUP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB NVTN 32MM CNNXN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR ACTB TRLG 12.4X68MM,13642.0,13642.0,2046.3,13642.0,30
HCPCS,C1776,LNR ACTBLR XLPE 20 OPTI-,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR BI 2852-56MM,3712.0,3712.0,556.8,3712.0,30
HCPCS,C1776,LNR BIPOLAR 68-70 X 28,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,LNR CR HFLX SZ1-2 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR PLY 0D XLPE 72 X 36,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LNR SHLDR SM R SMR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LNR XLPE 36 0 LAT 4 58,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,LOGICAL G-CUP 58,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,LPS UNIV TIB HIN INS MED,14095.0,14095.0,2114.25,14095.0,30
HCPCS,C1776,MASTERLOC LATERALIZED 10,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,MCP FINGER PROX SZ40,9713.0,9713.0,1456.95,9713.0,30
HCPCS,C1776,MNOBLCK TIB NXGN CR TR,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,NECK FEM 8D SHRT CBLT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,NECK FEM ACUMTCH+10MMHIP,9191.0,9191.0,1378.65,9191.0,30
HCPCS,C1776,NECK FEM HIP CBLT 15D,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,NECK FEM HIP COCR LONG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,NECK FEM PRFMR + LNG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,NECK FEM PRFMR LNG HIP M,4428.0,4428.0,664.2,4428.0,60
HCPCS,C1776,NECK FEM SHRT ANTGRD,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,NECK HIP FEM STR LONG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,NECK HUM SHLDR NTRL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA 3PEG REPLACMNT,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA DOME KN 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA DOME KN 38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA KN 10MM 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA KN 29MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA KN 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA KN 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA KN 8MM 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA KN CAP 32MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PATELLA KN CMNT OVL 9X35,1.0,1.0,0.15,1.0,30
HCPCS,C1776,PATELLA KN SZ3 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PEG FX GLND 52MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,PEG FX GLND SHLDR 48MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,PEG GLENOID 40,6187.0,6187.0,928.05,6187.0,30
HCPCS,C1776,PIN ACTB HIP 66MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PIN FEM DIST HIP/KN 1SZ,5873.0,5873.0,880.95,5873.0,30
HCPCS,C1776,PIN FX KN XS/SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PLATE BASE GNSIS2 8LT KN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PLATE FX SHLDR ANG 0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,PLATE GLENOID RVRS,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,PLATE GLND SM SHLDR 10D,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,PLATE MNOBLCK SZ 8 GH 14,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE SHLDR LT SM 10D,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,PLATE TI/PMMA 3STD 42X66,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PLATE TI/PMMA 8STD 54X82,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PLATE TIB 6 KN 74X50X6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PLATE TIB BLU 83X55X10MM,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB BLU 83X55X12MM,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,PLATE TIB GRN 75X51X10MM,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB GRN 75X51X17MM,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB GRN GRN STRP,6514.0,6514.0,977.1,6514.0,30
HCPCS,C1776,PLATE TIB KN SZ 6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PLATE TIB KN SZ2 62X41MM,17798.0,17798.0,2669.7,17798.0,30
HCPCS,C1776,PLATE TIB KN SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PLATE TIB KN XS 31MM,8691.0,8691.0,1303.65,8691.0,30
HCPCS,C1776,PLATE TIB MED KN 12MM,8691.0,8691.0,1303.65,8691.0,30
HCPCS,C1776,PLATE TIB MNOBLCK 5 14,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,PLATE TIB MNOBLCK CR SZ3,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB MNOBLCK SZ5 12,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,PLATE TIB MNOBLCK SZ6 12,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,PLATE TIB MNOBLK CR 3X12,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB MNOBLK CR 5X10,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB MNOBLK CR 6X14,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB MNOBLK CR 7X12,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB MNOBLK CR SZ7,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB MTL MOD SZ6,6245.0,6245.0,936.75,6245.0,30
HCPCS,C1776,PLATE TIB UHMWPE 41X62M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PLATE TIB YLW 67X43X17MM,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,PLATE TIB YLW 67X47X10MM,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,PLATE TIB YLW 67X47X17MM,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,PLATE TIBPLT 4 70X46,17798.0,17798.0,2669.7,17798.0,30
HCPCS,C1776,PLATE TIBPLT 4 KN,6245.0,6245.0,936.75,6245.0,30
HCPCS,C1776,PLLNR HIP 10D4MM 48X32MM,28652.0,28652.0,4297.8,28652.0,30
HCPCS,C1776,PLLNR HIP 10D5MM 48X32MM,34232.0,34232.0,5134.8,34232.0,30
HCPCS,C1776,PLUG TIB KN STEM TPR,1382.0,1382.0,207.3,1382.0,30
HCPCS,C1776,POST AUG KN SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,POST FEM KN REV 9-12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,POST HEMICAP TPR 11MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,POST SHLDR GLND SHRT 7MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,POST TIB E-POLY 71/75X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,POST TPR SHLDR 15.6X32MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,PROS FEM COMP SZ3 RT,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,PROS FEM COMP SZ6 RT,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,PROS STM XTND 19X80,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,PROSTH ACTB HIP H PLUG,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,PROSTH HIP 195MM 21MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,PROSTH HIP SZXL 36MM,12846.0,12846.0,1926.9,12846.0,30
HCPCS,C1776,PROSTHESIS HIP 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,PROSTHESIS KNEE UNCOATED,5736.0,5736.0,860.4,5736.0,150
HCPCS,C1776,PROSTHESIS PATELLA 38MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,PROSTHESIS ROT KN 75MM,44277.0,44277.0,6641.55,44277.0,30
HCPCS,C1776,PROSTHESIS TIB KN SZ3,6245.0,6245.0,936.75,6245.0,30
HCPCS,C1776,PROSTHESIS TOEJNT 10MM,15945.0,15945.0,2391.75,15945.0,30
HCPCS,C1776,PTLR CMPNT KN 9MM 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,REAMER OXNM FEM RT 6,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1776,RESTRCTOR CMNT HIP 30MM,2130.0,2130.0,319.5,2130.0,30
HCPCS,C1776,RESTRCTOR CMNT HIP 35MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,RESTRCTR CMNT SHLDR 24MM,2807.0,2807.0,421.05,2807.0,30
HCPCS,C1776,RESTRCTR ELBW CMNT 13MM,3572.0,3572.0,535.8,3572.0,30
HCPCS,C1776,RESTRCTR HIP CMX 6-8MM,2020.0,2020.0,303.0,2020.0,30
HCPCS,C1776,RESTRICTOR CMNT HIP 25MM,3668.0,3668.0,550.2,3668.0,30
HCPCS,C1776,RESTRICTOR CMNT SM,1063.0,1063.0,159.45,1063.0,30
HCPCS,C1776,RESTRICTOR HIP SM 13MM,1967.0,1967.0,295.05,1967.0,30
HCPCS,C1776,REV CRS FEM LT CMNT SZ10,18525.0,18525.0,2778.75,18525.0,30
HCPCS,C1776,RING ACTB CNTRHIP47X43MM,5730.0,5730.0,859.5,5730.0,30
HCPCS,C1776,RING ACTB HIP 46MM,3535.0,3535.0,530.25,3535.0,30
HCPCS,C1776,RING ACTB HIP 48MM,3535.0,3535.0,530.25,3535.0,30
HCPCS,C1776,RING ACTB HIP 50MM,3535.0,3535.0,530.25,3535.0,30
HCPCS,C1776,RING ACTB HIP 52MM,3535.0,3535.0,530.25,3535.0,30
HCPCS,C1776,RING ACTB HIP 54MM,3535.0,3535.0,530.25,3535.0,30
HCPCS,C1776,RING ACTB HIP 56/68MM,3535.0,3535.0,530.25,3535.0,30
HCPCS,C1776,RING ACTB HIP 62MM 74MM,3535.0,3535.0,530.25,3535.0,30
HCPCS,C1776,RING ACTB HIP LCK 60MM,1914.0,1914.0,287.1,1914.0,30
HCPCS,C1776,RING ACTB SHELL HIP 4MM,3535.0,3535.0,530.25,3535.0,30
HCPCS,C1776,RING SPT KN FEM/TIB 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,RSTRC HIP CMNT 11.0MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SEGEMENT FEM 25MM,5718.0,5718.0,857.7,5718.0,30
HCPCS,C1776,SEGEMENT FEM 98MM,23864.0,23864.0,3579.6,23864.0,30
HCPCS,C1776,SEGMENT FEM KN SIZE B,8615.0,8615.0,1292.25,8615.0,30
HCPCS,C1776,SET CMPNT TIB KN MED,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SET ORTH LPS +0MM FEM HI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SETM HUM SHLDR 14X145MM,14375.0,14375.0,2156.25,14375.0,30
HCPCS,C1776,SGMNTL SHD HNG SVC SZE,8615.0,8615.0,1292.25,8615.0,30
HCPCS,C1776,SHELL ACETAB TRDNT 48D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACETABULAR DM 048,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACETB 50MM RT RSTR,5475.0,5475.0,821.25,5475.0,30
HCPCS,C1776,SHELL ACETB D 50 HIP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACETB E 52 HIP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACETB F 56 HIP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACETB G 60 HIP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACETB HIP MTL 68MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL ACTB 24X56MM RGNX,8207.0,8207.0,1231.05,8207.0,30
HCPCS,C1776,SHELL ACTB 25 60MM 3H,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 42MM HIP 3 SC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 44MM HIP 3 H,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 46MM CH PRIM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SHELL ACTB 46MM HIP HMSP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 48MM GRP 1 CH,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 50MM GRP 1 CH,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 52MM HIP TI B,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,SHELL ACTB 54MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,SHELL ACTB 56MM 24MM HIP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 56MM GRP 3CH,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 58MM HIP MLH,13166.0,13166.0,1974.9,13166.0,30
HCPCS,C1776,SHELL ACTB 58MM MLT H,8152.0,8152.0,1222.8,8152.0,30
HCPCS,C1776,SHELL ACTB 64MM GRP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 66MM 26MM HIP,8207.0,8207.0,1231.05,8207.0,30
HCPCS,C1776,SHELL ACTB 68MM HIP 5 SC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 70MM HIP 5 SC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB 72MM HIP 5 SC,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB CH CONTN 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB CLSTR 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB CONTIN 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB CONTIN 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB CONTIN OO 64M,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,SHELL ACTB CONTN KK 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HEMI 62MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SHELL ACTB HIP 0D 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 0D 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 0D 74MM,8491.0,8491.0,1273.65,8491.0,30
HCPCS,C1776,SHELL ACTB HIP 100X52,6432.0,6432.0,964.8,6432.0,30
HCPCS,C1776,SHELL ACTB HIP 11H 54MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP 12X48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 13H 56MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP 13H 58MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP 13H 64MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP 13H 66MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP 13H 68MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP 13H 70MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP 2-H 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 22X41,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL ACTB HIP 25MM,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,SHELL ACTB HIP 2H 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 2HL 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 2HL 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 2HL 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 2HL SZ54,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3 H 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 36MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 36MM 68MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SHELL ACTB HIP 3H 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3H 42MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3H 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3H 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3H 48MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,SHELL ACTB HIP 3H 50MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,SHELL ACTB HIP 3H 52MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,SHELL ACTB HIP 3H 54MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,SHELL ACTB HIP 3H 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3H 64MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3H 66MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3H 68MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3HL 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3HL 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3HL 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3HL 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3HL 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3HL 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 3SCR 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 42MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL ACTB HIP 43MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 46MM,8886.0,8886.0,690.9,13166.0,90
HCPCS,C1776,SHELL ACTB HIP 48MM,8886.0,8886.0,690.9,13166.0,150
HCPCS,C1776,SHELL ACTB HIP 49MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL ACTB HIP 4H 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 4HL 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 5 SCR56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 50 2-H,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 50MM,7074.5,7074.5,637.8,13166.0,210
HCPCS,C1776,SHELL ACTB HIP 52MM,6644.0,6644.0,730.8,9060.0,90
HCPCS,C1776,SHELL ACTB HIP 53MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 54MM,9252.5,9252.5,690.9,13166.0,210
HCPCS,C1776,SHELL ACTB HIP 56MM,7074.5,7074.5,690.9,9543.0,120
HCPCS,C1776,SHELL ACTB HIP 58MM,6232.0,6232.0,690.9,9543.0,150
HCPCS,C1776,SHELL ACTB HIP 5H 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 5H 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 5H 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 5H 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 5H 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 5H 64MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP 60MM,8542.0,8542.0,690.9,9543.0,120
HCPCS,C1776,SHELL ACTB HIP 62MM,8785.0,8785.0,690.9,13166.0,150
HCPCS,C1776,SHELL ACTB HIP 64MM,4850.0,4850.0,690.9,5094.0,120
HCPCS,C1776,SHELL ACTB HIP 64MM MLH,8935.0,8935.0,1340.25,8935.0,30
HCPCS,C1776,SHELL ACTB HIP 66MM,8491.0,8491.0,690.9,9543.0,120
HCPCS,C1776,SHELL ACTB HIP 68MM,9164.0,9164.0,690.9,13166.0,120
HCPCS,C1776,SHELL ACTB HIP 70M,9543.0,9543.0,1431.45,9543.0,30
HCPCS,C1776,SHELL ACTB HIP 70MM,9740.5,9740.5,947.25,13166.0,60
HCPCS,C1776,SHELL ACTB HIP 72MM,9543.0,9543.0,1431.45,9543.0,30
HCPCS,C1776,SHELL ACTB HIP 72MM 66MM,8491.0,8491.0,1273.65,8491.0,30
HCPCS,C1776,SHELL ACTB HIP 74MM,9543.0,9543.0,1431.45,9543.0,30
HCPCS,C1776,SHELL ACTB HIP 76MM,9543.0,9543.0,1431.45,9543.0,30
HCPCS,C1776,SHELL ACTB HIP 9H D 50MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP 9HL 48MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP CH 40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP CLSTR66MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP CMNT 47MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SHELL ACTB HIP CMNT 49MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SHELL ACTB HIP CMNT 51MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP CMNT 57MM,7839.0,7839.0,1175.85,7839.0,30
HCPCS,C1776,SHELL ACTB HIP CMNT 63MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SHELL ACTB HIP G 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP G3 48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP GRP7 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP HA 58F,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI 54MM,8785.0,8785.0,1317.75,8785.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI 56MM,8785.0,8785.0,1317.75,8785.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI 58MM,8785.0,8785.0,1317.75,8785.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI 60MM,9536.0,9536.0,1430.4,9536.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI 64MM,9536.0,9536.0,1430.4,9536.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI 66MM,9536.0,9536.0,1430.4,9536.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI11-58,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI11-62,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP HEMI11-64,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP LNG 40X60,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP LT52X49MM,9060.0,9060.0,1359.0,9060.0,30
HCPCS,C1776,SHELL ACTB HIP MLH 58MM,6315.0,6315.0,947.25,6315.0,30
HCPCS,C1776,SHELL ACTB HIP MLH 60MM,7283.0,7283.0,1092.45,7283.0,30
HCPCS,C1776,SHELL ACTB HIP MOD 58MM,10420.0,10420.0,1563.0,10420.0,30
HCPCS,C1776,SHELL ACTB HIP MOD 60MM,10420.0,10420.0,1563.0,10420.0,30
HCPCS,C1776,SHELL ACTB HIP MOD 64MM,10420.0,10420.0,1563.0,10420.0,30
HCPCS,C1776,SHELL ACTB HIP PLV 44MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP PNCL 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP REV 64MM,10045.0,10045.0,1506.75,10045.0,30
HCPCS,C1776,SHELL ACTB HIP RT 58MM,14395.0,14395.0,2159.25,14395.0,30
HCPCS,C1776,SHELL ACTB HIP SZ E 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP SZ H 62MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP SZ-G 62MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP SZ-I 72MM,13166.0,13166.0,1974.9,13166.0,30
HCPCS,C1776,SHELL ACTB HIP SZ52 E,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL ACTB HIP SZD 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP SZE 52MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP SZF 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP SZF 56MM,8886.0,8886.0,690.9,13166.0,60
HCPCS,C1776,SHELL ACTB HIP SZG 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP SZG 60MM,8886.0,8886.0,690.9,13166.0,60
HCPCS,C1776,SHELL ACTB HIP SZH 64MM,13166.0,13166.0,1974.9,13166.0,30
HCPCS,C1776,SHELL ACTB HIP SZHH 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB HIP SZJJ 54MM,8152.0,8152.0,1222.8,8152.0,30
HCPCS,C1776,SHELL ACTB HIP SZNN 62MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,SHELL ACTB HIP SZOO 64MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,SHELL ACTB HMSPHR 64MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SHELL ACTB MLH 56MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,SHELL ACTB MLH PP 66MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,SHELL ACTB MOD 52MM,11929.0,11929.0,1789.35,11929.0,30
HCPCS,C1776,SHELL ACTB OD52 VERSAFIT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB PLVS 60 2H,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB PLVS HIP 46MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,SHELL ACTB PLVS RT 54MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,SHELL ACTB PNCL 100X50,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB PNCL 100X60,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB RT 62MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,SHELL ACTB SZ23 32MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SHELL ACTB TI I 72 HIP R,9536.0,9536.0,1430.4,9536.0,30
HCPCS,C1776,SHELL ACTB TM MLH 56,11503.0,11503.0,1725.45,11503.0,30
HCPCS,C1776,SHELL ACTB TRB MTL 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL ACTB W/HS 50MM,7002.0,7002.0,1050.3,7002.0,30
HCPCS,C1776,SHELL BIP ACTB MTL 52MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP ACTB ZML 55MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP HIP 47MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP HIP 50MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP HIP 53MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP HIP 54MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP HIP ACTB 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP HIP MTL 43MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP HIP MTL 44MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP HIP MTL 46MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP MTL 41MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL BIP MTL 51 OD,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL CMPNT HIP 48MM,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,SHELL CONTINUUM OD50MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,SHELL FEM HIP 42MM 28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL FEM HIP 46X28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL HEMIS 70MM TRIDENT,8785.0,8785.0,1317.75,8785.0,30
HCPCS,C1776,SHELL HEMISPHER LFT 76MM,14395.0,14395.0,2159.25,14395.0,30
HCPCS,C1776,SHELL HIP 0D 52X52MM,8932.0,8932.0,1339.8,8932.0,30
HCPCS,C1776,SHELL HIP 0D 54MMX28MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL HIP 13H J 72MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL HIP 13HL SZG 60MM,9418.0,9418.0,1412.7,9418.0,30
HCPCS,C1776,SHELL HIP 3HL 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL HIP 58MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL HIP ACTB 3H 46MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL HIP ACTB 48MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL HIP ACTB 52MM,5758.0,5758.0,690.9,13166.0,90
HCPCS,C1776,SHELL HIP ACTB 54MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL HIP ACTB 56MM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,SHELL HIP ACTB 62MM,8932.0,8932.0,1339.8,8932.0,30
HCPCS,C1776,SHELL HIP ACTB SZ1 66MM,13166.0,13166.0,1974.9,13166.0,30
HCPCS,C1776,SHELL HIP ACTB SZ23MM,1535.0,1535.0,230.25,1535.0,30
HCPCS,C1776,SHELL HIP ACTB SZ24,1879.0,1879.0,281.85,1879.0,30
HCPCS,C1776,SHELL HIP ACTB SZ24MM,2658.0,2658.0,398.7,2658.0,30
HCPCS,C1776,SHELL HIP ACTB SZ25MM,1535.0,1535.0,230.25,1535.0,30
HCPCS,C1776,SHELL HIP BIP 0D 45MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL HIP BIP 42MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SHELL HIP CLSTR 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL HIP CLUSTR 54H,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SHELL HIP CLUSTR 58H,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SHELL HIP HEMSPHRCL 66MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SHELL HIP R3 POR 56MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SHELL HIP REV 58MM 64MM,8491.0,8491.0,1273.65,8491.0,30
HCPCS,C1776,SHELL HM SHLDR 12X108MM,25743.0,25743.0,3861.45,25743.0,30
HCPCS,C1776,SHELL HOLE HEMIS 50MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SHELL MOD HIP 74MM,12389.0,12389.0,1858.35,12389.0,30
HCPCS,C1776,SHELL OPTI 32 20 DEG 56-,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SHLDR RVRS 10DEG 40MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,SHOULDER TOTAL REV CAP,33218.0,33218.0,4982.7,33218.0,30
HCPCS,C1776,SLEEVE +9MM 11/13 HIP,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE ADAPTER 1MM 12/14,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE ADPT HIP -2.5MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE ADPT HIP 2.5MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE ADPT HIP 5.0MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE ADPT HIP TPR +8MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE ADPT KN 21MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SLEEVE ADPT SLV +5 KN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SLEEVE CBL-3.5MM12/14HIP,1184.0,1184.0,177.6,1184.0,30
HCPCS,C1776,SLEEVE CNTRG 16B SMALL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRG 18B LARGE,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRG HIP 22B SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG +0MM 11/13,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG +3MM 11/13,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1776,SLEEVE CNTRNG +7MM 12/14,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE CNTRNG 1.5X5 24D,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 12B SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 13.5X7 22F,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 13.5X7 24F,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 14B LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 14B SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 14D LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 14D SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 14F LG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SLEEVE CNTRNG 16B,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 16D,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 16D LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 16F LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 16F SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 16F XXL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 17.5X18 20,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 17.5X7 22F,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 17.5X7 24F,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SLEEVE CNTRNG 18B,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 18D LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 18D SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 18F XXL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 20D LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 20D SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 20F LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 20F SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 20F XXL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 22D LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 22D SM,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,SLEEVE CNTRNG 22F LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 22F SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 22F XXL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 24F SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 24F XXL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SLEEVE CNTRNG 37MM HIP,6890.0,6890.0,1033.5,6890.0,30
HCPCS,C1776,SLEEVE CNTRNG 9.5X16 18F,4252.0,4252.0,637.8,4252.0,60
HCPCS,C1776,SLEEVE CNTRNG 9.5X18 20F,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG 9.5X3 24B,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG FEM +0MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE CNTRNG HIP 11MM,5360.0,5360.0,804.0,5360.0,30
HCPCS,C1776,SLEEVE CNTRNG HIP 31MM,6800.0,6800.0,936.45,7357.0,60
HCPCS,C1776,SLEEVE CNTRNG HIP 34MM,6800.0,6800.0,936.45,7357.0,60
HCPCS,C1776,SLEEVE CNTRNG HIP 40MM,6800.0,6800.0,936.45,7357.0,60
HCPCS,C1776,SLEEVE CNTRNG HIP 46MM,6800.0,6800.0,936.45,7357.0,60
HCPCS,C1776,SLEEVE CNTRNG HIP TPR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1776,SLEEVE CNTRNG KN 2.5MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE CNTRNG XSM 20-21,6495.0,6495.0,974.25,6495.0,30
HCPCS,C1776,SLEEVE CTR 12/14 ASR TPR,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE FEM 40MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM ART/EZE +5MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE FEM HIP +10MM,3112.0,3112.0,466.8,3112.0,30
HCPCS,C1776,SLEEVE FEM HIP +4MM,1735.0,1735.0,260.25,1735.0,30
HCPCS,C1776,SLEEVE FEM HIP 18F SM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE FEM HIP OFST +0MM,2573.0,2573.0,385.95,2573.0,30
HCPCS,C1776,SLEEVE FEM HIP STD +0MM,2573.0,2573.0,385.95,2573.0,30
HCPCS,C1776,SLEEVE FEM HIP V40,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE FEM HIP V40 +12MM,2655.0,2655.0,398.25,2655.0,30
HCPCS,C1776,SLEEVE FEM HIP V40 +4MM,3089.0,3089.0,463.35,3089.0,30
HCPCS,C1776,SLEEVE FEM HIP V40 +8MM,2573.0,2573.0,385.95,2573.0,30
HCPCS,C1776,SLEEVE FEM HIP V40 -4MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE FEM KN +0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SLEEVE FEM KN 35MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM KN 45MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM KN 50MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM KN 55MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM KN CMNT 20MM,6243.0,6243.0,936.45,6243.0,30
HCPCS,C1776,SLEEVE FEM KN PRCT 30MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM KN PRCT 45MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM KN PRCT 50MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM KN PRCT 55MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE FEM KNEE 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SLEEVE FEM KNEE 40MM,6890.0,6890.0,1033.5,6890.0,30
HCPCS,C1776,SLEEVE FEM/TIB HIP 15X20,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE FEM/TIB TPR 5CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SLEEVE HEAD HIP 12/14 -4,3036.0,3036.0,455.4,3036.0,30
HCPCS,C1776,SLEEVE HIP 16D 5MM 9.5MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HIP ADPT +0MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE HIP ADPTR 4MM,532.0,532.0,79.8,532.0,30
HCPCS,C1776,SLEEVE HIP CNTR SML 18B,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HIP CNTRG 16B LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HIP CNTRG 22B LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HIP TAPER 12/14,3444.0,3444.0,516.6,3444.0,30
HCPCS,C1776,SLEEVE HIP TAPER 12/14+8,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HUM CNTRG 19MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HUM CNTRG 24MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HUM SHLDR 10MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HUM SHLDR 11MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE HUM SHLDR 9MM,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,SLEEVE KN ADPT LGN 13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SLEEVE KN CNTRNG 18F LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE KN FEM 30MM,9072.0,9072.0,1360.8,9072.0,30
HCPCS,C1776,SLEEVE KN TIBTRY ROT HNG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SLEEVE PROS HIP 4MM,798.0,798.0,119.7,798.0,30
HCPCS,C1776,SLEEVE TAPER HIP +4MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE TAPER HIP 0MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SLEEVE TAPER HIP NK +0,2884.0,2884.0,432.6,2884.0,30
HCPCS,C1776,SLEEVE TI NCK TTL SHORT,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,SLEEVE TIB 29X26X40MM,6413.0,6413.0,961.95,6413.0,30
HCPCS,C1776,SLEEVE TIB 37X27X40MM,6413.0,6413.0,961.95,6413.0,30
HCPCS,C1776,SLEEVE TIB 45X27X40MM,6413.0,6413.0,961.95,6413.0,30
HCPCS,C1776,SLEEVE TIB 53X31X40MM,6413.0,6413.0,961.95,6413.0,30
HCPCS,C1776,SLEEVE TIB 61X34X40MM,6413.0,6413.0,961.95,6413.0,30
HCPCS,C1776,SLEEVE TIB KN 29MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,SLEEVE TIB KN CMNT 37MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,SLEEVE TIB KN PRCT 29MM,10241.0,10241.0,1536.15,10241.0,30
HCPCS,C1776,SLEEVE TIB KN PRCT 37MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,SLEEVE TIB KN PRCT 45MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,SLEEVE TIB KN PRCT 53MM,10241.0,10241.0,1536.15,10241.0,30
HCPCS,C1776,SLEEVE TIB KN PRCT 61MM,10241.0,10241.0,1536.15,10241.0,30
HCPCS,C1776,SLEEVE TIB REV CMNT 45MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,SLEEVE TIB REV CMNT 53MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,SLEEVE TPR HIP 12/14 +8,2863.0,2863.0,429.45,2863.0,30
HCPCS,C1776,SOCKET GLND HUM,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1776,SPACER CMNT HIP 10MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SPACER CMNT HIP 18MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER CMNT HIP 19MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER CMNT HIP 20MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER CMNT HIP 21MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER CMNT HIP 22MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER CMNT HIP 23MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER CMNT HIP 25MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER FEM 12MM 8MM ENDU,5683.0,5683.0,852.45,5683.0,30
HCPCS,C1776,SPACER FEM 24MM ACLD UNV,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER FEM 4MM ENDURO,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER FEM 5MM,6235.0,6235.0,935.25,6235.0,30
HCPCS,C1776,SPACER FEM HIP 12/14+0MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SPACER FEM HIP 16MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER FEM HIP 20MM,8179.0,8179.0,637.8,12106.0,60
HCPCS,C1776,SPACER FEM HIP 8MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SPACER FEM HIP INTSPC 54,12913.0,12913.0,1936.95,12913.0,30
HCPCS,C1776,SPACER FEM HIP OMFT 11MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SPACER FEM HIP OMFT 12MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SPACER FEM HIP OMFT 13MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SPACER FEM HIP OMFT 14MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER FEM HIP OMFT 15MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER FEM HIP OMFT 17MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,SPACER FEM HIP OMFT 9MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SPACER FEM KN GNTA 54MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,SPACER FEM KN RT SZ4,6312.0,6312.0,946.8,6312.0,30
HCPCS,C1776,SPACER FEM LATERAL 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER FEM MEDIAL 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER FEM SZF3 8X4MM,5683.0,5683.0,852.45,5683.0,30
HCPCS,C1776,SPACER HIP WDGE 46MM,13967.0,13967.0,2095.05,13967.0,30
HCPCS,C1776,SPACER HUM +9MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,SPACER HUM 8MM STRL,5714.0,5714.0,857.1,5714.0,30
HCPCS,C1776,SPACER HUM RVRS TM +12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SPACER HUM SHLDR +6X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER HUM SHLDR +6X39MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER HUM SHLDR +9MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER HUM SHLDR +9X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER HUM SHLDR +9X39MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER HUM SHLDR 22X125,16245.0,16245.0,2436.75,16245.0,30
HCPCS,C1776,SPACER HUM SHLDR 33 +6MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER HUM SHLDR 33+12MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER HUM SHLDR 33+15MM,4340.0,4340.0,651.0,4340.0,30
HCPCS,C1776,SPACER HUM SHLDR 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SPACER HUM SHLDR SM 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER HUM SHLDR SM 99MM,16245.0,16245.0,2436.75,16245.0,30
HCPCS,C1776,SPACER HUM SHLDR SZ3/4,4917.0,4917.0,737.55,4917.0,30
HCPCS,C1776,SPACER HUM SHLDR+15X36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER KN STRL SMALL,13967.0,13967.0,2095.05,13967.0,30
HCPCS,C1776,SPACER KN TIB 25MM,5108.0,5108.0,766.2,5108.0,30
HCPCS,C1776,SPACER KN TIB LG INTRSPC,14461.0,14461.0,2169.15,14461.0,30
HCPCS,C1776,SPACER KNEE IKA 16X150MM,9793.0,9793.0,1468.95,9793.0,30
HCPCS,C1776,SPACER OSTEO KN 40X50MM,44069.0,44069.0,6610.35,44069.0,30
HCPCS,C1776,SPACER SHLDR +12MM 36MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER SHLDR 46MM,15353.0,15353.0,2169.15,16245.0,60
HCPCS,C1776,SPACER SHLDR 6 SM +9 SM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SPACER SHLDR HUM 33 +9MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SPACER SHLDR RVRS 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER TIB 60X50MM SM,11489.0,11489.0,1723.35,11489.0,30
HCPCS,C1776,SPACER TIB 8MM LOGIC 3 P,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER TIB HALF 65X10MM,6303.0,6303.0,945.45,6303.0,30
HCPCS,C1776,SPACER TIB KN 10X2.5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER TIB KN 15MM 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER TIB KN LARGE,5108.0,5108.0,766.2,5108.0,30
HCPCS,C1776,SPACER TIB KN MED 60MM,11486.0,11486.0,1722.9,11486.0,30
HCPCS,C1776,SPACER TIB KN SZLG 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER TIB KN SZMED 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPACER TIB KN XS,5108.0,5108.0,766.2,5108.0,30
HCPCS,C1776,SPACER UNIPLR HIP +10MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,SPCR FEM 8MM ENDURO F1,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SPHERE GLEN 36MM 34.5MM,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1776,SPHERE GLND 36MM,8585.0,8585.0,1195.95,9197.0,60
HCPCS,C1776,SPHERE GLND 42MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,SPHERE GLND BASE 36X25MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,SPHERE GLND SHLDR 2X32MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SPHERE GLND SHLDR 2X36MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SPHERE GLND SHLDR 2X40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SPHERE GLND SHLDR 36MM,8858.0,8858.0,797.25,11383.0,90
HCPCS,C1776,SPHERE GLND SHLDR 39MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,SPHERE GLND SHLDR 42MM,9337.0,9337.0,1379.55,9477.0,60
HCPCS,C1776,SPHERE GLND SHLDR 6X32MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SPHERE GLND SHLDR 6X36MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SPHERE GLND SHLDR 6X40MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SPHERE SHLDR 2MM 36MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SPHERE SHLDR 32MM 24.5MM,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1776,SPHERE SHLDR 33MM 24MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,SPHERE SHLDR 6MM 32MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,SPHERE SHLDR GLND 42MM,9477.0,9477.0,1421.55,9477.0,30
HCPCS,C1776,SPHERE SHLDR REV 36MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,SPHRE GLND SHLDR 33MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,SPHRE GLNOD SHLDR 42MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,SRFC ARTC 00584202308,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC 10 SZE F,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SRFC ARTC 12 SZYLW,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC 3-4 10 YLW,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC 3-4 17,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC C D 10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC C-H 7-10 51MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC CD 3-4 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC KN SZF77X44X20,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,SRFC ARTC KNSZCD 1-2 H10,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1776,SRFC ARTC SZ3-4 14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC SZBLUE/G,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,SRFC ARTC SZC D 12,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC SZCD 1-2 H14,5554.0,5554.0,833.1,5554.0,30
HCPCS,C1776,SRFC ARTC SZCH 1-2 H10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC SZCH 3-4 H10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC SZCH 3-4 H17,5127.0,5127.0,769.05,5127.0,30
HCPCS,C1776,SRFC ARTC SZCH 5-6 12,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC SZEF 3-4 H20,5700.0,5700.0,855.0,5700.0,30
HCPCS,C1776,SRFC ARTC UCMPRT 4 H10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC UCMPRT 5 H10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC UMCPRT SZ3 10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SRFC ARTC YLW 3-4 H14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SROM SLEEVE ZTT OVSZ20F,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,SROM STEM STD42 24X19X17,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,SROM STM LG36NK11X16X2,14941.0,14941.0,2241.15,14941.0,30
HCPCS,C1776,SROM STM LNG36+8L NK13,14578.0,14578.0,2186.7,14578.0,30
HCPCS,C1776,SROM STM LNG36+8L NK15,11985.0,11985.0,1797.75,11985.0,30
HCPCS,C1776,STEM 18MM PRESS FIT BOW,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM 18MM PRSS FIT BOWED,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM 563016L,14714.0,14714.0,2207.1,14714.0,30
HCPCS,C1776,STEM 6.5MM LONG STEM ELB,16138.0,16138.0,2420.7,16138.0,30
HCPCS,C1776,STEM ACTB HIP 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM ANKLE LG 10MM,6241.0,6241.0,936.15,6241.0,30
HCPCS,C1776,STEM BASE ANKL EXT 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM BN 7MM 8MM,7601.0,7601.0,1140.15,7601.0,30
HCPCS,C1776,STEM BN 8MM 0MM,7601.0,7601.0,1140.15,7601.0,30
HCPCS,C1776,STEM BN 8MM 25MM,8573.0,8573.0,1285.95,8573.0,30
HCPCS,C1776,STEM BN 8MM 4MM,5196.0,5196.0,779.4,5196.0,30
HCPCS,C1776,STEM BN 9MM 0MM,5196.0,5196.0,779.4,5196.0,30
HCPCS,C1776,STEM BN 9MM 6MM,5196.0,5196.0,779.4,5196.0,30
HCPCS,C1776,STEM BN SHLDR 50MM,22469.0,22469.0,3370.35,22469.0,30
HCPCS,C1776,STEM CEMENTED 15MMX30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM CMNT 12X50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM CMNT KN 12X100MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM CMNT KN 15X50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM CMNT SHLDR 130X12MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM CNTRLZR DIST 18MM,1595.0,1595.0,239.25,1595.0,30
HCPCS,C1776,STEM CNTRLZR HIP 12MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,STEM COCR PRSFIT 23X80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM COLR HIP SZ10 140MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM DIST CNCL 22X155,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM ELB 11X2MM 38MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM ELB RADIAL 8MM 13MM,10998.0,10998.0,1649.7,10998.0,30
HCPCS,C1776,STEM ELBOW 2MM 8MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM ELBOW 7MM 2MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM ELBW RAD 8MM 2MM,5196.0,5196.0,779.4,5196.0,30
HCPCS,C1776,STEM EVOL REV CS SZ4 RT,14306.0,14306.0,2145.9,14306.0,30
HCPCS,C1776,STEM EVOLUTION CANL FILL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXT 100 ADV KNEE,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM EXT 16MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM EXT 16MM 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXT CMNTD 16X75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXT FEM KN 80X14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXT FLUT 25X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM EXT FLUT 40X14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM EXT KN 100MM,8726.0,8726.0,1308.9,8726.0,30
HCPCS,C1776,STEM EXT KN 120MM,8726.0,8726.0,1308.9,8726.0,30
HCPCS,C1776,STEM EXT KN 12MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXT KN 155MM 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM EXT KN 175MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM EXT KN 20MMX80MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM EXT KN 30MM,8365.0,8365.0,1254.75,8365.0,30
HCPCS,C1776,STEM EXT KN 6D 11MM 30MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM EXT KN 80MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1776,STEM EXT KN CMNT 17X25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXT LOGIC 14MMX25MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM EXT OFST 14X155X200,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM EXT TIB KN 90X13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXTENSION 13X100,5714.0,5714.0,857.1,5714.0,30
HCPCS,C1776,STEM EXTENSION 155MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXTENSION 16X 65,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXTENSION 75X120X18,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXTN FEM 18 X 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXTN GMRS KN 40MM,8726.0,8726.0,1308.9,8726.0,30
HCPCS,C1776,STEM EXTN KN 130X175X18,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM EXTN KN 39MM,14350.0,14350.0,2152.5,14350.0,30
HCPCS,C1776,STEM FEM #8,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM +16MM 12/14 32M,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM FEM +175MM 15MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM +30X27MM,16042.0,16042.0,2406.3,16042.0,30
HCPCS,C1776,STEM FEM 0 BPS TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 0 STD TRLK OFST,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM 100X9MM,17938.0,17938.0,2690.7,17938.0,30
HCPCS,C1776,STEM FEM 101MM COLR ATS,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 109MM BLDE TPR,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 10MM PRSFT STD,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM 11.2MM 140MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 110MM 22MM,4643.0,4643.0,696.45,4643.0,30
HCPCS,C1776,STEM FEM 115MM 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM 117MM COLR ATS,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 12.7MM 160MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM 12/14 135D SZ11,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 12/14 150MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM 12/14 SZ0,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM 12/14 SZ6,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM 12/14 SZ8 160MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,STEM FEM 12/14 SZ9,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM 12/14 XTD OFST,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 127D SZ5 145MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM 127MM 16MM STR,10037.0,10037.0,1505.55,10037.0,30
HCPCS,C1776,STEM FEM 12MM 157MM,10221.0,10221.0,1533.15,10221.0,30
HCPCS,C1776,STEM FEM 13 12.14 PRSFT,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 130MM 21/17MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM 135D 12/14 SZ12,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM 135D 195MM,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM 135D 220X18MM,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM 135X14MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM 13MM 14MM 12MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 14MM 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM 14MM COLR PRFT,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 14MM STD OFST,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM 14X115MM PFC HI,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM 150MM 14MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM 150MM 15MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 150MM 21MM TPR,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM 150X16.5MM BOW,19167.0,19167.0,2875.05,19167.0,30
HCPCS,C1776,STEM FEM 155MM 26MM MOD,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM 15MM CMNTLS,13379.0,13379.0,2006.85,13379.0,30
HCPCS,C1776,STEM FEM 15MM COLR PRFCT,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 15MM PRIM STD,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM FEM 160MM 16MM,26977.0,26977.0,4046.55,26977.0,30
HCPCS,C1776,STEM FEM 165MM 11MM STR,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEM 16MM 200MM,34166.0,34166.0,5124.9,34166.0,30
HCPCS,C1776,STEM FEM 16MM 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM 16MM STD CORAIL,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM 175X24MM 19MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM 17MM OFST 12/14,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 18MM 190MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM 18MM 220MM,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM 18MM 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM 190MM 11MM CMNT,29641.0,29641.0,4446.15,29641.0,30
HCPCS,C1776,STEM FEM 190MM 15MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM 190MM REV CRL,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM 195MM 26MM,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM 2 STD TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 2 V40 117MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM 200MM 12MM BOW,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM FEM 200MM 15MM PRSF,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM FEM 200MM 17MM LNG,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM FEM 205 11X16 SR,11585.0,11585.0,1737.75,11585.0,30
HCPCS,C1776,STEM FEM 20GRIT 190X18MM,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,STEM FEM 20X295MM,42740.0,42740.0,6411.0,42740.0,30
HCPCS,C1776,STEM FEM 215X18X13MM,11585.0,11585.0,1737.75,11585.0,30
HCPCS,C1776,STEM FEM 21MM,10283.0,10283.0,1542.45,10283.0,30
HCPCS,C1776,STEM FEM 225X20MM MOD,15016.0,15016.0,2252.4,15016.0,30
HCPCS,C1776,STEM FEM 267MM 17MM REV,12909.0,12909.0,1936.35,12909.0,30
HCPCS,C1776,STEM FEM 27MM 6276-7-027,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM 315X18MM 13MM,18116.0,18116.0,2717.4,18116.0,30
HCPCS,C1776,STEM FEM 325X20MM 15MM,20470.0,20470.0,3070.5,20470.0,30
HCPCS,C1776,STEM FEM 4 HIP CMNT,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM 44MM HD BLX D C,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM 5 COCR TRLK HI,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 5 TRLK HIP OFST,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 6 TAPERED STD,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM 7 TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 8 TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 9 STD TRLK OFST,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 9 TRLK COCR,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM 96MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM ACLD 2 9 127D,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM B L45MM OD40MM,14616.0,14616.0,2192.4,14616.0,30
HCPCS,C1776,STEM FEM BLDE SZ6,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM BSC #6 HIP,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,STEM FEM BW 150X11MM,5353.0,5353.0,802.95,5353.0,30
HCPCS,C1776,STEM FEM BW 150X12.5MM,5812.0,5812.0,871.8,5812.0,30
HCPCS,C1776,STEM FEM BW 150X13.5MM,5812.0,5812.0,871.8,5812.0,30
HCPCS,C1776,STEM FEM BW 150X18.5MM,5812.0,5812.0,871.8,5812.0,30
HCPCS,C1776,STEM FEM BW 225X14.5MM,5971.0,5971.0,895.65,5971.0,30
HCPCS,C1776,STEM FEM BW 225X18.5MM,5971.0,5971.0,895.65,5971.0,30
HCPCS,C1776,STEM FEM CLCR A 40X45,14616.0,14616.0,2192.4,14616.0,30
HCPCS,C1776,STEM FEM CMNT #5 HIP,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM CMNT #7 HIP,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM CMNT 11X120,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,STEM FEM CMNT 15MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM CMNT HIP 105MM,17450.0,17450.0,2617.5,17450.0,30
HCPCS,C1776,STEM FEM CMNT OFST 15MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM CMNT SZ13 130MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM CMNT SZ5 120MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM CMNT XTN 12X130,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM CMNTKN 160X12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM CMNTLS 159MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM CMNTLS 3 HIP,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM CMNTLS LAT HIP,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM CMNTLS MOD COLR,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM CMNTLS POLR HA7,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM COLR STD 13MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM CRL 8MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM CRL NONCLLAR 11,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM DIST 20MM,8092.0,8092.0,1213.8,8092.0,30
HCPCS,C1776,STEM FEM ELMT W/STD SZ11,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM EXT 150X12.5MM,19167.0,19167.0,2875.05,19167.0,30
HCPCS,C1776,STEM FEM EXT 15X145MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM FLUT KN 15X100,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM FLUT KN 16X150,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM FLUT KN 17X150,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM FLUT KN 18X100,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM FLUT KN 20X100,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM FLUTD 115X16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM HI OFST 16X170,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIOFST 17X154MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP #1 12/14,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP +30 19MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP +30X29,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP +6 11/13,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP 102MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 105MM 10MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 10IN 15MM,19127.0,19127.0,2869.05,19127.0,30
HCPCS,C1776,STEM FEM HIP 10MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,STEM FEM HIP 10MM 105MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 10MM 119MM,10630.0,10630.0,1594.5,10630.0,120
HCPCS,C1776,STEM FEM HIP 10MM 140MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 10MM 31MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 111MM 13MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 113MM 14MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 115MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 115MM 10MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP 115MM 18MM,10283.0,10283.0,1542.45,10283.0,30
HCPCS,C1776,STEM FEM HIP 118MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 11MM,1170.0,1170.0,175.5,1170.0,60
HCPCS,C1776,STEM FEM HIP 11MM 120MM,7181.0,7181.0,996.6,11073.0,120
HCPCS,C1776,STEM FEM HIP 11MM 121MM,9966.0,9966.0,1195.95,10630.0,180
HCPCS,C1776,STEM FEM HIP 11MM 130MM,20516.0,20516.0,3077.4,20516.0,30
HCPCS,C1776,STEM FEM HIP 11MM 140MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,STEM FEM HIP 11MM 142MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 11MM 145MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 11X107.5MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 11X127MM,10037.0,10037.0,1505.55,10037.0,30
HCPCS,C1776,STEM FEM HIP 11X145MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 12.5X124MM,10298.0,10298.0,1494.9,10630.0,150
HCPCS,C1776,STEM FEM HIP 12.7X160MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 12/14 -3MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,STEM FEM HIP 12/14 125MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 12/14 155MM,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP 12/14 SZ10,8416.0,8416.0,1262.4,8416.0,90
HCPCS,C1776,STEM FEM HIP 12/14 SZ11,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 12/14 SZ12,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 12/14 SZ13,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP 12/14 SZ16,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 12/14 SZ18,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 12/14 SZ2,8416.0,8416.0,1262.4,8416.0,90
HCPCS,C1776,STEM FEM HIP 12/14 SZ20,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 12/14 SZ3,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP 12/14 SZ4,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP 12/14 SZ5,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP 12/14 SZ6,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 12/14 SZ7,7530.0,7530.0,996.6,8416.0,120
HCPCS,C1776,STEM FEM HIP 12/14 SZ8,8416.0,8416.0,1262.4,8416.0,90
HCPCS,C1776,STEM FEM HIP 12/14 SZ9,8637.0,8637.0,1262.4,8858.0,60
HCPCS,C1776,STEM FEM HIP 12/14MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 12/14MM SZ8,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 120MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP 125D 19MM,8937.0,8937.0,1340.55,8937.0,30
HCPCS,C1776,STEM FEM HIP 125D SZ14,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 125D SZ15,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 125MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP 126D 65MM,26898.0,26898.0,4034.7,26898.0,30
HCPCS,C1776,STEM FEM HIP 126D SZ2,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,STEM FEM HIP 127D,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP 127D 9 35MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP 127D 93MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 127MM 22MM,9529.0,9529.0,1429.35,9529.0,30
HCPCS,C1776,STEM FEM HIP 12MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 12MM 109MM,9966.0,9966.0,1494.9,9966.0,60
HCPCS,C1776,STEM FEM HIP 12MM 115MM,9977.0,9977.0,1496.55,9977.0,30
HCPCS,C1776,STEM FEM HIP 12MM 125MM,6644.0,6644.0,730.8,11073.0,120
HCPCS,C1776,STEM FEM HIP 12MM 144MM,9412.0,9412.0,1328.7,9966.0,60
HCPCS,C1776,STEM FEM HIP 12MM 150MM,8891.0,8891.0,1170.75,9977.0,60
HCPCS,C1776,STEM FEM HIP 12MM 200MM,9478.0,9478.0,1421.7,9478.0,30
HCPCS,C1776,STEM FEM HIP 12X150MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 13.5X126MM,10630.0,10630.0,1594.5,10630.0,60
HCPCS,C1776,STEM FEM HIP 13.5X170MM,12406.0,12406.0,1860.9,12406.0,30
HCPCS,C1776,STEM FEM HIP 13.5X220MM,14182.0,14182.0,2127.3,14182.0,30
HCPCS,C1776,STEM FEM HIP 130MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 132D 111MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM FEM HIP 132MM,9412.0,9412.0,1328.7,9966.0,60
HCPCS,C1776,STEM FEM HIP 132MM 6MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 135D 18MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 135D SZ15,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 135D SZ16,8637.0,8637.0,1262.4,8858.0,60
HCPCS,C1776,STEM FEM HIP 135D SZ18,8637.0,8637.0,1262.4,8858.0,90
HCPCS,C1776,STEM FEM HIP 135D SZ20,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 135D SZ6,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,STEM FEM HIP 135D SZ8,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP 135D SZ9,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 136MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 139MM,7098.0,7098.0,930.15,7995.0,90
HCPCS,C1776,STEM FEM HIP 13MM 115MM,9478.0,9478.0,1421.7,9478.0,30
HCPCS,C1776,STEM FEM HIP 13MM 130MM,6644.0,6644.0,996.6,6644.0,90
HCPCS,C1776,STEM FEM HIP 13MM 140MM,20516.0,20516.0,3077.4,20516.0,30
HCPCS,C1776,STEM FEM HIP 13MM 146MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 13MM 150MM,8089.0,8089.0,930.15,9977.0,60
HCPCS,C1776,STEM FEM HIP 13MM 160MM,10851.5,10851.5,1594.5,11073.0,60
HCPCS,C1776,STEM FEM HIP 13MM 200MM,16513.5,16513.5,1496.55,23050.0,60
HCPCS,C1776,STEM FEM HIP 13MM 300MM,15546.0,15546.0,2331.9,15546.0,30
HCPCS,C1776,STEM FEM HIP 13X146MM,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,STEM FEM HIP 13X170MM,14769.0,14769.0,2215.35,14769.0,30
HCPCS,C1776,STEM FEM HIP 140MM 10MM,8858.0,8858.0,1262.4,11516.0,90
HCPCS,C1776,STEM FEM HIP 140MM 19MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM FEM HIP 140MM 21MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM FEM HIP 140X10MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 140X14MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM FEM HIP 140X35MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM HIP 142MM 11MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 145D 125MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 145D SZ3,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 145MM,13147.0,13147.0,1972.05,13147.0,30
HCPCS,C1776,STEM FEM HIP 147MM,8858.0,8858.0,1199.25,9966.0,90
HCPCS,C1776,STEM FEM HIP 14MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 14MM 115MM,9977.0,9977.0,1496.55,9977.0,30
HCPCS,C1776,STEM FEM HIP 14MM 135MM,5758.0,5758.0,730.8,6644.0,90
HCPCS,C1776,STEM FEM HIP 14MM 148MM,7751.5,7751.5,1129.5,7973.0,60
HCPCS,C1776,STEM FEM HIP 14MM 150MM,9722.0,9722.0,1421.7,9966.0,60
HCPCS,C1776,STEM FEM HIP 14MM 155MM,9658.0,9658.0,1448.7,9658.0,30
HCPCS,C1776,STEM FEM HIP 14MM 160MM,11073.0,11073.0,1262.4,11516.0,120
HCPCS,C1776,STEM FEM HIP 14MM 190MM,17306.0,17306.0,2595.9,17306.0,30
HCPCS,C1776,STEM FEM HIP 14MM 195MM,9691.0,9691.0,1453.65,9691.0,30
HCPCS,C1776,STEM FEM HIP 14MM 200MM,9977.0,9977.0,1496.55,9977.0,30
HCPCS,C1776,STEM FEM HIP 14MM 250MM,9478.0,9478.0,1421.7,9478.0,30
HCPCS,C1776,STEM FEM HIP 14MM 265MM,17306.0,17306.0,2595.9,17306.0,30
HCPCS,C1776,STEM FEM HIP 14X113MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 14X125.5MM,8937.0,8937.0,1340.55,8937.0,30
HCPCS,C1776,STEM FEM HIP 14X195MM,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM HIP 14X245MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM FEM HIP 14X9X205MM,11401.0,11401.0,1682.25,11587.0,60
HCPCS,C1776,STEM FEM HIP 150MM 12MM,11398.5,11398.5,1262.4,14381.0,60
HCPCS,C1776,STEM FEM HIP 150MM 14MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 150MM 16MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 150MM 20MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 150MM 22MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM HIP 150X15MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 155MM,8858.0,8858.0,1328.7,8858.0,60
HCPCS,C1776,STEM FEM HIP 155MM 10MM,11627.0,11627.0,1744.05,11627.0,30
HCPCS,C1776,STEM FEM HIP 155X13MM,10187.0,10187.0,1328.7,11516.0,60
HCPCS,C1776,STEM FEM HIP 155X25MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 159MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 15MM 115MM,9722.0,9722.0,1421.7,9966.0,60
HCPCS,C1776,STEM FEM HIP 15MM 127MM,10037.0,10037.0,1505.55,10037.0,30
HCPCS,C1776,STEM FEM HIP 15MM 129MM,10851.5,10851.5,1594.5,11073.0,90
HCPCS,C1776,STEM FEM HIP 15MM 140MM,6422.5,6422.5,730.8,10630.0,180
HCPCS,C1776,STEM FEM HIP 15MM 150MM,9977.0,9977.0,1195.95,19944.0,90
HCPCS,C1776,STEM FEM HIP 15MM 155MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 15MM 160MM,8637.0,8637.0,930.15,11073.0,60
HCPCS,C1776,STEM FEM HIP 15MM 165MM,8637.0,8637.0,1262.4,8858.0,60
HCPCS,C1776,STEM FEM HIP 15MM 170MM,12406.0,12406.0,1860.9,12406.0,30
HCPCS,C1776,STEM FEM HIP 15MM 180MM,14769.0,14769.0,2215.35,14769.0,30
HCPCS,C1776,STEM FEM HIP 15MM 190MM,13287.0,13287.0,1435.05,17306.0,90
HCPCS,C1776,STEM FEM HIP 15MM 200MM,10563.5,10563.5,1496.55,11150.0,60
HCPCS,C1776,STEM FEM HIP 15MM 220MM,14182.0,14182.0,1961.25,15546.0,90
HCPCS,C1776,STEM FEM HIP 15MM 265MM,17306.0,17306.0,2595.9,17306.0,30
HCPCS,C1776,STEM FEM HIP 15MM 300MM,12661.5,12661.5,1672.5,14173.0,60
HCPCS,C1776,STEM FEM HIP 15X125.7MM,8937.0,8937.0,1340.55,8937.0,30
HCPCS,C1776,STEM FEM HIP 15X140MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM FEM HIP 15X195MM,9440.0,9440.0,1377.75,9695.0,60
HCPCS,C1776,STEM FEM HIP 16.25X132MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM HIP 16.5X170MM,12406.0,12406.0,1860.9,12406.0,30
HCPCS,C1776,STEM FEM HIP 16.5X220MM,13075.0,13075.0,1961.25,13075.0,30
HCPCS,C1776,STEM FEM HIP 16.5X240MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM FEM HIP 160MM 18MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP 160X18MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP 163MM 135D,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 165MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP 165MM 15MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 165X20X15MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP 167MM 12MM,11469.0,11469.0,1720.35,11469.0,30
HCPCS,C1776,STEM FEM HIP 16MM 115MM,9977.0,9977.0,1496.55,9977.0,30
HCPCS,C1776,STEM FEM HIP 16MM 117MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 16MM 145MM,5758.0,5758.0,730.8,6644.0,90
HCPCS,C1776,STEM FEM HIP 16MM 150MM,9977.0,9977.0,1496.55,9977.0,30
HCPCS,C1776,STEM FEM HIP 16MM 152MM,8969.5,8969.5,1195.95,9966.0,60
HCPCS,C1776,STEM FEM HIP 16MM 160MM,19687.0,19687.0,2953.05,19687.0,30
HCPCS,C1776,STEM FEM HIP 16MM 170MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 16MM 18MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP 16MM 190MM,13436.5,13436.5,1435.05,17306.0,60
HCPCS,C1776,STEM FEM HIP 16MM 200MM,10563.5,10563.5,1496.55,11150.0,60
HCPCS,C1776,STEM FEM HIP 16MM 210MM,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM HIP 16MM 225MM,17306.0,17306.0,2595.9,17306.0,30
HCPCS,C1776,STEM FEM HIP 16MM 250MM,9727.5,9727.5,1421.7,9977.0,60
HCPCS,C1776,STEM FEM HIP 16X140MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM FEM HIP 16X155MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 17.5X134MM,10630.0,10630.0,1594.5,10630.0,60
HCPCS,C1776,STEM FEM HIP 170MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 170MM 13MM,12517.0,12517.0,1877.55,12517.0,30
HCPCS,C1776,STEM FEM HIP 175MM 14MM,12517.0,12517.0,1877.55,12517.0,30
HCPCS,C1776,STEM FEM HIP 175MM 17MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 17MM 115MM,9880.5,9880.5,1421.7,10283.0,60
HCPCS,C1776,STEM FEM HIP 17MM 119MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 17MM 127MM,10037.0,10037.0,1505.55,10037.0,30
HCPCS,C1776,STEM FEM HIP 17MM 135MM,8112.0,8112.0,1216.8,8112.0,30
HCPCS,C1776,STEM FEM HIP 17MM 150MM,8891.0,8891.0,1170.75,9977.0,60
HCPCS,C1776,STEM FEM HIP 17MM 155MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 17MM 160MM,20516.0,20516.0,3077.4,20516.0,30
HCPCS,C1776,STEM FEM HIP 17MM 190MM,12555.5,12555.5,1170.75,17306.0,60
HCPCS,C1776,STEM FEM HIP 17MM 195MM,17547.5,17547.5,1377.75,25910.0,60
HCPCS,C1776,STEM FEM HIP 17MM 200MM,9977.0,9977.0,1496.55,9977.0,30
HCPCS,C1776,STEM FEM HIP 17MM 250MM,10875.0,10875.0,1496.55,11773.0,60
HCPCS,C1776,STEM FEM HIP 17MM 265MM,17306.0,17306.0,2595.9,17306.0,30
HCPCS,C1776,STEM FEM HIP 17MM 300MM,11150.0,11150.0,1672.5,11150.0,30
HCPCS,C1776,STEM FEM HIP 17X140MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM FEM HIP 17X195MM,9695.0,9695.0,1454.25,9695.0,30
HCPCS,C1776,STEM FEM HIP 18H,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,STEM FEM HIP 18MM 127MM,10037.0,10037.0,1505.55,10037.0,30
HCPCS,C1776,STEM FEM HIP 18MM 140MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM FEM HIP 18MM 150MM,8891.0,8891.0,1170.75,9977.0,60
HCPCS,C1776,STEM FEM HIP 18MM 155MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 18MM 156MM,7973.0,7973.0,1195.95,7973.0,60
HCPCS,C1776,STEM FEM HIP 18MM 200MM,9977.0,9977.0,1496.55,9977.0,30
HCPCS,C1776,STEM FEM HIP 18MM 240MM,19319.0,19319.0,2897.85,19319.0,30
HCPCS,C1776,STEM FEM HIP 18MM 250MM,10607.5,10607.5,1421.7,11737.0,60
HCPCS,C1776,STEM FEM HIP 18MM 300MM,11150.0,11150.0,1672.5,11150.0,30
HCPCS,C1776,STEM FEM HIP 18X126.4MM,8937.0,8937.0,1340.55,8937.0,30
HCPCS,C1776,STEM FEM HIP 18X13X160,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP 18X13X160MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEM HIP 18X190MM,17596.0,17596.0,2639.4,17596.0,30
HCPCS,C1776,STEM FEM HIP 18X195MM,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM HIP 18X235MM,10204.0,10204.0,1530.6,10204.0,30
HCPCS,C1776,STEM FEM HIP 190MM,20334.0,20334.0,2778.45,22145.0,90
HCPCS,C1776,STEM FEM HIP 190MM 16MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 190MM 19MM,12700.5,12700.5,1170.75,17596.0,60
HCPCS,C1776,STEM FEM HIP 190MM 21MM,18523.0,18523.0,2778.45,18523.0,30
HCPCS,C1776,STEM FEM HIP 190MM SZ18,18523.0,18523.0,2778.45,18523.0,30
HCPCS,C1776,STEM FEM HIP 190X16MM,32226.0,32226.0,4833.9,32226.0,30
HCPCS,C1776,STEM FEM HIP 190X17MM,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,STEM FEM HIP 190X21MM,9567.0,9567.0,1435.05,9567.0,30
HCPCS,C1776,STEM FEM HIP 195MM 16MM,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM HIP 195MM 18MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM FEM HIP 195MM 25MM,10225.0,10225.0,1533.75,10225.0,30
HCPCS,C1776,STEM FEM HIP 195X15MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 195X23MM,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM HIP 19MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 19MM 115MM,10283.0,10283.0,1542.45,10283.0,30
HCPCS,C1776,STEM FEM HIP 19MM 150MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 19MM 155MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 19MM 190MM,13436.5,13436.5,1435.05,17306.0,60
HCPCS,C1776,STEM FEM HIP 19MM 250MM,9478.0,9478.0,1421.7,9478.0,30
HCPCS,C1776,STEM FEM HIP 20MM 115MM,10283.0,10283.0,1542.45,10283.0,30
HCPCS,C1776,STEM FEM HIP 20MM 155MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 20MM 160MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 20MM 165MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEM HIP 20MM 190MM,8686.0,8686.0,1170.75,9567.0,60
HCPCS,C1776,STEM FEM HIP 20MM 195MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM FEM HIP 20MM 225MM,17306.0,17306.0,2595.9,17306.0,30
HCPCS,C1776,STEM FEM HIP 20MM 240MM,9208.0,9208.0,1381.2,9208.0,30
HCPCS,C1776,STEM FEM HIP 20MM 31MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 20X126.8MM,8937.0,8937.0,1340.55,8937.0,30
HCPCS,C1776,STEM FEM HIP 20X235MM,10204.0,10204.0,1530.6,10204.0,30
HCPCS,C1776,STEM FEM HIP 21MM 155MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 21MM 195MM,18067.5,18067.5,1533.75,25910.0,60
HCPCS,C1776,STEM FEM HIP 21MM 220MM,14182.0,14182.0,2127.3,14182.0,30
HCPCS,C1776,STEM FEM HIP 21MM 225MM,17306.0,17306.0,2595.9,17306.0,30
HCPCS,C1776,STEM FEM HIP 21MM 240MM,19319.0,19319.0,2897.85,19319.0,30
HCPCS,C1776,STEM FEM HIP 21MM 250MM,10314.0,10314.0,1421.7,11150.0,60
HCPCS,C1776,STEM FEM HIP 21MM 30MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 21X127MM,4765.0,4765.0,714.75,4765.0,30
HCPCS,C1776,STEM FEM HIP 21X190MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 21X235MM,10204.0,10204.0,1530.6,10204.0,30
HCPCS,C1776,STEM FEM HIP 21X245MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM FEM HIP 22MM 115MM,10283.0,10283.0,1542.45,10283.0,30
HCPCS,C1776,STEM FEM HIP 22MM 129MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 22MM 150MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 22MM 190MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 22MM 195MM,10225.0,10225.0,1533.75,10225.0,30
HCPCS,C1776,STEM FEM HIP 22MM 300MM,11150.0,11150.0,1672.5,11150.0,30
HCPCS,C1776,STEM FEM HIP 22X17X165,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP 235MM 17MM,10204.0,10204.0,1530.6,10204.0,30
HCPCS,C1776,STEM FEM HIP 235MM 19MM,13522.0,13522.0,2028.3,13522.0,30
HCPCS,C1776,STEM FEM HIP 235MM 25MM,10204.0,10204.0,1530.6,10204.0,30
HCPCS,C1776,STEM FEM HIP 23MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 23MM 150MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 23MM 155MM,8674.0,8674.0,1301.1,8674.0,30
HCPCS,C1776,STEM FEM HIP 23MM 190MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 23MM 195MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM FEM HIP 23MM 250MM,9478.0,9478.0,1421.7,9478.0,30
HCPCS,C1776,STEM FEM HIP 23MM 30MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 23X190MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM FEM HIP 240MM 19MM,20336.0,20336.0,3050.4,20336.0,30
HCPCS,C1776,STEM FEM HIP 240MM SZ20,20336.0,20336.0,3050.4,20336.0,30
HCPCS,C1776,STEM FEM HIP 24MM 115MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM HIP 24MM 155MM,9658.0,9658.0,1448.7,9658.0,30
HCPCS,C1776,STEM FEM HIP 24MM 190MM,8252.0,8252.0,1170.75,8699.0,60
HCPCS,C1776,STEM FEM HIP 24MM 195MM,10225.0,10225.0,1533.75,10225.0,30
HCPCS,C1776,STEM FEM HIP 24X127.6MM,8937.0,8937.0,1340.55,8937.0,60
HCPCS,C1776,STEM FEM HIP 25MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 25MM +0MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 25MM 190MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 25MM 300MM,11150.0,11150.0,1672.5,11150.0,30
HCPCS,C1776,STEM FEM HIP 25MM 30MM,13476.0,13476.0,2021.4,13476.0,30
HCPCS,C1776,STEM FEM HIP 26MM 240MM,9208.0,9208.0,1381.2,9208.0,30
HCPCS,C1776,STEM FEM HIP 27MM 190MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 27MM 93MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 29MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 30MM 190MM,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP 30MM 31MM,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 33MM 115MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP 40MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP 40MM SZ 11,11405.0,11405.0,1710.75,11405.0,30
HCPCS,C1776,STEM FEM HIP 4MM 109MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM HIP 5MM 109MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM HIP 5MM 130MM,8858.0,8858.0,1195.95,9966.0,90
HCPCS,C1776,STEM FEM HIP 5MM 95MM,7751.5,7751.5,1129.5,7973.0,60
HCPCS,C1776,STEM FEM HIP 6276-1-027,13476.0,13476.0,2021.4,13476.0,30
HCPCS,C1776,STEM FEM HIP 6276-1-031,12106.0,12106.0,1815.9,12106.0,30
HCPCS,C1776,STEM FEM HIP 6276-7-119,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM HIP 6276-8-216,11810.0,11810.0,1771.5,11810.0,30
HCPCS,C1776,STEM FEM HIP 6H,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 6MM 111MM,10630.0,10630.0,1594.5,10630.0,90
HCPCS,C1776,STEM FEM HIP 6MM 132MM,9966.0,9966.0,1494.9,9966.0,60
HCPCS,C1776,STEM FEM HIP 6MM 97.5MM,8748.0,8748.0,1129.5,9966.0,60
HCPCS,C1776,STEM FEM HIP 7.5MM 114MM,9080.0,9080.0,1129.5,10630.0,120
HCPCS,C1776,STEM FEM HIP 70MM,16725.0,16725.0,2508.75,16725.0,60
HCPCS,C1776,STEM FEM HIP 7MM 134MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 7MM 99MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 8D,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,STEM FEM HIP 8MM 101MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP 8MM 136MM,8748.0,8748.0,1129.5,9966.0,60
HCPCS,C1776,STEM FEM HIP 95MM 20MM,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM HIP 99MM 7MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM HIP 9MM,1455.0,1455.0,218.25,1455.0,30
HCPCS,C1776,STEM FEM HIP 9MM 102.5MM,8969.5,8969.5,1195.95,9966.0,60
HCPCS,C1776,STEM FEM HIP 9MM 117MM,9966.0,9966.0,1195.95,10630.0,150
HCPCS,C1776,STEM FEM HIP 9MM 130MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP 9MM 137MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP ACT SZ6,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP CLLR 132MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP CLLR 139MM,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,STEM FEM HIP CMNT SZ11,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP CMNTLS 10MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP CMNTLS 135D,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,STEM FEM HIP CMNTLS SZ7,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP CNTLZ 16MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,STEM FEM HIP CNTRL9.25MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,STEM FEM HIP CNTRLZ 10MM,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,STEM FEM HIP COCR 140X16,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP COCR 150X14,7614.0,7614.0,1142.1,7614.0,30
HCPCS,C1776,STEM FEM HIP COLR 160X14,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP COLR 97MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP COLR SZ3,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,STEM FEM HIP COLR SZ8,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP CRL HA 14,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM HIP CSTM PRSTLC,17450.0,17450.0,2617.5,17450.0,30
HCPCS,C1776,STEM FEM HIP DIST 14MM,8092.0,8092.0,1213.8,8092.0,30
HCPCS,C1776,STEM FEM HIP EX SZ2 94MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP EXT SZ5,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP EXT SZ6,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP HA SZ2,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP LAT SZ2 -,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP LAT SZ3,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP LAT SZ4,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP LAT SZ5,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP LAT SZ6,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP LG 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM HIP LNG 19,20073.0,20073.0,3010.95,20073.0,30
HCPCS,C1776,STEM FEM HIP LT 3 150MM,17450.0,17450.0,2617.5,17450.0,30
HCPCS,C1776,STEM FEM HIP LT SZ3,17450.0,17450.0,2617.5,17450.0,30
HCPCS,C1776,STEM FEM HIP OFFST 117MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP OFFST 119MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP OFFST SZ22,20073.0,20073.0,3010.95,20073.0,30
HCPCS,C1776,STEM FEM HIP OFFST SZ6,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,STEM FEM HIP OFST 13MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP OFST 170X16,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP OFST SZ16H,18523.0,18523.0,2778.45,18523.0,30
HCPCS,C1776,STEM FEM HIP OFST SZ5,8205.5,8205.5,1199.25,8416.0,90
HCPCS,C1776,STEM FEM HIP PRIM HO12,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,STEM FEM HIP PRIM HO13,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEM HIP PRIM SO11,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEM HIP PRSFT 13MM,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM FEM HIP PRSFT SZ11,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP PRSFT SZ7,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP PRSFT SZ8,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP REV SZ13,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM HIP REV SZ15,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM HIP REVISION,20073.0,20073.0,3010.95,20073.0,30
HCPCS,C1776,STEM FEM HIP SIZE 9,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SM 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM HIP SMT 2 12/14,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP STD #2 94MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP STD 107MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP STD 15D,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,STEM FEM HIP STD 16D,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,STEM FEM HIP STD 60MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,STEM FEM HIP STD CEM SZ6,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP STD SIZE3,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP STD SZ 15,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,STEM FEM HIP STD SZ1,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP STD SZ11,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP STD SZ12,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP STD SZ17,20073.0,20073.0,3010.95,20073.0,30
HCPCS,C1776,STEM FEM HIP STD SZ2,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,STEM FEM HIP STD SZ5,9523.0,9523.0,1262.4,10630.0,60
HCPCS,C1776,STEM FEM HIP STD SZ6,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP STD SZ7.5,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM HIP STD SZ9,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP STD115X14X9,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEM HIP STDCLR SZ3,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ1,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SZ1 125MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ1 27X96MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP SZ1 94MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ1 97MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM HIP SZ10,8637.0,8637.0,1262.4,8858.0,90
HCPCS,C1776,STEM FEM HIP SZ10 115MM,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP SZ10 170MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SZ10 40X123,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SZ11,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP SZ11 117MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SZ11 126MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SZ12,9191.0,9191.0,1262.4,9966.0,90
HCPCS,C1776,STEM FEM HIP SZ12 119MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ12 135MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP SZ12 140MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM HIP SZ12/14 135,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM FEM HIP SZ13,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SZ13MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ14,8416.0,8416.0,930.15,20073.0,90
HCPCS,C1776,STEM FEM HIP SZ14 190MM,18059.5,18059.5,2639.4,18523.0,60
HCPCS,C1776,STEM FEM HIP SZ14 300MM,21446.0,21446.0,3216.9,21446.0,30
HCPCS,C1776,STEM FEM HIP SZ15 190MM,17596.0,17596.0,2639.4,17596.0,60
HCPCS,C1776,STEM FEM HIP SZ15 240MM,20336.0,20336.0,3050.4,20336.0,30
HCPCS,C1776,STEM FEM HIP SZ15HO,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1776,STEM FEM HIP SZ16,20073.0,20073.0,3010.95,20073.0,30
HCPCS,C1776,STEM FEM HIP SZ16 240MM,19827.5,19827.5,2897.85,20336.0,60
HCPCS,C1776,STEM FEM HIP SZ17 190MM,17596.0,17596.0,2639.4,17596.0,30
HCPCS,C1776,STEM FEM HIP SZ19,19559.0,19559.0,2856.75,20073.0,60
HCPCS,C1776,STEM FEM HIP SZ19 190MM,18523.0,18523.0,2778.45,18523.0,30
HCPCS,C1776,STEM FEM HIP SZ2,7995.0,7995.0,996.6,8416.0,150
HCPCS,C1776,STEM FEM HIP SZ2 102MM,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,STEM FEM HIP SZ2 12/14,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP SZ2 18MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ2 97MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP SZ2 99MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM HIP SZ20 190MM,18523.0,18523.0,2778.45,18523.0,30
HCPCS,C1776,STEM FEM HIP SZ20 240MM,20336.0,20336.0,3050.4,20336.0,30
HCPCS,C1776,STEM FEM HIP SZ20 300MM,21446.0,21446.0,3216.9,21446.0,30
HCPCS,C1776,STEM FEM HIP SZ21 240MM,28780.0,28780.0,4317.0,28780.0,30
HCPCS,C1776,STEM FEM HIP SZ22 240MM,20336.0,20336.0,3050.4,20336.0,30
HCPCS,C1776,STEM FEM HIP SZ26 240MM,19319.0,19319.0,2897.85,19319.0,30
HCPCS,C1776,STEM FEM HIP SZ2S,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SZ3,9191.0,9191.0,1262.4,9966.0,60
HCPCS,C1776,STEM FEM HIP SZ3 101MM,10630.0,10630.0,1594.5,10630.0,60
HCPCS,C1776,STEM FEM HIP SZ3 102MM,8557.0,8557.0,1283.55,8557.0,60
HCPCS,C1776,STEM FEM HIP SZ3 108MM,6201.0,6201.0,930.15,6201.0,90
HCPCS,C1776,STEM FEM HIP SZ3 135MM,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP SZ3 200MM,13147.0,13147.0,1972.05,13147.0,30
HCPCS,C1776,STEM FEM HIP SZ3 240MM,17450.0,17450.0,2617.5,17450.0,30
HCPCS,C1776,STEM FEM HIP SZ3 96MM,8637.0,8637.0,1262.4,8858.0,60
HCPCS,C1776,STEM FEM HIP SZ4,8637.0,8637.0,1262.4,8858.0,150
HCPCS,C1776,STEM FEM HIP SZ4 103MM,8637.0,8637.0,1262.4,8858.0,60
HCPCS,C1776,STEM FEM HIP SZ4 114MM,6201.0,6201.0,930.15,6201.0,60
HCPCS,C1776,STEM FEM HIP SZ4 12/14,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ4 140MM,9191.0,9191.0,1262.4,9966.0,90
HCPCS,C1776,STEM FEM HIP SZ4 143MM,7995.0,7995.0,1199.25,7995.0,30
HCPCS,C1776,STEM FEM HIP SZ4 99MM,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP SZ5 102MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ5 105MM,8637.0,8637.0,1262.4,8858.0,60
HCPCS,C1776,STEM FEM HIP SZ5 130MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP SZ5 145MM,9744.5,9744.5,1262.4,11073.0,90
HCPCS,C1776,STEM FEM HIP SZ6,8205.5,8205.5,1199.25,8416.0,90
HCPCS,C1776,STEM FEM HIP SZ6 104MM,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP SZ6 107MM,9593.5,9593.5,1283.55,10630.0,60
HCPCS,C1776,STEM FEM HIP SZ6 111MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM FEM HIP SZ6 120MM,11405.0,11405.0,1710.75,11405.0,30
HCPCS,C1776,STEM FEM HIP SZ6 127MM,6201.0,6201.0,930.15,6201.0,60
HCPCS,C1776,STEM FEM HIP SZ6 150MM,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP SZ6 151MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP SZ6L,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ7,8205.5,8205.5,1199.25,8416.0,120
HCPCS,C1776,STEM FEM HIP SZ7 107MM,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP SZ7 109MM,9593.5,9593.5,1283.55,10630.0,60
HCPCS,C1776,STEM FEM HIP SZ7 130MM,11405.0,11405.0,1710.75,11405.0,30
HCPCS,C1776,STEM FEM HIP SZ7 133MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP SZ7 30MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP SZ7 41MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM FEM HIP SZ7S,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ8 110MM,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM FEM HIP SZ8 111MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM HIP SZ8 140MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP SZ8 160MM,8637.0,8637.0,1262.4,8858.0,60
HCPCS,C1776,STEM FEM HIP SZ8 30MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM FEM HIP SZ8S,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ9,8637.0,8637.0,1262.4,8858.0,90
HCPCS,C1776,STEM FEM HIP SZ9 113MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ9 12/14,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP SZ9 130MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIP SZ9 165MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP SZA 50MM,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,STEM FEM HIP TPR 150X13,7805.0,7805.0,1170.75,7805.0,30
HCPCS,C1776,STEM FEM HIP TYPE1 SZB,16725.0,16725.0,2508.75,16725.0,30
HCPCS,C1776,STEM FEM HIP VT SZ4,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM HIP XTND SZ11,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM HIP XTND SZ8,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM HIP10 132D123MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM HIP127D 2 124MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM HIPREV 22X195MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM FEM IMPL CTD HA 13,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM JNCTN LG 16X185,9268.0,9268.0,1390.2,9268.0,30
HCPCS,C1776,STEM FEM KN +75MM 11MM,6418.0,6418.0,962.7,6418.0,30
HCPCS,C1776,STEM FEM KN 100MM,34170.0,34170.0,5125.5,34170.0,30
HCPCS,C1776,STEM FEM KN 100MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 100MM 19MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 102MM 10MM,8181.0,8181.0,1227.15,8181.0,30
HCPCS,C1776,STEM FEM KN 10MM 100MM,11272.0,11272.0,690.9,17938.0,60
HCPCS,C1776,STEM FEM KN 10MM 135MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN 10MM 190MM,17893.0,17893.0,2683.95,17893.0,30
HCPCS,C1776,STEM FEM KN 10MM 220MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 10MM 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 10MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 10X102MM,8181.0,8181.0,1227.15,8181.0,30
HCPCS,C1776,STEM FEM KN 10X145X100,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 110MM 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 110MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 110MM 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 11MM +30MM,6418.0,6418.0,962.7,6418.0,30
HCPCS,C1776,STEM FEM KN 11MM 100MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,STEM FEM KN 11MM 135MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN 11MM 150MM,17955.0,17955.0,2693.25,17955.0,30
HCPCS,C1776,STEM FEM KN 11MM 160MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 11MM 190MM,17893.0,17893.0,2683.95,17893.0,30
HCPCS,C1776,STEM FEM KN 11X80MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 12/9 100MM,5364.0,5364.0,804.6,5364.0,30
HCPCS,C1776,STEM FEM KN 120MM 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 120MM 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 120MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 120MM 14MM,6679.0,6679.0,690.9,8752.0,60
HCPCS,C1776,STEM FEM KN 120MM 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 120X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 120X15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 120X18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 125X14MM,17938.0,17938.0,2690.7,17938.0,30
HCPCS,C1776,STEM FEM KN 125X16.5MM,19267.0,19267.0,2890.05,19267.0,30
HCPCS,C1776,STEM FEM KN 127MM 11MM,8181.0,8181.0,1227.15,8181.0,30
HCPCS,C1776,STEM FEM KN 127X13MM,8181.0,8181.0,1227.15,8181.0,30
HCPCS,C1776,STEM FEM KN 12MM 100MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,STEM FEM KN 12MM 115MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 12MM 125MM,17938.0,17938.0,2690.7,17938.0,30
HCPCS,C1776,STEM FEM KN 12MM 135MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,STEM FEM KN 12MM 220MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 12MM 250MM,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,STEM FEM KN 12MM 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 12MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 12MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 12X+135X3MM,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM FEM KN 12X120MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 12X150MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 12X80MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 13.5MM 125MM,19267.0,19267.0,2890.05,19267.0,30
HCPCS,C1776,STEM FEM KN 130MM,266.0,266.0,39.9,266.0,30
HCPCS,C1776,STEM FEM KN 130MM 11MM,17893.0,17893.0,2683.95,17893.0,30
HCPCS,C1776,STEM FEM KN 130MM 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 130X10MM,17893.0,17893.0,2683.95,17893.0,30
HCPCS,C1776,STEM FEM KN 130X175MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 13MM 127MM,8181.0,8181.0,1227.15,8181.0,30
HCPCS,C1776,STEM FEM KN 13MM 130MM,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,STEM FEM KN 13MM 135MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN 13MM 150MM,17955.0,17955.0,2693.25,17955.0,30
HCPCS,C1776,STEM FEM KN 13MM 190MM,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,STEM FEM KN 13MM 60MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 13X120MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,STEM FEM KN 13X145MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 13X150MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 13X175MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN 13X200X155MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 14.5X125MM,19267.0,19267.0,2890.05,19267.0,30
HCPCS,C1776,STEM FEM KN 14MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN 14MM +75MM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,STEM FEM KN 14MM 100MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,STEM FEM KN 14MM 120MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,STEM FEM KN 14MM 155MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 14MM 160MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 14MM 175MM,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM FEM KN 14MM 50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 14MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 14X130MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 14X150MM,17955.0,17955.0,2693.25,17955.0,30
HCPCS,C1776,STEM FEM KN 14X155MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 14X160MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 14X220MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 14X80MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,STEM FEM KN 150MM 13MM,5353.0,5353.0,802.95,5353.0,30
HCPCS,C1776,STEM FEM KN 150MM 15MM,5353.0,5353.0,802.95,5353.0,30
HCPCS,C1776,STEM FEM KN 150X15.5MM,5812.0,5812.0,871.8,5812.0,30
HCPCS,C1776,STEM FEM KN 150X16MM,5353.0,5353.0,802.95,5353.0,30
HCPCS,C1776,STEM FEM KN 150X16X11MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEM KN 150X17.5MM,19167.0,19167.0,2875.05,19167.0,30
HCPCS,C1776,STEM FEM KN 155X200MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 15MM 100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 15MM 127MM,8181.0,8181.0,1227.15,8181.0,30
HCPCS,C1776,STEM FEM KN 15MM 135MM,8620.0,8620.0,1031.4,10364.0,60
HCPCS,C1776,STEM FEM KN 15MM 150MM,11280.5,11280.5,690.9,17955.0,60
HCPCS,C1776,STEM FEM KN 15MM 220MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 15MM 90MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 15X155MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 16.5MM 150MM,5812.0,5812.0,871.8,5812.0,30
HCPCS,C1776,STEM FEM KN 16/11X160MM,6755.0,6755.0,1013.25,6755.0,30
HCPCS,C1776,STEM FEM KN 160MM,25125.0,25125.0,3768.75,25125.0,30
HCPCS,C1776,STEM FEM KN 160MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 160MM 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 160MM 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 160MM 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 160MM 18MM,4624.5,4624.5,690.9,4643.0,60
HCPCS,C1776,STEM FEM KN 16MM 100MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 16MM 110MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 16MM 120MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,STEM FEM KN 16MM 135MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN 16MM 150MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 16MM 160MM,4643.0,4643.0,696.45,4643.0,30
HCPCS,C1776,STEM FEM KN 16MM 200MM,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM FEM KN 16MM 220MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 16MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 16X100MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,STEM FEM KN 16X120MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 16X155MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 16X60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 17/12X160MM,6954.0,6954.0,1043.1,6954.0,30
HCPCS,C1776,STEM FEM KN 17/13MM,6777.0,6777.0,1016.55,6777.0,30
HCPCS,C1776,STEM FEM KN 175X12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 17MM 135MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN 17MM 175MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN 17MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 17X100MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 17X135X6MM,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM FEM KN 18/13MM,6755.0,6755.0,1013.25,6755.0,30
HCPCS,C1776,STEM FEM KN 18/14MM,6777.0,6777.0,1016.55,6777.0,30
HCPCS,C1776,STEM FEM KN 18MM 120MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,STEM FEM KN 18MM 160MM,8441.0,8441.0,1266.15,8441.0,30
HCPCS,C1776,STEM FEM KN 18X105MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 18X120MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 18X80MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 20/16MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM KN 20M 150MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 20MM 120MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 20MM 130MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 20MM 150MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 20X115MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 20X160MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 20X80MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 21MM 100MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 21MM 150MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 21MM 160MM,6755.0,6755.0,1013.25,6755.0,30
HCPCS,C1776,STEM FEM KN 22.5MM 150MM,5812.0,5812.0,871.8,5812.0,30
HCPCS,C1776,STEM FEM KN 220X20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 225MM 16.5MM,5971.0,5971.0,895.65,5971.0,30
HCPCS,C1776,STEM FEM KN 225X12.5MM,5971.0,5971.0,895.65,5971.0,30
HCPCS,C1776,STEM FEM KN 225X13MM,5705.0,5705.0,855.75,5705.0,30
HCPCS,C1776,STEM FEM KN 22MM 115MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 22MM 130MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 22MM 160MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 240MM 18MM,13858.0,13858.0,2078.7,13858.0,30
HCPCS,C1776,STEM FEM KN 24MM 110MM,4643.0,4643.0,696.45,4643.0,30
HCPCS,C1776,STEM FEM KN 24MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 24X175MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 25MM,10067.0,10067.0,1510.05,10067.0,30
HCPCS,C1776,STEM FEM KN 2MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM FEM KN 30MM,12260.0,12260.0,1510.05,14453.0,60
HCPCS,C1776,STEM FEM KN 30MM 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 35MM,14453.0,14453.0,2167.95,14453.0,30
HCPCS,C1776,STEM FEM KN 5MM,10813.0,10813.0,1621.95,10813.0,30
HCPCS,C1776,STEM FEM KN 60X105X13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 6485-3-817,8181.0,8181.0,1227.15,8181.0,30
HCPCS,C1776,STEM FEM KN 65MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 65MM 14MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEM KN 6MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM FEM KN 75MM 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 75MM 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 75MM 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 75MM 20MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 75X18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 80MM 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 80MM 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 80MM 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN 80MM 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 90X13MM,4918.0,4918.0,737.7,4918.0,30
HCPCS,C1776,STEM FEM KN 9MM 120MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN 9MM 50MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN CMNTLS,23824.0,23824.0,3573.6,23824.0,30
HCPCS,C1776,STEM FEM KN CONN 3MM,4988.0,4988.0,748.2,4988.0,30
HCPCS,C1776,STEM FEM KN EVOL SZ4 L,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM KN EXT 18X100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN EXT 50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN FLUT 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN FLUTD 130X16,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,STEM FEM KN FLUTE 12X130,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,STEM FEM KN LG,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN LPS 16X125MM,17938.0,17938.0,2690.7,17938.0,30
HCPCS,C1776,STEM FEM KN LT 15D 70MM,22515.0,22515.0,3377.25,22515.0,30
HCPCS,C1776,STEM FEM KN LT SZ9,28401.0,28401.0,4260.15,28401.0,30
HCPCS,C1776,STEM FEM KN PRSFT 100X13,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN PRSFT 150X19,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM FEM KN PRSFT 220X18,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN RM 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN RT 75MM,32056.0,32056.0,4808.4,32056.0,30
HCPCS,C1776,STEM FEM KN RT SZ3,17394.0,17394.0,2609.1,17394.0,30
HCPCS,C1776,STEM FEM KN RT SZ4,22068.0,22068.0,3310.2,22068.0,30
HCPCS,C1776,STEM FEM KN RT SZ7,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,STEM FEM KN SEGMENT 45MM,14453.0,14453.0,2167.95,14453.0,30
HCPCS,C1776,STEM FEM KN SHRT 14X80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN SP EXT 14X40,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN STD 8X10MM,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM KN STD OD 10MM,22515.0,22515.0,3377.25,22515.0,30
HCPCS,C1776,STEM FEM KN STR 90X17MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,STEM FEM KN SZ L 155MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN SZ-TS 13X150,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN SZ13 210MM,15546.0,15546.0,2331.9,15546.0,30
HCPCS,C1776,STEM FEM KN SZ18,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM FEM KN SZ3,23823.0,23823.0,3573.45,23823.0,30
HCPCS,C1776,STEM FEM KN SZ4,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,STEM FEM KN SZ44,6250.0,6250.0,937.5,6250.0,30
HCPCS,C1776,STEM FEM KN SZD,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1776,STEM FEM KN SZG,10165.0,10165.0,1524.75,10165.0,30
HCPCS,C1776,STEM FEM KN SZNTRL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM KN XTN 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KN XTN 12X100MM,17938.0,17938.0,2690.7,17938.0,30
HCPCS,C1776,STEM FEM KN XTN 18X150MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM KNEE SZG/RT,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,STEM FEM L160MM D22/ CMN,6755.0,6755.0,1013.25,6755.0,30
HCPCS,C1776,STEM FEM L195 OD27 DIST,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM L195 OD28 DIST,9185.0,9185.0,1377.75,9185.0,30
HCPCS,C1776,STEM FEM LAT PLUS #8,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM LAT215X18MM 13M,11985.0,11985.0,1797.75,11985.0,30
HCPCS,C1776,STEM FEM LG LNG 15 LT,18107.0,18107.0,2716.05,18107.0,30
HCPCS,C1776,STEM FEM LG OD15.0MM AML,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM LG SOL 15MM 8IN,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM FEM LG STD 8X18,21181.0,21181.0,3177.15,21181.0,30
HCPCS,C1776,STEM FEM LGN PRSFT120X12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM LGN PRSFT160X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM LGN PRSFT160X15,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM LT SZ8,18647.0,18647.0,2797.05,18647.0,30
HCPCS,C1776,STEM FEM MATTE 12MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM MOD SZ13 135D,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM OFST 120X8MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM OFST 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM OFST HIP SZ11,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM PFC UNV HIP,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEM PLSM STD SZ5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM PRFT 200MM,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM FEM PRIM STD 17MM,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM FEM PRSFIT 11MM STD,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM PRSFT 3 12/14,8637.0,8637.0,1262.4,8858.0,60
HCPCS,C1776,STEM FEM PRSFT C SER STD,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM PRSFT KN 220X11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM PRSFT LGN 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM PRSFT PRIM 12,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM PRSFT PRIM ALTE,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM PRSFT STD OFST,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM PRSFT XTND OFST,9966.0,9966.0,1328.7,12734.0,120
HCPCS,C1776,STEM FEM PRST XTND OFST,12734.0,12734.0,1910.1,12734.0,30
HCPCS,C1776,STEM FEM RDC FLR 135X31,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEM REV 15X250MM,9478.0,9478.0,1421.7,9478.0,30
HCPCS,C1776,STEM FEM REV 18MM 110MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEM REV 240X18MM,19319.0,19319.0,2897.85,19319.0,30
HCPCS,C1776,STEM FEM REV CRL TI H 15,20927.0,20927.0,3139.05,20927.0,30
HCPCS,C1776,STEM FEM REV SLV 240MM,27372.0,27372.0,4105.8,27372.0,30
HCPCS,C1776,STEM FEM REV135D18X190MM,17306.0,17306.0,2595.9,17306.0,30
HCPCS,C1776,STEM FEM RT 16X11X205MM,11587.0,11587.0,1738.05,11587.0,30
HCPCS,C1776,STEM FEM S-ROM TI ALLY L,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEM SCRFT MX 9 35MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM SMT BASIC PRFT,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM STD 245X16MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM FEM STD 300X22MM,21446.0,21446.0,3216.9,21446.0,30
HCPCS,C1776,STEM FEM STD HIP SZ10,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM FEM STD OFFSET SZ9,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM STD OFS NV 19MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM STD OFST 18MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM FEM STD215X18MM 13M,11215.0,11215.0,1682.25,11215.0,30
HCPCS,C1776,STEM FEM STD225X20MM NK,11585.0,11585.0,1737.75,11585.0,30
HCPCS,C1776,STEM FEM SZ10 132MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM SZ2 99MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM SZ4 105MM,8557.0,8557.0,1283.55,8557.0,60
HCPCS,C1776,STEM FEM SZ5 108MM,8557.0,8557.0,1283.55,8557.0,60
HCPCS,C1776,STEM FEM SZ6 LT EVOL REV,14306.0,14306.0,2145.9,14306.0,30
HCPCS,C1776,STEM FEM SZ7 114MM,8557.0,8557.0,1283.55,8557.0,60
HCPCS,C1776,STEM FEM SZ8 117MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM SZ8 12/14 139MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEM SZ8 127D 136MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM FEM SZ9 165MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM TAPRD NOV 16MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM TI 14X200MM,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM FEM TI ALLY 315X13,15998.0,15998.0,2399.7,15998.0,30
HCPCS,C1776,STEM FEM UNIPL L SRV SLV,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,STEM FEM XTD SZ13 12/14,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM FEM XTN 6IN 14X160,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM FEM XTN KN 150X16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FEMHIP SZ2 37.5X150,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEMORAL,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,STEM FEMORAL 22X17X165+1,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FEMORAL 4 HIP,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM FEMORAL 7 HIP,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,STEM FEMORAL 75X22,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FEMORAL KN SIZE 3,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM FEMORAL LARGE TEMP,10409.0,10409.0,1561.35,10409.0,30
HCPCS,C1776,STEM FEMORAL S-ROM 42MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,STEM FEMUR PMI,42076.0,42076.0,6311.4,42076.0,30
HCPCS,C1776,STEM FIM 167 15 DIST BOW,11810.0,11810.0,1771.5,11810.0,30
HCPCS,C1776,STEM FIN SHLDR DIA 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FLTD UNIV 10X150MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FLUTED MOB OPT TIB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM FM 115MM 10MM HIP F,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM FM 215X18X13 MOD SR,11215.0,11215.0,1682.25,11215.0,30
HCPCS,C1776,STEM FM STD 36X22X17X165,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM FM STD 42 22X17X165,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM HD SHLDR LOW 18X48,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,STEM HEM SHLDR SZ 1+,15307.0,15307.0,2296.05,15307.0,30
HCPCS,C1776,STEM HIP 11.3MM 135MM,6387.0,6387.0,958.05,6387.0,30
HCPCS,C1776,STEM HIP 11MM 107.5MM,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM HIP 12/14 14MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP 12/14 14X200MM,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1776,STEM HIP 127D SZ3 131MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 127D SZ4 137MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 127D SZ6 158MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 127D SZ7 158MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 132D SZ2 124MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 132D SZ3 131MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 132D SZ4 137MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 132D SZ5 145MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 132D SZ6 158MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 132D SZ7 158MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP 150MM 14MM,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STEM HIP 15X120MM,11990.0,11990.0,1798.5,11990.0,30
HCPCS,C1776,STEM HIP 235MM 16MM,10204.0,10204.0,1530.6,10204.0,30
HCPCS,C1776,STEM HIP 240MM SZ17,19319.0,19319.0,2897.85,19319.0,30
HCPCS,C1776,STEM HIP 300MM 21MM,21446.0,21446.0,3216.9,21446.0,30
HCPCS,C1776,STEM HIP 36MM 101MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM HIP 9.6MM 120MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP CLR SZ3 96MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP CMNT 3 RT 150MM,17450.0,17450.0,2617.5,17450.0,30
HCPCS,C1776,STEM HIP CMNT PRSFT 0/10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM HIP CMNT PRSFT 1/11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM HIP CMNT PRSFT 2/12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM HIP CMNT PRSFT 3/13,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM HIP CMNT PRSFT 5/15,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM HIP CMNT PRSFT 6/16,9412.0,9412.0,1411.8,9412.0,30
HCPCS,C1776,STEM HIP CMNT PRSFT 7/17,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM HIP CMNT SZ7 133MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP DIST SZ12,1170.0,1170.0,175.5,1170.0,30
HCPCS,C1776,STEM HIP EXT 9MM 130MM,17893.0,17893.0,2683.95,17893.0,30
HCPCS,C1776,STEM HIP FEM 140X20MM,8699.0,8699.0,1304.85,8699.0,30
HCPCS,C1776,STEM HIP FEM 7MM 134MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM 99MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM HIP FEM HI OFST SZ7,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM LO OFST SZ5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM LO OFST SZ6,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM OFS 12X140,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM HIP FEM OFS 13X145,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM HIP FEM OFS 14X150,11627.0,11627.0,1744.05,11627.0,30
HCPCS,C1776,STEM HIP FEM OFS 15X155,11870.0,11870.0,1780.5,11870.0,30
HCPCS,C1776,STEM HIP FEM OFS 18X170,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM HIP FEM OFS 7X115,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,STEM HIP FEM STD 11X135,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM STD 12X140,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM STD 13X145,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM STD 7X115,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM HIP FEM STD 8X120,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM HIP FEM STD 9X125,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM HIP FEM STD SZ0,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP FEM STDOFST SZ8,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM SZ21 190MM,18523.0,18523.0,2778.45,18523.0,30
HCPCS,C1776,STEM HIP FEM SZ2L,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM SZ2M,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP FEM SZ3L,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM SZ3S,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP FEM SZ4S,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP FEM SZ5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEM SZ5M,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP FEM SZ5S,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP FEM SZ6M,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP FEM SZ6S,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP FEM SZ8,8416.0,8416.0,1262.4,8416.0,60
HCPCS,C1776,STEM HIP FEM SZB 80MM,17606.0,17606.0,2640.9,17606.0,30
HCPCS,C1776,STEM HIP FEMSTD 10X130,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,STEM HIP FEMSTD 11X135,7530.0,7530.0,1129.5,7530.0,30
HCPCS,C1776,STEM HIP FEMSTD 13X145,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FEMSTD 14X150,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM HIP FP HI OFS11X104,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FP HI OFS13X109,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HIP FP HI OFS15X114,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HIP FP HI OFS8X96.5,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HIP FP HI OFST 9X99,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HIP FP OFST10X101.5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FP OFST12X106.5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FP OFST14X111.5,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HIP FP OFST16X116.5,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HIP FPHIOFS10X101.5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FPHIOFS12X106.5,7973.0,7973.0,1195.95,7973.0,30
HCPCS,C1776,STEM HIP FPHIOFS14X111.5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FPHIOFS16X116.5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FPHIOFS18X121.5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FPX OFST 11X104,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FPX OFST 13X109,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FPX OFST 15X114,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HIP FPX OFST 8X96.5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FPX OFST 9X99,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP FPX STD 7X94,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP HD +3.5MM,4066.0,4066.0,609.9,4066.0,30
HCPCS,C1776,STEM HIP HI COLR SZ6,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP HI SZ4 36X103MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM HIP HIGH OFST SZ3,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP HIGH OFST SZ4,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP HIGH OFST SZ6,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP LO OFST COL SZ4,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP LOW OFST SZ3,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP PRSTLAC SZ1,17450.0,17450.0,2617.5,17450.0,30
HCPCS,C1776,STEM HIP REV 240X19X50MM,20336.0,20336.0,3050.4,20336.0,30
HCPCS,C1776,STEM HIP RVRS 19X195MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM HIP SIZE 3,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP STD 135D SZ0,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP STD 18MM 245MM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1776,STEM HIP STD 30NK,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM HIP STD 36NK,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM HIP STD CMNT SZ1,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM HIP STD COLR SZ3,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP STD COLR SZ6,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP STD COLR SZ7,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP STD OFST SZ4,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP STD OFST SZ8,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP STD OFST SZ9,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP SZ11 117X43.5MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM HIP SZ11 127D 126MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP SZ16,13730.5,13730.5,1262.4,19045.0,60
HCPCS,C1776,STEM HIP SZ1M,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM HIP SZ2 12/14 130MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP SZ3 101X36MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM HIP SZ3M,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP SZ4 103X32.5MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM HIP SZ4M,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP SZ5 105MM 35MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM HIP SZ5 38.5X105MM,8557.0,8557.0,1283.55,8557.0,30
HCPCS,C1776,STEM HIP SZ6 30X120MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM HIP SZ7M,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP SZ8MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HIP-PATIENT SPECIFI,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM HIP/KN 11MM 152MM,12672.0,12672.0,1900.8,12672.0,30
HCPCS,C1776,STEM HIP/KN 13MM 152MM,12672.0,12672.0,1900.8,12672.0,30
HCPCS,C1776,STEM HUM 107MM 8MM,9071.0,9071.0,1360.65,9071.0,30
HCPCS,C1776,STEM HUM 10MM,15015.0,15015.0,2252.25,15015.0,30
HCPCS,C1776,STEM HUM 10MM 200MM,15834.0,15834.0,2375.1,15834.0,30
HCPCS,C1776,STEM HUM 10MM 32MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM 113MM 10MM,8985.0,8985.0,1347.75,8985.0,30
HCPCS,C1776,STEM HUM 120MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM 127.5D 82MM,12432.0,12432.0,1864.8,12432.0,30
HCPCS,C1776,STEM HUM 127.5D 88MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HUM 127.5D 94MM,12955.0,12955.0,1943.25,12955.0,30
HCPCS,C1776,STEM HUM 12MM,19444.0,19444.0,2916.6,19444.0,30
HCPCS,C1776,STEM HUM 130MM 8MM,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,STEM HUM 132.5D 94MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM HUM 137.5D 86MM,12432.0,12432.0,1864.8,12432.0,30
HCPCS,C1776,STEM HUM 137.5D 90MM,12432.0,12432.0,1864.8,12432.0,30
HCPCS,C1776,STEM HUM 137.5D 94MM,12955.0,12955.0,1943.25,12955.0,30
HCPCS,C1776,STEM HUM 137MM 16MM,9071.0,9071.0,1360.65,9071.0,30
HCPCS,C1776,STEM HUM 140MM 10MM,10543.5,10543.5,1435.65,11516.0,60
HCPCS,C1776,STEM HUM 145MM 16MM CFLD,14375.0,14375.0,2156.25,14375.0,30
HCPCS,C1776,STEM HUM 14MM CMNTLS,6423.0,6423.0,963.45,6423.0,30
HCPCS,C1776,STEM HUM 14X129MM,9071.0,9071.0,1360.65,9071.0,30
HCPCS,C1776,STEM HUM 150MM 12MM,9571.0,9571.0,1435.65,9571.0,30
HCPCS,C1776,STEM HUM 150MM 9.0MM,9434.0,9434.0,1415.1,9434.0,30
HCPCS,C1776,STEM HUM 21MM 32MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM 220MM 12MM,14080.0,14080.0,2112.0,14080.0,30
HCPCS,C1776,STEM HUM 36/12 135MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM 36/18 135MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM 6X175MM,27792.0,27792.0,4168.8,27792.0,30
HCPCS,C1776,STEM HUM 7MM 80MM,22469.0,22469.0,3370.35,22469.0,30
HCPCS,C1776,STEM HUM 8MM,19444.0,19444.0,2916.6,19444.0,30
HCPCS,C1776,STEM HUM 8MM 175MM,27792.0,27792.0,4168.8,27792.0,30
HCPCS,C1776,STEM HUM 8MM 215MM,15834.0,15834.0,2375.1,15834.0,30
HCPCS,C1776,STEM HUM ADAPT 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM HUM ADAPT 6MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM HUM ELB 4MM 100MM,18669.0,18669.0,2800.35,18669.0,30
HCPCS,C1776,STEM HUM HOWMEDICA,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM M TPR SZ10,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM M TRP SZ12,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM M TRP SZ14,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM MED 116X10.5,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM PRSFT 14MM,7751.0,7751.0,1162.65,7751.0,30
HCPCS,C1776,STEM HUM PRSFT 9MM,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,STEM HUM REV 175X6MM,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1776,STEM HUM REV SIZE 6,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HUM REV UNIV SZ13,6578.0,6578.0,986.7,6578.0,30
HCPCS,C1776,STEM HUM RSP 101X6MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM RSP 105X7MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM RSP 109X8MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM RSP 116X10MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM RSP 124X12MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM SHCR 9MM,22416.0,22416.0,3362.4,22416.0,30
HCPCS,C1776,STEM HUM SHD 120MM 13MM,22469.0,22469.0,3370.35,22469.0,30
HCPCS,C1776,STEM HUM SHDLR 11X100MM,20427.0,20427.0,3064.05,20427.0,30
HCPCS,C1776,STEM HUM SHLD132.5D115MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDE 8MM 175MM,18863.0,18863.0,2829.45,18863.0,30
HCPCS,C1776,STEM HUM SHLDR 101MM 7MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM SHLDR 101X16MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 102X17MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 103X18MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 104MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 109MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 10D 44MM,33005.0,33005.0,4950.75,33005.0,30
HCPCS,C1776,STEM HUM SHLDR 10MM,9190.5,9190.5,1162.65,10630.0,60
HCPCS,C1776,STEM HUM SHLDR 10MM 70MM,10209.0,10209.0,1531.35,10209.0,30
HCPCS,C1776,STEM HUM SHLDR 10X100MM,9580.0,9580.0,1437.0,9580.0,30
HCPCS,C1776,STEM HUM SHLDR 10X115MM,15927.0,15927.0,2389.05,15927.0,30
HCPCS,C1776,STEM HUM SHLDR 10X122MM,11471.5,11471.5,1647.6,11959.0,60
HCPCS,C1776,STEM HUM SHLDR 10X123MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 10X130MM,11959.0,11959.0,1746.45,22588.0,90
HCPCS,C1776,STEM HUM SHLDR 10X150MM,20427.0,20427.0,3064.05,20427.0,30
HCPCS,C1776,STEM HUM SHLDR 10X170MM,10754.0,10754.0,1613.1,10754.0,30
HCPCS,C1776,STEM HUM SHLDR 115X6MM,14375.0,14375.0,2156.25,14375.0,30
HCPCS,C1776,STEM HUM SHLDR 11MM,11020.5,11020.5,1096.2,14733.0,60
HCPCS,C1776,STEM HUM SHLDR 11MM 70MM,10209.0,10209.0,1531.35,10209.0,30
HCPCS,C1776,STEM HUM SHLDR 11X123MM,12114.0,12114.0,1817.1,12114.0,30
HCPCS,C1776,STEM HUM SHLDR 11X130MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 11X95MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 120MM 6MM,22469.0,22469.0,3370.35,22469.0,30
HCPCS,C1776,STEM HUM SHLDR 122MM 8MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 122X10MM,10245.0,10245.0,1536.75,10245.0,30
HCPCS,C1776,STEM HUM SHLDR 122X12MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 122X9MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 123X10MM,12114.0,12114.0,1817.1,12114.0,30
HCPCS,C1776,STEM HUM SHLDR 125MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 125X10MM,10453.0,10453.0,1567.95,10453.0,30
HCPCS,C1776,STEM HUM SHLDR 125X8MM,10823.0,10823.0,1623.45,10823.0,30
HCPCS,C1776,STEM HUM SHLDR 128X13MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 12MM 70MM,9080.0,9080.0,1362.0,9080.0,30
HCPCS,C1776,STEM HUM SHLDR 12MM 96MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 12X120MM,9071.0,9071.0,1360.65,9071.0,30
HCPCS,C1776,STEM HUM SHLDR 12X128MM,12258.0,12258.0,1817.1,12402.0,60
HCPCS,C1776,STEM HUM SHLDR 12X130MM,18713.0,18713.0,1746.45,22588.0,150
HCPCS,C1776,STEM HUM SHLDR 12X200MM,14118.0,14118.0,1860.3,15834.0,90
HCPCS,C1776,STEM HUM SHLDR 12X90MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM SHLDR 132.5D104,14508.0,14508.0,2176.2,14508.0,30
HCPCS,C1776,STEM HUM SHLDR 135D 11MM,19027.0,19027.0,2854.05,19027.0,30
HCPCS,C1776,STEM HUM SHLDR 135MM,11959.0,11959.0,1793.85,11959.0,60
HCPCS,C1776,STEM HUM SHLDR 135X40MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 13MM,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,STEM HUM SHLDR 13MM 70MM,10209.0,10209.0,1531.35,10209.0,30
HCPCS,C1776,STEM HUM SHLDR 13X128MM,12114.0,12114.0,1817.1,12114.0,30
HCPCS,C1776,STEM HUM SHLDR 13X130MM,11959.0,11959.0,1679.25,20595.0,90
HCPCS,C1776,STEM HUM SHLDR 13X150MM,20595.0,20595.0,3089.25,20595.0,30
HCPCS,C1776,STEM HUM SHLDR 13X97MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 145X10MM,14375.0,14375.0,2156.25,14375.0,30
HCPCS,C1776,STEM HUM SHLDR 145X12MM,14375.0,14375.0,2156.25,14375.0,30
HCPCS,C1776,STEM HUM SHLDR 145X8MM,14373.0,14373.0,2155.95,14373.0,30
HCPCS,C1776,STEM HUM SHLDR 14MM,20330.0,20330.0,3049.5,20330.0,30
HCPCS,C1776,STEM HUM SHLDR 14MM 70MM,10209.0,10209.0,1531.35,10209.0,30
HCPCS,C1776,STEM HUM SHLDR 14MM 98MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 14X100MM,20427.0,20427.0,3064.05,20427.0,30
HCPCS,C1776,STEM HUM SHLDR 14X130MM,14395.0,14395.0,1679.25,22588.0,120
HCPCS,C1776,STEM HUM SHLDR 14X133MM,12258.0,12258.0,1817.1,12402.0,60
HCPCS,C1776,STEM HUM SHLDR 14X170MM,25467.0,25467.0,3820.05,25467.0,30
HCPCS,C1776,STEM HUM SHLDR 14X36MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 15MM,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,STEM HUM SHLDR 15MM 90MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,STEM HUM SHLDR 15MM 99MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 15X130MM,11959.0,11959.0,1746.45,16831.0,90
HCPCS,C1776,STEM HUM SHLDR 15X133MM,12114.0,12114.0,1817.1,12114.0,30
HCPCS,C1776,STEM HUM SHLDR 16X130MM,16831.0,16831.0,1793.85,25467.0,90
HCPCS,C1776,STEM HUM SHLDR 16X140MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 17MM,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,STEM HUM SHLDR 17X130MM,15820.0,15820.0,2373.0,15820.0,30
HCPCS,C1776,STEM HUM SHLDR 17X140MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 200X80MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 23MM 52MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,STEM HUM SHLDR 30MM,25599.0,25599.0,3839.85,25599.0,30
HCPCS,C1776,STEM HUM SHLDR 32/10 120,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 32/14 135,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 32/16 135,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 36/14MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 41MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM HUM SHLDR 4MM 150MM,9580.0,9580.0,1437.0,9580.0,30
HCPCS,C1776,STEM HUM SHLDR 55MM 10MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 55MM 9MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 5MM,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,STEM HUM SHLDR 66MM,20411.5,20411.5,1461.6,31079.0,60
HCPCS,C1776,STEM HUM SHLDR 6MM 122MM,10984.0,10984.0,1647.6,10984.0,30
HCPCS,C1776,STEM HUM SHLDR 6MM 152MM,12402.0,12402.0,1860.3,12402.0,60
HCPCS,C1776,STEM HUM SHLDR 6MM 7MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 70MM,11088.0,11088.0,1461.6,12432.0,90
HCPCS,C1776,STEM HUM SHLDR 70MM 6MM,9080.0,9080.0,1362.0,9080.0,30
HCPCS,C1776,STEM HUM SHLDR 74MM,10630.0,10630.0,1461.6,12955.0,90
HCPCS,C1776,STEM HUM SHLDR 78MM,10187.0,10187.0,1461.6,10630.0,90
HCPCS,C1776,STEM HUM SHLDR 7MM,8234.0,8234.0,1096.2,9160.0,90
HCPCS,C1776,STEM HUM SHLDR 7MM 113MM,12114.0,12114.0,1817.1,12114.0,30
HCPCS,C1776,STEM HUM SHLDR 7MM 60MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 7MM 70MM,10209.0,10209.0,1531.35,10209.0,30
HCPCS,C1776,STEM HUM SHLDR 7MM 91MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 7S 130MM,28789.0,28789.0,4318.35,28789.0,30
HCPCS,C1776,STEM HUM SHLDR 7X113MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 80X8MM,21791.0,21791.0,3268.65,21791.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 10MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 11MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 12MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 13MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 14MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 15MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 5MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 6MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 7MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 8MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 83MM 9MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 8MM,12402.0,12402.0,1162.65,15729.0,90
HCPCS,C1776,STEM HUM SHLDR 8MM 100MM,20427.0,20427.0,3064.05,20427.0,30
HCPCS,C1776,STEM HUM SHLDR 8MM 118MM,12114.0,12114.0,1817.1,12114.0,30
HCPCS,C1776,STEM HUM SHLDR 8MM 122MM,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR 8MM 130MM,22588.0,22588.0,3388.2,22588.0,30
HCPCS,C1776,STEM HUM SHLDR 8MM 150MM,20427.0,20427.0,3064.05,20427.0,30
HCPCS,C1776,STEM HUM SHLDR 8MM 200MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 8MM 70MM,10209.0,10209.0,1531.35,10209.0,30
HCPCS,C1776,STEM HUM SHLDR 8MM 92MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 8X200MM,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,STEM HUM SHLDR 90.4X16.5,5002.0,5002.0,750.3,5002.0,30
HCPCS,C1776,STEM HUM SHLDR 90.4X19.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM HUM SHLDR 90MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,STEM HUM SHLDR 93MM 9MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 94X10MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 98MM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM HUM SHLDR 9MM 118MM,12114.0,12114.0,1817.1,12114.0,30
HCPCS,C1776,STEM HUM SHLDR 9MM 80MM,21791.0,21791.0,3268.65,21791.0,30
HCPCS,C1776,STEM HUM SHLDR 9X118MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDR 9X130MM,11643.0,11643.0,1679.25,15820.0,90
HCPCS,C1776,STEM HUM SHLDR 9X70MM,10209.0,10209.0,1531.35,10209.0,30
HCPCS,C1776,STEM HUM SHLDR LNG SZ2,15307.0,15307.0,2296.05,15307.0,30
HCPCS,C1776,STEM HUM SHLDR LNG SZ4,15307.0,15307.0,2296.05,15307.0,30
HCPCS,C1776,STEM HUM SHLDR LT 10.5MM,13066.0,13066.0,1959.9,13066.0,30
HCPCS,C1776,STEM HUM SHLDR LT 12.5MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HUM SHLDR LT 6.5MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HUM SHLDR LT 8.5MM,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1776,STEM HUM SHLDR LT STD 0,22145.0,22145.0,3321.75,22145.0,30
HCPCS,C1776,STEM HUM SHLDR RT 10.5MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HUM SHLDR RT 12.5MM,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,STEM HUM SHLDR RT 6.5MM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM HUM SHLDR RT 8.5MM,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,STEM HUM SHLDR RVRS 11MM,20595.0,20595.0,3089.25,20595.0,30
HCPCS,C1776,STEM HUM SHLDR RVRS SZ6,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,STEM HUM SHLDR RVRS SZ7,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,STEM HUM SHLDR RVRS SZ8,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,STEM HUM SHLDR SZ1,12402.0,12402.0,1793.85,12845.0,60
HCPCS,C1776,STEM HUM SHLDR SZ1+,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR SZ10,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,STEM HUM SHLDR SZ12,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM HUM SHLDR SZ13,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM HUM SHLDR SZ2,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR SZ2+,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR SZ3,13287.0,13287.0,1793.85,15307.0,120
HCPCS,C1776,STEM HUM SHLDR SZ4,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR SZ4+,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM SHLDR SZ5C 82MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM HUM SHLDR UNIV SZ9,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,STEM HUM SHLDR132.5D82MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,STEM HUM SHLDRFX 6X113MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM HUM SHLDRSZ10 130MM,28789.0,28789.0,4318.35,28789.0,30
HCPCS,C1776,STEM HUM SHLDRSZ11 130MM,28789.0,28789.0,4318.35,28789.0,30
HCPCS,C1776,STEM HUM SM SZ6 175MM,34190.0,34190.0,5128.5,34190.0,30
HCPCS,C1776,STEM HUM SM SZ6 220MM,35898.0,35898.0,5384.7,35898.0,30
HCPCS,C1776,STEM HUM STD SZ10,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM HUM STD SZ11,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM HUM STD SZ7,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM HUM STD SZ8,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM HUM SURG 14MM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1776,STEM HUM SURG NTRL,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM HUM SZ13 3.86X.56IN,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM HUM SZ2 180MM,7729.0,7729.0,1159.35,7729.0,30
HCPCS,C1776,STEM HUM SZ2 88MM,5634.0,5634.0,845.1,5634.0,30
HCPCS,C1776,STEM HUM TPR SZ6,11128.0,11128.0,1669.2,11128.0,30
HCPCS,C1776,STEM HUM TPR SZ8,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM HUM W/SCR 11X150,20427.0,20427.0,3064.05,20427.0,30
HCPCS,C1776,STEM HUM W/SCR 6X100,9580.0,9580.0,1437.0,9580.0,30
HCPCS,C1776,STEM IM KNEE MOD,115154.0,115154.0,17273.1,115154.0,30
HCPCS,C1776,STEM KN 130MM 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN 130MM 16/12MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM KN 130MM 16MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN 130MM 17/13MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM KN 130MM 18/14MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM KN 130MM 22/18MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM KN 130MM 24/20MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM KN 14/11MM 100MM,5364.0,5364.0,804.6,5364.0,30
HCPCS,C1776,STEM KN 14X110MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN 16/13MM 100MM,5364.0,5364.0,804.6,5364.0,30
HCPCS,C1776,STEM KN 17/12MM 160MM,6755.0,6755.0,1013.25,6755.0,30
HCPCS,C1776,STEM KN 17/14MM 100MM,12318.0,12318.0,1847.7,12318.0,30
HCPCS,C1776,STEM KN 200X10X16MM,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,STEM KN 80MM,14173.0,14173.0,2125.95,14173.0,30
HCPCS,C1776,STEM KN ADPT R 15X155MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN ADPTR OFST 6MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN CMNT 15MM 100MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN CMNT 9X100MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN EXT 16MMX80MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN EXT CMNT 17X50MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN EXTND 13X100MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN EXTND 80MM 40MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN FEM 16X180MM AXM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN FEM 20MM 60MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN FEM 40MM,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,STEM KN FEM EXT 10X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN FEM EXT 12X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN FEM EXT 14X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN FEM EXT 14X80MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN FEM SP EXT 12X80,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT 14X80,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN FEM SP EXT 15X40,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT 15X80,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT 16X40,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT 16X80,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT 17X40,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT 17X80,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT 18X40,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT 18X80,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT 19X40,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT 19X80,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT 20X40,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT 20X80,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT 21X40,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT 21X80,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT 22X40,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT 22X80,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT13X120,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FEM SP EXT14X120,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM KN FEM SP EXT14X160,5622.0,5622.0,843.3,5622.0,30
HCPCS,C1776,STEM KN FEM SP EXT15X120,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT16X160,5918.0,5918.0,887.7,5918.0,30
HCPCS,C1776,STEM KN FEM SP EXT17X120,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT18X120,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT19X120,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT20X120,4802.0,4802.0,720.3,4802.0,30
HCPCS,C1776,STEM KN FEM SP EXT22X120,5054.0,5054.0,758.1,5054.0,30
HCPCS,C1776,STEM KN FLUT G 17MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN KN 160MM 20/15MM,6755.0,6755.0,1013.25,6755.0,30
HCPCS,C1776,STEM KN MED,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM KN REV 13MM +135MM,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM KN REV 17X3MM +135,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM KN REV 6MM 16MM,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM KN REV 6X12X135MM,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM KN ROT M STD LT,44277.0,44277.0,6641.55,44277.0,30
HCPCS,C1776,STEM KN RV CMNT 14X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN STR 14MM 145MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN STR 15X75X30MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM KN TIB FIN 40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM KN UNIV 12SZ,2126.0,2126.0,318.9,2126.0,30
HCPCS,C1776,STEM KNEE 11X150MM,8188.0,8188.0,1228.2,8188.0,30
HCPCS,C1776,STEM KNEE 18X15MM 100MM,13580.0,13580.0,2037.0,13580.0,30
HCPCS,C1776,STEM L100MM OD14MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM LAT CMNTLSS PLUS #5,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM LAT CMNTLSS PLUS #6,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM LAT FEM 5 MECTAGRIP,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM LAT FEM 6 MECTAGRIP,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM LAT FEM 7 MECTAGRIP,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM LAT FEM 8 MECTAGRIP,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM LAT FEM 9 0139209,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM LGN PRESSFIT 9X160,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM LNG SLT 10X150,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM LNG SLT 12X150,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM LONG 5.5 WRIST,18463.0,18463.0,2769.45,18463.0,30
HCPCS,C1776,STEM MOD KN 18/13X160MM,6954.0,6954.0,1043.1,6954.0,30
HCPCS,C1776,STEM MOD KN CMNT 130MM,5807.0,5807.0,871.05,5807.0,30
HCPCS,C1776,STEM MOD KN SZ4 100MM,22300.0,22300.0,3345.0,22300.0,30
HCPCS,C1776,STEM MONOBLOCK 8X108MM,22145.0,22145.0,3321.75,22145.0,30
HCPCS,C1776,STEM NECK HIP 132D SZ9,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM OTH 5 TPRD HI OFST,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM PRESS FIT 25X12MM,5046.0,5046.0,756.9,5046.0,30
HCPCS,C1776,STEM PRFMR LNG NCK SZ4,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM PRFMR Z SZ4 SHRT,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM PRFMR Z SZ5 SHRT,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM PROFMR RNS SZ12 SHT,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STEM PRSS FT SHLDR SZ10,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM RAD 6MM TI CRV 40MM,8639.0,8639.0,1295.85,8639.0,30
HCPCS,C1776,STEM RAD ELB 10MM 4MM,5825.0,5825.0,873.75,5825.0,30
HCPCS,C1776,STEM RADIAL 9X13 MM,10998.0,10998.0,1649.7,10998.0,30
HCPCS,C1776,STEM RADIAL ELB 5.5MM,10196.0,10196.0,1529.4,10196.0,30
HCPCS,C1776,STEM RADL 10X0X35MM,8969.0,8969.0,1345.35,8969.0,30
HCPCS,C1776,STEM RADL 26MM 7MM STR T,8639.0,8639.0,1295.85,8639.0,30
HCPCS,C1776,STEM RADL 28X8MM STR TI,8898.0,8898.0,1334.7,8898.0,30
HCPCS,C1776,STEM RADL ELB 6MM 24MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM RADL ELB 7MM,8969.0,8969.0,1345.35,8969.0,30
HCPCS,C1776,STEM RADL ELB 7MM 26MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM RADL ELB 8MM 28MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM RADL ELB 9MM 30MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM RADL ELBOW 10MMX2MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM RADL ELBOW 11MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM RADL ELBOW 8MM,8969.0,8969.0,1345.35,8969.0,30
HCPCS,C1776,STEM RADL ELBW 9X0X33MM,8969.0,8969.0,1345.35,8969.0,30
HCPCS,C1776,STEM RDL ELB 9X2X33MM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM REM HIP 12/14 SZ11,9966.0,9966.0,1494.9,9966.0,30
HCPCS,C1776,STEM REM HIP SZ22 240MM,20336.0,20336.0,3050.4,20336.0,30
HCPCS,C1776,STEM REM HIP SZ3,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM REST MOD PLSM12X167,10608.0,10608.0,1591.2,10608.0,30
HCPCS,C1776,STEM REV CS RT EVOL SZ6,16831.0,16831.0,2524.65,16831.0,30
HCPCS,C1776,STEM REV KN 12MM +135MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM REV KN 14MM +135MM,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM REV KN 14MM +175MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM REV KN 16MM +135MM,7839.5,7839.5,797.25,10364.0,60
HCPCS,C1776,STEM REV KN 18MM +175MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM REV KN 20MM +135MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM REV KN 22MM +135MM,6876.0,6876.0,1031.4,6876.0,30
HCPCS,C1776,STEM REV OFF 17X 6MM,10364.0,10364.0,1554.6,10364.0,30
HCPCS,C1776,STEM SEG HIP 28MM 30MM,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1776,STEM SEGK KNEE 30MM,10067.0,10067.0,1510.05,10067.0,30
HCPCS,C1776,STEM SHDLR HUM 10MM,22145.0,22145.0,3321.75,22145.0,30
HCPCS,C1776,STEM SHLD HUM PRSF 12MM,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1776,STEM SHLDR 123MM 11MM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1776,STEM SHLDR 12MM 150MM,20427.0,20427.0,3064.05,20427.0,30
HCPCS,C1776,STEM SHLDR 12X10MM,22145.0,22145.0,3321.75,22145.0,30
HCPCS,C1776,STEM SHLDR 132.5D 86MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1776,STEM SHLDR 135D 32/10,11959.0,11959.0,1793.85,11959.0,30
HCPCS,C1776,STEM SHLDR 3/4 +3MM 39MM,8770.0,8770.0,1315.5,8770.0,30
HCPCS,C1776,STEM SHLDR 36MMX115MM,9102.0,9102.0,1365.3,9102.0,30
HCPCS,C1776,STEM SHLDR 80MM 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM SHLDR CMNT PRIM,5859.0,5859.0,878.85,5859.0,30
HCPCS,C1776,STEM SHLDR CMNTLS 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM SHLDR FIN 20MM SMR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM SHLDR OFST 15X50MM,10041.0,10041.0,1506.15,10041.0,30
HCPCS,C1776,STEM SHLDR SHRT 32X70MM,9102.0,9102.0,1365.3,9102.0,30
HCPCS,C1776,STEM SHLDR SZ8S 130MM,28789.0,28789.0,4318.35,28789.0,30
HCPCS,C1776,STEM SHLDR TOT HD GLEN48,21703.0,21703.0,3255.45,21703.0,30
HCPCS,C1776,STEM SHLDR UNIV REV SZ12,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1776,STEM SHLDR XS 28X66MM,9102.0,9102.0,1365.3,9102.0,30
HCPCS,C1776,STEM SHLDR-HUMERAL 7,14333.0,14333.0,2149.95,14333.0,30
HCPCS,C1776,STEM SHORT CLRD EXT SZ12,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM SHORT CLRD STD SZ11,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM SHORT CLRD STD SZ12,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STEM SHORT CLRD STD SZ9,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1776,STEM SHRP FLUT 12DX75,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM SHRP FLUT 19X130,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM SLDR HUM SIZE 3,16388.0,16388.0,2458.2,16388.0,30
HCPCS,C1776,STEM SPACER HIP 54MM,13967.0,13967.0,2095.05,13967.0,30
HCPCS,C1776,STEM SPCR SHD SZ3/4 9MM,9771.0,9771.0,1465.65,9771.0,30
HCPCS,C1776,STEM SPCR SHD SZ9 130MM,28789.0,28789.0,4318.35,28789.0,30
HCPCS,C1776,STEM SROM 36+21 22X17X23,18832.0,18832.0,2824.8,18832.0,30
HCPCS,C1776,STEM SROM 36+8L 24X19X17,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM SROM 36NK 14X09X130,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM SROM STD 20X15X165,13646.0,13646.0,2046.9,13646.0,30
HCPCS,C1776,STEM STD LG 800 1CMX44MM,13453.0,13453.0,2017.95,13453.0,30
HCPCS,C1776,STEM STD42NK 20X15X165MM,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,STEM TIB 12MM 115MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB 92MM 12MM,9199.0,9199.0,1379.85,9199.0,30
HCPCS,C1776,STEM TIB 92MM 15MM MED,10221.0,10221.0,1533.15,10221.0,30
HCPCS,C1776,STEM TIB ANKLE 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB ANKLE 14MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,STEM TIB ANKLE 16MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,STEM TIB ANKLE 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIB CMNTLS L 160M,6954.0,6954.0,1043.1,6954.0,30
HCPCS,C1776,STEM TIB CMNTLS L 160MM,6755.0,6755.0,1013.25,6755.0,30
HCPCS,C1776,STEM TIB EXT TI 12X40MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM TIB KN 10MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB KN 12MM 120MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIB KN 12MM 150MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIB KN 130X16/12MM,5807.0,5807.0,871.05,5807.0,30
HCPCS,C1776,STEM TIB KN 15X80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB KN 16.5X150MM,5705.0,5705.0,855.75,5705.0,30
HCPCS,C1776,STEM TIB KN 160MM,11516.0,11516.0,1727.4,11516.0,30
HCPCS,C1776,STEM TIB KN 16MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB KN 19MM 80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB KN 30MM 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB KN 5D SZB,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIB KN 5D SZH,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIB KN 6MM,5364.0,5364.0,804.6,5364.0,30
HCPCS,C1776,STEM TIB KN 80MM 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB KN CMNT 30X15MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,STEM TIB KN LT 5D SZF,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIB KN MED,8194.0,8194.0,1229.1,8194.0,30
HCPCS,C1776,STEM TIB KN SZ-M 12X92MM,10221.0,10221.0,1533.15,10221.0,30
HCPCS,C1776,STEM TIB KN SZ10 120MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIB KN100MM 15/12MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,STEM TIB LG 10IN 16.5M R,23406.0,23406.0,3510.9,23406.0,30
HCPCS,C1776,STEM TIB LNG KN 100X10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM TIB PRECT KN SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIB RT KN D 5D,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM TIBAL 100MM D:18/,13580.0,13580.0,2037.0,13580.0,30
HCPCS,C1776,STEM TIBIAL 3 KNEE,6514.0,6514.0,977.1,6514.0,30
HCPCS,C1776,STEM TIBIAL CMNTLS 14MM,6777.0,6777.0,1016.55,6777.0,30
HCPCS,C1776,STEM TM REVERSE 18X13MM,25467.0,25467.0,3820.05,25467.0,30
HCPCS,C1776,STEM TRILOBE THUMB SZ2,15865.0,15865.0,2379.75,15865.0,30
HCPCS,C1776,STEM TRILOBE THUMB SZXS,15865.0,15865.0,2379.75,15865.0,30
HCPCS,C1776,STEM ULN 75MM 4MM DSCVR,16917.0,16917.0,2537.55,16917.0,30
HCPCS,C1776,STEM ULN ELB LT 4MM 75MM,20597.0,20597.0,3089.55,20597.0,30
HCPCS,C1776,STEM ULN WRIST 2CM 4.5MM,10484.0,10484.0,1572.6,10484.0,30
HCPCS,C1776,STEM ULNAR 1 UHEAD ELBOW,16044.0,16044.0,2406.6,16044.0,30
HCPCS,C1776,STEM ULNAR 4MM 1CM,11183.0,11183.0,1677.45,11183.0,30
HCPCS,C1776,STEM ULNAR 5MM 1CM,11183.0,11183.0,1677.45,11183.0,30
HCPCS,C1776,STEM ULNAR SM SHT LEFT,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1776,STEM ULNAR SM STD LEFT,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1776,STEM ULNAR WRIST SZ3,16044.0,16044.0,2406.6,16044.0,30
HCPCS,C1776,STEM UNV HIP 150MM 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM WRST RADL 6X40,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,STEM WRST RADL 7.5X40,6764.0,6764.0,1014.6,6764.0,30
HCPCS,C1776,STEM WRST RADL BD LT 9MM,8695.0,8695.0,1304.25,8695.0,30
HCPCS,C1776,STEM WRST RADL BD RT 7.5,8695.0,8695.0,1304.25,8695.0,30
HCPCS,C1776,STEM XTM EVL 5KN LT REV,14306.0,14306.0,2145.9,14306.0,30
HCPCS,C1776,STEM XTN 105MM 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN 105X11MM GMK FL,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN 13X18 SEG CMNT,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,STEM XTN 15MM 177MM,11584.0,11584.0,1737.6,11584.0,30
HCPCS,C1776,STEM XTN 16MM 117MM,11584.0,11584.0,1737.6,11584.0,30
HCPCS,C1776,STEM XTN 20X145X100,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN EVOL KN LT REV,14306.0,14306.0,2145.9,14306.0,30
HCPCS,C1776,STEM XTN FEM KN 145MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN FEM KN 30X13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM XTN FLUT 12X105MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 105MM 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 105MM 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 105X22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 11MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM XTN KN 13MM 65MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 13X105MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 150MM 22MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 16MM 105MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 16MM 75MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM XTN KN 30X75X13MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM XTN KN 60MM,22770.0,22770.0,3415.5,22770.0,30
HCPCS,C1776,STEM XTN KN 65MM 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 65MM 11MM,4606.0,4606.0,690.9,4606.0,90
HCPCS,C1776,STEM XTN KN 65MM 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 65MM 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN 65MM 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN KN GMRS 80MM,8726.0,8726.0,1308.9,8726.0,30
HCPCS,C1776,STEM XTN KN M/F 40MM,25299.0,25299.0,3794.85,25299.0,30
HCPCS,C1776,STEM XTN KN M/F 50MM,22770.0,22770.0,3415.5,22770.0,30
HCPCS,C1776,STEM XTN KN SZ 70MM,25299.0,25299.0,3794.85,25299.0,30
HCPCS,C1776,STEM XTN KNEE 14X75,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,STEM XTN OFST 15X200X155,5228.0,5228.0,784.2,5228.0,30
HCPCS,C1776,STEM XTN OFST 18X145X100,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTN STRG FLT 15X130,16063.0,16063.0,2409.45,16063.0,30
HCPCS,C1776,STEM XTN TIV 155X200,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEM XTNSN PRECT 4TIB KN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,STEMHUM SHLDR 133MM 8MM,14806.0,14806.0,1784.4,17716.0,60
HCPCS,C1776,STEMHUM SHLDR 138MM 10MM,12392.0,12392.0,1793.85,12825.0,60
HCPCS,C1776,STEMHUM SHLDR 145MM 12MM,13078.5,13078.5,1952.4,13141.0,60
HCPCS,C1776,STEMHUM SHLDR 153MM 14MM,13078.5,13078.5,1952.4,13141.0,60
HCPCS,C1776,STEMHUM SHLDR 160MM 16MM,13141.0,13141.0,1971.15,13141.0,30
HCPCS,C1776,STEMHUM SHLDR 220MM 12MM,15734.0,15734.0,2360.1,15734.0,30
HCPCS,C1776,STM FEM HIP 150MM 16MM,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STM FEM HIP 150MM 17MM,14381.0,14381.0,2157.15,14381.0,30
HCPCS,C1776,STM FEM SZ5 COLR,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1776,STM FEM SZ6 128MM LNG NK,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STM FEM SZ6 VRUS LNG NK,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,STM KN 3L LT REV CNDRL,14306.0,14306.0,2145.9,14306.0,30
HCPCS,C1776,STM KN 5R RT REV CNDRL,14306.0,14306.0,2145.9,14306.0,30
HCPCS,C1776,STM KN 7R RT REV CNDRL,14306.0,14306.0,2145.9,14306.0,30
HCPCS,C1776,STUD FX 8.5 KNEE RESURF,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURF 18MM KN RT 10-11 18,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ART FLX SZ6 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURF ARTC KN 10-11 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 10-11 12MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,SURF ARTC KN 10-12 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 10-12 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 10-12 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 10-13 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 10-13 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 12MM 6-9 GH,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 14MM 10-11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 16MM 3-5 CD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 16MM 3-5 EF,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 20MM 3-5 CD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 20MM 3-5 EF,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 3-5 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 3-5 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 3-5 13MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,SURF ARTC KN 3-5 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 3-5 18MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,SURF ARTC KN 6-9 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 6-9 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 6-9 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 6-9 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN 6-9 16MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,SURF ARTC KN 6-9 18MM,4628.5,4628.5,690.9,4651.0,60
HCPCS,C1776,SURF ARTC KN 6-9 20MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,SURF ARTC KN 8-9 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURF ARTC KN RT 3-9 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ART CH7-10 BLU14,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC 00584202408,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC 00595205010,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC 00596203014,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC 10MM F CMPN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC 17MM 3-5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC 58X40MM,6260.0,6260.0,939.0,6260.0,30
HCPCS,C1776,SURFACE ARTC 7-10 14MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC CD/3-4 10MM,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,SURFACE ARTC CH 7-10 H14,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC GRN 5-6X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC GRN 74X46MM,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,SURFACE ARTC KN 10-11 13,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN 10-12 11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN 10-12 12,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN 10-12 16,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN 14MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,SURFACE ARTC KN 16MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,SURFACE ARTC KN 20MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN 6-9 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN 6-9 11MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN 6-9 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN 6-9 14MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,SURFACE ARTC KN 6-9 16MM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,SURFACE ARTC KN 6-9 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN BLU 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC KN GRN 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC KN LT 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN RT 13MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC KN SZB 23MM,7858.0,7858.0,1178.7,7858.0,30
HCPCS,C1776,SURFACE ARTC KN SZF 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC LPSFLX 17MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC NXG 58X40MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC SZ4 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC SZ5-6 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC SZCH 58X40,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE ARTC SZE-F 23MM,6000.0,6000.0,900.0,6000.0,30
HCPCS,C1776,SURFACE ARTC UCMPRT 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC UNI SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ARTC YLW 66X42MM,5571.0,5571.0,690.9,6536.0,60
HCPCS,C1776,SURFACE ARTC ZUK VE SZ3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ATRC 3-4 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ATRC 3-4 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE ATRC 5-6 14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,SURFACE KN 3-5 CD 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SURFACE KN ARTC 18MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,SYS THR62/64X54MM RT HIP,9527.0,9527.0,1429.05,9527.0,30
HCPCS,C1776,SYST KN JNT REPL SPEC SZ,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1776,SYSTEM HUM TI SM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,SYSTEM THR 60MM ACS A HI,18310.0,18310.0,2746.5,18310.0,30
HCPCS,C1776,SYSTEM THR 60MM ACS B HI,18310.0,18310.0,2746.5,18310.0,30
HCPCS,C1776,TAPR ADPT SHLDR 2MM SMR,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TIB BASE ATTUNE RP SZ3,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,TIB BASE ATTUNE RP SZ4,5639.0,5639.0,845.85,5639.0,30
HCPCS,C1776,TIB BASE ATUN FB SZ3 CEM,4651.0,4651.0,697.65,4651.0,30
HCPCS,C1776,TIB FIT TRY CEM 3.5/2.5T,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,TIB IMP INS SZ3 11MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TIB IMP INS SZ3 9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TIB IMPLNT FIT TRAY CEM,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,TIB INS IMPL CRC SZ3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TIB INS IMPL CRC SZ4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TIB INSERT ONLAY SZ5X10M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TIB PLY RM/LL 11MM SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TIB PRSVN LM/RL 7MMZ 2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TIB PRSVN LM/RL 7MMZ 4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TIB PRSVN RM/LL 7MMZ 2,4428.0,4428.0,664.2,4428.0,30
HCPCS,C1776,TIB PRSVN RM/LL 7MMZ 3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TIB PRSVN RM/LL 7MMZ 4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TIB REV MOD KN MED,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TIB RVSN CUST KT ITOTG2,25511.0,25511.0,3826.65,25511.0,30
HCPCS,C1776,TIB TRY CMT LOGIC 2F/1T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TIB UHMWPE 6 H10MM PFC S,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TIBIA KN SZ7 12MM,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,TIBIA SEG LT 135D 98MM,23864.0,23864.0,3579.6,23864.0,30
HCPCS,C1776,TIBIAL AUGMENTATION SZ3,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TIBIAL INSERT,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1776,TIBIAL INSERT #4/14MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TIBIAL INSRT FIXED #4/10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TRAB METAL FEMORAL CONE,12756.0,12756.0,1913.4,12756.0,30
HCPCS,C1776,TRAY 4 MBT TIB POR KEEL,10119.0,10119.0,1517.85,10119.0,30
HCPCS,C1776,TRAY 6 MBT TIB CMNT KEEL,5461.0,5461.0,819.15,5461.0,30
HCPCS,C1776,TRAY CMNT TIB KN SZ2,5581.0,5581.0,837.15,5581.0,60
HCPCS,C1776,TRAY CMNT TIB KN SZ4,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,TRAY HUM +12MM 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TRAY HUM AUG LAT RT +0D,22145.0,22145.0,3321.75,22145.0,30
HCPCS,C1776,TRAY HUM SHLDR +0X1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TRAY HUM SHLDR +5MM,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,TRAY HUM SHLDR 44MM +5MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,TRAY HUM SHLDR ADPT+15MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,TRAY HUM SHLDR STD +10,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,TRAY HUM SHLDR STD 44MM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1776,TRAY IMPLT TIB KN SZ 3L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,TRAY LGC TIBIAL FIT CEM,5315.0,5315.0,797.25,5315.0,60
HCPCS,C1776,TRAY MBT CEM KEEL TIB 2,9539.0,9539.0,1430.85,9539.0,30
HCPCS,C1776,TRAY MBT REV CEM TIB 2.5,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,TRAY MOD TIB CEM COCR 2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY MOD TIB CEM COCR 3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY MOD TIB CEM COCR 5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY MOD TIB CM COCR 2.5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY PELVIC HIP RECON,160299.0,160299.0,24044.85,160299.0,30
HCPCS,C1776,TRAY REV SHLDR +0 3.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TRAY REV SHLDR +6X1.5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TRAY REV SHLDR CNTR +0MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TRAY RVRS HUM +0,7087.0,7087.0,1063.05,7087.0,30
HCPCS,C1776,TRAY RVRS HUM +10MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,TRAY RVRS HUM +15MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,TRAY RVRS HUM +5MM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1776,TRAY TIB #3 L15MM OFST,7567.0,7567.0,1135.05,7567.0,30
HCPCS,C1776,TRAY TIB 3 RT MED,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB 3.5 FIT CEM,6400.0,6400.0,960.0,6400.0,30
HCPCS,C1776,TRAY TIB 4 PFC MOD NPOR,7289.0,7289.0,1093.35,7289.0,30
HCPCS,C1776,TRAY TIB 5 MOD,9371.0,9371.0,1405.65,9371.0,30
HCPCS,C1776,TRAY TIB 6 MBT RVSN,11668.0,11668.0,1750.2,11668.0,30
HCPCS,C1776,TRAY TIB 9 MOD,8960.0,8960.0,1344.0,8960.0,30
HCPCS,C1776,TRAY TIB ANKLE RT SIZE 3,8579.0,8579.0,1286.85,8579.0,30
HCPCS,C1776,TRAY TIB ANKLE STD SZ3,26309.0,26309.0,3946.35,26309.0,30
HCPCS,C1776,TRAY TIB CMNT KN 6F/6T,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,TRAY TIB CMNT LGC 3F/3T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB COCR 4 MOD CMNT,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB IBAL RM/LL SZ3,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,TRAY TIB INSRT 3.5F/4.5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN 3.0F/3.0T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN 3.5F/2.5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN 4.5F/4.5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN ANKLE RT SZ4,8579.0,8579.0,1286.85,8579.0,30
HCPCS,C1776,TRAY TIB KN BRNG +4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN CMNT RT SZ3,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1776,TRAY TIB KN LF 4F/5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN LM/RL SZ1,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,TRAY TIB KN LM/RL SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN LM/RL SZ3,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,TRAY TIB KN LM/RL SZ6,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,TRAY TIB KN LT SZ3,6385.0,6385.0,957.75,6385.0,30
HCPCS,C1776,TRAY TIB KN LT SZ4,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB KN REV SZ2,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1776,TRAY TIB KN RM/LL SZ4,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1776,TRAY TIB KN RP SZ4,11668.0,11668.0,1750.2,11668.0,30
HCPCS,C1776,TRAY TIB KN RT SIZE 5,8579.0,8579.0,1286.85,8579.0,30
HCPCS,C1776,TRAY TIB KN RT SZ3,18137.0,18137.0,2720.55,18137.0,30
HCPCS,C1776,TRAY TIB KN RT SZ4,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB KN SIZE 3 RT,13781.0,13781.0,2067.15,13781.0,30
HCPCS,C1776,TRAY TIB KN STRL 2F/1T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN SZ 4.5F/3.5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN SZ 5R,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,TRAY TIB KN SZ2 15MM,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1776,TRAY TIB KN SZ2.5F/1.5T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN SZ4.5F/3.5T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB KN SZ4F/4T,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KN SZ4L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,TRAY TIB KN SZ5L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,TRAY TIB KN SZ6L,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,TRAY TIB KN SZ6R,6201.0,6201.0,930.15,6201.0,30
HCPCS,C1776,TRAY TIB KNEE 7115-0005,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB KNEE 7115-0011,7280.0,7280.0,1092.0,7280.0,30
HCPCS,C1776,TRAY TIB KNEE KEEL 5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB OFST SZ2 RT,7567.0,7567.0,1135.05,7567.0,30
HCPCS,C1776,TRAY TIB OFST SZ2.5 RT,7567.0,7567.0,1135.05,7567.0,30
HCPCS,C1776,TRAY TIB OFST SZ3 LTRL,7567.0,7567.0,1135.05,7567.0,30
HCPCS,C1776,TRAY TIB OSET SZ1.5 RT,7567.0,7567.0,1135.05,7567.0,30
HCPCS,C1776,TRAY TIB POROUS SZ3F 3T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB REV SZ2 25MM,20870.0,20870.0,3130.5,20870.0,30
HCPCS,C1776,TRAY TIB SZ2 LT MED/R,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB SZ2.5F 2.5T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB SZ3.5F/3.5T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB SZ4.5F/4.5T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB SZ4F/4T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB SZ5 LT MED,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIB SZ6F/6T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIB T1 KN,17376.0,17376.0,2606.4,17376.0,30
HCPCS,C1776,TRAY TIB. COCR.1.5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIBIAL KN CR CMNT,5311.0,5311.0,796.65,5311.0,30
HCPCS,C1776,TRAY TIBIAL LNG SIZE 3,26309.0,26309.0,3946.35,26309.0,30
HCPCS,C1776,TRAY TIBIAL LNG SIZE 4,26309.0,26309.0,3946.35,26309.0,30
HCPCS,C1776,TRAY TIBIAL LNG SIZE 5,26309.0,26309.0,3946.35,26309.0,30
HCPCS,C1776,TRAY TIBIAL MBT KEEL CEM,5461.0,5461.0,819.15,5461.0,30
HCPCS,C1776,TRAY TIBIAL MP 64X43MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRAY TIBIAL SIZE 4F/3T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIBIAL SIZE 5F/4T,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1776,TRAY TIBIAL STD SIZE 1,26309.0,26309.0,3946.35,26309.0,30
HCPCS,C1776,TRAY TIBIAL STD SIZE 2,26309.0,26309.0,3946.35,26309.0,30
HCPCS,C1776,TRAY TIBIAL STD SIZE 4,26309.0,26309.0,3946.35,26309.0,30
HCPCS,C1776,TRAY TIBIAL STD SIZE 5,26309.0,26309.0,3946.35,26309.0,30
HCPCS,C1776,TRIAL GLENOID SHLDR SM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,TRIAL KN SZ3 67MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,TRIAL WEDGE TIB 10MM,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,TRIATHON TRITANIUM ASYM,12574.0,12574.0,1886.1,12574.0,30
HCPCS,C1776,TRIFLANGE ACTB HIP 62MM,64221.0,64221.0,9633.15,64221.0,60
HCPCS,C1776,TRIFLANGE ACTB HIP RT 26,53658.0,53658.0,8048.7,53658.0,30
HCPCS,C1776,TRIFLANGE HIP,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,TRIFLANGE HIP CSTM SZ24,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,TRIFLANGE HIP RT SZ24,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,TRIFLANGE HIP RT SZ25,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,TRIFLANGE LEFT SZ26,49605.0,49605.0,7440.75,49605.0,30
HCPCS,C1776,TRIFLANGE LT SZ26,57555.0,57555.0,8633.25,57555.0,30
HCPCS,C1776,TRIFLANGE RT SZ26,53658.0,53658.0,8048.7,53658.0,30
HCPCS,C1776,TRIFLNG ACTB HIP LT SZ24,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,TRIFLNG ACTB HIP LT SZ27,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,TRIFLNG ACTB HIP RT SZ23,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,TRIFLNG ACTB HIP RT SZ25,58939.5,58939.5,8048.7,64221.0,60
HCPCS,C1776,TRIFLNG ACTB HIP RT SZ26,64221.0,64221.0,9633.15,64221.0,30
HCPCS,C1776,TRIFLNG ACTB RT HIP SZ28,53148.0,53148.0,7972.2,53148.0,30
HCPCS,C1776,TRIFLNG HIP ACTB RT SZ25,53148.0,53148.0,7972.2,53148.0,60
HCPCS,C1776,TRLG ACET LNR XLNK 10,6297.0,6297.0,944.55,6297.0,30
HCPCS,C1776,TRULIANT TIBIA IMPLANT P,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,TRY TIB LBC CMNT 2F/2T,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1776,ULNA COMP LT 3X75,16917.0,16917.0,2537.55,16917.0,30
HCPCS,C1776,VIRABLE FIT TIB CUP,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,WDG FEM 3-4 5MM KN SCRW,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WDG FEM KN CONE LT 20MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,WDG KN AUG SZ6 12MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WDG KN AUG SZ6 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WDG TIB 10MM 6 N STP MBL,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WDG TIB 3X10 MOD +STP,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WDG TIB 4 H5 MBT STEP,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WDG TIB LLRM SZ1-2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WDG TIB LMRL SZ1-2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WDG TIB MBT 5 H10 STEP,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WDGE S4 15D10P,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE 54MM LONG INTERSPA,13967.0,13967.0,2095.05,13967.0,30
HCPCS,C1776,WEDGE 54MM SHRT INTERSPA,14461.0,14461.0,2169.15,14461.0,30
HCPCS,C1776,WEDGE AUG KN 5MM 67.5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUG KN LT 1-2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUG KN SZ11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUG KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUG KN SZ3 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUG KN SZ5-6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUG KN SZEF 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUG RT 10 LGN3-4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUGMENT TIB OSS ST,8205.0,8205.0,1230.75,8205.0,30
HCPCS,C1776,WEDGE AUGMT 18MM 18X10MM,9722.0,9722.0,1458.3,9722.0,30
HCPCS,C1776,WEDGE AUGMT 18X8X8MM,9722.0,9722.0,1458.3,9722.0,30
HCPCS,C1776,WEDGE AUGMT 20MM 6.5MM,8836.0,8836.0,1325.4,8836.0,30
HCPCS,C1776,WEDGE AUGMT GMK 5/12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUGMT GMK 6/12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE AUGMT KN SZB 15MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,WEDGE AUGMT KN SZC 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE AUGMT KN SZD 10MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,WEDGE CONE AUG KN RT SZ6,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,WEDGE CONE KN RT 22MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,WEDGE CONE KN SZSM,12180.0,12180.0,1827.0,12180.0,30
HCPCS,C1776,WEDGE DSTL KN 10MM 65MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE DSTL LO/RI 62.5X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE DSTL LO/RI 65X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE DSTL LO/RI 67.5X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE DSTL LO/RI 70X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE DSTL LO/RI 72.5X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE DSTL LO/RI 75X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM 18MM KN RT,12623.0,12623.0,1893.45,12623.0,30
HCPCS,C1776,WEDGE FEM 4MM GMK 3 DIST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE FEM 5MM GMK 6 POST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE FEM 8MM GMK 4 DIST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE FEM 8MM GMK 5 DIST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE FEM 8MM GMK 6 DIST,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE FEM AUG SZ5 16MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM DIST SZ2 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN #3 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE FEM KN #4/4MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN #4/8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN 1/5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN 10MM SZCD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN 10X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN 18MM,12623.0,12623.0,1893.45,12623.0,30
HCPCS,C1776,WEDGE FEM KN 20MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1776,WEDGE FEM KN 5DX5P LGN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN 5MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,WEDGE FEM KN 5MM SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN 8X7MM,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,WEDGE FEM KN AUG 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN AUG SZ3 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN AUG SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN LGN 5-6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN LT SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN LT SZ7-8,13389.0,13389.0,2008.35,13389.0,30
HCPCS,C1776,WEDGE FEM KN S7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SCRW 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ11 10M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ11 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ3,5459.0,5459.0,690.9,6312.0,60
HCPCS,C1776,WEDGE FEM KN SZ3 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ3 3+10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ3 5MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,WEDGE FEM KN SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ4 10MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,WEDGE FEM KN SZ4 10X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ4 15DX5P,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ4 15MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE FEM KN SZ4 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE FEM KN SZ4 5.0MM,4883.0,4883.0,732.45,4883.0,30
HCPCS,C1776,WEDGE FEM KN SZ4 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE FEM KN SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ5 10MM,4517.5,4517.5,664.35,4606.0,120
HCPCS,C1776,WEDGE FEM KN SZ5 10X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ5 10X5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ5 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ5 15MM,6997.0,6997.0,690.9,9388.0,60
HCPCS,C1776,WEDGE FEM KN SZ5 15X5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ5 5MM,4517.5,4517.5,664.35,4606.0,90
HCPCS,C1776,WEDGE FEM KN SZ6 10.0MM,4883.0,4883.0,732.45,4883.0,30
HCPCS,C1776,WEDGE FEM KN SZ6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ6 15X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ6 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE FEM KN SZ7 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ7 10X5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ7 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ7 15X5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ7 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE FEM KN SZ7 SM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ7-8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ8 10X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ8 12MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ8 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ8 5X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ9 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZ9 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZCD 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE FEM KN SZEF 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZEF 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE FEM KN SZLG,17229.0,17229.0,2104.35,20429.0,60
HCPCS,C1776,WEDGE FEM KN SZLM 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM KN SZMED,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE FEM KN SZSM,20429.0,20429.0,3064.35,20429.0,60
HCPCS,C1776,WEDGE FEM KN SZXLG,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE FEM L 10DX5P SZ2,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM SZ3 15DX5P,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM SZ7 5MM 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FEM SZ9 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE FOOT SUBTALAR 16MM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1776,WEDGE KN 10MM SZ11,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN 10MM SZ7,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN 10MM SZCD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN 10MM SZG,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN 5+ 5MM 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN 5D SZ8,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN 5MM SZCD,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG 10MM SZD,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN AUG 15MM SZD,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,WEDGE KN AUG 5MM SZE,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN AUG LG,9573.0,9573.0,1435.95,9573.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI 55X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI 60X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI 65X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI 70X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI 75X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI57.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI62.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI67.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG LO/RI72.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG RO/LI 55X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG RO/LI 60X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG RO/LI 65X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG RO/LI 70X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG RO/LI 75X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG RO/LI57.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG RO/LI62.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG RO/LI72.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN AUG SZ E 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN BLCK POST 60X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK POST 65X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK POST 70X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK POST 75X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK POST57.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK POST62.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK POST67.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK POST72.5X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK PST 65X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK PST 70X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN BLCK PST62.5X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN CRCTE AUG LG,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,WEDGE KN CRCTE AUG SML,4252.0,4252.0,637.8,4252.0,30
HCPCS,C1776,WEDGE KN FEM 4MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN FEM 8MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN FEM CONE SZMED,12180.0,12180.0,1827.0,12180.0,30
HCPCS,C1776,WEDGE KN FEM SZ13 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN FEM SZ13 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE KN FEM SZ7 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN FEM SZLG,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE KN FEM SZMED,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE KN FEM SZXL,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE KN LLRM LT 5-6 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN LLRM SZ5-6 30MM,4677.0,4677.0,701.55,4677.0,30
HCPCS,C1776,WEDGE KN LM/RL SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN SM,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE KN SZ11 11X5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN SZ13 15MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE KN SZ2 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN SZ3 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN SZ3 5X10MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE KN SZ5 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN SZ5 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN SZ6 5MM 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN SZ8 5MM 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN SZ8 8MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN SZCD 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN SZJ 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE KN SZLG,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE KN SZMED,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE KN SZSM,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE KN TIB AUG 63X5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN TIB AUG 67X10,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN TIB AUG 67X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN TIB AUG 75X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN TIB AUG 75X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN TIB AUG 79X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN TIB AUG 79X5,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN TIB AUG 85X5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN TIB AUG 87X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN TIB AUG 91X10,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN TIB SZ3-4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KN TIB SZ4 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN TIB SZ5 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN TIB SZ6 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KN TIB SZ6 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE KNEE # 3/5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KNEE # 4/10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE KNEE 15MM,1005.0,1005.0,150.75,1005.0,30
HCPCS,C1776,WEDGE KNEE AUG TIB/FEMUR,11757.0,11757.0,1763.55,11757.0,30
HCPCS,C1776,WEDGE LGN RK L 5DX5P SZ4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE MEDIAL LT 10MM SZ4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE REV MBT10MM 1.5MM,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE REV MBT15MM 5STEP,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE REV MBT5MM 6 STEP,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE STP MBT SZ1.5 5MM,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB 10MM PFC SGM,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB 15MM MBT 4 KN,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB 2 H15MM MBT ST,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB 3 H5 MBT STEP,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB 7 50M A/PX 82,6514.0,6514.0,977.1,6514.0,30
HCPCS,C1776,WEDGE TIB KN 1-2 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE TIB KN 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN 18MM,12623.0,12623.0,1893.45,12623.0,30
HCPCS,C1776,WEDGE TIB KN 2.5X5MM,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB KN 26MM SHORT,12623.0,12623.0,1893.45,12623.0,30
HCPCS,C1776,WEDGE TIB KN 2MM 5MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE TIB KN 3-4 15MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN 3-4 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN 3-4X10-L/L,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN 3D 20MM,10287.0,10287.0,1543.05,10287.0,30
HCPCS,C1776,WEDGE TIB KN 3D 25MM,10287.0,10287.0,1543.05,10287.0,30
HCPCS,C1776,WEDGE TIB KN 3D XS 25MM,10287.0,10287.0,1543.05,10287.0,30
HCPCS,C1776,WEDGE TIB KN 5DX10P SZ6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN 5MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1776,WEDGE TIB KN 5X10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN 65X25X45MM,5108.0,5108.0,766.2,5108.0,30
HCPCS,C1776,WEDGE TIB KN AUG SZE,11757.0,11757.0,1763.55,11757.0,30
HCPCS,C1776,WEDGE TIB KN CD RL 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN CONE 20MM,10287.0,10287.0,1543.05,10287.0,30
HCPCS,C1776,WEDGE TIB KN CONE SZ1,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE TIB KN CONE SZSM,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE TIB KN CONE SZXS,20429.0,20429.0,3064.35,20429.0,30
HCPCS,C1776,WEDGE TIB KN FULL 7D SZ3,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN HF 16D SZ5,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN LGN SZ3-4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN LT SZ5-6,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN LT/MD 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN LTSZ7-8 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN MBT 3 10MM,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB KN MED-2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE TIB KN RL LT SZ3-4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN RM/LL 1 5MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,WEDGE TIB KN RT LGN,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN SHRT 20MM,11992.0,11992.0,1798.8,11992.0,30
HCPCS,C1776,WEDGE TIB KN SZ1-2 15MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE TIB KN SZ1-2 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN SZ1/2 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN SZ2 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE TIB KN SZ3 10MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1776,WEDGE TIB KN SZ3-4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN SZ4 10MM,4517.5,4517.5,664.35,4606.0,60
HCPCS,C1776,WEDGE TIB KN SZ4 15MM,4892.0,4892.0,733.8,4892.0,30
HCPCS,C1776,WEDGE TIB KN SZ5-6 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN SZ5-6 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE TIB KN SZ6 15MM,4892.0,4892.0,733.8,4892.0,60
HCPCS,C1776,WEDGE TIB KN SZ7-8 5MM,4606.0,4606.0,690.9,4606.0,60
HCPCS,C1776,WEDGE TIB KN SZEF 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB KN TIB 22MM,12623.0,12623.0,1893.45,12623.0,30
HCPCS,C1776,WEDGE TIB LT KN 3-4 10MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB MBT 2.5X10,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB MBT STEP 2 H5,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,WEDGE TIB MDL 3-4X15-L/M,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB RT 15 LGN3-4,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB SZ5-6 10MM,4824.0,4824.0,723.6,4824.0,30
HCPCS,C1776,WEDGE TIB SZGH RL 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB SZGH RM 5MM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1776,WEDGE TIB TIV/PMMA 5 CR,6514.0,6514.0,977.1,6514.0,30
HCPCS,C1776,WEDGE TIBIAL 5 H5MM MBT,4612.0,4612.0,691.8,4612.0,30
HCPCS,C1776,XL LPS-MOB ATSF SZF/567,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1777,LEAD CRT PCNG 62CM,11265.0,11265.0,1689.75,11265.0,30
HCPCS,C1777,LEAD CRT PCNG 8.6FR 72CM,12178.0,12178.0,1826.7,12178.0,30
HCPCS,C1777,LEAD DEFIB 4.7FR 64CM,18315.0,18315.0,2747.25,18315.0,30
HCPCS,C1777,LEAD DEFIB 4.7FR 74CM,18315.0,18315.0,2747.25,18315.0,30
HCPCS,C1777,LEAD DEFIB 4.7FR 79CM,18315.0,18315.0,2747.25,18315.0,30
HCPCS,C1777,LEAD DEFIB ICD 64CM,15287.0,15287.0,2293.05,15287.0,30
HCPCS,C1777,LEAD ENDOCARDIAC 65CM,12070.0,12070.0,1810.5,12070.0,30
HCPCS,C1777,LEAD ICD DF4 PF SC 59CM,16231.5,16231.5,2293.05,17176.0,90
HCPCS,C1777,LEAD ICD DF4 PF SC 64CM,15287.0,15287.0,2293.05,15287.0,30
HCPCS,C1777,LEAD ICD ENDO 65CM,12070.0,12070.0,1810.5,12070.0,30
HCPCS,C1777,LEAD ICD PCNG 58CM,16687.0,16687.0,2503.05,16687.0,30
HCPCS,C1777,LEAD ICD PCNG 8.6FR 65CM,16687.0,16687.0,2503.05,16687.0,30
HCPCS,C1777,LEAD ICD SC 65CM,12070.0,12070.0,1810.5,12070.0,30
HCPCS,C1777,LEAD ICD SC DF4 59CM,15287.0,15287.0,2293.05,15287.0,30
HCPCS,C1777,LEAD ICD SC DF4 64CM,15287.0,15287.0,2293.05,15287.0,30
HCPCS,C1777,LEAD PCNG 58CM,17458.0,17458.0,2618.7,17458.0,30
HCPCS,C1777,LEAD PCNG 65CM,17458.0,17458.0,2618.7,17458.0,30
HCPCS,C1778,KIT LEAD NRSTM 4 CRD,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1778,KIT LEAD NRSTM 60CM,6910.0,6910.0,1036.5,6910.0,30
HCPCS,C1778,KIT NRSTM 60CM,6910.0,6910.0,1036.5,6910.0,30
HCPCS,C1778,KIT NRSTM LD LF45 30.5CM,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1778,KIT NRSTM LD PNE 30.5CM,638.0,638.0,95.7,638.0,30
HCPCS,C1778,KIT NRSTM LEAD 50CM,21481.0,21481.0,3222.15,21481.0,30
HCPCS,C1778,KIT NRSTM LEAD 70CM,21481.0,21481.0,3222.15,21481.0,30
HCPCS,C1778,KIT NRSTM LEAD SURG 50CM,17716.0,17716.0,2657.4,17716.0,30
HCPCS,C1778,KIT REVISN SPN CRD STIM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1778,KIT STM LEAD 70CM,19045.0,19045.0,2856.75,19045.0,30
HCPCS,C1778,LEAD DBS MEDTRONIC 40CM,12911.0,12911.0,1936.65,12911.0,30
HCPCS,C1778,LEAD NEUROSTIM QUAD 6MM,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1778,LEAD NRSTM 0.170IN 28CM,12410.0,12410.0,1861.5,12410.0,30
HCPCS,C1778,LEAD NRSTM 16CH 60CM,10595.0,10595.0,1589.25,10595.0,60
HCPCS,C1778,LEAD NRSTM 2.8MM 65CM,22401.0,22401.0,3360.15,22401.0,30
HCPCS,C1778,LEAD NRSTM 28X33X41CM,15498.0,15498.0,2324.7,15498.0,30
HCPCS,C1778,LEAD NRSTM 2X8CM 50CM,15037.0,15037.0,2255.55,15037.0,30
HCPCS,C1778,LEAD NRSTM 3MM 60CM,14740.0,14740.0,2211.0,14740.0,60
HCPCS,C1778,LEAD NRSTM 4.32MM 33CM,12778.0,12778.0,1916.7,12778.0,30
HCPCS,C1778,LEAD NRSTM 45CM 1.3MM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1778,LEAD NRSTM 4ELC 20CM,10630.0,10630.0,1594.5,10630.0,30
HCPCS,C1778,LEAD NRSTM 5-6-5 65CM,22401.0,22401.0,3360.15,22401.0,30
HCPCS,C1778,LEAD NRSTM 50CM,8404.5,8404.5,966.75,10364.0,60
HCPCS,C1778,LEAD NRSTM 5MM 60CM,8991.0,8991.0,1348.65,8991.0,30
HCPCS,C1778,LEAD NRSTM 5MM 75CM,8836.0,8836.0,1325.4,8836.0,30
HCPCS,C1778,LEAD NRSTM 5MM 90CM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1778,LEAD NRSTM 60CM,16689.0,16689.0,2503.35,16689.0,30
HCPCS,C1778,LEAD NRSTM 70CM,6445.0,6445.0,966.75,6445.0,30
HCPCS,C1778,LEAD NRSTM IMPL 30X5-6-5,25799.0,25799.0,3869.85,25799.0,30
HCPCS,C1778,LEAD NRSTM MRI 56CM,8858.0,8858.0,1328.7,8858.0,30
HCPCS,C1778,LEAD NRSTM MRI 74CM,11294.0,11294.0,1694.1,11294.0,30
HCPCS,C1778,LEAD NRSTM SPN 2X8 L65,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1778,LEAD NRSTM SPN 30CM,14572.0,14572.0,2185.8,14572.0,30
HCPCS,C1778,LEAD NRSTM SPN 75CM,7508.0,7508.0,1126.2,7508.0,30
HCPCS,C1778,LEAD NRSTM SURG 5-6-5,23031.0,23031.0,3454.65,23031.0,30
HCPCS,C1778,LEAD NRSTM VNS WRE 2MM,33642.0,33642.0,5046.3,33642.0,30
HCPCS,C1778,LEAD QUAD PLUS,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1778,LEAD SPINAL STIM 565KIT,29586.0,29586.0,4437.9,29586.0,30
HCPCS,C1778,LEAD STMLTR SPNL 45,5581.0,5581.0,837.15,5581.0,30
HCPCS,C1778,LEAD TINED 30CM 1.3MM,12654.0,12654.0,1898.1,12654.0,30
HCPCS,C1778,LEAD VNS 3.0MM,30915.0,30915.0,4637.25,30915.0,30
HCPCS,C1778,NEUROSTM IMPL 35CM,11627.0,11627.0,1744.05,11627.0,30
HCPCS,C1778,NRSTM IMPL 63CM REV SPNL,1132.0,1132.0,169.8,1132.0,30
HCPCS,C1779,LEAD PCNG 45CM,2525.0,2525.0,378.75,2525.0,30
HCPCS,C1781,GFT PTCH TIS 2 10X15,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,GFT SFT TISS SYN 10X7CM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1781,GRAFT MESH 15X10CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,GRAFT MESH 20X15CM,6547.0,6547.0,982.05,6547.0,60
HCPCS,C1781,GRAFT ST TIS 35.4CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,GRAFT ST TIS 4X24MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,GRAFT ST TIS 6.3X2.4IN,14895.0,14895.0,2234.25,14895.0,30
HCPCS,C1781,GRAFT SYN TISS 20X20MM,11578.0,11578.0,1736.7,11578.0,30
HCPCS,C1781,IMPLANT MESH SURG MEDIUM,14829.0,14829.0,2224.35,14829.0,30
HCPCS,C1781,IMPLANT MESH SURG SMALL,14829.0,14829.0,2224.35,14829.0,30
HCPCS,C1781,KIT REPAIR DEV AND MESH,4805.0,4805.0,720.75,4805.0,30
HCPCS,C1781,MATRIX TISS 10X15CM,15945.0,15945.0,2391.75,15945.0,30
HCPCS,C1781,MATRIX TISS 6X15CM,6697.0,6697.0,1004.55,6697.0,30
HCPCS,C1781,MATRIX TISS 7X10CM,5339.0,5339.0,800.85,5339.0,30
HCPCS,C1781,MESH CIR LRG WSTRP 3.2IN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH CRNL 50X76X.85MM,5789.0,5789.0,868.35,5789.0,30
HCPCS,C1781,MESH CRNL X-LG 7MM,36573.0,36573.0,5485.95,36573.0,30
HCPCS,C1781,MESH DBM MTRX 11MM 45MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH DYNMC 90X90X.3MM,7763.0,7763.0,1164.45,7763.0,30
HCPCS,C1781,MESH GRAFT KNIT 12CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,MESH GYN IMPL 26MM,9811.0,9811.0,1471.65,9811.0,30
HCPCS,C1781,MESH GYN IMPL 30MM 30MM,9811.0,9811.0,1471.65,9811.0,30
HCPCS,C1781,MESH GYN RND 8CM,6202.0,6202.0,930.3,6202.0,30
HCPCS,C1781,MESH HERNIA 15X9MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH HERNIA 30X10CM,8681.0,8681.0,1302.15,8681.0,30
HCPCS,C1781,MESH HERNIA MED 6.4CM,4235.0,4235.0,635.25,4235.0,30
HCPCS,C1781,MESH HERNIA SM CRC 1.7IN,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,MESH HRN 15X10CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,MESH HRN 1IN 2IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH HRN 3.4X2.5,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH HRN 3.9X3.3CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH HRN 4.5CM 10CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH HRN 4.8CM 4.1CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH HRN 7X5.4 OVL,5767.0,5767.0,865.05,5767.0,30
HCPCS,C1781,MESH HRN 9X7IN,6418.0,6418.0,962.7,6418.0,30
HCPCS,C1781,MESH HRN EPTFE 4.3 OVL M,4554.0,4554.0,683.1,4554.0,30
HCPCS,C1781,MESH HRN GRN 10X14IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH HRN LG 10X16CM,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1781,MESH HRN MED LT 8X14CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH HRN MED RT 3X5IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH HRN PLGLY 10X6CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH HRN PLGLY 12X10CM,8132.0,8132.0,1219.8,8132.0,30
HCPCS,C1781,MESH HRN PLGLY 20X10CM,12756.0,12756.0,1913.4,12756.0,30
HCPCS,C1781,MESH HRN PLGLY 20X16CM,20409.0,20409.0,3061.35,20409.0,30
HCPCS,C1781,MESH HRN PLGLY 20X20IN,27106.0,27106.0,4065.9,27106.0,30
HCPCS,C1781,MESH HRN PLGY 25CMX40CM,33882.0,33882.0,5082.3,33882.0,30
HCPCS,C1781,MESH HRN PML12X12,2230.0,2230.0,334.5,2230.0,30
HCPCS,C1781,MESH HRN POLY 3X6IN,888.0,888.0,133.2,888.0,30
HCPCS,C1781,MESH HRN PP 12CM 18CM,12174.0,12174.0,1826.1,12174.0,30
HCPCS,C1781,MESH HRN PP 12X10IN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH HRN PP 20X20IN,20639.5,20639.5,2125.95,27106.0,60
HCPCS,C1781,MESH HRN PP 25X40IN,53813.0,53813.0,8071.95,53813.0,30
HCPCS,C1781,MESH HRN PP 4X1.8,1792.0,1792.0,268.8,1792.0,30
HCPCS,C1781,MESH HRN SFT 12X12IN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH HRN SFT 7.6X15CM,3173.0,3173.0,475.95,3173.0,30
HCPCS,C1781,MESH HRN XL 12X17CM,3426.0,3426.0,513.9,3426.0,60
HCPCS,C1781,MESH HRNIA BIOAB 30X20CM,17429.0,17429.0,2614.35,17429.0,30
HCPCS,C1781,MESH LRG 5.9CM 13.7CM,2111.0,2111.0,316.65,2111.0,30
HCPCS,C1781,MESH MOFIL 8X10IN,20783.0,20783.0,3117.45,20783.0,30
HCPCS,C1781,MESH PERM CIRC 12X12CM,8116.0,8116.0,1217.4,8116.0,30
HCPCS,C1781,MESH PERM CIRC 15X15CM,11976.0,11976.0,1796.4,11976.0,30
HCPCS,C1781,MESH PERM HERNIA 25X30CM,25910.0,25910.0,3886.5,25910.0,30
HCPCS,C1781,MESH PLATE 42X41X10MM,5448.0,5448.0,817.2,5448.0,30
HCPCS,C1781,MESH PRFX XL 1.6IN 2IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH PRLN PATCH LG 4.92,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH PRLN SOFT 6X6IN,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH PROLENE 3D PATCH LA,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH SQ PROCEED 6X6,3310.0,3310.0,496.5,3310.0,30
HCPCS,C1781,MESH SRG LG 5.4X2.4IN SF,1454.0,1454.0,218.1,1454.0,30
HCPCS,C1781,MESH SURG 10CM 17CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,MESH SURG 10CM 20CM,12402.0,12402.0,1860.3,12402.0,30
HCPCS,C1781,MESH SURG 10X12CM,8132.0,8132.0,1219.8,8132.0,30
HCPCS,C1781,MESH SURG 10X13IN,9831.0,9831.0,1474.65,9831.0,30
HCPCS,C1781,MESH SURG 10X20CM,13620.0,13620.0,1860.3,14838.0,60
HCPCS,C1781,MESH SURG 12MM 16MM,3960.0,3960.0,594.0,3960.0,30
HCPCS,C1781,MESH SURG 13CM 17CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,MESH SURG 15X20CM,17495.0,17495.0,2624.25,17495.0,30
HCPCS,C1781,MESH SURG 20X20CM,27106.0,27106.0,4065.9,27106.0,30
HCPCS,C1781,MESH SURG 2IN 4IN,1065.0,1065.0,159.75,1065.0,30
HCPCS,C1781,MESH SURG 30X30 ULTRA,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH SURG 35X35CM,40269.0,40269.0,6040.35,40269.0,30
HCPCS,C1781,MESH SURG 3IN 5IN,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1781,MESH SURG 3X6IN,844.0,844.0,126.6,844.0,30
HCPCS,C1781,MESH SURG 4.5CM 10CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH SURG 4.5IN,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,MESH SURG 4.5X10CM,1097.0,1097.0,164.55,1097.0,30
HCPCS,C1781,MESH SURG 4.7X3.1IN HRN,4135.0,4135.0,620.25,4135.0,30
HCPCS,C1781,MESH SURG 4IN 6IN,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1781,MESH SURG 4X1.8IN,1233.0,1233.0,184.95,1233.0,30
HCPCS,C1781,MESH SURG 4X6IN,3744.0,3744.0,561.6,3744.0,30
HCPCS,C1781,MESH SURG 5.5X12.8CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH SURG 50X50X.6MM,5568.0,5568.0,835.2,5568.0,30
HCPCS,C1781,MESH SURG 5IN 7IN,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1781,MESH SURG 6.1X10.1UB,7842.0,7842.0,1176.3,7842.0,30
HCPCS,C1781,MESH SURG 6IN 10IN,6418.0,6418.0,962.7,6418.0,30
HCPCS,C1781,MESH SURG 6X10CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH SURG 6X4IN,12208.0,12208.0,1831.2,12208.0,30
HCPCS,C1781,MESH SURG 6X6IN,2392.0,2392.0,358.8,2392.0,30
HCPCS,C1781,MESH SURG 6X8IN,5069.0,5069.0,760.35,5069.0,30
HCPCS,C1781,MESH SURG 7.5CM 15CM,927.0,927.0,139.05,927.0,30
HCPCS,C1781,MESH SURG 8X6IN,22564.0,22564.0,3384.6,22564.0,30
HCPCS,C1781,MESH SURG 8X8IN,26796.0,26796.0,4019.4,26796.0,30
HCPCS,C1781,MESH SURG BIO 20X25CM,13934.0,13934.0,2090.1,13934.0,30
HCPCS,C1781,MESH SURG BIO 30X20CM,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1781,MESH SURG CIRCL 4.5IN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH SURG HERNIA 10X15CM,3721.0,3721.0,558.15,3721.0,60
HCPCS,C1781,MESH SURG HERNIA 12X16CM,3989.0,3989.0,598.35,3989.0,30
HCPCS,C1781,MESH SURG HRN 10X10CM,5833.0,5833.0,874.95,5833.0,30
HCPCS,C1781,MESH SURG HRN 4IN 6IN,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,MESH SURG HRN 6X4IN,9164.0,9164.0,1374.6,9164.0,30
HCPCS,C1781,MESH SURG HRN 8X6IN,18051.0,18051.0,2707.65,18051.0,30
HCPCS,C1781,MESH SURG HRN SOFT 6X6IN,2264.0,2264.0,339.6,2264.0,30
HCPCS,C1781,MESH SURG KNIT 25X20CM,13934.0,13934.0,2090.1,13934.0,30
HCPCS,C1781,MESH SURG KNIT 30X20CM,19670.0,19670.0,2950.5,19670.0,30
HCPCS,C1781,MESH SURG L10X10IN,3251.0,3251.0,487.65,3251.0,30
HCPCS,C1781,MESH SURG L6INXW4IN,2613.0,2613.0,391.95,2613.0,30
HCPCS,C1781,MESH SURG LG 13.7X5.9CM,1054.0,1054.0,158.1,1054.0,30
HCPCS,C1781,MESH SURG LG CIR 3.2IN,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH SURG MDKGL5X3IN HRN,2934.0,2934.0,440.1,2934.0,30
HCPCS,C1781,MESH SURG OVAL 10X15CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH SURG OVAL 15X20CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MESH SURG PATCH 6.5CM,1590.0,1590.0,238.5,1590.0,30
HCPCS,C1781,MESH SURG PATCH 8.0CM,1623.0,1623.0,243.45,1623.0,30
HCPCS,C1781,MESH SURG PLG 1.9X1.6IN,2950.0,2950.0,442.5,2950.0,30
HCPCS,C1781,MESH SURG PRLN 4X1.8IN,2650.0,2650.0,397.5,2650.0,30
HCPCS,C1781,MESH SURG RCTNGL 4X8IN,12623.0,12623.0,1893.45,12623.0,30
HCPCS,C1781,MESH SURG SPN KN 18X15MM,19931.0,19931.0,2989.65,19931.0,30
HCPCS,C1781,MESH SURG ST TIS 12X8CM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,MESH SURG ST TIS 15X10CM,3410.0,3410.0,478.35,3631.0,60
HCPCS,C1781,MESH SURG ST TIS 19X15CM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1781,MESH SURG ST TIS 24X18CM,5643.0,5643.0,738.15,6365.0,60
HCPCS,C1781,MESH SURG ST TIS 34X24CM,9660.0,9660.0,1449.0,9660.0,30
HCPCS,C1781,MESH TIGR MATRX 15X20CM,13952.0,13952.0,2092.8,13952.0,30
HCPCS,C1781,MESH VCRYL 12X12,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,MSH HRN CMPOSX 4.5 L/P,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,PATCH HERN 4.3CM,3669.0,3669.0,550.35,3669.0,30
HCPCS,C1781,PATCH SFT TIS 1X10X1,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1781,PATCH SFT TIS 1X5X10,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,PATCH SFT TISS 10CM 5CM,3489.0,3489.0,523.35,3489.0,30
HCPCS,C1781,PATCH SURG MFL 6.4CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1781,PLATE CRNMXF MSH 54X85MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1781,PLUG SURG 1.55X1.3IN,2892.0,2892.0,433.8,2892.0,30
HCPCS,C1781,PLUG SURG HRN 1.35X1IN,2830.0,2830.0,424.5,2830.0,30
HCPCS,C1781,PTCH SFT TIS 2X15X20,11445.0,11445.0,1716.75,11445.0,30
HCPCS,C1781,PTCH TISS SFT 1X15X 2,6298.0,6298.0,944.7,6298.0,30
HCPCS,C1781,SUTURE TAPE 1X36IN,1767.5,1767.5,265.13,1767.5,42
HCPCS,C1782,BLADE SHAVER DENSE MINI,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1782,BLADE SHAVER DENSE PLUS,4348.0,4348.0,652.2,4348.0,42
HCPCS,C1782,BLADE SHAVER SOFT MINI,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1782,BLADE SHAVER SOFT PLUS,3414.0,3414.0,512.1,3414.0,42
HCPCS,C1783,DRAIN GLAUCOMA 250SQ,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1783,DRAIN GLCM THK.9MM AHMD,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1783,IMPLANT OPTH 250MMSQ,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1783,IMPLANT OPTH 350MMSQ,4030.5,4030.5,558.15,4340.0,60
HCPCS,C1783,STENT MICRO GLAUCOMA,13029.0,13029.0,1954.35,13029.0,30
HCPCS,C1785,CRT-P .75CM 4.45X6.13CM,25776.0,25776.0,3866.4,25776.0,30
HCPCS,C1785,PACEMAKER DUAL EDGE,9511.0,9511.0,1426.65,9511.0,30
HCPCS,C1785,PACEMAKER HF-T-QP,17360.0,17360.0,2604.0,17360.0,30
HCPCS,C1785,PACEMAKER IMPLANT DDDR,14856.0,14856.0,2228.4,14856.0,30
HCPCS,C1785,PACEMKR CARD 10.4MM,13024.0,13024.0,1953.6,13024.0,30
HCPCS,C1785,PACEMKR CARD 11MM,13024.0,13024.0,1953.6,13024.0,30
HCPCS,C1785,PCMKR 2CH W HOME MNTR,10860.5,10860.5,1426.65,12210.0,60
HCPCS,C1785,PCMKR 4.45X5.88X0.75CM,12047.0,12047.0,1807.05,12047.0,30
HCPCS,C1785,PCMKR 46.6X50.8X7.4MM,9378.0,9378.0,1406.7,9378.0,30
HCPCS,C1785,PCMKR ACCOLADE DR 1LD,14343.0,14343.0,2151.45,14343.0,30
HCPCS,C1785,PCMKR ACCOLADE DR 2LD,14343.0,14343.0,2151.45,14343.0,30
HCPCS,C1785,PCMKR CRD 4.45X5.02X0.75,12438.0,12438.0,1865.7,12438.0,30
HCPCS,C1785,PCMKR CRD 47X50X6MM,11761.0,11761.0,1764.15,11761.0,30
HCPCS,C1785,PCMKR CRD 52X52MM,13024.0,13024.0,1953.6,13024.0,30
HCPCS,C1785,PCMKR DR 4.45X5.02X.75CM,11071.0,11071.0,1660.65,11071.0,30
HCPCS,C1785,PCMKR DR 44.7X47.9X7.5MM,11006.0,11006.0,1650.9,11006.0,30
HCPCS,C1785,PCMKR DR 45.4X52.3X7.5MM,11006.0,11006.0,1650.9,11006.0,30
HCPCS,C1785,PCMKR DR 46.7X47.9X7.5MM,8902.0,8902.0,1335.3,8902.0,30
HCPCS,C1785,PCMKR DR 50.3X47.9X7.5MM,8902.0,8902.0,1335.3,8902.0,30
HCPCS,C1786,PACEMAKER 23F 105CM,45788.0,45788.0,6868.2,45788.0,30
HCPCS,C1786,PACEMAKER CARD 10.4MM,13024.0,13024.0,1953.6,13024.0,30
HCPCS,C1786,PACEMAKER CARD 12.8MM,13024.0,13024.0,1953.6,13024.0,30
HCPCS,C1786,PACEMAKER CARD SSIR,17298.0,17298.0,2594.7,17298.0,30
HCPCS,C1786,PACEMAKER LDLS VA 32.2MM,60236.0,60236.0,9035.4,60236.0,30
HCPCS,C1786,PACEMAKER LDLS VR 38.0MM,26455.0,26455.0,3968.25,26455.0,30
HCPCS,C1786,PACEMAKR LDLS DR 32.2MM,60236.0,60236.0,9035.4,60236.0,30
HCPCS,C1786,PCKMR IPG SSIR,11006.0,11006.0,1650.9,11006.0,30
HCPCS,C1786,PCMKR 4.45X8.81X0.75,12438.0,12438.0,1865.7,12438.0,30
HCPCS,C1786,PCMKR ACCOLADE SR 1LD,14343.0,14343.0,2151.45,14343.0,30
HCPCS,C1786,PCMKR CARD 1.80IN 1.75IN,12821.0,12821.0,1923.15,12821.0,30
HCPCS,C1786,PCMKR CARD 51X42X8MM,12210.0,12210.0,1831.5,12210.0,30
HCPCS,C1786,PCMKR CRD 4.45X4.81X0.75,11071.0,11071.0,1660.65,11071.0,30
HCPCS,C1786,PCMKR CRD 47X50X6MM,11761.0,11761.0,1764.15,11761.0,30
HCPCS,C1786,PCMKR SNGL 7.4 50.8X42.6,8934.0,8934.0,1340.1,8934.0,30
HCPCS,C1786,PCMKR SR 40.2X42.9X7.5MM,14856.0,14856.0,2228.4,14856.0,30
HCPCS,C1786,SYSTEM PCNG LDLESS CPSL,38299.0,38299.0,5744.85,38299.0,30
HCPCS,C1786,SYSTEM PCNG LEADLESS,49736.0,49736.0,7460.4,49736.0,30
HCPCS,C1786,SYSTEM PNCG TRANSCATH,39435.0,39435.0,5341.95,43257.0,60
HCPCS,C1787,CONTROL REMOTE PT NRSTM,4323.0,4323.0,648.45,4323.0,42
HCPCS,C1787,CONTROLLER PT NEURO,4092.5,4092.5,613.88,4092.5,42
HCPCS,C1787,KIT NRSTM PRGMR,4604.5,4604.5,690.67,4604.5,42
HCPCS,C1787,KIT NRSTM PT PROGRAMMER,7362.25,7362.25,1088.25,7469.5,84
HCPCS,C1787,KIT PATIENT PRGRMR,6707.5,6707.5,1006.13,6707.5,42
HCPCS,C1787,KIT REMOTE CONTROL,4604.5,4604.5,690.67,4604.5,126
HCPCS,C1787,KIT STIMULATOR PROGRAMME,5781.5,5781.5,867.23,5781.5,42
HCPCS,C1787,KIT STM PRX HNDST CMUNC,5832.5,5832.5,874.88,5832.5,42
HCPCS,C1787,KIT STM RSTR ULT NRMSCLR,4581.5,4581.5,687.23,4581.5,42
HCPCS,C1787,PRGMR PT NUROSTEM EZ,4359.5,4359.5,653.92,4359.5,42
HCPCS,C1787,PROGRAMER PT FOR NRSTM,4579.0,4579.0,686.85,4579.0,42
HCPCS,C1787,PROGRAMMER NRSTM VRF 4,2698.5,2698.5,318.45,3274.0,84
HCPCS,C1787,PROGRAMMER PT NRSTM SNG,4860.5,4860.5,729.08,4860.5,42
HCPCS,C1787,PROGRMMR NRSTM RCHRG PC,4860.5,4860.5,729.08,4860.5,42
HCPCS,C1788,PORT IMP INFSN 6.0FR,2631.0,2631.0,394.65,2631.0,30
HCPCS,C1788,PORT IMP INFSN ISP 9.6FR,2735.0,2735.0,410.25,2735.0,30
HCPCS,C1788,PORT IMP INFSN MRI 9.5FR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1788,PORT IMPL INFSN 6FR,3189.0,3189.0,478.35,3189.0,60
HCPCS,C1788,PORT IMPL INFSN 8.0FR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1788,PORT IMPL INFSN 8FR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1788,PORT IMPL INFSN TI 8.0FR,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1789,IMPLANT BREAST 1135CC,8637.0,8637.0,1295.55,8637.0,30
HCPCS,C1789,IMPLANT BREAST 125CC,4850.0,4850.0,727.5,4850.0,30
HCPCS,C1789,IMPLANT BREAST 130CC,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1789,IMPLANT BREAST 160CC,5315.5,5315.5,764.1,5537.0,60
HCPCS,C1789,IMPLANT BREAST 165CC,4750.0,4750.0,627.75,5315.0,60
HCPCS,C1789,IMPLANT BREAST 175CC,4307.0,4307.0,627.75,4429.0,60
HCPCS,C1789,IMPLANT BREAST 180CC,5315.0,5315.0,797.25,5315.0,30
HCPCS,C1789,IMPLANT BREAST 185CC,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1789,IMPLANT BREAST 190CC,4872.0,4872.0,664.35,5315.0,90
HCPCS,C1789,IMPLANT BREAST 195CC,5315.0,5315.0,664.35,5869.0,90
HCPCS,C1789,IMPLANT BREAST 200CC,4518.0,4518.0,558.15,5315.0,90
HCPCS,C1789,IMPLANT BREAST 205CC,4872.0,4872.0,664.35,5315.0,90
HCPCS,C1789,IMPLANT BREAST 210CC,5315.0,5315.0,496.65,6779.0,150
HCPCS,C1789,IMPLANT BREAST 215CC,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1789,IMPLANT BREAST 225CC,4429.0,4429.0,478.35,5315.0,90
HCPCS,C1789,IMPLANT BREAST 235CC,4429.0,4429.0,558.15,5758.0,90
HCPCS,C1789,IMPLANT BREAST 240CC,4927.5,4927.5,664.35,5869.0,210
HCPCS,C1789,IMPLANT BREAST 250CC,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1789,IMPLANT BREAST 255CC,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1789,IMPLANT BREAST 260CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 265CC,5315.0,5315.0,727.5,5758.0,120
HCPCS,C1789,IMPLANT BREAST 270CC,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1789,IMPLANT BREAST 275CC,4447.0,4447.0,536.85,5315.0,90
HCPCS,C1789,IMPLANT BREAST 280CC,4429.0,4429.0,478.35,5869.0,90
HCPCS,C1789,IMPLANT BREAST 285CC,4075.0,4075.0,558.15,4429.0,60
HCPCS,C1789,IMPLANT BREAST 290CC,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1789,IMPLANT BREAST 295CC,4872.0,4872.0,664.35,5315.0,150
HCPCS,C1789,IMPLANT BREAST 300CC,4429.0,4429.0,558.15,5869.0,150
HCPCS,C1789,IMPLANT BREAST 305CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 310CC,5149.0,5149.0,664.35,5869.0,60
HCPCS,C1789,IMPLANT BREAST 320CC,4872.0,4872.0,496.65,5758.0,150
HCPCS,C1789,IMPLANT BREAST 325CC,5315.0,5315.0,664.35,5869.0,210
HCPCS,C1789,IMPLANT BREAST 330-360CC,3311.0,3311.0,496.65,3311.0,30
HCPCS,C1789,IMPLANT BREAST 330CC,4639.5,4639.5,536.85,5758.0,150
HCPCS,C1789,IMPLANT BREAST 335CC,5315.0,5315.0,797.25,5315.0,60
HCPCS,C1789,IMPLANT BREAST 340CC,5758.0,5758.0,797.25,5869.0,90
HCPCS,C1789,IMPLANT BREAST 345CC,4850.0,4850.0,664.35,5315.0,120
HCPCS,C1789,IMPLANT BREAST 350CC,4075.0,4075.0,502.2,5094.0,210
HCPCS,C1789,IMPLANT BREAST 355CC,5093.5,5093.5,664.35,5758.0,60
HCPCS,C1789,IMPLANT BREAST 360CC,4309.0,4309.0,496.65,5315.0,90
HCPCS,C1789,IMPLANT BREAST 365CC,5315.0,5315.0,797.25,5315.0,60
HCPCS,C1789,IMPLANT BREAST 370CC,5149.0,5149.0,681.0,5758.0,60
HCPCS,C1789,IMPLANT BREAST 375CC,5082.5,5082.5,664.35,5758.0,210
HCPCS,C1789,IMPLANT BREAST 380CC,4429.0,4429.0,529.05,5094.0,90
HCPCS,C1789,IMPLANT BREAST 385CC,5315.0,5315.0,664.35,5869.0,120
HCPCS,C1789,IMPLANT BREAST 390CC,4424.0,4424.0,496.65,5537.0,60
HCPCS,C1789,IMPLANT BREAST 395CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 400CC,5315.0,5315.0,764.1,5758.0,90
HCPCS,C1789,IMPLANT BREAST 405CC,5315.0,5315.0,681.0,5758.0,90
HCPCS,C1789,IMPLANT BREAST 415CC,4872.0,4872.0,664.35,5315.0,150
HCPCS,C1789,IMPLANT BREAST 420CC,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1789,IMPLANT BREAST 425CC,3721.0,3721.0,558.0,4429.0,90
HCPCS,C1789,IMPLANT BREAST 430CC,5426.0,5426.0,764.1,5758.0,60
HCPCS,C1789,IMPLANT BREAST 435CC,5093.5,5093.5,664.35,5758.0,60
HCPCS,C1789,IMPLANT BREAST 440CC,5093.5,5093.5,664.35,5758.0,90
HCPCS,C1789,IMPLANT BREAST 445CC,5315.0,5315.0,664.35,6139.5,120
HCPCS,C1789,IMPLANT BREAST 450CC,4872.0,4872.0,558.15,5758.0,150
HCPCS,C1789,IMPLANT BREAST 454CC,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1789,IMPLANT BREAST 455CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 465CC,3720.0,3720.0,558.0,3720.0,30
HCPCS,C1789,IMPLANT BREAST 470CC,4972.0,4972.0,664.35,5758.0,150
HCPCS,C1789,IMPLANT BREAST 480CC,4429.0,4429.0,496.65,5758.0,120
HCPCS,C1789,IMPLANT BREAST 485CC,4872.0,4872.0,664.35,5315.0,120
HCPCS,C1789,IMPLANT BREAST 490CC,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1789,IMPLANT BREAST 495CC,5315.0,5315.0,664.35,5869.0,90
HCPCS,C1789,IMPLANT BREAST 500CC,4429.0,4429.0,496.65,5758.0,210
HCPCS,C1789,IMPLANT BREAST 505CC,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1789,IMPLANT BREAST 510CC,3311.0,3311.0,496.65,3311.0,30
HCPCS,C1789,IMPLANT BREAST 520CC,5536.5,5536.5,797.25,5758.0,90
HCPCS,C1789,IMPLANT BREAST 525CC,5149.0,5149.0,664.35,5869.0,90
HCPCS,C1789,IMPLANT BREAST 530CC,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1789,IMPLANT BREAST 535CC,4761.5,4761.5,664.35,5094.0,90
HCPCS,C1789,IMPLANT BREAST 540CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 545CC,4927.5,4927.5,627.75,5758.0,180
HCPCS,C1789,IMPLANT BREAST 550CC,4429.0,4429.0,496.65,5094.0,180
HCPCS,C1789,IMPLANT BREAST 560CC,4872.0,4872.0,664.35,5315.0,180
HCPCS,C1789,IMPLANT BREAST 565CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 575CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 580CC,5536.5,5536.5,797.25,5758.0,90
HCPCS,C1789,IMPLANT BREAST 585CC,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1789,IMPLANT BREAST 590CC,4983.0,4983.0,664.35,5537.0,90
HCPCS,C1789,IMPLANT BREAST 595CC,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1789,IMPLANT BREAST 600CC,3579.0,3579.0,496.65,4429.0,90
HCPCS,C1789,IMPLANT BREAST 605CC,4872.0,4872.0,664.35,5315.0,90
HCPCS,C1789,IMPLANT BREAST 610CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 615CC,4850.0,4850.0,664.35,5315.0,90
HCPCS,C1789,IMPLANT BREAST 620CC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1789,IMPLANT BREAST 625CC,4761.5,4761.5,664.35,5094.0,60
HCPCS,C1789,IMPLANT BREAST 630CC,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1789,IMPLANT BREAST 635CC,5758.0,5758.0,863.7,5758.0,60
HCPCS,C1789,IMPLANT BREAST 650CC,4761.5,4761.5,496.65,5869.0,330
HCPCS,C1789,IMPLANT BREAST 685CC,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1789,IMPLANT BREAST 695CC,4872.0,4872.0,664.35,5315.0,120
HCPCS,C1789,IMPLANT BREAST 700CC,5204.5,5204.5,536.85,5869.0,270
HCPCS,C1789,IMPLANT BREAST 740CC,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1789,IMPLANT BREAST 745CC,5315.0,5315.0,797.25,5315.0,60
HCPCS,C1789,IMPLANT BREAST 750CC,4004.0,4004.0,496.65,5315.0,180
HCPCS,C1789,IMPLANT BREAST 755CC,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1789,IMPLANT BREAST 770CC,4872.0,4872.0,664.35,5315.0,90
HCPCS,C1789,IMPLANT BREAST 775CC,5426.0,5426.0,764.1,5758.0,90
HCPCS,C1789,IMPLANT BREAST 790CC,5094.0,5094.0,764.1,5094.0,30
HCPCS,C1789,IMPLANT BREAST 800CC,4075.0,4075.0,496.65,5315.0,210
HCPCS,C1789,IMPLANT BRST 13.8-14.3CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1813,KIT ASSEMBLY SCROTAL,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1813,KIT PROSTH PENL ACC,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1813,PROS PENILE INFL 24CM,55214.0,55214.0,8282.1,55214.0,30
HCPCS,C1813,PROS PENILE PUMP INFL,16609.0,16609.0,2491.35,16609.0,30
HCPCS,C1813,PROS PENL SNAP FIT 12CM,14874.0,14874.0,2231.1,14874.0,30
HCPCS,C1813,PROSTH PENL 16CM 12.5MM,33196.0,33196.0,4979.4,33196.0,30
HCPCS,C1813,PROSTH PENL 18CM 12.5MM,48691.0,48691.0,7303.65,48691.0,30
HCPCS,C1813,PROSTH PENL 20CM 14MM,48691.0,48691.0,7303.65,48691.0,30
HCPCS,C1813,PROSTH PENL 21CM,55214.0,55214.0,8282.1,55214.0,30
HCPCS,C1813,PROSTH PENL 28CM LCK-OUT,15945.0,15945.0,2391.75,15945.0,30
HCPCS,C1813,PROSTH PENL PS 10CM 18CM,37910.0,37910.0,5608.05,38433.0,60
HCPCS,C1813,PROSTH PENL PS 12CM 21CM,37387.0,37387.0,5608.05,37387.0,30
HCPCS,C1813,PROSTH PENL PS 14CM 24CM,37387.0,37387.0,5608.05,37387.0,30
HCPCS,C1813,PROSTH PENL PUMP 18CM,55214.0,55214.0,8282.1,55214.0,30
HCPCS,C1813,PROSTH PENL PUMP IP 12CM,37519.0,37519.0,5627.85,37519.0,30
HCPCS,C1813,PROSTH PENL PUMP IP 14CM,37519.0,37519.0,5627.85,37519.0,30
HCPCS,C1813,PROSTH PENL PUMP IP 16CM,37519.0,37519.0,5627.85,37519.0,30
HCPCS,C1813,PROSTH PENL PUMP IP 18CM,30530.0,30530.0,4579.5,30530.0,30
HCPCS,C1813,PROSTH PENL PUMP PL 12CM,36729.0,36729.0,5457.9,37072.0,60
HCPCS,C1813,PROSTH PENL PUMP PL 15CM,36729.0,36729.0,5457.9,37072.0,60
HCPCS,C1813,PROSTH PENL PUMP PL 18CM,42080.0,42080.0,6224.85,42661.0,60
HCPCS,C1813,PROSTH PENL PUMP PL 21CM,39285.5,39285.5,5560.8,41499.0,60
HCPCS,C1813,PROSTH PENL PUMP PL 24CM,41499.0,41499.0,6224.85,41499.0,30
HCPCS,C1813,PROSTH PENL PUMP PS 15CM,37409.5,37409.5,5457.9,38433.0,60
HCPCS,C1813,PROSTH PENL PUMP PS 18CM,36729.0,36729.0,5457.9,37072.0,60
HCPCS,C1813,PROSTH PENL PUMP PS 21CM,36729.0,36729.0,5457.9,37072.0,60
HCPCS,C1813,PROSTH PENL SNAP FIT 21C,27063.0,27063.0,4059.45,27063.0,30
HCPCS,C1813,PROSTH PNL W/PMP 18CM,39410.0,39410.0,5911.5,39410.0,30
HCPCS,C1813,PROSTH RESRVOIR 125ML,9492.0,9492.0,1423.8,9492.0,30
HCPCS,C1813,PROSTHESIS PENL 13MM,32367.0,32367.0,4855.05,32367.0,30
HCPCS,C1813,PROSTHESIS PENL PMP 20CM,39410.0,39410.0,5911.5,39410.0,30
HCPCS,C1813,PROSTHESIS PNL 75ML,7419.0,7419.0,1112.85,7419.0,30
HCPCS,C1813,PROSTHESIS PNLE 20CM,43214.0,43214.0,6482.1,43214.0,30
HCPCS,C1813,PROSTHS PENL RSRV100ML,7568.0,7568.0,1135.2,7568.0,30
HCPCS,C1813,RESERVOIR PENL 100MM,10601.0,10601.0,1590.15,10601.0,30
HCPCS,C1815,CUFF URTH SPHNC AB 3.5CM,33134.0,33134.0,4970.1,33134.0,30
HCPCS,C1815,CUFF URTH SPHNCR 3.5CM,25751.0,25751.0,3862.65,25751.0,30
HCPCS,C1815,CUFF URTH SPHNCR 4.5CM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1815,CUFF URTH SPHNCR 4CM,25751.0,25751.0,3862.65,25751.0,30
HCPCS,C1815,CUFF URTH SPHNCR AB 4.5C,23775.0,23775.0,3566.25,23775.0,30
HCPCS,C1815,CUFF URTH SPHNCR AB 4CM,29850.0,29850.0,4477.5,29850.0,30
HCPCS,C1815,CUFF URTH SPHNCR AB 5.5C,23775.0,23775.0,3566.25,23775.0,30
HCPCS,C1815,CUFF URTH SPHNCR AB 5CM,29850.0,29850.0,4477.5,29850.0,30
HCPCS,C1817,OCCLUD CV 24MM NTNL,28966.0,28966.0,4344.9,28966.0,30
HCPCS,C1817,OCCLUDER CV 10FR 32MM,32425.0,32425.0,4863.75,32425.0,30
HCPCS,C1817,OCCLUDER CV 10X3MM,27108.0,27108.0,4066.2,27108.0,30
HCPCS,C1817,OCCLUDER CV 10X8MM,18599.0,18599.0,2789.85,18599.0,30
HCPCS,C1817,OCCLUDER CV 11FR 37MM,31330.0,31330.0,4699.5,31330.0,30
HCPCS,C1817,OCCLUDER CV 12FR 44MM,37350.0,37350.0,5602.5,37350.0,30
HCPCS,C1817,OCCLUDER CV 12X10MM,18599.0,18599.0,2789.85,18599.0,30
HCPCS,C1817,OCCLUDER CV 14FR 48MM,32425.0,32425.0,4863.75,32425.0,30
HCPCS,C1817,OCCLUDER CV 18X18MM,38431.0,38431.0,5764.65,38431.0,30
HCPCS,C1817,OCCLUDER CV 25MM,40304.0,40304.0,6045.6,40304.0,30
HCPCS,C1817,OCCLUDER CV 25X18MM,38431.0,38431.0,5764.65,38431.0,30
HCPCS,C1817,OCCLUDER CV 30MM,40304.0,40304.0,6045.6,40304.0,30
HCPCS,C1817,OCCLUDER CV 35X18MM,38431.0,38431.0,5764.65,38431.0,30
HCPCS,C1817,OCCLUDER CV 4X4MM,21424.0,21424.0,3213.6,21424.0,30
HCPCS,C1817,OCCLUDER CV 6X4MM,18599.0,18599.0,2789.85,18599.0,30
HCPCS,C1817,OCCLUDER CV 8X6MM,18599.0,18599.0,2789.85,18599.0,30
HCPCS,C1817,OCCULDER CV 16X4MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1817,OCCULDER CV 18X4MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1817,OCCULDER CV 20X4MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1817,OCCULDER CV 22X4MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1817,OCCULDER CV 230X4MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1817,OCCULDER CV 24X4MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1817,OCCULDER CV 26X4MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1817,OCCULDER CV 28X4MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1817,OCCULDER CV 6X3MM,27108.0,27108.0,4066.2,27108.0,30
HCPCS,C1817,OCCULDER CV 8X3MM,31225.0,31225.0,4683.75,31225.0,30
HCPCS,C1818,PSEUDOPHAKIA SOTIP,22145.0,22145.0,3321.75,22145.0,30
HCPCS,C1819,NEEDLE LOC 20GA 7.5CM,510.0,510.0,76.5,510.0,42
HCPCS,C1820,DEVICE NEUROSTIMULATOR,42080.0,42080.0,6312.0,42080.0,60
HCPCS,C1820,GEN IMPL MNTG MRI SAFE,76622.0,76622.0,11493.3,76622.0,30
HCPCS,C1820,GENERATOR IPG NRSTM,79386.0,79386.0,11907.9,79386.0,30
HCPCS,C1820,GENERATOR NRSTM 18 CH,67543.0,67543.0,10131.45,67543.0,30
HCPCS,C1820,GENERATOR NRSTM IMPLANT,76622.0,76622.0,11493.3,76622.0,30
HCPCS,C1820,GENERATOR NRSTM WAVEWRTR,74324.0,74324.0,11148.6,74324.0,30
HCPCS,C1820,IPG NRSTM 17MM 47MM,42098.0,42098.0,6314.7,42098.0,30
HCPCS,C1820,IPG NRSTM 5.3X4.8CM,65466.0,65466.0,9819.9,65466.0,30
HCPCS,C1820,IPG NRSTM 5.55CM 4.95CM,72689.0,72689.0,10903.35,72689.0,30
HCPCS,C1820,IPG NRSTM 57.1MM 47.2MM,74541.0,74541.0,11181.15,74541.0,30
HCPCS,C1820,IPG NRSTM 6.68CM 5.02CM,78372.0,78372.0,11755.8,78372.0,30
HCPCS,C1820,IPG NRSTM 61X4.95X1.34CM,72547.0,72547.0,10882.05,72547.0,30
HCPCS,C1820,IPG RECHARGE 4.8CM 5.3CM,72109.0,72109.0,10816.35,72109.0,30
HCPCS,C1820,KIT GENERATOR IPG,75473.0,75473.0,11148.6,76622.0,120
HCPCS,C1820,KIT GENERATOR NRSTM CHG,66827.5,66827.5,8554.95,76622.0,60
HCPCS,C1820,KIT GENERATOR NRSTM IPG,76622.0,76622.0,11493.3,76622.0,90
HCPCS,C1820,KIT STM RSTR PRM SPNL CD,54371.0,54371.0,8155.65,54371.0,30
HCPCS,C1820,LEAD NRSTM RCHRG 54X54MM,116040.0,116040.0,17406.0,116040.0,30
HCPCS,C1820,NEUROSTM SPN RCHRG,47391.0,47391.0,7108.65,47391.0,30
HCPCS,C1820,NRSTM IMP 49MM 65MM,67764.0,67764.0,10164.6,67764.0,30
HCPCS,C1820,NRSTM IMPL 1.9INX.6IN,57135.0,57135.0,7241.55,66435.0,90
HCPCS,C1820,RESTORESENSOR IMPLT NEUR,70422.0,70422.0,10563.3,70422.0,30
HCPCS,C1820,SYSTEM CHARGING IPG 16,74324.0,74324.0,11148.6,74324.0,30
HCPCS,C1821,IMPLNT SPN 10MM,24803.0,24803.0,3720.45,24803.0,30
HCPCS,C1821,IMPLNT SPN 8MM,24803.0,24803.0,3720.45,24803.0,30
HCPCS,C1839,IRIS ARTF W FBR 12.8MM,37647.0,37647.0,5647.05,37647.0,30
HCPCS,C1874,GFT STNT 14F 16-16X132MM,17207.0,17207.0,2581.05,17207.0,30
HCPCS,C1874,GRAFT EVAS 105MM 24MM,59598.0,59598.0,8939.7,59598.0,30
HCPCS,C1874,GRAFT EVAS 109X32MM,41596.0,41596.0,6239.4,41596.0,30
HCPCS,C1874,GRAFT EVAS 125X44X39MM,59598.0,59598.0,8939.7,59598.0,30
HCPCS,C1874,GRAFT EVAS 12MM 56MM,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 13MM 74MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 13MMX107MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 13X13X56MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 14MM 56MM,13664.0,13664.0,2049.6,13664.0,30
HCPCS,C1874,GRAFT EVAS 14MM 73MM,11520.0,11520.0,1728.0,11520.0,30
HCPCS,C1874,GRAFT EVAS 14MM 90MM,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 152X38MM 22FR,45148.0,45148.0,6772.2,45148.0,30
HCPCS,C1874,GRAFT EVAS 164MM 42MM,69881.0,69881.0,10482.15,69881.0,30
HCPCS,C1874,GRAFT EVAS 167MM 34-38MM,384517.0,384517.0,57677.55,384517.0,30
HCPCS,C1874,GRAFT EVAS 16F 56X20X6MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 16FR 24X74MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 16MM 56MM,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 16MM 73MM,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 16MM 90MM,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 179X44X39MM,59598.0,59598.0,8939.7,59598.0,30
HCPCS,C1874,GRAFT EVAS 18F 26MM 82MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 18MM 56MM,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 18MM 73MM,13664.0,13664.0,2049.6,13664.0,30
HCPCS,C1874,GRAFT EVAS 18MM 90MM,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 20FR 28X124MM,41596.0,41596.0,6239.4,41596.0,30
HCPCS,C1874,GRAFT EVAS 20MM 90MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 20X28X166MM,31529.0,31529.0,4729.35,31529.0,30
HCPCS,C1874,GRAFT EVAS 218MM 42MM,69881.0,69881.0,10482.15,69881.0,30
HCPCS,C1874,GRAFT EVAS 22MM 96MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 24MM 56MM,12842.5,12842.5,1779.3,13823.0,60
HCPCS,C1874,GRAFT EVAS 24MM 73MM,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 24MM 90MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 28MM 111MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 28MM 125MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 28MM 82MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 28MM 96MM,25291.0,25291.0,3793.65,25291.0,30
HCPCS,C1874,GRAFT EVAS 30MM 111MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 30MM 96MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 30X124MM,41596.0,41596.0,6239.4,41596.0,30
HCPCS,C1874,GRAFT EVAS 30X34MM,65365.0,65365.0,9804.75,65365.0,30
HCPCS,C1874,GRAFT EVAS 32MM 82MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 32MM 96MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 36MM 95MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRAFT EVAS 36X36X70MM,29703.0,29703.0,4455.45,29703.0,30
HCPCS,C1874,GRAFT EVAS 56MM 14F 16MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 70X32X32MM,29126.0,29126.0,4368.9,29126.0,30
HCPCS,C1874,GRAFT EVAS 71X24MM 16FR,11013.0,11013.0,1651.95,11013.0,30
HCPCS,C1874,GRAFT EVAS 74MM 16MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 74X20X6MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,GRAFT EVAS 74X24MM 18FR,32521.0,32521.0,4878.15,32521.0,30
HCPCS,C1874,GRAFT EVAS 79MM 38MM,60667.0,60667.0,9100.05,60667.0,30
HCPCS,C1874,GRAFT EVAS 82X28MM FLX,30188.0,30188.0,4528.2,30188.0,30
HCPCS,C1874,GRAFT EVAS 83MM 42MM,69881.0,69881.0,10482.15,69881.0,30
HCPCS,C1874,GRAFT EVAS 90MM 16MM,7114.0,7114.0,1067.1,7114.0,30
HCPCS,C1874,GRAFT EVAS 90X20MM 16FR,11862.0,11862.0,1779.3,11862.0,30
HCPCS,C1874,GRAFT EVAS 96X32MM 20FR,29307.0,29307.0,4396.05,29307.0,30
HCPCS,C1874,GRAFT EVS 95X36X8.5MM 22,29307.0,29307.0,4396.05,29307.0,30
HCPCS,C1874,GRAFT STENT 102X14X23MM,44180.0,44180.0,6627.0,44180.0,30
HCPCS,C1874,GRAFT STENT 14-25X103MM,32106.0,32106.0,4815.9,32106.0,30
HCPCS,C1874,GRAFT STENT 16-13X174MM,19033.0,19033.0,2840.55,19129.0,60
HCPCS,C1874,GRAFT STENT 16-16X143MM,17880.0,17880.0,2682.0,17880.0,30
HCPCS,C1874,GRAFT STENT 16-16X174MM,21813.0,21813.0,3271.95,21813.0,30
HCPCS,C1874,GRAFT STENT 23MM 49MM,16053.0,16053.0,2407.95,16053.0,30
HCPCS,C1874,GRAFT STENT 25MM 49MM,14849.0,14849.0,2227.35,14849.0,30
HCPCS,C1874,GRAFT STENT 37X37X225MM,90795.0,90795.0,13619.25,90795.0,30
HCPCS,C1874,GRAFT STNT 102MM 14-36MM,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1874,GRAFT STNT 102MM 28-14MM,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1874,GRAFT STNT 102MM 32-14MM,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1874,GRAFT STNT 102X25X14MM,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1874,GRAFT STNT 103MM 14-28MM,29698.0,29698.0,4454.7,29698.0,30
HCPCS,C1874,GRAFT STNT 124MM 28-16MM,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1874,GRAFT STNT 12FR 14X120MM,11535.0,11535.0,1730.25,11535.0,30
HCPCS,C1874,GRAFT STNT 13MM 85MM,17880.0,17880.0,2682.0,17880.0,30
HCPCS,C1874,GRAFT STNT 14FR 22X160MM,13287.0,13287.0,1993.05,13287.0,30
HCPCS,C1874,GRAFT STNT 16FR 146MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,GRAFT STNT 18FR 145X16MM,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1874,GRAFT STNT 18FR 25-16MM,31529.0,31529.0,4729.35,31529.0,30
HCPCS,C1874,GRAFT STNT 18FR 28-13MM,31529.0,31529.0,4729.35,31529.0,30
HCPCS,C1874,GRAFT STNT 18FR 28-16MM,31529.0,31529.0,4729.35,31529.0,60
HCPCS,C1874,GRAFT STNT 22MM 16X70MM,44526.0,44526.0,6678.9,44526.0,30
HCPCS,C1874,GRAFT STNT 24MM 100MM,57506.0,57506.0,8625.9,57506.0,30
HCPCS,C1874,GRAFT STNT 24MM 112MM,59046.0,59046.0,8856.9,59046.0,30
HCPCS,C1874,GRAFT STNT 24MM 152MM,62582.0,62582.0,9387.3,62582.0,30
HCPCS,C1874,GRAFT STNT 25X20X110MM,44526.0,44526.0,6678.9,44526.0,30
HCPCS,C1874,GRAFT STNT 26MM 100MM,58656.0,58656.0,8798.4,58656.0,30
HCPCS,C1874,GRAFT STNT 28MM 117MM,57506.0,57506.0,8625.9,57506.0,30
HCPCS,C1874,GRAFT STNT 28MM 12X90MM,44526.0,44526.0,6678.9,44526.0,30
HCPCS,C1874,GRAFT STNT 28MM 150MM,63833.0,63833.0,9574.95,63833.0,30
HCPCS,C1874,GRAFT STNT 28MM 157MM,62582.0,62582.0,9387.3,62582.0,30
HCPCS,C1874,GRAFT STNT 28MM 16X80MM,51288.0,51288.0,7693.2,51288.0,30
HCPCS,C1874,GRAFT STNT 28MM 16X90MM,44526.0,44526.0,6678.9,44526.0,30
HCPCS,C1874,GRAFT STNT 28MM 20X80MM,44526.0,44526.0,6678.9,44526.0,30
HCPCS,C1874,GRAFT STNT 28MM 55MM,13597.0,13597.0,2039.55,13597.0,30
HCPCS,C1874,GRAFT STNT 28X16X110MM,44526.0,44526.0,6678.9,44526.0,30
HCPCS,C1874,GRAFT STNT 30-34MM 160MM,68230.0,68230.0,10234.5,68230.0,30
HCPCS,C1874,GRAFT STNT 30MM 150MM,63833.0,63833.0,9574.95,63833.0,30
HCPCS,C1874,GRAFT STNT 30MM 157MM,62582.0,62582.0,9387.3,62582.0,30
HCPCS,C1874,GRAFT STNT 30MM 192MM,62238.0,62238.0,9335.7,62238.0,30
HCPCS,C1874,GRAFT STNT 32-36MM 160MM,60044.0,60044.0,9006.6,60044.0,30
HCPCS,C1874,GRAFT STNT 32MM 100MM,54257.0,54257.0,8138.55,54257.0,30
HCPCS,C1874,GRAFT STNT 32MM 150MM,59046.0,59046.0,8856.9,59046.0,30
HCPCS,C1874,GRAFT STNT 32MM 157MM,59046.0,59046.0,8856.9,59046.0,30
HCPCS,C1874,GRAFT STNT 32MM 185MM,59844.0,59844.0,8976.6,59844.0,30
HCPCS,C1874,GRAFT STNT 32MM 192MM,62238.0,62238.0,9335.7,62238.0,30
HCPCS,C1874,GRAFT STNT 32MM 49MM,18743.0,18743.0,2811.45,18743.0,30
HCPCS,C1874,GRAFT STNT 34-38MM 160MM,60044.0,60044.0,9006.6,60044.0,30
HCPCS,C1874,GRAFT STNT 34MM 100MM,37606.5,37606.5,2857.8,58656.0,120
HCPCS,C1874,GRAFT STNT 34MM 150MM,59046.0,59046.0,8856.9,59046.0,60
HCPCS,C1874,GRAFT STNT 34MM 160MM,68230.0,68230.0,10234.5,68230.0,30
HCPCS,C1874,GRAFT STNT 34MM 200MM,65965.0,65965.0,9894.75,65965.0,30
HCPCS,C1874,GRAFT STNT 34MM 80MM,18071.5,18071.5,2563.65,19052.0,60
HCPCS,C1874,GRAFT STNT 36-16MM 166MM,32106.0,32106.0,4815.9,32106.0,30
HCPCS,C1874,GRAFT STNT 36-40MM 160MM,68230.0,68230.0,10234.5,68230.0,30
HCPCS,C1874,GRAFT STNT 36MM 107MM,65346.0,65346.0,9801.9,65346.0,30
HCPCS,C1874,GRAFT STNT 36MM 150MM,56651.0,56651.0,8497.65,56651.0,30
HCPCS,C1874,GRAFT STNT 36MM 167MM,59046.0,59046.0,8856.9,59046.0,30
HCPCS,C1874,GRAFT STNT 36MM 200MM,63564.5,63564.5,8976.6,67285.0,60
HCPCS,C1874,GRAFT STNT 36MM 49MM,16628.0,16628.0,2494.2,16628.0,30
HCPCS,C1874,GRAFT STNT 38MM 100MM,62462.0,62462.0,9369.3,62462.0,30
HCPCS,C1874,GRAFT STNT 38MM 107MM,58851.0,58851.0,8798.4,59046.0,60
HCPCS,C1874,GRAFT STNT 38MM 112MM,62582.0,62582.0,9387.3,62582.0,30
HCPCS,C1874,GRAFT STNT 38MM 150MM,59046.0,59046.0,8856.9,59046.0,30
HCPCS,C1874,GRAFT STNT 38MM 160MM,68230.0,68230.0,10234.5,68230.0,30
HCPCS,C1874,GRAFT STNT 38MM 207MM,67285.0,67285.0,10092.75,67285.0,30
HCPCS,C1874,GRAFT STNT 40MM 107MM,54257.0,54257.0,8138.55,54257.0,30
HCPCS,C1874,GRAFT STNT 40MM 150MM,62582.0,62582.0,9387.3,62582.0,30
HCPCS,C1874,GRAFT STNT 40MM 157MM,63833.0,63833.0,9574.95,63833.0,30
HCPCS,C1874,GRAFT STNT 40MM 205MM,83022.0,83022.0,12453.3,83022.0,30
HCPCS,C1874,GRAFT STNT 40MM 212MM,67285.0,67285.0,10092.75,67285.0,30
HCPCS,C1874,GRAFT STNT 42MM 105MM,62462.0,62462.0,9369.3,62462.0,30
HCPCS,C1874,GRAFT STNT 42MM 150MM,60044.0,60044.0,9006.6,60044.0,30
HCPCS,C1874,GRAFT STNT 42MM 157MM,62582.0,62582.0,9387.3,62582.0,30
HCPCS,C1874,GRAFT STNT 42MM 207MM,67285.0,67285.0,10092.75,67285.0,30
HCPCS,C1874,GRAFT STNT 44MM 205MM,63428.0,63428.0,9514.2,63428.0,30
HCPCS,C1874,GRAFT STNT 44MM 212MM,74959.0,74959.0,11243.85,74959.0,30
HCPCS,C1874,GRAFT STNT 46MM 112MM,65346.0,65346.0,9801.9,65346.0,30
HCPCS,C1874,GRAFT STNT 46MM 150MM,62582.0,62582.0,9387.3,62582.0,30
HCPCS,C1874,GRAFT STNT 46MM 162MM,63833.0,63833.0,9574.95,63833.0,30
HCPCS,C1874,GRAFT VAS 105X26X22-23MM,65365.0,65365.0,9804.75,65365.0,30
HCPCS,C1874,GRFT EVAS 121X42X37-38MM,59598.0,59598.0,8939.7,59598.0,30
HCPCS,C1874,GRFT EVAS 145X30-20MM20F,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1874,GRFT EVAS 18FR 82MM 24MM,21956.0,21956.0,3293.4,21956.0,30
HCPCS,C1874,GRFT EVAS 225X42X37-38MM,59598.0,59598.0,8939.7,59598.0,30
HCPCS,C1874,GRFT STNT AA 14-36X103MM,29698.0,29698.0,4454.7,29698.0,30
HCPCS,C1874,GRFT STNT AA 23-13X166MM,38354.0,38354.0,5753.1,38354.0,30
HCPCS,C1874,GRFT STNT AA 25-13X166MM,31529.0,31529.0,4729.35,31529.0,30
HCPCS,C1874,STENT 166MM 32-16MM 20FR,31529.0,31529.0,4729.35,31529.0,30
HCPCS,C1874,STENT 5X19MM 6FR 135CM,11773.0,11773.0,1765.95,11773.0,30
HCPCS,C1874,STENT 7FR 9X39MM 135CM,12986.0,12986.0,1947.9,12986.0,30
HCPCS,C1874,STENT 7FR 9X59MM 135CM,12986.0,12986.0,1947.9,12986.0,30
HCPCS,C1874,STENT 9FR 14X6X8MM,21791.0,21791.0,3268.65,21791.0,30
HCPCS,C1874,STENT AAA 13MMX90MM,13823.0,13823.0,2073.45,13823.0,30
HCPCS,C1874,STENT ART 6F 5X29MM135CM,11274.0,11274.0,1691.1,11274.0,30
HCPCS,C1874,STENT BIL 10X80MM,7069.0,7069.0,1060.35,7069.0,30
HCPCS,C1874,STENT BIL 8.5FR 10X40MM,10471.0,10471.0,1570.65,10471.0,30
HCPCS,C1874,STENT BIL 8.5FR 10X60MM,10471.0,10471.0,1570.65,10471.0,30
HCPCS,C1874,STENT BIL 8.5FR 10X80MM,10471.0,10471.0,1570.65,10471.0,30
HCPCS,C1874,STENT BIL 8.5FR 40X10MM,8829.0,8829.0,1230.9,9452.0,60
HCPCS,C1874,STENT BIL 8.5FR 60X10MM,8829.0,8829.0,1230.9,9452.0,60
HCPCS,C1874,STENT BIL 8.5FR 60X8MM,9452.0,9452.0,1417.8,9452.0,30
HCPCS,C1874,STENT BIL 8.5FR 80X10MM,9452.0,9452.0,1417.8,9452.0,60
HCPCS,C1874,STENT BIL 8.5FR 80X8MM,8829.0,8829.0,1230.9,9452.0,60
HCPCS,C1874,STENT BIL RX 10MM 40MM,11589.0,11589.0,1738.35,11589.0,30
HCPCS,C1874,STENT BIL RX 10MM 60MM,11589.0,11589.0,1738.35,11589.0,30
HCPCS,C1874,STENT BIL RX 10MM 80MM,11589.0,11589.0,1738.35,11589.0,30
HCPCS,C1874,STENT BILIARY 10MM 10CM,11767.0,11767.0,1765.05,11767.0,30
HCPCS,C1874,STENT BILIARY 10MM 8CM,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1874,STENT BILIARY 4MM 10CM,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1874,STENT BILIARY 6MM 10CM,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1874,STENT BILIARY 8MM 10CM,11767.0,11767.0,1765.05,11767.0,30
HCPCS,C1874,STENT BILIARY 8MM 4CM,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1874,STENT BILIARY 8MM 6CM,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1874,STENT BILIARY 8MM 8CM,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1874,STENT BLN ENDO 6FR 135CM,12986.0,12986.0,1947.9,12986.0,30
HCPCS,C1874,STENT COR 2.00MM X22 MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.00MMX08MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.00MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.00MMX18MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.00MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.00MMX30MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.0MMX15MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.25MM 15MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.25MM 18MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.25MM 23MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.25MM 28MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.25MM 33MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.25MM 38MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.25MM 8MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.25MMX08MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.25MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.25MMX15MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.25MMX18MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.25MMX22MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.25MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.25MMX30MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1874,STENT COR 2.25MMX38MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1874,STENT COR 2.25X12MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.25X16MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.25X20MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.25X24MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.25X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.25X32MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.25X34MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.25X38MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.25X8MM,3557.0,3557.0,274.05,5287.0,60
HCPCS,C1874,STENT COR 2.50 X 48MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.50MMX08MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50MMX15MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50MMX18MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50MMX22MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50MMX30MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50MMX34MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50MMX38MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.50X12MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.50X16MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.50X20MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.50X24MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.50X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.50X32MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.50X38MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.50X48MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 2.50X8MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.5MM 12MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.5MM 15MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.5MM 18MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.5MM 23MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.5MM 28MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.5MM 33MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.5MM 38MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.5MM 8MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.5X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 2.5X20MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 2.75MM 12MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.75MM 15MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.75MM 18MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.75MM 23MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.75MM 28MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.75MM 33MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 2.75MM 38MM,1315.5,1315.5,93.15,2010.0,60
HCPCS,C1874,STENT COR 2.75MM 8MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.75MMX08MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.75MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.75MMX15MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.75MMX18MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.75MMX22MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.75MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.75MMX30MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.75MMX34MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 2.75X12MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.75X16MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.75X20MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.75X24MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.75X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.75X32MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.75X38MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 2.75X48MM,2773.5,2773.5,301.5,3537.0,60
HCPCS,C1874,STENT COR 2.75X8MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.00MMX08MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00MMX15MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00MMX18MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00MMX22MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00MMX30MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00MMX34MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00MMX38MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.00X12MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.00X16MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.00X20MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.00X24MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.00X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.00X32MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.00X38MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.00X48MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 3.00X8MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.0X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 3.0X20MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 3.0X26MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 3.25MM 12MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.25MM 15MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.25MM 18MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.25MM 23MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.25MM 33MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.25MM 38MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.25MM 8MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.50 X 12MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 3.50 X 16MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 3.50 X 20MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 3.50 X 24MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 3.50 X 28MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 3.50 X 32MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 3.50 X 8MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 3.50MMX08MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50MMX15MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50MMX18MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50MMX22MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50MMX30MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50MMX34MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50MMX38MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 3.50X12MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.50X16MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.50X20MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.50X24MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.50X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.50X32MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.50X38MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.50X48MM,2773.5,2773.5,301.5,3537.0,60
HCPCS,C1874,STENT COR 3.50X8MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 3.5MM 15MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.5MM 18MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.5MM 38MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.5MM 8MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3.5X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 3.5X20MM,16078.0,16078.0,2411.7,16078.0,30
HCPCS,C1874,STENT COR 3.5X26MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 3MM 12MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3MM 15MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3MM 18MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3MM 28MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3MM 33MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3MM 38MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3MM 8MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 3X48MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4.00 X 12MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.00 X 16MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.00 X 20MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.00 X 24MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.00 X 28MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.00 X 32MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.00 X 8MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.00MMX08MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00MMX15MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00MMX18MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00MMX22MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00MMX30MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00MMX34MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00MMX38MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.00X12MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.00X16MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.00X20MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.00X24MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.00X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.00X32MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.00X38MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.00X48MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.00X8MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.0X20MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 4.0X26MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 4.50 X 12MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.50 X 16MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.50 X 20MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.50 X 24MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1874,STENT COR 4.50 X 28MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.50 X 32MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.50 X 8MM,3537.0,3537.0,530.55,3537.0,30
HCPCS,C1874,STENT COR 4.50MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.50MMX15MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1874,STENT COR 4.50MMX18MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1874,STENT COR 4.50MMX22MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1874,STENT COR 4.50MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 4.50MMX30MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1874,STENT COR 4.50X24MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.50X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.5X12MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4.5X15MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.5X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 4.5X18MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.5X20MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 4.5X23MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4.5X26MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 4.5X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4.5X33MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 4MM 12MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4MM 15MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4MM 18MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4MM 23MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4MM 28MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4MM 33MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4MM 38MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4MM 8MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 4X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 4X48MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR 5.00MMX12MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 5.00MMX15MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 5.00MMX18MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 5.00MMX22MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1874,STENT COR 5.00MMX26MM,2010.0,2010.0,301.5,2010.0,30
HCPCS,C1874,STENT COR 5.00MMX30MM,2192.0,2192.0,328.8,2192.0,30
HCPCS,C1874,STENT COR 5.0X15MM 140CM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 5.0X20MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1874,STENT COR 5X12MM,695.0,695.0,104.25,695.0,30
HCPCS,C1874,STENT COR 5X15MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 5X18MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 5X23MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 5X28MM,1827.0,1827.0,274.05,1827.0,30
HCPCS,C1874,STENT COR 5X33MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1874,STENT COR RX 2.25X12MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR RX 3.25X28MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR RX 3.5X12MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR RX 3.5X23MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR RX 3.5X28MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR RX 3.5X33MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT COR RX 3X23MM,621.0,621.0,93.15,621.0,30
HCPCS,C1874,STENT ENDO 5X79MM 135CM,12812.0,12812.0,1921.8,12812.0,30
HCPCS,C1874,STENT ENDO 6FR 135CM,12986.0,12986.0,1947.9,12986.0,90
HCPCS,C1874,STENT ENDO 6FR 6X135CM,12986.0,12986.0,1947.9,12986.0,30
HCPCS,C1874,STENT ENDO 6FR 7X135CM,12812.0,12812.0,1921.8,12812.0,30
HCPCS,C1874,STENT ENDO 6X15MM 135CM,9971.0,9971.0,1495.65,9971.0,30
HCPCS,C1874,STENT ENDO 6X19MM 135CM,11773.0,11773.0,1765.95,11773.0,30
HCPCS,C1874,STENT ENDO 6X29MM 135CM,12986.0,12986.0,1947.9,12986.0,30
HCPCS,C1874,STENT ENDO 7FR 135CM,12986.0,12986.0,1947.9,12986.0,90
HCPCS,C1874,STENT ENDO 7X19MM 135CM,10220.0,10220.0,1533.0,10220.0,30
HCPCS,C1874,STENT ENDO 8FR 8X135CM,11274.0,11274.0,1691.1,11274.0,30
HCPCS,C1874,STENT ENDO 8X79MM 135CM,12812.0,12812.0,1921.8,12812.0,30
HCPCS,C1874,STENT ENDO 9X29MM 135CM,12986.0,12986.0,1947.9,12986.0,30
HCPCS,C1874,STENT ENDO 9X79MM 135CM,12812.0,12812.0,1921.8,12812.0,30
HCPCS,C1874,STENT EPRSTH 10CM 10MM,12189.0,12189.0,1828.35,12189.0,30
HCPCS,C1874,STENT EPRSTH 10CM 11MM,12804.0,12804.0,1920.6,12804.0,30
HCPCS,C1874,STENT EPRSTH 10CM 13MM,12804.0,12804.0,1920.6,12804.0,30
HCPCS,C1874,STENT EPRSTH 10MM 120CM,14338.0,14338.0,2150.7,14338.0,30
HCPCS,C1874,STENT EPRSTH 10MM 5CM,10055.0,10055.0,1508.25,10055.0,30
HCPCS,C1874,STENT EPRSTH 10X13X29MM,11274.0,11274.0,1691.1,11274.0,30
HCPCS,C1874,STENT EPRSTH 10X13X39MM,11274.0,11274.0,1691.1,11274.0,30
HCPCS,C1874,STENT EPRSTH 10X13X59MM,11274.0,11274.0,1691.1,11274.0,30
HCPCS,C1874,STENT EPRSTH 11X16X29MM,11274.0,11274.0,1691.1,11274.0,30
HCPCS,C1874,STENT EPRSTH 11X16X39MM,11832.0,11832.0,1649.55,12667.0,60
HCPCS,C1874,STENT EPRSTH 11X16X59MM,10632.0,10632.0,1540.05,10997.0,60
HCPCS,C1874,STENT EPRSTH 11X16X79MM,12254.0,12254.0,1838.1,12254.0,30
HCPCS,C1874,STENT EPRSTH 13MM 5CM,9575.0,9575.0,1436.25,9575.0,30
HCPCS,C1874,STENT EPRSTH 5CM 10MM,11416.0,11416.0,1712.4,11416.0,30
HCPCS,C1874,STENT EPRSTH 5CM 11MM,10659.0,10659.0,1598.85,10659.0,30
HCPCS,C1874,STENT EPRSTH 5CM 13MM,11416.0,11416.0,1712.4,11416.0,30
HCPCS,C1874,STENT EPRSTH 5MM 10CM,13489.0,13489.0,2023.35,13489.0,30
HCPCS,C1874,STENT EPRSTH 5MM 5.0CM,11974.0,11974.0,1796.1,11974.0,30
HCPCS,C1874,STENT EPRSTH 5X8X15MM,12386.0,12386.0,1857.9,12386.0,30
HCPCS,C1874,STENT EPRSTH 5X8X19MM,9971.0,9971.0,1495.65,9971.0,30
HCPCS,C1874,STENT EPRSTH 5X8X29MM,10997.0,10997.0,1649.55,10997.0,30
HCPCS,C1874,STENT EPRSTH 6MM 10CM,13758.0,13758.0,2063.7,13758.0,30
HCPCS,C1874,STENT EPRSTH 6MM 15CM,15830.0,15830.0,2374.5,15830.0,30
HCPCS,C1874,STENT EPRSTH 6MM 5CM,11974.0,11974.0,1796.1,11974.0,30
HCPCS,C1874,STENT EPRSTH 6X8X19MM,10220.0,10220.0,1533.0,10220.0,30
HCPCS,C1874,STENT EPRSTH 6X8X29MM,11832.0,11832.0,1649.55,12667.0,60
HCPCS,C1874,STENT EPRSTH 6X8X39MM,10997.0,10997.0,1649.55,10997.0,30
HCPCS,C1874,STENT EPRSTH 6X8X79MM,11670.0,11670.0,1750.5,11670.0,30
HCPCS,C1874,STENT EPRSTH 7MM 10CM,13758.0,13758.0,2063.7,13758.0,30
HCPCS,C1874,STENT EPRSTH 7MM 15CM,15084.0,15084.0,2150.7,15830.0,60
HCPCS,C1874,STENT EPRSTH 7MM 2.5CM,12900.0,12900.0,1935.0,12900.0,30
HCPCS,C1874,STENT EPRSTH 7MM 5.0CM,11974.0,11974.0,1796.1,11974.0,30
HCPCS,C1874,STENT EPRSTH 7X11X19MM,10220.0,10220.0,1533.0,10220.0,30
HCPCS,C1874,STENT EPRSTH 7X11X29MM,11274.0,11274.0,1691.1,11274.0,30
HCPCS,C1874,STENT EPRSTH 7X11X39MM,10997.0,10997.0,1649.55,10997.0,30
HCPCS,C1874,STENT EPRSTH 7X11X59MM,11832.0,11832.0,1649.55,12667.0,60
HCPCS,C1874,STENT EPRSTH 7X11X79MM,12501.0,12501.0,1875.15,12501.0,30
HCPCS,C1874,STENT EPRSTH 8MM 10CM,12448.5,12448.5,1670.85,13758.0,60
HCPCS,C1874,STENT EPRSTH 8MM 15CM,15830.0,15830.0,2374.5,15830.0,30
HCPCS,C1874,STENT EPRSTH 8MM 25CM,23989.0,23989.0,3598.35,23989.0,30
HCPCS,C1874,STENT EPRSTH 8MM 5.0CM,11974.0,11974.0,1796.1,11974.0,30
HCPCS,C1874,STENT EPRSTH 8X11X29MM,12667.0,12667.0,1900.05,12667.0,30
HCPCS,C1874,STENT EPRSTH 8X11X39MM,11991.5,11991.5,1649.55,12986.0,60
HCPCS,C1874,STENT EPRSTH 8X11X59MM,12667.0,12667.0,1900.05,12667.0,30
HCPCS,C1874,STENT EPRSTH 8X11X79MM,14399.0,14399.0,2159.85,14399.0,30
HCPCS,C1874,STENT EPRSTH 8X16X29MM,12667.0,12667.0,1900.05,12667.0,30
HCPCS,C1874,STENT EPRSTH 8X16X59MM,11846.5,11846.5,1691.1,12419.0,60
HCPCS,C1874,STENT EPRSTH 8X16X79MM,12501.0,12501.0,1875.15,12501.0,60
HCPCS,C1874,STENT EPRSTH 9MM 10CM,12496.5,12496.5,1828.35,12804.0,60
HCPCS,C1874,STENT EPRSTH 9MM 120CM,14338.0,14338.0,2150.7,14338.0,30
HCPCS,C1874,STENT EPRSTH 9MM 5CM,11416.0,11416.0,1712.4,11416.0,30
HCPCS,C1874,STENT EPRSTH 9X13X29MM,11274.0,11274.0,1691.1,11274.0,30
HCPCS,C1874,STENT EPRSTH 9X13X39MM,10997.0,10997.0,1649.55,10997.0,30
HCPCS,C1874,STENT EPRSTH 9X13X59MM,10997.0,10997.0,1649.55,10997.0,30
HCPCS,C1874,STENT ESPH 120MM 90CM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1874,STENT ESPH 150MM 90CM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1874,STENT ESPH 18-23MM 10CM,6622.0,6622.0,993.3,6622.0,60
HCPCS,C1874,STENT ESPH 18-23MM 12CM,6622.0,6622.0,993.3,6622.0,30
HCPCS,C1874,STENT ESPH 18-23MM 15CM,6743.5,6743.5,993.3,6865.0,60
HCPCS,C1874,STENT ESPH 18.5FR 18MM,9816.0,9816.0,1472.4,9816.0,90
HCPCS,C1874,STENT ESPH 18.5FR 23MM,9744.0,9744.0,1439.7,9816.0,150
HCPCS,C1874,STENT ESPH 22MM 64CM,8416.0,8416.0,1262.4,8416.0,30
HCPCS,C1874,STENT ESPH 23MM 150CM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1874,STENT ESPH 23MM 90CM,11073.0,11073.0,1660.95,11073.0,60
HCPCS,C1874,STENT ESPH FLCVR 18X97MM,12845.0,12845.0,1926.75,12845.0,30
HCPCS,C1874,STENT EVAS 16MM 146MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,STENT GFT 16F 20X82MM,18649.0,18649.0,2797.35,18649.0,30
HCPCS,C1874,STENT GFT 20FR 36X16X145,32106.0,32106.0,4815.9,32106.0,30
HCPCS,C1874,STENT GFT ENDRT 18F 28MM,26942.0,26942.0,4041.3,26942.0,30
HCPCS,C1874,STENT GFT EV 145X28/13MM,31529.0,31529.0,4729.35,31529.0,30
HCPCS,C1874,STENT GRAFT 14-32X103MM,29698.0,29698.0,4454.7,29698.0,30
HCPCS,C1874,STENT GRAFT 16MM 146MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,STENT GRAFT 16X10X124MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X10X156MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,STENT GRAFT 16X10X199MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X10X82MM,17207.0,17207.0,2581.05,17207.0,30
HCPCS,C1874,STENT GRAFT 16X10X93MM,15822.0,15822.0,2373.3,15822.0,30
HCPCS,C1874,STENT GRAFT 16X13X124MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X13X156MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X13X199MM,15823.0,15823.0,2373.45,15823.0,30
HCPCS,C1874,STENT GRAFT 16X13X93MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X16X124MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,STENT GRAFT 16X16X156MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,STENT GRAFT 16X16X82MM,15823.0,15823.0,2373.45,15823.0,30
HCPCS,C1874,STENT GRAFT 16X16X93MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X20X124MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X20X146MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X20X156MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X20X93MM,15823.0,15823.0,2373.45,15823.0,30
HCPCS,C1874,STENT GRAFT 16X24X124MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,STENT GRAFT 16X24X146MM,17207.0,17207.0,2581.05,17207.0,30
HCPCS,C1874,STENT GRAFT 16X24X93MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,STENT GRAFT 16X28X124MM,16149.0,16149.0,2422.35,16149.0,30
HCPCS,C1874,STENT GRAFT 16X28X156MM,14938.0,14938.0,2240.7,14938.0,30
HCPCS,C1874,STENT GRAFT 16X28X93MM,15823.0,15823.0,2373.45,15823.0,30
HCPCS,C1874,STENT GRAFT 22X22X100MM,81915.0,81915.0,12287.25,81915.0,30
HCPCS,C1874,STENT GRAFT 28MM 4.5CM,16338.0,16338.0,2450.7,16338.0,30
HCPCS,C1874,STENT GRAFT 28MM 49MM,16438.0,16438.0,2465.7,16438.0,30
HCPCS,C1874,STENT GRAFT 28X182MM,88558.0,88558.0,13283.7,88558.0,30
HCPCS,C1874,STENT GRAFT 28X28X97MM,81915.0,81915.0,12287.25,81915.0,30
HCPCS,C1874,STENT GRAFT 31X31X175MM,84151.0,84151.0,12622.65,84151.0,30
HCPCS,C1874,STENT GRAFT 31X31X225MM,82649.0,82649.0,12397.35,82649.0,30
HCPCS,C1874,STENT GRAFT 31X37X207MM,88558.0,88558.0,13283.7,88558.0,30
HCPCS,C1874,STENT GRAFT 34-40X200MM,95202.0,95202.0,14280.3,95202.0,30
HCPCS,C1874,STENT GRAFT 34X34X175MM,84151.0,84151.0,11532.15,90795.0,90
HCPCS,C1874,STENT GRAFT 34X34X225MM,95202.0,95202.0,14280.3,95202.0,30
HCPCS,C1874,STENT GRAFT 34X34X97MM,81915.0,81915.0,12287.25,81915.0,30
HCPCS,C1874,STENT GRAFT 37X31X173MM,88558.0,88558.0,13283.7,88558.0,30
HCPCS,C1874,STENT GRAFT 37X37174MM,88558.0,88558.0,13283.7,88558.0,30
HCPCS,C1874,STENT GRAFT 37X37X97MM,81915.0,81915.0,12287.25,81915.0,30
HCPCS,C1874,STENT GRAFT 40X40X100MM,65346.0,65346.0,9801.9,65346.0,30
HCPCS,C1874,STENT GRAFT 82X24X16MM,18937.0,18937.0,2840.55,18937.0,30
HCPCS,C1874,STENT GRAFT EVAS 113MM 3,26134.0,26134.0,3920.1,26134.0,30
HCPCS,C1874,STENT GRFT 124X23X13MM,31529.0,31529.0,4729.35,31529.0,30
HCPCS,C1874,STENT GRFT 14-23X103MM,32106.0,32106.0,4815.9,32106.0,30
HCPCS,C1874,STENT GRFT 18FR 145MM,31529.0,31529.0,4729.35,31529.0,30
HCPCS,C1874,STENT GRFT 23MMX4.5CM,16338.0,16338.0,2450.7,16338.0,30
HCPCS,C1874,STENT GRFT 26MMX4.5CM,18819.0,18819.0,2822.85,18819.0,30
HCPCS,C1874,STENT GRFT 32MMX4.5CM,18819.0,18819.0,2822.85,18819.0,30
HCPCS,C1874,STENT GRFT 36MMX4.5CM,16338.0,16338.0,2450.7,16338.0,30
HCPCS,C1874,STENT ILIAC 7FR 8X32MM,10725.0,10725.0,1608.75,10725.0,30
HCPCS,C1874,STENT PANC 15MM 15MM,21791.0,21791.0,3268.65,21791.0,30
HCPCS,C1874,STENT PANC 21MM 146MM,19196.0,19196.0,2879.4,19196.0,30
HCPCS,C1874,STENT PANC 24MM 146MM,19196.0,19196.0,2879.4,19196.0,30
HCPCS,C1874,STENT PANC 29MM 146MM,21791.0,21791.0,3268.65,21791.0,30
HCPCS,C1874,STENT PANC 8MM 8MM,21791.0,21791.0,3268.65,21791.0,30
HCPCS,C1874,STENT THOR AOR 10CM 26MM,61040.0,61040.0,9156.0,61040.0,30
HCPCS,C1874,STENT TRCH 7.9F 10X110MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1874,STENT TRCH Y-SHP 16X40MM,22123.0,22123.0,3318.45,22123.0,30
HCPCS,C1874,STENT TRCH Y-SHP 18X40MM,22123.0,22123.0,3318.45,22123.0,30
HCPCS,C1874,STENT TRCHBR 10MM 20MMM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1874,STENT TRCHBR 10MM 40MMM,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1874,STENT TRCHBR 10MM 5CM,16957.0,16957.0,2543.55,16957.0,30
HCPCS,C1874,STENT TRCHBR 10MM 8CM,17634.0,17634.0,2645.1,17634.0,30
HCPCS,C1874,STENT TRCHBR 12MM 20MMM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1874,STENT TRCHBR 12MM 30MMM,9301.0,9301.0,1395.15,9301.0,30
HCPCS,C1874,STENT TRCHBR 12MM 40MMM,11073.0,11073.0,1660.95,11073.0,30
HCPCS,C1874,STENT TRCHBR 12X30X4MM,13066.0,13066.0,1959.9,13066.0,30
HCPCS,C1874,STENT TRCHBR 12X40X4MM,13066.0,13066.0,1959.9,13066.0,30
HCPCS,C1874,STENT TRCHBR 14X30X4MM,13066.0,13066.0,1959.9,13066.0,30
HCPCS,C1874,STENT TRCHBR 14X40X4MM,13066.0,13066.0,1959.9,13066.0,30
HCPCS,C1874,STENT TRCHBR 18MM 60MM,10187.0,10187.0,1528.05,10187.0,30
HCPCS,C1874,STENT TRCHBR 20MM 60MM,9613.0,9613.0,1441.95,9613.0,30
HCPCS,C1874,STENT TRCHBR 20X40X5.1MM,13066.0,13066.0,1959.9,13066.0,30
HCPCS,C1874,STENT TRCHBR 20X60X5.1MM,13066.0,13066.0,1959.9,13066.0,30
HCPCS,C1874,STENT TRCHBR 20X80X5.1MM,13066.0,13066.0,1959.9,13066.0,30
HCPCS,C1874,STENT TRCHBR 6FR 22MM,10471.0,10471.0,1570.65,10471.0,30
HCPCS,C1874,STENT TRCHBR 6FR 5X16MM,10031.0,10031.0,1504.65,10031.0,60
HCPCS,C1874,STENT TRCHBR 6FR 6X16MM,10031.0,10031.0,1504.65,10031.0,60
HCPCS,C1874,STENT TRCHBR 6FR 6X22MM,10471.0,10471.0,1570.65,10471.0,60
HCPCS,C1874,STENT TRCHBR 6FR 7X16MM,10031.0,10031.0,1504.65,10031.0,30
HCPCS,C1874,STENT TRCHBR 7F 7X38X120,10725.0,10725.0,1608.75,10725.0,30
HCPCS,C1874,STENT TRCHBR 7FR 10X38MM,10725.0,10725.0,1608.75,10725.0,60
HCPCS,C1874,STENT TRCHBR 7FR 5C38MM,10725.0,10725.0,1608.75,10725.0,30
HCPCS,C1874,STENT TRCHBR 7FR 5X22MM,10471.0,10471.0,1570.65,10471.0,30
HCPCS,C1874,STENT TRCHBR 7FR 5X59MM,11297.0,11297.0,1694.55,11297.0,60
HCPCS,C1874,STENT TRCHBR 7FR 6X38MM,10725.0,10725.0,1608.75,10725.0,60
HCPCS,C1874,STENT TRCHBR 7FR 6X59MM,11297.0,11297.0,1694.55,11297.0,60
HCPCS,C1874,STENT TRCHBR 7FR 7X16MM,10031.0,10031.0,1504.65,10031.0,30
HCPCS,C1874,STENT TRCHBR 7FR 7X22MM,10471.0,10471.0,1570.65,10471.0,60
HCPCS,C1874,STENT TRCHBR 7FR 7X59MM,11297.0,11297.0,1694.55,11297.0,30
HCPCS,C1874,STENT TRCHBR 7FR 8X38MM,10725.0,10725.0,1608.75,10725.0,60
HCPCS,C1874,STENT TRCHBR 7FR 8X59MM,11297.0,11297.0,1694.55,11297.0,60
HCPCS,C1874,STENT TRCHBR 7FR 9X38MM,10725.0,10725.0,1608.75,10725.0,60
HCPCS,C1874,STENT TRCHBR 7FR 9X59MM,11297.0,11297.0,1694.55,11297.0,60
HCPCS,C1874,STENT TRCHBR 8X20X70MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1874,STENT TRCHBRONC 8X10MM,9744.0,9744.0,1461.6,9744.0,30
HCPCS,C1874,STENT VASC 10MM 60MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC 10MM 80MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC 10X38MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 10X58MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 12X38MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 30MM 100MM,58656.0,58656.0,8798.4,58656.0,30
HCPCS,C1874,STENT VASC 36MM 180MM,53830.0,53830.0,8074.5,53830.0,30
HCPCS,C1874,STENT VASC 3X13X9MM,50739.0,50739.0,7610.85,50739.0,30
HCPCS,C1874,STENT VASC 5X140MM 125CM,9209.0,9209.0,1381.35,9209.0,30
HCPCS,C1874,STENT VASC 5X26MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 5X37MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 5X60MM 125CM,5749.0,5749.0,862.35,5749.0,30
HCPCS,C1874,STENT VASC 5X80MM 125CM,6902.0,6902.0,1035.3,6902.0,30
HCPCS,C1874,STENT VASC 6FR 80X6MM,6902.0,6902.0,1035.3,6902.0,30
HCPCS,C1874,STENT VASC 6X100MM 123CM,6902.0,6902.0,1035.3,6902.0,30
HCPCS,C1874,STENT VASC 6X120MM 125CM,7671.0,7671.0,1150.65,7671.0,30
HCPCS,C1874,STENT VASC 6X140MM 125CM,9209.0,9209.0,1381.35,9209.0,30
HCPCS,C1874,STENT VASC 6X26MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 6X37MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 6X37MM 80CM,9036.0,9036.0,1355.4,9036.0,30
HCPCS,C1874,STENT VASC 6X40MM 125CM,4518.0,4518.0,677.7,4518.0,30
HCPCS,C1874,STENT VASC 6X58MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 6X60MM 125CM,5749.0,5749.0,862.35,5749.0,30
HCPCS,C1874,STENT VASC 6X80MM 125CM,6902.0,6902.0,1035.3,6902.0,30
HCPCS,C1874,STENT VASC 7X100MM 125CM,6902.0,6902.0,1035.3,6902.0,30
HCPCS,C1874,STENT VASC 7X120MM 125CM,7671.0,7671.0,1150.65,7671.0,30
HCPCS,C1874,STENT VASC 7X140MM 125CM,9209.0,9209.0,1381.35,9209.0,30
HCPCS,C1874,STENT VASC 7X16MM 135CM,10409.0,10409.0,1561.35,10409.0,30
HCPCS,C1874,STENT VASC 7X26MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 7X37MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 7X37MM 80CM,9036.0,9036.0,1355.4,9036.0,30
HCPCS,C1874,STENT VASC 7X40MM 125CM,4518.0,4518.0,677.7,4518.0,30
HCPCS,C1874,STENT VASC 7X58MM 135CM,8267.0,8267.0,1240.05,8267.0,30
HCPCS,C1874,STENT VASC 7X60MM 125CM,5749.0,5749.0,862.35,5749.0,30
HCPCS,C1874,STENT VASC 7X80MM 125CM,6902.0,6902.0,1035.3,6902.0,30
HCPCS,C1874,STENT VASC 8FR 7MM 100MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC 8FR 7MM 60MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC 8FR 8MM 60MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC 8MM 80MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC 8X26MM 135CM,9036.0,9036.0,1355.4,9036.0,30
HCPCS,C1874,STENT VASC 8X37MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 8X40MM 125CM,4518.0,4518.0,677.7,4518.0,30
HCPCS,C1874,STENT VASC 8X58MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 8X58MM 80CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 8X60MM 125CM,5749.0,5749.0,862.35,5749.0,30
HCPCS,C1874,STENT VASC 9MM 60MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC 9MM 80MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC 9X38MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC 9X58MM 135CM,9228.0,9228.0,1384.2,9228.0,30
HCPCS,C1874,STENT VASC COVRD 8X100MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC COVRD 8X60MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC COVRD 9X60MM,8652.0,8652.0,1297.8,8652.0,30
HCPCS,C1874,STENT VASC SYN 40X32X165,60667.0,60667.0,9100.05,60667.0,30
HCPCS,C1874,STNT TRCHBR 7FR 7X38MM,10725.0,10725.0,1608.75,10725.0,30
HCPCS,C1874,STNT TRCHBR 7FR 7X59MM,11297.0,11297.0,1694.55,11297.0,30
HCPCS,C1874,SYSTEM COR STNT 5X26MM,13958.0,13958.0,2093.7,13958.0,30
HCPCS,C1876,GRAFT EVAS 22FR 30X95MM,49985.0,49985.0,7497.75,49985.0,30
HCPCS,C1876,GRAFT EVAS 22FR 32X95MM,57577.0,57577.0,8636.55,57577.0,30
HCPCS,C1876,GRAFT VASC 30MM,14189.0,14189.0,2128.35,14189.0,30
HCPCS,C1876,STEN BIL 6X150MM 130CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT AORT TAP 28MM 40MM,111121.0,111121.0,16668.15,111121.0,30
HCPCS,C1876,STENT AORT TAP 32MM 55MM,111121.0,111121.0,16668.15,111121.0,30
HCPCS,C1876,STENT AORTIC 28MM 40MM,111121.0,111121.0,16668.15,111121.0,30
HCPCS,C1876,STENT AORTIC 32MM 55MM,96125.0,96125.0,14418.75,96125.0,30
HCPCS,C1876,STENT BIL 10MM 40MM,7199.0,7199.0,1079.85,7199.0,30
HCPCS,C1876,STENT BIL 10X100MM 125CM,4385.5,4385.5,657.83,4385.5,30
HCPCS,C1876,STENT BIL 10X40MM,6912.0,6912.0,1013.25,7069.0,60
HCPCS,C1876,STENT BIL 10X60MM,6912.0,6912.0,1013.25,7069.0,60
HCPCS,C1876,STENT BIL 10X80MM,6755.0,6755.0,1013.25,6755.0,30
HCPCS,C1876,STENT BIL 12MM 26MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 12MM 36MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 12X30MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT BIL 4MM 12MM,4476.5,4476.5,671.48,4476.5,30
HCPCS,C1876,STENT BIL 4MM 15MM,4476.5,4476.5,671.48,4476.5,30
HCPCS,C1876,STENT BIL 5.0MM 12MM,4476.5,4476.5,671.48,4476.5,30
HCPCS,C1876,STENT BIL 5.0MM 15MM,4459.0,4459.0,668.85,4459.0,30
HCPCS,C1876,STENT BIL 5.0MM 18MM,4459.0,4459.0,668.85,4459.0,30
HCPCS,C1876,STENT BIL 5X100MM 120CM,4385.0,4385.0,657.75,4385.0,30
HCPCS,C1876,STENT BIL 5X120MM 120CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 5X60MM 120CM,4385.0,4385.0,657.75,4385.0,30
HCPCS,C1876,STENT BIL 6.0MM 12MM,4476.5,4476.5,671.48,4476.5,30
HCPCS,C1876,STENT BIL 6.0MM 15MM,4459.0,4459.0,668.85,4459.0,30
HCPCS,C1876,STENT BIL 6.0MM 18MM,4459.0,4459.0,668.85,4459.0,30
HCPCS,C1876,STENT BIL 6FR 10MM 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 10MM 37MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 10MM 57MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 5MM 15MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 5MM 17MM,5162.0,5162.0,774.3,5162.0,30
HCPCS,C1876,STENT BIL 6FR 6MM 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 6MM 18MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 7MM 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 7MM 37MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 7MM 57MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 8MM 17MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 8MM 37MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6FR 8MM 57MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6X100MM 120CM,4385.0,4385.0,657.75,4385.0,30
HCPCS,C1876,STENT BIL 6X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 6X60MM 120CM,4385.0,4385.0,657.75,4385.0,30
HCPCS,C1876,STENT BIL 6X80MM 120CM,4385.0,4385.0,657.75,4385.0,30
HCPCS,C1876,STENT BIL 7.0MM 15MM,4459.0,4459.0,668.85,4459.0,30
HCPCS,C1876,STENT BIL 7FR 4MM 19MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 7FR 9MM 25MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 7FR 9MM 37MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 7FR 9MM 57MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 7MM 18MM,4459.0,4459.0,668.85,4459.0,30
HCPCS,C1876,STENT BIL 7X100MM 120CM,4385.0,4385.0,657.75,4385.0,30
HCPCS,C1876,STENT BIL 7X100MM 125CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT BIL 7X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 7X36M 135CM,4288.0,4288.0,643.2,4288.0,30
HCPCS,C1876,STENT BIL 7X57MM 80CM,4288.0,4288.0,643.2,4288.0,30
HCPCS,C1876,STENT BIL 8FR 10X100MM,7199.0,7199.0,1079.85,7199.0,30
HCPCS,C1876,STENT BIL 8FR 10X60MM,7199.0,7199.0,1079.85,7199.0,30
HCPCS,C1876,STENT BIL 8FR 10X80MM,7308.0,7308.0,1096.2,7308.0,30
HCPCS,C1876,STENT BIL 8X100MM 125CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 8X120MM 125CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT BIL 8X26MM 135CM,4288.0,4288.0,643.2,4288.0,30
HCPCS,C1876,STENT CAROTID 6X30MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1876,STENT CAROTID SYS 6X40MM,9421.0,9421.0,1413.15,9421.0,60
HCPCS,C1876,STENT CAROTID SYS 7X30MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1876,STENT CAROTID SYS 7X40MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1876,STENT CAROTID SYS 8X30MM,9421.0,9421.0,1413.15,9421.0,60
HCPCS,C1876,STENT CAROTID SYS 8X40MM,9421.0,9421.0,1413.15,9421.0,60
HCPCS,C1876,STENT CAROTID SYS 9X30MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1876,STENT CAROTID SYS 9X40MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1876,STENT CARTID SYS 10X30MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1876,STENT CARTID SYS 10X40MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1876,STENT CLN 22X60MM 270CM,10885.0,10885.0,1632.75,10885.0,30
HCPCS,C1876,STENT CLN 22X90MM 270CM,10885.0,10885.0,1632.75,10885.0,30
HCPCS,C1876,STENT CLN 25X60MM 270CM,10885.0,10885.0,1632.75,10885.0,30
HCPCS,C1876,STENT CLN 25X90MM 270CM,10885.0,10885.0,1632.75,10885.0,30
HCPCS,C1876,STENT COR RX 4X15MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT COR RX 4X18MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT CTD 10MM 40MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1876,STENT CTD 7MM 30MM,5191.0,5191.0,778.65,5191.0,30
HCPCS,C1876,STENT CTD 8MM 30MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1876,STENT CTD 8MM 40MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1876,STENT CTD 9MM 40MM,5980.0,5980.0,897.0,5980.0,30
HCPCS,C1876,STENT DUODENAL 22MM 60MM,10885.0,10885.0,1632.75,10885.0,30
HCPCS,C1876,STENT DUODENAL 22MM 90MM,10885.0,10885.0,1632.75,10885.0,30
HCPCS,C1876,STENT DUODENAL 22X120MM,10885.0,10885.0,1632.75,10885.0,30
HCPCS,C1876,STENT ENDOPROSTH 90X14MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT EPRSTH 10MM 24MM,7498.0,7498.0,1124.7,7498.0,30
HCPCS,C1876,STENT EPRSTH 10MM 31MM,7498.0,7498.0,1124.7,7498.0,30
HCPCS,C1876,STENT EPRSTH 10MM 37MM,7498.0,7498.0,1124.7,7498.0,30
HCPCS,C1876,STENT EPRSTH 6MM 22MM,7498.0,7498.0,1124.7,7498.0,30
HCPCS,C1876,STENT EPRSTH 8MM 21MM,7498.0,7498.0,1124.7,7498.0,30
HCPCS,C1876,STENT EPRSTH 8MM 29MM,7498.0,7498.0,1124.7,7498.0,30
HCPCS,C1876,STENT EPRSTH 8MM 36MM,7498.0,7498.0,1124.7,7498.0,30
HCPCS,C1876,STENT ESPH 18-23MM 10CM,6411.5,6411.5,926.85,6644.0,60
HCPCS,C1876,STENT ESPH 18-23MM 15CM,6644.0,6644.0,996.6,6644.0,60
HCPCS,C1876,STENT GFT EVAS 38X100MM,57577.0,57577.0,8636.55,57577.0,30
HCPCS,C1876,STENT GRT EVAS 36X100MMM,57577.0,57577.0,8636.55,57577.0,30
HCPCS,C1876,STENT GRT EVAS 36X145MM,70643.0,70643.0,10596.45,70643.0,30
HCPCS,C1876,STENT GRT EVAS 42X195MM,70643.0,70643.0,10596.45,70643.0,30
HCPCS,C1876,STENT ILAC 6X80MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT ILIOFEM 10X100MM,5480.0,5480.0,822.0,5480.0,30
HCPCS,C1876,STENT ILIOFEM 10X150MM,5407.0,5407.0,811.05,5407.0,30
HCPCS,C1876,STENT ILIOFEM 10X60MM,5069.0,5069.0,760.35,5069.0,30
HCPCS,C1876,STENT ILIOFEM 12X100MM,5480.0,5480.0,822.0,5480.0,30
HCPCS,C1876,STENT ILIOFEM 12X150MM,5407.0,5407.0,811.05,5407.0,30
HCPCS,C1876,STENT ILIOFEM 14X120MM,5480.0,5480.0,822.0,5480.0,30
HCPCS,C1876,STENT ILIOFEM 14X150MM,5845.0,5845.0,876.75,5845.0,30
HCPCS,C1876,STENT ILIOFEM 14X60MM,5069.0,5069.0,760.35,5069.0,30
HCPCS,C1876,STENT ILIOFEM 14X80MM,5069.0,5069.0,760.35,5069.0,30
HCPCS,C1876,STENT ILIOFEM 16X120MM,5480.0,5480.0,822.0,5480.0,30
HCPCS,C1876,STENT ILIOFEM 16X150MM,5407.0,5407.0,811.05,5407.0,30
HCPCS,C1876,STENT ILIOFEM 16X60MM,5069.0,5069.0,760.35,5069.0,30
HCPCS,C1876,STENT ILIOFEM 16X80MM,5480.0,5480.0,822.0,5480.0,30
HCPCS,C1876,STENT ILIOFEM 18X150MM,5845.0,5845.0,876.75,5845.0,30
HCPCS,C1876,STENT ILIOFEM 18X60MM,5069.0,5069.0,760.35,5069.0,30
HCPCS,C1876,STENT INTRCR 3.0MM 15MM,27040.0,27040.0,4056.0,27040.0,30
HCPCS,C1876,STENT INTRCR 3.0MM 24MM,31908.0,31908.0,4786.2,31908.0,30
HCPCS,C1876,STENT INTRCR 4.0MM 21MM,31908.0,31908.0,4786.2,31908.0,30
HCPCS,C1876,STENT INTRCR 4.5MM 30MM,31908.0,31908.0,4786.2,31908.0,30
HCPCS,C1876,STENT INTRCRAN 3.5X18MM,29863.0,29863.0,4479.45,29863.0,30
HCPCS,C1876,STENT INTRCRAN 3.5X23MM,29863.0,29863.0,4479.45,29863.0,30
HCPCS,C1876,STENT INTRCRAN 4.5X16MM,28789.0,28789.0,4318.35,28789.0,30
HCPCS,C1876,STENT INTRCRAN 4.5X23MM,28789.0,28789.0,4318.35,28789.0,30
HCPCS,C1876,STENT SLFEXP 14X60X75CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT SLFEXP 14X90X75CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT SLFEXP 16X90X75CM,4673.0,4673.0,700.95,4673.0,30
HCPCS,C1876,STENT SLFEXP 18X60X75CM,4673.0,4673.0,700.95,4673.0,30
HCPCS,C1876,STENT SLFEXP 18X90X75CM,4673.0,4673.0,700.95,4673.0,30
HCPCS,C1876,STENT SLFEXP 20X55X75CM,4673.0,4673.0,700.95,4673.0,30
HCPCS,C1876,STENT SLFEXP 20X80X75CM,4673.0,4673.0,700.95,4673.0,30
HCPCS,C1876,STENT TRCHBR 20MM 16FR,6537.0,6537.0,980.55,6537.0,30
HCPCS,C1876,STENT VASC 10-8MM 40MM,7421.0,7421.0,1113.15,7421.0,30
HCPCS,C1876,STENT VASC 10X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT VASC 10X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 10X37MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 10X40MM 120CM,3846.0,3846.0,576.9,3846.0,60
HCPCS,C1876,STENT VASC 10X40MM 80CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 2.5MM 12MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 2.5MM 17MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 2.5MM 22MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 2.5MMX13MM,58446.0,58446.0,8766.9,58446.0,30
HCPCS,C1876,STENT VASC 3.5MM 17MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 3.5MM 22MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 3.5MM 28MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 3MM 18MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 3MM 24MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 4.5MM 21MM,31908.0,31908.0,4786.2,31908.0,30
HCPCS,C1876,STENT VASC 4.5X100MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 4.5X120MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 4.5X60MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 4.5X80MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 4MM 18MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 4MM 21MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 4MM 27MM,26900.0,26900.0,4035.0,26900.0,30
HCPCS,C1876,STENT VASC 5.5MM 150MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 5.5X100M,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 5.5X120MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 5FR 5X10MM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STENT VASC 5FR 5X120MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 5X160MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 5X60MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 5X80MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 6X10MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 6X120MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 6X150MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 6X40MM,3846.0,3846.0,576.9,3846.0,60
HCPCS,C1876,STENT VASC 5FR 6X60MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 6X80MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 7X100MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 7X60MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5FR 7X80MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5X120MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 5X12MM 80CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STENT VASC 5X17MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT VASC 5X20MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 5X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5X37MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 5X40MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 5X57MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6.5MM 150MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6.5MM 80MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6.5X100MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6.5X120MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6.5X60MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6FR 10X80MM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT VASC 6FR 7X150MM,4872.0,4872.0,730.8,4872.0,30
HCPCS,C1876,STENT VASC 6FR 7X60MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6FR 7X80MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6FR 8X40MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6FR 8X60MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6FR 8X80MM,3846.0,3846.0,576.9,3846.0,60
HCPCS,C1876,STENT VASC 6FR 9X80MM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6MM 40MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6MM 80MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6X100MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6X100MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X10MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X120MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X120MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X12MM 80CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STENT VASC 6X150MM 120CM,4137.5,4137.5,576.9,4429.0,60
HCPCS,C1876,STENT VASC 6X150MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X17MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT VASC 6X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X27MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT VASC 6X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X30MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 6X37MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X40MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X40MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 6X40MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X57MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X60MM,5383.0,5383.0,807.45,5383.0,30
HCPCS,C1876,STENT VASC 6X60MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X60MM 135CM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1876,STENT VASC 6X60MM 200XM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X80MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 6X80MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7MM 30MM,8421.0,8421.0,1113.15,9421.0,60
HCPCS,C1876,STENT VASC 7X100MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X100MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X120MM 120CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT VASC 7X120MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X12MM 80CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STENT VASC 7X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT VASC 7X150MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X17MM 135CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STENT VASC 7X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X20MM 135CM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1876,STENT VASC 7X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 7X37MM 135CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STENT VASC 7X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X40MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X40MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 7X40MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X57MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X60MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X60MM 125CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X60MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 7X60MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X80MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 7X80MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8-6MM 40MM,7421.0,7421.0,1113.15,7421.0,30
HCPCS,C1876,STENT VASC 8X100MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X100MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X150MM 120CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1876,STENT VASC 8X17MM 135CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STENT VASC 8X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT VASC 8X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X20MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 8X27MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X27MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT VASC 8X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 8X37MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT VASC 8X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X40MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X40MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X57MM 80CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X60MM 120CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X60MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 8X60MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X60MM 80CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X80MM 125CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 8X80MM 200CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 9-7MM 30MM,7421.0,7421.0,1113.15,7421.0,30
HCPCS,C1876,STENT VASC 9-7MM 40MM,7421.0,7421.0,1113.15,7421.0,30
HCPCS,C1876,STENT VASC 9MM 30MM,7421.0,7421.0,1113.15,7421.0,30
HCPCS,C1876,STENT VASC 9X17MM 135CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STENT VASC 9X17MM 80CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STENT VASC 9X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 9X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 9X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STENT VASC 9X37MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 9X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 9X40MM 135CM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1876,STENT VASC 9X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VASC 9X60MM 125CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VNS 16X60MM 80CM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1876,STENT VNS 16X80MM 80CM,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1876,STENT VSC 10X19MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VSC 10X29MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VSC 10X39MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENT VSC 10X59MM 135CM,3846.0,3846.0,576.9,3846.0,30
HCPCS,C1876,STENTCAROTID SYS 7X40MM,9421.0,9421.0,1413.15,9421.0,30
HCPCS,C1876,STNT BIL 12X20MM 120CM,3823.0,3823.0,573.45,3823.0,30
HCPCS,C1876,STNT GFT THC RLY36X250MM,28838.0,28838.0,4325.7,28838.0,30
HCPCS,C1876,STNT GFT THC RLY38X200MM,28838.0,28838.0,4325.7,28838.0,30
HCPCS,C1876,STNT VASC 10X17MM 135CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1876,STNT VASC 8/6X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STNT VASC 8/6X40MM 135CM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1876,STNT VSC 10/7X30MM 135CM,4980.0,4980.0,747.0,4980.0,30
HCPCS,C1876,STNT VSC 10/7X40MM 135CM,4606.0,4606.0,690.9,4606.0,30
HCPCS,C1877,STENT BIL 10FR 12CM,861.0,861.0,129.15,861.0,30
HCPCS,C1877,STENT BIL 10FR 15CM,861.0,861.0,129.15,861.0,30
HCPCS,C1877,STENT BIL 10FR 5CM,861.0,861.0,129.15,861.0,30
HCPCS,C1877,STENT BIL 10FR 7CM,861.0,861.0,129.15,861.0,30
HCPCS,C1877,STENT BIL 10FR 9CM,861.0,861.0,129.15,861.0,30
HCPCS,C1877,STENT NSL RAIN STD 48MM,1342.0,1342.0,201.3,1342.0,30
HCPCS,C1880,FILTER EMBL NAVALIGN DLV,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1880,FILTER VC KIT 10FR 48MM,5957.0,5957.0,893.55,5957.0,30
HCPCS,C1880,KIT DLV FILTER EMBL FEM,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1880,KIT DLV FILTER EMBL JUG,6865.0,6865.0,1029.75,6865.0,30
HCPCS,C1880,KIT FILTER IVC 5FR 70CM,5537.0,5537.0,830.55,5537.0,30
HCPCS,C1882,CRT DEFIB CARD 51X71MM,61258.0,61258.0,9188.7,61258.0,30
HCPCS,C1882,CRT DEFIB CARD 51X73MM,61258.0,61258.0,9188.7,61258.0,30
HCPCS,C1882,CRT DEFIB CARD 51X74MM,61258.0,61258.0,9188.7,61258.0,30
HCPCS,C1882,CRT DEFIB CARD 71X51X12,57782.0,57782.0,8667.3,57782.0,30
HCPCS,C1882,CRT DEFIB CARD 73X51X13,63248.0,63248.0,9487.2,63248.0,30
HCPCS,C1882,CRT DEFIB CARD DF4,51380.0,51380.0,7707.0,51380.0,30
HCPCS,C1882,CRT DEFIB DDE-DDDR 36J,67318.0,67318.0,10097.7,67318.0,30
HCPCS,C1882,CRT- DEBIFB CARD DF1,62879.0,62879.0,9431.85,62879.0,30
HCPCS,C1882,CRT- DEBIFB CARD DF4,62879.0,62879.0,9431.85,62879.0,30
HCPCS,C1882,CRT-D 5.37X8.18X0.99CM,55690.0,55690.0,8353.5,55690.0,30
HCPCS,C1882,CRT-D 7.70X6.17X0.99CM,57025.0,57025.0,8553.75,57025.0,30
HCPCS,C1882,CRT-D 7.95X6.17X0.99CM,57025.0,57025.0,8553.75,57025.0,30
HCPCS,C1882,CRT-D CRD 2.43X3IN,58043.0,58043.0,8706.45,58043.0,60
HCPCS,C1882,CRT-D CRD 5.37X8.08X0.99,55503.0,55503.0,7791.9,58043.0,210
HCPCS,C1882,CRT-D CRD 5.37X8.18CM,51946.0,51946.0,7791.9,51946.0,30
HCPCS,C1882,CRT-D CRD 5.37X8.18X0.99,55808.5,55808.5,7923.75,57025.0,150
HCPCS,C1882,CRT-D CRD 51X71MM,63248.0,63248.0,9487.2,63248.0,30
HCPCS,C1882,CRT-D CRD DDDR,63248.0,63248.0,9487.2,63248.0,60
HCPCS,C1882,CRT-D CRD MRI DDE-DDDR,67318.0,67318.0,10097.7,67318.0,30
HCPCS,C1882,CRT-D DEFIB 13X51X74MM,67318.0,67318.0,10097.7,67318.0,30
HCPCS,C1882,CRT-D DEFIB 74X51X12,63989.0,63989.0,9598.35,63989.0,30
HCPCS,C1882,CRT-D HF 74X51X12,92035.0,92035.0,13805.25,92035.0,30
HCPCS,C1882,CRT-D HF 74X51X13,92035.0,92035.0,13805.25,92035.0,30
HCPCS,C1882,CRT-D HF-T DF4,37263.0,37263.0,5589.45,37263.0,30
HCPCS,C1882,CRT-D HF-T QP DF4 IS4,42192.0,42192.0,6328.8,42192.0,30
HCPCS,C1882,CRT-D IS4/DF4 75X51X13MM,61258.0,61258.0,9188.7,61258.0,30
HCPCS,C1882,CRT-D VOLUME 36MM,57782.0,57782.0,8667.3,57782.0,60
HCPCS,C1882,CRT-D VOLUME 40MM,60885.5,60885.5,8667.3,63989.0,120
HCPCS,C1882,CRTD XT MRI IS1 DF1,47527.0,47527.0,7129.05,47527.0,30
HCPCS,C1882,CRTD XT MRI IS1 DF4,47527.0,47527.0,7129.05,47527.0,30
HCPCS,C1882,CRTD XT MRI QUAD DF4,47527.0,47527.0,7129.05,47527.0,30
HCPCS,C1882,CRTD XT QUAD MRI DF1,51380.0,51380.0,7707.0,51380.0,30
HCPCS,C1882,ICD DF1 CARD RESYNC,62879.0,62879.0,9431.85,62879.0,30
HCPCS,C1882,ICD MRI IS1 DF1,31575.0,31575.0,4736.25,31575.0,30
HCPCS,C1883,ADAPTER IMPL LEAD PCNG,3093.0,3093.0,463.95,3093.0,30
HCPCS,C1883,ADAPTER LD CHANNEL 10CM,4429.0,4429.0,664.35,4429.0,90
HCPCS,C1883,ADAPTER LD NRSTM IMPL1X4,3683.0,3683.0,552.45,3683.0,30
HCPCS,C1883,ADAPTER PCKT IMPL 2X4,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1883,EXTENSION KIT 20CM STRET,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1883,EXTENSION LD NRSTM 40CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1883,EXTENSION LEAD 30CM,3869.0,3869.0,580.35,3869.0,60
HCPCS,C1883,EXTENSION NRSTM 20CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1883,EXTENSION NRSTM 20CM LD,5758.0,5758.0,863.7,5758.0,30
HCPCS,C1883,EXTENSION NRSTM 40C RSTR,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1883,EXTENSION NRSTM 40CM,4216.0,4216.0,618.45,4309.0,60
HCPCS,C1883,EXTN LD KT 60CM NEURO,4309.0,4309.0,646.35,4309.0,30
HCPCS,C1883,KIT LD ADPT 38MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1883,KIT LEAD PERC EXT 4.32MM,2950.0,2950.0,442.5,2950.0,30
HCPCS,C1883,KIT NURSTMR ITREL PAIN C,3109.0,3109.0,466.35,3109.0,30
HCPCS,C1883,LEAD EXT 25CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1883,LEAD EXT 35CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1883,LEAD EXT 55CM,3765.0,3765.0,564.75,3765.0,30
HCPCS,C1883,LEAD NEURO EXT 25,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1883,LEAD NEURO EXT 40,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1883,LEAD NEURO EXT 51,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1883,LEAD XTN XTRN 40-60,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1883,NEUROSTIM XTN SPN 60CM,3721.0,3721.0,558.15,3721.0,30
HCPCS,C1883,NRSTM IMPL PLS GEN,43298.0,43298.0,6494.7,43298.0,30
HCPCS,C1883,XTN KIT 40 STRCH COIL,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1883,XTN NRSTM PERC 2.16MM,3097.0,3097.0,464.55,3097.0,30
HCPCS,C1884,CATHETER BLN 9FR CRTD PR,7648.5,7648.5,1147.28,7648.5,42
HCPCS,C1884,FILTER EMBL 3MM 320CM,4865.5,4865.5,729.83,4865.5,42
HCPCS,C1884,FILTER EMBL 4MM 320CM,4500.5,4500.5,675.08,4500.5,42
HCPCS,C1884,FILTER EMBL 5MM 320CM,4500.5,4500.5,675.08,4500.5,42
HCPCS,C1884,FILTER EMBL 6MM 320CM,4865.5,4865.5,729.83,4865.5,42
HCPCS,C1884,FILTER EMBL 7MM 320CM,4500.5,4500.5,675.08,4500.5,42
HCPCS,C1884,GWIRE FILTER 5.5MM 190CM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1884,GWIRE FILTER 5.5MM 300CM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1884,SYSTEM EMB 5.0MM 190CM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C1884,SYSTEM EMB 5MM 180CM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1884,SYSTEM EMB 6MM 180CM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1884,SYSTEM EMB 7MM 180CM,5376.75,5376.75,692.1,6139.5,84
HCPCS,C1885,CATH ARTHRCM 2.5X.035IN,13046.0,13046.0,1956.9,13046.0,42
HCPCS,C1885,CATH ATHRCM 1.4MM 150CM,13046.0,13046.0,1956.9,13046.0,42
HCPCS,C1885,CATH ATHRCM 150CM 2MM,16857.5,16857.5,2528.63,16857.5,42
HCPCS,C1885,CATH LASR 4F 0.9MM 150CM,13046.0,13046.0,1956.9,13046.0,42
HCPCS,C1885,CATH LSR TRBO ELB2.3X120,13046.0,13046.0,1956.9,13046.0,42
HCPCS,C1887,CATH ACC .014IN 135CM,2660.5,2660.5,399.07,2660.5,42
HCPCS,C1887,CATH ANG 45D .017IN,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1887,CATH ANGIO .035IN,440.5,440.5,66.08,440.5,42
HCPCS,C1887,CATH ANGIO 4FR 100CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH ANGIO 5F SIM1 100CM,278.5,278.5,41.77,278.5,42
HCPCS,C1887,CATH ANGIO 5F SIM2 100CM,278.5,278.5,41.77,278.5,42
HCPCS,C1887,CATH ANGIO 5FR 100CM,548.75,548.75,48.67,773.0,84
HCPCS,C1887,CATH ANGIO 5FR 125CM,251.5,251.5,37.73,251.5,42
HCPCS,C1887,CATH ANGIO 5FR 65CM,278.5,278.5,41.77,278.5,42
HCPCS,C1887,CATH ANGIO 5FR 80CM,278.5,278.5,41.77,278.5,42
HCPCS,C1887,CATH ANGIO 6FR 100CM,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CATH ANGIO ANG 5FR 65CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH ANGIO C2 5FR 65CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH ANGIO VERT 5F 100CM,247.5,247.5,37.13,247.5,42
HCPCS,C1887,CATH ASAHI CSW135-26N-5,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1887,CATH CV 2.8X2.3F 150X5CM,5622.5,5622.5,843.38,5622.5,42
HCPCS,C1887,CATH DEL 6.5FR 8FR 40CM,3610.0,3610.0,541.5,3610.0,42
HCPCS,C1887,CATH DLV NEURO 115CM,8134.5,8134.5,1220.17,8134.5,42
HCPCS,C1887,CATH DLV SYS 115CM 45TIP,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH GD .014IN 150CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1887,CATH GD .035IN 150CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1887,CATH GD .035IN 200CM,1637.0,1637.0,245.55,1637.0,42
HCPCS,C1887,CATH GD 1.39MM 150CM,1897.0,1897.0,284.55,1897.0,42
HCPCS,C1887,CATH GD 130D 4FR LD,1310.0,1310.0,196.5,1310.0,42
HCPCS,C1887,CATH GD 130D CRV 7.1FR,1650.5,1650.5,247.57,1650.5,42
HCPCS,C1887,CATH GD 135CM 40-60MM,1379.5,1379.5,206.93,1379.5,42
HCPCS,C1887,CATH GD 150CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH GD 2.3FR 150CM,1449.0,1449.0,217.35,1449.0,42
HCPCS,C1887,CATH GD 2.5FR 130CM,3831.0,3831.0,574.65,3831.0,42
HCPCS,C1887,CATH GD 2.6FR 150CM,1514.5,1514.5,227.18,1514.5,42
HCPCS,C1887,CATH GD 2.9FR 135CM,4093.0,4093.0,613.95,4093.0,84
HCPCS,C1887,CATH GD 3.2FR 135CM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C1887,CATH GD 3DRC 100CM 6FR,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD 3DRT 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD 4FR 135CM,1449.0,1449.0,217.35,1449.0,84
HCPCS,C1887,CATH GD 4FR 55CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH GD 4FR 90CM,1514.5,1514.5,227.18,1514.5,42
HCPCS,C1887,CATH GD 4FR LEFT HEART,1310.0,1310.0,196.5,1310.0,42
HCPCS,C1887,CATH GD 5.1FR 150CM,4144.5,4144.5,621.67,4144.5,42
HCPCS,C1887,CATH GD 5.5FR 0.051IN,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH GD 5.5FR 150CM,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH GD 5.7FR 150CM,4144.5,4144.5,621.67,4144.5,42
HCPCS,C1887,CATH GD 50CM 9F,2275.5,2275.5,341.32,2275.5,42
HCPCS,C1887,CATH GD 50CM 9FR 7.2FR,1870.5,1870.5,280.57,1870.5,42
HCPCS,C1887,CATH GD 5FR 100CM,605.0,605.0,90.75,605.0,210
HCPCS,C1887,CATH GD 5FR 125CM,6688.0,6688.0,1003.2,6688.0,42
HCPCS,C1887,CATH GD 5FR 135CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1887,CATH GD 6.0FR 0.056IN,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH GD 6.5FR 100CM,1064.5,1064.5,159.68,1064.5,126
HCPCS,C1887,CATH GD 65CM 2.4X1.9MM,2005.5,2005.5,300.82,2005.5,42
HCPCS,C1887,CATH GD 6F RDC 55CM,618.5,618.5,92.78,618.5,42
HCPCS,C1887,CATH GD 6FR,824.0,824.0,123.6,824.0,42
HCPCS,C1887,CATH GD 6FR .071IN 100MM,5091.5,5091.5,763.73,5091.5,42
HCPCS,C1887,CATH GD 6FR .071IN 105MM,5091.5,5091.5,763.73,5091.5,42
HCPCS,C1887,CATH GD 6FR 100CM,630.5,630.5,85.8,778.0,1680
HCPCS,C1887,CATH GD 6FR 100CM FL4,572.0,572.0,85.8,572.0,42
HCPCS,C1887,CATH GD 6FR 110CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD 6FR 125CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1887,CATH GD 6FR 125MM,1238.0,1238.0,185.7,1238.0,42
HCPCS,C1887,CATH GD 6FR 150CM,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH GD 6FR 55CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH GD 6R 55CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH GD 7.1FR 65CM,1310.0,1310.0,196.5,1310.0,42
HCPCS,C1887,CATH GD 7.1X5.7FR 65CM,2005.5,2005.5,300.82,2005.5,42
HCPCS,C1887,CATH GD 7.2FR 50CM,1870.5,1870.5,280.57,1870.5,42
HCPCS,C1887,CATH GD 7.5FR 100CM,1064.5,1064.5,159.68,1064.5,126
HCPCS,C1887,CATH GD 7FR 100CM,605.0,605.0,90.75,605.0,126
HCPCS,C1887,CATH GD 7FR 150CM,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH GD 7FR 25CM,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH GD 7FR 3DRC 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD 7FR 42CM,3610.0,3610.0,541.5,3610.0,42
HCPCS,C1887,CATH GD 7FR 43CM,1560.0,1560.0,234.0,1560.0,42
HCPCS,C1887,CATH GD 7FR 60CM,1228.0,1228.0,184.2,1228.0,84
HCPCS,C1887,CATH GD 7FR 69CM,3610.0,3610.0,541.5,3610.0,126
HCPCS,C1887,CATH GD 7FR 70CM,1244.5,1244.5,186.68,1244.5,42
HCPCS,C1887,CATH GD 8.4FR 45CM,2355.0,2355.0,353.25,2355.0,42
HCPCS,C1887,CATH GD 8F ID.087IN 90CM,8416.0,8416.0,1262.4,8416.0,42
HCPCS,C1887,CATH GD 8FR 100CM,714.0,714.0,107.1,714.0,210
HCPCS,C1887,CATH GD 8FR 90CM,714.0,714.0,88.13,773.0,294
HCPCS,C1887,CATH GD 90D 150CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH GD 90D CRV 7.1FR,1650.5,1650.5,247.57,1650.5,42
HCPCS,C1887,CATH GD 95CM 6FR,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1887,CATH GD 9FR,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1887,CATH GD 9FR 45CM,2521.25,2521.25,341.32,2767.0,252
HCPCS,C1887,CATH GD 9FR 50CM,1672.0,1672.0,221.03,1870.5,84
HCPCS,C1887,CATH GD 9FR 90CM,871.5,871.5,130.72,871.5,42
HCPCS,C1887,CATH GD 9FR ATTAIN CMND,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1887,CATH GD AL1 6FR 100CM,666.25,666.25,92.78,714.0,84
HCPCS,C1887,CATH GD AL1 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD AL1 8FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD AL2 6FR 100CM,640.0,640.0,94.58,649.5,84
HCPCS,C1887,CATH GD AL2 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD AL2 CRV 5F.056IN,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD AL3 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD AL3.5 7FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD ALR1 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD ALR1 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD ALR1.2 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD ALR2 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD ALR2 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD ANGL.035IN 135CM,1310.0,1310.0,196.5,1310.0,42
HCPCS,C1887,CATH GD AR1 7FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD AR1 8FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD AR1SH 7FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD ATTAIN XTND HK,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1887,CATH GD BALLOON 8F CELLO,5408.0,5408.0,811.2,5408.0,42
HCPCS,C1887,CATH GD BALLOON 9F 920MM,5175.0,5175.0,776.25,5175.0,42
HCPCS,C1887,CATH GD BLUYLW 100CM 5FR,596.25,596.25,88.13,605.0,84
HCPCS,C1887,CATH GD BLUYLW 90CM6F.07,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CATH GD CHMP2 6FR 100CM,743.5,743.5,107.1,773.0,84
HCPCS,C1887,CATH GD EB3.75 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD EB3.75 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD EBU3 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD EBU3.5 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD EBU3.5 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD EBU4 6FR 100CM,743.5,743.5,107.1,773.0,84
HCPCS,C1887,CATH GD EBU4 7FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD ECR3.5 6FR 100CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH GD ECR4 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD ERADL 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD ERADLT 6FR 100CM,649.5,649.5,97.42,649.5,42
HCPCS,C1887,CATH GD ERADR 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD ERADRS 6FR 100CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH GD ERADST 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD HSI 7FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD HSII 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD IMA 6FR 55CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD IMA 6FR 90CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD IMA 7FR 55CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD IMA 7FR 90CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD INFS 2.8FR 15CM,6119.5,6119.5,917.92,6119.5,42
HCPCS,C1887,CATH GD JL3.5 8FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD JL4 6FR 100CM,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CATH GD JL4 7FR 100CM,605.0,605.0,90.75,605.0,84
HCPCS,C1887,CATH GD JL5 7FR 100CM,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CATH GD JR3.5 8FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD JR4 6FR 100CM,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CATH GD JR4 7FR 100CM,605.0,605.0,90.75,605.0,84
HCPCS,C1887,CATH GD JR4 8FR 100CM,605.0,605.0,90.75,605.0,84
HCPCS,C1887,CATH GD JR5 6FR 100CM,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CATH GD LCB 7FR 100CM,659.5,659.5,90.75,714.0,84
HCPCS,C1887,CATH GD LG 9FR 58CM,3030.5,3030.5,454.57,3030.5,42
HCPCS,C1887,CATH GD LG XLNG 9FR 65CM,3030.5,3030.5,454.57,3030.5,42
HCPCS,C1887,CATH GD MB1 6FR 100CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH GD MB1 7FR 100CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH GD MB2 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD MD 9FR 58CM,3030.5,3030.5,454.57,3030.5,42
HCPCS,C1887,CATH GD MD XLNG 9FR 65CM,3030.5,3030.5,454.57,3030.5,42
HCPCS,C1887,CATH GD MIC 135CM,4988.5,4988.5,748.27,4988.5,42
HCPCS,C1887,CATH GD MP1 7FR 110CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD MP1 7FR 55CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD MPA1 7FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD MPA1 8FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD MPB1 6FR 100CM,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CATH GD OD9FR ATN CMND,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1887,CATH GD PCNG 2.5 42CM,3610.0,3610.0,541.5,3610.0,42
HCPCS,C1887,CATH GD PRFSN ATN LH,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1887,CATH GD RADL ACC 6F 95CM,5091.5,5091.5,763.73,5091.5,42
HCPCS,C1887,CATH GD RADL ACC 7F 95CM,5321.0,5321.0,798.15,5321.0,42
HCPCS,C1887,CATH GD RADL ACC 7F100CM,5321.0,5321.0,798.15,5321.0,42
HCPCS,C1887,CATH GD RADL ACC 7F105CM,5321.0,5321.0,798.15,5321.0,42
HCPCS,C1887,CATH GD RBU3.5 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD RBU4 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD RCB 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD RCB 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD RDC 6FR 55CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD RDC 7FR 55CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD SAL.75 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD SAL.75 7FR 100CM,743.5,743.5,107.1,773.0,84
HCPCS,C1887,CATH GD SL4 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD SM 9FR 58CM,3030.5,3030.5,454.57,3030.5,42
HCPCS,C1887,CATH GD SR4 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD SR4 7FR 100CM,681.75,681.75,97.42,714.0,84
HCPCS,C1887,CATH GD STD 6FR 100CM,714.0,714.0,107.1,714.0,294
HCPCS,C1887,CATH GD STD 7FR 100CM,743.5,743.5,107.1,773.0,168
HCPCS,C1887,CATH GD STD 8FR 90CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD STDJL4 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD STDJL4 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD STDJLC 6FR 100CM,714.0,714.0,107.1,714.0,252
HCPCS,C1887,CATH GD STDJLC 7FR 100CM,681.75,681.75,97.42,714.0,168
HCPCS,C1887,CATH GD STDJR4 6FR 100CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD STDJR4 6FR 55CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD STDJR4 7FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD STDJR5 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD STND JR4 5F100CM,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CATH GD VASC 135CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH GD VASC 152CM,11230.0,11230.0,1684.5,11230.0,84
HCPCS,C1887,CATH GD VASC 165CM,4265.5,4265.5,639.83,4265.5,42
HCPCS,C1887,CATH GD VASC 200CM,2824.0,2824.0,423.6,2824.0,42
HCPCS,C1887,CATH GD VASC 5F 118CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH GD VASC 6F 118CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD VASC 6F 90CM,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CATH GD VASC 6FR 100CM,714.0,714.0,107.1,714.0,84
HCPCS,C1887,CATH GD VASC 7FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD VASC 9FR 45CM,2148.75,2148.75,303.3,2275.5,84
HCPCS,C1887,CATH GD VSC 115D 7F 42CM,1743.5,1743.5,261.52,1743.5,42
HCPCS,C1887,CATH GD VSTABR AR1 LBT5F,1238.0,1238.0,185.7,1238.0,42
HCPCS,C1887,CATH GD XB3 7FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD XB3.5 6FR 100CM,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CATH GD XB3.5 7FR 100CM,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CATH GD XB3.5 8FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GD XB4 8FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH GDLINER 6F 2.24X135,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH GLIDE ANGLED 120CM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATH GUIDE 100CM 5FR,618.5,618.5,92.78,618.5,42
HCPCS,C1887,CATH GUIDE 6FR 150CM,3683.5,3683.5,552.52,3683.5,42
HCPCS,C1887,CATH GUIDE EXT 7FR,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH INFS 1.3FR 165X25,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1887,CATH INFS 1.5/2.7F 1.5CM,9183.5,9183.5,1377.53,9183.5,42
HCPCS,C1887,CATH INFS 3.5F 7MM 135CM,3520.0,3520.0,528.0,3520.0,42
HCPCS,C1887,CATH INFS 30CM .040IN,6395.0,6395.0,959.25,6395.0,42
HCPCS,C1887,CATH INTVN 2.4-2.9FR,2537.5,2537.5,380.63,2537.5,42
HCPCS,C1887,CATH INTVN 2.8F 150CM,2537.5,2537.5,380.63,2537.5,42
HCPCS,C1887,CATH INTVN 2.9FR 135CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH INTVN 5FR 135X20CM,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATH INTVN 6.5FR 150CM,4144.5,4144.5,621.67,4144.5,42
HCPCS,C1887,CATH INTVN ANG 2FR 130CM,4429.0,4429.0,664.35,4429.0,42
HCPCS,C1887,CATH LIVER BX G08283,2963.0,2963.0,444.45,2963.0,42
HCPCS,C1887,CATH MED CMND 6250-AM,1473.5,1473.5,221.03,1473.5,42
HCPCS,C1887,CATH MICRO 2.1FR 167CM,5218.5,5218.5,782.77,5218.5,42
HCPCS,C1887,CATH MICRO 2.4FR 130CM,3012.0,3012.0,451.8,3012.0,42
HCPCS,C1887,CATH MICRO VASC 2F 130CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH NEURON 6F 8CM 105CM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1887,CATH NRON DLV STR 12X105,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH PACNG SD RT,3610.0,3610.0,541.5,3610.0,42
HCPCS,C1887,CATH PERI .014IN 130CM,3929.0,3929.0,589.35,3929.0,42
HCPCS,C1887,CATH SPRL 2.9FR 150CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH STR 2.4FR 150X90CM,2701.5,2701.5,405.23,2701.5,42
HCPCS,C1887,CATH SUPP .018IN 150CM,1897.0,1897.0,284.55,1897.0,42
HCPCS,C1887,CATH SUPP 135CM 12MM,1897.0,1897.0,284.55,1897.0,42
HCPCS,C1887,CATH SUPP 2.3FR 150CM,1449.0,1449.0,217.35,1449.0,42
HCPCS,C1887,CATH SUPP 90D XT 130CM,3929.0,3929.0,589.35,3929.0,42
HCPCS,C1887,CATH SUPP 90MM 12CM,1897.0,1897.0,284.55,1897.0,42
HCPCS,C1887,CATH SUPPORT 12MM 65CM,1897.0,1897.0,284.55,1897.0,42
HCPCS,C1887,CATH SUPPORT 12MM 90CM,1897.0,1897.0,284.55,1897.0,42
HCPCS,C1887,CATH THRMB .088IN 100CM,15322.5,15322.5,2298.38,15322.5,42
HCPCS,C1887,CATH THRMB .088IN 103CM,15322.5,15322.5,2298.38,15322.5,42
HCPCS,C1887,CATH THRMB .088IN 110CM,15322.5,15322.5,2298.38,15322.5,42
HCPCS,C1887,CATH VASC 0.060INX132CM,12733.5,12733.5,1910.03,12733.5,42
HCPCS,C1887,CATH VASC 10MCR 150CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,CATH VASC 6FR 55CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH VASC 7 FR 100CM,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CATH VASC 7FR 12.5CM,15322.5,15322.5,2298.38,15322.5,168
HCPCS,C1887,CATH VASC 8FR 12.5CM,15322.5,15322.5,2298.38,15322.5,42
HCPCS,C1887,CATH VASC GD 6FR 118CM,714.0,714.0,107.1,714.0,42
HCPCS,C1887,CATH VASC MCR 5F 130CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1887,CATH VASC STRT 6.0X150CM,5524.5,5524.5,828.67,5524.5,42
HCPCS,C1887,CATHETER GD 100CM 5FR,689.0,689.0,90.75,773.0,84
HCPCS,C1887,CATHETER GD 115CM 5FR,6688.0,6688.0,1003.2,6688.0,42
HCPCS,C1887,CATHETER GD 150CM 6FR,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATHETER GD 6FR 150CM,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CATHETER GD 90D 4FR LD D,1310.0,1310.0,196.5,1310.0,42
HCPCS,C1887,CATHETER GD LF 40CM 8.4,3569.0,3569.0,535.35,3569.0,42
HCPCS,C1887,CATHETER GD MPA1 CRV 6FR,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CATHETER GD STR 8.5-9FR,2275.5,2275.5,341.32,2275.5,42
HCPCS,C1887,CATHETER VASC 160CM,5542.0,5542.0,831.3,5542.0,42
HCPCS,C1887,CATHGD VBT 6X070HSTK 100,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CATHGD XBLADE4 6FR 100CM,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHDX XPO 5F FR6 BX5,160.5,160.5,24.07,160.5,42
HCPCS,C1887,CTHDX XPO 6F FR5 BX5,160.5,160.5,24.07,160.5,42
HCPCS,C1887,CTHGD 6F 100CM M1 FR4,572.0,572.0,85.8,572.0,84
HCPCS,C1887,CTHGD 7F 100CM M1 FL4,572.0,572.0,85.8,572.0,42
HCPCS,C1887,CTHGD 7F 100CM M1 FR4,572.0,572.0,85.8,572.0,42
HCPCS,C1887,CTHGD 7F 100CM M1 FR4.5,572.0,572.0,85.8,572.0,42
HCPCS,C1887,CTHGD 7F 100CM M1 JL4.5,572.0,572.0,85.8,572.0,42
HCPCS,C1887,CTHGD 7F 100CM M1 JR4,572.0,572.0,85.8,572.0,42
HCPCS,C1887,CTHGD 8F 25CM CTD 150CM,3069.5,3069.5,460.43,3069.5,42
HCPCS,C1887,CTHGD 8F 90CM M1 AL.75,572.0,572.0,85.8,572.0,84
HCPCS,C1887,CTHGD 8F 90CM M1 AL1,572.0,572.0,85.8,572.0,84
HCPCS,C1887,CTHGD 8F 90CM M1 JR3.5,572.0,572.0,85.8,572.0,84
HCPCS,C1887,CTHGD ATTN CMND 9F EH,2275.5,2275.5,341.32,2275.5,42
HCPCS,C1887,CTHGD BRB 6F VBT 100,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD CLS3.5 7FR 0.081IN,572.0,572.0,85.8,572.0,42
HCPCS,C1887,CTHGD VB78 7F HSSH,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 6F 070 AL3 100,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT 6F 070 IM 100,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT 6F 070 JL4 100,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT 6F 070 JR4 55,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CTHGD VBT 6F 070 LCB 100,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT 6F 070 RCB 100,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT 6FR VB1 100CM,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT 6X070 3DRC,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT 6X070JL4.5 100,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT 7F 078 AL2 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7F 078 AR2,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7F 078 IM 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7F 078 IM 90,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 7F 078 JL4 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7F 078 RDC1 55,773.0,773.0,115.95,773.0,42
HCPCS,C1887,CTHGD VBT 7F 078 XB3 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7F 078 XB3.5SH,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7F 078 XB4 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7F 078 XBLD4SH,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 7X078AL2SH 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7X078AR2SH 100,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 7X078JL3.5 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7X078LCBSH 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 7X078XB4SH 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8F 088 AL1 90,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8F 088 AL2 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8F 088 AL2 90,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8F 088 AR2 100,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 8F 088 JL4 90,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 8F 088 JR3.5SH,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8F 088 JR4 90,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 8F 088 XB3 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8F 088 XB3.5SH,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8FX088JR4SH 90,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 8X088AL.75 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8X088AR1SH 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8X088AR2SH 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT 8X088MPA1SH100,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 8X088XB3SH 100,587.5,587.5,88.13,587.5,42
HCPCS,C1887,CTHGD VBT 8X088XB4SH 100,605.0,605.0,90.75,605.0,42
HCPCS,C1887,CTHGD VBT6F070 XBLD3.5SH,630.5,630.5,94.58,630.5,42
HCPCS,C1887,CTHGD VBT7F078 XBLD3.5SH,605.0,605.0,90.75,605.0,42
HCPCS,C1887,DEVICE CATH GD 12X106CM,15322.5,15322.5,2298.38,15322.5,42
HCPCS,C1887,DEVICE CATH GD 18X106CM,13788.0,13788.0,2068.2,13788.0,42
HCPCS,C1887,DEVICE CATH GD 30X106CM,13788.0,13788.0,2068.2,13788.0,42
HCPCS,C1887,DEVICE CATH GD 40X106CM,11937.0,11937.0,1790.55,11937.0,42
HCPCS,C1887,DEVICE CATH GD 40X135CM,14801.0,14801.0,2220.15,14801.0,42
HCPCS,C1887,DEVICE CATH GD 50X106CM,13788.0,13788.0,2068.2,13788.0,42
HCPCS,C1887,DEVICE CATH GD 50X135CM,13788.0,13788.0,2068.2,13788.0,42
HCPCS,C1887,GUIDE STENT DISP 270MM,773.0,773.0,115.95,773.0,42
HCPCS,C1887,KIT CATH VASC 8.5F 40CM,5397.5,5397.5,809.63,5397.5,42
HCPCS,C1887,KIT MCTH PRLD 10CM 135CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,MCTH 150CM 2.62FR,5524.5,5524.5,828.67,5524.5,42
HCPCS,C1887,MCTH INFS 10CM 135CM,2279.0,2279.0,341.85,2279.0,42
HCPCS,C1887,MCTH INFS 2.4FR 130CM,4092.5,4092.5,613.88,4092.5,42
HCPCS,C1887,MCTH INFS 3-2.4FR 130CM,2423.0,2423.0,363.45,2423.0,42
HCPCS,C1887,SET CATH NDL GD 16FR,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1887,SHEATH GD 149CM 6FR,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1887,SHEATH GD 5FR 45CM,952.0,952.0,142.8,952.0,42
HCPCS,C1887,SHEATH GD 6FR 105CM,2234.5,2234.5,335.18,2234.5,42
HCPCS,C1887,SHEATH GD 6FR 119CM,2234.5,2234.5,335.18,2234.5,42
HCPCS,C1887,SHEATH GD STR 75CM 6FR,2234.5,2234.5,335.18,2234.5,42
HCPCS,C1887,SHEATH GD STR 85CM 6FR,2234.5,2234.5,335.18,2234.5,42
HCPCS,C1887,SYSTEM DLV CATH 1 CLIP,163712.0,163712.0,24556.8,163712.0,30
HCPCS,C1888,CTHABL HALO-360 22,10053.0,10053.0,1507.95,10053.0,42
HCPCS,C1888,CTHABL HALO-360 25,10053.0,10053.0,1507.95,10053.0,42
HCPCS,C1888,CTHABL HALO-360 28,10053.0,10053.0,1507.95,10053.0,42
HCPCS,C1888,CTHABL HALO-360 31,10053.0,10053.0,1507.95,10053.0,42
HCPCS,C1892,ADAPTER INTRO SEAL 9FR,560.5,560.5,84.08,560.5,42
HCPCS,C1892,INTRDCR PEELAWAY14 38 30,773.0,773.0,115.95,773.0,42
HCPCS,C1892,INTRDCR PEELAWY C PLIP7F,808.5,808.5,121.28,808.5,42
HCPCS,C1892,INTRDCR TWY PED 2FR,451.5,451.5,67.72,451.5,42
HCPCS,C1892,INTRO CATH PLWY 10F 15CM,1376.0,1376.0,206.4,1376.0,42
HCPCS,C1892,INTRO PEEL 15.5CM 20CM,982.5,982.5,147.38,982.5,42
HCPCS,C1892,INTRO PLWY 12F 30,773.0,773.0,115.95,773.0,42
HCPCS,C1892,INTRO SHTH 6FR 13CM,516.0,516.0,77.4,516.0,42
HCPCS,C1892,INTRO SHTH 7FR 13CM,537.5,537.5,80.63,537.5,42
HCPCS,C1892,INTRO SHTH 7FR 15.5CM,773.0,773.0,115.95,773.0,42
HCPCS,C1892,INTRO SHTH 7FR 25CM,657.5,657.5,98.63,657.5,42
HCPCS,C1892,INTRO SHTH 7FR 30CM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1892,INTRO SHTH 9FR 15.5CM,773.0,773.0,115.95,773.0,42
HCPCS,C1892,INTRO SHTH 9FR 50CM,2241.5,2241.5,336.23,2241.5,42
HCPCS,C1892,INTRODUCER SHTH 7FR 13CM,773.0,773.0,115.95,773.0,42
HCPCS,C1892,KIT INS W/CATH SPLMT,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1892,SET INTRO 13CM 5FR,778.0,778.0,116.7,778.0,42
HCPCS,C1892,SHEATH GD 8FR 65CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1892,SHEATH INTRO 10.5FR 13CM,537.5,537.5,80.63,537.5,42
HCPCS,C1892,SHEATH INTRO 16FR 15.5MM,772.5,772.5,115.88,772.5,42
HCPCS,C1892,SHEATH INTRO 16FR 30CM,773.0,773.0,115.95,773.0,42
HCPCS,C1892,SHEATH INTRO 9FR 25CM,657.5,657.5,98.63,657.5,42
HCPCS,C1892,SHTH INTRO LD 40CM,2521.0,2521.0,378.15,2521.0,42
HCPCS,C1892,SHTH INTRO SPLT 9FR 13CM,537.5,537.5,80.63,537.5,42
HCPCS,C1893,DILATOR VASC 8FR 15CM,231.5,231.5,34.73,231.5,42
HCPCS,C1893,INTRO GUID 8.5FR 60CM,1072.5,1072.5,160.88,1072.5,42
HCPCS,C1893,INTRO SHTH 8.5FR 180CM,1424.5,1424.5,213.68,1424.5,42
HCPCS,C1893,INTRO SHTH GD 8.5FR 63CM,1170.75,1170.75,160.88,1269.0,84
HCPCS,C1893,INTRODUCE TRNSF 60CM 8FR,870.0,870.0,130.5,870.0,42
HCPCS,C1893,KIT CARDIAC CATHETER,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1893,SHEATH WIRE 45D 63CM,4962.5,4962.5,744.38,4962.5,84
HCPCS,C1894,CATH GD 5FR 320CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,CATH GD 6.5MM 105MM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C1894,CATH MOD NOVY CP 5F 35MM,1833.5,1833.5,275.02,1833.5,42
HCPCS,C1894,CTHGD 6F 320 CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,DEVICE BRSTBIO 12GA,231.5,231.5,34.73,231.5,42
HCPCS,C1894,DILATOR VASC 230CM,5090.5,5090.5,763.58,5090.5,84
HCPCS,C1894,FLEX SHEATH 10FR .038X30,773.0,773.0,115.95,773.0,42
HCPCS,C1894,GWIRE VASC 210CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,INRO SHTH ACCESS 180J,5090.5,5090.5,763.58,5090.5,42
HCPCS,C1894,INRO SHTH ACCESS 180P,5090.5,5090.5,763.58,5090.5,42
HCPCS,C1894,INTO SHTH 12FR 45CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTR0 PLWY 8FR 15.5CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRCR SHTH 23FR 55.7CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1894,INTRDCR SHTH 8F 7CM WOGW,213.0,213.0,31.95,213.0,42
HCPCS,C1894,INTRDCR SHTH 9F25CM WOGW,290.5,290.5,43.58,290.5,42
HCPCS,C1894,INTRDCR SHTH 9FR 45CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO 10FR SHTH,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1894,INTRO CATH 12FR 13CM,757.5,757.5,113.63,757.5,42
HCPCS,C1894,INTRO CATH 14FR 30CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO CATH 24FR 25CM,2936.0,2936.0,440.4,2936.0,42
HCPCS,C1894,INTRO CATH 5FR 90CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,INTRO CATH 6FR 55CM,703.5,703.5,105.53,703.5,42
HCPCS,C1894,INTRO CATH CKFL 20F 25CM,2938.5,2938.5,440.77,2938.5,42
HCPCS,C1894,INTRO CATH PTFE 14FR,1376.0,1376.0,206.4,1376.0,42
HCPCS,C1894,INTRO CATH PTFE 7FR,3168.0,3168.0,475.2,3168.0,42
HCPCS,C1894,INTRO CATH PTFE 8FR 15CM,1437.0,1437.0,215.55,1437.0,42
HCPCS,C1894,INTRO CATH PTFR 5FR PERC,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,INTRO SHEATH 10FR 33CM,4181.5,4181.5,515.7,4385.5,168
HCPCS,C1894,INTRO SHEATH 12FR 45CM,4101.5,4101.5,615.23,4101.5,42
HCPCS,C1894,INTRO SHEATH 14FR 65CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1894,INTRO SHEATH 15FR 33CM,3438.0,3438.0,515.7,3438.0,42
HCPCS,C1894,INTRO SHEATH 16FR 33CM,3438.0,3438.0,515.7,3438.0,42
HCPCS,C1894,INTRO SHEATH 18FR 33CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1894,INTRO SHEATH 18FR 65CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1894,INTRO SHEATH 20FR 33CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1894,INTRO SHEATH 22FR 33CM,4093.0,4093.0,613.95,4093.0,84
HCPCS,C1894,INTRO SHEATH 24FR 33CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1894,INTRO SHEATH 24FR 65CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1894,INTRO SHEATH 26FR 33CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1894,INTRO SHEATH 26FR 65CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1894,INTRO SHTH 10FR 40CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH 10FR 45CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH 11FR 10CM,231.5,231.5,34.73,231.5,84
HCPCS,C1894,INTRO SHTH 11FR 11CM,185.0,185.0,27.75,185.0,42
HCPCS,C1894,INTRO SHTH 12FR 4.1MM 80,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH 12FR 63CM TIP,778.0,778.0,116.7,778.0,42
HCPCS,C1894,INTRO SHTH 14FR 12CM,250.5,250.5,37.58,250.5,42
HCPCS,C1894,INTRO SHTH 16FR 42CM,941.5,941.5,141.22,941.5,42
HCPCS,C1894,INTRO SHTH 17FR 45CM,2742.0,2742.0,411.3,2742.0,42
HCPCS,C1894,INTRO SHTH 18FR 30CM,941.5,941.5,141.22,941.5,42
HCPCS,C1894,INTRO SHTH 22FR 20X13CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH 24FR 33CM,3683.5,3683.5,552.52,3683.5,42
HCPCS,C1894,INTRO SHTH 5F 40X11CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH 5FR 25CM,464.0,464.0,69.6,464.0,42
HCPCS,C1894,INTRO SHTH 6F 110CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,INTRO SHTH 6F 21G 80CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH 6F LNG 90CM,3724.5,3724.5,558.67,3724.5,42
HCPCS,C1894,INTRO SHTH 6FR 10CM,231.5,231.5,34.73,231.5,42
HCPCS,C1894,INTRO SHTH 7FR 55CM,703.5,703.5,105.53,703.5,42
HCPCS,C1894,INTRO SHTH 7FR 80X23CM,748.5,748.5,112.28,748.5,42
HCPCS,C1894,INTRO SHTH 9FR 45CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH ANSL 6FR 55CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH ANSL 8FR 55CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH GD 6FR 45CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH NT/PD 6F 11CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRO SHTH PNCL R/O,464.0,464.0,69.6,464.0,42
HCPCS,C1894,INTRODCR CATH 15CM 8FR,923.5,923.5,138.53,923.5,42
HCPCS,C1894,INTRODUCER SHEATH 6FR,213.0,213.0,31.95,213.0,42
HCPCS,C1894,INTRODUCER SHTH 11GA 15C,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,INTRODUCER SHTH 16F 45CM,1008.0,1008.0,151.2,1008.0,42
HCPCS,C1894,INTRODUCER SHTH 25CM 6FR,290.5,290.5,43.58,290.5,42
HCPCS,C1894,INTRODUCER SHTH 6FR 23CM,355.5,355.5,53.33,355.5,42
HCPCS,C1894,INTRODUCER SHTH 6FR 90CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,INTRODUCER SHTH 7FR 55CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRODUCER SHTH 7FR 70CM,859.5,859.5,128.93,859.5,42
HCPCS,C1894,INTRODUCER SHTH 7FR 7CM,213.0,213.0,31.95,213.0,42
HCPCS,C1894,INTRODUCER SHTH 7FR 90CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,INTRODUCER VASC 14F 45CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,INTRODUCR 16X20F17X20CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,INTROSHTH 8F .038IN 10CM,231.5,231.5,34.73,231.5,42
HCPCS,C1894,KIT CAROTID EMBLC PRTCT,19098.5,19098.5,2864.78,19098.5,42
HCPCS,C1894,KIT CATH 20GA 3FR,552.0,552.0,82.8,552.0,42
HCPCS,C1894,KIT GWIRE .018IN 60CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,KIT INTRO 16CM 5FR 21GA,773.0,773.0,115.95,773.0,42
HCPCS,C1894,KIT INTRO 25FR 30CM,3400.5,3400.5,510.07,3400.5,42
HCPCS,C1894,KIT INTRO 25FR 50CM,2455.5,2455.5,368.32,2455.5,42
HCPCS,C1894,KIT INTRO 8.5FR 10CM,770.0,770.0,115.5,770.0,42
HCPCS,C1894,KIT INTRO 80CM 4FR 21GA,463.0,463.0,69.45,463.0,42
HCPCS,C1894,KIT INTRO CATH 7FR 11CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,KIT INTRO GW 6FR 50CM,642.5,642.5,96.38,642.5,42
HCPCS,C1894,KIT INTRO SHTH 7FR 10CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,KIT INTVN TRANSCAROTID,17128.5,17128.5,2569.28,17128.5,42
HCPCS,C1894,KIT LEAD INTRO NEURO,2144.5,2144.5,321.68,2144.5,42
HCPCS,C1894,KIT MINTRDCR 4FR 10CM,344.0,344.0,51.6,344.0,42
HCPCS,C1894,KIT MINTRDCR 5FR 10CM,299.5,299.5,38.25,344.0,168
HCPCS,C1894,KIT MINTRDCR 5FR 45CM,344.0,344.0,51.6,344.0,42
HCPCS,C1894,KIT MINTRDCR 7CM 21GA ND,1187.0,1187.0,178.05,1187.0,42
HCPCS,C1894,KT INTRO SHTH 6FR 10CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,LEAD REVISION ACCESSORY,2865.0,2865.0,429.75,2865.0,42
HCPCS,C1894,SET DILATION SHEATH 6FR,505.0,505.0,75.75,505.0,42
HCPCS,C1894,SET DILATOR SHTH 24-30FR,1389.5,1389.5,208.43,1389.5,42
HCPCS,C1894,SET GW HKL 38.8X10X16 TR,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1894,SET INTR 70CM 16FR 20-35,2597.5,2597.5,389.63,2597.5,42
HCPCS,C1894,SET INTRO 14FR 13CM,680.0,680.0,102.0,680.0,42
HCPCS,C1894,SET INTRO 4FR 10CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,SET INTRO SHTH 6FR 24CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,SET INTRO SHTH 6FR 45CM,970.5,970.5,145.57,970.5,42
HCPCS,C1894,SET INTRO SHTH 7FR 45CM,972.5,972.5,145.88,972.5,42
HCPCS,C1894,SET INTRO SHTH 7FR 65CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,SET INTRO SHTH 8FR 24CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,SET INTRO SHTH 8FR 45CM,890.5,890.5,133.57,890.5,42
HCPCS,C1894,SET INTRO SHTH 8FR 65CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,SET SHTH URT 11-13F 36CM,974.75,974.75,142.57,999.0,84
HCPCS,C1894,SET SHTH URT 11-13F 46CM,950.5,950.5,142.57,950.5,42
HCPCS,C1894,SET SHTH URT 11-14F 28CM,999.0,999.0,149.85,999.0,42
HCPCS,C1894,SET SHTH URT 13-15F 36CM,999.0,999.0,149.85,999.0,42
HCPCS,C1894,SHEATH ACC TPR 15FR 13FR,1009.0,1009.0,149.85,1019.0,84
HCPCS,C1894,SHEATH CATH GW 7FR 55CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,SHEATH GD 14FR 63CM,1008.0,1008.0,151.2,1008.0,42
HCPCS,C1894,SHEATH GD 3.6FR 70CM,834.0,834.0,125.1,834.0,42
HCPCS,C1894,SHEATH GD 4FR 10CM,409.5,409.5,34.73,587.5,84
HCPCS,C1894,SHEATH GD 5FR 10CM,231.5,231.5,34.73,231.5,42
HCPCS,C1894,SHEATH GD 5FR 45CM,952.0,952.0,142.8,952.0,42
HCPCS,C1894,SHEATH GD 6FR 45CM,790.5,790.5,115.95,952.0,126
HCPCS,C1894,SHEATH GD 6FR 90CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,SHEATH GD 7FR 45CM,862.5,862.5,115.95,952.0,168
HCPCS,C1894,SHEATH GD 7FR 70CM,859.5,859.5,128.93,859.5,42
HCPCS,C1894,SHEATH GD 7FR 80CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,SHEATH GD 8FR 45CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,SHEATH GD 8FR 55CM,703.5,703.5,105.53,703.5,42
HCPCS,C1894,SHEATH GD 8FR 90CM,952.0,952.0,142.8,952.0,42
HCPCS,C1894,SHEATH GD RDC 6FR 45CM,952.0,952.0,142.8,952.0,42
HCPCS,C1894,SHEATH INTRO .88IN 90CM,3847.0,3847.0,577.05,3847.0,42
HCPCS,C1894,SHEATH INTRO 10F 11CM,182.0,182.0,27.3,182.0,42
HCPCS,C1894,SHEATH INTRO 10FR 25CM,324.5,324.5,48.67,324.5,42
HCPCS,C1894,SHEATH INTRO 11FR 45MM,313.0,313.0,40.58,355.5,84
HCPCS,C1894,SHEATH INTRO 12F 28CM,1228.0,1228.0,184.2,1228.0,42
HCPCS,C1894,SHEATH INTRO 14F 28CM,1637.0,1637.0,245.55,1637.0,42
HCPCS,C1894,SHEATH INTRO 16FR 28CM,1637.0,1637.0,245.55,1637.0,42
HCPCS,C1894,SHEATH INTRO 20FR 28CM,2046.5,2046.5,306.98,2046.5,42
HCPCS,C1894,SHEATH INTRO 5FR 10CM,231.5,231.5,34.73,231.5,42
HCPCS,C1894,SHEATH INTRO 6F 25CM,324.5,324.5,48.67,324.5,42
HCPCS,C1894,SHEATH INTRO 6FR 25CM,464.0,464.0,69.6,464.0,42
HCPCS,C1894,SHEATH INTRO 6FR 65CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,SHEATH INTRO 7FR 120CM,4441.0,4441.0,666.15,4441.0,42
HCPCS,C1894,SHEATH INTRO 7FR 23CM,355.5,355.5,53.33,355.5,42
HCPCS,C1894,SHEATH INTRO 7FR 25CM,394.25,394.25,48.67,464.0,84
HCPCS,C1894,SHEATH INTRO 7FR 65CM,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,SHEATH INTRO 8FR 25CM,394.25,394.25,48.67,464.0,84
HCPCS,C1894,SHEATH INTRO 8FR 70CM,859.5,859.5,128.93,859.5,42
HCPCS,C1894,SHEATH INTRO 90CM 6F.038,1023.5,1023.5,153.53,1023.5,42
HCPCS,C1894,SHEATH INTRO 9F 25CM,265.0,265.0,39.75,265.0,42
HCPCS,C1894,SHEATH INTRO 9FR 10CM,231.5,231.5,34.73,231.5,42
HCPCS,C1894,SHEATH INTRO GR XCL 12F,870.0,870.0,130.5,870.0,42
HCPCS,C1894,SHEATH INTRO GW 11F 11CM,182.0,182.0,27.3,182.0,42
HCPCS,C1894,SHEATH INTRO GW 4F 11CM,182.0,182.0,27.3,182.0,42
HCPCS,C1894,SHEATH INTRO GW 5F 11CM,182.0,182.0,27.3,182.0,42
HCPCS,C1894,SHEATH INTRO GW 7F 11CM,182.0,182.0,27.3,182.0,42
HCPCS,C1894,SHEATH INTRO GW 9F 11CM,182.0,182.0,27.3,182.0,42
HCPCS,C1894,SHEATH NVGRT 11/13F 46CM,999.0,999.0,149.85,999.0,42
HCPCS,C1894,SHEATH NVGRT 12/14F 36CM,1019.0,1019.0,152.85,1019.0,42
HCPCS,C1894,SHEATH NVGRT 12/14F 46CM,1019.0,1019.0,152.85,1019.0,42
HCPCS,C1894,SHEATH PNCH VLV 22F 30CM,2455.5,2455.5,368.32,2455.5,42
HCPCS,C1894,SHEATH SHORT 9FR 7CM DIL,773.0,773.0,115.95,773.0,42
HCPCS,C1894,SHEATH STRT 6F 4CM 80CM,3724.5,3724.5,558.67,3724.5,42
HCPCS,C1894,SHEATH TPR 13FR 11FR 2,999.0,999.0,149.85,999.0,42
HCPCS,C1894,SHEATH URE 15X46MM,907.5,907.5,136.13,907.5,42
HCPCS,C1894,SHEATH URET 11/13FR 36CM,4267.5,4267.5,640.13,4267.5,42
HCPCS,C1894,SHEATH URET 11/13FR 40CM,2660.5,2660.5,399.07,2660.5,42
HCPCS,C1894,SHEATH URET 11/13FR 46CM,2660.5,2660.5,399.07,2660.5,42
HCPCS,C1894,SHEATH VASC 18FR 28CM,1637.0,1637.0,245.55,1637.0,42
HCPCS,C1894,SHTH DLV 80CM 14FR 5.5IN,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1894,SHTH DSTN 7F 45 C-C RDC,952.0,952.0,142.8,952.0,42
HCPCS,C1894,SHTH INT 14FR 5.5X4.8X28,2087.5,2087.5,313.13,2087.5,42
HCPCS,C1894,SHTH INT 18FR 6.8X 6.1MM,2455.5,2455.5,368.32,2455.5,42
HCPCS,C1894,SHTH INT 20FR 7.5X 6.8MM,2415.0,2415.0,362.25,2415.0,42
HCPCS,C1894,SHTH INTRO .021 6FR 16CM,773.0,773.0,115.95,773.0,42
HCPCS,C1894,SHTH INTRO 5FR 018 40 10,348.0,348.0,52.2,348.0,42
HCPCS,C1894,SHTH INTRO ENDOCLMP 19FR,4093.0,4093.0,613.95,4093.0,42
HCPCS,C1894,SHTH PNCLP 10F 10 035,231.5,231.5,34.73,231.5,42
HCPCS,C1894,SHTH SOLOPTH 19F 35CM,4385.5,4385.5,657.83,4385.5,42
HCPCS,C1894,SHTH SPR 7F 25 RO,290.5,290.5,43.58,290.5,42
HCPCS,C1894,SHTH SPR 8F 25 RO,290.5,290.5,43.58,290.5,42
HCPCS,C1894,SYSTEM INTRO 21GA 15CM,664.5,664.5,99.67,664.5,42
HCPCS,C1895,LEAD DEFIB 58CM,19333.0,19333.0,2899.95,19333.0,90
HCPCS,C1895,LEAD DEFIB 65CM,19333.0,19333.0,2899.95,19333.0,30
HCPCS,C1895,LEAD ICD 62CM,11265.0,11265.0,1689.75,11265.0,30
HCPCS,C1895,LEAD ICD 63CM,21938.0,21938.0,3290.7,21938.0,30
HCPCS,C1895,LEAD ICD 64CM,15287.0,15287.0,2293.05,15287.0,30
HCPCS,C1895,LEAD ICD 72CM,13704.0,13704.0,2055.6,13704.0,30
HCPCS,C1895,LEAD ICD DC DF4 59CM,15287.0,15287.0,2293.05,15287.0,30
HCPCS,C1895,LEAD ICD DC DF4 64CM,15287.0,15287.0,2293.05,15287.0,30
HCPCS,C1895,LEAD ICD DEFIB 65CM,17458.0,17458.0,2618.7,17458.0,30
HCPCS,C1895,LEAD ICD DF4 8.6FR 55CM,12178.0,12178.0,1826.7,12178.0,30
HCPCS,C1895,LEAD ICD DF4 PF SC 64CM,17176.0,17176.0,2293.05,17705.0,120
HCPCS,C1895,LEAD ICD PCNG 58CM,16687.0,16687.0,2503.05,16687.0,30
HCPCS,C1895,LEAD ICD PCNG 65CM,13704.0,13704.0,2055.6,13704.0,30
HCPCS,C1895,LEAD ICD SD 65CM,16586.0,16586.0,2487.9,16586.0,30
HCPCS,C1896,ICD ELECTRODE DEFIB 45CM,16280.0,16280.0,2442.0,16280.0,30
HCPCS,C1896,LEAD CRT PCNG 55CM,11265.0,11265.0,1689.75,11265.0,30
HCPCS,C1896,LEAD ELECTRODE 45CM,16280.0,16280.0,2442.0,16280.0,30
HCPCS,C1897,KIT LEAD TEST STIMULTION,1276.0,1276.0,191.4,1276.0,30
HCPCS,C1897,KIT LEAD TRIAL 60CM,4429.0,4429.0,664.35,4429.0,30
HCPCS,C1897,KIT PNE LEAD IMPLANT,1435.0,1435.0,215.25,1435.0,30
HCPCS,C1897,LEAD NRSTM 60/75CM SPNL,3189.0,3189.0,478.35,3189.0,30
HCPCS,C1897,LEAD NRSTM 60CM,4429.0,4429.0,664.35,4429.0,60
HCPCS,C1897,LEAD NRSTM TRAIL 70CM,6644.0,6644.0,996.6,6644.0,30
HCPCS,C1897,LEAD TEST NEUR STIM EVAL,638.0,638.0,95.7,638.0,30
HCPCS,C1897,LEAD TRIAL STIM IMPLANT,638.0,638.0,95.7,638.0,30
HCPCS,C1897,STIMULATOR NRMSCLR INTST,1834.0,1834.0,275.1,1834.0,30
HCPCS,C1898,LEAD CPSR SPNVS 409252,3372.0,3372.0,505.8,3372.0,30
HCPCS,C1898,LEAD CPSR SPNVS 409258,3372.0,3372.0,505.8,3372.0,30
HCPCS,C1898,LEAD ENDO PACING,2525.0,2525.0,378.75,2525.0,30
HCPCS,C1898,LEAD PACEMAKER 46CM,2793.0,2793.0,418.95,2793.0,30
HCPCS,C1898,LEAD PACEMAKER 65CM,2793.0,2793.0,418.95,2793.0,30
HCPCS,C1898,LEAD PACING 59CM,2699.0,2699.0,404.85,2699.0,30
HCPCS,C1898,LEAD PACING 6FR 58CM,2793.0,2793.0,418.95,2793.0,30
HCPCS,C1898,LEAD PACNG 52CM,2699.0,2699.0,404.85,2699.0,30
HCPCS,C1898,LEAD PCNG 35CM,2958.0,2958.0,404.85,3372.0,120
HCPCS,C1898,LEAD PCNG 4.1FR 69CM,2525.0,2525.0,378.75,2525.0,30
HCPCS,C1898,LEAD PCNG 4.5FR,4477.0,4477.0,671.55,4477.0,30
HCPCS,C1898,LEAD PCNG 4.5FR 50CM,3867.0,3867.0,580.05,3867.0,30
HCPCS,C1898,LEAD PCNG 45CM,2942.5,2942.5,378.75,4071.0,210
HCPCS,C1898,LEAD PCNG 46CM,2793.0,2793.0,418.95,2793.0,30
HCPCS,C1898,LEAD PCNG 52CM,3093.0,3093.0,378.75,4071.0,210
HCPCS,C1898,LEAD PCNG 52CM 1.7MM,3186.0,3186.0,477.9,3186.0,30
HCPCS,C1898,LEAD PCNG 53CM,2961.5,2961.5,395.4,3287.0,60
HCPCS,C1898,LEAD PCNG 54CM,2699.0,2699.0,404.85,2699.0,30
HCPCS,C1898,LEAD PCNG 54MM,2699.0,2699.0,404.85,2699.0,30
HCPCS,C1898,LEAD PCNG 58CM,3329.5,3329.5,493.05,3372.0,90
HCPCS,C1898,LEAD PCNG 59CM,3186.0,3186.0,477.9,3186.0,30
HCPCS,C1898,LEAD PCNG 6.2FR 52CM,2525.0,2525.0,378.75,2525.0,30
HCPCS,C1898,LEAD PCNG 6.6FR 35CM,2730.0,2730.0,409.5,2730.0,30
HCPCS,C1898,LEAD PCNG 60CM,2636.0,2636.0,378.75,3287.0,90
HCPCS,C1898,LEAD PCNG 65CM 6FR ENDOC,3093.0,3093.0,463.95,3093.0,30
HCPCS,C1898,LEAD PCNG 6FR 58CM,2659.0,2659.0,378.75,2793.0,60
HCPCS,C1898,LEAD PCNG 6FR 59CM,3186.0,3186.0,477.9,3186.0,30
HCPCS,C1898,LEAD PCNG 6FR 65CM,3070.0,3070.0,460.5,3070.0,30
HCPCS,C1898,LEAD PCNG 6FR 85CM,3372.0,3372.0,505.8,3372.0,30
HCPCS,C1898,LEAD PCNG ECRDL 52CM 8FR,3186.0,3186.0,477.9,3186.0,30
HCPCS,C1898,LEAD PCNG MYO 6.6FR 53CM,2525.0,2525.0,378.75,2525.0,30
HCPCS,C1898,LEAD PCNG RT VNTRC 52CM,3828.0,3828.0,574.2,3828.0,30
HCPCS,C1900,LEAD CRT PACING 88CM,5651.0,5651.0,847.65,5651.0,30
HCPCS,C1900,LEAD CRT PCNG 5.3FR 88CM,5385.0,5385.0,807.75,5385.0,30
HCPCS,C1900,LEAD CRT PCNG 88CM,5385.0,5385.0,747.15,6061.0,150
HCPCS,C1900,LEAD CRT-D 1.6MM 87CM,4154.0,4154.0,623.1,4154.0,30
HCPCS,C1900,LEAD PCNG 2.6FR 95CM,5747.0,5747.0,862.05,5747.0,30
HCPCS,C1900,LEAD PCNG 3.9-5.2FR 86CM,5747.0,5747.0,862.05,5747.0,30
HCPCS,C1900,LEAD PCNG 4.7FR 86CM,7055.0,7055.0,959.85,7711.0,120
HCPCS,C1900,LEAD PCNG 5FR 75CM,7086.0,7086.0,1062.9,7086.0,30
HCPCS,C1900,LEAD PCNG 78-88CM 6FR,6899.0,6899.0,1034.85,6899.0,30
HCPCS,C1900,LEAD PCNG 86CM,6416.5,6416.5,862.05,7086.0,90
HCPCS,C1900,LEAD PCNG 87CM,4154.0,4154.0,623.1,4154.0,30
HCPCS,C1900,LEAD PCNG 88CM,6659.0,6659.0,998.85,6659.0,30
HCPCS,C1900,LEAD PCNG 90CM,5922.5,5922.5,823.05,6358.0,90
HCPCS,C1900,LEAD PCNG 95CM,5747.0,5747.0,862.05,5747.0,30
HCPCS,C1900,LEAD PCNG QUAD 95CM,5747.0,5747.0,862.05,5747.0,30
HCPCS,C1982,CATH INFS 2.9FR 120CM,39649.0,39649.0,5947.35,39649.0,42
HCPCS,C1982,CATH INFS 2.9FR 150CM,39649.0,39649.0,5947.35,39649.0,42
HCPCS,C1982,CATH INFU MICRO 120CM,39649.0,39649.0,5947.35,39649.0,42
HCPCS,C1982,CATH INFU MICRO 150CM,39649.0,39649.0,5947.35,39649.0,42
HCPCS,C1982,CATH MICRO 120CM .021IN,39649.0,39649.0,5947.35,39649.0,42
HCPCS,C1982,CATH MICRO 150CM .021IN,39649.0,39649.0,5947.35,39649.0,42
HCPCS,C1982,SYSTEM INFS .025IN 130CM,39649.0,39649.0,5947.35,39649.0,42
HCPCS,C2615,SEALANT PLR PROGL 4ML,4476.5,4476.5,671.48,4476.5,42
HCPCS,C2616,BRACHYTX NS YTTRIUM 90,90042.0,90042.0,16576.73,90042.0,26
HCPCS,C2616,"Brachytherapy source, non-stranded, yttrium-90, per source ",90042.0,90042.0,12474.0,16632.0,3
HCPCS,C2617,STEN BIL CB 10FR 12CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 10FR 15CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 10FR 5CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 10FR 7CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 10FR 9CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 7FR 12CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 7FR 15CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 7FR 5CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 7FR 7CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 7FR 9CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 8.5FR 12CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 8.5FR 15CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 8.5FR 7CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STEN BIL CB 8.5FR 9CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STENT ARWY OD12 MONT SAF,3189.0,3189.0,478.35,3189.0,30
HCPCS,C2617,STENT BIL 10FR 12CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BIL 10FR 15CM,718.0,718.0,107.7,718.0,30
HCPCS,C2617,STENT BIL 10FR 5CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BIL 10FR 7CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BIL 10FR 9CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BIL 11.5FR 12CM,861.0,861.0,129.15,861.0,30
HCPCS,C2617,STENT BIL 11.5FR 15CM,861.0,861.0,129.15,861.0,30
HCPCS,C2617,STENT BIL 11.5FR 5CM,861.0,861.0,129.15,861.0,30
HCPCS,C2617,STENT BIL 11.5FR 7CM,861.0,861.0,129.15,861.0,30
HCPCS,C2617,STENT BIL 11.5FR 9CM,861.0,861.0,129.15,861.0,30
HCPCS,C2617,STENT BIL 7FR 10CM,829.0,829.0,124.35,829.0,30
HCPCS,C2617,STENT BIL 7FR 12CM,941.0,941.0,141.15,941.0,30
HCPCS,C2617,STENT BIL 7FR 4CM,829.0,829.0,124.35,829.0,30
HCPCS,C2617,STENT BIL 7FR 5CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BIL 7FR 7CM,892.0,892.0,124.35,955.0,60
HCPCS,C2617,STENT BIL 7FR 9CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BIL 8.5FR 12CM,908.0,908.0,129.15,955.0,60
HCPCS,C2617,STENT BIL 8.5FR 15CM,861.0,861.0,129.15,861.0,30
HCPCS,C2617,STENT BIL 8.5FR 5CM,908.0,908.0,129.15,955.0,60
HCPCS,C2617,STENT BIL 8.5FR 7CM,908.0,908.0,129.15,955.0,60
HCPCS,C2617,STENT BIL 8.5FR 9CM,908.0,908.0,129.15,955.0,60
HCPCS,C2617,STENT BIL 8FR 10CM,1164.0,1164.0,174.6,1164.0,30
HCPCS,C2617,STENT BIL 8FR 12CM,845.0,845.0,126.75,845.0,30
HCPCS,C2617,STENT BIL CB 8.5FR 5CM,817.0,817.0,122.55,817.0,30
HCPCS,C2617,STENT BILI 11.5FR 12CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BILI 11.5FR 5CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BILI 11.5FR 7CM,1100.0,1100.0,165.0,1100.0,30
HCPCS,C2617,STENT BILI 11.5FR 9CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BILI 7FR 10CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BILI 7FR 12CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT BILI 7FR 15CM,1100.0,1100.0,165.0,1100.0,30
HCPCS,C2617,STENT BILI 8.5FR 15CM,955.0,955.0,143.25,955.0,30
HCPCS,C2617,STENT PANC 3FR 10CM,754.0,754.0,113.1,754.0,30
HCPCS,C2617,STENT PANC 5FR 10CM,1178.0,1178.0,176.7,1178.0,30
HCPCS,C2617,STENT PANC 5FR 3CM,1016.0,1016.0,128.1,1178.0,60
HCPCS,C2617,STENT PANC 5FR 4CM,1178.0,1178.0,176.7,1178.0,30
HCPCS,C2617,STENT PANC 5FR 5CM,1016.0,1016.0,128.1,1178.0,60
HCPCS,C2617,STENT PANC 5FR 6CM,1178.0,1178.0,176.7,1178.0,30
HCPCS,C2617,STENT PANC 5FR 7CM,1178.0,1178.0,176.7,1178.0,30
HCPCS,C2617,STENT PANC 5FR 8CM,1178.0,1178.0,176.7,1178.0,30
HCPCS,C2617,STENT PANC 5FR 9CM,1196.0,1196.0,179.4,1196.0,30
HCPCS,C2617,STENT PANC 7FR 10CM,1335.0,1335.0,200.25,1335.0,30
HCPCS,C2617,STENT PANC 7FR 11CM,1335.0,1335.0,200.25,1335.0,30
HCPCS,C2617,STENT PANC 7FR 12CM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C2617,STENT PANC 7FR 15CM,1335.0,1335.0,200.25,1335.0,30
HCPCS,C2617,STENT PANC 7FR 18CM,1356.0,1356.0,203.4,1356.0,30
HCPCS,C2617,STENT PANC 7FR 3CM,1335.0,1335.0,200.25,1335.0,30
HCPCS,C2617,STENT PANC 7FR 5CM,1335.0,1335.0,200.25,1335.0,30
HCPCS,C2617,STENT PANC 7FR 7CM,1335.0,1335.0,200.25,1335.0,30
HCPCS,C2617,STENT PANC 7FR 9CM,1335.0,1335.0,200.25,1335.0,30
HCPCS,C2617,STENT URET 4.8FR 22-30CM,1358.0,1358.0,203.7,1358.0,30
HCPCS,C2617,STENT URET 6FR 22-30CM,1358.0,1358.0,203.7,1358.0,30
HCPCS,C2617,STENT URET 6FR 22CM,1989.0,1989.0,214.35,3016.0,90
HCPCS,C2617,STENT URET 6FR 24CM,1989.0,1989.0,214.35,3016.0,90
HCPCS,C2617,STENT URET 6FR 26CM,1989.0,1989.0,214.35,3016.0,120
HCPCS,C2617,STENT URET 6FR 28CM,1989.0,1989.0,214.35,3016.0,90
HCPCS,C2617,STENT URET 6FR 80CM,2552.0,2552.0,378.9,2578.0,60
HCPCS,C2617,STENT URET 7-14FR 26CM,1178.0,1178.0,176.7,1178.0,30
HCPCS,C2617,STENT URET 7FR 22-30CM,1358.0,1358.0,203.7,1358.0,30
HCPCS,C2617,STENT URET 7FR 22CM,1989.0,1989.0,214.35,3016.0,90
HCPCS,C2617,STENT URET 7FR 24CM,2029.0,2029.0,214.35,3016.0,120
HCPCS,C2617,STENT URET 7FR 26CM,2029.0,2029.0,214.35,3016.0,90
HCPCS,C2617,STENT URET 7FR 28CM,2029.0,2029.0,214.35,3016.0,90
HCPCS,C2617,STENT URET 7FR 80CM,2463.0,2463.0,360.0,2526.0,60
HCPCS,C2617,STENT URET 7FR 90CM,3152.0,3152.0,472.8,3152.0,30
HCPCS,C2617,STENT URET 8FR 12CM,544.0,544.0,81.6,544.0,30
HCPCS,C2617,STENT URET 8FR 22CM,2222.5,2222.5,214.35,3016.0,60
HCPCS,C2617,STENT URET 8FR 22MM,1403.0,1403.0,210.45,1403.0,30
HCPCS,C2617,STENT URET 8FR 24CM,2222.5,2222.5,214.35,3016.0,60
HCPCS,C2617,STENT URET 8FR 24MM,1403.0,1403.0,210.45,1403.0,30
HCPCS,C2617,STENT URET 8FR 26CM,2237.0,2237.0,218.7,3016.0,60
HCPCS,C2617,STENT URET 8FR 26MM,1403.0,1403.0,210.45,1403.0,30
HCPCS,C2617,STENT URET 8FR 28CM,3016.0,3016.0,452.4,3016.0,30
HCPCS,C2617,STENT URET 8FR 28MM,1403.0,1403.0,210.45,1403.0,30
HCPCS,C2617,STENT URET 8FR 30CM,737.0,737.0,110.55,737.0,30
HCPCS,C2617,STENT URET 8FR 80CM,2578.0,2578.0,386.7,2578.0,30
HCPCS,C2617,STENT URET SD HL 8F 24CM,3016.0,3016.0,452.4,3016.0,30
HCPCS,C2617,STENT URTH 6FR 12CM,544.0,544.0,81.6,544.0,30
HCPCS,C2618,KIT CYRABL 1.5MM 175MM,8953.0,8953.0,1342.95,8953.0,42
HCPCS,C2618,NDL CRYABL 1.5MM 175MM,8953.0,8953.0,1342.95,8953.0,42
HCPCS,C2618,NDL CRYALB 1.5MM 175MM,8953.0,8953.0,1342.95,8953.0,42
HCPCS,C2618,NDL CRYALB 2.1MM 175MM,8569.5,8569.5,1227.9,8953.0,84
HCPCS,C2618,NDL CRYALB 2.5MM 175MM,8186.0,8186.0,1227.9,8186.0,42
HCPCS,C2618,NEEDLE CRYOSURG 90D,8953.0,8953.0,1342.95,8953.0,42
HCPCS,C2618,PROBE CRRG CRYABL 10CM,11639.0,11639.0,1745.85,11639.0,42
HCPCS,C2618,PROBE CRYO 11IN,14325.0,14325.0,2148.75,14325.0,42
HCPCS,C2618,PROBE CRYO 17IN,14836.5,14836.5,2225.47,14836.5,42
HCPCS,C2618,PROBE CRYOABLTN 10CM 3,11639.0,11639.0,1745.85,11639.0,42
HCPCS,C2621,CRT - PACEMAKER 15MM,26842.0,26842.0,4026.3,26842.0,60
HCPCS,C2621,CRT CARD 6MM 57X59MM,29406.0,29406.0,4410.9,29406.0,30
HCPCS,C2621,CRT-P 11X19.9X46.5,24233.0,24233.0,3634.95,24233.0,30
HCPCS,C2621,CRT-P 4.45X6.13X0.75CM,24357.5,24357.5,3440.85,25776.0,60
HCPCS,C2621,CRT-P 4.45X6.17X0.75CM,24357.5,24357.5,3440.85,25776.0,60
HCPCS,C2621,CRT-P 59X46.5X11MM,21535.0,21535.0,3230.25,21535.0,30
HCPCS,C2621,CRT-P 59X59X6MM,24238.0,24238.0,3635.7,24238.0,30
HCPCS,C2621,CRT-P 8 BDPL HR-T,17360.0,17360.0,2604.0,17360.0,30
HCPCS,C2621,CRT-P CRD 11X46.5X59MM,21935.0,21935.0,3290.25,21935.0,30
HCPCS,C2621,CRT-P CRD 59X46.5X11MM,24282.5,24282.5,3290.25,26630.0,60
HCPCS,C2621,CRT-P CRD 6.10X4.45X0.76,26573.0,26573.0,3985.95,26573.0,30
HCPCS,C2621,CRT-P CRD LV-1 15CC,26573.0,26573.0,3985.95,26573.0,30
HCPCS,C2621,CRT-P HF-T MRI,17360.0,17360.0,2604.0,17360.0,30
HCPCS,C2621,CRT-P MR 15MM,24238.0,24238.0,3635.7,24238.0,30
HCPCS,C2622,PROSTH PENL 16CM14MM SPC,32367.0,32367.0,4855.05,32367.0,30
HCPCS,C2622,PROSTHES PENL SPCTR 16CM,32367.0,32367.0,4855.05,32367.0,30
HCPCS,C2622,PROSTHESIS PENL 1CM 10MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C2622,PROSTHESIS PENL 27 13MM,17251.0,17251.0,2587.65,17251.0,30
HCPCS,C2622,PROSTHESIS PENL 2CM 10MM,17473.0,17473.0,2620.95,17473.0,30
HCPCS,C2622,PROSTHESIS PENL 3CM 12MM,3189.0,3189.0,478.35,3189.0,30
HCPCS,C2622,PROSTHESIS PNL 20CM 14MM,30826.0,30826.0,4623.9,30826.0,30
HCPCS,C2622,PROSTHESIS PNL SPCTR CON,32367.0,32367.0,4855.05,32367.0,30
HCPCS,C2623,CATH BLN 5FR 4X130X100MM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH BLN 5FR 4X130X150MM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH BLN 5FR 4X130X60MM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH BLN 5FR 5X130X100MM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH BLN 5FR 5X130X60MM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH BLN 5FR 6X130X150MM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH BLN 5FR 6X130X60MM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLN 6FR 4X130X100MM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH BLNDIL 130CM 5MM,12764.5,12764.5,1914.67,12764.5,42
HCPCS,C2623,CATH BLNDIL 130CM 6MM,12764.5,12764.5,1914.67,12764.5,42
HCPCS,C2623,CATH BLNDIL 4MM 220MM,9592.5,9592.5,1438.88,9592.5,42
HCPCS,C2623,CATH BLNDIL 4MM 300MM,12764.5,12764.5,1914.67,12764.5,84
HCPCS,C2623,CATH BLNDIL 4MM 60MM,6395.0,6395.0,959.25,6395.0,42
HCPCS,C2623,CATH BLNDIL 4X120MM135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 4X150MM135CM,6651.0,6651.0,997.65,6651.0,42
HCPCS,C2623,CATH BLNDIL 4X200MM 80CM,8697.5,8697.5,1304.63,8697.5,42
HCPCS,C2623,CATH BLNDIL 4X40MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 4X60MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 4X80MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 5MM 120MM,7162.5,7162.5,1074.38,7162.5,42
HCPCS,C2623,CATH BLNDIL 5MM 200MM,9439.0,9439.0,1415.85,9439.0,42
HCPCS,C2623,CATH BLNDIL 5MM 250MM,10385.5,10385.5,1557.83,10385.5,42
HCPCS,C2623,CATH BLNDIL 5MM 300MM,12764.5,12764.5,1914.67,12764.5,42
HCPCS,C2623,CATH BLNDIL 5MM 60MM,6395.0,6395.0,959.25,6395.0,42
HCPCS,C2623,CATH BLNDIL 5X00MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 5X120MM135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 5X150MM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH BLNDIL 5X150MM135CM,6651.0,6651.0,997.65,6651.0,42
HCPCS,C2623,CATH BLNDIL 5X200MM135CM,8697.5,8697.5,1304.63,8697.5,42
HCPCS,C2623,CATH BLNDIL 5X40MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 5X60MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 5X80MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 6MM 120MM,7162.5,7162.5,1074.38,7162.5,42
HCPCS,C2623,CATH BLNDIL 6MM 250MM,10385.5,10385.5,1557.83,10385.5,42
HCPCS,C2623,CATH BLNDIL 6MM 40MM,6395.0,6395.0,959.25,6395.0,42
HCPCS,C2623,CATH BLNDIL 6X120MM135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 6X150MM135CM,6651.0,6651.0,997.65,6651.0,42
HCPCS,C2623,CATH BLNDIL 6X200MM135CM,8697.5,8697.5,1304.63,8697.5,42
HCPCS,C2623,CATH BLNDIL 6X220MM,9592.5,9592.5,1438.88,9592.5,42
HCPCS,C2623,CATH BLNDIL 6X40MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 6X60MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 6X80MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDIL 7MM 100MM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH BLNDIL 9X60MM 75CM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH BLNDL 4X100MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDL 5F 5X220MM,9592.5,9592.5,1438.88,9592.5,42
HCPCS,C2623,CATH BLNDL 6X100MM 135CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH BLNDL 75CM 12X60MM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH BLNDL 7MM 75CM 80MM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH BLNDL 8MM 75CM 80MM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH BLNDL 9MM 75CM 80MM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH BLNDL7MM 75CM 100MM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH BLNDL8MM 75CM 100MM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH DBC 4X60MM 75CM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C2623,CATH DBC 5X60MM 75CM,6139.5,6139.5,920.92,6139.5,42
HCPCS,C2623,CATH DBC 6X60MM 75CM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH DBC 7X60MM 75CM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATH DBC 8X60MM 75CM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH DCB 10X40MM 75CM,8058.0,8058.0,1208.7,8058.0,42
HCPCS,C2623,CATH DCB 10X60MM 75CM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH DCB 12X40MM 75CM,7418.5,7418.5,1112.78,7418.5,42
HCPCS,C2623,CATH DCB 7X40MM 130CM,5628.0,5628.0,844.2,5628.0,42
HCPCS,C2623,CATH DCB 7X60MM 130CM,5883.5,5883.5,882.52,5883.5,42
HCPCS,C2623,CATHETER BLNDIL 4MM 135C,6395.0,6395.0,959.25,6395.0,42
HCPCS,C2623,CATHETER BLNDIL 6MM 135C,7137.0,7137.0,1070.55,7137.0,42
HCPCS,C2624,SYSTEM MNTR 2X15MM 4.5CM,68365.0,68365.0,10254.75,68365.0,30
HCPCS,C2625,KIT STENT 5FR 7CM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C2625,KIT STENT PANC 4FR 3CM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C2625,KIT STENT PANC 4FR 5CM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C2625,KIT STENT PANC 4FR 7CM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C2625,KIT STENT PANC 5FR 3CM,2643.0,2643.0,393.45,2663.0,60
HCPCS,C2625,KIT STENT PANC 5FR 5CM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C2625,KIT STENT PANC 5FR 7CM,2663.0,2663.0,399.45,2663.0,30
HCPCS,C2625,STENT BIL DB 10FR 10CM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C2625,STENT BIL DB 10FR 12CM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C2625,STENT BIL DB 10FR 7CM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C2625,STENT BIL DB 11.5FR 10CM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C2625,STENT BIL DB 11.5FR 7CM,1735.0,1735.0,260.25,1735.0,30
HCPCS,C2625,STENT BIL DB 7FR 10CM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C2625,STENT BIL DB 7FR 12CM,1735.0,1735.0,260.25,1735.0,30
HCPCS,C2625,STENT BIL DB 7FR 7CM,1435.0,1435.0,215.25,1435.0,30
HCPCS,C2625,STENT BIL DB 8.5FR 10CM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C2625,STENT BIL DB 8.5FR 12CM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C2625,STENT BIL DB 8.5FR 15CM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C2625,STENT BIL DB 8.5FR 7CM,1438.0,1438.0,215.7,1438.0,30
HCPCS,C2625,STENT NASAL MINI RX,4429.0,4429.0,664.35,4429.0,30
HCPCS,C2625,STENT NPHURET 8.5FR 26CM,1443.0,1443.0,216.45,1443.0,30
HCPCS,C2625,STENT NPHURSTM 28CM,1443.0,1443.0,216.45,1443.0,30
HCPCS,C2625,STENT TRCHBR 7FR 5X38MM,10725.0,10725.0,1608.75,10725.0,30
HCPCS,C2625,STENT URET 8MM 22MM,3016.0,3016.0,452.4,3016.0,30
HCPCS,C2625,STENT URET 8MM 26MM,1508.0,1508.0,226.2,1508.0,30
HCPCS,C2625,STENT URO 8.5FR 24CM,1443.0,1443.0,216.45,1443.0,30
HCPCS,C2625,STNT URET MTL 6X22,5943.0,5943.0,891.45,5943.0,30
HCPCS,C2625,STNT URT 12CM 8.5F DBL J,1497.0,1497.0,224.55,1497.0,30
HCPCS,C2627,CATH SET 16FR 25CM LOOP,712.5,712.5,106.88,712.5,42
HCPCS,C2627,CATHETER SUPRPUB RTNR 14,773.0,773.0,115.95,773.0,42
HCPCS,C2627,KIT SUPRAPUBIC 12FR,1415.0,1415.0,212.25,1415.0,42
HCPCS,C2628,BLN 10-37MMX4.0CMX90CM,4011.0,4011.0,601.65,4011.0,42
HCPCS,C2628,BLN OCL HGLD 2.8X7X150,6794.5,6794.5,1019.17,6794.5,42
HCPCS,C2628,CATH BLN 10FR 65CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C2628,CATH BLN BRDG OCL 90CM,4758.0,4758.0,713.7,4758.0,84
HCPCS,C2628,CATH BLNOCC .035X120CM,3413.5,3413.5,512.02,3413.5,42
HCPCS,C2628,CATH BLNOCC 2MM 10MM,15285.0,15285.0,2292.75,15285.0,42
HCPCS,C2628,CATH BLNOCC 4FR 47CM,3266.0,3266.0,489.9,3266.0,42
HCPCS,C2628,CATH BLNOCC 4MM 11MM,7393.0,7393.0,1108.95,7393.0,42
HCPCS,C2628,CATH BLNOCC 4X7MM 150CM,6501.5,6501.5,975.23,6501.5,42
HCPCS,C2628,CATH BLNOCC 9FR 120CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C2628,CATH GD VGRM 6FR 110CM,541.0,541.0,81.15,541.0,42
HCPCS,C2628,CATH OCC 10FR 46MM 140CM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C2628,CATH OCC VAS 9FR 100CM,24557.0,24557.0,3683.55,24557.0,42
HCPCS,C2628,CATH OCL BLN 4MM 7MM,7162.5,7162.5,1074.38,7162.5,42
HCPCS,C2628,CATHETER BLNOCC 3IN 7IN,6501.5,6501.5,975.23,6501.5,42
HCPCS,C2628,CATHETER BLNOCC 3MM 10MM,7004.0,7004.0,1050.6,7004.0,42
HCPCS,C2628,CATHETER BLNOCC 4IN 15IN,6794.5,6794.5,1019.17,6794.5,42
HCPCS,C2629,DILATOR SHTH 43CM 16FR,2210.0,2210.0,331.5,2210.0,42
HCPCS,C2629,SHEATH DIL 12FR 33CM,2087.5,2087.5,313.13,2087.5,42
HCPCS,C2629,SHEATH DIL 12FR 43CM,2210.0,2210.0,331.5,2210.0,84
HCPCS,C2629,SHEATH DIL 5MM,2087.5,2087.5,313.13,2087.5,42
HCPCS,C2630,CATH ABL CRV D-F 115CM,19441.0,19441.0,2916.15,19441.0,42
HCPCS,C2630,CATH ABL CRV F 115CM,19441.0,19441.0,2916.15,19441.0,42
HCPCS,C2630,CATH ABL CRV F-J 8F115CM,19441.0,19441.0,2916.15,19441.0,42
HCPCS,C2630,CATH ABLATION 8FR 115CM,14197.0,14197.0,2129.55,14197.0,42
HCPCS,C2631,DVC SYS SACROSPN ANCHRNG,3273.0,3273.0,490.95,3273.0,30
HCPCS,C2631,IMPLANT PLVC FLR 2,2711.0,2711.0,406.65,2711.0,30
HCPCS,C2634,BRACHYTX NS HA IODINE125,912.62,912.62,168.01,912.62,26
HCPCS,C5271,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,3523.0,135
HCPCS,C5272,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,51
HCPCS,C5273,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,8866.0,135
HCPCS,C5274,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,51
HCPCS,C5275,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,3523.0,135
HCPCS,C5276,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,51
HCPCS,C5277,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,3523.0,135
HCPCS,C5278,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,2303.0,51
HCPCS,C7500,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,7161.0,63
HCPCS,C7501,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,7161.0,63
HCPCS,C7502,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,2753.0,7161.0,63
HCPCS,C7503,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,47
HCPCS,C7504,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3441.0,6446.0,47
HCPCS,C7505,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3441.0,6446.0,47
HCPCS,C7506,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,2753.0,6446.0,47
HCPCS,C7507,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3441.0,6446.0,47
HCPCS,C7508,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3441.0,6446.0,47
HCPCS,C7509,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,2264.0,8866.0,63
HCPCS,C7510,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,2264.0,8866.0,63
HCPCS,C7511,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,2264.0,8866.0,63
HCPCS,C7512,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,2264.0,8866.0,63
HCPCS,C7513,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,2753.0,10746.0,63
HCPCS,C7514,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,2753.0,10746.0,63
HCPCS,C7515,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,2753.0,10746.0,63
HCPCS,C7516,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,46
HCPCS,C7517,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,46
HCPCS,C7518,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,7602.0,46
HCPCS,C7519,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,46
HCPCS,C7520,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,46
HCPCS,C7521,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,46
HCPCS,C7522,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,46
HCPCS,C7523,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,7602.0,46
HCPCS,C7524,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,46
HCPCS,C7525,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,7602.0,46
HCPCS,C7526,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,46
HCPCS,C7527,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,7602.0,46
HCPCS,C7528,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,46
HCPCS,C7529,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,46
HCPCS,C7530,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,2264.0,10746.0,47
HCPCS,C7531,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,47
HCPCS,C7532,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,46
HCPCS,C7533,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,24
HCPCS,C7534,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,47
HCPCS,C7535,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,47
HCPCS,C7537,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3441.0,10746.0,47
HCPCS,C7538,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3441.0,10746.0,47
HCPCS,C7539,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3441.0,10746.0,47
HCPCS,C7540,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3441.0,10746.0,47
HCPCS,C7541,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,2753.0,6446.0,47
HCPCS,C7542,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,2753.0,6446.0,47
HCPCS,C7543,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,2753.0,6446.0,47
HCPCS,C7544,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,2753.0,6446.0,47
HCPCS,C7545,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,2753.0,17048.0,27
HCPCS,C7546,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,8866.0,63
HCPCS,C7547,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,8866.0,63
HCPCS,C7548,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,8866.0,63
HCPCS,C7549,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,8866.0,63
HCPCS,C7550,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,8866.0,63
HCPCS,C7551,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,2753.0,6446.0,47
HCPCS,C7552,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,3715.0,10746.0,46
HCPCS,C7553,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3715.0,10746.0,46
HCPCS,C7554,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,7161.0,63
HCPCS,C7555,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,47
HCPCS,C7556,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,8866.0,39
HCPCS,C7557,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,46
HCPCS,C7560,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,2753.0,8866.0,63
HCPCS,C7562,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,3715.0,7602.0,46
HCPCS,C7563,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,3441.0,10746.0,47
HCPCS,C7564,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3441.0,10746.0,47
HCPCS,C7565,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,8866.0,63
HCPCS,C7566,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,46
HCPCS,C7567,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,46
HCPCS,C7568,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,46
HCPCS,C7569,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,46
HCPCS,C7570,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,46
HCPCS,C7571,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,46
HCPCS,C8001,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,359.25,26
HCPCS,C8002,"Preparation of skin cell suspension autograft, automated, including all enzymatic processing and device components (do not report with manual suspension preparation) ",,,2753.0,2753.0,1
HCPCS,C8003,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,3441.0,13472.0,47
HCPCS,C8004,SIM ANG W/PRS CATH RAD,29485.58,29485.58,5395.86,29485.58,31
HCPCS,C8005,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,22
HCPCS,C8006,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,46
HCPCS,C8007,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,46
HCPCS,C8008,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,46
HCPCS,C8009,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,46
HCPCS,C8010,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,46
HCPCS,C8011,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,46
HCPCS,C8012,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,46
HCPCS,C8013,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,46
HCPCS,C8014,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,46
HCPCS,C8900,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,24
HCPCS,C8901,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,24
HCPCS,C8902,MRA W/O FOL W/CONT ABD,7719.79,7719.79,1421.21,7719.79,27
HCPCS,C8902,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",7719.79,7719.79,616.1,616.1,24
HCPCS,C8903,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,24
HCPCS,C8905,MRI WO FOL WCON BR UN LT,8624.18,8624.18,1587.71,8624.18,27
HCPCS,C8905,MRI WO FOL WCON BR UN RT,8624.18,8624.18,1587.71,8624.18,27
HCPCS,C8905,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,24
HCPCS,C8906,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,24
HCPCS,C8908,MRI WO FOL W/CON BRST BI,8624.18,8624.18,1587.71,8624.18,27
HCPCS,C8908,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",8624.18,8624.18,616.1,616.1,24
HCPCS,C8909,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,24
HCPCS,C8910,MRA W/O CONT CHEST,5867.85,5867.85,1080.27,5867.85,27
HCPCS,C8910,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",5867.85,5867.85,313.62,313.62,24
HCPCS,C8911,MRA W/O FOL W/CONT CHEST,6437.4,6437.4,1185.13,6437.4,27
HCPCS,C8911,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",6437.4,6437.4,616.1,616.1,24
HCPCS,C8912,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,24
HCPCS,C8913,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,24
HCPCS,C8914,MRA WO W CONT LWR EXT LT,7258.28,7258.28,1336.25,7258.28,27
HCPCS,C8914,MRA WO W CONT LWR EXT RT,7258.28,7258.28,1336.25,7258.28,27
HCPCS,C8914,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,24
HCPCS,C8918,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,24
HCPCS,C8919,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,24
HCPCS,C8920,MRA WO FOL W CONT PELVIS,6440.39,6440.39,1185.68,6440.39,27
HCPCS,C8920,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",6440.39,6440.39,616.1,616.1,24
HCPCS,C8929,TTE2D W OR W/WO CN W DOP,5156.93,5156.93,876.68,5156.93,38
HCPCS,C8931,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,24
HCPCS,C8932,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,24
HCPCS,C8933,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,24
HCPCS,C8934,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,24
HCPCS,C8935,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,24
HCPCS,C8936,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,24
HCPCS,C8937,CAD MRI BREAST,133.45,133.45,20.02,133.45,31
HCPCS,C8957,IV INF > 8HR REQ PUMP,829.23,829.23,140.97,829.23,38
HCPCS,C9046,"Cocaine hydrochloride nasal solution (goprelto), 1 mg ",1955.08,1955.08,2.0,2.25,2
HCPCS,C9046,GOPRELTO 160 MG NASAL,1955.08,1955.08,293.26,1955.08,28
HCPCS,C9047,CAPLACIZMAB-YHDP 11MGINJ,48620.5,48620.5,7293.07,48620.5,28
HCPCS,C9047,"Injection, caplacizumab-yhdp, 1 mg ",48620.5,48620.5,978.26,2123.34,17
HCPCS,C9067,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,9.57,11.13,17
HCPCS,C9088,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,1.08,14
HCPCS,C9089,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.23,14
HCPCS,C9101,"Injection, oliceridine, 0.1 mg ",,,1.6,1.9,14
HCPCS,C9143,"Cocaine hydrochloride nasal solution (numbrino), 1 mg ",2291.86,2291.86,2.35,2.65,2
HCPCS,C9143,NUMBRINO 160 MG NASAL,2291.86,2291.86,343.78,2291.86,29
HCPCS,C9144,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.7,14
HCPCS,C9145,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.65,14
HCPCS,C9150,"Xenon xe-129 hyperpolarized gas, diagnostic, per study dose ",,,67891.2,76377.6,2
HCPCS,C9176,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,26.5,26.5,15
HCPCS,C9248,"Injection, clevidipine butyrate, 1 mg ",,,3.36,5.02,14
HCPCS,C9250,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,380.81,29
HCPCS,C9254,"Injection, lacosamide, 1 mg ",,,0.25,0.29,2
HCPCS,C9254,LACOSAMIDE 10 MG/ML INJ,57.13,57.13,8.57,57.13,28
HCPCS,C9254,LACOSAMIDE 200 MG INJ,1411.67,1411.67,211.75,1411.67,28
HCPCS,C9257,"Injection, bevacizumab, 0.25 mg ",,,2.23,4.93,29
HCPCS,C9285,"Lidocaine 70 mg/tetracaine 70 mg, per patch ",,,22.13,24.9,2
HCPCS,C9290,"Injection, bupivacaine liposome, 1 mg ",,,1.85,2.08,2
HCPCS,C9293,GLUCARPIDASE 1000 U INJ,284862.25,284862.25,42729.34,284862.25,28
HCPCS,C9293,"Injection, glucarpidase, 10 units ",284862.25,284862.25,502.4,1190.12,17
HCPCS,C9309,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,7060205.76,7060205.76,15
HCPCS,C9352,"Microporous collagen implantable tube (neuragen nerve guide), per centimeter length ",,,1315.72,1480.19,2
HCPCS,C9353,"Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length ",,,1403.2,1578.6,2
HCPCS,C9354,"Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter ",,,24.81,27.91,2
HCPCS,C9355,"Collagen nerve cuff (neuromatrix), per 0.5 centimeter length ",,,233.27,262.43,2
HCPCS,C9356,"Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter ",,,139.23,156.63,2
HCPCS,C9361,"Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length ",,,226.9,255.26,2
HCPCS,C9363,INTEGRA MESHED 1SQCM,593.5,593.5,60.3,1615.0,116
HCPCS,C9363,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,93.15,336.92,17
HCPCS,C9364,"Porcine implant, permacol, per square centimeter ",,,23.54,26.48,2
HCPCS,C9399,AMTAGVI INJ,6983412.0,6983412.0,1047511.8,6983412.0,39
HCPCS,C9399,DEFITELIO 20 MG/ML INJ,916.33,916.33,137.45,916.33,31
HCPCS,C9399,DEFITELIO 200 MG INJ,6047.47,6047.47,907.12,6047.47,31
HCPCS,C9399,GIAPREZA 2.5 MG INJ,10429.95,10429.95,1564.49,10429.95,31
HCPCS,C9399,LIVTENCITY 200 MG PO,1586.83,1586.83,238.02,1586.83,31
HCPCS,C9399,OLUMIANT 2 MG PO,143.42,143.42,21.51,143.42,31
HCPCS,C9399,PRAXBIND 2.5 G INJ,17623.23,17623.23,2643.48,17623.23,31
HCPCS,C9399,RYANODEX 250 MG INJ,33444.76,33444.76,5016.71,33444.76,31
HCPCS,C9399,Unclassified drugs or biologicals ,,,,,0
HCPCS,C9460,CANGRELOR 50 MG INJ,5797.19,5797.19,1067.26,5797.19,23
HCPCS,C9460,"Injection, cangrelor, 1 mg ",5797.19,5797.19,22.87,53.05,29
HCPCS,C9462,"Injection, delafloxacin, 1 mg ",,,0.62,0.69,2
HCPCS,C9482,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,32.27,14
HCPCS,C9488,"Injection, conivaptan hydrochloride, 1 mg ",,,58.19,65.46,2
HCPCS,C9600,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,31885.0,70
HCPCS,C9601,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,31885.0,43
HCPCS,C9602,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,31885.0,69
HCPCS,C9603,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,31885.0,43
HCPCS,C9604,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,2224.34,31885.0,68
HCPCS,C9605,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,31885.0,42
HCPCS,C9606,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6130.0,31885.0,36
HCPCS,C9607,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,3933.0,31885.0,68
HCPCS,C9608,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,31885.0,43
HCPCS,C9610,CATH BLNDIL 2.25MM 12MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.25MM 15MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.25MM 20MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.25MM 30MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.50MM 12MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.50MM 15MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.50MM 30MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.75MM 12MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.75MM 20MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2.75MM 30MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2MM 12MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2MM 15MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2MM 20MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 2MM 30MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 3.50MM 12MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 3.50MM 15MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 3.50MM 20MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 3.50MM 30MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 3MM 12MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 3MM 15MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 3MM 30MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 4MM 12MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 4MM 20MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH BLNDIL 4MM 30MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH DCB 2.5MM 20MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9610,CATH DCB 3MM 20MM,28905.5,28905.5,4913.94,28905.5,38
HCPCS,C9725,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,58
HCPCS,C9726,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,33
HCPCS,C9727,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,57
HCPCS,C9728,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,25
HCPCS,C9733,Non-ophthalmic fluorescent vascular angiography ,,,227.66,313.62,25
HCPCS,C9734,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,8866.0,25
HCPCS,C9738,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,74
HCPCS,C9739,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,8866.0,116
HCPCS,C9740,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,100
HCPCS,C9741,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3058.0,5078.0,21
HCPCS,C9742,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2048.0,2048.0,1
HCPCS,C9745,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,20
HCPCS,C9746,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,20
HCPCS,C9747,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,20
HCPCS,C9748,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,20
HCPCS,C9751,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,55
HCPCS,C9756,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,54
HCPCS,C9757,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,95
HCPCS,C9758,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,18061.0,62
HCPCS,C9759,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,32
HCPCS,C9760,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,62
HCPCS,C9761,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,17048.0,75
HCPCS,C9762,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,24
HCPCS,C9763,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,24
HCPCS,C9764,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,79
HCPCS,C9765,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,79
HCPCS,C9766,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,79
HCPCS,C9767,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,79
HCPCS,C9768,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,22
HCPCS,C9769,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,54
HCPCS,C9770,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,24
HCPCS,C9771,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,24
HCPCS,C9772,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,79
HCPCS,C9773,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,79
HCPCS,C9774,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,79
HCPCS,C9775,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,79
HCPCS,C9777,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,8866.0,94
HCPCS,C9778,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,79
HCPCS,C9779,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,8866.0,95
HCPCS,C9780,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,79
HCPCS,C9781,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,58
HCPCS,C9782,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,32
HCPCS,C9783,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,54
HCPCS,C9784,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,31
HCPCS,C9785,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,55
HCPCS,C9789,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,8866.0,71
HCPCS,C9790,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,22
HCPCS,C9791,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,24
HCPCS,C9792,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,54
HCPCS,C9796,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,46
HCPCS,C9797,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,46
HCPCS,C9800,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2048.0,2048.0,1
HCPCS,C9804,SYSTEM PUMP 2ML/HR 270ML,1075.5,1075.5,161.32,1075.5,42
HCPCS,C9804,SYSTEM PUMP 4ML/HR 270ML,1205.0,1205.0,180.75,1205.0,42
HCPCS,C9804,SYSTEM PUMP 5ML/HR 270ML,1162.5,1162.5,174.38,1162.5,42
HCPCS,C9809,TIP CRYO 309 3MM 8.5MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C9809,TIP CRYO 3MM 8.5MM,4093.0,4093.0,613.95,4093.0,42
HCPCS,C9818,"Suzetrigine, oral 1 mg ",,,0.87,0.87,15
HCPCS,C9901,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,46
HCPCS,D0416,Viral culture ,,,34.37,34.37,2
HCPCS,D0431,Diag tst detect mucos abnorm ,,,21.48,21.48,2
HCPCS,D0475,Decalcification procedure ,,,47.25,47.25,2
HCPCS,D0476,Spec stains for microorganis ,,,68.12,68.12,2
HCPCS,D0477,Spec stains not for microorg ,,,73.95,73.95,2
HCPCS,D0478,Immunohistochemical stains ,,,43.87,43.87,2
HCPCS,D0479,Tissue in-situ hybridization ,,,66.58,66.58,2
HCPCS,D0481,Electron microscopy diagnost ,,,94.81,94.81,2
HCPCS,D0482,Direct immunofluorescence ,,,36.21,36.21,2
HCPCS,D0483,Indirect immunofluorescence ,,,40.5,40.5,2
HCPCS,D2956,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,24
HCPCS,D2989,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,24
HCPCS,D3471,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,24
HCPCS,D3472,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,24
HCPCS,D3473,Surgical repair of root resorption - molar ,,,3715.0,4953.0,24
HCPCS,D3501,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,24
HCPCS,D3502,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,24
HCPCS,D3503,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,24
HCPCS,D3921,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,24
HCPCS,D4286,Removal of non-resorbable barrier ,,,3715.0,4953.0,24
HCPCS,D5909,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,24
HCPCS,D5930,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,24
HCPCS,D5938,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,24
HCPCS,D5939,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,24
HCPCS,D5940,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,24
HCPCS,D5941,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,24
HCPCS,D5942,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,24
HCPCS,D5943,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,24
HCPCS,D5944,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,24
HCPCS,D5945,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,24
HCPCS,D5946,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,24
HCPCS,D5947,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,24
HCPCS,D5995,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,24
HCPCS,D5996,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,24
HCPCS,D6089,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,24
HCPCS,D6105,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,24
HCPCS,D6106,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,24
HCPCS,D6107,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,24
HCPCS,D6191,Semi-precision abutment - placement ,,,3715.0,4953.0,24
HCPCS,D6192,Semi-precision attachment - placement ,,,3715.0,4953.0,24
HCPCS,D6193,Replacement of an implant screw ,,,3715.0,4953.0,24
HCPCS,D6197,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,24
HCPCS,D6198,Remove interim implant component ,,,3715.0,4953.0,24
HCPCS,D7252,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,24
HCPCS,D7259,Nerve dissection ,,,3715.0,4953.0,24
HCPCS,D7284,Exc biopsy of saliv glands ,,,3715.0,4953.0,24
HCPCS,D7298,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,24
HCPCS,D7299,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,24
HCPCS,D7300,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,24
HCPCS,D7509,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,24
HCPCS,D7939,Indexing for osteotomy ,,,3715.0,4953.0,24
HCPCS,D7956,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,24
HCPCS,D7957,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,24
HCPCS,D7961,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,24
HCPCS,D7962,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,24
HCPCS,D7993,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,24
HCPCS,D7994,Surgical placement zygomatic implant ,,,3715.0,4953.0,24
HCPCS,D9949,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,24
HCPCS,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,28.54,44.16,34
HCPCS,E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,65.27,101.0,34
HCPCS,E0110,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,94.46,146.16,34
HCPCS,E0111,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,61.27,94.81,34
HCPCS,E0112,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,42.59,65.9,34
HCPCS,E0113,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,24.33,37.65,34
HCPCS,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,62.62,96.9,34
HCPCS,E0116,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,31.94,49.42,34
HCPCS,E0117,"Crutch, underarm, articulating, spring assisted, each ",,,26.08,40.35,34
HCPCS,E0130,"Walker, rigid (pickup), adjustable or fixed height ",,,54.5,84.33,34
HCPCS,E0135,"Walker, folding (pickup), adjustable or fixed height ",,,54.74,84.7,34
HCPCS,E0140,"Walker, with trunk support, adjustable or fixed height, any type ",,,34.22,52.95,34
HCPCS,E0141,"Walker, rigid, wheeled, adjustable or fixed height ",,,57.85,89.51,34
HCPCS,E0143,"Walker, folding, wheeled, adjustable or fixed height ",,,57.85,89.51,34
HCPCS,E0144,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,32.64,50.51,34
HCPCS,E0147,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,481.87,745.63,34
HCPCS,E0148,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,100.03,154.79,34
HCPCS,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,14.91,23.06,34
HCPCS,E0153,"Platform attachment, forearm crutch, each ",,,93.95,145.38,34
HCPCS,E0154,"Platform attachment, walker, each ",,,56.54,87.49,34
HCPCS,E0155,"Wheel attachment, rigid pick-up walker, per pair ",,,24.12,37.32,34
HCPCS,E0156,"Seat attachment, walker ",,,19.08,29.52,34
HCPCS,E0157,"Crutch attachment, walker, each ",,,68.22,105.56,34
HCPCS,E0158,"Leg extensions for walker, per set of four (4) ",,,25.59,39.6,34
HCPCS,E0159,"Brake attachment for wheeled walker, replacement, each ",,,17.77,27.5,34
HCPCS,E0160,"Sitz type bath or equipment, portable, used with or without commode ",,,31.72,49.08,34
HCPCS,E0161,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,29.72,45.98,34
HCPCS,E0162,Sitz bath chair ,,,197.27,305.25,34
HCPCS,E0163,"Commode chair, mobile or stationary, with fixed arms ",,,64.84,100.33,34
HCPCS,E0165,"Commode chair, mobile or stationary, with detachable arms ",,,14.93,23.11,34
HCPCS,E0167,"Pail or pan for use with commode chair, replacement only ",,,12.0,18.57,34
HCPCS,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,142.97,221.23,34
HCPCS,E0170,"Commode chair with integrated seat lift mechanism, electric, any type ",,,191.9,296.94,34
HCPCS,E0171,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,35.26,54.57,34
HCPCS,E0175,"Foot rest, for use with commode chair, each ",,,89.67,138.75,34
HCPCS,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,18.78,29.06,34
HCPCS,E0182,"Pump for alternating pressure pad, for replacement only ",,,23.3,36.06,34
HCPCS,E0183,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,18.78,29.06,34
HCPCS,E0184,Dry pressure mattress ,,,192.05,297.18,34
HCPCS,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,205.06,317.3,34
HCPCS,E0186,Air pressure mattress ,,,21.4,33.12,34
HCPCS,E0187,Water pressure mattress ,,,23.33,36.1,34
HCPCS,E0188,Synthetic sheepskin pad ,,,28.56,44.19,34
HCPCS,E0189,"Lambswool sheepskin pad, any size ",,,59.29,91.74,34
HCPCS,E0191,"Heel or elbow protector, each ",,,11.49,17.79,34
HCPCS,E0193,Powered air flotation bed (low air loss therapy) ,,,821.59,1271.3,34
HCPCS,E0194,Air fluidized bed ,,,3896.44,6029.23,34
HCPCS,E0196,Gel pressure mattress ,,,35.82,55.43,34
HCPCS,E0197,"Air pressure pad for mattress, standard mattress length and width ",,,20.06,31.05,34
HCPCS,E0198,"Water pressure pad for mattress, standard mattress length and width ",,,30.01,46.44,34
HCPCS,E0199,"Dry pressure pad for mattress, standard mattress length and width ",,,35.1,54.32,34
HCPCS,E0200,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,107.34,166.1,34
HCPCS,E0201,"Penile contracture device, manual, greater than 3 lbs traction force ",,,139.19,215.38,34
HCPCS,E0202,Phototherapy (bilirubin) light with photometer ,,,84.79,131.2,34
HCPCS,E0205,"Heat lamp, with stand, includes bulb, or infrared element ",,,262.73,406.54,34
HCPCS,E0210,"Electric heat pad, standard ",,,37.58,58.15,34
HCPCS,E0215,"Electric heat pad, moist ",,,95.91,148.41,34
HCPCS,E0217,Water circulating heat pad with pump ,,,672.15,1040.07,34
HCPCS,E0225,"Hydrocollator unit, includes pads ",,,526.19,814.2,34
HCPCS,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,19.85,30.71,34
HCPCS,E0236,Pump for water circulating pad ,,,59.91,92.7,34
HCPCS,E0239,"Hydrocollator unit, portable ",,,517.66,801.02,34
HCPCS,E0249,"Pad for water circulating heat unit, for replacement only ",,,134.84,208.65,34
HCPCS,E0250,"Hospital bed, fixed height, with any type side rails, with mattress ",,,73.1,113.12,34
HCPCS,E0251,"Hospital bed, fixed height, with any type side rails, without mattress ",,,67.56,104.55,34
HCPCS,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,74.04,114.57,34
HCPCS,E0256,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,70.46,109.03,34
HCPCS,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,74.25,114.9,34
HCPCS,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,73.97,114.45,34
HCPCS,E0265,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,174.81,270.49,34
HCPCS,E0266,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,152.1,235.36,34
HCPCS,E0271,"Mattress, innerspring ",,,150.72,233.22,34
HCPCS,E0272,"Mattress, foam rubber ",,,169.25,261.9,34
HCPCS,E0275,"Bed pan, standard, metal or plastic ",,,16.2,25.06,34
HCPCS,E0276,"Bed pan, fracture, metal or plastic ",,,13.5,20.89,34
HCPCS,E0277,Powered pressure-reducing air mattress ,,,238.97,369.78,34
HCPCS,E0280,"Bed cradle, any type ",,,36.26,56.11,34
HCPCS,E0290,"Hospital bed, fixed height, without side rails, with mattress ",,,67.07,103.78,34
HCPCS,E0291,"Hospital bed, fixed height, without side rails, without mattress ",,,51.06,79.01,34
HCPCS,E0292,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,71.05,109.94,34
HCPCS,E0293,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,64.78,100.24,34
HCPCS,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,74.12,114.69,34
HCPCS,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,73.97,114.45,34
HCPCS,E0296,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,136.39,211.05,34
HCPCS,E0297,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,120.36,186.23,34
HCPCS,E0300,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,303.91,470.27,34
HCPCS,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,199.42,308.58,34
HCPCS,E0302,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,573.51,887.42,34
HCPCS,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,203.22,314.46,34
HCPCS,E0304,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,595.75,921.84,34
HCPCS,E0305,"Bed side rails, half length ",,,13.05,20.2,34
HCPCS,E0310,"Bed side rails, full length ",,,138.0,213.53,34
HCPCS,E0316,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,238.6,369.21,34
HCPCS,E0325,"Urinal; male, jug-type, any material ",,,10.46,16.18,34
HCPCS,E0326,"Urinal; female, jug-type, any material ",,,11.2,17.33,34
HCPCS,E0371,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,238.97,369.78,34
HCPCS,E0372,"Powered air overlay for mattress, standard mattress length and width ",,,238.97,369.78,34
HCPCS,E0373,Nonpowered advanced pressure reducing mattress ,,,238.97,369.78,34
HCPCS,E0424,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,95.2,147.31,34
HCPCS,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,21.03,32.55,34
HCPCS,E0433,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,45.54,70.47,34
HCPCS,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,45.54,70.47,34
HCPCS,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,95.2,147.31,34
HCPCS,E0441,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,64.87,100.37,34
HCPCS,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,64.87,100.37,34
HCPCS,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,58.77,90.93,34
HCPCS,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,58.77,90.93,34
HCPCS,E0447,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,88.15,136.4,34
HCPCS,E0462,Rocking bed with or without side rails ,,,394.53,610.49,34
HCPCS,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1292.31,1999.69,34
HCPCS,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1292.31,1999.69,34
HCPCS,E0467,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1491.36,2307.68,34
HCPCS,E0468,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1383.29,2140.45,34
HCPCS,E0469,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1486.02,2299.42,34
HCPCS,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,127.24,196.89,34
HCPCS,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,313.38,484.91,34
HCPCS,E0472,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,473.74,733.04,34
HCPCS,E0480,"Percussor, electric or pneumatic, home model ",,,50.58,78.26,34
HCPCS,E0482,"Cough stimulating device, alternating positive and negative airway pressure ",,,545.8,844.56,34
HCPCS,E0483,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1439.36,2227.23,34
HCPCS,E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,50.01,77.38,34
HCPCS,E0490,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,103.02,159.41,34
HCPCS,E0491,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,100.1,154.89,34
HCPCS,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,126.36,195.52,34
HCPCS,E0530,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,35.26,54.57,34
HCPCS,E0550,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,67.88,105.03,34
HCPCS,E0560,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,185.23,286.62,34
HCPCS,E0561,"Humidifier, non-heated, used with positive airway pressure device ",,,87.62,135.58,34
HCPCS,E0562,"Humidifier, heated, used with positive airway pressure device ",,,165.14,255.53,34
HCPCS,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,49.38,76.41,34
HCPCS,E0570,"Nebulizer, with compressor ",,,6.99,10.82,34
HCPCS,E0572,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,37.47,57.98,34
HCPCS,E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,51.36,79.47,34
HCPCS,E0575,"Nebulizer, ultrasonic, large volume ",,,139.16,215.33,34
HCPCS,E0580,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,156.42,242.04,34
HCPCS,E0585,"Nebulizer, with compressor and heater ",,,35.34,54.68,34
HCPCS,E0600,"Respiratory suction pump, home model, portable or stationary, electric ",,,52.69,81.53,34
HCPCS,E0601,Continuous positive airway pressure (cpap) device ,,,49.34,76.35,34
HCPCS,E0602,"Breast pump, manual, any type ",,,39.96,61.83,34
HCPCS,E0605,"Vaporizer, room type ",,,35.76,55.33,34
HCPCS,E0606,Postural drainage board ,,,31.07,48.07,34
HCPCS,E0607,Home blood glucose monitor ,,,90.47,139.99,34
HCPCS,E0610,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,322.02,498.29,34
HCPCS,E0615,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,648.22,1003.04,34
HCPCS,E0617,External defibrillator with integrated electrocardiogram analysis ,,,411.63,636.95,34
HCPCS,E0618,"Apnea monitor, without recording feature ",,,379.57,587.34,34
HCPCS,E0620,"Skin piercing device for collection of capillary blood, laser, each ",,,118.36,183.15,34
HCPCS,E0621,"Sling or seat, patient lift, canvas or nylon ",,,94.78,146.66,34
HCPCS,E0627,"Seat lift mechanism, electric, any type ",,,307.94,476.5,34
HCPCS,E0629,"Seat lift mechanism, non-electric, any type ",,,306.56,474.35,34
HCPCS,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,70.37,108.88,34
HCPCS,E0635,"Patient lift, electric with seat or sling ",,,137.66,213.0,34
HCPCS,E0636,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1163.3,1800.06,34
HCPCS,E0639,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,151.03,233.7,34
HCPCS,E0640,"Patient lift, fixed system, includes all components/accessories ",,,151.03,233.7,34
HCPCS,E0650,"Pneumatic compressor, non-segmental home model ",,,828.81,1282.47,34
HCPCS,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1243.41,1924.01,34
HCPCS,E0652,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,7177.54,11106.31,34
HCPCS,E0655,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,124.77,193.07,34
HCPCS,E0656,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,78.23,121.05,34
HCPCS,E0657,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,73.5,113.73,34
HCPCS,E0658,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,170.19,263.35,34
HCPCS,E0659,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,170.19,263.35,34
HCPCS,E0660,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,198.35,306.92,34
HCPCS,E0665,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,185.49,287.02,34
HCPCS,E0666,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,183.27,283.59,34
HCPCS,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,438.34,678.27,34
HCPCS,E0668,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,598.25,925.72,34
HCPCS,E0669,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,248.19,384.04,34
HCPCS,E0670,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1701.9,2633.46,34
HCPCS,E0671,"Segmental gradient pressure pneumatic appliance, full leg ",,,562.34,870.15,34
HCPCS,E0672,"Segmental gradient pressure pneumatic appliance, full arm ",,,436.92,676.08,34
HCPCS,E0673,"Segmental gradient pressure pneumatic appliance, half leg ",,,363.05,561.78,34
HCPCS,E0675,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,520.63,805.6,34
HCPCS,E0677,"Non-pneumatic sequential compression garment, trunk ",,,78.23,121.05,34
HCPCS,E0678,"Non-pneumatic sequential compression garment, full leg ",,,43.83,67.83,34
HCPCS,E0679,"Non-pneumatic sequential compression garment, half leg ",,,24.82,38.41,34
HCPCS,E0680,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,717.75,1110.63,34
HCPCS,E0681,Non-pneumatic compression controller without calibrated gradient pressure ,,,124.35,192.41,34
HCPCS,E0682,"Non-pneumatic sequential compression garment, full arm ",,,59.82,92.57,34
HCPCS,E0683,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,77.45,119.85,34
HCPCS,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1216.58,1882.5,34
HCPCS,E0692,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1527.69,2363.91,34
HCPCS,E0693,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,1883.21,2914.03,34
HCPCS,E0694,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,5994.1,9275.08,34
HCPCS,E0705,"Transfer device, any type, each ",,,58.39,90.35,34
HCPCS,E0720,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,86.82,134.34,34
HCPCS,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,87.72,135.74,34
HCPCS,E0731,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,108.75,168.27,34
HCPCS,E0732,"Cranial electrotherapy stimulation (ces) system, any type ",,,48.88,75.63,34
HCPCS,E0733,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,48.88,75.63,34
HCPCS,E0734,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,425.91,659.05,34
HCPCS,E0735,Non-invasive vagus nerve stimulator ,,,48.88,75.63,34
HCPCS,E0736,Transcutaneous tibial nerve stimulator ,,,48.88,75.63,34
HCPCS,E0738,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,1937.66,2998.27,34
HCPCS,E0739,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1517.78,2348.56,34
HCPCS,E0740,"Non-implanted pelvic floor electrical stimulator, complete system ",,,70.79,109.54,34
HCPCS,E0743,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,230.09,356.03,34
HCPCS,E0744,Neuromuscular stimulator for scoliosis ,,,105.38,163.07,34
HCPCS,E0745,"Neuromuscular stimulator, electronic shock unit ",,,103.02,159.41,34
HCPCS,E0747,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,5301.89,8203.98,34
HCPCS,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,5267.56,8150.86,34
HCPCS,E0749,"Osteogenesis stimulator, electrical, surgically implanted ",,,327.25,506.37,34
HCPCS,E0760,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,4377.24,6773.2,34
HCPCS,E0762,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,148.86,230.35,34
HCPCS,E0764,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1498.28,2318.4,34
HCPCS,E0766,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,15565.47,24085.51,34
HCPCS,E0776,Iv pole ,,,174.53,270.07,34
HCPCS,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,21.37,33.06,34
HCPCS,E0780,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,14.04,21.73,34
HCPCS,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,293.86,454.72,34
HCPCS,E0782,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5812.79,8994.53,34
HCPCS,E0783,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,9421.46,14578.48,34
HCPCS,E0784,"External ambulatory infusion pump, insulin ",,,529.86,819.89,34
HCPCS,E0785,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,543.76,841.4,34
HCPCS,E0786,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,10811.85,16729.92,34
HCPCS,E0791,"Parenteral infusion pump, stationary, single or multi-channel ",,,349.11,540.2,34
HCPCS,E0840,"Traction frame, attached to headboard, cervical traction ",,,84.32,130.48,34
HCPCS,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,69.78,107.97,34
HCPCS,E0850,"Traction stand, free standing, cervical traction ",,,130.29,201.61,34
HCPCS,E0855,Cervical traction equipment not requiring additional stand or frame ,,,68.05,105.3,34
HCPCS,E0856,"Cervical traction device, with inflatable air bladder(s) ",,,20.83,32.24,34
HCPCS,E0860,"Traction equipment, overdoor, cervical ",,,46.17,71.44,34
HCPCS,E0870,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,133.85,207.12,34
HCPCS,E0880,"Traction stand, free standing, extremity traction ",,,144.47,223.54,34
HCPCS,E0890,"Traction frame, attached to footboard, pelvic traction ",,,138.55,214.38,34
HCPCS,E0900,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,147.47,228.19,34
HCPCS,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,13.25,20.51,34
HCPCS,E0911,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,50.37,77.94,34
HCPCS,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,101.09,156.42,34
HCPCS,E0920,"Fracture frame, attached to bed, includes weights ",,,62.49,96.7,34
HCPCS,E0930,"Fracture frame, free standing, includes weights ",,,61.84,95.7,34
HCPCS,E0935,Continuous passive motion exercise device for use on knee only ,,,26.18,40.51,34
HCPCS,E0940,"Trapeze bar, free standing, complete with grab bar ",,,25.01,38.71,34
HCPCS,E0941,"Gravity assisted traction device, any type ",,,58.76,90.92,34
HCPCS,E0942,Cervical head harness/halter ,,,22.84,35.34,34
HCPCS,E0944,Pelvic belt/harness/boot ,,,58.71,90.85,34
HCPCS,E0945,Extremity belt/harness ,,,51.01,78.92,34
HCPCS,E0946,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,68.09,105.35,34
HCPCS,E0947,"Fracture frame, attachments for complex pelvic traction ",,,715.21,1106.69,34
HCPCS,E0948,"Fracture frame, attachments for complex cervical traction ",,,715.21,1106.69,34
HCPCS,E0950,"Wheelchair accessory, tray, each ",,,89.77,138.91,34
HCPCS,E0951,"Heel loop/holder, any type, with or without ankle strap, each ",,,15.54,24.05,34
HCPCS,E0952,"Toe loop/holder, any type, each ",,,18.69,28.91,34
HCPCS,E0953,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,88.69,137.24,34
HCPCS,E0954,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,62.24,96.31,34
HCPCS,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,16.82,26.03,34
HCPCS,E0956,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,88.69,137.24,34
HCPCS,E0957,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,140.7,217.72,34
HCPCS,E0958,"Manual wheelchair accessory, one-arm drive attachment, each ",,,48.0,74.28,34
HCPCS,E0959,"Manual wheelchair accessory, adapter for amputee, each ",,,50.26,77.78,34
HCPCS,E0960,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,85.24,131.9,34
HCPCS,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,23.39,36.19,34
HCPCS,E0966,"Manual wheelchair accessory, headrest extension, each ",,,80.69,124.86,34
HCPCS,E0967,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,84.19,130.27,34
HCPCS,E0968,"Commode seat, wheelchair ",,,22.14,34.27,34
HCPCS,E0969,"Narrowing device, wheelchair ",,,211.83,327.78,34
HCPCS,E0971,"Manual wheelchair accessory, anti-tipping device, each ",,,36.43,56.37,34
HCPCS,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,67.05,103.75,34
HCPCS,E0974,"Manual wheelchair accessory, anti-rollback device, each ",,,85.12,131.71,34
HCPCS,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,29.4,45.5,34
HCPCS,E0980,"Safety vest, wheelchair ",,,38.04,58.86,34
HCPCS,E0981,"Wheelchair accessory, seat upholstery, replacement only, each ",,,49.37,76.4,34
HCPCS,E0982,"Wheelchair accessory, back upholstery, replacement only, each ",,,52.12,80.64,34
HCPCS,E0983,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,311.24,481.6,34
HCPCS,E0984,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,258.66,400.24,34
HCPCS,E0985,"Wheelchair accessory, seat lift mechanism ",,,24.66,38.16,34
HCPCS,E0986,"Manual wheelchair accessory, power assist system ",,,658.58,1019.06,34
HCPCS,E0988,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,405.29,627.13,34
HCPCS,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,88.46,136.89,34
HCPCS,E0992,"Manual wheelchair accessory, solid seat insert ",,,95.58,147.9,34
HCPCS,E0994,"Arm rest, each ",,,23.46,36.29,34
HCPCS,E0995,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,31.73,49.1,34
HCPCS,E1002,"Wheelchair accessory, power seating system, tilt only ",,,440.27,681.26,34
HCPCS,E1003,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,512.43,792.92,34
HCPCS,E1004,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,566.41,876.44,34
HCPCS,E1005,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,614.99,951.62,34
HCPCS,E1006,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,753.3,1165.64,34
HCPCS,E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,948.3,1467.37,34
HCPCS,E1008,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,972.7,1505.12,34
HCPCS,E1010,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,132.18,204.54,34
HCPCS,E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,132.18,204.54,34
HCPCS,E1014,"Reclining back, addition to pediatric size wheelchair ",,,49.46,76.53,34
HCPCS,E1015,"Shock absorber for manual wheelchair, each ",,,139.04,215.15,34
HCPCS,E1016,"Shock absorber for power wheelchair, each ",,,126.84,196.27,34
HCPCS,E1020,"Residual limb support system for wheelchair, any type ",,,21.3,32.96,34
HCPCS,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,16.33,25.27,34
HCPCS,E1029,"Wheelchair accessory, ventilator tray, fixed ",,,43.11,66.71,34
HCPCS,E1030,"Wheelchair accessory, ventilator tray, gimbaled ",,,135.98,210.42,34
HCPCS,E1031,"Rollabout chair, any and all types with casters 5 or greater ",,,50.02,77.4,34
HCPCS,E1032,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,16.33,25.27,34
HCPCS,E1033,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,16.33,25.27,34
HCPCS,E1034,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,16.33,25.27,34
HCPCS,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,696.74,1078.11,34
HCPCS,E1036,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,991.85,1534.75,34
HCPCS,E1037,"Transport chair, pediatric size ",,,123.19,190.61,34
HCPCS,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,18.09,27.99,34
HCPCS,E1039,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,38.44,59.48,34
HCPCS,E1050,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,117.22,181.38,34
HCPCS,E1060,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,145.06,224.47,34
HCPCS,E1070,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,126.06,195.05,34
HCPCS,E1083,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,90.61,140.21,34
HCPCS,E1084,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,112.89,174.68,34
HCPCS,E1087,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,171.31,265.09,34
HCPCS,E1088,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,204.13,315.86,34
HCPCS,E1092,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,173.99,269.23,34
HCPCS,E1093,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,131.43,203.37,34
HCPCS,E1100,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,119.45,184.84,34
HCPCS,E1110,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,131.64,203.7,34
HCPCS,E1150,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,93.87,145.25,34
HCPCS,E1160,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,71.94,111.32,34
HCPCS,E1161,"Manual adult size wheelchair, includes tilt in space ",,,320.33,495.67,34
HCPCS,E1170,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,102.8,159.07,34
HCPCS,E1171,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,92.24,142.72,34
HCPCS,E1172,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,132.66,205.27,34
HCPCS,E1180,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,137.2,212.3,34
HCPCS,E1190,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,158.5,245.25,34
HCPCS,E1195,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,170.07,263.16,34
HCPCS,E1200,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,117.8,182.28,34
HCPCS,E1221,"Wheelchair with fixed arm, footrests ",,,56.69,87.71,34
HCPCS,E1222,"Wheelchair with fixed arm, elevating legrests ",,,77.99,120.67,34
HCPCS,E1223,"Wheelchair with detachable arms, footrests ",,,86.63,134.05,34
HCPCS,E1224,"Wheelchair with detachable arms, elevating legrests ",,,93.39,144.52,34
HCPCS,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,44.47,68.81,34
HCPCS,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,469.31,726.19,34
HCPCS,E1227,Special height arms for wheelchair ,,,375.71,581.36,34
HCPCS,E1228,Special back height for wheelchair ,,,32.25,49.91,34
HCPCS,E1230,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,2728.41,4221.85,34
HCPCS,E1232,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,289.54,448.03,34
HCPCS,E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,299.97,464.17,34
HCPCS,E1234,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,261.16,404.12,34
HCPCS,E1235,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,251.48,389.14,34
HCPCS,E1236,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,221.87,343.32,34
HCPCS,E1237,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,223.79,346.29,34
HCPCS,E1238,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,221.87,343.32,34
HCPCS,E1240,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,118.57,183.47,34
HCPCS,E1270,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,90.85,140.58,34
HCPCS,E1280,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,151.05,233.73,34
HCPCS,E1295,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,164.44,254.46,34
HCPCS,E1296,Special wheelchair seat height from floor ,,,586.82,908.02,34
HCPCS,E1297,"Special wheelchair seat depth, by upholstery ",,,122.85,190.1,34
HCPCS,E1298,"Special wheelchair seat depth and/or width, by construction ",,,573.58,887.54,34
HCPCS,E1310,"Whirlpool, non-portable (built-in type) ",,,2907.34,4498.73,34
HCPCS,E1353,Regulator ,,,38.34,59.33,34
HCPCS,E1355,Stand/rack ,,,28.9,44.72,34
HCPCS,E1372,Immersion external heater for nebulizer ,,,154.89,239.67,34
HCPCS,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,95.2,147.31,34
HCPCS,E1391,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,95.2,147.31,34
HCPCS,E1392,"Portable oxygen concentrator, rental ",,,45.54,70.47,34
HCPCS,E1405,Oxygen and water vapor enriching system with heated delivery ,,,130.54,201.99,34
HCPCS,E1406,Oxygen and water vapor enriching system without heated delivery ,,,102.19,158.13,34
HCPCS,E1700,Jaw motion rehabilitation system ,,,46.69,72.25,34
HCPCS,E1701,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,14.35,22.21,34
HCPCS,E1702,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,30.54,47.26,34
HCPCS,E1800,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,140.97,218.13,34
HCPCS,E1801,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,163.73,253.35,34
HCPCS,E1802,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,442.46,684.65,34
HCPCS,E1803,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,140.97,218.13,34
HCPCS,E1804,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,140.97,218.13,34
HCPCS,E1805,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1806,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,134.4,207.96,34
HCPCS,E1807,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1808,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1810,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,143.38,221.87,34
HCPCS,E1811,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,170.27,263.47,34
HCPCS,E1812,"Dynamic knee, extension/flexion device with active resistance control ",,,116.42,180.15,34
HCPCS,E1813,"Dynamic adjustable knee extension only device, includes soft interface material ",,,143.38,221.87,34
HCPCS,E1814,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,143.38,221.87,34
HCPCS,E1815,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1816,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,172.95,267.61,34
HCPCS,E1818,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,176.5,273.11,34
HCPCS,E1820,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,110.67,171.25,34
HCPCS,E1821,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,142.48,220.47,34
HCPCS,E1822,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1823,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1825,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1826,"Dynamic adjustable finger extension only device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1827,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1828,"Dynamic adjustable toe extension only device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1829,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1830,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,145.41,225.0,34
HCPCS,E1831,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,89.44,138.4,34
HCPCS,E1832,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,89.44,138.4,34
HCPCS,E1840,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,467.38,723.21,34
HCPCS,E1841,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,613.29,948.99,34
HCPCS,E1905,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,641.03,991.91,34
HCPCS,E2000,"Gastric suction pump, home model, portable or stationary, electric ",,,65.76,101.75,34
HCPCS,E2001,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,52.69,81.53,34
HCPCS,E2100,Blood glucose monitor with integrated voice synthesizer ,,,870.78,1347.42,34
HCPCS,E2101,Blood glucose monitor with integrated lancing/blood sample ,,,255.27,395.0,34
HCPCS,E2102,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,227.26,351.65,34
HCPCS,E2103,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,286.21,442.87,34
HCPCS,E2104,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,51.79,80.14,34
HCPCS,E2120,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,383.85,593.95,34
HCPCS,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,373.44,577.86,34
HCPCS,E2202,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,524.87,812.16,34
HCPCS,E2203,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,507.0,784.51,34
HCPCS,E2204,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,875.27,1354.37,34
HCPCS,E2205,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,40.64,62.89,34
HCPCS,E2206,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,44.55,68.94,34
HCPCS,E2207,"Wheelchair accessory, crutch and cane holder, each ",,,51.5,79.69,34
HCPCS,E2208,"Wheelchair accessory, cylinder tank carrier, each ",,,93.97,145.41,34
HCPCS,E2209,"Accessory, arm trough, with or without hand support, each ",,,95.72,148.12,34
HCPCS,E2210,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.15,9.51,34
HCPCS,E2211,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,39.98,61.86,34
HCPCS,E2212,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,7.13,11.03,34
HCPCS,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,33.97,52.57,34
HCPCS,E2214,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,36.19,55.99,34
HCPCS,E2215,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,11.72,18.14,34
HCPCS,E2216,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,52.31,80.94,34
HCPCS,E2217,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,46.29,71.63,34
HCPCS,E2218,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,52.31,80.94,34
HCPCS,E2219,"Manual wheelchair accessory, foam caster tire, any size, each ",,,46.29,71.63,34
HCPCS,E2220,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,34.4,53.23,34
HCPCS,E2221,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,30.56,47.29,34
HCPCS,E2222,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,25.85,40.0,34
HCPCS,E2224,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,109.63,169.64,34
HCPCS,E2225,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,21.2,32.81,34
HCPCS,E2226,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,45.16,69.88,34
HCPCS,E2227,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,253.29,391.93,34
HCPCS,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,109.4,169.29,34
HCPCS,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,165.67,256.35,34
HCPCS,E2298,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,199.82,309.2,34
HCPCS,E2310,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,128.91,199.48,34
HCPCS,E2311,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,260.15,402.54,34
HCPCS,E2312,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,273.02,422.46,34
HCPCS,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,43.39,67.13,34
HCPCS,E2321,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,175.16,271.04,34
HCPCS,E2322,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,164.56,254.63,34
HCPCS,E2323,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,80.66,124.82,34
HCPCS,E2324,"Power wheelchair accessory, chin cup for chin control interface ",,,51.13,79.12,34
HCPCS,E2325,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,157.18,243.21,34
HCPCS,E2326,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,40.52,62.7,34
HCPCS,E2327,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,304.83,471.68,34
HCPCS,E2328,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,578.23,894.73,34
HCPCS,E2329,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,206.09,318.9,34
HCPCS,E2330,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,399.31,617.89,34
HCPCS,E2340,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,485.16,750.71,34
HCPCS,E2341,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,727.81,1126.2,34
HCPCS,E2342,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,606.53,938.52,34
HCPCS,E2343,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,970.44,1501.63,34
HCPCS,E2351,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,815.53,1261.92,34
HCPCS,E2359,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,194.43,300.85,34
HCPCS,E2360,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,141.07,218.28,34
HCPCS,E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,132.46,204.96,34
HCPCS,E2362,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,124.54,192.7,34
HCPCS,E2363,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,171.27,265.01,34
HCPCS,E2364,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,136.16,210.7,34
HCPCS,E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,90.67,140.3,34
HCPCS,E2366,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,193.57,299.53,34
HCPCS,E2367,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,436.09,674.79,34
HCPCS,E2368,"Power wheelchair component, drive wheel motor, replacement only ",,,47.51,73.51,34
HCPCS,E2369,"Power wheelchair component, drive wheel gear box, replacement only ",,,44.38,68.68,34
HCPCS,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,62.98,97.45,34
HCPCS,E2371,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,160.84,248.89,34
HCPCS,E2373,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,93.92,145.32,34
HCPCS,E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,59.4,91.92,34
HCPCS,E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,79.85,123.55,34
HCPCS,E2376,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,147.58,228.36,34
HCPCS,E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,54.67,84.6,34
HCPCS,E2378,"Power wheelchair component, actuator, replacement only ",,,66.63,103.11,34
HCPCS,E2381,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,69.88,108.13,34
HCPCS,E2382,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,21.65,33.5,34
HCPCS,E2383,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,142.57,220.6,34
HCPCS,E2384,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,72.15,111.65,34
HCPCS,E2385,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,51.96,80.39,34
HCPCS,E2386,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,125.52,194.23,34
HCPCS,E2387,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,58.59,90.65,34
HCPCS,E2388,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,56.54,87.49,34
HCPCS,E2389,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,31.61,48.91,34
HCPCS,E2390,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,48.93,75.72,34
HCPCS,E2391,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,20.15,31.18,34
HCPCS,E2392,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,48.66,75.29,34
HCPCS,E2394,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,67.49,104.43,34
HCPCS,E2395,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,50.79,78.59,34
HCPCS,E2396,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,61.08,94.51,34
HCPCS,E2397,"Power wheelchair accessory, lithium-based battery, each ",,,502.22,777.12,34
HCPCS,E2398,"Wheelchair accessory, dynamic positioning hardware for back ",,,155.32,240.33,34
HCPCS,E2402,"Negative pressure wound therapy electrical pump, stationary or portable ",,,837.84,1296.45,34
HCPCS,E2500,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,529.43,819.23,34
HCPCS,E2502,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1618.96,2505.13,34
HCPCS,E2504,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2135.65,3304.63,34
HCPCS,E2506,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3131.46,4845.52,34
HCPCS,E2508,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,4842.29,7492.81,34
HCPCS,E2510,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,9163.41,14179.16,34
HCPCS,E2513,"Accessory for speech generating device, electromyographic sensor ",,,4266.45,6601.77,34
HCPCS,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,46.78,72.38,34
HCPCS,E2602,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,100.48,155.48,34
HCPCS,E2603,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,125.17,193.69,34
HCPCS,E2604,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,171.33,265.11,34
HCPCS,E2605,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,244.0,377.55,34
HCPCS,E2606,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,392.16,606.82,34
HCPCS,E2607,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,245.6,380.04,34
HCPCS,E2608,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,303.94,470.31,34
HCPCS,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,193.44,299.32,34
HCPCS,E2612,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,369.09,571.12,34
HCPCS,E2613,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,363.62,562.66,34
HCPCS,E2614,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,522.76,808.9,34
HCPCS,E2615,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,411.24,636.33,34
HCPCS,E2616,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,552.64,855.14,34
HCPCS,E2619,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,58.22,90.08,34
HCPCS,E2620,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,454.11,702.67,34
HCPCS,E2621,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,530.45,820.8,34
HCPCS,E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,369.31,571.46,34
HCPCS,E2623,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,467.02,722.65,34
HCPCS,E2624,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,375.28,580.69,34
HCPCS,E2625,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,464.45,718.67,34
HCPCS,E2626,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,730.24,1129.94,34
HCPCS,E2627,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1129.88,1748.34,34
HCPCS,E2628,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,882.82,1366.04,34
HCPCS,E2629,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1114.36,1724.32,34
HCPCS,E2630,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,751.24,1162.45,34
HCPCS,E2631,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,327.65,507.0,34
HCPCS,E2632,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,197.06,304.92,34
HCPCS,E2633,"Wheelchair accessory, addition to mobile arm support, supinator ",,,159.65,247.03,34
HCPCS,E3000,"Speech volume modulation system, any type, including all components and accessories ",,,232.6,359.91,34
HCPCS,E3200,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1119.73,1732.63,34
HCPCS,G0008,ADMIN INFLUENZA VACCINE,218.84,218.84,37.2,218.84,38
HCPCS,G0008,Administration of influenza virus vaccine ,218.84,218.84,21.0,21.0,1
HCPCS,G0009,ADMIN PNEUMOCOCCAL VAC,218.84,218.84,37.2,218.84,38
HCPCS,G0010,ADMIN HEP B VACCINE,288.56,288.56,49.06,288.56,38
HCPCS,G0027,Semen analysis; presence and/or motility of sperm excluding huhner ,,,2.93,19.5,77
HCPCS,G0103,PROS SPEC AG (PSA) SCR,2190.36,2190.36,403.25,2190.36,30
HCPCS,G0103,Prostate cancer screening; prostate specific antigen test (psa) ,2190.36,2190.36,8.69,57.93,77
HCPCS,G0104,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,79
HCPCS,G0105,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3979.0,136
HCPCS,G0108,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,50.29,109.22,78
HCPCS,G0109,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,14.45,31.28,78
HCPCS,G0117,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,44
HCPCS,G0118,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,44
HCPCS,G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3979.0,136
HCPCS,G0123,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,9.12,60.78,77
HCPCS,G0124,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,31.07,18
HCPCS,G0127,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,73
HCPCS,G0130,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,24
HCPCS,G0141,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,31.07,18
HCPCS,G0143,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,12.17,81.15,77
HCPCS,G0144,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,19.79,131.91,77
HCPCS,G0145,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,11.92,79.47,77
HCPCS,G0147,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,7.99,55.62,77
HCPCS,G0148,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,14.37,95.82,77
HCPCS,G0166,"External counterpulsation, per treatment session ",,,188.55,3523.0,60
HCPCS,G0168,Wound closure utilizing tissue adhesive(s) only ,,,188.05,2900.0,77
HCPCS,G0173,"Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session ",,,28011.0,28011.0,1
HCPCS,G0175,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,44
HCPCS,G0186,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3523.0,115
HCPCS,G0235,"Pet imaging, any site, not otherwise specified ",,,385.11,509.11,4
HCPCS,G0237,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,44
HCPCS,G0238,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,44
HCPCS,G0239,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,44
HCPCS,G0245,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,44
HCPCS,G0246,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,44
HCPCS,G0247,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,16
HCPCS,G0251,"Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of tre",,,28011.0,28011.0,1
HCPCS,G0252,"Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes) ",,,72.78,72.78,1
HCPCS,G0257,EMERGENT DIALYSIS ESRD,2750.05,2750.05,506.28,2750.05,28
HCPCS,G0259,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,75
HCPCS,G0260,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3523.0,136
HCPCS,G0268,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,33
HCPCS,G0269,OCCLUSIVE DEVICE VEN/ART,1129.5,1129.5,169.43,1129.5,62
HCPCS,G0269,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,4950.0,36
HCPCS,G0270,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,24.3,63.7,78
HCPCS,G0271,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,13.01,33.81,78
HCPCS,G0276,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,57
HCPCS,G0277,HBO FULL BODY 30 MIN INT,1651.44,1651.44,280.74,1651.44,37
HCPCS,G0277,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",1651.44,1651.44,331.34,331.34,44
HCPCS,G0278,"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes posi",,,11.8,4950.0,4
HCPCS,G0279,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",201.82,201.82,10.96,58.02,43
HCPCS,G0279,TOMOSYNTHESIS MAMMO DX,201.82,201.82,37.16,201.82,29
HCPCS,G0281,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,9.24,23.2,146
HCPCS,G0283,EL ST UN IND NOT WC OT,370.94,370.94,63.06,370.94,36
HCPCS,G0283,EL ST UN IND NOT WC PT,370.94,370.94,63.06,370.94,36
HCPCS,G0283,EL ST UN IND NOT WC PTCQ,370.94,370.94,63.06,370.94,36
HCPCS,G0283,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,10.0,25.09,146
HCPCS,G0288,"Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery ",,,34.38,34.38,1
HCPCS,G0289,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,7566.0,35
HCPCS,G0299,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,22
HCPCS,G0300,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,22
HCPCS,G0302,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,44
HCPCS,G0303,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,44
HCPCS,G0304,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,44
HCPCS,G0305,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,44
HCPCS,G0306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,3.5,23.31,77
HCPCS,G0307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,2.91,19.41,77
HCPCS,G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,8.12,54.15,77
HCPCS,G0329,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,9.28,20.4,78
HCPCS,G0330,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,49
HCPCS,G0339,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,33826.0,36
HCPCS,G0340,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,33826.0,36
HCPCS,G0342,"Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion ",,,5310.0,6227.0,2
HCPCS,G0364,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,990.0,21
HCPCS,G0378,OBS PER HOUR,217.125,217.125,22.05,385.8,638
HCPCS,G0379,DIRECT REFERRAL TO OBS,824.59,824.59,151.81,824.59,609
HCPCS,G0380,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,1155.0,40
HCPCS,G0381,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,1155.0,40
HCPCS,G0382,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,40
HCPCS,G0383,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,40
HCPCS,G0384,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,324.72,5749.0,40
HCPCS,G0392,AV fistula or graft arterial ,,,4238.0,4584.0,20
HCPCS,G0393,AV fistula or graft venous ,,,4238.0,4584.0,20
HCPCS,G0398,"Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation ",,,2311.0,2710.0,2
HCPCS,G0399,"Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation ",,,2311.0,2710.0,2
HCPCS,G0400,"Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels ",,,2311.0,2710.0,2
HCPCS,G0410,PHP GRP W PT 45 MIN,1252.35,1252.35,187.85,1252.35,36
HCPCS,G0412,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,79
HCPCS,G0413,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,8866.0,116
HCPCS,G0414,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,79
HCPCS,G0415,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,79
HCPCS,G0416,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,419.03,20
HCPCS,G0420,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,102.66,217.02,78
HCPCS,G0421,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,24.74,52.21,78
HCPCS,G0428,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,24
HCPCS,G0429,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,24
HCPCS,G0432,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,8.81,58.71,77
HCPCS,G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,8.23,54.87,77
HCPCS,G0435,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,5.39,35.94,77
HCPCS,G0438,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,156.07,241.49,34
HCPCS,G0439,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,122.84,190.09,34
HCPCS,G0448,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,16577.0,47
HCPCS,G0452,Molecular pathology procedure; physician interpretation and report ,,,3.14,50.82,23
HCPCS,G0453,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,2900.0,77
HCPCS,G0455,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,42
HCPCS,G0463,Hospital outpatient clinic visit for assessment and management of a patient ,,,4060.0,4060.0,1
HCPCS,G0471,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,4.87,34.02,40
HCPCS,G0472,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,19.44,139.05,77
HCPCS,G0475,"Hiv antigen/antibody, combination assay, screening ",,,10.84,72.24,77
HCPCS,G0476,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,15.79,105.27,77
HCPCS,G0480,DRUG TEST DEF 1-7 CLASS,1796.0,1796.0,330.64,1796.0,30
HCPCS,G0480,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",1796.0,1796.0,51.49,343.29,77
HCPCS,G0481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,70.47,469.77,77
HCPCS,G0482,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,89.43,596.22,77
HCPCS,G0483,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,111.11,740.76,77
HCPCS,G0499,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,12.72,84.81,77
HCPCS,G0516,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,3523.0,115
HCPCS,G0517,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,115
HCPCS,G0518,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,115
HCPCS,G0541,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,108.3,108.3,44
HCPCS,G0542,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,53.63,44
HCPCS,G0543,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,44
HCPCS,G0561,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,3441.0,47
HCPCS,G0562,"Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., mo",,,1911.49,7957.64,3
HCPCS,G0563,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, e",,,3675.49,15301.28,3
HCPCS,G0564,"Creation of subcutaneous pocket with insertion of 365 day implantable interstitial glucose sensor, including system activation and patient training ",,,2264.0,2264.0,1
HCPCS,G0565,"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 365 day implantable sensor, including system activation ",,,2753.0,2753.0,1
HCPCS,G0566,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,24
HCPCS,G0567,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,33.34,105.27,68
HCPCS,G0571,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,46
HCPCS,G0577,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,24
HCPCS,G0659,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,27.96,186.42,77
HCPCS,G0681,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,46
HCPCS,G0682,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,46
HCPCS,G0683,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,46
HCPCS,G0684,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,46
HCPCS,G2023,"Specimen collection for severe acute respiratory syndrome coronavirus  2 (sars-cov-2) (coronavirus disease ºcovid-19»), any specimen source ",,,23.46,23.46,2
HCPCS,G2024,"Specimen collection for severe acute respiratory syndrome coronavirus  2 (sars-cov-2) (coronavirus disease ºcovid-19») from an individual in a  snf or by a laboratory on behalf of a hha, any specimen ",,,25.46,25.46,2
HCPCS,G2250,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,11.65,18.02,34
HCPCS,G2251,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,12.72,19.68,34
HCPCS,G6001,Ultrasonic guidance for placement of radiation therapy fields ,,,20.84,537.82,3
HCPCS,G6002,Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy ,,,50.72,203.24,3
HCPCS,G6003,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev ",,,178.51,178.51,1
HCPCS,G6004,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev ",,,132.42,132.42,1
HCPCS,G6005,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev ",,,132.1,132.1,1
HCPCS,G6006,"Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater ",,,132.42,132.42,1
HCPCS,G6007,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev ",,,268.15,268.15,1
HCPCS,G6008,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev ",,,183.28,183.28,1
HCPCS,G6009,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev ",,,182.64,182.64,1
HCPCS,G6010,"Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater ",,,181.37,181.37,1
HCPCS,G6011,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev ",,,254.8,254.8,1
HCPCS,G6012,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev ",,,242.27,242.27,1
HCPCS,G6013,"Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev ",,,242.27,242.27,1
HCPCS,G6014,"Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater ",,,242.59,242.59,1
HCPCS,G6015,"Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session ",,,316.07,316.07,1
HCPCS,G6016,"Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session ",,,315.51,315.51,1
HCPCS,G6017,"Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment ",,,104.98,104.98,1
HCPCS,G9143,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,54.32,362.16,77
HCPCS,H0003,Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs ,,,0.01,0.01,2
HCPCS,H0008,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,20
HCPCS,H0009,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,20
HCPCS,H0010,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,20
HCPCS,H0011,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,20
HCPCS,H0015,"Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessmen",,,642.0,754.0,4
HCPCS,H0035,"Mental health partial hospitalization, treatment, less than 24 hours ",,,1021.0,1196.0,4
HCPCS,H0049,Alcohol and/or drug screening ,,,0.01,0.01,2
HCPCS,H2036,"Alcohol and/or other drug treatment program, per diem ",,,1021.0,1196.0,4
HCPCS,J0013,"Esketamine, nasal spray, 1 mg ",,,50.83,50.83,15
HCPCS,J0121,"Injection, omadacycline, 1 mg ",,,4.73,10.94,29
HCPCS,J0122,ERAVACYCLINE 50 MG INJ,690.01,690.01,103.5,690.01,28
HCPCS,J0122,"Injection, eravacycline, 1 mg ",690.01,690.01,1.59,3.42,17
HCPCS,J0129,ABATACEPT 250 MG INJ,8884.47,8884.47,1635.63,8884.47,23
HCPCS,J0129,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",8884.47,8884.47,53.03,118.51,29
HCPCS,J0130,"Injection abciximab, 10 mg ",,,1528.6,2057.86,17
HCPCS,J0131,ACETAMINO NOS 1000MG INJ,139.97,139.97,21.0,139.97,27
HCPCS,J0131,ACETAMINO NOS 10MG INJ,10.72,10.72,1.61,10.72,27
HCPCS,J0131,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.13,29
HCPCS,J0132,ACETYLCYSTEIN 6000MG INJ,4071.5,4071.5,610.73,4071.5,27
HCPCS,J0132,"Injection, acetylcysteine, 100 mg ",4071.5,4071.5,0.54,1.35,29
HCPCS,J0133,ACYCLOVIR 5 MG/ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J0133,ACYCLOVIR 500 MG INJ,551.33,551.33,82.7,551.33,27
HCPCS,J0133,"Injection, acyclovir, 5 mg ",,,0.04,0.06,29
HCPCS,J0134,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.06,0.13,17
HCPCS,J0135,"Injection, adalimumab, 20 mg ",,,1163.8,1309.28,2
HCPCS,J0136,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.06,0.13,17
HCPCS,J0137,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.06,0.16,17
HCPCS,J0138,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.24,0.24,15
HCPCS,J0139,"Injection, adalimumab, 1 mg ",,,432.43,432.43,15
HCPCS,J0153,ADENOSINE 12 MG INJ,663.42,663.42,99.51,663.42,28
HCPCS,J0153,ADENOSINE 6 MG INJ,215.09,215.09,32.26,215.09,28
HCPCS,J0153,ADENOSINE 90 MG INJ,5486.27,5486.27,822.94,5486.27,28
HCPCS,J0153,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.54,1.27,17
HCPCS,J0162,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,1.14,1.14,15
HCPCS,J0163,505EN EPI NACL 5MG INJ,374.85,374.85,56.23,374.85,30
HCPCS,J0163,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",374.85,374.85,0.8,0.8,15
HCPCS,J0164,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,2.44,2.44,15
HCPCS,J0165,EPI NOS 0.1 MG INJ,6.02,6.02,0.9,6.02,29
HCPCS,J0165,EPI NOS 1 MG INJ,251.27,251.27,27.26,317.87,87
HCPCS,J0165,EPI NOS 10 MG MDV,690.0,690.0,103.5,690.0,29
HCPCS,J0165,EPI NOS 20MCG/ML INJ,4.78,4.78,0.72,4.78,29
HCPCS,J0165,EPI NOS 40MCG/ML INJ,9.57,9.57,1.44,9.57,29
HCPCS,J0165,EPI NOS 60MCG/ML INJ,19.15,19.15,2.87,19.15,29
HCPCS,J0165,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.82,0.86,27
HCPCS,J0166,505BI EPI 1MG INJ,124.78,124.78,18.72,124.78,29
HCPCS,J0166,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",124.78,124.78,2.23,2.78,27
HCPCS,J0167,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,2.86,27
HCPCS,J0168,505IS EPI 1 MG INJ,150.94,150.94,22.64,150.94,29
HCPCS,J0168,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",150.94,150.94,2.65,7.63,27
HCPCS,J0169,ADRENALIN 1 MG INJ,94.56,94.56,14.18,94.56,29
HCPCS,J0169,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",94.56,94.56,2.31,2.77,27
HCPCS,J0171,"Injection, adrenalin, epinephrine, 0.1 mg ",,,1.03,1.16,2
HCPCS,J0172,"Injection, aducanumab-avwa, 2 mg ",,,7.31,8.61,14
HCPCS,J0173,"Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg ",,,2.38,2.68,2
HCPCS,J0174,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,3.55,29
HCPCS,J0175,"Injection, donanemab-azbt, 2 mg ",,,5.11,10.97,27
HCPCS,J0177,"Injection, aflibercept hd, 1 mg ",,,392.69,798.13,29
HCPCS,J0178,"Injection, aflibercept, 1 mg ",,,973.04,1939.51,29
HCPCS,J0179,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,935.64,29
HCPCS,J0180,"Injection, agalsidase beta, 1 mg ",,,272.46,603.09,29
HCPCS,J0184,"Injection, amisulpride, 1 mg ",,,11.45,25.33,29
HCPCS,J0185,APREPITANT 1 MG INJ,31.24,31.24,5.75,31.24,23
HCPCS,J0185,APREPITANT 1 MG INJJW,31.24,31.24,5.75,31.24,23
HCPCS,J0185,APREPITANT 130 MG INJ,4062.64,4062.64,747.93,4062.64,23
HCPCS,J0185,"Injection, aprepitant, 1 mg ",,,2.09,4.48,29
HCPCS,J0200,"Injection, alatrofloxacin mesylate, 100 mg ",,,21.75,24.47,2
HCPCS,J0202,"Injection, alemtuzumab, 1 mg ",,,2985.07,6467.11,29
HCPCS,J0205,"Injection, alglucerase, per 10 units ",,,53.8,60.52,2
HCPCS,J0206,ALLOPURINOL 500MG INJ,37877.9,37877.9,6973.32,37877.9,23
HCPCS,J0206,ALLOPURINOL 5MG/ML INJ,330.73,330.73,60.89,330.73,23
HCPCS,J0206,"Injection, allopurinol sodium, 1 mg ",,,5.45,10.1,29
HCPCS,J0207,AMIFOSTINE 500 MG INJ,9270.01,9270.01,1390.5,9270.01,28
HCPCS,J0207,"Injection, amifostine, 500 mg ",9270.01,9270.01,1160.41,1573.69,17
HCPCS,J0208,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,252.94,29
HCPCS,J0209,505HP NA THIOS 12.5GINJ,184.16,184.16,27.62,184.16,28
HCPCS,J0209,"Injection, sodium thiosulfate (hope), 100 mg ",184.16,184.16,1.01,2.33,17
HCPCS,J0210,"Injection, methyldopate hcl, up to 250 mg ",,,25.68,61.05,17
HCPCS,J0211,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,5.75,29
HCPCS,J0215,"Injection, alefacept, 0.5 mg ",,,53.3,59.96,2
HCPCS,J0216,"Injection, alfentanil hydrochloride, 500 micrograms ",,,3.29,3.7,2
HCPCS,J0217,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,1232.86,29
HCPCS,J0218,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,1048.34,29
HCPCS,J0219,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,215.18,29
HCPCS,J0220,"Injection, alglucosidase alfa, 10 mg, not otherwise specified ",,,264.58,297.65,2
HCPCS,J0221,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,549.9,29
HCPCS,J0222,"Injection, patisiran, 0.1 mg ",,,121.08,267.39,29
HCPCS,J0223,"Injection, givosiran, 0.5 mg ",,,142.4,320.6,29
HCPCS,J0224,"Injection, lumasiran, 0.5 mg ",,,389.83,868.46,29
HCPCS,J0225,"Injection, vutrisiran, 1 mg ",,,6059.78,13301.07,29
HCPCS,J0248,"Injection, remdesivir, 1 mg ",,,7.76,18.29,29
HCPCS,J0248,REMDESIVIR 1.25MG/ML INJ,93.8,93.8,17.27,93.8,23
HCPCS,J0248,REMDESIVIR 100 MG INJ,3811.74,3811.74,701.74,3811.74,23
HCPCS,J0256,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.18,13.62,29
HCPCS,J0257,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,15.0,29
HCPCS,J0270,ALPROSTADIL 500 MCG INJ,1817.63,1817.63,272.64,1817.63,37
HCPCS,J0270,ALPROSTADL 10 MCG/ML INJ,40.68,40.68,6.1,40.68,37
HCPCS,J0270,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1.27,15.09,17
HCPCS,J0275,"Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,32.93,37.04,2
HCPCS,J0278,AMIKACIN 10 MG/ML INJ,6.3,6.3,0.94,6.3,27
HCPCS,J0278,AMIKACIN SULFATE 1000 MG,142.94,142.94,21.44,142.94,27
HCPCS,J0278,AMIKACIN SULFATE 500 MG,1165.83,1165.83,174.87,1165.83,27
HCPCS,J0278,"Injection, amikacin sulfate, 100 mg ",,,0.74,1.62,29
HCPCS,J0280,AMINOPHYLLIN 5 MG/ML INJ,2.18,2.18,0.33,2.18,27
HCPCS,J0280,AMINOPHYLLIN 500 MG INJ,161.1,161.1,24.16,161.1,27
HCPCS,J0280,AMINOPHYLLN 25 MG/ML INJ,8.7,8.7,1.3,8.7,27
HCPCS,J0280,"Injection, aminophyllin, up to 250 mg ",,,13.5,30.02,29
HCPCS,J0281,AMINOCAPROC 20 MG/ML INJ,2.38,2.38,0.36,2.38,29
HCPCS,J0281,AMINOCAPROIC 5 G INJ,155.07,155.07,23.26,155.07,29
HCPCS,J0281,"Injection, aminocaproic acid, 1 gram ",,,1.6,4.16,27
HCPCS,J0282,AMIODARONE 1.8 MG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J0282,AMIODARONE 150 MG INJ,190.86,190.86,28.63,190.86,27
HCPCS,J0282,AMIODARONE 450 MG INJ,154.5,154.5,23.18,154.5,27
HCPCS,J0282,AMIODARONE 6 MG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J0282,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,1.03,29
HCPCS,J0283,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,3.1,6.6,17
HCPCS,J0283,NEXTERONE AMIO 150MG INJ,656.92,656.92,98.54,656.92,28
HCPCS,J0283,NEXTERONE AMIO 360MG INJ,772.39,772.39,115.86,772.39,28
HCPCS,J0285,AMPHOT B 0.1 MG/ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J0285,AMPHOTERICN B 50 MG INJ,468.89,468.89,70.33,468.89,27
HCPCS,J0285,"Injection, amphotericin b, 50 mg ",,,60.03,117.47,29
HCPCS,J0287,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,49.56,29
HCPCS,J0288,"Injection, amphotericin b cholesteryl sulfate complex, 10 mg ",,,17.92,20.16,2
HCPCS,J0289,AMPHO B LIPOS 2MG/ML INJ,127.27,127.27,23.43,127.27,23
HCPCS,J0289,AMPHOT B LIPOSOME 10 MG,611.15,611.15,112.51,611.15,23
HCPCS,J0289,AMPHOT B LIPOSOME 10MGJW,611.15,611.15,112.51,611.15,23
HCPCS,J0289,AMPHOT B LIPOSOME 50 MG,3055.74,3055.74,562.56,3055.74,23
HCPCS,J0289,"Injection, amphotericin b liposome, 10 mg ",,,27.69,60.45,29
HCPCS,J0290,AMPICILLIN 1 G INJ,290.81,290.81,43.62,290.81,27
HCPCS,J0290,AMPICILLIN 2 G INJ,336.25,336.25,50.44,336.25,27
HCPCS,J0290,AMPICILLIN 250 MG INJ,213.54,213.54,32.03,213.54,27
HCPCS,J0290,AMPICILLIN 500 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J0290,"Injection, ampicillin sodium, 500 mg ",,,0.72,1.7,29
HCPCS,J0291,"Injection, plazomicin, 5 mg ",,,4.37,9.3,29
HCPCS,J0295,AMP/SUL 30MG/15MG PER ML,2.18,2.18,0.33,2.18,27
HCPCS,J0295,AMP20MG/SUL10MG / ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J0295,AMPICIL/SULBAC 1.5 G INJ,175.69,175.69,26.35,175.69,27
HCPCS,J0295,AMPICIL/SULBAC 3 G INJ,218.1,218.1,32.72,218.1,27
HCPCS,J0295,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,3.58,29
HCPCS,J0300,"Injection, amobarbital, up to 125 mg ",,,30.98,269.18,29
HCPCS,J0330,"Injection, succinylcholine chloride, up to 20 mg ",359.6,359.6,0.96,3.95,29
HCPCS,J0330,SUCCINYLCHOL 200 MG MDV,359.6,359.6,53.94,359.6,27
HCPCS,J0348,"Injection, anidulafungin, 1 mg ",,,0.59,1.3,29
HCPCS,J0349,"Injection, rezafungin, 1 mg ",,,12.74,28.59,29
HCPCS,J0360,HYDRALAZINE 1 MG/ML INJ,15.77,15.77,2.37,15.77,27
HCPCS,J0360,HYDRALAZINE 20 MG INJ,225.45,225.45,33.82,225.45,27
HCPCS,J0360,"Injection, hydralazine hcl, up to 20 mg ",,,5.27,11.37,29
HCPCS,J0364,"Injection, apomorphine hydrochloride, 1 mg ",,,45.33,114.27,17
HCPCS,J0365,"Injection, aprotonin, 10,000 kiu ",,,3.4,3.82,2
HCPCS,J0380,"Injection, metaraminol bitartrate, per 10 mg ",,,1.46,1.64,2
HCPCS,J0391,ARTESUNATE 110 MG INJ,26975.33,26975.33,4966.16,26975.33,23
HCPCS,J0391,"Injection, artesunate, 1 mg ",26975.33,26975.33,58.68,137.35,29
HCPCS,J0395,"Injection, arbutamine hcl, 1 mg ",,,204.8,230.4,2
HCPCS,J0400,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.87,1.08,17
HCPCS,J0401,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,19.27,29
HCPCS,J0402,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,15.95,29
HCPCS,J0456,AZITHROMYCIN 2 MG/ML INJ,1.79,1.79,0.27,1.79,27
HCPCS,J0456,AZITHROMYCIN 500 MG INJ,318.09,318.09,47.71,318.09,27
HCPCS,J0456,"Injection, azithromycin, 500 mg ",,,2.72,5.14,29
HCPCS,J0457,AZTREONAM 1 G INJ,1063.32,1063.32,159.5,1063.32,28
HCPCS,J0457,AZTREONAM 2 G INJ,1878.23,1878.23,281.73,1878.23,28
HCPCS,J0457,AZTREONAM 20 MG/ML INJ,47.0,47.0,7.05,47.0,28
HCPCS,J0457,"Injection, aztreonam, 100 mg ",,,2.72,6.07,17
HCPCS,J0458,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,4.45,4.45,15
HCPCS,J0461,ATROPINE 1 MG/1 ML INJ,213.54,213.54,32.03,213.54,27
HCPCS,J0461,ATROPINE 1 MG/10 ML INJ,260.76,260.76,39.11,260.76,27
HCPCS,J0461,"Injection, atropine sulfate, 0.01 mg ",,,0.1,0.27,29
HCPCS,J0462,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.27,0.27,15
HCPCS,J0463,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.03,0.03,15
HCPCS,J0470,"Injection, dimercaprol, per 100 mg ",,,67.7,78.56,14
HCPCS,J0475,BACLOFEN 10 MG INJ,3777.67,3777.67,695.47,3777.67,23
HCPCS,J0475,BACLOFEN 10 MG INJJW,3777.68,3777.68,695.47,3777.68,23
HCPCS,J0475,BACLOFEN 20 MG KIT,7555.37,7555.37,1390.94,7555.37,23
HCPCS,J0475,"Injection, baclofen, 10 mg ",,,213.72,471.83,29
HCPCS,J0476,BACLOFEN 50MCG INTRATHEC,1823.69,1823.69,273.55,1823.69,27
HCPCS,J0476,"Injection, baclofen, 50 mcg for intrathecal trial ",1823.69,1823.69,58.81,144.0,29
HCPCS,J0480,BASILIXIMAB 20 MG INJ,48276.78,48276.78,8887.76,48276.78,23
HCPCS,J0480,"Injection, basiliximab, 20 mg ",48276.78,48276.78,5731.33,12752.62,29
HCPCS,J0485,BELATACEPT 1 MG INJ,82.58,82.58,15.2,82.58,23
HCPCS,J0485,BELATACEPT 1 MG INJJW,82.58,82.58,15.2,82.58,23
HCPCS,J0485,BELATACEPT 250 MG INJ,18673.32,18673.32,3437.76,18673.32,23
HCPCS,J0485,"Injection, belatacept, 1 mg ",,,4.75,10.31,29
HCPCS,J0490,"Injection, belimumab, 10 mg ",,,67.21,151.55,29
HCPCS,J0491,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,48.52,29
HCPCS,J0500,DICYCLOMINE 20 MG INJ,1526.8,1526.8,229.02,1526.8,27
HCPCS,J0500,"Injection, dicyclomine hcl, up to 20 mg ",1526.8,1526.8,15.72,29.28,29
HCPCS,J0515,BENZTROPINE 2 MG INJ,1587.42,1587.42,238.11,1587.42,27
HCPCS,J0515,"Injection, benztropine mesylate, per 1 mg ",1587.42,1587.42,20.51,35.83,29
HCPCS,J0517,"Injection, benralizumab, 1 mg ",,,199.66,432.9,29
HCPCS,J0520,"Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg ",,,5.75,6.46,2
HCPCS,J0525,"Injection, cefotetan disodium, 10 mg ",,,0.77,0.77,15
HCPCS,J0558,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,51.73,29
HCPCS,J0561,"Injection, penicillin g benzathine, 100,000 units ",,,30.68,83.4,29
HCPCS,J0561,PEN G BEN 100000 U INJ,455.1,455.1,83.78,455.1,23
HCPCS,J0561,PEN G BEN 100000 U INJJW,455.1,455.1,83.78,455.1,23
HCPCS,J0561,PEN G BEN 1200000 U INJ,2077.27,2077.27,382.43,2077.27,23
HCPCS,J0561,PEN G BEN 2400000 U INJ,4174.31,4174.31,768.49,4174.31,23
HCPCS,J0561,PEN G BEN 600000 U INJ,1199.56,1199.56,220.84,1199.56,23
HCPCS,J0565,"Injection, bezlotoxumab, 10 mg ",,,48.74,105.55,29
HCPCS,J0567,"Injection, cerliponase alfa, 1 mg ",,,144.74,321.1,17
HCPCS,J0570,"Buprenorphine implant, 74.2 mg ",,,1615.68,1817.64,2
HCPCS,J0571,BUPRENORPHINE 2 MG PO,133.27,133.27,19.99,133.27,28
HCPCS,J0571,BUPRENORPHINE 8 MG PO,248.41,248.41,37.26,248.41,28
HCPCS,J0571,"Buprenorphine, oral, 1 mg ",,,0.88,3.31,17
HCPCS,J0572,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,15.45,15.45,15
HCPCS,J0573,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,25.15,25.15,15
HCPCS,J0574,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,26.45,26.45,15
HCPCS,J0575,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,50.09,50.09,15
HCPCS,J0577,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,1105.61,29
HCPCS,J0578,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,4422.43,29
HCPCS,J0582,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.34,0.34,15
HCPCS,J0583,BIVALIRUDIN 250 MG INJ,14619.93,14619.93,2192.99,14619.93,27
HCPCS,J0583,"Injection, bivalirudin, 1 mg ",14619.93,14619.93,0.18,0.32,29
HCPCS,J0584,"Injection, burosumab-twza 1 mg ",,,574.32,1321.61,29
HCPCS,J0585,"Injection, onabotulinumtoxina, 1 unit ",4082.4,4082.4,7.84,17.25,29
HCPCS,J0585,ONABOTULINUMTOXA 100 U,4082.4,4082.4,751.57,4082.4,23
HCPCS,J0586,"Injection, abobotulinumtoxina, 5 units ",,,11.05,23.59,29
HCPCS,J0587,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,35.19,29
HCPCS,J0588,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,14.02,29
HCPCS,J0589,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,8.19,29
HCPCS,J0591,"Injection, deoxycholic acid, 1 mg ",,,19.58,22.03,2
HCPCS,J0592,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,4.85,11.05,29
HCPCS,J0593,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,111.35,230.15,17
HCPCS,J0594,BUSULFAN 1 MG INJ,544.99,544.99,100.33,544.99,23
HCPCS,J0594,BUSULFAN 1 MG INJJW,544.99,544.99,100.33,544.99,23
HCPCS,J0594,BUSULFAN 60 MG INJ,32114.84,32114.84,5912.34,32114.84,23
HCPCS,J0594,"injection, busulfan, 1 mg ",,,1.23,1.8,29
HCPCS,J0595,BUTORPHANOL 1 MG INJ,113.37,113.37,17.01,113.37,27
HCPCS,J0595,BUTORPHANOL 2 MG INJ,138.69,138.69,20.8,138.69,27
HCPCS,J0595,"Injection, butorphanol tartrate, 1 mg ",,,4.89,16.3,29
HCPCS,J0596,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,97.2,29
HCPCS,J0597,C1 EST BERINERT 10UINJJW,676.61,676.61,124.56,676.61,23
HCPCS,J0597,C1 EST BERINERT 500U INJ,33829.78,33829.78,6228.06,33829.78,23
HCPCS,J0597,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,86.75,201.53,29
HCPCS,J0598,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,173.58,29
HCPCS,J0599,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,14.36,40.02,17
HCPCS,J0600,EDETAT CA DIS 1000MG INJ,9628.1,9628.1,1772.53,9628.1,23
HCPCS,J0600,"Injection, edetate calcium disodium, up to 1000 mg ",9628.1,9628.1,7898.29,16172.61,29
HCPCS,J0601,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.27,0.27,15
HCPCS,J0602,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.82,0.82,15
HCPCS,J0603,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.53,0.53,15
HCPCS,J0604,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,0.03,2.62,17
HCPCS,J0605,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.56,0.56,15
HCPCS,J0606,"Injection, etelcalcetide, 0.1 mg ",,,5.13,6.25,17
HCPCS,J0607,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.24,0.24,15
HCPCS,J0608,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.21,0.21,15
HCPCS,J0609,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.08,0.08,15
HCPCS,J0612,CA GLUC NOS 1 G INJ,160.55,160.55,24.08,160.55,28
HCPCS,J0612,CA GLUC NOS 20MG/ML INJ,3.21,3.21,0.48,3.21,28
HCPCS,J0612,CA GLUC NOS 5 G INJ,802.75,802.75,120.41,802.75,28
HCPCS,J0612,CA GLUC NOS 50MG/ML INJ,6.3,6.3,0.94,6.3,28
HCPCS,J0612,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.08,17
HCPCS,J0613,505WG CAGLUC 2G/100MLINJ,679.81,679.81,101.97,679.81,28
HCPCS,J0613,505WGCAGL1G/NACL 50MLINJ,339.04,339.04,50.86,339.04,28
HCPCS,J0613,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.19,17
HCPCS,J0614,"Injection, treosulfan, 50 mg ",,,83.77,83.77,15
HCPCS,J0615,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.08,0.08,15
HCPCS,J0616,"Injection, metoprolol tartrate, 1 mg ",80.9,80.9,0.17,0.34,27
HCPCS,J0616,METOPROLOL 5 MG INJ,80.9,80.9,12.13,80.9,29
HCPCS,J0618,CALCIUM CHL 1 G INJ,224.74,224.74,32.7,231.49,58
HCPCS,J0618,CALCIUM CHL 100MG/ML INJ,21.03,21.03,3.15,21.03,29
HCPCS,J0618,CALCIUM CHL 20 MG/ML INJ,3.1,3.1,0.47,3.1,29
HCPCS,J0618,"Injection, calcium chloride, 2 mg ",,,0.04,0.08,27
HCPCS,J0620,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,11.46,30.1,17
HCPCS,J0630,CALCITONIN SALMON 400 U,33232.68,33232.68,4984.9,33232.68,27
HCPCS,J0630,"Injection, calcitonin salmon, up to 400 units ",33232.68,33232.68,1372.12,3797.98,29
HCPCS,J0636,"Injection, calcitriol, 0.1 mcg ",,,1.19,3.15,29
HCPCS,J0637,"Injection, caspofungin acetate, 5 mg ",,,4.08,9.68,29
HCPCS,J0638,"Injection, canakinumab, 1 mg ",,,161.99,396.36,29
HCPCS,J0640,"Injection, leucovorin calcium, per 50 mg ",,,4.28,9.51,29
HCPCS,J0640,LEUCOVORIN 10 MG/ML INJ,52.69,52.69,7.9,52.69,27
HCPCS,J0640,LEUCOVORIN CA 50 MG INJ,239.49,239.49,35.92,239.49,27
HCPCS,J0640,LEUCOVORIN CA 500 MG INJ,660.92,660.92,99.14,660.92,27
HCPCS,J0641,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.13,29
HCPCS,J0642,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.18,3.42,17
HCPCS,J0650,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,13.79,19.64,17
HCPCS,J0650,LEVOTHY NOS 100 MCG INJ,2453.78,2453.78,368.07,2453.78,28
HCPCS,J0650,LEVOTHY NOS 20MCG/MLINJ,352.68,352.68,52.9,352.68,28
HCPCS,J0651,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,18.44,29
HCPCS,J0652,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,16.75,29
HCPCS,J0654,"Injection, liothyronine, 1 mcg ",,,104.12,104.12,15
HCPCS,J0665,BUPIVAC 125 MG/50 ML MDV,226.06,226.06,33.91,226.06,28
HCPCS,J0665,BUPIVAC 250 MG/50 ML MDV,262.02,262.02,39.3,262.02,28
HCPCS,J0665,BUPIVACAINE 0.5 MG INJ,0.9,0.9,0.14,0.9,28
HCPCS,J0665,BUPIVACAINE 15 MG INJ,217.99,217.99,32.7,217.99,28
HCPCS,J0665,BUPIVACAINE 150 MG INJ,262.02,262.02,39.3,262.02,28
HCPCS,J0665,BUPIVACAINE 225 MG INJ,275.38,275.38,41.31,275.38,28
HCPCS,J0665,BUPIVACAINE 75 MG INJ,205.88,205.88,25.27,243.3,56
HCPCS,J0665,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.01,0.03,17
HCPCS,J0666,"Injection, bupivacaine liposome, 1 mg ",,,1.74,3.74,27
HCPCS,J0668,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,2.2,2.2,15
HCPCS,J0670,"Injection, mepivacaine hydrochloride, per 10 ml ",,,4.33,9.88,17
HCPCS,J0670,MEPIVACAIN 1% 30 ML INJ,106.71,106.71,16.01,106.71,28
HCPCS,J0670,MEPIVACAIN 1.5% 30ML INJ,160.95,160.95,24.14,160.95,28
HCPCS,J0670,MEPIVACAIN 2% 20 ML INJ,149.73,149.73,22.46,149.73,28
HCPCS,J0675,CARBOPROST 0.25MG INJ,3244.45,3244.45,597.3,3244.45,26
HCPCS,J0675,"Injection, carboprost tromethamine, 0.1 mg ",3244.45,3244.45,41.23,41.23,15
HCPCS,J0681,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,2.92,2.92,15
HCPCS,J0687,505WG CEFAZOL 3 G INJ,68.04,68.04,10.21,68.04,27
HCPCS,J0687,505WG CEFAZOL 500 MG INJ,206.0,206.0,30.9,206.0,27
HCPCS,J0687,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.96,29
HCPCS,J0688,505HK CEFAZOLIN 3 G INJ,68.0,68.0,10.2,68.0,27
HCPCS,J0688,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",68.0,68.0,1.2,2.25,29
HCPCS,J0689,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,1.62,3.29,17
HCPCS,J0690,CEFAZOLIN 1 G INJ,206.0,206.0,30.9,206.0,27
HCPCS,J0690,CEFAZOLIN 100 MG/ML INJ,8.41,8.41,1.26,8.41,27
HCPCS,J0690,CEFAZOLIN 330MG/ML INJ,26.11,26.11,3.92,26.11,27
HCPCS,J0690,"Injection, cefazolin sodium, 500 mg ",,,1.01,2.25,29
HCPCS,J0691,"Injection, lefamulin, 1 mg ",1252.52,1252.52,0.9,2.17,17
HCPCS,J0691,LEFAMULIN 150 MG INJ,1252.52,1252.52,187.88,1252.52,28
HCPCS,J0692,CEFEPIME 100 MG/ML INJ,17.36,17.36,2.6,17.36,27
HCPCS,J0692,CEFEPIME 280 MG/ML INJ,47.39,47.39,7.11,47.39,27
HCPCS,J0692,CEFEPIME HCL 1 G INJ,173.84,173.84,26.08,173.84,27
HCPCS,J0692,CEFEPIME HCL 2 G INJ,258.13,258.13,38.72,258.13,27
HCPCS,J0692,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,3.37,29
HCPCS,J0694,CEFOXITIN 1 G INJ,272.62,272.62,40.89,272.62,27
HCPCS,J0694,CEFOXITIN 100 MG/ML INJ,19.45,19.45,2.92,19.45,27
HCPCS,J0694,CEFOXITIN 2 G INJ,366.54,366.54,54.98,366.54,27
HCPCS,J0694,"Injection, cefoxitin sodium, 1 gm ",,,5.74,9.43,29
HCPCS,J0695,CEFTOL/TAZO 50/25MG INJ,88.0,88.0,16.2,88.0,23
HCPCS,J0695,CEFTOL/TAZO 50/25MGINJJW,88.0,88.0,16.2,88.0,23
HCPCS,J0695,CEFTOLOZ TAZOBACT 1.5 G,1759.7,1759.7,323.96,1759.7,23
HCPCS,J0695,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,23.43,29
HCPCS,J0696,CEFTRIAXONE 1 G INJ,206.0,206.0,30.9,206.0,27
HCPCS,J0696,CEFTRIAXONE 100MG/ML INJ,5.24,5.24,0.79,5.24,27
HCPCS,J0696,CEFTRIAXONE 2 G INJ,175.69,175.69,26.35,175.69,27
HCPCS,J0696,CEFTRIAXONE 250 MG INJ,206.0,206.0,30.9,206.0,27
HCPCS,J0696,CEFTRIAXONE 350MG/ML INJ,31.59,31.59,4.74,31.59,27
HCPCS,J0696,CEFTRIAXONE 500MG INJ,206.0,206.0,30.9,206.0,27
HCPCS,J0696,"Injection, ceftriaxone sodium, per 250 mg ",,,0.59,1.14,29
HCPCS,J0697,CEFUROXIME 1.5 G INJ,175.69,175.69,26.35,175.69,27
HCPCS,J0697,CEFUROXIME 100 MG/ML INJ,6.37,6.37,0.96,6.37,27
HCPCS,J0697,CEFUROXIME 750 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J0697,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.4,5.27,29
HCPCS,J0698,"Injection, cefotaxime sodium, per gm ",,,11.77,19.48,29
HCPCS,J0699,CEFIDEROCOL 1 G INJ,1558.31,1558.31,286.88,1558.31,23
HCPCS,J0699,"Injection, cefiderocol, 10 mg ",1558.31,1558.31,2.78,6.41,29
HCPCS,J0701,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,7.28,15.66,17
HCPCS,J0702,BETAMETHSN 6 MG INJ,198.1,198.1,29.71,198.1,27
HCPCS,J0702,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",198.1,198.1,8.38,18.47,29
HCPCS,J0703,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,6.56,12.96,17
HCPCS,J0706,CAFFEINE CIT 10MG/ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J0706,CAFFEINE CIT 20MG/ML INJ,94.0,94.0,14.1,94.0,27
HCPCS,J0706,CAFFEINE CITRAT 60MG INJ,522.5,522.5,78.38,522.5,27
HCPCS,J0706,"Injection, caffeine citrate, 5 mg ",,,1.7,4.82,29
HCPCS,J0710,"Injection, cephapirin sodium, up to 1 gm ",,,1.78,2.0,2
HCPCS,J0712,CEFTAROLINE 10 MG INJ,47.55,47.55,8.75,47.55,23
HCPCS,J0712,CEFTAROLINE 10 MG INJJW,47.55,47.55,8.75,47.55,23
HCPCS,J0712,CEFTAROLINE 12MG/ML INJ,89.07,89.07,16.4,89.07,23
HCPCS,J0712,CEFTAROLINE 600 MG INJ,2853.78,2853.78,525.38,2853.78,23
HCPCS,J0712,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,11.26,29
HCPCS,J0713,CEFTAZIDIME 1 G INJ,175.69,175.69,26.35,175.69,27
HCPCS,J0713,CEFTAZIDME 100 MG/ML INJ,10.89,10.89,1.63,10.89,27
HCPCS,J0713,CEFTAZIDME 280 MG/ML INJ,23.91,23.91,3.59,23.91,27
HCPCS,J0713,"Injection, ceftazidime, per 500 mg ",,,1.96,3.74,29
HCPCS,J0714,CEFTA/AVI 0.5/0.125G INJ,1084.29,1084.29,199.62,1084.29,23
HCPCS,J0714,CEFTA/AVI 0.5/0.125G JW,1084.29,1084.29,199.62,1084.29,23
HCPCS,J0714,CEFTAZ/AVIBACT 2.5 G INJ,4337.14,4337.14,798.47,4337.14,23
HCPCS,J0714,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,277.59,29
HCPCS,J0715,"Injection, ceftizoxime sodium, per 500 mg ",,,6.71,7.55,2
HCPCS,J0716,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,7705.47,14
HCPCS,J0717,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,10.04,29
HCPCS,J0720,CHLORAMPHENICOL 1 G INJ,1096.62,1096.62,164.49,1096.62,27
HCPCS,J0720,CHLORAMPHN 100MG/ML INJ,56.1,56.1,8.41,56.1,27
HCPCS,J0720,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,154.71,29
HCPCS,J0725,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,40.2,29
HCPCS,J0735,CLONIDINE HCL 1 MG INJ,658.55,658.55,98.78,658.55,27
HCPCS,J0735,"Injection, clonidine hydrochloride, 1 mg ",658.55,658.55,19.8,47.49,29
HCPCS,J0736,CLINDAMYCIN 18 MG/ML INJ,2.89,2.89,0.43,2.89,28
HCPCS,J0736,CLINDAMYCIN 300 MG INJ,133.82,133.82,20.07,133.82,28
HCPCS,J0736,CLINDAMYCIN 600 MG INJ,133.82,133.82,20.07,133.82,28
HCPCS,J0736,CLINDAMYCIN 900 MG INJ,128.29,128.29,19.24,128.29,28
HCPCS,J0736,"Injection, clindamycin phosphate, 300 mg ",,,3.06,4.93,17
HCPCS,J0737,505BX CLINDA 600MG NS 50,232.95,232.95,34.94,232.95,28
HCPCS,J0737,505BX CLINDA 900MG NS 50,283.02,283.02,42.45,283.02,28
HCPCS,J0737,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,4.18,6.15,17
HCPCS,J0738,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,42.67,42.67,15
HCPCS,J0739,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,18.95,29
HCPCS,J0740,CIDOFOVIR 375 MG INJ,16319.48,16319.48,3004.42,16319.48,23
HCPCS,J0740,CIDOFOVIR 8 MG/ML INJ,263.98,263.98,48.6,263.98,23
HCPCS,J0740,"Injection, cidofovir, 375 mg ",,,638.0,1486.09,29
HCPCS,J0741,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,64.08,29
HCPCS,J0742,IMIPEN/CILAS/RELEB 1.25G,2218.49,2218.49,332.77,2218.49,27
HCPCS,J0742,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",2218.49,2218.49,3.06,6.89,29
HCPCS,J0743,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.84,16.75,29
HCPCS,J0744,CIPRO/D5W 200MG/100ML IV,175.69,175.69,26.35,175.69,27
HCPCS,J0744,CIPRO/D5W 400MG/200ML IV,175.69,175.69,26.35,175.69,27
HCPCS,J0744,CIPROFLOX 2 MG/ML IV,2.38,2.38,0.36,2.38,27
HCPCS,J0744,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.01,2.67,29
HCPCS,J0745,"Injection, codeine phosphate, per 30 mg ",,,2.65,2.65,15
HCPCS,J0750,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.3,1.55,29
HCPCS,J0751,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,189.32,29
HCPCS,J0752,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1648.19,1648.19,15
HCPCS,J0759,CLEVIDIPINE 50MG INJ,3682.97,3682.97,678.03,3682.97,26
HCPCS,J0759,"Injection, clevidipine butyrate, 1 mg ",3682.97,3682.97,7.53,7.53,15
HCPCS,J0770,COLISTIMETHATE 150MG INJ,1026.97,1026.97,154.05,1026.97,27
HCPCS,J0770,"Injection, colistimethate sodium, up to 150 mg ",1026.97,1026.97,13.95,37.82,29
HCPCS,J0775,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,87.91,207.63,29
HCPCS,J0780,"Injection, prochlorperazine, up to 10 mg ",,,3.56,8.82,29
HCPCS,J0780,PROCHLORPERAZ 10 MG INJ,560.43,560.43,84.06,560.43,27
HCPCS,J0780,PROCHLORPERAZ 10 MG MDV,560.43,560.43,84.06,560.43,27
HCPCS,J0791,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,344.34,29
HCPCS,J0795,"Injection, corticorelin ovine triflutate, 1 microgram ",,,11.92,13.41,2
HCPCS,J0801,"Injection, corticotropin (acthar gel), up to 40 units ",,,4453.8,10849.79,17
HCPCS,J0802,"Injection, corticotropin (ani), up to 40 units ",,,4455.67,9464.08,17
HCPCS,J0834,COSYNTROPIN 0.25 MG INJ,2338.66,2338.66,350.8,2338.66,27
HCPCS,J0834,COSYNTROPIN 1 MCG/ML INJ,7.15,7.15,1.07,7.15,27
HCPCS,J0834,"Injection, cosyntropin, 0.25 mg ",,,27.82,43.09,29
HCPCS,J0840,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,4878.7,29
HCPCS,J0841,ANTIVENIN ANAVIP120MGINJ,9755.34,9755.34,1463.3,9755.34,27
HCPCS,J0841,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",9755.34,9755.34,1275.89,4197.6,29
HCPCS,J0850,CYTOMEGALO IG HUMAN INJ,12223.03,12223.03,2250.26,12223.03,23
HCPCS,J0850,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",12223.03,12223.03,2215.44,4792.82,29
HCPCS,J0870,IMETELSTAT 47 MG INJ,14731.2,14731.2,2712.01,14731.2,25
HCPCS,J0870,"Injection, imetelstat, 1 mg ",14731.2,14731.2,64.98,154.15,27
HCPCS,J0872,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.48,29
HCPCS,J0873,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.08,29
HCPCS,J0874,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.09,0.16,17
HCPCS,J0875,"Injection, dalbavancin, 5 mg ",,,19.04,39.75,29
HCPCS,J0877,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.07,0.13,17
HCPCS,J0878,DAPTOMYCIN 350MG INJ,158.63,158.63,23.79,158.63,27
HCPCS,J0878,DAPTOMYCIN 500 MG INJ,814.15,814.15,122.12,814.15,27
HCPCS,J0878,"Injection, daptomycin, 1 mg ",,,0.03,0.08,29
HCPCS,J0879,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.74,29
HCPCS,J0881,DARBEPOET 1MCG NESRD INJ,128.51,128.51,23.66,128.51,23
HCPCS,J0881,DARBEPOETIN 1MCG NESRDJW,128.51,128.51,23.66,128.51,23
HCPCS,J0881,DARBEPOETIN 300MCG NESRD,38555.38,38555.38,7098.05,38555.38,23
HCPCS,J0881,DARBEPOETIN 500MCG NESRD,64256.98,64256.98,11829.71,64256.98,23
HCPCS,J0881,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,8.14,29
HCPCS,J0882,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,8.14,29
HCPCS,J0883,ARGATROB 1MG/ML NESRD,47.0,47.0,8.65,47.0,23
HCPCS,J0883,ARGATROB 250MG NESRD INJ,2022.54,2022.54,372.35,2022.54,23
HCPCS,J0883,"Injection, argatroban, 1 mg (for non-esrd use) ",,,2.68,5.14,29
HCPCS,J0884,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,2.68,5.14,17
HCPCS,J0885,EPOET ALFA 10000U NESRD,2886.41,2886.41,531.39,2886.41,23
HCPCS,J0885,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",2886.41,2886.41,8.65,19.37,29
HCPCS,J0887,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.38,2.73,17
HCPCS,J0888,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.38,2.73,29
HCPCS,J0889,"Daprodustat, oral, 1 mg, (for esrd on dialysis) ",,,5.11,5.75,2
HCPCS,J0890,"Injection, peginesatide, 0.1 mg (for esrd on dialysis) ",,,10.49,11.81,2
HCPCS,J0891,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,5.82,29
HCPCS,J0892,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,5.17,12.59,17
HCPCS,J0893,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.78,2.94,17
HCPCS,J0894,DECITABINE 50 MG INJ,19532.85,19532.85,2929.93,19532.85,27
HCPCS,J0894,"Injection, decitabine, 1 mg ",19532.85,19532.85,1.83,2.65,29
HCPCS,J0895,DEFEROX MESY 500 MG INJ,225.12,225.12,33.77,225.12,27
HCPCS,J0895,"Injection, deferoxamine mesylate, 500 mg ",225.12,225.12,8.83,22.74,29
HCPCS,J0896,"Injection, luspatercept-aamt, 0.25 mg ",24039.72,24039.72,50.42,113.29,29
HCPCS,J0896,LUSPAT-AAMT 25 MG INJ,24039.72,24039.72,4425.71,24039.72,23
HCPCS,J0897,DENOSUMAB 120 MG INJ,30633.45,30633.45,5639.62,30633.45,23
HCPCS,J0897,DENOSUMAB 60 MG INJ,16046.8,16046.8,2954.22,16046.8,23
HCPCS,J0897,"Injection, denosumab, 1 mg ",,,34.0,78.2,29
HCPCS,J0898,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.66,5.73,29
HCPCS,J0899,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,3.66,5.73,17
HCPCS,J0901,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.37,0.37,15
HCPCS,J0911,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,13.33,29
HCPCS,J0945,"Injection, brompheniramine maleate, per 10 mg ",,,0.87,1.15,17
HCPCS,J1000,ESTRAD CYP 5MG DEPO INJ,277.08,277.08,41.56,277.08,27
HCPCS,J1000,"Injection, depo-estradiol cypionate, up to 5 mg ",277.08,277.08,50.35,137.32,29
HCPCS,J1010,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.29,29
HCPCS,J1010,METHYLPRED ACE 40 MG INJ,327.18,327.18,49.08,327.18,27
HCPCS,J1010,METHYLPRED ACE 80 MG INJ,478.63,478.63,71.79,478.63,27
HCPCS,J1050,"Injection, medroxyprogesterone acetate, 1 mg ",632.64,632.64,0.29,1.27,29
HCPCS,J1050,MEDRXYPRGTRN 150MG INJ,632.64,632.64,94.9,632.64,27
HCPCS,J1071,"Injection, testosterone cypionate, 1 mg ",2.78,2.78,0.04,0.05,17
HCPCS,J1071,TESTOSTERNE CY 200MG INJ,2.78,2.78,0.42,2.78,28
HCPCS,J1072,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.37,1.5,27
HCPCS,J1073,"Testosterone pellet, implant, 75 mg ",,,198.67,198.67,15
HCPCS,J1094,"Injection, dexamethasone acetate, 1 mg ",,,0.29,0.33,2
HCPCS,J1095,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,1.5,7.18,17
HCPCS,J1096,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,245.26,29
HCPCS,J1097,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,256.02,29
HCPCS,J1100,DEXAMETH NA PHOS 1 MG,5.15,5.15,0.77,5.15,27
HCPCS,J1100,DEXAMETH NA PHOS 10 MG,160.55,160.55,24.08,160.55,27
HCPCS,J1100,DEXAMETH NA PHOS 20MGMDV,321.1,321.1,48.16,321.1,27
HCPCS,J1100,DEXAMETH NA PHOS 4 MG,80.9,80.9,12.13,80.9,27
HCPCS,J1100,DEXAMTH NAP 0.1MG/ML INJ,1.56,1.56,0.23,1.56,27
HCPCS,J1100,DEXAMTH NAP 4MG/ML INJ,80.9,80.9,12.13,80.9,27
HCPCS,J1100,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.29,29
HCPCS,J1105,"Dexmedetomidine, oral, 1 mcg ",,,2.33,2.33,15
HCPCS,J1110,DIHYDROERGOT 1 MG INJ,2020.6,2020.6,303.09,2020.6,27
HCPCS,J1110,"Injection, dihydroergotamine mesylate, per 1 mg ",2020.6,2020.6,60.31,145.46,29
HCPCS,J1120,ACETAZLMDE 100 MG/ML INJ,105.17,105.17,15.78,105.17,27
HCPCS,J1120,ACETAZOLAMIDE 500 MG INJ,1293.54,1293.54,194.03,1293.54,27
HCPCS,J1120,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,64.55,29
HCPCS,J1130,"Injection, diclofenac sodium, 0.5 mg ",,,0.27,0.31,2
HCPCS,J1160,DIGOXIN 0.5 MG INJ,233.26,233.26,34.99,233.26,27
HCPCS,J1160,DIGOXIN 20 MCG/ML INJ,4.78,4.78,0.72,4.78,27
HCPCS,J1160,"Injection, digoxin, up to 0.5 mg ",,,5.96,27.48,29
HCPCS,J1162,DIG IMMUNE FAB 40 MG INJ,34570.1,34570.1,6364.36,34570.1,23
HCPCS,J1162,"Injection, digoxin immune fab (ovine), per vial ",34570.1,34570.1,6074.8,13692.52,29
HCPCS,J1163,DILTIAZEM 125 MG INJ,196.19,196.19,29.43,196.19,29
HCPCS,J1163,DILTIAZEM 1MG/ML INJ,186.87,186.87,28.03,186.87,29
HCPCS,J1163,DILTIAZEM 25 MG INJ,88.97,88.97,13.35,88.97,29
HCPCS,J1163,DILTIAZEM 50 MG INJ,71.83,71.83,10.77,71.83,29
HCPCS,J1163,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.11,27
HCPCS,J1164,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.48,0.48,15
HCPCS,J1165,"Injection, phenytoin sodium, per 50 mg ",,,0.64,1.11,29
HCPCS,J1165,PHENYTOIN 100 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J1165,PHENYTOIN 250 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J1170,"Injection, hydromorphone, up to 4 mg ",,,3.46,3.89,2
HCPCS,J1171,HYDROMORPH 0.2 MG/ML INJ,2.2,2.2,0.33,2.2,29
HCPCS,J1171,HYDROMORPH 0.25 MG INJ,47.0,47.0,7.05,47.0,29
HCPCS,J1171,HYDROMORPH 0.5 MG INJ,114.64,114.64,17.2,114.64,29
HCPCS,J1171,HYDROMORPH 1 MG INJ,131.84,131.84,19.78,131.84,29
HCPCS,J1171,HYDROMORPH 1 MG/ML INJ,6.62,6.62,0.99,6.62,29
HCPCS,J1171,HYDROMORPH 10 MG INJ,185.68,185.68,27.85,185.68,29
HCPCS,J1171,HYDROMORPH 2 MG INJ,162.68,162.68,24.4,162.68,29
HCPCS,J1171,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.27,27
HCPCS,J1190,DEXRAZOXANE 250 MG INJ,4193.27,4193.27,771.98,4193.27,23
HCPCS,J1190,"Injection, dexrazoxane hydrochloride, per 250 mg ",4193.27,4193.27,98.98,144.96,29
HCPCS,J1200,DIPHENHYDRAMNE 50 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J1200,"Injection, diphenhydramine hcl, up to 50 mg ",175.69,175.69,0.8,1.83,29
HCPCS,J1201,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,44.84,29
HCPCS,J1202,"Miglustat, oral, 65 mg ",,,42.43,113.05,17
HCPCS,J1203,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,244.86,29
HCPCS,J1205,CHLOROTHIAZIDE 500MG INJ,8021.87,8021.87,1203.28,8021.87,27
HCPCS,J1205,CHLOROTHIZDE 28MG/ML INJ,166.65,166.65,25.0,166.65,27
HCPCS,J1205,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,124.34,29
HCPCS,J1212,DMSO 50% 50 ML INJ,6465.01,6465.01,1190.21,6465.01,23
HCPCS,J1212,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",6465.01,6465.01,873.85,1984.8,29
HCPCS,J1230,"Injection, methadone hcl, up to 10 mg ",,,25.57,38.98,29
HCPCS,J1230,METHADONE 10MG/ML INJ,234.75,234.75,35.21,234.75,27
HCPCS,J1230,METHADONE 1MG/ML INJ,15.93,15.93,2.39,15.93,27
HCPCS,J1240,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,20.46,29
HCPCS,J1245,"Injection, dipyridamole, per 10 mg ",,,4.69,22.29,29
HCPCS,J1250,DOBUTAM 250 MG 20 ML INJ,178.74,178.74,26.81,178.74,27
HCPCS,J1250,DOBUTAM 500MG/250ML INJ,759.79,759.79,113.97,759.79,27
HCPCS,J1250,DOBUTAMINE 1000 MG INJ,292.13,292.13,43.82,292.13,27
HCPCS,J1250,DOBUTAMNE 1000MCG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J1250,DOBUTAMNE 2000MCG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J1250,DOBUTAMNE 4000MCG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J1250,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.7,20.88,29
HCPCS,J1260,"Injection, dolasetron mesylate, 10 mg ",,,7.9,9.73,17
HCPCS,J1265,DOPA 800MG/D5W 250ML INJ,492.61,492.61,73.89,492.61,27
HCPCS,J1265,DOPAM 400MG/D5W250ML INJ,280.82,280.82,42.12,280.82,27
HCPCS,J1265,DOPAMINE 1600 MCG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J1265,DOPAMINE 200 MG INJ,142.39,142.39,21.36,142.39,27
HCPCS,J1265,DOPAMINE 3200 MCG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J1265,DOPAMINE 800 MCG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J1265,"Injection, dopamine hcl, 40 mg ",,,0.86,2.12,29
HCPCS,J1267,"Injection, doripenem, 10 mg ",,,1.13,1.27,2
HCPCS,J1270,"Injection, doxercalciferol, 1 mcg ",,,0.43,0.82,29
HCPCS,J1271,DOXYCYCL HYCL 100 MG INJ,452.62,452.62,67.89,452.62,29
HCPCS,J1271,DOXYCYCL HYCL 1MG/ML INJ,4.53,4.53,0.68,4.53,29
HCPCS,J1271,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.24,27
HCPCS,J1289,NARSOPLI-WUUG 370MG INJ,170922.42,170922.42,25638.36,170922.42,30
HCPCS,J1290,"Injection, ecallantide, 1 mg ",,,690.35,1533.69,29
HCPCS,J1299,ECULIZUMAB 300 MG INJ,85971.84,85971.84,15827.42,85971.84,25
HCPCS,J1299,"Injection, eculizumab, 2 mg ",85971.84,85971.84,54.78,118.46,27
HCPCS,J1300,"Injection, eculizumab, 10 mg ",,,288.6,324.67,2
HCPCS,J1301,"Injection, edaravone, 1 mg ",,,24.95,40.23,29
HCPCS,J1302,"Injection, sutimlimab-jome, 10 mg ",,,22.16,52.05,29
HCPCS,J1303,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,592.75,29
HCPCS,J1303,RAVULIZ-CWVZ 10 MG INJJW,1706.11,1706.11,314.09,1706.11,23
HCPCS,J1303,RAVULIZ-CWVZ 1100MG INJ,173770.29,173770.29,31991.11,173770.29,23
HCPCS,J1303,RAVULZMAB-CWVZ 10 MG INJ,1706.11,1706.11,314.09,1706.11,23
HCPCS,J1303,RAVULZMAB-CWVZ 300MG INJ,51183.09,51183.09,9422.81,51183.09,23
HCPCS,J1304,"Injection, tofersen, 1 mg ",,,189.91,424.03,29
HCPCS,J1305,"Injection, evinacumab-dgnb, 5mg ",,,227.78,523.72,29
HCPCS,J1306,"Injection, inclisiran, 1 mg ",,,15.01,33.42,29
HCPCS,J1307,"Injection, crovalimab-akkz, 10 mg ",,,624.35,1461.5,27
HCPCS,J1308,FAMOTIDINE 2 MG/ML INJ,1.73,1.73,0.26,1.73,29
HCPCS,J1308,FAMOTIDINE 20 MG INJ,80.9,80.9,12.13,80.9,29
HCPCS,J1308,"Injection, famotidine, 0.25 mg ",,,0.01,0.03,27
HCPCS,J1320,"Injection, amitriptyline hcl, up to 20 mg ",,,2.87,3.23,2
HCPCS,J1322,"Injection, elosulfase alfa, 1 mg ",,,359.38,826.67,29
HCPCS,J1323,ELRANAT-BCMM 44 MG INJ,40927.81,40927.81,7534.81,40927.81,23
HCPCS,J1323,ELRANAT-BCMM 76 MG INJ,70693.17,70693.17,13014.61,70693.17,23
HCPCS,J1323,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,494.99,29
HCPCS,J1324,"Injection, enfuvirtide, 1 mg ",,,0.87,0.98,17
HCPCS,J1325,EPOPROSTENOL 1.5 MG INJ,1257.18,1257.18,188.58,1257.18,27
HCPCS,J1325,"Injection, epoprostenol, 0.5 mg ",1257.18,1257.18,19.66,39.43,29
HCPCS,J1326,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,89.17,27
HCPCS,J1327,EPTIFIBATIDE 20 MG INJ,299.88,299.88,44.98,299.88,27
HCPCS,J1327,EPTIFIBATIDE 75 MG INJ,1150.2,1150.2,172.53,1150.2,27
HCPCS,J1327,"Injection, eptifibatide, 5 mg ",,,8.64,17.44,29
HCPCS,J1330,"Injection, ergonovine maleate, up to 0.2 mg ",,,6.24,7.02,2
HCPCS,J1335,ERTAPENEM 20MG/ML INJ,22.68,22.68,3.4,22.68,27
HCPCS,J1335,ERTAPENEM SOD 1 G INJ,2162.96,2162.96,324.44,2162.96,27
HCPCS,J1335,"Injection, ertapenem sodium, 500 mg ",,,11.22,19.13,29
HCPCS,J1364,ERYTHRO LACTO 500 MG INJ,1390.51,1390.51,208.58,1390.51,27
HCPCS,J1364,ERYTHROMYCIN 5 MG/ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J1364,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,241.76,29
HCPCS,J1370,"Injection, esomeprazole sodium, 1 mg ",,,3.37,3.37,15
HCPCS,J1380,ESTRADIOL VAL 100MG MDV,1073.68,1073.68,161.05,1073.68,27
HCPCS,J1380,"Injection, estradiol valerate, up to 10 mg ",1073.68,1073.68,8.93,19.05,29
HCPCS,J1410,ESTROGEN CONJ 25 MG INJ,4310.86,4310.86,793.63,4310.86,23
HCPCS,J1410,"Injection, estrogen conjugated, per 25 mg ",4310.86,4310.86,468.13,1038.06,29
HCPCS,J1411,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,9782342.5,27
HCPCS,J1412,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,33267.33,27
HCPCS,J1413,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,8801647.41,27
HCPCS,J1414,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,12
HCPCS,J1426,"Injection, casimersen, 10 mg ",,,208.89,440.43,17
HCPCS,J1427,"Injection, viltolarsen, 10 mg ",,,73.64,179.35,17
HCPCS,J1428,"Injection, eteplirsen, 10 mg ",,,208.89,443.9,17
HCPCS,J1429,"Injection, golodirsen, 10 mg ",,,208.89,508.8,17
HCPCS,J1430,ETHANOLAMINE 100 MG INJ,6752.55,6752.55,1243.14,6752.55,23
HCPCS,J1430,"Injection, ethanolamine oleate, 100 mg ",6752.55,6752.55,608.51,1374.37,29
HCPCS,J1434,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,6.76,29
HCPCS,J1435,"Injection, estrone, per 1 mg ",,,0.31,0.87,17
HCPCS,J1437,"Injection, ferric derisomaltose, 10 mg ",,,25.46,58.11,29
HCPCS,J1438,ETANERCEPT 25 MG INJ,6144.03,6144.03,921.6,6144.03,27
HCPCS,J1438,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",6144.03,6144.03,1150.47,3404.77,29
HCPCS,J1439,FERR CRBXMLTS 1MG INJ,13.6,13.6,2.5,13.6,23
HCPCS,J1439,FERR CRBXMLTS 1MG INJJW,13.6,13.6,2.5,13.6,23
HCPCS,J1439,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,2.92,29
HCPCS,J1440,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,170.45,29
HCPCS,J1442,FILGRASTIM 1 MCG INJ,19.33,19.33,3.56,19.33,23
HCPCS,J1442,FILGRASTIM 1 MCG INJJW,19.33,19.33,3.56,19.33,23
HCPCS,J1442,FILGRASTIM 300 MCG INJ,6340.56,6340.56,1167.3,6340.56,23
HCPCS,J1442,FILGRASTIM 480 MCG INJ,8727.74,8727.74,1606.78,8727.74,23
HCPCS,J1442,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,2.7,29
HCPCS,J1443,"Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron ",,,0.04,0.04,2
HCPCS,J1444,"Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron ",,,0.04,0.04,2
HCPCS,J1445,"Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron ",,,0.23,0.26,2
HCPCS,J1447,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.66,29
HCPCS,J1447,TBO-FILGRA 15 MCG/ML INJ,124.88,124.88,22.99,124.88,23
HCPCS,J1447,TBO-FILGRA 20 MCG/ML INJ,175.4,175.4,32.29,175.4,23
HCPCS,J1447,TBO-FILGRASTIM 1 MCG INJ,8.77,8.77,1.61,8.77,23
HCPCS,J1447,TBO-FILGRASTIM 1MCGINJJW,8.77,8.77,1.61,8.77,23
HCPCS,J1447,TBO-FILGRASTM 300MCG INJ,3343.145,3343.145,514.72,3890.43,46
HCPCS,J1447,TBO-FILGRASTM 480MCG INJ,6227.11,6227.11,1146.41,6227.11,23
HCPCS,J1448,"Injection, trilaciclib, 1mg ",,,6.59,14.55,29
HCPCS,J1449,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,103.24,29
HCPCS,J1450,FLUCO 200MG/NACL100MLINJ,330.2,330.2,49.53,330.2,27
HCPCS,J1450,FLUCO 400MG/NACL200MLINJ,315.04,315.04,47.26,315.04,27
HCPCS,J1450,FLUCONAZOLE 2 MG/ML INJ,1.56,1.56,0.23,1.56,27
HCPCS,J1450,"Injection fluconazole, 200 mg ",,,3.13,10.26,29
HCPCS,J1451,FOMEPIZOLE 15 MG INJ,223.91,223.91,41.22,223.91,23
HCPCS,J1451,FOMEPIZOLE 1500 MG INJ,22390.42,22390.42,4122.08,22390.42,23
HCPCS,J1451,"Injection, fomepizole, 15 mg ",,,14.92,18.56,29
HCPCS,J1452,"Injection, fomivirsen sodium, intraocular, 1.65 mg ",,,271.36,305.28,2
HCPCS,J1453,FOSAPREPITANT 1 MG/MLINJ,47.0,47.0,7.05,47.0,27
HCPCS,J1453,FOSAPREPITANT 150 MG INJ,7085.82,7085.82,1062.87,7085.82,27
HCPCS,J1453,"Injection, fosaprepitant, 1 mg ",,,0.14,0.29,29
HCPCS,J1454,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,1389.08,29
HCPCS,J1455,FOSCARNET 6000 MG INJ,4491.85,4491.85,673.78,4491.85,27
HCPCS,J1455,"Injection, foscarnet sodium, per 1000 mg ",4491.85,4491.85,22.15,88.13,29
HCPCS,J1456,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.11,2.94,29
HCPCS,J1457,"Injection, gallium nitrate, 1 mg ",,,2.66,2.99,2
HCPCS,J1458,"Injection, galsulfase, 1 mg ",,,592.82,1361.04,29
HCPCS,J1459,IVIG PRIVIGEN 100MG/ML,217.39,217.39,40.02,217.39,23
HCPCS,J1459,IVIG PRIVIGEN 10G,21739.1,21739.1,4002.17,21739.1,23
HCPCS,J1459,IVIG PRIVIGEN 20G,43478.19,43478.19,8004.33,43478.19,23
HCPCS,J1459,IVIG PRIVIGEN 500 MGJW,1087.55,1087.55,200.22,1087.55,23
HCPCS,J1459,IVIG PRIVIGEN 5G,10869.54,10869.54,2001.08,10869.54,23
HCPCS,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,131.25,29
HCPCS,J1460,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,129.72,29
HCPCS,J1551,"Injection, immune globulin (cutaquig), 100 mg ",,,18.6,36.91,17
HCPCS,J1552,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,326.29,27
HCPCS,J1553,"Injection, immune globulin (yimmugo), 100 mg ",,,64.45,64.45,15
HCPCS,J1554,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,1327.46,29
HCPCS,J1555,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,46.59,29
HCPCS,J1556,"Injection, immune globulin (bivigam), 500 mg ",,,96.22,210.52,17
HCPCS,J1557,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,69.85,171.32,29
HCPCS,J1558,"Injection, immune globulin (xembify), 100 mg ",,,17.46,40.73,29
HCPCS,J1559,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,38.48,29
HCPCS,J1560,"Injection, gamma globulin, intramuscular, over 10 cc ",,,424.77,721.02,29
HCPCS,J1561,IVIG GAMUNEX-C 10G,11048.93,11048.93,2034.11,11048.93,23
HCPCS,J1561,IVIG GAMUNEX-C 20G,22096.15,22096.15,4067.9,22096.15,23
HCPCS,J1561,IVIG GAMUNEX-C 5G,6149.7,6149.7,1132.16,6149.7,23
HCPCS,J1561,IVIG GAMUNX/GAMMAK 500JW,561.34,561.34,103.34,561.34,23
HCPCS,J1561,IVIG GAMUNX/GAMMAK 500MG,561.34,561.34,103.34,561.34,23
HCPCS,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,131.78,29
HCPCS,J1566,IVIG GAMMAGA S/D 500MGJW,1222.58,1222.58,225.08,1222.58,23
HCPCS,J1566,IVIG GAMMAGARD S/D 10 G,26174.16,26174.16,4818.66,26174.16,23
HCPCS,J1566,IVIG GAMMAGARD S/D 5 G,13087.07,13087.07,2409.33,13087.07,23
HCPCS,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,213.06,29
HCPCS,J1568,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,124.66,29
HCPCS,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,130.06,29
HCPCS,J1570,GANCICLOVIR 10 MG/ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J1570,GANCICLOVIR 500 MG INJ,1003.35,1003.35,150.5,1003.35,27
HCPCS,J1570,"Injection, ganciclovir sodium, 500 mg ",,,39.23,90.23,29
HCPCS,J1571,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,186.11,29
HCPCS,J1572,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,240.46,29
HCPCS,J1573,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,186.11,29
HCPCS,J1574,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,65.28,159.0,17
HCPCS,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,49.82,29
HCPCS,J1576,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,195.65,29
HCPCS,J1580,GENTAMI 100MG/NS100MLINJ,175.69,175.69,26.35,175.69,27
HCPCS,J1580,GENTAMI 80MG/NS 100MLINJ,175.69,175.69,26.35,175.69,27
HCPCS,J1580,GENTAMI 80MG/NS 50ML INJ,175.69,175.69,26.35,175.69,27
HCPCS,J1580,GENTAMICIN 10 MG/ML INJ,87.85,87.85,13.18,87.85,27
HCPCS,J1580,GENTAMICIN 2 MG/ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J1580,GENTAMICIN 20 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J1580,GENTAMICIN 4 MG/ML INJ,4.78,4.78,0.72,4.78,27
HCPCS,J1580,GENTAMICIN 80 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J1580,GENTAMICIN 800 MG MDV,333.0,333.0,49.95,333.0,27
HCPCS,J1580,"Injection, garamycin, gentamicin, up to 80 mg ",,,2.65,5.11,29
HCPCS,J1595,"Injection, glatiramer acetate, 20 mg ",,,75.0,687.09,29
HCPCS,J1596,GLYCOPYRROL 0.2 MG INJ,246.1,246.1,36.91,246.1,27
HCPCS,J1596,GLYCOPYRROL 0.4 MG INJ,47.0,47.0,7.05,47.0,27
HCPCS,J1596,"Injection, glycopyrrolate, 0.1 mg ",,,0.59,0.98,29
HCPCS,J1597,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.09,3.58,17
HCPCS,J1598,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,3.75,29
HCPCS,J1599,"Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg ",,,194.53,218.85,2
HCPCS,J1600,"Injection, gold sodium thiomalate, up to 50 mg ",,,36.28,43.41,17
HCPCS,J1602,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,29.92,29
HCPCS,J1610,GLUCAGON 1 MG INJ,3296.0,3296.0,606.79,3296.0,23
HCPCS,J1610,"Injection, glucagon hydrochloride, per 1 mg ",3296.0,3296.0,233.24,387.77,29
HCPCS,J1611,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,165.97,357.75,29
HCPCS,J1612,"Injection, glucagon (gvoke), 0.01 mg ",,,6.28,6.28,15
HCPCS,J1626,GRANISETRON 1000 MCG INJ,605.86,605.86,90.88,605.86,27
HCPCS,J1626,"Injection, granisetron hydrochloride, 100 mcg ",605.86,605.86,0.32,0.43,29
HCPCS,J1627,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,10.28,29
HCPCS,J1628,"Injection, guselkumab, 1 mg ",,,86.11,203.77,29
HCPCS,J1630,HALOPERIDOL LACT 5MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J1630,"Injection, haloperidol, up to 5 mg ",175.69,175.69,0.95,2.09,29
HCPCS,J1631,HALOPERIDL DEC 100MG INJ,1481.37,1481.37,222.21,1481.37,27
HCPCS,J1631,"Injection, haloperidol decanoate, per 50 mg ",1481.37,1481.37,5.64,16.09,29
HCPCS,J1632,"Injection, brexanolone, 1 mg ",,,97.27,109.43,2
HCPCS,J1640,HEMIN 350 MG INJ,65284.57,65284.57,12018.89,65284.57,23
HCPCS,J1640,"Injection, hemin, 1 mg ",65284.57,65284.57,40.44,93.57,29
HCPCS,J1642,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.05,17
HCPCS,J1643,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.05,4.92,29
HCPCS,J1644,HEPAR 10000U/10ML MDV,97.98,97.98,14.7,97.98,27
HCPCS,J1644,HEPAR 1000U/NS 500ML INJ,63.72,63.72,9.56,63.72,27
HCPCS,J1644,HEPAR 25000U/ 250ML INJ,620.68,620.68,93.1,620.68,27
HCPCS,J1644,HEPAR 30000U/30ML MDV,175.69,175.69,26.35,175.69,27
HCPCS,J1644,HEPARIN 10000U / 1ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J1644,HEPARIN 1000U / 1 ML INJ,5.86,5.86,0.88,5.86,27
HCPCS,J1644,HEPARIN 2000 U/NS 1L INJ,218.1,218.1,32.72,218.1,27
HCPCS,J1644,HEPARIN 2000 UNIT INJ,226.06,226.06,33.91,226.06,27
HCPCS,J1644,HEPARIN 5000U / 1ML INJ,213.54,213.54,32.03,213.54,27
HCPCS,J1644,HEPARIN 5000U/0.5ML INJ,71.12,71.12,10.67,71.12,27
HCPCS,J1644,"Injection, heparin sodium, per 1000 units ",,,0.28,0.58,29
HCPCS,J1645,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,42.03,29
HCPCS,J1650,ENOXAPARIN 100 MG INJ,2193.27,2193.27,328.99,2193.27,27
HCPCS,J1650,ENOXAPARIN 120 MG INJ,2629.51,2629.51,394.43,2629.51,27
HCPCS,J1650,ENOXAPARIN 150 MG INJ,2777.98,2777.98,416.7,2777.98,27
HCPCS,J1650,ENOXAPARIN 20 MG/ML INJ,110.13,110.13,16.52,110.13,27
HCPCS,J1650,ENOXAPARIN 30 MG INJ,745.19,745.19,111.78,745.19,27
HCPCS,J1650,ENOXAPARIN 40 MG INJ,993.62,993.62,149.04,993.62,27
HCPCS,J1650,ENOXAPARIN 60 MG INJ,1487.43,1487.43,223.11,1487.43,27
HCPCS,J1650,ENOXAPARIN 80 MG INJ,1757.05,1757.05,263.56,1757.05,27
HCPCS,J1650,"Injection, enoxaparin sodium, 10 mg ",,,0.64,1.43,29
HCPCS,J1652,FONDAPARINUX 10 MG INJ,3256.6,3256.6,488.49,3256.6,27
HCPCS,J1652,FONDAPARINUX 2.5 MG INJ,1596.5,1596.5,239.47,1596.5,27
HCPCS,J1652,FONDAPARINUX 5 MG INJ,3256.6,3256.6,488.49,3256.6,27
HCPCS,J1652,FONDAPARINUX 7.5 MG INJ,3256.6,3256.6,488.49,3256.6,27
HCPCS,J1652,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,2.12,29
HCPCS,J1655,"Injection, tinzaparin sodium, 1000 iu ",,,4.47,5.02,2
HCPCS,J1670,"Injection, tetanus immune globulin, human, up to 250 units ",4661.1,4661.1,703.94,1479.02,29
HCPCS,J1670,TETANUS IG HUM 250 U INJ,4661.1,4661.1,858.11,4661.1,23
HCPCS,J1675,"Injection, histrelin acetate, 10 micrograms ",,,1.06,2.65,17
HCPCS,J1700,"Injection, hydrocortisone acetate, up to 25 mg ",,,0.84,0.94,2
HCPCS,J1710,"Injection, hydrocortisone sodium phosphate, up to 50 mg ",,,5.99,6.74,2
HCPCS,J1720,HYDROCORT SUCC 100MG INJ,230.62,230.62,34.59,230.62,27
HCPCS,J1720,HYDROCORT SUCC 250MG INJ,426.79,426.79,64.02,426.79,27
HCPCS,J1720,HYDROCORT SUCC 500MG INJ,823.98,823.98,123.6,823.98,27
HCPCS,J1720,HYDROCORTISN 1 MG/ML INJ,1.26,1.26,0.19,1.26,27
HCPCS,J1720,HYDROCORTISN 5 MG/ML INJ,8.81,8.81,1.32,8.81,27
HCPCS,J1720,HYDROCORTSN 50 MG/ML INJ,95.71,95.71,14.36,95.71,27
HCPCS,J1720,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,58.67,29
HCPCS,J1726,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,12
HCPCS,J1729,"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg ",,,17.8,20.03,2
HCPCS,J1730,"Injection, diazoxide, up to 300 mg ",,,269.08,269.08,15
HCPCS,J1737,"Injection, meloxicam (azurity), 1 mg ",,,2.81,2.81,15
HCPCS,J1738,"Injection, meloxicam, 1 mg ",,,4.09,4.61,2
HCPCS,J1740,"Injection, ibandronate sodium, 1 mg ",,,24.01,41.36,29
HCPCS,J1741,IBUPROFEN 100MG INJ,50.36,50.36,7.55,50.36,27
HCPCS,J1741,IBUPROFEN 100MG INJ JW,50.36,50.36,7.55,50.36,27
HCPCS,J1741,IBUPROFEN 800MG INJ,402.9,402.9,60.44,402.9,27
HCPCS,J1741,"Injection, ibuprofen, 100 mg ",,,3.64,8.43,29
HCPCS,J1742,IBUTILIDE FUM 1 MG INJ,6791.95,6791.95,1250.4,6791.95,23
HCPCS,J1742,"Injection, ibutilide fumarate, 1 mg ",6791.95,6791.95,357.96,580.93,29
HCPCS,J1743,"Injection, idursulfase, 1 mg ",,,663.37,1479.28,29
HCPCS,J1744,"Injection, icatibant, 1 mg ",,,83.92,832.55,29
HCPCS,J1745,INFLIXIMAB 10 MG INJ,1565.91,1565.91,288.28,1565.91,23
HCPCS,J1745,INFLIXIMAB 10 MG INJJW,1565.91,1565.91,288.28,1565.91,23
HCPCS,J1745,INFLIXIMAB 100 MG INJ,15659.04,15659.04,2882.83,15659.04,23
HCPCS,J1745,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,82.26,29
HCPCS,J1746,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,205.85,29
HCPCS,J1747,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,174.18,29
HCPCS,J1748,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,336.24,885.82,17
HCPCS,J1749,"Injection, iloprost, 0.1 mcg ",,,15.13,15.13,15
HCPCS,J1750,IRON DEXTRAN 100 MG INJ,1045.14,1045.14,192.41,1045.14,23
HCPCS,J1750,IRON DEXTRAN 50 MG INJ,522.58,522.58,96.21,522.58,23
HCPCS,J1750,IRON DEXTRAN 50 MG INJJW,522.58,522.58,96.21,522.58,23
HCPCS,J1750,"Injection, iron dextran, 50 mg ",,,21.07,47.99,29
HCPCS,J1756,IRON SUCROSE 1 MG/ML INJ,7.25,7.25,1.09,7.25,27
HCPCS,J1756,IRON SUCROSE 100 MG INJ,1575.29,1575.29,236.29,1575.29,27
HCPCS,J1756,"Injection, iron sucrose, 1 mg ",,,0.29,0.58,29
HCPCS,J1786,"Injection, imiglucerase, 10 units ",,,52.75,113.5,29
HCPCS,J1790,DROPERIDOL 5 MG INJ,108.48,108.48,16.27,108.48,27
HCPCS,J1790,"Injection, droperidol, up to 5 mg ",108.48,108.48,11.62,19.11,29
HCPCS,J1800,"Injection, propranolol hcl, up to 1 mg ",336.25,336.25,11.69,30.82,29
HCPCS,J1800,PROPRANOLOL 1 MG INJ,336.25,336.25,50.44,336.25,27
HCPCS,J1805,ESMOLO 2.5G/NACL250MLINJ,4393.94,4393.94,659.09,4393.94,28
HCPCS,J1805,ESMOLOL 10 MG/ML INJ,19.15,19.15,2.87,19.15,28
HCPCS,J1805,ESMOLOL 100 MG INJ,160.92,160.92,24.14,160.92,28
HCPCS,J1805,ESMOLOL 2G/NACL100ML INJ,1150.2,1150.2,172.53,1150.2,28
HCPCS,J1805,"Injection, esmolol hydrochloride, 10 mg ",,,0.34,0.64,17
HCPCS,J1806,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.51,0.57,17
HCPCS,J1807,"Injection, ethacrynate sodium, 1 mg ",,,48.42,48.42,15
HCPCS,J1808,FOLIC ACID 1 MG INJ,610.2,610.2,91.53,610.2,29
HCPCS,J1808,"Injection, folic acid, 0.1 mg ",610.2,610.2,0.07,0.13,27
HCPCS,J1809,"Injection, fosdenopterin, 0.1 mg ",,,46.61,46.61,15
HCPCS,J1810,"Injection, droperidol and fentanyl citrate, up to 2 ml ampule ",,,7.14,8.04,2
HCPCS,J1811,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,23.21,29
HCPCS,J1812,"Insulin (fiasp), per 5 units ",,,1.8,2.13,17
HCPCS,J1813,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,19.88,40.02,17
HCPCS,J1814,"Insulin (lyumjev), per 5 units ",,,1.59,2.01,17
HCPCS,J1815,ADMELOG 20 U INJ,106.66,106.66,16.0,106.66,36
HCPCS,J1815,HUMALOG 20 U INJ,15.28,15.28,2.29,15.28,36
HCPCS,J1815,HUMALOG 75/25 5 U INJ,17.03,17.03,2.55,17.03,36
HCPCS,J1815,HUMULIN 70/30 5 U INJ,14.12,14.12,2.12,14.12,36
HCPCS,J1815,HUMULIN N 20 U INJ,56.59,56.59,8.49,56.59,36
HCPCS,J1815,HUMULIN R 0.2 U/ML INJ,2.38,2.38,0.36,2.38,36
HCPCS,J1815,HUMULIN R 1 U/ML INJ,2.38,2.38,0.36,2.38,36
HCPCS,J1815,HUMULIN R 20 U INJ,56.59,56.59,8.49,56.59,36
HCPCS,J1815,HUMULIN R 5 U INJ,15.25,15.25,2.29,15.25,36
HCPCS,J1815,"Injection, insulin, per 5 units ",,,0.26,1.3,29
HCPCS,J1815,MYXREDLIN 100U/100ML INJ,507.04,507.04,76.06,507.04,36
HCPCS,J1815,SEMGLEE 20 U INJ,71.84,71.84,10.78,71.84,36
HCPCS,J1815,TRESIBA 5 U INJ,20.83,20.83,3.12,20.83,36
HCPCS,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,3.25,8.29,17
HCPCS,J1823,INEBILIZ-CDON 100 MG INJ,201643.73,201643.73,37122.61,201643.73,23
HCPCS,J1823,"Injection, inebilizumab-cdon, 1 mg ",201643.73,201643.73,592.25,1313.21,29
HCPCS,J1826,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,9366.88,29
HCPCS,J1830,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,691.32,1594.05,17
HCPCS,J1833,ISAVUCONAZONM 372 MG INJ,3467.85,3467.85,638.43,3467.85,23
HCPCS,J1833,"Injection, isavuconazonium, 1 mg ",3467.85,3467.85,1.27,2.68,29
HCPCS,J1834,ISONIAZID 1000MG MDV,2018.4,2018.4,371.59,2018.4,26
HCPCS,J1834,"Injection, isoniazid, 1 mg ",2018.4,2018.4,0.8,0.8,15
HCPCS,J1835,"Injection, itraconazole, 50 mg ",,,2488.96,2488.96,15
HCPCS,J1836,"Injection, metronidazole, 10 mg ",,,0.04,0.08,17
HCPCS,J1836,METRON500MG/NACL100MLINJ,357.45,357.45,53.62,357.45,28
HCPCS,J1836,METRONIDAZOL 5 MG/ML INJ,1.45,1.45,0.22,1.45,28
HCPCS,J1837,"Injection, posaconazole, 1 mg ",5132.46,5132.46,0.93,0.93,15
HCPCS,J1837,POSACONAZOLE 300MG INJ,5132.46,5132.46,769.87,5132.46,30
HCPCS,J1885,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,1.19,29
HCPCS,J1885,KETOROLAC 15 MG INJ,47.0,47.0,8.65,47.0,23
HCPCS,J1885,KETOROLAC 30 MG INJ,206.0,206.0,37.92,206.0,23
HCPCS,J1885,KETOROLAC 60 MG INJ,206.0,206.0,37.92,206.0,23
HCPCS,J1890,"Injection, cephalothin sodium, up to 1 gram ",,,11.06,12.44,2
HCPCS,J1920,"Injection, labetalol hydrochloride, 5 mg ",,,0.22,0.69,17
HCPCS,J1920,LABETALOL 100 MG MDV,92.0,92.0,13.8,92.0,28
HCPCS,J1920,LABETALOL 5 MG INJ,3.79,3.79,0.57,3.79,28
HCPCS,J1921,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,2.39,3.06,17
HCPCS,J1930,"Injection, lanreotide, 1 mg ",,,48.35,94.66,29
HCPCS,J1930,LANREOTIDE 120 MG INJ,70043.55,70043.55,12895.02,70043.55,23
HCPCS,J1930,LANREOTIDE 60 MG INJ,44590.56,44590.56,8209.12,44590.56,23
HCPCS,J1930,LANREOTIDE 90 MG INJ,59396.65,59396.65,10934.92,59396.65,23
HCPCS,J1931,"Injection, laronidase, 0.1 mg ",,,47.2,105.87,29
HCPCS,J1932,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,85.3,29
HCPCS,J1938,FUROSEMIDE 0.2MG/ML INJ,2.38,2.38,0.36,2.38,29
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJ,17.38,17.38,2.61,17.38,29
HCPCS,J1938,FUROSEMIDE 100 MG INJ,80.9,80.9,12.13,80.9,29
HCPCS,J1938,FUROSEMIDE 2 MG/ML INJ,7.25,7.25,1.09,7.25,29
HCPCS,J1938,FUROSEMIDE 20 MG INJ,80.9,80.9,12.13,80.9,29
HCPCS,J1938,FUROSEMIDE 40 MG INJ,80.9,80.9,12.13,80.9,29
HCPCS,J1938,"Injection, furosemide, 1 mg ",,,0.02,0.05,27
HCPCS,J1939,BUMETANIDE 0.1 MG/ML INJ,3.19,3.19,0.48,3.19,27
HCPCS,J1939,BUMETANIDE 0.25MG/ML INJ,16.74,16.74,2.51,16.74,27
HCPCS,J1939,BUMETANIDE 1 MG INJ,200.53,200.53,30.08,200.53,27
HCPCS,J1939,BUMETANIDE 2.5 MG MDV,167.4,167.4,25.11,167.4,27
HCPCS,J1939,"Injection, bumetanide, 0.5 mg ",,,0.7,1.25,29
HCPCS,J1940,"Injection, furosemide, up to 20 mg ",,,0.56,0.63,2
HCPCS,J1941,"Injection, furosemide (furoscix), 20 mg ",,,293.12,779.58,17
HCPCS,J1943,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,8.61,29
HCPCS,J1944,ARISTADA 441 MG INJ,11303.97,11303.97,2081.06,11303.97,23
HCPCS,J1944,ARISTADA 662 MG INJ,16968.26,16968.26,3123.86,16968.26,23
HCPCS,J1944,ARISTADA 882 MG INJ,22607.92,22607.92,4162.12,22607.92,23
HCPCS,J1944,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,8.8,29
HCPCS,J1945,"Injection, lepirudin, 50 mg ",,,730.29,821.58,2
HCPCS,J1950,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,4678.76,29
HCPCS,J1950,LEUPRO DEPOT 11.25MG INJ,26347.93,26347.93,4850.65,26347.93,23
HCPCS,J1950,LEUPRO DEPOT 3.75 MG INJ,14714.91,14714.91,2709.01,14714.91,23
HCPCS,J1951,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,372.88,29
HCPCS,J1952,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,105.87,29
HCPCS,J1953,"Injection, levetiracetam, 10 mg ",,,0.06,0.08,29
HCPCS,J1953,LEVETIRAC 500MG/5ML INJ,276.6,276.6,41.49,276.6,27
HCPCS,J1953,LEVETIRACTM 100MG/ML INJ,55.32,55.32,8.3,55.32,27
HCPCS,J1953,LEVETIRACTM 15 MG/ML INJ,333.09,333.09,49.96,333.09,27
HCPCS,J1954,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,1837.93,29
HCPCS,J1955,"Injection, levocarnitine, per 1 gm ",1498.58,1498.58,39.09,61.19,17
HCPCS,J1955,LEVOCARNITINE 1 G INJ,1498.58,1498.58,224.79,1498.58,28
HCPCS,J1956,"Injection, levofloxacin, 250 mg ",,,1.21,5.72,29
HCPCS,J1956,LEVOF 500MG/D5W100ML INJ,602.83,602.83,90.42,602.83,27
HCPCS,J1956,LEVOF 750MG/D5W150ML INJ,572.53,572.53,85.88,572.53,27
HCPCS,J1956,LEVOFLOXACIN 5 MG/ML INJ,5.8,5.8,0.87,5.8,27
HCPCS,J1960,"Injection, levorphanol tartrate, up to 2 mg ",,,7.98,7.98,15
HCPCS,J1961,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,59.1,29
HCPCS,J1980,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,24.78,79.31,29
HCPCS,J1990,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,26.94,54.88,17
HCPCS,J2001,"Injection, lidocaine hcl for intravenous infusion, 10 mg ",,,0.04,0.04,2
HCPCS,J2002,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",171.1,171.1,0.01,0.03,27
HCPCS,J2002,LIDO D5W 2G/500 ML INJ,171.1,171.1,25.66,171.1,29
HCPCS,J2003,"Injection, lidocaine hydrochloride, 1 mg ",,,0.13,0.13,15
HCPCS,J2003,LIDO 0.5% 250MG/50ML INJ,91.24,91.24,13.69,91.24,30
HCPCS,J2003,LIDO 1% 200MG/20ML MDV,47.0,47.0,7.05,47.0,30
HCPCS,J2003,LIDO 1% 20MG/2ML INJ,53.68,53.68,8.05,53.68,30
HCPCS,J2003,LIDO 1% 300MG/30ML INJ,189.55,189.55,28.43,189.55,30
HCPCS,J2003,LIDO 1% 500MG/50ML MDV,47.0,47.0,7.05,47.0,30
HCPCS,J2003,LIDO 1% 50MG/5ML INJ,189.55,189.55,28.43,189.55,30
HCPCS,J2003,LIDO 2% 100MG/5ML INJ,147.335,147.335,15.77,189.55,60
HCPCS,J2003,LIDO 2% 200MG/10ML INJ,189.55,189.55,28.43,189.55,30
HCPCS,J2003,LIDO 2% 400MG/20ML MDV,47.0,47.0,7.05,47.0,30
HCPCS,J2003,LIDO 4% 200MG/5ML INJ,189.55,189.55,28.43,189.55,30
HCPCS,J2003,LIDO 4000 MCG/ML INJ,2.2,2.2,0.33,2.2,30
HCPCS,J2003,LIDO 8000 MCG/ML INJ,6.62,6.62,0.99,6.62,30
HCPCS,J2004,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.11,0.11,15
HCPCS,J2004,LIDO 200MG/EPI 0.2MG MDV,64.58,64.58,9.69,64.58,30
HCPCS,J2004,LIDO 250MG/EPI0.25MG MDV,91.3,91.3,13.7,91.3,30
HCPCS,J2004,LIDO 300MG/EPI 0.3MG MDV,153.78,153.78,23.07,153.78,30
HCPCS,J2004,LIDO 300MG/EPI0.15MG INJ,180.54,180.54,27.08,180.54,30
HCPCS,J2004,LIDO 34MG/EPI0.017MG INJ,217.99,217.99,32.7,217.99,30
HCPCS,J2004,LIDO 400MG/EPI 0.1MG INJ,528.22,528.22,79.23,528.22,30
HCPCS,J2004,LIDO 400MG/EPI 0.2MG MDV,65.54,65.54,9.83,65.54,30
HCPCS,J2004,LIDO 600MG/EPI 0.3MG MDV,72.56,72.56,10.88,72.56,30
HCPCS,J2004,LIDO 75MG/EPI0.025MG INJ,189.55,189.55,28.43,189.55,30
HCPCS,J2010,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,14.33,29
HCPCS,J2020,"Injection, linezolid, 200 mg ",,,3.35,6.57,29
HCPCS,J2020,LINEZ/D5W 600MG/300MLINJ,3002.15,3002.15,450.32,3002.15,27
HCPCS,J2020,LINEZOLID 2 MG/ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J2021,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,18.36,71.1,17
HCPCS,J2060,"Injection, lorazepam, 2 mg ",175.69,175.69,1.68,4.4,29
HCPCS,J2060,LORAZEPAM 2 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J2062,"Loxapine for inhalation, 1 mg ",,,19.58,22.03,2
HCPCS,J2150,"Injection, mannitol, 25% in 50 ml ",,,2.76,4.16,14
HCPCS,J2151,"Injection, mannitol, 250 mg ",,,0.13,0.13,15
HCPCS,J2151,MANNITOL 100G INJ,958.55,958.55,143.78,958.55,30
HCPCS,J2151,MANNITOL 12.5G INJ,47.0,47.0,7.05,47.0,30
HCPCS,J2170,"Injection, mecasermin, 1 mg ",,,191.99,1226.92,29
HCPCS,J2175,"Injection, meperidine hydrochloride, per 100 mg ",68.08,68.08,7.71,23.37,29
HCPCS,J2175,MEPERIDINE 25 MG INJ,68.08,68.08,10.21,68.08,27
HCPCS,J2180,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,4.85,20.35,17
HCPCS,J2182,"Injection, mepolizumab, 1 mg ",,,37.33,84.32,29
HCPCS,J2183,505WG MEROPEN 2 G INJ,312.0,312.0,46.8,312.0,27
HCPCS,J2183,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",312.0,312.0,1.96,3.92,29
HCPCS,J2184,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,2.71,5.22,17
HCPCS,J2185,"Injection, meropenem, 100 mg ",,,0.41,0.98,29
HCPCS,J2185,MEROPENEM 1 G INJ,1278.39,1278.39,191.76,1278.39,27
HCPCS,J2185,MEROPENEM 20 MG/ML INJ,13.15,13.15,1.97,13.15,27
HCPCS,J2185,MEROPENEM 500 MG INJ,621.01,621.01,93.15,621.01,27
HCPCS,J2186,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,5.75,29
HCPCS,J2186,MEROPNM/VABORB 20MG INJ,23.94,23.94,4.41,23.94,23
HCPCS,J2186,MEROPNM/VABORB 20MGINJJW,23.91,23.91,4.4,23.91,23
HCPCS,J2186,MEROPNM/VABORB 2G INJ,2394.8,2394.8,440.88,2394.8,23
HCPCS,J2210,"Injection, methylergonovine maleate, up to 0.2 mg ",442.31,442.31,26.03,57.27,29
HCPCS,J2210,METHYLERGONOV 0.2 MG INJ,442.31,442.31,66.35,442.31,27
HCPCS,J2212,"Injection, methylnaltrexone, 0.1 mg ",1787.34,1787.34,1.7,5.57,29
HCPCS,J2212,METHYLNLTRXONE 12 MG INJ,1787.34,1787.34,268.1,1787.34,36
HCPCS,J2246,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.98,1.33,17
HCPCS,J2247,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.58,0.7,17
HCPCS,J2248,"Injection, micafungin sodium, 1 mg ",,,0.35,0.69,29
HCPCS,J2248,MICAFUNGIN 100 MG INJ,4771.32,4771.32,715.7,4771.32,27
HCPCS,J2248,MICAFUNGIN 4 MG/ML INJ,90.86,90.86,13.63,90.86,27
HCPCS,J2248,MICAFUNGIN 50 MG INJ,2793.12,2793.12,418.97,2793.12,27
HCPCS,J2249,"Injection, remimazolam, 1 mg ",,,2.71,7.39,17
HCPCS,J2250,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.45,29
HCPCS,J2250,MIDAZOLAM 0.3MG/ML INJ,1.08,1.08,0.16,1.08,27
HCPCS,J2250,MIDAZOLAM 1 MG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J2250,MIDAZOLAM 10 MG INJ,47.0,47.0,7.05,47.0,27
HCPCS,J2250,MIDAZOLAM 10 MG/10ML MDV,47.0,47.0,7.05,47.0,27
HCPCS,J2250,MIDAZOLAM 2 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J2250,MIDAZOLAM 5 MG/1 ML INJ,48.43,48.43,7.26,48.43,27
HCPCS,J2250,MIDAZOLAM 5 MG/5 ML INJ,175.69,175.69,26.35,175.69,27
HCPCS,J2250,MIDAZOLAM 5 MG/ML INJ,16.74,16.74,2.51,16.74,27
HCPCS,J2250,MIDAZOLAM 50 MG INJ,79.57,79.57,11.94,79.57,27
HCPCS,J2251,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",377.91,377.91,0.27,0.42,17
HCPCS,J2251,MIDAZOL/0.9NS 100 MG IV,377.91,377.91,56.69,377.91,28
HCPCS,J2252,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.37,0.37,15
HCPCS,J2260,"Injection, milrinone lactate, 5 mg ",,,1.78,3.13,29
HCPCS,J2260,MILRIN 20MG/D5W100ML INJ,518.03,518.03,77.7,518.03,27
HCPCS,J2260,MILRINONE 200 MCG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J2260,MILRINONE 800 MCG/ML INJ,76.63,76.63,11.49,76.63,27
HCPCS,J2260,MILRINONE LAC 10 MG INJ,245.38,245.38,36.81,245.38,27
HCPCS,J2260,MILRINONE LAC 20 MG INJ,2368.98,2368.98,355.35,2368.98,27
HCPCS,J2265,"Injection, minocycline hydrochloride, 1 mg ",2125.46,2125.46,3.11,7.05,29
HCPCS,J2265,MINOCYCLINE HCL 100 MG,2125.46,2125.46,391.3,2125.46,23
HCPCS,J2267,"Injection, mirikizumab-mrkz, 1 mg ",,,44.46,111.54,29
HCPCS,J2270,"Injection, morphine sulfate, up to 10 mg ",,,4.15,11.79,29
HCPCS,J2270,MORPHINE 0.2 MG/ML INJ,1.45,1.45,0.22,1.45,27
HCPCS,J2270,MORPHINE 1MG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J2270,MORPHINE SULF 10MG INJ,88.97,88.97,13.35,88.97,27
HCPCS,J2270,MORPHINE SULF 2MG INJ,142.39,142.39,21.36,142.39,27
HCPCS,J2270,MORPHINE SULF 4MG INJ,160.55,160.55,24.08,160.55,27
HCPCS,J2272,505FK MORPHINE 2 MG INJ,142.39,142.39,21.36,142.39,28
HCPCS,J2272,505FK MORPHINE 4 MG INJ,47.0,47.0,7.05,47.0,28
HCPCS,J2272,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,5.83,22.1,17
HCPCS,J2274,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,13.42,32.2,17
HCPCS,J2274,MORPHINE EPD/IT PF 10 MG,169.81,169.81,25.47,169.81,28
HCPCS,J2274,MORPHINE EPD/IT PF 5 MG,514.98,514.98,77.25,514.98,28
HCPCS,J2277,"Injection, motixafortide, 0.25 mg ",,,30.83,70.17,29
HCPCS,J2277,MOTIXAFORT 0.25 MG INJ,120.65,120.65,22.21,120.65,23
HCPCS,J2277,MOTIXAFORT 0.25 MG INJJW,120.65,120.65,22.21,120.65,23
HCPCS,J2277,MOTIXAFORT 62 MG INJ,29921.29,29921.29,5508.51,29921.29,23
HCPCS,J2278,"Injection, ziconotide, 1 microgram ",,,11.86,27.72,29
HCPCS,J2278,ZICONOTIDE 1 MCG INJ,142.21,142.21,26.18,142.21,23
HCPCS,J2278,ZICONOTIDE 1 MCG INJJW,142.21,142.21,26.18,142.21,23
HCPCS,J2278,ZICONOTIDE 500 MCG INJ,71109.73,71109.73,13091.3,71109.73,23
HCPCS,J2280,"Injection, moxifloxacin, 100 mg ",,,10.49,23.16,29
HCPCS,J2281,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,9.68,17.6,17
HCPCS,J2290,"Injection, nafcillin sodium, 20 mg ",,,0.13,0.13,15
HCPCS,J2290,NAFCILLIN 1 G INJ,366.54,366.54,54.98,366.54,30
HCPCS,J2290,NAFCILLIN 2 G INJ,714.9,714.9,107.23,714.9,30
HCPCS,J2290,NAFCILLIN 40 MG/ML INJ,7.25,7.25,1.09,7.25,30
HCPCS,J2291,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.4,0.4,15
HCPCS,J2300,"Injection, nalbuphine hydrochloride, per 10 mg ",887.61,887.61,3.77,9.06,29
HCPCS,J2300,NALBUPHINE 10 MG INJ,887.61,887.61,133.14,887.61,27
HCPCS,J2305,"Injection, nitroglycerin, 5 mg ",,,1.72,4.43,17
HCPCS,J2305,NITROG 50MG/D5W 250MLINJ,188.15,188.15,28.22,188.15,28
HCPCS,J2305,NITROGLYC 200 MCG/ML INJ,2.2,2.2,0.33,2.2,28
HCPCS,J2305,NITROGLYC 400 MCG/ML INJ,2.2,2.2,0.33,2.2,28
HCPCS,J2305,NITROGLYCERIN 50 MG INJ,227.86,227.86,34.18,227.86,28
HCPCS,J2310,"Injection, naloxone hydrochloride, per 1 mg ",,,11.96,13.45,2
HCPCS,J2311,"Injection, naloxone hydrochloride (zimhi), 1 mg ",,,9.87,11.1,2
HCPCS,J2312,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.19,27
HCPCS,J2312,NALOX NOS 0.4MG INJ,478.63,478.63,71.79,478.63,29
HCPCS,J2312,NALOX NOS 2 MG INJ,869.29,869.29,130.39,869.29,29
HCPCS,J2312,NALOX NOS 4 MG MDV,17696.88,17696.88,2654.53,17696.88,29
HCPCS,J2312,NALOX NOS 40 MCG/ML INJ,47.86,47.86,7.18,47.86,29
HCPCS,J2313,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.4,27
HCPCS,J2315,"Injection, naltrexone, depot form, 1 mg ",,,5.04,11.26,29
HCPCS,J2320,"Injection, nandrolone decanoate, up to 50 mg ",,,4.8,10.63,17
HCPCS,J2323,"Injection, natalizumab, 1 mg ",,,29.8,64.45,29
HCPCS,J2325,"Injection, nesiritide, 0.1 mg ",,,77.12,86.76,17
HCPCS,J2326,"Injection, nusinersen, 0.1 mg ",,,1420.38,3407.32,29
HCPCS,J2327,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,38.69,29
HCPCS,J2329,"Injection, ublituximab-xiiy, 1mg ",,,83.94,182.19,29
HCPCS,J2350,"Injection, ocrelizumab, 1 mg ",,,70.67,157.94,29
HCPCS,J2351,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,123.99,27
HCPCS,J2353,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,499.13,29
HCPCS,J2353,OCTREOT 1 MG DEPO IM JW,2732.18,2732.18,502.99,2732.18,23
HCPCS,J2353,OCTREOT 10 MG DEPO IM,41115.24,41115.24,7569.32,41115.24,23
HCPCS,J2353,OCTREOT 20 MG DEPO IM,54665.84,54665.84,10063.98,54665.84,23
HCPCS,J2353,OCTREOT 30 MG DEPO IM,81139.92,81139.92,14937.86,81139.92,23
HCPCS,J2354,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,1.64,29
HCPCS,J2354,OCTREOT 100MCG ND SQIV,310.27,310.27,46.54,310.27,36
HCPCS,J2354,OCTREOT 10MCG/ML ND SQIV,20.22,20.22,3.03,20.22,36
HCPCS,J2354,OCTREOT 25MCG ND SQIV,81.06,81.06,12.16,81.06,36
HCPCS,J2354,OCTREOT 500MCG ND SQIV,1344.61,1344.61,201.69,1344.61,36
HCPCS,J2354,OCTREOT 50MCG ND SQIV,162.12,162.12,24.32,162.12,36
HCPCS,J2354,OCTREOTID ND 1000MCG MDV,389.84,389.84,58.48,389.84,36
HCPCS,J2355,"Injection, oprelvekin, 5 mg ",,,546.46,655.0,17
HCPCS,J2356,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,46.59,29
HCPCS,J2357,"Injection, omalizumab, 5 mg ",,,49.06,110.82,29
HCPCS,J2358,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,8.45,29
HCPCS,J2359,"Injection, olanzapine, 0.5 mg ",1323.92,1323.92,1.14,1.88,29
HCPCS,J2359,OLANZAPINE 10 MG INJ,1323.92,1323.92,198.59,1323.92,27
HCPCS,J2360,"Injection, orphenadrine citrate, up to 60 mg ",442.26,442.26,11.64,21.78,29
HCPCS,J2360,ORPHENADRINE 60 MG INJ,442.26,442.26,66.34,442.26,27
HCPCS,J2371,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.01,0.03,17
HCPCS,J2371,PHENYLEPH 120 MCG/ML INJ,2.18,2.18,0.33,2.18,28
HCPCS,J2371,PHENYLEPHN 20 MCG/ML INJ,2.18,2.18,0.33,2.18,28
HCPCS,J2371,PHENYLEPHN 60 MCG/ML INJ,2.18,2.18,0.33,2.18,28
HCPCS,J2371,PHENYLEPHRINE 10 MG INJ,190.86,190.86,28.63,190.86,28
HCPCS,J2371,PHENYLEPHRINE 100 MG MDV,1908.6,1908.6,286.29,1908.6,28
HCPCS,J2371,PHENYLEPHRINE 50 MG MDV,954.3,954.3,143.15,954.3,28
HCPCS,J2372,BIORPHEN 500 MCG INJ,67.65,67.65,10.15,67.65,28
HCPCS,J2372,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",67.65,67.65,0.22,0.4,17
HCPCS,J2373,IMMPHENTIV 500 MCG INJ,57.66,57.66,8.65,57.66,27
HCPCS,J2373,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",57.66,57.66,0.17,0.34,29
HCPCS,J2374,APRACLON 1% 0.1ML OPH,444.4,444.4,66.66,444.4,30
HCPCS,J2401,CHLOROPROCAINE 600MG INJ,575.35,575.35,86.3,575.35,28
HCPCS,J2401,"Injection, chloroprocaine hydrochloride, per 1 mg ",575.35,575.35,0.04,0.11,17
HCPCS,J2402,"Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg ",,,0.4,0.45,2
HCPCS,J2403,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,1.56,29
HCPCS,J2404,"Injection, nicardipine, 0.1 mg ",,,0.13,0.19,17
HCPCS,J2404,NICARDIP 40MG/200ML INJ,2457.26,2457.26,368.59,2457.26,28
HCPCS,J2404,NICARDIPIN 25MG/10ML INJ,371.22,371.22,55.68,371.22,28
HCPCS,J2404,NICARDIPINE 0.1MG/ML INJ,2.38,2.38,0.36,2.38,28
HCPCS,J2404,NICARDIPINE 0.5MG/ML INJ,9.57,9.57,1.44,9.57,28
HCPCS,J2405,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,1.19,29
HCPCS,J2405,ONDANSETRON 1 MG INJ,47.72,47.72,7.16,47.72,27
HCPCS,J2405,ONDANSETRON 4 MG INJ,190.86,190.86,28.63,190.86,27
HCPCS,J2406,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,115.86,29
HCPCS,J2407,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,75.71,29
HCPCS,J2410,"Injection, oxymorphone hcl, up to 1 mg ",,,3.65,6.2,17
HCPCS,J2425,"Injection, palifermin, 50 micrograms ",,,41.57,97.31,29
HCPCS,J2425,PALIFERMIN 50 MCG INJ,272.95,272.95,50.25,272.95,23
HCPCS,J2425,PALIFERMIN 50 MCG INJJW,272.95,272.95,50.25,272.95,23
HCPCS,J2426,INVEGA SUSTEN 156 MG INJ,15673.15,15673.15,2885.43,15673.15,23
HCPCS,J2426,INVEGA SUSTEN 234 MG INJ,23510.44,23510.44,4328.27,23510.44,23
HCPCS,J2426,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,39.96,29
HCPCS,J2427,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,34.32,29
HCPCS,J2428,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,38.4,27
HCPCS,J2430,"Injection, pamidronate disodium, per 30 mg ",,,14.93,32.91,29
HCPCS,J2430,PAMIDRONATE 30 MG INJ,427.16,427.16,64.07,427.16,27
HCPCS,J2430,PAMIDRONATE 90 MG INJ,374.68,374.68,56.2,374.68,27
HCPCS,J2440,"Injection, papaverine hcl, up to 60 mg ",,,45.0,121.74,29
HCPCS,J2460,"Injection, oxytetracycline hcl, up to 50 mg ",,,1.21,1.36,2
HCPCS,J2468,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,146.52,27
HCPCS,J2469,"Injection, palonosetron hcl, 25 mcg ",,,0.61,1.72,29
HCPCS,J2470,"Injection, pantoprazole sodium, 40 mg ",,,5.94,22.79,17
HCPCS,J2470,PANTOPRAZ 4 MG/ML INJ,8.16,8.16,1.22,8.16,28
HCPCS,J2470,PANTOPRAZOLE 40 MG INJ,78.15,78.15,11.72,78.15,28
HCPCS,J2471,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,8.49,10.02,17
HCPCS,J2472,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,25.39,25.39,15
HCPCS,J2501,"Injection, paricalcitol, 1 mcg ",,,0.98,2.7,29
HCPCS,J2501,PARICALCITOL 2 MCG INJ,248.67,248.67,37.3,248.67,27
HCPCS,J2501,PARICALCITOL 5 MCG INJ,151.44,151.44,22.72,151.44,27
HCPCS,J2502,"Injection, pasireotide long acting, 1 mg ",,,757.83,1580.2,29
HCPCS,J2503,"Injection, pegaptanib sodium, 0.3 mg ",,,1005.44,1131.13,2
HCPCS,J2504,"Injection, pegademase bovine, 25 iu ",,,470.99,529.86,2
HCPCS,J2506,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,337.56,29
HCPCS,J2506,PEGFILGRASTIM 0.5 MG INJ,4784.84,4784.84,880.89,4784.84,23
HCPCS,J2506,PEGFILGRASTIM 0.5MGINJJW,4784.84,4784.84,880.89,4784.84,23
HCPCS,J2506,PEGFILGRASTIM 6 MG INJ,57418.11,57418.11,10085.23,60054.98,69
HCPCS,J2507,"Injection, pegloticase, 1 mg ",,,4359.11,10134.98,29
HCPCS,J2508,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,592.01,29
HCPCS,J2510,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,26.55,67.5,17
HCPCS,J2513,"Injection, pentastarch, 10% solution, 100 ml ",,,16.29,18.32,2
HCPCS,J2515,"Injection, pentobarbital sodium, per 50 mg ",833.39,833.39,63.4,97.63,29
HCPCS,J2515,PENTOBARB 50 MG/ML INJ,833.39,833.39,125.01,833.39,27
HCPCS,J2516,"Injection, pentamidine isethionate, 1 mg ",,,0.42,0.42,15
HCPCS,J2516,PENTAMIDINE 300MG INJ,2568.9,2568.9,385.33,2568.9,30
HCPCS,J2516,PENTAMIDINE 6MG/ML INJ,50.28,50.28,7.54,50.28,30
HCPCS,J2540,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,1.8,29
HCPCS,J2540,PCNG K 2.5 MIL U INJ,143.9,143.9,21.59,143.9,27
HCPCS,J2540,PCNG K 5 MILLION U INJ,287.79,287.79,43.17,287.79,27
HCPCS,J2540,PCNG K 50000 U/ML INJ,1.6,1.6,0.24,1.6,27
HCPCS,J2543,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,2.89,29
HCPCS,J2543,PIP SOD/TAZ 2.25 G INJ,366.54,366.54,54.98,366.54,27
HCPCS,J2543,PIP SOD/TAZ 3.375 G INJ,548.31,548.31,82.25,548.31,27
HCPCS,J2543,PIP SOD/TAZ 4.5 G INJ,693.72,693.72,104.06,693.72,27
HCPCS,J2543,PIP/TAZ60MG/7.5MG PER ML,14.0,14.0,2.1,14.0,27
HCPCS,J2545,PENTAMIDI 300 MG INH,2777.98,2777.98,416.7,2777.98,28
HCPCS,J2545,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",2777.98,2777.98,109.83,194.96,17
HCPCS,J2547,"Injection, peramivir, 1 mg ",,,1.9,4.45,29
HCPCS,J2550,"Injection, promethazine hcl, up to 50 mg ",,,4.06,8.85,29
HCPCS,J2560,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,62.67,29
HCPCS,J2561,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,2.99,29
HCPCS,J2562,"Injection, plerixafor, 1 mg ",,,30.53,183.47,29
HCPCS,J2562,PLERIXAFOR 1 MG INJ,2805.26,2805.26,516.45,2805.26,23
HCPCS,J2562,PLERIXAFOR 1MG INJJW,2805.26,2805.26,516.45,2805.26,23
HCPCS,J2562,PLERIXAFOR 24 MG INJ,67341.73,67341.73,12397.61,67341.73,23
HCPCS,J2590,"Injection, oxytocin, up to 10 units ",,,1.68,7.18,29
HCPCS,J2590,OXYTOCIN 10 U INJ,97.63499999999999,97.63499999999999,2.94,175.69,54
HCPCS,J2596,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,3.13,3.13,15
HCPCS,J2597,DESMOPRES 0.5MCG/ML INJ,54.78,54.78,8.22,54.78,27
HCPCS,J2597,DESMOPRESSIN 4 MCG INJ,1207.13,1207.13,181.07,1207.13,27
HCPCS,J2597,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,9.04,29
HCPCS,J2598,"Injection, vasopressin, 1 unit ",,,1.4,2.78,17
HCPCS,J2598,VASOPRES 0.01UNIT/ML INJ,2.2,2.2,0.33,2.2,28
HCPCS,J2598,VASOPRES 0.2 UNIT/ML INJ,24.38,24.38,3.66,24.38,28
HCPCS,J2598,VASOPRES 1 UNIT/ML INJ,117.5,117.5,17.63,117.5,28
HCPCS,J2598,VASOPRESSIN 20 UNIT INJ,1872.08,1872.08,280.81,1872.08,28
HCPCS,J2599,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,2.01,2.26,17
HCPCS,J2601,"Injection, vasopressin (baxter), 1 unit ",,,4.05,4.27,27
HCPCS,J2650,"Injection, prednisolone acetate, up to 1 ml ",,,0.66,0.75,2
HCPCS,J2670,"Injection, tolazoline hcl, up to 25 mg ",,,4.4,4.95,2
HCPCS,J2675,"Injection, progesterone, per 50 mg ",,,0.8,1.75,29
HCPCS,J2679,FLUPHENAZ HCL 2.5 MG INJ,191.99,191.99,28.8,191.99,27
HCPCS,J2679,"Injection, fluphenazine hcl, 1.25 mg ",191.99,191.99,8.74,19.48,29
HCPCS,J2680,FLUPHENAZ DEC 25 MG INJ,409.59,409.59,61.44,409.59,27
HCPCS,J2680,"Injection, fluphenazine decanoate, up to 25 mg ",409.59,409.59,10.8,14.81,29
HCPCS,J2690,"Injection, procainamide hcl, up to 1 gm ",,,347.64,594.34,29
HCPCS,J2690,PROCAINAMIDE 1 G MDV,2528.26,2528.26,465.45,2528.26,23
HCPCS,J2690,PROCAINAMIDE 4 MG/ML INJ,4.78,4.78,0.88,4.78,23
HCPCS,J2700,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,2.25,29
HCPCS,J2704,"Injection, propofol, 10 mg ",,,0.12,0.24,17
HCPCS,J2704,PROPOFOL 1000 MG INJ,908.79,908.79,136.32,908.79,28
HCPCS,J2704,PROPOFOL 200 MG INJ,209.02,209.02,31.35,209.02,28
HCPCS,J2704,PROPOFOL 500 MG INJ,184.16,184.16,27.62,184.16,28
HCPCS,J2710,"Injection, neostigmine methylsulfate, up to 0.5 mg ",18.13,18.13,0.96,3.74,29
HCPCS,J2710,NEOSTIG METH 0.5 MG INJ,18.13,18.13,2.72,18.13,27
HCPCS,J2711,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,2.25,2.25,15
HCPCS,J2720,"Injection, protamine sulfate, per 10 mg ",,,1.13,4.43,29
HCPCS,J2720,PROTAMINE 250 MG INJ,808.84,808.84,121.33,808.84,27
HCPCS,J2720,PROTAMINE 50 MG INJ,305.95,305.95,45.89,305.95,27
HCPCS,J2724,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,39.88,29
HCPCS,J2725,"Injection, protirelin, per 250 mcg ",,,27.88,31.36,2
HCPCS,J2730,"Injection, pralidoxime chloride, up to 1 gm ",3483.79,3483.79,104.04,275.71,29
HCPCS,J2730,PRALIDOXIME 1 G INJ,3483.79,3483.79,522.57,3483.79,27
HCPCS,J2760,"Injection, phentolamine mesylate, up to 5 mg ",4796.54,4796.54,511.15,682.24,29
HCPCS,J2760,PHENTOLAMINE MES 5MG INJ,4796.54,4796.54,883.04,4796.54,23
HCPCS,J2765,"Injection, metoclopramide hcl, up to 10 mg ",,,1.19,2.52,29
HCPCS,J2765,METOCLOPRAMIDE 10 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J2765,METOCLOPRM 0.2 MG/ML INJ,1.6,1.6,0.24,1.6,27
HCPCS,J2765,METOCLOPRMD 5 MG/ML INJ,8.81,8.81,1.32,8.81,27
HCPCS,J2770,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,312.46,684.48,17
HCPCS,J2777,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,87.11,29
HCPCS,J2778,"Injection, ranibizumab, 0.1 mg ",,,110.54,198.19,29
HCPCS,J2778,RANIBIZUMAB 0.3 MG INJ,19724.53,19724.53,3631.29,19724.53,23
HCPCS,J2778,RANIBIZUMAB 0.5 MG INJ,32872.22,32872.22,6051.78,32872.22,23
HCPCS,J2779,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,201.93,29
HCPCS,J2779,SUSVIMO 0.1 MG IMPLANTJW,371.52,371.52,68.4,371.52,23
HCPCS,J2779,SUSVIMO 10 MG IMPLANT,37152.0,37152.0,6839.68,37152.0,23
HCPCS,J2781,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,391.7,29
HCPCS,J2782,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,274.01,29
HCPCS,J2783,"Injection, rasburicase, 0.5 mg ",,,452.94,1012.8,29
HCPCS,J2783,RASBURICASE 0.5 MG INJ,4180.6,4180.6,769.65,4180.6,23
HCPCS,J2783,RASBURICASE 0.5 MG INJJW,4180.6,4180.6,769.65,4180.6,23
HCPCS,J2783,RASBURICASE 1.5 MG INJ,6850.27,6850.27,1261.13,6850.27,23
HCPCS,J2785,"Injection, regadenoson, 0.1 mg ",6195.16,6195.16,4.34,7.69,29
HCPCS,J2785,REGADENOSON 0.4 MG INJ,6195.16,6195.16,929.27,6195.16,27
HCPCS,J2786,"Injection, reslizumab, 1 mg ",,,12.83,30.55,29
HCPCS,J2787,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,2709.12,7250.4,17
HCPCS,J2788,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,72.93,29
HCPCS,J2790,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,209.09,29
HCPCS,J2791,IG RHOPHYLAC 1500 IU,4853.1,4853.1,727.97,4853.1,27
HCPCS,J2791,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",4853.1,4853.1,5.98,12.85,29
HCPCS,J2792,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,90.79,29
HCPCS,J2793,"Injection, rilonacept, 1 mg ",,,33.53,89.99,17
HCPCS,J2794,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,28.62,29
HCPCS,J2794,RISPERD CONSTA 25 MG INJ,6904.04,6904.04,1271.03,6904.04,23
HCPCS,J2794,RISPERD CONSTA 50 MG INJ,11051.31,11051.31,2034.55,11051.31,23
HCPCS,J2795,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.09,0.13,17
HCPCS,J2795,ROPIVACA 200MG/20ML INJ,438.22,438.22,65.73,438.22,28
HCPCS,J2795,ROPIVACAINE 100 MG INJ,182.66,182.66,27.4,182.66,28
HCPCS,J2795,ROPIVACAINE 150 MG INJ,460.49,460.49,69.07,460.49,28
HCPCS,J2795,ROPIVACAINE 20 MG INJ,190.86,190.86,28.63,190.86,28
HCPCS,J2795,ROPIVACAINE 40 MG INJ,225.28,225.28,33.79,225.28,28
HCPCS,J2796,"Injection, romiplostim, 10 micrograms ",,,129.03,145.16,2
HCPCS,J2797,"Injection, rolapitant, 0.5 mg ",,,1.15,1.3,2
HCPCS,J2798,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,32.25,29
HCPCS,J2799,"Injection, risperidone (uzedy), 1 mg ",,,30.11,66.67,29
HCPCS,J2800,"Injection, methocarbamol, up to 10 ml ",1411.67,1411.67,7.78,11.66,29
HCPCS,J2800,METHOCARBAM 1G/10ML INJ,1411.67,1411.67,211.75,1411.67,27
HCPCS,J2801,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,34.53,29
HCPCS,J2802,"Injection, romiplostim, 1 microgram ",,,12.85,29.44,27
HCPCS,J2802,ROMIPLOSTIM 1 MCG INJ,53.69,53.69,9.88,53.69,25
HCPCS,J2802,ROMIPLOSTIM 1 MCG INJ JW,53.69,53.69,9.88,53.69,25
HCPCS,J2802,ROMIPLOSTIM 125 MCG INJ,7678.41,7678.41,1413.6,7678.41,25
HCPCS,J2802,ROMIPLOSTIM 250 MCG INJ,15356.82,15356.82,2827.19,15356.82,25
HCPCS,J2802,ROMIPLOSTIM 500 MCG INJ,26848.43,26848.43,4942.8,26848.43,25
HCPCS,J2804,"Injection, rifampin, 1 mg ",,,0.17,0.45,27
HCPCS,J2804,RIFAMPIN 6 MG/ML INJ,20.66,20.66,3.1,20.66,29
HCPCS,J2804,RIFAMPIN 600 MG INJ,1266.84,1266.84,190.03,1266.84,29
HCPCS,J2805,"Injection, sincalide, 5 micrograms ",2571.94,2571.94,175.15,286.73,29
HCPCS,J2805,SINCALIDE 5 MCG INJ,2571.94,2571.94,385.79,2571.94,27
HCPCS,J2806,"Injection, sincalide (maia), not therapeutically equivalent to j2805, 5 micrograms ",,,35.68,40.14,2
HCPCS,J2810,"Injection, theophylline, per 40 mg ",,,0.53,0.59,2
HCPCS,J2820,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,164.01,29
HCPCS,J2840,"Injection, sebelipase alfa, 1 mg ",,,612.6,1431.48,29
HCPCS,J2850,"Injection, secretin, synthetic, human, 1 microgram ",,,42.84,106.61,29
HCPCS,J2850,SECRETIN SYN HUMAN 1 MCG,581.21,581.21,107.0,581.21,23
HCPCS,J2850,SECRETIN SYN HUMAN 16MCG,9299.36,9299.36,1712.01,9299.36,23
HCPCS,J2850,SECRETN SYN HUMAN 1MCGJW,581.21,581.21,107.0,581.21,23
HCPCS,J2860,"Injection, siltuximab, 10 mg ",9412.85,9412.85,196.03,461.31,29
HCPCS,J2860,SILTUXIMAB 100 MG INJ,9412.85,9412.85,1732.91,9412.85,23
HCPCS,J2865,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.11,27
HCPCS,J2865,SMX/TMP 3.2/0.64 MG/ML,1.6,1.6,0.24,1.6,29
HCPCS,J2865,SMX/TMP 5.5/1.1 MG/ML,1.9,1.9,0.28,1.9,29
HCPCS,J2865,SMX/TMP 800/160MG MDV,263.55,263.55,39.53,263.55,29
HCPCS,J2910,"Injection, aurothioglucose, up to 50 mg ",,,31.36,35.29,2
HCPCS,J2916,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",602.0,602.0,2.38,6.33,29
HCPCS,J2916,NA FERRIC GLUCON 62.5 MG,602.0,602.0,90.3,602.0,27
HCPCS,J2919,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.64,29
HCPCS,J2919,METHYLPRED SS 1 G MDV,978.64,978.64,146.8,978.64,27
HCPCS,J2919,METHYLPRED SS 125 MGINJ,199.64,199.64,29.95,199.64,27
HCPCS,J2919,METHYLPRED SS 2 G INJ,1697.76,1697.76,254.66,1697.76,27
HCPCS,J2919,METHYLPRED SS 2.5MG/ML,6.37,6.37,0.96,6.37,27
HCPCS,J2919,METHYLPRED SS 40 MG INJ,120.46,120.46,18.07,120.46,27
HCPCS,J2919,METHYLPRED SS 40MG/MLINJ,111.54,111.54,16.73,111.54,27
HCPCS,J2919,METHYLPRED SS 500 MG MDV,670.94,670.94,100.64,670.94,27
HCPCS,J2940,"Injection, somatrem, 1 mg ",,,54.13,60.9,2
HCPCS,J2941,"Injection, somatropin, 1 mg ",,,198.19,437.75,17
HCPCS,J2993,"Injection, reteplase, 18.1 mg ",,,3625.25,7697.14,29
HCPCS,J2995,"Injection, streptokinase, per 250,000 iu ",,,101.76,114.49,2
HCPCS,J2997,ALTEPLASE RECOM 1MG INJ,2035.75,2035.75,374.78,2035.75,23
HCPCS,J2997,ALTEPLASE RECOMB 1 MG/ML,2035.75,2035.75,374.78,2035.75,23
HCPCS,J2997,ALTEPLASE RECOMB 1 MGJW,2035.75,2035.75,374.78,2035.75,23
HCPCS,J2997,ALTEPLASE RECOMB 100 MG,44138.52,44138.52,8125.9,44138.52,23
HCPCS,J2997,ALTEPLASE RECOMB 2 MG,3171.79,3171.79,583.93,3171.79,23
HCPCS,J2997,ALTEPLASE RECOMB 50 MG,22068.72,22068.72,4062.85,22068.72,23
HCPCS,J2997,"Injection, alteplase recombinant, 1 mg ",,,111.82,251.99,29
HCPCS,J2998,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,101.73,29
HCPCS,J3000,"Injection, streptomycin, up to 1 gm ",687.66,687.66,31.28,106.69,29
HCPCS,J3000,STREPTOMYCIN 1 G INJ,687.66,687.66,103.15,687.66,27
HCPCS,J3010,FENTANYL 10 MCG/ML INJ,2.38,2.38,0.36,2.38,27
HCPCS,J3010,FENTANYL 5 MCG/ML INJ,1.6,1.6,0.24,1.6,27
HCPCS,J3010,FENTANYL 50 MCG/ML INJ,16.74,16.74,2.51,16.74,27
HCPCS,J3010,FENTANYL CIT 0.05 MG INJ,47.0,47.0,7.05,47.0,27
HCPCS,J3010,FENTANYL CIT 0.1 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J3010,FENTANYL CIT 0.25 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J3010,FENTANYL CIT 1 MG INJ,306.36,306.36,45.95,306.36,27
HCPCS,J3010,FENTANYL CIT 2.5 MG INJ,412.45,412.45,61.87,412.45,27
HCPCS,J3010,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,3.07,29
HCPCS,J3030,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",1750.01,1750.01,44.4,470.83,29
HCPCS,J3030,SUMATRIPTAN SUCC 6MG INJ,1750.01,1750.01,262.5,1750.01,27
HCPCS,J3031,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,4.25,11.26,17
HCPCS,J3032,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,54.46,29
HCPCS,J3055,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,198.43,29
HCPCS,J3055,TALQUET-TGVS 3 MG INJ,5002.69,5002.69,921.0,5002.69,23
HCPCS,J3055,TALQUET-TGVS 40 MG INJ,56117.84,56117.84,10331.29,56117.84,23
HCPCS,J3060,"Injection, taliglucerase alfa, 10 units ",,,49.69,107.75,29
HCPCS,J3070,"Injection, pentazocine, 30 mg ",,,72.58,156.08,17
HCPCS,J3090,"Injection, tedizolid phosphate, 1 mg ",,,2.21,5.19,29
HCPCS,J3095,"Injection, telavancin, 10 mg ",,,8.68,18.63,29
HCPCS,J3101,"Injection, tenecteplase, 1 mg ",,,198.62,523.22,29
HCPCS,J3101,TENECTEPLASE 25 MG INJ,46608.03,46608.03,8580.54,46608.03,23
HCPCS,J3101,TENECTEPLASE 50 MG INJ,46608.03,46608.03,8580.54,46608.03,23
HCPCS,J3105,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,7.84,29
HCPCS,J3105,TERBUTALINE 1 MG INJ,162.67,162.67,24.4,162.67,27
HCPCS,J3105,TERBUTALINE 1 MG/ML INJ,102.0,102.0,15.3,102.0,27
HCPCS,J3110,"Injection, teriparatide, 10 mcg ",,,65.72,209.64,17
HCPCS,J3111,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,32.3,29
HCPCS,J3121,"Injection, testosterone enanthate, 1 mg ",,,0.06,0.13,17
HCPCS,J3145,"Injection, testosterone undecanoate, 1 mg ",,,2.41,5.64,29
HCPCS,J3230,CHLORPROMAZINE 25 MG INJ,702.79,702.79,105.42,702.79,27
HCPCS,J3230,CHLORPROMAZINE 50 MG INJ,808.84,808.84,121.33,808.84,27
HCPCS,J3230,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,55.54,29
HCPCS,J3240,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,5632.15,29
HCPCS,J3241,"Injection, teprotumumab-trbw, 10 mg ",,,430.26,974.96,29
HCPCS,J3243,"Injection, tigecycline, 1 mg ",2768.88,2768.88,0.36,1.51,29
HCPCS,J3243,TIGECYCLINE 50 MG INJ,2768.88,2768.88,415.33,2768.88,27
HCPCS,J3244,"Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg ",,,3.27,3.68,2
HCPCS,J3245,"Injection, tildrakizumab, 1 mg ",,,160.73,313.23,29
HCPCS,J3246,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,8.45,29
HCPCS,J3246,TIROF12.5MG/NACL250MLINJ,6222.13,6222.13,933.32,6222.13,27
HCPCS,J3246,TIROFIBAN 3.75 MG INJ,3093.64,3093.64,464.05,3093.64,27
HCPCS,J3247,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,47.81,29
HCPCS,J3250,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,151.63,29
HCPCS,J3260,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,5.35,29
HCPCS,J3260,TOBRAMYCIN 10 MG/ML INJ,3.19,3.19,0.48,3.19,27
HCPCS,J3260,TOBRAMYCIN 1200 MG MDV,927.15,927.15,139.07,927.15,27
HCPCS,J3260,TOBRAMYCIN 80 MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J3262,"Injection, tocilizumab, 1 mg ",108.35,108.35,7.19,14.65,29
HCPCS,J3262,TOCILIZUMAB 1 MG INJ,108.35,108.35,19.95,108.35,23
HCPCS,J3263,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,105.97,29
HCPCS,J3265,"Injection, torsemide, 10 mg/ml ",,,2.81,3.16,2
HCPCS,J3280,"Injection, thiethylperazine maleate, up to 10 mg ",,,6.09,6.85,2
HCPCS,J3285,"Injection, treprostinil, 1 mg ",,,69.49,146.25,29
HCPCS,J3290,"Injection, tranexamic acid, 5 mg ",,,0.34,0.34,15
HCPCS,J3290,TRANEXAMIC 1000MG INJ,283.935,283.935,31.5,357.87,60
HCPCS,J3290,TRANEXAMIC 10MG/ML INJ,1.0,1.0,0.15,1.0,30
HCPCS,J3291,"Injection, tranexamic acid in sodium chloride, 5 mg ",210.0,210.0,0.32,0.32,15
HCPCS,J3291,TRANEX NACL 1000MG INJ,210.0,210.0,31.5,210.0,30
HCPCS,J3299,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,126.62,29
HCPCS,J3300,"Injection, triamcinolone acetonide, preservative free, 1 mg ",3726.17,3726.17,28.32,49.77,29
HCPCS,J3300,TRIAMCINOL ACE 40MG OPH,3726.17,3726.17,685.99,3726.17,23
HCPCS,J3301,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",227.75,227.75,1.07,2.39,29
HCPCS,J3301,TRIAMCINOLN ACE 40MG INJ,227.75,227.75,34.16,227.75,27
HCPCS,J3302,"Injection, triamcinolone diacetate, per 5 mg ",,,0.35,0.87,17
HCPCS,J3303,"Injection, triamcinolone hexacetonide, per 5 mg ",,,10.61,25.84,17
HCPCS,J3304,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,49.4,29
HCPCS,J3310,"Injection, perphenazine, up to 5 mg ",,,8.17,9.19,2
HCPCS,J3315,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,1243.86,29
HCPCS,J3316,"Injection, triptorelin, extended-release, 3.75 mg ",,,4321.71,9867.96,29
HCPCS,J3320,"Injection, spectinomycin dihydrochloride, up to 2 gm ",,,38.5,43.31,2
HCPCS,J3350,"Injection, urea, up to 40 gm ",,,96.71,108.8,2
HCPCS,J3355,"Injection, urofollitropin, 75 iu ",,,81.19,91.34,2
HCPCS,J3357,"Ustekinumab, for subcutaneous injection, 1 mg ",,,202.45,1080.43,29
HCPCS,J3358,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,30.79,29
HCPCS,J3360,DIAZEPAM 10 MG INJ,475.63,475.63,71.34,475.63,27
HCPCS,J3360,"Injection, diazepam, up to 5 mg ",475.63,475.63,6.97,22.55,29
HCPCS,J3364,"Injection, urokinase, 5000 iu vial ",,,11.73,13.19,2
HCPCS,J3365,"Injection, iv, urokinase, 250,000 i.u. vial ",,,585.9,659.13,2
HCPCS,J3370,"Injection, vancomycin hcl, 500 mg ",,,2.56,2.88,2
HCPCS,J3371,"Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg ",,,7.61,8.56,2
HCPCS,J3372,"Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg ",,,8.3,9.33,2
HCPCS,J3373,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.08,27
HCPCS,J3373,VANCO 1 G INJ,317.08,317.08,47.56,317.08,29
HCPCS,J3373,VANCO 1.25 G INJ,200.92,200.92,30.14,200.92,29
HCPCS,J3373,VANCO 1.5 G INJ,349.13,349.13,52.37,349.13,29
HCPCS,J3373,VANCO 10 MG INJ,0.38,0.38,0.06,0.38,29
HCPCS,J3373,VANCO 125 MG INJ,44.03,44.03,6.6,44.03,29
HCPCS,J3373,VANCO 5 G MDV,681.94,681.94,102.29,681.94,29
HCPCS,J3373,VANCO 5 MG/ML INJ,1.45,1.45,0.22,1.45,29
HCPCS,J3373,VANCO 500 MG INJ,197.58,197.58,29.64,197.58,29
HCPCS,J3373,VANCO 750 MG INJ,236.58,236.58,35.49,236.58,29
HCPCS,J3374,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.27,27
HCPCS,J3375,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.42,27
HCPCS,J3376,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.03,0.03,15
HCPCS,J3379,"Injection, valproate sodium, 5 mg ",,,0.11,0.11,15
HCPCS,J3379,VALPROATE 30MG/ML INJ,47.0,47.0,7.05,47.0,30
HCPCS,J3379,VALPROATE 500MG INJ,134.98,134.98,20.25,134.98,30
HCPCS,J3379,VALPROATE 50MG/ML INJ,134.98,134.98,20.25,134.98,30
HCPCS,J3380,"Injection, vedolizumab, intravenous, 1 mg ",43467.84,43467.84,25.87,55.6,29
HCPCS,J3380,VEDOLIZUMAB 300 MG IV,43467.84,43467.84,8002.43,43467.84,23
HCPCS,J3385,"Injection, velaglucerase alfa, 100 units ",,,457.7,1028.62,29
HCPCS,J3387,"Injection, elivaldogene autotemcel, per treatment ",,,8427000.0,8427000.0,15
HCPCS,J3389,"Topical administration, prademagene zamikeracel, per treatment ",,,8839923.0,8839923.0,15
HCPCS,J3391,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,11938250.0,27
HCPCS,J3392,EXAGAMGLOGENE INJ,9999999.0,9999999.0,1699999.83,9999999.0,35
HCPCS,J3392,"Injection, exagamglogene autotemcel, per treatment ",9999999.0,9999999.0,2640000.0,6179800.0,27
HCPCS,J3393,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,7786548.0,27
HCPCS,J3394,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,8600260.68,27
HCPCS,J3396,"Injection, verteporfin, 0.1 mg ",,,14.09,30.66,29
HCPCS,J3397,"Injection, vestronidase alfa-vjbk, 1 mg ",,,344.28,742.4,17
HCPCS,J3398,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,8135.74,27
HCPCS,J3399,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,6855781.24,27
HCPCS,J3400,"Injection, triflupromazine hcl, up to 20 mg ",,,14.14,15.91,2
HCPCS,J3401,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,2662.14,29
HCPCS,J3402,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,537190.99,537190.99,15
HCPCS,J3404,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,323035.0,323035.0,15
HCPCS,J3410,HYDROXYZIN HCL 25 MG INJ,320.79,320.79,48.12,320.79,27
HCPCS,J3410,HYDROXYZIN HCL 50 MG INJ,382.06,382.06,57.31,382.06,27
HCPCS,J3410,"Injection, hydroxyzine hcl, up to 25 mg ",,,18.56,40.2,29
HCPCS,J3411,"Injection, thiamine hcl, 100 mg ",196.34,196.34,2.15,4.11,29
HCPCS,J3411,THIAMINE 100 MG INJ,196.34,196.34,29.45,196.34,27
HCPCS,J3415,"Injection, pyridoxine hcl, 100 mg ",330.2,330.2,12.92,39.49,29
HCPCS,J3415,PYRIDOXINE 100 MG INJ,330.2,330.2,49.53,330.2,27
HCPCS,J3420,CYANOCOBAL 1000 MCG INJ,137.68,137.68,20.65,137.68,27
HCPCS,J3420,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",137.68,137.68,0.82,1.78,29
HCPCS,J3424,HYDROXOCOBALAM 5 G IV,9924.03,9924.03,1827.01,9924.03,23
HCPCS,J3424,"Injection, hydroxocobalamin, intravenous, 25 mg ",9924.03,9924.03,5.99,14.42,29
HCPCS,J3425,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.03,29
HCPCS,J3430,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,8.37,29
HCPCS,J3430,VIT K PHYT 1MG/0.5ML INJ,288.195,288.195,32.03,362.85,54
HCPCS,J3430,VIT K PHYTON 1 MG/ML INJ,56.6,56.6,8.49,56.6,27
HCPCS,J3430,VIT K PHYTONAD 10 MG INJ,800.7,800.7,120.11,800.7,27
HCPCS,J3465,"Injection, voriconazole, 10 mg ",,,0.9,1.72,29
HCPCS,J3465,VORICONAZOLE 200 MG INJ,3498.6,3498.6,524.79,3498.6,27
HCPCS,J3465,VORICONAZOLE 5MG/ML INJ,34.77,34.77,5.22,34.77,27
HCPCS,J3470,"Injection, hyaluronidase, up to 150 units ",,,39.34,83.61,29
HCPCS,J3471,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.65,0.87,17
HCPCS,J3472,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,176.39,291.21,17
HCPCS,J3473,HYALURONIDASE RECB 150 U,2452.3,2452.3,367.85,2452.3,27
HCPCS,J3473,"Injection, hyaluronidase, recombinant, 1 usp unit ",2452.3,2452.3,0.44,0.95,29
HCPCS,J3475,"Injection, magnesium sulfate, per 500 mg ",,,0.61,1.14,29
HCPCS,J3475,MAG SUL 1G/D5W 100ML INJ,221.14,221.14,33.17,221.14,27
HCPCS,J3475,MAG SUL 20G/WFI 500MLINJ,221.14,221.14,33.17,221.14,27
HCPCS,J3475,MAG SUL 4G/WFI 100ML INJ,174.17,174.17,26.13,174.17,27
HCPCS,J3475,MAG SULF 2G/WFI 50ML INJ,278.68,278.68,41.8,278.68,27
HCPCS,J3475,MAG SULFATE 1G INJ,160.55,160.55,24.08,160.55,27
HCPCS,J3475,MAG SULFATE 40 MG/ML INJ,2.61,2.61,0.39,2.61,27
HCPCS,J3475,MAG SULFATE 5G/10ML INJ,68.08,68.08,10.21,68.08,27
HCPCS,J3480,"Injection, potassium chloride, per 2 meq ",,,0.15,0.34,29
HCPCS,J3480,K10 / WFI 50 ML INJ,549.51,549.51,82.43,549.51,27
HCPCS,J3480,K10/WFI 100 ML INJ,47.0,47.0,7.05,47.0,27
HCPCS,J3480,K20 / WFI 100 ML INJ,549.51,549.51,82.43,549.51,27
HCPCS,J3480,K20/D5NS 1000 ML INJ,156.7,156.7,23.5,156.7,27
HCPCS,J3480,K20/D5NS0.45 1000 ML INJ,156.7,156.7,23.5,156.7,27
HCPCS,J3480,K20/NS 1000 ML INJ,148.02,148.02,22.2,148.02,27
HCPCS,J3480,K20/NS0.45 1000 ML INJ,142.39,142.39,21.36,142.39,27
HCPCS,J3480,K20/WFI 50 ML INJ,508.81,508.81,76.32,508.81,27
HCPCS,J3480,K40/D5NS0.45 1000 ML INJ,178.57,178.57,26.79,178.57,27
HCPCS,J3480,K40/NS 1000 ML INJ,148.02,148.02,22.2,148.02,27
HCPCS,J3480,POTASS CL 0.08MEQ/ML INJ,1.62,1.62,0.24,1.62,27
HCPCS,J3480,POTASS CL 0.2MEQ/ML INJ,4.05,4.05,0.61,4.05,27
HCPCS,J3480,POTASS CL 2 MEQ INJ,3.0,3.0,0.45,3.0,27
HCPCS,J3480,POTASS CL 20 MEQ INJ,47.0,47.0,7.05,47.0,27
HCPCS,J3480,POTASS CL 40 MEQ INJ,47.0,47.0,7.05,47.0,27
HCPCS,J3485,"Injection, zidovudine, 10 mg ",,,1.85,4.0,29
HCPCS,J3485,ZIDOVUDINE 200 MG INJ,767.11,767.11,115.07,767.11,27
HCPCS,J3485,ZIDOVUDINE 4 MG/ML INJ,9.57,9.57,1.44,9.57,27
HCPCS,J3486,"Injection, ziprasidone mesylate, 10 mg ",767.53,767.53,6.34,15.56,29
HCPCS,J3486,ZIPRASIDONE 20 MG INJ,767.53,767.53,115.13,767.53,27
HCPCS,J3489,"Injection, zoledronic acid, 1 mg ",,,7.34,81.83,17
HCPCS,J3489,ZOLEDR 5MG/WFI 100ML INJ,3509.37,3509.37,526.41,3509.37,28
HCPCS,J3489,ZOLEDRONIC ACID 4MG INJ,11013.53,11013.53,1652.03,11013.53,28
HCPCS,J3490,ACD A/ANTICO-CIT-DEX 750,97.44,97.44,14.62,97.44,35
HCPCS,J3490,ACD A/ANTICO-CIT-DEX1000,2448.49,2448.49,367.27,2448.49,35
HCPCS,J3490,BRIVARACETAM 50 MG INJ,607.69,607.69,91.15,607.69,30
HCPCS,J3490,BUPIV125MG/EPI0.25MG MDV,203.59,203.59,30.54,203.59,30
HCPCS,J3490,BUPIV2.5/EPI0.005MG 10ML,102.76,102.76,15.41,102.76,35
HCPCS,J3490,BUPIV2.5/EPI0.005MG 30ML,361.68,361.68,54.25,361.68,35
HCPCS,J3490,BUPIV5MG/EPI0.005MG 1ML,12.86,12.86,1.93,12.86,35
HCPCS,J3490,BUPIV5MG/EPI0.005MG 30ML,385.8,385.8,57.87,385.8,35
HCPCS,J3490,CISATRACURIUM 10 MG INJ,140.0,140.0,21.0,140.0,35
HCPCS,J3490,CISATRACURIUM 20 MG INJ,733.53,733.53,110.03,733.53,30
HCPCS,J3490,CISATRACURIUM 200 MG INJ,5743.76,5743.76,861.56,5743.76,30
HCPCS,J3490,CISATRACURIUM 2MG/ML INJ,55.07,55.07,8.26,55.07,30
HCPCS,J3490,CISATRACURIUM0.4MG/MLINJ,11.97,11.97,1.8,11.97,30
HCPCS,J3490,CLINIMIX 5/15 1L INJ,630.32,630.32,94.55,630.32,30
HCPCS,J3490,CLINIMIX 5/15 2L INJ,1045.93,1045.93,156.89,1045.93,30
HCPCS,J3490,CLINIMIX E 5/15 1L INJ,568.97,568.97,85.35,568.97,30
HCPCS,J3490,CLINIMIX E 5/15 2L INJ,1120.18,1120.18,168.03,1120.18,30
HCPCS,J3490,DEXMED 200MCG/D5W50MLINJ,1309.71,1309.71,196.46,1309.71,35
HCPCS,J3490,DEXMED 400MCG/NS100MLINJ,1026.24,1026.24,153.94,1026.24,35
HCPCS,J3490,DEXMEDETOMID 200 MCG INJ,628.72,628.72,94.31,628.72,35
HCPCS,J3490,DEXMEDETOMID 4 MCG/MLINJ,9.7,9.7,1.46,9.7,35
HCPCS,J3490,ENALAPRILAT 25MCG/ML INJ,13.76,13.76,2.06,13.76,30
HCPCS,J3490,ENALAPRILAT1250MCG/MLINJ,174.8,174.8,26.22,174.8,30
HCPCS,J3490,EPHEDRINE 50 MG INJ,491.44,491.44,73.72,491.44,35
HCPCS,J3490,FLUMAZENIL 0.1 MG INJ,27.54,27.54,4.13,27.54,30
HCPCS,J3490,IBUPROFEN LYS 20MG INJ,8485.4,8485.4,1272.81,8485.4,30
HCPCS,J3490,IBUPROFEN LYS 5MG/ML INJ,954.68,954.68,143.2,954.68,30
HCPCS,J3490,INDOMETHACIN 1 MG/ML INJ,2919.76,2919.76,437.96,2919.76,30
HCPCS,J3490,INDOMETHACIN 50 MG SUPP,2054.03,2054.03,308.1,2054.03,30
HCPCS,J3490,INTRALIPID 20% 100ML INJ,1458.87,1458.87,218.83,1458.87,30
HCPCS,J3490,ISOPROTERENOL 0.2MG INJ,21411.4,21411.4,3211.71,21411.4,30
HCPCS,J3490,ISOPROTERENOL 1MG INJ,24623.1,24623.1,3693.47,24623.1,30
HCPCS,J3490,ISOPROTERENOL20MCG/MLINJ,474.16,474.16,71.12,474.16,30
HCPCS,J3490,ISOPROTERENOL64MCG/MLINJ,408.24,408.24,61.24,408.24,30
HCPCS,J3490,KETAMINE 10 MG/ML INJ,200.135,200.135,2.96,380.53,60
HCPCS,J3490,KETAMINE 100 MG INJ,41.41,41.41,6.21,41.41,35
HCPCS,J3490,KETAMINE 2 MG/ML INJ,4.28,4.28,0.64,4.28,30
HCPCS,J3490,KETAMINE 200 MG MDV,201.0,201.0,30.15,201.0,30
HCPCS,J3490,KETAMINE 50 MG INJ,681.2,681.2,102.18,681.2,35
HCPCS,J3490,KETAMINE 500 MG MDV,47.0,47.0,7.05,47.0,30
HCPCS,J3490,LETERMOVIR 480 MG INJ,3426.56,3426.56,513.98,3426.56,30
HCPCS,J3490,METHOXSALEN 200 MCG INJ,4304.28,4304.28,645.64,4304.28,30
HCPCS,J3490,NA BICARB 0.5 MEQ/ML INJ,1.7,1.7,0.26,1.7,30
HCPCS,J3490,NA BICARB 1 MEQ/ML INJ,4.83,4.83,0.72,4.83,30
HCPCS,J3490,NITROPRSIDE500MCG/MLINJ,45.48,45.48,6.82,45.48,30
HCPCS,J3490,NITROPRUSSIDE 50 MG INJ,14729.01,14729.01,2209.35,14729.01,30
HCPCS,J3490,NOREPI 16MCG/ML INJ,1.9,1.9,0.28,1.9,30
HCPCS,J3490,NOREPI 64MCG/ML INJ,5.68,5.68,0.85,5.68,30
HCPCS,J3490,PHOXILLUM B22K 4/0,690.44,690.44,103.57,690.44,30
HCPCS,J3490,PHOXILLUM BK 4/2.5,744.45,744.45,111.67,744.45,35
HCPCS,J3490,PLASMA-LYTE A 1L INJ,685.4,685.4,102.81,685.4,35
HCPCS,J3490,POT PHOS 0.05MMOL/ML INJ,2.18,2.18,0.33,2.18,30
HCPCS,J3490,POT PHOS 0.12MMOL/ML INJ,2.18,2.18,0.33,2.18,30
HCPCS,J3490,PRISMASOL BGK 0/2.5,818.53,818.53,122.78,818.53,35
HCPCS,J3490,PRISMASOL BGK 2/0,622.95,622.95,93.44,622.95,30
HCPCS,J3490,PRISMASOL BGK 2/3.5,631.62,631.62,94.74,631.62,30
HCPCS,J3490,PRISMASOL BK 0/0/1.2,769.68,769.68,115.45,769.68,30
HCPCS,J3490,REMIFENTANIL 2 MG INJ,2090.28,2090.28,313.54,2090.28,30
HCPCS,J3490,REMIFENTANIL 5 MG INJ,3670.49,3670.49,550.57,3670.49,30
HCPCS,J3490,ROCURONIUM 10 MG/ML INJ,36.38,36.38,5.46,36.38,30
HCPCS,J3490,ROCURONIUM 100 MG MDV,330.62,330.62,49.59,330.62,30
HCPCS,J3490,ROCURONIUM 50 MG MDV,165.31,165.31,24.8,165.31,30
HCPCS,J3490,SMOFLIPID 20% 100ML INJ,228.48,228.48,34.27,228.48,30
HCPCS,J3490,SMOFLIPID 20% 250ML INJ,571.19,571.19,85.68,571.19,30
HCPCS,J3490,SOD PHOS 0.05MMOL/ML INJ,2.18,2.18,0.33,2.18,30
HCPCS,J3490,SOD PHOS 0.12MMOL/ML INJ,2.18,2.18,0.33,2.18,30
HCPCS,J3490,SOD TETRADECYL 3%1ML INJ,390.48,390.48,58.57,390.48,30
HCPCS,J3490,VECURONIUM 1 MG/ML INJ,271.25,271.25,40.69,271.25,30
HCPCS,J3520,"Edetate disodium, per 150 mg ",,,0.87,1.83,17
HCPCS,J3535,ALBUTEROL 90MCG 6.7G INH,374.68,374.68,56.2,374.68,30
HCPCS,J3535,ALBUTEROL 90MCG 8G INH,63.28,63.28,9.49,63.28,30
HCPCS,J3535,FLUTICASONE 110MCG 12G,63.28,63.28,9.49,63.28,30
HCPCS,J3535,FLUTICASONE 44MCG 10.6G,63.28,63.28,9.49,63.28,30
HCPCS,J3535,IPRAT/ALBUT 20/100 PUFF,48.44,48.44,7.27,48.44,35
HCPCS,J3535,IPRAT/ALBUT 20/100MCG 4G,2865.66,2865.66,429.85,2865.66,30
HCPCS,J3535,IPRATROPIUM 17MCG 12.9G,63.28,63.28,9.49,63.28,30
HCPCS,J3535,MOMET/FOR 100/5MCG 60INH,54.49,54.49,8.17,54.49,30
HCPCS,J3535,MOMET/FOR 200/5MCG 60INH,54.49,54.49,8.17,54.49,30
HCPCS,J3535,MOMETASONE 100MCG 13G,27.24,27.24,4.09,27.24,30
HCPCS,J3535,MOMETASONE 200MCG 13G,30.26,30.26,4.54,30.26,30
HCPCS,J3535,TIOTROPIUM 2.5MCG 60INH,1139.31,1139.31,170.9,1139.31,30
HCPCS,J3535,UMEC/VILA 62.5/25 7INH,991.44,991.44,148.72,991.44,30
HCPCS,J3590,ANAKINRA 100 MG INJ,2541.67,2541.67,381.25,2541.67,39
HCPCS,J3590,ANTIVENIN LATR MACTANS,1244.86,1244.86,186.73,1244.86,35
HCPCS,J3590,DINUTUXIMAB 17.5 MG INJ,86634.35,86634.35,12995.15,86634.35,30
HCPCS,J3590,PORACTANT 120 MG INST,7173.64,7173.64,1076.05,7173.64,30
HCPCS,J3590,THROMBIN 5000 U TOPICAL,1155.16,1155.16,173.27,1155.16,30
HCPCS,J3590,TISSEEL 10 ML TOPICAL,3104.0,3104.0,465.6,3104.0,30
HCPCS,J3590,TISSEEL 4 ML TOPICAL,1265.0,1265.0,189.75,1265.0,30
HCPCS,J7030,"Infusion, normal saline solution , 1000 cc ",,,3.44,5.8,17
HCPCS,J7030,NS 1000 ML,160.55,160.55,21.87,685.4,84
HCPCS,J7040,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,1.72,3.6,17
HCPCS,J7040,NS 500 ML,403.71000000000004,403.71000000000004,24.08,646.87,56
HCPCS,J7042,5% dextrose/normal saline (500 ml = 1 unit) ,,,1.49,3.42,17
HCPCS,J7042,D5NS 1000 ML,160.55,160.55,24.08,160.55,28
HCPCS,J7042,D5NS 500 ML,58.32,58.32,8.75,58.32,28
HCPCS,J7050,"Infusion, normal saline solution, 250 cc ",,,0.85,1.86,17
HCPCS,J7050,NS 100 ML,109.595,109.595,10.68,148.02,56
HCPCS,J7050,NS 150 ML,148.02,148.02,22.2,148.02,28
HCPCS,J7050,NS 25 ML,125.67,125.67,18.85,125.67,28
HCPCS,J7050,NS 250 ML,160.55,160.55,24.08,160.55,28
HCPCS,J7050,NS 50 ML,350.645,350.645,22.2,553.27,56
HCPCS,J7060,5% dextrose/water (500 ml = 1 unit) ,,,2.15,4.96,17
HCPCS,J7060,D5W 100 ML INJ,148.02,148.02,22.2,148.02,28
HCPCS,J7060,D5W 150 ML INJ,148.02,148.02,22.2,148.02,28
HCPCS,J7060,D5W 25 ML INJ,111.21,111.21,16.68,111.21,28
HCPCS,J7060,D5W 250 ML INJ,148.02,148.02,22.2,148.02,28
HCPCS,J7060,D5W 50 ML INJ,148.02,148.02,22.2,148.02,28
HCPCS,J7060,D5W 500 ML INJ,160.55,160.55,24.08,160.55,28
HCPCS,J7070,D5W 1000ML,160.55,160.55,24.08,160.55,27
HCPCS,J7070,"Infusion, d5w, 1000 cc ",160.55,160.55,4.3,8.14,29
HCPCS,J7100,"Infusion, dextran 40, 500 ml ",,,50.97,1031.17,29
HCPCS,J7110,"Infusion, dextran 75, 500 ml ",,,18.58,20.91,2
HCPCS,J7120,LACTATED RINGERS 1000 ML,160.55,160.55,24.08,160.55,28
HCPCS,J7120,LACTATED RINGERS 500 ML,646.87,646.87,97.03,646.87,28
HCPCS,J7120,"Ringers lactate infusion, up to 1000 cc ",,,3.13,6.89,17
HCPCS,J7121,"5% dextrose in lactated ringers infusion, up to 1000 cc ",160.67,160.67,10.09,16.03,17
HCPCS,J7121,D5 LR 1000 ML,160.67,160.67,24.1,160.67,28
HCPCS,J7131,23.4% NACL 30 ML INJ,226.06,226.06,33.91,226.06,27
HCPCS,J7131,3% NACL 500 ML INJ,136.49,136.49,20.47,136.49,27
HCPCS,J7131,"Hypertonic saline solution, 1 ml ",,,0.15,0.27,29
HCPCS,J7165,BALFAXAR 1280 U IX INJ,25959.4,25959.4,4779.13,25959.4,23
HCPCS,J7165,BALFAXAR 640 U IX INJ,12979.7,12979.7,2389.56,12979.7,23
HCPCS,J7165,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,4.63,29
HCPCS,J7168,KCENTRA 1 U INJ,16.85,16.85,3.1,16.85,23
HCPCS,J7168,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",16.85,16.85,3.58,5.43,29
HCPCS,J7169,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,347.57,29
HCPCS,J7170,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,147.45,29
HCPCS,J7171,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,94.29,29
HCPCS,J7172,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,133.0,27
HCPCS,J7173,"Injection, concizumab-mtci, 0.5 mg ",,,221.2,221.2,15
HCPCS,J7174,"Injection, fitusiran, 0.04 mg ",,,351.47,351.47,15
HCPCS,J7175,"Injection, factor x, (human), 1 i.u. ",,,11.65,26.37,29
HCPCS,J7177,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,3.29,29
HCPCS,J7178,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,4.03,29
HCPCS,J7179,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,4.85,29
HCPCS,J7180,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,28.57,29
HCPCS,J7181,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,48.57,29
HCPCS,J7182,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",6653.15,6653.15,1.72,3.74,29
HCPCS,J7182,NOVOEIGHT 500 U INJ,6653.15,6653.15,1224.84,6653.15,23
HCPCS,J7183,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,3.5,29
HCPCS,J7185,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,3.95,29
HCPCS,J7186,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,3.31,29
HCPCS,J7187,HUMATE-P 600 U VWF:RCO,5375.94,5375.94,989.71,5375.94,23
HCPCS,J7187,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",5375.94,5375.94,1.76,3.95,29
HCPCS,J7188,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,8.59,29
HCPCS,J7189,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,7.0,29
HCPCS,J7189,NOVOSEVEN RT 1 MCGJW,20.28,20.28,3.73,20.28,23
HCPCS,J7189,NOVOSEVEN RT 1 MG INJ,18518.16,18518.16,3409.19,18518.16,23
HCPCS,J7189,NOVOSEVEN RT 2 MG INJ,37036.32,37036.32,6818.39,37036.32,23
HCPCS,J7189,NOVOSEVEN RT 5 MG INJ,89582.47,89582.47,16492.13,89582.47,23
HCPCS,J7190,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,3.68,29
HCPCS,J7191,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,14.47,14.47,15
HCPCS,J7192,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",4742.58,4742.58,1.91,4.16,29
HCPCS,J7192,RECOMBINATE 400 U INJ,4742.58,4742.58,873.11,4742.58,23
HCPCS,J7193,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,3.63,29
HCPCS,J7194,"Factor ix, complex, per i.u. ",,,2.02,4.51,29
HCPCS,J7195,BENEFIX 500 U INJ,4667.93,4667.93,859.37,4667.93,23
HCPCS,J7195,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",4667.93,4667.93,2.26,4.88,29
HCPCS,J7196,"Injection, antithrombin recombinant, 50 i.u. ",,,183.44,206.37,2
HCPCS,J7197,"Antithrombin iii (human), per i.u. ",13520.91,13520.91,4.82,10.87,29
HCPCS,J7197,THROMBATE III 500 U INJ,13520.91,13520.91,2489.2,13520.91,23
HCPCS,J7198,"Anti-inhibitor, per i.u. ",10637.57,10637.57,2.93,6.41,29
HCPCS,J7198,FEIBA 650 U INJ,10637.57,10637.57,1958.38,10637.57,23
HCPCS,J7200,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.07,4.61,17
HCPCS,J7201,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,9.49,29
HCPCS,J7202,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,14.1,29
HCPCS,J7203,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,11.93,29
HCPCS,J7204,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,5.91,29
HCPCS,J7205,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,6.52,29
HCPCS,J7207,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,5.67,29
HCPCS,J7208,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,7.05,29
HCPCS,J7209,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,3.13,29
HCPCS,J7210,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,4.16,29
HCPCS,J7211,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,4.13,29
HCPCS,J7212,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,2.9,5.83,17
HCPCS,J7213,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.21,5.22,29
HCPCS,J7214,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,11.9,29
HCPCS,J7294,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,3009.78,7697.35,17
HCPCS,J7295,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,160.22,496.32,17
HCPCS,J7296,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,1510.31,4046.36,17
HCPCS,J7297,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1158.55,3111.05,17
HCPCS,J7298,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",9963.49,9963.49,1510.31,4046.36,17
HCPCS,J7298,MIRENA 52 MG IUD,9963.49,9963.49,1494.52,9963.49,28
HCPCS,J7299,Intrauterine copper contraceptive (miudella) ,,,3774.66,3774.66,15
HCPCS,J7300,Intrauterine copper contraceptive (paragard) ,,,1416.58,3773.6,17
HCPCS,J7301,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,1257.58,3369.26,17
HCPCS,J7306,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,413.97,1028.52,17
HCPCS,J7307,ETONOGESTREL IMPLANT,7752.33,7752.33,1162.85,7752.33,28
HCPCS,J7307,"Etonogestrel (contraceptive) implant system, including implant and supplies ",7752.33,7752.33,1509.65,4055.64,17
HCPCS,J7308,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,1033.55,29
HCPCS,J7309,"Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram ",,,107.12,120.51,2
HCPCS,J7310,"Ganciclovir, 4.5 mg, long-acting implant ",,,21708.8,24422.4,2
HCPCS,J7311,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,404.82,897.79,29
HCPCS,J7312,DEXAMETH IMP 0.7MG OPH,19382.99,19382.99,3568.41,19382.99,23
HCPCS,J7312,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",19382.99,19382.99,250.93,540.04,29
HCPCS,J7313,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,1351.0,29
HCPCS,J7314,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,1404.21,29
HCPCS,J7315,"Mitomycin, ophthalmic, 0.2 mg ",,,561.41,631.59,2
HCPCS,J7316,"Injection, ocriplasmin, 0.125 mg ",,,1340.07,1507.58,2
HCPCS,J7318,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,17.83,29
HCPCS,J7320,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.56,9.75,29
HCPCS,J7321,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,197.24,29
HCPCS,J7322,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,48.04,29
HCPCS,J7323,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,156.13,279.79,29
HCPCS,J7324,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,289.09,29
HCPCS,J7325,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.29,18.44,29
HCPCS,J7326,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,1395.99,29
HCPCS,J7327,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,1736.65,29
HCPCS,J7328,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,0.72,1.8,17
HCPCS,J7329,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,10.21,29
HCPCS,J7330,"Autologous cultured chondrocytes, implant ",,,79204.22,221874.56,17
HCPCS,J7331,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,8.27,14.82,17
HCPCS,J7332,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,27.96,29
HCPCS,J7336,"Capsaicin 8% patch, per square centimeter ",,,4.14,9.06,29
HCPCS,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,646.71,29
HCPCS,J7342,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,36.97,90.05,17
HCPCS,J7345,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,4.69,29
HCPCS,J7351,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,567.15,29
HCPCS,J7352,"Afamelanotide implant, 1 mg ",,,3810.94,7800.06,29
HCPCS,J7353,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,182.13,29
HCPCS,J7354,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,1767.74,27
HCPCS,J7355,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,521.73,27
HCPCS,J7356,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,1.86,27
HCPCS,J7402,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,30.08,29
HCPCS,J7500,AZATHIOPRINE 50 MG PO,34.42,34.42,5.16,34.42,28
HCPCS,J7500,"Azathioprine, oral, 50 mg ",34.42,34.42,0.48,2.63,17
HCPCS,J7501,"Azathioprine, parenteral, 100 mg ",,,300.0,675.11,29
HCPCS,J7502,CYCLOSPORINE 100 MG PO,219.06,219.06,30.72,233.26,84
HCPCS,J7502,"Cyclosporine, oral, 100 mg ",,,2.81,3.79,17
HCPCS,J7503,ENVARSUS XR 1 MG PO,110.13,110.13,16.52,110.13,28
HCPCS,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",110.13,110.13,2.27,4.93,17
HCPCS,J7504,LYM IG EQUINE 250MG INJ,18941.53,18941.53,3487.14,18941.53,23
HCPCS,J7504,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",18941.53,18941.53,5097.71,14024.94,29
HCPCS,J7507,TACROLIMUS IMM 0.5 MG PO,72.65,72.65,10.9,72.65,28
HCPCS,J7507,TACROLIMUS IMM 1 MG PO,154.26,154.26,23.14,154.26,28
HCPCS,J7507,TACROLIMUS IMM 5 MG PO,633.92,633.92,95.09,633.92,28
HCPCS,J7507,"Tacrolimus, immediate release, oral, 1 mg ",,,0.31,0.61,17
HCPCS,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.72,1.56,17
HCPCS,J7509,METHYLPRED 16 MG PO,109.04,109.04,16.36,109.04,28
HCPCS,J7509,METHYLPRED 4 MG PO,51.48,51.48,7.72,51.48,28
HCPCS,J7509,"Methylprednisolone oral, per 4 mg ",,,0.31,0.37,17
HCPCS,J7510,PREDNISOLONE 15MG PO,84.38,84.38,12.66,84.38,28
HCPCS,J7510,"Prednisolone oral, per 5 mg ",84.38,84.38,0.31,1.96,17
HCPCS,J7511,LYMPH IG RABIT 25MG INJ,12408.49,12408.49,2284.4,12408.49,23
HCPCS,J7511,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",12408.49,12408.49,1148.48,2711.27,29
HCPCS,J7512,PREDNISONE 10 MG PO,34.21,34.21,5.13,34.21,28
HCPCS,J7512,PREDNISONE 20 MG PO,34.21,34.21,5.13,34.21,28
HCPCS,J7512,PREDNISONE 5 MG PO,34.21,34.21,5.13,34.21,28
HCPCS,J7512,PREDNISONE 50 MG PO,34.21,34.21,5.13,34.21,28
HCPCS,J7512,PREDNISONE IR/DR 1 MG PO,34.21,34.21,5.13,34.21,28
HCPCS,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,0.01,5.86,17
HCPCS,J7514,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,5.96,5.96,15
HCPCS,J7515,CYCLOSPORINE 25 MG PO,56.025000000000006,56.025000000000006,8.17,57.56,56
HCPCS,J7515,"Cyclosporine, oral, 25 mg ",,,1.03,1.67,17
HCPCS,J7516,CYCLOSPORIN 250 MG INJ,665.28,665.28,99.79,665.28,28
HCPCS,J7516,"Injection, cyclosporine, 250 mg ",665.28,665.28,51.05,196.63,17
HCPCS,J7517,MYCOPHE 200MG/1ML LIQ PO,60.56,60.56,9.08,60.56,37
HCPCS,J7517,MYCOPHENOLATE 250 MG PO,65.38,65.38,9.81,65.38,28
HCPCS,J7517,MYCOPHENOLATE 500 MG PO,88.65,88.65,13.3,88.65,28
HCPCS,J7517,"Mycophenolate mofetil, oral, 250 mg ",,,0.21,0.37,17
HCPCS,J7518,MYCOPHENOLIC 180 MG PO,82.61,82.61,12.39,82.61,28
HCPCS,J7518,"Mycophenolic acid, oral, 180 mg ",82.61,82.61,0.47,0.85,17
HCPCS,J7519,"Injection, mycophenolate mofetil, 10 mg ",1807.35,1807.35,0.69,1.06,17
HCPCS,J7519,MYCOPHENO MOF 500 MG INJ,1807.35,1807.35,271.1,1807.35,28
HCPCS,J7520,SIROLIMUS 0.5 MG PO,218.61,218.61,32.79,218.61,28
HCPCS,J7520,SIROLIMUS 1 MG PO,256.56,256.56,38.48,256.56,28
HCPCS,J7520,"Sirolimus, oral, 1 mg ",,,1.72,3.37,17
HCPCS,J7521,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,3.39,3.39,15
HCPCS,J7525,TACROLIMUS 20 MCG/ML INJ,101.97,101.97,18.77,101.97,23
HCPCS,J7525,TACROLIMUS 5 MG INJ,3738.27,3738.27,688.22,3738.27,23
HCPCS,J7525,"Tacrolimus, parenteral, 5 mg ",,,311.84,688.89,29
HCPCS,J7527,EVEROLIMUS 0.25 MG PO,140.24,140.24,21.04,140.24,30
HCPCS,J7527,EVEROLIMUS 0.5 MG PO,406.72,406.72,61.01,406.72,30
HCPCS,J7527,"Everolimus, oral, 0.25 mg ",,,3.29,3.29,15
HCPCS,J7528,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.82,0.82,15
HCPCS,J7601,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,138.12,138.12,15
HCPCS,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.87,2.1,17
HCPCS,J7606,FORMOTEROL 20 MCG INH,204.85,204.85,30.73,204.85,28
HCPCS,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",204.85,204.85,4.03,4.72,17
HCPCS,J7608,ACETYLCYSTN 20% 4 ML INH,159.6,159.6,23.94,159.6,28
HCPCS,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",159.6,159.6,11.67,22.63,17
HCPCS,J7609,"Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg ",86.49,86.49,0.65,0.74,2
HCPCS,J7609,CMPD ALBUT UD 25 MG INH,86.49,86.49,12.97,86.49,28
HCPCS,J7610,"Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg ",,,1.57,1.77,2
HCPCS,J7611,ALBUTERLNCCONC 2.5MG INH,39.38,39.38,5.91,39.38,28
HCPCS,J7611,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",39.38,39.38,0.22,0.64,17
HCPCS,J7612,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.34,0.85,17
HCPCS,J7613,ALBUTERL NC UD 2.5MG INH,39.38,39.38,5.91,39.38,28
HCPCS,J7613,ALBUTERLNC UD 0.63MG INH,60.59,60.59,9.09,60.59,28
HCPCS,J7613,ALBUTERLNC UD 1.25MG INH,60.59,60.59,9.09,60.59,28
HCPCS,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.06,0.21,17
HCPCS,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.06,0.24,17
HCPCS,J7615,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,1.84,5.3,17
HCPCS,J7620,ALBUT/IPRA 2.5/0.5MG INH,63.61,63.61,9.54,63.61,28
HCPCS,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",63.61,63.61,0.25,0.56,17
HCPCS,J7626,BUDESON NC UD 0.25MG INH,227.75,227.75,34.16,227.75,28
HCPCS,J7626,BUDESONIDE NC 0.5 MG INH,244.98,244.98,36.75,244.98,28
HCPCS,J7626,BUDESONIDE NC 1 MG INH,192.26,192.26,28.84,192.26,28
HCPCS,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.53,2.92,17
HCPCS,J7627,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,0.4,12.4,17
HCPCS,J7628,"Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,0.28,0.32,2
HCPCS,J7631,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,0.65,2.15,17
HCPCS,J7632,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.35,0.87,17
HCPCS,J7633,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram ",,,6.17,6.94,2
HCPCS,J7639,DORNASEALFA UD 2.5MG INH,2559.84,2559.84,383.98,2559.84,28
HCPCS,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",2559.84,2559.84,68.4,146.2,17
HCPCS,J7640,"Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms ",,,2.22,2.49,2
HCPCS,J7641,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,11.05,27.43,17
HCPCS,J7643,"Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,0.97,1.09,2
HCPCS,J7644,IPRATROPIUM NC 0.5MG INH,39.38,39.38,5.91,39.38,28
HCPCS,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",39.38,39.38,0.49,1.17,17
HCPCS,J7645,"Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,0.06,0.07,2
HCPCS,J7665,"Mannitol, administered through an inhaler, 5 mg ",,,3.13,9.66,17
HCPCS,J7669,"Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,0.55,0.62,2
HCPCS,J7674,METHACHOLINE 64MGKIT INH,275.69,275.69,41.35,275.69,28
HCPCS,J7674,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",275.69,275.69,1.91,2.89,17
HCPCS,J7677,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.23,0.53,17
HCPCS,J7680,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,13.89,34.53,17
HCPCS,J7681,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,13.89,34.53,17
HCPCS,J7682,TOBRAMYCIN NC 300 MG INH,734.94,734.94,110.24,734.94,28
HCPCS,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",734.94,734.94,20.59,24.54,17
HCPCS,J7683,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,4.99,12.4,17
HCPCS,J7685,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,63.77,158.44,17
HCPCS,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,972.64,2091.33,17
HCPCS,J7699,RIBAVIRIN 6 GM INH,92534.97,92534.97,13880.25,92534.97,30
HCPCS,J7999,CMPD AA3%D10/CA/HEP200ML,3163.27,3163.27,474.49,3163.27,30
HCPCS,J7999,CMPD ACETAZOL 25MG/ML PO,54.2,54.2,8.13,54.2,39
HCPCS,J7999,CMPD ALLOPUR 20MG/ML PO,2.18,2.18,0.33,2.18,39
HCPCS,J7999,CMPD AMIODAR 5MG/MLPO,2.18,2.18,0.33,2.18,39
HCPCS,J7999,CMPD AMLODIP 1MG/ML PO,8.7,8.7,1.3,8.7,39
HCPCS,J7999,CMPD ARGIN/LYSIN 50G INJ,1250.21,1250.21,187.53,1250.21,30
HCPCS,J7999,CMPD ATENOLOL 2MG/MLPO,2.18,2.18,0.33,2.18,39
HCPCS,J7999,CMPD AZATHIOP 50MG/ML PO,153.73,153.73,23.06,153.73,39
HCPCS,J7999,CMPD BACLOFEN 5MG/ML PO,48.43,48.43,7.26,48.43,39
HCPCS,J7999,CMPD BECLOM 0.5MG/ML PO,0.49,0.49,0.07,0.49,39
HCPCS,J7999,CMPD BEVACIZUMAB OPHTHAL,1081.13,1081.13,162.17,1081.13,30
HCPCS,J7999,CMPD BOSENT 6.25MG/1MLPO,206.8,206.8,31.02,206.8,39
HCPCS,J7999,CMPD BSS/LIDOC/EPI OPH,178.92,178.92,26.84,178.92,30
HCPCS,J7999,CMPD BUP/EPI/KET 50ML,68.08,68.08,10.21,68.08,30
HCPCS,J7999,CMPD BUP/EPI/KET/KETO,94.17,94.17,14.13,94.17,30
HCPCS,J7999,CMPD BUTT PASTE TOPICAL,88.8,88.8,13.32,88.8,39
HCPCS,J7999,CMPD CAPTOPRIL 1MG/MLPO,54.2,54.2,8.13,54.2,39
HCPCS,J7999,CMPD CARDIOPLEGIA,1811.99,1811.99,179.61,3120.27,90
HCPCS,J7999,CMPD CARVED 1.25MG/ML PO,5.04,5.04,0.76,5.04,39
HCPCS,J7999,CMPD CEFTAZIDIME OPHTHAL,47.0,47.0,7.05,47.0,30
HCPCS,J7999,CMPD CLONAZ 0.1 MG/ML PO,1.08,1.08,0.16,1.08,39
HCPCS,J7999,CMPD CLONID 20 MCG/ML PO,1.73,1.73,0.26,1.73,39
HCPCS,J7999,CMPD CLOPIDOG 5MG/ML PO,274.27,274.27,41.14,274.27,39
HCPCS,J7999,CMPD CUST INT TPN 1000ML,2898.55,2898.55,434.78,2898.55,30
HCPCS,J7999,CMPD CUST TPN 1000ML,2898.55,2898.55,434.78,2898.55,30
HCPCS,J7999,CMPD CUST TPN NEO 250ML,1581.64,1581.64,237.25,1581.64,30
HCPCS,J7999,CMPD CUST TPN PED 250ML,1581.64,1581.64,237.25,1581.64,30
HCPCS,J7999,CMPD DILTIAZ 12MG/ML PO,2.81,2.81,0.42,2.81,39
HCPCS,J7999,CMPD EPI 100 MCG 10S,175.69,175.69,26.35,175.69,30
HCPCS,J7999,CMPD EPI 5 MG 250B,374.85,374.85,56.23,374.85,30
HCPCS,J7999,CMPD EPI 5MG 255ML,374.85,374.85,56.23,374.85,30
HCPCS,J7999,CMPD FENTPF 2500MCG 50ML,397.92,397.92,59.69,397.92,30
HCPCS,J7999,CMPD FENTPF 500MCG 50ML,212.42,212.42,31.86,212.42,30
HCPCS,J7999,CMPD FLECAINID 20MG/MLPO,19.38,19.38,2.91,19.38,39
HCPCS,J7999,CMPD FLUCYTOSN 50MG/MLPO,219.88,219.88,32.98,219.88,39
HCPCS,J7999,CMPD FNTRP 2MCG-0.2%200B,1190.54,1190.54,178.58,1190.54,30
HCPCS,J7999,CMPD FNTRP400MCG0.15200B,1190.54,1190.54,178.58,1190.54,30
HCPCS,J7999,CMPD HEP 25000U 250ML,136.18,136.18,20.43,136.18,30
HCPCS,J7999,CMPD HEP 4000U 1000ML,154.02,154.02,23.1,154.02,30
HCPCS,J7999,CMPD HEP 50U 100ML,6.88,6.88,1.03,6.88,30
HCPCS,J7999,CMPD HYDRALAZ 4MG/ML PO,4.35,4.35,0.65,4.35,39
HCPCS,J7999,CMPD HYDROCHLQ 25MG/MLPO,8.61,8.61,1.29,8.61,39
HCPCS,J7999,CMPD HYDROCORT 2MG/ML PO,4.84,4.84,0.73,4.84,39
HCPCS,J7999,CMPD HYMOR 10MG 50ML,104.2,104.2,15.63,104.2,30
HCPCS,J7999,CMPD HYMOR 50MG 50ML,722.64,722.64,108.4,722.64,30
HCPCS,J7999,CMPD INSU DRIP 100U 100B,115.15,115.15,17.27,115.15,39
HCPCS,J7999,CMPD ISRADIPIN 1MG/ML PO,7.98,7.98,1.2,7.98,39
HCPCS,J7999,CMPD ISUP 0.2MG 50B,3740.82,3740.82,561.12,3740.82,30
HCPCS,J7999,CMPD KCL 10MEQ 100B,47.0,47.0,7.05,47.0,30
HCPCS,J7999,CMPD KETAMIN 500MG 260ML,47.0,47.0,7.05,47.0,30
HCPCS,J7999,CMPD KPHOS 15MM 250B,56.85,56.85,8.53,56.85,30
HCPCS,J7999,CMPD LACTULOSE ENEMA,203.25,203.25,30.49,203.25,35
HCPCS,J7999,CMPD LAMOTRIG 1MG/ML PO,1.6,1.6,0.24,1.6,39
HCPCS,J7999,CMPD LANSOPRAZ 3MG/ML PO,13.0,13.0,1.95,13.0,39
HCPCS,J7999,CMPD LET KIT TOPICAL,99.13,99.13,14.87,99.13,30
HCPCS,J7999,CMPD LEUCOVOR 5MG/ML PO,135.71,135.71,20.36,135.71,39
HCPCS,J7999,CMPD LOSARTA 2.5MG/ML PO,1.73,1.73,0.26,1.73,39
HCPCS,J7999,CMPD MAGIC MOUTHWASH 5ML,13.0,13.0,1.95,13.0,39
HCPCS,J7999,CMPD METHHEXT 100MG 10ML,335.96,335.96,50.39,335.96,30
HCPCS,J7999,CMPD METOPROL 10MG/ML PO,3.94,3.94,0.59,3.94,39
HCPCS,J7999,CMPD MIDZLM 50MG 50B,79.57,79.57,11.94,79.57,30
HCPCS,J7999,CMPD MITOMYCIN 0.2MG OPH,1483.66,1483.66,222.55,1483.66,30
HCPCS,J7999,CMPD MORPH 0.4MG/ML PO,47.0,47.0,7.05,47.0,39
HCPCS,J7999,CMPD MORPH 100MG 100B,254.66,254.66,38.2,254.66,30
HCPCS,J7999,CMPD MORPH 250MG 50ML,562.52,562.52,84.38,562.52,30
HCPCS,J7999,CMPD MORPH 30MG 30B,408.94,408.94,61.34,408.94,30
HCPCS,J7999,CMPD NABIC 0.3MEQ/1ML PO,13.0,13.0,1.95,13.0,39
HCPCS,J7999,CMPD NABIC 1.5MEQ/5ML PO,13.0,13.0,1.95,13.0,39
HCPCS,J7999,CMPD NITROGL1000MCG 10ML,212.57,212.57,31.89,212.57,30
HCPCS,J7999,CMPD NOREPI 16MG 266ML,515.64,515.64,77.35,515.64,30
HCPCS,J7999,CMPD OMEPR/BICAR2MG/MLPO,4.55,4.55,0.68,4.55,39
HCPCS,J7999,CMPD OXYTOCIN 30U 500B,113.19,113.19,16.98,113.19,30
HCPCS,J7999,CMPD PANTOPRAZ ER 2MG PO,4.35,4.35,0.65,4.35,39
HCPCS,J7999,CMPD PCNGK 2.5MU/NS 50B,291.92,291.92,43.79,291.92,30
HCPCS,J7999,CMPD PHENYLEPN 1MG 10S,6.88,6.88,1.03,6.88,30
HCPCS,J7999,CMPD PROPYLTHI 5MG/ML PO,4.97,4.97,0.75,4.97,39
HCPCS,J7999,CMPD RIFAMPIN 10MG/ML PO,1.59,1.59,0.24,1.59,39
HCPCS,J7999,CMPD SOD PHOS 15MMOL250B,214.8,214.8,32.22,214.8,30
HCPCS,J7999,CMPD SOD PHOS 3MMOL/MLPO,32.0,32.0,4.8,32.0,39
HCPCS,J7999,CMPD SPIRONO 5MG/ML PO,32.65,32.65,4.9,32.65,39
HCPCS,J7999,CMPD SUCRALFATE TOP,65.64,65.64,9.85,65.64,30
HCPCS,J7999,CMPD SULFASAL 100MG/MLPO,7.87,7.87,1.18,7.87,39
HCPCS,J7999,CMPD TACROL 0.5MG/ML PO,32.2,32.2,4.83,32.2,39
HCPCS,J7999,CMPD TACROL 1MG/ML PO,89.47,89.47,13.42,89.47,39
HCPCS,J7999,CMPD TRETINOIN2.5MG/MLPO,91.27,91.27,13.69,91.27,39
HCPCS,J7999,CMPD URSODIOL 60MG/ML PO,180.72,180.72,27.11,180.72,39
HCPCS,J7999,CMPD VANCO 1.25G 250B,291.18,291.18,43.68,291.18,30
HCPCS,J7999,CMPD VANCO 1.75G 500B,290.0,290.0,43.5,290.0,30
HCPCS,J7999,CMPD VANCO 2G 500B,589.97,589.97,88.5,589.97,30
HCPCS,J7999,CMPD VANCOMYCIN OPHTHAL,47.0,47.0,7.05,47.0,30
HCPCS,J7999,CMPD VANCOMYCIN TOPICAL,314.14,314.14,47.12,314.14,30
HCPCS,J7999,CMPDHYDROXUREA100MG/MLPO,59.2,59.2,8.88,59.2,39
HCPCS,J8499,ALBENDAZOLE 200 MG PO,2304.45,2304.45,345.67,2304.45,30
HCPCS,J8499,ALVIMOPAN 12 MG PO,2656.79,2656.79,398.52,2656.79,30
HCPCS,J8499,AMPHET/DEXTRO 10 MG PO,110.52,110.52,16.58,110.52,30
HCPCS,J8499,BIKTARVY 50/200/25 MG PO,1425.01,1425.01,213.75,1425.01,30
HCPCS,J8499,BOSENTAN 125 MG PO,2023.91,2023.91,303.59,2023.91,30
HCPCS,J8499,BOSENTAN 62.5 MG PO,3208.15,3208.15,481.22,3208.15,30
HCPCS,J8499,BRIVARACETAM 50 MG PO,267.11,267.11,40.07,267.11,30
HCPCS,J8499,BUPROPION IR 100 MG PO,99.18,99.18,14.88,99.18,30
HCPCS,J8499,BUPROPION IR 75 MG PO,76.5,76.5,11.47,76.5,30
HCPCS,J8499,BUPROPION XL 150 MG PO,71.71,71.71,10.76,71.71,30
HCPCS,J8499,BUPROPION XL 300 MG PO,73.31,73.31,11.0,73.31,30
HCPCS,J8499,CARIPRAZINE 1.5 MG PO,460.08,460.08,69.01,460.08,30
HCPCS,J8499,CARIPRAZINE 3 MG PO,460.08,460.08,69.01,460.08,30
HCPCS,J8499,DAPAGLIFLOZIN 10 MG PO,300.27,300.27,45.04,300.27,30
HCPCS,J8499,DAPAGLIFLOZIN 5 MG PO,216.0,216.0,32.4,216.0,30
HCPCS,J8499,FIDAXOMICIN 200 MG PO,4156.3,4156.3,623.45,4156.3,30
HCPCS,J8499,FLUCYTOSINE 500 MG PO,896.65,896.65,134.5,896.65,30
HCPCS,J8499,GENVOYA PO,1425.01,1425.01,213.75,1425.01,30
HCPCS,J8499,HYDROXYCHLOROQN 200MG PO,77.95,77.95,11.69,77.95,30
HCPCS,J8499,ISAVUCONAZONIUM 186MG PO,1221.92,1221.92,183.29,1221.92,30
HCPCS,J8499,IVERMECTIN 3 MG PO,238.06,238.06,35.71,238.06,30
HCPCS,J8499,LACOSAM 100MG/10ML LIQPO,495.7,495.7,74.36,495.7,30
HCPCS,J8499,LEFAMULIN 600 MG PO,1679.58,1679.58,251.94,1679.58,30
HCPCS,J8499,LETERMOVIR 480 MG PO,2356.95,2356.95,353.54,2356.95,30
HCPCS,J8499,LINAGLIPTIN 5 MG PO,304.13,304.13,45.62,304.13,30
HCPCS,J8499,LINEZOLID 600 MG PO,2366.49,2366.49,354.97,2366.49,30
HCPCS,J8499,NALOXEGOL 25 MG PO,145.41,145.41,21.81,145.41,30
HCPCS,J8499,NITAZOXANIDE 500 MG PO,569.53,569.53,85.43,569.53,30
HCPCS,J8499,PENICILLAMINE 250 MG PO,2132.16,2132.16,319.82,2132.16,30
HCPCS,J8499,PIMAVANSERIN 34 MG PO,1600.56,1600.56,240.08,1600.56,30
HCPCS,J8499,POSACONAZ 40MG/ML LIQ PO,130.8,130.8,19.62,130.8,30
HCPCS,J8499,POSACONAZOLE ER 100MG PO,1608.63,1608.63,241.29,1608.63,30
HCPCS,J8499,PYRIMETHAMINE 25 MG PO,6221.67,6221.67,933.25,6221.67,30
HCPCS,J8499,RITONAVIR 100 MG PO,299.645,299.645,24.42,436.47,60
HCPCS,J8499,RUXOLITINIB 10 MG PO,2084.35,2084.35,312.65,2084.35,30
HCPCS,J8499,STRIBILD PO,2341.71,2341.71,351.26,2341.71,30
HCPCS,J8499,TERBUTALINE 2.5 MG PO,62.1,62.1,9.31,62.1,30
HCPCS,J8499,TERBUTALINE 5 MG PO,108.46,108.46,16.27,108.46,30
HCPCS,J8499,TOLVAPTAN 15 MG PO,7412.03,7412.03,1111.8,7412.03,30
HCPCS,J8499,TOLVAPTAN 30 MG PO,6798.83,6798.83,1019.82,6798.83,30
HCPCS,J8499,VORTIOXETINE 10 MG PO,234.59,234.59,35.19,234.59,30
HCPCS,J8501,APREPITANT 40 MG PO,2029.55,2029.55,304.43,2029.55,28
HCPCS,J8501,"Aprepitant, oral, 5 mg ",2029.55,2029.55,4.35,6.33,17
HCPCS,J8502,"Injection, aprepitant (aponvie), 1 mg ",,,5.17,5.17,15
HCPCS,J8510,BUSULFAN 2 MG PO,402.72,402.72,74.14,402.72,24
HCPCS,J8510,"Busulfan; oral, 2 mg ",402.72,402.72,26.82,201.76,17
HCPCS,J8515,CABERGOLINE 0.5 MG PO,441.84,441.84,66.28,441.84,28
HCPCS,J8515,"Cabergoline, oral, 0.25 mg ",441.84,441.84,0.4,4.29,17
HCPCS,J8520,"Capecitabine, oral, 150 mg ",,,0.4,0.45,2
HCPCS,J8521,"Capecitabine, oral, 500 mg ",,,0.82,0.92,2
HCPCS,J8522,CAPECITABINE 500 MG PO,476.18,476.18,87.66,476.18,26
HCPCS,J8522,"Capecitabine, oral, 50 mg ",476.18,476.18,0.08,0.08,15
HCPCS,J8530,CYCLOPHOSPHAMIDE 25MG PO,245.38,245.38,36.81,245.38,28
HCPCS,J8530,CYCLOPHOSPHAMIDE 50MG PO,239.22,239.22,35.88,239.22,28
HCPCS,J8530,"Cyclophosphamide; oral, 25 mg ",,,1.23,4.37,17
HCPCS,J8540,DEXAMETHASONE 0.1MG PO,1.55,1.55,0.23,1.55,28
HCPCS,J8540,DEXAMETHASONE 0.5 MG PO,22.37,22.37,3.36,22.37,28
HCPCS,J8540,DEXAMETHASONE 1 MG PO,15.48,15.48,2.32,15.48,28
HCPCS,J8540,DEXAMETHASONE 2 MG PO,13.0,13.0,1.95,13.0,28
HCPCS,J8540,DEXAMETHASONE 4 MG PO,22.37,22.37,3.36,22.37,28
HCPCS,J8540,DEXAMETHASONE 6 MG PO,29.27,29.27,4.39,29.27,28
HCPCS,J8540,"Dexamethasone, oral, 0.25 mg ",,,0.08,0.1,17
HCPCS,J8541,"Dexamethasone (hemady), oral, 0.25 mg ",,,1.14,1.14,15
HCPCS,J8560,ETOPOSIDE 50 MG PO,1863.06,1863.06,279.46,1863.06,28
HCPCS,J8560,"Etoposide; oral, 50 mg ",1863.06,1863.06,96.97,230.13,17
HCPCS,J8565,"Gefitinib, oral, 250 mg ",,,183.05,771.15,17
HCPCS,J8600,"Melphalan; oral, 2 mg ",,,11.96,13.45,17
HCPCS,J8610,METHOTREXATE 2.5 MG PO,145.38,145.38,21.81,145.38,28
HCPCS,J8610,"Methotrexate; oral, 2.5 mg ",145.38,145.38,0.31,0.37,17
HCPCS,J8611,"Methotrexate (jylamvo), oral, 2.5 mg ",,,23.83,49.58,17
HCPCS,J8612,"Methotrexate (xatmep), oral, 2.5 mg ",,,24.96,59.1,17
HCPCS,J8650,"Nabilone, oral, 1 mg ",,,51.17,57.57,2
HCPCS,J8655,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,504.14,1054.14,17
HCPCS,J8670,"Rolapitant, oral, 1 mg ",,,2.25,11.69,17
HCPCS,J8700,TEMOZOLOMIDE 100 MG PO,3278.2,3278.2,491.73,3278.2,28
HCPCS,J8700,TEMOZOLOMIDE 140 MG PO,4170.92,4170.92,625.64,4170.92,28
HCPCS,J8700,TEMOZOLOMIDE 20 MG PO,985.4,985.4,147.81,985.4,28
HCPCS,J8700,TEMOZOLOMIDE 5 MG PO,243.92,243.92,36.59,243.92,28
HCPCS,J8700,"Temozolomide, oral, 5 mg ",,,0.29,1.06,17
HCPCS,J8705,"Topotecan, oral, 0.25 mg ",,,146.32,331.83,17
HCPCS,J8999,DASATINIB 100 MG PO,6210.27,6210.27,931.54,6210.27,30
HCPCS,J8999,DASATINIB 70 MG PO,3447.45,3447.45,517.12,3447.45,30
HCPCS,J8999,GILTERITINIB 40 MG PO,2260.48,2260.48,339.07,2260.48,30
HCPCS,J8999,MIDOSTAURIN 25 MG PO,2233.68,2233.68,335.05,2233.68,30
HCPCS,J8999,NILOTINIB 200 MG PO,1445.66,1445.66,216.85,1445.66,30
HCPCS,J8999,PONATINIB 30 MG PO,3748.68,3748.68,562.3,3748.68,39
HCPCS,J8999,QUIZARTINIB 17.7 MG PO,3515.53,3515.53,527.33,3515.53,30
HCPCS,J8999,QUIZARTINIB 26.5 MG PO,3515.53,3515.53,527.33,3515.53,30
HCPCS,J8999,VENETOCLAX 10 MG PO,162.54,162.54,24.38,162.54,30
HCPCS,J8999,VENETOCLAX 100 MG PO,1252.52,1252.52,187.88,1252.52,30
HCPCS,J8999,VENETOCLAX 50 MG PO,765.99,765.99,114.9,765.99,30
HCPCS,J9000,DOXORUBICIN 10 MG INJ,239.49,239.49,35.92,239.49,27
HCPCS,J9000,DOXORUBICIN 20 MG INJ,478.98,478.98,71.85,478.98,27
HCPCS,J9000,DOXORUBICIN 50 MG INJ,1284.43,1284.43,192.66,1284.43,27
HCPCS,J9000,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,7.23,29
HCPCS,J9011,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,136.53,136.53,15
HCPCS,J9015,ALDESLEUK SINGLE VL INJ,40924.4,40924.4,7534.18,40924.4,23
HCPCS,J9015,"Injection, aldesleukin, per single use vial ",40924.4,40924.4,7248.0,8848.01,29
HCPCS,J9017,ARSENIC TRIOX 10 MG INJ,6207.55,6207.55,931.13,6207.55,27
HCPCS,J9017,ARSENIC TRIOX 12 MG INJ,10706.93,10706.93,1606.04,10706.93,27
HCPCS,J9017,"Injection, arsenic trioxide, 1 mg ",,,5.86,17.09,29
HCPCS,J9019,"Injection, asparaginase (erwinaze), 1,000 iu ",,,526.27,592.05,2
HCPCS,J9020,"Injection, asparaginase, not otherwise specified, 10,000 units ",,,,,0
HCPCS,J9021,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,149.17,29
HCPCS,J9021,RYLAZE 0.1 MG INJ,295.35,295.35,54.37,295.35,23
HCPCS,J9021,RYLAZE 0.1 MG INJJW,295.35,295.35,54.37,295.35,23
HCPCS,J9021,RYLAZE 10 MG INJ,29535.0,29535.0,5437.39,29535.0,23
HCPCS,J9022,ATEZOLIZUMAB 840 MG INJ,39234.2,39234.2,7223.02,39234.2,23
HCPCS,J9022,"Injection, atezolizumab, 10 mg ",39234.2,39234.2,109.3,249.1,29
HCPCS,J9023,"Injection, avelumab, 10 mg ",,,118.76,279.71,29
HCPCS,J9024,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,84.67,27
HCPCS,J9025,AZACITIDINE 100 MG INJ,9006.45,9006.45,1350.97,9006.45,27
HCPCS,J9025,"Injection, azacitidine, 1 mg ",9006.45,9006.45,0.38,1.09,29
HCPCS,J9026,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,4154.46,27
HCPCS,J9027,CLOFARABINE 1 MG INJ,2055.76,2055.76,378.47,2055.76,23
HCPCS,J9027,CLOFARABINE 1 MG INJJW,2055.76,2055.76,378.47,2055.76,23
HCPCS,J9027,CLOFARABINE 20 MG INJ,41115.24,41115.24,7569.32,41115.24,23
HCPCS,J9027,"Injection, clofarabine, 1 mg ",,,11.77,28.99,29
HCPCS,J9028,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,250.69,27
HCPCS,J9029,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,170348.1,29
HCPCS,J9030,"Bcg live intravesical instillation, 1 mg ",,,3.68,8.98,17
HCPCS,J9032,"Injection, belinostat, 10 mg ",,,62.26,140.74,29
HCPCS,J9033,BENDAMUS HCL 1 MG INJ,22.34,22.34,4.11,22.34,23
HCPCS,J9033,BENDAMUS HCL 1 MG INJ JW,22.34,22.34,4.11,22.34,23
HCPCS,J9033,BENDAMUS HCL 100 MG INJ,2234.4,2234.4,411.35,2234.4,23
HCPCS,J9033,BENDAMUS HCL 25 MG INJ,4783.41,4783.41,880.63,4783.41,23
HCPCS,J9033,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,7.72,29
HCPCS,J9034,BENDEKA 100 MG MDV,15927.19,15927.19,2932.2,15927.19,23
HCPCS,J9034,"Injection, bendamustine hcl (bendeka), 1 mg ",15927.19,15927.19,16.6,34.19,29
HCPCS,J9035,BEVACIZUMAB 100 MG INJ,5130.99,5130.99,944.62,5130.99,23
HCPCS,J9035,"Injection, bevacizumab, 10 mg ",5130.99,5130.99,88.92,197.05,29
HCPCS,J9036,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,4.59,36.94,29
HCPCS,J9037,"Injection, belantamab mafodotin-blmf, 0.5 mg ",,,57.63,64.83,2
HCPCS,J9038,AXATIL-CSFR 22 MG INJ,57929.04,57929.04,10664.74,57929.04,25
HCPCS,J9038,AXATIL-CSFR 9 MG INJ,23698.44,23698.44,4362.88,23698.44,25
HCPCS,J9038,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,147.47,27
HCPCS,J9039,BLINATUMOMAB 1 MCG INJ,1439.69,1439.69,265.05,1439.69,23
HCPCS,J9039,BLINATUMOMAB 35 MCG INJ,26542.6,26542.6,4886.49,26542.6,23
HCPCS,J9039,"Injection, blinatumomab, 1 microgram ",,,186.18,434.49,29
HCPCS,J9040,BLEOMYCIN SULF 15 U INJ,896.69,896.69,134.5,896.69,27
HCPCS,J9040,"Injection, bleomycin sulfate, 15 units ",896.69,896.69,26.36,43.99,29
HCPCS,J9041,BORTEZOMIB 3.5 MG INJ,8591.525,8591.525,64.91,16750.32,54
HCPCS,J9041,"Injection, bortezomib, 0.1 mg ",,,2.22,5.96,29
HCPCS,J9042,BRENTUXIMAB 1 MG INJJW,2022.26,2022.26,372.3,2022.26,23
HCPCS,J9042,BRENTUXIMAB 50 MG INJ,58923.03,58923.03,10847.73,58923.03,23
HCPCS,J9042,"Injection, brentuximab vedotin, 1 mg ",,,304.36,712.13,29
HCPCS,J9043,"Injection, cabazitaxel, 1 mg ",,,271.07,612.28,29
HCPCS,J9045,CARBOPLATIN 50 MG INJ,227.48,227.48,34.12,227.48,27
HCPCS,J9045,CARBOPLATIN 50 MGMDV,227.48,227.48,34.12,227.48,27
HCPCS,J9045,"Injection, carboplatin, 50 mg ",,,3.58,7.79,29
HCPCS,J9046,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,9.17,67.28,29
HCPCS,J9047,CARFILZOMIB 10 MG INJ,3197.1,3197.1,588.59,3197.1,23
HCPCS,J9047,"Injection, carfilzomib, 1 mg ",3197.1,3197.1,63.38,149.04,29
HCPCS,J9048,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,18.47,67.28,29
HCPCS,J9049,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,3.34,29
HCPCS,J9050,CARMUSTINE 100 MG INJ,62599.87,62599.87,11524.64,62599.87,23
HCPCS,J9050,"Injection, carmustine, 100 mg ",62599.87,62599.87,178.02,640.77,29
HCPCS,J9051,"Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg ",,,4.47,5.02,2
HCPCS,J9052,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,359.86,14
HCPCS,J9054,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,67.34,27
HCPCS,J9055,CETUXIMAB 100 MG INJ,4928.04,4928.04,907.25,4928.04,23
HCPCS,J9055,"Injection, cetuximab, 10 mg ",4928.04,4928.04,94.79,213.22,29
HCPCS,J9056,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,84.11,29
HCPCS,J9057,"Injection, copanlisib, 1 mg ",,,105.07,128.61,14
HCPCS,J9058,"Injection, bendamustine hydrochloride (apotex), 1 mg ",,,24.09,27.1,2
HCPCS,J9059,"Injection, bendamustine hydrochloride (baxter), 1 mg ",,,24.09,27.1,2
HCPCS,J9060,CISPLATIN 100MG MDV,399.84,399.84,59.98,399.84,27
HCPCS,J9060,CISPLATIN 10MG INJ,175.69,175.69,26.35,175.69,27
HCPCS,J9060,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,5.75,29
HCPCS,J9061,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,59.97,29
HCPCS,J9063,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",33268.32,33268.32,83.23,188.49,29
HCPCS,J9063,MIRVETUX-GYNX 100 MG INJ,33268.32,33268.32,6124.7,33268.32,23
HCPCS,J9065,CLADRIBINE 1 MG INJ,856.42,856.42,157.67,856.42,23
HCPCS,J9065,CLADRIBINE 1 MG INJJW,856.42,856.42,157.67,856.42,23
HCPCS,J9065,CLADRIBINE 10 MG INJ,8564.15,8564.15,1576.66,8564.15,23
HCPCS,J9065,"Injection, cladribine, per 1 mg ",,,12.47,23.13,29
HCPCS,J9071,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.8,29
HCPCS,J9072,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,4.77,24.12,17
HCPCS,J9073,505DR CYCLOPHOS 2 G MDV,9432.68,9432.68,1736.56,9432.68,23
HCPCS,J9073,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",9432.68,9432.68,1.01,2.15,29
HCPCS,J9074,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,9.67,29
HCPCS,J9075,CYCLOPHOS NOS 1 G INJ,4244.53,4244.53,781.42,4244.53,23
HCPCS,J9075,CYCLOPHOS NOS 2 G INJ,8891.47,8891.47,1636.92,8891.47,23
HCPCS,J9075,CYCLOPHOS NOS 500 MGINJ,2727.04,2727.04,502.05,2727.04,23
HCPCS,J9075,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,2.04,29
HCPCS,J9076,"Injection, cyclophosphamide (baxter), 5 mg ",,,9.86,9.86,15
HCPCS,J9098,"Injection, cytarabine liposome, 10 mg ",,,804.31,904.85,2
HCPCS,J9100,CYTARABINE 100 MG INJ,135.8,135.8,12.11,190.86,54
HCPCS,J9100,CYTARABINE 2000 MG INJ,524.06,524.06,78.61,524.06,27
HCPCS,J9100,"Injection, cytarabine, 100 mg ",,,0.97,2.12,29
HCPCS,J9118,CALASPAR 3750 U INJ,116389.22,116389.22,21427.26,116389.22,24
HCPCS,J9118,"Injection, calaspargase pegol-mknl, 10 units ",116389.22,116389.22,97.78,217.51,17
HCPCS,J9119,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,78.86,29
HCPCS,J9120,DACTINOMYCIN 0.5 MG INJ,18679.35,18679.35,3438.87,18679.35,23
HCPCS,J9120,"Injection, dactinomycin, 0.5 mg ",18679.35,18679.35,353.1,894.83,29
HCPCS,J9130,DACARBAZINE 100 MG INJ,137.31,137.31,20.6,137.31,27
HCPCS,J9130,DACARBAZINE 200 MG INJ,119.95,119.95,17.99,119.95,27
HCPCS,J9130,"Dacarbazine, 100 mg ",,,4.61,10.2,29
HCPCS,J9144,DARAT 1800MG/HYALU-FIHJ,53345.02,53345.02,9820.82,53345.02,23
HCPCS,J9144,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",53345.02,53345.02,64.79,145.83,29
HCPCS,J9145,DARATUMUMAB 10 MG INJJW,611.63,611.63,112.6,611.63,23
HCPCS,J9145,DARATUMUMAB 100MG INJ,6116.31,6116.31,1126.01,6116.31,23
HCPCS,J9145,DARATUMUMAB 10MG INJ,611.63,611.63,112.6,611.63,23
HCPCS,J9145,"Injection, daratumumab, 10 mg ",,,82.41,187.54,29
HCPCS,J9150,DAUNORUBICIN 20 MG INJ,2556.79,2556.79,383.52,2556.79,27
HCPCS,J9150,"Injection, daunorubicin, 10 mg ",2556.79,2556.79,32.27,65.59,29
HCPCS,J9151,"Injection, daunorubicin citrate, liposomal formulation, 10 mg ",,,73.8,83.03,2
HCPCS,J9153,DAUNO/CYT 1/2.27 MG INJ,1289.31,1289.31,237.36,1289.31,23
HCPCS,J9153,DAUNO/CYT 1/2.27MG INJJW,1289.31,1289.31,237.36,1289.31,23
HCPCS,J9153,DAUNO/CYT 44/100 MG INJ,56780.36,56780.36,10453.26,56780.36,23
HCPCS,J9153,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,692.18,29
HCPCS,J9155,"Injection, degarelix, 1 mg ",,,5.33,11.82,29
HCPCS,J9160,"Injection, denileukin diftitox, 300 micrograms ",,,,,0
HCPCS,J9161,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,38.48,38.48,15
HCPCS,J9165,"Injection, diethylstilbestrol diphosphate, 250 mg ",,,,,0
HCPCS,J9171,DOCETAXEL 1 MG INJ,47.0,47.0,7.05,47.0,27
HCPCS,J9171,DOCETAXEL 160 MG MDV,15674.08,15674.08,2351.11,15674.08,27
HCPCS,J9171,DOCETAXEL 20 MG INJ,2410.95,2410.95,361.64,2410.95,27
HCPCS,J9171,"Injection, docetaxel, 1 mg ",,,0.76,1.48,29
HCPCS,J9172,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,134.12,27
HCPCS,J9173,DURVALUMAB 10 MG INJJW,686.69,686.69,126.42,686.69,23
HCPCS,J9173,DURVALUMAB 120 MG INJ,6101.44,6101.44,1123.28,6101.44,23
HCPCS,J9173,"Injection, durvalumab, 10 mg ",,,102.54,228.3,29
HCPCS,J9174,"Injection, docetaxel (beizray), 1 mg ",,,59.4,122.14,27
HCPCS,J9175,"Injection, elliotts' b solution, 1 ml ",,,12.24,30.58,29
HCPCS,J9176,"Injection, elotuzumab, 1 mg ",,,9.44,21.31,29
HCPCS,J9177,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,97.28,29
HCPCS,J9178,EPIRUBICIN 50 MG INJ,1460.16,1460.16,219.02,1460.16,27
HCPCS,J9178,"Injection, epirubicin hcl, 2 mg ",1460.16,1460.16,1.91,4.69,29
HCPCS,J9179,ERIBULIN 0.1 MG INJ,1452.55,1452.55,267.41,1452.55,23
HCPCS,J9179,ERIBULIN 0.1 MG INJJW,1452.55,1452.55,267.41,1452.55,23
HCPCS,J9179,ERIBULIN 1 MG INJ,14525.41,14525.41,2674.13,14525.41,23
HCPCS,J9179,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,203.46,29
HCPCS,J9181,ETOPOSIDE 1 G MDV,671.08,671.08,100.66,671.08,27
HCPCS,J9181,ETOPOSIDE 10 MG INJ,21.54,21.54,3.23,21.54,27
HCPCS,J9181,ETOPOSIDE 100 MG INJ,2588.78,2588.78,388.32,2588.78,27
HCPCS,J9181,ETOPOSIDE 100 MG MDV,2588.78,2588.78,388.32,2588.78,27
HCPCS,J9181,"Injection, etoposide, 10 mg ",,,1.31,2.39,29
HCPCS,J9183,"Gemcitabine intravesical system, 225 mg ",,,193683.89,193683.89,15
HCPCS,J9184,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,1087.67,1087.67,15
HCPCS,J9185,FLUDARABINE PHOS 50MGINJ,5259.03,5259.03,788.85,5259.03,27
HCPCS,J9185,"Injection, fludarabine phosphate, 50 mg ",5259.03,5259.03,72.78,576.98,29
HCPCS,J9190,FLUOROURACIL 500 MG INJ,251.78,251.78,37.77,251.78,27
HCPCS,J9190,"Injection, fluorouracil, 500 mg ",251.78,251.78,2.7,5.46,29
HCPCS,J9196,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,9.96,14.02,17
HCPCS,J9198,"Injection, gemcitabine hydrochloride, (infugem), 100 mg ",,,49.61,55.81,2
HCPCS,J9200,FLOXURIDINE 500 MG INJ,19375.2,19375.2,3566.97,19375.2,23
HCPCS,J9200,"Injection, floxuridine, 500 mg ",19375.2,19375.2,4876.31,11265.07,29
HCPCS,J9201,GEMCITABINE NOS 1 G INJ,466.56,466.56,69.98,466.56,27
HCPCS,J9201,GEMCITBIN NOS 200 MG INJ,736.42,736.42,110.46,736.42,27
HCPCS,J9201,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,8.59,29
HCPCS,J9202,GOSERELIN 3.6 MG IMPLANT,6141.48,6141.48,921.22,6141.48,27
HCPCS,J9202,"Goserelin acetate implant, per 3.6 mg ",6141.48,6141.48,844.2,3577.31,29
HCPCS,J9203,GEMTUZUMAB 4.5 MG INJ,52034.27,52034.27,9579.51,52034.27,23
HCPCS,J9203,"Injection, gemtuzumab ozogamicin, 0.1 mg ",52034.27,52034.27,285.01,636.45,29
HCPCS,J9204,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,671.7,29
HCPCS,J9205,"Injection, irinotecan liposome, 1 mg ",,,79.81,175.88,29
HCPCS,J9206,IRINOTECAN 100 MG INJ,448.37,448.37,67.26,448.37,27
HCPCS,J9206,IRINOTECAN 300 MG INJ,871.79,871.79,130.77,871.79,27
HCPCS,J9206,IRINOTECAN 40 MG INJ,186.62,186.62,27.99,186.62,27
HCPCS,J9206,"Injection, irinotecan, 20 mg ",,,2.0,4.05,29
HCPCS,J9207,IXABEPILONE 1 MG INJ,1047.57,1047.57,192.86,1047.57,23
HCPCS,J9207,IXABEPILONE 1 MG INJJW,1047.57,1047.57,192.86,1047.57,23
HCPCS,J9207,IXABEPILONE 15 MG INJ,15713.43,15713.43,2892.84,15713.43,23
HCPCS,J9207,"Injection, ixabepilone, 1 mg ",,,166.54,370.34,29
HCPCS,J9208,IFOSFAMIDE 1 G INJ,1226.13,1226.13,183.92,1226.13,27
HCPCS,J9208,IFOSFAMIDE 3 G INJ,824.63,824.63,123.69,824.63,27
HCPCS,J9208,"Injection, ifosfamide, 1 gram ",,,30.1,65.4,29
HCPCS,J9209,"Injection, mesna, 200 mg ",75.72,75.72,1.66,3.52,29
HCPCS,J9209,MESNA 200 MG INJ,75.72,75.72,11.36,75.72,27
HCPCS,J9210,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,1017.97,29
HCPCS,J9211,IDARUBICIN HCL 5 MG INJ,1740.99,1740.99,261.15,1740.99,27
HCPCS,J9211,"Injection, idarubicin hydrochloride, 5 mg ",1740.99,1740.99,53.18,105.36,29
HCPCS,J9212,"Injection, interferon alfacon-1, recombinant, 1 microgram ",,,8.39,9.44,2
HCPCS,J9213,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,37.4,92.94,17
HCPCS,J9214,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,34.53,45.14,17
HCPCS,J9215,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,39.33,95.77,17
HCPCS,J9216,"Injection, interferon, gamma 1-b, 3 million units ",,,10630.33,27950.85,17
HCPCS,J9217,LEUPRO 22.5 MG DEPO INJ,11919.65,11919.65,2194.41,11919.65,23
HCPCS,J9217,LEUPRO 30 MG DEPO INJ,15892.34,15892.34,2925.78,15892.34,23
HCPCS,J9217,LEUPRO 45 MG DEPO INJ,23839.29,23839.29,4388.81,23839.29,23
HCPCS,J9217,LEUPRO 7.5 MG DEPO INJ,3972.69,3972.69,731.37,3972.69,23
HCPCS,J9217,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,466.93,29
HCPCS,J9218,"Leuprolide acetate, per 1 mg ",,,5.96,401.48,29
HCPCS,J9219,"Leuprolide acetate implant, 65 mg ",,,6169.37,6940.54,2
HCPCS,J9220,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,24.65,27
HCPCS,J9223,"Injection, lurbinectedin, 0.1 mg ",,,250.68,562.07,29
HCPCS,J9225,"Histrelin implant (vantas), 50 mg ",,,6363.32,12480.25,17
HCPCS,J9226,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,109109.59,29
HCPCS,J9227,ISATUXIMAB-IRFC 100MGINJ,4718.52,4718.52,868.68,4718.52,23
HCPCS,J9227,"Injection, isatuximab-irfc, 10 mg ",4718.52,4718.52,96.41,221.49,29
HCPCS,J9228,IPILIMUMAB 1 MG INJ,2103.84,2103.84,387.32,2103.84,23
HCPCS,J9228,IPILIMUMAB 1 MG INJJW,2103.84,2103.84,387.32,2103.84,23
HCPCS,J9228,"Injection, ipilimumab, 1 mg ",,,220.33,496.0,29
HCPCS,J9229,INOTUZMAB OZ 0.1MG INJJW,17105.2,17105.2,3149.07,17105.2,23
HCPCS,J9229,INOTUZUMAB OZ 0.9 MG INJ,118664.87,118664.87,21846.2,118664.87,23
HCPCS,J9229,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,7464.44,29
HCPCS,J9230,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,346.96,463.28,17
HCPCS,J9232,505HS DOCETAX 160MG MDV,15674.08,15674.08,2351.11,15674.08,30
HCPCS,J9232,505HS DOCETAX 1MG INJ,47.0,47.0,7.05,47.0,30
HCPCS,J9232,505HS DOCETAX 20MG INJ,2410.95,2410.95,361.64,2410.95,30
HCPCS,J9245,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",33481.09,33481.09,192.08,319.78,29
HCPCS,J9245,MELPHALAN NOS 50 MG INJ,33481.09,33481.09,6163.87,33481.09,23
HCPCS,J9246,"Injection, melphalan (evomela), 1 mg ",,,19.27,51.49,29
HCPCS,J9247,"Injection, melphalan flufenamide, 1mg ",,,620.16,697.69,2
HCPCS,J9248,"Injection, melphalan (hepzato), 1 mg ",,,946.08,2106.75,29
HCPCS,J9249,"Injection, melphalan (apotex), 1 mg ",,,171.67,171.67,15
HCPCS,J9255,505AC METHOTREX 50MG INJ,47.09,47.09,7.06,47.09,30
HCPCS,J9256,"Injection, nipocalimab-aahu, 3 mg ",,,86.58,86.58,15
HCPCS,J9259,"Injection, paclitaxel protein-bound particles (american regent), not therapeutically equivalent to j9264, 1 mg ",,,19.71,22.17,2
HCPCS,J9260,"Injection, methotrexate sodium, 50 mg ",,,3.17,7.1,29
HCPCS,J9260,METHOTREXATE 1 G INJ,903.54,903.54,135.53,903.54,27
HCPCS,J9260,METHOTREXATE 250 MG INJ,237.08,237.08,35.56,237.08,27
HCPCS,J9260,METHOTREXATE 250 MG MDV,142.06,142.06,21.31,142.06,27
HCPCS,J9260,METHOTREXATE 50 MG INJ,123.81,123.81,18.57,123.81,27
HCPCS,J9261,"Injection, nelarabine, 50 mg ",,,77.26,139.68,29
HCPCS,J9261,NELARABINE 250 MG INJ,12490.3,12490.3,2299.46,12490.3,23
HCPCS,J9261,NELARABINE 50 MG INJ,2498.05,2498.05,459.89,2498.05,23
HCPCS,J9261,NELARABINE 50 MGJW,2498.05,2498.05,459.89,2498.05,23
HCPCS,J9262,"Injection, omacetaxine mepesuccinate, 0.01 mg ",,,4.97,5.59,2
HCPCS,J9263,"Injection, oxaliplatin, 0.5 mg ",174.96,174.96,0.06,0.21,29
HCPCS,J9263,OXALIPLATIN 50 MG INJ,174.96,174.96,26.24,174.96,27
HCPCS,J9264,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.95,19.07,29
HCPCS,J9264,PACLITAX-PROTEIN 1MGINJ,157.78,157.78,29.05,157.78,23
HCPCS,J9264,PACLITAX-PROTEIN100MGINJ,15776.93,15776.93,2904.53,15776.93,23
HCPCS,J9264,PACLITAX-PROTEIN1MGINJJW,157.78,157.78,29.05,157.78,23
HCPCS,J9266,"Injection, pegaspargase, per single dose vial ",135957.01,135957.01,33097.56,75323.76,29
HCPCS,J9266,PEGASPARGA SINGLE VL INJ,135957.01,135957.01,25029.69,135957.01,23
HCPCS,J9267,"Injection, paclitaxel, 1 mg ",,,0.12,0.4,17
HCPCS,J9267,PACLITAXEL 1 MG INJ,47.0,47.0,7.05,47.0,28
HCPCS,J9267,PACLITAXEL 100 MG MDV,388.41,388.41,58.26,388.41,28
HCPCS,J9267,PACLITAXEL 300 MG MDV,894.63,894.63,134.19,894.63,28
HCPCS,J9268,"Injection, pentostatin, 10 mg ",33075.15,33075.15,3247.45,6959.77,29
HCPCS,J9268,PENTOSTATIN 10 MG INJ,33075.15,33075.15,6089.14,33075.15,23
HCPCS,J9269,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,946.79,29
HCPCS,J9269,TAGRAX-ERZS 10MCG INJJW,19875.06,19875.06,3659.0,19875.06,23
HCPCS,J9269,TAGRAXFSP-ERZS 10MCG INJ,19875.06,19875.06,3659.0,19875.06,23
HCPCS,J9270,"Injection, plicamycin, 2.5 mg ",,,,,0
HCPCS,J9271,"Injection, pembrolizumab, 1 mg ",,,72.52,162.31,29
HCPCS,J9271,PEMBROLIZUMAB 1 MG INJ,528.0,528.0,97.2,528.0,23
HCPCS,J9271,PEMBROLIZUMAB 1 MG INJJW,528.0,528.0,97.2,528.0,23
HCPCS,J9271,PEMBROLIZUMAB 100 MG INJ,52801.45,52801.45,9720.75,52801.45,23
HCPCS,J9272,DOSTARLIM-GXLY 500MG INJ,59176.44,59176.44,10894.38,59176.44,23
HCPCS,J9272,"Injection, dostarlimab-gxly, 10 mg ",59176.44,59176.44,293.59,654.76,29
HCPCS,J9273,"Injection, tisotumab vedotin-tftv, 1 mg ",35725.32,35725.32,223.94,519.72,29
HCPCS,J9273,TISOTUMAB-TFTV 40 MG INJ,35725.32,35725.32,6577.03,35725.32,23
HCPCS,J9274,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,589.6,29
HCPCS,J9275,"Injection, cosibelimab-ipdl, 2 mg ",,,60.74,60.74,15
HCPCS,J9276,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,66.25,27
HCPCS,J9277,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",113982.34,113982.34,85.14,85.14,15
HCPCS,J9277,PEMBR BER-PMPH 790MG INJ,113982.34,113982.34,17097.35,113982.34,30
HCPCS,J9278,"Injection, carboplatin (avyxa), 1 mg ",,,13.89,13.89,15
HCPCS,J9280,"Injection, mitomycin, 5 mg ",3470.04,3470.04,31.3,77.99,29
HCPCS,J9280,MITOMYCIN 5 MG INJ,3470.04,3470.04,638.83,3470.04,23
HCPCS,J9281,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,856.4,29
HCPCS,J9282,"Mitomycin, intravesical instillation, 1 mg ",,,737.57,737.57,15
HCPCS,J9285,"Injection, olaratumab, 10 mg ",,,66.65,74.98,2
HCPCS,J9286,GLOFITA-GXBM 10 MG INJ,51102.31,51102.31,9407.94,51102.31,23
HCPCS,J9286,GLOFITA-GXBM 2.5 MG INJ,16448.57,16448.57,3028.18,16448.57,23
HCPCS,J9286,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,7527.8,29
HCPCS,J9289,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,73.48,27
HCPCS,J9292,"Injection, pemetrexed dipotassium, 10 mg ",,,217.35,217.35,15
HCPCS,J9293,"Injection, mitoxantrone hydrochloride, per 5 mg ",381.01,381.01,33.86,102.32,29
HCPCS,J9293,MITOXANTRONE 5 MG INJ,381.01,381.01,70.14,381.01,23
HCPCS,J9294,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,2.52,13.78,29
HCPCS,J9295,"Injection, necitumumab, 1 mg ",,,7.01,15.18,29
HCPCS,J9296,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,25.6,29
HCPCS,J9297,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,1.43,3.87,17
HCPCS,J9298,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,534.66,29
HCPCS,J9299,"Injection, nivolumab, 1 mg ",,,39.55,89.09,29
HCPCS,J9299,NIVOLUMAB 1 MG INJJW,464.67,464.67,85.55,464.67,23
HCPCS,J9299,NIVOLUMAB 240 MG INJ,37625.42,37625.42,6926.84,37625.42,23
HCPCS,J9299,NIVOLUMAB 40 MG INJ,7874.37,7874.37,1449.67,7874.37,23
HCPCS,J9301,"Injection, obinutuzumab, 10 mg ",,,91.96,216.8,29
HCPCS,J9301,OBINUTUZUMAB 10 MG INJJW,555.82,555.82,102.33,555.82,23
HCPCS,J9301,OBINUTUZUMAB 1000 MG INJ,42117.54,42117.54,7753.84,42117.54,23
HCPCS,J9302,"Injection, ofatumumab, 10 mg ",,,72.41,164.91,29
HCPCS,J9303,"Injection, panitumumab, 10 mg ",10104.52,10104.52,201.65,462.13,29
HCPCS,J9303,PANITUMUMAB 100 MG INJ,10104.52,10104.52,1860.24,10104.52,23
HCPCS,J9304,"Injection, pemetrexed (pemfexy), 10 mg ",,,21.17,76.25,29
HCPCS,J9305,"Injection, pemetrexed, not otherwise specified, 10 mg ",324.0,324.0,4.61,10.71,29
HCPCS,J9305,PEMETREXED NOS 100MG INJ,324.0,324.0,59.65,324.0,23
HCPCS,J9306,"Injection, pertuzumab, 1 mg ",47769.67,47769.67,19.84,45.1,29
HCPCS,J9306,PERTUZUMAB 420 MG INJ,47769.67,47769.67,8794.4,47769.67,23
HCPCS,J9307,"Injection, pralatrexate, 1 mg ",,,382.88,1040.71,29
HCPCS,J9307,PRALATREXATE 1 MG INJ,3484.44,3484.44,641.49,3484.44,23
HCPCS,J9307,PRALATREXATE 1 MG INJJW,3484.44,3484.44,641.49,3484.44,23
HCPCS,J9307,PRALATREXATE 20 MG INJ,69688.71,69688.71,12829.69,69688.71,23
HCPCS,J9308,"Injection, ramucirumab, 5 mg ",8927.63,8927.63,89.71,200.0,29
HCPCS,J9308,RAMUCIRUMAB 100 MG INJ,8927.63,8927.63,1643.58,8927.63,23
HCPCS,J9309,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,363.66,29
HCPCS,J9309,POLATUZUMAB 140 MG INJ,94365.77,94365.77,17372.74,94365.77,23
HCPCS,J9309,POLATUZUMAB 30 MG INJ,22833.45,22833.45,4203.64,22833.45,23
HCPCS,J9311,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,96.14,29
HCPCS,J9311,RITUX/HYALUR 1400 MG INJ,44245.23,44245.23,8145.55,44245.23,23
HCPCS,J9311,RITUX/HYALUR 1600 MG INJ,50565.78,50565.78,9309.16,50565.78,23
HCPCS,J9312,"Injection, rituximab, 10 mg ",,,93.46,196.52,29
HCPCS,J9312,RITUXIMAB 10 MG INJ,981.78,981.78,180.75,981.78,23
HCPCS,J9312,RITUXIMAB 10 MG INJJW,981.78,981.78,180.75,981.78,23
HCPCS,J9312,RITUXIMAB 100 MG INJ,9817.73,9817.73,1807.44,9817.73,23
HCPCS,J9313,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,61.98,29
HCPCS,J9314,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,29.12,29
HCPCS,J9316,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,159.61,29
HCPCS,J9317,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,97.52,29
HCPCS,J9318,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,75.58,29
HCPCS,J9319,"Injection, romidepsin, lyophilized, 0.1 mg ",20595.12,20595.12,38.11,81.62,29
HCPCS,J9319,ROMIDEP LYOPH 10 MG INJ,20595.12,20595.12,3791.56,20595.12,23
HCPCS,J9320,"Injection, streptozocin, 1 gram ",,,419.08,512.96,29
HCPCS,J9321,EPCORIT-BYSP 4 MG INJ,8169.47,8169.47,1504.0,8169.47,23
HCPCS,J9321,EPCORIT-BYSP 48 MG INJ,82472.64,82472.64,15183.21,82472.64,23
HCPCS,J9321,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,150.84,29
HCPCS,J9322,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,12.55,28.09,17
HCPCS,J9323,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.87,13.2,29
HCPCS,J9324,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,186.77,29
HCPCS,J9325,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,195.94,29
HCPCS,J9326,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,386.87,386.87,15
HCPCS,J9328,"Injection, temozolomide, 1 mg ",,,12.73,27.56,29
HCPCS,J9329,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,154.42,27
HCPCS,J9330,"Injection, temsirolimus, 1 mg ",10252.66,10252.66,37.07,79.71,29
HCPCS,J9330,TEMSIROLIMUS 25 MG INJ,10252.66,10252.66,1887.51,10252.66,23
HCPCS,J9331,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,230.84,29
HCPCS,J9332,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,86.42,29
HCPCS,J9333,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,62.01,29
HCPCS,J9334,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,90.97,29
HCPCS,J9340,"Injection, thiotepa, 15 mg ",,,290.9,327.26,2
HCPCS,J9341,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,102.16,27
HCPCS,J9342,"Injection, thiotepa, not otherwise specified, 1 mg ",7740.76,7740.76,14.95,15.21,27
HCPCS,J9342,THIOTEPA NOS 15 MG INJ,7740.76,7740.76,1425.07,7740.76,25
HCPCS,J9345,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,80.56,29
HCPCS,J9347,"Injection, tremelimumab-actl, 1 mg ",,,169.02,379.56,29
HCPCS,J9348,"Injection, naxitamab-gqgk, 1 mg ",,,779.74,1818.14,29
HCPCS,J9349,"Injection, tafasitamab-cxix, 2 mg ",8552.04,8552.04,17.03,37.55,29
HCPCS,J9349,TAFASITAM-CXIX 200MG INJ,8552.04,8552.04,1574.43,8552.04,23
HCPCS,J9350,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,1734.53,29
HCPCS,J9351,"Injection, topotecan, 0.1 mg ",5349.93,5349.93,1.21,5.59,29
HCPCS,J9351,TOPOTECAN 4 MG MDV,5349.93,5349.93,802.49,5349.93,27
HCPCS,J9352,"Injection, trabectedin, 0.1 mg ",,,444.84,1036.34,29
HCPCS,J9352,TRABECTEDIN 0.1MG INJJW,2179.07,2179.07,401.17,2179.07,23
HCPCS,J9352,TRABECTEDIN 1 MG INJ,21790.71,21790.71,4011.67,21790.71,23
HCPCS,J9353,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,141.17,29
HCPCS,J9354,ADO-TRASTUZUMAB 100MG,51948.45,51948.45,9563.71,51948.45,23
HCPCS,J9354,ADO-TRASTUZUMAB 160MG,69928.07,69928.07,12873.76,69928.07,23
HCPCS,J9354,ADO-TRASTUZUMAB 1MG INJ,468.76,468.76,86.3,468.76,23
HCPCS,J9354,ADO-TRASTUZUMAB 1MGJW,468.76,468.76,86.3,468.76,23
HCPCS,J9354,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,111.83,29
HCPCS,J9355,"Injection, trastuzumab, excludes biosimilar, 10 mg ",10033.37,10033.37,92.54,194.59,29
HCPCS,J9355,TRASTUZUMAB 150 MG INJ,10033.37,10033.37,1847.14,10033.37,23
HCPCS,J9356,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,158.76,29
HCPCS,J9357,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,3366.88,29
HCPCS,J9358,FAM-TRAS-NXKI 100 MG INJ,17496.0,17496.0,3221.01,17496.0,23
HCPCS,J9358,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",17496.0,17496.0,35.34,82.84,29
HCPCS,J9359,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",142460.6,142460.6,259.2,586.95,29
HCPCS,J9359,LONCAST-LPYL 10 MG INJ,142460.6,142460.6,26227.0,142460.6,23
HCPCS,J9360,"Injection, vinblastine sulfate, 1 mg ",486.39,486.39,4.97,13.65,29
HCPCS,J9360,VINBLASTINE 10 MG MDV,486.39,486.39,72.96,486.39,27
HCPCS,J9361,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,365.7,365.7,15
HCPCS,J9370,VINCRISTINE SULF 1MG INJ,201.44,201.44,30.22,201.44,27
HCPCS,J9370,VINCRISTINE SULF 2MG INJ,331.48,331.48,49.72,331.48,27
HCPCS,J9370,"Vincristine sulfate, 1 mg ",,,10.02,21.49,29
HCPCS,J9376,"Injection, pozelimab-bbfg, 1 mg ",,,112.98,243.08,17
HCPCS,J9380,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,91.43,29
HCPCS,J9380,TECLIST-CQYV 153 MG INJ,52808.38,52808.38,9722.02,52808.38,23
HCPCS,J9380,TECLIST-CQYV 30 MG INJ,12307.39,12307.39,2265.79,12307.39,23
HCPCS,J9381,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,101.73,29
HCPCS,J9382,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,88.96,27
HCPCS,J9390,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,13.17,29
HCPCS,J9390,VINORELBINE TARTRAT 10MG,515.08,515.08,77.26,515.08,27
HCPCS,J9390,VINORELBINE TARTRAT 50MG,1162.78,1162.78,174.42,1162.78,27
HCPCS,J9393,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,110.43,29
HCPCS,J9394,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,71.84,29
HCPCS,J9395,FULVESTRANT 250 MG INJ,18788.43,18788.43,2818.26,18788.43,27
HCPCS,J9395,"Injection, fulvestrant, 25 mg ",18788.43,18788.43,8.42,13.09,29
HCPCS,J9400,"Injection, ziv-aflibercept, 1 mg ",,,9.08,22.82,29
HCPCS,J9600,"Injection, porfimer sodium, 75 mg ",,,27987.6,74167.14,29
HCPCS,J9601,"Injection, linvoseltamab-gcpt, 1 mg ",,,263.68,263.68,15
HCPCS,J9999,CARMUSTINE 7.7MG IMPLANT,249749.05,249749.05,37462.36,249749.05,35
HCPCS,K0001,Standard wheelchair ,,,29.52,45.67,34
HCPCS,K0002,Standard hemi (low seat) wheelchair ,,,51.42,79.57,34
HCPCS,K0003,Lightweight wheelchair ,,,44.64,69.08,34
HCPCS,K0004,"High strength, lightweight wheelchair ",,,55.05,85.19,34
HCPCS,K0005,Ultralightweight wheelchair ,,,2503.02,3873.1,34
HCPCS,K0006,Heavy duty wheelchair ,,,81.4,125.95,34
HCPCS,K0007,Extra heavy duty wheelchair ,,,114.74,177.55,34
HCPCS,K0009,Other manual wheelchair/base ,,,100.65,155.75,34
HCPCS,K0010,Standard - weight frame motorized/power wheelchair ,,,490.23,758.56,34
HCPCS,K0011,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,672.26,1040.23,34
HCPCS,K0012,Lightweight portable motorized/power wheelchair ,,,412.37,638.08,34
HCPCS,K0015,"Detachable, non-adjustable height armrest, replacement only, each ",,,16.67,25.8,34
HCPCS,K0017,"Detachable, adjustable height armrest, base, replacement only, each ",,,56.05,86.73,34
HCPCS,K0018,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,31.68,49.02,34
HCPCS,K0019,"Arm pad, replacement only, each ",,,14.97,23.17,34
HCPCS,K0020,"Fixed, adjustable height armrest, pair ",,,54.22,83.89,34
HCPCS,K0037,"High mount flip-up footrest, each ",,,52.73,81.6,34
HCPCS,K0038,"Leg strap, each ",,,28.02,43.35,34
HCPCS,K0039,"Leg strap, h style, each ",,,60.15,93.08,34
HCPCS,K0040,"Adjustable angle footplate, each ",,,62.2,96.24,34
HCPCS,K0041,"Large size footplate, each ",,,57.48,88.95,34
HCPCS,K0042,"Standard size footplate, replacement only, each ",,,36.92,57.12,34
HCPCS,K0043,"Footrest, lower extension tube, replacement only, each ",,,22.77,35.24,34
HCPCS,K0044,"Footrest, upper hanger bracket, replacement only, each ",,,19.42,30.05,34
HCPCS,K0045,"Footrest, complete assembly, replacement only, each ",,,65.23,100.93,34
HCPCS,K0046,"Elevating legrest, lower extension tube, replacement only, each ",,,22.77,35.24,34
HCPCS,K0047,"Elevating legrest, upper hanger bracket, replacement only, each ",,,81.06,125.44,34
HCPCS,K0050,"Ratchet assembly, replacement only ",,,37.61,58.2,34
HCPCS,K0051,"Cam release assembly, footrest or legrest, replacement only, each ",,,59.5,92.07,34
HCPCS,K0052,"Swingaway, detachable footrests, replacement only, each ",,,83.77,129.62,34
HCPCS,K0053,"Elevating footrests, articulating (telescoping), each ",,,97.24,150.47,34
HCPCS,K0056,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,111.18,172.03,34
HCPCS,K0065,"Spoke protectors, each ",,,52.92,81.89,34
HCPCS,K0069,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,109.93,170.11,34
HCPCS,K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,19.35,29.94,34
HCPCS,K0071,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,124.96,193.36,34
HCPCS,K0072,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,78.34,121.22,34
HCPCS,K0073,"Caster pin lock, each ",,,40.79,63.12,34
HCPCS,K0077,"Front caster assembly, complete, with solid tire, replacement only, each ",,,63.72,98.59,34
HCPCS,K0098,"Drive belt for power wheelchair, replacement only ",,,27.56,42.64,34
HCPCS,K0105,"Iv hanger, each ",,,115.05,178.03,34
HCPCS,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,12.92,19.99,34
HCPCS,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,358.59,554.87,34
HCPCS,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.3,5.1,34
HCPCS,K0601,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.49,2.31,34
HCPCS,K0602,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,8.44,13.05,34
HCPCS,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.76,1.18,34
HCPCS,K0604,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,8.13,12.58,34
HCPCS,K0605,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,19.43,30.06,34
HCPCS,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3409.45,5275.68,34
HCPCS,K0607,"Replacement battery for automated external defibrillator, garment type only, each ",,,26.31,40.7,34
HCPCS,K0608,"Replacement garment for use with automated external defibrillator, each ",,,164.1,253.93,34
HCPCS,K0609,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1091.34,1688.71,34
HCPCS,K0672,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,99.52,154.0,34
HCPCS,K0730,Controlled dose inhalation drug delivery system ,,,233.41,361.16,34
HCPCS,K0733,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,32.57,50.39,34
HCPCS,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,45.54,70.47,34
HCPCS,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,19.1,29.56,34
HCPCS,K0800,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1005.34,1555.63,34
HCPCS,K0801,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1806.9,2795.94,34
HCPCS,K0802,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2390.63,3699.18,34
HCPCS,K0806,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1661.39,2570.78,34
HCPCS,K0807,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2574.75,3984.08,34
HCPCS,K0808,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,3980.14,6158.74,34
HCPCS,K0813,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,305.58,472.84,34
HCPCS,K0814,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,320.25,495.55,34
HCPCS,K0815,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,355.84,550.62,34
HCPCS,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,332.31,514.21,34
HCPCS,K0820,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,312.54,483.62,34
HCPCS,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,332.63,514.71,34
HCPCS,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,356.2,551.18,34
HCPCS,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,332.79,514.96,34
HCPCS,K0824,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,518.94,802.99,34
HCPCS,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,469.89,727.09,34
HCPCS,K0826,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,867.27,1341.99,34
HCPCS,K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,763.51,1181.42,34
HCPCS,K0828,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1011.01,1564.4,34
HCPCS,K0829,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1014.1,1569.18,34
HCPCS,K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,426.88,660.54,34
HCPCS,K0836,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,442.77,685.12,34
HCPCS,K0837,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,547.52,847.22,34
HCPCS,K0838,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,485.29,750.92,34
HCPCS,K0839,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,727.3,1125.4,34
HCPCS,K0840,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1116.64,1727.85,34
HCPCS,K0841,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,481.06,744.38,34
HCPCS,K0842,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,480.36,743.29,34
HCPCS,K0843,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,570.25,882.38,34
HCPCS,K0848,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,924.98,1431.28,34
HCPCS,K0849,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,889.3,1376.08,34
HCPCS,K0850,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1072.91,1660.19,34
HCPCS,K0851,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1031.62,1596.3,34
HCPCS,K0852,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1239.69,1918.26,34
HCPCS,K0853,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1273.48,1970.55,34
HCPCS,K0854,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1687.1,2610.56,34
HCPCS,K0855,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1593.7,2466.04,34
HCPCS,K0856,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,992.84,1536.28,34
HCPCS,K0857,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1012.75,1567.09,34
HCPCS,K0858,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1231.83,1906.09,34
HCPCS,K0859,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1174.8,1817.85,34
HCPCS,K0860,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1759.84,2723.12,34
HCPCS,K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,994.44,1538.77,34
HCPCS,K0862,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1231.83,1906.09,34
HCPCS,K0863,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1759.84,2723.12,34
HCPCS,K0864,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2094.2,3240.5,34
HCPCS,K1007,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,90326.95,139769.07,34
HCPCS,L0112,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1642.92,2542.2,34
HCPCS,L0113,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,334.76,518.0,34
HCPCS,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",,,32.84,50.82,34
HCPCS,L0130,"Cervical, flexible, thermoplastic collar, molded to patient ",,,237.47,367.46,34
HCPCS,L0140,"Cervical, semi-rigid, adjustable (plastic collar) ",,,81.94,126.79,34
HCPCS,L0150,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,136.65,211.44,34
HCPCS,L0160,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,194.57,301.07,34
HCPCS,L0170,"Cervical, collar, molded to patient model ",,,823.32,1273.98,34
HCPCS,L0172,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,166.93,258.31,34
HCPCS,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,299.89,464.03,34
HCPCS,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,407.83,631.07,34
HCPCS,L0190,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,613.95,950.0,34
HCPCS,L0200,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,563.75,872.33,34
HCPCS,L0220,"Thoracic, rib belt, custom fabricated ",,,133.69,206.87,34
HCPCS,L0450,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,137.84,213.3,34
HCPCS,L0454,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,407.11,629.95,34
HCPCS,L0455,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,255.9,395.97,34
HCPCS,L0456,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,1167.47,1806.51,34
HCPCS,L0457,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,733.84,1135.52,34
HCPCS,L0458,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1046.88,1619.91,34
HCPCS,L0460,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1178.35,1823.34,34
HCPCS,L0462,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1465.66,2267.92,34
HCPCS,L0464,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,1744.81,2699.86,34
HCPCS,L0466,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,448.66,694.24,34
HCPCS,L0467,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,287.0,444.09,34
HCPCS,L0468,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,562.55,870.48,34
HCPCS,L0469,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,365.68,565.85,34
HCPCS,L0470,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,800.85,1239.21,34
HCPCS,L0472,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,502.7,777.87,34
HCPCS,L0480,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1554.46,2405.32,34
HCPCS,L0482,BRACE TLSO A-P-L 1PC,8652.0,8652.0,1592.83,8652.0,26
HCPCS,L0482,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",8652.0,8652.0,1782.0,2757.41,34
HCPCS,L0484,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2077.76,3215.07,34
HCPCS,L0486,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2058.27,3184.9,34
HCPCS,L0488,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1178.35,1823.34,34
HCPCS,L0490,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,332.03,513.78,34
HCPCS,L0491,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,901.47,1394.91,34
HCPCS,L0492,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,584.24,904.04,34
HCPCS,L0621,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,72.67,112.45,34
HCPCS,L0622,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,283.82,439.18,34
HCPCS,L0623,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,130.27,201.58,34
HCPCS,L0625,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,40.66,62.92,34
HCPCS,L0626,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,91.5,141.59,34
HCPCS,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,482.53,746.66,34
HCPCS,L0628,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,61.91,95.8,34
HCPCS,L0630,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,190.07,294.1,34
HCPCS,L0631,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,1205.05,1864.65,34
HCPCS,L0633,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,336.61,520.87,34
HCPCS,L0635,BRACE LMBR CORSETT SCRL,1073.0,1073.0,197.54,1073.0,26
HCPCS,L0635,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",1073.0,1073.0,1248.2,1931.43,34
HCPCS,L0636,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1841.83,2849.99,34
HCPCS,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1597.99,2472.69,34
HCPCS,L0638,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1548.19,2395.61,34
HCPCS,L0639,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,1597.99,2472.69,34
HCPCS,L0640,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,1228.31,1900.65,34
HCPCS,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,57.52,89.01,34
HCPCS,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,303.36,469.42,34
HCPCS,L0643,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,119.52,184.94,34
HCPCS,L0648,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,757.62,1172.31,34
HCPCS,L0649,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,211.63,327.47,34
HCPCS,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,876.61,1356.44,34
HCPCS,L0651,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,876.61,1356.44,34
HCPCS,L0700,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2527.29,3910.66,34
HCPCS,L0710,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2758.7,4268.73,34
HCPCS,L0720,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2152.64,3330.93,34
HCPCS,L0810,HALO CERV,11144.0,11144.0,2051.61,11144.0,26
HCPCS,L0810,"Halo procedure, cervical halo incorporated into jacket vest ",11144.0,11144.0,2930.74,4534.94,34
HCPCS,L0820,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2370.83,3668.55,34
HCPCS,L0830,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,3423.23,5297.0,34
HCPCS,L0859,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",5057.0,5057.0,1329.9,2057.84,34
HCPCS,L0859,HALO ADD MRI SYS RNG/PIN,5057.0,5057.0,930.99,5057.0,26
HCPCS,L0861,"Addition to halo procedure, replacement liner/interface material ",,,253.0,391.49,34
HCPCS,L0970,"Tlso, corset front ",,,124.77,193.07,34
HCPCS,L0972,"Lso, corset front ",,,127.54,197.35,34
HCPCS,L0974,"Tlso, full corset ",,,260.59,403.24,34
HCPCS,L0976,"Lso, full corset ",,,232.74,360.14,34
HCPCS,L0978,Axillary crutch extension ,,,210.14,325.16,34
HCPCS,L0980,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,19.07,29.5,34
HCPCS,L0982,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,20.78,32.15,34
HCPCS,L0984,"Protective body sock, prefabricated, off-the-shelf, each ",,,66.28,102.56,34
HCPCS,L1000,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2216.32,3429.47,34
HCPCS,L1005,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,3757.07,5813.57,34
HCPCS,L1006,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1243.64,1924.36,34
HCPCS,L1010,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,89.25,138.11,34
HCPCS,L1020,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,121.95,188.7,34
HCPCS,L1025,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,138.6,214.47,34
HCPCS,L1030,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,92.6,143.28,34
HCPCS,L1040,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,111.45,172.46,34
HCPCS,L1050,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,96.48,149.29,34
HCPCS,L1060,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,108.84,168.42,34
HCPCS,L1070,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,111.29,172.21,34
HCPCS,L1080,"Addition to ctlso or scoliosis orthosis, outrigger ",,,77.11,119.32,34
HCPCS,L1085,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,214.22,331.47,34
HCPCS,L1090,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,100.06,154.84,34
HCPCS,L1100,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,176.64,273.33,34
HCPCS,L1110,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,299.19,462.96,34
HCPCS,L1120,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,47.65,73.74,34
HCPCS,L1200,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,1897.18,2935.63,34
HCPCS,L1210,"Addition to tlso, (low profile), lateral thoracic extension ",,,285.65,442.0,34
HCPCS,L1220,"Addition to tlso, (low profile), anterior thoracic extension ",,,241.85,374.23,34
HCPCS,L1230,"Addition to tlso, (low profile), milwaukee type superstructure ",,,620.56,960.23,34
HCPCS,L1240,"Addition to tlso, (low profile), lumbar derotation pad ",,,106.79,165.24,34
HCPCS,L1250,"Addition to tlso, (low profile), anterior asis pad ",,,105.16,162.71,34
HCPCS,L1260,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,108.08,167.24,34
HCPCS,L1270,"Addition to tlso, (low profile), abdominal pad ",,,107.96,167.05,34
HCPCS,L1280,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,96.23,148.9,34
HCPCS,L1290,"Addition to tlso, (low profile), lateral trochanteric pad ",,,109.09,168.8,34
HCPCS,L1300,"Other scoliosis procedure, body jacket molded to patient model ",,,1823.55,2821.71,34
HCPCS,L1310,"Other scoliosis procedure, post-operative body jacket ",,,1876.43,2903.53,34
HCPCS,L1600,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,140.68,217.68,34
HCPCS,L1610,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,47.93,74.16,34
HCPCS,L1620,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,157.82,244.21,34
HCPCS,L1630,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,188.34,291.43,34
HCPCS,L1640,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,503.73,779.45,34
HCPCS,L1650,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,267.13,413.35,34
HCPCS,L1652,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,418.46,647.51,34
HCPCS,L1653,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,418.46,647.51,34
HCPCS,L1660,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,186.83,289.09,34
HCPCS,L1680,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1535.96,2376.7,34
HCPCS,L1681,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2174.55,3364.83,34
HCPCS,L1685,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1620.69,2507.81,34
HCPCS,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1087.27,1682.41,34
HCPCS,L1690,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2269.92,3512.4,34
HCPCS,L1700,"Legg perthes orthosis, (toronto type), custom fabricated ",,,1888.43,2922.1,34
HCPCS,L1710,"Legg perthes orthosis, (newington type), custom fabricated ",,,2219.72,3434.73,34
HCPCS,L1720,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,1639.71,2537.23,34
HCPCS,L1730,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1237.11,1914.26,34
HCPCS,L1755,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1800.67,2786.3,34
HCPCS,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,142.11,219.9,34
HCPCS,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,81.42,125.99,34
HCPCS,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,141.54,219.02,34
HCPCS,L1821,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,141.54,219.02,34
HCPCS,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,73.37,113.53,34
HCPCS,L1831,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,345.46,534.55,34
HCPCS,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,884.93,1369.32,34
HCPCS,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,528.49,817.78,34
HCPCS,L1834,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,1041.11,1610.99,34
HCPCS,L1836,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,103.74,160.52,34
HCPCS,L1840,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1094.39,1693.43,34
HCPCS,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1053.23,1629.73,34
HCPCS,L1844,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1825.02,2823.97,34
HCPCS,L1845,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1099.47,1701.29,34
HCPCS,L1846,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1395.04,2158.64,34
HCPCS,L1847,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,675.18,1044.76,34
HCPCS,L1848,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,675.18,1044.76,34
HCPCS,L1850,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,238.92,369.7,34
HCPCS,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,697.57,1079.39,34
HCPCS,L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,665.47,1029.72,34
HCPCS,L1860,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1218.77,1885.89,34
HCPCS,L1900,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,330.19,510.93,34
HCPCS,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,89.67,138.75,34
HCPCS,L1904,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,513.34,794.33,34
HCPCS,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,150.02,232.14,34
HCPCS,L1907,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,660.51,1022.05,34
HCPCS,L1910,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,291.94,451.73,34
HCPCS,L1920,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,381.64,590.54,34
HCPCS,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,258.25,399.6,34
HCPCS,L1932,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1047.49,1620.85,34
HCPCS,L1933,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1047.49,1620.85,34
HCPCS,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,583.61,903.07,34
HCPCS,L1945,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1071.74,1658.38,34
HCPCS,L1950,AFO SPRL MLDD TO PATIENT,4471.0,4471.0,823.11,4471.0,26
HCPCS,L1950,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",4471.0,4471.0,813.12,1258.2,34
HCPCS,L1951,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,985.82,1525.43,34
HCPCS,L1952,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,985.82,1525.43,34
HCPCS,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,605.1,936.32,34
HCPCS,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,895.0,1384.89,34
HCPCS,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,550.21,851.38,34
HCPCS,L1980,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,400.64,619.94,34
HCPCS,L1990,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,514.77,796.53,34
HCPCS,L2000,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1107.26,1713.34,34
HCPCS,L2005,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,4810.08,7442.96,34
HCPCS,L2006,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,37409.48,57886.25,34
HCPCS,L2010,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1009.38,1561.88,34
HCPCS,L2020,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1274.68,1972.4,34
HCPCS,L2030,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1105.9,1711.24,34
HCPCS,L2034,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2410.27,3729.58,34
HCPCS,L2035,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,203.36,314.67,34
HCPCS,L2036,BRACE KAFO KN PLASTIC,7771.0,7771.0,1430.64,7771.0,26
HCPCS,L2036,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",7771.0,7771.0,2025.39,3134.03,34
HCPCS,L2037,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,1866.52,2888.2,34
HCPCS,L2038,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1560.79,2415.12,34
HCPCS,L2040,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,199.36,308.48,34
HCPCS,L2050,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,530.93,821.54,34
HCPCS,L2060,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,681.42,1054.4,34
HCPCS,L2070,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,195.75,302.89,34
HCPCS,L2080,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,417.48,645.99,34
HCPCS,L2090,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,514.55,796.2,34
HCPCS,L2106,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,742.24,1148.53,34
HCPCS,L2108,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1166.39,1804.84,34
HCPCS,L2112,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,553.83,856.98,34
HCPCS,L2114,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,633.64,980.48,34
HCPCS,L2116,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,834.82,1291.78,34
HCPCS,L2126,BRACE CUST KAFO FRACTR,5593.0,5593.0,1029.67,5593.0,26
HCPCS,L2126,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",5593.0,5593.0,1485.4,2298.46,34
HCPCS,L2128,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,1871.92,2896.55,34
HCPCS,L2132,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,880.63,1362.66,34
HCPCS,L2134,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1055.84,1633.77,34
HCPCS,L2136,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",4963.0,4963.0,1291.0,1997.66,34
HCPCS,L2136,SOCKS KAFO FEM FX,4963.0,4963.0,913.69,4963.0,26
HCPCS,L2180,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,127.85,197.83,34
HCPCS,L2182,"Addition to lower extremity fracture orthosis, drop lock knee joint ",924.0,924.0,100.06,154.84,34
HCPCS,L2182,OTHTC ADD L-XTRM DRP LCK,924.0,924.0,170.11,924.0,26
HCPCS,L2184,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,180.31,279.01,34
HCPCS,L2186,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,199.79,309.16,34
HCPCS,L2188,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,435.93,674.54,34
HCPCS,L2190,"Addition to lower extremity fracture orthosis, waist belt ",,,113.22,175.19,34
HCPCS,L2192,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,389.24,602.3,34
HCPCS,L2200,"Addition to lower extremity, limited ankle motion, each joint ",,,51.9,80.31,34
HCPCS,L2210,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,84.21,130.3,34
HCPCS,L2220,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,96.7,149.63,34
HCPCS,L2221,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1709.45,2645.15,34
HCPCS,L2230,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,83.76,129.61,34
HCPCS,L2232,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,113.41,175.49,34
HCPCS,L2240,"Addition to lower extremity, round caliper and plate attachment ",,,91.3,141.28,34
HCPCS,L2250,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,387.89,600.22,34
HCPCS,L2260,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,218.83,338.61,34
HCPCS,L2265,"Addition to lower extremity, long tongue stirrup ",,,128.56,198.94,34
HCPCS,L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,58.62,90.71,34
HCPCS,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,142.65,220.74,34
HCPCS,L2280,"Addition to lower extremity, molded inner boot ",,,529.94,820.01,34
HCPCS,L2300,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,299.15,462.89,34
HCPCS,L2310,"Addition to lower extremity, abduction bar-straight ",,,134.3,207.81,34
HCPCS,L2320,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,224.62,347.57,34
HCPCS,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,428.65,663.28,34
HCPCS,L2335,"Addition to lower extremity, anterior swing band ",,,252.16,390.18,34
HCPCS,L2340,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,595.04,920.75,34
HCPCS,L2350,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,972.72,1505.16,34
HCPCS,L2360,"Addition to lower extremity, extended steel shank ",,,56.48,87.39,34
HCPCS,L2370,"Addition to lower extremity, patten bottom ",,,280.23,433.62,34
HCPCS,L2375,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,123.35,190.86,34
HCPCS,L2380,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,134.4,207.96,34
HCPCS,L2385,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,146.22,226.26,34
HCPCS,L2387,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,198.44,307.05,34
HCPCS,L2390,"Addition to lower extremity, offset knee joint, each joint ",,,119.5,184.91,34
HCPCS,L2395,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,182.45,282.31,34
HCPCS,L2397,"Addition to lower extremity orthosis, suspension sleeve ",,,127.95,197.98,34
HCPCS,L2405,"Addition to knee joint, drop lock, each ",,,102.35,158.38,34
HCPCS,L2415,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,142.59,220.65,34
HCPCS,L2425,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,168.26,260.37,34
HCPCS,L2430,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,168.26,260.37,34
HCPCS,L2492,"Addition to knee joint, lift loop for drop lock ring ",,,111.32,172.25,34
HCPCS,L2500,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,344.39,532.9,34
HCPCS,L2510,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,922.07,1426.78,34
HCPCS,L2520,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,502.91,778.19,34
HCPCS,L2525,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1725.36,2669.77,34
HCPCS,L2526,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,929.98,1439.03,34
HCPCS,L2530,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,256.49,396.89,34
HCPCS,L2540,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,461.54,714.17,34
HCPCS,L2550,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,313.54,485.16,34
HCPCS,L2570,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,693.29,1072.78,34
HCPCS,L2580,"Addition to lower extremity, pelvic control, pelvic sling ",,,657.2,1016.93,34
HCPCS,L2600,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,224.21,346.93,34
HCPCS,L2610,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,265.12,410.23,34
HCPCS,L2620,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,291.89,451.66,34
HCPCS,L2622,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,334.77,518.01,34
HCPCS,L2624,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",3084.0,3084.0,455.11,704.22,34
HCPCS,L2624,BRACE HIP ADJ FLEX/EXT,3084.0,3084.0,567.76,3084.0,26
HCPCS,L2627,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,1875.03,2901.37,34
HCPCS,L2628,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2202.56,3408.17,34
HCPCS,L2630,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,270.32,418.29,34
HCPCS,L2640,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,366.86,567.67,34
HCPCS,L2650,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,131.0,202.71,34
HCPCS,L2660,"Addition to lower extremity, thoracic control, thoracic band ",,,203.46,314.83,34
HCPCS,L2670,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,186.22,288.15,34
HCPCS,L2680,"Addition to lower extremity, thoracic control, lateral support uprights ",,,170.83,264.34,34
HCPCS,L2750,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,91.25,141.19,34
HCPCS,L2755,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,153.42,237.39,34
HCPCS,L2760,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,66.33,102.64,34
HCPCS,L2768,"Orthotic side bar disconnect device, per bar ",,,152.95,236.67,34
HCPCS,L2780,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,78.46,121.41,34
HCPCS,L2785,"Addition to lower extremity orthosis, drop lock retainer, each ",,,46.13,71.38,34
HCPCS,L2795,"Addition to lower extremity orthosis, knee control, full kneecap ",,,92.77,143.55,34
HCPCS,L2800,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,116.44,180.18,34
HCPCS,L2810,"Addition to lower extremity orthosis, knee control, condylar pad ",,,85.26,131.93,34
HCPCS,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,94.8,146.69,34
HCPCS,L2830,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",982.0,982.0,106.6,164.95,34
HCPCS,L2830,INTRFACE ABV KNEE SFT,982.0,982.0,180.79,982.0,26
HCPCS,L2840,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,59.51,92.08,34
HCPCS,L2850,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,67.59,104.59,34
HCPCS,L2999,PLATE FOOT ATTACHED TO K,1449.0,1449.0,217.35,1449.0,30
HCPCS,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,368.75,570.6,34
HCPCS,L3001,"Foot, insert, removable, molded to patient model, spenco, each ",,,155.26,240.24,34
HCPCS,L3002,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,189.57,293.34,34
HCPCS,L3003,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,204.53,316.48,34
HCPCS,L3010,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,204.53,316.48,34
HCPCS,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,232.89,360.37,34
HCPCS,L3030,"Foot, insert, removable, formed to patient foot, each ",,,89.59,138.64,34
HCPCS,L3031,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,143.75,222.44,34
HCPCS,L3040,"Foot, arch support, removable, premolded, longitudinal, each ",,,55.24,85.48,34
HCPCS,L3050,"Foot, arch support, removable, premolded, metatarsal, each ",,,55.24,85.48,34
HCPCS,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,86.58,133.98,34
HCPCS,L3070,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,37.32,57.74,34
HCPCS,L3080,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,37.32,57.74,34
HCPCS,L3090,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,47.79,73.96,34
HCPCS,L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,50.74,78.51,34
HCPCS,L3140,"Foot, abduction rotation bar, including shoes ",,,104.53,161.74,34
HCPCS,L3150,"Foot, abduction rotation bar, without shoes ",,,95.55,147.85,34
HCPCS,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,59.73,92.42,34
HCPCS,L3224,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,64.19,99.33,34
HCPCS,L3225,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,73.84,114.26,34
HCPCS,L3300,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,61.19,94.68,34
HCPCS,L3310,"Lift, elevation, heel and sole, neoprene, per inch ",,,95.55,147.85,34
HCPCS,L3330,"Lift, elevation, metal extension (skate) ",,,664.32,1027.94,34
HCPCS,L3332,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,86.58,133.98,34
HCPCS,L3334,"Lift, elevation, heel, per inch ",,,44.77,69.28,34
HCPCS,L3340,"Heel wedge, sach ",,,100.06,154.84,34
HCPCS,L3350,Heel wedge ,,,26.85,41.54,34
HCPCS,L3360,"Sole wedge, outside sole ",,,41.8,64.68,34
HCPCS,L3370,"Sole wedge, between sole ",,,58.23,90.11,34
HCPCS,L3380,Clubfoot wedge ,,,58.23,90.11,34
HCPCS,L3390,Outflare wedge ,,,58.23,90.11,34
HCPCS,L3400,"Metatarsal bar wedge, rocker ",,,47.79,73.96,34
HCPCS,L3410,"Metatarsal bar wedge, between sole ",,,109.0,168.67,34
HCPCS,L3420,"Full sole and heel wedge, between sole ",,,64.17,99.3,34
HCPCS,L3430,"Heel, counter, plastic reinforced ",,,188.1,291.06,34
HCPCS,L3440,"Heel, counter, leather reinforced ",,,89.59,138.64,34
HCPCS,L3450,"Heel, sach cushion type ",,,123.88,191.69,34
HCPCS,L3455,"Heel, new leather, standard ",,,47.79,73.96,34
HCPCS,L3460,"Heel, new rubber, standard ",,,40.29,62.34,34
HCPCS,L3465,"Heel, thomas with wedge ",,,68.67,106.25,34
HCPCS,L3470,"Heel, thomas extended to ball ",,,73.14,113.18,34
HCPCS,L3480,"Heel, pad and depression for spur ",,,73.14,113.18,34
HCPCS,L3500,"Orthopedic shoe addition, insole, leather ",,,34.37,53.18,34
HCPCS,L3510,"Orthopedic shoe addition, insole, rubber ",,,34.37,53.18,34
HCPCS,L3520,"Orthopedic shoe addition, insole, felt covered with leather ",,,37.32,57.74,34
HCPCS,L3530,"Orthopedic shoe addition, sole, half ",,,37.32,57.74,34
HCPCS,L3540,"Orthopedic shoe addition, sole, full ",,,59.73,92.42,34
HCPCS,L3550,"Orthopedic shoe addition, toe tap standard ",,,10.47,16.2,34
HCPCS,L3560,"Orthopedic shoe addition, toe tap, horseshoe ",,,26.85,41.54,34
HCPCS,L3570,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,100.06,154.84,34
HCPCS,L3580,"Orthopedic shoe addition, convert instep to velcro closure ",,,76.13,117.81,34
HCPCS,L3590,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,62.71,97.03,34
HCPCS,L3595,"Orthopedic shoe addition, march bar ",,,49.26,76.22,34
HCPCS,L3600,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,89.59,138.64,34
HCPCS,L3610,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,117.91,182.46,34
HCPCS,L3620,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,89.59,138.64,34
HCPCS,L3630,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,117.91,182.46,34
HCPCS,L3640,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,50.74,78.51,34
HCPCS,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,63.94,98.95,34
HCPCS,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,109.79,169.89,34
HCPCS,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,153.03,236.79,34
HCPCS,L3671,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,962.58,1489.46,34
HCPCS,L3674,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1262.77,1953.97,34
HCPCS,L3675,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,187.47,290.09,34
HCPCS,L3702,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,308.48,477.34,34
HCPCS,L3710,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,154.91,239.7,34
HCPCS,L3720,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,772.73,1195.7,34
HCPCS,L3730,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1017.21,1574.0,34
HCPCS,L3740,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1143.19,1768.94,34
HCPCS,L3760,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,534.23,826.65,34
HCPCS,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,534.23,826.65,34
HCPCS,L3762,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,114.88,177.77,34
HCPCS,L3763,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,848.17,1312.43,34
HCPCS,L3764,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,845.86,1308.86,34
HCPCS,L3765,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1369.81,2119.59,34
HCPCS,L3766,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1450.55,2244.53,34
HCPCS,L3806,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,485.26,750.88,34
HCPCS,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,267.13,413.35,34
HCPCS,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,356.81,552.12,34
HCPCS,L3809,BRACE ORTHO WHOF,1775.0,1775.0,326.78,1775.0,26
HCPCS,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",1775.0,1775.0,267.13,413.35,34
HCPCS,L3900,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1668.87,2582.35,34
HCPCS,L3901,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1871.23,2895.49,34
HCPCS,L3904,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3809.32,5894.42,34
HCPCS,L3905,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1059.45,1639.36,34
HCPCS,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,450.66,697.34,34
HCPCS,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,64.0,99.03,34
HCPCS,L3912,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,102.67,158.86,34
HCPCS,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,289.35,447.73,34
HCPCS,L3915,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,567.89,878.74,34
HCPCS,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,567.89,878.74,34
HCPCS,L3917,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,112.85,174.62,34
HCPCS,L3918,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,112.85,174.62,34
HCPCS,L3919,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,289.35,447.73,34
HCPCS,L3921,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,343.12,530.93,34
HCPCS,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,92.92,143.78,34
HCPCS,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,92.92,143.78,34
HCPCS,L3925,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,56.42,87.3,34
HCPCS,L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,37.37,57.83,34
HCPCS,L3929,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,89.94,139.16,34
HCPCS,L3930,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,89.94,139.16,34
HCPCS,L3931,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,217.56,336.64,34
HCPCS,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,227.92,352.68,34
HCPCS,L3935,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,236.05,365.25,34
HCPCS,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,880.56,1362.56,34
HCPCS,L3961,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1794.86,2777.32,34
HCPCS,L3962,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,916.86,1418.73,34
HCPCS,L3967,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2119.13,3279.07,34
HCPCS,L3971,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2011.5,3112.53,34
HCPCS,L3973,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2119.13,3279.07,34
HCPCS,L3975,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1794.86,2777.32,34
HCPCS,L3976,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,1794.86,2777.32,34
HCPCS,L3977,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2011.5,3112.53,34
HCPCS,L3978,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2119.13,3279.07,34
HCPCS,L3980,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,330.25,511.02,34
HCPCS,L3981,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1075.31,1663.89,34
HCPCS,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,408.01,631.34,34
HCPCS,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,435.52,673.91,34
HCPCS,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each ",470.0,470.0,36.53,56.52,34
HCPCS,L3995,SOCK PROS UPPER EXTRM,470.0,470.0,86.53,470.0,26
HCPCS,L4000,Replace girdle for spinal orthosis (ctlso or so) ,,,1424.12,2203.63,34
HCPCS,L4010,Replace trilateral socket brim ,,,801.4,1240.06,34
HCPCS,L4020,"Replace quadrilateral socket brim, molded to patient model ",,,1001.02,1548.95,34
HCPCS,L4030,"Replace quadrilateral socket brim, custom fitted ",,,551.16,852.85,34
HCPCS,L4040,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,445.62,689.53,34
HCPCS,L4045,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,358.09,554.1,34
HCPCS,L4050,"Replace molded calf lacer, for custom fabricated orthosis only ",,,450.68,697.37,34
HCPCS,L4055,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,291.84,451.58,34
HCPCS,L4060,Replace high roll cuff ,,,346.93,536.83,34
HCPCS,L4070,Replace proximal and distal upright for kafo ,,,330.98,512.15,34
HCPCS,L4080,"Replace metal bands kafo, proximal thigh ",,,116.69,180.56,34
HCPCS,L4090,"Replace metal bands kafo-afo, calf or distal thigh ",,,103.28,159.82,34
HCPCS,L4100,"Replace leather cuff kafo, proximal thigh ",,,116.5,180.27,34
HCPCS,L4110,"Replace leather cuff kafo-afo, calf or distal thigh ",,,92.58,143.25,34
HCPCS,L4130,Replace pretibial shell ,,,637.15,985.9,34
HCPCS,L4205,"Repair of orthotic device, labor component, per 15 minutes ",,,28.45,44.03,34
HCPCS,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,114.79,177.62,34
HCPCS,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,321.16,496.95,34
HCPCS,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,321.16,496.95,34
HCPCS,L4370,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,206.09,318.9,34
HCPCS,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,186.1,287.96,34
HCPCS,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,186.1,287.96,34
HCPCS,L4392,"Replacement, soft interface material, static afo ",,,27.64,42.78,34
HCPCS,L4394,"Replace soft interface material, foot drop splint ",,,20.18,31.22,34
HCPCS,L4396,BOOT UNIV ANKL,1336.0,1336.0,245.96,1336.0,26
HCPCS,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",1336.0,1336.0,197.04,304.89,34
HCPCS,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,197.04,304.89,34
HCPCS,L4398,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,90.68,140.31,34
HCPCS,L4631,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1751.74,2710.59,34
HCPCS,L5000,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,615.5,952.41,34
HCPCS,L5010,"Partial foot, molded socket, ankle height, with toe filler ",,,1486.59,2300.3,34
HCPCS,L5020,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,2524.53,3906.38,34
HCPCS,L5050,"Ankle, symes, molded socket, sach foot ",,,2792.59,4321.17,34
HCPCS,L5060,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,3212.31,4970.63,34
HCPCS,L5100,"Below knee, molded socket, shin, sach foot ",,,2798.76,4330.71,34
HCPCS,L5105,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4040.32,6251.87,34
HCPCS,L5150,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,4084.22,6319.79,34
HCPCS,L5160,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,4442.31,6873.9,34
HCPCS,L5200,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,4254.16,6582.75,34
HCPCS,L5210,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,2822.19,4366.97,34
HCPCS,L5220,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,3207.94,4963.87,34
HCPCS,L5230,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,4424.38,6846.14,34
HCPCS,L5250,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,6034.47,9337.54,34
HCPCS,L5270,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,6007.7,9296.12,34
HCPCS,L5280,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,5961.69,9224.93,34
HCPCS,L5301,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3199.17,4950.3,34
HCPCS,L5312,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4579.4,7086.02,34
HCPCS,L5321,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,4637.27,7175.57,34
HCPCS,L5331,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,5908.84,9143.15,34
HCPCS,L5341,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,6151.14,9518.07,34
HCPCS,L5400,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",6023.0,6023.0,1583.86,2450.81,34
HCPCS,L5400,PROSTH KNEE IMDT POST OP,6023.0,6023.0,1108.83,6023.0,26
HCPCS,L5410,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,485.93,751.92,34
HCPCS,L5420,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,1940.96,3003.39,34
HCPCS,L5430,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,585.27,905.62,34
HCPCS,L5450,DRSG NWGHT BEAR RGD BKN,4426.0,4426.0,814.83,4426.0,26
HCPCS,L5450,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,476.13,736.75,34
HCPCS,L5450,PROSTH POST OP IMDT APPL,2817.0,2817.0,518.61,2817.0,26
HCPCS,L5460,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,634.36,981.59,34
HCPCS,L5500,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1493.71,2311.33,34
HCPCS,L5505,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,2065.87,3196.66,34
HCPCS,L5510,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,1693.22,2620.04,34
HCPCS,L5520,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,1672.5,2587.98,34
HCPCS,L5530,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2008.83,3108.4,34
HCPCS,L5535,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,1972.29,3051.85,34
HCPCS,L5540,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2105.04,3257.27,34
HCPCS,L5560,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2260.46,3497.76,34
HCPCS,L5570,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2350.07,3636.43,34
HCPCS,L5580,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2743.54,4245.27,34
HCPCS,L5585,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3376.38,5224.5,34
HCPCS,L5590,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,2795.86,4326.22,34
HCPCS,L5595,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,4939.27,7642.87,34
HCPCS,L5600,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5309.48,8215.73,34
HCPCS,L5610,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,2407.93,3725.95,34
HCPCS,L5611,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,1873.85,2899.53,34
HCPCS,L5613,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,2929.71,4533.35,34
HCPCS,L5614,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,1984.67,3071.02,34
HCPCS,L5615,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,6499.85,10057.67,34
HCPCS,L5616,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,1583.19,2449.78,34
HCPCS,L5617,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,658.06,1018.25,34
HCPCS,L5618,"Addition to lower extremity, test socket, symes ",,,348.14,538.7,34
HCPCS,L5620,"Addition to lower extremity, test socket, below knee ",,,323.34,500.33,34
HCPCS,L5622,"Addition to lower extremity, test socket, knee disarticulation ",,,421.63,652.42,34
HCPCS,L5624,"Addition to lower extremity, test socket, above knee ",,,422.83,654.27,34
HCPCS,L5626,"Addition to lower extremity, test socket, hip disarticulation ",,,554.51,858.04,34
HCPCS,L5628,"Addition to lower extremity, test socket, hemipelvectomy ",,,592.92,917.47,34
HCPCS,L5629,"Addition to lower extremity, below knee, acrylic socket ",,,369.61,571.92,34
HCPCS,L5630,"Addition to lower extremity, symes type, expandable wall socket ",,,521.97,807.68,34
HCPCS,L5631,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,511.01,790.73,34
HCPCS,L5632,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,285.2,441.31,34
HCPCS,L5634,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,353.78,547.43,34
HCPCS,L5636,"Addition to lower extremity, symes type, medial opening socket ",,,296.34,458.55,34
HCPCS,L5637,"Addition to lower extremity, below knee, total contact ",,,335.99,519.89,34
HCPCS,L5638,"Addition to lower extremity, below knee, leather socket ",,,585.28,905.64,34
HCPCS,L5639,"Addition to lower extremity, below knee, wood socket ",,,1303.97,2017.72,34
HCPCS,L5640,"Addition to lower extremity, knee disarticulation, leather socket ",,,743.69,1150.76,34
HCPCS,L5642,"Addition to lower extremity, above knee, leather socket ",,,720.57,1114.99,34
HCPCS,L5643,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,1810.19,2801.03,34
HCPCS,L5644,"Addition to lower extremity, above knee, wood socket ",,,686.94,1062.94,34
HCPCS,L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,927.97,1435.91,34
HCPCS,L5646,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,637.23,986.03,34
HCPCS,L5647,"Addition to lower extremity, below knee suction socket ",,,925.15,1431.54,34
HCPCS,L5648,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,765.71,1184.83,34
HCPCS,L5649,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,2774.62,4293.36,34
HCPCS,L5650,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,567.78,878.56,34
HCPCS,L5651,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,1396.71,2161.22,34
HCPCS,L5652,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,507.06,784.61,34
HCPCS,L5653,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,676.88,1047.39,34
HCPCS,L5654,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,385.72,596.85,34
HCPCS,L5655,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,326.88,505.8,34
HCPCS,L5656,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,438.49,678.51,34
HCPCS,L5657,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,291.0,450.29,34
HCPCS,L5658,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,422.87,654.34,34
HCPCS,L5661,"Addition to lower extremity, socket insert, multi-durometer symes ",,,707.76,1095.16,34
HCPCS,L5665,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,595.5,921.45,34
HCPCS,L5666,AD LWR EXTRM CUFFSUSP BK,902.0,902.0,166.06,902.0,26
HCPCS,L5666,"Addition to lower extremity, below knee, cuff suspension ",902.0,902.0,81.41,125.96,34
HCPCS,L5668,"Addition  to lower extremity, below knee, molded distal cushion ",,,131.32,203.2,34
HCPCS,L5670,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,315.59,488.33,34
HCPCS,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,668.78,1034.85,34
HCPCS,L5672,"Addition to lower extremity, below knee, removable medial brim suspension ",,,346.81,536.64,34
HCPCS,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,826.98,1279.65,34
HCPCS,L5676,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,421.45,652.14,34
HCPCS,L5677,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,573.44,887.32,34
HCPCS,L5678,"Additions to lower extremity, below knee, joint covers, pair ",,,46.18,71.46,34
HCPCS,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,689.12,1066.32,34
HCPCS,L5680,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,385.48,596.48,34
HCPCS,L5681,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1547.08,2393.91,34
HCPCS,L5682,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,727.35,1125.48,34
HCPCS,L5683,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1547.08,2393.91,34
HCPCS,L5684,"Addition to lower extremity, below knee, fork strap ",,,55.98,86.63,34
HCPCS,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,150.64,233.1,34
HCPCS,L5686,"Addition to lower extremity, below knee, back check (extension control) ",,,59.42,91.95,34
HCPCS,L5688,"Addition to lower extremity, below knee, waist belt, webbing ",,,71.04,109.93,34
HCPCS,L5690,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,113.81,176.11,34
HCPCS,L5692,"Addition to lower extremity, above knee, pelvic control belt, light ",,,154.54,239.12,34
HCPCS,L5694,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,210.99,326.49,34
HCPCS,L5695,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,194.76,301.36,34
HCPCS,L5696,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,215.18,332.97,34
HCPCS,L5697,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,93.37,144.47,34
HCPCS,L5698,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,152.66,236.23,34
HCPCS,L5699,"All lower extremity prostheses, shoulder harness ",,,275.03,425.58,34
HCPCS,L5700,"Replacement, socket, below knee, molded to patient model ",,,3332.31,5156.32,34
HCPCS,L5701,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4001.87,6192.36,34
HCPCS,L5702,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5062.93,7834.22,34
HCPCS,L5703,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,2620.13,4054.3,34
HCPCS,L5704,"Custom shaped protective cover, below knee ",,,623.41,964.64,34
HCPCS,L5705,"Custom shaped protective cover, above knee ",,,1113.92,1723.65,34
HCPCS,L5706,"Custom shaped protective cover, knee disarticulation ",,,1091.92,1689.6,34
HCPCS,L5707,"Custom shaped protective cover, hip disarticulation ",,,1439.52,2227.46,34
HCPCS,L5710,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,434.97,673.05,34
HCPCS,L5711,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,607.89,940.62,34
HCPCS,L5712,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,509.34,788.14,34
HCPCS,L5714,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,523.17,809.54,34
HCPCS,L5716,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,847.67,1311.65,34
HCPCS,L5718,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1059.5,1639.43,34
HCPCS,L5722,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1119.31,1731.98,34
HCPCS,L5724,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,1755.51,2716.41,34
HCPCS,L5726,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,2023.18,3130.6,34
HCPCS,L5728,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,2767.44,4282.24,34
HCPCS,L5780,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1331.57,2060.43,34
HCPCS,L5781,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,4705.9,7281.76,34
HCPCS,L5782,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,4961.1,7676.65,34
HCPCS,L5783,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,2992.57,4630.6,34
HCPCS,L5785,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,748.5,1158.21,34
HCPCS,L5790,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,836.25,1293.98,34
HCPCS,L5795,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1664.98,2576.34,34
HCPCS,L5810,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,566.24,876.18,34
HCPCS,L5811,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,848.22,1312.5,34
HCPCS,L5812,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,657.46,1017.33,34
HCPCS,L5814,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,4368.0,6758.9,34
HCPCS,L5816,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,995.07,1539.74,34
HCPCS,L5818,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1116.89,1728.23,34
HCPCS,L5822,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1980.53,3064.61,34
HCPCS,L5824,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,1783.59,2759.87,34
HCPCS,L5826,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,3672.91,5683.34,34
HCPCS,L5827,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,6657.13,10301.02,34
HCPCS,L5828,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3284.33,5082.07,34
HCPCS,L5830,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2206.9,3414.88,34
HCPCS,L5840,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4080.55,6314.12,34
HCPCS,L5841,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,2726.95,4219.59,34
HCPCS,L5845,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2108.1,3262.0,34
HCPCS,L5848,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1264.7,1956.95,34
HCPCS,L5850,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,148.78,230.22,34
HCPCS,L5855,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,399.79,618.62,34
HCPCS,L5856,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,28234.0,43688.4,34
HCPCS,L5857,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,10018.42,15502.18,34
HCPCS,L5858,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,21858.55,33823.23,34
HCPCS,L5859,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,17064.85,26405.61,34
HCPCS,L5910,"Addition, endoskeletal system, below knee, alignable system ",,,421.22,651.78,34
HCPCS,L5920,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,617.1,954.88,34
HCPCS,L5925,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,521.06,806.27,34
HCPCS,L5926,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,662.54,1025.19,34
HCPCS,L5930,"Addition, endoskeletal system, high activity knee control frame ",,,3958.72,6125.59,34
HCPCS,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,583.39,902.73,34
HCPCS,L5950,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,912.17,1411.46,34
HCPCS,L5960,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1121.21,1734.92,34
HCPCS,L5961,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,5346.41,8272.87,34
HCPCS,L5962,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,737.88,1141.78,34
HCPCS,L5964,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1089.21,1685.41,34
HCPCS,L5966,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1387.92,2147.63,34
HCPCS,L5968,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4273.96,6613.4,34
HCPCS,L5970,"All lower extremity prostheses, foot, external keel, sach foot ",,,236.2,365.49,34
HCPCS,L5971,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,236.2,365.49,34
HCPCS,L5972,"All lower extremity prostheses, foot, flexible keel ",,,441.22,682.73,34
HCPCS,L5973,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,20234.9,31310.85,34
HCPCS,L5974,"All lower extremity prostheses, foot, single axis ankle/foot ",,,271.03,419.38,34
HCPCS,L5975,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,545.28,843.75,34
HCPCS,L5976,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,651.33,1007.85,34
HCPCS,L5978,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,339.41,525.19,34
HCPCS,L5979,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,2653.77,4106.36,34
HCPCS,L5980,"All lower extremity prostheses, flex foot system ",,,4312.19,6672.55,34
HCPCS,L5981,"All lower extremity prostheses, flex-walk system or equal ",,,3483.67,5390.52,34
HCPCS,L5982,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,672.36,1040.39,34
HCPCS,L5984,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,662.54,1025.19,34
HCPCS,L5985,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,332.1,513.88,34
HCPCS,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,737.0,1140.41,34
HCPCS,L5987,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,8460.77,13091.92,34
HCPCS,L5988,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2349.53,3635.59,34
HCPCS,L5990,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2133.74,3301.68,34
HCPCS,L5991,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,11167.25,17279.85,34
HCPCS,L5992,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,120.75,186.85,34
HCPCS,L6026,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5813.92,8996.28,34
HCPCS,L6028,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,1641.36,2539.79,34
HCPCS,L6029,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,269.83,417.52,34
HCPCS,L6030,"Upper extremity addition, external frame, partial hand including fingers ",,,670.85,1038.06,34
HCPCS,L6031,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1522.75,2356.25,34
HCPCS,L6032,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,360.49,557.81,34
HCPCS,L6033,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,433.14,670.23,34
HCPCS,L6034,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,325.96,504.39,34
HCPCS,L6035,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1408.1,2178.85,34
HCPCS,L6036,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1408.1,2178.85,34
HCPCS,L6037,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1420.58,2198.16,34
HCPCS,L6038,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,322.52,499.06,34
HCPCS,L6039,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2070.82,3204.32,34
HCPCS,L6050,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,2209.32,3418.63,34
HCPCS,L6055,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3079.24,4764.71,34
HCPCS,L6100,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,2238.38,3463.6,34
HCPCS,L6110,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,2374.18,3673.74,34
HCPCS,L6120,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,2766.77,4281.21,34
HCPCS,L6130,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3010.76,4658.75,34
HCPCS,L6200,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,3172.86,4909.58,34
HCPCS,L6205,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4235.26,6553.51,34
HCPCS,L6250,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,3324.42,5144.1,34
HCPCS,L6300,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,4333.04,6704.8,34
HCPCS,L6310,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,3741.39,5789.3,34
HCPCS,L6320,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2043.82,3162.54,34
HCPCS,L6350,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,4555.53,7049.08,34
HCPCS,L6360,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4096.96,6339.51,34
HCPCS,L6370,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2451.5,3793.38,34
HCPCS,L6380,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1420.58,2198.16,34
HCPCS,L6382,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2137.21,3307.04,34
HCPCS,L6384,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,2956.61,4574.96,34
HCPCS,L6386,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,467.06,722.71,34
HCPCS,L6388,"Immediate post surgical or early fitting, application of rigid dressing only ",,,511.3,791.17,34
HCPCS,L6400,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,2698.7,4175.89,34
HCPCS,L6450,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3605.42,5578.91,34
HCPCS,L6500,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3771.97,5836.64,34
HCPCS,L6550,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4533.98,7015.74,34
HCPCS,L6570,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5090.45,7876.8,34
HCPCS,L6580,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,1943.43,3007.21,34
HCPCS,L6582,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,1760.23,2723.72,34
HCPCS,L6584,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2760.5,4271.51,34
HCPCS,L6586,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2583.37,3997.43,34
HCPCS,L6588,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,3394.49,5252.53,34
HCPCS,L6590,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3224.23,4989.08,34
HCPCS,L6600,"Upper extremity additions, polycentric hinge, pair ",,,218.16,337.57,34
HCPCS,L6605,"Upper extremity additions, single pivot hinge, pair ",,,215.41,333.32,34
HCPCS,L6610,"Upper extremity additions, flexible metal hinge, pair ",,,206.85,320.08,34
HCPCS,L6611,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,484.21,749.26,34
HCPCS,L6615,"Upper extremity addition, disconnect locking wrist unit ",,,222.88,344.88,34
HCPCS,L6616,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,82.58,127.79,34
HCPCS,L6620,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,356.62,551.82,34
HCPCS,L6621,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,2690.12,4162.61,34
HCPCS,L6623,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,994.73,1539.21,34
HCPCS,L6624,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,4429.37,6853.86,34
HCPCS,L6625,"Upper extremity addition, rotation wrist unit with cable lock ",,,706.75,1093.61,34
HCPCS,L6628,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,557.16,862.13,34
HCPCS,L6629,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,170.15,263.29,34
HCPCS,L6630,"Upper extremity addition, stainless steel, any wrist ",,,250.66,387.86,34
HCPCS,L6632,"Upper extremity addition, latex suspension sleeve, each ",,,87.06,134.71,34
HCPCS,L6635,"Upper extremity addition, lift assist for elbow ",,,204.85,316.98,34
HCPCS,L6637,"Upper extremity addition, nudge control elbow lock ",,,436.92,676.08,34
HCPCS,L6638,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,2941.18,4551.09,34
HCPCS,L6640,"Upper extremity additions, shoulder abduction joint, pair ",,,388.16,600.63,34
HCPCS,L6641,"Upper extremity addition, excursion amplifier, pulley type ",,,186.58,288.71,34
HCPCS,L6642,"Upper extremity addition, excursion amplifier, lever type ",,,252.9,391.33,34
HCPCS,L6645,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,466.8,722.31,34
HCPCS,L6646,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,3709.5,5739.97,34
HCPCS,L6647,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,610.69,944.96,34
HCPCS,L6648,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,3825.8,5919.93,34
HCPCS,L6650,"Upper extremity addition, shoulder universal joint, each ",,,484.65,749.94,34
HCPCS,L6655,"Upper extremity addition, standard control cable, extra ",,,95.25,147.38,34
HCPCS,L6660,"Upper extremity addition, heavy duty control cable ",,,106.75,165.18,34
HCPCS,L6665,"Upper extremity addition, teflon, or equal, cable lining ",,,53.56,82.88,34
HCPCS,L6670,"Upper extremity addition, hook to hand, cable adapter ",,,59.22,91.64,34
HCPCS,L6672,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,235.02,363.66,34
HCPCS,L6675,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,139.67,216.12,34
HCPCS,L6676,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,161.45,249.83,34
HCPCS,L6677,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,348.94,539.93,34
HCPCS,L6680,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,269.83,417.52,34
HCPCS,L6682,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,298.34,461.64,34
HCPCS,L6684,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,405.4,627.31,34
HCPCS,L6686,"Upper extremity addition, suction socket ",,,915.49,1416.59,34
HCPCS,L6687,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,670.85,1038.06,34
HCPCS,L6688,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,666.8,1031.78,34
HCPCS,L6689,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,798.91,1236.21,34
HCPCS,L6690,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,870.59,1347.12,34
HCPCS,L6691,"Upper extremity addition, removable insert, each ",,,402.94,623.5,34
HCPCS,L6692,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,650.4,1006.41,34
HCPCS,L6693,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3338.99,5166.65,34
HCPCS,L6694,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,826.98,1279.65,34
HCPCS,L6695,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,689.12,1066.32,34
HCPCS,L6696,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1547.08,2393.91,34
HCPCS,L6697,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1547.08,2393.91,34
HCPCS,L6698,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,668.78,1034.85,34
HCPCS,L6700,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,28034.69,43379.99,34
HCPCS,L6703,"Terminal device, passive hand/mitt, any material, any size ",,,422.82,654.25,34
HCPCS,L6704,"Terminal device, sport/recreational/work attachment, any material, any size ",,,681.11,1053.93,34
HCPCS,L6706,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,405.8,627.93,34
HCPCS,L6707,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1495.75,2314.47,34
HCPCS,L6708,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,977.81,1513.03,34
HCPCS,L6709,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1409.06,2180.33,34
HCPCS,L6711,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,790.71,1223.53,34
HCPCS,L6712,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1455.89,2252.8,34
HCPCS,L6713,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,1837.42,2843.17,34
HCPCS,L6714,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1556.36,2408.26,34
HCPCS,L6715,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,3713.21,5745.7,34
HCPCS,L6721,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,2766.23,4280.38,34
HCPCS,L6722,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2384.68,3689.98,34
HCPCS,L6805,"Addition to terminal device, modifier wrist unit ",,,395.7,612.3,34
HCPCS,L6810,"Addition to terminal device, precision pinch device ",,,224.28,347.04,34
HCPCS,L6880,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,28100.72,43482.16,34
HCPCS,L6881,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,4808.26,7440.16,34
HCPCS,L6882,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,3647.36,5643.82,34
HCPCS,L6883,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,1845.59,2855.81,34
HCPCS,L6884,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,2739.27,4238.66,34
HCPCS,L6885,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4096.96,6339.51,34
HCPCS,L6890,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,197.82,306.1,34
HCPCS,L6895,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,727.72,1126.05,34
HCPCS,L6900,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2076.72,3213.45,34
HCPCS,L6905,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,2064.92,3195.19,34
HCPCS,L6910,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1765.71,2732.2,34
HCPCS,L6915,"Hand restoration (shading, and measurements included), replacement glove for above ",,,890.25,1377.54,34
HCPCS,L6920,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,7761.78,12010.33,34
HCPCS,L6925,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10448.67,16167.94,34
HCPCS,L6930,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,7809.91,12084.81,34
HCPCS,L6935,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,10610.83,16418.87,34
HCPCS,L6940,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,10204.14,15789.56,34
HCPCS,L6945,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,12468.27,19293.01,34
HCPCS,L6950,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,11598.45,17947.08,34
HCPCS,L6955,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,13890.71,21494.05,34
HCPCS,L6960,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,15734.76,24347.46,34
HCPCS,L6965,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,16781.65,25967.4,34
HCPCS,L6970,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,17486.74,27058.44,34
HCPCS,L6975,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,19124.92,29593.31,34
HCPCS,L7007,"Electric hand, switch or myoelectric controlled, adult ",,,4002.08,6192.7,34
HCPCS,L7008,"Electric hand, switch or myoelectric, controlled, pediatric ",,,6298.85,9746.64,34
HCPCS,L7009,"Electric hook, switch or myoelectric controlled, adult ",,,4083.38,6318.5,34
HCPCS,L7040,"Prehensile actuator, switch controlled ",,,3278.8,5073.51,34
HCPCS,L7045,"Electric hook, switch or myoelectric controlled, pediatric ",,,1879.85,2908.82,34
HCPCS,L7170,"Electronic elbow, hosmer or equal, switch controlled ",,,8655.52,13393.27,34
HCPCS,L7180,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,37992.97,58789.12,34
HCPCS,L7181,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,47125.13,72919.94,34
HCPCS,L7185,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,8547.45,13226.06,34
HCPCS,L7186,"Electronic elbow, child, variety village or equal, switch controlled ",,,10287.65,15918.78,34
HCPCS,L7190,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,8977.75,13891.88,34
HCPCS,L7191,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,10750.01,16634.23,34
HCPCS,L7259,"Electronic wrist rotator, any type ",,,3716.96,5751.51,34
HCPCS,L7360,"Six volt battery, each ",,,277.52,429.43,34
HCPCS,L7362,"Battery charger, six volt, each ",,,291.39,450.89,34
HCPCS,L7364,"Twelve volt battery, each ",,,463.45,717.12,34
HCPCS,L7366,"Battery charger, twelve volt, each ",,,624.27,965.98,34
HCPCS,L7367,"Lithium ion battery, rechargeable, replacement ",,,457.87,708.5,34
HCPCS,L7368,"Lithium ion battery charger, replacement only ",,,593.59,918.5,34
HCPCS,L7400,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,360.49,557.81,34
HCPCS,L7401,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,403.57,624.47,34
HCPCS,L7402,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,435.76,674.29,34
HCPCS,L7403,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,433.14,670.23,34
HCPCS,L7404,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,653.67,1011.46,34
HCPCS,L7405,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,854.94,1322.91,34
HCPCS,L7406,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,2992.57,4630.6,34
HCPCS,L7520,"Repair prosthetic device, labor component, per 15 minutes ",,,38.64,59.78,34
HCPCS,L7700,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,131.26,203.11,34
HCPCS,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,51.16,79.16,34
HCPCS,L8001,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,147.52,228.26,34
HCPCS,L8002,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,194.07,300.29,34
HCPCS,L8015,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,70.48,109.06,34
HCPCS,L8020,"Breast prosthesis, mastectomy form ",,,265.15,410.29,34
HCPCS,L8030,"Breast prosthesis, silicone or equal, without integral adhesive ",,,383.53,593.47,34
HCPCS,L8031,"Breast prosthesis, silicone or equal, with integral adhesive ",,,383.53,593.47,34
HCPCS,L8032,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,46.07,71.28,34
HCPCS,L8035,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4308.88,6667.42,34
HCPCS,L8040,"Nasal prosthesis, provided by a non-physician ",,,2842.9,4399.02,34
HCPCS,L8041,"Midfacial prosthesis, provided by a non-physician ",,,3426.59,5302.2,34
HCPCS,L8042,"Orbital prosthesis, provided by a non-physician ",,,3850.06,5957.47,34
HCPCS,L8043,"Upper facial prosthesis, provided by a non-physician ",,,4312.1,6672.4,34
HCPCS,L8044,"Hemi-facial prosthesis, provided by a non-physician ",,,4774.08,7387.26,34
HCPCS,L8045,"Auricular prosthesis, provided by a non-physician ",,,2989.67,4626.12,34
HCPCS,L8046,"Partial facial prosthesis, provided by a non-physician ",,,3080.07,4766.0,34
HCPCS,L8047,"Nasal septal prosthesis, provided by a non-physician ",,,1578.51,2442.54,34
HCPCS,L8300,"Truss, single with standard pad ",,,113.28,175.28,34
HCPCS,L8310,"Truss, double with standard pads ",,,174.16,269.5,34
HCPCS,L8320,"Truss, addition to standard pad, water pad ",,,76.07,117.7,34
HCPCS,L8330,"Truss, addition to standard pad, scrotal pad ",,,75.41,116.69,34
HCPCS,L8400,"Prosthetic sheath, below knee, each ",,,22.05,34.12,34
HCPCS,L8410,"Prosthetic sheath, above knee, each ",,,25.08,38.81,34
HCPCS,L8415,"Prosthetic sheath, upper limb, each ",,,24.93,38.57,34
HCPCS,L8417,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,88.44,136.86,34
HCPCS,L8420,BRACE PROS SOCK BELOW KN,470.0,470.0,86.53,470.0,26
HCPCS,L8420,"Prosthetic sock, multiple ply, below knee, each ",,,29.14,45.08,34
HCPCS,L8420,SOCK MLTPLTRANS TBL STMP,376.0,376.0,69.22,376.0,26
HCPCS,L8430,BRACE PROSTHETIC SOCK,470.0,470.0,86.53,470.0,26
HCPCS,L8430,"Prosthetic sock, multiple ply, above knee, each ",,,32.06,49.61,34
HCPCS,L8430,SOCK MLTPLTRANS FEM STMP,376.0,376.0,69.22,376.0,26
HCPCS,L8435,"Prosthetic sock, multiple ply, upper limb, each ",,,28.76,44.5,34
HCPCS,L8440,"Prosthetic shrinker, below knee, each ",,,60.97,94.34,34
HCPCS,L8440,SOCK PROSTH BLW KN SHRNK,848.0,848.0,156.12,848.0,26
HCPCS,L8440,STUMP SHRINKER PROSTHES,470.0,470.0,86.53,470.0,26
HCPCS,L8440,STUMP SHRINKER TRANS TIB,376.0,376.0,69.22,376.0,26
HCPCS,L8460,"Prosthetic shrinker, above knee, each ",376.0,376.0,84.86,131.32,34
HCPCS,L8460,STUMP SHRNK PSTOP TRNFEM,376.0,376.0,69.22,376.0,26
HCPCS,L8465,"Prosthetic shrinker, upper limb, each ",,,75.64,117.04,34
HCPCS,L8470,"Prosthetic sock, single ply, fitting, below knee, each ",124.0,124.0,7.76,12.01,34
HCPCS,L8470,SOCK 1 PLY FOR PROSTHESI,124.0,124.0,22.83,124.0,26
HCPCS,L8480,"Prosthetic sock, single ply, fitting, above knee, each ",,,10.71,16.57,34
HCPCS,L8485,"Prosthetic sock, single ply, fitting, upper limb, each ",,,12.94,20.02,34
HCPCS,L8500,"Artificial larynx, any type ",,,767.55,1187.69,34
HCPCS,L8501,Tracheostomy speaking valve ,,,170.45,263.75,34
HCPCS,L8501,VALVE SPEAK 15MM 22MM,773.0,773.0,142.31,773.0,26
HCPCS,L8501,VALVE SPEAK 15MM 23MM,773.0,773.0,142.31,773.0,26
HCPCS,L8507,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,49.27,76.23,34
HCPCS,L8509,PROS VC 16FR 20MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROS VOICE 16FR 10MM,2455.5,2455.5,452.06,2455.5,26
HCPCS,L8509,PROS VOICE 17FR 10MM,3189.0,3189.0,587.09,3189.0,52
HCPCS,L8509,PROS VOICE 17FR 12.5MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROS VOICE 17FR 4MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROS VOICE 17FR 6MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROS VOICE 17FR 8MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROS VOICE 20FR 10MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROS VOICE 20FR 4MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROS VOICE 20FR 6MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROST VOICE 16FR 10MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROST VOICE 16FR 18MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROST VOICE 16FR 8MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROST VOICE 17FR 6MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROST VOICE 17FR 8MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROST VOICE 20FR 12.5MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROST VOICE 20FR 15MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROSTH VOICE 20FR 8MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROSTHESIS VC 16F 16MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROSTHESIS VOICE 20FR,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROSTHESIS VOICE 8MM,5736.0,5736.0,1056.0,5736.0,26
HCPCS,L8509,PROTH VOICE 17 FR 15 MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROTH VOICE 20FR 6MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,PROTH VOICE 20FR 8MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8509,SET VOICE PROS 17F 10MM,3591.0,3591.0,661.1,3591.0,26
HCPCS,L8509,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,128.46,198.77,34
HCPCS,L8510,Voice amplifier ,,,297.22,459.9,34
HCPCS,L8511,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,85.55,132.37,34
HCPCS,L8512,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.56,3.97,34
HCPCS,L8513,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,6.15,9.51,34
HCPCS,L8514,"Tracheoesophageal puncture dilator, replacement only, each ",,,110.9,171.61,34
HCPCS,L8515,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,74.23,114.87,34
HCPCS,L8600,"Implantable breast prosthesis, silicone or equal ",,,726.25,1123.77,34
HCPCS,L8603,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,510.06,789.26,34
HCPCS,L8605,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,842.4,2784.46,49
HCPCS,L8606,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",4651.0,4651.0,267.75,414.3,34
HCPCS,L8606,SYSTEM URETHRAL BULKING,4651.0,4651.0,856.25,4651.0,26
HCPCS,L8607,IMPL GEL VOC CRD INJ 1ML,4385.5,4385.5,807.37,4385.5,26
HCPCS,L8607,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,50.46,166.74,49
HCPCS,L8607,KIT INJ ORAL NDL 1CC,4385.5,4385.5,807.37,4385.5,26
HCPCS,L8609,Artificial cornea ,,,7663.0,11857.49,34
HCPCS,L8610,IMPLANT ORBITAL 22MM,96.0,96.0,17.67,96.0,26
HCPCS,L8610,Ocular implant ,96.0,96.0,744.98,1152.76,34
HCPCS,L8612,Aqueous shunt ,,,785.71,1215.78,34
HCPCS,L8613,IMPLANT OSS TORP/PORP,3721.0,3721.0,685.04,3721.0,26
HCPCS,L8613,Ossicula implant ,,,351.76,544.3,34
HCPCS,L8613,PROSTH OSS 1.5MM 3.0MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8613,PROSTH OSS 2.0MM 3.0MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8613,PROSTH OSS 2.5MM 3.0MM,3580.5,3580.5,655.4,3601.0,52
HCPCS,L8613,PROSTH OSS 4.0MM 0.4MM,3189.0,3189.0,587.09,3189.0,26
HCPCS,L8613,PROSTH OSS 4.5MM 3.0MM,3560.0,3560.0,655.4,3560.0,52
HCPCS,L8614,"Cochlear device, includes all internal and external components ",,,22266.01,34453.71,34
HCPCS,L8614,IMPLANT COCH STRT ELCTRD,71028.0,71028.0,13076.25,71028.0,26
HCPCS,L8614,IMPLANT COCLR ELECTRODE,75716.0,75716.0,13939.32,75716.0,26
HCPCS,L8614,IMPLANT ELCTRDARY ASMBLY,73012.0,73012.0,13441.51,73012.0,26
HCPCS,L8614,KIT NUCLEUS 3 PROCESSOR,60650.5,60650.5,10310.58,60650.5,38
HCPCS,L8614,KIT SOUND PRCSSR PT DUAL,53230.0,53230.0,9049.1,53230.0,38
HCPCS,L8614,PRC SND LF NS,16188.0,16188.0,2980.21,16188.0,26
HCPCS,L8615,"Headset/headpiece for use with cochlear implant device, replacement ",,,530.45,820.8,34
HCPCS,L8616,"Microphone for use with cochlear implant device, replacement ",,,123.56,191.19,34
HCPCS,L8617,"Transmitting coil for use with cochlear implant device, replacement ",,,107.96,167.05,34
HCPCS,L8618,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,30.84,47.72,34
HCPCS,L8619,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,9551.3,14779.38,34
HCPCS,L8621,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.73,1.13,34
HCPCS,L8622,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.38,0.59,34
HCPCS,L8623,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,76.07,117.7,34
HCPCS,L8624,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,189.64,293.44,34
HCPCS,L8625,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,222.12,343.7,34
HCPCS,L8627,"Cochlear implant, external speech processor, component, replacement ",,,8096.31,12527.97,34
HCPCS,L8628,"Cochlear implant, external controller component, replacement ",,,1454.99,2251.41,34
HCPCS,L8629,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,210.59,325.85,34
HCPCS,L8630,Metacarpophalangeal joint implant ,,,391.84,606.32,34
HCPCS,L8631,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2629.61,4068.97,34
HCPCS,L8641,Metatarsal joint implant ,,,425.29,658.07,34
HCPCS,L8642,Hallux implant ,,,349.11,540.2,34
HCPCS,L8658,"Interphalangeal joint spacer, silicone or equal, each ",,,364.84,564.54,34
HCPCS,L8659,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2269.52,3511.79,34
HCPCS,L8670,"Vascular graft material, synthetic, implant ",,,647.42,1001.79,34
HCPCS,L8678,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,12.58,19.46,34
HCPCS,L8679,"Implantable neurostimulator, pulse generator, any type ",,,9813.69,15185.39,34
HCPCS,L8681,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1328.41,2055.55,34
HCPCS,L8682,Implantable neurostimulator radiofrequency receiver ,,,7011.68,10849.66,34
HCPCS,L8683,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,6171.86,9550.15,34
HCPCS,L8684,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,810.48,1254.12,34
HCPCS,L8689,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2028.73,3139.2,34
HCPCS,L8690,ABTMNT BN CNDCT 10MM,8057.0,8057.0,1483.29,8057.0,26
HCPCS,L8690,ABTMNT BN CNDCT 12MM,8057.0,8057.0,1483.29,8057.0,26
HCPCS,L8690,ABTMNT BN CNDCT 14MM,8057.0,8057.0,1483.29,8057.0,26
HCPCS,L8690,ABTMNT BN CNDCT 6MM,8057.0,8057.0,1483.29,8057.0,26
HCPCS,L8690,ABTMNT BN CNDCT 8MM,8057.0,8057.0,1483.29,8057.0,26
HCPCS,L8690,ABTMNT FLNG FXTR 8.5MM,6852.0,6852.0,1261.45,6852.0,26
HCPCS,L8690,"Auditory osseointegrated device, includes all internal and external components ",,,5595.03,8657.58,34
HCPCS,L8690,IMPL BN ABTMNT 3MM 6MM,11389.0,11389.0,2096.71,11389.0,26
HCPCS,L8690,IMPL BN ABTMNT 4MM 6MM,11389.0,11389.0,2096.71,11389.0,26
HCPCS,L8690,IMPL OSS W/ ABTMNT 4X9MM,11389.0,11389.0,2096.71,11389.0,26
HCPCS,L8690,IMPL STRL DISP 3MM,6099.0,6099.0,1122.83,6099.0,26
HCPCS,L8690,IMPL STRL DISP 4MM,6099.0,6099.0,1122.83,6099.0,26
HCPCS,L8690,IMPLANT BN CNDCT 4X6MM,12574.0,12574.0,2314.87,12574.0,26
HCPCS,L8690,IMPLANT COCH SYSTEM,20414.0,20414.0,3724.71,20596.0,52
HCPCS,L8690,IMPLANT COCHLR OSS KIT,18860.0,18860.0,3472.13,18860.0,26
HCPCS,L8690,IMPLANT COCLR 4MM 10MM,12574.0,12574.0,2314.87,12574.0,26
HCPCS,L8690,IMPLANT COCLR 4MM 12MM,12574.0,12574.0,2314.87,12574.0,26
HCPCS,L8690,IMPLANT COCLR 4MM 8MM,12574.0,12574.0,2314.87,12574.0,26
HCPCS,L8690,IMPLNT BN DNDCT 4MM 14MM,12574.0,12574.0,2314.87,12574.0,26
HCPCS,L8690,MAGNET COCLR LF STRL,8659.0,8659.0,1594.12,8659.0,26
HCPCS,L8690,PRC SND LF NS,16024.0,16024.0,2737.75,17177.0,260
HCPCS,L8691,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",20732.0,20732.0,2025.49,3134.17,34
HCPCS,L8691,KIT PRC SND LF NS,20732.0,20732.0,3524.44,20732.0,38
HCPCS,L8693,"Auditory osseointegrated device abutment, any length, replacement only ",,,1783.41,2759.59,34
HCPCS,L8694,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1110.75,1718.74,34
HCPCS,L8695,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,19.58,30.3,34
HCPCS,L8696,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,254.94,394.49,34
HCPCS,L8701,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,33221.59,51406.05,34
HCPCS,L8702,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,65361.61,101138.5,34
HCPCS,P2028,"Cephalin floculation, blood ",,,2.23,14.85,75
HCPCS,P2029,"Congo red, blood ",,,2.23,14.85,75
HCPCS,P2031,Hair analysis (excluding arsenic) ,,,2.23,14.85,74
HCPCS,P2033,"Thymol turbidity, blood ",,,2.23,14.85,75
HCPCS,P2038,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,2.23,14.85,77
HCPCS,P3000,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,7.99,55.62,76
HCPCS,P3001,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,16.26,21.98,21
HCPCS,P7001,"Culture, bacterial, urine; quantitative, sensitivity study ",,,13.37,18.84,38
HCPCS,P9010,"Blood (whole), for transfusion, per unit ",,,31.67,31.67,4
HCPCS,P9011,"Blood, split unit ",100.0,100.0,45.28,45.28,4
HCPCS,P9011,SPLIT PROD SPECIFY AMT,100.0,100.0,17.0,100.0,36
HCPCS,P9012,CRYOPRECIPITATE,543.87,543.87,92.46,543.87,36
HCPCS,P9012,CRYOPRECIPITATE POOLED,543.87,543.87,92.46,543.87,36
HCPCS,P9012,"Cryoprecipitate, each unit ",,,10.18,10.18,6
HCPCS,P9016,PRBC LR,2657.0,2657.0,451.69,2657.0,36
HCPCS,P9016,"Red blood cells, leukocytes reduced, each unit ",2657.0,2657.0,336.66,336.66,6
HCPCS,P9017,FFP,527.58,527.58,89.69,527.58,36
HCPCS,P9017,"Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit ",527.58,527.58,38.28,38.28,6
HCPCS,P9019,PLTS CONC,500.0,500.0,85.0,500.0,36
HCPCS,P9019,"Platelets, each unit ",500.0,500.0,90.13,90.13,6
HCPCS,P9020,"Platelet rich plasma, each unit ",,,257.27,257.27,6
HCPCS,P9021,PRBC,3000.0,3000.0,510.0,3000.0,36
HCPCS,P9021,"Red blood cells, each unit ",3000.0,3000.0,85.45,85.45,6
HCPCS,P9022,PRBC WASH,1638.17,1638.17,278.49,1638.17,36
HCPCS,P9022,"Red blood cells, washed, each unit ",1638.17,1638.17,181.42,181.42,6
HCPCS,P9023,"Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit ",,,0.9,0.9,2
HCPCS,P9031,PLT CONC LR,350.0,350.0,59.5,350.0,36
HCPCS,P9031,"Platelets, leukocytes reduced, each unit ",350.0,350.0,185.8,185.8,6
HCPCS,P9032,"Platelets, irradiated, each unit ",,,61.78,61.78,6
HCPCS,P9033,"Platelets, leukocytes reduced, irradiated, each unit ",,,437.18,437.18,6
HCPCS,P9034,PLTS PHERESIS EACH UNIT,300.0,300.0,51.0,300.0,36
HCPCS,P9034,"Platelets, pheresis, each unit ",300.0,300.0,327.24,327.24,6
HCPCS,P9035,PLTS PHERESIS LR EA UNIT,6100.1,6100.1,1037.02,6100.1,36
HCPCS,P9035,"Platelets, pheresis, leukocytes reduced, each unit ",6100.1,6100.1,846.28,846.28,6
HCPCS,P9036,"Platelets, pheresis, irradiated, each unit ",,,620.14,620.14,6
HCPCS,P9037,"Platelets, pheresis, leukocytes reduced, irradiated, each unit ",,,731.59,731.59,6
HCPCS,P9038,"Red blood cells, irradiated, each unit ",,,17.27,17.27,6
HCPCS,P9039,RBC DEGLYCEROLIZED EA UN,3000.0,3000.0,510.0,3000.0,36
HCPCS,P9039,"Red blood cells, deglycerolized, each unit ",3000.0,3000.0,263.63,263.63,6
HCPCS,P9040,"Red blood cells, leukocytes reduced, irradiated, each unit ",,,311.0,311.0,6
HCPCS,P9041,ALBUMIN INF 5% 1ML INJ,19.33,19.33,2.9,19.33,27
HCPCS,P9041,ALBUMIN INF 5% 50ML INJ,966.36,966.36,144.95,966.36,27
HCPCS,P9041,"Infusion, albumin (human), 5%, 50 ml ",,,28.14,48.16,29
HCPCS,P9043,"Infusion, plasma protein fraction (human), 5%, 50 ml ",,,29.4,33.08,2
HCPCS,P9044,PLASMA CRYO REDUCED,358.06,358.06,60.87,358.06,35
HCPCS,P9045,ALBUMIN INF 5% 250ML INJ,2023.62,2023.62,372.55,2023.62,23
HCPCS,P9045,ALBUMIN INF 5% 500 ML,4592.57,4592.57,845.49,4592.57,23
HCPCS,P9045,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,140.66,29
HCPCS,P9046,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,56.26,29
HCPCS,P9047,ALBUMIN INF 25% 100 ML,5207.54,5207.54,781.13,5207.54,27
HCPCS,P9047,ALBUMIN INF 25% 1ML INJ,52.08,52.08,7.81,52.08,27
HCPCS,P9047,ALBUMIN INF 25% 50ML INJ,1847.92,1847.92,277.19,1847.92,27
HCPCS,P9047,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,140.66,29
HCPCS,P9048,"Infusion, plasma protein fraction (human), 5%, 250 ml ",,,69.06,77.69,2
HCPCS,P9050,GRANULOCYTES PH EACH UN,50.0,50.0,7.5,50.0,40
HCPCS,P9050,"Granulocytes, pheresis, each unit ",50.0,50.0,1032.2,1032.2,6
HCPCS,P9051,"Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit ",,,339.62,339.62,6
HCPCS,P9052,"Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit ",,,654.47,654.47,6
HCPCS,P9053,"Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit ",,,1115.2,1115.2,6
HCPCS,P9054,"Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit ",,,182.28,182.28,6
HCPCS,P9055,"Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit ",,,243.41,243.41,6
HCPCS,P9056,"Whole blood, leukocytes reduced, irradiated, each unit ",,,155.54,155.54,6
HCPCS,P9057,"Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit ",,,573.42,573.42,6
HCPCS,P9058,"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit ",,,184.55,184.55,6
HCPCS,P9059,"Fresh frozen plasma between 8-24 hours of collection, each unit ",,,121.61,121.61,6
HCPCS,P9060,"Fresh frozen plasma, donor retested, each unit ",,,18.13,18.13,6
HCPCS,P9070,"Plasma, pooled multiple donor, pathogen reduced, frozen, each unit ",,,742.0,742.0,6
HCPCS,P9073,PLATELETS PATH RED EA UN,5545.53,5545.53,942.74,5545.53,36
HCPCS,P9073,"Platelets, pheresis, pathogen-reduced, each unit ",5545.53,5545.53,1094.12,1094.12,6
HCPCS,P9100,PATHOGEN TEST PLATELETS,300.0,300.0,51.0,300.0,35
HCPCS,P9100,Pathogen(s) test for platelets ,300.0,300.0,25.5,53.4,22
HCPCS,P9603,Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled ,,,0.81,0.81,6
HCPCS,P9604,Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge ,,,8.03,8.03,6
HCPCS,P9612,"Catheterization for collection of specimen, single patient, all places of service ",,,2.39,2303.0,119
HCPCS,P9615,Catheterization for collection of specimen(s) (multiple patients) ,,,2.39,2303.0,118
HCPCS,Q0083,"Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit ",,,,,0
HCPCS,Q0084,"Chemotherapy administration by infusion technique only, per visit ",,,,,0
HCPCS,Q0085,"Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit ",,,,,0
HCPCS,Q0091,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,33
HCPCS,Q0111,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,7.99,55.62,76
HCPCS,Q0112,All potassium hydroxide (koh) preparations ,,,2.62,17.49,77
HCPCS,Q0113,Pinworm examinations ,,,1.92,12.81,77
HCPCS,Q0114,Fern test ,,,4.38,29.22,77
HCPCS,Q0115,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,11.25,75.0,77
HCPCS,Q0138,FERUMOXYTOL 510MG NESRD,9501.74,9501.74,1749.27,9501.74,24
HCPCS,Q0138,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",9501.74,9501.74,0.4,0.61,29
HCPCS,Q0139,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.61,29
HCPCS,Q0144,AZITHROMYCIN 200MG PO,21.76,21.76,3.26,21.76,28
HCPCS,Q0144,AZITHROMYCIN 250 MG PO,280.3,280.3,42.05,280.3,28
HCPCS,Q0144,AZITHROMYCIN 40MG PO,18.18,18.18,2.73,18.18,28
HCPCS,Q0144,AZITHROMYCIN 500 MG PO,13.0,13.0,1.95,13.0,28
HCPCS,Q0144,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,31.69,35.65,17
HCPCS,Q0155,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,10.31,10.31,15
HCPCS,Q0161,"Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed",,,0.46,0.52,2
HCPCS,Q0162,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.01,0.05,17
HCPCS,Q0163,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,0.03,3.66,17
HCPCS,Q0164,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,0.46,2.07,17
HCPCS,Q0166,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,3.91,156.48,17
HCPCS,Q0167,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,3.44,4.37,17
HCPCS,Q0169,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.12,0.77,17
HCPCS,Q0173,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.07,1.78,17
HCPCS,Q0174,"Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,0.81,0.91,2
HCPCS,Q0175,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,0.71,1.78,17
HCPCS,Q0177,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,0.13,5.3,17
HCPCS,Q0180,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,78.74,151.37,17
HCPCS,Q0220,"Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 e",,,0.01,0.01,2
HCPCS,Q0221,"Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 e",,,0.01,0.01,2
HCPCS,Q0222,"Injection, bebtelovimab, 175 mg ",,,2741.76,3084.48,2
HCPCS,Q0224,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,19183.35,27
HCPCS,Q0234,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",12254.4,12254.4,,,0
HCPCS,Q0234,TOFIDENCE BS 400MG COVID,12254.4,12254.4,2256.04,12254.4,27
HCPCS,Q0235,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
HCPCS,Q0237,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,13.04,13.04,15
HCPCS,Q0238,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,14.79,14.79,15
HCPCS,Q0238,TYENNE BS 1MG COVID,29.19,29.19,5.37,29.19,27
HCPCS,Q0238,TYENNE BS 200MG COVID,5837.4,5837.4,1074.67,5837.4,27
HCPCS,Q0238,TYENNE BS 400MG COVID,11674.8,11674.8,2149.33,11674.8,27
HCPCS,Q0240,"Injection, casirivimab and imdevimab, 600 mg ",,,0.01,0.01,2
HCPCS,Q0243,"Injection, casirivimab and imdevimab, 2400 mg ",,,0.01,0.01,2
HCPCS,Q0244,"Injection, casirivimab and imdevimab, 1200 mg ",,,0.01,0.01,2
HCPCS,Q0245,"Injection, bamlanivimab and etesevimab, 2100 mg ",,,0.01,0.01,2
HCPCS,Q0247,"Injection, sotrovimab, 500 mg ",,,0.01,0.01,2
HCPCS,Q0249,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,20.06,29
HCPCS,Q0249,TOCILIZUMAB 200MG COVID,8549.71,8549.71,1574.0,8549.71,23
HCPCS,Q0249,TOCILIZUMAB 400MG COVID,17099.42,17099.42,3148.0,17099.42,23
HCPCS,Q0477,DEVICE VNTRC AST POW MOD,4523.0,4523.0,832.68,4523.0,26
HCPCS,Q0477,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",4523.0,4523.0,912.51,1411.99,34
HCPCS,Q0478,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,216.13,334.43,34
HCPCS,Q0479,MODULE POWER UNIT,41572.5,41572.5,7653.5,41572.5,26
HCPCS,Q0479,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",41572.5,41572.5,14093.25,21807.45,34
HCPCS,Q0480,"Driver for use with pneumatic ventricular assist device, replacement only ",,,105927.85,163909.41,34
HCPCS,Q0481,KIT HRTMT 3 CONTROLLER,28870.0,28870.0,4907.9,28870.0,38
HCPCS,Q0481,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",28870.0,28870.0,17090.22,26444.86,34
HCPCS,Q0482,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,5352.97,8283.02,34
HCPCS,Q0483,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,22051.78,34122.23,34
HCPCS,Q0484,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4282.4,6626.45,34
HCPCS,Q0485,CORD AC PWR MOBILE UNIT,555.0,555.0,102.18,555.0,26
HCPCS,Q0485,"Monitor control cable for use with electric ventricular assist device, replacement only ",555.0,555.0,413.45,639.76,34
HCPCS,Q0486,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,344.1,532.45,34
HCPCS,Q0487,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,401.47,621.22,34
HCPCS,Q0489,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,19117.71,29582.13,34
HCPCS,Q0490,"Emergency power source for use with electric ventricular assist device, replacement only ",,,826.95,1279.59,34
HCPCS,Q0491,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1300.01,2011.59,34
HCPCS,Q0492,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,104.77,162.11,34
HCPCS,Q0493,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,298.16,461.36,34
HCPCS,Q0494,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,252.32,390.43,34
HCPCS,Q0495,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",37415.0,37415.0,4912.81,7601.93,34
HCPCS,Q0495,DEVICE VNTRC ASST BTRY,37415.0,37415.0,6888.1,37415.0,26
HCPCS,Q0496,BATTERY LVAD BACKUP,865.5,865.5,159.34,865.5,26
HCPCS,Q0496,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",865.5,865.5,1763.29,2728.47,34
HCPCS,Q0497,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",5716.5,5716.5,550.56,851.92,34
HCPCS,Q0497,DEVICE VNTRC ASST BTRY,5716.5,5716.5,1052.41,5716.5,26
HCPCS,Q0498,DEVICE VNTRC ASST HLSTR,3200.5,3200.5,589.21,3200.5,26
HCPCS,Q0498,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,604.1,934.77,34
HCPCS,Q0498,VEST HOLSTER MEDIUM,3200.5,3200.5,589.21,3200.5,26
HCPCS,Q0498,VEST HOLSTER SMALL,3200.5,3200.5,589.21,3200.5,26
HCPCS,Q0499,BAG EQUIP CONSOLIDATION,2704.5,2704.5,497.9,2704.5,26
HCPCS,Q0499,BAG FOR POCK CONTROLLER,2704.5,2704.5,497.9,2704.5,26
HCPCS,Q0499,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,196.29,303.73,34
HCPCS,Q0499,VEST HOLSTER LG,3200.5,3200.5,589.21,3200.5,26
HCPCS,Q0500,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,35.91,55.57,34
HCPCS,Q0501,BAG EQUIP SHOWER,3745.5,3745.5,689.55,3745.5,26
HCPCS,Q0501,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",3745.5,3745.5,600.64,929.41,34
HCPCS,Q0502,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,764.68,1183.25,34
HCPCS,Q0503,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1529.4,2366.54,34
HCPCS,Q0504,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,807.01,1248.74,34
HCPCS,Q0506,BATTERY REPL LVAD,4093.0,4093.0,753.52,4093.0,26
HCPCS,Q0506,BATTERY VAD BKUP 11V,3849.0,3849.0,708.6,3849.0,26
HCPCS,Q0506,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1004.57,1554.44,34
HCPCS,Q0508,CABLE MODULAR LVAD DVC,25983.0,25983.0,3897.45,25983.0,30
HCPCS,Q0508,DEVICE ASST TRAVEL CASE,1229.0,1229.0,184.35,1229.0,42
HCPCS,Q0508,KIT VAD WEAR ACCESSORY,1306.5,1306.5,195.97,1306.5,30
HCPCS,Q0515,"Injection, sermorelin acetate, 1 microgram ",,,2.31,3.55,17
HCPCS,Q2004,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,38.05,118.46,27
HCPCS,Q2009,FOSPHEN PE 10 MG/ML INJ,8.69,8.69,1.3,8.69,27
HCPCS,Q2009,FOSPHEN PE 100 MG INJ,875.49,875.49,131.32,875.49,27
HCPCS,Q2009,FOSPHEN PE 25 MG/ML INJ,21.73,21.73,3.26,21.73,27
HCPCS,Q2009,FOSPHEN PE 500 MG INJ,387.23,387.23,58.08,387.23,27
HCPCS,Q2009,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.27,3.68,29
HCPCS,Q2017,"Injection, teniposide, 50 mg ",,,3258.72,3666.06,2
HCPCS,Q2026,"Injection, radiesse, 0.1 ml ",,,925.35,925.35,15
HCPCS,Q2028,"Injection, sculptra, 0.5 mg ",,,0.84,5.72,17
HCPCS,Q2034,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
HCPCS,Q2035,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,15.21,68.21,17
HCPCS,Q2036,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,10.97,12.34,2
HCPCS,Q2037,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,22.42,32.75,17
HCPCS,Q2038,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,15.32,148.24,17
HCPCS,Q2039,"Influenza virus vaccine, not otherwise specified ",,,,,0
HCPCS,Q2041,AXICABTAGENE ADULT,6257460.0,6257460.0,1145115.18,6257460.0,32
HCPCS,Q2041,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",6257460.0,6257460.0,614793.95,1409400.17,27
HCPCS,Q2042,TISAGENLECLEUCEL ADULT,5200000.0,5200000.0,951600.0,5200000.0,32
HCPCS,Q2042,TISAGENLECLUCL CHILD/ALL,6633603.0,6633603.0,1213949.35,6633603.0,32
HCPCS,Q2042,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1627579.15,1627579.15,15
HCPCS,Q2043,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,149113.35,29
HCPCS,Q2049,IMPORT LIPODOX 20 MG INJ,6239.07,6239.07,1148.61,6239.07,25
HCPCS,Q2049,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",6239.07,6239.07,650.79,791.66,17
HCPCS,Q2050,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,174.37,196.17,29
HCPCS,Q2053,BREXUCABTAGENE,5740812.0,5740812.0,1050568.6,5740812.0,32
HCPCS,Q2053,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",5740812.0,5740812.0,598359.73,1296620.09,27
HCPCS,Q2054,LISOCABTAGENE,6360264.0,6360264.0,1163928.31,6360264.0,32
HCPCS,Q2054,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",6360264.0,6360264.0,631423.78,1489991.23,27
HCPCS,Q2055,IDECABTAGENE,6203445.0,6203445.0,1135230.44,6203445.0,35
HCPCS,Q2055,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",6203445.0,6203445.0,645093.12,1483419.86,27
HCPCS,Q2056,CILTACABTAGENE 100 MIL,6520455.0,6520455.0,1193243.26,6520455.0,32
HCPCS,Q2056,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",6520455.0,6520455.0,676327.75,1559511.25,27
HCPCS,Q2057,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,2042143.0,27
HCPCS,Q2058,OBECABTAGENE INJ,3261825.0,3261825.0,596913.97,3261825.0,35
HCPCS,Q2058,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",3261825.0,3261825.0,630000.0,737362.5,27
HCPCS,Q3001,"Radioelements for brachytherapy, any type, each ",,,163.74,163.74,15
HCPCS,Q3027,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,73.11,481.66,17
HCPCS,Q3028,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,52.26,134.33,17
HCPCS,Q4001,"Casting supplies, body cast adult, with or without head, plaster ",,,59.24,91.67,34
HCPCS,Q4002,"Cast supplies, body cast adult, with or without head, fiberglass ",,,223.86,346.39,34
HCPCS,Q4003,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,42.54,65.83,34
HCPCS,Q4004,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,147.28,227.89,34
HCPCS,Q4005,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,15.68,24.27,34
HCPCS,Q4006,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,35.34,54.68,34
HCPCS,Q4007,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,7.84,12.13,34
HCPCS,Q4008,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,17.66,27.33,34
HCPCS,Q4009,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,10.48,16.21,34
HCPCS,Q4010,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,23.56,36.46,34
HCPCS,Q4011,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,5.22,8.08,34
HCPCS,Q4012,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,11.81,18.27,34
HCPCS,Q4013,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,19.07,29.5,34
HCPCS,Q4014,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,32.15,49.74,34
HCPCS,Q4015,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,9.55,14.77,34
HCPCS,Q4016,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,16.06,24.86,34
HCPCS,Q4017,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,11.02,17.05,34
HCPCS,Q4018,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,17.56,27.17,34
HCPCS,Q4019,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,5.51,8.53,34
HCPCS,Q4020,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,8.82,13.64,34
HCPCS,Q4021,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,8.16,12.63,34
HCPCS,Q4022,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,14.72,22.79,34
HCPCS,Q4023,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.09,6.34,34
HCPCS,Q4024,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,7.37,11.41,34
HCPCS,Q4025,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,45.71,70.74,34
HCPCS,Q4026,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,142.8,220.97,34
HCPCS,Q4027,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,22.88,35.4,34
HCPCS,Q4028,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,71.44,110.54,34
HCPCS,Q4029,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,34.98,54.13,34
HCPCS,Q4030,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,92.07,142.47,34
HCPCS,Q4031,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,17.47,27.03,34
HCPCS,Q4032,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,46.04,71.24,34
HCPCS,Q4033,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,32.63,50.49,34
HCPCS,Q4034,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,81.12,125.52,34
HCPCS,Q4035,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,16.31,25.24,34
HCPCS,Q4036,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,40.59,62.81,34
HCPCS,Q4037,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,19.87,30.75,34
HCPCS,Q4038,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,49.86,77.15,34
HCPCS,Q4039,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,9.97,15.44,34
HCPCS,Q4040,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,24.92,38.56,34
HCPCS,Q4041,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,24.21,37.46,34
HCPCS,Q4042,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,41.32,63.93,34
HCPCS,Q4043,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,12.1,18.73,34
HCPCS,Q4044,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,20.69,32.02,34
HCPCS,Q4045,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,14.05,21.74,34
HCPCS,Q4046,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,22.6,34.97,34
HCPCS,Q4047,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,6.99,10.82,34
HCPCS,Q4048,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,11.3,17.49,34
HCPCS,Q4049,"Finger splint, static ",,,2.55,3.94,34
HCPCS,Q4074,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,188.38,421.32,17
HCPCS,Q4081,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.03,1.93,17
HCPCS,Q4101,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,39.21,336.92,17
HCPCS,Q4102,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,15.09,336.92,17
HCPCS,Q4103,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,15.82,336.92,17
HCPCS,Q4104,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,63.4,336.92,17
HCPCS,Q4105,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,32.22,336.92,17
HCPCS,Q4106,"Dermagraft, per square centimeter ",,,57.53,64.72,2
HCPCS,Q4107,GRAFTJACKET 1SQCM,1399.0,1399.0,209.85,1399.0,29
HCPCS,Q4107,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",1399.0,1399.0,110.03,336.92,17
HCPCS,Q4108,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,66.46,336.92,17
HCPCS,Q4110,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,56.53,336.92,17
HCPCS,Q4111,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,9.14,336.92,17
HCPCS,Q4112,"Cymetra, injectable, 1 cc ",,,1116.26,1255.79,2
HCPCS,Q4113,"Graftjacket xpress, injectable, 1 cc ",,,976.49,5293.38,17
HCPCS,Q4114,"Integra flowable wound matrix, injectable, 1 cc ",,,1983.18,7501.62,17
HCPCS,Q4115,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,19.89,336.92,17
HCPCS,Q4116,ALLODERM 1SQCM,972.5,972.5,89.85,1634.0,145
HCPCS,Q4116,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,39.83,336.92,17
HCPCS,Q4117,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,31.22,336.92,17
HCPCS,Q4118,"Matristem micromatrix, 1 mg ",,,3.28,21.01,17
HCPCS,Q4121,THERASKIN 1SQCM,770.5,770.5,70.2,1073.0,58
HCPCS,Q4121,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,59.25,336.92,17
HCPCS,Q4122,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,131.65,336.92,17
HCPCS,Q4123,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,113.35,336.92,17
HCPCS,Q4124,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,10.03,336.92,17
HCPCS,Q4125,ARTHROFLEX 1SQCM,1923.5,1923.5,160.5,2801.0,180
HCPCS,Q4125,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4126,MEMOD DERM TRZ INT 1SQCM,640.0,640.0,91.05,680.0,203
HCPCS,Q4126,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,103.58,336.92,17
HCPCS,Q4127,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,86.17,336.92,17
HCPCS,Q4128,FLEX ALLOPATCH HD 1SQCM,390.5,390.5,45.15,704.0,319
HCPCS,Q4128,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,39.52,336.92,17
HCPCS,Q4130,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4132,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,124.57,336.92,17
HCPCS,Q4133,GRAFIX STRAVIX PL 1SQCM,2166.0,2166.0,150.9,3012.0,290
HCPCS,Q4133,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,181.32,336.92,17
HCPCS,Q4134,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,207.46,336.92,17
HCPCS,Q4135,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4136,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4137,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,133.97,336.92,17
HCPCS,Q4138,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,307.25,345.66,17
HCPCS,Q4140,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,546.7,17
HCPCS,Q4141,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,54.7,336.92,17
HCPCS,Q4142,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4143,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,43.42,336.92,17
HCPCS,Q4145,"Epifix, injectable, 1 mg ",,,27.23,51.33,17
HCPCS,Q4146,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4147,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,188.44,336.92,17
HCPCS,Q4148,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,166.31,336.92,17
HCPCS,Q4149,"Excellagen, 0.1 cc ",,,189.31,461.1,17
HCPCS,Q4150,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,101.12,336.92,17
HCPCS,Q4151,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,184.88,336.92,17
HCPCS,Q4152,DERMAPURE 1SQCM,909.0,909.0,73.05,1331.0,58
HCPCS,Q4152,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,55.61,336.92,17
HCPCS,Q4153,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,56.61,336.92,17
HCPCS,Q4154,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,190.68,336.92,17
HCPCS,Q4155,"Neoxflo or clarixflo, 1 mg ",,,27.93,90.37,17
HCPCS,Q4156,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,87.59,336.92,17
HCPCS,Q4157,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,228.0,336.92,17
HCPCS,Q4158,KERECIS OMEGA3 1SQCM,636.0,636.0,68.7,1555.0,232
HCPCS,Q4158,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,223.04,336.92,17
HCPCS,Q4159,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,440.04,17
HCPCS,Q4160,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,124.98,336.92,17
HCPCS,Q4161,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3672.0,17
HCPCS,Q4162,"Woundex flow, bioskin flow, 0.5 cc ",,,2393.6,6801.68,17
HCPCS,Q4163,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,231.69,336.92,17
HCPCS,Q4164,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2235.89,17
HCPCS,Q4165,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,39.14,336.92,17
HCPCS,Q4166,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,24.29,336.92,17
HCPCS,Q4167,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,131.59,336.92,17
HCPCS,Q4168,"Amnioband, 1 mg ",,,21.82,24.55,2
HCPCS,Q4169,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,580.18,17
HCPCS,Q4170,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,67.57,336.92,17
HCPCS,Q4171,"Interfyl, 1 mg ",,,13.95,103.22,17
HCPCS,Q4173,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,579.62,17
HCPCS,Q4174,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,1625.47,3819.98,17
HCPCS,Q4175,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,80.46,336.92,17
HCPCS,Q4176,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,206.72,336.92,17
HCPCS,Q4177,"Floweramnioflo, 0.1 cc ",,,195.84,477.0,17
HCPCS,Q4178,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,106.87,336.92,17
HCPCS,Q4179,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4180,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,566.47,17
HCPCS,Q4181,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4182,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,51.35,336.92,17
HCPCS,Q4183,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,108.8,336.92,17
HCPCS,Q4184,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,899.05,17
HCPCS,Q4186,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,197.97,336.92,17
HCPCS,Q4187,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,312.95,352.06,17
HCPCS,Q4188,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,782.21,17
HCPCS,Q4189,"Artacent ac, 1 mg ",,,27.22,30.63,2
HCPCS,Q4190,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,452.59,17
HCPCS,Q4191,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2095.03,17
HCPCS,Q4193,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2864.16,17
HCPCS,Q4194,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1224.0,17
HCPCS,Q4195,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,224.56,336.92,17
HCPCS,Q4196,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,132.8,336.92,17
HCPCS,Q4197,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,120.88,336.92,17
HCPCS,Q4198,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4199,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,393.41,17
HCPCS,Q4200,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4201,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,119.36,336.92,17
HCPCS,Q4203,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,415.96,17
HCPCS,Q4204,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,4186.08,17
HCPCS,Q4205,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1885.03,17
HCPCS,Q4208,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,587.52,17
HCPCS,Q4209,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4211,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4213,"Ascent, 0.5 mg ",,,75.01,182.69,17
HCPCS,Q4214,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4216,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4217,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,825.12,17
HCPCS,Q4218,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,163.2,336.92,17
HCPCS,Q4219,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1468.8,17
HCPCS,Q4220,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4221,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2671.2,17
HCPCS,Q4222,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,139.09,336.92,17
HCPCS,Q4224,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,337.24,337.24,15
HCPCS,Q4225,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2129.76,17
HCPCS,Q4226,"Myown skin, includes harvesting and preparation procedures, per square centimeter ",,,1566.72,1762.56,2
HCPCS,Q4227,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1495.87,17
HCPCS,Q4229,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1290.86,17
HCPCS,Q4231,"Corplex p, per cc ",,,3971.2,4467.61,2
HCPCS,Q4232,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,299.2,336.92,17
HCPCS,Q4234,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,659.29,17
HCPCS,Q4235,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,191.96,336.92,17
HCPCS,Q4236,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1168.58,17
HCPCS,Q4237,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,611.23,17
HCPCS,Q4238,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1272.41,17
HCPCS,Q4239,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3434.4,17
HCPCS,Q4246,"Coretext or protext, per cc ",,,5255.04,8533.0,17
HCPCS,Q4247,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1745.42,17
HCPCS,Q4248,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1593.82,17
HCPCS,Q4249,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1075.16,17
HCPCS,Q4250,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2998.81,17
HCPCS,Q4251,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,195.84,336.92,17
HCPCS,Q4252,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,411.78,17
HCPCS,Q4253,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,324.5,365.07,17
HCPCS,Q4254,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,587.52,17
HCPCS,Q4255,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4256,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1537.17,17
HCPCS,Q4257,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,760.33,17
HCPCS,Q4258,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,97.88,336.92,17
HCPCS,Q4259,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1921.46,17
HCPCS,Q4260,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4261,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,885.98,17
HCPCS,Q4262,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1017.75,17
HCPCS,Q4263,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,761.99,17
HCPCS,Q4264,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4265,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3045.17,17
HCPCS,Q4266,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2281.97,17
HCPCS,Q4267,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1050.12,17
HCPCS,Q4268,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1741.91,17
HCPCS,Q4269,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4270,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4271,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2518.56,17
HCPCS,Q4272,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,428.41,17
HCPCS,Q4273,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4274,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1805.4,17
HCPCS,Q4275,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4276,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1308.21,17
HCPCS,Q4278,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,582.78,17
HCPCS,Q4279,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4280,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2289.6,17
HCPCS,Q4281,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1829.37,17
HCPCS,Q4282,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,964.54,17
HCPCS,Q4283,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1525.27,17
HCPCS,Q4284,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4285,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,217.82,336.92,17
HCPCS,Q4286,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4287,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4288,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4289,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4290,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2717.28,17
HCPCS,Q4291,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1836.0,17
HCPCS,Q4292,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1762.56,17
HCPCS,Q4293,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1829.88,17
HCPCS,Q4294,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3281.76,17
HCPCS,Q4295,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2976.48,17
HCPCS,Q4296,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3304.8,17
HCPCS,Q4297,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3084.48,17
HCPCS,Q4298,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3129.12,17
HCPCS,Q4299,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3434.4,17
HCPCS,Q4300,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2441.88,17
HCPCS,Q4301,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,3951.07,17
HCPCS,Q4302,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2319.48,17
HCPCS,Q4303,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,4847.04,17
HCPCS,Q4304,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1712.47,17
HCPCS,Q4305,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4306,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4307,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4308,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4309,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2570.4,17
HCPCS,Q4310,"Procenta, per 100 mg ",,,6462.72,15741.8,17
HCPCS,Q4311,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4312,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4313,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,4222.81,17
HCPCS,Q4314,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4315,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4316,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4317,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4318,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4319,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,918.01,17
HCPCS,Q4320,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1101.6,17
HCPCS,Q4321,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4322,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4323,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4324,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4325,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4326,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2295.0,17
HCPCS,Q4327,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4328,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4329,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4330,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4331,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2486.25,17
HCPCS,Q4332,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,2474.77,17
HCPCS,Q4333,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,1101.6,17
HCPCS,Q4334,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4335,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4336,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4337,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4338,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4339,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4340,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4341,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4342,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4343,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4344,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4345,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4346,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4347,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4348,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4349,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4350,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4351,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4352,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4353,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4354,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4355,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4356,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4357,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4358,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4359,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4360,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4361,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4362,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4363,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4364,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4365,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4366,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4367,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4368,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4369,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4370,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4371,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4372,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4373,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4375,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4376,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4377,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4378,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4379,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4380,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4382,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4383,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4384,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4385,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4386,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4387,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4388,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4389,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4390,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4391,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4392,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4393,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4394,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4395,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4396,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4397,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4398,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4399,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4400,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4401,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4402,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4403,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4404,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4405,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4406,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4407,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4408,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4409,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4410,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4411,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4412,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4413,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4414,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4415,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4416,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4417,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4418,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4419,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4420,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4421,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4422,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4423,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4424,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4425,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4426,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4427,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4428,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4429,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4431,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4432,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4432,510K SKN SUB NOS 1SQCM,545.0,545.0,6.6,735.0,217
HCPCS,Q4433,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4435,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4436,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4437,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4438,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4439,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q4440,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,15
HCPCS,Q5098,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,167.56,167.56,15
HCPCS,Q5099,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,8.51,27
HCPCS,Q5100,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,8.88,27
HCPCS,Q5101,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.32,0.93,29
HCPCS,Q5103,INFLECTRA BS 10 MG INJJW,831.83,831.83,153.14,831.83,23
HCPCS,Q5103,INFLECTRA BS 100 MG INJ,6092.11,6092.11,1121.56,6092.11,23
HCPCS,Q5103,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,13.64,69.01,29
HCPCS,Q5104,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,71.02,29
HCPCS,Q5104,RENFLEXIS BS 10 MG INJJW,787.53,787.53,144.98,787.53,23
HCPCS,Q5104,RENFLEXIS BS 100 MG INJ,4851.06,4851.06,893.08,4851.06,23
HCPCS,Q5105,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,2.09,29
HCPCS,Q5106,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,20.88,29
HCPCS,Q5106,RETACRIT BS 10000U NESRD,1601.59,1601.59,294.85,1601.59,23
HCPCS,Q5106,RETACRIT BS 1000U NESRD,114.85,114.85,21.14,114.85,23
HCPCS,Q5106,RETACRIT BS 2000U NESRD,416.5,416.5,76.68,416.5,23
HCPCS,Q5106,RETACRIT BS 3000U NESRD,331.0,331.0,60.94,331.0,23
HCPCS,Q5106,RETACRIT BS 4000U NESRD,738.32,738.32,135.92,738.32,23
HCPCS,Q5106,RETACRIT BS1000U NESRDJW,114.85,114.85,21.14,114.85,23
HCPCS,Q5107,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",4491.81,4491.81,34.05,62.91,29
HCPCS,Q5107,MVASI BS 100 MG INJ,4491.81,4491.81,826.94,4491.81,23
HCPCS,Q5108,FULPHILA BS 0.5 MG INJ,3058.51,3058.51,563.07,3058.51,23
HCPCS,Q5108,FULPHILA BS 0.5 MG INJJW,3058.51,3058.51,563.07,3058.51,23
HCPCS,Q5108,FULPHILA BS 6 MG INJ,36701.93,36701.93,6756.83,36701.93,23
HCPCS,Q5108,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,212.77,29
HCPCS,Q5110,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.74,29
HCPCS,Q5111,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",20940.12,20940.12,200.03,360.11,29
HCPCS,Q5111,UDENYCA BS 6 MG INJ,20940.12,20940.12,3855.08,20940.12,23
HCPCS,Q5112,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,79.0,29
HCPCS,Q5113,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,80.17,148.45,29
HCPCS,Q5114,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,94.82,29
HCPCS,Q5115,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,82.89,29
HCPCS,Q5115,TRUXIMA BS 10 MG INJJW,803.71,803.71,147.96,803.71,23
HCPCS,Q5115,TRUXIMA BS 100 MG INJ,5443.59,5443.59,1002.16,5443.59,23
HCPCS,Q5116,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",21833.84,21833.84,16.18,30.48,29
HCPCS,Q5116,TRAZIMERA BS 420 MG MDV,21833.84,21833.84,4019.61,21833.84,24
HCPCS,Q5117,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,24.76,149.41,29
HCPCS,Q5117,KANJINTI BS 150 MG INJ,7507.57,7507.57,1382.14,7507.57,24
HCPCS,Q5117,KANJINTI BS 420 MG MDV,30118.13,30118.13,5544.75,30118.13,24
HCPCS,Q5118,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,26.84,68.5,29
HCPCS,Q5118,ZIRABEV BS 100 MG INJ,3949.43,3949.43,727.09,3949.43,24
HCPCS,Q5118,ZIRABEV BS 400 MG INJ,15797.72,15797.72,2908.36,15797.72,24
HCPCS,Q5119,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,24.64,36.28,29
HCPCS,Q5119,RUXIENCE BS 100 MG INJ,4615.44,4615.44,849.7,4615.44,23
HCPCS,Q5119,RUXIENCE BS 500 MG INJ,23077.2,23077.2,4248.51,23077.2,23
HCPCS,Q5120,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",21452.04,21452.04,30.2,480.48,29
HCPCS,Q5120,ZIEXTENZO BS 6 MG INJ,21452.04,21452.04,3949.32,21452.04,23
HCPCS,Q5121,AVSOLA BS 10 MG INJJW,439.82,439.82,80.97,439.82,23
HCPCS,Q5121,AVSOLA BS 100 MG INJ,3219.26,3219.26,592.67,3219.26,23
HCPCS,Q5121,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,74.31,29
HCPCS,Q5122,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,101.89,353.27,29
HCPCS,Q5123,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",4615.44,4615.44,40.45,58.13,29
HCPCS,Q5123,RIABNI BS 100 MG INJ,4615.44,4615.44,849.7,4615.44,23
HCPCS,Q5124,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,227.1,29
HCPCS,Q5125,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.85,29
HCPCS,Q5126,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,136.71,29
HCPCS,Q5127,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,482.96,29
HCPCS,Q5128,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,294.58,29
HCPCS,Q5129,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,91.82,29
HCPCS,Q5130,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,297.14,29
HCPCS,Q5131,"Injection, adalimumab-aacf (idacio), biosimilar, 20 mg ",,,586.87,660.22,2
HCPCS,Q5133,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.24,13.94,29
HCPCS,Q5133,TOFIDENCE BS 200 MG INJ,851.15,851.15,156.7,851.15,24
HCPCS,Q5133,TOFIDENCE BS 400 MG INJ,12254.4,12254.4,2256.04,12254.4,24
HCPCS,Q5134,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,64.45,64.45,15
HCPCS,Q5135,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,11.77,27
HCPCS,Q5135,TYENNE BS 200 MG INJ,5837.4,5837.4,1074.67,5837.4,26
HCPCS,Q5135,TYENNE BS 400 MG INJ,11674.8,11674.8,2149.33,11674.8,26
HCPCS,Q5136,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,73.96,73.96,15
HCPCS,Q5137,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,584.78,584.78,15
HCPCS,Q5138,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,12.03,12.03,15
HCPCS,Q5140,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,151.34,151.34,15
HCPCS,Q5141,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,58.3,58.3,15
HCPCS,Q5142,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,69.8,27
HCPCS,Q5143,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,214.6,214.6,15
HCPCS,Q5144,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,12
HCPCS,Q5145,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,51.57,51.57,15
HCPCS,Q5146,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,100.36,100.36,15
HCPCS,Q5147,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,2176.71,27
HCPCS,Q5148,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,2.73,27
HCPCS,Q5151,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,84.61,27
HCPCS,Q5152,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,110.74,27
HCPCS,Q5156,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,12.3,12.3,15
HCPCS,Q5157,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,69.46,69.46,15
HCPCS,Q5158,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,78.97,78.97,15
HCPCS,Q5159,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,51.68,51.68,15
HCPCS,Q5160,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,223.61,223.61,15
HCPCS,Q5161,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,82.97,82.97,15
HCPCS,Q5162,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,41.98,41.98,15
HCPCS,Q9950,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,24.37,48.02,17
HCPCS,Q9953,"Injection, iron-based magnetic resonance contrast agent, per ml ",,,79.42,89.35,2
HCPCS,Q9955,"Injection, perflexane lipid microspheres, per ml ",,,16.96,19.08,2
HCPCS,Q9956,"Injection, octafluoropropane microspheres, per ml ",,,51.2,105.89,29
HCPCS,Q9957,"Injection, perflutren lipid microspheres, per ml ",918.33,918.33,51.2,105.89,29
HCPCS,Q9957,PERFLUT LPDMCS 1.5ML INJ,918.33,918.33,137.75,918.33,27
HCPCS,Q9958,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.09,0.21,17
HCPCS,Q9960,"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml ",,,0.35,0.4,2
HCPCS,Q9961,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.34,0.69,17
HCPCS,Q9962,"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml ",,,0.23,0.26,2
HCPCS,Q9963,GASTROGRAFIN 37% 30 ML,241.63,241.63,36.24,241.63,28
HCPCS,Q9963,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",241.63,241.63,0.28,0.58,17
HCPCS,Q9964,"High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml ",,,0.37,0.42,2
HCPCS,Q9965,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,3.07,29
HCPCS,Q9966,ISOVUE 250 100 ML INJ,360.0,360.0,54.0,360.0,27
HCPCS,Q9966,ISOVUE 250 50 ML INJ,180.0,180.0,27.0,180.0,27
HCPCS,Q9966,ISOVUE-M 200 20 ML INJ,678.94,678.94,101.84,678.94,27
HCPCS,Q9966,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.44,1.14,29
HCPCS,Q9967,ISOVUE 300 100 ML INJ,1277.85,1277.85,191.68,1277.85,27
HCPCS,Q9967,ISOVUE 300 50 ML INJ,753.46,753.46,113.02,753.46,27
HCPCS,Q9967,ISOVUE 370 100 ML INJ,1419.84,1419.84,212.98,1419.84,27
HCPCS,Q9967,ISOVUE 370 125 ML INJ,1677.3,1677.3,251.59,1677.3,27
HCPCS,Q9967,ISOVUE 370 150 ML INJ,1963.17,1963.17,294.48,1963.17,27
HCPCS,Q9967,ISOVUE 370 50 ML INJ,819.72,819.72,122.96,819.72,27
HCPCS,Q9967,ISOVUE-M 300 15 ML INJ,271.32,271.32,40.7,271.32,27
HCPCS,Q9967,LOCM 300-399 IC 1ML,13.5,13.5,2.02,13.5,27
HCPCS,Q9967,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.4,29
HCPCS,Q9968,BRILL BL G OPH 0.5ML INJ,1086.48,1086.48,200.02,1086.48,25
HCPCS,Q9968,INDOCYANINE-GN 25 MG INJ,1378.19,1378.19,253.72,1378.19,25
HCPCS,Q9968,ISOSULFAN BLUE 50 MG INJ,9242.22,9242.22,1701.49,9242.22,25
HCPCS,Q9968,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,12.2,27.27,17
HCPCS,Q9968,METHYLENE BLUE 50 MG INJ,1967.11,1967.11,362.14,1967.11,25
HCPCS,Q9968,NON RAD/CONTRAS 1MGINJJW,141.6,141.6,26.07,141.6,25
HCPCS,Q9968,NON RAD/CONTRAST 1MG INJ,141.6,141.6,26.07,141.6,25
HCPCS,Q9982,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,5151.63,29
HCPCS,Q9983,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4993.92,29
HCPCS,Q9991,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,5290.88,29
HCPCS,Q9992,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,5290.88,29
HCPCS,Q9997,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,12.0,12.0,15
HCPCS,Q9998,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,31.14,31.14,15
HCPCS,Q9999,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,37.23,27
HCPCS,R0070,"Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen ",,,104.46,104.46,2
HCPCS,R0075,"Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen ",,,240.13,240.13,2
HCPCS,R0076,"Transportation of portable ekg to facility or location, per patient ",,,41.6,41.6,2
HCPCS,S0012,"Butorphanol tartrate, nasal spray, 25 mg ",,,73.64,82.85,2
HCPCS,S0013,"Esketamine, nasal spray, 1 mg ",,,18.01,20.26,2
HCPCS,S0014,"Tacrine hydrochloride, 10 mg ",,,3.18,3.57,2
HCPCS,S0017,"Injection, aminocaproic acid, 5 grams ",,,10.62,11.95,2
HCPCS,S0021,"Injection, cefoperazone sodium, 1 gram ",,,19.58,22.03,2
HCPCS,S0023,"Injection, cimetidine hydrochloride, 300 mg ",,,3.12,3.51,2
HCPCS,S0028,"Injection, famotidine, 20 mg ",,,1.18,1.33,2
HCPCS,S0032,"Injection, nafcillin sodium, 2 grams ",,,16.32,18.36,2
HCPCS,S0034,"Injection, ofloxacin, 400 mg ",,,28.72,32.31,2
HCPCS,S0039,"Injection, sulfamethoxazole and trimethoprim, 10 ml ",,,16.37,18.41,2
HCPCS,S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams ",,,17.41,19.59,2
HCPCS,S0074,"Injection, cefotetan disodium, 500 mg ",,,15.8,17.78,2
HCPCS,S0078,"Injection, fosphenytoin sodium, 750 mg ",,,48.96,55.08,2
HCPCS,S0080,"Injection, pentamidine isethionate, 300 mg ",,,127.56,143.5,2
HCPCS,S0081,"Injection, piperacillin sodium, 500 mg ",,,2.28,2.56,2
HCPCS,S0088,IMATINIB 100 MG PO,1086.79,1086.79,163.02,1086.79,28
HCPCS,S0088,"Imatinib, 100 mg ",1086.79,1086.79,3.88,4.36,2
HCPCS,S0090,SILDENAFIL CIT 10MG PO,33.48,33.48,5.02,33.48,28
HCPCS,S0090,SILDENAFIL CIT 20 MG PO,287.41,287.41,43.11,287.41,28
HCPCS,S0090,"Sildenafil citrate, 25 mg ",,,0.34,0.39,2
HCPCS,S0091,GRANISETRON HCL 1 MG PO,1073.68,1073.68,161.05,1073.68,28
HCPCS,S0091,"Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) ",1073.68,1073.68,3.91,4.4,2
HCPCS,S0092,"Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump) ",,,108.92,122.53,2
HCPCS,S0093,"Injection, morphine sulfate, 500 mg (loading dose for infusion pump) ",,,9.9,11.14,2
HCPCS,S0104,ZIDOVUDINE 100 MG PO,106.93,106.93,16.04,106.93,28
HCPCS,S0104,ZIDOVUDINE 2400 MG PO,2.89,2.89,0.43,2.89,37
HCPCS,S0104,ZIDOVUDINE 50MG PO,13.0,13.0,1.95,13.0,28
HCPCS,S0104,"Zidovudine, oral, 100 mg ",,,1.99,2.24,2
HCPCS,S0106,"Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets ",,,20.1,22.61,2
HCPCS,S0108,MERCAPTOPURINE 50 MG PO,204.03,204.03,30.6,204.03,28
HCPCS,S0108,"Mercaptopurine, oral, 50 mg ",204.03,204.03,3.72,4.19,2
HCPCS,S0109,METHADONE 1 MG/ML PO,65.46,65.46,9.82,65.46,28
HCPCS,S0109,METHADONE 10 MG PO,69.7,69.7,10.46,69.7,28
HCPCS,S0109,METHADONE 10 MG/1 ML PO,138.61,138.61,9.78,212.05,56
HCPCS,S0109,METHADONE 5 MG PO,65.46,65.46,9.82,65.46,28
HCPCS,S0109,METHADONE 5MG/5ML PO LIQ,65.46,65.46,9.82,65.46,28
HCPCS,S0109,"Methadone, oral, 5 mg ",,,0.4,0.45,2
HCPCS,S0117,"Tretinoin, topical, 5 grams ",,,4.9,5.51,2
HCPCS,S0119,ONDANSETRON 4 MG PO,615.0,615.0,92.25,615.0,28
HCPCS,S0119,ONDANSETRON 8 MG PO,851.01,851.01,127.65,851.01,28
HCPCS,S0119,"Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) ",,,0.59,0.66,2
HCPCS,S0122,"Injection, menotropins, 75 iu ",,,304.74,342.83,2
HCPCS,S0126,"Injection, follitropin alfa, 75 iu ",,,315.32,354.73,2
HCPCS,S0128,"Injection, follitropin beta, 75 iu ",,,283.97,319.47,2
HCPCS,S0132,"Injection, ganirelix acetate, 250 mcg ",,,240.23,270.26,2
HCPCS,S0136,CLOZAPINE 100 MG PO,122.39,122.39,18.36,122.39,28
HCPCS,S0136,CLOZAPINE 25 MG PO,48.08,48.08,7.21,48.08,28
HCPCS,S0136,"Clozapine, 25 mg ",,,0.84,0.95,2
HCPCS,S0137,"Didanosine (ddi), 25 mg ",,,0.73,0.82,2
HCPCS,S0138,FINASTERIDE 5 MG PO,144.36,144.36,21.65,144.36,28
HCPCS,S0138,"Finasteride, 5 mg ",144.36,144.36,0.21,0.23,2
HCPCS,S0139,MINOXIDIL 10 MG PO,65.46,65.46,9.82,65.46,28
HCPCS,S0139,MINOXIDIL 2.5 MG PO,69.28,69.28,10.39,69.28,28
HCPCS,S0139,"Minoxidil, 10 mg ",,,0.6,0.67,2
HCPCS,S0140,"Saquinavir, 200 mg ",,,1.59,1.79,2
HCPCS,S0145,"Injection, pegylated interferon alfa-2a, 180 mcg per ml ",,,1453.68,1635.39,2
HCPCS,S0148,"Injection, pegylated interferon alfa-2b, 10 mcg ",,,196.4,220.95,2
HCPCS,S0155,"Sterile dilutant for epoprostenol, 50 ml ",,,18.93,21.29,2
HCPCS,S0156,EXEMESTANE 25 MG PO,368.97,368.97,55.35,368.97,28
HCPCS,S0156,"Exemestane, 25 mg ",368.97,368.97,3.05,3.43,2
HCPCS,S0157,BECAPLERMIN GEL 15 G,13831.7,13831.7,2074.76,13831.7,28
HCPCS,S0157,"Becaplermin gel 0.01%, 0.5 gm ",13831.7,13831.7,59.17,66.57,2
HCPCS,S0160,"Dextroamphetamine sulfate, 5 mg ",,,1.34,1.51,2
HCPCS,S0169,CALCITRIOL 0.25 MCG PO,48.19,48.19,7.23,48.19,29
HCPCS,S0169,CALCITRIOL 1 MCG/ML PO,461.16,461.16,69.17,461.16,29
HCPCS,S0169,"Calcitrol, 0.25 microgram ",,,0.35,0.4,2
HCPCS,S0170,ANASTROZOLE 1 MG PO,363.64,363.64,54.55,363.64,28
HCPCS,S0170,"Anastrozole, oral, 1 mg ",363.64,363.64,0.63,0.7,2
HCPCS,S0172,CHLORAMBUCIL 2 MG PO,175.73,175.73,26.36,175.73,28
HCPCS,S0172,"Chlorambucil, oral, 2 mg ",175.73,175.73,344.87,387.98,2
HCPCS,S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180) ",,,38.59,43.41,2
HCPCS,S0175,"Flutamide, oral, 125 mg ",,,39.11,44.0,2
HCPCS,S0176,HYDROXYUREA 100MG PO,3.19,3.19,0.48,3.19,28
HCPCS,S0176,HYDROXYUREA 500 MG PO,22.37,22.37,3.36,22.37,28
HCPCS,S0176,"Hydroxyurea, oral, 500 mg ",,,0.73,0.82,2
HCPCS,S0177,"Levamisole hydrochloride, oral, 50 mg ",,,3.91,4.4,2
HCPCS,S0178,"Lomustine, oral, 10 mg ",,,146.86,165.22,2
HCPCS,S0179,MEGESTROL ACET 40 MG PO,69.28,69.28,10.39,69.28,28
HCPCS,S0179,MEGESTROL ACET 400MG PO,298.38,298.38,44.76,298.38,28
HCPCS,S0179,"Megestrol acetate, oral, 20 mg ",,,0.25,0.29,2
HCPCS,S0182,"Procarbazine hydrochloride, oral, 50 mg ",,,168.77,189.87,2
HCPCS,S0183,PROCHLORPERAZINE 10MG PO,32.13,32.13,4.82,32.13,28
HCPCS,S0183,PROCHLORPERAZINE 5 MG PO,32.13,32.13,4.82,32.13,28
HCPCS,S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164) ",,,0.46,0.52,2
HCPCS,S0187,TAMOXIFEN 10 MG PO,20.73,20.73,3.11,20.73,28
HCPCS,S0187,"Tamoxifen citrate, oral, 10 mg ",20.73,20.73,0.37,0.42,2
HCPCS,S0189,"Testosterone pellet, 75 mg ",,,137.27,154.43,2
HCPCS,S0190,"Mifepristone, oral, 200 mg ",,,46.79,52.64,2
HCPCS,S0191,MISOPROSTOL 200 MCG PO,30.49,30.49,4.57,30.49,28
HCPCS,S0191,MISOPROSTOL 25 MCG PO,9.57,9.57,1.44,9.57,28
HCPCS,S0191,"Misoprostol, oral, 200 mcg ",,,1.31,1.47,2
HCPCS,S0194,"Dialysis/stress vitamin supplement, oral, 100 capsules ",,,12.86,14.47,2
HCPCS,S1091,"Stent, non-coronary, temporary, with delivery system (propel) ",,,2154.24,2423.52,2
HCPCS,S2068,"Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of d",,,4421.0,4421.0,1
HCPCS,S2079,Laparoscopic esophagomyotomy (heller type) ,,,3880.0,6227.0,3
HCPCS,S2083,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,42
HCPCS,S2095,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,42
HCPCS,S2112,"Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) ",,,7182.0,7566.0,2
HCPCS,S2117,"Arthroereisis, subtalar ",,,7182.0,7566.0,2
HCPCS,S2225,"Myringotomy, laser-assisted ",,,1257.0,6446.0,42
HCPCS,S2300,"Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy ",,,3441.0,7566.0,3
HCPCS,S2325,Hip core decompression ,,,2753.0,2753.0,1
HCPCS,S2342,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,16
HCPCS,S3620,"Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;  hydroxyprogest",,,4.06,4.06,2
HCPCS,S3630,"Eosinophil count, blood, direct ",,,4.12,4.12,2
HCPCS,S3645,Hiv-1 antibody testing of oral mucosal transudate ,,,19.6,19.6,2
HCPCS,S3650,"Saliva test, hormone level; during menopause ",,,209.12,209.12,2
HCPCS,S3652,"Saliva test, hormone level; to assess preterm labor risk ",,,75.53,75.53,2
HCPCS,S3655,Antisperm antibodies test (immunobead) ,,,166.2,166.2,2
HCPCS,S3854,Gene expression profiling panel for use in the management of breast cancer treatment ,,,2459.2,2459.2,6
HCPCS,S3861,"Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome ",,,2408.74,2408.74,2
HCPCS,S3865,Comprehensive gene sequence analysis for hypertrophic cardiomyopathy ,,,4592.93,4592.93,2
HCPCS,S3866,Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family ,,,747.19,747.19,2
HCPCS,S3870,"Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability ",,,378.57,378.57,2
HCPCS,S4993,DESOG/EE 0.15/0.02 MG PO,514.38,514.38,77.16,514.38,30
HCPCS,S4993,NORE/EE 0.5/0.035 MG PO,461.22,461.22,69.18,461.22,30
HCPCS,S4993,NORETHINDRONE 5 MG PO,72.31,72.31,10.85,72.31,30
HCPCS,S5000,CIP/DEX0.3/0.1%7.5MLOTIC,3039.22,3039.22,455.88,3039.22,31
HCPCS,S5000,DESMOPRES 0.01% 5MLNASAL,3968.5,3968.5,595.27,3968.5,31
HCPCS,S5000,ESTRADIOL 42.5 G VAGINAL,3807.23,3807.23,571.08,3807.23,31
HCPCS,S5000,ESTROGEN CON 30G VAGINAL,2612.57,2612.57,391.89,2612.57,31
HCPCS,S5000,FLUOCINOND 0.05% 15G TOP,1033.31,1033.31,73.25,1578.32,62
HCPCS,S5000,FLUTICAS 50MCG 16G NASAL,1892.9,1892.9,283.94,1892.9,31
HCPCS,S5000,HYDROCORTI 2.5% 30G RECT,714.98,714.98,107.25,714.98,31
HCPCS,S5000,KALETRA 400/100MG LIQPO,485.26,485.26,72.79,485.26,31
HCPCS,S5000,NEO/POLY B/DEX 3.5G OPH,878.86,878.86,131.83,878.86,31
HCPCS,S5000,NEO/POLY B/DEX 5ML OPHTH,545.11,545.11,81.77,545.11,31
HCPCS,S5000,OFLOXACIN 0.3% 5ML OTIC,1266.01,1266.01,189.9,1266.01,31
HCPCS,S5000,TALC STERILE POWD 2GM,901.95,901.95,135.29,901.95,31
HCPCS,S5000,TALC STERILE POWD 3GM,1610.64,1610.64,241.6,1610.64,31
HCPCS,S5000,TALC STERILE POWD 4GM,1379.13,1379.13,206.87,1379.13,31
HCPCS,S5000,TIMOLOL 0.25% 5 ML OPH,408.11,408.11,61.22,408.11,31
HCPCS,S5000,TIMOLOL 0.5% 5 ML OPH,396.95,396.95,59.54,396.95,31
HCPCS,S5000,TOBR0.3%/DEX0.1%2.5MLOPH,1627.01,1627.01,244.05,1627.01,31
HCPCS,S5000,TOBR0.3%/DEX0.1%3.5G OPH,4283.49,4283.49,642.52,4283.49,31
HCPCS,S5000,TOBRAMYCIN 0.3% 5 ML OPH,399.75,399.75,59.96,399.75,31
HCPCS,S5001,INOMAX PER HOUR INH,1572.64,1572.64,235.9,1572.64,31
HCPCS,S5010,"5% dextrose and 0.45% normal saline, 1000 ml ",,,10.31,11.6,2
HCPCS,S5010,D5/0.45NS 1000 ML INJ,144.21,144.21,21.63,144.21,28
HCPCS,S5010,D5/0.45NS 500 ML INJ,573.85,573.85,86.08,573.85,28
HCPCS,S5012,"5% dextrose with potassium chloride, 1000 ml ",,,6.21,6.99,2
HCPCS,S5550,"Insulin, rapid onset, 5 units ",,,0.31,0.35,2
HCPCS,S5551,"Insulin, most rapid onset (lispro or aspart); 5 units ",,,0.55,0.62,2
HCPCS,S5552,"Insulin, intermediate acting (nph or lente); 5 units ",,,0.31,0.35,2
HCPCS,S5553,"Insulin, long acting; 5 units ",,,0.74,0.84,2
HCPCS,S5561,"Insulin delivery device, reusable pen; 3 ml size ",,,55.92,62.91,2
HCPCS,S5566,Insulin cartridge for use in insulin delivery device other than pump; 300 units ,,,35.09,39.47,2
HCPCS,S5570,"Insulin delivery device, disposable pen (including insulin); 1.5 ml size ",,,130.56,146.88,2
HCPCS,S5571,HUMULIN R U-500 3 ML PEN,52.25,52.25,7.84,52.25,40
HCPCS,S5571,"Insulin delivery device, disposable pen (including insulin); 3 ml size ",52.25,52.25,41.53,46.72,2
HCPCS,S9443,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,44
HCPCS,S9480,"Intensive outpatient psychiatric services, per diem ",,,642.0,754.0,4
HCPCS,U0001,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,16.16,107.76,75
HCPCS,U0002,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,23.09,153.93,75
HCPCS,U0003,"Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease ºcovid-19»), amplified probe technique, making use of high th",,,75.0,75.0,2
HCPCS,U0004,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-0",,,75.0,75.0,2
HCPCS,U0005,"Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease ºcovid-19»), amplified probe technique, cdc or non-cdc, makin",,,25.0,25.0,2
HCPCS,V2020,"Frames, purchases ",,,93.74,145.04,34
HCPCS,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,45.56,70.5,34
HCPCS,V2101,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,48.0,74.28,34
HCPCS,V2102,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,68.1,105.37,34
HCPCS,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,39.55,61.2,34
HCPCS,V2104,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,43.81,67.8,34
HCPCS,V2105,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,53.65,83.01,34
HCPCS,V2106,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,54.43,84.23,34
HCPCS,V2107,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,57.21,88.52,34
HCPCS,V2108,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,55.49,85.86,34
HCPCS,V2109,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,63.78,98.7,34
HCPCS,V2110,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,74.44,115.19,34
HCPCS,V2111,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,65.62,101.53,34
HCPCS,V2112,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,64.75,100.2,34
HCPCS,V2113,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,89.44,138.4,34
HCPCS,V2114,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,79.13,122.44,34
HCPCS,V2115,"Lenticular, (myodisc), per lens, single vision ",,,86.03,133.12,34
HCPCS,V2118,"Aniseikonic lens, single vision ",,,85.29,131.98,34
HCPCS,V2121,"Lenticular lens, per lens, single ",,,88.06,136.25,34
HCPCS,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,59.63,92.27,34
HCPCS,V2201,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,64.99,100.56,34
HCPCS,V2202,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,76.47,118.33,34
HCPCS,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,60.15,93.08,34
HCPCS,V2204,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,65.24,100.94,34
HCPCS,V2205,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,71.57,110.75,34
HCPCS,V2206,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,87.14,134.84,34
HCPCS,V2207,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,72.73,112.54,34
HCPCS,V2208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,73.63,113.92,34
HCPCS,V2209,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,80.98,125.3,34
HCPCS,V2210,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,104.19,161.21,34
HCPCS,V2211,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,88.83,137.46,34
HCPCS,V2212,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,96.68,149.6,34
HCPCS,V2213,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,99.14,153.41,34
HCPCS,V2214,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,106.25,164.4,34
HCPCS,V2215,"Lenticular (myodisc), per lens, bifocal ",,,114.99,177.93,34
HCPCS,V2218,"Aniseikonic, per lens, bifocal ",,,117.64,182.03,34
HCPCS,V2219,Bifocal seg width over 28 mm ,,,51.78,80.13,34
HCPCS,V2220,Bifocal add over 3.25d ,,,42.0,64.99,34
HCPCS,V2221,"Lenticular lens, per lens, bifocal ",,,112.2,173.62,34
HCPCS,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,77.43,119.82,34
HCPCS,V2301,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,89.79,138.94,34
HCPCS,V2302,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,98.36,152.2,34
HCPCS,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,81.5,126.11,34
HCPCS,V2304,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,85.29,131.98,34
HCPCS,V2305,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,104.59,161.85,34
HCPCS,V2306,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,97.53,150.91,34
HCPCS,V2307,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,96.7,149.63,34
HCPCS,V2308,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,103.19,159.67,34
HCPCS,V2309,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,120.71,186.78,34
HCPCS,V2310,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,132.78,205.46,34
HCPCS,V2311,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,126.46,195.69,34
HCPCS,V2312,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,111.47,172.49,34
HCPCS,V2313,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,152.15,235.44,34
HCPCS,V2314,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,166.67,257.9,34
HCPCS,V2315,"Lenticular, (myodisc), per lens, trifocal ",,,185.03,286.31,34
HCPCS,V2318,"Aniseikonic lens, trifocal ",,,170.6,263.98,34
HCPCS,V2319,Trifocal seg width over 28 mm ,,,57.76,89.38,34
HCPCS,V2320,Trifocal add over 3.25d ,,,60.93,94.29,34
HCPCS,V2321,"Lenticular lens, per lens, trifocal ",,,182.38,282.21,34
HCPCS,V2410,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,104.28,161.36,34
HCPCS,V2430,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,135.75,210.06,34
HCPCS,V2500,"Contact lens, pmma, spherical, per lens ",,,94.52,146.26,34
HCPCS,V2501,"Contact lens, pmma, toric or prism ballast, per lens ",,,143.99,222.81,34
HCPCS,V2502,"Contact lens, pmma, bifocal, per lens ",,,177.38,274.48,34
HCPCS,V2503,"Contact lens, pmma, color vision deficiency, per lens ",,,169.73,262.63,34
HCPCS,V2510,"Contact lens, gas permeable, spherical, per lens ",,,129.04,199.67,34
HCPCS,V2511,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,185.41,286.9,34
HCPCS,V2512,"Contact lens, gas permeable, bifocal, per lens ",,,219.09,339.01,34
HCPCS,V2513,"Contact lens, gas permeable, extended wear, per lens ",,,183.94,284.62,34
HCPCS,V2520,"Contact lens, hydrophilic, spherical, per lens ",,,121.29,187.67,34
HCPCS,V2521,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,211.17,326.75,34
HCPCS,V2522,"Contact lens, hydrophilic, bifocal, per lens ",,,205.51,318.01,34
HCPCS,V2523,"Contact lens, hydrophilic, extended wear, per lens ",,,175.13,270.99,34
HCPCS,V2524,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,146.73,227.04,34
HCPCS,V2530,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,259.4,401.38,34
HCPCS,V2531,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,636.79,985.36,34
HCPCS,V2623,"Prosthetic eye, plastic, custom ",,,1043.98,1615.43,34
HCPCS,V2624,Polishing/resurfacing of ocular prosthesis ,,,70.8,109.56,34
HCPCS,V2625,Enlargement of ocular prosthesis ,,,458.62,709.66,34
HCPCS,V2626,Reduction of ocular prosthesis ,,,290.97,450.23,34
HCPCS,V2627,Scleral cover shell ,,,1665.77,2577.56,34
HCPCS,V2628,Fabrication and fitting of ocular conformer ,,,380.85,589.32,34
HCPCS,V2630,Anterior chamber intraocular lens ,,,138.44,214.22,34
HCPCS,V2630,LENS IOL +10.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +10.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +11.0 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +11.5 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +12.0 DIOP,881.25,881.25,90.39,1271.5,56
HCPCS,V2630,LENS IOL +12.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +13.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +13.5 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +14.0 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +14.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +15.0 DIOP,491.0,491.0,90.39,491.0,84
HCPCS,V2630,LENS IOL +15.5 DIOP,491.0,491.0,90.39,491.0,84
HCPCS,V2630,LENS IOL +16.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +16.5 DIOP,491.0,491.0,90.39,491.0,84
HCPCS,V2630,LENS IOL +17.0 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +17.5 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +18.0 DIOP,491.0,491.0,90.39,491.0,84
HCPCS,V2630,LENS IOL +18.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +19.0 DIOP,491.0,491.0,90.39,491.0,84
HCPCS,V2630,LENS IOL +19.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +20.0 DIOP,491.0,491.0,90.39,491.0,84
HCPCS,V2630,LENS IOL +20.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +21.0 DIOP,491.0,491.0,90.39,491.0,84
HCPCS,V2630,LENS IOL +21.5 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +22.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +22.5 DIOP,253.5,253.5,46.67,253.5,28
HCPCS,V2630,LENS IOL +23.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +23.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +24.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +25.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +26.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +5.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +6.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +7.0 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +7.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +8.0 DIOP,491.0,491.0,90.39,491.0,56
HCPCS,V2630,LENS IOL +8.5 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +9.0 DIOP,491.0,491.0,90.39,491.0,28
HCPCS,V2630,LENS IOL +9.5 DIOP,1271.5,1271.5,234.08,1271.5,28
HCPCS,V2631,Iris supported intraocular lens ,,,138.44,214.22,34
HCPCS,V2632,IOL ACRYLIC DLV 1PC,722.0,722.0,132.92,722.0,28
HCPCS,V2632,LENS IOL +1.0 DIOP,630.0,630.0,115.98,630.0,28
HCPCS,V2632,LENS IOL +10.0 DIOP,719.25,719.25,115.98,866.5,168
HCPCS,V2632,LENS IOL +10.5 DIOP,861.0,861.0,154.18,3241.0,84
HCPCS,V2632,LENS IOL +11.0 DIOP,837.5,837.5,132.92,861.0,84
HCPCS,V2632,LENS IOL +11.5 DIOP,722.0,722.0,131.91,861.0,84
HCPCS,V2632,LENS IOL +12.0 DIOP,837.5,837.5,131.91,3241.0,140
HCPCS,V2632,LENS IOL +12.5 DIOP,779.75,779.75,131.91,861.0,112
HCPCS,V2632,LENS IOL +13.0 DIOP,751.0,751.0,111.66,866.5,168
HCPCS,V2632,LENS IOL +13.5 DIOP,774.0,774.0,131.91,866.5,140
HCPCS,V2632,LENS IOL +14.0 DIOP,716.5,716.5,118.93,837.5,140
HCPCS,V2632,LENS IOL +14.5 DIOP,722.0,722.0,131.91,861.0,112
HCPCS,V2632,LENS IOL +15.0 DIOP,779.75,779.75,131.91,861.0,140
HCPCS,V2632,LENS IOL +15.5 DIOP,780.0,780.0,115.98,3241.0,196
HCPCS,V2632,LENS IOL +16.0 DIOP,722.0,722.0,115.98,3241.0,140
HCPCS,V2632,LENS IOL +16.5 DIOP,771.25,771.25,0.18,837.5,112
HCPCS,V2632,LENS IOL +16.50 DIOP,780.0,780.0,143.6,780.0,28
HCPCS,V2632,LENS IOL +17.0 DIOP,751.0,751.0,71.15,861.0,168
HCPCS,V2632,LENS IOL +17.5 DIOP,646.5,646.5,71.15,837.5,168
HCPCS,V2632,LENS IOL +18.0 DIOP,719.25,719.25,0.18,861.0,168
HCPCS,V2632,LENS IOL +18.5 DIOP,780.0,780.0,131.91,837.5,140
HCPCS,V2632,LENS IOL +19.0 DIOP,716.5,716.5,0.18,861.0,196
HCPCS,V2632,LENS IOL +19.5 DIOP,748.25,748.25,46.67,3241.0,224
HCPCS,V2632,LENS IOL +2.0 DIOP,630.0,630.0,115.98,630.0,28
HCPCS,V2632,LENS IOL +20.0 DIOP,774.0,774.0,46.67,3241.0,252
HCPCS,V2632,LENS IOL +20.5 DIOP,751.0,751.0,46.67,1220.0,168
HCPCS,V2632,LENS IOL +21.0 DIOP,722.0,722.0,46.67,861.0,196
HCPCS,V2632,LENS IOL +21.5 DIOP,837.5,837.5,131.91,3241.0,196
HCPCS,V2632,LENS IOL +22.0 DIOP,647.0,647.0,0.18,866.5,196
HCPCS,V2632,LENS IOL +22.5 DIOP,606.5,606.5,0.18,826.0,168
HCPCS,V2632,LENS IOL +23.0 DIOP,716.5,716.5,46.67,837.5,140
HCPCS,V2632,LENS IOL +23.5 DIOP,716.5,716.5,0.18,861.0,224
HCPCS,V2632,LENS IOL +24.0 DIOP,861.0,861.0,131.91,885.0,168
HCPCS,V2632,LENS IOL +24.5 DIOP,719.25,719.25,71.15,861.0,168
HCPCS,V2632,LENS IOL +25.0 DIOP,722.0,722.0,115.98,866.5,140
HCPCS,V2632,LENS IOL +25.5 DIOP,779.75,779.75,131.91,861.0,112
HCPCS,V2632,LENS IOL +26.0 DIOP,722.0,722.0,131.91,861.0,140
HCPCS,V2632,LENS IOL +26.5 DIOP,719.25,719.25,115.98,861.0,112
HCPCS,V2632,LENS IOL +27.0 DIOP,716.5,716.5,0.18,861.0,140
HCPCS,V2632,LENS IOL +27.5 DIOP,719.25,719.25,131.91,722.0,56
HCPCS,V2632,LENS IOL +28.0 DIOP,722.0,722.0,131.91,861.0,84
HCPCS,V2632,LENS IOL +28.5 DIOP,716.5,716.5,123.9,722.0,112
HCPCS,V2632,LENS IOL +29.0 DIOP,779.75,779.75,131.91,861.0,140
HCPCS,V2632,LENS IOL +29.5 DIOP,719.25,719.25,131.91,722.0,56
HCPCS,V2632,LENS IOL +3.0 DIOP,716.5,716.5,131.91,716.5,28
HCPCS,V2632,LENS IOL +30.0 DIOP,861.0,861.0,71.15,1401.0,84
HCPCS,V2632,LENS IOL +30.5 DIOP,719.25,719.25,131.91,722.0,56
HCPCS,V2632,LENS IOL +31.0 DIOP,748.0,748.0,132.92,774.0,56
HCPCS,V2632,LENS IOL +32.0 DIOP,630.0,630.0,115.98,630.0,28
HCPCS,V2632,LENS IOL +33.0 DIOP,630.0,630.0,46.67,722.0,84
HCPCS,V2632,LENS IOL +34.0 DIOP,676.0,676.0,115.98,722.0,56
HCPCS,V2632,LENS IOL +34.5 DIOP,630.0,630.0,115.98,630.0,28
HCPCS,V2632,LENS IOL +35.0 DIOP,630.0,630.0,115.98,630.0,28
HCPCS,V2632,LENS IOL +38.0 DIOP,630.0,630.0,115.98,630.0,28
HCPCS,V2632,LENS IOL +4.0 DIOP,791.5,791.5,131.91,866.5,56
HCPCS,V2632,LENS IOL +5.0 DIOP,722.0,722.0,132.92,722.0,28
HCPCS,V2632,LENS IOL +6.0 DIOP,774.0,774.0,115.98,861.0,84
HCPCS,V2632,LENS IOL +6.5 DIOP,745.25,745.25,131.91,774.0,56
HCPCS,V2632,LENS IOL +7.0 DIOP,774.0,774.0,142.49,774.0,28
HCPCS,V2632,LENS IOL +7.5 DIOP,719.25,719.25,131.91,722.0,56
HCPCS,V2632,LENS IOL +8.0 DIOP,745.5,745.5,115.98,861.0,56
HCPCS,V2632,LENS IOL +9.0 DIOP,716.5,716.5,115.98,780.0,140
HCPCS,V2632,LENS IOL +9.5 DIOP,728.0,728.0,115.98,826.0,56
HCPCS,V2632,LENS IOL -02.5 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL -3.0 DIOP,630.0,630.0,115.98,630.0,28
HCPCS,V2632,LENS IOL 16.0 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL 16.5 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL 17.0 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL 18.5 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL 19.5 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL 20.0 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL 21.0 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL 21.5 DIOP,3241.0,3241.0,596.67,3241.0,28
HCPCS,V2632,LENS IOL 22.0 DIOP,3241.0,3241.0,596.67,3241.0,28
HCPCS,V2632,LENS IOL 22.5 DIOP,647.0,647.0,119.11,647.0,28
HCPCS,V2632,LENS IOL 8.5 DIOP,866.5,866.5,159.52,866.5,28
HCPCS,V2632,LENS IOL ANY SIZE DIOP,826.0,826.0,152.07,826.0,28
HCPCS,V2632,LENS IOL HYDROPHOBIC,774.0,774.0,142.49,774.0,28
HCPCS,V2632,Posterior chamber intraocular lens ,,,138.44,214.22,34
HCPCS,V2700,"Balance lens, per lens ",,,50.95,78.84,34
HCPCS,V2710,"Slab off prism, glass or plastic, per lens ",,,74.58,115.39,34
HCPCS,V2715,"Prism, per lens ",,,13.52,20.92,34
HCPCS,V2718,"Press-on lens, fresnell prism, per lens ",,,33.2,51.38,34
HCPCS,V2730,"Special base curve, glass or plastic, per lens ",,,24.52,37.94,34
HCPCS,V2744,"Tint, photochromatic, per lens ",,,25.44,39.37,34
HCPCS,V2745,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,14.42,22.31,34
HCPCS,V2750,"Anti-reflective coating, per lens ",,,29.59,45.79,34
HCPCS,V2755,"U-v lens, per lens ",,,21.39,33.1,34
HCPCS,V2760,"Scratch resistant coating, per lens ",,,18.63,28.83,34
HCPCS,V2762,"Polarization, any lens material, per lens ",,,70.12,108.5,34
HCPCS,V2770,"Occluder lens, per lens ",,,24.04,37.21,34
HCPCS,V2780,"Oversize lens, per lens ",,,19.43,30.06,34
HCPCS,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,75.7,117.13,34
HCPCS,V2783,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,85.36,132.08,34
HCPCS,V2784,"Lens, polycarbonate or equal, any index, per lens ",,,55.51,85.89,34
HCPCS,V2785,PROCESS CORNEAL TISSUE,15308.56,15308.56,2296.28,15308.56,42
HCPCS,V2787,LENS IOL +05.5 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2787,LENS IOL +11.5 DIOP,2155.5,2155.5,321.23,2699.5,128
HCPCS,V2787,LENS IOL +12.0 DIOP,2420.5,2420.5,321.23,2699.5,64
HCPCS,V2787,LENS IOL +13.5 DIOP,2427.5,2427.5,323.32,2699.5,64
HCPCS,V2787,LENS IOL +14.0 DIOP,2141.5,2141.5,321.23,2141.5,32
HCPCS,V2787,LENS IOL +14.5 DIOP,2699.5,2699.5,404.93,2699.5,32
HCPCS,V2787,LENS IOL +15.0 DIOP,2699.5,2699.5,404.93,2699.5,32
HCPCS,V2787,LENS IOL +15.5 DIOP,2187.0,2187.0,328.05,2187.0,32
HCPCS,V2787,LENS IOL +16.0 DIOP,2699.5,2699.5,404.93,2699.5,64
HCPCS,V2787,LENS IOL +16.5 DIOP,2420.5,2420.5,321.23,2699.5,96
HCPCS,V2787,LENS IOL +17.0 DIOP,2155.5,2155.5,321.23,2699.5,128
HCPCS,V2787,LENS IOL +17.5 DIOP,2699.5,2699.5,404.93,2699.5,32
HCPCS,V2787,LENS IOL +18.0 DIOP,2970.25,2970.25,404.93,3241.0,64
HCPCS,V2787,LENS IOL +18.5 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2787,LENS IOL +19.5 DIOP,2420.5,2420.5,321.23,2699.5,64
HCPCS,V2787,LENS IOL +20.0 DIOP,2970.25,2970.25,404.93,3241.0,64
HCPCS,V2787,LENS IOL +20.5 DIOP,2699.5,2699.5,404.93,2699.5,32
HCPCS,V2787,LENS IOL +21.0 DIOP,2699.5,2699.5,404.93,2699.5,64
HCPCS,V2787,LENS IOL +21.5 DIOP,2699.5,2699.5,404.93,2699.5,32
HCPCS,V2787,LENS IOL +22.0 DIOP,2420.5,2420.5,321.23,2699.5,96
HCPCS,V2787,LENS IOL +22.5 DIOP,2699.5,2699.5,404.93,2699.5,32
HCPCS,V2787,LENS IOL +23.5 DIOP,2141.5,2141.5,321.23,2141.5,32
HCPCS,V2787,LENS IOL +24.0 DIOP,2699.5,2699.5,404.93,2699.5,32
HCPCS,V2787,LENS IOL +25.0 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2787,LENS IOL +25.5 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2787,LENS IOL +7.0 DIOP,2141.5,2141.5,321.23,2141.5,32
HCPCS,V2787,LENS IOL +8.0 DIOP,2246.0,2246.0,336.9,2246.0,32
HCPCS,V2787,LENS IOL +8.5 DIOP,2472.75,2472.75,336.9,2699.5,64
HCPCS,V2787,LENS IOL 18.5 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2787,LENS IOL 21.0 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2787,LENS IOL 22.0 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2787,LENS IOL 23.0 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2787,LENS IOL 23.5 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2787,LENS IOL 5.0 DIOP,2155.5,2155.5,323.32,2155.5,32
HCPCS,V2788,LENS IOL +15.0 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL +17.5 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL +18.0 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL +18.5 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL +19.5 DIOP,2187.0,2187.0,328.05,2187.0,32
HCPCS,V2788,LENS IOL +20.0 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL +21.0 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL +21.5 DIOP,3241.0,3241.0,486.15,3241.0,64
HCPCS,V2788,LENS IOL +22.0 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL +22.5 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL +24.0 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL 16.5 DIOP,3290.0,3290.0,493.5,3290.0,32
HCPCS,V2788,LENS IOL 18.0 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2788,LENS IOL 23.0 DIOP,3241.0,3241.0,486.15,3241.0,32
HCPCS,V2790,GRAFT AMNIO TISS 2.5X2CM,4648.5,4648.5,664.35,4868.0,60
HCPCS,V2790,GRAFT AMNIO TISS 2X1.5CM,3906.0,3906.0,585.9,3906.0,30
HCPCS,V2790,GRAFT AMNIO TISS 3.5X3.5,4429.0,4429.0,664.35,4429.0,30
HCPCS,V5008,Hearing screening ,,,71.4,71.4,44
HCPCS,V5010,Assessment for hearing aid ,,,93.5,93.5,44
HCPCS,V5011,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,44
HCPCS,V5014,Repair/modification of a hearing aid ,,,176.27,176.27,44
HCPCS,V5020,Conformity evaluation ,,,82.14,82.14,44
ICD,02HA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02HA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02HA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02HA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02HA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02HA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02HA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02HA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02HA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02HA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02PA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02PA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02PA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02PA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02PA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02PA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02RK0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02RK0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02RL0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02RL0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02WA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02WA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02WA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02WA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02WA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02WA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02WA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02WA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02WA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02WA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,02WA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3475.0,580702.0,6
ICD,02WA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3475.0,580702.0,6
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,0TF3XZZ,URINARY STONES WITH MCC ,,,3154.0,15779.0,6
ICD,0TF3XZZ,URINARY STONES WITHOUT MCC ,,,3154.0,15779.0,6
ICD,0TF4XZZ,URINARY STONES WITH MCC ,,,3154.0,15779.0,6
ICD,0TF4XZZ,URINARY STONES WITHOUT MCC ,,,3154.0,15779.0,6
ICD,0TF6XZZ,URINARY STONES WITH MCC ,,,3154.0,15779.0,6
ICD,0TF6XZZ,URINARY STONES WITHOUT MCC ,,,3154.0,15779.0,6
ICD,0TF7XZZ,URINARY STONES WITH MCC ,,,3154.0,15779.0,6
ICD,0TF7XZZ,URINARY STONES WITHOUT MCC ,,,3154.0,15779.0,6
ICD,0TFBXZZ,URINARY STONES WITH MCC ,,,3154.0,15779.0,6
ICD,0TFBXZZ,URINARY STONES WITHOUT MCC ,,,3154.0,15779.0,6
ICD,0TFCXZZ,URINARY STONES WITH MCC ,,,3154.0,15779.0,6
ICD,0TFCXZZ,URINARY STONES WITHOUT MCC ,,,3154.0,15779.0,6
ICD,0WFRXZZ,URINARY STONES WITH MCC ,,,3154.0,15779.0,6
ICD,0WFRXZZ,URINARY STONES WITHOUT MCC ,,,3154.0,15779.0,6
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,146961.0,147
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30230C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,146961.0,147
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30230G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,248289.0,146
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,221760.0,72
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Mini",,,2100.0,144928.0,4
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,353314.0,272
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30230G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,287495.0,144
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,394724.0,140
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30230G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,248289.0,146
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,221760.0,72
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult Mismatched",,,4687.0,272144.0,2
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Mini",,,2100.0,144928.0,4
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,353314.0,272
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,4200.0,71
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30230U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,287495.0,144
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,297675.0,72
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Cord Blood",,,236900.0,268180.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,394724.0,140
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30230U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,146961.0,147
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,394724.0,468
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30230X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,248289.0,146
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,221760.0,72
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Mini",,,2100.0,144928.0,4
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,353314.0,337
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30230X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,287495.0,144
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,394724.0,205
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30230X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30230X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30230X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30230X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5485.0,65
ICD,30230X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30230X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30230X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30230X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,146961.0,147
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30230Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,248289.0,146
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,221760.0,72
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Mini",,,2100.0,144928.0,4
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,353314.0,272
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30230Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,287495.0,144
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,394724.0,140
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30230Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30233C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30233G0,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,248289.0,146
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,221760.0,72
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Mini",,,2100.0,144928.0,4
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,353314.0,272
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30233G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,287495.0,144
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,394724.0,140
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30233G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,248289.0,146
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,221760.0,72
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult Mismatched",,,4687.0,272144.0,2
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Mini",,,2100.0,144928.0,4
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,353314.0,272
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,4200.0,71
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30233U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,287495.0,144
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,297675.0,72
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adul",,,5720.0,262463.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Cord Blood",,,236900.0,268180.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,394724.0,140
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30233U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,394724.0,468
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30233X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,248289.0,146
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,221760.0,72
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Mini",,,2100.0,144928.0,4
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,353314.0,337
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30233X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,287495.0,144
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,394724.0,205
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30233X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30233X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30233X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30233X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5485.0,65
ICD,30233X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30233X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30233X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30233X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30233Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,248289.0,146
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,221760.0,72
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Mini",,,2100.0,144928.0,4
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,353314.0,272
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30233Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,287495.0,144
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,394724.0,140
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30233Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,146961.0,147
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30240C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,146961.0,147
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30240G0,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,248289.0,146
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,221760.0,72
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Mini",,,2100.0,144928.0,4
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,353314.0,272
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30240G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,287495.0,144
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,394724.0,140
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30240G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,248289.0,146
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,221760.0,72
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult Mismatched",,,4687.0,272144.0,2
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Mini",,,2100.0,144928.0,4
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,353314.0,272
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,4200.0,71
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30240U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,287495.0,144
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,297675.0,72
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Cord Blood",,,236900.0,268180.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,394724.0,140
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30240U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,146961.0,147
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,394724.0,468
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30240X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,248289.0,146
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,221760.0,72
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Mini",,,2100.0,144928.0,4
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,353314.0,337
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30240X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,287495.0,144
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,394724.0,205
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30240X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30240X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30240X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30240X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5485.0,65
ICD,30240X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30240X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30240X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30240X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,146961.0,147
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,162750.0,72
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30240Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,248289.0,146
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,221760.0,72
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Mini",,,2100.0,144928.0,4
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,353314.0,272
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30240Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,287495.0,144
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,297675.0,72
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,394724.0,140
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30240Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30243C0,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30243G0,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,248289.0,146
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,221760.0,72
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Mini",,,2100.0,144928.0,4
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,353314.0,272
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30243G2,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,287495.0,144
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,394724.0,140
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30243G3,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,248289.0,146
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,221760.0,72
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult Mismatched",,,4687.0,272144.0,2
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Mini",,,2100.0,144928.0,4
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,353314.0,272
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,4200.0,71
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30243U2,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,287495.0,144
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,297675.0,72
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Cord Blood",,,236900.0,268180.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,394724.0,140
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30243U3,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,394724.0,468
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30243X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,248289.0,146
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,221760.0,72
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Mini",,,2100.0,144928.0,4
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,353314.0,337
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30243X2,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,287495.0,144
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,394724.0,205
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30243X3,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30243X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood Adult",,,5720.0,309920.0,2
ICD,30243X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30243X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5485.0,65
ICD,30243X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30243X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30243X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30243X4,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30243Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,248289.0,146
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,221760.0,72
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult Mismatched",,,4687.0,272144.0,2
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Adult",,,5720.0,219076.0,2
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Related Ped",,,5720.0,255835.0,2
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Mini",,,2100.0,144928.0,4
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,353314.0,272
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric Related Mismatched",,,5348.0,330419.0,2
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,4200.0,71
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30243Y2,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,287495.0,144
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,297675.0,72
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Cord Blood",,,2100.0,144928.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Double Cord Blood",,,2100.0,144928.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Double Cord Blood",,,4687.0,298004.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogeneic Unrelated Includes Single Cord Blood",,,4687.0,272144.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Adult",,,5720.0,262463.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Allogenic Blood/ Marrow Matched Unrelated/Mismatched Related and Unrelated Ped",,,5720.0,327600.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Cord Blood",,,236900.0,268180.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,394724.0,140
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric Allogeneic Unrelated Includes Double Cord Blood",,,5348.0,361888.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood First Procedure",,,118450.0,121900.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Cord Blood Second Procedure",,,226600.0,241362.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30243Y3,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,146961.0,147
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30250G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,146961.0,147
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,394724.0,468
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30250X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5485.0,65
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30250X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,146961.0,147
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30250Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30253G0,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,394724.0,468
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30253X0,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5485.0,65
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30253X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30253Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,146961.0,147
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30260G0,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,146961.0,147
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,394724.0,468
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30260X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5485.0,65
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30260X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,146961.0,147
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,162750.0,72
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,394724.0,403
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Second Procedure",,,103000.0,114586.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30260Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Third Procedure",,,92700.0,114586.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,146961.0,147
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,162750.0,72
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous Pediatric",,,5720.0,182000.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous Tandem",,,4687.0,230464.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,219297.0,67
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Double Cord Blood",,,2100.0,144928.0,4
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Fourth Procedure",,,92700.0,114586.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,394724.0,403
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Second Procedure",,,103000.0,114586.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Single Cord Blood",,,2100.0,144928.0,4
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem First Procedure",,,118450.0,121900.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30263G0,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Third Procedure",,,92700.0,114586.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,394724.0,468
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30263X0,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Cord Blood Adult",,,5720.0,309920.0,2
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Cord Blood Pediatric",,,5720.0,338000.0,2
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5485.0,65
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated Allogeneic  Pediatric",,,214486.0,214486.0,1
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and Cord Blood Allogeneic Pediatric",,,314671.0,314671.0,1
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,9
ICD,30263X1,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,56
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,146961.0,147
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,162750.0,72
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous Blood/ Marrow Adult Additional Days",,,5720.0,5720.0,1
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous Pediatric",,,5720.0,182000.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous Tandem",,,4687.0,230464.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous to Allogeneic Related",,,2100.0,144928.0,4
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous to Allogeneic Unrelated",,,2100.0,144928.0,4
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,321318.0,67
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Tandem",,,4687.0,327501.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,360522.0,67
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,9
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,56
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,219297.0,67
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,294087.0,67
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,9
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,56
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Double Cord Blood",,,2100.0,144928.0,4
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Fourth Procedure",,,92700.0,114586.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,394724.0,403
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric Autologous Tandem",,,5348.0,314269.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Second Procedure",,,103000.0,114586.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Single Cord Blood",,,2100.0,144928.0,4
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,9
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,56
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,233212.0,66
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,267477.0,66
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,240157.0,67
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem First Procedure",,,118450.0,121900.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Related First Procedure",,,118450.0,121900.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Related Second Procedure",,,190550.0,198352.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Second Procedure",,,113300.0,114586.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Unrelated First Procedure",,,118450.0,121900.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Unrelated Second Procedure",,,21700.0,211150.0,2
ICD,30263Y0,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Third Procedure",,,92700.0,114586.0,2
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITH CC ,,,3159.0,26024.0,6
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,3159.0,26024.0,6
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,3159.0,26024.0,6
ICD,F5000,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1706.42,240
ICD,F5000,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1422.02,240
ICD,F5000,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1580.02,240
ICD,F5000,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1501.02,240
ICD,F5000,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1358.82,240
ICD,F5000,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1690.62,240
ICD,F5000,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F5000,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC  IPF,,,1117.15,1753.82,240
ICD,F5000,DEPRESSIVE NEUROSES  IPF,,,1066.83,1674.82,240
ICD,F5000,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1848.62,240
ICD,F5000,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1611.62,240
ICD,F5000,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,2038.23,240
ICD,F5000,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1706.42,240
ICD,F5000,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1580.02,240
ICD,F5000,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1880.22,240
ICD,F5000,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1769.62,240
ICD,F5000,PSYCHOSES  IPF,,,1006.44,1580.02,240
ICD,F5000,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F5000,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1722.22,240
ICD,F5001,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1706.42,240
ICD,F5001,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1422.02,240
ICD,F5001,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1580.02,240
ICD,F5001,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1501.02,240
ICD,F5001,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1358.82,240
ICD,F5001,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1690.62,240
ICD,F5001,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F5001,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC  IPF,,,1117.15,1753.82,240
ICD,F5001,DEPRESSIVE NEUROSES  IPF,,,1066.83,1674.82,240
ICD,F5001,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1848.62,240
ICD,F5001,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1611.62,240
ICD,F5001,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,2038.23,240
ICD,F5001,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1706.42,240
ICD,F5001,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1580.02,240
ICD,F5001,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1880.22,240
ICD,F5001,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1769.62,240
ICD,F5001,PSYCHOSES  IPF,,,1006.44,1580.02,240
ICD,F5001,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F5001,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1722.22,240
ICD,F5002,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1706.42,240
ICD,F5002,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1422.02,240
ICD,F5002,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1580.02,240
ICD,F5002,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1501.02,240
ICD,F5002,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1358.82,240
ICD,F5002,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1690.62,240
ICD,F5002,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F5002,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC  IPF,,,1117.15,1753.82,240
ICD,F5002,DEPRESSIVE NEUROSES  IPF,,,1066.83,1674.82,240
ICD,F5002,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1848.62,240
ICD,F5002,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1611.62,240
ICD,F5002,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,2038.23,240
ICD,F5002,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1706.42,240
ICD,F5002,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1580.02,240
ICD,F5002,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1880.22,240
ICD,F5002,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1769.62,240
ICD,F5002,PSYCHOSES  IPF,,,1006.44,1580.02,240
ICD,F5002,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F5002,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1722.22,240
ICD,F9821,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1706.42,240
ICD,F9821,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1422.02,240
ICD,F9821,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1580.02,240
ICD,F9821,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1501.02,240
ICD,F9821,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1358.82,240
ICD,F9821,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1690.62,240
ICD,F9821,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F9821,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC  IPF,,,1117.15,1753.82,240
ICD,F9821,DEPRESSIVE NEUROSES  IPF,,,1066.83,1674.82,240
ICD,F9821,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1848.62,240
ICD,F9821,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1611.62,240
ICD,F9821,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,2038.23,240
ICD,F9821,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1706.42,240
ICD,F9821,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1580.02,240
ICD,F9821,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1880.22,240
ICD,F9821,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1769.62,240
ICD,F9821,PSYCHOSES  IPF,,,1006.44,1580.02,240
ICD,F9821,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F9821,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1722.22,240
ICD,F9829,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1706.42,240
ICD,F9829,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1422.02,240
ICD,F9829,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1580.02,240
ICD,F9829,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1501.02,240
ICD,F9829,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1358.82,240
ICD,F9829,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1690.62,240
ICD,F9829,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F9829,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC  IPF,,,1117.15,1753.82,240
ICD,F9829,DEPRESSIVE NEUROSES  IPF,,,1066.83,1674.82,240
ICD,F9829,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1848.62,240
ICD,F9829,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1611.62,240
ICD,F9829,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,2038.23,240
ICD,F9829,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1706.42,240
ICD,F9829,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1580.02,240
ICD,F9829,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1880.22,240
ICD,F9829,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1769.62,240
ICD,F9829,PSYCHOSES  IPF,,,1006.44,1580.02,240
ICD,F9829,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F9829,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1722.22,240
ICD,F983,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1706.42,240
ICD,F983,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1422.02,240
ICD,F983,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1580.02,240
ICD,F983,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1501.02,240
ICD,F983,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1358.82,240
ICD,F983,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1690.62,240
ICD,F983,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F983,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC  IPF,,,1117.15,1753.82,240
ICD,F983,DEPRESSIVE NEUROSES  IPF,,,1066.83,1674.82,240
ICD,F983,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1848.62,240
ICD,F983,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1611.62,240
ICD,F983,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,2038.23,240
ICD,F983,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1706.42,240
ICD,F983,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1580.02,240
ICD,F983,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1880.22,240
ICD,F983,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1769.62,240
ICD,F983,PSYCHOSES  IPF,,,1006.44,1580.02,240
ICD,F983,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1769.62,240
ICD,F983,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1722.22,240
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3203.0,4271.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3203.0,4271.0,3
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3203.0,4271.0,3
ICD,P0449,NORMAL NEWBORN ,,,375.0,375.0,1
ICD,P961,NORMAL NEWBORN ,,,375.0,375.0,1
ICD,Z058,NORMAL NEWBORN ,,,375.0,375.0,1
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,650.0,695721.34,238
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Additional Cycles,,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC First Cycle,,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,650.0,580702.0,238
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Additional Cycles,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC First Cycle,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH ",,,450.0,526936.82,92
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH Participant's Death Zone 3",,,,,0
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH Retransplant Zone 3",,,,,0
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH Zone 3 Relapse",,,,,0
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC ",,,450.0,343874.86,92
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC Participant's Death Zone 3",,,,,0
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC Retransplant Zone 3",,,,,0
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC Zone 3 Relapse",,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT ,,,650.0,255968.47,141
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Additional Cycles,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT First Cycle,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Participant's Death Zone 3,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Retransplant Zone 3,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Zone 3 Relapse,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC ,,,650.0,115118.16,142
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Additional Cycles,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC First Cycle,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,007,LUNG TRANSPLANT ,,,650.0,321501.67,141
MS-DRG,007,LUNG TRANSPLANT Additional Cycles,,,,,0
MS-DRG,007,LUNG TRANSPLANT First Cycle,,,,,0
MS-DRG,007,LUNG TRANSPLANT Participant's Death Zone 3,,,,,0
MS-DRG,007,LUNG TRANSPLANT Retransplant Zone 3,,,,,0
MS-DRG,007,LUNG TRANSPLANT Zone 3 Relapse,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT ,,,650.0,139139.8,141
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT Additional Cycles,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT First Cycle,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT Participant's Death Zone 3,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT Retransplant Zone 3,,,,,0
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT Zone 3 Relapse,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT ,,,650.0,178143.93,141
MS-DRG,010,PANCREAS TRANSPLANT Additional Cycles,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT First Cycle,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT Participant's Death Zone 3,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT Retransplant Zone 3,,,,,0
MS-DRG,010,PANCREAS TRANSPLANT Zone 3 Relapse,,,,,0
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC ",,,450.0,135403.49,92
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC ",,,450.0,104666.42,92
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC Retransplant Zone 3",,,,,0
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC Zone 3 Relapse",,,,,0
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC ",,,450.0,71543.57,92
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT ,,,650.0,298356.39,167
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Additional Cycles,,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Allogeneic Related,,,2100.0,116425.0,2
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Allogeneic Unrelated Cord Blood,,,2100.0,124436.0,2
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Allogeneic Unrelated Double Cord Blood,,,2100.0,124436.0,2
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Autologous/Allogeneic Double Cord Blood,,,2100.0,144928.0,2
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Autologous/Allogeneic Related,,,2100.0,144928.0,2
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Autologous/Allogeneic Single Cord Blood,,,2100.0,144928.0,2
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Autologous/Allogeneic Unrelated,,,2100.0,144928.0,2
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT First Cycle,,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Mini,,,2100.0,127449.0,2
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Participant's Death Zone 3,,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Related,,,202082.0,202082.0,1
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Retransplant Zone 3,,,,,0
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Unrelated,,,233989.0,233989.0,1
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Zone 3 Relapse,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC ,,,650.0,147210.73,147
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Additional Cycles,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Autologous/Allogeneic Double Cord Blood,,,2100.0,144928.0,2
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Autologous/Allogeneic Related,,,2100.0,144928.0,2
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Autologous/Allogeneic Single Cord Blood,,,2100.0,144928.0,2
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Autologous/Allogeneic Unrelated,,,2100.0,144928.0,2
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Autologous/Autologous,,,2100.0,116524.0,2
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC First Cycle,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC ,,,650.0,142521.0,147
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Additional Cycles,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Autologous/Allogeneic Double Cord Blood,,,2100.0,144928.0,2
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Autologous/Allogeneic Related,,,2100.0,144928.0,2
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Autologous/Allogeneic Single Cord Blood,,,2100.0,144928.0,2
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Autologous/Allogeneic Unrelated,,,2100.0,144928.0,2
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Autologous/Autologous,,,2100.0,116524.0,2
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC First Cycle,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,650.0,1072056.19,142
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Additional Cycles,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES First Cycle,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Participant's Death Zone 3,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Retransplant Zone 3,,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Zone 3 Relapse,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,650.0,177123.58,142
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS Additional Cycles,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS First Cycle,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS Participant's Death Zone 3,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS Retransplant Zone 3,,,,,0
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS Zone 3 Relapse,,,,,0
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC ,,,450.0,195350.83,92
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC ,,,450.0,156158.93,92
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Retransplant Zone 3,,,,,0
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Zone 3 Relapse,,,,,0
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ ,,,450.0,130678.05,92
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ Participant's Death Zone 3,,,,,0
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ Retransplant Zone 3,,,,,0
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ Zone 3 Relapse,,,,,0
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,450.0,168016.3,92
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Participant's Death Zone 3,,,,,0
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Retransplant Zone 3,,,,,0
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Zone 3 Relapse,,,,,0
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,450.0,104361.0,92
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Participant's Death Zone 3,,,,,0
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Retransplant Zone 3,,,,,0
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Zone 3 Relapse,,,,,0
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC ,,,450.0,118452.54,92
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC ,,,450.0,87039.0,92
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,450.0,89150.0,92
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,028,SPINAL PROCEDURES WITH MCC ,,,450.0,149162.06,92
MS-DRG,028,SPINAL PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,028,SPINAL PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,028,SPINAL PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS ,,,450.0,84696.38,92
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS Participant's Death Zone 3,,,,,0
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS Retransplant Zone 3,,,,,0
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS Zone 3 Relapse,,,,,0
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC ,,,450.0,54498.04,92
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC ,,,450.0,169896.61,92
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC ,,,450.0,78665.46,92
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC ,,,450.0,62741.0,92
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC ,,,450.0,96094.0,92
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC ,,,450.0,59346.55,92
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC ,,,450.0,53488.0,92
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC ,,,450.0,81729.67,92
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC ,,,450.0,40282.67,92
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,450.0,29182.96,92
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC ",,,450.0,108153.94,92
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE ",,,450.0,54584.93,92
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE Participant's Death Zone 3",,,,,0
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE Retransplant Zone 3",,,,,0
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE Zone 3 Relapse",,,,,0
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC ",,,450.0,42891.88,92
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC ,,,450.0,46674.56,92
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC ,,,450.0,24309.62,92
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC ,,,450.0,38813.14,66
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC ,,,450.0,34313.91,66
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC ,,,450.0,57673.28,92
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC  IPF,,,1094.39,1938.16,2190
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC ,,,450.0,32164.57,92
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC  IPF,,,1084.61,1920.85,2190
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC ,,,450.0,42440.05,92
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC ,,,450.0,30806.58,92
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC Retransplant Zone 3,,,,,0
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC Zone 3 Relapse,,,,,0
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC ,,,450.0,22834.95,92
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,450.0,68447.76,92
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Participant's Death Zone 3",,,,,0
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Retransplant Zone 3",,,,,0
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Zone 3 Relapse",,,,,0
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,450.0,48664.38,92
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Participant's Death Zone 3",,,,,0
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Retransplant Zone 3",,,,,0
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Zone 3 Relapse",,,,,0
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,450.0,43435.86,92
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Participant's Death Zone 3",,,,,0
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Retransplant Zone 3",,,,,0
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Zone 3 Relapse",,,,,0
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC ,,,450.0,49925.09,92
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS ,,,450.0,25081.71,92
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Participant's Death Zone 3,,,,,0
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Retransplant Zone 3,,,,,0
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Zone 3 Relapse,,,,,0
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC ,,,450.0,41588.17,92
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC ,,,450.0,21459.59,92
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC ,,,450.0,20202.0,92
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC Participant's Death Zone 3,,,,,0
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC Retransplant Zone 3,,,,,0
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC Zone 3 Relapse,,,,,0
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC ,,,450.0,41330.32,92
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC ,,,450.0,25471.48,92
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC ,,,450.0,39828.35,92
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC ,,,450.0,25590.64,92
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC ,,,450.0,47603.85,92
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC ,,,450.0,20486.42,92
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC ,,,1854.72,15742.07,31
MS-DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC ,,,1854.72,10595.08,31
MS-DRG,079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC ,,,1854.72,7718.4,31
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC ,,,450.0,44935.06,92
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC ,,,450.0,22234.17,92
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC ,,,450.0,56742.31,92
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC ,,,450.0,34652.13,92
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC Retransplant Zone 3,,,,,0
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC Zone 3 Relapse,,,,,0
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC ,,,450.0,23728.69,92
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC ,,,450.0,56402.19,92
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC ,,,450.0,32340.83,92
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC Retransplant Zone 3,,,,,0
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC Zone 3 Relapse,,,,,0
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC ,,,450.0,22708.34,92
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,088,CONCUSSION WITH MCC ,,,450.0,33559.79,92
MS-DRG,088,CONCUSSION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,088,CONCUSSION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,088,CONCUSSION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,089,CONCUSSION WITH CC ,,,450.0,27273.84,92
MS-DRG,089,CONCUSSION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,089,CONCUSSION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,089,CONCUSSION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,090,CONCUSSION WITHOUT CC/MCC ,,,450.0,20436.76,92
MS-DRG,090,CONCUSSION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,090,CONCUSSION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,090,CONCUSSION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC ,,,450.0,43599.42,92
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC ,,,450.0,25397.0,92
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC Retransplant Zone 3,,,,,0
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC Zone 3 Relapse,,,,,0
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,450.0,20960.68,92
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC ,,,450.0,95001.09,92
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC ,,,450.0,64031.22,92
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC Retransplant Zone 3,,,,,0
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC Zone 3 Relapse,,,,,0
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,450.0,64031.22,92
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC ,,,450.0,89666.55,92
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC ,,,450.0,56973.19,92
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC ,,,450.0,33822.94,92
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,100,SEIZURES WITH MCC ,,,450.0,48083.0,92
MS-DRG,100,SEIZURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,100,SEIZURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,100,SEIZURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,101,SEIZURES WITHOUT MCC ,,,450.0,22407.95,92
MS-DRG,101,SEIZURES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,101,SEIZURES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,101,SEIZURES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,102,HEADACHES WITH MCC ,,,450.0,27827.46,92
MS-DRG,102,HEADACHES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,102,HEADACHES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,102,HEADACHES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,103,HEADACHES WITHOUT MCC ,,,450.0,20761.98,92
MS-DRG,103,HEADACHES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,103,HEADACHES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,103,HEADACHES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC ,,,450.0,58368.41,92
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,450.0,33589.58,92
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,450.0,38105.43,92
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT Participant's Death Zone 3,,,,,0
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT Retransplant Zone 3,,,,,0
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT Zone 3 Relapse,,,,,0
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,450.0,86405.72,92
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,450.0,26933.73,92
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,450.0,28880.09,92
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,123,NEUROLOGICAL EYE DISORDERS ,,,450.0,20202.0,92
MS-DRG,123,NEUROLOGICAL EYE DISORDERS Participant's Death Zone 3,,,,,0
MS-DRG,123,NEUROLOGICAL EYE DISORDERS Retransplant Zone 3,,,,,0
MS-DRG,123,NEUROLOGICAL EYE DISORDERS Zone 3 Relapse,,,,,0
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,450.0,32847.28,92
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Participant's Death Zone 3,,,,,0
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Retransplant Zone 3,,,,,0
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Zone 3 Relapse,,,,,0
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,450.0,53872.42,92
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,450.0,25205.84,92
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC ,,,450.0,37070.18,92
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC ,,,450.0,29423.24,92
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,139,SALIVARY GLAND PROCEDURES ,,,450.0,30677.49,92
MS-DRG,139,SALIVARY GLAND PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,139,SALIVARY GLAND PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,139,SALIVARY GLAND PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,450.0,105890.34,92
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,450.0,54147.99,92
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,450.0,39632.23,92
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,450.0,93013.09,92
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,450.0,43020.98,92
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC Retransplant Zone 3",,,,,0
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC Zone 3 Relapse",,,,,0
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,450.0,29848.3,92
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,450.0,109970.43,66
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,450.0,31566.26,66
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC Retransplant Zone 3",,,,,0
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC Zone 3 Relapse",,,,,0
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,450.0,20202.0,92
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,149,DYSEQUILIBRIUM ,,,450.0,20202.0,92
MS-DRG,149,DYSEQUILIBRIUM Participant's Death Zone 3,,,,,0
MS-DRG,149,DYSEQUILIBRIUM Retransplant Zone 3,,,,,0
MS-DRG,149,DYSEQUILIBRIUM Zone 3 Relapse,,,,,0
MS-DRG,150,EPISTAXIS WITH MCC ,,,450.0,33055.82,92
MS-DRG,150,EPISTAXIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,150,EPISTAXIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,150,EPISTAXIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,151,EPISTAXIS WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,151,EPISTAXIS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,151,EPISTAXIS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,151,EPISTAXIS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC ,,,450.0,29349.3,92
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,450.0,38815.45,92
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,450.0,22753.03,92
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC Retransplant Zone 3",,,,,0
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC Zone 3 Relapse",,,,,0
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,450.0,20202.0,92
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC ,,,450.0,42621.28,92
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC ,,,450.0,22586.69,92
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC ,,,450.0,111265.17,92
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC ,,,450.0,62660.82,92
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,450.0,47521.93,92
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,450.0,92792.14,92
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,450.0,45311.51,92
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,34747.29,92
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,450.0,73892.11,92
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY Participant's Death Zone 3,,,,,0
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY Retransplant Zone 3,,,,,0
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY Zone 3 Relapse,,,,,0
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,450.0,34100.99,92
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE Participant's Death Zone 3,,,,,0
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE Retransplant Zone 3,,,,,0
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE Zone 3 Relapse,,,,,0
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,450.0,38795.59,92
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,450.0,24230.18,92
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC ,,,450.0,43842.72,66
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC ,,,450.0,26588.65,66
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,450.0,24942.65,66
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC ,,,450.0,37981.3,92
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC ,,,450.0,26417.35,92
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC Retransplant Zone 3,,,,,0
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC Zone 3 Relapse,,,,,0
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,186,PLEURAL EFFUSION WITH MCC ,,,450.0,38691.32,92
MS-DRG,186,PLEURAL EFFUSION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,186,PLEURAL EFFUSION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,186,PLEURAL EFFUSION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,187,PLEURAL EFFUSION WITH CC ,,,450.0,24555.4,92
MS-DRG,187,PLEURAL EFFUSION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,187,PLEURAL EFFUSION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,187,PLEURAL EFFUSION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,450.0,31105.5,92
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE Participant's Death Zone 3,,,,,0
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE Retransplant Zone 3,,,,,0
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE Zone 3 Relapse,,,,,0
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,450.0,27499.76,92
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,450.0,20928.32,92
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC Retransplant Zone 3,,,,,0
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC Zone 3 Relapse,,,,,0
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,450.0,40098.0,92
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,450.0,40098.0,92
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC Retransplant Zone 3,,,,,0
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC Zone 3 Relapse,,,,,0
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,450.0,40098.0,92
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC ,,,450.0,46851.63,92
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC ,,,450.0,23894.15,92
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC Retransplant Zone 3,,,,,0
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC Zone 3 Relapse,,,,,0
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,450.0,20457.4,92
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,199,PNEUMOTHORAX WITH MCC ,,,450.0,43795.55,92
MS-DRG,199,PNEUMOTHORAX WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,199,PNEUMOTHORAX WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,199,PNEUMOTHORAX WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,200,PNEUMOTHORAX WITH CC ,,,450.0,27291.22,92
MS-DRG,200,PNEUMOTHORAX WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,200,PNEUMOTHORAX WITH CC Retransplant Zone 3,,,,,0
MS-DRG,200,PNEUMOTHORAX WITH CC Zone 3 Relapse,,,,,0
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,450.0,24111.01,92
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS ,,,450.0,20202.0,92
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS Participant's Death Zone 3,,,,,0
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS Retransplant Zone 3,,,,,0
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS Zone 3 Relapse,,,,,0
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,450.0,45456.41,92
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,450.0,23363.75,92
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,450.0,159747.86,92
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS Participant's Death Zone 3,,,,,0
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS Retransplant Zone 3,,,,,0
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS Zone 3 Relapse,,,,,0
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,450.0,68239.23,92
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS Participant's Death Zone 3,,,,,0
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS Retransplant Zone 3,,,,,0
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS Zone 3 Relapse,,,,,0
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES ,,,450.0,281000.53,61
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,450.0,269960.41,92
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,450.0,141679.5,61
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT ,,,450.0,479818.0,92
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT Participant's Death Zone 3,,,,,0
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT Retransplant Zone 3,,,,,0
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT Zone 3 Relapse,,,,,0
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,450.0,242867.79,92
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Participant's Death Zone 3,,,,,0
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Retransplant Zone 3,,,,,0
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Zone 3 Relapse,,,,,0
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,450.0,163238.4,92
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Participant's Death Zone 3,,,,,0
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Retransplant Zone 3,,,,,0
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Zone 3 Relapse,,,,,0
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,450.0,163238.4,92
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Participant's Death Zone 3,,,,,0
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Retransplant Zone 3,,,,,0
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Zone 3 Relapse,,,,,0
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,450.0,253492.35,92
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Participant's Death Zone 3,,,,,0
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Retransplant Zone 3,,,,,0
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Zone 3 Relapse,,,,,0
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,450.0,132392.09,92
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Participant's Death Zone 3,,,,,0
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Retransplant Zone 3,,,,,0
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Zone 3 Relapse,,,,,0
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,450.0,125128.01,92
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Participant's Death Zone 3,,,,,0
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Retransplant Zone 3,,,,,0
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Zone 3 Relapse,,,,,0
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,450.0,170621.24,92
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,450.0,112306.0,92
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC ,,,450.0,233755.0,92
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,450.0,233755.0,92
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,450.0,189799.74,92
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,450.0,135616.99,92
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,450.0,145693.86,92
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,450.0,103991.15,92
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,450.0,162950.88,92
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,450.0,70766.51,92
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Retransplant Zone 3,,,,,0
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Zone 3 Relapse,,,,,0
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,450.0,57571.97,92
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC Participant's Death Zone 3,,,,,0
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC Retransplant Zone 3,,,,,0
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC Zone 3 Relapse,,,,,0
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,450.0,116947.36,92
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,450.0,102042.35,92
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC Retransplant Zone 3,,,,,0
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC Zone 3 Relapse,,,,,0
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,450.0,80233.0,92
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,245,AICD GENERATOR PROCEDURES ,,,450.0,135650.27,92
MS-DRG,245,AICD GENERATOR PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,245,AICD GENERATOR PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,245,AICD GENERATOR PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,450.0,111627.97,92
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,450.0,63895.59,92
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC ,,,450.0,112883.0,92
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC ,,,450.0,112883.0,92
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,450.0,112883.0,92
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,450.0,107333.78,92
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,450.0,65862.11,92
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,450.0,47916.45,92
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,450.0,78005.77,92
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,450.0,50200.65,92
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,450.0,130219.04,92
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,450.0,84784.04,92
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Retransplant Zone 3,,,,,0
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Zone 3 Relapse,,,,,0
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,450.0,69424.68,92
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,263,VEIN LIGATION AND STRIPPING ,,,450.0,75903.01,92
MS-DRG,263,VEIN LIGATION AND STRIPPING Participant's Death Zone 3,,,,,0
MS-DRG,263,VEIN LIGATION AND STRIPPING Retransplant Zone 3,,,,,0
MS-DRG,263,VEIN LIGATION AND STRIPPING Zone 3 Relapse,,,,,0
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,450.0,82933.74,92
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,265,AICD LEAD PROCEDURES ,,,450.0,89825.43,92
MS-DRG,265,AICD LEAD PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,265,AICD LEAD PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,265,AICD LEAD PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,450.0,209513.6,92
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,450.0,157314.61,92
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,450.0,170750.75,92
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,450.0,104845.16,92
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,450.0,130989.42,92
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,450.0,88288.7,92
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,450.0,67376.0,92
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,450.0,102419.66,92
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,450.0,81719.74,92
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,450.0,274547.0,92
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Participant's Death Zone 3,,,,,0
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Retransplant Zone 3,,,,,0
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Zone 3 Relapse,,,,,0
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,450.0,178540.0,92
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR Participant's Death Zone 3,,,,,0
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR Retransplant Zone 3,,,,,0
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR Zone 3 Relapse,,,,,0
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,450.0,178540.0,92
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,450.0,138186.48,92
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Participant's Death Zone 3,,,,,0
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Retransplant Zone 3,,,,,0
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Zone 3 Relapse,,,,,0
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,450.0,112883.0,92
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Participant's Death Zone 3,,,,,0
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Retransplant Zone 3,,,,,0
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Zone 3 Relapse,,,,,0
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,450.0,45728.58,92
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,450.0,34658.75,92
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Retransplant Zone 3",,,,,0
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Zone 3 Relapse",,,,,0
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,450.0,35788.8,92
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,450.0,49175.34,92
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,450.0,20202.0,92
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Retransplant Zone 3",,,,,0
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Zone 3 Relapse",,,,,0
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,450.0,20202.0,92
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,450.0,54934.97,92
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,450.0,29364.99,92
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Participant's Death Zone 3",,,,,0
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Retransplant Zone 3",,,,,0
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Zone 3 Relapse",,,,,0
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,450.0,67184.12,93
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,450.0,42375.5,92
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,450.0,23080.73,92
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC ,,,450.0,31871.62,92
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC ,,,450.0,24140.0,92
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC Retransplant Zone 3,,,,,0
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC Zone 3 Relapse,,,,,0
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,450.0,24140.0,92
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,1854.72,11395.26,31
MS-DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,1854.72,8304.98,31
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,450.0,38775.73,92
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,450.0,20202.0,92
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC Retransplant Zone 3",,,,,0
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC Zone 3 Relapse",,,,,0
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,450.0,20202.0,92
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,450.0,40533.41,92
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,450.0,26501.75,92
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,450.0,23588.92,92
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,302,ATHEROSCLEROSIS WITH MCC ,,,450.0,46229.53,92
MS-DRG,302,ATHEROSCLEROSIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,302,ATHEROSCLEROSIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,302,ATHEROSCLEROSIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC ,,,450.0,29735.46,92
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,304,HYPERTENSION WITH MCC ,,,450.0,29542.94,92
MS-DRG,304,HYPERTENSION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,304,HYPERTENSION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,304,HYPERTENSION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,305,HYPERTENSION WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,305,HYPERTENSION WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,305,HYPERTENSION WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,305,HYPERTENSION WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,450.0,80841.68,92
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,450.0,66530.82,92
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,450.0,32368.36,92
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,450.0,20202.0,92
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,311,ANGINA PECTORIS ,,,450.0,20202.0,92
MS-DRG,311,ANGINA PECTORIS Participant's Death Zone 3,,,,,0
MS-DRG,311,ANGINA PECTORIS Retransplant Zone 3,,,,,0
MS-DRG,311,ANGINA PECTORIS Zone 3 Relapse,,,,,0
MS-DRG,312,SYNCOPE AND COLLAPSE ,,,450.0,21638.34,92
MS-DRG,312,SYNCOPE AND COLLAPSE Participant's Death Zone 3,,,,,0
MS-DRG,312,SYNCOPE AND COLLAPSE Retransplant Zone 3,,,,,0
MS-DRG,312,SYNCOPE AND COLLAPSE Zone 3 Relapse,,,,,0
MS-DRG,313,CHEST PAIN ,,,450.0,20202.0,92
MS-DRG,313,CHEST PAIN Participant's Death Zone 3,,,,,0
MS-DRG,313,CHEST PAIN Retransplant Zone 3,,,,,0
MS-DRG,313,CHEST PAIN Zone 3 Relapse,,,,,0
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,450.0,51767.18,92
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,450.0,25264.19,92
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,450.0,165999.05,61
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION Participant's Death Zone 3,,,,,0
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION Retransplant Zone 3,,,,,0
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION Zone 3 Relapse,,,,,0
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,450.0,60133.54,61
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE Participant's Death Zone 3,,,,,0
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE Retransplant Zone 3,,,,,0
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE Zone 3 Relapse,,,,,0
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,450.0,110795.96,92
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,450.0,59713.98,92
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,450.0,67546.58,92
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A Participant's Death Zone 3,,,,,0
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A Retransplant Zone 3,,,,,0
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A Zone 3 Relapse,,,,,0
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,450.0,43768.24,92
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,450.0,107432.03,92
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,450.0,78226.73,92
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,450.0,79701.39,92
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE Participant's Death Zone 3,,,,,0
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE Retransplant Zone 3,,,,,0
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE Zone 3 Relapse,,,,,0
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,450.0,123817.19,92
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,450.0,60679.71,92
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC Retransplant Zone 3",,,,,0
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC Zone 3 Relapse",,,,,0
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,450.0,39778.7,92
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,450.0,114112.71,92
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,450.0,59512.89,92
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,450.0,41779.68,92
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,332,RECTAL RESECTION WITH MCC ,,,450.0,89887.5,92
MS-DRG,332,RECTAL RESECTION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,332,RECTAL RESECTION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,332,RECTAL RESECTION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,333,RECTAL RESECTION WITH CC ,,,450.0,108329.47,66
MS-DRG,333,RECTAL RESECTION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,333,RECTAL RESECTION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,333,RECTAL RESECTION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC ,,,450.0,40662.51,66
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC ,,,450.0,92654.78,92
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC ,,,450.0,52350.59,92
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,450.0,38107.91,92
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,450.0,87407.62,92
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,450.0,39549.42,92
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,450.0,29448.6,92
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC ,,,450.0,56990.57,92
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC ,,,450.0,32492.27,92
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,450.0,21613.52,92
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,450.0,61863.91,92
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,450.0,37847.24,92
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,450.0,28991.8,92
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,450.0,72045.05,92
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,450.0,41767.26,92
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC Retransplant Zone 3,,,,,0
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC Zone 3 Relapse,,,,,0
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,450.0,33390.97,92
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,450.0,109055.65,92
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,450.0,57732.86,92
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,34704.27,92
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,450.0,85366.68,61
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,450.0,59937.41,61
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,450.0,39520.51,92
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,450.0,24830.97,92
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,450.0,44018.98,92
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,450.0,25347.35,92
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC ,,,450.0,109345.31,66
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC ,,,450.0,30352.91,66
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC Retransplant Zone 3,,,,,0
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC Zone 3 Relapse,,,,,0
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,450.0,27869.13,66
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,450.0,45381.93,92
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,450.0,24346.86,92
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC Retransplant Zone 3,,,,,0
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC Zone 3 Relapse,,,,,0
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC ,,,450.0,48713.58,92
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC ,,,450.0,26898.97,92
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC Retransplant Zone 3,,,,,0
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC Zone 3 Relapse,,,,,0
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,450.0,34277.26,92
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,450.0,21221.26,92
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,450.0,39282.18,92
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC ,,,450.0,24237.62,92
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC Retransplant Zone 3,,,,,0
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC Zone 3 Relapse,,,,,0
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,450.0,36663.04,92
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,450.0,20202.0,92
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,450.0,31486.82,92
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,450.0,33486.0,92
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC Participant's Death Zone 3",,,,,0
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC Retransplant Zone 3",,,,,0
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC Zone 3 Relapse",,,,,0
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,450.0,39704.22,92
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,450.0,23229.69,92
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,397,APPENDIX PROCEDURES WITH MCC ,,,450.0,59455.79,92
MS-DRG,397,APPENDIX PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,397,APPENDIX PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,397,APPENDIX PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,398,APPENDIX PROCEDURES WITH CC ,,,450.0,37576.63,92
MS-DRG,398,APPENDIX PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,398,APPENDIX PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,398,APPENDIX PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,450.0,28418.32,92
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,450.0,91154.26,61
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Participant's Death Zone 3,,,,,0
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Retransplant Zone 3,,,,,0
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Zone 3 Relapse,,,,,0
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,450.0,135810.63,92
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,450.0,72000.37,92
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC Retransplant Zone 3",,,,,0
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC Zone 3 Relapse",,,,,0
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,450.0,55103.79,92
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,450.0,189799.47,92
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Participant's Death Zone 3,,,,,0
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Retransplant Zone 3,,,,,0
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Zone 3 Relapse,,,,,0
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,450.0,60018.47,92
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Participant's Death Zone 3,,,,,0
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Retransplant Zone 3,,,,,0
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Zone 3 Relapse,,,,,0
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,450.0,39416.24,92
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Participant's Death Zone 3,,,,,0
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Retransplant Zone 3,,,,,0
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Zone 3 Relapse,,,,,0
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,450.0,82007.73,92
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,450.0,61470.06,92
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC Retransplant Zone 3,,,,,0
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC Zone 3 Relapse,,,,,0
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,450.0,45229.96,92
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,450.0,127840.11,92
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,450.0,52762.85,92
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Retransplant Zone 3,,,,,0
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Zone 3 Relapse,,,,,0
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,450.0,42394.35,92
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,450.0,59244.77,92
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,450.0,42993.16,92
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC Retransplant Zone 3,,,,,0
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC Zone 3 Relapse,,,,,0
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,450.0,33907.35,92
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,450.0,84584.66,92
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,450.0,43135.18,92
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,450.0,34743.99,92
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,450.0,103102.38,92
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,450.0,54316.81,92
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,37246.45,92
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,450.0,244076.82,61
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Participant's Death Zone 3,,,,,0
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Retransplant Zone 3,,,,,0
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Zone 3 Relapse,,,,,0
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,450.0,165492.91,61
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Participant's Death Zone 3,,,,,0
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Retransplant Zone 3,,,,,0
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Zone 3 Relapse,,,,,0
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,450.0,128245.53,61
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Participant's Death Zone 3,,,,,0
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Retransplant Zone 3,,,,,0
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Zone 3 Relapse,,,,,0
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,450.0,194335.98,61
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,450.0,127462.65,61
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,450.0,48862.53,92
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,450.0,26221.22,92
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,450.0,45597.91,66
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,450.0,28080.69,66
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,450.0,21184.03,66
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,450.0,40471.35,92
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,450.0,20883.63,92
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC Retransplant Zone 3,,,,,0
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC Zone 3 Relapse,,,,,0
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,450.0,44555.22,92
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,450.0,23964.54,92
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC Retransplant Zone 3",,,,,0
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC Zone 3 Relapse",,,,,0
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,450.0,20202.0,92
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C Participant's Death Zone 3",,,,,0
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C Retransplant Zone 3",,,,,0
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C Zone 3 Relapse",,,,,0
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,450.0,41481.76,92
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC ,,,450.0,27169.57,92
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC Retransplant Zone 3,,,,,0
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC Zone 3 Relapse,,,,,0
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,450.0,20538.55,92
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,450.0,156219.51,61
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL Participant's Death Zone 3,,,,,0
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL Retransplant Zone 3,,,,,0
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL Zone 3 Relapse,,,,,0
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,450.0,95145.55,61
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,450.0,119997.33,61
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY Participant's Death Zone 3,,,,,0
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY Retransplant Zone 3,,,,,0
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY Zone 3 Relapse,,,,,0
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,450.0,71903.8,61
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,453,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,2253.12,92326.93,31
MS-DRG,454,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,2253.12,63725.73,31
MS-DRG,455,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,2253.12,47985.75,31
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,450.0,307671.84,92
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Participant's Death Zone 3",,,,,0
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Retransplant Zone 3",,,,,0
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Zone 3 Relapse",,,,,0
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,450.0,192851.77,92
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Participant's Death Zone 3",,,,,0
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Retransplant Zone 3",,,,,0
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Zone 3 Relapse",,,,,0
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,450.0,161699.67,92
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Participant's Death Zone 3",,,,,0
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Retransplant Zone 3",,,,,0
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Zone 3 Relapse",,,,,0
MS-DRG,459,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,2253.12,69101.93,31
MS-DRG,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,2253.12,38111.66,31
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,450.0,137114.0,92
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,450.0,77125.33,92
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,450.0,141495.79,92
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Participant's Death Zone 3,,,,,0
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Retransplant Zone 3,,,,,0
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Zone 3 Relapse,,,,,0
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,450.0,77325.54,92
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Participant's Death Zone 3,,,,,0
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Retransplant Zone 3,,,,,0
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Zone 3 Relapse,,,,,0
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,450.0,60713.0,92
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Participant's Death Zone 3,,,,,0
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Retransplant Zone 3,,,,,0
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Zone 3 Relapse,,,,,0
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,450.0,129229.26,92
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,450.0,87551.37,92
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC Retransplant Zone 3,,,,,0
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC Zone 3 Relapse,,,,,0
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,450.0,68583.55,92
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,450.0,79075.54,92
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,450.0,66535.48,92
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Participant's Death Zone 3,,,,,0
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Retransplant Zone 3,,,,,0
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Zone 3 Relapse,,,,,0
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC ,,,450.0,151226.32,92
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC ,,,450.0,91636.57,92
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,450.0,76247.0,92
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,450.0,123380.49,92
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,450.0,74639.22,92
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,450.0,39141.67,92
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC Participant's Death Zone 3,,,,,0
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC Retransplant Zone 3,,,,,0
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC Zone 3 Relapse,,,,,0
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,450.0,98999.37,92
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,450.0,73949.54,92
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Retransplant Zone 3,,,,,0
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Zone 3 Relapse,,,,,0
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,450.0,46149.05,92
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,450.0,72300.76,92
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,450.0,60873.58,92
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC Retransplant Zone 3,,,,,0
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC Zone 3 Relapse,,,,,0
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,450.0,46005.85,92
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,450.0,68815.19,92
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Participant's Death Zone 3,,,,,0
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Retransplant Zone 3,,,,,0
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Zone 3 Relapse,,,,,0
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,450.0,80115.98,92
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,450.0,51913.65,92
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,450.0,38882.48,92
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,450.0,49228.24,92
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,450.0,34700.69,92
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,450.0,91151.14,92
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,450.0,62961.22,92
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC Retransplant Zone 3",,,,,0
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC Zone 3 Relapse",,,,,0
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,450.0,49813.37,92
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,450.0,103132.79,92
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Participant's Death Zone 3,,,,,0
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Retransplant Zone 3,,,,,0
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Zone 3 Relapse,,,,,0
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,450.0,54405.5,92
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Participant's Death Zone 3,,,,,0
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Retransplant Zone 3,,,,,0
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Zone 3 Relapse,,,,,0
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,450.0,49039.51,92
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Participant's Death Zone 3,,,,,0
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Retransplant Zone 3,,,,,0
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Zone 3 Relapse,,,,,0
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,450.0,74895.08,92
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC Retransplant Zone 3,,,,,0
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC Zone 3 Relapse,,,,,0
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,450.0,50019.42,92
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT Participant's Death Zone 3,,,,,0
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT Retransplant Zone 3,,,,,0
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT Zone 3 Relapse,,,,,0
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC ,,,450.0,78569.32,92
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC ,,,450.0,43398.33,92
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,450.0,33413.31,92
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,503,FOOT PROCEDURES WITH MCC ,,,450.0,69291.85,92
MS-DRG,503,FOOT PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,503,FOOT PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,503,FOOT PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,504,FOOT PROCEDURES WITH CC ,,,450.0,46404.76,92
MS-DRG,504,FOOT PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,504,FOOT PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,504,FOOT PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC ,,,450.0,44508.05,92
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES ,,,450.0,35849.38,92
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,450.0,45297.53,92
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,450.0,37596.49,92
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,509,ARTHROSCOPY ,,,2253.12,29570.03,32
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,450.0,74986.93,92
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,450.0,51623.18,92
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC Retransplant Zone 3",,,,,0
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC Zone 3 Relapse",,,,,0
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,450.0,41096.96,92
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ Participant's Death Zone 3",,,,,0
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ Retransplant Zone 3",,,,,0
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ Zone 3 Relapse",,,,,0
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,450.0,39083.57,92
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,450.0,25379.62,92
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,450.0,116849.5,92
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,450.0,54134.0,92
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,450.0,54134.0,92
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC Participant's Death Zone 3,,,,,0
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC Retransplant Zone 3,,,,,0
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC Zone 3 Relapse,,,,,0
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,450.0,92782.21,92
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST Participant's Death Zone 3,,,,,0
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST Retransplant Zone 3,,,,,0
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST Zone 3 Relapse,,,,,0
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,450.0,49656.97,92
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,450.0,37087.56,92
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,450.0,71377.22,92
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,450.0,52574.02,92
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,533,FRACTURES OF FEMUR WITH MCC ,,,450.0,60044.1,92
MS-DRG,533,FRACTURES OF FEMUR WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,533,FRACTURES OF FEMUR WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,533,FRACTURES OF FEMUR WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC ,,,450.0,28642.69,92
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC ,,,450.0,46812.03,92
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,450.0,28908.31,92
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,450.0,23691.45,92
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,450.0,20202.0,92
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,539,OSTEOMYELITIS WITH MCC ,,,450.0,48899.77,92
MS-DRG,539,OSTEOMYELITIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,539,OSTEOMYELITIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,539,OSTEOMYELITIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,540,OSTEOMYELITIS WITH CC ,,,450.0,32181.94,92
MS-DRG,540,OSTEOMYELITIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,540,OSTEOMYELITIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,540,OSTEOMYELITIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,450.0,50647.21,92
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Participant's Death Zone 3,,,,,0
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Retransplant Zone 3,,,,,0
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Zone 3 Relapse,,,,,0
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,450.0,25863.0,92
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Participant's Death Zone 3,,,,,0
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Retransplant Zone 3,,,,,0
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Zone 3 Relapse,,,,,0
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,450.0,20373.52,92
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Participant's Death Zone 3,,,,,0
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Retransplant Zone 3,,,,,0
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Zone 3 Relapse,,,,,0
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,450.0,61610.68,92
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC ,,,450.0,28634.31,92
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,450.0,20759.5,92
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC ,,,450.0,47936.52,92
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,549,SEPTIC ARTHRITIS WITH CC ,,,450.0,29969.95,92
MS-DRG,549,SEPTIC ARTHRITIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,549,SEPTIC ARTHRITIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,549,SEPTIC ARTHRITIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,450.0,21700.41,92
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC ,,,450.0,41610.86,92
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,450.0,23865.23,92
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,450.0,55892.04,92
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,450.0,41282.94,92
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,450.0,32815.01,92
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,450.0,20620.48,92
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,450.0,36913.78,92
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,450.0,22174.58,92
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Participant's Death Zone 3",,,,,0
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Retransplant Zone 3",,,,,0
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Zone 3 Relapse",,,,,0
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,450.0,54736.36,92
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,450.0,48890.39,92
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Retransplant Zone 3",,,,,0
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Zone 3 Relapse",,,,,0
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,450.0,38615.09,92
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,450.0,36723.13,92
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Participant's Death Zone 3",,,,,0
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Retransplant Zone 3",,,,,0
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Zone 3 Relapse",,,,,0
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,450.0,22231.68,92
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Participant's Death Zone 3",,,,,0
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Retransplant Zone 3",,,,,0
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Zone 3 Relapse",,,,,0
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,450.0,45218.31,92
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,450.0,26137.94,92
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,450.0,22614.98,92
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC ,,,450.0,73015.75,92
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,571,SKIN DEBRIDEMENT WITH CC ,,,450.0,41943.53,92
MS-DRG,571,SKIN DEBRIDEMENT WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,571,SKIN DEBRIDEMENT WITH CC Retransplant Zone 3,,,,,0
MS-DRG,571,SKIN DEBRIDEMENT WITH CC Zone 3 Relapse,,,,,0
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,450.0,28458.04,92
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,450.0,162645.06,92
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,450.0,86180.98,92
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,450.0,44612.32,92
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,450.0,121677.19,92
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,450.0,65806.28,92
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,450.0,39880.49,92
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,450.0,80399.0,92
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,450.0,42899.33,92
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC Retransplant Zone 3",,,,,0
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC Zone 3 Relapse",,,,,0
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,450.0,35826.4,92
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,450.0,47829.77,66
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,450.0,42809.95,66
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,450.0,53145.02,92
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,450.0,47891.84,92
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,592,SKIN ULCERS WITH MCC ,,,450.0,48045.76,92
MS-DRG,592,SKIN ULCERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,592,SKIN ULCERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,592,SKIN ULCERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,593,SKIN ULCERS WITH CC ,,,450.0,29451.08,92
MS-DRG,593,SKIN ULCERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,593,SKIN ULCERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,593,SKIN ULCERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC ,,,450.0,21519.18,92
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC ,,,450.0,52648.5,92
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC ,,,450.0,26874.15,92
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC ,,,450.0,41387.42,66
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC ,,,450.0,28085.65,66
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,450.0,25858.76,92
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,602,CELLULITIS WITH MCC ,,,450.0,35285.19,92
MS-DRG,602,CELLULITIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,602,CELLULITIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,602,CELLULITIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,603,CELLULITIS WITHOUT MCC ,,,450.0,33486.0,92
MS-DRG,603,CELLULITIS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,603,CELLULITIS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,603,CELLULITIS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,450.0,36546.35,92
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,450.0,22740.62,92
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Participant's Death Zone 3",,,,,0
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Retransplant Zone 3",,,,,0
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Zone 3 Relapse",,,,,0
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC ,,,450.0,37566.7,92
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC ,,,450.0,22502.29,92
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,450.0,54413.63,92
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,450.0,38449.66,92
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,450.0,86578.19,92
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Participant's Death Zone 3",,,,,0
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Retransplant Zone 3",,,,,0
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Zone 3 Relapse",,,,,0
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,450.0,51425.43,92
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Participant's Death Zone 3",,,,,0
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Retransplant Zone 3",,,,,0
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Zone 3 Relapse",,,,,0
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,450.0,40900.82,92
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Participant's Death Zone 3",,,,,0
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Retransplant Zone 3",,,,,0
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Zone 3 Relapse",,,,,0
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,450.0,71682.59,1184
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC ,,,450.0,46567.38,1184
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC Retransplant Zone 3,,,,,0
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC Zone 3 Relapse,,,,,0
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,450.0,39836.01,1184
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,450.0,126472.4,92
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Participant's Death Zone 3",,,,,0
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Retransplant Zone 3",,,,,0
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Zone 3 Relapse",,,,,0
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,450.0,44535.36,92
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Participant's Death Zone 3",,,,,0
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Retransplant Zone 3",,,,,0
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Zone 3 Relapse",,,,,0
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,450.0,37410.48,92
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Participant's Death Zone 3",,,,,0
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Retransplant Zone 3",,,,,0
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Zone 3 Relapse",,,,,0
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,450.0,76072.17,92
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,450.0,37224.1,92
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC Retransplant Zone 3",,,,,0
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC Zone 3 Relapse",,,,,0
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,450.0,32976.38,92
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,450.0,134646.04,92
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,450.0,54090.89,92
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC Retransplant Zone 3",,,,,0
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC Zone 3 Relapse",,,,,0
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,450.0,36233.55,92
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,637,DIABETES WITH MCC ,,,450.0,35667.51,92
MS-DRG,637,DIABETES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,637,DIABETES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,637,DIABETES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,638,DIABETES WITH CC ,,,450.0,22249.06,92
MS-DRG,638,DIABETES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,638,DIABETES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,638,DIABETES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,639,DIABETES WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,639,DIABETES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,639,DIABETES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,639,DIABETES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,450.0,33157.61,92
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M Participant's Death Zone 3",,,,,0
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M Retransplant Zone 3",,,,,0
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M Zone 3 Relapse",,,,,0
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,450.0,20202.0,92
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU Participant's Death Zone 3",,,,,0
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU Retransplant Zone 3",,,,,0
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU Zone 3 Relapse",,,,,0
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM ,,,450.0,35305.05,92
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM Participant's Death Zone 3,,,,,0
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM Retransplant Zone 3,,,,,0
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM Zone 3 Relapse,,,,,0
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC ,,,450.0,40866.08,92
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,644,ENDOCRINE DISORDERS WITH CC ,,,450.0,25446.65,92
MS-DRG,644,ENDOCRINE DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,644,ENDOCRINE DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,644,ENDOCRINE DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,650.0,126811.0,145
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Additional Cycles,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC First Cycle,,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Zone 4,,,4421.0,4421.0,1
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,650.0,126811.0,145
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Additional Cycles,,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC First Cycle,,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Zone 4,,,4421.0,4421.0,1
MS-DRG,652,KIDNEY TRANSPLANT ,,,650.0,126811.0,79
MS-DRG,652,KIDNEY TRANSPLANT Zone 4,,,4421.0,4421.0,1
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC ,,,450.0,129005.83,92
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC ,,,450.0,69495.42,92
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,450.0,52546.71,92
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,450.0,163450.13,66
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,450.0,96071.75,66
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Retransplant Zone 3,,,,,0
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Zone 3 Relapse,,,,,0
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,450.0,40772.67,66
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,450.0,85332.0,92
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,450.0,46447.0,92
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Retransplant Zone 3,,,,,0
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Zone 3 Relapse,,,,,0
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,450.0,32079.0,92
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC ,,,450.0,76004.8,92
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC ,,,450.0,37740.49,92
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,450.0,25990.34,92
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,665,PROSTATECTOMY WITH MCC ,,,450.0,77486.91,92
MS-DRG,665,PROSTATECTOMY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,665,PROSTATECTOMY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,665,PROSTATECTOMY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,666,PROSTATECTOMY WITH CC ,,,450.0,43428.12,92
MS-DRG,666,PROSTATECTOMY WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,666,PROSTATECTOMY WITH CC Retransplant Zone 3,,,,,0
MS-DRG,666,PROSTATECTOMY WITH CC Zone 3 Relapse,,,,,0
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC ,,,450.0,27462.52,92
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC ,,,450.0,72491.92,92
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC ,,,450.0,38529.95,92
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,450.0,24262.45,92
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC ,,,450.0,44562.67,92
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,450.0,26799.67,92
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,450.0,104308.92,92
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,450.0,58058.08,92
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,450.0,40749.4,92
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,682,RENAL FAILURE WITH MCC ,,,450.0,36767.31,92
MS-DRG,682,RENAL FAILURE WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,682,RENAL FAILURE WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,682,RENAL FAILURE WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,683,RENAL FAILURE WITH CC ,,,450.0,33486.0,92
MS-DRG,683,RENAL FAILURE WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,683,RENAL FAILURE WITH CC Retransplant Zone 3,,,,,0
MS-DRG,683,RENAL FAILURE WITH CC Zone 3 Relapse,,,,,0
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,450.0,44778.66,92
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,450.0,26012.68,66
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,450.0,22878.27,92
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,450.0,40098.0,92
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,450.0,33486.0,92
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,691,URINARY STONES W ESW LITHOTRIPSY W CC/MCC ,,,,,0
MS-DRG,692,URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC ,,,,,0
MS-DRG,693,URINARY STONES WITH MCC ,,,450.0,33378.56,128
MS-DRG,693,URINARY STONES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,693,URINARY STONES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,693,URINARY STONES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,694,URINARY STONES WITHOUT MCC ,,,450.0,20202.0,128
MS-DRG,694,URINARY STONES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,694,URINARY STONES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,694,URINARY STONES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,450.0,32995.13,92
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,697,URETHRAL STRICTURE ,,,450.0,26757.46,92
MS-DRG,697,URETHRAL STRICTURE Participant's Death Zone 3,,,,,0
MS-DRG,697,URETHRAL STRICTURE Retransplant Zone 3,,,,,0
MS-DRG,697,URETHRAL STRICTURE Zone 3 Relapse,,,,,0
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,450.0,41072.13,92
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,450.0,25198.39,92
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,450.0,44963.0,92
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,450.0,31433.0,92
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC ,,,450.0,57772.58,92
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC ,,,450.0,34786.19,92
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC ,,,450.0,51732.42,92
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC ,,,450.0,27301.15,92
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,450.0,37323.41,92
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,450.0,26251.01,92
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,450.0,55543.21,92
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,450.0,36519.05,92
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,450.0,46933.55,92
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,450.0,33343.8,92
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,450.0,44927.61,66
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,450.0,33680.15,66
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Retransplant Zone 3",,,,,0
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Zone 3 Relapse",,,,,0
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,450.0,24315.88,92
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,450.0,29051.39,92
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,450.0,36814.48,92
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,450.0,26283.29,92
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,450.0,52879.38,92
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,450.0,33403.38,92
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,450.0,88740.54,92
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,450.0,51156.46,92
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Retransplant Zone 3,,,,,0
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Zone 3 Relapse,,,,,0
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,450.0,36456.98,92
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,450.0,82962.0,92
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Participant's Death Zone 3,,,,,0
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Retransplant Zone 3,,,,,0
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Zone 3 Relapse,,,,,0
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,450.0,38018.0,92
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Retransplant Zone 3,,,,,0
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Zone 3 Relapse,,,,,0
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,450.0,27598.0,92
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Participant's Death Zone 3,,,,,0
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Retransplant Zone 3,,,,,0
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Zone 3 Relapse,,,,,0
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,450.0,35139.0,92
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,450.0,22928.0,92
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,450.0,50870.96,92
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,450.0,28239.57,92
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,450.0,43125.24,92
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,450.0,21452.0,92
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,450.0,23535.54,92
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,450.0,63743.24,92
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,36638.21,92
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,450.0,45722.04,66
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,450.0,27005.72,66
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Retransplant Zone 3",,,,,0
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Zone 3 Relapse",,,,,0
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,450.0,23845.37,92
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,450.0,35548.35,92
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,450.0,24304.65,92
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Participant's Death Zone 3",,,,,0
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Retransplant Zone 3",,,,,0
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Zone 3 Relapse",,,,,0
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,450.0,20202.0,92
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Participant's Death Zone 3",,,,,0
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Retransplant Zone 3",,,,,0
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Zone 3 Relapse",,,,,0
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,450.0,25012.2,92
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,765,CESAREAN SECTION W CC/MCC ,,,3495.24,3495.24,1
MS-DRG,766,CESAREAN SECTION W/O CC/MCC ,,,3495.24,3495.24,1
MS-DRG,767,VAGINAL DELIVERY W STERILIZATION &/OR D&C ,,,3328.8,3328.8,1
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,450.0,17819.0,77
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Participant's Death Zone 3,,,,,0
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Retransplant Zone 3,,,,,0
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Zone 3 Relapse,,,,,0
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,450.0,41950.97,92
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,450.0,24893.03,92
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Participant's Death Zone 3",,,,,0
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Retransplant Zone 3",,,,,0
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Zone 3 Relapse",,,,,0
MS-DRG,774,VAGINAL DELIVERY W COMPLICATING DIAGNOSES ,,,1556.0,6897.0,3
MS-DRG,775,VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES ,,,1556.0,6897.0,3
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,450.0,20202.0,92
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,779,ABORTION WITHOUT D&C ,,,450.0,20886.11,92
MS-DRG,779,ABORTION WITHOUT D&C Participant's Death Zone 3,,,,,0
MS-DRG,779,ABORTION WITHOUT D&C Retransplant Zone 3,,,,,0
MS-DRG,779,ABORTION WITHOUT D&C Zone 3 Relapse,,,,,0
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,450.0,40670.15,77
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,450.0,25678.93,78
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,450.0,19700.15,78
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,450.0,36226.84,78
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,450.0,25189.63,78
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,450.0,20986.31,78
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,450.0,30574.32,87
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Participant's Death Zone 3",,,,,0
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Retransplant Zone 3",,,,,0
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Zone 3 Relapse",,,,,0
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,450.0,100831.48,87
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Participant's Death Zone 3",,,,,0
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Retransplant Zone 3",,,,,0
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Zone 3 Relapse",,,,,0
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS ,,,450.0,69189.35,87
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS Participant's Death Zone 3,,,,,0
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS Retransplant Zone 3,,,,,0
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS Zone 3 Relapse,,,,,0
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,450.0,41550.68,87
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS Participant's Death Zone 3,,,,,0
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS Retransplant Zone 3,,,,,0
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS Zone 3 Relapse,,,,,0
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,450.0,70737.26,87
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS Participant's Death Zone 3,,,,,0
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS Retransplant Zone 3,,,,,0
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS Zone 3 Relapse,,,,,0
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,450.0,25038.64,87
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Participant's Death Zone 3,,,,,0
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Retransplant Zone 3,,,,,0
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Zone 3 Relapse,,,,,0
MS-DRG,795,NORMAL NEWBORN ,,,375.0,3389.61,89
MS-DRG,795,NORMAL NEWBORN Participant's Death Zone 3,,,,,0
MS-DRG,795,NORMAL NEWBORN Retransplant Zone 3,,,,,0
MS-DRG,795,NORMAL NEWBORN Zone 3 Relapse,,,,,0
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,450.0,34209.06,77
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,450.0,19732.77,77
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Retransplant Zone 3,,,,,0
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Zone 3 Relapse,,,,,0
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,450.0,19732.77,77
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,799,SPLENIC PROCEDURES WITH MCC ,,,450.0,112434.47,92
MS-DRG,799,SPLENIC PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,799,SPLENIC PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,799,SPLENIC PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,800,SPLENIC PROCEDURES WITH CC ,,,450.0,69746.16,92
MS-DRG,800,SPLENIC PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,800,SPLENIC PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,800,SPLENIC PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,450.0,54177.16,92
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,450.0,98909.27,92
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,450.0,46149.05,92
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,450.0,33664.06,92
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,450.0,23840.56,77
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,450.0,17819.0,77
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Retransplant Zone 3,,,,,0
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Zone 3 Relapse,,,,,0
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,450.0,17819.0,77
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,450.0,54813.33,92
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Participant's Death Zone 3,,,,,0
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Retransplant Zone 3,,,,,0
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Zone 3 Relapse,,,,,0
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,450.0,31427.23,92
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Participant's Death Zone 3,,,,,0
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Retransplant Zone 3,,,,,0
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Zone 3 Relapse,,,,,0
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,450.0,25982.89,92
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Participant's Death Zone 3,,,,,0
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Retransplant Zone 3,,,,,0
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Zone 3 Relapse,,,,,0
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC ,,,450.0,34863.15,92
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,450.0,22795.23,92
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,813,COAGULATION DISORDERS ,,,450.0,37867.1,92
MS-DRG,813,COAGULATION DISORDERS Participant's Death Zone 3,,,,,0
MS-DRG,813,COAGULATION DISORDERS Retransplant Zone 3,,,,,0
MS-DRG,813,COAGULATION DISORDERS Zone 3 Relapse,,,,,0
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,450.0,52797.45,92
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,450.0,25173.56,92
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,450.0,58988.61,101
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,450.0,31653.05,101
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,21452.0,101
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,450.0,314996.79,66
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,450.0,55575.48,92
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,37254.37,66
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,450.0,234521.98,66
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,450.0,116320.69,66
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,450.0,33500.2,66
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,450.0,241075.4,66
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Participant's Death Zone 3,,,,,0
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Retransplant Zone 3,,,,,0
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Zone 3 Relapse,,,,,0
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,450.0,120712.22,66
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Participant's Death Zone 3,,,,,0
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Retransplant Zone 3,,,,,0
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Zone 3 Relapse,,,,,0
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,450.0,42298.54,66
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Participant's Death Zone 3,,,,,0
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Retransplant Zone 3,,,,,0
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Zone 3 Relapse,,,,,0
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,450.0,164294.06,66
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Participant's Death Zone 3,,,,,0
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Retransplant Zone 3,,,,,0
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Zone 3 Relapse,,,,,0
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,450.0,37363.13,66
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Participant's Death Zone 3,,,,,0
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Retransplant Zone 3,,,,,0
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Zone 3 Relapse,,,,,0
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,450.0,29853.26,101
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,450.0,20202.0,101
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,20202.0,101
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,834,ACUTE LEUKEMIA WITH MCC ,,,450.0,136292.26,92
MS-DRG,834,ACUTE LEUKEMIA WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,834,ACUTE LEUKEMIA WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,834,ACUTE LEUKEMIA WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,835,ACUTE LEUKEMIA WITH CC ,,,450.0,82528.6,92
MS-DRG,835,ACUTE LEUKEMIA WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,835,ACUTE LEUKEMIA WITH CC Retransplant Zone 3,,,,,0
MS-DRG,835,ACUTE LEUKEMIA WITH CC Zone 3 Relapse,,,,,0
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,450.0,30275.31,92
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,450.0,156531.73,92
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Participant's Death Zone 3,,,,,0
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Retransplant Zone 3,,,,,0
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Zone 3 Relapse,,,,,0
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,450.0,51821.79,92
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Participant's Death Zone 3,,,,,0
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Retransplant Zone 3,,,,,0
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Zone 3 Relapse,,,,,0
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,450.0,35846.26,92
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,450.0,80309.63,92
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,450.0,40501.14,92
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Retransplant Zone 3,,,,,0
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Zone 3 Relapse,,,,,0
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,450.0,25084.19,92
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,450.0,49522.9,92
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Participant's Death Zone 3,,,,,0
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Retransplant Zone 3,,,,,0
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Zone 3 Relapse,,,,,0
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,450.0,30223.17,92
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Participant's Death Zone 3,,,,,0
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Retransplant Zone 3,,,,,0
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Zone 3 Relapse,,,,,0
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,450.0,21141.82,92
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Participant's Death Zone 3,,,,,0
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Retransplant Zone 3,,,,,0
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Zone 3 Relapse,,,,,0
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,450.0,64361.4,92
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,450.0,32477.37,92
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,450.0,21203.0,92
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,849,RADIOTHERAPY ,,,450.0,67266.05,92
MS-DRG,849,RADIOTHERAPY Participant's Death Zone 3,,,,,0
MS-DRG,849,RADIOTHERAPY Retransplant Zone 3,,,,,0
MS-DRG,849,RADIOTHERAPY Zone 3 Relapse,,,,,0
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,450.0,214980.75,61
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES Participant's Death Zone 3,,,,,0
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES Retransplant Zone 3,,,,,0
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES Zone 3 Relapse,,,,,0
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,450.0,122605.68,92
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,450.0,92521.97,92
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,78432.46,92
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,450.0,112926.03,92
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,450.0,53164.88,92
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,450.0,34580.14,92
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,450.0,45275.18,92
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,450.0,24773.87,92
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS ,,,450.0,22038.04,92
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS Participant's Death Zone 3,,,,,0
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS Retransplant Zone 3,,,,,0
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS Zone 3 Relapse,,,,,0
MS-DRG,865,VIRAL ILLNESS WITH MCC ,,,450.0,37196.8,92
MS-DRG,865,VIRAL ILLNESS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,865,VIRAL ILLNESS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,865,VIRAL ILLNESS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC ,,,450.0,21588.69,92
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,450.0,51965.78,92
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,450.0,25598.09,92
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,450.0,174747.67,92
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Participant's Death Zone 3,,,,,0
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Retransplant Zone 3,,,,,0
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Zone 3 Relapse,,,,,0
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,450.0,40098.0,92
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,450.0,33486.0,92
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,450.0,57392.56,79
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1260.5,2232.34,2190
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,450.0,20202.0,79
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1055.3,1868.94,2190
MS-DRG,881,DEPRESSIVE NEUROSES ,,,450.0,20202.0,79
MS-DRG,881,DEPRESSIVE NEUROSES  IPF,,,1035.76,1834.33,2190
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE ,,,450.0,20202.0,79
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE  IPF,,,996.67,1765.11,2190
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,450.0,22608.52,79
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1143.24,2024.68,2190
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,450.0,20202.0,79
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1055.3,1868.94,2190
MS-DRG,885,PSYCHOSES ,,,450.0,20202.0,79
MS-DRG,885,PSYCHOSES  IPF,,,977.13,1730.5,2190
MS-DRG,885,PSYCHOSES Child/Adolescent,,,725.0,725.0,1
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,450.0,23861.8,79
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1045.53,1851.63,2190
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Child/Adolescent,,,725.0,725.0,1
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES ,,,450.0,22554.4,79
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,977.13,1730.5,2190
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,450.0,20202.0,81
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,840.33,1488.23,2190
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,450.0,35143.69,81
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,879.42,1557.45,2190
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,450.0,43323.85,81
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,977.13,1730.5,2190
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,450.0,21916.39,81
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,928.27,1643.97,2190
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,450.0,104184.79,92
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,450.0,47529.38,92
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,450.0,29036.49,92
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,450.0,91188.38,92
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,450.0,36826.89,92
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,906,HAND PROCEDURES FOR INJURIES ,,,450.0,48765.71,92
MS-DRG,906,HAND PROCEDURES FOR INJURIES Participant's Death Zone 3,,,,,0
MS-DRG,906,HAND PROCEDURES FOR INJURIES Retransplant Zone 3,,,,,0
MS-DRG,906,HAND PROCEDURES FOR INJURIES Zone 3 Relapse,,,,,0
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,450.0,95314.46,92
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,450.0,49532.84,92
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,450.0,32589.09,92
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,913,TRAUMATIC INJURY WITH MCC ,,,450.0,40580.58,92
MS-DRG,913,TRAUMATIC INJURY WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,913,TRAUMATIC INJURY WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,913,TRAUMATIC INJURY WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC ,,,450.0,21983.42,92
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,915,ALLERGIC REACTIONS WITH MCC ,,,450.0,41747.4,92
MS-DRG,915,ALLERGIC REACTIONS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,915,ALLERGIC REACTIONS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,915,ALLERGIC REACTIONS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,450.0,38937.1,92
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1162.79,2059.29,2190
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,450.0,21278.36,92
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1094.39,1938.16,2190
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC ,,,450.0,45451.44,92
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC ,,,450.0,24883.1,92
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC Retransplant Zone 3,,,,,0
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC Zone 3 Relapse,,,,,0
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,450.0,43430.6,92
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Participant's Death Zone 3",,,,,0
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Retransplant Zone 3",,,,,0
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Zone 3 Relapse",,,,,0
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,450.0,25265.42,92
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Participant's Death Zone 3",,,,,0
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Retransplant Zone 3",,,,,0
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Zone 3 Relapse",,,,,0
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,450.0,530047.51,62
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Participant's Death Zone 3,,,,,0
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Retransplant Zone 3,,,,,0
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Zone 3 Relapse,,,,,0
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,450.0,178069.45,62
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,450.0,79959.58,62
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,450.0,96677.41,62
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Participant's Death Zone 3,,,,,0
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Retransplant Zone 3,,,,,0
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Zone 3 Relapse,,,,,0
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,450.0,54880.36,62
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Participant's Death Zone 3,,,,,0
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Retransplant Zone 3,,,,,0
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Zone 3 Relapse,,,,,0
MS-DRG,935,NON-EXTENSIVE BURNS ,,,450.0,51141.56,62
MS-DRG,935,NON-EXTENSIVE BURNS Participant's Death Zone 3,,,,,0
MS-DRG,935,NON-EXTENSIVE BURNS Retransplant Zone 3,,,,,0
MS-DRG,935,NON-EXTENSIVE BURNS Zone 3 Relapse,,,,,0
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,450.0,90081.14,92
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,450.0,58015.88,92
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Retransplant Zone 3,,,,,0
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Zone 3 Relapse,,,,,0
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,450.0,50339.68,92
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Participant's Death Zone 3,,,,,0
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Retransplant Zone 3,,,,,0
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Zone 3 Relapse,,,,,0
MS-DRG,945,REHABILITATION WITH CC/MCC ,,,450.0,26272.0,61
MS-DRG,946,REHABILITATION WITHOUT CC/MCC ,,,450.0,19455.46,61
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC ,,,450.0,31514.12,92
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1094.39,1938.16,2190
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC ,,,450.0,20202.0,92
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1065.07,1886.24,2190
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,949,AFTERCARE WITH CC/MCC ,,,450.0,29535.49,92
MS-DRG,949,AFTERCARE WITH CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,949,AFTERCARE WITH CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,949,AFTERCARE WITH CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,950,AFTERCARE WITHOUT CC/MCC ,,,450.0,20202.0,92
MS-DRG,950,AFTERCARE WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,950,AFTERCARE WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,950,AFTERCARE WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,450.0,20202.0,92
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS Participant's Death Zone 3,,,,,0
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS Retransplant Zone 3,,,,,0
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS Zone 3 Relapse,,,,,0
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,450.0,167106.29,92
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Participant's Death Zone 3,,,,,0
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Retransplant Zone 3,,,,,0
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Zone 3 Relapse,,,,,0
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,450.0,198429.79,92
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Participant's Death Zone 3",,,,,0
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Retransplant Zone 3",,,,,0
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Zone 3 Relapse",,,,,0
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,450.0,189171.64,92
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,450.0,104614.28,92
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Retransplant Zone 3,,,,,0
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Zone 3 Relapse,,,,,0
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,450.0,73090.23,92
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,450.0,85038.01,92
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,450.0,39651.94,92
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Retransplant Zone 3,,,,,0
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Zone 3 Relapse,,,,,0
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,450.0,30301.65,92
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,450.0,151967.39,92
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,450.0,85858.17,92
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Participant's Death Zone 3,,,,,0
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Retransplant Zone 3,,,,,0
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Zone 3 Relapse,,,,,0
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,450.0,71647.84,92
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,450.0,32149.67,92
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC Retransplant Zone 3,,,,,0
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC Zone 3 Relapse,,,,,0
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,450.0,22410.43,92
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,450.0,32216.7,92
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION Participant's Death Zone 3,,,,,0
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION Retransplant Zone 3,,,,,0
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION Zone 3 Relapse,,,,,0
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,450.0,116478.63,92
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,450.0,61034.72,92
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,450.0,42551.76,92
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,450.0,85113.46,92
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Participant's Death Zone 3,,,,,0
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Retransplant Zone 3,,,,,0
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Zone 3 Relapse,,,,,0
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,450.0,40804.01,92
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Participant's Death Zone 3,,,,,0
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Retransplant Zone 3,,,,,0
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Zone 3 Relapse,,,,,0
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,450.0,29771.34,92
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Participant's Death Zone 3,,,,,0
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Retransplant Zone 3,,,,,0
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Zone 3 Relapse,,,,,0
MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,450.0,1688.62,41
MS-DRG,999,UNGROUPABLE ,,,450.0,1688.62,41
RC,100, All-inclusive room and board plus ancillary  ,,,,,0
RC,100, All-inclusive room and board plus ancillary  Medical Management,,,4687.0,4687.0,1
RC,100, All-inclusive room and board plus ancillary  Pediatric,,,5348.0,5348.0,1
RC,100,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,100,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,100,KIDNEY TRANSPLANT ,,,,,0
RC,100,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,100,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,100,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,100,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,100,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,100,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,100,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,100,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,100,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,100,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,100,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,1000,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1673.92,10
RC,1000,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1394.93,10
RC,1000,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1549.92,10
RC,1000,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1472.43,10
RC,1000,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1332.93,10
RC,1000,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1658.42,10
RC,1000,DEPRESSIVE NEUROSES  IPF,,,1066.83,1642.92,10
RC,1000,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1813.41,10
RC,1000,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1580.92,10
RC,1000,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,1999.4,10
RC,1000,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1673.92,10
RC,1000,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1549.92,10
RC,1000,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1844.41,10
RC,1000,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1735.91,10
RC,1000,PSYCHOSES  IPF,,,1006.44,1549.92,10
RC,1000,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1735.91,10
RC,1000,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1689.42,10
RC,1001, Behavioral Health Accommodations Residential - Psychiatric  ,,,1014.0,1302.0,5
RC,1001,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1803.93,80
RC,1001,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1503.28,80
RC,1001,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1670.31,80
RC,1001,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1586.79,80
RC,1001,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1436.46,80
RC,1001,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1787.23,80
RC,1001,DEPRESSIVE NEUROSES  IPF,,,1066.83,1770.52,80
RC,1001,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1954.26,80
RC,1001,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1703.71,80
RC,1001,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,2154.7,80
RC,1001,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1803.93,80
RC,1001,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1670.31,80
RC,1001,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1987.66,80
RC,1001,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1870.74,80
RC,1001,PSYCHOSES  IPF,,,1006.44,1670.31,80
RC,1001,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1870.74,80
RC,1001,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1820.63,80
RC,1002, Behavioral Health Accommodations Residential - Chemical Dependency  ,,,1110.0,1302.0,2
RC,1002,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1086.96,1803.93,80
RC,1002,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,905.8,1503.28,80
RC,1002,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,1006.44,1670.31,80
RC,1002,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,956.12,1586.79,80
RC,1002,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,865.54,1436.46,80
RC,1002,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1076.89,1787.23,80
RC,1002,DEPRESSIVE NEUROSES  IPF,,,1066.83,1770.52,80
RC,1002,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1177.54,1954.26,80
RC,1002,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1026.57,1703.71,80
RC,1002,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1298.31,2154.7,80
RC,1002,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1086.96,1803.93,80
RC,1002,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,1006.44,1670.31,80
RC,1002,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1197.67,1987.66,80
RC,1002,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1127.22,1870.74,80
RC,1002,PSYCHOSES  IPF,,,1006.44,1670.31,80
RC,1002,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1127.22,1870.74,80
RC,1002,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1097.02,1820.63,80
RC,101, All-inclusive room and board    ,,,,,0
RC,101, All-inclusive room and board    Medical Management,,,4687.0,4687.0,1
RC,101, All-inclusive room and board    Pediatric,,,5348.0,5348.0,1
RC,101,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,101,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,101,KIDNEY TRANSPLANT ,,,,,0
RC,101,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,101,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,101,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,101,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,101,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,101,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,101,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,101,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,101,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,101,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,101,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110, Room & Board - Private (One Bed) General Classification  ,,,,,0
RC,110, Room & Board - Private (One Bed) General Classification  Medical Management,,,4687.0,4687.0,1
RC,110, Room & Board - Private (One Bed) General Classification  Pediatric,,,5348.0,5348.0,1
RC,110,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,110,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,110,KIDNEY TRANSPLANT ,,,,,0
RC,110,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,110,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,110,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,110,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,110,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,110,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,110,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,110,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,110,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,110,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,110,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111, Room & Board - Private (One Bed) Medical/Surgical/GYN  ,,,,,0
RC,111, Room & Board - Private (One Bed) Medical/Surgical/GYN  Medical Management,,,4687.0,4687.0,1
RC,111, Room & Board - Private (One Bed) Medical/Surgical/GYN  Pediatric,,,5348.0,5348.0,1
RC,111,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,111,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,111,KIDNEY TRANSPLANT ,,,,,0
RC,111,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,111,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,111,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,111,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,111,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,111,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,111,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,111,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,111,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,111,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,111,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112, Room & Board - Private (One Bed) Obstetrics (OB)  ,,,,,0
RC,112, Room & Board - Private (One Bed) Obstetrics (OB)  Medical Management,,,4687.0,4687.0,1
RC,112, Room & Board - Private (One Bed) Obstetrics (OB)  Pediatric,,,5348.0,5348.0,1
RC,112,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,112,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,112,KIDNEY TRANSPLANT ,,,,,0
RC,112,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,112,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,112,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,112,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,112,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,112,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,112,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,112,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,112,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,112,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,112,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113, Room & Board - Private (One Bed) Pediatric  ,,,785.0,1165.0,3
RC,113, Room & Board - Private (One Bed) Pediatric  Medical Management,,,4687.0,4687.0,1
RC,113, Room & Board - Private (One Bed) Pediatric  Pediatric,,,5348.0,5348.0,1
RC,113,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,113,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,113,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,113,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,113,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,113,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,113,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,11138.75,13348.82,2
RC,113,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,6472.68,7756.95,2
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,113,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,113,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,113,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,113,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,113,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,113,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,113,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,113,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,113,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,113,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,113,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,113,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,113,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,113,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,113,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,113,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,113,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,113,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,113,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,113,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,113,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,113,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,113,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,113,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,113,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,113,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,113,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,113,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,113,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,113,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,113,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,113,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,113,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,113,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,113,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,113,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,113,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,113,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,113,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,113,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,113,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,113,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,113,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,113,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,113,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,113,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,113,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,113,CHEST PAIN ,,,6290.98,7539.19,2
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,113,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,113,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,113,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,113,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,113,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,113,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,113,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,113,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,113,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,113,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,113,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,113,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,113,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,113,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,113,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,113,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,113,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,113,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,113,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,113,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,113,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,113,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,113,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,113,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,113,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,113,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,113,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,113,DENTAL AND ORAL DISEASES WITH CC ,,,8159.32,9778.23,2
RC,113,DENTAL AND ORAL DISEASES WITH MCC ,,,14840.66,17785.23,2
RC,113,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,5870.19,7034.91,2
RC,113,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,113,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,113,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,113,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,113,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,113,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,113,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,113,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,113,DYSEQUILIBRIUM ,,,6474.42,7759.03,2
RC,113,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7735.05,9269.78,2
RC,113,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,113,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,113,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,113,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,113,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,113,EPISTAXIS WITH MCC ,,,11428.26,13695.78,2
RC,113,EPISTAXIS WITHOUT MCC ,,,6700.47,8029.92,2
RC,113,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,113,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,113,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,13600.89,16299.48,2
RC,113,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,113,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,113,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,113,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,113,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,113,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,113,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,113,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,113,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,113,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,113,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,113,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,113,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,113,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,113,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,113,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,113,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,113,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,113,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,113,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,113,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,113,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,113,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,113,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,113,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,113,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,113,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,113,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,113,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,113,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,113,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,113,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,113,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,113,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,113,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,113,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,113,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,113,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,113,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,113,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,113,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,113,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,113,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,113,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,113,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,113,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,15916.98,19075.11,2
RC,113,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,10418.89,12486.13,2
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,113,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,113,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,113,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,113,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,113,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,113,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,113,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,113,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,46859.45,3
RC,113,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,36033.07,3
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,113,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,113,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,113,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,113,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,113,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,113,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,113,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,113,MAJOR CHEST PROCEDURES WITH CC ,,,22173.18,26572.62,2
RC,113,MAJOR CHEST PROCEDURES WITH MCC ,,,40980.04,49111.0,2
RC,113,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,16313.42,19550.21,2
RC,113,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,113,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,113,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,113,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,113,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,113,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,113,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,18011.36,21585.04,2
RC,113,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,32846.8,39364.02,2
RC,113,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13432.23,16097.35,2
RC,113,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,113,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,113,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,113,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,113,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,113,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,113,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,113,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,113,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,113,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,113,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,113,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,113,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,113,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,113,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,113,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,113,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,113,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,113,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,113,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,113,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,113,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,113,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,113,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,113,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,113,MOUTH PROCEDURES WITH CC/MCC ,,,13081.86,15677.47,2
RC,113,MOUTH PROCEDURES WITHOUT CC/MCC ,,,7526.4,9019.73,2
RC,113,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,113,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,113,NEUROLOGICAL EYE DISORDERS ,,,6989.98,8376.88,2
RC,113,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,113,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,113,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,113,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,113,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,113,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,113,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,113,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,113,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,10709.27,12834.12,2
RC,113,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,113,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,113,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,113,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,113,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,113,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,113,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,113,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,11492.6,13772.88,2
RC,113,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,6933.47,8309.15,2
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,8229.74,9862.63,2
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,13373.11,16026.51,2
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,5698.92,6829.65,2
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,15044.97,18030.08,2
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,28912.77,34649.43,2
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,10616.24,12722.64,2
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,113,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,113,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,113,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,113,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,113,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,113,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,113,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,113,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,113,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,113,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,113,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,113,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,113,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,113,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,15821.34,18960.5,2
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,35278.51,42278.22,2
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11786.46,14125.04,2
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,113,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,113,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,113,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,113,OTITIS MEDIA AND URI WITH MCC ,,,10330.21,12379.86,2
RC,113,OTITIS MEDIA AND URI WITHOUT MCC ,,,6388.35,7655.88,2
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,113,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,113,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,113,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,113,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,113,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,113,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,113,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,113,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,113,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,113,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,113,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,113,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,113,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,113,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,113,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,113,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,113,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,113,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,113,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,113,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,113,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,113,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,113,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,113,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,113,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,113,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,113,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,113,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,113,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,113,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,113,PSYCHOSES ,,,11879.48,14236.52,2
RC,113,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,113,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,113,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,113,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,113,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,113,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,113,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,113,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,113,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,113,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,113,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,113,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,113,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,113,SALIVARY GLAND PROCEDURES ,,,10325.86,12374.65,2
RC,113,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,113,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,113,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,113,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,113,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,113,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,113,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,113,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,23057.36,27632.23,2
RC,113,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,9079.14,10880.56,2
RC,113,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,113,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,113,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,113,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,113,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,113,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,113,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,113,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,113,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,113,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,113,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,113,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,113,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,113,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,113,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,113,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,113,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,113,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,113,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,113,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,113,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,113,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,113,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,113,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,113,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,113,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,113,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,113,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,113,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,113,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,113,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,113,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,113,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,113,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,113,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,113,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,113,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,113,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,113,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,113,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,113,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,113,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,113,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,26734.05,32038.43,2
RC,113,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,113,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,113,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,113,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,113,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,113,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,113,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,113,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,113,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,113,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,113,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,113,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,113,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,114, Room & Board - Private (One Bed) Psychiatric  ,,,764.0,2500.0,18
RC,114, Room & Board - Private (One Bed) Psychiatric  Adolescent,,,4511.0,4511.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Adult,,,3867.0,3867.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Adult and Geriatric,,,1157.0,1157.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Geriatric,,,3867.0,3867.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  MH DD Geriatric/Adult,,,1009.0,1863.0,2
RC,114, Room & Board - Private (One Bed) Psychiatric  Medical Management,,,4687.0,4687.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Pediatric,,,5348.0,5348.0,1
RC,114,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,180
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,180
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,180
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,180
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,180
RC,114,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,180
RC,114,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,180
RC,114,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,180
RC,114,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,114,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,114,KIDNEY TRANSPLANT ,,,,,0
RC,114,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,114,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,114,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,180
RC,114,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,180
RC,114,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,180
RC,114,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,180
RC,114,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,180
RC,114,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,180
RC,114,PSYCHOSES  IPF,,,986.9,1670.31,180
RC,114,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,180
RC,114,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,180
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,114,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,114,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,114,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,114,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,114,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,114,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,114,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,114,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,114,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115, Room & Board - Private (One Bed) Hospice  ,,,665.0,3985.0,4
RC,115, Room & Board - Private (One Bed) Hospice  Medical Management,,,4687.0,4687.0,1
RC,115, Room & Board - Private (One Bed) Hospice  Pediatric,,,5348.0,5348.0,1
RC,115,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,115,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,115,KIDNEY TRANSPLANT ,,,,,0
RC,115,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,115,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,115,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,115,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,115,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,115,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,115,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,115,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,115,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,115,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,115,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116, Room & Board - Private (One Bed) Detoxification  ,,,764.0,2385.0,16
RC,116, Room & Board - Private (One Bed) Detoxification  Medical Management,,,4687.0,4687.0,1
RC,116, Room & Board - Private (One Bed) Detoxification  Pediatric,,,5348.0,5348.0,1
RC,116,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,170
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,170
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,170
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,170
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,170
RC,116,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,116,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,116,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,116,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,116,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,170
RC,116,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,170
RC,116,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,170
RC,116,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,116,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,116,KIDNEY TRANSPLANT ,,,,,0
RC,116,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,116,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,116,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,170
RC,116,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,170
RC,116,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,170
RC,116,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,170
RC,116,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,170
RC,116,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,170
RC,116,PSYCHOSES  IPF,,,986.9,1670.31,170
RC,116,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,170
RC,116,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,170
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,116,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,116,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,116,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,116,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,116,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,116,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,116,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,116,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,116,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117, Room & Board - Private (One Bed) Oncology  ,,,,,0
RC,117, Room & Board - Private (One Bed) Oncology  Medical Management,,,4687.0,4687.0,1
RC,117, Room & Board - Private (One Bed) Oncology  Pediatric,,,5348.0,5348.0,1
RC,117,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,117,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,117,KIDNEY TRANSPLANT ,,,,,0
RC,117,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,117,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,117,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,117,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,117,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,117,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,117,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,117,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,117,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,117,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,117,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118, Room & Board - Private (One Bed) Rehabilitation  ,,,1099.2,4174.0,15
RC,118, Room & Board - Private (One Bed) Rehabilitation  Medical Management,,,4687.0,4687.0,1
RC,118, Room & Board - Private (One Bed) Rehabilitation  Pediatric,,,5348.0,5348.0,1
RC,118,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,118,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,118,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,118,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,118,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,118,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,118,KIDNEY TRANSPLANT ,,,,,0
RC,118,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,118,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,118,REHABILITATION WITH CC/MCC ,,,1452.0,1740.0,2
RC,118,REHABILITATION WITHOUT CC/MCC ,,,1452.0,1740.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,118,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,118,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,118,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,118,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,118,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,118,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,118,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,118,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,118,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119, Room & Board - Private (One Bed) Other  ,,,,,0
RC,119, Room & Board - Private (One Bed) Other  Medical Management,,,4687.0,4687.0,1
RC,119, Room & Board - Private (One Bed) Other  Pediatric,,,5348.0,5348.0,1
RC,119,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,119,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,119,KIDNEY TRANSPLANT ,,,,,0
RC,119,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,119,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,119,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,119,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,119,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,119,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,119,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,119,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,119,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,119,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,119,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120, Room & Board - Semi-private (Two Beds) General Classification  ,,,,,0
RC,120, Room & Board - Semi-private (Two Beds) General Classification  Medical Management,,,4687.0,4687.0,1
RC,120, Room & Board - Semi-private (Two Beds) General Classification  Pediatric,,,5348.0,5348.0,1
RC,120,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,120,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,120,KIDNEY TRANSPLANT ,,,,,0
RC,120,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,120,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,120,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,120,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,120,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,120,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,120,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,120,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,120,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,120,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,120,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121, Room & Board - Semi-private (Two Beds) Medical/Surgical/GYN  ,,,,,0
RC,121, Room & Board - Semi-private (Two Beds) Medical/Surgical/GYN  Medical Management,,,4687.0,4687.0,1
RC,121, Room & Board - Semi-private (Two Beds) Medical/Surgical/GYN  Pediatric,,,5348.0,5348.0,1
RC,121,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,121,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,121,KIDNEY TRANSPLANT ,,,,,0
RC,121,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,121,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,121,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,121,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,121,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,121,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,121,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,121,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,121,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,121,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,121,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122, Room & Board - Semi-private (Two Beds) Obstetrics (OB)  ,,,,,0
RC,122, Room & Board - Semi-private (Two Beds) Obstetrics (OB)  Medical Management,,,4687.0,4687.0,1
RC,122, Room & Board - Semi-private (Two Beds) Obstetrics (OB)  Pediatric,,,5348.0,5348.0,1
RC,122,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,122,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,122,KIDNEY TRANSPLANT ,,,,,0
RC,122,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,122,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,122,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,122,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,122,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,122,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,122,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,122,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,122,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,122,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,122,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123, Room & Board - Semi-private (Two Beds) Pediatric  ,,,785.0,1165.0,3
RC,123, Room & Board - Semi-private (Two Beds) Pediatric  Medical Management,,,4687.0,4687.0,1
RC,123, Room & Board - Semi-private (Two Beds) Pediatric  Pediatric,,,5348.0,5348.0,1
RC,123,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,123,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,123,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,123,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,123,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,123,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,123,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,123,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,123,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,123,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,123,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,123,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,123,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,123,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,123,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,123,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,123,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,123,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,123,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,123,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,123,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,123,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,123,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,123,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,123,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,123,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,123,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,123,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,123,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,123,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,123,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,123,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,123,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,123,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,123,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,123,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,123,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,123,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,123,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,123,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,123,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,123,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,123,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,123,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,123,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,123,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,123,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,123,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,123,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,123,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,123,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,123,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,123,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,123,CHEST PAIN ,,,6290.98,7539.19,2
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,123,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,123,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,123,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,123,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,123,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,123,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,123,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,123,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,123,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,123,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,123,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,123,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,123,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,123,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,123,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,123,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,123,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,123,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,123,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,123,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,123,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,123,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,123,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,123,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,123,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,123,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,123,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,123,DENTAL AND ORAL DISEASES WITH CC ,,,8159.32,9778.23,2
RC,123,DENTAL AND ORAL DISEASES WITH MCC ,,,14840.66,17785.23,2
RC,123,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,5870.19,7034.91,2
RC,123,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,123,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,123,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,123,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,123,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,123,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,123,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,123,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,123,DYSEQUILIBRIUM ,,,6474.42,7759.03,2
RC,123,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7735.05,9269.78,2
RC,123,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,123,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,123,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,123,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,123,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,123,EPISTAXIS WITH MCC ,,,11428.26,13695.78,2
RC,123,EPISTAXIS WITHOUT MCC ,,,6700.47,8029.92,2
RC,123,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,123,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,123,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,123,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,123,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,123,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,123,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,123,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,123,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,123,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,123,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,123,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,123,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,123,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,123,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,123,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,123,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,123,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,123,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,123,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,123,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,123,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,123,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,123,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,123,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,123,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,123,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,123,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,123,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,123,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,123,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,123,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,123,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,123,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,123,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,123,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,123,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,123,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,123,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,123,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,123,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,123,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,123,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,123,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,123,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,123,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,123,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,123,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,123,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,123,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,123,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,123,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,123,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,123,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,123,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,46859.45,3
RC,123,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,36033.07,3
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,123,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,123,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,123,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,123,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,123,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,123,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,123,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,123,MAJOR CHEST PROCEDURES WITH CC ,,,22173.18,26572.62,2
RC,123,MAJOR CHEST PROCEDURES WITH MCC ,,,40980.04,49111.0,2
RC,123,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,16313.42,19550.21,2
RC,123,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,123,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,123,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,123,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,123,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,123,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,123,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,18011.36,21585.04,2
RC,123,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,32846.8,39364.02,2
RC,123,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13432.23,16097.35,2
RC,123,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,123,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,123,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,123,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,123,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,123,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,123,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,123,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,123,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,123,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,123,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,123,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,123,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,123,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,123,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,123,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,123,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,123,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,123,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,123,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,123,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,123,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,123,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,123,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,123,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,123,MOUTH PROCEDURES WITH CC/MCC ,,,13081.86,15677.47,2
RC,123,MOUTH PROCEDURES WITHOUT CC/MCC ,,,7526.4,9019.73,2
RC,123,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,123,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,123,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,123,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,123,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,123,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,123,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,123,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,123,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,123,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,123,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,123,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,123,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,123,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,123,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,123,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,123,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,123,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,11492.6,13772.88,2
RC,123,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,6933.47,8309.15,2
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,8229.74,9862.63,2
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,13373.11,16026.51,2
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,5698.92,6829.65,2
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,15044.97,18030.08,2
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,28912.77,34649.43,2
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,10616.24,12722.64,2
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,123,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,123,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,123,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,123,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,123,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,123,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,123,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,123,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,123,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,123,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,123,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,123,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,123,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,123,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,15821.34,18960.5,2
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,35278.51,42278.22,2
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11786.46,14125.04,2
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,123,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,123,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,123,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,123,OTITIS MEDIA AND URI WITH MCC ,,,10330.21,12379.86,2
RC,123,OTITIS MEDIA AND URI WITHOUT MCC ,,,6388.35,7655.88,2
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,123,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,123,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,123,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,123,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,123,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,123,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,123,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,123,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,123,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,123,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,123,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,123,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,123,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,123,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,123,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,123,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,123,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,123,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,123,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,123,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,123,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,123,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,123,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,123,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,123,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,123,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,123,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,123,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,123,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,123,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,123,PSYCHOSES ,,,11879.48,14236.52,2
RC,123,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,123,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,123,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,123,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,123,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,123,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,123,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,123,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,123,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,123,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,123,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,123,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,123,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,123,SALIVARY GLAND PROCEDURES ,,,10325.86,12374.65,2
RC,123,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,123,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,123,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,123,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,123,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,123,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,123,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,123,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,23057.36,27632.23,2
RC,123,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,9079.14,10880.56,2
RC,123,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,123,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,123,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,123,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,123,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,123,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,123,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,123,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,123,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,123,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,123,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,123,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,123,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,123,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,123,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,123,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,123,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,123,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,123,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,123,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,123,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,123,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,123,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,123,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,123,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,123,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,123,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,123,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,123,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,123,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,123,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,123,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,123,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,123,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,123,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,123,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,123,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,123,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,123,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,123,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,123,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,123,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,123,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,26734.05,32038.43,2
RC,123,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,123,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,123,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,123,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,123,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,123,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,123,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,123,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,123,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,123,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,123,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,123,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,123,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  ,,,764.0,2500.0,19
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Adolescent,,,4511.0,4511.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Adult,,,3867.0,3867.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Adult and Geriatric,,,1157.0,1157.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Geriatric,,,3867.0,3867.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  MH DD Geriatric/Adult,,,1009.0,1863.0,2
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Medical Management,,,4687.0,4687.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Pediatric,,,5348.0,5348.0,1
RC,124,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,180
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,180
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,180
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,180
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,180
RC,124,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,180
RC,124,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,180
RC,124,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,180
RC,124,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,124,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,124,KIDNEY TRANSPLANT ,,,,,0
RC,124,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,124,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,124,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,180
RC,124,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,180
RC,124,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,180
RC,124,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,180
RC,124,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,180
RC,124,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,180
RC,124,PSYCHOSES  IPF,,,986.9,1670.31,180
RC,124,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,180
RC,124,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,180
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,124,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,124,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,124,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,124,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,124,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,124,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,124,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,124,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,124,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125, Room & Board - Semi-private (Two Beds) Hospice  ,,,665.0,3985.0,4
RC,125, Room & Board - Semi-private (Two Beds) Hospice  Medical Management,,,4687.0,4687.0,1
RC,125, Room & Board - Semi-private (Two Beds) Hospice  Pediatric,,,5348.0,5348.0,1
RC,125,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,125,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,125,KIDNEY TRANSPLANT ,,,,,0
RC,125,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,125,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,125,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,125,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,125,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,125,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,125,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,125,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,125,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,125,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,125,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126, Room & Board - Semi-private (Two Beds) Detoxification  ,,,764.0,2385.0,15
RC,126, Room & Board - Semi-private (Two Beds) Detoxification  Medical Management,,,4687.0,4687.0,1
RC,126, Room & Board - Semi-private (Two Beds) Detoxification  Pediatric,,,5348.0,5348.0,1
RC,126,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,170
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,170
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,170
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,170
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,170
RC,126,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,126,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,126,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,126,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,126,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,170
RC,126,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,170
RC,126,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,170
RC,126,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,126,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,126,KIDNEY TRANSPLANT ,,,,,0
RC,126,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,126,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,126,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,170
RC,126,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,170
RC,126,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,170
RC,126,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,170
RC,126,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,170
RC,126,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,170
RC,126,PSYCHOSES  IPF,,,986.9,1670.31,170
RC,126,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,170
RC,126,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,170
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,126,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,126,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,126,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,126,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,126,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,126,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,126,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,126,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,126,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127, Room & Board - Semi-private (Two Beds) Oncology  ,,,,,0
RC,127, Room & Board - Semi-private (Two Beds) Oncology  Medical Management,,,4687.0,4687.0,1
RC,127, Room & Board - Semi-private (Two Beds) Oncology  Pediatric,,,5348.0,5348.0,1
RC,127,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,127,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,127,KIDNEY TRANSPLANT ,,,,,0
RC,127,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,127,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,127,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,127,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,127,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,127,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,127,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,127,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,127,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,127,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,127,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128, Room & Board - Semi-private (Two Beds) Rehabilitation  ,,,1099.2,4174.0,17
RC,128, Room & Board - Semi-private (Two Beds) Rehabilitation  Medical Management,,,4687.0,4687.0,1
RC,128, Room & Board - Semi-private (Two Beds) Rehabilitation  Pediatric,,,5348.0,5348.0,1
RC,128,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,128,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,128,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,128,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,128,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,128,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,128,KIDNEY TRANSPLANT ,,,,,0
RC,128,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,128,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,128,REHABILITATION WITH CC/MCC ,,,1452.0,1740.0,2
RC,128,REHABILITATION WITHOUT CC/MCC ,,,1452.0,1740.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,128,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,128,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,128,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,128,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,128,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,128,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,128,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,128,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,128,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129, Room & Board - Semi-private (Two Beds) Other  ,,,,,0
RC,129, Room & Board - Semi-private (Two Beds) Other  Medical Management,,,4687.0,4687.0,1
RC,129, Room & Board - Semi-private (Two Beds) Other  Pediatric,,,5348.0,5348.0,1
RC,129,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,129,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,129,KIDNEY TRANSPLANT ,,,,,0
RC,129,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,129,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,129,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,129,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,129,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,129,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,129,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,129,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,129,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,129,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,129,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130, Room & Board - Three and Four Beds General Classification  ,,,,,0
RC,130, Room & Board - Three and Four Beds General Classification  Medical Management,,,4687.0,4687.0,1
RC,130, Room & Board - Three and Four Beds General Classification  Pediatric,,,5348.0,5348.0,1
RC,130,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,130,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,130,KIDNEY TRANSPLANT ,,,,,0
RC,130,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,130,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,130,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,130,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,130,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,130,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,130,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,130,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,130,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,130,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,130,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131, Room & Board - Three and Four Beds Medical/Surgical/GYN  ,,,,,0
RC,131, Room & Board - Three and Four Beds Medical/Surgical/GYN  Medical Management,,,4687.0,4687.0,1
RC,131, Room & Board - Three and Four Beds Medical/Surgical/GYN  Pediatric,,,5348.0,5348.0,1
RC,131,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,131,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,131,KIDNEY TRANSPLANT ,,,,,0
RC,131,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,131,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,131,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,131,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,131,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,131,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,131,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,131,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,131,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,131,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,131,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132, Room & Board - Three and Four Beds Obstetrics (OB)  ,,,,,0
RC,132, Room & Board - Three and Four Beds Obstetrics (OB)  Medical Management,,,4687.0,4687.0,1
RC,132, Room & Board - Three and Four Beds Obstetrics (OB)  Pediatric,,,5348.0,5348.0,1
RC,132,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,132,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,132,KIDNEY TRANSPLANT ,,,,,0
RC,132,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,132,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,132,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,132,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,132,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,132,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,132,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,132,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,132,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,132,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,132,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133, Room & Board - Three and Four Beds Pediatric  ,,,785.0,1165.0,3
RC,133, Room & Board - Three and Four Beds Pediatric  Medical Management,,,4687.0,4687.0,1
RC,133, Room & Board - Three and Four Beds Pediatric  Pediatric,,,5348.0,5348.0,1
RC,133,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,133,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,133,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,133,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,133,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,133,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,133,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,133,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,133,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,133,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,133,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,133,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,133,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,133,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,133,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,133,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,133,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,133,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,133,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,133,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,133,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,133,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,133,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,133,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,133,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,133,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,133,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,133,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,133,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,133,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,133,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,133,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,133,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,133,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,133,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,133,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,133,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,133,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,133,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,133,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,133,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,133,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,133,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,133,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,133,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,133,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,133,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,133,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,133,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,133,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,133,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,133,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,133,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,133,CHEST PAIN ,,,6290.98,7539.19,2
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,133,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,133,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,133,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,133,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,133,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,133,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,133,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,133,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,133,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,133,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,133,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,133,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,133,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,133,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,133,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,133,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,133,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,133,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,133,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,133,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,133,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,133,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,133,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,133,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,133,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,133,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,133,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,133,DENTAL AND ORAL DISEASES WITH CC ,,,8159.32,9778.23,2
RC,133,DENTAL AND ORAL DISEASES WITH MCC ,,,14840.66,17785.23,2
RC,133,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,5870.19,7034.91,2
RC,133,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,133,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,133,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,133,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,133,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,133,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,133,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,133,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,133,DYSEQUILIBRIUM ,,,6474.42,7759.03,2
RC,133,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7735.05,9269.78,2
RC,133,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,133,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,133,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,133,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,133,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,133,EPISTAXIS WITH MCC ,,,11428.26,13695.78,2
RC,133,EPISTAXIS WITHOUT MCC ,,,6700.47,8029.92,2
RC,133,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,133,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,133,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,133,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,133,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,133,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,133,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,133,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,133,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,133,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,133,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,133,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,133,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,133,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,133,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,133,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,133,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,133,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,133,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,133,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,133,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,133,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,133,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,133,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,133,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,133,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,133,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,133,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,133,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,133,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,133,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,133,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,133,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,133,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,133,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,133,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,133,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,133,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,133,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,133,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,133,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,133,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,133,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,133,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,133,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,133,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,133,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,133,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,133,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,133,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,133,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,133,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,133,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,133,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,133,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,46859.45,3
RC,133,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,36033.07,3
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,133,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,133,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,133,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,133,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,133,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,133,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,133,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,133,MAJOR CHEST PROCEDURES WITH CC ,,,22173.18,26572.62,2
RC,133,MAJOR CHEST PROCEDURES WITH MCC ,,,40980.04,49111.0,2
RC,133,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,16313.42,19550.21,2
RC,133,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,133,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,133,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,133,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,133,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,133,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,133,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,18011.36,21585.04,2
RC,133,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,32846.8,39364.02,2
RC,133,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13432.23,16097.35,2
RC,133,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,133,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,133,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,133,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,133,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,133,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,133,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,133,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,133,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,133,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,133,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,133,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,133,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,133,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,133,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,133,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,133,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,133,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,133,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,133,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,133,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,133,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,133,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,133,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,133,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,133,MOUTH PROCEDURES WITH CC/MCC ,,,13081.86,15677.47,2
RC,133,MOUTH PROCEDURES WITHOUT CC/MCC ,,,7526.4,9019.73,2
RC,133,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,133,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,133,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,133,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,133,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,133,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,133,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,133,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,133,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,133,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,133,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,133,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,133,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,133,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,133,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,133,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,133,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,8229.74,9862.63,2
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,13373.11,16026.51,2
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,5698.92,6829.65,2
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,15044.97,18030.08,2
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,28912.77,34649.43,2
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,10616.24,12722.64,2
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,133,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,133,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,133,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,133,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,133,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,133,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,133,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,133,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,133,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,133,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,133,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,133,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,133,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,133,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,15821.34,18960.5,2
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,35278.51,42278.22,2
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11786.46,14125.04,2
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,133,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,133,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,133,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,133,OTITIS MEDIA AND URI WITH MCC ,,,10330.21,12379.86,2
RC,133,OTITIS MEDIA AND URI WITHOUT MCC ,,,6388.35,7655.88,2
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,133,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,133,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,133,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,133,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,133,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,133,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,133,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,133,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,133,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,133,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,133,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,133,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,133,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,133,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,133,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,133,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,133,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,133,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,133,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,133,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,133,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,133,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,133,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,133,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,133,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,133,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,133,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,133,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,133,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,133,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,133,PSYCHOSES ,,,11879.48,14236.52,2
RC,133,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,133,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,133,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,133,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,133,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,133,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,133,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,133,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,133,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,133,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,133,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,133,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,133,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,133,SALIVARY GLAND PROCEDURES ,,,10325.86,12374.65,2
RC,133,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,133,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,133,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,133,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,133,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,133,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,133,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,133,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,23057.36,27632.23,2
RC,133,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,9079.14,10880.56,2
RC,133,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,133,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,133,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,133,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,133,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,133,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,133,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,133,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,133,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,133,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,133,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,133,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,133,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,133,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,133,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,133,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,133,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,133,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,133,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,133,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,133,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,133,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,133,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,133,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,133,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,133,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,133,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,133,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,133,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,133,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,133,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,133,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,133,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,133,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,133,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,133,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,133,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,133,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,133,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,133,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,133,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,133,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,133,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,26734.05,32038.43,2
RC,133,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,133,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,133,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,133,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,133,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,133,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,133,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,133,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,133,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,133,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,133,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,133,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,133,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,134, Room & Board - Three and Four Beds Psychiatriac  ,,,764.0,2500.0,18
RC,134, Room & Board - Three and Four Beds Psychiatriac  MH DD Geriatric/Adult,,,1009.0,1863.0,2
RC,134, Room & Board - Three and Four Beds Psychiatriac  Medical Management,,,4687.0,4687.0,1
RC,134, Room & Board - Three and Four Beds Psychiatriac  Pediatric,,,5348.0,5348.0,1
RC,134,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,180
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,180
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,180
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,180
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,180
RC,134,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,180
RC,134,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,180
RC,134,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,180
RC,134,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,134,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,134,KIDNEY TRANSPLANT ,,,,,0
RC,134,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,134,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,134,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,180
RC,134,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,180
RC,134,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,180
RC,134,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,180
RC,134,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,180
RC,134,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,180
RC,134,PSYCHOSES  IPF,,,986.9,1670.31,180
RC,134,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,180
RC,134,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,180
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,134,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,134,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,134,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,134,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,134,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,134,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,134,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,134,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,134,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135, Room & Board - Three and Four Beds Hospice  ,,,665.0,3985.0,4
RC,135, Room & Board - Three and Four Beds Hospice  Medical Management,,,4687.0,4687.0,1
RC,135, Room & Board - Three and Four Beds Hospice  Pediatric,,,5348.0,5348.0,1
RC,135,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,135,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,135,KIDNEY TRANSPLANT ,,,,,0
RC,135,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,135,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,135,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,135,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,135,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,135,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,135,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,135,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,135,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,135,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,135,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136, Room & Board - Three and Four Beds Detoxification  ,,,764.0,2385.0,16
RC,136, Room & Board - Three and Four Beds Detoxification  Medical Management,,,4687.0,4687.0,1
RC,136, Room & Board - Three and Four Beds Detoxification  Pediatric,,,5348.0,5348.0,1
RC,136,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,170
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,170
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,170
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,170
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,170
RC,136,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,136,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,136,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,136,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,136,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,170
RC,136,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,170
RC,136,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,170
RC,136,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,136,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,136,KIDNEY TRANSPLANT ,,,,,0
RC,136,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,136,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,136,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,170
RC,136,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,170
RC,136,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,170
RC,136,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,170
RC,136,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,170
RC,136,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,170
RC,136,PSYCHOSES  IPF,,,986.9,1670.31,170
RC,136,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,170
RC,136,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,170
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,136,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,136,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,136,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,136,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,136,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,136,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,136,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,136,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,136,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137, Room & Board - Three and Four Beds Oncology  ,,,,,0
RC,137, Room & Board - Three and Four Beds Oncology  Medical Management,,,4687.0,4687.0,1
RC,137, Room & Board - Three and Four Beds Oncology  Pediatric,,,5348.0,5348.0,1
RC,137,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,137,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,137,KIDNEY TRANSPLANT ,,,,,0
RC,137,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,137,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,137,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,137,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,137,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,137,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,137,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,137,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,137,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,137,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,137,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138, Room & Board - Three and Four Beds Rehabilitation  ,,,1099.2,4174.0,15
RC,138, Room & Board - Three and Four Beds Rehabilitation  Medical Management,,,4687.0,4687.0,1
RC,138, Room & Board - Three and Four Beds Rehabilitation  Pediatric,,,5348.0,5348.0,1
RC,138,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,138,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,138,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,138,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,138,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,138,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,138,KIDNEY TRANSPLANT ,,,,,0
RC,138,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,138,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,138,REHABILITATION WITH CC/MCC ,,,1452.0,1740.0,2
RC,138,REHABILITATION WITHOUT CC/MCC ,,,1452.0,1740.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,138,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,138,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,138,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,138,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,138,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,138,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,138,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,138,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,138,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139, Room & Board - Three and Four Beds Other  ,,,,,0
RC,139, Room & Board - Three and Four Beds Other  Medical Management,,,4687.0,4687.0,1
RC,139, Room & Board - Three and Four Beds Other  Pediatric,,,5348.0,5348.0,1
RC,139,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,139,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,139,KIDNEY TRANSPLANT ,,,,,0
RC,139,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,139,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,139,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,139,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,139,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,139,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,139,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,139,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,139,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,139,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,139,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140, Room & Board - Deluxe Private General Classification  ,,,,,0
RC,140, Room & Board - Deluxe Private General Classification  Medical Management,,,4687.0,4687.0,1
RC,140, Room & Board - Deluxe Private General Classification  Pediatric,,,5348.0,5348.0,1
RC,140,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,140,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,140,KIDNEY TRANSPLANT ,,,,,0
RC,140,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,140,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,140,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,140,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,140,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,140,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,140,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,140,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,140,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,140,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,140,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141, Room & Board - Deluxe Private Medical/Surgical/GYN  ,,,,,0
RC,141, Room & Board - Deluxe Private Medical/Surgical/GYN  Medical Management,,,4687.0,4687.0,1
RC,141, Room & Board - Deluxe Private Medical/Surgical/GYN  Pediatric,,,5348.0,5348.0,1
RC,141,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,141,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,141,KIDNEY TRANSPLANT ,,,,,0
RC,141,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,141,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,141,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,141,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,141,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,141,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,141,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,141,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,141,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,141,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,141,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142, Room & Board - Deluxe Private Obstetrics (OB)  ,,,,,0
RC,142, Room & Board - Deluxe Private Obstetrics (OB)  Medical Management,,,4687.0,4687.0,1
RC,142, Room & Board - Deluxe Private Obstetrics (OB)  Pediatric,,,5348.0,5348.0,1
RC,142,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,142,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,142,KIDNEY TRANSPLANT ,,,,,0
RC,142,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,142,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,142,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,142,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,142,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,142,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,142,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,142,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,142,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,142,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,142,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143, Room & Board - Deluxe Private Pediatric  ,,,785.0,1165.0,3
RC,143, Room & Board - Deluxe Private Pediatric  Medical Management,,,4687.0,4687.0,1
RC,143, Room & Board - Deluxe Private Pediatric  Pediatric,,,5348.0,5348.0,1
RC,143,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,143,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,143,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,143,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,143,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,143,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,143,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,143,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,143,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,143,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,143,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,143,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,143,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,143,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,143,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,143,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,143,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,143,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,143,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,143,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,143,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,143,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,143,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,143,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,143,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,143,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,143,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,143,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,143,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,143,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,143,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,143,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,143,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,143,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,143,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,143,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,143,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,143,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,143,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,143,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,143,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,143,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,143,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,143,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,143,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,143,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,143,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,143,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,143,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,143,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,143,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,143,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,143,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,143,CHEST PAIN ,,,6290.98,7539.19,2
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,143,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,143,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,143,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,143,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,143,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,143,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,143,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,143,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,143,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,143,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,143,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,143,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,143,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,143,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,143,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,143,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,143,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,143,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,143,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,143,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,143,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,143,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,143,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,143,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,143,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,143,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,143,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,143,DENTAL AND ORAL DISEASES WITH CC ,,,8159.32,9778.23,2
RC,143,DENTAL AND ORAL DISEASES WITH MCC ,,,14840.66,17785.23,2
RC,143,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,5870.19,7034.91,2
RC,143,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,143,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,143,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,143,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,143,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,143,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,143,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,143,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,143,DYSEQUILIBRIUM ,,,6474.42,7759.03,2
RC,143,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7735.05,9269.78,2
RC,143,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,143,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,143,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,143,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,143,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,143,EPISTAXIS WITH MCC ,,,11428.26,13695.78,2
RC,143,EPISTAXIS WITHOUT MCC ,,,6700.47,8029.92,2
RC,143,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,143,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,143,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,143,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,143,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,143,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,143,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,143,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,143,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,143,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,143,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,143,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,143,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,143,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,143,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,143,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,143,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,143,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,143,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,143,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,143,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,143,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,143,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,143,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,143,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,143,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,143,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,143,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,143,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,143,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,143,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,143,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,143,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,143,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,143,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,143,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,143,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,143,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,143,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,143,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,143,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,143,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,143,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,143,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,143,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,143,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,143,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,143,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,143,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,143,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,143,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,143,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,143,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,143,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,46859.45,3
RC,143,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,36033.07,3
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,143,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,143,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,143,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,143,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,143,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,143,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,143,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,143,MAJOR CHEST PROCEDURES WITH CC ,,,22173.18,26572.62,2
RC,143,MAJOR CHEST PROCEDURES WITH MCC ,,,40980.04,49111.0,2
RC,143,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,16313.42,19550.21,2
RC,143,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,143,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,143,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,143,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,143,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,143,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,143,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,143,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,143,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,143,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,143,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,143,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,143,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,143,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,143,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,143,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,143,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,143,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,143,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,143,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,143,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,143,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,143,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,143,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,143,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,143,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,143,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,143,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,143,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,143,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,143,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,143,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,143,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,143,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,143,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,143,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,143,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,143,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,143,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,143,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,143,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,143,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,143,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,143,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,143,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,143,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,143,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,143,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,8229.74,9862.63,2
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,13373.11,16026.51,2
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,5698.92,6829.65,2
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,15044.97,18030.08,2
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,10616.24,12722.64,2
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,143,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,143,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,143,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,143,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,143,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,143,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,143,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,143,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,143,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,143,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,143,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,143,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,143,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,143,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,15821.34,18960.5,2
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,35278.51,42278.22,2
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11786.46,14125.04,2
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,143,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,143,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,143,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,143,OTITIS MEDIA AND URI WITH MCC ,,,10330.21,12379.86,2
RC,143,OTITIS MEDIA AND URI WITHOUT MCC ,,,6388.35,7655.88,2
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,143,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,143,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,143,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,143,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,143,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,143,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,143,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,143,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,143,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,143,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,143,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,143,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,143,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,143,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,143,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,143,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,143,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,143,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,143,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,143,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,143,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,143,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,143,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,143,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,143,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,143,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,143,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,143,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,143,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,143,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,143,PSYCHOSES ,,,11879.48,14236.52,2
RC,143,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,143,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,143,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,143,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,143,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,143,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,143,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,143,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,143,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,143,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,143,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,143,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,143,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,143,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,143,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,143,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,143,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,143,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,143,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,143,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,143,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,143,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,143,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,143,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,143,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,143,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,143,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,143,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,143,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,143,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,143,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,143,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,143,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,143,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,143,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,143,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,143,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,143,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,143,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,143,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,143,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,143,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,143,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,143,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,143,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,143,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,143,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,143,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,143,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,143,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,143,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,143,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,143,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,143,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,143,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,143,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,143,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,143,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,143,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,143,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,143,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,143,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,143,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,26734.05,32038.43,2
RC,143,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,143,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,143,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,143,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,143,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,143,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,143,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,143,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,143,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,143,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,143,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,143,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,143,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,144, Room & Board - Deluxe Private Psychiatric  ,,,764.0,2500.0,18
RC,144, Room & Board - Deluxe Private Psychiatric  Adolescent,,,4511.0,4511.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Adult,,,3867.0,3867.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Geriatric,,,3867.0,3867.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  MH DD Geriatric/Adult,,,1009.0,1863.0,2
RC,144, Room & Board - Deluxe Private Psychiatric  Medical Management,,,4687.0,4687.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Pediatric,,,5348.0,5348.0,1
RC,144,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,180
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,180
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,180
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,180
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,180
RC,144,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,180
RC,144,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,180
RC,144,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,180
RC,144,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,144,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,144,KIDNEY TRANSPLANT ,,,,,0
RC,144,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,144,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,144,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,180
RC,144,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,180
RC,144,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,180
RC,144,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,180
RC,144,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,180
RC,144,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,180
RC,144,PSYCHOSES  IPF,,,986.9,1670.31,180
RC,144,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,180
RC,144,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,180
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,144,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,144,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,144,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,144,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,144,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,144,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,144,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,144,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,144,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145, Room & Board - Deluxe Private Hospice  ,,,665.0,3985.0,4
RC,145, Room & Board - Deluxe Private Hospice  Medical Management,,,4687.0,4687.0,1
RC,145, Room & Board - Deluxe Private Hospice  Pediatric,,,5348.0,5348.0,1
RC,145,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,145,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,145,KIDNEY TRANSPLANT ,,,,,0
RC,145,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,145,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,145,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,145,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,145,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,145,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,145,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,145,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,145,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,145,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,145,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146, Room & Board - Deluxe Private Detoxification  ,,,764.0,2385.0,15
RC,146, Room & Board - Deluxe Private Detoxification  Medical Management,,,4687.0,4687.0,1
RC,146, Room & Board - Deluxe Private Detoxification  Pediatric,,,5348.0,5348.0,1
RC,146,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,170
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,170
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,170
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,170
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,170
RC,146,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,146,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,146,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,146,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,146,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,170
RC,146,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,170
RC,146,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,170
RC,146,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,146,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,146,KIDNEY TRANSPLANT ,,,,,0
RC,146,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,146,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,146,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,170
RC,146,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,170
RC,146,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,170
RC,146,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,170
RC,146,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,170
RC,146,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,170
RC,146,PSYCHOSES  IPF,,,986.9,1670.31,170
RC,146,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,170
RC,146,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,170
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,146,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,146,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,146,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,146,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,146,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,146,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,146,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,146,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,146,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147, Room & Board - Deluxe Private Oncology  ,,,,,0
RC,147, Room & Board - Deluxe Private Oncology  Medical Management,,,4687.0,4687.0,1
RC,147, Room & Board - Deluxe Private Oncology  Pediatric,,,5348.0,5348.0,1
RC,147,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,147,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,147,KIDNEY TRANSPLANT ,,,,,0
RC,147,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,147,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,147,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,147,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,147,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,147,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,147,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,147,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,147,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,147,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,147,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148, Room & Board - Deluxe Private Rehabilitation  ,,,1099.2,4174.0,15
RC,148, Room & Board - Deluxe Private Rehabilitation  Medical Management,,,4687.0,4687.0,1
RC,148, Room & Board - Deluxe Private Rehabilitation  Pediatric,,,5348.0,5348.0,1
RC,148,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,148,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,148,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,148,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,148,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,148,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,148,KIDNEY TRANSPLANT ,,,,,0
RC,148,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,148,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,148,REHABILITATION WITH CC/MCC ,,,1452.0,1740.0,2
RC,148,REHABILITATION WITHOUT CC/MCC ,,,1452.0,1740.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,148,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,148,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,148,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,148,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,148,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,148,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,148,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,148,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,148,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149, Room & Board - Deluxe Private Other  ,,,,,0
RC,149, Room & Board - Deluxe Private Other  Medical Management,,,4687.0,4687.0,1
RC,149, Room & Board - Deluxe Private Other  Pediatric,,,5348.0,5348.0,1
RC,149,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,149,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,149,KIDNEY TRANSPLANT ,,,,,0
RC,149,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,149,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,149,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,149,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,149,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,149,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,149,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,149,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,149,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,149,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,149,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150, Room & Board - Ward General Classification  ,,,,,0
RC,150, Room & Board - Ward General Classification  Medical Management,,,4687.0,4687.0,1
RC,150, Room & Board - Ward General Classification  Pediatric,,,5348.0,5348.0,1
RC,150,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,150,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,150,KIDNEY TRANSPLANT ,,,,,0
RC,150,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,150,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,150,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,150,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,150,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,150,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,150,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,150,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,150,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,150,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,150,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151, Room & Board - Ward Medical/Surgical/GYN  ,,,,,0
RC,151, Room & Board - Ward Medical/Surgical/GYN  Medical Management,,,4687.0,4687.0,1
RC,151, Room & Board - Ward Medical/Surgical/GYN  Pediatric,,,5348.0,5348.0,1
RC,151,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,151,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,151,KIDNEY TRANSPLANT ,,,,,0
RC,151,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,151,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,151,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,151,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,151,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,151,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,151,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,151,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,151,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,151,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,151,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152, Room & Board - Ward Obstetrics (OB)  ,,,,,0
RC,152, Room & Board - Ward Obstetrics (OB)  Medical Management,,,4687.0,4687.0,1
RC,152, Room & Board - Ward Obstetrics (OB)  Pediatric,,,5348.0,5348.0,1
RC,152,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,152,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,152,KIDNEY TRANSPLANT ,,,,,0
RC,152,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,152,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,152,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,152,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,152,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,152,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,152,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,152,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,152,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,152,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,152,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153, Room & Board - Ward Pediatric  ,,,785.0,1165.0,3
RC,153, Room & Board - Ward Pediatric  Medical Management,,,4687.0,4687.0,1
RC,153, Room & Board - Ward Pediatric  Pediatric,,,5348.0,5348.0,1
RC,153,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,153,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,153,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,153,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,153,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,153,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,153,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,153,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,153,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,153,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,153,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,153,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,153,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,153,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,153,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,153,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,153,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,153,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,153,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,153,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,153,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,153,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,153,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,153,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,153,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,153,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,153,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,153,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,153,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,153,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,153,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,153,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,153,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,153,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,153,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,153,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,153,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,153,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,153,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,153,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,153,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,153,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,153,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,153,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,153,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,153,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,153,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,153,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,153,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,153,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,153,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,153,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,153,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,153,CHEST PAIN ,,,6290.98,7539.19,2
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,153,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,153,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,153,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,153,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,153,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,153,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,153,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,153,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,153,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,153,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,153,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,153,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,153,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,153,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,153,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,153,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,153,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,153,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,153,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,153,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,153,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,153,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,153,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,153,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,153,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,153,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,153,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,153,DENTAL AND ORAL DISEASES WITH CC ,,,8159.32,9778.23,2
RC,153,DENTAL AND ORAL DISEASES WITH MCC ,,,14840.66,17785.23,2
RC,153,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,5870.19,7034.91,2
RC,153,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,153,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,153,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,153,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,153,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,153,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,153,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,153,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,153,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,153,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,153,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,153,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,153,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,153,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,153,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,153,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,153,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,153,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,153,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,153,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,153,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,153,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,153,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,153,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,153,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,153,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,153,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,153,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,153,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,153,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,153,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,153,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,153,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,153,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,153,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,153,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,153,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,153,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,153,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,153,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,153,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,153,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,153,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,153,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,153,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,153,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,153,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,153,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,153,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,153,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,153,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,153,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,153,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,153,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,153,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,153,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,153,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,153,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,153,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,153,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,153,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,153,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,153,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,153,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,153,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,153,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,153,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,153,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,46859.45,3
RC,153,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,36033.07,3
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,153,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,153,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,153,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,153,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,153,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,153,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,153,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,153,MAJOR CHEST PROCEDURES WITH CC ,,,22173.18,26572.62,2
RC,153,MAJOR CHEST PROCEDURES WITH MCC ,,,40980.04,49111.0,2
RC,153,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,16313.42,19550.21,2
RC,153,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,153,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,153,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,153,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,153,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,153,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,153,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,153,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,153,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,153,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,153,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,153,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,153,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,153,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,153,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,153,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,153,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,153,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,153,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,153,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,153,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,153,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,153,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,153,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,153,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,153,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,153,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,153,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,153,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,153,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,153,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,153,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,153,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,153,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,153,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,153,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,153,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,153,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,153,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,153,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,153,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,153,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,153,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,153,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,153,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,153,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,153,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,153,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,8229.74,9862.63,2
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,13373.11,16026.51,2
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,5698.92,6829.65,2
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,153,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,153,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,153,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,153,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,153,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,153,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,153,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,153,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,153,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,153,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,153,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,153,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,15821.34,18960.5,2
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,35278.51,42278.22,2
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11786.46,14125.04,2
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,153,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,153,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,153,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,153,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,153,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,153,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,153,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,153,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,153,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,153,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,153,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,153,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,153,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,153,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,153,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,153,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,153,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,153,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,153,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,153,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,153,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,153,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,153,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,153,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,153,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,153,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,153,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,153,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,153,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,153,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,153,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,153,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,153,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,153,PSYCHOSES ,,,11879.48,14236.52,2
RC,153,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,153,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,153,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,153,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,153,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,153,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,153,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,153,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,153,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,153,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,153,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,153,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,153,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,153,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,153,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,153,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,153,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,153,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,153,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,153,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,153,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,153,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,153,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,153,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,153,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,153,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,153,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,153,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,153,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,153,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,153,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,153,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,153,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,153,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,153,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,153,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,153,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,153,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,153,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,153,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,153,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,153,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,153,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,153,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,153,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,153,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,153,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,153,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,153,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,153,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,153,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,153,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,153,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,153,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,153,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,153,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,153,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,153,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,153,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,153,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,153,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,153,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,153,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,26734.05,32038.43,2
RC,153,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,153,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,153,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,153,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,153,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,153,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,153,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,153,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,153,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,153,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,153,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,153,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,153,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,154, Room & Board - Ward Psychiatric  ,,,764.0,2500.0,18
RC,154, Room & Board - Ward Psychiatric  MH DD Geriatric/Adult,,,1009.0,1863.0,2
RC,154, Room & Board - Ward Psychiatric  Medical Management,,,4687.0,4687.0,1
RC,154, Room & Board - Ward Psychiatric  Pediatric,,,5348.0,5348.0,1
RC,154,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,180
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,180
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,180
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,180
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,180
RC,154,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,180
RC,154,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,180
RC,154,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,180
RC,154,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,154,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,154,KIDNEY TRANSPLANT ,,,,,0
RC,154,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,154,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,154,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,180
RC,154,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,180
RC,154,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,180
RC,154,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,180
RC,154,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,180
RC,154,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,180
RC,154,PSYCHOSES  IPF,,,986.9,1670.31,180
RC,154,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,180
RC,154,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,180
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,154,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,154,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,154,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,154,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,154,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,154,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,154,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,154,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,154,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155, Room & Board - Ward Hospice  ,,,665.0,3985.0,4
RC,155, Room & Board - Ward Hospice  Medical Management,,,4687.0,4687.0,1
RC,155, Room & Board - Ward Hospice  Pediatric,,,5348.0,5348.0,1
RC,155,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,155,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,155,KIDNEY TRANSPLANT ,,,,,0
RC,155,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,155,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,155,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,155,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,155,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,155,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,155,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,155,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,155,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,155,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,155,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156, Room & Board - Ward Detoxification  ,,,764.0,2385.0,16
RC,156, Room & Board - Ward Detoxification  Medical Management,,,4687.0,4687.0,1
RC,156, Room & Board - Ward Detoxification  Pediatric,,,5348.0,5348.0,1
RC,156,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1803.93,170
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1503.28,170
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1670.31,170
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1586.79,170
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1436.46,170
RC,156,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,156,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,156,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,156,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,156,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1787.23,170
RC,156,DEPRESSIVE NEUROSES  IPF,,,1046.12,1770.52,170
RC,156,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1954.26,170
RC,156,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,156,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,156,KIDNEY TRANSPLANT ,,,,,0
RC,156,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,156,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,156,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1703.71,170
RC,156,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2154.7,170
RC,156,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1803.93,170
RC,156,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1670.31,170
RC,156,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1987.66,170
RC,156,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1870.74,170
RC,156,PSYCHOSES  IPF,,,986.9,1670.31,170
RC,156,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1870.74,170
RC,156,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1820.63,170
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,156,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,156,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,156,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,156,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,156,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,156,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,156,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,156,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,156,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157, Room & Board - Ward Oncology  ,,,,,0
RC,157, Room & Board - Ward Oncology  Medical Management,,,4687.0,4687.0,1
RC,157, Room & Board - Ward Oncology  Pediatric,,,5348.0,5348.0,1
RC,157,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,157,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,157,KIDNEY TRANSPLANT ,,,,,0
RC,157,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,157,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,157,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,157,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,157,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,157,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,157,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,157,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,157,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,157,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,157,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158, Room & Board - Ward Rehabilitation  ,,,1099.2,4174.0,15
RC,158, Room & Board - Ward Rehabilitation  Medical Management,,,4687.0,4687.0,1
RC,158, Room & Board - Ward Rehabilitation  Pediatric,,,5348.0,5348.0,1
RC,158,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,158,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,158,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,1895.0,2500.0,2
RC,158,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,1895.0,2500.0,2
RC,158,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,158,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,158,KIDNEY TRANSPLANT ,,,,,0
RC,158,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,158,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,158,REHABILITATION WITH CC/MCC ,,,1452.0,1740.0,2
RC,158,REHABILITATION WITHOUT CC/MCC ,,,1452.0,1740.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,158,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,158,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,158,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,158,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,158,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,158,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,158,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,158,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,158,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159, Room & Board - Ward Other  ,,,,,0
RC,159, Room & Board - Ward Other  Medical Management,,,4687.0,4687.0,1
RC,159, Room & Board - Ward Other  Pediatric,,,5348.0,5348.0,1
RC,159,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,159,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,159,KIDNEY TRANSPLANT ,,,,,0
RC,159,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,159,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,159,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,159,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,159,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,159,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,159,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,159,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,159,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,159,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,159,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160, Room & Board - Other General Classification  ,,,,,0
RC,160, Room & Board - Other General Classification  Medical Management,,,4687.0,4687.0,1
RC,160, Room & Board - Other General Classification  Pediatric,,,5348.0,5348.0,1
RC,160,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,160,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,160,KIDNEY TRANSPLANT ,,,,,0
RC,160,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,160,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,160,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,160,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,160,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,160,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,160,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,160,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,160,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,160,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,160,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164, Room & Board - Other Sterile Environment  ,,,,,0
RC,164, Room & Board - Other Sterile Environment  Medical Management,,,4687.0,4687.0,1
RC,164, Room & Board - Other Sterile Environment  Pediatric,,,5348.0,5348.0,1
RC,164,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,164,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,164,KIDNEY TRANSPLANT ,,,,,0
RC,164,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,164,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,164,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,164,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,164,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,164,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,164,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,164,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,164,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,164,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,164,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167, Room & Board - Other Self Care  ,,,,,0
RC,167, Room & Board - Other Self Care  Medical Management,,,4687.0,4687.0,1
RC,167, Room & Board - Other Self Care  Pediatric,,,5348.0,5348.0,1
RC,167,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,167,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,167,KIDNEY TRANSPLANT ,,,,,0
RC,167,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,167,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,167,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,167,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,167,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,167,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,167,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,167,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,167,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,167,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,167,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169, Room & Board - Other Other  ,,,,,0
RC,169, Room & Board - Other Other  Medical Management,,,4687.0,4687.0,1
RC,169, Room & Board - Other Other  Pediatric,,,5348.0,5348.0,1
RC,169,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1790.0,4954.0,2
RC,169,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1869.0,5367.0,2
RC,169,KIDNEY TRANSPLANT ,,,,,0
RC,169,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,3885.0,3885.0,1
RC,169,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,5
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,5
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1869.0,5367.0,4
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,4
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,3
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,3
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,3885.0,5367.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,3885.0,5367.0,2
RC,169,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5367.0,5367.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5367.0,5367.0,1
RC,169,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1790.0,4954.0,2
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,3885.0,3885.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1869.0,5367.0,6
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,4
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,4
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,3885.0,5367.0,2
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,3885.0,5367.0,2
RC,169,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,7
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,7
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,7
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1790.0,4954.0,2
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,3885.0,3885.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1790.0,1790.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1869.0,5367.0,6
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related Non ICU",,,4954.0,4954.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1869.0,1869.0,1
RC,169,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,169,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,169,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5367.0,5367.0,1
RC,169,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,169,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5367.0,5367.0,1
RC,169,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  PediatricNon ICU",,,1869.0,1869.0,1
RC,170, Nursery General Classification  ,,,442.7,1384.0,2
RC,170,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,170,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,170,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,170,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,170,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,170,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,170,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,170,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,170,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,170,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,170,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,170,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,170,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,170,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,170,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,170,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,170,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,170,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,170,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,170,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,170,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,170,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,170,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,170,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,170,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,170,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,170,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,170,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,170,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,170,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,170,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,170,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,170,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,170,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,170,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,170,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,170,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,170,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,170,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,170,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,170,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,170,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,170,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,170,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,170,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,170,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,170,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,170,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,170,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,170,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,170,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,170,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,170,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,170,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,170,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,170,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,170,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,170,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,170,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,170,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,170,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,170,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,170,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,170,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,170,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,170,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,170,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,170,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,170,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,170,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,170,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,170,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,170,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,170,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,170,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,170,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,170,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,170,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,170,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,170,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,170,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,170,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,170,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,170,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,170,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,170,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,170,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,170,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,170,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,170,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,170,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,170,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,170,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,170,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,170,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,170,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,170,CHEST PAIN ,,,6290.98,7539.19,2
RC,170,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,170,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,170,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,170,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,170,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,170,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,170,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,170,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,170,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,170,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,170,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,170,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,170,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,170,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,170,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,170,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,170,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,170,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,170,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,170,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,170,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,170,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,170,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,170,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,170,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,170,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,170,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,170,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,170,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,170,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,170,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,170,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,170,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,170,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,170,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,170,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,170,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,170,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,170,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,170,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,170,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,170,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,170,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,170,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,170,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,170,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,170,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,170,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,170,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,170,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,170,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,170,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,170,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,170,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,170,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,170,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,170,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,170,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,170,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,170,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,170,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,170,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,170,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,170,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,170,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,170,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,170,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,170,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,170,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,170,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,170,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,170,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,170,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,170,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,170,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,170,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,170,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,170,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,170,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,170,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,170,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,170,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,170,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,170,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,170,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,170,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,170,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,170,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,170,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,170,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,170,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,170,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,170,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,170,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,170,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,170,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,170,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,170,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,170,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,170,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,170,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,170,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,170,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,170,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,170,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,170,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,170,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,170,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,170,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,170,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,170,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,170,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,170,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,170,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,170,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,170,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,170,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,170,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,170,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,170,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,170,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,170,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,170,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,170,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,170,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,170,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,170,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,170,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,170,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,170,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,170,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,170,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,170,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,170,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,170,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,170,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,170,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,170,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,39101.26,46859.45,2
RC,170,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,30067.33,36033.07,2
RC,170,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,170,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,170,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,170,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,170,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,170,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,170,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,170,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,170,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,170,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,170,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,170,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,170,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,170,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,170,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,170,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,170,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,170,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,170,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,170,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,170,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,170,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,170,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,170,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,170,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,170,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,170,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,170,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,170,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,170,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,170,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,170,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,170,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,170,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,170,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,170,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,170,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,170,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,170,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,170,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,170,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,170,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,170,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,170,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,170,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,170,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,170,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,170,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,170,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,170,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,170,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,170,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,170,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,170,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,170,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,170,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,170,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,170,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,170,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,170,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,170,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,170,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,170,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,170,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,170,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,170,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,170,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,170,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,170,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,170,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,170,NORMAL NEWBORN ,,,375.0,2101.51,5
RC,170,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,170,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,170,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,170,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,170,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,170,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,170,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,170,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,170,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,170,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,170,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,170,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,170,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,170,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,170,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,170,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,170,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,170,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,170,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,170,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,170,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,170,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,170,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,170,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,170,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,170,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,170,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,170,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,170,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,170,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,170,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,170,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,170,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,170,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,170,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,170,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,170,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,170,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,170,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,170,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,170,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,170,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,170,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,170,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,170,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,170,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,170,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,170,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,170,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,170,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,170,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,170,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,170,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,170,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,170,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,170,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,170,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,170,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,170,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,170,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,170,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,170,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,170,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,170,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,170,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,170,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,170,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,170,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,170,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,170,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,170,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,170,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,170,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,170,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,170,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,170,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,170,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,170,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,170,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,170,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,170,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,170,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,170,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,170,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,170,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,170,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,170,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,170,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,170,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,170,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,170,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,170,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,170,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,170,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,170,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,170,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,170,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,170,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,170,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,170,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,170,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,170,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,170,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,170,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,170,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,170,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,170,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,170,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,170,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,170,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,170,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,170,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,170,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,170,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,170,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,170,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,170,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,170,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,170,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,170,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,170,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,170,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,170,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,170,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,170,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,170,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,170,PSYCHOSES ,,,11879.48,14236.52,2
RC,170,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,170,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,170,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,170,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,170,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,170,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,170,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,170,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,170,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,170,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,170,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,170,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,170,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,170,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,170,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,170,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,170,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,170,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,170,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,170,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,170,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,170,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,170,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,170,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,170,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,170,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,170,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,170,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,170,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,170,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,170,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,170,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,170,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,170,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,170,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,170,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,170,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,170,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,170,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,170,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,170,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,170,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,170,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,170,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,170,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,170,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,170,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,170,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,170,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,170,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,170,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,170,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,170,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,170,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,170,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,170,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,170,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,170,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,170,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,170,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,170,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,170,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,170,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,170,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,170,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,170,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,170,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,170,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,170,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,170,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,170,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,170,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,170,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,170,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,170,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,170,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,170,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,170,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,170,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,170,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,170,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,170,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,170,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,170,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,170,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,170,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,26734.05,32038.43,2
RC,170,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,170,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,170,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,170,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,170,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,170,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,170,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,170,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,170,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,170,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,170,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,170,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,170,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,170,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,170,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,170,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,170,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,170,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,170,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,170,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,170,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,170,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,170,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,170,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,170,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,170,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,170,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,171, Nursery Newborn - Level I  ,,,442.7,1384.0,2
RC,171,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,171,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,171,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,171,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,171,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,171,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,171,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,171,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,171,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,171,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,171,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,171,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,171,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,171,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,171,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,171,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,171,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,171,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,171,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,171,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,171,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,171,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,171,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,171,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,171,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,171,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,171,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,171,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,171,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,171,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,171,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,171,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,171,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,171,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,171,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,171,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,171,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,171,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,171,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,171,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,171,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,171,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,171,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,171,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,171,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,171,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,171,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,171,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,171,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,171,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,171,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,171,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,171,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,171,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,171,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,171,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,171,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,171,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,171,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,171,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,171,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,171,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,171,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,171,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,171,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,171,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,171,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,171,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,171,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,171,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,171,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,171,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,171,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,171,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,171,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,171,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,171,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,171,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,171,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,171,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,171,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,171,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,171,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,171,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,171,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,171,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,171,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,171,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,171,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,171,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,171,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,171,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,171,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,171,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,171,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,171,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,171,CHEST PAIN ,,,6290.98,7539.19,2
RC,171,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,171,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,171,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,171,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,171,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,171,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,171,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,171,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,171,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,171,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,171,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,171,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,171,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,171,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,171,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,171,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,171,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,171,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,171,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,171,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,171,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,171,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,171,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,171,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,171,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,171,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,171,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,171,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,171,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,171,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,171,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,171,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,171,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,171,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,171,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,171,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,171,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,171,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,171,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,171,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,171,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,171,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,171,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,171,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,171,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,171,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,171,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,171,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,171,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,171,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,171,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,171,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,171,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,171,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,171,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,171,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,171,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,171,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,171,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,171,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,171,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,171,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,171,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,171,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,171,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,171,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,171,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,171,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,171,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,171,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,171,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,171,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,171,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,171,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,171,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,171,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,171,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,171,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,171,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,171,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,171,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,171,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,171,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,171,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,171,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,171,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,171,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,171,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,171,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,171,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,171,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,171,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,171,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,171,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,171,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,171,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,171,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,171,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,171,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,171,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,171,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,171,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,171,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,171,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,171,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,171,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,171,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,171,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,171,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,171,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,171,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,171,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,171,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,171,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,171,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,171,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,171,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,171,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,171,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,171,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,171,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,171,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,171,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,171,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,171,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,171,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,171,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,171,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,171,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,171,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,171,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,171,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,171,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,171,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,171,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,171,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,171,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,171,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,39101.26,46859.45,2
RC,171,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,30067.33,36033.07,2
RC,171,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,171,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,171,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,171,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,171,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,171,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,171,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,171,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,171,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,171,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,171,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,171,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,171,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,171,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,171,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,171,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,171,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,171,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,171,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,171,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,171,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,171,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,171,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,171,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,171,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,171,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,171,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,171,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,171,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,171,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,171,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,171,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,171,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,171,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,171,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,171,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,171,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,171,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,171,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,171,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,171,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,171,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,171,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,171,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,171,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,171,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,171,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,171,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,171,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,171,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,171,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,171,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,171,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,171,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,171,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,171,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,171,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,171,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,171,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,171,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,171,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,171,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,171,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,171,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,171,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,171,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,171,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,171,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,171,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,171,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,171,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,171,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,171,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,171,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,171,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,171,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,171,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,171,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,171,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,171,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,171,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,171,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,171,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,171,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,171,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,171,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,171,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,171,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,171,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,171,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,171,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,171,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,171,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,171,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,171,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,171,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,171,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,171,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,171,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,171,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,171,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,171,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,171,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,171,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,171,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,171,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,171,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,171,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,171,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,171,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,171,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,171,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,171,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,171,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,171,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,171,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,171,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,171,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,171,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,171,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,171,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,171,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,171,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,171,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,171,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,171,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,171,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,171,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,171,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,171,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,171,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,171,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,171,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,171,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,171,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,171,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,171,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,171,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,171,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,171,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,171,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,171,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,171,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,171,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,171,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,171,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,171,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,171,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,171,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,171,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,171,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,171,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,171,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,171,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,171,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,171,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,171,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,171,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,171,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,171,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,171,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,171,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,171,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,171,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,171,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,171,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,171,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,171,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,171,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,171,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,171,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,171,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,171,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,171,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,171,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,171,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,171,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,171,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,171,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,171,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,171,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,171,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,171,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,171,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,171,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,171,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,171,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,171,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,171,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,171,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,171,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,171,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,171,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,171,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,171,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,171,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,171,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,171,PSYCHOSES ,,,11879.48,14236.52,2
RC,171,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,171,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,171,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,171,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,171,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,171,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,171,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,171,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,171,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,171,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,171,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,171,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,171,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,171,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,171,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,171,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,171,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,171,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,171,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,171,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,171,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,171,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,171,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,171,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,171,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,171,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,171,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,171,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,171,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,171,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,171,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,171,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,171,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,171,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,171,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,171,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,171,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,171,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,171,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,171,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,171,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,171,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,171,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,171,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,171,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,171,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,171,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,171,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,171,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,171,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,171,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,171,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,171,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,171,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,171,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,171,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,171,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,171,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,171,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,171,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,171,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,171,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,171,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,171,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,171,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,171,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,171,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,171,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,171,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,171,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,171,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,171,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,171,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,171,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,171,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,171,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,171,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,171,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,171,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,171,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,171,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,171,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,171,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,171,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,171,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,171,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,26734.05,32038.43,2
RC,171,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,171,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,171,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,171,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,171,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,171,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,171,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,171,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,171,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,171,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,171,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,171,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,171,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,171,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,171,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,171,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,171,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,171,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,171,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,171,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,171,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,171,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,171,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,171,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,171,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,171,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,171,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,172, Nursery Newborn - Level II  ,,,1257.8,5535.0,2
RC,172,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,172,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,172,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,172,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,172,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,172,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,172,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,172,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,172,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,172,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,172,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,172,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,172,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,172,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,172,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,172,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,172,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,172,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,172,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,172,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,172,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,172,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,172,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,172,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,172,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,172,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,172,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,172,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,172,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,172,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,172,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,172,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,172,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,172,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,172,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,172,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,172,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,172,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,172,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,172,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,172,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,172,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,172,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,172,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,172,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,172,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,172,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,172,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,172,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,172,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,172,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,172,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,172,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,172,CHEST PAIN ,,,6290.98,7539.19,2
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,172,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,172,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,172,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,172,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,172,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,172,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,172,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,172,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,172,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,172,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,172,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,172,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,172,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,172,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,172,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,172,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,172,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,172,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,172,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,172,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,172,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,172,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,172,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,172,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,172,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,172,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,172,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,172,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,172,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,172,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,172,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,172,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,172,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,172,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,172,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,172,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,172,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,172,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,172,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,172,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,172,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,172,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,172,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,172,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,172,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,172,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,172,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,172,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,172,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,172,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,172,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,172,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,172,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,172,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,172,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,172,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,172,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,172,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,172,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,172,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,172,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,172,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,172,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,172,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,172,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,172,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,172,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,172,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,172,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,172,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,172,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,172,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,172,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,172,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,172,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,172,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,172,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,172,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,172,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,172,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,172,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,172,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,172,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,172,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,172,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,172,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,172,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,172,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,172,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,172,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,172,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,172,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,172,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,39101.26,46859.45,2
RC,172,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,30067.33,36033.07,2
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,172,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,172,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,172,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,172,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,172,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,172,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,172,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,172,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,172,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,172,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,172,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,172,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,172,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,172,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,172,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,172,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,172,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,172,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,172,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,172,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,172,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,172,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,172,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,172,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,172,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,172,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,172,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,172,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,172,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,172,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,172,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,172,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,172,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,172,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,172,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,172,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,172,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,172,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,172,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,172,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,172,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,172,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,172,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,172,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,172,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,172,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,172,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,172,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,172,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,172,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,172,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,172,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,172,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,172,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,172,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,172,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,172,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,172,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,172,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,172,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,172,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,172,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,172,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,172,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,172,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,172,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,172,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,172,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,172,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,172,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,172,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,172,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,172,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,172,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,172,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,172,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,172,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,172,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,172,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,172,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,172,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,172,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,172,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,172,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,172,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,172,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,172,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,172,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,172,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,172,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,172,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,172,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,172,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,172,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,172,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,172,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,172,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,172,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,172,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,172,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,172,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,172,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,172,PSYCHOSES ,,,11879.48,14236.52,2
RC,172,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,172,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,172,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,172,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,172,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,172,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,172,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,172,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,172,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,172,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,172,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,172,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,172,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,172,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,172,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,172,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,172,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,172,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,172,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,172,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,172,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,172,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,172,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,172,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,172,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,172,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,172,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,172,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,172,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,172,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,172,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,172,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,172,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,172,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,172,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,172,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,172,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,172,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,172,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,172,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,172,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,172,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,172,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,172,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,172,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,172,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,172,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,172,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,172,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,172,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,172,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,172,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,172,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,172,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,172,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,172,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,26734.05,32038.43,2
RC,172,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,172,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,172,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,172,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,172,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,172,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,172,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,172,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,172,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,172,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,172,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,172,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,172,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,173, Nursery Newborn - Level III  ,,,1257.8,5535.0,2
RC,173,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,173,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,173,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,173,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,173,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,173,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,173,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,173,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,173,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,173,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,173,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,173,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,173,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,173,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,173,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,173,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,173,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,173,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,173,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,173,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,173,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,173,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,173,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,173,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,173,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,173,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,173,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,173,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,173,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,173,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,173,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,173,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,173,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,173,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,173,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,173,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,173,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,173,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,173,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,173,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,173,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,173,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,173,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,173,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,173,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,173,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,173,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,173,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,173,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,173,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,173,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,173,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,173,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,173,CHEST PAIN ,,,6290.98,7539.19,2
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,173,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,173,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,173,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,173,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,173,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,173,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,173,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,173,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,173,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,173,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,173,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,173,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,173,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,173,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,173,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,173,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,173,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,173,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,173,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,173,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,173,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,173,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,173,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,173,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,173,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,173,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,173,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,173,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,173,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,173,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,173,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,173,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,173,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,173,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,173,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,173,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,173,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,173,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,173,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,173,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,173,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,173,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,173,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,173,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,173,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,173,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,173,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,173,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,173,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,173,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,173,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,173,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,173,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,173,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,173,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,173,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,173,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,173,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,173,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,173,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,173,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,173,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,173,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,173,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,173,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,173,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,173,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,173,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,173,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,173,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,173,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,173,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,173,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,173,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,173,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,173,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,173,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,173,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,173,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,173,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,173,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,173,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,173,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,173,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,173,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,173,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,173,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,173,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,173,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,173,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,173,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,173,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,173,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,39101.26,46859.45,2
RC,173,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,30067.33,36033.07,2
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,173,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,173,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,173,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,173,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,173,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,173,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,173,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,173,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,173,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,173,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,173,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,173,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,173,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,173,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,173,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,173,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,173,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,173,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,173,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,173,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,173,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,173,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,173,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,173,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,173,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,173,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,173,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,173,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,173,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,173,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,173,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,173,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,173,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,173,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,173,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,173,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,173,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,173,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,173,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,173,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,173,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,173,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,173,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,173,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,173,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,173,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,173,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,173,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,173,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,173,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,173,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,173,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,173,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,173,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,173,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,173,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,173,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,173,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,173,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,173,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,173,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,173,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,173,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,173,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,173,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,173,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,173,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,173,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,173,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,173,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,173,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,173,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,173,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,173,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,173,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,173,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,173,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,173,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,173,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,173,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,173,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,173,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,173,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,173,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,173,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,173,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,173,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,173,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,173,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,173,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,173,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,173,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,173,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,173,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,173,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,173,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,173,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,173,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,173,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,173,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,173,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,173,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,173,PSYCHOSES ,,,11879.48,14236.52,2
RC,173,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,173,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,173,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,173,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,173,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,173,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,173,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,173,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,173,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,173,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,173,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,173,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,173,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,173,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,173,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,173,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,173,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,173,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,173,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,173,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,173,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,173,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,173,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,173,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,173,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,173,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,173,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,173,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,173,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,173,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,173,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,173,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,173,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,173,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,173,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,173,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,173,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,173,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,173,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,173,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,173,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,173,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,173,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,173,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,173,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,173,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,173,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,173,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,173,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,173,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,173,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,173,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,173,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,173,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,173,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,173,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,173,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,173,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,173,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,173,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,173,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,173,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,173,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,173,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,173,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,173,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,173,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,174, Nursery Newborn - Level IV  ,,,1257.8,5535.0,2
RC,174,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,174,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,174,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,174,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,174,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,174,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,174,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,174,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,174,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,174,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,174,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,174,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,174,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,174,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,174,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,174,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,174,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,174,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,174,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,174,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,174,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,174,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,174,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,174,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,174,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,174,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,174,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,174,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,174,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,174,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,174,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,174,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,174,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,174,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,174,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,174,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,174,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,174,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,174,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,174,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,174,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,174,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,174,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,174,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,174,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,174,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,174,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,174,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,174,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,174,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,174,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,174,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,174,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,174,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,174,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,174,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,174,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,174,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,174,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,174,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,174,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,174,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,174,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,174,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,174,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,174,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,174,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,174,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,174,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,174,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,174,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,174,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,174,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,174,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,174,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,174,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,174,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,174,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,174,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,174,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,174,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,174,CHEST PAIN ,,,6290.98,7539.19,2
RC,174,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,174,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,174,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,174,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,174,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,174,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,174,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,174,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,174,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,174,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,174,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,174,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,174,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,174,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,174,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,174,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,174,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,174,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,174,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,174,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,174,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,174,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,174,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,174,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,174,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,174,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,174,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,174,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,174,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,174,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,174,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,174,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,174,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,174,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,174,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,174,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,174,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,174,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,174,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,174,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,174,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,174,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,174,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,174,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,174,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,174,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,174,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,174,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,174,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,174,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,174,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,174,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,174,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,174,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,174,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,174,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,174,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,174,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,174,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,174,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,174,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,174,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,174,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,174,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,174,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,174,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,174,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,174,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,174,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,174,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,174,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,174,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,174,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,174,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,174,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,174,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,174,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,174,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,174,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,174,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,174,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,174,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,174,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,174,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,174,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,174,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,174,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,174,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,174,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,174,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,174,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,174,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,174,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,174,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,174,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,174,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,174,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,174,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,174,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,174,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,174,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,174,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,174,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,174,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,174,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,174,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,174,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,174,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,174,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,174,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,174,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,174,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,174,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,174,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,174,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,174,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,174,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,174,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,174,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,174,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,174,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,174,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,174,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,174,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,174,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,174,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,174,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,174,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,174,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,39101.26,46859.45,2
RC,174,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,30067.33,36033.07,2
RC,174,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,174,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,174,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,174,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,174,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,174,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,174,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,174,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,174,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,174,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,174,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,174,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,174,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,174,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,174,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,174,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,174,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,174,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,174,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,174,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,174,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,174,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,174,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,174,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,174,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,174,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,174,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,174,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,174,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,174,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,174,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,174,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,174,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,174,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,174,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,174,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,174,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,174,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,174,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,174,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,174,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,174,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,174,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,174,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,174,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,174,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,174,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,174,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,174,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,174,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,174,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,174,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,174,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,174,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,174,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,174,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,174,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,174,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,174,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,174,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,174,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,174,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,174,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,174,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,174,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,174,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,174,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,174,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,174,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,174,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,174,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,174,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,174,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,174,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,174,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,174,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,174,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,174,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,174,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,174,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,174,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,174,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,174,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,174,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,174,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,174,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,174,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,174,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,174,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,174,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,174,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,174,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,174,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,174,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,174,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,174,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,174,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,174,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,174,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,174,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,174,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,174,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,174,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,174,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,174,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,174,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,174,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,174,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,174,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,174,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,174,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,174,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,174,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,174,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,174,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,174,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,174,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,174,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,174,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,174,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,174,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,174,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,174,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,174,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,174,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,174,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,174,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,174,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,174,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,174,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,174,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,174,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,174,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,174,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,174,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,174,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,174,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,174,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,174,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,174,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,174,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,174,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,174,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,174,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,174,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,174,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,174,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,174,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,174,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,174,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,174,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,174,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,174,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,174,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,174,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,174,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,174,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,174,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,174,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,174,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,174,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,174,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,174,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,174,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,174,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,174,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,174,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,174,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,174,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,174,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,174,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,174,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,174,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,174,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,174,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,174,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,174,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,174,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,174,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,174,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,174,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,174,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,174,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,174,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,174,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,174,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,174,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,174,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,174,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,174,PSYCHOSES ,,,11879.48,14236.52,2
RC,174,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,174,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,12197.68,14617.86,2
RC,174,PULMONARY EMBOLISM WITHOUT MCC ,,,7090.83,8497.74,2
RC,174,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,174,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,174,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,174,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,174,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,174,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,174,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,174,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,8578.37,10280.43,2
RC,174,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,14748.5,17674.79,2
RC,174,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,6636.13,7952.82,2
RC,174,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,174,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,174,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,174,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,174,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,174,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,174,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,174,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,174,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,174,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,174,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,174,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,174,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,174,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,174,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,174,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,174,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,174,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,174,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,174,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,174,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,174,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,174,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,174,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,174,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,174,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,174,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,174,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,174,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,174,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,174,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,174,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,174,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,174,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,174,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,174,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,174,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,174,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,174,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,174,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,174,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,174,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,174,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,174,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,174,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,174,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,174,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,174,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,174,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,174,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,174,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,174,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,174,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,174,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,174,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,174,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,174,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,174,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,174,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,174,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,174,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,174,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,174,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,174,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,174,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,174,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,174,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,174,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,174,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,174,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,174,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,174,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,174,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,174,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,174,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,174,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,174,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,174,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,174,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,174,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,174,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,174,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,174,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,174,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,174,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,174,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,174,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,174,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,174,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,174,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,174,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,174,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,179, Nursery Other Nursery  ,,,442.7,1384.0,2
RC,179,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,179,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,179,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,179,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,179,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,179,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,179,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,179,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,179,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,179,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,179,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,179,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,179,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,179,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,179,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,179,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,179,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,179,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,179,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,179,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,179,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,179,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,179,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,179,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,179,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,179,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,179,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,179,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,179,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,179,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,179,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,179,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,179,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,179,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,179,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,179,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,179,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,179,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,179,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,179,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,179,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,179,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,179,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,179,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,179,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,179,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,179,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,179,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,179,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,179,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,179,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,179,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,179,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,179,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,179,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,179,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,179,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,179,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,179,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,179,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,179,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,179,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,179,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,179,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,179,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,179,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,8324.51,9976.19,2
RC,179,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,6041.46,7240.16,2
RC,179,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,179,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,179,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,179,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,179,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,179,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,179,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,179,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,179,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,179,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,179,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,179,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,179,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,179,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,179,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,179,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,179,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,179,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,179,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,179,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,179,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,179,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,179,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,179,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,179,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,179,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,179,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,179,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,179,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,179,CHEST PAIN ,,,6290.98,7539.19,2
RC,179,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,179,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,179,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,179,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,179,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,179,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,179,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7381.21,8845.73,2
RC,179,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,9580.79,11481.74,2
RC,179,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,5579.81,6686.91,2
RC,179,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,179,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,179,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,179,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,179,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,179,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,179,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,179,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,179,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,179,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,179,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,179,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,179,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,179,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,179,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,179,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,179,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,179,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,179,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,179,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,179,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,179,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,179,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,179,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,179,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,179,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,179,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,179,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,179,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,179,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,179,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,179,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,179,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,179,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,179,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,179,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,179,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,179,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,179,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,179,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,179,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,179,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,179,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,179,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,179,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,179,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,179,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,179,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,179,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,179,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,179,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,179,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,179,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,179,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,179,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,179,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,179,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,179,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,179,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,179,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,179,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,179,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,179,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,179,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,179,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,179,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,179,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,179,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,179,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,179,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,179,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,179,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,179,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,179,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,179,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,179,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,179,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,179,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,179,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,179,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,179,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,179,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,179,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,179,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,179,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,179,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,179,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,179,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,179,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,179,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,179,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,179,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,179,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,179,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,179,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,179,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,179,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,179,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,179,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,179,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,179,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,179,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,179,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,179,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,179,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,179,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,179,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,179,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,179,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,179,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,179,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,179,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,179,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,179,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,179,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,179,INTERSTITIAL LUNG DISEASE WITH CC ,,,8672.27,10392.95,2
RC,179,INTERSTITIAL LUNG DISEASE WITH MCC ,,,16478.61,19748.17,2
RC,179,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,6765.67,8108.07,2
RC,179,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,179,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,179,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,179,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,179,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,179,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,179,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,179,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,179,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,179,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,179,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,39101.26,46859.45,2
RC,179,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,30067.33,36033.07,2
RC,179,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,179,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,179,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,179,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,179,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,179,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,179,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,179,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,179,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,179,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,179,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,179,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,179,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,179,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,179,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,179,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,179,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,179,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,179,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,179,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,179,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,179,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,179,MAJOR CHEST TRAUMA WITH CC ,,,9145.22,10959.75,2
RC,179,MAJOR CHEST TRAUMA WITH MCC ,,,13688.7,16404.72,2
RC,179,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6570.06,7873.64,2
RC,179,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,179,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,179,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,179,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,179,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,179,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,179,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,179,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,179,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,179,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,179,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,179,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,179,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,179,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,179,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,179,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,179,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,179,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,179,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,179,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,179,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,179,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,179,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,179,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,179,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,179,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,179,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,179,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,179,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,179,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,179,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,179,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,179,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,179,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,179,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,179,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,179,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,179,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,179,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,179,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,179,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,179,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,179,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,179,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,179,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,179,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,179,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,179,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,179,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,179,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,179,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,179,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,179,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,179,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,179,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,179,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,179,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,179,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,179,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,179,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,179,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,179,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,179,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,179,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,179,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,179,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,179,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,179,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,179,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,179,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,179,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,179,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,179,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,179,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,179,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,179,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,179,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,179,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,179,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,179,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,179,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,179,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,179,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,179,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,179,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,179,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,179,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,179,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,179,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,179,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,179,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,179,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,179,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,179,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,179,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,179,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,179,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,179,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,179,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,179,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,179,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,179,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,179,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,179,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,179,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,179,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,179,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,179,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,179,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,179,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,179,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,179,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,179,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,179,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,179,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,179,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,179,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,179,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,179,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,179,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,179,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,179,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,179,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,179,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,179,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,179,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,179,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,179,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,179,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,179,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,179,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,179,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,179,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,179,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,179,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,179,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,179,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,179,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,179,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,179,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,179,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,179,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,179,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,179,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,179,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,179,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,179,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,179,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,179,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,179,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,179,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,179,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,179,PLEURAL EFFUSION WITH CC ,,,8661.83,10380.45,2
RC,179,PLEURAL EFFUSION WITH MCC ,,,13493.96,16171.33,2
RC,179,PLEURAL EFFUSION WITHOUT CC/MCC ,,,6490.07,7777.78,2
RC,179,PNEUMOTHORAX WITH CC ,,,9363.44,11221.26,2
RC,179,PNEUMOTHORAX WITH MCC ,,,15424.03,18484.35,2
RC,179,PNEUMOTHORAX WITHOUT CC/MCC ,,,6138.83,7356.86,2
RC,179,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,179,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,179,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,179,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,179,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,179,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,179,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,179,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,179,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,179,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,179,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,179,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,179,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,179,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,179,PSYCHOSES ,,,11879.48,14236.52,2
RC,179,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,10711.01,12836.21,2
RC,179,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,179,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,179,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,179,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,179,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,179,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,179,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,179,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,179,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,179,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,179,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,179,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,179,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,179,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,179,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,179,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,179,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,179,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,179,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,179,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,179,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,179,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,179,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,179,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,179,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,179,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,179,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,179,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,179,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,179,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7148.21,8566.5,2
RC,179,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,11533.46,13821.85,2
RC,179,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,5438.97,6518.13,2
RC,179,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,179,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,179,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,179,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,179,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,179,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,179,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,179,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,179,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,179,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,179,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,179,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,179,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,179,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,179,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,179,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,179,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,179,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,179,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,179,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,179,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,179,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,179,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,179,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,179,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,179,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,179,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,179,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,179,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,179,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,179,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,179,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,179,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,179,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,179,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,179,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,179,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,179,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,179,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,179,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,179,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,179,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,179,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,179,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,179,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,179,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,179,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,179,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,179,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,179,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,179,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,179,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,179,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,179,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,179,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,179,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,179,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,179,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,179,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,179,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,179,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,179,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,179,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,179,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,179,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,179,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,179,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,179,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,179,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,179,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,179,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,179,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,179,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,179,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,180, Leave of Absence General Classification   ,,,1175.0,1175.0,1
RC,182, Leave of Absence Patient Convenience  ,,,1175.0,1175.0,1
RC,183, Leave of Absence Therapeutic Leave  ,,,1175.0,1175.0,1
RC,185, Leave of Absence Nursing Home (for Hospitalization)  ,,,1175.0,1175.0,1
RC,189, Leave of Absence Other LOA  ,,,1175.0,1175.0,1
RC,190, Subacute Care General Classification  ,,,1175.0,2162.0,7
RC,191, Subacute Care - Level I  ,,,1175.0,2162.0,7
RC,192, Subacute Care - Level II  ,,,1175.0,2162.0,7
RC,193, Subacute Care - Level III  ,,,1175.0,2162.0,7
RC,194, Subacute Care - Level IV  ,,,1175.0,2162.0,7
RC,199, Subacute Care Other Subacute Care  ,,,1175.0,2162.0,7
RC,200, Intensive Care Unit General Classification  ,,,,,0
RC,200,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,200,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,200,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,200,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,200,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,200,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,200,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,200,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,200,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,200,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,200,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,200,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,200,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201, Intensive Care Unit Surgical  ,,,,,0
RC,201,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,201,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,201,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,201,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,201,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,201,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,201,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,201,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,201,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,201,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,201,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,201,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,201,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202, Intensive Care Unit Medical  ,,,308.75,308.75,1
RC,202,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,202,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,202,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,202,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,202,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,202,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,202,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,202,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,202,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,202,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,202,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,202,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,202,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203, Intersive Care Unit Pediatric  ,,,785.0,1165.0,3
RC,203,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,203,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,203,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,203,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,203,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,203,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,203,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,203,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,203,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,203,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,203,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,203,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,203,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,203,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,203,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,203,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,203,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,203,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,203,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,203,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,203,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,203,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,203,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,203,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,203,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,203,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,203,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,203,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,203,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,203,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,203,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,203,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,203,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,203,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,203,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,203,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,203,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,203,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,203,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,203,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,203,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,203,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,203,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,203,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,203,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,49527.11,101119.52,6
RC,203,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,40414.93,80342.99,6
RC,203,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,203,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,203,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,203,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,203,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,203,CHEST PAIN ,,,6290.98,7539.19,2
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,203,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,203,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,203,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,203,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,203,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,203,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,203,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,203,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,203,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,203,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,203,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,203,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,203,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,93640.47,112219.92,2
RC,203,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,203,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,203,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,203,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,203,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,203,CORONARY BYPASS WITH PTCA WITH MCC ,,,70553.55,84552.27,2
RC,203,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,203,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,203,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,203,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,203,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,203,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,203,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,203,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,203,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,203,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,203,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,203,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,203,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,203,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,203,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,203,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,203,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,203,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,203,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,203,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,203,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,203,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,203,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,203,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,203,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,203,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,203,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,203,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,203,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,203,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,203,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,203,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,203,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,203,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,203,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,203,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,203,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,203,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,203,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,203,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,203,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,203,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,203,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,203,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,203,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,203,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,203,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,203,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,203,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,203,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,203,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,203,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,203,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,203,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,203,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,203,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,203,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,203,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,203,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,203,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,203,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,203,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,203,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,203,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,203,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,203,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,203,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,203,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,203,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,203,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,203,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,203,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,203,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,46859.45,3
RC,203,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,36033.07,3
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,203,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,203,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,203,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,203,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,203,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,203,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,203,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,203,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,203,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,203,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,203,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,203,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,203,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,203,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,203,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,203,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,203,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,203,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,203,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,203,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,203,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,203,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,203,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,203,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,203,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,203,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,203,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,203,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,203,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,203,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,203,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,203,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,203,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,203,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,203,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,203,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,203,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,203,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,203,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,203,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,203,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,203,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,203,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,203,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,203,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,203,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,203,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,203,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,203,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,203,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,43806.46,52498.22,2
RC,203,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,27643.44,33128.25,2
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,203,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,203,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,203,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,203,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,203,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,203,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,203,OTHER HEART ASSIST SYSTEM IMPLANT ,,,88807.47,106428.0,2
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,203,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,203,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,203,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,203,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,203,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,203,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,203,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,15738.75,18861.52,2
RC,203,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,7941.97,9517.76,2
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,203,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,203,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,203,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,203,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,203,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,203,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,203,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,203,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,203,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,203,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,203,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,203,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,203,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,203,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,203,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,203,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,203,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,203,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,203,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,203,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,203,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,203,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,203,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,203,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,203,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,203,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,203,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,203,PSYCHOSES ,,,11879.48,14236.52,2
RC,203,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,203,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,203,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,203,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,203,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,203,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,203,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,203,RESPIRATORY SIGNS AND SYMPTOMS ,,,7154.29,8573.8,2
RC,203,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23506.84,28170.89,2
RC,203,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,60058.15,71974.45,2
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,203,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,203,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,203,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,203,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,203,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,203,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,203,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,203,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,203,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,203,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,203,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,203,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,203,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,203,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,203,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,203,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,203,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,203,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,203,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,203,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,203,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,203,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,203,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,203,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,203,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,203,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,203,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,203,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,203,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,203,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,203,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,203,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,203,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,203,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,203,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,203,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,203,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,203,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,203,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,203,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,203,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,203,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,203,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,203,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,203,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,203,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,203,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,203,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,203,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,203,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,203,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,203,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,203,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,203,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,203,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,203,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,203,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,203,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,203,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,203,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,203,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,203,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,204, Intensive Care Unit Psychiatric  ,,,796.8,2500.0,8
RC,204, Intensive Care Unit Psychiatric  MH DD Geriatric/Adult,,,1009.0,1863.0,2
RC,204,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION  IPF,,,1065.85,1706.42,160
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY  IPF",,,888.21,1422.02,160
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC  IPF",,,986.9,1580.02,160
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC  IPF",,,937.56,1501.02,160
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA  IPF",,,848.74,1358.82,160
RC,204,BEHAVIORAL AND DEVELOPMENTAL DISORDERS  IPF,,,1055.98,1690.62,160
RC,204,DEPRESSIVE NEUROSES  IPF,,,1046.12,1674.82,160
RC,204,DISORDERS OF PERSONALITY AND IMPULSE CONTROL  IPF,,,1154.67,1848.62,160
RC,204,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,204,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,204,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,204,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,204,NEUROSES EXCEPT DEPRESSIVE  IPF,,,1006.64,1611.62,160
RC,204,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS  IPF,,,1273.1,2038.23,160
RC,204,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY  IPF,,,1065.85,1706.42,160
RC,204,OTHER MENTAL DISORDER DIAGNOSES  IPF,,,986.9,1580.02,160
RC,204,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC  IPF,,,1174.41,1880.22,160
RC,204,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC  IPF,,,1105.33,1769.62,160
RC,204,PSYCHOSES  IPF,,,986.9,1580.02,160
RC,204,SIGNS AND SYMPTOMS WITH MCC  IPF,,,1105.33,1769.62,160
RC,204,SIGNS AND SYMPTOMS WITHOUT MCC  IPF,,,1075.72,1722.22,160
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,204,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,204,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,204,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,204,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,204,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,204,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,204,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,204,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,204,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206, Intensive Care Unit Intermediate ICU  ,,,,,0
RC,206,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,206,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,206,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,206,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,206,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,206,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,206,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,206,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,206,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,206,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,206,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,206,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,206,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207, Intensive Care Unit Burn Care  ,,,,,0
RC,207,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,9718.11,9718.11,1
RC,207,ABORTION WITHOUT D&C ,,,8425.64,8425.64,1
RC,207,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,9377.78,9377.78,1
RC,207,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,15357.25,15357.25,1
RC,207,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,23359.51,23359.51,1
RC,207,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9133.54,9133.54,1
RC,207,ACUTE LEUKEMIA WITH CC ,,,18391.43,18391.43,1
RC,207,ACUTE LEUKEMIA WITH MCC ,,,45651.01,45651.01,1
RC,207,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,71032.75,71032.75,1
RC,207,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,11454.21,11454.21,1
RC,207,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,9048.65,9048.65,1
RC,207,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,14534.04,14534.04,1
RC,207,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,7479.11,7479.11,1
RC,207,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,7231.67,7231.67,1
RC,207,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17550.61,17550.61,1
RC,207,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,6484.53,6484.53,1
RC,207,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19240.27,19240.27,1
RC,207,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12894.04,12894.04,1
RC,207,AFTERCARE WITH CC/MCC ,,,11215.58,11215.58,1
RC,207,AFTERCARE WITHOUT CC/MCC ,,,6715.16,6715.16,1
RC,207,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,10706.28,10706.28,1
RC,207,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16622.5,16622.5,1
RC,207,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,8126.15,8126.15,1
RC,207,AICD GENERATOR PROCEDURES ,,,38223.71,38223.71,1
RC,207,AICD LEAD PROCEDURES ,,,30662.69,30662.69,1
RC,207,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13024.56,13024.56,1
RC,207,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15663.15,15663.15,1
RC,207,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,8757.97,8757.97,1
RC,207,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,6628.67,6628.67,1
RC,207,ALLERGIC REACTIONS WITH MCC ,,,15154.66,15154.66,1
RC,207,ALLERGIC REACTIONS WITHOUT MCC ,,,7024.26,7024.26,1
RC,207,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24515.05,24515.05,1
RC,207,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41100.94,41100.94,1
RC,207,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12774.72,12774.72,1
RC,207,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,19912.12,19912.12,1
RC,207,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,36065.6,36065.6,1
RC,207,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,11139.5,11139.5,1
RC,207,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.18,29615.26,3
RC,207,ANAL AND STOMAL PROCEDURES WITH CC ,,,12169.32,12169.32,1
RC,207,ANAL AND STOMAL PROCEDURES WITH MCC ,,,20071.48,20071.48,1
RC,207,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8660.27,8660.27,1
RC,207,ANGINA PECTORIS ,,,7309.34,7309.34,1
RC,207,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,56765.93,56765.93,1
RC,207,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,35507.45,35507.45,1
RC,207,APPENDIX PROCEDURES WITH CC ,,,13809.33,13809.33,1
RC,207,APPENDIX PROCEDURES WITH MCC ,,,20866.66,20866.66,1
RC,207,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,10855.23,10855.23,1
RC,207,ATHEROSCLEROSIS WITH MCC ,,,11270.83,11270.83,1
RC,207,ATHEROSCLEROSIS WITHOUT MCC ,,,7079.52,7079.52,1
RC,207,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17705.96,17705.96,1
RC,207,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31616.42,31616.42,1
RC,207,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13651.57,13651.57,1
RC,207,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,18307.34,18307.34,1
RC,207,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,11059.43,11059.43,1
RC,207,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,7470.3,7470.3,1
RC,207,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,45916.07,45916.07,1
RC,207,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,22989.55,22989.55,1
RC,207,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,14402.72,30241.48,3
RC,207,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,21381.57,21381.57,1
RC,207,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29352.6,29352.6,1
RC,207,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16574.45,16574.45,1
RC,207,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,12069.22,12069.22,1
RC,207,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,8335.95,8335.95,1
RC,207,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,18831.07,18831.07,1
RC,207,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,17136.6,17136.6,1
RC,207,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6765.61,6765.61,1
RC,207,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,14196.1,14196.1,1
RC,207,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,5333.0,5333.0,1
RC,207,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7580.01,7580.01,1
RC,207,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,11330.09,11330.09,1
RC,207,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,6221.88,6221.88,1
RC,207,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,14307.41,14307.41,1
RC,207,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,9001.41,9001.41,1
RC,207,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,58787.92,58787.92,1
RC,207,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,49788.67,49788.67,1
RC,207,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,38672.95,38672.95,1
RC,207,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,26850.14,26850.14,1
RC,207,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,17881.33,17881.33,1
RC,207,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16827.49,16827.49,1
RC,207,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,27736.61,27736.61,1
RC,207,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14740.65,14740.65,1
RC,207,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,54342.75,80027.99,3
RC,207,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,42049.88,63175.43,3
RC,207,CELLULITIS WITH MCC ,,,13070.2,13070.2,1
RC,207,CELLULITIS WITHOUT MCC ,,,8662.67,8662.67,1
RC,207,CERVICAL SPINAL FUSION WITH CC ,,,25280.6,25280.6,1
RC,207,CERVICAL SPINAL FUSION WITH MCC ,,,40356.21,40356.21,1
RC,207,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21238.23,21238.23,1
RC,207,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,10177.76,10177.76,1
RC,207,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,21348.73,21348.73,1
RC,207,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,9358.56,9358.56,1
RC,207,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,10631.81,10631.81,1
RC,207,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,14897.6,14897.6,1
RC,207,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,9366.56,9366.56,1
RC,207,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,40160.82,40160.82,1
RC,207,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,18404.24,18404.24,1
RC,207,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13251.18,13251.18,1
RC,207,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,12164.52,12164.52,1
RC,207,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,22449.02,22449.02,1
RC,207,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,8490.5,8490.5,1
RC,207,CHEST PAIN ,,,7454.29,7454.29,1
RC,207,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,18238.48,18238.48,1
RC,207,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30217.45,30217.45,1
RC,207,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,12605.75,12605.75,1
RC,207,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,18525.17,18525.17,1
RC,207,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,28141.01,28141.01,1
RC,207,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,14985.69,14985.69,1
RC,207,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,19408.43,19408.43,1
RC,207,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,10257.84,10257.84,1
RC,207,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,10146.53,10146.53,1
RC,207,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,17449.71,17449.71,1
RC,207,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,7394.23,7394.23,1
RC,207,COAGULATION DISORDERS ,,,13903.02,13903.02,1
RC,207,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,73836.3,73836.3,1
RC,207,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,47870.79,47870.79,1
RC,207,COMPLEX AORTIC ARCH PROCEDURES ,,,92328.07,92328.07,1
RC,207,COMPLICATED PEPTIC ULCER WITH CC ,,,10365.14,10365.14,1
RC,207,COMPLICATED PEPTIC ULCER WITH MCC ,,,17401.66,17401.66,1
RC,207,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,8099.72,8099.72,1
RC,207,COMPLICATIONS OF TREATMENT WITH CC ,,,9714.91,9714.91,1
RC,207,COMPLICATIONS OF TREATMENT WITH MCC ,,,16349.42,16349.42,1
RC,207,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,7201.24,7201.24,1
RC,207,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,88766.98,88766.98,1
RC,207,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,55233.22,55233.22,1
RC,207,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10924.9,10924.9,1
RC,207,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21561.75,21561.75,1
RC,207,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,8384.8,8384.8,1
RC,207,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,62910.38,62910.38,1
RC,207,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45433.2,45433.2,1
RC,207,CORONARY BYPASS WITH PTCA WITH MCC ,,,69194.15,69194.15,1
RC,207,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,50237.12,50237.12,1
RC,207,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,48683.59,48683.59,1
RC,207,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35231.98,35231.98,1
RC,207,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,36341.87,36341.87,1
RC,207,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,26921.41,26921.41,1
RC,207,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,27397.08,27397.08,1
RC,207,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,55590.38,55590.38,1
RC,207,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,18097.54,18097.54,1
RC,207,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,10797.57,10797.57,1
RC,207,DEPRESSIVE NEUROSES ,,,9223.22,9223.22,1
RC,207,DIABETES WITH CC ,,,8865.27,8865.27,1
RC,207,DIABETES WITH MCC ,,,13193.52,13193.52,1
RC,207,DIABETES WITHOUT CC/MCC ,,,6663.11,6663.11,1
RC,207,DIGESTIVE MALIGNANCY WITH CC ,,,11374.94,11374.94,1
RC,207,DIGESTIVE MALIGNANCY WITH MCC ,,,18815.05,18815.05,1
RC,207,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,9090.29,9090.29,1
RC,207,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,9418.62,9418.62,1
RC,207,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,16060.34,16060.34,1
RC,207,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7291.73,7291.73,1
RC,207,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,8424.84,8424.84,1
RC,207,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14743.05,14743.05,1
RC,207,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,6664.71,6664.71,1
RC,207,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,17434.49,17434.49,1
RC,207,DISORDERS OF THE BILIARY TRACT WITH CC ,,,10452.43,10452.43,1
RC,207,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,15068.97,15068.97,1
RC,207,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,8313.53,8313.53,1
RC,207,ENDOCRINE DISORDERS WITH CC ,,,9896.68,9896.68,1
RC,207,ENDOCRINE DISORDERS WITH MCC ,,,14870.37,14870.37,1
RC,207,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,7841.07,7841.07,1
RC,207,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,47388.72,47388.72,1
RC,207,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,50764.03,50764.03,1
RC,207,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,39812.48,39812.48,1
RC,207,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11845.0,11845.0,1
RC,207,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7931.55,7931.55,1
RC,207,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,172660.62,172660.62,1
RC,207,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,32872.86,32872.86,1
RC,207,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21375.96,21375.96,1
RC,207,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,39259.94,39259.94,1
RC,207,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,15414.1,15414.1,1
RC,207,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,49283.38,49283.38,1
RC,207,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12797.94,12797.94,1
RC,207,FEVER AND INFLAMMATORY CONDITIONS ,,,8797.2,8797.2,1
RC,207,FOOT PROCEDURES WITH CC ,,,16656.93,16656.93,1
RC,207,FOOT PROCEDURES WITH MCC ,,,24039.38,24039.38,1
RC,207,FOOT PROCEDURES WITHOUT CC/MCC ,,,16045.13,16045.13,1
RC,207,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,8859.67,13098.23,2
RC,207,FRACTURES OF FEMUR WITH MCC ,,,14242.56,14242.56,1
RC,207,FRACTURES OF FEMUR WITHOUT MCC ,,,8143.76,8143.76,1
RC,207,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11954.71,11954.71,1
RC,207,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,8155.78,8155.78,1
RC,207,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,35078.22,35078.22,1
RC,207,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,59126.65,59126.65,1
RC,207,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,27480.37,27480.37,1
RC,207,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,19390.81,19390.81,1
RC,207,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,9541.94,9541.94,1
RC,207,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,16327.0,16327.0,1
RC,207,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,6736.78,6736.78,1
RC,207,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,8013.23,8013.23,1
RC,207,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13514.64,13514.64,1
RC,207,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,6044.9,6044.9,1
RC,207,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14295.4,14295.4,1
RC,207,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9875.06,9875.06,1
RC,207,HAND PROCEDURES FOR INJURIES ,,,17418.48,17418.48,1
RC,207,HEART FAILURE AND SHOCK WITH CC ,,,8487.3,8487.3,1
RC,207,HEART FAILURE AND SHOCK WITH MCC ,,,11969.12,11969.12,1
RC,207,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,6221.07,6221.07,1
RC,207,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,15602.29,15602.29,1
RC,207,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,28972.23,28972.23,1
RC,207,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12895.63,12895.63,1
RC,207,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,15161.06,15161.06,1
RC,207,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,24927.45,24927.45,1
RC,207,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,12459.2,12459.2,1
RC,207,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18461.1,18461.1,1
RC,207,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25009.93,25009.93,1
RC,207,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,14749.45,14749.45,1
RC,207,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,24672.8,24672.8,1
RC,207,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18646.88,18646.88,1
RC,207,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,50707.18,50707.18,1
RC,207,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,22808.57,22808.57,1
RC,207,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,12058.81,12058.81,1
RC,207,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,24799.32,24799.32,1
RC,207,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,8917.32,8917.32,1
RC,207,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12080.43,12080.43,1
RC,207,HYPERTENSION WITH MCC ,,,11217.99,11217.99,1
RC,207,HYPERTENSION WITHOUT MCC ,,,7735.36,7735.36,1
RC,207,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,207,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,207,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13076.61,13076.61,1
RC,207,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,9528.32,9528.32,1
RC,207,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13155.09,13155.09,1
RC,207,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7002.64,7002.64,1
RC,207,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17689.14,17689.14,1
RC,207,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,41236.27,41236.27,1
RC,207,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13678.01,13678.01,1
RC,207,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13563.48,13563.48,1
RC,207,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,8184.6,8184.6,1
RC,207,INFLAMMATORY BOWEL DISEASE WITH CC ,,,9506.7,9506.7,1
RC,207,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,14359.47,14359.47,1
RC,207,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,7144.38,7144.38,1
RC,207,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13896.62,13896.62,1
RC,207,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,21643.42,21643.42,1
RC,207,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,11040.2,11040.2,1
RC,207,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,16343.02,16343.02,1
RC,207,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,27184.07,27184.07,1
RC,207,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,14115.23,14115.23,1
RC,207,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,12272.62,12272.62,1
RC,207,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22035.82,22035.82,1
RC,207,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9979.97,9979.97,1
RC,207,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10980.15,10980.15,1
RC,207,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,8170.99,8170.99,1
RC,207,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,10079.26,10079.26,1
RC,207,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,16132.41,16132.41,1
RC,207,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,8017.24,8017.24,1
RC,207,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10848.02,10848.02,1
RC,207,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,7206.04,7206.04,1
RC,207,KIDNEY TRANSPLANT ,,,27550.03,27550.03,1
RC,207,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,39336.8,2
RC,207,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,31364.18,2
RC,207,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,18433.88,18433.88,1
RC,207,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,27530.81,27530.81,1
RC,207,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,14230.55,14230.55,1
RC,207,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,15853.74,15853.74,1
RC,207,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10631.81,10631.81,1
RC,207,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,15234.73,15234.73,1
RC,207,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20798.59,20798.59,1
RC,207,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,12625.77,12625.77,1
RC,207,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,31822.23,31822.23,1
RC,207,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,11364.53,30722.75,3
RC,207,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,25846.76,25846.76,1
RC,207,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,17822.87,17822.87,1
RC,207,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,21997.37,21997.37,1
RC,207,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,31090.31,31090.31,1
RC,207,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,17756.41,17756.41,1
RC,207,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19615.03,19615.03,1
RC,207,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,48653.17,48653.17,1
RC,207,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,11330.09,11330.09,1
RC,207,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,14752.66,14752.66,1
RC,207,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27593.27,27593.27,1
RC,207,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,19831.24,19831.24,1
RC,207,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,38403.09,38403.09,1
RC,207,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,12494.44,12494.44,1
RC,207,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9779.77,9779.77,1
RC,207,MAJOR BLADDER PROCEDURES WITH CC ,,,24105.05,24105.05,1
RC,207,MAJOR BLADDER PROCEDURES WITH MCC ,,,43300.71,43300.71,1
RC,207,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18638.07,18638.07,1
RC,207,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,9698.09,9698.09,1
RC,207,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14436.35,14436.35,1
RC,207,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7300.54,7300.54,1
RC,207,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9864.65,9864.65,1
RC,207,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15887.37,15887.37,1
RC,207,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,7513.54,7513.54,1
RC,207,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,10069.65,19369.2,3
RC,207,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,25978.08,25978.08,1
RC,207,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,17135.0,17135.0,1
RC,207,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,23885.63,23885.63,1
RC,207,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17706.76,17706.76,1
RC,207,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,13974.29,13974.29,1
RC,207,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,16154.03,16154.03,1
RC,207,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13815.74,13815.74,1
RC,207,MAJOR SKIN DISORDERS WITH MCC ,,,18670.91,18670.91,1
RC,207,MAJOR SKIN DISORDERS WITHOUT MCC ,,,10357.14,10357.14,1
RC,207,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20885.08,20885.08,1
RC,207,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,38496.78,38496.78,1
RC,207,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,15165.06,15165.06,1
RC,207,MAJOR THUMB OR JOINT PROCEDURES ,,,12492.83,12492.83,1
RC,207,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,10746.32,10746.32,1
RC,207,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,16396.67,16396.67,1
RC,207,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,8521.73,8521.73,1
RC,207,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,10399.58,10399.58,1
RC,207,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,16436.71,16436.71,1
RC,207,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,9380.18,9380.18,1
RC,207,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,10839.21,10839.21,1
RC,207,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,16180.46,16180.46,1
RC,207,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,6939.38,6939.38,1
RC,207,MALIGNANT BREAST DISORDERS WITH CC ,,,10747.92,10747.92,1
RC,207,MALIGNANT BREAST DISORDERS WITH MCC ,,,15038.54,15038.54,1
RC,207,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,7849.88,7849.88,1
RC,207,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,17116.58,17116.58,1
RC,207,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,15497.38,15497.38,1
RC,207,MEDICAL BACK PROBLEMS WITH MCC ,,,15110.61,15110.61,1
RC,207,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,9386.58,9386.58,1
RC,207,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,9756.55,9756.55,1
RC,207,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,6257.11,6257.11,1
RC,207,MINOR BLADDER PROCEDURES WITH CC ,,,13862.18,13862.18,1
RC,207,MINOR BLADDER PROCEDURES WITH MCC ,,,26204.71,26204.71,1
RC,207,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,10072.06,10072.06,1
RC,207,MINOR SKIN DISORDERS WITH MCC ,,,13806.12,13806.12,1
RC,207,MINOR SKIN DISORDERS WITHOUT MCC ,,,8946.95,8946.95,1
RC,207,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13738.05,13738.05,1
RC,207,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,22371.34,22371.34,1
RC,207,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11187.55,11187.55,1
RC,207,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,12383.93,12383.93,1
RC,207,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,7920.34,7920.34,1
RC,207,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,46708.85,89944.93,3
RC,207,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,55193.99,55193.99,1
RC,207,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,35648.38,35648.38,1
RC,207,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,15332.43,39147.82,3
RC,207,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13740.46,26993.48,2
RC,207,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,13507.43,13507.43,1
RC,207,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,16120.4,16120.4,1
RC,207,NEUROSES EXCEPT DEPRESSIVE ,,,10287.47,10287.47,1
RC,207,NON-EXTENSIVE BURNS ,,,18184.83,18184.83,1
RC,207,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14850.35,14850.35,1
RC,207,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29142.8,29142.8,1
RC,207,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,11291.65,11291.65,1
RC,207,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,10029.62,10029.62,1
RC,207,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,6533.38,6533.38,1
RC,207,NORMAL NEWBORN ,,,3288.59,3288.59,1
RC,207,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14503.61,14503.61,1
RC,207,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,24810.53,24810.53,1
RC,207,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13767.69,13767.69,1
RC,207,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,20402.21,20402.21,1
RC,207,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,30745.17,30745.17,1
RC,207,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,17926.17,17926.17,1
RC,207,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32638.23,32638.23,1
RC,207,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,14572.48,14572.48,1
RC,207,OSTEOMYELITIS WITH CC ,,,12069.22,12069.22,1
RC,207,OSTEOMYELITIS WITH MCC ,,,17461.72,17461.72,1
RC,207,OSTEOMYELITIS WITHOUT CC/MCC ,,,7994.02,7994.02,1
RC,207,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,10971.34,10971.34,1
RC,207,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,19959.37,19959.37,1
RC,207,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,8574.59,8574.59,1
RC,207,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,7467.1,7467.1,1
RC,207,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,11318.09,11318.09,1
RC,207,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,5875.93,5875.93,1
RC,207,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,41306.75,41306.75,1
RC,207,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,26909.4,26909.4,1
RC,207,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,9402.6,9402.6,1
RC,207,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18386.63,18386.63,1
RC,207,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7150.79,7150.79,1
RC,207,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28439.71,28439.71,1
RC,207,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,9181.58,9181.58,1
RC,207,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14495.6,14495.6,1
RC,207,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6885.73,6885.73,1
RC,207,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,20310.92,20310.92,1
RC,207,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,36865.58,36865.58,1
RC,207,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,12882.82,12882.82,1
RC,207,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19136.16,19136.16,1
RC,207,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,31532.35,31532.35,1
RC,207,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13376.1,13376.1,1
RC,207,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37426.93,37426.93,1
RC,207,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,20949.94,20949.94,1
RC,207,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,6141.0,6141.0,1
RC,207,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,22249.62,22249.62,1
RC,207,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13506.64,13506.64,1
RC,207,OTHER HEART ASSIST SYSTEM IMPLANT ,,,81422.96,81422.96,1
RC,207,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,19209.04,19209.04,1
RC,207,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34945.3,34945.3,1
RC,207,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13702.82,13702.82,1
RC,207,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9945.53,9945.53,1
RC,207,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18450.69,18450.69,1
RC,207,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,7531.96,7531.96,1
RC,207,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15697.58,15697.58,1
RC,207,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,9838.23,9838.23,1
RC,207,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,9816.61,9816.61,1
RC,207,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14936.83,14936.83,1
RC,207,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,7213.25,7213.25,1
RC,207,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20415.82,20415.82,1
RC,207,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,35334.48,35334.48,1
RC,207,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,14832.73,14832.73,1
RC,207,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30166.99,30166.99,1
RC,207,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43940.53,43940.53,1
RC,207,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,22132.7,22132.7,1
RC,207,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,10166.55,10166.55,1
RC,207,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,7069.91,7069.91,1
RC,207,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,16827.49,16827.49,1
RC,207,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,12443.99,12443.99,1
RC,207,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19604.62,19604.62,1
RC,207,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13468.19,13468.19,1
RC,207,OTHER MENTAL DISORDER DIAGNOSES ,,,10264.25,10264.25,1
RC,207,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13961.48,13961.48,1
RC,207,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23580.52,23580.52,1
RC,207,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,9220.02,9220.02,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,9491.49,9491.49,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,14049.56,14049.56,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,7688.92,7688.92,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,18329.77,18329.77,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27208.9,27208.9,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13994.31,13994.31,1
RC,207,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,8508.12,17662.71,3
RC,207,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17665.92,17665.92,1
RC,207,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32433.23,32433.23,1
RC,207,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,12200.55,12200.55,1
RC,207,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35432.97,35432.97,1
RC,207,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62707.77,62707.77,1
RC,207,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,25264.58,25264.58,1
RC,207,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16574.45,16574.45,1
RC,207,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,33592.77,33592.77,1
RC,207,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,12547.29,12547.29,1
RC,207,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15526.21,15526.21,1
RC,207,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,27622.1,27622.1,1
RC,207,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13244.77,13244.77,1
RC,207,OTHER VASCULAR PROCEDURES WITH CC ,,,22473.85,22473.85,1
RC,207,OTHER VASCULAR PROCEDURES WITH MCC ,,,29622.46,29622.46,1
RC,207,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15956.24,15956.24,1
RC,207,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,24913.04,24913.04,1
RC,207,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,45495.66,45495.66,1
RC,207,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,19462.88,19462.88,1
RC,207,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7731.36,15834.52,3
RC,207,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18745.38,18745.38,1
RC,207,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,12463.21,12463.21,1
RC,207,PENIS PROCEDURES WITH CC/MCC ,,,20323.73,20323.73,1
RC,207,PENIS PROCEDURES WITHOUT CC/MCC ,,,12909.25,12909.25,1
RC,207,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,34725.08,34725.08,1
RC,207,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28048.12,28048.12,1
RC,207,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,23476.43,23476.43,1
RC,207,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15806.49,15806.49,1
RC,207,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,19165.8,19165.8,1
RC,207,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13656.38,13656.38,1
RC,207,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,29224.47,29224.47,1
RC,207,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,21022.01,21022.01,1
RC,207,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,21085.27,21085.27,1
RC,207,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,10237.02,10237.02,1
RC,207,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,14763.07,14763.07,1
RC,207,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,7451.88,7451.88,1
RC,207,PERITONEAL ADHESIOLYSIS WITH CC ,,,18574.81,18574.81,1
RC,207,PERITONEAL ADHESIOLYSIS WITH MCC ,,,30283.91,30283.91,1
RC,207,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13980.69,13980.69,1
RC,207,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,18752.58,18752.58,1
RC,207,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,27256.14,27256.14,1
RC,207,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,16162.84,16162.84,1
RC,207,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,14248.16,14248.16,1
RC,207,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,8552.16,8552.16,1
RC,207,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16292.57,16292.57,1
RC,207,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,9679.67,9679.67,1
RC,207,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18837.47,18837.47,1
RC,207,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38114.01,38114.01,1
RC,207,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,12842.78,12842.78,1
RC,207,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,15220.32,15220.32,1
RC,207,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6931.37,6931.37,1
RC,207,PREMATURITY WITH MAJOR PROBLEMS ,,,34192.55,34192.55,1
RC,207,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21301.49,21301.49,1
RC,207,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,1688.62,1688.62,1
RC,207,PROSTATECTOMY WITH CC ,,,15696.78,15696.78,1
RC,207,PROSTATECTOMY WITH MCC ,,,26682.78,26682.78,1
RC,207,PROSTATECTOMY WITHOUT CC/MCC ,,,10546.92,10546.92,1
RC,207,PSYCHOSES ,,,12874.02,12874.02,1
RC,207,RADIOTHERAPY ,,,23385.93,23385.93,1
RC,207,RECTAL RESECTION WITH CC ,,,20444.64,20444.64,1
RC,207,RECTAL RESECTION WITH MCC ,,,30682.71,30682.71,1
RC,207,RECTAL RESECTION WITHOUT CC/MCC ,,,14804.7,14804.7,1
RC,207,RED BLOOD CELL DISORDERS WITH MCC ,,,12934.08,12934.08,1
RC,207,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,9041.44,9041.44,1
RC,207,REHABILITATION WITH CC/MCC ,,,14089.6,14089.6,1
RC,207,REHABILITATION WITHOUT CC/MCC ,,,10872.04,10872.04,1
RC,207,RENAL FAILURE WITH CC ,,,8701.91,8701.91,1
RC,207,RENAL FAILURE WITH MCC ,,,13548.27,13548.27,1
RC,207,RENAL FAILURE WITHOUT CC/MCC ,,,6495.74,6495.74,1
RC,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,23699.84,23699.84,1
RC,207,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,9808.6,9808.6,1
RC,207,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18718.95,18718.95,1
RC,207,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6749.59,6749.59,1
RC,207,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,29929.16,29929.16,1
RC,207,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,43372.77,43372.77,1
RC,207,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23694.24,23694.24,1
RC,207,SEPTIC ARTHRITIS WITH CC ,,,11355.72,11355.72,1
RC,207,SEPTIC ARTHRITIS WITH MCC ,,,17151.01,17151.01,1
RC,207,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8688.3,8688.3,1
RC,207,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,57037.4,57037.4,1
RC,207,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17243.91,17243.91,1
RC,207,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,9883.07,9883.07,1
RC,207,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,18340.18,18340.18,1
RC,207,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,25876.39,25876.39,1
RC,207,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14944.84,14944.84,1
RC,207,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12273.42,12273.42,1
RC,207,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,8339.96,8339.96,1
RC,207,SIGNS AND SYMPTOMS WITH MCC ,,,11853.81,11853.81,1
RC,207,SIGNS AND SYMPTOMS WITHOUT MCC ,,,8098.92,8098.92,1
RC,207,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,33884.26,33884.26,1
RC,207,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,44367.36,44367.36,1
RC,207,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,27557.23,27557.23,1
RC,207,SKIN DEBRIDEMENT WITH CC ,,,15217.92,15217.92,1
RC,207,SKIN DEBRIDEMENT WITH MCC ,,,25240.56,25240.56,1
RC,207,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,10868.04,10868.04,1
RC,207,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,22915.08,22915.08,1
RC,207,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,40936.78,40936.78,1
RC,207,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14552.46,14552.46,1
RC,207,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29487.13,29487.13,1
RC,207,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54151.36,54151.36,1
RC,207,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,16078.76,16078.76,1
RC,207,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,11713.67,30190.23,3
RC,207,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,31102.32,31102.32,1
RC,207,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13567.49,13567.49,1
RC,207,SKIN ULCERS WITH CC ,,,11188.35,11188.35,1
RC,207,SKIN ULCERS WITH MCC ,,,17186.25,17186.25,1
RC,207,SKIN ULCERS WITHOUT CC/MCC ,,,8629.84,8629.84,1
RC,207,SOFT TISSUE PROCEDURES WITH CC ,,,15687.18,15687.18,1
RC,207,SOFT TISSUE PROCEDURES WITH MCC ,,,27031.92,27031.92,1
RC,207,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12466.41,12466.41,1
RC,207,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,35102.24,68981.93,3
RC,207,SPLENIC PROCEDURES WITH CC ,,,24185.92,24185.92,1
RC,207,SPLENIC PROCEDURES WITH MCC ,,,37955.46,37955.46,1
RC,207,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,16974.84,16974.84,1
RC,207,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,9330.53,9330.53,1
RC,207,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7456.69,7456.69,1
RC,207,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21261.45,21261.45,1
RC,207,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,41627.06,41627.06,1
RC,207,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,14519.63,14519.63,1
RC,207,SYNCOPE AND COLLAPSE ,,,8668.28,8668.28,1
RC,207,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13595.52,13595.52,1
RC,207,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,8841.25,8841.25,1
RC,207,TESTES PROCEDURES WITH CC/MCC ,,,18375.41,18375.41,1
RC,207,TESTES PROCEDURES WITHOUT CC/MCC ,,,10494.87,10494.87,1
RC,207,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13695.62,13695.62,1
RC,207,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25873.18,25873.18,1
RC,207,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,12325.47,12325.47,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,207,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,207,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,TRANSURETHRAL PROCEDURES WITH CC ,,,14116.83,14116.83,1
RC,207,TRANSURETHRAL PROCEDURES WITH MCC ,,,25071.6,25071.6,1
RC,207,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,9514.71,9514.71,1
RC,207,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13727.65,13727.65,1
RC,207,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,10156.14,10156.14,1
RC,207,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13477.0,13477.0,1
RC,207,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,9023.83,9023.83,1
RC,207,TRAUMATIC INJURY WITH MCC ,,,14778.28,14778.28,1
RC,207,TRAUMATIC INJURY WITHOUT MCC ,,,8779.59,8779.59,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,207,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,207,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,207,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,207,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,207,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,207,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,207,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,30568.2,46262.02,2
RC,207,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12745.08,12745.08,1
RC,207,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,8533.75,8533.75,1
RC,207,UNGROUPABLE ,,,1688.62,1688.62,1
RC,207,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,15285.18,15285.18,1
RC,207,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23289.05,23289.05,1
RC,207,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,10434.81,10434.81,1
RC,207,URETHRAL PROCEDURES WITH CC/MCC ,,,16062.74,16062.74,1
RC,207,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,10333.11,10333.11,1
RC,207,URETHRAL STRICTURE ,,,10319.5,10319.5,1
RC,207,URINARY STONES WITH MCC ,,,12455.2,12455.2,1
RC,207,URINARY STONES WITHOUT MCC ,,,7948.37,7948.37,1
RC,207,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,16381.45,16381.45,1
RC,207,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,11623.99,11623.99,1
RC,207,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,16179.66,16179.66,1
RC,207,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,30379.21,30379.21,1
RC,207,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,13108.65,13108.65,1
RC,207,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,18189.63,18189.63,1
RC,207,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,30312.74,30312.74,1
RC,207,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13448.17,13448.17,1
RC,207,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,15599.09,15599.09,1
RC,207,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,8572.99,8572.99,1
RC,207,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,10269.85,10269.85,1
RC,207,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,9699.69,9699.69,1
RC,207,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,11033.8,11033.8,1
RC,207,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,9352.95,9352.95,1
RC,207,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,7726.55,7726.55,1
RC,207,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,10330.71,10330.71,1
RC,207,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,7087.53,7087.53,1
RC,207,VEIN LIGATION AND STRIPPING ,,,26171.87,26171.87,1
RC,207,VIRAL ILLNESS WITH MCC ,,,13686.81,13686.81,1
RC,207,VIRAL ILLNESS WITHOUT MCC ,,,8652.26,8652.26,1
RC,207,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16292.57,47329.46,3
RC,207,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,17019.68,17019.68,1
RC,207,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,35294.43,35294.43,1
RC,207,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,11054.63,11054.63,1
RC,208, Intensive Care Unit Trauma  ,,,6500.0,8000.0,8
RC,208,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,208,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,208,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,208,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,208,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,208,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,208,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,208,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,208,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,208,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,208,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,208,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,208,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209, Intensive Care Unit Other Intensive Care  ,,,,,0
RC,209,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,209,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,209,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,209,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,5
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,5
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,1939.0,5485.0,4
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,4
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5485.0,3
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5485.0,3
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,5484.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,5484.0,2
RC,209,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,5485.0,5485.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,5485.0,5485.0,1
RC,209,"TRANSFUSION OF ALLOGENEIC UNSPECIFIED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH ",,,1825.0,5026.0,2
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,1939.0,5485.0,6
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,4
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,4
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,5484.0,2
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,5484.0,2
RC,209,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,7
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,7
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,7
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach ",,,1825.0,5026.0,2
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Related",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Allogeneic Unrelated ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous",,,1825.0,1825.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Autologous/Autologous/Autologous ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,1939.0,5485.0,6
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous /Allogeneic Related ICU",,,5026.0,5026.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Allogeneic Unrelated Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Tandem Autologous/Autologous Pediatric",,,1939.0,1939.0,1
RC,209,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,209,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,209,"Transfusion of Nonautologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,5485.0,5485.0,1
RC,209,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Open Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,209,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,5485.0,5485.0,1
RC,209,"Transfusion of Nonautologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach UnRelated and cord blood Allogeneic  Pediatric ICU",,,1939.0,1939.0,1
RC,210, Coronary Care Unit General Classification  ,,,,,0
RC,210,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,210,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,210,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,210,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,210,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,210,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,2101, Alternative Therapy Services Acupuncture  ,,,,,0
RC,2103, Alternative Therapy Services Massage  ,,,,,0
RC,211, Coronary Care Unit Myocardial Infarction  ,,,,,0
RC,211,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,211,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,211,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,211,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,211,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,211,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212, Coronary Care Unit Pulmonary Care  ,,,,,0
RC,212,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,212,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,212,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,212,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,212,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,212,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213, Coronary Care Unit Heart Transplant  ,,,,,0
RC,213,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,213,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,213,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,213,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,213,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,213,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214, Coronary Care Unit Intermediate CCU  ,,,,,0
RC,214,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,214,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,214,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,214,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,214,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,214,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219, Coronary Care Unit Other Coronary CCU  ,,,,,0
RC,219,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1825.0,5026.0,2
RC,219,Hematopoietic progenitor cell (HPC); autologous transplantation Pediatric,,,1939.0,5484.0,2
RC,219,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,4200.0,4200.0,1
RC,219,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC RELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Reduced Intensity",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED BONE MARROW INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED CORD BLOOD STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HAMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO CENTRAL VEIN, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF ALLOGENEIC UNRELATED HEMATOPOIETIC STEM CELLS INTO PERIPHERAL VEIN, OPEN APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Adult",,,4200.0,4200.0,1
RC,219,"TRANSFUSION OF AUTOLOGOUS BONE MARROW INTO CENTRAL ARTERY, PERCUTANEOUS APPROACH Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Reduced Intensity",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Reduced Intensity",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Cord Blood Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Artery, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Central Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Open Approach Pediatric",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Adult",,,4200.0,4200.0,1
RC,219,"Transfusion of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modified into Peripheral Vein, Percutaneous Approach Pediatric",,,4200.0,4200.0,1
RC,230, Incremental Nursing Charge General Classification  ,,,,,0
RC,231, Incremental Nursing Charge Nursery  ,,,,,0
RC,231,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6943.9,8321.66,2
RC,231,ABORTION WITHOUT D&C ,,,8600.1,10306.47,2
RC,231,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,8299.29,9945.98,2
RC,231,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,12847.12,15396.16,2
RC,231,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22543.54,27016.47,2
RC,231,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,9433.86,11305.66,2
RC,231,ACUTE LEUKEMIA WITH CC ,,,19435.44,23291.67,2
RC,231,ACUTE LEUKEMIA WITH MCC ,,,48677.71,58335.98,2
RC,231,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12275.06,14710.59,2
RC,231,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7937.62,9512.55,2
RC,231,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,13793.03,16529.74,2
RC,231,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,6243.16,7481.88,2
RC,231,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,6430.95,7706.93,2
RC,231,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,17139.35,20540.02,2
RC,231,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4248.76,5091.77,2
RC,231,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,19582.37,23467.76,2
RC,231,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,12789.74,15327.39,2
RC,231,AFTERCARE WITH CC/MCC ,,,9326.92,11177.5,2
RC,231,AFTERCARE WITHOUT CC/MCC ,,,5551.99,6653.57,2
RC,231,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,9842.48,11795.35,2
RC,231,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,16088.25,19280.36,2
RC,231,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,6783.06,8128.9,2
RC,231,AICD GENERATOR PROCEDURES ,,,39395.99,47212.66,2
RC,231,AICD LEAD PROCEDURES ,,,30725.47,36821.79,2
RC,231,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13986.91,16762.09,2
RC,231,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,15458.8,18526.02,2
RC,231,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,7438.59,8914.5,2
RC,231,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4994.7,5985.72,2
RC,231,ALLERGIC REACTIONS WITH MCC ,,,15423.16,18483.31,2
RC,231,ALLERGIC REACTIONS WITHOUT MCC ,,,5727.61,6864.04,2
RC,231,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24423.18,29269.05,2
RC,231,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,41790.32,50082.05,2
RC,231,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,12119.44,14524.09,2
RC,231,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,18646.02,22345.63,2
RC,231,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,37408.54,44830.87,2
RC,231,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,10231.97,12262.12,2
RC,231,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,10098.08,41235.28,6
RC,231,ANAL AND STOMAL PROCEDURES WITH CC ,,,11314.37,13559.29,2
RC,231,ANAL AND STOMAL PROCEDURES WITH MCC ,,,22161.88,26559.07,2
RC,231,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,8483.61,10166.86,2
RC,231,ANGINA PECTORIS ,,,6069.28,7273.5,2
RC,231,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,59594.76,71419.12,2
RC,231,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,36154.87,43328.45,2
RC,231,APPENDIX PROCEDURES WITH CC ,,,13156.63,15767.07,2
RC,231,APPENDIX PROCEDURES WITH MCC ,,,19531.94,23407.33,2
RC,231,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9677.29,11597.39,2
RC,231,ARTHROSCOPY ,,,11876.87,14233.4,2
RC,231,ATHEROSCLEROSIS WITH MCC ,,,9746.84,11680.74,2
RC,231,ATHEROSCLEROSIS WITHOUT MCC ,,,5721.52,6856.74,2
RC,231,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,17115.01,20510.84,2
RC,231,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,31748.75,38048.1,2
RC,231,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,12445.46,14914.8,2
RC,231,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,14620.7,17521.63,2
RC,231,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,10788.38,12928.94,2
RC,231,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,6354.44,7615.25,2
RC,231,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,59280.04,71041.95,2
RC,231,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,24745.73,29655.6,2
RC,231,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13607.85,38781.6,6
RC,231,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,20723.89,24835.77,2
RC,231,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,29290.09,35101.61,2
RC,231,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,16205.62,19421.02,2
RC,231,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11749.94,14081.28,2
RC,231,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7144.73,8562.33,2
RC,231,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,17028.07,20406.65,2
RC,231,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14640.7,17545.6,2
RC,231,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,6334.45,7591.28,2
RC,231,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13938.22,16703.74,2
RC,231,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3822.75,4581.23,2
RC,231,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,6474.42,7759.03,2
RC,231,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,10451.93,12525.72,2
RC,231,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,4807.78,5761.71,2
RC,231,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13360.94,16011.92,2
RC,231,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,8194.96,9820.95,2
RC,231,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,61169.25,73306.0,2
RC,231,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,53991.48,64704.07,2
RC,231,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,41578.19,49827.83,2
RC,231,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,23548.57,28220.9,2
RC,231,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16228.22,19448.11,2
RC,231,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,16360.37,19606.47,2
RC,231,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,28822.35,34541.07,2
RC,231,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,14304.24,17142.38,2
RC,231,CELLULITIS WITH MCC ,,,12932.33,15498.26,2
RC,231,CELLULITIS WITHOUT MCC ,,,7691.58,9217.69,2
RC,231,CERVICAL SPINAL FUSION WITH CC ,,,25694.25,30792.31,2
RC,231,CERVICAL SPINAL FUSION WITH MCC ,,,42765.79,51251.06,2
RC,231,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,21392.46,25636.99,2
RC,231,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,42113.74,50469.64,2
RC,231,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,17402.78,20855.71,2
RC,231,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,11329.15,13577.0,2
RC,231,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,10542.34,12634.08,2
RC,231,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,21248.14,25464.04,2
RC,231,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,7269.92,8712.37,2
RC,231,CHEST PAIN ,,,6290.98,7539.19,2
RC,231,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17177.61,20585.86,2
RC,231,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,30648.09,36729.06,2
RC,231,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,11643.0,13953.12,2
RC,231,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,17962.67,21526.7,2
RC,231,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,26433.24,31677.93,2
RC,231,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13124.46,15728.52,2
RC,231,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,18740.79,22459.2,2
RC,231,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,9403.43,11269.19,2
RC,231,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,8963.51,10741.99,2
RC,231,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,16657.7,19962.8,2
RC,231,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,5820.63,6975.52,2
RC,231,COAGULATION DISORDERS ,,,13562.64,16253.64,2
RC,231,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,53175.11,63725.73,2
RC,231,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,77041.01,92326.93,2
RC,231,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,40041.09,47985.75,2
RC,231,COMPLICATED PEPTIC ULCER WITH CC ,,,9328.66,11179.59,2
RC,231,COMPLICATED PEPTIC ULCER WITH MCC ,,,16940.26,20301.42,2
RC,231,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,6582.23,7888.22,2
RC,231,COMPLICATIONS OF TREATMENT WITH CC ,,,8987.86,10771.16,2
RC,231,COMPLICATIONS OF TREATMENT WITH MCC ,,,15863.94,19011.55,2
RC,231,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,6066.67,7270.38,2
RC,231,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10426.71,12495.51,2
RC,231,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,21675.88,25976.65,2
RC,231,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7157.77,8577.96,2
RC,231,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,67809.72,81264.03,2
RC,231,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,45190.54,54156.92,2
RC,231,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,51717.13,61978.46,2
RC,231,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,51125.94,61269.97,2
RC,231,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,35134.19,42105.26,2
RC,231,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,35993.16,43134.66,2
RC,231,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,25809.01,30929.84,2
RC,231,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,22989.54,27550.96,2
RC,231,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,52948.2,63453.79,2
RC,231,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,16365.59,19612.73,2
RC,231,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,9006.11,10793.04,2
RC,231,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC ,,,9508.63,11395.26,2
RC,231,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC ,,,6929.99,8304.98,2
RC,231,DEPRESSIVE NEUROSES ,,,7881.11,9444.82,2
RC,231,DIABETES WITH CC ,,,7819.38,9370.85,2
RC,231,DIABETES WITH MCC ,,,12600.21,15100.26,2
RC,231,DIABETES WITHOUT CC/MCC ,,,5412.02,6485.83,2
RC,231,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,8272.34,9913.68,2
RC,231,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,15894.37,19048.02,2
RC,231,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,6213.6,7446.46,2
RC,231,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7435.11,8910.33,2
RC,231,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,14508.55,17387.23,2
RC,231,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,5352.03,6413.94,2
RC,231,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,16304.73,19539.79,2
RC,231,DISORDERS OF THE BILIARY TRACT WITH CC ,,,9448.64,11323.37,2
RC,231,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,14199.04,17016.31,2
RC,231,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,6968.24,8350.83,2
RC,231,ENDOCRINE DISORDERS WITH CC ,,,9230.42,11061.85,2
RC,231,ENDOCRINE DISORDERS WITH MCC ,,,14302.5,17140.3,2
RC,231,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,6615.26,7927.82,2
RC,231,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,54303.59,65078.12,2
RC,231,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,42428.46,50846.8,2
RC,231,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,11090.94,13291.52,2
RC,231,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,6830.01,8185.17,2
RC,231,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21613.28,25901.63,2
RC,231,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,41213.04,49390.23,2
RC,231,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,14216.43,17037.15,2
RC,231,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,52164.87,62515.04,2
RC,231,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,12214.2,14637.65,2
RC,231,FEVER AND INFLAMMATORY CONDITIONS ,,,7675.06,9197.89,2
RC,231,FOOT PROCEDURES WITH CC ,,,15015.41,17994.65,2
RC,231,FOOT PROCEDURES WITH MCC ,,,23316.44,27942.72,2
RC,231,FOOT PROCEDURES WITHOUT CC/MCC ,,,14829.36,17771.69,2
RC,231,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,7786.35,15844.17,4
RC,231,FRACTURES OF FEMUR WITH MCC ,,,14183.39,16997.56,2
RC,231,FRACTURES OF FEMUR WITHOUT MCC ,,,7042.14,8439.39,2
RC,231,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11273.51,13510.32,2
RC,231,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,6843.05,8200.79,2
RC,231,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,36595.65,43856.7,2
RC,231,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,8553.16,10250.21,2
RC,231,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,15564.87,18653.14,2
RC,231,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,5505.04,6597.31,2
RC,231,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,6923.9,8297.69,2
RC,231,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,12636.73,15144.02,2
RC,231,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,4859.95,5824.22,2
RC,231,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,14092.97,16889.2,2
RC,231,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,9054.8,10851.39,2
RC,231,HAND PROCEDURES FOR INJURIES ,,,16358.63,19604.39,2
RC,231,HEART FAILURE AND SHOCK WITH CC ,,,7446.41,8923.87,2
RC,231,HEART FAILURE AND SHOCK WITH MCC ,,,11162.23,13376.95,2
RC,231,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,4881.68,5850.27,2
RC,231,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,14863.26,17812.32,2
RC,231,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,27827.76,33349.14,2
RC,231,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,12267.23,14701.21,2
RC,231,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,14934.55,17897.76,2
RC,231,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,25423.86,30468.28,2
RC,231,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11846.44,14196.93,2
RC,231,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,18039.18,21618.38,2
RC,231,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,25637.74,30724.59,2
RC,231,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13809.55,16549.54,2
RC,231,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,26031.57,31196.57,2
RC,231,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,18363.47,22007.01,2
RC,231,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,59750.38,71605.62,2
RC,231,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,24165.84,28960.65,2
RC,231,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,11852.53,14204.22,2
RC,231,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,25356.05,30387.01,2
RC,231,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7349.04,8807.18,2
RC,231,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,12311.57,14754.35,2
RC,231,HYPERTENSION WITH MCC ,,,9989.41,11971.43,2
RC,231,HYPERTENSION WITHOUT MCC ,,,6550.93,7850.72,2
RC,231,INBORN AND OTHER DISORDERS OF METABOLISM ,,,11330.89,13579.08,2
RC,231,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,8629.66,10341.9,2
RC,231,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12967.97,15540.98,2
RC,231,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5618.06,6732.76,2
RC,231,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,17720.11,21236.01,2
RC,231,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,43463.91,52087.71,2
RC,231,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,14795.45,17731.05,2
RC,231,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,14092.97,16889.2,2
RC,231,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,6956.07,8336.24,2
RC,231,INFLAMMATORY BOWEL DISEASE WITH CC ,,,8447.09,10123.1,2
RC,231,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13622.63,16325.53,2
RC,231,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,5947.57,7127.64,2
RC,231,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,12654.99,15165.9,2
RC,231,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20865.6,25005.6,2
RC,231,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9641.65,11554.67,2
RC,231,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,11701.25,14022.93,2
RC,231,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,22507.9,26973.75,2
RC,231,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,9114.79,10923.28,2
RC,231,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,10210.23,12236.07,2
RC,231,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,7015.19,8407.09,2
RC,231,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,15991.74,19164.71,2
RC,231,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6789.14,8136.2,2
RC,231,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,10398.02,12461.12,2
RC,231,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,6017.12,7210.99,2
RC,231,KIDNEY TRANSPLANT ,,,26120.25,31302.84,2
RC,231,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,39101.26,46859.45,2
RC,231,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,30067.33,36033.07,2
RC,231,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,17460.16,20924.48,2
RC,231,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,28638.04,34320.19,2
RC,231,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13431.36,16096.31,2
RC,231,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,18314.78,21948.67,2
RC,231,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,10760.56,12895.6,2
RC,231,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14212.08,17031.94,2
RC,231,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,20150.95,24149.16,2
RC,231,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11416.96,13682.23,2
RC,231,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,33717.07,40406.97,2
RC,231,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,12409.82,37312.52,6
RC,231,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,22700.03,27204.01,2
RC,231,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11213.52,13438.43,2
RC,231,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,20880.38,25023.31,2
RC,231,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,30099.5,36071.62,2
RC,231,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,16250.82,19475.19,2
RC,231,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,19405.88,23256.25,2
RC,231,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13680.01,16394.3,2
RC,231,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,27170.49,32561.46,2
RC,231,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,9271.28,11110.82,2
RC,231,MAJOR BLADDER PROCEDURES WITH CC ,,,23799.82,28522.01,2
RC,231,MAJOR BLADDER PROCEDURES WITH MCC ,,,47065.84,56404.3,2
RC,231,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,18325.21,21961.17,2
RC,231,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,8592.28,10297.1,2
RC,231,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,14362.49,17212.19,2
RC,231,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,6465.73,7748.61,2
RC,231,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,9061.76,10859.72,2
RC,231,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,15194.5,18209.29,2
RC,231,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,6229.25,7465.21,2
RC,231,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,8733.12,22818.65,6
RC,231,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,28949.28,34693.19,2
RC,231,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,16359.5,19605.43,2
RC,231,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,21597.63,25882.88,2
RC,231,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,17056.76,20441.04,2
RC,231,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,12680.2,15196.11,2
RC,231,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,18533.0,22210.18,2
RC,231,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12467.2,14940.85,2
RC,231,MAJOR SKIN DISORDERS WITH MCC ,,,18909.45,22661.32,2
RC,231,MAJOR SKIN DISORDERS WITHOUT MCC ,,,8772.25,10512.77,2
RC,231,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,20623.04,24714.91,2
RC,231,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,39269.06,47060.54,2
RC,231,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14536.37,17420.57,2
RC,231,MAJOR THUMB OR JOINT PROCEDURES ,,,12715.84,15238.83,2
RC,231,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,8604.45,10311.68,2
RC,231,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7037.79,8434.18,2
RC,231,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5849.32,7009.9,2
RC,231,MEDICAL BACK PROBLEMS WITH MCC ,,,14796.32,17732.1,2
RC,231,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,8401.01,10067.88,2
RC,231,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,8654.01,10371.07,2
RC,231,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,5265.09,6309.75,2
RC,231,MINOR BLADDER PROCEDURES WITH CC ,,,12684.55,15201.32,2
RC,231,MINOR BLADDER PROCEDURES WITH MCC ,,,26053.31,31222.62,2
RC,231,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9229.55,11060.81,2
RC,231,MINOR SKIN DISORDERS WITH MCC ,,,13786.95,16522.45,2
RC,231,MINOR SKIN DISORDERS WITHOUT MCC ,,,7768.09,9309.38,2
RC,231,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13393.98,16051.51,2
RC,231,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,23825.04,28552.23,2
RC,231,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,11196.13,13417.59,2
RC,231,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,11434.35,13703.07,2
RC,231,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,6793.49,8141.41,2
RC,231,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,12953.19,15523.27,2
RC,231,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,15817.86,18956.33,2
RC,231,NEUROSES EXCEPT DEPRESSIVE ,,,8166.27,9786.57,2
RC,231,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14753.72,17681.04,2
RC,231,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,29357.03,35181.84,2
RC,231,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,9392.13,11255.65,2
RC,231,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,8915.7,10684.68,2
RC,231,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,5507.65,6600.44,2
RC,231,NORMAL NEWBORN ,,,1753.58,2101.51,2
RC,231,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14103.41,16901.7,2
RC,231,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,22626.14,27115.45,2
RC,231,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13191.41,15808.75,2
RC,231,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,18836.42,22573.81,2
RC,231,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,27953.82,33500.21,2
RC,231,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,16136.06,19337.66,2
RC,231,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,32441.66,38878.5,2
RC,231,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,15274.49,18305.14,2
RC,231,OSTEOMYELITIS WITH CC ,,,11286.55,13525.95,2
RC,231,OSTEOMYELITIS WITH MCC ,,,17252.37,20675.46,2
RC,231,OSTEOMYELITIS WITHOUT CC/MCC ,,,7458.58,8938.46,2
RC,231,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,12441.98,14910.63,2
RC,231,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,24489.26,29348.24,2
RC,231,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,7887.2,9452.12,2
RC,231,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,6413.56,7686.1,2
RC,231,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,9348.66,11203.55,2
RC,231,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,4449.59,5332.44,2
RC,231,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,8409.71,10078.3,2
RC,231,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,18200.89,21812.18,2
RC,231,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,6022.33,7217.24,2
RC,231,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,28394.6,34028.45,2
RC,231,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,8145.41,9761.56,2
RC,231,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,14080.8,16874.61,2
RC,231,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5629.36,6746.3,2
RC,231,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,19098.98,22888.46,2
RC,231,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,37199.02,44579.78,2
RC,231,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11137.88,13347.78,2
RC,231,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,19672.78,23576.11,2
RC,231,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,34902.06,41827.08,2
RC,231,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,12139.43,14548.05,2
RC,231,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,37922.36,45446.64,2
RC,231,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19352.84,23192.69,2
RC,231,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,5129.46,6147.21,2
RC,231,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,21884.54,26226.71,2
RC,231,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11823.84,14169.84,2
RC,231,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18533.0,22210.18,2
RC,231,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,34001.36,40747.67,2
RC,231,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13926.92,16690.2,2
RC,231,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,9437.34,11309.82,2
RC,231,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,18190.46,21799.67,2
RC,231,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,6004.95,7196.4,2
RC,231,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,15170.16,18180.11,2
RC,231,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,8793.11,10537.78,2
RC,231,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,8874.84,10635.72,2
RC,231,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,14383.35,17237.19,2
RC,231,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,6157.96,7379.78,2
RC,231,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,20710.85,24820.14,2
RC,231,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,32150.41,38529.46,2
RC,231,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13793.03,16529.74,2
RC,231,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,30048.2,36010.15,2
RC,231,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,43964.69,52687.84,2
RC,231,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,21209.01,25417.15,2
RC,231,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8727.91,10459.63,2
RC,231,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5404.19,6476.45,2
RC,231,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15768.31,18896.94,2
RC,231,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10222.41,12250.66,2
RC,231,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,19192.01,22999.94,2
RC,231,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12364.61,14817.9,2
RC,231,OTHER MENTAL DISORDER DIAGNOSES ,,,11263.95,13498.86,2
RC,231,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13049.69,15638.92,2
RC,231,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,23772.0,28488.67,2
RC,231,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,8310.59,9959.52,2
RC,231,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,8688.78,10412.75,2
RC,231,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13579.16,16273.44,2
RC,231,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,6524.85,7819.46,2
RC,231,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,17742.72,21263.1,2
RC,231,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,27486.08,32939.67,2
RC,231,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,12992.31,15570.15,2
RC,231,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7519.44,19385.59,6
RC,231,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,17423.65,20880.72,2
RC,231,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,32337.33,38753.47,2
RC,231,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,11791.67,14131.29,2
RC,231,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,35165.49,42142.77,2
RC,231,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62879.35,75355.42,2
RC,231,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,22016.69,26385.08,2
RC,231,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,16155.19,19360.59,2
RC,231,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,29827.38,35745.51,2
RC,231,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,10523.22,12611.16,2
RC,231,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,15184.94,18197.83,2
RC,231,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,29057.09,34822.38,2
RC,231,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,11708.21,14031.27,2
RC,231,OTHER VASCULAR PROCEDURES WITH CC ,,,22179.26,26579.91,2
RC,231,OTHER VASCULAR PROCEDURES WITH MCC ,,,29157.94,34943.24,2
RC,231,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,15084.96,18078.01,2
RC,231,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,25103.06,30083.82,2
RC,231,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,47862.21,57358.68,2
RC,231,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,18700.79,22411.27,2
RC,231,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6672.64,19001.13,6
RC,231,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,18897.28,22646.74,2
RC,231,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,10956.18,13130.02,2
RC,231,PENIS PROCEDURES WITH CC/MCC ,,,18872.94,22617.57,2
RC,231,PENIS PROCEDURES WITHOUT CC/MCC ,,,11278.73,13516.57,2
RC,231,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,33880.52,40602.84,2
RC,231,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,28175.52,33765.9,2
RC,231,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,24992.64,29951.5,2
RC,231,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,15852.64,18998.0,2
RC,231,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,20437.86,24492.99,2
RC,231,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13796.51,16533.91,2
RC,231,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,9276.5,11117.07,2
RC,231,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,13703.48,16422.43,2
RC,231,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,6171.0,7395.41,2
RC,231,PERITONEAL ADHESIOLYSIS WITH CC ,,,18303.48,21935.12,2
RC,231,PERITONEAL ADHESIOLYSIS WITH MCC ,,,31081.05,37247.93,2
RC,231,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13009.7,15590.99,2
RC,231,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,19801.45,23730.31,2
RC,231,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,30038.64,35998.69,2
RC,231,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,15905.67,19061.56,2
RC,231,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13874.75,16627.68,2
RC,231,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,7484.66,8969.72,2
RC,231,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,16014.35,19191.8,2
RC,231,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,8741.82,10476.3,2
RC,231,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,18567.78,22251.86,2
RC,231,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,38500.51,46139.5,2
RC,231,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,11157.88,13371.74,2
RC,231,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13422.67,16085.89,2
RC,231,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,6230.99,7467.3,2
RC,231,PREMATURITY WITH MAJOR PROBLEMS ,,,35625.4,42693.94,2
RC,231,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,21495.92,25760.98,2
RC,231,PROSTATECTOMY WITH CC ,,,14931.08,17893.59,2
RC,231,PROSTATECTOMY WITH MCC ,,,26856.64,32185.33,2
RC,231,PROSTATECTOMY WITHOUT CC/MCC ,,,9125.22,10935.78,2
RC,231,PSYCHOSES ,,,11879.48,14236.52,2
RC,231,RADIOTHERAPY ,,,23399.03,28041.7,2
RC,231,RECTAL RESECTION WITH MCC ,,,31770.48,38074.15,2
RC,231,RED BLOOD CELL DISORDERS WITH MCC ,,,12202.9,14624.11,2
RC,231,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,7830.69,9384.39,2
RC,231,RENAL FAILURE WITH CC ,,,7831.56,9385.44,2
RC,231,RENAL FAILURE WITH MCC ,,,13047.96,15636.84,2
RC,231,RENAL FAILURE WITHOUT CC/MCC ,,,5290.3,6339.96,2
RC,231,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,8643.57,10358.57,2
RC,231,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,18501.7,22172.67,2
RC,231,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,6174.48,7399.57,2
RC,231,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,30309.89,36323.76,2
RC,231,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,45092.3,54039.19,2
RC,231,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,23209.5,27814.56,2
RC,231,SEPTIC ARTHRITIS WITH CC ,,,10486.7,12567.4,2
RC,231,SEPTIC ARTHRITIS WITH MCC ,,,16951.56,20314.97,2
RC,231,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,8202.79,9830.33,2
RC,231,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,60552.84,72567.29,2
RC,231,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,17236.72,20656.71,2
RC,231,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,8953.95,10730.53,2
RC,231,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,17334.1,20773.4,2
RC,231,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,23652.9,28345.93,2
RC,231,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,14030.38,16814.18,2
RC,231,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,12162.91,14576.18,2
RC,231,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7167.33,8589.42,2
RC,231,SIGNS AND SYMPTOMS WITH MCC ,,,10881.41,13040.42,2
RC,231,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6963.89,8345.62,2
RC,231,SKIN DEBRIDEMENT WITH CC ,,,14709.38,17627.91,2
RC,231,SKIN DEBRIDEMENT WITH MCC ,,,25405.61,30446.4,2
RC,231,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,9907.68,11873.49,2
RC,231,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,23031.28,27600.97,2
RC,231,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,49408.87,59212.22,2
RC,231,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14001.69,16779.8,2
RC,231,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,29610.03,35485.03,2
RC,231,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,54060.16,64786.38,2
RC,231,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,17787.92,21317.27,2
RC,231,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,9689.46,39858.93,6
RC,231,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,28309.4,33926.35,2
RC,231,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13768.69,16500.57,2
RC,231,SKIN ULCERS WITH CC ,,,10518.87,12605.95,2
RC,231,SKIN ULCERS WITH MCC ,,,18171.33,21776.75,2
RC,231,SKIN ULCERS WITHOUT CC/MCC ,,,6845.66,8203.92,2
RC,231,SOFT TISSUE PROCEDURES WITH CC ,,,15090.18,18084.26,2
RC,231,SOFT TISSUE PROCEDURES WITH MCC ,,,28192.9,33786.73,2
RC,231,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,12021.19,14406.35,2
RC,231,SPINAL FUSION EXCEPT CERVICAL WITH MCC ,,,57661.22,69101.93,2
RC,231,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39392.51,87825.92,6
RC,231,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,31801.78,38111.66,2
RC,231,SPLENIC PROCEDURES WITH CC ,,,24497.08,29357.62,2
RC,231,SPLENIC PROCEDURES WITH MCC ,,,43075.29,51621.98,2
RC,231,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15559.65,18646.88,2
RC,231,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,8407.1,10075.17,2
RC,231,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,6164.92,7388.11,2
RC,231,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,21712.4,26020.41,2
RC,231,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,44156.83,52918.1,2
RC,231,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13886.93,16642.27,2
RC,231,SYNCOPE AND COLLAPSE ,,,7507.27,8996.81,2
RC,231,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13534.82,16220.3,2
RC,231,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7636.81,9152.05,2
RC,231,TESTES PROCEDURES WITH CC/MCC ,,,18456.49,22118.5,2
RC,231,TESTES PROCEDURES WITHOUT CC/MCC ,,,10331.95,12381.94,2
RC,231,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,12970.58,15544.11,2
RC,231,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,25396.91,30435.98,2
RC,231,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,10745.78,12877.88,2
RC,231,TRANSURETHRAL PROCEDURES WITH CC ,,,13341.81,15989.0,2
RC,231,TRANSURETHRAL PROCEDURES WITH MCC ,,,24499.69,29360.74,2
RC,231,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8368.84,10029.33,2
RC,231,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,12612.39,15114.84,2
RC,231,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8333.2,9986.61,2
RC,231,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13094.9,15693.1,2
RC,231,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,7901.11,9468.79,2
RC,231,TRAUMATIC INJURY WITH MCC ,,,12993.18,15571.2,2
RC,231,TRAUMATIC INJURY WITHOUT MCC ,,,7891.54,9457.33,2
RC,231,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27826.02,46472.91,4
RC,231,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,12155.95,14567.85,2
RC,231,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,7613.34,9123.92,2
RC,231,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,14255.55,17084.03,2
RC,231,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,23885.9,28625.16,2
RC,231,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8615.75,10325.23,2
RC,231,URETHRAL PROCEDURES WITH CC/MCC ,,,14883.26,17836.29,2
RC,231,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8150.63,9767.81,2
RC,231,URETHRAL STRICTURE ,,,9677.29,11597.39,2
RC,231,URINARY STONES WITH MCC ,,,12313.31,14756.43,2
RC,231,URINARY STONES WITHOUT MCC ,,,6804.79,8154.95,2
RC,231,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,15491.84,18565.62,2
RC,231,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10102.43,12106.88,2
RC,231,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15536.18,18618.75,2
RC,231,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,31440.11,37678.23,2
RC,231,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,11296.11,13537.41,2
RC,231,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,17160.22,20565.02,2
RC,231,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,33795.32,40500.74,2
RC,231,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11863.83,14217.77,2
RC,231,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14572.01,17463.29,2
RC,231,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,7713.32,9243.74,2
RC,231,VEIN LIGATION AND STRIPPING ,,,24562.29,29435.76,2
RC,231,VIRAL ILLNESS WITH MCC ,,,14257.29,17086.12,2
RC,231,VIRAL ILLNESS WITHOUT MCC ,,,7978.48,9561.52,2
RC,231,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16264.74,59010.09,6
RC,231,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,16385.58,19636.69,2
RC,231,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,37625.89,45091.35,2
RC,231,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,10793.6,12935.19,2
RC,232, Incremental Nursing Charge OB  ,,,,,0
RC,233, Incremental Nursing Charge ICU  ,,,,,0
RC,234, Incremental Nursing Charge CCU  ,,,,,0
RC,235, Incremental Nursing Charge Hospice  ,,,,,0
RC,239, Incremental Nursing Charge Other  ,,,,,0
RC,240, All Inclusive Ancillary General Classification  ,,,,,0
RC,241, All Inclusive Ancillary Basic  ,,,,,0
RC,242, All Inclusive Ancillary Comprehensive  ,,,,,0
RC,243, All Inclusive Ancillary Specialty  ,,,,,0
RC,249, All Inclusive Ancillary Other  ,,,,,0
RC,250, Pharmacy General Classification  ,,,,,0
RC,250,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,250,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,250,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,250,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,250,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,250,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,250,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,250,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,250,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,250,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,250,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,250,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,250,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,250,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,250,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,250,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,250,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,250,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,250,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,250,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,250,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,250,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,250,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,250,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,250,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,250,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,250,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,250,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,250,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,250,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,250,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,250,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,250,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,250,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,250,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,250,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,250,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,250,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,250,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,250,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,250,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,250,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,250,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,250,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,250,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,250,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,250,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,250,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,250,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,250,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,250,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,250,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,250,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,250,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,250,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,250,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,250,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,250,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,250,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,250,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,250,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,250,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,250,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,250,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,250,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,250,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,250,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,250,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,250,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,250,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,250,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,250,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,250,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,250,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,250,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,250,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,250,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,250,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,250,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,250,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,250,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,250,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,250,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,250,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,250,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,250,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,250,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,250,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,250,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,250,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,250,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,250,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,250,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,250,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,250,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,250,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,250,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,250,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,250,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,250,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,250,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,250,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,250,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,250,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,250,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,250,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,250,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,250,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,250,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,250,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,250,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,250,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,250,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,250,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,250,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,250,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,250,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,250,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,250,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,250,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,250,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,250,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,250,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,250,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,250,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,250,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,250,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,250,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,250,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,250,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,250,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,250,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,250,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,250,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,250,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,250,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,250,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,250,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,250,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,250,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,250,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,250,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,250,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,250,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,250,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,250,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,250,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,250,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,250,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,250,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,250,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,250,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,250,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,250,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,250,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,250,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,250,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,250,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,250,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,250,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,250,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,250,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,250,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,250,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,250,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,250,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,250,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,250,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,250,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,250,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,250,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,250,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,250,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,250,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,250,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,250,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,250,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,250,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,250,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,250,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,250,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,250,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,250,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,250,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,250,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,250,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,250,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,250,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,250,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,250,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,250,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,250,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,250,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,250,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,250,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,250,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,250,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,250,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,250,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,250,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,250,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,250,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,250,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,250,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,250,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,250,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,250,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,250,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,250,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,250,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,250,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,250,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,250,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,250,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,250,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,250,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,250,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,250,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,250,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,250,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,250,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,250,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,250,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,250,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,250,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,250,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,250,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,250,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,250,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,250,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,250,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,250,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,250,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,250,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,250,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,250,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,250,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,250,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,250,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,250,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,250,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,250,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,250,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,250,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,250,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,250,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,250,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,250,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,250,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,250,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,250,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,250,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,250,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,250,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,250,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,250,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,250,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,250,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,250,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,250,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,250,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,250,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,250,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,250,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,250,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,250,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,250,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,250,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,250,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,250,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,250,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,250,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,250,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,250,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,250,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,250,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,250,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,250,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,250,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,250,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,250,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,250,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,250,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,250,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,250,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,250,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,250,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,250,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,250,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,250,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,250,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,250,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,250,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,250,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,250,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,250,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,250,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,250,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,250,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,250,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,250,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,250,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,250,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,250,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,250,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,250,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,250,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,250,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,250,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,250,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,250,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,250,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,250,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,250,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,250,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,250,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,250,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,250,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,250,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,250,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,250,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,250,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,250,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,250,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,250,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,250,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,250,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,250,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,250,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,250,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,250,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,250,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,250,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,250,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,250,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,250,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,250,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,250,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,250,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,250,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,250,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,250,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,250,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,250,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,250,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,250,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,250,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,250,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,250,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,250,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,250,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,250,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,250,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,250,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,250,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,250,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,250,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,250,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,250,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,250,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,250,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,250,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,250,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,250,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,250,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,250,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,250,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,250,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,250,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,250,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,250,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,250,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,250,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,250,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,250,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,250,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,250,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,250,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,250,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,250,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,250,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,250,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,250,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,250,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,250,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,250,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,250,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,250,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,250,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,250,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,250,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,250,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,250,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,250,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,250,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,250,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,250,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,250,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,250,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,250,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,250,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,250,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,250,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,250,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,250,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,250,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,250,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,250,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,250,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,250,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,250,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,250,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,250,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,250,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,250,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,250,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,250,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,250,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,250,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,250,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,250,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,250,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,250,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,250,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,250,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,250,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,250,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,250,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,250,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,250,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,250,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,250,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,250,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,250,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,250,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,250,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,250,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,250,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,250,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,250,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,250,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,250,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,250,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,250,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,250,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,250,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,250,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,250,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,250,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,250,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,250,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,250,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,250,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,250,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,250,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,250,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,250,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,250,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,250,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,250,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,250,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,250,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,250,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,250,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,250,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,250,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,250,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,250,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,250,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,250,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,250,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,250,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,250,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,250,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,250,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,250,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,250,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,250,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,250,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,250,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,250,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,250,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,250,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,250,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,250,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,250,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,250,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,250,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,250,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,250,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,250,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,250,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,250,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,250,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,250,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,250,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,250,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,250,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,250,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,250,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,250,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,250,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,250,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,250,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,250,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,250,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,250,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,250,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,250,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,250,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,250,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,250,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,250,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,250,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,250,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,250,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,250,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,250,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,250,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,250,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,250,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,250,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,250,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,250,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,250,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,250,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,250,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,250,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,250,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,250,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,250,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,250,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,250,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,1.7,1
RC,250,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,250,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,250,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,250,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,250,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,250,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,250,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,250,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,250,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,250,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,250,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,250,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,250,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,250,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,250,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,250,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,250,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,250,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,250,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,250,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,250,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,250,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,250,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,250,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,250,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,250,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,250,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,250,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,250,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,250,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,250,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,250,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,250,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,250,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,250,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,250,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,250,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,250,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,250,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,250,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,250,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,250,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,250,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,250,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,250,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,250,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,250,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,250,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,250,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,250,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,250,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,250,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,250,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,250,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,250,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,250,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,250,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,250,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,250,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,250,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,250,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,250,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,250,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,250,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,250,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,250,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,250,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,250,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,250,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,250,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,250,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,250,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,250,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,250,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,250,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,250,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,250,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,250,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,250,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,250,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,250,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,250,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,250,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,250,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,250,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,250,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,250,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,250,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,250,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,250,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,250,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,250,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,250,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,250,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,250,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,250,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,250,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,250,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,250,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,250,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,250,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,250,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,250,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,250,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,250,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,250,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,250,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,250,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,250,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,250,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,250,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,250,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,250,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,250,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,250,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,250,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,250,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,250,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,250,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,250,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,250,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,250,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,250,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,250,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,250,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,250,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,250,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,250,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,250,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,250,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,250,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,250,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,250,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,250,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,250,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,250,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,250,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,250,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,250,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,250,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,250,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,250,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,250,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,250,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,250,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,250,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,250,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,250,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,250,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,250,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,250,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,250,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,250,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,250,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,250,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,250,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,250,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,250,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,250,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,250,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,250,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,250,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,250,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,250,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,250,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,250,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,250,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,250,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,250,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,250,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,250,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,250,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,250,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,250,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,250,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,250,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,250,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,250,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,250,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,250,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,250,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,250,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,250,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,250,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,250,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,250,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,250,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,250,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,250,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,250,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,250,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,250,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,250,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,250,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,250,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,250,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,250,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,250,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,250,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,250,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,250,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,250,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,250,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,250,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,250,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,250,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,250,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,250,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,250,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,250,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,250,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,250,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,250,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,250,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,250,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,250,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,250,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,250,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,250,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,250,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,250,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,250,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,250,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,250,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,250,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,250,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,250,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,250,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,250,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,250,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,250,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,250,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,250,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,250,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,250,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,250,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,250,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,250,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,250,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,250,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,250,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,250,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,250,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,250,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,250,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,250,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,250,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,250,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,250,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,250,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,250,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,250,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,250,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,250,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,250,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,250,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,250,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,250,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,250,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,250,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,250,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,250,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,250,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,250,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,250,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,250,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,250,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,250,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,250,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,250,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,250,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,250,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,250,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,250,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,250,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,250,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,250,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,250,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,250,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,250,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,250,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,250,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,250,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,250,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,250,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,250,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,250,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,250,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,250,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,250,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,250,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,250,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,250,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,250,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,250,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,250,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,250,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,250,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,250,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,250,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,250,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,250,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,250,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,250,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,250,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,250,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,250,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,250,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,250,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,250,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,250,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,250,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,250,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,250,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,250,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,250,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,250,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,250,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,250,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,250,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,250,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,250,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,250,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,250,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,250,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,250,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,250,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,250,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,250,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,250,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,250,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,250,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,250,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,250,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,250,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,250,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,250,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,250,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,251, Pharmacy Generic Drugs  ,,,,,0
RC,251,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,251,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,251,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,251,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,251,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,251,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,251,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,251,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,251,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,251,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,251,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,251,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,251,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,251,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,251,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,251,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,251,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,251,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,251,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,251,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,251,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,251,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,251,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,251,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,251,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,251,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,251,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,251,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,251,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,251,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,251,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,251,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,251,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,251,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,251,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,251,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,251,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,251,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,251,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,251,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,251,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,251,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,251,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,251,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,251,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,251,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,251,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,251,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,251,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,251,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,251,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,251,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,251,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,251,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,251,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,251,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,251,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,251,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,251,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,251,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,251,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,251,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,251,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,251,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,251,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,251,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,251,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,251,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,251,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,251,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,251,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,251,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,251,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,251,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,251,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,251,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,251,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,251,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,251,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,251,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,251,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,251,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,251,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,251,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,251,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,251,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,251,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,251,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,251,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,251,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,251,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,251,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,251,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,251,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,251,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,251,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,251,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,251,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,251,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,251,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,251,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,251,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,251,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,251,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,251,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,251,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,251,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,251,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,251,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,251,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,251,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,251,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,251,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,251,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,251,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,251,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,251,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,251,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,251,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,251,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,251,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,251,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,251,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,251,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,251,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,251,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,251,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,251,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,251,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,251,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,251,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,251,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,251,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,251,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,251,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,251,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,251,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,251,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,251,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,251,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,251,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,251,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,251,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,251,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,251,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,251,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,251,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,251,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,251,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,251,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,251,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,251,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,251,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,251,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,251,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,251,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,251,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,251,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,251,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,251,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,251,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,251,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,251,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,251,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,251,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,251,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,251,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,251,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,251,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,251,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,251,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,251,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,251,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,251,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,251,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,251,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,251,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,251,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,251,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,251,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,251,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,251,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,251,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,251,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,251,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,251,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,251,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,251,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,251,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,251,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,251,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,251,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,251,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,251,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,251,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,251,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,251,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,251,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,251,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,251,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,251,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,251,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,251,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,251,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,251,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,251,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,251,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,251,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,251,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,251,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,251,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,251,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,251,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,251,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,251,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,251,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,251,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,251,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,251,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,251,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,251,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,251,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,251,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,251,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,251,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,251,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,251,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,251,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,251,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,251,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,251,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,251,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,251,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,251,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,251,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,251,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,251,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,251,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,251,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,251,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,251,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,251,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,251,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,251,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,251,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,251,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,251,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,251,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,251,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,251,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,251,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,251,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,251,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,251,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,251,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,251,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,251,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,251,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,251,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,251,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,251,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,251,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,251,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,251,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,251,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,251,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,251,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,251,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,251,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,251,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,251,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,251,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,251,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,251,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,251,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,251,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,251,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,251,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,251,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,251,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,251,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,251,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,251,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,251,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,251,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,251,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,251,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,251,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,251,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,251,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,251,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,251,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,251,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,251,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,251,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,251,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,251,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,251,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,251,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,251,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,251,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,251,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,251,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,251,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,251,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,251,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,251,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,251,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,251,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,251,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,251,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,251,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,251,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,251,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,251,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,251,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,251,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,251,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,251,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,251,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,251,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,251,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,251,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,251,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,251,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,251,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,251,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,251,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,251,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,251,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,251,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,251,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,251,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,251,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,251,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,251,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,251,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,251,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,251,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,251,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,251,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,251,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,251,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,251,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,251,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,251,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,251,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,251,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,251,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,251,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,251,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,251,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,251,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,251,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,251,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,251,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,251,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,251,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,251,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,251,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,251,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,251,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,251,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,251,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,251,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,251,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,251,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,251,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,251,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,251,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,251,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,251,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,251,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,251,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,251,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,251,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,251,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,251,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,251,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,251,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,251,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,251,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,251,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,251,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,251,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,251,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,251,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,251,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,251,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,251,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,251,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,251,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,251,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,251,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,251,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,251,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,251,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,251,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,251,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,251,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,251,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,251,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,251,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,251,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,251,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,251,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,251,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,251,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,251,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,251,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,251,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,251,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,251,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,251,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,251,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,251,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,251,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,251,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,251,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,251,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,251,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,251,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,251,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,251,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,251,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,251,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,251,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,251,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,251,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,251,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,251,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,251,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,251,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,251,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,251,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,251,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,251,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,251,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,251,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,251,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,251,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,251,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,251,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,251,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,251,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,251,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,251,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,251,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,251,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,251,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,251,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,251,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,251,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,251,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,251,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,251,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,251,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,251,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,251,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,251,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,251,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,251,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,251,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,251,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,251,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,251,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,251,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,251,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,251,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,251,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,251,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,251,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,251,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,251,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,251,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,251,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,251,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,251,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,251,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,251,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,251,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,251,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,251,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,251,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,251,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,251,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,251,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,251,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,251,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,251,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,251,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,251,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,251,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,251,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,251,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,251,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,251,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,251,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,251,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,251,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,251,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,251,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,251,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,251,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,251,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,251,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,251,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,251,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,251,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,251,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,251,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,251,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,251,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,251,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,251,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,251,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,251,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,251,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,251,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,251,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,251,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,251,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,251,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,251,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,251,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,251,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,251,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,251,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,251,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,251,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,251,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,251,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,251,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,1.7,1
RC,251,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,251,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,251,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,251,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,251,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,251,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,251,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,251,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,251,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,251,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,251,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,251,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,251,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,251,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,251,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,251,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,251,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,251,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,251,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,251,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,251,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,251,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,251,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,251,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,251,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,251,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,251,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,251,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,251,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,251,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,251,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,251,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,251,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,251,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,251,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,251,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,251,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,251,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,251,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,251,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,251,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,251,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,251,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,251,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,251,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,251,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,251,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,251,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,251,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,251,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,251,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,251,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,251,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,251,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,251,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,251,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,251,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,251,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,251,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,251,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,251,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,251,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,251,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,251,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,251,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,251,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,251,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,251,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,251,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,251,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,251,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,251,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,251,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,251,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,251,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,251,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,251,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,251,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,251,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,251,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,251,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,251,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,251,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,251,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,251,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,251,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,251,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,251,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,251,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,251,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,251,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,251,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,251,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,251,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,251,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,251,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,251,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,251,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,251,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,251,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,251,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,251,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,251,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,251,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,251,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,251,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,251,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,251,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,251,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,251,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,251,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,251,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,251,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,251,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,251,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,251,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,251,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,251,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,251,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,251,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,251,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,251,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,251,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,251,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,251,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,251,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,251,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,251,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,251,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,251,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,251,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,251,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,251,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,251,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,251,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,251,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,251,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,251,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,251,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,251,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,251,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,251,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,251,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,251,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,251,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,251,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,251,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,251,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,251,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,251,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,251,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,251,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,251,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,251,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,251,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,251,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,251,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,251,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,251,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,251,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,251,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,251,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,251,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,251,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,251,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,251,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,251,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,251,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,251,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,251,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,251,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,251,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,251,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,251,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,251,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,251,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,251,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,251,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,251,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,251,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,251,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,251,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,251,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,251,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,251,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,251,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,251,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,251,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,251,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,251,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,251,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,251,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,251,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,251,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,251,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,251,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,251,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,251,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,251,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,251,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,251,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,251,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,251,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,251,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,251,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,251,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,251,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,251,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,251,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,251,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,251,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,251,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,251,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,251,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,251,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,251,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,251,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,251,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,251,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,251,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,251,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,251,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,251,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,251,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,251,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,251,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,251,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,251,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,251,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,251,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,251,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,251,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,251,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,251,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,251,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,251,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,251,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,251,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,251,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,251,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,251,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,251,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,251,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,251,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,251,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,251,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,251,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,251,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,251,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,251,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,251,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,251,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,251,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,251,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,251,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,251,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,251,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,251,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,251,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,251,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,251,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,251,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,251,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,251,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,251,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,251,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,251,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,251,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,251,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,251,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,251,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,251,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,251,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,251,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,251,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,251,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,251,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,251,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,251,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,251,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,251,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,251,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,251,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,251,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,251,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,251,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,251,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,251,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,251,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,251,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,251,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,251,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,251,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,251,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,251,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,251,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,251,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,251,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,251,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,251,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,251,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,251,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,251,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,251,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,251,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,251,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,251,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,251,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,251,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,251,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,251,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,251,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,251,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,251,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,251,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,251,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,251,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,251,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,251,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,251,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,251,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,251,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,251,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,251,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,251,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,251,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,251,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,251,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,251,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,251,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,251,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,251,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,251,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,251,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,251,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,251,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,251,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,251,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,252, Pharmacy  ,,,,,0
RC,252,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,252,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,252,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,252,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,252,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,252,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,252,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,252,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,252,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,252,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,252,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,252,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,252,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,252,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,252,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,252,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,252,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,252,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,252,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,252,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,252,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,252,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,252,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,252,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,252,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,252,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,252,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,252,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,252,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,252,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,252,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,252,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,252,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,252,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,252,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,252,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,252,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,252,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,252,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,252,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,252,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,252,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,252,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,252,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,252,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,252,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,252,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,252,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,252,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,252,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,252,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,252,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,252,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,252,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,252,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,252,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,252,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,252,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,252,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,252,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,252,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,252,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,252,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,252,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,252,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,252,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,252,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,252,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,252,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,252,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,252,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,252,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,252,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,252,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,252,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,252,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,252,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,252,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,252,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,252,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,252,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,252,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,252,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,252,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,252,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,252,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,252,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,252,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,252,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,252,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,252,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,252,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,252,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,252,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,252,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,252,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,252,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,252,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,252,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,252,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,252,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,252,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,252,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,252,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,252,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,252,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,252,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,252,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,252,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,252,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,252,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,252,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,252,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,252,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,252,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,252,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,252,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,252,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,252,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,252,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,252,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,252,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,252,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,252,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,252,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,252,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,252,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,252,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,252,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,252,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,252,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,252,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,252,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,252,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,252,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,252,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,252,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,252,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,252,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,252,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,252,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,252,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,252,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,252,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,252,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,252,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,252,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,252,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,252,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,252,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,252,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,252,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,252,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,252,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,252,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,252,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,252,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,252,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,252,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,252,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,252,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,252,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,252,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,252,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,252,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,252,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,252,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,252,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,252,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,252,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,252,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,252,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,252,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,252,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,252,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,252,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,252,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,252,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,252,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,252,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,252,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,252,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,252,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,252,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,252,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,252,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,252,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,252,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,252,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,252,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,252,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,252,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,252,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,252,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,252,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,252,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,252,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,252,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,252,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,252,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,252,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,252,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,252,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,252,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,252,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,252,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,252,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,252,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,252,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,252,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,252,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,252,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,252,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,252,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,252,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,252,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,252,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,252,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,252,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,252,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,252,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,252,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,252,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,252,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,252,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,252,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,252,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,252,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,252,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,252,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,252,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,252,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,252,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,252,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,252,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,252,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,252,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,252,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,252,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,252,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,252,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,252,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,252,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,252,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,252,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,252,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,252,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,252,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,252,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,252,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,252,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,252,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,252,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,252,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,252,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,252,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,252,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,252,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,252,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,252,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,252,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,252,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,252,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,252,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,252,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,252,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,252,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,252,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,252,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,252,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,252,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,252,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,252,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,252,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,252,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,252,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,252,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,252,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,252,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,252,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,252,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,252,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,252,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,252,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,252,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,252,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,252,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,252,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,252,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,252,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,252,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,252,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,252,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,252,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,252,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,252,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,252,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,252,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,252,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,252,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,252,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,252,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,252,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,252,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,252,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,252,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,252,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,252,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,252,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,252,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,252,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,252,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,252,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,252,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,252,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,252,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,252,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,252,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,252,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,252,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,252,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,252,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,252,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,252,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,252,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,252,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,252,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,252,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,252,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,252,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,252,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,252,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,252,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,252,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,252,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,252,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,252,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,252,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,252,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,252,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,252,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,252,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,252,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,252,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,252,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,252,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,252,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,252,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,252,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,252,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,252,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,252,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,252,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,252,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,252,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,252,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,252,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,252,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,252,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,252,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,252,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,252,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,252,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,252,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,252,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,252,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,252,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,252,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,252,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,252,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,252,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,252,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,252,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,252,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,252,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,252,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,252,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,252,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,252,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,252,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,252,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,252,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,252,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,252,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,252,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,252,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,252,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,252,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,252,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,252,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,252,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,252,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,252,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,252,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,252,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,252,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,252,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,252,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,252,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,252,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,252,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,252,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,252,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,252,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,252,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,252,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,252,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,252,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,252,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,252,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,252,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,252,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,252,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,252,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,252,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,252,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,252,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,252,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,252,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,252,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,252,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,252,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,252,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,252,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,252,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,252,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,252,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,252,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,252,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,252,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,252,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,252,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,252,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,252,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,252,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,252,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,252,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,252,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,252,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,252,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,252,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,252,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,252,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,252,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,252,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,252,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,252,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,252,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,252,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,252,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,252,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,252,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,252,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,252,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,252,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,252,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,252,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,252,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,252,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,252,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,252,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,252,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,252,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,252,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,252,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,252,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,252,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,252,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,252,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,252,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,252,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,252,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,252,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,252,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,252,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,252,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,252,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,252,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,252,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,252,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,252,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,252,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,252,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,252,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,252,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,252,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,252,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,252,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,252,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,252,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,252,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,252,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,252,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,252,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,252,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,252,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,252,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,252,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,252,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,252,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,252,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,252,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,252,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,252,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,252,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,252,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,252,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,252,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,252,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,252,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,252,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,252,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,252,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,252,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,252,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,252,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,252,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,252,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,252,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,252,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,252,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,252,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,252,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,252,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,252,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,252,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,252,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,252,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,252,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,252,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,252,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,252,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,252,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,1.7,1
RC,252,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,252,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,252,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,252,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,252,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,252,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,252,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,252,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,252,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,252,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,252,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,252,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,252,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,252,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,252,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,252,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,252,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,252,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,252,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,252,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,252,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,252,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,252,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,252,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,252,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,252,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,252,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,252,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,252,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,252,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,252,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,252,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,252,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,252,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,252,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,252,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,252,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,252,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,252,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,252,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,252,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,252,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,252,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,252,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,252,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,252,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,252,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,252,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,252,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,252,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,252,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,252,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,252,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,252,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,252,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,252,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,252,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,252,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,252,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,252,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,252,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,252,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,252,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,252,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,252,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,252,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,252,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,252,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,252,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,252,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,252,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,252,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,252,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,252,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,252,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,252,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,252,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,252,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,252,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,252,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,252,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,252,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,252,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,252,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,252,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,252,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,252,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,252,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,252,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,252,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,252,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,252,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,252,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,252,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,252,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,252,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,252,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,252,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,252,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,252,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,252,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,252,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,252,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,252,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,252,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,252,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,252,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,252,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,252,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,252,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,252,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,252,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,252,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,252,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,252,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,252,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,252,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,252,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,252,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,252,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,252,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,252,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,252,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,252,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,252,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,252,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,252,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,252,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,252,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,252,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,252,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,252,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,252,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,252,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,252,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,252,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,252,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,252,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,252,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,252,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,252,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,252,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,252,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,252,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,252,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,252,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,252,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,252,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,252,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,252,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,252,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,252,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,252,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,252,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,252,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,252,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,252,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,252,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,252,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,252,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,252,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,252,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,252,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,252,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,252,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,252,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,252,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,252,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,252,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,252,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,252,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,252,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,252,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,252,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,252,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,252,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,252,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,252,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,252,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,252,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,252,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,252,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,252,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,252,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,252,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,252,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,252,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,252,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,252,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,252,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,252,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,252,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,252,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,252,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,252,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,252,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,252,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,252,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,252,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,252,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,252,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,252,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,252,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,252,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,252,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,252,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,252,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,252,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,252,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,252,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,252,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,252,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,252,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,252,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,252,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,252,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,252,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,252,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,252,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,252,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,252,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,252,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,252,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,252,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,252,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,252,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,252,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,252,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,252,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,252,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,252,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,252,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,252,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,252,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,252,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,252,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,252,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,252,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,252,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,252,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,252,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,252,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,252,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,252,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,252,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,252,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,252,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,252,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,252,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,252,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,252,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,252,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,252,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,252,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,252,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,252,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,252,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,252,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,252,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,252,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,252,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,252,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,252,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,252,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,252,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,252,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,252,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,252,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,252,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,252,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,252,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,252,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,252,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,252,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,252,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,252,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,252,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,252,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,252,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,252,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,252,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,252,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,252,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,252,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,252,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,252,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,252,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,252,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,252,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,252,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,252,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,252,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,252,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,252,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,252,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,252,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,252,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,252,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,252,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,252,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,252,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,252,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,252,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,252,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,252,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,252,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,252,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,252,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,252,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,252,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,252,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,252,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,252,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,252,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,252,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,252,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,252,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,252,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,252,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,252,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,252,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,252,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,252,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,252,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,252,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,252,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,252,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,252,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,252,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,252,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,252,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,252,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,252,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,252,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,252,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,252,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,252,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,252,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,253, Pharmacy  ,,,,,0
RC,254, Pharmacy  ,,,,,0
RC,254,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,254,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,254,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,254,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,254,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,254,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,254,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,254,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,254,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,254,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,254,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,254,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,254,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,254,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,254,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,254,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,254,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,254,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,254,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,254,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,254,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,254,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,254,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,254,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,254,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,254,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,254,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,254,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,254,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,254,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,254,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,254,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,254,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,254,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,254,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,254,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,254,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,254,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,254,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,254,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,254,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,254,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,254,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,254,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,254,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,254,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,254,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,254,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,254,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,254,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,254,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,254,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,254,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,254,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,254,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,254,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,254,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,254,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,254,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,254,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,254,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,254,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,254,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,254,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,254,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,254,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,254,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,254,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,254,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,254,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,254,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,254,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,254,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,254,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,254,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,254,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,254,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,254,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,254,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,254,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,254,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,254,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,254,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,254,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,254,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,254,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,254,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,254,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,254,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,254,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,254,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,254,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,254,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,254,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,254,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,254,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,254,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,254,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,254,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,254,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,254,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,254,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,254,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,254,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,254,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,254,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,254,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,254,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,254,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,254,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,254,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,254,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,254,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,254,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,254,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,254,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,254,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,254,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,254,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,254,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,254,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,254,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,254,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,254,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,254,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,254,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,254,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,254,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,254,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,254,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,254,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,254,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,254,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,254,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,254,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,254,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,254,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,254,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,254,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,254,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,254,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,254,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,254,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,254,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,254,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,254,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,254,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,254,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,254,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,254,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,254,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,254,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,254,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,254,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,254,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,254,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,254,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,254,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,254,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,254,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,254,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,254,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,254,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,254,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,254,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,254,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,254,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,254,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,254,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,254,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,254,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,254,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,254,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,254,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,254,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,254,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,254,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,254,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,254,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,254,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,254,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,254,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,254,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,254,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,254,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,254,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,254,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,254,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,254,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,254,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,254,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,254,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,254,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,254,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,254,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,254,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,254,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,254,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,254,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,254,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,254,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,254,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,254,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,254,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,254,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,254,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,254,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,254,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,254,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,254,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,254,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,254,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,254,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,254,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,254,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,254,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,254,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,254,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,254,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,254,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,254,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,254,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,254,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,254,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,254,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,254,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,254,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,254,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,254,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,254,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,254,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,254,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,254,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,254,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,254,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,254,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,254,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,254,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,254,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,254,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,254,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,254,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,254,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,254,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,254,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,254,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,254,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,254,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,254,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,254,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,254,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,254,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,254,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,254,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,254,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,254,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,254,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,254,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,254,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,254,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,254,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,254,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,254,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,254,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,254,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,254,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,254,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,254,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,254,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,254,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,254,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,254,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,254,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,254,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,254,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,254,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,254,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,254,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,254,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,254,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,254,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,254,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,254,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,254,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,254,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,254,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,254,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,254,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,254,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,254,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,254,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,254,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,254,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,254,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,254,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,254,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,254,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,254,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,254,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,254,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,254,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,254,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,254,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,254,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,254,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,254,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,254,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,254,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,254,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,254,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,254,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,254,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,254,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,254,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,254,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,254,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,254,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,254,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,254,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,254,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,254,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,254,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,254,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,254,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,254,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,254,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,254,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,254,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,254,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,254,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,254,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,254,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,254,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,254,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,254,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,254,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,254,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,254,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,254,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,254,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,254,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,254,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,254,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,254,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,254,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,254,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,254,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,254,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,254,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,254,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,254,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,254,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,254,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,254,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,254,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,254,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,254,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,254,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,254,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,254,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,254,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,254,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,254,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,254,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,254,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,254,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,254,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,254,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,254,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,254,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,254,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,254,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,254,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,254,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,254,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,254,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,254,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,254,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,254,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,254,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,254,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,254,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,254,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,254,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,254,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,254,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,254,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,254,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,254,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,254,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,254,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,254,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,254,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,254,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,254,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,254,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,254,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,254,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,254,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,254,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,254,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,254,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,254,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,254,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,254,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,254,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,254,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,254,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,254,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,254,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,254,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,254,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,254,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,254,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,254,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,254,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,254,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,254,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,254,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,254,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,254,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,254,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,254,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,254,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,254,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,254,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,254,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,254,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,254,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,254,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,254,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,254,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,254,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,254,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,254,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,254,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,254,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,254,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,254,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,254,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,254,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,254,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,254,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,254,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,254,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,254,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,254,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,254,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,254,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,254,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,254,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,254,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,254,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,254,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,254,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,254,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,254,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,254,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,254,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,254,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,254,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,254,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,254,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,254,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,254,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,254,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,254,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,254,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,254,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,254,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,254,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,254,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,254,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,254,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,254,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,254,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,254,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,254,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,254,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,254,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,254,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,254,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,254,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,254,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,254,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,254,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,254,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,254,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,254,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,254,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,254,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,254,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,254,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,254,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,254,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,254,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,254,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,254,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,254,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,254,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,254,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,254,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,254,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,254,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,254,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,254,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,254,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,254,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,254,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,254,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,254,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,254,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,254,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,254,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,254,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,254,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,254,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,254,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,254,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,254,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,254,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,254,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,254,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,254,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,254,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,254,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,254,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,254,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,254,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,254,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,254,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,254,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,254,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,1.7,1
RC,254,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,254,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,254,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,254,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,254,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,254,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,254,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,254,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,254,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,254,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,254,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,254,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,254,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,254,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,254,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,254,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,254,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,254,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,254,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,254,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,254,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,254,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,254,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,254,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,254,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,254,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,254,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,254,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,254,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,254,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,254,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,254,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,254,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,254,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,254,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,254,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,254,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,254,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,254,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,254,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,254,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,254,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,254,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,254,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,254,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,254,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,254,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,254,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,254,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,254,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,254,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,254,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,254,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,254,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,254,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,254,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,254,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,254,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,254,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,254,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,254,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,254,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,254,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,254,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,254,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,254,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,254,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,254,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,254,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,254,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,254,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,254,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,254,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,254,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,254,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,254,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,254,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,254,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,254,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,254,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,254,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,254,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,254,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,254,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,254,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,254,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,254,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,254,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,254,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,254,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,254,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,254,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,254,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,254,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,254,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,254,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,254,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,254,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,254,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,254,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,254,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,254,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,254,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,254,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,254,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,254,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,254,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,254,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,254,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,254,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,254,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,254,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,254,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,254,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,254,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,254,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,254,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,254,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,254,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,254,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,254,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,254,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,254,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,254,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,254,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,254,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,254,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,254,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,254,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,254,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,254,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,254,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,254,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,254,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,254,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,254,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,254,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,254,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,254,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,254,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,254,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,254,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,254,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,254,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,254,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,254,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,254,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,254,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,254,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,254,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,254,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,254,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,254,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,254,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,254,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,254,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,254,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,254,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,254,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,254,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,254,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,254,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,254,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,254,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,254,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,254,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,254,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,254,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,254,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,254,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,254,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,254,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,254,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,254,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,254,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,254,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,254,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,254,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,254,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,254,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,254,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,254,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,254,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,254,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,254,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,254,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,254,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,254,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,254,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,254,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,254,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,254,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,254,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,254,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,254,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,254,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,254,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,254,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,254,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,254,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,254,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,254,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,254,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,254,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,254,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,254,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,254,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,254,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,254,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,254,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,254,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,254,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,254,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,254,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,254,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,254,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,254,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,254,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,254,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,254,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,254,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,254,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,254,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,254,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,254,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,254,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,254,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,254,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,254,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,254,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,254,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,254,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,254,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,254,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,254,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,254,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,254,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,254,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,254,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,254,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,254,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,254,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,254,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,254,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,254,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,254,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,254,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,254,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,254,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,254,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,254,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,254,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,254,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,254,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,254,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,254,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,254,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,254,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,254,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,254,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,254,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,254,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,254,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,254,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,254,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,254,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,254,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,254,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,254,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,254,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,254,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,254,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,254,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,254,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,254,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,254,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,254,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,254,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,254,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,254,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,254,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,254,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,254,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,254,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,254,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,254,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,254,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,254,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,254,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,254,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,254,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,254,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,254,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,254,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,254,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,254,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,254,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,254,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,254,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,254,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,254,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,254,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,254,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,254,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,254,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,254,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,254,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,254,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,254,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,254,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,254,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,254,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,254,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,254,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,254,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,254,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,254,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,254,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,254,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,254,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,254,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,254,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,254,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,254,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,254,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,254,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,254,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,254,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,254,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,254,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,254,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,254,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,254,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,254,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,254,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,254,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,254,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,254,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,255, Pharmacy  ,,,,,0
RC,255,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,255,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,255,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,255,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,255,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,255,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,255,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,255,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,255,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,255,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,255,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,255,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,255,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,255,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,255,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,255,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,255,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,255,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,255,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,255,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,255,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,255,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,255,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,255,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,255,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,255,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,255,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,255,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,255,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,255,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,255,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,255,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,255,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,255,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,255,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,255,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,255,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,255,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,255,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,255,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,255,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,255,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,255,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,255,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,255,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,255,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,255,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,255,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,255,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,255,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,255,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,255,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,255,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,255,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,255,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,255,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,255,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,255,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,255,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,255,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,255,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,255,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,255,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,255,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,255,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,255,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,255,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,255,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,255,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,255,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,255,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,255,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,255,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,255,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,255,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,255,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,255,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,255,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,255,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,255,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,255,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,255,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,255,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,255,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,255,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,255,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,255,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,255,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,255,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,255,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,255,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,255,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,255,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,255,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,255,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,255,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,255,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,255,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,255,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,255,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,255,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,255,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,255,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,255,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,255,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,255,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,255,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,255,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,255,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,255,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,255,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,255,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,255,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,255,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,255,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,255,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,255,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,255,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,255,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,255,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,255,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,255,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,255,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,255,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,255,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,255,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,255,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,255,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,255,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,255,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,255,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,255,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,255,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,255,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,255,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,255,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,255,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,255,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,255,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,255,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,255,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,255,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,255,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,255,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,255,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,255,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,255,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,255,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,255,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,255,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,255,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,255,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,255,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,255,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,255,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,255,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,255,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,255,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,255,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,255,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,255,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,255,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,255,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,255,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,255,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,255,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,255,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,255,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,255,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,255,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,255,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,255,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,255,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,255,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,255,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,255,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,255,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,255,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,255,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,255,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,255,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,255,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,255,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,255,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,255,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,255,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,255,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,255,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,255,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,255,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,255,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,255,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,255,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,255,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,255,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,255,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,255,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,255,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,255,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,255,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,255,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,255,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,255,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,255,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,255,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,255,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,255,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,255,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,255,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,255,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,255,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,255,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,255,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,255,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,255,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,255,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,255,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,255,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,255,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,255,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,255,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,255,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,255,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,255,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,255,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,255,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,255,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,255,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,255,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,255,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,255,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,255,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,255,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,255,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,255,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,255,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,255,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,255,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,255,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,255,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,255,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,255,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,255,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,255,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,255,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,255,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,255,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,255,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,255,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,255,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,255,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,255,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,255,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,255,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,255,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,255,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,255,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,255,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,255,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,255,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,255,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,255,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,255,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,255,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,255,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,255,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,255,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,255,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,255,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,255,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,255,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,255,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,255,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,255,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,255,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,255,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,255,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,255,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,255,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,255,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,255,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,255,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,255,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,255,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,255,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,255,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,255,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,255,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,255,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,255,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,255,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,255,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,255,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,255,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,255,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,255,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,255,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,255,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,255,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,255,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,255,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,255,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,255,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,255,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,255,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,255,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,255,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,255,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,255,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,255,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,255,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,255,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,255,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,255,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,255,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,255,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,255,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,255,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,255,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,255,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,255,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,255,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,255,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,255,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,255,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,255,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,255,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,255,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,255,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,255,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,255,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,255,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,255,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,255,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,255,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,255,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,255,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,255,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,255,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,255,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,255,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,255,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,255,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,255,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,255,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,255,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,255,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,255,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,255,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,255,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,255,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,255,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,255,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,255,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,255,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,255,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,255,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,255,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,255,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,255,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,255,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,255,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,255,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,255,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,255,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,255,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,255,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,255,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,255,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,255,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,255,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,255,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,255,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,255,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,255,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,255,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,255,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,255,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,255,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,255,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,255,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,255,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,255,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,255,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,255,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,255,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,255,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,255,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,255,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,255,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,255,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,255,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,255,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,255,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,255,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,255,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,255,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,255,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,255,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,255,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,255,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,255,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,255,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,255,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,255,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,255,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,255,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,255,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,255,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,255,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,255,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,255,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,255,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,255,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,255,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,255,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,255,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,255,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,255,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,255,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,255,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,255,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,255,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,255,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,255,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,255,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,255,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,255,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,255,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,255,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,255,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,255,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,255,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,255,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,255,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,255,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,255,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,255,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,255,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,255,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,255,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,255,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,255,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,255,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,255,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,255,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,255,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,255,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,255,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,255,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,255,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,255,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,255,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,255,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,255,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,255,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,255,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,255,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,255,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,255,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,255,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,255,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,255,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,255,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,255,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,255,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,255,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,255,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,255,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,255,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,255,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,255,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,255,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,255,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,255,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,255,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,255,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,255,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,255,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,255,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,255,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,255,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,255,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,255,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,255,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,255,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,255,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,255,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,255,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,255,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,255,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,255,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,255,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,255,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,255,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,255,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,255,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,255,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,255,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,255,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,255,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,255,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,255,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,255,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,255,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,255,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,255,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,255,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,255,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,255,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,255,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,255,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,255,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,255,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,255,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,255,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,255,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,255,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,255,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,255,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,255,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,255,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,255,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,255,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,255,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,255,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,255,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,255,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,255,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,255,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,255,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,255,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,255,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,1.7,1
RC,255,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,255,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,255,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,255,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,255,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,255,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,255,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,255,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,255,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,255,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,255,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,255,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,255,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,255,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,255,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,255,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,255,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,255,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,255,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,255,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,255,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,255,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,255,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,255,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,255,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,255,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,255,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,255,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,255,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,255,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,255,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,255,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,255,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,255,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,255,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,255,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,255,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,255,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,255,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,255,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,255,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,255,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,255,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,255,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,255,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,255,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,255,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,255,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,255,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,255,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,255,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,255,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,255,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,255,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,255,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,255,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,255,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,255,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,255,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,255,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,255,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,255,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,255,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,255,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,255,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,255,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,255,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,255,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,255,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,255,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,255,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,255,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,255,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,255,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,255,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,255,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,255,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,255,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,255,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,255,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,255,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,255,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,255,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,255,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,255,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,255,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,255,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,255,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,255,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,255,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,255,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,255,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,255,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,255,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,255,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,255,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,255,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,255,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,255,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,255,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,255,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,255,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,255,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,255,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,255,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,255,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,255,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,255,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,255,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,255,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,255,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,255,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,255,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,255,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,255,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,255,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,255,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,255,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,255,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,255,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,255,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,255,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,255,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,255,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,255,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,255,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,255,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,255,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,255,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,255,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,255,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,255,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,255,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,255,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,255,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,255,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,255,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,255,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,255,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,255,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,255,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,255,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,255,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,255,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,255,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,255,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,255,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,255,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,255,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,255,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,255,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,255,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,255,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,255,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,255,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,255,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,255,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,255,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,255,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,255,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,255,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,255,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,255,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,255,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,255,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,255,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,255,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,255,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,255,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,255,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,255,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,255,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,255,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,255,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,255,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,255,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,255,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,255,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,255,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,255,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,255,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,255,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,255,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,255,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,255,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,255,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,255,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,255,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,255,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,255,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,255,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,255,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,255,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,255,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,255,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,255,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,255,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,255,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,255,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,255,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,255,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,255,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,255,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,255,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,255,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,255,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,255,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,255,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,255,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,255,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,255,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,255,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,255,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,255,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,255,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,255,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,255,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,255,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,255,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,255,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,255,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,255,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,255,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,255,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,255,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,255,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,255,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,255,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,255,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,255,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,255,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,255,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,255,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,255,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,255,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,255,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,255,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,255,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,255,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,255,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,255,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,255,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,255,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,255,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,255,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,255,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,255,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,255,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,255,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,255,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,255,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,255,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,255,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,255,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,255,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,255,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,255,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,255,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,255,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,255,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,255,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,255,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,255,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,255,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,255,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,255,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,255,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,255,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,255,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,255,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,255,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,255,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,255,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,255,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,255,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,255,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,255,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,255,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,255,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,255,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,255,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,255,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,255,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,255,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,255,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,255,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,255,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,255,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,255,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,255,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,255,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,255,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,255,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,255,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,255,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,255,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,255,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,255,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,255,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,255,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,255,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,255,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,255,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,255,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,255,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,255,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,255,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,255,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,255,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,255,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,255,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,255,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,255,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,255,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,255,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,255,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,255,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,255,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,255,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,255,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,255,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,255,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,255,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,255,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,255,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,255,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,255,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,255,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,255,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,255,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,255,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,255,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,255,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,255,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,255,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,255,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,255,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,255,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,256, Pharmacy  ,,,,,0
RC,257, Pharmacy  ,,,,,0
RC,257,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,257,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,257,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,257,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,257,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,257,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,257,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,257,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,257,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,257,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,257,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,257,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,257,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,257,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,257,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,257,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,257,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,257,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,257,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,257,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,257,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,257,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,257,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,257,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,257,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,257,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,257,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,257,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,257,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,257,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,257,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,257,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,257,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,257,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,257,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,257,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,257,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,257,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,257,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,257,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,257,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,257,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,257,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,257,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,257,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,257,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,257,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,257,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,257,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,257,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,257,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,257,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,257,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,257,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,257,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,257,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,257,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,257,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,257,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,257,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,257,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,257,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,257,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,257,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,257,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,257,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,257,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,257,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,257,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,257,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,257,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,257,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,257,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,257,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,257,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,257,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,257,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,257,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,257,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,257,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,257,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,257,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,257,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,257,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,257,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,257,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,257,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,257,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,257,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,257,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,257,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,257,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,257,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,257,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,257,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,257,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,257,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,257,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,257,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,257,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,257,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,257,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,257,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,257,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,257,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,257,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,257,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,257,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,257,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,257,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,257,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,257,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,257,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,257,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,257,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,257,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,257,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,257,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,257,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,257,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,257,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,257,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,257,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,257,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,257,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,257,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,257,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,257,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,257,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,257,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,257,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,257,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,257,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,257,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,257,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,257,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,257,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,257,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,257,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,257,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,257,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,257,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,257,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,257,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,257,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,257,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,257,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,257,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,257,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,257,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,257,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,257,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,257,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,257,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,257,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,257,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,257,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,257,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,257,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,257,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,257,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,257,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,257,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,257,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,257,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,257,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,257,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,257,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,257,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,257,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,257,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,257,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,257,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,257,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,257,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,257,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,257,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,257,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,257,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,257,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,257,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,257,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,257,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,257,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,257,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,257,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,257,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,257,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,257,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,257,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,257,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,257,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,257,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,257,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,257,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,257,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,257,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,257,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,257,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,257,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,257,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,257,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,257,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,257,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,257,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,257,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,257,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,257,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,257,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,257,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,257,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,257,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,257,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,257,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,257,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,257,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,257,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,257,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,257,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,257,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,257,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,257,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,257,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,257,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,257,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,257,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,257,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,257,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,257,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,257,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,257,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,257,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,257,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,257,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,257,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,257,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,257,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,257,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,257,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,257,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,257,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,257,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,257,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,257,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,257,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,257,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,257,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,257,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,257,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,257,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,257,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,257,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,257,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,257,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,257,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,257,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,257,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,257,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,257,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,257,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,257,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,257,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,257,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,257,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,257,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,257,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,257,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,257,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,257,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,257,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,257,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,257,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,257,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,257,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,257,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,257,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,257,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,257,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,257,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,257,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,257,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,257,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,257,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,257,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,257,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,257,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,257,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,257,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,257,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,257,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,257,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,257,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,257,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,257,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,257,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,257,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,257,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,257,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,257,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,257,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,257,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,257,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,257,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,257,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,257,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,257,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,257,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,257,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,257,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,257,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,257,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,257,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,257,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,257,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,257,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,257,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,257,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,257,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,257,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,257,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,257,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,257,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,257,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,257,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,257,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,257,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,257,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,257,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,257,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,257,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,257,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,257,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,257,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,257,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,257,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,257,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,257,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,257,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,257,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,257,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,257,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,257,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,257,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,257,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,257,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,257,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,257,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,257,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,257,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,257,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,257,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,257,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,257,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,257,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,257,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,257,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,257,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,257,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,257,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,257,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,257,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,257,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,257,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,257,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,257,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,257,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,257,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,257,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,257,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,257,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,257,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,257,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,257,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,257,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,257,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,257,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,257,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,257,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,257,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,257,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,257,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,257,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,257,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,257,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,257,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,257,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,257,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,257,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,257,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,257,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,257,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,257,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,257,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,257,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,257,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,257,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,257,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,257,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,257,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,257,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,257,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,257,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,257,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,257,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,257,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,257,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,257,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,257,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,257,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,257,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,257,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,257,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,257,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,257,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,257,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,257,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,257,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,257,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,257,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,257,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,257,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,257,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,257,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,257,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,257,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,257,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,257,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,257,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,257,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,257,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,257,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,257,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,257,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,257,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,257,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,257,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,257,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,257,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,257,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,257,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,257,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,257,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,257,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,257,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,257,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,257,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,257,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,257,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,257,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,257,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,257,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,257,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,257,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,257,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,257,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,257,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,257,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,257,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,257,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,257,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,257,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,257,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,257,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,257,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,257,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,257,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,257,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,257,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,257,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,257,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,257,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,257,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,257,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,257,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,257,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,257,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,257,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,257,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,257,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,257,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,257,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,257,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,257,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,257,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,257,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,257,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,257,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,257,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,257,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,257,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,257,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,257,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,257,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,257,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,257,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,257,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,257,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,257,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,257,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,257,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,257,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,257,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,257,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,257,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,257,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,257,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,257,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,257,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,257,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,257,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,257,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,257,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,257,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,257,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,257,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,257,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,257,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,257,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,257,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,257,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,257,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,257,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,257,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,257,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,257,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,257,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,257,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,257,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,257,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,257,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,257,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,257,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,257,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,1.7,1
RC,257,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,257,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,257,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,257,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,257,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,257,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,257,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,257,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,257,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,257,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,257,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,257,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,257,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,257,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,257,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,257,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,257,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,257,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,257,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,257,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,257,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,257,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,257,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,257,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,257,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,257,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,257,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,257,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,257,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,257,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,257,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,257,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,257,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,257,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,257,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,257,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,257,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,257,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,257,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,257,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,257,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,257,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,257,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,257,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,257,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,257,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,257,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,257,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,257,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,257,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,257,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,257,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,257,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,257,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,257,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,257,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,257,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,257,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,257,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,257,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,257,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,257,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,257,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,257,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,257,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,257,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,257,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,257,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,257,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,257,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,257,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,257,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,257,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,257,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,257,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,257,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,257,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,257,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,257,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,257,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,257,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,257,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,257,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,257,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,257,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,257,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,257,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,257,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,257,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,257,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,257,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,257,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,257,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,257,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,257,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,257,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,257,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,257,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,257,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,257,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,257,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,257,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,257,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,257,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,257,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,257,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,257,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,257,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,257,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,257,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,257,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,257,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,257,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,257,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,257,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,257,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,257,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,257,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,257,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,257,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,257,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,257,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,257,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,257,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,257,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,257,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,257,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,257,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,257,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,257,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,257,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,257,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,257,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,257,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,257,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,257,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,257,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,257,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,257,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,257,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,257,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,257,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,257,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,257,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,257,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,257,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,257,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,257,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,257,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,257,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,257,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,257,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,257,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,257,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,257,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,257,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,257,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,257,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,257,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,257,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,257,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,257,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,257,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,257,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,257,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,257,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,257,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,257,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,257,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,257,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,257,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,257,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,257,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,257,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,257,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,257,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,257,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,257,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,257,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,257,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,257,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,257,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,257,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,257,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,257,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,257,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,257,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,257,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,257,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,257,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,257,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,257,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,257,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,257,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,257,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,257,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,257,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,257,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,257,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,257,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,257,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,257,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,257,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,257,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,257,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,257,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,257,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,257,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,257,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,257,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,257,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,257,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,257,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,257,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,257,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,257,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,257,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,257,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,257,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,257,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,257,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,257,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,257,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,257,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,257,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,257,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,257,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,257,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,257,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,257,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,257,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,257,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,257,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,257,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,257,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,257,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,257,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,257,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,257,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,257,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,257,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,257,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,257,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,257,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,257,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,257,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,257,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,257,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,257,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,257,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,257,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,257,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,257,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,257,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,257,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,257,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,257,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,257,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,257,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,257,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,257,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,257,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,257,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,257,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,257,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,257,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,257,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,257,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,257,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,257,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,257,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,257,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,257,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,257,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,257,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,257,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,257,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,257,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,257,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,257,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,257,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,257,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,257,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,257,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,257,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,257,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,257,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,257,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,257,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,257,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,257,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,257,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,257,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,257,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,257,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,257,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,257,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,257,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,257,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,257,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,257,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,257,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,257,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,257,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,257,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,257,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,257,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,257,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,257,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,257,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,257,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,257,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,257,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,257,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,257,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,257,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,257,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,257,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,257,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,257,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,257,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,257,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,257,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,257,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,257,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,257,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,257,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,257,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,257,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,257,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,257,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,257,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,257,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,257,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,257,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,257,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,257,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,257,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,258, Pharmacy  ,,,,,0
RC,258,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,258,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,258,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,258,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,258,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,258,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,258,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,258,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,258,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,258,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,258,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,258,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,258,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,258,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,258,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,258,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,258,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,258,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,258,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,258,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,258,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,258,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,258,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,258,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,258,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,258,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,258,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,258,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,258,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,258,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,258,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,258,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,258,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,258,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,258,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,258,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,258,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,258,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,258,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,258,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,258,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,258,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,258,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,258,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,258,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,258,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,258,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,258,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,258,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,258,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,258,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,258,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,258,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,258,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,258,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,258,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,258,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,258,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,258,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,258,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,258,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,258,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,258,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,258,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,258,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,258,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,258,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,258,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,258,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,258,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,258,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,258,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,258,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,258,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,258,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,258,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,258,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,258,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,258,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,258,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,258,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,258,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,258,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,258,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,258,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,258,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,258,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,258,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,258,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,258,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,258,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,258,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,258,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,258,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,258,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,258,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,258,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,258,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,258,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,258,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,258,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,258,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,258,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,258,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,258,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,258,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,258,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,258,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,258,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,258,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,258,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,258,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,258,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,258,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,258,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,258,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,258,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,258,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,258,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,258,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,258,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,258,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,258,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,258,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,258,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,258,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,258,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,258,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,258,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,258,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,258,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,258,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,258,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,258,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,258,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,258,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,258,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,258,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,258,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,258,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,258,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,258,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,258,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,258,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,258,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,258,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,258,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,258,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,258,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,258,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,258,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,258,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,258,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,258,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,258,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,258,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,258,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,258,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,258,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,258,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,258,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,258,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,258,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,258,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,258,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,258,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,258,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,258,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,258,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,258,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,258,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,258,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,258,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,258,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,258,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,258,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,258,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,258,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,258,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,258,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,258,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,258,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,258,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,258,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,258,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,258,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,258,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,258,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,258,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,258,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,258,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,258,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,258,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,258,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,258,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,258,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,258,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,258,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,258,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,258,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,258,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,258,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,258,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,258,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,258,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,258,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,258,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,258,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,258,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,258,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,258,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,258,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,258,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,258,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,258,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,258,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,258,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,258,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,258,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,258,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,258,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,258,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,258,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,258,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,258,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,258,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,258,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,258,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,258,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,258,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,258,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,258,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,258,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,258,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,258,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,258,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,258,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,258,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,258,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,258,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,258,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,258,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,258,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,258,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,258,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,258,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,258,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,258,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,258,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,258,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,258,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,258,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,258,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,258,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,258,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,258,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,258,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,258,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,258,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,258,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,258,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,258,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,258,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,258,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,258,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,258,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,258,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,258,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,258,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,258,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,258,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,258,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,258,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,258,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,258,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,258,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,258,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,258,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,258,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,258,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,258,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,258,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,258,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,258,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,258,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,258,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,258,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,258,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,258,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,258,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,258,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,258,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,258,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,258,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,258,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,258,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,258,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,258,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,258,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,258,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,258,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,258,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,258,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,258,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,258,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,258,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,258,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,258,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,258,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,258,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,258,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,258,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,258,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,258,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,258,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,258,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,258,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,258,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,258,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,258,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,258,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,258,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,258,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,258,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,258,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,258,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,258,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,258,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,258,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,258,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,258,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,258,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,258,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,258,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,258,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,258,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,258,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,258,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,258,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,258,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,258,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,258,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,258,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,258,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,258,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,258,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,258,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,258,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,258,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,258,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,258,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,258,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,258,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,258,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,258,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,258,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,258,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,258,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,258,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,258,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,258,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,258,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,258,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,258,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,258,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,258,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,258,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,258,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,258,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,258,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,258,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,258,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,258,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,258,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,258,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,258,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,258,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,258,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,258,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,258,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,258,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,258,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,258,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,258,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,258,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,258,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,258,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,258,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,258,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,258,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,258,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,258,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,258,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,258,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,258,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,258,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,258,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,258,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,258,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,258,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,258,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,258,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,258,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,258,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,258,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,258,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,258,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,258,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,258,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,258,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,258,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,258,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,258,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,258,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,258,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,258,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,258,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,258,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,258,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,258,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,258,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,258,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,258,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,258,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,258,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,258,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,258,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,258,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,258,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,258,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,258,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,258,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,258,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,258,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,258,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,258,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,258,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,258,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,258,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,258,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,258,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,258,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,258,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,258,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,258,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,258,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,258,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,258,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,258,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,258,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,258,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,258,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,258,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,258,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,258,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,258,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,258,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,258,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,258,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,258,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,258,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,258,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,258,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,258,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,258,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,258,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,258,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,258,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,258,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,258,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,258,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,258,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,258,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,258,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,258,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,258,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,258,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,258,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,258,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,258,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,258,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,258,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,258,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,258,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,258,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,258,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,258,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,258,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,258,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,258,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,258,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,258,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,258,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,258,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,258,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,258,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,258,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,258,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,258,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,258,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,258,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,258,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,258,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,258,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,258,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,258,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,258,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,258,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,258,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,258,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,258,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,258,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,258,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,258,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,258,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,258,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,258,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,258,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,258,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,258,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,258,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,258,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,258,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,258,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,258,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,258,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,258,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,258,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,258,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,258,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,258,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,258,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,258,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,1.7,1
RC,258,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,258,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,258,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,258,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,258,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,258,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,258,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,258,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,258,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,258,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,258,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,258,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,258,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,258,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,258,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,258,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,258,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,258,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,258,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,258,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,258,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,258,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,258,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,258,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,258,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,258,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,258,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,258,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,258,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,258,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,258,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,258,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,258,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,258,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,258,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,258,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,258,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,258,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,258,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,258,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,258,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,258,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,258,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,258,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,258,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,258,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,258,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,258,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,258,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,258,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,258,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,258,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,258,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,258,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,258,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,258,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,258,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,258,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,258,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,258,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,258,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,258,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,258,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,258,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,258,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,258,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,258,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,258,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,258,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,258,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,258,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,258,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,258,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,258,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,258,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,258,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,258,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,258,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,258,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,258,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,258,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,258,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,258,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,258,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,258,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,258,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,258,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,258,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,258,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,258,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,258,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,258,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,258,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,258,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,258,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,258,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,258,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,258,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,258,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,258,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,258,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,258,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,258,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,258,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,258,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,258,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,258,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,258,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,258,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,258,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,258,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,258,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,258,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,258,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,258,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,258,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,258,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,258,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,258,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,258,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,258,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,258,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,258,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,258,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,258,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,258,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,258,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,258,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,258,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,258,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,258,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,258,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,258,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,258,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,258,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,258,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,258,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,258,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,258,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,258,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,258,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,258,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,258,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,258,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,258,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,258,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,258,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,258,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,258,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,258,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,258,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,258,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,258,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,258,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,258,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,258,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,258,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,258,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,258,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,258,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,258,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,258,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,258,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,258,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,258,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,258,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,258,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,258,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,258,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,258,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,258,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,258,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,258,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,258,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,258,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,258,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,258,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,258,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,258,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,258,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,258,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,258,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,258,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,258,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,258,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,258,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,258,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,258,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,258,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,258,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,258,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,258,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,258,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,258,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,258,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,258,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,258,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,258,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,258,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,258,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,258,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,258,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,258,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,258,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,258,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,258,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,258,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,258,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,258,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,258,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,258,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,258,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,258,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,258,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,258,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,258,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,258,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,258,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,258,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,258,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,258,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,258,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,258,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,258,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,258,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,258,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,258,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,258,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,258,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,258,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,258,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,258,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,258,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,258,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,258,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,258,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,258,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,258,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,258,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,258,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,258,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,258,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,258,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,258,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,258,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,258,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,258,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,258,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,258,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,258,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,258,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,258,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,258,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,258,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,258,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,258,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,258,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,258,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,258,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,258,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,258,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,258,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,258,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,258,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,258,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,258,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,258,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,258,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,258,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,258,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,258,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,258,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,258,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,258,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,258,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,258,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,258,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,258,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,258,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,258,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,258,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,258,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,258,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,258,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,258,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,258,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,258,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,258,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,258,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,258,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,258,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,258,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,258,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,258,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,258,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,258,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,258,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,258,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,258,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,258,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,258,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,258,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,258,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,258,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,258,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,258,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,258,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,258,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,258,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,258,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,258,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,258,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,258,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,258,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,258,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,258,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,258,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,258,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,258,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,258,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,258,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,258,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,258,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,258,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,258,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,258,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,258,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,258,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,258,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,258,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,258,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,258,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,258,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,258,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,258,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,258,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,258,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,258,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,259, Pharmacy  ,,,,,0
RC,259,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,259,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,259,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,259,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,259,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,259,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,259,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,259,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,259,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,259,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,259,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,259,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,259,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,259,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,259,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,259,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,259,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,259,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,259,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,259,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,259,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,259,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,259,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,259,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,259,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,259,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,259,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,259,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,259,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,259,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,259,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,259,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,259,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,259,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,259,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,259,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,259,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,259,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,259,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,259,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,259,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,259,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,259,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,259,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,259,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,259,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,259,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,259,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,259,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,259,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,259,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,259,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,259,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,259,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,259,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,259,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,259,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,259,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,259,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,259,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,259,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,259,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,259,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,259,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,259,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,259,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,259,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,259,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,259,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,259,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,259,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,259,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,259,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,259,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,259,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,259,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,259,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,259,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,259,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,259,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,259,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,259,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,259,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,259,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,259,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,259,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,259,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,259,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,259,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,259,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,259,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,259,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,259,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,259,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,259,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,259,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,259,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,259,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,259,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,259,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,259,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,259,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,259,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,259,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,259,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,259,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,259,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,259,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,259,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,259,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,259,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,259,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,259,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,259,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,259,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,259,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,259,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,259,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,259,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,259,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,259,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,259,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,259,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,259,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,259,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,259,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,259,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,259,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,259,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,259,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,259,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,259,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,259,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,259,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,259,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,259,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,259,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,259,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,259,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,259,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,259,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,259,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,259,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,259,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,259,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,259,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,259,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,259,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,259,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,259,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,259,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,259,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,259,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,259,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,259,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,259,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,259,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,259,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,259,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,259,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,259,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,259,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,259,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,259,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,259,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,259,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,259,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,259,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,259,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,259,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,259,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,259,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,259,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,259,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,259,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,259,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,259,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,259,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,259,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,259,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,259,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,259,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,259,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,259,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,259,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,259,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,259,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,259,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,259,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,259,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,259,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,259,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,259,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,259,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,259,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,259,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,259,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,259,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,259,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,259,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,259,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,259,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,259,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,259,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,259,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,259,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,259,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,259,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,259,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,259,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,259,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,259,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,259,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,259,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,259,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,259,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,259,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,259,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,259,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,259,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,259,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,259,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,259,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,259,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,259,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,259,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,259,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,259,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,259,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,259,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,259,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,259,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,259,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,259,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,259,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,259,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,259,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,259,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,259,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,259,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,259,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,259,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,259,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,259,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,259,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,259,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,259,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,259,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,259,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,259,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,259,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,259,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,259,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,259,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,259,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,259,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,259,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,259,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,259,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,259,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,259,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,259,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,259,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,259,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,259,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,259,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,259,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,259,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,259,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,259,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,259,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,259,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,259,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,259,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,259,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,259,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,259,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,259,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,259,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,259,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,259,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,259,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,259,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,259,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,259,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,259,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,259,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,259,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,259,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,259,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,259,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,259,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,259,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,259,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,259,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,259,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,259,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,259,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,259,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,259,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,259,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,259,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,259,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,259,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,259,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,259,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,259,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,259,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,259,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,259,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,259,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,259,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,259,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,259,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,259,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,259,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,259,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,259,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,259,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,259,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,259,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,259,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,259,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,259,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,259,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,259,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,259,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,259,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,259,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,259,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,259,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,259,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,259,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,259,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,259,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,259,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,259,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,259,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,259,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,259,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,259,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,259,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,259,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,259,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,259,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,259,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,259,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,259,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,259,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,259,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,259,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,259,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,259,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,259,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,259,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,259,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,259,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,259,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,259,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,259,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,259,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,259,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,259,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,259,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,259,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,259,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,259,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,259,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,259,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,259,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,259,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,259,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,259,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,259,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,259,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,259,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,259,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,259,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,259,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,259,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,259,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,259,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,259,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,259,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,259,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,259,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,259,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,259,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,259,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,259,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,259,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,259,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,259,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,259,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,259,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,259,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,259,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,259,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,259,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,259,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,259,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,259,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,259,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,259,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,259,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,259,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,259,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,259,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,259,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,259,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,259,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,259,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,259,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,259,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,259,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,259,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,259,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,259,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,259,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,259,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,259,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,259,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,259,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,259,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,259,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,259,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,259,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,259,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,259,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,259,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,259,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,259,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,259,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,259,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,259,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,259,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,259,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,259,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,259,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,259,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,259,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,259,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,259,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,259,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,259,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,259,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,259,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,259,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,259,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,259,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,259,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,259,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,259,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,259,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,259,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,259,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,259,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,259,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,259,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,259,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,259,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,259,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,259,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,259,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,259,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,259,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,259,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,259,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,259,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,259,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,259,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,259,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,259,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,259,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,259,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,259,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,259,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,259,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,259,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,259,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,259,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,259,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,259,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,259,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,259,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,259,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,259,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,259,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,259,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,259,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,259,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,259,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,259,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,259,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,259,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,259,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,259,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,259,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,259,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,259,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,259,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,259,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,259,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,259,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,259,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,259,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,259,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,259,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,259,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,259,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,259,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,259,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,259,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,259,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,259,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,259,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,259,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,259,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,259,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,259,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,259,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,259,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,259,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,259,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,259,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,259,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,259,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,259,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,259,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,259,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,259,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,259,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,259,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,1.7,1
RC,259,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,259,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,259,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,259,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,259,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,259,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,259,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,259,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,259,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,259,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,259,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,259,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,259,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,259,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,259,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,259,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,259,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,259,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,259,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,259,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,259,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,259,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,259,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,259,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,259,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,259,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,259,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,259,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,259,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,259,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,259,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,259,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,259,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,259,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,259,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,259,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,259,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,259,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,259,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,259,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,259,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,259,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,259,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,259,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,259,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,259,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,259,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,259,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,259,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,259,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,259,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,259,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,259,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,259,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,259,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,259,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,259,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,259,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,259,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,259,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,259,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,259,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,259,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,259,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,259,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,259,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,259,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,259,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,259,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,259,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,259,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,259,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,259,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,259,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,259,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,259,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,259,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,259,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,259,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,259,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,259,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,259,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,259,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,259,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,259,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,259,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,259,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,259,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,259,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,259,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,259,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,259,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,259,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,259,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,259,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,259,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,259,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,259,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,259,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,259,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,259,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,259,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,259,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,259,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,259,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,259,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,259,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,259,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,259,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,259,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,259,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,259,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,259,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,259,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,259,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,259,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,259,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,259,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,259,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,259,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,259,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,259,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,259,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,259,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,259,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,259,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,259,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,259,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,259,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,259,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,259,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,259,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,259,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,259,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,259,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,259,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,259,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,259,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,259,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,259,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,259,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,259,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,259,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,259,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,259,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,259,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,259,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,259,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,259,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,259,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,259,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,259,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,259,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,259,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,259,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,259,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,259,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,259,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,259,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,259,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,259,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,259,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,259,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,259,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,259,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,259,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,259,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,259,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,259,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,259,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,259,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,259,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,259,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,259,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,259,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,259,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,259,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,259,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,259,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,259,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,259,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,259,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,259,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,259,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,259,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,259,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,259,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,259,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,259,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,259,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,259,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,259,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,259,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,259,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,259,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,259,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,259,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,259,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,259,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,259,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,259,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,259,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,259,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,259,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,259,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,259,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,259,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,259,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,259,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,259,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,259,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,259,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,259,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,259,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,259,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,259,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,259,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,259,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,259,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,259,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,259,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,259,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,259,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,259,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,259,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,259,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,259,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,259,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,259,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,259,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,259,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,259,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,259,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,259,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,259,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,259,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,259,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,259,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,259,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,259,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,259,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,259,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,259,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,259,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,259,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,259,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,259,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,259,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,259,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,259,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,259,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,259,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,259,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,259,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,259,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,259,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,259,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,259,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,259,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,259,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,259,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,259,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,259,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,259,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,259,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,259,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,259,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,259,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,259,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,259,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,259,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,259,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,259,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,259,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,259,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,259,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,259,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,259,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,259,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,259,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,259,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,259,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,259,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,259,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,259,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,259,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,259,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,259,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,259,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,259,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,259,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,259,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,259,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,259,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,259,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,259,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,259,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,259,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,259,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,259,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,259,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,259,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,259,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,259,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,259,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,259,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,259,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,259,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,259,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,259,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,259,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,259,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,259,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,259,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,259,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,259,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,259,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,259,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,259,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,259,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,259,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,259,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,259,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,259,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,259,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,259,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,259,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,259,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,259,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,259,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,259,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,259,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,259,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,259,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,259,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,259,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,259,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,259,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,260, IV Therapy General Classification  ,,,,,0
RC,261, IV Therapy Infusion Pump  ,,,,,0
RC,262, IV Therapy/Pharmacy Services  ,,,,,0
RC,263, IV Therapy/Drug/Supply/Delivery  ,,,,,0
RC,264, IV Therapy/Supplies  ,,,,,0
RC,269, IV Therapy Other  ,,,,,0
RC,270, Medical/Surgical Supplies and Devices General Classification  ,,,,,0
RC,271, Medical/Surgical Supplies and Devices Non-Sterile Supply  ,,,,,0
RC,272, Medical/Surgical Supplies and Devices Sterile Supply  ,,,,,0
RC,274, Medical/Surgical Supplies and Devices Prosthetic/Orthotic Devices  ,,,,,0
RC,275, Medical/Surgical Supplies and Devices Pacemaker  ,,,,,0
RC,276, Medical/Surgical Supplies and Devices Intraocular Lens  ,,,,,0
RC,278, Medical/Surgical Supplies and Devices Other Implant  ,,,,,0
RC,278,"Brachytherapy source, non-stranded, yttrium-90, per source ",90042.0,90042.0,12474.0,16632.0,3
RC,279, Medical/Surgical Supplies and Devices Other Supplies/Devices  ,,,,,0
RC,280, Oncology General Classification  ,,,965.0,1286.0,3
RC,289, Oncology Other  ,,,965.0,1286.0,3
RC,300, Laboratory General Classification  ,,,,,0
RC,300,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,300,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,300,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,300,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,300,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,300,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,300,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,300,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,300,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,300,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,300,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,300,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,Acetaminophen ,,,18.64,18.64,3
RC,300,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,300,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,300,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,300,Acetylcholinesterase ,,,12.29,12.29,3
RC,300,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,300,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,300,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,300,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,300,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,300,Adalimumab ,,,38.57,38.57,3
RC,300,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,300,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,300,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,300,Albumin; ischemia modified ,,,33.94,33.94,3
RC,300,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,300,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,300,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,300,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,300,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,300,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,300,Aldolase ,,,9.71,9.71,3
RC,300,Aldosterone ,,,40.75,40.75,3
RC,300,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,300,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,300,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,300,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,300,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,300,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,300,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,300,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,300,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,300,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,300,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,300,Aluminum ,,,25.48,25.48,3
RC,300,Amikacin ,,,15.08,15.08,3
RC,300,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,300,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,300,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,300,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,300,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,300,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,300,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,300,Amiodarone ,,,18.64,18.64,3
RC,300,Ammonia ,,,14.57,14.57,3
RC,300,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,300,Amylase ,,,6.48,6.48,3
RC,300,Androstanediol glucuronide ,,,28.83,28.83,3
RC,300,Androstenedione ,,,29.28,29.28,3
RC,300,Androsterone ,,,25.55,25.55,3
RC,300,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,300,Angiotensin II ,,,20.52,20.52,3
RC,300,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,300,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,300,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,300,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,300,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,300,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,300,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,300,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,300,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,300,Antibody; Aspergillus ,,,15.05,15.05,3
RC,300,Antibody; Bartonella ,,,10.18,10.18,3
RC,300,Antibody; Blastomyces ,,,12.9,12.9,3
RC,300,Antibody; Bordetella ,,,13.19,13.19,3
RC,300,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,300,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,300,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,300,Antibody; Brucella ,,,8.93,8.93,3
RC,300,Antibody; Campylobacter ,,,13.12,13.12,3
RC,300,Antibody; Candida ,,,12.01,12.01,3
RC,300,Antibody; Chlamydia ,,,11.82,11.82,3
RC,300,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,300,Antibody; Coccidioides ,,,11.47,11.47,3
RC,300,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,300,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,300,Antibody; Diphtheria ,,,15.21,15.21,3
RC,300,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,300,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,300,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,300,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,300,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,300,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,300,Antibody; HIV-1 ,,,8.89,8.89,3
RC,300,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,300,Antibody; HIV-2 ,,,13.52,13.52,3
RC,300,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,300,Antibody; HTLV-I ,,,9.09,9.09,3
RC,300,Antibody; HTLV-II ,,,14.0,14.0,3
RC,300,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,300,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,300,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,300,Antibody; Legionella ,,,15.3,15.3,3
RC,300,Antibody; Leishmania ,,,12.25,12.25,3
RC,300,Antibody; Leptospira ,,,16.2,16.2,3
RC,300,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,300,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,300,Antibody; Nocardia ,,,15.99,15.99,3
RC,300,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,300,Antibody; Rickettsia ,,,19.35,19.35,3
RC,300,Antibody; Salmonella ,,,13.19,13.19,3
RC,300,Antibody; Shigella ,,,24.48,24.48,3
RC,300,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,300,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,300,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,300,Antibody; Trichinella ,,,12.56,12.56,3
RC,300,Antibody; West Nile virus ,,,14.39,14.39,3
RC,300,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,300,Antibody; Yersinia ,,,13.19,13.19,3
RC,300,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,300,Antibody; actinomyces ,,,10.18,10.18,3
RC,300,Antibody; adenovirus ,,,12.87,12.87,3
RC,300,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,300,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,300,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,300,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,300,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,300,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,300,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,300,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,300,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,300,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,300,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,300,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,300,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,300,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,300,Antibody; histoplasma ,,,13.79,13.79,3
RC,300,Antibody; influenza virus ,,,13.55,13.55,3
RC,300,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,300,Antibody; mucormycosis ,,,15.0,15.0,3
RC,300,Antibody; mumps ,,,13.05,13.05,3
RC,300,Antibody; mycoplasma ,,,13.24,13.24,3
RC,300,Antibody; parvovirus ,,,15.03,15.03,3
RC,300,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,300,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,300,Antibody; rotavirus ,,,18.23,18.23,3
RC,300,Antibody; rubella ,,,14.39,14.39,3
RC,300,Antibody; rubeola ,,,12.88,12.88,3
RC,300,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,300,Antibody; tetanus ,,,14.8,14.8,3
RC,300,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,300,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,300,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,300,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,300,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,300,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,300,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,300,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,300,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,300,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,300,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,300,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,300,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,300,"Apolipoprotein, each ",,,21.09,21.09,3
RC,300,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,300,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,300,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,300,Arsenic ,,,18.97,18.97,3
RC,300,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,300,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,300,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,300,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,300,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,300,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,300,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,300,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,300,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,300,"B cells, total count ",,,37.73,37.73,3
RC,300,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,300,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,300,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,300,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,300,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,300,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,300,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,300,Beta-2 microglobulin ,,,16.18,16.18,3
RC,300,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,300,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,300,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,300,Bile acids; total ,,,17.12,17.12,3
RC,300,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,300,Bilirubin; direct ,,,5.02,5.02,3
RC,300,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,300,Bilirubin; total ,,,5.02,5.02,3
RC,300,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,300,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,300,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,300,Bleeding time ,,,4.82,4.82,3
RC,300,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,300,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,300,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,300,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,300,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,300,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,300,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,300,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,300,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,300,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,300,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,300,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,300,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,300,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,300,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,300,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,300,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,300,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,300,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,300,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,300,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,300,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,300,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,300,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,300,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,300,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,300,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,300,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,300,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,300,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,300,Bradykinin ,,,5.16,5.16,3
RC,300,C-peptide ,,,20.81,20.81,3
RC,300,C-reactive protein; ,,,5.18,5.18,3
RC,300,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,300,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,300,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,300,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,300,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,300,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,300,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,300,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,300,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,300,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,300,Cadmium ,,,23.64,23.64,3
RC,300,Caffeine ,,,38.57,38.57,3
RC,300,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,300,Calcitonin ,,,26.79,26.79,3
RC,300,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,300,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,300,Calcium; ionized ,,,13.68,13.68,3
RC,300,Calcium; total ,,,5.16,5.16,3
RC,300,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,300,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,300,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,300,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,300,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,300,"Calprotectin, fecal ",,,19.63,19.63,3
RC,300,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,300,Carbamazepine; free ,,,13.25,13.25,3
RC,300,Carbamazepine; total ,,,14.57,14.57,3
RC,300,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,300,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,300,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,300,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,300,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,300,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,300,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,300,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,300,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,300,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,300,Carotene ,,,9.22,9.22,3
RC,300,Catecholamines; blood ,,,29.08,29.08,3
RC,300,Catecholamines; fractionated ,,,25.25,25.25,3
RC,300,Catecholamines; total urine ,,,27.3,27.3,3
RC,300,Cathepsin-D ,,,18.06,18.06,3
RC,300,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,300,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,300,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,300,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,300,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,300,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,300,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,300,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,300,Ceruloplasmin ,,,10.74,10.74,3
RC,300,Chemiluminescent assay ,,,14.12,14.12,3
RC,300,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,300,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,300,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,300,Chloramphenicol ,,,12.67,12.67,3
RC,300,Chloride; blood ,,,4.6,4.6,3
RC,300,Chloride; other source ,,,5.0,5.0,3
RC,300,Chloride; urine ,,,5.75,5.75,3
RC,300,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,300,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,300,Cholinesterase; RBC ,,,9.81,9.81,3
RC,300,Cholinesterase; serum ,,,7.87,7.87,3
RC,300,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,300,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,300,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,300,Chromium ,,,20.28,20.28,3
RC,300,Chromogenic substrate assay ,,,11.89,11.89,3
RC,300,Citrate ,,,27.8,27.8,3
RC,300,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,300,Clot retraction ,,,16.3,16.3,3
RC,300,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,300,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,300,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,300,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,300,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,300,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,300,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,300,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,300,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,300,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,300,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,300,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,300,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,300,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,300,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,300,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,300,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,300,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,300,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,300,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,300,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,300,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,300,Clozapine ,,,20.15,20.15,3
RC,300,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,300,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,300,Coagulation time; activated ,,,4.28,4.28,3
RC,300,Coagulation time; other methods ,,,4.49,4.49,3
RC,300,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,300,Cold agglutinin; screen ,,,8.07,8.07,3
RC,300,Cold agglutinin; titer ,,,8.06,8.06,3
RC,300,"Collagen cross links, any method ",,,18.68,18.68,3
RC,300,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",109.91,109.91,3.14,3.14,3
RC,300,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,300,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,300,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,300,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,300,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,300,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,300,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,300,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,300,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,300,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,300,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,300,"Complement; antigen, each component ",,,12.0,12.0,3
RC,300,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,300,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,300,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,300,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,300,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,300,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,300,"Congo red, blood ",,,4.95,4.95,3
RC,300,Copper ,,,12.41,12.41,3
RC,300,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,300,Corticosterone ,,,22.52,22.52,3
RC,300,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,300,Cortisol; free ,,,16.71,16.71,3
RC,300,Cortisol; total ,,,16.3,16.3,3
RC,300,Creatine ,,,4.64,4.64,3
RC,300,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,300,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,300,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,300,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,300,Creatinine; blood ,,,5.12,5.12,3
RC,300,Creatinine; clearance ,,,9.46,9.46,3
RC,300,Creatinine; other source ,,,5.18,5.18,3
RC,300,Cryofibrinogen ,,,14.14,14.14,3
RC,300,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,300,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,300,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,300,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,300,Cryopreservation; sperm ,,,149.16,149.16,3
RC,300,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,300,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,300,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,300,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,300,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,300,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,300,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,300,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,300,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,300,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,300,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,300,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,300,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,300,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,300,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,300,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,300,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,300,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,300,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,300,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,300,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,300,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,300,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,300,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,300,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,300,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,300,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,300,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,300,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,300,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,300,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,300,"Culture, typing; other methods ",,,7.74,7.74,3
RC,300,Cyanide ,,,19.4,19.4,3
RC,300,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,300,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,300,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,300,Cyclosporine ,,,18.05,18.05,3
RC,300,Cystatin C ,,,18.52,18.52,3
RC,300,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,300,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,300,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,300,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,300,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,300,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,300,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,300,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,300,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,300,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,300,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,300,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,300,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,300,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,300,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,300,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,300,Dibucaine number ,,,12.25,12.25,3
RC,300,Digoxin; free ,,,13.28,13.28,3
RC,300,Digoxin; total ,,,13.28,13.28,3
RC,300,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,300,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,300,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,300,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,300,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,300,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,300,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,300,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,300,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,300,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,300,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,300,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,300,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,300,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,300,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,300,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,300,Erythropoietin ,,,18.79,18.79,3
RC,300,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,300,Estradiol; total ,,,27.94,27.94,3
RC,300,Estriol ,,,24.18,24.18,3
RC,300,Estrogens; fractionated ,,,32.3,32.3,3
RC,300,Estrogens; total ,,,21.7,21.7,3
RC,300,Estrone ,,,24.95,24.95,3
RC,300,Ethosuximide ,,,16.34,16.34,3
RC,300,Ethylene glycol ,,,14.9,14.9,3
RC,300,Etiocholanolone ,,,26.24,26.24,3
RC,300,Euglobulin lysis ,,,8.41,8.41,3
RC,300,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,300,Everolimus ,,,13.73,13.73,3
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,300,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,300,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,300,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,300,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,300,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,300,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,300,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,300,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,300,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,300,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,300,Factor inhibitor test ,,,12.87,12.87,3
RC,300,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,300,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,300,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,300,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,300,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,300,Felbamate ,,,18.64,18.64,3
RC,300,Fern test ,,,9.74,9.74,3
RC,300,Ferritin ,,,13.63,13.63,3
RC,300,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,300,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,300,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,300,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,300,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,300,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,300,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,300,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,300,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,300,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,300,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,300,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,300,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,300,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,300,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,300,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,300,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,300,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,300,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,300,Fibrinogen; activity ,,,9.72,9.72,3
RC,300,Fibrinogen; antigen ,,,14.46,14.46,3
RC,300,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,300,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,300,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,300,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,300,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,300,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,300,Flecainide ,,,18.64,18.64,3
RC,300,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,300,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,300,Fluoride ,,,18.54,18.54,3
RC,300,Folic acid; RBC ,,,17.65,17.65,3
RC,300,Folic acid; serum ,,,14.7,14.7,3
RC,300,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,300,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,300,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,300,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,300,"Fructose, semen ",,,17.34,17.34,3
RC,300,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,300,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,300,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,300,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,300,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,300,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,300,"Galactokinase, RBC ",,,21.48,21.48,3
RC,300,Galactose ,,,11.2,11.2,3
RC,300,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,300,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,300,Galectin-3 ,,,44.25,44.25,3
RC,300,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,300,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,300,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,300,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,300,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,300,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,300,"Gases, blood, pH only ",,,11.0,11.0,3
RC,300,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,300,Gastrin ,,,17.63,17.63,3
RC,300,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,300,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,300,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,300,Gentamicin ,,,16.38,16.38,3
RC,300,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,300,Glucagon ,,,14.29,14.29,3
RC,300,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,300,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,300,Glucagon tolerance test ,,,17.77,17.77,3
RC,300,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,300,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,300,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,300,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,300,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,300,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,300,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,300,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,300,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,300,"Glucosidase, beta ",,,21.48,21.48,3
RC,300,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,300,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,300,Glutathione ,,,15.45,15.45,3
RC,300,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,300,Glycated protein ,,,16.76,16.76,3
RC,300,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,300,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,300,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,300,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,300,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,300,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,300,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,300,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,300,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,300,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,300,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,300,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,300,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,300,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,300,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,300,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,300,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,300,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,300,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,300,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,300,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,300,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,300,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,300,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,300,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,300,Haloperidol ,,,15.78,15.78,3
RC,300,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,300,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,300,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,300,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,300,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,300,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,300,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,300,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,300,Heinz bodies; direct ,,,4.2,4.2,3
RC,300,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,300,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,300,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,300,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,300,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,300,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,300,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,300,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,300,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,300,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,300,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,300,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,300,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,300,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,300,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,300,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,300,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,300,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,300,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,300,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,300,Hemoglobin; plasma ,,,7.31,7.31,3
RC,300,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,300,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,300,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,300,Hemoglobin; urine ,,,3.95,3.95,3
RC,300,"Hemolysin, acid ",,,8.87,8.87,3
RC,300,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,300,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,300,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,300,Heparin assay ,,,13.09,13.09,3
RC,300,Heparin neutralization ,,,11.84,11.84,3
RC,300,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,300,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,300,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,300,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,300,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,300,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,300,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,300,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,300,Hepatitis C antibody; ,,,14.27,14.27,3
RC,300,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,300,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,300,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,300,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,300,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,300,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,300,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,300,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,300,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,300,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,300,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,300,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,300,Histamine ,,,29.53,29.53,3
RC,300,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,300,Homocysteine ,,,17.92,17.92,3
RC,300,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,300,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,300,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,300,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,300,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,300,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,300,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,300,Hydroxychloroquine ,,,18.64,18.64,3
RC,300,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,300,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,300,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,300,Hydroxyproline; free ,,,22.65,22.65,3
RC,300,Hydroxyproline; total ,,,24.3,24.3,3
RC,300,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,300,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,300,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,300,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,300,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,300,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,300,Immune complex assay ,,,24.37,24.37,3
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,300,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,300,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,300,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,300,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,300,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,300,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,300,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,300,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,300,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,300,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,300,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,300,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,300,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,300,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,300,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,300,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,300,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,300,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,300,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,300,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,300,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,300,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,300,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,300,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,300,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,300,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,300,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,300,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,300,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,300,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,300,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,300,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,300,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,300,Infliximab ,,,38.57,38.57,3
RC,300,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,300,Inhibin A ,,,15.59,15.59,3
RC,300,Insemination of oocytes ,,,149.16,149.16,3
RC,300,Insulin antibodies ,,,21.41,21.41,3
RC,300,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,300,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,300,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,300,Insulin; free ,,,12.95,12.95,3
RC,300,Insulin; total ,,,11.43,11.43,3
RC,300,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,300,Intrinsic factor ,,,19.82,19.82,3
RC,300,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,300,Iron ,,,6.47,6.47,3
RC,300,Iron binding capacity ,,,8.74,8.74,3
RC,300,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,300,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,300,Islet cell antibody ,,,23.57,23.57,3
RC,300,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,300,Itraconazole ,,,27.11,27.11,3
RC,300,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,300,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,300,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,300,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,300,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,300,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,300,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,300,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,300,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,300,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,300,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,300,Lacosamide ,,,27.11,27.11,3
RC,300,Lactate (lactic acid) ,,,11.57,11.57,3
RC,300,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,300,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,300,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,300,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,300,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,300,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,300,Lamotrigine ,,,13.25,13.25,3
RC,300,Lead ,,,12.11,12.11,3
RC,300,Leflunomide ,,,38.57,38.57,3
RC,300,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,300,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,300,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,300,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,300,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,300,Leukocyte transfusion ,,,149.16,149.16,3
RC,300,Levetiracetam ,,,13.25,13.25,3
RC,300,Lidocaine ,,,14.69,14.69,3
RC,300,Lipase ,,,6.89,6.89,3
RC,300,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,300,Lipoprotein (a) ,,,14.32,14.32,3
RC,300,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,300,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,300,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,300,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,300,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,300,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,300,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,300,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,300,Lithium ,,,6.61,6.61,3
RC,300,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,300,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,300,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,300,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,300,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,300,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,300,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,300,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,300,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,300,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,300,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,300,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,300,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,300,Magnesium ,,,6.7,6.7,3
RC,300,Malate dehydrogenase ,,,7.37,7.37,3
RC,300,Manganese ,,,26.65,26.65,3
RC,300,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,300,"Meat fibers, feces ",,,4.85,4.85,3
RC,300,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,300,"Mercury, quantitative ",,,16.26,16.26,3
RC,300,Metanephrines ,,,16.94,16.94,3
RC,300,Methemalbumin ,,,10.74,10.74,3
RC,300,Methotrexate ,,,38.57,38.57,3
RC,300,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,300,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,300,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,300,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,300,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,300,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,300,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,300,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,300,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,300,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,300,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,300,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,300,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,300,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,300,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,300,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,300,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,300,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,300,Muramidase ,,,18.75,18.75,3
RC,300,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,300,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,300,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,300,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,300,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,300,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,300,Myoglobin ,,,12.92,12.92,3
RC,300,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,300,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,300,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,300,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,300,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,300,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,300,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,300,Nasal smear for eosinophils ,518.53,518.53,5.79,5.79,3
RC,300,Natriuretic peptide ,,,39.26,39.26,3
RC,300,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,300,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,300,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,300,"Neutralization test, viral ",,,16.91,16.91,3
RC,300,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,300,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,300,Nickel ,,,24.51,24.51,3
RC,300,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,300,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,300,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,300,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,300,Nucleotidase 5'- ,,,11.15,11.15,3
RC,300,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,300,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,300,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,300,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,300,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,300,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,300,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,300,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,300,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,300,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,300,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,300,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,300,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,300,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,300,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,300,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,300,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,300,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,300,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,300,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,300,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,300,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,300,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,300,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,300,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,300,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,300,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,300,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,300,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,300,Osmolality; blood ,,,6.61,6.61,3
RC,300,Osmolality; urine ,,,6.82,6.82,3
RC,300,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,300,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,300,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,300,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,300,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,300,Oxalate ,,,14.45,14.45,3
RC,300,Oxcarbazepine ,,,13.25,13.25,3
RC,300,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,300,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,300,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,300,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,300,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,300,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,300,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,300,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,300,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,300,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,300,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,300,Phenobarbital ,,,15.3,15.3,3
RC,300,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,300,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,300,Phenytoin; free ,,,13.76,13.76,3
RC,300,Phenytoin; total ,,,13.25,13.25,3
RC,300,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,300,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,300,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,300,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,300,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,300,Phosphatidylglycerol ,,,16.52,16.52,3
RC,300,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,300,Phosphohexose isomerase ,,,10.73,10.73,3
RC,300,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,300,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,300,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,300,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,300,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,300,Pinworm examinations ,,,4.27,4.27,3
RC,300,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,300,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,300,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,300,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,300,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,300,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,300,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,300,Posaconazole ,,,27.11,27.11,3
RC,300,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,300,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,300,Potassium; urine ,,,4.73,4.73,3
RC,300,Prealbumin ,,,14.59,14.59,3
RC,300,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,300,Pregnanediol ,,,21.27,21.27,3
RC,300,Pregnanetriol ,,,21.05,21.05,3
RC,300,Pregnenolone ,,,20.67,20.67,3
RC,300,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,300,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,300,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,300,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,300,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,300,Primidone ,,,16.59,16.59,3
RC,300,Procainamide; ,,,60.0,60.0,3
RC,300,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,300,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,300,Progesterone ,,,20.86,20.86,3
RC,300,Proinsulin ,,,26.69,26.69,3
RC,300,Prolactin ,,,19.38,19.38,3
RC,300,"Prostaglandin, each ",,,41.77,41.77,3
RC,300,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,300,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,300,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,300,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,300,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,300,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,300,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,300,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,300,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,300,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,300,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,300,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,300,Prothrombin time; ,,,4.29,4.29,3
RC,300,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,300,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,300,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,300,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,300,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,300,Pyruvate ,,,14.48,14.48,3
RC,300,Pyruvate kinase ,,,9.44,9.44,3
RC,300,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,300,Quinidine ,,,14.6,14.6,3
RC,300,Quinine ,,,11.63,11.63,3
RC,300,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,300,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,300,Receptor assay; estrogen ,,,87.88,87.88,3
RC,300,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,300,Receptor assay; progesterone ,,,64.88,64.88,3
RC,300,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,300,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,300,Renin ,,,21.99,21.99,3
RC,300,Reptilase test ,,,9.85,9.85,3
RC,300,Reticulated platelet assay ,,,35.74,35.74,3
RC,300,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,300,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,300,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,300,Rufinamide ,,,27.11,27.11,3
RC,300,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,300,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,300,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,300,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,300,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,300,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,300,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,300,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,300,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,300,Salicylate ,,,18.64,18.64,3
RC,300,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,300,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,300,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,300,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,300,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,300,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,300,Selenium ,,,25.53,25.53,3
RC,300,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,300,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,300,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,300,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,300,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,300,Serotonin ,,,30.98,30.98,3
RC,300,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,300,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,300,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,300,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,300,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,300,Sialic acid ,,,13.44,13.44,3
RC,300,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,300,Silica ,,,25.21,25.21,3
RC,300,Sirolimus ,,,13.73,13.73,3
RC,300,Skin test; candida ,,,24.67,24.67,3
RC,300,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,300,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,300,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,300,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,300,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,300,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,300,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,300,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,300,Sodium; other source ,,,4.86,4.86,3
RC,300,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,300,Sodium; urine ,,,5.06,5.06,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,300,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,300,Somatomedin ,,,21.26,21.26,3
RC,300,Somatostatin ,,,18.28,18.28,3
RC,300,Specific gravity (except urine) ,,,3.28,3.28,3
RC,300,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,300,Sperm antibodies ,,,10.67,10.67,3
RC,300,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,300,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,300,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,300,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,300,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,300,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,300,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,300,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,300,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,300,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,300,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,300,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,300,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,300,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,300,"Streptokinase, antibody ",,,12.66,12.66,3
RC,300,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,300,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,300,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,300,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,300,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,300,"Sulfate, urine ",,,5.49,5.49,3
RC,300,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,300,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,300,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,300,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,300,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,300,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,300,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,300,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,300,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,300,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,300,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,300,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,300,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,300,T cells; total count ,,,37.73,37.73,3
RC,300,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,300,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,300,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,300,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,300,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,300,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,300,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,300,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,300,Tacrolimus ,,,13.73,13.73,3
RC,300,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,300,"Tau, total (tTau) ",,,128.92,128.92,3
RC,300,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,300,Testosterone; free ,,,25.47,25.47,3
RC,300,Testosterone; total ,,,25.81,25.81,3
RC,300,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,300,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,300,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,300,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,300,Theophylline ,,,14.14,14.14,3
RC,300,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,300,Thiocyanate ,,,11.63,11.63,3
RC,300,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,300,Thrombin time; plasma ,,,5.77,5.77,3
RC,300,Thrombin time; titer ,,,6.85,6.85,3
RC,300,Thrombomodulin ,,,17.27,17.27,3
RC,300,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,300,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,300,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,300,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,300,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,300,Thyroglobulin ,,,16.06,16.06,3
RC,300,Thyroglobulin antibody ,,,15.91,15.91,3
RC,300,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,300,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,300,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,300,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,300,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,300,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,300,Thyroxine; free ,,,9.02,9.02,3
RC,300,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,300,Thyroxine; total ,,,6.87,6.87,3
RC,300,Tiagabine ,,,27.11,27.11,3
RC,300,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,300,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,300,Tobramycin ,,,16.13,16.13,3
RC,300,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,300,Topiramate ,,,11.92,11.92,3
RC,300,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,300,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,300,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,300,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,300,Transferrin ,,,12.76,12.76,3
RC,300,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,300,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,300,Triglycerides ,,,5.74,5.74,3
RC,300,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,300,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,300,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,300,"Troponin, qualitative ",,,10.09,10.09,3
RC,300,"Troponin, quantitative ",,,12.47,12.47,3
RC,300,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,300,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,300,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,300,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,300,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,300,Tyrosine ,,,10.63,10.63,3
RC,300,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,300,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,300,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,300,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,300,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,300,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,300,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,300,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,300,Uric acid; blood ,,,4.52,4.52,3
RC,300,Uric acid; other source ,,,5.08,5.08,3
RC,300,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,300,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,300,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,300,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,300,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,300,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,300,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,300,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,300,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,300,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,300,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,300,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,300,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,300,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,300,Vancomycin ,,,13.54,13.54,3
RC,300,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,300,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,300,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,300,Vedolizumab ,,,38.57,38.57,3
RC,300,Very long chain fatty acids ,,,19.75,19.75,3
RC,300,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,300,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,300,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,300,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,300,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,300,Viscosity ,,,11.67,11.67,3
RC,300,Vitamin A ,,,11.61,11.61,3
RC,300,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,300,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,300,Vitamin K ,,,13.72,13.72,3
RC,300,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,300,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,300,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,300,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,300,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,300,Voriconazole ,,,27.11,27.11,3
RC,300,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,300,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,300,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,300,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,300,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,300,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,300,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,300,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,300,Zinc ,,,11.39,11.39,3
RC,300,Zonisamide ,,,13.25,13.25,3
RC,300,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,300,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,300,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,301, Laboratory Chemistry  ,,,,,0
RC,301,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,301,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,301,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,301,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,301,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,301,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,301,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,301,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,301,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,301,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,301,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,Acetaminophen ,,,18.64,18.64,3
RC,301,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,301,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,301,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,301,Acetylcholinesterase ,,,12.29,12.29,3
RC,301,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,301,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,301,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",2154.6,2154.6,47.63,47.63,3
RC,301,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,301,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,301,Adrenocorticotropic hormone (ACTH) ,6022.78,6022.78,38.62,38.62,3
RC,301,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,301,Albumin; ischemia modified ,,,33.94,33.94,3
RC,301,"Albumin; other source, quantitative, each specimen ",452.95,452.95,7.78,7.78,3
RC,301,"Albumin; serum, plasma or whole blood ",452.95,452.95,4.95,4.95,3
RC,301,"Albumin; urine (eg, microalbumin), quantitative ",893.0,893.0,5.78,5.78,3
RC,301,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,301,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,301,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,301,Aldolase ,1332.07,1332.07,9.71,9.71,3
RC,301,Aldosterone ,,,40.75,40.75,3
RC,301,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,301,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,301,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,301,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,301,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,301,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,301,Alpha-1-antitrypsin; total ,1357.0,1357.0,13.44,13.44,3
RC,301,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,301,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,301,Alpha-fetoprotein (AFP); serum ,1332.07,1332.07,16.77,16.77,3
RC,301,Aluminum ,189.85,189.85,25.48,25.48,3
RC,301,Amikacin ,,,15.08,15.08,3
RC,301,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,301,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,301,"Amino acids, 6 or more amino acids, quantitative, each specimen ",1755.0,1755.0,16.87,16.87,3
RC,301,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,301,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,301,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,301,Ammonia ,,,14.57,14.57,3
RC,301,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,301,Amylase ,,,6.48,6.48,3
RC,301,Androstanediol glucuronide ,,,28.83,28.83,3
RC,301,Androstenedione ,2565.0,2565.0,29.28,29.28,3
RC,301,Androsterone ,,,25.55,25.55,3
RC,301,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,301,Angiotensin II ,,,20.52,20.52,3
RC,301,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,301,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,301,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,301,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,301,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,301,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,301,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,301,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,301,Antibody; Aspergillus ,,,15.05,15.05,3
RC,301,Antibody; Bartonella ,,,10.18,10.18,3
RC,301,Antibody; Blastomyces ,,,12.9,12.9,3
RC,301,Antibody; Bordetella ,,,13.19,13.19,3
RC,301,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,301,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,301,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,301,Antibody; Brucella ,,,8.93,8.93,3
RC,301,Antibody; Campylobacter ,,,13.12,13.12,3
RC,301,Antibody; Candida ,,,12.01,12.01,3
RC,301,Antibody; Chlamydia ,,,11.82,11.82,3
RC,301,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,301,Antibody; Coccidioides ,,,11.47,11.47,3
RC,301,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,301,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,301,Antibody; Diphtheria ,,,15.21,15.21,3
RC,301,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,301,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,301,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,301,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,301,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,301,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,301,Antibody; HIV-1 ,,,8.89,8.89,3
RC,301,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,301,Antibody; HIV-2 ,,,13.52,13.52,3
RC,301,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,301,Antibody; HTLV-I ,,,9.09,9.09,3
RC,301,Antibody; HTLV-II ,,,14.0,14.0,3
RC,301,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,301,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,301,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,301,Antibody; Legionella ,,,15.3,15.3,3
RC,301,Antibody; Leishmania ,,,12.25,12.25,3
RC,301,Antibody; Leptospira ,,,16.2,16.2,3
RC,301,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,301,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,301,Antibody; Nocardia ,,,15.99,15.99,3
RC,301,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,301,Antibody; Rickettsia ,,,19.35,19.35,3
RC,301,Antibody; Salmonella ,,,13.19,13.19,3
RC,301,Antibody; Shigella ,,,24.48,24.48,3
RC,301,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,301,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,301,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,301,Antibody; Trichinella ,,,12.56,12.56,3
RC,301,Antibody; West Nile virus ,,,14.39,14.39,3
RC,301,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,301,Antibody; Yersinia ,,,13.19,13.19,3
RC,301,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,301,Antibody; actinomyces ,,,10.18,10.18,3
RC,301,Antibody; adenovirus ,,,12.87,12.87,3
RC,301,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,301,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,301,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,301,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,301,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,301,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,301,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,301,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,301,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,301,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,301,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,301,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,301,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,301,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,301,Antibody; histoplasma ,,,13.79,13.79,3
RC,301,Antibody; influenza virus ,,,13.55,13.55,3
RC,301,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,301,Antibody; mucormycosis ,,,15.0,15.0,3
RC,301,Antibody; mumps ,,,13.05,13.05,3
RC,301,Antibody; mycoplasma ,,,13.24,13.24,3
RC,301,Antibody; parvovirus ,,,15.03,15.03,3
RC,301,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,301,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,301,Antibody; rotavirus ,,,18.23,18.23,3
RC,301,Antibody; rubella ,,,14.39,14.39,3
RC,301,Antibody; rubeola ,,,12.88,12.88,3
RC,301,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,301,Antibody; tetanus ,,,14.8,14.8,3
RC,301,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,301,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,301,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,301,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,301,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,301,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,301,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,301,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,301,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,301,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,301,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,301,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,301,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,301,"Apolipoprotein, each ",,,21.09,21.09,3
RC,301,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,301,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,301,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,301,Arsenic ,,,18.97,18.97,3
RC,301,"Ascorbic acid (Vitamin C), blood ",968.51,968.51,9.89,9.89,3
RC,301,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,301,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,301,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,301,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,301,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,301,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,301,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,301,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,301,"B cells, total count ",,,37.73,37.73,3
RC,301,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,301,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,301,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,301,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,301,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,301,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,301,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,301,Beta-2 microglobulin ,1220.0,1220.0,16.18,16.18,3
RC,301,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,301,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,301,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,301,Bile acids; total ,98.31,98.31,17.12,17.12,3
RC,301,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,301,Bilirubin; direct ,,,5.02,5.02,3
RC,301,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,301,Bilirubin; total ,,,5.02,5.02,3
RC,301,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,301,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,301,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,301,Bleeding time ,,,4.82,4.82,3
RC,301,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,301,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,301,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,301,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,301,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,301,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,301,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,301,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,301,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,301,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,301,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,301,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,301,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,301,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,301,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,301,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,301,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,301,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,301,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,301,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,301,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,301,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,301,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,301,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,301,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,301,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,301,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,301,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,301,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,301,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,301,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,301,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,301,Bradykinin ,,,5.16,5.16,3
RC,301,C-peptide ,1656.92,1656.92,20.81,20.81,3
RC,301,C-reactive protein; ,,,5.18,5.18,3
RC,301,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,301,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,301,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,301,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,301,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,301,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,301,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,301,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,301,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,301,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,301,Cadmium ,2142.66,2142.66,23.64,23.64,3
RC,301,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,301,Calcitonin ,2452.6,2452.6,26.79,26.79,3
RC,301,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,301,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,301,Calcium; ionized ,1457.0,1457.0,13.68,13.68,3
RC,301,Calcium; total ,,,5.16,5.16,3
RC,301,"Calcium; urine quantitative, timed specimen ",518.53,518.53,6.03,6.03,3
RC,301,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,301,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,301,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,301,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,301,Carbamazepine; free ,,,13.25,13.25,3
RC,301,Carbamazepine; total ,1308.25,1308.25,14.57,14.57,3
RC,301,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,301,Carbon dioxide (bicarbonate) ,587.04,587.04,4.88,4.88,3
RC,301,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,301,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,301,Carcinoembryonic antigen (CEA) ,2336.38,2336.38,18.96,18.96,3
RC,301,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,301,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,301,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,301,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,301,Carotene ,1183.07,1183.07,9.22,9.22,3
RC,301,Catecholamines; blood ,,,29.08,29.08,3
RC,301,Catecholamines; fractionated ,,,25.25,25.25,3
RC,301,Catecholamines; total urine ,,,27.3,27.3,3
RC,301,Cathepsin-D ,,,18.06,18.06,3
RC,301,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,301,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,301,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,301,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,301,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,301,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,301,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,301,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,301,Ceruloplasmin ,792.69,792.69,10.74,10.74,3
RC,301,Chemiluminescent assay ,,,14.12,14.12,3
RC,301,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,301,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,301,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,301,Chloramphenicol ,,,12.67,12.67,3
RC,301,Chloride; blood ,140.0,140.0,4.6,4.6,3
RC,301,Chloride; other source ,,,5.0,5.0,3
RC,301,Chloride; urine ,1332.0,1332.0,5.75,5.75,3
RC,301,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,301,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,301,Cholinesterase; RBC ,,,9.81,9.81,3
RC,301,Cholinesterase; serum ,1260.54,1260.54,7.87,7.87,3
RC,301,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,301,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,301,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,301,Chromogenic substrate assay ,,,11.89,11.89,3
RC,301,Citrate ,197.78,197.78,27.8,27.8,3
RC,301,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,301,Clot retraction ,,,16.3,16.3,3
RC,301,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,301,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,301,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,301,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,301,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,301,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,301,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,301,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,301,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,301,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,301,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,301,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,301,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,301,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,301,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,301,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,301,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,301,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,301,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,301,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,301,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,301,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,301,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,301,Coagulation time; activated ,,,4.28,4.28,3
RC,301,Coagulation time; other methods ,,,4.49,4.49,3
RC,301,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,301,Cold agglutinin; screen ,,,8.07,8.07,3
RC,301,Cold agglutinin; titer ,,,8.06,8.06,3
RC,301,"Collagen cross links, any method ",,,18.68,18.68,3
RC,301,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,301,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,301,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,301,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,301,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,301,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,301,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,301,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,301,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,301,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,301,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,301,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,301,"Complement; antigen, each component ",,,12.0,12.0,3
RC,301,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,301,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,301,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,301,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,301,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,301,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,301,"Congo red, blood ",,,4.95,4.95,3
RC,301,Copper ,,,12.41,12.41,3
RC,301,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,301,Corticosterone ,,,22.52,22.52,3
RC,301,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,301,Cortisol; free ,2226.1,2226.1,16.71,16.71,3
RC,301,Cortisol; total ,,,16.3,16.3,3
RC,301,Creatine ,,,4.64,4.64,3
RC,301,"Creatine kinase (CK), (CPK); isoenzymes ",1332.07,1332.07,13.39,13.39,3
RC,301,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,301,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,301,Creatinine; blood ,,,5.12,5.12,3
RC,301,Creatinine; other source ,,,5.18,5.18,3
RC,301,Cryofibrinogen ,1221.82,1221.82,14.14,14.14,3
RC,301,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,301,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,301,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,301,Cryopreservation; sperm ,,,149.16,149.16,3
RC,301,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,301,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,301,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,301,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,301,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,301,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,301,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,301,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,301,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,301,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,301,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,301,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,301,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,301,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,301,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,301,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,301,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,301,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,301,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,301,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,301,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,301,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,301,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,301,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,301,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,301,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,301,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,301,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,301,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,301,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,301,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,301,"Culture, typing; other methods ",,,7.74,7.74,3
RC,301,Cyanide ,1007.24,1007.24,19.4,19.4,3
RC,301,Cyanocobalamin (Vitamin B-12); ,1910.22,1910.22,15.08,15.08,3
RC,301,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,301,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,301,Cyclosporine ,1233.74,1233.74,18.05,18.05,3
RC,301,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,301,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,301,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,301,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,301,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,301,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,301,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,301,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,301,Dehydroepiandrosterone (DHEA) ,693.0,693.0,25.27,25.27,3
RC,301,Dehydroepiandrosterone-sulfate (DHEA-S) ,1114.51,1114.51,22.23,22.23,3
RC,301,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,301,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,301,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,301,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,301,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,301,Dibucaine number ,,,12.25,12.25,3
RC,301,Digoxin; free ,,,13.28,13.28,3
RC,301,Digoxin; total ,,,13.28,13.28,3
RC,301,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,301,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,156.59,246.92,9
RC,301,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,301,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,301,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,301,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,301,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,301,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,301,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,301,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,301,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,301,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,301,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,301,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,301,Erythropoietin ,1454.24,1454.24,18.79,18.79,3
RC,301,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,301,Estradiol; total ,1630.0,1630.0,27.94,27.94,3
RC,301,Estriol ,361.0,361.0,24.18,24.18,3
RC,301,Estrogens; fractionated ,,,32.3,32.3,3
RC,301,Estrogens; total ,649.63,649.63,21.7,21.7,3
RC,301,Estrone ,1624.11,1624.11,24.95,24.95,3
RC,301,Ethosuximide ,2288.69,2288.69,16.34,16.34,3
RC,301,Ethylene glycol ,1114.51,1114.51,14.9,14.9,3
RC,301,Etiocholanolone ,,,26.24,26.24,3
RC,301,Euglobulin lysis ,,,8.41,8.41,3
RC,301,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,301,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,301,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,301,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,301,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,301,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,301,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,301,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,301,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,301,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,301,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,301,Factor inhibitor test ,,,12.87,12.87,3
RC,301,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,301,"Fat or lipids, feces; qualitative ",581.08,581.08,5.1,5.1,3
RC,301,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,301,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,301,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,301,Felbamate ,,,18.64,18.64,3
RC,301,Fern test ,,,9.74,9.74,3
RC,301,Ferritin ,1266.52,1266.52,13.63,13.63,3
RC,301,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,301,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,301,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,301,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,301,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,301,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,301,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,301,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,301,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",2993.31,2993.31,64.41,64.41,3
RC,301,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,301,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,301,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,301,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,301,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,301,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,301,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,301,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,301,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,301,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,301,Fibrinogen; activity ,,,9.72,9.72,3
RC,301,Fibrinogen; antigen ,,,14.46,14.46,3
RC,301,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,301,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,301,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,301,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,301,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,301,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,301,Flecainide ,,,18.64,18.64,3
RC,301,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,301,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,301,Fluoride ,,,18.54,18.54,3
RC,301,Folic acid; RBC ,,,17.65,17.65,3
RC,301,Folic acid; serum ,801.63,801.63,14.7,14.7,3
RC,301,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,301,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,301,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,301,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,301,"Fructose, semen ",,,17.34,17.34,3
RC,301,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,301,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,301,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,301,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,301,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,301,"Galactokinase, RBC ",,,21.48,21.48,3
RC,301,Galactose ,,,11.2,11.2,3
RC,301,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,301,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,301,Galectin-3 ,,,44.25,44.25,3
RC,301,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,301,Gammaglobulin (immunoglobulin); IgE ,2154.6,2154.6,16.46,16.46,3
RC,301,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",196.0,196.0,8.02,8.02,3
RC,301,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,301,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,301,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",1633.06,1633.06,78.77,78.77,3
RC,301,"Gases, blood, pH only ",,,11.0,11.0,3
RC,301,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,301,Gastrin ,2327.4,2327.4,17.63,17.63,3
RC,301,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,301,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,301,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,301,Gentamicin ,,,16.38,16.38,3
RC,301,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,301,Glucagon ,213.62,213.62,14.29,14.29,3
RC,301,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,301,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,301,Glucagon tolerance test ,,,17.77,17.77,3
RC,301,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,301,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,301,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,1284.0,1284.0,9.7,9.7,3
RC,301,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,301,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,301,Glucose; post glucose dose (includes glucose) ,730.11,730.11,4.75,4.75,3
RC,301,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,301,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",1260.0,1260.0,12.87,12.87,3
RC,301,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",318.85,318.85,3.92,3.92,3
RC,301,"Glucosidase, beta ",,,21.48,21.48,3
RC,301,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,301,"Glutamyltransferase, gamma (GGT) ",1144.35,1144.35,7.2,7.2,3
RC,301,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,301,Glycated protein ,518.53,518.53,16.76,16.76,3
RC,301,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,301,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,301,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,301,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,301,Gonadotropin; follicle stimulating hormone (FSH) ,2089.0,2089.0,18.58,18.58,3
RC,301,Gonadotropin; luteinizing hormone (LH) ,1683.76,1683.76,18.52,18.52,3
RC,301,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,301,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,301,"Growth hormone, human (HGH) (somatotropin) ",1108.6,1108.6,16.67,16.67,3
RC,301,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,301,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,301,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,301,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,301,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,301,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,301,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,301,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,301,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,301,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,301,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,301,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,301,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,301,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,301,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,301,Haloperidol ,2452.6,2452.6,15.78,15.78,3
RC,301,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,301,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,301,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,301,Haptoglobin; quantitative ,1394.67,1394.67,12.58,12.58,3
RC,301,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,301,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,301,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,301,Heinz bodies; direct ,,,4.2,4.2,3
RC,301,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,301,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,301,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",819.52,819.52,67.36,67.36,3
RC,301,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,301,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,301,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,301,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",163.9,163.9,18.06,18.06,3
RC,301,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",1451.26,1451.26,12.87,12.87,3
RC,301,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,301,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,301,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,301,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,301,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,301,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,301,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,301,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,301,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,301,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,301,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,301,"Hemoglobin; methemoglobin, quantitative ",1332.07,1332.07,8.2,8.2,3
RC,301,Hemoglobin; plasma ,1114.51,1114.51,7.31,7.31,3
RC,301,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,301,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,301,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,301,Hemoglobin; urine ,,,3.95,3.95,3
RC,301,"Hemolysin, acid ",,,8.87,8.87,3
RC,301,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,301,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,301,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,301,Heparin assay ,,,13.09,13.09,3
RC,301,Heparin neutralization ,,,11.84,11.84,3
RC,301,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,301,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,301,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,301,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,301,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,301,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,301,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,301,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,301,Hepatitis C antibody; ,,,14.27,14.27,3
RC,301,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,301,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,301,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,301,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,301,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,301,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,301,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,301,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,301,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,301,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,301,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,301,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,301,Histamine ,1495.98,1495.98,29.53,29.53,3
RC,301,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,301,Homocysteine ,1719.5,1719.5,17.92,17.92,3
RC,301,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,301,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,301,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,301,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,301,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,301,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,301,Hydroxychloroquine ,,,18.64,18.64,3
RC,301,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,301,"Hydroxyindolacetic acid, 5-(HIAA) ",1451.0,1451.0,12.9,12.9,3
RC,301,Hydroxyproline; free ,,,22.65,22.65,3
RC,301,Hydroxyproline; total ,,,24.3,24.3,3
RC,301,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,301,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,301,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,301,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,301,Immune complex assay ,,,24.37,24.37,3
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,301,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,301,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,301,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,301,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,301,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,301,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,301,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,301,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,301,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,301,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,301,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,301,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,301,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,301,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,301,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,301,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,301,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,301,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,301,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,301,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,301,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,301,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,301,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,301,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,301,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,301,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,301,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,301,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,301,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,301,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,301,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,301,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,301,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,301,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,301,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,301,Inhibin A ,,,15.59,15.59,3
RC,301,Insemination of oocytes ,,,149.16,149.16,3
RC,301,Insulin antibodies ,,,21.41,21.41,3
RC,301,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,301,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,301,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,301,Insulin; free ,271.16,271.16,12.95,12.95,3
RC,301,Insulin; total ,347.0,347.0,11.43,11.43,3
RC,301,Intrinsic factor ,,,19.82,19.82,3
RC,301,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,301,Iron ,452.0,452.0,6.47,6.47,3
RC,301,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,301,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,301,Islet cell antibody ,,,23.57,23.57,3
RC,301,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,301,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,301,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,301,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,301,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,301,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,301,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,301,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,301,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,301,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,301,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,301,Lactate (lactic acid) ,,,11.57,11.57,3
RC,301,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,301,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",1221.82,1221.82,12.79,12.79,3
RC,301,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,301,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,301,Lead ,,,12.11,12.11,3
RC,301,Leflunomide ,,,38.57,38.57,3
RC,301,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,301,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,301,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,301,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,301,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,301,Leukocyte transfusion ,,,149.16,149.16,3
RC,301,Lidocaine ,1332.07,1332.07,14.69,14.69,3
RC,301,Lipase ,,,6.89,6.89,3
RC,301,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,301,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,301,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,301,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,301,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,301,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",730.11,730.11,8.19,8.19,3
RC,301,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,301,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,301,Lithium ,953.62,953.62,6.61,6.61,3
RC,301,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,301,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,301,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,301,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,301,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,301,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,301,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,301,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,301,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,301,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,301,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,301,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,301,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,301,Magnesium ,,,6.7,6.7,3
RC,301,Malate dehydrogenase ,,,7.37,7.37,3
RC,301,Manganese ,400.85,400.85,26.65,26.65,3
RC,301,"Meat fibers, feces ",,,4.85,4.85,3
RC,301,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,301,"Mercury, quantitative ",,,16.26,16.26,3
RC,301,Metanephrines ,1716.0,1716.0,16.94,16.94,3
RC,301,Methemalbumin ,,,10.74,10.74,3
RC,301,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,301,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,301,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,301,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,301,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,301,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,301,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,301,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,301,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,301,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,301,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,301,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,301,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,301,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,301,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,301,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,301,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,301,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,301,Muramidase ,,,18.75,18.75,3
RC,301,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,301,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,301,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,301,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,301,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,301,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,301,Myoglobin ,,,12.92,12.92,3
RC,301,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,301,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,301,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,301,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,301,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,301,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,301,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,301,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,301,Natriuretic peptide ,,,39.26,39.26,3
RC,301,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,301,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,301,"Neutralization test, viral ",,,16.91,16.91,3
RC,301,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,301,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,301,Nickel ,,,24.51,24.51,3
RC,301,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,301,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,301,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,301,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,301,Nucleotidase 5'- ,1701.0,1701.0,11.15,11.15,3
RC,301,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,301,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,301,Oligoclonal immune (oligoclonal bands) ,5218.12,5218.12,27.39,27.39,3
RC,301,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,301,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,301,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,301,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,301,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,301,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,301,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,301,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,301,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,301,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,301,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,301,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,301,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,301,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,301,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,301,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,301,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,301,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,301,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,301,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,301,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,301,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,301,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,301,"Organic acid, single, quantitative ",4169.13,4169.13,21.21,21.21,3
RC,301,"Organic acids; qualitative, each specimen ",3840.0,3840.0,16.45,16.45,3
RC,301,Osmolality; blood ,998.3,998.3,6.61,6.61,3
RC,301,Osmolality; urine ,616.0,616.0,6.82,6.82,3
RC,301,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,301,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,301,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,301,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,301,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,301,Oxalate ,1332.0,1332.0,14.45,14.45,3
RC,301,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,301,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,301,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,301,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,301,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,301,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,301,Parathormone (parathyroid hormone) ,1254.6,1254.6,41.28,41.28,3
RC,301,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,301,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,301,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,301,Phenobarbital ,3593.98,3593.98,15.3,15.3,3
RC,301,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,301,Phenytoin; free ,673.5,673.5,13.76,13.76,3
RC,301,Phenytoin; total ,,,13.25,13.25,3
RC,301,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,301,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,301,"Phosphatase, alkaline; ",496.0,496.0,5.18,5.18,3
RC,301,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,301,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,301,Phosphatidylglycerol ,,,16.52,16.52,3
RC,301,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,301,Phosphohexose isomerase ,,,10.73,10.73,3
RC,301,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,301,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,301,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,301,Phosphorus inorganic (phosphate); urine ,700.0,700.0,5.78,5.78,3
RC,301,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,301,Pinworm examinations ,,,4.27,4.27,3
RC,301,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,301,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,301,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,301,"Porphobilinogen, urine; quantitative ",1773.14,1773.14,8.44,8.44,3
RC,301,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,301,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,301,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,301,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,301,Potassium; urine ,499.0,499.0,4.73,4.73,3
RC,301,Prealbumin ,1317.2,1317.2,14.59,14.59,3
RC,301,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,301,Pregnanediol ,,,21.27,21.27,3
RC,301,Pregnanetriol ,,,21.05,21.05,3
RC,301,Pregnenolone ,336.75,336.75,20.67,20.67,3
RC,301,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,301,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,301,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,301,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,301,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,301,Primidone ,1168.18,1168.18,16.59,16.59,3
RC,301,Procainamide; ,,,60.0,60.0,3
RC,301,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",1814.83,1814.83,16.75,16.75,3
RC,301,Progesterone ,1737.0,1737.0,20.86,20.86,3
RC,301,Proinsulin ,345.46,345.46,26.69,26.69,3
RC,301,Prolactin ,1559.0,1559.0,19.38,19.38,3
RC,301,"Prostaglandin, each ",,,41.77,41.77,3
RC,301,Prostate cancer screening; prostate specific antigen test (psa) ,2190.36,2190.36,19.31,19.31,3
RC,301,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,301,Prostate specific antigen (PSA); free ,2205.26,2205.26,18.39,18.39,3
RC,301,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,301,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,301,"Protein, total, except by refractometry; serum, plasma or whole blood ",482.75,482.75,3.67,3.67,3
RC,301,"Protein, total, except by refractometry; urine ",825.45,825.45,3.67,3.67,3
RC,301,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,301,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,301,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,301,"Protein; electrophoretic fractionation and quantitation, serum ",1346.99,1346.99,10.74,10.74,3
RC,301,Prothrombin time; ,,,4.29,4.29,3
RC,301,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,301,"Protoporphyrin, RBC; quantitative ",1332.07,1332.07,14.35,14.35,3
RC,301,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,301,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,301,Pyridoxal phosphate (Vitamin B-6) ,2321.5,2321.5,28.1,28.1,3
RC,301,Pyruvate ,,,14.48,14.48,3
RC,301,Pyruvate kinase ,,,9.44,9.44,3
RC,301,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,301,Quinidine ,,,14.6,14.6,3
RC,301,Quinine ,,,11.63,11.63,3
RC,301,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,301,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,301,Receptor assay; estrogen ,,,87.88,87.88,3
RC,301,Receptor assay; non-endocrine (specify receptor) ,402.3,402.3,36.57,36.57,3
RC,301,Receptor assay; progesterone ,,,64.88,64.88,3
RC,301,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,301,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,301,Renin ,2828.1,2828.1,21.99,21.99,3
RC,301,Reptilase test ,,,9.85,9.85,3
RC,301,Reticulated platelet assay ,,,35.74,35.74,3
RC,301,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,301,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,301,Riboflavin (Vitamin B-2) ,92.28,92.28,20.24,20.24,3
RC,301,Rufinamide ,,,27.11,27.11,3
RC,301,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,301,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,301,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,301,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,301,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,301,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,301,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,301,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,301,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,301,Salicylate ,,,18.64,18.64,3
RC,301,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,301,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,301,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,301,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,301,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,301,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,301,Selenium ,1308.25,1308.25,25.53,25.53,3
RC,301,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,301,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,301,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,301,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,301,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,301,Serotonin ,2288.69,2288.69,30.98,30.98,3
RC,301,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,301,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,301,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,301,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,301,Sex hormone binding globulin (SHBG) ,783.75,783.75,21.73,21.73,3
RC,301,Sialic acid ,,,13.44,13.44,3
RC,301,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,301,Silica ,,,25.21,25.21,3
RC,301,Sirolimus ,1108.6,1108.6,13.73,13.73,3
RC,301,Skin test; candida ,,,24.67,24.67,3
RC,301,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,301,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,301,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,301,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,301,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,301,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,301,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,301,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,301,Sodium; other source ,,,4.86,4.86,3
RC,301,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,301,Sodium; urine ,404.0,404.0,5.06,5.06,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,301,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,301,Somatomedin ,310.0,310.0,21.26,21.26,3
RC,301,Somatostatin ,,,18.28,18.28,3
RC,301,Specific gravity (except urine) ,351.61,351.61,3.28,3.28,3
RC,301,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,301,Sperm antibodies ,,,10.67,10.67,3
RC,301,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,301,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,301,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,301,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,301,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,301,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,301,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,301,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,301,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,301,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,301,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,301,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,301,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,301,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,301,"Streptokinase, antibody ",,,12.66,12.66,3
RC,301,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,301,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,301,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,301,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,301,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,301,"Sulfate, urine ",,,5.49,5.49,3
RC,301,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,301,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,301,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,301,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,301,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,301,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,301,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,301,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,301,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,301,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,301,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,301,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,301,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,301,T cells; total count ,,,37.73,37.73,3
RC,301,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,301,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,301,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,301,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,301,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,301,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,301,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,301,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,301,Testosterone; free ,1019.2,1019.2,25.47,25.47,3
RC,301,Testosterone; total ,2446.0,2446.0,25.81,25.81,3
RC,301,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,301,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,301,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,301,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,301,Theophylline ,1183.07,1183.07,14.14,14.14,3
RC,301,Thiamine (Vitamin B-1) ,2410.9,2410.9,21.23,21.23,3
RC,301,Thiocyanate ,,,11.63,11.63,3
RC,301,Thiopurine S-methyltransferase (TPMT) ,2702.96,2702.96,22.17,22.17,3
RC,301,Thrombin time; plasma ,,,5.77,5.77,3
RC,301,Thrombin time; titer ,,,6.85,6.85,3
RC,301,Thrombomodulin ,,,17.27,17.27,3
RC,301,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,301,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,301,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,301,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,301,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,301,Thyroglobulin ,240.0,240.0,16.06,16.06,3
RC,301,Thyroglobulin antibody ,,,15.91,15.91,3
RC,301,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,301,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,301,Thyroid stimulating immune globulins (TSI) ,1504.93,1504.93,50.86,50.86,3
RC,301,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,301,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,301,Thyroxine binding globulin (TBG) ,2035.39,2035.39,14.78,14.78,3
RC,301,Thyroxine; free ,,,9.02,9.02,3
RC,301,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,301,Thyroxine; total ,658.58,658.58,6.87,6.87,3
RC,301,Tiagabine ,,,27.11,27.11,3
RC,301,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,301,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,301,Tobramycin ,,,16.13,16.13,3
RC,301,Tocopherol alpha (Vitamin E) ,1641.98,1641.98,14.18,14.18,3
RC,301,Topiramate ,1233.74,1233.74,11.92,11.92,3
RC,301,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,301,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,301,Transferase; alanine amino (ALT) (SGPT) ,703.27,703.27,5.3,5.3,3
RC,301,Transferase; aspartate amino (AST) (SGOT) ,790.0,790.0,5.18,5.18,3
RC,301,Transferrin ,1054.95,1054.95,12.76,12.76,3
RC,301,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,301,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,301,Triglycerides ,,,5.74,5.74,3
RC,301,Triiodothyronine T3; free ,846.33,846.33,16.94,16.94,3
RC,301,Triiodothyronine T3; reverse ,774.79,774.79,15.76,15.76,3
RC,301,Triiodothyronine T3; total (TT-3) ,1016.16,1016.16,14.18,14.18,3
RC,301,"Troponin, qualitative ",,,10.09,10.09,3
RC,301,"Troponin, quantitative ",,,12.47,12.47,3
RC,301,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,301,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,301,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,301,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,301,Tyrosine ,,,10.63,10.63,3
RC,301,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,301,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,301,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,301,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,301,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,301,"Urea nitrogen, urine ",569.18,569.18,5.56,5.56,3
RC,301,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,301,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,301,Uric acid; blood ,,,4.52,4.52,3
RC,301,Uric acid; other source ,,,5.08,5.08,3
RC,301,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,301,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,301,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,301,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,301,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,301,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,301,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,301,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,301,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,301,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,301,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,301,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,301,Valproic acid (dipropylacetic acid); total ,3349.61,3349.61,13.54,13.54,3
RC,301,Vancomycin ,,,13.54,13.54,3
RC,301,Vasoactive intestinal peptide (VIP) ,424.0,424.0,35.33,35.33,3
RC,301,"Vasopressin (antidiuretic hormone, ADH) ",3349.61,3349.61,33.94,33.94,3
RC,301,Vedolizumab ,,,38.57,38.57,3
RC,301,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,301,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,301,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,301,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,301,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,301,Viscosity ,,,11.67,11.67,3
RC,301,Vitamin A ,1683.76,1683.76,11.61,11.61,3
RC,301,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",118.66,118.66,38.5,38.5,3
RC,301,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",664.52,664.52,29.6,29.6,3
RC,301,"Vitamin, not otherwise specified ",518.53,518.53,17.06,17.06,3
RC,301,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,301,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,301,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,301,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,301,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,301,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,301,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,301,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,301,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,301,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,301,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,301,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,301,Zinc ,1266.52,1266.52,11.39,11.39,3
RC,301,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,301,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,301,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,302, Laboratory Immunology   ,,,,,0
RC,302,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,302,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,302,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,302,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,302,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,302,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,302,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,302,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,302,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,302,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,302,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,302,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,Acetaminophen ,,,18.64,18.64,3
RC,302,Acetylcholinesterase ,,,12.29,12.29,3
RC,302,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,302,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,302,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,302,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,302,Adalimumab ,,,38.57,38.57,3
RC,302,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,302,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,302,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,302,Albumin; ischemia modified ,,,33.94,33.94,3
RC,302,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,302,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,302,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,302,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,302,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,302,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,302,Aldolase ,,,9.71,9.71,3
RC,302,Aldosterone ,,,40.75,40.75,3
RC,302,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,302,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,302,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,302,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",163.9,163.9,5.22,5.22,3
RC,302,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",31.88,31.88,17.93,17.93,3
RC,302,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,302,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,302,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,302,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,302,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,302,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,302,Aluminum ,,,25.48,25.48,3
RC,302,Amikacin ,,,15.08,15.08,3
RC,302,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,302,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,302,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,302,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,302,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,302,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,302,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,302,Amiodarone ,,,18.64,18.64,3
RC,302,Ammonia ,,,14.57,14.57,3
RC,302,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,302,Amylase ,,,6.48,6.48,3
RC,302,Androstanediol glucuronide ,,,28.83,28.83,3
RC,302,Androstenedione ,,,29.28,29.28,3
RC,302,Androsterone ,,,25.55,25.55,3
RC,302,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,302,Angiotensin II ,,,20.52,20.52,3
RC,302,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,302,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,302,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,302,"Antibody elution (RBC), each elution ",544.0,544.0,149.16,149.16,3
RC,302,"Antibody identification, RBC antibodies, each panel for each serum technique ",875.0,875.0,291.26,291.26,3
RC,302,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,302,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,302,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,302,"Antibody screen, RBC, each serum technique ",1093.0,1093.0,9.77,9.77,3
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,302,Antibody; Aspergillus ,,,15.05,15.05,3
RC,302,Antibody; Bartonella ,,,10.18,10.18,3
RC,302,Antibody; Blastomyces ,569.18,569.18,12.9,12.9,3
RC,302,Antibody; Bordetella ,,,13.19,13.19,3
RC,302,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,302,Antibody; Borrelia burgdorferi (Lyme disease) ,1773.14,1773.14,17.03,17.03,3
RC,302,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,302,Antibody; Brucella ,,,8.93,8.93,3
RC,302,Antibody; Campylobacter ,,,13.12,13.12,3
RC,302,Antibody; Candida ,,,12.01,12.01,3
RC,302,Antibody; Chlamydia ,,,11.82,11.82,3
RC,302,"Antibody; Chlamydia, IgM ",1144.35,1144.35,12.68,12.68,3
RC,302,Antibody; Coxiella burnetii (Q fever) ,673.5,673.5,12.12,12.12,3
RC,302,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,302,Antibody; Diphtheria ,,,15.21,15.21,3
RC,302,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,302,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,302,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",1692.66,1692.66,15.29,15.29,3
RC,302,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,302,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,302,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,302,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,302,Antibody; HTLV-I ,,,9.09,9.09,3
RC,302,Antibody; HTLV-II ,,,14.0,14.0,3
RC,302,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,302,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,302,Antibody; Legionella ,2993.0,2993.0,15.3,15.3,3
RC,302,Antibody; Leishmania ,,,12.25,12.25,3
RC,302,Antibody; Leptospira ,1114.51,1114.51,16.2,16.2,3
RC,302,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,302,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,302,Antibody; Nocardia ,,,15.99,15.99,3
RC,302,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,302,Antibody; Rickettsia ,,,19.35,19.35,3
RC,302,Antibody; Salmonella ,,,13.19,13.19,3
RC,302,Antibody; Shigella ,,,24.48,24.48,3
RC,302,"Antibody; Toxoplasma, IgM ",2288.0,2288.0,14.41,14.41,3
RC,302,Antibody; Trichinella ,,,12.56,12.56,3
RC,302,Antibody; West Nile virus ,,,14.39,14.39,3
RC,302,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,302,Antibody; Yersinia ,,,13.19,13.19,3
RC,302,Antibody; actinomyces ,,,10.18,10.18,3
RC,302,Antibody; adenovirus ,,,12.87,12.87,3
RC,302,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,302,"Antibody; cytomegalovirus (CMV), IgM ",268.0,268.0,16.85,16.85,3
RC,302,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,302,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,302,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,302,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,302,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,302,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,302,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,302,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,302,Antibody; influenza virus ,,,13.55,13.55,3
RC,302,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,302,Antibody; mucormycosis ,,,15.0,15.0,3
RC,302,Antibody; mumps ,,,13.05,13.05,3
RC,302,Antibody; mycoplasma ,,,13.24,13.24,3
RC,302,Antibody; parvovirus ,,,15.03,15.03,3
RC,302,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,302,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,302,Antibody; rotavirus ,,,18.23,18.23,3
RC,302,Antibody; rubella ,,,14.39,14.39,3
RC,302,Antibody; rubeola ,,,12.88,12.88,3
RC,302,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,302,Antibody; tetanus ,,,14.8,14.8,3
RC,302,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,302,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,302,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,302,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",1394.0,1394.0,5.18,5.18,3
RC,302,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,302,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,302,Antinuclear antibodies (ANA); ,1782.08,1782.08,12.09,12.09,3
RC,302,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,302,Antistreptolysin 0; titer ,730.11,730.11,7.3,7.3,3
RC,302,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,302,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,302,"Apolipoprotein, each ",,,21.09,21.09,3
RC,302,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,302,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,302,Arsenic ,,,18.97,18.97,3
RC,302,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,302,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,302,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,302,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,302,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,302,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,302,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,302,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,302,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,302,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,302,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,302,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,302,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,302,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,302,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,302,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,302,Beta-2 microglobulin ,,,16.18,16.18,3
RC,302,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,302,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,302,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,302,Bile acids; total ,,,17.12,17.12,3
RC,302,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,302,Bilirubin; direct ,,,5.02,5.02,3
RC,302,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,302,Bilirubin; total ,,,5.02,5.02,3
RC,302,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,302,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,302,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,302,Bleeding time ,,,4.82,4.82,3
RC,302,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,302,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,302,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,302,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,302,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,302,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,302,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,302,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,302,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,302,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,302,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,302,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,302,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,302,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,302,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,302,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,302,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,302,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,302,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,302,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,302,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,302,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,302,"Blood typing, serologic; ABO ",628.75,628.75,2.99,2.99,3
RC,302,"Blood typing, serologic; Rh (D) ",484.0,484.0,2.99,2.99,3
RC,302,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,302,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,302,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,302,Bradykinin ,,,5.16,5.16,3
RC,302,C-peptide ,,,20.81,20.81,3
RC,302,C-reactive protein; ,,,5.18,5.18,3
RC,302,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,302,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,302,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,302,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,302,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,302,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,302,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,302,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,302,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,302,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,302,Cadmium ,,,23.64,23.64,3
RC,302,Caffeine ,,,38.57,38.57,3
RC,302,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,302,Calcitonin ,,,26.79,26.79,3
RC,302,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,302,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,302,Calcium; ionized ,,,13.68,13.68,3
RC,302,Calcium; total ,,,5.16,5.16,3
RC,302,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,302,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,302,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,302,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,302,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,302,"Calprotectin, fecal ",,,19.63,19.63,3
RC,302,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,302,Carbamazepine; free ,,,13.25,13.25,3
RC,302,Carbamazepine; total ,,,14.57,14.57,3
RC,302,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,302,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,302,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,302,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,302,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,302,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,302,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,302,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,302,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,302,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,302,Carotene ,,,9.22,9.22,3
RC,302,Catecholamines; blood ,,,29.08,29.08,3
RC,302,Catecholamines; fractionated ,,,25.25,25.25,3
RC,302,Catecholamines; total urine ,,,27.3,27.3,3
RC,302,Cathepsin-D ,,,18.06,18.06,3
RC,302,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,302,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,302,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,302,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,302,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,302,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,302,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,302,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,302,Ceruloplasmin ,,,10.74,10.74,3
RC,302,Chemiluminescent assay ,,,14.12,14.12,3
RC,302,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,302,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,302,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,302,Chloramphenicol ,,,12.67,12.67,3
RC,302,Chloride; blood ,,,4.6,4.6,3
RC,302,Chloride; other source ,,,5.0,5.0,3
RC,302,Chloride; urine ,,,5.75,5.75,3
RC,302,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,302,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,302,Cholinesterase; RBC ,,,9.81,9.81,3
RC,302,Cholinesterase; serum ,,,7.87,7.87,3
RC,302,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,302,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,302,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,302,Chromium ,,,20.28,20.28,3
RC,302,Chromogenic substrate assay ,,,11.89,11.89,3
RC,302,Citrate ,,,27.8,27.8,3
RC,302,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,302,Clot retraction ,,,16.3,16.3,3
RC,302,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,302,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,302,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,302,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,302,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,302,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,302,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,302,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,302,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,302,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,302,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,302,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,302,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,302,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,302,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,302,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,302,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,302,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,302,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,302,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,302,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,302,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,302,Clozapine ,,,20.15,20.15,3
RC,302,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,302,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,302,Coagulation time; activated ,,,4.28,4.28,3
RC,302,Coagulation time; other methods ,,,4.49,4.49,3
RC,302,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,302,Cold agglutinin; screen ,,,8.07,8.07,3
RC,302,Cold agglutinin; titer ,673.5,673.5,8.06,8.06,3
RC,302,"Collagen cross links, any method ",,,18.68,18.68,3
RC,302,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,302,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,302,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,302,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,302,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,302,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,302,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,302,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,302,Compatibility test each unit; immediate spin technique ,1183.0,1183.0,149.16,149.16,3
RC,302,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,302,"Complement; antigen, each component ",,,12.0,12.0,3
RC,302,"Complement; functional activity, each component ",324.81,324.81,12.0,12.0,3
RC,302,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,302,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,302,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,302,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,302,"Congo red, blood ",,,4.95,4.95,3
RC,302,Copper ,,,12.41,12.41,3
RC,302,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,302,Corticosterone ,,,22.52,22.52,3
RC,302,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,302,Cortisol; free ,,,16.71,16.71,3
RC,302,Cortisol; total ,,,16.3,16.3,3
RC,302,Creatine ,,,4.64,4.64,3
RC,302,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,302,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,302,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,302,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,302,Creatinine; blood ,,,5.12,5.12,3
RC,302,Creatinine; clearance ,,,9.46,9.46,3
RC,302,Creatinine; other source ,,,5.18,5.18,3
RC,302,Cryofibrinogen ,,,14.14,14.14,3
RC,302,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,302,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,302,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,302,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,302,Cryopreservation; sperm ,,,149.16,149.16,3
RC,302,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,302,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,302,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,302,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,302,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,302,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,302,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,302,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,302,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,302,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,302,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,302,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,302,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,302,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,302,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,302,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,302,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,302,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,302,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,302,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,302,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,302,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,302,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,302,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,302,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,302,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,302,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,302,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,302,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,302,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,302,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,302,"Culture, typing; other methods ",,,7.74,7.74,3
RC,302,Cyanide ,,,19.4,19.4,3
RC,302,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,302,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,302,"Cyclic citrullinated peptide (CCP), antibody ",1430.44,1430.44,12.95,12.95,3
RC,302,Cyclosporine ,,,18.05,18.05,3
RC,302,Cystatin C ,,,18.52,18.52,3
RC,302,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,302,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,302,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,302,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,302,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,302,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,302,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,302,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,302,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,302,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,302,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,302,"Deoxyribonuclease, antibody ",1266.52,1266.52,13.25,13.25,3
RC,302,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,1221.82,1221.82,13.74,13.74,3
RC,302,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,302,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,302,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,302,Dibucaine number ,,,12.25,12.25,3
RC,302,Digoxin; free ,,,13.28,13.28,3
RC,302,Digoxin; total ,,,13.28,13.28,3
RC,302,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,302,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,302,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,302,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,302,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,302,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,302,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,302,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,302,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,302,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,302,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,302,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,302,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",178.0,178.0,12.09,12.09,3
RC,302,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,302,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,302,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,302,Erythropoietin ,,,18.79,18.79,3
RC,302,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,302,Estradiol; total ,,,27.94,27.94,3
RC,302,Estriol ,,,24.18,24.18,3
RC,302,Estrogens; fractionated ,,,32.3,32.3,3
RC,302,Estrogens; total ,,,21.7,21.7,3
RC,302,Estrone ,,,24.95,24.95,3
RC,302,Ethosuximide ,,,16.34,16.34,3
RC,302,Ethylene glycol ,,,14.9,14.9,3
RC,302,Etiocholanolone ,,,26.24,26.24,3
RC,302,Euglobulin lysis ,,,8.41,8.41,3
RC,302,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,302,Everolimus ,,,13.73,13.73,3
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,302,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,302,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,302,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,302,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,302,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,302,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,302,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,302,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,302,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,302,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,302,Factor inhibitor test ,,,12.87,12.87,3
RC,302,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,302,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,302,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,302,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,302,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,302,Felbamate ,,,18.64,18.64,3
RC,302,Fern test ,,,9.74,9.74,3
RC,302,Ferritin ,,,13.63,13.63,3
RC,302,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,302,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,302,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,302,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,302,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,302,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,302,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,302,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,302,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,302,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,302,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,302,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,302,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,302,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,302,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,302,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,302,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,302,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,302,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,302,Fibrinogen; activity ,,,9.72,9.72,3
RC,302,Fibrinogen; antigen ,,,14.46,14.46,3
RC,302,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,302,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,302,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,302,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,302,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,302,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,302,Flecainide ,,,18.64,18.64,3
RC,302,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,302,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,302,Fluoride ,,,18.54,18.54,3
RC,302,Folic acid; RBC ,,,17.65,17.65,3
RC,302,Folic acid; serum ,,,14.7,14.7,3
RC,302,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,302,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,302,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,302,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,302,"Fructose, semen ",,,17.34,17.34,3
RC,302,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,302,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,302,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,302,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,302,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,302,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,302,"Galactokinase, RBC ",,,21.48,21.48,3
RC,302,Galactose ,,,11.2,11.2,3
RC,302,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,302,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,302,Galectin-3 ,,,44.25,44.25,3
RC,302,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,302,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,302,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,302,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,302,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,302,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,302,"Gases, blood, pH only ",,,11.0,11.0,3
RC,302,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,302,Gastrin ,,,17.63,17.63,3
RC,302,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,302,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,302,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,302,Gentamicin ,,,16.38,16.38,3
RC,302,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,302,Glucagon ,,,14.29,14.29,3
RC,302,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,302,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,302,Glucagon tolerance test ,,,17.77,17.77,3
RC,302,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,302,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,302,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,302,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,302,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,302,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,302,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,302,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,302,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,302,"Glucosidase, beta ",,,21.48,21.48,3
RC,302,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,302,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,302,Glutathione ,,,15.45,15.45,3
RC,302,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,302,Glycated protein ,,,16.76,16.76,3
RC,302,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,302,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,302,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,302,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,302,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,302,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,302,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,302,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,302,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,302,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,302,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,302,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,302,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,302,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,302,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,302,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,302,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,302,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,302,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,302,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,302,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,302,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,302,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,302,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,302,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,302,Haloperidol ,,,15.78,15.78,3
RC,302,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,302,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,302,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,302,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,302,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,302,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,302,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,302,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,302,Heinz bodies; direct ,,,4.2,4.2,3
RC,302,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,302,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,302,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,302,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,302,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,302,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,302,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,302,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,302,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,302,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,302,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,302,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,302,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,302,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,302,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,302,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,302,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,302,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,302,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,302,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,302,Hemoglobin; plasma ,,,7.31,7.31,3
RC,302,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,302,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,302,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,302,Hemoglobin; urine ,,,3.95,3.95,3
RC,302,"Hemolysin, acid ",,,8.87,8.87,3
RC,302,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,302,Heparin assay ,,,13.09,13.09,3
RC,302,Heparin neutralization ,,,11.84,11.84,3
RC,302,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,302,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,302,Hepatitis A antibody (HAAb) ,673.5,673.5,12.39,12.39,3
RC,302,"Hepatitis A antibody (HAAb), IgM antibody ",1183.07,1183.07,11.26,11.26,3
RC,302,Hepatitis B core antibody (HBcAb); IgM antibody ,1701.0,1701.0,11.77,11.77,3
RC,302,Hepatitis B core antibody (HBcAb); total ,1210.0,1210.0,12.05,12.05,3
RC,302,Hepatitis Be antibody (HBeAb) ,953.62,953.62,11.57,11.57,3
RC,302,Hepatitis C antibody; ,1617.0,1617.0,14.27,14.27,3
RC,302,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,302,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,302,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,302,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,302,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,302,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,302,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,302,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,302,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,302,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,302,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,302,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,302,Histamine ,,,29.53,29.53,3
RC,302,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,302,Homocysteine ,,,17.92,17.92,3
RC,302,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,302,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,302,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,302,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,302,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,302,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,302,Hydroxychloroquine ,,,18.64,18.64,3
RC,302,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,302,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,302,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,302,Hydroxyproline; free ,,,22.65,22.65,3
RC,302,Hydroxyproline; total ,,,24.3,24.3,3
RC,302,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,302,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,302,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,302,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,302,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,302,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,302,Immune complex assay ,158.22,158.22,24.37,24.37,3
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,302,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,302,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,302,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,302,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,302,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,302,"Immunoassay for tumor antigen, quantitative; CA 125 ",1332.07,1332.07,20.81,20.81,3
RC,302,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,302,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",1478.12,1478.12,20.81,20.81,3
RC,302,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,302,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,302,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,302,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,302,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,302,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,302,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,302,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,302,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,302,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,302,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,302,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,302,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,302,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,302,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,302,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,302,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,302,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,302,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,302,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,302,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,302,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,302,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,302,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,302,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,302,Infliximab ,,,38.57,38.57,3
RC,302,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,302,Inhibin A ,1537.7,1537.7,15.59,15.59,3
RC,302,Insemination of oocytes ,,,149.16,149.16,3
RC,302,Insulin antibodies ,2077.12,2077.12,21.41,21.41,3
RC,302,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,302,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,302,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,302,Insulin; free ,,,12.95,12.95,3
RC,302,Insulin; total ,,,11.43,11.43,3
RC,302,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,302,Intrinsic factor ,,,19.82,19.82,3
RC,302,Intrinsic factor antibodies ,1451.26,1451.26,15.08,15.08,3
RC,302,Iron ,,,6.47,6.47,3
RC,302,Iron binding capacity ,,,8.74,8.74,3
RC,302,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,302,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,302,Islet cell antibody ,,,23.57,23.57,3
RC,302,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,302,Itraconazole ,,,27.11,27.11,3
RC,302,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,302,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,302,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,302,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,302,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,302,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,302,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,302,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,302,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,302,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,302,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,302,Lacosamide ,,,27.11,27.11,3
RC,302,Lactate (lactic acid) ,,,11.57,11.57,3
RC,302,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,302,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,302,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,302,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,302,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,302,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,302,Lamotrigine ,,,13.25,13.25,3
RC,302,Lead ,,,12.11,12.11,3
RC,302,Leflunomide ,,,38.57,38.57,3
RC,302,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,302,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,302,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,302,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,302,Leukocyte transfusion ,,,149.16,149.16,3
RC,302,Levetiracetam ,,,13.25,13.25,3
RC,302,Lidocaine ,,,14.69,14.69,3
RC,302,Lipase ,,,6.89,6.89,3
RC,302,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,302,Lipoprotein (a) ,,,14.32,14.32,3
RC,302,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,302,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,302,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,302,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,302,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,302,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,302,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,302,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,302,Lithium ,,,6.61,6.61,3
RC,302,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,302,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,302,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,302,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,302,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,302,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,302,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,302,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,302,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,302,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,302,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,302,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,302,Magnesium ,,,6.7,6.7,3
RC,302,Malate dehydrogenase ,,,7.37,7.37,3
RC,302,Manganese ,,,26.65,26.65,3
RC,302,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,302,"Meat fibers, feces ",,,4.85,4.85,3
RC,302,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,302,"Mercury, quantitative ",,,16.26,16.26,3
RC,302,Metanephrines ,,,16.94,16.94,3
RC,302,Methemalbumin ,,,10.74,10.74,3
RC,302,Methotrexate ,,,38.57,38.57,3
RC,302,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,302,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,302,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,302,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,302,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,302,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,302,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,302,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,302,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,302,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,302,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,302,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,302,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,302,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,302,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,302,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,302,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,302,Muramidase ,,,18.75,18.75,3
RC,302,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,302,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,302,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,302,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,302,Myoglobin ,,,12.92,12.92,3
RC,302,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,302,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,302,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,302,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,302,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,302,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,302,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,302,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,302,Natriuretic peptide ,,,39.26,39.26,3
RC,302,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,302,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,302,"Neutralization test, viral ",,,16.91,16.91,3
RC,302,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,302,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,302,Nickel ,,,24.51,24.51,3
RC,302,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,302,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,302,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,302,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,302,Nucleotidase 5'- ,,,11.15,11.15,3
RC,302,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,302,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,302,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,302,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,302,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,302,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,302,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,302,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,302,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,302,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,302,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,302,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,302,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,302,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,302,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,302,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,302,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,302,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,302,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,302,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,302,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,302,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,302,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,302,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,302,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,302,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,302,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,302,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,302,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,302,Osmolality; blood ,,,6.61,6.61,3
RC,302,Osmolality; urine ,,,6.82,6.82,3
RC,302,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,302,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,302,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,302,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,302,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,302,Oxalate ,,,14.45,14.45,3
RC,302,Oxcarbazepine ,,,13.25,13.25,3
RC,302,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,302,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,302,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,302,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,302,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,302,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,302,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,302,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,302,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,302,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,302,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,302,Phenobarbital ,,,15.3,15.3,3
RC,302,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,302,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,302,Phenytoin; free ,,,13.76,13.76,3
RC,302,Phenytoin; total ,,,13.25,13.25,3
RC,302,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,302,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,302,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,302,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,302,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,302,Phosphatidylglycerol ,,,16.52,16.52,3
RC,302,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,302,Phosphohexose isomerase ,,,10.73,10.73,3
RC,302,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,302,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,302,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,302,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,302,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,302,Pinworm examinations ,,,4.27,4.27,3
RC,302,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,302,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,302,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,302,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,302,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,302,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,302,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,302,Posaconazole ,,,27.11,27.11,3
RC,302,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,302,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,302,Potassium; urine ,,,4.73,4.73,3
RC,302,Prealbumin ,,,14.59,14.59,3
RC,302,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,302,Pregnanediol ,,,21.27,21.27,3
RC,302,Pregnanetriol ,,,21.05,21.05,3
RC,302,Pregnenolone ,,,20.67,20.67,3
RC,302,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,302,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",756.91,756.91,149.16,149.16,3
RC,302,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",238.38,238.38,33.84,33.84,3
RC,302,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",607.91,607.91,33.84,33.84,3
RC,302,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,302,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",518.53,518.53,149.16,149.16,3
RC,302,Primidone ,,,16.59,16.59,3
RC,302,Procainamide; ,,,60.0,60.0,3
RC,302,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,302,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,302,Progesterone ,,,20.86,20.86,3
RC,302,Proinsulin ,,,26.69,26.69,3
RC,302,Prolactin ,,,19.38,19.38,3
RC,302,"Prostaglandin, each ",,,41.77,41.77,3
RC,302,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,302,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,302,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,302,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,302,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,302,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,302,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,302,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,302,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,302,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,302,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,302,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,302,Prothrombin time; ,,,4.29,4.29,3
RC,302,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,302,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,302,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,302,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,302,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,302,Pyruvate ,,,14.48,14.48,3
RC,302,Pyruvate kinase ,,,9.44,9.44,3
RC,302,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,302,Quinidine ,,,14.6,14.6,3
RC,302,Quinine ,,,11.63,11.63,3
RC,302,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,302,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,302,Receptor assay; estrogen ,,,87.88,87.88,3
RC,302,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,302,Receptor assay; progesterone ,,,64.88,64.88,3
RC,302,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,302,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,302,Renin ,,,21.99,21.99,3
RC,302,Reptilase test ,,,9.85,9.85,3
RC,302,Reticulated platelet assay ,,,35.74,35.74,3
RC,302,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,302,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,302,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,302,Rufinamide ,,,27.11,27.11,3
RC,302,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,302,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,302,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,302,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,302,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,302,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,302,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,302,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,302,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,302,Salicylate ,,,18.64,18.64,3
RC,302,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,302,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,302,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,302,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,302,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,302,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,302,Selenium ,,,25.53,25.53,3
RC,302,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,302,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,302,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,302,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,302,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,302,Serotonin ,,,30.98,30.98,3
RC,302,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,302,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,302,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,302,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,302,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,302,Sialic acid ,,,13.44,13.44,3
RC,302,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,302,Silica ,,,25.21,25.21,3
RC,302,Sirolimus ,,,13.73,13.73,3
RC,302,Skin test; candida ,,,24.67,24.67,3
RC,302,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,302,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,302,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,302,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,302,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,302,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,302,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,302,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,302,Sodium; other source ,,,4.86,4.86,3
RC,302,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,302,Sodium; urine ,,,5.06,5.06,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,302,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,302,Somatomedin ,,,21.26,21.26,3
RC,302,Somatostatin ,,,18.28,18.28,3
RC,302,Specific gravity (except urine) ,,,3.28,3.28,3
RC,302,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,302,Sperm antibodies ,,,10.67,10.67,3
RC,302,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,302,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,302,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,302,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,302,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,302,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,302,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,302,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,302,"Stem cells (ie, CD34), total count ",891.04,891.04,77.78,77.78,3
RC,302,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,302,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,302,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,302,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,302,"Streptokinase, antibody ",,,12.66,12.66,3
RC,302,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,302,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,302,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,302,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,302,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,302,"Sulfate, urine ",,,5.49,5.49,3
RC,302,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,302,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,302,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,302,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,302,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,302,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,302,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,302,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,302,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,302,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,302,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,302,"T cells; absolute CD4 and CD8 count, including ratio ",1394.67,1394.67,46.98,46.98,3
RC,302,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,302,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,302,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,302,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,302,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,302,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,302,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,302,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,302,Tacrolimus ,,,13.73,13.73,3
RC,302,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,302,"Tau, total (tTau) ",,,128.92,128.92,3
RC,302,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,302,Testosterone; free ,,,25.47,25.47,3
RC,302,Testosterone; total ,,,25.81,25.81,3
RC,302,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,302,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,302,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,302,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,302,Theophylline ,,,14.14,14.14,3
RC,302,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,302,Thiocyanate ,,,11.63,11.63,3
RC,302,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,302,Thrombin time; plasma ,,,5.77,5.77,3
RC,302,Thrombin time; titer ,,,6.85,6.85,3
RC,302,Thrombomodulin ,,,17.27,17.27,3
RC,302,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,302,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,302,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,302,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,302,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,302,Thyroglobulin ,,,16.06,16.06,3
RC,302,Thyroglobulin antibody ,573.0,573.0,15.91,15.91,3
RC,302,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,302,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,302,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,302,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,302,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,302,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,302,Thyroxine; free ,,,9.02,9.02,3
RC,302,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,302,Thyroxine; total ,,,6.87,6.87,3
RC,302,Tiagabine ,,,27.11,27.11,3
RC,302,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,302,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,302,Tobramycin ,,,16.13,16.13,3
RC,302,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,302,Topiramate ,,,11.92,11.92,3
RC,302,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,302,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,302,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,302,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,302,Transferrin ,,,12.76,12.76,3
RC,302,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,302,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,302,Triglycerides ,,,5.74,5.74,3
RC,302,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,302,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,302,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,302,"Troponin, qualitative ",,,10.09,10.09,3
RC,302,"Troponin, quantitative ",,,12.47,12.47,3
RC,302,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,302,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,302,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,302,Tyrosine ,,,10.63,10.63,3
RC,302,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,302,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,302,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,302,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,302,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,302,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,302,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,302,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,302,Uric acid; blood ,,,4.52,4.52,3
RC,302,Uric acid; other source ,,,5.08,5.08,3
RC,302,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,302,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,302,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,302,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,302,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,302,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,302,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,302,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,302,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,302,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,302,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,302,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,302,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,302,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,302,Vancomycin ,,,13.54,13.54,3
RC,302,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,302,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,302,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,302,Vedolizumab ,,,38.57,38.57,3
RC,302,Very long chain fatty acids ,,,19.75,19.75,3
RC,302,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,302,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,302,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,302,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,302,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,302,Viscosity ,,,11.67,11.67,3
RC,302,Vitamin A ,,,11.61,11.61,3
RC,302,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,302,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,302,Vitamin K ,,,13.72,13.72,3
RC,302,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,302,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,302,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,302,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,302,Voriconazole ,,,27.11,27.11,3
RC,302,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,302,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,302,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,302,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,302,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,302,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,302,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,302,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,302,Zinc ,,,11.39,11.39,3
RC,302,Zonisamide ,,,13.25,13.25,3
RC,302,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,302,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,302,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,303, Laboratory Renal Patient (Home)  ,,,,,0
RC,303,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,303,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,303,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,303,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,303,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,303,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,303,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,303,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,303,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,303,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,303,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,303,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,Acetaminophen ,,,18.64,18.64,3
RC,303,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,303,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,303,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,303,Acetylcholinesterase ,,,12.29,12.29,3
RC,303,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,303,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,303,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,303,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,303,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,303,Adalimumab ,,,38.57,38.57,3
RC,303,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,303,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,303,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,303,Albumin; ischemia modified ,,,33.94,33.94,3
RC,303,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,303,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,303,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,303,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,303,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,303,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,303,Aldolase ,,,9.71,9.71,3
RC,303,Aldosterone ,,,40.75,40.75,3
RC,303,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,303,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,303,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,303,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,303,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,303,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,303,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,303,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,303,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,303,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,303,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,303,Aluminum ,,,25.48,25.48,3
RC,303,Amikacin ,,,15.08,15.08,3
RC,303,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,303,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,303,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,303,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,303,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,303,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,303,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,303,Amiodarone ,,,18.64,18.64,3
RC,303,Ammonia ,,,14.57,14.57,3
RC,303,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,303,Amylase ,,,6.48,6.48,3
RC,303,Androstanediol glucuronide ,,,28.83,28.83,3
RC,303,Androstenedione ,,,29.28,29.28,3
RC,303,Androsterone ,,,25.55,25.55,3
RC,303,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,303,Angiotensin II ,,,20.52,20.52,3
RC,303,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,303,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,303,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,303,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,303,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,303,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,303,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,303,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,303,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,303,Antibody; Aspergillus ,,,15.05,15.05,3
RC,303,Antibody; Bartonella ,,,10.18,10.18,3
RC,303,Antibody; Blastomyces ,,,12.9,12.9,3
RC,303,Antibody; Bordetella ,,,13.19,13.19,3
RC,303,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,303,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,303,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,303,Antibody; Brucella ,,,8.93,8.93,3
RC,303,Antibody; Campylobacter ,,,13.12,13.12,3
RC,303,Antibody; Candida ,,,12.01,12.01,3
RC,303,Antibody; Chlamydia ,,,11.82,11.82,3
RC,303,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,303,Antibody; Coccidioides ,,,11.47,11.47,3
RC,303,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,303,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,303,Antibody; Diphtheria ,,,15.21,15.21,3
RC,303,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,303,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,303,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,303,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,303,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,303,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,303,Antibody; HIV-1 ,,,8.89,8.89,3
RC,303,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,303,Antibody; HIV-2 ,,,13.52,13.52,3
RC,303,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,303,Antibody; HTLV-I ,,,9.09,9.09,3
RC,303,Antibody; HTLV-II ,,,14.0,14.0,3
RC,303,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,303,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,303,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,303,Antibody; Legionella ,,,15.3,15.3,3
RC,303,Antibody; Leishmania ,,,12.25,12.25,3
RC,303,Antibody; Leptospira ,,,16.2,16.2,3
RC,303,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,303,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,303,Antibody; Nocardia ,,,15.99,15.99,3
RC,303,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,303,Antibody; Rickettsia ,,,19.35,19.35,3
RC,303,Antibody; Salmonella ,,,13.19,13.19,3
RC,303,Antibody; Shigella ,,,24.48,24.48,3
RC,303,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,303,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,303,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,303,Antibody; Trichinella ,,,12.56,12.56,3
RC,303,Antibody; West Nile virus ,,,14.39,14.39,3
RC,303,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,303,Antibody; Yersinia ,,,13.19,13.19,3
RC,303,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,303,Antibody; actinomyces ,,,10.18,10.18,3
RC,303,Antibody; adenovirus ,,,12.87,12.87,3
RC,303,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,303,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,303,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,303,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,303,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,303,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,303,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,303,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,303,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,303,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,303,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,303,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,303,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,303,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,303,Antibody; histoplasma ,,,13.79,13.79,3
RC,303,Antibody; influenza virus ,,,13.55,13.55,3
RC,303,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,303,Antibody; mucormycosis ,,,15.0,15.0,3
RC,303,Antibody; mumps ,,,13.05,13.05,3
RC,303,Antibody; mycoplasma ,,,13.24,13.24,3
RC,303,Antibody; parvovirus ,,,15.03,15.03,3
RC,303,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,303,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,303,Antibody; rotavirus ,,,18.23,18.23,3
RC,303,Antibody; rubella ,,,14.39,14.39,3
RC,303,Antibody; rubeola ,,,12.88,12.88,3
RC,303,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,303,Antibody; tetanus ,,,14.8,14.8,3
RC,303,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,303,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,303,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,303,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,303,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,303,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,303,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,303,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,303,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,303,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,303,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,303,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,303,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,303,"Apolipoprotein, each ",,,21.09,21.09,3
RC,303,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,303,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,303,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,303,Arsenic ,,,18.97,18.97,3
RC,303,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,303,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,303,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,303,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,303,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,303,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,303,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,303,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,303,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,303,"B cells, total count ",,,37.73,37.73,3
RC,303,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,303,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,303,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,303,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,303,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,303,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,303,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,303,Beta-2 microglobulin ,,,16.18,16.18,3
RC,303,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,303,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,303,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,303,Bile acids; total ,,,17.12,17.12,3
RC,303,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,303,Bilirubin; direct ,,,5.02,5.02,3
RC,303,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,303,Bilirubin; total ,,,5.02,5.02,3
RC,303,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,303,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,303,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,303,Bleeding time ,,,4.82,4.82,3
RC,303,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,303,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,303,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,303,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,303,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,303,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,303,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,303,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,303,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,303,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,303,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,303,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,303,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,303,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,303,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,303,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,303,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,303,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,303,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,303,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,303,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,303,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,303,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,303,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,303,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,303,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,303,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,303,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,303,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,303,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,303,Bradykinin ,,,5.16,5.16,3
RC,303,C-peptide ,,,20.81,20.81,3
RC,303,C-reactive protein; ,,,5.18,5.18,3
RC,303,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,303,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,303,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,303,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,303,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,303,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,303,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,303,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,303,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,303,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,303,Cadmium ,,,23.64,23.64,3
RC,303,Caffeine ,,,38.57,38.57,3
RC,303,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,303,Calcitonin ,,,26.79,26.79,3
RC,303,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,303,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,303,Calcium; ionized ,,,13.68,13.68,3
RC,303,Calcium; total ,,,5.16,5.16,3
RC,303,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,303,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,303,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,303,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,303,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,303,"Calprotectin, fecal ",,,19.63,19.63,3
RC,303,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,303,Carbamazepine; free ,,,13.25,13.25,3
RC,303,Carbamazepine; total ,,,14.57,14.57,3
RC,303,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,303,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,303,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,303,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,303,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,303,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,303,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,303,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,303,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,303,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,303,Carotene ,,,9.22,9.22,3
RC,303,Catecholamines; blood ,,,29.08,29.08,3
RC,303,Catecholamines; fractionated ,,,25.25,25.25,3
RC,303,Catecholamines; total urine ,,,27.3,27.3,3
RC,303,Cathepsin-D ,,,18.06,18.06,3
RC,303,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,303,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,303,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,303,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,303,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,303,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,303,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,303,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,303,Ceruloplasmin ,,,10.74,10.74,3
RC,303,Chemiluminescent assay ,,,14.12,14.12,3
RC,303,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,303,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,303,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,303,Chloramphenicol ,,,12.67,12.67,3
RC,303,Chloride; blood ,,,4.6,4.6,3
RC,303,Chloride; other source ,,,5.0,5.0,3
RC,303,Chloride; urine ,,,5.75,5.75,3
RC,303,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,303,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,303,Cholinesterase; RBC ,,,9.81,9.81,3
RC,303,Cholinesterase; serum ,,,7.87,7.87,3
RC,303,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,303,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,303,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,303,Chromium ,,,20.28,20.28,3
RC,303,Chromogenic substrate assay ,,,11.89,11.89,3
RC,303,Citrate ,,,27.8,27.8,3
RC,303,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,303,Clot retraction ,,,16.3,16.3,3
RC,303,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,303,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,303,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,303,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,303,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,303,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,303,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,303,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,303,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,303,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,303,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,303,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,303,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,303,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,303,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,303,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,303,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,303,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,303,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,303,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,303,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,303,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,303,Clozapine ,,,20.15,20.15,3
RC,303,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,303,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,303,Coagulation time; activated ,,,4.28,4.28,3
RC,303,Coagulation time; other methods ,,,4.49,4.49,3
RC,303,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,303,Cold agglutinin; screen ,,,8.07,8.07,3
RC,303,Cold agglutinin; titer ,,,8.06,8.06,3
RC,303,"Collagen cross links, any method ",,,18.68,18.68,3
RC,303,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,303,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,303,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,303,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,303,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,303,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,303,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,303,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,303,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,303,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,303,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,303,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,303,"Complement; antigen, each component ",,,12.0,12.0,3
RC,303,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,303,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,303,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,303,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,303,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,303,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,303,"Congo red, blood ",,,4.95,4.95,3
RC,303,Copper ,,,12.41,12.41,3
RC,303,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,303,Corticosterone ,,,22.52,22.52,3
RC,303,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,303,Cortisol; free ,,,16.71,16.71,3
RC,303,Cortisol; total ,,,16.3,16.3,3
RC,303,Creatine ,,,4.64,4.64,3
RC,303,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,303,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,303,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,303,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,303,Creatinine; blood ,,,5.12,5.12,3
RC,303,Creatinine; clearance ,,,9.46,9.46,3
RC,303,Creatinine; other source ,,,5.18,5.18,3
RC,303,Cryofibrinogen ,,,14.14,14.14,3
RC,303,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,303,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,303,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,303,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,303,Cryopreservation; sperm ,,,149.16,149.16,3
RC,303,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,303,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,303,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,303,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,303,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,303,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,303,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,303,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,303,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,303,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,303,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,303,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,303,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,303,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,303,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,303,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,303,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,303,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,303,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,303,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,303,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,303,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,303,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,303,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,303,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,303,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,303,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,303,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,303,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,303,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,303,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,303,"Culture, typing; other methods ",,,7.74,7.74,3
RC,303,Cyanide ,,,19.4,19.4,3
RC,303,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,303,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,303,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,303,Cyclosporine ,,,18.05,18.05,3
RC,303,Cystatin C ,,,18.52,18.52,3
RC,303,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,303,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,303,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,303,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,303,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,303,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,303,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,303,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,303,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,303,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,303,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,303,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,303,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,303,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,303,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,303,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,303,Dibucaine number ,,,12.25,12.25,3
RC,303,Digoxin; free ,,,13.28,13.28,3
RC,303,Digoxin; total ,,,13.28,13.28,3
RC,303,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,303,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,303,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,303,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,303,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,303,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,303,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,303,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,303,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,303,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,303,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,303,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,303,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,303,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,303,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,303,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,303,Erythropoietin ,,,18.79,18.79,3
RC,303,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,303,Estradiol; total ,,,27.94,27.94,3
RC,303,Estriol ,,,24.18,24.18,3
RC,303,Estrogens; fractionated ,,,32.3,32.3,3
RC,303,Estrogens; total ,,,21.7,21.7,3
RC,303,Estrone ,,,24.95,24.95,3
RC,303,Ethosuximide ,,,16.34,16.34,3
RC,303,Ethylene glycol ,,,14.9,14.9,3
RC,303,Etiocholanolone ,,,26.24,26.24,3
RC,303,Euglobulin lysis ,,,8.41,8.41,3
RC,303,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,303,Everolimus ,,,13.73,13.73,3
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,303,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,303,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,303,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,303,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,303,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,303,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,303,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,303,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,303,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,303,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,303,Factor inhibitor test ,,,12.87,12.87,3
RC,303,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,303,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,303,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,303,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,303,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,303,Felbamate ,,,18.64,18.64,3
RC,303,Fern test ,,,9.74,9.74,3
RC,303,Ferritin ,,,13.63,13.63,3
RC,303,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,303,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,303,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,303,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,303,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,303,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,303,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,303,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,303,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,303,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,303,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,303,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,303,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,303,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,303,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,303,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,303,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,303,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,303,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,303,Fibrinogen; activity ,,,9.72,9.72,3
RC,303,Fibrinogen; antigen ,,,14.46,14.46,3
RC,303,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,303,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,303,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,303,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,303,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,303,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,303,Flecainide ,,,18.64,18.64,3
RC,303,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,303,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,303,Fluoride ,,,18.54,18.54,3
RC,303,Folic acid; RBC ,,,17.65,17.65,3
RC,303,Folic acid; serum ,,,14.7,14.7,3
RC,303,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,303,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,303,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,303,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,303,"Fructose, semen ",,,17.34,17.34,3
RC,303,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,303,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,303,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,303,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,303,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,303,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,303,"Galactokinase, RBC ",,,21.48,21.48,3
RC,303,Galactose ,,,11.2,11.2,3
RC,303,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,303,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,303,Galectin-3 ,,,44.25,44.25,3
RC,303,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,303,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,303,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,303,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,303,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,303,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,303,"Gases, blood, pH only ",,,11.0,11.0,3
RC,303,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,303,Gastrin ,,,17.63,17.63,3
RC,303,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,303,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,303,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,303,Gentamicin ,,,16.38,16.38,3
RC,303,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,303,Glucagon ,,,14.29,14.29,3
RC,303,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,303,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,303,Glucagon tolerance test ,,,17.77,17.77,3
RC,303,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,303,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,303,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,303,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,303,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,303,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,303,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,303,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,303,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,303,"Glucosidase, beta ",,,21.48,21.48,3
RC,303,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,303,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,303,Glutathione ,,,15.45,15.45,3
RC,303,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,303,Glycated protein ,,,16.76,16.76,3
RC,303,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,303,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,303,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,303,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,303,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,303,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,303,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,303,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,303,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,303,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,303,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,303,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,303,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,303,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,303,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,303,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,303,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,303,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,303,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,303,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,303,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,303,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,303,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,303,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,303,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,303,Haloperidol ,,,15.78,15.78,3
RC,303,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,303,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,303,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,303,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,303,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,303,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,303,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,303,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,303,Heinz bodies; direct ,,,4.2,4.2,3
RC,303,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,303,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,303,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,303,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,303,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,303,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,303,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,303,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,303,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,303,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,303,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,303,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,303,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,303,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,303,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,303,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,303,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,303,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,303,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,303,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,303,Hemoglobin; plasma ,,,7.31,7.31,3
RC,303,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,303,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,303,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,303,Hemoglobin; urine ,,,3.95,3.95,3
RC,303,"Hemolysin, acid ",,,8.87,8.87,3
RC,303,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,303,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,303,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,303,Heparin assay ,,,13.09,13.09,3
RC,303,Heparin neutralization ,,,11.84,11.84,3
RC,303,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,303,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,303,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,303,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,303,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,303,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,303,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,303,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,303,Hepatitis C antibody; ,,,14.27,14.27,3
RC,303,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,303,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,303,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,303,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,303,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,303,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,303,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,303,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,303,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,303,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,303,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,303,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,303,Histamine ,,,29.53,29.53,3
RC,303,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,303,Homocysteine ,,,17.92,17.92,3
RC,303,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,303,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,303,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,303,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,303,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,303,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,303,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,303,Hydroxychloroquine ,,,18.64,18.64,3
RC,303,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,303,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,303,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,303,Hydroxyproline; free ,,,22.65,22.65,3
RC,303,Hydroxyproline; total ,,,24.3,24.3,3
RC,303,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,303,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,303,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,303,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,303,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,303,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,303,Immune complex assay ,,,24.37,24.37,3
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,303,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,303,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,303,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,303,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,303,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,303,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,303,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,303,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,303,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,303,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,303,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,303,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,303,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,303,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,303,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,303,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,303,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,303,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,303,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,303,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,303,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,303,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,303,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,303,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,303,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,303,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,303,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,303,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,303,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,303,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,303,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,303,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,303,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,303,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,303,Infliximab ,,,38.57,38.57,3
RC,303,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,303,Inhibin A ,,,15.59,15.59,3
RC,303,Insemination of oocytes ,,,149.16,149.16,3
RC,303,Insulin antibodies ,,,21.41,21.41,3
RC,303,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,303,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,303,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,303,Insulin; free ,,,12.95,12.95,3
RC,303,Insulin; total ,,,11.43,11.43,3
RC,303,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,303,Intrinsic factor ,,,19.82,19.82,3
RC,303,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,303,Iron ,,,6.47,6.47,3
RC,303,Iron binding capacity ,,,8.74,8.74,3
RC,303,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,303,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,303,Islet cell antibody ,,,23.57,23.57,3
RC,303,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,303,Itraconazole ,,,27.11,27.11,3
RC,303,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,303,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,303,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,303,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,303,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,303,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,303,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,303,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,303,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,303,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,303,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,303,Lacosamide ,,,27.11,27.11,3
RC,303,Lactate (lactic acid) ,,,11.57,11.57,3
RC,303,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,303,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,303,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,303,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,303,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,303,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,303,Lamotrigine ,,,13.25,13.25,3
RC,303,Lead ,,,12.11,12.11,3
RC,303,Leflunomide ,,,38.57,38.57,3
RC,303,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,303,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,303,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,303,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,303,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,303,Leukocyte transfusion ,,,149.16,149.16,3
RC,303,Levetiracetam ,,,13.25,13.25,3
RC,303,Lidocaine ,,,14.69,14.69,3
RC,303,Lipase ,,,6.89,6.89,3
RC,303,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,303,Lipoprotein (a) ,,,14.32,14.32,3
RC,303,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,303,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,303,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,303,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,303,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,303,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,303,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,303,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,303,Lithium ,,,6.61,6.61,3
RC,303,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,303,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,303,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,303,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,303,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,303,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,303,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,303,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,303,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,303,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,303,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,303,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,303,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,303,Magnesium ,,,6.7,6.7,3
RC,303,Malate dehydrogenase ,,,7.37,7.37,3
RC,303,Manganese ,,,26.65,26.65,3
RC,303,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,303,"Meat fibers, feces ",,,4.85,4.85,3
RC,303,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,303,"Mercury, quantitative ",,,16.26,16.26,3
RC,303,Metanephrines ,,,16.94,16.94,3
RC,303,Methemalbumin ,,,10.74,10.74,3
RC,303,Methotrexate ,,,38.57,38.57,3
RC,303,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,303,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,303,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,303,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,303,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,303,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,303,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,303,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,303,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,303,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,303,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,303,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,303,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,303,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,303,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,303,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,303,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,303,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,303,Muramidase ,,,18.75,18.75,3
RC,303,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,303,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,303,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,303,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,303,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,303,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,303,Myoglobin ,,,12.92,12.92,3
RC,303,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,303,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,303,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,303,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,303,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,303,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,303,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,303,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,303,Natriuretic peptide ,,,39.26,39.26,3
RC,303,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,303,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,303,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,303,"Neutralization test, viral ",,,16.91,16.91,3
RC,303,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,303,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,303,Nickel ,,,24.51,24.51,3
RC,303,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,303,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,303,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,303,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,303,Nucleotidase 5'- ,,,11.15,11.15,3
RC,303,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,303,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,303,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,303,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,303,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,303,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,303,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,303,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,303,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,303,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,303,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,303,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,303,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,303,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,303,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,303,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,303,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,303,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,303,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,303,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,303,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,303,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,303,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,303,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,303,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,303,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,303,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,303,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,303,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,303,Osmolality; blood ,,,6.61,6.61,3
RC,303,Osmolality; urine ,,,6.82,6.82,3
RC,303,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,303,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,303,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,303,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,303,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,303,Oxalate ,,,14.45,14.45,3
RC,303,Oxcarbazepine ,,,13.25,13.25,3
RC,303,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,303,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,303,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,303,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,303,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,303,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,303,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,303,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,303,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,303,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,303,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,303,Phenobarbital ,,,15.3,15.3,3
RC,303,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,303,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,303,Phenytoin; free ,,,13.76,13.76,3
RC,303,Phenytoin; total ,,,13.25,13.25,3
RC,303,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,303,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,303,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,303,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,303,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,303,Phosphatidylglycerol ,,,16.52,16.52,3
RC,303,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,303,Phosphohexose isomerase ,,,10.73,10.73,3
RC,303,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,303,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,303,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,303,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,303,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,303,Pinworm examinations ,,,4.27,4.27,3
RC,303,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,303,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,303,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,303,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,303,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,303,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,303,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,303,Posaconazole ,,,27.11,27.11,3
RC,303,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,303,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,303,Potassium; urine ,,,4.73,4.73,3
RC,303,Prealbumin ,,,14.59,14.59,3
RC,303,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,303,Pregnanediol ,,,21.27,21.27,3
RC,303,Pregnanetriol ,,,21.05,21.05,3
RC,303,Pregnenolone ,,,20.67,20.67,3
RC,303,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,303,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,303,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,303,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,303,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,303,Primidone ,,,16.59,16.59,3
RC,303,Procainamide; ,,,60.0,60.0,3
RC,303,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,303,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,303,Progesterone ,,,20.86,20.86,3
RC,303,Proinsulin ,,,26.69,26.69,3
RC,303,Prolactin ,,,19.38,19.38,3
RC,303,"Prostaglandin, each ",,,41.77,41.77,3
RC,303,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,303,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,303,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,303,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,303,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,303,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,303,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,303,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,303,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,303,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,303,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,303,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,303,Prothrombin time; ,,,4.29,4.29,3
RC,303,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,303,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,303,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,303,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,303,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,303,Pyruvate ,,,14.48,14.48,3
RC,303,Pyruvate kinase ,,,9.44,9.44,3
RC,303,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,303,Quinidine ,,,14.6,14.6,3
RC,303,Quinine ,,,11.63,11.63,3
RC,303,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,303,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,303,Receptor assay; estrogen ,,,87.88,87.88,3
RC,303,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,303,Receptor assay; progesterone ,,,64.88,64.88,3
RC,303,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,303,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,303,Renin ,,,21.99,21.99,3
RC,303,Reptilase test ,,,9.85,9.85,3
RC,303,Reticulated platelet assay ,,,35.74,35.74,3
RC,303,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,303,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,303,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,303,Rufinamide ,,,27.11,27.11,3
RC,303,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,303,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,303,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,303,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,303,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,303,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,303,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,303,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,303,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,303,Salicylate ,,,18.64,18.64,3
RC,303,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,303,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,303,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,303,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,303,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,303,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,303,Selenium ,,,25.53,25.53,3
RC,303,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,303,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,303,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,303,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,303,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,303,Serotonin ,,,30.98,30.98,3
RC,303,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,303,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,303,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,303,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,303,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,303,Sialic acid ,,,13.44,13.44,3
RC,303,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,303,Silica ,,,25.21,25.21,3
RC,303,Sirolimus ,,,13.73,13.73,3
RC,303,Skin test; candida ,,,24.67,24.67,3
RC,303,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,303,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,303,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,303,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,303,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,303,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,303,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,303,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,303,Sodium; other source ,,,4.86,4.86,3
RC,303,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,303,Sodium; urine ,,,5.06,5.06,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,303,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,303,Somatomedin ,,,21.26,21.26,3
RC,303,Somatostatin ,,,18.28,18.28,3
RC,303,Specific gravity (except urine) ,,,3.28,3.28,3
RC,303,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,303,Sperm antibodies ,,,10.67,10.67,3
RC,303,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,303,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,303,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,303,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,303,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,303,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,303,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,303,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,303,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,303,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,303,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,303,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,303,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,303,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,303,"Streptokinase, antibody ",,,12.66,12.66,3
RC,303,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,303,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,303,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,303,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,303,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,303,"Sulfate, urine ",,,5.49,5.49,3
RC,303,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,303,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,303,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,303,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,303,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,303,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,303,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,303,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,303,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,303,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,303,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,303,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,303,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,303,T cells; total count ,,,37.73,37.73,3
RC,303,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,303,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,303,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,303,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,303,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,303,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,303,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,303,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,303,Tacrolimus ,,,13.73,13.73,3
RC,303,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,303,"Tau, total (tTau) ",,,128.92,128.92,3
RC,303,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,303,Testosterone; free ,,,25.47,25.47,3
RC,303,Testosterone; total ,,,25.81,25.81,3
RC,303,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,303,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,303,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,303,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,303,Theophylline ,,,14.14,14.14,3
RC,303,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,303,Thiocyanate ,,,11.63,11.63,3
RC,303,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,303,Thrombin time; plasma ,,,5.77,5.77,3
RC,303,Thrombin time; titer ,,,6.85,6.85,3
RC,303,Thrombomodulin ,,,17.27,17.27,3
RC,303,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,303,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,303,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,303,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,303,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,303,Thyroglobulin ,,,16.06,16.06,3
RC,303,Thyroglobulin antibody ,,,15.91,15.91,3
RC,303,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,303,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,303,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,303,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,303,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,303,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,303,Thyroxine; free ,,,9.02,9.02,3
RC,303,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,303,Thyroxine; total ,,,6.87,6.87,3
RC,303,Tiagabine ,,,27.11,27.11,3
RC,303,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,303,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,303,Tobramycin ,,,16.13,16.13,3
RC,303,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,303,Topiramate ,,,11.92,11.92,3
RC,303,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,303,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,303,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,303,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,303,Transferrin ,,,12.76,12.76,3
RC,303,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,303,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,303,Triglycerides ,,,5.74,5.74,3
RC,303,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,303,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,303,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,303,"Troponin, qualitative ",,,10.09,10.09,3
RC,303,"Troponin, quantitative ",,,12.47,12.47,3
RC,303,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,303,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,303,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,303,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,303,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,303,Tyrosine ,,,10.63,10.63,3
RC,303,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,303,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,303,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,303,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,303,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,303,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,303,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,303,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,303,Uric acid; blood ,,,4.52,4.52,3
RC,303,Uric acid; other source ,,,5.08,5.08,3
RC,303,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,303,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,303,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,303,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,303,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,303,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,303,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,303,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,303,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,303,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,303,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,303,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,303,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,303,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,303,Vancomycin ,,,13.54,13.54,3
RC,303,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,303,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,303,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,303,Vedolizumab ,,,38.57,38.57,3
RC,303,Very long chain fatty acids ,,,19.75,19.75,3
RC,303,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,303,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,303,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,303,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,303,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,303,Viscosity ,,,11.67,11.67,3
RC,303,Vitamin A ,,,11.61,11.61,3
RC,303,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,303,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,303,Vitamin K ,,,13.72,13.72,3
RC,303,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,303,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,303,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,303,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,303,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,303,Voriconazole ,,,27.11,27.11,3
RC,303,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,303,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,303,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,303,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,303,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,303,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,303,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,303,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,303,Zinc ,,,11.39,11.39,3
RC,303,Zonisamide ,,,13.25,13.25,3
RC,303,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,303,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,303,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,304, Laboratory Non-Routine Dialysis  ,,,,,0
RC,304,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,304,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,304,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,304,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,304,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,304,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,304,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,304,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,304,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,304,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,304,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,304,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,Acetaminophen ,,,18.64,18.64,3
RC,304,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,304,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,304,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,304,Acetylcholinesterase ,,,12.29,12.29,3
RC,304,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,304,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,304,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,304,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,304,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,304,Adalimumab ,,,38.57,38.57,3
RC,304,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,304,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,304,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,304,Albumin; ischemia modified ,,,33.94,33.94,3
RC,304,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,304,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,304,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,304,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,304,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,304,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,304,Aldolase ,,,9.71,9.71,3
RC,304,Aldosterone ,,,40.75,40.75,3
RC,304,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,304,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,304,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,304,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,304,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,304,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,304,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,304,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,304,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,304,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,304,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,304,Aluminum ,,,25.48,25.48,3
RC,304,Amikacin ,,,15.08,15.08,3
RC,304,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,304,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,304,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,304,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,304,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,304,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,304,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,304,Amiodarone ,,,18.64,18.64,3
RC,304,Ammonia ,,,14.57,14.57,3
RC,304,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,304,Amylase ,,,6.48,6.48,3
RC,304,Androstanediol glucuronide ,,,28.83,28.83,3
RC,304,Androstenedione ,,,29.28,29.28,3
RC,304,Androsterone ,,,25.55,25.55,3
RC,304,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,304,Angiotensin II ,,,20.52,20.52,3
RC,304,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,304,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,304,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,304,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,304,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,304,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,304,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,304,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,304,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,304,Antibody; Aspergillus ,,,15.05,15.05,3
RC,304,Antibody; Bartonella ,,,10.18,10.18,3
RC,304,Antibody; Blastomyces ,,,12.9,12.9,3
RC,304,Antibody; Bordetella ,,,13.19,13.19,3
RC,304,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,304,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,304,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,304,Antibody; Brucella ,,,8.93,8.93,3
RC,304,Antibody; Campylobacter ,,,13.12,13.12,3
RC,304,Antibody; Candida ,,,12.01,12.01,3
RC,304,Antibody; Chlamydia ,,,11.82,11.82,3
RC,304,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,304,Antibody; Coccidioides ,,,11.47,11.47,3
RC,304,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,304,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,304,Antibody; Diphtheria ,,,15.21,15.21,3
RC,304,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,304,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,304,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,304,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,304,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,304,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,304,Antibody; HIV-1 ,,,8.89,8.89,3
RC,304,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,304,Antibody; HIV-2 ,,,13.52,13.52,3
RC,304,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,304,Antibody; HTLV-I ,,,9.09,9.09,3
RC,304,Antibody; HTLV-II ,,,14.0,14.0,3
RC,304,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,304,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,304,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,304,Antibody; Legionella ,,,15.3,15.3,3
RC,304,Antibody; Leishmania ,,,12.25,12.25,3
RC,304,Antibody; Leptospira ,,,16.2,16.2,3
RC,304,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,304,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,304,Antibody; Nocardia ,,,15.99,15.99,3
RC,304,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,304,Antibody; Rickettsia ,,,19.35,19.35,3
RC,304,Antibody; Salmonella ,,,13.19,13.19,3
RC,304,Antibody; Shigella ,,,24.48,24.48,3
RC,304,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,304,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,304,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,304,Antibody; Trichinella ,,,12.56,12.56,3
RC,304,Antibody; West Nile virus ,,,14.39,14.39,3
RC,304,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,304,Antibody; Yersinia ,,,13.19,13.19,3
RC,304,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,304,Antibody; actinomyces ,,,10.18,10.18,3
RC,304,Antibody; adenovirus ,,,12.87,12.87,3
RC,304,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,304,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,304,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,304,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,304,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,304,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,304,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,304,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,304,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,304,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,304,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,304,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,304,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,304,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,304,Antibody; histoplasma ,,,13.79,13.79,3
RC,304,Antibody; influenza virus ,,,13.55,13.55,3
RC,304,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,304,Antibody; mucormycosis ,,,15.0,15.0,3
RC,304,Antibody; mumps ,,,13.05,13.05,3
RC,304,Antibody; mycoplasma ,,,13.24,13.24,3
RC,304,Antibody; parvovirus ,,,15.03,15.03,3
RC,304,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,304,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,304,Antibody; rotavirus ,,,18.23,18.23,3
RC,304,Antibody; rubella ,,,14.39,14.39,3
RC,304,Antibody; rubeola ,,,12.88,12.88,3
RC,304,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,304,Antibody; tetanus ,,,14.8,14.8,3
RC,304,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,304,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,304,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,304,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,304,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,304,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,304,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,304,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,304,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,304,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,304,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,304,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,304,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,304,"Apolipoprotein, each ",,,21.09,21.09,3
RC,304,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,304,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,304,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,304,Arsenic ,,,18.97,18.97,3
RC,304,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,304,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,304,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,304,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,304,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,304,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,304,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,304,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,304,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,304,"B cells, total count ",,,37.73,37.73,3
RC,304,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,304,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,304,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,304,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,304,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,304,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,304,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,304,Beta-2 microglobulin ,,,16.18,16.18,3
RC,304,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,304,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,304,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,304,Bile acids; total ,,,17.12,17.12,3
RC,304,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,304,Bilirubin; direct ,,,5.02,5.02,3
RC,304,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,304,Bilirubin; total ,,,5.02,5.02,3
RC,304,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,304,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,304,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,304,Bleeding time ,,,4.82,4.82,3
RC,304,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,304,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,304,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,304,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,304,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,304,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,304,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,304,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,304,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,304,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,304,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,304,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,304,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,304,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,304,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,304,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,304,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,304,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,304,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,304,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,304,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,304,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,304,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,304,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,304,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,304,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,304,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,304,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,304,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,304,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,304,Bradykinin ,,,5.16,5.16,3
RC,304,C-peptide ,,,20.81,20.81,3
RC,304,C-reactive protein; ,,,5.18,5.18,3
RC,304,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,304,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,304,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,304,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,304,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,304,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,304,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,304,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,304,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,304,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,304,Cadmium ,,,23.64,23.64,3
RC,304,Caffeine ,,,38.57,38.57,3
RC,304,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,304,Calcitonin ,,,26.79,26.79,3
RC,304,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,304,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,304,Calcium; ionized ,,,13.68,13.68,3
RC,304,Calcium; total ,,,5.16,5.16,3
RC,304,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,304,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,304,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,304,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,304,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,304,"Calprotectin, fecal ",,,19.63,19.63,3
RC,304,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,304,Carbamazepine; free ,,,13.25,13.25,3
RC,304,Carbamazepine; total ,,,14.57,14.57,3
RC,304,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,304,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,304,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,304,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,304,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,304,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,304,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,304,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,304,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,304,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,304,Carotene ,,,9.22,9.22,3
RC,304,Catecholamines; blood ,,,29.08,29.08,3
RC,304,Catecholamines; fractionated ,,,25.25,25.25,3
RC,304,Catecholamines; total urine ,,,27.3,27.3,3
RC,304,Cathepsin-D ,,,18.06,18.06,3
RC,304,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,304,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,304,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,304,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,304,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,304,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,304,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,304,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,304,Ceruloplasmin ,,,10.74,10.74,3
RC,304,Chemiluminescent assay ,,,14.12,14.12,3
RC,304,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,304,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,304,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,304,Chloramphenicol ,,,12.67,12.67,3
RC,304,Chloride; blood ,,,4.6,4.6,3
RC,304,Chloride; other source ,,,5.0,5.0,3
RC,304,Chloride; urine ,,,5.75,5.75,3
RC,304,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,304,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,304,Cholinesterase; RBC ,,,9.81,9.81,3
RC,304,Cholinesterase; serum ,,,7.87,7.87,3
RC,304,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,304,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,304,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,304,Chromium ,,,20.28,20.28,3
RC,304,Chromogenic substrate assay ,,,11.89,11.89,3
RC,304,Citrate ,,,27.8,27.8,3
RC,304,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,304,Clot retraction ,,,16.3,16.3,3
RC,304,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,304,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,304,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,304,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,304,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,304,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,304,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,304,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,304,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,304,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,304,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,304,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,304,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,304,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,304,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,304,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,304,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,304,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,304,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,304,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,304,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,304,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,304,Clozapine ,,,20.15,20.15,3
RC,304,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,304,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,304,Coagulation time; activated ,,,4.28,4.28,3
RC,304,Coagulation time; other methods ,,,4.49,4.49,3
RC,304,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,304,Cold agglutinin; screen ,,,8.07,8.07,3
RC,304,Cold agglutinin; titer ,,,8.06,8.06,3
RC,304,"Collagen cross links, any method ",,,18.68,18.68,3
RC,304,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,304,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,304,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,304,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,304,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,304,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,304,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,304,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,304,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,304,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,304,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,304,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,304,"Complement; antigen, each component ",,,12.0,12.0,3
RC,304,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,304,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,304,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,304,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,304,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,304,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,304,"Congo red, blood ",,,4.95,4.95,3
RC,304,Copper ,,,12.41,12.41,3
RC,304,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,304,Corticosterone ,,,22.52,22.52,3
RC,304,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,304,Cortisol; free ,,,16.71,16.71,3
RC,304,Cortisol; total ,,,16.3,16.3,3
RC,304,Creatine ,,,4.64,4.64,3
RC,304,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,304,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,304,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,304,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,304,Creatinine; blood ,,,5.12,5.12,3
RC,304,Creatinine; clearance ,,,9.46,9.46,3
RC,304,Creatinine; other source ,,,5.18,5.18,3
RC,304,Cryofibrinogen ,,,14.14,14.14,3
RC,304,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,304,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,304,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,304,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,304,Cryopreservation; sperm ,,,149.16,149.16,3
RC,304,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,304,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,304,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,304,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,304,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,304,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,304,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,304,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,304,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,304,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,304,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,304,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,304,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,304,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,304,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,304,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,304,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,304,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,304,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,304,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,304,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,304,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,304,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,304,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,304,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,304,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,304,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,304,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,304,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,304,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,304,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,304,"Culture, typing; other methods ",,,7.74,7.74,3
RC,304,Cyanide ,,,19.4,19.4,3
RC,304,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,304,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,304,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,304,Cyclosporine ,,,18.05,18.05,3
RC,304,Cystatin C ,,,18.52,18.52,3
RC,304,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,304,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,304,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,304,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,304,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,304,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,304,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,304,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,304,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,304,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,304,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,304,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,304,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,304,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,304,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,304,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,304,Dibucaine number ,,,12.25,12.25,3
RC,304,Digoxin; free ,,,13.28,13.28,3
RC,304,Digoxin; total ,,,13.28,13.28,3
RC,304,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,304,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,304,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,304,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,304,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,304,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,304,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,304,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,304,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,304,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,304,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,304,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,304,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,304,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,304,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,304,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,304,Erythropoietin ,,,18.79,18.79,3
RC,304,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,304,Estradiol; total ,,,27.94,27.94,3
RC,304,Estriol ,,,24.18,24.18,3
RC,304,Estrogens; fractionated ,,,32.3,32.3,3
RC,304,Estrogens; total ,,,21.7,21.7,3
RC,304,Estrone ,,,24.95,24.95,3
RC,304,Ethosuximide ,,,16.34,16.34,3
RC,304,Ethylene glycol ,,,14.9,14.9,3
RC,304,Etiocholanolone ,,,26.24,26.24,3
RC,304,Euglobulin lysis ,,,8.41,8.41,3
RC,304,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,304,Everolimus ,,,13.73,13.73,3
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,304,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,304,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,304,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,304,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,304,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,304,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,304,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,304,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,304,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,304,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,304,Factor inhibitor test ,,,12.87,12.87,3
RC,304,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,304,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,304,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,304,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,304,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,304,Felbamate ,,,18.64,18.64,3
RC,304,Fern test ,,,9.74,9.74,3
RC,304,Ferritin ,,,13.63,13.63,3
RC,304,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,304,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,304,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,304,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,304,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,304,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,304,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,304,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,304,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,304,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,304,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,304,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,304,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,304,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,304,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,304,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,304,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,304,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,304,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,304,Fibrinogen; activity ,,,9.72,9.72,3
RC,304,Fibrinogen; antigen ,,,14.46,14.46,3
RC,304,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,304,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,304,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,304,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,304,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,304,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,304,Flecainide ,,,18.64,18.64,3
RC,304,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,304,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,304,Fluoride ,,,18.54,18.54,3
RC,304,Folic acid; RBC ,,,17.65,17.65,3
RC,304,Folic acid; serum ,,,14.7,14.7,3
RC,304,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,304,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,304,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,304,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,304,"Fructose, semen ",,,17.34,17.34,3
RC,304,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,304,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,304,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,304,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,304,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,304,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,304,"Galactokinase, RBC ",,,21.48,21.48,3
RC,304,Galactose ,,,11.2,11.2,3
RC,304,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,304,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,304,Galectin-3 ,,,44.25,44.25,3
RC,304,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,304,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,304,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,304,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,304,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,304,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,304,"Gases, blood, pH only ",,,11.0,11.0,3
RC,304,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,304,Gastrin ,,,17.63,17.63,3
RC,304,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,304,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,304,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,304,Gentamicin ,,,16.38,16.38,3
RC,304,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,304,Glucagon ,,,14.29,14.29,3
RC,304,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,304,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,304,Glucagon tolerance test ,,,17.77,17.77,3
RC,304,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,304,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,304,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,304,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,304,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,304,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,304,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,304,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,304,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,304,"Glucosidase, beta ",,,21.48,21.48,3
RC,304,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,304,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,304,Glutathione ,,,15.45,15.45,3
RC,304,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,304,Glycated protein ,,,16.76,16.76,3
RC,304,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,304,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,304,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,304,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,304,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,304,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,304,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,304,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,304,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,304,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,304,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,304,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,304,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,304,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,304,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,304,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,304,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,304,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,304,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,304,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,304,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,304,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,304,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,304,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,304,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,304,Haloperidol ,,,15.78,15.78,3
RC,304,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,304,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,304,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,304,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,304,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,304,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,304,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,304,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,304,Heinz bodies; direct ,,,4.2,4.2,3
RC,304,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,304,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,304,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,304,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,304,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,304,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,304,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,304,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,304,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,304,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,304,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,304,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,304,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,304,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,304,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,304,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,304,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,304,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,304,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,304,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,304,Hemoglobin; plasma ,,,7.31,7.31,3
RC,304,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,304,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,304,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,304,Hemoglobin; urine ,,,3.95,3.95,3
RC,304,"Hemolysin, acid ",,,8.87,8.87,3
RC,304,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,304,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,304,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,304,Heparin assay ,,,13.09,13.09,3
RC,304,Heparin neutralization ,,,11.84,11.84,3
RC,304,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,304,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,304,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,304,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,304,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,304,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,304,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,304,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,304,Hepatitis C antibody; ,,,14.27,14.27,3
RC,304,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,304,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,304,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,304,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,304,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,304,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,304,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,304,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,304,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,304,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,304,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,304,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,304,Histamine ,,,29.53,29.53,3
RC,304,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,304,Homocysteine ,,,17.92,17.92,3
RC,304,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,304,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,304,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,304,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,304,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,304,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,304,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,304,Hydroxychloroquine ,,,18.64,18.64,3
RC,304,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,304,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,304,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,304,Hydroxyproline; free ,,,22.65,22.65,3
RC,304,Hydroxyproline; total ,,,24.3,24.3,3
RC,304,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,304,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,304,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,304,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,304,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,304,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,304,Immune complex assay ,,,24.37,24.37,3
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,304,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,304,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,304,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,304,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,304,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,304,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,304,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,304,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,304,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,304,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,304,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,304,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,304,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,304,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,304,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,304,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,304,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,304,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,304,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,304,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,304,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,304,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,304,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,304,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,304,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,304,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,304,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,304,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,304,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,304,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,304,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,304,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,304,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,304,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,304,Infliximab ,,,38.57,38.57,3
RC,304,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,304,Inhibin A ,,,15.59,15.59,3
RC,304,Insemination of oocytes ,,,149.16,149.16,3
RC,304,Insulin antibodies ,,,21.41,21.41,3
RC,304,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,304,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,304,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,304,Insulin; free ,,,12.95,12.95,3
RC,304,Insulin; total ,,,11.43,11.43,3
RC,304,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,304,Intrinsic factor ,,,19.82,19.82,3
RC,304,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,304,Iron ,,,6.47,6.47,3
RC,304,Iron binding capacity ,,,8.74,8.74,3
RC,304,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,304,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,304,Islet cell antibody ,,,23.57,23.57,3
RC,304,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,304,Itraconazole ,,,27.11,27.11,3
RC,304,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,304,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,304,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,304,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,304,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,304,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,304,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,304,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,304,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,304,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,304,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,304,Lacosamide ,,,27.11,27.11,3
RC,304,Lactate (lactic acid) ,,,11.57,11.57,3
RC,304,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,304,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,304,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,304,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,304,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,304,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,304,Lamotrigine ,,,13.25,13.25,3
RC,304,Lead ,,,12.11,12.11,3
RC,304,Leflunomide ,,,38.57,38.57,3
RC,304,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,304,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,304,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,304,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,304,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,304,Leukocyte transfusion ,,,149.16,149.16,3
RC,304,Levetiracetam ,,,13.25,13.25,3
RC,304,Lidocaine ,,,14.69,14.69,3
RC,304,Lipase ,,,6.89,6.89,3
RC,304,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,304,Lipoprotein (a) ,,,14.32,14.32,3
RC,304,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,304,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,304,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,304,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,304,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,304,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,304,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,304,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,304,Lithium ,,,6.61,6.61,3
RC,304,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,304,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,304,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,304,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,304,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,304,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,304,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,304,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,304,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,304,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,304,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,304,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,304,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,304,Magnesium ,,,6.7,6.7,3
RC,304,Malate dehydrogenase ,,,7.37,7.37,3
RC,304,Manganese ,,,26.65,26.65,3
RC,304,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,304,"Meat fibers, feces ",,,4.85,4.85,3
RC,304,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,304,"Mercury, quantitative ",,,16.26,16.26,3
RC,304,Metanephrines ,,,16.94,16.94,3
RC,304,Methemalbumin ,,,10.74,10.74,3
RC,304,Methotrexate ,,,38.57,38.57,3
RC,304,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,304,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,304,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,304,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,304,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,304,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,304,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,304,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,304,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,304,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,304,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,304,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,304,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,304,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,304,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,304,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,304,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,304,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,304,Muramidase ,,,18.75,18.75,3
RC,304,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,304,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,304,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,304,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,304,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,304,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,304,Myoglobin ,,,12.92,12.92,3
RC,304,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,304,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,304,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,304,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,304,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,304,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,304,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,304,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,304,Natriuretic peptide ,,,39.26,39.26,3
RC,304,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,304,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,304,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,304,"Neutralization test, viral ",,,16.91,16.91,3
RC,304,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,304,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,304,Nickel ,,,24.51,24.51,3
RC,304,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,304,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,304,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,304,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,304,Nucleotidase 5'- ,,,11.15,11.15,3
RC,304,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,304,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,304,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,304,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,304,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,304,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,304,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,304,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,304,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,304,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,304,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,304,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,304,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,304,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,304,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,304,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,304,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,304,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,304,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,304,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,304,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,304,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,304,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,304,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,304,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,304,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,304,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,304,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,304,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,304,Osmolality; blood ,,,6.61,6.61,3
RC,304,Osmolality; urine ,,,6.82,6.82,3
RC,304,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,304,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,304,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,304,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,304,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,304,Oxalate ,,,14.45,14.45,3
RC,304,Oxcarbazepine ,,,13.25,13.25,3
RC,304,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,304,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,304,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,304,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,304,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,304,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,304,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,304,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,304,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,304,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,304,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,304,Phenobarbital ,,,15.3,15.3,3
RC,304,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,304,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,304,Phenytoin; free ,,,13.76,13.76,3
RC,304,Phenytoin; total ,,,13.25,13.25,3
RC,304,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,304,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,304,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,304,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,304,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,304,Phosphatidylglycerol ,,,16.52,16.52,3
RC,304,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,304,Phosphohexose isomerase ,,,10.73,10.73,3
RC,304,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,304,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,304,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,304,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,304,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,304,Pinworm examinations ,,,4.27,4.27,3
RC,304,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,304,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,304,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,304,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,304,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,304,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,304,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,304,Posaconazole ,,,27.11,27.11,3
RC,304,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,304,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,304,Potassium; urine ,,,4.73,4.73,3
RC,304,Prealbumin ,,,14.59,14.59,3
RC,304,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,304,Pregnanediol ,,,21.27,21.27,3
RC,304,Pregnanetriol ,,,21.05,21.05,3
RC,304,Pregnenolone ,,,20.67,20.67,3
RC,304,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,304,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,304,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,304,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,304,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,304,Primidone ,,,16.59,16.59,3
RC,304,Procainamide; ,,,60.0,60.0,3
RC,304,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,304,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,304,Progesterone ,,,20.86,20.86,3
RC,304,Proinsulin ,,,26.69,26.69,3
RC,304,Prolactin ,,,19.38,19.38,3
RC,304,"Prostaglandin, each ",,,41.77,41.77,3
RC,304,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,304,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,304,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,304,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,304,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,304,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,304,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,304,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,304,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,304,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,304,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,304,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,304,Prothrombin time; ,,,4.29,4.29,3
RC,304,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,304,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,304,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,304,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,304,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,304,Pyruvate ,,,14.48,14.48,3
RC,304,Pyruvate kinase ,,,9.44,9.44,3
RC,304,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,304,Quinidine ,,,14.6,14.6,3
RC,304,Quinine ,,,11.63,11.63,3
RC,304,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,304,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,304,Receptor assay; estrogen ,,,87.88,87.88,3
RC,304,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,304,Receptor assay; progesterone ,,,64.88,64.88,3
RC,304,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,304,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,304,Renin ,,,21.99,21.99,3
RC,304,Reptilase test ,,,9.85,9.85,3
RC,304,Reticulated platelet assay ,,,35.74,35.74,3
RC,304,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,304,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,304,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,304,Rufinamide ,,,27.11,27.11,3
RC,304,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,304,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,304,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,304,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,304,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,304,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,304,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,304,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,304,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,304,Salicylate ,,,18.64,18.64,3
RC,304,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,304,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,304,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,304,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,304,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,304,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,304,Selenium ,,,25.53,25.53,3
RC,304,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,304,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,304,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,304,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,304,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,304,Serotonin ,,,30.98,30.98,3
RC,304,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,304,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,304,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,304,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,304,Sialic acid ,,,13.44,13.44,3
RC,304,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,304,Silica ,,,25.21,25.21,3
RC,304,Sirolimus ,,,13.73,13.73,3
RC,304,Skin test; candida ,,,24.67,24.67,3
RC,304,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,304,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,304,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,304,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,304,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,304,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,304,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,304,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,304,Sodium; other source ,,,4.86,4.86,3
RC,304,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,304,Sodium; urine ,,,5.06,5.06,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,304,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,304,Somatomedin ,,,21.26,21.26,3
RC,304,Somatostatin ,,,18.28,18.28,3
RC,304,Specific gravity (except urine) ,,,3.28,3.28,3
RC,304,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,304,Sperm antibodies ,,,10.67,10.67,3
RC,304,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,304,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,304,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,304,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,304,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,304,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,304,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,304,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,304,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,304,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,304,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,304,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,304,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,304,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,304,"Streptokinase, antibody ",,,12.66,12.66,3
RC,304,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,304,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,304,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,304,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,304,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,304,"Sulfate, urine ",,,5.49,5.49,3
RC,304,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,304,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,304,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,304,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,304,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,304,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,304,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,304,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,304,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,304,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,304,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,304,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,304,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,304,T cells; total count ,,,37.73,37.73,3
RC,304,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,304,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,304,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,304,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,304,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,304,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,304,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,304,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,304,Tacrolimus ,,,13.73,13.73,3
RC,304,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,304,"Tau, total (tTau) ",,,128.92,128.92,3
RC,304,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,304,Testosterone; free ,,,25.47,25.47,3
RC,304,Testosterone; total ,,,25.81,25.81,3
RC,304,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,304,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,304,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,304,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,304,Theophylline ,,,14.14,14.14,3
RC,304,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,304,Thiocyanate ,,,11.63,11.63,3
RC,304,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,304,Thrombin time; plasma ,,,5.77,5.77,3
RC,304,Thrombin time; titer ,,,6.85,6.85,3
RC,304,Thrombomodulin ,,,17.27,17.27,3
RC,304,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,304,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,304,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,304,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,304,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,304,Thyroglobulin ,,,16.06,16.06,3
RC,304,Thyroglobulin antibody ,,,15.91,15.91,3
RC,304,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,304,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,304,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,304,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,304,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,304,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,304,Thyroxine; free ,,,9.02,9.02,3
RC,304,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,304,Thyroxine; total ,,,6.87,6.87,3
RC,304,Tiagabine ,,,27.11,27.11,3
RC,304,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,304,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,304,Tobramycin ,,,16.13,16.13,3
RC,304,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,304,Topiramate ,,,11.92,11.92,3
RC,304,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,304,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,304,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,304,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,304,Transferrin ,,,12.76,12.76,3
RC,304,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,304,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,304,Triglycerides ,,,5.74,5.74,3
RC,304,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,304,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,304,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,304,"Troponin, qualitative ",,,10.09,10.09,3
RC,304,"Troponin, quantitative ",,,12.47,12.47,3
RC,304,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,304,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,304,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,304,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,304,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,304,Tyrosine ,,,10.63,10.63,3
RC,304,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,304,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,304,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,304,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,304,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,304,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,304,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,304,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,304,Uric acid; blood ,,,4.52,4.52,3
RC,304,Uric acid; other source ,,,5.08,5.08,3
RC,304,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,304,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,304,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,304,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,304,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,304,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,304,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,304,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,304,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,304,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,304,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,304,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,304,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,304,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,304,Vancomycin ,,,13.54,13.54,3
RC,304,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,304,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,304,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,304,Vedolizumab ,,,38.57,38.57,3
RC,304,Very long chain fatty acids ,,,19.75,19.75,3
RC,304,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,304,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,304,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,304,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,304,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,304,Viscosity ,,,11.67,11.67,3
RC,304,Vitamin A ,,,11.61,11.61,3
RC,304,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,304,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,304,Vitamin K ,,,13.72,13.72,3
RC,304,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,304,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,304,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,304,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,304,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,304,Voriconazole ,,,27.11,27.11,3
RC,304,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,304,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,304,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,304,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,304,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,304,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,304,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,304,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,304,Zinc ,,,11.39,11.39,3
RC,304,Zonisamide ,,,13.25,13.25,3
RC,304,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,304,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,304,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,305, Laboratory Hematology  ,,,,,0
RC,305,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,305,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,305,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,305,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,305,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,305,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,305,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,305,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,305,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,305,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,305,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,305,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,Acetaminophen ,,,18.64,18.64,3
RC,305,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,305,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,305,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,305,Acetylcholinesterase ,,,12.29,12.29,3
RC,305,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,305,Activated Protein C (APC) resistance assay ,1260.54,1260.54,15.32,15.32,3
RC,305,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,305,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,305,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,305,Adalimumab ,,,38.57,38.57,3
RC,305,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,305,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,305,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,305,Albumin; ischemia modified ,,,33.94,33.94,3
RC,305,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,305,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,305,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,305,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,305,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,305,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,305,Aldolase ,,,9.71,9.71,3
RC,305,Aldosterone ,,,40.75,40.75,3
RC,305,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,305,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,305,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,305,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,305,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,305,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,305,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,305,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,305,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,305,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,305,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,305,Aluminum ,,,25.48,25.48,3
RC,305,Amikacin ,,,15.08,15.08,3
RC,305,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,305,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,305,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,305,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,305,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,305,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,305,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,305,Amiodarone ,,,18.64,18.64,3
RC,305,Ammonia ,,,14.57,14.57,3
RC,305,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,305,Amylase ,,,6.48,6.48,3
RC,305,Androstanediol glucuronide ,,,28.83,28.83,3
RC,305,Androstenedione ,,,29.28,29.28,3
RC,305,Androsterone ,,,25.55,25.55,3
RC,305,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,305,Angiotensin II ,,,20.52,20.52,3
RC,305,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,305,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,305,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,305,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,305,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,305,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,305,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,305,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,305,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,305,Antibody; Aspergillus ,,,15.05,15.05,3
RC,305,Antibody; Bartonella ,,,10.18,10.18,3
RC,305,Antibody; Blastomyces ,,,12.9,12.9,3
RC,305,Antibody; Bordetella ,,,13.19,13.19,3
RC,305,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,305,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,305,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,305,Antibody; Brucella ,,,8.93,8.93,3
RC,305,Antibody; Campylobacter ,,,13.12,13.12,3
RC,305,Antibody; Candida ,,,12.01,12.01,3
RC,305,Antibody; Chlamydia ,,,11.82,11.82,3
RC,305,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,305,Antibody; Coccidioides ,,,11.47,11.47,3
RC,305,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,305,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,305,Antibody; Diphtheria ,,,15.21,15.21,3
RC,305,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,305,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,305,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,305,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,305,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,305,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,305,Antibody; HIV-1 ,,,8.89,8.89,3
RC,305,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,305,Antibody; HIV-2 ,,,13.52,13.52,3
RC,305,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,305,Antibody; HTLV-I ,,,9.09,9.09,3
RC,305,Antibody; HTLV-II ,,,14.0,14.0,3
RC,305,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,305,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,305,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,305,Antibody; Legionella ,,,15.3,15.3,3
RC,305,Antibody; Leishmania ,,,12.25,12.25,3
RC,305,Antibody; Leptospira ,,,16.2,16.2,3
RC,305,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,305,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,305,Antibody; Nocardia ,,,15.99,15.99,3
RC,305,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,305,Antibody; Rickettsia ,,,19.35,19.35,3
RC,305,Antibody; Salmonella ,,,13.19,13.19,3
RC,305,Antibody; Shigella ,,,24.48,24.48,3
RC,305,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,305,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,305,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,305,Antibody; Trichinella ,,,12.56,12.56,3
RC,305,Antibody; West Nile virus ,,,14.39,14.39,3
RC,305,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,305,Antibody; Yersinia ,,,13.19,13.19,3
RC,305,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,305,Antibody; actinomyces ,,,10.18,10.18,3
RC,305,Antibody; adenovirus ,,,12.87,12.87,3
RC,305,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,305,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,305,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,305,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,305,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,305,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,305,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,305,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,305,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,305,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,305,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,305,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,305,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,305,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,305,Antibody; histoplasma ,,,13.79,13.79,3
RC,305,Antibody; influenza virus ,,,13.55,13.55,3
RC,305,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,305,Antibody; mucormycosis ,,,15.0,15.0,3
RC,305,Antibody; mumps ,,,13.05,13.05,3
RC,305,Antibody; mycoplasma ,,,13.24,13.24,3
RC,305,Antibody; parvovirus ,,,15.03,15.03,3
RC,305,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,305,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,305,Antibody; rotavirus ,,,18.23,18.23,3
RC,305,Antibody; rubella ,,,14.39,14.39,3
RC,305,Antibody; rubeola ,,,12.88,12.88,3
RC,305,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,305,Antibody; tetanus ,,,14.8,14.8,3
RC,305,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,305,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,305,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,305,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,305,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,305,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,305,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,305,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,305,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,305,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,305,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,305,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,305,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,305,"Apolipoprotein, each ",,,21.09,21.09,3
RC,305,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,305,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,305,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,305,Arsenic ,,,18.97,18.97,3
RC,305,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,305,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,305,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,305,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,305,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,305,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,305,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,305,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,305,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,305,"B cells, total count ",,,37.73,37.73,3
RC,305,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,305,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,305,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,305,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,305,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,305,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,305,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,305,Beta-2 microglobulin ,,,16.18,16.18,3
RC,305,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,305,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,305,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,305,Bile acids; total ,,,17.12,17.12,3
RC,305,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,305,Bilirubin; direct ,,,5.02,5.02,3
RC,305,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,305,Bilirubin; total ,,,5.02,5.02,3
RC,305,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,305,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,305,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,305,Bleeding time ,,,4.82,4.82,3
RC,305,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,305,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,305,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,305,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,305,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,305,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,305,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,305,Blood count; hematocrit (Hct) ,482.75,482.75,2.37,2.37,3
RC,305,Blood count; hemoglobin (Hgb) ,482.75,482.75,2.37,2.37,3
RC,305,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,305,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,305,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,305,"Blood count; platelet, automated ",673.5,673.5,4.48,4.48,3
RC,305,"Blood count; red blood cell (RBC), automated ",411.21,411.21,3.02,3.02,3
RC,305,"Blood count; reticulocyte, automated ",569.18,569.18,3.99,3.99,3
RC,305,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,305,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,305,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,305,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,305,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,305,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,305,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,305,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,305,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,305,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,305,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,305,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,305,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,305,Bradykinin ,,,5.16,5.16,3
RC,305,C-peptide ,,,20.81,20.81,3
RC,305,C-reactive protein; ,,,5.18,5.18,3
RC,305,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,305,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,305,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,305,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,305,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,305,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,305,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,305,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,305,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,305,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,305,Cadmium ,,,23.64,23.64,3
RC,305,Caffeine ,,,38.57,38.57,3
RC,305,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,305,Calcitonin ,,,26.79,26.79,3
RC,305,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,305,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,305,Calcium; ionized ,,,13.68,13.68,3
RC,305,Calcium; total ,,,5.16,5.16,3
RC,305,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,305,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,305,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,305,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,305,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,305,"Calprotectin, fecal ",,,19.63,19.63,3
RC,305,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,305,Carbamazepine; free ,,,13.25,13.25,3
RC,305,Carbamazepine; total ,,,14.57,14.57,3
RC,305,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,305,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,305,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,305,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,305,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,305,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,305,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,305,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,305,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,305,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,305,Carotene ,,,9.22,9.22,3
RC,305,Catecholamines; blood ,,,29.08,29.08,3
RC,305,Catecholamines; fractionated ,,,25.25,25.25,3
RC,305,Catecholamines; total urine ,,,27.3,27.3,3
RC,305,Cathepsin-D ,,,18.06,18.06,3
RC,305,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,305,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,305,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,305,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,305,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,305,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,305,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,305,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,305,Ceruloplasmin ,,,10.74,10.74,3
RC,305,Chemiluminescent assay ,,,14.12,14.12,3
RC,305,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,305,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,305,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,305,Chloramphenicol ,,,12.67,12.67,3
RC,305,Chloride; blood ,,,4.6,4.6,3
RC,305,Chloride; other source ,,,5.0,5.0,3
RC,305,Chloride; urine ,,,5.75,5.75,3
RC,305,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,305,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,305,Cholinesterase; RBC ,,,9.81,9.81,3
RC,305,Cholinesterase; serum ,,,7.87,7.87,3
RC,305,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,305,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,305,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,305,Chromium ,,,20.28,20.28,3
RC,305,Chromogenic substrate assay ,,,11.89,11.89,3
RC,305,Citrate ,,,27.8,27.8,3
RC,305,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,305,Clot retraction ,,,16.3,16.3,3
RC,305,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",2604.58,2604.58,11.85,11.85,3
RC,305,"Clotting inhibitors or anticoagulants; protein C, activity ",2020.49,2020.49,13.84,13.84,3
RC,305,"Clotting inhibitors or anticoagulants; protein C, antigen ",2020.49,2020.49,12.01,12.01,3
RC,305,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,305,"Clotting inhibitors or anticoagulants; protein S, total ",2011.56,2011.56,11.61,11.61,3
RC,305,"Clotting; factor II, prothrombin, specific ",2428.75,2428.75,12.98,12.98,3
RC,305,Clotting; factor IX (PTC or Christmas) ,2222.0,2222.0,19.04,19.04,3
RC,305,"Clotting; factor V (AcG or proaccelerin), labile factor ",2223.14,2223.14,17.65,17.65,3
RC,305,"Clotting; factor VII (proconvertin, stable factor) ",1605.0,1605.0,17.9,17.9,3
RC,305,"Clotting; factor VIII (AHG), 1-stage ",932.0,932.0,17.9,17.9,3
RC,305,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,305,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",625.81,625.81,22.94,22.94,3
RC,305,Clotting; factor X (Stuart-Prower) ,2226.1,2226.1,17.9,17.9,3
RC,305,Clotting; factor XI (PTA) ,1782.08,1782.08,17.9,17.9,3
RC,305,Clotting; factor XIII (fibrin stabilizing) ,1537.0,1537.0,16.34,16.34,3
RC,305,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,305,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,305,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,305,Clozapine ,,,20.15,20.15,3
RC,305,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,305,Coagulation time; activated ,,,4.28,4.28,3
RC,305,Coagulation time; other methods ,,,4.49,4.49,3
RC,305,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,305,Cold agglutinin; screen ,,,8.07,8.07,3
RC,305,Cold agglutinin; titer ,,,8.06,8.06,3
RC,305,"Collagen cross links, any method ",,,18.68,18.68,3
RC,305,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,305,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,305,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,305,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,305,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,305,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,305,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,305,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,305,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,305,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,305,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,305,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,305,"Complement; antigen, each component ",,,12.0,12.0,3
RC,305,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,305,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,305,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,305,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,305,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,305,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,305,"Congo red, blood ",,,4.95,4.95,3
RC,305,Copper ,,,12.41,12.41,3
RC,305,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,305,Corticosterone ,,,22.52,22.52,3
RC,305,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,305,Cortisol; free ,,,16.71,16.71,3
RC,305,Cortisol; total ,,,16.3,16.3,3
RC,305,Creatine ,,,4.64,4.64,3
RC,305,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,305,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,305,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,305,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,305,Creatinine; blood ,,,5.12,5.12,3
RC,305,Creatinine; clearance ,,,9.46,9.46,3
RC,305,Creatinine; other source ,,,5.18,5.18,3
RC,305,Cryofibrinogen ,,,14.14,14.14,3
RC,305,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,305,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,305,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,305,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,305,Cryopreservation; sperm ,,,149.16,149.16,3
RC,305,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,305,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,305,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,305,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,305,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,305,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,305,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,305,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,305,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,305,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,305,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,305,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,305,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,305,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,305,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,305,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,305,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,305,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,305,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,305,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,305,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,305,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,305,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,305,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,305,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,305,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,305,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,305,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,305,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,305,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,305,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,305,"Culture, typing; other methods ",,,7.74,7.74,3
RC,305,Cyanide ,,,19.4,19.4,3
RC,305,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,305,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,305,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,305,Cyclosporine ,,,18.05,18.05,3
RC,305,Cystatin C ,,,18.52,18.52,3
RC,305,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,305,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,305,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,305,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,305,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,305,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,305,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,305,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,305,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,305,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,305,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,305,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,305,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,305,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,305,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,305,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,305,Dibucaine number ,,,12.25,12.25,3
RC,305,Digoxin; free ,,,13.28,13.28,3
RC,305,Digoxin; total ,,,13.28,13.28,3
RC,305,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,305,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,305,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,305,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,305,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,305,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,305,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,305,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,305,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,305,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,305,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,305,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,305,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,305,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,305,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,305,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,305,Erythropoietin ,,,18.79,18.79,3
RC,305,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,305,Estradiol; total ,,,27.94,27.94,3
RC,305,Estriol ,,,24.18,24.18,3
RC,305,Estrogens; fractionated ,,,32.3,32.3,3
RC,305,Estrogens; total ,,,21.7,21.7,3
RC,305,Estrone ,,,24.95,24.95,3
RC,305,Ethosuximide ,,,16.34,16.34,3
RC,305,Ethylene glycol ,,,14.9,14.9,3
RC,305,Etiocholanolone ,,,26.24,26.24,3
RC,305,Euglobulin lysis ,,,8.41,8.41,3
RC,305,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,305,Everolimus ,,,13.73,13.73,3
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,305,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,305,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,305,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,305,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,305,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,305,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,305,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,305,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,305,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,305,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,305,Factor inhibitor test ,,,12.87,12.87,3
RC,305,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,305,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,305,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,305,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,305,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,305,Felbamate ,,,18.64,18.64,3
RC,305,Fern test ,,,9.74,9.74,3
RC,305,Ferritin ,,,13.63,13.63,3
RC,305,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,305,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,305,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,305,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,305,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,305,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,305,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,305,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,305,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,305,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,305,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,305,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,305,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,305,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,305,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,305,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,305,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,305,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,305,Fibrinogen; activity ,,,9.72,9.72,3
RC,305,Fibrinogen; antigen ,,,14.46,14.46,3
RC,305,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,305,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,305,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,305,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,305,Flecainide ,,,18.64,18.64,3
RC,305,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,305,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,305,Fluoride ,,,18.54,18.54,3
RC,305,Folic acid; RBC ,,,17.65,17.65,3
RC,305,Folic acid; serum ,,,14.7,14.7,3
RC,305,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,305,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,305,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,305,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,305,"Fructose, semen ",,,17.34,17.34,3
RC,305,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,305,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,305,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,305,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,305,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,305,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,305,"Galactokinase, RBC ",,,21.48,21.48,3
RC,305,Galactose ,,,11.2,11.2,3
RC,305,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,305,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,305,Galectin-3 ,,,44.25,44.25,3
RC,305,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,305,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,305,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,305,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,305,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,305,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,305,"Gases, blood, pH only ",,,11.0,11.0,3
RC,305,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,305,Gastrin ,,,17.63,17.63,3
RC,305,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,305,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,305,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,305,Gentamicin ,,,16.38,16.38,3
RC,305,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,305,Glucagon ,,,14.29,14.29,3
RC,305,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,305,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,305,Glucagon tolerance test ,,,17.77,17.77,3
RC,305,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,305,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,305,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,305,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,305,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,305,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,305,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,305,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,305,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,305,"Glucosidase, beta ",,,21.48,21.48,3
RC,305,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,305,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,305,Glutathione ,,,15.45,15.45,3
RC,305,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,305,Glycated protein ,,,16.76,16.76,3
RC,305,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,305,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,305,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,305,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,305,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,305,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,305,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,305,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,305,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,305,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,305,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,305,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,305,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,305,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,305,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,305,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,305,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,305,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,305,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,305,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,305,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,305,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,305,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,305,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,305,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,305,Haloperidol ,,,15.78,15.78,3
RC,305,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,305,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,305,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,305,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,305,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,305,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,305,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,305,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,305,Heinz bodies; direct ,,,4.2,4.2,3
RC,305,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,305,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,305,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,305,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,305,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,305,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,305,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,305,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,305,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",673.5,673.5,9.36,9.36,3
RC,305,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,305,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,305,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,305,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,305,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,305,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,305,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,305,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,305,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,305,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,305,Hemoglobin; plasma ,,,7.31,7.31,3
RC,305,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,305,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,305,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,305,Hemoglobin; urine ,,,3.95,3.95,3
RC,305,"Hemolysin, acid ",,,8.87,8.87,3
RC,305,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,305,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,305,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,305,Heparin assay ,943.0,943.0,13.09,13.09,3
RC,305,Heparin neutralization ,,,11.84,11.84,3
RC,305,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,305,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,305,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,305,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,305,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,305,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,305,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,305,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,305,Hepatitis C antibody; ,,,14.27,14.27,3
RC,305,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,305,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,305,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,305,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,305,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,305,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,305,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,305,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,305,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,305,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,305,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,305,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,305,Histamine ,,,29.53,29.53,3
RC,305,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,305,Homocysteine ,,,17.92,17.92,3
RC,305,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,305,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,305,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,305,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,305,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,305,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,305,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,305,Hydroxychloroquine ,,,18.64,18.64,3
RC,305,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,305,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,305,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,305,Hydroxyproline; free ,,,22.65,22.65,3
RC,305,Hydroxyproline; total ,,,24.3,24.3,3
RC,305,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,305,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,305,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,305,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,305,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,305,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,305,Immune complex assay ,,,24.37,24.37,3
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,305,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,305,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,305,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,305,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,305,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,305,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,305,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,305,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,305,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,305,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,305,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,305,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,305,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,305,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,305,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,305,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,305,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,305,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,305,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,305,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,305,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,305,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,305,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,305,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,305,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,305,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,305,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,305,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,305,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,305,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,305,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,305,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,305,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,305,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,305,Infliximab ,,,38.57,38.57,3
RC,305,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,305,Inhibin A ,,,15.59,15.59,3
RC,305,Insemination of oocytes ,,,149.16,149.16,3
RC,305,Insulin antibodies ,,,21.41,21.41,3
RC,305,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,305,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,305,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,305,Insulin; free ,,,12.95,12.95,3
RC,305,Insulin; total ,,,11.43,11.43,3
RC,305,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,305,Intrinsic factor ,,,19.82,19.82,3
RC,305,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,305,Iron ,,,6.47,6.47,3
RC,305,Iron binding capacity ,,,8.74,8.74,3
RC,305,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,305,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,305,Islet cell antibody ,,,23.57,23.57,3
RC,305,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,305,Itraconazole ,,,27.11,27.11,3
RC,305,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,305,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,305,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,305,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,305,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,305,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,305,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,305,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,305,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,305,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,305,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,305,Lacosamide ,,,27.11,27.11,3
RC,305,Lactate (lactic acid) ,,,11.57,11.57,3
RC,305,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,305,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,305,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,305,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,305,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,305,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,305,Lamotrigine ,,,13.25,13.25,3
RC,305,Lead ,,,12.11,12.11,3
RC,305,Leflunomide ,,,38.57,38.57,3
RC,305,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,305,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,305,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,305,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,305,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,305,Leukocyte transfusion ,,,149.16,149.16,3
RC,305,Levetiracetam ,,,13.25,13.25,3
RC,305,Lidocaine ,,,14.69,14.69,3
RC,305,Lipase ,,,6.89,6.89,3
RC,305,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,305,Lipoprotein (a) ,,,14.32,14.32,3
RC,305,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,305,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,305,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,305,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,305,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,305,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,305,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,305,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,305,Lithium ,,,6.61,6.61,3
RC,305,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,305,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,305,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,305,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,305,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,305,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,305,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,305,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,305,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,305,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,305,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,305,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,305,Magnesium ,,,6.7,6.7,3
RC,305,Malate dehydrogenase ,,,7.37,7.37,3
RC,305,Manganese ,,,26.65,26.65,3
RC,305,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,305,"Meat fibers, feces ",,,4.85,4.85,3
RC,305,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,305,"Mercury, quantitative ",,,16.26,16.26,3
RC,305,Metanephrines ,,,16.94,16.94,3
RC,305,Methemalbumin ,,,10.74,10.74,3
RC,305,Methotrexate ,,,38.57,38.57,3
RC,305,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,305,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,305,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,305,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,305,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,305,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,305,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,305,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,305,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,305,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,305,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,305,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,305,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,305,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,305,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,305,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,305,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,305,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,305,Muramidase ,2187.36,2187.36,18.75,18.75,3
RC,305,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,305,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,305,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,305,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,305,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,305,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,305,Myoglobin ,,,12.92,12.92,3
RC,305,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,305,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,305,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,305,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,305,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,305,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,305,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,305,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,305,Natriuretic peptide ,,,39.26,39.26,3
RC,305,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,305,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,305,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,305,"Neutralization test, viral ",,,16.91,16.91,3
RC,305,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,305,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,305,Nickel ,,,24.51,24.51,3
RC,305,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,305,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,305,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,305,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,305,Nucleotidase 5'- ,,,11.15,11.15,3
RC,305,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,305,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,305,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,305,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,305,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,305,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,305,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,305,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,305,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,305,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,305,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,305,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,305,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,305,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,305,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,305,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,305,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,305,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,305,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,305,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,305,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,305,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,305,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,305,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,305,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,305,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,305,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,305,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,305,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,305,Osmolality; blood ,,,6.61,6.61,3
RC,305,Osmolality; urine ,,,6.82,6.82,3
RC,305,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,305,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,305,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,305,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,305,Oxalate ,,,14.45,14.45,3
RC,305,Oxcarbazepine ,,,13.25,13.25,3
RC,305,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,305,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,305,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,305,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,305,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,305,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,305,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,305,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,305,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,305,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,305,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,305,Phenobarbital ,,,15.3,15.3,3
RC,305,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,305,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,305,Phenytoin; free ,,,13.76,13.76,3
RC,305,Phenytoin; total ,,,13.25,13.25,3
RC,305,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,305,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,305,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,305,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,305,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,305,Phosphatidylglycerol ,,,16.52,16.52,3
RC,305,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,305,Phosphohexose isomerase ,,,10.73,10.73,3
RC,305,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,305,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,305,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,305,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,305,Pinworm examinations ,,,4.27,4.27,3
RC,305,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,305,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,305,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,305,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,305,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,305,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,305,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,305,Posaconazole ,,,27.11,27.11,3
RC,305,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,305,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,305,Potassium; urine ,,,4.73,4.73,3
RC,305,Prealbumin ,,,14.59,14.59,3
RC,305,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,305,Pregnanediol ,,,21.27,21.27,3
RC,305,Pregnanetriol ,,,21.05,21.05,3
RC,305,Pregnenolone ,,,20.67,20.67,3
RC,305,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,305,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,305,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,305,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,305,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,305,Primidone ,,,16.59,16.59,3
RC,305,Procainamide; ,,,60.0,60.0,3
RC,305,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,305,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,305,Progesterone ,,,20.86,20.86,3
RC,305,Proinsulin ,,,26.69,26.69,3
RC,305,Prolactin ,,,19.38,19.38,3
RC,305,"Prostaglandin, each ",,,41.77,41.77,3
RC,305,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,305,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,305,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,305,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,305,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,305,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,305,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,305,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,305,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,305,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,305,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,305,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,305,Prothrombin time; ,,,4.29,4.29,3
RC,305,"Prothrombin time; substitution, plasma fractions, each ",483.0,483.0,3.94,3.94,3
RC,305,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,305,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,305,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,305,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,305,Pyruvate ,,,14.48,14.48,3
RC,305,Pyruvate kinase ,,,9.44,9.44,3
RC,305,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,305,Quinidine ,,,14.6,14.6,3
RC,305,Quinine ,,,11.63,11.63,3
RC,305,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,305,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,305,Receptor assay; estrogen ,,,87.88,87.88,3
RC,305,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,305,Receptor assay; progesterone ,,,64.88,64.88,3
RC,305,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,305,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,305,Renin ,,,21.99,21.99,3
RC,305,Reptilase test ,,,9.85,9.85,3
RC,305,Reticulated platelet assay ,,,35.74,35.74,3
RC,305,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,305,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,305,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,305,Rufinamide ,,,27.11,27.11,3
RC,305,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,305,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,305,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,305,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,305,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,305,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,305,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,305,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,305,Salicylate ,,,18.64,18.64,3
RC,305,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,305,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,305,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,305,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,305,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,305,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,305,Selenium ,,,25.53,25.53,3
RC,305,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,305,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,305,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,305,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,305,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,305,Serotonin ,,,30.98,30.98,3
RC,305,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,305,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,305,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,305,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,305,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,305,Sialic acid ,,,13.44,13.44,3
RC,305,"Sickling of RBC, reduction ",452.95,452.95,5.51,5.51,3
RC,305,Silica ,,,25.21,25.21,3
RC,305,Sirolimus ,,,13.73,13.73,3
RC,305,Skin test; candida ,,,24.67,24.67,3
RC,305,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,305,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,305,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,305,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,305,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,305,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,305,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,305,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,305,Sodium; other source ,,,4.86,4.86,3
RC,305,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,305,Sodium; urine ,,,5.06,5.06,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,305,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,305,Somatomedin ,,,21.26,21.26,3
RC,305,Somatostatin ,,,18.28,18.28,3
RC,305,Specific gravity (except urine) ,,,3.28,3.28,3
RC,305,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,305,Sperm antibodies ,,,10.67,10.67,3
RC,305,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,305,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,305,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,305,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,305,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,305,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,305,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,305,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,305,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,305,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,305,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,305,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,305,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,305,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,305,"Streptokinase, antibody ",,,12.66,12.66,3
RC,305,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,305,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,305,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,305,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,305,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,305,"Sulfate, urine ",,,5.49,5.49,3
RC,305,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,305,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,305,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,305,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,305,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,305,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,305,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,305,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,305,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,305,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,305,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,305,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,305,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,305,T cells; total count ,,,37.73,37.73,3
RC,305,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,305,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,305,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,305,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,305,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,305,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,305,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,305,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,305,Tacrolimus ,,,13.73,13.73,3
RC,305,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,305,"Tau, total (tTau) ",,,128.92,128.92,3
RC,305,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,305,Testosterone; free ,,,25.47,25.47,3
RC,305,Testosterone; total ,,,25.81,25.81,3
RC,305,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,305,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,305,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,305,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,305,Theophylline ,,,14.14,14.14,3
RC,305,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,305,Thiocyanate ,,,11.63,11.63,3
RC,305,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,305,Thrombin time; plasma ,715.21,715.21,5.77,5.77,3
RC,305,Thrombin time; titer ,,,6.85,6.85,3
RC,305,Thrombomodulin ,,,17.27,17.27,3
RC,305,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,305,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,305,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,305,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,305,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,305,Thyroglobulin ,,,16.06,16.06,3
RC,305,Thyroglobulin antibody ,,,15.91,15.91,3
RC,305,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,305,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,305,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,305,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,305,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,305,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,305,Thyroxine; free ,,,9.02,9.02,3
RC,305,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,305,Thyroxine; total ,,,6.87,6.87,3
RC,305,Tiagabine ,,,27.11,27.11,3
RC,305,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,305,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,305,Tobramycin ,,,16.13,16.13,3
RC,305,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,305,Topiramate ,,,11.92,11.92,3
RC,305,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,305,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,305,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,305,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,305,Transferrin ,,,12.76,12.76,3
RC,305,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,305,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,305,Triglycerides ,,,5.74,5.74,3
RC,305,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,305,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,305,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,305,"Troponin, qualitative ",,,10.09,10.09,3
RC,305,"Troponin, quantitative ",,,12.47,12.47,3
RC,305,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,305,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,305,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,305,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,305,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,305,Tyrosine ,,,10.63,10.63,3
RC,305,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,305,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,305,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,305,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,305,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,305,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,305,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,305,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,305,Uric acid; blood ,,,4.52,4.52,3
RC,305,Uric acid; other source ,,,5.08,5.08,3
RC,305,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,305,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,305,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,305,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,305,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,305,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,305,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,305,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,305,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,305,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,305,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,305,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,305,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,305,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,305,Vancomycin ,,,13.54,13.54,3
RC,305,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,305,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,305,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,305,Vedolizumab ,,,38.57,38.57,3
RC,305,Very long chain fatty acids ,,,19.75,19.75,3
RC,305,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,305,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,305,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,305,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,305,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,305,Viscosity ,1701.59,1701.59,11.67,11.67,3
RC,305,Vitamin A ,,,11.61,11.61,3
RC,305,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,305,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,305,Vitamin K ,,,13.72,13.72,3
RC,305,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,305,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,305,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,305,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,305,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,305,Voriconazole ,,,27.11,27.11,3
RC,305,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,305,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,305,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,305,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,305,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,305,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,305,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,305,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,305,Zinc ,,,11.39,11.39,3
RC,305,Zonisamide ,,,13.25,13.25,3
RC,305,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,305,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,305,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,306, Laboratory Bacteriology & Microbiology  ,,,,,0
RC,306,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,306,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,306,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,306,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,306,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,306,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,306,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,306,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,306,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,306,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,306,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,306,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,Acetaminophen ,,,18.64,18.64,3
RC,306,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,306,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,306,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,306,Acetylcholinesterase ,,,12.29,12.29,3
RC,306,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,306,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,306,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,306,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,306,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,306,Adalimumab ,,,38.57,38.57,3
RC,306,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,306,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,306,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,306,Albumin; ischemia modified ,,,33.94,33.94,3
RC,306,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,306,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,306,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,306,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,306,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,306,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,306,Aldolase ,,,9.71,9.71,3
RC,306,Aldosterone ,,,40.75,40.75,3
RC,306,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,306,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,306,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,306,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,306,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,306,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,306,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,306,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,306,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,306,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,306,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,306,Aluminum ,,,25.48,25.48,3
RC,306,Amikacin ,,,15.08,15.08,3
RC,306,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,306,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,306,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,306,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,306,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,306,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,306,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,306,Amiodarone ,,,18.64,18.64,3
RC,306,Ammonia ,,,14.57,14.57,3
RC,306,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,306,Amylase ,,,6.48,6.48,3
RC,306,Androstanediol glucuronide ,,,28.83,28.83,3
RC,306,Androstenedione ,,,29.28,29.28,3
RC,306,Androsterone ,,,25.55,25.55,3
RC,306,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,306,Angiotensin II ,,,20.52,20.52,3
RC,306,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,306,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,306,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,306,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,306,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,306,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,306,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,306,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,306,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,306,Antibody; Aspergillus ,,,15.05,15.05,3
RC,306,Antibody; Bartonella ,,,10.18,10.18,3
RC,306,Antibody; Blastomyces ,,,12.9,12.9,3
RC,306,Antibody; Bordetella ,,,13.19,13.19,3
RC,306,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,306,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,306,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,306,Antibody; Brucella ,,,8.93,8.93,3
RC,306,Antibody; Campylobacter ,,,13.12,13.12,3
RC,306,Antibody; Candida ,,,12.01,12.01,3
RC,306,Antibody; Chlamydia ,,,11.82,11.82,3
RC,306,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,306,Antibody; Coccidioides ,,,11.47,11.47,3
RC,306,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,306,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,306,Antibody; Diphtheria ,,,15.21,15.21,3
RC,306,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,306,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,306,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,306,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,306,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,306,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,306,Antibody; HIV-1 ,,,8.89,8.89,3
RC,306,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,306,Antibody; HIV-2 ,,,13.52,13.52,3
RC,306,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,306,Antibody; HTLV-I ,,,9.09,9.09,3
RC,306,Antibody; HTLV-II ,,,14.0,14.0,3
RC,306,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,306,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,306,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,306,Antibody; Legionella ,,,15.3,15.3,3
RC,306,Antibody; Leishmania ,,,12.25,12.25,3
RC,306,Antibody; Leptospira ,,,16.2,16.2,3
RC,306,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,306,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,306,Antibody; Nocardia ,,,15.99,15.99,3
RC,306,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,306,Antibody; Rickettsia ,,,19.35,19.35,3
RC,306,Antibody; Salmonella ,,,13.19,13.19,3
RC,306,Antibody; Shigella ,,,24.48,24.48,3
RC,306,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,306,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,306,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,306,Antibody; Trichinella ,,,12.56,12.56,3
RC,306,Antibody; West Nile virus ,,,14.39,14.39,3
RC,306,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,306,Antibody; Yersinia ,,,13.19,13.19,3
RC,306,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,306,Antibody; actinomyces ,,,10.18,10.18,3
RC,306,Antibody; adenovirus ,,,12.87,12.87,3
RC,306,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,306,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,306,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,306,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,306,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,306,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,306,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,306,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,306,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,306,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,306,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,306,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,306,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,306,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,306,Antibody; histoplasma ,,,13.79,13.79,3
RC,306,Antibody; influenza virus ,,,13.55,13.55,3
RC,306,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,306,Antibody; mucormycosis ,,,15.0,15.0,3
RC,306,Antibody; mumps ,,,13.05,13.05,3
RC,306,Antibody; mycoplasma ,,,13.24,13.24,3
RC,306,Antibody; parvovirus ,,,15.03,15.03,3
RC,306,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,306,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,306,Antibody; rotavirus ,,,18.23,18.23,3
RC,306,Antibody; rubella ,,,14.39,14.39,3
RC,306,Antibody; rubeola ,,,12.88,12.88,3
RC,306,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,306,Antibody; tetanus ,,,14.8,14.8,3
RC,306,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,306,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,306,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,306,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,306,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,306,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,306,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,306,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,306,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,306,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,306,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,306,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,306,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,306,"Apolipoprotein, each ",,,21.09,21.09,3
RC,306,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,306,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,306,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,306,Arsenic ,,,18.97,18.97,3
RC,306,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,306,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,306,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,306,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,306,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,306,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,306,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,306,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,306,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,306,"B cells, total count ",,,37.73,37.73,3
RC,306,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,306,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,306,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,306,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,306,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,306,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,306,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,306,Beta-2 microglobulin ,,,16.18,16.18,3
RC,306,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,306,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,306,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,306,Bile acids; total ,,,17.12,17.12,3
RC,306,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,306,Bilirubin; direct ,,,5.02,5.02,3
RC,306,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,306,Bilirubin; total ,,,5.02,5.02,3
RC,306,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,306,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,306,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,306,Bleeding time ,,,4.82,4.82,3
RC,306,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,306,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,306,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,306,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,306,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,306,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,306,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,306,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,306,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,306,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,306,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,306,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,306,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,306,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,306,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,306,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,306,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,306,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,306,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,306,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,306,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,306,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,306,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,306,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,306,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,306,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,306,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,306,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,306,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,306,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,306,Bradykinin ,,,5.16,5.16,3
RC,306,C-peptide ,,,20.81,20.81,3
RC,306,C-reactive protein; ,,,5.18,5.18,3
RC,306,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,306,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,306,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,306,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,306,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,306,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,306,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,306,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,306,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,306,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,306,Cadmium ,,,23.64,23.64,3
RC,306,Caffeine ,,,38.57,38.57,3
RC,306,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,306,Calcitonin ,,,26.79,26.79,3
RC,306,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,306,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,306,Calcium; ionized ,,,13.68,13.68,3
RC,306,Calcium; total ,,,5.16,5.16,3
RC,306,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,306,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,306,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,306,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,306,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,306,"Calprotectin, fecal ",,,19.63,19.63,3
RC,306,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,306,Carbamazepine; free ,,,13.25,13.25,3
RC,306,Carbamazepine; total ,,,14.57,14.57,3
RC,306,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,306,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,306,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,306,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,306,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,306,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,306,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,306,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,306,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,306,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,306,Carotene ,,,9.22,9.22,3
RC,306,Catecholamines; blood ,,,29.08,29.08,3
RC,306,Catecholamines; fractionated ,,,25.25,25.25,3
RC,306,Catecholamines; total urine ,,,27.3,27.3,3
RC,306,Cathepsin-D ,,,18.06,18.06,3
RC,306,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,306,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,306,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,306,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,306,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,306,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,306,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,306,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,306,Ceruloplasmin ,,,10.74,10.74,3
RC,306,Chemiluminescent assay ,,,14.12,14.12,3
RC,306,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,306,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,306,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,306,Chloramphenicol ,,,12.67,12.67,3
RC,306,Chloride; blood ,,,4.6,4.6,3
RC,306,Chloride; other source ,,,5.0,5.0,3
RC,306,Chloride; urine ,,,5.75,5.75,3
RC,306,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,306,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,306,Cholinesterase; RBC ,,,9.81,9.81,3
RC,306,Cholinesterase; serum ,,,7.87,7.87,3
RC,306,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,306,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,306,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,306,Chromium ,,,20.28,20.28,3
RC,306,Chromogenic substrate assay ,,,11.89,11.89,3
RC,306,Citrate ,,,27.8,27.8,3
RC,306,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,306,Clot retraction ,,,16.3,16.3,3
RC,306,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,306,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,306,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,306,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,306,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,306,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,306,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,306,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,306,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,306,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,306,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,306,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,306,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,306,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,306,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,306,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,306,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,306,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,306,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,306,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,306,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,306,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,306,Clozapine ,,,20.15,20.15,3
RC,306,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,306,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,306,Coagulation time; activated ,,,4.28,4.28,3
RC,306,Coagulation time; other methods ,,,4.49,4.49,3
RC,306,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,306,Cold agglutinin; screen ,,,8.07,8.07,3
RC,306,Cold agglutinin; titer ,,,8.06,8.06,3
RC,306,"Collagen cross links, any method ",,,18.68,18.68,3
RC,306,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,306,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,306,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,306,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,306,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,306,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,306,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,306,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,306,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,306,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,306,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,306,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,306,"Complement; antigen, each component ",,,12.0,12.0,3
RC,306,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,306,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,306,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,306,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,306,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,306,"Congo red, blood ",,,4.95,4.95,3
RC,306,Copper ,,,12.41,12.41,3
RC,306,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,306,Corticosterone ,,,22.52,22.52,3
RC,306,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,306,Cortisol; free ,,,16.71,16.71,3
RC,306,Cortisol; total ,,,16.3,16.3,3
RC,306,Creatine ,,,4.64,4.64,3
RC,306,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,306,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,306,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,306,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,306,Creatinine; blood ,,,5.12,5.12,3
RC,306,Creatinine; clearance ,,,9.46,9.46,3
RC,306,Creatinine; other source ,,,5.18,5.18,3
RC,306,Cryofibrinogen ,,,14.14,14.14,3
RC,306,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,306,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,306,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,306,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,306,Cryopreservation; sperm ,,,149.16,149.16,3
RC,306,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,306,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,306,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,306,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,306,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,306,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,306,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,306,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,306,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,306,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,306,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,306,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,306,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,306,Cyanide ,,,19.4,19.4,3
RC,306,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,306,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,306,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,306,Cyclosporine ,,,18.05,18.05,3
RC,306,Cystatin C ,,,18.52,18.52,3
RC,306,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,306,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,306,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,306,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,306,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,306,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,306,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,306,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,306,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,306,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,306,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,306,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,306,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,306,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,306,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,306,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,306,Dibucaine number ,,,12.25,12.25,3
RC,306,Digoxin; free ,,,13.28,13.28,3
RC,306,Digoxin; total ,,,13.28,13.28,3
RC,306,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,306,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,306,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,306,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,306,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,306,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,306,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,306,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,306,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,306,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,306,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,306,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,306,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,306,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,306,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,306,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,306,Erythropoietin ,,,18.79,18.79,3
RC,306,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,306,Estradiol; total ,,,27.94,27.94,3
RC,306,Estriol ,,,24.18,24.18,3
RC,306,Estrogens; fractionated ,,,32.3,32.3,3
RC,306,Estrogens; total ,,,21.7,21.7,3
RC,306,Estrone ,,,24.95,24.95,3
RC,306,Ethosuximide ,,,16.34,16.34,3
RC,306,Ethylene glycol ,,,14.9,14.9,3
RC,306,Etiocholanolone ,,,26.24,26.24,3
RC,306,Euglobulin lysis ,,,8.41,8.41,3
RC,306,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,306,Everolimus ,,,13.73,13.73,3
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,306,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,306,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,306,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,306,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,306,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,306,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,306,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,306,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,306,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,306,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,306,Factor inhibitor test ,,,12.87,12.87,3
RC,306,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,306,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,306,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,306,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,306,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,306,Felbamate ,,,18.64,18.64,3
RC,306,Fern test ,,,9.74,9.74,3
RC,306,Ferritin ,,,13.63,13.63,3
RC,306,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,306,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,306,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,306,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,306,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,306,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,306,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,306,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,306,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,306,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,306,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,306,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,306,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,306,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,306,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,306,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,306,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,306,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,306,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,306,Fibrinogen; activity ,,,9.72,9.72,3
RC,306,Fibrinogen; antigen ,,,14.46,14.46,3
RC,306,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,306,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,306,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,306,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,306,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,306,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,306,Flecainide ,,,18.64,18.64,3
RC,306,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,306,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,306,Fluoride ,,,18.54,18.54,3
RC,306,Folic acid; RBC ,,,17.65,17.65,3
RC,306,Folic acid; serum ,,,14.7,14.7,3
RC,306,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,306,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,306,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,306,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,306,"Fructose, semen ",,,17.34,17.34,3
RC,306,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,306,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,306,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,306,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,306,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,306,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,306,"Galactokinase, RBC ",,,21.48,21.48,3
RC,306,Galactose ,,,11.2,11.2,3
RC,306,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,306,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,306,Galectin-3 ,,,44.25,44.25,3
RC,306,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,306,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,306,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,306,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,306,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,306,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,306,"Gases, blood, pH only ",,,11.0,11.0,3
RC,306,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,306,Gastrin ,,,17.63,17.63,3
RC,306,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,306,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,306,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,306,Gentamicin ,,,16.38,16.38,3
RC,306,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,306,Glucagon ,,,14.29,14.29,3
RC,306,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,306,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,306,Glucagon tolerance test ,,,17.77,17.77,3
RC,306,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,306,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,306,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,306,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,306,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,306,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,306,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,306,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,306,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,306,"Glucosidase, beta ",,,21.48,21.48,3
RC,306,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,306,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,306,Glutathione ,,,15.45,15.45,3
RC,306,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,306,Glycated protein ,,,16.76,16.76,3
RC,306,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,306,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,306,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,306,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,306,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,306,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,306,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,306,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,306,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,306,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,306,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,306,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,306,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,306,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,306,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,306,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,306,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,306,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,306,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,306,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,306,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,306,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,306,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,306,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,306,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,306,Haloperidol ,,,15.78,15.78,3
RC,306,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,306,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,306,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,306,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,306,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,306,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,306,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,306,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,306,Heinz bodies; direct ,,,4.2,4.2,3
RC,306,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,306,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,306,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,306,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,306,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,306,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,306,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,306,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,306,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,306,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,306,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,306,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,306,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,306,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,306,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,306,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,306,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,306,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,306,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,306,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,306,Hemoglobin; plasma ,,,7.31,7.31,3
RC,306,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,306,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,306,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,306,Hemoglobin; urine ,,,3.95,3.95,3
RC,306,"Hemolysin, acid ",,,8.87,8.87,3
RC,306,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,306,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,306,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,306,Heparin assay ,,,13.09,13.09,3
RC,306,Heparin neutralization ,,,11.84,11.84,3
RC,306,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,306,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,306,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,306,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,306,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,306,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,306,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,306,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,306,Hepatitis C antibody; ,,,14.27,14.27,3
RC,306,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,306,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,306,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,306,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,306,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,306,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,306,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,306,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,306,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,306,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,306,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,306,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,306,Histamine ,,,29.53,29.53,3
RC,306,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,306,Homocysteine ,,,17.92,17.92,3
RC,306,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,306,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,306,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,306,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,306,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,306,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,306,Hydroxychloroquine ,,,18.64,18.64,3
RC,306,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,306,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,306,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,306,Hydroxyproline; free ,,,22.65,22.65,3
RC,306,Hydroxyproline; total ,,,24.3,24.3,3
RC,306,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,306,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,306,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,306,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,306,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,306,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,306,Immune complex assay ,,,24.37,24.37,3
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,306,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,306,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,306,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,306,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,306,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,306,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,306,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,306,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,306,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,306,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,306,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,306,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,306,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,306,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,306,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,306,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,306,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,306,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,306,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,306,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,306,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,306,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,306,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",1358.91,1358.91,10.33,45.36,63
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,306,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,306,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",2267.84,2267.84,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",2267.84,2267.84,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,262.99,6
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",1153.28,1153.28,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",2515.15,2515.15,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,218.06,6
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,306,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,306,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,1911.53,1911.53,130.35,130.35,3
RC,306,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,306,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,306,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,306,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,4142.3,4142.3,257.45,257.45,3
RC,306,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,306,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,306,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,306,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,306,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,306,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,306,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,306,Infliximab ,,,38.57,38.57,3
RC,306,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,306,Inhibin A ,,,15.59,15.59,3
RC,306,Insemination of oocytes ,,,149.16,149.16,3
RC,306,Insulin antibodies ,,,21.41,21.41,3
RC,306,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,306,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,306,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,306,Insulin; free ,,,12.95,12.95,3
RC,306,Insulin; total ,,,11.43,11.43,3
RC,306,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,306,Intrinsic factor ,,,19.82,19.82,3
RC,306,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,306,Iron ,,,6.47,6.47,3
RC,306,Iron binding capacity ,,,8.74,8.74,3
RC,306,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,306,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,306,Islet cell antibody ,,,23.57,23.57,3
RC,306,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,306,Itraconazole ,,,27.11,27.11,3
RC,306,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,306,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,306,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,306,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,306,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,306,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,306,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,306,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,306,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,306,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,306,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,306,Lacosamide ,,,27.11,27.11,3
RC,306,Lactate (lactic acid) ,,,11.57,11.57,3
RC,306,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,306,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,306,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,306,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,306,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,306,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,306,Lamotrigine ,,,13.25,13.25,3
RC,306,Lead ,,,12.11,12.11,3
RC,306,Leflunomide ,,,38.57,38.57,3
RC,306,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,306,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,306,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,306,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,306,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,306,Leukocyte transfusion ,,,149.16,149.16,3
RC,306,Levetiracetam ,,,13.25,13.25,3
RC,306,Lidocaine ,,,14.69,14.69,3
RC,306,Lipase ,,,6.89,6.89,3
RC,306,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,306,Lipoprotein (a) ,,,14.32,14.32,3
RC,306,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,306,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,306,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,306,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,306,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,306,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,306,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,306,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,306,Lithium ,,,6.61,6.61,3
RC,306,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,306,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,306,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,306,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,306,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,306,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,306,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,306,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,306,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,306,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,306,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,306,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,306,Magnesium ,,,6.7,6.7,3
RC,306,Malate dehydrogenase ,,,7.37,7.37,3
RC,306,Manganese ,,,26.65,26.65,3
RC,306,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,306,"Meat fibers, feces ",,,4.85,4.85,3
RC,306,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,306,"Mercury, quantitative ",,,16.26,16.26,3
RC,306,Metanephrines ,,,16.94,16.94,3
RC,306,Methemalbumin ,,,10.74,10.74,3
RC,306,Methotrexate ,,,38.57,38.57,3
RC,306,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,306,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,306,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,306,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,306,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,306,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,306,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,306,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,306,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,306,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,306,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,306,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,306,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,306,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,306,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,306,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,306,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,306,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,306,Muramidase ,,,18.75,18.75,3
RC,306,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,306,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,306,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,306,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,306,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,306,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,306,Myoglobin ,,,12.92,12.92,3
RC,306,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,306,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,306,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,306,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,306,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,306,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,306,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,306,Natriuretic peptide ,,,39.26,39.26,3
RC,306,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,306,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,306,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,306,"Neutralization test, viral ",,,16.91,16.91,3
RC,306,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,306,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,306,Nickel ,,,24.51,24.51,3
RC,306,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,306,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,306,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,306,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,306,Nucleotidase 5'- ,,,11.15,11.15,3
RC,306,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,306,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,306,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,306,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,306,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,306,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,306,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,306,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,306,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,306,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,306,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,306,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,306,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,306,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,306,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,306,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,306,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,306,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,306,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,306,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,306,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,306,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,306,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,306,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,306,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,306,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,306,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,306,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,306,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,306,Osmolality; blood ,,,6.61,6.61,3
RC,306,Osmolality; urine ,,,6.82,6.82,3
RC,306,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,306,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,306,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,306,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,306,Oxalate ,,,14.45,14.45,3
RC,306,Oxcarbazepine ,,,13.25,13.25,3
RC,306,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,306,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,306,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,306,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,306,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,306,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,306,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,306,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,306,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,306,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,306,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,306,Phenobarbital ,,,15.3,15.3,3
RC,306,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,306,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,306,Phenytoin; free ,,,13.76,13.76,3
RC,306,Phenytoin; total ,,,13.25,13.25,3
RC,306,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,306,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,306,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,306,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,306,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,306,Phosphatidylglycerol ,,,16.52,16.52,3
RC,306,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,306,Phosphohexose isomerase ,,,10.73,10.73,3
RC,306,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,306,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,306,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,306,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,306,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,306,Pinworm examinations ,,,4.27,4.27,3
RC,306,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,306,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,306,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,306,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,306,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,306,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,306,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,306,Posaconazole ,,,27.11,27.11,3
RC,306,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,306,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,306,Potassium; urine ,,,4.73,4.73,3
RC,306,Prealbumin ,,,14.59,14.59,3
RC,306,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,306,Pregnanediol ,,,21.27,21.27,3
RC,306,Pregnanetriol ,,,21.05,21.05,3
RC,306,Pregnenolone ,,,20.67,20.67,3
RC,306,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,306,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,306,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,306,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,306,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,306,Primidone ,,,16.59,16.59,3
RC,306,Procainamide; ,,,60.0,60.0,3
RC,306,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,306,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,306,Progesterone ,,,20.86,20.86,3
RC,306,Proinsulin ,,,26.69,26.69,3
RC,306,Prolactin ,,,19.38,19.38,3
RC,306,"Prostaglandin, each ",,,41.77,41.77,3
RC,306,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,306,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,306,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,306,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,306,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,306,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,306,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,306,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,306,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,306,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,306,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,306,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,306,Prothrombin time; ,,,4.29,4.29,3
RC,306,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,306,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,306,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,306,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,306,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,306,Pyruvate ,,,14.48,14.48,3
RC,306,Pyruvate kinase ,,,9.44,9.44,3
RC,306,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,306,Quinidine ,,,14.6,14.6,3
RC,306,Quinine ,,,11.63,11.63,3
RC,306,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,306,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,306,Receptor assay; estrogen ,,,87.88,87.88,3
RC,306,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,306,Receptor assay; progesterone ,,,64.88,64.88,3
RC,306,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,306,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,306,Renin ,,,21.99,21.99,3
RC,306,Reptilase test ,,,9.85,9.85,3
RC,306,Reticulated platelet assay ,,,35.74,35.74,3
RC,306,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,306,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,306,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,306,Rufinamide ,,,27.11,27.11,3
RC,306,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,306,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,306,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,306,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,306,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,306,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,306,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,306,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,306,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,306,Salicylate ,,,18.64,18.64,3
RC,306,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,306,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,306,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,306,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,306,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,306,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,306,Selenium ,,,25.53,25.53,3
RC,306,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,306,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,306,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,306,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,306,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,306,Serotonin ,,,30.98,30.98,3
RC,306,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,306,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,306,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,306,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,306,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,306,Sialic acid ,,,13.44,13.44,3
RC,306,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,306,Silica ,,,25.21,25.21,3
RC,306,Sirolimus ,,,13.73,13.73,3
RC,306,Skin test; candida ,,,24.67,24.67,3
RC,306,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,306,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,306,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,306,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,306,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,306,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",518.53,518.53,5.99,5.99,3
RC,306,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,306,Sodium; other source ,,,4.86,4.86,3
RC,306,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,306,Sodium; urine ,,,5.06,5.06,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,306,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,306,Somatomedin ,,,21.26,21.26,3
RC,306,Somatostatin ,,,18.28,18.28,3
RC,306,Specific gravity (except urine) ,,,3.28,3.28,3
RC,306,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,306,Sperm antibodies ,,,10.67,10.67,3
RC,306,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,306,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,306,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,306,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,306,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,306,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,306,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,306,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,306,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,306,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,306,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,306,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,306,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,306,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,306,"Streptokinase, antibody ",,,12.66,12.66,3
RC,306,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,306,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,306,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,306,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,306,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,306,"Sulfate, urine ",,,5.49,5.49,3
RC,306,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,306,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,306,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,306,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,306,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,306,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,306,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,306,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,306,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,306,T cells; total count ,,,37.73,37.73,3
RC,306,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,306,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,306,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,306,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,306,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,306,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,306,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,306,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,306,Tacrolimus ,,,13.73,13.73,3
RC,306,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,306,"Tau, total (tTau) ",,,128.92,128.92,3
RC,306,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,306,Testosterone; free ,,,25.47,25.47,3
RC,306,Testosterone; total ,,,25.81,25.81,3
RC,306,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,306,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,306,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,306,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,306,Theophylline ,,,14.14,14.14,3
RC,306,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,306,Thiocyanate ,,,11.63,11.63,3
RC,306,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,306,Thrombin time; plasma ,,,5.77,5.77,3
RC,306,Thrombin time; titer ,,,6.85,6.85,3
RC,306,Thrombomodulin ,,,17.27,17.27,3
RC,306,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,306,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,306,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,306,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,306,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,306,Thyroglobulin ,,,16.06,16.06,3
RC,306,Thyroglobulin antibody ,,,15.91,15.91,3
RC,306,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,306,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,306,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,306,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,306,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,306,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,306,Thyroxine; free ,,,9.02,9.02,3
RC,306,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,306,Thyroxine; total ,,,6.87,6.87,3
RC,306,Tiagabine ,,,27.11,27.11,3
RC,306,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,306,Tobramycin ,,,16.13,16.13,3
RC,306,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,306,Topiramate ,,,11.92,11.92,3
RC,306,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,306,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,306,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,306,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,306,Transferrin ,,,12.76,12.76,3
RC,306,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,306,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,306,Triglycerides ,,,5.74,5.74,3
RC,306,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,306,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,306,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,306,"Troponin, qualitative ",,,10.09,10.09,3
RC,306,"Troponin, quantitative ",,,12.47,12.47,3
RC,306,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,306,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,306,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,306,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,306,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,306,Tyrosine ,,,10.63,10.63,3
RC,306,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,306,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,306,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,306,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,306,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,306,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,306,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,306,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,306,Uric acid; blood ,,,4.52,4.52,3
RC,306,Uric acid; other source ,,,5.08,5.08,3
RC,306,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,306,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,306,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,306,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,306,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,306,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,306,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,306,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,306,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,306,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,306,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,306,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,306,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,306,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,306,Vancomycin ,,,13.54,13.54,3
RC,306,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,306,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,306,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,306,Vedolizumab ,,,38.57,38.57,3
RC,306,Very long chain fatty acids ,,,19.75,19.75,3
RC,306,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,306,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,306,Viscosity ,,,11.67,11.67,3
RC,306,Vitamin A ,,,11.61,11.61,3
RC,306,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,306,Vitamin K ,,,13.72,13.72,3
RC,306,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,306,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,306,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,306,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,306,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,306,Voriconazole ,,,27.11,27.11,3
RC,306,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,306,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,306,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,306,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,306,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,306,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,306,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,306,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,306,Zinc ,,,11.39,11.39,3
RC,306,Zonisamide ,,,13.25,13.25,3
RC,306,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,306,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,306,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,307, Laboratory Urology  ,,,,,0
RC,307,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,307,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,307,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,307,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,307,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,307,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,307,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,307,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,307,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,307,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,307,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,307,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,Acetaminophen ,,,18.64,18.64,3
RC,307,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,307,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,307,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,307,Acetylcholinesterase ,,,12.29,12.29,3
RC,307,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,307,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,307,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,307,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,307,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,307,Adalimumab ,,,38.57,38.57,3
RC,307,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,307,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,307,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,307,Albumin; ischemia modified ,,,33.94,33.94,3
RC,307,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,307,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,307,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,307,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,307,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,307,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,307,Aldolase ,,,9.71,9.71,3
RC,307,Aldosterone ,,,40.75,40.75,3
RC,307,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,307,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,307,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,307,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,307,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,307,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,307,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,307,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,307,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,307,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,307,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,307,Aluminum ,,,25.48,25.48,3
RC,307,Amikacin ,,,15.08,15.08,3
RC,307,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,307,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,307,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,307,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,307,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,307,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,307,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,307,Amiodarone ,,,18.64,18.64,3
RC,307,Ammonia ,,,14.57,14.57,3
RC,307,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,307,Amylase ,,,6.48,6.48,3
RC,307,Androstanediol glucuronide ,,,28.83,28.83,3
RC,307,Androstenedione ,,,29.28,29.28,3
RC,307,Androsterone ,,,25.55,25.55,3
RC,307,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,307,Angiotensin II ,,,20.52,20.52,3
RC,307,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,307,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,307,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,307,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,307,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,307,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,307,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,307,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,307,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,307,Antibody; Aspergillus ,,,15.05,15.05,3
RC,307,Antibody; Bartonella ,,,10.18,10.18,3
RC,307,Antibody; Blastomyces ,,,12.9,12.9,3
RC,307,Antibody; Bordetella ,,,13.19,13.19,3
RC,307,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,307,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,307,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,307,Antibody; Brucella ,,,8.93,8.93,3
RC,307,Antibody; Campylobacter ,,,13.12,13.12,3
RC,307,Antibody; Candida ,,,12.01,12.01,3
RC,307,Antibody; Chlamydia ,,,11.82,11.82,3
RC,307,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,307,Antibody; Coccidioides ,,,11.47,11.47,3
RC,307,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,307,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,307,Antibody; Diphtheria ,,,15.21,15.21,3
RC,307,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,307,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,307,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,307,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,307,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,307,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,307,Antibody; HIV-1 ,,,8.89,8.89,3
RC,307,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,307,Antibody; HIV-2 ,,,13.52,13.52,3
RC,307,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,307,Antibody; HTLV-I ,,,9.09,9.09,3
RC,307,Antibody; HTLV-II ,,,14.0,14.0,3
RC,307,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,307,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,307,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,307,Antibody; Legionella ,,,15.3,15.3,3
RC,307,Antibody; Leishmania ,,,12.25,12.25,3
RC,307,Antibody; Leptospira ,,,16.2,16.2,3
RC,307,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,307,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,307,Antibody; Nocardia ,,,15.99,15.99,3
RC,307,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,307,Antibody; Rickettsia ,,,19.35,19.35,3
RC,307,Antibody; Salmonella ,,,13.19,13.19,3
RC,307,Antibody; Shigella ,,,24.48,24.48,3
RC,307,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,307,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,307,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,307,Antibody; Trichinella ,,,12.56,12.56,3
RC,307,Antibody; West Nile virus ,,,14.39,14.39,3
RC,307,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,307,Antibody; Yersinia ,,,13.19,13.19,3
RC,307,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,307,Antibody; actinomyces ,,,10.18,10.18,3
RC,307,Antibody; adenovirus ,,,12.87,12.87,3
RC,307,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,307,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,307,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,307,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,307,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,307,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,307,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,307,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,307,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,307,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,307,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,307,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,307,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,307,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,307,Antibody; histoplasma ,,,13.79,13.79,3
RC,307,Antibody; influenza virus ,,,13.55,13.55,3
RC,307,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,307,Antibody; mucormycosis ,,,15.0,15.0,3
RC,307,Antibody; mumps ,,,13.05,13.05,3
RC,307,Antibody; mycoplasma ,,,13.24,13.24,3
RC,307,Antibody; parvovirus ,,,15.03,15.03,3
RC,307,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,307,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,307,Antibody; rotavirus ,,,18.23,18.23,3
RC,307,Antibody; rubella ,,,14.39,14.39,3
RC,307,Antibody; rubeola ,,,12.88,12.88,3
RC,307,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,307,Antibody; tetanus ,,,14.8,14.8,3
RC,307,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,307,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,307,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,307,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,307,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,307,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,307,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,307,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,307,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,307,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,307,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,307,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,307,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,307,"Apolipoprotein, each ",,,21.09,21.09,3
RC,307,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,307,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,307,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,307,Arsenic ,,,18.97,18.97,3
RC,307,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,307,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,307,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,307,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,307,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,307,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,307,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,307,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,307,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,307,"B cells, total count ",,,37.73,37.73,3
RC,307,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,307,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,307,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,307,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,307,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,307,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,307,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,307,Beta-2 microglobulin ,,,16.18,16.18,3
RC,307,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,307,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,307,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,307,Bile acids; total ,,,17.12,17.12,3
RC,307,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,307,Bilirubin; direct ,,,5.02,5.02,3
RC,307,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,307,Bilirubin; total ,,,5.02,5.02,3
RC,307,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,307,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,307,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,307,Bleeding time ,,,4.82,4.82,3
RC,307,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,307,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,307,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,307,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,307,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,307,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,307,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,307,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,307,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,307,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,307,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,307,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,307,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,307,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,307,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,307,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,307,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,307,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,307,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,307,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,307,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,307,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,307,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,307,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,307,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,307,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,307,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,307,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,307,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,307,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,307,Bradykinin ,,,5.16,5.16,3
RC,307,C-peptide ,,,20.81,20.81,3
RC,307,C-reactive protein; ,,,5.18,5.18,3
RC,307,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,307,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,307,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,307,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,307,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,307,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,307,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,307,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,307,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,307,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,307,Cadmium ,,,23.64,23.64,3
RC,307,Caffeine ,,,38.57,38.57,3
RC,307,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,307,Calcitonin ,,,26.79,26.79,3
RC,307,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,307,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,307,Calcium; ionized ,,,13.68,13.68,3
RC,307,Calcium; total ,,,5.16,5.16,3
RC,307,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,307,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,307,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,307,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,307,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,307,"Calprotectin, fecal ",,,19.63,19.63,3
RC,307,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,307,Carbamazepine; free ,,,13.25,13.25,3
RC,307,Carbamazepine; total ,,,14.57,14.57,3
RC,307,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,307,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,307,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,307,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,307,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,307,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,307,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,307,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,307,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,307,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,307,Carotene ,,,9.22,9.22,3
RC,307,Catecholamines; blood ,,,29.08,29.08,3
RC,307,Catecholamines; fractionated ,,,25.25,25.25,3
RC,307,Catecholamines; total urine ,,,27.3,27.3,3
RC,307,Cathepsin-D ,,,18.06,18.06,3
RC,307,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,307,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,307,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,307,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,307,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,307,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,307,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,307,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,307,Ceruloplasmin ,,,10.74,10.74,3
RC,307,Chemiluminescent assay ,,,14.12,14.12,3
RC,307,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,307,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,307,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,307,Chloramphenicol ,,,12.67,12.67,3
RC,307,Chloride; blood ,,,4.6,4.6,3
RC,307,Chloride; other source ,,,5.0,5.0,3
RC,307,Chloride; urine ,,,5.75,5.75,3
RC,307,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,307,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,307,Cholinesterase; RBC ,,,9.81,9.81,3
RC,307,Cholinesterase; serum ,,,7.87,7.87,3
RC,307,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,307,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,307,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,307,Chromium ,,,20.28,20.28,3
RC,307,Chromogenic substrate assay ,,,11.89,11.89,3
RC,307,Citrate ,,,27.8,27.8,3
RC,307,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,307,Clot retraction ,,,16.3,16.3,3
RC,307,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,307,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,307,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,307,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,307,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,307,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,307,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,307,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,307,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,307,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,307,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,307,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,307,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,307,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,307,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,307,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,307,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,307,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,307,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,307,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,307,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,307,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,307,Clozapine ,,,20.15,20.15,3
RC,307,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,307,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,307,Coagulation time; activated ,,,4.28,4.28,3
RC,307,Coagulation time; other methods ,,,4.49,4.49,3
RC,307,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,307,Cold agglutinin; screen ,,,8.07,8.07,3
RC,307,Cold agglutinin; titer ,,,8.06,8.06,3
RC,307,"Collagen cross links, any method ",,,18.68,18.68,3
RC,307,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,307,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,307,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,307,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,307,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,307,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,307,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,307,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,307,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,307,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,307,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,307,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,307,"Complement; antigen, each component ",,,12.0,12.0,3
RC,307,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,307,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,307,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,307,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,307,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,307,"Congo red, blood ",,,4.95,4.95,3
RC,307,Copper ,,,12.41,12.41,3
RC,307,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,307,Corticosterone ,,,22.52,22.52,3
RC,307,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,307,Cortisol; free ,,,16.71,16.71,3
RC,307,Cortisol; total ,,,16.3,16.3,3
RC,307,Creatine ,,,4.64,4.64,3
RC,307,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,307,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,307,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,307,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,307,Creatinine; blood ,,,5.12,5.12,3
RC,307,Creatinine; clearance ,,,9.46,9.46,3
RC,307,Creatinine; other source ,,,5.18,5.18,3
RC,307,Cryofibrinogen ,,,14.14,14.14,3
RC,307,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,307,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,307,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,307,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,307,Cryopreservation; sperm ,,,149.16,149.16,3
RC,307,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,3
RC,307,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,307,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,307,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,307,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,307,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,307,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,307,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,307,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,307,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,307,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,307,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,307,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,307,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,307,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,307,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,307,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,307,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,307,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,307,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,307,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,307,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,307,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,307,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,307,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,307,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,307,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,307,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,307,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,307,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,307,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,307,"Culture, typing; other methods ",,,7.74,7.74,3
RC,307,Cyanide ,,,19.4,19.4,3
RC,307,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,307,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,307,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,307,Cyclosporine ,,,18.05,18.05,3
RC,307,Cystatin C ,,,18.52,18.52,3
RC,307,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,307,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,307,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,307,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,307,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,307,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,307,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,307,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,307,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,307,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,307,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,307,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,307,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,307,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,307,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,307,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,307,Dibucaine number ,,,12.25,12.25,3
RC,307,Digoxin; free ,,,13.28,13.28,3
RC,307,Digoxin; total ,,,13.28,13.28,3
RC,307,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,307,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,307,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,307,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,307,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,307,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,307,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,307,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,307,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,307,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,307,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,307,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,307,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,307,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,307,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,307,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,307,Erythropoietin ,,,18.79,18.79,3
RC,307,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,307,Estradiol; total ,,,27.94,27.94,3
RC,307,Estriol ,,,24.18,24.18,3
RC,307,Estrogens; fractionated ,,,32.3,32.3,3
RC,307,Estrogens; total ,,,21.7,21.7,3
RC,307,Estrone ,,,24.95,24.95,3
RC,307,Ethosuximide ,,,16.34,16.34,3
RC,307,Ethylene glycol ,,,14.9,14.9,3
RC,307,Etiocholanolone ,,,26.24,26.24,3
RC,307,Euglobulin lysis ,,,8.41,8.41,3
RC,307,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,307,Everolimus ,,,13.73,13.73,3
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,307,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,307,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,307,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,307,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,307,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,307,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,307,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,307,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,307,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,307,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,307,Factor inhibitor test ,,,12.87,12.87,3
RC,307,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,307,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,307,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,307,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,307,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,307,Felbamate ,,,18.64,18.64,3
RC,307,Fern test ,,,9.74,9.74,3
RC,307,Ferritin ,,,13.63,13.63,3
RC,307,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,307,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,307,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,307,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,307,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,307,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,307,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,307,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,307,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,307,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,307,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,307,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,307,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,307,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,307,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,307,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,307,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,307,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,307,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,307,Fibrinogen; activity ,,,9.72,9.72,3
RC,307,Fibrinogen; antigen ,,,14.46,14.46,3
RC,307,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,307,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,307,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,307,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,307,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,307,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,307,Flecainide ,,,18.64,18.64,3
RC,307,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,307,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,307,Fluoride ,,,18.54,18.54,3
RC,307,Folic acid; RBC ,,,17.65,17.65,3
RC,307,Folic acid; serum ,,,14.7,14.7,3
RC,307,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,307,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,307,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,307,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,307,"Fructose, semen ",,,17.34,17.34,3
RC,307,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,307,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,307,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,307,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,307,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,307,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,307,"Galactokinase, RBC ",,,21.48,21.48,3
RC,307,Galactose ,,,11.2,11.2,3
RC,307,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,307,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,307,Galectin-3 ,,,44.25,44.25,3
RC,307,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,307,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,307,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,307,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,307,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,307,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,307,"Gases, blood, pH only ",,,11.0,11.0,3
RC,307,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,307,Gastrin ,,,17.63,17.63,3
RC,307,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,307,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,307,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,307,Gentamicin ,,,16.38,16.38,3
RC,307,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,307,Glucagon ,,,14.29,14.29,3
RC,307,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,307,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,307,Glucagon tolerance test ,,,17.77,17.77,3
RC,307,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,307,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,307,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,307,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,307,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,307,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,307,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,307,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,307,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,307,"Glucosidase, beta ",,,21.48,21.48,3
RC,307,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,307,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,307,Glutathione ,,,15.45,15.45,3
RC,307,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,307,Glycated protein ,,,16.76,16.76,3
RC,307,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,307,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,307,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,307,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,307,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,307,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,307,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,307,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,307,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,307,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,307,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,307,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,307,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,307,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,307,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,307,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,307,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,307,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,307,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,307,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,307,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,307,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,307,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,307,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,307,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,307,Haloperidol ,,,15.78,15.78,3
RC,307,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,307,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,307,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,307,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,307,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,307,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,307,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,307,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,307,Heinz bodies; direct ,,,4.2,4.2,3
RC,307,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,307,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,307,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,307,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,307,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,307,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,307,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,307,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,307,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,307,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,307,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,307,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,307,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,307,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,307,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,307,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,307,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,307,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,307,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,307,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,307,Hemoglobin; plasma ,,,7.31,7.31,3
RC,307,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,307,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,307,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,307,Hemoglobin; urine ,,,3.95,3.95,3
RC,307,"Hemolysin, acid ",,,8.87,8.87,3
RC,307,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,307,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,307,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,307,Heparin assay ,,,13.09,13.09,3
RC,307,Heparin neutralization ,,,11.84,11.84,3
RC,307,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,307,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,307,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,307,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,307,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,307,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,307,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,307,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,307,Hepatitis C antibody; ,,,14.27,14.27,3
RC,307,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,307,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,307,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,307,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,307,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,307,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,307,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,307,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,307,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,307,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,307,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,307,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,307,Histamine ,,,29.53,29.53,3
RC,307,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,307,Homocysteine ,,,17.92,17.92,3
RC,307,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,307,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,307,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,307,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,307,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,307,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,307,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,307,Hydroxychloroquine ,,,18.64,18.64,3
RC,307,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,307,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,307,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,307,Hydroxyproline; free ,,,22.65,22.65,3
RC,307,Hydroxyproline; total ,,,24.3,24.3,3
RC,307,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,307,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,307,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,307,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,307,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,307,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,307,Immune complex assay ,,,24.37,24.37,3
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,307,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,307,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,307,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,307,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,307,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,307,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,307,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,307,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,307,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,307,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,307,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,307,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,307,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,307,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,307,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,307,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,307,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,307,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,307,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,307,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,307,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,307,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,307,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,307,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,307,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,307,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,307,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,307,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,307,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,307,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,307,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,307,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,307,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,307,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,307,Infliximab ,,,38.57,38.57,3
RC,307,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,307,Inhibin A ,,,15.59,15.59,3
RC,307,Insemination of oocytes ,,,149.16,149.16,3
RC,307,Insulin antibodies ,,,21.41,21.41,3
RC,307,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,307,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,307,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,307,Insulin; free ,,,12.95,12.95,3
RC,307,Insulin; total ,,,11.43,11.43,3
RC,307,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,307,Intrinsic factor ,,,19.82,19.82,3
RC,307,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,307,Iron ,,,6.47,6.47,3
RC,307,Iron binding capacity ,,,8.74,8.74,3
RC,307,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,307,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,307,Islet cell antibody ,,,23.57,23.57,3
RC,307,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,307,Itraconazole ,,,27.11,27.11,3
RC,307,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,307,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,307,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,307,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,307,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,307,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,307,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,307,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,307,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,307,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,307,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,307,Lacosamide ,,,27.11,27.11,3
RC,307,Lactate (lactic acid) ,,,11.57,11.57,3
RC,307,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,307,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,307,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,307,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,307,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,307,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,307,Lamotrigine ,,,13.25,13.25,3
RC,307,Lead ,,,12.11,12.11,3
RC,307,Leflunomide ,,,38.57,38.57,3
RC,307,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,307,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,307,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,3
RC,307,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,307,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,307,Leukocyte transfusion ,,,149.16,149.16,3
RC,307,Levetiracetam ,,,13.25,13.25,3
RC,307,Lidocaine ,,,14.69,14.69,3
RC,307,Lipase ,,,6.89,6.89,3
RC,307,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,307,Lipoprotein (a) ,,,14.32,14.32,3
RC,307,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,307,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,307,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,307,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,307,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,307,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,307,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,307,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,307,Lithium ,,,6.61,6.61,3
RC,307,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,307,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,307,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,307,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,307,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,307,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,307,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,307,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,307,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,307,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,307,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,307,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,307,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,307,Magnesium ,,,6.7,6.7,3
RC,307,Malate dehydrogenase ,,,7.37,7.37,3
RC,307,Manganese ,,,26.65,26.65,3
RC,307,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,307,"Meat fibers, feces ",,,4.85,4.85,3
RC,307,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,307,"Mercury, quantitative ",,,16.26,16.26,3
RC,307,Metanephrines ,,,16.94,16.94,3
RC,307,Methemalbumin ,,,10.74,10.74,3
RC,307,Methotrexate ,,,38.57,38.57,3
RC,307,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,307,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,307,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,307,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,307,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,307,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,307,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,307,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,307,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,307,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,307,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,307,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,307,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,307,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,307,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,307,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,307,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,307,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,307,Muramidase ,,,18.75,18.75,3
RC,307,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,307,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,307,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,307,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,307,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,307,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,307,Myoglobin ,,,12.92,12.92,3
RC,307,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,307,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,307,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,307,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,307,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,307,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,307,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,307,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,307,Natriuretic peptide ,,,39.26,39.26,3
RC,307,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,307,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,307,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,307,"Neutralization test, viral ",,,16.91,16.91,3
RC,307,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,307,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,307,Nickel ,,,24.51,24.51,3
RC,307,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,307,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,307,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,307,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,307,Nucleotidase 5'- ,,,11.15,11.15,3
RC,307,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,307,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,307,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,307,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,307,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,307,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,307,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,307,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,307,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,307,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,307,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,307,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,307,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,307,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,307,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,307,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,307,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,307,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,307,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,307,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,307,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,307,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,307,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,307,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,307,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,307,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,307,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,307,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,307,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,307,Osmolality; blood ,,,6.61,6.61,3
RC,307,Osmolality; urine ,,,6.82,6.82,3
RC,307,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,307,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,307,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,307,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,307,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,307,Oxalate ,,,14.45,14.45,3
RC,307,Oxcarbazepine ,,,13.25,13.25,3
RC,307,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,307,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,307,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,307,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,307,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,307,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,307,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,307,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,307,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,307,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,307,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,307,Phenobarbital ,,,15.3,15.3,3
RC,307,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,307,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,307,Phenytoin; free ,,,13.76,13.76,3
RC,307,Phenytoin; total ,,,13.25,13.25,3
RC,307,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,307,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,307,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,307,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,307,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,307,Phosphatidylglycerol ,,,16.52,16.52,3
RC,307,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,307,Phosphohexose isomerase ,,,10.73,10.73,3
RC,307,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,307,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,307,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,307,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,307,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,307,Pinworm examinations ,,,4.27,4.27,3
RC,307,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,307,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,307,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,307,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,307,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,307,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,307,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,307,Posaconazole ,,,27.11,27.11,3
RC,307,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,307,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,307,Potassium; urine ,,,4.73,4.73,3
RC,307,Prealbumin ,,,14.59,14.59,3
RC,307,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,307,Pregnanediol ,,,21.27,21.27,3
RC,307,Pregnanetriol ,,,21.05,21.05,3
RC,307,Pregnenolone ,,,20.67,20.67,3
RC,307,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,307,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,307,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,307,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,307,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,307,Primidone ,,,16.59,16.59,3
RC,307,Procainamide; ,,,60.0,60.0,3
RC,307,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,307,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,307,Progesterone ,,,20.86,20.86,3
RC,307,Proinsulin ,,,26.69,26.69,3
RC,307,Prolactin ,,,19.38,19.38,3
RC,307,"Prostaglandin, each ",,,41.77,41.77,3
RC,307,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,307,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,307,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,307,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,307,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,307,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,307,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,307,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,307,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,307,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,307,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,307,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,307,Prothrombin time; ,,,4.29,4.29,3
RC,307,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,307,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,307,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,307,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,307,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,307,Pyruvate ,,,14.48,14.48,3
RC,307,Pyruvate kinase ,,,9.44,9.44,3
RC,307,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,307,Quinidine ,,,14.6,14.6,3
RC,307,Quinine ,,,11.63,11.63,3
RC,307,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,307,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,307,Receptor assay; estrogen ,,,87.88,87.88,3
RC,307,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,307,Receptor assay; progesterone ,,,64.88,64.88,3
RC,307,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,307,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,307,Renin ,,,21.99,21.99,3
RC,307,Reptilase test ,,,9.85,9.85,3
RC,307,Reticulated platelet assay ,,,35.74,35.74,3
RC,307,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,307,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,307,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,307,Rufinamide ,,,27.11,27.11,3
RC,307,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,307,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,307,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,307,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,307,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,307,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,307,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,307,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,307,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,307,Salicylate ,,,18.64,18.64,3
RC,307,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,307,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,307,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,307,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,307,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,307,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,307,Selenium ,,,25.53,25.53,3
RC,307,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,307,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,307,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,307,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,307,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,307,Serotonin ,,,30.98,30.98,3
RC,307,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,307,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,307,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,307,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,307,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,307,Sialic acid ,,,13.44,13.44,3
RC,307,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,307,Silica ,,,25.21,25.21,3
RC,307,Sirolimus ,,,13.73,13.73,3
RC,307,Skin test; candida ,,,24.67,24.67,3
RC,307,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,307,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,307,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,307,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,307,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,307,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,307,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,307,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,307,Sodium; other source ,,,4.86,4.86,3
RC,307,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,307,Sodium; urine ,,,5.06,5.06,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,307,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,307,Somatomedin ,,,21.26,21.26,3
RC,307,Somatostatin ,,,18.28,18.28,3
RC,307,Specific gravity (except urine) ,,,3.28,3.28,3
RC,307,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,307,Sperm antibodies ,,,10.67,10.67,3
RC,307,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,307,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,307,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,307,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,307,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,307,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,307,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,307,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,307,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,307,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,307,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,307,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,307,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,307,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,307,"Streptokinase, antibody ",,,12.66,12.66,3
RC,307,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,307,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,307,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,307,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,307,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,307,"Sulfate, urine ",,,5.49,5.49,3
RC,307,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,307,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,307,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,307,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,307,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,307,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,307,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,307,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,307,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,307,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,307,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,307,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,307,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,307,T cells; total count ,,,37.73,37.73,3
RC,307,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,307,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,307,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,307,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,307,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,307,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,307,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,307,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,307,Tacrolimus ,,,13.73,13.73,3
RC,307,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,307,"Tau, total (tTau) ",,,128.92,128.92,3
RC,307,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,307,Testosterone; free ,,,25.47,25.47,3
RC,307,Testosterone; total ,,,25.81,25.81,3
RC,307,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,307,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,307,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,307,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,307,Theophylline ,,,14.14,14.14,3
RC,307,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,307,Thiocyanate ,,,11.63,11.63,3
RC,307,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,307,Thrombin time; plasma ,,,5.77,5.77,3
RC,307,Thrombin time; titer ,,,6.85,6.85,3
RC,307,Thrombomodulin ,,,17.27,17.27,3
RC,307,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,307,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,307,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,307,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,307,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,307,Thyroglobulin ,,,16.06,16.06,3
RC,307,Thyroglobulin antibody ,,,15.91,15.91,3
RC,307,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,307,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,307,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,307,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,307,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,307,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,307,Thyroxine; free ,,,9.02,9.02,3
RC,307,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,307,Thyroxine; total ,,,6.87,6.87,3
RC,307,Tiagabine ,,,27.11,27.11,3
RC,307,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,307,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,307,Tobramycin ,,,16.13,16.13,3
RC,307,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,307,Topiramate ,,,11.92,11.92,3
RC,307,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,307,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,307,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,307,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,307,Transferrin ,,,12.76,12.76,3
RC,307,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,307,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,307,Triglycerides ,,,5.74,5.74,3
RC,307,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,307,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,307,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,307,"Troponin, qualitative ",,,10.09,10.09,3
RC,307,"Troponin, quantitative ",,,12.47,12.47,3
RC,307,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,307,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,307,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,307,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,307,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,307,Tyrosine ,,,10.63,10.63,3
RC,307,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,307,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,307,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,307,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,307,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,307,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,307,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,307,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,307,Uric acid; blood ,,,4.52,4.52,3
RC,307,Uric acid; other source ,,,5.08,5.08,3
RC,307,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,307,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,307,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,307,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,307,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,307,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,307,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,307,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,307,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,307,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,307,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,307,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,307,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,307,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,307,Vancomycin ,,,13.54,13.54,3
RC,307,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,307,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,307,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,307,Vedolizumab ,,,38.57,38.57,3
RC,307,Very long chain fatty acids ,,,19.75,19.75,3
RC,307,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,307,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,307,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,307,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,307,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,307,Viscosity ,,,11.67,11.67,3
RC,307,Vitamin A ,,,11.61,11.61,3
RC,307,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,307,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,307,Vitamin K ,,,13.72,13.72,3
RC,307,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,307,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,307,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,307,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,307,Voriconazole ,,,27.11,27.11,3
RC,307,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,307,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,307,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,307,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,307,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,307,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,307,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,307,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,307,Zinc ,,,11.39,11.39,3
RC,307,Zonisamide ,,,13.25,13.25,3
RC,307,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,307,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,307,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,309, Laboratory Other  ,,,,,0
RC,309,17-hydroxypregnenolone ,,,22.81,22.81,3
RC,309,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,309,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,3
RC,309,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,3
RC,309,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,3
RC,309,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,3
RC,309,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,3
RC,309,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,3
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,3
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,3
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,3
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,3
RC,309,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,3
RC,309,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,3
RC,309,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,3
RC,309,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,Acetaminophen ,,,18.64,18.64,3
RC,309,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,3
RC,309,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,3
RC,309,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,3
RC,309,Acetylcholinesterase ,,,12.29,12.29,3
RC,309,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,3
RC,309,Activated Protein C (APC) resistance assay ,,,15.32,15.32,3
RC,309,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,3
RC,309,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,3
RC,309,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,3
RC,309,Adalimumab ,,,38.57,38.57,3
RC,309,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,3
RC,309,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,3
RC,309,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,3
RC,309,Albumin; ischemia modified ,,,33.94,33.94,3
RC,309,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,3
RC,309,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,3
RC,309,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,3
RC,309,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,3
RC,309,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,3
RC,309,Alcohol (ethanol); breath ,,,30.0,30.0,3
RC,309,Aldolase ,,,9.71,9.71,3
RC,309,Aldosterone ,,,40.75,40.75,3
RC,309,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,3
RC,309,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,309,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,3
RC,309,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,3
RC,309,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,3
RC,309,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,3
RC,309,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,3
RC,309,Alpha-1-antitrypsin; total ,,,13.44,13.44,3
RC,309,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,3
RC,309,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,3
RC,309,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,3
RC,309,Aluminum ,,,25.48,25.48,3
RC,309,Amikacin ,,,15.08,15.08,3
RC,309,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,3
RC,309,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,3
RC,309,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,3
RC,309,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,3
RC,309,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,3
RC,309,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,3
RC,309,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,3
RC,309,Amiodarone ,,,18.64,18.64,3
RC,309,Ammonia ,,,14.57,14.57,3
RC,309,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,3
RC,309,Amylase ,,,6.48,6.48,3
RC,309,Androstanediol glucuronide ,,,28.83,28.83,3
RC,309,Androstenedione ,,,29.28,29.28,3
RC,309,Androsterone ,,,25.55,25.55,3
RC,309,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,3
RC,309,Angiotensin II ,,,20.52,20.52,3
RC,309,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,3
RC,309,Anti-mullerian hormone (AMH) ,,,38.62,38.62,3
RC,309,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,3
RC,309,"Antibody elution (RBC), each elution ",,,149.16,149.16,3
RC,309,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,3
RC,309,Antibody identification; leukocyte antibodies ,,,15.05,15.05,3
RC,309,Antibody identification; platelet antibodies ,,,18.37,18.37,3
RC,309,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,3
RC,309,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,3
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,6
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,6
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,3
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,3
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,3
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,3
RC,309,Antibody; Aspergillus ,,,15.05,15.05,3
RC,309,Antibody; Bartonella ,,,10.18,10.18,3
RC,309,Antibody; Blastomyces ,,,12.9,12.9,3
RC,309,Antibody; Bordetella ,,,13.19,13.19,3
RC,309,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,3
RC,309,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,3
RC,309,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,3
RC,309,Antibody; Brucella ,,,8.93,8.93,3
RC,309,Antibody; Campylobacter ,,,13.12,13.12,3
RC,309,Antibody; Candida ,,,12.01,12.01,3
RC,309,Antibody; Chlamydia ,,,11.82,11.82,3
RC,309,"Antibody; Chlamydia, IgM ",,,12.68,12.68,3
RC,309,Antibody; Coccidioides ,,,11.47,11.47,3
RC,309,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,3
RC,309,Antibody; Cryptococcus ,,,14.41,14.41,3
RC,309,Antibody; Diphtheria ,,,15.21,15.21,3
RC,309,Antibody; Ehrlichia ,,,10.18,10.18,3
RC,309,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,3
RC,309,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,3
RC,309,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,3
RC,309,Antibody; Francisella tularensis ,,,14.16,14.16,3
RC,309,Antibody; Giardia lamblia ,,,14.72,14.72,3
RC,309,Antibody; HIV-1 ,,,8.89,8.89,3
RC,309,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,3
RC,309,Antibody; HIV-2 ,,,13.52,13.52,3
RC,309,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,3
RC,309,Antibody; HTLV-I ,,,9.09,9.09,3
RC,309,Antibody; HTLV-II ,,,14.0,14.0,3
RC,309,Antibody; Haemophilus influenza ,,,15.84,15.84,3
RC,309,Antibody; Helicobacter pylori ,,,16.85,16.85,3
RC,309,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,3
RC,309,Antibody; Legionella ,,,15.3,15.3,3
RC,309,Antibody; Leishmania ,,,12.25,12.25,3
RC,309,Antibody; Leptospira ,,,16.2,16.2,3
RC,309,Antibody; Listeria monocytogenes ,,,13.19,13.19,3
RC,309,Antibody; Neisseria meningitidis ,,,13.19,13.19,3
RC,309,Antibody; Nocardia ,,,15.99,15.99,3
RC,309,Antibody; Plasmodium (malaria) ,,,13.19,13.19,3
RC,309,Antibody; Rickettsia ,,,19.35,19.35,3
RC,309,Antibody; Salmonella ,,,13.19,13.19,3
RC,309,Antibody; Shigella ,,,24.48,24.48,3
RC,309,Antibody; Toxoplasma ,,,14.39,14.39,3
RC,309,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,3
RC,309,Antibody; Treponema pallidum ,,,13.24,13.24,3
RC,309,Antibody; Trichinella ,,,12.56,12.56,3
RC,309,Antibody; West Nile virus ,,,14.39,14.39,3
RC,309,"Antibody; West Nile virus, IgM ",,,16.85,16.85,3
RC,309,Antibody; Yersinia ,,,13.19,13.19,3
RC,309,"Antibody; Zika virus, IgM ",,,16.85,16.85,3
RC,309,Antibody; actinomyces ,,,10.18,10.18,3
RC,309,Antibody; adenovirus ,,,12.87,12.87,3
RC,309,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,3
RC,309,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,3
RC,309,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,3
RC,309,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,3
RC,309,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,3
RC,309,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,3
RC,309,"Antibody; encephalitis, Western equine ",,,13.19,13.19,3
RC,309,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,3
RC,309,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,3
RC,309,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,3
RC,309,"Antibody; hepatitis, delta agent ",,,17.16,17.16,3
RC,309,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,3
RC,309,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,3
RC,309,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,3
RC,309,Antibody; histoplasma ,,,13.79,13.79,3
RC,309,Antibody; influenza virus ,,,13.55,13.55,3
RC,309,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,3
RC,309,Antibody; mucormycosis ,,,15.0,15.0,3
RC,309,Antibody; mumps ,,,13.05,13.05,3
RC,309,Antibody; mycoplasma ,,,13.24,13.24,3
RC,309,Antibody; parvovirus ,,,15.03,15.03,3
RC,309,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,3
RC,309,Antibody; respiratory syncytial virus ,,,15.89,15.89,3
RC,309,Antibody; rotavirus ,,,18.23,18.23,3
RC,309,Antibody; rubella ,,,14.39,14.39,3
RC,309,Antibody; rubeola ,,,12.88,12.88,3
RC,309,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,3
RC,309,Antibody; tetanus ,,,14.8,14.8,3
RC,309,Antibody; varicella-zoster ,,,12.88,12.88,3
RC,309,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,3
RC,309,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,3
RC,309,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,3
RC,309,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,3
RC,309,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,3
RC,309,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,3
RC,309,Antinuclear antibodies (ANA); ,,,12.09,12.09,3
RC,309,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,3
RC,309,Antistreptolysin 0; screen ,,,5.77,5.77,3
RC,309,Antistreptolysin 0; titer ,,,7.3,7.3,3
RC,309,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,3
RC,309,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,3
RC,309,"Apolipoprotein, each ",,,21.09,21.09,3
RC,309,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,309,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,3
RC,309,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,309,Arsenic ,,,18.97,18.97,3
RC,309,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,3
RC,309,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,3
RC,309,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,3
RC,309,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,3
RC,309,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,3
RC,309,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,3
RC,309,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,3
RC,309,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,3
RC,309,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,3
RC,309,"B cells, total count ",,,37.73,37.73,3
RC,309,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,3
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,3
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,3
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,3
RC,309,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,3
RC,309,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,3
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,3
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,3
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,3
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,3
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,3
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,3
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,3
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,3
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,3
RC,309,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,3
RC,309,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,3
RC,309,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,3
RC,309,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,3
RC,309,Beta-2 microglobulin ,,,16.18,16.18,3
RC,309,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,3
RC,309,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,3
RC,309,Bile acids; cholylglycine ,,,26.58,26.58,3
RC,309,Bile acids; total ,,,17.12,17.12,3
RC,309,"Bilirubin, total, transcutaneous ",,,5.02,5.02,3
RC,309,Bilirubin; direct ,,,5.02,5.02,3
RC,309,"Bilirubin; feces, qualitative ",,,4.56,4.56,3
RC,309,Bilirubin; total ,,,5.02,5.02,3
RC,309,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,3
RC,309,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,3
RC,309,"Biotinidase, each specimen ",,,16.87,16.87,3
RC,309,Bleeding time ,,,4.82,4.82,3
RC,309,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,3
RC,309,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,3
RC,309,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,3
RC,309,Blood count; automated differential WBC count ,,,6.47,6.47,3
RC,309,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,3
RC,309,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,3
RC,309,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,3
RC,309,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,3
RC,309,Blood count; hematocrit (Hct) ,,,2.37,2.37,3
RC,309,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,3
RC,309,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,3
RC,309,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,3
RC,309,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,3
RC,309,"Blood count; platelet, automated ",,,4.48,4.48,3
RC,309,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,3
RC,309,"Blood count; reticulocyte, automated ",,,3.99,3.99,3
RC,309,"Blood count; reticulocyte, manual ",,,4.31,4.31,3
RC,309,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,3
RC,309,Blood count; spun microhematocrit ,,,7.0,7.0,3
RC,309,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,3
RC,309,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,3
RC,309,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,3
RC,309,"Blood typing, serologic; ABO ",,,2.99,2.99,3
RC,309,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,3
RC,309,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,3
RC,309,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,3
RC,309,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,3
RC,309,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,3
RC,309,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,3
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,3
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,3
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,3
RC,309,"Bone marrow, smear interpretation ",,,656.15,656.15,3
RC,309,Bradykinin ,,,5.16,5.16,3
RC,309,C-peptide ,,,20.81,20.81,3
RC,309,C-reactive protein; ,,,5.18,5.18,3
RC,309,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,3
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,3
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,3
RC,309,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,3
RC,309,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,3
RC,309,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,3
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,3
RC,309,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,309,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,3
RC,309,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,3
RC,309,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,3
RC,309,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,3
RC,309,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,3
RC,309,Cadmium ,,,23.64,23.64,3
RC,309,Caffeine ,,,38.57,38.57,3
RC,309,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,3
RC,309,Calcitonin ,,,26.79,26.79,3
RC,309,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,3
RC,309,Calcium; after calcium infusion test ,,,13.34,13.34,3
RC,309,Calcium; ionized ,,,13.68,13.68,3
RC,309,Calcium; total ,,,5.16,5.16,3
RC,309,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,3
RC,309,Calculus; X-ray diffraction ,,,12.52,12.52,3
RC,309,Calculus; infrared spectroscopy ,,,12.9,12.9,3
RC,309,Calculus; qualitative analysis ,,,11.58,11.58,3
RC,309,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,3
RC,309,"Calprotectin, fecal ",,,19.63,19.63,3
RC,309,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,3
RC,309,Carbamazepine; free ,,,13.25,13.25,3
RC,309,Carbamazepine; total ,,,14.57,14.57,3
RC,309,Carbohydrate deficient transferrin ,,,18.06,18.06,3
RC,309,Carbon dioxide (bicarbonate) ,,,4.88,4.88,3
RC,309,Carboxyhemoglobin; qualitative ,,,14.07,14.07,3
RC,309,Carboxyhemoglobin; quantitative ,,,12.32,12.32,3
RC,309,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,3
RC,309,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,3
RC,309,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,3
RC,309,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,3
RC,309,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,3
RC,309,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,3
RC,309,Carotene ,,,9.22,9.22,3
RC,309,Catecholamines; blood ,,,29.08,29.08,3
RC,309,Catecholamines; fractionated ,,,25.25,25.25,3
RC,309,Catecholamines; total urine ,,,27.3,27.3,3
RC,309,Cathepsin-D ,,,18.06,18.06,3
RC,309,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,309,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,309,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,309,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,3
RC,309,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,3
RC,309,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,3
RC,309,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,3
RC,309,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,309,Ceruloplasmin ,,,10.74,10.74,3
RC,309,Chemiluminescent assay ,,,14.12,14.12,3
RC,309,"Chemotaxis assay, specify method ",,,15.99,15.99,3
RC,309,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,3
RC,309,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,3
RC,309,Chloramphenicol ,,,12.67,12.67,3
RC,309,Chloride; blood ,,,4.6,4.6,3
RC,309,Chloride; other source ,,,5.0,5.0,3
RC,309,Chloride; urine ,,,5.75,5.75,3
RC,309,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,3
RC,309,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,3
RC,309,Cholinesterase; RBC ,,,9.81,9.81,3
RC,309,Cholinesterase; serum ,,,7.87,7.87,3
RC,309,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,3
RC,309,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,3
RC,309,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,3
RC,309,Chromium ,,,20.28,20.28,3
RC,309,Chromogenic substrate assay ,,,11.89,11.89,3
RC,309,Citrate ,,,27.8,27.8,3
RC,309,"Clot lysis time, whole blood dilution ",,,20.37,20.37,3
RC,309,Clot retraction ,,,16.3,16.3,3
RC,309,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,3
RC,309,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,3
RC,309,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,3
RC,309,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,3
RC,309,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,3
RC,309,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,3
RC,309,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,3
RC,309,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,3
RC,309,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,3
RC,309,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,3
RC,309,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,3
RC,309,Clotting; factor VIII related antigen ,,,20.42,20.42,3
RC,309,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,3
RC,309,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,3
RC,309,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,3
RC,309,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,3
RC,309,Clotting; factor XI (PTA) ,,,17.9,17.9,3
RC,309,Clotting; factor XII (Hageman) ,,,19.35,19.35,3
RC,309,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,3
RC,309,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,3
RC,309,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,3
RC,309,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,3
RC,309,Clozapine ,,,20.15,20.15,3
RC,309,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,3
RC,309,Coagulation time; Lee and White ,,,4.69,4.69,3
RC,309,Coagulation time; activated ,,,4.28,4.28,3
RC,309,Coagulation time; other methods ,,,4.49,4.49,3
RC,309,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,3
RC,309,Cold agglutinin; screen ,,,8.07,8.07,3
RC,309,Cold agglutinin; titer ,,,8.06,8.06,3
RC,309,"Collagen cross links, any method ",,,18.68,18.68,3
RC,309,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,3
RC,309,Collection of venous blood by venipuncture ,,,3.0,3.0,3
RC,309,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,309,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,3
RC,309,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,3
RC,309,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,3
RC,309,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,3
RC,309,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,3
RC,309,Compatibility test each unit; electronic ,,,149.16,149.16,3
RC,309,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,3
RC,309,Compatibility test each unit; incubation technique ,,,149.16,149.16,3
RC,309,"Complement fixation tests, each antigen ",,,10.01,10.01,3
RC,309,"Complement; antigen, each component ",,,12.0,12.0,3
RC,309,"Complement; functional activity, each component ",,,12.0,12.0,3
RC,309,Complement; total hemolytic (CH50) ,,,20.32,20.32,3
RC,309,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,309,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,309,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,3
RC,309,"Concentration (any type), for infectious agents ",,,6.68,6.68,3
RC,309,"Congo red, blood ",,,4.95,4.95,3
RC,309,Copper ,,,12.41,12.41,3
RC,309,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,3
RC,309,Corticosterone ,,,22.52,22.52,3
RC,309,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,3
RC,309,Cortisol; free ,,,16.71,16.71,3
RC,309,Cortisol; total ,,,16.3,16.3,3
RC,309,Creatine ,,,4.64,4.64,3
RC,309,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,3
RC,309,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,3
RC,309,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,3
RC,309,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,3
RC,309,Creatinine; blood ,,,5.12,5.12,3
RC,309,Creatinine; clearance ,,,9.46,9.46,3
RC,309,Creatinine; other source ,,,5.18,5.18,3
RC,309,Cryofibrinogen ,,,14.14,14.14,3
RC,309,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,3
RC,309,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,3
RC,309,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,3
RC,309,Cryopreservation; embryo(s) ,,,656.15,656.15,3
RC,309,Cryopreservation; sperm ,,,149.16,149.16,3
RC,309,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",1016.16,1016.16,7.33,7.33,3
RC,309,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,3
RC,309,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,3
RC,309,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,309,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,309,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,3
RC,309,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,3
RC,309,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,3
RC,309,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,3
RC,309,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,3
RC,309,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,3
RC,309,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,3
RC,309,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,3
RC,309,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,3
RC,309,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,3
RC,309,"Culture, chlamydia, any source ",,,19.6,19.6,3
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,3
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,3
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,3
RC,309,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,3
RC,309,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,3
RC,309,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,3
RC,309,"Culture, mycoplasma, any source ",,,15.39,15.39,3
RC,309,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,3
RC,309,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,3
RC,309,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,3
RC,309,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,3
RC,309,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,3
RC,309,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,3
RC,309,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,3
RC,309,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,3
RC,309,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,3
RC,309,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,3
RC,309,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,3
RC,309,"Culture, typing; other methods ",,,7.74,7.74,3
RC,309,Cyanide ,,,19.4,19.4,3
RC,309,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,3
RC,309,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,3
RC,309,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,3
RC,309,Cyclosporine ,,,18.05,18.05,3
RC,309,Cystatin C ,,,18.52,18.52,3
RC,309,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,3
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,3
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,3
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,3
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,309,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,3
RC,309,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,3
RC,309,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,309,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,309,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,3
RC,309,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,3
RC,309,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,3
RC,309,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,3
RC,309,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,3
RC,309,"Deoxycortisol, 11- ",,,29.28,29.28,3
RC,309,"Deoxyribonuclease, antibody ",,,13.25,13.25,3
RC,309,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,3
RC,309,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,3
RC,309,"Desoxycorticosterone, 11- ",,,30.98,30.98,3
RC,309,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,3
RC,309,Dibucaine number ,,,12.25,12.25,3
RC,309,Digoxin; free ,,,13.28,13.28,3
RC,309,Digoxin; total ,,,13.28,13.28,3
RC,309,Dihydrotestosterone (DHT) ,,,29.28,29.28,3
RC,309,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,3
RC,309,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,309,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,3
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,3
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,3
RC,309,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,3
RC,309,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,3
RC,309,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,3
RC,309,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,3
RC,309,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,3
RC,309,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,3
RC,309,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,3
RC,309,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,3
RC,309,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,3
RC,309,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,3
RC,309,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,3
RC,309,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,3
RC,309,Erythropoietin ,,,18.79,18.79,3
RC,309,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,3
RC,309,Estradiol; total ,,,27.94,27.94,3
RC,309,Estriol ,,,24.18,24.18,3
RC,309,Estrogens; fractionated ,,,32.3,32.3,3
RC,309,Estrogens; total ,,,21.7,21.7,3
RC,309,Estrone ,,,24.95,24.95,3
RC,309,Ethosuximide ,,,16.34,16.34,3
RC,309,Ethylene glycol ,,,14.9,14.9,3
RC,309,Etiocholanolone ,,,26.24,26.24,3
RC,309,Euglobulin lysis ,,,8.41,8.41,3
RC,309,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,3
RC,309,Everolimus ,,,13.73,13.73,3
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,3
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,3
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,3
RC,309,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,3
RC,309,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,3
RC,309,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,3
RC,309,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,3
RC,309,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,3
RC,309,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,3
RC,309,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,3
RC,309,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,3
RC,309,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,3
RC,309,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,3
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,3
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,3
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,3
RC,309,Factor inhibitor test ,,,12.87,12.87,3
RC,309,"Fat differential, feces, quantitative ",,,22.97,22.97,3
RC,309,"Fat or lipids, feces; qualitative ",,,5.1,5.1,3
RC,309,"Fat or lipids, feces; quantitative ",,,16.8,16.8,3
RC,309,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,3
RC,309,"Fatty acids, nonesterified ",,,18.77,18.77,3
RC,309,Felbamate ,,,18.64,18.64,3
RC,309,Fern test ,,,9.74,9.74,3
RC,309,Ferritin ,,,13.63,13.63,3
RC,309,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,3
RC,309,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,3
RC,309,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,3
RC,309,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,3
RC,309,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,3
RC,309,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,3
RC,309,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,3
RC,309,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,3
RC,309,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,3
RC,309,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,3
RC,309,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,3
RC,309,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,3
RC,309,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,3
RC,309,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,3
RC,309,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,3
RC,309,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,3
RC,309,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,3
RC,309,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,3
RC,309,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,3
RC,309,Fibrinogen; activity ,,,9.72,9.72,3
RC,309,Fibrinogen; antigen ,,,14.46,14.46,3
RC,309,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,3
RC,309,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,3
RC,309,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,3
RC,309,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,3
RC,309,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,3
RC,309,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,3
RC,309,Flecainide ,,,18.64,18.64,3
RC,309,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,3
RC,309,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,3
RC,309,Fluoride ,,,18.54,18.54,3
RC,309,Folic acid; RBC ,,,17.65,17.65,3
RC,309,Folic acid; serum ,,,14.7,14.7,3
RC,309,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,3
RC,309,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,3
RC,309,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,3
RC,309,"Frozen blood, each unit; thawing ",,,291.26,291.26,3
RC,309,"Fructose, semen ",,,17.34,17.34,3
RC,309,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,3
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,3
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,3
RC,309,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,3
RC,309,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,3
RC,309,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,3
RC,309,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,3
RC,309,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,3
RC,309,"Galactokinase, RBC ",,,21.48,21.48,3
RC,309,Galactose ,,,11.2,11.2,3
RC,309,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,3
RC,309,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,3
RC,309,Galectin-3 ,,,44.25,44.25,3
RC,309,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,3
RC,309,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,3
RC,309,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,3
RC,309,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,3
RC,309,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,3
RC,309,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,3
RC,309,"Gases, blood, pH only ",,,11.0,11.0,3
RC,309,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,3
RC,309,Gastrin ,,,17.63,17.63,3
RC,309,Gastrin after secretin stimulation ,,,17.69,17.69,3
RC,309,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,3
RC,309,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,3
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,3
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,3
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,3
RC,309,Gentamicin ,,,16.38,16.38,3
RC,309,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,309,Glucagon ,,,14.29,14.29,3
RC,309,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,3
RC,309,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,3
RC,309,Glucagon tolerance test ,,,17.77,17.77,3
RC,309,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,3
RC,309,"Glucose, body fluid, other than blood ",,,3.93,3.93,3
RC,309,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,3
RC,309,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,3
RC,309,"Glucose; blood, reagent strip ",,,5.04,5.04,3
RC,309,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,3
RC,309,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,3
RC,309,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,3
RC,309,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,3
RC,309,"Glucosidase, beta ",,,21.48,21.48,3
RC,309,Glutamate dehydrogenase ,,,13.15,13.15,3
RC,309,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,3
RC,309,Glutathione ,,,15.45,15.45,3
RC,309,"Glutathione reductase, RBC ",,,9.44,9.44,3
RC,309,Glycated protein ,,,16.76,16.76,3
RC,309,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,3
RC,309,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,3
RC,309,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,3
RC,309,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,3
RC,309,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,3
RC,309,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,3
RC,309,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,3
RC,309,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,3
RC,309,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,3
RC,309,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,3
RC,309,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,3
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,3
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,3
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,3
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,3
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,3
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,3
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,3
RC,309,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,3
RC,309,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,3
RC,309,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,3
RC,309,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,3
RC,309,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,3
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,3
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,3
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,3
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,3
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,3
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,3
RC,309,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,3
RC,309,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,3
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,3
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,3
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,3
RC,309,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,3
RC,309,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,3
RC,309,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,3
RC,309,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,3
RC,309,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,3
RC,309,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,3
RC,309,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,309,Haloperidol ,,,15.78,15.78,3
RC,309,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,309,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,309,Haptoglobin; phenotypes ,,,26.89,26.89,3
RC,309,Haptoglobin; quantitative ,,,12.58,12.58,3
RC,309,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,3
RC,309,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,3
RC,309,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,3
RC,309,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,3
RC,309,Heinz bodies; direct ,,,4.2,4.2,3
RC,309,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,3
RC,309,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,309,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,3
RC,309,Helicobacter pylori; drug administration ,,,7.86,7.86,3
RC,309,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,3
RC,309,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,6
RC,309,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,3
RC,309,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,3
RC,309,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,3
RC,309,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,3
RC,309,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,3
RC,309,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,3
RC,309,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,3
RC,309,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,3
RC,309,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,3
RC,309,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,3
RC,309,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,3
RC,309,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,3
RC,309,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,3
RC,309,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,3
RC,309,Hemoglobin; plasma ,,,7.31,7.31,3
RC,309,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,3
RC,309,Hemoglobin; thermolabile ,,,9.0,9.0,3
RC,309,"Hemoglobin; unstable, screen ",,,9.47,9.47,3
RC,309,Hemoglobin; urine ,,,3.95,3.95,3
RC,309,"Hemolysin, acid ",,,8.87,8.87,3
RC,309,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,3
RC,309,Hemolysins and agglutinins; incubated ,,,12.11,12.11,3
RC,309,"Hemosiderin, qualitative ",,,4.75,4.75,3
RC,309,Heparin assay ,,,13.09,13.09,3
RC,309,Heparin neutralization ,,,11.84,11.84,3
RC,309,Heparin-protamine tolerance test ,,,13.09,13.09,3
RC,309,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,3
RC,309,Hepatitis A antibody (HAAb) ,,,12.39,12.39,3
RC,309,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,3
RC,309,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,3
RC,309,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,3
RC,309,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,3
RC,309,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,3
RC,309,Hepatitis C antibody; ,,,14.27,14.27,3
RC,309,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,3
RC,309,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,309,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,309,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,3
RC,309,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,3
RC,309,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,3
RC,309,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,3
RC,309,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,3
RC,309,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,3
RC,309,Heterophile antibodies; screening ,,,5.18,5.18,3
RC,309,Heterophile antibodies; titer ,,,6.47,6.47,3
RC,309,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,3
RC,309,Histamine ,,,29.53,29.53,3
RC,309,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,309,Homocysteine ,,,17.92,17.92,3
RC,309,"Homogenization, tissue, for culture ",,,5.88,5.88,3
RC,309,Homovanillic acid (HVA) ,,,22.41,22.41,3
RC,309,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,3
RC,309,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,3
RC,309,Human epididymis protein 4 (HE4) ,,,20.81,20.81,3
RC,309,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,3
RC,309,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,3
RC,309,Hydroxychloroquine ,,,18.64,18.64,3
RC,309,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,3
RC,309,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,3
RC,309,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,3
RC,309,Hydroxyproline; free ,,,22.65,22.65,3
RC,309,Hydroxyproline; total ,,,24.3,24.3,3
RC,309,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,3
RC,309,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,3
RC,309,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,3
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,3
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,3
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,3
RC,309,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,3
RC,309,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,3
RC,309,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,3
RC,309,Immune complex assay ,,,24.37,24.37,3
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,3
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,3
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,3
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,3
RC,309,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,3
RC,309,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,3
RC,309,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,3
RC,309,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,3
RC,309,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,3
RC,309,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,3
RC,309,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,3
RC,309,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,3
RC,309,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,3
RC,309,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,3
RC,309,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,3
RC,309,Immunoelectrophoresis; serum ,,,29.92,29.92,3
RC,309,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,3
RC,309,Immunofixation electrophoresis; serum ,,,22.34,22.34,3
RC,309,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,3
RC,309,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,3
RC,309,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,3
RC,309,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,3
RC,309,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,3
RC,309,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,309,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,309,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,309,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,93
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,3
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,3
RC,309,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,3
RC,309,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,9
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,6
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,9
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,309,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,309,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,3
RC,309,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,3
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,3
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,3
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,3
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,3
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,3
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,3
RC,309,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,3
RC,309,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,3
RC,309,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,3
RC,309,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,3
RC,309,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,3
RC,309,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,3
RC,309,Infliximab ,,,38.57,38.57,3
RC,309,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,3
RC,309,Inhibin A ,,,15.59,15.59,3
RC,309,Insemination of oocytes ,,,149.16,149.16,3
RC,309,Insulin antibodies ,,,21.41,21.41,3
RC,309,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,3
RC,309,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,3
RC,309,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,3
RC,309,Insulin; free ,,,12.95,12.95,3
RC,309,Insulin; total ,,,11.43,11.43,3
RC,309,Interleukin-6 (IL-6) ,,,17.27,17.27,3
RC,309,Intrinsic factor ,,,19.82,19.82,3
RC,309,Intrinsic factor antibodies ,,,15.08,15.08,3
RC,309,Iron ,,,6.47,6.47,3
RC,309,Iron binding capacity ,,,8.74,8.74,3
RC,309,"Iron stain, peripheral blood ",,,6.88,6.88,3
RC,309,"Irradiation of blood product, each unit ",,,33.84,33.84,3
RC,309,Islet cell antibody ,,,23.57,23.57,3
RC,309,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,3
RC,309,Itraconazole ,,,27.11,27.11,3
RC,309,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,3
RC,309,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,3
RC,309,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,3
RC,309,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,3
RC,309,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,3
RC,309,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,3
RC,309,"Ketogenic steroids, fractionation ",,,15.47,15.47,3
RC,309,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,3
RC,309,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,3
RC,309,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,3
RC,309,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,3
RC,309,Lacosamide ,,,27.11,27.11,3
RC,309,Lactate (lactic acid) ,,,11.57,11.57,3
RC,309,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,3
RC,309,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,3
RC,309,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,3
RC,309,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,3
RC,309,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,3
RC,309,"Lactose, urine, qualitative ",,,11.25,11.25,3
RC,309,Lamotrigine ,,,13.25,13.25,3
RC,309,Lead ,,,12.11,12.11,3
RC,309,Leflunomide ,,,38.57,38.57,3
RC,309,Leucine aminopeptidase (LAP) ,,,9.81,9.81,3
RC,309,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,3
RC,309,Leukocyte histamine release test (LHR) ,,,12.46,12.46,3
RC,309,Leukocyte phagocytosis ,,,10.39,10.39,3
RC,309,Leukocyte transfusion ,,,149.16,149.16,3
RC,309,Levetiracetam ,,,13.25,13.25,3
RC,309,Lidocaine ,,,14.69,14.69,3
RC,309,Lipase ,,,6.89,6.89,3
RC,309,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,3
RC,309,Lipoprotein (a) ,,,14.32,14.32,3
RC,309,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,3
RC,309,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,3
RC,309,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,3
RC,309,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,3
RC,309,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,3
RC,309,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,3
RC,309,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,3
RC,309,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,3
RC,309,Lithium ,,,6.61,6.61,3
RC,309,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,3
RC,309,Luteinizing releasing factor (LRH) ,,,17.19,17.19,3
RC,309,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,3
RC,309,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,3
RC,309,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,3
RC,309,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,3
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,3
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,3
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,3
RC,309,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,3
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,3
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,3
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,3
RC,309,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,3
RC,309,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,3
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,3
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,3
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,3
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,3
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,3
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,3
RC,309,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,3
RC,309,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,3
RC,309,Macroscopic examination; arthropod ,,,4.27,4.27,3
RC,309,Macroscopic examination; parasite ,,,4.31,4.31,3
RC,309,Magnesium ,,,6.7,6.7,3
RC,309,Malate dehydrogenase ,,,7.37,7.37,3
RC,309,Manganese ,,,26.65,26.65,3
RC,309,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,3
RC,309,"Meat fibers, feces ",,,4.85,4.85,3
RC,309,"Mechanical fragility, RBC ",,,8.6,8.6,3
RC,309,"Mercury, quantitative ",,,16.26,16.26,3
RC,309,Metanephrines ,,,16.94,16.94,3
RC,309,Methemalbumin ,,,10.74,10.74,3
RC,309,Methotrexate ,,,38.57,38.57,3
RC,309,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,3
RC,309,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,3
RC,309,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,3
RC,309,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,3
RC,309,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,3
RC,309,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,3
RC,309,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,3
RC,309,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,3
RC,309,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,3
RC,309,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,3
RC,309,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,3
RC,309,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,3
RC,309,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,3
RC,309,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,3
RC,309,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,3
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,3
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,3
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,3
RC,309,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,3
RC,309,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,3
RC,309,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,309,Muramidase ,,,18.75,18.75,3
RC,309,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,3
RC,309,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,3
RC,309,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,3
RC,309,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,3
RC,309,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,3
RC,309,Myeloperoxidase (MPO) ,,,50.86,50.86,3
RC,309,Myoglobin ,,,12.92,12.92,3
RC,309,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,3
RC,309,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,3
RC,309,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,3
RC,309,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,309,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,309,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,3
RC,309,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,3
RC,309,Nasal smear for eosinophils ,,,5.79,5.79,3
RC,309,Natriuretic peptide ,,,39.26,39.26,3
RC,309,"Natural killer (NK) cells, total count ",,,37.73,37.73,3
RC,309,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,3
RC,309,Neurofilament light chain (NfL) ,,,116.23,116.23,3
RC,309,"Neutralization test, viral ",,,16.91,16.91,3
RC,309,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,3
RC,309,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,3
RC,309,Nickel ,,,24.51,24.51,3
RC,309,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,3
RC,309,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,3
RC,309,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,3
RC,309,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,3
RC,309,Nucleotidase 5'- ,,,11.15,11.15,3
RC,309,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,3
RC,309,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,3
RC,309,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,3
RC,309,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,3
RC,309,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,3
RC,309,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,3
RC,309,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,3
RC,309,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,3
RC,309,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,3
RC,309,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,3
RC,309,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,3
RC,309,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,3
RC,309,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,3
RC,309,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,3
RC,309,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,3
RC,309,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,3
RC,309,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,3
RC,309,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,3
RC,309,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,3
RC,309,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,3
RC,309,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,3
RC,309,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,3
RC,309,Oncoprotein; HER-2/neu ,,,64.41,64.41,3
RC,309,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,3
RC,309,Oocyte identification from follicular fluid ,,,149.16,149.16,3
RC,309,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,3
RC,309,"Organic acid, single, quantitative ",,,21.21,21.21,3
RC,309,"Organic acids; qualitative, each specimen ",,,16.45,16.45,3
RC,309,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,3
RC,309,Osmolality; blood ,,,6.61,6.61,3
RC,309,Osmolality; urine ,,,6.82,6.82,3
RC,309,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,3
RC,309,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,3
RC,309,Osteocalcin (bone g1a protein) ,,,29.85,29.85,3
RC,309,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,3
RC,309,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,3
RC,309,Oxalate ,,,14.45,14.45,3
RC,309,Oxcarbazepine ,,,13.25,13.25,3
RC,309,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,3
RC,309,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,3
RC,309,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,3
RC,309,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,3
RC,309,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,3
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,3
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,3
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,3
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,3
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,3
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,3
RC,309,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,3
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,3
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,3
RC,309,Parathormone (parathyroid hormone) ,,,41.28,41.28,3
RC,309,"Particle agglutination; screen, each antibody ",,,11.54,11.54,3
RC,309,"Particle agglutination; titer, each antibody ",,,10.64,10.64,3
RC,309,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,3
RC,309,Phencyclidine (PCP) ,,,41.52,41.52,3
RC,309,Phenobarbital ,,,15.3,15.3,3
RC,309,"Phenylalanine (PKU), blood ",,,5.5,5.5,3
RC,309,"Phenylketones, qualitative ",,,3.98,3.98,3
RC,309,Phenytoin; free ,,,13.76,13.76,3
RC,309,Phenytoin; total ,,,13.25,13.25,3
RC,309,"Phosphatase, acid; prostatic ",,,9.66,9.66,3
RC,309,"Phosphatase, acid; total ",,,7.64,7.64,3
RC,309,"Phosphatase, alkaline; ",,,5.18,5.18,3
RC,309,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,3
RC,309,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,3
RC,309,Phosphatidylglycerol ,,,16.52,16.52,3
RC,309,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,3
RC,309,Phosphohexose isomerase ,,,10.73,10.73,3
RC,309,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,3
RC,309,Phospholipid neutralization; platelet ,,,17.98,17.98,3
RC,309,Phosphorus inorganic (phosphate); ,,,4.74,4.74,3
RC,309,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,3
RC,309,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,3
RC,309,Pinworm examinations ,,,4.27,4.27,3
RC,309,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,3
RC,309,Pooling of platelets or other blood products ,,,149.16,149.16,3
RC,309,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,3
RC,309,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,3
RC,309,"Porphyrins, feces, quantitative ",,,39.11,39.11,3
RC,309,"Porphyrins, urine; qualitative ",,,13.36,13.36,3
RC,309,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,3
RC,309,Posaconazole ,,,27.11,27.11,3
RC,309,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,309,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,3
RC,309,Potassium; urine ,,,4.73,4.73,3
RC,309,Prealbumin ,,,14.59,14.59,3
RC,309,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,3
RC,309,Pregnanediol ,,,21.27,21.27,3
RC,309,Pregnanetriol ,,,21.05,21.05,3
RC,309,Pregnenolone ,,,20.67,20.67,3
RC,309,Preparation of embryo for transfer (any method) ,,,49.76,49.76,3
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,3
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,3
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,3
RC,309,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,3
RC,309,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,3
RC,309,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,3
RC,309,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,3
RC,309,Primidone ,,,16.59,16.59,3
RC,309,Procainamide; ,,,60.0,60.0,3
RC,309,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,3
RC,309,Procalcitonin (PCT) ,,,27.22,27.22,3
RC,309,Progesterone ,,,20.86,20.86,3
RC,309,Proinsulin ,,,26.69,26.69,3
RC,309,Prolactin ,,,19.38,19.38,3
RC,309,"Prostaglandin, each ",,,41.77,41.77,3
RC,309,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,309,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,3
RC,309,Prostate specific antigen (PSA); free ,,,18.39,18.39,3
RC,309,Prostate specific antigen (PSA); total ,,,18.39,18.39,3
RC,309,"Protein, total, by refractometry, any source ",,,5.61,5.61,3
RC,309,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,3
RC,309,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,3
RC,309,"Protein, total, except by refractometry; urine ",,,3.67,3.67,3
RC,309,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,3
RC,309,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,3
RC,309,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,3
RC,309,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,3
RC,309,Prothrombin time; ,,,4.29,4.29,3
RC,309,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,3
RC,309,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,3
RC,309,"Protoporphyrin, RBC; screen ",,,9.74,9.74,3
RC,309,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,3
RC,309,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,3
RC,309,Pyruvate ,,,14.48,14.48,3
RC,309,Pyruvate kinase ,,,9.44,9.44,3
RC,309,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,3
RC,309,Quinidine ,,,14.6,14.6,3
RC,309,Quinine ,,,11.63,11.63,3
RC,309,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,3
RC,309,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,3
RC,309,Receptor assay; estrogen ,,,87.88,87.88,3
RC,309,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,3
RC,309,Receptor assay; progesterone ,,,64.88,64.88,3
RC,309,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,3
RC,309,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,3
RC,309,Renin ,,,21.99,21.99,3
RC,309,Reptilase test ,,,9.85,9.85,3
RC,309,Reticulated platelet assay ,,,35.74,35.74,3
RC,309,Rheumatoid factor; qualitative ,,,6.14,6.14,3
RC,309,Rheumatoid factor; quantitative ,,,5.67,5.67,3
RC,309,Riboflavin (Vitamin B-2) ,,,20.24,20.24,3
RC,309,Rufinamide ,,,27.11,27.11,3
RC,309,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,3
RC,309,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,3
RC,309,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,3
RC,309,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,3
RC,309,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,3
RC,309,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,3
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,3
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,3
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,3
RC,309,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,3
RC,309,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,3
RC,309,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,3
RC,309,Salicylate ,,,18.64,18.64,3
RC,309,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,309,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,309,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,309,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,309,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,3
RC,309,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,3
RC,309,Selenium ,,,25.53,25.53,3
RC,309,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,3
RC,309,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,309,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,3
RC,309,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,3
RC,309,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,3
RC,309,Serotonin ,,,30.98,30.98,3
RC,309,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,3
RC,309,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,3
RC,309,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,3
RC,309,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,3
RC,309,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,3
RC,309,Sialic acid ,,,13.44,13.44,3
RC,309,"Sickling of RBC, reduction ",,,5.51,5.51,3
RC,309,Silica ,,,25.21,25.21,3
RC,309,Sirolimus ,,,13.73,13.73,3
RC,309,Skin test; candida ,,,24.67,24.67,3
RC,309,Skin test; histoplasmosis ,,,55.66,55.66,3
RC,309,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,3
RC,309,"Skin test; unlisted antigen, each ",,,24.67,24.67,3
RC,309,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,3
RC,309,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,3
RC,309,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,3
RC,309,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,3
RC,309,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,3
RC,309,Sodium; other source ,,,4.86,4.86,3
RC,309,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,3
RC,309,Sodium; urine ,,,5.06,5.06,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,3
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,3
RC,309,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,6
RC,309,Somatomedin ,,,21.26,21.26,3
RC,309,Somatostatin ,,,18.28,18.28,3
RC,309,Specific gravity (except urine) ,,,3.28,3.28,3
RC,309,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,3
RC,309,Sperm antibodies ,,,10.67,10.67,3
RC,309,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,3
RC,309,Sperm evaluation; hamster penetration test ,,,19.59,19.59,3
RC,309,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,3
RC,309,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,3
RC,309,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,309,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,3
RC,309,"Splitting of blood or blood products, each unit ",,,149.16,149.16,3
RC,309,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,3
RC,309,"Stem cells (ie, CD34), total count ",,,77.78,77.78,3
RC,309,Storage (per year); embryo(s) ,,,149.16,149.16,3
RC,309,Storage (per year); oocyte(s) ,,,291.26,291.26,3
RC,309,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,309,Storage (per year); sperm/semen ,,,149.16,149.16,3
RC,309,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,3
RC,309,"Streptokinase, antibody ",,,12.66,12.66,3
RC,309,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,3
RC,309,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,3
RC,309,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,3
RC,309,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,3
RC,309,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,3
RC,309,"Sulfate, urine ",,,5.49,5.49,3
RC,309,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,3
RC,309,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,3
RC,309,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,3
RC,309,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,3
RC,309,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,3
RC,309,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,3
RC,309,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,3
RC,309,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,3
RC,309,Sweat collection by iontophoresis ,,,49.76,49.76,3
RC,309,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,3
RC,309,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,3
RC,309,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,3
RC,309,T cells; absolute CD4 count ,,,26.78,26.78,3
RC,309,T cells; total count ,,,37.73,37.73,3
RC,309,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,3
RC,309,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,3
RC,309,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,3
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,3
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,3
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,3
RC,309,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,3
RC,309,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,3
RC,309,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,3
RC,309,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,3
RC,309,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,3
RC,309,Tacrolimus ,,,13.73,13.73,3
RC,309,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,3
RC,309,"Tau, total (tTau) ",,,128.92,128.92,3
RC,309,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,3
RC,309,Testosterone; free ,,,25.47,25.47,3
RC,309,Testosterone; total ,,,25.81,25.81,3
RC,309,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,3
RC,309,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,3
RC,309,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,3
RC,309,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,3
RC,309,Theophylline ,,,14.14,14.14,3
RC,309,Thiamine (Vitamin B-1) ,,,21.23,21.23,3
RC,309,Thiocyanate ,,,11.63,11.63,3
RC,309,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,3
RC,309,Thrombin time; plasma ,,,5.77,5.77,3
RC,309,Thrombin time; titer ,,,6.85,6.85,3
RC,309,Thrombomodulin ,,,17.27,17.27,3
RC,309,"Thromboplastin inhibition, tissue ",,,9.63,9.63,3
RC,309,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,3
RC,309,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,3
RC,309,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,3
RC,309,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,309,Thyroglobulin ,,,16.06,16.06,3
RC,309,Thyroglobulin antibody ,,,15.91,15.91,3
RC,309,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,3
RC,309,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,3
RC,309,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,3
RC,309,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,3
RC,309,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,3
RC,309,Thyroxine binding globulin (TBG) ,,,14.78,14.78,3
RC,309,Thyroxine; free ,,,9.02,9.02,3
RC,309,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,3
RC,309,Thyroxine; total ,,,6.87,6.87,3
RC,309,Tiagabine ,,,27.11,27.11,3
RC,309,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,3
RC,309,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,3
RC,309,Tobramycin ,,,16.13,16.13,3
RC,309,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,3
RC,309,Topiramate ,,,11.92,11.92,3
RC,309,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,3
RC,309,Transcortin (cortisol binding globulin) ,,,18.0,18.0,3
RC,309,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,3
RC,309,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,3
RC,309,Transferrin ,,,12.76,12.76,3
RC,309,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,3
RC,309,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,3
RC,309,Triglycerides ,,,5.74,5.74,3
RC,309,Triiodothyronine T3; free ,,,16.94,16.94,3
RC,309,Triiodothyronine T3; reverse ,,,15.76,15.76,3
RC,309,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,3
RC,309,"Troponin, qualitative ",,,10.09,10.09,3
RC,309,"Troponin, quantitative ",,,12.47,12.47,3
RC,309,Trypsin; duodenal fluid ,,,7.2,7.2,3
RC,309,"Trypsin; feces, qualitative ",,,7.3,7.3,3
RC,309,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,3
RC,309,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,3
RC,309,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,3
RC,309,Tyrosine ,,,10.63,10.63,3
RC,309,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,3
RC,309,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,3
RC,309,Unlisted miscellaneous pathology test ,,,49.76,49.76,3
RC,309,Unlisted transfusion medicine procedure ,,,24.67,24.67,3
RC,309,"Urea nitrogen, clearance ",,,7.2,7.2,3
RC,309,"Urea nitrogen, urine ",,,5.56,5.56,3
RC,309,Urea nitrogen; quantitative ,,,3.95,3.95,3
RC,309,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,3
RC,309,Uric acid; blood ,,,4.52,4.52,3
RC,309,Uric acid; other source ,,,5.08,5.08,3
RC,309,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,6
RC,309,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,6
RC,309,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,3
RC,309,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,3
RC,309,Urinalysis; microscopic only ,,,3.05,3.05,3
RC,309,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,3
RC,309,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,3
RC,309,"Urobilinogen, feces, quantitative ",,,16.8,16.8,3
RC,309,"Urobilinogen, urine; qualitative ",,,4.47,4.47,3
RC,309,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,3
RC,309,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,3
RC,309,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,3
RC,309,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,3
RC,309,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,3
RC,309,Vancomycin ,,,13.54,13.54,3
RC,309,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,3
RC,309,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,3
RC,309,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,3
RC,309,Vedolizumab ,,,38.57,38.57,3
RC,309,Very long chain fatty acids ,,,19.75,19.75,3
RC,309,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,3
RC,309,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,3
RC,309,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,3
RC,309,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,3
RC,309,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,3
RC,309,Viscosity ,,,11.67,11.67,3
RC,309,Vitamin A ,,,11.61,11.61,3
RC,309,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,3
RC,309,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,3
RC,309,Vitamin K ,,,13.72,13.72,3
RC,309,"Vitamin, not otherwise specified ",,,17.06,17.06,3
RC,309,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,3
RC,309,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,3
RC,309,"Volume measurement for timed collection, each ",,,3.64,3.64,3
RC,309,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,3
RC,309,Voriconazole ,,,27.11,27.11,3
RC,309,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,309,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,309,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,3
RC,309,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,3
RC,309,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,3
RC,309,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,3
RC,309,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,3
RC,309,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,3
RC,309,Zinc ,,,11.39,11.39,3
RC,309,Zonisamide ,,,13.25,13.25,3
RC,309,"b-Hexosaminidase, each assay ",,,16.87,16.87,3
RC,309,"pH; body fluid, not otherwise specified ",,,3.58,3.58,3
RC,309,pH; exhaled breath condensate ,,,3.58,3.58,3
RC,310, Laboratory Pathology General Classification  ,,,,,0
RC,310,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,310,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,310,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,310,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,310,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,310,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,310,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,310,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,310,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,310,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,310,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,310,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,310,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,310,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,310,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,310,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,310,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,310,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,310,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,310,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,310,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,310,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,310,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,310,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,310,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,310,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,310,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,310,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,310,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,310,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,310,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,310,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,310,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,310,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,310,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,310,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,310,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,310,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,310,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,310,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,187.73,187.73,8.72,8.72,3
RC,310,"Electron microscopy, diagnostic ",2694.0,2694.0,656.15,656.15,3
RC,310,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,310,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,310,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,310,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,310,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,310,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,310,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,310,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,310,"Immunofluorescence, per specimen; initial single antibody stain procedure ",604.95,604.95,291.26,291.26,3
RC,310,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",1068.64,1068.64,149.16,149.16,3
RC,310,"Level I - Surgical pathology, gross examination only ",187.73,187.73,24.67,24.67,3
RC,310,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",1068.64,1068.64,24.67,24.67,3
RC,310,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",604.95,604.95,49.76,49.76,3
RC,310,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",604.95,604.95,49.76,49.76,3
RC,310,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",1068.64,1068.64,291.26,291.26,3
RC,310,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",1068.64,1068.64,656.15,656.15,3
RC,310,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,310,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,310,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,310,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,310,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,310,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,310,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,310,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,310,Morphometric analysis; nerve ,1068.64,1068.64,49.76,49.76,3
RC,310,Morphometric analysis; skeletal muscle ,604.95,604.95,149.16,149.16,3
RC,310,"Morphometric analysis; tumor (eg, DNA ploidy) ",604.95,604.95,149.16,149.16,3
RC,310,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,310,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,310,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,310,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,310,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,310,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,310,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,310,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,310,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,310,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,310,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,310,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,310,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,310,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,310,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,310,Nerve teasing preparations ,1068.64,1068.64,656.15,656.15,3
RC,310,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,310,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,310,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,310,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,310,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,310,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,310,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,310,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,310,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,310,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,310,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,310,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,187.73,187.73,24.08,24.08,3
RC,310,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",604.95,604.95,149.16,149.16,3
RC,310,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,310,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,310,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,310,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,310,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,310,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,310,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,310,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,310,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",1068.64,1068.64,49.76,49.76,3
RC,310,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",1068.0,1068.0,33.84,33.84,3
RC,310,"Special stain including interpretation and report; Group III, for enzyme constituents ",1068.64,1068.64,656.15,656.15,3
RC,310,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,1068.64,1068.64,79.91,79.91,3
RC,310,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,310,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,310,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,310,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,3
RC,310,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,310,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,310,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,3
RC,310,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,3
RC,310,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,310,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,310,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,310,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,311, Laboratory Pathology Cytology  ,,,,,0
RC,311,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,311,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,311,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,311,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,311,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,311,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,311,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,311,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,311,Chromosome analysis; analyze 20-25 cells ,2993.0,2993.0,144.61,144.61,3
RC,311,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,311,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,311,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,311,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,311,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,311,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,311,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,311,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,311,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,311,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,311,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,311,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",482.12,482.12,33.84,33.84,3
RC,311,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",482.12,482.12,149.16,149.16,3
RC,311,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",604.95,604.95,49.76,49.76,3
RC,311,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",482.12,482.12,24.67,24.67,3
RC,311,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",482.12,482.12,33.84,33.84,3
RC,311,"Cytopathology, forensic (eg, sperm) ",482.12,482.12,49.76,49.76,3
RC,311,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",604.95,604.95,49.76,49.76,3
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,311,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,311,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,311,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,311,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,311,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",604.95,604.95,49.76,49.76,3
RC,311,"Cytopathology, smears, any other source; preparation, screening and interpretation ",482.12,482.12,24.67,24.67,3
RC,311,"Cytopathology, smears, any other source; screening and interpretation ",482.12,482.12,24.67,24.67,3
RC,311,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,311,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,311,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,311,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,311,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,311,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,311,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,311,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,311,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,311,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,311,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,311,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,311,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,311,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,311,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,311,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,311,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,311,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,311,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,311,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,311,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,311,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,311,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,311,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,311,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,311,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,311,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,311,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,311,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,311,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,311,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,311,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,311,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,311,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,311,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,311,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,311,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,311,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,311,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,311,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,311,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,311,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,311,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,311,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,311,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,311,Nerve teasing preparations ,,,656.15,656.15,3
RC,311,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,311,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,311,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,311,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,311,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,311,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,311,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,311,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,311,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,311,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,311,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,311,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,311,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,311,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,311,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,311,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,311,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,311,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,311,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,311,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,311,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,311,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,311,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,311,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,311,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,311,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,311,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,311,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,311,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,311,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,311,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,311,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",2993.0,2993.0,143.75,143.75,3
RC,311,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,311,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,311,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,311,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,311,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,311,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,312, Laboratory Pathology Histology  ,,,,,0
RC,312,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,312,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,312,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,312,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,312,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,312,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,312,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,312,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,312,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,312,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,312,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,312,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,312,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,312,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,312,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,312,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,312,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,312,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,312,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,312,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,312,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,312,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,312,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,312,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,312,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,312,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,312,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,312,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,312,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,312,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,312,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,312,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,312,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,312,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,312,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,312,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,312,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,312,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,312,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,312,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,312,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,312,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,312,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,312,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,312,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,312,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,312,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,312,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,312,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,312,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,312,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,312,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,312,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,312,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,312,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,312,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,312,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,312,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,312,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,312,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,312,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,312,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,312,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,312,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,312,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,312,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,312,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,312,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,312,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,312,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,312,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,312,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,312,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,312,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,312,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,312,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,312,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,312,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,312,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,312,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,312,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,312,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,312,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,312,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,312,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,312,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,312,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,312,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,312,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,312,Nerve teasing preparations ,,,656.15,656.15,3
RC,312,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,312,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,312,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,312,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,312,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,312,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,312,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,312,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,312,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,312,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,312,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,312,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,312,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,312,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,312,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,312,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,312,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,312,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,312,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,312,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,312,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,312,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,312,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,312,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,312,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,312,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,312,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,312,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,312,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,312,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,312,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,312,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,3
RC,312,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,312,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,312,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,3
RC,312,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,3
RC,312,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,312,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,312,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,312,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,314, Laboratory Pathology Biopsy  ,,,,,0
RC,314,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,314,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,314,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,314,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,314,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,314,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,314,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,314,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,314,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,314,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,314,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,314,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,314,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,314,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,314,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,314,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,314,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,314,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,314,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,314,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,314,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,314,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,314,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,314,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,314,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,314,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,314,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,314,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,314,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,314,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,314,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,314,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,314,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,314,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,314,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,314,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,314,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,314,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,314,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,314,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,314,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,314,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,314,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,314,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,314,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,314,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,314,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,314,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,314,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,314,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,314,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,314,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,314,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,314,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,314,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,314,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,314,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,314,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,314,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,314,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,314,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,314,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,314,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,314,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,314,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,314,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,314,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,314,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,314,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,314,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,314,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,314,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,314,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,314,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,314,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,314,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,314,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,314,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,314,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,314,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,314,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,314,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,314,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,314,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,314,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,314,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,314,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,314,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,314,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,314,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,314,Nerve teasing preparations ,,,656.15,656.15,3
RC,314,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,314,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,314,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,314,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,314,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,314,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,314,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,314,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,314,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,314,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,314,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,314,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,314,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,314,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,314,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,314,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,314,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,314,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,314,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,314,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,314,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,314,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,314,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,314,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,314,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,314,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,314,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,314,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,314,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,314,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,314,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,314,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,3
RC,314,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,314,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,314,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,3
RC,314,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,3
RC,314,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,314,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,314,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,314,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,319, Laboratory Pathology Other  ,,,,,0
RC,319,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,3
RC,319,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,3
RC,319,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,3
RC,319,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,3
RC,319,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,3
RC,319,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,3
RC,319,Chromosome analysis; additional high resolution study ,,,34.43,34.43,3
RC,319,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,3
RC,319,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,3
RC,319,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,3
RC,319,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,3
RC,319,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,3
RC,319,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,3
RC,319,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,3
RC,319,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,3
RC,319,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,3
RC,319,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,3
RC,319,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,3
RC,319,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,3
RC,319,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,3
RC,319,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,3
RC,319,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,3
RC,319,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,3
RC,319,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,3
RC,319,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,3
RC,319,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,3
RC,319,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,3
RC,319,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,3
RC,319,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,3
RC,319,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,3
RC,319,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,3
RC,319,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,3
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,3
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,3
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,3
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,3
RC,319,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,3
RC,319,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,3
RC,319,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,3
RC,319,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,3
RC,319,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,3
RC,319,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,3
RC,319,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,3
RC,319,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,3
RC,319,"Electron microscopy, diagnostic ",,,656.15,656.15,3
RC,319,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,3
RC,319,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,3
RC,319,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,3
RC,319,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,3
RC,319,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,3
RC,319,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,3
RC,319,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,3
RC,319,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,3
RC,319,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,3
RC,319,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,3
RC,319,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,3
RC,319,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,3
RC,319,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,3
RC,319,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,3
RC,319,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,3
RC,319,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,3
RC,319,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,3
RC,319,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,3
RC,319,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,3
RC,319,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,3
RC,319,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,3
RC,319,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,3
RC,319,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,3
RC,319,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,3
RC,319,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,3
RC,319,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,3
RC,319,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,3
RC,319,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,319,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,3
RC,319,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,3
RC,319,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,3
RC,319,Morphometric analysis; nerve ,,,49.76,49.76,3
RC,319,Morphometric analysis; skeletal muscle ,,,149.16,149.16,3
RC,319,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,3
RC,319,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,3
RC,319,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,3
RC,319,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,3
RC,319,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,3
RC,319,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,3
RC,319,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,3
RC,319,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,3
RC,319,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,3
RC,319,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,3
RC,319,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,3
RC,319,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,3
RC,319,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,3
RC,319,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,3
RC,319,Necropsy (autopsy); coroner's call ,,,58.62,58.62,3
RC,319,Necropsy (autopsy); forensic examination ,,,584.46,584.46,3
RC,319,Nerve teasing preparations ,,,656.15,656.15,3
RC,319,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,3
RC,319,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,3
RC,319,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,3
RC,319,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,3
RC,319,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,3
RC,319,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,3
RC,319,Pathogen(s) test for platelets ,,,33.84,33.84,3
RC,319,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,3
RC,319,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,3
RC,319,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,3
RC,319,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,3
RC,319,Pathology consultation during surgery; ,,,33.84,33.84,3
RC,319,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,3
RC,319,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,3
RC,319,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,3
RC,319,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,3
RC,319,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,3
RC,319,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,3
RC,319,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,3
RC,319,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,3
RC,319,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,3
RC,319,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,3
RC,319,Sex chromatin identification; Barr bodies ,,,17.98,17.98,3
RC,319,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,3
RC,319,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,3
RC,319,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,3
RC,319,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,3
RC,319,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,3
RC,319,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,3
RC,319,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,3
RC,319,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,3
RC,319,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,3
RC,319,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,3
RC,319,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,3
RC,319,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,3
RC,319,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,3
RC,319,Unlisted cytogenetic study ,,,49.76,49.76,3
RC,319,Unlisted cytopathology procedure ,,,49.76,49.76,3
RC,319,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,3
RC,319,Unlisted surgical pathology procedure ,,,49.76,49.76,3
RC,320, Radiology - Diagnostic General Classification  ,,,316.0,499.0,5
RC,320,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,118.87,3
RC,320,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,3
RC,320,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,1327.01,3
RC,320,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,826.97,3
RC,320,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,320,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,320,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,320,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,320,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,320,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,Bone age studies ,,,154.52,154.52,3
RC,320,"Cephalogram, orthodontic ",,,83.86,83.86,3
RC,320,"Cholecystography, oral contrast ",,,341.2,341.2,3
RC,320,"Cineradiography/videoradiography, except where specifically included ",,,154.52,154.52,3
RC,320,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,920.54,3
RC,320,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,313.62,3
RC,320,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,420.39,3
RC,320,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,154.52,3
RC,320,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,320,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,2289.17,3
RC,320,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,320,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,320,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,154.52,3
RC,320,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,320,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,154.52,3
RC,320,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,320,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,320,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,320,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,83.86,3
RC,320,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,171.27,3
RC,320,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,920.54,3
RC,320,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,920.54,3
RC,320,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,616.1,3
RC,320,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,920.54,3
RC,320,Non-ophthalmic fluorescent vascular angiography ,,,313.62,313.62,3
RC,320,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,154.52,3
RC,320,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,657.03,3
RC,320,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,3
RC,320,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,83.86,3
RC,320,"Radiologic examination, abdomen; 1 view ",,,83.86,83.86,3
RC,320,"Radiologic examination, abdomen; 2 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, abdomen; 3 or more views ",,,154.52,154.52,3
RC,320,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,320,"Radiologic examination, ankle; 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, chest; 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, chest; 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, chest; 4 or more views ",,,154.52,154.52,3
RC,320,"Radiologic examination, chest; single view ",,,83.86,83.86,3
RC,320,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,154.52,3
RC,320,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,320,"Radiologic examination, elbow; 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, eye, for detection of foreign body ",,,83.86,83.86,3
RC,320,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, facial bones; less than 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, femur; 1 view ",,,83.86,83.86,3
RC,320,"Radiologic examination, femur; minimum 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, foot; 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, hand; 2 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, hand; minimum of 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,83.86,3
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",1937.57,1937.57,154.52,154.52,3
RC,320,"Radiologic examination, internal auditory meati, complete ",,,313.62,313.62,3
RC,320,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,320,"Radiologic examination, knee; 1 or 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, knee; 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,154.52,3
RC,320,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,154.52,3
RC,320,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,154.52,3
RC,320,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,341.2,3
RC,320,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,313.62,3
RC,320,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,154.52,3
RC,320,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, salivary gland for calculus ",,,83.86,83.86,3
RC,320,"Radiologic examination, sella turcica ",,,83.86,83.86,3
RC,320,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,320,"Radiologic examination, shoulder; 1 view ",,,83.86,83.86,3
RC,320,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,154.52,3
RC,320,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, skull; less than 4 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,154.52,3
RC,320,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,154.52,3
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",702.17,702.17,154.52,154.52,3
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",1338.16,1338.16,154.52,154.52,3
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",1338.16,1338.16,154.52,154.52,3
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",425.14,425.14,83.86,83.86,3
RC,320,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, spine, single view, specify level ",,,83.86,83.86,3
RC,320,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,154.52,3
RC,320,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, teeth; complete, full mouth ",,,313.62,313.62,3
RC,320,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,313.62,3
RC,320,"Radiologic examination, teeth; single view ",,,83.86,83.86,3
RC,320,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,83.86,3
RC,320,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,83.86,3
RC,320,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,341.2,3
RC,320,"Radiologic examination, wrist; 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,83.86,3
RC,320,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination; clavicle, complete ",,,83.86,83.86,3
RC,320,"Radiologic examination; forearm, 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination; neck, soft tissue ",,,83.86,83.86,3
RC,320,Radiologic examination; optic foramina ,,,83.86,83.86,3
RC,320,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,83.86,3
RC,320,"Radiologic examination; scapula, complete ",,,154.52,154.52,3
RC,320,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,83.86,3
RC,320,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,154.52,3
RC,320,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,154.52,3
RC,320,"Sialography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,320,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,3
RC,320,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,14.01,3
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,111.52,3
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,111.52,3
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,56.07,3
RC,320,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,341.2,3
RC,320,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,341.2,3
RC,320,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,341.2,3
RC,320,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,341.2,3
RC,320,"Urography, retrograde, with or without KUB ",,,616.1,616.1,3
RC,320,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,320,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,826.97,3
RC,320,"Venography, epidural, radiological supervision and interpretation ",,,826.97,826.97,3
RC,320,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,320,"Venography, orbital, radiological supervision and interpretation ",,,826.97,826.97,3
RC,320,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,320,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,978.61,978.61,83.86,83.86,3
RC,321, Radiology - Diagnostic Angiocardiology  ,,,316.0,499.0,5
RC,321,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,118.87,3
RC,321,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,3
RC,321,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,1327.01,3
RC,321,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,826.97,3
RC,321,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,321,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,321,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,321,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,321,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,321,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,Bone age studies ,,,154.52,154.52,3
RC,321,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,154.52,3
RC,321,"Cephalogram, orthodontic ",,,83.86,83.86,3
RC,321,"Cholecystography, oral contrast ",,,341.2,341.2,3
RC,321,"Cineradiography/videoradiography, except where specifically included ",,,154.52,154.52,3
RC,321,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,920.54,3
RC,321,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,313.62,3
RC,321,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,420.39,3
RC,321,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,154.52,3
RC,321,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,341.2,3
RC,321,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,2289.17,3
RC,321,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,321,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,83.86,3
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,154.52,3
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,154.52,3
RC,321,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,313.62,3
RC,321,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,154.52,3
RC,321,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,321,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,321,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,321,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,83.86,3
RC,321,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,171.27,3
RC,321,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,920.54,3
RC,321,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,920.54,3
RC,321,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,920.54,3
RC,321,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,616.1,3
RC,321,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,920.54,3
RC,321,Non-ophthalmic fluorescent vascular angiography ,,,313.62,313.62,3
RC,321,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,83.86,3
RC,321,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,321,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,154.52,3
RC,321,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,657.03,3
RC,321,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,3
RC,321,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,83.86,3
RC,321,"Radiologic examination, abdomen; 1 view ",,,83.86,83.86,3
RC,321,"Radiologic examination, abdomen; 2 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, abdomen; 3 or more views ",,,154.52,154.52,3
RC,321,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,321,"Radiologic examination, ankle; 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, chest; 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, chest; 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, chest; 4 or more views ",,,154.52,154.52,3
RC,321,"Radiologic examination, chest; single view ",,,83.86,83.86,3
RC,321,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,341.2,3
RC,321,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,321,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,154.52,3
RC,321,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,321,"Radiologic examination, elbow; 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,245.97,3
RC,321,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,321,"Radiologic examination, eye, for detection of foreign body ",,,83.86,83.86,3
RC,321,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, facial bones; less than 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, femur; 1 view ",,,83.86,83.86,3
RC,321,"Radiologic examination, femur; minimum 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, foot; 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, hand; 2 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, hand; minimum of 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,83.86,3
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, internal auditory meati, complete ",,,313.62,313.62,3
RC,321,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,321,"Radiologic examination, knee; 1 or 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, knee; 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,83.86,3
RC,321,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,154.52,3
RC,321,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,154.52,3
RC,321,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,154.52,3
RC,321,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, osseous survey, infant ",,,154.52,154.52,3
RC,321,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,154.52,3
RC,321,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,154.52,3
RC,321,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,341.2,3
RC,321,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,154.52,3
RC,321,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, salivary gland for calculus ",,,83.86,83.86,3
RC,321,"Radiologic examination, sella turcica ",,,83.86,83.86,3
RC,321,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,321,"Radiologic examination, shoulder; 1 view ",,,83.86,83.86,3
RC,321,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,154.52,3
RC,321,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, skull; less than 4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,154.52,3
RC,321,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,83.86,3
RC,321,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine, single view, specify level ",,,83.86,83.86,3
RC,321,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,154.52,3
RC,321,"Radiologic examination, teeth; complete, full mouth ",,,313.62,313.62,3
RC,321,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,313.62,3
RC,321,"Radiologic examination, teeth; single view ",,,83.86,83.86,3
RC,321,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,83.86,3
RC,321,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,83.86,3
RC,321,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,341.2,3
RC,321,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,321,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,341.2,3
RC,321,"Radiologic examination, wrist; 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,83.86,3
RC,321,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; clavicle, complete ",,,83.86,83.86,3
RC,321,"Radiologic examination; forearm, 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; neck, soft tissue ",,,83.86,83.86,3
RC,321,Radiologic examination; optic foramina ,,,83.86,83.86,3
RC,321,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,154.52,3
RC,321,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,83.86,3
RC,321,"Radiologic examination; scapula, complete ",,,154.52,154.52,3
RC,321,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,83.86,3
RC,321,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,154.52,3
RC,321,"Radiological examination, surgical specimen ",,,657.03,657.03,3
RC,321,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,154.52,3
RC,321,"Sialography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,3
RC,321,"Splenoportography, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,321,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,341.2,3
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,14.01,3
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,111.52,3
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,111.52,3
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,56.07,3
RC,321,Unlisted diagnostic radiographic procedure ,,,83.86,83.86,3
RC,321,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,321,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,341.2,3
RC,321,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,341.2,3
RC,321,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,341.2,3
RC,321,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,341.2,3
RC,321,"Urography, retrograde, with or without KUB ",,,616.1,616.1,3
RC,321,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,321,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,826.97,3
RC,321,"Venography, epidural, radiological supervision and interpretation ",,,826.97,826.97,3
RC,321,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,321,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,321,"Venography, orbital, radiological supervision and interpretation ",,,826.97,826.97,3
RC,321,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,826.97,3
RC,321,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,321,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,321,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,83.86,3
RC,322, Radiology - Diagnostic Arthrography  ,,,316.0,499.0,5
RC,322,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,118.87,3
RC,322,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,3
RC,322,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,1327.01,3
RC,322,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,826.97,3
RC,322,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,322,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,322,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,322,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,322,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,322,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,Bone age studies ,,,154.52,154.52,3
RC,322,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,154.52,3
RC,322,"Cephalogram, orthodontic ",,,83.86,83.86,3
RC,322,"Cholecystography, oral contrast ",,,341.2,341.2,3
RC,322,"Cineradiography/videoradiography, except where specifically included ",,,154.52,154.52,3
RC,322,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,920.54,3
RC,322,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,313.62,3
RC,322,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,420.39,3
RC,322,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,154.52,3
RC,322,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,341.2,3
RC,322,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,2289.17,3
RC,322,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,322,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,83.86,3
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,154.52,3
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,154.52,3
RC,322,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,313.62,3
RC,322,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,154.52,3
RC,322,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,322,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,322,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,322,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,83.86,3
RC,322,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,171.27,3
RC,322,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,920.54,3
RC,322,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,920.54,3
RC,322,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,920.54,3
RC,322,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,616.1,3
RC,322,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,920.54,3
RC,322,Non-ophthalmic fluorescent vascular angiography ,,,313.62,313.62,3
RC,322,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,83.86,3
RC,322,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,322,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,154.52,3
RC,322,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,657.03,3
RC,322,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,3
RC,322,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,83.86,3
RC,322,"Radiologic examination, abdomen; 1 view ",,,83.86,83.86,3
RC,322,"Radiologic examination, abdomen; 2 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, abdomen; 3 or more views ",,,154.52,154.52,3
RC,322,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,322,"Radiologic examination, ankle; 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, chest; 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, chest; 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, chest; 4 or more views ",,,154.52,154.52,3
RC,322,"Radiologic examination, chest; single view ",,,83.86,83.86,3
RC,322,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,341.2,3
RC,322,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,322,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,154.52,3
RC,322,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,322,"Radiologic examination, elbow; 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,245.97,3
RC,322,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,322,"Radiologic examination, eye, for detection of foreign body ",,,83.86,83.86,3
RC,322,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, facial bones; less than 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, femur; 1 view ",,,83.86,83.86,3
RC,322,"Radiologic examination, femur; minimum 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, foot; 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, hand; 2 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, hand; minimum of 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,83.86,3
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, internal auditory meati, complete ",,,313.62,313.62,3
RC,322,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,322,"Radiologic examination, knee; 1 or 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, knee; 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,83.86,3
RC,322,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,154.52,3
RC,322,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,154.52,3
RC,322,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,154.52,3
RC,322,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, osseous survey, infant ",,,154.52,154.52,3
RC,322,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,154.52,3
RC,322,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,154.52,3
RC,322,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,341.2,3
RC,322,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,154.52,3
RC,322,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, salivary gland for calculus ",,,83.86,83.86,3
RC,322,"Radiologic examination, sella turcica ",,,83.86,83.86,3
RC,322,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,322,"Radiologic examination, shoulder; 1 view ",,,83.86,83.86,3
RC,322,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,154.52,3
RC,322,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, skull; less than 4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,154.52,3
RC,322,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,83.86,3
RC,322,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine, single view, specify level ",,,83.86,83.86,3
RC,322,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,154.52,3
RC,322,"Radiologic examination, teeth; complete, full mouth ",,,313.62,313.62,3
RC,322,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,313.62,3
RC,322,"Radiologic examination, teeth; single view ",,,83.86,83.86,3
RC,322,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,83.86,3
RC,322,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,83.86,3
RC,322,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,341.2,3
RC,322,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,322,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,341.2,3
RC,322,"Radiologic examination, wrist; 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,83.86,3
RC,322,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; clavicle, complete ",,,83.86,83.86,3
RC,322,"Radiologic examination; forearm, 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; neck, soft tissue ",,,83.86,83.86,3
RC,322,Radiologic examination; optic foramina ,,,83.86,83.86,3
RC,322,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,154.52,3
RC,322,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,83.86,3
RC,322,"Radiologic examination; scapula, complete ",,,154.52,154.52,3
RC,322,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,83.86,3
RC,322,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,154.52,3
RC,322,"Radiological examination, surgical specimen ",,,657.03,657.03,3
RC,322,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,154.52,3
RC,322,"Sialography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,3
RC,322,"Splenoportography, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,322,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,341.2,3
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,14.01,3
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,111.52,3
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,111.52,3
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,56.07,3
RC,322,Unlisted diagnostic radiographic procedure ,,,83.86,83.86,3
RC,322,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,322,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,341.2,3
RC,322,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,341.2,3
RC,322,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,341.2,3
RC,322,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,341.2,3
RC,322,"Urography, retrograde, with or without KUB ",,,616.1,616.1,3
RC,322,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,322,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,826.97,3
RC,322,"Venography, epidural, radiological supervision and interpretation ",,,826.97,826.97,3
RC,322,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,322,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,322,"Venography, orbital, radiological supervision and interpretation ",,,826.97,826.97,3
RC,322,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,826.97,3
RC,322,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,322,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,322,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,83.86,3
RC,323, Radiology - Diagnostic Arteriography  ,,,316.0,499.0,5
RC,323,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,118.87,3
RC,323,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,3
RC,323,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,1327.01,3
RC,323,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,826.97,3
RC,323,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,323,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,323,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,323,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,Bone age studies ,,,154.52,154.52,3
RC,323,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,154.52,3
RC,323,"Cephalogram, orthodontic ",,,83.86,83.86,3
RC,323,"Cholecystography, oral contrast ",,,341.2,341.2,3
RC,323,"Cineradiography/videoradiography, except where specifically included ",,,154.52,154.52,3
RC,323,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,920.54,3
RC,323,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,313.62,3
RC,323,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,420.39,3
RC,323,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,154.52,3
RC,323,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,341.2,3
RC,323,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,2289.17,3
RC,323,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,323,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,83.86,3
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,154.52,3
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,154.52,3
RC,323,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,313.62,3
RC,323,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,154.52,3
RC,323,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,323,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,323,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,323,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,83.86,3
RC,323,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,171.27,3
RC,323,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,920.54,3
RC,323,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,920.54,3
RC,323,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,920.54,3
RC,323,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,616.1,3
RC,323,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,920.54,3
RC,323,Non-ophthalmic fluorescent vascular angiography ,,,313.62,313.62,3
RC,323,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,83.86,3
RC,323,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,323,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,154.52,3
RC,323,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,657.03,3
RC,323,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,3
RC,323,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,83.86,3
RC,323,"Radiologic examination, abdomen; 1 view ",,,83.86,83.86,3
RC,323,"Radiologic examination, abdomen; 2 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, abdomen; 3 or more views ",,,154.52,154.52,3
RC,323,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,323,"Radiologic examination, ankle; 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, chest; 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, chest; 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, chest; 4 or more views ",,,154.52,154.52,3
RC,323,"Radiologic examination, chest; single view ",,,83.86,83.86,3
RC,323,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,341.2,3
RC,323,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,323,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,154.52,3
RC,323,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,323,"Radiologic examination, elbow; 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,245.97,3
RC,323,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,323,"Radiologic examination, eye, for detection of foreign body ",,,83.86,83.86,3
RC,323,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, facial bones; less than 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, femur; 1 view ",,,83.86,83.86,3
RC,323,"Radiologic examination, femur; minimum 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, foot; 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, hand; 2 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, hand; minimum of 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,83.86,3
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, internal auditory meati, complete ",,,313.62,313.62,3
RC,323,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,323,"Radiologic examination, knee; 1 or 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, knee; 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,83.86,3
RC,323,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,154.52,3
RC,323,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,154.52,3
RC,323,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,154.52,3
RC,323,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, osseous survey, infant ",,,154.52,154.52,3
RC,323,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,154.52,3
RC,323,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,154.52,3
RC,323,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,341.2,3
RC,323,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,154.52,3
RC,323,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, salivary gland for calculus ",,,83.86,83.86,3
RC,323,"Radiologic examination, sella turcica ",,,83.86,83.86,3
RC,323,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,323,"Radiologic examination, shoulder; 1 view ",,,83.86,83.86,3
RC,323,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,154.52,3
RC,323,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, skull; less than 4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,154.52,3
RC,323,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,83.86,3
RC,323,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine, single view, specify level ",,,83.86,83.86,3
RC,323,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,154.52,3
RC,323,"Radiologic examination, teeth; complete, full mouth ",,,313.62,313.62,3
RC,323,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,313.62,3
RC,323,"Radiologic examination, teeth; single view ",,,83.86,83.86,3
RC,323,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,83.86,3
RC,323,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,83.86,3
RC,323,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,341.2,3
RC,323,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,323,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,341.2,3
RC,323,"Radiologic examination, wrist; 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,83.86,3
RC,323,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; clavicle, complete ",,,83.86,83.86,3
RC,323,"Radiologic examination; forearm, 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; neck, soft tissue ",,,83.86,83.86,3
RC,323,Radiologic examination; optic foramina ,,,83.86,83.86,3
RC,323,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,154.52,3
RC,323,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,83.86,3
RC,323,"Radiologic examination; scapula, complete ",,,154.52,154.52,3
RC,323,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,83.86,3
RC,323,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,154.52,3
RC,323,"Radiological examination, surgical specimen ",,,657.03,657.03,3
RC,323,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,154.52,3
RC,323,"Sialography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,3
RC,323,"Splenoportography, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,323,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,341.2,3
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,14.01,3
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,111.52,3
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,111.52,3
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,56.07,3
RC,323,Unlisted diagnostic radiographic procedure ,,,83.86,83.86,3
RC,323,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,323,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,341.2,3
RC,323,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,341.2,3
RC,323,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,341.2,3
RC,323,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,341.2,3
RC,323,"Urography, retrograde, with or without KUB ",,,616.1,616.1,3
RC,323,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,323,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,826.97,3
RC,323,"Venography, epidural, radiological supervision and interpretation ",,,826.97,826.97,3
RC,323,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,323,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,323,"Venography, orbital, radiological supervision and interpretation ",,,826.97,826.97,3
RC,323,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,826.97,3
RC,323,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,323,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,323,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,83.86,3
RC,324, Radiology - Diagnostic Chest X-Ray  ,,,316.0,499.0,5
RC,324,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,118.87,3
RC,324,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,3
RC,324,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,1327.01,3
RC,324,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,826.97,3
RC,324,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,324,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,324,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,324,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,324,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,324,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,Bone age studies ,,,154.52,154.52,3
RC,324,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,154.52,3
RC,324,"Cephalogram, orthodontic ",,,83.86,83.86,3
RC,324,"Cholecystography, oral contrast ",,,341.2,341.2,3
RC,324,"Cineradiography/videoradiography, except where specifically included ",,,154.52,154.52,3
RC,324,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,920.54,3
RC,324,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,313.62,3
RC,324,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,420.39,3
RC,324,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,154.52,3
RC,324,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,341.2,3
RC,324,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,2289.17,3
RC,324,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,324,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,83.86,3
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,154.52,3
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,154.52,3
RC,324,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,313.62,3
RC,324,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,154.52,3
RC,324,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,324,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,324,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,324,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,83.86,3
RC,324,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,171.27,3
RC,324,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,920.54,3
RC,324,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,920.54,3
RC,324,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,920.54,3
RC,324,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,616.1,3
RC,324,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,920.54,3
RC,324,Non-ophthalmic fluorescent vascular angiography ,,,313.62,313.62,3
RC,324,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,83.86,3
RC,324,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,324,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,154.52,3
RC,324,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,657.03,3
RC,324,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,3
RC,324,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,83.86,3
RC,324,"Radiologic examination, abdomen; 1 view ",,,83.86,83.86,3
RC,324,"Radiologic examination, abdomen; 2 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, abdomen; 3 or more views ",,,154.52,154.52,3
RC,324,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,324,"Radiologic examination, ankle; 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, chest; 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, chest; 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, chest; 4 or more views ",1589.86,1589.86,154.52,154.52,3
RC,324,"Radiologic examination, chest; single view ",,,83.86,83.86,3
RC,324,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,341.2,3
RC,324,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,324,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,154.52,3
RC,324,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,324,"Radiologic examination, elbow; 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,245.97,3
RC,324,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,324,"Radiologic examination, eye, for detection of foreign body ",,,83.86,83.86,3
RC,324,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, facial bones; less than 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, femur; 1 view ",,,83.86,83.86,3
RC,324,"Radiologic examination, femur; minimum 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, foot; 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, hand; 2 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, hand; minimum of 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,83.86,3
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, internal auditory meati, complete ",,,313.62,313.62,3
RC,324,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,324,"Radiologic examination, knee; 1 or 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, knee; 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,83.86,3
RC,324,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,154.52,3
RC,324,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,154.52,3
RC,324,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,154.52,3
RC,324,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, osseous survey, infant ",,,154.52,154.52,3
RC,324,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,154.52,3
RC,324,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,154.52,3
RC,324,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,341.2,3
RC,324,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,154.52,3
RC,324,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, salivary gland for calculus ",,,83.86,83.86,3
RC,324,"Radiologic examination, sella turcica ",,,83.86,83.86,3
RC,324,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,324,"Radiologic examination, shoulder; 1 view ",,,83.86,83.86,3
RC,324,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,154.52,3
RC,324,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, skull; less than 4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,154.52,3
RC,324,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,83.86,3
RC,324,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine, single view, specify level ",,,83.86,83.86,3
RC,324,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,154.52,3
RC,324,"Radiologic examination, teeth; complete, full mouth ",,,313.62,313.62,3
RC,324,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,313.62,3
RC,324,"Radiologic examination, teeth; single view ",,,83.86,83.86,3
RC,324,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,83.86,3
RC,324,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,83.86,3
RC,324,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,341.2,3
RC,324,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,324,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,341.2,3
RC,324,"Radiologic examination, wrist; 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,83.86,3
RC,324,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; clavicle, complete ",,,83.86,83.86,3
RC,324,"Radiologic examination; forearm, 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; neck, soft tissue ",,,83.86,83.86,3
RC,324,Radiologic examination; optic foramina ,,,83.86,83.86,3
RC,324,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,154.52,3
RC,324,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,83.86,3
RC,324,"Radiologic examination; scapula, complete ",,,154.52,154.52,3
RC,324,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,83.86,3
RC,324,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,154.52,3
RC,324,"Radiological examination, surgical specimen ",,,657.03,657.03,3
RC,324,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,154.52,3
RC,324,"Sialography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,3
RC,324,"Splenoportography, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,324,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,341.2,3
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,14.01,3
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,111.52,3
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,111.52,3
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,56.07,3
RC,324,Unlisted diagnostic radiographic procedure ,,,83.86,83.86,3
RC,324,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,324,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,341.2,3
RC,324,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,341.2,3
RC,324,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,341.2,3
RC,324,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,341.2,3
RC,324,"Urography, retrograde, with or without KUB ",,,616.1,616.1,3
RC,324,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,324,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,826.97,3
RC,324,"Venography, epidural, radiological supervision and interpretation ",,,826.97,826.97,3
RC,324,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,324,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,324,"Venography, orbital, radiological supervision and interpretation ",,,826.97,826.97,3
RC,324,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,826.97,3
RC,324,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,324,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,324,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,83.86,3
RC,329, Radiology Diagnostic Other  ,,,316.0,499.0,5
RC,329,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,118.87,3
RC,329,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,3
RC,329,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,1327.01,3
RC,329,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,826.97,3
RC,329,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,329,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,329,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,329,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,329,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,329,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,Bone age studies ,,,154.52,154.52,3
RC,329,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,154.52,3
RC,329,"Cephalogram, orthodontic ",,,83.86,83.86,3
RC,329,"Cholecystography, oral contrast ",,,341.2,341.2,3
RC,329,"Cineradiography/videoradiography, except where specifically included ",,,154.52,154.52,3
RC,329,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,920.54,3
RC,329,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,313.62,3
RC,329,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,420.39,3
RC,329,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,154.52,3
RC,329,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,341.2,3
RC,329,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,2289.17,3
RC,329,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,329,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,83.86,3
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,154.52,3
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,154.52,3
RC,329,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,313.62,3
RC,329,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,154.52,3
RC,329,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,329,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,329,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,329,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,83.86,3
RC,329,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,171.27,3
RC,329,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,920.54,3
RC,329,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,920.54,3
RC,329,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,920.54,3
RC,329,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,616.1,3
RC,329,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,920.54,3
RC,329,Non-ophthalmic fluorescent vascular angiography ,,,313.62,313.62,3
RC,329,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,83.86,3
RC,329,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,329,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,154.52,3
RC,329,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,657.03,3
RC,329,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,3
RC,329,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,83.86,3
RC,329,"Radiologic examination, abdomen; 1 view ",,,83.86,83.86,3
RC,329,"Radiologic examination, abdomen; 2 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, abdomen; 3 or more views ",,,154.52,154.52,3
RC,329,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,329,"Radiologic examination, ankle; 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, chest; 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, chest; 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, chest; 4 or more views ",,,154.52,154.52,3
RC,329,"Radiologic examination, chest; single view ",,,83.86,83.86,3
RC,329,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,341.2,3
RC,329,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,329,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,154.52,3
RC,329,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,329,"Radiologic examination, elbow; 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,245.97,3
RC,329,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,329,"Radiologic examination, eye, for detection of foreign body ",,,83.86,83.86,3
RC,329,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, facial bones; less than 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, femur; 1 view ",,,83.86,83.86,3
RC,329,"Radiologic examination, femur; minimum 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, foot; 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, hand; 2 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, hand; minimum of 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,83.86,3
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, internal auditory meati, complete ",,,313.62,313.62,3
RC,329,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,329,"Radiologic examination, knee; 1 or 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, knee; 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,83.86,3
RC,329,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,154.52,3
RC,329,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,154.52,3
RC,329,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,154.52,3
RC,329,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, osseous survey, infant ",,,154.52,154.52,3
RC,329,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,154.52,3
RC,329,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,154.52,3
RC,329,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,341.2,3
RC,329,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,154.52,3
RC,329,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, salivary gland for calculus ",,,83.86,83.86,3
RC,329,"Radiologic examination, sella turcica ",,,83.86,83.86,3
RC,329,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,329,"Radiologic examination, shoulder; 1 view ",,,83.86,83.86,3
RC,329,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,154.52,3
RC,329,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, skull; less than 4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,154.52,3
RC,329,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,83.86,3
RC,329,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine, single view, specify level ",,,83.86,83.86,3
RC,329,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,154.52,3
RC,329,"Radiologic examination, teeth; complete, full mouth ",,,313.62,313.62,3
RC,329,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,313.62,3
RC,329,"Radiologic examination, teeth; single view ",,,83.86,83.86,3
RC,329,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,83.86,3
RC,329,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,83.86,3
RC,329,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,341.2,3
RC,329,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,329,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,341.2,3
RC,329,"Radiologic examination, wrist; 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,83.86,3
RC,329,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; clavicle, complete ",,,83.86,83.86,3
RC,329,"Radiologic examination; forearm, 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; neck, soft tissue ",,,83.86,83.86,3
RC,329,Radiologic examination; optic foramina ,,,83.86,83.86,3
RC,329,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,154.52,3
RC,329,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,83.86,3
RC,329,"Radiologic examination; scapula, complete ",,,154.52,154.52,3
RC,329,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,83.86,3
RC,329,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,154.52,3
RC,329,"Radiological examination, surgical specimen ",,,657.03,657.03,3
RC,329,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,154.52,3
RC,329,"Sialography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,3
RC,329,"Splenoportography, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,329,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,341.2,3
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,14.01,3
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,111.52,3
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,111.52,3
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,56.07,3
RC,329,Unlisted diagnostic radiographic procedure ,,,83.86,83.86,3
RC,329,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,329,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,341.2,3
RC,329,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,341.2,3
RC,329,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,341.2,3
RC,329,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,341.2,3
RC,329,"Urography, retrograde, with or without KUB ",,,616.1,616.1,3
RC,329,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,329,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,826.97,3
RC,329,"Venography, epidural, radiological supervision and interpretation ",,,826.97,826.97,3
RC,329,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,329,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,329,"Venography, orbital, radiological supervision and interpretation ",,,826.97,826.97,3
RC,329,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,826.97,3
RC,329,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,329,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,329,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,83.86,3
RC,330, Radiology - Therapeutic and/or Chemotherapy Administration General Classification  ,,,2157.0,2876.0,3
RC,331, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - Injected  ,,,3328.0,4437.0,3
RC,332, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - Oral  ,,,3328.0,4437.0,3
RC,333, Radiology - Therapeutic and/or Chemotherapy Administration Radiation Therapy  ,,,2157.0,2876.0,3
RC,333,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,18000.0,47546.0,6
RC,333,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,28011.0,28011.0,1
RC,333,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,28011.0,28011.0,1
RC,333,"Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session ",,,28011.0,28011.0,1
RC,333,"Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of tre",,,28011.0,28011.0,1
RC,333,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based ",,,18000.0,47546.0,6
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,18000.0,47546.0,6
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,18000.0,47546.0,6
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,18000.0,47546.0,6
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,18000.0,47546.0,6
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,18000.0,47546.0,6
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,18000.0,47546.0,6
RC,335, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - IV  ,,,3328.0,4437.0,3
RC,339, Radiology - Therapeutic and/or Chemotherapy Administration Other   ,,,2157.0,2876.0,3
RC,340, Nuclear Medicine General Classification  ,,,1423.0,2214.0,5
RC,340,Acute gastrointestinal blood loss imaging ,,,471.74,985.3,5
RC,340,"Acute venous thrombosis imaging, peptide ",,,772.25,1623.62,5
RC,340,"Adrenal imaging, cortex and/or medulla ",,,1189.23,1623.62,5
RC,340,Bone and/or joint imaging; 3 phase study ,,,471.74,971.71,5
RC,340,Bone and/or joint imaging; limited area ,,,471.74,641.81,5
RC,340,Bone and/or joint imaging; multiple areas ,,,471.74,769.7,5
RC,340,Bone and/or joint imaging; whole body ,,,471.74,829.0,5
RC,340,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,39.58,5
RC,340,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.62,78.51,5
RC,340,Bone marrow imaging; limited area ,,,440.93,495.61,5
RC,340,Bone marrow imaging; multiple areas ,,,457.42,514.14,5
RC,340,Bone marrow imaging; whole body ,,,471.74,696.89,5
RC,340,"Brain imaging, less than 4 static views; ",,,471.74,538.85,5
RC,340,"Brain imaging, less than 4 static views; with vascular flow ",,,471.74,638.83,5
RC,340,"Brain imaging, minimum 4 static views; ",,,520.03,611.66,5
RC,340,"Brain imaging, minimum 4 static views; with vascular flow ",,,611.66,980.35,5
RC,340,"Brain imaging, vascular flow only ",,,479.4,611.66,5
RC,340,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,493.69,611.66,5
RC,340,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,382.07,611.66,5
RC,340,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,471.74,569.69,5
RC,340,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,471.74,719.09,5
RC,340,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,471.74,595.63,5
RC,340,Cardiac shunt detection ,,,443.13,498.08,5
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,611.66,997.65,5
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,611.66,975.41,5
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,611.66,1010.0,5
RC,340,Cerebrospinal fluid leakage detection and localization ,,,717.33,1623.62,5
RC,340,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,156.26,611.66,5
RC,340,Esophageal motility ,,,471.74,603.05,5
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,471.74,958.12,5
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,611.66,1288.52,5
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,471.74,1137.16,5
RC,340,Gastric mucosa imaging ,,,471.74,569.69,5
RC,340,Gastroesophageal reflux study ,,,471.74,704.26,5
RC,340,Gastrointestinal protein loss ,,,145.27,471.74,5
RC,340,"Hepatobiliary system imaging, including gallbladder when present; ",,,471.74,945.04,5
RC,340,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,611.66,1284.82,5
RC,340,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,471.74,1639.38,5
RC,340,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,471.74,974.18,5
RC,340,"Kidney function study, non-imaging radioisotopic study ",,,264.09,471.74,5
RC,340,Kidney imaging morphology; ,,,446.42,501.79,5
RC,340,Kidney imaging morphology; with vascular flow ,,,471.74,673.42,5
RC,340,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,987.77,5
RC,340,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,554.1,622.81,5
RC,340,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,394.8,611.66,5
RC,340,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,279.47,471.74,5
RC,340,Liver and spleen imaging; static only ,,,471.74,579.57,5
RC,340,Liver and spleen imaging; with vascular flow ,,,356.37,471.74,5
RC,340,Liver imaging; static only ,,,509.03,1623.62,5
RC,340,Liver imaging; with vascular flow ,,,560.65,1623.62,5
RC,340,Lymphatics and lymph nodes imaging ,,,611.66,969.24,5
RC,340,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,421.18,473.41,5
RC,340,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,529.92,1623.62,5
RC,340,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,473.9,611.66,5
RC,340,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,1077.16,1623.62,5
RC,340,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,716.65,1623.62,5
RC,340,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,799.05,1623.62,10
RC,340,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,471.74,546.26,5
RC,340,"Parathyroid planar imaging (including subtraction, when performed); ",,,471.74,840.07,5
RC,340,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,471.74,957.39,5
RC,340,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,611.66,1170.48,5
RC,340,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,471.74,726.5,5
RC,340,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,266.29,1623.62,5
RC,340,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,202.58,1623.62,5
RC,340,Platelet survival study ,,,328.48,471.74,5
RC,340,"Pulmonary perfusion imaging (eg, particulate) ",,,471.74,659.83,5
RC,340,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,611.66,914.15,5
RC,340,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,471.74,540.55,5
RC,340,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,611.66,852.43,5
RC,340,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,471.74,546.73,5
RC,340,Radiopharmaceutical dacryocystography ,,,361.87,471.74,5
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,471.74,778.34,5
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,471.74,730.21,5
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,1623.62,1935.74,5
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,783.66,1623.62,5
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,1179.75,2607.93,10
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,1717.27,2028.36,5
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,611.66,1067.26,5
RC,340,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,321.95,321.95,3
RC,340,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,321.95,321.95,3
RC,340,"Radiopharmaceutical therapy, by intra-articular administration ",,,321.95,321.95,3
RC,340,"Radiopharmaceutical therapy, by intracavitary administration ",,,321.95,321.95,3
RC,340,"Radiopharmaceutical therapy, by intravenous administration ",,,321.95,321.95,3
RC,340,"Radiopharmaceutical therapy, by oral administration ",,,321.95,321.95,3
RC,340,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,321.95,321.95,3
RC,340,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,321.95,3
RC,340,Red cell survival study ,,,328.48,471.74,5
RC,340,Red cell volume determination (separate procedure); multiple samplings ,,,260.79,611.66,5
RC,340,Red cell volume determination (separate procedure); single sampling ,,,202.58,471.74,5
RC,340,Salivary gland function study ,,,273.98,471.74,5
RC,340,Salivary gland imaging; ,,,462.91,520.32,5
RC,340,Salivary gland imaging; with serial images ,,,272.88,471.74,5
RC,340,"Spleen imaging only, with or without vascular flow ",,,449.72,505.49,5
RC,340,Testicular imaging with vascular flow ,,,471.74,594.4,5
RC,340,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,471.74,654.89,5
RC,340,Thyroid carcinoma metastases imaging; whole body ,,,611.66,890.72,5
RC,340,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,471.74,796.41,5
RC,340,"Thyroid imaging (including vascular flow, when performed); ",,,471.74,558.57,5
RC,340,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,704.26,5
RC,340,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,237.06,471.74,5
RC,340,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,340,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,14.93,41.96,5
RC,340,"Urea breath test, C-14 (isotopic); analysis ",,,127.45,360.52,5
RC,340,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,471.74,673.42,5
RC,340,Urinary bladder residual study (List separately in addition to code for primary procedure) ,,,192.91,216.83,2
RC,340,"Venous thrombosis imaging, venogram; bilateral ",,,471.74,546.26,5
RC,340,"Venous thrombosis imaging, venogram; unilateral ",,,394.8,1623.62,5
RC,340,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,258.59,611.66,5
RC,341, Nuclear Medicine Diagnostic  ,,,1423.0,2214.0,5
RC,341,"Acute venous thrombosis imaging, peptide ",,,772.25,1623.62,5
RC,341,Bone and/or joint imaging; limited area ,,,471.74,641.81,5
RC,341,Bone and/or joint imaging; multiple areas ,,,471.74,769.7,5
RC,341,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,39.58,5
RC,341,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.62,78.51,5
RC,341,Bone marrow imaging; limited area ,,,440.93,495.61,5
RC,341,Bone marrow imaging; multiple areas ,,,457.42,514.14,5
RC,341,Bone marrow imaging; whole body ,,,471.74,696.89,5
RC,341,"Brain imaging, less than 4 static views; ",,,471.74,538.85,5
RC,341,"Brain imaging, less than 4 static views; with vascular flow ",,,471.74,638.83,5
RC,341,"Brain imaging, minimum 4 static views; ",,,520.03,611.66,5
RC,341,"Brain imaging, vascular flow only ",,,479.4,611.66,5
RC,341,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,493.69,611.66,5
RC,341,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,382.07,611.66,5
RC,341,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,471.74,569.69,5
RC,341,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,471.74,719.09,5
RC,341,Cardiac shunt detection ,,,443.13,498.08,5
RC,341,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,611.66,1010.0,5
RC,341,Cerebrospinal fluid leakage detection and localization ,,,717.33,1623.62,5
RC,341,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,156.26,611.66,5
RC,341,Esophageal motility ,,,471.74,603.05,5
RC,341,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,611.66,1288.52,5
RC,341,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,471.74,1137.16,5
RC,341,Gastric mucosa imaging ,,,471.74,569.69,5
RC,341,Gastroesophageal reflux study ,,,471.74,704.26,5
RC,341,Gastrointestinal protein loss ,,,145.27,471.74,5
RC,341,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,471.74,1639.38,5
RC,341,"Kidney function study, non-imaging radioisotopic study ",,,264.09,471.74,5
RC,341,Kidney imaging morphology; ,,,446.42,501.79,5
RC,341,Kidney imaging morphology; with vascular flow ,,,471.74,673.42,5
RC,341,Liver and spleen imaging; with vascular flow ,,,356.37,471.74,5
RC,341,Liver imaging; with vascular flow ,,,560.65,1623.62,5
RC,341,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,421.18,473.41,5
RC,341,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,529.92,1623.62,5
RC,341,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,473.9,611.66,5
RC,341,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,1077.16,1623.62,5
RC,341,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,716.65,1623.62,5
RC,341,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,471.74,546.26,5
RC,341,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,611.66,1170.48,5
RC,341,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,471.74,726.5,5
RC,341,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,266.29,1623.62,5
RC,341,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,202.58,1623.62,5
RC,341,Platelet survival study ,,,328.48,471.74,5
RC,341,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,471.74,540.55,5
RC,341,Radiopharmaceutical dacryocystography ,,,361.87,471.74,5
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,471.74,778.34,5
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,783.66,1623.62,5
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,1948.05,2607.93,5
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,1717.27,2028.36,5
RC,341,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,321.95,321.95,3
RC,341,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,321.95,321.95,3
RC,341,"Radiopharmaceutical therapy, by intra-articular administration ",,,321.95,321.95,3
RC,341,"Radiopharmaceutical therapy, by intracavitary administration ",,,321.95,321.95,3
RC,341,"Radiopharmaceutical therapy, by intravenous administration ",,,321.95,321.95,3
RC,341,"Radiopharmaceutical therapy, by oral administration ",,,321.95,321.95,3
RC,341,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,321.95,321.95,3
RC,341,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,321.95,3
RC,341,Red cell survival study ,,,328.48,471.74,5
RC,341,Red cell volume determination (separate procedure); multiple samplings ,,,260.79,611.66,5
RC,341,Red cell volume determination (separate procedure); single sampling ,,,202.58,471.74,5
RC,341,Salivary gland function study ,,,273.98,471.74,5
RC,341,Salivary gland imaging; ,,,462.91,520.32,5
RC,341,Salivary gland imaging; with serial images ,,,272.88,471.74,5
RC,341,"Spleen imaging only, with or without vascular flow ",,,449.72,505.49,5
RC,341,Testicular imaging with vascular flow ,,,471.74,594.4,5
RC,341,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,471.74,654.89,5
RC,341,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,471.74,796.41,5
RC,341,"Thyroid imaging (including vascular flow, when performed); ",,,471.74,558.57,5
RC,341,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,341,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,14.93,41.96,5
RC,341,"Urea breath test, C-14 (isotopic); analysis ",,,127.45,360.52,5
RC,341,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,471.74,673.42,5
RC,341,Urinary bladder residual study (List separately in addition to code for primary procedure) ,,,192.91,216.83,2
RC,341,"Venous thrombosis imaging, venogram; bilateral ",,,471.74,546.26,5
RC,341,"Venous thrombosis imaging, venogram; unilateral ",,,394.8,1623.62,5
RC,341,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,258.59,611.66,5
RC,342, Nuclear Medicine Therapeutic  ,,,1423.0,2214.0,5
RC,342,Acute gastrointestinal blood loss imaging ,,,471.74,985.3,5
RC,342,"Acute venous thrombosis imaging, peptide ",,,772.25,1623.62,5
RC,342,"Adrenal imaging, cortex and/or medulla ",,,1189.23,1623.62,5
RC,342,Bone and/or joint imaging; 3 phase study ,,,471.74,971.71,5
RC,342,Bone and/or joint imaging; limited area ,,,471.74,641.81,5
RC,342,Bone and/or joint imaging; multiple areas ,,,471.74,769.7,5
RC,342,Bone and/or joint imaging; whole body ,,,471.74,829.0,5
RC,342,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,39.58,5
RC,342,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.62,78.51,5
RC,342,Bone marrow imaging; limited area ,,,440.93,495.61,5
RC,342,Bone marrow imaging; multiple areas ,,,457.42,514.14,5
RC,342,Bone marrow imaging; whole body ,,,471.74,696.89,5
RC,342,"Brain imaging, less than 4 static views; ",,,471.74,538.85,5
RC,342,"Brain imaging, less than 4 static views; with vascular flow ",,,471.74,638.83,5
RC,342,"Brain imaging, minimum 4 static views; ",,,520.03,611.66,5
RC,342,"Brain imaging, minimum 4 static views; with vascular flow ",,,611.66,980.35,5
RC,342,"Brain imaging, vascular flow only ",,,479.4,611.66,5
RC,342,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,493.69,611.66,5
RC,342,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,382.07,611.66,5
RC,342,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,471.74,569.69,5
RC,342,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,471.74,719.09,5
RC,342,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,471.74,595.63,5
RC,342,Cardiac shunt detection ,,,443.13,498.08,5
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,611.66,997.65,5
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,611.66,975.41,5
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,611.66,1010.0,5
RC,342,Cerebrospinal fluid leakage detection and localization ,,,717.33,1623.62,5
RC,342,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,156.26,611.66,5
RC,342,Esophageal motility ,,,471.74,603.05,5
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,471.74,958.12,5
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,611.66,1288.52,5
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,471.74,1137.16,5
RC,342,Gastric mucosa imaging ,,,471.74,569.69,5
RC,342,Gastroesophageal reflux study ,,,471.74,704.26,5
RC,342,Gastrointestinal protein loss ,,,145.27,471.74,5
RC,342,"Hepatobiliary system imaging, including gallbladder when present; ",,,471.74,945.04,5
RC,342,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,611.66,1284.82,5
RC,342,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,471.74,1639.38,5
RC,342,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,471.74,974.18,5
RC,342,"Kidney function study, non-imaging radioisotopic study ",,,264.09,471.74,5
RC,342,Kidney imaging morphology; ,,,446.42,501.79,5
RC,342,Kidney imaging morphology; with vascular flow ,,,471.74,673.42,5
RC,342,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,987.77,5
RC,342,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,554.1,622.81,5
RC,342,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,394.8,611.66,5
RC,342,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,279.47,471.74,5
RC,342,Liver and spleen imaging; static only ,,,471.74,579.57,5
RC,342,Liver and spleen imaging; with vascular flow ,,,356.37,471.74,5
RC,342,Liver imaging; static only ,,,509.03,1623.62,5
RC,342,Liver imaging; with vascular flow ,,,560.65,1623.62,5
RC,342,Lymphatics and lymph nodes imaging ,,,611.66,969.24,5
RC,342,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,421.18,473.41,5
RC,342,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,529.92,1623.62,5
RC,342,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,473.9,611.66,5
RC,342,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,1077.16,1623.62,5
RC,342,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,716.65,1623.62,5
RC,342,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,799.05,1623.62,10
RC,342,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,471.74,546.26,5
RC,342,"Parathyroid planar imaging (including subtraction, when performed); ",,,471.74,840.07,5
RC,342,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,471.74,957.39,5
RC,342,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,611.66,1170.48,5
RC,342,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,471.74,726.5,5
RC,342,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,266.29,1623.62,5
RC,342,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,202.58,1623.62,5
RC,342,Platelet survival study ,,,328.48,471.74,5
RC,342,"Pulmonary perfusion imaging (eg, particulate) ",,,471.74,659.83,5
RC,342,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,611.66,914.15,5
RC,342,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,471.74,540.55,5
RC,342,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,611.66,852.43,5
RC,342,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,471.74,546.73,5
RC,342,Radiopharmaceutical dacryocystography ,,,361.87,471.74,5
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,471.74,778.34,5
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,471.74,730.21,5
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,1623.62,1935.74,5
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,783.66,1623.62,5
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,1179.75,2607.93,10
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,1717.27,2028.36,5
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,611.66,1067.26,5
RC,342,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,321.95,321.95,3
RC,342,"Radiopharmaceutical therapy, by intra-articular administration ",,,321.95,321.95,3
RC,342,"Radiopharmaceutical therapy, by intracavitary administration ",,,321.95,321.95,3
RC,342,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,321.95,321.95,3
RC,342,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,321.95,3
RC,342,Red cell survival study ,,,328.48,471.74,5
RC,342,Red cell volume determination (separate procedure); multiple samplings ,,,260.79,611.66,5
RC,342,Red cell volume determination (separate procedure); single sampling ,,,202.58,471.74,5
RC,342,Salivary gland function study ,,,273.98,471.74,5
RC,342,Salivary gland imaging; ,,,462.91,520.32,5
RC,342,Salivary gland imaging; with serial images ,,,272.88,471.74,5
RC,342,"Spleen imaging only, with or without vascular flow ",,,449.72,505.49,5
RC,342,Testicular imaging with vascular flow ,,,471.74,594.4,5
RC,342,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,471.74,654.89,5
RC,342,Thyroid carcinoma metastases imaging; whole body ,,,611.66,890.72,5
RC,342,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,471.74,796.41,5
RC,342,"Thyroid imaging (including vascular flow, when performed); ",,,471.74,558.57,5
RC,342,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,704.26,5
RC,342,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,237.06,471.74,5
RC,342,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,342,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,14.93,41.96,5
RC,342,"Urea breath test, C-14 (isotopic); analysis ",,,127.45,360.52,5
RC,342,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,471.74,673.42,5
RC,342,Urinary bladder residual study (List separately in addition to code for primary procedure) ,,,192.91,216.83,2
RC,342,"Venous thrombosis imaging, venogram; bilateral ",,,471.74,546.26,5
RC,342,"Venous thrombosis imaging, venogram; unilateral ",,,394.8,1623.62,5
RC,342,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,258.59,611.66,5
RC,343, Nuclear Medicine Diagnostic Radiopharmaceuticals  ,,,,,0
RC,343,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,16.03,16.03,3
RC,343,5% dextrose/normal saline (500 ml = 1 unit) ,,,3.42,3.42,3
RC,343,5% dextrose/water (500 ml = 1 unit) ,,,4.96,4.96,3
RC,343,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,Ac5 advanced wound system (ac5) ,,,15900.0,15900.0,3
RC,343,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,22.63,22.63,3
RC,343,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Afamelanotide implant, 1 mg ",,,3810.94,7800.06,4
RC,343,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,2042143.0,4
RC,343,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.64,0.64,3
RC,343,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.21,0.21,3
RC,343,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.56,0.56,3
RC,343,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,4.69,4
RC,343,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,1033.55,4
RC,343,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,182.13,4
RC,343,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,307.56,307.56,3
RC,343,"Anti-inhibitor, per i.u. ",,,2.93,6.41,4
RC,343,"Antithrombin iii (human), per i.u. ",,,4.82,10.87,4
RC,343,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Aprepitant, oral, 5 mg ",,,6.33,6.33,3
RC,343,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.93,1.93,3
RC,343,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Ascent, 0.5 mg ",,,182.69,182.69,3
RC,343,"Autologous cultured chondrocytes, implant ",,,221874.56,221874.56,3
RC,343,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,1409400.17,4
RC,343,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Azathioprine, oral, 50 mg ",,,0.48,0.48,3
RC,343,"Azathioprine, parenteral, 100 mg ",,,300.0,675.11,4
RC,343,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,34.53,34.53,3
RC,343,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,601.82,601.82,3
RC,343,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,601.82,601.82,3
RC,343,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Bcg live intravesical instillation, 1 mg ",,,8.98,8.98,3
RC,343,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,2662.14,4
RC,343,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Biobrane, per square centimeter ",,,336.92,336.92,3
RC,343,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,1296620.09,4
RC,343,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,12.4,12.4,3
RC,343,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,2.92,2.92,3
RC,343,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,343,"Buprenorphine, oral, 1 mg ",,,3.31,3.31,3
RC,343,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,50.09,50.09,3
RC,343,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,25.15,25.15,3
RC,343,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,26.45,26.45,3
RC,343,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,15.45,15.45,3
RC,343,"Busulfan; oral, 2 mg ",,,26.82,26.82,3
RC,343,"Cabergoline, oral, 0.25 mg ",,,0.4,0.4,3
RC,343,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.08,0.08,3
RC,343,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,1767.74,4
RC,343,"Capecitabine, oral, 50 mg ",,,0.08,0.08,3
RC,343,"Capsaicin 8% patch, per square centimeter ",,,4.14,9.06,4
RC,343,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,646.71,4
RC,343,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,1093.13,1093.13,3
RC,343,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,1.56,4
RC,343,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6668.54,4
RC,343,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,414.25,414.25,3
RC,343,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,5082.59,5082.59,3
RC,343,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,1559511.25,4
RC,343,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,2.62,2.62,3
RC,343,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,542.59,542.59,3
RC,343,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,3.55,3.55,3
RC,343,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Coretext or protext, per cc ",,,8533.0,8533.0,3
RC,343,"Corplex p or theracor p or allacor p, per milligram ",,,303.4,303.4,3
RC,343,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,130.51,130.51,3
RC,343,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.87,0.87,3
RC,343,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,2.15,2.15,3
RC,343,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cyclophosphamide; oral, 25 mg ",,,4.37,4.37,3
RC,343,"Cyclosporine, oral, 100 mg ",,,3.79,3.79,3
RC,343,"Cyclosporine, oral, 25 mg ",,,1.67,1.67,3
RC,343,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,5754.4,5754.4,3
RC,343,"Dacarbazine, 100 mg ",,,5.51,10.2,4
RC,343,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,209.88,209.88,3
RC,343,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dexamethasone (hemady), oral, 0.25 mg ",,,1.14,1.14,3
RC,343,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,245.26,4
RC,343,"Dexamethasone, oral, 0.25 mg ",,,0.08,0.08,3
RC,343,"Dexmedetomidine, oral, 1 mcg ",,,2.33,2.33,3
RC,343,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,3.66,3.66,3
RC,343,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,48.68,48.68,3
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,208.53,4
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,374.37,4
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,351.66,351.66,3
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,529.81,529.81,3
RC,343,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,98.16,4
RC,343,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,151.37,151.37,3
RC,343,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,146.2,146.2,3
RC,343,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,10.31,10.31,3
RC,343,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,4.37,4.37,3
RC,343,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Edetate disodium, per 150 mg ",,,0.87,0.87,3
RC,343,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,189.32,4
RC,343,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.3,1.44,4
RC,343,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,138.12,138.12,3
RC,343,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Epifix, injectable, 1 mg ",,,51.33,51.33,3
RC,343,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Esketamine, nasal spray, 1 mg ",,,50.83,50.83,3
RC,343,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,496.32,496.32,3
RC,343,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,4055.64,4055.64,3
RC,343,"Etoposide; oral, 50 mg ",,,230.13,230.13,3
RC,343,"Everolimus, oral, 0.25 mg ",,,3.29,3.29,3
RC,343,"Excellagen, 0.1 cc ",,,461.1,461.1,3
RC,343,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,3.63,4
RC,343,"Factor ix, complex, per i.u. ",,,2.02,4.51,4
RC,343,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,7.0,4
RC,343,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,5.83,5.83,3
RC,343,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,14.47,14.47,3
RC,343,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,3.68,4
RC,343,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,4.16,4
RC,343,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,170.45,4
RC,343,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.08,0.08,3
RC,343,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4199.38,4
RC,343,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,4837.95,4
RC,343,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,983.15,4
RC,343,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,1778.73,4
RC,343,"Floweramnioflo, 0.1 cc ",,,477.0,477.0,3
RC,343,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,27.43,27.43,3
RC,343,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,2267.21,4
RC,343,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,1220.11,4
RC,343,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,1404.5,4
RC,343,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,5151.63,4
RC,343,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,4.72,4.72,3
RC,343,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,4076.81,4076.81,3
RC,343,"Foundation drs+ duo, per square centimeter ",,,336.92,336.92,3
RC,343,"Foundation drs+ solo, per square centimeter ",,,336.92,336.92,3
RC,343,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,60.18,60.18,3
RC,343,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,3103.95,3103.95,3
RC,343,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,960.63,988.8,4
RC,343,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,963.28,4
RC,343,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,1457.84,4
RC,343,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,9.57,9.57,3
RC,343,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Gefitinib, oral, 250 mg ",,,771.15,771.15,3
RC,343,"Gemcitabine intravesical system, 225 mg ",,,193683.89,193683.89,3
RC,343,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Goserelin acetate implant, per 3.6 mg ",,,862.14,3577.31,4
RC,343,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Graftjacket xpress, injectable, 1 cc ",,,5293.38,5293.38,3
RC,343,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,156.48,156.48,3
RC,343,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,870.79,4
RC,343,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,99.69,4
RC,343,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,43.25,4
RC,343,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,449.49,4
RC,343,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,195.38,4
RC,343,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,113.98,4
RC,343,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,83.21,83.21,3
RC,343,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,131.89,131.89,3
RC,343,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,371.56,4
RC,343,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,195.62,195.62,3
RC,343,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,470.53,4
RC,343,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,199.15,4
RC,343,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,199.15,4
RC,343,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,435.71,4
RC,343,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,435.71,4
RC,343,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,87.98,4
RC,343,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.69,0.69,3
RC,343,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.58,0.58,3
RC,343,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.21,0.21,3
RC,343,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,109109.59,4
RC,343,"Histrelin implant (vantas), 50 mg ",,,12480.25,12480.25,3
RC,343,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,1046.11,1046.11,3
RC,343,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,300.06,300.06,3
RC,343,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,337.24,337.24,3
RC,343,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,380.81,4
RC,343,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,17.83,4
RC,343,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,279.79,4
RC,343,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,1395.99,4
RC,343,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.8,1.8,3
RC,343,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,197.24,4
RC,343,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,48.04,4
RC,343,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,1736.65,4
RC,343,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,289.09,4
RC,343,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,8.27,8.27,3
RC,343,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,18.44,4
RC,343,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,27.96,4
RC,343,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,8.67,4
RC,343,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,9.75,4
RC,343,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,5.3,5.3,3
RC,343,"Hypertonic saline solution, 1 ml ",,,0.2,0.27,4
RC,343,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,1483419.86,4
RC,343,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,421.32,421.32,3
RC,343,"Immune globulin (Ig), human, for intramuscular use ",,,316.6,316.6,3
RC,343,"Immune globulin (IgIV), human, for intravenous use ",,,253.63,253.63,3
RC,343,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,64.08,64.08,3
RC,343,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,4585.27,4585.27,3
RC,343,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,10893.22,10893.22,3
RC,343,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,12713.03,4
RC,343,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,2923.45,5051.95,4
RC,343,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,5302.49,4
RC,343,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,4442.43,4442.43,3
RC,343,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,260.12,4
RC,343,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,260.12,4
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,68.21,68.21,3
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,32.75,32.75,3
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,148.24,148.24,3
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,29.23,29.23,3
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,58.49,58.49,3
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,35.46,35.46,3
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,61.53,4
RC,343,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,260.12,4
RC,343,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,131.18,4
RC,343,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,78.73,4
RC,343,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,56.26,4
RC,343,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,140.66,4
RC,343,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,140.66,4
RC,343,"Infusion, albumin (human), 5%, 50 ml ",,,28.14,39.12,4
RC,343,"Infusion, d5w, 1000 cc ",,,4.44,8.14,4
RC,343,"Infusion, dextran 40, 500 ml ",,,51.53,1031.17,4
RC,343,"Infusion, normal saline solution , 1000 cc ",,,5.8,5.8,3
RC,343,"Infusion, normal saline solution, 250 cc ",,,1.86,1.86,3
RC,343,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,3.6,3.6,3
RC,343,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,166.74,166.74,3
RC,343,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,2784.46,2784.46,3
RC,343,"Injection abciximab, 10 mg ",,,1528.6,1528.6,3
RC,343,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,11.93,4
RC,343,"Injection fluconazole, 200 mg ",,,4.37,10.26,4
RC,343,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,118.51,4
RC,343,"Injection, abobotulinumtoxina, 5 units ",,,11.05,23.59,4
RC,343,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,343,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,343,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.16,0.16,3
RC,343,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.24,0.24,3
RC,343,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.13,4
RC,343,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,64.55,4
RC,343,"Injection, acetylcysteine, 100 mg ",,,0.54,1.35,4
RC,343,"Injection, acyclovir, 5 mg ",,,0.04,0.05,4
RC,343,"Injection, adalimumab, 1 mg ",,,432.43,432.43,3
RC,343,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,343,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,58.3,58.3,3
RC,343,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,214.6,214.6,3
RC,343,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,51.57,51.57,3
RC,343,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,151.34,151.34,3
RC,343,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,69.8,4
RC,343,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,94.29,4
RC,343,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,1.27,1.27,3
RC,343,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,111.83,4
RC,343,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,343,"Injection, aflibercept hd, 1 mg ",,,392.69,798.13,4
RC,343,"Injection, aflibercept, 1 mg ",,,973.04,1939.51,4
RC,343,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,2176.71,4
RC,343,"Injection, agalsidase beta, 1 mg ",,,272.46,603.09,4
RC,343,"Injection, aldesleukin, per single use vial ",,,7272.0,8848.01,4
RC,343,"Injection, alemtuzumab, 1 mg ",,,2985.07,6467.11,4
RC,343,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,549.9,4
RC,343,"Injection, allopurinol sodium, 1 mg ",,,5.45,10.1,4
RC,343,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,15.0,4
RC,343,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,13.62,4
RC,343,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1.27,1.27,3
RC,343,"Injection, alteplase recombinant, 1 mg ",,,111.82,251.99,4
RC,343,"Injection, amifostine, 500 mg ",,,1160.41,1160.41,3
RC,343,"Injection, amikacin sulfate, 100 mg ",,,0.74,1.62,4
RC,343,"Injection, aminocaproic acid, 1 gram ",,,1.6,4.16,4
RC,343,"Injection, aminophyllin, up to 250 mg ",,,13.5,30.02,4
RC,343,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,6.6,6.6,3
RC,343,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,1.03,4
RC,343,"Injection, amisulpride, 1 mg ",,,11.45,25.33,4
RC,343,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,59.97,4
RC,343,"Injection, amobarbital, up to 125 mg ",,,30.98,219.91,4
RC,343,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,49.56,4
RC,343,"Injection, amphotericin b liposome, 10 mg ",,,28.5,60.45,4
RC,343,"Injection, amphotericin b, 50 mg ",,,61.21,117.47,4
RC,343,"Injection, ampicillin sodium, 500 mg ",,,0.72,1.7,4
RC,343,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,3.58,4
RC,343,"Injection, anidulafungin, 1 mg ",,,0.59,1.3,4
RC,343,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,48.52,4
RC,343,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,3.31,4
RC,343,"Injection, apomorphine hydrochloride, 1 mg ",,,114.27,114.27,3
RC,343,"Injection, aprepitant (aponvie), 1 mg ",,,5.17,5.17,3
RC,343,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,343,"Injection, aprepitant, 1 mg ",,,2.09,4.48,4
RC,343,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.82,4
RC,343,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,12.59,12.59,3
RC,343,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.66,4.68,4
RC,343,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,3.66,3.66,3
RC,343,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,2.68,2.68,3
RC,343,"Injection, argatroban, 1 mg (for non-esrd use) ",,,2.68,3.78,4
RC,343,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,15.95,4
RC,343,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,19.27,4
RC,343,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,8.61,4
RC,343,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,8.8,4
RC,343,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.87,0.87,3
RC,343,"Injection, arsenic trioxide, 1 mg ",,,5.86,17.09,4
RC,343,"Injection, artesunate, 1 mg ",,,58.68,137.35,4
RC,343,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,149.17,4
RC,343,"Injection, atezolizumab, 10 mg ",,,109.3,249.1,4
RC,343,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,84.67,4
RC,343,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,11938250.0,4
RC,343,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.03,0.03,3
RC,343,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.27,4
RC,343,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.27,0.27,3
RC,343,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,274.01,4
RC,343,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,215.18,4
RC,343,"Injection, avelumab, 10 mg ",,,118.76,279.71,4
RC,343,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,147.47,4
RC,343,"Injection, azacitidine, 1 mg ",,,0.38,1.09,4
RC,343,"Injection, azithromycin, 500 mg ",,,2.72,5.14,4
RC,343,"Injection, aztreonam, 100 mg ",,,6.07,6.07,3
RC,343,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,4.45,4.45,3
RC,343,"Injection, baclofen, 10 mg ",,,213.72,471.83,4
RC,343,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,144.0,4
RC,343,"Injection, basiliximab, 20 mg ",,,5731.33,12752.62,4
RC,343,"Injection, belatacept, 1 mg ",,,4.75,10.31,4
RC,343,"Injection, belimumab, 10 mg ",,,67.21,151.55,4
RC,343,"Injection, belinostat, 10 mg ",,,62.26,140.74,4
RC,343,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,34.19,4
RC,343,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,84.11,4
RC,343,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,36.94,4
RC,343,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,5.72,4
RC,343,"Injection, benralizumab, 1 mg ",,,199.66,432.9,4
RC,343,"Injection, benztropine mesylate, per 1 mg ",,,20.51,35.83,4
RC,343,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,18.47,4
RC,343,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,7786548.0,4
RC,343,"Injection, bevacizumab, 0.25 mg ",,,2.23,4.93,4
RC,343,"Injection, bevacizumab, 10 mg ",,,88.92,197.05,4
RC,343,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,91.82,4
RC,343,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,62.91,4
RC,343,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,68.5,4
RC,343,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,136.71,4
RC,343,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,223.61,223.61,3
RC,343,"Injection, bezlotoxumab, 10 mg ",,,48.74,105.55,4
RC,343,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,567.15,4
RC,343,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.34,0.34,3
RC,343,"Injection, bivalirudin, 1 mg ",,,0.18,0.32,4
RC,343,"Injection, bleomycin sulfate, 15 units ",,,26.36,43.99,4
RC,343,"Injection, blinatumomab, 1 microgram ",,,186.18,434.49,4
RC,343,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,67.34,4
RC,343,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,9.17,54.96,4
RC,343,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,18.47,54.96,4
RC,343,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,3.34,4
RC,343,"Injection, bortezomib, 0.1 mg ",,,3.06,5.96,4
RC,343,"Injection, brentuximab vedotin, 1 mg ",,,304.36,712.13,4
RC,343,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,935.64,4
RC,343,"Injection, brompheniramine maleate, per 10 mg ",,,0.87,0.87,3
RC,343,"Injection, bumetanide, 0.5 mg ",,,0.7,1.25,4
RC,343,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,343,"Injection, bupivacaine liposome, 1 mg ",,,1.74,3.74,4
RC,343,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.03,0.03,3
RC,343,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,4422.43,4
RC,343,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,1105.61,4
RC,343,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,5290.88,4
RC,343,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,5290.88,4
RC,343,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,11.05,4
RC,343,"Injection, burosumab-twza 1 mg ",,,574.32,1321.61,4
RC,343,"Injection, butorphanol tartrate, 1 mg ",,,5.74,16.3,4
RC,343,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,40.02,40.02,3
RC,343,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,201.53,4
RC,343,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,173.58,4
RC,343,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,97.2,4
RC,343,"Injection, cabazitaxel, 1 mg ",,,271.07,612.28,4
RC,343,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,64.08,4
RC,343,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,18.95,4
RC,343,"Injection, caffeine citrate, 5 mg ",,,1.7,4.82,4
RC,343,"Injection, calaspargase pegol-mknl, 10 units ",,,217.51,217.51,3
RC,343,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,3797.98,4
RC,343,"Injection, calcitriol, 0.1 mcg ",,,1.19,3.15,4
RC,343,"Injection, calcium chloride, 2 mg ",,,0.04,0.08,4
RC,343,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.19,0.19,3
RC,343,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.08,0.08,3
RC,343,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,30.1,30.1,3
RC,343,"Injection, canakinumab, 1 mg ",,,166.97,396.36,4
RC,343,"Injection, cangrelor, 1 mg ",,,22.87,53.05,4
RC,343,"Injection, caplacizumab-yhdp, 1 mg ",,,2123.34,2123.34,3
RC,343,"Injection, carboplatin (avyxa), 1 mg ",,,13.89,13.89,3
RC,343,"Injection, carboplatin, 50 mg ",,,3.58,7.79,4
RC,343,"Injection, carboprost tromethamine, 0.1 mg ",,,41.23,41.23,3
RC,343,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,3323.1,3323.1,3
RC,343,"Injection, carfilzomib, 1 mg ",,,63.38,149.04,4
RC,343,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,343,"Injection, carmustine, 100 mg ",,,178.02,640.77,4
RC,343,"Injection, casimersen, 10 mg ",,,440.43,440.43,3
RC,343,"Injection, caspofungin acetate, 5 mg ",,,4.08,9.49,4
RC,343,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,3.29,3.29,3
RC,343,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,2.25,4
RC,343,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.96,4
RC,343,"Injection, cefazolin sodium, 500 mg ",,,1.01,2.25,4
RC,343,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,12.96,12.96,3
RC,343,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,15.66,15.66,3
RC,343,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,3.37,4
RC,343,"Injection, cefiderocol, 10 mg ",,,2.78,6.41,4
RC,343,"Injection, cefotaxime sodium, per gm ",,,11.77,19.48,4
RC,343,"Injection, cefotetan disodium, 10 mg ",,,0.77,0.77,3
RC,343,"Injection, cefoxitin sodium, 1 gm ",,,6.13,9.43,4
RC,343,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,11.26,4
RC,343,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,277.59,4
RC,343,"Injection, ceftazidime, per 500 mg ",,,1.96,3.74,4
RC,343,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,2.92,2.92,3
RC,343,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,23.43,4
RC,343,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,1.14,4
RC,343,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,78.86,4
RC,343,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,343,"Injection, cerliponase alfa, 1 mg ",,,321.1,321.1,3
RC,343,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,10.04,4
RC,343,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,44.84,4
RC,343,"Injection, cetuximab, 10 mg ",,,94.79,213.22,4
RC,343,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,154.71,4
RC,343,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,54.88,54.88,3
RC,343,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.11,0.11,3
RC,343,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,124.34,4
RC,343,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,55.54,4
RC,343,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,40.2,4
RC,343,"Injection, cidofovir, 375 mg ",,,638.0,1486.09,4
RC,343,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,16.75,4
RC,343,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,244.86,4
RC,343,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.01,2.57,4
RC,343,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,5.75,4
RC,343,"Injection, cladribine, per 1 mg ",,,12.47,23.13,4
RC,343,"Injection, clevidipine butyrate, 1 mg ",,,3.36,7.53,4
RC,343,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,6.15,6.15,3
RC,343,"Injection, clindamycin phosphate, 300 mg ",,,4.93,4.93,3
RC,343,"Injection, clofarabine, 1 mg ",,,19.57,28.99,4
RC,343,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,47.49,4
RC,343,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,5.22,4
RC,343,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,347.57,4
RC,343,"Injection, codeine phosphate, per 30 mg ",,,2.65,2.65,3
RC,343,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,37.82,4
RC,343,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,207.63,4
RC,343,"Injection, concizumab-mtci, 0.5 mg ",,,221.2,221.2,3
RC,343,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,343,"Injection, corticotropin (acthar gel), up to 40 units ",,,10849.79,10849.79,3
RC,343,"Injection, corticotropin (ani), up to 40 units ",,,9464.08,9464.08,3
RC,343,"Injection, cosibelimab-ipdl, 2 mg ",,,60.74,60.74,3
RC,343,"Injection, cosyntropin, 0.25 mg ",,,40.84,43.09,4
RC,343,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,344.34,4
RC,343,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,4197.6,4
RC,343,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,4878.7,4
RC,343,"Injection, crovalimab-akkz, 10 mg ",,,624.35,1461.5,4
RC,343,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.38,4
RC,343,"Injection, cyclophosphamide (baxter), 5 mg ",,,9.86,9.86,3
RC,343,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,1.33,2.15,4
RC,343,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,24.12,24.12,3
RC,343,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,9.67,4
RC,343,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,2.04,4
RC,343,"Injection, cyclosporine, 250 mg ",,,196.63,196.63,3
RC,343,"Injection, cytarabine, 100 mg ",,,1.0,2.12,4
RC,343,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,4792.82,4
RC,343,"Injection, dactinomycin, 0.5 mg ",,,353.1,894.83,4
RC,343,"Injection, dalbavancin, 5 mg ",,,19.04,39.75,4
RC,343,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,42.03,4
RC,343,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.16,0.16,3
RC,343,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.13,0.13,3
RC,343,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.08,4
RC,343,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.13,4
RC,343,"Injection, daptomycin, 1 mg ",,,0.04,0.08,4
RC,343,"Injection, daratumumab, 10 mg ",,,82.68,187.54,4
RC,343,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,145.83,4
RC,343,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,8.14,4
RC,343,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,8.14,4
RC,343,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,136.53,136.53,3
RC,343,"Injection, daunorubicin, 10 mg ",,,32.27,65.59,4
RC,343,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,8.19,4
RC,343,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.78,1.78,3
RC,343,"Injection, decitabine, 1 mg ",,,2.16,2.65,4
RC,343,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,22.74,4
RC,343,"Injection, degarelix, 1 mg ",,,5.33,11.82,4
RC,343,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,8801647.41,4
RC,343,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,38.48,38.48,3
RC,343,"Injection, denosumab, 1 mg ",,,34.0,78.2,4
RC,343,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,73.96,73.96,3
RC,343,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,69.46,69.46,3
RC,343,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,78.97,78.97,3
RC,343,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,51.68,51.68,3
RC,343,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,82.97,82.97,3
RC,343,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,41.98,41.98,3
RC,343,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,137.32,4
RC,343,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,9.04,4
RC,343,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,7.18,7.18,3
RC,343,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.29,4
RC,343,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,540.04,4
RC,343,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,131.81,4
RC,343,"Injection, diazepam, up to 5 mg ",,,7.08,22.55,4
RC,343,"Injection, diazoxide, up to 300 mg ",,,269.08,269.08,3
RC,343,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,24.83,4
RC,343,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.74,4
RC,343,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,13692.52,4
RC,343,"Injection, digoxin, up to 0.5 mg ",,,5.96,27.48,4
RC,343,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,145.46,4
RC,343,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.48,0.48,3
RC,343,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.11,4
RC,343,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,20.46,4
RC,343,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,343,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,1.83,4
RC,343,"Injection, dipyridamole, per 10 mg ",,,4.69,22.29,4
RC,343,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,1984.8,4
RC,343,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,20.88,4
RC,343,"Injection, docetaxel (beizray), 1 mg ",,,59.4,122.14,4
RC,343,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,134.12,4
RC,343,"Injection, docetaxel, 1 mg ",,,0.76,1.48,4
RC,343,"Injection, dolasetron mesylate, 10 mg ",,,9.73,9.73,3
RC,343,"Injection, donanemab-azbt, 2 mg ",,,5.11,10.97,4
RC,343,"Injection, dopamine hcl, 40 mg ",,,0.86,2.12,4
RC,343,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,654.76,4
RC,343,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.82,4
RC,343,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,7.23,4
RC,343,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,791.66,791.66,3
RC,343,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,190.43,4
RC,343,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.24,4
RC,343,"Injection, droperidol, up to 5 mg ",,,11.62,19.11,4
RC,343,"Injection, durvalumab, 10 mg ",,,102.54,228.3,4
RC,343,"Injection, ecallantide, 1 mg ",,,690.35,1533.69,4
RC,343,"Injection, eculizumab, 2 mg ",,,54.78,118.46,4
RC,343,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,84.61,4
RC,343,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,110.74,4
RC,343,"Injection, edaravone, 1 mg ",,,24.95,40.23,4
RC,343,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,16172.61,4
RC,343,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,365.7,365.7,3
RC,343,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,90.97,4
RC,343,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,86.42,4
RC,343,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,103.24,4
RC,343,"Injection, elivaldogene autotemcel, per treatment ",,,8427000.0,8427000.0,3
RC,343,"Injection, elliotts' b solution, 1 ml ",,,12.24,30.58,4
RC,343,"Injection, elosulfase alfa, 1 mg ",,,359.38,826.67,4
RC,343,"Injection, elotuzumab, 1 mg ",,,9.44,21.31,4
RC,343,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,494.99,4
RC,343,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,1017.97,4
RC,343,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,147.45,4
RC,343,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,97.28,4
RC,343,"Injection, enfuvirtide, 1 mg ",,,0.87,0.87,3
RC,343,"Injection, enoxaparin sodium, 10 mg ",,,0.64,1.43,4
RC,343,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,150.84,4
RC,343,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.31,2.77,4
RC,343,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.23,2.78,4
RC,343,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,1.14,1.14,3
RC,343,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,2.86,4
RC,343,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,7.63,4
RC,343,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,2.44,2.44,3
RC,343,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.8,0.8,3
RC,343,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.82,0.86,4
RC,343,"Injection, epirubicin hcl, 2 mg ",,,1.97,4.69,4
RC,343,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,19.37,4
RC,343,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.93,1.93,3
RC,343,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,2.09,4
RC,343,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,20.88,4
RC,343,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,2.73,2.73,3
RC,343,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,2.73,4
RC,343,"Injection, epoprostenol, 0.5 mg ",,,19.66,39.43,4
RC,343,"Injection, eptifibatide, 5 mg ",,,8.64,12.76,4
RC,343,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,54.46,4
RC,343,"Injection, eravacycline, 1 mg ",,,3.42,3.42,3
RC,343,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,203.41,4
RC,343,"Injection, ertapenem sodium, 500 mg ",,,11.22,19.13,4
RC,343,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,241.76,4
RC,343,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.53,0.53,3
RC,343,"Injection, esmolol hydrochloride, 10 mg ",,,0.64,0.64,3
RC,343,"Injection, esomeprazole sodium, 1 mg ",,,3.37,3.37,3
RC,343,"Injection, estradiol valerate, up to 10 mg ",,,8.93,19.05,4
RC,343,"Injection, estrogen conjugated, per 25 mg ",,,468.13,1038.06,4
RC,343,"Injection, estrone, per 1 mg ",,,0.87,0.87,3
RC,343,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,3404.77,4
RC,343,"Injection, etelcalcetide, 0.1 mg ",,,6.25,6.25,3
RC,343,"Injection, eteplirsen, 10 mg ",,,443.9,443.9,3
RC,343,"Injection, ethacrynate sodium, 1 mg ",,,48.42,48.42,3
RC,343,"Injection, ethanolamine oleate, 100 mg ",,,608.51,1374.37,4
RC,343,"Injection, etoposide, 10 mg ",,,1.31,2.39,4
RC,343,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,9782342.5,4
RC,343,"Injection, evinacumab-dgnb, 5mg ",,,227.78,523.72,4
RC,343,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,6179800.0,4
RC,343,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,4.88,4
RC,343,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,4.61,4.61,3
RC,343,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,14.1,4
RC,343,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,9.49,4
RC,343,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,3.95,4
RC,343,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,8.59,4
RC,343,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,6.52,4
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,4.16,4
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,4.13,4
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,3.74,4
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,3.13,4
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,5.67,4
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,7.05,4
RC,343,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,5.91,4
RC,343,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,11.9,4
RC,343,"Injection, factor x, (human), 1 i.u. ",,,11.65,26.37,4
RC,343,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,28.57,4
RC,343,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,48.57,4
RC,343,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,82.84,4
RC,343,"Injection, famotidine, 0.25 mg ",,,0.01,0.03,4
RC,343,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,87.11,4
RC,343,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,3.07,4
RC,343,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,2.92,4
RC,343,"Injection, ferric derisomaltose, 10 mg ",,,25.46,58.11,4
RC,343,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.61,4
RC,343,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.61,4
RC,343,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,343,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,2.7,4
RC,343,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.74,4
RC,343,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.85,4
RC,343,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.93,4
RC,343,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,2.73,4
RC,343,"Injection, fitusiran, 0.04 mg ",,,351.47,351.47,3
RC,343,"Injection, floxuridine, 500 mg ",,,4876.31,11265.07,4
RC,343,"Injection, fludarabine phosphate, 50 mg ",,,72.78,576.98,4
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,1351.0,4
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,897.79,4
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,1404.21,4
RC,343,"Injection, fluorouracil, 500 mg ",,,2.7,5.46,4
RC,343,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,14.81,4
RC,343,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,19.48,4
RC,343,"Injection, folic acid, 0.1 mg ",,,0.07,0.13,4
RC,343,"Injection, fomepizole, 15 mg ",,,14.92,17.33,4
RC,343,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,2.12,4
RC,343,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,6.76,4
RC,343,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.11,1.49,4
RC,343,"Injection, fosaprepitant, 1 mg ",,,0.14,0.29,4
RC,343,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,1.86,4
RC,343,"Injection, foscarnet sodium, per 1000 mg ",,,22.15,26.44,4
RC,343,"Injection, fosdenopterin, 0.1 mg ",,,46.61,46.61,3
RC,343,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,1389.08,4
RC,343,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.52,4
RC,343,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,11.26,11.26,3
RC,343,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,71.84,4
RC,343,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,110.43,4
RC,343,"Injection, fulvestrant, 25 mg ",,,8.42,13.09,4
RC,343,"Injection, furosemide (furoscix), 20 mg ",,,779.58,779.58,3
RC,343,"Injection, furosemide, 1 mg ",,,0.02,0.05,4
RC,343,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,4.56,4
RC,343,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,4.74,4
RC,343,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.8,4
RC,343,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,3.84,4
RC,343,"Injection, gadopiclenol, 1 ml ",,,8.53,8.53,3
RC,343,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.24,4
RC,343,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,3.68,4
RC,343,"Injection, gadoxetate disodium, 1 ml ",,,17.99,39.03,4
RC,343,"Injection, galsulfase, 1 mg ",,,592.82,1361.04,4
RC,343,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,129.72,4
RC,343,"Injection, gamma globulin, intramuscular, over 10 cc ",,,424.77,597.68,4
RC,343,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,159.0,159.0,3
RC,343,"Injection, ganciclovir sodium, 500 mg ",,,39.23,90.23,4
RC,343,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,5.11,4
RC,343,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,14.02,14.02,3
RC,343,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,1087.67,1087.67,3
RC,343,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,8.59,4
RC,343,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,636.45,4
RC,343,"Injection, givosiran, 0.5 mg ",,,142.4,320.6,4
RC,343,"Injection, glatiramer acetate, 20 mg ",,,75.0,687.09,4
RC,343,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,7527.8,4
RC,343,"Injection, glucagon (gvoke), 0.01 mg ",,,6.28,6.28,3
RC,343,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,357.75,4
RC,343,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,387.77,4
RC,343,"Injection, glucarpidase, 10 units ",,,1190.12,1190.12,3
RC,343,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,3.55,4
RC,343,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,3.58,3.58,3
RC,343,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.98,4
RC,343,"Injection, gold sodium thiomalate, up to 50 mg ",,,36.28,36.28,3
RC,343,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,29.92,4
RC,343,"Injection, golodirsen, 10 mg ",,,508.8,508.8,3
RC,343,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.42,4
RC,343,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,10.28,4
RC,343,"Injection, guselkumab, 1 mg ",,,86.11,179.7,4
RC,343,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,16.09,4
RC,343,"Injection, haloperidol, up to 5 mg ",,,0.95,2.09,4
RC,343,"Injection, hemin, 1 mg ",,,40.44,93.57,4
RC,343,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.05,3.6,4
RC,343,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.05,0.05,3
RC,343,"Injection, heparin sodium, per 1000 units ",,,0.28,0.58,4
RC,343,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,186.11,4
RC,343,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,186.11,4
RC,343,"Injection, histrelin acetate, 10 micrograms ",,,2.65,2.65,3
RC,343,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,3.29,4
RC,343,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,4.03,4
RC,343,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.87,0.87,3
RC,343,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,291.21,291.21,3
RC,343,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.95,4
RC,343,"Injection, hyaluronidase, up to 150 units ",,,39.34,83.61,4
RC,343,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,11.37,4
RC,343,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,58.67,4
RC,343,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.27,4
RC,343,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.03,4
RC,343,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,14.42,4
RC,343,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,343,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,40.2,4
RC,343,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,24.78,64.8,4
RC,343,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,205.85,4
RC,343,"Injection, ibandronate sodium, 1 mg ",,,24.01,27.17,4
RC,343,"Injection, ibuprofen, 100 mg ",,,3.64,8.43,4
RC,343,"Injection, ibutilide fumarate, 1 mg ",,,357.96,580.93,4
RC,343,"Injection, icatibant, 1 mg ",,,83.92,832.55,4
RC,343,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,105.36,4
RC,343,"Injection, idursulfase, 1 mg ",,,663.37,1479.28,4
RC,343,"Injection, ifosfamide, 1 gram ",,,30.1,65.4,4
RC,343,"Injection, iloprost, 0.1 mcg ",,,15.13,15.13,3
RC,343,"Injection, imetelstat, 1 mg ",,,64.98,154.15,4
RC,343,"Injection, imiglucerase, 10 units ",,,52.75,113.5,4
RC,343,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,6.89,4
RC,343,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,326.29,4
RC,343,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,1327.46,4
RC,343,"Injection, immune globulin (bivigam), 500 mg ",,,210.52,210.52,3
RC,343,"Injection, immune globulin (cutaquig), 100 mg ",,,36.91,36.91,3
RC,343,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,46.59,4
RC,343,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,38.48,4
RC,343,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,195.65,4
RC,343,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,131.25,4
RC,343,"Injection, immune globulin (xembify), 100 mg ",,,17.46,40.73,4
RC,343,"Injection, immune globulin (yimmugo), 100 mg ",,,64.45,64.45,3
RC,343,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,240.46,4
RC,343,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,130.06,4
RC,343,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,171.32,4
RC,343,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,131.78,4
RC,343,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,124.66,4
RC,343,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,213.06,4
RC,343,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,49.82,4
RC,343,"Injection, inclisiran, 1 mg ",,,15.01,33.42,4
RC,343,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,14.02,4
RC,343,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,24.65,4
RC,343,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,1313.21,4
RC,343,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,82.26,4
RC,343,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,71.02,4
RC,343,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,74.31,4
RC,343,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,885.82,885.82,3
RC,343,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,69.01,4
RC,343,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,7464.44,4
RC,343,"Injection, insulin, per 5 units ",,,0.26,1.3,4
RC,343,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,481.66,481.66,3
RC,343,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,134.33,134.33,3
RC,343,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,9366.88,4
RC,343,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1594.05,1594.05,3
RC,343,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,92.94,92.94,3
RC,343,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,34.53,34.53,3
RC,343,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,95.77,95.77,3
RC,343,"Injection, interferon, gamma 1-b, 3 million units ",,,27950.85,27950.85,3
RC,343,"Injection, ipilimumab, 1 mg ",,,220.33,496.0,4
RC,343,"Injection, irinotecan liposome, 1 mg ",,,79.81,175.88,4
RC,343,"Injection, irinotecan, 20 mg ",,,2.0,4.05,4
RC,343,"Injection, iron dextran, 50 mg ",,,21.07,47.99,4
RC,343,"Injection, iron sucrose, 1 mg ",,,0.29,0.58,4
RC,343,"Injection, isatuximab-irfc, 10 mg ",,,96.41,221.49,4
RC,343,"Injection, isavuconazonium, 1 mg ",,,1.27,2.68,4
RC,343,"Injection, isoniazid, 1 mg ",,,0.8,0.8,3
RC,343,"Injection, itraconazole, 50 mg ",,,2488.96,2488.96,3
RC,343,"Injection, ixabepilone, 1 mg ",,,166.54,370.34,4
RC,343,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.9,4
RC,343,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,2.39,2.39,3
RC,343,"Injection, labetalol hydrochloride, 5 mg ",,,0.69,0.69,3
RC,343,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,230.15,230.15,3
RC,343,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,85.3,4
RC,343,"Injection, lanreotide, 1 mg ",,,48.35,94.66,4
RC,343,"Injection, laronidase, 0.1 mg ",,,47.2,105.87,4
RC,343,"Injection, lefamulin, 1 mg ",,,2.17,2.17,3
RC,343,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,59.1,4
RC,343,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,42.67,42.67,3
RC,343,"Injection, leucovorin calcium, per 50 mg ",,,4.28,9.51,4
RC,343,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,4678.76,4
RC,343,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,372.88,4
RC,343,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,1837.93,4
RC,343,"Injection, levetiracetam, 10 mg ",,,0.06,0.08,4
RC,343,"Injection, levocarnitine, per 1 gm ",,,61.19,61.19,3
RC,343,"Injection, levofloxacin, 250 mg ",,,1.26,5.72,4
RC,343,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,3.42,3.42,3
RC,343,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.13,4
RC,343,"Injection, levorphanol tartrate, up to 2 mg ",,,7.98,7.98,3
RC,343,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,18.44,4
RC,343,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,16.75,4
RC,343,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,19.64,19.64,3
RC,343,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.03,4
RC,343,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.11,0.11,3
RC,343,"Injection, lidocaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,343,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,12.51,4
RC,343,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,71.1,71.1,3
RC,343,"Injection, linezolid, 200 mg ",,,4.25,6.57,4
RC,343,"Injection, linvoseltamab-gcpt, 1 mg ",,,263.68,263.68,3
RC,343,"Injection, liothyronine, 1 mcg ",,,104.12,104.12,3
RC,343,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,692.18,4
RC,343,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,586.95,4
RC,343,"Injection, lorazepam, 2 mg ",,,1.92,4.4,4
RC,343,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,8600260.68,4
RC,343,"Injection, lumasiran, 0.5 mg ",,,389.83,868.46,4
RC,343,"Injection, lurbinectedin, 0.1 mg ",,,250.68,562.07,4
RC,343,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,113.29,4
RC,343,"Injection, magnesium sulfate, per 500 mg ",,,0.61,1.14,4
RC,343,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,343,"Injection, mannitol, 250 mg ",,,0.13,0.13,3
RC,343,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,141.17,4
RC,343,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,133.0,4
RC,343,"Injection, mecasermin, 1 mg ",,,441.16,1226.92,4
RC,343,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,346.96,346.96,3
RC,343,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,1.27,4
RC,343,"Injection, meloxicam (azurity), 1 mg ",,,2.81,2.81,3
RC,343,"Injection, melphalan (apotex), 1 mg ",,,171.67,171.67,3
RC,343,"Injection, melphalan (evomela), 1 mg ",,,22.62,51.49,4
RC,343,"Injection, melphalan (hepzato), 1 mg ",,,946.08,2106.75,4
RC,343,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,319.78,4
RC,343,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,20.35,20.35,3
RC,343,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,23.37,4
RC,343,"Injection, mepivacaine hydrochloride, per 10 ml ",,,9.88,9.88,3
RC,343,"Injection, mepolizumab, 1 mg ",,,37.33,84.32,4
RC,343,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,5.22,5.22,3
RC,343,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,3.92,4
RC,343,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,5.75,4
RC,343,"Injection, meropenem, 100 mg ",,,0.53,0.98,4
RC,343,"Injection, mesna, 200 mg ",,,1.66,3.52,4
RC,343,"Injection, methadone hcl, up to 10 mg ",,,25.57,38.98,4
RC,343,"Injection, methocarbamol, up to 10 ml ",,,7.78,11.13,4
RC,343,"Injection, methotrexate sodium, 50 mg ",,,3.17,7.1,4
RC,343,"Injection, methyldopate hcl, up to 250 mg ",,,25.68,25.68,3
RC,343,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,57.27,4
RC,343,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,5.57,4
RC,343,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.29,4
RC,343,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.64,4
RC,343,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,2.52,4
RC,343,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.34,4
RC,343,"Injection, metronidazole, 10 mg ",,,0.08,0.08,3
RC,343,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.98,0.98,3
RC,343,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.58,0.58,3
RC,343,"Injection, micafungin sodium, 1 mg ",,,0.35,0.69,4
RC,343,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.45,4
RC,343,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.37,0.37,3
RC,343,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.42,0.42,3
RC,343,"Injection, milrinone lactate, 5 mg ",,,1.92,3.13,4
RC,343,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,7.05,4
RC,343,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,111.54,4
RC,343,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,188.49,4
RC,343,"Injection, mitomycin, 5 mg ",,,31.3,75.42,4
RC,343,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,102.32,4
RC,343,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,671.7,4
RC,343,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,22.1,22.1,3
RC,343,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,32.2,32.2,3
RC,343,"Injection, morphine sulfate, up to 10 mg ",,,5.66,11.79,4
RC,343,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,1734.53,4
RC,343,"Injection, motixafortide, 0.25 mg ",,,30.83,70.17,4
RC,343,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,61.98,4
RC,343,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,17.6,17.6,3
RC,343,"Injection, moxifloxacin, 100 mg ",,,10.49,23.16,4
RC,343,"Injection, mycophenolate mofetil, 10 mg ",,,1.06,1.06,3
RC,343,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.4,0.4,3
RC,343,"Injection, nafcillin sodium, 20 mg ",,,0.13,0.13,3
RC,343,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,9.06,4
RC,343,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.4,4
RC,343,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.19,4
RC,343,"Injection, naltrexone, depot form, 1 mg ",,,5.04,11.26,4
RC,343,"Injection, nandrolone decanoate, up to 50 mg ",,,10.63,10.63,3
RC,343,"Injection, natalizumab, 1 mg ",,,29.8,64.45,4
RC,343,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,64.45,64.45,3
RC,343,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,1818.14,4
RC,343,"Injection, necitumumab, 1 mg ",,,7.01,15.18,4
RC,343,"Injection, nelarabine, 50 mg ",,,77.26,139.68,4
RC,343,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,2.25,2.25,3
RC,343,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,3.74,4
RC,343,"Injection, nesiritide, 0.1 mg ",,,79.66,79.66,3
RC,343,"Injection, nicardipine, 0.1 mg ",,,0.19,0.19,3
RC,343,"Injection, nipocalimab-aahu, 3 mg ",,,86.58,86.58,3
RC,343,"Injection, nitroglycerin, 5 mg ",,,4.43,4.43,3
RC,343,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,534.66,4
RC,343,"Injection, nivolumab, 1 mg ",,,39.55,89.09,4
RC,343,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,73.48,4
RC,343,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,250.69,4
RC,343,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,27.27,27.27,3
RC,343,"Injection, nusinersen, 0.1 mg ",,,1420.38,3407.32,4
RC,343,"Injection, obinutuzumab, 10 mg ",,,91.96,216.8,4
RC,343,"Injection, ocrelizumab, 1 mg ",,,70.67,157.94,4
RC,343,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,123.99,4
RC,343,"Injection, octafluoropropane microspheres, per ml ",,,51.2,105.89,4
RC,343,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,499.13,4
RC,343,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,1.64,4
RC,343,"Injection, ofatumumab, 10 mg ",,,72.41,164.91,4
RC,343,"Injection, olanzapine, 0.5 mg ",,,1.14,1.88,4
RC,343,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,8.45,4
RC,343,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,343,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,1048.34,4
RC,343,"Injection, omadacycline, 1 mg ",,,4.73,10.94,4
RC,343,"Injection, omalizumab, 5 mg ",,,49.06,110.82,4
RC,343,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,17.25,4
RC,343,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,7060205.76,7060205.76,3
RC,343,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,6855781.24,4
RC,343,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.24,4
RC,343,"Injection, oprelvekin, 5 mg ",,,655.0,655.0,3
RC,343,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,115.86,4
RC,343,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,75.71,4
RC,343,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,21.78,4
RC,343,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,2.25,4
RC,343,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.21,4
RC,343,"Injection, oxymorphone hcl, up to 1 mg ",,,6.2,6.2,3
RC,343,"Injection, oxytocin, up to 10 units ",,,1.68,7.18,4
RC,343,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.95,15.97,4
RC,343,"Injection, paclitaxel, 1 mg ",,,0.4,0.4,3
RC,343,"Injection, palifermin, 50 micrograms ",,,41.57,97.31,4
RC,343,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,38.4,4
RC,343,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,34.32,4
RC,343,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,39.96,4
RC,343,"Injection, palonosetron hcl, 25 mcg ",,,0.61,1.72,4
RC,343,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,146.52,4
RC,343,"Injection, pamidronate disodium, per 30 mg ",,,16.97,32.91,4
RC,343,"Injection, panitumumab, 10 mg ",,,201.65,462.13,4
RC,343,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,10.02,10.02,3
RC,343,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,25.39,25.39,3
RC,343,"Injection, pantoprazole sodium, 40 mg ",,,22.79,22.79,3
RC,343,"Injection, papaverine hcl, up to 60 mg ",,,45.0,121.74,4
RC,343,"Injection, paricalcitol, 1 mcg ",,,0.98,2.7,4
RC,343,"Injection, pasireotide long acting, 1 mg ",,,800.84,1580.2,4
RC,343,"Injection, patisiran, 0.1 mg ",,,121.08,267.39,4
RC,343,"Injection, pegaspargase, per single dose vial ",,,33097.56,75323.76,4
RC,343,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,391.7,4
RC,343,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,337.56,4
RC,343,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,353.27,4
RC,343,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,317.05,4
RC,343,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,360.11,4
RC,343,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,419.39,4
RC,343,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,210.68,4
RC,343,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,297.14,4
RC,343,"Injection, pegloticase, 1 mg ",,,4359.11,10134.98,4
RC,343,"Injection, pegulicianine, 1 mg ",,,42.46,99.4,4
RC,343,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,592.01,4
RC,343,"Injection, pembrolizumab, 1 mg ",,,72.56,162.31,4
RC,343,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,85.14,85.14,3
RC,343,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,25.6,4
RC,343,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,28.09,28.09,3
RC,343,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,13.78,4
RC,343,"Injection, pemetrexed (pemfexy), 10 mg ",,,21.17,56.68,4
RC,343,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,186.77,4
RC,343,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,3.87,3.87,3
RC,343,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,29.12,4
RC,343,"Injection, pemetrexed dipotassium, 10 mg ",,,217.35,217.35,3
RC,343,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.87,13.2,4
RC,343,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,10.71,4
RC,343,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,19183.35,4
RC,343,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,51.73,4
RC,343,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,83.4,4
RC,343,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,1.8,4
RC,343,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,26.55,26.55,3
RC,343,"Injection, pentamidine isethionate, 1 mg ",,,0.42,0.42,3
RC,343,"Injection, pentazocine, 30 mg ",,,72.58,72.58,3
RC,343,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,97.63,4
RC,343,"Injection, pentostatin, 10 mg ",,,3268.64,6959.77,4
RC,343,"Injection, peramivir, 1 mg ",,,1.9,4.45,4
RC,343,"Injection, perflutren lipid microspheres, per ml ",,,51.2,105.89,4
RC,343,"Injection, pertuzumab, 1 mg ",,,19.84,45.1,4
RC,343,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,159.61,4
RC,343,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,2.99,4
RC,343,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,62.67,4
RC,343,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,682.24,4
RC,343,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.4,0.4,3
RC,343,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.34,4
RC,343,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.03,0.03,3
RC,343,"Injection, phenytoin sodium, per 50 mg ",,,0.64,1.11,4
RC,343,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,8.37,4
RC,343,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,2.89,4
RC,343,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,101.73,4
RC,343,"Injection, plazomicin, 5 mg ",,,4.37,9.3,4
RC,343,"Injection, plerixafor, 1 mg ",,,30.53,86.76,4
RC,343,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,363.66,4
RC,343,"Injection, porfimer sodium, 75 mg ",,,27987.6,74167.14,4
RC,343,"Injection, posaconazole, 1 mg ",,,0.93,0.93,3
RC,343,"Injection, potassium chloride, per 2 meq ",,,0.26,0.34,4
RC,343,"Injection, pozelimab-bbfg, 1 mg ",,,243.08,243.08,3
RC,343,"Injection, pralatrexate, 1 mg ",,,456.98,1040.71,4
RC,343,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,275.71,4
RC,343,"Injection, procainamide hcl, up to 1 gm ",,,347.64,569.25,4
RC,343,"Injection, prochlorperazine, up to 10 mg ",,,3.56,8.82,4
RC,343,"Injection, progesterone, per 50 mg ",,,0.8,1.75,4
RC,343,"Injection, promethazine hcl, up to 50 mg ",,,4.06,8.85,4
RC,343,"Injection, propofol, 10 mg ",,,0.24,0.24,3
RC,343,"Injection, propranolol hcl, up to 1 mg ",,,11.69,30.82,4
RC,343,"Injection, protamine sulfate, per 10 mg ",,,1.72,4.43,4
RC,343,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,39.88,4
RC,343,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,4.56,4
RC,343,"Injection, pyridoxine hcl, 100 mg ",,,15.37,39.49,4
RC,343,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,312.46,312.46,3
RC,343,"Injection, radiesse, 0.1 ml ",,,925.35,925.35,3
RC,343,"Injection, ramucirumab, 5 mg ",,,89.71,200.0,4
RC,343,"Injection, ranibizumab, 0.1 mg ",,,110.54,179.8,4
RC,343,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,201.93,4
RC,343,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,221.22,4
RC,343,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,187.89,4
RC,343,"Injection, rasburicase, 0.5 mg ",,,452.94,1012.8,4
RC,343,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,592.75,4
RC,343,"Injection, regadenoson, 0.1 mg ",,,5.39,7.69,4
RC,343,"Injection, remdesivir, 1 mg ",,,7.76,18.29,4
RC,343,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,537190.99,537190.99,3
RC,343,"Injection, remimazolam, 1 mg ",,,7.39,7.39,3
RC,343,"Injection, reslizumab, 1 mg ",,,12.83,30.55,4
RC,343,"Injection, reteplase, 18.1 mg ",,,3625.25,7697.14,4
RC,343,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,80.56,4
RC,343,"Injection, rezafungin, 1 mg ",,,12.74,28.59,4
RC,343,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,209.09,4
RC,343,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,72.93,4
RC,343,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,90.79,4
RC,343,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,12.85,4
RC,343,"Injection, rifampin, 1 mg ",,,0.17,0.45,4
RC,343,"Injection, rilonacept, 1 mg ",,,89.99,89.99,3
RC,343,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,35.19,4
RC,343,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,38.69,4
RC,343,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,28.62,4
RC,343,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,34.53,4
RC,343,"Injection, risperidone (uzedy), 1 mg ",,,30.11,66.67,4
RC,343,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,32.25,4
RC,343,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,96.14,4
RC,343,"Injection, rituximab, 10 mg ",,,93.46,196.52,4
RC,343,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,82.89,4
RC,343,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,53.69,4
RC,343,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,36.28,4
RC,343,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,81.62,4
RC,343,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,75.58,4
RC,343,"Injection, romiplostim, 1 microgram ",,,12.85,29.44,4
RC,343,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,32.3,4
RC,343,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,343,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,62.01,4
RC,343,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,97.52,4
RC,343,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,164.01,4
RC,343,"Injection, sculptra, 0.5 mg ",,,5.72,5.72,3
RC,343,"Injection, sebelipase alfa, 1 mg ",,,612.6,1431.48,4
RC,343,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,106.61,4
RC,343,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,47.81,4
RC,343,"Injection, sermorelin acetate, 1 microgram ",,,3.55,3.55,3
RC,343,"Injection, siltuximab, 10 mg ",,,199.74,461.31,4
RC,343,"Injection, sincalide, 5 micrograms ",,,175.15,286.73,4
RC,343,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,230.84,4
RC,343,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,6.33,4
RC,343,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,5.75,4
RC,343,"Injection, sodium thiosulfate (hope), 100 mg ",,,2.33,2.33,3
RC,343,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,252.94,4
RC,343,"Injection, somatropin, 1 mg ",,,437.75,437.75,3
RC,343,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,343,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,174.18,4
RC,343,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,5.27,4
RC,343,"Injection, streptomycin, up to 1 gm ",,,31.28,106.69,4
RC,343,"Injection, streptozocin, 1 gram ",,,419.08,464.68,4
RC,343,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,3.95,4
RC,343,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.11,4
RC,343,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,48.02,48.02,3
RC,343,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,470.83,4
RC,343,"Injection, sutimlimab-jome, 10 mg ",,,22.16,52.05,4
RC,343,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,37.55,4
RC,343,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,946.79,4
RC,343,"Injection, taliglucerase alfa, 10 units ",,,49.69,107.75,4
RC,343,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,195.94,4
RC,343,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,198.43,4
RC,343,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,4154.46,4
RC,343,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.66,4
RC,343,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,589.6,4
RC,343,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,91.43,4
RC,343,"Injection, tedizolid phosphate, 1 mg ",,,2.21,5.19,4
RC,343,"Injection, telavancin, 10 mg ",,,8.68,18.63,4
RC,343,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,386.87,386.87,3
RC,343,"Injection, temozolomide, 1 mg ",,,12.73,27.56,4
RC,343,"Injection, temsirolimus, 1 mg ",,,37.07,79.71,4
RC,343,"Injection, tenecteplase, 1 mg ",,,198.62,523.22,4
RC,343,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,101.73,4
RC,343,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,974.96,4
RC,343,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,7.84,4
RC,343,"Injection, teriparatide, 10 mcg ",,,209.64,209.64,3
RC,343,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.37,1.5,4
RC,343,"Injection, testosterone cypionate, 1 mg ",,,0.05,0.05,3
RC,343,"Injection, testosterone enanthate, 1 mg ",,,0.13,0.13,3
RC,343,"Injection, testosterone undecanoate, 1 mg ",,,2.47,5.64,4
RC,343,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,1479.02,4
RC,343,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,46.59,4
RC,343,"Injection, thiamine hcl, 100 mg ",,,2.15,4.11,4
RC,343,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,102.16,4
RC,343,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,15.21,4
RC,343,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,5632.15,4
RC,343,"Injection, tigecycline, 1 mg ",,,0.36,1.51,4
RC,343,"Injection, tildrakizumab, 1 mg ",,,160.73,313.23,4
RC,343,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,8.45,4
RC,343,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,154.42,4
RC,343,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,519.72,4
RC,343,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,5.35,4
RC,343,"Injection, tocilizumab, 1 mg ",,,7.19,14.65,4
RC,343,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,20.06,4
RC,343,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,11.77,4
RC,343,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,14.79,14.79,3
RC,343,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,12.3,12.3,3
RC,343,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,13.04,13.04,3
RC,343,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,13.94,4
RC,343,"Injection, tofersen, 1 mg ",,,189.91,424.03,4
RC,343,"Injection, topotecan, 0.1 mg ",,,1.56,5.59,4
RC,343,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,105.97,4
RC,343,"Injection, trabectedin, 0.1 mg ",,,444.84,1036.34,4
RC,343,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.32,0.32,3
RC,343,"Injection, tranexamic acid, 5 mg ",,,0.34,0.34,3
RC,343,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,158.76,4
RC,343,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,194.59,4
RC,343,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,149.41,4
RC,343,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,94.82,4
RC,343,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,79.0,4
RC,343,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,148.45,4
RC,343,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,27.64,30.48,4
RC,343,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,100.36,100.36,3
RC,343,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,521.73,4
RC,343,"Injection, tremelimumab-actl, 1 mg ",,,169.02,379.56,4
RC,343,"Injection, treosulfan, 50 mg ",,,83.77,83.77,3
RC,343,"Injection, treprostinil, 1 mg ",,,69.49,146.25,4
RC,343,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,126.62,4
RC,343,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,2.39,4
RC,343,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,49.77,4
RC,343,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,49.4,4
RC,343,"Injection, triamcinolone diacetate, per 5 mg ",,,0.87,0.87,3
RC,343,"Injection, triamcinolone hexacetonide, per 5 mg ",,,25.84,25.84,3
RC,343,"Injection, trilaciclib, 1mg ",,,6.59,14.55,4
RC,343,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,151.63,4
RC,343,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,1243.86,4
RC,343,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,9867.96,4
RC,343,"Injection, ublituximab-xiiy, 1mg ",,,83.94,182.19,4
RC,343,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,37.23,4
RC,343,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,31.14,31.14,3
RC,343,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,12.03,12.03,3
RC,343,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,584.78,584.78,3
RC,343,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,8.88,4
RC,343,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,167.56,167.56,3
RC,343,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,8.51,4
RC,343,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,12.0,12.0,3
RC,343,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,33267.33,4
RC,343,"Injection, valproate sodium, 5 mg ",,,0.11,0.11,3
RC,343,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,3366.88,4
RC,343,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.03,0.03,3
RC,343,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.27,4
RC,343,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.42,4
RC,343,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.08,4
RC,343,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,2.23,2.23,3
RC,343,"Injection, vasopressin (baxter), 1 unit ",,,4.05,4.27,4
RC,343,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,3.13,3.13,3
RC,343,"Injection, vasopressin, 1 unit ",,,1.4,1.4,3
RC,343,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,55.6,4
RC,343,"Injection, velaglucerase alfa, 100 units ",,,457.7,1028.62,4
RC,343,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,1232.86,4
RC,343,"Injection, verteporfin, 0.1 mg ",,,14.09,30.66,4
RC,343,"Injection, vestronidase alfa-vjbk, 1 mg ",,,742.4,742.4,3
RC,343,"Injection, viltolarsen, 10 mg ",,,179.35,179.35,3
RC,343,"Injection, vinblastine sulfate, 1 mg ",,,6.29,13.65,4
RC,343,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,13.17,4
RC,343,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,1.78,4
RC,343,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,4.85,4
RC,343,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,3.5,4
RC,343,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,3.95,4
RC,343,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,8135.74,4
RC,343,"Injection, voriconazole, 10 mg ",,,1.3,1.72,4
RC,343,"Injection, vutrisiran, 1 mg ",,,6059.78,13301.07,4
RC,343,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,66.25,4
RC,343,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,88.96,4
RC,343,"Injection, ziconotide, 1 microgram ",,,11.86,27.72,4
RC,343,"Injection, zidovudine, 10 mg ",,,1.85,4.0,4
RC,343,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,15.56,4
RC,343,"Injection, ziv-aflibercept, 1 mg ",,,10.15,22.82,4
RC,343,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,89.17,4
RC,343,"Injection, zoledronic acid, 1 mg ",,,81.83,81.83,3
RC,343,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,323035.0,323035.0,3
RC,343,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Innovamatrix pd, 1 mg ",,,45.13,45.13,3
RC,343,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,2.2,4
RC,343,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,90.05,90.05,3
RC,343,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,3773.92,3773.92,3
RC,343,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,13.33,4
RC,343,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,23.21,4
RC,343,"Insulin (fiasp), per 5 units ",,,1.8,1.8,3
RC,343,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,40.02,40.02,3
RC,343,"Insulin (lyumjev), per 5 units ",,,1.59,1.59,3
RC,343,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,8.29,8.29,3
RC,343,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Integra flowable wound matrix, injectable, 1 cc ",,,7501.62,7501.62,3
RC,343,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Interfyl, 1 mg ",,,103.22,103.22,3
RC,343,Intrauterine copper contraceptive (miudella) ,,,3774.66,3774.66,3
RC,343,Intrauterine copper contraceptive (paragard) ,,,3773.6,3773.6,3
RC,343,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,126.78,126.78,3
RC,343,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,575.87,575.87,3
RC,343,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,170348.1,4
RC,343,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,3677.51,4
RC,343,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,1243.01,1243.01,3
RC,343,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,1721.55,4
RC,343,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,1050.25,1050.25,3
RC,343,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,2525.48,2525.48,3
RC,343,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,2296.89,4
RC,343,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,63.79,63.79,3
RC,343,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,55.04,55.04,3
RC,343,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,11.5,11.5,3
RC,343,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,343,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,1.17,1.17,3
RC,343,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,38.05,118.46,4
RC,343,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,965.58,965.58,3
RC,343,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.24,0.24,3
RC,343,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.21,0.21,3
RC,343,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,3.55,4
RC,343,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,466.93,4
RC,343,"Leuprolide acetate, per 1 mg ",,,60.67,401.48,4
RC,343,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,105.87,4
RC,343,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,5.3,5.3,3
RC,343,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.85,0.85,3
RC,343,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.24,0.24,3
RC,343,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,1028.52,1028.52,3
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,3111.05,3111.05,3
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,4046.36,4046.36,3
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,3369.26,3369.26,3
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,4046.36,4046.36,3
RC,343,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,1489991.23,4
RC,343,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,3.07,4
RC,343,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,1.14,4
RC,343,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.4,4
RC,343,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,687.94,4
RC,343,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,847.84,4
RC,343,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,14024.94,4
RC,343,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,2711.27,4
RC,343,"Mannitol, administered through an inhaler, 5 mg ",,,3.13,3.13,3
RC,343,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Matristem micromatrix, 1 mg ",,,21.01,21.01,3
RC,343,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,310.42,4
RC,343,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,917.96,4
RC,343,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Melphalan; oral, 2 mg ",,,12.4,12.4,3
RC,343,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,561.54,561.54,3
RC,343,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,562.81,562.81,3
RC,343,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,62.83,62.83,3
RC,343,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,844.69,844.69,3
RC,343,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,800.51,800.51,3
RC,343,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,237.2,237.2,3
RC,343,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,717.99,717.99,3
RC,343,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,798.76,798.76,3
RC,343,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,2.89,2.89,3
RC,343,"Methotrexate (jylamvo), oral, 2.5 mg ",,,49.58,49.58,3
RC,343,"Methotrexate (xatmep), oral, 2.5 mg ",,,59.1,59.1,3
RC,343,"Methotrexate; oral, 2.5 mg ",,,0.37,0.37,3
RC,343,"Methylprednisolone oral, per 4 mg ",,,0.37,0.37,3
RC,343,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Microlyte painguard, per square centimeter ",,,336.92,336.92,3
RC,343,"Miglustat, oral, 65 mg ",,,113.05,113.05,3
RC,343,"Miro3d fibers, per milligram ",,,43.51,43.51,3
RC,343,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,856.4,4
RC,343,"Mitomycin, intravesical instillation, 1 mg ",,,737.57,737.57,3
RC,343,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,30.08,4
RC,343,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,5.96,5.96,3
RC,343,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.82,0.82,3
RC,343,"Mycophenolate mofetil, oral, 250 mg ",,,0.37,0.37,3
RC,343,"Mycophenolic acid, oral, 180 mg ",,,0.85,0.85,3
RC,343,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,62.35,62.35,3
RC,343,"Myriad morcells, 4 milligrams ",,,34.98,34.98,3
RC,343,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Neoxflo or clarixflo, 1 mg ",,,90.37,90.37,3
RC,343,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,1054.14,1054.14,3
RC,343,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,2122.52,2122.52,3
RC,343,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,337.24,337.24,3
RC,343,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Novashield or novogen wound matrix, per square centimeter ",,,336.92,336.92,3
RC,343,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,737362.5,4
RC,343,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,407.44,407.44,3
RC,343,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.05,0.05,3
RC,343,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1648.19,1648.19,3
RC,343,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,3819.98,3819.98,3
RC,343,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,194.96,194.96,3
RC,343,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.78,1.78,3
RC,343,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,256.02,4
RC,343,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,683.3,683.3,3
RC,343,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,713.67,4
RC,343,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,829.19,4
RC,343,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,912.26,4
RC,343,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,353.7,4
RC,343,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,151.63,4
RC,343,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Prednisolone oral, per 5 mg ",,,1.96,1.96,3
RC,343,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,5.86,5.86,3
RC,343,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Procenta, per 100 mg ",,,15741.8,15741.8,3
RC,343,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,2.07,2.07,3
RC,343,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.77,0.77,3
RC,343,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,5.43,4
RC,343,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,729.23,4
RC,343,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,641.78,4
RC,343,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,933.97,4
RC,343,"Rabies vaccine, for intradermal use ",,,627.68,627.68,3
RC,343,"Rabies vaccine, for intramuscular use ",,,545.72,835.33,4
RC,343,"Radioelements for brachytherapy, any type, each ",,,163.74,163.74,3
RC,343,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,123742.09,123742.09,3
RC,343,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,453.39,4
RC,343,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,1014.42,1014.42,3
RC,343,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,1020.94,1020.94,3
RC,343,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,1014.63,1014.63,3
RC,343,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,1157.39,2184.79,4
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1768.08,1768.08,3
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,343,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.53,0.53,3
RC,343,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,348.53,348.53,3
RC,343,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,212.0,4
RC,343,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1761.59,1761.59,3
RC,343,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,7250.4,7250.4,3
RC,343,"Ringers lactate infusion, up to 1000 cc ",,,6.89,6.89,3
RC,343,"Rolapitant, oral, 1 mg ",,,11.69,11.69,3
RC,343,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,495.05,495.05,3
RC,343,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,326.32,326.32,3
RC,343,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,8373.47,19539.46,4
RC,343,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,7697.35,7697.35,3
RC,343,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.27,0.27,3
RC,343,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.82,0.82,3
RC,343,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.53,0.53,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,535.06,535.06,3
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,389.71,4
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,428.37,4
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,251.22,4
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,173.5,4
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,446.18,4
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,508.59,4
RC,343,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,149113.35,4
RC,343,"Sirolimus, oral, 1 mg ",,,3.37,3.37,3
RC,343,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,336.92,336.92,3
RC,343,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.03,0.03,3
RC,343,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,716.96,716.96,3
RC,343,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,737.34,4
RC,343,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,10987.8,4
RC,343,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.56,0.56,3
RC,343,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Suzetrigine, oral 1 mg ",,,0.87,0.87,3
RC,343,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,1.56,1.56,3
RC,343,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,4.93,4.93,3
RC,343,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,3.39,3.39,3
RC,343,"Tacrolimus, immediate release, oral, 1 mg ",,,0.61,0.61,3
RC,343,"Tacrolimus, parenteral, 5 mg ",,,311.84,688.89,4
RC,343,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,26.5,26.5,3
RC,343,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,1393.18,1393.18,3
RC,343,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,3434.27,3434.27,3
RC,343,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,2055.13,4399.6,4
RC,343,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,2121.64,2121.64,3
RC,343,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,163.74,163.74,3
RC,343,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,2475.44,2475.44,3
RC,343,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,288.56,4
RC,343,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,55.76,55.76,3
RC,343,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1748.81,1748.81,3
RC,343,"Temozolomide, oral, 5 mg ",,,1.06,1.06,3
RC,343,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,34.53,34.53,3
RC,343,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,34.53,34.53,3
RC,343,"Testosterone pellet, implant, 75 mg ",,,198.67,198.67,3
RC,343,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,102.69,4
RC,343,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,2084.99,2084.99,3
RC,343,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,104.62,4
RC,343,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,146.94,4
RC,343,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1627579.15,1627579.15,3
RC,343,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,158.44,158.44,3
RC,343,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,20.59,20.59,3
RC,343,"Topical administration, prademagene zamikeracel, per treatment ",,,8839923.0,8839923.0,3
RC,343,"Topotecan, oral, 0.25 mg ",,,331.83,331.83,3
RC,343,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,2091.33,2091.33,3
RC,343,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,12.4,12.4,3
RC,343,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.78,1.78,3
RC,343,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,440.93,4
RC,343,"Typhoid vaccine, live, oral ",,,372.96,372.96,3
RC,343,Unlisted immune globulin ,,,1133.91,1133.91,3
RC,343,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,30.79,4
RC,343,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,1080.43,4
RC,343,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.03,0.03,3
RC,343,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.37,0.37,3
RC,343,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,610.53,610.53,3
RC,343,"Varicella-zoster immune globulin, human, for intramuscular use ",,,6262.61,6262.61,3
RC,343,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Vincristine sulfate, 1 mg ",,,10.02,21.49,4
RC,343,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Woundex flow, bioskin flow, 0.5 cc ",,,6801.68,6801.68,3
RC,343,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xcellistem, 1 mg ",,,41.34,41.34,3
RC,343,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,811.67,4
RC,343,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,815.14,4
RC,343,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,150585.06,4
RC,343,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,343,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,378.84,378.84,3
RC,343,"injection, busulfan, 1 mg ",,,1.78,1.8,4
RC,344, Nuclear Medicine Therapeutic Radiopharmaceuticals  ,,,,,0
RC,344,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,16.03,16.03,3
RC,344,5% dextrose/normal saline (500 ml = 1 unit) ,,,3.42,3.42,3
RC,344,5% dextrose/water (500 ml = 1 unit) ,,,4.96,4.96,3
RC,344,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,Ac5 advanced wound system (ac5) ,,,15900.0,15900.0,3
RC,344,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,22.63,22.63,3
RC,344,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Afamelanotide implant, 1 mg ",,,3810.94,7800.06,4
RC,344,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,2042143.0,4
RC,344,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.64,0.64,3
RC,344,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.21,0.21,3
RC,344,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.56,0.56,3
RC,344,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,4.69,4
RC,344,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,1033.55,4
RC,344,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,182.13,4
RC,344,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,307.56,307.56,3
RC,344,"Anti-inhibitor, per i.u. ",,,2.93,6.41,4
RC,344,"Antithrombin iii (human), per i.u. ",,,4.82,10.87,4
RC,344,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Aprepitant, oral, 5 mg ",,,6.33,6.33,3
RC,344,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.93,1.93,3
RC,344,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Ascent, 0.5 mg ",,,182.69,182.69,3
RC,344,"Autologous cultured chondrocytes, implant ",,,221874.56,221874.56,3
RC,344,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,1409400.17,4
RC,344,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Azathioprine, oral, 50 mg ",,,0.48,0.48,3
RC,344,"Azathioprine, parenteral, 100 mg ",,,300.0,675.11,4
RC,344,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,34.53,34.53,3
RC,344,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,601.82,601.82,3
RC,344,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,601.82,601.82,3
RC,344,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Bcg live intravesical instillation, 1 mg ",,,8.98,8.98,3
RC,344,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,2662.14,4
RC,344,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Biobrane, per square centimeter ",,,336.92,336.92,3
RC,344,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,1296620.09,4
RC,344,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,12.4,12.4,3
RC,344,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,2.92,2.92,3
RC,344,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,344,"Buprenorphine, oral, 1 mg ",,,3.31,3.31,3
RC,344,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,50.09,50.09,3
RC,344,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,25.15,25.15,3
RC,344,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,26.45,26.45,3
RC,344,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,15.45,15.45,3
RC,344,"Busulfan; oral, 2 mg ",,,26.82,26.82,3
RC,344,"Cabergoline, oral, 0.25 mg ",,,0.4,0.4,3
RC,344,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.08,0.08,3
RC,344,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,1767.74,4
RC,344,"Capecitabine, oral, 50 mg ",,,0.08,0.08,3
RC,344,"Capsaicin 8% patch, per square centimeter ",,,4.14,9.06,4
RC,344,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,646.71,4
RC,344,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,1093.13,1093.13,3
RC,344,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,1.56,4
RC,344,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6668.54,4
RC,344,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,414.25,414.25,3
RC,344,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,5082.59,5082.59,3
RC,344,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,1559511.25,4
RC,344,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,2.62,2.62,3
RC,344,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,542.59,542.59,3
RC,344,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,3.55,3.55,3
RC,344,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1574.84,4
RC,344,"Coretext or protext, per cc ",,,8533.0,8533.0,3
RC,344,"Corplex p or theracor p or allacor p, per milligram ",,,303.4,303.4,3
RC,344,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,130.51,130.51,3
RC,344,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.87,0.87,3
RC,344,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,2.15,2.15,3
RC,344,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cyclophosphamide; oral, 25 mg ",,,4.37,4.37,3
RC,344,"Cyclosporine, oral, 100 mg ",,,3.79,3.79,3
RC,344,"Cyclosporine, oral, 25 mg ",,,1.67,1.67,3
RC,344,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,5754.4,5754.4,3
RC,344,"Dacarbazine, 100 mg ",,,5.51,10.2,4
RC,344,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,209.88,209.88,3
RC,344,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dexamethasone (hemady), oral, 0.25 mg ",,,1.14,1.14,3
RC,344,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,245.26,4
RC,344,"Dexamethasone, oral, 0.25 mg ",,,0.08,0.08,3
RC,344,"Dexmedetomidine, oral, 1 mcg ",,,2.33,2.33,3
RC,344,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,3.66,3.66,3
RC,344,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,48.68,48.68,3
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,208.53,4
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,374.37,4
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,351.66,351.66,3
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,529.81,529.81,3
RC,344,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,98.16,4
RC,344,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,151.37,151.37,3
RC,344,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,146.2,146.2,3
RC,344,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,10.31,10.31,3
RC,344,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,4.37,4.37,3
RC,344,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Edetate disodium, per 150 mg ",,,0.87,0.87,3
RC,344,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,189.32,4
RC,344,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.3,1.44,4
RC,344,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,138.12,138.12,3
RC,344,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Epifix, injectable, 1 mg ",,,51.33,51.33,3
RC,344,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Esketamine, nasal spray, 1 mg ",,,50.83,50.83,3
RC,344,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,496.32,496.32,3
RC,344,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,4055.64,4055.64,3
RC,344,"Etoposide; oral, 50 mg ",,,230.13,230.13,3
RC,344,"Everolimus, oral, 0.25 mg ",,,3.29,3.29,3
RC,344,"Excellagen, 0.1 cc ",,,461.1,461.1,3
RC,344,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,3.63,4
RC,344,"Factor ix, complex, per i.u. ",,,2.02,4.51,4
RC,344,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,7.0,4
RC,344,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,5.83,5.83,3
RC,344,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,14.47,14.47,3
RC,344,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,3.68,4
RC,344,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,4.16,4
RC,344,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,170.45,4
RC,344,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.08,0.08,3
RC,344,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4199.38,4
RC,344,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,4837.95,4
RC,344,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,983.15,4
RC,344,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,1778.73,4
RC,344,"Floweramnioflo, 0.1 cc ",,,477.0,477.0,3
RC,344,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,854.02,4
RC,344,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,27.43,27.43,3
RC,344,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,1142.71,4
RC,344,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,2267.21,4
RC,344,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,1220.11,4
RC,344,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,1404.5,4
RC,344,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,5151.63,4
RC,344,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,4.72,4.72,3
RC,344,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,4076.81,4076.81,3
RC,344,"Foundation drs+ duo, per square centimeter ",,,336.92,336.92,3
RC,344,"Foundation drs+ solo, per square centimeter ",,,336.92,336.92,3
RC,344,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,60.18,60.18,3
RC,344,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,3103.95,3103.95,3
RC,344,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1268.08,4
RC,344,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,960.63,988.8,4
RC,344,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,963.28,4
RC,344,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,1457.84,4
RC,344,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,131.52,4
RC,344,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,9.57,9.57,3
RC,344,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Gefitinib, oral, 250 mg ",,,771.15,771.15,3
RC,344,"Gemcitabine intravesical system, 225 mg ",,,193683.89,193683.89,3
RC,344,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Goserelin acetate implant, per 3.6 mg ",,,862.14,3577.31,4
RC,344,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Graftjacket xpress, injectable, 1 cc ",,,5293.38,5293.38,3
RC,344,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,156.48,156.48,3
RC,344,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,870.79,4
RC,344,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,99.69,4
RC,344,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,43.25,4
RC,344,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,449.49,4
RC,344,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,195.38,4
RC,344,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,113.98,4
RC,344,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,83.21,83.21,3
RC,344,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,131.89,131.89,3
RC,344,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,371.56,4
RC,344,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,195.62,195.62,3
RC,344,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,470.53,4
RC,344,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,199.15,4
RC,344,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,199.15,4
RC,344,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,435.71,4
RC,344,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,435.71,4
RC,344,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,87.98,4
RC,344,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.69,0.69,3
RC,344,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.58,0.58,3
RC,344,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.21,0.21,3
RC,344,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,109109.59,4
RC,344,"Histrelin implant (vantas), 50 mg ",,,12480.25,12480.25,3
RC,344,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,1046.11,1046.11,3
RC,344,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,300.06,300.06,3
RC,344,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,337.24,337.24,3
RC,344,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,380.81,4
RC,344,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,17.83,4
RC,344,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,279.79,4
RC,344,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,1395.99,4
RC,344,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.8,1.8,3
RC,344,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,197.24,4
RC,344,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,48.04,4
RC,344,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,1736.65,4
RC,344,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,289.09,4
RC,344,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,8.27,8.27,3
RC,344,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,18.44,4
RC,344,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,27.96,4
RC,344,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,8.67,4
RC,344,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,9.75,4
RC,344,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,5.3,5.3,3
RC,344,"Hypertonic saline solution, 1 ml ",,,0.2,0.27,4
RC,344,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,1483419.86,4
RC,344,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,421.32,421.32,3
RC,344,"Immune globulin (Ig), human, for intramuscular use ",,,316.6,316.6,3
RC,344,"Immune globulin (IgIV), human, for intravenous use ",,,253.63,253.63,3
RC,344,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,64.08,64.08,3
RC,344,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,4585.27,4585.27,3
RC,344,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,10893.22,10893.22,3
RC,344,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,12713.03,4
RC,344,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,2923.45,5051.95,4
RC,344,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2203.37,2525.98,4
RC,344,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1975.89,4
RC,344,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,5302.49,4
RC,344,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,4442.43,4442.43,3
RC,344,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,260.12,4
RC,344,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,260.12,4
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,68.21,68.21,3
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,32.75,32.75,3
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,148.24,148.24,3
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,29.23,29.23,3
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,58.49,58.49,3
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,35.46,35.46,3
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,61.53,4
RC,344,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,260.12,4
RC,344,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,131.18,4
RC,344,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,78.73,4
RC,344,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,56.26,4
RC,344,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,140.66,4
RC,344,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,140.66,4
RC,344,"Infusion, albumin (human), 5%, 50 ml ",,,28.14,39.12,4
RC,344,"Infusion, d5w, 1000 cc ",,,4.44,8.14,4
RC,344,"Infusion, dextran 40, 500 ml ",,,51.53,1031.17,4
RC,344,"Infusion, normal saline solution , 1000 cc ",,,5.8,5.8,3
RC,344,"Infusion, normal saline solution, 250 cc ",,,1.86,1.86,3
RC,344,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,3.6,3.6,3
RC,344,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,166.74,166.74,3
RC,344,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,2784.46,2784.46,3
RC,344,"Injection abciximab, 10 mg ",,,1528.6,1528.6,3
RC,344,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,11.93,4
RC,344,"Injection fluconazole, 200 mg ",,,4.37,10.26,4
RC,344,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,118.51,4
RC,344,"Injection, abobotulinumtoxina, 5 units ",,,11.05,23.59,4
RC,344,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,344,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,344,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.16,0.16,3
RC,344,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.24,0.24,3
RC,344,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.13,4
RC,344,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,64.55,4
RC,344,"Injection, acetylcysteine, 100 mg ",,,0.54,1.35,4
RC,344,"Injection, acyclovir, 5 mg ",,,0.04,0.05,4
RC,344,"Injection, adalimumab, 1 mg ",,,432.43,432.43,3
RC,344,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,344,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,58.3,58.3,3
RC,344,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,214.6,214.6,3
RC,344,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,51.57,51.57,3
RC,344,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,151.34,151.34,3
RC,344,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,69.8,4
RC,344,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,94.29,4
RC,344,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,1.27,1.27,3
RC,344,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,111.83,4
RC,344,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,344,"Injection, aflibercept hd, 1 mg ",,,392.69,798.13,4
RC,344,"Injection, aflibercept, 1 mg ",,,973.04,1939.51,4
RC,344,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,2176.71,4
RC,344,"Injection, agalsidase beta, 1 mg ",,,272.46,603.09,4
RC,344,"Injection, aldesleukin, per single use vial ",,,7272.0,8848.01,4
RC,344,"Injection, alemtuzumab, 1 mg ",,,2985.07,6467.11,4
RC,344,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,549.9,4
RC,344,"Injection, allopurinol sodium, 1 mg ",,,5.45,10.1,4
RC,344,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,15.0,4
RC,344,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,13.62,4
RC,344,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1.27,1.27,3
RC,344,"Injection, alteplase recombinant, 1 mg ",,,111.82,251.99,4
RC,344,"Injection, amifostine, 500 mg ",,,1160.41,1160.41,3
RC,344,"Injection, amikacin sulfate, 100 mg ",,,0.74,1.62,4
RC,344,"Injection, aminocaproic acid, 1 gram ",,,1.6,4.16,4
RC,344,"Injection, aminophyllin, up to 250 mg ",,,13.5,30.02,4
RC,344,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,6.6,6.6,3
RC,344,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,1.03,4
RC,344,"Injection, amisulpride, 1 mg ",,,11.45,25.33,4
RC,344,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,59.97,4
RC,344,"Injection, amobarbital, up to 125 mg ",,,30.98,219.91,4
RC,344,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,49.56,4
RC,344,"Injection, amphotericin b liposome, 10 mg ",,,28.5,60.45,4
RC,344,"Injection, amphotericin b, 50 mg ",,,61.21,117.47,4
RC,344,"Injection, ampicillin sodium, 500 mg ",,,0.72,1.7,4
RC,344,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,3.58,4
RC,344,"Injection, anidulafungin, 1 mg ",,,0.59,1.3,4
RC,344,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,48.52,4
RC,344,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,3.31,4
RC,344,"Injection, apomorphine hydrochloride, 1 mg ",,,114.27,114.27,3
RC,344,"Injection, aprepitant (aponvie), 1 mg ",,,5.17,5.17,3
RC,344,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,344,"Injection, aprepitant, 1 mg ",,,2.09,4.48,4
RC,344,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.82,4
RC,344,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,12.59,12.59,3
RC,344,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.66,4.68,4
RC,344,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,3.66,3.66,3
RC,344,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,2.68,2.68,3
RC,344,"Injection, argatroban, 1 mg (for non-esrd use) ",,,2.68,3.78,4
RC,344,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,15.95,4
RC,344,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,19.27,4
RC,344,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,8.61,4
RC,344,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,8.8,4
RC,344,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.87,0.87,3
RC,344,"Injection, arsenic trioxide, 1 mg ",,,5.86,17.09,4
RC,344,"Injection, artesunate, 1 mg ",,,58.68,137.35,4
RC,344,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,149.17,4
RC,344,"Injection, atezolizumab, 10 mg ",,,109.3,249.1,4
RC,344,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,84.67,4
RC,344,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,11938250.0,4
RC,344,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.03,0.03,3
RC,344,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.27,4
RC,344,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.27,0.27,3
RC,344,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,274.01,4
RC,344,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,215.18,4
RC,344,"Injection, avelumab, 10 mg ",,,118.76,279.71,4
RC,344,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,147.47,4
RC,344,"Injection, azacitidine, 1 mg ",,,0.38,1.09,4
RC,344,"Injection, azithromycin, 500 mg ",,,2.72,5.14,4
RC,344,"Injection, aztreonam, 100 mg ",,,6.07,6.07,3
RC,344,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,4.45,4.45,3
RC,344,"Injection, baclofen, 10 mg ",,,213.72,471.83,4
RC,344,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,144.0,4
RC,344,"Injection, basiliximab, 20 mg ",,,5731.33,12752.62,4
RC,344,"Injection, belatacept, 1 mg ",,,4.75,10.31,4
RC,344,"Injection, belimumab, 10 mg ",,,67.21,151.55,4
RC,344,"Injection, belinostat, 10 mg ",,,62.26,140.74,4
RC,344,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,34.19,4
RC,344,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,84.11,4
RC,344,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,36.94,4
RC,344,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,5.72,4
RC,344,"Injection, benralizumab, 1 mg ",,,199.66,432.9,4
RC,344,"Injection, benztropine mesylate, per 1 mg ",,,20.51,35.83,4
RC,344,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,18.47,4
RC,344,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,7786548.0,4
RC,344,"Injection, bevacizumab, 0.25 mg ",,,2.23,4.93,4
RC,344,"Injection, bevacizumab, 10 mg ",,,88.92,197.05,4
RC,344,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,91.82,4
RC,344,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,62.91,4
RC,344,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,68.5,4
RC,344,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,136.71,4
RC,344,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,223.61,223.61,3
RC,344,"Injection, bezlotoxumab, 10 mg ",,,48.74,105.55,4
RC,344,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,567.15,4
RC,344,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.34,0.34,3
RC,344,"Injection, bivalirudin, 1 mg ",,,0.18,0.32,4
RC,344,"Injection, bleomycin sulfate, 15 units ",,,26.36,43.99,4
RC,344,"Injection, blinatumomab, 1 microgram ",,,186.18,434.49,4
RC,344,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,67.34,4
RC,344,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,9.17,54.96,4
RC,344,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,18.47,54.96,4
RC,344,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,3.34,4
RC,344,"Injection, bortezomib, 0.1 mg ",,,3.06,5.96,4
RC,344,"Injection, brentuximab vedotin, 1 mg ",,,304.36,712.13,4
RC,344,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,935.64,4
RC,344,"Injection, brompheniramine maleate, per 10 mg ",,,0.87,0.87,3
RC,344,"Injection, bumetanide, 0.5 mg ",,,0.7,1.25,4
RC,344,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,344,"Injection, bupivacaine liposome, 1 mg ",,,1.74,3.74,4
RC,344,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.03,0.03,3
RC,344,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,4422.43,4
RC,344,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,1105.61,4
RC,344,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,5290.88,4
RC,344,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,5290.88,4
RC,344,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,11.05,4
RC,344,"Injection, burosumab-twza 1 mg ",,,574.32,1321.61,4
RC,344,"Injection, butorphanol tartrate, 1 mg ",,,5.74,16.3,4
RC,344,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,40.02,40.02,3
RC,344,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,201.53,4
RC,344,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,173.58,4
RC,344,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,97.2,4
RC,344,"Injection, cabazitaxel, 1 mg ",,,271.07,612.28,4
RC,344,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,64.08,4
RC,344,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,18.95,4
RC,344,"Injection, caffeine citrate, 5 mg ",,,1.7,4.82,4
RC,344,"Injection, calaspargase pegol-mknl, 10 units ",,,217.51,217.51,3
RC,344,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,3797.98,4
RC,344,"Injection, calcitriol, 0.1 mcg ",,,1.19,3.15,4
RC,344,"Injection, calcium chloride, 2 mg ",,,0.04,0.08,4
RC,344,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.19,0.19,3
RC,344,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.08,0.08,3
RC,344,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,30.1,30.1,3
RC,344,"Injection, canakinumab, 1 mg ",,,166.97,396.36,4
RC,344,"Injection, cangrelor, 1 mg ",,,22.87,53.05,4
RC,344,"Injection, caplacizumab-yhdp, 1 mg ",,,2123.34,2123.34,3
RC,344,"Injection, carboplatin (avyxa), 1 mg ",,,13.89,13.89,3
RC,344,"Injection, carboplatin, 50 mg ",,,3.58,7.79,4
RC,344,"Injection, carboprost tromethamine, 0.1 mg ",,,41.23,41.23,3
RC,344,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,3323.1,3323.1,3
RC,344,"Injection, carfilzomib, 1 mg ",,,63.38,149.04,4
RC,344,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,344,"Injection, carmustine, 100 mg ",,,178.02,640.77,4
RC,344,"Injection, casimersen, 10 mg ",,,440.43,440.43,3
RC,344,"Injection, caspofungin acetate, 5 mg ",,,4.08,9.49,4
RC,344,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,3.29,3.29,3
RC,344,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,2.25,4
RC,344,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.96,4
RC,344,"Injection, cefazolin sodium, 500 mg ",,,1.01,2.25,4
RC,344,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,12.96,12.96,3
RC,344,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,15.66,15.66,3
RC,344,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,3.37,4
RC,344,"Injection, cefiderocol, 10 mg ",,,2.78,6.41,4
RC,344,"Injection, cefotaxime sodium, per gm ",,,11.77,19.48,4
RC,344,"Injection, cefotetan disodium, 10 mg ",,,0.77,0.77,3
RC,344,"Injection, cefoxitin sodium, 1 gm ",,,6.13,9.43,4
RC,344,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,11.26,4
RC,344,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,277.59,4
RC,344,"Injection, ceftazidime, per 500 mg ",,,1.96,3.74,4
RC,344,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,2.92,2.92,3
RC,344,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,23.43,4
RC,344,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,1.14,4
RC,344,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,78.86,4
RC,344,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,344,"Injection, cerliponase alfa, 1 mg ",,,321.1,321.1,3
RC,344,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,10.04,4
RC,344,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,44.84,4
RC,344,"Injection, cetuximab, 10 mg ",,,94.79,213.22,4
RC,344,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,154.71,4
RC,344,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,54.88,54.88,3
RC,344,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.11,0.11,3
RC,344,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,124.34,4
RC,344,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,55.54,4
RC,344,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,40.2,4
RC,344,"Injection, cidofovir, 375 mg ",,,638.0,1486.09,4
RC,344,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,16.75,4
RC,344,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,244.86,4
RC,344,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.01,2.57,4
RC,344,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,5.75,4
RC,344,"Injection, cladribine, per 1 mg ",,,12.47,23.13,4
RC,344,"Injection, clevidipine butyrate, 1 mg ",,,3.36,7.53,4
RC,344,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,6.15,6.15,3
RC,344,"Injection, clindamycin phosphate, 300 mg ",,,4.93,4.93,3
RC,344,"Injection, clofarabine, 1 mg ",,,19.57,28.99,4
RC,344,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,47.49,4
RC,344,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,5.22,4
RC,344,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,347.57,4
RC,344,"Injection, codeine phosphate, per 30 mg ",,,2.65,2.65,3
RC,344,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,37.82,4
RC,344,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,207.63,4
RC,344,"Injection, concizumab-mtci, 0.5 mg ",,,221.2,221.2,3
RC,344,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,344,"Injection, corticotropin (acthar gel), up to 40 units ",,,10849.79,10849.79,3
RC,344,"Injection, corticotropin (ani), up to 40 units ",,,9464.08,9464.08,3
RC,344,"Injection, cosibelimab-ipdl, 2 mg ",,,60.74,60.74,3
RC,344,"Injection, cosyntropin, 0.25 mg ",,,40.84,43.09,4
RC,344,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,344.34,4
RC,344,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,4197.6,4
RC,344,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,4878.7,4
RC,344,"Injection, crovalimab-akkz, 10 mg ",,,624.35,1461.5,4
RC,344,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.38,4
RC,344,"Injection, cyclophosphamide (baxter), 5 mg ",,,9.86,9.86,3
RC,344,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,1.33,2.15,4
RC,344,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,24.12,24.12,3
RC,344,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,9.67,4
RC,344,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,2.04,4
RC,344,"Injection, cyclosporine, 250 mg ",,,196.63,196.63,3
RC,344,"Injection, cytarabine, 100 mg ",,,1.0,2.12,4
RC,344,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,4792.82,4
RC,344,"Injection, dactinomycin, 0.5 mg ",,,353.1,894.83,4
RC,344,"Injection, dalbavancin, 5 mg ",,,19.04,39.75,4
RC,344,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,42.03,4
RC,344,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.16,0.16,3
RC,344,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.13,0.13,3
RC,344,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.08,4
RC,344,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.13,4
RC,344,"Injection, daptomycin, 1 mg ",,,0.04,0.08,4
RC,344,"Injection, daratumumab, 10 mg ",,,82.68,187.54,4
RC,344,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,145.83,4
RC,344,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,8.14,4
RC,344,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,8.14,4
RC,344,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,136.53,136.53,3
RC,344,"Injection, daunorubicin, 10 mg ",,,32.27,65.59,4
RC,344,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,8.19,4
RC,344,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.78,1.78,3
RC,344,"Injection, decitabine, 1 mg ",,,2.16,2.65,4
RC,344,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,22.74,4
RC,344,"Injection, degarelix, 1 mg ",,,5.33,11.82,4
RC,344,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,8801647.41,4
RC,344,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,38.48,38.48,3
RC,344,"Injection, denosumab, 1 mg ",,,34.0,78.2,4
RC,344,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,73.96,73.96,3
RC,344,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,69.46,69.46,3
RC,344,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,78.97,78.97,3
RC,344,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,51.68,51.68,3
RC,344,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,82.97,82.97,3
RC,344,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,41.98,41.98,3
RC,344,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,137.32,4
RC,344,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,9.04,4
RC,344,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,7.18,7.18,3
RC,344,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.29,4
RC,344,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,540.04,4
RC,344,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,131.81,4
RC,344,"Injection, diazepam, up to 5 mg ",,,7.08,22.55,4
RC,344,"Injection, diazoxide, up to 300 mg ",,,269.08,269.08,3
RC,344,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,24.83,4
RC,344,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.74,4
RC,344,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,13692.52,4
RC,344,"Injection, digoxin, up to 0.5 mg ",,,5.96,27.48,4
RC,344,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,145.46,4
RC,344,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.48,0.48,3
RC,344,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.11,4
RC,344,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,20.46,4
RC,344,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,344,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,1.83,4
RC,344,"Injection, dipyridamole, per 10 mg ",,,4.69,22.29,4
RC,344,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,1984.8,4
RC,344,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,20.88,4
RC,344,"Injection, docetaxel (beizray), 1 mg ",,,59.4,122.14,4
RC,344,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,134.12,4
RC,344,"Injection, docetaxel, 1 mg ",,,0.76,1.48,4
RC,344,"Injection, dolasetron mesylate, 10 mg ",,,9.73,9.73,3
RC,344,"Injection, donanemab-azbt, 2 mg ",,,5.11,10.97,4
RC,344,"Injection, dopamine hcl, 40 mg ",,,0.86,2.12,4
RC,344,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,654.76,4
RC,344,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.82,4
RC,344,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,7.23,4
RC,344,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,791.66,791.66,3
RC,344,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,190.43,4
RC,344,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.24,4
RC,344,"Injection, droperidol, up to 5 mg ",,,11.62,19.11,4
RC,344,"Injection, durvalumab, 10 mg ",,,102.54,228.3,4
RC,344,"Injection, ecallantide, 1 mg ",,,690.35,1533.69,4
RC,344,"Injection, eculizumab, 2 mg ",,,54.78,118.46,4
RC,344,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,84.61,4
RC,344,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,110.74,4
RC,344,"Injection, edaravone, 1 mg ",,,24.95,40.23,4
RC,344,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,16172.61,4
RC,344,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,365.7,365.7,3
RC,344,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,90.97,4
RC,344,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,86.42,4
RC,344,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,103.24,4
RC,344,"Injection, elivaldogene autotemcel, per treatment ",,,8427000.0,8427000.0,3
RC,344,"Injection, elliotts' b solution, 1 ml ",,,12.24,30.58,4
RC,344,"Injection, elosulfase alfa, 1 mg ",,,359.38,826.67,4
RC,344,"Injection, elotuzumab, 1 mg ",,,9.44,21.31,4
RC,344,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,494.99,4
RC,344,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,1017.97,4
RC,344,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,147.45,4
RC,344,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,97.28,4
RC,344,"Injection, enfuvirtide, 1 mg ",,,0.87,0.87,3
RC,344,"Injection, enoxaparin sodium, 10 mg ",,,0.64,1.43,4
RC,344,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,150.84,4
RC,344,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.31,2.77,4
RC,344,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.23,2.78,4
RC,344,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,1.14,1.14,3
RC,344,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,2.86,4
RC,344,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,7.63,4
RC,344,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,2.44,2.44,3
RC,344,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.8,0.8,3
RC,344,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.82,0.86,4
RC,344,"Injection, epirubicin hcl, 2 mg ",,,1.97,4.69,4
RC,344,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,19.37,4
RC,344,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.93,1.93,3
RC,344,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,2.09,4
RC,344,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,20.88,4
RC,344,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,2.73,2.73,3
RC,344,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,2.73,4
RC,344,"Injection, epoprostenol, 0.5 mg ",,,19.66,39.43,4
RC,344,"Injection, eptifibatide, 5 mg ",,,8.64,12.76,4
RC,344,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,54.46,4
RC,344,"Injection, eravacycline, 1 mg ",,,3.42,3.42,3
RC,344,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,203.41,4
RC,344,"Injection, ertapenem sodium, 500 mg ",,,11.22,19.13,4
RC,344,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,241.76,4
RC,344,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.53,0.53,3
RC,344,"Injection, esmolol hydrochloride, 10 mg ",,,0.64,0.64,3
RC,344,"Injection, esomeprazole sodium, 1 mg ",,,3.37,3.37,3
RC,344,"Injection, estradiol valerate, up to 10 mg ",,,8.93,19.05,4
RC,344,"Injection, estrogen conjugated, per 25 mg ",,,468.13,1038.06,4
RC,344,"Injection, estrone, per 1 mg ",,,0.87,0.87,3
RC,344,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,3404.77,4
RC,344,"Injection, etelcalcetide, 0.1 mg ",,,6.25,6.25,3
RC,344,"Injection, eteplirsen, 10 mg ",,,443.9,443.9,3
RC,344,"Injection, ethacrynate sodium, 1 mg ",,,48.42,48.42,3
RC,344,"Injection, ethanolamine oleate, 100 mg ",,,608.51,1374.37,4
RC,344,"Injection, etoposide, 10 mg ",,,1.31,2.39,4
RC,344,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,9782342.5,4
RC,344,"Injection, evinacumab-dgnb, 5mg ",,,227.78,523.72,4
RC,344,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,6179800.0,4
RC,344,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,4.88,4
RC,344,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,4.61,4.61,3
RC,344,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,14.1,4
RC,344,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,9.49,4
RC,344,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,3.95,4
RC,344,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,8.59,4
RC,344,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,6.52,4
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,4.16,4
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,4.13,4
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,3.74,4
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,3.13,4
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,5.67,4
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,7.05,4
RC,344,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,5.91,4
RC,344,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,11.9,4
RC,344,"Injection, factor x, (human), 1 i.u. ",,,11.65,26.37,4
RC,344,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,28.57,4
RC,344,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,48.57,4
RC,344,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,82.84,4
RC,344,"Injection, famotidine, 0.25 mg ",,,0.01,0.03,4
RC,344,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,87.11,4
RC,344,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,3.07,4
RC,344,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,2.92,4
RC,344,"Injection, ferric derisomaltose, 10 mg ",,,25.46,58.11,4
RC,344,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.61,4
RC,344,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.61,4
RC,344,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,344,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,2.7,4
RC,344,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.74,4
RC,344,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.85,4
RC,344,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.93,4
RC,344,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,2.73,4
RC,344,"Injection, fitusiran, 0.04 mg ",,,351.47,351.47,3
RC,344,"Injection, floxuridine, 500 mg ",,,4876.31,11265.07,4
RC,344,"Injection, fludarabine phosphate, 50 mg ",,,72.78,576.98,4
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,1351.0,4
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,897.79,4
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,1404.21,4
RC,344,"Injection, fluorouracil, 500 mg ",,,2.7,5.46,4
RC,344,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,14.81,4
RC,344,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,19.48,4
RC,344,"Injection, folic acid, 0.1 mg ",,,0.07,0.13,4
RC,344,"Injection, fomepizole, 15 mg ",,,14.92,17.33,4
RC,344,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,2.12,4
RC,344,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,6.76,4
RC,344,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.11,1.49,4
RC,344,"Injection, fosaprepitant, 1 mg ",,,0.14,0.29,4
RC,344,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,1.86,4
RC,344,"Injection, foscarnet sodium, per 1000 mg ",,,22.15,26.44,4
RC,344,"Injection, fosdenopterin, 0.1 mg ",,,46.61,46.61,3
RC,344,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,1389.08,4
RC,344,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.52,4
RC,344,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,11.26,11.26,3
RC,344,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,71.84,4
RC,344,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,110.43,4
RC,344,"Injection, fulvestrant, 25 mg ",,,8.42,13.09,4
RC,344,"Injection, furosemide (furoscix), 20 mg ",,,779.58,779.58,3
RC,344,"Injection, furosemide, 1 mg ",,,0.02,0.05,4
RC,344,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,4.56,4
RC,344,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,4.74,4
RC,344,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.8,4
RC,344,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,3.84,4
RC,344,"Injection, gadopiclenol, 1 ml ",,,8.53,8.53,3
RC,344,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.24,4
RC,344,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,3.68,4
RC,344,"Injection, gadoxetate disodium, 1 ml ",,,17.99,39.03,4
RC,344,"Injection, galsulfase, 1 mg ",,,592.82,1361.04,4
RC,344,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,129.72,4
RC,344,"Injection, gamma globulin, intramuscular, over 10 cc ",,,424.77,597.68,4
RC,344,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,159.0,159.0,3
RC,344,"Injection, ganciclovir sodium, 500 mg ",,,39.23,90.23,4
RC,344,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,5.11,4
RC,344,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,14.02,14.02,3
RC,344,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,1087.67,1087.67,3
RC,344,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,8.59,4
RC,344,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,636.45,4
RC,344,"Injection, givosiran, 0.5 mg ",,,142.4,320.6,4
RC,344,"Injection, glatiramer acetate, 20 mg ",,,75.0,687.09,4
RC,344,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,7527.8,4
RC,344,"Injection, glucagon (gvoke), 0.01 mg ",,,6.28,6.28,3
RC,344,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,357.75,4
RC,344,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,387.77,4
RC,344,"Injection, glucarpidase, 10 units ",,,1190.12,1190.12,3
RC,344,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,3.55,4
RC,344,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,3.58,3.58,3
RC,344,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.98,4
RC,344,"Injection, gold sodium thiomalate, up to 50 mg ",,,36.28,36.28,3
RC,344,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,29.92,4
RC,344,"Injection, golodirsen, 10 mg ",,,508.8,508.8,3
RC,344,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.42,4
RC,344,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,10.28,4
RC,344,"Injection, guselkumab, 1 mg ",,,86.11,179.7,4
RC,344,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,16.09,4
RC,344,"Injection, haloperidol, up to 5 mg ",,,0.95,2.09,4
RC,344,"Injection, hemin, 1 mg ",,,40.44,93.57,4
RC,344,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.05,3.6,4
RC,344,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.05,0.05,3
RC,344,"Injection, heparin sodium, per 1000 units ",,,0.28,0.58,4
RC,344,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,186.11,4
RC,344,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,186.11,4
RC,344,"Injection, histrelin acetate, 10 micrograms ",,,2.65,2.65,3
RC,344,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,3.29,4
RC,344,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,4.03,4
RC,344,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.87,0.87,3
RC,344,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,291.21,291.21,3
RC,344,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.95,4
RC,344,"Injection, hyaluronidase, up to 150 units ",,,39.34,83.61,4
RC,344,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,11.37,4
RC,344,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,58.67,4
RC,344,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.27,4
RC,344,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.03,4
RC,344,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,14.42,4
RC,344,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,344,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,40.2,4
RC,344,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,24.78,64.8,4
RC,344,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,205.85,4
RC,344,"Injection, ibandronate sodium, 1 mg ",,,24.01,27.17,4
RC,344,"Injection, ibuprofen, 100 mg ",,,3.64,8.43,4
RC,344,"Injection, ibutilide fumarate, 1 mg ",,,357.96,580.93,4
RC,344,"Injection, icatibant, 1 mg ",,,83.92,832.55,4
RC,344,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,105.36,4
RC,344,"Injection, idursulfase, 1 mg ",,,663.37,1479.28,4
RC,344,"Injection, ifosfamide, 1 gram ",,,30.1,65.4,4
RC,344,"Injection, iloprost, 0.1 mcg ",,,15.13,15.13,3
RC,344,"Injection, imetelstat, 1 mg ",,,64.98,154.15,4
RC,344,"Injection, imiglucerase, 10 units ",,,52.75,113.5,4
RC,344,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,6.89,4
RC,344,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,326.29,4
RC,344,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,1327.46,4
RC,344,"Injection, immune globulin (bivigam), 500 mg ",,,210.52,210.52,3
RC,344,"Injection, immune globulin (cutaquig), 100 mg ",,,36.91,36.91,3
RC,344,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,46.59,4
RC,344,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,38.48,4
RC,344,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,195.65,4
RC,344,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,131.25,4
RC,344,"Injection, immune globulin (xembify), 100 mg ",,,17.46,40.73,4
RC,344,"Injection, immune globulin (yimmugo), 100 mg ",,,64.45,64.45,3
RC,344,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,240.46,4
RC,344,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,130.06,4
RC,344,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,171.32,4
RC,344,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,131.78,4
RC,344,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,124.66,4
RC,344,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,213.06,4
RC,344,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,49.82,4
RC,344,"Injection, inclisiran, 1 mg ",,,15.01,33.42,4
RC,344,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,14.02,4
RC,344,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,24.65,4
RC,344,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,1313.21,4
RC,344,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,82.26,4
RC,344,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,71.02,4
RC,344,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,74.31,4
RC,344,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,885.82,885.82,3
RC,344,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,69.01,4
RC,344,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,7464.44,4
RC,344,"Injection, insulin, per 5 units ",,,0.26,1.3,4
RC,344,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,481.66,481.66,3
RC,344,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,134.33,134.33,3
RC,344,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,9366.88,4
RC,344,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1594.05,1594.05,3
RC,344,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,92.94,92.94,3
RC,344,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,34.53,34.53,3
RC,344,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,95.77,95.77,3
RC,344,"Injection, interferon, gamma 1-b, 3 million units ",,,27950.85,27950.85,3
RC,344,"Injection, ipilimumab, 1 mg ",,,220.33,496.0,4
RC,344,"Injection, irinotecan liposome, 1 mg ",,,79.81,175.88,4
RC,344,"Injection, irinotecan, 20 mg ",,,2.0,4.05,4
RC,344,"Injection, iron dextran, 50 mg ",,,21.07,47.99,4
RC,344,"Injection, iron sucrose, 1 mg ",,,0.29,0.58,4
RC,344,"Injection, isatuximab-irfc, 10 mg ",,,96.41,221.49,4
RC,344,"Injection, isavuconazonium, 1 mg ",,,1.27,2.68,4
RC,344,"Injection, isoniazid, 1 mg ",,,0.8,0.8,3
RC,344,"Injection, itraconazole, 50 mg ",,,2488.96,2488.96,3
RC,344,"Injection, ixabepilone, 1 mg ",,,166.54,370.34,4
RC,344,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.9,4
RC,344,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,2.39,2.39,3
RC,344,"Injection, labetalol hydrochloride, 5 mg ",,,0.69,0.69,3
RC,344,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,230.15,230.15,3
RC,344,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,85.3,4
RC,344,"Injection, lanreotide, 1 mg ",,,48.35,94.66,4
RC,344,"Injection, laronidase, 0.1 mg ",,,47.2,105.87,4
RC,344,"Injection, lefamulin, 1 mg ",,,2.17,2.17,3
RC,344,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,59.1,4
RC,344,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,42.67,42.67,3
RC,344,"Injection, leucovorin calcium, per 50 mg ",,,4.28,9.51,4
RC,344,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,4678.76,4
RC,344,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,372.88,4
RC,344,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,1837.93,4
RC,344,"Injection, levetiracetam, 10 mg ",,,0.06,0.08,4
RC,344,"Injection, levocarnitine, per 1 gm ",,,61.19,61.19,3
RC,344,"Injection, levofloxacin, 250 mg ",,,1.26,5.72,4
RC,344,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,3.42,3.42,3
RC,344,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.13,4
RC,344,"Injection, levorphanol tartrate, up to 2 mg ",,,7.98,7.98,3
RC,344,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,18.44,4
RC,344,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,16.75,4
RC,344,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,19.64,19.64,3
RC,344,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.03,4
RC,344,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.11,0.11,3
RC,344,"Injection, lidocaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,344,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,12.51,4
RC,344,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,71.1,71.1,3
RC,344,"Injection, linezolid, 200 mg ",,,4.25,6.57,4
RC,344,"Injection, linvoseltamab-gcpt, 1 mg ",,,263.68,263.68,3
RC,344,"Injection, liothyronine, 1 mcg ",,,104.12,104.12,3
RC,344,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,692.18,4
RC,344,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,586.95,4
RC,344,"Injection, lorazepam, 2 mg ",,,1.92,4.4,4
RC,344,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,8600260.68,4
RC,344,"Injection, lumasiran, 0.5 mg ",,,389.83,868.46,4
RC,344,"Injection, lurbinectedin, 0.1 mg ",,,250.68,562.07,4
RC,344,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,113.29,4
RC,344,"Injection, magnesium sulfate, per 500 mg ",,,0.61,1.14,4
RC,344,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,344,"Injection, mannitol, 250 mg ",,,0.13,0.13,3
RC,344,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,141.17,4
RC,344,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,133.0,4
RC,344,"Injection, mecasermin, 1 mg ",,,441.16,1226.92,4
RC,344,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,346.96,346.96,3
RC,344,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,1.27,4
RC,344,"Injection, meloxicam (azurity), 1 mg ",,,2.81,2.81,3
RC,344,"Injection, melphalan (apotex), 1 mg ",,,171.67,171.67,3
RC,344,"Injection, melphalan (evomela), 1 mg ",,,22.62,51.49,4
RC,344,"Injection, melphalan (hepzato), 1 mg ",,,946.08,2106.75,4
RC,344,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,319.78,4
RC,344,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,20.35,20.35,3
RC,344,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,23.37,4
RC,344,"Injection, mepivacaine hydrochloride, per 10 ml ",,,9.88,9.88,3
RC,344,"Injection, mepolizumab, 1 mg ",,,37.33,84.32,4
RC,344,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,5.22,5.22,3
RC,344,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,3.92,4
RC,344,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,5.75,4
RC,344,"Injection, meropenem, 100 mg ",,,0.53,0.98,4
RC,344,"Injection, mesna, 200 mg ",,,1.66,3.52,4
RC,344,"Injection, methadone hcl, up to 10 mg ",,,25.57,38.98,4
RC,344,"Injection, methocarbamol, up to 10 ml ",,,7.78,11.13,4
RC,344,"Injection, methotrexate sodium, 50 mg ",,,3.17,7.1,4
RC,344,"Injection, methyldopate hcl, up to 250 mg ",,,25.68,25.68,3
RC,344,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,57.27,4
RC,344,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,5.57,4
RC,344,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.29,4
RC,344,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.64,4
RC,344,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,2.52,4
RC,344,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.34,4
RC,344,"Injection, metronidazole, 10 mg ",,,0.08,0.08,3
RC,344,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.98,0.98,3
RC,344,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.58,0.58,3
RC,344,"Injection, micafungin sodium, 1 mg ",,,0.35,0.69,4
RC,344,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.45,4
RC,344,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.37,0.37,3
RC,344,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.42,0.42,3
RC,344,"Injection, milrinone lactate, 5 mg ",,,1.92,3.13,4
RC,344,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,7.05,4
RC,344,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,111.54,4
RC,344,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,188.49,4
RC,344,"Injection, mitomycin, 5 mg ",,,31.3,75.42,4
RC,344,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,102.32,4
RC,344,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,671.7,4
RC,344,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,22.1,22.1,3
RC,344,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,32.2,32.2,3
RC,344,"Injection, morphine sulfate, up to 10 mg ",,,5.66,11.79,4
RC,344,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,1734.53,4
RC,344,"Injection, motixafortide, 0.25 mg ",,,30.83,70.17,4
RC,344,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,61.98,4
RC,344,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,17.6,17.6,3
RC,344,"Injection, moxifloxacin, 100 mg ",,,10.49,23.16,4
RC,344,"Injection, mycophenolate mofetil, 10 mg ",,,1.06,1.06,3
RC,344,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.4,0.4,3
RC,344,"Injection, nafcillin sodium, 20 mg ",,,0.13,0.13,3
RC,344,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,9.06,4
RC,344,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.4,4
RC,344,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.19,4
RC,344,"Injection, naltrexone, depot form, 1 mg ",,,5.04,11.26,4
RC,344,"Injection, nandrolone decanoate, up to 50 mg ",,,10.63,10.63,3
RC,344,"Injection, natalizumab, 1 mg ",,,29.8,64.45,4
RC,344,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,64.45,64.45,3
RC,344,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,1818.14,4
RC,344,"Injection, necitumumab, 1 mg ",,,7.01,15.18,4
RC,344,"Injection, nelarabine, 50 mg ",,,77.26,139.68,4
RC,344,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,2.25,2.25,3
RC,344,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,3.74,4
RC,344,"Injection, nesiritide, 0.1 mg ",,,79.66,79.66,3
RC,344,"Injection, nicardipine, 0.1 mg ",,,0.19,0.19,3
RC,344,"Injection, nipocalimab-aahu, 3 mg ",,,86.58,86.58,3
RC,344,"Injection, nitroglycerin, 5 mg ",,,4.43,4.43,3
RC,344,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,534.66,4
RC,344,"Injection, nivolumab, 1 mg ",,,39.55,89.09,4
RC,344,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,73.48,4
RC,344,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,250.69,4
RC,344,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,27.27,27.27,3
RC,344,"Injection, nusinersen, 0.1 mg ",,,1420.38,3407.32,4
RC,344,"Injection, obinutuzumab, 10 mg ",,,91.96,216.8,4
RC,344,"Injection, ocrelizumab, 1 mg ",,,70.67,157.94,4
RC,344,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,123.99,4
RC,344,"Injection, octafluoropropane microspheres, per ml ",,,51.2,105.89,4
RC,344,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,499.13,4
RC,344,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,1.64,4
RC,344,"Injection, ofatumumab, 10 mg ",,,72.41,164.91,4
RC,344,"Injection, olanzapine, 0.5 mg ",,,1.14,1.88,4
RC,344,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,8.45,4
RC,344,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,344,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,1048.34,4
RC,344,"Injection, omadacycline, 1 mg ",,,4.73,10.94,4
RC,344,"Injection, omalizumab, 5 mg ",,,49.06,110.82,4
RC,344,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,17.25,4
RC,344,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,7060205.76,7060205.76,3
RC,344,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,6855781.24,4
RC,344,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.24,4
RC,344,"Injection, oprelvekin, 5 mg ",,,655.0,655.0,3
RC,344,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,115.86,4
RC,344,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,75.71,4
RC,344,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,21.78,4
RC,344,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,2.25,4
RC,344,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.21,4
RC,344,"Injection, oxymorphone hcl, up to 1 mg ",,,6.2,6.2,3
RC,344,"Injection, oxytocin, up to 10 units ",,,1.68,7.18,4
RC,344,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.95,15.97,4
RC,344,"Injection, paclitaxel, 1 mg ",,,0.4,0.4,3
RC,344,"Injection, palifermin, 50 micrograms ",,,41.57,97.31,4
RC,344,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,38.4,4
RC,344,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,34.32,4
RC,344,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,39.96,4
RC,344,"Injection, palonosetron hcl, 25 mcg ",,,0.61,1.72,4
RC,344,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,146.52,4
RC,344,"Injection, pamidronate disodium, per 30 mg ",,,16.97,32.91,4
RC,344,"Injection, panitumumab, 10 mg ",,,201.65,462.13,4
RC,344,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,10.02,10.02,3
RC,344,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,25.39,25.39,3
RC,344,"Injection, pantoprazole sodium, 40 mg ",,,22.79,22.79,3
RC,344,"Injection, papaverine hcl, up to 60 mg ",,,45.0,121.74,4
RC,344,"Injection, paricalcitol, 1 mcg ",,,0.98,2.7,4
RC,344,"Injection, pasireotide long acting, 1 mg ",,,800.84,1580.2,4
RC,344,"Injection, patisiran, 0.1 mg ",,,121.08,267.39,4
RC,344,"Injection, pegaspargase, per single dose vial ",,,33097.56,75323.76,4
RC,344,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,391.7,4
RC,344,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,337.56,4
RC,344,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,353.27,4
RC,344,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,317.05,4
RC,344,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,360.11,4
RC,344,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,419.39,4
RC,344,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,210.68,4
RC,344,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,297.14,4
RC,344,"Injection, pegloticase, 1 mg ",,,4359.11,10134.98,4
RC,344,"Injection, pegulicianine, 1 mg ",,,42.46,99.4,4
RC,344,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,592.01,4
RC,344,"Injection, pembrolizumab, 1 mg ",,,72.56,162.31,4
RC,344,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,85.14,85.14,3
RC,344,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,25.6,4
RC,344,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,28.09,28.09,3
RC,344,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,13.78,4
RC,344,"Injection, pemetrexed (pemfexy), 10 mg ",,,21.17,56.68,4
RC,344,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,186.77,4
RC,344,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,3.87,3.87,3
RC,344,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,29.12,4
RC,344,"Injection, pemetrexed dipotassium, 10 mg ",,,217.35,217.35,3
RC,344,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.87,13.2,4
RC,344,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,10.71,4
RC,344,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,19183.35,4
RC,344,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,51.73,4
RC,344,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,83.4,4
RC,344,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,1.8,4
RC,344,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,26.55,26.55,3
RC,344,"Injection, pentamidine isethionate, 1 mg ",,,0.42,0.42,3
RC,344,"Injection, pentazocine, 30 mg ",,,72.58,72.58,3
RC,344,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,97.63,4
RC,344,"Injection, pentostatin, 10 mg ",,,3268.64,6959.77,4
RC,344,"Injection, peramivir, 1 mg ",,,1.9,4.45,4
RC,344,"Injection, perflutren lipid microspheres, per ml ",,,51.2,105.89,4
RC,344,"Injection, pertuzumab, 1 mg ",,,19.84,45.1,4
RC,344,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,159.61,4
RC,344,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,2.99,4
RC,344,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,62.67,4
RC,344,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,682.24,4
RC,344,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.4,0.4,3
RC,344,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.34,4
RC,344,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.03,0.03,3
RC,344,"Injection, phenytoin sodium, per 50 mg ",,,0.64,1.11,4
RC,344,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,8.37,4
RC,344,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,2.89,4
RC,344,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,101.73,4
RC,344,"Injection, plazomicin, 5 mg ",,,4.37,9.3,4
RC,344,"Injection, plerixafor, 1 mg ",,,30.53,86.76,4
RC,344,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,363.66,4
RC,344,"Injection, porfimer sodium, 75 mg ",,,27987.6,74167.14,4
RC,344,"Injection, posaconazole, 1 mg ",,,0.93,0.93,3
RC,344,"Injection, potassium chloride, per 2 meq ",,,0.26,0.34,4
RC,344,"Injection, pozelimab-bbfg, 1 mg ",,,243.08,243.08,3
RC,344,"Injection, pralatrexate, 1 mg ",,,456.98,1040.71,4
RC,344,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,275.71,4
RC,344,"Injection, procainamide hcl, up to 1 gm ",,,347.64,569.25,4
RC,344,"Injection, prochlorperazine, up to 10 mg ",,,3.56,8.82,4
RC,344,"Injection, progesterone, per 50 mg ",,,0.8,1.75,4
RC,344,"Injection, promethazine hcl, up to 50 mg ",,,4.06,8.85,4
RC,344,"Injection, propofol, 10 mg ",,,0.24,0.24,3
RC,344,"Injection, propranolol hcl, up to 1 mg ",,,11.69,30.82,4
RC,344,"Injection, protamine sulfate, per 10 mg ",,,1.72,4.43,4
RC,344,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,39.88,4
RC,344,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,4.56,4
RC,344,"Injection, pyridoxine hcl, 100 mg ",,,15.37,39.49,4
RC,344,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,312.46,312.46,3
RC,344,"Injection, radiesse, 0.1 ml ",,,925.35,925.35,3
RC,344,"Injection, ramucirumab, 5 mg ",,,89.71,200.0,4
RC,344,"Injection, ranibizumab, 0.1 mg ",,,110.54,179.8,4
RC,344,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,201.93,4
RC,344,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,221.22,4
RC,344,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,187.89,4
RC,344,"Injection, rasburicase, 0.5 mg ",,,452.94,1012.8,4
RC,344,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,592.75,4
RC,344,"Injection, regadenoson, 0.1 mg ",,,5.39,7.69,4
RC,344,"Injection, remdesivir, 1 mg ",,,7.76,18.29,4
RC,344,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,537190.99,537190.99,3
RC,344,"Injection, remimazolam, 1 mg ",,,7.39,7.39,3
RC,344,"Injection, reslizumab, 1 mg ",,,12.83,30.55,4
RC,344,"Injection, reteplase, 18.1 mg ",,,3625.25,7697.14,4
RC,344,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,80.56,4
RC,344,"Injection, rezafungin, 1 mg ",,,12.74,28.59,4
RC,344,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,209.09,4
RC,344,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,72.93,4
RC,344,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,90.79,4
RC,344,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,12.85,4
RC,344,"Injection, rifampin, 1 mg ",,,0.17,0.45,4
RC,344,"Injection, rilonacept, 1 mg ",,,89.99,89.99,3
RC,344,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,35.19,4
RC,344,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,38.69,4
RC,344,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,28.62,4
RC,344,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,34.53,4
RC,344,"Injection, risperidone (uzedy), 1 mg ",,,30.11,66.67,4
RC,344,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,32.25,4
RC,344,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,96.14,4
RC,344,"Injection, rituximab, 10 mg ",,,93.46,196.52,4
RC,344,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,82.89,4
RC,344,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,53.69,4
RC,344,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,36.28,4
RC,344,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,81.62,4
RC,344,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,75.58,4
RC,344,"Injection, romiplostim, 1 microgram ",,,12.85,29.44,4
RC,344,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,32.3,4
RC,344,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,344,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,62.01,4
RC,344,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,97.52,4
RC,344,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,164.01,4
RC,344,"Injection, sculptra, 0.5 mg ",,,5.72,5.72,3
RC,344,"Injection, sebelipase alfa, 1 mg ",,,612.6,1431.48,4
RC,344,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,106.61,4
RC,344,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,47.81,4
RC,344,"Injection, sermorelin acetate, 1 microgram ",,,3.55,3.55,3
RC,344,"Injection, siltuximab, 10 mg ",,,199.74,461.31,4
RC,344,"Injection, sincalide, 5 micrograms ",,,175.15,286.73,4
RC,344,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,230.84,4
RC,344,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,6.33,4
RC,344,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,5.75,4
RC,344,"Injection, sodium thiosulfate (hope), 100 mg ",,,2.33,2.33,3
RC,344,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,252.94,4
RC,344,"Injection, somatropin, 1 mg ",,,437.75,437.75,3
RC,344,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,344,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,174.18,4
RC,344,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,5.27,4
RC,344,"Injection, streptomycin, up to 1 gm ",,,31.28,106.69,4
RC,344,"Injection, streptozocin, 1 gram ",,,419.08,464.68,4
RC,344,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,3.95,4
RC,344,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.11,4
RC,344,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,48.02,48.02,3
RC,344,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,470.83,4
RC,344,"Injection, sutimlimab-jome, 10 mg ",,,22.16,52.05,4
RC,344,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,37.55,4
RC,344,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,946.79,4
RC,344,"Injection, taliglucerase alfa, 10 units ",,,49.69,107.75,4
RC,344,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,195.94,4
RC,344,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,198.43,4
RC,344,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,4154.46,4
RC,344,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.66,4
RC,344,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,589.6,4
RC,344,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,91.43,4
RC,344,"Injection, tedizolid phosphate, 1 mg ",,,2.21,5.19,4
RC,344,"Injection, telavancin, 10 mg ",,,8.68,18.63,4
RC,344,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,386.87,386.87,3
RC,344,"Injection, temozolomide, 1 mg ",,,12.73,27.56,4
RC,344,"Injection, temsirolimus, 1 mg ",,,37.07,79.71,4
RC,344,"Injection, tenecteplase, 1 mg ",,,198.62,523.22,4
RC,344,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,101.73,4
RC,344,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,974.96,4
RC,344,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,7.84,4
RC,344,"Injection, teriparatide, 10 mcg ",,,209.64,209.64,3
RC,344,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.37,1.5,4
RC,344,"Injection, testosterone cypionate, 1 mg ",,,0.05,0.05,3
RC,344,"Injection, testosterone enanthate, 1 mg ",,,0.13,0.13,3
RC,344,"Injection, testosterone undecanoate, 1 mg ",,,2.47,5.64,4
RC,344,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,1479.02,4
RC,344,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,46.59,4
RC,344,"Injection, thiamine hcl, 100 mg ",,,2.15,4.11,4
RC,344,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,102.16,4
RC,344,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,15.21,4
RC,344,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,5632.15,4
RC,344,"Injection, tigecycline, 1 mg ",,,0.36,1.51,4
RC,344,"Injection, tildrakizumab, 1 mg ",,,160.73,313.23,4
RC,344,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,8.45,4
RC,344,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,154.42,4
RC,344,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,519.72,4
RC,344,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,5.35,4
RC,344,"Injection, tocilizumab, 1 mg ",,,7.19,14.65,4
RC,344,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,20.06,4
RC,344,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,11.77,4
RC,344,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,14.79,14.79,3
RC,344,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,12.3,12.3,3
RC,344,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,13.04,13.04,3
RC,344,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,13.94,4
RC,344,"Injection, tofersen, 1 mg ",,,189.91,424.03,4
RC,344,"Injection, topotecan, 0.1 mg ",,,1.56,5.59,4
RC,344,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,105.97,4
RC,344,"Injection, trabectedin, 0.1 mg ",,,444.84,1036.34,4
RC,344,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.32,0.32,3
RC,344,"Injection, tranexamic acid, 5 mg ",,,0.34,0.34,3
RC,344,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,158.76,4
RC,344,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,194.59,4
RC,344,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,149.41,4
RC,344,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,94.82,4
RC,344,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,79.0,4
RC,344,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,148.45,4
RC,344,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,27.64,30.48,4
RC,344,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,100.36,100.36,3
RC,344,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,521.73,4
RC,344,"Injection, tremelimumab-actl, 1 mg ",,,169.02,379.56,4
RC,344,"Injection, treosulfan, 50 mg ",,,83.77,83.77,3
RC,344,"Injection, treprostinil, 1 mg ",,,69.49,146.25,4
RC,344,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,126.62,4
RC,344,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,2.39,4
RC,344,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,49.77,4
RC,344,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,49.4,4
RC,344,"Injection, triamcinolone diacetate, per 5 mg ",,,0.87,0.87,3
RC,344,"Injection, triamcinolone hexacetonide, per 5 mg ",,,25.84,25.84,3
RC,344,"Injection, trilaciclib, 1mg ",,,6.59,14.55,4
RC,344,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,151.63,4
RC,344,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,1243.86,4
RC,344,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,9867.96,4
RC,344,"Injection, ublituximab-xiiy, 1mg ",,,83.94,182.19,4
RC,344,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,37.23,4
RC,344,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,31.14,31.14,3
RC,344,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,12.03,12.03,3
RC,344,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,584.78,584.78,3
RC,344,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,8.88,4
RC,344,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,167.56,167.56,3
RC,344,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,8.51,4
RC,344,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,12.0,12.0,3
RC,344,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,33267.33,4
RC,344,"Injection, valproate sodium, 5 mg ",,,0.11,0.11,3
RC,344,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,3366.88,4
RC,344,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.03,0.03,3
RC,344,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.27,4
RC,344,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.42,4
RC,344,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.08,4
RC,344,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,2.23,2.23,3
RC,344,"Injection, vasopressin (baxter), 1 unit ",,,4.05,4.27,4
RC,344,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,3.13,3.13,3
RC,344,"Injection, vasopressin, 1 unit ",,,1.4,1.4,3
RC,344,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,55.6,4
RC,344,"Injection, velaglucerase alfa, 100 units ",,,457.7,1028.62,4
RC,344,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,1232.86,4
RC,344,"Injection, verteporfin, 0.1 mg ",,,14.09,30.66,4
RC,344,"Injection, vestronidase alfa-vjbk, 1 mg ",,,742.4,742.4,3
RC,344,"Injection, viltolarsen, 10 mg ",,,179.35,179.35,3
RC,344,"Injection, vinblastine sulfate, 1 mg ",,,6.29,13.65,4
RC,344,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,13.17,4
RC,344,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,1.78,4
RC,344,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,4.85,4
RC,344,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,3.5,4
RC,344,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,3.95,4
RC,344,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,8135.74,4
RC,344,"Injection, voriconazole, 10 mg ",,,1.3,1.72,4
RC,344,"Injection, vutrisiran, 1 mg ",,,6059.78,13301.07,4
RC,344,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,66.25,4
RC,344,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,88.96,4
RC,344,"Injection, ziconotide, 1 microgram ",,,11.86,27.72,4
RC,344,"Injection, zidovudine, 10 mg ",,,1.85,4.0,4
RC,344,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,15.56,4
RC,344,"Injection, ziv-aflibercept, 1 mg ",,,10.15,22.82,4
RC,344,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,89.17,4
RC,344,"Injection, zoledronic acid, 1 mg ",,,81.83,81.83,3
RC,344,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,323035.0,323035.0,3
RC,344,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Innovamatrix pd, 1 mg ",,,45.13,45.13,3
RC,344,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,2.2,4
RC,344,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,90.05,90.05,3
RC,344,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,3773.92,3773.92,3
RC,344,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,13.33,4
RC,344,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,23.21,4
RC,344,"Insulin (fiasp), per 5 units ",,,1.8,1.8,3
RC,344,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,40.02,40.02,3
RC,344,"Insulin (lyumjev), per 5 units ",,,1.59,1.59,3
RC,344,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,8.29,8.29,3
RC,344,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Integra flowable wound matrix, injectable, 1 cc ",,,7501.62,7501.62,3
RC,344,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Interfyl, 1 mg ",,,103.22,103.22,3
RC,344,Intrauterine copper contraceptive (miudella) ,,,3774.66,3774.66,3
RC,344,Intrauterine copper contraceptive (paragard) ,,,3773.6,3773.6,3
RC,344,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,126.78,126.78,3
RC,344,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,575.87,575.87,3
RC,344,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,170348.1,4
RC,344,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,3677.51,4
RC,344,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6141.38,4
RC,344,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,269.08,4
RC,344,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,461.15,461.15,3
RC,344,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,1243.01,1243.01,3
RC,344,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,1721.55,4
RC,344,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,1050.25,1050.25,3
RC,344,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,2525.48,2525.48,3
RC,344,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,2296.89,4
RC,344,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,258.45,258.45,3
RC,344,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,55.04,55.04,3
RC,344,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,11.5,11.5,3
RC,344,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,344,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,1.17,1.17,3
RC,344,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,38.05,118.46,4
RC,344,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,965.58,965.58,3
RC,344,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.24,0.24,3
RC,344,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.21,0.21,3
RC,344,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,3.55,4
RC,344,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,466.93,4
RC,344,"Leuprolide acetate, per 1 mg ",,,60.67,401.48,4
RC,344,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,105.87,4
RC,344,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,5.3,5.3,3
RC,344,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.85,0.85,3
RC,344,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.24,0.24,3
RC,344,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,1028.52,1028.52,3
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,3111.05,3111.05,3
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,4046.36,4046.36,3
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,3369.26,3369.26,3
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,4046.36,4046.36,3
RC,344,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,1489991.23,4
RC,344,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,3.07,4
RC,344,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,1.14,4
RC,344,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.4,4
RC,344,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,687.94,4
RC,344,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,14024.94,4
RC,344,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,2711.27,4
RC,344,"Mannitol, administered through an inhaler, 5 mg ",,,3.13,3.13,3
RC,344,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Matristem micromatrix, 1 mg ",,,21.01,21.01,3
RC,344,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,310.42,4
RC,344,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,917.96,4
RC,344,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Melphalan; oral, 2 mg ",,,12.4,12.4,3
RC,344,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,561.54,561.54,3
RC,344,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,562.81,562.81,3
RC,344,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,62.83,62.83,3
RC,344,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,844.69,844.69,3
RC,344,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,800.51,800.51,3
RC,344,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,237.2,237.2,3
RC,344,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,717.99,717.99,3
RC,344,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,798.76,798.76,3
RC,344,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,2.89,2.89,3
RC,344,"Methotrexate (jylamvo), oral, 2.5 mg ",,,49.58,49.58,3
RC,344,"Methotrexate (xatmep), oral, 2.5 mg ",,,59.1,59.1,3
RC,344,"Methotrexate; oral, 2.5 mg ",,,0.37,0.37,3
RC,344,"Methylprednisolone oral, per 4 mg ",,,0.37,0.37,3
RC,344,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Microlyte painguard, per square centimeter ",,,336.92,336.92,3
RC,344,"Miglustat, oral, 65 mg ",,,113.05,113.05,3
RC,344,"Miro3d fibers, per milligram ",,,43.51,43.51,3
RC,344,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,856.4,4
RC,344,"Mitomycin, intravesical instillation, 1 mg ",,,737.57,737.57,3
RC,344,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,30.08,4
RC,344,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,5.96,5.96,3
RC,344,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.82,0.82,3
RC,344,"Mycophenolate mofetil, oral, 250 mg ",,,0.37,0.37,3
RC,344,"Mycophenolic acid, oral, 180 mg ",,,0.85,0.85,3
RC,344,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,62.35,62.35,3
RC,344,"Myriad morcells, 4 milligrams ",,,34.98,34.98,3
RC,344,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Neoxflo or clarixflo, 1 mg ",,,90.37,90.37,3
RC,344,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,1054.14,1054.14,3
RC,344,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,2122.52,2122.52,3
RC,344,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,337.24,337.24,3
RC,344,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Novashield or novogen wound matrix, per square centimeter ",,,336.92,336.92,3
RC,344,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,737362.5,4
RC,344,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,407.44,407.44,3
RC,344,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.05,0.05,3
RC,344,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1648.19,1648.19,3
RC,344,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,3819.98,3819.98,3
RC,344,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,194.96,194.96,3
RC,344,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.78,1.78,3
RC,344,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,256.02,4
RC,344,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,918.2,4
RC,344,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,683.3,683.3,3
RC,344,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,713.67,4
RC,344,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,829.19,4
RC,344,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,912.26,4
RC,344,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,353.7,4
RC,344,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,151.63,4
RC,344,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Prednisolone oral, per 5 mg ",,,1.96,1.96,3
RC,344,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,5.86,5.86,3
RC,344,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Procenta, per 100 mg ",,,15741.8,15741.8,3
RC,344,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,2.07,2.07,3
RC,344,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.77,0.77,3
RC,344,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,5.43,4
RC,344,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,729.23,4
RC,344,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,641.78,4
RC,344,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,933.97,4
RC,344,"Rabies vaccine, for intradermal use ",,,627.68,627.68,3
RC,344,"Rabies vaccine, for intramuscular use ",,,545.72,835.33,4
RC,344,"Radioelements for brachytherapy, any type, each ",,,163.74,163.74,3
RC,344,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,123742.09,123742.09,3
RC,344,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,453.39,4
RC,344,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,1014.42,1014.42,3
RC,344,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,1020.94,1020.94,3
RC,344,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,1014.63,1014.63,3
RC,344,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,1157.39,2184.79,4
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1768.08,1768.08,3
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,344,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.53,0.53,3
RC,344,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,348.53,348.53,3
RC,344,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,212.0,4
RC,344,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1761.59,1761.59,3
RC,344,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,7250.4,7250.4,3
RC,344,"Ringers lactate infusion, up to 1000 cc ",,,6.89,6.89,3
RC,344,"Rolapitant, oral, 1 mg ",,,11.69,11.69,3
RC,344,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,495.05,495.05,3
RC,344,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,326.32,326.32,3
RC,344,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,1312.65,1312.65,3
RC,344,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,8373.47,19539.46,4
RC,344,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,7697.35,7697.35,3
RC,344,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.27,0.27,3
RC,344,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.82,0.82,3
RC,344,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.53,0.53,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,535.06,535.06,3
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,389.71,4
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,428.37,4
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,251.22,4
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,173.5,4
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,446.18,4
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,508.59,4
RC,344,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,149113.35,4
RC,344,"Sirolimus, oral, 1 mg ",,,3.37,3.37,3
RC,344,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,336.92,336.92,3
RC,344,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.03,0.03,3
RC,344,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,716.96,716.96,3
RC,344,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,737.34,4
RC,344,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,10987.8,4
RC,344,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.56,0.56,3
RC,344,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Suzetrigine, oral 1 mg ",,,0.87,0.87,3
RC,344,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,1.56,1.56,3
RC,344,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,4.93,4.93,3
RC,344,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,3.39,3.39,3
RC,344,"Tacrolimus, immediate release, oral, 1 mg ",,,0.61,0.61,3
RC,344,"Tacrolimus, parenteral, 5 mg ",,,311.84,688.89,4
RC,344,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,26.5,26.5,3
RC,344,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,1393.18,1393.18,3
RC,344,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,3434.27,3434.27,3
RC,344,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,2055.13,4399.6,4
RC,344,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,2121.64,2121.64,3
RC,344,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,163.74,163.74,3
RC,344,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,2475.44,2475.44,3
RC,344,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,4246.84,4
RC,344,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,288.56,4
RC,344,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,80.53,4
RC,344,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,300.67,4
RC,344,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,170.82,4
RC,344,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,2102.17,2102.17,3
RC,344,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,138.09,138.09,3
RC,344,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,55.76,55.76,3
RC,344,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,76.11,76.11,3
RC,344,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,29.2,29.2,3
RC,344,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,120.39,4
RC,344,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,1194.04,4
RC,344,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1748.81,1748.81,3
RC,344,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,1991.21,4
RC,344,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,309.79,4
RC,344,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,344,"Temozolomide, oral, 5 mg ",,,1.06,1.06,3
RC,344,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,34.53,34.53,3
RC,344,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,34.53,34.53,3
RC,344,"Testosterone pellet, implant, 75 mg ",,,198.67,198.67,3
RC,344,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,102.69,4
RC,344,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,2084.99,2084.99,3
RC,344,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,104.62,4
RC,344,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,146.94,4
RC,344,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1627579.15,1627579.15,3
RC,344,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,158.44,158.44,3
RC,344,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,20.59,20.59,3
RC,344,"Topical administration, prademagene zamikeracel, per treatment ",,,8839923.0,8839923.0,3
RC,344,"Topotecan, oral, 0.25 mg ",,,331.83,331.83,3
RC,344,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,2091.33,2091.33,3
RC,344,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,12.4,12.4,3
RC,344,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.78,1.78,3
RC,344,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,440.93,4
RC,344,"Typhoid vaccine, live, oral ",,,372.96,372.96,3
RC,344,Unlisted immune globulin ,,,1133.91,1133.91,3
RC,344,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,30.79,4
RC,344,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,1080.43,4
RC,344,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.03,0.03,3
RC,344,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.37,0.37,3
RC,344,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,610.53,610.53,3
RC,344,"Varicella-zoster immune globulin, human, for intramuscular use ",,,6262.61,6262.61,3
RC,344,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Vincristine sulfate, 1 mg ",,,10.02,21.49,4
RC,344,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Woundex flow, bioskin flow, 0.5 cc ",,,6801.68,6801.68,3
RC,344,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xcellistem, 1 mg ",,,41.34,41.34,3
RC,344,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,811.67,4
RC,344,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,815.14,4
RC,344,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,344,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,378.84,378.84,3
RC,344,"injection, busulfan, 1 mg ",,,1.78,1.8,4
RC,349, Nuclear Medicine Other  ,,,1423.0,2214.0,5
RC,349,Acute gastrointestinal blood loss imaging ,,,471.74,985.3,5
RC,349,"Acute venous thrombosis imaging, peptide ",,,772.25,1623.62,5
RC,349,"Adrenal imaging, cortex and/or medulla ",,,1189.23,1623.62,5
RC,349,Bone and/or joint imaging; 3 phase study ,,,471.74,971.71,5
RC,349,Bone and/or joint imaging; limited area ,,,471.74,641.81,5
RC,349,Bone and/or joint imaging; multiple areas ,,,471.74,769.7,5
RC,349,Bone and/or joint imaging; whole body ,,,471.74,829.0,5
RC,349,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,21.38,39.58,5
RC,349,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,30.62,78.51,5
RC,349,Bone marrow imaging; limited area ,,,440.93,495.61,5
RC,349,Bone marrow imaging; multiple areas ,,,457.42,514.14,5
RC,349,Bone marrow imaging; whole body ,,,471.74,696.89,5
RC,349,"Brain imaging, less than 4 static views; ",,,471.74,538.85,5
RC,349,"Brain imaging, less than 4 static views; with vascular flow ",,,471.74,638.83,5
RC,349,"Brain imaging, minimum 4 static views; ",,,520.03,611.66,5
RC,349,"Brain imaging, minimum 4 static views; with vascular flow ",,,611.66,980.35,5
RC,349,"Brain imaging, vascular flow only ",,,479.4,611.66,5
RC,349,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,493.69,611.66,5
RC,349,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,382.07,611.66,5
RC,349,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,471.74,569.69,5
RC,349,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,471.74,719.09,5
RC,349,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,471.74,595.63,5
RC,349,Cardiac shunt detection ,,,443.13,498.08,5
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,611.66,997.65,5
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,611.66,975.41,5
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,611.66,1010.0,5
RC,349,Cerebrospinal fluid leakage detection and localization ,,,717.33,1623.62,5
RC,349,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,156.26,611.66,5
RC,349,Esophageal motility ,,,471.74,603.05,5
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,471.74,958.12,5
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,611.66,1288.52,5
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,471.74,1137.16,5
RC,349,Gastric mucosa imaging ,,,471.74,569.69,5
RC,349,Gastroesophageal reflux study ,,,471.74,704.26,5
RC,349,Gastrointestinal protein loss ,,,145.27,471.74,5
RC,349,"Hepatobiliary system imaging, including gallbladder when present; ",,,471.74,945.04,5
RC,349,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,611.66,1284.82,5
RC,349,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,471.74,1639.38,5
RC,349,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,471.74,974.18,5
RC,349,"Kidney function study, non-imaging radioisotopic study ",,,264.09,471.74,5
RC,349,Kidney imaging morphology; ,,,446.42,501.79,5
RC,349,Kidney imaging morphology; with vascular flow ,,,471.74,673.42,5
RC,349,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,611.66,987.77,5
RC,349,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,554.1,622.81,5
RC,349,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,394.8,611.66,5
RC,349,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,279.47,471.74,5
RC,349,Liver and spleen imaging; static only ,,,471.74,579.57,5
RC,349,Liver and spleen imaging; with vascular flow ,,,356.37,471.74,5
RC,349,Liver imaging; static only ,,,509.03,1623.62,5
RC,349,Liver imaging; with vascular flow ,,,560.65,1623.62,5
RC,349,Lymphatics and lymph nodes imaging ,,,611.66,969.24,5
RC,349,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,421.18,473.41,5
RC,349,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,529.92,1623.62,5
RC,349,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,473.9,611.66,5
RC,349,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,1077.16,1623.62,5
RC,349,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,716.65,1623.62,5
RC,349,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,799.05,1623.62,10
RC,349,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,471.74,546.26,5
RC,349,"Parathyroid planar imaging (including subtraction, when performed); ",,,471.74,840.07,5
RC,349,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,471.74,957.39,5
RC,349,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,611.66,1170.48,5
RC,349,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,471.74,726.5,5
RC,349,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,266.29,1623.62,5
RC,349,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,202.58,1623.62,5
RC,349,Platelet survival study ,,,328.48,471.74,5
RC,349,"Pulmonary perfusion imaging (eg, particulate) ",,,471.74,659.83,5
RC,349,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,611.66,914.15,5
RC,349,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,471.74,540.55,5
RC,349,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,611.66,852.43,5
RC,349,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,471.74,546.73,5
RC,349,Radiopharmaceutical dacryocystography ,,,361.87,471.74,5
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,471.74,778.34,5
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,471.74,730.21,5
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,1623.62,1935.74,5
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,783.66,1623.62,5
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,1179.75,2607.93,10
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,1717.27,2028.36,5
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,611.66,1067.26,5
RC,349,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,321.95,321.95,3
RC,349,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,321.95,321.95,3
RC,349,"Radiopharmaceutical therapy, by intra-articular administration ",,,321.95,321.95,3
RC,349,"Radiopharmaceutical therapy, by intracavitary administration ",,,321.95,321.95,3
RC,349,"Radiopharmaceutical therapy, by intravenous administration ",,,321.95,321.95,3
RC,349,"Radiopharmaceutical therapy, by oral administration ",,,321.95,321.95,3
RC,349,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,321.95,321.95,3
RC,349,"Radiopharmaceutical therapy, unlisted procedure ",,,321.95,321.95,3
RC,349,Red cell survival study ,,,328.48,471.74,5
RC,349,Red cell volume determination (separate procedure); multiple samplings ,,,260.79,611.66,5
RC,349,Red cell volume determination (separate procedure); single sampling ,,,202.58,471.74,5
RC,349,Salivary gland function study ,,,273.98,471.74,5
RC,349,Salivary gland imaging; ,,,462.91,520.32,5
RC,349,Salivary gland imaging; with serial images ,,,272.88,471.74,5
RC,349,"Spleen imaging only, with or without vascular flow ",,,449.72,505.49,5
RC,349,Testicular imaging with vascular flow ,,,471.74,594.4,5
RC,349,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,471.74,654.89,5
RC,349,Thyroid carcinoma metastases imaging; whole body ,,,611.66,890.72,5
RC,349,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,471.74,796.41,5
RC,349,"Thyroid imaging (including vascular flow, when performed); ",,,471.74,558.57,5
RC,349,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,471.74,704.26,5
RC,349,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,237.06,471.74,5
RC,349,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,471.74,1639.38,5
RC,349,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,14.93,41.96,5
RC,349,"Urea breath test, C-14 (isotopic); analysis ",,,127.45,360.52,5
RC,349,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,471.74,673.42,5
RC,349,Urinary bladder residual study (List separately in addition to code for primary procedure) ,,,192.91,216.83,2
RC,349,"Venous thrombosis imaging, venogram; bilateral ",,,471.74,546.26,5
RC,349,"Venous thrombosis imaging, venogram; unilateral ",,,394.8,1623.62,5
RC,349,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,258.59,611.66,5
RC,350, CT Scan General Classification  ,,,300.0,827.0,10
RC,350, CT Scan General Classification  With Contrast,,,500.0,500.0,1
RC,350,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,241.92,3
RC,350,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,341.2,341.2,3
RC,350,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,891.31,891.31,3
RC,350,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,481.18,3
RC,350,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,350,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, abdomen and pelvis; without contrast material ",,,313.62,313.62,3
RC,350,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,341.2,3
RC,350,"Computed tomography, abdomen; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, abdomen; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,83.86,3
RC,350,"Computed tomography, cervical spine; with contrast material ",,,616.1,616.1,3
RC,350,"Computed tomography, cervical spine; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, head or brain; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, head or brain; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,341.2,341.2,3
RC,350,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,83.86,3
RC,350,"Computed tomography, lower extremity; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, lower extremity; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, lumbar spine; with contrast material ",,,616.1,616.1,3
RC,350,"Computed tomography, lumbar spine; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, maxillofacial area; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, pelvis; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, pelvis; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, soft tissue neck; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, thoracic spine; with contrast material ",,,341.2,341.2,3
RC,350,"Computed tomography, thoracic spine; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,109.22,109.22,3
RC,350,"Computed tomography, upper extremity; with contrast material(s) ",,,341.2,341.2,3
RC,350,"Computed tomography, upper extremity; without contrast material ",,,154.52,154.52,3
RC,350,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,350,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,351, CT Scan - Head Scan  ,,,300.0,827.0,12
RC,351, CT Scan - Head Scan  With Contrast,,,500.0,500.0,1
RC,351,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,241.92,3
RC,351,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,341.2,341.2,3
RC,351,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,891.31,891.31,3
RC,351,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,481.18,3
RC,351,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,351,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, abdomen and pelvis; without contrast material ",,,313.62,313.62,3
RC,351,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,341.2,3
RC,351,"Computed tomography, abdomen; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, abdomen; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,83.86,3
RC,351,"Computed tomography, cervical spine; with contrast material ",,,616.1,616.1,3
RC,351,"Computed tomography, cervical spine; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, head or brain; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, head or brain; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,341.2,341.2,3
RC,351,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,341.2,341.2,3
RC,351,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,83.86,3
RC,351,"Computed tomography, limited or localized follow-up study ",,,83.86,83.86,3
RC,351,"Computed tomography, lower extremity; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, lower extremity; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, lumbar spine; with contrast material ",,,616.1,616.1,3
RC,351,"Computed tomography, lumbar spine; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, maxillofacial area; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, pelvis; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, pelvis; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, soft tissue neck; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, thoracic spine; with contrast material ",,,341.2,341.2,3
RC,351,"Computed tomography, thoracic spine; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,109.22,109.22,3
RC,351,"Computed tomography, upper extremity; with contrast material(s) ",,,341.2,341.2,3
RC,351,"Computed tomography, upper extremity; without contrast material ",,,154.52,154.52,3
RC,351,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,351,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1344.84,1344.84,3
RC,351,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,352, CT Scan - Body Scan  ,,,300.0,827.0,10
RC,352, CT Scan - Body Scan  With Contrast,,,500.0,500.0,1
RC,352,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,241.92,3
RC,352,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,341.2,341.2,3
RC,352,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,891.31,891.31,3
RC,352,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,481.18,3
RC,352,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,352,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,352,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,352,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,352,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,352,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,341.2,341.2,3
RC,352,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,352,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,352,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,352,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, abdomen and pelvis; without contrast material ",,,313.62,313.62,3
RC,352,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,341.2,3
RC,352,"Computed tomography, abdomen; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, abdomen; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,83.86,3
RC,352,"Computed tomography, cervical spine; with contrast material ",,,616.1,616.1,3
RC,352,"Computed tomography, cervical spine; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, head or brain; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, head or brain; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,341.2,341.2,3
RC,352,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,341.2,341.2,3
RC,352,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,83.86,3
RC,352,"Computed tomography, limited or localized follow-up study ",,,83.86,83.86,3
RC,352,"Computed tomography, lower extremity; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, lower extremity; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, lumbar spine; with contrast material ",,,616.1,616.1,3
RC,352,"Computed tomography, lumbar spine; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, maxillofacial area; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, pelvis; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, pelvis; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, soft tissue neck; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, thoracic spine; with contrast material ",,,341.2,341.2,3
RC,352,"Computed tomography, thoracic spine; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,109.22,109.22,3
RC,352,"Computed tomography, upper extremity; with contrast material(s) ",,,341.2,341.2,3
RC,352,"Computed tomography, upper extremity; without contrast material ",,,154.52,154.52,3
RC,352,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,352,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1344.84,1344.84,3
RC,352,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,359, CT Scan - Other  ,,,300.0,827.0,10
RC,359, CT Scan - Other  With Contrast,,,500.0,500.0,1
RC,359,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,241.92,241.92,3
RC,359,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,341.2,341.2,3
RC,359,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,891.31,891.31,3
RC,359,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,481.18,481.18,3
RC,359,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,341.2,341.2,3
RC,359,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, abdomen and pelvis; without contrast material ",,,313.62,313.62,3
RC,359,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,341.2,341.2,3
RC,359,"Computed tomography, abdomen; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, abdomen; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,83.86,83.86,3
RC,359,"Computed tomography, cervical spine; with contrast material ",,,616.1,616.1,3
RC,359,"Computed tomography, cervical spine; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, head or brain; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, head or brain; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,341.2,341.2,3
RC,359,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,341.2,341.2,3
RC,359,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,83.86,83.86,3
RC,359,"Computed tomography, limited or localized follow-up study ",,,83.86,83.86,3
RC,359,"Computed tomography, lower extremity; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, lower extremity; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, lumbar spine; with contrast material ",,,616.1,616.1,3
RC,359,"Computed tomography, lumbar spine; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, maxillofacial area; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, maxillofacial area; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, pelvis; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, pelvis; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, soft tissue neck; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, soft tissue neck; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, thoracic spine; with contrast material ",,,341.2,341.2,3
RC,359,"Computed tomography, thoracic spine; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, thorax, diagnostic; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,109.22,109.22,3
RC,359,"Computed tomography, upper extremity; with contrast material(s) ",,,341.2,341.2,3
RC,359,"Computed tomography, upper extremity; without contrast material ",,,154.52,154.52,3
RC,359,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,341.2,341.2,3
RC,359,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1344.84,1344.84,3
RC,359,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,360, Operating Room Services General Classification  ,,,1924.0,4169.0,6
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6801.0,15
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,15
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6801.0,15
RC,360,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,15
RC,360,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,10746.0,11
RC,360,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,6446.0,11
RC,360,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,360,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,360,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,360,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,742.8,4100.0,13
RC,360,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,742.8,4100.0,13
RC,360,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1603.31,6801.0,11
RC,360,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,360,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1632.0,8866.0,9
RC,360,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1632.0,8866.0,12
RC,360,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1632.0,4953.0,7
RC,360,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,1632.0,13472.0,7
RC,360,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,360,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,1753.0,9431.0,13
RC,360,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1471.0,9431.0,11
RC,360,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,9431.0,13
RC,360,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,360,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,360,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,1632.0,10746.0,9
RC,360,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,1632.0,6446.0,9
RC,360,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,1632.0,6446.0,9
RC,360,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2224.34,9431.0,11
RC,360,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,3
RC,360,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,291.0,36635.0,6
RC,360,"Adenoidectomy, primary; age 12 or over ",,,1404.42,6446.0,15
RC,360,"Adenoidectomy, primary; younger than age 12 ",,,1404.42,6446.0,15
RC,360,"Adenoidectomy, secondary; age 12 or over ",,,1404.42,6446.0,15
RC,360,"Adenoidectomy, secondary; younger than age 12 ",,,1404.42,6446.0,15
RC,360,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,360,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,360,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,1632.0,10746.0,9
RC,360,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,1632.0,4953.0,5
RC,360,Allogeneic lymphocyte infusions ,,,769.0,4100.0,7
RC,360,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,607.0,4830.0,11
RC,360,"Alveoloplasty, each quadrant (specify) ",,,607.0,4100.0,11
RC,360,Amniocentesis; diagnostic ,,,511.0,3250.0,11
RC,360,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,291.0,2900.0,11
RC,360,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,360,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,1632.0,4953.0,5
RC,360,Amputation of penis; complete ,,,769.0,4100.0,8
RC,360,Amputation of penis; partial ,,,870.0,5958.0,15
RC,360,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,360,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,360,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,1632.0,4953.0,5
RC,360,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,360,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,360,Anastomosis; facial-hypoglossal ,,,1632.0,4953.0,5
RC,360,Anastomosis; facial-spinal accessory ,,,1632.0,4953.0,5
RC,360,"Anoplasty, plastic operation for stricture; adult ",,,1257.0,6446.0,15
RC,360,"Anoplasty, plastic operation for stricture; infant ",,,1632.0,4953.0,5
RC,360,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,769.0,4100.0,15
RC,360,Anorectal manometry ,,,291.0,291.0,1
RC,360,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,5
RC,360,Anorectal myomectomy ,,,870.0,4830.0,15
RC,360,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,291.0,2900.0,13
RC,360,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,291.0,3523.0,13
RC,360,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,870.0,4830.0,15
RC,360,"Anoscopy; with biopsy, single or multiple ",,,607.0,4100.0,11
RC,360,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,4100.0,11
RC,360,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,4100.0,11
RC,360,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,607.0,4320.0,13
RC,360,Anoscopy; with removal of foreign body ,,,607.0,4100.0,15
RC,360,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,4830.0,15
RC,360,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,4830.0,15
RC,360,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,4100.0,15
RC,360,Antepartum care only; 4-6 visits ,,,1632.0,6411.0,4
RC,360,Antepartum care only; 7 or more visits ,,,1632.0,6411.0,4
RC,360,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.31,6446.0,15
RC,360,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,1632.0,10746.0,8
RC,360,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,1603.31,10746.0,11
RC,360,Appendectomy; ,,,1404.42,6446.0,11
RC,360,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,1632.0,4953.0,5
RC,360,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,360,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,10
RC,360,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,10
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,3523.0,15
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,5
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,3523.0,10
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,5
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,8866.0,10
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,5
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,3523.0,10
RC,360,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,7
RC,360,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,291.0,3435.0,6
RC,360,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1404.42,6801.0,15
RC,360,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1404.42,8866.0,13
RC,360,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,1404.42,21331.0,9
RC,360,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,291.0,21331.0,4
RC,360,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",,,291.0,21331.0,6
RC,360,"Arterial puncture, withdrawal of blood for diagnosis ",,,291.0,21331.0,7
RC,360,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,1753.0,21331.0,9
RC,360,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,1753.0,21331.0,9
RC,360,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,1753.0,21331.0,9
RC,360,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,1404.42,21331.0,9
RC,360,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,3715.0,6446.0,5
RC,360,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,5
RC,360,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,2900.0,4
RC,360,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,7
RC,360,Artificial insemination; intra-cervical ,,,291.0,3523.0,9
RC,360,Artificial insemination; intra-uterine ,,,291.0,3523.0,9
RC,360,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,511.0,3523.0,15
RC,360,"Aspiration and/or injection, thyroid cyst ",,,511.0,3250.0,13
RC,360,Aspiration of bladder; by needle ,,,291.0,2900.0,13
RC,360,Aspiration of bladder; by trocar or intracatheter ,,,607.0,3250.0,13
RC,360,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,4830.0,13
RC,360,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,4830.0,15
RC,360,Axillary lymphadenectomy; complete ,,,1471.0,9431.0,15
RC,360,Axillary lymphadenectomy; superficial ,,,870.0,9431.0,15
RC,360,BIOPSY EYE MUSCLE ,,,988.0,1069.0,2
RC,360,BIOPSY OF STOMACH ,,,988.0,1069.0,2
RC,360,BIOPSY OF THROAT ,,,988.0,1069.0,2
RC,360,BRAIN SURGERY USING COMPUTER ,,,988.0,1069.0,2
RC,360,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,360,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,1632.0,3435.0,2
RC,360,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,360,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,360,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,360,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,1632.0,4953.0,5
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,360,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,1632.0,3435.0,2
RC,360,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,1632.0,4953.0,5
RC,360,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1632.0,4953.0,15
RC,360,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,1632.0,4953.0,5
RC,360,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,1632.0,4953.0,5
RC,360,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,1632.0,4953.0,7
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,1632.0,4953.0,7
RC,360,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,291.0,2900.0,8
RC,360,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,291.0,2900.0,8
RC,360,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,1632.0,4953.0,5
RC,360,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,1632.0,4953.0,5
RC,360,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,1632.0,4953.0,5
RC,360,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,1632.0,4953.0,5
RC,360,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,870.0,5958.0,15
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1257.0,9431.0,15
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,1257.0,9431.0,15
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1257.0,6446.0,15
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1257.0,9431.0,15
RC,360,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,769.0,4100.0,13
RC,360,Biopsy external auditory canal ,,,769.0,4100.0,7
RC,360,Biopsy external ear ,,,291.0,3523.0,9
RC,360,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,607.0,4100.0,15
RC,360,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,511.0,3523.0,13
RC,360,Biopsy of conjunctiva ,,,511.0,3979.0,13
RC,360,Biopsy of cornea ,,,511.0,3979.0,15
RC,360,"Biopsy of epididymis, needle ",,,511.0,3523.0,15
RC,360,Biopsy of extraocular muscle ,,,607.0,5958.0,15
RC,360,Biopsy of floor of mouth ,,,511.0,3523.0,13
RC,360,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,607.0,4100.0,15
RC,360,Biopsy of lacrimal gland ,,,607.0,4830.0,15
RC,360,Biopsy of lacrimal sac ,,,607.0,4830.0,15
RC,360,Biopsy of lip ,,,291.0,2900.0,9
RC,360,"Biopsy of liver, needle; percutaneous ",,,607.0,4100.0,15
RC,360,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,"Biopsy of liver, wedge ",,,1632.0,4830.0,5
RC,360,Biopsy of nerve ,,,870.0,4830.0,15
RC,360,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,15
RC,360,"Biopsy of palate, uvula ",,,607.0,4100.0,13
RC,360,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,1632.0,4953.0,5
RC,360,"Biopsy of pancreas, percutaneous needle ",,,607.0,4100.0,15
RC,360,Biopsy of penis; (separate procedure) ,,,607.0,4100.0,15
RC,360,Biopsy of penis; deep structures ,,,607.0,4830.0,15
RC,360,Biopsy of salivary gland; incisional ,,,769.0,4100.0,15
RC,360,Biopsy of salivary gland; needle ,,,511.0,3523.0,13
RC,360,"Biopsy of spinal cord, percutaneous needle ",,,607.0,4100.0,15
RC,360,"Biopsy of stomach, by laparotomy ",,,1632.0,4830.0,4
RC,360,"Biopsy of testis, incisional (separate procedure) ",,,607.0,4830.0,15
RC,360,"Biopsy of testis, needle (separate procedure) ",,,607.0,4100.0,15
RC,360,Biopsy of tongue; anterior two-thirds ,,,291.0,3523.0,13
RC,360,Biopsy of tongue; posterior one-third ,,,769.0,4100.0,13
RC,360,Biopsy of urethra ,,,607.0,4830.0,15
RC,360,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,4830.0,15
RC,360,Biopsy of vaginal mucosa; simple (separate procedure) ,,,511.0,3523.0,13
RC,360,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,511.0,3523.0,13
RC,360,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,360,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,607.0,4100.0,15
RC,360,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,870.0,4830.0,13
RC,360,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,870.0,4830.0,13
RC,360,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,870.0,4830.0,13
RC,360,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,1404.42,5958.0,10
RC,360,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,870.0,4830.0,15
RC,360,"Biopsy or excision of lymph node(s); open, superficial ",,,870.0,4830.0,15
RC,360,"Biopsy thyroid, percutaneous core needle ",,,511.0,3523.0,13
RC,360,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,607.0,4100.0,15
RC,360,"Biopsy, prostate, any approach, nonimaging-guided ",,,769.0,4100.0,15
RC,360,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,360,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,1632.0,6446.0,7
RC,360,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,1632.0,6446.0,7
RC,360,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,360,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1632.0,4830.0,7
RC,360,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,360,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,360,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1632.0,4830.0,7
RC,360,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,360,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,769.0,3979.0,10
RC,360,"Biopsy, vestibule of mouth ",,,291.0,2900.0,13
RC,360,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,870.0,4830.0,15
RC,360,"Biopsy; nasopharynx, visible lesion, simple ",,,607.0,4100.0,15
RC,360,Biopsy; oropharynx ,,,511.0,3250.0,11
RC,360,Bladder instillation of anticarcinogenic agent (including retention time) ,,,291.0,3523.0,11
RC,360,"Bladder irrigation, simple, lavage and/or instillation ",,,291.0,2900.0,13
RC,360,"Blepharotomy, drainage of abscess, eyelid ",,,291.0,3523.0,13
RC,360,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,6
RC,360,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,7
RC,360,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,4
RC,360,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,16939.0,7
RC,360,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,6
RC,360,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,291.0,2900.0,4
RC,360,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,769.0,4100.0,7
RC,360,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,360,Bone marrow harvesting for transplantation; allogeneic ,,,769.0,6446.0,11
RC,360,Bone marrow harvesting for transplantation; autologous ,,,1257.0,8866.0,13
RC,360,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,291.0,2900.0,4
RC,360,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,360,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,5
RC,360,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,360,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,6
RC,360,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,8866.0,4
RC,360,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,360,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,3715.0,8866.0,7
RC,360,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,3715.0,8866.0,7
RC,360,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,360,Bundle of His recording ,,,769.0,21155.0,4
RC,360,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,1632.0,4953.0,5
RC,360,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,1632.0,4953.0,5
RC,360,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,1632.0,4953.0,5
RC,360,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,1632.0,4953.0,5
RC,360,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,1632.0,4953.0,5
RC,360,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,1632.0,4953.0,5
RC,360,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,1632.0,4953.0,5
RC,360,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,1632.0,4953.0,5
RC,360,CHANGE BILE DUCT CATHETER ,,,988.0,1069.0,2
RC,360,CHANGE KIDNEY TUBE ,,,988.0,1069.0,2
RC,360,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,607.0,1069.0,4
RC,360,CIRCUMCISION ,,,988.0,1069.0,2
RC,360,COLONOSCOPY LESION REMOVAL ,,,988.0,1069.0,2
RC,360,COLONOSCOPY W/STENT ,,,988.0,1069.0,4
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,360,CONTROL POSTOP BLEEDING ,,,988.0,1069.0,2
RC,360,CRYOTHERAPY OF RECTAL LESION ,,,1560.0,1687.0,4
RC,360,"Cannulation, thoracic duct ",,,291.0,2900.0,4
RC,360,Canthoplasty (reconstruction of canthus) ,,,870.0,4830.0,15
RC,360,Canthotomy (separate procedure) ,,,607.0,4830.0,15
RC,360,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,291.0,2900.0,4
RC,360,Cardioassist-method of circulatory assist; external ,,,3715.0,4953.0,3
RC,360,Cardioassist-method of circulatory assist; internal ,,,3715.0,4953.0,3
RC,360,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,2900.0,4
RC,360,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,511.0,3250.0,4
RC,360,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,511.0,3250.0,4
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,5
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,5
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,15
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,5
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,20
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,15
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,5
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,5
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,9813.0,7
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,10746.0,19
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,9813.0,14
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,10746.0,24
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,9813.0,7
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,5
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,5
RC,360,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,291.0,2900.0,8
RC,360,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,360,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,360,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,291.0,2900.0,4
RC,360,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,911.0,3435.0,9
RC,360,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,1632.0,21331.0,4
RC,360,"Cautery of cervix; cryocautery, initial or repeat ",,,291.0,3523.0,13
RC,360,Cautery of cervix; electro or thermal ,,,870.0,4830.0,11
RC,360,Cautery of cervix; laser ablation ,,,870.0,4830.0,15
RC,360,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,9
RC,360,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,4830.0,15
RC,360,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,4830.0,15
RC,360,Cervical lymphadenectomy (complete) ,,,1471.0,6446.0,11
RC,360,Cervical lymphadenectomy (modified radical neck dissection) ,,,1471.0,6446.0,12
RC,360,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,1632.0,3435.0,2
RC,360,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,1632.0,3435.0,2
RC,360,Cesarean delivery only; ,,,1632.0,4953.0,5
RC,360,Cesarean delivery only; including postpartum care ,,,1632.0,6446.0,9
RC,360,Change of cystostomy tube; complicated ,,,511.0,3523.0,15
RC,360,Change of cystostomy tube; simple ,,,291.0,3523.0,13
RC,360,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,4100.0,15
RC,360,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,8866.0,7
RC,360,Chemodenervation of eccrine glands; both axillae ,,,291.0,3523.0,13
RC,360,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,291.0,3523.0,13
RC,360,Chemodenervation of extraocular muscle ,,,291.0,3523.0,13
RC,360,Chemodenervation of internal anal sphincter ,,,607.0,4100.0,13
RC,360,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,511.0,3250.0,13
RC,360,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,291.0,3523.0,13
RC,360,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,291.0,2900.0,13
RC,360,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,291.0,2900.0,13
RC,360,Chemodenervation of one extremity; 1-4 muscle(s) ,,,511.0,3250.0,13
RC,360,Chemodenervation of one extremity; 5 or more muscles ,,,511.0,3250.0,13
RC,360,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,291.0,2900.0,13
RC,360,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,511.0,3250.0,13
RC,360,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,511.0,3250.0,13
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,1632.0,3523.0,7
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,1632.0,4953.0,5
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,1632.0,4953.0,5
RC,360,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,1632.0,4953.0,5
RC,360,Cholecystectomy with exploration of common duct; ,,,1632.0,6446.0,9
RC,360,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,1632.0,6446.0,9
RC,360,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,1632.0,10746.0,9
RC,360,Cholecystectomy; ,,,1471.0,6801.0,9
RC,360,Cholecystectomy; with cholangiography ,,,1632.0,6446.0,9
RC,360,Cholecystoenterostomy; Roux-en-Y ,,,1632.0,4953.0,5
RC,360,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,1632.0,4953.0,5
RC,360,Cholecystoenterostomy; direct ,,,1632.0,4953.0,5
RC,360,Cholecystoenterostomy; with gastroenterostomy ,,,1632.0,4953.0,5
RC,360,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,1404.42,5958.0,7
RC,360,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,1632.0,4953.0,5
RC,360,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,1632.0,4953.0,5
RC,360,"Chorionic villus sampling, any method ",,,511.0,3250.0,9
RC,360,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,15
RC,360,Ciliary body destruction; cryotherapy ,,,870.0,4830.0,15
RC,360,Ciliary body destruction; cyclodialysis ,,,870.0,4830.0,15
RC,360,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,4830.0,15
RC,360,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,4830.0,15
RC,360,Ciliary body destruction; diathermy ,,,769.0,4100.0,15
RC,360,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,742.8,4830.0,15
RC,360,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,4830.0,15
RC,360,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,4830.0,15
RC,360,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,291.0,3523.0,15
RC,360,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,291.0,3523.0,15
RC,360,Clitoroplasty for intersex state ,,,1404.42,4830.0,7
RC,360,Closure of anal fistula with rectal advancement flap ,,,1404.42,6446.0,15
RC,360,Closure of cystostomy (separate procedure) ,,,607.0,4830.0,15
RC,360,Closure of enteroenteric or enterocolic fistula ,,,1632.0,4953.0,5
RC,360,"Closure of enterostomy, large or small intestine; ",,,1632.0,4953.0,5
RC,360,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,1632.0,4953.0,5
RC,360,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,1404.42,4953.0,8
RC,360,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,1632.0,4953.0,5
RC,360,Closure of enterovesical fistula; without intestinal or bladder resection ,,,1632.0,4953.0,5
RC,360,Closure of esophagostomy or fistula; cervical approach ,,,870.0,4830.0,11
RC,360,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,1632.0,4953.0,5
RC,360,Closure of gastrocolic fistula ,,,1632.0,4953.0,5
RC,360,"Closure of gastrostomy, surgical ",,,607.0,4830.0,15
RC,360,Closure of intestinal cutaneous fistula ,,,1632.0,4953.0,5
RC,360,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,291.0,2900.0,9
RC,360,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,291.0,3523.0,15
RC,360,Closure of lacrimal fistula (separate procedure) ,,,511.0,6446.0,15
RC,360,Closure of nephrocutaneous or pyelocutaneous fistula ,,,511.0,3250.0,8
RC,360,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,1632.0,4953.0,5
RC,360,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,1632.0,4953.0,5
RC,360,Closure of rectourethral fistula; ,,,1632.0,4953.0,5
RC,360,Closure of rectourethral fistula; with colostomy ,,,1632.0,4953.0,5
RC,360,Closure of rectovaginal fistula; abdominal approach ,,,1632.0,6446.0,9
RC,360,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,1632.0,4953.0,5
RC,360,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,1632.0,4830.0,4
RC,360,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,15
RC,360,Closure of rectovesical fistula; ,,,1632.0,4953.0,5
RC,360,Closure of rectovesical fistula; with colostomy ,,,1632.0,4953.0,5
RC,360,"Closure of the lacrimal punctum; by plug, each ",,,291.0,2900.0,13
RC,360,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,291.0,2900.0,13
RC,360,Closure of ureterocutaneous fistula ,,,1632.0,4953.0,5
RC,360,Closure of ureterovisceral fistula (including visceral repair) ,,,1632.0,4953.0,5
RC,360,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,5958.0,15
RC,360,Closure of urethrovaginal fistula; ,,,1257.0,6801.0,13
RC,360,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,8
RC,360,Closure of vesicouterine fistula; ,,,1257.0,6446.0,8
RC,360,Closure of vesicouterine fistula; with hysterectomy ,,,1632.0,4953.0,5
RC,360,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,8
RC,360,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,1694.0,5958.0,7
RC,360,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,13
RC,360,"Closure postauricular fistula, mastoid (separate procedure) ",,,769.0,6446.0,15
RC,360,Closure salivary fistula ,,,607.0,4100.0,15
RC,360,"Closure, exstrophy of bladder ",,,1632.0,4953.0,5
RC,360,"Cochlear device implantation, with or without mastoidectomy ",,,2706.0,74502.0,13
RC,360,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1632.0,4953.0,5
RC,360,"Colectomy, partial; abdominal and transanal approach ",,,1632.0,4953.0,5
RC,360,"Colectomy, partial; with anastomosis ",,,1632.0,4953.0,5
RC,360,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,1632.0,4953.0,5
RC,360,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,1632.0,4953.0,5
RC,360,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1632.0,4953.0,5
RC,360,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,1632.0,4953.0,5
RC,360,"Colectomy, partial; with skin level cecostomy or colostomy ",,,1632.0,4953.0,5
RC,360,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,1632.0,4953.0,5
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,1632.0,4953.0,5
RC,360,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,1632.0,4953.0,5
RC,360,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,1632.0,4953.0,5
RC,360,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,3
RC,360,Collection of blood specimen from a completely implantable venous access device ,,,291.0,21331.0,7
RC,360,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,291.0,21331.0,7
RC,360,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,1632.0,3435.0,2
RC,360,Collection of venous blood by venipuncture ,,,1632.0,1632.0,1
RC,360,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,291.0,2900.0,4
RC,360,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,360,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,360,"Colonoscopy through stoma; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,360,"Colonoscopy through stoma; with control of bleeding, any method ",,,607.0,4100.0,15
RC,360,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,4320.0,13
RC,360,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,607.0,4320.0,13
RC,360,Colonoscopy through stoma; with endoscopic mucosal resection ,,,607.0,4320.0,13
RC,360,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,360,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,607.0,4320.0,13
RC,360,Colonoscopy through stoma; with removal of foreign body(s) ,,,607.0,4100.0,15
RC,360,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,4100.0,15
RC,360,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,360,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,607.0,4320.0,13
RC,360,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,607.0,4320.0,13
RC,360,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,742.8,4100.0,15
RC,360,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,360,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,769.0,4320.0,13
RC,360,"Colonoscopy, flexible; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,360,"Colonoscopy, flexible; with control of bleeding, any method ",,,769.0,4100.0,15
RC,360,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,769.0,4320.0,13
RC,360,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,769.0,4100.0,15
RC,360,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,769.0,4320.0,13
RC,360,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,360,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,769.0,4100.0,15
RC,360,"Colonoscopy, flexible; with removal of foreign body(s) ",,,769.0,4100.0,15
RC,360,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,769.0,4100.0,15
RC,360,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,360,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,769.0,4100.0,15
RC,360,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,769.0,4100.0,15
RC,360,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3979.0,15
RC,360,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3979.0,15
RC,360,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,9
RC,360,Colostomy or skin level cecostomy; ,,,1632.0,4953.0,5
RC,360,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,360,Colpocentesis (separate procedure) ,,,870.0,4830.0,15
RC,360,Colpocleisis (Le Fort type) ,,,1603.31,6446.0,9
RC,360,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,4830.0,15
RC,360,"Colpopexy, abdominal approach ",,,1632.0,6446.0,8
RC,360,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1753.0,6801.0,11
RC,360,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1753.0,6801.0,11
RC,360,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,9
RC,360,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,4830.0,15
RC,360,Colposcopy of the cervix including upper/adjacent vagina; ,,,291.0,3523.0,13
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,291.0,3523.0,13
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,291.0,3523.0,13
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,291.0,3523.0,13
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,4830.0,11
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,13
RC,360,"Colposcopy of the entire vagina, with cervix if present; ",,,291.0,3523.0,13
RC,360,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,511.0,3523.0,13
RC,360,Colposcopy of the vulva; ,,,291.0,2900.0,13
RC,360,Colposcopy of the vulva; with biopsy(s) ,,,291.0,3523.0,13
RC,360,Colpotomy; with drainage of pelvic abscess ,,,870.0,4830.0,15
RC,360,Colpotomy; with exploration ,,,607.0,4830.0,15
RC,360,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.31,6446.0,15
RC,360,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.31,10746.0,15
RC,360,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,291.0,3523.0,15
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,511.0,3250.0,13
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,511.0,3250.0,13
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,511.0,3250.0,13
RC,360,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,291.0,2900.0,9
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,291.0,21155.0,4
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,291.0,21155.0,4
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,2540.0,21155.0,4
RC,360,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,2706.0,36635.0,18
RC,360,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,2540.0,21155.0,4
RC,360,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,2706.0,36635.0,9
RC,360,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,291.0,3435.0,5
RC,360,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,4830.0,15
RC,360,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,4830.0,15
RC,360,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,5958.0,15
RC,360,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,4830.0,15
RC,360,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1142.61,6446.0,15
RC,360,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1404.42,6446.0,15
RC,360,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,360,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1142.61,6446.0,15
RC,360,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1404.42,6446.0,15
RC,360,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1404.42,6446.0,15
RC,360,Construction of artificial vagina; with graft ,,,1471.0,6446.0,11
RC,360,Construction of artificial vagina; without graft ,,,1603.31,6446.0,15
RC,360,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1142.61,6446.0,15
RC,360,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1142.61,6446.0,15
RC,360,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,1632.0,4953.0,5
RC,360,Continent ileostomy (Kock procedure) (separate procedure) ,,,1632.0,4953.0,5
RC,360,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,291.0,2900.0,4
RC,360,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,291.0,2900.0,8
RC,360,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,291.0,21331.0,9
RC,360,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,291.0,2900.0,13
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,1632.0,4953.0,5
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,291.0,2900.0,13
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,769.0,6446.0,15
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,1632.0,4830.0,5
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,291.0,3523.0,15
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,870.0,4830.0,15
RC,360,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,870.0,8866.0,13
RC,360,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,360,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,8866.0,7
RC,360,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,511.0,3979.0,13
RC,360,"Cordocentesis (intrauterine), any method ",,,291.0,2900.0,9
RC,360,Corneal relaxing incision for correction of surgically induced astigmatism ,,,769.0,6446.0,15
RC,360,Corneal wedge resection for correction of surgically induced astigmatism ,,,1142.61,6446.0,15
RC,360,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,1632.0,4953.0,5
RC,360,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1404.42,6446.0,15
RC,360,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1404.42,6446.0,15
RC,360,"Correction of everted punctum, cautery ",,,291.0,3523.0,13
RC,360,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1142.61,6446.0,15
RC,360,Correction of lid retraction ,,,1142.61,6446.0,15
RC,360,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,1632.0,10746.0,9
RC,360,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,291.0,3523.0,9
RC,360,"Correction of trichiasis; epilation, by forceps only ",,,291.0,2900.0,9
RC,360,Correction of trichiasis; incision of lid margin ,,,769.0,4100.0,15
RC,360,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,4830.0,15
RC,360,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,291.0,2900.0,4
RC,360,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,1753.0,9431.0,9
RC,360,Craniectomy for craniosynostosis; multiple cranial sutures ,,,1632.0,4953.0,5
RC,360,Craniectomy for craniosynostosis; single cranial suture ,,,1632.0,4953.0,5
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,1632.0,4953.0,5
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,1632.0,4953.0,5
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,1632.0,4953.0,5
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,1632.0,4953.0,5
RC,360,"Craniectomy or craniotomy, exploratory; supratentorial ",,,1632.0,4953.0,5
RC,360,Craniectomy or craniotomy; with excision of foreign body from brain ,,,1632.0,4953.0,5
RC,360,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,1632.0,4953.0,5
RC,360,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,1632.0,4953.0,5
RC,360,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,1632.0,4953.0,5
RC,360,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,1632.0,4953.0,5
RC,360,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,1632.0,4953.0,5
RC,360,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,1632.0,4953.0,5
RC,360,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,1632.0,4953.0,5
RC,360,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,1632.0,4953.0,5
RC,360,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,1632.0,4953.0,5
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,1632.0,4953.0,5
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,1632.0,4953.0,5
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,1632.0,4953.0,5
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,1632.0,4953.0,5
RC,360,Craniectomy; for osteomyelitis ,,,1632.0,4953.0,5
RC,360,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2540.0,9431.0,8
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,1632.0,4953.0,5
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,1632.0,4953.0,5
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,360,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,360,Cranioplasty for skull defect with reparative brain surgery ,,,1632.0,4953.0,5
RC,360,Cranioplasty for skull defect; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,360,Cranioplasty for skull defect; up to 5 cm diameter ,,,1632.0,5552.91,8
RC,360,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,360,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,1632.0,5278.0,8
RC,360,Craniotomy for craniosynostosis; bifrontal bone flap ,,,1632.0,4953.0,5
RC,360,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,1632.0,4953.0,5
RC,360,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,1632.0,4953.0,5
RC,360,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,1632.0,4953.0,5
RC,360,"Craniotomy for repair of encephalocele, skull base ",,,1632.0,4953.0,5
RC,360,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,1632.0,4953.0,5
RC,360,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,1632.0,4953.0,5
RC,360,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,1632.0,4953.0,5
RC,360,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,1632.0,4953.0,5
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,360,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,360,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,1632.0,4953.0,5
RC,360,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,1632.0,4953.0,5
RC,360,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,1632.0,4953.0,5
RC,360,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,1632.0,4953.0,5
RC,360,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,1632.0,4953.0,5
RC,360,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,1753.0,21331.0,9
RC,360,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,1753.0,21331.0,9
RC,360,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,1753.0,6801.0,7
RC,360,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,1632.0,4953.0,5
RC,360,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1142.61,6446.0,15
RC,360,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1142.61,6446.0,15
RC,360,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,4830.0,15
RC,360,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,1632.0,4953.0,5
RC,360,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,6801.0,11
RC,360,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,360,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,360,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,360,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,360,Cricopharyngeal myotomy ,,,1753.0,6801.0,7
RC,360,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,1753.0,20951.0,13
RC,360,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,607.0,4100.0,11
RC,360,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,511.0,3523.0,13
RC,360,"Curettage, postpartum ",,,1257.0,6446.0,15
RC,360,Cutaneous appendico-vesicostomy ,,,1632.0,4953.0,5
RC,360,Cutaneous vesicostomy ,,,1404.42,4830.0,7
RC,360,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,1632.0,4953.0,5
RC,360,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,1632.0,4953.0,5
RC,360,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,360,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,1632.0,4953.0,5
RC,360,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,360,"Cystectomy, complete; (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,360,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,360,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,1632.0,4953.0,5
RC,360,"Cystectomy, partial; simple ",,,1632.0,4953.0,5
RC,360,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,15
RC,360,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,1632.0,10746.0,9
RC,360,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,8
RC,360,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,4830.0,11
RC,360,"Cystostomy, cystotomy with drainage ",,,1142.61,6446.0,15
RC,360,"Cystotomy for excision, incision, or repair of ureterocele ",,,1404.42,4830.0,7
RC,360,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1404.42,6446.0,15
RC,360,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1404.42,2760.0,8
RC,360,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1404.42,6446.0,15
RC,360,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,511.0,6446.0,15
RC,360,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,1404.42,5958.0,7
RC,360,Cystotomy; for excision of bladder tumor ,,,1404.42,5958.0,7
RC,360,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1404.42,6446.0,15
RC,360,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,1632.0,10746.0,9
RC,360,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,15
RC,360,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,4830.0,13
RC,360,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1404.42,6446.0,13
RC,360,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,6801.0,13
RC,360,Cystourethroscopy (separate procedure) ,,,511.0,3523.0,13
RC,360,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,742.8,4100.0,15
RC,360,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,7161.0,7
RC,360,Cystourethroscopy with direct vision internal urethrotomy ,,,1142.61,6446.0,15
RC,360,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,15
RC,360,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,1632.0,6446.0,7
RC,360,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1404.42,16336.0,15
RC,360,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1632.0,6446.0,7
RC,360,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,6446.0,13
RC,360,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,769.0,4100.0,15
RC,360,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,15
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,360,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,8866.0,7
RC,360,"Cystourethroscopy, with biopsy(s) ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,769.0,4100.0,15
RC,360,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,360,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,511.0,3523.0,13
RC,360,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,511.0,3979.0,15
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,15
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,15
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,769.0,5115.0,13
RC,360,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,4830.0,11
RC,360,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,291.0,2900.0,11
RC,360,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,291.0,6446.0,11
RC,360,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,8866.0,15
RC,360,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,6
RC,360,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,8866.0,13
RC,360,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,11
RC,360,"Cystourethroscopy, with internal urethrotomy; female ",,,769.0,4100.0,15
RC,360,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,1632.0,8866.0,9
RC,360,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,769.0,4100.0,15
RC,360,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,4830.0,13
RC,360,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,8866.0,9
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,5
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,6446.0,13
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,6446.0,13
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1603.31,6801.0,9
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,8866.0,11
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1404.42,6446.0,13
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,6446.0,13
RC,360,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,15
RC,360,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,4830.0,15
RC,360,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,360,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,360,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,360,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,4830.0,15
RC,360,D & C OF RESIDUAL CERVIX ,,,2302.0,2490.0,2
RC,360,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,1069.0,4
RC,360,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,1069.0,2
RC,360,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,1069.0,2
RC,360,DILATE ESOPHAGUS ,,,1560.0,1687.0,4
RC,360,DILATION PROSTATIC URETHRA ,,,2302.0,2490.0,2
RC,360,DRAINAGE OF BLADDER ,,,988.0,1069.0,2
RC,360,DRAINAGE OF EYE ,,,988.0,1069.0,2
RC,360,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1404.42,6446.0,15
RC,360,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,291.0,2900.0,16
RC,360,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,8
RC,360,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,7161.0,7
RC,360,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,291.0,2900.0,11
RC,360,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,291.0,2900.0,9
RC,360,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,291.0,21331.0,9
RC,360,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1753.0,6801.0,11
RC,360,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,360,Decompression internal auditory canal ,,,1753.0,6801.0,7
RC,360,"Decompression of orbit only, transcranial approach ",,,1404.42,6801.0,7
RC,360,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1142.61,8866.0,15
RC,360,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1632.0,3435.0,7
RC,360,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,1632.0,9431.0,7
RC,360,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1632.0,4830.0,7
RC,360,Decompression; plantar digital nerve ,,,607.0,4830.0,15
RC,360,Decompression; unspecified nerve(s) (specify) ,,,607.0,4830.0,15
RC,360,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,3
RC,360,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,607.0,4100.0,13
RC,360,Deligation of ureter ,,,1632.0,4953.0,5
RC,360,Delivery of placenta (separate procedure) ,,,1404.42,4830.0,7
RC,360,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,3
RC,360,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1142.61,4830.0,12
RC,360,"Destruction by neurolytic agent, intercostal nerve ",,,511.0,3523.0,15
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,291.0,2900.0,8
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,4830.0,13
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,291.0,2900.0,8
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,5115.0,13
RC,360,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,4830.0,15
RC,360,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,4830.0,15
RC,360,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,511.0,3523.0,15
RC,360,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,511.0,3979.0,15
RC,360,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,511.0,3979.0,15
RC,360,Destruction by neurolytic agent; other peripheral nerve or branch ,,,511.0,3523.0,13
RC,360,Destruction by neurolytic agent; plantar common digital nerve ,,,291.0,2900.0,13
RC,360,Destruction by neurolytic agent; pudendal nerve ,,,511.0,3979.0,15
RC,360,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,511.0,3523.0,13
RC,360,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,5958.0,13
RC,360,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,511.0,5115.0,13
RC,360,"Destruction of lesion (except excision), dentoalveolar structures ",,,607.0,4100.0,11
RC,360,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,291.0,2900.0,13
RC,360,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,4100.0,13
RC,360,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,607.0,4100.0,13
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,15
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,3523.0,13
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,13
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,11
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4830.0,15
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4830.0,15
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,15
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,2900.0,9
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,9
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,7
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4100.0,15
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4100.0,15
RC,360,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,769.0,6446.0,15
RC,360,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,11
RC,360,"Destruction of lesion, conjunctiva ",,,607.0,4830.0,13
RC,360,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,607.0,4100.0,13
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,511.0,3250.0,11
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,511.0,3250.0,11
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,291.0,2900.0,8
RC,360,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3523.0,13
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,291.0,6446.0,11
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,511.0,6446.0,11
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1404.42,6446.0,13
RC,360,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,870.0,8866.0,15
RC,360,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,15
RC,360,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,11
RC,360,Diagnostic bone marrow; aspiration(s) ,,,511.0,3523.0,13
RC,360,Diagnostic bone marrow; biopsy(ies) ,,,511.0,3523.0,13
RC,360,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,607.0,4100.0,14
RC,360,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,3715.0,6446.0,5
RC,360,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,291.0,2900.0,8
RC,360,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3715.0,10746.0,26
RC,360,Diaphragm or cervical cap fitting with instructions ,,,291.0,2900.0,9
RC,360,"Dilation and catheterization of salivary duct, with or without injection ",,,291.0,2900.0,13
RC,360,Dilation and curettage of cervical stump ,,,1257.0,6446.0,15
RC,360,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,4830.0,15
RC,360,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,607.0,4100.0,15
RC,360,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,4830.0,13
RC,360,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,607.0,4100.0,15
RC,360,"Dilation of esophagus, over guide wire ",,,607.0,4100.0,15
RC,360,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1404.42,8866.0,22
RC,360,Dilation of female urethra including suppository and/or instillation; initial ,,,291.0,2900.0,13
RC,360,Dilation of female urethra including suppository and/or instillation; subsequent ,,,291.0,2900.0,9
RC,360,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,4830.0,15
RC,360,"Dilation of lacrimal punctum, with or without irrigation ",,,291.0,2900.0,9
RC,360,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,607.0,4100.0,15
RC,360,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,511.0,3250.0,11
RC,360,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,291.0,3523.0,13
RC,360,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,291.0,3523.0,13
RC,360,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,291.0,3523.0,13
RC,360,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,360,Dilation of vagina under anesthesia (other than local) ,,,870.0,4830.0,15
RC,360,Dilation salivary duct ,,,607.0,4100.0,13
RC,360,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,360,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,291.0,6446.0,8
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1753.0,9431.0,11
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,1632.0,4953.0,5
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,1632.0,4953.0,5
RC,360,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,511.0,3979.0,15
RC,360,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,291.0,3523.0,13
RC,360,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,4830.0,15
RC,360,"Dissection, deep jugular node(s) ",,,870.0,9431.0,15
RC,360,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,1753.0,21331.0,9
RC,360,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,1753.0,6801.0,9
RC,360,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,1632.0,4953.0,5
RC,360,Division of stricture of rectum ,,,769.0,4100.0,15
RC,360,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,1632.0,4953.0,5
RC,360,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,1632.0,4953.0,5
RC,360,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,1632.0,4953.0,5
RC,360,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,1632.0,4953.0,5
RC,360,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,1632.0,4953.0,5
RC,360,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,1632.0,4953.0,5
RC,360,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,1632.0,4953.0,5
RC,360,"Donor nephrectomy (including cold preservation); open, from living donor ",,,1632.0,4953.0,5
RC,360,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,1632.0,3435.0,2
RC,360,"Drainage external auditory canal, abscess ",,,511.0,3250.0,13
RC,360,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,4100.0,11
RC,360,"Drainage external ear, abscess or hematoma; simple ",,,511.0,3250.0,13
RC,360,Drainage of Skene's gland abscess or cyst ,,,607.0,4830.0,11
RC,360,"Drainage of abscess of palate, uvula ",,,291.0,3979.0,15
RC,360,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,291.0,3523.0,15
RC,360,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,291.0,3979.0,15
RC,360,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,511.0,3250.0,9
RC,360,"Drainage of abscess; parotid, complicated ",,,870.0,4830.0,15
RC,360,"Drainage of abscess; parotid, simple ",,,607.0,4100.0,15
RC,360,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,291.0,3523.0,15
RC,360,"Drainage of abscess; submaxillary, external ",,,291.0,3523.0,15
RC,360,Drainage of deep periurethral abscess ,,,870.0,4830.0,15
RC,360,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,1632.0,4953.0,5
RC,360,Drainage of lymph node abscess or lymphadenitis; extensive ,,,870.0,4830.0,15
RC,360,Drainage of lymph node abscess or lymphadenitis; simple ,,,607.0,4100.0,15
RC,360,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,8
RC,360,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,15
RC,360,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,11
RC,360,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,15
RC,360,Drainage of perineal urinary extravasation; complicated ,,,1142.61,4830.0,7
RC,360,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,742.8,6446.0,15
RC,360,"Drainage of perirenal or renal abscess, open ",,,870.0,4830.0,11
RC,360,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,1632.0,4953.0,5
RC,360,Drainage of perivesical or prevesical space abscess ,,,607.0,4100.0,15
RC,360,"Drainage of retroperitoneal abscess, open ",,,1632.0,4953.0,5
RC,360,Drainage of scrotal wall abscess ,,,607.0,4100.0,15
RC,360,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,1632.0,4953.0,5
RC,360,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,291.0,3435.0,12
RC,360,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,1632.0,4953.0,5
RC,360,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,607.0,4100.0,13
RC,360,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,607.0,4100.0,13
RC,360,Duodenal motility (manometric) study ,,,291.0,2900.0,8
RC,360,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,360,"Dural graft, spinal ",,,1632.0,4953.0,5
RC,360,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,742.8,4100.0,7
RC,360,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,1687.0,10
RC,360,ESOPH ENDOSCOPY ABLATION ,,,1560.0,1687.0,2
RC,360,ESOPHAGUS ENDOSCOPY ,,,988.0,1069.0,2
RC,360,EXCISION OF RECTAL LESION ,,,1560.0,1687.0,2
RC,360,EXPLORATION OF EPIDIDYMIS ,,,988.0,1069.0,2
RC,360,Ear piercing ,,,1632.0,6411.0,7
RC,360,Electroejaculation ,,,511.0,3523.0,13
RC,360,"Electrogastrography, diagnostic, transcutaneous; ",,,291.0,2900.0,4
RC,360,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,291.0,2900.0,4
RC,360,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,291.0,2900.0,9
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,291.0,3979.0,13
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,291.0,2900.0,22
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,291.0,3979.0,13
RC,360,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,291.0,5078.0,12
RC,360,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,769.0,5078.0,6
RC,360,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,291.0,2900.0,4
RC,360,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,2540.0,21155.0,4
RC,360,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,1632.0,4953.0,5
RC,360,"Elevation of depressed skull fracture; simple, extradural ",,,1404.42,6801.0,7
RC,360,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,1632.0,4953.0,5
RC,360,"Embryo transfer, intrauterine ",,,511.0,3523.0,15
RC,360,Endocervical curettage (not done as part of a dilation and curettage) ,,,511.0,3523.0,13
RC,360,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,291.0,2900.0,8
RC,360,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,291.0,2900.0,8
RC,360,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,291.0,2900.0,8
RC,360,Endolymphatic sac operation; with shunt ,,,1753.0,10746.0,15
RC,360,Endolymphatic sac operation; without shunt ,,,1753.0,10746.0,15
RC,360,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.31,10746.0,13
RC,360,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1603.31,6766.0,11
RC,360,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,360,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,291.0,2900.0,13
RC,360,Endomyocardial biopsy ,,,607.0,5958.0,9
RC,360,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,291.0,8866.0,10
RC,360,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,360,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,5
RC,360,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,360,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,607.0,4100.0,15
RC,360,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,15
RC,360,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,6
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,870.0,4830.0,15
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,1257.0,8866.0,13
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,870.0,4830.0,15
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,1632.0,4830.0,11
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,1257.0,8866.0,13
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,870.0,4830.0,15
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,1257.0,8866.0,13
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,870.0,4830.0,15
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,1257.0,8866.0,13
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,870.0,4830.0,15
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1257.0,8866.0,13
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,3715.0,6446.0,5
RC,360,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,3715.0,8866.0,7
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,360,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,8866.0,11
RC,360,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,360,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,1632.0,21331.0,5
RC,360,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,1632.0,21331.0,5
RC,360,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,13472.0,11
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,291.0,9431.0,21
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,1257.0,8866.0,15
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,291.0,4584.0,10
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,911.0,6446.0,13
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,291.0,2900.0,8
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,1257.0,8866.0,15
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,291.0,4584.0,10
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,1632.0,4953.0,5
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,1632.0,4953.0,5
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,1632.0,4953.0,5
RC,360,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,360,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,1632.0,4953.0,5
RC,360,"Enterectomy, resection of small intestine; with enterostomy ",,,1632.0,4953.0,5
RC,360,"Enterocystoplasty, including intestinal anastomosis ",,,1632.0,4953.0,5
RC,360,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,1632.0,4953.0,5
RC,360,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,1632.0,10746.0,9
RC,360,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,1632.0,4953.0,5
RC,360,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,360,"Enucleation of eye; with implant, muscles attached to implant ",,,1404.42,6446.0,15
RC,360,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,15
RC,360,Enucleation of eye; without implant ,,,1257.0,6446.0,15
RC,360,Epididymectomy; bilateral ,,,1404.42,6446.0,15
RC,360,Epididymectomy; unilateral ,,,1257.0,6446.0,15
RC,360,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1404.42,6446.0,15
RC,360,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1142.61,6446.0,15
RC,360,Epikeratoplasty ,,,911.0,10746.0,10
RC,360,"Episiotomy or vaginal repair, by other than attending ",,,870.0,4830.0,11
RC,360,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,291.0,2900.0,4
RC,360,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,291.0,2900.0,4
RC,360,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,291.0,2900.0,4
RC,360,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,360,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,291.0,2900.0,8
RC,360,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,291.0,2900.0,4
RC,360,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,8866.0,11
RC,360,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,769.0,21155.0,4
RC,360,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,769.0,21155.0,4
RC,360,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,1632.0,4953.0,5
RC,360,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,1632.0,4953.0,5
RC,360,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,1632.0,4953.0,5
RC,360,Esophagogastric fundoplasty partial or complete; laparotomy ,,,1632.0,4953.0,5
RC,360,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,1632.0,4953.0,5
RC,360,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,1632.0,4953.0,5
RC,360,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,1632.0,4953.0,5
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,6446.0,13
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,742.8,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,1257.0,6446.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,769.0,7161.0,12
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,742.8,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,769.0,6446.0,13
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,769.0,6446.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,1257.0,8866.0,13
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,742.8,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,769.0,5115.0,13
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1257.0,8866.0,13
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,742.8,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,742.8,5115.0,12
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,769.0,4100.0,15
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,769.0,6446.0,13
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,870.0,4830.0,15
RC,360,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,1632.0,4953.0,5
RC,360,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,1632.0,4953.0,5
RC,360,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,1632.0,4953.0,5
RC,360,Esophagomyotomy (Heller type); abdominal approach ,,,1632.0,4953.0,5
RC,360,Esophagomyotomy (Heller type); thoracic approach ,,,1632.0,4953.0,5
RC,360,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,360,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,360,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,360,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,360,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,360,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,360,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,13
RC,360,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,607.0,4100.0,13
RC,360,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,8866.0,13
RC,360,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,607.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,769.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,360,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,607.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,769.0,4100.0,13
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,769.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,607.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,607.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,607.0,5115.0,13
RC,360,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,8866.0,13
RC,360,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,607.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,4830.0,15
RC,360,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,769.0,4100.0,15
RC,360,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,769.0,4100.0,15
RC,360,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,870.0,8866.0,13
RC,360,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,607.0,4100.0,13
RC,360,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,769.0,5115.0,13
RC,360,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,607.0,5115.0,13
RC,360,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,607.0,5115.0,13
RC,360,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,769.0,5115.0,13
RC,360,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,607.0,5115.0,13
RC,360,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,1632.0,4953.0,5
RC,360,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,1632.0,4953.0,5
RC,360,"Esophagotomy, cervical approach, with removal of foreign body ",,,769.0,4100.0,9
RC,360,"Esophagotomy, thoracic approach, with removal of foreign body ",,,1632.0,4953.0,5
RC,360,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,291.0,2900.0,4
RC,360,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,291.0,3250.0,4
RC,360,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,291.0,2900.0,4
RC,360,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,291.0,2900.0,4
RC,360,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,15
RC,360,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,15
RC,360,Exc biopsy of saliv glands ,,,3715.0,4953.0,3
RC,360,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,3
RC,360,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,511.0,3979.0,13
RC,360,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,8866.0,7
RC,360,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,870.0,8866.0,13
RC,360,Exchange of intraocular lens ,,,1142.61,6446.0,15
RC,360,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,607.0,4100.0,11
RC,360,"Exchange transfusion, blood; newborn ",,,291.0,3523.0,13
RC,360,"Exchange transfusion, blood; other than newborn ",,,291.0,3523.0,13
RC,360,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,360,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,360,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,360,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1142.61,6446.0,30
RC,360,Excision aural glomus tumor; extended (extratemporal) ,,,1632.0,4953.0,5
RC,360,Excision aural glomus tumor; transcanal ,,,1753.0,6801.0,15
RC,360,Excision aural glomus tumor; transmastoid ,,,1753.0,10746.0,15
RC,360,Excision aural polyp ,,,769.0,4100.0,11
RC,360,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,1257.0,6446.0,15
RC,360,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,1753.0,6801.0,15
RC,360,"Excision exostosis(es), external auditory canal ",,,870.0,4830.0,15
RC,360,Excision external ear; complete amputation ,,,870.0,4830.0,15
RC,360,"Excision external ear; partial, simple repair ",,,607.0,4100.0,15
RC,360,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,1632.0,4953.0,5
RC,360,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,1632.0,4953.0,5
RC,360,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,15
RC,360,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,1632.0,4953.0,5
RC,360,Excision of Mullerian duct cyst ,,,607.0,4830.0,15
RC,360,Excision of ampulla of Vater ,,,1632.0,4953.0,5
RC,360,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,1632.0,4953.0,5
RC,360,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,1632.0,4953.0,5
RC,360,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,4830.0,15
RC,360,Excision of carotid body tumor; with excision of carotid artery ,,,1632.0,4953.0,5
RC,360,Excision of carotid body tumor; without excision of carotid artery ,,,1632.0,4953.0,5
RC,360,"Excision of cervical stump, abdominal approach; ",,,1632.0,4953.0,5
RC,360,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,1632.0,4953.0,5
RC,360,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,15
RC,360,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,1603.31,5958.0,7
RC,360,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.31,6801.0,15
RC,360,"Excision of chalazion; multiple, different lids ",,,291.0,3523.0,13
RC,360,"Excision of chalazion; multiple, same lid ",,,607.0,4100.0,13
RC,360,Excision of chalazion; single ,,,291.0,3523.0,13
RC,360,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,4830.0,15
RC,360,Excision of choledochal cyst ,,,1632.0,4953.0,5
RC,360,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,9431.0,15
RC,360,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1471.0,6446.0,15
RC,360,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1257.0,6446.0,15
RC,360,Excision of extraparenchymal lesion of testis ,,,870.0,4830.0,15
RC,360,"Excision of fibrous tuberosities, dentoalveolar structures ",,,607.0,4100.0,11
RC,360,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,607.0,4100.0,15
RC,360,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,15
RC,360,Excision of hydrocele; bilateral ,,,1404.42,6446.0,15
RC,360,Excision of hydrocele; unilateral ,,,1257.0,6446.0,15
RC,360,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,607.0,4100.0,11
RC,360,Excision of ileoanal reservoir with ileostomy ,,,1632.0,4953.0,5
RC,360,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,15
RC,360,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,15
RC,360,Excision of lacrimal gland tumor; frontal approach ,,,1142.61,6446.0,15
RC,360,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,15
RC,360,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,15
RC,360,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,769.0,4100.0,13
RC,360,Excision of lesion of mesentery (separate procedure) ,,,1632.0,4953.0,5
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,870.0,4830.0,15
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,870.0,4830.0,15
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,607.0,4100.0,11
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,607.0,4100.0,11
RC,360,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,1632.0,4953.0,5
RC,360,Excision of lesion of spermatic cord (separate procedure) ,,,1404.42,6446.0,15
RC,360,Excision of lesion of tongue with closure; anterior two-thirds ,,,769.0,4100.0,15
RC,360,Excision of lesion of tongue with closure; posterior one-third ,,,769.0,4100.0,15
RC,360,Excision of lesion of tongue with closure; with local tongue flap ,,,870.0,4830.0,15
RC,360,Excision of lesion of tongue without closure ,,,607.0,4100.0,13
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,870.0,6801.0,15
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,607.0,4830.0,11
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,607.0,4100.0,11
RC,360,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,4830.0,15
RC,360,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,4830.0,13
RC,360,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,4830.0,15
RC,360,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,4100.0,15
RC,360,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,1632.0,4953.0,5
RC,360,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,1632.0,4953.0,5
RC,360,"Excision of lesion, sclera ",,,1142.61,10746.0,15
RC,360,Excision of lingual frenum (frenectomy) ,,,607.0,4100.0,13
RC,360,Excision of lip; V-excision with primary direct linear closure ,,,769.0,4100.0,15
RC,360,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,870.0,4830.0,15
RC,360,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,870.0,4830.0,15
RC,360,Excision of lip; transverse wedge excision with primary closure ,,,870.0,4830.0,15
RC,360,Excision of local lesion of epididymis ,,,1257.0,6446.0,15
RC,360,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,3715.0,6446.0,5
RC,360,Excision of mucosa of vestibule of mouth as donor graft ,,,291.0,3523.0,15
RC,360,"Excision of multiple external papillae or tags, anus ",,,607.0,4100.0,15
RC,360,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1142.61,6446.0,15
RC,360,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6801.0,15
RC,360,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1142.61,6446.0,15
RC,360,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,4830.0,15
RC,360,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1142.61,6446.0,15
RC,360,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,360,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,360,"Excision of neuroma; hand or foot, except digital nerve ",,,1142.61,6446.0,15
RC,360,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1142.61,6446.0,15
RC,360,Excision of neuroma; sciatic nerve ,,,1257.0,6801.0,15
RC,360,"Excision of osseous tuberosities, dentoalveolar structures ",,,870.0,4830.0,11
RC,360,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,1753.0,10746.0,15
RC,360,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,1257.0,6801.0,15
RC,360,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,1753.0,10746.0,15
RC,360,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,1753.0,10746.0,15
RC,360,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,1632.0,4830.0,5
RC,360,Excision of penile plaque (Peyronie disease); ,,,870.0,6801.0,15
RC,360,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,6801.0,15
RC,360,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,6801.0,15
RC,360,Excision of perinephric cyst ,,,1632.0,4953.0,5
RC,360,Excision of presacral or sacrococcygeal tumor ,,,1632.0,4953.0,5
RC,360,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,1632.0,4953.0,5
RC,360,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,1632.0,4953.0,5
RC,360,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,870.0,4830.0,15
RC,360,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,870.0,8866.0,13
RC,360,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,607.0,5115.0,13
RC,360,"Excision of single external papilla or tag, anus ",,,607.0,4100.0,15
RC,360,"Excision of spermatocele, with or without epididymectomy ",,,1142.61,6446.0,15
RC,360,Excision of sublingual gland ,,,870.0,4830.0,15
RC,360,Excision of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,15
RC,360,Excision of submandibular (submaxillary) gland ,,,1257.0,6801.0,15
RC,360,"Excision of thrombosed hemorrhoid, external ",,,607.0,4100.0,13
RC,360,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,9431.0,15
RC,360,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,9431.0,15
RC,360,Excision of tonsil tags ,,,1257.0,6446.0,15
RC,360,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,15
RC,360,Excision of urethral diverticulum (separate procedure); female ,,,870.0,5958.0,15
RC,360,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,15
RC,360,Excision of vaginal cyst or tumor ,,,870.0,4830.0,15
RC,360,Excision of vaginal septum ,,,870.0,4830.0,15
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1404.42,6446.0,15
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1404.42,6446.0,15
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1404.42,6446.0,15
RC,360,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,1257.0,6446.0,15
RC,360,"Excision or destruction of lesion of pharynx, any method ",,,870.0,4830.0,15
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,1632.0,4830.0,5
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,1632.0,5958.0,5
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,1632.0,4830.0,5
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,1632.0,4830.0,5
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,1632.0,5958.0,5
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,1603.31,1919.0,4
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,2540.0,2540.0,1
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,2540.0,2540.0,1
RC,360,Excision or fulguration of carcinoma of urethra ,,,870.0,5958.0,15
RC,360,Excision or fulguration; Skene's glands ,,,870.0,4830.0,15
RC,360,Excision or fulguration; urethral caruncle ,,,870.0,4830.0,15
RC,360,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,4830.0,15
RC,360,Excision or fulguration; urethral prolapse ,,,870.0,4830.0,15
RC,360,Excision or transposition of pterygium; with graft ,,,1142.61,6446.0,15
RC,360,Excision or transposition of pterygium; without graft ,,,870.0,4830.0,15
RC,360,Excision or unroofing of cyst(s) of kidney ,,,1632.0,4953.0,5
RC,360,"Excision soft tissue lesion, external auditory canal ",,,769.0,4100.0,15
RC,360,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,1632.0,4953.0,5
RC,360,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,1632.0,4953.0,5
RC,360,"Excision, lesion of floor of mouth ",,,607.0,4830.0,15
RC,360,"Excision, lesion of palate, uvula; with local flap closure ",,,870.0,4830.0,15
RC,360,"Excision, lesion of palate, uvula; with simple primary closure ",,,769.0,4100.0,13
RC,360,"Excision, lesion of palate, uvula; without closure ",,,769.0,4100.0,13
RC,360,"Excision, local; malignant tumor of stomach ",,,1632.0,4953.0,5
RC,360,"Excision, local; ulcer or benign tumor of stomach ",,,1632.0,4953.0,5
RC,360,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,1632.0,4953.0,5
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1404.42,6446.0,15
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1404.42,10746.0,15
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1404.42,10746.0,15
RC,360,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,1632.0,4953.0,5
RC,360,Exploration for undescended testis (inguinal or scrotal area) ,,,1404.42,6446.0,15
RC,360,Exploration for undescended testis with abdominal exploration ,,,1142.61,6446.0,11
RC,360,"Exploration of epididymis, with or without biopsy ",,,607.0,4830.0,15
RC,360,"Exploration of orbit (transcranial approach), with removal of lesion ",,,1632.0,4953.0,5
RC,360,"Exploration, repair, and presacral drainage for rectal injury; ",,,1632.0,4953.0,5
RC,360,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,1632.0,4953.0,5
RC,360,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1404.42,6446.0,12
RC,360,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,8
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,16336.0,11
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,16336.0,5
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,16336.0,5
RC,360,"Expression of conjunctival follicles (eg, for trachoma) ",,,291.0,2900.0,9
RC,360,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,1632.0,4953.0,5
RC,360,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,1632.0,4953.0,5
RC,360,External cannula declotting (separate procedure); with balloon catheter ,,,1753.0,21331.0,9
RC,360,External cannula declotting (separate procedure); without balloon catheter ,,,511.0,21331.0,9
RC,360,"External cephalic version, with or without tocolysis ",,,1404.42,4830.0,9
RC,360,"External counterpulsation, per treatment session ",,,3131.0,3523.0,2
RC,360,"External drainage, pseudocyst of pancreas, open ",,,472.88,4953.0,7
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,1404.42,8866.0,12
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,1404.42,8069.0,12
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,1142.61,8069.0,15
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1142.61,8866.0,39
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,607.0,4100.0,15
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,291.0,3523.0,15
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,607.0,4100.0,15
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,607.0,4830.0,15
RC,360,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,607.0,1069.0,4
RC,360,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,2760.0,2
RC,360,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,6
RC,360,Fetal contraction stress test ,,,291.0,2900.0,9
RC,360,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,291.0,3523.0,13
RC,360,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,1632.0,4953.0,5
RC,360,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,291.0,2900.0,4
RC,360,Fetal non-stress test ,,,291.0,2900.0,7
RC,360,Fetal scalp blood sampling ,,,291.0,2900.0,9
RC,360,"Fetal shunt placement, including ultrasound guidance ",,,291.0,3523.0,13
RC,360,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,360,Fimbrioplasty ,,,1694.0,6446.0,8
RC,360,Fine needle aspiration of orbital contents ,,,607.0,4830.0,15
RC,360,"Fissurectomy, including sphincterotomy, when performed ",,,870.0,4830.0,15
RC,360,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,4830.0,15
RC,360,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1404.42,6446.0,15
RC,360,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1142.61,6446.0,15
RC,360,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1142.61,6446.0,15
RC,360,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1404.42,6446.0,15
RC,360,Fitting and insertion of pessary or other intravaginal support device ,,,291.0,2900.0,9
RC,360,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,15
RC,360,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,8866.0,3
RC,360,"Follicle puncture for oocyte retrieval, any method ",,,511.0,3523.0,15
RC,360,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,291.0,3523.0,15
RC,360,Free jejunum transfer with microvascular anastomosis ,,,1632.0,4953.0,5
RC,360,Free omental flap with microvascular anastomosis ,,,1632.0,4953.0,5
RC,360,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,870.0,6801.0,15
RC,360,Frenulotomy of penis ,,,870.0,4830.0,15
RC,360,GLAUCOMA SURGERY ,,,2552.0,2760.0,2
RC,360,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,291.0,3523.0,15
RC,360,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,1632.0,4953.0,5
RC,360,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,1632.0,4953.0,5
RC,360,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,1632.0,4953.0,5
RC,360,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,1632.0,4953.0,5
RC,360,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,1632.0,4953.0,5
RC,360,"Gastrectomy, total; with esophagoenterostomy ",,,1632.0,4953.0,5
RC,360,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,1632.0,4953.0,5
RC,360,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,291.0,3523.0,13
RC,360,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,291.0,3523.0,13
RC,360,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,291.0,3523.0,13
RC,360,Gastric motility (manometric) studies ,,,291.0,2900.0,8
RC,360,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,1632.0,4953.0,4
RC,360,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,3
RC,360,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,870.0,5958.0,13
RC,360,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,607.0,4100.0,13
RC,360,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,607.0,5958.0,13
RC,360,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,1632.0,9431.0,7
RC,360,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,1632.0,4953.0,4
RC,360,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,1632.0,4953.0,4
RC,360,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2259.0,6801.0,4
RC,360,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,1632.0,4953.0,4
RC,360,Gastroduodenostomy ,,,1632.0,4953.0,5
RC,360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,1632.0,4953.0,5
RC,360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,360,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,769.0,4100.0,4
RC,360,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,769.0,4100.0,4
RC,360,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,4
RC,360,"Gastrojejunostomy; with vagotomy, any type ",,,1632.0,4953.0,5
RC,360,Gastrojejunostomy; without vagotomy ,,,1632.0,4953.0,5
RC,360,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,1694.0,5958.0,7
RC,360,"Gastrostomy, open; neonatal, for feeding ",,,742.8,4100.0,7
RC,360,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,1632.0,4953.0,5
RC,360,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1142.61,4830.0,7
RC,360,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,742.8,4100.0,7
RC,360,Gastrotomy; with exploration or foreign body removal ,,,1632.0,4953.0,5
RC,360,Gastrotomy; with suture repair of bleeding ulcer ,,,1632.0,4953.0,5
RC,360,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,1632.0,4953.0,5
RC,360,"Gingivectomy, excision gingiva, each quadrant ",,,607.0,4830.0,13
RC,360,"Gingivoplasty, each quadrant (specify) ",,,1404.42,6801.0,7
RC,360,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,1632.0,4953.0,5
RC,360,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,1632.0,4953.0,5
RC,360,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,1632.0,4953.0,5
RC,360,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,1632.0,4953.0,5
RC,360,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,1632.0,4953.0,5
RC,360,Glossectomy; hemiglossectomy ,,,1632.0,4953.0,5
RC,360,Glossectomy; less than one-half tongue ,,,1753.0,6801.0,15
RC,360,"Glossectomy; partial, with unilateral radical neck dissection ",,,1632.0,4830.0,5
RC,360,Goniotomy ,,,607.0,4830.0,15
RC,360,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,1257.0,6446.0,15
RC,360,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,360,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,360,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,3
RC,360,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,3
RC,360,HFenestration semicircular canal ,,,3026.0,3273.0,2
RC,360,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,27220.0,36293.0,3
RC,360,HRevision fenestration operation ,,,3026.0,3273.0,2
RC,360,"Harvesting conjunctival allograft, living donor ",,,870.0,4830.0,15
RC,360,Hematopoietic progenitor cell (HPC); HPC boost ,,,607.0,4100.0,13
RC,360,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,1876.0,6801.0,11
RC,360,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,769.0,6446.0,11
RC,360,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,1257.0,6446.0,15
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,1257.0,6446.0,15
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,1404.42,6446.0,15
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,1404.42,6446.0,15
RC,360,"Hemorrhoidectomy, internal and external, single column/group; ",,,1257.0,6446.0,15
RC,360,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,1257.0,6446.0,15
RC,360,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,1257.0,6446.0,15
RC,360,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,870.0,4830.0,15
RC,360,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,870.0,4830.0,11
RC,360,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,511.0,3523.0,13
RC,360,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,1404.42,7161.0,12
RC,360,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,1404.42,10746.0,15
RC,360,"Hepatectomy, resection of liver; partial lobectomy ",,,1632.0,4953.0,5
RC,360,"Hepatectomy, resection of liver; total left lobectomy ",,,1632.0,4953.0,5
RC,360,"Hepatectomy, resection of liver; total right lobectomy ",,,1632.0,4953.0,5
RC,360,"Hepatectomy, resection of liver; trisegmentectomy ",,,1632.0,4953.0,5
RC,360,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,1632.0,4953.0,5
RC,360,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,1632.0,4953.0,5
RC,360,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,360,"Hymenotomy, simple incision ",,,607.0,4830.0,15
RC,360,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,1632.0,4953.0,5
RC,360,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,1632.0,10746.0,9
RC,360,Hysterorrhaphy of ruptured uterus ,,,1632.0,3435.0,2
RC,360,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1632.0,6446.0,9
RC,360,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,4830.0,13
RC,360,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,6801.0,13
RC,360,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,6446.0,13
RC,360,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.31,6446.0,13
RC,360,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,4830.0,13
RC,360,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,6446.0,13
RC,360,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,6446.0,13
RC,360,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,6446.0,13
RC,360,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,1603.31,4830.0,9
RC,360,ILEOSCOPY W/STENT ,,,4238.0,4584.0,2
RC,360,IMPLANT NEUROELECTRODES ,,,988.0,1069.0,4
RC,360,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,3723.0,5078.0,4
RC,360,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,360,INCISE INNER EAR ,,,4526.0,4895.0,2
RC,360,INCISION OF HYMEN ,,,988.0,1069.0,2
RC,360,INJ PARAVERTEBRAL C/T ,,,988.0,1069.0,2
RC,360,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,1069.0,2
RC,360,INJ PARAVERTEBRAL L/S ,,,988.0,1069.0,2
RC,360,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,1069.0,2
RC,360,INJECT SPINE CERV/THORACIC ,,,988.0,1069.0,2
RC,360,INJECT SPINE LUMBAR/SACRAL ,,,988.0,1069.0,2
RC,360,INJECT SPINE W/CATH CRV/THRC ,,,988.0,1069.0,2
RC,360,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,1069.0,2
RC,360,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,827.0,2
RC,360,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,827.0,2
RC,360,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,827.0,2
RC,360,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,1069.0,4
RC,360,"INSERT ABDOM DRAIN, TEMP ",,,988.0,1069.0,2
RC,360,INSERT BILE DUCT DRAIN ,,,4238.0,4584.0,2
RC,360,INSERT CATHETER BILE DUCT ,,,1560.0,1687.0,2
RC,360,INSERT KIDNEY DRAIN ,,,988.0,1069.0,2
RC,360,INSERT URETERAL TUBE ,,,988.0,1069.0,2
RC,360,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,1069.0,4
RC,360,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,360,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,360,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,360,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,607.0,4320.0,13
RC,360,"Ileostomy or jejunostomy, non-tube ",,,1632.0,4953.0,5
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,769.0,8866.0,13
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,769.0,6446.0,13
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,769.0,8866.0,13
RC,360,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,6801.0,4
RC,360,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,5958.0,4
RC,360,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,1632.0,4953.0,5
RC,360,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,360,Implantation of intrastromal corneal ring segments ,,,1404.42,6801.0,11
RC,360,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6801.0,15
RC,360,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,1632.0,6801.0,7
RC,360,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,13472.0,5
RC,360,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,291.0,2900.0,10
RC,360,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,26596.0,15
RC,360,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,26596.0,15
RC,360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,26596.0,15
RC,360,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6801.0,10
RC,360,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,1632.0,4953.0,5
RC,360,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2179.0,9431.0,10
RC,360,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2179.0,9431.0,10
RC,360,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2179.0,13472.0,13
RC,360,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,9431.0,13
RC,360,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,6801.0,15
RC,360,Incision and drainage abscess; peritonsillar ,,,291.0,3523.0,15
RC,360,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,870.0,6801.0,15
RC,360,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,607.0,4100.0,15
RC,360,Incision and drainage of Bartholin's gland abscess ,,,291.0,3523.0,13
RC,360,"Incision and drainage of appendiceal abscess, open ",,,1632.0,4953.0,5
RC,360,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,769.0,4100.0,15
RC,360,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,4830.0,15
RC,360,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,870.0,4830.0,15
RC,360,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,769.0,6446.0,15
RC,360,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,769.0,4100.0,15
RC,360,"Incision and drainage of penis, deep ",,,769.0,6446.0,15
RC,360,"Incision and drainage of submucosal abscess, rectum ",,,769.0,4100.0,15
RC,360,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,4100.0,15
RC,360,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,4830.0,15
RC,360,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,769.0,4100.0,11
RC,360,Incision and drainage of vulva or perineal abscess ,,,291.0,3979.0,13
RC,360,"Incision and drainage, perianal abscess, superficial ",,,511.0,3523.0,15
RC,360,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,360,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,4953.0,9
RC,360,"Incision of conjunctiva, drainage of cyst ",,,769.0,4100.0,11
RC,360,Incision of labial frenum (frenotomy) ,,,291.0,2900.0,13
RC,360,Incision of lingual frenum (frenotomy) ,,,607.0,4100.0,15
RC,360,"Incision of thrombosed hemorrhoid, external ",,,291.0,3523.0,11
RC,360,"Incision, anal septum (infant) ",,,607.0,4100.0,11
RC,360,"Incision, drainage of lacrimal gland ",,,607.0,4100.0,13
RC,360,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,511.0,5115.0,13
RC,360,Incisional biopsy of eyelid skin including lid margin ,,,291.0,3523.0,13
RC,360,Indexing for osteotomy ,,,3715.0,4953.0,3
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,4953.0,11
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,4953.0,11
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,4953.0,9
RC,360,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,1632.0,4953.0,5
RC,360,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,769.0,4953.0,18
RC,360,"Induced abortion, by dilation and curettage ",,,1404.42,6446.0,15
RC,360,"Induced abortion, by dilation and evacuation ",,,1404.42,6446.0,15
RC,360,Induction of arrhythmia by electrical pacing ,,,769.0,21155.0,4
RC,360,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,1632.0,4953.0,5
RC,360,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,1632.0,4953.0,5
RC,360,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,870.0,4830.0,15
RC,360,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,1632.0,14425.0,7
RC,360,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,4
RC,360,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,291.0,2900.0,8
RC,360,Injection of contrast medium for dacryocystography ,,,291.0,2900.0,8
RC,360,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,291.0,2900.0,9
RC,360,Injection of medication or other substance into Tenon's capsule ,,,291.0,3523.0,13
RC,360,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,769.0,8866.0,14
RC,360,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,769.0,8866.0,14
RC,360,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,291.0,2900.0,13
RC,360,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,291.0,2900.0,13
RC,360,"Injection of sclerosing solution, hemorrhoids ",,,511.0,3250.0,7
RC,360,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,4830.0,15
RC,360,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,291.0,2900.0,8
RC,360,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,291.0,2900.0,4
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,360,Injection procedure for Peyronie disease; ,,,291.0,3523.0,9
RC,360,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,15
RC,360,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,511.0,3979.0,26
RC,360,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,4830.0,13
RC,360,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,607.0,8866.0,26
RC,360,Injection procedure for corpora cavernosography ,,,291.0,2900.0,8
RC,360,Injection procedure for cystography or voiding urethrocystography ,,,291.0,2900.0,4
RC,360,"Injection procedure for discography, each level; cervical or thoracic ",,,291.0,2900.0,8
RC,360,"Injection procedure for discography, each level; lumbar ",,,291.0,2900.0,8
RC,360,Injection procedure for extremity venography (including introduction of needle or intracatheter) ,,,291.0,2900.0,8
RC,360,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,360,"Injection procedure for myelography and/or computed tomography, lumbar ",,,291.0,2900.0,8
RC,360,Injection procedure for retrograde urethrocystography ,,,291.0,2900.0,4
RC,360,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,8
RC,360,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3523.0,15
RC,360,Injection procedure for sialography ,,,291.0,2900.0,8
RC,360,Injection procedure for splenoportography ,,,291.0,2900.0,8
RC,360,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,8
RC,360,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,291.0,2900.0,8
RC,360,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,511.0,6446.0,15
RC,360,Injection procedure; lymphangiography ,,,291.0,2900.0,8
RC,360,Injection procedure; radioactive tracer for identification of sentinel node ,,,291.0,3523.0,13
RC,360,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm ",,,511.0,3523.0,13
RC,360,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,291.0,2900.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,511.0,3523.0,9
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,511.0,3523.0,12
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,291.0,3523.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,511.0,3523.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,511.0,3523.0,15
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,511.0,3523.0,15
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,511.0,3523.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,511.0,3523.0,12
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,511.0,3523.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,511.0,3523.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,291.0,2900.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,511.0,3523.0,15
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,511.0,3523.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,511.0,3523.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,291.0,2900.0,10
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,511.0,3523.0,15
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,291.0,2900.0,10
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,511.0,3523.0,15
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,291.0,3523.0,13
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,291.0,3523.0,13
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,291.0,2900.0,8
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,511.0,3523.0,13
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,291.0,2900.0,8
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,291.0,2900.0,8
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,511.0,3523.0,13
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,291.0,2900.0,8
RC,360,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,52
RC,360,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,52
RC,360,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,511.0,3523.0,15
RC,360,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,511.0,3523.0,15
RC,360,"Injection, anesthetic agent; sphenopalatine ganglion ",,,291.0,3523.0,13
RC,360,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,511.0,3523.0,15
RC,360,"Injection, anesthetic agent; superior hypogastric plexus ",,,511.0,3979.0,15
RC,360,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,4100.0,15
RC,360,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,4100.0,15
RC,360,"Injection, epidural, of blood or clot patch ",,,511.0,3523.0,15
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,511.0,3523.0,15
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,511.0,3523.0,15
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,511.0,3523.0,15
RC,360,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,3250.0,9
RC,360,Insertion of Heyman capsules for clinical brachytherapy ,,,870.0,4830.0,15
RC,360,Insertion of Thomas shunt (separate procedure) ,,,1404.42,21331.0,9
RC,360,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,511.0,3250.0,13
RC,360,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,291.0,3523.0,13
RC,360,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,8866.0,13
RC,360,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,1632.0,21331.0,4
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,1404.42,21331.0,9
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,1753.0,21331.0,9
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,1753.0,21331.0,9
RC,360,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,5115.0,13
RC,360,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,9
RC,360,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,291.0,3523.0,13
RC,360,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1142.61,4830.0,12
RC,360,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,13
RC,360,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,13
RC,360,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,1257.0,28186.0,15
RC,360,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,7
RC,360,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,10732.0,13
RC,360,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,1142.61,6446.0,15
RC,360,Insertion of intrauterine device (IUD) ,,,44.66,2900.0,12
RC,360,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,1257.0,9431.0,11
RC,360,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,291.0,10746.0,10
RC,360,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,27277.0,15
RC,360,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3715.0,10746.0,5
RC,360,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3715.0,10746.0,5
RC,360,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3715.0,10746.0,5
RC,360,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,3523.0,13
RC,360,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,291.0,2900.0,13
RC,360,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,511.0,21331.0,9
RC,360,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,511.0,21331.0,9
RC,360,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,15
RC,360,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,5958.0,15
RC,360,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,15
RC,360,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,27277.0,15
RC,360,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,27277.0,15
RC,360,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1404.42,21331.0,9
RC,360,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1404.42,21331.0,9
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,511.0,21331.0,18
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,511.0,21331.0,9
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,511.0,21331.0,9
RC,360,Insertion of peritoneal-venous shunt ,,,769.0,4100.0,8
RC,360,Insertion of pin-retained palatal prosthesis ,,,769.0,6446.0,13
RC,360,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,5
RC,360,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,1632.0,4953.0,5
RC,360,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,607.0,4100.0,8
RC,360,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,28186.0,15
RC,360,Insertion of tandem cuff (dual cuff) ,,,870.0,10732.0,13
RC,360,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,291.0,3523.0,13
RC,360,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,291.0,2900.0,13
RC,360,Insertion of testicular prosthesis (separate procedure) ,,,870.0,4830.0,15
RC,360,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1632.0,4953.0,7
RC,360,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2224.34,13472.0,10
RC,360,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,1753.0,21331.0,9
RC,360,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,1753.0,21331.0,9
RC,360,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,1404.42,21331.0,9
RC,360,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1404.42,21331.0,9
RC,360,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1404.42,21331.0,9
RC,360,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,1404.42,21331.0,9
RC,360,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,1753.0,21331.0,9
RC,360,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,870.0,8866.0,13
RC,360,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,870.0,5958.0,15
RC,360,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,870.0,9431.0,15
RC,360,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,511.0,16336.0,15
RC,360,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,4953.0,5
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,36293.0,13
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,36293.0,13
RC,360,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,291.0,3435.0,7
RC,360,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,13472.0,7
RC,360,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,36293.0,13
RC,360,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,36293.0,13
RC,360,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,8866.0,8
RC,360,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,291.0,3523.0,13
RC,360,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,1632.0,4953.0,5
RC,360,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,1632.0,4953.0,5
RC,360,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,291.0,2900.0,10
RC,360,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,291.0,2900.0,4
RC,360,Intersex surgery; female to male ,,,1404.42,3435.0,5
RC,360,Intersex surgery; male to female ,,,1603.31,3435.0,5
RC,360,Intestinal allotransplantation; from cadaver donor ,,,1632.0,4953.0,5
RC,360,Intestinal allotransplantation; from living donor ,,,1632.0,4953.0,5
RC,360,Intestinal plication (separate procedure) ,,,1632.0,4953.0,5
RC,360,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,1632.0,4953.0,5
RC,360,Intra-atrial pacing ,,,769.0,21155.0,4
RC,360,Intra-atrial recording ,,,769.0,21155.0,4
RC,360,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,291.0,21155.0,4
RC,360,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,1142.61,8069.0,15
RC,360,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,291.0,36635.0,6
RC,360,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,1753.0,36635.0,7
RC,360,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,360,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,360,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,360,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,4
RC,360,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,4
RC,360,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,6
RC,360,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,5
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,291.0,3523.0,13
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,291.0,3523.0,15
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,607.0,4100.0,15
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,291.0,3523.0,15
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,607.0,4100.0,15
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,607.0,4100.0,15
RC,360,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,291.0,2900.0,8
RC,360,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,1632.0,3435.0,7
RC,360,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,1632.0,3435.0,7
RC,360,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,291.0,2900.0,8
RC,360,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,291.0,2900.0,8
RC,360,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,291.0,21155.0,4
RC,360,Intraventricular pacing ,,,769.0,21155.0,4
RC,360,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,291.0,3523.0,13
RC,360,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,291.0,3523.0,11
RC,360,"Introduction of catheter, aorta ",,,291.0,2900.0,8
RC,360,"Introduction of catheter, right heart or main pulmonary artery ",,,291.0,2900.0,8
RC,360,"Introduction of catheter, superior or inferior vena cava ",,,291.0,2900.0,8
RC,360,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,742.8,4100.0,9
RC,360,"Introduction of needle or intracatheter, aortic, translumbar ",,,291.0,2900.0,8
RC,360,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,291.0,2900.0,8
RC,360,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,291.0,2900.0,8
RC,360,"Introduction of needle or intracatheter, vein ",,,291.0,3435.0,5
RC,360,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,607.0,13472.0,33
RC,360,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,15
RC,360,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1142.61,6446.0,15
RC,360,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,360,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,360,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1142.61,6801.0,15
RC,360,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,511.0,3523.0,13
RC,360,Iridotomy by stab incision (separate procedure); except transfixion ,,,291.0,3523.0,15
RC,360,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,4100.0,15
RC,360,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,511.0,3523.0,13
RC,360,Irrigation of corpora cavernosa for priapism ,,,291.0,3523.0,15
RC,360,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,291.0,2900.0,9
RC,360,Keratomileusis ,,,911.0,10746.0,10
RC,360,Keratophakia ,,,911.0,10746.0,10
RC,360,Keratoplasty (corneal transplant); anterior lamellar ,,,1404.42,10746.0,15
RC,360,Keratoplasty (corneal transplant); endothelial ,,,1404.42,10746.0,13
RC,360,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1404.42,10746.0,15
RC,360,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1404.42,10746.0,15
RC,360,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1404.42,10746.0,15
RC,360,Keratoprosthesis ,,,1753.0,10746.0,13
RC,360,LAPARO W/CHOLANGIO/BIOPSY ,,,2302.0,2490.0,2
RC,360,LAPAROSCOPY W/CHOLANGIO ,,,2302.0,2490.0,2
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,360,LESION REMOVAL COLONOSCOPY ,,,1560.0,1687.0,2
RC,360,Labyrinthectomy; transcanal ,,,1753.0,10746.0,15
RC,360,Labyrinthectomy; with mastoidectomy ,,,1753.0,10746.0,15
RC,360,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,769.0,6446.0,15
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7058.0,13472.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,1632.0,8866.0,7
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7058.0,13472.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,1632.0,8866.0,7
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,1632.0,8866.0,7
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,1632.0,8866.0,7
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7058.0,13472.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,1632.0,8866.0,7
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,1632.0,8866.0,7
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,1632.0,8866.0,7
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7058.0,13472.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,1632.0,8866.0,7
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,1632.0,8866.0,7
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2179.0,13472.0,9
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,1632.0,8866.0,7
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,1632.0,8866.0,7
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1753.0,9431.0,14
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,1632.0,8866.0,11
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,1753.0,9431.0,12
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,1753.0,9431.0,12
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,1632.0,8866.0,7
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,1632.0,8866.0,7
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7058.0,13472.0,6
RC,360,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,36293.0,11
RC,360,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,1632.0,8866.0,7
RC,360,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,1632.0,8866.0,7
RC,360,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,1632.0,8866.0,7
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1753.0,9431.0,13
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1753.0,9431.0,13
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,9431.0,13
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,360,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,1632.0,8866.0,7
RC,360,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1753.0,9431.0,13
RC,360,Laminectomy with rhizotomy; 1 or 2 segments ,,,7058.0,13472.0,6
RC,360,Laminectomy with rhizotomy; more than 2 segments ,,,7058.0,13472.0,6
RC,360,Laminectomy with section of spinal accessory nerve ,,,7058.0,13472.0,6
RC,360,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,291.0,9431.0,49
RC,360,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,291.0,8866.0,18
RC,360,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7058.0,13472.0,6
RC,360,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,1632.0,4953.0,5
RC,360,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,1632.0,4953.0,5
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,11
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1753.0,9431.0,13
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1694.0,8866.0,16
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1753.0,9431.0,13
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,9431.0,13
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,291.0,8866.0,10
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1632.0,4953.0,7
RC,360,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,360,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,360,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1257.0,6801.0,11
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2224.34,13472.0,9
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,1632.0,9431.0,7
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,1632.0,9431.0,7
RC,360,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2224.34,9431.0,10
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,1471.0,13472.0,9
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,1471.0,13472.0,9
RC,360,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,9431.0,11
RC,360,"Laparoscopy, surgical, appendectomy ",,,1257.0,9431.0,9
RC,360,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,1257.0,4953.0,7
RC,360,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,1257.0,4953.0,7
RC,360,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,9431.0,11
RC,360,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,1257.0,9431.0,11
RC,360,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,360,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1876.0,9431.0,11
RC,360,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1876.0,9431.0,9
RC,360,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,1753.0,9431.0,7
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2224.34,9431.0,7
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2224.34,20231.0,8
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,1753.0,20231.0,8
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,1404.42,20231.0,8
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,1404.42,20231.0,8
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,1694.0,20231.0,5
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2179.0,9431.0,7
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2540.0,9431.0,4
RC,360,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,1257.0,4953.0,7
RC,360,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1753.0,8866.0,15
RC,360,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2224.34,10746.0,15
RC,360,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,2224.34,9431.0,7
RC,360,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1876.0,9431.0,9
RC,360,"Laparoscopy, surgical, splenectomy ",,,1876.0,9431.0,9
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1694.0,9400.0,7
RC,360,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,6801.0,9
RC,360,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1753.0,9431.0,13
RC,360,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2224.34,9400.0,9
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical; ablation of renal cysts ",,,1753.0,6801.0,9
RC,360,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2224.34,13472.0,9
RC,360,"Laparoscopy, surgical; cholecystectomy ",,,1753.0,9431.0,9
RC,360,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1753.0,9431.0,9
RC,360,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1753.0,9431.0,9
RC,360,"Laparoscopy, surgical; cholecystoenterostomy ",,,1632.0,5078.0,7
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,2259.0,6801.0,4
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,1632.0,4953.0,5
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,1632.0,4953.0,5
RC,360,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1632.0,4953.0,5
RC,360,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1632.0,4953.0,5
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,1632.0,4953.0,5
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,1632.0,4953.0,5
RC,360,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1632.0,4953.0,7
RC,360,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,2259.0,6801.0,4
RC,360,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1876.0,6801.0,6
RC,360,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,1257.0,4953.0,7
RC,360,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,1257.0,13472.0,11
RC,360,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1632.0,4953.0,7
RC,360,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1632.0,4953.0,7
RC,360,"Laparoscopy, surgical; orchiectomy ",,,1753.0,9431.0,13
RC,360,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; partial nephrectomy ",,,2224.34,9431.0,9
RC,360,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,1257.0,4953.0,7
RC,360,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,1257.0,4953.0,7
RC,360,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,1257.0,5958.0,7
RC,360,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,1257.0,4953.0,7
RC,360,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,9431.0,9
RC,360,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1632.0,4953.0,8
RC,360,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1471.0,9431.0,11
RC,360,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1753.0,9431.0,13
RC,360,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,1257.0,8866.0,11
RC,360,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1753.0,10732.0,11
RC,360,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1753.0,9431.0,9
RC,360,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1753.0,9431.0,9
RC,360,"Laparoscopy, surgical; ureterolithotomy ",,,1753.0,9431.0,9
RC,360,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,9431.0,11
RC,360,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1471.0,6801.0,11
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,2224.34,9431.0,11
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,2224.34,9431.0,11
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2174.0,9431.0,12
RC,360,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1471.0,6801.0,11
RC,360,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1257.0,6801.0,9
RC,360,"Laparoscopy, surgical; with fimbrioplasty ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,9431.0,11
RC,360,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1471.0,6801.0,9
RC,360,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,9431.0,11
RC,360,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,6
RC,360,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,291.0,2900.0,6
RC,360,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1753.0,9431.0,11
RC,360,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1471.0,6801.0,9
RC,360,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1753.0,9431.0,11
RC,360,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2540.0,10746.0,8
RC,360,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,769.0,4100.0,4
RC,360,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1603.31,8866.0,10
RC,360,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1603.31,8866.0,13
RC,360,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,1632.0,4953.0,5
RC,360,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,1632.0,4953.0,5
RC,360,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1603.31,8866.0,15
RC,360,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,291.0,9813.0,4
RC,360,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,6801.0,7
RC,360,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,360,"Lengthening of palate, and pharyngeal flap ",,,1753.0,6801.0,15
RC,360,"Lengthening of palate, with island flap ",,,1753.0,6801.0,7
RC,360,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1257.0,6446.0,15
RC,360,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,870.0,5958.0,15
RC,360,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,511.0,6446.0,15
RC,360,Ligation of common iliac vein ,,,1632.0,4953.0,5
RC,360,Ligation of femoral vein ,,,870.0,5958.0,15
RC,360,Ligation of inferior vena cava ,,,1257.0,9431.0,11
RC,360,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,511.0,6446.0,11
RC,360,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1257.0,6446.0,15
RC,360,Ligation of peritoneal-venous shunt ,,,769.0,4100.0,4
RC,360,Ligation or banding of angioaccess arteriovenous fistula ,,,1257.0,6446.0,15
RC,360,"Ligation or biopsy, temporal artery ",,,769.0,4100.0,15
RC,360,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,1632.0,4953.0,5
RC,360,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,4953.0,9
RC,360,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,769.0,4100.0,8
RC,360,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,5115.0,13
RC,360,"Ligation salivary duct, intraoral ",,,1404.42,10746.0,15
RC,360,"Ligation, direct, esophageal varices ",,,2540.0,9431.0,4
RC,360,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1257.0,6446.0,15
RC,360,"Ligation, division, and stripping, short saphenous vein ",,,1257.0,6446.0,15
RC,360,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1257.0,6446.0,15
RC,360,"Ligation, internal jugular vein ",,,511.0,3250.0,7
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,1404.42,5958.0,8
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,1632.0,4953.0,5
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,1603.31,4953.0,8
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,511.0,3250.0,7
RC,360,Ligation; external carotid artery ,,,1404.42,5958.0,7
RC,360,Ligation; internal or common carotid artery ,,,1404.42,5958.0,7
RC,360,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,1404.42,5958.0,7
RC,360,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2224.34,9431.0,8
RC,360,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,1632.0,4953.0,5
RC,360,Limited pharyngectomy ,,,1753.0,10746.0,15
RC,360,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,360,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,4830.0,15
RC,360,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,4830.0,15
RC,360,"Lithotripsy, extracorporeal shock wave ",,,1404.42,9431.0,7
RC,360,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,1632.0,4953.0,5
RC,360,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,1404.42,8866.0,12
RC,360,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,360,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,360,Lymphangiotomy or other operations on lymphatic channels ,,,870.0,4830.0,15
RC,360,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1632.0,6446.0,8
RC,360,Lysis of labial adhesions ,,,607.0,4830.0,15
RC,360,Lysis or excision of penile post-circumcision adhesions ,,,870.0,4830.0,15
RC,360,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,1632.0,13472.0,7
RC,360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,1632.0,4953.0,5
RC,360,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,1632.0,4953.0,5
RC,360,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,1632.0,4953.0,5
RC,360,Management of liver hemorrhage; simple suture of liver wound or injury ,,,1632.0,4953.0,5
RC,360,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,1632.0,3435.0,2
RC,360,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,511.0,3523.0,15
RC,360,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,9
RC,360,Marsupialization of Bartholin's gland cyst ,,,870.0,4830.0,15
RC,360,Marsupialization of cyst or abscess of liver ,,,1632.0,4953.0,5
RC,360,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,3
RC,360,Marsupialization of pancreatic cyst ,,,1632.0,4953.0,5
RC,360,Marsupialization of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,15
RC,360,"Marsupialization of urethral diverticulum, male or female ",,,870.0,5958.0,15
RC,360,Mastoid obliteration (separate procedure) ,,,1257.0,6801.0,15
RC,360,Mastoidectomy; complete ,,,1632.0,10746.0,15
RC,360,Mastoidectomy; modified radical ,,,1753.0,10746.0,15
RC,360,Mastoidectomy; radical ,,,1753.0,10746.0,15
RC,360,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,3
RC,360,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,3
RC,360,Maxillary impression for palatal prosthesis ,,,291.0,2900.0,13
RC,360,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,291.0,2900.0,9
RC,360,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,4830.0,15
RC,360,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,4830.0,11
RC,360,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,511.0,21331.0,9
RC,360,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,607.0,4100.0,13
RC,360,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,1404.42,21331.0,9
RC,360,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,1257.0,6801.0,11
RC,360,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,1257.0,6801.0,11
RC,360,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,1632.0,4953.0,5
RC,360,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,1632.0,4953.0,5
RC,360,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,15
RC,360,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,1632.0,4953.0,5
RC,360,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,1142.61,5115.0,9
RC,360,Multifetal pregnancy reduction(s) (MPR) ,,,291.0,3523.0,9
RC,360,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,4830.0,11
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,511.0,4320.0,13
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,511.0,4320.0,13
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,511.0,4320.0,13
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,511.0,4320.0,13
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,1694.0,10746.0,11
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1404.42,6446.0,15
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,1694.0,5958.0,7
RC,360,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,4830.0,13
RC,360,Myringotomy including aspiration and/or eustachian tube inflation ,,,291.0,6446.0,13
RC,360,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,769.0,6446.0,15
RC,360,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,360,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,2
RC,360,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,360,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,3
RC,360,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,291.0,2900.0,13
RC,360,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,360,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1753.0,8866.0,12
RC,360,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1753.0,8866.0,12
RC,360,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,291.0,3523.0,15
RC,360,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,1632.0,4953.0,5
RC,360,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,1632.0,4953.0,5
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,1632.0,4953.0,5
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,1632.0,4953.0,5
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,1632.0,4953.0,5
RC,360,"Nephrectomy, partial ",,,1632.0,4953.0,5
RC,360,Nephrolithotomy; complicated by congenital kidney abnormality ,,,1632.0,4953.0,5
RC,360,Nephrolithotomy; removal of calculus ,,,1632.0,4953.0,5
RC,360,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,1632.0,4953.0,5
RC,360,Nephrolithotomy; secondary surgical operation for calculus ,,,1632.0,4953.0,5
RC,360,"Nephrorrhaphy, suture of kidney wound or injury ",,,1632.0,4953.0,5
RC,360,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,8
RC,360,"Nephrotomy, with exploration ",,,1632.0,4953.0,5
RC,360,Nerve dissection ,,,3715.0,4953.0,3
RC,360,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,6801.0,15
RC,360,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,6801.0,15
RC,360,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,360,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,360,Nerve pedicle transfer; first stage ,,,870.0,6801.0,15
RC,360,Nerve pedicle transfer; second stage ,,,607.0,6801.0,15
RC,360,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,6801.0,13
RC,360,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,291.0,3435.0,9
RC,360,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,6801.0,12
RC,360,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,6801.0,13
RC,360,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,1632.0,4953.0,5
RC,360,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,360,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,1632.0,4953.0,5
RC,360,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,360,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1142.61,6446.0,15
RC,360,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,4830.0,15
RC,360,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,4830.0,15
RC,360,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,4830.0,15
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,4830.0,15
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,4830.0,15
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,4830.0,15
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,4830.0,15
RC,360,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,4830.0,15
RC,360,Neuroplasty; nerve of hand or foot ,,,607.0,4830.0,15
RC,360,Nocturnal penile tumescence and/or rigidity test ,,,291.0,2900.0,13
RC,360,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,7
RC,360,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,870.0,5958.0,11
RC,360,OPERATIVE UPPER GI ENDOSCOPY ,,,2302.0,2490.0,2
RC,360,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,1632.0,4953.0,5
RC,360,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,11
RC,360,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1404.42,6446.0,15
RC,360,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,360,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1404.42,6801.0,15
RC,360,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,1632.0,4953.0,5
RC,360,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,1632.0,6801.0,5
RC,360,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,1404.42,6446.0,10
RC,360,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1694.0,6446.0,8
RC,360,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,1694.0,5958.0,4
RC,360,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,5
RC,360,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,36293.0,11
RC,360,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,5
RC,360,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,18085.0,10
RC,360,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,5
RC,360,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,36293.0,13
RC,360,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,15
RC,360,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,13472.0,13
RC,360,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,9
RC,360,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,9
RC,360,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,9
RC,360,"Operculectomy, excision pericoronal tissues ",,,607.0,4100.0,13
RC,360,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,1632.0,4830.0,4
RC,360,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,1632.0,4830.0,4
RC,360,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1404.42,6446.0,15
RC,360,Orbital implant (implant outside muscle cone); insertion ,,,1404.42,6446.0,15
RC,360,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,5958.0,15
RC,360,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,1632.0,4953.0,5
RC,360,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,1632.0,4953.0,5
RC,360,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,1632.0,4953.0,5
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1404.42,6446.0,15
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1404.42,6446.0,15
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1404.42,6446.0,15
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1404.42,6446.0,15
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1404.42,6446.0,15
RC,360,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,15
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1142.61,6446.0,15
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1404.42,6446.0,11
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1142.61,6446.0,15
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1142.61,6446.0,15
RC,360,"Orchiectomy, partial ",,,1257.0,6446.0,15
RC,360,"Orchiectomy, radical, for tumor; inguinal approach ",,,1404.42,6446.0,15
RC,360,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,1404.42,5958.0,7
RC,360,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,15
RC,360,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1404.42,6446.0,11
RC,360,"Orchiopexy, inguinal or scrotal approach ",,,1404.42,6446.0,15
RC,360,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,1632.0,8866.0,7
RC,360,"Other cranial decompression, posterior fossa ",,,1632.0,4953.0,5
RC,360,Otolaryngologic examination under general anesthesia ,,,291.0,2900.0,4
RC,360,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,15
RC,360,"Ovarian cystectomy, unilateral or bilateral ",,,1603.31,6446.0,11
RC,360,PAROTID DUCT DIVERSION ,,,2552.0,2760.0,2
RC,360,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,2
RC,360,PLACE GASTROSTOMY TUBE ,,,1560.0,1687.0,2
RC,360,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,1687.0,2
RC,360,"PROSTATECTOMY, SECOND STAGE ",,,988.0,1069.0,2
RC,360,PUNCTURE PERITONEAL CAVITY ,,,1560.0,1687.0,2
RC,360,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,1632.0,6446.0,15
RC,360,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,1753.0,6801.0,15
RC,360,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,1404.42,6801.0,15
RC,360,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,1753.0,6801.0,15
RC,360,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,1753.0,6801.0,13
RC,360,Palatoplasty for cleft palate; major revision ,,,1753.0,10746.0,15
RC,360,Palatoplasty for cleft palate; secondary lengthening procedure ,,,1753.0,6801.0,15
RC,360,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,1632.0,4953.0,5
RC,360,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,1632.0,4953.0,5
RC,360,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,1632.0,4953.0,5
RC,360,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,5
RC,360,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,5
RC,360,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,5
RC,360,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,5
RC,360,"Pancreatectomy, total ",,,1632.0,4953.0,5
RC,360,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,1632.0,4953.0,5
RC,360,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,1632.0,4953.0,5
RC,360,Pancreatorrhaphy for injury ,,,1632.0,4953.0,5
RC,360,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,291.0,3523.0,15
RC,360,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,4830.0,15
RC,360,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1142.61,6446.0,15
RC,360,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,291.0,6446.0,8
RC,360,Parathyroidectomy or exploration of parathyroid(s); ,,,1753.0,10746.0,11
RC,360,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,1753.0,10746.0,13
RC,360,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,1632.0,4953.0,5
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,9431.0,13
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1603.31,6801.0,11
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,8866.0,13
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,291.0,2900.0,8
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,1257.0,6801.0,15
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,1471.0,6801.0,15
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,1404.42,6801.0,15
RC,360,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,1632.0,4953.0,5
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,1632.0,4953.0,5
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,1632.0,4953.0,5
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,360,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,1632.0,4953.0,5
RC,360,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,360,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,291.0,3523.0,14
RC,360,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,3
RC,360,Partial hymenectomy or revision of hymenal ring ,,,607.0,4830.0,15
RC,360,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,9431.0,11
RC,360,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,9431.0,11
RC,360,Pelvic examination under anesthesia (other than local) ,,,870.0,4830.0,15
RC,360,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,1632.0,4953.0,5
RC,360,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1632.0,4953.0,5
RC,360,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,1632.0,4953.0,5
RC,360,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1632.0,4953.0,5
RC,360,Penile plethysmography ,,,291.0,2900.0,13
RC,360,"Penile revascularization, artery, with or without vein graft ",,,1632.0,4953.0,5
RC,360,Penile venous occlusive procedure ,,,1257.0,6446.0,15
RC,360,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,1632.0,6446.0,9
RC,360,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,7058.0,21331.0,6
RC,360,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,7058.0,21331.0,6
RC,360,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,511.0,3523.0,13
RC,360,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,511.0,3523.0,15
RC,360,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,20029.0,7
RC,360,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,20029.0,7
RC,360,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,20029.0,7
RC,360,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,3715.0,7161.0,7
RC,360,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,7161.0,7
RC,360,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1632.0,3435.0,4
RC,360,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,3715.0,4953.0,3
RC,360,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,36293.0,13
RC,360,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,36293.0,13
RC,360,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,11
RC,360,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,36293.0,13
RC,360,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,511.0,3523.0,30
RC,360,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1753.0,6801.0,18
RC,360,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,5
RC,360,Percutaneous portal vein catheterization by any method ,,,291.0,2900.0,8
RC,360,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,8866.0,13
RC,360,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,9
RC,360,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,9
RC,360,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,5278.0,9
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,9
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,9
RC,360,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,11
RC,360,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,27696.0,7
RC,360,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,27696.0,4
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,27040.0,7
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,5
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,2540.0,1
RC,360,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,7
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,9
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,5
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,5
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,3
RC,360,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,1
RC,360,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,9
RC,360,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,1
RC,360,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,27696.0,7
RC,360,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,27696.0,4
RC,360,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,27040.0,7
RC,360,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,2540.0,1
RC,360,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,360,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,360,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,1753.0,21331.0,31
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2224.34,9431.0,13
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3715.0,10746.0,5
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,1404.42,8866.0,13
RC,360,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,2540.0,20029.0,4
RC,360,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,20029.0,7
RC,360,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2540.0,27040.0,4
RC,360,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,20772.0,27696.0,3
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,27696.0,11
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,2540.0,1
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,27040.0,9
RC,360,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,27696.0,11
RC,360,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,27040.0,8
RC,360,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3715.0,6446.0,5
RC,360,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3715.0,6446.0,5
RC,360,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3715.0,6446.0,5
RC,360,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3715.0,6446.0,5
RC,360,"Pereyra procedure, including anterior colporrhaphy ",,,1694.0,6446.0,15
RC,360,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,3
RC,360,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,3
RC,360,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1404.42,6446.0,15
RC,360,Periodontal mucosal grafting ,,,769.0,4100.0,11
RC,360,Perirectal injection of sclerosing solution for prolapse ,,,511.0,3250.0,13
RC,360,"Peritoneal lavage, including imaging guidance, when performed ",,,742.8,4100.0,13
RC,360,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2224.34,13472.0,10
RC,360,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,291.0,3523.0,12
RC,360,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1404.42,4830.0,10
RC,360,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,1632.0,6446.0,10
RC,360,Petrous apicectomy including radical mastoidectomy ,,,1753.0,10746.0,15
RC,360,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,291.0,2900.0,4
RC,360,Pharyngoesophageal repair ,,,1632.0,4953.0,5
RC,360,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,870.0,4830.0,15
RC,360,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,769.0,4100.0,15
RC,360,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,291.0,2900.0,4
RC,360,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,291.0,2900.0,4
RC,360,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,291.0,2900.0,4
RC,360,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,4
RC,360,"Photopheresis, extracorporeal ",,,870.0,6801.0,11
RC,360,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,360,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,4
RC,360,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,870.0,8866.0,13
RC,360,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,291.0,6446.0,10
RC,360,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,5958.0,13
RC,360,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,4100.0,13
RC,360,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,870.0,8866.0,26
RC,360,Placement of choledochal stent ,,,1632.0,4953.0,5
RC,360,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,1632.0,4953.0,5
RC,360,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,1632.0,4953.0,5
RC,360,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,7
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1632.0,4953.0,5
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,607.0,4100.0,13
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,4100.0,13
RC,360,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,3
RC,360,Placement of needle for intraosseous infusion ,,,291.0,21331.0,9
RC,360,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,8866.0,13
RC,360,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,607.0,7161.0,13
RC,360,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,7161.0,13
RC,360,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,7161.0,13
RC,360,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,2900.0,4
RC,360,Placement of seton ,,,1257.0,6446.0,15
RC,360,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,1257.0,9431.0,39
RC,360,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,8866.0,39
RC,360,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,769.0,4100.0,10
RC,360,Plastic operation of penis for injury ,,,1404.42,6446.0,15
RC,360,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6801.0,15
RC,360,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6801.0,15
RC,360,Plastic operation on penis for epispadias distal to external sphincter; ,,,1142.61,6446.0,15
RC,360,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2259.0,6801.0,4
RC,360,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1142.61,6446.0,15
RC,360,Plastic operation on penis to correct angulation ,,,1257.0,6801.0,15
RC,360,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6801.0,15
RC,360,Plastic repair of canaliculi ,,,870.0,4830.0,15
RC,360,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,1257.0,6801.0,11
RC,360,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,1753.0,10746.0,15
RC,360,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,1753.0,10746.0,15
RC,360,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,1404.42,10746.0,15
RC,360,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,1257.0,6801.0,15
RC,360,Plastic repair of introitus ,,,1257.0,6446.0,15
RC,360,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,1257.0,6446.0,15
RC,360,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,1471.0,6801.0,15
RC,360,Plastic repair of urethrocele ,,,1257.0,6446.0,15
RC,360,"Portoenterostomy (eg, Kasai procedure) ",,,1632.0,4953.0,5
RC,360,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.31,6446.0,15
RC,360,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,291.0,3523.0,13
RC,360,Postpartum care only (separate procedure) ,,,607.0,6411.0,8
RC,360,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,607.0,3435.0,6
RC,360,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,360,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,1632.0,4953.0,5
RC,360,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,291.0,9431.0,21
RC,360,"Probing of lacrimal canaliculi, with or without irrigation ",,,291.0,2900.0,13
RC,360,"Probing of nasolacrimal duct, with or without irrigation; ",,,291.0,3523.0,15
RC,360,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,4830.0,15
RC,360,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,4830.0,15
RC,360,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,5115.0,13
RC,360,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,1632.0,4953.0,5
RC,360,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,1632.0,4953.0,5
RC,360,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,1632.0,4953.0,5
RC,360,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,1632.0,4953.0,5
RC,360,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,1632.0,4953.0,5
RC,360,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,1632.0,4953.0,5
RC,360,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,1632.0,4953.0,5
RC,360,"Proctectomy, partial, without anastomosis, perineal approach ",,,2540.0,9431.0,4
RC,360,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,1632.0,4953.0,5
RC,360,"Proctectomy; partial resection of rectum, transabdominal approach ",,,1632.0,4953.0,5
RC,360,"Proctopexy (eg, for prolapse); abdominal approach ",,,1632.0,4953.0,5
RC,360,"Proctopexy (eg, for prolapse); perineal approach ",,,870.0,5958.0,11
RC,360,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,1632.0,4953.0,5
RC,360,Proctoplasty; for prolapse of mucous membrane ,,,870.0,5958.0,15
RC,360,Proctoplasty; for stenosis ,,,870.0,4830.0,15
RC,360,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,511.0,3523.0,13
RC,360,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,607.0,4830.0,15
RC,360,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,360,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,4100.0,15
RC,360,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,607.0,4830.0,15
RC,360,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,4100.0,13
RC,360,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,607.0,4830.0,15
RC,360,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,4100.0,15
RC,360,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,4100.0,15
RC,360,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,4100.0,15
RC,360,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,607.0,5958.0,15
RC,360,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,360,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,291.0,2900.0,13
RC,360,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,511.0,3250.0,11
RC,360,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,1632.0,4953.0,5
RC,360,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,1632.0,4953.0,5
RC,360,"Prostatectomy, perineal radical; ",,,1632.0,4953.0,5
RC,360,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,360,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,360,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,1632.0,4953.0,5
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,1632.0,4953.0,5
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,10746.0,9
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,360,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,4830.0,15
RC,360,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,4830.0,15
RC,360,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,511.0,3250.0,9
RC,360,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,511.0,3523.0,15
RC,360,"Push transfusion, blood, 2 years or younger ",,,291.0,3523.0,13
RC,360,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,1694.0,5958.0,5
RC,360,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,1694.0,5958.0,5
RC,360,"Pyelotomy; with drainage, pyelostomy ",,,1632.0,4953.0,5
RC,360,Pyelotomy; with exploration ,,,1632.0,4953.0,5
RC,360,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,1632.0,4953.0,5
RC,360,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,1632.0,4953.0,5
RC,360,Pyloroplasty ,,,1632.0,4953.0,5
RC,360,REMOVAL OF ABDOMINAL FLUID ,,,1560.0,1687.0,2
RC,360,REMOVAL OF ANAL CRYPT ,,,1560.0,1687.0,2
RC,360,REMOVAL OF ANAL CRYPTS ,,,1560.0,1687.0,2
RC,360,REMOVE ABDOMEN FOREIGN BODY ,,,1560.0,1687.0,2
RC,360,REMOVE BILE DUCT STONE ,,,2302.0,2490.0,2
RC,360,REMOVE RESIDUAL PROSTATE ,,,988.0,1069.0,2
RC,360,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,360,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,1471.0,2760.0,4
RC,360,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1471.0,4584.0,4
RC,360,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,360,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,2490.0,4
RC,360,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1876.0,4584.0,4
RC,360,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,360,REPAIR SPIGELIAN HERNIA ,,,1257.0,2490.0,4
RC,360,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,360,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,1471.0,2760.0,4
RC,360,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,360,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,1471.0,2760.0,4
RC,360,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,360,REREPAIR DETACHED RETINA ,,,4526.0,4895.0,2
RC,360,REVISE/REINSERT BILE TUBE ,,,988.0,1069.0,2
RC,360,REVISE/REMOVE NEUROELECTRODE ,,,988.0,1069.0,2
RC,360,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3723.0,5078.0,4
RC,360,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,360,Radial keratotomy ,,,911.0,10746.0,10
RC,360,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,360,Radical excision external auditory canal lesion; with neck dissection ,,,1632.0,4953.0,5
RC,360,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,15
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,1753.0,6801.0,7
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,1632.0,4953.0,5
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,1632.0,4830.0,7
RC,360,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,4953.0,5
RC,360,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1142.61,7161.0,12
RC,360,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,1632.0,4953.0,5
RC,360,Recipient nephrectomy (separate procedure) ,,,1632.0,4953.0,5
RC,360,"Reconstruction external auditory canal for congenital atresia, single stage ",,,1753.0,10746.0,15
RC,360,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6801.0,15
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1142.61,6446.0,15
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1142.61,6446.0,15
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,15
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1142.61,6446.0,15
RC,360,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,1632.0,4953.0,5
RC,360,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,5
RC,360,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,291.0,1
RC,360,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,1632.0,4953.0,5
RC,360,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,1632.0,4953.0,5
RC,360,Reduction of overcorrection of ptosis ,,,1142.61,6446.0,15
RC,360,Reduction of procidentia (separate procedure) under anesthesia ,,,511.0,3523.0,15
RC,360,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1404.42,6446.0,15
RC,360,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,1632.0,6446.0,9
RC,360,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,291.0,2900.0,4
RC,360,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,291.0,2900.0,4
RC,360,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,5958.0,15
RC,360,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,15
RC,360,Release of encircling material (posterior segment) ,,,870.0,4830.0,13
RC,360,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,1142.61,10746.0,15
RC,360,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,360,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,5115.0,13
RC,360,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,360,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,360,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,27277.0,15
RC,360,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,291.0,27277.0,11
RC,360,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,4100.0,13
RC,360,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,8866.0,7
RC,360,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,16279.0,15
RC,360,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,511.0,3250.0,4
RC,360,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,27277.0,15
RC,360,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,511.0,27277.0,11
RC,360,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,4830.0,15
RC,360,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,4100.0,15
RC,360,Removal foreign body from external auditory canal; without general anesthesia ,,,291.0,2900.0,9
RC,360,"Removal impacted cerumen requiring instrumentation, unilateral ",,,291.0,2900.0,13
RC,360,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,291.0,2900.0,13
RC,360,"Removal of Thiersch wire or suture, anal canal ",,,769.0,4100.0,15
RC,360,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,15
RC,360,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,3
RC,360,"Removal of anal seton, other marker ",,,607.0,4100.0,15
RC,360,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1632.0,5958.0,7
RC,360,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1632.0,5958.0,7
RC,360,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1632.0,5958.0,7
RC,360,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,607.0,4100.0,13
RC,360,"Removal of blood clot, anterior segment of eye ",,,1142.61,6446.0,15
RC,360,Removal of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,360,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,291.0,2900.0,8
RC,360,Removal of cerclage suture under anesthesia (other than local) ,,,1404.42,6446.0,15
RC,360,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,1632.0,4953.0,5
RC,360,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,769.0,4100.0,8
RC,360,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,4830.0,13
RC,360,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,769.0,4100.0,11
RC,360,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,8866.0,13
RC,360,Removal of embedded foreign body from dentoalveolar structures; bone ,,,607.0,4100.0,13
RC,360,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,607.0,4100.0,13
RC,360,"Removal of embedded foreign body, eyelid ",,,291.0,2900.0,13
RC,360,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,291.0,3979.0,13
RC,360,"Removal of embedded foreign body, vestibule of mouth; simple ",,,742.8,4100.0,9
RC,360,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,4830.0,15
RC,360,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1142.61,6446.0,15
RC,360,Removal of esophageal sphincter augmentation device ,,,1471.0,9431.0,11
RC,360,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,607.0,4100.0,15
RC,360,Removal of foreign body from pharynx ,,,291.0,3523.0,13
RC,360,Removal of foreign body in scrotum ,,,870.0,4830.0,15
RC,360,"Removal of foreign body or dacryolith, lacrimal passages ",,,291.0,2900.0,13
RC,360,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,291.0,2900.0,9
RC,360,"Removal of foreign body, external eye; conjunctival superficial ",,,291.0,2900.0,9
RC,360,"Removal of foreign body, external eye; corneal, with slit lamp ",,,291.0,2900.0,9
RC,360,"Removal of foreign body, external eye; corneal, without slit lamp ",,,291.0,2900.0,9
RC,360,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,4830.0,15
RC,360,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,291.0,6446.0,15
RC,360,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1142.61,6446.0,15
RC,360,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,5
RC,360,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1753.0,5958.0,10
RC,360,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,360,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,4
RC,360,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,4830.0,15
RC,360,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,3
RC,360,Removal of implanted intra-arterial infusion pump ,,,607.0,5958.0,15
RC,360,"Removal of implanted material, anterior segment of eye ",,,1142.61,10746.0,15
RC,360,"Removal of implanted material, posterior segment; extraocular ",,,870.0,4830.0,13
RC,360,"Removal of implanted material, posterior segment; intraocular ",,,870.0,5958.0,13
RC,360,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,9431.0,15
RC,360,Removal of intrauterine device (IUD) ,,,291.0,3523.0,13
RC,360,"Removal of lens material; aspiration technique, 1 or more stages ",,,1142.61,6446.0,15
RC,360,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,769.0,6446.0,15
RC,360,Removal of lens material; intracapsular ,,,1142.61,6446.0,15
RC,360,"Removal of lens material; intracapsular, for dislocated lens ",,,1404.42,6446.0,15
RC,360,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1404.42,6801.0,15
RC,360,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,1142.61,10746.0,15
RC,360,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,511.0,3523.0,13
RC,360,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,360,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,15
RC,360,Removal of non-resorbable barrier ,,,3715.0,4953.0,3
RC,360,Removal of ocular implant ,,,607.0,5958.0,15
RC,360,Removal of pancreatic calculus ,,,1632.0,4953.0,5
RC,360,Removal of peritoneal foreign body from peritoneal cavity ,,,870.0,5958.0,15
RC,360,Removal of peritoneal-venous shunt ,,,870.0,5958.0,11
RC,360,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3715.0,10746.0,5
RC,360,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,4830.0,15
RC,360,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1142.61,6446.0,15
RC,360,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1694.0,8866.0,9
RC,360,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,360,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,360,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,5958.0,15
RC,360,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,3
RC,360,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,3
RC,360,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,3
RC,360,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,291.0,3435.0,7
RC,360,"Removal of transplanted intestinal allograft, complete ",,,1632.0,4953.0,5
RC,360,Removal of transplanted pancreatic allograft ,,,1632.0,3435.0,2
RC,360,Removal of transplanted renal allograft ,,,1632.0,4953.0,5
RC,360,"Removal of tumor, temporal bone ",,,1471.0,6801.0,11
RC,360,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,769.0,21331.0,9
RC,360,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,511.0,21331.0,9
RC,360,Removal of tunneled intraperitoneal catheter ,,,607.0,5958.0,15
RC,360,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1142.61,6446.0,15
RC,360,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1142.61,6446.0,15
RC,360,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,6801.0,15
RC,360,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,5958.0,15
RC,360,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1404.42,6446.0,11
RC,360,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,360,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1404.42,5958.0,10
RC,360,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1404.42,8069.0,12
RC,360,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1404.42,8069.0,12
RC,360,Remove interim implant component ,,,3715.0,4953.0,3
RC,360,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,1632.0,4953.0,5
RC,360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,1632.0,4953.0,5
RC,360,"Renal autotransplantation, reimplantation of kidney ",,,1632.0,4953.0,5
RC,360,Renal biopsy; by surgical exposure of kidney ,,,1632.0,4953.0,5
RC,360,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,4100.0,15
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,4100.0,15
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,4830.0,15
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,4830.0,15
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,511.0,3523.0,13
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,4830.0,15
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,13
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,511.0,3523.0,13
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1603.31,6801.0,7
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,4100.0,11
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4100.0,11
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,511.0,3523.0,13
RC,360,"Renal exploration, not necessitating other specific procedures ",,,1632.0,4953.0,5
RC,360,Reopening of recent laparotomy ,,,1632.0,4953.0,5
RC,360,Repair incomplete circumcision ,,,870.0,4830.0,15
RC,360,"Repair inguinal hernia, sliding, any age ",,,1404.42,6446.0,15
RC,360,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,360,"Repair initial femoral hernia, any age; reducible ",,,1404.42,6446.0,15
RC,360,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,360,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1404.42,6446.0,15
RC,360,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,360,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1404.42,6446.0,15
RC,360,"Repair lip, full thickness; over one-half vertical height, or complex ",,,769.0,6446.0,15
RC,360,"Repair lip, full thickness; up to half vertical height ",,,291.0,6446.0,15
RC,360,"Repair lip, full thickness; vermilion only ",,,291.0,6446.0,15
RC,360,Repair lumbar hernia ,,,870.0,5958.0,15
RC,360,Repair of anal fistula with fibrin glue ,,,607.0,4830.0,15
RC,360,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,1404.42,8866.0,9
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,8866.0,7
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1404.42,9431.0,45
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1404.42,9431.0,39
RC,360,"Repair of anterior palate, including vomer flap ",,,1753.0,6801.0,15
RC,360,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1142.61,6446.0,15
RC,360,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1142.61,6446.0,15
RC,360,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1142.61,6446.0,15
RC,360,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,360,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1142.61,6446.0,15
RC,360,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,360,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1142.61,6446.0,15
RC,360,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,511.0,21331.0,9
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,1632.0,4953.0,5
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,1632.0,4953.0,5
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,1632.0,4953.0,5
RC,360,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1404.42,6801.0,11
RC,360,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6801.0,15
RC,360,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,3
RC,360,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,1632.0,4953.0,5
RC,360,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,1632.0,4953.0,5
RC,360,Repair of ectropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,360,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1142.61,6446.0,15
RC,360,Repair of ectropion; suture ,,,1142.61,6446.0,15
RC,360,Repair of ectropion; thermocauterization ,,,1142.61,6446.0,13
RC,360,"Repair of encephalocele, skull vault, including cranioplasty ",,,1632.0,4953.0,5
RC,360,"Repair of enterocele, abdominal approach (separate procedure) ",,,1632.0,4830.0,4
RC,360,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,15
RC,360,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,5
RC,360,Repair of entropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,360,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1142.61,6446.0,15
RC,360,Repair of entropion; suture ,,,1142.61,6446.0,15
RC,360,Repair of entropion; thermocauterization ,,,1142.61,6446.0,11
RC,360,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,1632.0,4953.0,5
RC,360,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,1632.0,4953.0,5
RC,360,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,1632.0,4953.0,5
RC,360,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,1632.0,4953.0,5
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,15
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,15
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,15
RC,360,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,1257.0,6446.0,9
RC,360,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,1257.0,6446.0,9
RC,360,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,5958.0,15
RC,360,"Repair of iris, ciliary body (as for iridodialysis) ",,,1142.61,6446.0,15
RC,360,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,291.0,3979.0,15
RC,360,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,291.0,3979.0,15
RC,360,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,291.0,3979.0,15
RC,360,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,769.0,4100.0,13
RC,360,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,4953.0,9
RC,360,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,4830.0,15
RC,360,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,4830.0,15
RC,360,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1404.42,6446.0,15
RC,360,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1404.42,6446.0,15
RC,360,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1404.42,6446.0,15
RC,360,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,1471.0,6446.0,9
RC,360,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,1632.0,4953.0,5
RC,360,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,1632.0,4953.0,5
RC,360,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,1632.0,4953.0,5
RC,360,Repair of meningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,360,Repair of meningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,360,Repair of myelomeningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,360,Repair of myelomeningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,360,Repair of nasolabial fistula ,,,1471.0,6446.0,15
RC,360,Repair of omphalocele (Gross type operation); first stage ,,,1632.0,4953.0,5
RC,360,Repair of omphalocele (Gross type operation); second stage ,,,1632.0,4953.0,5
RC,360,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2540.0,9431.0,9
RC,360,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2540.0,9431.0,9
RC,360,Repair of rectocele (separate procedure) ,,,870.0,5958.0,15
RC,360,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1142.61,6446.0,11
RC,360,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,511.0,6446.0,11
RC,360,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,1142.61,4830.0,7
RC,360,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1404.42,6801.0,13
RC,360,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1404.42,10746.0,13
RC,360,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,1632.0,4953.0,5
RC,360,Repair of scleral staphyloma with graft ,,,1404.42,6446.0,15
RC,360,"Repair of small omphalocele, with primary closure ",,,1404.42,6446.0,15
RC,360,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1142.61,6446.0,15
RC,360,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1142.61,6446.0,15
RC,360,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1404.42,6446.0,15
RC,360,Repair of traumatic corporeal tear(s) ,,,870.0,7161.0,13
RC,360,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1404.42,6446.0,15
RC,360,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,511.0,21331.0,9
RC,360,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,15
RC,360,Repair oval window fistula ,,,1404.42,6446.0,15
RC,360,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1404.42,8866.0,15
RC,360,Repair recurrent femoral hernia; reducible ,,,1404.42,6446.0,15
RC,360,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,360,"Repair recurrent inguinal hernia, any age; reducible ",,,1404.42,7161.0,15
RC,360,Repair round window fistula ,,,1404.42,6446.0,15
RC,360,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,1632.0,4953.0,5
RC,360,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,1632.0,4953.0,5
RC,360,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1404.42,6446.0,30
RC,360,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1404.42,6446.0,11
RC,360,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,11
RC,360,"Repair, laceration of diaphragm, any approach ",,,1632.0,4953.0,5
RC,360,"Repair, laceration of palate; over 2 cm or complex ",,,870.0,4830.0,15
RC,360,"Repair, laceration of palate; up to 2 cm ",,,291.0,3523.0,15
RC,360,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,1632.0,4953.0,5
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,360,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,360,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2179.0,9431.0,10
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2179.0,9431.0,10
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1753.0,7602.0,13
RC,360,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,1632.0,4953.0,5
RC,360,Replacement of an implant screw ,,,3715.0,4953.0,3
RC,360,Replacement of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,360,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,360,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,360,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,360,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,291.0,3523.0,12
RC,360,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,291.0,3523.0,12
RC,360,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,3
RC,360,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,4830.0,15
RC,360,"Replacement or irrigation, ventricular catheter ",,,607.0,4100.0,15
RC,360,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,6801.0,15
RC,360,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,1404.42,21331.0,9
RC,360,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,511.0,21331.0,9
RC,360,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,1404.42,21331.0,9
RC,360,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,511.0,21331.0,9
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,1404.42,21331.0,9
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,1753.0,21331.0,9
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,1404.42,21331.0,9
RC,360,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6801.0,15
RC,360,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,291.0,3523.0,15
RC,360,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1142.61,6446.0,15
RC,360,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,1257.0,6446.0,11
RC,360,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,511.0,21331.0,9
RC,360,Reprogramming of programmable cerebrospinal shunt ,,,291.0,3523.0,9
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,1694.0,5958.0,4
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,1632.0,4953.0,5
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,1632.0,4953.0,5
RC,360,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,1632.0,4953.0,5
RC,360,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,1753.0,10746.0,15
RC,360,"Resection of lip, more than one-fourth, without reconstruction ",,,870.0,4830.0,15
RC,360,Resection of mediastinal cyst ,,,1632.0,4953.0,5
RC,360,Resection of mediastinal tumor ,,,1632.0,4953.0,5
RC,360,Resection of palate or extensive resection of lesion ,,,1471.0,6446.0,15
RC,360,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,1632.0,4953.0,5
RC,360,Resection of scrotum ,,,607.0,4830.0,15
RC,360,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,1632.0,4953.0,5
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,1632.0,4953.0,5
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,1632.0,4953.0,5
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,1632.0,4953.0,5
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,1632.0,4953.0,5
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,1632.0,4953.0,5
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,360,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,3
RC,360,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,3
RC,360,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,3
RC,360,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,3
RC,360,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,360,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,360,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,360,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,360,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,360,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,360,"Resection temporal bone, external approach ",,,1632.0,4953.0,5
RC,360,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,1632.0,4953.0,5
RC,360,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,1632.0,4953.0,5
RC,360,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,1257.0,6446.0,11
RC,360,Retrobulbar injection; alcohol ,,,291.0,3523.0,13
RC,360,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,291.0,2900.0,9
RC,360,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,9
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1632.0,9431.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1632.0,13472.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1632.0,13472.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1632.0,18085.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,5
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,5
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,5
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,1471.0,16939.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,607.0,2540.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,607.0,2540.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1632.0,9431.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1632.0,13472.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1632.0,9431.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,9
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,9
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,9
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,9
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1632.0,9431.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1632.0,13472.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1632.0,13472.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1632.0,18085.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,1471.0,16939.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,1471.0,7058.0,6
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,9
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,9
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,9
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,607.0,7058.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,607.0,2540.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,607.0,2540.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,607.0,2540.0,3
RC,360,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,1694.0,7161.0,11
RC,360,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,1632.0,4953.0,5
RC,360,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,13
RC,360,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,360,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,360,Revision mastoidectomy; resulting in complete mastoidectomy ,,,1753.0,10746.0,15
RC,360,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,1753.0,10746.0,15
RC,360,Revision mastoidectomy; resulting in radical mastoidectomy ,,,1753.0,10746.0,15
RC,360,Revision mastoidectomy; resulting in tympanoplasty ,,,1753.0,7161.0,13
RC,360,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,4830.0,15
RC,360,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1142.61,8866.0,13
RC,360,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1404.42,6446.0,11
RC,360,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1257.0,6446.0,15
RC,360,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,1404.42,6446.0,11
RC,360,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,1632.0,4953.0,8
RC,360,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,1632.0,4953.0,5
RC,360,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1404.42,6446.0,10
RC,360,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,607.0,5958.0,15
RC,360,Revision of implanted intra-arterial infusion pump ,,,870.0,5958.0,15
RC,360,Revision of peritoneal-venous shunt ,,,870.0,5958.0,15
RC,360,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6801.0,15
RC,360,Revision of stapedectomy or stapedotomy ,,,1753.0,6801.0,15
RC,360,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,1753.0,13472.0,11
RC,360,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1404.42,4830.0,7
RC,360,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,1632.0,4953.0,5
RC,360,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,5958.0,15
RC,360,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,1632.0,4953.0,5
RC,360,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,360,Revision or removal of intracranial neurostimulator electrodes ,,,1404.42,5958.0,7
RC,360,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1694.0,5958.0,7
RC,360,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,5958.0,13
RC,360,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,360,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,4830.0,15
RC,360,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,1632.0,6446.0,7
RC,360,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,1632.0,18085.0,7
RC,360,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,9431.0,13
RC,360,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,13472.0,10
RC,360,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,5
RC,360,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,360,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,3435.0,13472.0,7
RC,360,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,9
RC,360,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,9
RC,360,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,1632.0,4953.0,4
RC,360,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,9813.0,7
RC,360,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,9813.0,7
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,9813.0,7
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,9813.0,7
RC,360,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,9813.0,7
RC,360,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,360,Right ventricular recording ,,,769.0,21155.0,4
RC,360,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,2
RC,360,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,1632.0,3435.0,2
RC,360,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,1632.0,3435.0,2
RC,360,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,1632.0,3435.0,2
RC,360,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,1632.0,3435.0,2
RC,360,SIGMOIDOSCOPY W/ABLATE TUMR ,,,988.0,1069.0,2
RC,360,SIGMOIDOSCOPY W/STENT ,,,988.0,1069.0,2
RC,360,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,3723.0,5078.0,4
RC,360,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,827.0,2
RC,360,STRIP RETINAL MEMBRANE ,,,3026.0,3273.0,2
RC,360,SURGICAL COLONOSCOPY ,,,988.0,1069.0,2
RC,360,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1694.0,6446.0,8
RC,360,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6801.0,8
RC,360,Salpingostomy (salpingoneostomy) ,,,1404.42,6446.0,11
RC,360,Scleral reinforcement (separate procedure); with graft ,,,1142.61,6446.0,15
RC,360,Scleral reinforcement (separate procedure); without graft ,,,1142.61,6446.0,15
RC,360,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,511.0,7161.0,13
RC,360,"Scraping of cornea, diagnostic, for smear and/or culture ",,,291.0,2900.0,9
RC,360,Scrotal exploration ,,,870.0,4830.0,15
RC,360,Scrotoplasty; complicated ,,,870.0,4830.0,15
RC,360,Scrotoplasty; simple ,,,607.0,6801.0,15
RC,360,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,291.0,2900.0,8
RC,360,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,1632.0,4953.0,5
RC,360,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,1632.0,4953.0,5
RC,360,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,870.0,5958.0,22
RC,360,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,291.0,2900.0,8
RC,360,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,291.0,2900.0,8
RC,360,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,870.0,5958.0,11
RC,360,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,870.0,9431.0,11
RC,360,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,291.0,2900.0,8
RC,360,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,291.0,2900.0,8
RC,360,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,1257.0,9431.0,11
RC,360,"Selective catheter placement, left or right pulmonary artery ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, segmental or subsegmental pulmonary artery ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,870.0,5958.0,11
RC,360,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) ",,,291.0,2900.0,8
RC,360,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,1257.0,9431.0,11
RC,360,Semi-precision abutment - placement ,,,3715.0,4953.0,3
RC,360,Semi-precision attachment - placement ,,,3715.0,4953.0,3
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1142.61,6446.0,15
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1404.42,6446.0,15
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,4830.0,15
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1142.61,6446.0,15
RC,360,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,511.0,6446.0,13
RC,360,Severing of tarsorrhaphy ,,,607.0,4100.0,13
RC,360,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,511.0,3979.0,15
RC,360,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,769.0,4100.0,15
RC,360,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,1257.0,6446.0,13
RC,360,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,607.0,4100.0,11
RC,360,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,511.0,3523.0,13
RC,360,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,360,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,607.0,4320.0,13
RC,360,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,511.0,3523.0,15
RC,360,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,607.0,4100.0,15
RC,360,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,4100.0,15
RC,360,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,511.0,3523.0,15
RC,360,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,607.0,4320.0,13
RC,360,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,607.0,4100.0,15
RC,360,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,360,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,607.0,4100.0,15
RC,360,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,511.0,3523.0,15
RC,360,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,360,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,607.0,4100.0,15
RC,360,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,607.0,4100.0,15
RC,360,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,291.0,3523.0,13
RC,360,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,291.0,2900.0,9
RC,360,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,10732.0,13
RC,360,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1603.31,10732.0,13
RC,360,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,4830.0,15
RC,360,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,870.0,4830.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1694.0,8866.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,1694.0,8866.0,15
RC,360,Snip incision of lacrimal punctum ,,,291.0,3523.0,11
RC,360,Sperm washing for artificial insemination ,,,291.0,3523.0,9
RC,360,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,1257.0,6446.0,15
RC,360,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,1632.0,4953.0,5
RC,360,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,1257.0,6446.0,15
RC,360,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,870.0,5958.0,15
RC,360,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,769.0,6446.0,15
RC,360,"Spinal puncture, lumbar, diagnostic; ",,,511.0,3523.0,15
RC,360,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,360,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,511.0,3523.0,15
RC,360,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,360,Splenectomy; partial (separate procedure) ,,,1632.0,4953.0,5
RC,360,Splenectomy; total (separate procedure) ,,,1632.0,4953.0,5
RC,360,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,360,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,1257.0,6446.0,13
RC,360,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,1257.0,6446.0,13
RC,360,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1753.0,6801.0,13
RC,360,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1753.0,6801.0,15
RC,360,Stapes mobilization ,,,1404.42,10746.0,15
RC,360,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,1632.0,4953.0,5
RC,360,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,1632.0,4953.0,5
RC,360,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,360,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,769.0,4100.0,4
RC,360,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,1753.0,8866.0,9
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2540.0,3435.0,2
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2540.0,3435.0,2
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2540.0,3435.0,2
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,360,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,4100.0,15
RC,360,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,291.0,2900.0,9
RC,360,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,360,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,360,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,360,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,291.0,6446.0,10
RC,360,"Strabismus surgery, any procedure, superior oblique muscle ",,,1142.61,6446.0,15
RC,360,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1142.61,6446.0,15
RC,360,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1142.61,6446.0,15
RC,360,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1404.42,6446.0,15
RC,360,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1142.61,6446.0,15
RC,360,Subconjunctival injection ,,,291.0,2900.0,9
RC,360,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,769.0,4100.0,4
RC,360,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,511.0,3523.0,13
RC,360,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,511.0,3523.0,13
RC,360,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,607.0,7161.0,13
RC,360,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,1632.0,4953.0,5
RC,360,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,1632.0,3435.0,2
RC,360,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,870.0,9431.0,22
RC,360,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1694.0,10746.0,9
RC,360,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,291.0,3435.0,7
RC,360,Suprahyoid lymphadenectomy ,,,870.0,4830.0,13
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,1632.0,4953.0,5
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,1632.0,4953.0,5
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,1632.0,4953.0,5
RC,360,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,360,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,360,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,1632.0,4953.0,5
RC,360,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,1632.0,4953.0,5
RC,360,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,1632.0,4953.0,5
RC,360,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,1632.0,4953.0,5
RC,360,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,1632.0,4953.0,5
RC,360,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,1632.0,4953.0,5
RC,360,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,1632.0,4953.0,5
RC,360,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,360,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,360,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,3
RC,360,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,3
RC,360,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,3
RC,360,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,3
RC,360,Surgical placement zygomatic implant ,,,3715.0,4953.0,3
RC,360,Surgical repair of root resorption - molar ,,,3715.0,4953.0,3
RC,360,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,3
RC,360,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,3
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,1257.0,6446.0,15
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,607.0,4830.0,15
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,1257.0,6446.0,15
RC,360,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,1404.42,6446.0,15
RC,360,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,1632.0,4953.0,5
RC,360,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,1632.0,4953.0,5
RC,360,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,1632.0,4953.0,5
RC,360,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,8
RC,360,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,8
RC,360,Suture and/or ligation of thoracic duct; abdominal approach ,,,1632.0,4953.0,5
RC,360,Suture and/or ligation of thoracic duct; cervical approach ,,,1632.0,4953.0,5
RC,360,Suture and/or ligation of thoracic duct; thoracic approach ,,,1632.0,4953.0,5
RC,360,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1753.0,6801.0,15
RC,360,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,360,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,6801.0,15
RC,360,Suture of 1 nerve; median motor thenar ,,,1257.0,6801.0,15
RC,360,Suture of 1 nerve; ulnar motor ,,,1257.0,6801.0,15
RC,360,"Suture of digital nerve, hand or foot; 1 nerve ",,,1142.61,6446.0,15
RC,360,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,360,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,291.0,2900.0,10
RC,360,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,360,Suture of esophageal wound or injury; cervical approach ,,,1632.0,4953.0,5
RC,360,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,1632.0,4953.0,5
RC,360,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,1632.0,4953.0,5
RC,360,Suture of facial nerve; extracranial ,,,1257.0,6801.0,15
RC,360,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6801.0,15
RC,360,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,4830.0,15
RC,360,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,1632.0,4953.0,5
RC,360,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,1632.0,4953.0,5
RC,360,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,6801.0,15
RC,360,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,6801.0,15
RC,360,Suture of mesentery (separate procedure) ,,,1632.0,4953.0,5
RC,360,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,291.0,6446.0,10
RC,360,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,291.0,2900.0,10
RC,360,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,291.0,6446.0,10
RC,360,Suture of posterior tibial nerve ,,,870.0,6801.0,15
RC,360,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,4830.0,15
RC,360,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,5115.0,13
RC,360,Suture of sciatic nerve ,,,870.0,5958.0,15
RC,360,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,1632.0,4953.0,5
RC,360,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,1404.42,4830.0,8
RC,360,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,607.0,4100.0,15
RC,360,Suture of; brachial plexus ,,,1142.61,6446.0,15
RC,360,Suture of; lumbar plexus ,,,1257.0,6801.0,15
RC,360,Suture or repair of testicular injury ,,,1257.0,6446.0,15
RC,360,Suture pharynx for wound or injury ,,,607.0,4100.0,15
RC,360,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,1632.0,4953.0,5
RC,360,"Sympathectomy, cervical ",,,769.0,4100.0,15
RC,360,"Sympathectomy, cervicothoracic ",,,769.0,4100.0,7
RC,360,"Sympathectomy, lumbar ",,,1632.0,4953.0,5
RC,360,"Sympathectomy, thoracolumbar ",,,1632.0,4953.0,5
RC,360,"Sympathectomy; digital arteries, each digit ",,,1142.61,4830.0,7
RC,360,Sympathectomy; radial artery ,,,1404.42,6446.0,15
RC,360,Sympathectomy; superficial palmar arch ,,,870.0,5958.0,13
RC,360,Sympathectomy; ulnar artery ,,,870.0,5958.0,13
RC,360,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,1632.0,4953.0,5
RC,360,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,4100.0,13
RC,360,Temporary transcutaneous pacing ,,,511.0,3250.0,4
RC,360,Therapeutic apheresis; for plasma pheresis ,,,769.0,4100.0,11
RC,360,Therapeutic apheresis; for platelets ,,,291.0,2900.0,11
RC,360,Therapeutic apheresis; for red blood cells ,,,769.0,4100.0,11
RC,360,Therapeutic apheresis; for white blood cells ,,,769.0,4100.0,11
RC,360,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,1404.42,10746.0,11
RC,360,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,291.0,3435.0,7
RC,360,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2179.0,9431.0,10
RC,360,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,360,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,360,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,360,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,360,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,360,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,9
RC,360,"Thrombolysis, cerebral, by intravenous infusion ",,,291.0,3523.0,9
RC,360,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,990.0,4
RC,360,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6801.0,11
RC,360,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6801.0,11
RC,360,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,769.0,4100.0,4
RC,360,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1753.0,6801.0,11
RC,360,"Thyroidectomy, total or complete ",,,1753.0,10746.0,11
RC,360,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,5
RC,360,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,1753.0,10746.0,11
RC,360,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,1632.0,10746.0,8
RC,360,"Tongue base suspension, permanent suture technique ",,,870.0,6801.0,13
RC,360,Tonsillectomy and adenoidectomy; age 12 or over ,,,1404.42,6446.0,15
RC,360,Tonsillectomy and adenoidectomy; younger than age 12 ,,,1257.0,6446.0,15
RC,360,"Tonsillectomy, primary or secondary; age 12 or over ",,,1404.42,6446.0,15
RC,360,"Tonsillectomy, primary or secondary; younger than age 12 ",,,1471.0,6446.0,15
RC,360,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,1694.0,10746.0,12
RC,360,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,1632.0,10746.0,9
RC,360,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,360,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6801.0,11
RC,360,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,1632.0,4953.0,5
RC,360,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,1632.0,4953.0,5
RC,360,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,1632.0,4953.0,5
RC,360,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,1632.0,4953.0,5
RC,360,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,1632.0,4953.0,5
RC,360,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,9431.0,13
RC,360,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,9431.0,13
RC,360,Trabeculoplasty by laser surgery ,,,511.0,3523.0,13
RC,360,Trabeculotomy ab externo ,,,1142.61,6446.0,15
RC,360,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,15
RC,360,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,15
RC,360,"Transabdominal amnioinfusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,360,Transcatheter biopsy ,,,1471.0,9431.0,13
RC,360,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,4
RC,360,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,360,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,13472.0,21
RC,360,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,607.0,18276.0,19
RC,360,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,607.0,18276.0,8
RC,360,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1257.0,18276.0,11
RC,360,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,291.0,2900.0,8
RC,360,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,1632.0,27040.0,9
RC,360,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,1632.0,27040.0,6
RC,360,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,1632.0,4953.0,7
RC,360,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1257.0,6446.0,9
RC,360,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1257.0,6446.0,9
RC,360,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,360,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,1257.0,8866.0,13
RC,360,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,1753.0,21331.0,9
RC,360,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,511.0,21331.0,18
RC,360,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1404.42,21331.0,9
RC,360,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2259.0,6801.0,7
RC,360,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,4830.0,11
RC,360,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,1632.0,4953.0,5
RC,360,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,1632.0,4953.0,5
RC,360,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,769.0,4100.0,9
RC,360,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,1142.61,5958.0,9
RC,360,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,4830.0,15
RC,360,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,4830.0,15
RC,360,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,4830.0,15
RC,360,Transection or avulsion of; greater occipital nerve ,,,870.0,4830.0,15
RC,360,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,769.0,4100.0,15
RC,360,Transection or avulsion of; infraorbital nerve ,,,769.0,4100.0,15
RC,360,Transection or avulsion of; lingual nerve ,,,870.0,4830.0,15
RC,360,Transection or avulsion of; mental nerve ,,,769.0,4100.0,15
RC,360,Transection or avulsion of; phrenic nerve ,,,769.0,4100.0,15
RC,360,Transection or avulsion of; supraorbital nerve ,,,769.0,4100.0,15
RC,360,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,1632.0,4953.0,5
RC,360,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,1632.0,4953.0,5
RC,360,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,360,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,1632.0,4953.0,5
RC,360,"Transfusion, blood or blood components ",,,291.0,3523.0,13
RC,360,"Transfusion, intrauterine, fetal ",,,291.0,3523.0,13
RC,360,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,291.0,9431.0,15
RC,360,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,5
RC,360,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,291.0,10746.0,20
RC,360,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,291.0,2900.0,6
RC,360,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1404.42,6801.0,13
RC,360,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1404.42,6801.0,13
RC,360,Transmastoid antrotomy (simple mastoidectomy) ,,,1753.0,10746.0,15
RC,360,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,1632.0,4953.0,5
RC,360,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,1632.0,4953.0,5
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,291.0,2900.0,8
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,1753.0,9431.0,13
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1753.0,9431.0,13
RC,360,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,360,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,9431.0,14
RC,360,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,16336.0,13
RC,360,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,1632.0,4953.0,5
RC,360,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,291.0,3523.0,9
RC,360,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,291.0,3523.0,9
RC,360,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,291.0,3523.0,9
RC,360,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,291.0,3523.0,9
RC,360,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,291.0,3523.0,9
RC,360,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,291.0,3523.0,9
RC,360,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,291.0,3523.0,9
RC,360,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,291.0,3523.0,9
RC,360,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,291.0,3523.0,9
RC,360,Transplantation of pancreatic allograft ,,,1632.0,3435.0,2
RC,360,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,15
RC,360,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,360,"Transposition, ovary(s) ",,,1257.0,6446.0,8
RC,360,Transrectal drainage of pelvic abscess ,,,607.0,4100.0,15
RC,360,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,1632.0,4953.0,5
RC,360,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,1632.0,4953.0,5
RC,360,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,769.0,7602.0,11
RC,360,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1404.42,8866.0,12
RC,360,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,6801.0,11
RC,360,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,360,Transurethral drainage of prostatic abscess ,,,870.0,4830.0,15
RC,360,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,6801.0,13
RC,360,Transurethral incision of prostate ,,,1257.0,6446.0,15
RC,360,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,769.0,7161.0,13
RC,360,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,15
RC,360,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,4830.0,15
RC,360,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,6801.0,15
RC,360,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1632.0,6801.0,7
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,360,Transvesical ureterolithotomy ,,,1142.61,6801.0,7
RC,360,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,511.0,3250.0,11
RC,360,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,511.0,3250.0,13
RC,360,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1404.42,6446.0,15
RC,360,"Treatment of missed abortion, completed surgically; first trimester ",,,1404.42,6446.0,15
RC,360,"Treatment of missed abortion, completed surgically; second trimester ",,,1404.42,6446.0,15
RC,360,"Treatment of septic abortion, completed surgically ",,,870.0,4953.0,9
RC,360,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,9
RC,360,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,1632.0,4953.0,5
RC,360,Tubotubal anastomosis ,,,1694.0,6446.0,8
RC,360,Tubouterine implantation ,,,1694.0,6446.0,8
RC,360,Twist drill hole for subdural or ventricular puncture ,,,1632.0,4953.0,5
RC,360,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,1632.0,4953.0,5
RC,360,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,1632.0,4953.0,5
RC,360,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,1632.0,4953.0,5
RC,360,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,32
RC,360,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,994.46,4830.0,9
RC,360,Tympanic neurectomy ,,,1257.0,6446.0,15
RC,360,"Tympanolysis, transcanal ",,,607.0,6801.0,13
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1753.0,7161.0,13
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1753.0,6801.0,13
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1753.0,6801.0,13
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1753.0,6801.0,13
RC,360,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,769.0,4100.0,13
RC,360,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,291.0,3523.0,11
RC,360,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2900.0,5
RC,360,UPPER GI ENDOSCOPY EXAM ,,,988.0,1069.0,2
RC,360,UPPR GI ENDOSCOPY W/STENT ,,,2302.0,2490.0,2
RC,360,URETHRA PRESSURE PROFILE ,,,988.0,1069.0,2
RC,360,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1404.42,6446.0,15
RC,360,Unlisted cardiovascular service or procedure ,,,291.0,2900.0,4
RC,360,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,4
RC,360,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,291.0,2900.0,11
RC,360,"Unlisted hysteroscopy procedure, uterus ",,,291.0,6446.0,11
RC,360,"Unlisted laparoscopic procedure, liver ",,,1753.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,607.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, appendix ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, biliary tract ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, bladder ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, esophagus ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,1753.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,1753.0,6801.0,7
RC,360,"Unlisted laparoscopy procedure, lymphatic system ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,6801.0,11
RC,360,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, rectum ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, renal ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, spleen ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, stomach ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, testis ",,,1257.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, ureter ",,,1753.0,6801.0,9
RC,360,"Unlisted laparoscopy procedure, uterus ",,,1257.0,6801.0,9
RC,360,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,1632.0,4953.0,5
RC,360,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,4100.0,11
RC,360,"Unlisted procedure, anterior segment of eye ",,,607.0,4100.0,11
RC,360,"Unlisted procedure, anus ",,,511.0,3250.0,11
RC,360,"Unlisted procedure, biliary tract ",,,742.8,4100.0,7
RC,360,"Unlisted procedure, colon ",,,607.0,5115.0,13
RC,360,"Unlisted procedure, conjunctiva ",,,291.0,2900.0,7
RC,360,"Unlisted procedure, dentoalveolar structures ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, diaphragm ",,,1632.0,4953.0,5
RC,360,"Unlisted procedure, endocrine system ",,,607.0,9431.0,11
RC,360,"Unlisted procedure, esophagus ",,,607.0,4100.0,11
RC,360,"Unlisted procedure, external ear ",,,291.0,2900.0,9
RC,360,"Unlisted procedure, extraocular muscle ",,,291.0,2900.0,7
RC,360,"Unlisted procedure, eyelids ",,,291.0,2900.0,7
RC,360,"Unlisted procedure, female genital system (nonobstetrical) ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, hemic or lymphatic system ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, inner ear ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, lacrimal system ",,,291.0,2900.0,7
RC,360,"Unlisted procedure, lips ",,,291.0,2900.0,7
RC,360,"Unlisted procedure, liver ",,,511.0,3250.0,7
RC,360,"Unlisted procedure, male genital system ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, maternity care and delivery ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, mediastinum ",,,1632.0,4953.0,5
RC,360,"Unlisted procedure, middle ear ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, nervous system ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, orbit ",,,291.0,2900.0,7
RC,360,"Unlisted procedure, palate, uvula ",,,291.0,2900.0,7
RC,360,"Unlisted procedure, pancreas ",,,511.0,3250.0,7
RC,360,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, posterior segment ",,,769.0,4100.0,7
RC,360,"Unlisted procedure, rectum ",,,511.0,3250.0,7
RC,360,"Unlisted procedure, salivary glands or ducts ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, small intestine ",,,607.0,4100.0,11
RC,360,"Unlisted procedure, stomach ",,,742.8,4100.0,9
RC,360,"Unlisted procedure, temporal bone, middle fossa approach ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, tongue, floor of mouth ",,,291.0,2900.0,7
RC,360,"Unlisted procedure, urinary system ",,,291.0,2900.0,11
RC,360,"Unlisted procedure, vascular injection ",,,291.0,2900.0,4
RC,360,"Unlisted procedure, vascular surgery ",,,511.0,3250.0,11
RC,360,"Unlisted procedure, vestibule of mouth ",,,291.0,6446.0,11
RC,360,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,3
RC,360,Unlisted vascular endoscopy procedure ,,,511.0,3250.0,7
RC,360,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,291.0,2900.0,8
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4830.0,15
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,4830.0,15
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,4100.0,15
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,4100.0,15
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,511.0,3523.0,15
RC,360,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,1632.0,6446.0,9
RC,360,"Ureterectomy, with bladder cuff (separate procedure) ",,,1632.0,6446.0,9
RC,360,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,1632.0,4953.0,5
RC,360,"Ureterocolon conduit, including intestine anastomosis ",,,1632.0,4953.0,5
RC,360,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,1632.0,4953.0,5
RC,360,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,1632.0,4953.0,5
RC,360,Ureterolithotomy; lower one-third of ureter ,,,1632.0,6446.0,9
RC,360,Ureterolithotomy; middle one-third of ureter ,,,1632.0,6446.0,9
RC,360,Ureterolithotomy; upper one-third of ureter ,,,1632.0,6446.0,9
RC,360,Ureterolysis for ovarian vein syndrome ,,,1632.0,4953.0,5
RC,360,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,1632.0,4953.0,5
RC,360,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,1632.0,4953.0,5
RC,360,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,1632.0,4953.0,5
RC,360,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,1632.0,4830.0,5
RC,360,Ureteroneocystostomy; with extensive ureteral tailoring ,,,1632.0,4953.0,5
RC,360,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,1632.0,4953.0,5
RC,360,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,1632.0,4953.0,5
RC,360,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,1632.0,4953.0,5
RC,360,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,1632.0,4953.0,5
RC,360,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,1632.0,4953.0,5
RC,360,"Ureterostomy, transplantation of ureter to skin ",,,1632.0,4953.0,5
RC,360,"Ureterotomy for insertion of indwelling stent, all types ",,,1632.0,6446.0,9
RC,360,Ureterotomy with exploration or drainage (separate procedure) ,,,1632.0,6446.0,9
RC,360,Ureteroureterostomy ,,,1632.0,4953.0,5
RC,360,"Urethrectomy, total, including cystostomy; female ",,,1404.42,6446.0,15
RC,360,"Urethrectomy, total, including cystostomy; male ",,,1603.31,6446.0,15
RC,360,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1404.42,6446.0,11
RC,360,"Urethromeatoplasty, with mucosal advancement ",,,607.0,5958.0,15
RC,360,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,4830.0,15
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,15
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,15
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6801.0,15
RC,360,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,15
RC,360,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,5958.0,15
RC,360,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,5958.0,15
RC,360,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,15
RC,360,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,5958.0,15
RC,360,"Urethroplasty, reconstruction of female urethra ",,,870.0,5958.0,15
RC,360,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2259.0,6801.0,4
RC,360,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,15
RC,360,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,5958.0,15
RC,360,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,4830.0,15
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,5958.0,15
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,4830.0,15
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,5958.0,15
RC,360,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,4830.0,15
RC,360,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,4830.0,15
RC,360,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,360,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,360,Uterine evacuation and curettage for hydatidiform mole ,,,1404.42,6446.0,15
RC,360,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1694.0,6446.0,9
RC,360,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,1632.0,4953.0,5
RC,360,"Uvulectomy, excision of uvula ",,,769.0,4100.0,15
RC,360,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,1714.0,2
RC,360,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,4830.0,11
RC,360,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3435.0,6
RC,360,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,11
RC,360,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,1632.0,3435.0,2
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.31,8866.0,13
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,1694.0,5958.0,4
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.31,8866.0,13
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1603.31,8866.0,13
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1603.31,8866.0,13
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1753.0,6801.0,11
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1603.31,6801.0,11
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1753.0,6801.0,11
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1603.31,6801.0,11
RC,360,"Vaginal hysterectomy, radical (Schauta type operation) ",,,1632.0,4953.0,5
RC,360,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,1694.0,5958.0,4
RC,360,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,1694.0,5958.0,4
RC,360,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,9
RC,360,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,8
RC,360,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,11
RC,360,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,4830.0,11
RC,360,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,4830.0,11
RC,360,Vaginoplasty for intersex state ,,,1257.0,6446.0,11
RC,360,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,1632.0,4953.0,5
RC,360,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,1632.0,4953.0,5
RC,360,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,1632.0,4953.0,5
RC,360,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,3
RC,360,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,5
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,1257.0,21331.0,11
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,1257.0,21331.0,11
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1257.0,21331.0,11
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,1257.0,21331.0,11
RC,360,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,1257.0,3979.0,10
RC,360,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,870.0,4830.0,15
RC,360,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,291.0,2900.0,8
RC,360,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,4830.0,15
RC,360,"Vasovasostomy, vasovasorrhaphy ",,,607.0,4830.0,15
RC,360,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",,,1632.0,3435.0,2
RC,360,"Venipuncture, cutdown; age 1 or over ",,,291.0,3435.0,14
RC,360,"Venipuncture, cutdown; younger than age 1 year ",,,291.0,3435.0,14
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,1632.0,3435.0,2
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,1632.0,3435.0,2
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,1632.0,3435.0,2
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,360,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,360,"Venous anastomosis, open; caval-mesenteric ",,,1632.0,4953.0,5
RC,360,"Venous anastomosis, open; portocaval ",,,1632.0,4953.0,5
RC,360,"Venous anastomosis, open; renoportal ",,,1632.0,4953.0,5
RC,360,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,1632.0,4953.0,5
RC,360,"Venous anastomosis, open; splenorenal, proximal ",,,1632.0,4953.0,5
RC,360,Venous catheterization for selective organ blood sampling ,,,291.0,2900.0,8
RC,360,Ventilating tube removal requiring general anesthesia ,,,607.0,5958.0,13
RC,360,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,511.0,3523.0,15
RC,360,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,511.0,3523.0,15
RC,360,Ventriculocisternostomy (Torkildsen type operation) ,,,1632.0,4953.0,5
RC,360,"Ventriculocisternostomy, third ventricle; ",,,1632.0,4953.0,5
RC,360,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,1632.0,4953.0,5
RC,360,"Vermilionectomy (lip shave), with mucosal advancement ",,,769.0,4100.0,15
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,742.8,4953.0,8
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2224.34,9431.0,8
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,4953.0,15
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,1632.0,4953.0,10
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,1632.0,4953.0,5
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,1632.0,4953.0,5
RC,360,"Vesiculectomy, any approach ",,,511.0,3250.0,8
RC,360,Vesiculotomy; ,,,607.0,4830.0,13
RC,360,Vesiculotomy; complicated ,,,511.0,3250.0,8
RC,360,"Vestibular nerve section, transcranial approach ",,,1632.0,4953.0,5
RC,360,"Vestibular nerve section, translabyrinthine approach ",,,1404.42,10746.0,15
RC,360,Vestibuloplasty; anterior ,,,870.0,4830.0,15
RC,360,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,1753.0,6801.0,15
RC,360,Vestibuloplasty; entire arch ,,,1753.0,6801.0,15
RC,360,"Vestibuloplasty; posterior, bilateral ",,,1257.0,6446.0,15
RC,360,"Vestibuloplasty; posterior, unilateral ",,,1257.0,6446.0,15
RC,360,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,3
RC,360,"Vitrectomy, mechanical, pars plana approach; ",,,1404.42,6801.0,13
RC,360,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1404.42,10746.0,13
RC,360,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1404.42,10746.0,13
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1404.42,6801.0,11
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1404.42,6801.0,11
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1404.42,10746.0,11
RC,360,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,360,Vulvectomy simple; complete ,,,1404.42,7161.0,15
RC,360,Vulvectomy simple; partial ,,,1404.42,6446.0,15
RC,360,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,1632.0,4953.0,5
RC,360,"Vulvectomy, radical, complete; ",,,7058.0,13472.0,4
RC,360,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,360,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,360,"Vulvectomy, radical, partial; ",,,1603.31,10746.0,10
RC,360,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,360,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,360,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,11
RC,360,Wound closure utilizing tissue adhesive(s) only ,,,291.0,2900.0,4
RC,361, Operating Room Services Minor Surgery  ,,,1924.0,4169.0,6
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6801.0,15
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,15
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6801.0,15
RC,361,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,15
RC,361,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,10746.0,11
RC,361,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,6446.0,11
RC,361,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,361,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,361,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,361,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,742.8,4100.0,13
RC,361,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,742.8,4100.0,13
RC,361,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1603.31,6801.0,11
RC,361,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,361,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1632.0,8866.0,9
RC,361,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1632.0,8866.0,12
RC,361,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1632.0,4953.0,7
RC,361,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,1632.0,13472.0,7
RC,361,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,361,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,1753.0,9431.0,13
RC,361,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1471.0,9431.0,11
RC,361,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,9431.0,13
RC,361,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,361,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,361,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,1632.0,10746.0,9
RC,361,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,1632.0,6446.0,9
RC,361,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,1632.0,6446.0,9
RC,361,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2224.34,9431.0,11
RC,361,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,3
RC,361,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,291.0,36635.0,6
RC,361,"Adenoidectomy, primary; age 12 or over ",,,1404.42,6446.0,15
RC,361,"Adenoidectomy, primary; younger than age 12 ",,,1404.42,6446.0,15
RC,361,"Adenoidectomy, secondary; age 12 or over ",,,1404.42,6446.0,15
RC,361,"Adenoidectomy, secondary; younger than age 12 ",,,1404.42,6446.0,15
RC,361,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,361,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,361,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,1632.0,10746.0,9
RC,361,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,1632.0,4953.0,5
RC,361,Allogeneic lymphocyte infusions ,,,769.0,4100.0,7
RC,361,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,607.0,4830.0,11
RC,361,"Alveoloplasty, each quadrant (specify) ",,,607.0,4100.0,11
RC,361,Amniocentesis; diagnostic ,,,511.0,3250.0,11
RC,361,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,291.0,2900.0,11
RC,361,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,361,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,1632.0,4953.0,5
RC,361,Amputation of penis; complete ,,,769.0,4100.0,8
RC,361,Amputation of penis; partial ,,,870.0,5958.0,15
RC,361,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,361,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,361,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,1632.0,4953.0,5
RC,361,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,361,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,361,Anastomosis; facial-hypoglossal ,,,1632.0,4953.0,5
RC,361,Anastomosis; facial-spinal accessory ,,,1632.0,4953.0,5
RC,361,"Anoplasty, plastic operation for stricture; adult ",,,1257.0,6446.0,15
RC,361,"Anoplasty, plastic operation for stricture; infant ",,,1632.0,4953.0,5
RC,361,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,769.0,4100.0,15
RC,361,Anorectal manometry ,,,291.0,291.0,1
RC,361,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,5
RC,361,Anorectal myomectomy ,,,870.0,4830.0,15
RC,361,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,291.0,2900.0,13
RC,361,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,291.0,3523.0,13
RC,361,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,870.0,4830.0,15
RC,361,"Anoscopy; with biopsy, single or multiple ",,,607.0,4100.0,11
RC,361,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,4100.0,11
RC,361,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,4100.0,11
RC,361,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,607.0,4320.0,13
RC,361,Anoscopy; with removal of foreign body ,,,607.0,4100.0,15
RC,361,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,4830.0,15
RC,361,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,4830.0,15
RC,361,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,4100.0,15
RC,361,Antepartum care only; 4-6 visits ,,,1632.0,6411.0,4
RC,361,Antepartum care only; 7 or more visits ,,,1632.0,6411.0,4
RC,361,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.31,6446.0,15
RC,361,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,1632.0,10746.0,8
RC,361,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,1603.31,10746.0,11
RC,361,Appendectomy; ,,,1404.42,6446.0,11
RC,361,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,1632.0,4953.0,5
RC,361,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,361,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,10
RC,361,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,10
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,3523.0,15
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,5
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,3523.0,10
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,5
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,8866.0,10
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,5
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,3523.0,10
RC,361,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,7
RC,361,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,291.0,3435.0,6
RC,361,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1404.42,6801.0,15
RC,361,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1404.42,8866.0,13
RC,361,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,1404.42,21331.0,9
RC,361,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,291.0,21331.0,4
RC,361,"Arterial puncture, withdrawal of blood for diagnosis ",,,291.0,21331.0,7
RC,361,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,1753.0,21331.0,9
RC,361,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,1753.0,21331.0,9
RC,361,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,1753.0,21331.0,9
RC,361,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,1404.42,21331.0,9
RC,361,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,3715.0,6446.0,5
RC,361,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,5
RC,361,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,2900.0,4
RC,361,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,7
RC,361,Artificial insemination; intra-cervical ,,,291.0,3523.0,9
RC,361,Artificial insemination; intra-uterine ,,,291.0,3523.0,9
RC,361,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,511.0,3523.0,15
RC,361,"Aspiration and/or injection, thyroid cyst ",,,511.0,3250.0,13
RC,361,Aspiration of bladder; by needle ,,,291.0,2900.0,13
RC,361,Aspiration of bladder; by trocar or intracatheter ,,,607.0,3250.0,13
RC,361,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,4830.0,13
RC,361,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,4830.0,15
RC,361,Axillary lymphadenectomy; complete ,,,1471.0,9431.0,15
RC,361,Axillary lymphadenectomy; superficial ,,,870.0,9431.0,15
RC,361,BIOPSY EYE MUSCLE ,,,988.0,1069.0,2
RC,361,BIOPSY OF STOMACH ,,,988.0,1069.0,2
RC,361,BIOPSY OF THROAT ,,,988.0,1069.0,2
RC,361,BRAIN SURGERY USING COMPUTER ,,,988.0,1069.0,2
RC,361,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,361,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,1632.0,3435.0,2
RC,361,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,361,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,361,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,361,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,1632.0,4953.0,5
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,361,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,1632.0,3435.0,2
RC,361,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,1632.0,4953.0,5
RC,361,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1632.0,4953.0,15
RC,361,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,1632.0,4953.0,5
RC,361,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,1632.0,4953.0,5
RC,361,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,1632.0,4953.0,7
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,1632.0,4953.0,7
RC,361,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,291.0,2900.0,8
RC,361,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,291.0,2900.0,8
RC,361,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,1632.0,4953.0,5
RC,361,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,1632.0,4953.0,5
RC,361,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,1632.0,4953.0,5
RC,361,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,1632.0,4953.0,5
RC,361,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,870.0,5958.0,15
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1257.0,9431.0,15
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,1257.0,9431.0,15
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1257.0,6446.0,15
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1257.0,9431.0,15
RC,361,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,769.0,4100.0,13
RC,361,Biopsy external auditory canal ,,,769.0,4100.0,7
RC,361,Biopsy external ear ,,,291.0,3523.0,9
RC,361,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,607.0,4100.0,15
RC,361,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,511.0,3523.0,13
RC,361,Biopsy of conjunctiva ,,,511.0,3979.0,13
RC,361,Biopsy of cornea ,,,511.0,3979.0,15
RC,361,"Biopsy of epididymis, needle ",,,511.0,3523.0,15
RC,361,Biopsy of extraocular muscle ,,,607.0,5958.0,15
RC,361,Biopsy of floor of mouth ,,,511.0,3523.0,13
RC,361,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,607.0,4100.0,15
RC,361,Biopsy of lacrimal gland ,,,607.0,4830.0,15
RC,361,Biopsy of lacrimal sac ,,,607.0,4830.0,15
RC,361,Biopsy of lip ,,,291.0,2900.0,9
RC,361,"Biopsy of liver, needle; percutaneous ",,,607.0,4100.0,15
RC,361,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,"Biopsy of liver, wedge ",,,1632.0,4830.0,5
RC,361,Biopsy of nerve ,,,870.0,4830.0,15
RC,361,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,15
RC,361,"Biopsy of palate, uvula ",,,607.0,4100.0,13
RC,361,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,1632.0,4953.0,5
RC,361,"Biopsy of pancreas, percutaneous needle ",,,607.0,4100.0,15
RC,361,Biopsy of penis; (separate procedure) ,,,607.0,4100.0,15
RC,361,Biopsy of penis; deep structures ,,,607.0,4830.0,15
RC,361,Biopsy of salivary gland; incisional ,,,769.0,4100.0,15
RC,361,Biopsy of salivary gland; needle ,,,511.0,3523.0,13
RC,361,"Biopsy of spinal cord, percutaneous needle ",,,607.0,4100.0,15
RC,361,"Biopsy of stomach, by laparotomy ",,,1632.0,4830.0,4
RC,361,"Biopsy of testis, incisional (separate procedure) ",,,607.0,4830.0,15
RC,361,"Biopsy of testis, needle (separate procedure) ",,,607.0,4100.0,15
RC,361,Biopsy of tongue; anterior two-thirds ,,,291.0,3523.0,13
RC,361,Biopsy of tongue; posterior one-third ,,,769.0,4100.0,13
RC,361,Biopsy of urethra ,,,607.0,4830.0,15
RC,361,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,4830.0,15
RC,361,Biopsy of vaginal mucosa; simple (separate procedure) ,,,511.0,3523.0,13
RC,361,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,511.0,3523.0,13
RC,361,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,361,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,607.0,4100.0,15
RC,361,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,870.0,4830.0,13
RC,361,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,870.0,4830.0,13
RC,361,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,870.0,4830.0,13
RC,361,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,1404.42,5958.0,10
RC,361,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,870.0,4830.0,15
RC,361,"Biopsy or excision of lymph node(s); open, superficial ",,,870.0,4830.0,15
RC,361,"Biopsy thyroid, percutaneous core needle ",,,511.0,3523.0,13
RC,361,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,607.0,4100.0,15
RC,361,"Biopsy, prostate, any approach, nonimaging-guided ",,,769.0,4100.0,15
RC,361,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,361,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,1632.0,6446.0,7
RC,361,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,1632.0,6446.0,7
RC,361,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,361,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1632.0,4830.0,7
RC,361,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,361,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,361,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1632.0,4830.0,7
RC,361,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,361,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,769.0,3979.0,10
RC,361,"Biopsy, vestibule of mouth ",,,291.0,2900.0,13
RC,361,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,870.0,4830.0,15
RC,361,"Biopsy; nasopharynx, visible lesion, simple ",,,607.0,4100.0,15
RC,361,Biopsy; oropharynx ,,,511.0,3250.0,11
RC,361,Bladder instillation of anticarcinogenic agent (including retention time) ,,,291.0,3523.0,11
RC,361,"Bladder irrigation, simple, lavage and/or instillation ",,,291.0,2900.0,13
RC,361,"Blepharotomy, drainage of abscess, eyelid ",,,291.0,3523.0,13
RC,361,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,6
RC,361,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,7
RC,361,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,4
RC,361,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,16939.0,7
RC,361,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,6
RC,361,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,291.0,2900.0,4
RC,361,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,769.0,4100.0,7
RC,361,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,361,Bone marrow harvesting for transplantation; allogeneic ,,,769.0,6446.0,11
RC,361,Bone marrow harvesting for transplantation; autologous ,,,1257.0,8866.0,13
RC,361,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,291.0,2900.0,4
RC,361,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,361,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,5
RC,361,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,361,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,6
RC,361,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,8866.0,4
RC,361,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,361,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,3715.0,8866.0,7
RC,361,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,3715.0,8866.0,7
RC,361,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,361,Bundle of His recording ,,,769.0,21155.0,4
RC,361,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,1632.0,4953.0,5
RC,361,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,1632.0,4953.0,5
RC,361,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,1632.0,4953.0,5
RC,361,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,1632.0,4953.0,5
RC,361,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,1632.0,4953.0,5
RC,361,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,1632.0,4953.0,5
RC,361,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,1632.0,4953.0,5
RC,361,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,1632.0,4953.0,5
RC,361,CHANGE BILE DUCT CATHETER ,,,988.0,1069.0,2
RC,361,CHANGE KIDNEY TUBE ,,,988.0,1069.0,2
RC,361,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,607.0,1069.0,4
RC,361,CIRCUMCISION ,,,988.0,1069.0,2
RC,361,COLONOSCOPY LESION REMOVAL ,,,988.0,1069.0,2
RC,361,COLONOSCOPY W/STENT ,,,988.0,1069.0,4
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,361,CONTROL POSTOP BLEEDING ,,,988.0,1069.0,2
RC,361,CRYOTHERAPY OF RECTAL LESION ,,,1560.0,1687.0,4
RC,361,"Cannulation, thoracic duct ",,,291.0,2900.0,4
RC,361,Canthoplasty (reconstruction of canthus) ,,,870.0,4830.0,15
RC,361,Canthotomy (separate procedure) ,,,607.0,4830.0,15
RC,361,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,291.0,2900.0,4
RC,361,Cardioassist-method of circulatory assist; external ,,,3715.0,4953.0,3
RC,361,Cardioassist-method of circulatory assist; internal ,,,3715.0,4953.0,3
RC,361,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,2900.0,4
RC,361,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,511.0,3250.0,4
RC,361,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,511.0,3250.0,4
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,5
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,5
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,15
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,5
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,20
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,15
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,5
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,5
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,9813.0,7
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,10746.0,19
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,9813.0,14
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,10746.0,24
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,9813.0,7
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,5
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,5
RC,361,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,291.0,2900.0,8
RC,361,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,361,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,361,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,291.0,2900.0,4
RC,361,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,911.0,3435.0,9
RC,361,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,1632.0,21331.0,4
RC,361,"Cautery of cervix; cryocautery, initial or repeat ",,,291.0,3523.0,13
RC,361,Cautery of cervix; electro or thermal ,,,870.0,4830.0,11
RC,361,Cautery of cervix; laser ablation ,,,870.0,4830.0,15
RC,361,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,9
RC,361,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,4830.0,15
RC,361,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,4830.0,15
RC,361,Cervical lymphadenectomy (complete) ,,,1471.0,6446.0,11
RC,361,Cervical lymphadenectomy (modified radical neck dissection) ,,,1471.0,6446.0,12
RC,361,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,1632.0,3435.0,2
RC,361,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,1632.0,3435.0,2
RC,361,Cesarean delivery only; ,,,1632.0,4953.0,5
RC,361,Cesarean delivery only; including postpartum care ,,,1632.0,6446.0,9
RC,361,Change of cystostomy tube; complicated ,,,511.0,3523.0,15
RC,361,Change of cystostomy tube; simple ,,,291.0,3523.0,13
RC,361,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,4100.0,15
RC,361,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,8866.0,7
RC,361,Chemodenervation of eccrine glands; both axillae ,,,291.0,3523.0,13
RC,361,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,291.0,3523.0,13
RC,361,Chemodenervation of extraocular muscle ,,,291.0,3523.0,13
RC,361,Chemodenervation of internal anal sphincter ,,,607.0,4100.0,13
RC,361,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,511.0,3250.0,13
RC,361,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,291.0,3523.0,13
RC,361,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,291.0,2900.0,13
RC,361,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,291.0,2900.0,13
RC,361,Chemodenervation of one extremity; 1-4 muscle(s) ,,,511.0,3250.0,13
RC,361,Chemodenervation of one extremity; 5 or more muscles ,,,511.0,3250.0,13
RC,361,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,291.0,2900.0,13
RC,361,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,511.0,3250.0,13
RC,361,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,511.0,3250.0,13
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,1632.0,3523.0,7
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,1632.0,4953.0,5
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,1632.0,4953.0,5
RC,361,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,1632.0,4953.0,5
RC,361,Cholecystectomy with exploration of common duct; ,,,1632.0,6446.0,9
RC,361,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,1632.0,6446.0,9
RC,361,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,1632.0,10746.0,9
RC,361,Cholecystectomy; ,,,1471.0,6801.0,9
RC,361,Cholecystectomy; with cholangiography ,,,1632.0,6446.0,9
RC,361,Cholecystoenterostomy; Roux-en-Y ,,,1632.0,4953.0,5
RC,361,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,1632.0,4953.0,5
RC,361,Cholecystoenterostomy; direct ,,,1632.0,4953.0,5
RC,361,Cholecystoenterostomy; with gastroenterostomy ,,,1632.0,4953.0,5
RC,361,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,1404.42,5958.0,7
RC,361,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,1632.0,4953.0,5
RC,361,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,1632.0,4953.0,5
RC,361,"Chorionic villus sampling, any method ",,,511.0,3250.0,9
RC,361,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,15
RC,361,Ciliary body destruction; cryotherapy ,,,870.0,4830.0,15
RC,361,Ciliary body destruction; cyclodialysis ,,,870.0,4830.0,15
RC,361,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,4830.0,15
RC,361,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,4830.0,15
RC,361,Ciliary body destruction; diathermy ,,,769.0,4100.0,15
RC,361,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,742.8,4830.0,15
RC,361,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,4830.0,15
RC,361,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,4830.0,15
RC,361,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,291.0,3523.0,15
RC,361,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,291.0,3523.0,15
RC,361,Clitoroplasty for intersex state ,,,1404.42,4830.0,7
RC,361,Closure of anal fistula with rectal advancement flap ,,,1404.42,6446.0,15
RC,361,Closure of cystostomy (separate procedure) ,,,607.0,4830.0,15
RC,361,Closure of enteroenteric or enterocolic fistula ,,,1632.0,4953.0,5
RC,361,"Closure of enterostomy, large or small intestine; ",,,1632.0,4953.0,5
RC,361,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,1632.0,4953.0,5
RC,361,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,1404.42,4953.0,8
RC,361,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,1632.0,4953.0,5
RC,361,Closure of enterovesical fistula; without intestinal or bladder resection ,,,1632.0,4953.0,5
RC,361,Closure of esophagostomy or fistula; cervical approach ,,,870.0,4830.0,11
RC,361,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,1632.0,4953.0,5
RC,361,Closure of gastrocolic fistula ,,,1632.0,4953.0,5
RC,361,"Closure of gastrostomy, surgical ",,,607.0,4830.0,15
RC,361,Closure of intestinal cutaneous fistula ,,,1632.0,4953.0,5
RC,361,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,291.0,2900.0,9
RC,361,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,291.0,3523.0,15
RC,361,Closure of lacrimal fistula (separate procedure) ,,,511.0,6446.0,15
RC,361,Closure of nephrocutaneous or pyelocutaneous fistula ,,,511.0,3250.0,8
RC,361,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,1632.0,4953.0,5
RC,361,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,1632.0,4953.0,5
RC,361,Closure of rectourethral fistula; ,,,1632.0,4953.0,5
RC,361,Closure of rectourethral fistula; with colostomy ,,,1632.0,4953.0,5
RC,361,Closure of rectovaginal fistula; abdominal approach ,,,1632.0,6446.0,9
RC,361,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,1632.0,4953.0,5
RC,361,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,1632.0,4830.0,4
RC,361,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,15
RC,361,Closure of rectovesical fistula; ,,,1632.0,4953.0,5
RC,361,Closure of rectovesical fistula; with colostomy ,,,1632.0,4953.0,5
RC,361,"Closure of the lacrimal punctum; by plug, each ",,,291.0,2900.0,13
RC,361,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,291.0,2900.0,13
RC,361,Closure of ureterocutaneous fistula ,,,1632.0,4953.0,5
RC,361,Closure of ureterovisceral fistula (including visceral repair) ,,,1632.0,4953.0,5
RC,361,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,5958.0,15
RC,361,Closure of urethrovaginal fistula; ,,,1257.0,6801.0,13
RC,361,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,8
RC,361,Closure of vesicouterine fistula; ,,,1257.0,6446.0,8
RC,361,Closure of vesicouterine fistula; with hysterectomy ,,,1632.0,4953.0,5
RC,361,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,8
RC,361,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,1694.0,5958.0,7
RC,361,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,13
RC,361,"Closure postauricular fistula, mastoid (separate procedure) ",,,769.0,6446.0,15
RC,361,Closure salivary fistula ,,,607.0,4100.0,15
RC,361,"Closure, exstrophy of bladder ",,,1632.0,4953.0,5
RC,361,"Cochlear device implantation, with or without mastoidectomy ",,,2706.0,74502.0,13
RC,361,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1632.0,4953.0,5
RC,361,"Colectomy, partial; abdominal and transanal approach ",,,1632.0,4953.0,5
RC,361,"Colectomy, partial; with anastomosis ",,,1632.0,4953.0,5
RC,361,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,1632.0,4953.0,5
RC,361,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,1632.0,4953.0,5
RC,361,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1632.0,4953.0,5
RC,361,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,1632.0,4953.0,5
RC,361,"Colectomy, partial; with skin level cecostomy or colostomy ",,,1632.0,4953.0,5
RC,361,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,1632.0,4953.0,5
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,1632.0,4953.0,5
RC,361,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,1632.0,4953.0,5
RC,361,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,1632.0,4953.0,5
RC,361,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,3
RC,361,Collection of blood specimen from a completely implantable venous access device ,,,291.0,21331.0,7
RC,361,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,291.0,21331.0,7
RC,361,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,1632.0,3435.0,2
RC,361,Collection of venous blood by venipuncture ,,,1632.0,1632.0,1
RC,361,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,291.0,2900.0,4
RC,361,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,361,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,361,"Colonoscopy through stoma; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,361,"Colonoscopy through stoma; with control of bleeding, any method ",,,607.0,4100.0,15
RC,361,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,4320.0,13
RC,361,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,607.0,4320.0,13
RC,361,Colonoscopy through stoma; with endoscopic mucosal resection ,,,607.0,4320.0,13
RC,361,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,361,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,607.0,4320.0,13
RC,361,Colonoscopy through stoma; with removal of foreign body(s) ,,,607.0,4100.0,15
RC,361,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,4100.0,15
RC,361,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,361,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,607.0,4320.0,13
RC,361,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,607.0,4320.0,13
RC,361,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,742.8,4100.0,15
RC,361,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,361,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,769.0,4320.0,13
RC,361,"Colonoscopy, flexible; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,361,"Colonoscopy, flexible; with control of bleeding, any method ",,,769.0,4100.0,15
RC,361,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,769.0,4320.0,13
RC,361,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,769.0,4100.0,15
RC,361,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,769.0,4320.0,13
RC,361,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,361,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,769.0,4100.0,15
RC,361,"Colonoscopy, flexible; with removal of foreign body(s) ",,,769.0,4100.0,15
RC,361,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,769.0,4100.0,15
RC,361,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,361,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,769.0,4100.0,15
RC,361,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,769.0,4100.0,15
RC,361,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3979.0,15
RC,361,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3979.0,15
RC,361,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,9
RC,361,Colostomy or skin level cecostomy; ,,,1632.0,4953.0,5
RC,361,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,361,Colpocentesis (separate procedure) ,,,870.0,4830.0,15
RC,361,Colpocleisis (Le Fort type) ,,,1603.31,6446.0,9
RC,361,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,4830.0,15
RC,361,"Colpopexy, abdominal approach ",,,1632.0,6446.0,8
RC,361,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1753.0,6801.0,11
RC,361,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1753.0,6801.0,11
RC,361,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,9
RC,361,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,4830.0,15
RC,361,Colposcopy of the cervix including upper/adjacent vagina; ,,,291.0,3523.0,13
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,291.0,3523.0,13
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,291.0,3523.0,13
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,291.0,3523.0,13
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,4830.0,11
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,13
RC,361,"Colposcopy of the entire vagina, with cervix if present; ",,,291.0,3523.0,13
RC,361,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,511.0,3523.0,13
RC,361,Colposcopy of the vulva; ,,,291.0,2900.0,13
RC,361,Colposcopy of the vulva; with biopsy(s) ,,,291.0,3523.0,13
RC,361,Colpotomy; with drainage of pelvic abscess ,,,870.0,4830.0,15
RC,361,Colpotomy; with exploration ,,,607.0,4830.0,15
RC,361,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.31,6446.0,15
RC,361,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.31,10746.0,15
RC,361,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,291.0,3523.0,15
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,511.0,3250.0,13
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,511.0,3250.0,13
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,511.0,3250.0,13
RC,361,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,291.0,2900.0,9
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,291.0,21155.0,4
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,291.0,21155.0,4
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,2540.0,21155.0,4
RC,361,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,2706.0,36635.0,18
RC,361,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,2540.0,21155.0,4
RC,361,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,2706.0,36635.0,9
RC,361,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,291.0,3435.0,5
RC,361,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,4830.0,15
RC,361,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,4830.0,15
RC,361,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,5958.0,15
RC,361,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,4830.0,15
RC,361,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1142.61,6446.0,15
RC,361,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1404.42,6446.0,15
RC,361,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,361,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1142.61,6446.0,15
RC,361,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1404.42,6446.0,15
RC,361,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1404.42,6446.0,15
RC,361,Construction of artificial vagina; with graft ,,,1471.0,6446.0,11
RC,361,Construction of artificial vagina; without graft ,,,1603.31,6446.0,15
RC,361,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1142.61,6446.0,15
RC,361,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1142.61,6446.0,15
RC,361,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,1632.0,4953.0,5
RC,361,Continent ileostomy (Kock procedure) (separate procedure) ,,,1632.0,4953.0,5
RC,361,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,291.0,2900.0,4
RC,361,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,291.0,2900.0,8
RC,361,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,291.0,21331.0,9
RC,361,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,291.0,2900.0,13
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,1632.0,4953.0,5
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,291.0,2900.0,13
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,769.0,6446.0,15
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,1632.0,4830.0,5
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,291.0,3523.0,15
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,870.0,4830.0,15
RC,361,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,870.0,8866.0,13
RC,361,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,361,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,8866.0,7
RC,361,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,511.0,3979.0,13
RC,361,"Cordocentesis (intrauterine), any method ",,,291.0,2900.0,9
RC,361,Corneal relaxing incision for correction of surgically induced astigmatism ,,,769.0,6446.0,15
RC,361,Corneal wedge resection for correction of surgically induced astigmatism ,,,1142.61,6446.0,15
RC,361,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,1632.0,4953.0,5
RC,361,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1404.42,6446.0,15
RC,361,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1404.42,6446.0,15
RC,361,"Correction of everted punctum, cautery ",,,291.0,3523.0,13
RC,361,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1142.61,6446.0,15
RC,361,Correction of lid retraction ,,,1142.61,6446.0,15
RC,361,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,1632.0,10746.0,9
RC,361,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,291.0,3523.0,9
RC,361,"Correction of trichiasis; epilation, by forceps only ",,,291.0,2900.0,9
RC,361,Correction of trichiasis; incision of lid margin ,,,769.0,4100.0,15
RC,361,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,4830.0,15
RC,361,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,291.0,2900.0,4
RC,361,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,1753.0,9431.0,9
RC,361,Craniectomy for craniosynostosis; multiple cranial sutures ,,,1632.0,4953.0,5
RC,361,Craniectomy for craniosynostosis; single cranial suture ,,,1632.0,4953.0,5
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,1632.0,4953.0,5
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,1632.0,4953.0,5
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,1632.0,4953.0,5
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,1632.0,4953.0,5
RC,361,"Craniectomy or craniotomy, exploratory; supratentorial ",,,1632.0,4953.0,5
RC,361,Craniectomy or craniotomy; with excision of foreign body from brain ,,,1632.0,4953.0,5
RC,361,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,1632.0,4953.0,5
RC,361,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,1632.0,4953.0,5
RC,361,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,1632.0,4953.0,5
RC,361,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,1632.0,4953.0,5
RC,361,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,1632.0,4953.0,5
RC,361,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,1632.0,4953.0,5
RC,361,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,1632.0,4953.0,5
RC,361,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,1632.0,4953.0,5
RC,361,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,1632.0,4953.0,5
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,1632.0,4953.0,5
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,1632.0,4953.0,5
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,1632.0,4953.0,5
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,1632.0,4953.0,5
RC,361,Craniectomy; for osteomyelitis ,,,1632.0,4953.0,5
RC,361,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2540.0,9431.0,8
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,1632.0,4953.0,5
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,1632.0,4953.0,5
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,361,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,361,Cranioplasty for skull defect with reparative brain surgery ,,,1632.0,4953.0,5
RC,361,Cranioplasty for skull defect; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,361,Cranioplasty for skull defect; up to 5 cm diameter ,,,1632.0,5552.91,8
RC,361,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,361,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,1632.0,5278.0,8
RC,361,Craniotomy for craniosynostosis; bifrontal bone flap ,,,1632.0,4953.0,5
RC,361,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,1632.0,4953.0,5
RC,361,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,1632.0,4953.0,5
RC,361,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,1632.0,4953.0,5
RC,361,"Craniotomy for repair of encephalocele, skull base ",,,1632.0,4953.0,5
RC,361,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,1632.0,4953.0,5
RC,361,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,1632.0,4953.0,5
RC,361,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,1632.0,4953.0,5
RC,361,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,1632.0,4953.0,5
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,361,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,361,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,1632.0,4953.0,5
RC,361,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,1632.0,4953.0,5
RC,361,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,1632.0,4953.0,5
RC,361,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,1632.0,4953.0,5
RC,361,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,1632.0,4953.0,5
RC,361,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,1753.0,21331.0,9
RC,361,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,1753.0,21331.0,9
RC,361,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,1753.0,6801.0,7
RC,361,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,1632.0,4953.0,5
RC,361,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1142.61,6446.0,15
RC,361,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1142.61,6446.0,15
RC,361,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,4830.0,15
RC,361,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,1632.0,4953.0,5
RC,361,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,6801.0,11
RC,361,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,361,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,361,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,361,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,361,Cricopharyngeal myotomy ,,,1753.0,6801.0,7
RC,361,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,1753.0,20951.0,13
RC,361,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,607.0,4100.0,11
RC,361,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,511.0,3523.0,13
RC,361,"Curettage, postpartum ",,,1257.0,6446.0,15
RC,361,Cutaneous appendico-vesicostomy ,,,1632.0,4953.0,5
RC,361,Cutaneous vesicostomy ,,,1404.42,4830.0,7
RC,361,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,1632.0,4953.0,5
RC,361,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,1632.0,4953.0,5
RC,361,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,361,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,1632.0,4953.0,5
RC,361,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,361,"Cystectomy, complete; (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,361,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,361,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,1632.0,4953.0,5
RC,361,"Cystectomy, partial; simple ",,,1632.0,4953.0,5
RC,361,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,15
RC,361,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,1632.0,10746.0,9
RC,361,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,8
RC,361,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,4830.0,11
RC,361,"Cystostomy, cystotomy with drainage ",,,1142.61,6446.0,15
RC,361,"Cystotomy for excision, incision, or repair of ureterocele ",,,1404.42,4830.0,7
RC,361,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1404.42,6446.0,15
RC,361,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1404.42,2760.0,8
RC,361,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1404.42,6446.0,15
RC,361,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,511.0,6446.0,15
RC,361,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,1404.42,5958.0,7
RC,361,Cystotomy; for excision of bladder tumor ,,,1404.42,5958.0,7
RC,361,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1404.42,6446.0,15
RC,361,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,1632.0,10746.0,9
RC,361,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,15
RC,361,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,4830.0,13
RC,361,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1404.42,6446.0,13
RC,361,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,6801.0,13
RC,361,Cystourethroscopy (separate procedure) ,,,511.0,3523.0,13
RC,361,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,742.8,4100.0,15
RC,361,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,7161.0,7
RC,361,Cystourethroscopy with direct vision internal urethrotomy ,,,1142.61,6446.0,15
RC,361,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,15
RC,361,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,1632.0,6446.0,7
RC,361,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1404.42,16336.0,15
RC,361,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1632.0,6446.0,7
RC,361,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,6446.0,13
RC,361,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,769.0,4100.0,15
RC,361,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,15
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,361,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,8866.0,7
RC,361,"Cystourethroscopy, with biopsy(s) ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,769.0,4100.0,15
RC,361,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,361,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,511.0,3523.0,13
RC,361,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,511.0,3979.0,15
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,15
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,15
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,769.0,5115.0,13
RC,361,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,4830.0,11
RC,361,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,291.0,2900.0,11
RC,361,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,291.0,6446.0,11
RC,361,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,8866.0,15
RC,361,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,6
RC,361,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,8866.0,13
RC,361,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,11
RC,361,"Cystourethroscopy, with internal urethrotomy; female ",,,769.0,4100.0,15
RC,361,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,1632.0,8866.0,9
RC,361,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,769.0,4100.0,15
RC,361,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,4830.0,13
RC,361,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,8866.0,9
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,5
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,6446.0,13
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,6446.0,13
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1603.31,6801.0,9
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,8866.0,11
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1404.42,6446.0,13
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,6446.0,13
RC,361,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,15
RC,361,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,4830.0,15
RC,361,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,361,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,361,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,361,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,4830.0,15
RC,361,D & C OF RESIDUAL CERVIX ,,,2302.0,2490.0,2
RC,361,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,1069.0,4
RC,361,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,1069.0,2
RC,361,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,1069.0,2
RC,361,DILATE ESOPHAGUS ,,,1560.0,1687.0,4
RC,361,DILATION PROSTATIC URETHRA ,,,2302.0,2490.0,2
RC,361,DRAINAGE OF BLADDER ,,,988.0,1069.0,2
RC,361,DRAINAGE OF EYE ,,,988.0,1069.0,2
RC,361,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1404.42,6446.0,15
RC,361,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,291.0,2900.0,16
RC,361,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,8
RC,361,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,7161.0,7
RC,361,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,291.0,2900.0,11
RC,361,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,291.0,2900.0,9
RC,361,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,291.0,21331.0,9
RC,361,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1753.0,6801.0,11
RC,361,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,361,Decompression internal auditory canal ,,,1753.0,6801.0,7
RC,361,"Decompression of orbit only, transcranial approach ",,,1404.42,6801.0,7
RC,361,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1142.61,8866.0,15
RC,361,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1632.0,3435.0,7
RC,361,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,1632.0,9431.0,7
RC,361,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1632.0,4830.0,7
RC,361,Decompression; plantar digital nerve ,,,607.0,4830.0,15
RC,361,Decompression; unspecified nerve(s) (specify) ,,,607.0,4830.0,15
RC,361,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,3
RC,361,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,607.0,4100.0,13
RC,361,Deligation of ureter ,,,1632.0,4953.0,5
RC,361,Delivery of placenta (separate procedure) ,,,1404.42,4830.0,7
RC,361,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,3
RC,361,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1142.61,4830.0,12
RC,361,"Destruction by neurolytic agent, intercostal nerve ",,,511.0,3523.0,15
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,291.0,2900.0,8
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,4830.0,13
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,291.0,2900.0,8
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,5115.0,13
RC,361,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,4830.0,15
RC,361,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,4830.0,15
RC,361,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,511.0,3523.0,15
RC,361,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,511.0,3979.0,15
RC,361,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,511.0,3979.0,15
RC,361,Destruction by neurolytic agent; other peripheral nerve or branch ,,,511.0,3523.0,13
RC,361,Destruction by neurolytic agent; plantar common digital nerve ,,,291.0,2900.0,13
RC,361,Destruction by neurolytic agent; pudendal nerve ,,,511.0,3979.0,15
RC,361,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,511.0,3523.0,13
RC,361,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,5958.0,13
RC,361,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,511.0,5115.0,13
RC,361,"Destruction of lesion (except excision), dentoalveolar structures ",,,607.0,4100.0,11
RC,361,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,291.0,2900.0,13
RC,361,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,4100.0,13
RC,361,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,607.0,4100.0,13
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,15
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,3523.0,13
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,13
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,11
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4830.0,15
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4830.0,15
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,15
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,2900.0,9
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,9
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,7
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4100.0,15
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4100.0,15
RC,361,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,769.0,6446.0,15
RC,361,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,11
RC,361,"Destruction of lesion, conjunctiva ",,,607.0,4830.0,13
RC,361,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,607.0,4100.0,13
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,511.0,3250.0,11
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,511.0,3250.0,11
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,291.0,2900.0,8
RC,361,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3523.0,13
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,291.0,6446.0,11
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,511.0,6446.0,11
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1404.42,6446.0,13
RC,361,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,870.0,8866.0,15
RC,361,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,15
RC,361,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,11
RC,361,Diagnostic bone marrow; aspiration(s) ,,,511.0,3523.0,13
RC,361,Diagnostic bone marrow; biopsy(ies) ,,,511.0,3523.0,13
RC,361,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,607.0,4100.0,14
RC,361,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,3715.0,6446.0,5
RC,361,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,291.0,2900.0,8
RC,361,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3715.0,10746.0,26
RC,361,Diaphragm or cervical cap fitting with instructions ,,,291.0,2900.0,9
RC,361,"Dilation and catheterization of salivary duct, with or without injection ",,,291.0,2900.0,13
RC,361,Dilation and curettage of cervical stump ,,,1257.0,6446.0,15
RC,361,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,4830.0,15
RC,361,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,607.0,4100.0,15
RC,361,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,4830.0,13
RC,361,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,607.0,4100.0,15
RC,361,"Dilation of esophagus, over guide wire ",,,607.0,4100.0,15
RC,361,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1404.42,8866.0,22
RC,361,Dilation of female urethra including suppository and/or instillation; initial ,,,291.0,2900.0,13
RC,361,Dilation of female urethra including suppository and/or instillation; subsequent ,,,291.0,2900.0,9
RC,361,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,4830.0,15
RC,361,"Dilation of lacrimal punctum, with or without irrigation ",,,291.0,2900.0,9
RC,361,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,607.0,4100.0,15
RC,361,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,511.0,3250.0,11
RC,361,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,291.0,3523.0,13
RC,361,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,291.0,3523.0,13
RC,361,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,291.0,3523.0,13
RC,361,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,361,Dilation of vagina under anesthesia (other than local) ,,,870.0,4830.0,15
RC,361,Dilation salivary duct ,,,607.0,4100.0,13
RC,361,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,361,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,291.0,6446.0,8
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1753.0,9431.0,11
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,1632.0,4953.0,5
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,1632.0,4953.0,5
RC,361,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,511.0,3979.0,15
RC,361,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,291.0,3523.0,13
RC,361,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,4830.0,15
RC,361,"Dissection, deep jugular node(s) ",,,870.0,9431.0,15
RC,361,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,1753.0,21331.0,9
RC,361,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,1753.0,6801.0,9
RC,361,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,1632.0,4953.0,5
RC,361,Division of stricture of rectum ,,,769.0,4100.0,15
RC,361,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,1632.0,4953.0,5
RC,361,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,1632.0,4953.0,5
RC,361,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,1632.0,4953.0,5
RC,361,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,1632.0,4953.0,5
RC,361,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,1632.0,4953.0,5
RC,361,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,1632.0,4953.0,5
RC,361,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,1632.0,4953.0,5
RC,361,"Donor nephrectomy (including cold preservation); open, from living donor ",,,1632.0,4953.0,5
RC,361,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,1632.0,3435.0,2
RC,361,"Drainage external auditory canal, abscess ",,,511.0,3250.0,13
RC,361,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,4100.0,11
RC,361,"Drainage external ear, abscess or hematoma; simple ",,,511.0,3250.0,13
RC,361,Drainage of Skene's gland abscess or cyst ,,,607.0,4830.0,11
RC,361,"Drainage of abscess of palate, uvula ",,,291.0,3979.0,15
RC,361,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,291.0,3523.0,15
RC,361,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,291.0,3979.0,15
RC,361,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,511.0,3250.0,9
RC,361,"Drainage of abscess; parotid, complicated ",,,870.0,4830.0,15
RC,361,"Drainage of abscess; parotid, simple ",,,607.0,4100.0,15
RC,361,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,291.0,3523.0,15
RC,361,"Drainage of abscess; submaxillary, external ",,,291.0,3523.0,15
RC,361,Drainage of deep periurethral abscess ,,,870.0,4830.0,15
RC,361,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,1632.0,4953.0,5
RC,361,Drainage of lymph node abscess or lymphadenitis; extensive ,,,870.0,4830.0,15
RC,361,Drainage of lymph node abscess or lymphadenitis; simple ,,,607.0,4100.0,15
RC,361,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,8
RC,361,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,15
RC,361,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,11
RC,361,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,15
RC,361,Drainage of perineal urinary extravasation; complicated ,,,1142.61,4830.0,7
RC,361,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,742.8,6446.0,15
RC,361,"Drainage of perirenal or renal abscess, open ",,,870.0,4830.0,11
RC,361,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,1632.0,4953.0,5
RC,361,Drainage of perivesical or prevesical space abscess ,,,607.0,4100.0,15
RC,361,"Drainage of retroperitoneal abscess, open ",,,1632.0,4953.0,5
RC,361,Drainage of scrotal wall abscess ,,,607.0,4100.0,15
RC,361,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,1632.0,4953.0,5
RC,361,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,291.0,3435.0,12
RC,361,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,1632.0,4953.0,5
RC,361,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,607.0,4100.0,13
RC,361,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,607.0,4100.0,13
RC,361,Duodenal motility (manometric) study ,,,291.0,2900.0,8
RC,361,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,361,"Dural graft, spinal ",,,1632.0,4953.0,5
RC,361,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,742.8,4100.0,7
RC,361,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,1687.0,10
RC,361,ESOPH ENDOSCOPY ABLATION ,,,1560.0,1687.0,2
RC,361,ESOPHAGUS ENDOSCOPY ,,,988.0,1069.0,2
RC,361,EXCISION OF RECTAL LESION ,,,1560.0,1687.0,2
RC,361,EXPLORATION OF EPIDIDYMIS ,,,988.0,1069.0,2
RC,361,Ear piercing ,,,1632.0,6411.0,7
RC,361,Electroejaculation ,,,511.0,3523.0,13
RC,361,"Electrogastrography, diagnostic, transcutaneous; ",,,291.0,2900.0,4
RC,361,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,291.0,2900.0,4
RC,361,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,291.0,2900.0,9
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,291.0,3979.0,13
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,291.0,2900.0,22
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,291.0,3979.0,13
RC,361,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,291.0,5078.0,12
RC,361,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,769.0,5078.0,6
RC,361,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,291.0,2900.0,4
RC,361,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,2540.0,21155.0,4
RC,361,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,1632.0,4953.0,5
RC,361,"Elevation of depressed skull fracture; simple, extradural ",,,1404.42,6801.0,7
RC,361,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,1632.0,4953.0,5
RC,361,"Embryo transfer, intrauterine ",,,511.0,3523.0,15
RC,361,Endocervical curettage (not done as part of a dilation and curettage) ,,,511.0,3523.0,13
RC,361,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,291.0,2900.0,8
RC,361,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,291.0,2900.0,8
RC,361,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,291.0,2900.0,8
RC,361,Endolymphatic sac operation; with shunt ,,,1753.0,10746.0,15
RC,361,Endolymphatic sac operation; without shunt ,,,1753.0,10746.0,15
RC,361,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.31,10746.0,13
RC,361,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1603.31,6766.0,11
RC,361,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,361,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,291.0,2900.0,13
RC,361,Endomyocardial biopsy ,,,607.0,5958.0,9
RC,361,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,291.0,8866.0,10
RC,361,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,361,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,5
RC,361,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,361,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,607.0,4100.0,15
RC,361,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,15
RC,361,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,6
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,870.0,4830.0,15
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,1257.0,8866.0,13
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,870.0,4830.0,15
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,1632.0,4830.0,11
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,1257.0,8866.0,13
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,870.0,4830.0,15
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,1257.0,8866.0,13
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,870.0,4830.0,15
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,1257.0,8866.0,13
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,870.0,4830.0,15
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1257.0,8866.0,13
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,3715.0,6446.0,5
RC,361,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,3715.0,8866.0,7
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,361,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,8866.0,11
RC,361,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,361,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,1632.0,21331.0,5
RC,361,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,1632.0,21331.0,5
RC,361,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,13472.0,11
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,291.0,9431.0,21
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,1257.0,8866.0,15
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,291.0,4584.0,10
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,911.0,6446.0,13
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,291.0,2900.0,8
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,1257.0,8866.0,15
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,291.0,4584.0,10
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,1632.0,4953.0,5
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,1632.0,4953.0,5
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,1632.0,4953.0,5
RC,361,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,361,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,1632.0,4953.0,5
RC,361,"Enterectomy, resection of small intestine; with enterostomy ",,,1632.0,4953.0,5
RC,361,"Enterocystoplasty, including intestinal anastomosis ",,,1632.0,4953.0,5
RC,361,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,1632.0,4953.0,5
RC,361,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,1632.0,10746.0,9
RC,361,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,1632.0,4953.0,5
RC,361,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,361,"Enucleation of eye; with implant, muscles attached to implant ",,,1404.42,6446.0,15
RC,361,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,15
RC,361,Enucleation of eye; without implant ,,,1257.0,6446.0,15
RC,361,Epididymectomy; bilateral ,,,1404.42,6446.0,15
RC,361,Epididymectomy; unilateral ,,,1257.0,6446.0,15
RC,361,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1404.42,6446.0,15
RC,361,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1142.61,6446.0,15
RC,361,Epikeratoplasty ,,,911.0,10746.0,10
RC,361,"Episiotomy or vaginal repair, by other than attending ",,,870.0,4830.0,11
RC,361,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,291.0,2900.0,4
RC,361,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,291.0,2900.0,4
RC,361,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,291.0,2900.0,4
RC,361,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,361,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,291.0,2900.0,8
RC,361,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,291.0,2900.0,4
RC,361,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,8866.0,11
RC,361,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,769.0,21155.0,4
RC,361,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,769.0,21155.0,4
RC,361,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,1632.0,4953.0,5
RC,361,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,1632.0,4953.0,5
RC,361,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,1632.0,4953.0,5
RC,361,Esophagogastric fundoplasty partial or complete; laparotomy ,,,1632.0,4953.0,5
RC,361,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,1632.0,4953.0,5
RC,361,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,1632.0,4953.0,5
RC,361,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,1632.0,4953.0,5
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,6446.0,13
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,742.8,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,1257.0,6446.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,769.0,7161.0,12
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,742.8,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,769.0,6446.0,13
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,769.0,6446.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,1257.0,8866.0,13
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,742.8,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,769.0,5115.0,13
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1257.0,8866.0,13
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,742.8,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,742.8,5115.0,12
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,769.0,4100.0,15
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,769.0,6446.0,13
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,870.0,4830.0,15
RC,361,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,1632.0,4953.0,5
RC,361,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,1632.0,4953.0,5
RC,361,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,1632.0,4953.0,5
RC,361,Esophagomyotomy (Heller type); abdominal approach ,,,1632.0,4953.0,5
RC,361,Esophagomyotomy (Heller type); thoracic approach ,,,1632.0,4953.0,5
RC,361,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,361,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,361,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,361,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,361,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,361,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,361,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,13
RC,361,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,607.0,4100.0,13
RC,361,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,8866.0,13
RC,361,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,607.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,769.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,361,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,607.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,769.0,4100.0,13
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,769.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,607.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,607.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,607.0,5115.0,13
RC,361,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,8866.0,13
RC,361,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,607.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,4830.0,15
RC,361,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,769.0,4100.0,15
RC,361,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,769.0,4100.0,15
RC,361,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,870.0,8866.0,13
RC,361,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,607.0,4100.0,13
RC,361,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,769.0,5115.0,13
RC,361,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,607.0,5115.0,13
RC,361,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,607.0,5115.0,13
RC,361,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,769.0,5115.0,13
RC,361,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,607.0,5115.0,13
RC,361,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,1632.0,4953.0,5
RC,361,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,1632.0,4953.0,5
RC,361,"Esophagotomy, cervical approach, with removal of foreign body ",,,769.0,4100.0,9
RC,361,"Esophagotomy, thoracic approach, with removal of foreign body ",,,1632.0,4953.0,5
RC,361,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,291.0,2900.0,4
RC,361,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,291.0,3250.0,4
RC,361,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,291.0,2900.0,4
RC,361,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,291.0,2900.0,4
RC,361,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,15
RC,361,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,15
RC,361,Exc biopsy of saliv glands ,,,3715.0,4953.0,3
RC,361,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,3
RC,361,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,511.0,3979.0,13
RC,361,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,8866.0,7
RC,361,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,870.0,8866.0,13
RC,361,Exchange of intraocular lens ,,,1142.61,6446.0,15
RC,361,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,607.0,4100.0,11
RC,361,"Exchange transfusion, blood; newborn ",,,291.0,3523.0,13
RC,361,"Exchange transfusion, blood; other than newborn ",,,291.0,3523.0,13
RC,361,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,361,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,361,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,361,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1142.61,6446.0,30
RC,361,Excision aural glomus tumor; extended (extratemporal) ,,,1632.0,4953.0,5
RC,361,Excision aural glomus tumor; transcanal ,,,1753.0,6801.0,15
RC,361,Excision aural glomus tumor; transmastoid ,,,1753.0,10746.0,15
RC,361,Excision aural polyp ,,,769.0,4100.0,11
RC,361,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,1257.0,6446.0,15
RC,361,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,1753.0,6801.0,15
RC,361,"Excision exostosis(es), external auditory canal ",,,870.0,4830.0,15
RC,361,Excision external ear; complete amputation ,,,870.0,4830.0,15
RC,361,"Excision external ear; partial, simple repair ",,,607.0,4100.0,15
RC,361,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,1632.0,4953.0,5
RC,361,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,1632.0,4953.0,5
RC,361,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,15
RC,361,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,1632.0,4953.0,5
RC,361,Excision of Mullerian duct cyst ,,,607.0,4830.0,15
RC,361,Excision of ampulla of Vater ,,,1632.0,4953.0,5
RC,361,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,1632.0,4953.0,5
RC,361,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,1632.0,4953.0,5
RC,361,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,4830.0,15
RC,361,Excision of carotid body tumor; with excision of carotid artery ,,,1632.0,4953.0,5
RC,361,Excision of carotid body tumor; without excision of carotid artery ,,,1632.0,4953.0,5
RC,361,"Excision of cervical stump, abdominal approach; ",,,1632.0,4953.0,5
RC,361,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,1632.0,4953.0,5
RC,361,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,15
RC,361,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,1603.31,5958.0,7
RC,361,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.31,6801.0,15
RC,361,"Excision of chalazion; multiple, different lids ",,,291.0,3523.0,13
RC,361,"Excision of chalazion; multiple, same lid ",,,607.0,4100.0,13
RC,361,Excision of chalazion; single ,,,291.0,3523.0,13
RC,361,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,4830.0,15
RC,361,Excision of choledochal cyst ,,,1632.0,4953.0,5
RC,361,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,9431.0,15
RC,361,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1471.0,6446.0,15
RC,361,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1257.0,6446.0,15
RC,361,Excision of extraparenchymal lesion of testis ,,,870.0,4830.0,15
RC,361,"Excision of fibrous tuberosities, dentoalveolar structures ",,,607.0,4100.0,11
RC,361,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,607.0,4100.0,15
RC,361,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,15
RC,361,Excision of hydrocele; bilateral ,,,1404.42,6446.0,15
RC,361,Excision of hydrocele; unilateral ,,,1257.0,6446.0,15
RC,361,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,607.0,4100.0,11
RC,361,Excision of ileoanal reservoir with ileostomy ,,,1632.0,4953.0,5
RC,361,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,15
RC,361,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,15
RC,361,Excision of lacrimal gland tumor; frontal approach ,,,1142.61,6446.0,15
RC,361,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,15
RC,361,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,15
RC,361,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,769.0,4100.0,13
RC,361,Excision of lesion of mesentery (separate procedure) ,,,1632.0,4953.0,5
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,870.0,4830.0,15
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,870.0,4830.0,15
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,607.0,4100.0,11
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,607.0,4100.0,11
RC,361,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,1632.0,4953.0,5
RC,361,Excision of lesion of spermatic cord (separate procedure) ,,,1404.42,6446.0,15
RC,361,Excision of lesion of tongue with closure; anterior two-thirds ,,,769.0,4100.0,15
RC,361,Excision of lesion of tongue with closure; posterior one-third ,,,769.0,4100.0,15
RC,361,Excision of lesion of tongue with closure; with local tongue flap ,,,870.0,4830.0,15
RC,361,Excision of lesion of tongue without closure ,,,607.0,4100.0,13
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,870.0,6801.0,15
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,607.0,4830.0,11
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,607.0,4100.0,11
RC,361,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,4830.0,15
RC,361,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,4830.0,13
RC,361,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,4830.0,15
RC,361,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,4100.0,15
RC,361,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,1632.0,4953.0,5
RC,361,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,1632.0,4953.0,5
RC,361,"Excision of lesion, sclera ",,,1142.61,10746.0,15
RC,361,Excision of lingual frenum (frenectomy) ,,,607.0,4100.0,13
RC,361,Excision of lip; V-excision with primary direct linear closure ,,,769.0,4100.0,15
RC,361,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,870.0,4830.0,15
RC,361,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,870.0,4830.0,15
RC,361,Excision of lip; transverse wedge excision with primary closure ,,,870.0,4830.0,15
RC,361,Excision of local lesion of epididymis ,,,1257.0,6446.0,15
RC,361,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,3715.0,6446.0,5
RC,361,Excision of mucosa of vestibule of mouth as donor graft ,,,291.0,3523.0,15
RC,361,"Excision of multiple external papillae or tags, anus ",,,607.0,4100.0,15
RC,361,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1142.61,6446.0,15
RC,361,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6801.0,15
RC,361,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1142.61,6446.0,15
RC,361,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,4830.0,15
RC,361,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1142.61,6446.0,15
RC,361,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,361,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,361,"Excision of neuroma; hand or foot, except digital nerve ",,,1142.61,6446.0,15
RC,361,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1142.61,6446.0,15
RC,361,Excision of neuroma; sciatic nerve ,,,1257.0,6801.0,15
RC,361,"Excision of osseous tuberosities, dentoalveolar structures ",,,870.0,4830.0,11
RC,361,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,1753.0,10746.0,15
RC,361,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,1257.0,6801.0,15
RC,361,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,1753.0,10746.0,15
RC,361,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,1753.0,10746.0,15
RC,361,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,1632.0,4830.0,5
RC,361,Excision of penile plaque (Peyronie disease); ,,,870.0,6801.0,15
RC,361,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,6801.0,15
RC,361,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,6801.0,15
RC,361,Excision of perinephric cyst ,,,1632.0,4953.0,5
RC,361,Excision of presacral or sacrococcygeal tumor ,,,1632.0,4953.0,5
RC,361,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,1632.0,4953.0,5
RC,361,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,1632.0,4953.0,5
RC,361,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,870.0,4830.0,15
RC,361,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,870.0,8866.0,13
RC,361,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,607.0,5115.0,13
RC,361,"Excision of single external papilla or tag, anus ",,,607.0,4100.0,15
RC,361,"Excision of spermatocele, with or without epididymectomy ",,,1142.61,6446.0,15
RC,361,Excision of sublingual gland ,,,870.0,4830.0,15
RC,361,Excision of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,15
RC,361,Excision of submandibular (submaxillary) gland ,,,1257.0,6801.0,15
RC,361,"Excision of thrombosed hemorrhoid, external ",,,607.0,4100.0,13
RC,361,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,9431.0,15
RC,361,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,9431.0,15
RC,361,Excision of tonsil tags ,,,1257.0,6446.0,15
RC,361,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,15
RC,361,Excision of urethral diverticulum (separate procedure); female ,,,870.0,5958.0,15
RC,361,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,15
RC,361,Excision of vaginal cyst or tumor ,,,870.0,4830.0,15
RC,361,Excision of vaginal septum ,,,870.0,4830.0,15
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1404.42,6446.0,15
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1404.42,6446.0,15
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1404.42,6446.0,15
RC,361,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,1257.0,6446.0,15
RC,361,"Excision or destruction of lesion of pharynx, any method ",,,870.0,4830.0,15
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,1632.0,4830.0,5
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,1632.0,5958.0,5
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,1632.0,4830.0,5
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,1632.0,4830.0,5
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,1632.0,5958.0,5
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,1603.31,1919.0,4
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,2540.0,2540.0,1
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,2540.0,2540.0,1
RC,361,Excision or fulguration of carcinoma of urethra ,,,870.0,5958.0,15
RC,361,Excision or fulguration; Skene's glands ,,,870.0,4830.0,15
RC,361,Excision or fulguration; urethral caruncle ,,,870.0,4830.0,15
RC,361,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,4830.0,15
RC,361,Excision or fulguration; urethral prolapse ,,,870.0,4830.0,15
RC,361,Excision or transposition of pterygium; with graft ,,,1142.61,6446.0,15
RC,361,Excision or transposition of pterygium; without graft ,,,870.0,4830.0,15
RC,361,Excision or unroofing of cyst(s) of kidney ,,,1632.0,4953.0,5
RC,361,"Excision soft tissue lesion, external auditory canal ",,,769.0,4100.0,15
RC,361,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,1632.0,4953.0,5
RC,361,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,1632.0,4953.0,5
RC,361,"Excision, lesion of floor of mouth ",,,607.0,4830.0,15
RC,361,"Excision, lesion of palate, uvula; with local flap closure ",,,870.0,4830.0,15
RC,361,"Excision, lesion of palate, uvula; with simple primary closure ",,,769.0,4100.0,13
RC,361,"Excision, lesion of palate, uvula; without closure ",,,769.0,4100.0,13
RC,361,"Excision, local; malignant tumor of stomach ",,,1632.0,4953.0,5
RC,361,"Excision, local; ulcer or benign tumor of stomach ",,,1632.0,4953.0,5
RC,361,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,1632.0,4953.0,5
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1404.42,6446.0,15
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1404.42,10746.0,15
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1404.42,10746.0,15
RC,361,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,1632.0,4953.0,5
RC,361,Exploration for undescended testis (inguinal or scrotal area) ,,,1404.42,6446.0,15
RC,361,Exploration for undescended testis with abdominal exploration ,,,1142.61,6446.0,11
RC,361,"Exploration of epididymis, with or without biopsy ",,,607.0,4830.0,15
RC,361,"Exploration of orbit (transcranial approach), with removal of lesion ",,,1632.0,4953.0,5
RC,361,"Exploration, repair, and presacral drainage for rectal injury; ",,,1632.0,4953.0,5
RC,361,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,1632.0,4953.0,5
RC,361,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1404.42,6446.0,12
RC,361,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,8
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,16336.0,11
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,16336.0,5
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,16336.0,5
RC,361,"Expression of conjunctival follicles (eg, for trachoma) ",,,291.0,2900.0,9
RC,361,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,1632.0,4953.0,5
RC,361,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,1632.0,4953.0,5
RC,361,External cannula declotting (separate procedure); with balloon catheter ,,,1753.0,21331.0,9
RC,361,External cannula declotting (separate procedure); without balloon catheter ,,,511.0,21331.0,9
RC,361,"External cephalic version, with or without tocolysis ",,,1404.42,4830.0,9
RC,361,"External counterpulsation, per treatment session ",,,3131.0,3523.0,2
RC,361,"External drainage, pseudocyst of pancreas, open ",,,472.88,4953.0,7
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,1404.42,8866.0,12
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,1404.42,8069.0,12
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,1142.61,8069.0,15
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1142.61,8866.0,39
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,607.0,4100.0,15
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,291.0,3523.0,15
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,607.0,4100.0,15
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,607.0,4830.0,15
RC,361,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,607.0,1069.0,4
RC,361,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,2760.0,2
RC,361,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,6
RC,361,Fetal contraction stress test ,,,291.0,2900.0,9
RC,361,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,291.0,3523.0,13
RC,361,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,1632.0,4953.0,5
RC,361,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,291.0,2900.0,4
RC,361,Fetal non-stress test ,,,291.0,2900.0,7
RC,361,Fetal scalp blood sampling ,,,291.0,2900.0,9
RC,361,"Fetal shunt placement, including ultrasound guidance ",,,291.0,3523.0,13
RC,361,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,361,Fimbrioplasty ,,,1694.0,6446.0,8
RC,361,Fine needle aspiration of orbital contents ,,,607.0,4830.0,15
RC,361,"Fissurectomy, including sphincterotomy, when performed ",,,870.0,4830.0,15
RC,361,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,4830.0,15
RC,361,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1404.42,6446.0,15
RC,361,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1142.61,6446.0,15
RC,361,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1142.61,6446.0,15
RC,361,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1404.42,6446.0,15
RC,361,Fitting and insertion of pessary or other intravaginal support device ,,,291.0,2900.0,9
RC,361,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,15
RC,361,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,8866.0,3
RC,361,"Follicle puncture for oocyte retrieval, any method ",,,511.0,3523.0,15
RC,361,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,291.0,3523.0,15
RC,361,Free jejunum transfer with microvascular anastomosis ,,,1632.0,4953.0,5
RC,361,Free omental flap with microvascular anastomosis ,,,1632.0,4953.0,5
RC,361,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,870.0,6801.0,15
RC,361,Frenulotomy of penis ,,,870.0,4830.0,15
RC,361,GLAUCOMA SURGERY ,,,2552.0,2760.0,2
RC,361,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,291.0,3523.0,15
RC,361,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,1632.0,4953.0,5
RC,361,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,1632.0,4953.0,5
RC,361,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,1632.0,4953.0,5
RC,361,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,1632.0,4953.0,5
RC,361,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,1632.0,4953.0,5
RC,361,"Gastrectomy, total; with esophagoenterostomy ",,,1632.0,4953.0,5
RC,361,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,1632.0,4953.0,5
RC,361,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,291.0,3523.0,13
RC,361,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,291.0,3523.0,13
RC,361,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,291.0,3523.0,13
RC,361,Gastric motility (manometric) studies ,,,291.0,2900.0,8
RC,361,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,1632.0,4953.0,4
RC,361,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,3
RC,361,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,870.0,5958.0,13
RC,361,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,607.0,4100.0,13
RC,361,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,607.0,5958.0,13
RC,361,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,1632.0,9431.0,7
RC,361,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,1632.0,4953.0,4
RC,361,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,1632.0,4953.0,4
RC,361,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2259.0,6801.0,4
RC,361,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,1632.0,4953.0,4
RC,361,Gastroduodenostomy ,,,1632.0,4953.0,5
RC,361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,1632.0,4953.0,5
RC,361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,361,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,769.0,4100.0,4
RC,361,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,769.0,4100.0,4
RC,361,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,4
RC,361,"Gastrojejunostomy; with vagotomy, any type ",,,1632.0,4953.0,5
RC,361,Gastrojejunostomy; without vagotomy ,,,1632.0,4953.0,5
RC,361,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,1694.0,5958.0,7
RC,361,"Gastrostomy, open; neonatal, for feeding ",,,742.8,4100.0,7
RC,361,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,1632.0,4953.0,5
RC,361,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1142.61,4830.0,7
RC,361,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,742.8,4100.0,7
RC,361,Gastrotomy; with exploration or foreign body removal ,,,1632.0,4953.0,5
RC,361,Gastrotomy; with suture repair of bleeding ulcer ,,,1632.0,4953.0,5
RC,361,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,1632.0,4953.0,5
RC,361,"Gingivectomy, excision gingiva, each quadrant ",,,607.0,4830.0,13
RC,361,"Gingivoplasty, each quadrant (specify) ",,,1404.42,6801.0,7
RC,361,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,1632.0,4953.0,5
RC,361,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,1632.0,4953.0,5
RC,361,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,1632.0,4953.0,5
RC,361,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,1632.0,4953.0,5
RC,361,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,1632.0,4953.0,5
RC,361,Glossectomy; hemiglossectomy ,,,1632.0,4953.0,5
RC,361,Glossectomy; less than one-half tongue ,,,1753.0,6801.0,15
RC,361,"Glossectomy; partial, with unilateral radical neck dissection ",,,1632.0,4830.0,5
RC,361,Goniotomy ,,,607.0,4830.0,15
RC,361,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,1257.0,6446.0,15
RC,361,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,361,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,361,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,3
RC,361,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,3
RC,361,HFenestration semicircular canal ,,,3026.0,3273.0,2
RC,361,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,27220.0,36293.0,3
RC,361,HRevision fenestration operation ,,,3026.0,3273.0,2
RC,361,"Harvesting conjunctival allograft, living donor ",,,870.0,4830.0,15
RC,361,Hematopoietic progenitor cell (HPC); HPC boost ,,,607.0,4100.0,13
RC,361,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,1876.0,6801.0,11
RC,361,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,769.0,6446.0,11
RC,361,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,1257.0,6446.0,15
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,1257.0,6446.0,15
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,1404.42,6446.0,15
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,1404.42,6446.0,15
RC,361,"Hemorrhoidectomy, internal and external, single column/group; ",,,1257.0,6446.0,15
RC,361,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,1257.0,6446.0,15
RC,361,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,1257.0,6446.0,15
RC,361,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,870.0,4830.0,15
RC,361,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,870.0,4830.0,11
RC,361,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,511.0,3523.0,13
RC,361,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,1404.42,7161.0,12
RC,361,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,1404.42,10746.0,15
RC,361,"Hepatectomy, resection of liver; partial lobectomy ",,,1632.0,4953.0,5
RC,361,"Hepatectomy, resection of liver; total left lobectomy ",,,1632.0,4953.0,5
RC,361,"Hepatectomy, resection of liver; total right lobectomy ",,,1632.0,4953.0,5
RC,361,"Hepatectomy, resection of liver; trisegmentectomy ",,,1632.0,4953.0,5
RC,361,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,1632.0,4953.0,5
RC,361,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,1632.0,4953.0,5
RC,361,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,361,"Hymenotomy, simple incision ",,,607.0,4830.0,15
RC,361,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,1632.0,4953.0,5
RC,361,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,1632.0,10746.0,9
RC,361,Hysterorrhaphy of ruptured uterus ,,,1632.0,3435.0,2
RC,361,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1632.0,6446.0,9
RC,361,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,4830.0,13
RC,361,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,6801.0,13
RC,361,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,6446.0,13
RC,361,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.31,6446.0,13
RC,361,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,4830.0,13
RC,361,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,6446.0,13
RC,361,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,6446.0,13
RC,361,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,6446.0,13
RC,361,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,1603.31,4830.0,9
RC,361,ILEOSCOPY W/STENT ,,,4238.0,4584.0,2
RC,361,IMPLANT NEUROELECTRODES ,,,988.0,1069.0,4
RC,361,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,3723.0,5078.0,4
RC,361,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,361,INCISE INNER EAR ,,,4526.0,4895.0,2
RC,361,INCISION OF HYMEN ,,,988.0,1069.0,2
RC,361,INJ PARAVERTEBRAL C/T ,,,988.0,1069.0,2
RC,361,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,1069.0,2
RC,361,INJ PARAVERTEBRAL L/S ,,,988.0,1069.0,2
RC,361,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,1069.0,2
RC,361,INJECT SPINE CERV/THORACIC ,,,988.0,1069.0,2
RC,361,INJECT SPINE LUMBAR/SACRAL ,,,988.0,1069.0,2
RC,361,INJECT SPINE W/CATH CRV/THRC ,,,988.0,1069.0,2
RC,361,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,1069.0,2
RC,361,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,827.0,2
RC,361,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,827.0,2
RC,361,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,827.0,2
RC,361,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,1069.0,4
RC,361,"INSERT ABDOM DRAIN, TEMP ",,,988.0,1069.0,2
RC,361,INSERT BILE DUCT DRAIN ,,,4238.0,4584.0,2
RC,361,INSERT CATHETER BILE DUCT ,,,1560.0,1687.0,2
RC,361,INSERT KIDNEY DRAIN ,,,988.0,1069.0,2
RC,361,INSERT URETERAL TUBE ,,,988.0,1069.0,2
RC,361,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,1069.0,4
RC,361,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,361,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,361,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,361,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,607.0,4320.0,13
RC,361,"Ileostomy or jejunostomy, non-tube ",,,1632.0,4953.0,5
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,769.0,8866.0,13
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,769.0,6446.0,13
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,769.0,8866.0,13
RC,361,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,6801.0,4
RC,361,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,5958.0,4
RC,361,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,1632.0,4953.0,5
RC,361,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,361,Implantation of intrastromal corneal ring segments ,,,1404.42,6801.0,11
RC,361,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6801.0,15
RC,361,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,1632.0,6801.0,7
RC,361,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,13472.0,5
RC,361,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,291.0,2900.0,10
RC,361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,26596.0,15
RC,361,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,26596.0,15
RC,361,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,26596.0,15
RC,361,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6801.0,10
RC,361,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,1632.0,4953.0,5
RC,361,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2179.0,9431.0,10
RC,361,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2179.0,9431.0,10
RC,361,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2179.0,13472.0,13
RC,361,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,9431.0,13
RC,361,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,6801.0,15
RC,361,Incision and drainage abscess; peritonsillar ,,,291.0,3523.0,15
RC,361,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,870.0,6801.0,15
RC,361,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,607.0,4100.0,15
RC,361,Incision and drainage of Bartholin's gland abscess ,,,291.0,3523.0,13
RC,361,"Incision and drainage of appendiceal abscess, open ",,,1632.0,4953.0,5
RC,361,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,769.0,4100.0,15
RC,361,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,4830.0,15
RC,361,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,870.0,4830.0,15
RC,361,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,769.0,6446.0,15
RC,361,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,769.0,4100.0,15
RC,361,"Incision and drainage of penis, deep ",,,769.0,6446.0,15
RC,361,"Incision and drainage of submucosal abscess, rectum ",,,769.0,4100.0,15
RC,361,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,4100.0,15
RC,361,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,4830.0,15
RC,361,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,769.0,4100.0,11
RC,361,Incision and drainage of vulva or perineal abscess ,,,291.0,3979.0,13
RC,361,"Incision and drainage, perianal abscess, superficial ",,,511.0,3523.0,15
RC,361,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,361,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,4953.0,9
RC,361,"Incision of conjunctiva, drainage of cyst ",,,769.0,4100.0,11
RC,361,Incision of labial frenum (frenotomy) ,,,291.0,2900.0,13
RC,361,Incision of lingual frenum (frenotomy) ,,,607.0,4100.0,15
RC,361,"Incision of thrombosed hemorrhoid, external ",,,291.0,3523.0,11
RC,361,"Incision, anal septum (infant) ",,,607.0,4100.0,11
RC,361,"Incision, drainage of lacrimal gland ",,,607.0,4100.0,13
RC,361,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,511.0,5115.0,13
RC,361,Incisional biopsy of eyelid skin including lid margin ,,,291.0,3523.0,13
RC,361,Indexing for osteotomy ,,,3715.0,4953.0,3
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,4953.0,11
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,4953.0,11
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,4953.0,9
RC,361,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,1632.0,4953.0,5
RC,361,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,769.0,4953.0,18
RC,361,"Induced abortion, by dilation and curettage ",,,1404.42,6446.0,15
RC,361,"Induced abortion, by dilation and evacuation ",,,1404.42,6446.0,15
RC,361,Induction of arrhythmia by electrical pacing ,,,769.0,21155.0,4
RC,361,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,1632.0,4953.0,5
RC,361,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,1632.0,4953.0,5
RC,361,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,870.0,4830.0,15
RC,361,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,1632.0,14425.0,7
RC,361,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,4
RC,361,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,291.0,2900.0,8
RC,361,Injection of contrast medium for dacryocystography ,,,291.0,2900.0,8
RC,361,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,291.0,2900.0,9
RC,361,Injection of medication or other substance into Tenon's capsule ,,,291.0,3523.0,13
RC,361,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,769.0,8866.0,14
RC,361,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,769.0,8866.0,14
RC,361,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,291.0,2900.0,13
RC,361,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,291.0,2900.0,13
RC,361,"Injection of sclerosing solution, hemorrhoids ",,,511.0,3250.0,7
RC,361,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,4830.0,15
RC,361,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,291.0,2900.0,8
RC,361,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,291.0,2900.0,4
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,361,Injection procedure for Peyronie disease; ,,,291.0,3523.0,9
RC,361,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,15
RC,361,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,511.0,3979.0,26
RC,361,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,4830.0,13
RC,361,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,607.0,8866.0,26
RC,361,Injection procedure for corpora cavernosography ,,,291.0,2900.0,8
RC,361,Injection procedure for cystography or voiding urethrocystography ,,,291.0,2900.0,4
RC,361,"Injection procedure for discography, each level; cervical or thoracic ",,,291.0,2900.0,8
RC,361,"Injection procedure for discography, each level; lumbar ",,,291.0,2900.0,8
RC,361,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,361,"Injection procedure for myelography and/or computed tomography, lumbar ",,,291.0,2900.0,8
RC,361,Injection procedure for retrograde urethrocystography ,,,291.0,2900.0,4
RC,361,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,8
RC,361,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3523.0,15
RC,361,Injection procedure for sialography ,,,291.0,2900.0,8
RC,361,Injection procedure for splenoportography ,,,291.0,2900.0,8
RC,361,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,8
RC,361,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,291.0,2900.0,8
RC,361,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,511.0,6446.0,15
RC,361,Injection procedure; lymphangiography ,,,291.0,2900.0,8
RC,361,Injection procedure; radioactive tracer for identification of sentinel node ,,,291.0,3523.0,13
RC,361,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,291.0,2900.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,511.0,3523.0,9
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,511.0,3523.0,12
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,291.0,3523.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,511.0,3523.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,511.0,3523.0,15
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,511.0,3523.0,15
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,511.0,3523.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,511.0,3523.0,12
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,511.0,3523.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,511.0,3523.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,291.0,2900.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,511.0,3523.0,15
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,511.0,3523.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,511.0,3523.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,291.0,2900.0,10
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,511.0,3523.0,15
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,291.0,2900.0,10
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,511.0,3523.0,15
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,291.0,3523.0,13
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,291.0,3523.0,13
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,291.0,2900.0,8
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,511.0,3523.0,13
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,291.0,2900.0,8
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,291.0,2900.0,8
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,511.0,3523.0,13
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,291.0,2900.0,8
RC,361,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,52
RC,361,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,52
RC,361,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,511.0,3523.0,15
RC,361,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,511.0,3523.0,15
RC,361,"Injection, anesthetic agent; sphenopalatine ganglion ",,,291.0,3523.0,13
RC,361,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,511.0,3523.0,15
RC,361,"Injection, anesthetic agent; superior hypogastric plexus ",,,511.0,3979.0,15
RC,361,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,4100.0,15
RC,361,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,4100.0,15
RC,361,"Injection, epidural, of blood or clot patch ",,,511.0,3523.0,15
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,511.0,3523.0,15
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,511.0,3523.0,15
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,511.0,3523.0,15
RC,361,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,3250.0,9
RC,361,Insertion of Heyman capsules for clinical brachytherapy ,,,870.0,4830.0,15
RC,361,Insertion of Thomas shunt (separate procedure) ,,,1404.42,21331.0,9
RC,361,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,511.0,3250.0,13
RC,361,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,291.0,3523.0,13
RC,361,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,8866.0,13
RC,361,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,1632.0,21331.0,4
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,1404.42,21331.0,9
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,1753.0,21331.0,9
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,1753.0,21331.0,9
RC,361,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,5115.0,13
RC,361,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,9
RC,361,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,291.0,3523.0,13
RC,361,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1142.61,4830.0,12
RC,361,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,13
RC,361,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,13
RC,361,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,1257.0,28186.0,15
RC,361,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,7
RC,361,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,10732.0,13
RC,361,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,1142.61,6446.0,15
RC,361,Insertion of intrauterine device (IUD) ,,,44.66,2900.0,12
RC,361,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,1257.0,9431.0,11
RC,361,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,291.0,10746.0,10
RC,361,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,27277.0,15
RC,361,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3715.0,10746.0,5
RC,361,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3715.0,10746.0,5
RC,361,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3715.0,10746.0,5
RC,361,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,3523.0,13
RC,361,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,291.0,2900.0,13
RC,361,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,511.0,21331.0,9
RC,361,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,511.0,21331.0,9
RC,361,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,15
RC,361,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,5958.0,15
RC,361,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,15
RC,361,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,27277.0,15
RC,361,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,27277.0,15
RC,361,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1404.42,21331.0,9
RC,361,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1404.42,21331.0,9
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,511.0,21331.0,18
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,511.0,21331.0,9
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,511.0,21331.0,9
RC,361,Insertion of peritoneal-venous shunt ,,,769.0,4100.0,8
RC,361,Insertion of pin-retained palatal prosthesis ,,,769.0,6446.0,13
RC,361,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,5
RC,361,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,1632.0,4953.0,5
RC,361,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,607.0,4100.0,8
RC,361,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,28186.0,15
RC,361,Insertion of tandem cuff (dual cuff) ,,,870.0,10732.0,13
RC,361,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,291.0,3523.0,13
RC,361,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,291.0,2900.0,13
RC,361,Insertion of testicular prosthesis (separate procedure) ,,,870.0,4830.0,15
RC,361,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1632.0,4953.0,7
RC,361,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2224.34,13472.0,10
RC,361,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,1753.0,21331.0,9
RC,361,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,1753.0,21331.0,9
RC,361,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,1404.42,21331.0,9
RC,361,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1404.42,21331.0,9
RC,361,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1404.42,21331.0,9
RC,361,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,1404.42,21331.0,9
RC,361,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,1753.0,21331.0,9
RC,361,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,870.0,8866.0,13
RC,361,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,870.0,5958.0,15
RC,361,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,870.0,9431.0,15
RC,361,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,511.0,16336.0,15
RC,361,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,4953.0,5
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,36293.0,13
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,36293.0,13
RC,361,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,291.0,3435.0,7
RC,361,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,13472.0,7
RC,361,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,36293.0,13
RC,361,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,36293.0,13
RC,361,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,8866.0,8
RC,361,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,291.0,3523.0,13
RC,361,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,1632.0,4953.0,5
RC,361,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,1632.0,4953.0,5
RC,361,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,291.0,2900.0,10
RC,361,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,291.0,2900.0,4
RC,361,Intersex surgery; female to male ,,,1404.42,3435.0,5
RC,361,Intersex surgery; male to female ,,,1603.31,3435.0,5
RC,361,Intestinal allotransplantation; from cadaver donor ,,,1632.0,4953.0,5
RC,361,Intestinal allotransplantation; from living donor ,,,1632.0,4953.0,5
RC,361,Intestinal plication (separate procedure) ,,,1632.0,4953.0,5
RC,361,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,1632.0,4953.0,5
RC,361,Intra-atrial pacing ,,,769.0,21155.0,4
RC,361,Intra-atrial recording ,,,769.0,21155.0,4
RC,361,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,291.0,21155.0,4
RC,361,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,1142.61,8069.0,15
RC,361,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,291.0,36635.0,6
RC,361,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,1753.0,36635.0,7
RC,361,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,361,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,361,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,361,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,4
RC,361,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,4
RC,361,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,6
RC,361,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,5
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,291.0,3523.0,13
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,291.0,3523.0,15
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,607.0,4100.0,15
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,291.0,3523.0,15
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,607.0,4100.0,15
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,607.0,4100.0,15
RC,361,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,291.0,2900.0,8
RC,361,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,1632.0,3435.0,7
RC,361,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,1632.0,3435.0,7
RC,361,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,291.0,2900.0,8
RC,361,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,291.0,2900.0,8
RC,361,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,291.0,21155.0,4
RC,361,Intraventricular pacing ,,,769.0,21155.0,4
RC,361,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,291.0,3523.0,13
RC,361,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,291.0,3523.0,11
RC,361,"Introduction of catheter, aorta ",,,291.0,2900.0,8
RC,361,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,742.8,4100.0,9
RC,361,"Introduction of needle or intracatheter, aortic, translumbar ",,,291.0,2900.0,8
RC,361,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,291.0,2900.0,8
RC,361,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,291.0,2900.0,8
RC,361,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,607.0,13472.0,33
RC,361,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,15
RC,361,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1142.61,6446.0,15
RC,361,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,361,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,361,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1142.61,6801.0,15
RC,361,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,511.0,3523.0,13
RC,361,Iridotomy by stab incision (separate procedure); except transfixion ,,,291.0,3523.0,15
RC,361,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,4100.0,15
RC,361,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,511.0,3523.0,13
RC,361,Irrigation of corpora cavernosa for priapism ,,,291.0,3523.0,15
RC,361,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,291.0,2900.0,9
RC,361,Keratomileusis ,,,911.0,10746.0,10
RC,361,Keratophakia ,,,911.0,10746.0,10
RC,361,Keratoplasty (corneal transplant); anterior lamellar ,,,1404.42,10746.0,15
RC,361,Keratoplasty (corneal transplant); endothelial ,,,1404.42,10746.0,13
RC,361,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1404.42,10746.0,15
RC,361,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1404.42,10746.0,15
RC,361,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1404.42,10746.0,15
RC,361,Keratoprosthesis ,,,1753.0,10746.0,13
RC,361,LAPARO W/CHOLANGIO/BIOPSY ,,,2302.0,2490.0,2
RC,361,LAPAROSCOPY W/CHOLANGIO ,,,2302.0,2490.0,2
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,361,LESION REMOVAL COLONOSCOPY ,,,1560.0,1687.0,2
RC,361,Labyrinthectomy; transcanal ,,,1753.0,10746.0,15
RC,361,Labyrinthectomy; with mastoidectomy ,,,1753.0,10746.0,15
RC,361,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,769.0,6446.0,15
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7058.0,13472.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,1632.0,8866.0,7
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7058.0,13472.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,1632.0,8866.0,7
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,1632.0,8866.0,7
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,1632.0,8866.0,7
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7058.0,13472.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,1632.0,8866.0,7
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,1632.0,8866.0,7
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,1632.0,8866.0,7
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7058.0,13472.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,1632.0,8866.0,7
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,1632.0,8866.0,7
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2179.0,13472.0,9
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,1632.0,8866.0,7
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,1632.0,8866.0,7
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1753.0,9431.0,14
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,1632.0,8866.0,11
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,1753.0,9431.0,12
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,1753.0,9431.0,12
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,1632.0,8866.0,7
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,1632.0,8866.0,7
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7058.0,13472.0,6
RC,361,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,36293.0,11
RC,361,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,1632.0,8866.0,7
RC,361,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,1632.0,8866.0,7
RC,361,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,1632.0,8866.0,7
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1753.0,9431.0,13
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1753.0,9431.0,13
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,9431.0,13
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,361,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,1632.0,8866.0,7
RC,361,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1753.0,9431.0,13
RC,361,Laminectomy with rhizotomy; 1 or 2 segments ,,,7058.0,13472.0,6
RC,361,Laminectomy with rhizotomy; more than 2 segments ,,,7058.0,13472.0,6
RC,361,Laminectomy with section of spinal accessory nerve ,,,7058.0,13472.0,6
RC,361,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,291.0,9431.0,49
RC,361,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,291.0,8866.0,18
RC,361,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7058.0,13472.0,6
RC,361,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,1632.0,4953.0,5
RC,361,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,1632.0,4953.0,5
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,11
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1753.0,9431.0,13
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1694.0,8866.0,16
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1753.0,9431.0,13
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,9431.0,13
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,291.0,8866.0,10
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1632.0,4953.0,7
RC,361,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,361,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,361,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1257.0,6801.0,11
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2224.34,13472.0,9
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,1632.0,9431.0,7
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,1632.0,9431.0,7
RC,361,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2224.34,9431.0,10
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,1471.0,13472.0,9
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,1471.0,13472.0,9
RC,361,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,9431.0,11
RC,361,"Laparoscopy, surgical, appendectomy ",,,1257.0,9431.0,9
RC,361,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,1257.0,4953.0,7
RC,361,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,1257.0,4953.0,7
RC,361,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,9431.0,11
RC,361,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,1257.0,9431.0,11
RC,361,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,361,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1876.0,9431.0,11
RC,361,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1876.0,9431.0,9
RC,361,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,1753.0,9431.0,7
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2224.34,9431.0,7
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2224.34,20231.0,7
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,1753.0,20231.0,7
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,1404.42,20231.0,7
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,1404.42,20231.0,7
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,1694.0,20231.0,4
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2179.0,9431.0,7
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2540.0,9431.0,4
RC,361,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,1257.0,4953.0,7
RC,361,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1753.0,8866.0,15
RC,361,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2224.34,10746.0,15
RC,361,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,2224.34,9431.0,7
RC,361,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1876.0,9431.0,9
RC,361,"Laparoscopy, surgical, splenectomy ",,,1876.0,9431.0,9
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1694.0,9400.0,7
RC,361,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,6801.0,9
RC,361,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1753.0,9431.0,13
RC,361,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2224.34,9400.0,9
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical; ablation of renal cysts ",,,1753.0,6801.0,9
RC,361,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2224.34,13472.0,9
RC,361,"Laparoscopy, surgical; cholecystectomy ",,,1753.0,9431.0,9
RC,361,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1753.0,9431.0,9
RC,361,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1753.0,9431.0,9
RC,361,"Laparoscopy, surgical; cholecystoenterostomy ",,,1632.0,5078.0,7
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,2259.0,6801.0,4
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,1632.0,4953.0,5
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,1632.0,4953.0,5
RC,361,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1632.0,4953.0,5
RC,361,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1632.0,4953.0,5
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,1632.0,4953.0,5
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,1632.0,4953.0,5
RC,361,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1632.0,4953.0,7
RC,361,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,2259.0,6801.0,4
RC,361,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1876.0,6801.0,6
RC,361,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,1257.0,4953.0,7
RC,361,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,1257.0,13472.0,11
RC,361,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1632.0,4953.0,7
RC,361,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1632.0,4953.0,7
RC,361,"Laparoscopy, surgical; orchiectomy ",,,1753.0,9431.0,13
RC,361,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; partial nephrectomy ",,,2224.34,9431.0,9
RC,361,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,1257.0,4953.0,7
RC,361,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,1257.0,4953.0,7
RC,361,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,1257.0,5958.0,7
RC,361,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,1257.0,4953.0,7
RC,361,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,9431.0,9
RC,361,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1632.0,4953.0,8
RC,361,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1471.0,9431.0,11
RC,361,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1753.0,9431.0,13
RC,361,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,1257.0,8866.0,11
RC,361,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1753.0,10732.0,11
RC,361,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1753.0,9431.0,9
RC,361,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1753.0,9431.0,9
RC,361,"Laparoscopy, surgical; ureterolithotomy ",,,1753.0,9431.0,9
RC,361,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,9431.0,11
RC,361,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1471.0,6801.0,11
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,2224.34,9431.0,11
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,2224.34,9431.0,11
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2174.0,9431.0,12
RC,361,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1471.0,6801.0,11
RC,361,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1257.0,6801.0,9
RC,361,"Laparoscopy, surgical; with fimbrioplasty ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,9431.0,11
RC,361,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1471.0,6801.0,9
RC,361,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,9431.0,11
RC,361,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,6
RC,361,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,291.0,2900.0,6
RC,361,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1753.0,9431.0,11
RC,361,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1471.0,6801.0,9
RC,361,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1753.0,9431.0,11
RC,361,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2540.0,10746.0,8
RC,361,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,769.0,4100.0,4
RC,361,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1603.31,8866.0,10
RC,361,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1603.31,8866.0,13
RC,361,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,1632.0,4953.0,5
RC,361,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,1632.0,4953.0,5
RC,361,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1603.31,8866.0,15
RC,361,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,291.0,9813.0,4
RC,361,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,6801.0,7
RC,361,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,361,"Lengthening of palate, and pharyngeal flap ",,,1753.0,6801.0,15
RC,361,"Lengthening of palate, with island flap ",,,1753.0,6801.0,7
RC,361,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1257.0,6446.0,15
RC,361,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,870.0,5958.0,15
RC,361,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,511.0,6446.0,15
RC,361,Ligation of common iliac vein ,,,1632.0,4953.0,5
RC,361,Ligation of femoral vein ,,,870.0,5958.0,15
RC,361,Ligation of inferior vena cava ,,,1257.0,9431.0,11
RC,361,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,511.0,6446.0,11
RC,361,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1257.0,6446.0,15
RC,361,Ligation of peritoneal-venous shunt ,,,769.0,4100.0,4
RC,361,Ligation or banding of angioaccess arteriovenous fistula ,,,1257.0,6446.0,15
RC,361,"Ligation or biopsy, temporal artery ",,,769.0,4100.0,15
RC,361,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,1632.0,4953.0,5
RC,361,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,4953.0,9
RC,361,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,769.0,4100.0,8
RC,361,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,5115.0,13
RC,361,"Ligation salivary duct, intraoral ",,,1404.42,10746.0,15
RC,361,"Ligation, direct, esophageal varices ",,,2540.0,9431.0,4
RC,361,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1257.0,6446.0,15
RC,361,"Ligation, division, and stripping, short saphenous vein ",,,1257.0,6446.0,15
RC,361,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1257.0,6446.0,15
RC,361,"Ligation, internal jugular vein ",,,511.0,3250.0,7
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,1404.42,5958.0,8
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,1632.0,4953.0,5
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,1603.31,4953.0,8
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,511.0,3250.0,7
RC,361,Ligation; external carotid artery ,,,1404.42,5958.0,7
RC,361,Ligation; internal or common carotid artery ,,,1404.42,5958.0,7
RC,361,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,1404.42,5958.0,7
RC,361,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2224.34,9431.0,8
RC,361,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,1632.0,4953.0,5
RC,361,Limited pharyngectomy ,,,1753.0,10746.0,15
RC,361,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,361,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,4830.0,15
RC,361,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,4830.0,15
RC,361,"Lithotripsy, extracorporeal shock wave ",,,1404.42,9431.0,7
RC,361,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,1632.0,4953.0,5
RC,361,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,1404.42,8866.0,12
RC,361,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,361,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,361,Lymphangiotomy or other operations on lymphatic channels ,,,870.0,4830.0,15
RC,361,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1632.0,6446.0,8
RC,361,Lysis of labial adhesions ,,,607.0,4830.0,15
RC,361,Lysis or excision of penile post-circumcision adhesions ,,,870.0,4830.0,15
RC,361,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,1632.0,13472.0,7
RC,361,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,1632.0,4953.0,5
RC,361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,1632.0,4953.0,5
RC,361,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,1632.0,4953.0,5
RC,361,Management of liver hemorrhage; simple suture of liver wound or injury ,,,1632.0,4953.0,5
RC,361,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,1632.0,3435.0,2
RC,361,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,511.0,3523.0,15
RC,361,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,9
RC,361,Marsupialization of Bartholin's gland cyst ,,,870.0,4830.0,15
RC,361,Marsupialization of cyst or abscess of liver ,,,1632.0,4953.0,5
RC,361,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,3
RC,361,Marsupialization of pancreatic cyst ,,,1632.0,4953.0,5
RC,361,Marsupialization of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,15
RC,361,"Marsupialization of urethral diverticulum, male or female ",,,870.0,5958.0,15
RC,361,Mastoid obliteration (separate procedure) ,,,1257.0,6801.0,15
RC,361,Mastoidectomy; complete ,,,1632.0,10746.0,15
RC,361,Mastoidectomy; modified radical ,,,1753.0,10746.0,15
RC,361,Mastoidectomy; radical ,,,1753.0,10746.0,15
RC,361,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,3
RC,361,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,3
RC,361,Maxillary impression for palatal prosthesis ,,,291.0,2900.0,13
RC,361,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,291.0,2900.0,9
RC,361,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,4830.0,15
RC,361,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,4830.0,11
RC,361,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,511.0,21331.0,9
RC,361,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,607.0,4100.0,13
RC,361,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,1404.42,21331.0,9
RC,361,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,1257.0,6801.0,11
RC,361,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,1257.0,6801.0,11
RC,361,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,1632.0,4953.0,5
RC,361,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,1632.0,4953.0,5
RC,361,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,15
RC,361,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,1632.0,4953.0,5
RC,361,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,1142.61,5115.0,9
RC,361,Multifetal pregnancy reduction(s) (MPR) ,,,291.0,3523.0,9
RC,361,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,4830.0,11
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,511.0,4320.0,13
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,511.0,4320.0,13
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,511.0,4320.0,13
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,511.0,4320.0,13
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,1694.0,10746.0,11
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1404.42,6446.0,15
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,1694.0,5958.0,7
RC,361,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,4830.0,13
RC,361,Myringotomy including aspiration and/or eustachian tube inflation ,,,291.0,6446.0,13
RC,361,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,769.0,6446.0,15
RC,361,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,361,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,2
RC,361,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,361,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,3
RC,361,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,291.0,2900.0,13
RC,361,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,361,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1753.0,8866.0,12
RC,361,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1753.0,8866.0,12
RC,361,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,291.0,3523.0,15
RC,361,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,1632.0,4953.0,5
RC,361,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,1632.0,4953.0,5
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,1632.0,4953.0,5
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,1632.0,4953.0,5
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,1632.0,4953.0,5
RC,361,"Nephrectomy, partial ",,,1632.0,4953.0,5
RC,361,Nephrolithotomy; complicated by congenital kidney abnormality ,,,1632.0,4953.0,5
RC,361,Nephrolithotomy; removal of calculus ,,,1632.0,4953.0,5
RC,361,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,1632.0,4953.0,5
RC,361,Nephrolithotomy; secondary surgical operation for calculus ,,,1632.0,4953.0,5
RC,361,"Nephrorrhaphy, suture of kidney wound or injury ",,,1632.0,4953.0,5
RC,361,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,8
RC,361,"Nephrotomy, with exploration ",,,1632.0,4953.0,5
RC,361,Nerve dissection ,,,3715.0,4953.0,3
RC,361,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,6801.0,15
RC,361,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,6801.0,15
RC,361,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,361,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,361,Nerve pedicle transfer; first stage ,,,870.0,6801.0,15
RC,361,Nerve pedicle transfer; second stage ,,,607.0,6801.0,15
RC,361,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,6801.0,13
RC,361,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,291.0,3435.0,9
RC,361,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,6801.0,12
RC,361,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,6801.0,13
RC,361,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,1632.0,4953.0,5
RC,361,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,361,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,1632.0,4953.0,5
RC,361,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,361,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1142.61,6446.0,15
RC,361,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,4830.0,15
RC,361,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,4830.0,15
RC,361,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,4830.0,15
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,4830.0,15
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,4830.0,15
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,4830.0,15
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,4830.0,15
RC,361,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,4830.0,15
RC,361,Neuroplasty; nerve of hand or foot ,,,607.0,4830.0,15
RC,361,Nocturnal penile tumescence and/or rigidity test ,,,291.0,2900.0,13
RC,361,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,7
RC,361,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,870.0,5958.0,11
RC,361,OPERATIVE UPPER GI ENDOSCOPY ,,,2302.0,2490.0,2
RC,361,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,1632.0,4953.0,5
RC,361,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,11
RC,361,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1404.42,6446.0,15
RC,361,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,361,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1404.42,6801.0,15
RC,361,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,1632.0,4953.0,5
RC,361,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,1632.0,6801.0,5
RC,361,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,1404.42,6446.0,10
RC,361,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1694.0,6446.0,8
RC,361,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,1694.0,5958.0,4
RC,361,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,5
RC,361,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,36293.0,11
RC,361,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,5
RC,361,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,18085.0,10
RC,361,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,5
RC,361,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,36293.0,13
RC,361,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,15
RC,361,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,13472.0,13
RC,361,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,9
RC,361,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,9
RC,361,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,9
RC,361,"Operculectomy, excision pericoronal tissues ",,,607.0,4100.0,13
RC,361,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,1632.0,4830.0,4
RC,361,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,1632.0,4830.0,4
RC,361,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1404.42,6446.0,15
RC,361,Orbital implant (implant outside muscle cone); insertion ,,,1404.42,6446.0,15
RC,361,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,5958.0,15
RC,361,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,1632.0,4953.0,5
RC,361,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,1632.0,4953.0,5
RC,361,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,1632.0,4953.0,5
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1404.42,6446.0,15
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1404.42,6446.0,15
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1404.42,6446.0,15
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1404.42,6446.0,15
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1404.42,6446.0,15
RC,361,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,15
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1142.61,6446.0,15
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1404.42,6446.0,11
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1142.61,6446.0,15
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1142.61,6446.0,15
RC,361,"Orchiectomy, partial ",,,1257.0,6446.0,15
RC,361,"Orchiectomy, radical, for tumor; inguinal approach ",,,1404.42,6446.0,15
RC,361,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,1404.42,5958.0,7
RC,361,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,15
RC,361,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1404.42,6446.0,11
RC,361,"Orchiopexy, inguinal or scrotal approach ",,,1404.42,6446.0,15
RC,361,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,1632.0,8866.0,7
RC,361,"Other cranial decompression, posterior fossa ",,,1632.0,4953.0,5
RC,361,Otolaryngologic examination under general anesthesia ,,,291.0,2900.0,4
RC,361,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,15
RC,361,"Ovarian cystectomy, unilateral or bilateral ",,,1603.31,6446.0,11
RC,361,PAROTID DUCT DIVERSION ,,,2552.0,2760.0,2
RC,361,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,2
RC,361,PLACE GASTROSTOMY TUBE ,,,1560.0,1687.0,2
RC,361,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,1687.0,2
RC,361,"PROSTATECTOMY, SECOND STAGE ",,,988.0,1069.0,2
RC,361,PUNCTURE PERITONEAL CAVITY ,,,1560.0,1687.0,2
RC,361,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,1632.0,6446.0,15
RC,361,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,1753.0,6801.0,15
RC,361,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,1404.42,6801.0,15
RC,361,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,1753.0,6801.0,15
RC,361,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,1753.0,6801.0,13
RC,361,Palatoplasty for cleft palate; major revision ,,,1753.0,10746.0,15
RC,361,Palatoplasty for cleft palate; secondary lengthening procedure ,,,1753.0,6801.0,15
RC,361,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,1632.0,4953.0,5
RC,361,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,1632.0,4953.0,5
RC,361,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,1632.0,4953.0,5
RC,361,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,5
RC,361,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,5
RC,361,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,5
RC,361,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,5
RC,361,"Pancreatectomy, total ",,,1632.0,4953.0,5
RC,361,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,1632.0,4953.0,5
RC,361,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,1632.0,4953.0,5
RC,361,Pancreatorrhaphy for injury ,,,1632.0,4953.0,5
RC,361,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,291.0,3523.0,15
RC,361,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,4830.0,15
RC,361,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1142.61,6446.0,15
RC,361,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,291.0,6446.0,8
RC,361,Parathyroidectomy or exploration of parathyroid(s); ,,,1753.0,10746.0,11
RC,361,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,1753.0,10746.0,13
RC,361,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,1632.0,4953.0,5
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,9431.0,13
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1603.31,6801.0,11
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,8866.0,13
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,291.0,2900.0,8
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,1257.0,6801.0,15
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,1471.0,6801.0,15
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,1404.42,6801.0,15
RC,361,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,1632.0,4953.0,5
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,1632.0,4953.0,5
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,1632.0,4953.0,5
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,361,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,1632.0,4953.0,5
RC,361,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,361,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,291.0,3523.0,14
RC,361,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,3
RC,361,Partial hymenectomy or revision of hymenal ring ,,,607.0,4830.0,15
RC,361,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,9431.0,11
RC,361,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,9431.0,11
RC,361,Pelvic examination under anesthesia (other than local) ,,,870.0,4830.0,15
RC,361,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,1632.0,4953.0,5
RC,361,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1632.0,4953.0,5
RC,361,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,1632.0,4953.0,5
RC,361,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1632.0,4953.0,5
RC,361,Penile plethysmography ,,,291.0,2900.0,13
RC,361,"Penile revascularization, artery, with or without vein graft ",,,1632.0,4953.0,5
RC,361,Penile venous occlusive procedure ,,,1257.0,6446.0,15
RC,361,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,1632.0,6446.0,9
RC,361,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,7058.0,21331.0,6
RC,361,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,7058.0,21331.0,6
RC,361,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,511.0,3523.0,13
RC,361,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,511.0,3523.0,15
RC,361,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,20029.0,7
RC,361,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,20029.0,7
RC,361,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,20029.0,7
RC,361,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,3715.0,7161.0,7
RC,361,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,7161.0,7
RC,361,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1632.0,3435.0,4
RC,361,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,3715.0,4953.0,3
RC,361,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,36293.0,13
RC,361,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,36293.0,13
RC,361,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,11
RC,361,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,36293.0,13
RC,361,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,511.0,3523.0,30
RC,361,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1753.0,6801.0,18
RC,361,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,5
RC,361,Percutaneous portal vein catheterization by any method ,,,291.0,2900.0,8
RC,361,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,8866.0,13
RC,361,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,9
RC,361,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,9
RC,361,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,5278.0,9
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,9
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,9
RC,361,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,11
RC,361,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,27696.0,7
RC,361,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,27696.0,4
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,27040.0,7
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,5
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,2540.0,1
RC,361,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,7
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,9
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,5
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,5
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,3
RC,361,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,1
RC,361,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,9
RC,361,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,1
RC,361,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,27696.0,7
RC,361,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,27696.0,4
RC,361,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,27040.0,7
RC,361,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,2540.0,1
RC,361,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,361,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,361,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,1753.0,21331.0,31
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2224.34,9431.0,13
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3715.0,10746.0,5
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,1404.42,8866.0,13
RC,361,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,2540.0,20029.0,4
RC,361,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,20029.0,7
RC,361,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2540.0,27040.0,4
RC,361,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,20772.0,27696.0,3
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,27696.0,11
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,2540.0,1
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,27040.0,9
RC,361,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,27696.0,11
RC,361,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,27040.0,8
RC,361,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3715.0,6446.0,5
RC,361,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3715.0,6446.0,5
RC,361,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3715.0,6446.0,5
RC,361,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3715.0,6446.0,5
RC,361,"Pereyra procedure, including anterior colporrhaphy ",,,1694.0,6446.0,15
RC,361,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,3
RC,361,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,3
RC,361,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1404.42,6446.0,15
RC,361,Periodontal mucosal grafting ,,,769.0,4100.0,11
RC,361,Perirectal injection of sclerosing solution for prolapse ,,,511.0,3250.0,13
RC,361,"Peritoneal lavage, including imaging guidance, when performed ",,,742.8,4100.0,13
RC,361,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2224.34,13472.0,10
RC,361,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,291.0,3523.0,12
RC,361,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1404.42,4830.0,10
RC,361,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,1632.0,6446.0,10
RC,361,Petrous apicectomy including radical mastoidectomy ,,,1753.0,10746.0,15
RC,361,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,291.0,2900.0,4
RC,361,Pharyngoesophageal repair ,,,1632.0,4953.0,5
RC,361,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,870.0,4830.0,15
RC,361,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,769.0,4100.0,15
RC,361,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,291.0,2900.0,4
RC,361,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,291.0,2900.0,4
RC,361,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,291.0,2900.0,4
RC,361,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,4
RC,361,"Photopheresis, extracorporeal ",,,870.0,6801.0,12
RC,361,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,361,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,4
RC,361,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,870.0,8866.0,13
RC,361,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,291.0,6446.0,10
RC,361,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,5958.0,13
RC,361,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,4100.0,13
RC,361,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,870.0,8866.0,26
RC,361,Placement of choledochal stent ,,,1632.0,4953.0,5
RC,361,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,1632.0,4953.0,5
RC,361,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,1632.0,4953.0,5
RC,361,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,7
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1632.0,4953.0,5
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,607.0,4100.0,13
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,4100.0,13
RC,361,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,3
RC,361,Placement of needle for intraosseous infusion ,,,291.0,21331.0,9
RC,361,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,8866.0,13
RC,361,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,607.0,7161.0,13
RC,361,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,7161.0,13
RC,361,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,7161.0,13
RC,361,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,2900.0,4
RC,361,Placement of seton ,,,1257.0,6446.0,15
RC,361,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,1257.0,9431.0,39
RC,361,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,8866.0,39
RC,361,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,769.0,4100.0,10
RC,361,Plastic operation of penis for injury ,,,1404.42,6446.0,15
RC,361,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6801.0,15
RC,361,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6801.0,15
RC,361,Plastic operation on penis for epispadias distal to external sphincter; ,,,1142.61,6446.0,15
RC,361,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2259.0,6801.0,4
RC,361,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1142.61,6446.0,15
RC,361,Plastic operation on penis to correct angulation ,,,1257.0,6801.0,15
RC,361,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6801.0,15
RC,361,Plastic repair of canaliculi ,,,870.0,4830.0,15
RC,361,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,1257.0,6801.0,11
RC,361,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,1753.0,10746.0,15
RC,361,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,1753.0,10746.0,15
RC,361,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,1404.42,10746.0,15
RC,361,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,1257.0,6801.0,15
RC,361,Plastic repair of introitus ,,,1257.0,6446.0,15
RC,361,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,1257.0,6446.0,15
RC,361,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,1471.0,6801.0,15
RC,361,Plastic repair of urethrocele ,,,1257.0,6446.0,15
RC,361,"Portoenterostomy (eg, Kasai procedure) ",,,1632.0,4953.0,5
RC,361,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.31,6446.0,15
RC,361,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,291.0,3523.0,13
RC,361,Postpartum care only (separate procedure) ,,,607.0,6411.0,8
RC,361,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,607.0,3435.0,6
RC,361,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,361,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,1632.0,4953.0,5
RC,361,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,291.0,9431.0,21
RC,361,"Probing of lacrimal canaliculi, with or without irrigation ",,,291.0,2900.0,13
RC,361,"Probing of nasolacrimal duct, with or without irrigation; ",,,291.0,3523.0,15
RC,361,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,4830.0,15
RC,361,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,4830.0,15
RC,361,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,5115.0,13
RC,361,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,1632.0,4953.0,5
RC,361,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,1632.0,4953.0,5
RC,361,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,1632.0,4953.0,5
RC,361,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,1632.0,4953.0,5
RC,361,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,1632.0,4953.0,5
RC,361,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,1632.0,4953.0,5
RC,361,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,1632.0,4953.0,5
RC,361,"Proctectomy, partial, without anastomosis, perineal approach ",,,2540.0,9431.0,4
RC,361,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,1632.0,4953.0,5
RC,361,"Proctectomy; partial resection of rectum, transabdominal approach ",,,1632.0,4953.0,5
RC,361,"Proctopexy (eg, for prolapse); abdominal approach ",,,1632.0,4953.0,5
RC,361,"Proctopexy (eg, for prolapse); perineal approach ",,,870.0,5958.0,11
RC,361,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,1632.0,4953.0,5
RC,361,Proctoplasty; for prolapse of mucous membrane ,,,870.0,5958.0,15
RC,361,Proctoplasty; for stenosis ,,,870.0,4830.0,15
RC,361,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,511.0,3523.0,13
RC,361,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,607.0,4830.0,15
RC,361,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,361,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,4100.0,15
RC,361,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,607.0,4830.0,15
RC,361,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,4100.0,13
RC,361,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,607.0,4830.0,15
RC,361,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,4100.0,15
RC,361,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,4100.0,15
RC,361,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,4100.0,15
RC,361,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,607.0,5958.0,15
RC,361,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,361,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,291.0,2900.0,13
RC,361,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,511.0,3250.0,11
RC,361,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,1632.0,4953.0,5
RC,361,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,1632.0,4953.0,5
RC,361,"Prostatectomy, perineal radical; ",,,1632.0,4953.0,5
RC,361,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,361,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,361,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,1632.0,4953.0,5
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,1632.0,4953.0,5
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,10746.0,9
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,361,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,4830.0,15
RC,361,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,4830.0,15
RC,361,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,511.0,3250.0,9
RC,361,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,511.0,3523.0,15
RC,361,"Push transfusion, blood, 2 years or younger ",,,291.0,3523.0,13
RC,361,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,1694.0,5958.0,5
RC,361,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,1694.0,5958.0,5
RC,361,"Pyelotomy; with drainage, pyelostomy ",,,1632.0,4953.0,5
RC,361,Pyelotomy; with exploration ,,,1632.0,4953.0,5
RC,361,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,1632.0,4953.0,5
RC,361,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,1632.0,4953.0,5
RC,361,Pyloroplasty ,,,1632.0,4953.0,5
RC,361,REMOVAL OF ABDOMINAL FLUID ,,,1560.0,1687.0,2
RC,361,REMOVAL OF ANAL CRYPT ,,,1560.0,1687.0,2
RC,361,REMOVAL OF ANAL CRYPTS ,,,1560.0,1687.0,2
RC,361,REMOVE ABDOMEN FOREIGN BODY ,,,1560.0,1687.0,2
RC,361,REMOVE BILE DUCT STONE ,,,2302.0,2490.0,2
RC,361,REMOVE RESIDUAL PROSTATE ,,,988.0,1069.0,2
RC,361,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,361,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,1471.0,2760.0,4
RC,361,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1471.0,4584.0,4
RC,361,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,361,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,2490.0,4
RC,361,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1876.0,4584.0,4
RC,361,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,361,REPAIR SPIGELIAN HERNIA ,,,1257.0,2490.0,4
RC,361,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,361,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,1471.0,2760.0,4
RC,361,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,361,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,1471.0,2760.0,4
RC,361,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,361,REREPAIR DETACHED RETINA ,,,4526.0,4895.0,2
RC,361,REVISE/REINSERT BILE TUBE ,,,988.0,1069.0,2
RC,361,REVISE/REMOVE NEUROELECTRODE ,,,988.0,1069.0,2
RC,361,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3723.0,5078.0,4
RC,361,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,361,Radial keratotomy ,,,911.0,10746.0,10
RC,361,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,361,Radical excision external auditory canal lesion; with neck dissection ,,,1632.0,4953.0,5
RC,361,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,15
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,1753.0,6801.0,7
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,1632.0,4953.0,5
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,1632.0,4830.0,7
RC,361,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,4953.0,5
RC,361,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1142.61,7161.0,12
RC,361,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,1632.0,4953.0,5
RC,361,Recipient nephrectomy (separate procedure) ,,,1632.0,4953.0,5
RC,361,"Reconstruction external auditory canal for congenital atresia, single stage ",,,1753.0,10746.0,15
RC,361,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6801.0,15
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1142.61,6446.0,15
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1142.61,6446.0,15
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,15
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1142.61,6446.0,15
RC,361,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,1632.0,4953.0,5
RC,361,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,5
RC,361,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,291.0,1
RC,361,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,1632.0,4953.0,5
RC,361,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,1632.0,4953.0,5
RC,361,Reduction of overcorrection of ptosis ,,,1142.61,6446.0,15
RC,361,Reduction of procidentia (separate procedure) under anesthesia ,,,511.0,3523.0,15
RC,361,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1404.42,6446.0,15
RC,361,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,1632.0,6446.0,9
RC,361,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,291.0,2900.0,4
RC,361,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,291.0,2900.0,4
RC,361,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,5958.0,15
RC,361,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,15
RC,361,Release of encircling material (posterior segment) ,,,870.0,4830.0,13
RC,361,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,1142.61,10746.0,15
RC,361,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,361,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,5115.0,13
RC,361,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,361,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,361,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,27277.0,15
RC,361,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,291.0,27277.0,11
RC,361,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,4100.0,13
RC,361,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,8866.0,7
RC,361,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,16279.0,15
RC,361,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,511.0,3250.0,4
RC,361,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,27277.0,15
RC,361,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,511.0,27277.0,11
RC,361,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,4830.0,15
RC,361,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,4100.0,15
RC,361,Removal foreign body from external auditory canal; without general anesthesia ,,,291.0,2900.0,9
RC,361,"Removal impacted cerumen requiring instrumentation, unilateral ",,,291.0,2900.0,13
RC,361,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,291.0,2900.0,13
RC,361,"Removal of Thiersch wire or suture, anal canal ",,,769.0,4100.0,15
RC,361,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,15
RC,361,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,3
RC,361,"Removal of anal seton, other marker ",,,607.0,4100.0,15
RC,361,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1632.0,5958.0,7
RC,361,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1632.0,5958.0,7
RC,361,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1632.0,5958.0,7
RC,361,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,607.0,4100.0,13
RC,361,"Removal of blood clot, anterior segment of eye ",,,1142.61,6446.0,15
RC,361,Removal of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,361,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,291.0,2900.0,8
RC,361,Removal of cerclage suture under anesthesia (other than local) ,,,1404.42,6446.0,15
RC,361,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,1632.0,4953.0,5
RC,361,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,769.0,4100.0,8
RC,361,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,4830.0,13
RC,361,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,769.0,4100.0,11
RC,361,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,8866.0,13
RC,361,Removal of embedded foreign body from dentoalveolar structures; bone ,,,607.0,4100.0,13
RC,361,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,607.0,4100.0,13
RC,361,"Removal of embedded foreign body, eyelid ",,,291.0,2900.0,13
RC,361,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,291.0,3979.0,13
RC,361,"Removal of embedded foreign body, vestibule of mouth; simple ",,,742.8,4100.0,9
RC,361,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,4830.0,15
RC,361,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1142.61,6446.0,15
RC,361,Removal of esophageal sphincter augmentation device ,,,1471.0,9431.0,11
RC,361,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,607.0,4100.0,15
RC,361,Removal of foreign body from pharynx ,,,291.0,3523.0,13
RC,361,Removal of foreign body in scrotum ,,,870.0,4830.0,15
RC,361,"Removal of foreign body or dacryolith, lacrimal passages ",,,291.0,2900.0,13
RC,361,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,291.0,2900.0,9
RC,361,"Removal of foreign body, external eye; conjunctival superficial ",,,291.0,2900.0,9
RC,361,"Removal of foreign body, external eye; corneal, with slit lamp ",,,291.0,2900.0,9
RC,361,"Removal of foreign body, external eye; corneal, without slit lamp ",,,291.0,2900.0,9
RC,361,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,4830.0,15
RC,361,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,291.0,6446.0,15
RC,361,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1142.61,6446.0,15
RC,361,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,5
RC,361,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1753.0,5958.0,10
RC,361,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,361,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,4
RC,361,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,4830.0,15
RC,361,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,3
RC,361,Removal of implanted intra-arterial infusion pump ,,,607.0,5958.0,15
RC,361,"Removal of implanted material, anterior segment of eye ",,,1142.61,10746.0,15
RC,361,"Removal of implanted material, posterior segment; extraocular ",,,870.0,4830.0,13
RC,361,"Removal of implanted material, posterior segment; intraocular ",,,870.0,5958.0,13
RC,361,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,9431.0,15
RC,361,Removal of intrauterine device (IUD) ,,,291.0,3523.0,13
RC,361,"Removal of lens material; aspiration technique, 1 or more stages ",,,1142.61,6446.0,15
RC,361,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,769.0,6446.0,15
RC,361,Removal of lens material; intracapsular ,,,1142.61,6446.0,15
RC,361,"Removal of lens material; intracapsular, for dislocated lens ",,,1404.42,6446.0,15
RC,361,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1404.42,6801.0,15
RC,361,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,1142.61,10746.0,15
RC,361,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,511.0,3523.0,13
RC,361,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,361,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,15
RC,361,Removal of non-resorbable barrier ,,,3715.0,4953.0,3
RC,361,Removal of ocular implant ,,,607.0,5958.0,15
RC,361,Removal of pancreatic calculus ,,,1632.0,4953.0,5
RC,361,Removal of peritoneal foreign body from peritoneal cavity ,,,870.0,5958.0,15
RC,361,Removal of peritoneal-venous shunt ,,,870.0,5958.0,11
RC,361,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3715.0,10746.0,5
RC,361,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,4830.0,15
RC,361,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1142.61,6446.0,15
RC,361,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1694.0,8866.0,9
RC,361,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,361,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,361,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,5958.0,15
RC,361,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,3
RC,361,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,3
RC,361,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,3
RC,361,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,291.0,3435.0,7
RC,361,"Removal of transplanted intestinal allograft, complete ",,,1632.0,4953.0,5
RC,361,Removal of transplanted pancreatic allograft ,,,1632.0,3435.0,2
RC,361,Removal of transplanted renal allograft ,,,1632.0,4953.0,5
RC,361,"Removal of tumor, temporal bone ",,,1471.0,6801.0,11
RC,361,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,769.0,21331.0,9
RC,361,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,511.0,21331.0,9
RC,361,Removal of tunneled intraperitoneal catheter ,,,607.0,5958.0,15
RC,361,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1142.61,6446.0,15
RC,361,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1142.61,6446.0,15
RC,361,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,6801.0,15
RC,361,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,5958.0,15
RC,361,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1404.42,6446.0,11
RC,361,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,361,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1404.42,5958.0,10
RC,361,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1404.42,8069.0,12
RC,361,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1404.42,8069.0,12
RC,361,Remove interim implant component ,,,3715.0,4953.0,3
RC,361,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,1632.0,4953.0,5
RC,361,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,1632.0,4953.0,5
RC,361,"Renal autotransplantation, reimplantation of kidney ",,,1632.0,4953.0,5
RC,361,Renal biopsy; by surgical exposure of kidney ,,,1632.0,4953.0,5
RC,361,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,4100.0,15
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,4100.0,15
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,4830.0,15
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,4830.0,15
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,511.0,3523.0,13
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,4830.0,15
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,13
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,511.0,3523.0,13
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1603.31,6801.0,7
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,4100.0,11
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4100.0,11
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,511.0,3523.0,13
RC,361,"Renal exploration, not necessitating other specific procedures ",,,1632.0,4953.0,5
RC,361,Reopening of recent laparotomy ,,,1632.0,4953.0,5
RC,361,Repair incomplete circumcision ,,,870.0,4830.0,15
RC,361,"Repair inguinal hernia, sliding, any age ",,,1404.42,6446.0,15
RC,361,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,361,"Repair initial femoral hernia, any age; reducible ",,,1404.42,6446.0,15
RC,361,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,361,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1404.42,6446.0,15
RC,361,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,361,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1404.42,6446.0,15
RC,361,"Repair lip, full thickness; over one-half vertical height, or complex ",,,769.0,6446.0,15
RC,361,"Repair lip, full thickness; up to half vertical height ",,,291.0,6446.0,15
RC,361,"Repair lip, full thickness; vermilion only ",,,291.0,6446.0,15
RC,361,Repair lumbar hernia ,,,870.0,5958.0,15
RC,361,Repair of anal fistula with fibrin glue ,,,607.0,4830.0,15
RC,361,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,1404.42,8866.0,9
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,8866.0,7
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1404.42,9431.0,45
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1404.42,9431.0,39
RC,361,"Repair of anterior palate, including vomer flap ",,,1753.0,6801.0,15
RC,361,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1142.61,6446.0,15
RC,361,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1142.61,6446.0,15
RC,361,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1142.61,6446.0,15
RC,361,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,361,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1142.61,6446.0,15
RC,361,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,361,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1142.61,6446.0,15
RC,361,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,511.0,21331.0,9
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,1632.0,4953.0,5
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,1632.0,4953.0,5
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,1632.0,4953.0,5
RC,361,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1404.42,6801.0,11
RC,361,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6801.0,15
RC,361,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,3
RC,361,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,1632.0,4953.0,5
RC,361,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,1632.0,4953.0,5
RC,361,Repair of ectropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,361,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1142.61,6446.0,15
RC,361,Repair of ectropion; suture ,,,1142.61,6446.0,15
RC,361,Repair of ectropion; thermocauterization ,,,1142.61,6446.0,13
RC,361,"Repair of encephalocele, skull vault, including cranioplasty ",,,1632.0,4953.0,5
RC,361,"Repair of enterocele, abdominal approach (separate procedure) ",,,1632.0,4830.0,4
RC,361,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,15
RC,361,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,5
RC,361,Repair of entropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,361,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1142.61,6446.0,15
RC,361,Repair of entropion; suture ,,,1142.61,6446.0,15
RC,361,Repair of entropion; thermocauterization ,,,1142.61,6446.0,11
RC,361,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,1632.0,4953.0,5
RC,361,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,1632.0,4953.0,5
RC,361,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,1632.0,4953.0,5
RC,361,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,1632.0,4953.0,5
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,15
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,15
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,15
RC,361,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,1257.0,6446.0,9
RC,361,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,1257.0,6446.0,9
RC,361,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,5958.0,15
RC,361,"Repair of iris, ciliary body (as for iridodialysis) ",,,1142.61,6446.0,15
RC,361,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,291.0,3979.0,15
RC,361,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,291.0,3979.0,15
RC,361,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,291.0,3979.0,15
RC,361,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,769.0,4100.0,13
RC,361,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,4953.0,9
RC,361,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,4830.0,15
RC,361,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,4830.0,15
RC,361,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1404.42,6446.0,15
RC,361,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1404.42,6446.0,15
RC,361,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1404.42,6446.0,15
RC,361,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,1471.0,6446.0,9
RC,361,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,1632.0,4953.0,5
RC,361,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,1632.0,4953.0,5
RC,361,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,1632.0,4953.0,5
RC,361,Repair of meningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,361,Repair of meningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,361,Repair of myelomeningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,361,Repair of myelomeningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,361,Repair of nasolabial fistula ,,,1471.0,6446.0,15
RC,361,Repair of omphalocele (Gross type operation); first stage ,,,1632.0,4953.0,5
RC,361,Repair of omphalocele (Gross type operation); second stage ,,,1632.0,4953.0,5
RC,361,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2540.0,9431.0,9
RC,361,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2540.0,9431.0,9
RC,361,Repair of rectocele (separate procedure) ,,,870.0,5958.0,15
RC,361,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1142.61,6446.0,11
RC,361,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,511.0,6446.0,11
RC,361,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,1142.61,4830.0,7
RC,361,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1404.42,6801.0,13
RC,361,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1404.42,10746.0,13
RC,361,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,1632.0,4953.0,5
RC,361,Repair of scleral staphyloma with graft ,,,1404.42,6446.0,15
RC,361,"Repair of small omphalocele, with primary closure ",,,1404.42,6446.0,15
RC,361,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1142.61,6446.0,15
RC,361,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1142.61,6446.0,15
RC,361,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1404.42,6446.0,15
RC,361,Repair of traumatic corporeal tear(s) ,,,870.0,7161.0,13
RC,361,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1404.42,6446.0,15
RC,361,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,511.0,21331.0,9
RC,361,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,15
RC,361,Repair oval window fistula ,,,1404.42,6446.0,15
RC,361,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1404.42,8866.0,15
RC,361,Repair recurrent femoral hernia; reducible ,,,1404.42,6446.0,15
RC,361,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,361,"Repair recurrent inguinal hernia, any age; reducible ",,,1404.42,7161.0,15
RC,361,Repair round window fistula ,,,1404.42,6446.0,15
RC,361,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,1632.0,4953.0,5
RC,361,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,1632.0,4953.0,5
RC,361,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1404.42,6446.0,30
RC,361,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1404.42,6446.0,11
RC,361,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,11
RC,361,"Repair, laceration of diaphragm, any approach ",,,1632.0,4953.0,5
RC,361,"Repair, laceration of palate; over 2 cm or complex ",,,870.0,4830.0,15
RC,361,"Repair, laceration of palate; up to 2 cm ",,,291.0,3523.0,15
RC,361,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,1632.0,4953.0,5
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,361,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,361,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2179.0,9431.0,10
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2179.0,9431.0,10
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1753.0,7602.0,13
RC,361,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,1632.0,4953.0,5
RC,361,Replacement of an implant screw ,,,3715.0,4953.0,3
RC,361,Replacement of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,361,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,361,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,361,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,361,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,291.0,3523.0,12
RC,361,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,291.0,3523.0,12
RC,361,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,3
RC,361,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,4830.0,15
RC,361,"Replacement or irrigation, ventricular catheter ",,,607.0,4100.0,15
RC,361,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,6801.0,15
RC,361,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,1404.42,21331.0,9
RC,361,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,511.0,21331.0,9
RC,361,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,1404.42,21331.0,9
RC,361,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,511.0,21331.0,9
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,1404.42,21331.0,9
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,1753.0,21331.0,9
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,1404.42,21331.0,9
RC,361,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6801.0,15
RC,361,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,291.0,3523.0,15
RC,361,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1142.61,6446.0,15
RC,361,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,1257.0,6446.0,11
RC,361,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,511.0,21331.0,9
RC,361,Reprogramming of programmable cerebrospinal shunt ,,,291.0,3523.0,9
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,1694.0,5958.0,4
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,1632.0,4953.0,5
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,1632.0,4953.0,5
RC,361,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,1632.0,4953.0,5
RC,361,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,1753.0,10746.0,15
RC,361,"Resection of lip, more than one-fourth, without reconstruction ",,,870.0,4830.0,15
RC,361,Resection of mediastinal cyst ,,,1632.0,4953.0,5
RC,361,Resection of mediastinal tumor ,,,1632.0,4953.0,5
RC,361,Resection of palate or extensive resection of lesion ,,,1471.0,6446.0,15
RC,361,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,1632.0,4953.0,5
RC,361,Resection of scrotum ,,,607.0,4830.0,15
RC,361,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,1632.0,4953.0,5
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,1632.0,4953.0,5
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,1632.0,4953.0,5
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,1632.0,4953.0,5
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,1632.0,4953.0,5
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,1632.0,4953.0,5
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,361,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,3
RC,361,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,3
RC,361,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,3
RC,361,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,3
RC,361,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,361,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,361,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,361,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,361,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,361,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,361,"Resection temporal bone, external approach ",,,1632.0,4953.0,5
RC,361,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,1632.0,4953.0,5
RC,361,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,1632.0,4953.0,5
RC,361,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,1257.0,6446.0,11
RC,361,Retrobulbar injection; alcohol ,,,291.0,3523.0,13
RC,361,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,291.0,2900.0,9
RC,361,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,9
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1632.0,9431.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1632.0,13472.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1632.0,13472.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1632.0,18085.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,5
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,5
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,5
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,1471.0,16939.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,607.0,2540.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,607.0,2540.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1632.0,9431.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1632.0,13472.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1632.0,9431.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,9
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,9
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,9
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,9
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1632.0,9431.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1632.0,13472.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1632.0,13472.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1632.0,18085.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,1471.0,16939.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,1471.0,7058.0,6
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,9
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,9
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,9
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,607.0,7058.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,607.0,2540.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,607.0,2540.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,607.0,2540.0,3
RC,361,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,1694.0,7161.0,11
RC,361,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,1632.0,4953.0,5
RC,361,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,13
RC,361,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,361,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,361,Revision mastoidectomy; resulting in complete mastoidectomy ,,,1753.0,10746.0,15
RC,361,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,1753.0,10746.0,15
RC,361,Revision mastoidectomy; resulting in radical mastoidectomy ,,,1753.0,10746.0,15
RC,361,Revision mastoidectomy; resulting in tympanoplasty ,,,1753.0,7161.0,13
RC,361,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,4830.0,15
RC,361,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1142.61,8866.0,13
RC,361,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1404.42,6446.0,11
RC,361,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1257.0,6446.0,15
RC,361,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,1404.42,6446.0,11
RC,361,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,1632.0,4953.0,8
RC,361,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,1632.0,4953.0,5
RC,361,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1404.42,6446.0,10
RC,361,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,607.0,5958.0,15
RC,361,Revision of implanted intra-arterial infusion pump ,,,870.0,5958.0,15
RC,361,Revision of peritoneal-venous shunt ,,,870.0,5958.0,15
RC,361,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6801.0,15
RC,361,Revision of stapedectomy or stapedotomy ,,,1753.0,6801.0,15
RC,361,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,1753.0,13472.0,11
RC,361,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1404.42,4830.0,7
RC,361,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,1632.0,4953.0,5
RC,361,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,5958.0,15
RC,361,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,1632.0,4953.0,5
RC,361,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,361,Revision or removal of intracranial neurostimulator electrodes ,,,1404.42,5958.0,7
RC,361,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1694.0,5958.0,7
RC,361,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,5958.0,13
RC,361,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,361,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,4830.0,15
RC,361,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,1632.0,6446.0,7
RC,361,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,1632.0,18085.0,7
RC,361,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,9431.0,13
RC,361,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,13472.0,10
RC,361,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,5
RC,361,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,361,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,3435.0,13472.0,7
RC,361,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,9
RC,361,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,9
RC,361,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,1632.0,4953.0,4
RC,361,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,9813.0,7
RC,361,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,9813.0,7
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,9813.0,7
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,9813.0,7
RC,361,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,9813.0,7
RC,361,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,361,Right ventricular recording ,,,769.0,21155.0,4
RC,361,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,2
RC,361,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,1632.0,3435.0,2
RC,361,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,1632.0,3435.0,2
RC,361,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,1632.0,3435.0,2
RC,361,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,1632.0,3435.0,2
RC,361,SIGMOIDOSCOPY W/ABLATE TUMR ,,,988.0,1069.0,2
RC,361,SIGMOIDOSCOPY W/STENT ,,,988.0,1069.0,2
RC,361,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,3723.0,5078.0,4
RC,361,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,827.0,2
RC,361,STRIP RETINAL MEMBRANE ,,,3026.0,3273.0,2
RC,361,SURGICAL COLONOSCOPY ,,,988.0,1069.0,2
RC,361,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1694.0,6446.0,8
RC,361,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6801.0,8
RC,361,Salpingostomy (salpingoneostomy) ,,,1404.42,6446.0,11
RC,361,Scleral reinforcement (separate procedure); with graft ,,,1142.61,6446.0,15
RC,361,Scleral reinforcement (separate procedure); without graft ,,,1142.61,6446.0,15
RC,361,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,511.0,7161.0,13
RC,361,"Scraping of cornea, diagnostic, for smear and/or culture ",,,291.0,2900.0,9
RC,361,Scrotal exploration ,,,870.0,4830.0,15
RC,361,Scrotoplasty; complicated ,,,870.0,4830.0,15
RC,361,Scrotoplasty; simple ,,,607.0,6801.0,15
RC,361,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,291.0,2900.0,8
RC,361,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,1632.0,4953.0,5
RC,361,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,1632.0,4953.0,5
RC,361,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,870.0,5958.0,22
RC,361,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,291.0,2900.0,8
RC,361,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,291.0,2900.0,8
RC,361,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,2900.0,8
RC,361,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,291.0,2900.0,8
RC,361,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,2900.0,8
RC,361,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,291.0,2900.0,8
RC,361,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,291.0,2900.0,8
RC,361,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,291.0,2900.0,8
RC,361,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,870.0,5958.0,11
RC,361,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,870.0,9431.0,11
RC,361,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,291.0,2900.0,8
RC,361,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,291.0,2900.0,8
RC,361,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,1257.0,9431.0,11
RC,361,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,870.0,5958.0,11
RC,361,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,1257.0,9431.0,11
RC,361,Semi-precision abutment - placement ,,,3715.0,4953.0,3
RC,361,Semi-precision attachment - placement ,,,3715.0,4953.0,3
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1142.61,6446.0,15
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1404.42,6446.0,15
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,4830.0,15
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1142.61,6446.0,15
RC,361,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,511.0,6446.0,13
RC,361,Severing of tarsorrhaphy ,,,607.0,4100.0,13
RC,361,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,511.0,3979.0,15
RC,361,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,769.0,4100.0,15
RC,361,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,1257.0,6446.0,13
RC,361,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,607.0,4100.0,11
RC,361,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,511.0,3523.0,13
RC,361,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,361,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,607.0,4320.0,13
RC,361,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,511.0,3523.0,15
RC,361,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,607.0,4100.0,15
RC,361,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,4100.0,15
RC,361,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,511.0,3523.0,15
RC,361,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,607.0,4320.0,13
RC,361,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,607.0,4100.0,15
RC,361,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,361,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,607.0,4100.0,15
RC,361,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,511.0,3523.0,15
RC,361,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,361,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,607.0,4100.0,15
RC,361,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,607.0,4100.0,15
RC,361,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,291.0,3523.0,13
RC,361,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,291.0,2900.0,9
RC,361,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,10732.0,13
RC,361,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1603.31,10732.0,13
RC,361,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,4830.0,15
RC,361,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,870.0,4830.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1694.0,8866.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,1694.0,8866.0,15
RC,361,Snip incision of lacrimal punctum ,,,291.0,3523.0,11
RC,361,Sperm washing for artificial insemination ,,,291.0,3523.0,9
RC,361,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,1257.0,6446.0,15
RC,361,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,1632.0,4953.0,5
RC,361,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,1257.0,6446.0,15
RC,361,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,870.0,5958.0,15
RC,361,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,769.0,6446.0,15
RC,361,"Spinal puncture, lumbar, diagnostic; ",,,511.0,3523.0,15
RC,361,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,361,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,511.0,3523.0,15
RC,361,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,361,Splenectomy; partial (separate procedure) ,,,1632.0,4953.0,5
RC,361,Splenectomy; total (separate procedure) ,,,1632.0,4953.0,5
RC,361,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,361,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,1257.0,6446.0,13
RC,361,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,1257.0,6446.0,13
RC,361,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1753.0,6801.0,13
RC,361,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1753.0,6801.0,15
RC,361,Stapes mobilization ,,,1404.42,10746.0,15
RC,361,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,1632.0,4953.0,5
RC,361,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,1632.0,4953.0,5
RC,361,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,361,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,769.0,4100.0,4
RC,361,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,1753.0,8866.0,9
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2540.0,3435.0,2
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2540.0,3435.0,2
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2540.0,3435.0,2
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,361,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,4100.0,15
RC,361,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,291.0,2900.0,9
RC,361,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,361,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,361,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,361,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,291.0,6446.0,10
RC,361,"Strabismus surgery, any procedure, superior oblique muscle ",,,1142.61,6446.0,15
RC,361,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1142.61,6446.0,15
RC,361,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1142.61,6446.0,15
RC,361,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1404.42,6446.0,15
RC,361,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1142.61,6446.0,15
RC,361,Subconjunctival injection ,,,291.0,2900.0,9
RC,361,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,769.0,4100.0,4
RC,361,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,511.0,3523.0,13
RC,361,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,511.0,3523.0,13
RC,361,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,607.0,7161.0,13
RC,361,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,1632.0,4953.0,5
RC,361,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,1632.0,3435.0,2
RC,361,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,870.0,9431.0,22
RC,361,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1694.0,10746.0,9
RC,361,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,291.0,3435.0,7
RC,361,Suprahyoid lymphadenectomy ,,,870.0,4830.0,13
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,1632.0,4953.0,5
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,1632.0,4953.0,5
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,1632.0,4953.0,5
RC,361,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,361,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,361,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,1632.0,4953.0,5
RC,361,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,1632.0,4953.0,5
RC,361,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,1632.0,4953.0,5
RC,361,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,1632.0,4953.0,5
RC,361,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,1632.0,4953.0,5
RC,361,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,1632.0,4953.0,5
RC,361,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,1632.0,4953.0,5
RC,361,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,361,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,361,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,3
RC,361,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,3
RC,361,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,3
RC,361,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,3
RC,361,Surgical placement zygomatic implant ,,,3715.0,4953.0,3
RC,361,Surgical repair of root resorption - molar ,,,3715.0,4953.0,3
RC,361,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,3
RC,361,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,3
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,1257.0,6446.0,15
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,607.0,4830.0,15
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,1257.0,6446.0,15
RC,361,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,1404.42,6446.0,15
RC,361,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,1632.0,4953.0,5
RC,361,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,1632.0,4953.0,5
RC,361,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,1632.0,4953.0,5
RC,361,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,8
RC,361,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,8
RC,361,Suture and/or ligation of thoracic duct; abdominal approach ,,,1632.0,4953.0,5
RC,361,Suture and/or ligation of thoracic duct; cervical approach ,,,1632.0,4953.0,5
RC,361,Suture and/or ligation of thoracic duct; thoracic approach ,,,1632.0,4953.0,5
RC,361,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1753.0,6801.0,15
RC,361,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,361,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,6801.0,15
RC,361,Suture of 1 nerve; median motor thenar ,,,1257.0,6801.0,15
RC,361,Suture of 1 nerve; ulnar motor ,,,1257.0,6801.0,15
RC,361,"Suture of digital nerve, hand or foot; 1 nerve ",,,1142.61,6446.0,15
RC,361,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,361,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,291.0,2900.0,10
RC,361,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,361,Suture of esophageal wound or injury; cervical approach ,,,1632.0,4953.0,5
RC,361,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,1632.0,4953.0,5
RC,361,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,1632.0,4953.0,5
RC,361,Suture of facial nerve; extracranial ,,,1257.0,6801.0,15
RC,361,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6801.0,15
RC,361,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,4830.0,15
RC,361,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,1632.0,4953.0,5
RC,361,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,1632.0,4953.0,5
RC,361,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,6801.0,15
RC,361,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,6801.0,15
RC,361,Suture of mesentery (separate procedure) ,,,1632.0,4953.0,5
RC,361,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,291.0,6446.0,10
RC,361,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,291.0,2900.0,10
RC,361,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,291.0,6446.0,10
RC,361,Suture of posterior tibial nerve ,,,870.0,6801.0,15
RC,361,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,4830.0,15
RC,361,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,5115.0,13
RC,361,Suture of sciatic nerve ,,,870.0,5958.0,15
RC,361,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,1632.0,4953.0,5
RC,361,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,1404.42,4830.0,8
RC,361,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,607.0,4100.0,15
RC,361,Suture of; brachial plexus ,,,1142.61,6446.0,15
RC,361,Suture of; lumbar plexus ,,,1257.0,6801.0,15
RC,361,Suture or repair of testicular injury ,,,1257.0,6446.0,15
RC,361,Suture pharynx for wound or injury ,,,607.0,4100.0,15
RC,361,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,1632.0,4953.0,5
RC,361,"Sympathectomy, cervical ",,,769.0,4100.0,15
RC,361,"Sympathectomy, cervicothoracic ",,,769.0,4100.0,7
RC,361,"Sympathectomy, lumbar ",,,1632.0,4953.0,5
RC,361,"Sympathectomy, thoracolumbar ",,,1632.0,4953.0,5
RC,361,"Sympathectomy; digital arteries, each digit ",,,1142.61,4830.0,7
RC,361,Sympathectomy; radial artery ,,,1404.42,6446.0,15
RC,361,Sympathectomy; superficial palmar arch ,,,870.0,5958.0,13
RC,361,Sympathectomy; ulnar artery ,,,870.0,5958.0,13
RC,361,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,1632.0,4953.0,5
RC,361,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,4100.0,13
RC,361,Temporary transcutaneous pacing ,,,511.0,3250.0,4
RC,361,Therapeutic apheresis; for platelets ,,,291.0,2900.0,11
RC,361,Therapeutic apheresis; for red blood cells ,,,769.0,4100.0,11
RC,361,Therapeutic apheresis; for white blood cells ,,,769.0,4100.0,11
RC,361,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,1404.42,10746.0,11
RC,361,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,291.0,3435.0,7
RC,361,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2179.0,9431.0,10
RC,361,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,361,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,361,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,361,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,361,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,361,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1753.0,21331.0,9
RC,361,"Thrombolysis, cerebral, by intravenous infusion ",,,291.0,3523.0,9
RC,361,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,990.0,4
RC,361,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6801.0,11
RC,361,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6801.0,11
RC,361,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,769.0,4100.0,4
RC,361,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1753.0,6801.0,11
RC,361,"Thyroidectomy, total or complete ",,,1753.0,10746.0,11
RC,361,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,5
RC,361,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,1753.0,10746.0,11
RC,361,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,1632.0,10746.0,8
RC,361,"Tongue base suspension, permanent suture technique ",,,870.0,6801.0,13
RC,361,Tonsillectomy and adenoidectomy; age 12 or over ,,,1404.42,6446.0,15
RC,361,Tonsillectomy and adenoidectomy; younger than age 12 ,,,1257.0,6446.0,15
RC,361,"Tonsillectomy, primary or secondary; age 12 or over ",,,1404.42,6446.0,15
RC,361,"Tonsillectomy, primary or secondary; younger than age 12 ",,,1471.0,6446.0,15
RC,361,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,1694.0,10746.0,12
RC,361,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,1632.0,10746.0,9
RC,361,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,361,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6801.0,11
RC,361,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,1632.0,4953.0,5
RC,361,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,1632.0,4953.0,5
RC,361,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,1632.0,4953.0,5
RC,361,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,1632.0,4953.0,5
RC,361,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,1632.0,4953.0,5
RC,361,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,9431.0,13
RC,361,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,9431.0,13
RC,361,Trabeculoplasty by laser surgery ,,,511.0,3523.0,13
RC,361,Trabeculotomy ab externo ,,,1142.61,6446.0,15
RC,361,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,15
RC,361,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,15
RC,361,"Transabdominal amnioinfusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,361,Transcatheter biopsy ,,,1471.0,9431.0,13
RC,361,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,4
RC,361,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,361,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,13472.0,21
RC,361,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,607.0,18276.0,19
RC,361,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,607.0,18276.0,8
RC,361,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1257.0,18276.0,11
RC,361,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,291.0,2900.0,8
RC,361,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,1632.0,27040.0,9
RC,361,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,1632.0,27040.0,6
RC,361,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,1632.0,4953.0,7
RC,361,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1257.0,6446.0,9
RC,361,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1257.0,6446.0,9
RC,361,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,361,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,1257.0,8866.0,13
RC,361,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,1753.0,21331.0,9
RC,361,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,511.0,21331.0,18
RC,361,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1404.42,21331.0,9
RC,361,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2259.0,6801.0,7
RC,361,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,4830.0,11
RC,361,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,1632.0,4953.0,5
RC,361,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,1632.0,4953.0,5
RC,361,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,769.0,4100.0,9
RC,361,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,1142.61,5958.0,9
RC,361,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,4830.0,15
RC,361,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,4830.0,15
RC,361,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,4830.0,15
RC,361,Transection or avulsion of; greater occipital nerve ,,,870.0,4830.0,15
RC,361,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,769.0,4100.0,15
RC,361,Transection or avulsion of; infraorbital nerve ,,,769.0,4100.0,15
RC,361,Transection or avulsion of; lingual nerve ,,,870.0,4830.0,15
RC,361,Transection or avulsion of; mental nerve ,,,769.0,4100.0,15
RC,361,Transection or avulsion of; phrenic nerve ,,,769.0,4100.0,15
RC,361,Transection or avulsion of; supraorbital nerve ,,,769.0,4100.0,15
RC,361,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,1632.0,4953.0,5
RC,361,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,1632.0,4953.0,5
RC,361,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,361,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,1632.0,4953.0,5
RC,361,"Transfusion, blood or blood components ",,,291.0,3523.0,13
RC,361,"Transfusion, intrauterine, fetal ",,,291.0,3523.0,13
RC,361,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,291.0,9431.0,15
RC,361,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,5
RC,361,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,291.0,10746.0,20
RC,361,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,291.0,2900.0,6
RC,361,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1404.42,6801.0,13
RC,361,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1404.42,6801.0,13
RC,361,Transmastoid antrotomy (simple mastoidectomy) ,,,1753.0,10746.0,15
RC,361,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,1632.0,4953.0,5
RC,361,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,1632.0,4953.0,5
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,291.0,2900.0,8
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,1753.0,9431.0,13
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1753.0,9431.0,13
RC,361,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,361,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,9431.0,14
RC,361,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,16336.0,13
RC,361,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,1632.0,4953.0,5
RC,361,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,291.0,3523.0,9
RC,361,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,291.0,3523.0,9
RC,361,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,291.0,3523.0,9
RC,361,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,291.0,3523.0,9
RC,361,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,291.0,3523.0,9
RC,361,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,291.0,3523.0,9
RC,361,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,291.0,3523.0,9
RC,361,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,291.0,3523.0,9
RC,361,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,291.0,3523.0,9
RC,361,Transplantation of pancreatic allograft ,,,1632.0,3435.0,2
RC,361,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,15
RC,361,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,361,"Transposition, ovary(s) ",,,1257.0,6446.0,8
RC,361,Transrectal drainage of pelvic abscess ,,,607.0,4100.0,15
RC,361,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,1632.0,4953.0,5
RC,361,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,1632.0,4953.0,5
RC,361,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,769.0,7602.0,11
RC,361,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1404.42,8866.0,12
RC,361,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,6801.0,11
RC,361,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,361,Transurethral drainage of prostatic abscess ,,,870.0,4830.0,15
RC,361,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,6801.0,13
RC,361,Transurethral incision of prostate ,,,1257.0,6446.0,15
RC,361,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,769.0,7161.0,13
RC,361,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,15
RC,361,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,4830.0,15
RC,361,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,6801.0,15
RC,361,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1632.0,6801.0,7
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,361,Transvesical ureterolithotomy ,,,1142.61,6801.0,7
RC,361,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,511.0,3250.0,11
RC,361,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,511.0,3250.0,13
RC,361,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1404.42,6446.0,15
RC,361,"Treatment of missed abortion, completed surgically; first trimester ",,,1404.42,6446.0,15
RC,361,"Treatment of missed abortion, completed surgically; second trimester ",,,1404.42,6446.0,15
RC,361,"Treatment of septic abortion, completed surgically ",,,870.0,4953.0,9
RC,361,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,9
RC,361,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,1632.0,4953.0,5
RC,361,Tubotubal anastomosis ,,,1694.0,6446.0,8
RC,361,Tubouterine implantation ,,,1694.0,6446.0,8
RC,361,Twist drill hole for subdural or ventricular puncture ,,,1632.0,4953.0,5
RC,361,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,1632.0,4953.0,5
RC,361,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,1632.0,4953.0,5
RC,361,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,1632.0,4953.0,5
RC,361,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,32
RC,361,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,994.46,4830.0,9
RC,361,Tympanic neurectomy ,,,1257.0,6446.0,15
RC,361,"Tympanolysis, transcanal ",,,607.0,6801.0,13
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1753.0,7161.0,13
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1753.0,6801.0,13
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1753.0,6801.0,13
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1753.0,6801.0,13
RC,361,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,769.0,4100.0,13
RC,361,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,291.0,3523.0,11
RC,361,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2900.0,5
RC,361,UPPER GI ENDOSCOPY EXAM ,,,988.0,1069.0,2
RC,361,UPPR GI ENDOSCOPY W/STENT ,,,2302.0,2490.0,2
RC,361,URETHRA PRESSURE PROFILE ,,,988.0,1069.0,2
RC,361,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1404.42,6446.0,15
RC,361,Unlisted cardiovascular service or procedure ,,,291.0,2900.0,4
RC,361,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,4
RC,361,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,291.0,2900.0,11
RC,361,"Unlisted hysteroscopy procedure, uterus ",,,291.0,6446.0,11
RC,361,"Unlisted laparoscopic procedure, liver ",,,1753.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,607.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, appendix ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, biliary tract ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, bladder ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, esophagus ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,1753.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,1753.0,6801.0,7
RC,361,"Unlisted laparoscopy procedure, lymphatic system ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,6801.0,11
RC,361,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, rectum ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, renal ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, spleen ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, stomach ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, testis ",,,1257.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, ureter ",,,1753.0,6801.0,9
RC,361,"Unlisted laparoscopy procedure, uterus ",,,1257.0,6801.0,9
RC,361,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,1632.0,4953.0,5
RC,361,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,4100.0,11
RC,361,"Unlisted procedure, anterior segment of eye ",,,607.0,4100.0,11
RC,361,"Unlisted procedure, anus ",,,511.0,3250.0,11
RC,361,"Unlisted procedure, biliary tract ",,,742.8,4100.0,7
RC,361,"Unlisted procedure, colon ",,,607.0,5115.0,13
RC,361,"Unlisted procedure, conjunctiva ",,,291.0,2900.0,7
RC,361,"Unlisted procedure, dentoalveolar structures ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, diaphragm ",,,1632.0,4953.0,5
RC,361,"Unlisted procedure, endocrine system ",,,607.0,9431.0,11
RC,361,"Unlisted procedure, esophagus ",,,607.0,4100.0,11
RC,361,"Unlisted procedure, external ear ",,,291.0,2900.0,9
RC,361,"Unlisted procedure, extraocular muscle ",,,291.0,2900.0,7
RC,361,"Unlisted procedure, eyelids ",,,291.0,2900.0,7
RC,361,"Unlisted procedure, female genital system (nonobstetrical) ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, hemic or lymphatic system ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, inner ear ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, lacrimal system ",,,291.0,2900.0,7
RC,361,"Unlisted procedure, lips ",,,291.0,2900.0,7
RC,361,"Unlisted procedure, liver ",,,511.0,3250.0,7
RC,361,"Unlisted procedure, male genital system ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, maternity care and delivery ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, mediastinum ",,,1632.0,4953.0,5
RC,361,"Unlisted procedure, middle ear ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, nervous system ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, orbit ",,,291.0,2900.0,7
RC,361,"Unlisted procedure, palate, uvula ",,,291.0,2900.0,7
RC,361,"Unlisted procedure, pancreas ",,,511.0,3250.0,7
RC,361,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, posterior segment ",,,769.0,4100.0,7
RC,361,"Unlisted procedure, rectum ",,,511.0,3250.0,7
RC,361,"Unlisted procedure, salivary glands or ducts ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, small intestine ",,,607.0,4100.0,11
RC,361,"Unlisted procedure, stomach ",,,742.8,4100.0,9
RC,361,"Unlisted procedure, temporal bone, middle fossa approach ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, tongue, floor of mouth ",,,291.0,2900.0,7
RC,361,"Unlisted procedure, urinary system ",,,291.0,2900.0,11
RC,361,"Unlisted procedure, vascular injection ",,,291.0,2900.0,4
RC,361,"Unlisted procedure, vascular surgery ",,,511.0,3250.0,11
RC,361,"Unlisted procedure, vestibule of mouth ",,,291.0,6446.0,11
RC,361,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,3
RC,361,Unlisted vascular endoscopy procedure ,,,511.0,3250.0,7
RC,361,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,291.0,2900.0,8
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4830.0,15
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,4830.0,15
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,4100.0,15
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,4100.0,15
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,511.0,3523.0,15
RC,361,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,1632.0,6446.0,9
RC,361,"Ureterectomy, with bladder cuff (separate procedure) ",,,1632.0,6446.0,9
RC,361,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,1632.0,4953.0,5
RC,361,"Ureterocolon conduit, including intestine anastomosis ",,,1632.0,4953.0,5
RC,361,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,1632.0,4953.0,5
RC,361,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,1632.0,4953.0,5
RC,361,Ureterolithotomy; lower one-third of ureter ,,,1632.0,6446.0,9
RC,361,Ureterolithotomy; middle one-third of ureter ,,,1632.0,6446.0,9
RC,361,Ureterolithotomy; upper one-third of ureter ,,,1632.0,6446.0,9
RC,361,Ureterolysis for ovarian vein syndrome ,,,1632.0,4953.0,5
RC,361,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,1632.0,4953.0,5
RC,361,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,1632.0,4953.0,5
RC,361,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,1632.0,4953.0,5
RC,361,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,1632.0,4830.0,5
RC,361,Ureteroneocystostomy; with extensive ureteral tailoring ,,,1632.0,4953.0,5
RC,361,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,1632.0,4953.0,5
RC,361,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,1632.0,4953.0,5
RC,361,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,1632.0,4953.0,5
RC,361,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,1632.0,4953.0,5
RC,361,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,1632.0,4953.0,5
RC,361,"Ureterostomy, transplantation of ureter to skin ",,,1632.0,4953.0,5
RC,361,"Ureterotomy for insertion of indwelling stent, all types ",,,1632.0,6446.0,9
RC,361,Ureterotomy with exploration or drainage (separate procedure) ,,,1632.0,6446.0,9
RC,361,Ureteroureterostomy ,,,1632.0,4953.0,5
RC,361,"Urethrectomy, total, including cystostomy; female ",,,1404.42,6446.0,15
RC,361,"Urethrectomy, total, including cystostomy; male ",,,1603.31,6446.0,15
RC,361,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1404.42,6446.0,11
RC,361,"Urethromeatoplasty, with mucosal advancement ",,,607.0,5958.0,15
RC,361,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,4830.0,15
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,15
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,15
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6801.0,15
RC,361,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,15
RC,361,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,5958.0,15
RC,361,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,5958.0,15
RC,361,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,15
RC,361,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,5958.0,15
RC,361,"Urethroplasty, reconstruction of female urethra ",,,870.0,5958.0,15
RC,361,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2259.0,6801.0,4
RC,361,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,15
RC,361,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,5958.0,15
RC,361,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,4830.0,15
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,5958.0,15
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,4830.0,15
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,5958.0,15
RC,361,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,4830.0,15
RC,361,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,4830.0,15
RC,361,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,361,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,361,Uterine evacuation and curettage for hydatidiform mole ,,,1404.42,6446.0,15
RC,361,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1694.0,6446.0,9
RC,361,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,1632.0,4953.0,5
RC,361,"Uvulectomy, excision of uvula ",,,769.0,4100.0,15
RC,361,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,1714.0,2
RC,361,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,4830.0,11
RC,361,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3435.0,6
RC,361,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,11
RC,361,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,1632.0,3435.0,2
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.31,8866.0,13
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,1694.0,5958.0,4
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.31,8866.0,13
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1603.31,8866.0,13
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1603.31,8866.0,13
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1753.0,6801.0,11
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1603.31,6801.0,11
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1753.0,6801.0,11
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1603.31,6801.0,11
RC,361,"Vaginal hysterectomy, radical (Schauta type operation) ",,,1632.0,4953.0,5
RC,361,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,1694.0,5958.0,4
RC,361,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,1694.0,5958.0,4
RC,361,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,9
RC,361,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,8
RC,361,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,11
RC,361,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,4830.0,11
RC,361,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,4830.0,11
RC,361,Vaginoplasty for intersex state ,,,1257.0,6446.0,11
RC,361,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,1632.0,4953.0,5
RC,361,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,1632.0,4953.0,5
RC,361,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,1632.0,4953.0,5
RC,361,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,3
RC,361,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,5
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,1257.0,21331.0,11
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,1257.0,21331.0,11
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1257.0,21331.0,11
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,1257.0,21331.0,11
RC,361,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,1257.0,3979.0,10
RC,361,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,870.0,4830.0,15
RC,361,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,291.0,2900.0,8
RC,361,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,4830.0,15
RC,361,"Vasovasostomy, vasovasorrhaphy ",,,607.0,4830.0,15
RC,361,"Venipuncture, cutdown; age 1 or over ",,,291.0,3435.0,14
RC,361,"Venipuncture, cutdown; younger than age 1 year ",,,291.0,3435.0,14
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,1632.0,3435.0,2
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,1632.0,3435.0,2
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,1632.0,3435.0,2
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,361,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,361,"Venous anastomosis, open; caval-mesenteric ",,,1632.0,4953.0,5
RC,361,"Venous anastomosis, open; portocaval ",,,1632.0,4953.0,5
RC,361,"Venous anastomosis, open; renoportal ",,,1632.0,4953.0,5
RC,361,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,1632.0,4953.0,5
RC,361,"Venous anastomosis, open; splenorenal, proximal ",,,1632.0,4953.0,5
RC,361,Ventilating tube removal requiring general anesthesia ,,,607.0,5958.0,13
RC,361,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,511.0,3523.0,15
RC,361,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,511.0,3523.0,15
RC,361,Ventriculocisternostomy (Torkildsen type operation) ,,,1632.0,4953.0,5
RC,361,"Ventriculocisternostomy, third ventricle; ",,,1632.0,4953.0,5
RC,361,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,1632.0,4953.0,5
RC,361,"Vermilionectomy (lip shave), with mucosal advancement ",,,769.0,4100.0,15
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,742.8,4953.0,8
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2224.34,9431.0,8
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,4953.0,15
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,1632.0,4953.0,10
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,1632.0,4953.0,5
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,1632.0,4953.0,5
RC,361,"Vesiculectomy, any approach ",,,511.0,3250.0,8
RC,361,Vesiculotomy; ,,,607.0,4830.0,13
RC,361,Vesiculotomy; complicated ,,,511.0,3250.0,8
RC,361,"Vestibular nerve section, transcranial approach ",,,1632.0,4953.0,5
RC,361,"Vestibular nerve section, translabyrinthine approach ",,,1404.42,10746.0,15
RC,361,Vestibuloplasty; anterior ,,,870.0,4830.0,15
RC,361,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,1753.0,6801.0,15
RC,361,Vestibuloplasty; entire arch ,,,1753.0,6801.0,15
RC,361,"Vestibuloplasty; posterior, bilateral ",,,1257.0,6446.0,15
RC,361,"Vestibuloplasty; posterior, unilateral ",,,1257.0,6446.0,15
RC,361,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,3
RC,361,"Vitrectomy, mechanical, pars plana approach; ",,,1404.42,6801.0,13
RC,361,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1404.42,10746.0,13
RC,361,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1404.42,10746.0,13
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1404.42,6801.0,11
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1404.42,6801.0,11
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1404.42,10746.0,11
RC,361,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,361,Vulvectomy simple; complete ,,,1404.42,7161.0,15
RC,361,Vulvectomy simple; partial ,,,1404.42,6446.0,15
RC,361,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,1632.0,4953.0,5
RC,361,"Vulvectomy, radical, complete; ",,,7058.0,13472.0,4
RC,361,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,361,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,361,"Vulvectomy, radical, partial; ",,,1603.31,10746.0,10
RC,361,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,361,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,361,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,11
RC,361,Wound closure utilizing tissue adhesive(s) only ,,,291.0,2900.0,4
RC,362, Operating Room Services Organ Transplant-Other than Kidney  ,,,2122.0,2894.0,4
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6446.0,6
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,6
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6446.0,6
RC,362,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,6
RC,362,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,3723.0,10746.0,4
RC,362,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1876.0,6446.0,4
RC,362,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,362,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,362,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,870.0,2303.0,4
RC,362,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,870.0,2303.0,4
RC,362,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1876.0,6446.0,4
RC,362,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1804.0,3435.0,3
RC,362,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1804.0,3435.0,3
RC,362,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1804.0,3435.0,3
RC,362,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1804.0,3435.0,3
RC,362,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,3435.0,6446.0,3
RC,362,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,362,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,3068.0,7602.0,4
RC,362,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1471.0,6446.0,4
RC,362,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,6446.0,4
RC,362,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,3435.0,6446.0,3
RC,362,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1804.0,3435.0,3
RC,362,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,3435.0,10746.0,5
RC,362,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,1876.0,6446.0,5
RC,362,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,1876.0,6446.0,5
RC,362,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,3068.0,7602.0,4
RC,362,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,607.0,827.0,2
RC,362,"Adenoidectomy, primary; age 12 or over ",,,1471.0,6446.0,6
RC,362,"Adenoidectomy, primary; younger than age 12 ",,,1471.0,6446.0,6
RC,362,"Adenoidectomy, secondary; age 12 or over ",,,1471.0,6446.0,6
RC,362,"Adenoidectomy, secondary; younger than age 12 ",,,1471.0,6446.0,6
RC,362,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,362,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,362,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,3435.0,10746.0,5
RC,362,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,3435.0,3435.0,1
RC,362,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,607.0,2303.0,4
RC,362,"Alveoloplasty, each quadrant (specify) ",,,607.0,2303.0,4
RC,362,Amniocentesis; diagnostic ,,,607.0,2303.0,4
RC,362,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,607.0,2303.0,4
RC,362,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,3435.0,3435.0,1
RC,362,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,3435.0,3435.0,1
RC,362,Amputation of penis; complete ,,,870.0,2303.0,4
RC,362,Amputation of penis; partial ,,,870.0,2303.0,6
RC,362,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,3435.0,3435.0,1
RC,362,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,3435.0,3435.0,1
RC,362,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,3435.0,3435.0,1
RC,362,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,3435.0,3435.0,1
RC,362,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,3435.0,3435.0,1
RC,362,Anastomosis; facial-hypoglossal ,,,3435.0,3435.0,1
RC,362,Anastomosis; facial-spinal accessory ,,,3435.0,3435.0,1
RC,362,"Anoplasty, plastic operation for stricture; adult ",,,1257.0,6446.0,6
RC,362,"Anoplasty, plastic operation for stricture; infant ",,,3435.0,3435.0,1
RC,362,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,870.0,2303.0,6
RC,362,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2303.0,2
RC,362,Anorectal myomectomy ,,,870.0,2303.0,6
RC,362,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,4
RC,362,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,607.0,2303.0,4
RC,362,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,870.0,2303.0,6
RC,362,"Anoscopy; with biopsy, single or multiple ",,,607.0,2303.0,4
RC,362,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,2303.0,4
RC,362,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,2303.0,4
RC,362,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,607.0,2303.0,4
RC,362,Anoscopy; with removal of foreign body ,,,607.0,2303.0,6
RC,362,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,2303.0,6
RC,362,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,2303.0,6
RC,362,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,2303.0,6
RC,362,Antepartum care only; 4-6 visits ,,,3435.0,3435.0,1
RC,362,Antepartum care only; 7 or more visits ,,,3435.0,3435.0,1
RC,362,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1876.0,6446.0,6
RC,362,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,3723.0,10746.0,4
RC,362,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,3723.0,10746.0,4
RC,362,Appendectomy; ,,,1471.0,6446.0,4
RC,362,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,3435.0,3435.0,1
RC,362,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,2303.0,4
RC,362,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,2303.0,4
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,607.0,2303.0,8
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,607.0,2303.0,4
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,870.0,2303.0,4
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,607.0,2303.0,4
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,870.0,2303.0,4
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,607.0,2303.0,4
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,870.0,2303.0,4
RC,362,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,4
RC,362,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,607.0,3435.0,5
RC,362,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1876.0,6446.0,6
RC,362,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1471.0,6446.0,4
RC,362,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,1804.0,2303.0,2
RC,362,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",,,1804.0,2303.0,2
RC,362,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,5050.0,6446.0,2
RC,362,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,5050.0,6446.0,2
RC,362,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,5050.0,6446.0,2
RC,362,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,5050.0,6446.0,2
RC,362,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,5050.0,6446.0,2
RC,362,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,5050.0,6446.0,2
RC,362,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,607.0,2303.0,6
RC,362,"Aspiration and/or injection, thyroid cyst ",,,607.0,2303.0,4
RC,362,Aspiration of bladder; by needle ,,,607.0,2303.0,4
RC,362,Aspiration of bladder; by trocar or intracatheter ,,,607.0,2303.0,4
RC,362,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,2303.0,4
RC,362,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,2303.0,6
RC,362,Axillary lymphadenectomy; complete ,,,1471.0,6446.0,6
RC,362,Axillary lymphadenectomy; superficial ,,,870.0,2303.0,6
RC,362,BIOPSY EYE MUSCLE ,,,988.0,1069.0,2
RC,362,BIOPSY OF STOMACH ,,,988.0,1069.0,2
RC,362,BIOPSY OF THROAT ,,,988.0,1069.0,2
RC,362,BRAIN SURGERY USING COMPUTER ,,,988.0,1069.0,2
RC,362,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,3435.0,3435.0,1
RC,362,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,3435.0,3435.0,1
RC,362,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,3435.0,3435.0,1
RC,362,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,3435.0,3435.0,1
RC,362,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,3435.0,3435.0,1
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,3435.0,3435.0,1
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,3435.0,3435.0,1
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,3435.0,3435.0,1
RC,362,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,3435.0,3435.0,1
RC,362,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,3435.0,3435.0,1
RC,362,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,3435.0,3435.0,3
RC,362,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,3435.0,3435.0,1
RC,362,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,3435.0,3435.0,1
RC,362,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,3435.0,3435.0,1
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,3435.0,3435.0,1
RC,362,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,607.0,2303.0,4
RC,362,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,607.0,2303.0,4
RC,362,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,3435.0,3435.0,1
RC,362,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,3435.0,3435.0,1
RC,362,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,3435.0,3435.0,1
RC,362,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,3435.0,3435.0,1
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,870.0,2303.0,6
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1257.0,6446.0,6
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,1257.0,6446.0,6
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1257.0,6446.0,6
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1257.0,6446.0,6
RC,362,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,870.0,2303.0,4
RC,362,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,607.0,2303.0,6
RC,362,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,607.0,2303.0,4
RC,362,Biopsy of conjunctiva ,,,607.0,2303.0,4
RC,362,Biopsy of cornea ,,,870.0,2303.0,6
RC,362,"Biopsy of epididymis, needle ",,,607.0,2303.0,6
RC,362,Biopsy of extraocular muscle ,,,607.0,2303.0,6
RC,362,Biopsy of floor of mouth ,,,607.0,2303.0,4
RC,362,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,607.0,2303.0,6
RC,362,Biopsy of lacrimal gland ,,,607.0,2303.0,6
RC,362,Biopsy of lacrimal sac ,,,607.0,2303.0,6
RC,362,"Biopsy of liver, needle; percutaneous ",,,607.0,2303.0,6
RC,362,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,"Biopsy of liver, wedge ",,,3435.0,3435.0,1
RC,362,Biopsy of nerve ,,,870.0,2303.0,6
RC,362,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Biopsy of palate, uvula ",,,607.0,2303.0,4
RC,362,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,3435.0,3435.0,1
RC,362,"Biopsy of pancreas, percutaneous needle ",,,607.0,2303.0,6
RC,362,Biopsy of penis; (separate procedure) ,,,607.0,2303.0,6
RC,362,Biopsy of penis; deep structures ,,,607.0,2303.0,6
RC,362,Biopsy of salivary gland; incisional ,,,870.0,2303.0,6
RC,362,Biopsy of salivary gland; needle ,,,607.0,2303.0,4
RC,362,"Biopsy of spinal cord, percutaneous needle ",,,607.0,2303.0,6
RC,362,"Biopsy of testis, incisional (separate procedure) ",,,607.0,2303.0,6
RC,362,"Biopsy of testis, needle (separate procedure) ",,,607.0,2303.0,6
RC,362,Biopsy of tongue; anterior two-thirds ,,,607.0,2303.0,4
RC,362,Biopsy of tongue; posterior one-third ,,,870.0,2303.0,4
RC,362,Biopsy of urethra ,,,607.0,2303.0,6
RC,362,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,2303.0,6
RC,362,Biopsy of vaginal mucosa; simple (separate procedure) ,,,607.0,2303.0,4
RC,362,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,607.0,2303.0,4
RC,362,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,362,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,607.0,2303.0,6
RC,362,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,870.0,2303.0,6
RC,362,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,870.0,2303.0,6
RC,362,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,870.0,2303.0,6
RC,362,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,1804.0,3435.0,3
RC,362,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,870.0,2303.0,6
RC,362,"Biopsy or excision of lymph node(s); open, superficial ",,,870.0,2303.0,6
RC,362,"Biopsy thyroid, percutaneous core needle ",,,607.0,2303.0,4
RC,362,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,607.0,2303.0,6
RC,362,"Biopsy, prostate, any approach, nonimaging-guided ",,,870.0,2303.0,6
RC,362,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1804.0,3435.0,3
RC,362,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,3435.0,6446.0,3
RC,362,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,3435.0,6446.0,3
RC,362,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1804.0,3435.0,3
RC,362,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1804.0,3435.0,3
RC,362,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1804.0,3435.0,3
RC,362,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1804.0,3435.0,3
RC,362,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1804.0,3435.0,3
RC,362,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1804.0,3435.0,3
RC,362,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,870.0,1687.0,4
RC,362,"Biopsy, vestibule of mouth ",,,607.0,2303.0,4
RC,362,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,870.0,2303.0,6
RC,362,"Biopsy; nasopharynx, visible lesion, simple ",,,607.0,2303.0,6
RC,362,Biopsy; oropharynx ,,,607.0,2303.0,4
RC,362,Bladder instillation of anticarcinogenic agent (including retention time) ,,,607.0,827.0,2
RC,362,"Bladder irrigation, simple, lavage and/or instillation ",,,607.0,2303.0,4
RC,362,"Blepharotomy, drainage of abscess, eyelid ",,,607.0,2303.0,4
RC,362,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,8418.0,10746.0,2
RC,362,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,8418.0,10746.0,2
RC,362,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,362,Bone marrow harvesting for transplantation; allogeneic ,,,1876.0,6446.0,4
RC,362,Bone marrow harvesting for transplantation; autologous ,,,1257.0,6446.0,4
RC,362,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,5050.0,6446.0,2
RC,362,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,2303.0,2
RC,362,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,362,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,8418.0,10746.0,2
RC,362,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,2303.0,2
RC,362,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,5050.0,6446.0,2
RC,362,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,5050.0,6446.0,2
RC,362,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,5050.0,6446.0,2
RC,362,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,3435.0,3435.0,1
RC,362,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,3435.0,3435.0,1
RC,362,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,3435.0,3435.0,1
RC,362,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,3435.0,3435.0,1
RC,362,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,3435.0,3435.0,1
RC,362,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,3435.0,3435.0,1
RC,362,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,3435.0,3435.0,1
RC,362,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,3435.0,3435.0,1
RC,362,CHANGE BILE DUCT CATHETER ,,,988.0,1069.0,2
RC,362,CHANGE KIDNEY TUBE ,,,988.0,1069.0,2
RC,362,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,607.0,1069.0,4
RC,362,CIRCUMCISION ,,,988.0,1069.0,2
RC,362,COLONOSCOPY LESION REMOVAL ,,,988.0,1069.0,2
RC,362,COLONOSCOPY W/STENT ,,,988.0,1069.0,4
RC,362,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,362,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,362,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,362,CONTROL POSTOP BLEEDING ,,,988.0,1069.0,2
RC,362,CRYOTHERAPY OF RECTAL LESION ,,,1560.0,1687.0,4
RC,362,Canthoplasty (reconstruction of canthus) ,,,870.0,2303.0,6
RC,362,Canthotomy (separate procedure) ,,,607.0,2303.0,6
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,5956.0,7602.0,2
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8418.0,10746.0,2
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,5956.0,10746.0,6
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8418.0,10746.0,2
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,5956.0,10746.0,8
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,5956.0,10746.0,6
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,2303.0,2
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,5956.0,7602.0,2
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8418.0,10746.0,2
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,5956.0,10746.0,4
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,5956.0,7602.0,2
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8418.0,10746.0,2
RC,362,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,607.0,2303.0,4
RC,362,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,362,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,362,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1804.0,3435.0,3
RC,362,"Cautery of cervix; cryocautery, initial or repeat ",,,607.0,2303.0,4
RC,362,Cautery of cervix; electro or thermal ,,,870.0,2303.0,4
RC,362,Cautery of cervix; laser ablation ,,,870.0,2303.0,6
RC,362,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,5
RC,362,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,2303.0,6
RC,362,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,2303.0,6
RC,362,Cervical lymphadenectomy (complete) ,,,1471.0,6446.0,4
RC,362,Cervical lymphadenectomy (modified radical neck dissection) ,,,1471.0,6446.0,5
RC,362,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,3435.0,3435.0,1
RC,362,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,3435.0,3435.0,1
RC,362,Cesarean delivery only; ,,,3435.0,3435.0,1
RC,362,Cesarean delivery only; including postpartum care ,,,1876.0,6446.0,5
RC,362,Change of cystostomy tube; complicated ,,,607.0,2303.0,6
RC,362,Change of cystostomy tube; simple ,,,607.0,2303.0,4
RC,362,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,2303.0,6
RC,362,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,2303.0,2
RC,362,Chemodenervation of eccrine glands; both axillae ,,,607.0,2303.0,4
RC,362,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,607.0,2303.0,4
RC,362,Chemodenervation of extraocular muscle ,,,607.0,2303.0,4
RC,362,Chemodenervation of internal anal sphincter ,,,607.0,2303.0,4
RC,362,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,607.0,2303.0,4
RC,362,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,607.0,2303.0,4
RC,362,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,607.0,2303.0,4
RC,362,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,607.0,2303.0,4
RC,362,Chemodenervation of one extremity; 1-4 muscle(s) ,,,607.0,2303.0,4
RC,362,Chemodenervation of one extremity; 5 or more muscles ,,,607.0,2303.0,4
RC,362,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,607.0,2303.0,4
RC,362,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,607.0,2303.0,4
RC,362,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,607.0,2303.0,4
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,3435.0,3435.0,1
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,3435.0,3435.0,1
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,3435.0,3435.0,1
RC,362,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,3435.0,3435.0,1
RC,362,Cholecystectomy with exploration of common duct; ,,,2174.0,6446.0,5
RC,362,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,2174.0,6446.0,5
RC,362,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,3435.0,10746.0,5
RC,362,Cholecystectomy; ,,,1471.0,6446.0,5
RC,362,Cholecystectomy; with cholangiography ,,,1876.0,6446.0,5
RC,362,Cholecystoenterostomy; Roux-en-Y ,,,3435.0,3435.0,1
RC,362,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,3435.0,3435.0,1
RC,362,Cholecystoenterostomy; direct ,,,3435.0,3435.0,1
RC,362,Cholecystoenterostomy; with gastroenterostomy ,,,3435.0,3435.0,1
RC,362,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,3435.0,3435.0,1
RC,362,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,3435.0,3435.0,1
RC,362,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,6
RC,362,Ciliary body destruction; cryotherapy ,,,870.0,2303.0,6
RC,362,Ciliary body destruction; cyclodialysis ,,,870.0,2303.0,6
RC,362,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,2303.0,6
RC,362,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,2303.0,6
RC,362,Ciliary body destruction; diathermy ,,,870.0,2303.0,6
RC,362,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,870.0,2303.0,6
RC,362,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,2303.0,6
RC,362,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,2303.0,6
RC,362,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,607.0,2303.0,6
RC,362,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,607.0,2303.0,6
RC,362,Closure of anal fistula with rectal advancement flap ,,,1471.0,6446.0,6
RC,362,Closure of cystostomy (separate procedure) ,,,607.0,2303.0,6
RC,362,Closure of enteroenteric or enterocolic fistula ,,,3435.0,3435.0,1
RC,362,"Closure of enterostomy, large or small intestine; ",,,3435.0,3435.0,1
RC,362,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,3435.0,3435.0,1
RC,362,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,3435.0,3435.0,1
RC,362,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,3435.0,3435.0,1
RC,362,Closure of enterovesical fistula; without intestinal or bladder resection ,,,3435.0,3435.0,1
RC,362,Closure of esophagostomy or fistula; cervical approach ,,,870.0,2303.0,4
RC,362,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,3435.0,3435.0,1
RC,362,Closure of gastrocolic fistula ,,,3435.0,3435.0,1
RC,362,"Closure of gastrostomy, surgical ",,,607.0,2303.0,6
RC,362,Closure of intestinal cutaneous fistula ,,,3435.0,3435.0,1
RC,362,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,607.0,2303.0,6
RC,362,Closure of lacrimal fistula (separate procedure) ,,,1471.0,6446.0,6
RC,362,Closure of nephrocutaneous or pyelocutaneous fistula ,,,607.0,2303.0,4
RC,362,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,3435.0,3435.0,1
RC,362,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,3435.0,3435.0,1
RC,362,Closure of rectourethral fistula; ,,,3435.0,3435.0,1
RC,362,Closure of rectourethral fistula; with colostomy ,,,3435.0,3435.0,1
RC,362,Closure of rectovaginal fistula; abdominal approach ,,,1876.0,6446.0,5
RC,362,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,3435.0,3435.0,1
RC,362,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,6
RC,362,Closure of rectovesical fistula; ,,,3435.0,3435.0,1
RC,362,Closure of rectovesical fistula; with colostomy ,,,3435.0,3435.0,1
RC,362,"Closure of the lacrimal punctum; by plug, each ",,,607.0,2303.0,4
RC,362,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,607.0,2303.0,4
RC,362,Closure of ureterocutaneous fistula ,,,3435.0,3435.0,1
RC,362,Closure of ureterovisceral fistula (including visceral repair) ,,,3435.0,3435.0,1
RC,362,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,2303.0,6
RC,362,Closure of urethrovaginal fistula; ,,,1257.0,6446.0,4
RC,362,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,4
RC,362,Closure of vesicouterine fistula; ,,,1257.0,6446.0,4
RC,362,Closure of vesicouterine fistula; with hysterectomy ,,,3435.0,3435.0,1
RC,362,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,4
RC,362,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,4
RC,362,"Closure postauricular fistula, mastoid (separate procedure) ",,,1257.0,6446.0,6
RC,362,Closure salivary fistula ,,,607.0,2303.0,6
RC,362,"Closure, exstrophy of bladder ",,,3435.0,3435.0,1
RC,362,"Cochlear device implantation, with or without mastoidectomy ",,,3723.0,10746.0,6
RC,362,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,3435.0,3435.0,1
RC,362,"Colectomy, partial; abdominal and transanal approach ",,,3435.0,3435.0,1
RC,362,"Colectomy, partial; with anastomosis ",,,3435.0,3435.0,1
RC,362,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,3435.0,3435.0,1
RC,362,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,3435.0,3435.0,1
RC,362,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,3435.0,3435.0,1
RC,362,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,3435.0,3435.0,1
RC,362,"Colectomy, partial; with skin level cecostomy or colostomy ",,,3435.0,3435.0,1
RC,362,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,3435.0,3435.0,1
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,3435.0,3435.0,1
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,3435.0,3435.0,1
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,3435.0,3435.0,1
RC,362,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,3435.0,3435.0,1
RC,362,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,3435.0,3435.0,1
RC,362,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3435.0,3435.0,1
RC,362,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,362,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,607.0,2303.0,4
RC,362,"Colonoscopy through stoma; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,362,"Colonoscopy through stoma; with control of bleeding, any method ",,,607.0,2303.0,6
RC,362,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,2303.0,4
RC,362,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,607.0,2303.0,4
RC,362,Colonoscopy through stoma; with endoscopic mucosal resection ,,,607.0,2303.0,4
RC,362,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,607.0,2303.0,4
RC,362,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,607.0,2303.0,4
RC,362,Colonoscopy through stoma; with removal of foreign body(s) ,,,607.0,2303.0,6
RC,362,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,2303.0,6
RC,362,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,2303.0,6
RC,362,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,607.0,2303.0,4
RC,362,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,607.0,2303.0,4
RC,362,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,362,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,870.0,2303.0,4
RC,362,"Colonoscopy, flexible; with biopsy, single or multiple ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with control of bleeding, any method ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,870.0,2303.0,4
RC,362,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,870.0,2303.0,4
RC,362,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,362,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with removal of foreign body(s) ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,870.0,2303.0,6
RC,362,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,870.0,2303.0,6
RC,362,Colorectal cancer screening; colonoscopy on individual at high risk ,,,870.0,2303.0,6
RC,362,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,870.0,2303.0,6
RC,362,Colorectal cancer screening; flexible sigmoidoscopy ,,,1804.0,2303.0,2
RC,362,Colostomy or skin level cecostomy; ,,,3435.0,3435.0,1
RC,362,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,2174.0,6446.0,5
RC,362,Colpocentesis (separate procedure) ,,,870.0,2303.0,6
RC,362,Colpocleisis (Le Fort type) ,,,5050.0,6446.0,2
RC,362,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,2303.0,6
RC,362,"Colpopexy, abdominal approach ",,,1876.0,6446.0,4
RC,362,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1876.0,6446.0,4
RC,362,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1876.0,6446.0,4
RC,362,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,5050.0,6446.0,2
RC,362,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,2303.0,6
RC,362,Colposcopy of the cervix including upper/adjacent vagina; ,,,870.0,2303.0,4
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,607.0,2303.0,4
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,870.0,2303.0,4
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,607.0,2303.0,4
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,2303.0,4
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,4
RC,362,"Colposcopy of the entire vagina, with cervix if present; ",,,607.0,2303.0,4
RC,362,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,607.0,2303.0,4
RC,362,Colposcopy of the vulva; ,,,607.0,2303.0,4
RC,362,Colposcopy of the vulva; with biopsy(s) ,,,607.0,2303.0,4
RC,362,Colpotomy; with drainage of pelvic abscess ,,,870.0,2303.0,6
RC,362,Colpotomy; with exploration ,,,607.0,2303.0,6
RC,362,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1876.0,6446.0,6
RC,362,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,3723.0,10746.0,6
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,607.0,2303.0,6
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,607.0,2303.0,4
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,607.0,2303.0,4
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,607.0,2303.0,4
RC,362,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,3723.0,5078.0,4
RC,362,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,3723.0,5078.0,2
RC,362,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,3435.0,3435.0,1
RC,362,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,2303.0,6
RC,362,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,2303.0,6
RC,362,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,2303.0,6
RC,362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,2303.0,6
RC,362,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1471.0,6446.0,6
RC,362,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1471.0,6446.0,6
RC,362,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1471.0,6446.0,6
RC,362,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1471.0,6446.0,6
RC,362,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1471.0,6446.0,6
RC,362,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1471.0,6446.0,6
RC,362,Construction of artificial vagina; with graft ,,,1471.0,6446.0,4
RC,362,Construction of artificial vagina; without graft ,,,1876.0,6446.0,6
RC,362,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1257.0,6446.0,6
RC,362,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1257.0,6446.0,6
RC,362,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,3435.0,3435.0,1
RC,362,Continent ileostomy (Kock procedure) (separate procedure) ,,,3435.0,3435.0,1
RC,362,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,607.0,2303.0,4
RC,362,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,1804.0,2303.0,2
RC,362,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,607.0,2303.0,4
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,3435.0,3435.0,1
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,607.0,2303.0,4
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,1257.0,6446.0,6
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,3435.0,3435.0,1
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,607.0,2303.0,6
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,870.0,2303.0,6
RC,362,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,870.0,2303.0,4
RC,362,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,2303.0,4
RC,362,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,2303.0,2
RC,362,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,607.0,2303.0,4
RC,362,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1471.0,6446.0,6
RC,362,Corneal wedge resection for correction of surgically induced astigmatism ,,,1471.0,6446.0,6
RC,362,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,3435.0,3435.0,1
RC,362,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1471.0,6446.0,6
RC,362,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1471.0,6446.0,6
RC,362,"Correction of everted punctum, cautery ",,,607.0,2303.0,4
RC,362,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1257.0,6446.0,6
RC,362,Correction of lid retraction ,,,1257.0,6446.0,6
RC,362,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,3435.0,10746.0,5
RC,362,Correction of trichiasis; incision of lid margin ,,,870.0,2303.0,6
RC,362,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,2303.0,6
RC,362,Craniectomy for craniosynostosis; multiple cranial sutures ,,,3435.0,3435.0,1
RC,362,Craniectomy for craniosynostosis; single cranial suture ,,,3435.0,3435.0,1
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,3435.0,3435.0,1
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,3435.0,3435.0,1
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,3435.0,3435.0,1
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,3435.0,3435.0,1
RC,362,"Craniectomy or craniotomy, exploratory; supratentorial ",,,3435.0,3435.0,1
RC,362,Craniectomy or craniotomy; with excision of foreign body from brain ,,,3435.0,3435.0,1
RC,362,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,3435.0,3435.0,1
RC,362,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,3435.0,3435.0,1
RC,362,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,3435.0,3435.0,1
RC,362,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,3435.0,3435.0,1
RC,362,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,3435.0,3435.0,1
RC,362,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,3435.0,3435.0,1
RC,362,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,3435.0,3435.0,1
RC,362,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,3435.0,3435.0,1
RC,362,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,3435.0,3435.0,1
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,3435.0,3435.0,1
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,3435.0,3435.0,1
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,3435.0,3435.0,1
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,3435.0,3435.0,1
RC,362,Craniectomy; for osteomyelitis ,,,3435.0,3435.0,1
RC,362,Craniectomy; with excision of tumor or other bone lesion of skull ,,,3114.0,7602.0,4
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,3435.0,3435.0,1
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,3435.0,3435.0,1
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,3435.0,3435.0,1
RC,362,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,3435.0,3435.0,1
RC,362,Cranioplasty for skull defect with reparative brain surgery ,,,3435.0,3435.0,1
RC,362,Cranioplasty for skull defect; larger than 5 cm diameter ,,,3435.0,3435.0,1
RC,362,Cranioplasty for skull defect; up to 5 cm diameter ,,,3435.0,3435.0,1
RC,362,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,3435.0,3435.0,1
RC,362,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,3435.0,3435.0,1
RC,362,Craniotomy for craniosynostosis; bifrontal bone flap ,,,3435.0,3435.0,1
RC,362,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,3435.0,3435.0,1
RC,362,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,3435.0,3435.0,1
RC,362,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,3435.0,3435.0,1
RC,362,"Craniotomy for repair of encephalocele, skull base ",,,3435.0,3435.0,1
RC,362,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,3435.0,3435.0,1
RC,362,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,3435.0,3435.0,1
RC,362,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,3435.0,3435.0,1
RC,362,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,3435.0,3435.0,1
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,3435.0,3435.0,1
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,3435.0,3435.0,1
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,3435.0,3435.0,1
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,3435.0,3435.0,1
RC,362,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,3435.0,3435.0,1
RC,362,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,3435.0,3435.0,1
RC,362,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,3435.0,3435.0,1
RC,362,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,3435.0,3435.0,1
RC,362,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,3435.0,3435.0,1
RC,362,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,3435.0,3435.0,1
RC,362,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,5050.0,6446.0,2
RC,362,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,5050.0,6446.0,2
RC,362,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,3435.0,3435.0,1
RC,362,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1257.0,6446.0,6
RC,362,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1257.0,6446.0,6
RC,362,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,2303.0,6
RC,362,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,3435.0,3435.0,1
RC,362,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,2303.0,4
RC,362,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,3435.0,3435.0,1
RC,362,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,3435.0,3435.0,1
RC,362,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,3435.0,3435.0,1
RC,362,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,3435.0,3435.0,1
RC,362,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2174.0,6446.0,6
RC,362,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,607.0,2303.0,4
RC,362,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,607.0,2303.0,4
RC,362,"Curettage, postpartum ",,,1257.0,6446.0,6
RC,362,Cutaneous appendico-vesicostomy ,,,3435.0,3435.0,1
RC,362,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,3435.0,3435.0,1
RC,362,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,3435.0,3435.0,1
RC,362,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,3435.0,3435.0,1
RC,362,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,3435.0,3435.0,1
RC,362,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,3435.0,3435.0,1
RC,362,"Cystectomy, complete; (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,3435.0,3435.0,1
RC,362,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,3435.0,3435.0,1
RC,362,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,3435.0,3435.0,1
RC,362,"Cystectomy, partial; simple ",,,3435.0,3435.0,1
RC,362,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,6
RC,362,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,3435.0,10746.0,5
RC,362,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,4
RC,362,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,2303.0,4
RC,362,"Cystostomy, cystotomy with drainage ",,,1471.0,6446.0,6
RC,362,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1471.0,6446.0,6
RC,362,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1471.0,2760.0,4
RC,362,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1471.0,6446.0,6
RC,362,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1471.0,6446.0,6
RC,362,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1471.0,6446.0,6
RC,362,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,3435.0,10746.0,5
RC,362,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,6
RC,362,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,2303.0,6
RC,362,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1876.0,6446.0,6
RC,362,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,2303.0,6
RC,362,Cystourethroscopy (separate procedure) ,,,607.0,1069.0,4
RC,362,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,870.0,2303.0,6
RC,362,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,2303.0,2
RC,362,Cystourethroscopy with direct vision internal urethrotomy ,,,1257.0,6446.0,6
RC,362,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,6
RC,362,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,3435.0,6446.0,3
RC,362,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1471.0,6446.0,6
RC,362,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,3435.0,6446.0,3
RC,362,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,6446.0,6
RC,362,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,870.0,2303.0,6
RC,362,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,6
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,2303.0,2
RC,362,"Cystourethroscopy, with biopsy(s) ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,870.0,2303.0,4
RC,362,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,870.0,2303.0,4
RC,362,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,1687.0,4
RC,362,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,607.0,2303.0,4
RC,362,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1257.0,6446.0,4
RC,362,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,5050.0,6446.0,2
RC,362,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,6446.0,4
RC,362,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1876.0,6446.0,4
RC,362,"Cystourethroscopy, with internal urethrotomy; female ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,3435.0,6446.0,3
RC,362,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,1687.0,4
RC,362,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5050.0,6446.0,2
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,6446.0,6
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,2007.0,2
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1471.0,6446.0,6
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,6446.0,6
RC,362,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,2303.0,6
RC,362,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,362,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,2303.0,6
RC,362,D & C OF RESIDUAL CERVIX ,,,2302.0,2490.0,2
RC,362,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,1069.0,4
RC,362,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,1069.0,2
RC,362,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,1069.0,2
RC,362,DILATE ESOPHAGUS ,,,1560.0,1687.0,4
RC,362,DILATION PROSTATIC URETHRA ,,,2302.0,2490.0,2
RC,362,DRAINAGE OF BLADDER ,,,988.0,1069.0,2
RC,362,DRAINAGE OF EYE ,,,988.0,1069.0,2
RC,362,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1471.0,6446.0,6
RC,362,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,607.0,2303.0,8
RC,362,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,607.0,2303.0,4
RC,362,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,2303.0,2
RC,362,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,870.0,2303.0,4
RC,362,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,1804.0,2303.0,2
RC,362,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1876.0,6446.0,4
RC,362,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1876.0,6446.0,6
RC,362,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1876.0,6446.0,6
RC,362,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1804.0,3435.0,3
RC,362,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,3435.0,6446.0,3
RC,362,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1804.0,3435.0,3
RC,362,Decompression; plantar digital nerve ,,,607.0,2303.0,6
RC,362,Decompression; unspecified nerve(s) (specify) ,,,607.0,2303.0,6
RC,362,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,607.0,2303.0,4
RC,362,Deligation of ureter ,,,3435.0,3435.0,1
RC,362,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,362,"Destruction by neurolytic agent, intercostal nerve ",,,607.0,2303.0,6
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,607.0,2303.0,4
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,2303.0,4
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,607.0,2303.0,4
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,2303.0,4
RC,362,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,2303.0,6
RC,362,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,2303.0,6
RC,362,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,607.0,2303.0,6
RC,362,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,870.0,2303.0,6
RC,362,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,870.0,2303.0,6
RC,362,Destruction by neurolytic agent; other peripheral nerve or branch ,,,607.0,2303.0,4
RC,362,Destruction by neurolytic agent; plantar common digital nerve ,,,607.0,2303.0,4
RC,362,Destruction by neurolytic agent; pudendal nerve ,,,870.0,2303.0,6
RC,362,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,607.0,2303.0,4
RC,362,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,2303.0,6
RC,362,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,607.0,2303.0,4
RC,362,"Destruction of lesion (except excision), dentoalveolar structures ",,,607.0,2303.0,4
RC,362,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,607.0,2303.0,4
RC,362,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,2303.0,4
RC,362,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,607.0,2303.0,4
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,6
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,607.0,2303.0,4
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,870.0,2303.0,4
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,870.0,2303.0,4
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,2303.0,6
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,2303.0,6
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,6
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,2303.0,6
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,2303.0,6
RC,362,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1257.0,6446.0,6
RC,362,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,4
RC,362,"Destruction of lesion, conjunctiva ",,,607.0,2303.0,4
RC,362,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,607.0,2303.0,4
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,607.0,2303.0,4
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,607.0,2303.0,4
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,607.0,2303.0,4
RC,362,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,607.0,2303.0,4
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1876.0,6446.0,4
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1876.0,6446.0,4
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1876.0,6446.0,6
RC,362,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,870.0,4584.0,6
RC,362,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,6
RC,362,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,4
RC,362,Diagnostic bone marrow; aspiration(s) ,,,607.0,2303.0,4
RC,362,Diagnostic bone marrow; biopsy(ies) ,,,607.0,2303.0,4
RC,362,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,607.0,3435.0,5
RC,362,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,5050.0,6446.0,2
RC,362,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,607.0,2303.0,4
RC,362,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8418.0,10746.0,8
RC,362,"Dilation and catheterization of salivary duct, with or without injection ",,,607.0,2303.0,4
RC,362,Dilation and curettage of cervical stump ,,,1257.0,6446.0,6
RC,362,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,2303.0,6
RC,362,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,607.0,2303.0,6
RC,362,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,2303.0,4
RC,362,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,607.0,2303.0,6
RC,362,"Dilation of esophagus, over guide wire ",,,607.0,2303.0,6
RC,362,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1804.0,3435.0,6
RC,362,Dilation of female urethra including suppository and/or instillation; initial ,,,607.0,2303.0,4
RC,362,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,2303.0,6
RC,362,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,607.0,2303.0,6
RC,362,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,607.0,2303.0,4
RC,362,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,607.0,2303.0,4
RC,362,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,607.0,2303.0,4
RC,362,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,607.0,2303.0,4
RC,362,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,870.0,2303.0,6
RC,362,Dilation of vagina under anesthesia (other than local) ,,,870.0,2303.0,6
RC,362,Dilation salivary duct ,,,607.0,2303.0,4
RC,362,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,362,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1471.0,6446.0,4
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1876.0,6446.0,4
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,3435.0,3435.0,1
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,3435.0,3435.0,1
RC,362,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,870.0,2303.0,6
RC,362,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,607.0,2303.0,4
RC,362,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,2303.0,6
RC,362,"Dissection, deep jugular node(s) ",,,870.0,2303.0,6
RC,362,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,5050.0,6446.0,2
RC,362,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,5050.0,6446.0,2
RC,362,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,3435.0,3435.0,1
RC,362,Division of stricture of rectum ,,,870.0,2303.0,6
RC,362,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,3435.0,3435.0,1
RC,362,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,3435.0,3435.0,1
RC,362,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,3435.0,3435.0,1
RC,362,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,3435.0,3435.0,1
RC,362,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,3435.0,3435.0,1
RC,362,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,3435.0,3435.0,1
RC,362,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,3435.0,3435.0,1
RC,362,"Donor nephrectomy (including cold preservation); open, from living donor ",,,3435.0,3435.0,1
RC,362,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,3435.0,3435.0,1
RC,362,"Drainage external auditory canal, abscess ",,,607.0,2303.0,4
RC,362,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,2303.0,4
RC,362,"Drainage external ear, abscess or hematoma; simple ",,,607.0,2303.0,4
RC,362,Drainage of Skene's gland abscess or cyst ,,,607.0,2303.0,4
RC,362,"Drainage of abscess of palate, uvula ",,,870.0,2303.0,6
RC,362,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,607.0,2303.0,6
RC,362,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,870.0,2303.0,6
RC,362,"Drainage of abscess; parotid, complicated ",,,870.0,2303.0,6
RC,362,"Drainage of abscess; parotid, simple ",,,607.0,2303.0,6
RC,362,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,607.0,2303.0,6
RC,362,"Drainage of abscess; submaxillary, external ",,,607.0,2303.0,6
RC,362,Drainage of deep periurethral abscess ,,,870.0,2303.0,6
RC,362,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,3435.0,3435.0,1
RC,362,Drainage of lymph node abscess or lymphadenitis; extensive ,,,870.0,2303.0,6
RC,362,Drainage of lymph node abscess or lymphadenitis; simple ,,,607.0,2303.0,6
RC,362,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,4
RC,362,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,6
RC,362,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,4
RC,362,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,6
RC,362,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,1257.0,6446.0,6
RC,362,"Drainage of perirenal or renal abscess, open ",,,870.0,2303.0,4
RC,362,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,3435.0,3435.0,1
RC,362,Drainage of perivesical or prevesical space abscess ,,,607.0,2303.0,6
RC,362,"Drainage of retroperitoneal abscess, open ",,,3435.0,3435.0,1
RC,362,Drainage of scrotal wall abscess ,,,607.0,2303.0,6
RC,362,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,3435.0,3435.0,1
RC,362,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,1804.0,3435.0,3
RC,362,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,3435.0,3435.0,1
RC,362,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,607.0,2303.0,4
RC,362,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,607.0,2303.0,4
RC,362,Duodenal motility (manometric) study ,,,607.0,2303.0,4
RC,362,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,2174.0,6446.0,5
RC,362,"Dural graft, spinal ",,,3435.0,3435.0,1
RC,362,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,1687.0,10
RC,362,ESOPH ENDOSCOPY ABLATION ,,,1560.0,1687.0,2
RC,362,ESOPHAGUS ENDOSCOPY ,,,988.0,1069.0,2
RC,362,EXCISION OF RECTAL LESION ,,,1560.0,1687.0,2
RC,362,EXPLORATION OF EPIDIDYMIS ,,,988.0,1069.0,2
RC,362,Ear piercing ,,,3435.0,3435.0,1
RC,362,Electroejaculation ,,,607.0,2303.0,4
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,870.0,2303.0,4
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,870.0,2303.0,4
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,870.0,2303.0,4
RC,362,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,3723.0,5078.0,4
RC,362,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,3723.0,5078.0,2
RC,362,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,3435.0,3435.0,1
RC,362,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,3435.0,3435.0,1
RC,362,"Embryo transfer, intrauterine ",,,607.0,2303.0,6
RC,362,Endocervical curettage (not done as part of a dilation and curettage) ,,,607.0,2303.0,4
RC,362,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,607.0,2303.0,4
RC,362,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,607.0,2303.0,4
RC,362,Endolymphatic sac operation; with shunt ,,,3723.0,10746.0,6
RC,362,Endolymphatic sac operation; without shunt ,,,3723.0,10746.0,6
RC,362,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,3723.0,10746.0,6
RC,362,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1876.0,6446.0,4
RC,362,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,362,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,607.0,2303.0,4
RC,362,Endomyocardial biopsy ,,,607.0,827.0,2
RC,362,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,870.0,2303.0,4
RC,362,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1876.0,6446.0,4
RC,362,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,6446.0,2
RC,362,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,362,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,607.0,2303.0,6
RC,362,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,6
RC,362,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,5050.0,6446.0,2
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,870.0,2303.0,6
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,1257.0,6446.0,4
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,870.0,2303.0,6
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,1804.0,2303.0,2
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,1257.0,6446.0,4
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,870.0,2303.0,6
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,1257.0,6446.0,4
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,870.0,2303.0,6
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,1257.0,6446.0,4
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,870.0,2303.0,6
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1257.0,6446.0,4
RC,362,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,5050.0,6446.0,2
RC,362,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,5050.0,6446.0,2
RC,362,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,5050.0,6446.0,2
RC,362,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,5050.0,6446.0,2
RC,362,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,5050.0,6446.0,2
RC,362,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,362,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,3435.0,3435.0,1
RC,362,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,3435.0,3435.0,1
RC,362,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,6446.0,4
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,607.0,6446.0,10
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,1257.0,6446.0,6
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,607.0,4584.0,6
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,1257.0,6446.0,4
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,607.0,2303.0,4
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,1257.0,6446.0,6
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,607.0,4584.0,6
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,3435.0,3435.0,1
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,3435.0,3435.0,1
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,3435.0,3435.0,1
RC,362,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,3435.0,3435.0,1
RC,362,"Enterectomy, resection of small intestine; with enterostomy ",,,3435.0,3435.0,1
RC,362,"Enterocystoplasty, including intestinal anastomosis ",,,3435.0,3435.0,1
RC,362,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,3435.0,3435.0,1
RC,362,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,3435.0,10746.0,5
RC,362,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,3435.0,3435.0,1
RC,362,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,2174.0,6446.0,5
RC,362,"Enucleation of eye; with implant, muscles attached to implant ",,,1471.0,6446.0,6
RC,362,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,6
RC,362,Enucleation of eye; without implant ,,,1257.0,6446.0,6
RC,362,Epididymectomy; bilateral ,,,1471.0,6446.0,6
RC,362,Epididymectomy; unilateral ,,,1257.0,6446.0,6
RC,362,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1471.0,6446.0,6
RC,362,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1471.0,6446.0,6
RC,362,Epikeratoplasty ,,,3723.0,10746.0,4
RC,362,"Episiotomy or vaginal repair, by other than attending ",,,870.0,2303.0,4
RC,362,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,607.0,2303.0,4
RC,362,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1804.0,2303.0,2
RC,362,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,3435.0,3435.0,1
RC,362,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,3435.0,3435.0,1
RC,362,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,3435.0,3435.0,1
RC,362,Esophagogastric fundoplasty partial or complete; laparotomy ,,,3435.0,3435.0,1
RC,362,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,3435.0,3435.0,1
RC,362,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,3435.0,3435.0,1
RC,362,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,3435.0,3435.0,1
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,1257.0,6446.0,4
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,1257.0,6446.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,3435.0,6446.0,3
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,870.0,2303.0,4
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,1257.0,6446.0,4
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,1257.0,6446.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,1257.0,6446.0,4
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,870.0,2303.0,4
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1257.0,6446.0,4
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,1804.0,3435.0,3
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,870.0,2303.0,6
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,1257.0,6446.0,4
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,870.0,2303.0,6
RC,362,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,3435.0,3435.0,1
RC,362,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,3435.0,3435.0,1
RC,362,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,3435.0,3435.0,1
RC,362,Esophagomyotomy (Heller type); abdominal approach ,,,3435.0,3435.0,1
RC,362,Esophagomyotomy (Heller type); thoracic approach ,,,3435.0,3435.0,1
RC,362,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,362,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,362,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,362,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,362,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,362,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,362,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,4
RC,362,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,607.0,2303.0,4
RC,362,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,362,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,870.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,870.0,2303.0,4
RC,362,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,870.0,2303.0,4
RC,362,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,870.0,2303.0,4
RC,362,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,870.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,607.0,2303.0,4
RC,362,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,362,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,870.0,2303.0,6
RC,362,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,870.0,2303.0,6
RC,362,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,870.0,2303.0,4
RC,362,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,607.0,2303.0,4
RC,362,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,870.0,2303.0,4
RC,362,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,607.0,2303.0,4
RC,362,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,607.0,2303.0,4
RC,362,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,870.0,2303.0,4
RC,362,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,607.0,2303.0,4
RC,362,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,3435.0,3435.0,1
RC,362,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,3435.0,3435.0,1
RC,362,"Esophagotomy, thoracic approach, with removal of foreign body ",,,3435.0,3435.0,1
RC,362,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,6
RC,362,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,6
RC,362,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,607.0,2303.0,4
RC,362,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,2303.0,2
RC,362,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,870.0,2303.0,4
RC,362,Exchange of intraocular lens ,,,2174.0,6446.0,6
RC,362,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,607.0,2303.0,4
RC,362,"Exchange transfusion, blood; newborn ",,,607.0,2303.0,4
RC,362,"Exchange transfusion, blood; other than newborn ",,,607.0,2303.0,4
RC,362,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,362,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,362,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,362,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1257.0,6446.0,12
RC,362,Excision aural glomus tumor; extended (extratemporal) ,,,3435.0,3435.0,1
RC,362,Excision aural glomus tumor; transcanal ,,,1876.0,6446.0,6
RC,362,Excision aural glomus tumor; transmastoid ,,,3723.0,10746.0,6
RC,362,Excision aural polyp ,,,870.0,2303.0,4
RC,362,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,1257.0,6446.0,6
RC,362,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,1876.0,6446.0,6
RC,362,"Excision exostosis(es), external auditory canal ",,,870.0,2303.0,6
RC,362,Excision external ear; complete amputation ,,,870.0,2303.0,6
RC,362,"Excision external ear; partial, simple repair ",,,607.0,2303.0,6
RC,362,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,3435.0,3435.0,1
RC,362,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,3435.0,3435.0,1
RC,362,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,6
RC,362,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,3435.0,3435.0,1
RC,362,Excision of Mullerian duct cyst ,,,607.0,2303.0,6
RC,362,Excision of ampulla of Vater ,,,3435.0,3435.0,1
RC,362,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,3435.0,3435.0,1
RC,362,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,3435.0,3435.0,1
RC,362,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,2303.0,6
RC,362,Excision of carotid body tumor; with excision of carotid artery ,,,3435.0,3435.0,1
RC,362,Excision of carotid body tumor; without excision of carotid artery ,,,3435.0,3435.0,1
RC,362,"Excision of cervical stump, abdominal approach; ",,,3435.0,3435.0,1
RC,362,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,3435.0,3435.0,1
RC,362,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,6
RC,362,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1876.0,6446.0,6
RC,362,"Excision of chalazion; multiple, different lids ",,,607.0,2303.0,4
RC,362,"Excision of chalazion; multiple, same lid ",,,607.0,2303.0,4
RC,362,Excision of chalazion; single ,,,607.0,2303.0,4
RC,362,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,2303.0,6
RC,362,Excision of choledochal cyst ,,,3435.0,3435.0,1
RC,362,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,2303.0,6
RC,362,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1471.0,6446.0,6
RC,362,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1257.0,6446.0,6
RC,362,Excision of extraparenchymal lesion of testis ,,,870.0,2303.0,6
RC,362,"Excision of fibrous tuberosities, dentoalveolar structures ",,,607.0,2303.0,4
RC,362,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,607.0,2303.0,6
RC,362,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,6
RC,362,Excision of hydrocele; bilateral ,,,1876.0,6446.0,6
RC,362,Excision of hydrocele; unilateral ,,,1257.0,6446.0,6
RC,362,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,607.0,2303.0,4
RC,362,Excision of ileoanal reservoir with ileostomy ,,,3435.0,3435.0,1
RC,362,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,6
RC,362,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,6
RC,362,Excision of lacrimal gland tumor; frontal approach ,,,1257.0,6446.0,6
RC,362,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,6
RC,362,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,6
RC,362,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,870.0,2303.0,4
RC,362,Excision of lesion of mesentery (separate procedure) ,,,3435.0,3435.0,1
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,870.0,2303.0,6
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,870.0,2303.0,6
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,607.0,2303.0,4
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,607.0,2303.0,4
RC,362,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,3435.0,3435.0,1
RC,362,Excision of lesion of spermatic cord (separate procedure) ,,,1471.0,6446.0,6
RC,362,Excision of lesion of tongue with closure; anterior two-thirds ,,,870.0,2303.0,6
RC,362,Excision of lesion of tongue with closure; posterior one-third ,,,870.0,2303.0,6
RC,362,Excision of lesion of tongue with closure; with local tongue flap ,,,870.0,2303.0,6
RC,362,Excision of lesion of tongue without closure ,,,607.0,2303.0,4
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,870.0,2303.0,6
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,607.0,2303.0,4
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,607.0,2303.0,4
RC,362,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,2303.0,6
RC,362,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,2303.0,4
RC,362,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,2303.0,6
RC,362,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,2303.0,6
RC,362,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,3435.0,3435.0,1
RC,362,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,3435.0,3435.0,1
RC,362,"Excision of lesion, sclera ",,,3723.0,10746.0,6
RC,362,Excision of lingual frenum (frenectomy) ,,,607.0,2303.0,4
RC,362,Excision of lip; V-excision with primary direct linear closure ,,,870.0,2303.0,6
RC,362,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,870.0,2303.0,6
RC,362,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,870.0,2303.0,6
RC,362,Excision of lip; transverse wedge excision with primary closure ,,,870.0,2303.0,6
RC,362,Excision of local lesion of epididymis ,,,1257.0,6446.0,6
RC,362,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,5050.0,6446.0,2
RC,362,Excision of mucosa of vestibule of mouth as donor graft ,,,607.0,2303.0,6
RC,362,"Excision of multiple external papillae or tags, anus ",,,607.0,2303.0,6
RC,362,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1257.0,6446.0,6
RC,362,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6446.0,6
RC,362,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1257.0,6446.0,6
RC,362,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,2303.0,6
RC,362,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1257.0,6446.0,6
RC,362,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,870.0,2303.0,6
RC,362,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,870.0,2303.0,6
RC,362,"Excision of neuroma; hand or foot, except digital nerve ",,,1257.0,6446.0,6
RC,362,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1257.0,6446.0,6
RC,362,Excision of neuroma; sciatic nerve ,,,1257.0,6446.0,6
RC,362,"Excision of osseous tuberosities, dentoalveolar structures ",,,870.0,2303.0,4
RC,362,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,3723.0,10746.0,6
RC,362,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,1257.0,6446.0,6
RC,362,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,3723.0,10746.0,6
RC,362,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,3723.0,10746.0,6
RC,362,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,3435.0,3435.0,1
RC,362,Excision of penile plaque (Peyronie disease); ,,,870.0,2303.0,6
RC,362,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,2303.0,6
RC,362,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,2303.0,6
RC,362,Excision of perinephric cyst ,,,3435.0,3435.0,1
RC,362,Excision of presacral or sacrococcygeal tumor ,,,3435.0,3435.0,1
RC,362,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,3435.0,3435.0,1
RC,362,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,3435.0,3435.0,1
RC,362,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,870.0,2303.0,6
RC,362,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,870.0,2303.0,4
RC,362,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,607.0,2303.0,4
RC,362,"Excision of single external papilla or tag, anus ",,,607.0,2303.0,6
RC,362,"Excision of spermatocele, with or without epididymectomy ",,,1471.0,6446.0,6
RC,362,Excision of sublingual gland ,,,870.0,2303.0,6
RC,362,Excision of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,6
RC,362,Excision of submandibular (submaxillary) gland ,,,1257.0,6446.0,6
RC,362,"Excision of thrombosed hemorrhoid, external ",,,607.0,2303.0,4
RC,362,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,6446.0,6
RC,362,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,6446.0,6
RC,362,Excision of tonsil tags ,,,1257.0,6446.0,6
RC,362,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,6
RC,362,Excision of urethral diverticulum (separate procedure); female ,,,870.0,2303.0,6
RC,362,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,6
RC,362,Excision of vaginal cyst or tumor ,,,870.0,2303.0,6
RC,362,Excision of vaginal septum ,,,870.0,2303.0,6
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1471.0,6446.0,6
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1471.0,6446.0,6
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1876.0,6446.0,6
RC,362,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Excision or destruction of lesion of pharynx, any method ",,,870.0,2303.0,6
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,3435.0,3435.0,1
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,3435.0,3435.0,1
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,3435.0,3435.0,1
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,3435.0,3435.0,1
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,3435.0,3435.0,1
RC,362,Excision or fulguration of carcinoma of urethra ,,,870.0,2303.0,6
RC,362,Excision or fulguration; Skene's glands ,,,870.0,2303.0,6
RC,362,Excision or fulguration; urethral caruncle ,,,870.0,2303.0,6
RC,362,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,2303.0,6
RC,362,Excision or fulguration; urethral prolapse ,,,870.0,2303.0,6
RC,362,Excision or transposition of pterygium; with graft ,,,1876.0,6446.0,6
RC,362,Excision or transposition of pterygium; without graft ,,,870.0,2303.0,6
RC,362,Excision or unroofing of cyst(s) of kidney ,,,3435.0,3435.0,1
RC,362,"Excision soft tissue lesion, external auditory canal ",,,870.0,2303.0,6
RC,362,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,3435.0,3435.0,1
RC,362,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,3435.0,3435.0,1
RC,362,"Excision, lesion of floor of mouth ",,,607.0,2303.0,6
RC,362,"Excision, lesion of palate, uvula; with local flap closure ",,,870.0,2303.0,6
RC,362,"Excision, lesion of palate, uvula; with simple primary closure ",,,870.0,2303.0,4
RC,362,"Excision, lesion of palate, uvula; without closure ",,,870.0,2303.0,4
RC,362,"Excision, local; malignant tumor of stomach ",,,3435.0,3435.0,1
RC,362,"Excision, local; ulcer or benign tumor of stomach ",,,3435.0,3435.0,1
RC,362,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,3435.0,3435.0,1
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1876.0,6446.0,6
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,3723.0,10746.0,6
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,3723.0,10746.0,6
RC,362,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,3435.0,3435.0,1
RC,362,Exploration for undescended testis (inguinal or scrotal area) ,,,1471.0,6446.0,6
RC,362,Exploration for undescended testis with abdominal exploration ,,,1471.0,6446.0,4
RC,362,"Exploration of epididymis, with or without biopsy ",,,607.0,2303.0,6
RC,362,"Exploration of orbit (transcranial approach), with removal of lesion ",,,3435.0,3435.0,1
RC,362,"Exploration, repair, and presacral drainage for rectal injury; ",,,3435.0,3435.0,1
RC,362,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,3435.0,3435.0,1
RC,362,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,5
RC,362,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,4
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,2303.0,4
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,3435.0,3435.0,1
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,3435.0,3435.0,1
RC,362,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,3435.0,3435.0,1
RC,362,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,3435.0,3435.0,1
RC,362,External cannula declotting (separate procedure); with balloon catheter ,,,5050.0,6446.0,2
RC,362,External cannula declotting (separate procedure); without balloon catheter ,,,1804.0,2303.0,2
RC,362,"External drainage, pseudocyst of pancreas, open ",,,3435.0,3435.0,1
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,3435.0,6446.0,3
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,3435.0,6446.0,3
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,3114.0,6446.0,6
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,3114.0,6446.0,12
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,607.0,2303.0,6
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,607.0,2303.0,6
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,607.0,2303.0,6
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,607.0,2303.0,6
RC,362,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,607.0,1069.0,4
RC,362,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,2760.0,2
RC,362,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,607.0,2303.0,4
RC,362,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,3435.0,3435.0,1
RC,362,"Fetal shunt placement, including ultrasound guidance ",,,607.0,2303.0,4
RC,362,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,607.0,2303.0,4
RC,362,Fimbrioplasty ,,,1876.0,6446.0,4
RC,362,Fine needle aspiration of orbital contents ,,,607.0,2303.0,6
RC,362,"Fissurectomy, including sphincterotomy, when performed ",,,870.0,2303.0,6
RC,362,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,2303.0,6
RC,362,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1471.0,6446.0,6
RC,362,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1471.0,6446.0,6
RC,362,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1471.0,6446.0,6
RC,362,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1471.0,6446.0,6
RC,362,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,6
RC,362,"Follicle puncture for oocyte retrieval, any method ",,,607.0,2303.0,6
RC,362,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,607.0,2303.0,6
RC,362,Free jejunum transfer with microvascular anastomosis ,,,3435.0,3435.0,1
RC,362,Free omental flap with microvascular anastomosis ,,,3435.0,3435.0,1
RC,362,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,870.0,2303.0,6
RC,362,Frenulotomy of penis ,,,870.0,2303.0,6
RC,362,GLAUCOMA SURGERY ,,,2552.0,2760.0,2
RC,362,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,607.0,2303.0,6
RC,362,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,3435.0,3435.0,1
RC,362,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,3435.0,3435.0,1
RC,362,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,3435.0,3435.0,1
RC,362,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,3435.0,3435.0,1
RC,362,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,3435.0,3435.0,1
RC,362,"Gastrectomy, total; with esophagoenterostomy ",,,3435.0,3435.0,1
RC,362,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,3435.0,3435.0,1
RC,362,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,607.0,2303.0,4
RC,362,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,607.0,2303.0,4
RC,362,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,607.0,2303.0,4
RC,362,Gastric motility (manometric) studies ,,,607.0,2303.0,4
RC,362,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,5050.0,6446.0,2
RC,362,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,870.0,2303.0,4
RC,362,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,607.0,2303.0,4
RC,362,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,607.0,2303.0,4
RC,362,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,3435.0,6446.0,3
RC,362,Gastroduodenostomy ,,,3435.0,3435.0,1
RC,362,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,3435.0,3435.0,1
RC,362,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,3435.0,3435.0,1
RC,362,"Gastrojejunostomy; with vagotomy, any type ",,,3435.0,3435.0,1
RC,362,Gastrojejunostomy; without vagotomy ,,,3435.0,3435.0,1
RC,362,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,3435.0,3435.0,1
RC,362,Gastrotomy; with exploration or foreign body removal ,,,3435.0,3435.0,1
RC,362,Gastrotomy; with suture repair of bleeding ulcer ,,,3435.0,3435.0,1
RC,362,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,3435.0,3435.0,1
RC,362,"Gingivectomy, excision gingiva, each quadrant ",,,607.0,2303.0,4
RC,362,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,3435.0,3435.0,1
RC,362,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,3435.0,3435.0,1
RC,362,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,3435.0,3435.0,1
RC,362,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,3435.0,3435.0,1
RC,362,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,3435.0,3435.0,1
RC,362,Glossectomy; hemiglossectomy ,,,3435.0,3435.0,1
RC,362,Glossectomy; less than one-half tongue ,,,1876.0,6446.0,6
RC,362,"Glossectomy; partial, with unilateral radical neck dissection ",,,3435.0,3435.0,1
RC,362,Goniotomy ,,,607.0,2303.0,6
RC,362,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,1257.0,6446.0,6
RC,362,HFenestration semicircular canal ,,,3026.0,3273.0,2
RC,362,HRevision fenestration operation ,,,3026.0,3273.0,2
RC,362,"Harvesting conjunctival allograft, living donor ",,,870.0,2303.0,6
RC,362,Hematopoietic progenitor cell (HPC); HPC boost ,,,607.0,2303.0,4
RC,362,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,1876.0,6446.0,4
RC,362,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1876.0,6446.0,4
RC,362,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,1257.0,6446.0,6
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,1257.0,6446.0,6
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,1471.0,6446.0,6
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,1471.0,6446.0,6
RC,362,"Hemorrhoidectomy, internal and external, single column/group; ",,,1257.0,6446.0,6
RC,362,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,1257.0,6446.0,6
RC,362,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,1257.0,6446.0,6
RC,362,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,870.0,2303.0,6
RC,362,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,870.0,2303.0,4
RC,362,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,607.0,2303.0,4
RC,362,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,1804.0,3435.0,3
RC,362,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,3723.0,10746.0,6
RC,362,"Hepatectomy, resection of liver; partial lobectomy ",,,3435.0,3435.0,1
RC,362,"Hepatectomy, resection of liver; total left lobectomy ",,,3435.0,3435.0,1
RC,362,"Hepatectomy, resection of liver; total right lobectomy ",,,3435.0,3435.0,1
RC,362,"Hepatectomy, resection of liver; trisegmentectomy ",,,3435.0,3435.0,1
RC,362,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,3435.0,3435.0,1
RC,362,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,3435.0,3435.0,1
RC,362,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,362,"Hymenotomy, simple incision ",,,607.0,2303.0,6
RC,362,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,3435.0,3435.0,1
RC,362,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,3435.0,10746.0,5
RC,362,Hysterorrhaphy of ruptured uterus ,,,3435.0,3435.0,1
RC,362,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1876.0,6446.0,5
RC,362,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,2303.0,6
RC,362,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,6446.0,6
RC,362,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,6446.0,6
RC,362,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1876.0,6446.0,6
RC,362,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,2303.0,6
RC,362,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,6446.0,6
RC,362,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,6446.0,6
RC,362,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,6446.0,6
RC,362,ILEOSCOPY W/STENT ,,,4238.0,4584.0,2
RC,362,IMPLANT NEUROELECTRODES ,,,988.0,1069.0,4
RC,362,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,3723.0,5078.0,4
RC,362,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,362,INCISE INNER EAR ,,,4526.0,4895.0,2
RC,362,INCISION OF HYMEN ,,,988.0,1069.0,2
RC,362,INJ PARAVERTEBRAL C/T ,,,988.0,1069.0,2
RC,362,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,1069.0,2
RC,362,INJ PARAVERTEBRAL L/S ,,,988.0,1069.0,2
RC,362,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,1069.0,2
RC,362,INJECT SPINE CERV/THORACIC ,,,988.0,1069.0,2
RC,362,INJECT SPINE LUMBAR/SACRAL ,,,988.0,1069.0,2
RC,362,INJECT SPINE W/CATH CRV/THRC ,,,988.0,1069.0,2
RC,362,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,1069.0,2
RC,362,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,827.0,2
RC,362,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,827.0,2
RC,362,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,827.0,2
RC,362,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,1069.0,4
RC,362,"INSERT ABDOM DRAIN, TEMP ",,,988.0,1069.0,2
RC,362,INSERT BILE DUCT DRAIN ,,,4238.0,4584.0,2
RC,362,INSERT CATHETER BILE DUCT ,,,1560.0,1687.0,2
RC,362,INSERT KIDNEY DRAIN ,,,988.0,1069.0,2
RC,362,INSERT URETERAL TUBE ,,,988.0,1069.0,2
RC,362,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,1069.0,4
RC,362,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,362,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,362,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,362,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,607.0,2303.0,4
RC,362,"Ileostomy or jejunostomy, non-tube ",,,3435.0,3435.0,1
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,870.0,2303.0,4
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,1257.0,6446.0,4
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,870.0,2303.0,4
RC,362,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,3435.0,3435.0,1
RC,362,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,3435.0,3435.0,1
RC,362,Implantation of intrastromal corneal ring segments ,,,1471.0,6446.0,4
RC,362,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6446.0,6
RC,362,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,3435.0,6446.0,3
RC,362,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,6446.0,2
RC,362,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,870.0,2303.0,6
RC,362,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,2303.0,6
RC,362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,2303.0,6
RC,362,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,2303.0,6
RC,362,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6446.0,4
RC,362,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,3435.0,3435.0,1
RC,362,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,3435.0,7602.0,3
RC,362,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,3435.0,7602.0,3
RC,362,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,3068.0,7602.0,6
RC,362,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,2303.0,4
RC,362,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,2303.0,6
RC,362,Incision and drainage abscess; peritonsillar ,,,607.0,2303.0,6
RC,362,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,870.0,2303.0,6
RC,362,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,607.0,2303.0,6
RC,362,Incision and drainage of Bartholin's gland abscess ,,,607.0,2303.0,4
RC,362,"Incision and drainage of appendiceal abscess, open ",,,3435.0,3435.0,1
RC,362,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,870.0,2303.0,6
RC,362,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,2303.0,6
RC,362,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,870.0,2303.0,6
RC,362,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,1257.0,6446.0,6
RC,362,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,870.0,2303.0,6
RC,362,"Incision and drainage of penis, deep ",,,1471.0,6446.0,6
RC,362,"Incision and drainage of submucosal abscess, rectum ",,,870.0,2303.0,6
RC,362,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,2303.0,6
RC,362,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,2303.0,6
RC,362,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,870.0,2303.0,4
RC,362,Incision and drainage of vulva or perineal abscess ,,,870.0,2303.0,4
RC,362,"Incision and drainage, perianal abscess, superficial ",,,607.0,2303.0,6
RC,362,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,3435.0,3435.0,1
RC,362,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,3435.0,5
RC,362,"Incision of conjunctiva, drainage of cyst ",,,870.0,2303.0,4
RC,362,Incision of labial frenum (frenotomy) ,,,607.0,2303.0,4
RC,362,Incision of lingual frenum (frenotomy) ,,,607.0,2303.0,6
RC,362,"Incision of thrombosed hemorrhoid, external ",,,1804.0,2303.0,2
RC,362,"Incision, anal septum (infant) ",,,607.0,2303.0,4
RC,362,"Incision, drainage of lacrimal gland ",,,607.0,2303.0,4
RC,362,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,607.0,2303.0,4
RC,362,Incisional biopsy of eyelid skin including lid margin ,,,607.0,2303.0,4
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,3435.0,5
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,3435.0,5
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,3435.0,5
RC,362,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,3435.0,3435.0,1
RC,362,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,870.0,3435.0,10
RC,362,"Induced abortion, by dilation and curettage ",,,1876.0,6446.0,6
RC,362,"Induced abortion, by dilation and evacuation ",,,1876.0,6446.0,6
RC,362,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,3435.0,3435.0,1
RC,362,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,3435.0,3435.0,1
RC,362,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,870.0,2303.0,6
RC,362,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,3435.0,6446.0,3
RC,362,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,607.0,2303.0,4
RC,362,Injection of contrast medium for dacryocystography ,,,607.0,2303.0,4
RC,362,Injection of medication or other substance into Tenon's capsule ,,,607.0,2303.0,4
RC,362,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,870.0,3435.0,5
RC,362,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,870.0,3435.0,5
RC,362,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,607.0,2303.0,4
RC,362,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,607.0,2303.0,4
RC,362,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,2303.0,6
RC,362,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,607.0,2303.0,4
RC,362,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,6
RC,362,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,607.0,2303.0,8
RC,362,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,2303.0,4
RC,362,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,607.0,2303.0,8
RC,362,Injection procedure for corpora cavernosography ,,,607.0,2303.0,4
RC,362,"Injection procedure for discography, each level; cervical or thoracic ",,,607.0,2303.0,4
RC,362,"Injection procedure for discography, each level; lumbar ",,,607.0,2303.0,4
RC,362,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,3435.0,3435.0,1
RC,362,"Injection procedure for myelography and/or computed tomography, lumbar ",,,607.0,2303.0,4
RC,362,Injection procedure for sacroiliac joint; arthrography ,,,607.0,2303.0,4
RC,362,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,607.0,2303.0,6
RC,362,Injection procedure for sialography ,,,607.0,2303.0,4
RC,362,Injection procedure for splenoportography ,,,607.0,2303.0,4
RC,362,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,607.0,2303.0,4
RC,362,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,607.0,2303.0,4
RC,362,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1257.0,6446.0,6
RC,362,Injection procedure; lymphangiography ,,,607.0,2303.0,4
RC,362,Injection procedure; radioactive tracer for identification of sentinel node ,,,607.0,2303.0,4
RC,362,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1804.0,3435.0,3
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,607.0,2303.0,6
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,607.0,2303.0,4
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,607.0,2303.0,4
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,607.0,2303.0,4
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,607.0,2303.0,4
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,607.0,2303.0,4
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,607.0,2303.0,4
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,607.0,2303.0,4
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,607.0,2303.0,4
RC,362,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,607.0,2303.0,16
RC,362,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,607.0,2303.0,16
RC,362,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,607.0,2303.0,6
RC,362,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,607.0,2303.0,6
RC,362,"Injection, anesthetic agent; sphenopalatine ganglion ",,,607.0,2303.0,4
RC,362,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,607.0,2303.0,6
RC,362,"Injection, anesthetic agent; superior hypogastric plexus ",,,870.0,2303.0,6
RC,362,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,2303.0,6
RC,362,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,2303.0,6
RC,362,"Injection, epidural, of blood or clot patch ",,,607.0,2303.0,6
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,607.0,2303.0,6
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,607.0,2303.0,6
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,607.0,2303.0,6
RC,362,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,607.0,827.0,2
RC,362,Insertion of Heyman capsules for clinical brachytherapy ,,,870.0,2303.0,6
RC,362,Insertion of Thomas shunt (separate procedure) ,,,5050.0,6446.0,2
RC,362,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,607.0,2303.0,4
RC,362,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,870.0,2303.0,4
RC,362,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,6446.0,4
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,5050.0,6446.0,2
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,5050.0,6446.0,2
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,5050.0,6446.0,2
RC,362,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,870.0,2303.0,4
RC,362,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,5050.0,6446.0,2
RC,362,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,607.0,2303.0,4
RC,362,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1804.0,3435.0,3
RC,362,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,870.0,2303.0,4
RC,362,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,870.0,2303.0,4
RC,362,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,1257.0,6446.0,6
RC,362,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,2303.0,6
RC,362,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2174.0,6446.0,6
RC,362,Insertion of intrauterine device (IUD) ,,,607.0,2303.0,4
RC,362,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,1257.0,6446.0,4
RC,362,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,3723.0,10746.0,6
RC,362,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,6446.0,6
RC,362,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8418.0,10746.0,2
RC,362,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8418.0,10746.0,2
RC,362,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8418.0,10746.0,2
RC,362,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,607.0,2303.0,4
RC,362,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,607.0,2303.0,4
RC,362,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,1804.0,2303.0,2
RC,362,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,1804.0,2303.0,2
RC,362,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,6
RC,362,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,2303.0,6
RC,362,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,6
RC,362,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,6446.0,6
RC,362,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,6446.0,6
RC,362,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,5050.0,6446.0,2
RC,362,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,5050.0,6446.0,2
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,1804.0,2303.0,4
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,1804.0,2303.0,2
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,1804.0,2303.0,2
RC,362,Insertion of peritoneal-venous shunt ,,,870.0,2303.0,4
RC,362,Insertion of pin-retained palatal prosthesis ,,,1257.0,6446.0,4
RC,362,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,2303.0,2
RC,362,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,3435.0,3435.0,1
RC,362,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,362,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,6446.0,6
RC,362,Insertion of tandem cuff (dual cuff) ,,,870.0,2303.0,6
RC,362,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,607.0,2303.0,4
RC,362,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,607.0,2303.0,4
RC,362,Insertion of testicular prosthesis (separate procedure) ,,,870.0,2303.0,6
RC,362,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1804.0,3435.0,3
RC,362,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,3435.0,7602.0,3
RC,362,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,5050.0,6446.0,2
RC,362,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,5050.0,6446.0,2
RC,362,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,5050.0,6446.0,2
RC,362,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,5050.0,6446.0,2
RC,362,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,5050.0,6446.0,2
RC,362,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,1804.0,2303.0,2
RC,362,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,1804.0,2303.0,2
RC,362,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,870.0,2303.0,4
RC,362,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,870.0,2303.0,6
RC,362,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,870.0,2303.0,6
RC,362,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,870.0,2303.0,6
RC,362,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,1714.0,2
RC,362,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,6446.0,6
RC,362,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,2303.0,6
RC,362,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,1804.0,3435.0,3
RC,362,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,3435.0,3
RC,362,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,2303.0,6
RC,362,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,2303.0,6
RC,362,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1804.0,2303.0,2
RC,362,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,607.0,2303.0,4
RC,362,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,3435.0,3435.0,1
RC,362,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,3435.0,3435.0,1
RC,362,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,607.0,2303.0,6
RC,362,Intersex surgery; female to male ,,,3435.0,3435.0,1
RC,362,Intersex surgery; male to female ,,,3435.0,3435.0,1
RC,362,Intestinal allotransplantation; from cadaver donor ,,,3435.0,3435.0,1
RC,362,Intestinal allotransplantation; from living donor ,,,3435.0,3435.0,1
RC,362,Intestinal plication (separate procedure) ,,,3435.0,3435.0,1
RC,362,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,3435.0,3435.0,1
RC,362,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,3114.0,6446.0,6
RC,362,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,607.0,827.0,2
RC,362,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1804.0,2303.0,2
RC,362,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2303.0,2
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,607.0,2303.0,4
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,607.0,2303.0,6
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,607.0,2303.0,6
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,607.0,2303.0,6
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,607.0,2303.0,6
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,607.0,2303.0,6
RC,362,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,1804.0,3435.0,3
RC,362,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,1804.0,3435.0,3
RC,362,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,607.0,2303.0,4
RC,362,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,607.0,2303.0,4
RC,362,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,607.0,2303.0,4
RC,362,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,988.0,1069.0,2
RC,362,"Introduction of catheter, aorta ",,,870.0,2303.0,4
RC,362,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,607.0,10746.0,10
RC,362,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,6
RC,362,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1257.0,6446.0,6
RC,362,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,607.0,2303.0,4
RC,362,Iridotomy by stab incision (separate procedure); except transfixion ,,,607.0,2303.0,6
RC,362,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,2303.0,6
RC,362,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,607.0,2303.0,4
RC,362,Irrigation of corpora cavernosa for priapism ,,,607.0,2303.0,6
RC,362,Keratomileusis ,,,3723.0,10746.0,4
RC,362,Keratophakia ,,,3723.0,10746.0,4
RC,362,Keratoplasty (corneal transplant); anterior lamellar ,,,3723.0,10746.0,6
RC,362,Keratoplasty (corneal transplant); endothelial ,,,3723.0,10746.0,4
RC,362,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,3723.0,10746.0,6
RC,362,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,3723.0,10746.0,6
RC,362,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,3723.0,10746.0,6
RC,362,Keratoprosthesis ,,,3723.0,10746.0,6
RC,362,LAPARO W/CHOLANGIO/BIOPSY ,,,2302.0,2490.0,2
RC,362,LAPAROSCOPY W/CHOLANGIO ,,,2302.0,2490.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,362,LESION REMOVAL COLONOSCOPY ,,,1560.0,1687.0,2
RC,362,Labyrinthectomy; transcanal ,,,3723.0,10746.0,6
RC,362,Labyrinthectomy; with mastoidectomy ,,,3723.0,10746.0,6
RC,362,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,1876.0,6446.0,6
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,3435.0,3435.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,3435.0,3435.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,3435.0,3435.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,3435.0,3435.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,3435.0,3435.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,3435.0,3435.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,3435.0,3435.0,1
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,3435.0,3435.0,1
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,3435.0,3435.0,1
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,3435.0,3435.0,1
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,3435.0,3435.0,1
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1876.0,6446.0,5
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,5050.0,6446.0,2
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,3435.0,6446.0,3
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,3435.0,6446.0,3
RC,362,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,3435.0,3435.0,1
RC,362,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,3435.0,3435.0,1
RC,362,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,6446.0,4
RC,362,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,3435.0,3435.0,1
RC,362,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,3435.0,3435.0,1
RC,362,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,3435.0,3435.0,1
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2174.0,6446.0,4
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1876.0,6446.0,4
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1876.0,6446.0,4
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2174.0,6446.0,4
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,2174.0,6446.0,4
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,6446.0,4
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,2174.0,6446.0,4
RC,362,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,3435.0,3435.0,1
RC,362,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1876.0,6446.0,4
RC,362,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1876.0,6446.0,16
RC,362,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,1804.0,3435.0,6
RC,362,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,3435.0,3435.0,1
RC,362,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,3435.0,3435.0,1
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,5050.0,6446.0,2
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1876.0,6446.0,4
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1804.0,2303.0,4
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1876.0,6446.0,4
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,6446.0,4
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1876.0,6446.0,4
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1876.0,6446.0,4
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1804.0,3435.0,3
RC,362,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,2007.0,2
RC,362,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,2007.0,2
RC,362,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1257.0,2490.0,4
RC,362,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,3435.0,6446.0,3
RC,362,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,3435.0,6446.0,3
RC,362,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,3435.0,6446.0,3
RC,362,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,1471.0,2007.0,2
RC,362,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,1471.0,2007.0,2
RC,362,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,6446.0,4
RC,362,"Laparoscopy, surgical, appendectomy ",,,1257.0,1714.0,2
RC,362,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,1257.0,3435.0,3
RC,362,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,1257.0,3435.0,3
RC,362,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,6446.0,4
RC,362,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,1257.0,1714.0,2
RC,362,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1876.0,6446.0,4
RC,362,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,1257.0,3435.0,3
RC,362,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,2174.0,6446.0,6
RC,362,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,3723.0,10746.0,6
RC,362,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical, splenectomy ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,3435.0,9400.0,3
RC,362,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,2007.0,2
RC,362,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,2174.0,4584.0,4
RC,362,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,362,"Laparoscopy, surgical; ablation of renal cysts ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,3723.0,5078.0,2
RC,362,"Laparoscopy, surgical; cholecystectomy ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,3723.0,5078.0,2
RC,362,"Laparoscopy, surgical; cholecystoenterostomy ",,,3435.0,5078.0,3
RC,362,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1876.0,3435.0,3
RC,362,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2174.0,4584.0,4
RC,362,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,1257.0,3435.0,3
RC,362,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,1257.0,1714.0,2
RC,362,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1876.0,3435.0,3
RC,362,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1876.0,3435.0,3
RC,362,"Laparoscopy, surgical; orchiectomy ",,,2174.0,4584.0,4
RC,362,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,2174.0,2963.0,2
RC,362,"Laparoscopy, surgical; partial nephrectomy ",,,3723.0,5078.0,2
RC,362,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,1257.0,3435.0,3
RC,362,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,1257.0,3435.0,3
RC,362,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,1257.0,3435.0,3
RC,362,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,1257.0,3435.0,3
RC,362,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,3435.0,3435.0,1
RC,362,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1471.0,2760.0,4
RC,362,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,3723.0,5078.0,4
RC,362,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,1257.0,1714.0,2
RC,362,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1876.0,3273.0,4
RC,362,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; ureterolithotomy ",,,2174.0,2963.0,2
RC,362,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,2174.0,4584.0,4
RC,362,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,4584.0,4
RC,362,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1876.0,2559.0,2
RC,362,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1471.0,2760.0,4
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,3068.0,4584.0,4
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,3068.0,4584.0,4
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2174.0,6446.0,5
RC,362,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1471.0,2760.0,4
RC,362,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1257.0,1714.0,2
RC,362,"Laparoscopy, surgical; with fimbrioplasty ",,,1876.0,3273.0,4
RC,362,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,2490.0,4
RC,362,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1876.0,3273.0,4
RC,362,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1471.0,2007.0,2
RC,362,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1876.0,3273.0,4
RC,362,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,2490.0,4
RC,362,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,607.0,827.0,2
RC,362,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,607.0,827.0,2
RC,362,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1876.0,3273.0,4
RC,362,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,2174.0,4584.0,4
RC,362,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1471.0,2007.0,2
RC,362,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1876.0,3273.0,4
RC,362,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,3723.0,10746.0,4
RC,362,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1876.0,4584.0,4
RC,362,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1876.0,6446.0,4
RC,362,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,3435.0,3435.0,1
RC,362,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,3435.0,3435.0,1
RC,362,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1876.0,6446.0,6
RC,362,"Lengthening of palate, and pharyngeal flap ",,,1876.0,6446.0,6
RC,362,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1257.0,6446.0,6
RC,362,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,870.0,2303.0,6
RC,362,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,1257.0,6446.0,6
RC,362,Ligation of common iliac vein ,,,3435.0,3435.0,1
RC,362,Ligation of femoral vein ,,,870.0,2303.0,6
RC,362,Ligation of inferior vena cava ,,,1257.0,6446.0,4
RC,362,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,5050.0,6446.0,2
RC,362,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1257.0,6446.0,6
RC,362,Ligation or banding of angioaccess arteriovenous fistula ,,,1257.0,6446.0,6
RC,362,"Ligation or biopsy, temporal artery ",,,870.0,2303.0,6
RC,362,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,3435.0,3435.0,1
RC,362,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,3435.0,5
RC,362,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,870.0,2303.0,4
RC,362,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,2303.0,4
RC,362,"Ligation salivary duct, intraoral ",,,3723.0,10746.0,6
RC,362,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1257.0,6446.0,6
RC,362,"Ligation, division, and stripping, short saphenous vein ",,,1257.0,6446.0,6
RC,362,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1257.0,6446.0,6
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,3435.0,3435.0,1
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,3435.0,3435.0,1
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,3435.0,3435.0,1
RC,362,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,3435.0,3435.0,1
RC,362,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,3435.0,3435.0,1
RC,362,Limited pharyngectomy ,,,3723.0,10746.0,6
RC,362,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,2303.0,6
RC,362,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,2303.0,6
RC,362,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,3435.0,3435.0,1
RC,362,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,1804.0,3435.0,3
RC,362,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,362,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,362,Lymphangiotomy or other operations on lymphatic channels ,,,870.0,2303.0,6
RC,362,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1876.0,6446.0,4
RC,362,Lysis of labial adhesions ,,,607.0,2303.0,6
RC,362,Lysis or excision of penile post-circumcision adhesions ,,,870.0,2303.0,6
RC,362,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,3435.0,6446.0,3
RC,362,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,3435.0,3435.0,1
RC,362,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,3435.0,3435.0,1
RC,362,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,3435.0,3435.0,1
RC,362,Management of liver hemorrhage; simple suture of liver wound or injury ,,,3435.0,3435.0,1
RC,362,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,3435.0,3435.0,1
RC,362,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,607.0,2303.0,6
RC,362,Marsupialization of Bartholin's gland cyst ,,,870.0,2303.0,6
RC,362,Marsupialization of cyst or abscess of liver ,,,3435.0,3435.0,1
RC,362,Marsupialization of pancreatic cyst ,,,3435.0,3435.0,1
RC,362,Marsupialization of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,6
RC,362,"Marsupialization of urethral diverticulum, male or female ",,,870.0,2303.0,6
RC,362,Mastoid obliteration (separate procedure) ,,,1257.0,6446.0,6
RC,362,Mastoidectomy; complete ,,,3723.0,10746.0,6
RC,362,Mastoidectomy; modified radical ,,,3723.0,10746.0,6
RC,362,Mastoidectomy; radical ,,,3723.0,10746.0,6
RC,362,Maxillary impression for palatal prosthesis ,,,607.0,2303.0,4
RC,362,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,2303.0,6
RC,362,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,2303.0,4
RC,362,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,1804.0,2303.0,2
RC,362,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,607.0,2303.0,4
RC,362,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,5050.0,6446.0,2
RC,362,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,1257.0,6446.0,4
RC,362,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,1257.0,6446.0,4
RC,362,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,3435.0,3435.0,1
RC,362,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,3435.0,3435.0,1
RC,362,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,6
RC,362,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,3435.0,3435.0,1
RC,362,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,2303.0,4
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,870.0,2303.0,4
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,607.0,2303.0,4
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,607.0,2303.0,4
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,607.0,2303.0,4
RC,362,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,3723.0,10746.0,4
RC,362,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1876.0,6446.0,6
RC,362,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,1687.0,4
RC,362,Myringotomy including aspiration and/or eustachian tube inflation ,,,1257.0,6446.0,4
RC,362,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,1257.0,6446.0,6
RC,362,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,362,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,362,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,870.0,2303.0,4
RC,362,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,362,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1804.0,3435.0,3
RC,362,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1804.0,3435.0,3
RC,362,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,607.0,2303.0,6
RC,362,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,3435.0,3435.0,1
RC,362,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,3435.0,3435.0,1
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,3435.0,3435.0,1
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,3435.0,3435.0,1
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,3435.0,3435.0,1
RC,362,"Nephrectomy, partial ",,,3435.0,3435.0,1
RC,362,Nephrolithotomy; complicated by congenital kidney abnormality ,,,3435.0,3435.0,1
RC,362,Nephrolithotomy; removal of calculus ,,,3435.0,3435.0,1
RC,362,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,3435.0,3435.0,1
RC,362,Nephrolithotomy; secondary surgical operation for calculus ,,,3435.0,3435.0,1
RC,362,"Nephrorrhaphy, suture of kidney wound or injury ",,,3435.0,3435.0,1
RC,362,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,4
RC,362,"Nephrotomy, with exploration ",,,3435.0,3435.0,1
RC,362,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,2303.0,6
RC,362,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,2303.0,6
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6446.0,6
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6446.0,6
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6446.0,6
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6446.0,6
RC,362,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,2303.0,6
RC,362,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,2303.0,6
RC,362,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,2303.0,6
RC,362,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,2303.0,6
RC,362,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,870.0,2303.0,6
RC,362,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,870.0,2303.0,6
RC,362,Nerve pedicle transfer; first stage ,,,870.0,2303.0,6
RC,362,Nerve pedicle transfer; second stage ,,,607.0,2303.0,6
RC,362,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,2303.0,4
RC,362,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,607.0,3435.0,5
RC,362,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,3435.0,5
RC,362,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,2303.0,4
RC,362,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,3435.0,3435.0,1
RC,362,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,3435.0,3435.0,1
RC,362,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,3435.0,3435.0,1
RC,362,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,3435.0,3435.0,1
RC,362,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1257.0,6446.0,6
RC,362,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,2303.0,6
RC,362,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,2303.0,6
RC,362,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,2303.0,6
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,2303.0,6
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,2303.0,6
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,2303.0,6
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,2303.0,6
RC,362,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,2303.0,6
RC,362,Neuroplasty; nerve of hand or foot ,,,607.0,2303.0,6
RC,362,Nocturnal penile tumescence and/or rigidity test ,,,607.0,2303.0,4
RC,362,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,870.0,2303.0,4
RC,362,OPERATIVE UPPER GI ENDOSCOPY ,,,2302.0,2490.0,2
RC,362,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,3435.0,3435.0,1
RC,362,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,4
RC,362,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1876.0,6446.0,6
RC,362,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1876.0,6446.0,6
RC,362,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1876.0,6446.0,6
RC,362,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,3435.0,3435.0,1
RC,362,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,3435.0,6446.0,3
RC,362,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1876.0,6446.0,4
RC,362,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,2303.0,2
RC,362,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,2303.0,4
RC,362,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,2303.0,2
RC,362,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,3435.0,3
RC,362,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,2303.0,2
RC,362,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,2303.0,6
RC,362,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,2303.0,6
RC,362,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,6446.0,6
RC,362,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,5050.0,6446.0,2
RC,362,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,5050.0,6446.0,2
RC,362,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,5050.0,6446.0,2
RC,362,"Operculectomy, excision pericoronal tissues ",,,607.0,2303.0,4
RC,362,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1471.0,6446.0,6
RC,362,Orbital implant (implant outside muscle cone); insertion ,,,1471.0,6446.0,6
RC,362,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,2303.0,6
RC,362,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,3435.0,3435.0,1
RC,362,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,3435.0,3435.0,1
RC,362,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,3435.0,3435.0,1
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1876.0,6446.0,6
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1876.0,6446.0,6
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1876.0,6446.0,6
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1876.0,6446.0,6
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1876.0,6446.0,6
RC,362,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,6
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1471.0,6446.0,6
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1876.0,6446.0,4
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1876.0,6446.0,6
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1876.0,6446.0,6
RC,362,"Orchiectomy, partial ",,,1257.0,6446.0,6
RC,362,"Orchiectomy, radical, for tumor; inguinal approach ",,,1471.0,6446.0,6
RC,362,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,6
RC,362,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1471.0,6446.0,4
RC,362,"Orchiopexy, inguinal or scrotal approach ",,,1471.0,6446.0,6
RC,362,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Other cranial decompression, posterior fossa ",,,3435.0,3435.0,1
RC,362,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,6
RC,362,"Ovarian cystectomy, unilateral or bilateral ",,,1876.0,6446.0,4
RC,362,PAROTID DUCT DIVERSION ,,,2552.0,2760.0,2
RC,362,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,2
RC,362,PLACE GASTROSTOMY TUBE ,,,1560.0,1687.0,2
RC,362,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,1687.0,2
RC,362,"PROSTATECTOMY, SECOND STAGE ",,,988.0,1069.0,2
RC,362,PUNCTURE PERITONEAL CAVITY ,,,1560.0,1687.0,2
RC,362,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,1876.0,6446.0,6
RC,362,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,1876.0,6446.0,6
RC,362,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,1876.0,6446.0,6
RC,362,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,1876.0,6446.0,6
RC,362,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,1876.0,6446.0,4
RC,362,Palatoplasty for cleft palate; major revision ,,,3723.0,10746.0,6
RC,362,Palatoplasty for cleft palate; secondary lengthening procedure ,,,1876.0,6446.0,6
RC,362,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,3435.0,3435.0,1
RC,362,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,3435.0,3435.0,1
RC,362,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,3435.0,3435.0,1
RC,362,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,3435.0,3435.0,1
RC,362,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,3435.0,3435.0,1
RC,362,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,3435.0,3435.0,1
RC,362,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,3435.0,3435.0,1
RC,362,"Pancreatectomy, total ",,,3435.0,3435.0,1
RC,362,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,3435.0,3435.0,1
RC,362,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,3435.0,3435.0,1
RC,362,Pancreatorrhaphy for injury ,,,3435.0,3435.0,1
RC,362,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,607.0,2303.0,6
RC,362,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,2303.0,6
RC,362,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1257.0,6446.0,6
RC,362,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1257.0,6446.0,4
RC,362,Parathyroidectomy or exploration of parathyroid(s); ,,,3723.0,10746.0,4
RC,362,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,3723.0,10746.0,4
RC,362,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,3435.0,3435.0,1
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,6446.0,4
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1876.0,6446.0,4
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,6446.0,4
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,607.0,2303.0,4
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,607.0,2303.0,4
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,607.0,2303.0,4
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,1257.0,6446.0,6
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,1471.0,6446.0,6
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,1471.0,6446.0,6
RC,362,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,3435.0,3435.0,1
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,3435.0,3435.0,1
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,3435.0,3435.0,1
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,3435.0,3435.0,1
RC,362,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,3435.0,3435.0,1
RC,362,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,3435.0,3435.0,1
RC,362,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,607.0,3435.0,5
RC,362,Partial hymenectomy or revision of hymenal ring ,,,607.0,2303.0,6
RC,362,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,6446.0,4
RC,362,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,6446.0,4
RC,362,Pelvic examination under anesthesia (other than local) ,,,870.0,2303.0,6
RC,362,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,3435.0,3435.0,1
RC,362,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,3435.0,3435.0,1
RC,362,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,3435.0,3435.0,1
RC,362,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,3435.0,3435.0,1
RC,362,Penile plethysmography ,,,607.0,2303.0,4
RC,362,"Penile revascularization, artery, with or without vein graft ",,,3435.0,3435.0,1
RC,362,Penile venous occlusive procedure ,,,1257.0,6446.0,6
RC,362,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2174.0,6446.0,5
RC,362,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,8418.0,10746.0,2
RC,362,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,8418.0,10746.0,2
RC,362,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,607.0,2303.0,4
RC,362,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,607.0,2303.0,6
RC,362,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,5050.0,6446.0,2
RC,362,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,2303.0,2
RC,362,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1804.0,3435.0,3
RC,362,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,2303.0,6
RC,362,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,2303.0,6
RC,362,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,2303.0,4
RC,362,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,6446.0,6
RC,362,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,607.0,2303.0,12
RC,362,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,5050.0,6446.0,4
RC,362,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,5050.0,6446.0,2
RC,362,Percutaneous portal vein catheterization by any method ,,,607.0,2303.0,4
RC,362,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1876.0,6446.0,4
RC,362,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,5956.0,7602.0,2
RC,362,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,5956.0,7602.0,2
RC,362,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,607.0,827.0,2
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,4247.0,2
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,4247.0,2
RC,362,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,7602.0,4
RC,362,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,7602.0,2
RC,362,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,4
RC,362,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,8418.0,10746.0,2
RC,362,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,5956.0,7602.0,2
RC,362,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8418.0,10746.0,2
RC,362,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,8418.0,10746.0,2
RC,362,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,362,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,1876.0,10746.0,10
RC,362,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,3068.0,7602.0,4
RC,362,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8418.0,10746.0,2
RC,362,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,3068.0,7602.0,4
RC,362,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,5956.0,7602.0,2
RC,362,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,5050.0,6446.0,2
RC,362,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,5050.0,6446.0,2
RC,362,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,5050.0,6446.0,2
RC,362,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,5050.0,6446.0,2
RC,362,"Pereyra procedure, including anterior colporrhaphy ",,,1876.0,6446.0,6
RC,362,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1876.0,6446.0,6
RC,362,Periodontal mucosal grafting ,,,870.0,2303.0,4
RC,362,Perirectal injection of sclerosing solution for prolapse ,,,607.0,2303.0,4
RC,362,"Peritoneal lavage, including imaging guidance, when performed ",,,870.0,2303.0,4
RC,362,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,3435.0,6446.0,3
RC,362,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,1804.0,3435.0,3
RC,362,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1804.0,3435.0,3
RC,362,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,3435.0,6446.0,3
RC,362,Petrous apicectomy including radical mastoidectomy ,,,3723.0,10746.0,6
RC,362,Pharyngoesophageal repair ,,,3435.0,3435.0,1
RC,362,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,870.0,2303.0,6
RC,362,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,870.0,2303.0,6
RC,362,"Photopheresis, extracorporeal ",,,870.0,2303.0,4
RC,362,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,870.0,2303.0,4
RC,362,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1471.0,6446.0,6
RC,362,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,2303.0,4
RC,362,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,2303.0,4
RC,362,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,870.0,2303.0,8
RC,362,Placement of choledochal stent ,,,3435.0,3435.0,1
RC,362,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,3435.0,3435.0,1
RC,362,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,3435.0,3435.0,1
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,3435.0,3435.0,1
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,607.0,2303.0,4
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,2303.0,4
RC,362,Placement of needle for intraosseous infusion ,,,1804.0,2303.0,2
RC,362,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,2303.0,4
RC,362,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,607.0,2303.0,4
RC,362,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,2303.0,4
RC,362,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,2303.0,4
RC,362,Placement of seton ,,,1257.0,6446.0,6
RC,362,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,1257.0,6446.0,12
RC,362,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,6446.0,12
RC,362,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,1804.0,3435.0,3
RC,362,Plastic operation of penis for injury ,,,1471.0,6446.0,6
RC,362,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6446.0,6
RC,362,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6446.0,6
RC,362,Plastic operation on penis for epispadias distal to external sphincter; ,,,1257.0,6446.0,6
RC,362,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1257.0,6446.0,6
RC,362,Plastic operation on penis to correct angulation ,,,1257.0,6446.0,6
RC,362,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6446.0,6
RC,362,Plastic repair of canaliculi ,,,870.0,2303.0,6
RC,362,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,1257.0,6446.0,4
RC,362,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,3723.0,10746.0,6
RC,362,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,3723.0,10746.0,6
RC,362,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,3723.0,10746.0,6
RC,362,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,1257.0,6446.0,6
RC,362,Plastic repair of introitus ,,,1257.0,6446.0,6
RC,362,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,1257.0,6446.0,6
RC,362,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,1471.0,6446.0,6
RC,362,Plastic repair of urethrocele ,,,1257.0,6446.0,6
RC,362,"Portoenterostomy (eg, Kasai procedure) ",,,3435.0,3435.0,1
RC,362,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1876.0,6446.0,6
RC,362,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,607.0,2303.0,4
RC,362,Postpartum care only (separate procedure) ,,,607.0,3435.0,5
RC,362,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,607.0,3435.0,5
RC,362,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,362,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,3435.0,3435.0,1
RC,362,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,870.0,7602.0,8
RC,362,"Probing of lacrimal canaliculi, with or without irrigation ",,,607.0,2303.0,4
RC,362,"Probing of nasolacrimal duct, with or without irrigation; ",,,607.0,2303.0,6
RC,362,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,2303.0,6
RC,362,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,2303.0,6
RC,362,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,2303.0,4
RC,362,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,3435.0,3435.0,1
RC,362,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,3435.0,3435.0,1
RC,362,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,3435.0,3435.0,1
RC,362,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,3435.0,3435.0,1
RC,362,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,3435.0,3435.0,1
RC,362,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,3435.0,3435.0,1
RC,362,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,3435.0,3435.0,1
RC,362,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,3435.0,3435.0,1
RC,362,"Proctectomy; partial resection of rectum, transabdominal approach ",,,3435.0,3435.0,1
RC,362,"Proctopexy (eg, for prolapse); abdominal approach ",,,3435.0,3435.0,1
RC,362,"Proctopexy (eg, for prolapse); perineal approach ",,,870.0,2303.0,4
RC,362,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,3435.0,3435.0,1
RC,362,Proctoplasty; for prolapse of mucous membrane ,,,870.0,2303.0,6
RC,362,Proctoplasty; for stenosis ,,,870.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,607.0,2303.0,4
RC,362,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,607.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,607.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,2303.0,4
RC,362,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,607.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,2303.0,6
RC,362,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,607.0,2303.0,6
RC,362,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,870.0,2303.0,6
RC,362,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,607.0,2303.0,4
RC,362,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,3435.0,3435.0,1
RC,362,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,3435.0,3435.0,1
RC,362,"Prostatectomy, perineal radical; ",,,3435.0,3435.0,1
RC,362,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,3435.0,3435.0,1
RC,362,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,3435.0,3435.0,1
RC,362,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,3435.0,3435.0,1
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,3435.0,3435.0,1
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,3435.0,10746.0,5
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,3435.0,3435.0,1
RC,362,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,2303.0,6
RC,362,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,2303.0,6
RC,362,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,607.0,2303.0,6
RC,362,"Push transfusion, blood, 2 years or younger ",,,607.0,2303.0,4
RC,362,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,3435.0,3435.0,1
RC,362,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,3435.0,3435.0,1
RC,362,"Pyelotomy; with drainage, pyelostomy ",,,3435.0,3435.0,1
RC,362,Pyelotomy; with exploration ,,,3435.0,3435.0,1
RC,362,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,3435.0,3435.0,1
RC,362,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,3435.0,3435.0,1
RC,362,Pyloroplasty ,,,3435.0,3435.0,1
RC,362,REMOVAL OF ABDOMINAL FLUID ,,,1560.0,1687.0,2
RC,362,REMOVAL OF ANAL CRYPT ,,,1560.0,1687.0,2
RC,362,REMOVAL OF ANAL CRYPTS ,,,1560.0,1687.0,2
RC,362,REMOVE ABDOMEN FOREIGN BODY ,,,1560.0,1687.0,2
RC,362,REMOVE BILE DUCT STONE ,,,2302.0,2490.0,2
RC,362,REMOVE RESIDUAL PROSTATE ,,,988.0,1069.0,2
RC,362,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,362,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,1471.0,2760.0,4
RC,362,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1471.0,4584.0,4
RC,362,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,362,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,2490.0,4
RC,362,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1876.0,4584.0,4
RC,362,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,362,REPAIR SPIGELIAN HERNIA ,,,1257.0,2490.0,4
RC,362,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,362,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,1471.0,2760.0,4
RC,362,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,362,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,1471.0,2760.0,4
RC,362,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,362,REREPAIR DETACHED RETINA ,,,4526.0,4895.0,2
RC,362,REVISE/REINSERT BILE TUBE ,,,988.0,1069.0,2
RC,362,REVISE/REMOVE NEUROELECTRODE ,,,988.0,1069.0,2
RC,362,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3723.0,5078.0,4
RC,362,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,362,Radial keratotomy ,,,3723.0,10746.0,4
RC,362,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,3435.0,10746.0,5
RC,362,Radical excision external auditory canal lesion; with neck dissection ,,,3435.0,3435.0,1
RC,362,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,6
RC,362,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,3435.0,3435.0,1
RC,362,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,3435.0,3435.0,1
RC,362,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,3435.0,6446.0,3
RC,362,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,3435.0,3435.0,1
RC,362,Recipient nephrectomy (separate procedure) ,,,3435.0,3435.0,1
RC,362,"Reconstruction external auditory canal for congenital atresia, single stage ",,,3723.0,10746.0,6
RC,362,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1257.0,6446.0,6
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1257.0,6446.0,6
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,6
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1257.0,6446.0,6
RC,362,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,3435.0,3435.0,1
RC,362,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2303.0,2
RC,362,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,3435.0,3435.0,1
RC,362,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,3435.0,3435.0,1
RC,362,Reduction of overcorrection of ptosis ,,,1471.0,6446.0,6
RC,362,Reduction of procidentia (separate procedure) under anesthesia ,,,607.0,2303.0,6
RC,362,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1471.0,6446.0,6
RC,362,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,2174.0,6446.0,5
RC,362,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,2303.0,6
RC,362,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,6
RC,362,Release of encircling material (posterior segment) ,,,870.0,2303.0,6
RC,362,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,3723.0,10746.0,6
RC,362,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,362,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,362,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,362,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,362,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,6446.0,6
RC,362,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1876.0,6446.0,4
RC,362,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,362,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,2303.0,2
RC,362,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,2303.0,6
RC,362,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,6446.0,6
RC,362,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1471.0,6446.0,4
RC,362,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,2303.0,6
RC,362,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,2303.0,6
RC,362,"Removal impacted cerumen requiring instrumentation, unilateral ",,,607.0,2303.0,4
RC,362,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,607.0,2303.0,4
RC,362,"Removal of Thiersch wire or suture, anal canal ",,,870.0,2303.0,6
RC,362,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,6
RC,362,"Removal of anal seton, other marker ",,,607.0,2303.0,6
RC,362,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1804.0,3435.0,3
RC,362,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1804.0,3435.0,3
RC,362,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1804.0,3435.0,3
RC,362,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,607.0,2303.0,4
RC,362,"Removal of blood clot, anterior segment of eye ",,,1876.0,6446.0,6
RC,362,Removal of bone flap or prosthetic plate of skull ,,,3435.0,3435.0,1
RC,362,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,607.0,2303.0,4
RC,362,Removal of cerclage suture under anesthesia (other than local) ,,,1876.0,6446.0,6
RC,362,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,3435.0,3435.0,1
RC,362,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,870.0,2303.0,4
RC,362,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,2303.0,4
RC,362,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1804.0,2303.0,2
RC,362,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,2303.0,4
RC,362,Removal of embedded foreign body from dentoalveolar structures; bone ,,,607.0,2303.0,4
RC,362,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,607.0,2303.0,4
RC,362,"Removal of embedded foreign body, eyelid ",,,607.0,2303.0,4
RC,362,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,870.0,2303.0,4
RC,362,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,2303.0,6
RC,362,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1876.0,6446.0,6
RC,362,Removal of esophageal sphincter augmentation device ,,,1471.0,6446.0,4
RC,362,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,607.0,2303.0,6
RC,362,Removal of foreign body from pharynx ,,,607.0,2303.0,4
RC,362,Removal of foreign body in scrotum ,,,870.0,2303.0,6
RC,362,"Removal of foreign body or dacryolith, lacrimal passages ",,,607.0,2303.0,4
RC,362,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,2303.0,6
RC,362,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1257.0,6446.0,6
RC,362,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1471.0,6446.0,6
RC,362,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,2303.0,2
RC,362,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,3435.0,3
RC,362,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,2303.0,2
RC,362,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,2303.0,6
RC,362,Removal of implanted intra-arterial infusion pump ,,,607.0,2303.0,6
RC,362,"Removal of implanted material, anterior segment of eye ",,,3723.0,10746.0,6
RC,362,"Removal of implanted material, posterior segment; extraocular ",,,870.0,2303.0,6
RC,362,"Removal of implanted material, posterior segment; intraocular ",,,870.0,2303.0,6
RC,362,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,2303.0,6
RC,362,Removal of intrauterine device (IUD) ,,,607.0,2303.0,4
RC,362,"Removal of lens material; aspiration technique, 1 or more stages ",,,1471.0,6446.0,6
RC,362,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,1876.0,6446.0,6
RC,362,Removal of lens material; intracapsular ,,,1471.0,6446.0,6
RC,362,"Removal of lens material; intracapsular, for dislocated lens ",,,1876.0,6446.0,6
RC,362,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1471.0,6446.0,6
RC,362,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,3723.0,10746.0,6
RC,362,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,607.0,2303.0,4
RC,362,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,607.0,2303.0,4
RC,362,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,6
RC,362,Removal of ocular implant ,,,607.0,2303.0,6
RC,362,Removal of pancreatic calculus ,,,3435.0,3435.0,1
RC,362,Removal of peritoneal foreign body from peritoneal cavity ,,,870.0,2303.0,6
RC,362,Removal of peritoneal-venous shunt ,,,870.0,2303.0,4
RC,362,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8418.0,10746.0,2
RC,362,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,2303.0,6
RC,362,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1471.0,6446.0,6
RC,362,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1804.0,3435.0,3
RC,362,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,2303.0,4
RC,362,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,2303.0,4
RC,362,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,2303.0,6
RC,362,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,1804.0,3435.0,3
RC,362,"Removal of transplanted intestinal allograft, complete ",,,3435.0,3435.0,1
RC,362,Removal of transplanted pancreatic allograft ,,,3435.0,3435.0,1
RC,362,Removal of transplanted renal allograft ,,,3435.0,3435.0,1
RC,362,"Removal of tumor, temporal bone ",,,1471.0,6446.0,4
RC,362,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,1804.0,2303.0,2
RC,362,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,1804.0,2303.0,2
RC,362,Removal of tunneled intraperitoneal catheter ,,,607.0,2303.0,6
RC,362,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1471.0,6446.0,6
RC,362,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1471.0,6446.0,6
RC,362,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,2303.0,6
RC,362,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,2303.0,6
RC,362,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1876.0,6446.0,4
RC,362,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,607.0,2303.0,4
RC,362,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1804.0,3435.0,3
RC,362,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1804.0,3435.0,3
RC,362,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1804.0,3435.0,3
RC,362,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,3435.0,3435.0,1
RC,362,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,3435.0,3435.0,1
RC,362,"Renal autotransplantation, reimplantation of kidney ",,,3435.0,3435.0,1
RC,362,Renal biopsy; by surgical exposure of kidney ,,,3435.0,3435.0,1
RC,362,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,2303.0,6
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,2303.0,6
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,2303.0,6
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,2303.0,6
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,2303.0,6
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,870.0,2303.0,4
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,2303.0,6
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,2303.0,4
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,2303.0,4
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,2303.0,4
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,2303.0,4
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,607.0,2303.0,4
RC,362,"Renal exploration, not necessitating other specific procedures ",,,3435.0,3435.0,1
RC,362,Reopening of recent laparotomy ,,,3435.0,3435.0,1
RC,362,Repair incomplete circumcision ,,,870.0,2303.0,6
RC,362,"Repair inguinal hernia, sliding, any age ",,,1471.0,6446.0,6
RC,362,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1471.0,6446.0,6
RC,362,"Repair initial femoral hernia, any age; reducible ",,,1876.0,6446.0,6
RC,362,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1471.0,6446.0,6
RC,362,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1471.0,6446.0,6
RC,362,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1471.0,6446.0,6
RC,362,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,6
RC,362,"Repair lip, full thickness; over one-half vertical height, or complex ",,,1257.0,6446.0,6
RC,362,"Repair lip, full thickness; up to half vertical height ",,,1257.0,6446.0,6
RC,362,"Repair lip, full thickness; vermilion only ",,,1257.0,6446.0,6
RC,362,Repair lumbar hernia ,,,870.0,2303.0,6
RC,362,Repair of anal fistula with fibrin glue ,,,607.0,2303.0,6
RC,362,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,5050.0,6446.0,2
RC,362,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,3435.0,3435.0,6
RC,362,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,3435.0,3435.0,6
RC,362,"Repair of anterior palate, including vomer flap ",,,1876.0,6446.0,6
RC,362,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1471.0,6446.0,6
RC,362,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1471.0,6446.0,6
RC,362,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1471.0,6446.0,6
RC,362,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1876.0,6446.0,6
RC,362,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1876.0,6446.0,6
RC,362,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1876.0,6446.0,6
RC,362,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1471.0,6446.0,6
RC,362,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,1804.0,2303.0,2
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,3435.0,3435.0,1
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,3435.0,3435.0,1
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,3435.0,3435.0,1
RC,362,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1876.0,6446.0,4
RC,362,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6446.0,6
RC,362,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,3435.0,3435.0,1
RC,362,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,3435.0,3435.0,1
RC,362,Repair of ectropion; excision tarsal wedge ,,,1471.0,6446.0,6
RC,362,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1471.0,6446.0,6
RC,362,Repair of ectropion; suture ,,,1257.0,6446.0,6
RC,362,Repair of ectropion; thermocauterization ,,,1257.0,6446.0,4
RC,362,"Repair of encephalocele, skull vault, including cranioplasty ",,,3435.0,3435.0,1
RC,362,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,2303.0,2
RC,362,Repair of entropion; excision tarsal wedge ,,,1471.0,6446.0,6
RC,362,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1471.0,6446.0,6
RC,362,Repair of entropion; suture ,,,1257.0,6446.0,6
RC,362,Repair of entropion; thermocauterization ,,,1257.0,6446.0,4
RC,362,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,3435.0,3435.0,1
RC,362,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,3435.0,3435.0,1
RC,362,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,3435.0,3435.0,1
RC,362,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,3435.0,3435.0,1
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,6
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,6
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,6
RC,362,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,1257.0,6446.0,5
RC,362,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,1257.0,6446.0,5
RC,362,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,2303.0,6
RC,362,"Repair of iris, ciliary body (as for iridodialysis) ",,,1257.0,6446.0,6
RC,362,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,870.0,2303.0,6
RC,362,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,870.0,2303.0,6
RC,362,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,870.0,2303.0,6
RC,362,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,870.0,2303.0,4
RC,362,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,3435.0,5
RC,362,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,2303.0,6
RC,362,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,2303.0,6
RC,362,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1471.0,6446.0,6
RC,362,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1471.0,6446.0,6
RC,362,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1471.0,6446.0,6
RC,362,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,1471.0,6446.0,5
RC,362,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,3435.0,3435.0,1
RC,362,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,3435.0,3435.0,1
RC,362,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,3435.0,3435.0,1
RC,362,Repair of meningocele; larger than 5 cm diameter ,,,3435.0,3435.0,1
RC,362,Repair of meningocele; less than 5 cm diameter ,,,3435.0,3435.0,1
RC,362,Repair of myelomeningocele; larger than 5 cm diameter ,,,3435.0,3435.0,1
RC,362,Repair of myelomeningocele; less than 5 cm diameter ,,,3435.0,3435.0,1
RC,362,Repair of nasolabial fistula ,,,1471.0,6446.0,6
RC,362,Repair of omphalocele (Gross type operation); first stage ,,,3435.0,3435.0,1
RC,362,Repair of omphalocele (Gross type operation); second stage ,,,3435.0,3435.0,1
RC,362,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,3435.0,6446.0,3
RC,362,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,3435.0,6446.0,3
RC,362,Repair of rectocele (separate procedure) ,,,870.0,2303.0,6
RC,362,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1471.0,6446.0,4
RC,362,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1876.0,6446.0,4
RC,362,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1876.0,6446.0,6
RC,362,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,3723.0,10746.0,6
RC,362,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,3435.0,3435.0,1
RC,362,Repair of scleral staphyloma with graft ,,,1471.0,6446.0,6
RC,362,"Repair of small omphalocele, with primary closure ",,,1471.0,6446.0,6
RC,362,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1471.0,6446.0,6
RC,362,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1471.0,6446.0,6
RC,362,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1471.0,6446.0,6
RC,362,Repair of traumatic corporeal tear(s) ,,,870.0,2303.0,4
RC,362,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1471.0,6446.0,6
RC,362,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,1804.0,2303.0,2
RC,362,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,6
RC,362,Repair oval window fistula ,,,1471.0,6446.0,6
RC,362,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1471.0,6446.0,6
RC,362,Repair recurrent femoral hernia; reducible ,,,1876.0,6446.0,6
RC,362,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1471.0,6446.0,6
RC,362,"Repair recurrent inguinal hernia, any age; reducible ",,,1471.0,6446.0,6
RC,362,Repair round window fistula ,,,1471.0,6446.0,6
RC,362,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,3435.0,3435.0,1
RC,362,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,3435.0,3435.0,1
RC,362,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1471.0,6446.0,12
RC,362,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1876.0,6446.0,4
RC,362,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,4
RC,362,"Repair, laceration of diaphragm, any approach ",,,3435.0,3435.0,1
RC,362,"Repair, laceration of palate; over 2 cm or complex ",,,870.0,2303.0,6
RC,362,"Repair, laceration of palate; up to 2 cm ",,,607.0,2303.0,6
RC,362,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,3435.0,3435.0,1
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,362,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,362,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,3435.0,7602.0,3
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,3435.0,7602.0,3
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,3068.0,7602.0,6
RC,362,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,3435.0,3435.0,1
RC,362,Replacement of bone flap or prosthetic plate of skull ,,,3435.0,3435.0,1
RC,362,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,2303.0,4
RC,362,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,2303.0,4
RC,362,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,2303.0,4
RC,362,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,1804.0,3435.0,3
RC,362,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,1804.0,3435.0,3
RC,362,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,2303.0,6
RC,362,"Replacement or irrigation, ventricular catheter ",,,607.0,2303.0,6
RC,362,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,2303.0,6
RC,362,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,1804.0,2303.0,2
RC,362,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,1804.0,2303.0,2
RC,362,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,5050.0,6446.0,2
RC,362,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,1804.0,2303.0,2
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,5050.0,6446.0,2
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,5050.0,6446.0,2
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,1804.0,2303.0,2
RC,362,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6446.0,6
RC,362,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,607.0,2303.0,6
RC,362,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1471.0,6446.0,6
RC,362,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,1257.0,6446.0,4
RC,362,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,1804.0,2303.0,2
RC,362,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,3435.0,3435.0,1
RC,362,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,3435.0,3435.0,1
RC,362,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,3435.0,3435.0,1
RC,362,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,3723.0,10746.0,6
RC,362,"Resection of lip, more than one-fourth, without reconstruction ",,,870.0,2303.0,6
RC,362,Resection of mediastinal cyst ,,,3435.0,3435.0,1
RC,362,Resection of mediastinal tumor ,,,3435.0,3435.0,1
RC,362,Resection of palate or extensive resection of lesion ,,,1471.0,6446.0,6
RC,362,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,3435.0,3435.0,1
RC,362,Resection of scrotum ,,,607.0,2303.0,6
RC,362,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,3435.0,3435.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,3435.0,3435.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,3435.0,3435.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,3435.0,3435.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,3435.0,3435.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,3435.0,3435.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,3435.0,3435.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,3435.0,3435.0,1
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,3435.0,3435.0,1
RC,362,"Resection temporal bone, external approach ",,,3435.0,3435.0,1
RC,362,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,3435.0,3435.0,1
RC,362,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,3435.0,3435.0,1
RC,362,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,1257.0,6446.0,4
RC,362,Retrobulbar injection; alcohol ,,,607.0,2303.0,4
RC,362,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,607.0,827.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,607.0,827.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1804.0,6446.0,12
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,1471.0,2007.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,5050.0,6446.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,607.0,827.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,607.0,827.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,607.0,827.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,607.0,827.0,2
RC,362,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,5050.0,6446.0,2
RC,362,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,3435.0,3435.0,1
RC,362,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,4
RC,362,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,2303.0,4
RC,362,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,2303.0,4
RC,362,Revision mastoidectomy; resulting in complete mastoidectomy ,,,3723.0,10746.0,6
RC,362,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,3723.0,10746.0,6
RC,362,Revision mastoidectomy; resulting in radical mastoidectomy ,,,3723.0,10746.0,6
RC,362,Revision mastoidectomy; resulting in tympanoplasty ,,,3723.0,5078.0,4
RC,362,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,2303.0,6
RC,362,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1257.0,6446.0,4
RC,362,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1471.0,6446.0,4
RC,362,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1257.0,6446.0,6
RC,362,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,1471.0,6446.0,4
RC,362,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,3435.0,3435.0,1
RC,362,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,3435.0,3435.0,1
RC,362,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,3435.0,6446.0,3
RC,362,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,607.0,2303.0,6
RC,362,Revision of implanted intra-arterial infusion pump ,,,870.0,2303.0,6
RC,362,Revision of peritoneal-venous shunt ,,,870.0,2303.0,6
RC,362,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6446.0,6
RC,362,Revision of stapedectomy or stapedotomy ,,,1876.0,6446.0,6
RC,362,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,3068.0,7602.0,4
RC,362,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,3435.0,3435.0,1
RC,362,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,2303.0,6
RC,362,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,3435.0,3435.0,1
RC,362,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,2303.0,6
RC,362,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1804.0,3435.0,3
RC,362,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,2303.0,6
RC,362,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,2303.0,6
RC,362,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,2303.0,6
RC,362,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,3435.0,6446.0,3
RC,362,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,3435.0,6446.0,3
RC,362,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,2303.0,4
RC,362,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,3435.0,3
RC,362,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,2303.0,2
RC,362,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,2303.0,2
RC,362,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,3435.0,6446.0,3
RC,362,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,5050.0,6446.0,2
RC,362,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,5050.0,6446.0,2
RC,362,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,362,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,3435.0,3435.0,1
RC,362,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,3435.0,3435.0,1
RC,362,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,3435.0,3435.0,1
RC,362,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,3435.0,3435.0,1
RC,362,SIGMOIDOSCOPY W/ABLATE TUMR ,,,988.0,1069.0,2
RC,362,SIGMOIDOSCOPY W/STENT ,,,988.0,1069.0,2
RC,362,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,3723.0,5078.0,4
RC,362,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,827.0,2
RC,362,STRIP RETINAL MEMBRANE ,,,3026.0,3273.0,2
RC,362,SURGICAL COLONOSCOPY ,,,988.0,1069.0,2
RC,362,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6446.0,4
RC,362,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6446.0,4
RC,362,Salpingostomy (salpingoneostomy) ,,,1876.0,6446.0,4
RC,362,Scleral reinforcement (separate procedure); with graft ,,,1257.0,6446.0,6
RC,362,Scleral reinforcement (separate procedure); without graft ,,,1257.0,6446.0,6
RC,362,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,870.0,2303.0,4
RC,362,Scrotal exploration ,,,870.0,2303.0,6
RC,362,Scrotoplasty; complicated ,,,870.0,2303.0,6
RC,362,Scrotoplasty; simple ,,,607.0,2303.0,6
RC,362,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,607.0,2303.0,4
RC,362,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,3435.0,3435.0,1
RC,362,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,3435.0,3435.0,1
RC,362,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,870.0,2303.0,8
RC,362,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,870.0,2303.0,4
RC,362,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,870.0,2303.0,4
RC,362,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,870.0,2303.0,4
RC,362,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,870.0,2303.0,4
RC,362,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,870.0,2303.0,4
RC,362,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,870.0,2303.0,4
RC,362,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,870.0,2303.0,4
RC,362,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,870.0,2303.0,4
RC,362,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,870.0,2303.0,4
RC,362,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,870.0,2303.0,4
RC,362,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,607.0,2303.0,4
RC,362,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,607.0,2303.0,4
RC,362,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,1257.0,6446.0,4
RC,362,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,870.0,2303.0,4
RC,362,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,1257.0,6446.0,4
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1471.0,6446.0,6
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1471.0,6446.0,6
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,2303.0,6
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1471.0,6446.0,6
RC,362,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1471.0,6446.0,4
RC,362,Severing of tarsorrhaphy ,,,607.0,2303.0,4
RC,362,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,870.0,2303.0,6
RC,362,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,870.0,2303.0,6
RC,362,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,1257.0,6446.0,4
RC,362,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,607.0,2303.0,4
RC,362,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,4
RC,362,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,2303.0,4
RC,362,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,607.0,2303.0,4
RC,362,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,607.0,2303.0,4
RC,362,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,2303.0,4
RC,362,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,607.0,2303.0,6
RC,362,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,607.0,2303.0,6
RC,362,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,607.0,2303.0,4
RC,362,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,2303.0,6
RC,362,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1876.0,6446.0,6
RC,362,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,2303.0,6
RC,362,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1876.0,6446.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,870.0,2303.0,6
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,1876.0,6446.0,6
RC,362,Snip incision of lacrimal punctum ,,,1804.0,2303.0,2
RC,362,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,1257.0,6446.0,6
RC,362,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,3435.0,3435.0,1
RC,362,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,1257.0,6446.0,6
RC,362,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,870.0,2303.0,6
RC,362,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Spinal puncture, lumbar, diagnostic; ",,,607.0,2303.0,6
RC,362,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,1804.0,3435.0,3
RC,362,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,607.0,2303.0,6
RC,362,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,1804.0,3435.0,3
RC,362,Splenectomy; partial (separate procedure) ,,,3435.0,3435.0,1
RC,362,Splenectomy; total (separate procedure) ,,,3435.0,3435.0,1
RC,362,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,1257.0,6446.0,4
RC,362,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,1257.0,6446.0,4
RC,362,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1876.0,3273.0,4
RC,362,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1876.0,6446.0,6
RC,362,Stapes mobilization ,,,3723.0,10746.0,6
RC,362,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,3435.0,3435.0,1
RC,362,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,3435.0,3435.0,1
RC,362,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,3435.0,3435.0,1
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,3435.0,3435.0,1
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,3435.0,3435.0,1
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,2303.0,6
RC,362,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1471.0,6446.0,6
RC,362,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1471.0,6446.0,6
RC,362,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1471.0,6446.0,6
RC,362,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1471.0,6446.0,6
RC,362,"Strabismus surgery, any procedure, superior oblique muscle ",,,1471.0,6446.0,6
RC,362,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1257.0,6446.0,6
RC,362,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1471.0,6446.0,6
RC,362,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1471.0,6446.0,6
RC,362,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1471.0,6446.0,6
RC,362,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,607.0,2303.0,4
RC,362,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,607.0,2303.0,4
RC,362,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,607.0,2303.0,4
RC,362,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,3435.0,3435.0,1
RC,362,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,3435.0,3435.0,1
RC,362,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,870.0,2303.0,8
RC,362,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,3435.0,10746.0,5
RC,362,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,3435.0,3435.0,1
RC,362,Suprahyoid lymphadenectomy ,,,870.0,2303.0,4
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,3435.0,3435.0,1
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,3435.0,3435.0,1
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,3435.0,3435.0,1
RC,362,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,3435.0,3435.0,1
RC,362,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,3435.0,3435.0,1
RC,362,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,3435.0,3435.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,3435.0,3435.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,3435.0,3435.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,3435.0,3435.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,3435.0,3435.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,3435.0,3435.0,1
RC,362,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,3435.0,3435.0,1
RC,362,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,3435.0,3435.0,1
RC,362,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,3435.0,3435.0,1
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,1257.0,6446.0,6
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,607.0,2303.0,6
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,1257.0,6446.0,6
RC,362,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,1471.0,6446.0,6
RC,362,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,3435.0,3435.0,1
RC,362,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,3435.0,3435.0,1
RC,362,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,3435.0,3435.0,1
RC,362,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,4
RC,362,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,4
RC,362,Suture and/or ligation of thoracic duct; abdominal approach ,,,3435.0,3435.0,1
RC,362,Suture and/or ligation of thoracic duct; cervical approach ,,,3435.0,3435.0,1
RC,362,Suture and/or ligation of thoracic duct; thoracic approach ,,,3435.0,3435.0,1
RC,362,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1876.0,6446.0,6
RC,362,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1876.0,6446.0,6
RC,362,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,2303.0,6
RC,362,Suture of 1 nerve; median motor thenar ,,,1257.0,6446.0,6
RC,362,Suture of 1 nerve; ulnar motor ,,,1257.0,6446.0,6
RC,362,"Suture of digital nerve, hand or foot; 1 nerve ",,,1471.0,6446.0,6
RC,362,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,607.0,2303.0,6
RC,362,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,607.0,2303.0,6
RC,362,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,607.0,2303.0,6
RC,362,Suture of esophageal wound or injury; cervical approach ,,,3435.0,3435.0,1
RC,362,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,3435.0,3435.0,1
RC,362,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,3435.0,3435.0,1
RC,362,Suture of facial nerve; extracranial ,,,1257.0,6446.0,6
RC,362,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6446.0,6
RC,362,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,2303.0,6
RC,362,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,3435.0,3435.0,1
RC,362,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,3435.0,3435.0,1
RC,362,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,2303.0,6
RC,362,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,2303.0,6
RC,362,Suture of mesentery (separate procedure) ,,,3435.0,3435.0,1
RC,362,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1257.0,6446.0,6
RC,362,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,870.0,2303.0,6
RC,362,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1257.0,6446.0,6
RC,362,Suture of posterior tibial nerve ,,,870.0,2303.0,6
RC,362,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,2303.0,6
RC,362,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,2303.0,4
RC,362,Suture of sciatic nerve ,,,870.0,2303.0,6
RC,362,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,3435.0,3435.0,1
RC,362,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,3435.0,3435.0,1
RC,362,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,607.0,2303.0,6
RC,362,Suture of; brachial plexus ,,,1257.0,6446.0,6
RC,362,Suture of; lumbar plexus ,,,1257.0,6446.0,6
RC,362,Suture or repair of testicular injury ,,,1257.0,6446.0,6
RC,362,Suture pharynx for wound or injury ,,,607.0,2303.0,6
RC,362,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,3435.0,3435.0,1
RC,362,"Sympathectomy, cervical ",,,870.0,2303.0,6
RC,362,"Sympathectomy, lumbar ",,,3435.0,3435.0,1
RC,362,"Sympathectomy, thoracolumbar ",,,3435.0,3435.0,1
RC,362,Sympathectomy; radial artery ,,,1471.0,6446.0,6
RC,362,Sympathectomy; superficial palmar arch ,,,870.0,2303.0,4
RC,362,Sympathectomy; ulnar artery ,,,870.0,2303.0,4
RC,362,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,3435.0,3435.0,1
RC,362,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,2303.0,4
RC,362,Therapeutic apheresis; for plasma pheresis ,,,870.0,2303.0,4
RC,362,Therapeutic apheresis; for platelets ,,,870.0,2303.0,4
RC,362,Therapeutic apheresis; for red blood cells ,,,870.0,2303.0,4
RC,362,Therapeutic apheresis; for white blood cells ,,,870.0,2303.0,4
RC,362,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,3723.0,10746.0,4
RC,362,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,1804.0,3435.0,3
RC,362,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,3435.0,6446.0,3
RC,362,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,362,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,362,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,362,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,362,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,8418.0,10746.0,2
RC,362,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6446.0,4
RC,362,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6446.0,4
RC,362,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1876.0,6446.0,4
RC,362,"Thyroidectomy, total or complete ",,,3723.0,10746.0,4
RC,362,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8418.0,10746.0,2
RC,362,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,3723.0,10746.0,4
RC,362,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,3723.0,10746.0,4
RC,362,"Tongue base suspension, permanent suture technique ",,,870.0,2303.0,4
RC,362,Tonsillectomy and adenoidectomy; age 12 or over ,,,1876.0,6446.0,6
RC,362,Tonsillectomy and adenoidectomy; younger than age 12 ,,,1257.0,6446.0,6
RC,362,"Tonsillectomy, primary or secondary; age 12 or over ",,,1471.0,6446.0,6
RC,362,"Tonsillectomy, primary or secondary; younger than age 12 ",,,1471.0,6446.0,6
RC,362,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,3435.0,10746.0,5
RC,362,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,3435.0,10746.0,5
RC,362,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,3435.0,10746.0,5
RC,362,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6446.0,4
RC,362,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,3435.0,3435.0,1
RC,362,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,3435.0,3435.0,1
RC,362,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,3435.0,3435.0,1
RC,362,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,3435.0,3435.0,1
RC,362,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,3435.0,3435.0,1
RC,362,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,6446.0,4
RC,362,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,2303.0,4
RC,362,Trabeculoplasty by laser surgery ,,,870.0,2303.0,4
RC,362,Trabeculotomy ab externo ,,,1471.0,6446.0,6
RC,362,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,6
RC,362,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,6
RC,362,"Transabdominal amnioinfusion, including ultrasound guidance ",,,607.0,2303.0,4
RC,362,Transcatheter biopsy ,,,1471.0,6446.0,4
RC,362,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,362,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,10746.0,7
RC,362,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,607.0,6446.0,8
RC,362,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,607.0,2303.0,4
RC,362,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1257.0,6446.0,4
RC,362,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,607.0,2303.0,4
RC,362,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,5050.0,6446.0,2
RC,362,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,5050.0,6446.0,2
RC,362,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,3435.0,3435.0,1
RC,362,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1257.0,6446.0,5
RC,362,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1257.0,6446.0,5
RC,362,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,1257.0,6446.0,4
RC,362,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,1804.0,2303.0,2
RC,362,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,5050.0,6446.0,4
RC,362,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1804.0,2303.0,2
RC,362,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,3435.0,6446.0,3
RC,362,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,2303.0,4
RC,362,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,3435.0,3435.0,1
RC,362,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,3435.0,3435.0,1
RC,362,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,2303.0,6
RC,362,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,2303.0,6
RC,362,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,2303.0,6
RC,362,Transection or avulsion of; greater occipital nerve ,,,870.0,2303.0,6
RC,362,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,870.0,2303.0,6
RC,362,Transection or avulsion of; infraorbital nerve ,,,870.0,2303.0,6
RC,362,Transection or avulsion of; lingual nerve ,,,870.0,2303.0,6
RC,362,Transection or avulsion of; mental nerve ,,,870.0,2303.0,6
RC,362,Transection or avulsion of; phrenic nerve ,,,870.0,2303.0,6
RC,362,Transection or avulsion of; supraorbital nerve ,,,870.0,2303.0,6
RC,362,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,3435.0,3435.0,1
RC,362,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,3435.0,3435.0,1
RC,362,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,362,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,3435.0,3435.0,1
RC,362,"Transfusion, blood or blood components ",,,607.0,2303.0,4
RC,362,"Transfusion, intrauterine, fetal ",,,607.0,2303.0,4
RC,362,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,607.0,5078.0,4
RC,362,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8418.0,10746.0,2
RC,362,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,607.0,10746.0,6
RC,362,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,607.0,827.0,2
RC,362,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1876.0,6446.0,4
RC,362,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1876.0,6446.0,4
RC,362,Transmastoid antrotomy (simple mastoidectomy) ,,,3723.0,10746.0,6
RC,362,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,3435.0,3435.0,1
RC,362,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,3435.0,3435.0,1
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,607.0,2303.0,4
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2174.0,6446.0,4
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1876.0,6446.0,4
RC,362,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,362,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,3435.0,5
RC,362,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,6446.0,6
RC,362,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,3435.0,3435.0,1
RC,362,Transplantation of pancreatic allograft ,,,3435.0,3435.0,1
RC,362,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,6
RC,362,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1471.0,6446.0,6
RC,362,"Transposition, ovary(s) ",,,1257.0,6446.0,4
RC,362,Transrectal drainage of pelvic abscess ,,,607.0,2303.0,6
RC,362,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,3435.0,3435.0,1
RC,362,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,3435.0,3435.0,1
RC,362,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,3068.0,7602.0,4
RC,362,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1804.0,3435.0,3
RC,362,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,2303.0,4
RC,362,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,362,Transurethral drainage of prostatic abscess ,,,870.0,2303.0,6
RC,362,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,6446.0,6
RC,362,Transurethral incision of prostate ,,,1257.0,6446.0,6
RC,362,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,870.0,2303.0,4
RC,362,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,6
RC,362,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,2303.0,6
RC,362,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,2303.0,6
RC,362,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1804.0,3435.0,3
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,870.0,2303.0,4
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,870.0,2303.0,4
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,870.0,2303.0,4
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,870.0,2303.0,4
RC,362,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,607.0,2303.0,4
RC,362,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,870.0,2303.0,4
RC,362,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1876.0,6446.0,6
RC,362,"Treatment of missed abortion, completed surgically; first trimester ",,,1876.0,6446.0,6
RC,362,"Treatment of missed abortion, completed surgically; second trimester ",,,1876.0,6446.0,6
RC,362,"Treatment of septic abortion, completed surgically ",,,870.0,3435.0,5
RC,362,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,3435.0,3435.0,1
RC,362,Tubotubal anastomosis ,,,1876.0,6446.0,4
RC,362,Tubouterine implantation ,,,1876.0,6446.0,4
RC,362,Twist drill hole for subdural or ventricular puncture ,,,3435.0,3435.0,1
RC,362,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,3435.0,3435.0,1
RC,362,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,3435.0,3435.0,1
RC,362,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,3435.0,3435.0,1
RC,362,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,3435.0,3435.0,4
RC,362,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,1257.0,1714.0,2
RC,362,Tympanic neurectomy ,,,1257.0,6446.0,6
RC,362,"Tympanolysis, transcanal ",,,607.0,1069.0,4
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,3723.0,5078.0,4
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1876.0,3273.0,4
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1876.0,3273.0,4
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1876.0,3273.0,4
RC,362,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,1257.0,2490.0,4
RC,362,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1257.0,1714.0,2
RC,362,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2303.0,2
RC,362,UPPER GI ENDOSCOPY EXAM ,,,988.0,1069.0,2
RC,362,UPPR GI ENDOSCOPY W/STENT ,,,2302.0,2490.0,2
RC,362,URETHRA PRESSURE PROFILE ,,,988.0,1069.0,2
RC,362,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1471.0,6446.0,6
RC,362,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,607.0,2303.0,4
RC,362,"Unlisted hysteroscopy procedure, uterus ",,,1257.0,6446.0,4
RC,362,"Unlisted laparoscopic procedure, liver ",,,1876.0,2559.0,2
RC,362,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,607.0,827.0,2
RC,362,"Unlisted laparoscopy procedure, appendix ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, biliary tract ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, bladder ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, esophagus ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,1876.0,2559.0,2
RC,362,"Unlisted laparoscopy procedure, lymphatic system ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,6446.0,4
RC,362,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, rectum ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, renal ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, spleen ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, stomach ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, testis ",,,1257.0,1714.0,2
RC,362,"Unlisted laparoscopy procedure, ureter ",,,1876.0,2559.0,2
RC,362,"Unlisted laparoscopy procedure, uterus ",,,1257.0,1714.0,2
RC,362,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,3435.0,3435.0,1
RC,362,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, anterior segment of eye ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, anus ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, colon ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, dentoalveolar structures ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, diaphragm ",,,3435.0,3435.0,1
RC,362,"Unlisted procedure, endocrine system ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, esophagus ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, female genital system (nonobstetrical) ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, hemic or lymphatic system ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, inner ear ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, male genital system ",,,870.0,2303.0,4
RC,362,"Unlisted procedure, maternity care and delivery ",,,870.0,2303.0,4
RC,362,"Unlisted procedure, mediastinum ",,,3435.0,3435.0,1
RC,362,"Unlisted procedure, middle ear ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, nervous system ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, salivary glands or ducts ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, small intestine ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, stomach ",,,1804.0,2303.0,2
RC,362,"Unlisted procedure, temporal bone, middle fossa approach ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, urinary system ",,,607.0,2303.0,4
RC,362,"Unlisted procedure, vascular surgery ",,,870.0,2303.0,4
RC,362,"Unlisted procedure, vestibule of mouth ",,,1876.0,6446.0,4
RC,362,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,607.0,2303.0,4
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,2303.0,6
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,607.0,2303.0,6
RC,362,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2174.0,6446.0,5
RC,362,"Ureterectomy, with bladder cuff (separate procedure) ",,,2174.0,6446.0,5
RC,362,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,3435.0,3435.0,1
RC,362,"Ureterocolon conduit, including intestine anastomosis ",,,3435.0,3435.0,1
RC,362,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,3435.0,3435.0,1
RC,362,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,3435.0,3435.0,1
RC,362,Ureterolithotomy; lower one-third of ureter ,,,1876.0,6446.0,5
RC,362,Ureterolithotomy; middle one-third of ureter ,,,1876.0,6446.0,5
RC,362,Ureterolithotomy; upper one-third of ureter ,,,1876.0,6446.0,5
RC,362,Ureterolysis for ovarian vein syndrome ,,,3435.0,3435.0,1
RC,362,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,3435.0,3435.0,1
RC,362,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,3435.0,3435.0,1
RC,362,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,3435.0,3435.0,1
RC,362,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,3435.0,3435.0,1
RC,362,Ureteroneocystostomy; with extensive ureteral tailoring ,,,3435.0,3435.0,1
RC,362,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,3435.0,3435.0,1
RC,362,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,3435.0,3435.0,1
RC,362,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,3435.0,3435.0,1
RC,362,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,3435.0,3435.0,1
RC,362,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,3435.0,3435.0,1
RC,362,"Ureterostomy, transplantation of ureter to skin ",,,3435.0,3435.0,1
RC,362,"Ureterotomy for insertion of indwelling stent, all types ",,,1876.0,6446.0,5
RC,362,Ureterotomy with exploration or drainage (separate procedure) ,,,1876.0,6446.0,5
RC,362,Ureteroureterostomy ,,,3435.0,3435.0,1
RC,362,"Urethrectomy, total, including cystostomy; female ",,,1876.0,6446.0,6
RC,362,"Urethrectomy, total, including cystostomy; male ",,,1876.0,6446.0,6
RC,362,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1876.0,6446.0,4
RC,362,"Urethromeatoplasty, with mucosal advancement ",,,607.0,2303.0,6
RC,362,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,2303.0,6
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,6
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,6
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6446.0,6
RC,362,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,6
RC,362,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,2303.0,6
RC,362,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,2303.0,6
RC,362,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,6
RC,362,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,2303.0,6
RC,362,"Urethroplasty, reconstruction of female urethra ",,,870.0,2303.0,6
RC,362,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,6
RC,362,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,2303.0,6
RC,362,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,2303.0,6
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,2303.0,6
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,2303.0,6
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,2303.0,6
RC,362,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,2303.0,6
RC,362,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,2303.0,6
RC,362,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,3435.0,3435.0,1
RC,362,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,362,Uterine evacuation and curettage for hydatidiform mole ,,,1876.0,6446.0,6
RC,362,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1876.0,6446.0,5
RC,362,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,3435.0,3435.0,1
RC,362,"Uvulectomy, excision of uvula ",,,870.0,2303.0,6
RC,362,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,1714.0,2
RC,362,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,2303.0,4
RC,362,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3435.0,5
RC,362,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,4
RC,362,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,3435.0,3435.0,1
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1876.0,6446.0,4
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1876.0,6446.0,4
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1876.0,6446.0,4
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1876.0,6446.0,4
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1876.0,6446.0,4
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1876.0,6446.0,4
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1876.0,6446.0,4
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1876.0,6446.0,4
RC,362,"Vaginal hysterectomy, radical (Schauta type operation) ",,,3435.0,3435.0,1
RC,362,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,5
RC,362,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,4
RC,362,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,4
RC,362,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,2303.0,4
RC,362,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,2303.0,4
RC,362,Vaginoplasty for intersex state ,,,1257.0,6446.0,4
RC,362,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,3435.0,3435.0,1
RC,362,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,3435.0,3435.0,1
RC,362,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,3435.0,3435.0,1
RC,362,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,6446.0,2
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,1257.0,6446.0,4
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,1257.0,6446.0,4
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1257.0,6446.0,4
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,1257.0,6446.0,4
RC,362,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,1257.0,2490.0,4
RC,362,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,870.0,2303.0,6
RC,362,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,870.0,2303.0,4
RC,362,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,2303.0,6
RC,362,"Vasovasostomy, vasovasorrhaphy ",,,607.0,2303.0,6
RC,362,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",,,3435.0,3435.0,1
RC,362,"Venipuncture, cutdown; age 1 or over ",,,607.0,3435.0,5
RC,362,"Venipuncture, cutdown; younger than age 1 year ",,,607.0,3435.0,5
RC,362,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,3435.0,3435.0,1
RC,362,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,3435.0,3435.0,1
RC,362,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,3435.0,3435.0,1
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,362,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,362,"Venous anastomosis, open; caval-mesenteric ",,,3435.0,3435.0,1
RC,362,"Venous anastomosis, open; portocaval ",,,3435.0,3435.0,1
RC,362,"Venous anastomosis, open; renoportal ",,,3435.0,3435.0,1
RC,362,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,3435.0,3435.0,1
RC,362,"Venous anastomosis, open; splenorenal, proximal ",,,3435.0,3435.0,1
RC,362,Venous catheterization for selective organ blood sampling ,,,607.0,2303.0,4
RC,362,Ventilating tube removal requiring general anesthesia ,,,607.0,2303.0,4
RC,362,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,607.0,2303.0,6
RC,362,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,607.0,2303.0,6
RC,362,Ventriculocisternostomy (Torkildsen type operation) ,,,3435.0,3435.0,1
RC,362,"Ventriculocisternostomy, third ventricle; ",,,3435.0,3435.0,1
RC,362,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,3435.0,3435.0,1
RC,362,"Vermilionectomy (lip shave), with mucosal advancement ",,,870.0,2303.0,6
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,3435.0,3435.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,3435.0,3435.0,2
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,3435.0,3435.0,1
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,3435.0,3435.0,1
RC,362,"Vesiculectomy, any approach ",,,607.0,2303.0,4
RC,362,Vesiculotomy; ,,,607.0,2303.0,4
RC,362,Vesiculotomy; complicated ,,,607.0,2303.0,4
RC,362,"Vestibular nerve section, transcranial approach ",,,3435.0,3435.0,1
RC,362,"Vestibular nerve section, translabyrinthine approach ",,,3723.0,10746.0,6
RC,362,Vestibuloplasty; anterior ,,,870.0,2303.0,6
RC,362,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,1876.0,6446.0,6
RC,362,Vestibuloplasty; entire arch ,,,1876.0,6446.0,6
RC,362,"Vestibuloplasty; posterior, bilateral ",,,1257.0,6446.0,6
RC,362,"Vestibuloplasty; posterior, unilateral ",,,1257.0,6446.0,6
RC,362,"Vitrectomy, mechanical, pars plana approach; ",,,1471.0,6446.0,6
RC,362,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,3723.0,10746.0,6
RC,362,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,3723.0,10746.0,6
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1876.0,6446.0,4
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1876.0,6446.0,4
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,3723.0,10746.0,4
RC,362,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,362,Vulvectomy simple; complete ,,,3723.0,6446.0,6
RC,362,Vulvectomy simple; partial ,,,1876.0,6446.0,6
RC,362,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,3435.0,3435.0,1
RC,362,"Vulvectomy, radical, partial; ",,,3435.0,10746.0,3
RC,362,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,4
RC,367, Operating Room Services Kidney Transplant  ,,,2122.0,2894.0,4
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6446.0,6
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,6
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6446.0,6
RC,367,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,6
RC,367,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,3723.0,10746.0,4
RC,367,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1876.0,6446.0,4
RC,367,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,367,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,367,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,870.0,2303.0,4
RC,367,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,870.0,2303.0,4
RC,367,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1876.0,6446.0,4
RC,367,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1804.0,3435.0,3
RC,367,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1804.0,3435.0,3
RC,367,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1804.0,3435.0,3
RC,367,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1804.0,3435.0,3
RC,367,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,3435.0,6446.0,3
RC,367,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,367,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,3068.0,7602.0,4
RC,367,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1471.0,6446.0,4
RC,367,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,6446.0,4
RC,367,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,3435.0,6446.0,3
RC,367,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1804.0,3435.0,3
RC,367,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,3435.0,10746.0,5
RC,367,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,1876.0,6446.0,5
RC,367,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,1876.0,6446.0,5
RC,367,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,3068.0,7602.0,4
RC,367,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,607.0,827.0,2
RC,367,"Adenoidectomy, primary; age 12 or over ",,,1471.0,6446.0,6
RC,367,"Adenoidectomy, primary; younger than age 12 ",,,1471.0,6446.0,6
RC,367,"Adenoidectomy, secondary; age 12 or over ",,,1471.0,6446.0,6
RC,367,"Adenoidectomy, secondary; younger than age 12 ",,,1471.0,6446.0,6
RC,367,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,367,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,367,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,3435.0,10746.0,5
RC,367,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,3435.0,3435.0,1
RC,367,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,607.0,2303.0,4
RC,367,"Alveoloplasty, each quadrant (specify) ",,,607.0,2303.0,4
RC,367,Amniocentesis; diagnostic ,,,607.0,2303.0,4
RC,367,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,607.0,2303.0,4
RC,367,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,3435.0,3435.0,1
RC,367,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,3435.0,3435.0,1
RC,367,Amputation of penis; complete ,,,870.0,2303.0,4
RC,367,Amputation of penis; partial ,,,870.0,2303.0,6
RC,367,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,3435.0,3435.0,1
RC,367,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,3435.0,3435.0,1
RC,367,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,3435.0,3435.0,1
RC,367,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,3435.0,3435.0,1
RC,367,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,3435.0,3435.0,1
RC,367,Anastomosis; facial-hypoglossal ,,,3435.0,3435.0,1
RC,367,Anastomosis; facial-spinal accessory ,,,3435.0,3435.0,1
RC,367,"Anoplasty, plastic operation for stricture; adult ",,,1257.0,6446.0,6
RC,367,"Anoplasty, plastic operation for stricture; infant ",,,3435.0,3435.0,1
RC,367,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,870.0,2303.0,6
RC,367,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2303.0,2
RC,367,Anorectal myomectomy ,,,870.0,2303.0,6
RC,367,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,4
RC,367,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,607.0,2303.0,4
RC,367,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,870.0,2303.0,6
RC,367,"Anoscopy; with biopsy, single or multiple ",,,607.0,2303.0,4
RC,367,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,2303.0,4
RC,367,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,2303.0,4
RC,367,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,607.0,2303.0,4
RC,367,Anoscopy; with removal of foreign body ,,,607.0,2303.0,6
RC,367,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,2303.0,6
RC,367,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,2303.0,6
RC,367,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,2303.0,6
RC,367,Antepartum care only; 4-6 visits ,,,3435.0,3435.0,1
RC,367,Antepartum care only; 7 or more visits ,,,3435.0,3435.0,1
RC,367,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1876.0,6446.0,6
RC,367,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,3723.0,10746.0,4
RC,367,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,3723.0,10746.0,4
RC,367,Appendectomy; ,,,1471.0,6446.0,4
RC,367,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,3435.0,3435.0,1
RC,367,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,2303.0,4
RC,367,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,2303.0,4
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,607.0,2303.0,8
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,607.0,2303.0,4
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,870.0,2303.0,4
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,607.0,2303.0,4
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,870.0,2303.0,4
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,607.0,2303.0,4
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,870.0,2303.0,4
RC,367,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,4
RC,367,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,607.0,3435.0,5
RC,367,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1876.0,6446.0,6
RC,367,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1471.0,6446.0,4
RC,367,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,5050.0,6446.0,2
RC,367,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,5050.0,6446.0,2
RC,367,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,5050.0,6446.0,2
RC,367,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,5050.0,6446.0,2
RC,367,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,5050.0,6446.0,2
RC,367,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,5050.0,6446.0,2
RC,367,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,607.0,2303.0,6
RC,367,"Aspiration and/or injection, thyroid cyst ",,,607.0,2303.0,4
RC,367,Aspiration of bladder; by needle ,,,607.0,2303.0,4
RC,367,Aspiration of bladder; by trocar or intracatheter ,,,607.0,2303.0,4
RC,367,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,2303.0,4
RC,367,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,2303.0,6
RC,367,Axillary lymphadenectomy; complete ,,,1471.0,6446.0,6
RC,367,Axillary lymphadenectomy; superficial ,,,870.0,2303.0,6
RC,367,BIOPSY EYE MUSCLE ,,,988.0,1069.0,2
RC,367,BIOPSY OF STOMACH ,,,988.0,1069.0,2
RC,367,BIOPSY OF THROAT ,,,988.0,1069.0,2
RC,367,BRAIN SURGERY USING COMPUTER ,,,988.0,1069.0,2
RC,367,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,3435.0,3435.0,1
RC,367,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,3435.0,3435.0,1
RC,367,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,3435.0,3435.0,1
RC,367,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,3435.0,3435.0,1
RC,367,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,3435.0,3435.0,1
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,3435.0,3435.0,1
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,3435.0,3435.0,1
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,3435.0,3435.0,1
RC,367,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,3435.0,3435.0,1
RC,367,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,3435.0,3435.0,1
RC,367,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,3435.0,3435.0,3
RC,367,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,3435.0,3435.0,1
RC,367,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,3435.0,3435.0,1
RC,367,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,3435.0,3435.0,1
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,3435.0,3435.0,1
RC,367,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,607.0,2303.0,4
RC,367,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,607.0,2303.0,4
RC,367,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,3435.0,3435.0,1
RC,367,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,3435.0,3435.0,1
RC,367,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,3435.0,3435.0,1
RC,367,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,3435.0,3435.0,1
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,870.0,2303.0,6
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1257.0,6446.0,6
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,1257.0,6446.0,6
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1257.0,6446.0,6
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1257.0,6446.0,6
RC,367,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,870.0,2303.0,4
RC,367,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,607.0,2303.0,6
RC,367,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,607.0,2303.0,4
RC,367,Biopsy of conjunctiva ,,,607.0,2303.0,4
RC,367,Biopsy of cornea ,,,870.0,2303.0,6
RC,367,"Biopsy of epididymis, needle ",,,607.0,2303.0,6
RC,367,Biopsy of extraocular muscle ,,,607.0,2303.0,6
RC,367,Biopsy of floor of mouth ,,,607.0,2303.0,4
RC,367,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,607.0,2303.0,6
RC,367,Biopsy of lacrimal gland ,,,607.0,2303.0,6
RC,367,Biopsy of lacrimal sac ,,,607.0,2303.0,6
RC,367,"Biopsy of liver, needle; percutaneous ",,,607.0,2303.0,6
RC,367,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,"Biopsy of liver, wedge ",,,3435.0,3435.0,1
RC,367,Biopsy of nerve ,,,870.0,2303.0,6
RC,367,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Biopsy of palate, uvula ",,,607.0,2303.0,4
RC,367,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,3435.0,3435.0,1
RC,367,"Biopsy of pancreas, percutaneous needle ",,,607.0,2303.0,6
RC,367,Biopsy of penis; (separate procedure) ,,,607.0,2303.0,6
RC,367,Biopsy of penis; deep structures ,,,607.0,2303.0,6
RC,367,Biopsy of salivary gland; incisional ,,,870.0,2303.0,6
RC,367,Biopsy of salivary gland; needle ,,,607.0,2303.0,4
RC,367,"Biopsy of spinal cord, percutaneous needle ",,,607.0,2303.0,6
RC,367,"Biopsy of testis, incisional (separate procedure) ",,,607.0,2303.0,6
RC,367,"Biopsy of testis, needle (separate procedure) ",,,607.0,2303.0,6
RC,367,Biopsy of tongue; anterior two-thirds ,,,607.0,2303.0,4
RC,367,Biopsy of tongue; posterior one-third ,,,870.0,2303.0,4
RC,367,Biopsy of urethra ,,,607.0,2303.0,6
RC,367,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,2303.0,6
RC,367,Biopsy of vaginal mucosa; simple (separate procedure) ,,,607.0,2303.0,4
RC,367,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,607.0,2303.0,4
RC,367,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,367,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,607.0,2303.0,6
RC,367,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,870.0,2303.0,6
RC,367,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,870.0,2303.0,6
RC,367,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,870.0,2303.0,6
RC,367,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,1804.0,3435.0,3
RC,367,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,870.0,2303.0,6
RC,367,"Biopsy or excision of lymph node(s); open, superficial ",,,870.0,2303.0,6
RC,367,"Biopsy thyroid, percutaneous core needle ",,,607.0,2303.0,4
RC,367,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,607.0,2303.0,6
RC,367,"Biopsy, prostate, any approach, nonimaging-guided ",,,870.0,2303.0,6
RC,367,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1804.0,3435.0,3
RC,367,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,3435.0,6446.0,3
RC,367,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,3435.0,6446.0,3
RC,367,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1804.0,3435.0,3
RC,367,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1804.0,3435.0,3
RC,367,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1804.0,3435.0,3
RC,367,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1804.0,3435.0,3
RC,367,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1804.0,3435.0,3
RC,367,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1804.0,3435.0,3
RC,367,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,870.0,1687.0,4
RC,367,"Biopsy, vestibule of mouth ",,,607.0,2303.0,4
RC,367,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,870.0,2303.0,6
RC,367,"Biopsy; nasopharynx, visible lesion, simple ",,,607.0,2303.0,6
RC,367,Biopsy; oropharynx ,,,607.0,2303.0,4
RC,367,Bladder instillation of anticarcinogenic agent (including retention time) ,,,607.0,827.0,2
RC,367,"Bladder irrigation, simple, lavage and/or instillation ",,,607.0,2303.0,4
RC,367,"Blepharotomy, drainage of abscess, eyelid ",,,607.0,2303.0,4
RC,367,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,8418.0,10746.0,2
RC,367,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,8418.0,10746.0,2
RC,367,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,367,Bone marrow harvesting for transplantation; allogeneic ,,,1876.0,6446.0,4
RC,367,Bone marrow harvesting for transplantation; autologous ,,,1257.0,6446.0,4
RC,367,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,5050.0,6446.0,2
RC,367,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,2303.0,2
RC,367,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,367,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,8418.0,10746.0,2
RC,367,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,2303.0,2
RC,367,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,5050.0,6446.0,2
RC,367,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,5050.0,6446.0,2
RC,367,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,5050.0,6446.0,2
RC,367,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,3435.0,3435.0,1
RC,367,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,3435.0,3435.0,1
RC,367,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,3435.0,3435.0,1
RC,367,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,3435.0,3435.0,1
RC,367,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,3435.0,3435.0,1
RC,367,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,3435.0,3435.0,1
RC,367,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,3435.0,3435.0,1
RC,367,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,3435.0,3435.0,1
RC,367,CHANGE BILE DUCT CATHETER ,,,988.0,1069.0,2
RC,367,CHANGE KIDNEY TUBE ,,,988.0,1069.0,2
RC,367,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,607.0,1069.0,4
RC,367,CIRCUMCISION ,,,988.0,1069.0,2
RC,367,COLONOSCOPY LESION REMOVAL ,,,988.0,1069.0,2
RC,367,COLONOSCOPY W/STENT ,,,988.0,1069.0,4
RC,367,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,367,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,367,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,367,CONTROL POSTOP BLEEDING ,,,988.0,1069.0,2
RC,367,CRYOTHERAPY OF RECTAL LESION ,,,1560.0,1687.0,4
RC,367,Canthoplasty (reconstruction of canthus) ,,,870.0,2303.0,6
RC,367,Canthotomy (separate procedure) ,,,607.0,2303.0,6
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,5956.0,7602.0,2
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8418.0,10746.0,2
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,5956.0,10746.0,6
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8418.0,10746.0,2
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,5956.0,10746.0,8
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,5956.0,10746.0,6
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,2303.0,2
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,5956.0,7602.0,2
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8418.0,10746.0,2
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,5956.0,10746.0,4
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,5956.0,7602.0,2
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8418.0,10746.0,2
RC,367,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,607.0,2303.0,4
RC,367,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,367,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,367,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1804.0,3435.0,3
RC,367,"Cautery of cervix; cryocautery, initial or repeat ",,,607.0,2303.0,4
RC,367,Cautery of cervix; electro or thermal ,,,870.0,2303.0,4
RC,367,Cautery of cervix; laser ablation ,,,870.0,2303.0,6
RC,367,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,5
RC,367,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,2303.0,6
RC,367,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,2303.0,6
RC,367,Cervical lymphadenectomy (complete) ,,,1471.0,6446.0,4
RC,367,Cervical lymphadenectomy (modified radical neck dissection) ,,,1471.0,6446.0,5
RC,367,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,3435.0,3435.0,1
RC,367,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,3435.0,3435.0,1
RC,367,Cesarean delivery only; ,,,3435.0,3435.0,1
RC,367,Cesarean delivery only; including postpartum care ,,,1876.0,6446.0,5
RC,367,Change of cystostomy tube; complicated ,,,607.0,2303.0,6
RC,367,Change of cystostomy tube; simple ,,,607.0,2303.0,4
RC,367,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,2303.0,6
RC,367,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,2303.0,2
RC,367,Chemodenervation of eccrine glands; both axillae ,,,607.0,2303.0,4
RC,367,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,607.0,2303.0,4
RC,367,Chemodenervation of extraocular muscle ,,,607.0,2303.0,4
RC,367,Chemodenervation of internal anal sphincter ,,,607.0,2303.0,4
RC,367,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,607.0,2303.0,4
RC,367,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,607.0,2303.0,4
RC,367,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,607.0,2303.0,4
RC,367,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,607.0,2303.0,4
RC,367,Chemodenervation of one extremity; 1-4 muscle(s) ,,,607.0,2303.0,4
RC,367,Chemodenervation of one extremity; 5 or more muscles ,,,607.0,2303.0,4
RC,367,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,607.0,2303.0,4
RC,367,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,607.0,2303.0,4
RC,367,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,607.0,2303.0,4
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,3435.0,3435.0,1
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,3435.0,3435.0,1
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,3435.0,3435.0,1
RC,367,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,3435.0,3435.0,1
RC,367,Cholecystectomy with exploration of common duct; ,,,2174.0,6446.0,5
RC,367,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,2174.0,6446.0,5
RC,367,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,3435.0,10746.0,5
RC,367,Cholecystectomy; ,,,1471.0,6446.0,5
RC,367,Cholecystectomy; with cholangiography ,,,1876.0,6446.0,5
RC,367,Cholecystoenterostomy; Roux-en-Y ,,,3435.0,3435.0,1
RC,367,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,3435.0,3435.0,1
RC,367,Cholecystoenterostomy; direct ,,,3435.0,3435.0,1
RC,367,Cholecystoenterostomy; with gastroenterostomy ,,,3435.0,3435.0,1
RC,367,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,3435.0,3435.0,1
RC,367,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,3435.0,3435.0,1
RC,367,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,6
RC,367,Ciliary body destruction; cryotherapy ,,,870.0,2303.0,6
RC,367,Ciliary body destruction; cyclodialysis ,,,870.0,2303.0,6
RC,367,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,2303.0,6
RC,367,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,2303.0,6
RC,367,Ciliary body destruction; diathermy ,,,870.0,2303.0,6
RC,367,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,870.0,2303.0,6
RC,367,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,2303.0,6
RC,367,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,2303.0,6
RC,367,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,607.0,2303.0,6
RC,367,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,607.0,2303.0,6
RC,367,Closure of anal fistula with rectal advancement flap ,,,1471.0,6446.0,6
RC,367,Closure of cystostomy (separate procedure) ,,,607.0,2303.0,6
RC,367,Closure of enteroenteric or enterocolic fistula ,,,3435.0,3435.0,1
RC,367,"Closure of enterostomy, large or small intestine; ",,,3435.0,3435.0,1
RC,367,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,3435.0,3435.0,1
RC,367,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,3435.0,3435.0,1
RC,367,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,3435.0,3435.0,1
RC,367,Closure of enterovesical fistula; without intestinal or bladder resection ,,,3435.0,3435.0,1
RC,367,Closure of esophagostomy or fistula; cervical approach ,,,870.0,2303.0,4
RC,367,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,3435.0,3435.0,1
RC,367,Closure of gastrocolic fistula ,,,3435.0,3435.0,1
RC,367,"Closure of gastrostomy, surgical ",,,607.0,2303.0,6
RC,367,Closure of intestinal cutaneous fistula ,,,3435.0,3435.0,1
RC,367,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,607.0,2303.0,6
RC,367,Closure of lacrimal fistula (separate procedure) ,,,1471.0,6446.0,6
RC,367,Closure of nephrocutaneous or pyelocutaneous fistula ,,,607.0,2303.0,4
RC,367,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,3435.0,3435.0,1
RC,367,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,3435.0,3435.0,1
RC,367,Closure of rectourethral fistula; ,,,3435.0,3435.0,1
RC,367,Closure of rectourethral fistula; with colostomy ,,,3435.0,3435.0,1
RC,367,Closure of rectovaginal fistula; abdominal approach ,,,1876.0,6446.0,5
RC,367,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,3435.0,3435.0,1
RC,367,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,6
RC,367,Closure of rectovesical fistula; ,,,3435.0,3435.0,1
RC,367,Closure of rectovesical fistula; with colostomy ,,,3435.0,3435.0,1
RC,367,"Closure of the lacrimal punctum; by plug, each ",,,607.0,2303.0,4
RC,367,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,607.0,2303.0,4
RC,367,Closure of ureterocutaneous fistula ,,,3435.0,3435.0,1
RC,367,Closure of ureterovisceral fistula (including visceral repair) ,,,3435.0,3435.0,1
RC,367,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,2303.0,6
RC,367,Closure of urethrovaginal fistula; ,,,1257.0,6446.0,4
RC,367,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,4
RC,367,Closure of vesicouterine fistula; ,,,1257.0,6446.0,4
RC,367,Closure of vesicouterine fistula; with hysterectomy ,,,3435.0,3435.0,1
RC,367,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,4
RC,367,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,4
RC,367,"Closure postauricular fistula, mastoid (separate procedure) ",,,1257.0,6446.0,6
RC,367,Closure salivary fistula ,,,607.0,2303.0,6
RC,367,"Closure, exstrophy of bladder ",,,3435.0,3435.0,1
RC,367,"Cochlear device implantation, with or without mastoidectomy ",,,3723.0,10746.0,6
RC,367,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,3435.0,3435.0,1
RC,367,"Colectomy, partial; abdominal and transanal approach ",,,3435.0,3435.0,1
RC,367,"Colectomy, partial; with anastomosis ",,,3435.0,3435.0,1
RC,367,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,3435.0,3435.0,1
RC,367,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,3435.0,3435.0,1
RC,367,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,3435.0,3435.0,1
RC,367,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,3435.0,3435.0,1
RC,367,"Colectomy, partial; with skin level cecostomy or colostomy ",,,3435.0,3435.0,1
RC,367,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,3435.0,3435.0,1
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,3435.0,3435.0,1
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,3435.0,3435.0,1
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,3435.0,3435.0,1
RC,367,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,3435.0,3435.0,1
RC,367,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,3435.0,3435.0,1
RC,367,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,367,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,607.0,2303.0,4
RC,367,"Colonoscopy through stoma; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,367,"Colonoscopy through stoma; with control of bleeding, any method ",,,607.0,2303.0,6
RC,367,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,2303.0,4
RC,367,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,607.0,2303.0,4
RC,367,Colonoscopy through stoma; with endoscopic mucosal resection ,,,607.0,2303.0,4
RC,367,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,607.0,2303.0,4
RC,367,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,607.0,2303.0,4
RC,367,Colonoscopy through stoma; with removal of foreign body(s) ,,,607.0,2303.0,6
RC,367,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,2303.0,6
RC,367,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,2303.0,6
RC,367,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,607.0,2303.0,4
RC,367,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,607.0,2303.0,4
RC,367,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,367,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,870.0,2303.0,4
RC,367,"Colonoscopy, flexible; with biopsy, single or multiple ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with control of bleeding, any method ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,870.0,2303.0,4
RC,367,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,870.0,2303.0,4
RC,367,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,367,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with removal of foreign body(s) ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,870.0,2303.0,6
RC,367,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,870.0,2303.0,6
RC,367,Colorectal cancer screening; colonoscopy on individual at high risk ,,,870.0,2303.0,6
RC,367,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,870.0,2303.0,6
RC,367,Colorectal cancer screening; flexible sigmoidoscopy ,,,1804.0,2303.0,2
RC,367,Colostomy or skin level cecostomy; ,,,3435.0,3435.0,1
RC,367,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,2174.0,6446.0,5
RC,367,Colpocentesis (separate procedure) ,,,870.0,2303.0,6
RC,367,Colpocleisis (Le Fort type) ,,,5050.0,6446.0,2
RC,367,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,2303.0,6
RC,367,"Colpopexy, abdominal approach ",,,1876.0,6446.0,4
RC,367,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1876.0,6446.0,4
RC,367,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1876.0,6446.0,4
RC,367,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,5050.0,6446.0,2
RC,367,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,2303.0,6
RC,367,Colposcopy of the cervix including upper/adjacent vagina; ,,,870.0,2303.0,4
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,607.0,2303.0,4
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,870.0,2303.0,4
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,607.0,2303.0,4
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,2303.0,4
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,4
RC,367,"Colposcopy of the entire vagina, with cervix if present; ",,,607.0,2303.0,4
RC,367,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,607.0,2303.0,4
RC,367,Colposcopy of the vulva; ,,,607.0,2303.0,4
RC,367,Colposcopy of the vulva; with biopsy(s) ,,,607.0,2303.0,4
RC,367,Colpotomy; with drainage of pelvic abscess ,,,870.0,2303.0,6
RC,367,Colpotomy; with exploration ,,,607.0,2303.0,6
RC,367,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1876.0,6446.0,6
RC,367,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,3723.0,10746.0,6
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,607.0,2303.0,6
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,607.0,2303.0,4
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,607.0,2303.0,4
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,607.0,2303.0,4
RC,367,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,3723.0,5078.0,4
RC,367,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,3723.0,5078.0,2
RC,367,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,3435.0,3435.0,1
RC,367,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,2303.0,6
RC,367,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,2303.0,6
RC,367,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,2303.0,6
RC,367,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,2303.0,6
RC,367,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1471.0,6446.0,6
RC,367,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1471.0,6446.0,6
RC,367,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1471.0,6446.0,6
RC,367,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1471.0,6446.0,6
RC,367,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1471.0,6446.0,6
RC,367,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1471.0,6446.0,6
RC,367,Construction of artificial vagina; with graft ,,,1471.0,6446.0,4
RC,367,Construction of artificial vagina; without graft ,,,1876.0,6446.0,6
RC,367,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1257.0,6446.0,6
RC,367,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1257.0,6446.0,6
RC,367,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,3435.0,3435.0,1
RC,367,Continent ileostomy (Kock procedure) (separate procedure) ,,,3435.0,3435.0,1
RC,367,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,607.0,2303.0,4
RC,367,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,607.0,2303.0,4
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,3435.0,3435.0,1
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,607.0,2303.0,4
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,1257.0,6446.0,6
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,3435.0,3435.0,1
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,607.0,2303.0,6
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,870.0,2303.0,6
RC,367,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,870.0,2303.0,4
RC,367,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,2303.0,4
RC,367,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,2303.0,2
RC,367,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,607.0,2303.0,4
RC,367,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1471.0,6446.0,6
RC,367,Corneal wedge resection for correction of surgically induced astigmatism ,,,1471.0,6446.0,6
RC,367,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,3435.0,3435.0,1
RC,367,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1471.0,6446.0,6
RC,367,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1471.0,6446.0,6
RC,367,"Correction of everted punctum, cautery ",,,607.0,2303.0,4
RC,367,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1257.0,6446.0,6
RC,367,Correction of lid retraction ,,,1257.0,6446.0,6
RC,367,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,3435.0,10746.0,5
RC,367,Correction of trichiasis; incision of lid margin ,,,870.0,2303.0,6
RC,367,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,2303.0,6
RC,367,Craniectomy for craniosynostosis; multiple cranial sutures ,,,3435.0,3435.0,1
RC,367,Craniectomy for craniosynostosis; single cranial suture ,,,3435.0,3435.0,1
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,3435.0,3435.0,1
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,3435.0,3435.0,1
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,3435.0,3435.0,1
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,3435.0,3435.0,1
RC,367,"Craniectomy or craniotomy, exploratory; supratentorial ",,,3435.0,3435.0,1
RC,367,Craniectomy or craniotomy; with excision of foreign body from brain ,,,3435.0,3435.0,1
RC,367,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,3435.0,3435.0,1
RC,367,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,3435.0,3435.0,1
RC,367,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,3435.0,3435.0,1
RC,367,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,3435.0,3435.0,1
RC,367,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,3435.0,3435.0,1
RC,367,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,3435.0,3435.0,1
RC,367,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,3435.0,3435.0,1
RC,367,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,3435.0,3435.0,1
RC,367,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,3435.0,3435.0,1
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,3435.0,3435.0,1
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,3435.0,3435.0,1
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,3435.0,3435.0,1
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,3435.0,3435.0,1
RC,367,Craniectomy; for osteomyelitis ,,,3435.0,3435.0,1
RC,367,Craniectomy; with excision of tumor or other bone lesion of skull ,,,3114.0,7602.0,4
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,3435.0,3435.0,1
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,3435.0,3435.0,1
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,3435.0,3435.0,1
RC,367,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,3435.0,3435.0,1
RC,367,Cranioplasty for skull defect with reparative brain surgery ,,,3435.0,3435.0,1
RC,367,Cranioplasty for skull defect; larger than 5 cm diameter ,,,3435.0,3435.0,1
RC,367,Cranioplasty for skull defect; up to 5 cm diameter ,,,3435.0,3435.0,1
RC,367,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,3435.0,3435.0,1
RC,367,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,3435.0,3435.0,1
RC,367,Craniotomy for craniosynostosis; bifrontal bone flap ,,,3435.0,3435.0,1
RC,367,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,3435.0,3435.0,1
RC,367,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,3435.0,3435.0,1
RC,367,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,3435.0,3435.0,1
RC,367,"Craniotomy for repair of encephalocele, skull base ",,,3435.0,3435.0,1
RC,367,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,3435.0,3435.0,1
RC,367,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,3435.0,3435.0,1
RC,367,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,3435.0,3435.0,1
RC,367,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,3435.0,3435.0,1
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,3435.0,3435.0,1
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,3435.0,3435.0,1
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,3435.0,3435.0,1
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,3435.0,3435.0,1
RC,367,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,3435.0,3435.0,1
RC,367,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,3435.0,3435.0,1
RC,367,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,3435.0,3435.0,1
RC,367,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,3435.0,3435.0,1
RC,367,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,3435.0,3435.0,1
RC,367,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,3435.0,3435.0,1
RC,367,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,5050.0,6446.0,2
RC,367,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,5050.0,6446.0,2
RC,367,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,3435.0,3435.0,1
RC,367,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1257.0,6446.0,6
RC,367,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1257.0,6446.0,6
RC,367,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,2303.0,6
RC,367,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,3435.0,3435.0,1
RC,367,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,2303.0,4
RC,367,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,3435.0,3435.0,1
RC,367,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,3435.0,3435.0,1
RC,367,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,3435.0,3435.0,1
RC,367,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,3435.0,3435.0,1
RC,367,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2174.0,6446.0,6
RC,367,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,607.0,2303.0,4
RC,367,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,607.0,2303.0,4
RC,367,"Curettage, postpartum ",,,1257.0,6446.0,6
RC,367,Cutaneous appendico-vesicostomy ,,,3435.0,3435.0,1
RC,367,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,3435.0,3435.0,1
RC,367,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,3435.0,3435.0,1
RC,367,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,3435.0,3435.0,1
RC,367,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,3435.0,3435.0,1
RC,367,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,3435.0,3435.0,1
RC,367,"Cystectomy, complete; (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,3435.0,3435.0,1
RC,367,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,3435.0,3435.0,1
RC,367,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,3435.0,3435.0,1
RC,367,"Cystectomy, partial; simple ",,,3435.0,3435.0,1
RC,367,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,6
RC,367,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,3435.0,10746.0,5
RC,367,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,4
RC,367,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,2303.0,4
RC,367,"Cystostomy, cystotomy with drainage ",,,1471.0,6446.0,6
RC,367,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1471.0,6446.0,6
RC,367,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1471.0,2760.0,4
RC,367,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1471.0,6446.0,6
RC,367,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1471.0,6446.0,6
RC,367,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1471.0,6446.0,6
RC,367,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,3435.0,10746.0,5
RC,367,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,6
RC,367,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,2303.0,6
RC,367,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1876.0,6446.0,6
RC,367,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,2303.0,6
RC,367,Cystourethroscopy (separate procedure) ,,,607.0,1069.0,4
RC,367,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,870.0,2303.0,6
RC,367,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,2303.0,2
RC,367,Cystourethroscopy with direct vision internal urethrotomy ,,,1257.0,6446.0,6
RC,367,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,6
RC,367,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,3435.0,6446.0,3
RC,367,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1471.0,6446.0,6
RC,367,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,3435.0,6446.0,3
RC,367,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,6446.0,6
RC,367,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,870.0,2303.0,6
RC,367,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,6
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,2303.0,2
RC,367,"Cystourethroscopy, with biopsy(s) ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,870.0,2303.0,4
RC,367,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,870.0,2303.0,4
RC,367,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,1687.0,4
RC,367,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,607.0,2303.0,4
RC,367,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1257.0,6446.0,4
RC,367,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,5050.0,6446.0,2
RC,367,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,6446.0,4
RC,367,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1876.0,6446.0,4
RC,367,"Cystourethroscopy, with internal urethrotomy; female ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,3435.0,6446.0,3
RC,367,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,1687.0,4
RC,367,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5050.0,6446.0,2
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,6446.0,6
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,2007.0,2
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1471.0,6446.0,6
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,6446.0,6
RC,367,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,2303.0,6
RC,367,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,6
RC,367,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,2303.0,6
RC,367,D & C OF RESIDUAL CERVIX ,,,2302.0,2490.0,2
RC,367,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,1069.0,4
RC,367,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,1069.0,2
RC,367,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,1069.0,2
RC,367,DILATE ESOPHAGUS ,,,1560.0,1687.0,4
RC,367,DILATION PROSTATIC URETHRA ,,,2302.0,2490.0,2
RC,367,DRAINAGE OF BLADDER ,,,988.0,1069.0,2
RC,367,DRAINAGE OF EYE ,,,988.0,1069.0,2
RC,367,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1471.0,6446.0,6
RC,367,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,607.0,2303.0,8
RC,367,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,607.0,2303.0,4
RC,367,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,2303.0,2
RC,367,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,870.0,2303.0,4
RC,367,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1876.0,6446.0,4
RC,367,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1876.0,6446.0,6
RC,367,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1876.0,6446.0,6
RC,367,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1804.0,3435.0,3
RC,367,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,3435.0,6446.0,3
RC,367,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1804.0,3435.0,3
RC,367,Decompression; plantar digital nerve ,,,607.0,2303.0,6
RC,367,Decompression; unspecified nerve(s) (specify) ,,,607.0,2303.0,6
RC,367,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,607.0,2303.0,4
RC,367,Deligation of ureter ,,,3435.0,3435.0,1
RC,367,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,367,"Destruction by neurolytic agent, intercostal nerve ",,,607.0,2303.0,6
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,607.0,2303.0,4
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,2303.0,4
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,607.0,2303.0,4
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,2303.0,4
RC,367,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,2303.0,6
RC,367,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,2303.0,6
RC,367,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,607.0,2303.0,6
RC,367,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,870.0,2303.0,6
RC,367,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,870.0,2303.0,6
RC,367,Destruction by neurolytic agent; other peripheral nerve or branch ,,,607.0,2303.0,4
RC,367,Destruction by neurolytic agent; plantar common digital nerve ,,,607.0,2303.0,4
RC,367,Destruction by neurolytic agent; pudendal nerve ,,,870.0,2303.0,6
RC,367,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,607.0,2303.0,4
RC,367,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,2303.0,6
RC,367,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,607.0,2303.0,4
RC,367,"Destruction of lesion (except excision), dentoalveolar structures ",,,607.0,2303.0,4
RC,367,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,607.0,2303.0,4
RC,367,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,2303.0,4
RC,367,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,607.0,2303.0,4
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,6
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,607.0,2303.0,4
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,870.0,2303.0,4
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,870.0,2303.0,4
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,2303.0,6
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,2303.0,6
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,6
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,2303.0,6
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,2303.0,6
RC,367,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1257.0,6446.0,6
RC,367,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,4
RC,367,"Destruction of lesion, conjunctiva ",,,607.0,2303.0,4
RC,367,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,607.0,2303.0,4
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,607.0,2303.0,4
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,607.0,2303.0,4
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,607.0,2303.0,4
RC,367,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,607.0,2303.0,4
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1876.0,6446.0,4
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1876.0,6446.0,4
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1876.0,6446.0,6
RC,367,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,870.0,4584.0,6
RC,367,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,6
RC,367,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,2303.0,4
RC,367,Diagnostic bone marrow; aspiration(s) ,,,607.0,2303.0,4
RC,367,Diagnostic bone marrow; biopsy(ies) ,,,607.0,2303.0,4
RC,367,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,607.0,3435.0,5
RC,367,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,5050.0,6446.0,2
RC,367,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,607.0,2303.0,4
RC,367,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8418.0,10746.0,8
RC,367,"Dilation and catheterization of salivary duct, with or without injection ",,,607.0,2303.0,4
RC,367,Dilation and curettage of cervical stump ,,,1257.0,6446.0,6
RC,367,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,2303.0,6
RC,367,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,607.0,2303.0,6
RC,367,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,2303.0,4
RC,367,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,607.0,2303.0,6
RC,367,"Dilation of esophagus, over guide wire ",,,607.0,2303.0,6
RC,367,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1804.0,3435.0,6
RC,367,Dilation of female urethra including suppository and/or instillation; initial ,,,607.0,2303.0,4
RC,367,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,2303.0,6
RC,367,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,607.0,2303.0,6
RC,367,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,607.0,2303.0,4
RC,367,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,607.0,2303.0,4
RC,367,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,607.0,2303.0,4
RC,367,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,607.0,2303.0,4
RC,367,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,870.0,2303.0,6
RC,367,Dilation of vagina under anesthesia (other than local) ,,,870.0,2303.0,6
RC,367,Dilation salivary duct ,,,607.0,2303.0,4
RC,367,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,367,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1471.0,6446.0,4
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1876.0,6446.0,4
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,3435.0,3435.0,1
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,3435.0,3435.0,1
RC,367,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,870.0,2303.0,6
RC,367,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,607.0,2303.0,4
RC,367,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,2303.0,6
RC,367,"Dissection, deep jugular node(s) ",,,870.0,2303.0,6
RC,367,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,5050.0,6446.0,2
RC,367,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,5050.0,6446.0,2
RC,367,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,3435.0,3435.0,1
RC,367,Division of stricture of rectum ,,,870.0,2303.0,6
RC,367,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,3435.0,3435.0,1
RC,367,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,3435.0,3435.0,1
RC,367,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,3435.0,3435.0,1
RC,367,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,3435.0,3435.0,1
RC,367,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,3435.0,3435.0,1
RC,367,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,3435.0,3435.0,1
RC,367,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,3435.0,3435.0,1
RC,367,"Donor nephrectomy (including cold preservation); open, from living donor ",,,3435.0,3435.0,1
RC,367,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,3435.0,3435.0,1
RC,367,"Drainage external auditory canal, abscess ",,,607.0,2303.0,4
RC,367,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,2303.0,4
RC,367,"Drainage external ear, abscess or hematoma; simple ",,,607.0,2303.0,4
RC,367,Drainage of Skene's gland abscess or cyst ,,,607.0,2303.0,4
RC,367,"Drainage of abscess of palate, uvula ",,,870.0,2303.0,6
RC,367,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,607.0,2303.0,6
RC,367,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,870.0,2303.0,6
RC,367,"Drainage of abscess; parotid, complicated ",,,870.0,2303.0,6
RC,367,"Drainage of abscess; parotid, simple ",,,607.0,2303.0,6
RC,367,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,607.0,2303.0,6
RC,367,"Drainage of abscess; submaxillary, external ",,,607.0,2303.0,6
RC,367,Drainage of deep periurethral abscess ,,,870.0,2303.0,6
RC,367,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,3435.0,3435.0,1
RC,367,Drainage of lymph node abscess or lymphadenitis; extensive ,,,870.0,2303.0,6
RC,367,Drainage of lymph node abscess or lymphadenitis; simple ,,,607.0,2303.0,6
RC,367,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,4
RC,367,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,6
RC,367,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,4
RC,367,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,6
RC,367,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,1257.0,6446.0,6
RC,367,"Drainage of perirenal or renal abscess, open ",,,870.0,2303.0,4
RC,367,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,3435.0,3435.0,1
RC,367,Drainage of perivesical or prevesical space abscess ,,,607.0,2303.0,6
RC,367,"Drainage of retroperitoneal abscess, open ",,,3435.0,3435.0,1
RC,367,Drainage of scrotal wall abscess ,,,607.0,2303.0,6
RC,367,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,3435.0,3435.0,1
RC,367,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,1804.0,3435.0,3
RC,367,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,3435.0,3435.0,1
RC,367,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,607.0,2303.0,4
RC,367,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,607.0,2303.0,4
RC,367,Duodenal motility (manometric) study ,,,607.0,2303.0,4
RC,367,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,2174.0,6446.0,5
RC,367,"Dural graft, spinal ",,,3435.0,3435.0,1
RC,367,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,1687.0,10
RC,367,ESOPH ENDOSCOPY ABLATION ,,,1560.0,1687.0,2
RC,367,ESOPHAGUS ENDOSCOPY ,,,988.0,1069.0,2
RC,367,EXCISION OF RECTAL LESION ,,,1560.0,1687.0,2
RC,367,EXPLORATION OF EPIDIDYMIS ,,,988.0,1069.0,2
RC,367,Ear piercing ,,,3435.0,3435.0,1
RC,367,Electroejaculation ,,,607.0,2303.0,4
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,870.0,2303.0,4
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,870.0,2303.0,4
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,870.0,2303.0,4
RC,367,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,3723.0,5078.0,4
RC,367,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,3723.0,5078.0,2
RC,367,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,3435.0,3435.0,1
RC,367,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,3435.0,3435.0,1
RC,367,"Embryo transfer, intrauterine ",,,607.0,2303.0,6
RC,367,Endocervical curettage (not done as part of a dilation and curettage) ,,,607.0,2303.0,4
RC,367,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,607.0,2303.0,4
RC,367,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,607.0,2303.0,4
RC,367,Endolymphatic sac operation; with shunt ,,,3723.0,10746.0,6
RC,367,Endolymphatic sac operation; without shunt ,,,3723.0,10746.0,6
RC,367,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,3723.0,10746.0,6
RC,367,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1876.0,6446.0,4
RC,367,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,367,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,607.0,2303.0,4
RC,367,Endomyocardial biopsy ,,,607.0,827.0,2
RC,367,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,870.0,2303.0,4
RC,367,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1876.0,6446.0,4
RC,367,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,6446.0,2
RC,367,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,367,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,607.0,2303.0,6
RC,367,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,6
RC,367,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,5050.0,6446.0,2
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,870.0,2303.0,6
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,1257.0,6446.0,4
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,870.0,2303.0,6
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,1804.0,2303.0,2
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,1257.0,6446.0,4
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,870.0,2303.0,6
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,1257.0,6446.0,4
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,870.0,2303.0,6
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,1257.0,6446.0,4
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,870.0,2303.0,6
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1257.0,6446.0,4
RC,367,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,5050.0,6446.0,2
RC,367,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,5050.0,6446.0,2
RC,367,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,5050.0,6446.0,2
RC,367,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,5050.0,6446.0,2
RC,367,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,5050.0,6446.0,2
RC,367,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,367,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,3435.0,3435.0,1
RC,367,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,3435.0,3435.0,1
RC,367,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,6446.0,4
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,3435.0,3435.0,1
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,3435.0,3435.0,1
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,3435.0,3435.0,1
RC,367,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,3435.0,3435.0,1
RC,367,"Enterectomy, resection of small intestine; with enterostomy ",,,3435.0,3435.0,1
RC,367,"Enterocystoplasty, including intestinal anastomosis ",,,3435.0,3435.0,1
RC,367,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,3435.0,3435.0,1
RC,367,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,3435.0,10746.0,5
RC,367,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,3435.0,3435.0,1
RC,367,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,2174.0,6446.0,5
RC,367,"Enucleation of eye; with implant, muscles attached to implant ",,,1471.0,6446.0,6
RC,367,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,6
RC,367,Enucleation of eye; without implant ,,,1257.0,6446.0,6
RC,367,Epididymectomy; bilateral ,,,1471.0,6446.0,6
RC,367,Epididymectomy; unilateral ,,,1257.0,6446.0,6
RC,367,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1471.0,6446.0,6
RC,367,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1471.0,6446.0,6
RC,367,Epikeratoplasty ,,,3723.0,10746.0,4
RC,367,"Episiotomy or vaginal repair, by other than attending ",,,870.0,2303.0,4
RC,367,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,607.0,2303.0,4
RC,367,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1804.0,2303.0,2
RC,367,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,3435.0,3435.0,1
RC,367,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,3435.0,3435.0,1
RC,367,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,3435.0,3435.0,1
RC,367,Esophagogastric fundoplasty partial or complete; laparotomy ,,,3435.0,3435.0,1
RC,367,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,3435.0,3435.0,1
RC,367,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,3435.0,3435.0,1
RC,367,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,3435.0,3435.0,1
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,1257.0,6446.0,4
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,1257.0,6446.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,3435.0,6446.0,3
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,870.0,2303.0,4
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,1257.0,6446.0,4
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,1257.0,6446.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,1257.0,6446.0,4
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,870.0,2303.0,4
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1257.0,6446.0,4
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,1804.0,3435.0,3
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,870.0,2303.0,6
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,1257.0,6446.0,4
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,870.0,2303.0,6
RC,367,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,3435.0,3435.0,1
RC,367,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,3435.0,3435.0,1
RC,367,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,3435.0,3435.0,1
RC,367,Esophagomyotomy (Heller type); abdominal approach ,,,3435.0,3435.0,1
RC,367,Esophagomyotomy (Heller type); thoracic approach ,,,3435.0,3435.0,1
RC,367,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,367,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,367,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,367,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,367,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,367,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,3435.0,3435.0,1
RC,367,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,4
RC,367,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,607.0,2303.0,4
RC,367,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,367,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,870.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,870.0,2303.0,4
RC,367,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,870.0,2303.0,4
RC,367,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,870.0,2303.0,4
RC,367,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,870.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,607.0,2303.0,4
RC,367,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,367,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,870.0,2303.0,6
RC,367,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,870.0,2303.0,6
RC,367,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,870.0,2303.0,4
RC,367,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,607.0,2303.0,4
RC,367,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,870.0,2303.0,4
RC,367,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,607.0,2303.0,4
RC,367,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,607.0,2303.0,4
RC,367,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,870.0,2303.0,4
RC,367,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,607.0,2303.0,4
RC,367,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,3435.0,3435.0,1
RC,367,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,3435.0,3435.0,1
RC,367,"Esophagotomy, thoracic approach, with removal of foreign body ",,,3435.0,3435.0,1
RC,367,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,6
RC,367,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,6
RC,367,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,607.0,2303.0,4
RC,367,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,2303.0,2
RC,367,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,870.0,2303.0,4
RC,367,Exchange of intraocular lens ,,,2174.0,6446.0,6
RC,367,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,607.0,2303.0,4
RC,367,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,367,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,367,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,367,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1257.0,6446.0,12
RC,367,Excision aural glomus tumor; extended (extratemporal) ,,,3435.0,3435.0,1
RC,367,Excision aural glomus tumor; transcanal ,,,1876.0,6446.0,6
RC,367,Excision aural glomus tumor; transmastoid ,,,3723.0,10746.0,6
RC,367,Excision aural polyp ,,,870.0,2303.0,4
RC,367,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,1257.0,6446.0,6
RC,367,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,1876.0,6446.0,6
RC,367,"Excision exostosis(es), external auditory canal ",,,870.0,2303.0,6
RC,367,Excision external ear; complete amputation ,,,870.0,2303.0,6
RC,367,"Excision external ear; partial, simple repair ",,,607.0,2303.0,6
RC,367,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,3435.0,3435.0,1
RC,367,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,3435.0,3435.0,1
RC,367,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,6
RC,367,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,3435.0,3435.0,1
RC,367,Excision of Mullerian duct cyst ,,,607.0,2303.0,6
RC,367,Excision of ampulla of Vater ,,,3435.0,3435.0,1
RC,367,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,3435.0,3435.0,1
RC,367,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,3435.0,3435.0,1
RC,367,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,2303.0,6
RC,367,Excision of carotid body tumor; with excision of carotid artery ,,,3435.0,3435.0,1
RC,367,Excision of carotid body tumor; without excision of carotid artery ,,,3435.0,3435.0,1
RC,367,"Excision of cervical stump, abdominal approach; ",,,3435.0,3435.0,1
RC,367,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,3435.0,3435.0,1
RC,367,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,6
RC,367,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1876.0,6446.0,6
RC,367,"Excision of chalazion; multiple, different lids ",,,607.0,2303.0,4
RC,367,"Excision of chalazion; multiple, same lid ",,,607.0,2303.0,4
RC,367,Excision of chalazion; single ,,,607.0,2303.0,4
RC,367,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,2303.0,6
RC,367,Excision of choledochal cyst ,,,3435.0,3435.0,1
RC,367,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,2303.0,6
RC,367,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1471.0,6446.0,6
RC,367,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1257.0,6446.0,6
RC,367,Excision of extraparenchymal lesion of testis ,,,870.0,2303.0,6
RC,367,"Excision of fibrous tuberosities, dentoalveolar structures ",,,607.0,2303.0,4
RC,367,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,607.0,2303.0,6
RC,367,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,6
RC,367,Excision of hydrocele; bilateral ,,,1876.0,6446.0,6
RC,367,Excision of hydrocele; unilateral ,,,1257.0,6446.0,6
RC,367,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,607.0,2303.0,4
RC,367,Excision of ileoanal reservoir with ileostomy ,,,3435.0,3435.0,1
RC,367,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,6
RC,367,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,6
RC,367,Excision of lacrimal gland tumor; frontal approach ,,,1257.0,6446.0,6
RC,367,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,6
RC,367,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,6
RC,367,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,870.0,2303.0,4
RC,367,Excision of lesion of mesentery (separate procedure) ,,,3435.0,3435.0,1
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,870.0,2303.0,6
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,870.0,2303.0,6
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,607.0,2303.0,4
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,607.0,2303.0,4
RC,367,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,3435.0,3435.0,1
RC,367,Excision of lesion of spermatic cord (separate procedure) ,,,1471.0,6446.0,6
RC,367,Excision of lesion of tongue with closure; anterior two-thirds ,,,870.0,2303.0,6
RC,367,Excision of lesion of tongue with closure; posterior one-third ,,,870.0,2303.0,6
RC,367,Excision of lesion of tongue with closure; with local tongue flap ,,,870.0,2303.0,6
RC,367,Excision of lesion of tongue without closure ,,,607.0,2303.0,4
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,870.0,2303.0,6
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,607.0,2303.0,4
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,607.0,2303.0,4
RC,367,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,2303.0,6
RC,367,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,2303.0,4
RC,367,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,2303.0,6
RC,367,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,2303.0,6
RC,367,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,3435.0,3435.0,1
RC,367,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,3435.0,3435.0,1
RC,367,"Excision of lesion, sclera ",,,3723.0,10746.0,6
RC,367,Excision of lingual frenum (frenectomy) ,,,607.0,2303.0,4
RC,367,Excision of lip; V-excision with primary direct linear closure ,,,870.0,2303.0,6
RC,367,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,870.0,2303.0,6
RC,367,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,870.0,2303.0,6
RC,367,Excision of lip; transverse wedge excision with primary closure ,,,870.0,2303.0,6
RC,367,Excision of local lesion of epididymis ,,,1257.0,6446.0,6
RC,367,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,5050.0,6446.0,2
RC,367,Excision of mucosa of vestibule of mouth as donor graft ,,,607.0,2303.0,6
RC,367,"Excision of multiple external papillae or tags, anus ",,,607.0,2303.0,6
RC,367,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1257.0,6446.0,6
RC,367,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6446.0,6
RC,367,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1257.0,6446.0,6
RC,367,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,2303.0,6
RC,367,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1257.0,6446.0,6
RC,367,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,870.0,2303.0,6
RC,367,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,870.0,2303.0,6
RC,367,"Excision of neuroma; hand or foot, except digital nerve ",,,1257.0,6446.0,6
RC,367,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1257.0,6446.0,6
RC,367,Excision of neuroma; sciatic nerve ,,,1257.0,6446.0,6
RC,367,"Excision of osseous tuberosities, dentoalveolar structures ",,,870.0,2303.0,4
RC,367,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,3723.0,10746.0,6
RC,367,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,1257.0,6446.0,6
RC,367,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,3723.0,10746.0,6
RC,367,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,3723.0,10746.0,6
RC,367,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,3435.0,3435.0,1
RC,367,Excision of penile plaque (Peyronie disease); ,,,870.0,2303.0,6
RC,367,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,2303.0,6
RC,367,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,2303.0,6
RC,367,Excision of perinephric cyst ,,,3435.0,3435.0,1
RC,367,Excision of presacral or sacrococcygeal tumor ,,,3435.0,3435.0,1
RC,367,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,3435.0,3435.0,1
RC,367,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,3435.0,3435.0,1
RC,367,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,870.0,2303.0,6
RC,367,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,870.0,2303.0,4
RC,367,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,607.0,2303.0,4
RC,367,"Excision of single external papilla or tag, anus ",,,607.0,2303.0,6
RC,367,"Excision of spermatocele, with or without epididymectomy ",,,1471.0,6446.0,6
RC,367,Excision of sublingual gland ,,,870.0,2303.0,6
RC,367,Excision of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,6
RC,367,Excision of submandibular (submaxillary) gland ,,,1257.0,6446.0,6
RC,367,"Excision of thrombosed hemorrhoid, external ",,,607.0,2303.0,4
RC,367,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,6446.0,6
RC,367,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,6446.0,6
RC,367,Excision of tonsil tags ,,,1257.0,6446.0,6
RC,367,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,6
RC,367,Excision of urethral diverticulum (separate procedure); female ,,,870.0,2303.0,6
RC,367,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,6
RC,367,Excision of vaginal cyst or tumor ,,,870.0,2303.0,6
RC,367,Excision of vaginal septum ,,,870.0,2303.0,6
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1471.0,6446.0,6
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1471.0,6446.0,6
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1876.0,6446.0,6
RC,367,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Excision or destruction of lesion of pharynx, any method ",,,870.0,2303.0,6
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,3435.0,3435.0,1
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,3435.0,3435.0,1
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,3435.0,3435.0,1
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,3435.0,3435.0,1
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,3435.0,3435.0,1
RC,367,Excision or fulguration of carcinoma of urethra ,,,870.0,2303.0,6
RC,367,Excision or fulguration; Skene's glands ,,,870.0,2303.0,6
RC,367,Excision or fulguration; urethral caruncle ,,,870.0,2303.0,6
RC,367,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,2303.0,6
RC,367,Excision or fulguration; urethral prolapse ,,,870.0,2303.0,6
RC,367,Excision or transposition of pterygium; with graft ,,,1876.0,6446.0,6
RC,367,Excision or transposition of pterygium; without graft ,,,870.0,2303.0,6
RC,367,Excision or unroofing of cyst(s) of kidney ,,,3435.0,3435.0,1
RC,367,"Excision soft tissue lesion, external auditory canal ",,,870.0,2303.0,6
RC,367,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,3435.0,3435.0,1
RC,367,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,3435.0,3435.0,1
RC,367,"Excision, lesion of floor of mouth ",,,607.0,2303.0,6
RC,367,"Excision, lesion of palate, uvula; with local flap closure ",,,870.0,2303.0,6
RC,367,"Excision, lesion of palate, uvula; with simple primary closure ",,,870.0,2303.0,4
RC,367,"Excision, lesion of palate, uvula; without closure ",,,870.0,2303.0,4
RC,367,"Excision, local; malignant tumor of stomach ",,,3435.0,3435.0,1
RC,367,"Excision, local; ulcer or benign tumor of stomach ",,,3435.0,3435.0,1
RC,367,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,3435.0,3435.0,1
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1876.0,6446.0,6
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,3723.0,10746.0,6
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,3723.0,10746.0,6
RC,367,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,3435.0,3435.0,1
RC,367,Exploration for undescended testis (inguinal or scrotal area) ,,,1471.0,6446.0,6
RC,367,Exploration for undescended testis with abdominal exploration ,,,1471.0,6446.0,4
RC,367,"Exploration of epididymis, with or without biopsy ",,,607.0,2303.0,6
RC,367,"Exploration of orbit (transcranial approach), with removal of lesion ",,,3435.0,3435.0,1
RC,367,"Exploration, repair, and presacral drainage for rectal injury; ",,,3435.0,3435.0,1
RC,367,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,3435.0,3435.0,1
RC,367,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,5
RC,367,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,4
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,2303.0,4
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,3435.0,3435.0,1
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,3435.0,3435.0,1
RC,367,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,3435.0,3435.0,1
RC,367,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,3435.0,3435.0,1
RC,367,External cannula declotting (separate procedure); with balloon catheter ,,,5050.0,6446.0,2
RC,367,External cannula declotting (separate procedure); without balloon catheter ,,,1804.0,2303.0,2
RC,367,"External drainage, pseudocyst of pancreas, open ",,,3435.0,3435.0,1
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,3435.0,6446.0,3
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,3435.0,6446.0,3
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,3114.0,6446.0,6
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,3114.0,6446.0,12
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,607.0,2303.0,6
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,607.0,2303.0,6
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,607.0,2303.0,6
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,607.0,2303.0,6
RC,367,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,607.0,1069.0,4
RC,367,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,2760.0,2
RC,367,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,607.0,2303.0,4
RC,367,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,3435.0,3435.0,1
RC,367,"Fetal shunt placement, including ultrasound guidance ",,,607.0,2303.0,4
RC,367,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,607.0,2303.0,4
RC,367,Fimbrioplasty ,,,1876.0,6446.0,4
RC,367,Fine needle aspiration of orbital contents ,,,607.0,2303.0,6
RC,367,"Fissurectomy, including sphincterotomy, when performed ",,,870.0,2303.0,6
RC,367,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,2303.0,6
RC,367,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1471.0,6446.0,6
RC,367,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1471.0,6446.0,6
RC,367,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1471.0,6446.0,6
RC,367,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1471.0,6446.0,6
RC,367,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,6
RC,367,"Follicle puncture for oocyte retrieval, any method ",,,607.0,2303.0,6
RC,367,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,607.0,2303.0,6
RC,367,Free jejunum transfer with microvascular anastomosis ,,,3435.0,3435.0,1
RC,367,Free omental flap with microvascular anastomosis ,,,3435.0,3435.0,1
RC,367,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,870.0,2303.0,6
RC,367,Frenulotomy of penis ,,,870.0,2303.0,6
RC,367,GLAUCOMA SURGERY ,,,2552.0,2760.0,2
RC,367,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,607.0,2303.0,6
RC,367,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,3435.0,3435.0,1
RC,367,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,3435.0,3435.0,1
RC,367,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,3435.0,3435.0,1
RC,367,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,3435.0,3435.0,1
RC,367,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,3435.0,3435.0,1
RC,367,"Gastrectomy, total; with esophagoenterostomy ",,,3435.0,3435.0,1
RC,367,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,3435.0,3435.0,1
RC,367,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,607.0,2303.0,4
RC,367,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,607.0,2303.0,4
RC,367,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,607.0,2303.0,4
RC,367,Gastric motility (manometric) studies ,,,607.0,2303.0,4
RC,367,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,5050.0,6446.0,2
RC,367,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,870.0,2303.0,4
RC,367,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,607.0,2303.0,4
RC,367,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,607.0,2303.0,4
RC,367,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,3435.0,6446.0,3
RC,367,Gastroduodenostomy ,,,3435.0,3435.0,1
RC,367,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,3435.0,3435.0,1
RC,367,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,3435.0,3435.0,1
RC,367,"Gastrojejunostomy; with vagotomy, any type ",,,3435.0,3435.0,1
RC,367,Gastrojejunostomy; without vagotomy ,,,3435.0,3435.0,1
RC,367,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,3435.0,3435.0,1
RC,367,Gastrotomy; with exploration or foreign body removal ,,,3435.0,3435.0,1
RC,367,Gastrotomy; with suture repair of bleeding ulcer ,,,3435.0,3435.0,1
RC,367,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,3435.0,3435.0,1
RC,367,"Gingivectomy, excision gingiva, each quadrant ",,,607.0,2303.0,4
RC,367,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,3435.0,3435.0,1
RC,367,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,3435.0,3435.0,1
RC,367,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,3435.0,3435.0,1
RC,367,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,3435.0,3435.0,1
RC,367,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,3435.0,3435.0,1
RC,367,Glossectomy; hemiglossectomy ,,,3435.0,3435.0,1
RC,367,Glossectomy; less than one-half tongue ,,,1876.0,6446.0,6
RC,367,"Glossectomy; partial, with unilateral radical neck dissection ",,,3435.0,3435.0,1
RC,367,Goniotomy ,,,607.0,2303.0,6
RC,367,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,1257.0,6446.0,6
RC,367,HFenestration semicircular canal ,,,3026.0,3273.0,2
RC,367,HRevision fenestration operation ,,,3026.0,3273.0,2
RC,367,"Harvesting conjunctival allograft, living donor ",,,870.0,2303.0,6
RC,367,Hematopoietic progenitor cell (HPC); HPC boost ,,,607.0,2303.0,4
RC,367,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,1876.0,6446.0,4
RC,367,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1876.0,6446.0,4
RC,367,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,1257.0,6446.0,6
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,1257.0,6446.0,6
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,1471.0,6446.0,6
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,1471.0,6446.0,6
RC,367,"Hemorrhoidectomy, internal and external, single column/group; ",,,1257.0,6446.0,6
RC,367,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,1257.0,6446.0,6
RC,367,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,1257.0,6446.0,6
RC,367,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,870.0,2303.0,6
RC,367,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,870.0,2303.0,4
RC,367,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,607.0,2303.0,4
RC,367,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,1804.0,3435.0,3
RC,367,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,3723.0,10746.0,6
RC,367,"Hepatectomy, resection of liver; partial lobectomy ",,,3435.0,3435.0,1
RC,367,"Hepatectomy, resection of liver; total left lobectomy ",,,3435.0,3435.0,1
RC,367,"Hepatectomy, resection of liver; total right lobectomy ",,,3435.0,3435.0,1
RC,367,"Hepatectomy, resection of liver; trisegmentectomy ",,,3435.0,3435.0,1
RC,367,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,3435.0,3435.0,1
RC,367,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,3435.0,3435.0,1
RC,367,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,367,"Hymenotomy, simple incision ",,,607.0,2303.0,6
RC,367,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,3435.0,3435.0,1
RC,367,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,3435.0,10746.0,5
RC,367,Hysterorrhaphy of ruptured uterus ,,,3435.0,3435.0,1
RC,367,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1876.0,6446.0,5
RC,367,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,2303.0,6
RC,367,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,6446.0,6
RC,367,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,6446.0,6
RC,367,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1876.0,6446.0,6
RC,367,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,2303.0,6
RC,367,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,6446.0,6
RC,367,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,6446.0,6
RC,367,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,6446.0,6
RC,367,ILEOSCOPY W/STENT ,,,4238.0,4584.0,2
RC,367,IMPLANT NEUROELECTRODES ,,,988.0,1069.0,4
RC,367,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,3723.0,5078.0,4
RC,367,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,367,INCISE INNER EAR ,,,4526.0,4895.0,2
RC,367,INCISION OF HYMEN ,,,988.0,1069.0,2
RC,367,INJ PARAVERTEBRAL C/T ,,,988.0,1069.0,2
RC,367,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,1069.0,2
RC,367,INJ PARAVERTEBRAL L/S ,,,988.0,1069.0,2
RC,367,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,1069.0,2
RC,367,INJECT SPINE CERV/THORACIC ,,,988.0,1069.0,2
RC,367,INJECT SPINE LUMBAR/SACRAL ,,,988.0,1069.0,2
RC,367,INJECT SPINE W/CATH CRV/THRC ,,,988.0,1069.0,2
RC,367,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,1069.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,827.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,827.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,827.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,1069.0,4
RC,367,"INSERT ABDOM DRAIN, TEMP ",,,988.0,1069.0,2
RC,367,INSERT BILE DUCT DRAIN ,,,4238.0,4584.0,2
RC,367,INSERT CATHETER BILE DUCT ,,,1560.0,1687.0,2
RC,367,INSERT KIDNEY DRAIN ,,,988.0,1069.0,2
RC,367,INSERT URETERAL TUBE ,,,988.0,1069.0,2
RC,367,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,1069.0,4
RC,367,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,6
RC,367,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,367,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,2303.0,4
RC,367,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,607.0,2303.0,4
RC,367,"Ileostomy or jejunostomy, non-tube ",,,3435.0,3435.0,1
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,870.0,2303.0,4
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,1257.0,6446.0,4
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,870.0,2303.0,4
RC,367,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,3435.0,3435.0,1
RC,367,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,3435.0,3435.0,1
RC,367,Implantation of intrastromal corneal ring segments ,,,1471.0,6446.0,4
RC,367,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6446.0,6
RC,367,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,3435.0,6446.0,3
RC,367,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,6446.0,2
RC,367,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,870.0,2303.0,6
RC,367,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,2303.0,6
RC,367,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,2303.0,6
RC,367,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,2303.0,6
RC,367,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6446.0,4
RC,367,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,3435.0,3435.0,1
RC,367,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,3435.0,7602.0,3
RC,367,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,3435.0,7602.0,3
RC,367,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,3068.0,7602.0,6
RC,367,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,2303.0,4
RC,367,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,2303.0,6
RC,367,Incision and drainage abscess; peritonsillar ,,,607.0,2303.0,6
RC,367,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,870.0,2303.0,6
RC,367,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,607.0,2303.0,6
RC,367,Incision and drainage of Bartholin's gland abscess ,,,607.0,2303.0,4
RC,367,"Incision and drainage of appendiceal abscess, open ",,,3435.0,3435.0,1
RC,367,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,870.0,2303.0,6
RC,367,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,2303.0,6
RC,367,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,870.0,2303.0,6
RC,367,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,1257.0,6446.0,6
RC,367,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,870.0,2303.0,6
RC,367,"Incision and drainage of penis, deep ",,,1471.0,6446.0,6
RC,367,"Incision and drainage of submucosal abscess, rectum ",,,870.0,2303.0,6
RC,367,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,2303.0,6
RC,367,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,2303.0,6
RC,367,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,870.0,2303.0,4
RC,367,Incision and drainage of vulva or perineal abscess ,,,870.0,2303.0,4
RC,367,"Incision and drainage, perianal abscess, superficial ",,,607.0,2303.0,6
RC,367,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,3435.0,3435.0,1
RC,367,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,3435.0,5
RC,367,"Incision of conjunctiva, drainage of cyst ",,,870.0,2303.0,4
RC,367,Incision of labial frenum (frenotomy) ,,,607.0,2303.0,4
RC,367,Incision of lingual frenum (frenotomy) ,,,607.0,2303.0,6
RC,367,"Incision of thrombosed hemorrhoid, external ",,,1804.0,2303.0,2
RC,367,"Incision, anal septum (infant) ",,,607.0,2303.0,4
RC,367,"Incision, drainage of lacrimal gland ",,,607.0,2303.0,4
RC,367,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,607.0,2303.0,4
RC,367,Incisional biopsy of eyelid skin including lid margin ,,,607.0,2303.0,4
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,3435.0,5
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,3435.0,5
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,3435.0,5
RC,367,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,3435.0,3435.0,1
RC,367,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,870.0,3435.0,10
RC,367,"Induced abortion, by dilation and curettage ",,,1876.0,6446.0,6
RC,367,"Induced abortion, by dilation and evacuation ",,,1876.0,6446.0,6
RC,367,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,3435.0,3435.0,1
RC,367,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,3435.0,3435.0,1
RC,367,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,870.0,2303.0,6
RC,367,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,3435.0,6446.0,3
RC,367,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,607.0,2303.0,4
RC,367,Injection of contrast medium for dacryocystography ,,,607.0,2303.0,4
RC,367,Injection of medication or other substance into Tenon's capsule ,,,607.0,2303.0,4
RC,367,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,2303.0,6
RC,367,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,607.0,2303.0,4
RC,367,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,6
RC,367,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,607.0,2303.0,8
RC,367,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,2303.0,4
RC,367,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,607.0,2303.0,8
RC,367,Injection procedure for corpora cavernosography ,,,607.0,2303.0,4
RC,367,"Injection procedure for discography, each level; cervical or thoracic ",,,607.0,2303.0,4
RC,367,"Injection procedure for discography, each level; lumbar ",,,607.0,2303.0,4
RC,367,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,3435.0,3435.0,1
RC,367,"Injection procedure for myelography and/or computed tomography, lumbar ",,,607.0,2303.0,4
RC,367,Injection procedure for sacroiliac joint; arthrography ,,,607.0,2303.0,4
RC,367,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,607.0,2303.0,6
RC,367,Injection procedure for sialography ,,,607.0,2303.0,4
RC,367,Injection procedure for splenoportography ,,,607.0,2303.0,4
RC,367,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,607.0,2303.0,4
RC,367,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,607.0,2303.0,4
RC,367,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1257.0,6446.0,6
RC,367,Injection procedure; lymphangiography ,,,607.0,2303.0,4
RC,367,Injection procedure; radioactive tracer for identification of sentinel node ,,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1804.0,3435.0,3
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,607.0,2303.0,6
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,607.0,2303.0,4
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,607.0,2303.0,4
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,607.0,2303.0,4
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,607.0,2303.0,4
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,607.0,2303.0,4
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,607.0,2303.0,4
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,607.0,2303.0,4
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,607.0,2303.0,4
RC,367,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,607.0,2303.0,16
RC,367,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,607.0,2303.0,16
RC,367,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,607.0,2303.0,6
RC,367,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,607.0,2303.0,6
RC,367,"Injection, anesthetic agent; sphenopalatine ganglion ",,,607.0,2303.0,4
RC,367,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,607.0,2303.0,6
RC,367,"Injection, anesthetic agent; superior hypogastric plexus ",,,870.0,2303.0,6
RC,367,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,2303.0,6
RC,367,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,2303.0,6
RC,367,"Injection, epidural, of blood or clot patch ",,,607.0,2303.0,6
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,607.0,2303.0,6
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,607.0,2303.0,6
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,607.0,2303.0,6
RC,367,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,607.0,827.0,2
RC,367,Insertion of Heyman capsules for clinical brachytherapy ,,,870.0,2303.0,6
RC,367,Insertion of Thomas shunt (separate procedure) ,,,5050.0,6446.0,2
RC,367,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,607.0,2303.0,4
RC,367,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,870.0,2303.0,4
RC,367,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,6446.0,4
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,5050.0,6446.0,2
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,5050.0,6446.0,2
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,5050.0,6446.0,2
RC,367,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,870.0,2303.0,4
RC,367,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,5050.0,6446.0,2
RC,367,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,607.0,2303.0,4
RC,367,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1804.0,3435.0,3
RC,367,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,870.0,2303.0,4
RC,367,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,870.0,2303.0,4
RC,367,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,2303.0,6
RC,367,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2174.0,6446.0,6
RC,367,Insertion of intrauterine device (IUD) ,,,607.0,2303.0,4
RC,367,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,1257.0,6446.0,4
RC,367,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,3723.0,10746.0,6
RC,367,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,6446.0,6
RC,367,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8418.0,10746.0,2
RC,367,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8418.0,10746.0,2
RC,367,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8418.0,10746.0,2
RC,367,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,607.0,2303.0,4
RC,367,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,607.0,2303.0,4
RC,367,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,6
RC,367,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,2303.0,6
RC,367,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,6
RC,367,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,6446.0,6
RC,367,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,6446.0,6
RC,367,Insertion of peritoneal-venous shunt ,,,870.0,2303.0,4
RC,367,Insertion of pin-retained palatal prosthesis ,,,1257.0,6446.0,4
RC,367,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,2303.0,2
RC,367,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,3435.0,3435.0,1
RC,367,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,367,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,6446.0,6
RC,367,Insertion of tandem cuff (dual cuff) ,,,870.0,2303.0,6
RC,367,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,607.0,2303.0,4
RC,367,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,607.0,2303.0,4
RC,367,Insertion of testicular prosthesis (separate procedure) ,,,870.0,2303.0,6
RC,367,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1804.0,3435.0,3
RC,367,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,3435.0,7602.0,3
RC,367,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,870.0,2303.0,4
RC,367,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,870.0,2303.0,6
RC,367,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,870.0,2303.0,6
RC,367,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,870.0,2303.0,6
RC,367,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,1714.0,2
RC,367,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,6446.0,6
RC,367,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,2303.0,6
RC,367,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,1804.0,3435.0,3
RC,367,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,3435.0,3
RC,367,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,2303.0,6
RC,367,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,2303.0,6
RC,367,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1804.0,2303.0,2
RC,367,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,607.0,2303.0,4
RC,367,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,3435.0,3435.0,1
RC,367,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,3435.0,3435.0,1
RC,367,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,607.0,2303.0,6
RC,367,Intersex surgery; female to male ,,,3435.0,3435.0,1
RC,367,Intersex surgery; male to female ,,,3435.0,3435.0,1
RC,367,Intestinal allotransplantation; from cadaver donor ,,,3435.0,3435.0,1
RC,367,Intestinal allotransplantation; from living donor ,,,3435.0,3435.0,1
RC,367,Intestinal plication (separate procedure) ,,,3435.0,3435.0,1
RC,367,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,3435.0,3435.0,1
RC,367,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,3114.0,6446.0,6
RC,367,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,607.0,827.0,2
RC,367,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1804.0,2303.0,2
RC,367,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2303.0,2
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,607.0,2303.0,4
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,607.0,2303.0,6
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,607.0,2303.0,6
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,607.0,2303.0,6
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,607.0,2303.0,6
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,607.0,2303.0,6
RC,367,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,1804.0,3435.0,3
RC,367,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,1804.0,3435.0,3
RC,367,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,607.0,2303.0,4
RC,367,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,607.0,2303.0,4
RC,367,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,607.0,2303.0,4
RC,367,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,988.0,1069.0,2
RC,367,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,607.0,10746.0,10
RC,367,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,6
RC,367,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1257.0,6446.0,6
RC,367,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,607.0,2303.0,4
RC,367,Iridotomy by stab incision (separate procedure); except transfixion ,,,607.0,2303.0,6
RC,367,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,2303.0,6
RC,367,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,607.0,2303.0,4
RC,367,Irrigation of corpora cavernosa for priapism ,,,607.0,2303.0,6
RC,367,Keratomileusis ,,,3723.0,10746.0,4
RC,367,Keratophakia ,,,3723.0,10746.0,4
RC,367,Keratoplasty (corneal transplant); anterior lamellar ,,,3723.0,10746.0,6
RC,367,Keratoplasty (corneal transplant); endothelial ,,,3723.0,10746.0,4
RC,367,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,3723.0,10746.0,6
RC,367,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,3723.0,10746.0,6
RC,367,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,3723.0,10746.0,6
RC,367,Keratoprosthesis ,,,3723.0,10746.0,6
RC,367,LAPARO W/CHOLANGIO/BIOPSY ,,,2302.0,2490.0,2
RC,367,LAPAROSCOPY W/CHOLANGIO ,,,2302.0,2490.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,367,LESION REMOVAL COLONOSCOPY ,,,1560.0,1687.0,2
RC,367,Labyrinthectomy; transcanal ,,,3723.0,10746.0,6
RC,367,Labyrinthectomy; with mastoidectomy ,,,3723.0,10746.0,6
RC,367,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,1876.0,6446.0,6
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,3435.0,3435.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,3435.0,3435.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,3435.0,3435.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,3435.0,3435.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,3435.0,3435.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,3435.0,3435.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,3435.0,3435.0,1
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,3435.0,3435.0,1
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,3435.0,3435.0,1
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,3435.0,3435.0,1
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,3435.0,3435.0,1
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1876.0,6446.0,5
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,5050.0,6446.0,2
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,3435.0,6446.0,3
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,3435.0,6446.0,3
RC,367,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,3435.0,3435.0,1
RC,367,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,3435.0,3435.0,1
RC,367,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,6446.0,4
RC,367,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,3435.0,3435.0,1
RC,367,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,3435.0,3435.0,1
RC,367,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,3435.0,3435.0,1
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2174.0,6446.0,4
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1876.0,6446.0,4
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1876.0,6446.0,4
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2174.0,6446.0,4
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,2174.0,6446.0,4
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,6446.0,4
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,2174.0,6446.0,4
RC,367,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,3435.0,3435.0,1
RC,367,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1876.0,6446.0,4
RC,367,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1876.0,6446.0,16
RC,367,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,1804.0,3435.0,6
RC,367,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,3435.0,3435.0,1
RC,367,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,3435.0,3435.0,1
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,5050.0,6446.0,2
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1876.0,6446.0,4
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1804.0,2303.0,4
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1876.0,6446.0,4
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,6446.0,4
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1876.0,6446.0,4
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1876.0,6446.0,4
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1804.0,3435.0,3
RC,367,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,2007.0,2
RC,367,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,2007.0,2
RC,367,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1257.0,2490.0,4
RC,367,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,3435.0,6446.0,3
RC,367,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,3435.0,6446.0,3
RC,367,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,3435.0,6446.0,3
RC,367,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,1471.0,2007.0,2
RC,367,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,1471.0,2007.0,2
RC,367,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,6446.0,4
RC,367,"Laparoscopy, surgical, appendectomy ",,,1257.0,1714.0,2
RC,367,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,1257.0,3435.0,3
RC,367,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,1257.0,3435.0,3
RC,367,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,6446.0,4
RC,367,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,1257.0,1714.0,2
RC,367,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1876.0,6446.0,4
RC,367,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,1257.0,3435.0,3
RC,367,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,2174.0,6446.0,6
RC,367,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,3723.0,10746.0,6
RC,367,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical, splenectomy ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,3435.0,9400.0,3
RC,367,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,2007.0,2
RC,367,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,2174.0,4584.0,4
RC,367,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,367,"Laparoscopy, surgical; ablation of renal cysts ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,3723.0,5078.0,2
RC,367,"Laparoscopy, surgical; cholecystectomy ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,3723.0,5078.0,2
RC,367,"Laparoscopy, surgical; cholecystoenterostomy ",,,3435.0,5078.0,3
RC,367,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1876.0,3435.0,3
RC,367,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2174.0,4584.0,4
RC,367,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,1257.0,3435.0,3
RC,367,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,1257.0,1714.0,2
RC,367,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1876.0,3435.0,3
RC,367,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1876.0,3435.0,3
RC,367,"Laparoscopy, surgical; orchiectomy ",,,2174.0,4584.0,4
RC,367,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,2174.0,2963.0,2
RC,367,"Laparoscopy, surgical; partial nephrectomy ",,,3723.0,5078.0,2
RC,367,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,1257.0,3435.0,3
RC,367,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,1257.0,3435.0,3
RC,367,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,1257.0,3435.0,3
RC,367,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,1257.0,3435.0,3
RC,367,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,3435.0,3435.0,1
RC,367,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1471.0,2760.0,4
RC,367,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,3723.0,5078.0,4
RC,367,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,1257.0,1714.0,2
RC,367,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1876.0,3273.0,4
RC,367,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; ureterolithotomy ",,,2174.0,2963.0,2
RC,367,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,2174.0,4584.0,4
RC,367,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,4584.0,4
RC,367,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1876.0,2559.0,2
RC,367,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1471.0,2760.0,4
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,3068.0,4584.0,4
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,3068.0,4584.0,4
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2174.0,6446.0,5
RC,367,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1471.0,2760.0,4
RC,367,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1257.0,1714.0,2
RC,367,"Laparoscopy, surgical; with fimbrioplasty ",,,1876.0,3273.0,4
RC,367,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,2490.0,4
RC,367,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1876.0,3273.0,4
RC,367,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1471.0,2007.0,2
RC,367,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1876.0,3273.0,4
RC,367,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,2490.0,4
RC,367,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,607.0,827.0,2
RC,367,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,607.0,827.0,2
RC,367,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1876.0,3273.0,4
RC,367,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,2174.0,4584.0,4
RC,367,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1471.0,2007.0,2
RC,367,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1876.0,3273.0,4
RC,367,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,3723.0,10746.0,4
RC,367,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1876.0,4584.0,4
RC,367,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1876.0,6446.0,4
RC,367,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,3435.0,3435.0,1
RC,367,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,3435.0,3435.0,1
RC,367,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1876.0,6446.0,6
RC,367,"Lengthening of palate, and pharyngeal flap ",,,1876.0,6446.0,6
RC,367,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1257.0,6446.0,6
RC,367,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,870.0,2303.0,6
RC,367,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,1257.0,6446.0,6
RC,367,Ligation of common iliac vein ,,,3435.0,3435.0,1
RC,367,Ligation of femoral vein ,,,870.0,2303.0,6
RC,367,Ligation of inferior vena cava ,,,1257.0,6446.0,4
RC,367,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,5050.0,6446.0,2
RC,367,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1257.0,6446.0,6
RC,367,Ligation or banding of angioaccess arteriovenous fistula ,,,1257.0,6446.0,6
RC,367,"Ligation or biopsy, temporal artery ",,,870.0,2303.0,6
RC,367,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,3435.0,3435.0,1
RC,367,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,3435.0,5
RC,367,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,870.0,2303.0,4
RC,367,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,2303.0,4
RC,367,"Ligation salivary duct, intraoral ",,,3723.0,10746.0,6
RC,367,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1257.0,6446.0,6
RC,367,"Ligation, division, and stripping, short saphenous vein ",,,1257.0,6446.0,6
RC,367,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1257.0,6446.0,6
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,3435.0,3435.0,1
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,3435.0,3435.0,1
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,3435.0,3435.0,1
RC,367,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,3435.0,3435.0,1
RC,367,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,3435.0,3435.0,1
RC,367,Limited pharyngectomy ,,,3723.0,10746.0,6
RC,367,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,2303.0,6
RC,367,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,2303.0,6
RC,367,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,3435.0,3435.0,1
RC,367,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,1804.0,3435.0,3
RC,367,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,367,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,367,Lymphangiotomy or other operations on lymphatic channels ,,,870.0,2303.0,6
RC,367,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1876.0,6446.0,4
RC,367,Lysis of labial adhesions ,,,607.0,2303.0,6
RC,367,Lysis or excision of penile post-circumcision adhesions ,,,870.0,2303.0,6
RC,367,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,3435.0,6446.0,3
RC,367,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,3435.0,3435.0,1
RC,367,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,3435.0,3435.0,1
RC,367,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,3435.0,3435.0,1
RC,367,Management of liver hemorrhage; simple suture of liver wound or injury ,,,3435.0,3435.0,1
RC,367,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,3435.0,3435.0,1
RC,367,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,607.0,2303.0,6
RC,367,Marsupialization of Bartholin's gland cyst ,,,870.0,2303.0,6
RC,367,Marsupialization of cyst or abscess of liver ,,,3435.0,3435.0,1
RC,367,Marsupialization of pancreatic cyst ,,,3435.0,3435.0,1
RC,367,Marsupialization of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,6
RC,367,"Marsupialization of urethral diverticulum, male or female ",,,870.0,2303.0,6
RC,367,Mastoid obliteration (separate procedure) ,,,1257.0,6446.0,6
RC,367,Mastoidectomy; complete ,,,3723.0,10746.0,6
RC,367,Mastoidectomy; modified radical ,,,3723.0,10746.0,6
RC,367,Mastoidectomy; radical ,,,3723.0,10746.0,6
RC,367,Maxillary impression for palatal prosthesis ,,,607.0,2303.0,4
RC,367,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,2303.0,6
RC,367,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,2303.0,4
RC,367,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,607.0,2303.0,4
RC,367,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,1257.0,6446.0,4
RC,367,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,1257.0,6446.0,4
RC,367,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,3435.0,3435.0,1
RC,367,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,3435.0,3435.0,1
RC,367,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,6
RC,367,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,3435.0,3435.0,1
RC,367,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,2303.0,4
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,870.0,2303.0,4
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,607.0,2303.0,4
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,607.0,2303.0,4
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,607.0,2303.0,4
RC,367,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,3723.0,10746.0,4
RC,367,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1876.0,6446.0,6
RC,367,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,1687.0,4
RC,367,Myringotomy including aspiration and/or eustachian tube inflation ,,,1257.0,6446.0,4
RC,367,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,1257.0,6446.0,6
RC,367,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,367,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,367,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,870.0,2303.0,4
RC,367,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,367,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1804.0,3435.0,3
RC,367,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1804.0,3435.0,3
RC,367,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,607.0,2303.0,6
RC,367,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,3435.0,3435.0,1
RC,367,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,3435.0,3435.0,1
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,3435.0,3435.0,1
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,3435.0,3435.0,1
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,3435.0,3435.0,1
RC,367,"Nephrectomy, partial ",,,3435.0,3435.0,1
RC,367,Nephrolithotomy; complicated by congenital kidney abnormality ,,,3435.0,3435.0,1
RC,367,Nephrolithotomy; removal of calculus ,,,3435.0,3435.0,1
RC,367,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,3435.0,3435.0,1
RC,367,Nephrolithotomy; secondary surgical operation for calculus ,,,3435.0,3435.0,1
RC,367,"Nephrorrhaphy, suture of kidney wound or injury ",,,3435.0,3435.0,1
RC,367,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,4
RC,367,"Nephrotomy, with exploration ",,,3435.0,3435.0,1
RC,367,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,2303.0,6
RC,367,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,2303.0,6
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6446.0,6
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6446.0,6
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6446.0,6
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6446.0,6
RC,367,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,2303.0,6
RC,367,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,2303.0,6
RC,367,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,2303.0,6
RC,367,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,2303.0,6
RC,367,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,870.0,2303.0,6
RC,367,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,870.0,2303.0,6
RC,367,Nerve pedicle transfer; first stage ,,,870.0,2303.0,6
RC,367,Nerve pedicle transfer; second stage ,,,607.0,2303.0,6
RC,367,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,2303.0,4
RC,367,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,607.0,3435.0,5
RC,367,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,3435.0,5
RC,367,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,2303.0,4
RC,367,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,3435.0,3435.0,1
RC,367,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,3435.0,3435.0,1
RC,367,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,3435.0,3435.0,1
RC,367,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,3435.0,3435.0,1
RC,367,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1257.0,6446.0,6
RC,367,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,2303.0,6
RC,367,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,2303.0,6
RC,367,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,2303.0,6
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,2303.0,6
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,2303.0,6
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,2303.0,6
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,2303.0,6
RC,367,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,2303.0,6
RC,367,Neuroplasty; nerve of hand or foot ,,,607.0,2303.0,6
RC,367,Nocturnal penile tumescence and/or rigidity test ,,,607.0,2303.0,4
RC,367,OPERATIVE UPPER GI ENDOSCOPY ,,,2302.0,2490.0,2
RC,367,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,3435.0,3435.0,1
RC,367,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,4
RC,367,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1876.0,6446.0,6
RC,367,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1876.0,6446.0,6
RC,367,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1876.0,6446.0,6
RC,367,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,3435.0,3435.0,1
RC,367,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,3435.0,6446.0,3
RC,367,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1876.0,6446.0,4
RC,367,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,2303.0,2
RC,367,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,2303.0,4
RC,367,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,2303.0,2
RC,367,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,3435.0,3
RC,367,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,2303.0,2
RC,367,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,2303.0,6
RC,367,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,2303.0,6
RC,367,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,6446.0,6
RC,367,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,5050.0,6446.0,2
RC,367,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,5050.0,6446.0,2
RC,367,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,5050.0,6446.0,2
RC,367,"Operculectomy, excision pericoronal tissues ",,,607.0,2303.0,4
RC,367,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1471.0,6446.0,6
RC,367,Orbital implant (implant outside muscle cone); insertion ,,,1471.0,6446.0,6
RC,367,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,2303.0,6
RC,367,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,3435.0,3435.0,1
RC,367,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,3435.0,3435.0,1
RC,367,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,3435.0,3435.0,1
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1876.0,6446.0,6
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1876.0,6446.0,6
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1876.0,6446.0,6
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1876.0,6446.0,6
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1876.0,6446.0,6
RC,367,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,6
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1471.0,6446.0,6
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1876.0,6446.0,4
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1876.0,6446.0,6
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1876.0,6446.0,6
RC,367,"Orchiectomy, partial ",,,1257.0,6446.0,6
RC,367,"Orchiectomy, radical, for tumor; inguinal approach ",,,1471.0,6446.0,6
RC,367,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,6
RC,367,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1471.0,6446.0,4
RC,367,"Orchiopexy, inguinal or scrotal approach ",,,1471.0,6446.0,6
RC,367,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Other cranial decompression, posterior fossa ",,,3435.0,3435.0,1
RC,367,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,6
RC,367,"Ovarian cystectomy, unilateral or bilateral ",,,1876.0,6446.0,4
RC,367,PAROTID DUCT DIVERSION ,,,2552.0,2760.0,2
RC,367,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,2
RC,367,PLACE GASTROSTOMY TUBE ,,,1560.0,1687.0,2
RC,367,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,1687.0,2
RC,367,"PROSTATECTOMY, SECOND STAGE ",,,988.0,1069.0,2
RC,367,PUNCTURE PERITONEAL CAVITY ,,,1560.0,1687.0,2
RC,367,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,1876.0,6446.0,6
RC,367,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,1876.0,6446.0,6
RC,367,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,1876.0,6446.0,6
RC,367,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,1876.0,6446.0,6
RC,367,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,1876.0,6446.0,4
RC,367,Palatoplasty for cleft palate; major revision ,,,3723.0,10746.0,6
RC,367,Palatoplasty for cleft palate; secondary lengthening procedure ,,,1876.0,6446.0,6
RC,367,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,3435.0,3435.0,1
RC,367,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,3435.0,3435.0,1
RC,367,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,3435.0,3435.0,1
RC,367,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,3435.0,3435.0,1
RC,367,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,3435.0,3435.0,1
RC,367,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,3435.0,3435.0,1
RC,367,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,3435.0,3435.0,1
RC,367,"Pancreatectomy, total ",,,3435.0,3435.0,1
RC,367,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,3435.0,3435.0,1
RC,367,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,3435.0,3435.0,1
RC,367,Pancreatorrhaphy for injury ,,,3435.0,3435.0,1
RC,367,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,607.0,2303.0,6
RC,367,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,2303.0,6
RC,367,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1257.0,6446.0,6
RC,367,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1257.0,6446.0,4
RC,367,Parathyroidectomy or exploration of parathyroid(s); ,,,3723.0,10746.0,4
RC,367,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,3723.0,10746.0,4
RC,367,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,3435.0,3435.0,1
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,6446.0,4
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1876.0,6446.0,4
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,6446.0,4
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,607.0,2303.0,4
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,607.0,2303.0,4
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,607.0,2303.0,4
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,1257.0,6446.0,6
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,1471.0,6446.0,6
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,1471.0,6446.0,6
RC,367,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,3435.0,3435.0,1
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,3435.0,3435.0,1
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,3435.0,3435.0,1
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,3435.0,3435.0,1
RC,367,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,3435.0,3435.0,1
RC,367,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,3435.0,3435.0,1
RC,367,Partial hymenectomy or revision of hymenal ring ,,,607.0,2303.0,6
RC,367,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,6446.0,4
RC,367,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,6446.0,4
RC,367,Pelvic examination under anesthesia (other than local) ,,,870.0,2303.0,6
RC,367,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,3435.0,3435.0,1
RC,367,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,3435.0,3435.0,1
RC,367,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,3435.0,3435.0,1
RC,367,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,3435.0,3435.0,1
RC,367,Penile plethysmography ,,,607.0,2303.0,4
RC,367,"Penile revascularization, artery, with or without vein graft ",,,3435.0,3435.0,1
RC,367,Penile venous occlusive procedure ,,,1257.0,6446.0,6
RC,367,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2174.0,6446.0,5
RC,367,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,8418.0,10746.0,2
RC,367,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,8418.0,10746.0,2
RC,367,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,607.0,2303.0,4
RC,367,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,607.0,2303.0,6
RC,367,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,5050.0,6446.0,2
RC,367,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,2303.0,2
RC,367,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1804.0,3435.0,3
RC,367,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,2303.0,6
RC,367,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,2303.0,6
RC,367,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,2303.0,4
RC,367,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,6446.0,6
RC,367,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,607.0,2303.0,12
RC,367,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,5050.0,6446.0,4
RC,367,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,5050.0,6446.0,2
RC,367,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1876.0,6446.0,4
RC,367,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,5956.0,7602.0,2
RC,367,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,5956.0,7602.0,2
RC,367,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,607.0,827.0,2
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,4247.0,2
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,4247.0,2
RC,367,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,7602.0,4
RC,367,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,7602.0,2
RC,367,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,4
RC,367,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,8418.0,10746.0,2
RC,367,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,5956.0,7602.0,2
RC,367,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8418.0,10746.0,2
RC,367,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,8418.0,10746.0,2
RC,367,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,367,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,1876.0,10746.0,10
RC,367,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,3068.0,7602.0,4
RC,367,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8418.0,10746.0,2
RC,367,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,3068.0,7602.0,4
RC,367,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,5956.0,7602.0,2
RC,367,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,5050.0,6446.0,2
RC,367,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,5050.0,6446.0,2
RC,367,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,5050.0,6446.0,2
RC,367,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,5050.0,6446.0,2
RC,367,"Pereyra procedure, including anterior colporrhaphy ",,,1876.0,6446.0,6
RC,367,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1876.0,6446.0,6
RC,367,Periodontal mucosal grafting ,,,870.0,2303.0,4
RC,367,Perirectal injection of sclerosing solution for prolapse ,,,607.0,2303.0,4
RC,367,"Peritoneal lavage, including imaging guidance, when performed ",,,870.0,2303.0,4
RC,367,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,3435.0,6446.0,3
RC,367,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,1804.0,3435.0,3
RC,367,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1804.0,3435.0,3
RC,367,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,3435.0,6446.0,3
RC,367,Petrous apicectomy including radical mastoidectomy ,,,3723.0,10746.0,6
RC,367,Pharyngoesophageal repair ,,,3435.0,3435.0,1
RC,367,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,870.0,2303.0,6
RC,367,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,870.0,2303.0,6
RC,367,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,870.0,2303.0,4
RC,367,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1471.0,6446.0,6
RC,367,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,2303.0,4
RC,367,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,2303.0,4
RC,367,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,870.0,2303.0,8
RC,367,Placement of choledochal stent ,,,3435.0,3435.0,1
RC,367,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,3435.0,3435.0,1
RC,367,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,3435.0,3435.0,1
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,3435.0,3435.0,1
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,607.0,2303.0,4
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,2303.0,4
RC,367,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,2303.0,4
RC,367,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,607.0,2303.0,4
RC,367,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,2303.0,4
RC,367,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,2303.0,4
RC,367,Placement of seton ,,,1257.0,6446.0,6
RC,367,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,1257.0,6446.0,12
RC,367,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,6446.0,12
RC,367,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,1804.0,3435.0,3
RC,367,Plastic operation of penis for injury ,,,1471.0,6446.0,6
RC,367,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6446.0,6
RC,367,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6446.0,6
RC,367,Plastic operation on penis for epispadias distal to external sphincter; ,,,1257.0,6446.0,6
RC,367,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1257.0,6446.0,6
RC,367,Plastic operation on penis to correct angulation ,,,1257.0,6446.0,6
RC,367,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6446.0,6
RC,367,Plastic repair of canaliculi ,,,870.0,2303.0,6
RC,367,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,1257.0,6446.0,4
RC,367,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,3723.0,10746.0,6
RC,367,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,3723.0,10746.0,6
RC,367,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,3723.0,10746.0,6
RC,367,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,1257.0,6446.0,6
RC,367,Plastic repair of introitus ,,,1257.0,6446.0,6
RC,367,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,1257.0,6446.0,6
RC,367,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,1471.0,6446.0,6
RC,367,Plastic repair of urethrocele ,,,1257.0,6446.0,6
RC,367,"Portoenterostomy (eg, Kasai procedure) ",,,3435.0,3435.0,1
RC,367,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1876.0,6446.0,6
RC,367,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,607.0,2303.0,4
RC,367,Postpartum care only (separate procedure) ,,,607.0,3435.0,5
RC,367,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,607.0,3435.0,5
RC,367,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,367,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,3435.0,3435.0,1
RC,367,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,870.0,7602.0,8
RC,367,"Probing of lacrimal canaliculi, with or without irrigation ",,,607.0,2303.0,4
RC,367,"Probing of nasolacrimal duct, with or without irrigation; ",,,607.0,2303.0,6
RC,367,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,2303.0,6
RC,367,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,2303.0,6
RC,367,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,2303.0,4
RC,367,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,3435.0,3435.0,1
RC,367,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,3435.0,3435.0,1
RC,367,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,3435.0,3435.0,1
RC,367,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,3435.0,3435.0,1
RC,367,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,3435.0,3435.0,1
RC,367,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,3435.0,3435.0,1
RC,367,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,3435.0,3435.0,1
RC,367,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,3435.0,3435.0,1
RC,367,"Proctectomy; partial resection of rectum, transabdominal approach ",,,3435.0,3435.0,1
RC,367,"Proctopexy (eg, for prolapse); abdominal approach ",,,3435.0,3435.0,1
RC,367,"Proctopexy (eg, for prolapse); perineal approach ",,,870.0,2303.0,4
RC,367,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,3435.0,3435.0,1
RC,367,Proctoplasty; for prolapse of mucous membrane ,,,870.0,2303.0,6
RC,367,Proctoplasty; for stenosis ,,,870.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,607.0,2303.0,4
RC,367,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,607.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,607.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,2303.0,4
RC,367,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,607.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,2303.0,6
RC,367,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,607.0,2303.0,6
RC,367,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,870.0,2303.0,6
RC,367,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,607.0,2303.0,4
RC,367,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,3435.0,3435.0,1
RC,367,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,3435.0,3435.0,1
RC,367,"Prostatectomy, perineal radical; ",,,3435.0,3435.0,1
RC,367,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,3435.0,3435.0,1
RC,367,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,3435.0,3435.0,1
RC,367,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,3435.0,3435.0,1
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,3435.0,3435.0,1
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,3435.0,10746.0,5
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,3435.0,3435.0,1
RC,367,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,2303.0,6
RC,367,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,2303.0,6
RC,367,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,607.0,2303.0,6
RC,367,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,3435.0,3435.0,1
RC,367,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,3435.0,3435.0,1
RC,367,"Pyelotomy; with drainage, pyelostomy ",,,3435.0,3435.0,1
RC,367,Pyelotomy; with exploration ,,,3435.0,3435.0,1
RC,367,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,3435.0,3435.0,1
RC,367,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,3435.0,3435.0,1
RC,367,Pyloroplasty ,,,3435.0,3435.0,1
RC,367,REMOVAL OF ABDOMINAL FLUID ,,,1560.0,1687.0,2
RC,367,REMOVAL OF ANAL CRYPT ,,,1560.0,1687.0,2
RC,367,REMOVAL OF ANAL CRYPTS ,,,1560.0,1687.0,2
RC,367,REMOVE ABDOMEN FOREIGN BODY ,,,1560.0,1687.0,2
RC,367,REMOVE BILE DUCT STONE ,,,2302.0,2490.0,2
RC,367,REMOVE RESIDUAL PROSTATE ,,,988.0,1069.0,2
RC,367,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,367,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,1471.0,2760.0,4
RC,367,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1471.0,4584.0,4
RC,367,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,367,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,2490.0,4
RC,367,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1876.0,4584.0,4
RC,367,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,367,REPAIR SPIGELIAN HERNIA ,,,1257.0,2490.0,4
RC,367,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,367,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,1471.0,2760.0,4
RC,367,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,367,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,1471.0,2760.0,4
RC,367,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,367,REREPAIR DETACHED RETINA ,,,4526.0,4895.0,2
RC,367,REVISE/REINSERT BILE TUBE ,,,988.0,1069.0,2
RC,367,REVISE/REMOVE NEUROELECTRODE ,,,988.0,1069.0,2
RC,367,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3723.0,5078.0,4
RC,367,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,367,Radial keratotomy ,,,3723.0,10746.0,4
RC,367,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,3435.0,10746.0,5
RC,367,Radical excision external auditory canal lesion; with neck dissection ,,,3435.0,3435.0,1
RC,367,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,6
RC,367,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,3435.0,3435.0,1
RC,367,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,3435.0,3435.0,1
RC,367,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,3435.0,6446.0,3
RC,367,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,3435.0,3435.0,1
RC,367,Recipient nephrectomy (separate procedure) ,,,3435.0,3435.0,1
RC,367,"Reconstruction external auditory canal for congenital atresia, single stage ",,,3723.0,10746.0,6
RC,367,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1257.0,6446.0,6
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1257.0,6446.0,6
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,6
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1257.0,6446.0,6
RC,367,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,3435.0,3435.0,1
RC,367,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2303.0,2
RC,367,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,3435.0,3435.0,1
RC,367,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,3435.0,3435.0,1
RC,367,Reduction of overcorrection of ptosis ,,,1471.0,6446.0,6
RC,367,Reduction of procidentia (separate procedure) under anesthesia ,,,607.0,2303.0,6
RC,367,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1471.0,6446.0,6
RC,367,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,2174.0,6446.0,5
RC,367,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,2303.0,6
RC,367,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,6
RC,367,Release of encircling material (posterior segment) ,,,870.0,2303.0,6
RC,367,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,3723.0,10746.0,6
RC,367,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,367,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,367,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,367,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,367,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,6446.0,6
RC,367,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1876.0,6446.0,4
RC,367,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,2303.0,4
RC,367,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,2303.0,2
RC,367,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,2303.0,6
RC,367,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,6446.0,6
RC,367,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1471.0,6446.0,4
RC,367,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,2303.0,6
RC,367,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,2303.0,6
RC,367,"Removal impacted cerumen requiring instrumentation, unilateral ",,,607.0,2303.0,4
RC,367,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,607.0,2303.0,4
RC,367,"Removal of Thiersch wire or suture, anal canal ",,,870.0,2303.0,6
RC,367,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,6
RC,367,"Removal of anal seton, other marker ",,,607.0,2303.0,6
RC,367,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1804.0,3435.0,3
RC,367,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1804.0,3435.0,3
RC,367,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1804.0,3435.0,3
RC,367,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,607.0,2303.0,4
RC,367,"Removal of blood clot, anterior segment of eye ",,,1876.0,6446.0,6
RC,367,Removal of bone flap or prosthetic plate of skull ,,,3435.0,3435.0,1
RC,367,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,607.0,2303.0,4
RC,367,Removal of cerclage suture under anesthesia (other than local) ,,,1876.0,6446.0,6
RC,367,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,3435.0,3435.0,1
RC,367,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,870.0,2303.0,4
RC,367,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,2303.0,4
RC,367,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1804.0,2303.0,2
RC,367,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,2303.0,4
RC,367,Removal of embedded foreign body from dentoalveolar structures; bone ,,,607.0,2303.0,4
RC,367,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,607.0,2303.0,4
RC,367,"Removal of embedded foreign body, eyelid ",,,607.0,2303.0,4
RC,367,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,870.0,2303.0,4
RC,367,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,2303.0,6
RC,367,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1876.0,6446.0,6
RC,367,Removal of esophageal sphincter augmentation device ,,,1471.0,6446.0,4
RC,367,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,607.0,2303.0,6
RC,367,Removal of foreign body from pharynx ,,,607.0,2303.0,4
RC,367,Removal of foreign body in scrotum ,,,870.0,2303.0,6
RC,367,"Removal of foreign body or dacryolith, lacrimal passages ",,,607.0,2303.0,4
RC,367,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,2303.0,6
RC,367,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1257.0,6446.0,6
RC,367,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1471.0,6446.0,6
RC,367,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,2303.0,2
RC,367,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,3435.0,3
RC,367,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,2303.0,2
RC,367,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,2303.0,6
RC,367,"Removal of implanted material, anterior segment of eye ",,,3723.0,10746.0,6
RC,367,"Removal of implanted material, posterior segment; extraocular ",,,870.0,2303.0,6
RC,367,"Removal of implanted material, posterior segment; intraocular ",,,870.0,2303.0,6
RC,367,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,2303.0,6
RC,367,Removal of intrauterine device (IUD) ,,,607.0,2303.0,4
RC,367,"Removal of lens material; aspiration technique, 1 or more stages ",,,1471.0,6446.0,6
RC,367,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,1876.0,6446.0,6
RC,367,Removal of lens material; intracapsular ,,,1471.0,6446.0,6
RC,367,"Removal of lens material; intracapsular, for dislocated lens ",,,1876.0,6446.0,6
RC,367,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1471.0,6446.0,6
RC,367,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,3723.0,10746.0,6
RC,367,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,607.0,2303.0,4
RC,367,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,607.0,2303.0,4
RC,367,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,6
RC,367,Removal of ocular implant ,,,607.0,2303.0,6
RC,367,Removal of pancreatic calculus ,,,3435.0,3435.0,1
RC,367,Removal of peritoneal foreign body from peritoneal cavity ,,,870.0,2303.0,6
RC,367,Removal of peritoneal-venous shunt ,,,870.0,2303.0,4
RC,367,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8418.0,10746.0,2
RC,367,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,2303.0,6
RC,367,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1471.0,6446.0,6
RC,367,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1804.0,3435.0,3
RC,367,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,2303.0,4
RC,367,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,2303.0,4
RC,367,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,2303.0,6
RC,367,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,1804.0,3435.0,3
RC,367,"Removal of transplanted intestinal allograft, complete ",,,3435.0,3435.0,1
RC,367,Removal of transplanted pancreatic allograft ,,,3435.0,3435.0,1
RC,367,Removal of transplanted renal allograft ,,,3435.0,3435.0,1
RC,367,"Removal of tumor, temporal bone ",,,1471.0,6446.0,4
RC,367,Removal of tunneled intraperitoneal catheter ,,,607.0,2303.0,6
RC,367,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1471.0,6446.0,6
RC,367,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1471.0,6446.0,6
RC,367,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,2303.0,6
RC,367,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,2303.0,6
RC,367,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1876.0,6446.0,4
RC,367,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,607.0,2303.0,4
RC,367,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1804.0,3435.0,3
RC,367,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1804.0,3435.0,3
RC,367,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1804.0,3435.0,3
RC,367,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,3435.0,3435.0,1
RC,367,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,3435.0,3435.0,1
RC,367,"Renal autotransplantation, reimplantation of kidney ",,,3435.0,3435.0,1
RC,367,Renal biopsy; by surgical exposure of kidney ,,,3435.0,3435.0,1
RC,367,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,2303.0,6
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,2303.0,6
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,2303.0,6
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,2303.0,6
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,2303.0,6
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,870.0,2303.0,4
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,2303.0,6
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,2303.0,4
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,2303.0,4
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,2303.0,4
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,2303.0,4
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,607.0,2303.0,4
RC,367,"Renal exploration, not necessitating other specific procedures ",,,3435.0,3435.0,1
RC,367,Reopening of recent laparotomy ,,,3435.0,3435.0,1
RC,367,Repair incomplete circumcision ,,,870.0,2303.0,6
RC,367,"Repair inguinal hernia, sliding, any age ",,,1471.0,6446.0,6
RC,367,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1471.0,6446.0,6
RC,367,"Repair initial femoral hernia, any age; reducible ",,,1876.0,6446.0,6
RC,367,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1471.0,6446.0,6
RC,367,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1471.0,6446.0,6
RC,367,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1471.0,6446.0,6
RC,367,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,6
RC,367,"Repair lip, full thickness; over one-half vertical height, or complex ",,,1257.0,6446.0,6
RC,367,"Repair lip, full thickness; up to half vertical height ",,,1257.0,6446.0,6
RC,367,"Repair lip, full thickness; vermilion only ",,,1257.0,6446.0,6
RC,367,Repair lumbar hernia ,,,870.0,2303.0,6
RC,367,Repair of anal fistula with fibrin glue ,,,607.0,2303.0,6
RC,367,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,5050.0,6446.0,2
RC,367,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,3435.0,3435.0,6
RC,367,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,3435.0,3435.0,6
RC,367,"Repair of anterior palate, including vomer flap ",,,1876.0,6446.0,6
RC,367,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1471.0,6446.0,6
RC,367,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1471.0,6446.0,6
RC,367,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1471.0,6446.0,6
RC,367,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1876.0,6446.0,6
RC,367,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1876.0,6446.0,6
RC,367,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1876.0,6446.0,6
RC,367,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1471.0,6446.0,6
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,3435.0,3435.0,1
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,3435.0,3435.0,1
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,3435.0,3435.0,1
RC,367,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1876.0,6446.0,4
RC,367,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6446.0,6
RC,367,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,3435.0,3435.0,1
RC,367,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,3435.0,3435.0,1
RC,367,Repair of ectropion; excision tarsal wedge ,,,1471.0,6446.0,6
RC,367,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1471.0,6446.0,6
RC,367,Repair of ectropion; suture ,,,1257.0,6446.0,6
RC,367,Repair of ectropion; thermocauterization ,,,1257.0,6446.0,4
RC,367,"Repair of encephalocele, skull vault, including cranioplasty ",,,3435.0,3435.0,1
RC,367,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,2303.0,2
RC,367,Repair of entropion; excision tarsal wedge ,,,1471.0,6446.0,6
RC,367,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1471.0,6446.0,6
RC,367,Repair of entropion; suture ,,,1257.0,6446.0,6
RC,367,Repair of entropion; thermocauterization ,,,1257.0,6446.0,4
RC,367,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,3435.0,3435.0,1
RC,367,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,3435.0,3435.0,1
RC,367,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,3435.0,3435.0,1
RC,367,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,3435.0,3435.0,1
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,6
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,6
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,6
RC,367,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,1257.0,6446.0,5
RC,367,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,1257.0,6446.0,5
RC,367,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,2303.0,6
RC,367,"Repair of iris, ciliary body (as for iridodialysis) ",,,1257.0,6446.0,6
RC,367,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,870.0,2303.0,6
RC,367,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,870.0,2303.0,6
RC,367,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,870.0,2303.0,6
RC,367,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,870.0,2303.0,4
RC,367,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,3435.0,5
RC,367,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,2303.0,6
RC,367,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,2303.0,6
RC,367,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1471.0,6446.0,6
RC,367,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1471.0,6446.0,6
RC,367,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1471.0,6446.0,6
RC,367,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,1471.0,6446.0,5
RC,367,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,3435.0,3435.0,1
RC,367,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,3435.0,3435.0,1
RC,367,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,3435.0,3435.0,1
RC,367,Repair of meningocele; larger than 5 cm diameter ,,,3435.0,3435.0,1
RC,367,Repair of meningocele; less than 5 cm diameter ,,,3435.0,3435.0,1
RC,367,Repair of myelomeningocele; larger than 5 cm diameter ,,,3435.0,3435.0,1
RC,367,Repair of myelomeningocele; less than 5 cm diameter ,,,3435.0,3435.0,1
RC,367,Repair of nasolabial fistula ,,,1471.0,6446.0,6
RC,367,Repair of omphalocele (Gross type operation); first stage ,,,3435.0,3435.0,1
RC,367,Repair of omphalocele (Gross type operation); second stage ,,,3435.0,3435.0,1
RC,367,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,3435.0,6446.0,3
RC,367,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,3435.0,6446.0,3
RC,367,Repair of rectocele (separate procedure) ,,,870.0,2303.0,6
RC,367,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1471.0,6446.0,4
RC,367,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1876.0,6446.0,4
RC,367,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1876.0,6446.0,6
RC,367,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,3723.0,10746.0,6
RC,367,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,3435.0,3435.0,1
RC,367,Repair of scleral staphyloma with graft ,,,1471.0,6446.0,6
RC,367,"Repair of small omphalocele, with primary closure ",,,1471.0,6446.0,6
RC,367,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1471.0,6446.0,6
RC,367,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1471.0,6446.0,6
RC,367,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1471.0,6446.0,6
RC,367,Repair of traumatic corporeal tear(s) ,,,870.0,2303.0,4
RC,367,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1471.0,6446.0,6
RC,367,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,6
RC,367,Repair oval window fistula ,,,1471.0,6446.0,6
RC,367,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1471.0,6446.0,6
RC,367,Repair recurrent femoral hernia; reducible ,,,1876.0,6446.0,6
RC,367,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1471.0,6446.0,6
RC,367,"Repair recurrent inguinal hernia, any age; reducible ",,,1471.0,6446.0,6
RC,367,Repair round window fistula ,,,1471.0,6446.0,6
RC,367,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,3435.0,3435.0,1
RC,367,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,3435.0,3435.0,1
RC,367,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1471.0,6446.0,12
RC,367,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1876.0,6446.0,4
RC,367,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,4
RC,367,"Repair, laceration of diaphragm, any approach ",,,3435.0,3435.0,1
RC,367,"Repair, laceration of palate; over 2 cm or complex ",,,870.0,2303.0,6
RC,367,"Repair, laceration of palate; up to 2 cm ",,,607.0,2303.0,6
RC,367,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,3435.0,3435.0,1
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,367,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,367,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,3435.0,3435.0,1
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,3435.0,7602.0,3
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,3435.0,7602.0,3
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,3068.0,7602.0,6
RC,367,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,3435.0,3435.0,1
RC,367,Replacement of bone flap or prosthetic plate of skull ,,,3435.0,3435.0,1
RC,367,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,2303.0,4
RC,367,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,2303.0,4
RC,367,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,2303.0,4
RC,367,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,1804.0,3435.0,3
RC,367,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,1804.0,3435.0,3
RC,367,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,2303.0,6
RC,367,"Replacement or irrigation, ventricular catheter ",,,607.0,2303.0,6
RC,367,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,2303.0,6
RC,367,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6446.0,6
RC,367,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,607.0,2303.0,6
RC,367,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1471.0,6446.0,6
RC,367,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,1257.0,6446.0,4
RC,367,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,3435.0,3435.0,1
RC,367,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,3435.0,3435.0,1
RC,367,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,3435.0,3435.0,1
RC,367,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,3723.0,10746.0,6
RC,367,"Resection of lip, more than one-fourth, without reconstruction ",,,870.0,2303.0,6
RC,367,Resection of mediastinal cyst ,,,3435.0,3435.0,1
RC,367,Resection of mediastinal tumor ,,,3435.0,3435.0,1
RC,367,Resection of palate or extensive resection of lesion ,,,1471.0,6446.0,6
RC,367,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,3435.0,3435.0,1
RC,367,Resection of scrotum ,,,607.0,2303.0,6
RC,367,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,3435.0,3435.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,3435.0,3435.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,3435.0,3435.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,3435.0,3435.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,3435.0,3435.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,3435.0,3435.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,3435.0,3435.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,3435.0,3435.0,1
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,3435.0,3435.0,1
RC,367,"Resection temporal bone, external approach ",,,3435.0,3435.0,1
RC,367,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,3435.0,3435.0,1
RC,367,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,3435.0,3435.0,1
RC,367,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,1257.0,6446.0,4
RC,367,Retrobulbar injection; alcohol ,,,607.0,2303.0,4
RC,367,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,607.0,827.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,607.0,827.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1804.0,6446.0,12
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,1471.0,2007.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,5050.0,6446.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,607.0,827.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,607.0,827.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,607.0,827.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,607.0,827.0,2
RC,367,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,5050.0,6446.0,2
RC,367,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,3435.0,3435.0,1
RC,367,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,4
RC,367,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,2303.0,4
RC,367,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,2303.0,4
RC,367,Revision mastoidectomy; resulting in complete mastoidectomy ,,,3723.0,10746.0,6
RC,367,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,3723.0,10746.0,6
RC,367,Revision mastoidectomy; resulting in radical mastoidectomy ,,,3723.0,10746.0,6
RC,367,Revision mastoidectomy; resulting in tympanoplasty ,,,3723.0,5078.0,4
RC,367,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,2303.0,6
RC,367,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1257.0,6446.0,4
RC,367,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1471.0,6446.0,4
RC,367,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1257.0,6446.0,6
RC,367,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,1471.0,6446.0,4
RC,367,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,3435.0,3435.0,1
RC,367,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,3435.0,3435.0,1
RC,367,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,3435.0,6446.0,3
RC,367,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,607.0,2303.0,6
RC,367,Revision of peritoneal-venous shunt ,,,870.0,2303.0,6
RC,367,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6446.0,6
RC,367,Revision of stapedectomy or stapedotomy ,,,1876.0,6446.0,6
RC,367,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,3068.0,7602.0,4
RC,367,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,3435.0,3435.0,1
RC,367,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,2303.0,6
RC,367,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,3435.0,3435.0,1
RC,367,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,2303.0,6
RC,367,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1804.0,3435.0,3
RC,367,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,2303.0,6
RC,367,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,2303.0,6
RC,367,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,2303.0,6
RC,367,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,3435.0,6446.0,3
RC,367,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,3435.0,6446.0,3
RC,367,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,2303.0,4
RC,367,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,3435.0,3
RC,367,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,2303.0,2
RC,367,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,2303.0,2
RC,367,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,3435.0,6446.0,3
RC,367,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,5050.0,6446.0,2
RC,367,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,5050.0,6446.0,2
RC,367,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,367,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,3435.0,3435.0,1
RC,367,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,3435.0,3435.0,1
RC,367,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,3435.0,3435.0,1
RC,367,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,3435.0,3435.0,1
RC,367,SIGMOIDOSCOPY W/ABLATE TUMR ,,,988.0,1069.0,2
RC,367,SIGMOIDOSCOPY W/STENT ,,,988.0,1069.0,2
RC,367,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,3723.0,5078.0,4
RC,367,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,827.0,2
RC,367,STRIP RETINAL MEMBRANE ,,,3026.0,3273.0,2
RC,367,SURGICAL COLONOSCOPY ,,,988.0,1069.0,2
RC,367,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6446.0,4
RC,367,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6446.0,4
RC,367,Salpingostomy (salpingoneostomy) ,,,1876.0,6446.0,4
RC,367,Scleral reinforcement (separate procedure); with graft ,,,1257.0,6446.0,6
RC,367,Scleral reinforcement (separate procedure); without graft ,,,1257.0,6446.0,6
RC,367,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,870.0,2303.0,4
RC,367,Scrotal exploration ,,,870.0,2303.0,6
RC,367,Scrotoplasty; complicated ,,,870.0,2303.0,6
RC,367,Scrotoplasty; simple ,,,607.0,2303.0,6
RC,367,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,607.0,2303.0,4
RC,367,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,3435.0,3435.0,1
RC,367,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,3435.0,3435.0,1
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1471.0,6446.0,6
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1471.0,6446.0,6
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,2303.0,6
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1471.0,6446.0,6
RC,367,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1471.0,6446.0,4
RC,367,Severing of tarsorrhaphy ,,,607.0,2303.0,4
RC,367,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,870.0,2303.0,6
RC,367,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,870.0,2303.0,6
RC,367,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,1257.0,6446.0,4
RC,367,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,607.0,2303.0,4
RC,367,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,2303.0,4
RC,367,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,2303.0,4
RC,367,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,607.0,2303.0,4
RC,367,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,607.0,2303.0,4
RC,367,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,2303.0,4
RC,367,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,607.0,2303.0,6
RC,367,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,607.0,2303.0,6
RC,367,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,607.0,2303.0,4
RC,367,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,2303.0,6
RC,367,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1876.0,6446.0,6
RC,367,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,2303.0,6
RC,367,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1876.0,6446.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,870.0,2303.0,6
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,1876.0,6446.0,6
RC,367,Snip incision of lacrimal punctum ,,,1804.0,2303.0,2
RC,367,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,1257.0,6446.0,6
RC,367,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,3435.0,3435.0,1
RC,367,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,1257.0,6446.0,6
RC,367,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,870.0,2303.0,6
RC,367,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Spinal puncture, lumbar, diagnostic; ",,,607.0,2303.0,6
RC,367,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,1804.0,3435.0,3
RC,367,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,607.0,2303.0,6
RC,367,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,1804.0,3435.0,3
RC,367,Splenectomy; partial (separate procedure) ,,,3435.0,3435.0,1
RC,367,Splenectomy; total (separate procedure) ,,,3435.0,3435.0,1
RC,367,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,1257.0,6446.0,4
RC,367,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,1257.0,6446.0,4
RC,367,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1876.0,3273.0,4
RC,367,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1876.0,6446.0,6
RC,367,Stapes mobilization ,,,3723.0,10746.0,6
RC,367,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,3435.0,3435.0,1
RC,367,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,3435.0,3435.0,1
RC,367,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,3435.0,3435.0,1
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,3435.0,3435.0,1
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,3435.0,3435.0,1
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,2303.0,6
RC,367,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1471.0,6446.0,6
RC,367,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1471.0,6446.0,6
RC,367,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1471.0,6446.0,6
RC,367,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1471.0,6446.0,6
RC,367,"Strabismus surgery, any procedure, superior oblique muscle ",,,1471.0,6446.0,6
RC,367,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1257.0,6446.0,6
RC,367,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1471.0,6446.0,6
RC,367,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1471.0,6446.0,6
RC,367,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1471.0,6446.0,6
RC,367,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,607.0,2303.0,4
RC,367,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,607.0,2303.0,4
RC,367,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,607.0,2303.0,4
RC,367,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,3435.0,3435.0,1
RC,367,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,3435.0,3435.0,1
RC,367,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,3435.0,10746.0,5
RC,367,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,3435.0,3435.0,1
RC,367,Suprahyoid lymphadenectomy ,,,870.0,2303.0,4
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,3435.0,3435.0,1
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,3435.0,3435.0,1
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,3435.0,3435.0,1
RC,367,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,3435.0,3435.0,1
RC,367,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,3435.0,3435.0,1
RC,367,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,3435.0,3435.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,3435.0,3435.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,3435.0,3435.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,3435.0,3435.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,3435.0,3435.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,3435.0,3435.0,1
RC,367,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,3435.0,3435.0,1
RC,367,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,3435.0,3435.0,1
RC,367,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,3435.0,3435.0,1
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,1257.0,6446.0,6
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,607.0,2303.0,6
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,1257.0,6446.0,6
RC,367,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,1471.0,6446.0,6
RC,367,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,3435.0,3435.0,1
RC,367,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,3435.0,3435.0,1
RC,367,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,3435.0,3435.0,1
RC,367,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,4
RC,367,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,4
RC,367,Suture and/or ligation of thoracic duct; abdominal approach ,,,3435.0,3435.0,1
RC,367,Suture and/or ligation of thoracic duct; cervical approach ,,,3435.0,3435.0,1
RC,367,Suture and/or ligation of thoracic duct; thoracic approach ,,,3435.0,3435.0,1
RC,367,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1876.0,6446.0,6
RC,367,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1876.0,6446.0,6
RC,367,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,2303.0,6
RC,367,Suture of 1 nerve; median motor thenar ,,,1257.0,6446.0,6
RC,367,Suture of 1 nerve; ulnar motor ,,,1257.0,6446.0,6
RC,367,"Suture of digital nerve, hand or foot; 1 nerve ",,,1471.0,6446.0,6
RC,367,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,607.0,2303.0,6
RC,367,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,607.0,2303.0,6
RC,367,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,607.0,2303.0,6
RC,367,Suture of esophageal wound or injury; cervical approach ,,,3435.0,3435.0,1
RC,367,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,3435.0,3435.0,1
RC,367,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,3435.0,3435.0,1
RC,367,Suture of facial nerve; extracranial ,,,1257.0,6446.0,6
RC,367,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6446.0,6
RC,367,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,2303.0,6
RC,367,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,3435.0,3435.0,1
RC,367,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,3435.0,3435.0,1
RC,367,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,2303.0,6
RC,367,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,2303.0,6
RC,367,Suture of mesentery (separate procedure) ,,,3435.0,3435.0,1
RC,367,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1257.0,6446.0,6
RC,367,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,870.0,2303.0,6
RC,367,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1257.0,6446.0,6
RC,367,Suture of posterior tibial nerve ,,,870.0,2303.0,6
RC,367,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,2303.0,6
RC,367,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,2303.0,4
RC,367,Suture of sciatic nerve ,,,870.0,2303.0,6
RC,367,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,3435.0,3435.0,1
RC,367,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,3435.0,3435.0,1
RC,367,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,607.0,2303.0,6
RC,367,Suture of; brachial plexus ,,,1257.0,6446.0,6
RC,367,Suture of; lumbar plexus ,,,1257.0,6446.0,6
RC,367,Suture or repair of testicular injury ,,,1257.0,6446.0,6
RC,367,Suture pharynx for wound or injury ,,,607.0,2303.0,6
RC,367,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,3435.0,3435.0,1
RC,367,"Sympathectomy, cervical ",,,870.0,2303.0,6
RC,367,"Sympathectomy, lumbar ",,,3435.0,3435.0,1
RC,367,"Sympathectomy, thoracolumbar ",,,3435.0,3435.0,1
RC,367,Sympathectomy; radial artery ,,,1471.0,6446.0,6
RC,367,Sympathectomy; superficial palmar arch ,,,870.0,2303.0,4
RC,367,Sympathectomy; ulnar artery ,,,870.0,2303.0,4
RC,367,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,3435.0,3435.0,1
RC,367,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,2303.0,4
RC,367,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,1804.0,3435.0,3
RC,367,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,3435.0,6446.0,3
RC,367,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,367,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,367,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,367,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,3435.0,3
RC,367,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,8418.0,10746.0,2
RC,367,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6446.0,4
RC,367,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6446.0,4
RC,367,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1876.0,6446.0,4
RC,367,"Thyroidectomy, total or complete ",,,3723.0,10746.0,4
RC,367,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8418.0,10746.0,2
RC,367,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,3723.0,10746.0,4
RC,367,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,3723.0,10746.0,4
RC,367,"Tongue base suspension, permanent suture technique ",,,870.0,2303.0,4
RC,367,Tonsillectomy and adenoidectomy; age 12 or over ,,,1876.0,6446.0,6
RC,367,Tonsillectomy and adenoidectomy; younger than age 12 ,,,1257.0,6446.0,6
RC,367,"Tonsillectomy, primary or secondary; age 12 or over ",,,1471.0,6446.0,6
RC,367,"Tonsillectomy, primary or secondary; younger than age 12 ",,,1471.0,6446.0,6
RC,367,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,3435.0,10746.0,5
RC,367,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,3435.0,10746.0,5
RC,367,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,3435.0,10746.0,5
RC,367,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6446.0,4
RC,367,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,3435.0,3435.0,1
RC,367,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,3435.0,3435.0,1
RC,367,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,3435.0,3435.0,1
RC,367,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,3435.0,3435.0,1
RC,367,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,3435.0,3435.0,1
RC,367,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,6446.0,4
RC,367,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,2303.0,4
RC,367,Trabeculoplasty by laser surgery ,,,870.0,2303.0,4
RC,367,Trabeculotomy ab externo ,,,1471.0,6446.0,6
RC,367,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,6
RC,367,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,6
RC,367,"Transabdominal amnioinfusion, including ultrasound guidance ",,,607.0,2303.0,4
RC,367,Transcatheter biopsy ,,,1471.0,6446.0,4
RC,367,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,367,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,10746.0,7
RC,367,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,607.0,6446.0,8
RC,367,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,607.0,2303.0,4
RC,367,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1257.0,6446.0,4
RC,367,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,607.0,2303.0,4
RC,367,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,5050.0,6446.0,2
RC,367,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,5050.0,6446.0,2
RC,367,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,3435.0,3435.0,1
RC,367,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1257.0,6446.0,5
RC,367,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1257.0,6446.0,5
RC,367,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,1257.0,6446.0,4
RC,367,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,1804.0,2303.0,2
RC,367,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,5050.0,6446.0,4
RC,367,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1804.0,2303.0,2
RC,367,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,3435.0,6446.0,3
RC,367,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,2303.0,4
RC,367,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,3435.0,3435.0,1
RC,367,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,3435.0,3435.0,1
RC,367,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,2303.0,6
RC,367,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,2303.0,6
RC,367,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,2303.0,6
RC,367,Transection or avulsion of; greater occipital nerve ,,,870.0,2303.0,6
RC,367,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,870.0,2303.0,6
RC,367,Transection or avulsion of; infraorbital nerve ,,,870.0,2303.0,6
RC,367,Transection or avulsion of; lingual nerve ,,,870.0,2303.0,6
RC,367,Transection or avulsion of; mental nerve ,,,870.0,2303.0,6
RC,367,Transection or avulsion of; phrenic nerve ,,,870.0,2303.0,6
RC,367,Transection or avulsion of; supraorbital nerve ,,,870.0,2303.0,6
RC,367,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,3435.0,3435.0,1
RC,367,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,3435.0,3435.0,1
RC,367,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,3435.0,3435.0,1
RC,367,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,3435.0,3435.0,1
RC,367,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,607.0,5078.0,4
RC,367,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8418.0,10746.0,2
RC,367,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,607.0,10746.0,6
RC,367,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,607.0,827.0,2
RC,367,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1876.0,6446.0,4
RC,367,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1876.0,6446.0,4
RC,367,Transmastoid antrotomy (simple mastoidectomy) ,,,3723.0,10746.0,6
RC,367,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,3435.0,3435.0,1
RC,367,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,3435.0,3435.0,1
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,607.0,2303.0,4
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2174.0,6446.0,4
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1876.0,6446.0,4
RC,367,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,367,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,3435.0,5
RC,367,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,6446.0,6
RC,367,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,3435.0,3435.0,1
RC,367,Transplantation of pancreatic allograft ,,,3435.0,3435.0,1
RC,367,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,6
RC,367,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1471.0,6446.0,6
RC,367,"Transposition, ovary(s) ",,,1257.0,6446.0,4
RC,367,Transrectal drainage of pelvic abscess ,,,607.0,2303.0,6
RC,367,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,3435.0,3435.0,1
RC,367,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,3435.0,3435.0,1
RC,367,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,3068.0,7602.0,4
RC,367,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1804.0,3435.0,3
RC,367,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,2303.0,4
RC,367,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,367,Transurethral drainage of prostatic abscess ,,,870.0,2303.0,6
RC,367,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,6446.0,6
RC,367,Transurethral incision of prostate ,,,1257.0,6446.0,6
RC,367,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,870.0,2303.0,4
RC,367,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,6
RC,367,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,2303.0,6
RC,367,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,2303.0,6
RC,367,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1804.0,3435.0,3
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,870.0,2303.0,4
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,870.0,2303.0,4
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,870.0,2303.0,4
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,870.0,2303.0,4
RC,367,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,607.0,2303.0,4
RC,367,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,870.0,2303.0,4
RC,367,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1876.0,6446.0,6
RC,367,"Treatment of missed abortion, completed surgically; first trimester ",,,1876.0,6446.0,6
RC,367,"Treatment of missed abortion, completed surgically; second trimester ",,,1876.0,6446.0,6
RC,367,"Treatment of septic abortion, completed surgically ",,,870.0,3435.0,5
RC,367,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,3435.0,3435.0,1
RC,367,Tubotubal anastomosis ,,,1876.0,6446.0,4
RC,367,Tubouterine implantation ,,,1876.0,6446.0,4
RC,367,Twist drill hole for subdural or ventricular puncture ,,,3435.0,3435.0,1
RC,367,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,3435.0,3435.0,1
RC,367,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,3435.0,3435.0,1
RC,367,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,3435.0,3435.0,1
RC,367,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,3435.0,3435.0,4
RC,367,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,1257.0,1714.0,2
RC,367,Tympanic neurectomy ,,,1257.0,6446.0,6
RC,367,"Tympanolysis, transcanal ",,,607.0,1069.0,4
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,3723.0,5078.0,4
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,3723.0,5078.0,4
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1876.0,3273.0,4
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1876.0,3273.0,4
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1876.0,3273.0,4
RC,367,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,1257.0,2490.0,4
RC,367,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1257.0,1714.0,2
RC,367,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2303.0,2
RC,367,UPPER GI ENDOSCOPY EXAM ,,,988.0,1069.0,2
RC,367,UPPR GI ENDOSCOPY W/STENT ,,,2302.0,2490.0,2
RC,367,URETHRA PRESSURE PROFILE ,,,988.0,1069.0,2
RC,367,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1471.0,6446.0,6
RC,367,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,607.0,2303.0,4
RC,367,"Unlisted hysteroscopy procedure, uterus ",,,1257.0,6446.0,4
RC,367,"Unlisted laparoscopic procedure, liver ",,,1876.0,2559.0,2
RC,367,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,607.0,827.0,2
RC,367,"Unlisted laparoscopy procedure, appendix ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, biliary tract ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, bladder ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, esophagus ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,1876.0,2559.0,2
RC,367,"Unlisted laparoscopy procedure, lymphatic system ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,6446.0,4
RC,367,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, rectum ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, renal ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, spleen ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, stomach ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, testis ",,,1257.0,1714.0,2
RC,367,"Unlisted laparoscopy procedure, ureter ",,,1876.0,2559.0,2
RC,367,"Unlisted laparoscopy procedure, uterus ",,,1257.0,1714.0,2
RC,367,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,3435.0,3435.0,1
RC,367,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, anterior segment of eye ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, anus ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, colon ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, dentoalveolar structures ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, diaphragm ",,,3435.0,3435.0,1
RC,367,"Unlisted procedure, endocrine system ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, esophagus ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, female genital system (nonobstetrical) ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, hemic or lymphatic system ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, inner ear ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, male genital system ",,,870.0,2303.0,4
RC,367,"Unlisted procedure, maternity care and delivery ",,,870.0,2303.0,4
RC,367,"Unlisted procedure, mediastinum ",,,3435.0,3435.0,1
RC,367,"Unlisted procedure, middle ear ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, nervous system ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, salivary glands or ducts ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, small intestine ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, stomach ",,,1804.0,2303.0,2
RC,367,"Unlisted procedure, temporal bone, middle fossa approach ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, urinary system ",,,607.0,2303.0,4
RC,367,"Unlisted procedure, vascular surgery ",,,870.0,2303.0,4
RC,367,"Unlisted procedure, vestibule of mouth ",,,1876.0,6446.0,4
RC,367,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,607.0,2303.0,4
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,2303.0,6
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,607.0,2303.0,6
RC,367,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2174.0,6446.0,5
RC,367,"Ureterectomy, with bladder cuff (separate procedure) ",,,2174.0,6446.0,5
RC,367,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,3435.0,3435.0,1
RC,367,"Ureterocolon conduit, including intestine anastomosis ",,,3435.0,3435.0,1
RC,367,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,3435.0,3435.0,1
RC,367,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,3435.0,3435.0,1
RC,367,Ureterolithotomy; lower one-third of ureter ,,,1876.0,6446.0,5
RC,367,Ureterolithotomy; middle one-third of ureter ,,,1876.0,6446.0,5
RC,367,Ureterolithotomy; upper one-third of ureter ,,,1876.0,6446.0,5
RC,367,Ureterolysis for ovarian vein syndrome ,,,3435.0,3435.0,1
RC,367,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,3435.0,3435.0,1
RC,367,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,3435.0,3435.0,1
RC,367,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,3435.0,3435.0,1
RC,367,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,3435.0,3435.0,1
RC,367,Ureteroneocystostomy; with extensive ureteral tailoring ,,,3435.0,3435.0,1
RC,367,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,3435.0,3435.0,1
RC,367,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,3435.0,3435.0,1
RC,367,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,3435.0,3435.0,1
RC,367,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,3435.0,3435.0,1
RC,367,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,3435.0,3435.0,1
RC,367,"Ureterostomy, transplantation of ureter to skin ",,,3435.0,3435.0,1
RC,367,"Ureterotomy for insertion of indwelling stent, all types ",,,1876.0,6446.0,5
RC,367,Ureterotomy with exploration or drainage (separate procedure) ,,,1876.0,6446.0,5
RC,367,Ureteroureterostomy ,,,3435.0,3435.0,1
RC,367,"Urethrectomy, total, including cystostomy; female ",,,1876.0,6446.0,6
RC,367,"Urethrectomy, total, including cystostomy; male ",,,1876.0,6446.0,6
RC,367,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1876.0,6446.0,4
RC,367,"Urethromeatoplasty, with mucosal advancement ",,,607.0,2303.0,6
RC,367,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,2303.0,6
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,6
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,6
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6446.0,6
RC,367,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,6
RC,367,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,2303.0,6
RC,367,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,2303.0,6
RC,367,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,6
RC,367,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,2303.0,6
RC,367,"Urethroplasty, reconstruction of female urethra ",,,870.0,2303.0,6
RC,367,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,6
RC,367,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,2303.0,6
RC,367,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,2303.0,6
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,2303.0,6
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,2303.0,6
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,2303.0,6
RC,367,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,2303.0,6
RC,367,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,2303.0,6
RC,367,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,3435.0,3435.0,1
RC,367,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,607.0,2303.0,4
RC,367,Uterine evacuation and curettage for hydatidiform mole ,,,1876.0,6446.0,6
RC,367,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1876.0,6446.0,5
RC,367,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,3435.0,3435.0,1
RC,367,"Uvulectomy, excision of uvula ",,,870.0,2303.0,6
RC,367,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,1714.0,2
RC,367,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,2303.0,4
RC,367,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3435.0,5
RC,367,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,4
RC,367,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,3435.0,3435.0,1
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1876.0,6446.0,4
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1876.0,6446.0,4
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1876.0,6446.0,4
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1876.0,6446.0,4
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1876.0,6446.0,4
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1876.0,6446.0,4
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1876.0,6446.0,4
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1876.0,6446.0,4
RC,367,"Vaginal hysterectomy, radical (Schauta type operation) ",,,3435.0,3435.0,1
RC,367,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,5
RC,367,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,4
RC,367,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,4
RC,367,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,2303.0,4
RC,367,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,2303.0,4
RC,367,Vaginoplasty for intersex state ,,,1257.0,6446.0,4
RC,367,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,3435.0,3435.0,1
RC,367,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,3435.0,3435.0,1
RC,367,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,3435.0,3435.0,1
RC,367,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,6446.0,2
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,1257.0,6446.0,4
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,1257.0,6446.0,4
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1257.0,6446.0,4
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,1257.0,6446.0,4
RC,367,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,1257.0,2490.0,4
RC,367,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,870.0,2303.0,6
RC,367,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,870.0,2303.0,4
RC,367,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,2303.0,6
RC,367,"Vasovasostomy, vasovasorrhaphy ",,,607.0,2303.0,6
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,367,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,367,"Venous anastomosis, open; caval-mesenteric ",,,3435.0,3435.0,1
RC,367,"Venous anastomosis, open; portocaval ",,,3435.0,3435.0,1
RC,367,"Venous anastomosis, open; renoportal ",,,3435.0,3435.0,1
RC,367,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,3435.0,3435.0,1
RC,367,"Venous anastomosis, open; splenorenal, proximal ",,,3435.0,3435.0,1
RC,367,Ventilating tube removal requiring general anesthesia ,,,607.0,2303.0,4
RC,367,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,607.0,2303.0,6
RC,367,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,607.0,2303.0,6
RC,367,Ventriculocisternostomy (Torkildsen type operation) ,,,3435.0,3435.0,1
RC,367,"Ventriculocisternostomy, third ventricle; ",,,3435.0,3435.0,1
RC,367,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,3435.0,3435.0,1
RC,367,"Vermilionectomy (lip shave), with mucosal advancement ",,,870.0,2303.0,6
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,3435.0,3435.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,3435.0,3435.0,2
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,3435.0,3435.0,1
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,3435.0,3435.0,1
RC,367,"Vesiculectomy, any approach ",,,607.0,2303.0,4
RC,367,Vesiculotomy; ,,,607.0,2303.0,4
RC,367,Vesiculotomy; complicated ,,,607.0,2303.0,4
RC,367,"Vestibular nerve section, transcranial approach ",,,3435.0,3435.0,1
RC,367,"Vestibular nerve section, translabyrinthine approach ",,,3723.0,10746.0,6
RC,367,Vestibuloplasty; anterior ,,,870.0,2303.0,6
RC,367,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,1876.0,6446.0,6
RC,367,Vestibuloplasty; entire arch ,,,1876.0,6446.0,6
RC,367,"Vestibuloplasty; posterior, bilateral ",,,1257.0,6446.0,6
RC,367,"Vestibuloplasty; posterior, unilateral ",,,1257.0,6446.0,6
RC,367,"Vitrectomy, mechanical, pars plana approach; ",,,1471.0,6446.0,6
RC,367,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,3723.0,10746.0,6
RC,367,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,3723.0,10746.0,6
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1876.0,6446.0,4
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1876.0,6446.0,4
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,3723.0,10746.0,4
RC,367,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,607.0,2303.0,4
RC,367,Vulvectomy simple; complete ,,,3723.0,6446.0,6
RC,367,Vulvectomy simple; partial ,,,1876.0,6446.0,6
RC,367,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,3435.0,3435.0,1
RC,367,"Vulvectomy, radical, partial; ",,,3435.0,10746.0,3
RC,367,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,4
RC,369, Operating Room Services Other  ,,,1924.0,4169.0,6
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6801.0,15
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,15
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6801.0,15
RC,369,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,15
RC,369,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,10746.0,11
RC,369,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,6446.0,11
RC,369,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,369,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,369,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,369,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,742.8,4100.0,13
RC,369,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,742.8,4100.0,13
RC,369,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1603.31,6801.0,11
RC,369,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,369,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1632.0,8866.0,9
RC,369,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1632.0,8866.0,12
RC,369,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1632.0,4953.0,7
RC,369,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,1632.0,13472.0,7
RC,369,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,369,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,1753.0,9431.0,13
RC,369,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1471.0,9431.0,11
RC,369,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,9431.0,13
RC,369,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,369,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,369,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,1632.0,10746.0,9
RC,369,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,1632.0,6446.0,9
RC,369,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,1632.0,6446.0,9
RC,369,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2224.34,9431.0,11
RC,369,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,3
RC,369,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,291.0,36635.0,6
RC,369,"Adenoidectomy, primary; age 12 or over ",,,1404.42,6446.0,15
RC,369,"Adenoidectomy, primary; younger than age 12 ",,,1404.42,6446.0,15
RC,369,"Adenoidectomy, secondary; age 12 or over ",,,1404.42,6446.0,15
RC,369,"Adenoidectomy, secondary; younger than age 12 ",,,1404.42,6446.0,15
RC,369,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,369,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,369,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,1632.0,10746.0,9
RC,369,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,1632.0,4953.0,5
RC,369,Allogeneic lymphocyte infusions ,,,769.0,4100.0,7
RC,369,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,607.0,4830.0,11
RC,369,"Alveoloplasty, each quadrant (specify) ",,,607.0,4100.0,11
RC,369,Amniocentesis; diagnostic ,,,511.0,3250.0,11
RC,369,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,291.0,2900.0,11
RC,369,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,369,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,1632.0,4953.0,5
RC,369,Amputation of penis; complete ,,,769.0,4100.0,8
RC,369,Amputation of penis; partial ,,,870.0,5958.0,15
RC,369,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,369,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,369,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,1632.0,4953.0,5
RC,369,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,369,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,1632.0,4953.0,5
RC,369,Anastomosis; facial-hypoglossal ,,,1632.0,4953.0,5
RC,369,Anastomosis; facial-spinal accessory ,,,1632.0,4953.0,5
RC,369,"Anoplasty, plastic operation for stricture; adult ",,,1257.0,6446.0,15
RC,369,"Anoplasty, plastic operation for stricture; infant ",,,1632.0,4953.0,5
RC,369,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,769.0,4100.0,15
RC,369,Anorectal manometry ,,,291.0,291.0,1
RC,369,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,5
RC,369,Anorectal myomectomy ,,,870.0,4830.0,15
RC,369,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,291.0,2900.0,13
RC,369,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,291.0,3523.0,13
RC,369,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,870.0,4830.0,15
RC,369,"Anoscopy; with biopsy, single or multiple ",,,607.0,4100.0,11
RC,369,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,4100.0,11
RC,369,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,4100.0,11
RC,369,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,607.0,4320.0,13
RC,369,Anoscopy; with removal of foreign body ,,,607.0,4100.0,15
RC,369,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,4830.0,15
RC,369,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,4830.0,15
RC,369,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,4100.0,15
RC,369,Antepartum care only; 4-6 visits ,,,1632.0,6411.0,4
RC,369,Antepartum care only; 7 or more visits ,,,1632.0,6411.0,4
RC,369,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.31,6446.0,15
RC,369,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,1632.0,10746.0,8
RC,369,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,1603.31,10746.0,11
RC,369,Appendectomy; ,,,1404.42,6446.0,11
RC,369,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,1632.0,4953.0,5
RC,369,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,369,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,10
RC,369,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,10
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,3523.0,15
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,5
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,3523.0,10
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,5
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,8866.0,10
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,5
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,3523.0,10
RC,369,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,7
RC,369,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,291.0,3435.0,6
RC,369,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1404.42,6801.0,15
RC,369,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1404.42,8866.0,13
RC,369,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,3715.0,6446.0,5
RC,369,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,5
RC,369,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,2900.0,4
RC,369,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,7
RC,369,Artificial insemination; intra-cervical ,,,291.0,3523.0,9
RC,369,Artificial insemination; intra-uterine ,,,291.0,3523.0,9
RC,369,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,511.0,3523.0,15
RC,369,"Aspiration and/or injection, thyroid cyst ",,,511.0,3250.0,13
RC,369,Aspiration of bladder; by needle ,,,291.0,2900.0,13
RC,369,Aspiration of bladder; by trocar or intracatheter ,,,607.0,3250.0,13
RC,369,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,4830.0,13
RC,369,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,4830.0,15
RC,369,Axillary lymphadenectomy; complete ,,,1471.0,9431.0,15
RC,369,Axillary lymphadenectomy; superficial ,,,870.0,9431.0,15
RC,369,BIOPSY EYE MUSCLE ,,,988.0,1069.0,2
RC,369,BIOPSY OF STOMACH ,,,988.0,1069.0,2
RC,369,BIOPSY OF THROAT ,,,988.0,1069.0,2
RC,369,BRAIN SURGERY USING COMPUTER ,,,988.0,1069.0,2
RC,369,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,369,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,1632.0,3435.0,2
RC,369,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,369,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,369,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,369,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,1632.0,4953.0,5
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,369,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,1632.0,3435.0,2
RC,369,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,1632.0,4953.0,5
RC,369,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1632.0,4953.0,15
RC,369,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,1632.0,4953.0,5
RC,369,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,1632.0,4953.0,5
RC,369,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,1632.0,4953.0,7
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,1632.0,4953.0,7
RC,369,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,291.0,2900.0,8
RC,369,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,291.0,2900.0,8
RC,369,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,1632.0,4953.0,5
RC,369,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,1632.0,4953.0,5
RC,369,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,1632.0,4953.0,5
RC,369,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,1632.0,4953.0,5
RC,369,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,870.0,5958.0,15
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1257.0,9431.0,15
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,1257.0,9431.0,15
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1257.0,6446.0,15
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1257.0,9431.0,15
RC,369,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,769.0,4100.0,13
RC,369,Biopsy external auditory canal ,,,769.0,4100.0,7
RC,369,Biopsy external ear ,,,291.0,3523.0,9
RC,369,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,607.0,4100.0,15
RC,369,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,511.0,3523.0,13
RC,369,Biopsy of conjunctiva ,,,511.0,3979.0,13
RC,369,Biopsy of cornea ,,,511.0,3979.0,15
RC,369,"Biopsy of epididymis, needle ",,,511.0,3523.0,15
RC,369,Biopsy of extraocular muscle ,,,607.0,5958.0,15
RC,369,Biopsy of floor of mouth ,,,511.0,3523.0,13
RC,369,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,607.0,4100.0,15
RC,369,Biopsy of lacrimal gland ,,,607.0,4830.0,15
RC,369,Biopsy of lacrimal sac ,,,607.0,4830.0,15
RC,369,Biopsy of lip ,,,291.0,2900.0,9
RC,369,"Biopsy of liver, needle; percutaneous ",,,607.0,4100.0,15
RC,369,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,"Biopsy of liver, wedge ",,,1632.0,4830.0,5
RC,369,Biopsy of nerve ,,,870.0,4830.0,15
RC,369,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,15
RC,369,"Biopsy of palate, uvula ",,,607.0,4100.0,13
RC,369,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,1632.0,4953.0,5
RC,369,"Biopsy of pancreas, percutaneous needle ",,,607.0,4100.0,15
RC,369,Biopsy of penis; (separate procedure) ,,,607.0,4100.0,15
RC,369,Biopsy of penis; deep structures ,,,607.0,4830.0,15
RC,369,Biopsy of salivary gland; incisional ,,,769.0,4100.0,15
RC,369,Biopsy of salivary gland; needle ,,,511.0,3523.0,13
RC,369,"Biopsy of spinal cord, percutaneous needle ",,,607.0,4100.0,15
RC,369,"Biopsy of stomach, by laparotomy ",,,1632.0,4830.0,4
RC,369,"Biopsy of testis, incisional (separate procedure) ",,,607.0,4830.0,15
RC,369,"Biopsy of testis, needle (separate procedure) ",,,607.0,4100.0,15
RC,369,Biopsy of tongue; anterior two-thirds ,,,291.0,3523.0,13
RC,369,Biopsy of tongue; posterior one-third ,,,769.0,4100.0,13
RC,369,Biopsy of urethra ,,,607.0,4830.0,15
RC,369,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,4830.0,15
RC,369,Biopsy of vaginal mucosa; simple (separate procedure) ,,,511.0,3523.0,13
RC,369,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,511.0,3523.0,13
RC,369,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,369,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,607.0,4100.0,15
RC,369,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,870.0,4830.0,13
RC,369,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,870.0,4830.0,13
RC,369,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,870.0,4830.0,13
RC,369,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,1404.42,5958.0,10
RC,369,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,870.0,4830.0,15
RC,369,"Biopsy or excision of lymph node(s); open, superficial ",,,870.0,4830.0,15
RC,369,"Biopsy thyroid, percutaneous core needle ",,,511.0,3523.0,13
RC,369,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,607.0,4100.0,15
RC,369,"Biopsy, prostate, any approach, nonimaging-guided ",,,769.0,4100.0,15
RC,369,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,369,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,1632.0,6446.0,7
RC,369,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,1632.0,6446.0,7
RC,369,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,369,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1632.0,4830.0,7
RC,369,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,369,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,369,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1632.0,4830.0,7
RC,369,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,369,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,769.0,3979.0,10
RC,369,"Biopsy, vestibule of mouth ",,,291.0,2900.0,13
RC,369,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,870.0,4830.0,15
RC,369,"Biopsy; nasopharynx, visible lesion, simple ",,,607.0,4100.0,15
RC,369,Biopsy; oropharynx ,,,511.0,3250.0,11
RC,369,Bladder instillation of anticarcinogenic agent (including retention time) ,,,291.0,3523.0,11
RC,369,"Bladder irrigation, simple, lavage and/or instillation ",,,291.0,2900.0,13
RC,369,"Blepharotomy, drainage of abscess, eyelid ",,,291.0,3523.0,13
RC,369,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,6
RC,369,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,7
RC,369,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,4
RC,369,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,16939.0,7
RC,369,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,6
RC,369,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,291.0,2900.0,4
RC,369,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,769.0,4100.0,7
RC,369,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,369,Bone marrow harvesting for transplantation; allogeneic ,,,769.0,6446.0,11
RC,369,Bone marrow harvesting for transplantation; autologous ,,,1257.0,8866.0,13
RC,369,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,291.0,2900.0,4
RC,369,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,369,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,5
RC,369,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,369,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,6
RC,369,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,8866.0,4
RC,369,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,369,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,3715.0,8866.0,7
RC,369,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,3715.0,8866.0,7
RC,369,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,369,Bundle of His recording ,,,769.0,21155.0,4
RC,369,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,1632.0,4953.0,5
RC,369,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,1632.0,4953.0,5
RC,369,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,1632.0,4953.0,5
RC,369,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,1632.0,4953.0,5
RC,369,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,1632.0,4953.0,5
RC,369,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,1632.0,4953.0,5
RC,369,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,1632.0,4953.0,5
RC,369,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,1632.0,4953.0,5
RC,369,CHANGE BILE DUCT CATHETER ,,,988.0,1069.0,2
RC,369,CHANGE KIDNEY TUBE ,,,988.0,1069.0,2
RC,369,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,607.0,1069.0,4
RC,369,CIRCUMCISION ,,,988.0,1069.0,2
RC,369,COLONOSCOPY LESION REMOVAL ,,,988.0,1069.0,2
RC,369,COLONOSCOPY W/STENT ,,,988.0,1069.0,4
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,369,CONTROL POSTOP BLEEDING ,,,988.0,1069.0,2
RC,369,CRYOTHERAPY OF RECTAL LESION ,,,1560.0,1687.0,4
RC,369,"Cannulation, thoracic duct ",,,291.0,2900.0,4
RC,369,Canthoplasty (reconstruction of canthus) ,,,870.0,4830.0,15
RC,369,Canthotomy (separate procedure) ,,,607.0,4830.0,15
RC,369,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,291.0,2900.0,4
RC,369,Cardioassist-method of circulatory assist; external ,,,3715.0,4953.0,3
RC,369,Cardioassist-method of circulatory assist; internal ,,,3715.0,4953.0,3
RC,369,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,2900.0,4
RC,369,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,511.0,3250.0,4
RC,369,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,511.0,3250.0,4
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,5
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,5
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,15
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,5
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,20
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,15
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,5
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,5
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,9813.0,7
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,10746.0,19
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,9813.0,14
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,10746.0,24
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,9813.0,7
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,5
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,5
RC,369,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,291.0,2900.0,8
RC,369,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,369,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,369,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,911.0,3435.0,9
RC,369,"Cautery of cervix; cryocautery, initial or repeat ",,,291.0,3523.0,13
RC,369,Cautery of cervix; electro or thermal ,,,870.0,4830.0,11
RC,369,Cautery of cervix; laser ablation ,,,870.0,4830.0,15
RC,369,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,9
RC,369,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,4830.0,15
RC,369,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,4830.0,15
RC,369,Cervical lymphadenectomy (complete) ,,,1471.0,6446.0,11
RC,369,Cervical lymphadenectomy (modified radical neck dissection) ,,,1471.0,6446.0,12
RC,369,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,1632.0,3435.0,2
RC,369,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,1632.0,3435.0,2
RC,369,Cesarean delivery only; ,,,1632.0,4953.0,5
RC,369,Cesarean delivery only; including postpartum care ,,,1632.0,6446.0,9
RC,369,Change of cystostomy tube; complicated ,,,511.0,3523.0,15
RC,369,Change of cystostomy tube; simple ,,,291.0,3523.0,13
RC,369,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,4100.0,15
RC,369,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,8866.0,7
RC,369,Chemodenervation of eccrine glands; both axillae ,,,291.0,3523.0,13
RC,369,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,291.0,3523.0,13
RC,369,Chemodenervation of extraocular muscle ,,,291.0,3523.0,13
RC,369,Chemodenervation of internal anal sphincter ,,,607.0,4100.0,13
RC,369,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,511.0,3250.0,13
RC,369,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,291.0,3523.0,13
RC,369,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,291.0,2900.0,13
RC,369,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,291.0,2900.0,13
RC,369,Chemodenervation of one extremity; 1-4 muscle(s) ,,,511.0,3250.0,13
RC,369,Chemodenervation of one extremity; 5 or more muscles ,,,511.0,3250.0,13
RC,369,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,291.0,2900.0,13
RC,369,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,511.0,3250.0,13
RC,369,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,511.0,3250.0,13
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,1632.0,3523.0,7
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,1632.0,4953.0,5
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,1632.0,4953.0,5
RC,369,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,1632.0,4953.0,5
RC,369,Cholecystectomy with exploration of common duct; ,,,1632.0,6446.0,9
RC,369,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,1632.0,6446.0,9
RC,369,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,1632.0,10746.0,9
RC,369,Cholecystectomy; ,,,1471.0,6801.0,9
RC,369,Cholecystectomy; with cholangiography ,,,1632.0,6446.0,9
RC,369,Cholecystoenterostomy; Roux-en-Y ,,,1632.0,4953.0,5
RC,369,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,1632.0,4953.0,5
RC,369,Cholecystoenterostomy; direct ,,,1632.0,4953.0,5
RC,369,Cholecystoenterostomy; with gastroenterostomy ,,,1632.0,4953.0,5
RC,369,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,1404.42,5958.0,7
RC,369,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,1632.0,4953.0,5
RC,369,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,1632.0,4953.0,5
RC,369,"Chorionic villus sampling, any method ",,,511.0,3250.0,9
RC,369,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,15
RC,369,Ciliary body destruction; cryotherapy ,,,870.0,4830.0,15
RC,369,Ciliary body destruction; cyclodialysis ,,,870.0,4830.0,15
RC,369,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,4830.0,15
RC,369,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,4830.0,15
RC,369,Ciliary body destruction; diathermy ,,,769.0,4100.0,15
RC,369,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,742.8,4830.0,15
RC,369,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,4830.0,15
RC,369,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,4830.0,15
RC,369,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,291.0,3523.0,15
RC,369,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,291.0,3523.0,15
RC,369,Clitoroplasty for intersex state ,,,1404.42,4830.0,7
RC,369,Closure of anal fistula with rectal advancement flap ,,,1404.42,6446.0,15
RC,369,Closure of cystostomy (separate procedure) ,,,607.0,4830.0,15
RC,369,Closure of enteroenteric or enterocolic fistula ,,,1632.0,4953.0,5
RC,369,"Closure of enterostomy, large or small intestine; ",,,1632.0,4953.0,5
RC,369,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,1632.0,4953.0,5
RC,369,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,1404.42,4953.0,8
RC,369,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,1632.0,4953.0,5
RC,369,Closure of enterovesical fistula; without intestinal or bladder resection ,,,1632.0,4953.0,5
RC,369,Closure of esophagostomy or fistula; cervical approach ,,,870.0,4830.0,11
RC,369,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,1632.0,4953.0,5
RC,369,Closure of gastrocolic fistula ,,,1632.0,4953.0,5
RC,369,"Closure of gastrostomy, surgical ",,,607.0,4830.0,15
RC,369,Closure of intestinal cutaneous fistula ,,,1632.0,4953.0,5
RC,369,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,291.0,2900.0,9
RC,369,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,291.0,3523.0,15
RC,369,Closure of lacrimal fistula (separate procedure) ,,,511.0,6446.0,15
RC,369,Closure of nephrocutaneous or pyelocutaneous fistula ,,,511.0,3250.0,8
RC,369,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,1632.0,4953.0,5
RC,369,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,1632.0,4953.0,5
RC,369,Closure of rectourethral fistula; ,,,1632.0,4953.0,5
RC,369,Closure of rectourethral fistula; with colostomy ,,,1632.0,4953.0,5
RC,369,Closure of rectovaginal fistula; abdominal approach ,,,1632.0,6446.0,9
RC,369,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,1632.0,4953.0,5
RC,369,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,1632.0,4830.0,4
RC,369,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,15
RC,369,Closure of rectovesical fistula; ,,,1632.0,4953.0,5
RC,369,Closure of rectovesical fistula; with colostomy ,,,1632.0,4953.0,5
RC,369,"Closure of the lacrimal punctum; by plug, each ",,,291.0,2900.0,13
RC,369,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,291.0,2900.0,13
RC,369,Closure of ureterocutaneous fistula ,,,1632.0,4953.0,5
RC,369,Closure of ureterovisceral fistula (including visceral repair) ,,,1632.0,4953.0,5
RC,369,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,5958.0,15
RC,369,Closure of urethrovaginal fistula; ,,,1257.0,6801.0,13
RC,369,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,8
RC,369,Closure of vesicouterine fistula; ,,,1257.0,6446.0,8
RC,369,Closure of vesicouterine fistula; with hysterectomy ,,,1632.0,4953.0,5
RC,369,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,8
RC,369,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,1694.0,5958.0,7
RC,369,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,13
RC,369,"Closure postauricular fistula, mastoid (separate procedure) ",,,769.0,6446.0,15
RC,369,Closure salivary fistula ,,,607.0,4100.0,15
RC,369,"Closure, exstrophy of bladder ",,,1632.0,4953.0,5
RC,369,"Cochlear device implantation, with or without mastoidectomy ",,,2706.0,74502.0,13
RC,369,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1632.0,4953.0,5
RC,369,"Colectomy, partial; abdominal and transanal approach ",,,1632.0,4953.0,5
RC,369,"Colectomy, partial; with anastomosis ",,,1632.0,4953.0,5
RC,369,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,1632.0,4953.0,5
RC,369,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,1632.0,4953.0,5
RC,369,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1632.0,4953.0,5
RC,369,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,1632.0,4953.0,5
RC,369,"Colectomy, partial; with skin level cecostomy or colostomy ",,,1632.0,4953.0,5
RC,369,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,1632.0,4953.0,5
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,1632.0,4953.0,5
RC,369,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,1632.0,4953.0,5
RC,369,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,1632.0,4953.0,5
RC,369,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,3
RC,369,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,291.0,2900.0,4
RC,369,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,369,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,369,"Colonoscopy through stoma; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,369,"Colonoscopy through stoma; with control of bleeding, any method ",,,607.0,4100.0,15
RC,369,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,4320.0,13
RC,369,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,607.0,4320.0,13
RC,369,Colonoscopy through stoma; with endoscopic mucosal resection ,,,607.0,4320.0,13
RC,369,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,369,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,607.0,4320.0,13
RC,369,Colonoscopy through stoma; with removal of foreign body(s) ,,,607.0,4100.0,15
RC,369,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,4100.0,15
RC,369,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,369,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,607.0,4320.0,13
RC,369,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,607.0,4320.0,13
RC,369,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,742.8,4100.0,15
RC,369,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,369,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,769.0,4320.0,13
RC,369,"Colonoscopy, flexible; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,369,"Colonoscopy, flexible; with control of bleeding, any method ",,,769.0,4100.0,15
RC,369,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,769.0,4320.0,13
RC,369,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,769.0,4100.0,15
RC,369,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,769.0,4320.0,13
RC,369,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,369,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,769.0,4100.0,15
RC,369,"Colonoscopy, flexible; with removal of foreign body(s) ",,,769.0,4100.0,15
RC,369,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,769.0,4100.0,15
RC,369,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,369,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,769.0,4100.0,15
RC,369,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,769.0,4100.0,15
RC,369,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3979.0,15
RC,369,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3979.0,15
RC,369,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,9
RC,369,Colostomy or skin level cecostomy; ,,,1632.0,4953.0,5
RC,369,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,369,Colpocentesis (separate procedure) ,,,870.0,4830.0,15
RC,369,Colpocleisis (Le Fort type) ,,,1603.31,6446.0,9
RC,369,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,4830.0,15
RC,369,"Colpopexy, abdominal approach ",,,1632.0,6446.0,8
RC,369,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1753.0,6801.0,11
RC,369,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1753.0,6801.0,11
RC,369,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,9
RC,369,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,4830.0,15
RC,369,Colposcopy of the cervix including upper/adjacent vagina; ,,,291.0,3523.0,13
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,291.0,3523.0,13
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,291.0,3523.0,13
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,291.0,3523.0,13
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,4830.0,11
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,13
RC,369,"Colposcopy of the entire vagina, with cervix if present; ",,,291.0,3523.0,13
RC,369,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,511.0,3523.0,13
RC,369,Colposcopy of the vulva; ,,,291.0,2900.0,13
RC,369,Colposcopy of the vulva; with biopsy(s) ,,,291.0,3523.0,13
RC,369,Colpotomy; with drainage of pelvic abscess ,,,870.0,4830.0,15
RC,369,Colpotomy; with exploration ,,,607.0,4830.0,15
RC,369,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.31,6446.0,15
RC,369,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.31,10746.0,15
RC,369,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,291.0,3523.0,15
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,511.0,3250.0,13
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,511.0,3250.0,13
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,511.0,3250.0,13
RC,369,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,291.0,2900.0,9
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,291.0,21155.0,4
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,291.0,21155.0,4
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,2540.0,21155.0,4
RC,369,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,2706.0,36635.0,18
RC,369,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,2540.0,21155.0,4
RC,369,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,2706.0,36635.0,9
RC,369,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,291.0,3435.0,5
RC,369,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,4830.0,15
RC,369,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,4830.0,15
RC,369,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,5958.0,15
RC,369,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,4830.0,15
RC,369,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1142.61,6446.0,15
RC,369,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1404.42,6446.0,15
RC,369,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,369,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1142.61,6446.0,15
RC,369,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1404.42,6446.0,15
RC,369,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1404.42,6446.0,15
RC,369,Construction of artificial vagina; with graft ,,,1471.0,6446.0,11
RC,369,Construction of artificial vagina; without graft ,,,1603.31,6446.0,15
RC,369,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1142.61,6446.0,15
RC,369,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1142.61,6446.0,15
RC,369,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,1632.0,4953.0,5
RC,369,Continent ileostomy (Kock procedure) (separate procedure) ,,,1632.0,4953.0,5
RC,369,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,291.0,2900.0,4
RC,369,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,291.0,2900.0,8
RC,369,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,291.0,2900.0,13
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,1632.0,4953.0,5
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,291.0,2900.0,13
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,769.0,6446.0,15
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,1632.0,4830.0,5
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,291.0,3523.0,15
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,870.0,4830.0,15
RC,369,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,870.0,8866.0,13
RC,369,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,369,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,8866.0,7
RC,369,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,511.0,3979.0,13
RC,369,"Cordocentesis (intrauterine), any method ",,,291.0,2900.0,9
RC,369,Corneal relaxing incision for correction of surgically induced astigmatism ,,,769.0,6446.0,15
RC,369,Corneal wedge resection for correction of surgically induced astigmatism ,,,1142.61,6446.0,15
RC,369,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,1632.0,4953.0,5
RC,369,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1404.42,6446.0,15
RC,369,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1404.42,6446.0,15
RC,369,"Correction of everted punctum, cautery ",,,291.0,3523.0,13
RC,369,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1142.61,6446.0,15
RC,369,Correction of lid retraction ,,,1142.61,6446.0,15
RC,369,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,1632.0,10746.0,9
RC,369,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,291.0,3523.0,9
RC,369,"Correction of trichiasis; epilation, by forceps only ",,,291.0,2900.0,9
RC,369,Correction of trichiasis; incision of lid margin ,,,769.0,4100.0,15
RC,369,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,4830.0,15
RC,369,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,291.0,2900.0,4
RC,369,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,1753.0,9431.0,9
RC,369,Craniectomy for craniosynostosis; multiple cranial sutures ,,,1632.0,4953.0,5
RC,369,Craniectomy for craniosynostosis; single cranial suture ,,,1632.0,4953.0,5
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,1632.0,4953.0,5
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,1632.0,4953.0,5
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,1632.0,4953.0,5
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,1632.0,4953.0,5
RC,369,"Craniectomy or craniotomy, exploratory; supratentorial ",,,1632.0,4953.0,5
RC,369,Craniectomy or craniotomy; with excision of foreign body from brain ,,,1632.0,4953.0,5
RC,369,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,1632.0,4953.0,5
RC,369,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,1632.0,4953.0,5
RC,369,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,1632.0,4953.0,5
RC,369,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,1632.0,4953.0,5
RC,369,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,1632.0,4953.0,5
RC,369,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,1632.0,4953.0,5
RC,369,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,1632.0,4953.0,5
RC,369,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,1632.0,4953.0,5
RC,369,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,1632.0,4953.0,5
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,1632.0,4953.0,5
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,1632.0,4953.0,5
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,1632.0,4953.0,5
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,1632.0,4953.0,5
RC,369,Craniectomy; for osteomyelitis ,,,1632.0,4953.0,5
RC,369,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2540.0,9431.0,8
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,1632.0,4953.0,5
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,1632.0,4953.0,5
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,369,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,369,Cranioplasty for skull defect with reparative brain surgery ,,,1632.0,4953.0,5
RC,369,Cranioplasty for skull defect; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,369,Cranioplasty for skull defect; up to 5 cm diameter ,,,1632.0,5552.91,8
RC,369,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,369,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,1632.0,5278.0,8
RC,369,Craniotomy for craniosynostosis; bifrontal bone flap ,,,1632.0,4953.0,5
RC,369,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,1632.0,4953.0,5
RC,369,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,1632.0,4953.0,5
RC,369,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,1632.0,4953.0,5
RC,369,"Craniotomy for repair of encephalocele, skull base ",,,1632.0,4953.0,5
RC,369,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,1632.0,4953.0,5
RC,369,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,1632.0,4953.0,5
RC,369,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,1632.0,4953.0,5
RC,369,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,1632.0,4953.0,5
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,369,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,369,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,1632.0,4953.0,5
RC,369,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,1632.0,4953.0,5
RC,369,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,1632.0,4953.0,5
RC,369,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,1632.0,4953.0,5
RC,369,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,1632.0,4953.0,5
RC,369,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,1753.0,6801.0,7
RC,369,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,1632.0,4953.0,5
RC,369,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1142.61,6446.0,15
RC,369,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1142.61,6446.0,15
RC,369,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,4830.0,15
RC,369,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,1632.0,4953.0,5
RC,369,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,6801.0,11
RC,369,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,369,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,369,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,369,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,369,Cricopharyngeal myotomy ,,,1753.0,6801.0,7
RC,369,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,1753.0,20951.0,13
RC,369,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,607.0,4100.0,11
RC,369,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,511.0,3523.0,13
RC,369,"Curettage, postpartum ",,,1257.0,6446.0,15
RC,369,Cutaneous appendico-vesicostomy ,,,1632.0,4953.0,5
RC,369,Cutaneous vesicostomy ,,,1404.42,4830.0,7
RC,369,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,1632.0,4953.0,5
RC,369,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,1632.0,4953.0,5
RC,369,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,369,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,1632.0,4953.0,5
RC,369,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,369,"Cystectomy, complete; (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,369,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,369,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,1632.0,4953.0,5
RC,369,"Cystectomy, partial; simple ",,,1632.0,4953.0,5
RC,369,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,15
RC,369,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,1632.0,10746.0,9
RC,369,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,8
RC,369,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,4830.0,11
RC,369,"Cystostomy, cystotomy with drainage ",,,1142.61,6446.0,15
RC,369,"Cystotomy for excision, incision, or repair of ureterocele ",,,1404.42,4830.0,7
RC,369,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1404.42,6446.0,15
RC,369,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1404.42,2760.0,8
RC,369,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1404.42,6446.0,15
RC,369,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,511.0,6446.0,15
RC,369,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,1404.42,5958.0,7
RC,369,Cystotomy; for excision of bladder tumor ,,,1404.42,5958.0,7
RC,369,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1404.42,6446.0,15
RC,369,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,1632.0,10746.0,9
RC,369,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,15
RC,369,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,4830.0,13
RC,369,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1404.42,6446.0,13
RC,369,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,6801.0,13
RC,369,Cystourethroscopy (separate procedure) ,,,511.0,3523.0,13
RC,369,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,742.8,4100.0,15
RC,369,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,7161.0,7
RC,369,Cystourethroscopy with direct vision internal urethrotomy ,,,1142.61,6446.0,15
RC,369,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,15
RC,369,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,1632.0,6446.0,7
RC,369,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1404.42,16336.0,15
RC,369,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1632.0,6446.0,7
RC,369,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,6446.0,13
RC,369,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,769.0,4100.0,15
RC,369,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,15
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,369,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,8866.0,7
RC,369,"Cystourethroscopy, with biopsy(s) ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,769.0,4100.0,15
RC,369,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,369,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,511.0,3523.0,13
RC,369,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,511.0,3979.0,15
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,15
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,15
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,769.0,5115.0,13
RC,369,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,4830.0,11
RC,369,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,291.0,2900.0,11
RC,369,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,291.0,6446.0,11
RC,369,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,8866.0,15
RC,369,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,6
RC,369,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,8866.0,13
RC,369,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,11
RC,369,"Cystourethroscopy, with internal urethrotomy; female ",,,769.0,4100.0,15
RC,369,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,1632.0,8866.0,9
RC,369,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,769.0,4100.0,15
RC,369,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,4830.0,13
RC,369,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,8866.0,9
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,5
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,6446.0,13
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,6446.0,13
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1603.31,6801.0,9
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,8866.0,11
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1404.42,6446.0,13
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,6446.0,13
RC,369,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,15
RC,369,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,4830.0,15
RC,369,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,369,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,369,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,369,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,4830.0,15
RC,369,D & C OF RESIDUAL CERVIX ,,,2302.0,2490.0,2
RC,369,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,1069.0,4
RC,369,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,1069.0,2
RC,369,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,1069.0,2
RC,369,DILATE ESOPHAGUS ,,,1560.0,1687.0,4
RC,369,DILATION PROSTATIC URETHRA ,,,2302.0,2490.0,2
RC,369,DRAINAGE OF BLADDER ,,,988.0,1069.0,2
RC,369,DRAINAGE OF EYE ,,,988.0,1069.0,2
RC,369,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1404.42,6446.0,15
RC,369,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,291.0,2900.0,16
RC,369,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,8
RC,369,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,7161.0,7
RC,369,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,291.0,2900.0,11
RC,369,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,291.0,2900.0,9
RC,369,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1753.0,6801.0,11
RC,369,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,369,Decompression internal auditory canal ,,,1753.0,6801.0,7
RC,369,"Decompression of orbit only, transcranial approach ",,,1404.42,6801.0,7
RC,369,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1142.61,8866.0,15
RC,369,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1632.0,3435.0,7
RC,369,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,1632.0,9431.0,7
RC,369,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1632.0,4830.0,7
RC,369,Decompression; plantar digital nerve ,,,607.0,4830.0,15
RC,369,Decompression; unspecified nerve(s) (specify) ,,,607.0,4830.0,15
RC,369,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,3
RC,369,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,607.0,4100.0,13
RC,369,Deligation of ureter ,,,1632.0,4953.0,5
RC,369,Delivery of placenta (separate procedure) ,,,1404.42,4830.0,7
RC,369,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,3
RC,369,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1142.61,4830.0,12
RC,369,"Destruction by neurolytic agent, intercostal nerve ",,,511.0,3523.0,15
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,291.0,2900.0,8
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,4830.0,13
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,291.0,2900.0,8
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,5115.0,13
RC,369,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,4830.0,15
RC,369,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,4830.0,15
RC,369,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,511.0,3523.0,15
RC,369,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,511.0,3979.0,15
RC,369,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,511.0,3979.0,15
RC,369,Destruction by neurolytic agent; other peripheral nerve or branch ,,,511.0,3523.0,13
RC,369,Destruction by neurolytic agent; plantar common digital nerve ,,,291.0,2900.0,13
RC,369,Destruction by neurolytic agent; pudendal nerve ,,,511.0,3979.0,15
RC,369,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,511.0,3523.0,13
RC,369,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,5958.0,13
RC,369,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,511.0,5115.0,13
RC,369,"Destruction of lesion (except excision), dentoalveolar structures ",,,607.0,4100.0,11
RC,369,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,291.0,2900.0,13
RC,369,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,4100.0,13
RC,369,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,607.0,4100.0,13
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,15
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,3523.0,13
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,13
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,11
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4830.0,15
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4830.0,15
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,15
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,2900.0,9
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,9
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,7
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4100.0,15
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4100.0,15
RC,369,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,769.0,6446.0,15
RC,369,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,11
RC,369,"Destruction of lesion, conjunctiva ",,,607.0,4830.0,13
RC,369,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,607.0,4100.0,13
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,511.0,3250.0,11
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,511.0,3250.0,11
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,291.0,2900.0,8
RC,369,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3523.0,13
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,291.0,6446.0,11
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,511.0,6446.0,11
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1404.42,6446.0,13
RC,369,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,870.0,8866.0,15
RC,369,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,15
RC,369,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,11
RC,369,Diagnostic bone marrow; aspiration(s) ,,,511.0,3523.0,13
RC,369,Diagnostic bone marrow; biopsy(ies) ,,,511.0,3523.0,13
RC,369,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,607.0,4100.0,14
RC,369,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,3715.0,6446.0,5
RC,369,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,291.0,2900.0,8
RC,369,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3715.0,10746.0,26
RC,369,Diaphragm or cervical cap fitting with instructions ,,,291.0,2900.0,9
RC,369,"Dilation and catheterization of salivary duct, with or without injection ",,,291.0,2900.0,13
RC,369,Dilation and curettage of cervical stump ,,,1257.0,6446.0,15
RC,369,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,4830.0,15
RC,369,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,607.0,4100.0,15
RC,369,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,4830.0,13
RC,369,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,607.0,4100.0,15
RC,369,"Dilation of esophagus, over guide wire ",,,607.0,4100.0,15
RC,369,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1404.42,8866.0,22
RC,369,Dilation of female urethra including suppository and/or instillation; initial ,,,291.0,2900.0,13
RC,369,Dilation of female urethra including suppository and/or instillation; subsequent ,,,291.0,2900.0,9
RC,369,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,4830.0,15
RC,369,"Dilation of lacrimal punctum, with or without irrigation ",,,291.0,2900.0,9
RC,369,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,607.0,4100.0,15
RC,369,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,511.0,3250.0,11
RC,369,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,291.0,3523.0,13
RC,369,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,291.0,3523.0,13
RC,369,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,291.0,3523.0,13
RC,369,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,369,Dilation of vagina under anesthesia (other than local) ,,,870.0,4830.0,15
RC,369,Dilation salivary duct ,,,607.0,4100.0,13
RC,369,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,369,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,291.0,6446.0,8
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1753.0,9431.0,11
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,1632.0,4953.0,5
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,1632.0,4953.0,5
RC,369,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,511.0,3979.0,15
RC,369,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,291.0,3523.0,13
RC,369,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,4830.0,15
RC,369,"Dissection, deep jugular node(s) ",,,870.0,9431.0,15
RC,369,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,1753.0,6801.0,9
RC,369,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,1632.0,4953.0,5
RC,369,Division of stricture of rectum ,,,769.0,4100.0,15
RC,369,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,1632.0,4953.0,5
RC,369,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,1632.0,4953.0,5
RC,369,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,1632.0,4953.0,5
RC,369,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,1632.0,4953.0,5
RC,369,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,1632.0,4953.0,5
RC,369,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,1632.0,4953.0,5
RC,369,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,1632.0,4953.0,5
RC,369,"Donor nephrectomy (including cold preservation); open, from living donor ",,,1632.0,4953.0,5
RC,369,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,1632.0,3435.0,2
RC,369,"Drainage external auditory canal, abscess ",,,511.0,3250.0,13
RC,369,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,4100.0,11
RC,369,"Drainage external ear, abscess or hematoma; simple ",,,511.0,3250.0,13
RC,369,Drainage of Skene's gland abscess or cyst ,,,607.0,4830.0,11
RC,369,"Drainage of abscess of palate, uvula ",,,291.0,3979.0,15
RC,369,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,291.0,3523.0,15
RC,369,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,291.0,3979.0,15
RC,369,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,511.0,3250.0,9
RC,369,"Drainage of abscess; parotid, complicated ",,,870.0,4830.0,15
RC,369,"Drainage of abscess; parotid, simple ",,,607.0,4100.0,15
RC,369,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,291.0,3523.0,15
RC,369,"Drainage of abscess; submaxillary, external ",,,291.0,3523.0,15
RC,369,Drainage of deep periurethral abscess ,,,870.0,4830.0,15
RC,369,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,1632.0,4953.0,5
RC,369,Drainage of lymph node abscess or lymphadenitis; extensive ,,,870.0,4830.0,15
RC,369,Drainage of lymph node abscess or lymphadenitis; simple ,,,607.0,4100.0,15
RC,369,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,8
RC,369,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,15
RC,369,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,11
RC,369,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,15
RC,369,Drainage of perineal urinary extravasation; complicated ,,,1142.61,4830.0,7
RC,369,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,742.8,6446.0,15
RC,369,"Drainage of perirenal or renal abscess, open ",,,870.0,4830.0,11
RC,369,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,1632.0,4953.0,5
RC,369,Drainage of perivesical or prevesical space abscess ,,,607.0,4100.0,15
RC,369,"Drainage of retroperitoneal abscess, open ",,,1632.0,4953.0,5
RC,369,Drainage of scrotal wall abscess ,,,607.0,4100.0,15
RC,369,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,1632.0,4953.0,5
RC,369,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,291.0,3435.0,12
RC,369,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,1632.0,4953.0,5
RC,369,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,607.0,4100.0,13
RC,369,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,607.0,4100.0,13
RC,369,Duodenal motility (manometric) study ,,,291.0,2900.0,8
RC,369,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,369,"Dural graft, spinal ",,,1632.0,4953.0,5
RC,369,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,742.8,4100.0,7
RC,369,ENDO CHOLANGIOPANCREATOGRAPH ,,,1560.0,1687.0,10
RC,369,ESOPH ENDOSCOPY ABLATION ,,,1560.0,1687.0,2
RC,369,ESOPHAGUS ENDOSCOPY ,,,988.0,1069.0,2
RC,369,EXCISION OF RECTAL LESION ,,,1560.0,1687.0,2
RC,369,EXPLORATION OF EPIDIDYMIS ,,,988.0,1069.0,2
RC,369,Ear piercing ,,,1632.0,6411.0,7
RC,369,Electroejaculation ,,,511.0,3523.0,13
RC,369,"Electrogastrography, diagnostic, transcutaneous; ",,,291.0,2900.0,4
RC,369,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,291.0,2900.0,4
RC,369,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,291.0,2900.0,9
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,291.0,3979.0,13
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,291.0,2900.0,22
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,291.0,3979.0,13
RC,369,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,291.0,5078.0,12
RC,369,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,769.0,5078.0,6
RC,369,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,291.0,2900.0,4
RC,369,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,2540.0,21155.0,4
RC,369,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,1632.0,4953.0,5
RC,369,"Elevation of depressed skull fracture; simple, extradural ",,,1404.42,6801.0,7
RC,369,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,1632.0,4953.0,5
RC,369,"Embryo transfer, intrauterine ",,,511.0,3523.0,15
RC,369,Endocervical curettage (not done as part of a dilation and curettage) ,,,511.0,3523.0,13
RC,369,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,291.0,2900.0,8
RC,369,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,291.0,2900.0,8
RC,369,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,291.0,2900.0,8
RC,369,Endolymphatic sac operation; with shunt ,,,1753.0,10746.0,15
RC,369,Endolymphatic sac operation; without shunt ,,,1753.0,10746.0,15
RC,369,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.31,10746.0,13
RC,369,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1603.31,6766.0,11
RC,369,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,369,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,291.0,2900.0,13
RC,369,Endomyocardial biopsy ,,,607.0,5958.0,9
RC,369,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,291.0,8866.0,10
RC,369,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,369,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,5
RC,369,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,369,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,607.0,4100.0,15
RC,369,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,15
RC,369,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,6
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,870.0,4830.0,15
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,1257.0,8866.0,13
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,870.0,4830.0,15
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,1632.0,4830.0,11
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,1257.0,8866.0,13
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,870.0,4830.0,15
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,1257.0,8866.0,13
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,870.0,4830.0,15
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,1257.0,8866.0,13
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,870.0,4830.0,15
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1257.0,8866.0,13
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,3715.0,6446.0,5
RC,369,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,3715.0,8866.0,7
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,369,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,8866.0,11
RC,369,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,369,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,1632.0,21331.0,5
RC,369,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,1632.0,21331.0,5
RC,369,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,13472.0,11
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,1632.0,4953.0,5
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,1632.0,4953.0,5
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,1632.0,4953.0,5
RC,369,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,369,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,1632.0,4953.0,5
RC,369,"Enterectomy, resection of small intestine; with enterostomy ",,,1632.0,4953.0,5
RC,369,"Enterocystoplasty, including intestinal anastomosis ",,,1632.0,4953.0,5
RC,369,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,1632.0,4953.0,5
RC,369,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,1632.0,10746.0,9
RC,369,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,1632.0,4953.0,5
RC,369,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,1632.0,6446.0,9
RC,369,"Enucleation of eye; with implant, muscles attached to implant ",,,1404.42,6446.0,15
RC,369,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,15
RC,369,Enucleation of eye; without implant ,,,1257.0,6446.0,15
RC,369,Epididymectomy; bilateral ,,,1404.42,6446.0,15
RC,369,Epididymectomy; unilateral ,,,1257.0,6446.0,15
RC,369,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1404.42,6446.0,15
RC,369,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1142.61,6446.0,15
RC,369,Epikeratoplasty ,,,911.0,10746.0,10
RC,369,"Episiotomy or vaginal repair, by other than attending ",,,870.0,4830.0,11
RC,369,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,291.0,2900.0,4
RC,369,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,291.0,2900.0,4
RC,369,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,291.0,2900.0,4
RC,369,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,369,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,291.0,2900.0,8
RC,369,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,291.0,2900.0,4
RC,369,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,8866.0,11
RC,369,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,769.0,21155.0,4
RC,369,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,769.0,21155.0,4
RC,369,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,1632.0,4953.0,5
RC,369,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,1632.0,4953.0,5
RC,369,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,1632.0,4953.0,5
RC,369,Esophagogastric fundoplasty partial or complete; laparotomy ,,,1632.0,4953.0,5
RC,369,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,1632.0,4953.0,5
RC,369,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,1632.0,4953.0,5
RC,369,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,1632.0,4953.0,5
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,6446.0,13
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,742.8,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,1257.0,6446.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,769.0,7161.0,12
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,742.8,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,769.0,6446.0,13
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,769.0,6446.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,1257.0,8866.0,13
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,742.8,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,769.0,5115.0,13
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1257.0,8866.0,13
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,742.8,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,742.8,5115.0,12
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,769.0,4100.0,15
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,769.0,6446.0,13
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,870.0,4830.0,15
RC,369,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,1632.0,4953.0,5
RC,369,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,1632.0,4953.0,5
RC,369,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,1632.0,4953.0,5
RC,369,Esophagomyotomy (Heller type); abdominal approach ,,,1632.0,4953.0,5
RC,369,Esophagomyotomy (Heller type); thoracic approach ,,,1632.0,4953.0,5
RC,369,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,369,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,369,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,369,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,369,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,369,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,1632.0,4953.0,5
RC,369,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,13
RC,369,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,607.0,4100.0,13
RC,369,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,8866.0,13
RC,369,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,607.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,769.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,369,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,769.0,5115.0,13
RC,369,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,607.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,769.0,4100.0,13
RC,369,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,769.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,607.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,607.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,607.0,5115.0,13
RC,369,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,870.0,8866.0,13
RC,369,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,607.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,607.0,4830.0,15
RC,369,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,769.0,4100.0,15
RC,369,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,769.0,4100.0,15
RC,369,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,870.0,8866.0,13
RC,369,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,607.0,4100.0,13
RC,369,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,769.0,5115.0,13
RC,369,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,607.0,5115.0,13
RC,369,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,607.0,5115.0,13
RC,369,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,769.0,5115.0,13
RC,369,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,607.0,5115.0,13
RC,369,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,1632.0,4953.0,5
RC,369,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,1632.0,4953.0,5
RC,369,"Esophagotomy, cervical approach, with removal of foreign body ",,,769.0,4100.0,9
RC,369,"Esophagotomy, thoracic approach, with removal of foreign body ",,,1632.0,4953.0,5
RC,369,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,291.0,2900.0,4
RC,369,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,291.0,3250.0,4
RC,369,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,291.0,2900.0,4
RC,369,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,291.0,2900.0,4
RC,369,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,15
RC,369,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,15
RC,369,Exc biopsy of saliv glands ,,,3715.0,4953.0,3
RC,369,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,3
RC,369,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,511.0,3979.0,13
RC,369,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,8866.0,7
RC,369,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,870.0,8866.0,13
RC,369,Exchange of intraocular lens ,,,1142.61,6446.0,15
RC,369,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,607.0,4100.0,11
RC,369,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,369,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,369,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,369,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1142.61,6446.0,30
RC,369,Excision aural glomus tumor; extended (extratemporal) ,,,1632.0,4953.0,5
RC,369,Excision aural glomus tumor; transcanal ,,,1753.0,6801.0,15
RC,369,Excision aural glomus tumor; transmastoid ,,,1753.0,10746.0,15
RC,369,Excision aural polyp ,,,769.0,4100.0,11
RC,369,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,1257.0,6446.0,15
RC,369,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,1753.0,6801.0,15
RC,369,"Excision exostosis(es), external auditory canal ",,,870.0,4830.0,15
RC,369,Excision external ear; complete amputation ,,,870.0,4830.0,15
RC,369,"Excision external ear; partial, simple repair ",,,607.0,4100.0,15
RC,369,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,1632.0,4953.0,5
RC,369,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,1632.0,4953.0,5
RC,369,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,15
RC,369,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,1632.0,4953.0,5
RC,369,Excision of Mullerian duct cyst ,,,607.0,4830.0,15
RC,369,Excision of ampulla of Vater ,,,1632.0,4953.0,5
RC,369,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,1632.0,4953.0,5
RC,369,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,1632.0,4953.0,5
RC,369,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,4830.0,15
RC,369,Excision of carotid body tumor; with excision of carotid artery ,,,1632.0,4953.0,5
RC,369,Excision of carotid body tumor; without excision of carotid artery ,,,1632.0,4953.0,5
RC,369,"Excision of cervical stump, abdominal approach; ",,,1632.0,4953.0,5
RC,369,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,1632.0,4953.0,5
RC,369,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,15
RC,369,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,1603.31,5958.0,7
RC,369,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.31,6801.0,15
RC,369,"Excision of chalazion; multiple, different lids ",,,291.0,3523.0,13
RC,369,"Excision of chalazion; multiple, same lid ",,,607.0,4100.0,13
RC,369,Excision of chalazion; single ,,,291.0,3523.0,13
RC,369,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,4830.0,15
RC,369,Excision of choledochal cyst ,,,1632.0,4953.0,5
RC,369,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,9431.0,15
RC,369,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1471.0,6446.0,15
RC,369,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1257.0,6446.0,15
RC,369,Excision of extraparenchymal lesion of testis ,,,870.0,4830.0,15
RC,369,"Excision of fibrous tuberosities, dentoalveolar structures ",,,607.0,4100.0,11
RC,369,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,607.0,4100.0,15
RC,369,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,15
RC,369,Excision of hydrocele; bilateral ,,,1404.42,6446.0,15
RC,369,Excision of hydrocele; unilateral ,,,1257.0,6446.0,15
RC,369,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,607.0,4100.0,11
RC,369,Excision of ileoanal reservoir with ileostomy ,,,1632.0,4953.0,5
RC,369,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,15
RC,369,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,15
RC,369,Excision of lacrimal gland tumor; frontal approach ,,,1142.61,6446.0,15
RC,369,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,15
RC,369,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,15
RC,369,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,769.0,4100.0,13
RC,369,Excision of lesion of mesentery (separate procedure) ,,,1632.0,4953.0,5
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,870.0,4830.0,15
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,870.0,4830.0,15
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,607.0,4100.0,11
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,607.0,4100.0,11
RC,369,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,1632.0,4953.0,5
RC,369,Excision of lesion of spermatic cord (separate procedure) ,,,1404.42,6446.0,15
RC,369,Excision of lesion of tongue with closure; anterior two-thirds ,,,769.0,4100.0,15
RC,369,Excision of lesion of tongue with closure; posterior one-third ,,,769.0,4100.0,15
RC,369,Excision of lesion of tongue with closure; with local tongue flap ,,,870.0,4830.0,15
RC,369,Excision of lesion of tongue without closure ,,,607.0,4100.0,13
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,870.0,6801.0,15
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,607.0,4830.0,11
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,607.0,4100.0,11
RC,369,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,4830.0,15
RC,369,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,4830.0,13
RC,369,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,4830.0,15
RC,369,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,4100.0,15
RC,369,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,1632.0,4953.0,5
RC,369,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,1632.0,4953.0,5
RC,369,"Excision of lesion, sclera ",,,1142.61,10746.0,15
RC,369,Excision of lingual frenum (frenectomy) ,,,607.0,4100.0,13
RC,369,Excision of lip; V-excision with primary direct linear closure ,,,769.0,4100.0,15
RC,369,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,870.0,4830.0,15
RC,369,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,870.0,4830.0,15
RC,369,Excision of lip; transverse wedge excision with primary closure ,,,870.0,4830.0,15
RC,369,Excision of local lesion of epididymis ,,,1257.0,6446.0,15
RC,369,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,3715.0,6446.0,5
RC,369,Excision of mucosa of vestibule of mouth as donor graft ,,,291.0,3523.0,15
RC,369,"Excision of multiple external papillae or tags, anus ",,,607.0,4100.0,15
RC,369,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1142.61,6446.0,15
RC,369,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6801.0,15
RC,369,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1142.61,6446.0,15
RC,369,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,4830.0,15
RC,369,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1142.61,6446.0,15
RC,369,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,369,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,369,"Excision of neuroma; hand or foot, except digital nerve ",,,1142.61,6446.0,15
RC,369,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1142.61,6446.0,15
RC,369,Excision of neuroma; sciatic nerve ,,,1257.0,6801.0,15
RC,369,"Excision of osseous tuberosities, dentoalveolar structures ",,,870.0,4830.0,11
RC,369,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,1753.0,10746.0,15
RC,369,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,1257.0,6801.0,15
RC,369,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,1753.0,10746.0,15
RC,369,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,1753.0,10746.0,15
RC,369,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,1632.0,4830.0,5
RC,369,Excision of penile plaque (Peyronie disease); ,,,870.0,6801.0,15
RC,369,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,6801.0,15
RC,369,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,6801.0,15
RC,369,Excision of perinephric cyst ,,,1632.0,4953.0,5
RC,369,Excision of presacral or sacrococcygeal tumor ,,,1632.0,4953.0,5
RC,369,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,1632.0,4953.0,5
RC,369,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,1632.0,4953.0,5
RC,369,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,870.0,4830.0,15
RC,369,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,870.0,8866.0,13
RC,369,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,607.0,5115.0,13
RC,369,"Excision of single external papilla or tag, anus ",,,607.0,4100.0,15
RC,369,"Excision of spermatocele, with or without epididymectomy ",,,1142.61,6446.0,15
RC,369,Excision of sublingual gland ,,,870.0,4830.0,15
RC,369,Excision of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,15
RC,369,Excision of submandibular (submaxillary) gland ,,,1257.0,6801.0,15
RC,369,"Excision of thrombosed hemorrhoid, external ",,,607.0,4100.0,13
RC,369,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,9431.0,15
RC,369,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,9431.0,15
RC,369,Excision of tonsil tags ,,,1257.0,6446.0,15
RC,369,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,15
RC,369,Excision of urethral diverticulum (separate procedure); female ,,,870.0,5958.0,15
RC,369,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,15
RC,369,Excision of vaginal cyst or tumor ,,,870.0,4830.0,15
RC,369,Excision of vaginal septum ,,,870.0,4830.0,15
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1404.42,6446.0,15
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1404.42,6446.0,15
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1404.42,6446.0,15
RC,369,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,1257.0,6446.0,15
RC,369,"Excision or destruction of lesion of pharynx, any method ",,,870.0,4830.0,15
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,1632.0,4830.0,5
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,1632.0,5958.0,5
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,1632.0,4830.0,5
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,1632.0,4830.0,5
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,1632.0,5958.0,5
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,1603.31,1919.0,4
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,2540.0,2540.0,1
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,2540.0,2540.0,1
RC,369,Excision or fulguration of carcinoma of urethra ,,,870.0,5958.0,15
RC,369,Excision or fulguration; Skene's glands ,,,870.0,4830.0,15
RC,369,Excision or fulguration; urethral caruncle ,,,870.0,4830.0,15
RC,369,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,4830.0,15
RC,369,Excision or fulguration; urethral prolapse ,,,870.0,4830.0,15
RC,369,Excision or transposition of pterygium; with graft ,,,1142.61,6446.0,15
RC,369,Excision or transposition of pterygium; without graft ,,,870.0,4830.0,15
RC,369,Excision or unroofing of cyst(s) of kidney ,,,1632.0,4953.0,5
RC,369,"Excision soft tissue lesion, external auditory canal ",,,769.0,4100.0,15
RC,369,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,1632.0,4953.0,5
RC,369,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,1632.0,4953.0,5
RC,369,"Excision, lesion of floor of mouth ",,,607.0,4830.0,15
RC,369,"Excision, lesion of palate, uvula; with local flap closure ",,,870.0,4830.0,15
RC,369,"Excision, lesion of palate, uvula; with simple primary closure ",,,769.0,4100.0,13
RC,369,"Excision, lesion of palate, uvula; without closure ",,,769.0,4100.0,13
RC,369,"Excision, local; malignant tumor of stomach ",,,1632.0,4953.0,5
RC,369,"Excision, local; ulcer or benign tumor of stomach ",,,1632.0,4953.0,5
RC,369,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,1632.0,4953.0,5
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1404.42,6446.0,15
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1404.42,10746.0,15
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1404.42,10746.0,15
RC,369,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,1632.0,4953.0,5
RC,369,Exploration for undescended testis (inguinal or scrotal area) ,,,1404.42,6446.0,15
RC,369,Exploration for undescended testis with abdominal exploration ,,,1142.61,6446.0,11
RC,369,"Exploration of epididymis, with or without biopsy ",,,607.0,4830.0,15
RC,369,"Exploration of orbit (transcranial approach), with removal of lesion ",,,1632.0,4953.0,5
RC,369,"Exploration, repair, and presacral drainage for rectal injury; ",,,1632.0,4953.0,5
RC,369,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,1632.0,4953.0,5
RC,369,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1404.42,6446.0,12
RC,369,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,8
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,16336.0,11
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,16336.0,5
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,16336.0,5
RC,369,"Expression of conjunctival follicles (eg, for trachoma) ",,,291.0,2900.0,9
RC,369,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,1632.0,4953.0,5
RC,369,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,1632.0,4953.0,5
RC,369,"External cephalic version, with or without tocolysis ",,,1404.42,4830.0,9
RC,369,"External counterpulsation, per treatment session ",,,3131.0,3523.0,2
RC,369,"External drainage, pseudocyst of pancreas, open ",,,472.88,4953.0,7
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,1404.42,8866.0,12
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,1404.42,8069.0,12
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,1142.61,8069.0,15
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1142.61,8866.0,39
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,607.0,4100.0,15
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,291.0,3523.0,15
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,607.0,4100.0,15
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,607.0,4830.0,15
RC,369,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,607.0,1069.0,4
RC,369,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,2760.0,2
RC,369,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,6
RC,369,Fetal contraction stress test ,,,291.0,2900.0,9
RC,369,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,291.0,3523.0,13
RC,369,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,1632.0,4953.0,5
RC,369,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,291.0,2900.0,4
RC,369,Fetal non-stress test ,,,291.0,2900.0,7
RC,369,Fetal scalp blood sampling ,,,291.0,2900.0,9
RC,369,"Fetal shunt placement, including ultrasound guidance ",,,291.0,3523.0,13
RC,369,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,369,Fimbrioplasty ,,,1694.0,6446.0,8
RC,369,Fine needle aspiration of orbital contents ,,,607.0,4830.0,15
RC,369,"Fissurectomy, including sphincterotomy, when performed ",,,870.0,4830.0,15
RC,369,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,4830.0,15
RC,369,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1404.42,6446.0,15
RC,369,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1142.61,6446.0,15
RC,369,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1142.61,6446.0,15
RC,369,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1404.42,6446.0,15
RC,369,Fitting and insertion of pessary or other intravaginal support device ,,,291.0,2900.0,9
RC,369,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,15
RC,369,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,8866.0,3
RC,369,"Follicle puncture for oocyte retrieval, any method ",,,511.0,3523.0,15
RC,369,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,291.0,3523.0,15
RC,369,Free jejunum transfer with microvascular anastomosis ,,,1632.0,4953.0,5
RC,369,Free omental flap with microvascular anastomosis ,,,1632.0,4953.0,5
RC,369,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,870.0,6801.0,15
RC,369,Frenulotomy of penis ,,,870.0,4830.0,15
RC,369,GLAUCOMA SURGERY ,,,2552.0,2760.0,2
RC,369,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,291.0,3523.0,15
RC,369,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,1632.0,4953.0,5
RC,369,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,1632.0,4953.0,5
RC,369,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,1632.0,4953.0,5
RC,369,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,1632.0,4953.0,5
RC,369,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,1632.0,4953.0,5
RC,369,"Gastrectomy, total; with esophagoenterostomy ",,,1632.0,4953.0,5
RC,369,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,1632.0,4953.0,5
RC,369,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,291.0,3523.0,13
RC,369,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,291.0,3523.0,13
RC,369,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,291.0,3523.0,13
RC,369,Gastric motility (manometric) studies ,,,291.0,2900.0,8
RC,369,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,1632.0,4953.0,4
RC,369,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,3
RC,369,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,870.0,5958.0,13
RC,369,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,607.0,4100.0,13
RC,369,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,607.0,5958.0,13
RC,369,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,1632.0,9431.0,7
RC,369,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,1632.0,4953.0,4
RC,369,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,1632.0,4953.0,4
RC,369,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2259.0,6801.0,4
RC,369,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,1632.0,4953.0,4
RC,369,Gastroduodenostomy ,,,1632.0,4953.0,5
RC,369,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,1632.0,4953.0,5
RC,369,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,369,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,769.0,4100.0,4
RC,369,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,769.0,4100.0,4
RC,369,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,4
RC,369,"Gastrojejunostomy; with vagotomy, any type ",,,1632.0,4953.0,5
RC,369,Gastrojejunostomy; without vagotomy ,,,1632.0,4953.0,5
RC,369,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,1694.0,5958.0,7
RC,369,"Gastrostomy, open; neonatal, for feeding ",,,742.8,4100.0,7
RC,369,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,1632.0,4953.0,5
RC,369,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1142.61,4830.0,7
RC,369,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,742.8,4100.0,7
RC,369,Gastrotomy; with exploration or foreign body removal ,,,1632.0,4953.0,5
RC,369,Gastrotomy; with suture repair of bleeding ulcer ,,,1632.0,4953.0,5
RC,369,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,1632.0,4953.0,5
RC,369,"Gingivectomy, excision gingiva, each quadrant ",,,607.0,4830.0,13
RC,369,"Gingivoplasty, each quadrant (specify) ",,,1404.42,6801.0,7
RC,369,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,1632.0,4953.0,5
RC,369,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,1632.0,4953.0,5
RC,369,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,1632.0,4953.0,5
RC,369,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,1632.0,4953.0,5
RC,369,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,1632.0,4953.0,5
RC,369,Glossectomy; hemiglossectomy ,,,1632.0,4953.0,5
RC,369,Glossectomy; less than one-half tongue ,,,1753.0,6801.0,15
RC,369,"Glossectomy; partial, with unilateral radical neck dissection ",,,1632.0,4830.0,5
RC,369,Goniotomy ,,,607.0,4830.0,15
RC,369,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,1257.0,6446.0,15
RC,369,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,369,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,369,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,3
RC,369,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,3
RC,369,HFenestration semicircular canal ,,,3026.0,3273.0,2
RC,369,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,27220.0,36293.0,3
RC,369,HRevision fenestration operation ,,,3026.0,3273.0,2
RC,369,"Harvesting conjunctival allograft, living donor ",,,870.0,4830.0,15
RC,369,Hematopoietic progenitor cell (HPC); HPC boost ,,,607.0,4100.0,13
RC,369,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,1876.0,6801.0,11
RC,369,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,769.0,6446.0,11
RC,369,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,1257.0,6446.0,15
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,1257.0,6446.0,15
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,1404.42,6446.0,15
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,1404.42,6446.0,15
RC,369,"Hemorrhoidectomy, internal and external, single column/group; ",,,1257.0,6446.0,15
RC,369,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,1257.0,6446.0,15
RC,369,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,1257.0,6446.0,15
RC,369,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,870.0,4830.0,15
RC,369,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,870.0,4830.0,11
RC,369,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,511.0,3523.0,13
RC,369,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,1404.42,7161.0,12
RC,369,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,1404.42,10746.0,15
RC,369,"Hepatectomy, resection of liver; partial lobectomy ",,,1632.0,4953.0,5
RC,369,"Hepatectomy, resection of liver; total left lobectomy ",,,1632.0,4953.0,5
RC,369,"Hepatectomy, resection of liver; total right lobectomy ",,,1632.0,4953.0,5
RC,369,"Hepatectomy, resection of liver; trisegmentectomy ",,,1632.0,4953.0,5
RC,369,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,1632.0,4953.0,5
RC,369,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,1632.0,4953.0,5
RC,369,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,369,"Hymenotomy, simple incision ",,,607.0,4830.0,15
RC,369,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,1632.0,4953.0,5
RC,369,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,1632.0,10746.0,9
RC,369,Hysterorrhaphy of ruptured uterus ,,,1632.0,3435.0,2
RC,369,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1632.0,6446.0,9
RC,369,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,4830.0,13
RC,369,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,6801.0,13
RC,369,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,6446.0,13
RC,369,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.31,6446.0,13
RC,369,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,4830.0,13
RC,369,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,6446.0,13
RC,369,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,6446.0,13
RC,369,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,6446.0,13
RC,369,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,1603.31,4830.0,9
RC,369,ILEOSCOPY W/STENT ,,,4238.0,4584.0,2
RC,369,IMPLANT NEUROELECTRODES ,,,988.0,1069.0,4
RC,369,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,3723.0,5078.0,4
RC,369,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,369,INCISE INNER EAR ,,,4526.0,4895.0,2
RC,369,INCISION OF HYMEN ,,,988.0,1069.0,2
RC,369,INJ PARAVERTEBRAL C/T ,,,988.0,1069.0,2
RC,369,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,1069.0,2
RC,369,INJ PARAVERTEBRAL L/S ,,,988.0,1069.0,2
RC,369,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,1069.0,2
RC,369,INJECT SPINE CERV/THORACIC ,,,988.0,1069.0,2
RC,369,INJECT SPINE LUMBAR/SACRAL ,,,988.0,1069.0,2
RC,369,INJECT SPINE W/CATH CRV/THRC ,,,988.0,1069.0,2
RC,369,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,1069.0,2
RC,369,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,827.0,2
RC,369,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,827.0,2
RC,369,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,827.0,2
RC,369,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,1069.0,4
RC,369,"INSERT ABDOM DRAIN, TEMP ",,,988.0,1069.0,2
RC,369,INSERT BILE DUCT DRAIN ,,,4238.0,4584.0,2
RC,369,INSERT CATHETER BILE DUCT ,,,1560.0,1687.0,2
RC,369,INSERT KIDNEY DRAIN ,,,988.0,1069.0,2
RC,369,INSERT URETERAL TUBE ,,,988.0,1069.0,2
RC,369,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,1069.0,4
RC,369,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,607.0,4100.0,15
RC,369,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,369,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,769.0,4320.0,13
RC,369,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,607.0,4320.0,13
RC,369,"Ileostomy or jejunostomy, non-tube ",,,1632.0,4953.0,5
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,769.0,8866.0,13
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,769.0,6446.0,13
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,769.0,8866.0,13
RC,369,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,6801.0,4
RC,369,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,5958.0,4
RC,369,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,1632.0,4953.0,5
RC,369,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,369,Implantation of intrastromal corneal ring segments ,,,1404.42,6801.0,11
RC,369,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6801.0,15
RC,369,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,1632.0,6801.0,7
RC,369,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,13472.0,5
RC,369,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,291.0,2900.0,10
RC,369,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,26596.0,15
RC,369,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,26596.0,15
RC,369,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,26596.0,15
RC,369,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6801.0,10
RC,369,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,1632.0,4953.0,5
RC,369,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2179.0,9431.0,10
RC,369,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2179.0,9431.0,10
RC,369,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2179.0,13472.0,13
RC,369,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,9431.0,13
RC,369,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,6801.0,15
RC,369,Incision and drainage abscess; peritonsillar ,,,291.0,3523.0,15
RC,369,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,870.0,6801.0,15
RC,369,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,607.0,4100.0,15
RC,369,Incision and drainage of Bartholin's gland abscess ,,,291.0,3523.0,13
RC,369,"Incision and drainage of appendiceal abscess, open ",,,1632.0,4953.0,5
RC,369,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,769.0,4100.0,15
RC,369,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,4830.0,15
RC,369,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,870.0,4830.0,15
RC,369,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,769.0,6446.0,15
RC,369,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,769.0,4100.0,15
RC,369,"Incision and drainage of penis, deep ",,,769.0,6446.0,15
RC,369,"Incision and drainage of submucosal abscess, rectum ",,,769.0,4100.0,15
RC,369,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,4100.0,15
RC,369,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,4830.0,15
RC,369,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,769.0,4100.0,11
RC,369,Incision and drainage of vulva or perineal abscess ,,,291.0,3979.0,13
RC,369,"Incision and drainage, perianal abscess, superficial ",,,511.0,3523.0,15
RC,369,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,369,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,4953.0,9
RC,369,"Incision of conjunctiva, drainage of cyst ",,,769.0,4100.0,11
RC,369,Incision of labial frenum (frenotomy) ,,,291.0,2900.0,13
RC,369,Incision of lingual frenum (frenotomy) ,,,607.0,4100.0,15
RC,369,"Incision of thrombosed hemorrhoid, external ",,,291.0,3523.0,11
RC,369,"Incision, anal septum (infant) ",,,607.0,4100.0,11
RC,369,"Incision, drainage of lacrimal gland ",,,607.0,4100.0,13
RC,369,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,511.0,5115.0,13
RC,369,Incisional biopsy of eyelid skin including lid margin ,,,291.0,3523.0,13
RC,369,Indexing for osteotomy ,,,3715.0,4953.0,3
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,4953.0,11
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,4953.0,11
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,4953.0,9
RC,369,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,1632.0,4953.0,5
RC,369,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,769.0,4953.0,18
RC,369,"Induced abortion, by dilation and curettage ",,,1404.42,6446.0,15
RC,369,"Induced abortion, by dilation and evacuation ",,,1404.42,6446.0,15
RC,369,Induction of arrhythmia by electrical pacing ,,,769.0,21155.0,4
RC,369,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,1632.0,4953.0,5
RC,369,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,1632.0,4953.0,5
RC,369,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,870.0,4830.0,15
RC,369,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,1632.0,14425.0,7
RC,369,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,4
RC,369,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,291.0,2900.0,8
RC,369,Injection of contrast medium for dacryocystography ,,,291.0,2900.0,8
RC,369,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,291.0,2900.0,9
RC,369,Injection of medication or other substance into Tenon's capsule ,,,291.0,3523.0,13
RC,369,"Injection of sclerosing solution, hemorrhoids ",,,511.0,3250.0,7
RC,369,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,4830.0,15
RC,369,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,291.0,2900.0,8
RC,369,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,291.0,2900.0,4
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,369,Injection procedure for Peyronie disease; ,,,291.0,3523.0,9
RC,369,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,15
RC,369,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,511.0,3979.0,26
RC,369,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,4830.0,13
RC,369,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,607.0,8866.0,26
RC,369,Injection procedure for corpora cavernosography ,,,291.0,2900.0,8
RC,369,Injection procedure for cystography or voiding urethrocystography ,,,291.0,2900.0,4
RC,369,"Injection procedure for discography, each level; cervical or thoracic ",,,291.0,2900.0,8
RC,369,"Injection procedure for discography, each level; lumbar ",,,291.0,2900.0,8
RC,369,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,369,"Injection procedure for myelography and/or computed tomography, lumbar ",,,291.0,2900.0,8
RC,369,Injection procedure for retrograde urethrocystography ,,,291.0,2900.0,4
RC,369,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,8
RC,369,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3523.0,15
RC,369,Injection procedure for sialography ,,,291.0,2900.0,8
RC,369,Injection procedure for splenoportography ,,,291.0,2900.0,8
RC,369,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,8
RC,369,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,291.0,2900.0,8
RC,369,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,511.0,6446.0,15
RC,369,Injection procedure; lymphangiography ,,,291.0,2900.0,8
RC,369,Injection procedure; radioactive tracer for identification of sentinel node ,,,291.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,11
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,511.0,3523.0,9
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,511.0,3523.0,12
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,291.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,511.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,511.0,3523.0,15
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,511.0,3523.0,15
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,511.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,511.0,3523.0,12
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,511.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,511.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,291.0,2900.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,511.0,3523.0,15
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,511.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,511.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,291.0,2900.0,10
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,511.0,3523.0,15
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,291.0,2900.0,10
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,511.0,3523.0,15
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,291.0,3523.0,13
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,291.0,3523.0,13
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,291.0,2900.0,8
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,511.0,3523.0,13
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,291.0,2900.0,8
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,291.0,2900.0,8
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,511.0,3523.0,13
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,291.0,2900.0,8
RC,369,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,52
RC,369,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,52
RC,369,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,511.0,3523.0,15
RC,369,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,511.0,3523.0,15
RC,369,"Injection, anesthetic agent; sphenopalatine ganglion ",,,291.0,3523.0,13
RC,369,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,511.0,3523.0,15
RC,369,"Injection, anesthetic agent; superior hypogastric plexus ",,,511.0,3979.0,15
RC,369,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,4100.0,15
RC,369,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,4100.0,15
RC,369,"Injection, epidural, of blood or clot patch ",,,511.0,3523.0,15
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,511.0,3523.0,15
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,511.0,3523.0,15
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,511.0,3523.0,15
RC,369,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,3250.0,9
RC,369,Insertion of Heyman capsules for clinical brachytherapy ,,,870.0,4830.0,15
RC,369,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,511.0,3250.0,13
RC,369,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,291.0,3523.0,13
RC,369,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,8866.0,13
RC,369,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,5115.0,13
RC,369,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,9
RC,369,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,291.0,3523.0,13
RC,369,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1142.61,4830.0,12
RC,369,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,13
RC,369,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,13
RC,369,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,7
RC,369,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,10732.0,13
RC,369,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,1142.61,6446.0,15
RC,369,Insertion of intrauterine device (IUD) ,,,44.66,2900.0,12
RC,369,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,1257.0,9431.0,11
RC,369,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,291.0,10746.0,10
RC,369,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,27277.0,15
RC,369,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3715.0,10746.0,5
RC,369,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3715.0,10746.0,5
RC,369,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3715.0,10746.0,5
RC,369,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,3523.0,13
RC,369,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,291.0,2900.0,13
RC,369,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,15
RC,369,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,5958.0,15
RC,369,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,15
RC,369,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,27277.0,15
RC,369,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,27277.0,15
RC,369,Insertion of peritoneal-venous shunt ,,,769.0,4100.0,8
RC,369,Insertion of pin-retained palatal prosthesis ,,,769.0,6446.0,13
RC,369,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,5
RC,369,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,1632.0,4953.0,5
RC,369,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,607.0,4100.0,8
RC,369,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,28186.0,15
RC,369,Insertion of tandem cuff (dual cuff) ,,,870.0,10732.0,13
RC,369,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,291.0,3523.0,13
RC,369,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,291.0,2900.0,13
RC,369,Insertion of testicular prosthesis (separate procedure) ,,,870.0,4830.0,15
RC,369,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1632.0,4953.0,7
RC,369,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2224.34,13472.0,10
RC,369,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,870.0,8866.0,13
RC,369,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,870.0,5958.0,15
RC,369,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,870.0,9431.0,15
RC,369,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,511.0,16336.0,15
RC,369,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,4953.0,5
RC,369,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,36293.0,13
RC,369,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,36293.0,13
RC,369,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,291.0,3435.0,7
RC,369,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,13472.0,7
RC,369,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,36293.0,13
RC,369,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,36293.0,13
RC,369,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,8866.0,8
RC,369,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,291.0,3523.0,13
RC,369,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,1632.0,4953.0,5
RC,369,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,1632.0,4953.0,5
RC,369,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,291.0,2900.0,10
RC,369,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,291.0,2900.0,4
RC,369,Intersex surgery; female to male ,,,1404.42,3435.0,5
RC,369,Intersex surgery; male to female ,,,1603.31,3435.0,5
RC,369,Intestinal allotransplantation; from cadaver donor ,,,1632.0,4953.0,5
RC,369,Intestinal allotransplantation; from living donor ,,,1632.0,4953.0,5
RC,369,Intestinal plication (separate procedure) ,,,1632.0,4953.0,5
RC,369,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,1632.0,4953.0,5
RC,369,Intra-atrial pacing ,,,769.0,21155.0,4
RC,369,Intra-atrial recording ,,,769.0,21155.0,4
RC,369,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,291.0,21155.0,4
RC,369,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,1142.61,8069.0,15
RC,369,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,291.0,36635.0,6
RC,369,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,1753.0,36635.0,7
RC,369,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,369,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,369,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,369,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,4
RC,369,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,4
RC,369,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,6
RC,369,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,5
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,291.0,3523.0,13
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,291.0,3523.0,15
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,607.0,4100.0,15
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,291.0,3523.0,15
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,607.0,4100.0,15
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,607.0,4100.0,15
RC,369,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,291.0,2900.0,8
RC,369,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,1632.0,3435.0,7
RC,369,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,1632.0,3435.0,7
RC,369,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,291.0,2900.0,8
RC,369,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,291.0,2900.0,8
RC,369,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,291.0,21155.0,4
RC,369,Intraventricular pacing ,,,769.0,21155.0,4
RC,369,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,291.0,3523.0,13
RC,369,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,291.0,3523.0,11
RC,369,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,742.8,4100.0,9
RC,369,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,607.0,13472.0,33
RC,369,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,15
RC,369,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1142.61,6446.0,15
RC,369,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,369,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,369,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1142.61,6801.0,15
RC,369,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,511.0,3523.0,13
RC,369,Iridotomy by stab incision (separate procedure); except transfixion ,,,291.0,3523.0,15
RC,369,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,4100.0,15
RC,369,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,511.0,3523.0,13
RC,369,Irrigation of corpora cavernosa for priapism ,,,291.0,3523.0,15
RC,369,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,291.0,2900.0,9
RC,369,Keratomileusis ,,,911.0,10746.0,10
RC,369,Keratophakia ,,,911.0,10746.0,10
RC,369,Keratoplasty (corneal transplant); anterior lamellar ,,,1404.42,10746.0,15
RC,369,Keratoplasty (corneal transplant); endothelial ,,,1404.42,10746.0,13
RC,369,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1404.42,10746.0,15
RC,369,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1404.42,10746.0,15
RC,369,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1404.42,10746.0,15
RC,369,Keratoprosthesis ,,,1753.0,10746.0,13
RC,369,LAPARO W/CHOLANGIO/BIOPSY ,,,2302.0,2490.0,2
RC,369,LAPAROSCOPY W/CHOLANGIO ,,,2302.0,2490.0,2
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,369,LESION REMOVAL COLONOSCOPY ,,,1560.0,1687.0,2
RC,369,Labyrinthectomy; transcanal ,,,1753.0,10746.0,15
RC,369,Labyrinthectomy; with mastoidectomy ,,,1753.0,10746.0,15
RC,369,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,769.0,6446.0,15
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7058.0,13472.0,6
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,1632.0,8866.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7058.0,13472.0,6
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,1632.0,8866.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,1632.0,8866.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,1632.0,8866.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7058.0,13472.0,6
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,1632.0,8866.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,1632.0,8866.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,1632.0,8866.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7058.0,13472.0,6
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,1632.0,8866.0,7
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,1632.0,8866.0,7
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2179.0,13472.0,9
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,1632.0,8866.0,7
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,1632.0,8866.0,7
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1753.0,9431.0,14
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,1632.0,8866.0,11
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,1753.0,9431.0,12
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,1753.0,9431.0,12
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,1632.0,8866.0,7
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,1632.0,8866.0,7
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7058.0,13472.0,6
RC,369,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,36293.0,11
RC,369,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,1632.0,8866.0,7
RC,369,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,1632.0,8866.0,7
RC,369,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,1632.0,8866.0,7
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1753.0,9431.0,13
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1753.0,9431.0,13
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,9431.0,13
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,369,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,1632.0,8866.0,7
RC,369,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1753.0,9431.0,13
RC,369,Laminectomy with rhizotomy; 1 or 2 segments ,,,7058.0,13472.0,6
RC,369,Laminectomy with rhizotomy; more than 2 segments ,,,7058.0,13472.0,6
RC,369,Laminectomy with section of spinal accessory nerve ,,,7058.0,13472.0,6
RC,369,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,291.0,9431.0,49
RC,369,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,291.0,8866.0,18
RC,369,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7058.0,13472.0,6
RC,369,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,1632.0,4953.0,5
RC,369,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,1632.0,4953.0,5
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,11
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1753.0,9431.0,13
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1694.0,8866.0,16
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1753.0,9431.0,13
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,9431.0,13
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,291.0,8866.0,10
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1632.0,4953.0,7
RC,369,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,369,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,369,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1257.0,6801.0,11
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2224.34,13472.0,9
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,1632.0,9431.0,7
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,1632.0,9431.0,7
RC,369,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2224.34,9431.0,10
RC,369,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,1471.0,13472.0,9
RC,369,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,1471.0,13472.0,9
RC,369,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,9431.0,11
RC,369,"Laparoscopy, surgical, appendectomy ",,,1257.0,9431.0,9
RC,369,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,1257.0,4953.0,7
RC,369,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,1257.0,4953.0,7
RC,369,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,9431.0,11
RC,369,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,1257.0,9431.0,11
RC,369,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,369,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,1876.0,9431.0,11
RC,369,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,1876.0,9431.0,9
RC,369,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,1753.0,9431.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2224.34,9431.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2224.34,20231.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,1753.0,20231.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,1404.42,20231.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,1404.42,20231.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,1694.0,20231.0,4
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2179.0,9431.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2540.0,9431.0,4
RC,369,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,1257.0,4953.0,7
RC,369,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1753.0,8866.0,15
RC,369,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2224.34,10746.0,15
RC,369,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,2224.34,9431.0,7
RC,369,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,1876.0,9431.0,9
RC,369,"Laparoscopy, surgical, splenectomy ",,,1876.0,9431.0,9
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1694.0,9400.0,7
RC,369,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,6801.0,9
RC,369,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1753.0,9431.0,13
RC,369,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2224.34,9400.0,9
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical; ablation of renal cysts ",,,1753.0,6801.0,9
RC,369,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2224.34,13472.0,9
RC,369,"Laparoscopy, surgical; cholecystectomy ",,,1753.0,9431.0,9
RC,369,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,1753.0,9431.0,9
RC,369,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,1753.0,9431.0,9
RC,369,"Laparoscopy, surgical; cholecystoenterostomy ",,,1632.0,5078.0,7
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,2259.0,6801.0,4
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,1632.0,4953.0,5
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,1632.0,4953.0,5
RC,369,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1632.0,4953.0,5
RC,369,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1632.0,4953.0,5
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,1632.0,4953.0,5
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,1632.0,4953.0,5
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,1632.0,4953.0,5
RC,369,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1632.0,4953.0,7
RC,369,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,2259.0,6801.0,4
RC,369,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,1876.0,6801.0,6
RC,369,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,1257.0,4953.0,7
RC,369,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,1257.0,13472.0,11
RC,369,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1632.0,4953.0,7
RC,369,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1632.0,4953.0,7
RC,369,"Laparoscopy, surgical; orchiectomy ",,,1753.0,9431.0,13
RC,369,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; partial nephrectomy ",,,2224.34,9431.0,9
RC,369,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,1257.0,4953.0,7
RC,369,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,1257.0,4953.0,7
RC,369,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,1257.0,5958.0,7
RC,369,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,1257.0,4953.0,7
RC,369,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,9431.0,9
RC,369,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1632.0,4953.0,8
RC,369,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1471.0,9431.0,11
RC,369,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1753.0,9431.0,13
RC,369,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,1257.0,8866.0,11
RC,369,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1753.0,10732.0,11
RC,369,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,1753.0,9431.0,9
RC,369,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,1753.0,9431.0,9
RC,369,"Laparoscopy, surgical; ureterolithotomy ",,,1753.0,9431.0,9
RC,369,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,9431.0,11
RC,369,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1471.0,6801.0,11
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,2224.34,9431.0,11
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,2224.34,9431.0,11
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2174.0,9431.0,12
RC,369,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1471.0,6801.0,11
RC,369,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1257.0,6801.0,9
RC,369,"Laparoscopy, surgical; with fimbrioplasty ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,9431.0,11
RC,369,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1471.0,6801.0,9
RC,369,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,9431.0,11
RC,369,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,6
RC,369,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,291.0,2900.0,6
RC,369,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,1753.0,9431.0,11
RC,369,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1471.0,6801.0,9
RC,369,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1753.0,9431.0,11
RC,369,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2540.0,10746.0,8
RC,369,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,769.0,4100.0,4
RC,369,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1603.31,8866.0,10
RC,369,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1603.31,8866.0,13
RC,369,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,1632.0,4953.0,5
RC,369,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,1632.0,4953.0,5
RC,369,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1603.31,8866.0,15
RC,369,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,291.0,9813.0,4
RC,369,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,6801.0,7
RC,369,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,369,"Lengthening of palate, and pharyngeal flap ",,,1753.0,6801.0,15
RC,369,"Lengthening of palate, with island flap ",,,1753.0,6801.0,7
RC,369,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,1257.0,6446.0,15
RC,369,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,870.0,5958.0,15
RC,369,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,511.0,6446.0,15
RC,369,Ligation of common iliac vein ,,,1632.0,4953.0,5
RC,369,Ligation of femoral vein ,,,870.0,5958.0,15
RC,369,Ligation of inferior vena cava ,,,1257.0,9431.0,11
RC,369,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,511.0,6446.0,11
RC,369,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,1257.0,6446.0,15
RC,369,Ligation of peritoneal-venous shunt ,,,769.0,4100.0,4
RC,369,Ligation or banding of angioaccess arteriovenous fistula ,,,1257.0,6446.0,15
RC,369,"Ligation or biopsy, temporal artery ",,,769.0,4100.0,15
RC,369,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,1632.0,4953.0,5
RC,369,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,4953.0,9
RC,369,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,769.0,4100.0,8
RC,369,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,5115.0,13
RC,369,"Ligation salivary duct, intraoral ",,,1404.42,10746.0,15
RC,369,"Ligation, direct, esophageal varices ",,,2540.0,9431.0,4
RC,369,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,1257.0,6446.0,15
RC,369,"Ligation, division, and stripping, short saphenous vein ",,,1257.0,6446.0,15
RC,369,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1257.0,6446.0,15
RC,369,"Ligation, internal jugular vein ",,,511.0,3250.0,7
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,1404.42,5958.0,8
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,1632.0,4953.0,5
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,1603.31,4953.0,8
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,511.0,3250.0,7
RC,369,Ligation; external carotid artery ,,,1404.42,5958.0,7
RC,369,Ligation; internal or common carotid artery ,,,1404.42,5958.0,7
RC,369,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,1404.42,5958.0,7
RC,369,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2224.34,9431.0,8
RC,369,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,1632.0,4953.0,5
RC,369,Limited pharyngectomy ,,,1753.0,10746.0,15
RC,369,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,369,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,4830.0,15
RC,369,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,4830.0,15
RC,369,"Lithotripsy, extracorporeal shock wave ",,,1404.42,9431.0,7
RC,369,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,1632.0,4953.0,5
RC,369,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,1404.42,8866.0,12
RC,369,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,369,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,369,Lymphangiotomy or other operations on lymphatic channels ,,,870.0,4830.0,15
RC,369,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1632.0,6446.0,8
RC,369,Lysis of labial adhesions ,,,607.0,4830.0,15
RC,369,Lysis or excision of penile post-circumcision adhesions ,,,870.0,4830.0,15
RC,369,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,1632.0,13472.0,7
RC,369,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,1632.0,4953.0,5
RC,369,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,1632.0,4953.0,5
RC,369,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,1632.0,4953.0,5
RC,369,Management of liver hemorrhage; simple suture of liver wound or injury ,,,1632.0,4953.0,5
RC,369,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,1632.0,3435.0,2
RC,369,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,511.0,3523.0,15
RC,369,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,9
RC,369,Marsupialization of Bartholin's gland cyst ,,,870.0,4830.0,15
RC,369,Marsupialization of cyst or abscess of liver ,,,1632.0,4953.0,5
RC,369,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,3
RC,369,Marsupialization of pancreatic cyst ,,,1632.0,4953.0,5
RC,369,Marsupialization of sublingual salivary cyst (ranula) ,,,1257.0,6446.0,15
RC,369,"Marsupialization of urethral diverticulum, male or female ",,,870.0,5958.0,15
RC,369,Mastoid obliteration (separate procedure) ,,,1257.0,6801.0,15
RC,369,Mastoidectomy; complete ,,,1632.0,10746.0,15
RC,369,Mastoidectomy; modified radical ,,,1753.0,10746.0,15
RC,369,Mastoidectomy; radical ,,,1753.0,10746.0,15
RC,369,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,3
RC,369,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,3
RC,369,Maxillary impression for palatal prosthesis ,,,291.0,2900.0,13
RC,369,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,291.0,2900.0,9
RC,369,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,4830.0,15
RC,369,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,4830.0,11
RC,369,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,607.0,4100.0,13
RC,369,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,1257.0,6801.0,11
RC,369,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,1257.0,6801.0,11
RC,369,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,1632.0,4953.0,5
RC,369,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,1632.0,4953.0,5
RC,369,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,15
RC,369,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,1632.0,4953.0,5
RC,369,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,1142.61,5115.0,9
RC,369,Multifetal pregnancy reduction(s) (MPR) ,,,291.0,3523.0,9
RC,369,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,4830.0,11
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,511.0,4320.0,13
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,511.0,4320.0,13
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,511.0,4320.0,13
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,511.0,4320.0,13
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,1694.0,10746.0,11
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1404.42,6446.0,15
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,1694.0,5958.0,7
RC,369,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,4830.0,13
RC,369,Myringotomy including aspiration and/or eustachian tube inflation ,,,291.0,6446.0,13
RC,369,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,769.0,6446.0,15
RC,369,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,369,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,2
RC,369,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,369,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,3
RC,369,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,291.0,2900.0,13
RC,369,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,369,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1753.0,8866.0,12
RC,369,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1753.0,8866.0,12
RC,369,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,291.0,3523.0,15
RC,369,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,1632.0,4953.0,5
RC,369,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,1632.0,4953.0,5
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,1632.0,4953.0,5
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,1632.0,4953.0,5
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,1632.0,4953.0,5
RC,369,"Nephrectomy, partial ",,,1632.0,4953.0,5
RC,369,Nephrolithotomy; complicated by congenital kidney abnormality ,,,1632.0,4953.0,5
RC,369,Nephrolithotomy; removal of calculus ,,,1632.0,4953.0,5
RC,369,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,1632.0,4953.0,5
RC,369,Nephrolithotomy; secondary surgical operation for calculus ,,,1632.0,4953.0,5
RC,369,"Nephrorrhaphy, suture of kidney wound or injury ",,,1632.0,4953.0,5
RC,369,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,8
RC,369,"Nephrotomy, with exploration ",,,1632.0,4953.0,5
RC,369,Nerve dissection ,,,3715.0,4953.0,3
RC,369,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,6801.0,15
RC,369,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,6801.0,15
RC,369,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,369,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,369,Nerve pedicle transfer; first stage ,,,870.0,6801.0,15
RC,369,Nerve pedicle transfer; second stage ,,,607.0,6801.0,15
RC,369,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,6801.0,13
RC,369,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,291.0,3435.0,9
RC,369,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,6801.0,12
RC,369,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,6801.0,13
RC,369,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,1632.0,4953.0,5
RC,369,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,369,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,1632.0,4953.0,5
RC,369,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,369,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1142.61,6446.0,15
RC,369,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,4830.0,15
RC,369,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,4830.0,15
RC,369,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,4830.0,15
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,4830.0,15
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,4830.0,15
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,4830.0,15
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,4830.0,15
RC,369,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,4830.0,15
RC,369,Neuroplasty; nerve of hand or foot ,,,607.0,4830.0,15
RC,369,Nocturnal penile tumescence and/or rigidity test ,,,291.0,2900.0,13
RC,369,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,7
RC,369,OPERATIVE UPPER GI ENDOSCOPY ,,,2302.0,2490.0,2
RC,369,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,1632.0,4953.0,5
RC,369,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,11
RC,369,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1404.42,6446.0,15
RC,369,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,369,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1404.42,6801.0,15
RC,369,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,1632.0,4953.0,5
RC,369,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,1632.0,6801.0,5
RC,369,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,1404.42,6446.0,10
RC,369,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1694.0,6446.0,8
RC,369,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,1694.0,5958.0,4
RC,369,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,5
RC,369,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,36293.0,11
RC,369,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,5
RC,369,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,18085.0,10
RC,369,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,5
RC,369,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,36293.0,13
RC,369,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,15
RC,369,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,13472.0,13
RC,369,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,9
RC,369,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,9
RC,369,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,9
RC,369,"Operculectomy, excision pericoronal tissues ",,,607.0,4100.0,13
RC,369,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,1632.0,4830.0,4
RC,369,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,1632.0,4830.0,4
RC,369,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1404.42,6446.0,15
RC,369,Orbital implant (implant outside muscle cone); insertion ,,,1404.42,6446.0,15
RC,369,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,5958.0,15
RC,369,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,1632.0,4953.0,5
RC,369,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,1632.0,4953.0,5
RC,369,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,1632.0,4953.0,5
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1404.42,6446.0,15
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1404.42,6446.0,15
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1404.42,6446.0,15
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1404.42,6446.0,15
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1404.42,6446.0,15
RC,369,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,15
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1142.61,6446.0,15
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1404.42,6446.0,11
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1142.61,6446.0,15
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1142.61,6446.0,15
RC,369,"Orchiectomy, partial ",,,1257.0,6446.0,15
RC,369,"Orchiectomy, radical, for tumor; inguinal approach ",,,1404.42,6446.0,15
RC,369,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,1404.42,5958.0,7
RC,369,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,15
RC,369,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1404.42,6446.0,11
RC,369,"Orchiopexy, inguinal or scrotal approach ",,,1404.42,6446.0,15
RC,369,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,1632.0,8866.0,7
RC,369,"Other cranial decompression, posterior fossa ",,,1632.0,4953.0,5
RC,369,Otolaryngologic examination under general anesthesia ,,,291.0,2900.0,4
RC,369,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,15
RC,369,"Ovarian cystectomy, unilateral or bilateral ",,,1603.31,6446.0,11
RC,369,PAROTID DUCT DIVERSION ,,,2552.0,2760.0,2
RC,369,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,2
RC,369,PLACE GASTROSTOMY TUBE ,,,1560.0,1687.0,2
RC,369,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,1687.0,2
RC,369,"PROSTATECTOMY, SECOND STAGE ",,,988.0,1069.0,2
RC,369,PUNCTURE PERITONEAL CAVITY ,,,1560.0,1687.0,2
RC,369,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,1632.0,6446.0,15
RC,369,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,1753.0,6801.0,15
RC,369,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,1404.42,6801.0,15
RC,369,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,1753.0,6801.0,15
RC,369,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,1753.0,6801.0,13
RC,369,Palatoplasty for cleft palate; major revision ,,,1753.0,10746.0,15
RC,369,Palatoplasty for cleft palate; secondary lengthening procedure ,,,1753.0,6801.0,15
RC,369,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,1632.0,4953.0,5
RC,369,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,1632.0,4953.0,5
RC,369,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,1632.0,4953.0,5
RC,369,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,5
RC,369,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,5
RC,369,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,5
RC,369,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,5
RC,369,"Pancreatectomy, total ",,,1632.0,4953.0,5
RC,369,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,1632.0,4953.0,5
RC,369,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,1632.0,4953.0,5
RC,369,Pancreatorrhaphy for injury ,,,1632.0,4953.0,5
RC,369,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,291.0,3523.0,15
RC,369,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,4830.0,15
RC,369,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1142.61,6446.0,15
RC,369,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,291.0,6446.0,8
RC,369,Parathyroidectomy or exploration of parathyroid(s); ,,,1753.0,10746.0,11
RC,369,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,1753.0,10746.0,13
RC,369,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,1632.0,4953.0,5
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,9431.0,13
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1603.31,6801.0,11
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,8866.0,13
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,291.0,2900.0,8
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,1257.0,6801.0,15
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,1471.0,6801.0,15
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,1404.42,6801.0,15
RC,369,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,1632.0,4953.0,5
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,1632.0,4953.0,5
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,1632.0,4953.0,5
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,369,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,1632.0,4953.0,5
RC,369,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,1632.0,4953.0,5
RC,369,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,3
RC,369,Partial hymenectomy or revision of hymenal ring ,,,607.0,4830.0,15
RC,369,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,9431.0,11
RC,369,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,9431.0,11
RC,369,Pelvic examination under anesthesia (other than local) ,,,870.0,4830.0,15
RC,369,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,1632.0,4953.0,5
RC,369,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1632.0,4953.0,5
RC,369,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,1632.0,4953.0,5
RC,369,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1632.0,4953.0,5
RC,369,Penile plethysmography ,,,291.0,2900.0,13
RC,369,"Penile revascularization, artery, with or without vein graft ",,,1632.0,4953.0,5
RC,369,Penile venous occlusive procedure ,,,1257.0,6446.0,15
RC,369,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,1632.0,6446.0,9
RC,369,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,511.0,3523.0,13
RC,369,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,511.0,3523.0,15
RC,369,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,20029.0,7
RC,369,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,20029.0,7
RC,369,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,20029.0,7
RC,369,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,3715.0,7161.0,7
RC,369,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,7161.0,7
RC,369,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1632.0,3435.0,4
RC,369,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,3715.0,4953.0,3
RC,369,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,36293.0,13
RC,369,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,36293.0,13
RC,369,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,11
RC,369,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,36293.0,13
RC,369,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,511.0,3523.0,30
RC,369,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1753.0,6801.0,18
RC,369,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,5
RC,369,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,8866.0,13
RC,369,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,9
RC,369,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,9
RC,369,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,5278.0,9
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,9
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,9
RC,369,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,11
RC,369,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,27696.0,7
RC,369,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,27696.0,4
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,27040.0,7
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,5
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,2540.0,1
RC,369,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,7
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,9
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,5
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,5
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,3
RC,369,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,1
RC,369,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,9
RC,369,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,1
RC,369,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,27696.0,7
RC,369,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,27696.0,4
RC,369,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,27040.0,7
RC,369,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,2540.0,1
RC,369,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,369,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,369,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,1753.0,21331.0,31
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2224.34,9431.0,13
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3715.0,10746.0,5
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,1404.42,8866.0,13
RC,369,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,2540.0,20029.0,4
RC,369,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,20029.0,7
RC,369,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2540.0,27040.0,4
RC,369,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,20772.0,27696.0,3
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,27696.0,11
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,2540.0,1
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,27040.0,9
RC,369,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,27696.0,11
RC,369,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,27040.0,8
RC,369,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3715.0,6446.0,5
RC,369,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3715.0,6446.0,5
RC,369,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3715.0,6446.0,5
RC,369,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3715.0,6446.0,5
RC,369,"Pereyra procedure, including anterior colporrhaphy ",,,1694.0,6446.0,15
RC,369,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,3
RC,369,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,3
RC,369,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1404.42,6446.0,15
RC,369,Periodontal mucosal grafting ,,,769.0,4100.0,11
RC,369,Perirectal injection of sclerosing solution for prolapse ,,,511.0,3250.0,13
RC,369,"Peritoneal lavage, including imaging guidance, when performed ",,,742.8,4100.0,13
RC,369,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2224.34,13472.0,10
RC,369,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,291.0,3523.0,12
RC,369,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1404.42,4830.0,10
RC,369,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,1632.0,6446.0,10
RC,369,Petrous apicectomy including radical mastoidectomy ,,,1753.0,10746.0,15
RC,369,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,291.0,2900.0,4
RC,369,Pharyngoesophageal repair ,,,1632.0,4953.0,5
RC,369,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,870.0,4830.0,15
RC,369,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,769.0,4100.0,15
RC,369,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,291.0,2900.0,4
RC,369,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,291.0,2900.0,4
RC,369,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,291.0,2900.0,4
RC,369,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,4
RC,369,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,369,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,4
RC,369,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,870.0,8866.0,13
RC,369,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,291.0,6446.0,10
RC,369,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,5958.0,13
RC,369,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,4100.0,13
RC,369,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,870.0,8866.0,26
RC,369,Placement of choledochal stent ,,,1632.0,4953.0,5
RC,369,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,1632.0,4953.0,5
RC,369,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,1632.0,4953.0,5
RC,369,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,7
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1632.0,4953.0,5
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,607.0,4100.0,13
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,4100.0,13
RC,369,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,3
RC,369,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,8866.0,13
RC,369,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,607.0,7161.0,13
RC,369,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,7161.0,13
RC,369,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,7161.0,13
RC,369,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,2900.0,4
RC,369,Placement of seton ,,,1257.0,6446.0,15
RC,369,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,1257.0,9431.0,39
RC,369,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,8866.0,39
RC,369,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,769.0,4100.0,10
RC,369,Plastic operation of penis for injury ,,,1404.42,6446.0,15
RC,369,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6801.0,15
RC,369,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6801.0,15
RC,369,Plastic operation on penis for epispadias distal to external sphincter; ,,,1142.61,6446.0,15
RC,369,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2259.0,6801.0,4
RC,369,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1142.61,6446.0,15
RC,369,Plastic operation on penis to correct angulation ,,,1257.0,6801.0,15
RC,369,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6801.0,15
RC,369,Plastic repair of canaliculi ,,,870.0,4830.0,15
RC,369,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,1257.0,6801.0,11
RC,369,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,1753.0,10746.0,15
RC,369,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,1753.0,10746.0,15
RC,369,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,1404.42,10746.0,15
RC,369,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,1257.0,6801.0,15
RC,369,Plastic repair of introitus ,,,1257.0,6446.0,15
RC,369,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,1257.0,6446.0,15
RC,369,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,1471.0,6801.0,15
RC,369,Plastic repair of urethrocele ,,,1257.0,6446.0,15
RC,369,"Portoenterostomy (eg, Kasai procedure) ",,,1632.0,4953.0,5
RC,369,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.31,6446.0,15
RC,369,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,291.0,3523.0,13
RC,369,Postpartum care only (separate procedure) ,,,607.0,6411.0,8
RC,369,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,607.0,3435.0,6
RC,369,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,369,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,1632.0,4953.0,5
RC,369,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,291.0,9431.0,21
RC,369,"Probing of lacrimal canaliculi, with or without irrigation ",,,291.0,2900.0,13
RC,369,"Probing of nasolacrimal duct, with or without irrigation; ",,,291.0,3523.0,15
RC,369,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,4830.0,15
RC,369,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,4830.0,15
RC,369,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,5115.0,13
RC,369,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,1632.0,4953.0,5
RC,369,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,1632.0,4953.0,5
RC,369,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,1632.0,4953.0,5
RC,369,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,1632.0,4953.0,5
RC,369,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,1632.0,4953.0,5
RC,369,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,1632.0,4953.0,5
RC,369,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,1632.0,4953.0,5
RC,369,"Proctectomy, partial, without anastomosis, perineal approach ",,,2540.0,9431.0,4
RC,369,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,1632.0,4953.0,5
RC,369,"Proctectomy; partial resection of rectum, transabdominal approach ",,,1632.0,4953.0,5
RC,369,"Proctopexy (eg, for prolapse); abdominal approach ",,,1632.0,4953.0,5
RC,369,"Proctopexy (eg, for prolapse); perineal approach ",,,870.0,5958.0,11
RC,369,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,1632.0,4953.0,5
RC,369,Proctoplasty; for prolapse of mucous membrane ,,,870.0,5958.0,15
RC,369,Proctoplasty; for stenosis ,,,870.0,4830.0,15
RC,369,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,511.0,3523.0,13
RC,369,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,607.0,4830.0,15
RC,369,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,607.0,4100.0,15
RC,369,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,607.0,4100.0,15
RC,369,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,607.0,4830.0,15
RC,369,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,607.0,4100.0,13
RC,369,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,607.0,4830.0,15
RC,369,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,607.0,4100.0,15
RC,369,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,607.0,4100.0,15
RC,369,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,607.0,4100.0,15
RC,369,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,607.0,5958.0,15
RC,369,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,369,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,291.0,2900.0,13
RC,369,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,511.0,3250.0,11
RC,369,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,1632.0,4953.0,5
RC,369,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,1632.0,4953.0,5
RC,369,"Prostatectomy, perineal radical; ",,,1632.0,4953.0,5
RC,369,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,369,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,369,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,1632.0,4953.0,5
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,1632.0,4953.0,5
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,10746.0,9
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,369,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,4830.0,15
RC,369,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,4830.0,15
RC,369,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,511.0,3250.0,9
RC,369,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,511.0,3523.0,15
RC,369,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,1694.0,5958.0,5
RC,369,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,1694.0,5958.0,5
RC,369,"Pyelotomy; with drainage, pyelostomy ",,,1632.0,4953.0,5
RC,369,Pyelotomy; with exploration ,,,1632.0,4953.0,5
RC,369,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,1632.0,4953.0,5
RC,369,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,1632.0,4953.0,5
RC,369,Pyloroplasty ,,,1632.0,4953.0,5
RC,369,REMOVAL OF ABDOMINAL FLUID ,,,1560.0,1687.0,2
RC,369,REMOVAL OF ANAL CRYPT ,,,1560.0,1687.0,2
RC,369,REMOVAL OF ANAL CRYPTS ,,,1560.0,1687.0,2
RC,369,REMOVE ABDOMEN FOREIGN BODY ,,,1560.0,1687.0,2
RC,369,REMOVE BILE DUCT STONE ,,,2302.0,2490.0,2
RC,369,REMOVE RESIDUAL PROSTATE ,,,988.0,1069.0,2
RC,369,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,369,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,1471.0,2760.0,4
RC,369,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1471.0,4584.0,4
RC,369,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,369,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,2490.0,4
RC,369,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1876.0,4584.0,4
RC,369,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,369,REPAIR SPIGELIAN HERNIA ,,,1257.0,2490.0,4
RC,369,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,369,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,1471.0,2760.0,4
RC,369,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,369,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,1471.0,2760.0,4
RC,369,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,369,REREPAIR DETACHED RETINA ,,,4526.0,4895.0,2
RC,369,REVISE/REINSERT BILE TUBE ,,,988.0,1069.0,2
RC,369,REVISE/REMOVE NEUROELECTRODE ,,,988.0,1069.0,2
RC,369,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3723.0,5078.0,4
RC,369,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,369,Radial keratotomy ,,,911.0,10746.0,10
RC,369,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,369,Radical excision external auditory canal lesion; with neck dissection ,,,1632.0,4953.0,5
RC,369,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,15
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,1753.0,6801.0,7
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,1632.0,4953.0,5
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,1632.0,4830.0,7
RC,369,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,4953.0,5
RC,369,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1142.61,7161.0,12
RC,369,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,1632.0,4953.0,5
RC,369,Recipient nephrectomy (separate procedure) ,,,1632.0,4953.0,5
RC,369,"Reconstruction external auditory canal for congenital atresia, single stage ",,,1753.0,10746.0,15
RC,369,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6801.0,15
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1142.61,6446.0,15
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1142.61,6446.0,15
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,15
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1142.61,6446.0,15
RC,369,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,1632.0,4953.0,5
RC,369,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,5
RC,369,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,291.0,1
RC,369,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,1632.0,4953.0,5
RC,369,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,1632.0,4953.0,5
RC,369,Reduction of overcorrection of ptosis ,,,1142.61,6446.0,15
RC,369,Reduction of procidentia (separate procedure) under anesthesia ,,,511.0,3523.0,15
RC,369,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1404.42,6446.0,15
RC,369,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,1632.0,6446.0,9
RC,369,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,291.0,2900.0,4
RC,369,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,291.0,2900.0,4
RC,369,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,5958.0,15
RC,369,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,15
RC,369,Release of encircling material (posterior segment) ,,,870.0,4830.0,13
RC,369,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,1142.61,10746.0,15
RC,369,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,369,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,5115.0,13
RC,369,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,369,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,369,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,27277.0,15
RC,369,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,291.0,27277.0,11
RC,369,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,4100.0,13
RC,369,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,8866.0,7
RC,369,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,16279.0,15
RC,369,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,511.0,3250.0,4
RC,369,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,27277.0,15
RC,369,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,511.0,27277.0,11
RC,369,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,4830.0,15
RC,369,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,4100.0,15
RC,369,Removal foreign body from external auditory canal; without general anesthesia ,,,291.0,2900.0,9
RC,369,"Removal impacted cerumen requiring instrumentation, unilateral ",,,291.0,2900.0,13
RC,369,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,291.0,2900.0,13
RC,369,"Removal of Thiersch wire or suture, anal canal ",,,769.0,4100.0,15
RC,369,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,15
RC,369,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,3
RC,369,"Removal of anal seton, other marker ",,,607.0,4100.0,15
RC,369,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1632.0,5958.0,7
RC,369,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1632.0,5958.0,7
RC,369,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1632.0,5958.0,7
RC,369,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,607.0,4100.0,13
RC,369,"Removal of blood clot, anterior segment of eye ",,,1142.61,6446.0,15
RC,369,Removal of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,369,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,291.0,2900.0,8
RC,369,Removal of cerclage suture under anesthesia (other than local) ,,,1404.42,6446.0,15
RC,369,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,1632.0,4953.0,5
RC,369,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,769.0,4100.0,8
RC,369,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,4830.0,13
RC,369,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,769.0,4100.0,11
RC,369,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,8866.0,13
RC,369,Removal of embedded foreign body from dentoalveolar structures; bone ,,,607.0,4100.0,13
RC,369,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,607.0,4100.0,13
RC,369,"Removal of embedded foreign body, eyelid ",,,291.0,2900.0,13
RC,369,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,291.0,3979.0,13
RC,369,"Removal of embedded foreign body, vestibule of mouth; simple ",,,742.8,4100.0,9
RC,369,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,4830.0,15
RC,369,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1142.61,6446.0,15
RC,369,Removal of esophageal sphincter augmentation device ,,,1471.0,9431.0,11
RC,369,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,607.0,4100.0,15
RC,369,Removal of foreign body from pharynx ,,,291.0,3523.0,13
RC,369,Removal of foreign body in scrotum ,,,870.0,4830.0,15
RC,369,"Removal of foreign body or dacryolith, lacrimal passages ",,,291.0,2900.0,13
RC,369,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,291.0,2900.0,9
RC,369,"Removal of foreign body, external eye; conjunctival superficial ",,,291.0,2900.0,9
RC,369,"Removal of foreign body, external eye; corneal, with slit lamp ",,,291.0,2900.0,9
RC,369,"Removal of foreign body, external eye; corneal, without slit lamp ",,,291.0,2900.0,9
RC,369,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,4830.0,15
RC,369,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,291.0,6446.0,15
RC,369,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1142.61,6446.0,15
RC,369,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,5
RC,369,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1753.0,5958.0,10
RC,369,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,369,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,4
RC,369,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,4830.0,15
RC,369,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,3
RC,369,"Removal of implanted material, anterior segment of eye ",,,1142.61,10746.0,15
RC,369,"Removal of implanted material, posterior segment; extraocular ",,,870.0,4830.0,13
RC,369,"Removal of implanted material, posterior segment; intraocular ",,,870.0,5958.0,13
RC,369,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,9431.0,15
RC,369,Removal of intrauterine device (IUD) ,,,291.0,3523.0,13
RC,369,"Removal of lens material; aspiration technique, 1 or more stages ",,,1142.61,6446.0,15
RC,369,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,769.0,6446.0,15
RC,369,Removal of lens material; intracapsular ,,,1142.61,6446.0,15
RC,369,"Removal of lens material; intracapsular, for dislocated lens ",,,1404.42,6446.0,15
RC,369,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1404.42,6801.0,15
RC,369,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,1142.61,10746.0,15
RC,369,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,511.0,3523.0,13
RC,369,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,369,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,15
RC,369,Removal of non-resorbable barrier ,,,3715.0,4953.0,3
RC,369,Removal of ocular implant ,,,607.0,5958.0,15
RC,369,Removal of pancreatic calculus ,,,1632.0,4953.0,5
RC,369,Removal of peritoneal foreign body from peritoneal cavity ,,,870.0,5958.0,15
RC,369,Removal of peritoneal-venous shunt ,,,870.0,5958.0,11
RC,369,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3715.0,10746.0,5
RC,369,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,4830.0,15
RC,369,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1142.61,6446.0,15
RC,369,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1694.0,8866.0,9
RC,369,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,369,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,369,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,5958.0,15
RC,369,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,3
RC,369,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,3
RC,369,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,3
RC,369,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,291.0,3435.0,7
RC,369,"Removal of transplanted intestinal allograft, complete ",,,1632.0,4953.0,5
RC,369,Removal of transplanted pancreatic allograft ,,,1632.0,3435.0,2
RC,369,Removal of transplanted renal allograft ,,,1632.0,4953.0,5
RC,369,"Removal of tumor, temporal bone ",,,1471.0,6801.0,11
RC,369,Removal of tunneled intraperitoneal catheter ,,,607.0,5958.0,15
RC,369,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1142.61,6446.0,15
RC,369,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1142.61,6446.0,15
RC,369,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,6801.0,15
RC,369,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,5958.0,15
RC,369,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1404.42,6446.0,11
RC,369,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,369,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1404.42,5958.0,10
RC,369,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1404.42,8069.0,12
RC,369,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1404.42,8069.0,12
RC,369,Remove interim implant component ,,,3715.0,4953.0,3
RC,369,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,1632.0,4953.0,5
RC,369,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,1632.0,4953.0,5
RC,369,"Renal autotransplantation, reimplantation of kidney ",,,1632.0,4953.0,5
RC,369,Renal biopsy; by surgical exposure of kidney ,,,1632.0,4953.0,5
RC,369,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,4100.0,15
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,4100.0,15
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,4830.0,15
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,4830.0,15
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,511.0,3523.0,13
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,4830.0,15
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,13
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,511.0,3523.0,13
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1603.31,6801.0,7
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,4100.0,11
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4100.0,11
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,511.0,3523.0,13
RC,369,"Renal exploration, not necessitating other specific procedures ",,,1632.0,4953.0,5
RC,369,Reopening of recent laparotomy ,,,1632.0,4953.0,5
RC,369,Repair incomplete circumcision ,,,870.0,4830.0,15
RC,369,"Repair inguinal hernia, sliding, any age ",,,1404.42,6446.0,15
RC,369,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,369,"Repair initial femoral hernia, any age; reducible ",,,1404.42,6446.0,15
RC,369,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,369,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1404.42,6446.0,15
RC,369,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,369,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1404.42,6446.0,15
RC,369,"Repair lip, full thickness; over one-half vertical height, or complex ",,,769.0,6446.0,15
RC,369,"Repair lip, full thickness; up to half vertical height ",,,291.0,6446.0,15
RC,369,"Repair lip, full thickness; vermilion only ",,,291.0,6446.0,15
RC,369,Repair lumbar hernia ,,,870.0,5958.0,15
RC,369,Repair of anal fistula with fibrin glue ,,,607.0,4830.0,15
RC,369,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,1404.42,8866.0,9
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,8866.0,7
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1404.42,9431.0,45
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1404.42,9431.0,39
RC,369,"Repair of anterior palate, including vomer flap ",,,1753.0,6801.0,15
RC,369,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1142.61,6446.0,15
RC,369,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1142.61,6446.0,15
RC,369,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1142.61,6446.0,15
RC,369,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,369,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1142.61,6446.0,15
RC,369,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,369,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1142.61,6446.0,15
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,1632.0,4953.0,5
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,1632.0,4953.0,5
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,1632.0,4953.0,5
RC,369,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1404.42,6801.0,11
RC,369,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6801.0,15
RC,369,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,3
RC,369,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,1632.0,4953.0,5
RC,369,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,1632.0,4953.0,5
RC,369,Repair of ectropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,369,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1142.61,6446.0,15
RC,369,Repair of ectropion; suture ,,,1142.61,6446.0,15
RC,369,Repair of ectropion; thermocauterization ,,,1142.61,6446.0,13
RC,369,"Repair of encephalocele, skull vault, including cranioplasty ",,,1632.0,4953.0,5
RC,369,"Repair of enterocele, abdominal approach (separate procedure) ",,,1632.0,4830.0,4
RC,369,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,15
RC,369,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,5
RC,369,Repair of entropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,369,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1142.61,6446.0,15
RC,369,Repair of entropion; suture ,,,1142.61,6446.0,15
RC,369,Repair of entropion; thermocauterization ,,,1142.61,6446.0,11
RC,369,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,1632.0,4953.0,5
RC,369,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,1632.0,4953.0,5
RC,369,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,1632.0,4953.0,5
RC,369,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,1632.0,4953.0,5
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,15
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,15
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,15
RC,369,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,1257.0,6446.0,9
RC,369,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,1257.0,6446.0,9
RC,369,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,5958.0,15
RC,369,"Repair of iris, ciliary body (as for iridodialysis) ",,,1142.61,6446.0,15
RC,369,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,291.0,3979.0,15
RC,369,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,291.0,3979.0,15
RC,369,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,291.0,3979.0,15
RC,369,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,769.0,4100.0,13
RC,369,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,4953.0,9
RC,369,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,4830.0,15
RC,369,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,4830.0,15
RC,369,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1404.42,6446.0,15
RC,369,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1404.42,6446.0,15
RC,369,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1404.42,6446.0,15
RC,369,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,1471.0,6446.0,9
RC,369,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,1632.0,4953.0,5
RC,369,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,1632.0,4953.0,5
RC,369,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,1632.0,4953.0,5
RC,369,Repair of meningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,369,Repair of meningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,369,Repair of myelomeningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,369,Repair of myelomeningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,369,Repair of nasolabial fistula ,,,1471.0,6446.0,15
RC,369,Repair of omphalocele (Gross type operation); first stage ,,,1632.0,4953.0,5
RC,369,Repair of omphalocele (Gross type operation); second stage ,,,1632.0,4953.0,5
RC,369,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2540.0,9431.0,9
RC,369,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2540.0,9431.0,9
RC,369,Repair of rectocele (separate procedure) ,,,870.0,5958.0,15
RC,369,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1142.61,6446.0,11
RC,369,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,511.0,6446.0,11
RC,369,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,1142.61,4830.0,7
RC,369,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1404.42,6801.0,13
RC,369,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1404.42,10746.0,13
RC,369,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,1632.0,4953.0,5
RC,369,Repair of scleral staphyloma with graft ,,,1404.42,6446.0,15
RC,369,"Repair of small omphalocele, with primary closure ",,,1404.42,6446.0,15
RC,369,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1142.61,6446.0,15
RC,369,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1142.61,6446.0,15
RC,369,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1404.42,6446.0,15
RC,369,Repair of traumatic corporeal tear(s) ,,,870.0,7161.0,13
RC,369,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1404.42,6446.0,15
RC,369,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,15
RC,369,Repair oval window fistula ,,,1404.42,6446.0,15
RC,369,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1404.42,8866.0,15
RC,369,Repair recurrent femoral hernia; reducible ,,,1404.42,6446.0,15
RC,369,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,369,"Repair recurrent inguinal hernia, any age; reducible ",,,1404.42,7161.0,15
RC,369,Repair round window fistula ,,,1404.42,6446.0,15
RC,369,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,1632.0,4953.0,5
RC,369,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,1632.0,4953.0,5
RC,369,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1404.42,6446.0,30
RC,369,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1404.42,6446.0,11
RC,369,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,11
RC,369,"Repair, laceration of diaphragm, any approach ",,,1632.0,4953.0,5
RC,369,"Repair, laceration of palate; over 2 cm or complex ",,,870.0,4830.0,15
RC,369,"Repair, laceration of palate; up to 2 cm ",,,291.0,3523.0,15
RC,369,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,1632.0,4953.0,5
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,369,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,369,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,1632.0,4953.0,5
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2179.0,9431.0,10
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2179.0,9431.0,10
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1753.0,7602.0,13
RC,369,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,1632.0,4953.0,5
RC,369,Replacement of an implant screw ,,,3715.0,4953.0,3
RC,369,Replacement of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,369,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,369,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,369,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,369,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,291.0,3523.0,12
RC,369,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,291.0,3523.0,12
RC,369,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,3
RC,369,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,4830.0,15
RC,369,"Replacement or irrigation, ventricular catheter ",,,607.0,4100.0,15
RC,369,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,6801.0,15
RC,369,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6801.0,15
RC,369,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,291.0,3523.0,15
RC,369,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1142.61,6446.0,15
RC,369,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,1257.0,6446.0,11
RC,369,Reprogramming of programmable cerebrospinal shunt ,,,291.0,3523.0,9
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,1694.0,5958.0,4
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,1632.0,4953.0,5
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,1632.0,4953.0,5
RC,369,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,1632.0,4953.0,5
RC,369,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,1753.0,10746.0,15
RC,369,"Resection of lip, more than one-fourth, without reconstruction ",,,870.0,4830.0,15
RC,369,Resection of mediastinal cyst ,,,1632.0,4953.0,5
RC,369,Resection of mediastinal tumor ,,,1632.0,4953.0,5
RC,369,Resection of palate or extensive resection of lesion ,,,1471.0,6446.0,15
RC,369,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,1632.0,4953.0,5
RC,369,Resection of scrotum ,,,607.0,4830.0,15
RC,369,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,1632.0,4953.0,5
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,1632.0,4953.0,5
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,1632.0,4953.0,5
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,1632.0,4953.0,5
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,1632.0,4953.0,5
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,1632.0,4953.0,5
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,369,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,3
RC,369,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,3
RC,369,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,3
RC,369,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,3
RC,369,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,369,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,369,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,369,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,369,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,369,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,369,"Resection temporal bone, external approach ",,,1632.0,4953.0,5
RC,369,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,1632.0,4953.0,5
RC,369,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,1632.0,4953.0,5
RC,369,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,1257.0,6446.0,11
RC,369,Retrobulbar injection; alcohol ,,,291.0,3523.0,13
RC,369,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,291.0,2900.0,9
RC,369,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,9
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,1632.0,9431.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,1632.0,13472.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,1632.0,13472.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,1632.0,18085.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,5
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,5
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,5
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,1471.0,16939.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,607.0,2540.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,607.0,2540.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,1632.0,9431.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1632.0,13472.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,1632.0,9431.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,9
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,9
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,9
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,9
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,1632.0,9431.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,1632.0,13472.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,1632.0,13472.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,1632.0,18085.0,28
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,1471.0,7058.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,1471.0,2540.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,1471.0,16939.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,1471.0,7058.0,6
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,9
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,9
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,9
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,607.0,7058.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,607.0,2540.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,607.0,2540.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,607.0,2540.0,3
RC,369,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,1694.0,7161.0,11
RC,369,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,1632.0,4953.0,5
RC,369,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,13
RC,369,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,369,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,369,Revision mastoidectomy; resulting in complete mastoidectomy ,,,1753.0,10746.0,15
RC,369,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,1753.0,10746.0,15
RC,369,Revision mastoidectomy; resulting in radical mastoidectomy ,,,1753.0,10746.0,15
RC,369,Revision mastoidectomy; resulting in tympanoplasty ,,,1753.0,7161.0,13
RC,369,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,4830.0,15
RC,369,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1142.61,8866.0,13
RC,369,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1404.42,6446.0,11
RC,369,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1257.0,6446.0,15
RC,369,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,1404.42,6446.0,11
RC,369,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,1632.0,4953.0,8
RC,369,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,1632.0,4953.0,5
RC,369,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1404.42,6446.0,10
RC,369,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,607.0,5958.0,15
RC,369,Revision of peritoneal-venous shunt ,,,870.0,5958.0,15
RC,369,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6801.0,15
RC,369,Revision of stapedectomy or stapedotomy ,,,1753.0,6801.0,15
RC,369,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,1753.0,13472.0,11
RC,369,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1404.42,4830.0,7
RC,369,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,1632.0,4953.0,5
RC,369,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,5958.0,15
RC,369,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,1632.0,4953.0,5
RC,369,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,369,Revision or removal of intracranial neurostimulator electrodes ,,,1404.42,5958.0,7
RC,369,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1694.0,5958.0,7
RC,369,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,5958.0,13
RC,369,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,369,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,4830.0,15
RC,369,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,1632.0,6446.0,7
RC,369,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,1632.0,18085.0,7
RC,369,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,9431.0,13
RC,369,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,13472.0,10
RC,369,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,5
RC,369,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,369,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,3435.0,13472.0,7
RC,369,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,1632.0,4953.0,4
RC,369,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,9813.0,7
RC,369,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,9813.0,7
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,9813.0,7
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,9813.0,7
RC,369,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,9813.0,7
RC,369,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,369,Right ventricular recording ,,,769.0,21155.0,4
RC,369,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,2
RC,369,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,1632.0,3435.0,2
RC,369,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,1632.0,3435.0,2
RC,369,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,1632.0,3435.0,2
RC,369,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,1632.0,3435.0,2
RC,369,SIGMOIDOSCOPY W/ABLATE TUMR ,,,988.0,1069.0,2
RC,369,SIGMOIDOSCOPY W/STENT ,,,988.0,1069.0,2
RC,369,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,3723.0,5078.0,4
RC,369,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,827.0,2
RC,369,STRIP RETINAL MEMBRANE ,,,3026.0,3273.0,2
RC,369,SURGICAL COLONOSCOPY ,,,988.0,1069.0,2
RC,369,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1694.0,6446.0,8
RC,369,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6801.0,8
RC,369,Salpingostomy (salpingoneostomy) ,,,1404.42,6446.0,11
RC,369,Scleral reinforcement (separate procedure); with graft ,,,1142.61,6446.0,15
RC,369,Scleral reinforcement (separate procedure); without graft ,,,1142.61,6446.0,15
RC,369,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,511.0,7161.0,13
RC,369,"Scraping of cornea, diagnostic, for smear and/or culture ",,,291.0,2900.0,9
RC,369,Scrotal exploration ,,,870.0,4830.0,15
RC,369,Scrotoplasty; complicated ,,,870.0,4830.0,15
RC,369,Scrotoplasty; simple ,,,607.0,6801.0,15
RC,369,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,291.0,2900.0,8
RC,369,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,1632.0,4953.0,5
RC,369,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,1632.0,4953.0,5
RC,369,Semi-precision abutment - placement ,,,3715.0,4953.0,3
RC,369,Semi-precision attachment - placement ,,,3715.0,4953.0,3
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1142.61,6446.0,15
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1404.42,6446.0,15
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,4830.0,15
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1142.61,6446.0,15
RC,369,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,511.0,6446.0,13
RC,369,Severing of tarsorrhaphy ,,,607.0,4100.0,13
RC,369,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,511.0,3979.0,15
RC,369,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,769.0,4100.0,15
RC,369,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,1257.0,6446.0,13
RC,369,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,607.0,4100.0,11
RC,369,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,511.0,3523.0,13
RC,369,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,369,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,607.0,4320.0,13
RC,369,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,511.0,3523.0,15
RC,369,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,607.0,4100.0,15
RC,369,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,607.0,4100.0,15
RC,369,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,511.0,3523.0,15
RC,369,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,607.0,4320.0,13
RC,369,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,607.0,4100.0,15
RC,369,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,607.0,4320.0,13
RC,369,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,607.0,4100.0,15
RC,369,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,511.0,3523.0,15
RC,369,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,607.0,4100.0,15
RC,369,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,607.0,4100.0,15
RC,369,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,607.0,4100.0,15
RC,369,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,291.0,3523.0,13
RC,369,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,291.0,2900.0,9
RC,369,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,10732.0,13
RC,369,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1603.31,10732.0,13
RC,369,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,4830.0,15
RC,369,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,870.0,4830.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1694.0,8866.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,769.0,4100.0,15
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,1694.0,8866.0,15
RC,369,Snip incision of lacrimal punctum ,,,291.0,3523.0,11
RC,369,Sperm washing for artificial insemination ,,,291.0,3523.0,9
RC,369,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,1257.0,6446.0,15
RC,369,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,1632.0,4953.0,5
RC,369,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,1257.0,6446.0,15
RC,369,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,870.0,5958.0,15
RC,369,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,769.0,6446.0,15
RC,369,"Spinal puncture, lumbar, diagnostic; ",,,511.0,3523.0,15
RC,369,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,369,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,511.0,3523.0,15
RC,369,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,369,Splenectomy; partial (separate procedure) ,,,1632.0,4953.0,5
RC,369,Splenectomy; total (separate procedure) ,,,1632.0,4953.0,5
RC,369,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,369,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,1257.0,6446.0,13
RC,369,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,1257.0,6446.0,13
RC,369,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1753.0,6801.0,13
RC,369,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1753.0,6801.0,15
RC,369,Stapes mobilization ,,,1404.42,10746.0,15
RC,369,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,1632.0,4953.0,5
RC,369,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,1632.0,4953.0,5
RC,369,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,369,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,769.0,4100.0,4
RC,369,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,1753.0,8866.0,9
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2540.0,3435.0,2
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2540.0,3435.0,2
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2540.0,3435.0,2
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,369,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,4100.0,15
RC,369,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,291.0,2900.0,9
RC,369,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,369,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,369,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,369,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,291.0,6446.0,10
RC,369,"Strabismus surgery, any procedure, superior oblique muscle ",,,1142.61,6446.0,15
RC,369,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1142.61,6446.0,15
RC,369,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1142.61,6446.0,15
RC,369,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1404.42,6446.0,15
RC,369,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1142.61,6446.0,15
RC,369,Subconjunctival injection ,,,291.0,2900.0,9
RC,369,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,769.0,4100.0,4
RC,369,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,511.0,3523.0,13
RC,369,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,511.0,3523.0,13
RC,369,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,607.0,7161.0,13
RC,369,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,1632.0,4953.0,5
RC,369,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,1632.0,3435.0,2
RC,369,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1694.0,10746.0,9
RC,369,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,291.0,3435.0,7
RC,369,Suprahyoid lymphadenectomy ,,,870.0,4830.0,13
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,1632.0,4953.0,5
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,1632.0,4953.0,5
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,1632.0,4953.0,5
RC,369,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,369,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,369,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,1632.0,4953.0,5
RC,369,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,1632.0,4953.0,5
RC,369,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,1632.0,4953.0,5
RC,369,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,1632.0,4953.0,5
RC,369,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,1632.0,4953.0,5
RC,369,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,1632.0,4953.0,5
RC,369,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,1632.0,4953.0,5
RC,369,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,369,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,369,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,3
RC,369,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,3
RC,369,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,3
RC,369,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,3
RC,369,Surgical placement zygomatic implant ,,,3715.0,4953.0,3
RC,369,Surgical repair of root resorption - molar ,,,3715.0,4953.0,3
RC,369,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,3
RC,369,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,3
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,1257.0,6446.0,15
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,607.0,4830.0,15
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,1257.0,6446.0,15
RC,369,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,1404.42,6446.0,15
RC,369,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,1632.0,4953.0,5
RC,369,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,1632.0,4953.0,5
RC,369,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,1632.0,4953.0,5
RC,369,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,8
RC,369,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,8
RC,369,Suture and/or ligation of thoracic duct; abdominal approach ,,,1632.0,4953.0,5
RC,369,Suture and/or ligation of thoracic duct; cervical approach ,,,1632.0,4953.0,5
RC,369,Suture and/or ligation of thoracic duct; thoracic approach ,,,1632.0,4953.0,5
RC,369,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1753.0,6801.0,15
RC,369,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,369,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,6801.0,15
RC,369,Suture of 1 nerve; median motor thenar ,,,1257.0,6801.0,15
RC,369,Suture of 1 nerve; ulnar motor ,,,1257.0,6801.0,15
RC,369,"Suture of digital nerve, hand or foot; 1 nerve ",,,1142.61,6446.0,15
RC,369,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,369,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,291.0,2900.0,10
RC,369,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,369,Suture of esophageal wound or injury; cervical approach ,,,1632.0,4953.0,5
RC,369,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,1632.0,4953.0,5
RC,369,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,1632.0,4953.0,5
RC,369,Suture of facial nerve; extracranial ,,,1257.0,6801.0,15
RC,369,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6801.0,15
RC,369,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,4830.0,15
RC,369,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,1632.0,4953.0,5
RC,369,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,1632.0,4953.0,5
RC,369,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,6801.0,15
RC,369,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,6801.0,15
RC,369,Suture of mesentery (separate procedure) ,,,1632.0,4953.0,5
RC,369,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,291.0,6446.0,10
RC,369,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,291.0,2900.0,10
RC,369,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,291.0,6446.0,10
RC,369,Suture of posterior tibial nerve ,,,870.0,6801.0,15
RC,369,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,4830.0,15
RC,369,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,5115.0,13
RC,369,Suture of sciatic nerve ,,,870.0,5958.0,15
RC,369,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,1632.0,4953.0,5
RC,369,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,1404.42,4830.0,8
RC,369,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,607.0,4100.0,15
RC,369,Suture of; brachial plexus ,,,1142.61,6446.0,15
RC,369,Suture of; lumbar plexus ,,,1257.0,6801.0,15
RC,369,Suture or repair of testicular injury ,,,1257.0,6446.0,15
RC,369,Suture pharynx for wound or injury ,,,607.0,4100.0,15
RC,369,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,1632.0,4953.0,5
RC,369,"Sympathectomy, cervical ",,,769.0,4100.0,15
RC,369,"Sympathectomy, cervicothoracic ",,,769.0,4100.0,7
RC,369,"Sympathectomy, lumbar ",,,1632.0,4953.0,5
RC,369,"Sympathectomy, thoracolumbar ",,,1632.0,4953.0,5
RC,369,"Sympathectomy; digital arteries, each digit ",,,1142.61,4830.0,7
RC,369,Sympathectomy; radial artery ,,,1404.42,6446.0,15
RC,369,Sympathectomy; superficial palmar arch ,,,870.0,5958.0,13
RC,369,Sympathectomy; ulnar artery ,,,870.0,5958.0,13
RC,369,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,1632.0,4953.0,5
RC,369,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,4100.0,13
RC,369,Temporary transcutaneous pacing ,,,511.0,3250.0,4
RC,369,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,291.0,3435.0,7
RC,369,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2179.0,9431.0,10
RC,369,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,369,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,369,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,369,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,369,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,369,"Thrombolysis, cerebral, by intravenous infusion ",,,291.0,3523.0,9
RC,369,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,990.0,4
RC,369,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6801.0,11
RC,369,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6801.0,11
RC,369,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,769.0,4100.0,4
RC,369,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1753.0,6801.0,11
RC,369,"Thyroidectomy, total or complete ",,,1753.0,10746.0,11
RC,369,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,5
RC,369,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,1753.0,10746.0,11
RC,369,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,1632.0,10746.0,8
RC,369,"Tongue base suspension, permanent suture technique ",,,870.0,6801.0,13
RC,369,Tonsillectomy and adenoidectomy; age 12 or over ,,,1404.42,6446.0,15
RC,369,Tonsillectomy and adenoidectomy; younger than age 12 ,,,1257.0,6446.0,15
RC,369,"Tonsillectomy, primary or secondary; age 12 or over ",,,1404.42,6446.0,15
RC,369,"Tonsillectomy, primary or secondary; younger than age 12 ",,,1471.0,6446.0,15
RC,369,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,1694.0,10746.0,12
RC,369,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,1632.0,10746.0,9
RC,369,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,369,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6801.0,11
RC,369,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,1632.0,4953.0,5
RC,369,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,1632.0,4953.0,5
RC,369,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,1632.0,4953.0,5
RC,369,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,1632.0,4953.0,5
RC,369,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,1632.0,4953.0,5
RC,369,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,9431.0,13
RC,369,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,9431.0,13
RC,369,Trabeculoplasty by laser surgery ,,,511.0,3523.0,13
RC,369,Trabeculotomy ab externo ,,,1142.61,6446.0,15
RC,369,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,15
RC,369,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,15
RC,369,"Transabdominal amnioinfusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,369,Transcatheter biopsy ,,,1471.0,9431.0,13
RC,369,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,4
RC,369,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,369,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,13472.0,21
RC,369,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,607.0,18276.0,19
RC,369,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,607.0,18276.0,8
RC,369,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1257.0,18276.0,11
RC,369,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,291.0,2900.0,8
RC,369,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,1632.0,27040.0,9
RC,369,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,1632.0,27040.0,6
RC,369,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,1632.0,4953.0,7
RC,369,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,1257.0,6446.0,9
RC,369,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,1257.0,6446.0,9
RC,369,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,369,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,1257.0,8866.0,13
RC,369,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,1753.0,21331.0,9
RC,369,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,511.0,21331.0,18
RC,369,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1404.42,21331.0,9
RC,369,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2259.0,6801.0,7
RC,369,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,4830.0,11
RC,369,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,1632.0,4953.0,5
RC,369,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,1632.0,4953.0,5
RC,369,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,769.0,4100.0,9
RC,369,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,1142.61,5958.0,9
RC,369,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,4830.0,15
RC,369,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,4830.0,15
RC,369,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,4830.0,15
RC,369,Transection or avulsion of; greater occipital nerve ,,,870.0,4830.0,15
RC,369,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,769.0,4100.0,15
RC,369,Transection or avulsion of; infraorbital nerve ,,,769.0,4100.0,15
RC,369,Transection or avulsion of; lingual nerve ,,,870.0,4830.0,15
RC,369,Transection or avulsion of; mental nerve ,,,769.0,4100.0,15
RC,369,Transection or avulsion of; phrenic nerve ,,,769.0,4100.0,15
RC,369,Transection or avulsion of; supraorbital nerve ,,,769.0,4100.0,15
RC,369,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,1632.0,4953.0,5
RC,369,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,1632.0,4953.0,5
RC,369,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,369,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,1632.0,4953.0,5
RC,369,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,291.0,9431.0,15
RC,369,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,5
RC,369,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,291.0,10746.0,20
RC,369,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,291.0,2900.0,6
RC,369,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1404.42,6801.0,13
RC,369,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1404.42,6801.0,13
RC,369,Transmastoid antrotomy (simple mastoidectomy) ,,,1753.0,10746.0,15
RC,369,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,1632.0,4953.0,5
RC,369,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,1632.0,4953.0,5
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,291.0,2900.0,8
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,1753.0,9431.0,13
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1753.0,9431.0,13
RC,369,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,369,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,9431.0,14
RC,369,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,16336.0,13
RC,369,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,1632.0,4953.0,5
RC,369,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,291.0,3523.0,9
RC,369,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,291.0,3523.0,9
RC,369,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,291.0,3523.0,9
RC,369,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,291.0,3523.0,9
RC,369,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,291.0,3523.0,9
RC,369,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,291.0,3523.0,9
RC,369,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,291.0,3523.0,9
RC,369,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,291.0,3523.0,9
RC,369,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,291.0,3523.0,9
RC,369,Transplantation of pancreatic allograft ,,,1632.0,3435.0,2
RC,369,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,15
RC,369,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,369,"Transposition, ovary(s) ",,,1257.0,6446.0,8
RC,369,Transrectal drainage of pelvic abscess ,,,607.0,4100.0,15
RC,369,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,1632.0,4953.0,5
RC,369,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,1632.0,4953.0,5
RC,369,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,769.0,7602.0,11
RC,369,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1404.42,8866.0,12
RC,369,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,6801.0,11
RC,369,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,369,Transurethral drainage of prostatic abscess ,,,870.0,4830.0,15
RC,369,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,6801.0,13
RC,369,Transurethral incision of prostate ,,,1257.0,6446.0,15
RC,369,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,769.0,7161.0,13
RC,369,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,15
RC,369,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,4830.0,15
RC,369,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,6801.0,15
RC,369,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1632.0,6801.0,7
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,369,Transvesical ureterolithotomy ,,,1142.61,6801.0,7
RC,369,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,511.0,3250.0,11
RC,369,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,511.0,3250.0,13
RC,369,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1404.42,6446.0,15
RC,369,"Treatment of missed abortion, completed surgically; first trimester ",,,1404.42,6446.0,15
RC,369,"Treatment of missed abortion, completed surgically; second trimester ",,,1404.42,6446.0,15
RC,369,"Treatment of septic abortion, completed surgically ",,,870.0,4953.0,9
RC,369,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,9
RC,369,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,1632.0,4953.0,5
RC,369,Tubotubal anastomosis ,,,1694.0,6446.0,8
RC,369,Tubouterine implantation ,,,1694.0,6446.0,8
RC,369,Twist drill hole for subdural or ventricular puncture ,,,1632.0,4953.0,5
RC,369,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,1632.0,4953.0,5
RC,369,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,1632.0,4953.0,5
RC,369,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,1632.0,4953.0,5
RC,369,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,32
RC,369,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,994.46,4830.0,9
RC,369,Tympanic neurectomy ,,,1257.0,6446.0,15
RC,369,"Tympanolysis, transcanal ",,,607.0,6801.0,13
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1753.0,7161.0,13
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1753.0,6801.0,13
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1753.0,6801.0,13
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1753.0,6801.0,13
RC,369,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,769.0,4100.0,13
RC,369,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,291.0,3523.0,11
RC,369,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2900.0,5
RC,369,UPPER GI ENDOSCOPY EXAM ,,,988.0,1069.0,2
RC,369,UPPR GI ENDOSCOPY W/STENT ,,,2302.0,2490.0,2
RC,369,URETHRA PRESSURE PROFILE ,,,988.0,1069.0,2
RC,369,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1404.42,6446.0,15
RC,369,Unlisted cardiovascular service or procedure ,,,291.0,2900.0,4
RC,369,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,4
RC,369,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,291.0,2900.0,11
RC,369,"Unlisted hysteroscopy procedure, uterus ",,,291.0,6446.0,11
RC,369,"Unlisted laparoscopic procedure, liver ",,,1753.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,607.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, appendix ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, biliary tract ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, bladder ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, esophagus ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,1753.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,1753.0,6801.0,7
RC,369,"Unlisted laparoscopy procedure, lymphatic system ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,6801.0,11
RC,369,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, rectum ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, renal ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, spleen ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, stomach ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, testis ",,,1257.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, ureter ",,,1753.0,6801.0,9
RC,369,"Unlisted laparoscopy procedure, uterus ",,,1257.0,6801.0,9
RC,369,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,1632.0,4953.0,5
RC,369,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,4100.0,11
RC,369,"Unlisted procedure, anterior segment of eye ",,,607.0,4100.0,11
RC,369,"Unlisted procedure, anus ",,,511.0,3250.0,11
RC,369,"Unlisted procedure, biliary tract ",,,742.8,4100.0,7
RC,369,"Unlisted procedure, colon ",,,607.0,5115.0,13
RC,369,"Unlisted procedure, conjunctiva ",,,291.0,2900.0,7
RC,369,"Unlisted procedure, dentoalveolar structures ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, diaphragm ",,,1632.0,4953.0,5
RC,369,"Unlisted procedure, endocrine system ",,,607.0,9431.0,11
RC,369,"Unlisted procedure, esophagus ",,,607.0,4100.0,11
RC,369,"Unlisted procedure, external ear ",,,291.0,2900.0,9
RC,369,"Unlisted procedure, extraocular muscle ",,,291.0,2900.0,7
RC,369,"Unlisted procedure, eyelids ",,,291.0,2900.0,7
RC,369,"Unlisted procedure, female genital system (nonobstetrical) ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, hemic or lymphatic system ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, inner ear ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, lacrimal system ",,,291.0,2900.0,7
RC,369,"Unlisted procedure, lips ",,,291.0,2900.0,7
RC,369,"Unlisted procedure, liver ",,,511.0,3250.0,7
RC,369,"Unlisted procedure, male genital system ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, maternity care and delivery ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, mediastinum ",,,1632.0,4953.0,5
RC,369,"Unlisted procedure, middle ear ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, nervous system ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, orbit ",,,291.0,2900.0,7
RC,369,"Unlisted procedure, palate, uvula ",,,291.0,2900.0,7
RC,369,"Unlisted procedure, pancreas ",,,511.0,3250.0,7
RC,369,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, posterior segment ",,,769.0,4100.0,7
RC,369,"Unlisted procedure, rectum ",,,511.0,3250.0,7
RC,369,"Unlisted procedure, salivary glands or ducts ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, small intestine ",,,607.0,4100.0,11
RC,369,"Unlisted procedure, stomach ",,,742.8,4100.0,9
RC,369,"Unlisted procedure, temporal bone, middle fossa approach ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, tongue, floor of mouth ",,,291.0,2900.0,7
RC,369,"Unlisted procedure, urinary system ",,,291.0,2900.0,11
RC,369,"Unlisted procedure, vascular surgery ",,,511.0,3250.0,11
RC,369,"Unlisted procedure, vestibule of mouth ",,,291.0,6446.0,11
RC,369,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,3
RC,369,Unlisted vascular endoscopy procedure ,,,511.0,3250.0,7
RC,369,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,291.0,2900.0,8
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4830.0,15
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,4830.0,15
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,4100.0,15
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,4100.0,15
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,511.0,3523.0,15
RC,369,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,1632.0,6446.0,9
RC,369,"Ureterectomy, with bladder cuff (separate procedure) ",,,1632.0,6446.0,9
RC,369,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,1632.0,4953.0,5
RC,369,"Ureterocolon conduit, including intestine anastomosis ",,,1632.0,4953.0,5
RC,369,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,1632.0,4953.0,5
RC,369,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,1632.0,4953.0,5
RC,369,Ureterolithotomy; lower one-third of ureter ,,,1632.0,6446.0,9
RC,369,Ureterolithotomy; middle one-third of ureter ,,,1632.0,6446.0,9
RC,369,Ureterolithotomy; upper one-third of ureter ,,,1632.0,6446.0,9
RC,369,Ureterolysis for ovarian vein syndrome ,,,1632.0,4953.0,5
RC,369,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,1632.0,4953.0,5
RC,369,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,1632.0,4953.0,5
RC,369,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,1632.0,4953.0,5
RC,369,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,1632.0,4830.0,5
RC,369,Ureteroneocystostomy; with extensive ureteral tailoring ,,,1632.0,4953.0,5
RC,369,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,1632.0,4953.0,5
RC,369,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,1632.0,4953.0,5
RC,369,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,1632.0,4953.0,5
RC,369,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,1632.0,4953.0,5
RC,369,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,1632.0,4953.0,5
RC,369,"Ureterostomy, transplantation of ureter to skin ",,,1632.0,4953.0,5
RC,369,"Ureterotomy for insertion of indwelling stent, all types ",,,1632.0,6446.0,9
RC,369,Ureterotomy with exploration or drainage (separate procedure) ,,,1632.0,6446.0,9
RC,369,Ureteroureterostomy ,,,1632.0,4953.0,5
RC,369,"Urethrectomy, total, including cystostomy; female ",,,1404.42,6446.0,15
RC,369,"Urethrectomy, total, including cystostomy; male ",,,1603.31,6446.0,15
RC,369,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1404.42,6446.0,11
RC,369,"Urethromeatoplasty, with mucosal advancement ",,,607.0,5958.0,15
RC,369,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,4830.0,15
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,15
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,15
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6801.0,15
RC,369,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,15
RC,369,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,5958.0,15
RC,369,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,5958.0,15
RC,369,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,15
RC,369,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,5958.0,15
RC,369,"Urethroplasty, reconstruction of female urethra ",,,870.0,5958.0,15
RC,369,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2259.0,6801.0,4
RC,369,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,15
RC,369,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,5958.0,15
RC,369,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,4830.0,15
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,5958.0,15
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,4830.0,15
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,5958.0,15
RC,369,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,4830.0,15
RC,369,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,4830.0,15
RC,369,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,369,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,369,Uterine evacuation and curettage for hydatidiform mole ,,,1404.42,6446.0,15
RC,369,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1694.0,6446.0,9
RC,369,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,1632.0,4953.0,5
RC,369,"Uvulectomy, excision of uvula ",,,769.0,4100.0,15
RC,369,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,1714.0,2
RC,369,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,4830.0,11
RC,369,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3435.0,6
RC,369,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,11
RC,369,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,1632.0,3435.0,2
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.31,8866.0,13
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,1694.0,5958.0,4
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.31,8866.0,13
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1603.31,8866.0,13
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1603.31,8866.0,13
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1753.0,6801.0,11
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1603.31,6801.0,11
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1753.0,6801.0,11
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1603.31,6801.0,11
RC,369,"Vaginal hysterectomy, radical (Schauta type operation) ",,,1632.0,4953.0,5
RC,369,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,1694.0,5958.0,4
RC,369,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,1694.0,5958.0,4
RC,369,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,9
RC,369,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,8
RC,369,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,11
RC,369,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,4830.0,11
RC,369,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,4830.0,11
RC,369,Vaginoplasty for intersex state ,,,1257.0,6446.0,11
RC,369,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,1632.0,4953.0,5
RC,369,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,1632.0,4953.0,5
RC,369,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,1632.0,4953.0,5
RC,369,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,3
RC,369,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,5
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,1257.0,21331.0,11
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,1257.0,21331.0,11
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,1257.0,21331.0,11
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,1257.0,21331.0,11
RC,369,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,1257.0,3979.0,10
RC,369,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,870.0,4830.0,15
RC,369,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,291.0,2900.0,8
RC,369,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,4830.0,15
RC,369,"Vasovasostomy, vasovasorrhaphy ",,,607.0,4830.0,15
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,369,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,369,"Venous anastomosis, open; caval-mesenteric ",,,1632.0,4953.0,5
RC,369,"Venous anastomosis, open; portocaval ",,,1632.0,4953.0,5
RC,369,"Venous anastomosis, open; renoportal ",,,1632.0,4953.0,5
RC,369,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,1632.0,4953.0,5
RC,369,"Venous anastomosis, open; splenorenal, proximal ",,,1632.0,4953.0,5
RC,369,Ventilating tube removal requiring general anesthesia ,,,607.0,5958.0,13
RC,369,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,511.0,3523.0,15
RC,369,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,511.0,3523.0,15
RC,369,Ventriculocisternostomy (Torkildsen type operation) ,,,1632.0,4953.0,5
RC,369,"Ventriculocisternostomy, third ventricle; ",,,1632.0,4953.0,5
RC,369,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,1632.0,4953.0,5
RC,369,"Vermilionectomy (lip shave), with mucosal advancement ",,,769.0,4100.0,15
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,742.8,4953.0,8
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2224.34,9431.0,8
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,4953.0,15
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,1632.0,4953.0,10
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,1632.0,4953.0,5
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,1632.0,4953.0,5
RC,369,"Vesiculectomy, any approach ",,,511.0,3250.0,8
RC,369,Vesiculotomy; ,,,607.0,4830.0,13
RC,369,Vesiculotomy; complicated ,,,511.0,3250.0,8
RC,369,"Vestibular nerve section, transcranial approach ",,,1632.0,4953.0,5
RC,369,"Vestibular nerve section, translabyrinthine approach ",,,1404.42,10746.0,15
RC,369,Vestibuloplasty; anterior ,,,870.0,4830.0,15
RC,369,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,1753.0,6801.0,15
RC,369,Vestibuloplasty; entire arch ,,,1753.0,6801.0,15
RC,369,"Vestibuloplasty; posterior, bilateral ",,,1257.0,6446.0,15
RC,369,"Vestibuloplasty; posterior, unilateral ",,,1257.0,6446.0,15
RC,369,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,3
RC,369,"Vitrectomy, mechanical, pars plana approach; ",,,1404.42,6801.0,13
RC,369,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1404.42,10746.0,13
RC,369,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1404.42,10746.0,13
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1404.42,6801.0,11
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1404.42,6801.0,11
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1404.42,10746.0,11
RC,369,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,369,Vulvectomy simple; complete ,,,1404.42,7161.0,15
RC,369,Vulvectomy simple; partial ,,,1404.42,6446.0,15
RC,369,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,1632.0,4953.0,5
RC,369,"Vulvectomy, radical, complete; ",,,7058.0,13472.0,4
RC,369,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,369,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,369,"Vulvectomy, radical, partial; ",,,1603.31,10746.0,10
RC,369,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,369,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,369,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,11
RC,369,Wound closure utilizing tissue adhesive(s) only ,,,291.0,2900.0,4
RC,370, Anesthesia General Classification  ,,,,,0
RC,371, Anesthesia Incident to Radiology  ,,,,,0
RC,372, Anesthesia Incident to Other DX Services  ,,,,,0
RC,374, Anesthesia Acupuncture  ,,,,,0
RC,379, Anesthesia Other  ,,,,,0
RC,380, Blood and Blood Components General Classification  ,,,,,0
RC,381, Blood and Blood Components Packed Red Cells  ,,,,,0
RC,382, Blood and Blood Components Whole Blood  ,,,,,0
RC,383, Blood and Blood Components Plasma  ,,,,,0
RC,384, Blood and Blood Components Platelets  ,,,,,0
RC,385, Blood and Blood Components Leukocytes  ,,,,,0
RC,386, Blood and Blood Components Other Blood Components  ,,,,,0
RC,387, Blood and Blood Components Other Derivatives (Cryoprecipitate)  ,,,,,0
RC,389, Blood and Blood Components Other  ,,,,,0
RC,390," Administration, Processing and Storage for Blood and Blood Components General Classification  ",,,,,0
RC,391," Administration, Processing and Storage for Blood and Blood Components Administration (e.g., Transfu ",,,,,0
RC,392," Administration, Processing and Storage for Blood and Blood Components Processing and Storage  ",,,,,0
RC,399," Administration, Processing and Storage for Blood and Blood Components Other Blood Handling  ",,,,,0
RC,400, Other Imaging Services General Classification  ,,,,,0
RC,400,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,118.87,3
RC,400,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,3
RC,400,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,1327.01,3
RC,400,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,826.97,3
RC,400,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,400,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,400,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,400,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,400,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,400,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,Bone age studies ,,,154.52,154.52,3
RC,400,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,154.52,3
RC,400,"Cephalogram, orthodontic ",,,83.86,83.86,3
RC,400,"Cholecystography, oral contrast ",,,341.2,341.2,3
RC,400,"Cineradiography/videoradiography, except where specifically included ",,,154.52,154.52,3
RC,400,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,920.54,3
RC,400,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,313.62,3
RC,400,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,420.39,3
RC,400,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,154.52,3
RC,400,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,341.2,3
RC,400,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,2289.17,3
RC,400,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,400,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,83.86,3
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,154.52,3
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,154.52,3
RC,400,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,313.62,3
RC,400,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,154.52,3
RC,400,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,400,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,400,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,400,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,83.86,3
RC,400,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,171.27,3
RC,400,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,920.54,3
RC,400,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,920.54,3
RC,400,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,920.54,3
RC,400,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,616.1,3
RC,400,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,920.54,3
RC,400,Non-ophthalmic fluorescent vascular angiography ,,,313.62,313.62,3
RC,400,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,83.86,3
RC,400,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,400,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,154.52,3
RC,400,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,657.03,3
RC,400,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,3
RC,400,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,83.86,3
RC,400,"Radiologic examination, abdomen; 1 view ",,,83.86,83.86,3
RC,400,"Radiologic examination, abdomen; 2 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, abdomen; 3 or more views ",,,154.52,154.52,3
RC,400,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,400,"Radiologic examination, ankle; 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, chest; 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, chest; 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, chest; 4 or more views ",,,154.52,154.52,3
RC,400,"Radiologic examination, chest; single view ",,,83.86,83.86,3
RC,400,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,341.2,3
RC,400,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,400,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,154.52,3
RC,400,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,400,"Radiologic examination, elbow; 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,245.97,3
RC,400,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,400,"Radiologic examination, eye, for detection of foreign body ",,,83.86,83.86,3
RC,400,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, facial bones; less than 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, femur; 1 view ",,,83.86,83.86,3
RC,400,"Radiologic examination, femur; minimum 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, foot; 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, hand; 2 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, hand; minimum of 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,83.86,3
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, internal auditory meati, complete ",,,313.62,313.62,3
RC,400,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,400,"Radiologic examination, knee; 1 or 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, knee; 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,83.86,3
RC,400,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,154.52,3
RC,400,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,154.52,3
RC,400,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,154.52,3
RC,400,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, osseous survey, infant ",,,154.52,154.52,3
RC,400,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,154.52,3
RC,400,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,154.52,3
RC,400,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,341.2,3
RC,400,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,154.52,3
RC,400,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, salivary gland for calculus ",,,83.86,83.86,3
RC,400,"Radiologic examination, sella turcica ",,,83.86,83.86,3
RC,400,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,400,"Radiologic examination, shoulder; 1 view ",,,83.86,83.86,3
RC,400,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,154.52,3
RC,400,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, skull; less than 4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,154.52,3
RC,400,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,83.86,3
RC,400,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine, single view, specify level ",,,83.86,83.86,3
RC,400,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,154.52,3
RC,400,"Radiologic examination, teeth; complete, full mouth ",,,313.62,313.62,3
RC,400,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,313.62,3
RC,400,"Radiologic examination, teeth; single view ",,,83.86,83.86,3
RC,400,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,83.86,3
RC,400,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,83.86,3
RC,400,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,341.2,3
RC,400,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,400,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,341.2,3
RC,400,"Radiologic examination, wrist; 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,83.86,3
RC,400,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; clavicle, complete ",,,83.86,83.86,3
RC,400,"Radiologic examination; forearm, 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; neck, soft tissue ",,,83.86,83.86,3
RC,400,Radiologic examination; optic foramina ,,,83.86,83.86,3
RC,400,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,154.52,3
RC,400,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,83.86,3
RC,400,"Radiologic examination; scapula, complete ",,,154.52,154.52,3
RC,400,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,83.86,3
RC,400,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,154.52,3
RC,400,"Radiological examination, surgical specimen ",,,657.03,657.03,3
RC,400,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,154.52,3
RC,400,"Sialography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,3
RC,400,"Splenoportography, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,400,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,341.2,3
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,14.01,3
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,111.52,3
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,111.52,3
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,56.07,3
RC,400,Unlisted diagnostic radiographic procedure ,,,83.86,83.86,3
RC,400,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,400,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,341.2,3
RC,400,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,341.2,3
RC,400,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,341.2,3
RC,400,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,341.2,3
RC,400,"Urography, retrograde, with or without KUB ",,,616.1,616.1,3
RC,400,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,400,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,826.97,3
RC,400,"Venography, epidural, radiological supervision and interpretation ",,,826.97,826.97,3
RC,400,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,400,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,400,"Venography, orbital, radiological supervision and interpretation ",,,826.97,826.97,3
RC,400,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,826.97,3
RC,400,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,400,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,400,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,83.86,3
RC,401, Other Imaging Services Diagnostic Mammography  ,,,143.0,222.0,6
RC,401,Diagnostic digital breast tomosynthesis; bilateral ,,,162.5,162.5,3
RC,401,Diagnostic digital breast tomosynthesis; unilateral ,,,126.98,126.98,3
RC,401,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,129.76,129.76,3
RC,401,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",,,186.77,186.77,3
RC,401,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",,,313.62,313.62,3
RC,401,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,401,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,34.51,34.51,3
RC,401,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,137.05,137.05,3
RC,402, Other Imaging Services Ultrasound  ,,,302.0,451.0,5
RC,402,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete ",,,154.52,154.52,3
RC,402,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study ",,,154.52,154.52,3
RC,402,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; ",,,657.03,657.03,3
RC,402,Fetal biophysical profile; with non-stress testing ,,,154.52,154.52,3
RC,402,"Gastrointestinal endoscopic ultrasound, supervision and interpretation ",,,313.62,313.62,3
RC,402,"Ophthalmic biometry by ultrasound echography, A-scan; ",,,154.52,154.52,3
RC,402,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation ",,,154.52,154.52,3
RC,402,Ophthalmic ultrasonic foreign body localization ,,,83.86,83.86,3
RC,402,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) ",,,154.52,154.52,3
RC,402,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter ",,,141.8,141.8,3
RC,402,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral ",,,154.52,154.52,3
RC,402,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) ",,,23.58,23.58,3
RC,402,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only ",,,154.52,154.52,3
RC,402,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed ",,,313.62,313.62,3
RC,402,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method ",,,154.52,154.52,3
RC,402,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) ",,,335.92,335.92,3
RC,402,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) ",,,154.52,154.52,3
RC,402,"Ultrasound, abdominal, real time with image documentation; complete ",,,154.52,154.52,3
RC,402,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) ",,,154.52,154.52,3
RC,402,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete ",,,154.52,154.52,3
RC,402,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited ",,,83.86,83.86,3
RC,402,"Ultrasound, chest (includes mediastinum), real time with image documentation ",,,154.52,154.52,3
RC,402,"Ultrasound, elastography; first target lesion ",,,151.89,151.89,3
RC,402,"Ultrasound, elastography; parenchyma (eg, organ) ",,,151.89,151.89,3
RC,402,"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendonºs», muscleºs», nerveºs», other soft-tissue structureºs», or soft-tiss",,,154.52,154.52,3
RC,402,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity ",,,144.29,144.29,3
RC,402,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete ",,,154.52,154.52,3
RC,402,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) ",,,154.52,154.52,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation ",,,154.52,154.52,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation ",,,154.52,154.52,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses ",,,154.52,154.52,3
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal ",,,154.52,154.52,3
RC,402,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete ",,,154.52,154.52,3
RC,402,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited ",,,154.52,154.52,3
RC,402,"Ultrasound, scrotum and contents ",,,154.52,154.52,3
RC,402,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation ",,,154.52,154.52,3
RC,402,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion ",,,272.35,272.35,3
RC,402,"Ultrasound, transvaginal ",,,154.52,154.52,3
RC,403, Other Imaging Services Screening Mammography  ,,,143.0,222.0,5
RC,403,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,34.51,34.51,3
RC,403,Diagnostic digital breast tomosynthesis; bilateral ,,,162.5,162.5,3
RC,403,Diagnostic digital breast tomosynthesis; unilateral ,,,126.98,126.98,3
RC,403,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,165.73,165.73,3
RC,403,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,129.76,129.76,3
RC,403,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",,,186.77,186.77,3
RC,403,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",,,313.62,313.62,3
RC,403,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,403,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,137.05,137.05,3
RC,404, Other Imaging Services Positron Emission Tomography  ,,,1868.0,3111.0,8
RC,404,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",,,3713.18,3713.18,3
RC,404,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; ",,,1623.62,1623.62,3
RC,404,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; with concurrently a",,,1948.05,1948.05,3
RC,404,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",,,1859.25,1859.25,3
RC,404,"Pet imaging, any site, not otherwise specified ",,,509.11,509.11,3
RC,404,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) ",,,1623.62,1623.62,3
RC,404,Positron emission tomography (PET) imaging; skull base to mid-thigh ,,,1859.25,1859.25,3
RC,404,Positron emission tomography (PET) imaging; whole body ,,,1859.25,1859.25,3
RC,404,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) ",,,1859.25,1859.25,3
RC,404,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh ,,,1859.25,1859.25,3
RC,404,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body ,,,1859.25,1859.25,3
RC,409, Other Imaging Services  ,,,,,0
RC,409,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,118.87,118.87,3
RC,409,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,211.22,211.22,3
RC,409,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,1327.01,1327.01,3
RC,409,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,826.97,826.97,3
RC,409,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Angiography, internal mammary, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,409,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,409,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Angiography, spinal, selective, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,409,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,409,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,409,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,Bone age studies ,,,154.52,154.52,3
RC,409,"Bone length studies (orthoroentgenogram, scanogram) ",,,154.52,154.52,3
RC,409,"Cephalogram, orthodontic ",,,83.86,83.86,3
RC,409,"Cholecystography, oral contrast ",,,341.2,341.2,3
RC,409,"Cineradiography/videoradiography, except where specifically included ",,,154.52,154.52,3
RC,409,"Cisternography, positive contrast, radiological supervision and interpretation ",,,920.54,920.54,3
RC,409,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,313.62,313.62,3
RC,409,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,420.39,420.39,3
RC,409,"Corpora cavernosography, radiological supervision and interpretation ",,,154.52,154.52,3
RC,409,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,341.2,341.2,3
RC,409,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,2289.17,2289.17,3
RC,409,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,409,"Discography, lumbar, radiological supervision and interpretation ",,,2174.18,2174.18,3
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,83.86,83.86,3
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,154.52,154.52,3
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,154.52,154.52,3
RC,409,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,313.62,313.62,3
RC,409,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Hysterosalpingography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Joint survey, single view, 2 or more joints (specify) ",,,154.52,154.52,3
RC,409,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,409,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,409,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,409,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,83.86,83.86,3
RC,409,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,171.27,171.27,3
RC,409,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,920.54,920.54,3
RC,409,"Myelography, cervical, radiological supervision and interpretation ",,,920.54,920.54,3
RC,409,"Myelography, lumbosacral, radiological supervision and interpretation ",,,920.54,920.54,3
RC,409,"Myelography, posterior fossa, radiological supervision and interpretation ",,,616.1,616.1,3
RC,409,"Myelography, thoracic, radiological supervision and interpretation ",,,920.54,920.54,3
RC,409,Non-ophthalmic fluorescent vascular angiography ,,,313.62,313.62,3
RC,409,"Orthopantogram (eg, panoramic x-ray) ",,,83.86,83.86,3
RC,409,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,409,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,154.52,154.52,3
RC,409,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,657.03,657.03,3
RC,409,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1283.18,1283.18,3
RC,409,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,83.86,83.86,3
RC,409,"Radiologic examination, abdomen; 1 view ",,,83.86,83.86,3
RC,409,"Radiologic examination, abdomen; 2 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, abdomen; 3 or more views ",,,154.52,154.52,3
RC,409,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,409,"Radiologic examination, ankle; 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, ankle; complete, minimum of 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, chest; 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, chest; 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, chest; 4 or more views ",,,154.52,154.52,3
RC,409,"Radiologic examination, chest; single view ",,,83.86,83.86,3
RC,409,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,341.2,341.2,3
RC,409,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,409,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,154.52,154.52,3
RC,409,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,409,"Radiologic examination, elbow; 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, elbow; complete, minimum of 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,245.97,245.97,3
RC,409,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,409,"Radiologic examination, eye, for detection of foreign body ",,,83.86,83.86,3
RC,409,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, facial bones; less than 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, femur; 1 view ",,,83.86,83.86,3
RC,409,"Radiologic examination, femur; minimum 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, finger(s), minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, foot; 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, foot; complete, minimum of 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, hand; 2 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, hand; minimum of 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,83.86,83.86,3
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, internal auditory meati, complete ",,,313.62,313.62,3
RC,409,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,409,"Radiologic examination, knee; 1 or 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, knee; 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,83.86,83.86,3
RC,409,"Radiologic examination, knee; complete, 4 or more views ",,,154.52,154.52,3
RC,409,"Radiologic examination, mandible; complete, minimum of 4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, mandible; partial, less than 4 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,154.52,154.52,3
RC,409,"Radiologic examination, mastoids; less than 3 views per side ",,,154.52,154.52,3
RC,409,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, osseous survey, infant ",,,154.52,154.52,3
RC,409,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,154.52,154.52,3
RC,409,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,154.52,154.52,3
RC,409,"Radiologic examination, pelvis; 1 or 2 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,341.2,341.2,3
RC,409,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Radiologic examination, ribs, bilateral; 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, ribs, unilateral; 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, sacroiliac joints; 3 or more views ",,,154.52,154.52,3
RC,409,"Radiologic examination, sacroiliac joints; less than 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, salivary gland for calculus ",,,83.86,83.86,3
RC,409,"Radiologic examination, sella turcica ",,,83.86,83.86,3
RC,409,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,616.1,616.1,3
RC,409,"Radiologic examination, shoulder; 1 view ",,,83.86,83.86,3
RC,409,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,154.52,154.52,3
RC,409,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, skull; complete, minimum of 4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, skull; less than 4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,154.52,154.52,3
RC,409,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, cervical; 2 or 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, spine, cervical; 4 or 5 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, cervical; 6 or more views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,83.86,83.86,3
RC,409,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine, single view, specify level ",,,83.86,83.86,3
RC,409,"Radiologic examination, spine; thoracic, 2 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine; thoracic, 3 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,154.52,154.52,3
RC,409,"Radiologic examination, teeth; complete, full mouth ",,,313.62,313.62,3
RC,409,"Radiologic examination, teeth; partial examination, less than full mouth ",,,313.62,313.62,3
RC,409,"Radiologic examination, teeth; single view ",,,83.86,83.86,3
RC,409,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,83.86,83.86,3
RC,409,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,83.86,83.86,3
RC,409,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,341.2,341.2,3
RC,409,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,341.2,341.2,3
RC,409,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,341.2,341.2,3
RC,409,"Radiologic examination, wrist; 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination, wrist; complete, minimum of 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,83.86,83.86,3
RC,409,"Radiologic examination; calcaneus, minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; clavicle, complete ",,,83.86,83.86,3
RC,409,"Radiologic examination; forearm, 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; humerus, minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; neck, soft tissue ",,,83.86,83.86,3
RC,409,Radiologic examination; optic foramina ,,,83.86,83.86,3
RC,409,"Radiologic examination; orbits, complete, minimum of 4 views ",,,154.52,154.52,3
RC,409,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,83.86,83.86,3
RC,409,"Radiologic examination; scapula, complete ",,,154.52,154.52,3
RC,409,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; sternum, minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; tibia and fibula, 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; toe(s), minimum of 2 views ",,,83.86,83.86,3
RC,409,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,154.52,154.52,3
RC,409,"Radiological examination, surgical specimen ",,,657.03,657.03,3
RC,409,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,154.52,154.52,3
RC,409,"Sialography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,154.52,154.52,3
RC,409,"Splenoportography, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,409,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,341.2,341.2,3
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,14.01,14.01,3
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,111.52,111.52,3
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,111.52,111.52,3
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,56.07,56.07,3
RC,409,Unlisted diagnostic radiographic procedure ,,,83.86,83.86,3
RC,409,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,409,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Urethrocystography, voiding, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,341.2,341.2,3
RC,409,"Urography, antegrade, radiological supervision and interpretation ",,,341.2,341.2,3
RC,409,"Urography, infusion, drip technique and/or bolus technique; ",,,341.2,341.2,3
RC,409,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,341.2,341.2,3
RC,409,"Urography, retrograde, with or without KUB ",,,616.1,616.1,3
RC,409,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,313.62,313.62,3
RC,409,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,826.97,826.97,3
RC,409,"Venography, epidural, radiological supervision and interpretation ",,,826.97,826.97,3
RC,409,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,1327.01,1327.01,3
RC,409,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,826.97,826.97,3
RC,409,"Venography, orbital, radiological supervision and interpretation ",,,826.97,826.97,3
RC,409,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,826.97,826.97,3
RC,409,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,3365.2,3365.2,3
RC,409,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,5757.7,5757.7,3
RC,409,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,83.86,83.86,3
RC,410, Respiratory Services General Classification  ,,,573.0,764.0,3
RC,410,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,410,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,410,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,410,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,410,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,410,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,410,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,410,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,410,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,410,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,410,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,410,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,410,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,410,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,410,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,410,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,410,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,410,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,410,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,410,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,410,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,410,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,410,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,410,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,410,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,410,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,410,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,410,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,410,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,410,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,410,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,410,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,410,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,410,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,410,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,410,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,410,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,410,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,410,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,410,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,410,Assessment for hearing aid ,,,93.5,93.5,1
RC,410,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,410,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,410,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,410,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,410,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,410,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,410,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,410,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,410,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,410,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,410,Biofeedback training by any modality ,,,79.59,79.59,1
RC,410,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,410,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,410,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,410,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,410,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,410,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,410,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,410,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,410,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,410,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,410,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,410,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,410,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,410,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,410,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,410,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,410,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,410,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,410,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,410,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,410,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,410,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,410,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,410,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,410,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,410,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,410,Conditioning play audiometry ,,,169.08,169.08,1
RC,410,Conformity evaluation ,,,82.14,82.14,1
RC,410,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,410,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,410,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,410,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,410,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,410,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,410,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,410,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,410,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,410,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,410,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,410,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,410,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,410,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,410,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,410,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,410,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,410,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,410,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,410,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,410,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,410,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,410,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,410,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,410,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,410,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,410,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,410,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,410,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,410,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,410,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,410,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,410,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,410,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,410,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,410,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,410,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,410,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,410,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,410,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,410,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,410,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,410,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,410,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,410,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,410,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,410,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,410,Electrocochleography ,,,211.05,211.05,1
RC,410,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,410,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,410,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,410,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,410,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,410,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,410,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,410,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,410,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,410,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,410,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,410,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,410,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,410,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,410,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,410,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,410,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,410,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,410,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,410,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,410,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,410,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,410,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,410,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,410,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,410,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,410,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,410,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,410,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,410,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,410,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,410,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,410,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,410,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,410,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,410,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,410,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,410,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,410,Filtered speech test ,,,59.78,59.78,1
RC,410,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,410,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,410,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,410,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,410,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,410,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,410,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,410,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,410,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,410,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,410,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,410,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,410,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,410,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,410,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,410,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,410,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,410,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,410,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,410,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,410,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,410,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,410,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,410,Hearing screening ,,,71.4,71.4,1
RC,410,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,410,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,410,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,410,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,410,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,410,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,410,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,410,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,410,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,410,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,410,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,410,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,410,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,410,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,410,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,410,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,410,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,410,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,410,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,410,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,410,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,410,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,410,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,410,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,410,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,410,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,410,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,410,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,410,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,410,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,410,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,410,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,410,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,410,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,410,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,410,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,410,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,410,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,410,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,410,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,410,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,410,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,410,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,410,Needle electromyography; larynx ,,,122.95,122.95,1
RC,410,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,410,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,410,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,410,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,410,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,410,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,410,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,410,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,410,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,410,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,410,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,410,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,410,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,410,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,410,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,410,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,410,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,410,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,410,Ophthalmodynamometry ,,,37.23,37.23,1
RC,410,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,410,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,410,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,410,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,410,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,410,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,410,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,410,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,410,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,410,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,410,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,410,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,410,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,410,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,410,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,410,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,410,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,410,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,410,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,410,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,410,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,410,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,410,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,410,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,410,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,410,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,410,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,410,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,410,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,410,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,410,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,410,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,410,Positional nystagmus test ,,,34.86,34.86,1
RC,410,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,410,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,410,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,410,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,410,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,410,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,410,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,410,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,410,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,410,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,410,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,410,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,410,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,410,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,410,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,410,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,410,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,410,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,410,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,410,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,410,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,410,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,410,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,410,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,410,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,410,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,410,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,410,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,410,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,410,Select picture audiometry ,,,112.2,112.2,1
RC,410,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,410,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,410,Sensorineural acuity level test ,,,139.76,139.76,1
RC,410,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,410,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,410,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,410,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,410,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,410,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,410,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,410,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,410,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,410,Speech audiometry threshold; ,,,57.25,57.25,1
RC,410,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,410,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,410,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,410,Staggered spondaic word test ,,,107.8,107.8,1
RC,410,"Stenger test, pure tone ",,,41.44,41.44,1
RC,410,"Stenger test, speech ",,,43.34,43.34,1
RC,410,Synthetic sentence identification test ,,,85.67,85.67,1
RC,410,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,410,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,410,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,410,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,410,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,410,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,410,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,410,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,410,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,410,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,410,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,410,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,410,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,410,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,410,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,410,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,410,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,410,Tone decay test ,,,67.36,67.36,1
RC,410,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,410,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,410,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,410,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,410,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,410,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,410,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,410,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,410,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,410,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,410,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,410,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,410,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,410,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,410,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,410,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,410,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,410,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,410,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,410,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,410,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,410,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,410,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,410,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,410,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,412, Respiratory Services Inhalation Services  ,,,573.0,764.0,3
RC,412,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,412,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,412,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,412,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,412,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,412,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,412,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,412,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,412,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,412,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,412,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,412,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,412,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,412,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,412,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,412,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,412,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,412,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,412,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,412,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,412,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,412,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,412,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,412,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,412,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,412,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,412,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,412,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,412,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,412,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,412,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,412,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,412,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,412,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,412,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,412,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,412,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,412,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,412,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,412,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,412,Assessment for hearing aid ,,,93.5,93.5,1
RC,412,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,412,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,412,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,412,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,412,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,412,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,412,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,412,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,412,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,412,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,412,Biofeedback training by any modality ,,,79.59,79.59,1
RC,412,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,412,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,412,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,412,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,412,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,412,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,412,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,412,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,412,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,412,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,412,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,412,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,412,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,412,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,412,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,412,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,412,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,412,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,412,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,412,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,412,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,412,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,412,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,412,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,412,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,412,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,412,Conditioning play audiometry ,,,169.08,169.08,1
RC,412,Conformity evaluation ,,,82.14,82.14,1
RC,412,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,412,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,412,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,412,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,412,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,412,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,412,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,412,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,412,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,412,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,412,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,412,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,412,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,412,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,412,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,412,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,412,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,412,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,412,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,412,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,412,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,412,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,412,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,412,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,412,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,412,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,412,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,412,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,412,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,412,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,412,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,412,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,412,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,412,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,412,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,412,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,412,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,412,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,412,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,412,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,412,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,412,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,412,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,412,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,412,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,412,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,412,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,412,Electrocochleography ,,,211.05,211.05,1
RC,412,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,412,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,412,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,412,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,412,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,412,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,412,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,412,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,412,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,412,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,412,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,412,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,412,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,412,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,412,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,412,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,412,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,412,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,412,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,412,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,412,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,412,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,412,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,412,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,412,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,412,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,412,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,412,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,412,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,412,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,412,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,412,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,412,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,412,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,412,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,412,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,412,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,412,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,412,Filtered speech test ,,,59.78,59.78,1
RC,412,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,412,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,412,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,412,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,412,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,412,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,412,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,412,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,412,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,412,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,412,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,412,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,412,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,412,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,412,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,412,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,412,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,412,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,412,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,412,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,412,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,412,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,412,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,412,Hearing screening ,,,71.4,71.4,1
RC,412,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,412,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,412,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,412,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,412,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,412,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,412,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,412,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,412,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,412,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,412,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,412,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,412,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,412,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,412,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,412,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,412,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,412,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,412,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,412,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,412,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,412,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,412,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,412,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,412,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,412,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,412,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,412,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,412,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,412,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,412,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,412,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,412,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,412,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,412,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,412,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,412,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,412,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,412,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,412,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,412,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,412,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,412,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,412,Needle electromyography; larynx ,,,122.95,122.95,1
RC,412,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,412,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,412,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,412,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,412,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,412,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,412,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,412,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,412,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,412,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,412,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,412,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,412,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,412,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,412,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,412,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,412,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,412,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,412,Ophthalmodynamometry ,,,37.23,37.23,1
RC,412,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,412,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,412,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,412,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,412,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,412,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,412,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,412,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,412,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,412,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,412,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,412,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,412,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,412,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,412,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,412,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,412,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,412,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,412,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,412,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,412,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,412,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,412,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,412,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,412,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,412,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,412,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,412,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,412,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,412,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,412,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,412,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,412,Positional nystagmus test ,,,34.86,34.86,1
RC,412,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,412,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,412,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,412,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,412,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,412,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,412,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,412,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,412,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,412,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,412,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,412,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,412,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,412,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,412,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,412,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,412,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,412,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,412,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,412,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,412,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,412,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,412,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,412,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,412,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,412,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,412,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,412,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,412,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,412,Select picture audiometry ,,,112.2,112.2,1
RC,412,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,412,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,412,Sensorineural acuity level test ,,,139.76,139.76,1
RC,412,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,412,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,412,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,412,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,412,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,412,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,412,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,412,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,412,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,412,Speech audiometry threshold; ,,,57.25,57.25,1
RC,412,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,412,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,412,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,412,Staggered spondaic word test ,,,107.8,107.8,1
RC,412,"Stenger test, pure tone ",,,41.44,41.44,1
RC,412,"Stenger test, speech ",,,43.34,43.34,1
RC,412,Synthetic sentence identification test ,,,85.67,85.67,1
RC,412,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,412,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,412,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,412,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,412,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,412,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,412,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,412,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,412,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,412,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,412,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,412,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,412,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,412,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,412,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,412,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,412,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,412,Tone decay test ,,,67.36,67.36,1
RC,412,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,412,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,412,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,412,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,412,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,412,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,412,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,412,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,412,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,412,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,412,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,412,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,412,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,412,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,412,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,412,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,412,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,412,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,412,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,412,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,412,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,412,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,412,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,412,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,412,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,413, Respiratory Services Hyperbaric Oxygen Therapy  ,,,1715.0,2287.0,3
RC,413,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,413,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,413,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,413,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,413,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,413,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,413,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,413,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,413,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,413,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,413,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,413,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,413,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,413,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,413,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,413,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,413,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,413,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,413,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,413,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,413,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,413,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,413,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,413,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,413,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,413,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,413,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,413,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,413,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,413,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,413,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,413,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,413,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,413,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,413,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,413,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,413,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,413,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,413,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,413,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,413,Assessment for hearing aid ,,,93.5,93.5,1
RC,413,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,413,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,413,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,413,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,413,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,413,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,413,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,413,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,413,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,413,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,413,Biofeedback training by any modality ,,,79.59,79.59,1
RC,413,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,413,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,413,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,413,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,413,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,413,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,413,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,413,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,413,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,413,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,413,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,413,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,413,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,413,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,413,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,413,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,413,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,413,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,413,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,413,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,413,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,413,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,413,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,413,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,413,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,413,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,413,Conditioning play audiometry ,,,169.08,169.08,1
RC,413,Conformity evaluation ,,,82.14,82.14,1
RC,413,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,413,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,413,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,413,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,413,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,413,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,413,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,413,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,413,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,413,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,413,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,413,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,413,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,413,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,413,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,413,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,413,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,413,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,413,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,413,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,413,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,413,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,413,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,413,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,413,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,413,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,413,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,413,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,413,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,413,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,413,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,413,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,413,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,413,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,413,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,413,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,413,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,413,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,413,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,413,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,413,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,413,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,413,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,413,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,413,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,413,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,413,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,413,Electrocochleography ,,,211.05,211.05,1
RC,413,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,413,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,413,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,413,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,413,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,413,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,413,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,413,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,413,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,413,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,413,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,413,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,413,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,413,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,413,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,413,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,413,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,413,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,413,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,413,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,413,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,413,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,413,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,413,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,413,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,413,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,413,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,413,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,413,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,413,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,413,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,413,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,413,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,413,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,413,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,413,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,413,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,413,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,413,Filtered speech test ,,,59.78,59.78,1
RC,413,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,413,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,413,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,413,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,413,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,413,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,413,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,413,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,413,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,413,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,413,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,413,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,413,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,413,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,413,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,413,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,413,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,413,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,413,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,413,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,413,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,413,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,413,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,413,Hearing screening ,,,71.4,71.4,1
RC,413,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,413,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,413,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,413,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,413,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,413,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,413,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,413,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,413,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,413,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,413,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,413,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,413,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,413,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,413,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,413,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,413,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,413,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,413,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,413,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,413,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,413,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,413,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,413,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,413,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,413,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,413,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,413,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,413,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,413,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,413,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,413,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,413,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,413,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,413,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,413,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,413,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,413,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,413,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,413,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,413,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,413,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,413,Needle electromyography; larynx ,,,122.95,122.95,1
RC,413,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,413,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,413,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,413,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,413,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,413,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,413,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,413,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,413,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,413,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,413,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,413,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,413,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,413,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,413,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,413,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,413,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,413,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,413,Ophthalmodynamometry ,,,37.23,37.23,1
RC,413,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,413,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,413,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,413,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,413,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,413,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,413,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,413,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,413,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,413,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,413,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,413,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,413,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,413,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,413,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,413,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,413,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,413,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,413,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,413,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,413,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,413,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,413,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,413,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,413,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,413,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,413,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,413,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,413,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,413,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,413,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,413,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,413,Positional nystagmus test ,,,34.86,34.86,1
RC,413,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,413,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,413,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,413,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,413,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,413,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,413,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,413,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,413,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,413,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,413,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,413,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,413,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,413,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,413,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,413,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,413,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,413,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,413,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,413,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,413,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,413,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,413,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,413,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,413,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,413,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,413,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,413,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,413,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,413,Select picture audiometry ,,,112.2,112.2,1
RC,413,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,413,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,413,Sensorineural acuity level test ,,,139.76,139.76,1
RC,413,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,413,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,413,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,413,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,413,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,413,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,413,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,413,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,413,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,413,Speech audiometry threshold; ,,,57.25,57.25,1
RC,413,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,413,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,413,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,413,Staggered spondaic word test ,,,107.8,107.8,1
RC,413,"Stenger test, pure tone ",,,41.44,41.44,1
RC,413,"Stenger test, speech ",,,43.34,43.34,1
RC,413,Synthetic sentence identification test ,,,85.67,85.67,1
RC,413,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,413,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,413,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,413,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,413,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,413,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,413,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,413,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,413,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,413,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,413,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,413,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,413,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,413,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,413,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,413,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,413,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,413,Tone decay test ,,,67.36,67.36,1
RC,413,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,413,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,413,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,413,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,413,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,413,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,413,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,413,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,413,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,413,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,413,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,413,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,413,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,413,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,413,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,413,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,413,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,413,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,413,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,413,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,413,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,413,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,413,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,413,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,413,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,419, Respiratory Services Other  ,,,573.0,764.0,3
RC,419,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,419,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,419,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,419,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,419,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,419,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,419,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,419,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,419,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,419,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,419,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,419,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,419,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,419,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,419,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,419,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,419,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,419,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,419,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,419,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,419,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,419,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,419,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,419,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,419,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,419,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,419,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,419,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,419,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,419,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,419,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,419,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,419,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,419,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,419,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,419,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,419,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,419,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,419,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,419,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,419,Assessment for hearing aid ,,,93.5,93.5,1
RC,419,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,419,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,419,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,419,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,419,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,419,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,419,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,419,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,419,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,419,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,419,Biofeedback training by any modality ,,,79.59,79.59,1
RC,419,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,419,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,419,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,419,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,419,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,419,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,419,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,419,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,419,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,419,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,419,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,419,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,419,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,419,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,419,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,419,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,419,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,419,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,419,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,419,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,419,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,419,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,419,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,419,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,419,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,419,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,419,Conditioning play audiometry ,,,169.08,169.08,1
RC,419,Conformity evaluation ,,,82.14,82.14,1
RC,419,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,419,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,419,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,419,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,419,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,419,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,419,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,419,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,419,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,419,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,419,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,419,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,419,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,419,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,419,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,419,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,419,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,419,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,419,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,419,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,419,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,419,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,419,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,419,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,419,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,419,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,419,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,419,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,419,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,419,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,419,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,419,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,419,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,419,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,419,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,419,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,419,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,419,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,419,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,419,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,419,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,419,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,419,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,419,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,419,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,419,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,419,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,419,Electrocochleography ,,,211.05,211.05,1
RC,419,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,419,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,419,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,419,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,419,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,419,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,419,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,419,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,419,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,419,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,419,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,419,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,419,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,419,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,419,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,419,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,419,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,419,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,419,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,419,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,419,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,419,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,419,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,419,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,419,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,419,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,419,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,419,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,419,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,419,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,419,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,419,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,419,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,419,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,419,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,419,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,419,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,419,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,419,Filtered speech test ,,,59.78,59.78,1
RC,419,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,419,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,419,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,419,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,419,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,419,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,419,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,419,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,419,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,419,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,419,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,419,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,419,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,419,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,419,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,419,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,419,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,419,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,419,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,419,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,419,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,419,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,419,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,419,Hearing screening ,,,71.4,71.4,1
RC,419,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,419,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,419,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,419,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,419,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,419,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,419,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,419,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,419,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,419,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,419,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,419,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,419,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,419,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,419,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,419,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,419,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,419,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,419,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,419,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,419,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,419,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,419,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,419,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,419,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,419,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,419,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,419,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,419,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,419,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,419,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,419,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,419,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,419,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,419,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,419,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,419,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,419,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,419,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,419,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,419,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,419,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,419,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,419,Needle electromyography; larynx ,,,122.95,122.95,1
RC,419,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,419,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,419,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,419,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,419,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,419,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,419,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,419,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,419,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,419,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,419,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,419,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,419,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,419,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,419,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,419,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,419,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,419,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,419,Ophthalmodynamometry ,,,37.23,37.23,1
RC,419,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,419,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,419,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,419,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,419,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,419,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,419,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,419,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,419,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,419,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,419,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,419,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,419,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,419,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,419,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,419,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,419,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,419,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,419,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,419,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,419,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,419,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,419,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,419,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,419,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,419,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,419,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,419,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,419,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,419,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,419,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,419,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,419,Positional nystagmus test ,,,34.86,34.86,1
RC,419,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,419,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,419,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,419,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,419,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,419,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,419,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,419,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,419,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,419,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,419,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,419,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,419,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,419,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,419,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,419,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,419,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,419,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,419,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,419,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,419,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,419,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,419,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,419,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,419,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,419,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,419,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,419,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,419,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,419,Select picture audiometry ,,,112.2,112.2,1
RC,419,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,419,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,419,Sensorineural acuity level test ,,,139.76,139.76,1
RC,419,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,419,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,419,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,419,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,419,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,419,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,419,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,419,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,419,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,419,Speech audiometry threshold; ,,,57.25,57.25,1
RC,419,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,419,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,419,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,419,Staggered spondaic word test ,,,107.8,107.8,1
RC,419,"Stenger test, pure tone ",,,41.44,41.44,1
RC,419,"Stenger test, speech ",,,43.34,43.34,1
RC,419,Synthetic sentence identification test ,,,85.67,85.67,1
RC,419,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,419,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,419,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,419,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,419,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,419,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,419,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,419,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,419,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,419,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,419,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,419,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,419,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,419,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,419,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,419,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,419,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,419,Tone decay test ,,,67.36,67.36,1
RC,419,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,419,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,419,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,419,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,419,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,419,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,419,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,419,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,419,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,419,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,419,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,419,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,419,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,419,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,419,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,419,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,419,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,419,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,419,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,419,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,419,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,419,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,419,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,419,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,419,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,420, Physical Therapy General Classification  ,,,63.0,203.0,5
RC,420,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,420,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,420,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,420,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,420,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,420,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,420,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,420,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,420,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,420,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,420,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,420,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,420,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,420,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,420,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,420,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,420,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,420,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,420,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,420,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,420,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,420,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,420,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,420,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,420,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,420,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,420,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,420,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,420,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,420,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,420,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,420,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,420,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,420,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,420,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,420,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,420,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,420,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,420,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,420,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,420,Assessment for hearing aid ,,,93.5,93.5,1
RC,420,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,420,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,420,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,420,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,420,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,420,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,420,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,420,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,420,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,420,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,420,Biofeedback training by any modality ,,,79.59,79.59,1
RC,420,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,420,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,420,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,420,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,420,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,420,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,420,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,420,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,420,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,420,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,420,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,420,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,420,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,420,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,420,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,420,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,420,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,420,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,420,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,420,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,420,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,420,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,420,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,420,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,420,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,420,Conditioning play audiometry ,,,169.08,169.08,1
RC,420,Conformity evaluation ,,,82.14,82.14,1
RC,420,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,420,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,420,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,420,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,420,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,420,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,420,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,420,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,420,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,420,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,420,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,420,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,420,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,420,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,420,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,420,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,420,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,420,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,420,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,420,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,420,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,420,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,420,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,420,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,420,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,420,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,420,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,420,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,420,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,420,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,420,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,420,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,420,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,420,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,420,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,420,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,420,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,420,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,420,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,420,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,420,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,420,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,420,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,420,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,420,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,420,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,420,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,420,Electrocochleography ,,,211.05,211.05,1
RC,420,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,420,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,420,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,420,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,420,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,420,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,420,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,420,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,420,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,420,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,420,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,420,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,420,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,420,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,420,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,420,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,420,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,420,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,420,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,420,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,420,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,420,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,420,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,420,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,420,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,420,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,420,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,420,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,420,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,420,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,420,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,420,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,420,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,420,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,420,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,420,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,420,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,420,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,420,Filtered speech test ,,,59.78,59.78,1
RC,420,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,420,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,420,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,420,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,420,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,420,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,420,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,420,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,420,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,420,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,420,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,420,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,420,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,420,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,420,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,420,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,420,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,420,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,420,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,420,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,420,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,420,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,420,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,420,Hearing screening ,,,71.4,71.4,1
RC,420,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,420,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,420,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,420,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,420,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,420,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,420,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,420,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,420,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,420,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,420,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,420,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,420,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,420,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,420,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,420,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,420,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,420,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,420,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,420,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,420,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,420,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,420,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,420,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,420,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,420,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,420,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,420,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,420,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,420,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,420,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,420,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,420,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,420,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,420,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,420,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,420,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,420,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,420,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,420,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,420,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,420,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,420,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,420,Needle electromyography; larynx ,,,122.95,122.95,1
RC,420,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,420,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,420,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,420,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,420,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,420,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,420,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,420,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,420,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,420,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,420,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,420,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,420,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,420,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,420,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,420,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,420,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,420,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,420,Ophthalmodynamometry ,,,37.23,37.23,1
RC,420,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,420,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,420,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,420,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,420,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,420,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,420,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,420,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,420,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,420,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,420,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,420,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,420,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,420,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,420,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,420,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,420,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,420,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,420,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,420,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,420,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,420,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,420,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,420,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,420,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,420,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,420,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,420,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,420,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,420,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,420,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,420,Positional nystagmus test ,,,34.86,34.86,1
RC,420,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,420,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,420,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,420,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,420,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,420,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,420,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,420,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,420,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,420,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,420,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,420,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,420,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,420,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,420,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,420,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,420,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,420,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,420,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,420,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,420,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,420,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,420,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,420,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,420,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,420,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,420,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,420,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,420,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,420,Select picture audiometry ,,,112.2,112.2,1
RC,420,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,420,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,420,Sensorineural acuity level test ,,,139.76,139.76,1
RC,420,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,420,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,420,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,420,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,420,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,420,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,420,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,420,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,420,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,420,Speech audiometry threshold; ,,,57.25,57.25,1
RC,420,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,420,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,420,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,420,Staggered spondaic word test ,,,107.8,107.8,1
RC,420,"Stenger test, pure tone ",,,41.44,41.44,1
RC,420,"Stenger test, speech ",,,43.34,43.34,1
RC,420,Synthetic sentence identification test ,,,85.67,85.67,1
RC,420,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,420,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,420,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,420,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,420,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,420,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,420,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,420,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,420,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,420,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,420,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,420,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,420,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,420,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,420,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,420,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,420,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,420,Tone decay test ,,,67.36,67.36,1
RC,420,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,420,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,420,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,420,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,420,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,420,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,420,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,420,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,420,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,420,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,420,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,420,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,420,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,420,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,420,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,420,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,420,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,420,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,420,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,420,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,420,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,420,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,420,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,652.31,652.31,127.99,127.99,1
RC,420,Work hardening/conditioning; initial 2 hours ,976.71,976.71,322.47,322.47,1
RC,420,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,421, Physical Therapy Visit  ,,,63.0,184.0,4
RC,421,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,421,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,421,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,421,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,421,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,421,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,421,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,421,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,421,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,421,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,421,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,421,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,421,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,421,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,421,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,421,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,421,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,421,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,421,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,421,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,421,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,421,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,421,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,421,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,421,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,421,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,421,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,421,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,421,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,421,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,421,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,421,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,421,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,421,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,421,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,421,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,421,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,421,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,421,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,421,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,421,Assessment for hearing aid ,,,93.5,93.5,1
RC,421,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,421,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,421,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,421,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,421,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,421,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,421,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,421,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,421,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,421,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,421,Biofeedback training by any modality ,,,79.59,79.59,1
RC,421,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,421,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,421,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,421,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,421,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,421,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,421,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,421,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,421,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,421,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,421,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,421,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,421,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,421,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,421,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,421,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,421,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,421,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,421,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,421,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,421,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,421,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,421,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,421,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,421,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,421,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,421,Conditioning play audiometry ,,,169.08,169.08,1
RC,421,Conformity evaluation ,,,82.14,82.14,1
RC,421,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,421,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,421,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,421,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,421,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,421,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,421,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,421,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,421,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,421,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,421,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,421,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,421,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,421,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,421,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,421,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,421,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,421,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,421,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,421,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,421,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,421,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,421,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,421,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,421,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,421,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,421,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,421,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,421,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,421,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,421,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,421,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,421,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,421,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,421,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,421,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,421,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,421,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,421,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,421,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,421,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,421,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,421,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,421,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,421,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,421,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,421,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,421,Electrocochleography ,,,211.05,211.05,1
RC,421,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,421,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,421,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,421,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,421,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,421,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,421,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,421,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,421,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,421,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,421,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,421,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,421,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,421,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,421,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,421,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,421,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,421,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,421,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,421,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,421,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,421,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,421,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,421,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,421,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,421,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,421,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,421,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,421,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,421,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,421,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,421,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,421,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,421,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,421,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,421,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,421,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,421,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,421,Filtered speech test ,,,59.78,59.78,1
RC,421,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,421,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,421,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,421,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,421,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,421,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,421,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,421,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,421,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,421,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,421,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,421,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,421,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,421,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,421,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,421,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,421,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,421,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,421,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,421,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,421,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,421,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,421,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,421,Hearing screening ,,,71.4,71.4,1
RC,421,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,421,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,421,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,421,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,421,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,421,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,421,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,421,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,421,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,421,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,421,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,421,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,421,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,421,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,421,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,421,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,421,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,421,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,421,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,421,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,421,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,421,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,421,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,421,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,421,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,421,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,421,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,421,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,421,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,421,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,421,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,421,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,421,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,421,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,421,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,421,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,421,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,421,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,421,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,421,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,421,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,421,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,421,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,421,Needle electromyography; larynx ,,,122.95,122.95,1
RC,421,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,421,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,421,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,421,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,421,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,421,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,421,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,421,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,421,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,421,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,421,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,421,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,421,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,421,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,421,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,421,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,421,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,421,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,421,Ophthalmodynamometry ,,,37.23,37.23,1
RC,421,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,421,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,421,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,421,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,421,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,421,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,421,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,421,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,421,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,421,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,421,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,421,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,421,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,421,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,421,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,421,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,421,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,421,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,421,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,421,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,421,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,421,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,421,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,421,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,421,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,421,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,421,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,421,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,421,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,421,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,421,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,421,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,421,Positional nystagmus test ,,,34.86,34.86,1
RC,421,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,421,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,421,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,421,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,421,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,421,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,421,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,421,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,421,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,421,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,421,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,421,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,421,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,421,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,421,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,421,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,421,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,421,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,421,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,421,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,421,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,421,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,421,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,421,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,421,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,421,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,421,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,421,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,421,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,421,Select picture audiometry ,,,112.2,112.2,1
RC,421,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,421,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,421,Sensorineural acuity level test ,,,139.76,139.76,1
RC,421,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,421,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,421,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,421,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,421,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,421,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,421,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,421,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,421,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,421,Speech audiometry threshold; ,,,57.25,57.25,1
RC,421,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,421,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,421,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,421,Staggered spondaic word test ,,,107.8,107.8,1
RC,421,"Stenger test, pure tone ",,,41.44,41.44,1
RC,421,"Stenger test, speech ",,,43.34,43.34,1
RC,421,Synthetic sentence identification test ,,,85.67,85.67,1
RC,421,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,421,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,421,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,421,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,421,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,421,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,421,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,421,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,421,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,421,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,421,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,421,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,421,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,421,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,421,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,421,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,421,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,421,Tone decay test ,,,67.36,67.36,1
RC,421,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,421,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,421,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,421,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,421,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,421,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,421,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,421,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,421,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,421,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,421,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,421,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,421,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,421,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,421,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,421,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,421,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,421,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,421,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,421,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,421,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,421,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,421,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,421,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,421,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,422, Physical Therapy Hourly  ,,,63.0,203.0,5
RC,422,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,422,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,422,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,422,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,422,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,422,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,422,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,422,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,422,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,422,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,422,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,422,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,422,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,422,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,422,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,422,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,422,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,422,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,422,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,422,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,422,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,422,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,422,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,422,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,422,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,422,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,422,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,422,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,422,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,422,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,422,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,422,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,422,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,422,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,422,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,422,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,422,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,422,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,422,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,422,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,422,Assessment for hearing aid ,,,93.5,93.5,1
RC,422,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,422,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,422,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,422,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,422,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,422,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,422,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,422,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,422,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,422,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,422,Biofeedback training by any modality ,,,79.59,79.59,1
RC,422,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,422,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,422,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,422,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,422,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,422,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,422,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,422,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,422,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,422,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,422,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,422,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,422,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,422,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,422,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,422,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,422,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,422,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,422,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,422,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,422,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,422,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,422,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,422,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,422,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,422,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,422,Conditioning play audiometry ,,,169.08,169.08,1
RC,422,Conformity evaluation ,,,82.14,82.14,1
RC,422,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,422,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,422,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,422,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,422,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,422,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,422,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,422,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,422,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,422,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,422,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,422,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,422,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,422,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,422,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,422,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,422,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,422,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,422,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,422,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,422,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,422,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,422,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,422,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,422,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,422,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,422,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,422,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,422,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,422,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,422,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,422,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,422,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,422,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,422,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,422,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,422,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,422,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,422,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,422,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,422,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,422,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,422,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,422,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,422,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,422,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,422,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,422,Electrocochleography ,,,211.05,211.05,1
RC,422,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,422,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,422,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,422,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,422,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,422,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,422,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,422,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,422,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,422,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,422,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,422,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,422,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,422,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,422,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,422,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,422,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,422,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,422,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,422,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,422,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,422,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,422,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,422,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,422,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,422,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,422,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,422,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,422,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,422,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,422,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,422,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,422,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,422,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,422,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,422,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,422,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,422,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,422,Filtered speech test ,,,59.78,59.78,1
RC,422,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,422,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,422,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,422,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,422,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,422,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,422,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,422,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,422,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,422,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,422,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,422,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,422,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,422,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,422,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,422,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,422,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,422,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,422,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,422,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,422,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,422,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,422,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,422,Hearing screening ,,,71.4,71.4,1
RC,422,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,422,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,422,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,422,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,422,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,422,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,422,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,422,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,422,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,422,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,422,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,422,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,422,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,422,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,422,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,422,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,422,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,422,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,422,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,422,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,422,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,422,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,422,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,422,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,422,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,422,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,422,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,422,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,422,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,422,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,422,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,422,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,422,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,422,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,422,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,422,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,422,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,422,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,422,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,422,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,422,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,422,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,422,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,422,Needle electromyography; larynx ,,,122.95,122.95,1
RC,422,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,422,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,422,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,422,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,422,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,422,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,422,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,422,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,422,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,422,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,422,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,422,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,422,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,422,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,422,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,422,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,422,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,422,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,422,Ophthalmodynamometry ,,,37.23,37.23,1
RC,422,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,422,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,422,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,422,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,422,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,422,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,422,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,422,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,422,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,422,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,422,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,422,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,422,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,422,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,422,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,422,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,422,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,422,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,422,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,422,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,422,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,422,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,422,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,422,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,422,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,422,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,422,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,422,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,422,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,422,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,422,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,422,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,422,Positional nystagmus test ,,,34.86,34.86,1
RC,422,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,422,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,422,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,422,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,422,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,422,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,422,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,422,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,422,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,422,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,422,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,422,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,422,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,422,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,422,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,422,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,422,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,422,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,422,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,422,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,422,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,422,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,422,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,422,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,422,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,422,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,422,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,422,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,422,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,422,Select picture audiometry ,,,112.2,112.2,1
RC,422,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,422,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,422,Sensorineural acuity level test ,,,139.76,139.76,1
RC,422,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,422,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,422,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,422,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,422,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,422,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,422,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,422,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,422,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,422,Speech audiometry threshold; ,,,57.25,57.25,1
RC,422,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,422,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,422,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,422,Staggered spondaic word test ,,,107.8,107.8,1
RC,422,"Stenger test, pure tone ",,,41.44,41.44,1
RC,422,"Stenger test, speech ",,,43.34,43.34,1
RC,422,Synthetic sentence identification test ,,,85.67,85.67,1
RC,422,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,422,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,422,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,422,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,422,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,422,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,422,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,422,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,422,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,422,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,422,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,422,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,422,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,422,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,422,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,422,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,422,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,422,Tone decay test ,,,67.36,67.36,1
RC,422,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,422,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,422,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,422,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,422,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,422,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,422,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,422,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,422,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,422,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,422,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,422,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,422,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,422,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,422,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,422,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,422,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,422,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,422,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,422,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,422,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,422,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,422,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,422,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,422,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,423, Physical Therapy Group  ,,,63.0,203.0,5
RC,423,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,423,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,423,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,423,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,423,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,423,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,423,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,423,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,423,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,423,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,423,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,423,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,423,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,423,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,423,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,423,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,423,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,423,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,423,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,423,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,423,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,423,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,423,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,423,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,423,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,423,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,423,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,423,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,423,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,423,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,423,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,423,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,423,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,423,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,423,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,423,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,423,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,423,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,423,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,423,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,423,Assessment for hearing aid ,,,93.5,93.5,1
RC,423,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,423,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,423,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,423,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,423,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,423,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,423,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,423,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,423,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,423,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,423,Biofeedback training by any modality ,,,79.59,79.59,1
RC,423,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,423,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,423,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,423,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,423,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,423,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,423,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,423,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,423,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,423,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,423,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,423,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,423,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,423,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,423,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,423,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,423,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,423,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,423,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,423,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,423,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,423,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,423,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,423,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,423,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,423,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,423,Conditioning play audiometry ,,,169.08,169.08,1
RC,423,Conformity evaluation ,,,82.14,82.14,1
RC,423,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,423,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,423,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,423,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,423,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,423,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,423,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,423,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,423,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,423,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,423,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,423,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,423,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,423,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,423,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,423,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,423,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,423,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,423,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,423,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,423,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,423,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,423,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,423,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,423,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,423,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,423,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,423,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,423,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,423,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,423,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,423,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,423,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,423,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,423,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,423,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,423,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,423,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,423,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,423,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,423,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,423,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,423,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,423,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,423,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,423,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,423,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,423,Electrocochleography ,,,211.05,211.05,1
RC,423,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,423,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,423,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,423,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,423,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,423,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,423,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,423,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,423,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,423,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,423,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,423,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,423,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,423,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,423,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,423,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,423,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,423,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,423,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,423,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,423,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,423,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,423,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,423,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,423,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,423,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,423,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,423,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,423,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,423,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,423,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,423,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,423,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,423,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,423,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,423,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,423,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,423,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,423,Filtered speech test ,,,59.78,59.78,1
RC,423,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,423,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,423,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,423,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,423,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,423,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,423,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,423,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,423,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,423,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,423,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,423,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,423,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,423,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,423,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,423,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,423,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,423,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,423,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,423,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,423,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,423,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,423,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,423,Hearing screening ,,,71.4,71.4,1
RC,423,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,423,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,423,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,423,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,423,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,423,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,423,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,423,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,423,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,423,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,423,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,423,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,423,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,423,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,423,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,423,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,423,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,423,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,423,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,423,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,423,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,423,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,423,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,423,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,423,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,423,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,423,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,423,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,423,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,423,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,423,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,423,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,423,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,423,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,423,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,423,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,423,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,423,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,423,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,423,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,423,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,423,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,423,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,423,Needle electromyography; larynx ,,,122.95,122.95,1
RC,423,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,423,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,423,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,423,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,423,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,423,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,423,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,423,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,423,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,423,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,423,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,423,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,423,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,423,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,423,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,423,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,423,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,423,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,423,Ophthalmodynamometry ,,,37.23,37.23,1
RC,423,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,423,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,423,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,423,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,423,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,423,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,423,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,423,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,423,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,423,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,423,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,423,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,423,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,423,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,423,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,423,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,423,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,423,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,423,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,423,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,423,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,423,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,423,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,423,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,423,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,423,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,423,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,423,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,423,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,423,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,423,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,423,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,423,Positional nystagmus test ,,,34.86,34.86,1
RC,423,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,423,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,423,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,423,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,423,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,423,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,423,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,423,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,423,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,423,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,423,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,423,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,423,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,423,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,423,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,423,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,423,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,423,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,423,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,423,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,423,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,423,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,423,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,423,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,423,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,423,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,423,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,423,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,423,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,423,Select picture audiometry ,,,112.2,112.2,1
RC,423,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,423,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,423,Sensorineural acuity level test ,,,139.76,139.76,1
RC,423,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,423,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,423,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,423,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,423,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,423,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,423,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,423,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,423,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,423,Speech audiometry threshold; ,,,57.25,57.25,1
RC,423,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,423,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,423,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,423,Staggered spondaic word test ,,,107.8,107.8,1
RC,423,"Stenger test, pure tone ",,,41.44,41.44,1
RC,423,"Stenger test, speech ",,,43.34,43.34,1
RC,423,Synthetic sentence identification test ,,,85.67,85.67,1
RC,423,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,423,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,423,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,423,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,423,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,423,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,423,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,423,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,423,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,423,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,423,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,423,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,423,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,423,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,423,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,423,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,423,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,423,Tone decay test ,,,67.36,67.36,1
RC,423,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,423,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,423,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,423,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,423,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,423,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,423,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,423,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,423,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,423,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,423,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,423,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,423,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,423,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,423,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,423,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,423,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,423,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,423,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,423,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,423,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,423,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,423,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,423,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,423,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,424, Physical Therapy Evaluation or Reevaluation  ,,,63.0,203.0,5
RC,424,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,424,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,424,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,424,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,424,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,424,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,424,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,424,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,424,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,424,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,424,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,424,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,424,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,424,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,424,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,424,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,424,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,424,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,424,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,424,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,424,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,424,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,424,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,424,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,424,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,424,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,424,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,424,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,424,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,424,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,424,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,424,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,424,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,424,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,424,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,424,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,424,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,424,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,424,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,424,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,424,Assessment for hearing aid ,,,93.5,93.5,1
RC,424,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,424,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,424,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,424,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,424,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,424,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,424,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,424,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,424,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,424,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,424,Biofeedback training by any modality ,,,79.59,79.59,1
RC,424,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,424,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,424,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,424,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,424,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,424,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,424,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,424,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,424,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,424,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,424,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,424,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,424,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,424,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,424,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,424,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,424,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,424,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,424,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,424,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,424,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,424,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,424,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,424,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,424,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,424,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,424,Conditioning play audiometry ,,,169.08,169.08,1
RC,424,Conformity evaluation ,,,82.14,82.14,1
RC,424,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,424,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,424,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,424,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,424,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,424,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,424,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,424,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,424,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,424,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,424,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,424,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,424,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,424,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,424,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,424,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,424,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,424,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,424,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,424,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,424,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,424,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,424,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,424,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,424,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,424,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,424,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,424,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,424,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,424,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,424,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,424,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,424,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,424,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,424,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,424,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,424,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,424,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,424,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,424,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,424,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,424,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,424,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,424,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,424,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,424,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,424,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,424,Electrocochleography ,,,211.05,211.05,1
RC,424,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,424,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,424,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,424,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,424,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,424,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,424,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,424,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,424,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,424,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,424,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,424,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,424,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,424,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,424,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,424,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,424,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,424,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,424,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,424,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,424,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,424,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,424,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,424,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,424,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,424,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,424,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,424,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,424,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,424,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,424,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,424,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,424,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,424,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,424,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,424,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,424,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,424,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,424,Filtered speech test ,,,59.78,59.78,1
RC,424,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,424,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,424,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,424,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,424,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,424,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,424,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,424,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,424,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,424,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,424,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,424,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,424,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,424,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,424,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,424,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,424,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,424,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,424,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,424,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,424,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,424,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,424,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,424,Hearing screening ,,,71.4,71.4,1
RC,424,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,424,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,424,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,424,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,424,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,424,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,424,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,424,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,424,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,424,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,424,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,424,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,424,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,424,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,424,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,424,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,424,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,424,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,424,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,424,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,424,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,424,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,424,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,424,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,424,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,424,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,424,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,424,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,424,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,424,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,424,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,424,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,424,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,424,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,424,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,424,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,424,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,424,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,424,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,424,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,424,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,424,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,424,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,424,Needle electromyography; larynx ,,,122.95,122.95,1
RC,424,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,424,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,424,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,424,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,424,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,424,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,424,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,424,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,424,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,424,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,424,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,424,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,424,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,424,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,424,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,424,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,424,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,424,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,424,Ophthalmodynamometry ,,,37.23,37.23,1
RC,424,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,424,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,424,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,424,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,424,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,424,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,424,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,424,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,424,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,424,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,424,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,424,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,424,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,424,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,424,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,424,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,424,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,424,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,424,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,424,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,424,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,424,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,424,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,424,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,424,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,424,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,424,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,424,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,424,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,424,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,424,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,424,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,424,Positional nystagmus test ,,,34.86,34.86,1
RC,424,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,424,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,424,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,424,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,424,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,424,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,424,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,424,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,424,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,424,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,424,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,424,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,424,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,424,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,424,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,424,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,424,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,424,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,424,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,424,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,424,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,424,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,424,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,424,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,424,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,424,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,424,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,424,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,424,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,424,Select picture audiometry ,,,112.2,112.2,1
RC,424,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,424,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,424,Sensorineural acuity level test ,,,139.76,139.76,1
RC,424,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,424,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,424,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,424,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,424,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,424,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,424,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,424,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,424,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,424,Speech audiometry threshold; ,,,57.25,57.25,1
RC,424,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,424,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,424,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,424,Staggered spondaic word test ,,,107.8,107.8,1
RC,424,"Stenger test, pure tone ",,,41.44,41.44,1
RC,424,"Stenger test, speech ",,,43.34,43.34,1
RC,424,Synthetic sentence identification test ,,,85.67,85.67,1
RC,424,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,424,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,424,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,424,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,424,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,424,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,424,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,424,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,424,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,424,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,424,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,424,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,424,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,424,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,424,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,424,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,424,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,424,Tone decay test ,,,67.36,67.36,1
RC,424,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,424,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,424,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,424,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,424,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,424,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,424,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,424,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,424,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,424,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,424,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,424,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,424,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,424,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,424,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,424,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,424,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,424,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,424,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,424,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,424,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,424,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,424,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,424,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,424,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,429, Physical Therapy Other  ,,,63.0,203.0,5
RC,429,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,429,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,429,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,429,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,429,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,429,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,429,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,429,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,429,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,429,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,429,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,429,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,429,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,429,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,429,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,429,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,429,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,429,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,429,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,429,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,429,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,429,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,429,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,429,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,429,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,429,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,429,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,429,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,429,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,429,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,429,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,429,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,429,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,429,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,429,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,429,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,429,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,429,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,429,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,429,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,429,Assessment for hearing aid ,,,93.5,93.5,1
RC,429,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,429,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,429,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,429,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,429,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,429,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,429,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,429,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,429,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,429,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,429,Biofeedback training by any modality ,,,79.59,79.59,1
RC,429,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,429,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,429,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,429,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,429,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,429,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,429,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,429,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,429,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,429,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,429,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,429,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,429,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,429,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,429,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,429,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,429,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,429,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,429,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,429,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,429,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,429,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,429,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,429,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,429,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,429,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,429,Conditioning play audiometry ,,,169.08,169.08,1
RC,429,Conformity evaluation ,,,82.14,82.14,1
RC,429,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,429,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,429,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,429,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,429,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,429,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,429,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,429,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,429,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,429,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,429,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,429,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,429,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,429,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,429,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,429,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,429,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,429,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,429,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,429,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,429,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,429,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,429,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,429,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,429,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,429,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,429,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,429,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,429,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,429,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,429,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,429,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,429,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,429,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,429,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,429,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,429,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,429,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,429,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,429,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,429,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,429,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,429,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,429,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,429,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,429,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,429,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,429,Electrocochleography ,,,211.05,211.05,1
RC,429,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,429,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,429,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,429,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,429,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,429,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,429,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,429,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,429,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,429,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,429,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,429,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,429,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,429,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,429,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,429,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,429,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,429,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,429,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,429,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,429,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,429,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,429,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,429,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,429,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,429,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,429,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,429,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,429,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,429,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,429,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,429,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,429,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,429,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,429,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,429,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,429,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,429,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,429,Filtered speech test ,,,59.78,59.78,1
RC,429,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,429,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,429,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,429,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,429,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,429,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,429,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,429,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,429,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,429,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,429,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,429,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,429,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,429,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,429,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,429,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,429,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,429,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,429,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,429,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,429,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,429,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,429,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,429,Hearing screening ,,,71.4,71.4,1
RC,429,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,429,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,429,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,429,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,429,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,429,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,429,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,429,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,429,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,429,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,429,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,429,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,429,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,429,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,429,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,429,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,429,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,429,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,429,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,429,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,429,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,429,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,429,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,429,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,429,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,429,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,429,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,429,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,429,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,429,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,429,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,429,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,429,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,429,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,429,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,429,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,429,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,429,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,429,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,429,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,429,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,429,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,429,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,429,Needle electromyography; larynx ,,,122.95,122.95,1
RC,429,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,429,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,429,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,429,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,429,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,429,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,429,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,429,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,429,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,429,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,429,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,429,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,429,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,429,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,429,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,429,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,429,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,429,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,429,Ophthalmodynamometry ,,,37.23,37.23,1
RC,429,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,429,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,429,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,429,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,429,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,429,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,429,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,429,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,429,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,429,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,429,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,429,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,429,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,429,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,429,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,429,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,429,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,429,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,429,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,429,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,429,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,429,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,429,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,429,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,429,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,429,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,429,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,429,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,429,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,429,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,429,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,429,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,429,Positional nystagmus test ,,,34.86,34.86,1
RC,429,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,429,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,429,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,429,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,429,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,429,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,429,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,429,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,429,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,429,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,429,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,429,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,429,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,429,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,429,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,429,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,429,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,429,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,429,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,429,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,429,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,429,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,429,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,429,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,429,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,429,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,429,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,429,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,429,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,429,Select picture audiometry ,,,112.2,112.2,1
RC,429,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,429,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,429,Sensorineural acuity level test ,,,139.76,139.76,1
RC,429,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,429,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,429,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,429,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,429,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,429,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,429,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,429,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,429,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,429,Speech audiometry threshold; ,,,57.25,57.25,1
RC,429,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,429,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,429,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,429,Staggered spondaic word test ,,,107.8,107.8,1
RC,429,"Stenger test, pure tone ",,,41.44,41.44,1
RC,429,"Stenger test, speech ",,,43.34,43.34,1
RC,429,Synthetic sentence identification test ,,,85.67,85.67,1
RC,429,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,429,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,429,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,429,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,429,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,429,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,429,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,429,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,429,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,429,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,429,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,429,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,429,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,429,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,429,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,429,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,429,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,429,Tone decay test ,,,67.36,67.36,1
RC,429,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,429,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,429,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,429,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,429,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,429,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,429,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,429,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,429,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,429,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,429,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,429,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,429,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,429,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,429,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,429,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,429,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,429,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,429,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,429,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,429,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,429,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,429,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,429,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,429,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,430, Occupational Therapy General Classification  ,,,63.0,203.0,5
RC,430,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,430,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,430,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,430,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,430,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,430,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,430,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,430,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,430,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,430,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,430,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,430,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,430,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,430,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,430,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,430,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,430,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,430,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,430,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,430,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,430,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,430,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,430,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,430,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,430,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,430,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,430,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,430,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,430,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,430,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,430,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,430,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,430,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,430,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,430,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,430,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,430,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,430,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,430,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,430,Assessment for hearing aid ,,,93.5,93.5,1
RC,430,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,430,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,430,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,430,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,430,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,430,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,430,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,430,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,430,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,430,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,430,Biofeedback training by any modality ,,,79.59,79.59,1
RC,430,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,430,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,430,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,430,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,430,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,430,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,430,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,430,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,430,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,430,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,430,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,430,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,430,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,430,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,430,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,430,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,430,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,430,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,430,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,430,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,430,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,430,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,430,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,430,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,430,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,430,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,430,Conditioning play audiometry ,,,169.08,169.08,1
RC,430,Conformity evaluation ,,,82.14,82.14,1
RC,430,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,430,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,430,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,430,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,430,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,430,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,430,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,430,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,430,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,430,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,430,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,430,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,430,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,430,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,430,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,430,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,430,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,430,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,430,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,430,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,430,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,430,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,430,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,430,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,430,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,430,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,430,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,430,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,430,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,430,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,430,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,430,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,430,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,430,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,430,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,430,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,430,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,430,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,430,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,430,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,430,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,430,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,430,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,430,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,430,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,430,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,430,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,430,Electrocochleography ,,,211.05,211.05,1
RC,430,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,430,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,430,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,430,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,430,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,430,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,430,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,430,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,430,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,430,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,430,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,430,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,430,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,430,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,430,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,430,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,430,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,430,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,430,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,430,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,430,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,430,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,430,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,430,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,430,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,430,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,430,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,430,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,430,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,430,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,430,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,430,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,430,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,430,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,430,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,430,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,430,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,430,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,430,Filtered speech test ,,,59.78,59.78,1
RC,430,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,430,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,430,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,430,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,430,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,430,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,430,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,430,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,430,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,430,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,430,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,430,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,430,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,430,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,430,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,430,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,430,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,430,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,430,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,430,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,430,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,430,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,430,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,430,Hearing screening ,,,71.4,71.4,1
RC,430,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,430,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,430,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,430,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,430,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,430,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,430,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,430,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,430,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,430,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,430,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,430,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,430,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,430,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,430,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,430,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,430,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,430,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,430,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,430,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,430,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,430,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,430,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,430,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,430,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,430,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,430,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,430,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,430,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,430,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,430,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,430,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,430,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,430,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,430,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,430,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,430,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,430,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,430,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,430,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,430,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,430,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,430,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,430,Needle electromyography; larynx ,,,122.95,122.95,1
RC,430,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,430,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,430,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,430,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,430,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,430,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,430,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,430,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,430,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,430,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,430,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,430,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,430,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,430,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,430,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,430,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,430,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,430,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,430,Ophthalmodynamometry ,,,37.23,37.23,1
RC,430,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,430,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,430,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,430,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,430,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,430,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,430,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,430,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,430,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,430,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,430,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,430,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,430,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,430,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,430,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,430,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,430,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,430,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,430,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,430,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,430,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,430,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,430,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,430,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,430,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,430,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,430,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,430,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,430,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,430,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,430,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,430,Positional nystagmus test ,,,34.86,34.86,1
RC,430,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,430,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,430,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,430,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,430,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,430,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,430,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,430,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,430,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,430,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,430,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,430,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,430,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,430,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,430,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,430,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,430,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,430,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,430,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,430,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,430,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,430,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,430,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,430,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,430,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,430,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,430,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,430,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,430,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,430,Select picture audiometry ,,,112.2,112.2,1
RC,430,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,430,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,430,Sensorineural acuity level test ,,,139.76,139.76,1
RC,430,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,430,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,430,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,430,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,430,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,430,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,430,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,430,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,430,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,430,Speech audiometry threshold; ,,,57.25,57.25,1
RC,430,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,430,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,430,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,430,Staggered spondaic word test ,,,107.8,107.8,1
RC,430,"Stenger test, pure tone ",,,41.44,41.44,1
RC,430,"Stenger test, speech ",,,43.34,43.34,1
RC,430,Synthetic sentence identification test ,,,85.67,85.67,1
RC,430,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,430,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,430,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,430,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,430,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,430,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,430,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,430,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,430,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,430,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,430,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,430,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,430,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,430,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,430,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,430,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,430,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,430,Tone decay test ,,,67.36,67.36,1
RC,430,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,430,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,430,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,430,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,430,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,430,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,430,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,430,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,430,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,430,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,430,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,430,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,430,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,430,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,430,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,430,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,430,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,430,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,430,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,430,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,430,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,430,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,430,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,430,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,430,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,431, Occupational Therapy Visit  ,,,63.0,184.0,4
RC,431,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,431,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,431,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,431,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,431,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,431,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,431,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,431,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,431,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,431,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,431,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,431,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,431,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,431,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,431,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,431,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,431,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,431,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,431,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,431,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,431,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,431,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,431,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,431,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,431,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,431,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,431,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,431,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,431,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,431,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,431,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,431,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,431,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,431,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,431,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,431,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,431,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,431,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,431,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,431,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,431,Assessment for hearing aid ,,,93.5,93.5,1
RC,431,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,431,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,431,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,431,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,431,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,431,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,431,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,431,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,431,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,431,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,431,Biofeedback training by any modality ,,,79.59,79.59,1
RC,431,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,431,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,431,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,431,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,431,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,431,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,431,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,431,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,431,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,431,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,431,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,431,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,431,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,431,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,431,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,431,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,431,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,431,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,431,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,431,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,431,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,431,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,431,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,431,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,431,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,431,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,431,Conditioning play audiometry ,,,169.08,169.08,1
RC,431,Conformity evaluation ,,,82.14,82.14,1
RC,431,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,431,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,431,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,431,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,431,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,431,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,431,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,431,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,431,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,431,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,431,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,431,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,431,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,431,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,431,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,431,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,431,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,431,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,431,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,431,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,431,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,431,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,431,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,431,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,431,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,431,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,431,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,431,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,431,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,431,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,431,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,431,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,431,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,431,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,431,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,431,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,431,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,431,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,431,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,431,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,431,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,431,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,431,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,431,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,431,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,431,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,431,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,431,Electrocochleography ,,,211.05,211.05,1
RC,431,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,431,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,431,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,431,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,431,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,431,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,431,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,431,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,431,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,431,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,431,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,431,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,431,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,431,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,431,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,431,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,431,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,431,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,431,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,431,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,431,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,431,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,431,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,431,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,431,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,431,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,431,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,431,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,431,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,431,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,431,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,431,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,431,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,431,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,431,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,431,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,431,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,431,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,431,Filtered speech test ,,,59.78,59.78,1
RC,431,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,431,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,431,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,431,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,431,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,431,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,431,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,431,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,431,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,431,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,431,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,431,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,431,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,431,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,431,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,431,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,431,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,431,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,431,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,431,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,431,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,431,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,431,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,431,Hearing screening ,,,71.4,71.4,1
RC,431,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,431,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,431,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,431,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,431,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,431,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,431,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,431,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,431,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,431,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,431,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,431,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,431,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,431,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,431,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,431,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,431,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,431,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,431,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,431,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,431,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,431,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,431,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,431,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,431,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,431,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,431,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,431,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,431,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,431,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,431,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,431,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,431,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,431,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,431,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,431,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,431,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,431,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,431,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,431,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,431,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,431,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,431,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,431,Needle electromyography; larynx ,,,122.95,122.95,1
RC,431,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,431,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,431,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,431,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,431,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,431,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,431,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,431,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,431,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,431,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,431,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,431,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,431,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,431,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,431,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,431,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,431,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,431,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,431,Ophthalmodynamometry ,,,37.23,37.23,1
RC,431,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,431,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,431,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,431,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,431,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,431,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,431,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,431,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,431,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,431,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,431,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,431,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,431,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,431,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,431,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,431,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,431,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,431,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,431,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,431,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,431,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,431,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,431,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,431,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,431,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,431,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,431,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,431,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,431,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,431,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,431,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,431,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,431,Positional nystagmus test ,,,34.86,34.86,1
RC,431,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,431,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,431,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,431,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,431,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,431,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,431,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,431,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,431,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,431,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,431,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,431,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,431,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,431,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,431,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,431,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,431,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,431,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,431,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,431,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,431,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,431,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,431,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,431,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,431,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,431,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,431,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,431,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,431,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,431,Select picture audiometry ,,,112.2,112.2,1
RC,431,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,431,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,431,Sensorineural acuity level test ,,,139.76,139.76,1
RC,431,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,431,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,431,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,431,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,431,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,431,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,431,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,431,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,431,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,431,Speech audiometry threshold; ,,,57.25,57.25,1
RC,431,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,431,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,431,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,431,Staggered spondaic word test ,,,107.8,107.8,1
RC,431,"Stenger test, pure tone ",,,41.44,41.44,1
RC,431,"Stenger test, speech ",,,43.34,43.34,1
RC,431,Synthetic sentence identification test ,,,85.67,85.67,1
RC,431,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,431,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,431,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,431,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,431,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,431,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,431,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,431,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,431,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,431,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,431,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,431,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,431,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,431,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,431,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,431,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,431,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,431,Tone decay test ,,,67.36,67.36,1
RC,431,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,431,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,431,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,431,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,431,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,431,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,431,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,431,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,431,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,431,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,431,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,431,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,431,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,431,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,431,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,431,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,431,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,431,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,431,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,431,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,431,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,431,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,431,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,431,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,431,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,432, Occupational Therapy Hourly  ,,,63.0,203.0,5
RC,432,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,432,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,432,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,432,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,432,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,432,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,432,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,432,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,432,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,432,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,432,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,432,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,432,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,432,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,432,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,432,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,432,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,432,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,432,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,432,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,432,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,432,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,432,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,432,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,432,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,432,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,432,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,432,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,432,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,432,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,432,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,432,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,432,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,432,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,432,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,432,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,432,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,432,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,432,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,432,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,432,Assessment for hearing aid ,,,93.5,93.5,1
RC,432,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,432,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,432,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,432,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,432,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,432,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,432,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,432,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,432,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,432,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,432,Biofeedback training by any modality ,,,79.59,79.59,1
RC,432,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,432,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,432,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,432,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,432,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,432,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,432,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,432,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,432,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,432,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,432,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,432,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,432,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,432,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,432,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,432,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,432,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,432,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,432,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,432,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,432,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,432,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,432,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,432,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,432,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,432,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,432,Conditioning play audiometry ,,,169.08,169.08,1
RC,432,Conformity evaluation ,,,82.14,82.14,1
RC,432,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,432,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,432,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,432,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,432,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,432,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,432,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,432,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,432,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,432,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,432,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,432,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,432,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,432,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,432,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,432,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,432,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,432,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,432,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,432,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,432,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,432,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,432,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,432,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,432,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,432,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,432,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,432,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,432,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,432,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,432,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,432,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,432,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,432,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,432,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,432,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,432,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,432,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,432,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,432,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,432,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,432,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,432,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,432,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,432,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,432,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,432,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,432,Electrocochleography ,,,211.05,211.05,1
RC,432,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,432,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,432,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,432,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,432,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,432,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,432,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,432,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,432,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,432,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,432,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,432,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,432,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,432,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,432,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,432,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,432,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,432,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,432,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,432,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,432,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,432,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,432,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,432,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,432,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,432,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,432,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,432,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,432,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,432,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,432,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,432,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,432,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,432,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,432,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,432,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,432,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,432,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,432,Filtered speech test ,,,59.78,59.78,1
RC,432,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,432,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,432,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,432,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,432,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,432,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,432,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,432,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,432,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,432,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,432,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,432,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,432,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,432,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,432,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,432,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,432,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,432,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,432,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,432,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,432,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,432,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,432,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,432,Hearing screening ,,,71.4,71.4,1
RC,432,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,432,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,432,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,432,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,432,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,432,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,432,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,432,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,432,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,432,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,432,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,432,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,432,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,432,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,432,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,432,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,432,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,432,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,432,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,432,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,432,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,432,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,432,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,432,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,432,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,432,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,432,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,432,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,432,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,432,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,432,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,432,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,432,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,432,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,432,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,432,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,432,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,432,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,432,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,432,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,432,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,432,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,432,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,432,Needle electromyography; larynx ,,,122.95,122.95,1
RC,432,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,432,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,432,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,432,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,432,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,432,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,432,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,432,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,432,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,432,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,432,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,432,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,432,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,432,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,432,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,432,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,432,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,432,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,432,Ophthalmodynamometry ,,,37.23,37.23,1
RC,432,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,432,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,432,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,432,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,432,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,432,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,432,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,432,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,432,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,432,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,432,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,432,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,432,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,432,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,432,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,432,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,432,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,432,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,432,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,432,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,432,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,432,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,432,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,432,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,432,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,432,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,432,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,432,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,432,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,432,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,432,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,432,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,432,Positional nystagmus test ,,,34.86,34.86,1
RC,432,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,432,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,432,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,432,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,432,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,432,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,432,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,432,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,432,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,432,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,432,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,432,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,432,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,432,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,432,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,432,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,432,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,432,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,432,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,432,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,432,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,432,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,432,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,432,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,432,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,432,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,432,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,432,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,432,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,432,Select picture audiometry ,,,112.2,112.2,1
RC,432,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,432,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,432,Sensorineural acuity level test ,,,139.76,139.76,1
RC,432,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,432,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,432,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,432,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,432,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,432,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,432,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,432,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,432,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,432,Speech audiometry threshold; ,,,57.25,57.25,1
RC,432,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,432,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,432,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,432,Staggered spondaic word test ,,,107.8,107.8,1
RC,432,"Stenger test, pure tone ",,,41.44,41.44,1
RC,432,"Stenger test, speech ",,,43.34,43.34,1
RC,432,Synthetic sentence identification test ,,,85.67,85.67,1
RC,432,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,432,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,432,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,432,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,432,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,432,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,432,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,432,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,432,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,432,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,432,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,432,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,432,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,432,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,432,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,432,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,432,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,432,Tone decay test ,,,67.36,67.36,1
RC,432,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,432,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,432,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,432,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,432,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,432,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,432,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,432,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,432,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,432,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,432,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,432,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,432,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,432,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,432,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,432,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,432,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,432,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,432,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,432,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,432,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,432,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,432,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,432,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,432,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,433, Occupational Therapy Group  ,,,63.0,203.0,5
RC,433,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,433,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,433,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,433,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,433,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,433,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,433,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,433,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,433,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,433,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,433,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,433,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,433,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,433,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,433,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,433,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,433,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,433,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,433,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,433,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,433,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,433,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,433,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,433,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,433,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,433,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,433,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,433,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,433,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,433,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,433,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,433,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,433,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,433,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,433,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,433,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,433,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,433,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,433,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,433,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,433,Assessment for hearing aid ,,,93.5,93.5,1
RC,433,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,433,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,433,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,433,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,433,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,433,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,433,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,433,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,433,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,433,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,433,Biofeedback training by any modality ,,,79.59,79.59,1
RC,433,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,433,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,433,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,433,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,433,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,433,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,433,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,433,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,433,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,433,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,433,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,433,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,433,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,433,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,433,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,433,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,433,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,433,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,433,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,433,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,433,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,433,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,433,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,433,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,433,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,433,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,433,Conditioning play audiometry ,,,169.08,169.08,1
RC,433,Conformity evaluation ,,,82.14,82.14,1
RC,433,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,433,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,433,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,433,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,433,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,433,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,433,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,433,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,433,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,433,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,433,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,433,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,433,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,433,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,433,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,433,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,433,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,433,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,433,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,433,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,433,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,433,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,433,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,433,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,433,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,433,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,433,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,433,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,433,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,433,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,433,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,433,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,433,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,433,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,433,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,433,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,433,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,433,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,433,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,433,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,433,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,433,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,433,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,433,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,433,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,433,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,433,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,433,Electrocochleography ,,,211.05,211.05,1
RC,433,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,433,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,433,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,433,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,433,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,433,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,433,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,433,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,433,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,433,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,433,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,433,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,433,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,433,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,433,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,433,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,433,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,433,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,433,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,433,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,433,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,433,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,433,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,433,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,433,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,433,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,433,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,433,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,433,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,433,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,433,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,433,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,433,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,433,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,433,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,433,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,433,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,433,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,433,Filtered speech test ,,,59.78,59.78,1
RC,433,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,433,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,433,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,433,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,433,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,433,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,433,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,433,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,433,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,433,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,433,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,433,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,433,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,433,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,433,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,433,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,433,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,433,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,433,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,433,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,433,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,433,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,433,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,433,Hearing screening ,,,71.4,71.4,1
RC,433,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,433,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,433,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,433,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,433,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,433,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,433,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,433,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,433,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,433,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,433,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,433,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,433,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,433,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,433,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,433,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,433,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,433,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,433,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,433,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,433,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,433,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,433,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,433,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,433,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,433,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,433,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,433,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,433,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,433,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,433,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,433,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,433,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,433,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,433,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,433,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,433,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,433,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,433,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,433,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,433,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,433,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,433,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,433,Needle electromyography; larynx ,,,122.95,122.95,1
RC,433,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,433,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,433,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,433,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,433,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,433,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,433,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,433,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,433,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,433,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,433,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,433,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,433,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,433,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,433,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,433,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,433,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,433,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,433,Ophthalmodynamometry ,,,37.23,37.23,1
RC,433,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,433,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,433,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,433,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,433,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,433,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,433,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,433,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,433,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,433,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,433,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,433,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,433,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,433,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,433,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,433,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,433,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,433,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,433,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,433,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,433,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,433,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,433,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,433,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,433,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,433,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,433,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,433,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,433,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,433,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,433,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,433,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,433,Positional nystagmus test ,,,34.86,34.86,1
RC,433,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,433,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,433,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,433,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,433,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,433,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,433,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,433,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,433,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,433,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,433,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,433,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,433,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,433,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,433,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,433,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,433,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,433,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,433,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,433,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,433,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,433,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,433,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,433,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,433,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,433,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,433,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,433,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,433,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,433,Select picture audiometry ,,,112.2,112.2,1
RC,433,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,433,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,433,Sensorineural acuity level test ,,,139.76,139.76,1
RC,433,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,433,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,433,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,433,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,433,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,433,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,433,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,433,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,433,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,433,Speech audiometry threshold; ,,,57.25,57.25,1
RC,433,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,433,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,433,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,433,Staggered spondaic word test ,,,107.8,107.8,1
RC,433,"Stenger test, pure tone ",,,41.44,41.44,1
RC,433,"Stenger test, speech ",,,43.34,43.34,1
RC,433,Synthetic sentence identification test ,,,85.67,85.67,1
RC,433,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,433,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,433,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,433,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,433,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,433,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,433,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,433,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,433,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,433,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,433,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,433,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,433,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,433,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,433,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,433,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,433,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,433,Tone decay test ,,,67.36,67.36,1
RC,433,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,433,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,433,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,433,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,433,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,433,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,433,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,433,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,433,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,433,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,433,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,433,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,433,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,433,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,433,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,433,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,433,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,433,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,433,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,433,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,433,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,433,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,433,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,433,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,433,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,434, Occupational Therapy Evaluation or Reevaluation  ,,,63.0,203.0,5
RC,434,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,434,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,434,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,434,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,434,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,434,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,434,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,434,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,434,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,434,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,434,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,434,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,434,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,434,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,434,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,434,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,434,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,434,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,434,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,434,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,434,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,434,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,434,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,434,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,434,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,434,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,434,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,434,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,434,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,434,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,434,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,434,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,434,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,434,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,434,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,434,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,434,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,434,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,434,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,434,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,434,Assessment for hearing aid ,,,93.5,93.5,1
RC,434,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,434,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,434,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,434,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,434,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,434,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,434,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,434,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,434,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,434,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,434,Biofeedback training by any modality ,,,79.59,79.59,1
RC,434,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,434,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,434,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,434,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,434,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,434,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,434,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,434,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,434,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,434,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,434,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,434,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,434,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,434,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,434,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,434,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,434,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,434,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,434,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,434,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,434,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,434,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,434,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,434,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,434,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,434,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,434,Conditioning play audiometry ,,,169.08,169.08,1
RC,434,Conformity evaluation ,,,82.14,82.14,1
RC,434,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,434,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,434,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,434,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,434,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,434,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,434,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,434,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,434,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,434,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,434,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,434,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,434,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,434,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,434,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,434,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,434,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,434,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,434,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,434,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,434,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,434,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,434,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,434,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,434,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,434,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,434,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,434,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,434,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,434,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,434,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,434,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,434,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,434,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,434,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,434,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,434,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,434,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,434,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,434,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,434,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,434,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,434,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,434,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,434,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,434,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,434,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,434,Electrocochleography ,,,211.05,211.05,1
RC,434,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,434,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,434,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,434,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,434,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,434,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,434,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,434,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,434,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,434,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,434,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,434,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,434,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,434,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,434,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,434,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,434,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,434,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,434,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,434,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,434,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,434,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,434,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,434,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,434,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,434,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,434,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,434,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,434,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,434,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,434,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,434,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,434,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,434,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,434,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,434,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,434,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,434,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,434,Filtered speech test ,,,59.78,59.78,1
RC,434,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,434,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,434,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,434,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,434,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,434,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,434,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,434,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,434,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,434,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,434,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,434,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,434,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,434,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,434,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,434,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,434,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,434,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,434,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,434,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,434,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,434,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,434,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,434,Hearing screening ,,,71.4,71.4,1
RC,434,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,434,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,434,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,434,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,434,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,434,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,434,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,434,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,434,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,434,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,434,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,434,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,434,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,434,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,434,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,434,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,434,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,434,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,434,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,434,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,434,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,434,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,434,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,434,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,434,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,434,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,434,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,434,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,434,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,434,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,434,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,434,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,434,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,434,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,434,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,434,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,434,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,434,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,434,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,434,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,434,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,434,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,434,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,434,Needle electromyography; larynx ,,,122.95,122.95,1
RC,434,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,434,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,434,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,434,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,434,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,434,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,434,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,434,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,434,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,434,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,434,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,434,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,434,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,434,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,434,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,434,Ophthalmodynamometry ,,,37.23,37.23,1
RC,434,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,434,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,434,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,434,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,434,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,434,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,434,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,434,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,434,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,434,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,434,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,434,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,434,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,434,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,434,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,434,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,434,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,434,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,434,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,434,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,434,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,434,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,434,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,434,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,434,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,434,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,434,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,434,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,434,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,434,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,434,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,434,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,434,Positional nystagmus test ,,,34.86,34.86,1
RC,434,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,434,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,434,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,434,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,434,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,434,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,434,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,434,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,434,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,434,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,434,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,434,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,434,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,434,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,434,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,434,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,434,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,434,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,434,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,434,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,434,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,434,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,434,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,434,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,434,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,434,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,434,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,434,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,434,Select picture audiometry ,,,112.2,112.2,1
RC,434,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,434,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,434,Sensorineural acuity level test ,,,139.76,139.76,1
RC,434,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,434,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,434,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,434,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,434,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,434,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,434,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,434,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,434,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,434,Speech audiometry threshold; ,,,57.25,57.25,1
RC,434,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,434,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,434,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,434,Staggered spondaic word test ,,,107.8,107.8,1
RC,434,"Stenger test, pure tone ",,,41.44,41.44,1
RC,434,"Stenger test, speech ",,,43.34,43.34,1
RC,434,Synthetic sentence identification test ,,,85.67,85.67,1
RC,434,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,434,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,434,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,434,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,434,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,434,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,434,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,434,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,434,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,434,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,434,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,434,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,434,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,434,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,434,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,434,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,434,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,434,Tone decay test ,,,67.36,67.36,1
RC,434,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,434,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,434,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,434,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,434,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,434,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,434,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,434,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,434,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,434,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,434,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,434,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,434,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,434,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,434,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,434,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,434,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,434,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,434,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,434,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,434,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,434,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,434,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,434,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,434,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,439, Occupational Therapy Other  ,,,63.0,203.0,5
RC,439,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,439,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,439,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,439,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,439,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,439,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,439,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,439,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,439,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,439,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,439,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,439,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,439,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,439,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,439,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,439,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,439,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,439,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,439,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,439,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,439,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,439,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,439,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,439,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,439,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,439,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,439,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,439,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,439,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,439,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,439,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,439,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,439,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,439,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,439,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,439,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,439,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,439,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,439,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,439,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,439,Assessment for hearing aid ,,,93.5,93.5,1
RC,439,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,439,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,439,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,439,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,439,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,439,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,439,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,439,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,439,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,439,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,439,Biofeedback training by any modality ,,,79.59,79.59,1
RC,439,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,439,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,439,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,439,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,439,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,439,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,439,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,439,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,439,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,439,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,439,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,439,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,439,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,439,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,439,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,439,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,439,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,439,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,439,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,439,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,439,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,439,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,439,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,439,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,439,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,439,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,439,Conditioning play audiometry ,,,169.08,169.08,1
RC,439,Conformity evaluation ,,,82.14,82.14,1
RC,439,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,439,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,439,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,439,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,439,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,439,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,439,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,439,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,439,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,439,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,439,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,439,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,439,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,439,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,439,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,439,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,439,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,439,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,439,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,439,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,439,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,439,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,439,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,439,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,439,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,439,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,439,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,439,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,439,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,439,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,439,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,439,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,439,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,439,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,439,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,439,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,439,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,439,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,439,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,439,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,439,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,439,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,439,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,439,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,439,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,439,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,439,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,439,Electrocochleography ,,,211.05,211.05,1
RC,439,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,439,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,439,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,439,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,439,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,439,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,439,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,439,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,439,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,439,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,439,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,439,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,439,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,439,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,439,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,439,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,439,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,439,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,439,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,439,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,439,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,439,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,439,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,439,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,439,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,439,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,439,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,439,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,439,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,439,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,439,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,439,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,439,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,439,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,439,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,439,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,439,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,439,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,439,Filtered speech test ,,,59.78,59.78,1
RC,439,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,439,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,439,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,439,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,439,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,439,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,439,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,439,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,439,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,439,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,439,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,439,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,439,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,439,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,439,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,439,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,439,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,439,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,439,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,439,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,439,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,439,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,439,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,439,Hearing screening ,,,71.4,71.4,1
RC,439,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,439,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,439,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,439,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,439,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,439,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,439,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,439,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,439,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,439,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,439,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,439,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,439,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,439,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,439,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,439,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,439,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,439,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,439,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,439,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,439,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,439,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,439,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,439,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,439,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,439,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,439,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,439,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,439,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,439,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,439,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,439,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,439,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,439,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,439,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,439,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,439,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,439,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,439,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,439,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,439,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,439,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,439,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,439,Needle electromyography; larynx ,,,122.95,122.95,1
RC,439,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,439,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,439,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,439,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,439,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,439,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,439,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,439,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,439,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,439,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,439,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,439,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,439,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,439,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,439,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,439,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,439,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,439,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,439,Ophthalmodynamometry ,,,37.23,37.23,1
RC,439,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,439,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,439,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,439,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,439,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,439,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,439,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,439,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,439,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,439,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,439,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,439,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,439,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,439,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,439,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,439,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,439,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,439,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,439,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,439,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,439,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,439,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,439,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,439,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,439,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,439,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,439,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,439,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,439,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,439,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,439,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,439,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,439,Positional nystagmus test ,,,34.86,34.86,1
RC,439,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,439,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,439,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,439,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,439,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,439,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,439,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,439,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,439,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,439,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,439,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,439,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,439,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,439,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,439,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,439,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,439,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,439,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,439,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,439,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,439,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,439,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,439,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,439,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,439,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,439,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,439,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,439,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,439,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,439,Select picture audiometry ,,,112.2,112.2,1
RC,439,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,439,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,439,Sensorineural acuity level test ,,,139.76,139.76,1
RC,439,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,439,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,439,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,439,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,439,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,439,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,439,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,439,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,439,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,439,Speech audiometry threshold; ,,,57.25,57.25,1
RC,439,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,439,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,439,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,439,Staggered spondaic word test ,,,107.8,107.8,1
RC,439,"Stenger test, pure tone ",,,41.44,41.44,1
RC,439,"Stenger test, speech ",,,43.34,43.34,1
RC,439,Synthetic sentence identification test ,,,85.67,85.67,1
RC,439,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,439,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,439,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,439,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,439,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,439,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,439,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,439,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,439,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,439,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,439,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,439,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,439,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,439,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,439,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,439,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,439,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,439,Tone decay test ,,,67.36,67.36,1
RC,439,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,439,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,439,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,439,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,439,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,439,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,439,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,439,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,439,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,439,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,439,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,439,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,439,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,439,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,439,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,439,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,439,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,439,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,439,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,439,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,439,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,439,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,439,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,439,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,439,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,440, Speech Therapy - Language Pathology General Classification  ,,,63.0,203.0,5
RC,440,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,440,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,440,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,440,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,440,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,440,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,440,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,440,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,440,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,440,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,440,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,440,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,440,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,440,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,440,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,440,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,440,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,440,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,440,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,440,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,440,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,440,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,440,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,440,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,440,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,440,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,440,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,440,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,440,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,440,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,440,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,440,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,440,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,440,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,440,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,440,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,440,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,440,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,440,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,440,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,440,Assessment for hearing aid ,,,93.5,93.5,1
RC,440,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,440,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,440,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,440,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,440,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,440,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,440,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,440,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,440,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,440,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,440,Biofeedback training by any modality ,,,79.59,79.59,1
RC,440,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,440,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,440,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,440,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,440,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,440,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,440,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,440,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,440,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,440,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,440,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,440,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,440,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,440,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,440,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,440,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,440,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,440,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,440,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,440,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,440,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,440,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,440,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,440,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,440,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,440,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,440,Conditioning play audiometry ,,,169.08,169.08,1
RC,440,Conformity evaluation ,,,82.14,82.14,1
RC,440,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,440,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,440,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,440,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,440,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,440,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,440,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,440,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,440,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,440,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,440,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,440,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,440,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,440,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,440,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,440,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,440,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,440,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,440,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,440,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,440,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,440,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,440,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,440,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,440,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,440,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,440,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,440,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,440,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,440,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,440,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,440,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,440,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,440,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,440,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,440,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,440,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,440,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,440,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,440,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,440,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,440,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,440,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,440,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,440,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,440,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,440,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,440,Electrocochleography ,,,211.05,211.05,1
RC,440,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,440,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,440,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,440,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,440,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,440,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,440,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,440,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,440,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,440,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,440,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,440,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,440,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,440,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,440,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,440,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,440,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,440,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,440,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,440,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,440,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,440,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,440,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,440,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,440,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,440,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,440,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,440,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,440,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,440,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,440,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,440,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,440,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,440,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,440,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,440,Filtered speech test ,,,59.78,59.78,1
RC,440,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,440,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,440,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,440,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,440,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,440,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,440,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,440,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,440,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,440,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,440,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,440,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,440,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,440,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,440,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,440,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,440,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,440,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,440,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,440,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,440,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,440,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,440,Hearing screening ,,,71.4,71.4,1
RC,440,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,440,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,440,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,440,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,440,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,440,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,440,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,440,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,440,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,440,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,440,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,440,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,440,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,440,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,440,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,440,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,440,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,440,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,440,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,440,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,440,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,440,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,440,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,440,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,440,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,440,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,440,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,440,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,440,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,440,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,440,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,440,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,440,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,440,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,440,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,440,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,440,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,440,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,440,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,440,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,440,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,440,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,440,Needle electromyography; larynx ,,,122.95,122.95,1
RC,440,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,440,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,440,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,440,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,440,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,440,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,440,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,440,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,440,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,440,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,440,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,440,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,440,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,440,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,440,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,440,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,440,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,440,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,440,Ophthalmodynamometry ,,,37.23,37.23,1
RC,440,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,440,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,440,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,440,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,440,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,440,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,440,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,440,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,440,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,440,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,440,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,440,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,440,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,440,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,440,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,440,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,440,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,440,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,440,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,440,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,440,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,440,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,440,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,440,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,440,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,440,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,440,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,440,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,440,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,440,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,440,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,440,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,440,Positional nystagmus test ,,,34.86,34.86,1
RC,440,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,440,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,440,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,440,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,440,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,440,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,440,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,440,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,440,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,440,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,440,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,440,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,440,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,440,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,440,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,440,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,440,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,440,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,440,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,440,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,440,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,440,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,440,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,440,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,440,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,440,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,440,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,440,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,440,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,440,Select picture audiometry ,,,112.2,112.2,1
RC,440,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,440,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,440,Sensorineural acuity level test ,,,139.76,139.76,1
RC,440,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,440,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,440,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,440,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,440,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,440,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,440,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,440,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,440,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,440,Speech audiometry threshold; ,,,57.25,57.25,1
RC,440,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,440,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,440,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,440,Staggered spondaic word test ,,,107.8,107.8,1
RC,440,"Stenger test, pure tone ",,,41.44,41.44,1
RC,440,"Stenger test, speech ",,,43.34,43.34,1
RC,440,Synthetic sentence identification test ,,,85.67,85.67,1
RC,440,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,440,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,440,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,440,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,440,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,440,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,45.76,45.76,1
RC,440,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,440,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,440,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,440,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,440,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,440,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,440,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,440,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,440,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,440,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,440,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,440,Tone decay test ,,,67.36,67.36,1
RC,440,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,440,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,440,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,440,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,440,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,440,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,440,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,440,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,440,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,440,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,440,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,440,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,440,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,440,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,440,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,440,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,440,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,440,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,440,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,440,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,440,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,440,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,441, Speech Therapy - Language Pathology Visit  ,,,63.0,203.0,5
RC,441,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,441,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,441,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,441,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,441,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,441,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,441,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,441,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,441,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,441,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,441,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,441,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,441,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,441,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,441,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,441,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,441,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,441,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,441,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,441,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,441,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,441,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,441,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,441,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,441,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,441,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,441,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,441,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,441,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,441,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,441,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,441,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,441,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,441,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,441,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,441,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,441,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,441,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,441,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,441,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,441,Assessment for hearing aid ,,,93.5,93.5,1
RC,441,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,441,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,441,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,441,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,441,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,441,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,441,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,441,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,441,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,441,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,441,Biofeedback training by any modality ,,,79.59,79.59,1
RC,441,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,441,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,441,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,441,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,441,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,441,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,441,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,441,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,441,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,441,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,441,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,441,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,441,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,441,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,441,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,441,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,441,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,441,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,441,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,441,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,441,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,441,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,441,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,441,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,441,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,441,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,441,Conditioning play audiometry ,,,169.08,169.08,1
RC,441,Conformity evaluation ,,,82.14,82.14,1
RC,441,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,441,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,441,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,441,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,441,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,441,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,441,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,441,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,441,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,441,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,441,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,441,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,441,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,441,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,441,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,441,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,441,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,441,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,441,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,441,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,441,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,441,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,441,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,441,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,441,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,441,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,441,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,441,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,441,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,441,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,441,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,441,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,441,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,441,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,441,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,441,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,441,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,441,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,441,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,441,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,441,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,441,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,441,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,441,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,441,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,441,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,441,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,441,Electrocochleography ,,,211.05,211.05,1
RC,441,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,441,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,441,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,441,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,441,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,441,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,441,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,441,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,441,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,441,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,441,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,441,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,441,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,441,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,441,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,441,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,441,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,441,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,441,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,441,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,441,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,441,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,441,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,441,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,441,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,441,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,441,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,441,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,441,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,441,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,441,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,441,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,441,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,441,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,441,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,441,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,441,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,441,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,441,Filtered speech test ,,,59.78,59.78,1
RC,441,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,441,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,441,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,441,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,441,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,441,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,441,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,441,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,441,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,441,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,441,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,441,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,441,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,441,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,441,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,441,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,441,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,441,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,441,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,441,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,441,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,441,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,441,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,441,Hearing screening ,,,71.4,71.4,1
RC,441,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,441,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,441,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,441,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,441,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,441,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,441,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,441,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,441,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,441,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,441,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,441,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,441,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,441,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,441,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,441,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,441,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,441,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,441,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,441,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,441,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,441,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,441,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,441,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,441,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,441,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,441,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,441,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,441,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,441,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,441,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,441,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,441,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,441,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,441,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,441,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,441,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,441,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,441,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,441,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,441,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,441,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,441,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,441,Needle electromyography; larynx ,,,122.95,122.95,1
RC,441,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,441,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,441,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,441,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,441,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,441,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,441,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,441,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,441,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,441,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,441,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,441,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,441,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,441,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,441,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,441,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,441,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,441,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,441,Ophthalmodynamometry ,,,37.23,37.23,1
RC,441,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,441,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,441,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,441,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,441,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,441,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,441,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,441,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,441,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,441,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,441,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,441,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,441,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,441,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,441,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,441,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,441,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,441,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,441,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,441,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,441,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,441,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,441,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,441,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,441,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,441,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,441,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,441,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,441,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,441,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,441,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,441,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,441,Positional nystagmus test ,,,34.86,34.86,1
RC,441,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,441,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,441,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,441,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,441,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,441,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,441,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,441,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,441,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,441,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,441,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,441,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,441,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,441,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,441,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,441,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,441,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,441,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,441,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,441,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,441,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,441,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,441,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,441,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,441,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,441,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,441,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,441,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,441,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,441,Select picture audiometry ,,,112.2,112.2,1
RC,441,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,441,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,441,Sensorineural acuity level test ,,,139.76,139.76,1
RC,441,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,441,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,441,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,441,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,441,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,441,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,441,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,441,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,441,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,441,Speech audiometry threshold; ,,,57.25,57.25,1
RC,441,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,441,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,441,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,441,Staggered spondaic word test ,,,107.8,107.8,1
RC,441,"Stenger test, pure tone ",,,41.44,41.44,1
RC,441,"Stenger test, speech ",,,43.34,43.34,1
RC,441,Synthetic sentence identification test ,,,85.67,85.67,1
RC,441,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,441,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,441,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,441,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,441,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,441,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,441,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,441,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,441,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,441,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,441,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,441,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,441,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,441,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,441,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,441,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,441,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,441,Tone decay test ,,,67.36,67.36,1
RC,441,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,441,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,441,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,441,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,441,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,441,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,441,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,441,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,441,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,441,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,441,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,441,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,441,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,441,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,441,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,441,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,441,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,441,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,441,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,441,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,441,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,441,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,441,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,441,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,441,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,442, Speech Therapy - Language Pathology Hourly  ,,,63.0,203.0,5
RC,442,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,442,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,442,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,442,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,442,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,442,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,442,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,442,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,442,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,442,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,442,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,442,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,442,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,442,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,442,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,442,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,442,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,442,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,442,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,442,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,442,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,442,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,442,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,442,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,442,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,442,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,442,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,442,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,442,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,442,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,442,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,442,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,442,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,442,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,442,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,442,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,442,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,442,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,442,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,442,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,442,Assessment for hearing aid ,,,93.5,93.5,1
RC,442,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,442,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,442,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,442,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,442,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,442,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,442,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,442,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,442,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,442,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,442,Biofeedback training by any modality ,,,79.59,79.59,1
RC,442,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,442,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,442,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,442,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,442,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,442,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,442,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,442,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,442,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,442,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,442,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,442,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,442,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,442,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,442,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,442,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,442,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,442,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,442,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,442,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,442,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,442,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,442,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,442,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,442,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,442,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,442,Conditioning play audiometry ,,,169.08,169.08,1
RC,442,Conformity evaluation ,,,82.14,82.14,1
RC,442,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,442,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,442,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,442,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,442,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,442,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,442,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,442,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,442,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,442,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,442,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,442,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,442,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,442,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,442,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,442,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,442,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,442,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,442,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,442,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,442,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,442,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,442,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,442,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,442,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,442,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,442,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,442,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,442,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,442,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,442,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,442,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,442,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,442,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,442,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,442,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,442,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,442,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,442,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,442,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,442,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,442,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,442,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,442,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,442,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,442,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,442,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,442,Electrocochleography ,,,211.05,211.05,1
RC,442,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,442,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,442,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,442,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,442,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,442,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,442,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,442,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,442,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,442,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,442,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,442,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,442,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,442,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,442,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,442,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,442,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,442,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,442,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,442,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,442,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,442,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,442,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,442,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,442,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,442,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,442,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,442,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,442,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,442,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,442,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,442,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,442,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,442,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,442,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,442,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,442,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,442,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,442,Filtered speech test ,,,59.78,59.78,1
RC,442,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,442,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,442,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,442,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,442,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,442,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,442,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,442,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,442,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,442,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,442,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,442,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,442,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,442,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,442,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,442,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,442,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,442,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,442,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,442,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,442,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,442,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,442,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,442,Hearing screening ,,,71.4,71.4,1
RC,442,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,442,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,442,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,442,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,442,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,442,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,442,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,442,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,442,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,442,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,442,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,442,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,442,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,442,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,442,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,442,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,442,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,442,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,442,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,442,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,442,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,442,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,442,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,442,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,442,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,442,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,442,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,442,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,442,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,442,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,442,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,442,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,442,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,442,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,442,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,442,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,442,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,442,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,442,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,442,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,442,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,442,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,442,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,442,Needle electromyography; larynx ,,,122.95,122.95,1
RC,442,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,442,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,442,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,442,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,442,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,442,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,442,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,442,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,442,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,442,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,442,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,442,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,442,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,442,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,442,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,442,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,442,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,442,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,442,Ophthalmodynamometry ,,,37.23,37.23,1
RC,442,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,442,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,442,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,442,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,442,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,442,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,442,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,442,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,442,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,442,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,442,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,442,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,442,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,442,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,442,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,442,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,442,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,442,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,442,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,442,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,442,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,442,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,442,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,442,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,442,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,442,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,442,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,442,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,442,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,442,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,442,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,442,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,442,Positional nystagmus test ,,,34.86,34.86,1
RC,442,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,442,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,442,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,442,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,442,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,442,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,442,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,442,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,442,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,442,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,442,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,442,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,442,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,442,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,442,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,442,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,442,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,442,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,442,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,442,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,442,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,442,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,442,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,442,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,442,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,442,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,442,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,442,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,442,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,442,Select picture audiometry ,,,112.2,112.2,1
RC,442,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,442,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,442,Sensorineural acuity level test ,,,139.76,139.76,1
RC,442,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,442,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,442,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,442,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,442,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,442,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,442,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,442,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,442,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,442,Speech audiometry threshold; ,,,57.25,57.25,1
RC,442,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,442,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,442,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,442,Staggered spondaic word test ,,,107.8,107.8,1
RC,442,"Stenger test, pure tone ",,,41.44,41.44,1
RC,442,"Stenger test, speech ",,,43.34,43.34,1
RC,442,Synthetic sentence identification test ,,,85.67,85.67,1
RC,442,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,442,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,442,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,442,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,442,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,442,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,442,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,442,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,442,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,442,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,442,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,442,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,442,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,442,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,442,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,442,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,442,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,442,Tone decay test ,,,67.36,67.36,1
RC,442,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,442,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,442,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,442,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,442,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,442,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,442,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,442,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,442,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,442,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,442,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,442,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,442,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,442,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,442,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,442,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,442,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,442,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,442,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,442,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,442,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,442,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,442,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,442,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,442,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,443, Speech Therapy - Language Pathology Group  ,,,63.0,203.0,5
RC,443,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,443,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,443,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,443,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,443,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,443,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,443,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,443,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,443,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,443,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,443,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,443,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,443,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,443,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,443,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,443,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,443,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,443,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,443,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,443,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,443,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,443,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,443,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,443,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,443,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,443,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,443,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,443,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,443,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,443,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,443,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,443,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,443,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,443,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,443,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,443,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,443,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,443,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,443,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,443,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,443,Assessment for hearing aid ,,,93.5,93.5,1
RC,443,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,443,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,443,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,443,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,443,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,443,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,443,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,443,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,443,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,443,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,443,Biofeedback training by any modality ,,,79.59,79.59,1
RC,443,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,443,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,443,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,443,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,443,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,443,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,443,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,443,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,443,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,443,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,443,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,443,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,443,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,443,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,443,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,443,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,443,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,443,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,443,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,443,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,443,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,443,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,443,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,443,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,443,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,443,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,443,Conditioning play audiometry ,,,169.08,169.08,1
RC,443,Conformity evaluation ,,,82.14,82.14,1
RC,443,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,443,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,443,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,443,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,443,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,443,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,443,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,443,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,443,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,443,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,443,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,443,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,443,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,443,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,443,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,443,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,443,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,443,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,443,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,443,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,443,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,443,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,443,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,443,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,443,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,443,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,443,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,443,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,443,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,443,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,443,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,443,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,443,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,443,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,443,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,443,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,443,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,443,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,443,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,443,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,443,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,443,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,443,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,443,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,443,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,443,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,443,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,443,Electrocochleography ,,,211.05,211.05,1
RC,443,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,443,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,443,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,443,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,443,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,443,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,443,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,443,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,443,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,443,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,443,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,443,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,443,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,443,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,443,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,443,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,443,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,443,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,443,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,443,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,443,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,443,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,443,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,443,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,443,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,443,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,443,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,443,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,443,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,443,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,443,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,443,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,443,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,443,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,443,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,443,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,443,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,443,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,443,Filtered speech test ,,,59.78,59.78,1
RC,443,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,443,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,443,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,443,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,443,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,443,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,443,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,443,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,443,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,443,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,443,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,443,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,443,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,443,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,443,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,443,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,443,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,443,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,443,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,443,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,443,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,443,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,443,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,443,Hearing screening ,,,71.4,71.4,1
RC,443,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,443,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,443,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,443,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,443,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,443,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,443,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,443,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,443,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,443,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,443,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,443,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,443,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,443,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,443,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,443,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,443,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,443,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,443,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,443,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,443,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,443,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,443,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,443,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,443,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,443,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,443,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,443,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,443,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,443,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,443,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,443,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,443,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,443,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,443,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,443,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,443,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,443,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,443,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,443,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,443,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,443,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,443,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,443,Needle electromyography; larynx ,,,122.95,122.95,1
RC,443,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,443,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,443,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,443,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,443,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,443,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,443,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,443,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,443,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,443,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,443,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,443,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,443,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,443,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,443,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,443,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,443,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,443,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,443,Ophthalmodynamometry ,,,37.23,37.23,1
RC,443,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,443,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,443,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,443,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,443,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,443,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,443,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,443,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,443,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,443,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,443,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,443,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,443,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,443,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,443,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,443,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,443,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,443,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,443,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,443,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,443,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,443,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,443,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,443,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,443,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,443,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,443,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,443,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,443,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,443,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,443,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,443,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,443,Positional nystagmus test ,,,34.86,34.86,1
RC,443,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,443,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,443,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,443,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,443,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,443,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,443,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,443,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,443,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,443,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,443,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,443,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,443,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,443,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,443,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,443,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,443,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,443,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,443,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,443,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,443,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,443,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,443,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,443,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,443,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,443,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,443,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,443,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,443,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,443,Select picture audiometry ,,,112.2,112.2,1
RC,443,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,443,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,443,Sensorineural acuity level test ,,,139.76,139.76,1
RC,443,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,443,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,443,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,443,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,443,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,443,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,443,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,443,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,443,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,443,Speech audiometry threshold; ,,,57.25,57.25,1
RC,443,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,443,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,443,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,443,Staggered spondaic word test ,,,107.8,107.8,1
RC,443,"Stenger test, pure tone ",,,41.44,41.44,1
RC,443,"Stenger test, speech ",,,43.34,43.34,1
RC,443,Synthetic sentence identification test ,,,85.67,85.67,1
RC,443,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,443,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,443,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,443,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,443,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,443,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,443,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,443,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,443,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,443,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,443,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,443,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,443,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,443,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,443,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,443,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,443,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,443,Tone decay test ,,,67.36,67.36,1
RC,443,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,443,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,443,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,443,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,443,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,443,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,443,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,443,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,443,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,443,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,443,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,443,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,443,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,443,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,443,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,443,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,443,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,443,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,443,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,443,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,443,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,443,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,443,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,443,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,443,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,444, Speech Therapy - Language Pathology Evaluation or Reevaluation  ,,,63.0,203.0,5
RC,444,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,444,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,444,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,444,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,444,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,444,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,444,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,444,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,444,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,444,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,444,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,444,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,444,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,444,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,444,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,444,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,444,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,444,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,444,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,444,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,444,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,444,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,444,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,444,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,444,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,444,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,444,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,444,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,444,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,444,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,444,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,444,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,444,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,444,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,444,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,444,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,444,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,444,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,444,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,444,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,444,Assessment for hearing aid ,,,93.5,93.5,1
RC,444,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,444,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,444,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,444,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,444,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,444,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,444,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,444,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,444,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,444,Biofeedback training by any modality ,,,79.59,79.59,1
RC,444,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,444,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,444,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,444,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,444,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,444,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,444,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,444,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,444,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,444,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,444,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,444,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,444,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,444,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,444,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,444,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,444,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,444,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,444,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,444,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,444,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,444,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,444,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,444,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,444,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,444,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,444,Conditioning play audiometry ,,,169.08,169.08,1
RC,444,Conformity evaluation ,,,82.14,82.14,1
RC,444,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,444,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,444,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,444,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,444,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,444,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,444,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,444,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,444,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,444,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,444,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,444,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,444,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,444,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,444,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,444,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,444,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,444,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,444,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,444,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,444,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,444,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,444,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,444,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,444,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,444,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,444,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,444,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,444,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,444,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,444,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,444,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,444,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,444,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,444,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,444,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,444,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,444,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,444,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,444,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,444,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,444,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,444,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,444,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,444,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,444,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,444,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,444,Electrocochleography ,,,211.05,211.05,1
RC,444,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,444,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,444,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,444,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,444,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,444,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,444,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,444,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,444,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,444,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,444,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,444,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,444,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,444,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,444,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,444,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,444,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,444,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,444,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,444,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,444,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,444,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,444,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,444,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,444,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,444,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,444,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,444,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,444,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,444,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,444,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,444,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,444,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,444,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,444,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,444,Filtered speech test ,,,59.78,59.78,1
RC,444,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,444,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,444,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,444,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,444,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,444,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,444,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,444,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,444,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,444,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,444,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,444,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,444,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,444,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,444,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,444,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,444,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,444,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,444,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,444,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,444,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,444,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,444,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,444,Hearing screening ,,,71.4,71.4,1
RC,444,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,444,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,444,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,444,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,444,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,444,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,444,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,444,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,444,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,444,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,444,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,444,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,444,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,444,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,444,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,444,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,444,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,444,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,444,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,444,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,444,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,444,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,444,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,444,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,444,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,444,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,444,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,444,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,444,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,444,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,444,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,444,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,444,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,444,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,444,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,444,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,444,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,444,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,444,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,444,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,444,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,444,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,444,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,444,Needle electromyography; larynx ,,,122.95,122.95,1
RC,444,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,444,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,444,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,444,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,444,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,444,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,444,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,444,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,444,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,444,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,444,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,444,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,444,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,444,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,444,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,444,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,444,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,444,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,444,Ophthalmodynamometry ,,,37.23,37.23,1
RC,444,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,444,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,444,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,444,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,444,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,444,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,444,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,444,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,444,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,444,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,444,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,444,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,444,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,444,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,444,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,444,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,444,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,444,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,444,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,444,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,444,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,444,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,444,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,444,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,444,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,444,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,444,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,444,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,444,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,444,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,444,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,444,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,444,Positional nystagmus test ,,,34.86,34.86,1
RC,444,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,444,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,444,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,444,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,444,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,444,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,444,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,444,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,444,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,444,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,444,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,444,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,444,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,444,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,444,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,444,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,444,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,444,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,444,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,444,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,444,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,444,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,444,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,444,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,444,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,444,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,444,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,444,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,444,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,444,Select picture audiometry ,,,112.2,112.2,1
RC,444,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,444,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,444,Sensorineural acuity level test ,,,139.76,139.76,1
RC,444,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,444,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,444,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,444,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,444,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,444,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,444,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,444,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,444,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,444,Speech audiometry threshold; ,,,57.25,57.25,1
RC,444,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,444,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,444,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,444,Staggered spondaic word test ,,,107.8,107.8,1
RC,444,"Stenger test, pure tone ",,,41.44,41.44,1
RC,444,"Stenger test, speech ",,,43.34,43.34,1
RC,444,Synthetic sentence identification test ,,,85.67,85.67,1
RC,444,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,444,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,444,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,444,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,444,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,444,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,444,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,444,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,444,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,444,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,444,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,444,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,444,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,444,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,444,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,444,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,444,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,444,Tone decay test ,,,67.36,67.36,1
RC,444,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,444,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,444,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,444,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,444,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,444,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,444,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,444,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,444,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,444,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,444,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,444,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,444,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,444,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,444,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,444,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,444,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,444,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,444,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,444,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,444,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,444,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,444,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,444,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,444,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,449, Speech Therapy - Language Pathology Other  ,,,63.0,203.0,5
RC,449,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,449,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,449,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,449,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,449,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,449,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,449,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,449,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,449,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,449,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,449,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,449,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,449,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,449,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,449,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,449,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,449,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,449,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,449,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,449,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,449,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,449,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,449,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,449,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,449,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,449,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,449,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,449,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,449,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,449,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,449,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,449,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,449,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,449,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,449,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,449,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,449,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,449,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,449,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,449,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,449,Assessment for hearing aid ,,,93.5,93.5,1
RC,449,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,449,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,449,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,449,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,449,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,449,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,449,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,449,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,449,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,449,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,449,Biofeedback training by any modality ,,,79.59,79.59,1
RC,449,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,449,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,449,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,449,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,449,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,449,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,449,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,449,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,449,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,449,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,449,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,449,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,449,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,449,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,449,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,449,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,449,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,449,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,449,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,449,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,449,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,449,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,449,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,449,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,449,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,449,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,449,Conditioning play audiometry ,,,169.08,169.08,1
RC,449,Conformity evaluation ,,,82.14,82.14,1
RC,449,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,449,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,449,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,449,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,449,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,449,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,449,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,449,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,449,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,449,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,449,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,449,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,449,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,449,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,449,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,449,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,449,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,449,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,449,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,449,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,449,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,449,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,449,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,449,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,449,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,449,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,449,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,449,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,449,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,449,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,449,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,449,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,449,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,449,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,449,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,449,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,449,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,449,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,449,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,449,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,449,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,449,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,449,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,449,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,449,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,449,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,449,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,449,Electrocochleography ,,,211.05,211.05,1
RC,449,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,449,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,449,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,449,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,449,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,449,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,449,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,449,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,449,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,449,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,449,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,449,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,449,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,449,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,449,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,449,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,449,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,449,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,449,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,449,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,449,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,449,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,449,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,449,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,449,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,449,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,449,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,449,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,449,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,449,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,449,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,449,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,449,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,449,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,449,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,449,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,449,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,449,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,449,Filtered speech test ,,,59.78,59.78,1
RC,449,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,449,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,449,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,449,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,449,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,449,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,449,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,449,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,449,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,449,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,449,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,449,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,449,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,449,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,449,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,449,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,449,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,449,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,449,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,449,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,449,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,449,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,449,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,449,Hearing screening ,,,71.4,71.4,1
RC,449,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,449,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,449,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,449,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,449,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,449,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,449,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,449,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,449,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,449,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,449,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,449,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,449,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,449,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,449,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,449,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,449,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,449,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,449,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,449,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,449,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,449,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,449,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,449,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,449,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,449,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,449,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,449,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,449,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,449,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,449,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,449,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,449,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,449,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,449,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,449,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,449,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,449,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,449,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,449,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,449,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,449,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,449,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,449,Needle electromyography; larynx ,,,122.95,122.95,1
RC,449,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,449,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,449,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,449,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,449,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,449,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,449,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,449,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,449,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,449,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,449,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,449,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,449,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,449,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,449,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,449,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,449,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,449,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,449,Ophthalmodynamometry ,,,37.23,37.23,1
RC,449,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,449,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,449,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,449,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,449,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,449,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,449,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,449,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,449,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,449,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,449,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,449,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,449,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,449,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,449,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,449,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,449,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,449,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,449,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,449,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,449,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,449,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,449,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,449,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,449,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,449,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,449,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,449,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,449,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,449,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,449,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,449,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,449,Positional nystagmus test ,,,34.86,34.86,1
RC,449,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,449,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,449,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,449,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,449,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,449,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,449,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,449,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,449,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,449,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,449,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,449,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,449,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,449,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,449,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,449,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,449,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,449,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,449,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,449,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,449,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,449,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,449,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,449,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,449,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,449,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,449,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,449,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,449,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,449,Select picture audiometry ,,,112.2,112.2,1
RC,449,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,449,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,449,Sensorineural acuity level test ,,,139.76,139.76,1
RC,449,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,449,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,449,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,449,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,449,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,449,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,449,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,449,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,449,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,449,Speech audiometry threshold; ,,,57.25,57.25,1
RC,449,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,449,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,449,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,449,Staggered spondaic word test ,,,107.8,107.8,1
RC,449,"Stenger test, pure tone ",,,41.44,41.44,1
RC,449,"Stenger test, speech ",,,43.34,43.34,1
RC,449,Synthetic sentence identification test ,,,85.67,85.67,1
RC,449,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,449,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,449,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,449,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,449,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,449,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,449,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,449,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,449,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,449,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,449,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,449,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,449,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,449,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,449,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,449,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,449,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,449,Tone decay test ,,,67.36,67.36,1
RC,449,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,449,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,449,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,449,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,449,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,449,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,449,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,449,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,449,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,449,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,449,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,449,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,449,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,449,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,449,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,449,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,449,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,449,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,449,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,449,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,449,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,449,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,449,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,449,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,449,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,450, Emergency Room General Classification  ,,,172.52,1428.0,20
RC,450, Emergency Room General Classification  Non Emergent,,,75.0,75.0,1
RC,450,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,324.72,5749.0,8
RC,450,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,324.72,5749.0,11
RC,450,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,50.75,1196.0,11
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,324.72,5749.0,11
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,111.63,3212.0,11
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,111.63,3212.0,11
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,50.75,1196.0,11
RC,450,Level 1 Type A ED Visits ,,,88.18,88.18,4
RC,450,Level 1 Type B ED Visits ,,,77.73,77.73,4
RC,450,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,1155.0,10
RC,450,Level 2 Type A ED Visits ,,,160.56,160.56,4
RC,450,Level 2 Type B ED Visits ,,,97.14,97.14,4
RC,450,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,1155.0,10
RC,450,Level 3 Type A ED Visits ,,,285.46,285.46,4
RC,450,Level 3 Type B ED Visits ,,,179.75,179.75,4
RC,450,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,10
RC,450,Level 4 Type A ED Visits ,,,436.34,436.34,4
RC,450,Level 4 Type B ED Visits ,,,276.39,276.39,4
RC,450,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,10
RC,450,Level 5 Type A ED Visits ,,,622.76,622.76,4
RC,450,Level 5 Type B ED Visits ,,,429.5,429.5,4
RC,450,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,324.72,5749.0,10
RC,451, Emergency Room EMTALA Emergency Medical Screening  ,,,172.52,1428.0,20
RC,451, Emergency Room EMTALA Emergency Medical Screening  Non Emergent,,,75.0,75.0,1
RC,451,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,324.72,5749.0,8
RC,451,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,324.72,5749.0,8
RC,451,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,50.75,1196.0,8
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,324.72,5749.0,8
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,111.63,3212.0,8
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,111.63,3212.0,8
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,50.75,1196.0,8
RC,451,Level 1 Type A ED Visits ,,,88.18,88.18,4
RC,451,Level 1 Type B ED Visits ,,,77.73,77.73,4
RC,451,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,876.0,7
RC,451,Level 2 Type A ED Visits ,,,160.56,160.56,4
RC,451,Level 2 Type B ED Visits ,,,97.14,97.14,4
RC,451,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,1123.0,7
RC,451,Level 3 Type A ED Visits ,,,285.46,285.46,4
RC,451,Level 3 Type B ED Visits ,,,179.75,179.75,4
RC,451,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,7
RC,451,Level 4 Type A ED Visits ,,,436.34,436.34,4
RC,451,Level 4 Type B ED Visits ,,,276.39,276.39,4
RC,451,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,7
RC,451,Level 5 Type A ED Visits ,,,622.76,622.76,4
RC,451,Level 5 Type B ED Visits ,,,429.5,429.5,4
RC,451,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,324.72,5749.0,7
RC,452, Emergency Room ER Beyond EMTALA  ,,,172.52,4060.0,21
RC,452, Emergency Room ER Beyond EMTALA  Non Emergent,,,75.0,75.0,1
RC,452,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,324.72,5749.0,8
RC,452,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,324.72,5749.0,9
RC,452,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,50.75,1196.0,9
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,324.72,5749.0,9
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,111.63,3212.0,9
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,111.63,3212.0,9
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,50.75,1196.0,9
RC,452,Level 1 Type A ED Visits ,,,88.18,88.18,4
RC,452,Level 1 Type B ED Visits ,,,77.73,77.73,4
RC,452,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,876.0,8
RC,452,Level 2 Type A ED Visits ,,,160.56,160.56,4
RC,452,Level 2 Type B ED Visits ,,,97.14,97.14,4
RC,452,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,1123.0,8
RC,452,Level 3 Type A ED Visits ,,,285.46,285.46,4
RC,452,Level 3 Type B ED Visits ,,,179.75,179.75,4
RC,452,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,8
RC,452,Level 4 Type A ED Visits ,,,436.34,436.34,4
RC,452,Level 4 Type B ED Visits ,,,276.39,276.39,4
RC,452,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,8
RC,452,Level 5 Type A ED Visits ,,,622.76,622.76,4
RC,452,Level 5 Type B ED Visits ,,,429.5,429.5,4
RC,452,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,324.72,5749.0,8
RC,456, Emergency Room Urgent Care  ,,,65.0,1428.0,18
RC,456, Emergency Room Urgent Care  Non Emergent,,,75.0,75.0,1
RC,456,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,950.0,950.0,1
RC,456,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,950.0,4440.0,3
RC,456,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,400.0,1155.0,3
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,950.0,4440.0,3
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,775.0,2735.0,3
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,775.0,2972.0,3
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,400.0,1155.0,3
RC,456,Level 1 Type A ED Visits ,,,88.18,88.18,4
RC,456,Level 1 Type B ED Visits ,,,77.73,77.73,4
RC,456,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,400.0,1155.0,3
RC,456,Level 2 Type A ED Visits ,,,160.56,160.56,4
RC,456,Level 2 Type B ED Visits ,,,97.14,97.14,4
RC,456,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,400.0,1155.0,3
RC,456,Level 3 Type A ED Visits ,,,285.46,285.46,4
RC,456,Level 3 Type B ED Visits ,,,179.75,179.75,4
RC,456,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,775.0,2735.0,3
RC,456,Level 4 Type A ED Visits ,,,436.34,436.34,4
RC,456,Level 4 Type B ED Visits ,,,276.39,276.39,4
RC,456,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,775.0,2972.0,3
RC,456,Level 5 Type A ED Visits ,,,622.76,622.76,4
RC,456,Level 5 Type B ED Visits ,,,429.5,429.5,4
RC,456,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,950.0,4440.0,3
RC,459, Emergency Room Other  ,,,172.52,1428.0,20
RC,459, Emergency Room Other  Non Emergent,,,75.0,75.0,1
RC,459,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,324.72,5749.0,8
RC,459,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,324.72,5749.0,9
RC,459,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,50.75,1196.0,9
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,324.72,5749.0,9
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,111.63,3212.0,9
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,111.63,3212.0,9
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,50.75,1196.0,9
RC,459,Level 1 Type A ED Visits ,,,88.18,88.18,4
RC,459,Level 1 Type B ED Visits ,,,77.73,77.73,4
RC,459,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,876.0,8
RC,459,Level 2 Type A ED Visits ,,,160.56,160.56,4
RC,459,Level 2 Type B ED Visits ,,,97.14,97.14,4
RC,459,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,50.75,1123.0,8
RC,459,Level 3 Type A ED Visits ,,,285.46,285.46,4
RC,459,Level 3 Type B ED Visits ,,,179.75,179.75,4
RC,459,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,8
RC,459,Level 4 Type A ED Visits ,,,436.34,436.34,4
RC,459,Level 4 Type B ED Visits ,,,276.39,276.39,4
RC,459,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,111.63,3212.0,8
RC,459,Level 5 Type A ED Visits ,,,622.76,622.76,4
RC,459,Level 5 Type B ED Visits ,,,429.5,429.5,4
RC,459,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,324.72,5749.0,8
RC,460, Pulmonary Function General Classification  ,,,746.0,995.0,3
RC,469, Pulmonary Function Other  ,,,746.0,995.0,3
RC,470, Audiology General Classification  ,,,524.0,699.0,3
RC,470,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,470,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,470,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,470,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,470,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,470,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,470,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,470,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,470,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,470,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,470,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,470,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,470,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,470,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,470,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,470,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,470,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,470,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,470,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,470,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,470,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,470,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,470,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,470,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,470,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,470,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,470,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,470,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,470,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,470,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,470,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,470,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,470,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,470,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,470,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,470,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,470,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,470,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,470,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,470,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,470,Assessment for hearing aid ,,,93.5,93.5,1
RC,470,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,470,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,470,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,470,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,470,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,470,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,470,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,470,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,470,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,470,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,470,Biofeedback training by any modality ,,,79.59,79.59,1
RC,470,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,470,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,470,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,470,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,470,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,470,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,470,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,470,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,470,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,470,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,470,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,470,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,470,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,470,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,470,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,470,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,470,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,470,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,470,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,470,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,470,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,470,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,470,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,470,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,470,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,470,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,470,Conditioning play audiometry ,,,169.08,169.08,1
RC,470,Conformity evaluation ,,,82.14,82.14,1
RC,470,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,470,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,470,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,470,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,470,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,470,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,470,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,470,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,470,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,470,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,470,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,470,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,470,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,470,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,470,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,470,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,470,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,470,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,470,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,470,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,470,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,470,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,470,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,470,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,470,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,470,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,470,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,470,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,470,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,470,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,470,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,470,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,470,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,470,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,470,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,470,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,470,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,470,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,470,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,470,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,470,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,470,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,470,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,470,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,470,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,470,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,470,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,470,Electrocochleography ,,,211.05,211.05,1
RC,470,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,470,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,470,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,470,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,470,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,470,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,470,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,470,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,470,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,470,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,470,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,470,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,470,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,470,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,470,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,470,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,470,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,470,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,470,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,470,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,470,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,470,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,470,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,470,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,470,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,470,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,470,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,470,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,470,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,470,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,470,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,470,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,470,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,470,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,470,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,470,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,470,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,470,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,470,Filtered speech test ,,,59.78,59.78,1
RC,470,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,470,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,470,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,470,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,470,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,470,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,470,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,470,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,470,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,470,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,470,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,470,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,470,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,470,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,470,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,470,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,470,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,470,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,470,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,470,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,470,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,470,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,470,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,470,Hearing screening ,,,71.4,71.4,1
RC,470,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,470,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,470,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,470,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,470,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,470,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,470,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,470,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,470,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,470,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,470,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,470,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,470,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,470,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,470,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,470,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,470,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,470,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,470,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,470,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,470,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,470,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,470,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,470,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,470,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,470,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,470,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,470,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,470,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,470,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,470,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,470,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,470,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,470,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,470,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,470,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,470,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,470,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,470,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,470,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,470,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,470,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,470,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,470,Needle electromyography; larynx ,,,122.95,122.95,1
RC,470,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,470,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,470,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,470,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,470,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,470,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,470,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,470,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,470,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,470,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,470,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,470,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,470,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,470,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,470,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,470,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,470,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,470,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,470,Ophthalmodynamometry ,,,37.23,37.23,1
RC,470,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,470,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,470,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,470,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,470,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,470,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,470,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,470,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,470,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,470,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,470,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,470,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,470,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,470,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,470,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,470,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,470,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,470,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,470,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,470,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,470,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,470,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,470,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,470,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,470,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,470,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,470,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,470,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,470,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,470,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,470,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,470,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,470,Positional nystagmus test ,,,34.86,34.86,1
RC,470,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,470,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,470,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,470,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,470,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,470,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,470,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,470,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,470,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,470,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,470,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,470,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,470,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,470,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,470,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,470,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,470,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,470,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,470,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,470,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,470,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,470,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,470,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,470,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,470,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,470,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,470,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,470,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,470,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,470,Select picture audiometry ,,,112.2,112.2,1
RC,470,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,470,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,470,Sensorineural acuity level test ,,,139.76,139.76,1
RC,470,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,470,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,470,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,470,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,470,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,470,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,470,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,470,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,470,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,470,Speech audiometry threshold; ,,,57.25,57.25,1
RC,470,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,470,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,470,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,470,Staggered spondaic word test ,,,107.8,107.8,1
RC,470,"Stenger test, pure tone ",,,41.44,41.44,1
RC,470,"Stenger test, speech ",,,43.34,43.34,1
RC,470,Synthetic sentence identification test ,,,85.67,85.67,1
RC,470,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,470,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,470,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,470,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,470,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,470,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,470,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,470,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,470,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,470,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,470,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,470,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,470,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,470,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,470,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,470,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,470,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,470,Tone decay test ,,,67.36,67.36,1
RC,470,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,470,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,470,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,470,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,470,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,470,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,470,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,470,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,470,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,470,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,470,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,470,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,470,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,470,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,470,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,470,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,470,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,470,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,470,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,470,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,470,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,470,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,470,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,470,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,470,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,471, Audiology Diagnostic  ,,,524.0,699.0,3
RC,471,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,471,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,471,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,471,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,471,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,471,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,471,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,471,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,471,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,471,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,471,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,471,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,471,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,471,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,471,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,471,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,471,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,471,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,471,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,471,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,471,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,471,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,471,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,471,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,471,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,471,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,471,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,471,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,471,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,471,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,471,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,471,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,471,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,471,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,471,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,471,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,471,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,471,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,471,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,471,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,471,Assessment for hearing aid ,,,93.5,93.5,1
RC,471,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,471,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,471,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,471,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,471,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,471,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,471,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,471,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,471,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,471,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,471,Biofeedback training by any modality ,,,79.59,79.59,1
RC,471,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,471,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,471,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,471,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,471,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,471,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,471,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,471,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,471,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,471,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,471,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,471,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,471,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,471,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,471,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,471,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,471,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,471,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,471,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,471,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,471,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,471,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,471,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,471,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,471,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,471,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,471,Conditioning play audiometry ,,,169.08,169.08,1
RC,471,Conformity evaluation ,,,82.14,82.14,1
RC,471,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,471,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,471,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,471,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,471,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,471,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,471,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,471,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,471,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,471,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,471,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,471,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,471,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,471,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,471,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,471,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,471,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,471,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,471,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,471,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,471,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,471,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,471,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,471,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,471,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,471,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,471,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,471,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,471,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,471,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,471,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,471,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,471,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,471,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,471,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,471,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,471,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,471,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,471,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,471,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,471,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,471,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,471,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,471,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,471,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,471,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,471,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,471,Electrocochleography ,,,211.05,211.05,1
RC,471,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,471,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,471,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,471,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,471,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,471,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,471,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,471,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,471,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,471,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,471,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,471,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,471,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,471,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,471,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,471,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,471,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,471,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,471,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,471,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,471,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,471,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,471,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,471,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,471,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,471,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,471,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,471,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,471,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,471,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,471,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,471,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,471,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,471,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,471,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,471,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,471,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,471,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,471,Filtered speech test ,,,59.78,59.78,1
RC,471,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,471,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,471,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,471,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,471,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,471,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,471,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,471,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,471,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,471,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,471,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,471,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,471,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,471,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,471,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,471,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,471,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,471,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,471,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,471,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,471,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,471,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,471,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,471,Hearing screening ,,,71.4,71.4,1
RC,471,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,471,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,471,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,471,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,471,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,471,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,471,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,471,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,471,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,471,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,471,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,471,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,471,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,471,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,471,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,471,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,471,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,471,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,471,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,471,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,471,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,471,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,471,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,471,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,471,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,471,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,471,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,471,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,471,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,471,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,471,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,471,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,471,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,471,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,471,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,471,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,471,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,471,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,471,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,471,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,471,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,471,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,471,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,471,Needle electromyography; larynx ,,,122.95,122.95,1
RC,471,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,471,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,471,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,471,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,471,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,471,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,471,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,471,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,471,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,471,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,471,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,471,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,471,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,471,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,471,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,471,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,471,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,471,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,471,Ophthalmodynamometry ,,,37.23,37.23,1
RC,471,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,471,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,471,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,471,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,471,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,471,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,471,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,471,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,471,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,471,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,471,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,471,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,471,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,471,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,471,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,471,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,471,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,471,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,471,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,471,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,471,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,471,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,471,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,471,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,471,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,471,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,471,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,471,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,471,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,471,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,471,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,471,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,471,Positional nystagmus test ,,,34.86,34.86,1
RC,471,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,471,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,471,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,471,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,471,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,471,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,471,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,471,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,471,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,471,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,471,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,471,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,471,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,471,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,471,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,471,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,471,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,471,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,471,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,471,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,471,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,471,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,471,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,471,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,471,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,471,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,471,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,471,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,471,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,471,Select picture audiometry ,,,112.2,112.2,1
RC,471,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,471,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,471,Sensorineural acuity level test ,,,139.76,139.76,1
RC,471,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,471,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,471,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,471,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,471,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,471,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,471,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,471,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,471,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,471,Speech audiometry threshold; ,,,57.25,57.25,1
RC,471,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,471,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,471,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,471,Staggered spondaic word test ,,,107.8,107.8,1
RC,471,"Stenger test, pure tone ",,,41.44,41.44,1
RC,471,"Stenger test, speech ",,,43.34,43.34,1
RC,471,Synthetic sentence identification test ,,,85.67,85.67,1
RC,471,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,471,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,471,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,471,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,471,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,471,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,471,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,471,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,471,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,471,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,471,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,471,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,471,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,471,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,471,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,471,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,471,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,471,Tone decay test ,,,67.36,67.36,1
RC,471,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,471,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,471,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,471,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,471,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,471,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,471,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,471,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,471,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,471,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,471,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,471,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,471,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,471,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,471,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,471,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,471,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,471,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,471,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,471,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,471,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,471,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,471,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,471,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,471,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,472, Audiology Treatment  ,,,524.0,699.0,3
RC,472,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,472,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,472,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,472,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,472,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,472,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,472,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,472,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,472,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,472,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,472,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,472,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,472,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,472,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,472,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,472,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,472,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,472,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,472,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,472,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,472,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,472,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,472,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,472,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,472,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,472,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,472,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,472,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,472,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,472,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,472,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,472,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,472,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,472,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,472,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,472,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,472,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,472,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,472,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,472,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,472,Assessment for hearing aid ,,,93.5,93.5,1
RC,472,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,472,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,472,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,472,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,472,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,472,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,472,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,472,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,472,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,472,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,472,Biofeedback training by any modality ,,,79.59,79.59,1
RC,472,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,472,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,472,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,472,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,472,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,472,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,472,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,472,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,472,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,472,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,472,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,472,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,472,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,472,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,472,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,472,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,472,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,472,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,472,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,472,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,472,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,472,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,472,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,472,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,472,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,472,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,472,Conditioning play audiometry ,,,169.08,169.08,1
RC,472,Conformity evaluation ,,,82.14,82.14,1
RC,472,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,472,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,472,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,472,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,472,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,472,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,472,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,472,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,472,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,472,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,472,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,472,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,472,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,472,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,472,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,472,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,472,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,472,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,472,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,472,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,472,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,472,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,472,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,472,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,472,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,472,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,472,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,472,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,472,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,472,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,472,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,472,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,472,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,472,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,472,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,472,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,472,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,472,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,472,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,472,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,472,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,472,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,472,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,472,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,472,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,472,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,472,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,472,Electrocochleography ,,,211.05,211.05,1
RC,472,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,472,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,472,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,472,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,472,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,472,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,472,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,472,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,472,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,472,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,472,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,472,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,472,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,472,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,472,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,472,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,472,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,472,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,472,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,472,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,472,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,472,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,472,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,472,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,472,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,472,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,472,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,472,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,472,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,472,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,472,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,472,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,472,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,472,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,472,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,472,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,472,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,472,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,472,Filtered speech test ,,,59.78,59.78,1
RC,472,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,472,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,472,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,472,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,472,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,472,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,472,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,472,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,472,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,472,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,472,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,472,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,472,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,472,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,472,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,472,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,472,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,472,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,472,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,472,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,472,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,472,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,472,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,472,Hearing screening ,,,71.4,71.4,1
RC,472,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,472,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,472,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,472,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,472,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,472,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,472,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,472,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,472,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,472,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,472,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,472,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,472,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,472,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,472,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,472,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,472,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,472,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,472,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,472,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,472,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,472,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,472,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,472,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,472,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,472,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,472,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,472,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,472,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,472,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,472,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,472,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,472,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,472,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,472,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,472,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,472,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,472,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,472,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,472,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,472,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,472,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,472,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,472,Needle electromyography; larynx ,,,122.95,122.95,1
RC,472,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,472,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,472,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,472,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,472,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,472,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,472,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,472,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,472,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,472,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,472,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,472,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,472,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,472,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,472,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,472,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,472,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,472,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,472,Ophthalmodynamometry ,,,37.23,37.23,1
RC,472,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,472,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,472,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,472,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,472,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,472,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,472,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,472,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,472,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,472,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,472,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,472,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,472,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,472,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,472,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,472,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,472,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,472,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,472,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,472,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,472,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,472,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,472,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,472,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,472,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,472,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,472,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,472,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,472,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,472,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,472,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,472,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,472,Positional nystagmus test ,,,34.86,34.86,1
RC,472,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,472,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,472,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,472,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,472,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,472,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,472,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,472,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,472,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,472,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,472,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,472,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,472,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,472,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,472,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,472,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,472,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,472,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,472,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,472,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,472,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,472,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,472,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,472,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,472,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,472,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,472,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,472,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,472,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,472,Select picture audiometry ,,,112.2,112.2,1
RC,472,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,472,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,472,Sensorineural acuity level test ,,,139.76,139.76,1
RC,472,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,472,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,472,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,472,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,472,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,472,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,472,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,472,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,472,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,472,Speech audiometry threshold; ,,,57.25,57.25,1
RC,472,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,472,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,472,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,472,Staggered spondaic word test ,,,107.8,107.8,1
RC,472,"Stenger test, pure tone ",,,41.44,41.44,1
RC,472,"Stenger test, speech ",,,43.34,43.34,1
RC,472,Synthetic sentence identification test ,,,85.67,85.67,1
RC,472,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,472,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,472,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,472,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,472,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,472,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,472,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,472,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,472,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,472,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,472,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,472,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,472,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,472,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,472,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,472,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,472,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,472,Tone decay test ,,,67.36,67.36,1
RC,472,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,472,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,472,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,472,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,472,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,472,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,472,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,472,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,472,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,472,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,472,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,472,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,472,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,472,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,472,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,472,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,472,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,472,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,472,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,472,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,472,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,472,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,472,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,472,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,472,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,479, Audiology Other  ,,,524.0,699.0,3
RC,479,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,479,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,479,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,479,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,479,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,479,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,479,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,479,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,479,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,479,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,479,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,479,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,479,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,479,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,479,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,479,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,479,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,479,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,479,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,479,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,479,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,479,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,479,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,479,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,479,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,479,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,479,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,479,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,479,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,479,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,479,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,479,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,479,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,479,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,479,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,479,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,479,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,479,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,479,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,479,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,479,Assessment for hearing aid ,,,93.5,93.5,1
RC,479,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,479,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,479,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,479,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,479,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,479,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,479,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,479,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,479,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,479,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,479,Biofeedback training by any modality ,,,79.59,79.59,1
RC,479,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,479,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,479,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,479,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,479,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,479,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,479,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,479,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,479,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,479,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,479,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,479,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,479,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,479,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,479,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,479,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,479,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,479,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,479,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,479,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,479,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,479,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,479,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,479,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,479,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,479,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,479,Conditioning play audiometry ,,,169.08,169.08,1
RC,479,Conformity evaluation ,,,82.14,82.14,1
RC,479,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,479,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,479,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,479,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,479,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,479,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,479,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,479,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,479,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,479,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,479,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,479,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,479,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,479,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,479,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,479,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,479,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,479,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,479,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,479,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,479,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,479,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,479,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,479,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,479,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,479,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,479,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,479,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,479,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,479,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,479,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,479,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,479,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,479,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,479,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,479,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,479,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,479,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,479,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,479,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,479,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,479,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,479,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,479,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,479,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,479,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,479,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,479,Electrocochleography ,,,211.05,211.05,1
RC,479,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,479,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,479,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,479,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,479,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,479,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,479,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,479,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,479,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,479,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,479,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,479,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,479,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,479,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,479,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,479,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,479,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,479,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,479,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,479,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,479,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,479,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,479,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,479,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,479,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,479,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,479,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,479,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,479,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,479,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,479,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,479,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,479,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,479,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,479,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,479,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,479,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,479,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,479,Filtered speech test ,,,59.78,59.78,1
RC,479,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,479,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,479,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,479,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,479,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,479,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,479,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,479,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,479,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,479,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,479,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,479,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,479,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,479,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,479,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,479,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,479,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,479,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,479,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,479,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,479,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,479,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,479,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,479,Hearing screening ,,,71.4,71.4,1
RC,479,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,479,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,479,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,479,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,479,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,479,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,479,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,479,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,479,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,479,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,479,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,479,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,479,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,479,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,479,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,479,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,479,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,479,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,479,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,479,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,479,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,479,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,479,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,479,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,479,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,479,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,479,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,479,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,479,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,479,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,479,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,479,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,479,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,479,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,479,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,479,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,479,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,479,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,479,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,479,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,479,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,479,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,479,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,479,Needle electromyography; larynx ,,,122.95,122.95,1
RC,479,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,479,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,479,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,479,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,479,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,479,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,479,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,479,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,479,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,479,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,479,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,479,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,479,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,479,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,479,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,479,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,479,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,479,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,479,Ophthalmodynamometry ,,,37.23,37.23,1
RC,479,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,479,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,479,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,479,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,479,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,479,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,479,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,479,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,479,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,479,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,479,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,479,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,479,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,479,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,479,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,479,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,479,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,479,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,479,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,479,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,479,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,479,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,479,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,479,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,479,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,479,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,479,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,479,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,479,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,479,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,479,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,479,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,479,Positional nystagmus test ,,,34.86,34.86,1
RC,479,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,479,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,479,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,479,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,479,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,479,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,479,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,479,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,479,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,479,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,479,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,479,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,479,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,479,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,479,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,479,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,479,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,479,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,479,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,479,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,479,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,479,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,479,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,479,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,479,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,479,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,479,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,479,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,479,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,479,Select picture audiometry ,,,112.2,112.2,1
RC,479,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,479,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,479,Sensorineural acuity level test ,,,139.76,139.76,1
RC,479,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,479,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,479,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,479,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,479,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,479,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,479,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,479,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,479,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,479,Speech audiometry threshold; ,,,57.25,57.25,1
RC,479,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,479,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,479,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,479,Staggered spondaic word test ,,,107.8,107.8,1
RC,479,"Stenger test, pure tone ",,,41.44,41.44,1
RC,479,"Stenger test, speech ",,,43.34,43.34,1
RC,479,Synthetic sentence identification test ,,,85.67,85.67,1
RC,479,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,479,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,479,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,479,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,479,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,479,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,479,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,479,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,479,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,479,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,479,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,479,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,479,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,479,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,479,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,479,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,479,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,479,Tone decay test ,,,67.36,67.36,1
RC,479,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,479,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,479,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,479,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,479,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,479,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,479,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,479,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,479,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,479,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,479,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,479,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,479,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,479,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,479,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,479,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,479,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,479,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,479,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,479,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,479,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,479,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,479,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,479,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,479,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,480, Cardiology General Classification  ,,,2631.0,3508.0,3
RC,480, Cardiology General Classification  Behavioral Health,,,,,0
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,5050.0,6446.0,2
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,5050.0,6446.0,2
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,5050.0,6446.0,2
RC,480,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,5050.0,6446.0,2
RC,480,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,8418.0,10746.0,2
RC,480,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,5050.0,6446.0,2
RC,480,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,11418.0,11418.0,1
RC,480,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,11418.0,11418.0,1
RC,480,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1804.0,2303.0,2
RC,480,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1804.0,2303.0,2
RC,480,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,5050.0,6446.0,2
RC,480,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1804.0,2303.0,2
RC,480,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1804.0,2303.0,2
RC,480,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1804.0,2303.0,2
RC,480,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,5050.0,6446.0,2
RC,480,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,5050.0,6446.0,2
RC,480,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1804.0,2303.0,2
RC,480,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,8418.0,10746.0,2
RC,480,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,5956.0,7602.0,2
RC,480,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,1804.0,2303.0,2
RC,480,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,8418.0,10746.0,2
RC,480,Amniocentesis; diagnostic ,,,1804.0,2303.0,2
RC,480,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1804.0,2303.0,2
RC,480,Amputation of penis; complete ,,,1804.0,2303.0,2
RC,480,Amputation of penis; partial ,,,1804.0,2303.0,2
RC,480,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2303.0,2
RC,480,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,5050.0,6446.0,2
RC,480,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,8418.0,10746.0,2
RC,480,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,8418.0,10746.0,2
RC,480,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,2303.0,4
RC,480,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,2303.0,4
RC,480,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1804.0,2303.0,4
RC,480,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1804.0,2303.0,2
RC,480,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1804.0,2303.0,2
RC,480,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1804.0,2303.0,2
RC,480,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,1804.0,2303.0,2
RC,480,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1804.0,2303.0,2
RC,480,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1804.0,2303.0,2
RC,480,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,1804.0,2303.0,2
RC,480,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,5050.0,6446.0,2
RC,480,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,5050.0,6446.0,2
RC,480,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,5050.0,6446.0,2
RC,480,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,5050.0,6446.0,2
RC,480,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,1804.0,2303.0,2
RC,480,"Aspiration and/or injection, thyroid cyst ",,,1804.0,2303.0,2
RC,480,Aspiration of bladder; by needle ,,,1804.0,2303.0,2
RC,480,Aspiration of bladder; by trocar or intracatheter ,,,1804.0,2303.0,2
RC,480,Aspiration of bladder; with insertion of suprapubic catheter ,,,1804.0,2303.0,2
RC,480,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,1804.0,2303.0,2
RC,480,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1804.0,2303.0,2
RC,480,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,1804.0,2303.0,2
RC,480,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1804.0,2303.0,2
RC,480,Biopsy of conjunctiva ,,,1804.0,2303.0,2
RC,480,Biopsy of cornea ,,,1804.0,2303.0,2
RC,480,"Biopsy of epididymis, needle ",,,1804.0,2303.0,2
RC,480,Biopsy of extraocular muscle ,,,1804.0,2303.0,2
RC,480,Biopsy of lacrimal gland ,,,1804.0,2303.0,2
RC,480,Biopsy of lacrimal sac ,,,1804.0,2303.0,2
RC,480,Biopsy of nerve ,,,1804.0,2303.0,2
RC,480,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Biopsy of pancreas, percutaneous needle ",,,1804.0,2303.0,2
RC,480,Biopsy of penis; (separate procedure) ,,,1804.0,2303.0,2
RC,480,Biopsy of penis; deep structures ,,,1804.0,2303.0,2
RC,480,"Biopsy of spinal cord, percutaneous needle ",,,1804.0,2303.0,2
RC,480,"Biopsy of testis, incisional (separate procedure) ",,,1804.0,2303.0,2
RC,480,"Biopsy of testis, needle (separate procedure) ",,,1804.0,2303.0,2
RC,480,Biopsy of urethra ,,,1804.0,2303.0,2
RC,480,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,1804.0,2303.0,2
RC,480,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1804.0,2303.0,2
RC,480,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1804.0,2303.0,2
RC,480,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Biopsy thyroid, percutaneous core needle ",,,1804.0,2303.0,2
RC,480,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,1804.0,2303.0,2
RC,480,"Biopsy, prostate, any approach, nonimaging-guided ",,,1804.0,2303.0,2
RC,480,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,5050.0,6446.0,2
RC,480,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,5050.0,6446.0,2
RC,480,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1804.0,2303.0,2
RC,480,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1804.0,2303.0,2
RC,480,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1804.0,2303.0,2
RC,480,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1804.0,2303.0,2
RC,480,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1804.0,2303.0,2
RC,480,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1804.0,2303.0,2
RC,480,"Bladder irrigation, simple, lavage and/or instillation ",,,1804.0,2303.0,2
RC,480,"Blepharotomy, drainage of abscess, eyelid ",,,1804.0,2303.0,2
RC,480,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,8418.0,10746.0,2
RC,480,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,16049.0,18061.0,2
RC,480,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,8418.0,10746.0,2
RC,480,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,5050.0,6446.0,2
RC,480,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,2303.0,2
RC,480,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,480,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,8418.0,10746.0,2
RC,480,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,2303.0,2
RC,480,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,5050.0,6446.0,2
RC,480,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,5050.0,6446.0,2
RC,480,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,5050.0,6446.0,2
RC,480,Canthoplasty (reconstruction of canthus) ,,,1804.0,2303.0,2
RC,480,Canthotomy (separate procedure) ,,,1804.0,2303.0,2
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,5956.0,7602.0,2
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8418.0,10746.0,2
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,5956.0,10746.0,6
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8418.0,10746.0,2
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,5956.0,10746.0,8
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,5956.0,10746.0,6
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,2303.0,2
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,5956.0,7602.0,2
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8418.0,18061.0,5
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9786.0,18061.0,6
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,5956.0,18061.0,10
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9786.0,18061.0,3
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,5956.0,7602.0,2
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8418.0,10746.0,2
RC,480,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1804.0,2303.0,2
RC,480,Catheterization for collection of specimen(s) (multiple patients) ,,,1804.0,2303.0,2
RC,480,"Catheterization for collection of specimen, single patient, all places of service ",,,1804.0,2303.0,2
RC,480,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1804.0,2303.0,2
RC,480,"Cautery of cervix; cryocautery, initial or repeat ",,,1804.0,2303.0,2
RC,480,Cautery of cervix; electro or thermal ,,,1804.0,2303.0,2
RC,480,Cautery of cervix; laser ablation ,,,1804.0,2303.0,2
RC,480,"Cerclage of cervix, during pregnancy; abdominal ",,,5050.0,6446.0,2
RC,480,"Cerclage of cervix, during pregnancy; vaginal ",,,1804.0,2303.0,2
RC,480,"Cerclage of uterine cervix, nonobstetrical ",,,1804.0,2303.0,2
RC,480,Cesarean delivery only; including postpartum care ,,,5050.0,6446.0,2
RC,480,Change of cystostomy tube; complicated ,,,1804.0,2303.0,2
RC,480,Change of cystostomy tube; simple ,,,1804.0,2303.0,2
RC,480,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,1804.0,2303.0,2
RC,480,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,2303.0,2
RC,480,Chemodenervation of eccrine glands; both axillae ,,,1804.0,2303.0,2
RC,480,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1804.0,2303.0,2
RC,480,Chemodenervation of extraocular muscle ,,,1804.0,2303.0,2
RC,480,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1804.0,2303.0,2
RC,480,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1804.0,2303.0,2
RC,480,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1804.0,2303.0,2
RC,480,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1804.0,2303.0,2
RC,480,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1804.0,2303.0,2
RC,480,Chemodenervation of one extremity; 5 or more muscles ,,,1804.0,2303.0,2
RC,480,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1804.0,2303.0,2
RC,480,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1804.0,2303.0,2
RC,480,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1804.0,2303.0,2
RC,480,"Chromotubation of oviduct, including materials ",,,5050.0,6446.0,2
RC,480,Ciliary body destruction; cryotherapy ,,,1804.0,2303.0,2
RC,480,Ciliary body destruction; cyclodialysis ,,,1804.0,2303.0,2
RC,480,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,1804.0,2303.0,2
RC,480,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,1804.0,2303.0,2
RC,480,Ciliary body destruction; diathermy ,,,1804.0,2303.0,2
RC,480,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,1804.0,2303.0,2
RC,480,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,1804.0,2303.0,2
RC,480,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,1804.0,2303.0,2
RC,480,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1804.0,2303.0,2
RC,480,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,1804.0,2303.0,2
RC,480,Closure of cystostomy (separate procedure) ,,,1804.0,2303.0,2
RC,480,Closure of lacrimal fistula (separate procedure) ,,,5050.0,6446.0,2
RC,480,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1804.0,2303.0,2
RC,480,Closure of rectovaginal fistula; abdominal approach ,,,5050.0,6446.0,2
RC,480,Closure of rectovaginal fistula; vaginal or transanal approach ,,,5050.0,6446.0,2
RC,480,"Closure of the lacrimal punctum; by plug, each ",,,1804.0,2303.0,2
RC,480,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1804.0,2303.0,2
RC,480,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,1804.0,2303.0,2
RC,480,Closure of urethrovaginal fistula; ,,,5050.0,6446.0,2
RC,480,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,5050.0,6446.0,2
RC,480,Closure of vesicouterine fistula; ,,,5050.0,6446.0,2
RC,480,"Closure of vesicovaginal fistula, abdominal approach ",,,5050.0,6446.0,2
RC,480,Closure of vesicovaginal fistula; vaginal approach ,,,5050.0,6446.0,2
RC,480,"Closure postauricular fistula, mastoid (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Cochlear device implantation, with or without mastoidectomy ",,,8418.0,10746.0,2
RC,480,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1804.0,2303.0,2
RC,480,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1804.0,2303.0,2
RC,480,Colorectal cancer screening; flexible sigmoidoscopy ,,,1804.0,2303.0,2
RC,480,Colpocentesis (separate procedure) ,,,1804.0,2303.0,2
RC,480,Colpocleisis (Le Fort type) ,,,5050.0,6446.0,2
RC,480,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,1804.0,2303.0,2
RC,480,"Colpopexy, abdominal approach ",,,5050.0,6446.0,2
RC,480,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,5050.0,6446.0,2
RC,480,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,5050.0,6446.0,2
RC,480,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,5050.0,6446.0,2
RC,480,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,1804.0,2303.0,2
RC,480,Colposcopy of the cervix including upper/adjacent vagina; ,,,1804.0,2303.0,2
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1804.0,2303.0,2
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1804.0,2303.0,2
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1804.0,2303.0,2
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,1804.0,2303.0,2
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,5050.0,6446.0,2
RC,480,"Colposcopy of the entire vagina, with cervix if present; ",,,1804.0,2303.0,2
RC,480,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1804.0,2303.0,2
RC,480,Colposcopy of the vulva; ,,,1804.0,2303.0,2
RC,480,Colposcopy of the vulva; with biopsy(s) ,,,1804.0,2303.0,2
RC,480,Colpotomy; with drainage of pelvic abscess ,,,1804.0,2303.0,2
RC,480,Colpotomy; with exploration ,,,1804.0,2303.0,2
RC,480,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,5050.0,6446.0,2
RC,480,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,8418.0,10746.0,2
RC,480,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9786.0,18061.0,3
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1804.0,2303.0,2
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1804.0,2303.0,2
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1804.0,2303.0,2
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1804.0,2303.0,2
RC,480,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,39148.0,39148.0,2
RC,480,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,39148.0,39148.0,1
RC,480,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,1804.0,2303.0,2
RC,480,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,1804.0,2303.0,2
RC,480,Conjunctival flap; bridge or partial (separate procedure) ,,,1804.0,2303.0,2
RC,480,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,1804.0,2303.0,2
RC,480,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,5050.0,6446.0,2
RC,480,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,5050.0,6446.0,2
RC,480,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,5050.0,6446.0,2
RC,480,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,5050.0,6446.0,2
RC,480,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,5050.0,6446.0,2
RC,480,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,5050.0,6446.0,2
RC,480,Construction of artificial vagina; with graft ,,,5050.0,6446.0,2
RC,480,Construction of artificial vagina; without graft ,,,5050.0,6446.0,2
RC,480,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,5050.0,6446.0,2
RC,480,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,5050.0,6446.0,2
RC,480,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1804.0,2303.0,2
RC,480,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,1804.0,2303.0,2
RC,480,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1804.0,2303.0,2
RC,480,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,2303.0,2
RC,480,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1804.0,2303.0,2
RC,480,Corneal relaxing incision for correction of surgically induced astigmatism ,,,5050.0,6446.0,2
RC,480,Corneal wedge resection for correction of surgically induced astigmatism ,,,5050.0,6446.0,2
RC,480,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,5050.0,6446.0,2
RC,480,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,5050.0,6446.0,2
RC,480,"Correction of everted punctum, cautery ",,,1804.0,2303.0,2
RC,480,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,5050.0,6446.0,2
RC,480,Correction of lid retraction ,,,5050.0,6446.0,2
RC,480,Correction of trichiasis; incision of lid margin ,,,1804.0,2303.0,2
RC,480,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,1804.0,2303.0,2
RC,480,Craniectomy; with excision of tumor or other bone lesion of skull ,,,5956.0,7602.0,2
RC,480,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,5050.0,6446.0,2
RC,480,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,5050.0,6446.0,2
RC,480,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,1804.0,2303.0,2
RC,480,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,1804.0,2303.0,2
RC,480,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,5050.0,6446.0,2
RC,480,"Curettage, postpartum ",,,5050.0,6446.0,2
RC,480,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,5050.0,6446.0,2
RC,480,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,8418.0,10746.0,2
RC,480,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,5050.0,6446.0,2
RC,480,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,1804.0,2303.0,2
RC,480,"Cystostomy, cystotomy with drainage ",,,5050.0,6446.0,2
RC,480,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,5050.0,6446.0,2
RC,480,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,5050.0,6446.0,2
RC,480,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,5050.0,6446.0,2
RC,480,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,5050.0,6446.0,2
RC,480,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,8418.0,10746.0,2
RC,480,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,1804.0,2303.0,2
RC,480,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,5050.0,6446.0,2
RC,480,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,1804.0,2303.0,2
RC,480,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,1804.0,2303.0,2
RC,480,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,2303.0,2
RC,480,Cystourethroscopy with direct vision internal urethrotomy ,,,5050.0,6446.0,2
RC,480,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,5050.0,6446.0,2
RC,480,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,5050.0,6446.0,2
RC,480,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,5050.0,6446.0,2
RC,480,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,1804.0,2303.0,2
RC,480,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,5050.0,6446.0,2
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with biopsy(s) ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with insertion of permanent urethral stent ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with internal urethrotomy; female ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with internal urethrotomy; male ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with steroid injection into stricture ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,1804.0,2303.0,2
RC,480,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,5050.0,6446.0,2
RC,480,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,1804.0,2303.0,2
RC,480,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,5050.0,6446.0,2
RC,480,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1804.0,2303.0,4
RC,480,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,1804.0,2303.0,2
RC,480,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,2303.0,2
RC,480,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1804.0,2303.0,2
RC,480,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,5050.0,6446.0,2
RC,480,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,5050.0,6446.0,2
RC,480,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,5050.0,6446.0,2
RC,480,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1804.0,2303.0,2
RC,480,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,5050.0,6446.0,2
RC,480,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1804.0,2303.0,2
RC,480,Decompression; plantar digital nerve ,,,1804.0,2303.0,2
RC,480,Decompression; unspecified nerve(s) (specify) ,,,1804.0,2303.0,2
RC,480,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, intercostal nerve ",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,1804.0,2303.0,2
RC,480,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1804.0,2303.0,2
RC,480,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1804.0,2303.0,2
RC,480,Destruction by neurolytic agent; plantar common digital nerve ,,,1804.0,2303.0,2
RC,480,Destruction by neurolytic agent; pudendal nerve ,,,1804.0,2303.0,2
RC,480,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1804.0,2303.0,2
RC,480,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,1804.0,2303.0,2
RC,480,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1804.0,2303.0,2
RC,480,Destruction of lesion of lid margin (up to 1 cm) ,,,1804.0,2303.0,2
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1804.0,2303.0,2
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,1804.0,2303.0,2
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,1804.0,2303.0,2
RC,480,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,5050.0,6446.0,2
RC,480,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1804.0,2303.0,2
RC,480,"Destruction of lesion, conjunctiva ",,,1804.0,2303.0,2
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1804.0,2303.0,2
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1804.0,2303.0,2
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1804.0,2303.0,2
RC,480,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1804.0,2303.0,2
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,5050.0,6446.0,2
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,5050.0,6446.0,2
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,5050.0,6446.0,2
RC,480,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1804.0,2303.0,2
RC,480,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1804.0,2303.0,2
RC,480,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,5050.0,6446.0,2
RC,480,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8418.0,10746.0,8
RC,480,Dilation and curettage of cervical stump ,,,5050.0,6446.0,2
RC,480,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,1804.0,2303.0,2
RC,480,"Dilation of cervical canal, instrumental (separate procedure) ",,,1804.0,2303.0,2
RC,480,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1804.0,2303.0,4
RC,480,Dilation of female urethra including suppository and/or instillation; initial ,,,1804.0,2303.0,2
RC,480,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,1804.0,2303.0,2
RC,480,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1804.0,2303.0,2
RC,480,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1804.0,2303.0,2
RC,480,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1804.0,2303.0,2
RC,480,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1804.0,2303.0,2
RC,480,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,1804.0,2303.0,2
RC,480,Dilation of vagina under anesthesia (other than local) ,,,1804.0,2303.0,2
RC,480,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,480,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,5050.0,6446.0,2
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,5050.0,6446.0,2
RC,480,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1804.0,2303.0,2
RC,480,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1804.0,2303.0,2
RC,480,"Discission of vitreous strands (without removal), pars plana approach ",,,1804.0,2303.0,2
RC,480,"Drainage external auditory canal, abscess ",,,1804.0,2303.0,2
RC,480,"Drainage external ear, abscess or hematoma; complicated ",,,1804.0,2303.0,2
RC,480,"Drainage external ear, abscess or hematoma; simple ",,,1804.0,2303.0,2
RC,480,Drainage of Skene's gland abscess or cyst ,,,1804.0,2303.0,2
RC,480,Drainage of deep periurethral abscess ,,,1804.0,2303.0,2
RC,480,Drainage of ovarian abscess; abdominal approach ,,,5050.0,6446.0,2
RC,480,"Drainage of ovarian abscess; vaginal approach, open ",,,5050.0,6446.0,2
RC,480,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,5050.0,6446.0,2
RC,480,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,5050.0,6446.0,2
RC,480,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,5050.0,6446.0,2
RC,480,"Drainage of perirenal or renal abscess, open ",,,1804.0,2303.0,2
RC,480,Drainage of perivesical or prevesical space abscess ,,,1804.0,2303.0,2
RC,480,Drainage of scrotal wall abscess ,,,1804.0,2303.0,2
RC,480,Duodenal motility (manometric) study ,,,1804.0,2303.0,2
RC,480,Electroejaculation ,,,1804.0,2303.0,2
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1804.0,2303.0,2
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1804.0,2303.0,2
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1804.0,2303.0,2
RC,480,"Embryo transfer, intrauterine ",,,1804.0,2303.0,2
RC,480,Endocervical curettage (not done as part of a dilation and curettage) ,,,1804.0,2303.0,2
RC,480,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1804.0,2303.0,2
RC,480,Endolymphatic sac operation; with shunt ,,,8418.0,10746.0,2
RC,480,Endolymphatic sac operation; without shunt ,,,8418.0,10746.0,2
RC,480,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,8418.0,10746.0,2
RC,480,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,5050.0,6446.0,2
RC,480,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1804.0,2303.0,2
RC,480,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,5050.0,6446.0,2
RC,480,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,6446.0,2
RC,480,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,5050.0,6446.0,2
RC,480,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,5050.0,6446.0,2
RC,480,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,5050.0,6446.0,2
RC,480,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,5050.0,6446.0,2
RC,480,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,5050.0,6446.0,2
RC,480,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,5050.0,6446.0,2
RC,480,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,5050.0,6446.0,2
RC,480,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,5050.0,6446.0,2
RC,480,"Enucleation of eye; with implant, muscles attached to implant ",,,5050.0,6446.0,2
RC,480,"Enucleation of eye; with implant, muscles not attached to implant ",,,5050.0,6446.0,2
RC,480,Enucleation of eye; without implant ,,,5050.0,6446.0,2
RC,480,Epididymectomy; bilateral ,,,5050.0,6446.0,2
RC,480,Epididymectomy; unilateral ,,,5050.0,6446.0,2
RC,480,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,5050.0,6446.0,2
RC,480,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,5050.0,6446.0,2
RC,480,Epikeratoplasty ,,,8418.0,10746.0,2
RC,480,"Episiotomy or vaginal repair, by other than attending ",,,1804.0,2303.0,2
RC,480,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1804.0,2303.0,2
RC,480,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1804.0,2303.0,2
RC,480,Evisceration of ocular contents; with implant ,,,5050.0,6446.0,2
RC,480,Evisceration of ocular contents; without implant ,,,5050.0,6446.0,2
RC,480,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1804.0,2303.0,2
RC,480,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,2303.0,2
RC,480,Exchange of intraocular lens ,,,5050.0,6446.0,2
RC,480,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,1804.0,2303.0,2
RC,480,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,1804.0,2303.0,2
RC,480,Excimer laser treatment for psoriasis; over 500 sq cm ,,,1804.0,2303.0,2
RC,480,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,1804.0,2303.0,2
RC,480,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,5050.0,6446.0,4
RC,480,Excision aural glomus tumor; transcanal ,,,5050.0,6446.0,2
RC,480,Excision aural glomus tumor; transmastoid ,,,8418.0,10746.0,2
RC,480,Excision aural polyp ,,,1804.0,2303.0,2
RC,480,"Excision exostosis(es), external auditory canal ",,,1804.0,2303.0,2
RC,480,Excision external ear; complete amputation ,,,1804.0,2303.0,2
RC,480,"Excision external ear; partial, simple repair ",,,1804.0,2303.0,2
RC,480,Excision of Bartholin's gland or cyst ,,,5050.0,6446.0,2
RC,480,Excision of Mullerian duct cyst ,,,1804.0,2303.0,2
RC,480,Excision of bulbourethral gland (Cowper's gland) ,,,1804.0,2303.0,2
RC,480,"Excision of cervical stump, vaginal approach; ",,,5050.0,6446.0,2
RC,480,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,5050.0,6446.0,2
RC,480,"Excision of chalazion; multiple, different lids ",,,1804.0,2303.0,2
RC,480,"Excision of chalazion; multiple, same lid ",,,1804.0,2303.0,2
RC,480,Excision of chalazion; single ,,,1804.0,2303.0,2
RC,480,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,1804.0,2303.0,2
RC,480,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,1804.0,2303.0,2
RC,480,Excision of extraparenchymal lesion of testis ,,,1804.0,2303.0,2
RC,480,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,5050.0,6446.0,2
RC,480,Excision of hydrocele; bilateral ,,,5050.0,6446.0,2
RC,480,Excision of hydrocele; unilateral ,,,5050.0,6446.0,2
RC,480,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,5050.0,6446.0,2
RC,480,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,5050.0,6446.0,2
RC,480,Excision of lacrimal gland tumor; frontal approach ,,,5050.0,6446.0,2
RC,480,Excision of lacrimal gland tumor; involving osteotomy ,,,5050.0,6446.0,2
RC,480,Excision of lacrimal sac (dacryocystectomy) ,,,5050.0,6446.0,2
RC,480,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1804.0,2303.0,2
RC,480,Excision of lesion of spermatic cord (separate procedure) ,,,5050.0,6446.0,2
RC,480,"Excision of lesion, conjunctiva; over 1 cm ",,,1804.0,2303.0,2
RC,480,"Excision of lesion, conjunctiva; up to 1 cm ",,,1804.0,2303.0,2
RC,480,"Excision of lesion, conjunctiva; with adjacent sclera ",,,1804.0,2303.0,2
RC,480,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1804.0,2303.0,2
RC,480,"Excision of lesion, sclera ",,,8418.0,10746.0,2
RC,480,Excision of local lesion of epididymis ,,,5050.0,6446.0,2
RC,480,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,5050.0,6446.0,2
RC,480,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,5050.0,6446.0,2
RC,480,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,5050.0,6446.0,2
RC,480,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,5050.0,6446.0,2
RC,480,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,1804.0,2303.0,2
RC,480,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,5050.0,6446.0,2
RC,480,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Excision of neuroma; hand or foot, except digital nerve ",,,5050.0,6446.0,2
RC,480,"Excision of neuroma; major peripheral nerve, except sciatic ",,,5050.0,6446.0,2
RC,480,Excision of neuroma; sciatic nerve ,,,5050.0,6446.0,2
RC,480,Excision of penile plaque (Peyronie disease); ,,,1804.0,2303.0,2
RC,480,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,1804.0,2303.0,2
RC,480,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,1804.0,2303.0,2
RC,480,"Excision of spermatocele, with or without epididymectomy ",,,5050.0,6446.0,2
RC,480,Excision of thyroglossal duct cyst or sinus; ,,,5050.0,6446.0,2
RC,480,Excision of thyroglossal duct cyst or sinus; recurrent ,,,5050.0,6446.0,2
RC,480,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,5050.0,6446.0,2
RC,480,Excision of urethral diverticulum (separate procedure); female ,,,1804.0,2303.0,2
RC,480,Excision of urethral diverticulum (separate procedure); male ,,,5050.0,6446.0,2
RC,480,Excision of vaginal cyst or tumor ,,,1804.0,2303.0,2
RC,480,Excision of vaginal septum ,,,1804.0,2303.0,2
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,5050.0,6446.0,2
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,5050.0,6446.0,2
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,5050.0,6446.0,2
RC,480,Excision or fulguration of carcinoma of urethra ,,,1804.0,2303.0,2
RC,480,Excision or fulguration; Skene's glands ,,,1804.0,2303.0,2
RC,480,Excision or fulguration; urethral caruncle ,,,1804.0,2303.0,2
RC,480,"Excision or fulguration; urethral polyp(s), distal urethra ",,,1804.0,2303.0,2
RC,480,Excision or fulguration; urethral prolapse ,,,1804.0,2303.0,2
RC,480,Excision or transposition of pterygium; with graft ,,,5050.0,6446.0,2
RC,480,Excision or transposition of pterygium; without graft ,,,1804.0,2303.0,2
RC,480,"Excision soft tissue lesion, external auditory canal ",,,1804.0,2303.0,2
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,5050.0,6446.0,2
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,8418.0,10746.0,2
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,8418.0,10746.0,2
RC,480,Exploration for undescended testis (inguinal or scrotal area) ,,,5050.0,6446.0,2
RC,480,Exploration for undescended testis with abdominal exploration ,,,5050.0,6446.0,2
RC,480,"Exploration of epididymis, with or without biopsy ",,,1804.0,2303.0,2
RC,480,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,1804.0,2303.0,2
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,5050.0,6446.0,2
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,5050.0,6446.0,2
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,5050.0,6446.0,2
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,5050.0,6446.0,6
RC,480,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1804.0,2303.0,2
RC,480,"Fetal shunt placement, including ultrasound guidance ",,,1804.0,2303.0,2
RC,480,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1804.0,2303.0,2
RC,480,Fimbrioplasty ,,,5050.0,6446.0,2
RC,480,Fine needle aspiration of orbital contents ,,,1804.0,2303.0,2
RC,480,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,1804.0,2303.0,2
RC,480,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,5050.0,6446.0,2
RC,480,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,5050.0,6446.0,2
RC,480,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,5050.0,6446.0,2
RC,480,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,5050.0,6446.0,2
RC,480,Fixation of contralateral testis (separate procedure) ,,,5050.0,6446.0,2
RC,480,"Follicle puncture for oocyte retrieval, any method ",,,1804.0,2303.0,2
RC,480,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1804.0,2303.0,2
RC,480,Frenulotomy of penis ,,,1804.0,2303.0,2
RC,480,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1804.0,2303.0,2
RC,480,Gastric motility (manometric) studies ,,,1804.0,2303.0,2
RC,480,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,5050.0,6446.0,2
RC,480,Goniotomy ,,,1804.0,2303.0,2
RC,480,"Harvesting conjunctival allograft, living donor ",,,1804.0,2303.0,2
RC,480,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,480,"Hymenotomy, simple incision ",,,1804.0,2303.0,2
RC,480,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,8418.0,10746.0,2
RC,480,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,5050.0,6446.0,2
RC,480,"Hysteroscopy, diagnostic (separate procedure) ",,,1804.0,2303.0,2
RC,480,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,5050.0,6446.0,2
RC,480,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,5050.0,6446.0,2
RC,480,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,5050.0,6446.0,2
RC,480,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,1804.0,2303.0,2
RC,480,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,5050.0,6446.0,2
RC,480,"Hysteroscopy, surgical; with removal of leiomyomata ",,,5050.0,6446.0,2
RC,480,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,5050.0,6446.0,2
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,1804.0,2303.0,2
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,5050.0,6446.0,2
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,1804.0,2303.0,2
RC,480,Implantation of intrastromal corneal ring segments ,,,5050.0,6446.0,2
RC,480,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,5050.0,6446.0,2
RC,480,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,5050.0,6446.0,2
RC,480,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,6446.0,2
RC,480,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1804.0,2303.0,2
RC,480,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,1804.0,2303.0,2
RC,480,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,1804.0,2303.0,2
RC,480,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,1804.0,2303.0,2
RC,480,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,5050.0,6446.0,2
RC,480,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,5956.0,7602.0,2
RC,480,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,5956.0,7602.0,2
RC,480,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,5956.0,7602.0,2
RC,480,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,1804.0,2303.0,2
RC,480,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,1804.0,2303.0,2
RC,480,Incision and drainage of Bartholin's gland abscess ,,,1804.0,2303.0,2
RC,480,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,1804.0,2303.0,2
RC,480,"Incision and drainage of penis, deep ",,,5050.0,6446.0,2
RC,480,"Incision and drainage of thyroglossal duct cyst, infected ",,,1804.0,2303.0,2
RC,480,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,1804.0,2303.0,2
RC,480,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,1804.0,2303.0,2
RC,480,Incision and drainage of vulva or perineal abscess ,,,1804.0,2303.0,2
RC,480,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Incision of conjunctiva, drainage of cyst ",,,1804.0,2303.0,2
RC,480,"Incision, drainage of lacrimal gland ",,,1804.0,2303.0,2
RC,480,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1804.0,2303.0,2
RC,480,Incisional biopsy of eyelid skin including lid margin ,,,1804.0,2303.0,2
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,1804.0,2303.0,2
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,1804.0,2303.0,2
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,1804.0,2303.0,2
RC,480,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,1804.0,2303.0,4
RC,480,"Induced abortion, by dilation and curettage ",,,5050.0,6446.0,2
RC,480,"Induced abortion, by dilation and evacuation ",,,5050.0,6446.0,2
RC,480,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,5050.0,6446.0,2
RC,480,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1804.0,2303.0,2
RC,480,Injection of contrast medium for dacryocystography ,,,1804.0,2303.0,2
RC,480,Injection of medication or other substance into Tenon's capsule ,,,1804.0,2303.0,2
RC,480,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,1804.0,2303.0,2
RC,480,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1804.0,2303.0,2
RC,480,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,5050.0,6446.0,2
RC,480,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1804.0,2303.0,4
RC,480,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,1804.0,2303.0,2
RC,480,Injection procedure for corpora cavernosography ,,,1804.0,2303.0,2
RC,480,"Injection procedure for discography, each level; cervical or thoracic ",,,1804.0,2303.0,2
RC,480,"Injection procedure for discography, each level; lumbar ",,,1804.0,2303.0,2
RC,480,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1804.0,2303.0,2
RC,480,Injection procedure for sacroiliac joint; arthrography ,,,1804.0,2303.0,2
RC,480,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1804.0,2303.0,2
RC,480,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1804.0,2303.0,2
RC,480,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1804.0,2303.0,2
RC,480,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,5050.0,6446.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1804.0,2303.0,2
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1804.0,2303.0,2
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1804.0,2303.0,2
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1804.0,2303.0,2
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1804.0,2303.0,2
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1804.0,2303.0,2
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1804.0,2303.0,2
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1804.0,2303.0,2
RC,480,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1804.0,2303.0,8
RC,480,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1804.0,2303.0,8
RC,480,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1804.0,2303.0,2
RC,480,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1804.0,2303.0,2
RC,480,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1804.0,2303.0,2
RC,480,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1804.0,2303.0,2
RC,480,"Injection, anesthetic agent; superior hypogastric plexus ",,,1804.0,2303.0,2
RC,480,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,1804.0,2303.0,2
RC,480,"Injection, anterior chamber of eye (separate procedure); medication ",,,1804.0,2303.0,2
RC,480,"Injection, epidural, of blood or clot patch ",,,1804.0,2303.0,2
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,1804.0,2303.0,2
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,1804.0,2303.0,2
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1804.0,2303.0,2
RC,480,Insertion of Heyman capsules for clinical brachytherapy ,,,1804.0,2303.0,2
RC,480,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1804.0,2303.0,2
RC,480,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1804.0,2303.0,2
RC,480,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,5050.0,6446.0,2
RC,480,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1804.0,2303.0,2
RC,480,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,5050.0,6446.0,2
RC,480,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1804.0,2303.0,2
RC,480,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1804.0,2303.0,2
RC,480,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1804.0,2303.0,2
RC,480,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1804.0,2303.0,2
RC,480,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,1804.0,2303.0,2
RC,480,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,5050.0,6446.0,2
RC,480,Insertion of intrauterine device (IUD) ,,,1804.0,2303.0,2
RC,480,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,8418.0,10746.0,2
RC,480,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,5050.0,6446.0,2
RC,480,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8418.0,10746.0,2
RC,480,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8418.0,10746.0,2
RC,480,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8418.0,10746.0,2
RC,480,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,1804.0,2303.0,2
RC,480,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1804.0,2303.0,2
RC,480,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,5050.0,6446.0,2
RC,480,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,1804.0,2303.0,2
RC,480,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,5050.0,6446.0,2
RC,480,Insertion of penile prosthesis; inflatable (self-contained) ,,,5050.0,6446.0,2
RC,480,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,5050.0,6446.0,2
RC,480,Insertion of peritoneal-venous shunt ,,,1804.0,2303.0,2
RC,480,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,2303.0,2
RC,480,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,5050.0,6446.0,2
RC,480,Insertion of tandem cuff (dual cuff) ,,,1804.0,2303.0,2
RC,480,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1804.0,2303.0,2
RC,480,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1804.0,2303.0,2
RC,480,Insertion of testicular prosthesis (separate procedure) ,,,1804.0,2303.0,2
RC,480,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1804.0,2303.0,2
RC,480,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,1804.0,2303.0,2
RC,480,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,1804.0,2303.0,2
RC,480,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,1804.0,2303.0,2
RC,480,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1804.0,2303.0,2
RC,480,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,5050.0,6446.0,2
RC,480,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,1804.0,2303.0,2
RC,480,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,1804.0,2303.0,2
RC,480,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,2303.0,2
RC,480,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,1804.0,2303.0,2
RC,480,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,1804.0,2303.0,2
RC,480,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1804.0,2303.0,2
RC,480,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1804.0,2303.0,2
RC,480,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1804.0,2303.0,2
RC,480,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,5050.0,6446.0,2
RC,480,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,39148.0,39148.0,1
RC,480,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,1804.0,2303.0,2
RC,480,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2303.0,2
RC,480,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1804.0,2303.0,2
RC,480,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,5050.0,6446.0,2
RC,480,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,5050.0,6446.0,2
RC,480,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1804.0,2303.0,2
RC,480,Iridotomy by stab incision (separate procedure); except transfixion ,,,1804.0,2303.0,2
RC,480,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,1804.0,2303.0,2
RC,480,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1804.0,2303.0,2
RC,480,Irrigation of corpora cavernosa for priapism ,,,1804.0,2303.0,2
RC,480,Keratomileusis ,,,8418.0,10746.0,2
RC,480,Keratophakia ,,,8418.0,10746.0,2
RC,480,Keratoplasty (corneal transplant); anterior lamellar ,,,8418.0,10746.0,2
RC,480,Keratoplasty (corneal transplant); endothelial ,,,8418.0,10746.0,2
RC,480,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,8418.0,10746.0,2
RC,480,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,8418.0,10746.0,2
RC,480,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,8418.0,10746.0,2
RC,480,Keratoprosthesis ,,,8418.0,10746.0,2
RC,480,Labyrinthectomy; transcanal ,,,8418.0,10746.0,2
RC,480,Labyrinthectomy; with mastoidectomy ,,,8418.0,10746.0,2
RC,480,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,5050.0,6446.0,2
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,5050.0,6446.0,2
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,5050.0,6446.0,2
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,5050.0,6446.0,2
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,5050.0,6446.0,2
RC,480,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,5050.0,6446.0,2
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,5050.0,6446.0,2
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,5050.0,6446.0,2
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,5050.0,6446.0,2
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,5050.0,6446.0,2
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,5050.0,6446.0,2
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,5050.0,6446.0,2
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,5050.0,6446.0,2
RC,480,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,5050.0,6446.0,2
RC,480,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,5050.0,6446.0,8
RC,480,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,1804.0,2303.0,4
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,5050.0,6446.0,2
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,5050.0,6446.0,2
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1804.0,2303.0,4
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,5050.0,6446.0,2
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,5050.0,6446.0,2
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,5050.0,6446.0,2
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,5050.0,6446.0,2
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1804.0,2303.0,2
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,5050.0,6446.0,2
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,5050.0,6446.0,2
RC,480,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,5050.0,6446.0,2
RC,480,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,5050.0,6446.0,2
RC,480,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,5050.0,6446.0,2
RC,480,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,5050.0,6446.0,2
RC,480,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,8418.0,10746.0,2
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,8353.0,9400.0,2
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,8353.0,9400.0,2
RC,480,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,8418.0,10746.0,2
RC,480,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,5050.0,6446.0,2
RC,480,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,5050.0,6446.0,2
RC,480,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,16049.0,18061.0,2
RC,480,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,9786.0,18061.0,3
RC,480,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,1804.0,2303.0,2
RC,480,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,1804.0,2303.0,2
RC,480,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,1804.0,2303.0,2
RC,480,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,1804.0,2303.0,2
RC,480,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,1804.0,2303.0,2
RC,480,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,5050.0,6446.0,2
RC,480,Lysis of labial adhesions ,,,1804.0,2303.0,2
RC,480,Lysis or excision of penile post-circumcision adhesions ,,,1804.0,2303.0,2
RC,480,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,5050.0,6446.0,2
RC,480,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1804.0,2303.0,2
RC,480,Marsupialization of Bartholin's gland cyst ,,,1804.0,2303.0,2
RC,480,"Marsupialization of urethral diverticulum, male or female ",,,1804.0,2303.0,2
RC,480,Mastoid obliteration (separate procedure) ,,,5050.0,6446.0,2
RC,480,Mastoidectomy; complete ,,,8418.0,10746.0,2
RC,480,Mastoidectomy; modified radical ,,,8418.0,10746.0,2
RC,480,Mastoidectomy; radical ,,,8418.0,10746.0,2
RC,480,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,1804.0,2303.0,2
RC,480,"Meatotomy, cutting of meatus (separate procedure); infant ",,,1804.0,2303.0,2
RC,480,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1804.0,2303.0,2
RC,480,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,Middle ear exploration through postauricular or ear canal incision ,,,5050.0,6446.0,2
RC,480,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,1804.0,2303.0,2
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1804.0,2303.0,2
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1804.0,2303.0,2
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1804.0,2303.0,2
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1804.0,2303.0,2
RC,480,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,8418.0,10746.0,2
RC,480,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,5050.0,6446.0,2
RC,480,Myringotomy including aspiration and/or eustachian tube inflation ,,,5050.0,6446.0,2
RC,480,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,5050.0,6446.0,2
RC,480,"Myringotomy, laser-assisted ",,,5050.0,6446.0,2
RC,480,Nasopharyngoscopy with endoscope (separate procedure) ,,,1804.0,2303.0,2
RC,480,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1804.0,2303.0,2
RC,480,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1804.0,2303.0,2
RC,480,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1804.0,2303.0,2
RC,480,"Nephrostomy, nephrotomy with drainage ",,,5050.0,6446.0,2
RC,480,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,1804.0,2303.0,2
RC,480,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,1804.0,2303.0,2
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,5050.0,6446.0,2
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,5050.0,6446.0,2
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,5050.0,6446.0,2
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,5050.0,6446.0,2
RC,480,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,1804.0,2303.0,2
RC,480,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,1804.0,2303.0,2
RC,480,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,1804.0,2303.0,2
RC,480,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,1804.0,2303.0,2
RC,480,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,Nerve pedicle transfer; first stage ,,,1804.0,2303.0,2
RC,480,Nerve pedicle transfer; second stage ,,,1804.0,2303.0,2
RC,480,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,1804.0,2303.0,2
RC,480,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,1804.0,2303.0,2
RC,480,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,1804.0,2303.0,2
RC,480,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,Neuroplasty and/or transposition; cranial nerve (specify) ,,,5050.0,6446.0,2
RC,480,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,1804.0,2303.0,2
RC,480,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,1804.0,2303.0,2
RC,480,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,1804.0,2303.0,2
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,1804.0,2303.0,2
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,1804.0,2303.0,2
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,1804.0,2303.0,2
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,1804.0,2303.0,2
RC,480,"Neuroplasty; digital, 1 or both, same digit ",,,1804.0,2303.0,2
RC,480,Neuroplasty; nerve of hand or foot ,,,1804.0,2303.0,2
RC,480,Nocturnal penile tumescence and/or rigidity test ,,,1804.0,2303.0,2
RC,480,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,16049.0,18061.0,2
RC,480,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,5050.0,6446.0,2
RC,480,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,5050.0,6446.0,2
RC,480,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,5050.0,6446.0,2
RC,480,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,5050.0,6446.0,2
RC,480,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Oophorectomy, partial or total, unilateral or bilateral; ",,,5050.0,6446.0,2
RC,480,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,2303.0,2
RC,480,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,1804.0,2303.0,2
RC,480,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,2303.0,2
RC,480,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,2303.0,2
RC,480,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,2303.0,2
RC,480,Open implantation of neurostimulator electrode array; neuromuscular ,,,1804.0,2303.0,2
RC,480,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,1804.0,2303.0,2
RC,480,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,5050.0,6446.0,2
RC,480,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,5050.0,6446.0,2
RC,480,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,5050.0,6446.0,2
RC,480,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,5050.0,6446.0,2
RC,480,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,5050.0,6446.0,2
RC,480,Orbital implant (implant outside muscle cone); insertion ,,,5050.0,6446.0,2
RC,480,Orbital implant (implant outside muscle cone); removal or revision ,,,1804.0,2303.0,2
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,5050.0,6446.0,2
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,5050.0,6446.0,2
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,5050.0,6446.0,2
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,5050.0,6446.0,2
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,5050.0,6446.0,2
RC,480,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,5050.0,6446.0,2
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,5050.0,6446.0,2
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,5050.0,6446.0,2
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,5050.0,6446.0,2
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,5050.0,6446.0,2
RC,480,"Orchiectomy, partial ",,,5050.0,6446.0,2
RC,480,"Orchiectomy, radical, for tumor; inguinal approach ",,,5050.0,6446.0,2
RC,480,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,5050.0,6446.0,2
RC,480,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,5050.0,6446.0,2
RC,480,"Orchiopexy, inguinal or scrotal approach ",,,5050.0,6446.0,2
RC,480,"Otoplasty, protruding ear, with or without size reduction ",,,5050.0,6446.0,2
RC,480,"Ovarian cystectomy, unilateral or bilateral ",,,5050.0,6446.0,2
RC,480,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1804.0,2303.0,2
RC,480,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,1804.0,2303.0,2
RC,480,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,5050.0,6446.0,2
RC,480,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,5050.0,6446.0,2
RC,480,Parathyroidectomy or exploration of parathyroid(s); ,,,8418.0,10746.0,2
RC,480,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,8418.0,10746.0,2
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,5050.0,6446.0,2
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,5050.0,6446.0,2
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,5050.0,6446.0,2
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1804.0,2303.0,2
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1804.0,2303.0,2
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1804.0,2303.0,2
RC,480,Partial hymenectomy or revision of hymenal ring ,,,1804.0,2303.0,2
RC,480,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,5050.0,6446.0,2
RC,480,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,5050.0,6446.0,2
RC,480,Pelvic examination under anesthesia (other than local) ,,,1804.0,2303.0,2
RC,480,Penile plethysmography ,,,1804.0,2303.0,2
RC,480,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,5050.0,6446.0,2
RC,480,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1804.0,2303.0,2
RC,480,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1804.0,2303.0,2
RC,480,Percutaneous balloon valvuloplasty; aortic valve ,,,11418.0,11418.0,1
RC,480,Percutaneous balloon valvuloplasty; mitral valve ,,,11418.0,11418.0,1
RC,480,Percutaneous balloon valvuloplasty; pulmonary valve ,,,11418.0,11418.0,1
RC,480,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,5050.0,6446.0,2
RC,480,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,2303.0,2
RC,480,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1804.0,2303.0,2
RC,480,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,1804.0,2303.0,2
RC,480,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,1804.0,2303.0,2
RC,480,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,1804.0,2303.0,2
RC,480,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,5050.0,6446.0,2
RC,480,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1804.0,2303.0,4
RC,480,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,5050.0,6446.0,4
RC,480,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,5050.0,6446.0,2
RC,480,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,5050.0,6446.0,2
RC,480,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,5956.0,11418.0,3
RC,480,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,5956.0,11418.0,3
RC,480,Percutaneous transcatheter closure of patent ductus arteriosus ,,,5956.0,7602.0,2
RC,480,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,11418.0,11418.0,1
RC,480,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,11418.0,11418.0,1
RC,480,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,7602.0,2
RC,480,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,5956.0,7602.0,2
RC,480,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,8418.0,11418.0,3
RC,480,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,5956.0,7602.0,2
RC,480,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8418.0,10746.0,2
RC,480,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,8418.0,11418.0,3
RC,480,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,11418.0,11418.0,1
RC,480,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,11418.0,11418.0,1
RC,480,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8418.0,10746.0,2
RC,480,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,11418.0,11418.0,1
RC,480,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,11418.0,11418.0,1
RC,480,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,11418.0,11418.0,1
RC,480,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,11418.0,11418.0,1
RC,480,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,5956.0,11418.0,3
RC,480,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,11418.0,11418.0,1
RC,480,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,11418.0,11418.0,1
RC,480,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,5050.0,6446.0,2
RC,480,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,5050.0,6446.0,2
RC,480,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,5050.0,6446.0,2
RC,480,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,5050.0,6446.0,2
RC,480,"Pereyra procedure, including anterior colporrhaphy ",,,5050.0,6446.0,2
RC,480,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Peritoneal lavage, including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,5050.0,6446.0,2
RC,480,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,1804.0,2303.0,2
RC,480,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1804.0,2303.0,2
RC,480,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,5050.0,6446.0,2
RC,480,Petrous apicectomy including radical mastoidectomy ,,,8418.0,10746.0,2
RC,480,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,5050.0,6446.0,2
RC,480,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,1804.0,2303.0,2
RC,480,Placement of amniotic membrane on the ocular surface; without sutures ,,,1804.0,2303.0,2
RC,480,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,1804.0,2303.0,2
RC,480,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,1804.0,2303.0,2
RC,480,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,1804.0,2303.0,2
RC,480,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,1804.0,2303.0,2
RC,480,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,1804.0,2303.0,2
RC,480,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,5050.0,6446.0,6
RC,480,Plastic operation of penis for injury ,,,5050.0,6446.0,2
RC,480,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,5050.0,6446.0,2
RC,480,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,5050.0,6446.0,2
RC,480,Plastic operation on penis for epispadias distal to external sphincter; ,,,5050.0,6446.0,2
RC,480,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,5050.0,6446.0,2
RC,480,Plastic operation on penis to correct angulation ,,,5050.0,6446.0,2
RC,480,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,5050.0,6446.0,2
RC,480,Plastic repair of canaliculi ,,,1804.0,2303.0,2
RC,480,Plastic repair of introitus ,,,5050.0,6446.0,2
RC,480,Plastic repair of urethrocele ,,,5050.0,6446.0,2
RC,480,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,5050.0,6446.0,2
RC,480,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1804.0,2303.0,2
RC,480,Postpartum care only (separate procedure) ,,,1804.0,2303.0,2
RC,480,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,1804.0,2303.0,2
RC,480,"Probing of lacrimal canaliculi, with or without irrigation ",,,1804.0,2303.0,2
RC,480,"Probing of nasolacrimal duct, with or without irrigation; ",,,1804.0,2303.0,2
RC,480,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,1804.0,2303.0,2
RC,480,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,1804.0,2303.0,2
RC,480,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,1804.0,2303.0,2
RC,480,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1804.0,2303.0,2
RC,480,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1804.0,2303.0,2
RC,480,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,8418.0,10746.0,2
RC,480,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,1804.0,2303.0,2
RC,480,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,1804.0,2303.0,2
RC,480,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1804.0,2303.0,2
RC,480,Radial keratotomy ,,,8418.0,10746.0,2
RC,480,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,8418.0,10746.0,2
RC,480,Radical excision external auditory canal lesion; without neck dissection ,,,5050.0,6446.0,2
RC,480,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,5050.0,6446.0,2
RC,480,"Reconstruction external auditory canal for congenital atresia, single stage ",,,8418.0,10746.0,2
RC,480,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,5050.0,6446.0,2
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,5050.0,6446.0,2
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,5050.0,6446.0,2
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,5050.0,6446.0,2
RC,480,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2303.0,2
RC,480,Reduction of overcorrection of ptosis ,,,5050.0,6446.0,2
RC,480,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,5050.0,6446.0,2
RC,480,Reinsertion of ocular implant; with or without conjunctival graft ,,,1804.0,2303.0,2
RC,480,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,5050.0,6446.0,2
RC,480,Release of encircling material (posterior segment) ,,,1804.0,2303.0,2
RC,480,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,8418.0,10746.0,2
RC,480,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,1804.0,2303.0,2
RC,480,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1804.0,2303.0,2
RC,480,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,1804.0,2303.0,2
RC,480,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1804.0,2303.0,2
RC,480,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,5050.0,6446.0,2
RC,480,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,5050.0,6446.0,2
RC,480,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,1804.0,2303.0,2
RC,480,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,2303.0,2
RC,480,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,1804.0,2303.0,2
RC,480,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,5050.0,6446.0,2
RC,480,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,5050.0,6446.0,2
RC,480,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,1804.0,2303.0,2
RC,480,Removal foreign body from external auditory canal; with general anesthesia ,,,1804.0,2303.0,2
RC,480,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1804.0,2303.0,2
RC,480,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1804.0,2303.0,2
RC,480,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,5050.0,6446.0,2
RC,480,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1804.0,2303.0,2
RC,480,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1804.0,2303.0,2
RC,480,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1804.0,2303.0,2
RC,480,"Removal of blood clot, anterior segment of eye ",,,5050.0,6446.0,2
RC,480,Removal of cerclage suture under anesthesia (other than local) ,,,5050.0,6446.0,2
RC,480,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,1804.0,2303.0,2
RC,480,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,1804.0,2303.0,2
RC,480,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1804.0,2303.0,2
RC,480,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,1804.0,2303.0,2
RC,480,"Removal of embedded foreign body, eyelid ",,,1804.0,2303.0,2
RC,480,Removal of entire lumbosubarachnoid shunt system without replacement ,,,1804.0,2303.0,2
RC,480,"Removal of epithelial downgrowth, anterior chamber of eye ",,,5050.0,6446.0,2
RC,480,Removal of foreign body in scrotum ,,,1804.0,2303.0,2
RC,480,"Removal of foreign body or dacryolith, lacrimal passages ",,,1804.0,2303.0,2
RC,480,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,1804.0,2303.0,2
RC,480,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,5050.0,6446.0,2
RC,480,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,5050.0,6446.0,2
RC,480,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,2303.0,2
RC,480,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,2303.0,2
RC,480,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,2303.0,2
RC,480,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,1804.0,2303.0,2
RC,480,"Removal of implanted material, anterior segment of eye ",,,8418.0,10746.0,2
RC,480,"Removal of implanted material, posterior segment; extraocular ",,,1804.0,2303.0,2
RC,480,"Removal of implanted material, posterior segment; intraocular ",,,1804.0,2303.0,2
RC,480,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1804.0,2303.0,2
RC,480,Removal of intrauterine device (IUD) ,,,1804.0,2303.0,2
RC,480,"Removal of lens material; aspiration technique, 1 or more stages ",,,5050.0,6446.0,2
RC,480,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,5050.0,6446.0,2
RC,480,Removal of lens material; intracapsular ,,,5050.0,6446.0,2
RC,480,"Removal of lens material; intracapsular, for dislocated lens ",,,5050.0,6446.0,2
RC,480,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,5050.0,6446.0,2
RC,480,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,8418.0,10746.0,2
RC,480,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1804.0,2303.0,2
RC,480,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,1804.0,2303.0,2
RC,480,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,5050.0,6446.0,2
RC,480,Removal of ocular implant ,,,1804.0,2303.0,2
RC,480,Removal of peritoneal foreign body from peritoneal cavity ,,,1804.0,2303.0,2
RC,480,Removal of peritoneal-venous shunt ,,,1804.0,2303.0,2
RC,480,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8418.0,10746.0,2
RC,480,Removal of previously implanted intrathecal or epidural catheter ,,,1804.0,2303.0,2
RC,480,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,5050.0,6446.0,2
RC,480,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1804.0,2303.0,2
RC,480,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,1804.0,2303.0,2
RC,480,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,1804.0,2303.0,2
RC,480,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,1804.0,2303.0,2
RC,480,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,1804.0,2303.0,2
RC,480,"Removal of tumor, temporal bone ",,,5050.0,6446.0,2
RC,480,Removal of tunneled intraperitoneal catheter ,,,1804.0,2303.0,2
RC,480,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,5050.0,6446.0,2
RC,480,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,5050.0,6446.0,2
RC,480,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,1804.0,2303.0,2
RC,480,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,1804.0,2303.0,2
RC,480,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,5050.0,6446.0,2
RC,480,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,1804.0,2303.0,2
RC,480,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1804.0,2303.0,2
RC,480,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1804.0,2303.0,2
RC,480,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1804.0,2303.0,2
RC,480,"Renal biopsy; percutaneous, by trocar or needle ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1804.0,2303.0,2
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1804.0,2303.0,2
RC,480,Repair incomplete circumcision ,,,1804.0,2303.0,2
RC,480,"Repair inguinal hernia, sliding, any age ",,,5050.0,6446.0,2
RC,480,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,5050.0,6446.0,2
RC,480,"Repair initial femoral hernia, any age; reducible ",,,5050.0,6446.0,2
RC,480,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,5050.0,6446.0,2
RC,480,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,5050.0,6446.0,2
RC,480,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,5050.0,6446.0,2
RC,480,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,5050.0,6446.0,2
RC,480,Repair lumbar hernia ,,,1804.0,2303.0,2
RC,480,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,5050.0,6446.0,2
RC,480,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,5050.0,6446.0,2
RC,480,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,5050.0,6446.0,2
RC,480,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,5050.0,6446.0,2
RC,480,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,5050.0,6446.0,2
RC,480,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,5050.0,6446.0,2
RC,480,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,5050.0,6446.0,2
RC,480,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,5050.0,6446.0,2
RC,480,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,5050.0,6446.0,2
RC,480,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,5050.0,6446.0,2
RC,480,Repair of ectropion; excision tarsal wedge ,,,5050.0,6446.0,2
RC,480,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,5050.0,6446.0,2
RC,480,Repair of ectropion; suture ,,,5050.0,6446.0,2
RC,480,Repair of ectropion; thermocauterization ,,,5050.0,6446.0,2
RC,480,"Repair of enterocele, vaginal approach (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,2303.0,2
RC,480,Repair of entropion; excision tarsal wedge ,,,5050.0,6446.0,2
RC,480,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,5050.0,6446.0,2
RC,480,Repair of entropion; suture ,,,5050.0,6446.0,2
RC,480,Repair of entropion; thermocauterization ,,,5050.0,6446.0,2
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,5050.0,6446.0,2
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,5050.0,6446.0,2
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,5050.0,6446.0,2
RC,480,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1804.0,2303.0,2
RC,480,"Repair of iris, ciliary body (as for iridodialysis) ",,,5050.0,6446.0,2
RC,480,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,1804.0,2303.0,2
RC,480,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,1804.0,2303.0,2
RC,480,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,1804.0,2303.0,2
RC,480,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,1804.0,2303.0,2
RC,480,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,5050.0,6446.0,2
RC,480,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,5050.0,6446.0,2
RC,480,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,5050.0,6446.0,2
RC,480,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,5050.0,6446.0,2
RC,480,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,5050.0,6446.0,2
RC,480,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,5050.0,6446.0,2
RC,480,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,5050.0,6446.0,2
RC,480,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,5050.0,6446.0,2
RC,480,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,5050.0,6446.0,2
RC,480,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,8418.0,10746.0,2
RC,480,Repair of scleral staphyloma with graft ,,,5050.0,6446.0,2
RC,480,"Repair of small omphalocele, with primary closure ",,,5050.0,6446.0,2
RC,480,"Repair of symblepharon; conjunctivoplasty, without graft ",,,5050.0,6446.0,2
RC,480,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,5050.0,6446.0,2
RC,480,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,5050.0,6446.0,2
RC,480,Repair of traumatic corporeal tear(s) ,,,1804.0,2303.0,2
RC,480,Repair of tunica vaginalis hydrocele (Bottle type) ,,,5050.0,6446.0,2
RC,480,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,5050.0,6446.0,2
RC,480,Repair oval window fistula ,,,5050.0,6446.0,2
RC,480,Repair recurrent femoral hernia; incarcerated or strangulated ,,,5050.0,6446.0,2
RC,480,Repair recurrent femoral hernia; reducible ,,,5050.0,6446.0,2
RC,480,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,5050.0,6446.0,2
RC,480,"Repair recurrent inguinal hernia, any age; reducible ",,,5050.0,6446.0,2
RC,480,Repair round window fistula ,,,5050.0,6446.0,2
RC,480,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,5050.0,6446.0,4
RC,480,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,5050.0,6446.0,2
RC,480,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,5050.0,6446.0,2
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,5956.0,7602.0,2
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,5956.0,7602.0,2
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,5956.0,7602.0,2
RC,480,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1804.0,2303.0,2
RC,480,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1804.0,2303.0,2
RC,480,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1804.0,2303.0,2
RC,480,"Replacement or irrigation, subarachnoid/subdural catheter ",,,1804.0,2303.0,2
RC,480,"Replacement or irrigation, ventricular catheter ",,,1804.0,2303.0,2
RC,480,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,1804.0,2303.0,2
RC,480,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,5050.0,6446.0,2
RC,480,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,5050.0,6446.0,2
RC,480,Resection of scrotum ,,,1804.0,2303.0,2
RC,480,Retrobulbar injection; alcohol ,,,1804.0,2303.0,2
RC,480,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,5050.0,6446.0,2
RC,480,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,5050.0,6446.0,2
RC,480,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,5050.0,6446.0,2
RC,480,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,5050.0,6446.0,2
RC,480,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,1804.0,2303.0,2
RC,480,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,1804.0,2303.0,2
RC,480,Revision mastoidectomy; resulting in complete mastoidectomy ,,,8418.0,10746.0,2
RC,480,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,8418.0,10746.0,2
RC,480,Revision mastoidectomy; resulting in radical mastoidectomy ,,,8418.0,10746.0,2
RC,480,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,1804.0,2303.0,2
RC,480,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,5050.0,6446.0,2
RC,480,Revision of peritoneal-venous shunt ,,,1804.0,2303.0,2
RC,480,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,5050.0,6446.0,2
RC,480,Revision of stapedectomy or stapedotomy ,,,5050.0,6446.0,2
RC,480,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,1804.0,2303.0,2
RC,480,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,1804.0,2303.0,2
RC,480,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1804.0,2303.0,2
RC,480,Revision or removal of peripheral neurostimulator electrode array ,,,1804.0,2303.0,2
RC,480,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,1804.0,2303.0,2
RC,480,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,1804.0,2303.0,2
RC,480,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,5050.0,6446.0,2
RC,480,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,5050.0,6446.0,2
RC,480,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,1804.0,2303.0,2
RC,480,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,2303.0,2
RC,480,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,2303.0,2
RC,480,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,2303.0,2
RC,480,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,5050.0,6446.0,2
RC,480,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,16049.0,18061.0,2
RC,480,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,16049.0,18061.0,2
RC,480,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,16049.0,18061.0,2
RC,480,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,16049.0,18061.0,2
RC,480,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,9786.0,18061.0,3
RC,480,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,5050.0,6446.0,2
RC,480,Salpingostomy (salpingoneostomy) ,,,5050.0,6446.0,2
RC,480,Scleral reinforcement (separate procedure); with graft ,,,5050.0,6446.0,2
RC,480,Scleral reinforcement (separate procedure); without graft ,,,5050.0,6446.0,2
RC,480,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,1804.0,2303.0,2
RC,480,Scrotal exploration ,,,1804.0,2303.0,2
RC,480,Scrotoplasty; complicated ,,,1804.0,2303.0,2
RC,480,Scrotoplasty; simple ,,,1804.0,2303.0,2
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,5050.0,6446.0,2
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,5050.0,6446.0,2
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,1804.0,2303.0,2
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,5050.0,6446.0,2
RC,480,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,5050.0,6446.0,2
RC,480,Severing of tarsorrhaphy ,,,1804.0,2303.0,2
RC,480,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1804.0,2303.0,2
RC,480,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1804.0,2303.0,2
RC,480,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,1804.0,2303.0,2
RC,480,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,5050.0,6446.0,2
RC,480,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,1804.0,2303.0,2
RC,480,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,1804.0,2303.0,2
RC,480,Snip incision of lacrimal punctum ,,,1804.0,2303.0,2
RC,480,"Spinal puncture, lumbar, diagnostic; ",,,1804.0,2303.0,2
RC,480,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,1804.0,2303.0,2
RC,480,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1804.0,2303.0,2
RC,480,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,1804.0,2303.0,2
RC,480,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,5050.0,6446.0,2
RC,480,Stapes mobilization ,,,8418.0,10746.0,2
RC,480,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,1804.0,2303.0,2
RC,480,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,5050.0,6446.0,2
RC,480,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,5050.0,6446.0,2
RC,480,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,5050.0,6446.0,2
RC,480,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,5050.0,6446.0,2
RC,480,"Strabismus surgery, any procedure, superior oblique muscle ",,,5050.0,6446.0,2
RC,480,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,5050.0,6446.0,2
RC,480,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,5050.0,6446.0,2
RC,480,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,5050.0,6446.0,2
RC,480,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,5050.0,6446.0,2
RC,480,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1804.0,2303.0,2
RC,480,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1804.0,2303.0,2
RC,480,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,8418.0,10746.0,2
RC,480,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,5050.0,6446.0,2
RC,480,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,5050.0,6446.0,2
RC,480,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,5050.0,6446.0,2
RC,480,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,5050.0,6446.0,2
RC,480,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,1804.0,2303.0,2
RC,480,Suture of 1 nerve; median motor thenar ,,,5050.0,6446.0,2
RC,480,Suture of 1 nerve; ulnar motor ,,,5050.0,6446.0,2
RC,480,"Suture of digital nerve, hand or foot; 1 nerve ",,,5050.0,6446.0,2
RC,480,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,Suture of facial nerve; extracranial ,,,5050.0,6446.0,2
RC,480,"Suture of facial nerve; infratemporal, with or without grafting ",,,5050.0,6446.0,2
RC,480,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,1804.0,2303.0,2
RC,480,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,1804.0,2303.0,2
RC,480,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,1804.0,2303.0,2
RC,480,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,5050.0,6446.0,2
RC,480,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1804.0,2303.0,2
RC,480,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,5050.0,6446.0,2
RC,480,Suture of posterior tibial nerve ,,,1804.0,2303.0,2
RC,480,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,1804.0,2303.0,2
RC,480,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,1804.0,2303.0,2
RC,480,Suture of sciatic nerve ,,,1804.0,2303.0,2
RC,480,Suture of; brachial plexus ,,,5050.0,6446.0,2
RC,480,Suture of; lumbar plexus ,,,5050.0,6446.0,2
RC,480,Suture or repair of testicular injury ,,,5050.0,6446.0,2
RC,480,"Sympathectomy, cervical ",,,1804.0,2303.0,2
RC,480,Sympathectomy; radial artery ,,,5050.0,6446.0,2
RC,480,Sympathectomy; superficial palmar arch ,,,1804.0,2303.0,2
RC,480,Sympathectomy; ulnar artery ,,,1804.0,2303.0,2
RC,480,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1804.0,2303.0,2
RC,480,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,5050.0,6446.0,2
RC,480,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,16049.0,18061.0,2
RC,480,"Thrombolysis, coronary; by intravenous infusion ",,,16049.0,18061.0,2
RC,480,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Thyroidectomy, including substernal thyroid; cervical approach ",,,5050.0,6446.0,2
RC,480,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,5050.0,6446.0,2
RC,480,"Thyroidectomy, total or complete ",,,8418.0,10746.0,2
RC,480,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8418.0,10746.0,2
RC,480,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,8418.0,10746.0,2
RC,480,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,8418.0,10746.0,2
RC,480,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,8418.0,10746.0,2
RC,480,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,8418.0,10746.0,2
RC,480,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,8418.0,10746.0,2
RC,480,Total facial nerve decompression and/or repair (may include graft) ,,,5050.0,6446.0,2
RC,480,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,5050.0,6446.0,2
RC,480,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1804.0,2303.0,2
RC,480,Trabeculoplasty by laser surgery ,,,1804.0,2303.0,2
RC,480,Trabeculotomy ab externo ,,,5050.0,6446.0,2
RC,480,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,5050.0,6446.0,2
RC,480,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1804.0,2303.0,2
RC,480,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,5050.0,6446.0,2
RC,480,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,5050.0,10746.0,4
RC,480,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,5050.0,6446.0,2
RC,480,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,1804.0,2303.0,2
RC,480,"Transection or avulsion of other cranial nerve, extradural ",,,1804.0,2303.0,2
RC,480,"Transection or avulsion of other spinal nerve, extradural ",,,1804.0,2303.0,2
RC,480,"Transection or avulsion of; facial nerve, differential or complete ",,,1804.0,2303.0,2
RC,480,Transection or avulsion of; greater occipital nerve ,,,1804.0,2303.0,2
RC,480,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,1804.0,2303.0,2
RC,480,Transection or avulsion of; infraorbital nerve ,,,1804.0,2303.0,2
RC,480,Transection or avulsion of; lingual nerve ,,,1804.0,2303.0,2
RC,480,Transection or avulsion of; mental nerve ,,,1804.0,2303.0,2
RC,480,Transection or avulsion of; phrenic nerve ,,,1804.0,2303.0,2
RC,480,Transection or avulsion of; supraorbital nerve ,,,1804.0,2303.0,2
RC,480,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8418.0,10746.0,2
RC,480,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,8418.0,10746.0,2
RC,480,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,5050.0,6446.0,2
RC,480,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,5050.0,6446.0,2
RC,480,Transmastoid antrotomy (simple mastoidectomy) ,,,8418.0,10746.0,2
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1804.0,2303.0,2
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,5050.0,6446.0,2
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,5050.0,6446.0,2
RC,480,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,5050.0,6446.0,2
RC,480,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,5050.0,6446.0,2
RC,480,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,5050.0,6446.0,2
RC,480,"Transposition, ovary(s) ",,,5050.0,6446.0,2
RC,480,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,5956.0,7602.0,2
RC,480,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1804.0,2303.0,2
RC,480,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,1804.0,2303.0,2
RC,480,Transurethral drainage of prostatic abscess ,,,1804.0,2303.0,2
RC,480,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,5050.0,6446.0,2
RC,480,Transurethral incision of prostate ,,,5050.0,6446.0,2
RC,480,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,1804.0,2303.0,2
RC,480,Transurethral resection of bladder neck (separate procedure) ,,,5050.0,6446.0,2
RC,480,Transurethral resection; of postoperative bladder neck contracture ,,,1804.0,2303.0,2
RC,480,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,1804.0,2303.0,2
RC,480,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1804.0,2303.0,2
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1804.0,2303.0,2
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1804.0,2303.0,2
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1804.0,2303.0,2
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1804.0,2303.0,2
RC,480,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1804.0,2303.0,2
RC,480,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1804.0,2303.0,2
RC,480,"Treatment of incomplete abortion, any trimester, completed surgically ",,,5050.0,6446.0,2
RC,480,"Treatment of missed abortion, completed surgically; first trimester ",,,5050.0,6446.0,2
RC,480,"Treatment of missed abortion, completed surgically; second trimester ",,,5050.0,6446.0,2
RC,480,"Treatment of septic abortion, completed surgically ",,,1804.0,2303.0,2
RC,480,Tubotubal anastomosis ,,,5050.0,6446.0,2
RC,480,Tubouterine implantation ,,,5050.0,6446.0,2
RC,480,Tympanic neurectomy ,,,5050.0,6446.0,2
RC,480,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2303.0,2
RC,480,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,5050.0,6446.0,2
RC,480,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1804.0,2303.0,2
RC,480,"Unlisted hysteroscopy procedure, uterus ",,,5050.0,6446.0,2
RC,480,"Unlisted laparoscopy procedure, maternity care and delivery ",,,5050.0,6446.0,2
RC,480,"Unlisted procedure, abdomen, peritoneum and omentum ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, anterior segment of eye ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, endocrine system ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, female genital system (nonobstetrical) ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, inner ear ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, male genital system ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, maternity care and delivery ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, middle ear ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, nervous system ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, temporal bone, middle fossa approach ",,,1804.0,2303.0,2
RC,480,"Unlisted procedure, urinary system ",,,1804.0,2303.0,2
RC,480,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1804.0,2303.0,2
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1804.0,2303.0,2
RC,480,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,5050.0,6446.0,2
RC,480,"Ureterectomy, with bladder cuff (separate procedure) ",,,5050.0,6446.0,2
RC,480,Ureterolithotomy; lower one-third of ureter ,,,5050.0,6446.0,2
RC,480,Ureterolithotomy; middle one-third of ureter ,,,5050.0,6446.0,2
RC,480,Ureterolithotomy; upper one-third of ureter ,,,5050.0,6446.0,2
RC,480,"Ureterotomy for insertion of indwelling stent, all types ",,,5050.0,6446.0,2
RC,480,Ureterotomy with exploration or drainage (separate procedure) ,,,5050.0,6446.0,2
RC,480,"Urethrectomy, total, including cystostomy; female ",,,5050.0,6446.0,2
RC,480,"Urethrectomy, total, including cystostomy; male ",,,5050.0,6446.0,2
RC,480,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,5050.0,6446.0,2
RC,480,"Urethromeatoplasty, with mucosal advancement ",,,1804.0,2303.0,2
RC,480,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,1804.0,2303.0,2
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,5050.0,6446.0,2
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,5050.0,6446.0,2
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,5050.0,6446.0,2
RC,480,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,5050.0,6446.0,2
RC,480,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,1804.0,2303.0,2
RC,480,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,1804.0,2303.0,2
RC,480,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,5050.0,6446.0,2
RC,480,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,1804.0,2303.0,2
RC,480,"Urethroplasty, reconstruction of female urethra ",,,1804.0,2303.0,2
RC,480,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,5050.0,6446.0,2
RC,480,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,1804.0,2303.0,2
RC,480,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,1804.0,2303.0,2
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,1804.0,2303.0,2
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,1804.0,2303.0,2
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,1804.0,2303.0,2
RC,480,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,1804.0,2303.0,2
RC,480,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,1804.0,2303.0,2
RC,480,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,480,Uterine evacuation and curettage for hydatidiform mole ,,,5050.0,6446.0,2
RC,480,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,5050.0,6446.0,2
RC,480,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,1804.0,2303.0,2
RC,480,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,1804.0,2303.0,2
RC,480,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,5050.0,6446.0,2
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; ",,,5050.0,6446.0,2
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,5050.0,6446.0,2
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,5050.0,6446.0,2
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,5050.0,6446.0,2
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,5050.0,6446.0,2
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,5050.0,6446.0,2
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,5050.0,6446.0,2
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,5050.0,6446.0,2
RC,480,"Vaginectomy, complete removal of vaginal wall; ",,,5050.0,6446.0,2
RC,480,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,5050.0,6446.0,2
RC,480,"Vaginectomy, partial removal of vaginal wall; ",,,5050.0,6446.0,2
RC,480,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1804.0,2303.0,2
RC,480,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,1804.0,2303.0,2
RC,480,Vaginoplasty for intersex state ,,,5050.0,6446.0,2
RC,480,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,6446.0,2
RC,480,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,1804.0,2303.0,2
RC,480,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1804.0,2303.0,2
RC,480,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,1804.0,2303.0,2
RC,480,"Vasovasostomy, vasovasorrhaphy ",,,1804.0,2303.0,2
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,480,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,480,Ventilating tube removal requiring general anesthesia ,,,1804.0,2303.0,2
RC,480,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1804.0,2303.0,2
RC,480,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1804.0,2303.0,2
RC,480,"Vesiculectomy, any approach ",,,1804.0,2303.0,2
RC,480,Vesiculotomy; ,,,1804.0,2303.0,2
RC,480,Vesiculotomy; complicated ,,,1804.0,2303.0,2
RC,480,"Vestibular nerve section, translabyrinthine approach ",,,8418.0,10746.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; ",,,5050.0,6446.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,8418.0,10746.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,8418.0,10746.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,5050.0,6446.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,5050.0,6446.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,8418.0,10746.0,2
RC,480,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,480,Vulvectomy simple; complete ,,,5050.0,6446.0,2
RC,480,Vulvectomy simple; partial ,,,5050.0,6446.0,2
RC,480,"Vulvectomy, radical, partial; ",,,8418.0,10746.0,2
RC,480,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,5050.0,6446.0,2
RC,481, Cardiology Cardiac Cath Lab  ,,,1924.0,4169.0,6
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6801.0,13
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,13
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6801.0,13
RC,481,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,13
RC,481,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,10746.0,11
RC,481,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,6446.0,11
RC,481,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) ,,,11418.0,11418.0,1
RC,481,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) ",,,11418.0,11418.0,1
RC,481,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,481,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,481,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,742.8,4100.0,11
RC,481,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,742.8,4100.0,11
RC,481,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1603.31,6801.0,11
RC,481,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,481,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1632.0,4100.0,7
RC,481,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1632.0,4830.0,10
RC,481,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1632.0,4953.0,7
RC,481,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,1632.0,13472.0,7
RC,481,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,481,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,9431.0,11
RC,481,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,481,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,1632.0,10746.0,9
RC,481,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2224.34,9431.0,11
RC,481,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,3
RC,481,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,481,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,481,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,1632.0,10746.0,9
RC,481,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,1632.0,4953.0,5
RC,481,Amniocentesis; diagnostic ,,,511.0,3250.0,11
RC,481,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,291.0,2900.0,11
RC,481,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,481,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,1632.0,4953.0,5
RC,481,Amputation of penis; complete ,,,769.0,4100.0,8
RC,481,Amputation of penis; partial ,,,870.0,5958.0,13
RC,481,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,1632.0,4953.0,5
RC,481,Anastomosis; facial-hypoglossal ,,,1632.0,4953.0,5
RC,481,Anastomosis; facial-spinal accessory ,,,1632.0,4953.0,5
RC,481,Anorectal manometry ,,,291.0,291.0,1
RC,481,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,5
RC,481,Antepartum care only; 4-6 visits ,,,1632.0,3435.0,2
RC,481,Antepartum care only; 7 or more visits ,,,1632.0,3435.0,2
RC,481,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.31,6446.0,13
RC,481,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,1632.0,10746.0,8
RC,481,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,1603.31,10746.0,11
RC,481,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,10
RC,481,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,10
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,2303.0,13
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,5
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,2303.0,8
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,5
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,2303.0,8
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,5
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,2303.0,8
RC,481,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,7
RC,481,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,291.0,3435.0,6
RC,481,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1404.42,6801.0,13
RC,481,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1404.42,6801.0,11
RC,481,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,3715.0,6446.0,5
RC,481,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,5
RC,481,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,2900.0,4
RC,481,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,7
RC,481,Artificial insemination; intra-cervical ,,,291.0,2900.0,7
RC,481,Artificial insemination; intra-uterine ,,,291.0,2900.0,7
RC,481,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,511.0,3250.0,13
RC,481,"Aspiration and/or injection, thyroid cyst ",,,511.0,3250.0,11
RC,481,Aspiration of bladder; by needle ,,,291.0,2900.0,11
RC,481,Aspiration of bladder; by trocar or intracatheter ,,,607.0,3250.0,11
RC,481,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,4830.0,11
RC,481,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,4830.0,13
RC,481,BIOPSY EYE MUSCLE ,,,988.0,1069.0,2
RC,481,BRAIN SURGERY USING COMPUTER ,,,988.0,1069.0,2
RC,481,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,481,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,1632.0,3435.0,2
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,1632.0,4953.0,5
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,481,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,1632.0,3435.0,2
RC,481,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,1632.0,4953.0,5
RC,481,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,1632.0,4953.0,5
RC,481,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,1632.0,4953.0,5
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,1632.0,4953.0,5
RC,481,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,291.0,2900.0,8
RC,481,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,1632.0,4953.0,5
RC,481,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,1632.0,4953.0,5
RC,481,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,1632.0,4953.0,5
RC,481,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,1632.0,4953.0,5
RC,481,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,769.0,4100.0,11
RC,481,Biopsy external auditory canal ,,,769.0,4100.0,7
RC,481,Biopsy external ear ,,,291.0,2900.0,7
RC,481,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,511.0,3250.0,11
RC,481,Biopsy of conjunctiva ,,,511.0,3250.0,11
RC,481,Biopsy of cornea ,,,511.0,3250.0,13
RC,481,"Biopsy of epididymis, needle ",,,511.0,3250.0,13
RC,481,Biopsy of extraocular muscle ,,,607.0,5958.0,13
RC,481,Biopsy of lacrimal gland ,,,607.0,4830.0,13
RC,481,Biopsy of lacrimal sac ,,,607.0,4830.0,13
RC,481,Biopsy of nerve ,,,870.0,4830.0,13
RC,481,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,13
RC,481,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,1632.0,4953.0,5
RC,481,"Biopsy of pancreas, percutaneous needle ",,,607.0,4100.0,13
RC,481,Biopsy of penis; (separate procedure) ,,,607.0,4100.0,13
RC,481,Biopsy of penis; deep structures ,,,607.0,4830.0,13
RC,481,"Biopsy of spinal cord, percutaneous needle ",,,607.0,4100.0,13
RC,481,"Biopsy of testis, incisional (separate procedure) ",,,607.0,4830.0,13
RC,481,"Biopsy of testis, needle (separate procedure) ",,,607.0,4100.0,13
RC,481,Biopsy of urethra ,,,607.0,4830.0,13
RC,481,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,4830.0,13
RC,481,Biopsy of vaginal mucosa; simple (separate procedure) ,,,511.0,3250.0,11
RC,481,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,511.0,3250.0,11
RC,481,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,481,"Biopsy thyroid, percutaneous core needle ",,,511.0,3250.0,11
RC,481,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,607.0,4100.0,13
RC,481,"Biopsy, prostate, any approach, nonimaging-guided ",,,769.0,4100.0,13
RC,481,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,481,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,1632.0,6446.0,7
RC,481,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,1632.0,6446.0,7
RC,481,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,481,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1632.0,4830.0,7
RC,481,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,481,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,481,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1632.0,4830.0,7
RC,481,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,481,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,769.0,1924.0,8
RC,481,Bladder instillation of anticarcinogenic agent (including retention time) ,,,291.0,2900.0,9
RC,481,"Bladder irrigation, simple, lavage and/or instillation ",,,291.0,2900.0,11
RC,481,"Blepharotomy, drainage of abscess, eyelid ",,,291.0,2900.0,11
RC,481,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,6
RC,481,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,7
RC,481,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,4
RC,481,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,18061.0,9
RC,481,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,6
RC,481,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,481,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,291.0,2900.0,4
RC,481,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,6446.0,5
RC,481,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,5
RC,481,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,481,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,6
RC,481,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,2303.0,2
RC,481,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,6446.0,5
RC,481,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,3715.0,6446.0,5
RC,481,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,3715.0,6446.0,5
RC,481,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,481,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,1632.0,4953.0,5
RC,481,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,1632.0,4953.0,5
RC,481,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,1632.0,4953.0,5
RC,481,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,1632.0,4953.0,5
RC,481,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,1632.0,4953.0,5
RC,481,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,1632.0,4953.0,5
RC,481,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,1632.0,4953.0,5
RC,481,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,1632.0,4953.0,5
RC,481,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,1632.0,4953.0,5
RC,481,CHANGE KIDNEY TUBE ,,,988.0,1069.0,2
RC,481,CIRCUMCISION ,,,988.0,1069.0,2
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,481,CONTROL POSTOP BLEEDING ,,,988.0,1069.0,2
RC,481,Canthoplasty (reconstruction of canthus) ,,,870.0,4830.0,13
RC,481,Canthotomy (separate procedure) ,,,607.0,4830.0,13
RC,481,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,291.0,2900.0,4
RC,481,Cardioassist-method of circulatory assist; external ,,,3715.0,4953.0,3
RC,481,Cardioassist-method of circulatory assist; internal ,,,3715.0,4953.0,3
RC,481,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,2900.0,4
RC,481,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,511.0,3250.0,4
RC,481,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,511.0,3250.0,4
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,5
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,5
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,15
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,5
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,20
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,15
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,5
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,5
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,9813.0,7
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,18061.0,22
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,18061.0,20
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,18061.0,30
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,18061.0,10
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,5
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,5
RC,481,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,291.0,2900.0,8
RC,481,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,481,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,481,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1632.0,3435.0,7
RC,481,"Cautery of cervix; cryocautery, initial or repeat ",,,291.0,2900.0,11
RC,481,Cautery of cervix; electro or thermal ,,,870.0,4830.0,11
RC,481,Cautery of cervix; laser ablation ,,,870.0,4830.0,13
RC,481,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,9
RC,481,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,4830.0,13
RC,481,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,4830.0,13
RC,481,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,1632.0,3435.0,2
RC,481,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,1632.0,3435.0,2
RC,481,Cesarean delivery only; ,,,1632.0,4953.0,5
RC,481,Cesarean delivery only; including postpartum care ,,,1632.0,6446.0,9
RC,481,Change of cystostomy tube; complicated ,,,511.0,3250.0,13
RC,481,Change of cystostomy tube; simple ,,,291.0,2900.0,11
RC,481,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,4100.0,13
RC,481,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,4953.0,5
RC,481,Chemodenervation of eccrine glands; both axillae ,,,291.0,2900.0,11
RC,481,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,291.0,2900.0,11
RC,481,Chemodenervation of extraocular muscle ,,,291.0,2900.0,11
RC,481,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,511.0,3250.0,11
RC,481,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,291.0,2900.0,11
RC,481,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,291.0,2900.0,11
RC,481,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,291.0,2900.0,11
RC,481,Chemodenervation of one extremity; 1-4 muscle(s) ,,,511.0,3250.0,11
RC,481,Chemodenervation of one extremity; 5 or more muscles ,,,511.0,3250.0,11
RC,481,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,481,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,481,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,291.0,2900.0,11
RC,481,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,511.0,3250.0,11
RC,481,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,511.0,3250.0,11
RC,481,"Chorionic villus sampling, any method ",,,511.0,3250.0,7
RC,481,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,13
RC,481,Ciliary body destruction; cryotherapy ,,,870.0,4830.0,13
RC,481,Ciliary body destruction; cyclodialysis ,,,870.0,4830.0,13
RC,481,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,4830.0,13
RC,481,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,4830.0,13
RC,481,Ciliary body destruction; diathermy ,,,769.0,4100.0,13
RC,481,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,742.8,4830.0,13
RC,481,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,4830.0,13
RC,481,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,4830.0,13
RC,481,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,291.0,2900.0,13
RC,481,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,291.0,2900.0,13
RC,481,Clitoroplasty for intersex state ,,,1404.42,4830.0,7
RC,481,Closure of cystostomy (separate procedure) ,,,607.0,4830.0,13
RC,481,Closure of lacrimal fistula (separate procedure) ,,,511.0,6446.0,13
RC,481,Closure of nephrocutaneous or pyelocutaneous fistula ,,,511.0,3250.0,8
RC,481,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,1632.0,4953.0,5
RC,481,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,1632.0,4953.0,5
RC,481,Closure of rectovaginal fistula; abdominal approach ,,,1632.0,6446.0,9
RC,481,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,1632.0,4953.0,5
RC,481,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,1632.0,4830.0,4
RC,481,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,13
RC,481,"Closure of the lacrimal punctum; by plug, each ",,,291.0,2900.0,11
RC,481,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,291.0,2900.0,11
RC,481,Closure of ureterocutaneous fistula ,,,1632.0,4953.0,5
RC,481,Closure of ureterovisceral fistula (including visceral repair) ,,,1632.0,4953.0,5
RC,481,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,5958.0,13
RC,481,Closure of urethrovaginal fistula; ,,,1257.0,6801.0,11
RC,481,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,8
RC,481,Closure of vesicouterine fistula; ,,,1257.0,6446.0,8
RC,481,Closure of vesicouterine fistula; with hysterectomy ,,,1632.0,4953.0,5
RC,481,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,8
RC,481,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,1694.0,5958.0,7
RC,481,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,11
RC,481,"Closure postauricular fistula, mastoid (separate procedure) ",,,769.0,6446.0,13
RC,481,"Closure, exstrophy of bladder ",,,1632.0,4953.0,5
RC,481,"Cochlear device implantation, with or without mastoidectomy ",,,2706.0,74502.0,13
RC,481,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,3
RC,481,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,291.0,2900.0,4
RC,481,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3250.0,13
RC,481,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3250.0,13
RC,481,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,9
RC,481,Colpocentesis (separate procedure) ,,,870.0,4830.0,13
RC,481,Colpocleisis (Le Fort type) ,,,1603.31,6446.0,9
RC,481,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,4830.0,13
RC,481,"Colpopexy, abdominal approach ",,,1632.0,6446.0,8
RC,481,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1753.0,6801.0,11
RC,481,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1753.0,6801.0,11
RC,481,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,9
RC,481,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,4830.0,13
RC,481,Colposcopy of the cervix including upper/adjacent vagina; ,,,291.0,2900.0,11
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,291.0,2900.0,11
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,291.0,2900.0,11
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,291.0,2900.0,11
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,4830.0,11
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,11
RC,481,"Colposcopy of the entire vagina, with cervix if present; ",,,291.0,2900.0,11
RC,481,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,511.0,3250.0,11
RC,481,Colposcopy of the vulva; ,,,291.0,2900.0,11
RC,481,Colposcopy of the vulva; with biopsy(s) ,,,291.0,2900.0,11
RC,481,Colpotomy; with drainage of pelvic abscess ,,,870.0,4830.0,13
RC,481,Colpotomy; with exploration ,,,607.0,4830.0,13
RC,481,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.31,6446.0,13
RC,481,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.31,10746.0,13
RC,481,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,18061.0,10
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,291.0,2900.0,13
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,511.0,3250.0,11
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,511.0,3250.0,11
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,511.0,3250.0,11
RC,481,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,291.0,2900.0,7
RC,481,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,291.0,3435.0,5
RC,481,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,4830.0,13
RC,481,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,4830.0,13
RC,481,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,5958.0,13
RC,481,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,4830.0,13
RC,481,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1142.61,6446.0,13
RC,481,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1404.42,6446.0,13
RC,481,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1404.42,6446.0,13
RC,481,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1142.61,6446.0,13
RC,481,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1404.42,6446.0,13
RC,481,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1404.42,6446.0,13
RC,481,Construction of artificial vagina; with graft ,,,1471.0,6446.0,11
RC,481,Construction of artificial vagina; without graft ,,,1603.31,6446.0,13
RC,481,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1142.61,6446.0,13
RC,481,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1142.61,6446.0,13
RC,481,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,1632.0,4953.0,5
RC,481,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,291.0,2900.0,4
RC,481,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,291.0,2900.0,8
RC,481,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,291.0,2900.0,11
RC,481,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,11
RC,481,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,4953.0,5
RC,481,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,511.0,3250.0,11
RC,481,"Cordocentesis (intrauterine), any method ",,,291.0,2900.0,7
RC,481,Corneal relaxing incision for correction of surgically induced astigmatism ,,,769.0,6446.0,13
RC,481,Corneal wedge resection for correction of surgically induced astigmatism ,,,1142.61,6446.0,13
RC,481,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,1632.0,4953.0,5
RC,481,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1404.42,6446.0,13
RC,481,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1404.42,6446.0,13
RC,481,"Correction of everted punctum, cautery ",,,291.0,2900.0,11
RC,481,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1142.61,6446.0,13
RC,481,Correction of lid retraction ,,,1142.61,6446.0,13
RC,481,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,291.0,2900.0,7
RC,481,"Correction of trichiasis; epilation, by forceps only ",,,291.0,2900.0,7
RC,481,Correction of trichiasis; incision of lid margin ,,,769.0,4100.0,13
RC,481,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,4830.0,13
RC,481,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,291.0,2900.0,4
RC,481,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,1753.0,9431.0,7
RC,481,Craniectomy for craniosynostosis; multiple cranial sutures ,,,1632.0,4953.0,5
RC,481,Craniectomy for craniosynostosis; single cranial suture ,,,1632.0,4953.0,5
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,1632.0,4953.0,5
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,1632.0,4953.0,5
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,1632.0,4953.0,5
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,1632.0,4953.0,5
RC,481,"Craniectomy or craniotomy, exploratory; supratentorial ",,,1632.0,4953.0,5
RC,481,Craniectomy or craniotomy; with excision of foreign body from brain ,,,1632.0,4953.0,5
RC,481,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,1632.0,4953.0,5
RC,481,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,1632.0,4953.0,5
RC,481,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,1632.0,4953.0,5
RC,481,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,1632.0,4953.0,5
RC,481,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,1632.0,4953.0,5
RC,481,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,1632.0,4953.0,5
RC,481,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,1632.0,4953.0,5
RC,481,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,1632.0,4953.0,5
RC,481,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,1632.0,4953.0,5
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,1632.0,4953.0,5
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,1632.0,4953.0,5
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,1632.0,4953.0,5
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,1632.0,4953.0,5
RC,481,Craniectomy; for osteomyelitis ,,,1632.0,4953.0,5
RC,481,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2540.0,9431.0,8
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,1632.0,4953.0,5
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,1632.0,4953.0,5
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,481,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,481,Cranioplasty for skull defect with reparative brain surgery ,,,1632.0,4953.0,5
RC,481,Cranioplasty for skull defect; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,481,Cranioplasty for skull defect; up to 5 cm diameter ,,,1632.0,5552.91,8
RC,481,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,481,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,1632.0,5278.0,8
RC,481,Craniotomy for craniosynostosis; bifrontal bone flap ,,,1632.0,4953.0,5
RC,481,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,1632.0,4953.0,5
RC,481,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,1632.0,4953.0,5
RC,481,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,1632.0,4953.0,5
RC,481,"Craniotomy for repair of encephalocele, skull base ",,,1632.0,4953.0,5
RC,481,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,1632.0,4953.0,5
RC,481,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,1632.0,4953.0,5
RC,481,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,1632.0,4953.0,5
RC,481,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,1632.0,4953.0,5
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,481,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,481,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,1632.0,4953.0,5
RC,481,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,1632.0,4953.0,5
RC,481,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,1632.0,4953.0,5
RC,481,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,1632.0,4953.0,5
RC,481,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,1632.0,4953.0,5
RC,481,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,1753.0,6801.0,7
RC,481,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,1632.0,4953.0,5
RC,481,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1142.61,6446.0,13
RC,481,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1142.61,6446.0,13
RC,481,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,4830.0,13
RC,481,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,1632.0,4953.0,5
RC,481,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,6801.0,11
RC,481,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,481,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,481,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,481,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,481,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,1753.0,20951.0,13
RC,481,"Curettage, postpartum ",,,1257.0,6446.0,13
RC,481,Cutaneous appendico-vesicostomy ,,,1632.0,4953.0,5
RC,481,Cutaneous vesicostomy ,,,1404.42,4830.0,7
RC,481,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,1632.0,4953.0,5
RC,481,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,1632.0,4953.0,5
RC,481,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,481,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,1632.0,4953.0,5
RC,481,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,481,"Cystectomy, complete; (separate procedure) ",,,1632.0,4953.0,5
RC,481,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,481,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,481,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,1632.0,4953.0,5
RC,481,"Cystectomy, partial; simple ",,,1632.0,4953.0,5
RC,481,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,13
RC,481,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,1632.0,10746.0,9
RC,481,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,8
RC,481,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,4830.0,11
RC,481,"Cystostomy, cystotomy with drainage ",,,1142.61,6446.0,13
RC,481,"Cystotomy for excision, incision, or repair of ureterocele ",,,1404.42,4830.0,7
RC,481,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1404.42,6446.0,13
RC,481,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1404.42,2760.0,8
RC,481,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1404.42,6446.0,13
RC,481,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,511.0,6446.0,13
RC,481,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,1404.42,5958.0,7
RC,481,Cystotomy; for excision of bladder tumor ,,,1404.42,5958.0,7
RC,481,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1404.42,6446.0,13
RC,481,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,1632.0,10746.0,9
RC,481,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,13
RC,481,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,4830.0,13
RC,481,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1404.42,6446.0,13
RC,481,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,6801.0,13
RC,481,Cystourethroscopy (separate procedure) ,,,511.0,3250.0,11
RC,481,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,742.8,4100.0,13
RC,481,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,4953.0,5
RC,481,Cystourethroscopy with direct vision internal urethrotomy ,,,1142.61,6446.0,13
RC,481,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,13
RC,481,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,1632.0,6446.0,7
RC,481,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1404.42,16336.0,13
RC,481,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1632.0,6446.0,7
RC,481,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,6446.0,13
RC,481,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,769.0,4100.0,13
RC,481,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,13
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,4953.0,5
RC,481,"Cystourethroscopy, with biopsy(s) ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,769.0,4100.0,13
RC,481,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,769.0,4100.0,13
RC,481,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,511.0,3250.0,11
RC,481,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,511.0,3250.0,13
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,769.0,4100.0,11
RC,481,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,4830.0,11
RC,481,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,291.0,2900.0,11
RC,481,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,291.0,6446.0,11
RC,481,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,6
RC,481,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,6446.0,11
RC,481,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,11
RC,481,"Cystourethroscopy, with internal urethrotomy; female ",,,769.0,4100.0,13
RC,481,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,1632.0,6446.0,7
RC,481,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,769.0,4100.0,13
RC,481,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,4830.0,11
RC,481,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,4830.0,7
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,5
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,6446.0,13
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1603.31,6801.0,7
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,6801.0,9
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1404.42,6446.0,13
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,6446.0,13
RC,481,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,4830.0,13
RC,481,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,481,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,4830.0,13
RC,481,D & C OF RESIDUAL CERVIX ,,,2302.0,2490.0,2
RC,481,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,1069.0,4
RC,481,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,1069.0,2
RC,481,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,1069.0,2
RC,481,DILATION PROSTATIC URETHRA ,,,2302.0,2490.0,2
RC,481,DRAINAGE OF BLADDER ,,,988.0,1069.0,2
RC,481,DRAINAGE OF EYE ,,,988.0,1069.0,2
RC,481,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1404.42,6446.0,13
RC,481,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,291.0,2900.0,16
RC,481,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,8
RC,481,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,4953.0,5
RC,481,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,291.0,2900.0,11
RC,481,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,291.0,2900.0,7
RC,481,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1753.0,6801.0,11
RC,481,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1753.0,6801.0,13
RC,481,Decompression internal auditory canal ,,,1753.0,6801.0,7
RC,481,"Decompression of orbit only, transcranial approach ",,,1404.42,6801.0,7
RC,481,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1142.61,6446.0,13
RC,481,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1632.0,3435.0,7
RC,481,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,1632.0,9431.0,7
RC,481,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1632.0,4830.0,7
RC,481,Decompression; plantar digital nerve ,,,607.0,4830.0,13
RC,481,Decompression; unspecified nerve(s) (specify) ,,,607.0,4830.0,13
RC,481,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,3
RC,481,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,607.0,4100.0,11
RC,481,Deligation of ureter ,,,1632.0,4953.0,5
RC,481,Delivery of placenta (separate procedure) ,,,1404.42,4830.0,7
RC,481,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,3
RC,481,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1142.61,4830.0,10
RC,481,"Destruction by neurolytic agent, intercostal nerve ",,,511.0,3250.0,13
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,291.0,2900.0,8
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,4830.0,11
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,291.0,2900.0,8
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,4830.0,11
RC,481,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,4830.0,13
RC,481,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,4830.0,13
RC,481,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,511.0,3250.0,13
RC,481,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,511.0,3250.0,13
RC,481,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,511.0,3250.0,13
RC,481,Destruction by neurolytic agent; other peripheral nerve or branch ,,,511.0,3250.0,11
RC,481,Destruction by neurolytic agent; plantar common digital nerve ,,,291.0,2900.0,11
RC,481,Destruction by neurolytic agent; pudendal nerve ,,,511.0,3250.0,13
RC,481,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,511.0,3250.0,11
RC,481,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,5958.0,13
RC,481,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,291.0,2900.0,11
RC,481,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,4100.0,11
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,13
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,2900.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4100.0,13
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4100.0,13
RC,481,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,769.0,6446.0,13
RC,481,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,11
RC,481,"Destruction of lesion, conjunctiva ",,,607.0,4830.0,11
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,511.0,3250.0,11
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,511.0,3250.0,11
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,291.0,2900.0,8
RC,481,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3250.0,11
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,291.0,6446.0,11
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,511.0,6446.0,11
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1404.42,6446.0,13
RC,481,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,13
RC,481,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,11
RC,481,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,3715.0,6446.0,5
RC,481,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3715.0,10746.0,20
RC,481,Diaphragm or cervical cap fitting with instructions ,,,291.0,2900.0,7
RC,481,Dilation and curettage of cervical stump ,,,1257.0,6446.0,13
RC,481,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,4830.0,13
RC,481,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,4830.0,11
RC,481,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1404.42,5958.0,20
RC,481,Dilation of female urethra including suppository and/or instillation; initial ,,,291.0,2900.0,11
RC,481,Dilation of female urethra including suppository and/or instillation; subsequent ,,,291.0,2900.0,7
RC,481,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,4830.0,13
RC,481,"Dilation of lacrimal punctum, with or without irrigation ",,,291.0,2900.0,7
RC,481,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,511.0,3250.0,11
RC,481,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,291.0,2900.0,11
RC,481,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,291.0,2900.0,11
RC,481,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,291.0,2900.0,11
RC,481,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,769.0,4100.0,13
RC,481,Dilation of vagina under anesthesia (other than local) ,,,870.0,4830.0,13
RC,481,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,481,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,291.0,6446.0,8
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1753.0,9431.0,11
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,1632.0,4953.0,5
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,1632.0,4953.0,5
RC,481,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,511.0,3250.0,13
RC,481,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,291.0,2900.0,11
RC,481,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,4830.0,13
RC,481,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,1632.0,4953.0,5
RC,481,"Donor nephrectomy (including cold preservation); open, from living donor ",,,1632.0,4953.0,5
RC,481,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,1632.0,3435.0,2
RC,481,"Drainage external auditory canal, abscess ",,,511.0,3250.0,11
RC,481,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,4100.0,11
RC,481,"Drainage external ear, abscess or hematoma; simple ",,,511.0,3250.0,11
RC,481,Drainage of Skene's gland abscess or cyst ,,,607.0,4830.0,11
RC,481,Drainage of deep periurethral abscess ,,,870.0,4830.0,13
RC,481,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,1632.0,4953.0,5
RC,481,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,8
RC,481,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,13
RC,481,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,11
RC,481,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,13
RC,481,Drainage of perineal urinary extravasation; complicated ,,,1142.61,4830.0,7
RC,481,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,742.8,6446.0,13
RC,481,"Drainage of perirenal or renal abscess, open ",,,870.0,4830.0,11
RC,481,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,1632.0,4953.0,5
RC,481,Drainage of perivesical or prevesical space abscess ,,,607.0,4100.0,13
RC,481,"Drainage of retroperitoneal abscess, open ",,,1632.0,4953.0,5
RC,481,Drainage of scrotal wall abscess ,,,607.0,4100.0,13
RC,481,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,1632.0,4953.0,5
RC,481,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,1632.0,4953.0,5
RC,481,Duodenal motility (manometric) study ,,,291.0,2900.0,8
RC,481,"Dural graft, spinal ",,,1632.0,4953.0,5
RC,481,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,742.8,4100.0,7
RC,481,EXPLORATION OF EPIDIDYMIS ,,,988.0,1069.0,2
RC,481,Ear piercing ,,,1632.0,4953.0,5
RC,481,Electroejaculation ,,,511.0,3250.0,11
RC,481,"Electrogastrography, diagnostic, transcutaneous; ",,,291.0,2900.0,4
RC,481,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,291.0,2900.0,4
RC,481,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,291.0,2900.0,7
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,291.0,2900.0,11
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,291.0,2900.0,18
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,291.0,2900.0,11
RC,481,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,291.0,2900.0,4
RC,481,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,1632.0,4953.0,5
RC,481,"Elevation of depressed skull fracture; simple, extradural ",,,1404.42,6801.0,7
RC,481,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,1632.0,4953.0,5
RC,481,"Embryo transfer, intrauterine ",,,511.0,3250.0,13
RC,481,Endocervical curettage (not done as part of a dilation and curettage) ,,,511.0,3250.0,11
RC,481,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,291.0,2900.0,8
RC,481,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,291.0,2900.0,8
RC,481,Endolymphatic sac operation; with shunt ,,,1753.0,10746.0,13
RC,481,Endolymphatic sac operation; without shunt ,,,1753.0,10746.0,13
RC,481,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.31,10746.0,13
RC,481,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1603.31,6766.0,11
RC,481,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,481,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,291.0,2900.0,11
RC,481,Endomyocardial biopsy ,,,607.0,5958.0,9
RC,481,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,481,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,5
RC,481,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,13
RC,481,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,6
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,3715.0,6446.0,5
RC,481,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,3715.0,6446.0,5
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,481,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,6446.0,9
RC,481,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,481,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,1632.0,21331.0,5
RC,481,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,1632.0,21331.0,5
RC,481,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,13472.0,11
RC,481,"Enterocystoplasty, including intestinal anastomosis ",,,1632.0,4953.0,5
RC,481,"Enucleation of eye; with implant, muscles attached to implant ",,,1404.42,6446.0,13
RC,481,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,13
RC,481,Enucleation of eye; without implant ,,,1257.0,6446.0,13
RC,481,Epididymectomy; bilateral ,,,1404.42,6446.0,13
RC,481,Epididymectomy; unilateral ,,,1257.0,6446.0,13
RC,481,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1404.42,6446.0,13
RC,481,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1142.61,6446.0,13
RC,481,Epikeratoplasty ,,,1632.0,10746.0,8
RC,481,"Episiotomy or vaginal repair, by other than attending ",,,870.0,4830.0,11
RC,481,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,291.0,2900.0,4
RC,481,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,291.0,2900.0,4
RC,481,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,291.0,2900.0,4
RC,481,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,291.0,2900.0,8
RC,481,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,291.0,2900.0,4
RC,481,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,4830.0,9
RC,481,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,769.0,21155.0,4
RC,481,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,769.0,21155.0,4
RC,481,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,291.0,2900.0,4
RC,481,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,291.0,3250.0,4
RC,481,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,291.0,2900.0,4
RC,481,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,291.0,2900.0,4
RC,481,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,13
RC,481,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,13
RC,481,Exc biopsy of saliv glands ,,,3715.0,4953.0,3
RC,481,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,3
RC,481,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,511.0,3250.0,11
RC,481,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,4953.0,5
RC,481,Exchange of intraocular lens ,,,1142.61,6446.0,13
RC,481,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,607.0,4100.0,11
RC,481,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,481,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,481,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,481,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1142.61,6446.0,26
RC,481,Excision aural glomus tumor; extended (extratemporal) ,,,1632.0,4953.0,5
RC,481,Excision aural glomus tumor; transcanal ,,,1753.0,6801.0,13
RC,481,Excision aural glomus tumor; transmastoid ,,,1753.0,10746.0,13
RC,481,Excision aural polyp ,,,769.0,4100.0,11
RC,481,"Excision exostosis(es), external auditory canal ",,,870.0,4830.0,13
RC,481,Excision external ear; complete amputation ,,,870.0,4830.0,13
RC,481,"Excision external ear; partial, simple repair ",,,607.0,4100.0,13
RC,481,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,13
RC,481,Excision of Mullerian duct cyst ,,,607.0,4830.0,13
RC,481,Excision of ampulla of Vater ,,,1632.0,4953.0,5
RC,481,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,4830.0,13
RC,481,Excision of carotid body tumor; with excision of carotid artery ,,,1632.0,4953.0,5
RC,481,Excision of carotid body tumor; without excision of carotid artery ,,,1632.0,4953.0,5
RC,481,"Excision of cervical stump, abdominal approach; ",,,1632.0,4953.0,5
RC,481,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,1632.0,4953.0,5
RC,481,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,13
RC,481,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,1603.31,5958.0,7
RC,481,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.31,6801.0,13
RC,481,"Excision of chalazion; multiple, different lids ",,,291.0,2900.0,11
RC,481,"Excision of chalazion; multiple, same lid ",,,607.0,4100.0,11
RC,481,Excision of chalazion; single ,,,291.0,2900.0,11
RC,481,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,4830.0,13
RC,481,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,9431.0,13
RC,481,Excision of extraparenchymal lesion of testis ,,,870.0,4830.0,13
RC,481,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,13
RC,481,Excision of hydrocele; bilateral ,,,1404.42,6446.0,13
RC,481,Excision of hydrocele; unilateral ,,,1257.0,6446.0,13
RC,481,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,13
RC,481,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,13
RC,481,Excision of lacrimal gland tumor; frontal approach ,,,1142.61,6446.0,13
RC,481,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,13
RC,481,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,13
RC,481,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,769.0,4100.0,11
RC,481,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,1632.0,4953.0,5
RC,481,Excision of lesion of spermatic cord (separate procedure) ,,,1404.42,6446.0,13
RC,481,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,4830.0,13
RC,481,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,4830.0,11
RC,481,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,4830.0,13
RC,481,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,4100.0,13
RC,481,"Excision of lesion, sclera ",,,1142.61,10746.0,13
RC,481,Excision of local lesion of epididymis ,,,1257.0,6446.0,13
RC,481,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,3715.0,6446.0,5
RC,481,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1142.61,6446.0,13
RC,481,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6801.0,13
RC,481,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1142.61,6446.0,13
RC,481,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,4830.0,13
RC,481,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1142.61,6446.0,13
RC,481,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,481,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,481,"Excision of neuroma; hand or foot, except digital nerve ",,,1142.61,6446.0,13
RC,481,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1142.61,6446.0,13
RC,481,Excision of neuroma; sciatic nerve ,,,1257.0,6801.0,13
RC,481,Excision of penile plaque (Peyronie disease); ,,,870.0,6801.0,13
RC,481,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,6801.0,13
RC,481,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,6801.0,13
RC,481,Excision of perinephric cyst ,,,1632.0,4953.0,5
RC,481,Excision of presacral or sacrococcygeal tumor ,,,1632.0,4953.0,5
RC,481,"Excision of spermatocele, with or without epididymectomy ",,,1142.61,6446.0,13
RC,481,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,9431.0,13
RC,481,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,9431.0,13
RC,481,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,13
RC,481,Excision of urethral diverticulum (separate procedure); female ,,,870.0,5958.0,13
RC,481,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,13
RC,481,Excision of vaginal cyst or tumor ,,,870.0,4830.0,13
RC,481,Excision of vaginal septum ,,,870.0,4830.0,13
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1404.42,6446.0,13
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1404.42,6446.0,13
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1404.42,6446.0,13
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,1632.0,4830.0,5
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,1632.0,5958.0,5
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,1632.0,4830.0,5
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,1632.0,4830.0,5
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,1632.0,5958.0,5
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,1603.31,1919.0,4
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,2540.0,2540.0,1
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,2540.0,2540.0,1
RC,481,Excision or fulguration of carcinoma of urethra ,,,870.0,5958.0,13
RC,481,Excision or fulguration; Skene's glands ,,,870.0,4830.0,13
RC,481,Excision or fulguration; urethral caruncle ,,,870.0,4830.0,13
RC,481,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,4830.0,13
RC,481,Excision or fulguration; urethral prolapse ,,,870.0,4830.0,13
RC,481,Excision or transposition of pterygium; with graft ,,,1142.61,6446.0,13
RC,481,Excision or transposition of pterygium; without graft ,,,870.0,4830.0,13
RC,481,Excision or unroofing of cyst(s) of kidney ,,,1632.0,4953.0,5
RC,481,"Excision soft tissue lesion, external auditory canal ",,,769.0,4100.0,13
RC,481,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,1632.0,4953.0,5
RC,481,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,1632.0,4953.0,5
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1404.42,6446.0,13
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1404.42,10746.0,13
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1404.42,10746.0,13
RC,481,Exploration for undescended testis (inguinal or scrotal area) ,,,1404.42,6446.0,13
RC,481,Exploration for undescended testis with abdominal exploration ,,,1142.61,6446.0,11
RC,481,"Exploration of epididymis, with or without biopsy ",,,607.0,4830.0,13
RC,481,"Exploration of orbit (transcranial approach), with removal of lesion ",,,1632.0,4953.0,5
RC,481,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1404.42,6446.0,12
RC,481,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,8
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,16336.0,11
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,16336.0,5
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,16336.0,5
RC,481,"Expression of conjunctival follicles (eg, for trachoma) ",,,291.0,2900.0,7
RC,481,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,1632.0,4953.0,5
RC,481,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,1632.0,4953.0,5
RC,481,"External cephalic version, with or without tocolysis ",,,1404.42,4830.0,7
RC,481,"External drainage, pseudocyst of pancreas, open ",,,472.88,4953.0,7
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,1404.42,6801.0,10
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,1404.42,6801.0,10
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,1142.61,6446.0,13
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1142.61,6801.0,33
RC,481,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,2760.0,2
RC,481,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,6
RC,481,Fetal contraction stress test ,,,291.0,2900.0,7
RC,481,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,291.0,2900.0,11
RC,481,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,1632.0,4953.0,5
RC,481,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,291.0,2900.0,4
RC,481,Fetal non-stress test ,,,291.0,2900.0,7
RC,481,Fetal scalp blood sampling ,,,291.0,2900.0,7
RC,481,"Fetal shunt placement, including ultrasound guidance ",,,291.0,2900.0,11
RC,481,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,291.0,2900.0,11
RC,481,Fimbrioplasty ,,,1694.0,6446.0,8
RC,481,Fine needle aspiration of orbital contents ,,,607.0,4830.0,13
RC,481,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,4830.0,13
RC,481,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1404.42,6446.0,13
RC,481,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1142.61,6446.0,13
RC,481,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1142.61,6446.0,13
RC,481,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1404.42,6446.0,13
RC,481,Fitting and insertion of pessary or other intravaginal support device ,,,291.0,2900.0,7
RC,481,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,13
RC,481,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,1632.0,1
RC,481,"Follicle puncture for oocyte retrieval, any method ",,,511.0,3250.0,13
RC,481,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,291.0,2900.0,13
RC,481,Free omental flap with microvascular anastomosis ,,,1632.0,4953.0,5
RC,481,Frenulotomy of penis ,,,870.0,4830.0,13
RC,481,GLAUCOMA SURGERY ,,,2552.0,2760.0,2
RC,481,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,291.0,2900.0,13
RC,481,Gastric motility (manometric) studies ,,,291.0,2900.0,8
RC,481,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,3
RC,481,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,769.0,4100.0,4
RC,481,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,769.0,4100.0,4
RC,481,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,4
RC,481,Goniotomy ,,,607.0,4830.0,13
RC,481,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,481,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,481,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,3
RC,481,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,3
RC,481,HFenestration semicircular canal ,,,3026.0,3273.0,2
RC,481,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,27220.0,36293.0,3
RC,481,HRevision fenestration operation ,,,3026.0,3273.0,2
RC,481,"Harvesting conjunctival allograft, living donor ",,,870.0,4830.0,13
RC,481,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,481,"Hymenotomy, simple incision ",,,607.0,4830.0,13
RC,481,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,1632.0,4953.0,5
RC,481,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,1632.0,10746.0,9
RC,481,Hysterorrhaphy of ruptured uterus ,,,1632.0,3435.0,2
RC,481,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1632.0,6446.0,9
RC,481,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,4830.0,13
RC,481,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,6801.0,13
RC,481,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,6446.0,13
RC,481,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.31,6446.0,13
RC,481,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,4830.0,13
RC,481,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,6446.0,13
RC,481,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,6446.0,13
RC,481,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,6446.0,13
RC,481,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,1603.31,4830.0,7
RC,481,IMPLANT NEUROELECTRODES ,,,988.0,1069.0,4
RC,481,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,3723.0,5078.0,4
RC,481,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,481,INCISE INNER EAR ,,,4526.0,4895.0,2
RC,481,INCISION OF HYMEN ,,,988.0,1069.0,2
RC,481,INJ PARAVERTEBRAL C/T ,,,988.0,1069.0,2
RC,481,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,1069.0,2
RC,481,INJ PARAVERTEBRAL L/S ,,,988.0,1069.0,2
RC,481,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,1069.0,2
RC,481,INJECT SPINE CERV/THORACIC ,,,988.0,1069.0,2
RC,481,INJECT SPINE LUMBAR/SACRAL ,,,988.0,1069.0,2
RC,481,INJECT SPINE W/CATH CRV/THRC ,,,988.0,1069.0,2
RC,481,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,1069.0,2
RC,481,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,827.0,2
RC,481,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,827.0,2
RC,481,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,827.0,2
RC,481,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,1069.0,4
RC,481,"INSERT ABDOM DRAIN, TEMP ",,,988.0,1069.0,2
RC,481,INSERT KIDNEY DRAIN ,,,988.0,1069.0,2
RC,481,INSERT URETERAL TUBE ,,,988.0,1069.0,2
RC,481,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,1069.0,4
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,769.0,4100.0,11
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,769.0,6446.0,11
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,769.0,4100.0,11
RC,481,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,6801.0,4
RC,481,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,5958.0,4
RC,481,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,481,Implantation of intrastromal corneal ring segments ,,,1404.42,6801.0,11
RC,481,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6801.0,13
RC,481,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,1632.0,6801.0,7
RC,481,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,13472.0,5
RC,481,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,291.0,2900.0,10
RC,481,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,26596.0,13
RC,481,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,26596.0,13
RC,481,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,26596.0,13
RC,481,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6801.0,8
RC,481,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2179.0,9431.0,10
RC,481,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2179.0,9431.0,10
RC,481,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2179.0,13472.0,13
RC,481,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,9431.0,11
RC,481,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,6801.0,13
RC,481,Incision and drainage of Bartholin's gland abscess ,,,291.0,2900.0,11
RC,481,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,4830.0,13
RC,481,"Incision and drainage of penis, deep ",,,769.0,6446.0,13
RC,481,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,4100.0,13
RC,481,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,4830.0,13
RC,481,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,769.0,4100.0,11
RC,481,Incision and drainage of vulva or perineal abscess ,,,291.0,2900.0,11
RC,481,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,481,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,4953.0,9
RC,481,"Incision of conjunctiva, drainage of cyst ",,,769.0,4100.0,11
RC,481,"Incision, drainage of lacrimal gland ",,,607.0,4100.0,11
RC,481,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,511.0,3250.0,11
RC,481,Incisional biopsy of eyelid skin including lid margin ,,,291.0,2900.0,11
RC,481,Indexing for osteotomy ,,,3715.0,4953.0,3
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,4953.0,9
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,4953.0,9
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,4953.0,9
RC,481,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,1632.0,4953.0,5
RC,481,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,769.0,4953.0,18
RC,481,"Induced abortion, by dilation and curettage ",,,1404.42,6446.0,13
RC,481,"Induced abortion, by dilation and evacuation ",,,1404.42,6446.0,13
RC,481,Induction of arrhythmia by electrical pacing ,,,769.0,21155.0,4
RC,481,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,1632.0,4953.0,5
RC,481,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,1632.0,4953.0,5
RC,481,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,1632.0,14425.0,7
RC,481,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,4
RC,481,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,291.0,2900.0,8
RC,481,Injection of contrast medium for dacryocystography ,,,291.0,2900.0,8
RC,481,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,291.0,2900.0,7
RC,481,Injection of medication or other substance into Tenon's capsule ,,,291.0,2900.0,11
RC,481,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,4830.0,13
RC,481,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,291.0,2900.0,8
RC,481,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,291.0,2900.0,4
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,481,Injection procedure for Peyronie disease; ,,,291.0,2900.0,7
RC,481,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,13
RC,481,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,511.0,3250.0,22
RC,481,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,4830.0,11
RC,481,Injection procedure for corpora cavernosography ,,,291.0,2900.0,8
RC,481,Injection procedure for cystography or voiding urethrocystography ,,,291.0,2900.0,4
RC,481,"Injection procedure for discography, each level; cervical or thoracic ",,,291.0,2900.0,8
RC,481,"Injection procedure for discography, each level; lumbar ",,,291.0,2900.0,8
RC,481,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,481,"Injection procedure for myelography and/or computed tomography, lumbar ",,,291.0,2900.0,8
RC,481,Injection procedure for retrograde urethrocystography ,,,291.0,2900.0,4
RC,481,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,8
RC,481,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3250.0,13
RC,481,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,8
RC,481,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,291.0,2900.0,8
RC,481,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,511.0,6446.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,511.0,3250.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3250.0,9
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,511.0,3250.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3250.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,511.0,3250.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,511.0,3435.0,10
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,291.0,2900.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,511.0,3250.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,511.0,3250.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,511.0,3250.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,511.0,3250.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,511.0,3435.0,10
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,511.0,3250.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,511.0,3250.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,291.0,2900.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,511.0,3250.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3250.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,511.0,3250.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,511.0,3250.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,291.0,2900.0,10
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,511.0,3250.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,291.0,2900.0,10
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,511.0,3250.0,13
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,291.0,2900.0,11
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,291.0,2900.0,11
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,291.0,2900.0,8
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,511.0,3250.0,11
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,291.0,2900.0,8
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,291.0,2900.0,8
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,511.0,3250.0,11
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,291.0,2900.0,8
RC,481,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3250.0,44
RC,481,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3250.0,44
RC,481,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,511.0,3250.0,13
RC,481,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,511.0,3250.0,13
RC,481,"Injection, anesthetic agent; sphenopalatine ganglion ",,,291.0,2900.0,11
RC,481,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,511.0,3250.0,13
RC,481,"Injection, anesthetic agent; superior hypogastric plexus ",,,511.0,3250.0,13
RC,481,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,4100.0,13
RC,481,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,4100.0,13
RC,481,"Injection, epidural, of blood or clot patch ",,,511.0,3250.0,13
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,511.0,3250.0,13
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,511.0,3250.0,13
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,511.0,3250.0,13
RC,481,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,3250.0,9
RC,481,Insertion of Heyman capsules for clinical brachytherapy ,,,870.0,4830.0,13
RC,481,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,511.0,3250.0,11
RC,481,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,291.0,2900.0,11
RC,481,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,6801.0,11
RC,481,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,11
RC,481,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,9
RC,481,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,291.0,2900.0,11
RC,481,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1142.61,4830.0,10
RC,481,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,11
RC,481,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,11
RC,481,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,7
RC,481,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,10732.0,13
RC,481,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,1142.61,6446.0,13
RC,481,Insertion of intrauterine device (IUD) ,,,44.66,2900.0,10
RC,481,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,291.0,10746.0,10
RC,481,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,27277.0,13
RC,481,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3715.0,10746.0,5
RC,481,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3715.0,10746.0,5
RC,481,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3715.0,10746.0,5
RC,481,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,2900.0,11
RC,481,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,291.0,2900.0,11
RC,481,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,13
RC,481,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,5958.0,13
RC,481,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,13
RC,481,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,27277.0,13
RC,481,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,27277.0,13
RC,481,Insertion of peritoneal-venous shunt ,,,769.0,4100.0,8
RC,481,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,5
RC,481,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,1632.0,4953.0,5
RC,481,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,607.0,4100.0,8
RC,481,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,28186.0,13
RC,481,Insertion of tandem cuff (dual cuff) ,,,870.0,10732.0,13
RC,481,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,291.0,2900.0,11
RC,481,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,291.0,2900.0,11
RC,481,Insertion of testicular prosthesis (separate procedure) ,,,870.0,4830.0,13
RC,481,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1632.0,4953.0,7
RC,481,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,870.0,5958.0,11
RC,481,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,870.0,5958.0,13
RC,481,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,870.0,9431.0,13
RC,481,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,511.0,16336.0,13
RC,481,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,4953.0,5
RC,481,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,36293.0,13
RC,481,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,36293.0,13
RC,481,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,291.0,3435.0,7
RC,481,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,13472.0,7
RC,481,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,36293.0,13
RC,481,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,36293.0,13
RC,481,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,4100.0,6
RC,481,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,291.0,2900.0,11
RC,481,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,1632.0,4953.0,5
RC,481,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,1632.0,4953.0,5
RC,481,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,291.0,2900.0,10
RC,481,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,291.0,2900.0,4
RC,481,Intersex surgery; female to male ,,,1404.42,3435.0,5
RC,481,Intersex surgery; male to female ,,,1603.31,3435.0,5
RC,481,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,291.0,21155.0,4
RC,481,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,1142.61,6446.0,13
RC,481,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,4
RC,481,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,4
RC,481,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,6
RC,481,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,5
RC,481,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,291.0,2900.0,8
RC,481,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,291.0,2900.0,11
RC,481,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,291.0,2900.0,9
RC,481,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,13
RC,481,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1142.61,6446.0,13
RC,481,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,769.0,6446.0,13
RC,481,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,769.0,6446.0,13
RC,481,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1142.61,6801.0,13
RC,481,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,511.0,3250.0,11
RC,481,Iridotomy by stab incision (separate procedure); except transfixion ,,,291.0,2900.0,13
RC,481,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,4100.0,13
RC,481,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,511.0,3250.0,11
RC,481,Irrigation of corpora cavernosa for priapism ,,,291.0,2900.0,13
RC,481,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,291.0,2900.0,7
RC,481,Keratomileusis ,,,1632.0,10746.0,8
RC,481,Keratophakia ,,,1632.0,10746.0,8
RC,481,Keratoplasty (corneal transplant); anterior lamellar ,,,1404.42,10746.0,13
RC,481,Keratoplasty (corneal transplant); endothelial ,,,1404.42,10746.0,11
RC,481,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1404.42,10746.0,13
RC,481,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1404.42,10746.0,13
RC,481,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1404.42,10746.0,13
RC,481,Keratoprosthesis ,,,1753.0,10746.0,13
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,481,Labyrinthectomy; transcanal ,,,1753.0,10746.0,13
RC,481,Labyrinthectomy; with mastoidectomy ,,,1753.0,10746.0,13
RC,481,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,769.0,6446.0,13
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7058.0,13472.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,1632.0,4953.0,5
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7058.0,13472.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,1632.0,4953.0,5
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,1632.0,4953.0,5
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,1632.0,4953.0,5
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7058.0,13472.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,1632.0,4953.0,5
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,1632.0,4953.0,5
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,1632.0,4953.0,5
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7058.0,13472.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,1632.0,4953.0,5
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,1632.0,4953.0,5
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2179.0,13472.0,7
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,1632.0,4953.0,5
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,1632.0,4953.0,5
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1753.0,9431.0,12
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,1632.0,6446.0,9
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,1753.0,9431.0,10
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,1753.0,9431.0,10
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,1632.0,4953.0,5
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,1632.0,4953.0,5
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7058.0,13472.0,4
RC,481,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,36293.0,11
RC,481,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,1632.0,4953.0,5
RC,481,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,1632.0,4953.0,5
RC,481,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,1632.0,4953.0,5
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,1753.0,9431.0,11
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1753.0,9431.0,11
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1753.0,9431.0,11
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,1753.0,9431.0,11
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,1753.0,9431.0,11
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,9431.0,11
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,1753.0,9431.0,11
RC,481,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,1632.0,4953.0,5
RC,481,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1753.0,9431.0,11
RC,481,Laminectomy with rhizotomy; 1 or 2 segments ,,,7058.0,13472.0,4
RC,481,Laminectomy with rhizotomy; more than 2 segments ,,,7058.0,13472.0,4
RC,481,Laminectomy with section of spinal accessory nerve ,,,7058.0,13472.0,4
RC,481,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,291.0,9431.0,41
RC,481,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,291.0,3435.0,14
RC,481,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7058.0,13472.0,4
RC,481,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,1632.0,4953.0,5
RC,481,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,1632.0,4953.0,5
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,9
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1753.0,9431.0,11
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1694.0,5958.0,12
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1753.0,9431.0,11
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,9431.0,11
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,291.0,6446.0,8
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1632.0,4953.0,7
RC,481,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,481,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,481,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1257.0,6801.0,11
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2224.34,13472.0,9
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,1632.0,9431.0,7
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,1632.0,9431.0,7
RC,481,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2224.34,9431.0,10
RC,481,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,9431.0,11
RC,481,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,9431.0,11
RC,481,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1753.0,6801.0,13
RC,481,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2224.34,10746.0,13
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1694.0,9400.0,7
RC,481,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,6801.0,9
RC,481,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1753.0,9431.0,11
RC,481,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2224.34,9400.0,9
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical; ablation of renal cysts ",,,1753.0,6801.0,9
RC,481,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2224.34,13472.0,9
RC,481,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1632.0,4953.0,7
RC,481,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1632.0,4953.0,7
RC,481,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1632.0,4953.0,7
RC,481,"Laparoscopy, surgical; orchiectomy ",,,1753.0,9431.0,11
RC,481,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1753.0,9431.0,9
RC,481,"Laparoscopy, surgical; partial nephrectomy ",,,2224.34,9431.0,9
RC,481,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,9431.0,9
RC,481,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1632.0,4953.0,8
RC,481,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1471.0,9431.0,11
RC,481,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1753.0,9431.0,11
RC,481,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1753.0,10732.0,11
RC,481,"Laparoscopy, surgical; ureterolithotomy ",,,1753.0,9431.0,9
RC,481,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1753.0,9431.0,11
RC,481,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,9431.0,11
RC,481,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1753.0,9431.0,9
RC,481,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1471.0,6801.0,11
RC,481,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1471.0,6801.0,11
RC,481,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1257.0,6801.0,9
RC,481,"Laparoscopy, surgical; with fimbrioplasty ",,,1753.0,9431.0,11
RC,481,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,9431.0,11
RC,481,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1753.0,9431.0,11
RC,481,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1471.0,6801.0,9
RC,481,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1753.0,9431.0,11
RC,481,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,9431.0,11
RC,481,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,6
RC,481,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,291.0,2900.0,6
RC,481,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1753.0,9431.0,11
RC,481,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1471.0,6801.0,9
RC,481,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1753.0,9431.0,11
RC,481,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2540.0,10746.0,8
RC,481,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1603.31,4584.0,8
RC,481,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1603.31,6801.0,11
RC,481,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,1632.0,4953.0,5
RC,481,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,1632.0,4953.0,5
RC,481,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1603.31,6801.0,13
RC,481,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,291.0,9813.0,4
RC,481,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,18061.0,9
RC,481,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,18061.0,10
RC,481,Ligation of peritoneal-venous shunt ,,,769.0,4100.0,4
RC,481,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,4953.0,9
RC,481,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,769.0,4100.0,8
RC,481,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,4830.0,11
RC,481,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,481,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,4830.0,13
RC,481,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,4830.0,13
RC,481,"Lithotripsy, extracorporeal shock wave ",,,1404.42,9431.0,7
RC,481,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,481,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,481,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1632.0,6446.0,8
RC,481,Lysis of labial adhesions ,,,607.0,4830.0,13
RC,481,Lysis or excision of penile post-circumcision adhesions ,,,870.0,4830.0,13
RC,481,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,1632.0,13472.0,7
RC,481,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,511.0,3250.0,13
RC,481,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,7
RC,481,Marsupialization of Bartholin's gland cyst ,,,870.0,4830.0,13
RC,481,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,3
RC,481,Marsupialization of pancreatic cyst ,,,1632.0,4953.0,5
RC,481,"Marsupialization of urethral diverticulum, male or female ",,,870.0,5958.0,13
RC,481,Mastoid obliteration (separate procedure) ,,,1257.0,6801.0,13
RC,481,Mastoidectomy; complete ,,,1632.0,10746.0,13
RC,481,Mastoidectomy; modified radical ,,,1753.0,10746.0,13
RC,481,Mastoidectomy; radical ,,,1753.0,10746.0,13
RC,481,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,3
RC,481,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,3
RC,481,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,291.0,2900.0,7
RC,481,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,4830.0,13
RC,481,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,4830.0,11
RC,481,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,607.0,4100.0,11
RC,481,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,481,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,13
RC,481,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,1142.61,4830.0,7
RC,481,Multifetal pregnancy reduction(s) (MPR) ,,,291.0,2900.0,7
RC,481,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,4830.0,11
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,511.0,3250.0,11
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,511.0,3250.0,11
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,511.0,3250.0,11
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,511.0,3250.0,11
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,1694.0,10746.0,11
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1404.42,6446.0,13
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,1694.0,5958.0,7
RC,481,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,4830.0,11
RC,481,Myringotomy including aspiration and/or eustachian tube inflation ,,,291.0,6446.0,11
RC,481,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,769.0,6446.0,13
RC,481,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,481,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,481,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,3
RC,481,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,481,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1753.0,6801.0,10
RC,481,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1753.0,6801.0,10
RC,481,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,291.0,2900.0,13
RC,481,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,1632.0,4953.0,5
RC,481,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,1632.0,4953.0,5
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,1632.0,4953.0,5
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,1632.0,4953.0,5
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,1632.0,4953.0,5
RC,481,"Nephrectomy, partial ",,,1632.0,4953.0,5
RC,481,Nephrolithotomy; complicated by congenital kidney abnormality ,,,1632.0,4953.0,5
RC,481,Nephrolithotomy; removal of calculus ,,,1632.0,4953.0,5
RC,481,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,1632.0,4953.0,5
RC,481,Nephrolithotomy; secondary surgical operation for calculus ,,,1632.0,4953.0,5
RC,481,"Nephrorrhaphy, suture of kidney wound or injury ",,,1632.0,4953.0,5
RC,481,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,8
RC,481,"Nephrotomy, with exploration ",,,1632.0,4953.0,5
RC,481,Nerve dissection ,,,3715.0,4953.0,3
RC,481,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,6801.0,13
RC,481,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,6801.0,13
RC,481,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,481,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,481,Nerve pedicle transfer; first stage ,,,870.0,6801.0,13
RC,481,Nerve pedicle transfer; second stage ,,,607.0,6801.0,13
RC,481,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,6801.0,11
RC,481,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,291.0,3435.0,9
RC,481,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,6801.0,12
RC,481,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,6801.0,11
RC,481,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,481,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,1632.0,4953.0,5
RC,481,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,481,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,1632.0,4953.0,5
RC,481,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,481,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1142.61,6446.0,13
RC,481,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,4830.0,13
RC,481,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,4830.0,13
RC,481,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,4830.0,13
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,4830.0,13
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,4830.0,13
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,4830.0,13
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,4830.0,13
RC,481,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,4830.0,13
RC,481,Neuroplasty; nerve of hand or foot ,,,607.0,4830.0,13
RC,481,Nocturnal penile tumescence and/or rigidity test ,,,291.0,2900.0,11
RC,481,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,9
RC,481,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,1632.0,4953.0,5
RC,481,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,11
RC,481,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1404.42,6446.0,13
RC,481,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1404.42,6446.0,13
RC,481,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1404.42,6801.0,13
RC,481,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,1632.0,4953.0,5
RC,481,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,1632.0,6801.0,5
RC,481,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,1404.42,6446.0,10
RC,481,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1694.0,6446.0,8
RC,481,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,1694.0,5958.0,4
RC,481,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,5
RC,481,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,36293.0,11
RC,481,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,5
RC,481,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,18085.0,10
RC,481,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,5
RC,481,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,36293.0,13
RC,481,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,13
RC,481,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,13472.0,13
RC,481,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,9
RC,481,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,9
RC,481,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,9
RC,481,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,1632.0,4830.0,4
RC,481,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,1632.0,4830.0,4
RC,481,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1404.42,6446.0,13
RC,481,Orbital implant (implant outside muscle cone); insertion ,,,1404.42,6446.0,13
RC,481,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,5958.0,13
RC,481,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,1632.0,4953.0,5
RC,481,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,1632.0,4953.0,5
RC,481,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,1632.0,4953.0,5
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1404.42,6446.0,13
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1404.42,6446.0,13
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1404.42,6446.0,13
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1404.42,6446.0,13
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1404.42,6446.0,13
RC,481,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,13
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1142.61,6446.0,13
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1404.42,6446.0,11
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1142.61,6446.0,13
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1142.61,6446.0,13
RC,481,"Orchiectomy, partial ",,,1257.0,6446.0,13
RC,481,"Orchiectomy, radical, for tumor; inguinal approach ",,,1404.42,6446.0,13
RC,481,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,1404.42,5958.0,7
RC,481,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,13
RC,481,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1404.42,6446.0,11
RC,481,"Orchiopexy, inguinal or scrotal approach ",,,1404.42,6446.0,13
RC,481,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,481,"Other cranial decompression, posterior fossa ",,,1632.0,4953.0,5
RC,481,Otolaryngologic examination under general anesthesia ,,,291.0,2900.0,4
RC,481,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,13
RC,481,"Ovarian cystectomy, unilateral or bilateral ",,,1603.31,6446.0,11
RC,481,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,2
RC,481,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,1687.0,2
RC,481,"PROSTATECTOMY, SECOND STAGE ",,,988.0,1069.0,2
RC,481,PUNCTURE PERITONEAL CAVITY ,,,1560.0,1687.0,2
RC,481,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,1632.0,4953.0,5
RC,481,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,1632.0,4953.0,5
RC,481,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,1632.0,4953.0,5
RC,481,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,5
RC,481,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,5
RC,481,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,1632.0,4953.0,5
RC,481,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,1632.0,4953.0,5
RC,481,"Pancreatectomy, total ",,,1632.0,4953.0,5
RC,481,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,1632.0,4953.0,5
RC,481,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,1632.0,4953.0,5
RC,481,Pancreatorrhaphy for injury ,,,1632.0,4953.0,5
RC,481,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,291.0,2900.0,13
RC,481,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,4830.0,13
RC,481,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1142.61,6446.0,13
RC,481,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,291.0,6446.0,8
RC,481,Parathyroidectomy or exploration of parathyroid(s); ,,,1753.0,10746.0,11
RC,481,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,1753.0,10746.0,11
RC,481,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,1632.0,4953.0,5
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,9431.0,11
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1603.31,6801.0,11
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,6801.0,11
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,511.0,3250.0,11
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,291.0,2900.0,8
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,511.0,3250.0,11
RC,481,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,3
RC,481,Partial hymenectomy or revision of hymenal ring ,,,607.0,4830.0,13
RC,481,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,9431.0,11
RC,481,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,9431.0,11
RC,481,Pelvic examination under anesthesia (other than local) ,,,870.0,4830.0,13
RC,481,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1632.0,4953.0,5
RC,481,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,1632.0,4953.0,5
RC,481,Penile plethysmography ,,,291.0,2900.0,11
RC,481,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,1632.0,6446.0,9
RC,481,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,511.0,3250.0,11
RC,481,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,511.0,3250.0,13
RC,481,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,20029.0,8
RC,481,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,20029.0,8
RC,481,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,20029.0,8
RC,481,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,3715.0,6446.0,5
RC,481,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,4953.0,5
RC,481,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1632.0,3435.0,4
RC,481,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,3715.0,4953.0,3
RC,481,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,36293.0,13
RC,481,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,36293.0,13
RC,481,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,11
RC,481,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,36293.0,13
RC,481,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,511.0,3250.0,26
RC,481,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1753.0,6801.0,18
RC,481,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,5
RC,481,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,6446.0,11
RC,481,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,10
RC,481,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,10
RC,481,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,5278.0,9
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,9
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,9
RC,481,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,11
RC,481,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,27696.0,8
RC,481,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,27696.0,4
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,27040.0,8
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,5
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,2540.0,1
RC,481,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,7
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,10
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,5
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,5
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,3
RC,481,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,1
RC,481,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,10
RC,481,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,1
RC,481,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,27696.0,8
RC,481,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,27696.0,4
RC,481,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,27040.0,8
RC,481,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,2540.0,1
RC,481,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,481,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,481,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3715.0,10746.0,5
RC,481,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,2540.0,20029.0,4
RC,481,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,20029.0,8
RC,481,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2540.0,27040.0,5
RC,481,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,11418.0,27696.0,4
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,27696.0,12
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,2540.0,1
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,27040.0,10
RC,481,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,27696.0,12
RC,481,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,27040.0,9
RC,481,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3715.0,6446.0,5
RC,481,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3715.0,6446.0,5
RC,481,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3715.0,6446.0,5
RC,481,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3715.0,6446.0,5
RC,481,"Pereyra procedure, including anterior colporrhaphy ",,,1694.0,6446.0,13
RC,481,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,3
RC,481,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,3
RC,481,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1404.42,6446.0,13
RC,481,"Peritoneal lavage, including imaging guidance, when performed ",,,742.8,4100.0,11
RC,481,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2224.34,13472.0,10
RC,481,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,291.0,3435.0,10
RC,481,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1404.42,4830.0,10
RC,481,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,1632.0,6446.0,10
RC,481,Petrous apicectomy including radical mastoidectomy ,,,1753.0,10746.0,13
RC,481,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,291.0,2900.0,4
RC,481,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,291.0,2900.0,4
RC,481,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,291.0,2900.0,4
RC,481,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,291.0,2900.0,4
RC,481,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,4
RC,481,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,481,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,4
RC,481,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,291.0,6446.0,10
RC,481,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,5958.0,11
RC,481,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,4100.0,11
RC,481,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,7
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1632.0,4953.0,5
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,607.0,4100.0,11
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,4100.0,11
RC,481,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,3
RC,481,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,5958.0,11
RC,481,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,4830.0,11
RC,481,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,4830.0,11
RC,481,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,2900.0,4
RC,481,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,6446.0,33
RC,481,Plastic operation of penis for injury ,,,1404.42,6446.0,13
RC,481,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6801.0,13
RC,481,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6801.0,13
RC,481,Plastic operation on penis for epispadias distal to external sphincter; ,,,1142.61,6446.0,13
RC,481,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2259.0,6801.0,4
RC,481,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1142.61,6446.0,13
RC,481,Plastic operation on penis to correct angulation ,,,1257.0,6801.0,13
RC,481,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6801.0,13
RC,481,Plastic repair of canaliculi ,,,870.0,4830.0,13
RC,481,Plastic repair of introitus ,,,1257.0,6446.0,13
RC,481,Plastic repair of urethrocele ,,,1257.0,6446.0,13
RC,481,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.31,6446.0,13
RC,481,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,291.0,2900.0,11
RC,481,Postpartum care only (separate procedure) ,,,607.0,3435.0,6
RC,481,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,481,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,1632.0,4953.0,5
RC,481,"Probing of lacrimal canaliculi, with or without irrigation ",,,291.0,2900.0,11
RC,481,"Probing of nasolacrimal duct, with or without irrigation; ",,,291.0,2900.0,13
RC,481,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,4830.0,13
RC,481,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,4830.0,13
RC,481,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,4830.0,11
RC,481,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,291.0,2900.0,13
RC,481,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,511.0,3250.0,11
RC,481,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,1632.0,4953.0,5
RC,481,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,1632.0,4953.0,5
RC,481,"Prostatectomy, perineal radical; ",,,1632.0,4953.0,5
RC,481,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,481,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,481,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,1632.0,4953.0,5
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,1632.0,4953.0,5
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,10746.0,9
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,481,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,4830.0,13
RC,481,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,4830.0,13
RC,481,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,511.0,3250.0,7
RC,481,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,511.0,3250.0,13
RC,481,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,1694.0,5958.0,5
RC,481,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,1694.0,5958.0,5
RC,481,"Pyelotomy; with drainage, pyelostomy ",,,1632.0,4953.0,5
RC,481,Pyelotomy; with exploration ,,,1632.0,4953.0,5
RC,481,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,1632.0,4953.0,5
RC,481,REMOVAL OF ABDOMINAL FLUID ,,,1560.0,1687.0,2
RC,481,REMOVE ABDOMEN FOREIGN BODY ,,,1560.0,1687.0,2
RC,481,REMOVE RESIDUAL PROSTATE ,,,988.0,1069.0,2
RC,481,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,481,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,1471.0,2760.0,4
RC,481,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1471.0,4584.0,4
RC,481,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,481,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,2490.0,4
RC,481,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1876.0,4584.0,4
RC,481,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,481,REPAIR SPIGELIAN HERNIA ,,,1257.0,2490.0,4
RC,481,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,481,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,1471.0,2760.0,4
RC,481,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,481,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,1471.0,2760.0,4
RC,481,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,481,REREPAIR DETACHED RETINA ,,,4526.0,4895.0,2
RC,481,REVISE/REMOVE NEUROELECTRODE ,,,988.0,1069.0,2
RC,481,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3723.0,5078.0,4
RC,481,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,481,Radial keratotomy ,,,1632.0,10746.0,8
RC,481,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,481,Radical excision external auditory canal lesion; with neck dissection ,,,1632.0,4953.0,5
RC,481,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,13
RC,481,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,4953.0,5
RC,481,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1142.61,6446.0,10
RC,481,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,1632.0,4953.0,5
RC,481,Recipient nephrectomy (separate procedure) ,,,1632.0,4953.0,5
RC,481,"Reconstruction external auditory canal for congenital atresia, single stage ",,,1753.0,10746.0,13
RC,481,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6801.0,13
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1142.61,6446.0,13
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1142.61,6446.0,13
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,13
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1142.61,6446.0,13
RC,481,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,5
RC,481,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,291.0,1
RC,481,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,1632.0,4953.0,5
RC,481,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,1632.0,4953.0,5
RC,481,Reduction of overcorrection of ptosis ,,,1142.61,6446.0,13
RC,481,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1404.42,6446.0,13
RC,481,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,291.0,2900.0,4
RC,481,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,291.0,2900.0,4
RC,481,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,5958.0,13
RC,481,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,13
RC,481,Release of encircling material (posterior segment) ,,,870.0,4830.0,13
RC,481,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,1142.61,10746.0,13
RC,481,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,11
RC,481,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,4830.0,11
RC,481,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,11
RC,481,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,4830.0,11
RC,481,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,27277.0,13
RC,481,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,291.0,27277.0,11
RC,481,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,4100.0,11
RC,481,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,4953.0,5
RC,481,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,16279.0,13
RC,481,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,511.0,3250.0,4
RC,481,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,27277.0,13
RC,481,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,511.0,27277.0,11
RC,481,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,4830.0,13
RC,481,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,4100.0,13
RC,481,Removal foreign body from external auditory canal; without general anesthesia ,,,291.0,2900.0,7
RC,481,"Removal impacted cerumen requiring instrumentation, unilateral ",,,291.0,2900.0,11
RC,481,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,291.0,2900.0,11
RC,481,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,13
RC,481,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,3
RC,481,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1632.0,5958.0,7
RC,481,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1632.0,5958.0,7
RC,481,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1632.0,5958.0,7
RC,481,"Removal of blood clot, anterior segment of eye ",,,1142.61,6446.0,13
RC,481,Removal of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,481,Removal of cerclage suture under anesthesia (other than local) ,,,1404.42,6446.0,13
RC,481,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,1632.0,4953.0,5
RC,481,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,769.0,4100.0,8
RC,481,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,4830.0,11
RC,481,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,769.0,4100.0,9
RC,481,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,5958.0,11
RC,481,"Removal of embedded foreign body, eyelid ",,,291.0,2900.0,11
RC,481,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,4830.0,13
RC,481,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1142.61,6446.0,13
RC,481,Removal of foreign body in scrotum ,,,870.0,4830.0,13
RC,481,"Removal of foreign body or dacryolith, lacrimal passages ",,,291.0,2900.0,11
RC,481,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,291.0,2900.0,7
RC,481,"Removal of foreign body, external eye; conjunctival superficial ",,,291.0,2900.0,7
RC,481,"Removal of foreign body, external eye; corneal, with slit lamp ",,,291.0,2900.0,7
RC,481,"Removal of foreign body, external eye; corneal, without slit lamp ",,,291.0,2900.0,7
RC,481,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,4830.0,13
RC,481,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,291.0,6446.0,13
RC,481,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1142.61,6446.0,13
RC,481,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,5
RC,481,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1753.0,5958.0,10
RC,481,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,481,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,4
RC,481,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,4830.0,13
RC,481,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,3
RC,481,"Removal of implanted material, anterior segment of eye ",,,1142.61,10746.0,13
RC,481,"Removal of implanted material, posterior segment; extraocular ",,,870.0,4830.0,13
RC,481,"Removal of implanted material, posterior segment; intraocular ",,,870.0,5958.0,13
RC,481,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,9431.0,13
RC,481,Removal of intrauterine device (IUD) ,,,291.0,2900.0,11
RC,481,"Removal of lens material; aspiration technique, 1 or more stages ",,,1142.61,6446.0,13
RC,481,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,769.0,6446.0,13
RC,481,Removal of lens material; intracapsular ,,,1142.61,6446.0,13
RC,481,"Removal of lens material; intracapsular, for dislocated lens ",,,1404.42,6446.0,13
RC,481,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1404.42,6801.0,13
RC,481,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,1142.61,10746.0,13
RC,481,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,511.0,3250.0,11
RC,481,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,2900.0,11
RC,481,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,13
RC,481,Removal of non-resorbable barrier ,,,3715.0,4953.0,3
RC,481,Removal of ocular implant ,,,607.0,5958.0,13
RC,481,Removal of peritoneal foreign body from peritoneal cavity ,,,870.0,5958.0,13
RC,481,Removal of peritoneal-venous shunt ,,,870.0,5958.0,11
RC,481,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3715.0,10746.0,5
RC,481,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,4830.0,13
RC,481,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1142.61,6446.0,13
RC,481,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1694.0,5958.0,7
RC,481,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,4830.0,11
RC,481,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,5958.0,11
RC,481,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,5958.0,13
RC,481,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,3
RC,481,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,3
RC,481,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,3
RC,481,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,291.0,3435.0,7
RC,481,Removal of transplanted pancreatic allograft ,,,1632.0,3435.0,2
RC,481,Removal of transplanted renal allograft ,,,1632.0,4953.0,5
RC,481,"Removal of tumor, temporal bone ",,,1471.0,6801.0,11
RC,481,Removal of tunneled intraperitoneal catheter ,,,607.0,5958.0,13
RC,481,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1142.61,6446.0,13
RC,481,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1142.61,6446.0,13
RC,481,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,6801.0,13
RC,481,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,5958.0,13
RC,481,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1404.42,6446.0,11
RC,481,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,2900.0,11
RC,481,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1404.42,5958.0,10
RC,481,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1404.42,5958.0,10
RC,481,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1404.42,5958.0,10
RC,481,Remove interim implant component ,,,3715.0,4953.0,3
RC,481,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,1632.0,4953.0,5
RC,481,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,1632.0,4953.0,5
RC,481,"Renal autotransplantation, reimplantation of kidney ",,,1632.0,4953.0,5
RC,481,Renal biopsy; by surgical exposure of kidney ,,,1632.0,4953.0,5
RC,481,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,4100.0,13
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,4100.0,13
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,13
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,4830.0,13
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,4830.0,13
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,511.0,3250.0,11
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,4830.0,13
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3250.0,11
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,511.0,3250.0,11
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1603.31,6801.0,7
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,4100.0,11
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4100.0,11
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,511.0,3250.0,11
RC,481,"Renal exploration, not necessitating other specific procedures ",,,1632.0,4953.0,5
RC,481,Reopening of recent laparotomy ,,,1632.0,4953.0,5
RC,481,Repair incomplete circumcision ,,,870.0,4830.0,13
RC,481,"Repair inguinal hernia, sliding, any age ",,,1404.42,6446.0,13
RC,481,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1404.42,6446.0,13
RC,481,"Repair initial femoral hernia, any age; reducible ",,,1404.42,6446.0,13
RC,481,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1404.42,6446.0,13
RC,481,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1404.42,6446.0,13
RC,481,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1404.42,6446.0,13
RC,481,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1404.42,6446.0,13
RC,481,Repair lumbar hernia ,,,870.0,5958.0,13
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,6446.0,5
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1404.42,9431.0,45
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1404.42,9431.0,39
RC,481,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1142.61,6446.0,13
RC,481,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1142.61,6446.0,13
RC,481,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1142.61,6446.0,13
RC,481,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,13
RC,481,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1142.61,6446.0,13
RC,481,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,13
RC,481,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1142.61,6446.0,13
RC,481,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1404.42,6801.0,11
RC,481,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6801.0,13
RC,481,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,3
RC,481,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,1632.0,4953.0,5
RC,481,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,1632.0,4953.0,5
RC,481,Repair of ectropion; excision tarsal wedge ,,,1142.61,6446.0,13
RC,481,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1142.61,6446.0,13
RC,481,Repair of ectropion; suture ,,,1142.61,6446.0,13
RC,481,Repair of ectropion; thermocauterization ,,,1142.61,6446.0,11
RC,481,"Repair of encephalocele, skull vault, including cranioplasty ",,,1632.0,4953.0,5
RC,481,"Repair of enterocele, abdominal approach (separate procedure) ",,,1632.0,4830.0,4
RC,481,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,13
RC,481,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,5
RC,481,Repair of entropion; excision tarsal wedge ,,,1142.61,6446.0,13
RC,481,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1142.61,6446.0,13
RC,481,Repair of entropion; suture ,,,1142.61,6446.0,13
RC,481,Repair of entropion; thermocauterization ,,,1142.61,6446.0,11
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,13
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,13
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,13
RC,481,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,5958.0,13
RC,481,"Repair of iris, ciliary body (as for iridodialysis) ",,,1142.61,6446.0,13
RC,481,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,769.0,4100.0,11
RC,481,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,4953.0,9
RC,481,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,4830.0,13
RC,481,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,4830.0,13
RC,481,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1404.42,6446.0,13
RC,481,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1404.42,6446.0,13
RC,481,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1404.42,6446.0,13
RC,481,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,1471.0,6446.0,9
RC,481,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,1632.0,4953.0,5
RC,481,Repair of meningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,481,Repair of meningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,481,Repair of myelomeningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,481,Repair of myelomeningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,481,Repair of omphalocele (Gross type operation); first stage ,,,1632.0,4953.0,5
RC,481,Repair of omphalocele (Gross type operation); second stage ,,,1632.0,4953.0,5
RC,481,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2540.0,9431.0,7
RC,481,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2540.0,9431.0,7
RC,481,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1142.61,6446.0,11
RC,481,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,511.0,6446.0,11
RC,481,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,1142.61,4830.0,7
RC,481,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1404.42,6801.0,13
RC,481,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1404.42,10746.0,13
RC,481,Repair of scleral staphyloma with graft ,,,1404.42,6446.0,13
RC,481,"Repair of small omphalocele, with primary closure ",,,1404.42,6446.0,13
RC,481,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1142.61,6446.0,13
RC,481,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1142.61,6446.0,13
RC,481,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1404.42,6446.0,13
RC,481,Repair of traumatic corporeal tear(s) ,,,870.0,4830.0,11
RC,481,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1404.42,6446.0,13
RC,481,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,13
RC,481,Repair oval window fistula ,,,1404.42,6446.0,13
RC,481,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1404.42,6446.0,13
RC,481,Repair recurrent femoral hernia; reducible ,,,1404.42,6446.0,13
RC,481,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1404.42,6446.0,13
RC,481,"Repair recurrent inguinal hernia, any age; reducible ",,,1404.42,6446.0,13
RC,481,Repair round window fistula ,,,1404.42,6446.0,13
RC,481,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1404.42,6446.0,26
RC,481,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1404.42,6446.0,11
RC,481,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,11
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2179.0,9431.0,10
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2179.0,9431.0,10
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1753.0,7602.0,13
RC,481,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,1632.0,4953.0,5
RC,481,Replacement of an implant screw ,,,3715.0,4953.0,3
RC,481,Replacement of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,481,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,11
RC,481,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,11
RC,481,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,11
RC,481,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,3
RC,481,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,4830.0,13
RC,481,"Replacement or irrigation, ventricular catheter ",,,607.0,4100.0,13
RC,481,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,6801.0,13
RC,481,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6801.0,13
RC,481,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1142.61,6446.0,13
RC,481,Reprogramming of programmable cerebrospinal shunt ,,,291.0,2900.0,7
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,1694.0,5958.0,4
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,1632.0,4953.0,5
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,1632.0,4953.0,5
RC,481,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,1632.0,4953.0,5
RC,481,Resection of scrotum ,,,607.0,4830.0,13
RC,481,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,1632.0,4953.0,5
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,1632.0,4953.0,5
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,1632.0,4953.0,5
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,1632.0,4953.0,5
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,1632.0,4953.0,5
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,1632.0,4953.0,5
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,481,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,3
RC,481,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,3
RC,481,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,3
RC,481,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,3
RC,481,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,481,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,481,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,481,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,481,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,481,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,481,"Resection temporal bone, external approach ",,,1632.0,4953.0,5
RC,481,Retrobulbar injection; alcohol ,,,291.0,2900.0,11
RC,481,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,291.0,2900.0,7
RC,481,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,9
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,5
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,5
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,5
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,9
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,9
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,9
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,9
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,9
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,9
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,9
RC,481,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,1694.0,6446.0,9
RC,481,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,1632.0,4953.0,5
RC,481,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,11
RC,481,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,9431.0,11
RC,481,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,9431.0,11
RC,481,Revision mastoidectomy; resulting in complete mastoidectomy ,,,1753.0,10746.0,13
RC,481,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,1753.0,10746.0,13
RC,481,Revision mastoidectomy; resulting in radical mastoidectomy ,,,1753.0,10746.0,13
RC,481,Revision mastoidectomy; resulting in tympanoplasty ,,,1753.0,6801.0,11
RC,481,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,4830.0,13
RC,481,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1142.61,6446.0,11
RC,481,Revision of peritoneal-venous shunt ,,,870.0,5958.0,13
RC,481,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6801.0,13
RC,481,Revision of stapedectomy or stapedotomy ,,,1753.0,6801.0,13
RC,481,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1404.42,4830.0,7
RC,481,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,1632.0,4953.0,5
RC,481,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,5958.0,13
RC,481,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,13
RC,481,Revision or removal of intracranial neurostimulator electrodes ,,,1404.42,5958.0,7
RC,481,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1694.0,5958.0,7
RC,481,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,5958.0,13
RC,481,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,13
RC,481,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,4830.0,13
RC,481,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,1632.0,6446.0,7
RC,481,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,1632.0,18085.0,7
RC,481,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,9431.0,11
RC,481,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,13472.0,10
RC,481,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,5
RC,481,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,481,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,3435.0,13472.0,7
RC,481,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,18061.0,9
RC,481,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,18061.0,9
RC,481,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,18061.0,9
RC,481,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,18061.0,9
RC,481,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,18061.0,10
RC,481,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,481,Right ventricular recording ,,,769.0,21155.0,4
RC,481,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,1632.0,3435.0,2
RC,481,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,1632.0,3435.0,2
RC,481,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,1632.0,3435.0,2
RC,481,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,1632.0,3435.0,2
RC,481,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,827.0,2
RC,481,STRIP RETINAL MEMBRANE ,,,3026.0,3273.0,2
RC,481,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1694.0,6446.0,8
RC,481,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6801.0,8
RC,481,Salpingostomy (salpingoneostomy) ,,,1404.42,6446.0,11
RC,481,Scleral reinforcement (separate procedure); with graft ,,,1142.61,6446.0,13
RC,481,Scleral reinforcement (separate procedure); without graft ,,,1142.61,6446.0,13
RC,481,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,511.0,3250.0,11
RC,481,"Scraping of cornea, diagnostic, for smear and/or culture ",,,291.0,2900.0,7
RC,481,Scrotal exploration ,,,870.0,4830.0,13
RC,481,Scrotoplasty; complicated ,,,870.0,4830.0,13
RC,481,Scrotoplasty; simple ,,,607.0,6801.0,13
RC,481,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,1632.0,4953.0,5
RC,481,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,1632.0,4953.0,5
RC,481,Semi-precision abutment - placement ,,,3715.0,4953.0,3
RC,481,Semi-precision attachment - placement ,,,3715.0,4953.0,3
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1142.61,6446.0,13
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1404.42,6446.0,13
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,4830.0,13
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1142.61,6446.0,13
RC,481,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,511.0,6446.0,11
RC,481,Severing of tarsorrhaphy ,,,607.0,4100.0,11
RC,481,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,511.0,3250.0,13
RC,481,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,291.0,2900.0,11
RC,481,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,291.0,2900.0,7
RC,481,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,10732.0,13
RC,481,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1603.31,10732.0,13
RC,481,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,4830.0,13
RC,481,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,870.0,4830.0,13
RC,481,Snip incision of lacrimal punctum ,,,291.0,2900.0,9
RC,481,Sperm washing for artificial insemination ,,,291.0,2900.0,7
RC,481,"Spinal puncture, lumbar, diagnostic; ",,,511.0,3250.0,13
RC,481,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,511.0,3435.0,10
RC,481,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,511.0,3250.0,13
RC,481,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,511.0,3435.0,10
RC,481,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1753.0,6801.0,11
RC,481,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1753.0,6801.0,13
RC,481,Stapes mobilization ,,,1404.42,10746.0,13
RC,481,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,1632.0,4953.0,5
RC,481,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,1632.0,4953.0,5
RC,481,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,481,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,481,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,481,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,769.0,4100.0,4
RC,481,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,1753.0,6801.0,7
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2540.0,3435.0,2
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2540.0,3435.0,2
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2540.0,3435.0,2
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,481,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,4100.0,13
RC,481,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,291.0,2900.0,7
RC,481,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,481,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,481,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,481,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,291.0,6446.0,10
RC,481,"Strabismus surgery, any procedure, superior oblique muscle ",,,1142.61,6446.0,13
RC,481,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1142.61,6446.0,13
RC,481,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1142.61,6446.0,13
RC,481,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1404.42,6446.0,13
RC,481,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1142.61,6446.0,13
RC,481,Subconjunctival injection ,,,291.0,2900.0,7
RC,481,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,769.0,4100.0,4
RC,481,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,511.0,3250.0,11
RC,481,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,511.0,3250.0,11
RC,481,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,1632.0,4953.0,5
RC,481,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,1632.0,3435.0,2
RC,481,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1694.0,10746.0,9
RC,481,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,291.0,3435.0,5
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,1632.0,4953.0,5
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,1632.0,4953.0,5
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,1632.0,4953.0,5
RC,481,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,481,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,481,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,1632.0,4953.0,5
RC,481,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,1632.0,4953.0,5
RC,481,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,1632.0,4953.0,5
RC,481,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,1632.0,4953.0,5
RC,481,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,1632.0,4953.0,5
RC,481,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,1632.0,4953.0,5
RC,481,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,1632.0,4953.0,5
RC,481,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,481,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,481,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,3
RC,481,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,3
RC,481,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,3
RC,481,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,3
RC,481,Surgical placement zygomatic implant ,,,3715.0,4953.0,3
RC,481,Surgical repair of root resorption - molar ,,,3715.0,4953.0,3
RC,481,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,3
RC,481,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,3
RC,481,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,1632.0,4953.0,5
RC,481,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,1632.0,4953.0,5
RC,481,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,1632.0,4953.0,5
RC,481,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,8
RC,481,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,8
RC,481,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1753.0,6801.0,13
RC,481,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1753.0,6801.0,13
RC,481,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,6801.0,13
RC,481,Suture of 1 nerve; median motor thenar ,,,1257.0,6801.0,13
RC,481,Suture of 1 nerve; ulnar motor ,,,1257.0,6801.0,13
RC,481,"Suture of digital nerve, hand or foot; 1 nerve ",,,1142.61,6446.0,13
RC,481,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,481,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,291.0,2900.0,10
RC,481,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,481,Suture of facial nerve; extracranial ,,,1257.0,6801.0,13
RC,481,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6801.0,13
RC,481,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,4830.0,13
RC,481,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,6801.0,13
RC,481,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,6801.0,13
RC,481,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,291.0,6446.0,10
RC,481,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,291.0,2900.0,10
RC,481,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,291.0,6446.0,10
RC,481,Suture of posterior tibial nerve ,,,870.0,6801.0,13
RC,481,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,4830.0,13
RC,481,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,4830.0,11
RC,481,Suture of sciatic nerve ,,,870.0,5958.0,13
RC,481,Suture of; brachial plexus ,,,1142.61,6446.0,13
RC,481,Suture of; lumbar plexus ,,,1257.0,6801.0,13
RC,481,Suture or repair of testicular injury ,,,1257.0,6446.0,13
RC,481,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,1632.0,4953.0,5
RC,481,"Sympathectomy, cervical ",,,769.0,4100.0,13
RC,481,"Sympathectomy, cervicothoracic ",,,769.0,4100.0,7
RC,481,"Sympathectomy, lumbar ",,,1632.0,4953.0,5
RC,481,"Sympathectomy, thoracolumbar ",,,1632.0,4953.0,5
RC,481,"Sympathectomy; digital arteries, each digit ",,,1142.61,4830.0,7
RC,481,Sympathectomy; radial artery ,,,1404.42,6446.0,13
RC,481,Sympathectomy; superficial palmar arch ,,,870.0,5958.0,11
RC,481,Sympathectomy; ulnar artery ,,,870.0,5958.0,11
RC,481,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,1632.0,4953.0,5
RC,481,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,4100.0,11
RC,481,Temporary transcutaneous pacing ,,,511.0,3250.0,4
RC,481,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,291.0,3435.0,7
RC,481,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2179.0,9431.0,10
RC,481,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,481,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,481,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,481,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,481,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,16049.0,18061.0,2
RC,481,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,18061.0,6
RC,481,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,481,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,481,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6801.0,11
RC,481,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6801.0,11
RC,481,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,769.0,4100.0,4
RC,481,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1753.0,6801.0,11
RC,481,"Thyroidectomy, total or complete ",,,1753.0,10746.0,11
RC,481,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,5
RC,481,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,1753.0,10746.0,11
RC,481,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,1632.0,10746.0,8
RC,481,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,1694.0,10746.0,12
RC,481,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,1632.0,10746.0,9
RC,481,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,481,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6801.0,11
RC,481,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,9431.0,11
RC,481,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,9431.0,11
RC,481,Trabeculoplasty by laser surgery ,,,511.0,3250.0,11
RC,481,Trabeculotomy ab externo ,,,1142.61,6446.0,13
RC,481,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,13
RC,481,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,13
RC,481,"Transabdominal amnioinfusion, including ultrasound guidance ",,,291.0,2900.0,11
RC,481,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,4
RC,481,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,481,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,13472.0,21
RC,481,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,1632.0,4953.0,5
RC,481,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,481,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2259.0,6801.0,7
RC,481,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,4830.0,11
RC,481,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,1632.0,4953.0,5
RC,481,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,1632.0,4953.0,5
RC,481,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,769.0,4100.0,7
RC,481,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,1142.61,5958.0,7
RC,481,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,4830.0,13
RC,481,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,4830.0,13
RC,481,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,4830.0,13
RC,481,Transection or avulsion of; greater occipital nerve ,,,870.0,4830.0,13
RC,481,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,769.0,4100.0,13
RC,481,Transection or avulsion of; infraorbital nerve ,,,769.0,4100.0,13
RC,481,Transection or avulsion of; lingual nerve ,,,870.0,4830.0,13
RC,481,Transection or avulsion of; mental nerve ,,,769.0,4100.0,13
RC,481,Transection or avulsion of; phrenic nerve ,,,769.0,4100.0,13
RC,481,Transection or avulsion of; supraorbital nerve ,,,769.0,4100.0,13
RC,481,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,1632.0,4953.0,5
RC,481,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,1632.0,4953.0,5
RC,481,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,481,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,1632.0,4953.0,5
RC,481,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,5
RC,481,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,3715.0,10746.0,5
RC,481,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1404.42,6801.0,11
RC,481,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1404.42,6801.0,11
RC,481,Transmastoid antrotomy (simple mastoidectomy) ,,,1753.0,10746.0,13
RC,481,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,1632.0,4953.0,5
RC,481,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,1632.0,4953.0,5
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,291.0,2900.0,8
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,1753.0,9431.0,11
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1753.0,9431.0,11
RC,481,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,481,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,9431.0,12
RC,481,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,16336.0,13
RC,481,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,1632.0,4953.0,5
RC,481,Transplantation of pancreatic allograft ,,,1632.0,3435.0,2
RC,481,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,13
RC,481,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,481,"Transposition, ovary(s) ",,,1257.0,6446.0,8
RC,481,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,1632.0,4953.0,5
RC,481,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,1632.0,4953.0,5
RC,481,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,769.0,7602.0,11
RC,481,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1404.42,4830.0,10
RC,481,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,6801.0,11
RC,481,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,481,Transurethral drainage of prostatic abscess ,,,870.0,4830.0,13
RC,481,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,6801.0,13
RC,481,Transurethral incision of prostate ,,,1257.0,6446.0,13
RC,481,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,769.0,4100.0,11
RC,481,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,13
RC,481,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,4830.0,13
RC,481,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,6801.0,13
RC,481,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1632.0,6801.0,7
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,481,Transvesical ureterolithotomy ,,,1142.61,6801.0,7
RC,481,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,511.0,3250.0,11
RC,481,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,511.0,3250.0,11
RC,481,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1404.42,6446.0,13
RC,481,"Treatment of missed abortion, completed surgically; first trimester ",,,1404.42,6446.0,13
RC,481,"Treatment of missed abortion, completed surgically; second trimester ",,,1404.42,6446.0,13
RC,481,"Treatment of septic abortion, completed surgically ",,,870.0,4953.0,9
RC,481,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,7
RC,481,Tubotubal anastomosis ,,,1694.0,6446.0,8
RC,481,Tubouterine implantation ,,,1694.0,6446.0,8
RC,481,Twist drill hole for subdural or ventricular puncture ,,,1632.0,4953.0,5
RC,481,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,1632.0,4953.0,5
RC,481,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,1632.0,4953.0,5
RC,481,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,1632.0,4953.0,5
RC,481,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,32
RC,481,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,994.46,4830.0,9
RC,481,Tympanic neurectomy ,,,1257.0,6446.0,13
RC,481,"Tympanolysis, transcanal ",,,607.0,6801.0,11
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1753.0,6801.0,11
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1753.0,6801.0,11
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1753.0,6801.0,11
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1753.0,6801.0,11
RC,481,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,769.0,4100.0,11
RC,481,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,291.0,2900.0,9
RC,481,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2900.0,5
RC,481,URETHRA PRESSURE PROFILE ,,,988.0,1069.0,2
RC,481,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1404.42,6446.0,13
RC,481,Unlisted cardiovascular service or procedure ,,,291.0,2900.0,4
RC,481,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,4
RC,481,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,291.0,2900.0,11
RC,481,"Unlisted hysteroscopy procedure, uterus ",,,291.0,6446.0,11
RC,481,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,607.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, bladder ",,,1257.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,1753.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,6801.0,11
RC,481,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, renal ",,,1257.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, testis ",,,1257.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, ureter ",,,1753.0,6801.0,9
RC,481,"Unlisted laparoscopy procedure, uterus ",,,1257.0,6801.0,9
RC,481,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,4100.0,11
RC,481,"Unlisted procedure, anterior segment of eye ",,,607.0,4100.0,11
RC,481,"Unlisted procedure, conjunctiva ",,,291.0,2900.0,7
RC,481,"Unlisted procedure, endocrine system ",,,607.0,9431.0,11
RC,481,"Unlisted procedure, external ear ",,,291.0,2900.0,7
RC,481,"Unlisted procedure, extraocular muscle ",,,291.0,2900.0,7
RC,481,"Unlisted procedure, eyelids ",,,291.0,2900.0,7
RC,481,"Unlisted procedure, female genital system (nonobstetrical) ",,,291.0,2900.0,11
RC,481,"Unlisted procedure, inner ear ",,,291.0,2900.0,11
RC,481,"Unlisted procedure, lacrimal system ",,,291.0,2900.0,7
RC,481,"Unlisted procedure, male genital system ",,,291.0,2900.0,11
RC,481,"Unlisted procedure, maternity care and delivery ",,,291.0,2900.0,11
RC,481,"Unlisted procedure, middle ear ",,,291.0,2900.0,11
RC,481,"Unlisted procedure, nervous system ",,,291.0,2900.0,11
RC,481,"Unlisted procedure, orbit ",,,291.0,2900.0,7
RC,481,"Unlisted procedure, pancreas ",,,511.0,3250.0,7
RC,481,"Unlisted procedure, posterior segment ",,,769.0,4100.0,7
RC,481,"Unlisted procedure, temporal bone, middle fossa approach ",,,291.0,2900.0,11
RC,481,"Unlisted procedure, urinary system ",,,291.0,2900.0,11
RC,481,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,3
RC,481,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,291.0,2900.0,8
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3250.0,13
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4830.0,13
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,4830.0,13
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,13
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,4100.0,13
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3250.0,13
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,13
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,4100.0,13
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,13
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,511.0,3250.0,13
RC,481,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,1632.0,6446.0,9
RC,481,"Ureterectomy, with bladder cuff (separate procedure) ",,,1632.0,6446.0,9
RC,481,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,1632.0,4953.0,5
RC,481,"Ureterocolon conduit, including intestine anastomosis ",,,1632.0,4953.0,5
RC,481,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,1632.0,4953.0,5
RC,481,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,1632.0,4953.0,5
RC,481,Ureterolithotomy; lower one-third of ureter ,,,1632.0,6446.0,9
RC,481,Ureterolithotomy; middle one-third of ureter ,,,1632.0,6446.0,9
RC,481,Ureterolithotomy; upper one-third of ureter ,,,1632.0,6446.0,9
RC,481,Ureterolysis for ovarian vein syndrome ,,,1632.0,4953.0,5
RC,481,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,1632.0,4953.0,5
RC,481,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,1632.0,4953.0,5
RC,481,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,1632.0,4953.0,5
RC,481,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,1632.0,4830.0,5
RC,481,Ureteroneocystostomy; with extensive ureteral tailoring ,,,1632.0,4953.0,5
RC,481,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,1632.0,4953.0,5
RC,481,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,1632.0,4953.0,5
RC,481,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,1632.0,4953.0,5
RC,481,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,1632.0,4953.0,5
RC,481,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,1632.0,4953.0,5
RC,481,"Ureterostomy, transplantation of ureter to skin ",,,1632.0,4953.0,5
RC,481,"Ureterotomy for insertion of indwelling stent, all types ",,,1632.0,6446.0,9
RC,481,Ureterotomy with exploration or drainage (separate procedure) ,,,1632.0,6446.0,9
RC,481,Ureteroureterostomy ,,,1632.0,4953.0,5
RC,481,"Urethrectomy, total, including cystostomy; female ",,,1404.42,6446.0,13
RC,481,"Urethrectomy, total, including cystostomy; male ",,,1603.31,6446.0,13
RC,481,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1404.42,6446.0,11
RC,481,"Urethromeatoplasty, with mucosal advancement ",,,607.0,5958.0,13
RC,481,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,4830.0,13
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,13
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,13
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6801.0,13
RC,481,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,13
RC,481,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,5958.0,13
RC,481,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,5958.0,13
RC,481,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,13
RC,481,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,5958.0,13
RC,481,"Urethroplasty, reconstruction of female urethra ",,,870.0,5958.0,13
RC,481,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2259.0,6801.0,4
RC,481,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,13
RC,481,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,5958.0,13
RC,481,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,4830.0,13
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,5958.0,13
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,4830.0,13
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,5958.0,13
RC,481,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,4830.0,13
RC,481,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,4830.0,13
RC,481,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,481,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,481,Uterine evacuation and curettage for hydatidiform mole ,,,1404.42,6446.0,13
RC,481,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1694.0,6446.0,9
RC,481,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,1632.0,4953.0,5
RC,481,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,1714.0,2
RC,481,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,4830.0,11
RC,481,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3435.0,6
RC,481,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,11
RC,481,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,1632.0,3435.0,2
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.31,6446.0,11
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,1694.0,5958.0,4
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.31,6446.0,11
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1603.31,6446.0,11
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1603.31,6446.0,11
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1753.0,6801.0,11
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1603.31,6801.0,11
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1753.0,6801.0,11
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1603.31,6801.0,11
RC,481,"Vaginal hysterectomy, radical (Schauta type operation) ",,,1632.0,4953.0,5
RC,481,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,1694.0,5958.0,4
RC,481,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,1694.0,5958.0,4
RC,481,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,9
RC,481,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,8
RC,481,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,11
RC,481,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,4830.0,11
RC,481,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,4830.0,11
RC,481,Vaginoplasty for intersex state ,,,1257.0,6446.0,11
RC,481,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,3
RC,481,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,5
RC,481,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,870.0,4830.0,13
RC,481,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,291.0,2900.0,8
RC,481,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,4830.0,13
RC,481,"Vasovasostomy, vasovasorrhaphy ",,,607.0,4830.0,13
RC,481,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,481,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,481,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,481,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,481,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,481,Ventilating tube removal requiring general anesthesia ,,,607.0,5958.0,11
RC,481,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,511.0,3250.0,13
RC,481,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,511.0,3250.0,13
RC,481,Ventriculocisternostomy (Torkildsen type operation) ,,,1632.0,4953.0,5
RC,481,"Ventriculocisternostomy, third ventricle; ",,,1632.0,4953.0,5
RC,481,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,742.8,4953.0,8
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2224.34,9431.0,8
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,4953.0,15
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,1632.0,4953.0,10
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,1632.0,4953.0,5
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,1632.0,4953.0,5
RC,481,"Vesiculectomy, any approach ",,,511.0,3250.0,8
RC,481,Vesiculotomy; ,,,607.0,4830.0,11
RC,481,Vesiculotomy; complicated ,,,511.0,3250.0,8
RC,481,"Vestibular nerve section, transcranial approach ",,,1632.0,4953.0,5
RC,481,"Vestibular nerve section, translabyrinthine approach ",,,1404.42,10746.0,13
RC,481,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,3
RC,481,"Vitrectomy, mechanical, pars plana approach; ",,,1404.42,6801.0,13
RC,481,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1404.42,10746.0,13
RC,481,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1404.42,10746.0,13
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1404.42,6801.0,11
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1404.42,6801.0,11
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1404.42,10746.0,11
RC,481,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,481,Vulvectomy simple; complete ,,,1404.42,6446.0,13
RC,481,Vulvectomy simple; partial ,,,1404.42,6446.0,13
RC,481,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,1632.0,4953.0,5
RC,481,"Vulvectomy, radical, complete; ",,,7058.0,13472.0,4
RC,481,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,481,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,481,"Vulvectomy, radical, partial; ",,,1603.31,10746.0,10
RC,481,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,481,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,481,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,11
RC,481,Wound closure utilizing tissue adhesive(s) only ,,,291.0,2900.0,4
RC,482, Cardiology Stress Test  ,,,2063.0,2750.0,3
RC,483, Cardiology Echocardiology  ,,,1775.0,2367.0,3
RC,489, Cardiology Other  ,,,2631.0,3508.0,3
RC,490, Ambulatory Surgical Care General Classification  ,,,1924.0,4169.0,6
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6801.0,15
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,15
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6801.0,15
RC,490,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,15
RC,490,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,10746.0,11
RC,490,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,6446.0,11
RC,490,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,490,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,490,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,742.8,4100.0,13
RC,490,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,742.8,4100.0,13
RC,490,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1603.31,6801.0,11
RC,490,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,490,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1632.0,8866.0,9
RC,490,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1632.0,8866.0,12
RC,490,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1632.0,4953.0,7
RC,490,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,1632.0,13472.0,7
RC,490,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,490,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,9431.0,13
RC,490,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,490,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,1632.0,10746.0,9
RC,490,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2224.34,9431.0,11
RC,490,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,3
RC,490,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,291.0,36635.0,6
RC,490,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,490,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,490,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,1632.0,10746.0,9
RC,490,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,1632.0,4953.0,5
RC,490,Amniocentesis; diagnostic ,,,511.0,3250.0,11
RC,490,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,291.0,2900.0,11
RC,490,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,490,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,1632.0,4953.0,5
RC,490,Amputation of penis; complete ,,,769.0,4100.0,8
RC,490,Amputation of penis; partial ,,,870.0,5958.0,15
RC,490,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,1632.0,4953.0,5
RC,490,Anastomosis; facial-hypoglossal ,,,1632.0,4953.0,5
RC,490,Anastomosis; facial-spinal accessory ,,,1632.0,4953.0,5
RC,490,Anorectal manometry ,,,291.0,291.0,1
RC,490,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,5
RC,490,Antepartum care only; 4-6 visits ,,,1632.0,6411.0,4
RC,490,Antepartum care only; 7 or more visits ,,,1632.0,6411.0,4
RC,490,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.31,6446.0,15
RC,490,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,1632.0,10746.0,8
RC,490,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,1603.31,10746.0,11
RC,490,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,10
RC,490,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,10
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,3523.0,15
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,5
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,3523.0,10
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,5
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,8866.0,10
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,5
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,3523.0,10
RC,490,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,7
RC,490,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,291.0,3435.0,6
RC,490,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1404.42,6801.0,15
RC,490,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1404.42,8866.0,13
RC,490,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,3715.0,6446.0,5
RC,490,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,5
RC,490,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,2900.0,4
RC,490,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,7
RC,490,Artificial insemination; intra-cervical ,,,291.0,3523.0,9
RC,490,Artificial insemination; intra-uterine ,,,291.0,3523.0,9
RC,490,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,511.0,3523.0,15
RC,490,"Aspiration and/or injection, thyroid cyst ",,,511.0,3250.0,13
RC,490,Aspiration of bladder; by needle ,,,291.0,2900.0,13
RC,490,Aspiration of bladder; by trocar or intracatheter ,,,607.0,3250.0,13
RC,490,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,4830.0,13
RC,490,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,4830.0,15
RC,490,BIOPSY EYE MUSCLE ,,,988.0,1069.0,2
RC,490,BRAIN SURGERY USING COMPUTER ,,,988.0,1069.0,2
RC,490,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,1632.0,4953.0,5
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,490,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,1632.0,4953.0,5
RC,490,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,1632.0,4953.0,5
RC,490,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,1632.0,4953.0,7
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,1632.0,4953.0,7
RC,490,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,291.0,2900.0,8
RC,490,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,1632.0,4953.0,5
RC,490,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,1632.0,4953.0,5
RC,490,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,1632.0,4953.0,5
RC,490,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,1632.0,4953.0,5
RC,490,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,769.0,4100.0,13
RC,490,Biopsy external auditory canal ,,,769.0,4100.0,7
RC,490,Biopsy external ear ,,,291.0,3523.0,9
RC,490,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,511.0,3523.0,13
RC,490,Biopsy of conjunctiva ,,,511.0,3979.0,13
RC,490,Biopsy of cornea ,,,511.0,3979.0,15
RC,490,"Biopsy of epididymis, needle ",,,511.0,3523.0,15
RC,490,Biopsy of extraocular muscle ,,,607.0,5958.0,15
RC,490,Biopsy of lacrimal gland ,,,607.0,4830.0,15
RC,490,Biopsy of lacrimal sac ,,,607.0,4830.0,15
RC,490,Biopsy of nerve ,,,870.0,4830.0,15
RC,490,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,15
RC,490,Biopsy of penis; (separate procedure) ,,,607.0,4100.0,15
RC,490,Biopsy of penis; deep structures ,,,607.0,4830.0,15
RC,490,"Biopsy of spinal cord, percutaneous needle ",,,607.0,4100.0,15
RC,490,"Biopsy of testis, incisional (separate procedure) ",,,607.0,4830.0,15
RC,490,"Biopsy of testis, needle (separate procedure) ",,,607.0,4100.0,15
RC,490,Biopsy of urethra ,,,607.0,4830.0,15
RC,490,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,4830.0,15
RC,490,Biopsy of vaginal mucosa; simple (separate procedure) ,,,511.0,3523.0,13
RC,490,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,511.0,3523.0,13
RC,490,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,490,"Biopsy thyroid, percutaneous core needle ",,,511.0,3523.0,13
RC,490,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,607.0,4100.0,15
RC,490,"Biopsy, prostate, any approach, nonimaging-guided ",,,769.0,4100.0,15
RC,490,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,490,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,1632.0,6446.0,7
RC,490,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,1632.0,6446.0,7
RC,490,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,490,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1632.0,4830.0,7
RC,490,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,490,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,490,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1632.0,4830.0,7
RC,490,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,490,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,769.0,3979.0,10
RC,490,Bladder instillation of anticarcinogenic agent (including retention time) ,,,291.0,3523.0,11
RC,490,"Bladder irrigation, simple, lavage and/or instillation ",,,291.0,2900.0,13
RC,490,"Blepharotomy, drainage of abscess, eyelid ",,,291.0,3523.0,13
RC,490,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,6
RC,490,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,7
RC,490,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,4
RC,490,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,16939.0,7
RC,490,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,6
RC,490,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,490,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,291.0,2900.0,4
RC,490,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,490,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,5
RC,490,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,490,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,6
RC,490,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,8866.0,4
RC,490,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,490,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,3715.0,8866.0,7
RC,490,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,3715.0,8866.0,7
RC,490,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,490,Bundle of His recording ,,,769.0,21155.0,4
RC,490,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,1632.0,4953.0,5
RC,490,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,1632.0,4953.0,5
RC,490,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,1632.0,4953.0,5
RC,490,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,1632.0,4953.0,5
RC,490,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,1632.0,4953.0,5
RC,490,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,1632.0,4953.0,5
RC,490,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,1632.0,4953.0,5
RC,490,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,1632.0,4953.0,5
RC,490,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,1632.0,4953.0,5
RC,490,CHANGE KIDNEY TUBE ,,,988.0,1069.0,2
RC,490,CIRCUMCISION ,,,988.0,1069.0,2
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,490,CONTROL POSTOP BLEEDING ,,,988.0,1069.0,2
RC,490,Canthoplasty (reconstruction of canthus) ,,,870.0,4830.0,15
RC,490,Canthotomy (separate procedure) ,,,607.0,4830.0,15
RC,490,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,291.0,2900.0,4
RC,490,Cardioassist-method of circulatory assist; external ,,,3715.0,4953.0,3
RC,490,Cardioassist-method of circulatory assist; internal ,,,3715.0,4953.0,3
RC,490,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,2900.0,4
RC,490,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,511.0,3250.0,4
RC,490,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,511.0,3250.0,4
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,5
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,5
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,15
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,5
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,20
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,15
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,5
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,5
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,9813.0,7
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,10746.0,19
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,9813.0,14
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,10746.0,24
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,9813.0,7
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,5
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,5
RC,490,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,291.0,2900.0,8
RC,490,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,490,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,490,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,911.0,3435.0,9
RC,490,"Cautery of cervix; cryocautery, initial or repeat ",,,291.0,3523.0,13
RC,490,Cautery of cervix; electro or thermal ,,,870.0,4830.0,11
RC,490,Cautery of cervix; laser ablation ,,,870.0,4830.0,15
RC,490,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,9
RC,490,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,4830.0,15
RC,490,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,4830.0,15
RC,490,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,1632.0,3435.0,2
RC,490,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,1632.0,3435.0,2
RC,490,Cesarean delivery only; ,,,1632.0,4953.0,5
RC,490,Cesarean delivery only; including postpartum care ,,,1632.0,6446.0,9
RC,490,Change of cystostomy tube; complicated ,,,511.0,3523.0,15
RC,490,Change of cystostomy tube; simple ,,,291.0,3523.0,13
RC,490,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,4100.0,15
RC,490,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,8866.0,7
RC,490,Chemodenervation of eccrine glands; both axillae ,,,291.0,3523.0,13
RC,490,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,291.0,3523.0,13
RC,490,Chemodenervation of extraocular muscle ,,,291.0,3523.0,13
RC,490,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,511.0,3250.0,13
RC,490,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,291.0,3523.0,13
RC,490,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,291.0,2900.0,13
RC,490,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,291.0,2900.0,13
RC,490,Chemodenervation of one extremity; 1-4 muscle(s) ,,,511.0,3250.0,13
RC,490,Chemodenervation of one extremity; 5 or more muscles ,,,511.0,3250.0,13
RC,490,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,490,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,490,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,291.0,2900.0,13
RC,490,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,511.0,3250.0,13
RC,490,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,511.0,3250.0,13
RC,490,"Chorionic villus sampling, any method ",,,511.0,3250.0,9
RC,490,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,15
RC,490,Ciliary body destruction; cryotherapy ,,,870.0,4830.0,15
RC,490,Ciliary body destruction; cyclodialysis ,,,870.0,4830.0,15
RC,490,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,4830.0,15
RC,490,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,4830.0,15
RC,490,Ciliary body destruction; diathermy ,,,769.0,4100.0,15
RC,490,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,742.8,4830.0,15
RC,490,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,4830.0,15
RC,490,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,4830.0,15
RC,490,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,291.0,3523.0,15
RC,490,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,291.0,3523.0,15
RC,490,Clitoroplasty for intersex state ,,,1404.42,4830.0,7
RC,490,Closure of cystostomy (separate procedure) ,,,607.0,4830.0,15
RC,490,Closure of lacrimal fistula (separate procedure) ,,,511.0,6446.0,15
RC,490,Closure of nephrocutaneous or pyelocutaneous fistula ,,,511.0,3250.0,8
RC,490,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,1632.0,4953.0,5
RC,490,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,1632.0,4953.0,5
RC,490,Closure of rectovaginal fistula; abdominal approach ,,,1632.0,6446.0,9
RC,490,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,1632.0,4953.0,5
RC,490,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,1632.0,4830.0,4
RC,490,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,15
RC,490,"Closure of the lacrimal punctum; by plug, each ",,,291.0,2900.0,13
RC,490,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,291.0,2900.0,13
RC,490,Closure of ureterocutaneous fistula ,,,1632.0,4953.0,5
RC,490,Closure of ureterovisceral fistula (including visceral repair) ,,,1632.0,4953.0,5
RC,490,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,5958.0,15
RC,490,Closure of urethrovaginal fistula; ,,,1257.0,6801.0,13
RC,490,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,8
RC,490,Closure of vesicouterine fistula; ,,,1257.0,6446.0,8
RC,490,Closure of vesicouterine fistula; with hysterectomy ,,,1632.0,4953.0,5
RC,490,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,8
RC,490,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,1694.0,5958.0,7
RC,490,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,13
RC,490,"Closure postauricular fistula, mastoid (separate procedure) ",,,769.0,6446.0,15
RC,490,"Closure, exstrophy of bladder ",,,1632.0,4953.0,5
RC,490,"Cochlear device implantation, with or without mastoidectomy ",,,2706.0,74502.0,13
RC,490,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,3
RC,490,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,291.0,2900.0,4
RC,490,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3979.0,15
RC,490,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3979.0,15
RC,490,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,9
RC,490,Colpocentesis (separate procedure) ,,,870.0,4830.0,15
RC,490,Colpocleisis (Le Fort type) ,,,1603.31,6446.0,9
RC,490,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,4830.0,15
RC,490,"Colpopexy, abdominal approach ",,,1632.0,6446.0,8
RC,490,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1753.0,6801.0,11
RC,490,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1753.0,6801.0,11
RC,490,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,9
RC,490,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,4830.0,15
RC,490,Colposcopy of the cervix including upper/adjacent vagina; ,,,291.0,3523.0,13
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,291.0,3523.0,13
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,291.0,3523.0,13
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,291.0,3523.0,13
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,4830.0,11
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,13
RC,490,"Colposcopy of the entire vagina, with cervix if present; ",,,291.0,3523.0,13
RC,490,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,511.0,3523.0,13
RC,490,Colposcopy of the vulva; ,,,291.0,2900.0,13
RC,490,Colposcopy of the vulva; with biopsy(s) ,,,291.0,3523.0,13
RC,490,Colpotomy; with drainage of pelvic abscess ,,,870.0,4830.0,15
RC,490,Colpotomy; with exploration ,,,607.0,4830.0,15
RC,490,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.31,6446.0,15
RC,490,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.31,10746.0,15
RC,490,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,291.0,3523.0,15
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,511.0,3250.0,13
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,511.0,3250.0,13
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,511.0,3250.0,13
RC,490,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,291.0,2900.0,9
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,291.0,21155.0,4
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,291.0,21155.0,4
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,2540.0,21155.0,4
RC,490,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,2706.0,36635.0,18
RC,490,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,2540.0,21155.0,4
RC,490,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,2706.0,36635.0,9
RC,490,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,291.0,3435.0,5
RC,490,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,4830.0,15
RC,490,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,4830.0,15
RC,490,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,5958.0,15
RC,490,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,4830.0,15
RC,490,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1142.61,6446.0,15
RC,490,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1404.42,6446.0,15
RC,490,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,490,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1142.61,6446.0,15
RC,490,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1404.42,6446.0,15
RC,490,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1404.42,6446.0,15
RC,490,Construction of artificial vagina; with graft ,,,1471.0,6446.0,11
RC,490,Construction of artificial vagina; without graft ,,,1603.31,6446.0,15
RC,490,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1142.61,6446.0,15
RC,490,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1142.61,6446.0,15
RC,490,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,1632.0,4953.0,5
RC,490,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,291.0,2900.0,4
RC,490,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,291.0,2900.0,8
RC,490,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,291.0,2900.0,13
RC,490,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,490,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,8866.0,7
RC,490,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,511.0,3979.0,13
RC,490,"Cordocentesis (intrauterine), any method ",,,291.0,2900.0,9
RC,490,Corneal relaxing incision for correction of surgically induced astigmatism ,,,769.0,6446.0,15
RC,490,Corneal wedge resection for correction of surgically induced astigmatism ,,,1142.61,6446.0,15
RC,490,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,1632.0,4953.0,5
RC,490,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1404.42,6446.0,15
RC,490,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1404.42,6446.0,15
RC,490,"Correction of everted punctum, cautery ",,,291.0,3523.0,13
RC,490,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1142.61,6446.0,15
RC,490,Correction of lid retraction ,,,1142.61,6446.0,15
RC,490,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,291.0,3523.0,9
RC,490,"Correction of trichiasis; epilation, by forceps only ",,,291.0,2900.0,9
RC,490,Correction of trichiasis; incision of lid margin ,,,769.0,4100.0,15
RC,490,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,4830.0,15
RC,490,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,291.0,2900.0,4
RC,490,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,1753.0,9431.0,9
RC,490,Craniectomy for craniosynostosis; multiple cranial sutures ,,,1632.0,4953.0,5
RC,490,Craniectomy for craniosynostosis; single cranial suture ,,,1632.0,4953.0,5
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,1632.0,4953.0,5
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,1632.0,4953.0,5
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,1632.0,4953.0,5
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,1632.0,4953.0,5
RC,490,"Craniectomy or craniotomy, exploratory; supratentorial ",,,1632.0,4953.0,5
RC,490,Craniectomy or craniotomy; with excision of foreign body from brain ,,,1632.0,4953.0,5
RC,490,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,1632.0,4953.0,5
RC,490,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,1632.0,4953.0,5
RC,490,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,1632.0,4953.0,5
RC,490,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,1632.0,4953.0,5
RC,490,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,1632.0,4953.0,5
RC,490,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,1632.0,4953.0,5
RC,490,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,1632.0,4953.0,5
RC,490,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,1632.0,4953.0,5
RC,490,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,1632.0,4953.0,5
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,1632.0,4953.0,5
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,1632.0,4953.0,5
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,1632.0,4953.0,5
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,1632.0,4953.0,5
RC,490,Craniectomy; for osteomyelitis ,,,1632.0,4953.0,5
RC,490,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2540.0,9431.0,8
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,1632.0,4953.0,5
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,1632.0,4953.0,5
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,490,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,490,Cranioplasty for skull defect with reparative brain surgery ,,,1632.0,4953.0,5
RC,490,Cranioplasty for skull defect; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,490,Cranioplasty for skull defect; up to 5 cm diameter ,,,1632.0,5552.91,8
RC,490,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,490,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,1632.0,5278.0,8
RC,490,Craniotomy for craniosynostosis; bifrontal bone flap ,,,1632.0,4953.0,5
RC,490,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,1632.0,4953.0,5
RC,490,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,1632.0,4953.0,5
RC,490,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,1632.0,4953.0,5
RC,490,"Craniotomy for repair of encephalocele, skull base ",,,1632.0,4953.0,5
RC,490,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,1632.0,4953.0,5
RC,490,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,1632.0,4953.0,5
RC,490,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,1632.0,4953.0,5
RC,490,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,1632.0,4953.0,5
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,490,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,490,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,1632.0,4953.0,5
RC,490,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,1632.0,4953.0,5
RC,490,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,1632.0,4953.0,5
RC,490,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,1632.0,4953.0,5
RC,490,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,1632.0,4953.0,5
RC,490,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,1753.0,6801.0,7
RC,490,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,1632.0,4953.0,5
RC,490,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1142.61,6446.0,15
RC,490,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1142.61,6446.0,15
RC,490,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,4830.0,15
RC,490,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,1632.0,4953.0,5
RC,490,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,6801.0,11
RC,490,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,490,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,490,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,490,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,490,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,1753.0,20951.0,13
RC,490,"Curettage, postpartum ",,,1257.0,6446.0,15
RC,490,Cutaneous appendico-vesicostomy ,,,1632.0,4953.0,5
RC,490,Cutaneous vesicostomy ,,,1404.42,4830.0,7
RC,490,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,1632.0,4953.0,5
RC,490,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,1632.0,4953.0,5
RC,490,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,490,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,1632.0,4953.0,5
RC,490,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,490,"Cystectomy, complete; (separate procedure) ",,,1632.0,4953.0,5
RC,490,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,490,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,490,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,1632.0,4953.0,5
RC,490,"Cystectomy, partial; simple ",,,1632.0,4953.0,5
RC,490,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,15
RC,490,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,1632.0,10746.0,9
RC,490,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,8
RC,490,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,4830.0,11
RC,490,"Cystostomy, cystotomy with drainage ",,,1142.61,6446.0,15
RC,490,"Cystotomy for excision, incision, or repair of ureterocele ",,,1404.42,4830.0,7
RC,490,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1404.42,6446.0,15
RC,490,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1404.42,2760.0,8
RC,490,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1404.42,6446.0,15
RC,490,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,511.0,6446.0,15
RC,490,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,1404.42,5958.0,7
RC,490,Cystotomy; for excision of bladder tumor ,,,1404.42,5958.0,7
RC,490,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1404.42,6446.0,15
RC,490,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,1632.0,10746.0,9
RC,490,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,15
RC,490,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,4830.0,13
RC,490,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1404.42,6446.0,13
RC,490,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,6801.0,13
RC,490,Cystourethroscopy (separate procedure) ,,,511.0,3523.0,13
RC,490,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,742.8,4100.0,15
RC,490,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,7161.0,7
RC,490,Cystourethroscopy with direct vision internal urethrotomy ,,,1142.61,6446.0,15
RC,490,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,15
RC,490,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,1632.0,6446.0,7
RC,490,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1404.42,16336.0,15
RC,490,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1632.0,6446.0,7
RC,490,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,6446.0,13
RC,490,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,769.0,4100.0,15
RC,490,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,15
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,490,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,8866.0,7
RC,490,"Cystourethroscopy, with biopsy(s) ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,769.0,4100.0,15
RC,490,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,490,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,511.0,3523.0,13
RC,490,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,511.0,3979.0,15
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,15
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,15
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,769.0,5115.0,13
RC,490,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,4830.0,11
RC,490,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,291.0,2900.0,11
RC,490,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,291.0,6446.0,11
RC,490,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,8866.0,15
RC,490,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,6
RC,490,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,8866.0,13
RC,490,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,11
RC,490,"Cystourethroscopy, with internal urethrotomy; female ",,,769.0,4100.0,15
RC,490,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,1632.0,8866.0,9
RC,490,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,769.0,4100.0,15
RC,490,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,4830.0,13
RC,490,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,8866.0,9
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,5
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,6446.0,13
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,6446.0,13
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1603.31,6801.0,9
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,8866.0,11
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1404.42,6446.0,13
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,6446.0,13
RC,490,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,15
RC,490,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,4830.0,15
RC,490,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,490,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,490,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,490,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,4830.0,15
RC,490,D & C OF RESIDUAL CERVIX ,,,2302.0,2490.0,2
RC,490,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,1069.0,4
RC,490,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,1069.0,2
RC,490,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,1069.0,2
RC,490,DILATION PROSTATIC URETHRA ,,,2302.0,2490.0,2
RC,490,DRAINAGE OF BLADDER ,,,988.0,1069.0,2
RC,490,DRAINAGE OF EYE ,,,988.0,1069.0,2
RC,490,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1404.42,6446.0,15
RC,490,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,291.0,2900.0,16
RC,490,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,8
RC,490,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,7161.0,7
RC,490,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,291.0,2900.0,11
RC,490,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,291.0,2900.0,9
RC,490,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1753.0,6801.0,11
RC,490,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,490,Decompression internal auditory canal ,,,1753.0,6801.0,7
RC,490,"Decompression of orbit only, transcranial approach ",,,1404.42,6801.0,7
RC,490,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1142.61,8866.0,15
RC,490,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1632.0,3435.0,7
RC,490,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,1632.0,9431.0,7
RC,490,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1632.0,4830.0,7
RC,490,Decompression; plantar digital nerve ,,,607.0,4830.0,15
RC,490,Decompression; unspecified nerve(s) (specify) ,,,607.0,4830.0,15
RC,490,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,3
RC,490,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,607.0,4100.0,13
RC,490,Deligation of ureter ,,,1632.0,4953.0,5
RC,490,Delivery of placenta (separate procedure) ,,,1404.42,4830.0,7
RC,490,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,3
RC,490,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1142.61,4830.0,12
RC,490,"Destruction by neurolytic agent, intercostal nerve ",,,511.0,3523.0,15
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,291.0,2900.0,8
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,4830.0,13
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,291.0,2900.0,8
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,5115.0,13
RC,490,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,4830.0,15
RC,490,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,4830.0,15
RC,490,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,511.0,3523.0,15
RC,490,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,511.0,3979.0,15
RC,490,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,511.0,3979.0,15
RC,490,Destruction by neurolytic agent; other peripheral nerve or branch ,,,511.0,3523.0,13
RC,490,Destruction by neurolytic agent; plantar common digital nerve ,,,291.0,2900.0,13
RC,490,Destruction by neurolytic agent; pudendal nerve ,,,511.0,3979.0,15
RC,490,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,511.0,3523.0,13
RC,490,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,5958.0,13
RC,490,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,291.0,2900.0,13
RC,490,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,4100.0,13
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,15
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,2900.0,9
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,9
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,7
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4100.0,15
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4100.0,15
RC,490,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,769.0,6446.0,15
RC,490,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,11
RC,490,"Destruction of lesion, conjunctiva ",,,607.0,4830.0,13
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,511.0,3250.0,11
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,511.0,3250.0,11
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,291.0,2900.0,8
RC,490,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3523.0,13
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,291.0,6446.0,11
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,511.0,6446.0,11
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1404.42,6446.0,13
RC,490,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,15
RC,490,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,11
RC,490,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,3715.0,6446.0,5
RC,490,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3715.0,10746.0,26
RC,490,Diaphragm or cervical cap fitting with instructions ,,,291.0,2900.0,9
RC,490,Dilation and curettage of cervical stump ,,,1257.0,6446.0,15
RC,490,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,4830.0,15
RC,490,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,4830.0,13
RC,490,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1404.42,8866.0,22
RC,490,Dilation of female urethra including suppository and/or instillation; initial ,,,291.0,2900.0,13
RC,490,Dilation of female urethra including suppository and/or instillation; subsequent ,,,291.0,2900.0,9
RC,490,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,4830.0,15
RC,490,"Dilation of lacrimal punctum, with or without irrigation ",,,291.0,2900.0,9
RC,490,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,511.0,3250.0,11
RC,490,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,291.0,3523.0,13
RC,490,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,291.0,3523.0,13
RC,490,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,291.0,3523.0,13
RC,490,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,490,Dilation of vagina under anesthesia (other than local) ,,,870.0,4830.0,15
RC,490,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,490,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,291.0,6446.0,8
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1753.0,9431.0,11
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,1632.0,4953.0,5
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,1632.0,4953.0,5
RC,490,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,511.0,3979.0,15
RC,490,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,291.0,3523.0,13
RC,490,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,4830.0,15
RC,490,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,1632.0,4953.0,5
RC,490,"Donor nephrectomy (including cold preservation); open, from living donor ",,,1632.0,4953.0,5
RC,490,"Drainage external auditory canal, abscess ",,,511.0,3250.0,13
RC,490,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,4100.0,11
RC,490,"Drainage external ear, abscess or hematoma; simple ",,,511.0,3250.0,13
RC,490,Drainage of Skene's gland abscess or cyst ,,,607.0,4830.0,11
RC,490,Drainage of deep periurethral abscess ,,,870.0,4830.0,15
RC,490,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,1632.0,4953.0,5
RC,490,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,8
RC,490,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,15
RC,490,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,11
RC,490,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,15
RC,490,Drainage of perineal urinary extravasation; complicated ,,,1142.61,4830.0,7
RC,490,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,742.8,6446.0,15
RC,490,"Drainage of perirenal or renal abscess, open ",,,870.0,4830.0,11
RC,490,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,1632.0,4953.0,5
RC,490,Drainage of perivesical or prevesical space abscess ,,,607.0,4100.0,15
RC,490,"Drainage of retroperitoneal abscess, open ",,,1632.0,4953.0,5
RC,490,Drainage of scrotal wall abscess ,,,607.0,4100.0,15
RC,490,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,1632.0,4953.0,5
RC,490,Duodenal motility (manometric) study ,,,291.0,2900.0,8
RC,490,"Dural graft, spinal ",,,1632.0,4953.0,5
RC,490,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,742.8,4100.0,7
RC,490,EXPLORATION OF EPIDIDYMIS ,,,988.0,1069.0,2
RC,490,Ear piercing ,,,1632.0,6411.0,7
RC,490,Electroejaculation ,,,511.0,3523.0,13
RC,490,"Electrogastrography, diagnostic, transcutaneous; ",,,291.0,2900.0,4
RC,490,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,291.0,2900.0,4
RC,490,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,291.0,2900.0,9
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,291.0,3979.0,13
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,291.0,2900.0,22
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,291.0,3979.0,13
RC,490,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,291.0,5078.0,12
RC,490,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,769.0,5078.0,6
RC,490,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,291.0,2900.0,4
RC,490,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,2540.0,21155.0,4
RC,490,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,1632.0,4953.0,5
RC,490,"Elevation of depressed skull fracture; simple, extradural ",,,1404.42,6801.0,7
RC,490,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,1632.0,4953.0,5
RC,490,"Embryo transfer, intrauterine ",,,511.0,3523.0,15
RC,490,Endocervical curettage (not done as part of a dilation and curettage) ,,,511.0,3523.0,13
RC,490,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,291.0,2900.0,8
RC,490,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,291.0,2900.0,8
RC,490,Endolymphatic sac operation; with shunt ,,,1753.0,10746.0,15
RC,490,Endolymphatic sac operation; without shunt ,,,1753.0,10746.0,15
RC,490,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.31,10746.0,13
RC,490,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1603.31,6766.0,11
RC,490,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,490,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,291.0,2900.0,13
RC,490,Endomyocardial biopsy ,,,607.0,5958.0,9
RC,490,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,490,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,5
RC,490,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,15
RC,490,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,6
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,3715.0,6446.0,5
RC,490,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,3715.0,8866.0,7
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,490,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,8866.0,11
RC,490,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,490,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,1632.0,21331.0,5
RC,490,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,1632.0,21331.0,5
RC,490,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,13472.0,11
RC,490,"Enterocystoplasty, including intestinal anastomosis ",,,1632.0,4953.0,5
RC,490,"Enucleation of eye; with implant, muscles attached to implant ",,,1404.42,6446.0,15
RC,490,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,15
RC,490,Enucleation of eye; without implant ,,,1257.0,6446.0,15
RC,490,Epididymectomy; bilateral ,,,1404.42,6446.0,15
RC,490,Epididymectomy; unilateral ,,,1257.0,6446.0,15
RC,490,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1404.42,6446.0,15
RC,490,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1142.61,6446.0,15
RC,490,Epikeratoplasty ,,,911.0,10746.0,10
RC,490,"Episiotomy or vaginal repair, by other than attending ",,,870.0,4830.0,11
RC,490,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,291.0,2900.0,4
RC,490,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,291.0,2900.0,4
RC,490,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,291.0,2900.0,4
RC,490,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,291.0,2900.0,8
RC,490,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,291.0,2900.0,4
RC,490,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,8866.0,11
RC,490,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,769.0,21155.0,4
RC,490,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,769.0,21155.0,4
RC,490,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,291.0,2900.0,4
RC,490,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,291.0,3250.0,4
RC,490,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,291.0,2900.0,4
RC,490,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,291.0,2900.0,4
RC,490,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,15
RC,490,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,15
RC,490,Exc biopsy of saliv glands ,,,3715.0,4953.0,3
RC,490,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,3
RC,490,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,511.0,3979.0,13
RC,490,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,8866.0,7
RC,490,Exchange of intraocular lens ,,,1142.61,6446.0,15
RC,490,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,607.0,4100.0,11
RC,490,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,490,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,490,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,490,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1142.61,6446.0,30
RC,490,Excision aural glomus tumor; extended (extratemporal) ,,,1632.0,4953.0,5
RC,490,Excision aural glomus tumor; transcanal ,,,1753.0,6801.0,15
RC,490,Excision aural glomus tumor; transmastoid ,,,1753.0,10746.0,15
RC,490,Excision aural polyp ,,,769.0,4100.0,11
RC,490,"Excision exostosis(es), external auditory canal ",,,870.0,4830.0,15
RC,490,Excision external ear; complete amputation ,,,870.0,4830.0,15
RC,490,"Excision external ear; partial, simple repair ",,,607.0,4100.0,15
RC,490,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,15
RC,490,Excision of Mullerian duct cyst ,,,607.0,4830.0,15
RC,490,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,4830.0,15
RC,490,Excision of carotid body tumor; with excision of carotid artery ,,,1632.0,4953.0,5
RC,490,Excision of carotid body tumor; without excision of carotid artery ,,,1632.0,4953.0,5
RC,490,"Excision of cervical stump, abdominal approach; ",,,1632.0,4953.0,5
RC,490,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,1632.0,4953.0,5
RC,490,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,15
RC,490,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,1603.31,5958.0,7
RC,490,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.31,6801.0,15
RC,490,"Excision of chalazion; multiple, different lids ",,,291.0,3523.0,13
RC,490,"Excision of chalazion; multiple, same lid ",,,607.0,4100.0,13
RC,490,Excision of chalazion; single ,,,291.0,3523.0,13
RC,490,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,4830.0,15
RC,490,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,9431.0,15
RC,490,Excision of extraparenchymal lesion of testis ,,,870.0,4830.0,15
RC,490,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,15
RC,490,Excision of hydrocele; bilateral ,,,1404.42,6446.0,15
RC,490,Excision of hydrocele; unilateral ,,,1257.0,6446.0,15
RC,490,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,15
RC,490,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,15
RC,490,Excision of lacrimal gland tumor; frontal approach ,,,1142.61,6446.0,15
RC,490,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,15
RC,490,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,15
RC,490,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,769.0,4100.0,13
RC,490,Excision of lesion of spermatic cord (separate procedure) ,,,1404.42,6446.0,15
RC,490,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,4830.0,15
RC,490,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,4830.0,13
RC,490,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,4830.0,15
RC,490,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,4100.0,15
RC,490,"Excision of lesion, sclera ",,,1142.61,10746.0,15
RC,490,Excision of local lesion of epididymis ,,,1257.0,6446.0,15
RC,490,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,3715.0,6446.0,5
RC,490,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1142.61,6446.0,15
RC,490,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6801.0,15
RC,490,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1142.61,6446.0,15
RC,490,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,4830.0,15
RC,490,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1142.61,6446.0,15
RC,490,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,490,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,490,"Excision of neuroma; hand or foot, except digital nerve ",,,1142.61,6446.0,15
RC,490,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1142.61,6446.0,15
RC,490,Excision of neuroma; sciatic nerve ,,,1257.0,6801.0,15
RC,490,Excision of penile plaque (Peyronie disease); ,,,870.0,6801.0,15
RC,490,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,6801.0,15
RC,490,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,6801.0,15
RC,490,Excision of perinephric cyst ,,,1632.0,4953.0,5
RC,490,Excision of presacral or sacrococcygeal tumor ,,,1632.0,4953.0,5
RC,490,"Excision of spermatocele, with or without epididymectomy ",,,1142.61,6446.0,15
RC,490,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,9431.0,15
RC,490,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,9431.0,15
RC,490,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,15
RC,490,Excision of urethral diverticulum (separate procedure); female ,,,870.0,5958.0,15
RC,490,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,15
RC,490,Excision of vaginal cyst or tumor ,,,870.0,4830.0,15
RC,490,Excision of vaginal septum ,,,870.0,4830.0,15
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1404.42,6446.0,15
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1404.42,6446.0,15
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1404.42,6446.0,15
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,1632.0,4830.0,5
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,1632.0,5958.0,5
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,1632.0,4830.0,5
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,1632.0,4830.0,5
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,1632.0,5958.0,5
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,1603.31,1919.0,4
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,2540.0,2540.0,1
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,2540.0,2540.0,1
RC,490,Excision or fulguration of carcinoma of urethra ,,,870.0,5958.0,15
RC,490,Excision or fulguration; Skene's glands ,,,870.0,4830.0,15
RC,490,Excision or fulguration; urethral caruncle ,,,870.0,4830.0,15
RC,490,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,4830.0,15
RC,490,Excision or fulguration; urethral prolapse ,,,870.0,4830.0,15
RC,490,Excision or transposition of pterygium; with graft ,,,1142.61,6446.0,15
RC,490,Excision or transposition of pterygium; without graft ,,,870.0,4830.0,15
RC,490,Excision or unroofing of cyst(s) of kidney ,,,1632.0,4953.0,5
RC,490,"Excision soft tissue lesion, external auditory canal ",,,769.0,4100.0,15
RC,490,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,1632.0,4953.0,5
RC,490,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,1632.0,4953.0,5
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1404.42,6446.0,15
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1404.42,10746.0,15
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1404.42,10746.0,15
RC,490,Exploration for undescended testis (inguinal or scrotal area) ,,,1404.42,6446.0,15
RC,490,Exploration for undescended testis with abdominal exploration ,,,1142.61,6446.0,11
RC,490,"Exploration of epididymis, with or without biopsy ",,,607.0,4830.0,15
RC,490,"Exploration of orbit (transcranial approach), with removal of lesion ",,,1632.0,4953.0,5
RC,490,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1404.42,6446.0,12
RC,490,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1471.0,6446.0,8
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,16336.0,11
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,16336.0,5
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,16336.0,5
RC,490,"Expression of conjunctival follicles (eg, for trachoma) ",,,291.0,2900.0,9
RC,490,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,1632.0,4953.0,5
RC,490,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,1632.0,4953.0,5
RC,490,"External cephalic version, with or without tocolysis ",,,1404.42,4830.0,9
RC,490,"External counterpulsation, per treatment session ",,,3131.0,3523.0,2
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,1404.42,8866.0,12
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,1404.42,8069.0,12
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,1142.61,8069.0,15
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1142.61,8866.0,39
RC,490,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,2760.0,2
RC,490,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,6
RC,490,Fetal contraction stress test ,,,291.0,2900.0,9
RC,490,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,291.0,3523.0,13
RC,490,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,1632.0,4953.0,5
RC,490,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,291.0,2900.0,4
RC,490,Fetal non-stress test ,,,291.0,2900.0,7
RC,490,Fetal scalp blood sampling ,,,291.0,2900.0,9
RC,490,"Fetal shunt placement, including ultrasound guidance ",,,291.0,3523.0,13
RC,490,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,490,Fimbrioplasty ,,,1694.0,6446.0,8
RC,490,Fine needle aspiration of orbital contents ,,,607.0,4830.0,15
RC,490,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,4830.0,15
RC,490,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1404.42,6446.0,15
RC,490,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1142.61,6446.0,15
RC,490,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1142.61,6446.0,15
RC,490,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1404.42,6446.0,15
RC,490,Fitting and insertion of pessary or other intravaginal support device ,,,291.0,2900.0,9
RC,490,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,15
RC,490,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,8866.0,3
RC,490,"Follicle puncture for oocyte retrieval, any method ",,,511.0,3523.0,15
RC,490,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,291.0,3523.0,15
RC,490,Free omental flap with microvascular anastomosis ,,,1632.0,4953.0,5
RC,490,Frenulotomy of penis ,,,870.0,4830.0,15
RC,490,GLAUCOMA SURGERY ,,,2552.0,2760.0,2
RC,490,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,291.0,3523.0,15
RC,490,Gastric motility (manometric) studies ,,,291.0,2900.0,8
RC,490,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,3
RC,490,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,769.0,4100.0,4
RC,490,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,769.0,4100.0,4
RC,490,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,4
RC,490,Goniotomy ,,,607.0,4830.0,15
RC,490,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,490,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,490,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,3
RC,490,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,3
RC,490,HFenestration semicircular canal ,,,3026.0,3273.0,2
RC,490,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,27220.0,36293.0,3
RC,490,HRevision fenestration operation ,,,3026.0,3273.0,2
RC,490,"Harvesting conjunctival allograft, living donor ",,,870.0,4830.0,15
RC,490,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,490,"Hymenotomy, simple incision ",,,607.0,4830.0,15
RC,490,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,1632.0,4953.0,5
RC,490,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,1632.0,10746.0,9
RC,490,Hysterorrhaphy of ruptured uterus ,,,1632.0,3435.0,2
RC,490,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1632.0,6446.0,9
RC,490,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,4830.0,13
RC,490,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,6801.0,13
RC,490,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,6446.0,13
RC,490,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.31,6446.0,13
RC,490,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,4830.0,13
RC,490,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,6446.0,13
RC,490,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,6446.0,13
RC,490,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,6446.0,13
RC,490,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,1603.31,4830.0,9
RC,490,IMPLANT NEUROELECTRODES ,,,988.0,1069.0,4
RC,490,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,3723.0,5078.0,4
RC,490,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,490,INCISE INNER EAR ,,,4526.0,4895.0,2
RC,490,INCISION OF HYMEN ,,,988.0,1069.0,2
RC,490,INJ PARAVERTEBRAL C/T ,,,988.0,1069.0,2
RC,490,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,1069.0,2
RC,490,INJ PARAVERTEBRAL L/S ,,,988.0,1069.0,2
RC,490,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,1069.0,2
RC,490,INJECT SPINE CERV/THORACIC ,,,988.0,1069.0,2
RC,490,INJECT SPINE LUMBAR/SACRAL ,,,988.0,1069.0,2
RC,490,INJECT SPINE W/CATH CRV/THRC ,,,988.0,1069.0,2
RC,490,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,1069.0,2
RC,490,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,827.0,2
RC,490,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,827.0,2
RC,490,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,827.0,2
RC,490,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,1069.0,4
RC,490,"INSERT ABDOM DRAIN, TEMP ",,,988.0,1069.0,2
RC,490,INSERT KIDNEY DRAIN ,,,988.0,1069.0,2
RC,490,INSERT URETERAL TUBE ,,,988.0,1069.0,2
RC,490,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,1069.0,4
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,769.0,8866.0,13
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,769.0,6446.0,13
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,769.0,8866.0,13
RC,490,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,6801.0,4
RC,490,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,5958.0,4
RC,490,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,490,Implantation of intrastromal corneal ring segments ,,,1404.42,6801.0,11
RC,490,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6801.0,15
RC,490,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,1632.0,6801.0,7
RC,490,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,13472.0,5
RC,490,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,291.0,2900.0,10
RC,490,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,26596.0,15
RC,490,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,26596.0,15
RC,490,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,26596.0,15
RC,490,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6801.0,10
RC,490,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2179.0,9431.0,10
RC,490,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2179.0,9431.0,10
RC,490,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2179.0,13472.0,13
RC,490,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,9431.0,13
RC,490,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,6801.0,15
RC,490,Incision and drainage of Bartholin's gland abscess ,,,291.0,3523.0,13
RC,490,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,4830.0,15
RC,490,"Incision and drainage of penis, deep ",,,769.0,6446.0,15
RC,490,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,4100.0,15
RC,490,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,4830.0,15
RC,490,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,769.0,4100.0,11
RC,490,Incision and drainage of vulva or perineal abscess ,,,291.0,3979.0,13
RC,490,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,490,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,4953.0,9
RC,490,"Incision of conjunctiva, drainage of cyst ",,,769.0,4100.0,11
RC,490,"Incision, drainage of lacrimal gland ",,,607.0,4100.0,13
RC,490,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,511.0,5115.0,13
RC,490,Incisional biopsy of eyelid skin including lid margin ,,,291.0,3523.0,13
RC,490,Indexing for osteotomy ,,,3715.0,4953.0,3
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,4953.0,11
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,4953.0,11
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,4953.0,9
RC,490,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,1632.0,4953.0,5
RC,490,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,769.0,4953.0,18
RC,490,"Induced abortion, by dilation and curettage ",,,1404.42,6446.0,15
RC,490,"Induced abortion, by dilation and evacuation ",,,1404.42,6446.0,15
RC,490,Induction of arrhythmia by electrical pacing ,,,769.0,21155.0,4
RC,490,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,1632.0,4953.0,5
RC,490,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,1632.0,4953.0,5
RC,490,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,1632.0,14425.0,7
RC,490,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,4
RC,490,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,291.0,2900.0,8
RC,490,Injection of contrast medium for dacryocystography ,,,291.0,2900.0,8
RC,490,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,291.0,2900.0,9
RC,490,Injection of medication or other substance into Tenon's capsule ,,,291.0,3523.0,13
RC,490,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,4830.0,15
RC,490,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,291.0,2900.0,8
RC,490,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,291.0,2900.0,4
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,490,Injection procedure for Peyronie disease; ,,,291.0,3523.0,9
RC,490,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,15
RC,490,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,511.0,3979.0,26
RC,490,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,4830.0,13
RC,490,Injection procedure for corpora cavernosography ,,,291.0,2900.0,8
RC,490,Injection procedure for cystography or voiding urethrocystography ,,,291.0,2900.0,4
RC,490,"Injection procedure for discography, each level; cervical or thoracic ",,,291.0,2900.0,8
RC,490,"Injection procedure for discography, each level; lumbar ",,,291.0,2900.0,8
RC,490,"Injection procedure for myelography and/or computed tomography, lumbar ",,,291.0,2900.0,8
RC,490,Injection procedure for retrograde urethrocystography ,,,291.0,2900.0,4
RC,490,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,8
RC,490,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3523.0,15
RC,490,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,8
RC,490,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,291.0,2900.0,8
RC,490,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,511.0,6446.0,15
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,511.0,3523.0,9
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,511.0,3523.0,12
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,291.0,3523.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,511.0,3523.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,511.0,3523.0,15
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,511.0,3523.0,15
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,511.0,3523.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,511.0,3523.0,12
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,511.0,3523.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,511.0,3523.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,291.0,2900.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,511.0,3523.0,15
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,511.0,3523.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,511.0,3523.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,291.0,2900.0,10
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,511.0,3523.0,15
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,291.0,2900.0,10
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,511.0,3523.0,15
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,291.0,3523.0,13
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,291.0,3523.0,13
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,291.0,2900.0,8
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,511.0,3523.0,13
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,291.0,2900.0,8
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,291.0,2900.0,8
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,511.0,3523.0,13
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,291.0,2900.0,8
RC,490,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,52
RC,490,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,52
RC,490,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,511.0,3523.0,15
RC,490,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,511.0,3523.0,15
RC,490,"Injection, anesthetic agent; sphenopalatine ganglion ",,,291.0,3523.0,13
RC,490,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,511.0,3523.0,15
RC,490,"Injection, anesthetic agent; superior hypogastric plexus ",,,511.0,3979.0,15
RC,490,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,4100.0,15
RC,490,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,4100.0,15
RC,490,"Injection, epidural, of blood or clot patch ",,,511.0,3523.0,15
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,511.0,3523.0,15
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,511.0,3523.0,15
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,511.0,3523.0,15
RC,490,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,3250.0,9
RC,490,Insertion of Heyman capsules for clinical brachytherapy ,,,870.0,4830.0,15
RC,490,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,511.0,3250.0,13
RC,490,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,291.0,3523.0,13
RC,490,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,8866.0,13
RC,490,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,5115.0,13
RC,490,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,9
RC,490,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,291.0,3523.0,13
RC,490,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1142.61,4830.0,12
RC,490,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,13
RC,490,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,769.0,4100.0,13
RC,490,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,7
RC,490,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,10732.0,13
RC,490,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,1142.61,6446.0,15
RC,490,Insertion of intrauterine device (IUD) ,,,44.66,2900.0,12
RC,490,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,291.0,10746.0,10
RC,490,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,27277.0,15
RC,490,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3715.0,10746.0,5
RC,490,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3715.0,10746.0,5
RC,490,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3715.0,10746.0,5
RC,490,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,3523.0,13
RC,490,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,291.0,2900.0,13
RC,490,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,15
RC,490,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,5958.0,15
RC,490,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,15
RC,490,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,27277.0,15
RC,490,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,27277.0,15
RC,490,Insertion of peritoneal-venous shunt ,,,769.0,4100.0,8
RC,490,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,5
RC,490,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,1632.0,4953.0,5
RC,490,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,607.0,4100.0,8
RC,490,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,28186.0,15
RC,490,Insertion of tandem cuff (dual cuff) ,,,870.0,10732.0,13
RC,490,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,291.0,3523.0,13
RC,490,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,291.0,2900.0,13
RC,490,Insertion of testicular prosthesis (separate procedure) ,,,870.0,4830.0,15
RC,490,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1632.0,4953.0,7
RC,490,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,870.0,8866.0,13
RC,490,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,870.0,5958.0,15
RC,490,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,870.0,9431.0,15
RC,490,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,511.0,16336.0,15
RC,490,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,4953.0,5
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,36293.0,13
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,36293.0,13
RC,490,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,291.0,3435.0,7
RC,490,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,13472.0,7
RC,490,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,36293.0,13
RC,490,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,36293.0,13
RC,490,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,8866.0,8
RC,490,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,291.0,3523.0,13
RC,490,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,291.0,2900.0,10
RC,490,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,291.0,2900.0,4
RC,490,Intersex surgery; female to male ,,,1404.42,3435.0,5
RC,490,Intersex surgery; male to female ,,,1603.31,3435.0,5
RC,490,Intra-atrial pacing ,,,769.0,21155.0,4
RC,490,Intra-atrial recording ,,,769.0,21155.0,4
RC,490,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,291.0,21155.0,4
RC,490,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,1142.61,8069.0,15
RC,490,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,291.0,36635.0,6
RC,490,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,1753.0,36635.0,7
RC,490,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,490,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,490,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,4
RC,490,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,4
RC,490,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,6
RC,490,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,5
RC,490,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,291.0,2900.0,8
RC,490,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,291.0,21155.0,4
RC,490,Intraventricular pacing ,,,769.0,21155.0,4
RC,490,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,291.0,3523.0,13
RC,490,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,291.0,3523.0,11
RC,490,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,15
RC,490,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1142.61,6446.0,15
RC,490,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,490,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,490,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1142.61,6801.0,15
RC,490,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,511.0,3523.0,13
RC,490,Iridotomy by stab incision (separate procedure); except transfixion ,,,291.0,3523.0,15
RC,490,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,4100.0,15
RC,490,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,511.0,3523.0,13
RC,490,Irrigation of corpora cavernosa for priapism ,,,291.0,3523.0,15
RC,490,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,291.0,2900.0,9
RC,490,Keratomileusis ,,,911.0,10746.0,10
RC,490,Keratophakia ,,,911.0,10746.0,10
RC,490,Keratoplasty (corneal transplant); anterior lamellar ,,,1404.42,10746.0,15
RC,490,Keratoplasty (corneal transplant); endothelial ,,,1404.42,10746.0,13
RC,490,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1404.42,10746.0,15
RC,490,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1404.42,10746.0,15
RC,490,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1404.42,10746.0,15
RC,490,Keratoprosthesis ,,,1753.0,10746.0,13
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,1471.0,2007.0,2
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,1471.0,2007.0,2
RC,490,Labyrinthectomy; transcanal ,,,1753.0,10746.0,15
RC,490,Labyrinthectomy; with mastoidectomy ,,,1753.0,10746.0,15
RC,490,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,769.0,6446.0,15
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7058.0,13472.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,1632.0,8866.0,7
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7058.0,13472.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,1632.0,8866.0,7
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,1632.0,8866.0,7
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,1632.0,8866.0,7
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7058.0,13472.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,1632.0,8866.0,7
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,1632.0,8866.0,7
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,1632.0,8866.0,7
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7058.0,13472.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,1632.0,8866.0,7
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,1632.0,8866.0,7
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2179.0,13472.0,9
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,1632.0,8866.0,7
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,1632.0,8866.0,7
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1753.0,9431.0,14
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,1632.0,8866.0,11
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,1753.0,9431.0,12
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,1753.0,9431.0,12
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,1632.0,8866.0,7
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,1632.0,8866.0,7
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7058.0,13472.0,6
RC,490,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,36293.0,11
RC,490,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,1632.0,8866.0,7
RC,490,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,1632.0,8866.0,7
RC,490,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,1632.0,8866.0,7
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1753.0,9431.0,13
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1753.0,9431.0,13
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,9431.0,13
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,490,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,1632.0,8866.0,7
RC,490,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1753.0,9431.0,13
RC,490,Laminectomy with rhizotomy; 1 or 2 segments ,,,7058.0,13472.0,6
RC,490,Laminectomy with rhizotomy; more than 2 segments ,,,7058.0,13472.0,6
RC,490,Laminectomy with section of spinal accessory nerve ,,,7058.0,13472.0,6
RC,490,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,291.0,9431.0,49
RC,490,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,291.0,8866.0,18
RC,490,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7058.0,13472.0,6
RC,490,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,1632.0,4953.0,5
RC,490,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,1632.0,4953.0,5
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,11
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1753.0,9431.0,13
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1694.0,8866.0,16
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1753.0,9431.0,13
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,9431.0,13
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,291.0,8866.0,10
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1632.0,4953.0,7
RC,490,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,490,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,490,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1257.0,6801.0,11
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2224.34,13472.0,9
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,1632.0,9431.0,7
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,1632.0,9431.0,7
RC,490,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2224.34,9431.0,10
RC,490,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,9431.0,11
RC,490,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,9431.0,11
RC,490,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1753.0,8866.0,15
RC,490,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2224.34,10746.0,15
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1694.0,9400.0,7
RC,490,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,6801.0,9
RC,490,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1753.0,9431.0,13
RC,490,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2224.34,9400.0,9
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical; ablation of renal cysts ",,,1753.0,6801.0,9
RC,490,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2224.34,13472.0,9
RC,490,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1632.0,4953.0,7
RC,490,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1632.0,4953.0,7
RC,490,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1632.0,4953.0,7
RC,490,"Laparoscopy, surgical; orchiectomy ",,,1753.0,9431.0,13
RC,490,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1753.0,9431.0,11
RC,490,"Laparoscopy, surgical; partial nephrectomy ",,,2224.34,9431.0,9
RC,490,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,9431.0,9
RC,490,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1632.0,4953.0,8
RC,490,"Laparoscopy, surgical; repair initial inguinal hernia ",,,1471.0,9431.0,11
RC,490,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,1753.0,9431.0,13
RC,490,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1753.0,10732.0,11
RC,490,"Laparoscopy, surgical; ureterolithotomy ",,,1753.0,9431.0,9
RC,490,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1753.0,9431.0,11
RC,490,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,9431.0,11
RC,490,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1753.0,9431.0,11
RC,490,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1471.0,6801.0,11
RC,490,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1471.0,6801.0,11
RC,490,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1257.0,6801.0,9
RC,490,"Laparoscopy, surgical; with fimbrioplasty ",,,1753.0,9431.0,11
RC,490,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,9431.0,11
RC,490,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1753.0,9431.0,11
RC,490,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1471.0,6801.0,9
RC,490,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1753.0,9431.0,11
RC,490,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,9431.0,11
RC,490,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,6
RC,490,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,291.0,2900.0,6
RC,490,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1753.0,9431.0,11
RC,490,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1471.0,6801.0,9
RC,490,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1753.0,9431.0,11
RC,490,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2540.0,10746.0,8
RC,490,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1603.31,8866.0,10
RC,490,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1603.31,8866.0,13
RC,490,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,1632.0,4953.0,5
RC,490,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,1632.0,4953.0,5
RC,490,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1603.31,8866.0,15
RC,490,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,291.0,9813.0,4
RC,490,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,6801.0,7
RC,490,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,490,Ligation of peritoneal-venous shunt ,,,769.0,4100.0,4
RC,490,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,4953.0,9
RC,490,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,769.0,4100.0,8
RC,490,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,5115.0,13
RC,490,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,490,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,4830.0,15
RC,490,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,4830.0,15
RC,490,"Lithotripsy, extracorporeal shock wave ",,,1404.42,9431.0,7
RC,490,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,490,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,490,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1632.0,6446.0,8
RC,490,Lysis of labial adhesions ,,,607.0,4830.0,15
RC,490,Lysis or excision of penile post-circumcision adhesions ,,,870.0,4830.0,15
RC,490,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,1632.0,13472.0,7
RC,490,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,511.0,3523.0,15
RC,490,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,9
RC,490,Marsupialization of Bartholin's gland cyst ,,,870.0,4830.0,15
RC,490,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,3
RC,490,"Marsupialization of urethral diverticulum, male or female ",,,870.0,5958.0,15
RC,490,Mastoid obliteration (separate procedure) ,,,1257.0,6801.0,15
RC,490,Mastoidectomy; complete ,,,1632.0,10746.0,15
RC,490,Mastoidectomy; modified radical ,,,1753.0,10746.0,15
RC,490,Mastoidectomy; radical ,,,1753.0,10746.0,15
RC,490,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,3
RC,490,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,3
RC,490,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,291.0,2900.0,9
RC,490,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,4830.0,15
RC,490,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,4830.0,11
RC,490,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,607.0,4100.0,13
RC,490,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,490,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,15
RC,490,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,1142.61,5115.0,9
RC,490,Multifetal pregnancy reduction(s) (MPR) ,,,291.0,3523.0,9
RC,490,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,4830.0,11
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,511.0,4320.0,13
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,511.0,4320.0,13
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,511.0,4320.0,13
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,511.0,4320.0,13
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,1694.0,10746.0,11
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1404.42,6446.0,15
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,1694.0,5958.0,7
RC,490,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,4830.0,13
RC,490,Myringotomy including aspiration and/or eustachian tube inflation ,,,291.0,6446.0,13
RC,490,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,769.0,6446.0,15
RC,490,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,490,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,2
RC,490,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,490,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,3
RC,490,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,490,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1753.0,8866.0,12
RC,490,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1753.0,8866.0,12
RC,490,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,291.0,3523.0,15
RC,490,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,1632.0,4953.0,5
RC,490,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,1632.0,4953.0,5
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,1632.0,4953.0,5
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,1632.0,4953.0,5
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,1632.0,4953.0,5
RC,490,"Nephrectomy, partial ",,,1632.0,4953.0,5
RC,490,Nephrolithotomy; complicated by congenital kidney abnormality ,,,1632.0,4953.0,5
RC,490,Nephrolithotomy; removal of calculus ,,,1632.0,4953.0,5
RC,490,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,1632.0,4953.0,5
RC,490,Nephrolithotomy; secondary surgical operation for calculus ,,,1632.0,4953.0,5
RC,490,"Nephrorrhaphy, suture of kidney wound or injury ",,,1632.0,4953.0,5
RC,490,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,8
RC,490,"Nephrotomy, with exploration ",,,1632.0,4953.0,5
RC,490,Nerve dissection ,,,3715.0,4953.0,3
RC,490,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,6801.0,15
RC,490,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,6801.0,15
RC,490,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,490,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,490,Nerve pedicle transfer; first stage ,,,870.0,6801.0,15
RC,490,Nerve pedicle transfer; second stage ,,,607.0,6801.0,15
RC,490,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,6801.0,13
RC,490,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,291.0,3435.0,9
RC,490,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,6801.0,12
RC,490,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,6801.0,13
RC,490,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,490,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,1632.0,4953.0,5
RC,490,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,490,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,1632.0,4953.0,5
RC,490,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,490,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1142.61,6446.0,15
RC,490,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,4830.0,15
RC,490,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,4830.0,15
RC,490,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,4830.0,15
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,4830.0,15
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,4830.0,15
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,4830.0,15
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,4830.0,15
RC,490,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,4830.0,15
RC,490,Neuroplasty; nerve of hand or foot ,,,607.0,4830.0,15
RC,490,Nocturnal penile tumescence and/or rigidity test ,,,291.0,2900.0,13
RC,490,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,7
RC,490,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,1632.0,4953.0,5
RC,490,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,11
RC,490,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1404.42,6446.0,15
RC,490,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,490,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1404.42,6801.0,15
RC,490,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,1632.0,4953.0,5
RC,490,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,1632.0,6801.0,5
RC,490,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,1404.42,6446.0,10
RC,490,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1694.0,6446.0,8
RC,490,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,1694.0,5958.0,4
RC,490,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,5
RC,490,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,36293.0,11
RC,490,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,5
RC,490,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,18085.0,10
RC,490,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,5
RC,490,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,36293.0,13
RC,490,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,15
RC,490,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,13472.0,13
RC,490,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,9
RC,490,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,9
RC,490,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,9
RC,490,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,1632.0,4830.0,4
RC,490,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,1632.0,4830.0,4
RC,490,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1404.42,6446.0,15
RC,490,Orbital implant (implant outside muscle cone); insertion ,,,1404.42,6446.0,15
RC,490,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,5958.0,15
RC,490,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,1632.0,4953.0,5
RC,490,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,1632.0,4953.0,5
RC,490,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,1632.0,4953.0,5
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1404.42,6446.0,15
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1404.42,6446.0,15
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1404.42,6446.0,15
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1404.42,6446.0,15
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1404.42,6446.0,15
RC,490,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,15
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1142.61,6446.0,15
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1404.42,6446.0,11
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1142.61,6446.0,15
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1142.61,6446.0,15
RC,490,"Orchiectomy, partial ",,,1257.0,6446.0,15
RC,490,"Orchiectomy, radical, for tumor; inguinal approach ",,,1404.42,6446.0,15
RC,490,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,1404.42,5958.0,7
RC,490,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,15
RC,490,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1404.42,6446.0,11
RC,490,"Orchiopexy, inguinal or scrotal approach ",,,1404.42,6446.0,15
RC,490,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,1632.0,8866.0,7
RC,490,"Other cranial decompression, posterior fossa ",,,1632.0,4953.0,5
RC,490,Otolaryngologic examination under general anesthesia ,,,291.0,2900.0,4
RC,490,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,15
RC,490,"Ovarian cystectomy, unilateral or bilateral ",,,1603.31,6446.0,11
RC,490,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,2
RC,490,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,1687.0,2
RC,490,"PROSTATECTOMY, SECOND STAGE ",,,988.0,1069.0,2
RC,490,PUNCTURE PERITONEAL CAVITY ,,,1560.0,1687.0,2
RC,490,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,291.0,3523.0,15
RC,490,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,4830.0,15
RC,490,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1142.61,6446.0,15
RC,490,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,291.0,6446.0,8
RC,490,Parathyroidectomy or exploration of parathyroid(s); ,,,1753.0,10746.0,11
RC,490,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,1753.0,10746.0,13
RC,490,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,1632.0,4953.0,5
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,9431.0,13
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1603.31,6801.0,11
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,8866.0,13
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,291.0,2900.0,8
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,490,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,3
RC,490,Partial hymenectomy or revision of hymenal ring ,,,607.0,4830.0,15
RC,490,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,9431.0,11
RC,490,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,9431.0,11
RC,490,Pelvic examination under anesthesia (other than local) ,,,870.0,4830.0,15
RC,490,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1632.0,4953.0,5
RC,490,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,1632.0,4953.0,5
RC,490,Penile plethysmography ,,,291.0,2900.0,13
RC,490,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,1632.0,6446.0,9
RC,490,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,511.0,3523.0,13
RC,490,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,511.0,3523.0,15
RC,490,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,20029.0,7
RC,490,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,20029.0,7
RC,490,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,20029.0,7
RC,490,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,3715.0,7161.0,7
RC,490,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,7161.0,7
RC,490,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1632.0,3435.0,4
RC,490,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,3715.0,4953.0,3
RC,490,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,36293.0,13
RC,490,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,36293.0,13
RC,490,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,11
RC,490,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,36293.0,13
RC,490,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,511.0,3523.0,30
RC,490,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1753.0,6801.0,18
RC,490,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,5
RC,490,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,8866.0,13
RC,490,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,9
RC,490,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,9
RC,490,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,5278.0,9
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,9
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,9
RC,490,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,11
RC,490,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,27696.0,7
RC,490,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,27696.0,4
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,27040.0,7
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,5
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,2540.0,1
RC,490,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,7
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,9
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,5
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,5
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,3
RC,490,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,1
RC,490,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,9
RC,490,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,1
RC,490,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,27696.0,7
RC,490,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,27696.0,4
RC,490,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,27040.0,7
RC,490,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,2540.0,1
RC,490,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,490,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,490,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3715.0,10746.0,5
RC,490,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,2540.0,20029.0,4
RC,490,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,20029.0,7
RC,490,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2540.0,27040.0,4
RC,490,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,20772.0,27696.0,3
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,27696.0,11
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,2540.0,1
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,27040.0,9
RC,490,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,27696.0,11
RC,490,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,27040.0,8
RC,490,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3715.0,6446.0,5
RC,490,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3715.0,6446.0,5
RC,490,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3715.0,6446.0,5
RC,490,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3715.0,6446.0,5
RC,490,"Pereyra procedure, including anterior colporrhaphy ",,,1694.0,6446.0,15
RC,490,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,3
RC,490,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,3
RC,490,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1404.42,6446.0,15
RC,490,"Peritoneal lavage, including imaging guidance, when performed ",,,742.8,4100.0,13
RC,490,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2224.34,13472.0,10
RC,490,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,291.0,3523.0,12
RC,490,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1404.42,4830.0,10
RC,490,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,1632.0,6446.0,10
RC,490,Petrous apicectomy including radical mastoidectomy ,,,1753.0,10746.0,15
RC,490,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,291.0,2900.0,4
RC,490,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,291.0,2900.0,4
RC,490,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,291.0,2900.0,4
RC,490,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,291.0,2900.0,4
RC,490,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,4
RC,490,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,490,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,4
RC,490,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,291.0,6446.0,10
RC,490,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,5958.0,13
RC,490,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,4100.0,13
RC,490,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,7
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1632.0,4953.0,5
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,607.0,4100.0,13
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,4100.0,13
RC,490,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,3
RC,490,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,8866.0,13
RC,490,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,7161.0,13
RC,490,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,7161.0,13
RC,490,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,2900.0,4
RC,490,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,8866.0,39
RC,490,Plastic operation of penis for injury ,,,1404.42,6446.0,15
RC,490,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6801.0,15
RC,490,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6801.0,15
RC,490,Plastic operation on penis for epispadias distal to external sphincter; ,,,1142.61,6446.0,15
RC,490,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2259.0,6801.0,4
RC,490,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1142.61,6446.0,15
RC,490,Plastic operation on penis to correct angulation ,,,1257.0,6801.0,15
RC,490,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6801.0,15
RC,490,Plastic repair of canaliculi ,,,870.0,4830.0,15
RC,490,Plastic repair of introitus ,,,1257.0,6446.0,15
RC,490,Plastic repair of urethrocele ,,,1257.0,6446.0,15
RC,490,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.31,6446.0,15
RC,490,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,291.0,3523.0,13
RC,490,Postpartum care only (separate procedure) ,,,607.0,6411.0,8
RC,490,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,490,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,1632.0,4953.0,5
RC,490,"Probing of lacrimal canaliculi, with or without irrigation ",,,291.0,2900.0,13
RC,490,"Probing of nasolacrimal duct, with or without irrigation; ",,,291.0,3523.0,15
RC,490,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,4830.0,15
RC,490,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,4830.0,15
RC,490,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,5115.0,13
RC,490,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,490,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,291.0,2900.0,13
RC,490,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,511.0,3250.0,11
RC,490,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,1632.0,4953.0,5
RC,490,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,1632.0,4953.0,5
RC,490,"Prostatectomy, perineal radical; ",,,1632.0,4953.0,5
RC,490,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,490,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,490,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,1632.0,4953.0,5
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,1632.0,4953.0,5
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,10746.0,9
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,490,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,4830.0,15
RC,490,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,4830.0,15
RC,490,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,511.0,3250.0,9
RC,490,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,511.0,3523.0,15
RC,490,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,1694.0,5958.0,5
RC,490,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,1694.0,5958.0,5
RC,490,"Pyelotomy; with drainage, pyelostomy ",,,1632.0,4953.0,5
RC,490,Pyelotomy; with exploration ,,,1632.0,4953.0,5
RC,490,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,1632.0,4953.0,5
RC,490,REMOVAL OF ABDOMINAL FLUID ,,,1560.0,1687.0,2
RC,490,REMOVE ABDOMEN FOREIGN BODY ,,,1560.0,1687.0,2
RC,490,REMOVE RESIDUAL PROSTATE ,,,988.0,1069.0,2
RC,490,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,490,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,1471.0,2760.0,4
RC,490,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1471.0,4584.0,4
RC,490,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,490,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,2490.0,4
RC,490,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,1876.0,4584.0,4
RC,490,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,1471.0,2760.0,4
RC,490,REPAIR SPIGELIAN HERNIA ,,,1257.0,2490.0,4
RC,490,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,490,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,1471.0,2760.0,4
RC,490,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,1471.0,4584.0,4
RC,490,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,1471.0,2760.0,4
RC,490,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,490,REREPAIR DETACHED RETINA ,,,4526.0,4895.0,2
RC,490,REVISE/REMOVE NEUROELECTRODE ,,,988.0,1069.0,2
RC,490,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3723.0,5078.0,4
RC,490,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,490,Radial keratotomy ,,,911.0,10746.0,10
RC,490,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,490,Radical excision external auditory canal lesion; with neck dissection ,,,1632.0,4953.0,5
RC,490,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,15
RC,490,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,4953.0,5
RC,490,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1142.61,7161.0,12
RC,490,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,1632.0,4953.0,5
RC,490,Recipient nephrectomy (separate procedure) ,,,1632.0,4953.0,5
RC,490,"Reconstruction external auditory canal for congenital atresia, single stage ",,,1753.0,10746.0,15
RC,490,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6801.0,15
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1142.61,6446.0,15
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1142.61,6446.0,15
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,15
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1142.61,6446.0,15
RC,490,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,5
RC,490,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,291.0,1
RC,490,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,1632.0,4953.0,5
RC,490,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,1632.0,4953.0,5
RC,490,Reduction of overcorrection of ptosis ,,,1142.61,6446.0,15
RC,490,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1404.42,6446.0,15
RC,490,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,291.0,2900.0,4
RC,490,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,291.0,2900.0,4
RC,490,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,5958.0,15
RC,490,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,15
RC,490,Release of encircling material (posterior segment) ,,,870.0,4830.0,13
RC,490,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,1142.61,10746.0,15
RC,490,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,490,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,5115.0,13
RC,490,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,490,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,490,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,27277.0,15
RC,490,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,291.0,27277.0,11
RC,490,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,4100.0,13
RC,490,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,8866.0,7
RC,490,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,16279.0,15
RC,490,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,511.0,3250.0,4
RC,490,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,27277.0,15
RC,490,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,511.0,27277.0,11
RC,490,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,4830.0,15
RC,490,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,4100.0,15
RC,490,Removal foreign body from external auditory canal; without general anesthesia ,,,291.0,2900.0,9
RC,490,"Removal impacted cerumen requiring instrumentation, unilateral ",,,291.0,2900.0,13
RC,490,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,291.0,2900.0,13
RC,490,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,15
RC,490,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,3
RC,490,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1632.0,5958.0,7
RC,490,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1632.0,5958.0,7
RC,490,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1632.0,5958.0,7
RC,490,"Removal of blood clot, anterior segment of eye ",,,1142.61,6446.0,15
RC,490,Removal of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,490,Removal of cerclage suture under anesthesia (other than local) ,,,1404.42,6446.0,15
RC,490,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,1632.0,4953.0,5
RC,490,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,769.0,4100.0,8
RC,490,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,4830.0,13
RC,490,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,769.0,4100.0,11
RC,490,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,8866.0,13
RC,490,"Removal of embedded foreign body, eyelid ",,,291.0,2900.0,13
RC,490,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,4830.0,15
RC,490,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1142.61,6446.0,15
RC,490,Removal of foreign body in scrotum ,,,870.0,4830.0,15
RC,490,"Removal of foreign body or dacryolith, lacrimal passages ",,,291.0,2900.0,13
RC,490,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,291.0,2900.0,9
RC,490,"Removal of foreign body, external eye; conjunctival superficial ",,,291.0,2900.0,9
RC,490,"Removal of foreign body, external eye; corneal, with slit lamp ",,,291.0,2900.0,9
RC,490,"Removal of foreign body, external eye; corneal, without slit lamp ",,,291.0,2900.0,9
RC,490,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,4830.0,15
RC,490,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,291.0,6446.0,15
RC,490,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1142.61,6446.0,15
RC,490,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,5
RC,490,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1753.0,5958.0,10
RC,490,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,490,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,4
RC,490,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,4830.0,15
RC,490,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,3
RC,490,"Removal of implanted material, anterior segment of eye ",,,1142.61,10746.0,15
RC,490,"Removal of implanted material, posterior segment; extraocular ",,,870.0,4830.0,13
RC,490,"Removal of implanted material, posterior segment; intraocular ",,,870.0,5958.0,13
RC,490,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,9431.0,15
RC,490,Removal of intrauterine device (IUD) ,,,291.0,3523.0,13
RC,490,"Removal of lens material; aspiration technique, 1 or more stages ",,,1142.61,6446.0,15
RC,490,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,769.0,6446.0,15
RC,490,Removal of lens material; intracapsular ,,,1142.61,6446.0,15
RC,490,"Removal of lens material; intracapsular, for dislocated lens ",,,1404.42,6446.0,15
RC,490,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1404.42,6801.0,15
RC,490,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,1142.61,10746.0,15
RC,490,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,511.0,3523.0,13
RC,490,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,490,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,15
RC,490,Removal of non-resorbable barrier ,,,3715.0,4953.0,3
RC,490,Removal of ocular implant ,,,607.0,5958.0,15
RC,490,Removal of peritoneal foreign body from peritoneal cavity ,,,870.0,5958.0,15
RC,490,Removal of peritoneal-venous shunt ,,,870.0,5958.0,11
RC,490,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3715.0,10746.0,5
RC,490,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,4830.0,15
RC,490,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1142.61,6446.0,15
RC,490,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1694.0,8866.0,9
RC,490,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,490,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,490,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,5958.0,15
RC,490,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,3
RC,490,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,3
RC,490,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,3
RC,490,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,291.0,3435.0,7
RC,490,Removal of transplanted renal allograft ,,,1632.0,4953.0,5
RC,490,"Removal of tumor, temporal bone ",,,1471.0,6801.0,11
RC,490,Removal of tunneled intraperitoneal catheter ,,,607.0,5958.0,15
RC,490,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1142.61,6446.0,15
RC,490,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1142.61,6446.0,15
RC,490,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,6801.0,15
RC,490,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,5958.0,15
RC,490,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1404.42,6446.0,11
RC,490,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,490,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1404.42,5958.0,10
RC,490,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1404.42,8069.0,12
RC,490,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1404.42,8069.0,12
RC,490,Remove interim implant component ,,,3715.0,4953.0,3
RC,490,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,1632.0,4953.0,5
RC,490,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,1632.0,4953.0,5
RC,490,"Renal autotransplantation, reimplantation of kidney ",,,1632.0,4953.0,5
RC,490,Renal biopsy; by surgical exposure of kidney ,,,1632.0,4953.0,5
RC,490,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,4100.0,15
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,4100.0,15
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,4830.0,15
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,4830.0,15
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,511.0,3523.0,13
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,4830.0,15
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,13
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,511.0,3523.0,13
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1603.31,6801.0,7
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,4100.0,11
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4100.0,11
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,511.0,3523.0,13
RC,490,"Renal exploration, not necessitating other specific procedures ",,,1632.0,4953.0,5
RC,490,Reopening of recent laparotomy ,,,1632.0,4953.0,5
RC,490,Repair incomplete circumcision ,,,870.0,4830.0,15
RC,490,"Repair inguinal hernia, sliding, any age ",,,1404.42,6446.0,15
RC,490,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,490,"Repair initial femoral hernia, any age; reducible ",,,1404.42,6446.0,15
RC,490,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,490,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,1404.42,6446.0,15
RC,490,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,490,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1404.42,6446.0,15
RC,490,Repair lumbar hernia ,,,870.0,5958.0,15
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,8866.0,7
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,1404.42,9431.0,45
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,1404.42,9431.0,39
RC,490,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1142.61,6446.0,15
RC,490,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1142.61,6446.0,15
RC,490,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1142.61,6446.0,15
RC,490,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,490,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1142.61,6446.0,15
RC,490,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,490,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1142.61,6446.0,15
RC,490,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1404.42,6801.0,11
RC,490,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6801.0,15
RC,490,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,3
RC,490,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,1632.0,4953.0,5
RC,490,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,1632.0,4953.0,5
RC,490,Repair of ectropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,490,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1142.61,6446.0,15
RC,490,Repair of ectropion; suture ,,,1142.61,6446.0,15
RC,490,Repair of ectropion; thermocauterization ,,,1142.61,6446.0,13
RC,490,"Repair of encephalocele, skull vault, including cranioplasty ",,,1632.0,4953.0,5
RC,490,"Repair of enterocele, abdominal approach (separate procedure) ",,,1632.0,4830.0,4
RC,490,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,15
RC,490,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,5
RC,490,Repair of entropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,490,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1142.61,6446.0,15
RC,490,Repair of entropion; suture ,,,1142.61,6446.0,15
RC,490,Repair of entropion; thermocauterization ,,,1142.61,6446.0,11
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,15
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,15
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,15
RC,490,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,5958.0,15
RC,490,"Repair of iris, ciliary body (as for iridodialysis) ",,,1142.61,6446.0,15
RC,490,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,769.0,4100.0,13
RC,490,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,4953.0,9
RC,490,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,4830.0,15
RC,490,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,4830.0,15
RC,490,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1404.42,6446.0,15
RC,490,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1404.42,6446.0,15
RC,490,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1404.42,6446.0,15
RC,490,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,1471.0,6446.0,9
RC,490,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,1632.0,4953.0,5
RC,490,Repair of meningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,490,Repair of meningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,490,Repair of myelomeningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,490,Repair of myelomeningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,490,Repair of omphalocele (Gross type operation); first stage ,,,1632.0,4953.0,5
RC,490,Repair of omphalocele (Gross type operation); second stage ,,,1632.0,4953.0,5
RC,490,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2540.0,9431.0,9
RC,490,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2540.0,9431.0,9
RC,490,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1142.61,6446.0,11
RC,490,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,511.0,6446.0,11
RC,490,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,1142.61,4830.0,7
RC,490,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1404.42,6801.0,13
RC,490,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1404.42,10746.0,13
RC,490,Repair of scleral staphyloma with graft ,,,1404.42,6446.0,15
RC,490,"Repair of small omphalocele, with primary closure ",,,1404.42,6446.0,15
RC,490,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1142.61,6446.0,15
RC,490,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1142.61,6446.0,15
RC,490,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1404.42,6446.0,15
RC,490,Repair of traumatic corporeal tear(s) ,,,870.0,7161.0,13
RC,490,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1404.42,6446.0,15
RC,490,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,15
RC,490,Repair oval window fistula ,,,1404.42,6446.0,15
RC,490,Repair recurrent femoral hernia; incarcerated or strangulated ,,,1404.42,8866.0,15
RC,490,Repair recurrent femoral hernia; reducible ,,,1404.42,6446.0,15
RC,490,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,1404.42,8866.0,15
RC,490,"Repair recurrent inguinal hernia, any age; reducible ",,,1404.42,7161.0,15
RC,490,Repair round window fistula ,,,1404.42,6446.0,15
RC,490,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1404.42,6446.0,30
RC,490,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1404.42,6446.0,11
RC,490,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1471.0,6446.0,11
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2179.0,9431.0,10
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2179.0,9431.0,10
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1753.0,7602.0,13
RC,490,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,1632.0,4953.0,5
RC,490,Replacement of an implant screw ,,,3715.0,4953.0,3
RC,490,Replacement of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,490,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,490,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,490,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,607.0,4100.0,13
RC,490,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,3
RC,490,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,4830.0,15
RC,490,"Replacement or irrigation, ventricular catheter ",,,607.0,4100.0,15
RC,490,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,6801.0,15
RC,490,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6801.0,15
RC,490,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1142.61,6446.0,15
RC,490,Reprogramming of programmable cerebrospinal shunt ,,,291.0,3523.0,9
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,1694.0,5958.0,4
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,1632.0,4953.0,5
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,1632.0,4953.0,5
RC,490,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,1632.0,4953.0,5
RC,490,Resection of scrotum ,,,607.0,4830.0,15
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,1632.0,4953.0,5
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,1632.0,4953.0,5
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,1632.0,4953.0,5
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,1632.0,4953.0,5
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,1632.0,4953.0,5
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,490,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,3
RC,490,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,3
RC,490,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,3
RC,490,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,3
RC,490,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,490,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,490,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,490,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,490,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,490,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,490,"Resection temporal bone, external approach ",,,1632.0,4953.0,5
RC,490,Retrobulbar injection; alcohol ,,,291.0,3523.0,13
RC,490,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,291.0,2900.0,9
RC,490,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,9
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,5
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,5
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,5
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,9
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,9
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,9
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,9
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,9
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,9
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,9
RC,490,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,1694.0,7161.0,11
RC,490,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,1632.0,4953.0,5
RC,490,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,13
RC,490,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,490,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,490,Revision mastoidectomy; resulting in complete mastoidectomy ,,,1753.0,10746.0,15
RC,490,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,1753.0,10746.0,15
RC,490,Revision mastoidectomy; resulting in radical mastoidectomy ,,,1753.0,10746.0,15
RC,490,Revision mastoidectomy; resulting in tympanoplasty ,,,1753.0,7161.0,13
RC,490,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,4830.0,15
RC,490,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1142.61,8866.0,13
RC,490,Revision of peritoneal-venous shunt ,,,870.0,5958.0,15
RC,490,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6801.0,15
RC,490,Revision of stapedectomy or stapedotomy ,,,1753.0,6801.0,15
RC,490,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1404.42,4830.0,7
RC,490,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,1632.0,4953.0,5
RC,490,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,5958.0,15
RC,490,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,490,Revision or removal of intracranial neurostimulator electrodes ,,,1404.42,5958.0,7
RC,490,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1694.0,5958.0,7
RC,490,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,5958.0,13
RC,490,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,490,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,4830.0,15
RC,490,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,1632.0,6446.0,7
RC,490,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,1632.0,18085.0,7
RC,490,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,9431.0,13
RC,490,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,13472.0,10
RC,490,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,5
RC,490,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,490,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,3435.0,13472.0,7
RC,490,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,9813.0,7
RC,490,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,9813.0,7
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,9813.0,7
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,9813.0,7
RC,490,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,9813.0,7
RC,490,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,490,Right ventricular recording ,,,769.0,21155.0,4
RC,490,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,2
RC,490,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,1632.0,3435.0,2
RC,490,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,1632.0,3435.0,2
RC,490,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,1632.0,3435.0,2
RC,490,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,1632.0,3435.0,2
RC,490,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,827.0,2
RC,490,STRIP RETINAL MEMBRANE ,,,3026.0,3273.0,2
RC,490,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1694.0,6446.0,8
RC,490,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6801.0,8
RC,490,Salpingostomy (salpingoneostomy) ,,,1404.42,6446.0,11
RC,490,Scleral reinforcement (separate procedure); with graft ,,,1142.61,6446.0,15
RC,490,Scleral reinforcement (separate procedure); without graft ,,,1142.61,6446.0,15
RC,490,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,511.0,7161.0,13
RC,490,"Scraping of cornea, diagnostic, for smear and/or culture ",,,291.0,2900.0,9
RC,490,Scrotal exploration ,,,870.0,4830.0,15
RC,490,Scrotoplasty; complicated ,,,870.0,4830.0,15
RC,490,Scrotoplasty; simple ,,,607.0,6801.0,15
RC,490,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,1632.0,4953.0,5
RC,490,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,1632.0,4953.0,5
RC,490,Semi-precision abutment - placement ,,,3715.0,4953.0,3
RC,490,Semi-precision attachment - placement ,,,3715.0,4953.0,3
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1142.61,6446.0,15
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1404.42,6446.0,15
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,4830.0,15
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1142.61,6446.0,15
RC,490,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,511.0,6446.0,13
RC,490,Severing of tarsorrhaphy ,,,607.0,4100.0,13
RC,490,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,511.0,3979.0,15
RC,490,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,291.0,3523.0,13
RC,490,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,291.0,2900.0,9
RC,490,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,10732.0,13
RC,490,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1603.31,10732.0,13
RC,490,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,4830.0,15
RC,490,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,870.0,4830.0,15
RC,490,Snip incision of lacrimal punctum ,,,291.0,3523.0,11
RC,490,Sperm washing for artificial insemination ,,,291.0,3523.0,9
RC,490,"Spinal puncture, lumbar, diagnostic; ",,,511.0,3523.0,15
RC,490,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,490,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,511.0,3523.0,15
RC,490,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,490,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1753.0,6801.0,13
RC,490,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1753.0,6801.0,15
RC,490,Stapes mobilization ,,,1404.42,10746.0,15
RC,490,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,1632.0,4953.0,5
RC,490,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,1632.0,4953.0,5
RC,490,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,490,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,490,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,490,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,769.0,4100.0,4
RC,490,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,1753.0,8866.0,9
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2540.0,3435.0,2
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2540.0,3435.0,2
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2540.0,3435.0,2
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,490,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,4100.0,15
RC,490,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,291.0,2900.0,9
RC,490,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,490,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,490,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,490,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,291.0,6446.0,10
RC,490,"Strabismus surgery, any procedure, superior oblique muscle ",,,1142.61,6446.0,15
RC,490,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1142.61,6446.0,15
RC,490,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1142.61,6446.0,15
RC,490,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1404.42,6446.0,15
RC,490,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1142.61,6446.0,15
RC,490,Subconjunctival injection ,,,291.0,2900.0,9
RC,490,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,769.0,4100.0,4
RC,490,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,511.0,3523.0,13
RC,490,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,511.0,3523.0,13
RC,490,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,1632.0,4953.0,5
RC,490,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,1632.0,3435.0,2
RC,490,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1694.0,10746.0,9
RC,490,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,291.0,3435.0,7
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,1632.0,4953.0,5
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,1632.0,4953.0,5
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,1632.0,4953.0,5
RC,490,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,490,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,490,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,1632.0,4953.0,5
RC,490,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,1632.0,4953.0,5
RC,490,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,1632.0,4953.0,5
RC,490,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,1632.0,4953.0,5
RC,490,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,1632.0,4953.0,5
RC,490,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,1632.0,4953.0,5
RC,490,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,1632.0,4953.0,5
RC,490,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,490,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,490,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,3
RC,490,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,3
RC,490,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,3
RC,490,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,3
RC,490,Surgical placement zygomatic implant ,,,3715.0,4953.0,3
RC,490,Surgical repair of root resorption - molar ,,,3715.0,4953.0,3
RC,490,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,3
RC,490,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,3
RC,490,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,1632.0,4953.0,5
RC,490,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,1632.0,4953.0,5
RC,490,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,1632.0,4953.0,5
RC,490,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,8
RC,490,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,8
RC,490,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1753.0,6801.0,15
RC,490,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,490,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,6801.0,15
RC,490,Suture of 1 nerve; median motor thenar ,,,1257.0,6801.0,15
RC,490,Suture of 1 nerve; ulnar motor ,,,1257.0,6801.0,15
RC,490,"Suture of digital nerve, hand or foot; 1 nerve ",,,1142.61,6446.0,15
RC,490,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,490,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,291.0,2900.0,10
RC,490,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,490,Suture of facial nerve; extracranial ,,,1257.0,6801.0,15
RC,490,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6801.0,15
RC,490,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,4830.0,15
RC,490,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,6801.0,15
RC,490,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,6801.0,15
RC,490,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,291.0,6446.0,10
RC,490,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,291.0,2900.0,10
RC,490,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,291.0,6446.0,10
RC,490,Suture of posterior tibial nerve ,,,870.0,6801.0,15
RC,490,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,4830.0,15
RC,490,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,5115.0,13
RC,490,Suture of sciatic nerve ,,,870.0,5958.0,15
RC,490,Suture of; brachial plexus ,,,1142.61,6446.0,15
RC,490,Suture of; lumbar plexus ,,,1257.0,6801.0,15
RC,490,Suture or repair of testicular injury ,,,1257.0,6446.0,15
RC,490,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,1632.0,4953.0,5
RC,490,"Sympathectomy, cervical ",,,769.0,4100.0,15
RC,490,"Sympathectomy, cervicothoracic ",,,769.0,4100.0,7
RC,490,"Sympathectomy, lumbar ",,,1632.0,4953.0,5
RC,490,"Sympathectomy, thoracolumbar ",,,1632.0,4953.0,5
RC,490,"Sympathectomy; digital arteries, each digit ",,,1142.61,4830.0,7
RC,490,Sympathectomy; radial artery ,,,1404.42,6446.0,15
RC,490,Sympathectomy; superficial palmar arch ,,,870.0,5958.0,13
RC,490,Sympathectomy; ulnar artery ,,,870.0,5958.0,13
RC,490,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,1632.0,4953.0,5
RC,490,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,4100.0,13
RC,490,Temporary transcutaneous pacing ,,,511.0,3250.0,4
RC,490,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,291.0,3435.0,7
RC,490,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2179.0,9431.0,10
RC,490,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,490,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,490,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,490,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,490,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,990.0,4
RC,490,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,490,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,490,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6801.0,11
RC,490,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6801.0,11
RC,490,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,769.0,4100.0,4
RC,490,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1753.0,6801.0,11
RC,490,"Thyroidectomy, total or complete ",,,1753.0,10746.0,11
RC,490,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,5
RC,490,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,1753.0,10746.0,11
RC,490,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,1632.0,10746.0,8
RC,490,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,1694.0,10746.0,12
RC,490,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,1632.0,10746.0,9
RC,490,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,490,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6801.0,11
RC,490,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,9431.0,13
RC,490,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,9431.0,13
RC,490,Trabeculoplasty by laser surgery ,,,511.0,3523.0,13
RC,490,Trabeculotomy ab externo ,,,1142.61,6446.0,15
RC,490,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,15
RC,490,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,15
RC,490,"Transabdominal amnioinfusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,490,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,4
RC,490,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,490,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,13472.0,21
RC,490,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,1632.0,4953.0,7
RC,490,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,490,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2259.0,6801.0,7
RC,490,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,4830.0,11
RC,490,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,1632.0,4953.0,5
RC,490,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,1632.0,4953.0,5
RC,490,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,769.0,4100.0,9
RC,490,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,1142.61,5958.0,9
RC,490,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,4830.0,15
RC,490,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,4830.0,15
RC,490,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,4830.0,15
RC,490,Transection or avulsion of; greater occipital nerve ,,,870.0,4830.0,15
RC,490,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,769.0,4100.0,15
RC,490,Transection or avulsion of; infraorbital nerve ,,,769.0,4100.0,15
RC,490,Transection or avulsion of; lingual nerve ,,,870.0,4830.0,15
RC,490,Transection or avulsion of; mental nerve ,,,769.0,4100.0,15
RC,490,Transection or avulsion of; phrenic nerve ,,,769.0,4100.0,15
RC,490,Transection or avulsion of; supraorbital nerve ,,,769.0,4100.0,15
RC,490,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,1632.0,4953.0,5
RC,490,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,1632.0,4953.0,5
RC,490,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,490,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,1632.0,4953.0,5
RC,490,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,5
RC,490,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,3715.0,10746.0,5
RC,490,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1404.42,6801.0,13
RC,490,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1404.42,6801.0,13
RC,490,Transmastoid antrotomy (simple mastoidectomy) ,,,1753.0,10746.0,15
RC,490,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,1632.0,4953.0,5
RC,490,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,1632.0,4953.0,5
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,291.0,2900.0,8
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,1753.0,9431.0,13
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1753.0,9431.0,13
RC,490,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,490,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,9431.0,14
RC,490,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,16336.0,13
RC,490,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,1632.0,4953.0,5
RC,490,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,15
RC,490,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,490,"Transposition, ovary(s) ",,,1257.0,6446.0,8
RC,490,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,1632.0,4953.0,5
RC,490,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,1632.0,4953.0,5
RC,490,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,769.0,7602.0,11
RC,490,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1404.42,8866.0,12
RC,490,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,6801.0,11
RC,490,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,490,Transurethral drainage of prostatic abscess ,,,870.0,4830.0,15
RC,490,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,6801.0,13
RC,490,Transurethral incision of prostate ,,,1257.0,6446.0,15
RC,490,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,769.0,7161.0,13
RC,490,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,15
RC,490,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,4830.0,15
RC,490,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,6801.0,15
RC,490,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1632.0,6801.0,7
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,490,Transvesical ureterolithotomy ,,,1142.61,6801.0,7
RC,490,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,511.0,3250.0,11
RC,490,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,511.0,3250.0,13
RC,490,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1404.42,6446.0,15
RC,490,"Treatment of missed abortion, completed surgically; first trimester ",,,1404.42,6446.0,15
RC,490,"Treatment of missed abortion, completed surgically; second trimester ",,,1404.42,6446.0,15
RC,490,"Treatment of septic abortion, completed surgically ",,,870.0,4953.0,9
RC,490,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,9
RC,490,Tubotubal anastomosis ,,,1694.0,6446.0,8
RC,490,Tubouterine implantation ,,,1694.0,6446.0,8
RC,490,Twist drill hole for subdural or ventricular puncture ,,,1632.0,4953.0,5
RC,490,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,1632.0,4953.0,5
RC,490,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,1632.0,4953.0,5
RC,490,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,1632.0,4953.0,5
RC,490,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,32
RC,490,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,994.46,4830.0,9
RC,490,Tympanic neurectomy ,,,1257.0,6446.0,15
RC,490,"Tympanolysis, transcanal ",,,607.0,6801.0,13
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1753.0,7161.0,13
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1753.0,6801.0,13
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1753.0,6801.0,13
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1753.0,6801.0,13
RC,490,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,769.0,4100.0,13
RC,490,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,291.0,3523.0,11
RC,490,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2900.0,5
RC,490,URETHRA PRESSURE PROFILE ,,,988.0,1069.0,2
RC,490,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1404.42,6446.0,15
RC,490,Unlisted cardiovascular service or procedure ,,,291.0,2900.0,4
RC,490,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,4
RC,490,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,291.0,2900.0,11
RC,490,"Unlisted hysteroscopy procedure, uterus ",,,291.0,6446.0,11
RC,490,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,607.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, bladder ",,,1257.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,1753.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,6801.0,11
RC,490,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, renal ",,,1257.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, testis ",,,1257.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, ureter ",,,1753.0,6801.0,9
RC,490,"Unlisted laparoscopy procedure, uterus ",,,1257.0,6801.0,9
RC,490,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,4100.0,11
RC,490,"Unlisted procedure, anterior segment of eye ",,,607.0,4100.0,11
RC,490,"Unlisted procedure, conjunctiva ",,,291.0,2900.0,7
RC,490,"Unlisted procedure, endocrine system ",,,607.0,9431.0,11
RC,490,"Unlisted procedure, external ear ",,,291.0,2900.0,9
RC,490,"Unlisted procedure, extraocular muscle ",,,291.0,2900.0,7
RC,490,"Unlisted procedure, eyelids ",,,291.0,2900.0,7
RC,490,"Unlisted procedure, female genital system (nonobstetrical) ",,,291.0,2900.0,11
RC,490,"Unlisted procedure, inner ear ",,,291.0,2900.0,11
RC,490,"Unlisted procedure, lacrimal system ",,,291.0,2900.0,7
RC,490,"Unlisted procedure, male genital system ",,,291.0,2900.0,11
RC,490,"Unlisted procedure, maternity care and delivery ",,,291.0,2900.0,11
RC,490,"Unlisted procedure, middle ear ",,,291.0,2900.0,11
RC,490,"Unlisted procedure, nervous system ",,,291.0,2900.0,11
RC,490,"Unlisted procedure, orbit ",,,291.0,2900.0,7
RC,490,"Unlisted procedure, posterior segment ",,,769.0,4100.0,7
RC,490,"Unlisted procedure, temporal bone, middle fossa approach ",,,291.0,2900.0,11
RC,490,"Unlisted procedure, urinary system ",,,291.0,2900.0,11
RC,490,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,3
RC,490,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,291.0,2900.0,8
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4830.0,15
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,4830.0,15
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,4100.0,15
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,4100.0,15
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,511.0,3523.0,15
RC,490,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,1632.0,6446.0,9
RC,490,"Ureterectomy, with bladder cuff (separate procedure) ",,,1632.0,6446.0,9
RC,490,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,1632.0,4953.0,5
RC,490,"Ureterocolon conduit, including intestine anastomosis ",,,1632.0,4953.0,5
RC,490,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,1632.0,4953.0,5
RC,490,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,1632.0,4953.0,5
RC,490,Ureterolithotomy; lower one-third of ureter ,,,1632.0,6446.0,9
RC,490,Ureterolithotomy; middle one-third of ureter ,,,1632.0,6446.0,9
RC,490,Ureterolithotomy; upper one-third of ureter ,,,1632.0,6446.0,9
RC,490,Ureterolysis for ovarian vein syndrome ,,,1632.0,4953.0,5
RC,490,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,1632.0,4953.0,5
RC,490,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,1632.0,4953.0,5
RC,490,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,1632.0,4953.0,5
RC,490,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,1632.0,4830.0,5
RC,490,Ureteroneocystostomy; with extensive ureteral tailoring ,,,1632.0,4953.0,5
RC,490,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,1632.0,4953.0,5
RC,490,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,1632.0,4953.0,5
RC,490,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,1632.0,4953.0,5
RC,490,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,1632.0,4953.0,5
RC,490,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,1632.0,4953.0,5
RC,490,"Ureterostomy, transplantation of ureter to skin ",,,1632.0,4953.0,5
RC,490,"Ureterotomy for insertion of indwelling stent, all types ",,,1632.0,6446.0,9
RC,490,Ureterotomy with exploration or drainage (separate procedure) ,,,1632.0,6446.0,9
RC,490,Ureteroureterostomy ,,,1632.0,4953.0,5
RC,490,"Urethrectomy, total, including cystostomy; female ",,,1404.42,6446.0,15
RC,490,"Urethrectomy, total, including cystostomy; male ",,,1603.31,6446.0,15
RC,490,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1404.42,6446.0,11
RC,490,"Urethromeatoplasty, with mucosal advancement ",,,607.0,5958.0,15
RC,490,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,4830.0,15
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,15
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,15
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6801.0,15
RC,490,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,15
RC,490,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,5958.0,15
RC,490,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,5958.0,15
RC,490,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,15
RC,490,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,5958.0,15
RC,490,"Urethroplasty, reconstruction of female urethra ",,,870.0,5958.0,15
RC,490,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2259.0,6801.0,4
RC,490,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,15
RC,490,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,5958.0,15
RC,490,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,4830.0,15
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,5958.0,15
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,4830.0,15
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,5958.0,15
RC,490,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,4830.0,15
RC,490,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,4830.0,15
RC,490,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,490,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,490,Uterine evacuation and curettage for hydatidiform mole ,,,1404.42,6446.0,15
RC,490,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1694.0,6446.0,9
RC,490,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,1632.0,4953.0,5
RC,490,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,1714.0,2
RC,490,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,4830.0,11
RC,490,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3435.0,6
RC,490,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,11
RC,490,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,1632.0,3435.0,2
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.31,8866.0,13
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,1694.0,5958.0,4
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.31,8866.0,13
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1603.31,8866.0,13
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1603.31,8866.0,13
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1753.0,6801.0,11
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1603.31,6801.0,11
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1753.0,6801.0,11
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1603.31,6801.0,11
RC,490,"Vaginal hysterectomy, radical (Schauta type operation) ",,,1632.0,4953.0,5
RC,490,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,1694.0,5958.0,4
RC,490,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,1694.0,5958.0,4
RC,490,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,9
RC,490,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,8
RC,490,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,11
RC,490,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,4830.0,11
RC,490,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,4830.0,11
RC,490,Vaginoplasty for intersex state ,,,1257.0,6446.0,11
RC,490,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,3
RC,490,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,5
RC,490,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,870.0,4830.0,15
RC,490,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,291.0,2900.0,8
RC,490,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,4830.0,15
RC,490,"Vasovasostomy, vasovasorrhaphy ",,,607.0,4830.0,15
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,490,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,490,Ventilating tube removal requiring general anesthesia ,,,607.0,5958.0,13
RC,490,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,511.0,3523.0,15
RC,490,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,511.0,3523.0,15
RC,490,Ventriculocisternostomy (Torkildsen type operation) ,,,1632.0,4953.0,5
RC,490,"Ventriculocisternostomy, third ventricle; ",,,1632.0,4953.0,5
RC,490,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,742.8,4953.0,8
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2224.34,9431.0,8
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,4953.0,15
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,1632.0,4953.0,10
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,1632.0,4953.0,5
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,1632.0,4953.0,5
RC,490,"Vesiculectomy, any approach ",,,511.0,3250.0,8
RC,490,Vesiculotomy; ,,,607.0,4830.0,13
RC,490,Vesiculotomy; complicated ,,,511.0,3250.0,8
RC,490,"Vestibular nerve section, transcranial approach ",,,1632.0,4953.0,5
RC,490,"Vestibular nerve section, translabyrinthine approach ",,,1404.42,10746.0,15
RC,490,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,3
RC,490,"Vitrectomy, mechanical, pars plana approach; ",,,1404.42,6801.0,13
RC,490,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1404.42,10746.0,13
RC,490,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1404.42,10746.0,13
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1404.42,6801.0,11
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1404.42,6801.0,11
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1404.42,10746.0,11
RC,490,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,490,Vulvectomy simple; complete ,,,1404.42,7161.0,15
RC,490,Vulvectomy simple; partial ,,,1404.42,6446.0,15
RC,490,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,1632.0,4953.0,5
RC,490,"Vulvectomy, radical, complete; ",,,7058.0,13472.0,4
RC,490,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,490,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,490,"Vulvectomy, radical, partial; ",,,1603.31,10746.0,10
RC,490,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,490,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,490,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,11
RC,490,Wound closure utilizing tissue adhesive(s) only ,,,291.0,2900.0,4
RC,499, Ambulatory Surgical Care Other  ,,,1924.0,4169.0,6
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1257.0,6801.0,15
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1257.0,6446.0,15
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1257.0,6801.0,15
RC,499,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1257.0,6446.0,15
RC,499,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,10746.0,11
RC,499,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1404.42,6446.0,11
RC,499,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,499,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,499,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1603.31,6801.0,11
RC,499,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,499,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1632.0,8866.0,9
RC,499,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1632.0,8866.0,12
RC,499,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1632.0,4953.0,7
RC,499,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,1632.0,13472.0,7
RC,499,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,499,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1471.0,9431.0,13
RC,499,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1632.0,9431.0,7
RC,499,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,1632.0,10746.0,9
RC,499,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2224.34,9431.0,11
RC,499,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,3
RC,499,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,291.0,36635.0,6
RC,499,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,499,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,499,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,1632.0,10746.0,9
RC,499,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,1632.0,4953.0,5
RC,499,Amniocentesis; diagnostic ,,,511.0,3250.0,11
RC,499,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,291.0,2900.0,11
RC,499,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,499,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,1632.0,4953.0,5
RC,499,Amputation of penis; complete ,,,769.0,4100.0,8
RC,499,Amputation of penis; partial ,,,870.0,5958.0,15
RC,499,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,1632.0,4953.0,5
RC,499,Anastomosis; facial-hypoglossal ,,,1632.0,4953.0,5
RC,499,Anastomosis; facial-spinal accessory ,,,1632.0,4953.0,5
RC,499,Anorectal manometry ,,,291.0,291.0,1
RC,499,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,5
RC,499,Antepartum care only; 4-6 visits ,,,1632.0,6411.0,4
RC,499,Antepartum care only; 7 or more visits ,,,1632.0,6411.0,4
RC,499,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,1603.31,6446.0,15
RC,499,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,1632.0,10746.0,8
RC,499,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,1603.31,10746.0,11
RC,499,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,10
RC,499,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,10
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,3523.0,15
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,5
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,3523.0,10
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,5
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,8866.0,10
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,5
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,3523.0,10
RC,499,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,7
RC,499,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,291.0,3435.0,6
RC,499,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,1404.42,6801.0,15
RC,499,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1404.42,8866.0,13
RC,499,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,3715.0,6446.0,5
RC,499,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,5
RC,499,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,2900.0,4
RC,499,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,7
RC,499,Artificial insemination; intra-cervical ,,,291.0,3523.0,9
RC,499,Artificial insemination; intra-uterine ,,,291.0,3523.0,9
RC,499,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,511.0,3523.0,15
RC,499,"Aspiration and/or injection, thyroid cyst ",,,511.0,3250.0,13
RC,499,Aspiration of bladder; by needle ,,,291.0,2900.0,13
RC,499,Aspiration of bladder; by trocar or intracatheter ,,,607.0,3250.0,13
RC,499,Aspiration of bladder; with insertion of suprapubic catheter ,,,607.0,4830.0,13
RC,499,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,607.0,4830.0,15
RC,499,BIOPSY EYE MUSCLE ,,,988.0,1069.0,2
RC,499,BRAIN SURGERY USING COMPUTER ,,,988.0,1069.0,2
RC,499,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,1632.0,4953.0,5
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,1632.0,4953.0,5
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,1632.0,4953.0,5
RC,499,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,1632.0,4953.0,5
RC,499,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,1632.0,4953.0,5
RC,499,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,1632.0,4953.0,7
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,7
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,1632.0,4953.0,7
RC,499,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,291.0,2900.0,8
RC,499,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,1632.0,4953.0,5
RC,499,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,1632.0,4953.0,5
RC,499,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,1632.0,4953.0,5
RC,499,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,1632.0,4953.0,5
RC,499,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,769.0,4100.0,13
RC,499,Biopsy external auditory canal ,,,769.0,4100.0,7
RC,499,Biopsy external ear ,,,291.0,3523.0,9
RC,499,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,511.0,3523.0,13
RC,499,Biopsy of conjunctiva ,,,511.0,3979.0,13
RC,499,Biopsy of cornea ,,,511.0,3979.0,15
RC,499,"Biopsy of epididymis, needle ",,,511.0,3523.0,15
RC,499,Biopsy of extraocular muscle ,,,607.0,5958.0,15
RC,499,Biopsy of lacrimal gland ,,,607.0,4830.0,15
RC,499,Biopsy of lacrimal sac ,,,607.0,4830.0,15
RC,499,Biopsy of nerve ,,,870.0,4830.0,15
RC,499,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1257.0,6446.0,15
RC,499,Biopsy of penis; (separate procedure) ,,,607.0,4100.0,15
RC,499,Biopsy of penis; deep structures ,,,607.0,4830.0,15
RC,499,"Biopsy of spinal cord, percutaneous needle ",,,607.0,4100.0,15
RC,499,"Biopsy of testis, incisional (separate procedure) ",,,607.0,4830.0,15
RC,499,"Biopsy of testis, needle (separate procedure) ",,,607.0,4100.0,15
RC,499,Biopsy of urethra ,,,607.0,4830.0,15
RC,499,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,870.0,4830.0,15
RC,499,Biopsy of vaginal mucosa; simple (separate procedure) ,,,511.0,3523.0,13
RC,499,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,511.0,3523.0,13
RC,499,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,499,"Biopsy thyroid, percutaneous core needle ",,,511.0,3523.0,13
RC,499,"Biopsy, prostate, any approach, nonimaging-guided ",,,769.0,4100.0,15
RC,499,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1632.0,3435.0,7
RC,499,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,1632.0,6446.0,7
RC,499,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,1632.0,6446.0,7
RC,499,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,499,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1632.0,4830.0,7
RC,499,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,499,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1632.0,4830.0,7
RC,499,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1632.0,4830.0,7
RC,499,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1632.0,4830.0,7
RC,499,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,769.0,3979.0,10
RC,499,Bladder instillation of anticarcinogenic agent (including retention time) ,,,291.0,3523.0,11
RC,499,"Bladder irrigation, simple, lavage and/or instillation ",,,291.0,2900.0,13
RC,499,"Blepharotomy, drainage of abscess, eyelid ",,,291.0,3523.0,13
RC,499,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,6
RC,499,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,7
RC,499,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,4
RC,499,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,16939.0,7
RC,499,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,6
RC,499,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,499,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,291.0,2900.0,4
RC,499,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,499,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,5
RC,499,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,499,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,6
RC,499,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,8866.0,4
RC,499,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,499,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,3715.0,8866.0,7
RC,499,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,3715.0,8866.0,7
RC,499,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,499,Bundle of His recording ,,,769.0,21155.0,4
RC,499,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,1632.0,4953.0,5
RC,499,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,1632.0,4953.0,5
RC,499,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,1632.0,4953.0,5
RC,499,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,1632.0,4953.0,5
RC,499,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,1632.0,4953.0,5
RC,499,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,1632.0,4953.0,5
RC,499,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,1632.0,4953.0,5
RC,499,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,1632.0,4953.0,5
RC,499,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,1632.0,4953.0,5
RC,499,CHANGE KIDNEY TUBE ,,,988.0,1069.0,2
RC,499,CIRCUMCISION ,,,988.0,1069.0,2
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,499,CONTROL POSTOP BLEEDING ,,,988.0,1069.0,2
RC,499,Canthoplasty (reconstruction of canthus) ,,,870.0,4830.0,15
RC,499,Canthotomy (separate procedure) ,,,607.0,4830.0,15
RC,499,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,291.0,2900.0,4
RC,499,Cardioassist-method of circulatory assist; external ,,,3715.0,4953.0,3
RC,499,Cardioassist-method of circulatory assist; internal ,,,3715.0,4953.0,3
RC,499,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,2900.0,4
RC,499,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,511.0,3250.0,4
RC,499,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,511.0,3250.0,4
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,5
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,5
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,15
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,5
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,20
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,15
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,5
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,5
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,9813.0,7
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,10746.0,19
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,9813.0,14
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,10746.0,24
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,9813.0,7
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,5
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,5
RC,499,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,291.0,2900.0,8
RC,499,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,499,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,499,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,911.0,3435.0,9
RC,499,"Cautery of cervix; cryocautery, initial or repeat ",,,291.0,3523.0,13
RC,499,Cautery of cervix; electro or thermal ,,,870.0,4830.0,11
RC,499,Cautery of cervix; laser ablation ,,,870.0,4830.0,15
RC,499,"Cerclage of cervix, during pregnancy; abdominal ",,,1471.0,6446.0,9
RC,499,"Cerclage of cervix, during pregnancy; vaginal ",,,607.0,4830.0,15
RC,499,"Cerclage of uterine cervix, nonobstetrical ",,,607.0,4830.0,15
RC,499,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,1632.0,3435.0,2
RC,499,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,1632.0,3435.0,2
RC,499,Cesarean delivery only; ,,,1632.0,4953.0,5
RC,499,Cesarean delivery only; including postpartum care ,,,1632.0,6446.0,9
RC,499,Change of cystostomy tube; complicated ,,,511.0,3523.0,15
RC,499,Change of cystostomy tube; simple ,,,291.0,3523.0,13
RC,499,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,607.0,4100.0,15
RC,499,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,8866.0,7
RC,499,Chemodenervation of eccrine glands; both axillae ,,,291.0,3523.0,13
RC,499,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,291.0,3523.0,13
RC,499,Chemodenervation of extraocular muscle ,,,291.0,3523.0,13
RC,499,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,511.0,3250.0,13
RC,499,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,291.0,3523.0,13
RC,499,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,291.0,2900.0,13
RC,499,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,291.0,2900.0,13
RC,499,Chemodenervation of one extremity; 1-4 muscle(s) ,,,511.0,3250.0,13
RC,499,Chemodenervation of one extremity; 5 or more muscles ,,,511.0,3250.0,13
RC,499,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,499,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,499,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,291.0,2900.0,13
RC,499,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,511.0,3250.0,13
RC,499,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,511.0,3250.0,13
RC,499,"Chorionic villus sampling, any method ",,,511.0,3250.0,9
RC,499,"Chromotubation of oviduct, including materials ",,,1257.0,6446.0,15
RC,499,Ciliary body destruction; cryotherapy ,,,870.0,4830.0,15
RC,499,Ciliary body destruction; cyclodialysis ,,,870.0,4830.0,15
RC,499,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,870.0,4830.0,15
RC,499,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,870.0,4830.0,15
RC,499,Ciliary body destruction; diathermy ,,,769.0,4100.0,15
RC,499,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,742.8,4830.0,15
RC,499,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,870.0,4830.0,15
RC,499,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,607.0,4830.0,15
RC,499,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,291.0,3523.0,15
RC,499,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,291.0,3523.0,15
RC,499,Clitoroplasty for intersex state ,,,1404.42,4830.0,7
RC,499,Closure of cystostomy (separate procedure) ,,,607.0,4830.0,15
RC,499,Closure of lacrimal fistula (separate procedure) ,,,511.0,6446.0,15
RC,499,Closure of nephrocutaneous or pyelocutaneous fistula ,,,511.0,3250.0,8
RC,499,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,1632.0,4953.0,5
RC,499,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,1632.0,4953.0,5
RC,499,Closure of rectovaginal fistula; abdominal approach ,,,1632.0,6446.0,9
RC,499,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,1632.0,4953.0,5
RC,499,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,1632.0,4830.0,4
RC,499,Closure of rectovaginal fistula; vaginal or transanal approach ,,,1257.0,6446.0,15
RC,499,"Closure of the lacrimal punctum; by plug, each ",,,291.0,2900.0,13
RC,499,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,291.0,2900.0,13
RC,499,Closure of ureterocutaneous fistula ,,,1632.0,4953.0,5
RC,499,Closure of ureterovisceral fistula (including visceral repair) ,,,1632.0,4953.0,5
RC,499,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,870.0,5958.0,15
RC,499,Closure of urethrovaginal fistula; ,,,1257.0,6801.0,13
RC,499,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,1471.0,6446.0,8
RC,499,Closure of vesicouterine fistula; ,,,1257.0,6446.0,8
RC,499,Closure of vesicouterine fistula; with hysterectomy ,,,1632.0,4953.0,5
RC,499,"Closure of vesicovaginal fistula, abdominal approach ",,,1471.0,6446.0,8
RC,499,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,1694.0,5958.0,7
RC,499,Closure of vesicovaginal fistula; vaginal approach ,,,1257.0,6446.0,13
RC,499,"Closure postauricular fistula, mastoid (separate procedure) ",,,769.0,6446.0,15
RC,499,"Closure, exstrophy of bladder ",,,1632.0,4953.0,5
RC,499,"Cochlear device implantation, with or without mastoidectomy ",,,2706.0,74502.0,13
RC,499,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,3
RC,499,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,291.0,2900.0,4
RC,499,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3979.0,15
RC,499,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3979.0,15
RC,499,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,9
RC,499,Colpocentesis (separate procedure) ,,,870.0,4830.0,15
RC,499,Colpocleisis (Le Fort type) ,,,1603.31,6446.0,9
RC,499,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,870.0,4830.0,15
RC,499,"Colpopexy, abdominal approach ",,,1632.0,6446.0,8
RC,499,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,1753.0,6801.0,11
RC,499,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,1753.0,6801.0,11
RC,499,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,9
RC,499,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,607.0,4830.0,15
RC,499,Colposcopy of the cervix including upper/adjacent vagina; ,,,291.0,3523.0,13
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,291.0,3523.0,13
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,291.0,3523.0,13
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,291.0,3523.0,13
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,870.0,4830.0,11
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1257.0,6446.0,13
RC,499,"Colposcopy of the entire vagina, with cervix if present; ",,,291.0,3523.0,13
RC,499,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,511.0,3523.0,13
RC,499,Colposcopy of the vulva; ,,,291.0,2900.0,13
RC,499,Colposcopy of the vulva; with biopsy(s) ,,,291.0,3523.0,13
RC,499,Colpotomy; with drainage of pelvic abscess ,,,870.0,4830.0,15
RC,499,Colpotomy; with exploration ,,,607.0,4830.0,15
RC,499,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,1603.31,6446.0,15
RC,499,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,1603.31,10746.0,15
RC,499,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,291.0,3523.0,15
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,511.0,3250.0,13
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,511.0,3250.0,13
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,511.0,3250.0,13
RC,499,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,291.0,2900.0,9
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,291.0,21155.0,4
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,291.0,21155.0,4
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,2540.0,21155.0,4
RC,499,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,2706.0,36635.0,18
RC,499,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,2540.0,21155.0,4
RC,499,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,2706.0,36635.0,9
RC,499,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,291.0,3435.0,5
RC,499,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,870.0,4830.0,15
RC,499,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,870.0,4830.0,15
RC,499,Conjunctival flap; bridge or partial (separate procedure) ,,,870.0,5958.0,15
RC,499,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,870.0,4830.0,15
RC,499,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1142.61,6446.0,15
RC,499,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1404.42,6446.0,15
RC,499,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,499,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1142.61,6446.0,15
RC,499,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1404.42,6446.0,15
RC,499,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1404.42,6446.0,15
RC,499,Construction of artificial vagina; with graft ,,,1471.0,6446.0,11
RC,499,Construction of artificial vagina; without graft ,,,1603.31,6446.0,15
RC,499,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1142.61,6446.0,15
RC,499,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1142.61,6446.0,15
RC,499,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,1632.0,4953.0,5
RC,499,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,291.0,2900.0,4
RC,499,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,8866.0,7
RC,499,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,511.0,3979.0,13
RC,499,"Cordocentesis (intrauterine), any method ",,,291.0,2900.0,9
RC,499,Corneal relaxing incision for correction of surgically induced astigmatism ,,,769.0,6446.0,15
RC,499,Corneal wedge resection for correction of surgically induced astigmatism ,,,1142.61,6446.0,15
RC,499,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,1632.0,4953.0,5
RC,499,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,1404.42,6446.0,15
RC,499,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,1404.42,6446.0,15
RC,499,"Correction of everted punctum, cautery ",,,291.0,3523.0,13
RC,499,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1142.61,6446.0,15
RC,499,Correction of lid retraction ,,,1142.61,6446.0,15
RC,499,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,291.0,3523.0,9
RC,499,"Correction of trichiasis; epilation, by forceps only ",,,291.0,2900.0,9
RC,499,Correction of trichiasis; incision of lid margin ,,,769.0,4100.0,15
RC,499,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,870.0,4830.0,15
RC,499,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,291.0,2900.0,4
RC,499,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,1753.0,9431.0,9
RC,499,Craniectomy for craniosynostosis; multiple cranial sutures ,,,1632.0,4953.0,5
RC,499,Craniectomy for craniosynostosis; single cranial suture ,,,1632.0,4953.0,5
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,1632.0,4953.0,5
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,1632.0,4953.0,5
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,1632.0,4953.0,5
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,1632.0,4953.0,5
RC,499,"Craniectomy or craniotomy, exploratory; supratentorial ",,,1632.0,4953.0,5
RC,499,Craniectomy or craniotomy; with excision of foreign body from brain ,,,1632.0,4953.0,5
RC,499,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,1632.0,4953.0,5
RC,499,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,1632.0,4953.0,5
RC,499,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,1632.0,4953.0,5
RC,499,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,1632.0,4953.0,5
RC,499,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,1632.0,4953.0,5
RC,499,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,1632.0,4953.0,5
RC,499,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,1632.0,4953.0,5
RC,499,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,1632.0,4953.0,5
RC,499,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,1632.0,4953.0,5
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,1632.0,4953.0,5
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,1632.0,4953.0,5
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,1632.0,4953.0,5
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,1632.0,4953.0,5
RC,499,Craniectomy; for osteomyelitis ,,,1632.0,4953.0,5
RC,499,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2540.0,9431.0,8
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,1632.0,4953.0,5
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,1632.0,4953.0,5
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,499,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,1632.0,4953.0,5
RC,499,Cranioplasty for skull defect with reparative brain surgery ,,,1632.0,4953.0,5
RC,499,Cranioplasty for skull defect; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,499,Cranioplasty for skull defect; up to 5 cm diameter ,,,1632.0,5552.91,8
RC,499,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,499,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,1632.0,5278.0,8
RC,499,Craniotomy for craniosynostosis; bifrontal bone flap ,,,1632.0,4953.0,5
RC,499,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,1632.0,4953.0,5
RC,499,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,1632.0,4953.0,5
RC,499,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,1632.0,4953.0,5
RC,499,"Craniotomy for repair of encephalocele, skull base ",,,1632.0,4953.0,5
RC,499,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,1632.0,4953.0,5
RC,499,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,1632.0,4953.0,5
RC,499,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,1632.0,4953.0,5
RC,499,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,1632.0,4953.0,5
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,1632.0,4953.0,5
RC,499,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,1632.0,4953.0,5
RC,499,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,1632.0,4953.0,5
RC,499,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,1632.0,4953.0,5
RC,499,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,1632.0,4953.0,5
RC,499,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,1632.0,4953.0,5
RC,499,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,1632.0,4953.0,5
RC,499,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,1753.0,6801.0,7
RC,499,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,1632.0,4953.0,5
RC,499,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1142.61,6446.0,15
RC,499,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1142.61,6446.0,15
RC,499,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,870.0,4830.0,15
RC,499,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,1632.0,4953.0,5
RC,499,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,870.0,6801.0,11
RC,499,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,499,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,499,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,1632.0,4953.0,5
RC,499,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,1632.0,4953.0,5
RC,499,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,1753.0,20951.0,13
RC,499,"Curettage, postpartum ",,,1257.0,6446.0,15
RC,499,Cutaneous appendico-vesicostomy ,,,1632.0,4953.0,5
RC,499,Cutaneous vesicostomy ,,,1404.42,4830.0,7
RC,499,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,1632.0,4953.0,5
RC,499,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,1632.0,4953.0,5
RC,499,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,499,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,1632.0,4953.0,5
RC,499,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,499,"Cystectomy, complete; (separate procedure) ",,,1632.0,4953.0,5
RC,499,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,4953.0,5
RC,499,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,499,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,1632.0,4953.0,5
RC,499,"Cystectomy, partial; simple ",,,1632.0,4953.0,5
RC,499,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1471.0,6446.0,15
RC,499,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,1632.0,10746.0,9
RC,499,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1471.0,6446.0,8
RC,499,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,870.0,4830.0,11
RC,499,"Cystostomy, cystotomy with drainage ",,,1142.61,6446.0,15
RC,499,"Cystotomy for excision, incision, or repair of ureterocele ",,,1404.42,4830.0,7
RC,499,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1404.42,6446.0,15
RC,499,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,1404.42,2760.0,8
RC,499,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1404.42,6446.0,15
RC,499,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,511.0,6446.0,15
RC,499,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,1404.42,5958.0,7
RC,499,Cystotomy; for excision of bladder tumor ,,,1404.42,5958.0,7
RC,499,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1404.42,6446.0,15
RC,499,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,1632.0,10746.0,9
RC,499,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,1471.0,6446.0,15
RC,499,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,870.0,4830.0,13
RC,499,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,1404.42,6446.0,13
RC,499,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,870.0,6801.0,13
RC,499,Cystourethroscopy (separate procedure) ,,,511.0,3523.0,13
RC,499,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,742.8,4100.0,15
RC,499,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,7161.0,7
RC,499,Cystourethroscopy with direct vision internal urethrotomy ,,,1142.61,6446.0,15
RC,499,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1257.0,6446.0,15
RC,499,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,1632.0,6446.0,7
RC,499,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,1404.42,16336.0,15
RC,499,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1632.0,6446.0,7
RC,499,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,1257.0,6446.0,13
RC,499,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,769.0,4100.0,15
RC,499,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1257.0,6446.0,15
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,499,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,8866.0,7
RC,499,"Cystourethroscopy, with biopsy(s) ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,769.0,4100.0,15
RC,499,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,499,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,511.0,3523.0,13
RC,499,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,511.0,3979.0,15
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,1257.0,6446.0,15
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,1257.0,6446.0,15
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,769.0,5115.0,13
RC,499,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,870.0,4830.0,11
RC,499,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,291.0,2900.0,11
RC,499,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,291.0,6446.0,11
RC,499,"Cystourethroscopy, with insertion of permanent urethral stent ",,,1257.0,8866.0,15
RC,499,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,6
RC,499,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,8866.0,13
RC,499,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,11
RC,499,"Cystourethroscopy, with internal urethrotomy; female ",,,769.0,4100.0,15
RC,499,"Cystourethroscopy, with internal urethrotomy; male ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,1632.0,8866.0,9
RC,499,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,769.0,4100.0,15
RC,499,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with steroid injection into stricture ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,870.0,4830.0,13
RC,499,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,8866.0,9
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,5
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,1257.0,6446.0,13
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,1471.0,6446.0,13
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,1603.31,6801.0,9
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,1471.0,8866.0,11
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,1404.42,6446.0,13
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,1471.0,6446.0,13
RC,499,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,1257.0,6446.0,15
RC,499,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,870.0,4830.0,15
RC,499,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,499,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,499,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,1257.0,6446.0,13
RC,499,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,870.0,4830.0,15
RC,499,D & C OF RESIDUAL CERVIX ,,,2302.0,2490.0,2
RC,499,DESTR PARAVERTEBRAL N ADD-ON ,,,988.0,1069.0,4
RC,499,DESTR PARAVERTEBRL NERVE C/T ,,,988.0,1069.0,2
RC,499,DESTR PARAVERTEBRL NERVE L/S ,,,988.0,1069.0,2
RC,499,DILATION PROSTATIC URETHRA ,,,2302.0,2490.0,2
RC,499,DRAINAGE OF BLADDER ,,,988.0,1069.0,2
RC,499,DRAINAGE OF EYE ,,,988.0,1069.0,2
RC,499,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1404.42,6446.0,15
RC,499,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,291.0,2900.0,16
RC,499,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,8
RC,499,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,7161.0,7
RC,499,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,291.0,2900.0,11
RC,499,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,291.0,2900.0,9
RC,499,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1753.0,6801.0,11
RC,499,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,499,Decompression internal auditory canal ,,,1753.0,6801.0,7
RC,499,"Decompression of orbit only, transcranial approach ",,,1404.42,6801.0,7
RC,499,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1142.61,8866.0,15
RC,499,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1632.0,3435.0,7
RC,499,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,1632.0,9431.0,7
RC,499,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1632.0,4830.0,7
RC,499,Decompression; plantar digital nerve ,,,607.0,4830.0,15
RC,499,Decompression; unspecified nerve(s) (specify) ,,,607.0,4830.0,15
RC,499,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,3
RC,499,Deligation of ureter ,,,1632.0,4953.0,5
RC,499,Delivery of placenta (separate procedure) ,,,1404.42,4830.0,7
RC,499,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,3
RC,499,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1142.61,4830.0,12
RC,499,"Destruction by neurolytic agent, intercostal nerve ",,,511.0,3523.0,15
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,291.0,2900.0,8
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,607.0,4830.0,13
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,291.0,2900.0,8
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,607.0,5115.0,13
RC,499,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,607.0,4830.0,15
RC,499,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,607.0,4830.0,15
RC,499,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,511.0,3523.0,15
RC,499,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,511.0,3979.0,15
RC,499,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,511.0,3979.0,15
RC,499,Destruction by neurolytic agent; other peripheral nerve or branch ,,,511.0,3523.0,13
RC,499,Destruction by neurolytic agent; plantar common digital nerve ,,,291.0,2900.0,13
RC,499,Destruction by neurolytic agent; pudendal nerve ,,,511.0,3979.0,15
RC,499,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,511.0,3523.0,13
RC,499,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,607.0,5958.0,13
RC,499,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,291.0,2900.0,13
RC,499,Destruction of lesion of lid margin (up to 1 cm) ,,,607.0,4100.0,13
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,15
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,291.0,2900.0,9
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,291.0,2900.0,9
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,769.0,4100.0,7
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,607.0,4100.0,15
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,607.0,4100.0,15
RC,499,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,769.0,6446.0,15
RC,499,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4100.0,11
RC,499,"Destruction of lesion, conjunctiva ",,,607.0,4830.0,13
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,511.0,3250.0,11
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,511.0,3250.0,11
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,291.0,2900.0,8
RC,499,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3523.0,13
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,291.0,6446.0,11
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,511.0,6446.0,11
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,1404.42,6446.0,13
RC,499,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,15
RC,499,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,607.0,4830.0,11
RC,499,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,3715.0,6446.0,5
RC,499,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3715.0,10746.0,26
RC,499,Diaphragm or cervical cap fitting with instructions ,,,291.0,2900.0,9
RC,499,Dilation and curettage of cervical stump ,,,1257.0,6446.0,15
RC,499,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,870.0,4830.0,15
RC,499,"Dilation of cervical canal, instrumental (separate procedure) ",,,607.0,4830.0,13
RC,499,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1404.42,8866.0,22
RC,499,Dilation of female urethra including suppository and/or instillation; initial ,,,291.0,2900.0,13
RC,499,Dilation of female urethra including suppository and/or instillation; subsequent ,,,291.0,2900.0,9
RC,499,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,607.0,4830.0,15
RC,499,"Dilation of lacrimal punctum, with or without irrigation ",,,291.0,2900.0,9
RC,499,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,511.0,3250.0,11
RC,499,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,291.0,3523.0,13
RC,499,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,291.0,3523.0,13
RC,499,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,291.0,3523.0,13
RC,499,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,769.0,4100.0,15
RC,499,Dilation of vagina under anesthesia (other than local) ,,,870.0,4830.0,15
RC,499,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,499,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,291.0,6446.0,8
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,1753.0,9431.0,11
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,1632.0,4953.0,5
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,1632.0,4953.0,5
RC,499,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,511.0,3979.0,15
RC,499,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,291.0,3523.0,13
RC,499,"Discission of vitreous strands (without removal), pars plana approach ",,,607.0,4830.0,15
RC,499,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,1632.0,4953.0,5
RC,499,"Donor nephrectomy (including cold preservation); open, from living donor ",,,1632.0,4953.0,5
RC,499,"Drainage external auditory canal, abscess ",,,511.0,3250.0,13
RC,499,"Drainage external ear, abscess or hematoma; complicated ",,,607.0,4100.0,11
RC,499,"Drainage external ear, abscess or hematoma; simple ",,,511.0,3250.0,13
RC,499,Drainage of Skene's gland abscess or cyst ,,,607.0,4830.0,11
RC,499,Drainage of deep periurethral abscess ,,,870.0,4830.0,15
RC,499,Drainage of ovarian abscess; abdominal approach ,,,1257.0,6446.0,8
RC,499,"Drainage of ovarian abscess; vaginal approach, open ",,,1257.0,6446.0,15
RC,499,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1257.0,6446.0,11
RC,499,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1257.0,6446.0,15
RC,499,Drainage of perineal urinary extravasation; complicated ,,,1142.61,4830.0,7
RC,499,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,742.8,6446.0,15
RC,499,"Drainage of perirenal or renal abscess, open ",,,870.0,4830.0,11
RC,499,Drainage of perivesical or prevesical space abscess ,,,607.0,4100.0,15
RC,499,Drainage of scrotal wall abscess ,,,607.0,4100.0,15
RC,499,Duodenal motility (manometric) study ,,,291.0,2900.0,8
RC,499,"Dural graft, spinal ",,,1632.0,4953.0,5
RC,499,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,742.8,4100.0,7
RC,499,EXPLORATION OF EPIDIDYMIS ,,,988.0,1069.0,2
RC,499,Ear piercing ,,,1632.0,6411.0,7
RC,499,Electroejaculation ,,,511.0,3523.0,13
RC,499,"Electrogastrography, diagnostic, transcutaneous; ",,,291.0,2900.0,4
RC,499,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,291.0,2900.0,4
RC,499,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,291.0,2900.0,9
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,291.0,3979.0,13
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,291.0,2900.0,22
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,291.0,3979.0,13
RC,499,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,291.0,5078.0,12
RC,499,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,769.0,5078.0,6
RC,499,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,291.0,2900.0,4
RC,499,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,2540.0,21155.0,4
RC,499,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,1632.0,4953.0,5
RC,499,"Elevation of depressed skull fracture; simple, extradural ",,,1404.42,6801.0,7
RC,499,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,1632.0,4953.0,5
RC,499,"Embryo transfer, intrauterine ",,,511.0,3523.0,15
RC,499,Endocervical curettage (not done as part of a dilation and curettage) ,,,511.0,3523.0,13
RC,499,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,291.0,2900.0,8
RC,499,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,291.0,2900.0,8
RC,499,Endolymphatic sac operation; with shunt ,,,1753.0,10746.0,15
RC,499,Endolymphatic sac operation; without shunt ,,,1753.0,10746.0,15
RC,499,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,1603.31,10746.0,13
RC,499,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,1603.31,6766.0,11
RC,499,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,499,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,291.0,2900.0,13
RC,499,Endomyocardial biopsy ,,,607.0,5958.0,9
RC,499,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,499,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,5
RC,499,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1257.0,6446.0,15
RC,499,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,6
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,3715.0,6446.0,5
RC,499,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,3715.0,8866.0,7
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,499,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,8866.0,11
RC,499,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,499,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,1632.0,21331.0,5
RC,499,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,1632.0,21331.0,5
RC,499,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2174.0,13472.0,11
RC,499,"Enterocystoplasty, including intestinal anastomosis ",,,1632.0,4953.0,5
RC,499,"Enucleation of eye; with implant, muscles attached to implant ",,,1404.42,6446.0,15
RC,499,"Enucleation of eye; with implant, muscles not attached to implant ",,,1257.0,6446.0,15
RC,499,Enucleation of eye; without implant ,,,1257.0,6446.0,15
RC,499,Epididymectomy; bilateral ,,,1404.42,6446.0,15
RC,499,Epididymectomy; unilateral ,,,1257.0,6446.0,15
RC,499,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1404.42,6446.0,15
RC,499,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1142.61,6446.0,15
RC,499,Epikeratoplasty ,,,911.0,10746.0,10
RC,499,"Episiotomy or vaginal repair, by other than attending ",,,870.0,4830.0,11
RC,499,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,291.0,2900.0,4
RC,499,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,291.0,2900.0,4
RC,499,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,291.0,2900.0,4
RC,499,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,291.0,2900.0,8
RC,499,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,291.0,2900.0,4
RC,499,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,8866.0,11
RC,499,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,769.0,21155.0,4
RC,499,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,769.0,21155.0,4
RC,499,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,291.0,2900.0,4
RC,499,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,291.0,3250.0,4
RC,499,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,291.0,2900.0,4
RC,499,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,291.0,2900.0,4
RC,499,Evisceration of ocular contents; with implant ,,,1257.0,6446.0,15
RC,499,Evisceration of ocular contents; without implant ,,,1257.0,6446.0,15
RC,499,Exc biopsy of saliv glands ,,,3715.0,4953.0,3
RC,499,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,3
RC,499,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,511.0,3979.0,13
RC,499,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,8866.0,7
RC,499,Exchange of intraocular lens ,,,1142.61,6446.0,15
RC,499,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,499,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,499,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,499,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1142.61,6446.0,30
RC,499,Excision aural glomus tumor; extended (extratemporal) ,,,1632.0,4953.0,5
RC,499,Excision aural glomus tumor; transcanal ,,,1753.0,6801.0,15
RC,499,Excision aural glomus tumor; transmastoid ,,,1753.0,10746.0,15
RC,499,Excision aural polyp ,,,769.0,4100.0,11
RC,499,"Excision exostosis(es), external auditory canal ",,,870.0,4830.0,15
RC,499,Excision external ear; complete amputation ,,,870.0,4830.0,15
RC,499,"Excision external ear; partial, simple repair ",,,607.0,4100.0,15
RC,499,Excision of Bartholin's gland or cyst ,,,1257.0,6446.0,15
RC,499,Excision of Mullerian duct cyst ,,,607.0,4830.0,15
RC,499,Excision of bulbourethral gland (Cowper's gland) ,,,870.0,4830.0,15
RC,499,Excision of carotid body tumor; with excision of carotid artery ,,,1632.0,4953.0,5
RC,499,Excision of carotid body tumor; without excision of carotid artery ,,,1632.0,4953.0,5
RC,499,"Excision of cervical stump, abdominal approach; ",,,1632.0,4953.0,5
RC,499,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,1632.0,4953.0,5
RC,499,"Excision of cervical stump, vaginal approach; ",,,1257.0,6446.0,15
RC,499,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,1603.31,5958.0,7
RC,499,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1603.31,6801.0,15
RC,499,"Excision of chalazion; multiple, different lids ",,,291.0,3523.0,13
RC,499,"Excision of chalazion; multiple, same lid ",,,607.0,4100.0,13
RC,499,Excision of chalazion; single ,,,291.0,3523.0,13
RC,499,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,870.0,4830.0,15
RC,499,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,870.0,9431.0,15
RC,499,Excision of extraparenchymal lesion of testis ,,,870.0,4830.0,15
RC,499,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1257.0,6446.0,15
RC,499,Excision of hydrocele; bilateral ,,,1404.42,6446.0,15
RC,499,Excision of hydrocele; unilateral ,,,1257.0,6446.0,15
RC,499,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1257.0,6446.0,15
RC,499,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1257.0,6446.0,15
RC,499,Excision of lacrimal gland tumor; frontal approach ,,,1142.61,6446.0,15
RC,499,Excision of lacrimal gland tumor; involving osteotomy ,,,1257.0,6446.0,15
RC,499,Excision of lacrimal sac (dacryocystectomy) ,,,1257.0,6446.0,15
RC,499,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,769.0,4100.0,13
RC,499,Excision of lesion of spermatic cord (separate procedure) ,,,1404.42,6446.0,15
RC,499,"Excision of lesion, conjunctiva; over 1 cm ",,,870.0,4830.0,15
RC,499,"Excision of lesion, conjunctiva; up to 1 cm ",,,870.0,4830.0,13
RC,499,"Excision of lesion, conjunctiva; with adjacent sclera ",,,870.0,4830.0,15
RC,499,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,607.0,4100.0,15
RC,499,"Excision of lesion, sclera ",,,1142.61,10746.0,15
RC,499,Excision of local lesion of epididymis ,,,1257.0,6446.0,15
RC,499,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,3715.0,6446.0,5
RC,499,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1142.61,6446.0,15
RC,499,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1257.0,6801.0,15
RC,499,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1142.61,6446.0,15
RC,499,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,870.0,4830.0,15
RC,499,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1142.61,6446.0,15
RC,499,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,499,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,499,"Excision of neuroma; hand or foot, except digital nerve ",,,1142.61,6446.0,15
RC,499,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1142.61,6446.0,15
RC,499,Excision of neuroma; sciatic nerve ,,,1257.0,6801.0,15
RC,499,Excision of penile plaque (Peyronie disease); ,,,870.0,6801.0,15
RC,499,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,870.0,6801.0,15
RC,499,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,870.0,6801.0,15
RC,499,Excision of perinephric cyst ,,,1632.0,4953.0,5
RC,499,"Excision of spermatocele, with or without epididymectomy ",,,1142.61,6446.0,15
RC,499,Excision of thyroglossal duct cyst or sinus; ,,,1471.0,9431.0,15
RC,499,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1471.0,9431.0,15
RC,499,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1471.0,6446.0,15
RC,499,Excision of urethral diverticulum (separate procedure); female ,,,870.0,5958.0,15
RC,499,Excision of urethral diverticulum (separate procedure); male ,,,1257.0,6446.0,15
RC,499,Excision of vaginal cyst or tumor ,,,870.0,4830.0,15
RC,499,Excision of vaginal septum ,,,870.0,4830.0,15
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1404.42,6446.0,15
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1404.42,6446.0,15
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1404.42,6446.0,15
RC,499,Excision or fulguration of carcinoma of urethra ,,,870.0,5958.0,15
RC,499,Excision or fulguration; Skene's glands ,,,870.0,4830.0,15
RC,499,Excision or fulguration; urethral caruncle ,,,870.0,4830.0,15
RC,499,"Excision or fulguration; urethral polyp(s), distal urethra ",,,870.0,4830.0,15
RC,499,Excision or fulguration; urethral prolapse ,,,870.0,4830.0,15
RC,499,Excision or transposition of pterygium; with graft ,,,1142.61,6446.0,15
RC,499,Excision or transposition of pterygium; without graft ,,,870.0,4830.0,15
RC,499,Excision or unroofing of cyst(s) of kidney ,,,1632.0,4953.0,5
RC,499,"Excision soft tissue lesion, external auditory canal ",,,769.0,4100.0,15
RC,499,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,1632.0,4953.0,5
RC,499,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,1632.0,4953.0,5
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1404.42,6446.0,15
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1404.42,10746.0,15
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1404.42,10746.0,15
RC,499,Exploration for undescended testis (inguinal or scrotal area) ,,,1404.42,6446.0,15
RC,499,Exploration for undescended testis with abdominal exploration ,,,1142.61,6446.0,11
RC,499,"Exploration of epididymis, with or without biopsy ",,,607.0,4830.0,15
RC,499,"Exploration of orbit (transcranial approach), with removal of lesion ",,,1632.0,4953.0,5
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,607.0,16336.0,11
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,16336.0,5
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,16336.0,5
RC,499,"Expression of conjunctival follicles (eg, for trachoma) ",,,291.0,2900.0,9
RC,499,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,1632.0,4953.0,5
RC,499,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,1632.0,4953.0,5
RC,499,"External cephalic version, with or without tocolysis ",,,1404.42,4830.0,9
RC,499,"External counterpulsation, per treatment session ",,,3131.0,3523.0,2
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,1404.42,8866.0,12
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,1404.42,8069.0,12
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,1142.61,8069.0,15
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1142.61,8866.0,39
RC,499,FUSION OF FACIAL/OTHER NERVE ,,,2552.0,2760.0,2
RC,499,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,6
RC,499,Fetal contraction stress test ,,,291.0,2900.0,9
RC,499,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,291.0,3523.0,13
RC,499,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,1632.0,4953.0,5
RC,499,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,291.0,2900.0,4
RC,499,Fetal non-stress test ,,,291.0,2900.0,7
RC,499,Fetal scalp blood sampling ,,,291.0,2900.0,9
RC,499,"Fetal shunt placement, including ultrasound guidance ",,,291.0,3523.0,13
RC,499,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,499,Fimbrioplasty ,,,1694.0,6446.0,8
RC,499,Fine needle aspiration of orbital contents ,,,607.0,4830.0,15
RC,499,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,870.0,4830.0,15
RC,499,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1404.42,6446.0,15
RC,499,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1142.61,6446.0,15
RC,499,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1142.61,6446.0,15
RC,499,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1404.42,6446.0,15
RC,499,Fitting and insertion of pessary or other intravaginal support device ,,,291.0,2900.0,9
RC,499,Fixation of contralateral testis (separate procedure) ,,,1257.0,6446.0,15
RC,499,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,8866.0,3
RC,499,"Follicle puncture for oocyte retrieval, any method ",,,511.0,3523.0,15
RC,499,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,291.0,3523.0,15
RC,499,Free omental flap with microvascular anastomosis ,,,1632.0,4953.0,5
RC,499,Frenulotomy of penis ,,,870.0,4830.0,15
RC,499,GLAUCOMA SURGERY ,,,2552.0,2760.0,2
RC,499,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,291.0,3523.0,15
RC,499,Gastric motility (manometric) studies ,,,291.0,2900.0,8
RC,499,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,3
RC,499,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,769.0,4100.0,4
RC,499,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,769.0,4100.0,4
RC,499,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,4
RC,499,Goniotomy ,,,607.0,4830.0,15
RC,499,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,499,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,499,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,3
RC,499,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,3
RC,499,HFenestration semicircular canal ,,,3026.0,3273.0,2
RC,499,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,27220.0,36293.0,3
RC,499,HRevision fenestration operation ,,,3026.0,3273.0,2
RC,499,"Harvesting conjunctival allograft, living donor ",,,870.0,4830.0,15
RC,499,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,499,"Hymenotomy, simple incision ",,,607.0,4830.0,15
RC,499,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,1632.0,4953.0,5
RC,499,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,1632.0,10746.0,9
RC,499,Hysterorrhaphy of ruptured uterus ,,,1632.0,3435.0,2
RC,499,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1632.0,6446.0,9
RC,499,"Hysteroscopy, diagnostic (separate procedure) ",,,607.0,4830.0,13
RC,499,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,1257.0,6801.0,13
RC,499,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,1257.0,6446.0,13
RC,499,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,1603.31,6446.0,13
RC,499,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,870.0,4830.0,13
RC,499,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,1257.0,6446.0,13
RC,499,"Hysteroscopy, surgical; with removal of leiomyomata ",,,1257.0,6446.0,13
RC,499,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,1257.0,6446.0,13
RC,499,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,1603.31,4830.0,9
RC,499,IMPLANT NEUROELECTRODES ,,,988.0,1069.0,4
RC,499,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,499,INCISE INNER EAR ,,,4526.0,4895.0,2
RC,499,INCISION OF HYMEN ,,,988.0,1069.0,2
RC,499,INJ PARAVERTEBRAL C/T ,,,988.0,1069.0,2
RC,499,INJ PARAVERTEBRAL C/T ADD-ON ,,,988.0,1069.0,2
RC,499,INJ PARAVERTEBRAL L/S ,,,988.0,1069.0,2
RC,499,INJ PARAVERTEBRAL L/S ADD-ON ,,,988.0,1069.0,2
RC,499,INJECT SPINE CERV/THORACIC ,,,988.0,1069.0,2
RC,499,INJECT SPINE LUMBAR/SACRAL ,,,988.0,1069.0,2
RC,499,INJECT SPINE W/CATH CRV/THRC ,,,988.0,1069.0,2
RC,499,INJECT SPINE W/CATH LMB/SCRL ,,,988.0,1069.0,2
RC,499,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,607.0,827.0,2
RC,499,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,607.0,827.0,2
RC,499,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,607.0,827.0,2
RC,499,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,607.0,1069.0,4
RC,499,INSERT KIDNEY DRAIN ,,,988.0,1069.0,2
RC,499,INSERT URETERAL TUBE ,,,988.0,1069.0,2
RC,499,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,607.0,1069.0,4
RC,499,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,6801.0,4
RC,499,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,5958.0,4
RC,499,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,499,Implantation of intrastromal corneal ring segments ,,,1404.42,6801.0,11
RC,499,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,1471.0,6801.0,15
RC,499,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,1632.0,6801.0,7
RC,499,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,13472.0,5
RC,499,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,291.0,2900.0,10
RC,499,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,870.0,26596.0,15
RC,499,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,870.0,26596.0,15
RC,499,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,870.0,26596.0,15
RC,499,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1257.0,6801.0,10
RC,499,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2179.0,9431.0,10
RC,499,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2179.0,9431.0,10
RC,499,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2179.0,13472.0,13
RC,499,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,870.0,9431.0,13
RC,499,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,870.0,6801.0,15
RC,499,Incision and drainage of Bartholin's gland abscess ,,,291.0,3523.0,13
RC,499,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,870.0,4830.0,15
RC,499,"Incision and drainage of penis, deep ",,,769.0,6446.0,15
RC,499,"Incision and drainage of thyroglossal duct cyst, infected ",,,607.0,4100.0,15
RC,499,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,607.0,4830.0,15
RC,499,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,769.0,4100.0,11
RC,499,Incision and drainage of vulva or perineal abscess ,,,291.0,3979.0,13
RC,499,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,1632.0,4953.0,5
RC,499,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,607.0,4953.0,9
RC,499,"Incision of conjunctiva, drainage of cyst ",,,769.0,4100.0,11
RC,499,"Incision, drainage of lacrimal gland ",,,607.0,4100.0,13
RC,499,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,511.0,5115.0,13
RC,499,Incisional biopsy of eyelid skin including lid margin ,,,291.0,3523.0,13
RC,499,Indexing for osteotomy ,,,3715.0,4953.0,3
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,870.0,4953.0,11
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,870.0,4953.0,11
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,870.0,4953.0,9
RC,499,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,1632.0,4953.0,5
RC,499,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,769.0,4953.0,18
RC,499,"Induced abortion, by dilation and curettage ",,,1404.42,6446.0,15
RC,499,"Induced abortion, by dilation and evacuation ",,,1404.42,6446.0,15
RC,499,Induction of arrhythmia by electrical pacing ,,,769.0,21155.0,4
RC,499,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,1632.0,4953.0,5
RC,499,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,1632.0,4953.0,5
RC,499,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,1632.0,14425.0,7
RC,499,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,4
RC,499,Injection of contrast medium for dacryocystography ,,,291.0,2900.0,8
RC,499,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,291.0,2900.0,9
RC,499,Injection of medication or other substance into Tenon's capsule ,,,291.0,3523.0,13
RC,499,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,607.0,4830.0,15
RC,499,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,291.0,2900.0,4
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,499,Injection procedure for Peyronie disease; ,,,291.0,3523.0,9
RC,499,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1471.0,6446.0,15
RC,499,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,511.0,3979.0,26
RC,499,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,870.0,4830.0,13
RC,499,Injection procedure for corpora cavernosography ,,,291.0,2900.0,8
RC,499,Injection procedure for cystography or voiding urethrocystography ,,,291.0,2900.0,4
RC,499,"Injection procedure for discography, each level; cervical or thoracic ",,,291.0,2900.0,8
RC,499,"Injection procedure for discography, each level; lumbar ",,,291.0,2900.0,8
RC,499,"Injection procedure for myelography and/or computed tomography, lumbar ",,,291.0,2900.0,8
RC,499,Injection procedure for retrograde urethrocystography ,,,291.0,2900.0,4
RC,499,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,8
RC,499,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3523.0,15
RC,499,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,8
RC,499,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,291.0,2900.0,8
RC,499,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,511.0,6446.0,15
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,11
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,511.0,3523.0,15
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,511.0,3523.0,9
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,511.0,3523.0,12
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,291.0,3523.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,511.0,3523.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,511.0,3523.0,15
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,511.0,3523.0,15
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,511.0,3523.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,511.0,3523.0,12
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,511.0,3523.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,511.0,3523.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,291.0,2900.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,511.0,3523.0,15
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,511.0,3523.0,9
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,511.0,3523.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,511.0,3523.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,291.0,2900.0,10
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,511.0,3523.0,15
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,291.0,2900.0,10
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,511.0,3523.0,15
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,291.0,3523.0,13
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,291.0,3523.0,13
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,291.0,2900.0,8
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,511.0,3523.0,13
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,291.0,2900.0,8
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,291.0,2900.0,8
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,511.0,3523.0,13
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,291.0,2900.0,8
RC,499,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,511.0,3979.0,52
RC,499,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,511.0,3523.0,52
RC,499,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,511.0,3523.0,15
RC,499,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,511.0,3523.0,15
RC,499,"Injection, anesthetic agent; sphenopalatine ganglion ",,,291.0,3523.0,13
RC,499,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,511.0,3523.0,15
RC,499,"Injection, anesthetic agent; superior hypogastric plexus ",,,511.0,3979.0,15
RC,499,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,607.0,4100.0,15
RC,499,"Injection, anterior chamber of eye (separate procedure); medication ",,,607.0,4100.0,15
RC,499,"Injection, epidural, of blood or clot patch ",,,511.0,3523.0,15
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,511.0,3523.0,15
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,511.0,3523.0,15
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,511.0,3523.0,15
RC,499,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,3250.0,9
RC,499,Insertion of Heyman capsules for clinical brachytherapy ,,,870.0,4830.0,15
RC,499,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,511.0,3250.0,13
RC,499,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,291.0,3523.0,13
RC,499,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,1257.0,8866.0,13
RC,499,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,9
RC,499,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,291.0,3523.0,13
RC,499,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1142.61,4830.0,12
RC,499,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,7
RC,499,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,607.0,10732.0,13
RC,499,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,1142.61,6446.0,15
RC,499,Insertion of intrauterine device (IUD) ,,,44.66,2900.0,12
RC,499,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,291.0,10746.0,10
RC,499,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,1257.0,27277.0,15
RC,499,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3715.0,10746.0,5
RC,499,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3715.0,10746.0,5
RC,499,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3715.0,10746.0,5
RC,499,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,3523.0,13
RC,499,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,291.0,2900.0,13
RC,499,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1257.0,6446.0,15
RC,499,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,870.0,5958.0,15
RC,499,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1257.0,6446.0,15
RC,499,Insertion of penile prosthesis; inflatable (self-contained) ,,,1257.0,27277.0,15
RC,499,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,1257.0,27277.0,15
RC,499,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,5
RC,499,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,1632.0,4953.0,5
RC,499,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1257.0,28186.0,15
RC,499,Insertion of tandem cuff (dual cuff) ,,,870.0,10732.0,13
RC,499,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,291.0,3523.0,13
RC,499,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,291.0,2900.0,13
RC,499,Insertion of testicular prosthesis (separate procedure) ,,,870.0,4830.0,15
RC,499,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1632.0,4953.0,7
RC,499,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,511.0,16336.0,15
RC,499,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,4953.0,5
RC,499,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1257.0,36293.0,13
RC,499,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,870.0,36293.0,13
RC,499,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,291.0,3435.0,7
RC,499,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1804.0,13472.0,7
RC,499,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,870.0,36293.0,13
RC,499,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,870.0,36293.0,13
RC,499,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,8866.0,8
RC,499,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,291.0,3523.0,13
RC,499,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,291.0,2900.0,10
RC,499,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,291.0,2900.0,4
RC,499,Intersex surgery; female to male ,,,1404.42,3435.0,5
RC,499,Intersex surgery; male to female ,,,1603.31,3435.0,5
RC,499,Intra-atrial pacing ,,,769.0,21155.0,4
RC,499,Intra-atrial recording ,,,769.0,21155.0,4
RC,499,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,291.0,21155.0,4
RC,499,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,1142.61,8069.0,15
RC,499,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,291.0,36635.0,6
RC,499,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,1753.0,36635.0,7
RC,499,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,499,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,499,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,4
RC,499,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,4
RC,499,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,6
RC,499,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,5
RC,499,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,291.0,2900.0,8
RC,499,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,291.0,21155.0,4
RC,499,Intraventricular pacing ,,,769.0,21155.0,4
RC,499,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,291.0,3523.0,13
RC,499,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,291.0,3523.0,11
RC,499,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1257.0,6446.0,15
RC,499,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1142.61,6446.0,15
RC,499,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,499,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,769.0,6446.0,15
RC,499,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1142.61,6801.0,15
RC,499,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,511.0,3523.0,13
RC,499,Iridotomy by stab incision (separate procedure); except transfixion ,,,291.0,3523.0,15
RC,499,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,607.0,4100.0,15
RC,499,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,511.0,3523.0,13
RC,499,Irrigation of corpora cavernosa for priapism ,,,291.0,3523.0,15
RC,499,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,291.0,2900.0,9
RC,499,Keratomileusis ,,,911.0,10746.0,10
RC,499,Keratophakia ,,,911.0,10746.0,10
RC,499,Keratoplasty (corneal transplant); anterior lamellar ,,,1404.42,10746.0,15
RC,499,Keratoplasty (corneal transplant); endothelial ,,,1404.42,10746.0,13
RC,499,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1404.42,10746.0,15
RC,499,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1404.42,10746.0,15
RC,499,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1404.42,10746.0,15
RC,499,Keratoprosthesis ,,,1753.0,10746.0,13
RC,499,Labyrinthectomy; transcanal ,,,1753.0,10746.0,15
RC,499,Labyrinthectomy; with mastoidectomy ,,,1753.0,10746.0,15
RC,499,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,769.0,6446.0,15
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,7058.0,13472.0,6
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,1632.0,8866.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,7058.0,13472.0,6
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,1632.0,8866.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,1632.0,8866.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,1632.0,8866.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,7058.0,13472.0,6
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,1632.0,8866.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,1632.0,8866.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,1632.0,8866.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,7058.0,13472.0,6
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,1632.0,8866.0,7
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,1632.0,8866.0,7
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2179.0,13472.0,9
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,1632.0,8866.0,7
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,1632.0,8866.0,7
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,1753.0,9431.0,14
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,1632.0,8866.0,11
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,1753.0,9431.0,12
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,1753.0,9431.0,12
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,1632.0,8866.0,7
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,1632.0,8866.0,7
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,7058.0,13472.0,6
RC,499,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2174.0,36293.0,11
RC,499,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,1632.0,8866.0,7
RC,499,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,1632.0,8866.0,7
RC,499,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,1632.0,8866.0,7
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,1753.0,9431.0,13
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,1753.0,9431.0,13
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,1753.0,9431.0,13
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,1471.0,9431.0,13
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,1753.0,9431.0,13
RC,499,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,1632.0,8866.0,7
RC,499,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,1753.0,9431.0,13
RC,499,Laminectomy with rhizotomy; 1 or 2 segments ,,,7058.0,13472.0,6
RC,499,Laminectomy with rhizotomy; more than 2 segments ,,,7058.0,13472.0,6
RC,499,Laminectomy with section of spinal accessory nerve ,,,7058.0,13472.0,6
RC,499,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,291.0,9431.0,49
RC,499,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,291.0,8866.0,18
RC,499,"Laminectomy, with release of tethered spinal cord, lumbar ",,,7058.0,13472.0,6
RC,499,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,1632.0,4953.0,5
RC,499,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,1632.0,4953.0,5
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,11
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,1753.0,9431.0,13
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,1694.0,8866.0,16
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,1753.0,9431.0,13
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,1257.0,9431.0,13
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,1753.0,9431.0,11
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,291.0,8866.0,10
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,1632.0,4953.0,7
RC,499,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,499,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,1471.0,9431.0,9
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2224.34,13472.0,9
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,1632.0,9431.0,7
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,1632.0,9431.0,7
RC,499,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2224.34,9431.0,10
RC,499,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1876.0,9431.0,11
RC,499,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1876.0,9431.0,11
RC,499,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,1753.0,8866.0,15
RC,499,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2224.34,10746.0,15
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,1694.0,9400.0,7
RC,499,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,1471.0,6801.0,9
RC,499,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,1753.0,9431.0,13
RC,499,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2224.34,9400.0,9
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,1753.0,9431.0,9
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical; ablation of renal cysts ",,,1753.0,6801.0,9
RC,499,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2224.34,13472.0,9
RC,499,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,1632.0,4953.0,7
RC,499,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,1632.0,4953.0,7
RC,499,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,1632.0,4953.0,7
RC,499,"Laparoscopy, surgical; orchiectomy ",,,1753.0,9431.0,13
RC,499,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,1753.0,9431.0,11
RC,499,"Laparoscopy, surgical; partial nephrectomy ",,,2224.34,9431.0,9
RC,499,"Laparoscopy, surgical; pyeloplasty ",,,1876.0,9431.0,9
RC,499,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,1632.0,4953.0,8
RC,499,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,1753.0,10732.0,11
RC,499,"Laparoscopy, surgical; ureterolithotomy ",,,1753.0,9431.0,9
RC,499,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,1753.0,9431.0,11
RC,499,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2174.0,9431.0,11
RC,499,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,1753.0,9431.0,11
RC,499,"Laparoscopy, surgical; with fimbrioplasty ",,,1753.0,9431.0,11
RC,499,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,1257.0,9431.0,11
RC,499,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,1753.0,9431.0,11
RC,499,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,1753.0,9431.0,11
RC,499,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,1257.0,9431.0,11
RC,499,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,1753.0,9431.0,11
RC,499,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,1753.0,9431.0,11
RC,499,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2540.0,10746.0,8
RC,499,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,1603.31,8866.0,10
RC,499,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,1603.31,8866.0,13
RC,499,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,1632.0,4953.0,5
RC,499,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,1632.0,4953.0,5
RC,499,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,1603.31,8866.0,15
RC,499,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,291.0,9813.0,4
RC,499,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,6801.0,7
RC,499,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,499,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,607.0,4953.0,9
RC,499,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,769.0,4100.0,8
RC,499,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,870.0,5115.0,13
RC,499,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,499,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,870.0,4830.0,15
RC,499,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,607.0,4830.0,15
RC,499,"Lithotripsy, extracorporeal shock wave ",,,1404.42,9431.0,7
RC,499,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,499,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,499,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1632.0,6446.0,8
RC,499,Lysis of labial adhesions ,,,607.0,4830.0,15
RC,499,Lysis or excision of penile post-circumcision adhesions ,,,870.0,4830.0,15
RC,499,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,1632.0,13472.0,7
RC,499,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,511.0,3523.0,15
RC,499,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,291.0,2900.0,9
RC,499,Marsupialization of Bartholin's gland cyst ,,,870.0,4830.0,15
RC,499,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,3
RC,499,"Marsupialization of urethral diverticulum, male or female ",,,870.0,5958.0,15
RC,499,Mastoid obliteration (separate procedure) ,,,1257.0,6801.0,15
RC,499,Mastoidectomy; complete ,,,1632.0,10746.0,15
RC,499,Mastoidectomy; modified radical ,,,1753.0,10746.0,15
RC,499,Mastoidectomy; radical ,,,1753.0,10746.0,15
RC,499,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,3
RC,499,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,3
RC,499,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,291.0,2900.0,9
RC,499,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,607.0,4830.0,15
RC,499,"Meatotomy, cutting of meatus (separate procedure); infant ",,,607.0,4830.0,11
RC,499,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,499,Middle ear exploration through postauricular or ear canal incision ,,,1257.0,6446.0,15
RC,499,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,1142.61,5115.0,9
RC,499,Multifetal pregnancy reduction(s) (MPR) ,,,291.0,3523.0,9
RC,499,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,607.0,4830.0,11
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,511.0,4320.0,13
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,511.0,4320.0,13
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,511.0,4320.0,13
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,511.0,4320.0,13
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,1694.0,10746.0,11
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1404.42,6446.0,15
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,1694.0,5958.0,7
RC,499,Myringoplasty (surgery confined to drumhead and donor area) ,,,870.0,4830.0,13
RC,499,Myringotomy including aspiration and/or eustachian tube inflation ,,,291.0,6446.0,13
RC,499,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,769.0,6446.0,15
RC,499,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,499,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,2
RC,499,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,499,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,3
RC,499,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,499,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1753.0,8866.0,12
RC,499,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1753.0,8866.0,12
RC,499,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,291.0,3523.0,15
RC,499,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,1632.0,4953.0,5
RC,499,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,1632.0,4953.0,5
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,1632.0,4953.0,5
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,1632.0,4953.0,5
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,1632.0,4953.0,5
RC,499,"Nephrectomy, partial ",,,1632.0,4953.0,5
RC,499,Nephrolithotomy; complicated by congenital kidney abnormality ,,,1632.0,4953.0,5
RC,499,Nephrolithotomy; removal of calculus ,,,1632.0,4953.0,5
RC,499,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,1632.0,4953.0,5
RC,499,Nephrolithotomy; secondary surgical operation for calculus ,,,1632.0,4953.0,5
RC,499,"Nephrorrhaphy, suture of kidney wound or injury ",,,1632.0,4953.0,5
RC,499,"Nephrostomy, nephrotomy with drainage ",,,1257.0,6446.0,8
RC,499,"Nephrotomy, with exploration ",,,1632.0,4953.0,5
RC,499,Nerve dissection ,,,3715.0,4953.0,3
RC,499,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,870.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,870.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1257.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1257.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1257.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1257.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,870.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,870.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,870.0,6801.0,15
RC,499,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,870.0,6801.0,15
RC,499,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,499,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,499,Nerve pedicle transfer; first stage ,,,870.0,6801.0,15
RC,499,Nerve pedicle transfer; second stage ,,,607.0,6801.0,15
RC,499,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,870.0,6801.0,13
RC,499,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,291.0,3435.0,9
RC,499,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,870.0,6801.0,12
RC,499,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,870.0,6801.0,13
RC,499,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,499,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,1632.0,4953.0,5
RC,499,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,499,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,1632.0,4953.0,5
RC,499,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,1632.0,4953.0,5
RC,499,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1142.61,6446.0,15
RC,499,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,870.0,4830.0,15
RC,499,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,870.0,4830.0,15
RC,499,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,870.0,4830.0,15
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,870.0,4830.0,15
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,870.0,4830.0,15
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,870.0,4830.0,15
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,870.0,4830.0,15
RC,499,"Neuroplasty; digital, 1 or both, same digit ",,,607.0,4830.0,15
RC,499,Neuroplasty; nerve of hand or foot ,,,607.0,4830.0,15
RC,499,Nocturnal penile tumescence and/or rigidity test ,,,291.0,2900.0,13
RC,499,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,7
RC,499,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,1632.0,4953.0,5
RC,499,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1257.0,6446.0,11
RC,499,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1404.42,6446.0,15
RC,499,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1404.42,6446.0,15
RC,499,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1404.42,6801.0,15
RC,499,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,1632.0,4953.0,5
RC,499,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,1632.0,6801.0,5
RC,499,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1694.0,6446.0,8
RC,499,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,1694.0,5958.0,4
RC,499,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,5
RC,499,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,870.0,36293.0,11
RC,499,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,5
RC,499,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1804.0,18085.0,10
RC,499,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,5
RC,499,Open implantation of neurostimulator electrode array; neuromuscular ,,,607.0,36293.0,13
RC,499,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,15
RC,499,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,1257.0,13472.0,13
RC,499,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,9
RC,499,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,9
RC,499,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,9
RC,499,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,1632.0,4830.0,4
RC,499,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,1632.0,4830.0,4
RC,499,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1404.42,6446.0,15
RC,499,Orbital implant (implant outside muscle cone); insertion ,,,1404.42,6446.0,15
RC,499,Orbital implant (implant outside muscle cone); removal or revision ,,,870.0,5958.0,15
RC,499,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,1632.0,4953.0,5
RC,499,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,1632.0,4953.0,5
RC,499,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,1632.0,4953.0,5
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1404.42,6446.0,15
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1404.42,6446.0,15
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1404.42,6446.0,15
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1404.42,6446.0,15
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1404.42,6446.0,15
RC,499,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1257.0,6446.0,15
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1142.61,6446.0,15
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1404.42,6446.0,11
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1142.61,6446.0,15
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1142.61,6446.0,15
RC,499,"Orchiectomy, partial ",,,1257.0,6446.0,15
RC,499,"Orchiectomy, radical, for tumor; inguinal approach ",,,1404.42,6446.0,15
RC,499,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,1404.42,5958.0,7
RC,499,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1257.0,6446.0,15
RC,499,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1404.42,6446.0,11
RC,499,"Orchiopexy, inguinal or scrotal approach ",,,1404.42,6446.0,15
RC,499,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,1632.0,8866.0,7
RC,499,"Other cranial decompression, posterior fossa ",,,1632.0,4953.0,5
RC,499,Otolaryngologic examination under general anesthesia ,,,291.0,2900.0,4
RC,499,"Otoplasty, protruding ear, with or without size reduction ",,,1257.0,6446.0,15
RC,499,"Ovarian cystectomy, unilateral or bilateral ",,,1603.31,6446.0,11
RC,499,"PERCUT/NEEDLE INSERT, PROS ",,,4238.0,4584.0,2
RC,499,"PROSTATECTOMY, FIRST STAGE ",,,1560.0,1687.0,2
RC,499,"PROSTATECTOMY, SECOND STAGE ",,,988.0,1069.0,2
RC,499,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,291.0,3523.0,15
RC,499,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,870.0,4830.0,15
RC,499,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1142.61,6446.0,15
RC,499,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,291.0,6446.0,8
RC,499,Parathyroidectomy or exploration of parathyroid(s); ,,,1753.0,10746.0,11
RC,499,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,1753.0,10746.0,13
RC,499,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,1632.0,4953.0,5
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1876.0,9431.0,13
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,1603.31,6801.0,11
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,1471.0,8866.0,13
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,291.0,2900.0,8
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,511.0,3250.0,13
RC,499,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,3
RC,499,Partial hymenectomy or revision of hymenal ring ,,,607.0,4830.0,15
RC,499,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1471.0,9431.0,11
RC,499,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1471.0,9431.0,11
RC,499,Pelvic examination under anesthesia (other than local) ,,,870.0,4830.0,15
RC,499,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,1632.0,4953.0,5
RC,499,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,1632.0,4953.0,5
RC,499,Penile plethysmography ,,,291.0,2900.0,13
RC,499,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,1632.0,6446.0,9
RC,499,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,511.0,3523.0,13
RC,499,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,511.0,3523.0,15
RC,499,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,20029.0,7
RC,499,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,20029.0,7
RC,499,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,20029.0,7
RC,499,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,3715.0,7161.0,7
RC,499,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,7161.0,7
RC,499,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,1632.0,3435.0,4
RC,499,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,3715.0,4953.0,3
RC,499,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,870.0,36293.0,13
RC,499,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,607.0,36293.0,13
RC,499,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,607.0,36293.0,11
RC,499,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,1257.0,36293.0,13
RC,499,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,511.0,3523.0,30
RC,499,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1753.0,6801.0,18
RC,499,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,5
RC,499,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,8866.0,13
RC,499,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,9
RC,499,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,9
RC,499,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,5278.0,9
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,9
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,9
RC,499,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,11
RC,499,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,27696.0,7
RC,499,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,27696.0,4
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,27040.0,7
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,5
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,2540.0,1
RC,499,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,7
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,9
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,5
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,5
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,3
RC,499,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,1
RC,499,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,9
RC,499,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,1
RC,499,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,27696.0,7
RC,499,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,27696.0,4
RC,499,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,27040.0,7
RC,499,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,2540.0,1
RC,499,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,499,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,499,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3715.0,10746.0,5
RC,499,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,2540.0,20029.0,4
RC,499,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,20029.0,7
RC,499,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2540.0,27040.0,4
RC,499,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,20772.0,27696.0,3
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,27696.0,11
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,2540.0,1
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,27040.0,9
RC,499,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,27696.0,11
RC,499,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,27040.0,8
RC,499,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3715.0,6446.0,5
RC,499,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3715.0,6446.0,5
RC,499,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3715.0,6446.0,5
RC,499,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3715.0,6446.0,5
RC,499,"Pereyra procedure, including anterior colporrhaphy ",,,1694.0,6446.0,15
RC,499,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,3
RC,499,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,3
RC,499,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1404.42,6446.0,15
RC,499,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2224.34,13472.0,10
RC,499,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,291.0,3523.0,12
RC,499,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1404.42,4830.0,10
RC,499,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,1632.0,6446.0,10
RC,499,Petrous apicectomy including radical mastoidectomy ,,,1753.0,10746.0,15
RC,499,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,291.0,2900.0,4
RC,499,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,291.0,2900.0,4
RC,499,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,291.0,2900.0,4
RC,499,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,291.0,2900.0,4
RC,499,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,4
RC,499,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,499,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,4
RC,499,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,291.0,6446.0,10
RC,499,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,607.0,5958.0,13
RC,499,Placement of amniotic membrane on the ocular surface; without sutures ,,,607.0,4100.0,13
RC,499,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,7
RC,499,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,607.0,4100.0,13
RC,499,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,3
RC,499,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,607.0,8866.0,13
RC,499,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,870.0,7161.0,13
RC,499,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,870.0,7161.0,13
RC,499,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,2900.0,4
RC,499,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1257.0,8866.0,39
RC,499,Plastic operation of penis for injury ,,,1404.42,6446.0,15
RC,499,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1257.0,6801.0,15
RC,499,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1257.0,6801.0,15
RC,499,Plastic operation on penis for epispadias distal to external sphincter; ,,,1142.61,6446.0,15
RC,499,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2259.0,6801.0,4
RC,499,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1142.61,6446.0,15
RC,499,Plastic operation on penis to correct angulation ,,,1257.0,6801.0,15
RC,499,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,1257.0,6801.0,15
RC,499,Plastic repair of canaliculi ,,,870.0,4830.0,15
RC,499,Plastic repair of introitus ,,,1257.0,6446.0,15
RC,499,Plastic repair of urethrocele ,,,1257.0,6446.0,15
RC,499,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,1603.31,6446.0,15
RC,499,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,291.0,3523.0,13
RC,499,Postpartum care only (separate procedure) ,,,607.0,6411.0,8
RC,499,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,499,"Probing of lacrimal canaliculi, with or without irrigation ",,,291.0,2900.0,13
RC,499,"Probing of nasolacrimal duct, with or without irrigation; ",,,291.0,3523.0,15
RC,499,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,870.0,4830.0,15
RC,499,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,870.0,4830.0,15
RC,499,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,870.0,5115.0,13
RC,499,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,499,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,291.0,2900.0,13
RC,499,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,511.0,3250.0,11
RC,499,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,1632.0,4953.0,5
RC,499,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,1632.0,4953.0,5
RC,499,"Prostatectomy, perineal radical; ",,,1632.0,4953.0,5
RC,499,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1632.0,4953.0,5
RC,499,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,499,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,1632.0,4953.0,5
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,1632.0,4953.0,5
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1632.0,10746.0,9
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1632.0,4953.0,5
RC,499,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,870.0,4830.0,15
RC,499,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,607.0,4830.0,15
RC,499,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,511.0,3250.0,9
RC,499,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,511.0,3523.0,15
RC,499,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,1694.0,5958.0,5
RC,499,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,1694.0,5958.0,5
RC,499,"Pyelotomy; with drainage, pyelostomy ",,,1632.0,4953.0,5
RC,499,Pyelotomy; with exploration ,,,1632.0,4953.0,5
RC,499,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,1632.0,4953.0,5
RC,499,REMOVE RESIDUAL PROSTATE ,,,988.0,1069.0,2
RC,499,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,1257.0,2490.0,4
RC,499,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,3068.0,4584.0,4
RC,499,REREPAIR DETACHED RETINA ,,,4526.0,4895.0,2
RC,499,REVISE/REMOVE NEUROELECTRODE ,,,988.0,1069.0,2
RC,499,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,3723.0,5078.0,4
RC,499,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,499,Radial keratotomy ,,,911.0,10746.0,10
RC,499,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,499,Radical excision external auditory canal lesion; with neck dissection ,,,1632.0,4953.0,5
RC,499,Radical excision external auditory canal lesion; without neck dissection ,,,1257.0,6446.0,15
RC,499,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,4953.0,5
RC,499,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1142.61,7161.0,12
RC,499,Recipient nephrectomy (separate procedure) ,,,1632.0,4953.0,5
RC,499,"Reconstruction external auditory canal for congenital atresia, single stage ",,,1753.0,10746.0,15
RC,499,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1257.0,6801.0,15
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1142.61,6446.0,15
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1142.61,6446.0,15
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1257.0,6446.0,15
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1142.61,6446.0,15
RC,499,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,5
RC,499,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,291.0,1
RC,499,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,1632.0,4953.0,5
RC,499,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,1632.0,4953.0,5
RC,499,Reduction of overcorrection of ptosis ,,,1142.61,6446.0,15
RC,499,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1404.42,6446.0,15
RC,499,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,291.0,2900.0,4
RC,499,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,291.0,2900.0,4
RC,499,Reinsertion of ocular implant; with or without conjunctival graft ,,,870.0,5958.0,15
RC,499,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1257.0,6446.0,15
RC,499,Release of encircling material (posterior segment) ,,,870.0,4830.0,13
RC,499,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,1142.61,10746.0,15
RC,499,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,499,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,5115.0,13
RC,499,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,499,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,607.0,4830.0,13
RC,499,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,1257.0,27277.0,15
RC,499,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,291.0,27277.0,11
RC,499,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,607.0,4100.0,13
RC,499,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,8866.0,7
RC,499,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,607.0,16279.0,15
RC,499,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,511.0,3250.0,4
RC,499,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,1257.0,27277.0,15
RC,499,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,511.0,27277.0,11
RC,499,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,607.0,4830.0,15
RC,499,Removal foreign body from external auditory canal; with general anesthesia ,,,607.0,4100.0,15
RC,499,Removal foreign body from external auditory canal; without general anesthesia ,,,291.0,2900.0,9
RC,499,"Removal impacted cerumen requiring instrumentation, unilateral ",,,291.0,2900.0,13
RC,499,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,291.0,2900.0,13
RC,499,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,1257.0,6446.0,15
RC,499,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,3
RC,499,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1632.0,5958.0,7
RC,499,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1632.0,5958.0,7
RC,499,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1632.0,5958.0,7
RC,499,"Removal of blood clot, anterior segment of eye ",,,1142.61,6446.0,15
RC,499,Removal of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,499,Removal of cerclage suture under anesthesia (other than local) ,,,1404.42,6446.0,15
RC,499,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,1632.0,4953.0,5
RC,499,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,769.0,4100.0,8
RC,499,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,607.0,4830.0,13
RC,499,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,769.0,4100.0,11
RC,499,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,607.0,8866.0,13
RC,499,"Removal of embedded foreign body, eyelid ",,,291.0,2900.0,13
RC,499,Removal of entire lumbosubarachnoid shunt system without replacement ,,,870.0,4830.0,15
RC,499,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1142.61,6446.0,15
RC,499,Removal of foreign body in scrotum ,,,870.0,4830.0,15
RC,499,"Removal of foreign body or dacryolith, lacrimal passages ",,,291.0,2900.0,13
RC,499,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,291.0,2900.0,9
RC,499,"Removal of foreign body, external eye; conjunctival superficial ",,,291.0,2900.0,9
RC,499,"Removal of foreign body, external eye; corneal, with slit lamp ",,,291.0,2900.0,9
RC,499,"Removal of foreign body, external eye; corneal, without slit lamp ",,,291.0,2900.0,9
RC,499,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,870.0,4830.0,15
RC,499,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,291.0,6446.0,15
RC,499,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1142.61,6446.0,15
RC,499,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,5
RC,499,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,1753.0,5958.0,10
RC,499,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,499,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,4
RC,499,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,870.0,4830.0,15
RC,499,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,3
RC,499,"Removal of implanted material, anterior segment of eye ",,,1142.61,10746.0,15
RC,499,"Removal of implanted material, posterior segment; extraocular ",,,870.0,4830.0,13
RC,499,"Removal of implanted material, posterior segment; intraocular ",,,870.0,5958.0,13
RC,499,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,9431.0,15
RC,499,Removal of intrauterine device (IUD) ,,,291.0,3523.0,13
RC,499,"Removal of lens material; aspiration technique, 1 or more stages ",,,1142.61,6446.0,15
RC,499,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,769.0,6446.0,15
RC,499,Removal of lens material; intracapsular ,,,1142.61,6446.0,15
RC,499,"Removal of lens material; intracapsular, for dislocated lens ",,,1404.42,6446.0,15
RC,499,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1404.42,6801.0,15
RC,499,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,1142.61,10746.0,15
RC,499,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,511.0,3523.0,13
RC,499,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,499,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,1257.0,6446.0,15
RC,499,Removal of non-resorbable barrier ,,,3715.0,4953.0,3
RC,499,Removal of ocular implant ,,,607.0,5958.0,15
RC,499,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3715.0,10746.0,5
RC,499,Removal of previously implanted intrathecal or epidural catheter ,,,870.0,4830.0,15
RC,499,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1142.61,6446.0,15
RC,499,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1694.0,8866.0,9
RC,499,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,499,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,7161.0,13
RC,499,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,870.0,5958.0,15
RC,499,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,3
RC,499,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,3
RC,499,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,3
RC,499,Removal of transplanted renal allograft ,,,1632.0,4953.0,5
RC,499,"Removal of tumor, temporal bone ",,,1471.0,6801.0,11
RC,499,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,1142.61,6446.0,15
RC,499,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,1142.61,6446.0,15
RC,499,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,607.0,6801.0,15
RC,499,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,607.0,5958.0,15
RC,499,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,1404.42,6446.0,11
RC,499,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,499,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1404.42,5958.0,10
RC,499,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1404.42,8069.0,12
RC,499,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1404.42,8069.0,12
RC,499,Remove interim implant component ,,,3715.0,4953.0,3
RC,499,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,1632.0,4953.0,5
RC,499,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,1632.0,4953.0,5
RC,499,"Renal autotransplantation, reimplantation of kidney ",,,1632.0,4953.0,5
RC,499,Renal biopsy; by surgical exposure of kidney ,,,1632.0,4953.0,5
RC,499,"Renal biopsy; percutaneous, by trocar or needle ",,,607.0,4100.0,15
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,607.0,4100.0,15
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,607.0,4830.0,15
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,607.0,4830.0,15
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,511.0,3523.0,13
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,607.0,4830.0,15
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,13
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,511.0,3523.0,13
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1603.31,6801.0,7
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,607.0,4100.0,11
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4100.0,11
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,511.0,3523.0,13
RC,499,"Renal exploration, not necessitating other specific procedures ",,,1632.0,4953.0,5
RC,499,Repair incomplete circumcision ,,,870.0,4830.0,15
RC,499,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,8866.0,7
RC,499,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1142.61,6446.0,15
RC,499,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1142.61,6446.0,15
RC,499,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1142.61,6446.0,15
RC,499,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,499,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1142.61,6446.0,15
RC,499,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1404.42,6446.0,15
RC,499,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1142.61,6446.0,15
RC,499,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,1404.42,6801.0,11
RC,499,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,1257.0,6801.0,15
RC,499,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,3
RC,499,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,1632.0,4953.0,5
RC,499,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,1632.0,4953.0,5
RC,499,Repair of ectropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,499,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1142.61,6446.0,15
RC,499,Repair of ectropion; suture ,,,1142.61,6446.0,15
RC,499,Repair of ectropion; thermocauterization ,,,1142.61,6446.0,13
RC,499,"Repair of encephalocele, skull vault, including cranioplasty ",,,1632.0,4953.0,5
RC,499,"Repair of enterocele, abdominal approach (separate procedure) ",,,1632.0,4830.0,4
RC,499,"Repair of enterocele, vaginal approach (separate procedure) ",,,1257.0,6446.0,15
RC,499,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,5
RC,499,Repair of entropion; excision tarsal wedge ,,,1142.61,6446.0,15
RC,499,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1142.61,6446.0,15
RC,499,Repair of entropion; suture ,,,1142.61,6446.0,15
RC,499,Repair of entropion; thermocauterization ,,,1142.61,6446.0,11
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1257.0,6446.0,15
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1257.0,6446.0,15
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1257.0,6446.0,15
RC,499,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,607.0,5958.0,15
RC,499,"Repair of iris, ciliary body (as for iridodialysis) ",,,1142.61,6446.0,15
RC,499,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,769.0,4100.0,13
RC,499,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,870.0,4953.0,9
RC,499,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,870.0,4830.0,15
RC,499,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,870.0,4830.0,15
RC,499,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1404.42,6446.0,15
RC,499,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1404.42,6446.0,15
RC,499,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1404.42,6446.0,15
RC,499,Repair of meningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,499,Repair of meningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,499,Repair of myelomeningocele; larger than 5 cm diameter ,,,1632.0,4953.0,5
RC,499,Repair of myelomeningocele; less than 5 cm diameter ,,,1632.0,4953.0,5
RC,499,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,1142.61,6446.0,11
RC,499,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,511.0,6446.0,11
RC,499,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,1142.61,4830.0,7
RC,499,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,1404.42,6801.0,13
RC,499,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,1404.42,10746.0,13
RC,499,Repair of scleral staphyloma with graft ,,,1404.42,6446.0,15
RC,499,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1142.61,6446.0,15
RC,499,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1142.61,6446.0,15
RC,499,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1404.42,6446.0,15
RC,499,Repair of traumatic corporeal tear(s) ,,,870.0,7161.0,13
RC,499,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1404.42,6446.0,15
RC,499,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1257.0,6446.0,15
RC,499,Repair oval window fistula ,,,1404.42,6446.0,15
RC,499,Repair round window fistula ,,,1404.42,6446.0,15
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2179.0,9431.0,10
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2179.0,9431.0,10
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1753.0,7602.0,13
RC,499,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,1632.0,4953.0,5
RC,499,Replacement of an implant screw ,,,3715.0,4953.0,3
RC,499,Replacement of bone flap or prosthetic plate of skull ,,,1632.0,4953.0,5
RC,499,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,3
RC,499,"Replacement or irrigation, subarachnoid/subdural catheter ",,,607.0,4830.0,15
RC,499,"Replacement or irrigation, ventricular catheter ",,,607.0,4100.0,15
RC,499,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,870.0,6801.0,15
RC,499,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1257.0,6801.0,15
RC,499,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1142.61,6446.0,15
RC,499,Reprogramming of programmable cerebrospinal shunt ,,,291.0,3523.0,9
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,1694.0,5958.0,4
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,1632.0,4953.0,5
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,1632.0,4953.0,5
RC,499,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,1632.0,4953.0,5
RC,499,Resection of scrotum ,,,607.0,4830.0,15
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,1632.0,4953.0,5
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,1632.0,4953.0,5
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,1632.0,4953.0,5
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,1632.0,4953.0,5
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,1632.0,4953.0,5
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,1632.0,4953.0,5
RC,499,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,3
RC,499,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,3
RC,499,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,3
RC,499,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,3
RC,499,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,499,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,499,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,499,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,499,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,499,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,499,"Resection temporal bone, external approach ",,,1632.0,4953.0,5
RC,499,Retrobulbar injection; alcohol ,,,291.0,3523.0,13
RC,499,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,291.0,2900.0,9
RC,499,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,9
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,5
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,5
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,5
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,9
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,9
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,9
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,9
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,9
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,9
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,9
RC,499,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,1694.0,7161.0,11
RC,499,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,1632.0,4953.0,5
RC,499,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,1257.0,6446.0,13
RC,499,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,499,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,607.0,9431.0,13
RC,499,Revision mastoidectomy; resulting in complete mastoidectomy ,,,1753.0,10746.0,15
RC,499,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,1753.0,10746.0,15
RC,499,Revision mastoidectomy; resulting in radical mastoidectomy ,,,1753.0,10746.0,15
RC,499,Revision mastoidectomy; resulting in tympanoplasty ,,,1753.0,7161.0,13
RC,499,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,870.0,4830.0,15
RC,499,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1142.61,8866.0,13
RC,499,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1257.0,6801.0,15
RC,499,Revision of stapedectomy or stapedotomy ,,,1753.0,6801.0,15
RC,499,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1404.42,4830.0,7
RC,499,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,1632.0,4953.0,5
RC,499,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,870.0,5958.0,15
RC,499,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,499,Revision or removal of intracranial neurostimulator electrodes ,,,1404.42,5958.0,7
RC,499,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1694.0,5958.0,7
RC,499,Revision or removal of peripheral neurostimulator electrode array ,,,607.0,5958.0,13
RC,499,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,607.0,5958.0,15
RC,499,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,870.0,4830.0,15
RC,499,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,1632.0,6446.0,7
RC,499,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,1632.0,18085.0,7
RC,499,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,870.0,9431.0,13
RC,499,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,1804.0,13472.0,10
RC,499,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,5
RC,499,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,499,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,3435.0,13472.0,7
RC,499,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,9813.0,7
RC,499,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,9813.0,7
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,9813.0,7
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,9813.0,7
RC,499,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,9813.0,7
RC,499,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,499,Right ventricular recording ,,,769.0,21155.0,4
RC,499,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,2
RC,499,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,1632.0,3435.0,2
RC,499,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,1632.0,3435.0,2
RC,499,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,1632.0,3435.0,2
RC,499,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,1632.0,3435.0,2
RC,499,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,607.0,827.0,2
RC,499,STRIP RETINAL MEMBRANE ,,,3026.0,3273.0,2
RC,499,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1694.0,6446.0,8
RC,499,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1876.0,6801.0,8
RC,499,Salpingostomy (salpingoneostomy) ,,,1404.42,6446.0,11
RC,499,Scleral reinforcement (separate procedure); with graft ,,,1142.61,6446.0,15
RC,499,Scleral reinforcement (separate procedure); without graft ,,,1142.61,6446.0,15
RC,499,"Scraping of cornea, diagnostic, for smear and/or culture ",,,291.0,2900.0,9
RC,499,Scrotal exploration ,,,870.0,4830.0,15
RC,499,Scrotoplasty; complicated ,,,870.0,4830.0,15
RC,499,Scrotoplasty; simple ,,,607.0,6801.0,15
RC,499,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,1632.0,4953.0,5
RC,499,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,1632.0,4953.0,5
RC,499,Semi-precision abutment - placement ,,,3715.0,4953.0,3
RC,499,Semi-precision attachment - placement ,,,3715.0,4953.0,3
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1142.61,6446.0,15
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1404.42,6446.0,15
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,607.0,4830.0,15
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1142.61,6446.0,15
RC,499,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,511.0,6446.0,13
RC,499,Severing of tarsorrhaphy ,,,607.0,4100.0,13
RC,499,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,511.0,3979.0,15
RC,499,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,291.0,3523.0,13
RC,499,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,291.0,2900.0,9
RC,499,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,870.0,10732.0,13
RC,499,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,1603.31,10732.0,13
RC,499,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,870.0,4830.0,15
RC,499,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,870.0,4830.0,15
RC,499,Snip incision of lacrimal punctum ,,,291.0,3523.0,11
RC,499,Sperm washing for artificial insemination ,,,291.0,3523.0,9
RC,499,"Spinal puncture, lumbar, diagnostic; ",,,511.0,3523.0,15
RC,499,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,499,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,511.0,3523.0,15
RC,499,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,511.0,3523.0,12
RC,499,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,1753.0,6801.0,13
RC,499,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,1753.0,6801.0,15
RC,499,Stapes mobilization ,,,1404.42,10746.0,15
RC,499,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,1632.0,4953.0,5
RC,499,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,1632.0,4953.0,5
RC,499,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,499,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,499,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,499,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,769.0,4100.0,4
RC,499,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,1753.0,8866.0,9
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2540.0,3435.0,2
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2540.0,3435.0,2
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2540.0,3435.0,2
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,769.0,3435.0,2
RC,499,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,607.0,4100.0,15
RC,499,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,291.0,2900.0,9
RC,499,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,499,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,499,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,291.0,6446.0,10
RC,499,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,291.0,6446.0,10
RC,499,"Strabismus surgery, any procedure, superior oblique muscle ",,,1142.61,6446.0,15
RC,499,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1142.61,6446.0,15
RC,499,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1142.61,6446.0,15
RC,499,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1404.42,6446.0,15
RC,499,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1142.61,6446.0,15
RC,499,Subconjunctival injection ,,,291.0,2900.0,9
RC,499,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,769.0,4100.0,4
RC,499,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,511.0,3523.0,13
RC,499,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,511.0,3523.0,13
RC,499,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,1632.0,4953.0,5
RC,499,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,1632.0,3435.0,2
RC,499,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,1694.0,10746.0,9
RC,499,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,291.0,3435.0,7
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,1632.0,4953.0,5
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,1632.0,4953.0,5
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,1632.0,4953.0,5
RC,499,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,499,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,499,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,1632.0,4953.0,5
RC,499,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,1632.0,4953.0,5
RC,499,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,1632.0,4953.0,5
RC,499,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,1632.0,4953.0,5
RC,499,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,1632.0,4953.0,5
RC,499,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,1632.0,4953.0,5
RC,499,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,1632.0,4953.0,5
RC,499,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,1632.0,4953.0,5
RC,499,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1632.0,4953.0,5
RC,499,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,3
RC,499,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,3
RC,499,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,3
RC,499,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,3
RC,499,Surgical placement zygomatic implant ,,,3715.0,4953.0,3
RC,499,Surgical repair of root resorption - molar ,,,3715.0,4953.0,3
RC,499,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,3
RC,499,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,3
RC,499,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,1632.0,4953.0,5
RC,499,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,1632.0,4953.0,5
RC,499,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,1632.0,4953.0,5
RC,499,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1257.0,6446.0,8
RC,499,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1471.0,6446.0,8
RC,499,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1753.0,6801.0,15
RC,499,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1753.0,6801.0,15
RC,499,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,870.0,6801.0,15
RC,499,Suture of 1 nerve; median motor thenar ,,,1257.0,6801.0,15
RC,499,Suture of 1 nerve; ulnar motor ,,,1257.0,6801.0,15
RC,499,"Suture of digital nerve, hand or foot; 1 nerve ",,,1142.61,6446.0,15
RC,499,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,499,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,291.0,2900.0,10
RC,499,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,291.0,2900.0,10
RC,499,Suture of facial nerve; extracranial ,,,1257.0,6801.0,15
RC,499,"Suture of facial nerve; infratemporal, with or without grafting ",,,1471.0,6801.0,15
RC,499,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,870.0,4830.0,15
RC,499,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,870.0,6801.0,15
RC,499,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,870.0,6801.0,15
RC,499,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,291.0,6446.0,10
RC,499,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,291.0,2900.0,10
RC,499,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,291.0,6446.0,10
RC,499,Suture of posterior tibial nerve ,,,870.0,6801.0,15
RC,499,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,870.0,4830.0,15
RC,499,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,870.0,5115.0,13
RC,499,Suture of sciatic nerve ,,,870.0,5958.0,15
RC,499,Suture of; brachial plexus ,,,1142.61,6446.0,15
RC,499,Suture of; lumbar plexus ,,,1257.0,6801.0,15
RC,499,Suture or repair of testicular injury ,,,1257.0,6446.0,15
RC,499,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,1632.0,4953.0,5
RC,499,"Sympathectomy, cervical ",,,769.0,4100.0,15
RC,499,"Sympathectomy, cervicothoracic ",,,769.0,4100.0,7
RC,499,"Sympathectomy, lumbar ",,,1632.0,4953.0,5
RC,499,"Sympathectomy, thoracolumbar ",,,1632.0,4953.0,5
RC,499,"Sympathectomy; digital arteries, each digit ",,,1142.61,4830.0,7
RC,499,Sympathectomy; radial artery ,,,1404.42,6446.0,15
RC,499,Sympathectomy; superficial palmar arch ,,,870.0,5958.0,13
RC,499,Sympathectomy; ulnar artery ,,,870.0,5958.0,13
RC,499,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,1632.0,4953.0,5
RC,499,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,607.0,4100.0,13
RC,499,Temporary transcutaneous pacing ,,,511.0,3250.0,4
RC,499,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,291.0,3435.0,7
RC,499,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2179.0,9431.0,10
RC,499,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,499,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,499,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,499,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1632.0,3435.0,7
RC,499,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,990.0,4
RC,499,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,499,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,1632.0,4953.0,5
RC,499,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1471.0,6801.0,11
RC,499,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1471.0,6801.0,11
RC,499,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,769.0,4100.0,4
RC,499,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1753.0,6801.0,11
RC,499,"Thyroidectomy, total or complete ",,,1753.0,10746.0,11
RC,499,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,5
RC,499,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,1753.0,10746.0,11
RC,499,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,1632.0,10746.0,8
RC,499,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,1694.0,10746.0,12
RC,499,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,1632.0,10746.0,9
RC,499,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,1632.0,10746.0,9
RC,499,Total facial nerve decompression and/or repair (may include graft) ,,,1471.0,6801.0,11
RC,499,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1257.0,9431.0,13
RC,499,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,870.0,9431.0,13
RC,499,Trabeculoplasty by laser surgery ,,,511.0,3523.0,13
RC,499,Trabeculotomy ab externo ,,,1142.61,6446.0,15
RC,499,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1257.0,6446.0,15
RC,499,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1257.0,6446.0,15
RC,499,"Transabdominal amnioinfusion, including ultrasound guidance ",,,291.0,3523.0,13
RC,499,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,4
RC,499,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,499,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2174.0,13472.0,21
RC,499,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,1632.0,4953.0,7
RC,499,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,499,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2259.0,6801.0,7
RC,499,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,607.0,4830.0,11
RC,499,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,1632.0,4953.0,5
RC,499,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,1632.0,4953.0,5
RC,499,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,769.0,4100.0,9
RC,499,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,1142.61,5958.0,9
RC,499,"Transection or avulsion of other cranial nerve, extradural ",,,870.0,4830.0,15
RC,499,"Transection or avulsion of other spinal nerve, extradural ",,,870.0,4830.0,15
RC,499,"Transection or avulsion of; facial nerve, differential or complete ",,,870.0,4830.0,15
RC,499,Transection or avulsion of; greater occipital nerve ,,,870.0,4830.0,15
RC,499,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,769.0,4100.0,15
RC,499,Transection or avulsion of; infraorbital nerve ,,,769.0,4100.0,15
RC,499,Transection or avulsion of; lingual nerve ,,,870.0,4830.0,15
RC,499,Transection or avulsion of; mental nerve ,,,769.0,4100.0,15
RC,499,Transection or avulsion of; phrenic nerve ,,,769.0,4100.0,15
RC,499,Transection or avulsion of; supraorbital nerve ,,,769.0,4100.0,15
RC,499,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,1632.0,4953.0,5
RC,499,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,1632.0,4953.0,5
RC,499,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,1632.0,4953.0,5
RC,499,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,1632.0,4953.0,5
RC,499,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,5
RC,499,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,3715.0,10746.0,5
RC,499,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1404.42,6801.0,13
RC,499,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1404.42,6801.0,13
RC,499,Transmastoid antrotomy (simple mastoidectomy) ,,,1753.0,10746.0,15
RC,499,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,1632.0,4953.0,5
RC,499,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,1632.0,4953.0,5
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,291.0,2900.0,8
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,1753.0,9431.0,13
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,1753.0,9431.0,13
RC,499,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,499,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,607.0,9431.0,14
RC,499,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,1257.0,16336.0,13
RC,499,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,1632.0,4953.0,5
RC,499,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1257.0,6446.0,15
RC,499,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,291.0,6446.0,10
RC,499,"Transposition, ovary(s) ",,,1257.0,6446.0,8
RC,499,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,1632.0,4953.0,5
RC,499,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,1632.0,4953.0,5
RC,499,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,769.0,7602.0,11
RC,499,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1404.42,8866.0,12
RC,499,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,870.0,6801.0,11
RC,499,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,499,Transurethral drainage of prostatic abscess ,,,870.0,4830.0,15
RC,499,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,1471.0,6801.0,13
RC,499,Transurethral incision of prostate ,,,1257.0,6446.0,15
RC,499,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,769.0,7161.0,13
RC,499,Transurethral resection of bladder neck (separate procedure) ,,,1257.0,6446.0,15
RC,499,Transurethral resection; of postoperative bladder neck contracture ,,,870.0,4830.0,15
RC,499,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,870.0,6801.0,15
RC,499,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1632.0,6801.0,7
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,291.0,2900.0,8
RC,499,Transvesical ureterolithotomy ,,,1142.61,6801.0,7
RC,499,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,511.0,3250.0,11
RC,499,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,511.0,3250.0,13
RC,499,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1404.42,6446.0,15
RC,499,"Treatment of missed abortion, completed surgically; first trimester ",,,1404.42,6446.0,15
RC,499,"Treatment of missed abortion, completed surgically; second trimester ",,,1404.42,6446.0,15
RC,499,"Treatment of septic abortion, completed surgically ",,,870.0,4953.0,9
RC,499,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,9
RC,499,Tubotubal anastomosis ,,,1694.0,6446.0,8
RC,499,Tubouterine implantation ,,,1694.0,6446.0,8
RC,499,Twist drill hole for subdural or ventricular puncture ,,,1632.0,4953.0,5
RC,499,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,1632.0,4953.0,5
RC,499,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,1632.0,4953.0,5
RC,499,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,1632.0,4953.0,5
RC,499,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1632.0,5278.0,32
RC,499,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,994.46,4830.0,9
RC,499,Tympanic neurectomy ,,,1257.0,6446.0,15
RC,499,"Tympanolysis, transcanal ",,,607.0,6801.0,13
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,1753.0,7161.0,13
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,1753.0,7161.0,13
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,1753.0,6801.0,13
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,1753.0,6801.0,13
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,1753.0,6801.0,13
RC,499,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,769.0,4100.0,13
RC,499,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,291.0,3523.0,11
RC,499,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2900.0,5
RC,499,URETHRA PRESSURE PROFILE ,,,988.0,1069.0,2
RC,499,Unlisted cardiovascular service or procedure ,,,291.0,2900.0,4
RC,499,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,4
RC,499,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,291.0,2900.0,11
RC,499,"Unlisted hysteroscopy procedure, uterus ",,,291.0,6446.0,11
RC,499,"Unlisted laparoscopy procedure, bladder ",,,1257.0,6801.0,9
RC,499,"Unlisted laparoscopy procedure, endocrine system ",,,1257.0,6801.0,9
RC,499,"Unlisted laparoscopy procedure, maternity care and delivery ",,,1257.0,6801.0,11
RC,499,"Unlisted laparoscopy procedure, oviduct, ovary ",,,1257.0,6801.0,9
RC,499,"Unlisted laparoscopy procedure, renal ",,,1257.0,6801.0,9
RC,499,"Unlisted laparoscopy procedure, spermatic cord ",,,1257.0,6801.0,9
RC,499,"Unlisted laparoscopy procedure, testis ",,,1257.0,6801.0,9
RC,499,"Unlisted laparoscopy procedure, ureter ",,,1753.0,6801.0,9
RC,499,"Unlisted laparoscopy procedure, uterus ",,,1257.0,6801.0,9
RC,499,"Unlisted procedure, abdomen, peritoneum and omentum ",,,607.0,4100.0,11
RC,499,"Unlisted procedure, anterior segment of eye ",,,607.0,4100.0,11
RC,499,"Unlisted procedure, conjunctiva ",,,291.0,2900.0,7
RC,499,"Unlisted procedure, endocrine system ",,,607.0,9431.0,11
RC,499,"Unlisted procedure, external ear ",,,291.0,2900.0,9
RC,499,"Unlisted procedure, extraocular muscle ",,,291.0,2900.0,7
RC,499,"Unlisted procedure, eyelids ",,,291.0,2900.0,7
RC,499,"Unlisted procedure, female genital system (nonobstetrical) ",,,291.0,2900.0,11
RC,499,"Unlisted procedure, inner ear ",,,291.0,2900.0,11
RC,499,"Unlisted procedure, lacrimal system ",,,291.0,2900.0,7
RC,499,"Unlisted procedure, male genital system ",,,291.0,2900.0,11
RC,499,"Unlisted procedure, maternity care and delivery ",,,291.0,2900.0,11
RC,499,"Unlisted procedure, middle ear ",,,291.0,2900.0,11
RC,499,"Unlisted procedure, nervous system ",,,291.0,2900.0,11
RC,499,"Unlisted procedure, orbit ",,,291.0,2900.0,7
RC,499,"Unlisted procedure, posterior segment ",,,769.0,4100.0,7
RC,499,"Unlisted procedure, temporal bone, middle fossa approach ",,,291.0,2900.0,11
RC,499,"Unlisted procedure, urinary system ",,,291.0,2900.0,11
RC,499,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,3
RC,499,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,291.0,2900.0,8
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4830.0,15
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,607.0,4830.0,15
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,607.0,4100.0,15
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,511.0,3523.0,15
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,607.0,4100.0,15
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,607.0,4100.0,15
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,607.0,4830.0,15
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,511.0,3523.0,15
RC,499,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,1632.0,6446.0,9
RC,499,"Ureterectomy, with bladder cuff (separate procedure) ",,,1632.0,6446.0,9
RC,499,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,1632.0,4953.0,5
RC,499,"Ureterocolon conduit, including intestine anastomosis ",,,1632.0,4953.0,5
RC,499,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,1632.0,4953.0,5
RC,499,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,1632.0,4953.0,5
RC,499,Ureterolithotomy; lower one-third of ureter ,,,1632.0,6446.0,9
RC,499,Ureterolithotomy; middle one-third of ureter ,,,1632.0,6446.0,9
RC,499,Ureterolithotomy; upper one-third of ureter ,,,1632.0,6446.0,9
RC,499,Ureterolysis for ovarian vein syndrome ,,,1632.0,4953.0,5
RC,499,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,1632.0,4953.0,5
RC,499,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,1632.0,4953.0,5
RC,499,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,1632.0,4953.0,5
RC,499,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,1632.0,4830.0,5
RC,499,Ureteroneocystostomy; with extensive ureteral tailoring ,,,1632.0,4953.0,5
RC,499,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,1632.0,4953.0,5
RC,499,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,1632.0,4953.0,5
RC,499,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,1632.0,4953.0,5
RC,499,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,1632.0,4953.0,5
RC,499,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,1632.0,4953.0,5
RC,499,"Ureterostomy, transplantation of ureter to skin ",,,1632.0,4953.0,5
RC,499,"Ureterotomy for insertion of indwelling stent, all types ",,,1632.0,6446.0,9
RC,499,Ureterotomy with exploration or drainage (separate procedure) ,,,1632.0,6446.0,9
RC,499,Ureteroureterostomy ,,,1632.0,4953.0,5
RC,499,"Urethrectomy, total, including cystostomy; female ",,,1404.42,6446.0,15
RC,499,"Urethrectomy, total, including cystostomy; male ",,,1603.31,6446.0,15
RC,499,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1404.42,6446.0,11
RC,499,"Urethromeatoplasty, with mucosal advancement ",,,607.0,5958.0,15
RC,499,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,607.0,4830.0,15
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1257.0,6446.0,15
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1257.0,6446.0,15
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1257.0,6801.0,15
RC,499,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1257.0,6446.0,15
RC,499,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,870.0,5958.0,15
RC,499,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,870.0,5958.0,15
RC,499,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1257.0,6446.0,15
RC,499,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,870.0,5958.0,15
RC,499,"Urethroplasty, reconstruction of female urethra ",,,870.0,5958.0,15
RC,499,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2259.0,6801.0,4
RC,499,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1257.0,6446.0,15
RC,499,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,870.0,5958.0,15
RC,499,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,870.0,4830.0,15
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,870.0,5958.0,15
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,870.0,4830.0,15
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,870.0,5958.0,15
RC,499,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,607.0,4830.0,15
RC,499,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,607.0,4830.0,15
RC,499,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,1632.0,4953.0,5
RC,499,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,499,Uterine evacuation and curettage for hydatidiform mole ,,,1404.42,6446.0,15
RC,499,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1694.0,6446.0,9
RC,499,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,1632.0,4953.0,5
RC,499,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) ",,,1257.0,1714.0,2
RC,499,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,607.0,4830.0,11
RC,499,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,607.0,3435.0,6
RC,499,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1257.0,6446.0,11
RC,499,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,1632.0,3435.0,2
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; ",,,1603.31,8866.0,13
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,1694.0,5958.0,4
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,1603.31,8866.0,13
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,1603.31,8866.0,13
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,1603.31,8866.0,13
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,1753.0,6801.0,11
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1603.31,6801.0,11
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,1753.0,6801.0,11
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,1603.31,6801.0,11
RC,499,"Vaginal hysterectomy, radical (Schauta type operation) ",,,1632.0,4953.0,5
RC,499,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,1694.0,5958.0,4
RC,499,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,1694.0,5958.0,4
RC,499,"Vaginectomy, complete removal of vaginal wall; ",,,1257.0,6446.0,9
RC,499,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1257.0,6446.0,8
RC,499,"Vaginectomy, partial removal of vaginal wall; ",,,1257.0,6446.0,11
RC,499,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,870.0,4830.0,11
RC,499,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,607.0,4830.0,11
RC,499,Vaginoplasty for intersex state ,,,1257.0,6446.0,11
RC,499,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,3
RC,499,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,5
RC,499,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,870.0,4830.0,15
RC,499,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,291.0,2900.0,8
RC,499,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,870.0,4830.0,15
RC,499,"Vasovasostomy, vasovasorrhaphy ",,,607.0,4830.0,15
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,499,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,499,Ventilating tube removal requiring general anesthesia ,,,607.0,5958.0,13
RC,499,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,511.0,3523.0,15
RC,499,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,511.0,3523.0,15
RC,499,Ventriculocisternostomy (Torkildsen type operation) ,,,1632.0,4953.0,5
RC,499,"Ventriculocisternostomy, third ventricle; ",,,1632.0,4953.0,5
RC,499,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,742.8,4953.0,8
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2224.34,9431.0,8
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,1632.0,4953.0,15
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,1632.0,4953.0,10
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,1632.0,4953.0,5
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,1632.0,4953.0,5
RC,499,"Vesiculectomy, any approach ",,,511.0,3250.0,8
RC,499,Vesiculotomy; ,,,607.0,4830.0,13
RC,499,Vesiculotomy; complicated ,,,511.0,3250.0,8
RC,499,"Vestibular nerve section, transcranial approach ",,,1632.0,4953.0,5
RC,499,"Vestibular nerve section, translabyrinthine approach ",,,1404.42,10746.0,15
RC,499,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,3
RC,499,"Vitrectomy, mechanical, pars plana approach; ",,,1404.42,6801.0,13
RC,499,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,1404.42,10746.0,13
RC,499,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,1404.42,10746.0,13
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,1404.42,6801.0,11
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,1404.42,6801.0,11
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,1404.42,10746.0,11
RC,499,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,291.0,2900.0,8
RC,499,Vulvectomy simple; complete ,,,1404.42,7161.0,15
RC,499,Vulvectomy simple; partial ,,,1404.42,6446.0,15
RC,499,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,1632.0,4953.0,5
RC,499,"Vulvectomy, radical, complete; ",,,7058.0,13472.0,4
RC,499,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,499,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,499,"Vulvectomy, radical, partial; ",,,1603.31,10746.0,10
RC,499,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,499,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,7058.0,13472.0,4
RC,499,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1257.0,6446.0,11
RC,499,Wound closure utilizing tissue adhesive(s) only ,,,291.0,2900.0,4
RC,500, Outpatient Services General Classification  ,,,,,0
RC,509, Outpatient Services Other  ,,,,,0
RC,510, Clinic General Classification  ,,,,,0
RC,510,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u",,,,,0
RC,510,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When us",,,,,0
RC,510,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh",,,,,0
RC,510,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When",,,,,0
RC,510,Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional ,,,,,0
RC,510,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision makin",,,,,0
RC,510,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making",,,,,0
RC,510,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision m",,,,,0
RC,510,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision mak",,,,,0
RC,511, Clinic Chronic Pain Center  ,,,,,0
RC,512, Clinic Dental  ,,,,,0
RC,513, Clinic Psychiatric  ,,,,,0
RC,513, Clinic Psychiatric  Behavioral Health,,,,,0
RC,514, Clinic OB-GYN  ,,,,,0
RC,515, Clinic Pediatric  ,,,,,0
RC,516, Clinic Urgent Care  ,,,,,0
RC,517, Clinic Family Practice  ,,,,,0
RC,519, Clinic Other  ,,,,,0
RC,519,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,519,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,519,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,519,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,519,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,519,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,519,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,519,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,519,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,519,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,519,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,519,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,519,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,519,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,519,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,519,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,519,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,519,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,519,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,519,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,519,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,519,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,519,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,519,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,519,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,519,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,519,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,519,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,519,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,519,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,519,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,519,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,519,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,519,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,519,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,519,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,519,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,519,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,519,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,519,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,519,Assessment for hearing aid ,,,93.5,93.5,1
RC,519,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,519,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,519,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,519,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,519,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,519,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,519,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,519,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,519,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,519,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,519,Biofeedback training by any modality ,,,79.59,79.59,1
RC,519,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,519,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,105.9,105.9,1
RC,519,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,519,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,519,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,519,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,519,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,519,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,519,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,519,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,519,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,519,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,519,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,519,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,265.35,265.35,1
RC,519,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,288.57,288.57,1
RC,519,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,263.04,263.04,1
RC,519,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,519,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,268.62,268.62,1
RC,519,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,519,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,519,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,519,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,519,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,519,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,519,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,519,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,519,Conditioning play audiometry ,,,169.08,169.08,1
RC,519,Conformity evaluation ,,,82.14,82.14,1
RC,519,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,519,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,519,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,519,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,519,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,519,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,519,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,519,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,519,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,519,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,519,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,519,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,519,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,519,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,519,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,519,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,519,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,519,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,519,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,519,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,519,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,519,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,519,Duodenal motility (manometric) study ,,,190.95,190.95,1
RC,519,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,519,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,519,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,519,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,519,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,519,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,519,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,519,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,519,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,519,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,519,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,519,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,519,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,519,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,519,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,519,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,519,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,519,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,519,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,519,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,519,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,519,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,519,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,519,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,519,Electrocochleography ,,,211.05,211.05,1
RC,519,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,519,"Electrogastrography, diagnostic, transcutaneous; ",,,741.51,741.51,1
RC,519,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,767.4,767.4,1
RC,519,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,519,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,519,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,519,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,519,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,519,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,519,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,843.86,843.86,1
RC,519,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,221.27,221.27,1
RC,519,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,628.8,628.8,1
RC,519,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,288.87,288.87,1
RC,519,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,30.32,30.32,1
RC,519,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,185.89,185.89,1
RC,519,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,676.17,676.17,1
RC,519,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,261.71,261.71,1
RC,519,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,519,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,519,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,519,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,519,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,519,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,519,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,519,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,519,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,519,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,519,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,519,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,519,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,519,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,519,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,519,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,519,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,519,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,519,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,519,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,519,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,519,Filtered speech test ,,,59.78,59.78,1
RC,519,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,519,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,519,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,519,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,519,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,519,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,519,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,519,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,519,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,519,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,519,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,519,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,519,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,519,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,519,Gastric motility (manometric) studies ,,,375.18,375.18,1
RC,519,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report ",,,1388.25,1388.25,1
RC,519,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,1111.12,1111.12,1
RC,519,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,1485.54,1485.54,1
RC,519,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,519,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,519,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,519,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,519,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,519,Hearing screening ,,,71.4,71.4,1
RC,519,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method ,,,74.82,74.82,1
RC,519,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,519,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,519,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,519,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,519,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,519,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,519,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,519,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,519,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,519,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,519,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,519,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,519,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,519,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,519,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,519,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,519,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,519,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,519,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,519,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,519,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,519,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,519,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,519,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,519,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,519,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,519,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,519,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,519,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,519,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,519,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,519,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,519,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,519,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,519,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,519,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,519,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,519,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,519,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,519,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,519,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,519,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,519,Needle electromyography; larynx ,,,122.95,122.95,1
RC,519,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,519,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,519,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,519,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,519,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,519,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,519,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,519,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,519,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,519,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,519,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,519,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,519,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,519,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,519,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,519,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,519,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,519,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,519,Ophthalmodynamometry ,,,37.23,37.23,1
RC,519,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,519,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,519,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,519,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,519,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,519,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,519,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,519,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,519,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,519,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,519,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,519,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,519,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,519,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,519,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,519,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,519,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,519,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,519,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,519,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,519,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,519,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,519,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,519,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,519,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,519,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,519,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,519,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,519,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,519,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,519,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,519,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,519,Positional nystagmus test ,,,34.86,34.86,1
RC,519,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,519,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,519,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,519,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,519,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,519,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,519,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,519,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,519,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,519,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,519,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,519,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,519,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,519,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,519,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,519,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,519,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,814.8,814.8,1
RC,519,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,519,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,519,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,519,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,519,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,519,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,519,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,519,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,519,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,519,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,519,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,519,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,519,Select picture audiometry ,,,112.2,112.2,1
RC,519,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,519,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,519,Sensorineural acuity level test ,,,139.76,139.76,1
RC,519,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,519,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,519,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,519,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,519,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,519,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,519,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,519,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,519,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,519,Speech audiometry threshold; ,,,57.25,57.25,1
RC,519,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,519,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,519,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,519,Staggered spondaic word test ,,,107.8,107.8,1
RC,519,"Stenger test, pure tone ",,,41.44,41.44,1
RC,519,"Stenger test, speech ",,,43.34,43.34,1
RC,519,Synthetic sentence identification test ,,,85.67,85.67,1
RC,519,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,519,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,519,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,519,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,519,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,519,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,519,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,519,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,519,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,519,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,519,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,519,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,519,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,519,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,519,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,519,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,519,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,519,Tone decay test ,,,67.36,67.36,1
RC,519,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,519,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,519,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,519,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,519,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,519,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,519,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,519,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,519,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,519,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,519,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,519,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,519,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,519,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,519,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,519,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,519,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,519,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,519,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,519,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,519,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,519,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,519,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,519,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,519,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,520, Freestanding Clinic General Classification  ,,,,,0
RC,523, Freestanding Clinic Family Practice Clinic  ,,,,,0
RC,526, Freestanding Clinic Urgent Care Clinic  ,,,,,0
RC,529, Freestanding Clinic Other  ,,,,,0
RC,530, Osteopathic Services General Classification  ,,,,,0
RC,531, Osteopathic Services Osteopathic Therapy  ,,,,,0
RC,539, Osteopathic Services Other  ,,,,,0
RC,540, Ambulance General Classification  ,,,355.25,777.0,5
RC,541, Ambulance Supplies  ,,,,,0
RC,542, Ambulance Medical Transport  ,,,355.25,777.0,5
RC,543, Ambulance Heart Mobile  ,,,355.25,777.0,5
RC,544, Ambulance Oxygen  ,,,,,0
RC,545, Ambulance Air Ambulance  ,,,1204.0,2334.5,2
RC,546, Ambulance Neonatal Ambulance Services  ,,,355.25,777.0,5
RC,547, Ambulance Pharmacy  ,,,355.25,777.0,5
RC,548, Ambulance EKG Transmission  ,,,355.25,777.0,5
RC,549, Ambulance Other  ,,,355.25,777.0,5
RC,550, Skilled Nursing General Classification  ,,,308.75,308.75,1
RC,551, Skilled Nursing Visit Charge  ,,,308.75,308.75,1
RC,552, Skilled Nursing Hourly Charge  ,,,308.75,308.75,1
RC,559, Skilled Nursing Other  ,,,308.75,308.75,1
RC,610, Magnetic Resonance Technology (MRT) General Classification  ,,,410.0,1128.0,10
RC,610, Magnetic Resonance Technology (MRT) General Classification  With Contrast,,,750.0,750.0,1
RC,610,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,3
RC,610,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,920.54,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,920.54,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",609.43,609.43,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,341.2,3
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,341.2,6
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,341.2,3
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,920.54,3
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,341.2,3
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,610,"Magnetic resonance (eg, vibration) elastography ",,,311.26,311.26,3
RC,610,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,3
RC,610,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,3
RC,610,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,3
RC,610,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,3
RC,610,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,3
RC,610,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,616.1,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,616.1,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,616.1,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,3
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,3
RC,610,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,3
RC,610,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,313.62,3
RC,610,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,3
RC,610,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,3
RC,610,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,3
RC,610,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,3
RC,610,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,431.57,3
RC,610,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,426.22,3
RC,610,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,341.2,3
RC,610,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,313.62,3
RC,610,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,610,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,427.68,3
RC,610,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,341.2,3
RC,610,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,313.62,3
RC,610,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,610,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,428.65,3
RC,610,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,438.37,3
RC,610,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,443.23,3
RC,610,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,3
RC,610,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,3
RC,610,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,3
RC,610,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,616.1,3
RC,610,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,3
RC,610,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,313.62,3
RC,610,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,313.62,3
RC,610,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,397.49,6
RC,610,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,311.26,3
RC,610,Magnetic resonance spectroscopy ,,,521.48,521.48,3
RC,610,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,611, Magnetic Resonance Technology (MRT) MRI - Brain/Brainstem  ,,,410.0,1466.0,12
RC,611, Magnetic Resonance Technology (MRT) MRI - Brain/Brainstem  With Contrast,,,750.0,750.0,1
RC,611,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,616.1,3
RC,611,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,920.54,3
RC,611,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,313.62,3
RC,611,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,313.62,3
RC,611,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,3
RC,611,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,3
RC,611,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,118.87,3
RC,611,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,33.06,3
RC,611,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,123.92,3
RC,611,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,80.19,3
RC,611,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,326.32,3
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,920.54,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,920.54,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,341.2,3
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,341.2,6
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,920.54,3
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,341.2,3
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance (eg, vibration) elastography ",,,311.26,311.26,3
RC,611,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,3
RC,611,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,3
RC,611,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,3
RC,611,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,3
RC,611,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,3
RC,611,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,616.1,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,616.1,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,616.1,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,3
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,3
RC,611,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,3
RC,611,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,313.62,3
RC,611,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,3
RC,611,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,3
RC,611,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,3
RC,611,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,3
RC,611,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,431.57,3
RC,611,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,426.22,3
RC,611,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,341.2,3
RC,611,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,427.68,3
RC,611,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,341.2,3
RC,611,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,313.62,3
RC,611,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,611,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,428.65,3
RC,611,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,438.37,3
RC,611,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,443.23,3
RC,611,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,3
RC,611,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,3
RC,611,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,3
RC,611,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,616.1,3
RC,611,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,3
RC,611,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,313.62,3
RC,611,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,313.62,3
RC,611,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,397.49,6
RC,611,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,311.26,3
RC,611,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,311.26,3
RC,611,Magnetic resonance spectroscopy ,,,521.48,521.48,3
RC,611,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,612, Magnetic Resonance Technology (MRT) MRI - Spinal Code/Spine  ,,,410.0,1128.0,10
RC,612, Magnetic Resonance Technology (MRT) MRI - Spinal Code/Spine  With Contrast,,,750.0,750.0,1
RC,612,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,616.1,3
RC,612,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,920.54,3
RC,612,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,313.62,3
RC,612,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,313.62,3
RC,612,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,3
RC,612,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,3
RC,612,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,118.87,3
RC,612,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,33.06,3
RC,612,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,123.92,3
RC,612,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,80.19,3
RC,612,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,326.32,3
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,920.54,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,920.54,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,341.2,3
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,341.2,6
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,341.2,3
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,920.54,3
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,341.2,3
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance (eg, vibration) elastography ",,,311.26,311.26,3
RC,612,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,3
RC,612,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,3
RC,612,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,3
RC,612,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,3
RC,612,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,3
RC,612,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,616.1,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,616.1,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,616.1,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,3
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,3
RC,612,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,3
RC,612,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,313.62,3
RC,612,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,3
RC,612,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,3
RC,612,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,3
RC,612,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,3
RC,612,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,431.57,3
RC,612,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,426.22,3
RC,612,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,341.2,3
RC,612,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,427.68,3
RC,612,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,341.2,3
RC,612,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,313.62,3
RC,612,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,612,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,428.65,3
RC,612,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,438.37,3
RC,612,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,443.23,3
RC,612,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,3
RC,612,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,3
RC,612,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,3
RC,612,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,616.1,3
RC,612,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,3
RC,612,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,313.62,3
RC,612,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,313.62,3
RC,612,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,397.49,6
RC,612,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,311.26,3
RC,612,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,311.26,3
RC,612,Magnetic resonance spectroscopy ,,,521.48,521.48,3
RC,612,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,614, Magnetic Resonance Technology (MRT) MRI - Other  ,,,410.0,1128.0,10
RC,614, Magnetic Resonance Technology (MRT) MRI - Other  With Contrast,,,750.0,750.0,1
RC,614,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,616.1,3
RC,614,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,920.54,3
RC,614,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,313.62,3
RC,614,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,313.62,3
RC,614,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,3
RC,614,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,3
RC,614,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,118.87,3
RC,614,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,33.06,3
RC,614,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,123.92,3
RC,614,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,80.19,3
RC,614,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,326.32,3
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,920.54,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,920.54,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,341.2,3
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,341.2,6
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,341.2,3
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,920.54,3
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,341.2,3
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance (eg, vibration) elastography ",,,311.26,311.26,3
RC,614,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,3
RC,614,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,3
RC,614,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,3
RC,614,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,3
RC,614,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,3
RC,614,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,616.1,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,616.1,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,616.1,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,3
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,3
RC,614,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,3
RC,614,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,313.62,3
RC,614,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,3
RC,614,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,3
RC,614,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,3
RC,614,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,3
RC,614,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,431.57,3
RC,614,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,426.22,3
RC,614,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,341.2,3
RC,614,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,427.68,3
RC,614,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,341.2,3
RC,614,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,313.62,3
RC,614,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,614,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,428.65,3
RC,614,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,438.37,3
RC,614,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,443.23,3
RC,614,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,3
RC,614,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,3
RC,614,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,3
RC,614,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,3
RC,614,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,313.62,3
RC,614,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,313.62,3
RC,614,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,397.49,6
RC,614,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,311.26,3
RC,614,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,311.26,3
RC,614,Magnetic resonance spectroscopy ,,,521.48,521.48,3
RC,614,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,615, Magnetic Resonance Technology (MRT) MRA - Head and Neck  ,,,410.0,1128.0,10
RC,615, Magnetic Resonance Technology (MRT) MRA - Head and Neck  With Contrast,,,750.0,750.0,1
RC,615,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,616.1,3
RC,615,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,920.54,3
RC,615,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,313.62,3
RC,615,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,313.62,3
RC,615,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,3
RC,615,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,3
RC,615,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,118.87,3
RC,615,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,33.06,3
RC,615,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,123.92,3
RC,615,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,80.19,3
RC,615,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,326.32,3
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,920.54,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,920.54,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,341.2,3
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,341.2,6
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,341.2,3
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,920.54,3
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,341.2,3
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,615,"Magnetic resonance (eg, vibration) elastography ",,,311.26,311.26,3
RC,615,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,3
RC,615,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,3
RC,615,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,3
RC,615,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,3
RC,615,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,3
RC,615,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,616.1,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,616.1,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,616.1,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,3
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,3
RC,615,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,3
RC,615,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,313.62,3
RC,615,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,3
RC,615,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,3
RC,615,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,3
RC,615,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,3
RC,615,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,431.57,3
RC,615,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,426.22,3
RC,615,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,427.68,3
RC,615,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,428.65,3
RC,615,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,438.37,3
RC,615,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,443.23,3
RC,615,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,3
RC,615,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,3
RC,615,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,3
RC,615,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,616.1,3
RC,615,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,3
RC,615,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,313.62,3
RC,615,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,313.62,3
RC,615,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,397.49,6
RC,615,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,311.26,3
RC,615,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,311.26,3
RC,615,Magnetic resonance spectroscopy ,,,521.48,521.48,3
RC,615,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,616, Magnetic Resonance Technology (MRT) MRA - Lower Extremities  ,,,410.0,1128.0,10
RC,616, Magnetic Resonance Technology (MRT) MRA - Lower Extremities  With Contrast,,,750.0,750.0,1
RC,616,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,616.1,3
RC,616,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,920.54,3
RC,616,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,313.62,3
RC,616,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,313.62,3
RC,616,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,3
RC,616,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,3
RC,616,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,118.87,3
RC,616,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,33.06,3
RC,616,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,123.92,3
RC,616,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,80.19,3
RC,616,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,326.32,3
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,920.54,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,920.54,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,341.2,3
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,341.2,6
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,341.2,3
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,920.54,3
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,341.2,3
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance (eg, vibration) elastography ",,,311.26,311.26,3
RC,616,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,3
RC,616,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,3
RC,616,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,3
RC,616,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,3
RC,616,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,3
RC,616,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,616.1,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,616.1,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,616.1,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,3
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,3
RC,616,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,3
RC,616,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,313.62,3
RC,616,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,3
RC,616,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,3
RC,616,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,3
RC,616,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,3
RC,616,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,431.57,3
RC,616,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,426.22,3
RC,616,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,341.2,3
RC,616,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,427.68,3
RC,616,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,341.2,3
RC,616,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,313.62,3
RC,616,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,616,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,428.65,3
RC,616,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,438.37,3
RC,616,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,443.23,3
RC,616,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,3
RC,616,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,3
RC,616,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,3
RC,616,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,616.1,3
RC,616,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,3
RC,616,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,313.62,3
RC,616,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,313.62,3
RC,616,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,397.49,6
RC,616,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,311.26,3
RC,616,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,311.26,3
RC,616,Magnetic resonance spectroscopy ,,,521.48,521.48,3
RC,616,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,618, Magnetic Resonance Technolgy (MRT) MRA - Other  ,,,410.0,1128.0,10
RC,618, Magnetic Resonance Technolgy (MRT) MRA - Other  With Contrast,,,750.0,750.0,1
RC,618,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,616.1,3
RC,618,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,920.54,3
RC,618,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,313.62,3
RC,618,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,313.62,3
RC,618,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,3
RC,618,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,3
RC,618,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,118.87,3
RC,618,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,33.06,3
RC,618,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,123.92,3
RC,618,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,80.19,3
RC,618,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,326.32,3
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,920.54,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,920.54,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,341.2,3
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,341.2,6
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,341.2,3
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,920.54,3
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,341.2,3
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance (eg, vibration) elastography ",,,311.26,311.26,3
RC,618,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,3
RC,618,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,3
RC,618,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,3
RC,618,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,3
RC,618,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,3
RC,618,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,3
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,3
RC,618,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,3
RC,618,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,3
RC,618,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,3
RC,618,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,3
RC,618,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,3
RC,618,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,431.57,3
RC,618,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,426.22,3
RC,618,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,341.2,3
RC,618,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,427.68,3
RC,618,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,341.2,3
RC,618,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,313.62,3
RC,618,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,618,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,428.65,3
RC,618,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,438.37,3
RC,618,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,443.23,3
RC,618,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,3
RC,618,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,3
RC,618,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,3
RC,618,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,616.1,3
RC,618,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,3
RC,618,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,313.62,3
RC,618,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,313.62,3
RC,618,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,397.49,6
RC,618,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,311.26,3
RC,618,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,311.26,3
RC,618,Magnetic resonance spectroscopy ,,,521.48,521.48,3
RC,618,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,619, Magnetic Resonance Technology (MRT) Other  ,,,410.0,1128.0,10
RC,619, Magnetic Resonance Technology (MRT) Other  With Contrast,,,750.0,750.0,1
RC,619,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,616.1,616.1,3
RC,619,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,920.54,920.54,3
RC,619,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,313.62,313.62,3
RC,619,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,313.62,313.62,3
RC,619,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,650.13,650.13,3
RC,619,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,650.13,650.13,3
RC,619,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,118.87,118.87,3
RC,619,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,33.06,33.06,3
RC,619,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,123.92,123.92,3
RC,619,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,80.19,80.19,3
RC,619,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,326.32,326.32,3
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,920.54,920.54,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,920.54,920.54,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,341.2,341.2,3
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,313.62,341.2,6
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,341.2,341.2,3
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,920.54,920.54,3
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,341.2,341.2,3
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance (eg, vibration) elastography ",,,311.26,311.26,3
RC,619,"Magnetic resonance angiography with contrast, abdomen ",,,341.2,341.2,3
RC,619,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,341.2,341.2,3
RC,619,"Magnetic resonance angiography with contrast, lower extremity ",,,616.1,616.1,3
RC,619,"Magnetic resonance angiography with contrast, pelvis ",,,341.2,341.2,3
RC,619,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,616.1,616.1,3
RC,619,"Magnetic resonance angiography with contrast, upper extremity ",,,341.2,341.2,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,616.1,616.1,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,616.1,616.1,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,616.1,616.1,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,616.1,616.1,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,341.2,341.2,3
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,341.2,341.2,3
RC,619,"Magnetic resonance angiography without contrast, abdomen ",,,313.62,313.62,3
RC,619,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,313.62,313.62,3
RC,619,"Magnetic resonance angiography without contrast, lower extremity ",,,313.62,313.62,3
RC,619,"Magnetic resonance angiography without contrast, pelvis ",,,313.62,313.62,3
RC,619,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,313.62,313.62,3
RC,619,"Magnetic resonance angiography without contrast, upper extremity ",,,313.62,313.62,3
RC,619,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,431.57,431.57,3
RC,619,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,426.22,426.22,3
RC,619,"Magnetic resonance angiography, head; with contrast material(s) ",,,341.2,341.2,3
RC,619,"Magnetic resonance angiography, head; without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,427.68,427.68,3
RC,619,"Magnetic resonance angiography, neck; with contrast material(s) ",,,341.2,341.2,3
RC,619,"Magnetic resonance angiography, neck; without contrast material(s) ",,,313.62,313.62,3
RC,619,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,616.1,616.1,3
RC,619,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,428.65,428.65,3
RC,619,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,438.37,438.37,3
RC,619,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,443.23,443.23,3
RC,619,"Magnetic resonance imaging with contrast, breast; bilateral ",,,616.1,616.1,3
RC,619,"Magnetic resonance imaging with contrast, breast; unilateral ",,,341.2,341.2,3
RC,619,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,1688.18,1688.18,3
RC,619,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,616.1,616.1,3
RC,619,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,616.1,616.1,3
RC,619,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,313.62,313.62,3
RC,619,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,313.62,313.62,3
RC,619,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,395.55,397.49,6
RC,619,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,311.26,311.26,3
RC,619,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,311.26,311.26,3
RC,619,Magnetic resonance spectroscopy ,,,521.48,521.48,3
RC,619,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,83.86,83.86,3
RC,621, Medical/Surgical Supplies and Devices Supplies Incident to Radiology  ,,,,,0
RC,622, Medical/Surgical Supplies and Devices Supplies Incident to Other DX Services  ,,,,,0
RC,623, Medical/Surgical Supplies and Devices Surgical Dressings  ,,,,,0
RC,631, Pharmacy - Single Source Drug  ,,,,,0
RC,632, Pharmacy - Multiple Source Drug  ,,,,,0
RC,633, Pharmacy - Restrictive Prescription  ,,,,,0
RC,634," Pharmacy - Erythropoietin (EPO) < 10,000 Units  ",,,,,0
RC,635," Pharmacy - Erythropoietin (EPO) > 10,000 Units  ",,,,,0
RC,636, Pharmacy - Drugs Requiring Detailed Coding  ,,,,,0
RC,636,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"5% dextrose in lactated ringers infusion, up to 1000 cc ",160.67,160.67,16.03,16.03,3
RC,636,5% dextrose/normal saline (500 ml = 1 unit) ,,,3.42,3.42,3
RC,636,5% dextrose/water (500 ml = 1 unit) ,,,4.96,4.96,3
RC,636,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,Ac5 advanced wound system (ac5) ,,,15900.0,15900.0,3
RC,636,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Afamelanotide implant, 1 mg ",,,3810.94,7800.06,4
RC,636,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,2042143.0,4
RC,636,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",39.38,39.38,0.64,0.64,3
RC,636,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.21,0.21,3
RC,636,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",63.61,63.61,0.56,0.56,3
RC,636,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,4.69,4
RC,636,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,1033.55,4
RC,636,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,182.13,4
RC,636,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,307.56,307.56,3
RC,636,"Anti-inhibitor, per i.u. ",10637.57,10637.57,2.93,6.41,4
RC,636,"Antithrombin iii (human), per i.u. ",13520.91,13520.91,4.82,10.87,4
RC,636,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Aprepitant, oral, 5 mg ",2029.55,2029.55,6.33,6.33,3
RC,636,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.93,1.93,3
RC,636,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Ascent, 0.5 mg ",,,182.69,182.69,3
RC,636,"Autologous cultured chondrocytes, implant ",,,221874.56,221874.56,3
RC,636,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,1409400.17,4
RC,636,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Azathioprine, oral, 50 mg ",34.42,34.42,0.48,0.48,3
RC,636,"Azathioprine, parenteral, 100 mg ",,,300.0,675.11,4
RC,636,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,34.53,34.53,3
RC,636,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,601.82,601.82,3
RC,636,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,601.82,601.82,3
RC,636,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Bcg live intravesical instillation, 1 mg ",,,8.98,8.98,3
RC,636,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,2662.14,4
RC,636,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Biobrane, per square centimeter ",,,336.92,336.92,3
RC,636,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,1296620.09,4
RC,636,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,12.4,12.4,3
RC,636,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,2.92,2.92,3
RC,636,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,636,"Buprenorphine, oral, 1 mg ",,,3.31,3.31,3
RC,636,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,50.09,50.09,3
RC,636,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,25.15,25.15,3
RC,636,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,26.45,26.45,3
RC,636,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,15.45,15.45,3
RC,636,"Busulfan; oral, 2 mg ",402.72,402.72,26.82,26.82,3
RC,636,"Cabergoline, oral, 0.25 mg ",441.84,441.84,0.4,0.4,3
RC,636,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.08,0.08,3
RC,636,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,1767.74,4
RC,636,"Capecitabine, oral, 50 mg ",476.18,476.18,0.08,0.08,3
RC,636,"Capsaicin 8% patch, per square centimeter ",,,4.14,9.06,4
RC,636,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,646.71,4
RC,636,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,1093.13,1093.13,3
RC,636,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,1.56,4
RC,636,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6668.54,4
RC,636,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,414.25,414.25,3
RC,636,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,5082.59,5082.59,3
RC,636,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,1559511.25,4
RC,636,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,2.62,2.62,3
RC,636,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,542.59,542.59,3
RC,636,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,3.55,3.55,3
RC,636,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1574.84,4
RC,636,"Coretext or protext, per cc ",,,8533.0,8533.0,3
RC,636,"Corplex p or theracor p or allacor p, per milligram ",,,303.4,303.4,3
RC,636,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,130.51,130.51,3
RC,636,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.87,0.87,3
RC,636,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,2.15,2.15,3
RC,636,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cyclophosphamide; oral, 25 mg ",,,4.37,4.37,3
RC,636,"Cyclosporine, oral, 100 mg ",,,3.79,3.79,3
RC,636,"Cyclosporine, oral, 25 mg ",,,1.67,1.67,3
RC,636,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,5754.4,5754.4,3
RC,636,"Dacarbazine, 100 mg ",,,5.51,10.2,4
RC,636,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,209.88,209.88,3
RC,636,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dexamethasone (hemady), oral, 0.25 mg ",,,1.14,1.14,3
RC,636,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,245.26,4
RC,636,"Dexamethasone, oral, 0.25 mg ",,,0.08,0.08,3
RC,636,"Dexmedetomidine, oral, 1 mcg ",,,2.33,2.33,3
RC,636,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,3.66,3.66,3
RC,636,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,48.68,48.68,3
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,208.53,4
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",1569.2,1569.2,144.47,374.37,4
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,351.66,351.66,3
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,529.81,529.81,3
RC,636,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",569.52,569.52,36.31,98.16,4
RC,636,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,151.37,151.37,3
RC,636,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",2559.84,2559.84,146.2,146.2,3
RC,636,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,10.31,10.31,3
RC,636,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,4.37,4.37,3
RC,636,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Edetate disodium, per 150 mg ",,,0.87,0.87,3
RC,636,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,189.32,4
RC,636,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.3,1.44,4
RC,636,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,138.12,138.12,3
RC,636,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Epifix, injectable, 1 mg ",,,51.33,51.33,3
RC,636,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Esketamine, nasal spray, 1 mg ",,,50.83,50.83,3
RC,636,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,496.32,496.32,3
RC,636,"Etonogestrel (contraceptive) implant system, including implant and supplies ",7752.33,7752.33,4055.64,4055.64,3
RC,636,"Etoposide; oral, 50 mg ",1863.06,1863.06,230.13,230.13,3
RC,636,"Everolimus, oral, 0.25 mg ",,,3.29,3.29,3
RC,636,"Excellagen, 0.1 cc ",,,461.1,461.1,3
RC,636,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,3.63,4
RC,636,"Factor ix, complex, per i.u. ",,,2.02,4.51,4
RC,636,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,7.0,4
RC,636,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,5.83,5.83,3
RC,636,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,14.47,14.47,3
RC,636,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,3.68,4
RC,636,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",4742.58,4742.58,1.91,4.16,4
RC,636,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,170.45,4
RC,636,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.08,0.08,3
RC,636,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4199.38,4
RC,636,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,4837.95,4
RC,636,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,983.15,4
RC,636,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,1778.73,4
RC,636,"Floweramnioflo, 0.1 cc ",,,477.0,477.0,3
RC,636,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,854.02,4
RC,636,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,27.43,27.43,3
RC,636,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,1142.71,4
RC,636,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,2267.21,4
RC,636,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,1220.11,4
RC,636,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,1404.5,4
RC,636,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,5151.63,4
RC,636,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,4076.81,4076.81,3
RC,636,"Foundation drs+ duo, per square centimeter ",,,336.92,336.92,3
RC,636,"Foundation drs+ solo, per square centimeter ",,,336.92,336.92,3
RC,636,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,60.18,60.18,3
RC,636,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,3103.95,3103.95,3
RC,636,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1268.08,4
RC,636,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,960.63,988.8,4
RC,636,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,963.28,4
RC,636,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,1457.84,4
RC,636,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,131.52,4
RC,636,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,9.57,9.57,3
RC,636,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Gefitinib, oral, 250 mg ",,,771.15,771.15,3
RC,636,"Gemcitabine intravesical system, 225 mg ",,,193683.89,193683.89,3
RC,636,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Goserelin acetate implant, per 3.6 mg ",6141.48,6141.48,862.14,3577.31,4
RC,636,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Graftjacket xpress, injectable, 1 cc ",,,5293.38,5293.38,3
RC,636,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,156.48,156.48,3
RC,636,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,870.79,4
RC,636,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,99.69,4
RC,636,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",333.07,333.07,15.78,43.25,4
RC,636,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,449.49,4
RC,636,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",2081.18,2081.18,104.05,195.38,4
RC,636,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",1114.81,1114.81,47.17,113.98,4
RC,636,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,83.21,83.21,3
RC,636,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,131.89,131.89,3
RC,636,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,371.56,4
RC,636,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,195.62,195.62,3
RC,636,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,470.53,4
RC,636,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,199.15,4
RC,636,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",745.79,745.79,87.23,199.15,4
RC,636,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",1463.42,1463.42,225.79,435.71,4
RC,636,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,435.71,4
RC,636,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",342.05,342.05,35.23,87.98,4
RC,636,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.69,0.69,3
RC,636,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.21,0.21,3
RC,636,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,109109.59,4
RC,636,"Histrelin implant (vantas), 50 mg ",,,12480.25,12480.25,3
RC,636,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,1046.11,1046.11,3
RC,636,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,300.06,300.06,3
RC,636,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,337.24,337.24,3
RC,636,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,380.81,4
RC,636,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,17.83,4
RC,636,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,279.79,4
RC,636,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,1395.99,4
RC,636,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.8,1.8,3
RC,636,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,197.24,4
RC,636,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,48.04,4
RC,636,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,1736.65,4
RC,636,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,289.09,4
RC,636,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,8.27,8.27,3
RC,636,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,18.44,4
RC,636,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,27.96,4
RC,636,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,8.67,4
RC,636,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,9.75,4
RC,636,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,5.3,5.3,3
RC,636,"Hypertonic saline solution, 1 ml ",,,0.2,0.27,4
RC,636,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,1483419.86,4
RC,636,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,421.32,421.32,3
RC,636,"Immune globulin (Ig), human, for intramuscular use ",,,316.6,316.6,3
RC,636,"Immune globulin (IgIV), human, for intravenous use ",,,253.63,253.63,3
RC,636,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,64.08,64.08,3
RC,636,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,4585.27,4585.27,3
RC,636,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,10893.22,10893.22,3
RC,636,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,12713.03,4
RC,636,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,2923.45,5051.95,4
RC,636,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2203.37,2525.98,4
RC,636,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1975.89,4
RC,636,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,5302.49,4
RC,636,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,4442.43,4442.43,3
RC,636,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,260.12,4
RC,636,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",698.0,698.0,88.6,260.12,4
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,68.21,68.21,3
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,32.75,32.75,3
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,148.24,148.24,3
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,29.23,29.23,3
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,58.49,58.49,3
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,35.46,35.46,3
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",207.0,207.0,25.97,61.53,4
RC,636,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,260.12,4
RC,636,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,131.18,4
RC,636,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,78.73,4
RC,636,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,56.26,4
RC,636,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,140.66,4
RC,636,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,140.66,4
RC,636,"Infusion, albumin (human), 5%, 50 ml ",,,28.14,39.12,4
RC,636,"Infusion, d5w, 1000 cc ",160.55,160.55,4.44,8.14,4
RC,636,"Infusion, dextran 40, 500 ml ",,,51.53,1031.17,4
RC,636,"Infusion, normal saline solution , 1000 cc ",,,5.8,5.8,3
RC,636,"Infusion, normal saline solution, 250 cc ",,,1.86,1.86,3
RC,636,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,3.6,3.6,3
RC,636,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,166.74,166.74,3
RC,636,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,2784.46,2784.46,3
RC,636,"Injection abciximab, 10 mg ",,,1528.6,1528.6,3
RC,636,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,11.93,4
RC,636,"Injection fluconazole, 200 mg ",,,4.37,10.26,4
RC,636,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",8884.47,8884.47,53.03,118.51,4
RC,636,"Injection, abobotulinumtoxina, 5 units ",,,11.05,23.59,4
RC,636,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,636,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,636,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.16,0.16,3
RC,636,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.24,0.24,3
RC,636,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.13,4
RC,636,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,64.55,4
RC,636,"Injection, acetylcysteine, 100 mg ",4071.5,4071.5,0.54,1.35,4
RC,636,"Injection, acyclovir, 5 mg ",,,0.04,0.05,4
RC,636,"Injection, adalimumab, 1 mg ",,,432.43,432.43,3
RC,636,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,636,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,58.3,58.3,3
RC,636,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,214.6,214.6,3
RC,636,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,51.57,51.57,3
RC,636,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,151.34,151.34,3
RC,636,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,69.8,4
RC,636,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,94.29,4
RC,636,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,1.27,1.27,3
RC,636,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,111.83,4
RC,636,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,636,"Injection, aflibercept hd, 1 mg ",,,392.69,798.13,4
RC,636,"Injection, aflibercept, 1 mg ",,,973.04,1939.51,4
RC,636,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,2176.71,4
RC,636,"Injection, agalsidase beta, 1 mg ",,,272.46,603.09,4
RC,636,"Injection, aldesleukin, per single use vial ",40924.4,40924.4,7272.0,8848.01,4
RC,636,"Injection, alemtuzumab, 1 mg ",,,2985.07,6467.11,4
RC,636,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,549.9,4
RC,636,"Injection, allopurinol sodium, 1 mg ",,,5.45,10.1,4
RC,636,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,15.0,4
RC,636,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,13.62,4
RC,636,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1.27,1.27,3
RC,636,"Injection, alteplase recombinant, 1 mg ",,,111.82,251.99,4
RC,636,"Injection, amifostine, 500 mg ",9270.01,9270.01,1160.41,1160.41,3
RC,636,"Injection, amikacin sulfate, 100 mg ",,,0.74,1.62,4
RC,636,"Injection, aminocaproic acid, 1 gram ",,,1.6,4.16,4
RC,636,"Injection, aminophyllin, up to 250 mg ",,,13.5,30.02,4
RC,636,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,6.6,6.6,3
RC,636,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,1.03,4
RC,636,"Injection, amisulpride, 1 mg ",,,11.45,25.33,4
RC,636,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,59.97,4
RC,636,"Injection, amobarbital, up to 125 mg ",,,30.98,219.91,4
RC,636,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,49.56,4
RC,636,"Injection, amphotericin b liposome, 10 mg ",,,28.5,60.45,4
RC,636,"Injection, amphotericin b, 50 mg ",,,61.21,117.47,4
RC,636,"Injection, ampicillin sodium, 500 mg ",,,0.72,1.7,4
RC,636,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,3.58,4
RC,636,"Injection, anidulafungin, 1 mg ",,,0.59,1.3,4
RC,636,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,48.52,4
RC,636,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,3.31,4
RC,636,"Injection, apomorphine hydrochloride, 1 mg ",,,114.27,114.27,3
RC,636,"Injection, aprepitant (aponvie), 1 mg ",,,5.17,5.17,3
RC,636,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,636,"Injection, aprepitant, 1 mg ",,,2.09,4.48,4
RC,636,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.82,4
RC,636,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,12.59,12.59,3
RC,636,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.66,4.68,4
RC,636,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,3.66,3.66,3
RC,636,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,2.68,2.68,3
RC,636,"Injection, argatroban, 1 mg (for non-esrd use) ",,,2.68,3.78,4
RC,636,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,15.95,4
RC,636,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,19.27,4
RC,636,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,8.61,4
RC,636,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,8.8,4
RC,636,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.87,0.87,3
RC,636,"Injection, arsenic trioxide, 1 mg ",,,5.86,17.09,4
RC,636,"Injection, artesunate, 1 mg ",26975.33,26975.33,58.68,137.35,4
RC,636,"Injection, asparaginase (erwinaze), 1,000 iu ",,,,,0
RC,636,"Injection, asparaginase, not otherwise specified, 10,000 units ",,,,,0
RC,636,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,149.17,4
RC,636,"Injection, atezolizumab, 10 mg ",39234.2,39234.2,109.3,249.1,4
RC,636,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,84.67,4
RC,636,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,11938250.0,4
RC,636,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.03,0.03,3
RC,636,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.27,4
RC,636,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.27,0.27,3
RC,636,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,274.01,4
RC,636,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,215.18,4
RC,636,"Injection, avelumab, 10 mg ",,,118.76,279.71,4
RC,636,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,147.47,4
RC,636,"Injection, azacitidine, 1 mg ",9006.45,9006.45,0.38,1.09,4
RC,636,"Injection, azithromycin, 500 mg ",,,2.72,5.14,4
RC,636,"Injection, aztreonam, 100 mg ",,,6.07,6.07,3
RC,636,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,4.45,4.45,3
RC,636,"Injection, baclofen, 10 mg ",,,213.72,471.83,4
RC,636,"Injection, baclofen, 50 mcg for intrathecal trial ",1823.69,1823.69,65.8,144.0,4
RC,636,"Injection, basiliximab, 20 mg ",48276.78,48276.78,5731.33,12752.62,4
RC,636,"Injection, belatacept, 1 mg ",,,4.75,10.31,4
RC,636,"Injection, belimumab, 10 mg ",,,67.21,151.55,4
RC,636,"Injection, belinostat, 10 mg ",,,62.26,140.74,4
RC,636,"Injection, bendamustine hcl (bendeka), 1 mg ",15927.19,15927.19,16.6,34.19,4
RC,636,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,84.11,4
RC,636,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,36.94,4
RC,636,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,5.72,4
RC,636,"Injection, benralizumab, 1 mg ",,,199.66,432.9,4
RC,636,"Injection, benztropine mesylate, per 1 mg ",1587.42,1587.42,20.51,35.83,4
RC,636,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",198.1,198.1,8.38,18.47,4
RC,636,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,7786548.0,4
RC,636,"Injection, bevacizumab, 0.25 mg ",,,2.23,4.93,4
RC,636,"Injection, bevacizumab, 10 mg ",5130.99,5130.99,88.92,197.05,4
RC,636,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,91.82,4
RC,636,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",4491.81,4491.81,36.47,62.91,4
RC,636,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,68.5,4
RC,636,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,136.71,4
RC,636,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,223.61,223.61,3
RC,636,"Injection, bezlotoxumab, 10 mg ",,,48.74,105.55,4
RC,636,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,567.15,4
RC,636,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.34,0.34,3
RC,636,"Injection, bivalirudin, 1 mg ",14619.93,14619.93,0.18,0.32,4
RC,636,"Injection, bleomycin sulfate, 15 units ",896.69,896.69,26.36,43.99,4
RC,636,"Injection, blinatumomab, 1 microgram ",,,186.18,434.49,4
RC,636,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,67.34,4
RC,636,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,9.17,54.96,4
RC,636,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,18.47,54.96,4
RC,636,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,3.34,4
RC,636,"Injection, bortezomib, 0.1 mg ",,,3.06,5.96,4
RC,636,"Injection, brentuximab vedotin, 1 mg ",,,304.36,712.13,4
RC,636,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,935.64,4
RC,636,"Injection, brompheniramine maleate, per 10 mg ",,,0.87,0.87,3
RC,636,"Injection, bumetanide, 0.5 mg ",,,0.7,1.25,4
RC,636,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,636,"Injection, bupivacaine liposome, 1 mg ",,,1.74,3.74,4
RC,636,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.03,0.03,3
RC,636,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,4422.43,4
RC,636,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,1105.61,4
RC,636,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,5290.88,4
RC,636,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,5290.88,4
RC,636,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,11.05,4
RC,636,"Injection, burosumab-twza 1 mg ",,,574.32,1321.61,4
RC,636,"Injection, butorphanol tartrate, 1 mg ",,,5.74,16.3,4
RC,636,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,40.02,40.02,3
RC,636,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,201.53,4
RC,636,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,173.58,4
RC,636,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,97.2,4
RC,636,"Injection, cabazitaxel, 1 mg ",,,271.07,612.28,4
RC,636,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,64.08,4
RC,636,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,18.95,4
RC,636,"Injection, caffeine citrate, 5 mg ",,,1.7,4.82,4
RC,636,"Injection, calaspargase pegol-mknl, 10 units ",116389.22,116389.22,217.51,217.51,3
RC,636,"Injection, calcitonin salmon, up to 400 units ",33232.68,33232.68,1800.0,3797.98,4
RC,636,"Injection, calcitriol, 0.1 mcg ",,,1.19,3.15,4
RC,636,"Injection, calcium chloride, 2 mg ",,,0.04,0.08,4
RC,636,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.19,0.19,3
RC,636,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.08,0.08,3
RC,636,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,30.1,30.1,3
RC,636,"Injection, canakinumab, 1 mg ",,,166.97,396.36,4
RC,636,"Injection, cangrelor, 1 mg ",5797.19,5797.19,22.87,53.05,4
RC,636,"Injection, caplacizumab-yhdp, 1 mg ",48620.5,48620.5,2123.34,2123.34,3
RC,636,"Injection, carboplatin (avyxa), 1 mg ",,,13.89,13.89,3
RC,636,"Injection, carboplatin, 50 mg ",,,3.58,7.79,4
RC,636,"Injection, carboprost tromethamine, 0.1 mg ",3244.45,3244.45,41.23,41.23,3
RC,636,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,3323.1,3323.1,3
RC,636,"Injection, carfilzomib, 1 mg ",3197.1,3197.1,63.38,149.04,4
RC,636,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,636,"Injection, carmustine, 100 mg ",62599.87,62599.87,178.02,640.77,4
RC,636,"Injection, casimersen, 10 mg ",,,440.43,440.43,3
RC,636,"Injection, caspofungin acetate, 5 mg ",,,4.08,9.49,4
RC,636,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,3.29,3.29,3
RC,636,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",68.0,68.0,1.2,2.25,4
RC,636,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.96,4
RC,636,"Injection, cefazolin sodium, 500 mg ",,,1.01,2.25,4
RC,636,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,12.96,12.96,3
RC,636,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,15.66,15.66,3
RC,636,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,3.37,4
RC,636,"Injection, cefiderocol, 10 mg ",1558.31,1558.31,2.78,6.41,4
RC,636,"Injection, cefotaxime sodium, per gm ",,,11.77,19.48,4
RC,636,"Injection, cefotetan disodium, 10 mg ",,,0.77,0.77,3
RC,636,"Injection, cefoxitin sodium, 1 gm ",,,6.13,9.43,4
RC,636,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,11.26,4
RC,636,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,277.59,4
RC,636,"Injection, ceftazidime, per 500 mg ",,,1.96,3.74,4
RC,636,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,2.92,2.92,3
RC,636,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,23.43,4
RC,636,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,1.14,4
RC,636,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,78.86,4
RC,636,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,636,"Injection, cerliponase alfa, 1 mg ",,,321.1,321.1,3
RC,636,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,10.04,4
RC,636,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,44.84,4
RC,636,"Injection, cetuximab, 10 mg ",4928.04,4928.04,94.79,213.22,4
RC,636,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,154.71,4
RC,636,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,54.88,54.88,3
RC,636,"Injection, chloroprocaine hydrochloride, per 1 mg ",575.35,575.35,0.11,0.11,3
RC,636,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,124.34,4
RC,636,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,55.54,4
RC,636,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,40.2,4
RC,636,"Injection, cidofovir, 375 mg ",,,638.0,1486.09,4
RC,636,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,16.75,4
RC,636,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,244.86,4
RC,636,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.01,2.57,4
RC,636,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,5.75,4
RC,636,"Injection, cladribine, per 1 mg ",,,12.47,23.13,4
RC,636,"Injection, clevidipine butyrate, 1 mg ",3682.97,3682.97,3.36,7.53,4
RC,636,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,6.15,6.15,3
RC,636,"Injection, clindamycin phosphate, 300 mg ",,,4.93,4.93,3
RC,636,"Injection, clofarabine, 1 mg ",,,19.57,28.99,4
RC,636,"Injection, clonidine hydrochloride, 1 mg ",658.55,658.55,19.8,47.49,4
RC,636,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,5.22,4
RC,636,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,347.57,4
RC,636,"Injection, codeine phosphate, per 30 mg ",,,2.65,2.65,3
RC,636,"Injection, colistimethate sodium, up to 150 mg ",1026.97,1026.97,14.6,37.82,4
RC,636,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,207.63,4
RC,636,"Injection, concizumab-mtci, 0.5 mg ",,,221.2,221.2,3
RC,636,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,636,"Injection, corticotropin (acthar gel), up to 40 units ",,,10849.79,10849.79,3
RC,636,"Injection, corticotropin (ani), up to 40 units ",,,9464.08,9464.08,3
RC,636,"Injection, cosibelimab-ipdl, 2 mg ",,,60.74,60.74,3
RC,636,"Injection, cosyntropin, 0.25 mg ",,,40.84,43.09,4
RC,636,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,344.34,4
RC,636,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",9755.34,9755.34,1275.89,4197.6,4
RC,636,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,4878.7,4
RC,636,"Injection, crovalimab-akkz, 10 mg ",,,624.35,1461.5,4
RC,636,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.38,4
RC,636,"Injection, cyclophosphamide (baxter), 5 mg ",,,9.86,9.86,3
RC,636,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",9432.68,9432.68,1.33,2.15,4
RC,636,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,24.12,24.12,3
RC,636,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,9.67,4
RC,636,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,2.04,4
RC,636,"Injection, cyclosporine, 250 mg ",665.28,665.28,196.63,196.63,3
RC,636,"Injection, cytarabine, 100 mg ",,,1.0,2.12,4
RC,636,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",12223.03,12223.03,2215.44,4792.82,4
RC,636,"Injection, dactinomycin, 0.5 mg ",18679.35,18679.35,353.1,894.83,4
RC,636,"Injection, dalbavancin, 5 mg ",,,19.04,39.75,4
RC,636,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,42.03,4
RC,636,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.16,0.16,3
RC,636,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.13,0.13,3
RC,636,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.08,4
RC,636,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.13,4
RC,636,"Injection, daptomycin, 1 mg ",,,0.04,0.08,4
RC,636,"Injection, daratumumab, 10 mg ",,,82.68,187.54,4
RC,636,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",53345.02,53345.02,64.79,145.83,4
RC,636,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,8.14,4
RC,636,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,8.14,4
RC,636,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,136.53,136.53,3
RC,636,"Injection, daunorubicin citrate, liposomal formulation, 10 mg ",,,,,0
RC,636,"Injection, daunorubicin, 10 mg ",2556.79,2556.79,32.27,65.59,4
RC,636,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,8.19,4
RC,636,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.78,1.78,3
RC,636,"Injection, decitabine, 1 mg ",19532.85,19532.85,2.16,2.65,4
RC,636,"Injection, deferoxamine mesylate, 500 mg ",225.12,225.12,10.03,22.74,4
RC,636,"Injection, degarelix, 1 mg ",,,5.33,11.82,4
RC,636,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,8801647.41,4
RC,636,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,38.48,38.48,3
RC,636,"Injection, denosumab, 1 mg ",,,34.0,78.2,4
RC,636,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,73.96,73.96,3
RC,636,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,69.46,69.46,3
RC,636,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,78.97,78.97,3
RC,636,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,51.68,51.68,3
RC,636,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,82.97,82.97,3
RC,636,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,41.98,41.98,3
RC,636,"Injection, depo-estradiol cypionate, up to 5 mg ",277.08,277.08,51.74,137.32,4
RC,636,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,9.04,4
RC,636,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,7.18,7.18,3
RC,636,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.29,4
RC,636,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",19382.99,19382.99,250.93,540.04,4
RC,636,"Injection, dexrazoxane hydrochloride, per 250 mg ",4193.27,4193.27,98.98,131.81,4
RC,636,"Injection, diazepam, up to 5 mg ",475.63,475.63,7.08,22.55,4
RC,636,"Injection, diazoxide, up to 300 mg ",,,269.08,269.08,3
RC,636,"Injection, dicyclomine hcl, up to 20 mg ",1526.8,1526.8,15.72,24.83,4
RC,636,"Injection, diethylstilbestrol diphosphate, 250 mg ",,,,,0
RC,636,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.74,4
RC,636,"Injection, digoxin immune fab (ovine), per vial ",34570.1,34570.1,6074.8,13692.52,4
RC,636,"Injection, digoxin, up to 0.5 mg ",,,5.96,27.48,4
RC,636,"Injection, dihydroergotamine mesylate, per 1 mg ",2020.6,2020.6,104.83,145.46,4
RC,636,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.48,0.48,3
RC,636,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.11,4
RC,636,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,20.46,4
RC,636,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,636,"Injection, diphenhydramine hcl, up to 50 mg ",175.69,175.69,0.8,1.83,4
RC,636,"Injection, dipyridamole, per 10 mg ",,,4.69,22.29,4
RC,636,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",6465.01,6465.01,873.85,1984.8,4
RC,636,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,20.88,4
RC,636,"Injection, docetaxel (beizray), 1 mg ",,,59.4,122.14,4
RC,636,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,134.12,4
RC,636,"Injection, docetaxel, 1 mg ",,,0.76,1.48,4
RC,636,"Injection, dolasetron mesylate, 10 mg ",,,9.73,9.73,3
RC,636,"Injection, donanemab-azbt, 2 mg ",,,5.11,10.97,4
RC,636,"Injection, dopamine hcl, 40 mg ",,,0.86,2.12,4
RC,636,"Injection, dostarlimab-gxly, 10 mg ",59176.44,59176.44,293.59,654.76,4
RC,636,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.82,4
RC,636,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,7.23,4
RC,636,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",6239.07,6239.07,791.66,791.66,3
RC,636,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,190.43,4
RC,636,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.24,4
RC,636,"Injection, droperidol, up to 5 mg ",108.48,108.48,11.62,19.11,4
RC,636,"Injection, durvalumab, 10 mg ",,,102.54,228.3,4
RC,636,"Injection, ecallantide, 1 mg ",,,690.35,1533.69,4
RC,636,"Injection, eculizumab, 2 mg ",85971.84,85971.84,54.78,118.46,4
RC,636,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,84.61,4
RC,636,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,110.74,4
RC,636,"Injection, edaravone, 1 mg ",,,24.95,40.23,4
RC,636,"Injection, edetate calcium disodium, up to 1000 mg ",9628.1,9628.1,7898.29,16172.61,4
RC,636,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,365.7,365.7,3
RC,636,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,90.97,4
RC,636,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,86.42,4
RC,636,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,103.24,4
RC,636,"Injection, elivaldogene autotemcel, per treatment ",,,8427000.0,8427000.0,3
RC,636,"Injection, elliotts' b solution, 1 ml ",,,12.24,30.58,4
RC,636,"Injection, elosulfase alfa, 1 mg ",,,359.38,826.67,4
RC,636,"Injection, elotuzumab, 1 mg ",,,9.44,21.31,4
RC,636,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,494.99,4
RC,636,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,1017.97,4
RC,636,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,147.45,4
RC,636,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,97.28,4
RC,636,"Injection, enfuvirtide, 1 mg ",,,0.87,0.87,3
RC,636,"Injection, enoxaparin sodium, 10 mg ",,,0.64,1.43,4
RC,636,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,150.84,4
RC,636,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,1.14,1.14,3
RC,636,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,2.86,4
RC,636,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,2.44,2.44,3
RC,636,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.82,0.86,4
RC,636,"Injection, epirubicin hcl, 2 mg ",1460.16,1460.16,1.97,4.69,4
RC,636,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",2886.41,2886.41,8.65,19.37,4
RC,636,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.93,1.93,3
RC,636,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,2.09,4
RC,636,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,20.88,4
RC,636,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,2.73,2.73,3
RC,636,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,2.73,4
RC,636,"Injection, epoprostenol, 0.5 mg ",1257.18,1257.18,19.66,39.43,4
RC,636,"Injection, eptifibatide, 5 mg ",,,8.64,12.76,4
RC,636,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,54.46,4
RC,636,"Injection, eravacycline, 1 mg ",690.01,690.01,3.42,3.42,3
RC,636,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,203.41,4
RC,636,"Injection, ertapenem sodium, 500 mg ",,,11.22,19.13,4
RC,636,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,241.76,4
RC,636,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.53,0.53,3
RC,636,"Injection, esmolol hydrochloride, 10 mg ",,,0.64,0.64,3
RC,636,"Injection, esomeprazole sodium, 1 mg ",,,3.37,3.37,3
RC,636,"Injection, estrogen conjugated, per 25 mg ",4310.86,4310.86,468.13,1038.06,4
RC,636,"Injection, estrone, per 1 mg ",,,0.87,0.87,3
RC,636,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",6144.03,6144.03,1223.64,3404.77,4
RC,636,"Injection, etelcalcetide, 0.1 mg ",,,6.25,6.25,3
RC,636,"Injection, eteplirsen, 10 mg ",,,443.9,443.9,3
RC,636,"Injection, ethacrynate sodium, 1 mg ",,,48.42,48.42,3
RC,636,"Injection, ethanolamine oleate, 100 mg ",6752.55,6752.55,608.51,1374.37,4
RC,636,"Injection, etoposide, 10 mg ",,,1.31,2.39,4
RC,636,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,9782342.5,4
RC,636,"Injection, evinacumab-dgnb, 5mg ",,,227.78,523.72,4
RC,636,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,6179800.0,4
RC,636,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",4667.93,4667.93,2.26,4.88,4
RC,636,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,4.61,4.61,3
RC,636,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,14.1,4
RC,636,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,9.49,4
RC,636,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,3.95,4
RC,636,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,8.59,4
RC,636,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,6.52,4
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,4.16,4
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,4.13,4
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",6653.15,6653.15,1.72,3.74,4
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,3.13,4
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,5.67,4
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,7.05,4
RC,636,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,5.91,4
RC,636,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,11.9,4
RC,636,"Injection, factor x, (human), 1 i.u. ",,,11.65,26.37,4
RC,636,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,28.57,4
RC,636,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,48.57,4
RC,636,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",17496.0,17496.0,35.34,82.84,4
RC,636,"Injection, famotidine, 0.25 mg ",,,0.01,0.03,4
RC,636,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,87.11,4
RC,636,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,3.07,4
RC,636,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,2.92,4
RC,636,"Injection, ferric derisomaltose, 10 mg ",,,25.46,58.11,4
RC,636,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.61,4
RC,636,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",9501.74,9501.74,0.4,0.61,4
RC,636,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,636,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,2.7,4
RC,636,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.74,4
RC,636,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.85,4
RC,636,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.93,4
RC,636,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,2.73,4
RC,636,"Injection, fitusiran, 0.04 mg ",,,351.47,351.47,3
RC,636,"Injection, floxuridine, 500 mg ",19375.2,19375.2,4876.31,11265.07,4
RC,636,"Injection, fludarabine phosphate, 50 mg ",5259.03,5259.03,72.78,576.98,4
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,1351.0,4
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,897.79,4
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,1404.21,4
RC,636,"Injection, fluorouracil, 500 mg ",251.78,251.78,2.7,5.46,4
RC,636,"Injection, fluphenazine decanoate, up to 25 mg ",409.59,409.59,10.8,14.81,4
RC,636,"Injection, folic acid, 0.1 mg ",610.2,610.2,0.07,0.13,4
RC,636,"Injection, fomepizole, 15 mg ",,,14.92,17.33,4
RC,636,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,2.12,4
RC,636,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,6.76,4
RC,636,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.11,1.49,4
RC,636,"Injection, fosaprepitant, 1 mg ",,,0.14,0.29,4
RC,636,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,1.86,4
RC,636,"Injection, foscarnet sodium, per 1000 mg ",4491.85,4491.85,22.15,26.44,4
RC,636,"Injection, fosdenopterin, 0.1 mg ",,,46.61,46.61,3
RC,636,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,1389.08,4
RC,636,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.52,4
RC,636,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,11.26,11.26,3
RC,636,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,71.84,4
RC,636,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,110.43,4
RC,636,"Injection, fulvestrant, 25 mg ",18788.43,18788.43,8.42,13.09,4
RC,636,"Injection, furosemide (furoscix), 20 mg ",,,779.58,779.58,3
RC,636,"Injection, furosemide, 1 mg ",,,0.02,0.05,4
RC,636,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,4.56,4
RC,636,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,4.74,4
RC,636,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.8,4
RC,636,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,3.84,4
RC,636,"Injection, gadopiclenol, 1 ml ",,,8.53,8.53,3
RC,636,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.24,4
RC,636,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,3.68,4
RC,636,"Injection, gadoxetate disodium, 1 ml ",2061.61,2061.61,17.99,39.03,4
RC,636,"Injection, galsulfase, 1 mg ",,,592.82,1361.04,4
RC,636,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,129.72,4
RC,636,"Injection, gamma globulin, intramuscular, over 10 cc ",,,424.77,597.68,4
RC,636,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,159.0,159.0,3
RC,636,"Injection, ganciclovir sodium, 500 mg ",,,39.23,90.23,4
RC,636,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,5.11,4
RC,636,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,14.02,14.02,3
RC,636,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,1087.67,1087.67,3
RC,636,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,8.59,4
RC,636,"Injection, gemtuzumab ozogamicin, 0.1 mg ",52034.27,52034.27,285.01,636.45,4
RC,636,"Injection, givosiran, 0.5 mg ",,,142.4,320.6,4
RC,636,"Injection, glatiramer acetate, 20 mg ",,,75.0,687.09,4
RC,636,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,7527.8,4
RC,636,"Injection, glucagon (gvoke), 0.01 mg ",,,6.28,6.28,3
RC,636,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,357.75,4
RC,636,"Injection, glucagon hydrochloride, per 1 mg ",3296.0,3296.0,233.24,387.77,4
RC,636,"Injection, glucarpidase, 10 units ",284862.25,284862.25,1190.12,1190.12,3
RC,636,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,3.55,4
RC,636,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,3.58,3.58,3
RC,636,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.98,4
RC,636,"Injection, gold sodium thiomalate, up to 50 mg ",,,36.28,36.28,3
RC,636,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,29.92,4
RC,636,"Injection, golodirsen, 10 mg ",,,508.8,508.8,3
RC,636,"Injection, granisetron hydrochloride, 100 mcg ",605.86,605.86,0.32,0.42,4
RC,636,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,10.28,4
RC,636,"Injection, guselkumab, 1 mg ",,,86.11,179.7,4
RC,636,"Injection, haloperidol decanoate, per 50 mg ",1481.37,1481.37,5.64,16.09,4
RC,636,"Injection, haloperidol, up to 5 mg ",175.69,175.69,0.95,2.09,4
RC,636,"Injection, hemin, 1 mg ",65284.57,65284.57,40.44,93.57,4
RC,636,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.05,3.6,4
RC,636,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.05,0.05,3
RC,636,"Injection, heparin sodium, per 1000 units ",,,0.28,0.58,4
RC,636,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,186.11,4
RC,636,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,186.11,4
RC,636,"Injection, histrelin acetate, 10 micrograms ",,,2.65,2.65,3
RC,636,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,3.29,4
RC,636,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,4.03,4
RC,636,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.87,0.87,3
RC,636,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,291.21,291.21,3
RC,636,"Injection, hyaluronidase, recombinant, 1 usp unit ",2452.3,2452.3,0.44,0.95,4
RC,636,"Injection, hyaluronidase, up to 150 units ",,,39.34,83.61,4
RC,636,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,11.37,4
RC,636,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,58.67,4
RC,636,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.27,4
RC,636,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.03,4
RC,636,"Injection, hydroxocobalamin, intravenous, 25 mg ",9924.03,9924.03,5.99,14.42,4
RC,636,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,636,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,40.2,4
RC,636,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,24.78,64.8,4
RC,636,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,205.85,4
RC,636,"Injection, ibandronate sodium, 1 mg ",,,24.01,27.17,4
RC,636,"Injection, ibuprofen, 100 mg ",,,3.64,8.43,4
RC,636,"Injection, ibutilide fumarate, 1 mg ",6791.95,6791.95,357.96,580.93,4
RC,636,"Injection, icatibant, 1 mg ",,,83.92,832.55,4
RC,636,"Injection, idarubicin hydrochloride, 5 mg ",1740.99,1740.99,53.18,105.36,4
RC,636,"Injection, idursulfase, 1 mg ",,,663.37,1479.28,4
RC,636,"Injection, ifosfamide, 1 gram ",,,30.1,65.4,4
RC,636,"Injection, iloprost, 0.1 mcg ",,,15.13,15.13,3
RC,636,"Injection, imetelstat, 1 mg ",14731.2,14731.2,64.98,154.15,4
RC,636,"Injection, imiglucerase, 10 units ",,,52.75,113.5,4
RC,636,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",2218.49,2218.49,3.06,6.89,4
RC,636,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,326.29,4
RC,636,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,1327.46,4
RC,636,"Injection, immune globulin (bivigam), 500 mg ",,,210.52,210.52,3
RC,636,"Injection, immune globulin (cutaquig), 100 mg ",,,36.91,36.91,3
RC,636,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,46.59,4
RC,636,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,38.48,4
RC,636,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,195.65,4
RC,636,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,131.25,4
RC,636,"Injection, immune globulin (xembify), 100 mg ",,,17.46,40.73,4
RC,636,"Injection, immune globulin (yimmugo), 100 mg ",,,64.45,64.45,3
RC,636,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,240.46,4
RC,636,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,130.06,4
RC,636,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,171.32,4
RC,636,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,131.78,4
RC,636,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,124.66,4
RC,636,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,213.06,4
RC,636,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,49.82,4
RC,636,"Injection, inclisiran, 1 mg ",,,15.01,33.42,4
RC,636,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,14.02,4
RC,636,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,24.65,4
RC,636,"Injection, inebilizumab-cdon, 1 mg ",201643.73,201643.73,592.25,1313.21,4
RC,636,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,82.26,4
RC,636,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,71.02,4
RC,636,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,74.31,4
RC,636,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,885.82,885.82,3
RC,636,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,69.01,4
RC,636,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,7464.44,4
RC,636,"Injection, insulin, per 5 units ",,,0.26,1.3,4
RC,636,"Injection, interferon alfacon-1, recombinant, 1 microgram ",,,,,0
RC,636,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,481.66,481.66,3
RC,636,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,134.33,134.33,3
RC,636,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,9366.88,4
RC,636,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1594.05,1594.05,3
RC,636,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,92.94,92.94,3
RC,636,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,34.53,34.53,3
RC,636,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,95.77,95.77,3
RC,636,"Injection, interferon, gamma 1-b, 3 million units ",,,27950.85,27950.85,3
RC,636,"Injection, ipilimumab, 1 mg ",,,220.33,496.0,4
RC,636,"Injection, irinotecan liposome, 1 mg ",,,79.81,175.88,4
RC,636,"Injection, irinotecan, 20 mg ",,,2.0,4.05,4
RC,636,"Injection, iron dextran, 50 mg ",,,21.07,47.99,4
RC,636,"Injection, iron sucrose, 1 mg ",,,0.29,0.58,4
RC,636,"Injection, isatuximab-irfc, 10 mg ",4718.52,4718.52,96.41,221.49,4
RC,636,"Injection, isavuconazonium, 1 mg ",3467.85,3467.85,1.27,2.68,4
RC,636,"Injection, isoniazid, 1 mg ",2018.4,2018.4,0.8,0.8,3
RC,636,"Injection, itraconazole, 50 mg ",,,2488.96,2488.96,3
RC,636,"Injection, ixabepilone, 1 mg ",,,166.54,370.34,4
RC,636,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.9,4
RC,636,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,2.39,2.39,3
RC,636,"Injection, labetalol hydrochloride, 5 mg ",,,0.69,0.69,3
RC,636,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,230.15,230.15,3
RC,636,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,85.3,4
RC,636,"Injection, lanreotide, 1 mg ",,,48.35,94.66,4
RC,636,"Injection, laronidase, 0.1 mg ",,,47.2,105.87,4
RC,636,"Injection, lefamulin, 1 mg ",1252.52,1252.52,2.17,2.17,3
RC,636,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,59.1,4
RC,636,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,42.67,42.67,3
RC,636,"Injection, leucovorin calcium, per 50 mg ",,,4.28,9.51,4
RC,636,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,4678.76,4
RC,636,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,372.88,4
RC,636,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,1837.93,4
RC,636,"Injection, levetiracetam, 10 mg ",,,0.06,0.08,4
RC,636,"Injection, levocarnitine, per 1 gm ",1498.58,1498.58,61.19,61.19,3
RC,636,"Injection, levofloxacin, 250 mg ",,,1.26,5.72,4
RC,636,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,3.42,3.42,3
RC,636,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.13,4
RC,636,"Injection, levorphanol tartrate, up to 2 mg ",,,7.98,7.98,3
RC,636,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,18.44,4
RC,636,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,16.75,4
RC,636,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,19.64,19.64,3
RC,636,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",171.1,171.1,0.01,0.03,4
RC,636,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.11,0.11,3
RC,636,"Injection, lidocaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,636,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,12.51,4
RC,636,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,71.1,71.1,3
RC,636,"Injection, linezolid, 200 mg ",,,4.25,6.57,4
RC,636,"Injection, linvoseltamab-gcpt, 1 mg ",,,263.68,263.68,3
RC,636,"Injection, liothyronine, 1 mcg ",,,104.12,104.12,3
RC,636,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,692.18,4
RC,636,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",142460.6,142460.6,259.2,586.95,4
RC,636,"Injection, lorazepam, 2 mg ",175.69,175.69,1.92,4.4,4
RC,636,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,8600260.68,4
RC,636,"Injection, lumasiran, 0.5 mg ",,,389.83,868.46,4
RC,636,"Injection, lurbinectedin, 0.1 mg ",,,250.68,562.07,4
RC,636,"Injection, luspatercept-aamt, 0.25 mg ",24039.72,24039.72,50.42,113.29,4
RC,636,"Injection, magnesium sulfate, per 500 mg ",,,0.61,1.14,4
RC,636,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,636,"Injection, mannitol, 250 mg ",,,0.13,0.13,3
RC,636,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,141.17,4
RC,636,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,133.0,4
RC,636,"Injection, mecasermin, 1 mg ",,,441.16,1226.92,4
RC,636,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,346.96,346.96,3
RC,636,"Injection, medroxyprogesterone acetate, 1 mg ",632.64,632.64,0.29,1.27,4
RC,636,"Injection, meloxicam (azurity), 1 mg ",,,2.81,2.81,3
RC,636,"Injection, melphalan (apotex), 1 mg ",,,171.67,171.67,3
RC,636,"Injection, melphalan (evomela), 1 mg ",,,22.62,51.49,4
RC,636,"Injection, melphalan (hepzato), 1 mg ",,,946.08,2106.75,4
RC,636,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",33481.09,33481.09,192.08,319.78,4
RC,636,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,20.35,20.35,3
RC,636,"Injection, meperidine hydrochloride, per 100 mg ",68.08,68.08,12.38,23.37,4
RC,636,"Injection, mepivacaine hydrochloride, per 10 ml ",,,9.88,9.88,3
RC,636,"Injection, mepolizumab, 1 mg ",,,37.33,84.32,4
RC,636,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,5.22,5.22,3
RC,636,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",312.0,312.0,1.96,3.92,4
RC,636,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,5.75,4
RC,636,"Injection, meropenem, 100 mg ",,,0.53,0.98,4
RC,636,"Injection, mesna, 200 mg ",75.72,75.72,1.66,3.52,4
RC,636,"Injection, methadone hcl, up to 10 mg ",,,25.57,38.98,4
RC,636,"Injection, methocarbamol, up to 10 ml ",1411.67,1411.67,7.78,11.13,4
RC,636,"Injection, methotrexate sodium, 50 mg ",,,3.17,7.1,4
RC,636,"Injection, methyldopate hcl, up to 250 mg ",,,25.68,25.68,3
RC,636,"Injection, methylergonovine maleate, up to 0.2 mg ",442.31,442.31,26.03,57.27,4
RC,636,"Injection, methylnaltrexone, 0.1 mg ",,,1.7,5.57,4
RC,636,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.29,4
RC,636,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.64,4
RC,636,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,2.52,4
RC,636,"Injection, metoprolol tartrate, 1 mg ",80.9,80.9,0.17,0.34,4
RC,636,"Injection, metronidazole, 10 mg ",,,0.08,0.08,3
RC,636,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.98,0.98,3
RC,636,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.58,0.58,3
RC,636,"Injection, micafungin sodium, 1 mg ",,,0.35,0.69,4
RC,636,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.45,4
RC,636,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.37,0.37,3
RC,636,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",377.91,377.91,0.42,0.42,3
RC,636,"Injection, milrinone lactate, 5 mg ",,,1.92,3.13,4
RC,636,"Injection, minocycline hydrochloride, 1 mg ",2125.46,2125.46,3.11,7.05,4
RC,636,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,111.54,4
RC,636,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",33268.32,33268.32,83.23,188.49,4
RC,636,"Injection, mitomycin, 5 mg ",3470.04,3470.04,31.3,75.42,4
RC,636,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,671.7,4
RC,636,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,22.1,22.1,3
RC,636,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,32.2,32.2,3
RC,636,"Injection, morphine sulfate, up to 10 mg ",,,5.66,11.79,4
RC,636,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,1734.53,4
RC,636,"Injection, motixafortide, 0.25 mg ",,,30.83,70.17,4
RC,636,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,61.98,4
RC,636,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,17.6,17.6,3
RC,636,"Injection, moxifloxacin, 100 mg ",,,10.49,23.16,4
RC,636,"Injection, mycophenolate mofetil, 10 mg ",1807.35,1807.35,1.06,1.06,3
RC,636,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.4,0.4,3
RC,636,"Injection, nafcillin sodium, 20 mg ",,,0.13,0.13,3
RC,636,"Injection, nalbuphine hydrochloride, per 10 mg ",887.61,887.61,3.77,9.06,4
RC,636,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.4,4
RC,636,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.19,4
RC,636,"Injection, naltrexone, depot form, 1 mg ",,,5.04,11.26,4
RC,636,"Injection, nandrolone decanoate, up to 50 mg ",,,10.63,10.63,3
RC,636,"Injection, natalizumab, 1 mg ",,,29.8,64.45,4
RC,636,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,64.45,64.45,3
RC,636,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,1818.14,4
RC,636,"Injection, necitumumab, 1 mg ",,,7.01,15.18,4
RC,636,"Injection, nelarabine, 50 mg ",,,77.26,139.68,4
RC,636,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,2.25,2.25,3
RC,636,"Injection, neostigmine methylsulfate, up to 0.5 mg ",18.13,18.13,0.96,3.74,4
RC,636,"Injection, nesiritide, 0.1 mg ",,,79.66,79.66,3
RC,636,"Injection, nicardipine, 0.1 mg ",,,0.19,0.19,3
RC,636,"Injection, nipocalimab-aahu, 3 mg ",,,86.58,86.58,3
RC,636,"Injection, nitroglycerin, 5 mg ",,,4.43,4.43,3
RC,636,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,534.66,4
RC,636,"Injection, nivolumab, 1 mg ",,,39.55,89.09,4
RC,636,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,73.48,4
RC,636,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,250.69,4
RC,636,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,27.27,27.27,3
RC,636,"Injection, nusinersen, 0.1 mg ",,,1420.38,3407.32,4
RC,636,"Injection, obinutuzumab, 10 mg ",,,91.96,216.8,4
RC,636,"Injection, ocrelizumab, 1 mg ",,,70.67,157.94,4
RC,636,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,123.99,4
RC,636,"Injection, octafluoropropane microspheres, per ml ",,,51.2,105.89,4
RC,636,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,499.13,4
RC,636,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,1.64,4
RC,636,"Injection, ofatumumab, 10 mg ",,,72.41,164.91,4
RC,636,"Injection, olanzapine, 0.5 mg ",1323.92,1323.92,1.14,1.88,4
RC,636,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,8.45,4
RC,636,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,636,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,1048.34,4
RC,636,"Injection, omadacycline, 1 mg ",,,4.73,10.94,4
RC,636,"Injection, omalizumab, 5 mg ",,,49.06,110.82,4
RC,636,"Injection, onabotulinumtoxina, 1 unit ",4082.4,4082.4,7.92,17.25,4
RC,636,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,7060205.76,7060205.76,3
RC,636,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,6855781.24,4
RC,636,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.24,4
RC,636,"Injection, oprelvekin, 5 mg ",,,655.0,655.0,3
RC,636,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,115.86,4
RC,636,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,75.71,4
RC,636,"Injection, orphenadrine citrate, up to 60 mg ",442.26,442.26,15.07,21.78,4
RC,636,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,2.25,4
RC,636,"Injection, oxaliplatin, 0.5 mg ",174.96,174.96,0.06,0.21,4
RC,636,"Injection, oxymorphone hcl, up to 1 mg ",,,6.2,6.2,3
RC,636,"Injection, oxytocin, up to 10 units ",,,1.68,7.18,4
RC,636,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.95,15.97,4
RC,636,"Injection, paclitaxel, 1 mg ",,,0.4,0.4,3
RC,636,"Injection, palifermin, 50 micrograms ",,,41.57,97.31,4
RC,636,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,38.4,4
RC,636,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,34.32,4
RC,636,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,39.96,4
RC,636,"Injection, palonosetron hcl, 25 mcg ",,,0.61,1.72,4
RC,636,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,146.52,4
RC,636,"Injection, pamidronate disodium, per 30 mg ",,,16.97,32.91,4
RC,636,"Injection, panitumumab, 10 mg ",10104.52,10104.52,201.65,462.13,4
RC,636,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,10.02,10.02,3
RC,636,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,25.39,25.39,3
RC,636,"Injection, pantoprazole sodium, 40 mg ",,,22.79,22.79,3
RC,636,"Injection, papaverine hcl, up to 60 mg ",,,45.0,121.74,4
RC,636,"Injection, paricalcitol, 1 mcg ",,,0.98,2.7,4
RC,636,"Injection, pasireotide long acting, 1 mg ",,,800.84,1580.2,4
RC,636,"Injection, patisiran, 0.1 mg ",,,121.08,267.39,4
RC,636,"Injection, pegaspargase, per single dose vial ",135957.01,135957.01,33097.56,75323.76,4
RC,636,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,391.7,4
RC,636,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,337.56,4
RC,636,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,353.27,4
RC,636,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",21452.04,21452.04,30.2,317.05,4
RC,636,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",20940.12,20940.12,200.03,360.11,4
RC,636,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,419.39,4
RC,636,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,210.68,4
RC,636,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,297.14,4
RC,636,"Injection, pegloticase, 1 mg ",,,4359.11,10134.98,4
RC,636,"Injection, pegulicianine, 1 mg ",,,42.46,99.4,4
RC,636,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,592.01,4
RC,636,"Injection, pembrolizumab, 1 mg ",,,72.56,162.31,4
RC,636,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,25.6,4
RC,636,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,28.09,28.09,3
RC,636,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,13.78,4
RC,636,"Injection, pemetrexed (pemfexy), 10 mg ",,,21.17,56.68,4
RC,636,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,186.77,4
RC,636,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,3.87,3.87,3
RC,636,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,29.12,4
RC,636,"Injection, pemetrexed dipotassium, 10 mg ",,,217.35,217.35,3
RC,636,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.87,13.2,4
RC,636,"Injection, pemetrexed, not otherwise specified, 10 mg ",324.0,324.0,4.61,10.71,4
RC,636,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,19183.35,4
RC,636,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,51.73,4
RC,636,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,83.4,4
RC,636,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,1.8,4
RC,636,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,26.55,26.55,3
RC,636,"Injection, pentamidine isethionate, 1 mg ",,,0.42,0.42,3
RC,636,"Injection, pentazocine, 30 mg ",,,72.58,72.58,3
RC,636,"Injection, pentobarbital sodium, per 50 mg ",833.39,833.39,63.4,97.63,4
RC,636,"Injection, pentostatin, 10 mg ",33075.15,33075.15,3268.64,6959.77,4
RC,636,"Injection, peramivir, 1 mg ",,,1.9,4.45,4
RC,636,"Injection, pertuzumab, 1 mg ",47769.67,47769.67,19.84,45.1,4
RC,636,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,159.61,4
RC,636,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,2.99,4
RC,636,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,62.67,4
RC,636,"Injection, phentolamine mesylate, up to 5 mg ",4796.54,4796.54,549.34,682.24,4
RC,636,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",67.65,67.65,0.4,0.4,3
RC,636,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.03,0.03,3
RC,636,"Injection, phenytoin sodium, per 50 mg ",,,0.64,1.11,4
RC,636,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,8.37,4
RC,636,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,2.89,4
RC,636,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,101.73,4
RC,636,"Injection, plazomicin, 5 mg ",,,4.37,9.3,4
RC,636,"Injection, plerixafor, 1 mg ",,,30.53,86.76,4
RC,636,"Injection, plicamycin, 2.5 mg ",,,,,0
RC,636,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,363.66,4
RC,636,"Injection, porfimer sodium, 75 mg ",,,27987.6,74167.14,4
RC,636,"Injection, posaconazole, 1 mg ",5132.46,5132.46,0.93,0.93,3
RC,636,"Injection, potassium chloride, per 2 meq ",,,0.26,0.34,4
RC,636,"Injection, pozelimab-bbfg, 1 mg ",,,243.08,243.08,3
RC,636,"Injection, pralatrexate, 1 mg ",,,456.98,1040.71,4
RC,636,"Injection, pralidoxime chloride, up to 1 gm ",3483.79,3483.79,104.04,275.71,4
RC,636,"Injection, procainamide hcl, up to 1 gm ",,,347.64,569.25,4
RC,636,"Injection, prochlorperazine, up to 10 mg ",,,3.56,8.82,4
RC,636,"Injection, progesterone, per 50 mg ",,,0.8,1.75,4
RC,636,"Injection, promethazine hcl, up to 50 mg ",,,4.06,8.85,4
RC,636,"Injection, propofol, 10 mg ",,,0.24,0.24,3
RC,636,"Injection, propranolol hcl, up to 1 mg ",336.25,336.25,11.69,30.82,4
RC,636,"Injection, protamine sulfate, per 10 mg ",,,1.72,4.43,4
RC,636,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,39.88,4
RC,636,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,4.56,4
RC,636,"Injection, pyridoxine hcl, 100 mg ",330.2,330.2,15.37,39.49,4
RC,636,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,312.46,312.46,3
RC,636,"Injection, radiesse, 0.1 ml ",,,925.35,925.35,3
RC,636,"Injection, ramucirumab, 5 mg ",8927.63,8927.63,89.71,200.0,4
RC,636,"Injection, ranibizumab, 0.1 mg ",,,110.54,179.8,4
RC,636,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,201.93,4
RC,636,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,221.22,4
RC,636,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,187.89,4
RC,636,"Injection, rasburicase, 0.5 mg ",,,452.94,1012.8,4
RC,636,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,592.75,4
RC,636,"Injection, regadenoson, 0.1 mg ",6195.16,6195.16,5.39,7.69,4
RC,636,"Injection, remdesivir, 1 mg ",,,7.76,18.29,4
RC,636,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,537190.99,537190.99,3
RC,636,"Injection, remimazolam, 1 mg ",,,7.39,7.39,3
RC,636,"Injection, reslizumab, 1 mg ",,,12.83,30.55,4
RC,636,"Injection, reteplase, 18.1 mg ",,,3625.25,7697.14,4
RC,636,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,80.56,4
RC,636,"Injection, rezafungin, 1 mg ",,,12.74,28.59,4
RC,636,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,209.09,4
RC,636,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,72.93,4
RC,636,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,90.79,4
RC,636,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",4853.1,4853.1,5.98,12.85,4
RC,636,"Injection, rifampin, 1 mg ",,,0.17,0.45,4
RC,636,"Injection, rilonacept, 1 mg ",,,89.99,89.99,3
RC,636,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,35.19,4
RC,636,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,38.69,4
RC,636,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,28.62,4
RC,636,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,34.53,4
RC,636,"Injection, risperidone (uzedy), 1 mg ",,,30.11,66.67,4
RC,636,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,32.25,4
RC,636,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,96.14,4
RC,636,"Injection, rituximab, 10 mg ",,,93.46,196.52,4
RC,636,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,82.89,4
RC,636,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",4615.44,4615.44,40.45,53.69,4
RC,636,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,36.28,4
RC,636,"Injection, romidepsin, lyophilized, 0.1 mg ",20595.12,20595.12,38.57,81.62,4
RC,636,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,75.58,4
RC,636,"Injection, romiplostim, 1 microgram ",,,12.85,29.44,4
RC,636,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,32.3,4
RC,636,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,636,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,62.01,4
RC,636,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,97.52,4
RC,636,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,164.01,4
RC,636,"Injection, sculptra, 0.5 mg ",,,5.72,5.72,3
RC,636,"Injection, sebelipase alfa, 1 mg ",,,612.6,1431.48,4
RC,636,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,106.61,4
RC,636,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,47.81,4
RC,636,"Injection, sermorelin acetate, 1 microgram ",,,3.55,3.55,3
RC,636,"Injection, siltuximab, 10 mg ",9412.85,9412.85,199.74,461.31,4
RC,636,"Injection, sincalide, 5 micrograms ",2571.94,2571.94,175.15,286.73,4
RC,636,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,230.84,4
RC,636,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",602.0,602.0,2.38,6.33,4
RC,636,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,5.75,4
RC,636,"Injection, sodium thiosulfate (hope), 100 mg ",184.16,184.16,2.33,2.33,3
RC,636,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,252.94,4
RC,636,"Injection, somatropin, 1 mg ",,,437.75,437.75,3
RC,636,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,636,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,174.18,4
RC,636,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,5.27,4
RC,636,"Injection, streptomycin, up to 1 gm ",687.66,687.66,31.28,106.69,4
RC,636,"Injection, streptozocin, 1 gram ",,,419.08,464.68,4
RC,636,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.11,4
RC,636,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,48.02,48.02,3
RC,636,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",1750.01,1750.01,44.4,470.83,4
RC,636,"Injection, sutimlimab-jome, 10 mg ",,,22.16,52.05,4
RC,636,"Injection, tafasitamab-cxix, 2 mg ",8552.04,8552.04,17.03,37.55,4
RC,636,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,946.79,4
RC,636,"Injection, taliglucerase alfa, 10 units ",,,49.69,107.75,4
RC,636,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,195.94,4
RC,636,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,198.43,4
RC,636,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,4154.46,4
RC,636,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.66,4
RC,636,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,589.6,4
RC,636,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,91.43,4
RC,636,"Injection, tedizolid phosphate, 1 mg ",,,2.21,5.19,4
RC,636,"Injection, telavancin, 10 mg ",,,8.68,18.63,4
RC,636,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,386.87,386.87,3
RC,636,"Injection, temozolomide, 1 mg ",,,12.73,27.56,4
RC,636,"Injection, temsirolimus, 1 mg ",10252.66,10252.66,37.07,79.71,4
RC,636,"Injection, tenecteplase, 1 mg ",,,198.62,523.22,4
RC,636,"Injection, teniposide, 50 mg ",,,,,0
RC,636,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,101.73,4
RC,636,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,974.96,4
RC,636,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,7.84,4
RC,636,"Injection, teriparatide, 10 mcg ",,,209.64,209.64,3
RC,636,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.37,1.5,4
RC,636,"Injection, testosterone cypionate, 1 mg ",2.78,2.78,0.05,0.05,3
RC,636,"Injection, testosterone enanthate, 1 mg ",,,0.13,0.13,3
RC,636,"Injection, testosterone undecanoate, 1 mg ",,,2.47,5.64,4
RC,636,"Injection, tetanus immune globulin, human, up to 250 units ",4661.1,4661.1,703.94,1479.02,4
RC,636,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,46.59,4
RC,636,"Injection, thiamine hcl, 100 mg ",196.34,196.34,2.15,4.11,4
RC,636,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,102.16,4
RC,636,"Injection, thiotepa, 15 mg ",,,,,0
RC,636,"Injection, thiotepa, not otherwise specified, 1 mg ",7740.76,7740.76,14.95,15.21,4
RC,636,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,5632.15,4
RC,636,"Injection, tigecycline, 1 mg ",2768.88,2768.88,0.36,1.51,4
RC,636,"Injection, tildrakizumab, 1 mg ",,,160.73,313.23,4
RC,636,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,8.45,4
RC,636,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,154.42,4
RC,636,"Injection, tisotumab vedotin-tftv, 1 mg ",35725.32,35725.32,230.65,519.72,4
RC,636,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,5.35,4
RC,636,"Injection, tocilizumab, 1 mg ",108.35,108.35,7.19,14.65,4
RC,636,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,20.06,4
RC,636,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,11.77,4
RC,636,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,14.79,14.79,3
RC,636,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,12.3,12.3,3
RC,636,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,13.04,13.04,3
RC,636,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,13.94,4
RC,636,"Injection, tofersen, 1 mg ",,,189.91,424.03,4
RC,636,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,105.97,4
RC,636,"Injection, trabectedin, 0.1 mg ",,,444.84,1036.34,4
RC,636,"Injection, tranexamic acid, 5 mg ",,,0.34,0.34,3
RC,636,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,158.76,4
RC,636,"Injection, trastuzumab, excludes biosimilar, 10 mg ",10033.37,10033.37,92.54,194.59,4
RC,636,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,149.41,4
RC,636,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,94.82,4
RC,636,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,79.0,4
RC,636,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,148.45,4
RC,636,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",21833.84,21833.84,27.64,30.48,4
RC,636,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,100.36,100.36,3
RC,636,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,521.73,4
RC,636,"Injection, tremelimumab-actl, 1 mg ",,,169.02,379.56,4
RC,636,"Injection, treosulfan, 50 mg ",,,83.77,83.77,3
RC,636,"Injection, treprostinil, 1 mg ",,,69.49,146.25,4
RC,636,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,126.62,4
RC,636,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",227.75,227.75,1.07,2.39,4
RC,636,"Injection, triamcinolone acetonide, preservative free, 1 mg ",3726.17,3726.17,28.32,49.77,4
RC,636,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,49.4,4
RC,636,"Injection, triamcinolone diacetate, per 5 mg ",,,0.87,0.87,3
RC,636,"Injection, triamcinolone hexacetonide, per 5 mg ",,,25.84,25.84,3
RC,636,"Injection, trilaciclib, 1mg ",,,6.59,14.55,4
RC,636,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,151.63,4
RC,636,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,1243.86,4
RC,636,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,9867.96,4
RC,636,"Injection, ublituximab-xiiy, 1mg ",,,83.94,182.19,4
RC,636,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,37.23,4
RC,636,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,31.14,31.14,3
RC,636,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,12.03,12.03,3
RC,636,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,584.78,584.78,3
RC,636,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,8.88,4
RC,636,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,167.56,167.56,3
RC,636,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,8.51,4
RC,636,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,12.0,12.0,3
RC,636,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,33267.33,4
RC,636,"Injection, valproate sodium, 5 mg ",,,0.11,0.11,3
RC,636,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,3366.88,4
RC,636,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.03,0.03,3
RC,636,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.27,4
RC,636,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.42,4
RC,636,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.08,4
RC,636,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,2.23,2.23,3
RC,636,"Injection, vasopressin (baxter), 1 unit ",,,4.05,4.27,4
RC,636,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,3.13,3.13,3
RC,636,"Injection, vasopressin, 1 unit ",,,1.4,1.4,3
RC,636,"Injection, vedolizumab, intravenous, 1 mg ",43467.84,43467.84,25.87,55.6,4
RC,636,"Injection, velaglucerase alfa, 100 units ",,,457.7,1028.62,4
RC,636,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,1232.86,4
RC,636,"Injection, verteporfin, 0.1 mg ",,,14.09,30.66,4
RC,636,"Injection, vestronidase alfa-vjbk, 1 mg ",,,742.4,742.4,3
RC,636,"Injection, viltolarsen, 10 mg ",,,179.35,179.35,3
RC,636,"Injection, vinblastine sulfate, 1 mg ",486.39,486.39,6.29,13.65,4
RC,636,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,13.17,4
RC,636,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",137.68,137.68,0.82,1.78,4
RC,636,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,4.85,4
RC,636,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,3.5,4
RC,636,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",5375.94,5375.94,1.76,3.95,4
RC,636,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,8135.74,4
RC,636,"Injection, voriconazole, 10 mg ",,,1.3,1.72,4
RC,636,"Injection, vutrisiran, 1 mg ",,,6059.78,13301.07,4
RC,636,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,66.25,4
RC,636,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,88.96,4
RC,636,"Injection, ziconotide, 1 microgram ",,,11.86,27.72,4
RC,636,"Injection, zidovudine, 10 mg ",,,1.85,4.0,4
RC,636,"Injection, ziprasidone mesylate, 10 mg ",767.53,767.53,6.34,15.56,4
RC,636,"Injection, ziv-aflibercept, 1 mg ",,,10.15,22.82,4
RC,636,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,89.17,4
RC,636,"Injection, zoledronic acid, 1 mg ",,,81.83,81.83,3
RC,636,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,323035.0,323035.0,3
RC,636,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Innovamatrix pd, 1 mg ",,,45.13,45.13,3
RC,636,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,2.2,4
RC,636,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,90.05,90.05,3
RC,636,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,3773.92,3773.92,3
RC,636,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,13.33,4
RC,636,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,23.21,4
RC,636,"Insulin (fiasp), per 5 units ",,,1.8,1.8,3
RC,636,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,40.02,40.02,3
RC,636,"Insulin (lyumjev), per 5 units ",,,1.59,1.59,3
RC,636,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,8.29,8.29,3
RC,636,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Integra flowable wound matrix, injectable, 1 cc ",,,7501.62,7501.62,3
RC,636,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Interfyl, 1 mg ",,,103.22,103.22,3
RC,636,Intrauterine copper contraceptive (miudella) ,,,3774.66,3774.66,3
RC,636,Intrauterine copper contraceptive (paragard) ,,,3773.6,3773.6,3
RC,636,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,126.78,126.78,3
RC,636,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,575.87,575.87,3
RC,636,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,170348.1,4
RC,636,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,3677.51,4
RC,636,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6141.38,4
RC,636,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,269.08,4
RC,636,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,461.15,461.15,3
RC,636,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,1243.01,1243.01,3
RC,636,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,1721.55,4
RC,636,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,1050.25,1050.25,3
RC,636,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,2525.48,2525.48,3
RC,636,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,2296.89,4
RC,636,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,258.45,258.45,3
RC,636,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,63.79,63.79,3
RC,636,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,55.04,55.04,3
RC,636,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,11.5,11.5,3
RC,636,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,636,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",39.38,39.38,1.17,1.17,3
RC,636,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,38.05,118.46,4
RC,636,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,965.58,965.58,3
RC,636,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.24,0.24,3
RC,636,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.21,0.21,3
RC,636,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,3.55,4
RC,636,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,466.93,4
RC,636,"Leuprolide acetate, per 1 mg ",,,60.67,401.48,4
RC,636,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,105.87,4
RC,636,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,5.3,5.3,3
RC,636,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.85,0.85,3
RC,636,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.24,0.24,3
RC,636,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,1028.52,1028.52,3
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,3111.05,3111.05,3
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",9963.49,9963.49,4046.36,4046.36,3
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,3369.26,3369.26,3
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,4046.36,4046.36,3
RC,636,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,1489991.23,4
RC,636,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,3.07,4
RC,636,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,1.14,4
RC,636,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.4,4
RC,636,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,687.94,4
RC,636,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,847.84,4
RC,636,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",18941.53,18941.53,5350.64,14024.94,4
RC,636,"Mannitol, administered through an inhaler, 5 mg ",,,3.13,3.13,3
RC,636,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Matristem micromatrix, 1 mg ",,,21.01,21.01,3
RC,636,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",1541.96,1541.96,114.7,310.42,4
RC,636,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,917.96,4
RC,636,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Melphalan; oral, 2 mg ",,,12.4,12.4,3
RC,636,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,561.54,561.54,3
RC,636,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",1434.81,1434.81,562.81,562.81,3
RC,636,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,62.83,62.83,3
RC,636,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,844.69,844.69,3
RC,636,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,800.51,800.51,3
RC,636,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,237.2,237.2,3
RC,636,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",2239.1,2239.1,717.99,717.99,3
RC,636,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,798.76,798.76,3
RC,636,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",275.69,275.69,2.89,2.89,3
RC,636,"Methotrexate (jylamvo), oral, 2.5 mg ",,,49.58,49.58,3
RC,636,"Methotrexate (xatmep), oral, 2.5 mg ",,,59.1,59.1,3
RC,636,"Methotrexate; oral, 2.5 mg ",145.38,145.38,0.37,0.37,3
RC,636,"Methylprednisolone oral, per 4 mg ",,,0.37,0.37,3
RC,636,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Microlyte painguard, per square centimeter ",,,336.92,336.92,3
RC,636,"Miglustat, oral, 65 mg ",,,113.05,113.05,3
RC,636,"Miro3d fibers, per milligram ",,,43.51,43.51,3
RC,636,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,856.4,4
RC,636,"Mitomycin, intravesical instillation, 1 mg ",,,737.57,737.57,3
RC,636,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,30.08,4
RC,636,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,5.96,5.96,3
RC,636,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.82,0.82,3
RC,636,"Mycophenolate mofetil, oral, 250 mg ",,,0.37,0.37,3
RC,636,"Mycophenolic acid, oral, 180 mg ",82.61,82.61,0.85,0.85,3
RC,636,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,62.35,62.35,3
RC,636,"Myriad morcells, 4 milligrams ",,,34.98,34.98,3
RC,636,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Neoxflo or clarixflo, 1 mg ",,,90.37,90.37,3
RC,636,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,1054.14,1054.14,3
RC,636,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,2122.52,2122.52,3
RC,636,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,337.24,337.24,3
RC,636,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Novashield or novogen wound matrix, per square centimeter ",,,336.92,336.92,3
RC,636,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,737362.5,4
RC,636,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,407.44,407.44,3
RC,636,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.05,0.05,3
RC,636,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1648.19,1648.19,3
RC,636,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,3819.98,3819.98,3
RC,636,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",2777.98,2777.98,194.96,194.96,3
RC,636,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.78,1.78,3
RC,636,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,256.02,4
RC,636,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,918.2,4
RC,636,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,683.3,683.3,3
RC,636,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",1737.15,1737.15,285.74,713.67,4
RC,636,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,829.19,4
RC,636,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,912.26,4
RC,636,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",2005.45,2005.45,141.62,353.7,4
RC,636,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",848.23,848.23,53.96,151.63,4
RC,636,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Prednisolone oral, per 5 mg ",84.38,84.38,1.96,1.96,3
RC,636,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,5.86,5.86,3
RC,636,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Procenta, per 100 mg ",,,15741.8,15741.8,3
RC,636,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,2.07,2.07,3
RC,636,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.77,0.77,3
RC,636,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",16.85,16.85,3.58,5.43,4
RC,636,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,729.23,4
RC,636,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,641.78,4
RC,636,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,933.97,4
RC,636,"Rabies vaccine, for intradermal use ",,,627.68,627.68,3
RC,636,"Rabies vaccine, for intramuscular use ",4306.85,4306.85,545.72,835.33,4
RC,636,"Radioelements for brachytherapy, any type, each ",,,163.74,163.74,3
RC,636,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,123742.09,123742.09,3
RC,636,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,453.39,4
RC,636,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,1014.42,1014.42,3
RC,636,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,1020.94,1020.94,3
RC,636,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,1014.63,1014.63,3
RC,636,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",24392.87,24392.87,1157.39,2184.79,4
RC,636,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1768.08,1768.08,3
RC,636,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",3186.6,3186.6,1892.29,1892.29,3
RC,636,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,636,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.53,0.53,3
RC,636,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,348.53,348.53,3
RC,636,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,212.0,4
RC,636,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1761.59,1761.59,3
RC,636,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,7250.4,7250.4,3
RC,636,"Ringers lactate infusion, up to 1000 cc ",,,6.89,6.89,3
RC,636,"Rolapitant, oral, 1 mg ",,,11.69,11.69,3
RC,636,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,495.05,495.05,3
RC,636,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,326.32,326.32,3
RC,636,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,1312.65,1312.65,3
RC,636,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,8373.47,19539.46,4
RC,636,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,7697.35,7697.35,3
RC,636,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.27,0.27,3
RC,636,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.82,0.82,3
RC,636,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.53,0.53,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,535.06,535.06,3
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,389.71,4
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,428.37,4
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,251.22,4
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,173.5,4
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,446.18,4
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,508.59,4
RC,636,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,149113.35,4
RC,636,"Sirolimus, oral, 1 mg ",,,3.37,3.37,3
RC,636,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,336.92,336.92,3
RC,636,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.03,0.03,3
RC,636,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,716.96,716.96,3
RC,636,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,737.34,4
RC,636,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,10987.8,4
RC,636,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.56,0.56,3
RC,636,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Suzetrigine, oral 1 mg ",,,0.87,0.87,3
RC,636,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,1.56,1.56,3
RC,636,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",110.13,110.13,4.93,4.93,3
RC,636,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,3.39,3.39,3
RC,636,"Tacrolimus, immediate release, oral, 1 mg ",,,0.61,0.61,3
RC,636,"Tacrolimus, parenteral, 5 mg ",,,311.84,688.89,4
RC,636,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,26.5,26.5,3
RC,636,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,1393.18,1393.18,3
RC,636,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,3434.27,3434.27,3
RC,636,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,2055.13,4399.6,4
RC,636,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,2121.64,2121.64,3
RC,636,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,163.74,163.74,3
RC,636,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,2475.44,2475.44,3
RC,636,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,4246.84,4
RC,636,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,288.56,4
RC,636,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,80.53,4
RC,636,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,300.67,4
RC,636,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,170.82,4
RC,636,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,2102.17,2102.17,3
RC,636,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,138.09,138.09,3
RC,636,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,55.76,55.76,3
RC,636,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,76.11,76.11,3
RC,636,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,29.2,29.2,3
RC,636,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,120.39,4
RC,636,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,1194.04,4
RC,636,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1748.81,1748.81,3
RC,636,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,1991.21,4
RC,636,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,309.79,4
RC,636,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,636,"Temozolomide, oral, 5 mg ",,,1.06,1.06,3
RC,636,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,34.53,34.53,3
RC,636,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,34.53,34.53,3
RC,636,"Testosterone pellet, implant, 75 mg ",,,198.67,198.67,3
RC,636,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",591.85,591.85,48.46,102.69,4
RC,636,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,2084.99,2084.99,3
RC,636,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",1004.9,1004.9,59.06,104.62,4
RC,636,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,146.94,4
RC,636,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1627579.15,1627579.15,3
RC,636,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,158.44,158.44,3
RC,636,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",734.94,734.94,20.59,20.59,3
RC,636,"Topical administration, prademagene zamikeracel, per treatment ",,,8839923.0,8839923.0,3
RC,636,"Topotecan, oral, 0.25 mg ",,,331.83,331.83,3
RC,636,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,2091.33,2091.33,3
RC,636,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,12.4,12.4,3
RC,636,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.78,1.78,3
RC,636,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,440.93,4
RC,636,"Typhoid vaccine, live, oral ",,,372.96,372.96,3
RC,636,Unlisted immune globulin ,,,1133.91,1133.91,3
RC,636,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,30.79,4
RC,636,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,1080.43,4
RC,636,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.03,0.03,3
RC,636,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.37,0.37,3
RC,636,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,610.53,610.53,3
RC,636,"Varicella-zoster immune globulin, human, for intramuscular use ",,,6262.61,6262.61,3
RC,636,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Vincristine sulfate, 1 mg ",,,10.02,21.49,4
RC,636,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Woundex flow, bioskin flow, 0.5 cc ",,,6801.68,6801.68,3
RC,636,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xcellistem, 1 mg ",,,41.34,41.34,3
RC,636,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,811.67,4
RC,636,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,815.14,4
RC,636,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,150585.06,4
RC,636,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,636,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,378.84,378.84,3
RC,636,"injection, busulfan, 1 mg ",,,1.78,1.8,4
RC,637, Pharmacy - Self-Administrable Drugs  ,,,,,0
RC,637,"Afamelanotide implant, 1 mg ",,,3810.94,3810.94,1
RC,637,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,872400.0,872400.0,1
RC,637,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.17,2.17,1
RC,637,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,482.23,482.23,1
RC,637,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,68.72,68.72,1
RC,637,"Anti-inhibitor, per i.u. ",,,2.93,2.93,1
RC,637,"Antithrombin iii (human), per i.u. ",,,4.82,4.82,1
RC,637,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,614793.95,614793.95,1
RC,637,"Azathioprine, parenteral, 100 mg ",,,300.0,300.0,1
RC,637,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1243.02,1243.02,1
RC,637,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,598359.73,598359.73,1
RC,637,"Bupivacaine, collagen-matrix implant, 1 mg ",,,1.04,1.04,1
RC,637,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,834.16,834.16,1
RC,637,"Capsaicin 8% patch, per square centimeter ",,,4.14,4.14,1
RC,637,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,288.26,288.26,1
RC,637,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.74,0.74,1
RC,637,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6000.0,6000.0,1
RC,637,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,676327.75,676327.75,1
RC,637,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1155.0,1155.0,1
RC,637,"Dacarbazine, 100 mg ",,,5.51,5.51,1
RC,637,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,135.32,135.32,1
RC,637,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,77.51,77.51,1
RC,637,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,144.47,144.47,1
RC,637,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,36.31,36.31,1
RC,637,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,88.09,88.09,1
RC,637,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.44,1.44,1
RC,637,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.68,1.68,1
RC,637,"Factor ix, complex, per i.u. ",,,2.02,2.02,1
RC,637,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,3.08,3.08,1
RC,637,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.36,1.36,1
RC,637,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,1.91,1.91,1
RC,637,"Fecal microbiota, live - jslm, 1 ml ",,,78.18,78.18,1
RC,637,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4080.0,4080.0,1
RC,637,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3428.88,3428.88,1
RC,637,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,420.0,420.0,1
RC,637,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,759.88,759.88,1
RC,637,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,619.98,619.98,1
RC,637,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,186.48,186.48,1
RC,637,"Fluorodopa f-18, diagnostic, per millicurie ",,,598.64,598.64,1
RC,637,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,923.0,923.0,1
RC,637,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,63.16,63.16,1
RC,637,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3840.0,3840.0,1
RC,637,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1239.84,1239.84,1
RC,637,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,988.8,988.8,1
RC,637,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,913.93,913.93,1
RC,637,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,933.43,933.43,1
RC,637,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,66.67,66.67,1
RC,637,"Goserelin acetate implant, per 3.6 mg ",,,862.14,862.14,1
RC,637,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,372.0,372.0,1
RC,637,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,36.83,36.83,1
RC,637,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,15.78,15.78,1
RC,637,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,159.89,159.89,1
RC,637,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,104.05,104.05,1
RC,637,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,47.17,47.17,1
RC,637,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,79.66,79.66,1
RC,637,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,188.4,188.4,1
RC,637,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,83.08,83.08,1
RC,637,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,87.23,87.23,1
RC,637,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,225.79,225.79,1
RC,637,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,174.47,174.47,1
RC,637,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,35.23,35.23,1
RC,637,"Histrelin implant (supprelin la), 50 mg ",,,55278.12,55278.12,1
RC,637,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,162.78,162.78,1
RC,637,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,8.47,8.47,1
RC,637,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,157.36,157.36,1
RC,637,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,658.37,658.37,1
RC,637,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,90.42,90.42,1
RC,637,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,21.4,21.4,1
RC,637,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,811.4,811.4,1
RC,637,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,153.2,153.2,1
RC,637,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.32,11.32,1
RC,637,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,12.58,12.58,1
RC,637,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,6.83,6.83,1
RC,637,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,7.73,7.73,1
RC,637,"Hypertonic saline solution, 1 ml ",,,0.2,0.2,1
RC,637,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,645093.12,645093.12,1
RC,637,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,637,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,5051.95,5051.95,1
RC,637,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2525.98,2525.98,1
RC,637,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1062.6,1062.6,1
RC,637,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,4644.0,4644.0,1
RC,637,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,88.58,88.58,1
RC,637,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,88.6,88.6,1
RC,637,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,25.97,25.97,1
RC,637,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,88.6,88.6,1
RC,637,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,39.1,39.1,1
RC,637,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,30.64,30.64,1
RC,637,"Infusion, albumin (human), 25%, 20 ml ",,,33.0,33.0,1
RC,637,"Infusion, albumin (human), 25%, 50 ml ",,,55.21,55.21,1
RC,637,"Infusion, albumin (human), 5%, 250 ml ",,,55.21,55.21,1
RC,637,"Infusion, albumin (human), 5%, 50 ml ",,,39.12,39.12,1
RC,637,"Infusion, d5w, 1000 cc ",,,4.44,4.44,1
RC,637,"Infusion, dextran 40, 500 ml ",,,51.53,51.53,1
RC,637,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,5.29,5.29,1
RC,637,"Injection fluconazole, 200 mg ",,,4.37,4.37,1
RC,637,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,53.03,53.03,1
RC,637,"Injection, abobotulinumtoxina, 5 units ",,,11.05,11.05,1
RC,637,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.06,0.06,1
RC,637,"Injection, acetazolamide sodium, up to 500 mg ",,,23.3,23.3,1
RC,637,"Injection, acetylcysteine, 100 mg ",,,0.54,0.54,1
RC,637,"Injection, acyclovir, 5 mg ",,,0.04,0.04,1
RC,637,"Injection, adalimumab-aacf (idacio), biosimilar, 1 mg ",,,26.98,26.98,1
RC,637,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,15.58,15.58,1
RC,637,"Injection, adamts13, recombinant-krhn, 10 iu ",,,42.19,42.19,1
RC,637,"Injection, ado-trastuzumab emtansine, 1 mg ",,,50.26,50.26,1
RC,637,"Injection, aducanumab-avwa, 2 mg ",,,7.31,7.31,1
RC,637,"Injection, aflibercept hd, 1 mg ",,,392.69,392.69,1
RC,637,"Injection, aflibercept, 1 mg ",,,973.04,973.04,1
RC,637,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,973.04,973.04,1
RC,637,"Injection, agalsidase beta, 1 mg ",,,272.46,272.46,1
RC,637,"Injection, aldesleukin, per single use vial ",,,7272.0,7272.0,1
RC,637,"Injection, alemtuzumab, 1 mg ",,,2985.07,2985.07,1
RC,637,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,246.44,246.44,1
RC,637,"Injection, allopurinol sodium, 1 mg ",,,5.45,5.45,1
RC,637,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,6.66,6.66,1
RC,637,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,6.31,6.31,1
RC,637,"Injection, alteplase recombinant, 1 mg ",,,111.82,111.82,1
RC,637,"Injection, amikacin sulfate, 100 mg ",,,0.74,0.74,1
RC,637,"Injection, aminocaproic acid, 1 gram ",,,1.6,1.6,1
RC,637,"Injection, aminophyllin, up to 250 mg ",,,13.5,13.5,1
RC,637,"Injection, amiodarone hydrochloride, 30 mg ",,,0.4,0.4,1
RC,637,"Injection, amisulpride, 1 mg ",,,11.45,11.45,1
RC,637,"Injection, amivantamab-vmjw, 2 mg ",,,26.29,26.29,1
RC,637,"Injection, amobarbital, up to 125 mg ",,,219.91,219.91,1
RC,637,"Injection, amphotericin b lipid complex, 10 mg ",,,12.6,12.6,1
RC,637,"Injection, amphotericin b liposome, 10 mg ",,,28.5,28.5,1
RC,637,"Injection, amphotericin b, 50 mg ",,,61.21,61.21,1
RC,637,"Injection, ampicillin sodium, 500 mg ",,,0.72,0.72,1
RC,637,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.92,1.92,1
RC,637,"Injection, anidulafungin, 1 mg ",,,0.59,0.59,1
RC,637,"Injection, anifrolumab-fnia, 1 mg ",,,21.73,21.73,1
RC,637,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.46,1.46,1
RC,637,"Injection, aprepitant, (aponvie), 1 mg ",,,2.27,2.27,1
RC,637,"Injection, aprepitant, 1 mg ",,,2.09,2.09,1
RC,637,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.75,4.75,1
RC,637,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.68,4.68,1
RC,637,"Injection, argatroban, 1 mg (for non-esrd use) ",,,3.78,3.78,1
RC,637,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,7.18,7.18,1
RC,637,"Injection, aripiprazole (abilify maintena), 1 mg ",,,8.59,8.59,1
RC,637,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.85,3.85,1
RC,637,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.98,3.98,1
RC,637,"Injection, arsenic trioxide, 1 mg ",,,5.86,5.86,1
RC,637,"Injection, artesunate, 1 mg ",,,58.68,58.68,1
RC,637,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,66.48,66.48,1
RC,637,"Injection, atezolizumab, 10 mg ",,,109.3,109.3,1
RC,637,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,37.75,37.75,1
RC,637,"Injection, atidarsagene autotemcel, per treatment ",,,5100000.0,5100000.0,1
RC,637,"Injection, atropine sulfate, 0.01 mg ",,,0.13,0.13,1
RC,637,"Injection, avacincaptad pegol, 0.1 mg ",,,131.36,131.36,1
RC,637,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,95.14,95.14,1
RC,637,"Injection, avelumab, 10 mg ",,,118.76,118.76,1
RC,637,"Injection, axatilimab-csfr, 0.1 mg ",,,63.0,63.0,1
RC,637,"Injection, azacitidine, 1 mg ",,,0.38,0.38,1
RC,637,"Injection, azithromycin, 500 mg ",,,2.72,2.72,1
RC,637,"Injection, baclofen, 10 mg ",,,213.72,213.72,1
RC,637,"Injection, baclofen, 50 mcg for intrathecal trial ",,,65.8,65.8,1
RC,637,"Injection, basiliximab, 20 mg ",,,5731.33,5731.33,1
RC,637,"Injection, belatacept, 1 mg ",,,4.75,4.75,1
RC,637,"Injection, belimumab, 10 mg ",,,67.21,67.21,1
RC,637,"Injection, belinostat, 10 mg ",,,62.26,62.26,1
RC,637,"Injection, bendamustine hcl (bendeka), 1 mg ",,,16.6,16.6,1
RC,637,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,33.31,33.31,1
RC,637,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,17.35,17.35,1
RC,637,"Injection, bendamustine hydrochloride, 1 mg ",,,1.51,1.51,1
RC,637,"Injection, benralizumab, 1 mg ",,,199.66,199.66,1
RC,637,"Injection, benztropine mesylate, per 1 mg ",,,20.51,20.51,1
RC,637,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,8.38,8.38,1
RC,637,"Injection, betibeglogene autotemcel, per treatment ",,,3360000.0,3360000.0,1
RC,637,"Injection, bevacizumab, 0.25 mg ",,,2.23,2.23,1
RC,637,"Injection, bevacizumab, 10 mg ",,,88.92,88.92,1
RC,637,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,58.79,58.79,1
RC,637,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,36.47,36.47,1
RC,637,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,32.94,32.94,1
RC,637,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,56.32,56.32,1
RC,637,"Injection, bezlotoxumab, 10 mg ",,,48.74,48.74,1
RC,637,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,256.64,256.64,1
RC,637,"Injection, bivalirudin, 1 mg ",,,0.18,0.18,1
RC,637,"Injection, bleomycin sulfate, 15 units ",,,26.36,26.36,1
RC,637,"Injection, blinatumomab, 1 microgram ",,,186.18,186.18,1
RC,637,"Injection, bortezomib (boruzu), 0.1 mg ",,,30.6,30.6,1
RC,637,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,637,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,54.96,54.96,1
RC,637,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.75,1.75,1
RC,637,"Injection, bortezomib, 0.1 mg ",,,3.06,3.06,1
RC,637,"Injection, brentuximab vedotin, 1 mg ",,,304.36,304.36,1
RC,637,"Injection, brolucizumab-dbll, 1 mg ",,,415.68,415.68,1
RC,637,"Injection, bumetanide, 0.5 mg ",,,0.7,0.7,1
RC,637,"Injection, bupivacaine (posimir), 1 mg ",,,0.61,0.61,1
RC,637,"Injection, bupivacaine liposome, 1 mg ",,,1.74,1.74,1
RC,637,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2080.46,2080.46,1
RC,637,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,520.12,520.12,1
RC,637,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,2353.87,2353.87,1
RC,637,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,2353.87,2353.87,1
RC,637,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,5.11,5.11,1
RC,637,"Injection, burosumab-twza 1 mg ",,,574.32,574.32,1
RC,637,"Injection, butorphanol tartrate, 1 mg ",,,5.74,5.74,1
RC,637,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,88.36,88.36,1
RC,637,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,78.1,78.1,1
RC,637,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,42.48,42.48,1
RC,637,"Injection, cabazitaxel, 1 mg ",,,271.07,271.07,1
RC,637,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,28.28,28.28,1
RC,637,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,8.42,8.42,1
RC,637,"Injection, caffeine citrate, 5 mg ",,,1.7,1.7,1
RC,637,"Injection, calcitonin salmon, up to 400 units ",,,1800.0,1800.0,1
RC,637,"Injection, calcitriol, 0.1 mcg ",,,1.19,1.19,1
RC,637,"Injection, calcium chloride, 2 mg ",,,0.04,0.04,1
RC,637,"Injection, canakinumab, 1 mg ",,,166.97,166.97,1
RC,637,"Injection, cangrelor, 1 mg ",,,22.87,22.87,1
RC,637,"Injection, carboplatin, 50 mg ",,,3.58,3.58,1
RC,637,"Injection, carfilzomib, 1 mg ",,,63.38,63.38,1
RC,637,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,294.0,294.0,1
RC,637,"Injection, carmustine, 100 mg ",,,178.02,178.02,1
RC,637,"Injection, caspofungin acetate, 5 mg ",,,4.08,4.08,1
RC,637,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.2,1.2,1
RC,637,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.19,1.19,1
RC,637,"Injection, cefazolin sodium, 500 mg ",,,1.01,1.01,1
RC,637,"Injection, cefepime hydrochloride, 500 mg ",,,1.46,1.46,1
RC,637,"Injection, cefiderocol, 10 mg ",,,2.78,2.78,1
RC,637,"Injection, cefotaxime sodium, per gm ",,,11.77,11.77,1
RC,637,"Injection, cefoxitin sodium, 1 gm ",,,6.13,6.13,1
RC,637,"Injection, ceftaroline fosamil, 10 mg ",,,4.88,4.88,1
RC,637,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,122.87,122.87,1
RC,637,"Injection, ceftazidime, per 500 mg ",,,1.96,1.96,1
RC,637,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,9.84,9.84,1
RC,637,"Injection, ceftriaxone sodium, per 250 mg ",,,0.61,0.61,1
RC,637,"Injection, cemiplimab-rwlc, 1 mg ",,,35.35,35.35,1
RC,637,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,6295.32,6295.32,1
RC,637,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,4.87,4.87,1
RC,637,"Injection, cetirizine hydrochloride, 0.5 mg ",,,19.1,19.1,1
RC,637,"Injection, cetuximab, 10 mg ",,,94.79,94.79,1
RC,637,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,58.38,58.38,1
RC,637,"Injection, chlorothiazide sodium, per 500 mg ",,,39.71,39.71,1
RC,637,"Injection, chlorpromazine hcl, up to 50 mg ",,,35.5,35.5,1
RC,637,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,22.32,22.32,1
RC,637,"Injection, cidofovir, 375 mg ",,,638.0,638.0,1
RC,637,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,8.96,8.96,1
RC,637,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,109.85,109.85,1
RC,637,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.57,2.57,1
RC,637,"Injection, cisplatin, powder or solution, 10 mg ",,,3.5,3.5,1
RC,637,"Injection, cladribine, per 1 mg ",,,12.47,12.47,1
RC,637,"Injection, clevidipine butyrate, 1 mg ",,,3.36,3.36,1
RC,637,"Injection, clofarabine, 1 mg ",,,19.57,19.57,1
RC,637,"Injection, clonidine hydrochloride, 1 mg ",,,19.8,19.8,1
RC,637,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,2.34,2.34,1
RC,637,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,150.0,150.0,1
RC,637,"Injection, colistimethate sodium, up to 150 mg ",,,14.6,14.6,1
RC,637,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,89.71,89.71,1
RC,637,"Injection, copanlisib, 1 mg ",,,105.07,105.07,1
RC,637,"Injection, cosyntropin, 0.25 mg ",,,40.84,40.84,1
RC,637,"Injection, crizanlizumab-tmca, 5 mg ",,,158.33,158.33,1
RC,637,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,1275.89,1275.89,1
RC,637,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,2146.73,2146.73,1
RC,637,"Injection, crovalimab-akkz, 10 mg ",,,624.35,624.35,1
RC,637,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.07,1.07,1
RC,637,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,2.15,2.15,1
RC,637,"Injection, cyclophosphamide (sandoz), 5 mg ",,,5.32,5.32,1
RC,637,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.97,0.97,1
RC,637,"Injection, cytarabine, 100 mg ",,,1.0,1.0,1
RC,637,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2215.44,2215.44,1
RC,637,"Injection, dactinomycin, 0.5 mg ",,,353.1,353.1,1
RC,637,"Injection, dalbavancin, 5 mg ",,,19.04,19.04,1
RC,637,"Injection, dalteparin sodium, per 2500 iu ",,,19.61,19.61,1
RC,637,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.04,0.04,1
RC,637,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.06,0.06,1
RC,637,"Injection, daptomycin, 1 mg ",,,0.04,0.04,1
RC,637,"Injection, daratumumab, 10 mg ",,,82.68,82.68,1
RC,637,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,64.79,64.79,1
RC,637,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,3.56,3.56,1
RC,637,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,3.56,3.56,1
RC,637,"Injection, daunorubicin, 10 mg ",,,32.27,32.27,1
RC,637,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.04,5.04,1
RC,637,"Injection, decitabine, 1 mg ",,,2.16,2.16,1
RC,637,"Injection, deferoxamine mesylate, 500 mg ",,,10.03,10.03,1
RC,637,"Injection, degarelix, 1 mg ",,,5.33,5.33,1
RC,637,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,3840000.0,3840000.0,1
RC,637,"Injection, denosumab, 1 mg ",,,34.0,34.0,1
RC,637,"Injection, depo-estradiol cypionate, up to 5 mg ",,,51.74,51.74,1
RC,637,"Injection, desmopressin acetate, per 1 mcg ",,,5.48,5.48,1
RC,637,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.12,0.12,1
RC,637,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,250.93,250.93,1
RC,637,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,98.98,98.98,1
RC,637,"Injection, diazepam, up to 5 mg ",,,7.08,7.08,1
RC,637,"Injection, dicyclomine hcl, up to 20 mg ",,,15.72,15.72,1
RC,637,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.28,0.28,1
RC,637,"Injection, digoxin immune fab (ovine), per vial ",,,6074.8,6074.8,1
RC,637,"Injection, digoxin, up to 0.5 mg ",,,5.96,5.96,1
RC,637,"Injection, dihydroergotamine mesylate, per 1 mg ",,,104.83,104.83,1
RC,637,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.04,1
RC,637,"Injection, dimenhydrinate, up to 50 mg ",,,10.2,10.2,1
RC,637,"Injection, dimercaprol, per 100 mg ",,,67.7,67.7,1
RC,637,"Injection, diphenhydramine hcl, up to 50 mg ",,,0.8,0.8,1
RC,637,"Injection, dipyridamole, per 10 mg ",,,4.69,4.69,1
RC,637,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,873.85,873.85,1
RC,637,"Injection, dobutamine hydrochloride, per 250 mg ",,,9.95,9.95,1
RC,637,"Injection, docetaxel (beizray), 1 mg ",,,59.4,59.4,1
RC,637,"Injection, docetaxel (docivyx), 1 mg ",,,63.12,63.12,1
RC,637,"Injection, docetaxel, 1 mg ",,,0.76,0.76,1
RC,637,"Injection, donanemab-azbt, 2 mg ",,,5.11,5.11,1
RC,637,"Injection, dopamine hcl, 40 mg ",,,0.86,0.86,1
RC,637,"Injection, dostarlimab-gxly, 10 mg ",,,293.59,293.59,1
RC,637,"Injection, doxercalciferol, 1 mcg ",,,0.46,0.46,1
RC,637,"Injection, doxorubicin hydrochloride, 10 mg ",,,3.85,3.85,1
RC,637,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,183.9,183.9,1
RC,637,"Injection, doxycycline hyclate, 1 mg ",,,0.14,0.14,1
RC,637,"Injection, droperidol, up to 5 mg ",,,11.62,11.62,1
RC,637,"Injection, durvalumab, 10 mg ",,,102.54,102.54,1
RC,637,"Injection, ecallantide, 1 mg ",,,690.35,690.35,1
RC,637,"Injection, eculizumab, 2 mg ",,,54.78,54.78,1
RC,637,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,36.53,36.53,1
RC,637,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,46.97,46.97,1
RC,637,"Injection, edaravone, 1 mg ",,,24.95,24.95,1
RC,637,"Injection, edetate calcium disodium, up to 1000 mg ",,,7898.29,7898.29,1
RC,637,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,40.8,40.8,1
RC,637,"Injection, efgartigimod alfa-fcab, 2mg ",,,39.58,39.58,1
RC,637,"Injection, eflapegrastim-xnst, 0.1 mg ",,,27.65,27.65,1
RC,637,"Injection, elliotts' b solution, 1 ml ",,,12.24,12.24,1
RC,637,"Injection, elosulfase alfa, 1 mg ",,,359.38,359.38,1
RC,637,"Injection, elotuzumab, 1 mg ",,,9.44,9.44,1
RC,637,"Injection, elranatamab-bcmm, 1 mg ",,,223.72,223.72,1
RC,637,"Injection, emapalumab-lzsg, 1 mg ",,,466.44,466.44,1
RC,637,"Injection, emicizumab-kxwh, 0.5 mg ",,,63.55,63.55,1
RC,637,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,44.81,44.81,1
RC,637,"Injection, enoxaparin sodium, 10 mg ",,,0.64,0.64,1
RC,637,"Injection, epcoritamab-bysp, 0.16 mg ",,,67.08,67.08,1
RC,637,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.77,2.77,1
RC,637,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.78,2.78,1
RC,637,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,0.91,0.91,1
RC,637,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.65,2.65,1
RC,637,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.86,0.86,1
RC,637,"Injection, epirubicin hcl, 2 mg ",,,1.97,1.97,1
RC,637,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,8.65,8.65,1
RC,637,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.86,0.86,1
RC,637,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,8.64,8.64,1
RC,637,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.55,1.55,1
RC,637,"Injection, epoprostenol, 0.5 mg ",,,19.66,19.66,1
RC,637,"Injection, eptifibatide, 5 mg ",,,12.76,12.76,1
RC,637,"Injection, eptinezumab-jjmr, 1 mg ",,,23.63,23.63,1
RC,637,"Injection, eribulin mesylate, 0.1 mg ",,,145.19,145.19,1
RC,637,"Injection, ertapenem sodium, 500 mg ",,,11.22,11.22,1
RC,637,"Injection, erythromycin lactobionate, per 500 mg ",,,80.65,80.65,1
RC,637,"Injection, estradiol valerate, up to 10 mg ",,,8.93,8.93,1
RC,637,"Injection, estrogen conjugated, per 25 mg ",,,468.13,468.13,1
RC,637,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1223.64,1223.64,1
RC,637,"Injection, ethanolamine oleate, 100 mg ",,,608.51,608.51,1
RC,637,"Injection, etoposide, 10 mg ",,,1.31,1.31,1
RC,637,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,637,"Injection, evinacumab-dgnb, 5mg ",,,227.78,227.78,1
RC,637,"Injection, exagamglogene autotemcel, per treatment ",,,2640000.0,2640000.0,1
RC,637,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,2.26,2.26,1
RC,637,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,6.34,6.34,1
RC,637,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,4.33,4.33,1
RC,637,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.82,1.82,1
RC,637,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.95,3.95,1
RC,637,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.84,2.84,1
RC,637,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.85,1.85,1
RC,637,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.81,1.81,1
RC,637,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.72,1.72,1
RC,637,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.46,1.46,1
RC,637,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.57,2.57,1
RC,637,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.99,2.99,1
RC,637,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.62,2.62,1
RC,637,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,5.63,5.63,1
RC,637,"Injection, factor x, (human), 1 i.u. ",,,11.65,11.65,1
RC,637,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,12.8,12.8,1
RC,637,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,21.19,21.19,1
RC,637,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,35.34,35.34,1
RC,637,"Injection, famotidine, 0.25 mg ",,,0.01,0.01,1
RC,637,"Injection, faricimab-svoa, 0.1 mg ",,,42.46,42.46,1
RC,637,"Injection, fentanyl citrate, 0.1 mg ",,,1.02,1.02,1
RC,637,"Injection, ferric carboxymaltose, 1 mg ",,,1.37,1.37,1
RC,637,"Injection, ferric derisomaltose, 10 mg ",,,25.46,25.46,1
RC,637,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.4,0.4,1
RC,637,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.4,0.4,1
RC,637,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,4200000.0,4200000.0,1
RC,637,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.2,1.2,1
RC,637,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.35,0.35,1
RC,637,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.52,0.52,1
RC,637,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.4,0.4,1
RC,637,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,0.62,0.62,1
RC,637,"Injection, floxuridine, 500 mg ",,,4876.31,4876.31,1
RC,637,"Injection, fludarabine phosphate, 50 mg ",,,72.78,72.78,1
RC,637,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,600.04,600.04,1
RC,637,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,415.74,415.74,1
RC,637,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,641.36,641.36,1
RC,637,"Injection, fluorouracil, 500 mg ",,,2.7,2.7,1
RC,637,"Injection, fluphenazine decanoate, up to 25 mg ",,,10.8,10.8,1
RC,637,"Injection, fluphenazine hcl, 1.25 mg ",,,8.74,8.74,1
RC,637,"Injection, folic acid, 0.1 mg ",,,0.07,0.07,1
RC,637,"Injection, fomepizole, 15 mg ",,,14.92,14.92,1
RC,637,"Injection, fondaparinux sodium, 0.5 mg ",,,1.04,1.04,1
RC,637,"Injection, fosaprepitant (focinvez), 1 mg ",,,3.66,3.66,1
RC,637,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,1.49,1.49,1
RC,637,"Injection, fosaprepitant, 1 mg ",,,0.14,0.14,1
RC,637,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.82,0.82,1
RC,637,"Injection, foscarnet sodium, per 1000 mg ",,,26.44,26.44,1
RC,637,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,773.77,773.77,1
RC,637,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.29,3.29,1
RC,637,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,4.06,4.06,1
RC,637,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,24.0,24.0,1
RC,637,"Injection, fulvestrant, 25 mg ",,,8.42,8.42,1
RC,637,"Injection, furosemide, 1 mg ",,,0.02,0.02,1
RC,637,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.22,2.22,1
RC,637,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.22,2.22,1
RC,637,"Injection, gadobutrol, 0.1 ml ",,,0.32,0.32,1
RC,637,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,1.82,1.82,1
RC,637,"Injection, gadoterate meglumine, 0.1 ml ",,,0.14,0.14,1
RC,637,"Injection, gadoteridol, (prohance multipack), per ml ",,,1.75,1.75,1
RC,637,"Injection, gadoxetate disodium, 1 ml ",,,17.99,17.99,1
RC,637,"Injection, galsulfase, 1 mg ",,,592.82,592.82,1
RC,637,"Injection, gamma globulin, intramuscular, 1 cc ",,,59.77,59.77,1
RC,637,"Injection, gamma globulin, intramuscular, over 10 cc ",,,597.68,597.68,1
RC,637,"Injection, ganciclovir sodium, 500 mg ",,,39.23,39.23,1
RC,637,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.02,3.02,1
RC,637,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.64,3.64,1
RC,637,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,285.01,285.01,1
RC,637,"Injection, givosiran, 0.5 mg ",,,142.4,142.4,1
RC,637,"Injection, glatiramer acetate, 20 mg ",,,75.0,75.0,1
RC,637,"Injection, glofitamab-gxbm, 2.5 mg ",,,3390.14,3390.14,1
RC,637,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,183.92,183.92,1
RC,637,"Injection, glucagon hydrochloride, per 1 mg ",,,233.24,233.24,1
RC,637,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.04,2.04,1
RC,637,"Injection, glycopyrrolate, 0.1 mg ",,,0.62,0.62,1
RC,637,"Injection, golimumab, 1 mg, for intravenous use ",,,13.16,13.16,1
RC,637,"Injection, granisetron hydrochloride, 100 mcg ",,,0.32,0.32,1
RC,637,"Injection, granisetron, extended-release, 0.1 mg ",,,6.47,6.47,1
RC,637,"Injection, guselkumab, 1 mg ",,,86.11,86.11,1
RC,637,"Injection, haloperidol decanoate, per 50 mg ",,,5.64,5.64,1
RC,637,"Injection, haloperidol, up to 5 mg ",,,0.95,0.95,1
RC,637,"Injection, hemin, 1 mg ",,,40.44,40.44,1
RC,637,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.6,3.6,1
RC,637,"Injection, heparin sodium, per 1000 units ",,,0.28,0.28,1
RC,637,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,79.66,79.66,1
RC,637,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,79.66,79.66,1
RC,637,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.34,1.34,1
RC,637,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.81,1.81,1
RC,637,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.44,0.44,1
RC,637,"Injection, hyaluronidase, up to 150 units ",,,39.34,39.34,1
RC,637,"Injection, hydralazine hcl, up to 20 mg ",,,5.38,5.38,1
RC,637,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,25.16,25.16,1
RC,637,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,637,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.01,1
RC,637,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,5.99,5.99,1
RC,637,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,23.58,23.58,1
RC,637,"Injection, hydroxyzine hcl, up to 25 mg ",,,21.71,21.71,1
RC,637,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,64.8,64.8,1
RC,637,"Injection, ibalizumab-uiyk, 10 mg ",,,94.08,94.08,1
RC,637,"Injection, ibandronate sodium, 1 mg ",,,27.17,27.17,1
RC,637,"Injection, ibuprofen, 100 mg ",,,3.64,3.64,1
RC,637,"Injection, ibutilide fumarate, 1 mg ",,,357.96,357.96,1
RC,637,"Injection, icatibant, 1 mg ",,,83.92,83.92,1
RC,637,"Injection, idarubicin hydrochloride, 5 mg ",,,53.18,53.18,1
RC,637,"Injection, idursulfase, 1 mg ",,,663.37,663.37,1
RC,637,"Injection, ifosfamide, 1 gram ",,,30.1,30.1,1
RC,637,"Injection, imetelstat, 1 mg ",,,64.98,64.98,1
RC,637,"Injection, imiglucerase, 10 units ",,,52.75,52.75,1
RC,637,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,3.06,3.06,1
RC,637,"Injection, immune globulin (alyglo), 500 mg ",,,168.85,168.85,1
RC,637,"Injection, immune globulin (asceniv), 500 mg ",,,607.27,607.27,1
RC,637,"Injection, immune globulin (cuvitru), 100 mg ",,,20.4,20.4,1
RC,637,"Injection, immune globulin (hizentra), 100 mg ",,,16.68,16.68,1
RC,637,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,86.12,86.12,1
RC,637,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,60.13,60.13,1
RC,637,"Injection, immune globulin (xembify), 100 mg ",,,17.46,17.46,1
RC,637,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,63.53,63.53,1
RC,637,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,55.18,55.18,1
RC,637,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,70.27,70.27,1
RC,637,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,59.11,59.11,1
RC,637,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,58.75,58.75,1
RC,637,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,99.05,99.05,1
RC,637,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,21.48,21.48,1
RC,637,"Injection, inclisiran, 1 mg ",,,15.01,15.01,1
RC,637,"Injection, incobotulinumtoxin a, 1 unit ",,,6.52,6.52,1
RC,637,"Injection, indigotindisulfonate sodium, 1 mg ",,,12.0,12.0,1
RC,637,"Injection, inebilizumab-cdon, 1 mg ",,,592.25,592.25,1
RC,637,"Injection, infliximab, excludes biosimilar, 10 mg ",,,37.32,37.32,1
RC,637,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,34.04,34.04,1
RC,637,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,24.14,24.14,1
RC,637,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,19.45,19.45,1
RC,637,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,3249.94,3249.94,1
RC,637,"Injection, insulin, per 5 units ",,,0.26,0.26,1
RC,637,"Injection, interferon beta-1a, 30 mcg ",,,2591.34,2591.34,1
RC,637,"Injection, ipilimumab, 1 mg ",,,220.33,220.33,1
RC,637,"Injection, irinotecan liposome, 1 mg ",,,79.81,79.81,1
RC,637,"Injection, irinotecan, 20 mg ",,,2.0,2.0,1
RC,637,"Injection, iron dextran, 50 mg ",,,21.07,21.07,1
RC,637,"Injection, iron sucrose, 1 mg ",,,0.29,0.29,1
RC,637,"Injection, isatuximab-irfc, 10 mg ",,,96.41,96.41,1
RC,637,"Injection, isavuconazonium, 1 mg ",,,1.27,1.27,1
RC,637,"Injection, ixabepilone, 1 mg ",,,166.54,166.54,1
RC,637,"Injection, ketorolac tromethamine, per 15 mg ",,,0.61,0.61,1
RC,637,"Injection, lanreotide, (cipla), 1 mg ",,,31.08,31.08,1
RC,637,"Injection, lanreotide, 1 mg ",,,48.35,48.35,1
RC,637,"Injection, laronidase, 0.1 mg ",,,47.2,47.2,1
RC,637,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,26.93,26.93,1
RC,637,"Injection, leucovorin calcium, per 50 mg ",,,4.28,4.28,1
RC,637,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2042.17,2042.17,1
RC,637,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,164.15,164.15,1
RC,637,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,269.89,269.89,1
RC,637,"Injection, levetiracetam, 10 mg ",,,0.06,0.06,1
RC,637,"Injection, levofloxacin, 250 mg ",,,1.26,1.26,1
RC,637,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,637,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,7.82,7.82,1
RC,637,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.29,6.29,1
RC,637,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.01,0.01,1
RC,637,"Injection, lincomycin hcl, up to 300 mg ",,,7.62,7.62,1
RC,637,"Injection, linezolid, 200 mg ",,,4.25,4.25,1
RC,637,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,304.46,304.46,1
RC,637,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,259.2,259.2,1
RC,637,"Injection, lorazepam, 2 mg ",,,1.92,1.92,1
RC,637,"Injection, lovotibeglogene autotemcel, per treatment ",,,3720000.0,3720000.0,1
RC,637,"Injection, lumasiran, 0.5 mg ",,,389.83,389.83,1
RC,637,"Injection, lurbinectedin, 0.1 mg ",,,250.68,250.68,1
RC,637,"Injection, luspatercept-aamt, 0.25 mg ",,,50.42,50.42,1
RC,637,"Injection, magnesium sulfate, per 500 mg ",,,0.61,0.61,1
RC,637,"Injection, mannitol, 25% in 50 ml ",,,2.76,2.76,1
RC,637,"Injection, margetuximab-cmkb, 5 mg ",,,59.33,59.33,1
RC,637,"Injection, marstacimab-hncq, 0.5 mg ",,,62.0,62.0,1
RC,637,"Injection, mecasermin, 1 mg ",,,441.16,441.16,1
RC,637,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.29,0.29,1
RC,637,"Injection, melphalan (evomela), 1 mg ",,,22.62,22.62,1
RC,637,"Injection, melphalan (hepzato), 1 mg ",,,946.08,946.08,1
RC,637,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,192.08,192.08,1
RC,637,"Injection, meperidine hydrochloride, per 100 mg ",,,12.38,12.38,1
RC,637,"Injection, mepolizumab, 1 mg ",,,37.33,37.33,1
RC,637,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.96,1.96,1
RC,637,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,2.68,2.68,1
RC,637,"Injection, meropenem, 100 mg ",,,0.53,0.53,1
RC,637,"Injection, mesna, 200 mg ",,,1.66,1.66,1
RC,637,"Injection, methadone hcl, up to 10 mg ",,,25.57,25.57,1
RC,637,"Injection, methocarbamol, up to 10 ml ",,,7.78,7.78,1
RC,637,"Injection, methotrexate sodium, 50 mg ",,,3.17,3.17,1
RC,637,"Injection, methylergonovine maleate, up to 0.2 mg ",,,26.03,26.03,1
RC,637,"Injection, methylnaltrexone, 0.1 mg ",1787.34,1787.34,1.7,1.7,1
RC,637,"Injection, methylprednisolone acetate, 1 mg ",,,0.13,0.13,1
RC,637,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.31,0.31,1
RC,637,"Injection, metoclopramide hcl, up to 10 mg ",,,1.37,1.37,1
RC,637,"Injection, metoprolol tartrate, 1 mg ",,,0.17,0.17,1
RC,637,"Injection, micafungin sodium, 1 mg ",,,0.35,0.35,1
RC,637,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.16,1
RC,637,"Injection, milrinone lactate, 5 mg ",,,1.92,1.92,1
RC,637,"Injection, minocycline hydrochloride, 1 mg ",,,3.11,3.11,1
RC,637,"Injection, mirikizumab-mrkz, 1 mg ",,,58.15,58.15,1
RC,637,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,83.23,83.23,1
RC,637,"Injection, mitomycin, 5 mg ",,,31.3,31.3,1
RC,637,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,33.86,33.86,1
RC,637,"Injection, mogamulizumab-kpkc, 1 mg ",,,297.86,297.86,1
RC,637,"Injection, morphine sulfate, up to 10 mg ",,,5.66,5.66,1
RC,637,"Injection, mosunetuzumab-axgb, 1 mg ",,,783.66,783.66,1
RC,637,"Injection, motixafortide, 0.25 mg ",,,30.83,30.83,1
RC,637,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,26.48,26.48,1
RC,637,"Injection, moxifloxacin, 100 mg ",,,10.49,10.49,1
RC,637,"Injection, nalbuphine hydrochloride, per 10 mg ",,,3.77,3.77,1
RC,637,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.01,0.01,1
RC,637,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.07,1
RC,637,"Injection, naltrexone, depot form, 1 mg ",,,5.04,5.04,1
RC,637,"Injection, natalizumab, 1 mg ",,,29.8,29.8,1
RC,637,"Injection, naxitamab-gqgk, 1 mg ",,,784.73,784.73,1
RC,637,"Injection, necitumumab, 1 mg ",,,7.01,7.01,1
RC,637,"Injection, nelarabine, 50 mg ",,,77.26,77.26,1
RC,637,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,0.96,0.96,1
RC,637,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,237.29,237.29,1
RC,637,"Injection, nivolumab, 1 mg ",,,39.55,39.55,1
RC,637,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,31.15,31.15,1
RC,637,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,115.64,115.64,1
RC,637,"Injection, nusinersen, 0.1 mg ",,,1420.38,1420.38,1
RC,637,"Injection, obinutuzumab, 10 mg ",,,91.96,91.96,1
RC,637,"Injection, ocrelizumab, 1 mg ",,,70.67,70.67,1
RC,637,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,55.25,55.25,1
RC,637,"Injection, octafluoropropane microspheres, per ml ",,,51.2,51.2,1
RC,637,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,250.14,250.14,1
RC,637,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.72,0.72,1
RC,637,"Injection, ofatumumab, 10 mg ",,,72.41,72.41,1
RC,637,"Injection, olanzapine, 0.5 mg ",,,1.14,1.14,1
RC,637,"Injection, olanzapine, long-acting, 1 mg ",,,3.56,3.56,1
RC,637,"Injection, oliceridine, 0.1 mg ",,,1.6,1.6,1
RC,637,"Injection, olipudase alfa-rpcp, 1 mg ",,,466.12,466.12,1
RC,637,"Injection, omadacycline, 1 mg ",,,4.73,4.73,1
RC,637,"Injection, omalizumab, 5 mg ",,,49.06,49.06,1
RC,637,"Injection, onabotulinumtoxina, 1 unit ",,,7.92,7.92,1
RC,637,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,2870046.83,2870046.83,1
RC,637,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.11,0.11,1
RC,637,"Injection, oritavancin (kimyrsa), 10 mg ",,,52.28,52.28,1
RC,637,"Injection, oritavancin (orbactiv), 10 mg ",,,34.87,34.87,1
RC,637,"Injection, orphenadrine citrate, up to 60 mg ",,,15.07,15.07,1
RC,637,"Injection, oxacillin sodium, up to 250 mg ",,,0.78,0.78,1
RC,637,"Injection, oxaliplatin, 0.5 mg ",,,0.06,0.06,1
RC,637,"Injection, oxytocin, up to 10 units ",,,1.68,1.68,1
RC,637,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.97,15.97,1
RC,637,"Injection, palifermin, 50 micrograms ",,,41.57,41.57,1
RC,637,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,19.98,19.98,1
RC,637,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,15.49,15.49,1
RC,637,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,18.01,18.01,1
RC,637,"Injection, palonosetron hcl, 25 mcg ",,,0.61,0.61,1
RC,637,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,69.6,69.6,1
RC,637,"Injection, pamidronate disodium, per 30 mg ",,,16.97,16.97,1
RC,637,"Injection, panitumumab, 10 mg ",,,201.65,201.65,1
RC,637,"Injection, papaverine hcl, up to 60 mg ",,,45.0,45.0,1
RC,637,"Injection, paricalcitol, 1 mcg ",,,0.98,0.98,1
RC,637,"Injection, pasireotide long acting, 1 mg ",,,800.84,800.84,1
RC,637,"Injection, patisiran, 0.1 mg ",,,121.08,121.08,1
RC,637,"Injection, pegaspargase, per single dose vial ",,,33097.56,33097.56,1
RC,637,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,176.05,176.05,1
RC,637,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,24.43,24.43,1
RC,637,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,164.14,164.14,1
RC,637,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,30.2,30.2,1
RC,637,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,200.03,200.03,1
RC,637,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,307.18,307.18,1
RC,637,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,138.02,138.02,1
RC,637,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,200.7,200.7,1
RC,637,"Injection, pegloticase, 1 mg ",,,4359.11,4359.11,1
RC,637,"Injection, pegulicianine, 1 mg ",,,42.46,42.46,1
RC,637,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,277.45,277.45,1
RC,637,"Injection, pembrolizumab, 1 mg ",,,72.56,72.56,1
RC,637,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,12.12,12.12,1
RC,637,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,4.72,4.72,1
RC,637,"Injection, pemetrexed (pemfexy), 10 mg ",,,56.68,56.68,1
RC,637,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,99.11,99.11,1
RC,637,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.24,10.24,1
RC,637,"Injection, pemetrexed ditromethamine, 10 mg ",,,13.2,13.2,1
RC,637,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,4.61,4.61,1
RC,637,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,8532.22,8532.22,1
RC,637,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,21.23,21.23,1
RC,637,"Injection, penicillin g benzathine, 100,000 units ",,,33.0,33.0,1
RC,637,"Injection, penicillin g potassium, up to 600,000 units ",,,0.95,0.95,1
RC,637,"Injection, pentobarbital sodium, per 50 mg ",,,63.4,63.4,1
RC,637,"Injection, pentostatin, 10 mg ",,,3268.64,3268.64,1
RC,637,"Injection, peramivir, 1 mg ",,,1.9,1.9,1
RC,637,"Injection, perflutren lipid microspheres, per ml ",,,51.2,51.2,1
RC,637,"Injection, pertuzumab, 1 mg ",,,19.84,19.84,1
RC,637,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,77.02,77.02,1
RC,637,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.6,1.6,1
RC,637,"Injection, phenobarbital sodium, up to 120 mg ",,,35.99,35.99,1
RC,637,"Injection, phentolamine mesylate, up to 5 mg ",,,549.34,549.34,1
RC,637,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.17,0.17,1
RC,637,"Injection, phenytoin sodium, per 50 mg ",,,0.64,0.64,1
RC,637,"Injection, phytonadione (vitamin k), per 1 mg ",,,2.99,2.99,1
RC,637,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.37,1.37,1
RC,637,"Injection, plasminogen, human-tvmh, 1 mg ",,,39.59,39.59,1
RC,637,"Injection, plazomicin, 5 mg ",,,4.37,4.37,1
RC,637,"Injection, plerixafor, 1 mg ",,,30.53,30.53,1
RC,637,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,162.28,162.28,1
RC,637,"Injection, porfimer sodium, 75 mg ",,,27987.6,27987.6,1
RC,637,"Injection, potassium chloride, per 2 meq ",,,0.26,0.26,1
RC,637,"Injection, pralatrexate, 1 mg ",,,456.98,456.98,1
RC,637,"Injection, pralidoxime chloride, up to 1 gm ",,,104.04,104.04,1
RC,637,"Injection, procainamide hcl, up to 1 gm ",,,347.64,347.64,1
RC,637,"Injection, prochlorperazine, up to 10 mg ",,,3.56,3.56,1
RC,637,"Injection, progesterone, per 50 mg ",,,0.8,0.8,1
RC,637,"Injection, promethazine hcl, up to 50 mg ",,,4.06,4.06,1
RC,637,"Injection, propranolol hcl, up to 1 mg ",,,11.69,11.69,1
RC,637,"Injection, protamine sulfate, per 10 mg ",,,1.72,1.72,1
RC,637,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,18.36,18.36,1
RC,637,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,3.78,3.78,1
RC,637,"Injection, pyridoxine hcl, 100 mg ",,,15.37,15.37,1
RC,637,"Injection, ramucirumab, 5 mg ",,,89.71,89.71,1
RC,637,"Injection, ranibizumab, 0.1 mg ",,,110.54,110.54,1
RC,637,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,97.49,97.49,1
RC,637,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,179.44,179.44,1
RC,637,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,104.63,104.63,1
RC,637,"Injection, rasburicase, 0.5 mg ",,,452.94,452.94,1
RC,637,"Injection, ravulizumab-cwvz, 10 mg ",,,269.38,269.38,1
RC,637,"Injection, regadenoson, 0.1 mg ",,,5.39,5.39,1
RC,637,"Injection, remdesivir, 1 mg ",,,7.76,7.76,1
RC,637,"Injection, reslizumab, 1 mg ",,,12.83,12.83,1
RC,637,"Injection, reteplase, 18.1 mg ",,,3625.25,3625.25,1
RC,637,"Injection, retifanlimab-dlwr, 1 mg ",,,36.35,36.35,1
RC,637,"Injection, rezafungin, 1 mg ",,,12.74,12.74,1
RC,637,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,94.33,94.33,1
RC,637,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,28.87,28.87,1
RC,637,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,39.74,39.74,1
RC,637,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,5.98,5.98,1
RC,637,"Injection, rifampin, 1 mg ",,,0.17,0.17,1
RC,637,"Injection, rimabotulinumtoxinb, 100 units ",,,15.89,15.89,1
RC,637,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,18.17,18.17,1
RC,637,"Injection, risperidone (risperdal consta), 0.5 mg ",,,12.83,12.83,1
RC,637,"Injection, risperidone (rykindo), 0.5 mg ",,,14.75,14.75,1
RC,637,"Injection, risperidone (uzedy), 1 mg ",,,30.11,30.11,1
RC,637,"Injection, risperidone, (perseris), 0.5 mg ",,,14.87,14.87,1
RC,637,"Injection, rituximab 10 mg and hyaluronidase ",,,45.88,45.88,1
RC,637,"Injection, rituximab, 10 mg ",,,93.46,93.46,1
RC,637,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,42.49,42.49,1
RC,637,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,40.45,40.45,1
RC,637,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,30.49,30.49,1
RC,637,"Injection, romidepsin, lyophilized, 0.1 mg ",,,38.57,38.57,1
RC,637,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,38.39,38.39,1
RC,637,"Injection, romiplostim, 1 microgram ",,,12.85,12.85,1
RC,637,"Injection, romosozumab-aqqg, 1 mg ",,,14.05,14.05,1
RC,637,"Injection, rozanolixizumab-noli, 1 mg ",,,27.92,27.92,1
RC,637,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,43.76,43.76,1
RC,637,"Injection, sargramostim (gm-csf), 50 mcg ",,,73.21,73.21,1
RC,637,"Injection, sebelipase alfa, 1 mg ",,,612.6,612.6,1
RC,637,"Injection, secretin, synthetic, human, 1 microgram ",,,47.26,47.26,1
RC,637,"Injection, secukinumab, intravenous, 1 mg ",,,21.67,21.67,1
RC,637,"Injection, siltuximab, 10 mg ",,,199.74,199.74,1
RC,637,"Injection, sincalide, 5 micrograms ",,,175.15,175.15,1
RC,637,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.82,143.82,1
RC,637,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,2.38,2.38,1
RC,637,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,2.38,2.38,1
RC,637,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,109.61,109.61,1
RC,637,"Injection, sotalol hydrochloride, 1 mg ",,,27.85,27.85,1
RC,637,"Injection, spesolimab-sbzo, 1 mg ",,,75.11,75.11,1
RC,637,"Injection, sterile cefuroxime sodium, per 750 mg ",,,2.46,2.46,1
RC,637,"Injection, streptomycin, up to 1 gm ",,,31.28,31.28,1
RC,637,"Injection, streptozocin, 1 gram ",,,419.08,419.08,1
RC,637,"Injection, succinylcholine chloride, up to 20 mg ",,,0.96,0.96,1
RC,637,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.06,0.06,1
RC,637,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,44.4,44.4,1
RC,637,"Injection, sutimlimab-jome, 10 mg ",,,22.16,22.16,1
RC,637,"Injection, tafasitamab-cxix, 2 mg ",,,17.03,17.03,1
RC,637,"Injection, tagraxofusp-erzs, 10 micrograms ",,,413.9,413.9,1
RC,637,"Injection, taliglucerase alfa, 10 units ",,,49.69,49.69,1
RC,637,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,86.04,86.04,1
RC,637,"Injection, talquetamab-tgvs, 0.25 mg ",,,85.57,85.57,1
RC,637,"Injection, tarlatamab-dlle, 1 mg ",,,1800.0,1800.0,1
RC,637,"Injection, tbo-filgrastim, 1 microgram ",,,0.46,0.46,1
RC,637,"Injection, tebentafusp-tebn, 1 microgram ",,,262.57,262.57,1
RC,637,"Injection, teclistamab-cqyv, 0.5 mg ",,,39.64,39.64,1
RC,637,"Injection, tedizolid phosphate, 1 mg ",,,2.21,2.21,1
RC,637,"Injection, telavancin, 10 mg ",,,8.68,8.68,1
RC,637,"Injection, temozolomide, 1 mg ",,,12.73,12.73,1
RC,637,"Injection, temsirolimus, 1 mg ",,,37.07,37.07,1
RC,637,"Injection, tenecteplase, 1 mg ",,,198.62,198.62,1
RC,637,"Injection, teplizumab-mzwv, 5 mcg ",,,45.62,45.62,1
RC,637,"Injection, teprotumumab-trbw, 10 mg ",,,431.06,431.06,1
RC,637,"Injection, terbutaline sulfate, up to 1 mg ",,,1.73,1.73,1
RC,637,"Injection, testosterone cypionate (azmiro), 1 mg ",,,1.5,1.5,1
RC,637,"Injection, testosterone undecanoate, 1 mg ",,,2.47,2.47,1
RC,637,"Injection, tetanus immune globulin, human, up to 250 units ",,,703.94,703.94,1
RC,637,"Injection, tezepelumab-ekko, 1 mg ",,,21.72,21.72,1
RC,637,"Injection, thiamine hcl, 100 mg ",,,2.15,2.15,1
RC,637,"Injection, thiotepa (tepylute), 1 mg ",,,44.57,44.57,1
RC,637,"Injection, thiotepa, not otherwise specified, 1 mg ",,,14.95,14.95,1
RC,637,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2541.52,2541.52,1
RC,637,"Injection, tigecycline, 1 mg ",,,0.36,0.36,1
RC,637,"Injection, tildrakizumab, 1 mg ",,,160.73,160.73,1
RC,637,"Injection, tirofiban hcl, 0.25 mg ",,,4.34,4.34,1
RC,637,"Injection, tislelizumab-jsgr, 1mg ",,,65.57,65.57,1
RC,637,"Injection, tisotumab vedotin-tftv, 1 mg ",,,230.65,230.65,1
RC,637,"Injection, tobramycin sulfate, up to 80 mg ",,,1.94,1.94,1
RC,637,"Injection, tocilizumab, 1 mg ",,,7.19,7.19,1
RC,637,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.97,7.97,1
RC,637,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.97,4.97,1
RC,637,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,7.3,7.3,1
RC,637,"Injection, tofersen, 1 mg ",,,189.91,189.91,1
RC,637,"Injection, topotecan, 0.1 mg ",,,1.56,1.56,1
RC,637,"Injection, toripalimab-tpzi, 1 mg ",,,47.8,47.8,1
RC,637,"Injection, trabectedin, 0.1 mg ",,,444.84,444.84,1
RC,637,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,76.92,76.92,1
RC,637,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,92.54,92.54,1
RC,637,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,34.13,34.13,1
RC,637,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,57.24,57.24,1
RC,637,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,35.14,35.14,1
RC,637,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,90.36,90.36,1
RC,637,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,30.48,30.48,1
RC,637,"Injection, travoprost, intracameral implant, 1 microgram ",,,223.2,223.2,1
RC,637,"Injection, tremelimumab-actl, 1 mg ",,,169.02,169.02,1
RC,637,"Injection, treprostinil, 1 mg ",,,69.49,69.49,1
RC,637,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,58.97,58.97,1
RC,637,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.07,1.07,1
RC,637,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,28.32,28.32,1
RC,637,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,22.02,22.02,1
RC,637,"Injection, trilaciclib, 1mg ",,,6.59,6.59,1
RC,637,"Injection, trimethobenzamide hcl, up to 200 mg ",,,61.19,61.19,1
RC,637,"Injection, triptorelin pamoate, 3.75 mg ",,,576.62,576.62,1
RC,637,"Injection, triptorelin, extended-release, 3.75 mg ",,,4459.54,4459.54,1
RC,637,"Injection, ublituximab-xiiy, 1mg ",,,83.94,83.94,1
RC,637,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,15.56,15.56,1
RC,637,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.7,3.7,1
RC,637,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.81,2.81,1
RC,637,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,14001.76,14001.76,1
RC,637,"Injection, valrubicin, intravesical, 200 mg ",,,1766.16,1766.16,1
RC,637,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.14,0.14,1
RC,637,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,637,"Injection, vancomycin hydrochloride, 10 mg ",,,0.04,0.04,1
RC,637,"Injection, vasopressin (baxter), 1 unit ",,,4.27,4.27,1
RC,637,"Injection, vedolizumab, intravenous, 1 mg ",,,25.87,25.87,1
RC,637,"Injection, velaglucerase alfa, 100 units ",,,457.7,457.7,1
RC,637,"Injection, velmanase alfa-tycv, 1 mg ",,,544.04,544.04,1
RC,637,"Injection, verteporfin, 0.1 mg ",,,14.09,14.09,1
RC,637,"Injection, vinblastine sulfate, 1 mg ",,,6.29,6.29,1
RC,637,"Injection, vinorelbine tartrate, 10 mg ",,,8.05,8.05,1
RC,637,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,0.82,0.82,1
RC,637,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,2.24,2.24,1
RC,637,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.57,1.57,1
RC,637,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.76,1.76,1
RC,637,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,3655.0,3655.0,1
RC,637,"Injection, voriconazole, 10 mg ",,,1.3,1.3,1
RC,637,"Injection, vutrisiran, 1 mg ",,,6059.78,6059.78,1
RC,637,"Injection, zanidatamab-hrii, 2 mg ",,,30.66,30.66,1
RC,637,"Injection, zenocutuzumab-zbco, 1 mg ",,,38.0,38.0,1
RC,637,"Injection, ziconotide, 1 microgram ",,,11.86,11.86,1
RC,637,"Injection, zidovudine, 10 mg ",,,1.85,1.85,1
RC,637,"Injection, ziprasidone mesylate, 10 mg ",,,6.34,6.34,1
RC,637,"Injection, ziv-aflibercept, 1 mg ",,,10.15,10.15,1
RC,637,"Injection, zolbetuximab-clzb, 2 mg ",,,41.03,41.03,1
RC,637,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,0.95,0.95,1
RC,637,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,10.0,10.0,1
RC,637,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.15,8.15,1
RC,637,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,77314.48,77314.48,1
RC,637,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2961.6,2961.6,1
RC,637,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6130.09,6130.09,1
RC,637,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,115.01,115.01,1
RC,637,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,45.0,45.0,1
RC,637,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,95.76,95.76,1
RC,637,"Iodine i-131, iobenguane, 1 millicurie ",,,384.47,384.47,1
RC,637,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,118.46,118.46,1
RC,637,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.62,1.62,1
RC,637,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,210.65,210.65,1
RC,637,"Leuprolide acetate, per 1 mg ",,,60.67,60.67,1
RC,637,"Leuprolide injectable, camcevi, 1 mg ",,,64.03,64.03,1
RC,637,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,631423.78,631423.78,1
RC,637,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.14,1.14,1
RC,637,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.49,0.49,1
RC,637,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.17,0.17,1
RC,637,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,292.22,292.22,1
RC,637,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,358.85,358.85,1
RC,637,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5350.64,5350.64,1
RC,637,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1148.48,1148.48,1
RC,637,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,114.7,114.7,1
RC,637,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,335.86,335.86,1
RC,637,"Mitomycin pyelocalyceal instillation, 1 mg ",,,382.68,382.68,1
RC,637,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,13.87,13.87,1
RC,637,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,630000.0,630000.0,1
RC,637,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,141.6,141.6,1
RC,637,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,738.07,738.07,1
RC,637,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,285.74,285.74,1
RC,637,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,342.42,342.42,1
RC,637,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,347.92,347.92,1
RC,637,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,141.62,141.62,1
RC,637,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,53.96,53.96,1
RC,637,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.58,3.58,1
RC,637,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,354.46,354.46,1
RC,637,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,294.84,294.84,1
RC,637,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,543.08,543.08,1
RC,637,"Rabies vaccine, for intramuscular use ",,,545.72,545.72,1
RC,637,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,202.82,202.82,1
RC,637,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,2184.79,2184.79,1
RC,637,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,28.87,28.87,1
RC,637,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,19539.46,19539.46,1
RC,637,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,156.04,156.04,1
RC,637,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,171.52,171.52,1
RC,637,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,93.14,93.14,1
RC,637,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,69.55,69.55,1
RC,637,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,165.41,165.41,1
RC,637,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,171.4,171.4,1
RC,637,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,69711.48,69711.48,1
RC,637,"Sodium phosphate p-32, therapeutic, per millicurie ",,,365.86,365.86,1
RC,637,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,4500.0,4500.0,1
RC,637,"Tacrolimus, parenteral, 5 mg ",,,311.84,311.84,1
RC,637,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,4399.6,4399.6,1
RC,637,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2056.76,2056.76,1
RC,637,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,120.0,120.0,1
RC,637,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,36.0,36.0,1
RC,637,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,67.8,67.8,1
RC,637,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,15.6,15.6,1
RC,637,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,76.86,76.86,1
RC,637,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,84.0,84.0,1
RC,637,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,320.84,320.84,1
RC,637,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,102.32,102.32,1
RC,637,"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries ",,,793.88,793.88,1
RC,637,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,48.46,48.46,1
RC,637,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,59.06,59.06,1
RC,637,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,39.19,39.19,1
RC,637,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,177.29,177.29,1
RC,637,"Ustekinumab, for intravenous injection, 1 mg ",,,15.66,15.66,1
RC,637,"Ustekinumab, for subcutaneous injection, 1 mg ",,,388.69,388.69,1
RC,637,"Vincristine sulfate, 1 mg ",,,10.02,10.02,1
RC,637,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,306.12,306.12,1
RC,637,"Yellow fever vaccine, live, for subcutaneous use ",,,270.91,270.91,1
RC,637,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,80165.58,80165.58,1
RC,637,"injection, busulfan, 1 mg ",,,1.78,1.78,1
RC,655, Hospice Service Inpatient Respite Care  ,,,665.0,3985.0,4
RC,656, Hospice Service General Inpatient Care Non-Respite  ,,,665.0,3985.0,4
RC,681, Trauma Response - Level I Trauma  ,,,6500.0,7500.0,3
RC,682, Trauma Response - Level II Trauma  ,,,6500.0,7500.0,3
RC,683, Trauma Response - Level III Trauma  ,,,3137.0,8000.0,14
RC,684, Trauma Response - Level IV Trauma  ,,,6500.0,8000.0,8
RC,689, Trauma Response - Other   ,,,6500.0,8000.0,8
RC,690, Pre-hospice/Palliative Care Services General Classification  ,,,,,0
RC,691, Pre-hospice/Palliative Care Services Visit Charge  ,,,,,0
RC,692, Pre-hospice/Palliative Care Services Hourly Charge  ,,,,,0
RC,693, Pre-hospice/Palliative Care Services Evaluation  ,,,,,0
RC,694, Pre-hospice/Palliative Care Services Consultation and Education  ,,,,,0
RC,695, Pre-hospice/Palliative Care Services Inpatient Care  ,,,,,0
RC,696, Pre-hospice/Palliative Care Services Physician Services  ,,,,,0
RC,699, Pre-hospice/Palliative Care Services Other  ,,,,,0
RC,700, Cast Room General Classification  ,,,,,0
RC,710, Recovery Room General Classification  ,,,,,0
RC,720, Labor Room/Delivery General Classification  ,,,16.89,916.0,5
RC,721, Labor Room/Delivery Labor  ,,,687.0,916.0,3
RC,722, Labor Room/Delivery Delivery Room  ,,,687.0,916.0,3
RC,723, Labor Room/Delivery Circumcision  ,,,,,0
RC,724, Labor Room/Delivery Birthing Center  ,,,687.0,916.0,3
RC,729, Labor Room/Delivery Other  ,,,687.0,916.0,3
RC,730, EKG/ECG (Electrocardiogram) General Classification  ,,,670.0,893.0,3
RC,731, EKG/ECG (Electrocardiogram) Holter Monitor  ,,,710.0,947.0,3
RC,732, EKG/ECG (Electrocardiogram) Telemetry  ,,,710.0,947.0,3
RC,739, EKG/ECG (Electrogardiogram) Other  ,,,670.0,893.0,3
RC,740, EEG (Electoencephalogram) General Classification  ,,,1343.0,1790.0,3
RC,740,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,1343.0,1790.0,3
RC,740,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,740,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,1343.0,1790.0,3
RC,740,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,740,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,740,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,1343.0,1790.0,3
RC,740,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,1343.0,1790.0,3
RC,740,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,1343.0,1790.0,3
RC,740,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,1343.0,1790.0,3
RC,740,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,1343.0,1790.0,3
RC,750, Gastro-Intestinal (GI) Services General Classification  ,,,1924.0,4169.0,6
RC,750,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,750,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,750,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,750,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,3
RC,750,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,291.0,36635.0,6
RC,750,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,750,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,750,Anorectal manometry ,,,291.0,291.0,1
RC,750,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,5
RC,750,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,10
RC,750,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,10
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,3523.0,15
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,5
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,3523.0,10
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,5
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,8866.0,10
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,5
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,3523.0,10
RC,750,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,7
RC,750,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,3715.0,6446.0,5
RC,750,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,5
RC,750,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,2900.0,4
RC,750,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,7
RC,750,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,6
RC,750,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,7
RC,750,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,4
RC,750,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,16939.0,7
RC,750,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,6
RC,750,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,750,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,291.0,2900.0,4
RC,750,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,750,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,5
RC,750,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,750,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,6
RC,750,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,8866.0,4
RC,750,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,750,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,3715.0,8866.0,7
RC,750,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,3715.0,8866.0,7
RC,750,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,750,Bundle of His recording ,,,769.0,21155.0,4
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,750,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,291.0,2900.0,4
RC,750,Cardioassist-method of circulatory assist; external ,,,3715.0,4953.0,3
RC,750,Cardioassist-method of circulatory assist; internal ,,,3715.0,4953.0,3
RC,750,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,2900.0,4
RC,750,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,511.0,3250.0,4
RC,750,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,511.0,3250.0,4
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,5
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,5
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,15
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,5
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,20
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,15
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,5
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,5
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,9813.0,7
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,10746.0,19
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,9813.0,14
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,10746.0,24
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,9813.0,7
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,5
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,5
RC,750,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,750,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,750,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,8866.0,7
RC,750,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,3
RC,750,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,291.0,2900.0,4
RC,750,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3979.0,15
RC,750,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3979.0,15
RC,750,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,9
RC,750,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,9
RC,750,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,291.0,21155.0,4
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,291.0,21155.0,4
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,2540.0,21155.0,4
RC,750,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,2706.0,36635.0,18
RC,750,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,2540.0,21155.0,4
RC,750,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,2706.0,36635.0,9
RC,750,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,291.0,2900.0,4
RC,750,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,8866.0,7
RC,750,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,7161.0,7
RC,750,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,8866.0,7
RC,750,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,6
RC,750,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,8866.0,13
RC,750,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,11
RC,750,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,8866.0,9
RC,750,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,5
RC,750,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,291.0,2900.0,16
RC,750,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,8
RC,750,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,7161.0,7
RC,750,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,3
RC,750,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,3
RC,750,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3523.0,13
RC,750,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,3715.0,6446.0,5
RC,750,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3715.0,10746.0,26
RC,750,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,750,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,750,Duodenal motility (manometric) study ,,,291.0,2900.0,8
RC,750,"Electrogastrography, diagnostic, transcutaneous; ",,,291.0,2900.0,4
RC,750,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,291.0,2900.0,4
RC,750,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,291.0,5078.0,12
RC,750,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,769.0,5078.0,6
RC,750,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,291.0,2900.0,4
RC,750,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,2540.0,21155.0,4
RC,750,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,291.0,2900.0,8
RC,750,Endomyocardial biopsy ,,,607.0,5958.0,9
RC,750,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,5
RC,750,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,6
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,3715.0,6446.0,5
RC,750,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,3715.0,8866.0,7
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,750,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,8866.0,11
RC,750,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,750,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,291.0,2900.0,4
RC,750,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,291.0,2900.0,4
RC,750,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,291.0,2900.0,8
RC,750,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,291.0,2900.0,4
RC,750,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,8866.0,11
RC,750,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,769.0,21155.0,4
RC,750,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,769.0,21155.0,4
RC,750,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,291.0,2900.0,4
RC,750,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,291.0,2900.0,4
RC,750,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,291.0,2900.0,4
RC,750,Exc biopsy of saliv glands ,,,3715.0,4953.0,3
RC,750,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,3
RC,750,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,8866.0,7
RC,750,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,750,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,750,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,750,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,3715.0,6446.0,5
RC,750,"External counterpulsation, per treatment session ",,,3131.0,3523.0,2
RC,750,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,6
RC,750,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,8866.0,3
RC,750,Gastric motility (manometric) studies ,,,291.0,2900.0,8
RC,750,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,3
RC,750,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,4
RC,750,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,750,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,750,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,3
RC,750,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,3
RC,750,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,750,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,6801.0,4
RC,750,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,5958.0,4
RC,750,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,13472.0,5
RC,750,Indexing for osteotomy ,,,3715.0,4953.0,3
RC,750,Induction of arrhythmia by electrical pacing ,,,769.0,21155.0,4
RC,750,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,291.0,2900.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,750,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,8
RC,750,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3523.0,15
RC,750,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,3250.0,9
RC,750,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,9
RC,750,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,7
RC,750,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3715.0,10746.0,5
RC,750,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3715.0,10746.0,5
RC,750,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3715.0,10746.0,5
RC,750,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,3523.0,13
RC,750,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,5
RC,750,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,4953.0,5
RC,750,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,8866.0,8
RC,750,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,291.0,2900.0,4
RC,750,Intra-atrial pacing ,,,769.0,21155.0,4
RC,750,Intra-atrial recording ,,,769.0,21155.0,4
RC,750,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,291.0,21155.0,4
RC,750,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,291.0,36635.0,6
RC,750,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,1753.0,36635.0,7
RC,750,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,750,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,750,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,4
RC,750,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,4
RC,750,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,6
RC,750,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,5
RC,750,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,291.0,2900.0,8
RC,750,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,291.0,21155.0,4
RC,750,Intraventricular pacing ,,,769.0,21155.0,4
RC,750,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,11
RC,750,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,291.0,9813.0,4
RC,750,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,6801.0,7
RC,750,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,750,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,750,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,3
RC,750,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,3
RC,750,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,3
RC,750,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,750,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,2
RC,750,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,750,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,3
RC,750,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,750,Nerve dissection ,,,3715.0,4953.0,3
RC,750,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,7
RC,750,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,5
RC,750,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,5
RC,750,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,5
RC,750,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,9
RC,750,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,9
RC,750,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,9
RC,750,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,1632.0,4830.0,4
RC,750,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,1632.0,4830.0,4
RC,750,Otolaryngologic examination under general anesthesia ,,,291.0,2900.0,4
RC,750,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,3
RC,750,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,20029.0,7
RC,750,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,20029.0,7
RC,750,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,20029.0,7
RC,750,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,3715.0,7161.0,7
RC,750,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,7161.0,7
RC,750,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,3715.0,4953.0,3
RC,750,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,5
RC,750,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,8866.0,13
RC,750,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,9
RC,750,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,9
RC,750,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,5278.0,9
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,9
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,9
RC,750,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,11
RC,750,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,27696.0,7
RC,750,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,27696.0,4
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,27040.0,7
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,5
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,2540.0,1
RC,750,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,7
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,9
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,5
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,5
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,3
RC,750,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,1
RC,750,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,9
RC,750,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,1
RC,750,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,27696.0,7
RC,750,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,27696.0,4
RC,750,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,27040.0,7
RC,750,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,2540.0,1
RC,750,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,750,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,750,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3715.0,10746.0,5
RC,750,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,2540.0,20029.0,4
RC,750,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,20029.0,7
RC,750,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2540.0,27040.0,4
RC,750,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,20772.0,27696.0,3
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,27696.0,11
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,2540.0,1
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,27040.0,9
RC,750,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,27696.0,11
RC,750,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,27040.0,8
RC,750,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3715.0,6446.0,5
RC,750,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3715.0,6446.0,5
RC,750,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3715.0,6446.0,5
RC,750,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3715.0,6446.0,5
RC,750,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,3
RC,750,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,3
RC,750,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,291.0,2900.0,4
RC,750,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,291.0,2900.0,4
RC,750,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,291.0,2900.0,4
RC,750,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,291.0,2900.0,4
RC,750,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,4
RC,750,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,750,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,4
RC,750,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,7
RC,750,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,3
RC,750,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,2900.0,4
RC,750,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,750,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,750,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,750,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,5
RC,750,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,291.0,1
RC,750,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,291.0,2900.0,4
RC,750,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,291.0,2900.0,4
RC,750,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,8866.0,7
RC,750,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,3
RC,750,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,5
RC,750,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,750,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,4
RC,750,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,3
RC,750,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,750,Removal of non-resorbable barrier ,,,3715.0,4953.0,3
RC,750,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3715.0,10746.0,5
RC,750,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,3
RC,750,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,3
RC,750,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,3
RC,750,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,750,Remove interim implant component ,,,3715.0,4953.0,3
RC,750,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,8866.0,7
RC,750,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,3
RC,750,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,5
RC,750,Replacement of an implant screw ,,,3715.0,4953.0,3
RC,750,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,3
RC,750,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,3
RC,750,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,3
RC,750,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,3
RC,750,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,3
RC,750,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,750,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,750,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,750,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,750,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,750,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,750,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,9
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,5
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,5
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,5
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,9
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,9
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,9
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,9
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,9
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,9
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,9
RC,750,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,5
RC,750,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,750,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,9813.0,7
RC,750,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,9813.0,7
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,9813.0,7
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,9813.0,7
RC,750,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,9813.0,7
RC,750,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,750,Right ventricular recording ,,,769.0,21155.0,4
RC,750,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,2
RC,750,Semi-precision abutment - placement ,,,3715.0,4953.0,3
RC,750,Semi-precision attachment - placement ,,,3715.0,4953.0,3
RC,750,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,3
RC,750,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,3
RC,750,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,3
RC,750,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,3
RC,750,Surgical placement zygomatic implant ,,,3715.0,4953.0,3
RC,750,Surgical repair of root resorption - molar ,,,3715.0,4953.0,3
RC,750,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,3
RC,750,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,3
RC,750,Temporary transcutaneous pacing ,,,511.0,3250.0,4
RC,750,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,990.0,4
RC,750,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,5
RC,750,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,4
RC,750,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,750,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,750,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,5
RC,750,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,3715.0,10746.0,5
RC,750,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,750,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,750,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,9
RC,750,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2900.0,5
RC,750,Unlisted cardiovascular service or procedure ,,,291.0,2900.0,4
RC,750,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,4
RC,750,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,3
RC,750,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,3
RC,750,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,5
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,750,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,750,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,3
RC,750,Wound closure utilizing tissue adhesive(s) only ,,,291.0,2900.0,4
RC,760, Specialty Services General Classification  ,,,614.0,11701.0,21
RC,760, Specialty Services General Classification  Behavioral Health,,,,,0
RC,760,Hospital outpatient clinic visit for assessment and management of a patient ,,,4060.0,4060.0,1
RC,761, Specialty Services Treatment Room  ,,,614.0,11701.0,17
RC,761, Specialty Services Treatment Room  Behavioral Health,,,,,0
RC,761,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,3131.0,3523.0,2
RC,761,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,3131.0,3523.0,2
RC,761,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,7878.0,8866.0,2
RC,761,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,3131.0,3523.0,2
RC,761,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7878.0,8866.0,2
RC,761,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,7878.0,8866.0,2
RC,761,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,7878.0,8866.0,2
RC,761,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,7878.0,8866.0,2
RC,761,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,7878.0,8866.0,2
RC,761,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,7878.0,8866.0,2
RC,761,Colorectal cancer screening; colonoscopy on individual at high risk ,,,3536.0,3979.0,2
RC,761,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,3536.0,3979.0,2
RC,761,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,7878.0,8866.0,2
RC,761,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,6363.0,7161.0,2
RC,761,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,7878.0,8866.0,2
RC,761,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,7878.0,8866.0,2
RC,761,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7878.0,8866.0,2
RC,761,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,6363.0,7161.0,2
RC,761,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,3131.0,3523.0,2
RC,761,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,7878.0,8866.0,6
RC,761,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,7878.0,8866.0,2
RC,761,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7878.0,8866.0,2
RC,761,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7878.0,8866.0,2
RC,761,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,7878.0,8866.0,2
RC,761,"External counterpulsation, per treatment session ",,,3131.0,3523.0,2
RC,761,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,7878.0,8866.0,2
RC,761,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,3131.0,3523.0,2
RC,761,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,3131.0,3523.0,2
RC,761,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,7878.0,8866.0,2
RC,761,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,7878.0,8866.0,2
RC,761,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,2
RC,761,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,6363.0,7161.0,2
RC,761,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,6363.0,7161.0,2
RC,761,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7878.0,8866.0,2
RC,761,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,7878.0,8866.0,2
RC,761,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,3131.0,3523.0,2
RC,761,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,3131.0,3523.0,2
RC,761,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,7878.0,8866.0,2
RC,761,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,2
RC,761,"Trimming of dystrophic nails, any number ",,,911.0,1024.0,2
RC,762, Specialty Services Observation Hours  ,,,16.89,11802.0,38
RC,762, Specialty Services Observation Hours  0-23 Hours,,,3000.0,3000.0,1
RC,762, Specialty Services Observation Hours  0-23 hrs,,,3750.0,3750.0,1
RC,762, Specialty Services Observation Hours  24-48 Hours,,,4500.0,4500.0,1
RC,762, Specialty Services Observation Hours  24-48 hrs,,,5450.0,5450.0,1
RC,762, Specialty Services Observation Hours  49+ Hours,,,6500.0,6500.0,1
RC,762, Specialty Services Observation Hours  49+ hrs,,,7450.0,7450.0,1
RC,762, Specialty Services Observation Hours  Behavioral Health,,,,,0
RC,762, Specialty Services Observation Hours  Observation (0-23 hours),,,3200.0,3200.0,1
RC,762, Specialty Services Observation Hours  Observation (24-48 hours),,,4500.0,4500.0,1
RC,762, Specialty Services Observation Hours  Observation (49+ hours),,,6500.0,6500.0,1
RC,762,Comprehensive Observation ,,,4893.05,4893.05,1
RC,769, Specialty Services Other  ,,,614.0,11070.0,17
RC,780, Telemedicine General Classification  ,,,15.0,15.0,2
RC,790, Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) General Classification  ,,,1924.0,4169.0,6
RC,790,AV fistula or graft arterial ,,,4238.0,4584.0,2
RC,790,AV fistula or graft venous ,,,4238.0,4584.0,2
RC,790,"Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance ",,,870.0,1187.0,2
RC,790,Accessing and retorquing loose implant screw - per screw ,,,3715.0,4953.0,3
RC,790,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,291.0,36635.0,6
RC,790,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,291.0,2900.0,8
RC,790,Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline ,,,607.0,2303.0,4
RC,790,Anorectal manometry ,,,291.0,291.0,1
RC,790,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,1804.0,2900.0,5
RC,790,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,1804.0,4953.0,10
RC,790,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,1804.0,4953.0,10
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,291.0,3523.0,15
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,291.0,2303.0,5
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,291.0,3523.0,10
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,291.0,2303.0,5
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,769.0,8866.0,10
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,291.0,2303.0,5
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,291.0,3523.0,10
RC,790,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,607.0,2303.0,7
RC,790,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,3715.0,6446.0,5
RC,790,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,3715.0,6446.0,5
RC,790,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,291.0,2900.0,4
RC,790,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,2179.0,9431.0,7
RC,790,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,7058.0,13472.0,6
RC,790,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,1753.0,9431.0,7
RC,790,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,12209.0,16939.0,4
RC,790,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,3933.0,16939.0,7
RC,790,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,7058.0,13472.0,6
RC,790,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,607.0,827.0,2
RC,790,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,291.0,2900.0,4
RC,790,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,790,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,1804.0,4953.0,5
RC,790,"Bronchoscopy, rigid or flexible, non-thermal transbronchial ablation of lesion(s) by pulsed electric field (pef) energy, including fluoroscopic and/or ultrasound guidance, when performed, with compute",,,8418.0,10746.0,2
RC,790,"Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including  fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, ",,,1404.42,10746.0,6
RC,790,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion",,,1804.0,8866.0,4
RC,790,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,3715.0,8866.0,7
RC,790,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,3715.0,8866.0,7
RC,790,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,3715.0,8866.0,7
RC,790,Buccal/ labial frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,790,Bundle of His recording ,,,769.0,21155.0,4
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,3723.0,5078.0,2
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,790,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,291.0,2900.0,4
RC,790,Cardioassist-method of circulatory assist; external ,,,3715.0,4953.0,3
RC,790,Cardioassist-method of circulatory assist; internal ,,,3715.0,4953.0,3
RC,790,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,291.0,2900.0,4
RC,790,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,511.0,3250.0,4
RC,790,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,511.0,3250.0,4
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,3715.0,7602.0,5
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,3715.0,10746.0,5
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,3715.0,10746.0,15
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,3715.0,10746.0,5
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,3715.0,10746.0,20
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,3715.0,10746.0,15
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,1804.0,4953.0,5
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,3715.0,7602.0,5
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,1404.42,9813.0,7
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1404.42,10746.0,19
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,1404.42,9813.0,14
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1404.42,10746.0,24
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,1404.42,9813.0,7
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,3715.0,7602.0,5
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,3715.0,10746.0,5
RC,790,Catheterization for collection of specimen(s) (multiple patients) ,,,607.0,2303.0,4
RC,790,"Catheterization for collection of specimen, single patient, all places of service ",,,607.0,2303.0,4
RC,790,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,1804.0,8866.0,7
RC,790,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,3715.0,4953.0,3
RC,790,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,291.0,2900.0,4
RC,790,Colorectal cancer screening; colonoscopy on individual at high risk ,,,511.0,3979.0,15
RC,790,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,511.0,3979.0,15
RC,790,Colorectal cancer screening; flexible sigmoidoscopy ,,,511.0,3250.0,9
RC,790,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,1603.31,6446.0,9
RC,790,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,291.0,21155.0,4
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,291.0,21155.0,4
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,2540.0,21155.0,4
RC,790,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,2706.0,36635.0,18
RC,790,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,2540.0,21155.0,4
RC,790,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,2706.0,36635.0,9
RC,790,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,291.0,2900.0,4
RC,790,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,1804.0,8866.0,7
RC,790,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,1804.0,7161.0,7
RC,790,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,1804.0,8866.0,7
RC,790,"Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts ",,,1632.0,6446.0,6
RC,790,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,1471.0,8866.0,13
RC,790,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,1753.0,9431.0,11
RC,790,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,1632.0,8866.0,9
RC,790,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,3623.0,6446.0,5
RC,790,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,291.0,2900.0,16
RC,790,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,291.0,2900.0,8
RC,790,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,1804.0,7161.0,7
RC,790,Decoronation or submergence of an erupted tooth ,,,3715.0,4953.0,3
RC,790,"Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy) ",,,1142.61,1924.0,3
RC,790,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,511.0,3523.0,13
RC,790,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,3715.0,6446.0,5
RC,790,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,3715.0,10746.0,26
RC,790,"Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,790,"Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes ",,,10714.0,12057.0,2
RC,790,Duodenal motility (manometric) study ,,,291.0,2900.0,8
RC,790,"Electrogastrography, diagnostic, transcutaneous; ",,,291.0,2900.0,4
RC,790,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,291.0,2900.0,4
RC,790,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,291.0,5078.0,12
RC,790,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,769.0,5078.0,6
RC,790,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,291.0,2900.0,4
RC,790,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,2540.0,21155.0,4
RC,790,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,291.0,2900.0,8
RC,790,Endomyocardial biopsy ,,,607.0,5958.0,9
RC,790,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,5050.0,9431.0,5
RC,790,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,9431.0,6
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,3715.0,6446.0,5
RC,790,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,3715.0,8866.0,7
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,3715.0,6446.0,5
RC,790,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,1404.42,8866.0,11
RC,790,Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,790,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,291.0,2900.0,4
RC,790,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,291.0,2900.0,4
RC,790,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,291.0,2900.0,4
RC,790,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,291.0,2900.0,8
RC,790,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,291.0,2900.0,4
RC,790,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,1404.42,8866.0,11
RC,790,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,769.0,21155.0,4
RC,790,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,769.0,21155.0,4
RC,790,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,291.0,2900.0,4
RC,790,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,291.0,3250.0,4
RC,790,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,291.0,2900.0,4
RC,790,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,291.0,2900.0,4
RC,790,Exc biopsy of saliv glands ,,,3715.0,4953.0,3
RC,790,Excavation of a tooth resulting in the determination of non-restorability ,,,3715.0,4953.0,3
RC,790,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,1804.0,8866.0,7
RC,790,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,607.0,2303.0,4
RC,790,Excimer laser treatment for psoriasis; over 500 sq cm ,,,607.0,2303.0,4
RC,790,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,607.0,2303.0,4
RC,790,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,3715.0,6446.0,5
RC,790,"External counterpulsation, per treatment session ",,,3131.0,3523.0,2
RC,790,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,1142.61,4953.0,6
RC,790,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,1632.0,8866.0,3
RC,790,Gastric motility (manometric) studies ,,,291.0,2900.0,8
RC,790,"Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,2540.0,6446.0,3
RC,790,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,769.0,4100.0,4
RC,790,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,769.0,4100.0,4
RC,790,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,769.0,4100.0,4
RC,790,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,790,"Guided tissue regeneration - resorbable barrier, per implant ",,,3715.0,4953.0,3
RC,790,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,3715.0,4953.0,3
RC,790,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,3715.0,4953.0,3
RC,790,"Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance ",,,5050.0,6446.0,2
RC,790,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,2259.0,6801.0,4
RC,790,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,1694.0,5958.0,4
RC,790,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,5050.0,13472.0,5
RC,790,Indexing for osteotomy ,,,3715.0,4953.0,3
RC,790,Induction of arrhythmia by electrical pacing ,,,769.0,21155.0,4
RC,790,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,291.0,2900.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,790,Injection procedure for sacroiliac joint; arthrography ,,,291.0,2900.0,8
RC,790,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,511.0,3523.0,15
RC,790,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,511.0,3250.0,9
RC,790,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,1753.0,13472.0,9
RC,790,Insertion of implants into the soft palate; minimum of three implants ,,,769.0,4100.0,7
RC,790,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,3715.0,10746.0,5
RC,790,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,3715.0,10746.0,5
RC,790,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,3715.0,10746.0,5
RC,790,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,291.0,3523.0,13
RC,790,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,1804.0,5958.0,5
RC,790,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,1257.0,4953.0,5
RC,790,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,1632.0,8866.0,8
RC,790,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,291.0,2900.0,4
RC,790,Intra-atrial pacing ,,,769.0,21155.0,4
RC,790,Intra-atrial recording ,,,769.0,21155.0,4
RC,790,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,291.0,21155.0,4
RC,790,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,291.0,36635.0,6
RC,790,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,1753.0,36635.0,7
RC,790,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,790,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,790,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,291.0,2900.0,4
RC,790,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,291.0,2900.0,4
RC,790,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,291.0,2900.0,6
RC,790,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,1804.0,2900.0,5
RC,790,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,291.0,2900.0,8
RC,790,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,291.0,21155.0,4
RC,790,Intraventricular pacing ,,,769.0,21155.0,4
RC,790,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,2179.0,9431.0,11
RC,790,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,291.0,9813.0,4
RC,790,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,1404.42,6801.0,7
RC,790,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,1404.42,9813.0,7
RC,790,Lingual frenectomy (frenulectomy) ,,,3715.0,4953.0,3
RC,790,Marsupialization of odontogenic cyst ,,,3715.0,4953.0,3
RC,790,Maxillary guidance prosthesis with guide flange ,,,3715.0,4953.0,3
RC,790,Maxillary guidance prosthesis without guide flange ,,,3715.0,4953.0,3
RC,790,"Myringotomy, laser-assisted ",,,1257.0,6446.0,4
RC,790,"Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral ",,,3536.0,3979.0,2
RC,790,"Nasal endoscopy, surgical; balloon dilation of eustachian tube ",,,870.0,1187.0,2
RC,790,"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral ",,,1753.0,2203.58,3
RC,790,Nasopharyngoscopy with endoscope (separate procedure) ,,,607.0,2303.0,4
RC,790,Nerve dissection ,,,3715.0,4953.0,3
RC,790,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,2706.0,21174.0,7
RC,790,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,1804.0,4953.0,5
RC,790,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,1804.0,4953.0,5
RC,790,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,1804.0,4953.0,5
RC,790,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,2224.34,9431.0,9
RC,790,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,1753.0,9431.0,9
RC,790,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,2224.34,9431.0,9
RC,790,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,1632.0,4830.0,4
RC,790,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,1632.0,4830.0,4
RC,790,Otolaryngologic examination under general anesthesia ,,,291.0,2900.0,4
RC,790,Partial extraction for immediate implant replacement ,,,3715.0,4953.0,3
RC,790,Percutaneous balloon valvuloplasty; aortic valve ,,,1753.0,20029.0,7
RC,790,Percutaneous balloon valvuloplasty; mitral valve ,,,2224.34,20029.0,7
RC,790,Percutaneous balloon valvuloplasty; pulmonary valve ,,,2224.34,20029.0,7
RC,790,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,3715.0,7161.0,7
RC,790,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,1804.0,7161.0,7
RC,790,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,3715.0,4953.0,3
RC,790,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,3715.0,6446.0,5
RC,790,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,1694.0,8866.0,13
RC,790,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,3933.0,24146.0,9
RC,790,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,3933.0,24146.0,9
RC,790,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,291.0,5278.0,9
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,3114.0,18085.0,9
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,3114.0,18085.0,9
RC,790,Percutaneous transcatheter closure of patent ductus arteriosus ,,,3114.0,16279.0,11
RC,790,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,2224.34,27696.0,7
RC,790,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,291.0,27696.0,4
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,2224.34,27040.0,7
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,5956.0,27040.0,5
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,2540.0,2540.0,1
RC,790,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,3114.0,7602.0,7
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,1753.0,25583.0,9
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,3715.0,7602.0,5
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,3715.0,10746.0,5
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,3715.0,4953.0,3
RC,790,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,2540.0,2540.0,1
RC,790,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2224.34,25583.0,9
RC,790,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,7058.0,7058.0,1
RC,790,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,3933.0,27696.0,7
RC,790,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,291.0,27696.0,4
RC,790,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,2540.0,27040.0,7
RC,790,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,2540.0,2540.0,1
RC,790,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,1804.0,2303.0,2
RC,790,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,790,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,3715.0,10746.0,5
RC,790,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,2540.0,20029.0,4
RC,790,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,2224.34,20029.0,7
RC,790,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,2540.0,27040.0,4
RC,790,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,20772.0,27696.0,3
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,291.0,27696.0,11
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,2540.0,2540.0,1
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,2224.34,27040.0,9
RC,790,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,291.0,27696.0,11
RC,790,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,2224.34,27040.0,8
RC,790,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,3715.0,6446.0,5
RC,790,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,3715.0,6446.0,5
RC,790,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,3715.0,6446.0,5
RC,790,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,3715.0,6446.0,5
RC,790,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,3715.0,4953.0,3
RC,790,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,3715.0,4953.0,3
RC,790,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,291.0,2900.0,4
RC,790,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,291.0,2900.0,4
RC,790,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,291.0,2900.0,4
RC,790,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,291.0,2900.0,4
RC,790,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,291.0,2900.0,4
RC,790,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,291.0,2900.0,4
RC,790,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,291.0,2900.0,4
RC,790,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,511.0,3250.0,7
RC,790,"Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperit",,,994.46,1564.0,3
RC,790,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,291.0,2900.0,4
RC,790,"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen ",,,607.0,2303.0,4
RC,790,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,291.0,21155.0,4
RC,790,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,3723.0,5078.0,2
RC,790,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,1804.0,2900.0,5
RC,790,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,291.0,291.0,1
RC,790,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,291.0,2900.0,4
RC,790,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,291.0,2900.0,4
RC,790,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,1804.0,8866.0,7
RC,790,Removal of an indirect restoration on a natural tooth ,,,3715.0,4953.0,3
RC,790,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,1804.0,4953.0,5
RC,790,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,790,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,291.0,2900.0,4
RC,790,Removal of implant body not requiring bone removal nor flap elevation ,,,3715.0,4953.0,3
RC,790,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,790,Removal of non-resorbable barrier ,,,3715.0,4953.0,3
RC,790,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,3715.0,10746.0,5
RC,790,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,3715.0,4953.0,3
RC,790,Removal of temporary anchorage device without flap ,,,3715.0,4953.0,3
RC,790,"Removal of temporary anchorage device, requiring flap ",,,3715.0,4953.0,3
RC,790,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,291.0,3523.0,13
RC,790,Remove interim implant component ,,,3715.0,4953.0,3
RC,790,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,3715.0,8866.0,7
RC,790,Repair of custom sleep apnea appliance ,,,3715.0,4953.0,3
RC,790,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,1804.0,4830.0,5
RC,790,Replacement of an implant screw ,,,3715.0,4953.0,3
RC,790,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,3715.0,4953.0,3
RC,790,Resection prosthesis - Mandibular complete removable ,,,3715.0,4953.0,3
RC,790,Resection prosthesis - Mandibular partial removable ,,,3715.0,4953.0,3
RC,790,Resection prosthesis - Maxillary complete removable ,,,3715.0,4953.0,3
RC,790,Resection prosthesis - Maxillary partial removable ,,,3715.0,4953.0,3
RC,790,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,790,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,790,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,790,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,790,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,3715.0,4953.0,3
RC,790,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,3715.0,4953.0,3
RC,790,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,3933.0,13472.0,9
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,3715.0,6446.0,5
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,3715.0,6446.0,5
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,3715.0,6446.0,5
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,3933.0,13472.0,9
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,3933.0,13472.0,9
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,3933.0,13472.0,9
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,2224.34,9431.0,9
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,2224.34,13472.0,9
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,3933.0,13472.0,9
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,3933.0,13472.0,9
RC,790,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,1804.0,4953.0,5
RC,790,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,1804.0,4953.0,5
RC,790,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,1404.42,9813.0,7
RC,790,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,1404.42,9813.0,7
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,1404.42,9813.0,7
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,1404.42,9813.0,7
RC,790,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,1404.42,9813.0,7
RC,790,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3723.0,5078.0,2
RC,790,Right ventricular recording ,,,769.0,21155.0,4
RC,790,"Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superf",,,911.0,1024.0,2
RC,790,Semi-precision abutment - placement ,,,3715.0,4953.0,3
RC,790,Semi-precision attachment - placement ,,,3715.0,4953.0,3
RC,790,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,3715.0,4953.0,3
RC,790,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,3715.0,4953.0,3
RC,790,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,3715.0,4953.0,3
RC,790,Surgical placement of craniofacial implant - extra oral ,,,3715.0,4953.0,3
RC,790,Surgical placement zygomatic implant ,,,3715.0,4953.0,3
RC,790,Surgical repair of root resorption - molar ,,,3715.0,4953.0,3
RC,790,Surgical repair of root resorption- premolar ,,,3715.0,4953.0,3
RC,790,Surgical repair of root resorption-anterior ,,,3715.0,4953.0,3
RC,790,Temporary transcutaneous pacing ,,,511.0,3250.0,4
RC,790,"Thrombolysis, coronary; by intravenous infusion ",,,291.0,990.0,4
RC,790,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,3715.0,10746.0,5
RC,790,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,291.0,2900.0,4
RC,790,"Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres ",,,1257.0,6446.0,4
RC,790,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,291.0,2900.0,4
RC,790,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,3715.0,10746.0,5
RC,790,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,3715.0,10746.0,5
RC,790,"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed ",,,1257.0,1714.0,2
RC,790,Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy ,,,870.0,1187.0,2
RC,790,"Trimming of dystrophic nails, any number ",,,291.0,2900.0,9
RC,790,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,1804.0,2900.0,5
RC,790,Unlisted cardiovascular service or procedure ,,,291.0,2900.0,4
RC,790,Unlisted diagnostic gastroenterology procedure ,,,291.0,2900.0,4
RC,790,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion ",,,742.8,990.0,3
RC,790,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,3715.0,4953.0,3
RC,790,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,5050.0,13472.0,5
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,1804.0,2303.0,2
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,1804.0,2303.0,2
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) ",,,1804.0,2303.0,2
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,1804.0,2303.0,2
RC,790,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,1804.0,2303.0,2
RC,790,"Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent ",,,1404.42,1815.0,3
RC,790,Wound closure utilizing tissue adhesive(s) only ,,,291.0,2900.0,4
RC,800, Inpatient Renal Dialysis General Classification  ,,,,,0
RC,801, Inpatient Renal Dialysis Inpatient Hemodialysis  ,,,,,0
RC,802, Inpatient Renal Dialysis Inpatient Peritoneal (Non-CAPD)  ,,,,,0
RC,803, Inpatient Renal Dialysis Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)  ,,,,,0
RC,804, Inpatient Renal Dialysis Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)  ,,,,,0
RC,809, Inpatient Renal Dialysis Other  ,,,,,0
RC,815, Acquisition of Body Components Stem Cells - Allogeneic  ,,,104905.0,104905.0,1
RC,820, Hemodialysis - Outpatient or Home General Classification  ,,,225.0,1861.0,4
RC,820,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,820,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,820,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,820,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,820,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,820,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,821, Hemodialysis - Outpatient or Home Composite or Other Rate  ,,,225.0,1861.0,4
RC,821,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,821,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,821,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,821,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,821,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,821,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,822, Hemodialysis - Outpatient or Home - Home Supplies  ,,,225.0,1861.0,4
RC,823, Hemodialysis - Outpatient or Home - Home Equipment  ,,,225.0,1861.0,4
RC,824, Hemodialysis - Outpatient or Home - Maintenance 100%  ,,,225.0,1861.0,4
RC,825, Hemodialysis - Outpatient or Home - Support Services  ,,,225.0,1861.0,4
RC,829, Hemodialysis - Outpatient or Home - Other OP Hemodialysis  ,,,225.0,1861.0,4
RC,829,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,829,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,829,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,829,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,829,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,829,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,830, Peritoneal Dialysis - Outpatient or Home General Classification  ,,,225.0,1996.0,4
RC,831, Peritoneal Dialysis - Outpatient or Home  Composite or Other Rate  ,,,225.0,1996.0,4
RC,831,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,831,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,831,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,831,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,831,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,831,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,832, Peritoneal Dialysis - Outpatient or Home - Home Supplies  ,,,225.0,1996.0,4
RC,833, Peritoneal Dialysis - Outpatient or Home - Home Equipment  ,,,225.0,1996.0,4
RC,834, Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%  ,,,225.0,1996.0,4
RC,835, Peritoneal Dialysis - Outpatient or Home - Support Services  ,,,225.0,1996.0,4
RC,839, Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis  ,,,225.0,1996.0,4
RC,840, Continuous Ambulatory Peritoneal Dialysis - Outpatient or Home General Classification  ,,,225.0,1996.0,4
RC,841, Continuous Ambulatory Peritoneal Dialysis - Outpatient or Home - Composite or Other Rate  ,,,225.0,1996.0,4
RC,841,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,841,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,841,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,841,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,841,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,841,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,842, Continuous Ambulatory Peritoneal Dialysis - Home Supplies  ,,,225.0,1996.0,4
RC,843, Continuous Ambulatory Peritoneal Dialysis - Home Equipment  ,,,225.0,1996.0,4
RC,844, Continuous Ambulatory Peritoneal Dialysis - Maintenance - 100%  ,,,225.0,1996.0,4
RC,845, Continuous Ambulatory Peritoneal Dialysis - Support Services  ,,,225.0,1996.0,4
RC,849, Continuous Ambulatory Peritoneal Dialysis - Other Outpatient CAPD  ,,,225.0,1996.0,4
RC,850, Continuous Cycling Peritoneal Dialysis - Outpatient or Home General Classification  ,,,225.0,1996.0,4
RC,851, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Composite or Other Rate  ,,,225.0,1996.0,4
RC,851,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,851,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,851,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,851,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,851,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,851,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,852, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Home Supplies  ,,,225.0,1996.0,4
RC,853, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Home Equipment  ,,,225.0,1996.0,4
RC,854, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%  ,,,225.0,1996.0,4
RC,855, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Support Services  ,,,225.0,1996.0,4
RC,859, Continuous Cycling Peritonial Dialysis - Outpatient or Home - Other Outpatient CCPD  ,,,225.0,1996.0,4
RC,860, Magnetoencephalography General Classification  ,,,1343.0,1790.0,3
RC,861, Magnetoencephalography MEG  ,,,1343.0,1790.0,3
RC,880, Miscellaneous Dialysis General Classification  ,,,,,0
RC,881, Miscellaneous Dialysis Ultrafiltration  ,,,,,0
RC,889, Miscellaneous Dialysis Other Miscellaneous Dialysis  ,,,,,0
RC,891, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Cell Therapy  ,,,4171.0,130000.0,2
RC,891, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Cell Therapy  Zone 1,,,,,0
RC,891, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Cell Therapy  Zone 1 and Zone 4,,,,,0
RC,891, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Cell Therapy  Zone 4,,,4171.0,4171.0,1
RC,891,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,16.03,16.03,3
RC,891,5% dextrose/normal saline (500 ml = 1 unit) ,,,3.42,3.42,3
RC,891,5% dextrose/water (500 ml = 1 unit) ,,,4.96,4.96,3
RC,891,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,Ac5 advanced wound system (ac5) ,,,15900.0,15900.0,3
RC,891,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,22.63,22.63,3
RC,891,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Afamelanotide implant, 1 mg ",,,7800.06,7800.06,3
RC,891,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,2042143.0,2042143.0,3
RC,891,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.64,0.64,3
RC,891,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.21,0.21,3
RC,891,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.56,0.56,3
RC,891,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,4.69,4.69,3
RC,891,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,1033.55,1033.55,3
RC,891,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,182.13,182.13,3
RC,891,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,307.56,307.56,3
RC,891,"Anti-inhibitor, per i.u. ",,,6.41,6.41,3
RC,891,"Antithrombin iii (human), per i.u. ",,,10.87,10.87,3
RC,891,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Aprepitant, oral, 5 mg ",,,6.33,6.33,3
RC,891,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.93,1.93,3
RC,891,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Ascent, 0.5 mg ",,,182.69,182.69,3
RC,891,"Autologous cultured chondrocytes, implant ",,,221874.56,221874.56,3
RC,891,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Azathioprine, oral, 50 mg ",,,0.48,0.48,3
RC,891,"Azathioprine, parenteral, 100 mg ",,,675.11,675.11,3
RC,891,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,34.53,34.53,3
RC,891,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,601.82,601.82,3
RC,891,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,601.82,601.82,3
RC,891,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Bcg live intravesical instillation, 1 mg ",,,8.98,8.98,3
RC,891,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,2662.14,2662.14,3
RC,891,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Biobrane, per square centimeter ",,,336.92,336.92,3
RC,891,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,12.4,12.4,3
RC,891,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,2.92,2.92,3
RC,891,"Buprenorphine, oral, 1 mg ",,,3.31,3.31,3
RC,891,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,50.09,50.09,3
RC,891,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,25.15,25.15,3
RC,891,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,26.45,26.45,3
RC,891,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,15.45,15.45,3
RC,891,"Busulfan; oral, 2 mg ",,,26.82,26.82,3
RC,891,"Cabergoline, oral, 0.25 mg ",,,0.4,0.4,3
RC,891,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.08,0.08,3
RC,891,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1767.74,1767.74,3
RC,891,"Capecitabine, oral, 50 mg ",,,0.08,0.08,3
RC,891,"Capsaicin 8% patch, per square centimeter ",,,9.06,9.06,3
RC,891,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,646.71,646.71,3
RC,891,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,1093.13,1093.13,3
RC,891,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,1.56,1.56,3
RC,891,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6668.54,6668.54,3
RC,891,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,414.25,414.25,3
RC,891,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,5082.59,5082.59,3
RC,891,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,2.62,2.62,3
RC,891,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,542.59,542.59,3
RC,891,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,3.55,3.55,3
RC,891,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1574.84,1574.84,3
RC,891,"Coretext or protext, per cc ",,,8533.0,8533.0,3
RC,891,"Corplex p or theracor p or allacor p, per milligram ",,,303.4,303.4,3
RC,891,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,130.51,130.51,3
RC,891,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.87,0.87,3
RC,891,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,2.15,2.15,3
RC,891,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cyclophosphamide; oral, 25 mg ",,,4.37,4.37,3
RC,891,"Cyclosporine, oral, 100 mg ",,,3.79,3.79,3
RC,891,"Cyclosporine, oral, 25 mg ",,,1.67,1.67,3
RC,891,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,5754.4,5754.4,3
RC,891,"Dacarbazine, 100 mg ",,,10.2,10.2,3
RC,891,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,209.88,209.88,3
RC,891,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dexamethasone (hemady), oral, 0.25 mg ",,,1.14,1.14,3
RC,891,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,245.26,245.26,3
RC,891,"Dexamethasone, oral, 0.25 mg ",,,0.08,0.08,3
RC,891,"Dexmedetomidine, oral, 1 mcg ",,,2.33,2.33,3
RC,891,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,3.66,3.66,3
RC,891,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,48.68,48.68,3
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,208.53,208.53,3
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,374.37,374.37,3
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,351.66,351.66,3
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,529.81,529.81,3
RC,891,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,98.16,98.16,3
RC,891,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,151.37,151.37,3
RC,891,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,146.2,146.2,3
RC,891,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,10.31,10.31,3
RC,891,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,4.37,4.37,3
RC,891,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Edetate disodium, per 150 mg ",,,0.87,0.87,3
RC,891,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,189.32,189.32,3
RC,891,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.3,1.3,3
RC,891,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,138.12,138.12,3
RC,891,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Epifix, injectable, 1 mg ",,,51.33,51.33,3
RC,891,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Esketamine, nasal spray, 1 mg ",,,50.83,50.83,3
RC,891,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,496.32,496.32,3
RC,891,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,4055.64,4055.64,3
RC,891,"Etoposide; oral, 50 mg ",,,230.13,230.13,3
RC,891,"Everolimus, oral, 0.25 mg ",,,3.29,3.29,3
RC,891,"Excellagen, 0.1 cc ",,,461.1,461.1,3
RC,891,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,3.63,3.63,3
RC,891,"Factor ix, complex, per i.u. ",,,4.51,4.51,3
RC,891,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,7.0,7.0,3
RC,891,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,5.83,5.83,3
RC,891,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,14.47,14.47,3
RC,891,"Factor viii (antihemophilic factor, human) per i.u. ",,,3.68,3.68,3
RC,891,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,4.16,4.16,3
RC,891,"Fecal microbiota, live - jslm, 1 ml ",,,170.45,170.45,3
RC,891,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.08,0.08,3
RC,891,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4199.38,4199.38,3
RC,891,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,4837.95,4837.95,3
RC,891,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,983.15,983.15,3
RC,891,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1778.73,1778.73,3
RC,891,"Floweramnioflo, 0.1 cc ",,,477.0,477.0,3
RC,891,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,854.02,854.02,3
RC,891,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,27.43,27.43,3
RC,891,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,1142.71,1142.71,3
RC,891,"Fluorodopa f-18, diagnostic, per millicurie ",,,2267.21,2267.21,3
RC,891,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,1220.11,1220.11,3
RC,891,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,1404.5,1404.5,3
RC,891,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,5151.63,5151.63,3
RC,891,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,4.72,4.72,3
RC,891,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,4076.81,4076.81,3
RC,891,"Foundation drs+ duo, per square centimeter ",,,336.92,336.92,3
RC,891,"Foundation drs+ solo, per square centimeter ",,,336.92,336.92,3
RC,891,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,60.18,60.18,3
RC,891,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,3103.95,3103.95,3
RC,891,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1268.08,1268.08,3
RC,891,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,960.63,960.63,3
RC,891,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,963.28,963.28,3
RC,891,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,1457.84,1457.84,3
RC,891,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,131.52,131.52,3
RC,891,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,9.57,9.57,3
RC,891,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Gefitinib, oral, 250 mg ",,,771.15,771.15,3
RC,891,"Gemcitabine intravesical system, 225 mg ",,,193683.89,193683.89,3
RC,891,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Goserelin acetate implant, per 3.6 mg ",,,3577.31,3577.31,3
RC,891,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Graftjacket xpress, injectable, 1 cc ",,,5293.38,5293.38,3
RC,891,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,156.48,156.48,3
RC,891,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,870.79,870.79,3
RC,891,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,99.69,99.69,3
RC,891,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,43.25,43.25,3
RC,891,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,449.49,449.49,3
RC,891,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,195.38,195.38,3
RC,891,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,113.98,113.98,3
RC,891,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,83.21,83.21,3
RC,891,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,131.89,131.89,3
RC,891,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,371.56,371.56,3
RC,891,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,195.62,195.62,3
RC,891,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,470.53,470.53,3
RC,891,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,199.15,199.15,3
RC,891,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,199.15,199.15,3
RC,891,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,435.71,435.71,3
RC,891,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,435.71,435.71,3
RC,891,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,87.98,87.98,3
RC,891,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.69,0.69,3
RC,891,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.58,0.58,3
RC,891,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.21,0.21,3
RC,891,"Histrelin implant (supprelin la), 50 mg ",,,109109.59,109109.59,3
RC,891,"Histrelin implant (vantas), 50 mg ",,,12480.25,12480.25,3
RC,891,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,1046.11,1046.11,3
RC,891,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,300.06,300.06,3
RC,891,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,337.24,337.24,3
RC,891,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,380.81,380.81,3
RC,891,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,17.83,17.83,3
RC,891,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,279.79,279.79,3
RC,891,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,1395.99,1395.99,3
RC,891,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.8,1.8,3
RC,891,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,197.24,197.24,3
RC,891,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,48.04,48.04,3
RC,891,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1736.65,1736.65,3
RC,891,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,289.09,289.09,3
RC,891,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,8.27,8.27,3
RC,891,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,18.44,18.44,3
RC,891,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,27.96,27.96,3
RC,891,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,8.67,8.67,3
RC,891,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,9.75,9.75,3
RC,891,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,5.3,5.3,3
RC,891,"Hypertonic saline solution, 1 ml ",,,0.27,0.27,3
RC,891,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,421.32,421.32,3
RC,891,"Immune globulin (Ig), human, for intramuscular use ",,,316.6,316.6,3
RC,891,"Immune globulin (IgIV), human, for intravenous use ",,,253.63,253.63,3
RC,891,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,64.08,64.08,3
RC,891,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,4585.27,4585.27,3
RC,891,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,10893.22,10893.22,3
RC,891,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,12713.03,12713.03,3
RC,891,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,2923.45,2923.45,3
RC,891,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2203.37,2203.37,3
RC,891,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1975.89,1975.89,3
RC,891,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,5302.49,5302.49,3
RC,891,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,4442.43,4442.43,3
RC,891,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,260.12,260.12,3
RC,891,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,260.12,260.12,3
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,68.21,68.21,3
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,32.75,32.75,3
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,148.24,148.24,3
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,29.23,29.23,3
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,58.49,58.49,3
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,35.46,35.46,3
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,61.53,61.53,3
RC,891,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,260.12,260.12,3
RC,891,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,131.18,131.18,3
RC,891,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,78.73,78.73,3
RC,891,"Infusion, albumin (human), 25%, 20 ml ",,,56.26,56.26,3
RC,891,"Infusion, albumin (human), 25%, 50 ml ",,,140.66,140.66,3
RC,891,"Infusion, albumin (human), 5%, 250 ml ",,,140.66,140.66,3
RC,891,"Infusion, albumin (human), 5%, 50 ml ",,,28.14,28.14,3
RC,891,"Infusion, d5w, 1000 cc ",,,8.14,8.14,3
RC,891,"Infusion, dextran 40, 500 ml ",,,1031.17,1031.17,3
RC,891,"Infusion, normal saline solution , 1000 cc ",,,5.8,5.8,3
RC,891,"Infusion, normal saline solution, 250 cc ",,,1.86,1.86,3
RC,891,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,3.6,3.6,3
RC,891,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,166.74,166.74,3
RC,891,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,2784.46,2784.46,3
RC,891,"Injection abciximab, 10 mg ",,,1528.6,1528.6,3
RC,891,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,11.93,11.93,3
RC,891,"Injection fluconazole, 200 mg ",,,10.26,10.26,3
RC,891,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,118.51,118.51,3
RC,891,"Injection, abobotulinumtoxina, 5 units ",,,23.59,23.59,3
RC,891,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,891,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,891,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.16,0.16,3
RC,891,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.24,0.24,3
RC,891,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.13,0.13,3
RC,891,"Injection, acetazolamide sodium, up to 500 mg ",,,64.55,64.55,3
RC,891,"Injection, acetylcysteine, 100 mg ",,,1.35,1.35,3
RC,891,"Injection, acyclovir, 5 mg ",,,0.05,0.05,3
RC,891,"Injection, adalimumab, 1 mg ",,,432.43,432.43,3
RC,891,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,58.3,58.3,3
RC,891,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,214.6,214.6,3
RC,891,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,51.57,51.57,3
RC,891,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,151.34,151.34,3
RC,891,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,69.8,69.8,3
RC,891,"Injection, adamts13, recombinant-krhn, 10 iu ",,,94.29,94.29,3
RC,891,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,1.27,1.27,3
RC,891,"Injection, ado-trastuzumab emtansine, 1 mg ",,,111.83,111.83,3
RC,891,"Injection, aflibercept hd, 1 mg ",,,798.13,798.13,3
RC,891,"Injection, aflibercept, 1 mg ",,,1939.51,1939.51,3
RC,891,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,2176.71,2176.71,3
RC,891,"Injection, agalsidase beta, 1 mg ",,,603.09,603.09,3
RC,891,"Injection, aldesleukin, per single use vial ",,,8848.01,8848.01,3
RC,891,"Injection, alemtuzumab, 1 mg ",,,6467.11,6467.11,3
RC,891,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,549.9,549.9,3
RC,891,"Injection, allopurinol sodium, 1 mg ",,,10.1,10.1,3
RC,891,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,15.0,15.0,3
RC,891,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,13.62,13.62,3
RC,891,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1.27,1.27,3
RC,891,"Injection, alteplase recombinant, 1 mg ",,,251.99,251.99,3
RC,891,"Injection, amifostine, 500 mg ",,,1160.41,1160.41,3
RC,891,"Injection, amikacin sulfate, 100 mg ",,,1.62,1.62,3
RC,891,"Injection, aminocaproic acid, 1 gram ",,,4.16,4.16,3
RC,891,"Injection, aminophyllin, up to 250 mg ",,,30.02,30.02,3
RC,891,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,6.6,6.6,3
RC,891,"Injection, amiodarone hydrochloride, 30 mg ",,,1.03,1.03,3
RC,891,"Injection, amisulpride, 1 mg ",,,25.33,25.33,3
RC,891,"Injection, amivantamab-vmjw, 2 mg ",,,59.97,59.97,3
RC,891,"Injection, amobarbital, up to 125 mg ",,,30.98,30.98,3
RC,891,"Injection, amphotericin b lipid complex, 10 mg ",,,49.56,49.56,3
RC,891,"Injection, amphotericin b liposome, 10 mg ",,,60.45,60.45,3
RC,891,"Injection, amphotericin b, 50 mg ",,,117.47,117.47,3
RC,891,"Injection, ampicillin sodium, 500 mg ",,,1.7,1.7,3
RC,891,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,3.58,3.58,3
RC,891,"Injection, anidulafungin, 1 mg ",,,1.3,1.3,3
RC,891,"Injection, anifrolumab-fnia, 1 mg ",,,48.52,48.52,3
RC,891,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,3.31,3.31,3
RC,891,"Injection, apomorphine hydrochloride, 1 mg ",,,114.27,114.27,3
RC,891,"Injection, aprepitant (aponvie), 1 mg ",,,5.17,5.17,3
RC,891,"Injection, aprepitant, 1 mg ",,,4.48,4.48,3
RC,891,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.82,4.82,3
RC,891,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,12.59,12.59,3
RC,891,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.66,3.66,3
RC,891,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,3.66,3.66,3
RC,891,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,2.68,2.68,3
RC,891,"Injection, argatroban, 1 mg (for non-esrd use) ",,,2.68,2.68,3
RC,891,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,15.95,15.95,3
RC,891,"Injection, aripiprazole (abilify maintena), 1 mg ",,,19.27,19.27,3
RC,891,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,8.61,8.61,3
RC,891,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,8.8,8.8,3
RC,891,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.87,0.87,3
RC,891,"Injection, arsenic trioxide, 1 mg ",,,17.09,17.09,3
RC,891,"Injection, artesunate, 1 mg ",,,137.35,137.35,3
RC,891,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,149.17,149.17,3
RC,891,"Injection, atezolizumab, 10 mg ",,,249.1,249.1,3
RC,891,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,84.67,84.67,3
RC,891,"Injection, atidarsagene autotemcel, per treatment ",,,11938250.0,11938250.0,3
RC,891,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.03,0.03,3
RC,891,"Injection, atropine sulfate, 0.01 mg ",,,0.27,0.27,3
RC,891,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.27,0.27,3
RC,891,"Injection, avacincaptad pegol, 0.1 mg ",,,274.01,274.01,3
RC,891,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,215.18,215.18,3
RC,891,"Injection, avelumab, 10 mg ",,,279.71,279.71,3
RC,891,"Injection, axatilimab-csfr, 0.1 mg ",,,147.47,147.47,3
RC,891,"Injection, azacitidine, 1 mg ",,,1.09,1.09,3
RC,891,"Injection, azithromycin, 500 mg ",,,5.14,5.14,3
RC,891,"Injection, aztreonam, 100 mg ",,,6.07,6.07,3
RC,891,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,4.45,4.45,3
RC,891,"Injection, baclofen, 10 mg ",,,471.83,471.83,3
RC,891,"Injection, baclofen, 50 mcg for intrathecal trial ",,,144.0,144.0,3
RC,891,"Injection, basiliximab, 20 mg ",,,12752.62,12752.62,3
RC,891,"Injection, belatacept, 1 mg ",,,10.31,10.31,3
RC,891,"Injection, belimumab, 10 mg ",,,151.55,151.55,3
RC,891,"Injection, belinostat, 10 mg ",,,140.74,140.74,3
RC,891,"Injection, bendamustine hcl (bendeka), 1 mg ",,,34.19,34.19,3
RC,891,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,84.11,84.11,3
RC,891,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,36.94,36.94,3
RC,891,"Injection, bendamustine hydrochloride, 1 mg ",,,5.72,5.72,3
RC,891,"Injection, benralizumab, 1 mg ",,,432.9,432.9,3
RC,891,"Injection, benztropine mesylate, per 1 mg ",,,35.83,35.83,3
RC,891,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,18.47,18.47,3
RC,891,"Injection, betibeglogene autotemcel, per treatment ",,,7786548.0,7786548.0,3
RC,891,"Injection, bevacizumab, 0.25 mg ",,,4.93,4.93,3
RC,891,"Injection, bevacizumab, 10 mg ",,,197.05,197.05,3
RC,891,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,91.82,91.82,3
RC,891,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,62.91,62.91,3
RC,891,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,68.5,68.5,3
RC,891,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,136.71,136.71,3
RC,891,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,223.61,223.61,3
RC,891,"Injection, bezlotoxumab, 10 mg ",,,105.55,105.55,3
RC,891,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,567.15,567.15,3
RC,891,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.34,0.34,3
RC,891,"Injection, bivalirudin, 1 mg ",,,0.32,0.32,3
RC,891,"Injection, bleomycin sulfate, 15 units ",,,43.99,43.99,3
RC,891,"Injection, blinatumomab, 1 microgram ",,,434.49,434.49,3
RC,891,"Injection, bortezomib (boruzu), 0.1 mg ",,,67.34,67.34,3
RC,891,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,9.17,9.17,3
RC,891,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,18.47,18.47,3
RC,891,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,3.34,3.34,3
RC,891,"Injection, bortezomib, 0.1 mg ",,,5.96,5.96,3
RC,891,"Injection, brentuximab vedotin, 1 mg ",,,712.13,712.13,3
RC,891,"Injection, brolucizumab-dbll, 1 mg ",,,935.64,935.64,3
RC,891,"Injection, brompheniramine maleate, per 10 mg ",,,0.87,0.87,3
RC,891,"Injection, bumetanide, 0.5 mg ",,,1.25,1.25,3
RC,891,"Injection, bupivacaine liposome, 1 mg ",,,3.74,3.74,3
RC,891,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.03,0.03,3
RC,891,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,4422.43,4422.43,3
RC,891,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,1105.61,1105.61,3
RC,891,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,5290.88,5290.88,3
RC,891,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,5290.88,5290.88,3
RC,891,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,11.05,11.05,3
RC,891,"Injection, burosumab-twza 1 mg ",,,1321.61,1321.61,3
RC,891,"Injection, butorphanol tartrate, 1 mg ",,,16.3,16.3,3
RC,891,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,40.02,40.02,3
RC,891,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,201.53,201.53,3
RC,891,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,173.58,173.58,3
RC,891,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,97.2,97.2,3
RC,891,"Injection, cabazitaxel, 1 mg ",,,612.28,612.28,3
RC,891,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,64.08,64.08,3
RC,891,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,18.95,18.95,3
RC,891,"Injection, caffeine citrate, 5 mg ",,,4.82,4.82,3
RC,891,"Injection, calaspargase pegol-mknl, 10 units ",,,217.51,217.51,3
RC,891,"Injection, calcitonin salmon, up to 400 units ",,,3797.98,3797.98,3
RC,891,"Injection, calcitriol, 0.1 mcg ",,,3.15,3.15,3
RC,891,"Injection, calcium chloride, 2 mg ",,,0.08,0.08,3
RC,891,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.19,0.19,3
RC,891,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.08,0.08,3
RC,891,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,30.1,30.1,3
RC,891,"Injection, canakinumab, 1 mg ",,,396.36,396.36,3
RC,891,"Injection, cangrelor, 1 mg ",,,53.05,53.05,3
RC,891,"Injection, caplacizumab-yhdp, 1 mg ",,,2123.34,2123.34,3
RC,891,"Injection, carboplatin (avyxa), 1 mg ",,,13.89,13.89,3
RC,891,"Injection, carboplatin, 50 mg ",,,7.79,7.79,3
RC,891,"Injection, carboprost tromethamine, 0.1 mg ",,,41.23,41.23,3
RC,891,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,3323.1,3323.1,3
RC,891,"Injection, carfilzomib, 1 mg ",,,149.04,149.04,3
RC,891,"Injection, carmustine, 100 mg ",,,640.77,640.77,3
RC,891,"Injection, casimersen, 10 mg ",,,440.43,440.43,3
RC,891,"Injection, caspofungin acetate, 5 mg ",,,9.49,9.49,3
RC,891,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,3.29,3.29,3
RC,891,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,2.25,2.25,3
RC,891,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.96,1.96,3
RC,891,"Injection, cefazolin sodium, 500 mg ",,,2.25,2.25,3
RC,891,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,12.96,12.96,3
RC,891,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,15.66,15.66,3
RC,891,"Injection, cefepime hydrochloride, 500 mg ",,,3.37,3.37,3
RC,891,"Injection, cefiderocol, 10 mg ",,,6.41,6.41,3
RC,891,"Injection, cefotaxime sodium, per gm ",,,19.48,19.48,3
RC,891,"Injection, cefotetan disodium, 10 mg ",,,0.77,0.77,3
RC,891,"Injection, cefoxitin sodium, 1 gm ",,,9.43,9.43,3
RC,891,"Injection, ceftaroline fosamil, 10 mg ",,,11.26,11.26,3
RC,891,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,277.59,277.59,3
RC,891,"Injection, ceftazidime, per 500 mg ",,,3.74,3.74,3
RC,891,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,2.92,2.92,3
RC,891,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,23.43,23.43,3
RC,891,"Injection, ceftriaxone sodium, per 250 mg ",,,1.14,1.14,3
RC,891,"Injection, cemiplimab-rwlc, 1 mg ",,,78.86,78.86,3
RC,891,"Injection, cerliponase alfa, 1 mg ",,,321.1,321.1,3
RC,891,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,10.04,10.04,3
RC,891,"Injection, cetirizine hydrochloride, 0.5 mg ",,,44.84,44.84,3
RC,891,"Injection, cetuximab, 10 mg ",,,213.22,213.22,3
RC,891,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,154.71,154.71,3
RC,891,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,54.88,54.88,3
RC,891,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.11,0.11,3
RC,891,"Injection, chlorothiazide sodium, per 500 mg ",,,124.34,124.34,3
RC,891,"Injection, chlorpromazine hcl, up to 50 mg ",,,55.54,55.54,3
RC,891,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,40.2,40.2,3
RC,891,"Injection, cidofovir, 375 mg ",,,1486.09,1486.09,3
RC,891,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,16.75,16.75,3
RC,891,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,244.86,244.86,3
RC,891,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.01,2.01,3
RC,891,"Injection, cisplatin, powder or solution, 10 mg ",,,5.75,5.75,3
RC,891,"Injection, cladribine, per 1 mg ",,,23.13,23.13,3
RC,891,"Injection, clevidipine butyrate, 1 mg ",,,7.53,7.53,3
RC,891,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,6.15,6.15,3
RC,891,"Injection, clindamycin phosphate, 300 mg ",,,4.93,4.93,3
RC,891,"Injection, clofarabine, 1 mg ",,,28.99,28.99,3
RC,891,"Injection, clonidine hydrochloride, 1 mg ",,,47.49,47.49,3
RC,891,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,5.22,5.22,3
RC,891,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,347.57,347.57,3
RC,891,"Injection, codeine phosphate, per 30 mg ",,,2.65,2.65,3
RC,891,"Injection, colistimethate sodium, up to 150 mg ",,,37.82,37.82,3
RC,891,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,207.63,207.63,3
RC,891,"Injection, concizumab-mtci, 0.5 mg ",,,221.2,221.2,3
RC,891,"Injection, corticotropin (acthar gel), up to 40 units ",,,10849.79,10849.79,3
RC,891,"Injection, corticotropin (ani), up to 40 units ",,,9464.08,9464.08,3
RC,891,"Injection, cosibelimab-ipdl, 2 mg ",,,60.74,60.74,3
RC,891,"Injection, cosyntropin, 0.25 mg ",,,43.09,43.09,3
RC,891,"Injection, crizanlizumab-tmca, 5 mg ",,,344.34,344.34,3
RC,891,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,4197.6,4197.6,3
RC,891,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,4878.7,4878.7,3
RC,891,"Injection, crovalimab-akkz, 10 mg ",,,1461.5,1461.5,3
RC,891,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.38,1.38,3
RC,891,"Injection, cyclophosphamide (baxter), 5 mg ",,,9.86,9.86,3
RC,891,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,1.33,1.33,3
RC,891,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,24.12,24.12,3
RC,891,"Injection, cyclophosphamide (sandoz), 5 mg ",,,9.67,9.67,3
RC,891,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,2.04,2.04,3
RC,891,"Injection, cyclosporine, 250 mg ",,,196.63,196.63,3
RC,891,"Injection, cytarabine, 100 mg ",,,2.12,2.12,3
RC,891,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,4792.82,4792.82,3
RC,891,"Injection, dactinomycin, 0.5 mg ",,,894.83,894.83,3
RC,891,"Injection, dalbavancin, 5 mg ",,,39.75,39.75,3
RC,891,"Injection, dalteparin sodium, per 2500 iu ",,,42.03,42.03,3
RC,891,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.16,0.16,3
RC,891,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.13,0.13,3
RC,891,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.08,0.08,3
RC,891,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.13,0.13,3
RC,891,"Injection, daptomycin, 1 mg ",,,0.08,0.08,3
RC,891,"Injection, daratumumab, 10 mg ",,,187.54,187.54,3
RC,891,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,145.83,145.83,3
RC,891,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,8.14,8.14,3
RC,891,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,8.14,8.14,3
RC,891,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,136.53,136.53,3
RC,891,"Injection, daunorubicin, 10 mg ",,,65.59,65.59,3
RC,891,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,8.19,8.19,3
RC,891,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.78,1.78,3
RC,891,"Injection, decitabine, 1 mg ",,,2.65,2.65,3
RC,891,"Injection, deferoxamine mesylate, 500 mg ",,,22.74,22.74,3
RC,891,"Injection, degarelix, 1 mg ",,,11.82,11.82,3
RC,891,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,8801647.41,8801647.41,3
RC,891,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,38.48,38.48,3
RC,891,"Injection, denosumab, 1 mg ",,,78.2,78.2,3
RC,891,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,73.96,73.96,3
RC,891,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,69.46,69.46,3
RC,891,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,78.97,78.97,3
RC,891,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,51.68,51.68,3
RC,891,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,82.97,82.97,3
RC,891,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,41.98,41.98,3
RC,891,"Injection, depo-estradiol cypionate, up to 5 mg ",,,137.32,137.32,3
RC,891,"Injection, desmopressin acetate, per 1 mcg ",,,9.04,9.04,3
RC,891,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,7.18,7.18,3
RC,891,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.29,0.29,3
RC,891,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,540.04,540.04,3
RC,891,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,131.81,131.81,3
RC,891,"Injection, diazepam, up to 5 mg ",,,22.55,22.55,3
RC,891,"Injection, diazoxide, up to 300 mg ",,,269.08,269.08,3
RC,891,"Injection, dicyclomine hcl, up to 20 mg ",,,24.83,24.83,3
RC,891,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.74,0.74,3
RC,891,"Injection, digoxin immune fab (ovine), per vial ",,,13692.52,13692.52,3
RC,891,"Injection, digoxin, up to 0.5 mg ",,,27.48,27.48,3
RC,891,"Injection, dihydroergotamine mesylate, per 1 mg ",,,145.46,145.46,3
RC,891,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.48,0.48,3
RC,891,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.11,0.11,3
RC,891,"Injection, dimenhydrinate, up to 50 mg ",,,20.46,20.46,3
RC,891,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.83,1.83,3
RC,891,"Injection, dipyridamole, per 10 mg ",,,22.29,22.29,3
RC,891,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1984.8,1984.8,3
RC,891,"Injection, dobutamine hydrochloride, per 250 mg ",,,20.88,20.88,3
RC,891,"Injection, docetaxel (beizray), 1 mg ",,,122.14,122.14,3
RC,891,"Injection, docetaxel (docivyx), 1 mg ",,,134.12,134.12,3
RC,891,"Injection, docetaxel, 1 mg ",,,1.48,1.48,3
RC,891,"Injection, dolasetron mesylate, 10 mg ",,,9.73,9.73,3
RC,891,"Injection, donanemab-azbt, 2 mg ",,,10.97,10.97,3
RC,891,"Injection, dopamine hcl, 40 mg ",,,2.12,2.12,3
RC,891,"Injection, dostarlimab-gxly, 10 mg ",,,654.76,654.76,3
RC,891,"Injection, doxercalciferol, 1 mcg ",,,0.82,0.82,3
RC,891,"Injection, doxorubicin hydrochloride, 10 mg ",,,7.23,7.23,3
RC,891,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,791.66,791.66,3
RC,891,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,190.43,190.43,3
RC,891,"Injection, doxycycline hyclate, 1 mg ",,,0.24,0.24,3
RC,891,"Injection, droperidol, up to 5 mg ",,,19.11,19.11,3
RC,891,"Injection, durvalumab, 10 mg ",,,228.3,228.3,3
RC,891,"Injection, ecallantide, 1 mg ",,,1533.69,1533.69,3
RC,891,"Injection, eculizumab, 2 mg ",,,118.46,118.46,3
RC,891,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,84.61,84.61,3
RC,891,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,110.74,110.74,3
RC,891,"Injection, edaravone, 1 mg ",,,40.23,40.23,3
RC,891,"Injection, edetate calcium disodium, up to 1000 mg ",,,16172.61,16172.61,3
RC,891,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,365.7,365.7,3
RC,891,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,90.97,90.97,3
RC,891,"Injection, efgartigimod alfa-fcab, 2mg ",,,86.42,86.42,3
RC,891,"Injection, eflapegrastim-xnst, 0.1 mg ",,,103.24,103.24,3
RC,891,"Injection, elivaldogene autotemcel, per treatment ",,,8427000.0,8427000.0,3
RC,891,"Injection, elliotts' b solution, 1 ml ",,,30.58,30.58,3
RC,891,"Injection, elosulfase alfa, 1 mg ",,,826.67,826.67,3
RC,891,"Injection, elotuzumab, 1 mg ",,,21.31,21.31,3
RC,891,"Injection, elranatamab-bcmm, 1 mg ",,,494.99,494.99,3
RC,891,"Injection, emapalumab-lzsg, 1 mg ",,,1017.97,1017.97,3
RC,891,"Injection, emicizumab-kxwh, 0.5 mg ",,,147.45,147.45,3
RC,891,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,97.28,97.28,3
RC,891,"Injection, enfuvirtide, 1 mg ",,,0.87,0.87,3
RC,891,"Injection, enoxaparin sodium, 10 mg ",,,1.43,1.43,3
RC,891,"Injection, epcoritamab-bysp, 0.16 mg ",,,150.84,150.84,3
RC,891,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.31,2.31,3
RC,891,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.23,2.23,3
RC,891,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,1.14,1.14,3
RC,891,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,2.86,2.86,3
RC,891,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,7.63,7.63,3
RC,891,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,2.44,2.44,3
RC,891,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.8,0.8,3
RC,891,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.82,0.82,3
RC,891,"Injection, epirubicin hcl, 2 mg ",,,4.69,4.69,3
RC,891,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,19.37,19.37,3
RC,891,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.93,1.93,3
RC,891,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,2.09,2.09,3
RC,891,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,20.88,20.88,3
RC,891,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,2.73,2.73,3
RC,891,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,2.73,2.73,3
RC,891,"Injection, epoprostenol, 0.5 mg ",,,39.43,39.43,3
RC,891,"Injection, eptifibatide, 5 mg ",,,8.64,8.64,3
RC,891,"Injection, eptinezumab-jjmr, 1 mg ",,,54.46,54.46,3
RC,891,"Injection, eravacycline, 1 mg ",,,3.42,3.42,3
RC,891,"Injection, eribulin mesylate, 0.1 mg ",,,203.41,203.41,3
RC,891,"Injection, ertapenem sodium, 500 mg ",,,19.13,19.13,3
RC,891,"Injection, erythromycin lactobionate, per 500 mg ",,,241.76,241.76,3
RC,891,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.53,0.53,3
RC,891,"Injection, esmolol hydrochloride, 10 mg ",,,0.64,0.64,3
RC,891,"Injection, esomeprazole sodium, 1 mg ",,,3.37,3.37,3
RC,891,"Injection, estradiol valerate, up to 10 mg ",,,19.05,19.05,3
RC,891,"Injection, estrogen conjugated, per 25 mg ",,,1038.06,1038.06,3
RC,891,"Injection, estrone, per 1 mg ",,,0.87,0.87,3
RC,891,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,3404.77,3404.77,3
RC,891,"Injection, etelcalcetide, 0.1 mg ",,,6.25,6.25,3
RC,891,"Injection, eteplirsen, 10 mg ",,,443.9,443.9,3
RC,891,"Injection, ethacrynate sodium, 1 mg ",,,48.42,48.42,3
RC,891,"Injection, ethanolamine oleate, 100 mg ",,,1374.37,1374.37,3
RC,891,"Injection, etoposide, 10 mg ",,,2.39,2.39,3
RC,891,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,9782342.5,9782342.5,3
RC,891,"Injection, evinacumab-dgnb, 5mg ",,,523.72,523.72,3
RC,891,"Injection, exagamglogene autotemcel, per treatment ",,,6179800.0,6179800.0,3
RC,891,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,4.88,4.88,3
RC,891,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,4.61,4.61,3
RC,891,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,14.1,14.1,3
RC,891,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,9.49,9.49,3
RC,891,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,3.95,3.95,3
RC,891,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,8.59,8.59,3
RC,891,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,6.52,6.52,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,4.16,4.16,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,4.13,4.13,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,3.74,3.74,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,3.13,3.13,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,5.67,5.67,3
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,7.05,7.05,3
RC,891,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,5.91,5.91,3
RC,891,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,11.9,11.9,3
RC,891,"Injection, factor x, (human), 1 i.u. ",,,26.37,26.37,3
RC,891,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,28.57,28.57,3
RC,891,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,48.57,48.57,3
RC,891,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,82.84,82.84,3
RC,891,"Injection, famotidine, 0.25 mg ",,,0.03,0.03,3
RC,891,"Injection, faricimab-svoa, 0.1 mg ",,,87.11,87.11,3
RC,891,"Injection, fentanyl citrate, 0.1 mg ",,,3.07,3.07,3
RC,891,"Injection, ferric carboxymaltose, 1 mg ",,,2.92,2.92,3
RC,891,"Injection, ferric derisomaltose, 10 mg ",,,58.11,58.11,3
RC,891,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.61,0.61,3
RC,891,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.61,0.61,3
RC,891,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,2.7,2.7,3
RC,891,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.74,0.74,3
RC,891,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.85,0.85,3
RC,891,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.93,0.93,3
RC,891,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,2.73,2.73,3
RC,891,"Injection, fitusiran, 0.04 mg ",,,351.47,351.47,3
RC,891,"Injection, floxuridine, 500 mg ",,,11265.07,11265.07,3
RC,891,"Injection, fludarabine phosphate, 50 mg ",,,576.98,576.98,3
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,1351.0,1351.0,3
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,897.79,897.79,3
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,1404.21,1404.21,3
RC,891,"Injection, fluorouracil, 500 mg ",,,5.46,5.46,3
RC,891,"Injection, fluphenazine decanoate, up to 25 mg ",,,14.81,14.81,3
RC,891,"Injection, fluphenazine hcl, 1.25 mg ",,,19.48,19.48,3
RC,891,"Injection, folic acid, 0.1 mg ",,,0.13,0.13,3
RC,891,"Injection, fomepizole, 15 mg ",,,17.33,17.33,3
RC,891,"Injection, fondaparinux sodium, 0.5 mg ",,,2.12,2.12,3
RC,891,"Injection, fosaprepitant (focinvez), 1 mg ",,,6.76,6.76,3
RC,891,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.11,0.11,3
RC,891,"Injection, fosaprepitant, 1 mg ",,,0.29,0.29,3
RC,891,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.86,1.86,3
RC,891,"Injection, foscarnet sodium, per 1000 mg ",,,22.15,22.15,3
RC,891,"Injection, fosdenopterin, 0.1 mg ",,,46.61,46.61,3
RC,891,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,1389.08,1389.08,3
RC,891,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.52,3.52,3
RC,891,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,11.26,11.26,3
RC,891,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,71.84,71.84,3
RC,891,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,110.43,110.43,3
RC,891,"Injection, fulvestrant, 25 mg ",,,13.09,13.09,3
RC,891,"Injection, furosemide (furoscix), 20 mg ",,,779.58,779.58,3
RC,891,"Injection, furosemide, 1 mg ",,,0.05,0.05,3
RC,891,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,4.56,4.56,3
RC,891,"Injection, gadobenate dimeglumine (multihance), per ml ",,,4.74,4.74,3
RC,891,"Injection, gadobutrol, 0.1 ml ",,,0.8,0.8,3
RC,891,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,3.84,3.84,3
RC,891,"Injection, gadopiclenol, 1 ml ",,,8.53,8.53,3
RC,891,"Injection, gadoterate meglumine, 0.1 ml ",,,0.24,0.24,3
RC,891,"Injection, gadoteridol, (prohance multipack), per ml ",,,3.68,3.68,3
RC,891,"Injection, gadoxetate disodium, 1 ml ",,,39.03,39.03,3
RC,891,"Injection, galsulfase, 1 mg ",,,1361.04,1361.04,3
RC,891,"Injection, gamma globulin, intramuscular, 1 cc ",,,129.72,129.72,3
RC,891,"Injection, gamma globulin, intramuscular, over 10 cc ",,,424.77,424.77,3
RC,891,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,159.0,159.0,3
RC,891,"Injection, ganciclovir sodium, 500 mg ",,,90.23,90.23,3
RC,891,"Injection, garamycin, gentamicin, up to 80 mg ",,,5.11,5.11,3
RC,891,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,14.02,14.02,3
RC,891,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,1087.67,1087.67,3
RC,891,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,8.59,8.59,3
RC,891,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,636.45,636.45,3
RC,891,"Injection, givosiran, 0.5 mg ",,,320.6,320.6,3
RC,891,"Injection, glatiramer acetate, 20 mg ",,,687.09,687.09,3
RC,891,"Injection, glofitamab-gxbm, 2.5 mg ",,,7527.8,7527.8,3
RC,891,"Injection, glucagon (gvoke), 0.01 mg ",,,6.28,6.28,3
RC,891,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,357.75,357.75,3
RC,891,"Injection, glucagon hydrochloride, per 1 mg ",,,387.77,387.77,3
RC,891,"Injection, glucarpidase, 10 units ",,,1190.12,1190.12,3
RC,891,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,3.55,3.55,3
RC,891,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,3.58,3.58,3
RC,891,"Injection, glycopyrrolate, 0.1 mg ",,,0.98,0.98,3
RC,891,"Injection, gold sodium thiomalate, up to 50 mg ",,,36.28,36.28,3
RC,891,"Injection, golimumab, 1 mg, for intravenous use ",,,29.92,29.92,3
RC,891,"Injection, golodirsen, 10 mg ",,,508.8,508.8,3
RC,891,"Injection, granisetron hydrochloride, 100 mcg ",,,0.42,0.42,3
RC,891,"Injection, granisetron, extended-release, 0.1 mg ",,,10.28,10.28,3
RC,891,"Injection, guselkumab, 1 mg ",,,179.7,179.7,3
RC,891,"Injection, haloperidol decanoate, per 50 mg ",,,16.09,16.09,3
RC,891,"Injection, haloperidol, up to 5 mg ",,,2.09,2.09,3
RC,891,"Injection, hemin, 1 mg ",,,93.57,93.57,3
RC,891,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.05,3.05,3
RC,891,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.05,0.05,3
RC,891,"Injection, heparin sodium, per 1000 units ",,,0.58,0.58,3
RC,891,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,186.11,186.11,3
RC,891,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,186.11,186.11,3
RC,891,"Injection, histrelin acetate, 10 micrograms ",,,2.65,2.65,3
RC,891,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,3.29,3.29,3
RC,891,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,4.03,4.03,3
RC,891,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.87,0.87,3
RC,891,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,291.21,291.21,3
RC,891,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.95,0.95,3
RC,891,"Injection, hyaluronidase, up to 150 units ",,,83.61,83.61,3
RC,891,"Injection, hydralazine hcl, up to 20 mg ",,,11.37,11.37,3
RC,891,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,58.67,58.67,3
RC,891,"Injection, hydromorphone, 0.1 mg ",,,0.27,0.27,3
RC,891,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.03,0.03,3
RC,891,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,14.42,14.42,3
RC,891,"Injection, hydroxyzine hcl, up to 25 mg ",,,40.2,40.2,3
RC,891,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,24.78,24.78,3
RC,891,"Injection, ibalizumab-uiyk, 10 mg ",,,205.85,205.85,3
RC,891,"Injection, ibandronate sodium, 1 mg ",,,24.01,24.01,3
RC,891,"Injection, ibuprofen, 100 mg ",,,8.43,8.43,3
RC,891,"Injection, ibutilide fumarate, 1 mg ",,,580.93,580.93,3
RC,891,"Injection, icatibant, 1 mg ",,,832.55,832.55,3
RC,891,"Injection, idarubicin hydrochloride, 5 mg ",,,105.36,105.36,3
RC,891,"Injection, idursulfase, 1 mg ",,,1479.28,1479.28,3
RC,891,"Injection, ifosfamide, 1 gram ",,,65.4,65.4,3
RC,891,"Injection, iloprost, 0.1 mcg ",,,15.13,15.13,3
RC,891,"Injection, imetelstat, 1 mg ",,,154.15,154.15,3
RC,891,"Injection, imiglucerase, 10 units ",,,113.5,113.5,3
RC,891,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,6.89,6.89,3
RC,891,"Injection, immune globulin (alyglo), 500 mg ",,,326.29,326.29,3
RC,891,"Injection, immune globulin (asceniv), 500 mg ",,,1327.46,1327.46,3
RC,891,"Injection, immune globulin (bivigam), 500 mg ",,,210.52,210.52,3
RC,891,"Injection, immune globulin (cutaquig), 100 mg ",,,36.91,36.91,3
RC,891,"Injection, immune globulin (cuvitru), 100 mg ",,,46.59,46.59,3
RC,891,"Injection, immune globulin (hizentra), 100 mg ",,,38.48,38.48,3
RC,891,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,195.65,195.65,3
RC,891,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,131.25,131.25,3
RC,891,"Injection, immune globulin (xembify), 100 mg ",,,40.73,40.73,3
RC,891,"Injection, immune globulin (yimmugo), 100 mg ",,,64.45,64.45,3
RC,891,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,240.46,240.46,3
RC,891,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,130.06,130.06,3
RC,891,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,171.32,171.32,3
RC,891,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,131.78,131.78,3
RC,891,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,124.66,124.66,3
RC,891,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,213.06,213.06,3
RC,891,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,49.82,49.82,3
RC,891,"Injection, inclisiran, 1 mg ",,,33.42,33.42,3
RC,891,"Injection, incobotulinumtoxin a, 1 unit ",,,14.02,14.02,3
RC,891,"Injection, indigotindisulfonate sodium, 1 mg ",,,24.65,24.65,3
RC,891,"Injection, inebilizumab-cdon, 1 mg ",,,1313.21,1313.21,3
RC,891,"Injection, infliximab, excludes biosimilar, 10 mg ",,,82.26,82.26,3
RC,891,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,71.02,71.02,3
RC,891,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,74.31,74.31,3
RC,891,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,885.82,885.82,3
RC,891,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,69.01,69.01,3
RC,891,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,7464.44,7464.44,3
RC,891,"Injection, insulin, per 5 units ",,,1.3,1.3,3
RC,891,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,481.66,481.66,3
RC,891,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,134.33,134.33,3
RC,891,"Injection, interferon beta-1a, 30 mcg ",,,9366.88,9366.88,3
RC,891,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1594.05,1594.05,3
RC,891,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,92.94,92.94,3
RC,891,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,34.53,34.53,3
RC,891,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,95.77,95.77,3
RC,891,"Injection, interferon, gamma 1-b, 3 million units ",,,27950.85,27950.85,3
RC,891,"Injection, ipilimumab, 1 mg ",,,496.0,496.0,3
RC,891,"Injection, irinotecan liposome, 1 mg ",,,175.88,175.88,3
RC,891,"Injection, irinotecan, 20 mg ",,,4.05,4.05,3
RC,891,"Injection, iron dextran, 50 mg ",,,47.99,47.99,3
RC,891,"Injection, iron sucrose, 1 mg ",,,0.58,0.58,3
RC,891,"Injection, isatuximab-irfc, 10 mg ",,,221.49,221.49,3
RC,891,"Injection, isavuconazonium, 1 mg ",,,2.68,2.68,3
RC,891,"Injection, isoniazid, 1 mg ",,,0.8,0.8,3
RC,891,"Injection, itraconazole, 50 mg ",,,2488.96,2488.96,3
RC,891,"Injection, ixabepilone, 1 mg ",,,370.34,370.34,3
RC,891,"Injection, ketorolac tromethamine, per 15 mg ",,,0.9,0.9,3
RC,891,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,2.39,2.39,3
RC,891,"Injection, labetalol hydrochloride, 5 mg ",,,0.69,0.69,3
RC,891,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,230.15,230.15,3
RC,891,"Injection, lanreotide, (cipla), 1 mg ",,,85.3,85.3,3
RC,891,"Injection, lanreotide, 1 mg ",,,94.66,94.66,3
RC,891,"Injection, laronidase, 0.1 mg ",,,105.87,105.87,3
RC,891,"Injection, lefamulin, 1 mg ",,,2.17,2.17,3
RC,891,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,59.1,59.1,3
RC,891,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,42.67,42.67,3
RC,891,"Injection, leucovorin calcium, per 50 mg ",,,9.51,9.51,3
RC,891,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,4678.76,4678.76,3
RC,891,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,372.88,372.88,3
RC,891,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1837.93,1837.93,3
RC,891,"Injection, levetiracetam, 10 mg ",,,0.08,0.08,3
RC,891,"Injection, levocarnitine, per 1 gm ",,,61.19,61.19,3
RC,891,"Injection, levofloxacin, 250 mg ",,,5.72,5.72,3
RC,891,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,3.42,3.42,3
RC,891,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.13,0.13,3
RC,891,"Injection, levorphanol tartrate, up to 2 mg ",,,7.98,7.98,3
RC,891,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,18.44,18.44,3
RC,891,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,16.75,16.75,3
RC,891,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,19.64,19.64,3
RC,891,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.03,0.03,3
RC,891,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.11,0.11,3
RC,891,"Injection, lidocaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,891,"Injection, lincomycin hcl, up to 300 mg ",,,12.51,12.51,3
RC,891,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,71.1,71.1,3
RC,891,"Injection, linezolid, 200 mg ",,,6.57,6.57,3
RC,891,"Injection, linvoseltamab-gcpt, 1 mg ",,,263.68,263.68,3
RC,891,"Injection, liothyronine, 1 mcg ",,,104.12,104.12,3
RC,891,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,692.18,692.18,3
RC,891,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,586.95,586.95,3
RC,891,"Injection, lorazepam, 2 mg ",,,4.4,4.4,3
RC,891,"Injection, lovotibeglogene autotemcel, per treatment ",,,8600260.68,8600260.68,3
RC,891,"Injection, lumasiran, 0.5 mg ",,,868.46,868.46,3
RC,891,"Injection, lurbinectedin, 0.1 mg ",,,562.07,562.07,3
RC,891,"Injection, luspatercept-aamt, 0.25 mg ",,,113.29,113.29,3
RC,891,"Injection, magnesium sulfate, per 500 mg ",,,1.14,1.14,3
RC,891,"Injection, mannitol, 250 mg ",,,0.13,0.13,3
RC,891,"Injection, margetuximab-cmkb, 5 mg ",,,141.17,141.17,3
RC,891,"Injection, marstacimab-hncq, 0.5 mg ",,,133.0,133.0,3
RC,891,"Injection, mecasermin, 1 mg ",,,1226.92,1226.92,3
RC,891,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,346.96,346.96,3
RC,891,"Injection, medroxyprogesterone acetate, 1 mg ",,,1.27,1.27,3
RC,891,"Injection, meloxicam (azurity), 1 mg ",,,2.81,2.81,3
RC,891,"Injection, melphalan (apotex), 1 mg ",,,171.67,171.67,3
RC,891,"Injection, melphalan (evomela), 1 mg ",,,51.49,51.49,3
RC,891,"Injection, melphalan (hepzato), 1 mg ",,,2106.75,2106.75,3
RC,891,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,319.78,319.78,3
RC,891,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,20.35,20.35,3
RC,891,"Injection, meperidine hydrochloride, per 100 mg ",,,23.37,23.37,3
RC,891,"Injection, mepivacaine hydrochloride, per 10 ml ",,,9.88,9.88,3
RC,891,"Injection, mepolizumab, 1 mg ",,,84.32,84.32,3
RC,891,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,5.22,5.22,3
RC,891,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,3.92,3.92,3
RC,891,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,5.75,5.75,3
RC,891,"Injection, meropenem, 100 mg ",,,0.98,0.98,3
RC,891,"Injection, mesna, 200 mg ",,,3.52,3.52,3
RC,891,"Injection, methadone hcl, up to 10 mg ",,,38.98,38.98,3
RC,891,"Injection, methocarbamol, up to 10 ml ",,,11.13,11.13,3
RC,891,"Injection, methotrexate sodium, 50 mg ",,,7.1,7.1,3
RC,891,"Injection, methyldopate hcl, up to 250 mg ",,,25.68,25.68,3
RC,891,"Injection, methylergonovine maleate, up to 0.2 mg ",,,57.27,57.27,3
RC,891,"Injection, methylnaltrexone, 0.1 mg ",,,5.57,5.57,3
RC,891,"Injection, methylprednisolone acetate, 1 mg ",,,0.29,0.29,3
RC,891,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.64,0.64,3
RC,891,"Injection, metoclopramide hcl, up to 10 mg ",,,2.52,2.52,3
RC,891,"Injection, metoprolol tartrate, 1 mg ",,,0.34,0.34,3
RC,891,"Injection, metronidazole, 10 mg ",,,0.08,0.08,3
RC,891,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.98,0.98,3
RC,891,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.58,0.58,3
RC,891,"Injection, micafungin sodium, 1 mg ",,,0.69,0.69,3
RC,891,"Injection, midazolam hydrochloride, per 1 mg ",,,0.45,0.45,3
RC,891,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.37,0.37,3
RC,891,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.42,0.42,3
RC,891,"Injection, milrinone lactate, 5 mg ",,,3.13,3.13,3
RC,891,"Injection, minocycline hydrochloride, 1 mg ",,,7.05,7.05,3
RC,891,"Injection, mirikizumab-mrkz, 1 mg ",,,111.54,111.54,3
RC,891,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,188.49,188.49,3
RC,891,"Injection, mitomycin, 5 mg ",,,75.42,75.42,3
RC,891,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,102.32,102.32,3
RC,891,"Injection, mogamulizumab-kpkc, 1 mg ",,,671.7,671.7,3
RC,891,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,22.1,22.1,3
RC,891,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,32.2,32.2,3
RC,891,"Injection, morphine sulfate, up to 10 mg ",,,11.79,11.79,3
RC,891,"Injection, mosunetuzumab-axgb, 1 mg ",,,1734.53,1734.53,3
RC,891,"Injection, motixafortide, 0.25 mg ",,,70.17,70.17,3
RC,891,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,61.98,61.98,3
RC,891,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,17.6,17.6,3
RC,891,"Injection, moxifloxacin, 100 mg ",,,23.16,23.16,3
RC,891,"Injection, mycophenolate mofetil, 10 mg ",,,1.06,1.06,3
RC,891,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.4,0.4,3
RC,891,"Injection, nafcillin sodium, 20 mg ",,,0.13,0.13,3
RC,891,"Injection, nalbuphine hydrochloride, per 10 mg ",,,9.06,9.06,3
RC,891,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.4,0.4,3
RC,891,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.19,0.19,3
RC,891,"Injection, naltrexone, depot form, 1 mg ",,,11.26,11.26,3
RC,891,"Injection, nandrolone decanoate, up to 50 mg ",,,10.63,10.63,3
RC,891,"Injection, natalizumab, 1 mg ",,,64.45,64.45,3
RC,891,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,64.45,64.45,3
RC,891,"Injection, naxitamab-gqgk, 1 mg ",,,1818.14,1818.14,3
RC,891,"Injection, necitumumab, 1 mg ",,,15.18,15.18,3
RC,891,"Injection, nelarabine, 50 mg ",,,139.68,139.68,3
RC,891,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,2.25,2.25,3
RC,891,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,3.74,3.74,3
RC,891,"Injection, nesiritide, 0.1 mg ",,,79.66,79.66,3
RC,891,"Injection, nicardipine, 0.1 mg ",,,0.19,0.19,3
RC,891,"Injection, nipocalimab-aahu, 3 mg ",,,86.58,86.58,3
RC,891,"Injection, nitroglycerin, 5 mg ",,,4.43,4.43,3
RC,891,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,534.66,534.66,3
RC,891,"Injection, nivolumab, 1 mg ",,,89.09,89.09,3
RC,891,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,73.48,73.48,3
RC,891,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,250.69,250.69,3
RC,891,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,27.27,27.27,3
RC,891,"Injection, nusinersen, 0.1 mg ",,,3407.32,3407.32,3
RC,891,"Injection, obinutuzumab, 10 mg ",,,216.8,216.8,3
RC,891,"Injection, ocrelizumab, 1 mg ",,,157.94,157.94,3
RC,891,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,123.99,123.99,3
RC,891,"Injection, octafluoropropane microspheres, per ml ",,,105.89,105.89,3
RC,891,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,499.13,499.13,3
RC,891,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.64,1.64,3
RC,891,"Injection, ofatumumab, 10 mg ",,,164.91,164.91,3
RC,891,"Injection, olanzapine, 0.5 mg ",,,1.88,1.88,3
RC,891,"Injection, olanzapine, long-acting, 1 mg ",,,8.45,8.45,3
RC,891,"Injection, olipudase alfa-rpcp, 1 mg ",,,1048.34,1048.34,3
RC,891,"Injection, omadacycline, 1 mg ",,,10.94,10.94,3
RC,891,"Injection, omalizumab, 5 mg ",,,110.82,110.82,3
RC,891,"Injection, onabotulinumtoxina, 1 unit ",,,17.25,17.25,3
RC,891,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,7060205.76,7060205.76,3
RC,891,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,6855781.24,6855781.24,3
RC,891,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.24,0.24,3
RC,891,"Injection, oprelvekin, 5 mg ",,,655.0,655.0,3
RC,891,"Injection, oritavancin (kimyrsa), 10 mg ",,,115.86,115.86,3
RC,891,"Injection, oritavancin (orbactiv), 10 mg ",,,75.71,75.71,3
RC,891,"Injection, orphenadrine citrate, up to 60 mg ",,,21.78,21.78,3
RC,891,"Injection, oxacillin sodium, up to 250 mg ",,,2.25,2.25,3
RC,891,"Injection, oxaliplatin, 0.5 mg ",,,0.21,0.21,3
RC,891,"Injection, oxymorphone hcl, up to 1 mg ",,,6.2,6.2,3
RC,891,"Injection, oxytocin, up to 10 units ",,,7.18,7.18,3
RC,891,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.95,15.95,3
RC,891,"Injection, paclitaxel, 1 mg ",,,0.4,0.4,3
RC,891,"Injection, palifermin, 50 micrograms ",,,97.31,97.31,3
RC,891,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,38.4,38.4,3
RC,891,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,34.32,34.32,3
RC,891,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,39.96,39.96,3
RC,891,"Injection, palonosetron hcl, 25 mcg ",,,1.72,1.72,3
RC,891,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,146.52,146.52,3
RC,891,"Injection, pamidronate disodium, per 30 mg ",,,32.91,32.91,3
RC,891,"Injection, panitumumab, 10 mg ",,,462.13,462.13,3
RC,891,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,10.02,10.02,3
RC,891,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,25.39,25.39,3
RC,891,"Injection, pantoprazole sodium, 40 mg ",,,22.79,22.79,3
RC,891,"Injection, papaverine hcl, up to 60 mg ",,,121.74,121.74,3
RC,891,"Injection, paricalcitol, 1 mcg ",,,2.7,2.7,3
RC,891,"Injection, pasireotide long acting, 1 mg ",,,1580.2,1580.2,3
RC,891,"Injection, patisiran, 0.1 mg ",,,267.39,267.39,3
RC,891,"Injection, pegaspargase, per single dose vial ",,,75323.76,75323.76,3
RC,891,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,391.7,391.7,3
RC,891,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,337.56,337.56,3
RC,891,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,353.27,353.27,3
RC,891,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,317.05,317.05,3
RC,891,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,360.11,360.11,3
RC,891,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,419.39,419.39,3
RC,891,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,210.68,210.68,3
RC,891,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,297.14,297.14,3
RC,891,"Injection, pegloticase, 1 mg ",,,10134.98,10134.98,3
RC,891,"Injection, pegulicianine, 1 mg ",,,99.4,99.4,3
RC,891,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,592.01,592.01,3
RC,891,"Injection, pembrolizumab, 1 mg ",,,162.31,162.31,3
RC,891,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,85.14,85.14,3
RC,891,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,25.6,25.6,3
RC,891,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,28.09,28.09,3
RC,891,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,13.78,13.78,3
RC,891,"Injection, pemetrexed (pemfexy), 10 mg ",,,21.17,21.17,3
RC,891,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,186.77,186.77,3
RC,891,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,3.87,3.87,3
RC,891,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,29.12,29.12,3
RC,891,"Injection, pemetrexed dipotassium, 10 mg ",,,217.35,217.35,3
RC,891,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.87,0.87,3
RC,891,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,10.71,10.71,3
RC,891,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,19183.35,19183.35,3
RC,891,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,51.73,51.73,3
RC,891,"Injection, penicillin g benzathine, 100,000 units ",,,83.4,83.4,3
RC,891,"Injection, penicillin g potassium, up to 600,000 units ",,,1.8,1.8,3
RC,891,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,26.55,26.55,3
RC,891,"Injection, pentamidine isethionate, 1 mg ",,,0.42,0.42,3
RC,891,"Injection, pentazocine, 30 mg ",,,72.58,72.58,3
RC,891,"Injection, pentobarbital sodium, per 50 mg ",,,97.63,97.63,3
RC,891,"Injection, pentostatin, 10 mg ",,,6959.77,6959.77,3
RC,891,"Injection, peramivir, 1 mg ",,,4.45,4.45,3
RC,891,"Injection, perflutren lipid microspheres, per ml ",,,105.89,105.89,3
RC,891,"Injection, pertuzumab, 1 mg ",,,45.1,45.1,3
RC,891,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,159.61,159.61,3
RC,891,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,2.99,2.99,3
RC,891,"Injection, phenobarbital sodium, up to 120 mg ",,,62.67,62.67,3
RC,891,"Injection, phentolamine mesylate, up to 5 mg ",,,682.24,682.24,3
RC,891,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.4,0.4,3
RC,891,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.34,0.34,3
RC,891,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.03,0.03,3
RC,891,"Injection, phenytoin sodium, per 50 mg ",,,1.11,1.11,3
RC,891,"Injection, phytonadione (vitamin k), per 1 mg ",,,8.37,8.37,3
RC,891,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,2.89,2.89,3
RC,891,"Injection, plasminogen, human-tvmh, 1 mg ",,,101.73,101.73,3
RC,891,"Injection, plazomicin, 5 mg ",,,9.3,9.3,3
RC,891,"Injection, plerixafor, 1 mg ",,,86.76,86.76,3
RC,891,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,363.66,363.66,3
RC,891,"Injection, porfimer sodium, 75 mg ",,,74167.14,74167.14,3
RC,891,"Injection, posaconazole, 1 mg ",,,0.93,0.93,3
RC,891,"Injection, potassium chloride, per 2 meq ",,,0.34,0.34,3
RC,891,"Injection, pozelimab-bbfg, 1 mg ",,,243.08,243.08,3
RC,891,"Injection, pralatrexate, 1 mg ",,,1040.71,1040.71,3
RC,891,"Injection, pralidoxime chloride, up to 1 gm ",,,275.71,275.71,3
RC,891,"Injection, procainamide hcl, up to 1 gm ",,,569.25,569.25,3
RC,891,"Injection, prochlorperazine, up to 10 mg ",,,8.82,8.82,3
RC,891,"Injection, progesterone, per 50 mg ",,,1.75,1.75,3
RC,891,"Injection, promethazine hcl, up to 50 mg ",,,8.85,8.85,3
RC,891,"Injection, propofol, 10 mg ",,,0.24,0.24,3
RC,891,"Injection, propranolol hcl, up to 1 mg ",,,30.82,30.82,3
RC,891,"Injection, protamine sulfate, per 10 mg ",,,4.43,4.43,3
RC,891,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,39.88,39.88,3
RC,891,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,4.56,4.56,3
RC,891,"Injection, pyridoxine hcl, 100 mg ",,,39.49,39.49,3
RC,891,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,312.46,312.46,3
RC,891,"Injection, radiesse, 0.1 ml ",,,925.35,925.35,3
RC,891,"Injection, ramucirumab, 5 mg ",,,200.0,200.0,3
RC,891,"Injection, ranibizumab, 0.1 mg ",,,179.8,179.8,3
RC,891,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,201.93,201.93,3
RC,891,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,221.22,221.22,3
RC,891,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,187.89,187.89,3
RC,891,"Injection, rasburicase, 0.5 mg ",,,1012.8,1012.8,3
RC,891,"Injection, ravulizumab-cwvz, 10 mg ",,,592.75,592.75,3
RC,891,"Injection, regadenoson, 0.1 mg ",,,7.69,7.69,3
RC,891,"Injection, remdesivir, 1 mg ",,,18.29,18.29,3
RC,891,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,537190.99,537190.99,3
RC,891,"Injection, remimazolam, 1 mg ",,,7.39,7.39,3
RC,891,"Injection, reslizumab, 1 mg ",,,30.55,30.55,3
RC,891,"Injection, reteplase, 18.1 mg ",,,7697.14,7697.14,3
RC,891,"Injection, retifanlimab-dlwr, 1 mg ",,,80.56,80.56,3
RC,891,"Injection, rezafungin, 1 mg ",,,28.59,28.59,3
RC,891,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,209.09,209.09,3
RC,891,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,72.93,72.93,3
RC,891,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,90.79,90.79,3
RC,891,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,12.85,12.85,3
RC,891,"Injection, rifampin, 1 mg ",,,0.45,0.45,3
RC,891,"Injection, rilonacept, 1 mg ",,,89.99,89.99,3
RC,891,"Injection, rimabotulinumtoxinb, 100 units ",,,35.19,35.19,3
RC,891,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,38.69,38.69,3
RC,891,"Injection, risperidone (risperdal consta), 0.5 mg ",,,28.62,28.62,3
RC,891,"Injection, risperidone (rykindo), 0.5 mg ",,,34.53,34.53,3
RC,891,"Injection, risperidone (uzedy), 1 mg ",,,66.67,66.67,3
RC,891,"Injection, risperidone, (perseris), 0.5 mg ",,,32.25,32.25,3
RC,891,"Injection, rituximab 10 mg and hyaluronidase ",,,96.14,96.14,3
RC,891,"Injection, rituximab, 10 mg ",,,196.52,196.52,3
RC,891,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,82.89,82.89,3
RC,891,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,53.69,53.69,3
RC,891,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,36.28,36.28,3
RC,891,"Injection, romidepsin, lyophilized, 0.1 mg ",,,81.62,81.62,3
RC,891,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,75.58,75.58,3
RC,891,"Injection, romiplostim, 1 microgram ",,,29.44,29.44,3
RC,891,"Injection, romosozumab-aqqg, 1 mg ",,,32.3,32.3,3
RC,891,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,891,"Injection, rozanolixizumab-noli, 1 mg ",,,62.01,62.01,3
RC,891,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,97.52,97.52,3
RC,891,"Injection, sargramostim (gm-csf), 50 mcg ",,,164.01,164.01,3
RC,891,"Injection, sculptra, 0.5 mg ",,,5.72,5.72,3
RC,891,"Injection, sebelipase alfa, 1 mg ",,,1431.48,1431.48,3
RC,891,"Injection, secretin, synthetic, human, 1 microgram ",,,106.61,106.61,3
RC,891,"Injection, secukinumab, intravenous, 1 mg ",,,47.81,47.81,3
RC,891,"Injection, sermorelin acetate, 1 microgram ",,,3.55,3.55,3
RC,891,"Injection, siltuximab, 10 mg ",,,461.31,461.31,3
RC,891,"Injection, sincalide, 5 micrograms ",,,286.73,286.73,3
RC,891,"Injection, sirolimus protein-bound particles, 1 mg ",,,230.84,230.84,3
RC,891,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,6.33,6.33,3
RC,891,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,5.75,5.75,3
RC,891,"Injection, sodium thiosulfate (hope), 100 mg ",,,2.33,2.33,3
RC,891,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,252.94,252.94,3
RC,891,"Injection, somatropin, 1 mg ",,,437.75,437.75,3
RC,891,"Injection, spesolimab-sbzo, 1 mg ",,,174.18,174.18,3
RC,891,"Injection, sterile cefuroxime sodium, per 750 mg ",,,5.27,5.27,3
RC,891,"Injection, streptomycin, up to 1 gm ",,,106.69,106.69,3
RC,891,"Injection, streptozocin, 1 gram ",,,464.68,464.68,3
RC,891,"Injection, succinylcholine chloride, up to 20 mg ",,,3.95,3.95,3
RC,891,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.11,0.11,3
RC,891,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,48.02,48.02,3
RC,891,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,470.83,470.83,3
RC,891,"Injection, sutimlimab-jome, 10 mg ",,,52.05,52.05,3
RC,891,"Injection, tafasitamab-cxix, 2 mg ",,,37.55,37.55,3
RC,891,"Injection, tagraxofusp-erzs, 10 micrograms ",,,946.79,946.79,3
RC,891,"Injection, taliglucerase alfa, 10 units ",,,107.75,107.75,3
RC,891,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,195.94,195.94,3
RC,891,"Injection, talquetamab-tgvs, 0.25 mg ",,,198.43,198.43,3
RC,891,"Injection, tarlatamab-dlle, 1 mg ",,,4154.46,4154.46,3
RC,891,"Injection, tbo-filgrastim, 1 microgram ",,,0.66,0.66,3
RC,891,"Injection, tebentafusp-tebn, 1 microgram ",,,589.6,589.6,3
RC,891,"Injection, teclistamab-cqyv, 0.5 mg ",,,91.43,91.43,3
RC,891,"Injection, tedizolid phosphate, 1 mg ",,,5.19,5.19,3
RC,891,"Injection, telavancin, 10 mg ",,,18.63,18.63,3
RC,891,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,386.87,386.87,3
RC,891,"Injection, temozolomide, 1 mg ",,,27.56,27.56,3
RC,891,"Injection, temsirolimus, 1 mg ",,,79.71,79.71,3
RC,891,"Injection, tenecteplase, 1 mg ",,,523.22,523.22,3
RC,891,"Injection, teplizumab-mzwv, 5 mcg ",,,101.73,101.73,3
RC,891,"Injection, teprotumumab-trbw, 10 mg ",,,974.96,974.96,3
RC,891,"Injection, terbutaline sulfate, up to 1 mg ",,,7.84,7.84,3
RC,891,"Injection, teriparatide, 10 mcg ",,,209.64,209.64,3
RC,891,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.37,0.37,3
RC,891,"Injection, testosterone cypionate, 1 mg ",,,0.05,0.05,3
RC,891,"Injection, testosterone enanthate, 1 mg ",,,0.13,0.13,3
RC,891,"Injection, testosterone undecanoate, 1 mg ",,,5.64,5.64,3
RC,891,"Injection, tetanus immune globulin, human, up to 250 units ",,,1479.02,1479.02,3
RC,891,"Injection, tezepelumab-ekko, 1 mg ",,,46.59,46.59,3
RC,891,"Injection, thiamine hcl, 100 mg ",,,4.11,4.11,3
RC,891,"Injection, thiotepa (tepylute), 1 mg ",,,102.16,102.16,3
RC,891,"Injection, thiotepa, not otherwise specified, 1 mg ",,,15.21,15.21,3
RC,891,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,5632.15,5632.15,3
RC,891,"Injection, tigecycline, 1 mg ",,,1.51,1.51,3
RC,891,"Injection, tildrakizumab, 1 mg ",,,313.23,313.23,3
RC,891,"Injection, tirofiban hcl, 0.25 mg ",,,8.45,8.45,3
RC,891,"Injection, tislelizumab-jsgr, 1mg ",,,154.42,154.42,3
RC,891,"Injection, tisotumab vedotin-tftv, 1 mg ",,,519.72,519.72,3
RC,891,"Injection, tobramycin sulfate, up to 80 mg ",,,5.35,5.35,3
RC,891,"Injection, tocilizumab, 1 mg ",,,14.65,14.65,3
RC,891,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,20.06,20.06,3
RC,891,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,11.77,11.77,3
RC,891,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,14.79,14.79,3
RC,891,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,12.3,12.3,3
RC,891,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,13.04,13.04,3
RC,891,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,13.94,13.94,3
RC,891,"Injection, tofersen, 1 mg ",,,424.03,424.03,3
RC,891,"Injection, topotecan, 0.1 mg ",,,5.59,5.59,3
RC,891,"Injection, toripalimab-tpzi, 1 mg ",,,105.97,105.97,3
RC,891,"Injection, trabectedin, 0.1 mg ",,,1036.34,1036.34,3
RC,891,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.32,0.32,3
RC,891,"Injection, tranexamic acid, 5 mg ",,,0.34,0.34,3
RC,891,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,158.76,158.76,3
RC,891,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,194.59,194.59,3
RC,891,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,149.41,149.41,3
RC,891,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,94.82,94.82,3
RC,891,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,79.0,79.0,3
RC,891,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,148.45,148.45,3
RC,891,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,27.64,27.64,3
RC,891,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,100.36,100.36,3
RC,891,"Injection, travoprost, intracameral implant, 1 microgram ",,,521.73,521.73,3
RC,891,"Injection, tremelimumab-actl, 1 mg ",,,379.56,379.56,3
RC,891,"Injection, treosulfan, 50 mg ",,,83.77,83.77,3
RC,891,"Injection, treprostinil, 1 mg ",,,146.25,146.25,3
RC,891,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,126.62,126.62,3
RC,891,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,2.39,2.39,3
RC,891,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,49.77,49.77,3
RC,891,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,49.4,49.4,3
RC,891,"Injection, triamcinolone diacetate, per 5 mg ",,,0.87,0.87,3
RC,891,"Injection, triamcinolone hexacetonide, per 5 mg ",,,25.84,25.84,3
RC,891,"Injection, trilaciclib, 1mg ",,,14.55,14.55,3
RC,891,"Injection, trimethobenzamide hcl, up to 200 mg ",,,151.63,151.63,3
RC,891,"Injection, triptorelin pamoate, 3.75 mg ",,,1243.86,1243.86,3
RC,891,"Injection, triptorelin, extended-release, 3.75 mg ",,,9867.96,9867.96,3
RC,891,"Injection, ublituximab-xiiy, 1mg ",,,182.19,182.19,3
RC,891,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,37.23,37.23,3
RC,891,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,31.14,31.14,3
RC,891,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,12.03,12.03,3
RC,891,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,584.78,584.78,3
RC,891,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,8.88,8.88,3
RC,891,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,167.56,167.56,3
RC,891,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,8.51,8.51,3
RC,891,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,12.0,12.0,3
RC,891,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,33267.33,33267.33,3
RC,891,"Injection, valproate sodium, 5 mg ",,,0.11,0.11,3
RC,891,"Injection, valrubicin, intravesical, 200 mg ",,,3366.88,3366.88,3
RC,891,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.03,0.03,3
RC,891,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.27,0.27,3
RC,891,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.42,0.42,3
RC,891,"Injection, vancomycin hydrochloride, 10 mg ",,,0.08,0.08,3
RC,891,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,2.23,2.23,3
RC,891,"Injection, vasopressin (baxter), 1 unit ",,,4.05,4.05,3
RC,891,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,3.13,3.13,3
RC,891,"Injection, vasopressin, 1 unit ",,,1.4,1.4,3
RC,891,"Injection, vedolizumab, intravenous, 1 mg ",,,55.6,55.6,3
RC,891,"Injection, velaglucerase alfa, 100 units ",,,1028.62,1028.62,3
RC,891,"Injection, velmanase alfa-tycv, 1 mg ",,,1232.86,1232.86,3
RC,891,"Injection, verteporfin, 0.1 mg ",,,30.66,30.66,3
RC,891,"Injection, vestronidase alfa-vjbk, 1 mg ",,,742.4,742.4,3
RC,891,"Injection, viltolarsen, 10 mg ",,,179.35,179.35,3
RC,891,"Injection, vinblastine sulfate, 1 mg ",,,13.65,13.65,3
RC,891,"Injection, vinorelbine tartrate, 10 mg ",,,13.17,13.17,3
RC,891,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.78,1.78,3
RC,891,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,4.85,4.85,3
RC,891,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,3.5,3.5,3
RC,891,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,3.95,3.95,3
RC,891,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,8135.74,8135.74,3
RC,891,"Injection, voriconazole, 10 mg ",,,1.72,1.72,3
RC,891,"Injection, vutrisiran, 1 mg ",,,13301.07,13301.07,3
RC,891,"Injection, zanidatamab-hrii, 2 mg ",,,66.25,66.25,3
RC,891,"Injection, zenocutuzumab-zbco, 1 mg ",,,88.96,88.96,3
RC,891,"Injection, ziconotide, 1 microgram ",,,27.72,27.72,3
RC,891,"Injection, zidovudine, 10 mg ",,,4.0,4.0,3
RC,891,"Injection, ziprasidone mesylate, 10 mg ",,,15.56,15.56,3
RC,891,"Injection, ziv-aflibercept, 1 mg ",,,22.82,22.82,3
RC,891,"Injection, zolbetuximab-clzb, 2 mg ",,,89.17,89.17,3
RC,891,"Injection, zoledronic acid, 1 mg ",,,81.83,81.83,3
RC,891,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,323035.0,323035.0,3
RC,891,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Innovamatrix pd, 1 mg ",,,45.13,45.13,3
RC,891,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,2.2,2.2,3
RC,891,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,90.05,90.05,3
RC,891,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,3773.92,3773.92,3
RC,891,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,13.33,13.33,3
RC,891,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,23.21,23.21,3
RC,891,"Insulin (fiasp), per 5 units ",,,1.8,1.8,3
RC,891,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,40.02,40.02,3
RC,891,"Insulin (lyumjev), per 5 units ",,,1.59,1.59,3
RC,891,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,8.29,8.29,3
RC,891,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Integra flowable wound matrix, injectable, 1 cc ",,,7501.62,7501.62,3
RC,891,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Interfyl, 1 mg ",,,103.22,103.22,3
RC,891,Intrauterine copper contraceptive (miudella) ,,,3774.66,3774.66,3
RC,891,Intrauterine copper contraceptive (paragard) ,,,3773.6,3773.6,3
RC,891,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,126.78,126.78,3
RC,891,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,575.87,575.87,3
RC,891,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,170348.1,170348.1,3
RC,891,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,3677.51,3677.51,3
RC,891,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6141.38,6141.38,3
RC,891,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,269.08,269.08,3
RC,891,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,461.15,461.15,3
RC,891,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,1243.01,1243.01,3
RC,891,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1721.55,1721.55,3
RC,891,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,1050.25,1050.25,3
RC,891,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,2525.48,2525.48,3
RC,891,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,2296.89,2296.89,3
RC,891,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,258.45,258.45,3
RC,891,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,63.79,63.79,3
RC,891,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,55.04,55.04,3
RC,891,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,11.5,11.5,3
RC,891,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,1.17,1.17,3
RC,891,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,38.05,38.05,3
RC,891,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,965.58,965.58,3
RC,891,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.24,0.24,3
RC,891,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.21,0.21,3
RC,891,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,3.55,3.55,3
RC,891,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,466.93,466.93,3
RC,891,"Leuprolide acetate, per 1 mg ",,,401.48,401.48,3
RC,891,"Leuprolide injectable, camcevi, 1 mg ",,,105.87,105.87,3
RC,891,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,5.3,5.3,3
RC,891,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.85,0.85,3
RC,891,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.24,0.24,3
RC,891,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,1028.52,1028.52,3
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,3111.05,3111.05,3
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,4046.36,4046.36,3
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,3369.26,3369.26,3
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,4046.36,4046.36,3
RC,891,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,3.07,3.07,3
RC,891,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,1.14,1.14,3
RC,891,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.4,0.4,3
RC,891,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,687.94,687.94,3
RC,891,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,847.84,847.84,3
RC,891,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,14024.94,14024.94,3
RC,891,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,2711.27,2711.27,3
RC,891,"Mannitol, administered through an inhaler, 5 mg ",,,3.13,3.13,3
RC,891,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Matristem micromatrix, 1 mg ",,,21.01,21.01,3
RC,891,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,310.42,310.42,3
RC,891,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,917.96,917.96,3
RC,891,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Melphalan; oral, 2 mg ",,,12.4,12.4,3
RC,891,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,561.54,561.54,3
RC,891,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,562.81,562.81,3
RC,891,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,62.83,62.83,3
RC,891,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,844.69,844.69,3
RC,891,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,800.51,800.51,3
RC,891,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,237.2,237.2,3
RC,891,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,717.99,717.99,3
RC,891,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,798.76,798.76,3
RC,891,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,2.89,2.89,3
RC,891,"Methotrexate (jylamvo), oral, 2.5 mg ",,,49.58,49.58,3
RC,891,"Methotrexate (xatmep), oral, 2.5 mg ",,,59.1,59.1,3
RC,891,"Methotrexate; oral, 2.5 mg ",,,0.37,0.37,3
RC,891,"Methylprednisolone oral, per 4 mg ",,,0.37,0.37,3
RC,891,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Microlyte painguard, per square centimeter ",,,336.92,336.92,3
RC,891,"Miglustat, oral, 65 mg ",,,113.05,113.05,3
RC,891,"Miro3d fibers, per milligram ",,,43.51,43.51,3
RC,891,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Mitomycin pyelocalyceal instillation, 1 mg ",,,856.4,856.4,3
RC,891,"Mitomycin, intravesical instillation, 1 mg ",,,737.57,737.57,3
RC,891,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,30.08,30.08,3
RC,891,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,5.96,5.96,3
RC,891,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.82,0.82,3
RC,891,"Mycophenolate mofetil, oral, 250 mg ",,,0.37,0.37,3
RC,891,"Mycophenolic acid, oral, 180 mg ",,,0.85,0.85,3
RC,891,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,62.35,62.35,3
RC,891,"Myriad morcells, 4 milligrams ",,,34.98,34.98,3
RC,891,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Neoxflo or clarixflo, 1 mg ",,,90.37,90.37,3
RC,891,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,1054.14,1054.14,3
RC,891,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,2122.52,2122.52,3
RC,891,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,337.24,337.24,3
RC,891,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Novashield or novogen wound matrix, per square centimeter ",,,336.92,336.92,3
RC,891,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,407.44,407.44,3
RC,891,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.05,0.05,3
RC,891,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1648.19,1648.19,3
RC,891,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,3819.98,3819.98,3
RC,891,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,194.96,194.96,3
RC,891,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.78,1.78,3
RC,891,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,256.02,256.02,3
RC,891,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,918.2,918.2,3
RC,891,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,683.3,683.3,3
RC,891,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,713.67,713.67,3
RC,891,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,829.19,829.19,3
RC,891,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,912.26,912.26,3
RC,891,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,353.7,353.7,3
RC,891,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,151.63,151.63,3
RC,891,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Prednisolone oral, per 5 mg ",,,1.96,1.96,3
RC,891,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,5.86,5.86,3
RC,891,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Procenta, per 100 mg ",,,15741.8,15741.8,3
RC,891,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,2.07,2.07,3
RC,891,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.77,0.77,3
RC,891,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,5.43,5.43,3
RC,891,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,729.23,729.23,3
RC,891,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,641.78,641.78,3
RC,891,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,933.97,933.97,3
RC,891,"Rabies vaccine, for intradermal use ",,,627.68,627.68,3
RC,891,"Rabies vaccine, for intramuscular use ",,,835.33,835.33,3
RC,891,"Radioelements for brachytherapy, any type, each ",,,163.74,163.74,3
RC,891,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,123742.09,123742.09,3
RC,891,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,453.39,453.39,3
RC,891,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,1014.42,1014.42,3
RC,891,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,1020.94,1020.94,3
RC,891,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,1014.63,1014.63,3
RC,891,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,1157.39,1157.39,3
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1768.08,1768.08,3
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,891,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.53,0.53,3
RC,891,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,348.53,348.53,3
RC,891,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,212.0,212.0,3
RC,891,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1761.59,1761.59,3
RC,891,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,7250.4,7250.4,3
RC,891,"Ringers lactate infusion, up to 1000 cc ",,,6.89,6.89,3
RC,891,"Rolapitant, oral, 1 mg ",,,11.69,11.69,3
RC,891,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,495.05,495.05,3
RC,891,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,326.32,326.32,3
RC,891,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,1312.65,1312.65,3
RC,891,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,8373.47,8373.47,3
RC,891,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,7697.35,7697.35,3
RC,891,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.27,0.27,3
RC,891,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.82,0.82,3
RC,891,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.53,0.53,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,535.06,535.06,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,389.71,389.71,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,428.37,428.37,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,251.22,251.22,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,173.5,173.5,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,446.18,446.18,3
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,508.59,508.59,3
RC,891,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,149113.35,149113.35,3
RC,891,"Sirolimus, oral, 1 mg ",,,3.37,3.37,3
RC,891,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,336.92,336.92,3
RC,891,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.03,0.03,3
RC,891,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,716.96,716.96,3
RC,891,"Sodium phosphate p-32, therapeutic, per millicurie ",,,737.34,737.34,3
RC,891,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,10987.8,10987.8,3
RC,891,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.56,0.56,3
RC,891,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Suzetrigine, oral 1 mg ",,,0.87,0.87,3
RC,891,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,1.56,1.56,3
RC,891,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,4.93,4.93,3
RC,891,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,3.39,3.39,3
RC,891,"Tacrolimus, immediate release, oral, 1 mg ",,,0.61,0.61,3
RC,891,"Tacrolimus, parenteral, 5 mg ",,,688.89,688.89,3
RC,891,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,26.5,26.5,3
RC,891,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,1393.18,1393.18,3
RC,891,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,3434.27,3434.27,3
RC,891,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,2055.13,2055.13,3
RC,891,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,2121.64,2121.64,3
RC,891,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,163.74,163.74,3
RC,891,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,2475.44,2475.44,3
RC,891,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,4246.84,4246.84,3
RC,891,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,288.56,288.56,3
RC,891,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,80.53,80.53,3
RC,891,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,300.67,300.67,3
RC,891,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,170.82,170.82,3
RC,891,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,2102.17,2102.17,3
RC,891,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,138.09,138.09,3
RC,891,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,55.76,55.76,3
RC,891,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,76.11,76.11,3
RC,891,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,29.2,29.2,3
RC,891,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,120.39,120.39,3
RC,891,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,1194.04,1194.04,3
RC,891,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1748.81,1748.81,3
RC,891,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1991.21,1991.21,3
RC,891,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,309.79,309.79,3
RC,891,"Temozolomide, oral, 5 mg ",,,1.06,1.06,3
RC,891,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,34.53,34.53,3
RC,891,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,34.53,34.53,3
RC,891,"Testosterone pellet, implant, 75 mg ",,,198.67,198.67,3
RC,891,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,102.69,102.69,3
RC,891,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,2084.99,2084.99,3
RC,891,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,104.62,104.62,3
RC,891,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,146.94,146.94,3
RC,891,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1627579.15,1627579.15,3
RC,891,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,158.44,158.44,3
RC,891,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,20.59,20.59,3
RC,891,"Topical administration, prademagene zamikeracel, per treatment ",,,8839923.0,8839923.0,3
RC,891,"Topotecan, oral, 0.25 mg ",,,331.83,331.83,3
RC,891,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,2091.33,2091.33,3
RC,891,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,12.4,12.4,3
RC,891,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.78,1.78,3
RC,891,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,440.93,440.93,3
RC,891,"Typhoid vaccine, live, oral ",,,372.96,372.96,3
RC,891,Unlisted immune globulin ,,,1133.91,1133.91,3
RC,891,"Ustekinumab, for intravenous injection, 1 mg ",,,30.79,30.79,3
RC,891,"Ustekinumab, for subcutaneous injection, 1 mg ",,,1080.43,1080.43,3
RC,891,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.03,0.03,3
RC,891,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.37,0.37,3
RC,891,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,610.53,610.53,3
RC,891,"Varicella-zoster immune globulin, human, for intramuscular use ",,,6262.61,6262.61,3
RC,891,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Vincristine sulfate, 1 mg ",,,21.49,21.49,3
RC,891,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Woundex flow, bioskin flow, 0.5 cc ",,,6801.68,6801.68,3
RC,891,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xcellistem, 1 mg ",,,41.34,41.34,3
RC,891,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,811.67,811.67,3
RC,891,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Yellow fever vaccine, live, for subcutaneous use ",,,815.14,815.14,3
RC,891,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,150585.06,150585.06,3
RC,891,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,891,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,378.84,378.84,3
RC,891,"injection, busulfan, 1 mg ",,,1.8,1.8,3
RC,892, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Gene Therapy  ,,,,,0
RC,892,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,16.03,16.03,3
RC,892,5% dextrose/normal saline (500 ml = 1 unit) ,,,3.42,3.42,3
RC,892,5% dextrose/water (500 ml = 1 unit) ,,,4.96,4.96,3
RC,892,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,Ac5 advanced wound system (ac5) ,,,15900.0,15900.0,3
RC,892,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,22.63,22.63,3
RC,892,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Afamelanotide implant, 1 mg ",,,7800.06,7800.06,3
RC,892,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,2042143.0,2042143.0,3
RC,892,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.64,0.64,3
RC,892,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.21,0.21,3
RC,892,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.56,0.56,3
RC,892,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,4.69,4.69,3
RC,892,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,1033.55,1033.55,3
RC,892,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,182.13,182.13,3
RC,892,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,307.56,307.56,3
RC,892,"Anti-inhibitor, per i.u. ",,,6.41,6.41,3
RC,892,"Antithrombin iii (human), per i.u. ",,,10.87,10.87,3
RC,892,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Aprepitant, oral, 5 mg ",,,6.33,6.33,3
RC,892,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.93,1.93,3
RC,892,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Ascent, 0.5 mg ",,,182.69,182.69,3
RC,892,"Autologous cultured chondrocytes, implant ",,,221874.56,221874.56,3
RC,892,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1409400.17,1409400.17,3
RC,892,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Azathioprine, oral, 50 mg ",,,0.48,0.48,3
RC,892,"Azathioprine, parenteral, 100 mg ",,,675.11,675.11,3
RC,892,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,34.53,34.53,3
RC,892,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,601.82,601.82,3
RC,892,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,601.82,601.82,3
RC,892,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Bcg live intravesical instillation, 1 mg ",,,8.98,8.98,3
RC,892,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,2662.14,2662.14,3
RC,892,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Biobrane, per square centimeter ",,,336.92,336.92,3
RC,892,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1296620.09,1296620.09,3
RC,892,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,12.4,12.4,3
RC,892,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,2.92,2.92,3
RC,892,"Buprenorphine, oral, 1 mg ",,,3.31,3.31,3
RC,892,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,50.09,50.09,3
RC,892,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,25.15,25.15,3
RC,892,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,26.45,26.45,3
RC,892,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,15.45,15.45,3
RC,892,"Busulfan; oral, 2 mg ",,,26.82,26.82,3
RC,892,"Cabergoline, oral, 0.25 mg ",,,0.4,0.4,3
RC,892,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.08,0.08,3
RC,892,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1767.74,1767.74,3
RC,892,"Capecitabine, oral, 50 mg ",,,0.08,0.08,3
RC,892,"Capsaicin 8% patch, per square centimeter ",,,9.06,9.06,3
RC,892,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,646.71,646.71,3
RC,892,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,1093.13,1093.13,3
RC,892,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,1.56,1.56,3
RC,892,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,6668.54,6668.54,3
RC,892,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,414.25,414.25,3
RC,892,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,5082.59,5082.59,3
RC,892,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1559511.25,1559511.25,3
RC,892,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,2.62,2.62,3
RC,892,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,542.59,542.59,3
RC,892,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,3.55,3.55,3
RC,892,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,1574.84,1574.84,3
RC,892,"Coretext or protext, per cc ",,,8533.0,8533.0,3
RC,892,"Corplex p or theracor p or allacor p, per milligram ",,,303.4,303.4,3
RC,892,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,130.51,130.51,3
RC,892,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.87,0.87,3
RC,892,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,2.15,2.15,3
RC,892,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cyclophosphamide; oral, 25 mg ",,,4.37,4.37,3
RC,892,"Cyclosporine, oral, 100 mg ",,,3.79,3.79,3
RC,892,"Cyclosporine, oral, 25 mg ",,,1.67,1.67,3
RC,892,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,5754.4,5754.4,3
RC,892,"Dacarbazine, 100 mg ",,,10.2,10.2,3
RC,892,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,209.88,209.88,3
RC,892,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dexamethasone (hemady), oral, 0.25 mg ",,,1.14,1.14,3
RC,892,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,245.26,245.26,3
RC,892,"Dexamethasone, oral, 0.25 mg ",,,0.08,0.08,3
RC,892,"Dexmedetomidine, oral, 1 mcg ",,,2.33,2.33,3
RC,892,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,3.66,3.66,3
RC,892,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,48.68,48.68,3
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,208.53,208.53,3
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,374.37,374.37,3
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,351.66,351.66,3
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,529.81,529.81,3
RC,892,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,98.16,98.16,3
RC,892,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,151.37,151.37,3
RC,892,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,146.2,146.2,3
RC,892,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,10.31,10.31,3
RC,892,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,4.37,4.37,3
RC,892,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Edetate disodium, per 150 mg ",,,0.87,0.87,3
RC,892,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,189.32,189.32,3
RC,892,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,1.3,1.3,3
RC,892,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,138.12,138.12,3
RC,892,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Epifix, injectable, 1 mg ",,,51.33,51.33,3
RC,892,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Esketamine, nasal spray, 1 mg ",,,50.83,50.83,3
RC,892,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,496.32,496.32,3
RC,892,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,4055.64,4055.64,3
RC,892,"Etoposide; oral, 50 mg ",,,230.13,230.13,3
RC,892,"Everolimus, oral, 0.25 mg ",,,3.29,3.29,3
RC,892,"Excellagen, 0.1 cc ",,,461.1,461.1,3
RC,892,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,3.63,3.63,3
RC,892,"Factor ix, complex, per i.u. ",,,4.51,4.51,3
RC,892,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,7.0,7.0,3
RC,892,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,5.83,5.83,3
RC,892,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,14.47,14.47,3
RC,892,"Factor viii (antihemophilic factor, human) per i.u. ",,,3.68,3.68,3
RC,892,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,4.16,4.16,3
RC,892,"Fecal microbiota, live - jslm, 1 ml ",,,170.45,170.45,3
RC,892,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.08,0.08,3
RC,892,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,4199.38,4199.38,3
RC,892,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,4837.95,4837.95,3
RC,892,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,983.15,983.15,3
RC,892,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1778.73,1778.73,3
RC,892,"Floweramnioflo, 0.1 cc ",,,477.0,477.0,3
RC,892,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,854.02,854.02,3
RC,892,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,27.43,27.43,3
RC,892,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,1142.71,1142.71,3
RC,892,"Fluorodopa f-18, diagnostic, per millicurie ",,,2267.21,2267.21,3
RC,892,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,1220.11,1220.11,3
RC,892,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,1404.5,1404.5,3
RC,892,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,5151.63,5151.63,3
RC,892,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,4.72,4.72,3
RC,892,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,4076.81,4076.81,3
RC,892,"Foundation drs+ duo, per square centimeter ",,,336.92,336.92,3
RC,892,"Foundation drs+ solo, per square centimeter ",,,336.92,336.92,3
RC,892,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,60.18,60.18,3
RC,892,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,3103.95,3103.95,3
RC,892,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,1268.08,1268.08,3
RC,892,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,960.63,960.63,3
RC,892,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,963.28,963.28,3
RC,892,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,1457.84,1457.84,3
RC,892,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,131.52,131.52,3
RC,892,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,9.57,9.57,3
RC,892,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Gefitinib, oral, 250 mg ",,,771.15,771.15,3
RC,892,"Gemcitabine intravesical system, 225 mg ",,,193683.89,193683.89,3
RC,892,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Goserelin acetate implant, per 3.6 mg ",,,3577.31,3577.31,3
RC,892,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Graftjacket xpress, injectable, 1 cc ",,,5293.38,5293.38,3
RC,892,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,156.48,156.48,3
RC,892,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,870.79,870.79,3
RC,892,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,99.69,99.69,3
RC,892,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,43.25,43.25,3
RC,892,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,449.49,449.49,3
RC,892,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,195.38,195.38,3
RC,892,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,113.98,113.98,3
RC,892,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,83.21,83.21,3
RC,892,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,131.89,131.89,3
RC,892,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,371.56,371.56,3
RC,892,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,195.62,195.62,3
RC,892,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,470.53,470.53,3
RC,892,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,199.15,199.15,3
RC,892,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,199.15,199.15,3
RC,892,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,435.71,435.71,3
RC,892,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,435.71,435.71,3
RC,892,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,87.98,87.98,3
RC,892,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.69,0.69,3
RC,892,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.58,0.58,3
RC,892,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.21,0.21,3
RC,892,"Histrelin implant (supprelin la), 50 mg ",,,109109.59,109109.59,3
RC,892,"Histrelin implant (vantas), 50 mg ",,,12480.25,12480.25,3
RC,892,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,1046.11,1046.11,3
RC,892,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,300.06,300.06,3
RC,892,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,337.24,337.24,3
RC,892,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,380.81,380.81,3
RC,892,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,17.83,17.83,3
RC,892,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,279.79,279.79,3
RC,892,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,1395.99,1395.99,3
RC,892,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.8,1.8,3
RC,892,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,197.24,197.24,3
RC,892,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,48.04,48.04,3
RC,892,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1736.65,1736.65,3
RC,892,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,289.09,289.09,3
RC,892,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,8.27,8.27,3
RC,892,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,18.44,18.44,3
RC,892,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,27.96,27.96,3
RC,892,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,8.67,8.67,3
RC,892,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,9.75,9.75,3
RC,892,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,5.3,5.3,3
RC,892,"Hypertonic saline solution, 1 ml ",,,0.27,0.27,3
RC,892,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1483419.86,1483419.86,3
RC,892,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,421.32,421.32,3
RC,892,"Immune globulin (Ig), human, for intramuscular use ",,,316.6,316.6,3
RC,892,"Immune globulin (IgIV), human, for intravenous use ",,,253.63,253.63,3
RC,892,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,64.08,64.08,3
RC,892,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,4585.27,4585.27,3
RC,892,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,10893.22,10893.22,3
RC,892,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,12713.03,12713.03,3
RC,892,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,2923.45,2923.45,3
RC,892,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,2203.37,2203.37,3
RC,892,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1975.89,1975.89,3
RC,892,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,5302.49,5302.49,3
RC,892,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,4442.43,4442.43,3
RC,892,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,260.12,260.12,3
RC,892,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,260.12,260.12,3
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,68.21,68.21,3
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,32.75,32.75,3
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,148.24,148.24,3
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,29.23,29.23,3
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,58.49,58.49,3
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,35.46,35.46,3
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,61.53,61.53,3
RC,892,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,260.12,260.12,3
RC,892,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,131.18,131.18,3
RC,892,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,78.73,78.73,3
RC,892,"Infusion, albumin (human), 25%, 20 ml ",,,56.26,56.26,3
RC,892,"Infusion, albumin (human), 25%, 50 ml ",,,140.66,140.66,3
RC,892,"Infusion, albumin (human), 5%, 250 ml ",,,140.66,140.66,3
RC,892,"Infusion, albumin (human), 5%, 50 ml ",,,28.14,28.14,3
RC,892,"Infusion, d5w, 1000 cc ",,,8.14,8.14,3
RC,892,"Infusion, dextran 40, 500 ml ",,,1031.17,1031.17,3
RC,892,"Infusion, normal saline solution , 1000 cc ",,,5.8,5.8,3
RC,892,"Infusion, normal saline solution, 250 cc ",,,1.86,1.86,3
RC,892,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,3.6,3.6,3
RC,892,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,166.74,166.74,3
RC,892,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,2784.46,2784.46,3
RC,892,"Injection abciximab, 10 mg ",,,1528.6,1528.6,3
RC,892,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,11.93,11.93,3
RC,892,"Injection fluconazole, 200 mg ",,,10.26,10.26,3
RC,892,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,118.51,118.51,3
RC,892,"Injection, abobotulinumtoxina, 5 units ",,,23.59,23.59,3
RC,892,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,892,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.13,0.13,3
RC,892,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.16,0.16,3
RC,892,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.24,0.24,3
RC,892,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.13,0.13,3
RC,892,"Injection, acetazolamide sodium, up to 500 mg ",,,64.55,64.55,3
RC,892,"Injection, acetylcysteine, 100 mg ",,,1.35,1.35,3
RC,892,"Injection, acyclovir, 5 mg ",,,0.05,0.05,3
RC,892,"Injection, adalimumab, 1 mg ",,,432.43,432.43,3
RC,892,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,58.3,58.3,3
RC,892,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,214.6,214.6,3
RC,892,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,51.57,51.57,3
RC,892,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,151.34,151.34,3
RC,892,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,69.8,69.8,3
RC,892,"Injection, adamts13, recombinant-krhn, 10 iu ",,,94.29,94.29,3
RC,892,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,1.27,1.27,3
RC,892,"Injection, ado-trastuzumab emtansine, 1 mg ",,,111.83,111.83,3
RC,892,"Injection, aflibercept hd, 1 mg ",,,798.13,798.13,3
RC,892,"Injection, aflibercept, 1 mg ",,,1939.51,1939.51,3
RC,892,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,2176.71,2176.71,3
RC,892,"Injection, agalsidase beta, 1 mg ",,,603.09,603.09,3
RC,892,"Injection, aldesleukin, per single use vial ",,,8848.01,8848.01,3
RC,892,"Injection, alemtuzumab, 1 mg ",,,6467.11,6467.11,3
RC,892,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,549.9,549.9,3
RC,892,"Injection, allopurinol sodium, 1 mg ",,,10.1,10.1,3
RC,892,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,15.0,15.0,3
RC,892,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,13.62,13.62,3
RC,892,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1.27,1.27,3
RC,892,"Injection, alteplase recombinant, 1 mg ",,,251.99,251.99,3
RC,892,"Injection, amifostine, 500 mg ",,,1160.41,1160.41,3
RC,892,"Injection, amikacin sulfate, 100 mg ",,,1.62,1.62,3
RC,892,"Injection, aminocaproic acid, 1 gram ",,,4.16,4.16,3
RC,892,"Injection, aminophyllin, up to 250 mg ",,,30.02,30.02,3
RC,892,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,6.6,6.6,3
RC,892,"Injection, amiodarone hydrochloride, 30 mg ",,,1.03,1.03,3
RC,892,"Injection, amisulpride, 1 mg ",,,25.33,25.33,3
RC,892,"Injection, amivantamab-vmjw, 2 mg ",,,59.97,59.97,3
RC,892,"Injection, amobarbital, up to 125 mg ",,,30.98,30.98,3
RC,892,"Injection, amphotericin b lipid complex, 10 mg ",,,49.56,49.56,3
RC,892,"Injection, amphotericin b liposome, 10 mg ",,,60.45,60.45,3
RC,892,"Injection, amphotericin b, 50 mg ",,,117.47,117.47,3
RC,892,"Injection, ampicillin sodium, 500 mg ",,,1.7,1.7,3
RC,892,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,3.58,3.58,3
RC,892,"Injection, anidulafungin, 1 mg ",,,1.3,1.3,3
RC,892,"Injection, anifrolumab-fnia, 1 mg ",,,48.52,48.52,3
RC,892,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,3.31,3.31,3
RC,892,"Injection, apomorphine hydrochloride, 1 mg ",,,114.27,114.27,3
RC,892,"Injection, aprepitant (aponvie), 1 mg ",,,5.17,5.17,3
RC,892,"Injection, aprepitant, 1 mg ",,,4.48,4.48,3
RC,892,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,4.82,4.82,3
RC,892,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,12.59,12.59,3
RC,892,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.66,3.66,3
RC,892,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,3.66,3.66,3
RC,892,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,2.68,2.68,3
RC,892,"Injection, argatroban, 1 mg (for non-esrd use) ",,,2.68,2.68,3
RC,892,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,15.95,15.95,3
RC,892,"Injection, aripiprazole (abilify maintena), 1 mg ",,,19.27,19.27,3
RC,892,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,8.61,8.61,3
RC,892,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,8.8,8.8,3
RC,892,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.87,0.87,3
RC,892,"Injection, arsenic trioxide, 1 mg ",,,17.09,17.09,3
RC,892,"Injection, artesunate, 1 mg ",,,137.35,137.35,3
RC,892,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,149.17,149.17,3
RC,892,"Injection, atezolizumab, 10 mg ",,,249.1,249.1,3
RC,892,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,84.67,84.67,3
RC,892,"Injection, atidarsagene autotemcel, per treatment ",,,11938250.0,11938250.0,3
RC,892,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.03,0.03,3
RC,892,"Injection, atropine sulfate, 0.01 mg ",,,0.27,0.27,3
RC,892,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.27,0.27,3
RC,892,"Injection, avacincaptad pegol, 0.1 mg ",,,274.01,274.01,3
RC,892,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,215.18,215.18,3
RC,892,"Injection, avelumab, 10 mg ",,,279.71,279.71,3
RC,892,"Injection, axatilimab-csfr, 0.1 mg ",,,147.47,147.47,3
RC,892,"Injection, azacitidine, 1 mg ",,,1.09,1.09,3
RC,892,"Injection, azithromycin, 500 mg ",,,5.14,5.14,3
RC,892,"Injection, aztreonam, 100 mg ",,,6.07,6.07,3
RC,892,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,4.45,4.45,3
RC,892,"Injection, baclofen, 10 mg ",,,471.83,471.83,3
RC,892,"Injection, baclofen, 50 mcg for intrathecal trial ",,,144.0,144.0,3
RC,892,"Injection, basiliximab, 20 mg ",,,12752.62,12752.62,3
RC,892,"Injection, belatacept, 1 mg ",,,10.31,10.31,3
RC,892,"Injection, belimumab, 10 mg ",,,151.55,151.55,3
RC,892,"Injection, belinostat, 10 mg ",,,140.74,140.74,3
RC,892,"Injection, bendamustine hcl (bendeka), 1 mg ",,,34.19,34.19,3
RC,892,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,84.11,84.11,3
RC,892,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,36.94,36.94,3
RC,892,"Injection, bendamustine hydrochloride, 1 mg ",,,5.72,5.72,3
RC,892,"Injection, benralizumab, 1 mg ",,,432.9,432.9,3
RC,892,"Injection, benztropine mesylate, per 1 mg ",,,35.83,35.83,3
RC,892,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,18.47,18.47,3
RC,892,"Injection, betibeglogene autotemcel, per treatment ",,,7786548.0,7786548.0,3
RC,892,"Injection, bevacizumab, 0.25 mg ",,,4.93,4.93,3
RC,892,"Injection, bevacizumab, 10 mg ",,,197.05,197.05,3
RC,892,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,91.82,91.82,3
RC,892,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,62.91,62.91,3
RC,892,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,68.5,68.5,3
RC,892,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,136.71,136.71,3
RC,892,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,223.61,223.61,3
RC,892,"Injection, bezlotoxumab, 10 mg ",,,105.55,105.55,3
RC,892,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,567.15,567.15,3
RC,892,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.34,0.34,3
RC,892,"Injection, bivalirudin, 1 mg ",,,0.32,0.32,3
RC,892,"Injection, bleomycin sulfate, 15 units ",,,43.99,43.99,3
RC,892,"Injection, blinatumomab, 1 microgram ",,,434.49,434.49,3
RC,892,"Injection, bortezomib (boruzu), 0.1 mg ",,,67.34,67.34,3
RC,892,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,9.17,9.17,3
RC,892,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,18.47,18.47,3
RC,892,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,3.34,3.34,3
RC,892,"Injection, bortezomib, 0.1 mg ",,,5.96,5.96,3
RC,892,"Injection, brentuximab vedotin, 1 mg ",,,712.13,712.13,3
RC,892,"Injection, brolucizumab-dbll, 1 mg ",,,935.64,935.64,3
RC,892,"Injection, brompheniramine maleate, per 10 mg ",,,0.87,0.87,3
RC,892,"Injection, bumetanide, 0.5 mg ",,,1.25,1.25,3
RC,892,"Injection, bupivacaine liposome, 1 mg ",,,3.74,3.74,3
RC,892,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.03,0.03,3
RC,892,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,4422.43,4422.43,3
RC,892,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,1105.61,1105.61,3
RC,892,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,5290.88,5290.88,3
RC,892,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,5290.88,5290.88,3
RC,892,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,11.05,11.05,3
RC,892,"Injection, burosumab-twza 1 mg ",,,1321.61,1321.61,3
RC,892,"Injection, butorphanol tartrate, 1 mg ",,,16.3,16.3,3
RC,892,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,40.02,40.02,3
RC,892,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,201.53,201.53,3
RC,892,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,173.58,173.58,3
RC,892,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,97.2,97.2,3
RC,892,"Injection, cabazitaxel, 1 mg ",,,612.28,612.28,3
RC,892,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,64.08,64.08,3
RC,892,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,18.95,18.95,3
RC,892,"Injection, caffeine citrate, 5 mg ",,,4.82,4.82,3
RC,892,"Injection, calaspargase pegol-mknl, 10 units ",,,217.51,217.51,3
RC,892,"Injection, calcitonin salmon, up to 400 units ",,,3797.98,3797.98,3
RC,892,"Injection, calcitriol, 0.1 mcg ",,,3.15,3.15,3
RC,892,"Injection, calcium chloride, 2 mg ",,,0.08,0.08,3
RC,892,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.19,0.19,3
RC,892,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.08,0.08,3
RC,892,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,30.1,30.1,3
RC,892,"Injection, canakinumab, 1 mg ",,,396.36,396.36,3
RC,892,"Injection, cangrelor, 1 mg ",,,53.05,53.05,3
RC,892,"Injection, caplacizumab-yhdp, 1 mg ",,,2123.34,2123.34,3
RC,892,"Injection, carboplatin (avyxa), 1 mg ",,,13.89,13.89,3
RC,892,"Injection, carboplatin, 50 mg ",,,7.79,7.79,3
RC,892,"Injection, carboprost tromethamine, 0.1 mg ",,,41.23,41.23,3
RC,892,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,3323.1,3323.1,3
RC,892,"Injection, carfilzomib, 1 mg ",,,149.04,149.04,3
RC,892,"Injection, carmustine, 100 mg ",,,640.77,640.77,3
RC,892,"Injection, casimersen, 10 mg ",,,440.43,440.43,3
RC,892,"Injection, caspofungin acetate, 5 mg ",,,9.49,9.49,3
RC,892,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,3.29,3.29,3
RC,892,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,2.25,2.25,3
RC,892,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.96,1.96,3
RC,892,"Injection, cefazolin sodium, 500 mg ",,,2.25,2.25,3
RC,892,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,12.96,12.96,3
RC,892,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,15.66,15.66,3
RC,892,"Injection, cefepime hydrochloride, 500 mg ",,,3.37,3.37,3
RC,892,"Injection, cefiderocol, 10 mg ",,,6.41,6.41,3
RC,892,"Injection, cefotaxime sodium, per gm ",,,19.48,19.48,3
RC,892,"Injection, cefotetan disodium, 10 mg ",,,0.77,0.77,3
RC,892,"Injection, cefoxitin sodium, 1 gm ",,,9.43,9.43,3
RC,892,"Injection, ceftaroline fosamil, 10 mg ",,,11.26,11.26,3
RC,892,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,277.59,277.59,3
RC,892,"Injection, ceftazidime, per 500 mg ",,,3.74,3.74,3
RC,892,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,2.92,2.92,3
RC,892,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,23.43,23.43,3
RC,892,"Injection, ceftriaxone sodium, per 250 mg ",,,1.14,1.14,3
RC,892,"Injection, cemiplimab-rwlc, 1 mg ",,,78.86,78.86,3
RC,892,"Injection, cerliponase alfa, 1 mg ",,,321.1,321.1,3
RC,892,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,10.04,10.04,3
RC,892,"Injection, cetirizine hydrochloride, 0.5 mg ",,,44.84,44.84,3
RC,892,"Injection, cetuximab, 10 mg ",,,213.22,213.22,3
RC,892,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,154.71,154.71,3
RC,892,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,54.88,54.88,3
RC,892,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.11,0.11,3
RC,892,"Injection, chlorothiazide sodium, per 500 mg ",,,124.34,124.34,3
RC,892,"Injection, chlorpromazine hcl, up to 50 mg ",,,55.54,55.54,3
RC,892,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,40.2,40.2,3
RC,892,"Injection, cidofovir, 375 mg ",,,1486.09,1486.09,3
RC,892,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,16.75,16.75,3
RC,892,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,244.86,244.86,3
RC,892,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,2.01,2.01,3
RC,892,"Injection, cisplatin, powder or solution, 10 mg ",,,5.75,5.75,3
RC,892,"Injection, cladribine, per 1 mg ",,,23.13,23.13,3
RC,892,"Injection, clevidipine butyrate, 1 mg ",,,7.53,7.53,3
RC,892,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,6.15,6.15,3
RC,892,"Injection, clindamycin phosphate, 300 mg ",,,4.93,4.93,3
RC,892,"Injection, clofarabine, 1 mg ",,,28.99,28.99,3
RC,892,"Injection, clonidine hydrochloride, 1 mg ",,,47.49,47.49,3
RC,892,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,5.22,5.22,3
RC,892,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,347.57,347.57,3
RC,892,"Injection, codeine phosphate, per 30 mg ",,,2.65,2.65,3
RC,892,"Injection, colistimethate sodium, up to 150 mg ",,,37.82,37.82,3
RC,892,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,207.63,207.63,3
RC,892,"Injection, concizumab-mtci, 0.5 mg ",,,221.2,221.2,3
RC,892,"Injection, corticotropin (acthar gel), up to 40 units ",,,10849.79,10849.79,3
RC,892,"Injection, corticotropin (ani), up to 40 units ",,,9464.08,9464.08,3
RC,892,"Injection, cosibelimab-ipdl, 2 mg ",,,60.74,60.74,3
RC,892,"Injection, cosyntropin, 0.25 mg ",,,43.09,43.09,3
RC,892,"Injection, crizanlizumab-tmca, 5 mg ",,,344.34,344.34,3
RC,892,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,4197.6,4197.6,3
RC,892,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,4878.7,4878.7,3
RC,892,"Injection, crovalimab-akkz, 10 mg ",,,1461.5,1461.5,3
RC,892,"Injection, cyclophosphamide (auromedics), 5 mg ",,,1.38,1.38,3
RC,892,"Injection, cyclophosphamide (baxter), 5 mg ",,,9.86,9.86,3
RC,892,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,1.33,1.33,3
RC,892,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,24.12,24.12,3
RC,892,"Injection, cyclophosphamide (sandoz), 5 mg ",,,9.67,9.67,3
RC,892,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,2.04,2.04,3
RC,892,"Injection, cyclosporine, 250 mg ",,,196.63,196.63,3
RC,892,"Injection, cytarabine, 100 mg ",,,2.12,2.12,3
RC,892,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,4792.82,4792.82,3
RC,892,"Injection, dactinomycin, 0.5 mg ",,,894.83,894.83,3
RC,892,"Injection, dalbavancin, 5 mg ",,,39.75,39.75,3
RC,892,"Injection, dalteparin sodium, per 2500 iu ",,,42.03,42.03,3
RC,892,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.16,0.16,3
RC,892,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.13,0.13,3
RC,892,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.08,0.08,3
RC,892,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.13,0.13,3
RC,892,"Injection, daptomycin, 1 mg ",,,0.08,0.08,3
RC,892,"Injection, daratumumab, 10 mg ",,,187.54,187.54,3
RC,892,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,145.83,145.83,3
RC,892,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,8.14,8.14,3
RC,892,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,8.14,8.14,3
RC,892,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,136.53,136.53,3
RC,892,"Injection, daunorubicin, 10 mg ",,,65.59,65.59,3
RC,892,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,8.19,8.19,3
RC,892,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.78,1.78,3
RC,892,"Injection, decitabine, 1 mg ",,,2.65,2.65,3
RC,892,"Injection, deferoxamine mesylate, 500 mg ",,,22.74,22.74,3
RC,892,"Injection, degarelix, 1 mg ",,,11.82,11.82,3
RC,892,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,8801647.41,8801647.41,3
RC,892,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,38.48,38.48,3
RC,892,"Injection, denosumab, 1 mg ",,,78.2,78.2,3
RC,892,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,73.96,73.96,3
RC,892,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,69.46,69.46,3
RC,892,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,78.97,78.97,3
RC,892,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,51.68,51.68,3
RC,892,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,82.97,82.97,3
RC,892,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,41.98,41.98,3
RC,892,"Injection, depo-estradiol cypionate, up to 5 mg ",,,137.32,137.32,3
RC,892,"Injection, desmopressin acetate, per 1 mcg ",,,9.04,9.04,3
RC,892,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,7.18,7.18,3
RC,892,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.29,0.29,3
RC,892,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,540.04,540.04,3
RC,892,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,131.81,131.81,3
RC,892,"Injection, diazepam, up to 5 mg ",,,22.55,22.55,3
RC,892,"Injection, diazoxide, up to 300 mg ",,,269.08,269.08,3
RC,892,"Injection, dicyclomine hcl, up to 20 mg ",,,24.83,24.83,3
RC,892,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.74,0.74,3
RC,892,"Injection, digoxin immune fab (ovine), per vial ",,,13692.52,13692.52,3
RC,892,"Injection, digoxin, up to 0.5 mg ",,,27.48,27.48,3
RC,892,"Injection, dihydroergotamine mesylate, per 1 mg ",,,145.46,145.46,3
RC,892,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.48,0.48,3
RC,892,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.11,0.11,3
RC,892,"Injection, dimenhydrinate, up to 50 mg ",,,20.46,20.46,3
RC,892,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.83,1.83,3
RC,892,"Injection, dipyridamole, per 10 mg ",,,22.29,22.29,3
RC,892,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1984.8,1984.8,3
RC,892,"Injection, dobutamine hydrochloride, per 250 mg ",,,20.88,20.88,3
RC,892,"Injection, docetaxel (beizray), 1 mg ",,,122.14,122.14,3
RC,892,"Injection, docetaxel (docivyx), 1 mg ",,,134.12,134.12,3
RC,892,"Injection, docetaxel, 1 mg ",,,1.48,1.48,3
RC,892,"Injection, dolasetron mesylate, 10 mg ",,,9.73,9.73,3
RC,892,"Injection, donanemab-azbt, 2 mg ",,,10.97,10.97,3
RC,892,"Injection, dopamine hcl, 40 mg ",,,2.12,2.12,3
RC,892,"Injection, dostarlimab-gxly, 10 mg ",,,654.76,654.76,3
RC,892,"Injection, doxercalciferol, 1 mcg ",,,0.82,0.82,3
RC,892,"Injection, doxorubicin hydrochloride, 10 mg ",,,7.23,7.23,3
RC,892,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,791.66,791.66,3
RC,892,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,190.43,190.43,3
RC,892,"Injection, doxycycline hyclate, 1 mg ",,,0.24,0.24,3
RC,892,"Injection, droperidol, up to 5 mg ",,,19.11,19.11,3
RC,892,"Injection, durvalumab, 10 mg ",,,228.3,228.3,3
RC,892,"Injection, ecallantide, 1 mg ",,,1533.69,1533.69,3
RC,892,"Injection, eculizumab, 2 mg ",,,118.46,118.46,3
RC,892,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,84.61,84.61,3
RC,892,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,110.74,110.74,3
RC,892,"Injection, edaravone, 1 mg ",,,40.23,40.23,3
RC,892,"Injection, edetate calcium disodium, up to 1000 mg ",,,16172.61,16172.61,3
RC,892,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,365.7,365.7,3
RC,892,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,90.97,90.97,3
RC,892,"Injection, efgartigimod alfa-fcab, 2mg ",,,86.42,86.42,3
RC,892,"Injection, eflapegrastim-xnst, 0.1 mg ",,,103.24,103.24,3
RC,892,"Injection, elivaldogene autotemcel, per treatment ",,,8427000.0,8427000.0,3
RC,892,"Injection, elliotts' b solution, 1 ml ",,,30.58,30.58,3
RC,892,"Injection, elosulfase alfa, 1 mg ",,,826.67,826.67,3
RC,892,"Injection, elotuzumab, 1 mg ",,,21.31,21.31,3
RC,892,"Injection, elranatamab-bcmm, 1 mg ",,,494.99,494.99,3
RC,892,"Injection, emapalumab-lzsg, 1 mg ",,,1017.97,1017.97,3
RC,892,"Injection, emicizumab-kxwh, 0.5 mg ",,,147.45,147.45,3
RC,892,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,97.28,97.28,3
RC,892,"Injection, enfuvirtide, 1 mg ",,,0.87,0.87,3
RC,892,"Injection, enoxaparin sodium, 10 mg ",,,1.43,1.43,3
RC,892,"Injection, epcoritamab-bysp, 0.16 mg ",,,150.84,150.84,3
RC,892,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,2.31,2.31,3
RC,892,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,2.23,2.23,3
RC,892,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,1.14,1.14,3
RC,892,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,2.86,2.86,3
RC,892,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,7.63,7.63,3
RC,892,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,2.44,2.44,3
RC,892,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.8,0.8,3
RC,892,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.82,0.82,3
RC,892,"Injection, epirubicin hcl, 2 mg ",,,4.69,4.69,3
RC,892,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,19.37,19.37,3
RC,892,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.93,1.93,3
RC,892,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,2.09,2.09,3
RC,892,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,20.88,20.88,3
RC,892,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,2.73,2.73,3
RC,892,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,2.73,2.73,3
RC,892,"Injection, epoprostenol, 0.5 mg ",,,39.43,39.43,3
RC,892,"Injection, eptifibatide, 5 mg ",,,8.64,8.64,3
RC,892,"Injection, eptinezumab-jjmr, 1 mg ",,,54.46,54.46,3
RC,892,"Injection, eravacycline, 1 mg ",,,3.42,3.42,3
RC,892,"Injection, eribulin mesylate, 0.1 mg ",,,203.41,203.41,3
RC,892,"Injection, ertapenem sodium, 500 mg ",,,19.13,19.13,3
RC,892,"Injection, erythromycin lactobionate, per 500 mg ",,,241.76,241.76,3
RC,892,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.53,0.53,3
RC,892,"Injection, esmolol hydrochloride, 10 mg ",,,0.64,0.64,3
RC,892,"Injection, esomeprazole sodium, 1 mg ",,,3.37,3.37,3
RC,892,"Injection, estradiol valerate, up to 10 mg ",,,19.05,19.05,3
RC,892,"Injection, estrogen conjugated, per 25 mg ",,,1038.06,1038.06,3
RC,892,"Injection, estrone, per 1 mg ",,,0.87,0.87,3
RC,892,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,3404.77,3404.77,3
RC,892,"Injection, etelcalcetide, 0.1 mg ",,,6.25,6.25,3
RC,892,"Injection, eteplirsen, 10 mg ",,,443.9,443.9,3
RC,892,"Injection, ethacrynate sodium, 1 mg ",,,48.42,48.42,3
RC,892,"Injection, ethanolamine oleate, 100 mg ",,,1374.37,1374.37,3
RC,892,"Injection, etoposide, 10 mg ",,,2.39,2.39,3
RC,892,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,9782342.5,9782342.5,3
RC,892,"Injection, evinacumab-dgnb, 5mg ",,,523.72,523.72,3
RC,892,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,4.88,4.88,3
RC,892,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,4.61,4.61,3
RC,892,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,14.1,14.1,3
RC,892,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,9.49,9.49,3
RC,892,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,3.95,3.95,3
RC,892,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,8.59,8.59,3
RC,892,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,6.52,6.52,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,4.16,4.16,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,4.13,4.13,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,3.74,3.74,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,3.13,3.13,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,5.67,5.67,3
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,7.05,7.05,3
RC,892,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,5.91,5.91,3
RC,892,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,11.9,11.9,3
RC,892,"Injection, factor x, (human), 1 i.u. ",,,26.37,26.37,3
RC,892,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,28.57,28.57,3
RC,892,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,48.57,48.57,3
RC,892,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,82.84,82.84,3
RC,892,"Injection, famotidine, 0.25 mg ",,,0.03,0.03,3
RC,892,"Injection, faricimab-svoa, 0.1 mg ",,,87.11,87.11,3
RC,892,"Injection, fentanyl citrate, 0.1 mg ",,,3.07,3.07,3
RC,892,"Injection, ferric carboxymaltose, 1 mg ",,,2.92,2.92,3
RC,892,"Injection, ferric derisomaltose, 10 mg ",,,58.11,58.11,3
RC,892,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.61,0.61,3
RC,892,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.61,0.61,3
RC,892,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,2.7,2.7,3
RC,892,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.74,0.74,3
RC,892,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.85,0.85,3
RC,892,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.93,0.93,3
RC,892,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,2.73,2.73,3
RC,892,"Injection, fitusiran, 0.04 mg ",,,351.47,351.47,3
RC,892,"Injection, floxuridine, 500 mg ",,,11265.07,11265.07,3
RC,892,"Injection, fludarabine phosphate, 50 mg ",,,576.98,576.98,3
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,1351.0,1351.0,3
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,897.79,897.79,3
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,1404.21,1404.21,3
RC,892,"Injection, fluorouracil, 500 mg ",,,5.46,5.46,3
RC,892,"Injection, fluphenazine decanoate, up to 25 mg ",,,14.81,14.81,3
RC,892,"Injection, fluphenazine hcl, 1.25 mg ",,,19.48,19.48,3
RC,892,"Injection, folic acid, 0.1 mg ",,,0.13,0.13,3
RC,892,"Injection, fomepizole, 15 mg ",,,17.33,17.33,3
RC,892,"Injection, fondaparinux sodium, 0.5 mg ",,,2.12,2.12,3
RC,892,"Injection, fosaprepitant (focinvez), 1 mg ",,,6.76,6.76,3
RC,892,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.11,0.11,3
RC,892,"Injection, fosaprepitant, 1 mg ",,,0.29,0.29,3
RC,892,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.86,1.86,3
RC,892,"Injection, foscarnet sodium, per 1000 mg ",,,22.15,22.15,3
RC,892,"Injection, fosdenopterin, 0.1 mg ",,,46.61,46.61,3
RC,892,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,1389.08,1389.08,3
RC,892,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,3.52,3.52,3
RC,892,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,11.26,11.26,3
RC,892,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,71.84,71.84,3
RC,892,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,110.43,110.43,3
RC,892,"Injection, fulvestrant, 25 mg ",,,13.09,13.09,3
RC,892,"Injection, furosemide (furoscix), 20 mg ",,,779.58,779.58,3
RC,892,"Injection, furosemide, 1 mg ",,,0.05,0.05,3
RC,892,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,4.56,4.56,3
RC,892,"Injection, gadobenate dimeglumine (multihance), per ml ",,,4.74,4.74,3
RC,892,"Injection, gadobutrol, 0.1 ml ",,,0.8,0.8,3
RC,892,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,3.84,3.84,3
RC,892,"Injection, gadopiclenol, 1 ml ",,,8.53,8.53,3
RC,892,"Injection, gadoterate meglumine, 0.1 ml ",,,0.24,0.24,3
RC,892,"Injection, gadoteridol, (prohance multipack), per ml ",,,3.68,3.68,3
RC,892,"Injection, gadoxetate disodium, 1 ml ",,,39.03,39.03,3
RC,892,"Injection, galsulfase, 1 mg ",,,1361.04,1361.04,3
RC,892,"Injection, gamma globulin, intramuscular, 1 cc ",,,129.72,129.72,3
RC,892,"Injection, gamma globulin, intramuscular, over 10 cc ",,,424.77,424.77,3
RC,892,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,159.0,159.0,3
RC,892,"Injection, ganciclovir sodium, 500 mg ",,,90.23,90.23,3
RC,892,"Injection, garamycin, gentamicin, up to 80 mg ",,,5.11,5.11,3
RC,892,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,14.02,14.02,3
RC,892,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,1087.67,1087.67,3
RC,892,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,8.59,8.59,3
RC,892,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,636.45,636.45,3
RC,892,"Injection, givosiran, 0.5 mg ",,,320.6,320.6,3
RC,892,"Injection, glatiramer acetate, 20 mg ",,,687.09,687.09,3
RC,892,"Injection, glofitamab-gxbm, 2.5 mg ",,,7527.8,7527.8,3
RC,892,"Injection, glucagon (gvoke), 0.01 mg ",,,6.28,6.28,3
RC,892,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,357.75,357.75,3
RC,892,"Injection, glucagon hydrochloride, per 1 mg ",,,387.77,387.77,3
RC,892,"Injection, glucarpidase, 10 units ",,,1190.12,1190.12,3
RC,892,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,3.55,3.55,3
RC,892,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,3.58,3.58,3
RC,892,"Injection, glycopyrrolate, 0.1 mg ",,,0.98,0.98,3
RC,892,"Injection, gold sodium thiomalate, up to 50 mg ",,,36.28,36.28,3
RC,892,"Injection, golimumab, 1 mg, for intravenous use ",,,29.92,29.92,3
RC,892,"Injection, golodirsen, 10 mg ",,,508.8,508.8,3
RC,892,"Injection, granisetron hydrochloride, 100 mcg ",,,0.42,0.42,3
RC,892,"Injection, granisetron, extended-release, 0.1 mg ",,,10.28,10.28,3
RC,892,"Injection, guselkumab, 1 mg ",,,179.7,179.7,3
RC,892,"Injection, haloperidol decanoate, per 50 mg ",,,16.09,16.09,3
RC,892,"Injection, haloperidol, up to 5 mg ",,,2.09,2.09,3
RC,892,"Injection, hemin, 1 mg ",,,93.57,93.57,3
RC,892,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,3.05,3.05,3
RC,892,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.05,0.05,3
RC,892,"Injection, heparin sodium, per 1000 units ",,,0.58,0.58,3
RC,892,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,186.11,186.11,3
RC,892,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,186.11,186.11,3
RC,892,"Injection, histrelin acetate, 10 micrograms ",,,2.65,2.65,3
RC,892,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,3.29,3.29,3
RC,892,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,4.03,4.03,3
RC,892,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.87,0.87,3
RC,892,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,291.21,291.21,3
RC,892,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.95,0.95,3
RC,892,"Injection, hyaluronidase, up to 150 units ",,,83.61,83.61,3
RC,892,"Injection, hydralazine hcl, up to 20 mg ",,,11.37,11.37,3
RC,892,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,58.67,58.67,3
RC,892,"Injection, hydromorphone, 0.1 mg ",,,0.27,0.27,3
RC,892,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.03,0.03,3
RC,892,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,14.42,14.42,3
RC,892,"Injection, hydroxyzine hcl, up to 25 mg ",,,40.2,40.2,3
RC,892,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,24.78,24.78,3
RC,892,"Injection, ibalizumab-uiyk, 10 mg ",,,205.85,205.85,3
RC,892,"Injection, ibandronate sodium, 1 mg ",,,24.01,24.01,3
RC,892,"Injection, ibuprofen, 100 mg ",,,8.43,8.43,3
RC,892,"Injection, ibutilide fumarate, 1 mg ",,,580.93,580.93,3
RC,892,"Injection, icatibant, 1 mg ",,,832.55,832.55,3
RC,892,"Injection, idarubicin hydrochloride, 5 mg ",,,105.36,105.36,3
RC,892,"Injection, idursulfase, 1 mg ",,,1479.28,1479.28,3
RC,892,"Injection, ifosfamide, 1 gram ",,,65.4,65.4,3
RC,892,"Injection, iloprost, 0.1 mcg ",,,15.13,15.13,3
RC,892,"Injection, imetelstat, 1 mg ",,,154.15,154.15,3
RC,892,"Injection, imiglucerase, 10 units ",,,113.5,113.5,3
RC,892,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,6.89,6.89,3
RC,892,"Injection, immune globulin (alyglo), 500 mg ",,,326.29,326.29,3
RC,892,"Injection, immune globulin (asceniv), 500 mg ",,,1327.46,1327.46,3
RC,892,"Injection, immune globulin (bivigam), 500 mg ",,,210.52,210.52,3
RC,892,"Injection, immune globulin (cutaquig), 100 mg ",,,36.91,36.91,3
RC,892,"Injection, immune globulin (cuvitru), 100 mg ",,,46.59,46.59,3
RC,892,"Injection, immune globulin (hizentra), 100 mg ",,,38.48,38.48,3
RC,892,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,195.65,195.65,3
RC,892,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,131.25,131.25,3
RC,892,"Injection, immune globulin (xembify), 100 mg ",,,40.73,40.73,3
RC,892,"Injection, immune globulin (yimmugo), 100 mg ",,,64.45,64.45,3
RC,892,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,240.46,240.46,3
RC,892,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,130.06,130.06,3
RC,892,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,171.32,171.32,3
RC,892,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,131.78,131.78,3
RC,892,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,124.66,124.66,3
RC,892,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,213.06,213.06,3
RC,892,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,49.82,49.82,3
RC,892,"Injection, inclisiran, 1 mg ",,,33.42,33.42,3
RC,892,"Injection, incobotulinumtoxin a, 1 unit ",,,14.02,14.02,3
RC,892,"Injection, indigotindisulfonate sodium, 1 mg ",,,24.65,24.65,3
RC,892,"Injection, inebilizumab-cdon, 1 mg ",,,1313.21,1313.21,3
RC,892,"Injection, infliximab, excludes biosimilar, 10 mg ",,,82.26,82.26,3
RC,892,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,71.02,71.02,3
RC,892,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,74.31,74.31,3
RC,892,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,885.82,885.82,3
RC,892,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,69.01,69.01,3
RC,892,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,7464.44,7464.44,3
RC,892,"Injection, insulin, per 5 units ",,,1.3,1.3,3
RC,892,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,481.66,481.66,3
RC,892,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,134.33,134.33,3
RC,892,"Injection, interferon beta-1a, 30 mcg ",,,9366.88,9366.88,3
RC,892,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,1594.05,1594.05,3
RC,892,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,92.94,92.94,3
RC,892,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,34.53,34.53,3
RC,892,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,95.77,95.77,3
RC,892,"Injection, interferon, gamma 1-b, 3 million units ",,,27950.85,27950.85,3
RC,892,"Injection, ipilimumab, 1 mg ",,,496.0,496.0,3
RC,892,"Injection, irinotecan liposome, 1 mg ",,,175.88,175.88,3
RC,892,"Injection, irinotecan, 20 mg ",,,4.05,4.05,3
RC,892,"Injection, iron dextran, 50 mg ",,,47.99,47.99,3
RC,892,"Injection, iron sucrose, 1 mg ",,,0.58,0.58,3
RC,892,"Injection, isatuximab-irfc, 10 mg ",,,221.49,221.49,3
RC,892,"Injection, isavuconazonium, 1 mg ",,,2.68,2.68,3
RC,892,"Injection, isoniazid, 1 mg ",,,0.8,0.8,3
RC,892,"Injection, itraconazole, 50 mg ",,,2488.96,2488.96,3
RC,892,"Injection, ixabepilone, 1 mg ",,,370.34,370.34,3
RC,892,"Injection, ketorolac tromethamine, per 15 mg ",,,0.9,0.9,3
RC,892,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,2.39,2.39,3
RC,892,"Injection, labetalol hydrochloride, 5 mg ",,,0.69,0.69,3
RC,892,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,230.15,230.15,3
RC,892,"Injection, lanreotide, (cipla), 1 mg ",,,85.3,85.3,3
RC,892,"Injection, lanreotide, 1 mg ",,,94.66,94.66,3
RC,892,"Injection, laronidase, 0.1 mg ",,,105.87,105.87,3
RC,892,"Injection, lefamulin, 1 mg ",,,2.17,2.17,3
RC,892,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,59.1,59.1,3
RC,892,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,42.67,42.67,3
RC,892,"Injection, leucovorin calcium, per 50 mg ",,,9.51,9.51,3
RC,892,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,4678.76,4678.76,3
RC,892,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,372.88,372.88,3
RC,892,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1837.93,1837.93,3
RC,892,"Injection, levetiracetam, 10 mg ",,,0.08,0.08,3
RC,892,"Injection, levocarnitine, per 1 gm ",,,61.19,61.19,3
RC,892,"Injection, levofloxacin, 250 mg ",,,5.72,5.72,3
RC,892,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,3.42,3.42,3
RC,892,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.13,0.13,3
RC,892,"Injection, levorphanol tartrate, up to 2 mg ",,,7.98,7.98,3
RC,892,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,18.44,18.44,3
RC,892,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,16.75,16.75,3
RC,892,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,19.64,19.64,3
RC,892,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.03,0.03,3
RC,892,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.11,0.11,3
RC,892,"Injection, lidocaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,892,"Injection, lincomycin hcl, up to 300 mg ",,,12.51,12.51,3
RC,892,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,71.1,71.1,3
RC,892,"Injection, linezolid, 200 mg ",,,6.57,6.57,3
RC,892,"Injection, linvoseltamab-gcpt, 1 mg ",,,263.68,263.68,3
RC,892,"Injection, liothyronine, 1 mcg ",,,104.12,104.12,3
RC,892,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,692.18,692.18,3
RC,892,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,586.95,586.95,3
RC,892,"Injection, lorazepam, 2 mg ",,,4.4,4.4,3
RC,892,"Injection, lovotibeglogene autotemcel, per treatment ",,,8600260.68,8600260.68,3
RC,892,"Injection, lumasiran, 0.5 mg ",,,868.46,868.46,3
RC,892,"Injection, lurbinectedin, 0.1 mg ",,,562.07,562.07,3
RC,892,"Injection, luspatercept-aamt, 0.25 mg ",,,113.29,113.29,3
RC,892,"Injection, magnesium sulfate, per 500 mg ",,,1.14,1.14,3
RC,892,"Injection, mannitol, 250 mg ",,,0.13,0.13,3
RC,892,"Injection, margetuximab-cmkb, 5 mg ",,,141.17,141.17,3
RC,892,"Injection, marstacimab-hncq, 0.5 mg ",,,133.0,133.0,3
RC,892,"Injection, mecasermin, 1 mg ",,,1226.92,1226.92,3
RC,892,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,346.96,346.96,3
RC,892,"Injection, medroxyprogesterone acetate, 1 mg ",,,1.27,1.27,3
RC,892,"Injection, meloxicam (azurity), 1 mg ",,,2.81,2.81,3
RC,892,"Injection, melphalan (apotex), 1 mg ",,,171.67,171.67,3
RC,892,"Injection, melphalan (evomela), 1 mg ",,,51.49,51.49,3
RC,892,"Injection, melphalan (hepzato), 1 mg ",,,2106.75,2106.75,3
RC,892,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,319.78,319.78,3
RC,892,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,20.35,20.35,3
RC,892,"Injection, meperidine hydrochloride, per 100 mg ",,,23.37,23.37,3
RC,892,"Injection, mepivacaine hydrochloride, per 10 ml ",,,9.88,9.88,3
RC,892,"Injection, mepolizumab, 1 mg ",,,84.32,84.32,3
RC,892,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,5.22,5.22,3
RC,892,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,3.92,3.92,3
RC,892,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,5.75,5.75,3
RC,892,"Injection, meropenem, 100 mg ",,,0.98,0.98,3
RC,892,"Injection, mesna, 200 mg ",,,3.52,3.52,3
RC,892,"Injection, methadone hcl, up to 10 mg ",,,38.98,38.98,3
RC,892,"Injection, methocarbamol, up to 10 ml ",,,11.13,11.13,3
RC,892,"Injection, methotrexate sodium, 50 mg ",,,7.1,7.1,3
RC,892,"Injection, methyldopate hcl, up to 250 mg ",,,25.68,25.68,3
RC,892,"Injection, methylergonovine maleate, up to 0.2 mg ",,,57.27,57.27,3
RC,892,"Injection, methylnaltrexone, 0.1 mg ",,,5.57,5.57,3
RC,892,"Injection, methylprednisolone acetate, 1 mg ",,,0.29,0.29,3
RC,892,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.64,0.64,3
RC,892,"Injection, metoclopramide hcl, up to 10 mg ",,,2.52,2.52,3
RC,892,"Injection, metoprolol tartrate, 1 mg ",,,0.34,0.34,3
RC,892,"Injection, metronidazole, 10 mg ",,,0.08,0.08,3
RC,892,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.98,0.98,3
RC,892,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.58,0.58,3
RC,892,"Injection, micafungin sodium, 1 mg ",,,0.69,0.69,3
RC,892,"Injection, midazolam hydrochloride, per 1 mg ",,,0.45,0.45,3
RC,892,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.37,0.37,3
RC,892,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.42,0.42,3
RC,892,"Injection, milrinone lactate, 5 mg ",,,3.13,3.13,3
RC,892,"Injection, minocycline hydrochloride, 1 mg ",,,7.05,7.05,3
RC,892,"Injection, mirikizumab-mrkz, 1 mg ",,,111.54,111.54,3
RC,892,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,188.49,188.49,3
RC,892,"Injection, mitomycin, 5 mg ",,,75.42,75.42,3
RC,892,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,102.32,102.32,3
RC,892,"Injection, mogamulizumab-kpkc, 1 mg ",,,671.7,671.7,3
RC,892,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,22.1,22.1,3
RC,892,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,32.2,32.2,3
RC,892,"Injection, morphine sulfate, up to 10 mg ",,,11.79,11.79,3
RC,892,"Injection, mosunetuzumab-axgb, 1 mg ",,,1734.53,1734.53,3
RC,892,"Injection, motixafortide, 0.25 mg ",,,70.17,70.17,3
RC,892,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,61.98,61.98,3
RC,892,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,17.6,17.6,3
RC,892,"Injection, moxifloxacin, 100 mg ",,,23.16,23.16,3
RC,892,"Injection, mycophenolate mofetil, 10 mg ",,,1.06,1.06,3
RC,892,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.4,0.4,3
RC,892,"Injection, nafcillin sodium, 20 mg ",,,0.13,0.13,3
RC,892,"Injection, nalbuphine hydrochloride, per 10 mg ",,,9.06,9.06,3
RC,892,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.4,0.4,3
RC,892,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.19,0.19,3
RC,892,"Injection, naltrexone, depot form, 1 mg ",,,11.26,11.26,3
RC,892,"Injection, nandrolone decanoate, up to 50 mg ",,,10.63,10.63,3
RC,892,"Injection, natalizumab, 1 mg ",,,64.45,64.45,3
RC,892,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,64.45,64.45,3
RC,892,"Injection, naxitamab-gqgk, 1 mg ",,,1818.14,1818.14,3
RC,892,"Injection, necitumumab, 1 mg ",,,15.18,15.18,3
RC,892,"Injection, nelarabine, 50 mg ",,,139.68,139.68,3
RC,892,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,2.25,2.25,3
RC,892,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,3.74,3.74,3
RC,892,"Injection, nesiritide, 0.1 mg ",,,79.66,79.66,3
RC,892,"Injection, nicardipine, 0.1 mg ",,,0.19,0.19,3
RC,892,"Injection, nipocalimab-aahu, 3 mg ",,,86.58,86.58,3
RC,892,"Injection, nitroglycerin, 5 mg ",,,4.43,4.43,3
RC,892,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,534.66,534.66,3
RC,892,"Injection, nivolumab, 1 mg ",,,89.09,89.09,3
RC,892,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,73.48,73.48,3
RC,892,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,250.69,250.69,3
RC,892,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,27.27,27.27,3
RC,892,"Injection, nusinersen, 0.1 mg ",,,3407.32,3407.32,3
RC,892,"Injection, obinutuzumab, 10 mg ",,,216.8,216.8,3
RC,892,"Injection, ocrelizumab, 1 mg ",,,157.94,157.94,3
RC,892,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,123.99,123.99,3
RC,892,"Injection, octafluoropropane microspheres, per ml ",,,105.89,105.89,3
RC,892,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,499.13,499.13,3
RC,892,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.64,1.64,3
RC,892,"Injection, ofatumumab, 10 mg ",,,164.91,164.91,3
RC,892,"Injection, olanzapine, 0.5 mg ",,,1.88,1.88,3
RC,892,"Injection, olanzapine, long-acting, 1 mg ",,,8.45,8.45,3
RC,892,"Injection, olipudase alfa-rpcp, 1 mg ",,,1048.34,1048.34,3
RC,892,"Injection, omadacycline, 1 mg ",,,10.94,10.94,3
RC,892,"Injection, omalizumab, 5 mg ",,,110.82,110.82,3
RC,892,"Injection, onabotulinumtoxina, 1 unit ",,,17.25,17.25,3
RC,892,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,7060205.76,7060205.76,3
RC,892,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,6855781.24,6855781.24,3
RC,892,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.24,0.24,3
RC,892,"Injection, oprelvekin, 5 mg ",,,655.0,655.0,3
RC,892,"Injection, oritavancin (kimyrsa), 10 mg ",,,115.86,115.86,3
RC,892,"Injection, oritavancin (orbactiv), 10 mg ",,,75.71,75.71,3
RC,892,"Injection, orphenadrine citrate, up to 60 mg ",,,21.78,21.78,3
RC,892,"Injection, oxacillin sodium, up to 250 mg ",,,2.25,2.25,3
RC,892,"Injection, oxaliplatin, 0.5 mg ",,,0.21,0.21,3
RC,892,"Injection, oxymorphone hcl, up to 1 mg ",,,6.2,6.2,3
RC,892,"Injection, oxytocin, up to 10 units ",,,7.18,7.18,3
RC,892,"Injection, paclitaxel protein-bound particles, 1 mg ",,,15.95,15.95,3
RC,892,"Injection, paclitaxel, 1 mg ",,,0.4,0.4,3
RC,892,"Injection, palifermin, 50 micrograms ",,,97.31,97.31,3
RC,892,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,38.4,38.4,3
RC,892,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,34.32,34.32,3
RC,892,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,39.96,39.96,3
RC,892,"Injection, palonosetron hcl, 25 mcg ",,,1.72,1.72,3
RC,892,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,146.52,146.52,3
RC,892,"Injection, pamidronate disodium, per 30 mg ",,,32.91,32.91,3
RC,892,"Injection, panitumumab, 10 mg ",,,462.13,462.13,3
RC,892,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,10.02,10.02,3
RC,892,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,25.39,25.39,3
RC,892,"Injection, pantoprazole sodium, 40 mg ",,,22.79,22.79,3
RC,892,"Injection, papaverine hcl, up to 60 mg ",,,121.74,121.74,3
RC,892,"Injection, paricalcitol, 1 mcg ",,,2.7,2.7,3
RC,892,"Injection, pasireotide long acting, 1 mg ",,,1580.2,1580.2,3
RC,892,"Injection, patisiran, 0.1 mg ",,,267.39,267.39,3
RC,892,"Injection, pegaspargase, per single dose vial ",,,75323.76,75323.76,3
RC,892,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,391.7,391.7,3
RC,892,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,337.56,337.56,3
RC,892,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,353.27,353.27,3
RC,892,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,317.05,317.05,3
RC,892,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,360.11,360.11,3
RC,892,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,419.39,419.39,3
RC,892,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,210.68,210.68,3
RC,892,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,297.14,297.14,3
RC,892,"Injection, pegloticase, 1 mg ",,,10134.98,10134.98,3
RC,892,"Injection, pegulicianine, 1 mg ",,,99.4,99.4,3
RC,892,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,592.01,592.01,3
RC,892,"Injection, pembrolizumab, 1 mg ",,,162.31,162.31,3
RC,892,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,85.14,85.14,3
RC,892,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,25.6,25.6,3
RC,892,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,28.09,28.09,3
RC,892,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,13.78,13.78,3
RC,892,"Injection, pemetrexed (pemfexy), 10 mg ",,,21.17,21.17,3
RC,892,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,186.77,186.77,3
RC,892,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,3.87,3.87,3
RC,892,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,29.12,29.12,3
RC,892,"Injection, pemetrexed dipotassium, 10 mg ",,,217.35,217.35,3
RC,892,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.87,0.87,3
RC,892,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,10.71,10.71,3
RC,892,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,19183.35,19183.35,3
RC,892,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,51.73,51.73,3
RC,892,"Injection, penicillin g benzathine, 100,000 units ",,,83.4,83.4,3
RC,892,"Injection, penicillin g potassium, up to 600,000 units ",,,1.8,1.8,3
RC,892,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,26.55,26.55,3
RC,892,"Injection, pentamidine isethionate, 1 mg ",,,0.42,0.42,3
RC,892,"Injection, pentazocine, 30 mg ",,,72.58,72.58,3
RC,892,"Injection, pentobarbital sodium, per 50 mg ",,,97.63,97.63,3
RC,892,"Injection, pentostatin, 10 mg ",,,6959.77,6959.77,3
RC,892,"Injection, peramivir, 1 mg ",,,4.45,4.45,3
RC,892,"Injection, perflutren lipid microspheres, per ml ",,,105.89,105.89,3
RC,892,"Injection, pertuzumab, 1 mg ",,,45.1,45.1,3
RC,892,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,159.61,159.61,3
RC,892,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,2.99,2.99,3
RC,892,"Injection, phenobarbital sodium, up to 120 mg ",,,62.67,62.67,3
RC,892,"Injection, phentolamine mesylate, up to 5 mg ",,,682.24,682.24,3
RC,892,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.4,0.4,3
RC,892,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.34,0.34,3
RC,892,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.03,0.03,3
RC,892,"Injection, phenytoin sodium, per 50 mg ",,,1.11,1.11,3
RC,892,"Injection, phytonadione (vitamin k), per 1 mg ",,,8.37,8.37,3
RC,892,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,2.89,2.89,3
RC,892,"Injection, plasminogen, human-tvmh, 1 mg ",,,101.73,101.73,3
RC,892,"Injection, plazomicin, 5 mg ",,,9.3,9.3,3
RC,892,"Injection, plerixafor, 1 mg ",,,86.76,86.76,3
RC,892,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,363.66,363.66,3
RC,892,"Injection, porfimer sodium, 75 mg ",,,74167.14,74167.14,3
RC,892,"Injection, posaconazole, 1 mg ",,,0.93,0.93,3
RC,892,"Injection, potassium chloride, per 2 meq ",,,0.34,0.34,3
RC,892,"Injection, pozelimab-bbfg, 1 mg ",,,243.08,243.08,3
RC,892,"Injection, pralatrexate, 1 mg ",,,1040.71,1040.71,3
RC,892,"Injection, pralidoxime chloride, up to 1 gm ",,,275.71,275.71,3
RC,892,"Injection, procainamide hcl, up to 1 gm ",,,569.25,569.25,3
RC,892,"Injection, prochlorperazine, up to 10 mg ",,,8.82,8.82,3
RC,892,"Injection, progesterone, per 50 mg ",,,1.75,1.75,3
RC,892,"Injection, promethazine hcl, up to 50 mg ",,,8.85,8.85,3
RC,892,"Injection, propofol, 10 mg ",,,0.24,0.24,3
RC,892,"Injection, propranolol hcl, up to 1 mg ",,,30.82,30.82,3
RC,892,"Injection, protamine sulfate, per 10 mg ",,,4.43,4.43,3
RC,892,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,39.88,39.88,3
RC,892,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,4.56,4.56,3
RC,892,"Injection, pyridoxine hcl, 100 mg ",,,39.49,39.49,3
RC,892,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,312.46,312.46,3
RC,892,"Injection, radiesse, 0.1 ml ",,,925.35,925.35,3
RC,892,"Injection, ramucirumab, 5 mg ",,,200.0,200.0,3
RC,892,"Injection, ranibizumab, 0.1 mg ",,,179.8,179.8,3
RC,892,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,201.93,201.93,3
RC,892,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,221.22,221.22,3
RC,892,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,187.89,187.89,3
RC,892,"Injection, rasburicase, 0.5 mg ",,,1012.8,1012.8,3
RC,892,"Injection, ravulizumab-cwvz, 10 mg ",,,592.75,592.75,3
RC,892,"Injection, regadenoson, 0.1 mg ",,,7.69,7.69,3
RC,892,"Injection, remdesivir, 1 mg ",,,18.29,18.29,3
RC,892,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,537190.99,537190.99,3
RC,892,"Injection, remimazolam, 1 mg ",,,7.39,7.39,3
RC,892,"Injection, reslizumab, 1 mg ",,,30.55,30.55,3
RC,892,"Injection, reteplase, 18.1 mg ",,,7697.14,7697.14,3
RC,892,"Injection, retifanlimab-dlwr, 1 mg ",,,80.56,80.56,3
RC,892,"Injection, rezafungin, 1 mg ",,,28.59,28.59,3
RC,892,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,209.09,209.09,3
RC,892,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,72.93,72.93,3
RC,892,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,90.79,90.79,3
RC,892,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,12.85,12.85,3
RC,892,"Injection, rifampin, 1 mg ",,,0.45,0.45,3
RC,892,"Injection, rilonacept, 1 mg ",,,89.99,89.99,3
RC,892,"Injection, rimabotulinumtoxinb, 100 units ",,,35.19,35.19,3
RC,892,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,38.69,38.69,3
RC,892,"Injection, risperidone (risperdal consta), 0.5 mg ",,,28.62,28.62,3
RC,892,"Injection, risperidone (rykindo), 0.5 mg ",,,34.53,34.53,3
RC,892,"Injection, risperidone (uzedy), 1 mg ",,,66.67,66.67,3
RC,892,"Injection, risperidone, (perseris), 0.5 mg ",,,32.25,32.25,3
RC,892,"Injection, rituximab 10 mg and hyaluronidase ",,,96.14,96.14,3
RC,892,"Injection, rituximab, 10 mg ",,,196.52,196.52,3
RC,892,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,82.89,82.89,3
RC,892,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,53.69,53.69,3
RC,892,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,36.28,36.28,3
RC,892,"Injection, romidepsin, lyophilized, 0.1 mg ",,,81.62,81.62,3
RC,892,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,75.58,75.58,3
RC,892,"Injection, romiplostim, 1 microgram ",,,29.44,29.44,3
RC,892,"Injection, romosozumab-aqqg, 1 mg ",,,32.3,32.3,3
RC,892,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.13,0.13,3
RC,892,"Injection, rozanolixizumab-noli, 1 mg ",,,62.01,62.01,3
RC,892,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,97.52,97.52,3
RC,892,"Injection, sargramostim (gm-csf), 50 mcg ",,,164.01,164.01,3
RC,892,"Injection, sculptra, 0.5 mg ",,,5.72,5.72,3
RC,892,"Injection, sebelipase alfa, 1 mg ",,,1431.48,1431.48,3
RC,892,"Injection, secretin, synthetic, human, 1 microgram ",,,106.61,106.61,3
RC,892,"Injection, secukinumab, intravenous, 1 mg ",,,47.81,47.81,3
RC,892,"Injection, sermorelin acetate, 1 microgram ",,,3.55,3.55,3
RC,892,"Injection, siltuximab, 10 mg ",,,461.31,461.31,3
RC,892,"Injection, sincalide, 5 micrograms ",,,286.73,286.73,3
RC,892,"Injection, sirolimus protein-bound particles, 1 mg ",,,230.84,230.84,3
RC,892,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,6.33,6.33,3
RC,892,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,5.75,5.75,3
RC,892,"Injection, sodium thiosulfate (hope), 100 mg ",,,2.33,2.33,3
RC,892,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,252.94,252.94,3
RC,892,"Injection, somatropin, 1 mg ",,,437.75,437.75,3
RC,892,"Injection, spesolimab-sbzo, 1 mg ",,,174.18,174.18,3
RC,892,"Injection, sterile cefuroxime sodium, per 750 mg ",,,5.27,5.27,3
RC,892,"Injection, streptomycin, up to 1 gm ",,,106.69,106.69,3
RC,892,"Injection, streptozocin, 1 gram ",,,464.68,464.68,3
RC,892,"Injection, succinylcholine chloride, up to 20 mg ",,,3.95,3.95,3
RC,892,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.11,0.11,3
RC,892,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,48.02,48.02,3
RC,892,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,470.83,470.83,3
RC,892,"Injection, sutimlimab-jome, 10 mg ",,,52.05,52.05,3
RC,892,"Injection, tafasitamab-cxix, 2 mg ",,,37.55,37.55,3
RC,892,"Injection, tagraxofusp-erzs, 10 micrograms ",,,946.79,946.79,3
RC,892,"Injection, taliglucerase alfa, 10 units ",,,107.75,107.75,3
RC,892,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,195.94,195.94,3
RC,892,"Injection, talquetamab-tgvs, 0.25 mg ",,,198.43,198.43,3
RC,892,"Injection, tarlatamab-dlle, 1 mg ",,,4154.46,4154.46,3
RC,892,"Injection, tbo-filgrastim, 1 microgram ",,,0.66,0.66,3
RC,892,"Injection, tebentafusp-tebn, 1 microgram ",,,589.6,589.6,3
RC,892,"Injection, teclistamab-cqyv, 0.5 mg ",,,91.43,91.43,3
RC,892,"Injection, tedizolid phosphate, 1 mg ",,,5.19,5.19,3
RC,892,"Injection, telavancin, 10 mg ",,,18.63,18.63,3
RC,892,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,386.87,386.87,3
RC,892,"Injection, temozolomide, 1 mg ",,,27.56,27.56,3
RC,892,"Injection, temsirolimus, 1 mg ",,,79.71,79.71,3
RC,892,"Injection, tenecteplase, 1 mg ",,,523.22,523.22,3
RC,892,"Injection, teplizumab-mzwv, 5 mcg ",,,101.73,101.73,3
RC,892,"Injection, teprotumumab-trbw, 10 mg ",,,974.96,974.96,3
RC,892,"Injection, terbutaline sulfate, up to 1 mg ",,,7.84,7.84,3
RC,892,"Injection, teriparatide, 10 mcg ",,,209.64,209.64,3
RC,892,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.37,0.37,3
RC,892,"Injection, testosterone cypionate, 1 mg ",,,0.05,0.05,3
RC,892,"Injection, testosterone enanthate, 1 mg ",,,0.13,0.13,3
RC,892,"Injection, testosterone undecanoate, 1 mg ",,,5.64,5.64,3
RC,892,"Injection, tetanus immune globulin, human, up to 250 units ",,,1479.02,1479.02,3
RC,892,"Injection, tezepelumab-ekko, 1 mg ",,,46.59,46.59,3
RC,892,"Injection, thiamine hcl, 100 mg ",,,4.11,4.11,3
RC,892,"Injection, thiotepa (tepylute), 1 mg ",,,102.16,102.16,3
RC,892,"Injection, thiotepa, not otherwise specified, 1 mg ",,,15.21,15.21,3
RC,892,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,5632.15,5632.15,3
RC,892,"Injection, tigecycline, 1 mg ",,,1.51,1.51,3
RC,892,"Injection, tildrakizumab, 1 mg ",,,313.23,313.23,3
RC,892,"Injection, tirofiban hcl, 0.25 mg ",,,8.45,8.45,3
RC,892,"Injection, tislelizumab-jsgr, 1mg ",,,154.42,154.42,3
RC,892,"Injection, tisotumab vedotin-tftv, 1 mg ",,,519.72,519.72,3
RC,892,"Injection, tobramycin sulfate, up to 80 mg ",,,5.35,5.35,3
RC,892,"Injection, tocilizumab, 1 mg ",,,14.65,14.65,3
RC,892,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,20.06,20.06,3
RC,892,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,11.77,11.77,3
RC,892,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,14.79,14.79,3
RC,892,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,12.3,12.3,3
RC,892,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,13.04,13.04,3
RC,892,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,13.94,13.94,3
RC,892,"Injection, tofersen, 1 mg ",,,424.03,424.03,3
RC,892,"Injection, topotecan, 0.1 mg ",,,5.59,5.59,3
RC,892,"Injection, toripalimab-tpzi, 1 mg ",,,105.97,105.97,3
RC,892,"Injection, trabectedin, 0.1 mg ",,,1036.34,1036.34,3
RC,892,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.32,0.32,3
RC,892,"Injection, tranexamic acid, 5 mg ",,,0.34,0.34,3
RC,892,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,158.76,158.76,3
RC,892,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,194.59,194.59,3
RC,892,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,149.41,149.41,3
RC,892,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,94.82,94.82,3
RC,892,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,79.0,79.0,3
RC,892,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,148.45,148.45,3
RC,892,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,27.64,27.64,3
RC,892,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,100.36,100.36,3
RC,892,"Injection, travoprost, intracameral implant, 1 microgram ",,,521.73,521.73,3
RC,892,"Injection, tremelimumab-actl, 1 mg ",,,379.56,379.56,3
RC,892,"Injection, treosulfan, 50 mg ",,,83.77,83.77,3
RC,892,"Injection, treprostinil, 1 mg ",,,146.25,146.25,3
RC,892,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,126.62,126.62,3
RC,892,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,2.39,2.39,3
RC,892,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,49.77,49.77,3
RC,892,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,49.4,49.4,3
RC,892,"Injection, triamcinolone diacetate, per 5 mg ",,,0.87,0.87,3
RC,892,"Injection, triamcinolone hexacetonide, per 5 mg ",,,25.84,25.84,3
RC,892,"Injection, trilaciclib, 1mg ",,,14.55,14.55,3
RC,892,"Injection, trimethobenzamide hcl, up to 200 mg ",,,151.63,151.63,3
RC,892,"Injection, triptorelin pamoate, 3.75 mg ",,,1243.86,1243.86,3
RC,892,"Injection, triptorelin, extended-release, 3.75 mg ",,,9867.96,9867.96,3
RC,892,"Injection, ublituximab-xiiy, 1mg ",,,182.19,182.19,3
RC,892,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,37.23,37.23,3
RC,892,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,31.14,31.14,3
RC,892,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,12.03,12.03,3
RC,892,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,584.78,584.78,3
RC,892,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,8.88,8.88,3
RC,892,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,167.56,167.56,3
RC,892,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,8.51,8.51,3
RC,892,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,12.0,12.0,3
RC,892,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,33267.33,33267.33,3
RC,892,"Injection, valproate sodium, 5 mg ",,,0.11,0.11,3
RC,892,"Injection, valrubicin, intravesical, 200 mg ",,,3366.88,3366.88,3
RC,892,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.03,0.03,3
RC,892,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.27,0.27,3
RC,892,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.42,0.42,3
RC,892,"Injection, vancomycin hydrochloride, 10 mg ",,,0.08,0.08,3
RC,892,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,2.23,2.23,3
RC,892,"Injection, vasopressin (baxter), 1 unit ",,,4.05,4.05,3
RC,892,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,3.13,3.13,3
RC,892,"Injection, vasopressin, 1 unit ",,,1.4,1.4,3
RC,892,"Injection, vedolizumab, intravenous, 1 mg ",,,55.6,55.6,3
RC,892,"Injection, velaglucerase alfa, 100 units ",,,1028.62,1028.62,3
RC,892,"Injection, velmanase alfa-tycv, 1 mg ",,,1232.86,1232.86,3
RC,892,"Injection, verteporfin, 0.1 mg ",,,30.66,30.66,3
RC,892,"Injection, vestronidase alfa-vjbk, 1 mg ",,,742.4,742.4,3
RC,892,"Injection, viltolarsen, 10 mg ",,,179.35,179.35,3
RC,892,"Injection, vinblastine sulfate, 1 mg ",,,13.65,13.65,3
RC,892,"Injection, vinorelbine tartrate, 10 mg ",,,13.17,13.17,3
RC,892,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.78,1.78,3
RC,892,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,4.85,4.85,3
RC,892,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,3.5,3.5,3
RC,892,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,3.95,3.95,3
RC,892,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,8135.74,8135.74,3
RC,892,"Injection, voriconazole, 10 mg ",,,1.72,1.72,3
RC,892,"Injection, vutrisiran, 1 mg ",,,13301.07,13301.07,3
RC,892,"Injection, zanidatamab-hrii, 2 mg ",,,66.25,66.25,3
RC,892,"Injection, zenocutuzumab-zbco, 1 mg ",,,88.96,88.96,3
RC,892,"Injection, ziconotide, 1 microgram ",,,27.72,27.72,3
RC,892,"Injection, zidovudine, 10 mg ",,,4.0,4.0,3
RC,892,"Injection, ziprasidone mesylate, 10 mg ",,,15.56,15.56,3
RC,892,"Injection, ziv-aflibercept, 1 mg ",,,22.82,22.82,3
RC,892,"Injection, zolbetuximab-clzb, 2 mg ",,,89.17,89.17,3
RC,892,"Injection, zoledronic acid, 1 mg ",,,81.83,81.83,3
RC,892,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,323035.0,323035.0,3
RC,892,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Innovamatrix pd, 1 mg ",,,45.13,45.13,3
RC,892,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,2.2,2.2,3
RC,892,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,90.05,90.05,3
RC,892,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,3773.92,3773.92,3
RC,892,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,13.33,13.33,3
RC,892,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,23.21,23.21,3
RC,892,"Insulin (fiasp), per 5 units ",,,1.8,1.8,3
RC,892,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,40.02,40.02,3
RC,892,"Insulin (lyumjev), per 5 units ",,,1.59,1.59,3
RC,892,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,8.29,8.29,3
RC,892,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Integra flowable wound matrix, injectable, 1 cc ",,,7501.62,7501.62,3
RC,892,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Interfyl, 1 mg ",,,103.22,103.22,3
RC,892,Intrauterine copper contraceptive (miudella) ,,,3774.66,3774.66,3
RC,892,Intrauterine copper contraceptive (paragard) ,,,3773.6,3773.6,3
RC,892,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,126.78,126.78,3
RC,892,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,575.87,575.87,3
RC,892,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,170348.1,170348.1,3
RC,892,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,3677.51,3677.51,3
RC,892,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,6141.38,6141.38,3
RC,892,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,269.08,269.08,3
RC,892,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,461.15,461.15,3
RC,892,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,1243.01,1243.01,3
RC,892,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1721.55,1721.55,3
RC,892,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,1050.25,1050.25,3
RC,892,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,2525.48,2525.48,3
RC,892,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,2296.89,2296.89,3
RC,892,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,258.45,258.45,3
RC,892,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,63.79,63.79,3
RC,892,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,55.04,55.04,3
RC,892,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,11.5,11.5,3
RC,892,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,1.17,1.17,3
RC,892,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,38.05,38.05,3
RC,892,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,965.58,965.58,3
RC,892,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.24,0.24,3
RC,892,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.21,0.21,3
RC,892,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,3.55,3.55,3
RC,892,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,466.93,466.93,3
RC,892,"Leuprolide acetate, per 1 mg ",,,401.48,401.48,3
RC,892,"Leuprolide injectable, camcevi, 1 mg ",,,105.87,105.87,3
RC,892,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,5.3,5.3,3
RC,892,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.85,0.85,3
RC,892,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.24,0.24,3
RC,892,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,1028.52,1028.52,3
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,3111.05,3111.05,3
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,4046.36,4046.36,3
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,3369.26,3369.26,3
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,4046.36,4046.36,3
RC,892,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1489991.23,1489991.23,3
RC,892,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,3.07,3.07,3
RC,892,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,1.14,1.14,3
RC,892,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.4,0.4,3
RC,892,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,687.94,687.94,3
RC,892,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,847.84,847.84,3
RC,892,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,14024.94,14024.94,3
RC,892,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,2711.27,2711.27,3
RC,892,"Mannitol, administered through an inhaler, 5 mg ",,,3.13,3.13,3
RC,892,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Matristem micromatrix, 1 mg ",,,21.01,21.01,3
RC,892,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,310.42,310.42,3
RC,892,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,917.96,917.96,3
RC,892,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Melphalan; oral, 2 mg ",,,12.4,12.4,3
RC,892,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,561.54,561.54,3
RC,892,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,562.81,562.81,3
RC,892,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,62.83,62.83,3
RC,892,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,844.69,844.69,3
RC,892,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,800.51,800.51,3
RC,892,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,237.2,237.2,3
RC,892,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,717.99,717.99,3
RC,892,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,798.76,798.76,3
RC,892,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,2.89,2.89,3
RC,892,"Methotrexate (jylamvo), oral, 2.5 mg ",,,49.58,49.58,3
RC,892,"Methotrexate (xatmep), oral, 2.5 mg ",,,59.1,59.1,3
RC,892,"Methotrexate; oral, 2.5 mg ",,,0.37,0.37,3
RC,892,"Methylprednisolone oral, per 4 mg ",,,0.37,0.37,3
RC,892,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Microlyte painguard, per square centimeter ",,,336.92,336.92,3
RC,892,"Miglustat, oral, 65 mg ",,,113.05,113.05,3
RC,892,"Miro3d fibers, per milligram ",,,43.51,43.51,3
RC,892,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Mitomycin pyelocalyceal instillation, 1 mg ",,,856.4,856.4,3
RC,892,"Mitomycin, intravesical instillation, 1 mg ",,,737.57,737.57,3
RC,892,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,30.08,30.08,3
RC,892,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,5.96,5.96,3
RC,892,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.82,0.82,3
RC,892,"Mycophenolate mofetil, oral, 250 mg ",,,0.37,0.37,3
RC,892,"Mycophenolic acid, oral, 180 mg ",,,0.85,0.85,3
RC,892,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,62.35,62.35,3
RC,892,"Myriad morcells, 4 milligrams ",,,34.98,34.98,3
RC,892,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Neoxflo or clarixflo, 1 mg ",,,90.37,90.37,3
RC,892,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,1054.14,1054.14,3
RC,892,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,2122.52,2122.52,3
RC,892,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,337.24,337.24,3
RC,892,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Novashield or novogen wound matrix, per square centimeter ",,,336.92,336.92,3
RC,892,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,737362.5,737362.5,3
RC,892,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,407.44,407.44,3
RC,892,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.05,0.05,3
RC,892,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1648.19,1648.19,3
RC,892,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,3819.98,3819.98,3
RC,892,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,194.96,194.96,3
RC,892,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.78,1.78,3
RC,892,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,256.02,256.02,3
RC,892,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,918.2,918.2,3
RC,892,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,683.3,683.3,3
RC,892,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,713.67,713.67,3
RC,892,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,829.19,829.19,3
RC,892,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,912.26,912.26,3
RC,892,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,353.7,353.7,3
RC,892,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,151.63,151.63,3
RC,892,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Prednisolone oral, per 5 mg ",,,1.96,1.96,3
RC,892,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,5.86,5.86,3
RC,892,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Procenta, per 100 mg ",,,15741.8,15741.8,3
RC,892,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,2.07,2.07,3
RC,892,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.77,0.77,3
RC,892,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,5.43,5.43,3
RC,892,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,729.23,729.23,3
RC,892,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,641.78,641.78,3
RC,892,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,933.97,933.97,3
RC,892,"Rabies vaccine, for intradermal use ",,,627.68,627.68,3
RC,892,"Rabies vaccine, for intramuscular use ",,,835.33,835.33,3
RC,892,"Radioelements for brachytherapy, any type, each ",,,163.74,163.74,3
RC,892,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,123742.09,123742.09,3
RC,892,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,453.39,453.39,3
RC,892,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,1014.42,1014.42,3
RC,892,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,1020.94,1020.94,3
RC,892,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,1014.63,1014.63,3
RC,892,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,1157.39,1157.39,3
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1768.08,1768.08,3
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1892.29,1892.29,3
RC,892,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.53,0.53,3
RC,892,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,348.53,348.53,3
RC,892,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,212.0,212.0,3
RC,892,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1761.59,1761.59,3
RC,892,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,7250.4,7250.4,3
RC,892,"Ringers lactate infusion, up to 1000 cc ",,,6.89,6.89,3
RC,892,"Rolapitant, oral, 1 mg ",,,11.69,11.69,3
RC,892,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,495.05,495.05,3
RC,892,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,326.32,326.32,3
RC,892,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,1312.65,1312.65,3
RC,892,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,8373.47,8373.47,3
RC,892,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,7697.35,7697.35,3
RC,892,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.27,0.27,3
RC,892,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.82,0.82,3
RC,892,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.53,0.53,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,535.06,535.06,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,389.71,389.71,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,428.37,428.37,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,251.22,251.22,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,173.5,173.5,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,446.18,446.18,3
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,508.59,508.59,3
RC,892,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,149113.35,149113.35,3
RC,892,"Sirolimus, oral, 1 mg ",,,3.37,3.37,3
RC,892,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,336.92,336.92,3
RC,892,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.03,0.03,3
RC,892,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,716.96,716.96,3
RC,892,"Sodium phosphate p-32, therapeutic, per millicurie ",,,737.34,737.34,3
RC,892,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,10987.8,10987.8,3
RC,892,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.56,0.56,3
RC,892,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Suzetrigine, oral 1 mg ",,,0.87,0.87,3
RC,892,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,1.56,1.56,3
RC,892,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,4.93,4.93,3
RC,892,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,3.39,3.39,3
RC,892,"Tacrolimus, immediate release, oral, 1 mg ",,,0.61,0.61,3
RC,892,"Tacrolimus, parenteral, 5 mg ",,,688.89,688.89,3
RC,892,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,26.5,26.5,3
RC,892,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,1393.18,1393.18,3
RC,892,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,3434.27,3434.27,3
RC,892,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,2055.13,2055.13,3
RC,892,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,2121.64,2121.64,3
RC,892,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,163.74,163.74,3
RC,892,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,2475.44,2475.44,3
RC,892,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,4246.84,4246.84,3
RC,892,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,288.56,288.56,3
RC,892,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,80.53,80.53,3
RC,892,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,300.67,300.67,3
RC,892,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,170.82,170.82,3
RC,892,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,2102.17,2102.17,3
RC,892,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,138.09,138.09,3
RC,892,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,55.76,55.76,3
RC,892,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,76.11,76.11,3
RC,892,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,29.2,29.2,3
RC,892,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,120.39,120.39,3
RC,892,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,1194.04,1194.04,3
RC,892,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1748.81,1748.81,3
RC,892,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1991.21,1991.21,3
RC,892,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,309.79,309.79,3
RC,892,"Temozolomide, oral, 5 mg ",,,1.06,1.06,3
RC,892,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,34.53,34.53,3
RC,892,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,34.53,34.53,3
RC,892,"Testosterone pellet, implant, 75 mg ",,,198.67,198.67,3
RC,892,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,102.69,102.69,3
RC,892,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,2084.99,2084.99,3
RC,892,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,104.62,104.62,3
RC,892,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,146.94,146.94,3
RC,892,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1627579.15,1627579.15,3
RC,892,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,158.44,158.44,3
RC,892,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,20.59,20.59,3
RC,892,"Topical administration, prademagene zamikeracel, per treatment ",,,8839923.0,8839923.0,3
RC,892,"Topotecan, oral, 0.25 mg ",,,331.83,331.83,3
RC,892,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,2091.33,2091.33,3
RC,892,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,12.4,12.4,3
RC,892,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.78,1.78,3
RC,892,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,440.93,440.93,3
RC,892,"Typhoid vaccine, live, oral ",,,372.96,372.96,3
RC,892,Unlisted immune globulin ,,,1133.91,1133.91,3
RC,892,"Ustekinumab, for intravenous injection, 1 mg ",,,30.79,30.79,3
RC,892,"Ustekinumab, for subcutaneous injection, 1 mg ",,,1080.43,1080.43,3
RC,892,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.03,0.03,3
RC,892,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.37,0.37,3
RC,892,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,610.53,610.53,3
RC,892,"Varicella-zoster immune globulin, human, for intramuscular use ",,,6262.61,6262.61,3
RC,892,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Vincristine sulfate, 1 mg ",,,21.49,21.49,3
RC,892,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Woundex flow, bioskin flow, 0.5 cc ",,,6801.68,6801.68,3
RC,892,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xcellistem, 1 mg ",,,41.34,41.34,3
RC,892,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,811.67,811.67,3
RC,892,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Yellow fever vaccine, live, for subcutaneous use ",,,815.14,815.14,3
RC,892,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,150585.06,150585.06,3
RC,892,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,336.92,336.92,3
RC,892,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,378.84,378.84,3
RC,892,"injection, busulfan, 1 mg ",,,1.8,1.8,3
RC,900, Behavioral Health Treatment/Services General Classification  ,,,243.0,893.0,4
RC,901, Behavioral Health Treatment/Services Electroshock Treatment  ,,,363.33,1274.0,31
RC,901,Electroconvulsive therapy (includes necessary monitoring) ,,,375.0,1206.0,3
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  ,,,103.95,1235.0,9
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  Adult and Geriatric,,,330.0,330.0,1
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  Child,,,150.0,150.0,1
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  DD IOP Adult,,,391.0,391.0,1
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  MH IOP Adult/Adolescent,,,391.0,474.0,2
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  MH IOP DD Adult,,,474.0,474.0,1
RC,905,"Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessmen",,,642.0,754.0,2
RC,905,"Intensive outpatient psychiatric services, per diem ",,,642.0,754.0,2
RC,906, Behavioral Health Treatment/Services Intensive Outpatient Services - Chemical Dependency  ,,,125.0,1235.0,8
RC,906, Behavioral Health Treatment/Services Intensive Outpatient Services - Chemical Dependency  Child,,,150.0,150.0,1
RC,906,"Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessmen",,,642.0,754.0,2
RC,906,"Intensive outpatient psychiatric services, per diem ",,,642.0,754.0,2
RC,910, Behavioral Health Treatment/Services (Extension of 090x) (use 0900 for General Classification)  ,,,516.0,516.0,1
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  ,,,184.0,1235.0,14
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  Adult and Geriatric,,,546.0,546.0,1
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  Child,,,230.0,230.0,1
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  MH Partial Full Day Adult,,,775.0,940.0,2
RC,912,"Alcohol and/or other drug treatment program, per diem ",,,1021.0,1196.0,2
RC,912,"Mental health partial hospitalization, treatment, less than 24 hours ",,,1021.0,1196.0,2
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  ,,,516.0,1235.0,11
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  MH Partial Full Day Adult,,,775.0,940.0,2
RC,913,"Alcohol and/or other drug treatment program, per diem ",,,1021.0,1196.0,2
RC,913,"Mental health partial hospitalization, treatment, less than 24 hours ",,,1021.0,1196.0,2
RC,914, Behavioral Health Treatment/Services Individual Therapy  ,,,164.0,516.0,4
RC,914, Behavioral Health Treatment/Services Individual Therapy  Behavioral Health,,,,,0
RC,915, Behavioral Health Treatment/Services Group Therapy  ,,,164.0,516.0,4
RC,915, Behavioral Health Treatment/Services Group Therapy  Behavioral Health,,,,,0
RC,916, Behavioral Health Treatment/Services Family Therapy  ,,,164.0,516.0,4
RC,916, Behavioral Health Treatment/Services Family Therapy  Behavioral Health,,,,,0
RC,917, Behavioral Health Treatment/Services Bio Feedback  ,,,164.0,893.0,5
RC,918, Behavioral Health Treatment/Services Testing  ,,,516.0,893.0,4
RC,918, Behavioral Health Treatment/Services Testing  Behavioral Health,,,,,0
RC,919, Behavioral Health Treatment/Services Other Behavioral Health Treatments  ,,,516.0,516.0,1
RC,920, Other Diagnostic Services General Classification  ,,,338.0,450.0,3
RC,920,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,920,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,920,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,920,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,920,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,920,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,920,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,920,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,920,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,920,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,920,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,920,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,920,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,920,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,920,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,920,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,920,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,920,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,920,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,920,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,920,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,920,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,920,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,920,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,920,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,920,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,920,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,920,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,920,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,920,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,920,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,920,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,920,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,920,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,920,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,920,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,920,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,920,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,920,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,920,Assessment for hearing aid ,,,93.5,93.5,1
RC,920,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,920,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,920,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,920,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,920,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,920,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,920,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,920,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,920,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,920,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,920,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,920,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,920,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,920,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,920,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,920,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,920,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,920,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,920,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,920,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,920,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,920,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,920,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,920,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,920,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,920,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,920,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,920,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,920,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,920,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,920,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,920,Conditioning play audiometry ,,,169.08,169.08,1
RC,920,Conformity evaluation ,,,82.14,82.14,1
RC,920,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,920,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,920,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,920,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,920,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,920,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,920,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,920,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,920,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,920,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,920,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,920,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,920,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,920,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,920,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,920,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,920,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,920,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,920,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,920,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,920,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,920,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,920,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,920,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,920,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,920,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,920,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,920,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,920,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,920,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,920,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,920,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,920,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,920,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,920,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,920,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,920,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,920,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,920,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,920,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,920,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,920,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,920,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,920,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,920,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,920,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,920,Electrocochleography ,,,211.05,211.05,1
RC,920,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,920,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,920,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,920,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,920,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,920,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,920,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,920,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,920,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,920,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,920,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,920,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,920,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,920,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,920,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,920,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,920,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,920,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,920,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,920,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,920,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,920,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,920,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,920,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,920,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,920,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,920,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,920,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,920,Filtered speech test ,,,59.78,59.78,1
RC,920,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,920,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,920,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,920,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,920,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,920,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,920,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,920,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,920,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,920,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,920,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,920,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,920,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,920,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,920,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,920,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,920,Gonioscopy (separate procedure) ,,,53.65,53.65,1
RC,920,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,920,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,920,Hearing screening ,,,71.4,71.4,1
RC,920,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,920,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,920,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,920,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,920,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,920,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,920,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,920,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,920,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,920,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,920,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,920,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,920,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,920,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,920,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,920,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,920,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,920,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,920,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,920,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,920,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,920,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,920,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,920,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,920,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,920,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,920,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,920,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,920,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,1343.0,1790.0,3
RC,920,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,920,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,920,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,920,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,920,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,920,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,920,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,920,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,920,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,920,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,920,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,920,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,920,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,920,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,920,Needle electromyography; larynx ,,,122.95,122.95,1
RC,920,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,920,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,920,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,920,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,920,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,920,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,920,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,920,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,920,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,920,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,920,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,920,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,920,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,920,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,920,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,920,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,920,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,920,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,920,Ophthalmodynamometry ,,,37.23,37.23,1
RC,920,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,279.45,279.45,1
RC,920,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,145.47,145.47,1
RC,920,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits ",,,291.62,291.62,1
RC,920,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient ",,,164.55,164.55,1
RC,920,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits ",,,245.73,245.73,1
RC,920,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ",,,172.81,172.81,1
RC,920,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,920,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,920,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,920,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,920,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,920,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,920,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,920,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,920,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,920,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,920,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,920,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,920,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,920,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,920,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,920,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,920,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,920,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,920,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,920,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,920,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,920,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,920,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,920,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,920,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,920,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,920,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,920,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,1343.0,1790.0,3
RC,920,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,920,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,920,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,1343.0,1790.0,3
RC,920,Positional nystagmus test ,,,34.86,34.86,1
RC,920,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,920,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,920,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,920,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,920,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,920,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,920,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,920,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,920,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,920,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,920,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,920,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,920,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,920,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,920,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,920,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,920,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,920,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,920,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,920,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,920,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,920,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,920,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,920,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,920,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,920,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,920,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,920,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,920,Select picture audiometry ,,,112.2,112.2,1
RC,920,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,920,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) ",,,51.56,51.56,1
RC,920,Sensorineural acuity level test ,,,139.76,139.76,1
RC,920,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,920,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,920,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,920,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,920,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,920,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,920,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,920,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,1343.0,1790.0,3
RC,920,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,1343.0,1790.0,3
RC,920,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,1343.0,1790.0,3
RC,920,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,1343.0,1790.0,3
RC,920,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,920,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,920,Speech audiometry threshold; ,,,57.25,57.25,1
RC,920,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,920,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,920,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,920,Staggered spondaic word test ,,,107.8,107.8,1
RC,920,"Stenger test, pure tone ",,,41.44,41.44,1
RC,920,"Stenger test, speech ",,,43.34,43.34,1
RC,920,Synthetic sentence identification test ,,,85.67,85.67,1
RC,920,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,920,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,920,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,920,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,920,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,920,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,920,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,920,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,920,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,920,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,920,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,920,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,920,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,920,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,920,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,920,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,920,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,920,Tone decay test ,,,67.36,67.36,1
RC,920,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,920,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,920,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,920,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,920,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,920,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,920,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,920,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,920,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,920,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,920,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,920,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,920,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,920,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,920,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,920,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,920,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,69.26,69.26,1
RC,920,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,49.66,49.66,1
RC,920,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,33.25,33.25,1
RC,920,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,920,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,920,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,920,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,920,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,920,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,921, Other Diagnostic Services Peripheral Vascular Lab  ,,,917.0,1222.0,3
RC,921,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,921,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,921,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,921,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,921,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,921,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,921,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,921,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,921,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,921,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,921,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,921,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,921,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,921,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,921,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,921,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,921,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,921,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,921,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,921,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,921,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,921,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,921,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,921,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,921,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,921,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,921,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,921,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,921,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,921,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,921,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,921,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,921,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,921,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,921,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,921,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,921,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,921,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,921,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,921,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,921,Assessment for hearing aid ,,,93.5,93.5,1
RC,921,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,921,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,921,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,921,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,921,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,921,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,921,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,921,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,921,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,921,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,921,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,921,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,921,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,921,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,921,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,921,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,921,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,921,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,921,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,921,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,921,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,921,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,921,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,921,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,921,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,921,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,921,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,921,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,921,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,921,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,45.24,45.24,1
RC,921,Conditioning play audiometry ,,,169.08,169.08,1
RC,921,Conformity evaluation ,,,82.14,82.14,1
RC,921,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,921,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,921,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,921,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,921,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,921,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,921,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,921,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,921,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,921,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,921,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,921,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,921,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,921,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,921,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,921,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,921,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,921,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,921,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,921,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,921,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,921,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,921,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,921,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,921,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,921,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,921,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,921,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,921,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,921,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,921,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,921,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,921,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,921,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,921,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,921,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,921,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,921,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,921,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,921,Electrocochleography ,,,211.05,211.05,1
RC,921,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,921,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,921,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,921,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,921,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,921,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,921,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,921,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,921,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,921,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,921,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,921,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,921,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,921,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,921,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,921,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,921,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,921,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,921,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,921,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,921,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,921,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,921,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,921,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,921,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,921,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,921,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,921,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,921,Filtered speech test ,,,59.78,59.78,1
RC,921,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,921,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,921,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,921,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,921,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,921,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,921,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,921,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,921,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,921,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,921,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,921,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,921,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,921,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,921,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,921,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,921,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,921,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,921,Hearing screening ,,,71.4,71.4,1
RC,921,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,921,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,921,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,921,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,921,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,921,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,921,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,921,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,921,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,921,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,921,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,921,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,921,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,921,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,921,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,921,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,921,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,921,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,921,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,921,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,921,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,921,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,921,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,921,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,921,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,921,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,921,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,921,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,921,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,921,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,921,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,921,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,921,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,921,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,921,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,921,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,921,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,921,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,921,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,921,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,921,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,921,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,921,Needle electromyography; larynx ,,,122.95,122.95,1
RC,921,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,921,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,921,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,921,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,921,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,921,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,921,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,921,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,921,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,921,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,921,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,921,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,921,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,921,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,921,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,921,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,921,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation ,,,32.61,32.61,1
RC,921,Ophthalmodynamometry ,,,37.23,37.23,1
RC,921,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,921,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,921,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,921,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,921,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,921,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,921,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,921,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,921,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,921,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,921,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,921,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,921,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,921,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,921,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,921,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,921,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,921,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,921,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,921,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,921,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,921,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,921,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,921,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,921,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,921,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,921,Positional nystagmus test ,,,34.86,34.86,1
RC,921,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,921,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,921,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,921,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,921,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,921,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,921,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,921,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,921,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,921,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,921,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,921,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,921,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,921,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,921,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,921,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,921,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,921,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,921,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,921,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,921,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,921,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,921,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,921,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,921,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,921,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,921,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,921,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,921,Select picture audiometry ,,,112.2,112.2,1
RC,921,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,921,Sensorineural acuity level test ,,,139.76,139.76,1
RC,921,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,921,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,164.46,164.46,1
RC,921,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,921,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,921,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,921,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,921,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,921,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,921,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,921,Speech audiometry threshold; ,,,57.25,57.25,1
RC,921,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,921,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,921,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,921,Staggered spondaic word test ,,,107.8,107.8,1
RC,921,"Stenger test, pure tone ",,,41.44,41.44,1
RC,921,"Stenger test, speech ",,,43.34,43.34,1
RC,921,Synthetic sentence identification test ,,,85.67,85.67,1
RC,921,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,921,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,921,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,921,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,921,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,921,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,921,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,921,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,921,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,921,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,921,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,921,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,921,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,921,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,921,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,921,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,921,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,921,Tone decay test ,,,67.36,67.36,1
RC,921,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,921,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,921,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,921,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,921,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,921,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,921,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,921,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,921,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,921,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,921,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,921,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,921,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,921,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,921,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,921,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,921,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,921,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,922, Other Diagnostic Services Electromyogram  ,,,670.0,893.0,3
RC,922,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,922,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,922,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,922,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,922,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,922,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,922,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,922,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,922,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,922,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,922,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,922,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,922,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,922,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,922,Anterior segment imaging with interpretation and report; with fluorescein angiography ,,,205.09,205.09,1
RC,922,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis ,,,33.25,33.25,1
RC,922,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,922,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,922,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,922,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,922,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,922,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,922,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,922,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,922,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,922,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,922,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,922,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,922,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,922,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,922,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,922,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,922,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,922,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,922,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,922,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,922,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,922,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,922,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,922,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,922,Assessment for hearing aid ,,,93.5,93.5,1
RC,922,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,922,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,922,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,922,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,922,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,922,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,922,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,922,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,922,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,922,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,922,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,922,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,922,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,922,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,922,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,922,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,922,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,922,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,922,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,922,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,922,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,922,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,922,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,922,"Color vision examination, extended, eg, anomaloscope or equivalent ",,,86.31,86.31,1
RC,922,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,922,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,922,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,922,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,922,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,922,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,922,Conditioning play audiometry ,,,169.08,169.08,1
RC,922,Conformity evaluation ,,,82.14,82.14,1
RC,922,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,922,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,922,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,922,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,922,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,922,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,922,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,922,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,922,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,922,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,922,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,922,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,922,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,922,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,922,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,922,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,922,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,922,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,922,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report ",,,57.25,57.25,1
RC,922,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,922,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,922,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,922,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,922,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,922,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,922,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,922,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,922,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,922,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,922,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,922,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,922,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,922,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,922,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,922,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,922,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,922,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,922,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,922,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,922,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,922,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,922,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,922,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,922,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,922,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,922,Electro-oculography with interpretation and report ,,,148.61,148.61,1
RC,922,Electrocochleography ,,,211.05,211.05,1
RC,922,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,922,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,922,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,922,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,922,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) ",,,166.94,166.94,1
RC,922,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) ",,,107.17,107.17,1
RC,922,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,922,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,922,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,922,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,922,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,922,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,922,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,922,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,922,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,922,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,922,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,922,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,922,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,922,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,922,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,922,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,922,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,922,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,922,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) ",,,37.67,37.67,1
RC,922,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,922,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,922,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,922,Filtered speech test ,,,59.78,59.78,1
RC,922,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,922,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,922,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,922,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,922,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,922,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,922,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,922,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,922,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,219.0,219.0,1
RC,922,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral ",,,512.78,512.78,1
RC,922,Fluorescein angioscopy with interpretation and report ,,,242.87,242.87,1
RC,922,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,922,Fundus photography with interpretation and report ,,,30.72,30.72,1
RC,922,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,922,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,922,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,922,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,922,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,922,Hearing screening ,,,71.4,71.4,1
RC,922,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,922,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral ",,,85.04,85.04,1
RC,922,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral ",,,359.26,359.26,1
RC,922,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,922,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,922,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,922,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,922,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,922,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,922,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,922,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,922,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,922,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,922,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,922,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,922,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,922,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,922,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,922,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,922,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,922,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,922,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,922,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,922,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,922,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,922,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,922,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,922,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,922,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,922,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,922,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,922,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,922,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,922,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,922,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,922,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,922,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,922,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,922,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,922,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,922,Needle electromyography; larynx ,,,122.95,122.95,1
RC,922,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,922,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,922,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report ",,,79.35,79.35,1
RC,922,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,922,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,922,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,922,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,922,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,922,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,922,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,922,Ophthalmodynamometry ,,,37.23,37.23,1
RC,922,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,922,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,922,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,922,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,922,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,922,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,922,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,922,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,922,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,922,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,922,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,922,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,922,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,922,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,922,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,922,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,922,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,922,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,922,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,922,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,922,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,922,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,922,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,922,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,922,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,922,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,922,Positional nystagmus test ,,,34.86,34.86,1
RC,922,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,922,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,922,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,922,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,922,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,922,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,922,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,922,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,922,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,922,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,922,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,922,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,922,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,922,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,922,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,922,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,922,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,922,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,922,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,922,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,922,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,922,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,922,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,922,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,922,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,922,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,922,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,922,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,922,Select picture audiometry ,,,112.2,112.2,1
RC,922,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,922,Sensorineural acuity level test ,,,139.76,139.76,1
RC,922,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,922,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,922,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,922,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,922,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,922,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,922,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,922,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,922,Speech audiometry threshold; ,,,57.25,57.25,1
RC,922,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,922,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,922,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,922,Staggered spondaic word test ,,,107.8,107.8,1
RC,922,"Stenger test, pure tone ",,,41.44,41.44,1
RC,922,"Stenger test, speech ",,,43.34,43.34,1
RC,922,Synthetic sentence identification test ,,,85.67,85.67,1
RC,922,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,922,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,922,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,922,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,922,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,922,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,922,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,922,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,922,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,922,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,922,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,922,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,922,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,922,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,922,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,922,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,922,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,922,Tone decay test ,,,67.36,67.36,1
RC,922,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,922,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,922,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,922,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,922,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,922,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,922,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,922,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,922,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,922,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,922,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,922,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,922,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,922,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,922,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,922,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,922,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,922,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,922,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,922,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,922,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,922,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,923, Other Diagnostic Services Pap Smear  ,,,,,0
RC,923,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,923,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,923,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,923,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,923,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,923,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,923,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,923,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,923,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,923,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,923,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,923,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,923,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,923,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,923,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,923,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,923,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,923,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,923,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,923,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,923,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,923,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,923,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,923,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,923,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,923,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,923,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,923,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,923,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,923,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,923,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,923,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,923,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,923,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,923,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,923,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,923,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,923,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,923,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,923,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,923,Assessment for hearing aid ,,,93.5,93.5,1
RC,923,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,923,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,923,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,923,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,923,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,923,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,923,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,923,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,923,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,923,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,923,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,923,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,923,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,923,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,923,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,923,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,923,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,923,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,923,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,923,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,923,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,923,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,923,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,923,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,923,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,923,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,923,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,923,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,923,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,923,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,923,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,923,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,923,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,923,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,923,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,923,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,923,Conditioning play audiometry ,,,169.08,169.08,1
RC,923,Conformity evaluation ,,,82.14,82.14,1
RC,923,"Congo red, blood ",,,4.95,4.95,3
RC,923,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,923,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,923,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,923,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,923,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,923,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,923,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,923,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,923,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,923,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,923,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,923,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,923,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,923,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,923,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,923,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,923,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,923,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,923,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,923,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,923,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,923,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,923,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,923,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,923,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,923,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,923,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,923,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,923,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,923,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,923,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,923,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,923,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,923,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,923,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,923,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,923,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,923,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,923,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,923,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,923,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,923,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,923,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,923,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,923,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,923,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,923,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,923,Electrocochleography ,,,211.05,211.05,1
RC,923,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,923,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,923,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,923,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,923,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,923,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,923,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,923,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,923,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,923,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,923,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,923,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,923,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,923,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,923,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,923,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,923,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,923,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,923,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,923,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,923,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,923,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,923,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,923,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,923,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,923,Fern test ,,,9.74,9.74,3
RC,923,Filtered speech test ,,,59.78,59.78,1
RC,923,Fitting of spectacle mounted low vision aid; single element system ,,,26.29,26.29,1
RC,923,Fitting of spectacle mounted low vision aid; telescopic or other compound lens system ,,,40.81,40.81,1
RC,923,Fitting of spectacle prosthesis for aphakia; monofocal ,,,83.08,83.08,1
RC,923,Fitting of spectacle prosthesis for aphakia; multifocal ,,,95.79,95.79,1
RC,923,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,923,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,923,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,923,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,923,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,923,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,923,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,923,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,923,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,923,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,923,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,923,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,923,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,923,Hearing screening ,,,71.4,71.4,1
RC,923,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,923,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,923,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,923,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,923,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,923,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,923,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,923,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,923,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,923,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,923,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,923,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,923,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,923,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,923,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,923,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,923,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,923,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,923,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,923,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,923,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,923,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,923,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,923,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,923,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,923,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,923,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,923,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,923,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,923,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,923,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,923,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,923,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,923,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,923,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,923,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,923,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,923,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,923,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,923,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,923,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,923,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,923,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,923,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,923,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,923,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,923,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,923,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,923,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,923,Needle electromyography; larynx ,,,122.95,122.95,1
RC,923,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,923,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,923,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,923,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,923,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,923,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,923,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,923,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,923,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,923,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,923,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,923,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,923,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,923,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,923,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,923,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,923,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,923,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,923,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,923,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,923,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,923,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,923,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,923,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,923,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,923,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,923,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,923,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,923,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,923,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,923,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,923,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,923,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,923,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,923,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,923,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,923,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,923,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,923,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,923,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,923,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,923,Pinworm examinations ,,,4.27,4.27,3
RC,923,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,923,Positional nystagmus test ,,,34.86,34.86,1
RC,923,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,923,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,923,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,923,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,923,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,923,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,923,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,923,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,923,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,923,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,923,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) ",,,21.87,21.87,1
RC,923,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,923,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,923,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,923,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,923,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,923,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,923,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,923,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,923,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,923,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,923,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,923,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,923,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,923,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,923,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,923,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,923,Repair and refitting spectacles; spectacle prosthesis for aphakia ,,,22.5,22.5,1
RC,923,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,923,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,923,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,923,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,923,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,923,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,923,Select picture audiometry ,,,112.2,112.2,1
RC,923,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,923,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,923,Sensorineural acuity level test ,,,139.76,139.76,1
RC,923,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,923,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,923,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,923,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,923,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,923,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,923,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,923,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,923,Speech audiometry threshold; ,,,57.25,57.25,1
RC,923,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,923,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,923,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,923,Staggered spondaic word test ,,,107.8,107.8,1
RC,923,"Stenger test, pure tone ",,,41.44,41.44,1
RC,923,"Stenger test, speech ",,,43.34,43.34,1
RC,923,Synthetic sentence identification test ,,,85.67,85.67,1
RC,923,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,923,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,923,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,923,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,923,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,923,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,923,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,923,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,923,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,923,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,923,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,923,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,923,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,923,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,923,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,923,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,923,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,923,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,923,Tone decay test ,,,67.36,67.36,1
RC,923,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,923,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,923,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,923,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,923,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,923,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,923,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,923,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,923,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,923,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,923,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,923,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,923,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,923,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,923,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,923,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,923,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,923,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,923,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,923,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,923,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,923,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,923,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,923,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,924, Other Diagnostic Services Allergy Test  ,,,45.0,60.0,3
RC,924,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,924,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,924,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,924,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,924,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,924,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,924,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,924,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,924,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,924,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,924,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,924,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,924,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,924,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,924,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,924,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,924,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,924,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,924,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,924,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,924,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,924,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,924,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,924,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,924,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,924,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,924,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,924,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,924,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,924,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,924,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,924,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,924,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,924,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,924,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,924,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,924,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,924,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,924,Assessment for hearing aid ,,,93.5,93.5,1
RC,924,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,924,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,924,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,924,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,924,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,924,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,924,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,924,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,924,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,924,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,924,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,924,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,924,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,924,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,924,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,924,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,924,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,924,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,924,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,924,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,924,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,924,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,924,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,924,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,924,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,924,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,924,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,924,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,924,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,924,Conditioning play audiometry ,,,169.08,169.08,1
RC,924,Conformity evaluation ,,,82.14,82.14,1
RC,924,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,924,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,924,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,924,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,924,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,924,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,924,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,924,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,924,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,924,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,924,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,924,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,924,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,924,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,924,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,924,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,924,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,924,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,924,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,924,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,924,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,924,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,924,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,924,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,924,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,924,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,924,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,924,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,924,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,924,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,924,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,924,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,924,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,924,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,924,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,924,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,924,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,924,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,924,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,924,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,924,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,924,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,924,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,924,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,924,Electrocochleography ,,,211.05,211.05,1
RC,924,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,924,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,924,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,924,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,924,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,924,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,924,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,924,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,924,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,924,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,924,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,924,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,924,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,924,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,924,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,924,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,924,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,924,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,924,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,924,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,924,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,924,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,924,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,924,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,924,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,924,Filtered speech test ,,,59.78,59.78,1
RC,924,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,924,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,924,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,924,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,924,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,924,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,924,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,924,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,924,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,924,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,924,Hearing screening ,,,71.4,71.4,1
RC,924,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,924,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,924,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,924,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,924,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,924,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,924,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,924,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,924,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,924,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,924,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,924,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,924,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,924,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,924,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,924,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,924,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,924,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,924,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,924,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,924,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,924,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,924,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,924,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,924,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,924,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,924,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,924,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,924,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,924,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,924,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,924,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,924,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,924,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,924,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,924,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,924,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,924,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,924,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,924,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,924,Needle electromyography; larynx ,,,122.95,122.95,1
RC,924,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,924,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,924,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,924,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,924,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,924,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,924,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,924,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,924,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,924,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,924,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,924,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,924,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,924,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,924,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,924,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,924,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,924,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,924,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,924,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,924,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,924,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,924,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,924,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,924,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,924,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,924,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,924,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,924,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,924,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,924,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,924,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,924,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,924,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,924,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,924,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,924,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,924,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,924,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,924,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,924,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,924,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,924,Positional nystagmus test ,,,34.86,34.86,1
RC,924,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,924,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,924,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,924,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,924,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,924,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,924,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,924,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,924,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,924,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,924,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,924,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,924,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,924,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,924,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,924,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,924,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,924,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,924,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,924,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,924,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,924,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,924,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,924,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,924,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,924,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,924,Select picture audiometry ,,,112.2,112.2,1
RC,924,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,924,Sensorineural acuity level test ,,,139.76,139.76,1
RC,924,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,924,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,924,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,924,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,924,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,924,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,924,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,924,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,924,Speech audiometry threshold; ,,,57.25,57.25,1
RC,924,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,924,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,924,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,924,Staggered spondaic word test ,,,107.8,107.8,1
RC,924,"Stenger test, pure tone ",,,41.44,41.44,1
RC,924,"Stenger test, speech ",,,43.34,43.34,1
RC,924,Synthetic sentence identification test ,,,85.67,85.67,1
RC,924,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,924,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,924,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,924,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,924,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,924,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,924,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,924,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,924,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,924,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,924,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,924,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,924,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,924,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,924,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,924,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,924,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,924,Tone decay test ,,,67.36,67.36,1
RC,924,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,924,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,924,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,924,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,924,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,924,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,924,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,924,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,924,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,924,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,924,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,924,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,924,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,924,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,924,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,924,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,924,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,924,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,924,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,924,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,924,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,924,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,925, Other Diagnostic Services Pregnancy Test  ,,,,,0
RC,925,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,3
RC,925,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing ",,,64.2,64.2,1
RC,925,"Acoustic reflex testing, threshold ",,,30.3,30.3,1
RC,925,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,925,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,925,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,925,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,925,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,925,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,925,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,925,All potassium hydroxide (koh) preparations ,,,5.83,5.83,3
RC,925,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,925,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,925,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,925,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,925,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,925,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,925,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,925,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,925,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,925,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,925,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,925,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,925,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,925,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,925,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,925,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,925,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,925,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,925,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,925,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,925,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,925,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,925,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,925,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,925,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,925,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,925,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,925,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,925,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,925,Assessment for hearing aid ,,,93.5,93.5,1
RC,925,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,925,"Assessment of tinnitus (includes pitch, loudness matching, and masking) ",,,134.44,134.44,1
RC,925,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,925,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report ",,,156.09,156.09,1
RC,925,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report ",,,214.6,214.6,1
RC,925,"Auditory evoked potentials; neurodiagnostic, with interpretation and report ",,,159.99,159.99,1
RC,925,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,51.25,51.25,1
RC,925,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,54.72,54.72,1
RC,925,Behavioral and qualitative analysis of voice and resonance ,,,221.34,221.34,1
RC,925,Binocular microscopy (separate diagnostic procedure) ,,,55.42,55.42,1
RC,925,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,925,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) ",,,16.18,16.18,1
RC,925,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) ",,,11.75,11.75,1
RC,925,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) ",,,50.38,50.38,1
RC,925,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,925,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,925,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,925,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,925,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,925,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,3
RC,925,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,3
RC,925,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,3
RC,925,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,925,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,925,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,925,"Cephalin floculation, blood ",,,4.95,4.95,3
RC,925,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,925,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,3
RC,925,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,925,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,3
RC,925,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,925,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,3
RC,925,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) ,,,72.77,72.77,1
RC,925,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,925,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,925,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,25.66,38.3,2
RC,925,Conditioning play audiometry ,,,169.08,169.08,1
RC,925,Conformity evaluation ,,,82.14,82.14,1
RC,925,"Congo red, blood ",,,4.95,4.95,3
RC,925,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,925,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,925,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,925,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,925,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,925,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,925,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,3
RC,925,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,925,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,925,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,925,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,925,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,925,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming ",,,177.13,177.13,1
RC,925,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming ",,,295.15,295.15,1
RC,925,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming ",,,195.81,195.81,1
RC,925,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming ",,,313.22,313.22,1
RC,925,"Diagnostic analysis with programming of auditory brainstem implant, per hour ",,,216.63,216.63,1
RC,925,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,40.72,40.72,1
RC,925,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes ",,,158.16,158.16,1
RC,925,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,925,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,9.22,9.22,1
RC,925,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,6.69,6.69,1
RC,925,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,12
RC,925,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,3
RC,925,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,925,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,925,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,925,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,925,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,925,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,925,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,925,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,925,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,925,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,925,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,925,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,925,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,925,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,925,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,925,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,925,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,925,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,925,Ear protector attenuation measurements ,,,151.38,151.38,1
RC,925,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,925,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,925,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,925,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,925,Electrocochleography ,,,211.05,211.05,1
RC,925,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,925,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,925,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,925,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,925,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,925,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,97.51,97.51,1
RC,925,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,248.87,248.87,1
RC,925,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,63.79,63.79,1
RC,925,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,181.7,181.7,1
RC,925,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,147.24,147.24,1
RC,925,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,40.72,40.72,1
RC,925,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour ,,,172.29,172.29,1
RC,925,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) ",,,43.38,43.38,1
RC,925,"Evaluation of central auditory function, with report; initial 60 minutes ",,,178.69,178.69,1
RC,925,Evaluation of oral and pharyngeal swallowing function ,,,171.54,171.54,1
RC,925,"Evaluation of speech fluency (eg, stuttering, cluttering) ",,,270.45,270.45,1
RC,925,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",,,224.89,224.89,1
RC,925,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",,,462.27,462.27,1
RC,925,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,925,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,925,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,925,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,925,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,925,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,925,"Facial nerve function studies (eg, electroneuronography) ",,,140.15,140.15,1
RC,925,Fern test ,,,9.74,9.74,3
RC,925,Filtered speech test ,,,59.78,59.78,1
RC,925,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,925,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,,,449.78,449.78,1
RC,925,Flexible endoscopic evaluation of swallowing by cine or video recording; ,,,385.9,385.9,1
RC,925,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",,,292.77,292.77,1
RC,925,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,925,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,925,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,925,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,925,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,925,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,925,Hair analysis (excluding arsenic) ,,,4.95,4.95,3
RC,925,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,3
RC,925,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,3
RC,925,Hearing screening ,,,71.4,71.4,1
RC,925,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,3
RC,925,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,3
RC,925,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,3
RC,925,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,925,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,3
RC,925,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,3
RC,925,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,3
RC,925,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,3
RC,925,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,3
RC,925,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,925,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,925,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,925,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,925,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,925,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,925,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,925,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,925,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",,,175.97,175.97,1
RC,925,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,925,"Loudness balance test, alternate binaural or monaural ",,,93.89,93.89,1
RC,925,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,925,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,925,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,925,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,925,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,925,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,925,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,925,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,925,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,925,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,925,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,925,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,925,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,,,182.34,182.34,1
RC,925,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,925,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,3
RC,925,"Nasal function studies (eg, rhinomanometry) ",,,124.98,124.98,1
RC,925,Nasopharyngoscopy with endoscope (separate procedure) ,,,222.1,222.1,1
RC,925,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,925,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,925,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,925,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,925,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,925,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,925,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,925,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,925,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,925,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,925,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,925,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,925,Needle electromyography; larynx ,,,122.95,122.95,1
RC,925,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,925,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,925,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,925,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,925,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,925,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,925,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,925,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,925,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,925,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,925,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,925,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,925,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,925,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,925,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,925,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,925,Optokinetic nystagmus test ,,,38.17,38.17,1
RC,925,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording ",,,6.69,6.69,1
RC,925,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,925,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,925,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,925,"Oscillating tracking test, with recording ",,,6.69,6.69,1
RC,925,Otolaryngologic examination under general anesthesia ,,,189.29,189.29,1
RC,925,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,925,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,925,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,925,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,925,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,925,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,925,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,925,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,925,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,925,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,925,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,925,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,925,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,925,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,925,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,925,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,925,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,925,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,925,Pinworm examinations ,,,4.27,4.27,3
RC,925,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,925,Positional nystagmus test ,,,34.86,34.86,1
RC,925,"Positional nystagmus test, minimum of 4 positions, with recording ",,,7.32,7.32,1
RC,925,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,3
RC,925,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,925,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,925,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,925,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,925,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,925,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,925,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,925,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,3
RC,925,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,925,Pure tone audiometry (threshold); air and bone ,,,91.36,91.36,1
RC,925,Pure tone audiometry (threshold); air only ,,,75.58,75.58,1
RC,925,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,925,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,925,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,925,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,925,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,925,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,925,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,925,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,925,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,925,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,925,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,925,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,925,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,925,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,925,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,925,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,3
RC,925,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,3
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,3
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,3
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,3
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,3
RC,925,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,3
RC,925,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,3
RC,925,Select picture audiometry ,,,112.2,112.2,1
RC,925,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,925,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,3
RC,925,Sensorineural acuity level test ,,,139.76,139.76,1
RC,925,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,925,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,925,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,925,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,925,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,925,Sinusoidal vertical axis rotational testing ,,,221.9,221.9,1
RC,925,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,925,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,925,Speech audiometry threshold; ,,,57.25,57.25,1
RC,925,Speech audiometry threshold; with speech recognition ,,,88.84,88.84,1
RC,925,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording ",,,7.96,7.96,1
RC,925,"Spontaneous nystagmus, including gaze ",,,30.3,30.3,1
RC,925,Staggered spondaic word test ,,,107.8,107.8,1
RC,925,"Stenger test, pure tone ",,,41.44,41.44,1
RC,925,"Stenger test, speech ",,,43.34,43.34,1
RC,925,Synthetic sentence identification test ,,,85.67,85.67,1
RC,925,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,925,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,925,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,925,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,925,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,925,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,925,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,925,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,925,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,925,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,925,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,925,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,925,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,925,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,925,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,925,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,156.13,156.13,1
RC,925,"Therapeutic services for the use of speech-generating device, including programming and modification ",,,207.14,207.14,1
RC,925,"Thymol turbidity, blood ",,,4.95,4.95,3
RC,925,Tone decay test ,,,67.36,67.36,1
RC,925,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,925,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,925,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,925,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,925,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,48.29,48.29,1
RC,925,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",,,155.37,155.37,1
RC,925,Treatment of swallowing dysfunction and/or oral function for feeding ,,,170.82,170.82,1
RC,925,Tympanometry (impedance testing) ,,,31.54,31.54,1
RC,925,Tympanometry and reflex threshold measurements ,,,43.38,43.38,1
RC,925,Use of vertical electrodes (List separately in addition to code for primary procedure) ,,,19.58,19.58,1
RC,925,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,925,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,925,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) ",,,148.55,148.55,1
RC,925,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) ",,,239.06,239.06,1
RC,925,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) ",,,148.94,148.94,1
RC,925,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,925,Visual reinforcement audiometry (VRA) ,,,88.03,88.03,1
RC,925,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,3
RC,925,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,3
RC,925,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,925,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,925,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,925,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,925,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,929, Other Diagnostic Service  ,,,338.0,450.0,3
RC,929,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,929,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,929,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,929,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,929,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,929,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,929,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,929,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,89.23,89.23,1
RC,929,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only ",,,42.71,42.71,1
RC,929,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,929,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,929,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,929,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,22.56,22.56,1
RC,929,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,929,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,929,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,929,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,929,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,929,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,929,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,929,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,929,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,929,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,929,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,929,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,929,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,929,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,929,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,929,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,929,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,929,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,929,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,929,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,929,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,929,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,929,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,929,Assessment for hearing aid ,,,93.5,93.5,1
RC,929,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,929,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,929,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) ",,,223.8,223.8,1
RC,929,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,929,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,929,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,625.31,625.31,1
RC,929,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,929,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,929,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,929,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,929,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,929,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,929,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,929,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,205.23,205.23,1
RC,929,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,929,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,929,Conformity evaluation ,,,82.14,82.14,1
RC,929,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,929,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,929,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,929,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,929,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,929,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,929,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,929,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,929,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,929,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,929,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,929,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,929,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,267.14,267.14,1
RC,929,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,176.41,176.41,1
RC,929,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,,,393.88,393.88,1
RC,929,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,229.86,229.86,1
RC,929,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,390.11,390.11,1
RC,929,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,227.35,227.35,1
RC,929,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,109.7,109.7,1
RC,929,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,93.26,93.26,1
RC,929,Duplex scan of extracranial arteries; complete bilateral study ,,,283.57,283.57,1
RC,929,Duplex scan of extracranial arteries; unilateral or limited study ,,,188.42,188.42,1
RC,929,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,288.0,288.0,1
RC,929,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,183.99,183.99,1
RC,929,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,230.49,230.49,1
RC,929,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,376.83,376.83,1
RC,929,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,225.46,225.46,1
RC,929,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,301.01,301.01,1
RC,929,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,187.79,187.79,1
RC,929,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,929,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,929,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,929,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,929,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,929,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,929,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,929,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,929,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,929,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,354.97,354.97,1
RC,929,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,929,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,929,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,929,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,929,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,929,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,929,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,929,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,929,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,929,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,929,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,929,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,929,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,929,Hearing screening ,,,71.4,71.4,1
RC,929,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,929,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,929,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,929,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,929,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,99.58,99.58,1
RC,929,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,929,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,929,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,929,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,929,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,132.2,132.2,1
RC,929,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,929,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,929,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,929,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,929,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,929,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,929,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,929,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,929,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,929,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,929,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,929,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,929,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,929,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,1343.0,1790.0,3
RC,929,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,929,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,929,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,929,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,929,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,929,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,929,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,929,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,929,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,929,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,929,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,929,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,929,Needle electromyography; larynx ,,,122.95,122.95,1
RC,929,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,929,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,929,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,929,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,929,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,929,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,929,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,929,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,929,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,929,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,929,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,929,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,929,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,256.41,256.41,1
RC,929,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,929,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,929,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,929,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,929,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,929,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,929,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,129.4,129.4,1
RC,929,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,929,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,929,"Peripheral arterial disease (PAD) rehabilitation, per session ",,,27.56,27.56,1
RC,929,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,929,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,929,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,929,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,929,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,929,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,929,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,929,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,929,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,929,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,929,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,929,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,929,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,929,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,929,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,929,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,929,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,1343.0,1790.0,3
RC,929,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,929,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,1343.0,1790.0,3
RC,929,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,1343.0,1790.0,3
RC,929,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,929,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,929,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,929,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,929,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,929,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,929,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,929,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,929,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,929,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,929,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,929,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,929,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,929,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,929,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,929,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,929,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,929,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,929,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,929,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,929,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,929,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,929,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,929,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,929,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,929,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,929,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,929,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,929,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,929,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,1343.0,1790.0,3
RC,929,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,1343.0,1790.0,3
RC,929,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,1343.0,1790.0,3
RC,929,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,1343.0,1790.0,3
RC,929,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,929,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,929,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,929,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,929,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,929,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,929,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,929,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,929,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,929,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,929,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,929,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,929,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,929,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,929,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,929,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,929,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,929,Transcranial Doppler study of the intracranial arteries; complete study ,,,399.83,399.83,1
RC,929,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,443.8,443.8,1
RC,929,Transcranial Doppler study of the intracranial arteries; limited study ,,,237.71,237.71,1
RC,929,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,521.13,521.13,1
RC,929,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,261.08,261.08,1
RC,929,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,363.43,363.43,1
RC,929,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,929,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,929,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,929,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,929,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,929,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,940, Other Therapeutic Services General Classification  ,,,485.0,646.0,3
RC,940,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,940,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,940,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,940,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,940,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,940,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,940,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,940,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,940,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,940,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,940,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,940,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,940,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,940,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,940,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,940,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,940,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,940,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,940,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,940,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,940,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,940,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,940,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,940,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,940,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,940,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,940,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,940,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,940,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,940,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,940,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,940,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,940,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,940,Assessment for hearing aid ,,,93.5,93.5,1
RC,940,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,940,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,940,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,940,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,940,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,940,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,940,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,940,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,940,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,940,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,940,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,940,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,940,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,940,Conformity evaluation ,,,82.14,82.14,1
RC,940,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,940,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,940,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,940,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,940,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,940,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,940,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,940,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,940,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,940,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,940,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,940,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,940,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,940,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,940,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,940,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,940,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,940,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,940,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,940,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,940,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,940,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,940,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,940,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,940,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,940,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,940,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,940,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,940,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,940,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,940,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,940,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,940,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,940,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,940,Hearing screening ,,,71.4,71.4,1
RC,940,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,940,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,940,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,940,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,940,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,940,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,940,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,940,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,940,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,940,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,940,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,940,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,940,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,940,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,940,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,940,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,940,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,940,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,940,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,940,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,940,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,940,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,940,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,940,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,940,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,940,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,940,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,940,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,940,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,940,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,940,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,940,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,940,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,940,Needle electromyography; larynx ,,,122.95,122.95,1
RC,940,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,940,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,940,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,940,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,940,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,940,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,940,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,940,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,940,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,940,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,940,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,940,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,940,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,940,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,940,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,940,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,940,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,940,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,940,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,940,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,940,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,940,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,940,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,940,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,940,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,940,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,940,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,940,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,940,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,940,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,940,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,940,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,940,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,940,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,940,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,940,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,940,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,940,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,940,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,940,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,940,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,940,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,940,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,940,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,940,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,940,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,940,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,940,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,940,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,940,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,940,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,940,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,940,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,940,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,940,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,940,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,940,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,940,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,940,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,940,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,940,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,940,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,940,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,940,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,940,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,940,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,940,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,940,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,940,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,940,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,940,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,940,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,940,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,940,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,940,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,940,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,940,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,940,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,940,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,940,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,940,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,940,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,940,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,940,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,940,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,940,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,941,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,941,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,941,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,941,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,941,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,941,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,941,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,941,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,941,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,941,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,941,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,941,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,941,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,941,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,941,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,941,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,941,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,941,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,941,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,941,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,941,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,941,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,941,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,941,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,941,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,941,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,941,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,941,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,941,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,941,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,941,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,941,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,941,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,941,Assessment for hearing aid ,,,93.5,93.5,1
RC,941,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,941,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,941,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,941,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,941,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,941,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,941,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,941,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,941,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,941,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,941,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,941,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,941,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,941,Conformity evaluation ,,,82.14,82.14,1
RC,941,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,941,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,941,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,941,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,941,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,941,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,941,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,941,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,941,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,941,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,941,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,941,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,941,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,941,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,941,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,941,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,941,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,941,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,941,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,941,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,941,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,941,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,941,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,941,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,941,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,941,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,941,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,941,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,941,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,941,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,941,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,941,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,941,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,941,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,941,Hearing screening ,,,71.4,71.4,1
RC,941,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,941,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,941,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,941,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,941,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,941,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,941,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,941,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,941,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,941,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,941,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,941,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,941,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,941,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,941,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,941,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,941,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,941,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,941,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,941,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,941,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,941,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,941,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,941,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,941,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,941,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,941,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,941,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,941,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,941,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,941,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,941,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,941,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,941,Needle electromyography; larynx ,,,122.95,122.95,1
RC,941,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,941,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,941,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,941,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,941,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,941,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,941,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,941,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,941,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,941,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,941,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,941,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,941,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,941,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,941,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,941,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,941,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,941,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,941,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,941,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,941,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,941,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,941,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,941,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,941,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,941,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,941,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,941,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,941,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,941,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,941,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,941,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,941,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,941,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,941,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,941,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,941,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,941,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,941,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,941,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,941,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,941,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,941,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,941,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,941,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,941,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,941,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,941,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,941,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,941,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,941,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,941,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,941,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,941,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,941,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,941,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,941,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,941,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,941,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,941,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,941,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,941,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,941,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,941,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,941,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,941,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,941,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,941,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,941,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,941,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,941,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,941,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,941,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,941,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,941,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,941,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,941,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,941,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,941,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,941,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,941,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,941,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,941,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,941,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,941,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,941,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,941,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,942, Other Therapeutic Services Education/Training  ,,,164.0,351.0,4
RC,942,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,942,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,942,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,942,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,942,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,942,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,942,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,942,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,942,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,942,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,942,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,942,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,942,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,942,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,942,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,942,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,942,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,942,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,942,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,942,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,942,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,942,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,942,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,942,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,942,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,942,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,942,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,942,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,942,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,942,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,942,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,942,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,942,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,942,Assessment for hearing aid ,,,93.5,93.5,1
RC,942,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,942,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,942,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,942,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,942,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,942,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,942,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,942,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,942,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,942,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,942,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,942,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,942,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,942,Conformity evaluation ,,,82.14,82.14,1
RC,942,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,942,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,942,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,942,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,942,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,942,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,942,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,942,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,942,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,942,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,942,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,942,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,942,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,942,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,28.19,2
RC,942,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,942,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,942,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,942,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,942,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,942,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,942,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,942,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,942,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,942,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,942,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,942,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,942,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,942,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,942,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,942,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,942,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,942,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,942,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,942,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,942,Hearing screening ,,,71.4,71.4,1
RC,942,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,942,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,942,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,942,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,942,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,942,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,942,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,942,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,942,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,942,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,942,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,942,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,942,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,942,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,942,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,942,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,942,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,942,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,942,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,942,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,942,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,942,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,942,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,942,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,942,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,942,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,942,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,942,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,942,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,942,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,942,Needle electromyography; larynx ,,,122.95,122.95,1
RC,942,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,942,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,942,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,942,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,942,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,942,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,942,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,942,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,942,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,942,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,942,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,942,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,942,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,942,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,942,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,942,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,942,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,942,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,942,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,942,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,942,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,942,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,942,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,942,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,942,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,942,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,942,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,942,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,942,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,942,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,942,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,942,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,942,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,942,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,942,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,942,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,942,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,942,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,942,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,942,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,942,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,942,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,942,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,942,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,942,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,942,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,942,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,942,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,942,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,942,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,942,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,942,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,942,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,942,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,942,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,942,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,942,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,942,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,942,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,942,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,942,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,942,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,942,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,942,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,942,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,942,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,942,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,942,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,942,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,942,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,942,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,942,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,942,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,942,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,942,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,942,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,942,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,942,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,942,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,942,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,942,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,942,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,942,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,942,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,942,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,942,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,942,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,943, Other Therapeutic Services Cardiac Rehabilitation  ,,,982.0,1309.0,3
RC,943,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,943,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,943,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,943,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,943,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,943,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,943,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,943,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,943,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,943,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,943,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,943,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,943,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,943,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,943,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,943,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,943,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,943,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,943,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,943,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,943,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,943,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,943,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,943,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,943,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,943,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,943,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,943,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,943,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,943,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,943,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,943,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,943,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,943,Assessment for hearing aid ,,,93.5,93.5,1
RC,943,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,943,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,943,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,943,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,943,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,943,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,943,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,943,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,943,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,943,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,943,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,943,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,943,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,943,Conformity evaluation ,,,82.14,82.14,1
RC,943,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,943,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,943,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,943,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,943,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,943,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,943,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,943,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,943,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,943,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,943,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,943,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,943,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,943,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,943,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,943,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,943,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,943,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,943,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,943,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,943,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,943,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,943,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,943,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,943,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,943,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,943,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,943,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,943,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,943,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,943,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,943,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,943,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,943,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,943,Hearing screening ,,,71.4,71.4,1
RC,943,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,943,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,943,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,943,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,943,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,943,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,943,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,943,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,943,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,943,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,943,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,943,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,943,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,943,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,943,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,943,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,943,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,943,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,943,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,943,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,943,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,943,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,943,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,943,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,943,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,943,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,943,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,943,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,943,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,943,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,943,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,943,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,943,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,943,Needle electromyography; larynx ,,,122.95,122.95,1
RC,943,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,943,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,943,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,943,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,943,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,943,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,943,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,943,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,943,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,943,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,943,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,943,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,943,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,943,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,943,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,943,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,943,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,943,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,943,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,943,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,943,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,943,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,943,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,943,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,943,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,943,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,943,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,943,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,943,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,943,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,943,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,943,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,943,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,943,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,943,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,943,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,943,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,943,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,943,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,943,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,943,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,943,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,943,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,943,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,943,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,943,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,943,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,943,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,943,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,943,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,943,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,943,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,943,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,943,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,943,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,943,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,943,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,943,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,943,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,943,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,943,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,943,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,943,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,943,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,943,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,943,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,943,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,943,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,943,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,943,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,943,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,943,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,943,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,943,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,943,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,943,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,943,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,943,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,943,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,943,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,943,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,943,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,943,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,943,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,943,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,943,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,943,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,944,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,944,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,944,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,944,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,944,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,944,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,944,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,944,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,944,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,944,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,944,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,944,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,944,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,944,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,944,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,944,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,944,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,944,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,944,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,944,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,944,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,944,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,944,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,944,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,944,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,944,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,944,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,944,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,944,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,944,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,944,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,944,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,944,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,944,Assessment for hearing aid ,,,93.5,93.5,1
RC,944,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,944,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,944,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,944,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,944,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,944,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,944,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,944,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,944,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,944,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,944,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,944,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,944,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,944,Conformity evaluation ,,,82.14,82.14,1
RC,944,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,944,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,944,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,944,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,944,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,944,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,944,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,944,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,944,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,944,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,944,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,944,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,944,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,944,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,944,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,944,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,944,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,944,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,944,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,944,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,944,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,944,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,944,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,944,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,944,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,944,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,944,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,944,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,944,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,944,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,944,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,944,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,944,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,944,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,944,Hearing screening ,,,71.4,71.4,1
RC,944,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,944,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,944,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,944,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,944,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,944,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,944,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,944,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,944,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,944,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,944,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,944,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,944,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,944,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,944,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,944,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,944,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,944,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,944,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,944,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,944,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,944,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,944,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,944,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,944,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,944,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,944,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,944,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,944,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,944,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,944,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,944,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,944,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,944,Needle electromyography; larynx ,,,122.95,122.95,1
RC,944,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,944,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,944,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,944,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,944,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,944,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,944,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,944,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,944,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,944,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,944,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,944,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,944,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,944,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,944,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,944,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,944,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,944,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,944,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,944,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,944,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,944,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,944,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,944,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,944,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,944,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,944,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,944,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,944,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,944,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,944,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,944,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,944,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,944,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,944,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,944,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,944,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,944,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,944,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,944,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,944,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,944,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,944,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,944,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,944,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,944,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,944,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,944,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,944,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,944,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,944,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,944,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,944,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,944,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,944,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,944,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,944,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,944,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,944,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,944,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,944,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,944,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,944,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,944,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,944,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,944,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,944,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,944,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,944,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,944,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,944,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,944,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,944,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,944,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,944,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,944,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,944,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,944,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,944,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,944,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,944,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,944,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,944,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,944,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,944,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,944,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,944,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,945,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,945,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,945,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,945,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,945,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,945,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,945,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,945,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,945,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,945,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,945,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,945,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,945,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,945,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,945,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,945,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,945,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,945,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,945,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,945,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,945,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,945,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,945,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,945,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,945,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,945,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,945,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,945,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,945,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,945,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,945,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,945,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,945,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,945,Assessment for hearing aid ,,,93.5,93.5,1
RC,945,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,945,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,945,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,945,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,945,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,945,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,945,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,945,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,945,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,945,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,945,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,945,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,945,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,945,Conformity evaluation ,,,82.14,82.14,1
RC,945,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,945,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,945,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,945,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,945,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,945,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,945,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,945,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,945,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,945,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,945,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,945,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,945,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,945,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,945,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,945,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,945,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,945,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,945,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,945,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,945,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,945,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,945,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,945,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,945,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,945,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,945,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,945,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,945,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,945,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,945,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,945,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,945,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,945,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,945,Hearing screening ,,,71.4,71.4,1
RC,945,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,945,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,945,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,945,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,945,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,945,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,945,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,945,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,945,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,945,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,945,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,945,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,945,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,945,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,945,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,945,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,945,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,945,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,945,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,945,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,945,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,945,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,945,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,945,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,945,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,945,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,945,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,945,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,945,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,945,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,945,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,945,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,945,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,945,Needle electromyography; larynx ,,,122.95,122.95,1
RC,945,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,945,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,945,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,945,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,945,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,945,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,945,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,945,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,945,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,945,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,945,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,945,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,945,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,945,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,945,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,945,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,945,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,945,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,945,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,945,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,945,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,945,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,945,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,945,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,945,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,945,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,945,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,945,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,945,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,945,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,945,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,945,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,945,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,945,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,945,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,945,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,945,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,945,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,945,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,945,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,945,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,945,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,945,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,945,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,945,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,945,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,945,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,945,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,945,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,945,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,945,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,945,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,945,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,945,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,945,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,945,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,945,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,945,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,945,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,945,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,945,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,945,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,945,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,945,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,945,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,945,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,945,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,945,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,945,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,945,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,945,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,945,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,945,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,945,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,945,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,945,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,945,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,945,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,945,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,945,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,945,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,945,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,945,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,945,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,945,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,945,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,945,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,946, Other Therapeutic Services Complex Medical Equipment-Routine  ,,,,,0
RC,946,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,946,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,946,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,946,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,946,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,946,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis ,,,15.35,15.35,1
RC,946,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,946,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,946,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,946,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,946,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,946,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,946,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,946,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,946,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,946,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,946,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,946,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,946,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,946,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,946,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,946,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,946,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,946,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,946,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,946,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,946,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,946,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,946,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,946,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,946,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,946,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,946,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,946,Assessment for hearing aid ,,,93.5,93.5,1
RC,946,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,946,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,946,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,946,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,946,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,946,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,946,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,946,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,946,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,946,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,946,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,946,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,946,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,946,Conformity evaluation ,,,82.14,82.14,1
RC,946,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) ,,,31.98,31.98,1
RC,946,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour ,,,108.8,108.8,1
RC,946,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,946,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,946,"Continuous negative pressure ventilation (CNP), initiation and management ",,,68.78,68.78,1
RC,946,"Continuous positive airway pressure ventilation (CPAP), initiation and management ",,,128.16,128.16,1
RC,946,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,946,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,946,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device ",,,33.62,33.62,1
RC,946,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,946,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,946,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,946,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,946,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,946,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,946,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,946,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,946,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,946,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,946,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,946,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,946,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,946,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,946,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,946,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,946,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,946,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,946,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,946,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,946,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,946,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,946,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,946,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,946,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,946,Hearing screening ,,,71.4,71.4,1
RC,946,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,946,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,946,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,946,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,946,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,946,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,946,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,946,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,946,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,946,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation ",,,47.52,47.52,1
RC,946,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent ",,,72.79,72.79,1
RC,946,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,946,"Mechanical chest wall oscillation to facilitate lung function, per session ",,,39.31,39.31,1
RC,946,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,946,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,946,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,946,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,946,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,946,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,946,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,946,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,946,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,946,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,946,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,946,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,946,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,946,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,946,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,946,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,946,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,946,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,946,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,946,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,946,Needle electromyography; larynx ,,,122.95,122.95,1
RC,946,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,946,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,946,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,946,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,946,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,946,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,946,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,946,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,946,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,946,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,946,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,946,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,946,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,946,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,946,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,946,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,946,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,946,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,946,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,946,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,946,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,946,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,946,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,946,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,946,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,946,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,946,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,946,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,946,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,946,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,946,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,946,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,946,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) ,,,162.32,162.32,1
RC,946,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) ,,,148.22,148.22,1
RC,946,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,946,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,946,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,946,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,946,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,946,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,14.91,14.91,1
RC,946,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,946,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,946,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,946,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,946,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,946,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,946,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,946,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,946,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,946,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,946,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,946,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,946,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,946,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,946,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,946,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,946,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,946,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,946,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,946,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,946,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,946,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,946,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,946,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,946,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,946,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,946,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,946,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,946,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,946,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,946,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,946,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,946,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,946,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,946,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,946,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,946,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,946,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,946,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,946,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,946,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,946,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,946,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,946,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,946,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,946,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,946,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,947, Other Therapeutic Services Complex Medical Equipment-Ancillary   ,,,,,0
RC,947,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,947,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,947,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,947,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,947,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,947,Airway resistance by oscillometry ,,,61.04,61.04,1
RC,947,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,947,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,947,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,947,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,947,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,947,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,947,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,947,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,947,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,947,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,947,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,947,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,947,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,947,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,947,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,947,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,947,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,947,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,947,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,947,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,947,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,947,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,947,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,947,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,947,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,947,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,947,Assessment for hearing aid ,,,93.5,93.5,1
RC,947,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,947,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,947,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,947,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,42.07,103.88,2
RC,947,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,947,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,947,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,947,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,947,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,947,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,947,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,947,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,947,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,947,Conformity evaluation ,,,82.14,82.14,1
RC,947,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,947,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,947,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,947,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,947,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,947,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,947,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) ",,,89.47,89.47,1
RC,947,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,947,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,947,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,947,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,947,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,947,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,947,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,947,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,947,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,947,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,947,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,947,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,947,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,947,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,947,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,947,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,947,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,947,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes ",,,62.94,62.94,1
RC,947,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,947,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,947,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,947,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,947,Hearing screening ,,,71.4,71.4,1
RC,947,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,947,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,947,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,947,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,947,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,947,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,947,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,947,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,947,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,947,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,947,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,947,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,947,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,947,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,947,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,947,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,947,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,947,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,947,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,947,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,947,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,947,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,947,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,947,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,947,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,947,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,947,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,947,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,947,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,947,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,947,Needle electromyography; larynx ,,,122.95,122.95,1
RC,947,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,947,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,947,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,947,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,947,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,947,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,947,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,947,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,947,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,947,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,947,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,947,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,947,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,947,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,947,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,947,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,947,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,947,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,947,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,97.05,97.05,1
RC,947,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,459.41,459.41,1
RC,947,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,947,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,947,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,947,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,947,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,947,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,947,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,947,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,947,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,947,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,947,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,947,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,947,"Plethysmography for determination of lung volumes and, when performed, airway resistance ",,,84.8,84.8,1
RC,947,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,947,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,947,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,947,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,947,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,947,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,947,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,947,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,947,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,947,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,947,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,947,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,947,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,947,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,947,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,947,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,947,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,947,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,947,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,947,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,947,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,947,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,947,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,947,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,947,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,947,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,947,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,947,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,947,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,947,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,947,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,947,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,947,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,947,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,947,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,947,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,947,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,947,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,947,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,947,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,947,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,947,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,947,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,947,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,947,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,947,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,947,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,947,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,947,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,947,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,947,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,948, Other Therapeutic Services Pulmonary Rehabilitation  ,,,573.0,764.0,3
RC,948,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,948,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,948,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,948,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,948,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,948,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,948,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,948,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,948,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,948,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,948,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,948,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,948,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,948,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,948,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,948,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,948,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,948,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,948,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,948,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,948,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,948,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,948,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,948,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,948,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,948,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,948,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,948,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,948,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,948,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,948,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,948,Assessment for hearing aid ,,,93.5,93.5,1
RC,948,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,948,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,948,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,948,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,948,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,948,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,948,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,948,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,948,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,948,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,948,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,948,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,948,Conformity evaluation ,,,82.14,82.14,1
RC,948,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,948,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,948,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,948,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,948,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,948,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,948,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,948,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,948,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,948,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,948,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,948,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,948,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,948,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,948,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,948,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,948,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,948,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,948,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,948,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,948,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,948,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,948,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,948,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,948,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,948,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,948,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,948,Hearing screening ,,,71.4,71.4,1
RC,948,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,948,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,948,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,948,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,948,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,948,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,948,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,948,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,948,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,948,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,948,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,948,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,948,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,948,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,948,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,948,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,948,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,948,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,948,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,948,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,948,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,948,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,948,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,948,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,948,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,948,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,948,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,948,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,948,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,948,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,948,Needle electromyography; larynx ,,,122.95,122.95,1
RC,948,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,948,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,948,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,948,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,948,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,948,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,948,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,948,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,948,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,948,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,948,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,948,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,948,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,948,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,948,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,948,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,948,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,948,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,948,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,948,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,948,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,948,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,948,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,948,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,948,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,948,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,948,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,948,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,948,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,948,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,948,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,948,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,948,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,948,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,948,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,948,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,948,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,948,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,948,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,948,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,948,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,948,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,948,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,948,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,948,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,948,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,948,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,948,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,948,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,948,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,948,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,948,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,948,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,948,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,948,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,948,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,948,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,948,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,948,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,948,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,948,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,948,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,948,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,948,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,948,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,948,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,948,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,948,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,948,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,948,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,948,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,948,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,948,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,948,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,948,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,948,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,948,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,948,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,948,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,948,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,948,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,949, Other Therapeutic Services Other Therapeutic Service  ,,,485.0,646.0,3
RC,949,Actinotherapy (ultraviolet light) ,,,47.13,47.13,1
RC,949,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,58.93,58.93,1
RC,949,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,104.9,104.9,1
RC,949,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,52.54,52.54,1
RC,949,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient ",,,90.67,90.67,1
RC,949,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report ",,,69.22,69.22,1
RC,949,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,124.11,124.11,1
RC,949,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,271.32,271.32,1
RC,949,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,68.78,68.78,1
RC,949,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,27.84,27.84,1
RC,949,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,14.08,14.08,1
RC,949,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,29.39,29.39,1
RC,949,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,25.09,25.09,1
RC,949,Application of a modality to 1 or more areas; hot or cold packs ,,,12.82,12.82,1
RC,949,Application of a modality to 1 or more areas; infrared ,,,13.45,13.45,1
RC,949,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,38.3,38.3,1
RC,949,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,85.57,85.57,1
RC,949,Application of a modality to 1 or more areas; paraffin bath ,,,12.19,12.19,1
RC,949,"Application of a modality to 1 or more areas; traction, mechanical ",,,29.39,29.39,1
RC,949,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,28.47,28.47,1
RC,949,Application of a modality to 1 or more areas; ultraviolet ,,,16.13,16.13,1
RC,949,Application of a modality to 1 or more areas; vasopneumatic devices ,,,23.83,23.83,1
RC,949,Application of a modality to 1 or more areas; whirlpool ,,,31.33,31.33,1
RC,949,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1334.44,1334.44,1
RC,949,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1334.44,1334.44,1
RC,949,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,3987.72,3987.72,1
RC,949,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1334.44,1334.44,1
RC,949,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection ,,,35.12,35.12,1
RC,949,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes ,,,413.61,413.61,1
RC,949,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes ,,,579.53,579.53,1
RC,949,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour ,,,826.59,826.59,1
RC,949,Assessment for hearing aid ,,,93.5,93.5,1
RC,949,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,194.57,194.57,1
RC,949,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,77.35,77.35,1
RC,949,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,85.0,85.0,1
RC,949,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,53.63,108.3,2
RC,949,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,53.63,108.3,2
RC,949,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs ,,,823.91,823.91,1
RC,949,Central motor evoked potential study (transcranial motor stimulation); lower limbs ,,,302.78,302.78,1
RC,949,Central motor evoked potential study (transcranial motor stimulation); upper limbs ,,,300.88,300.88,1
RC,949,Cholinesterase inhibitor challenge test for myasthenia gravis ,,,122.93,122.93,1
RC,949,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,65.18,65.18,1
RC,949,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; ,,,168.41,168.41,1
RC,949,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking ,,,212.33,212.33,1
RC,949,Conformity evaluation ,,,82.14,82.14,1
RC,949,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,64.07,64.07,1
RC,949,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,62.81,62.81,1
RC,949,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,87.09,193.32,2
RC,949,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,517.55,517.55,1
RC,949,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,31.28,31.28,1
RC,949,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,109.22,109.22,1
RC,949,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles ",,,42.71,42.71,1
RC,949,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,20.6,58.9,3
RC,949,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,25.09,25.09,1
RC,949,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,92.87,92.87,1
RC,949,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,23.2,23.2,1
RC,949,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days ",,,209.56,209.56,1
RC,949,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,20.4,20.4,1
RC,949,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,76.15,115.26,3
RC,949,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,37.21,111.53,7
RC,949,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm ,,,291.18,291.18,1
RC,949,Excimer laser treatment for psoriasis; over 500 sq cm ,,,364.41,364.41,1
RC,949,Excimer laser treatment for psoriasis; total area less than 250 sq cm ,,,272.35,272.35,1
RC,949,"External counterpulsation, per treatment session ",,,188.55,188.55,1
RC,949,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,52.21,52.21,1
RC,949,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,217.02,217.02,1
RC,949,Fitting/orientation/checking of hearing aid ,,,145.95,145.95,1
RC,949,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,76.1,76.1,1
RC,949,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist ,,,79.35,79.35,1
RC,949,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist ,,,122.21,122.21,1
RC,949,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,44.41,44.41,1
RC,949,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,44.41,44.41,1
RC,949,Hearing screening ,,,71.4,71.4,1
RC,949,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval ",,,331.34,331.34,1
RC,949,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,126.77,126.77,1
RC,949,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,9.22,9.22,1
RC,949,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,11.75,11.75,1
RC,949,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison ,,,56.61,56.61,1
RC,949,Irrigation of implanted venous access device for drug delivery systems ,,,45.54,45.54,1
RC,949,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) ,,,118.53,118.53,1
RC,949,"Lactation classes, non-physician provider, per session ",,,58.34,58.34,1
RC,949,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,778.57,778.57,1
RC,949,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,55.98,55.98,1
RC,949,"Medical genetics and genetic counseling services, each 30 minutes of total time provided by the genetic counselor on the date of the encounter ",,,96.94,96.94,1
RC,949,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,33.81,33.81,1
RC,949,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,33.81,33.81,1
RC,949,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,73.14,73.14,1
RC,949,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,63.7,63.7,1
RC,949,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,63.7,63.7,1
RC,949,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,43.58,43.58,1
RC,949,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report ",,,56.61,56.61,1
RC,949,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) ,,,102.98,102.98,1
RC,949,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied ",,,71.16,71.16,1
RC,949,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,92.87,92.87,1
RC,949,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,78.98,78.98,1
RC,949,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,85.3,85.3,1
RC,949,Needle electromyography; 1 extremity with or without related paraspinal areas ,,,114.73,114.73,1
RC,949,Needle electromyography; 2 extremities with or without related paraspinal areas ,,,141.92,141.92,1
RC,949,Needle electromyography; 3 extremities with or without related paraspinal areas ,,,213.31,213.31,1
RC,949,Needle electromyography; 4 extremities with or without related paraspinal areas ,,,224.67,224.67,1
RC,949,"Needle electromyography; cranial nerve supplied muscle(s), unilateral ",,,118.53,118.53,1
RC,949,"Needle electromyography; cranial nerve supplied muscles, bilateral ",,,122.32,122.32,1
RC,949,Needle electromyography; hemidiaphragm ,,,123.58,123.58,1
RC,949,Needle electromyography; larynx ,,,122.95,122.95,1
RC,949,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters ",,,114.73,114.73,1
RC,949,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) ,,,134.96,134.96,1
RC,949,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,85.91,102.09,2
RC,949,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,632.94,659.73,2
RC,949,Nerve conduction studies; 1-2 studies ,,,69.26,69.26,1
RC,949,Nerve conduction studies; 11-12 studies ,,,166.31,166.31,1
RC,949,Nerve conduction studies; 13 or more studies ,,,190.31,190.31,1
RC,949,Nerve conduction studies; 3-4 studies ,,,86.31,86.31,1
RC,949,Nerve conduction studies; 5-6 studies ,,,104.01,104.01,1
RC,949,Nerve conduction studies; 7-8 studies ,,,132.44,132.44,1
RC,949,Nerve conduction studies; 9-10 studies ,,,149.48,149.48,1
RC,949,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method ",,,128.01,128.01,1
RC,949,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,206.79,206.79,1
RC,949,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,206.79,206.79,1
RC,949,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,206.79,206.79,1
RC,949,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing ",,,93.26,93.26,1
RC,949,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,93.13,93.13,1
RC,949,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",,,101.2,101.2,1
RC,949,"Phlebotomy, therapeutic (separate procedure) ",,,168.97,168.97,1
RC,949,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,284.84,284.84,1
RC,949,Photochemotherapy; psoralens and ultraviolet A (PUVA) ,,,187.79,187.79,1
RC,949,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B ,,,221.27,221.27,1
RC,949,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,49.79,49.79,1
RC,949,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,105.82,105.82,1
RC,949,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,249.33,249.33,1
RC,949,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,418.76,418.76,1
RC,949,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,68.13,68.13,1
RC,949,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,201.74,201.74,1
RC,949,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,201.74,201.74,1
RC,949,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,201.74,201.74,1
RC,949,"Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services ",,,1156.71,1156.71,1
RC,949,"Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services ",,,1156.71,1156.71,1
RC,949,"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services ",,,678.85,678.85,1
RC,949,"Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services ",,,1156.71,1156.71,1
RC,949,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections ,,,23.13,23.13,1
RC,949,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection ,,,19.97,19.97,1
RC,949,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,82.4,82.4,1
RC,949,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,,,47.04,47.04,1
RC,949,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",,,39.74,39.74,1
RC,949,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,142.14,142.14,1
RC,949,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,138.6,138.6,1
RC,949,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,163.91,163.91,1
RC,949,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,210.26,210.26,1
RC,949,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",,,211.7,211.7,1
RC,949,Refilling and maintenance of portable pump ,,,223.08,223.08,1
RC,949,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,83.78,83.78,1
RC,949,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,83.78,83.78,1
RC,949,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,38.04,38.04,1
RC,949,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,79.94,101.48,2
RC,949,"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound as",,,161.58,161.58,1
RC,949,Repair/modification of a hearing aid ,,,176.27,176.27,1
RC,949,Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present ,,,928.29,928.29,1
RC,949,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,65.6,65.6,1
RC,949,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",,,121.43,121.43,1
RC,949,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs ",,,215.97,215.97,1
RC,949,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head ",,,282.7,282.7,1
RC,949,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs ",,,620.71,620.71,1
RC,949,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs ",,,238.71,238.71,1
RC,949,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes ",,,54.48,54.48,1
RC,949,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes ",,,28.43,28.43,1
RC,949,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,81.25,81.25,1
RC,949,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt ,,,118.29,118.29,1
RC,949,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,140.02,140.02,1
RC,949,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,82.91,82.91,1
RC,949,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,70.59,70.59,1
RC,949,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,43.71,45.76,2
RC,949,"Therapeutic procedure(s), group (2 or more individuals) ",,,35.99,35.99,1
RC,949,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,74.67,74.67,1
RC,949,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,59.27,59.27,1
RC,949,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,60.45,60.45,1
RC,949,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,65.97,65.97,1
RC,949,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,59.27,59.27,1
RC,949,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) ",,,25.03,25.03,1
RC,949,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) ",,,19.34,19.34,1
RC,949,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) ",,,21.87,21.87,1
RC,949,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report ",,,90.73,90.73,1
RC,949,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,63.29,63.29,1
RC,949,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma ",,,125.48,125.48,1
RC,949,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,127.99,127.99,1
RC,949,Work hardening/conditioning; initial 2 hours ,,,322.47,322.47,1
RC,949,Wound closure utilizing tissue adhesive(s) only ,,,188.05,188.05,1
RC,951, Other Therapeutic Services Athletic Training  ,,,,,0
RC,952, Other Therapeutic Services Kinesiotherapy  ,,,,,0
TRIS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,167759.05,167759.05,1
TRIS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,62897.34,62897.34,1
TRIS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH ",,,118239.96,118239.96,1
TRIS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC ",,,92336.06,92336.06,1
TRIS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT ,,,59938.56,59938.56,1
TRIS-DRG,006,LIVER TRANSPLANT WITHOUT MCC ,,,27301.03,27301.03,1
TRIS-DRG,007,LUNG TRANSPLANT ,,,70966.58,70966.58,1
TRIS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT ,,,31108.39,31108.39,1
TRIS-DRG,010,PANCREAS TRANSPLANT ,,,39828.7,39828.7,1
TRIS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC ",,,38031.53,38031.53,1
TRIS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC ",,,21426.49,21426.49,1
TRIS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC ",,,14780.87,14780.87,1
TRIS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT ,,,60576.62,60576.62,1
TRIS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC ,,,30487.83,30487.83,1
TRIS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC ,,,30152.29,30152.29,1
TRIS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,190848.68,190848.68,1
TRIS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,39600.68,39600.68,1
TRIS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC ,,,49432.09,49432.09,1
TRIS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC ,,,29762.26,29762.26,1
TRIS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ ,,,17636.14,17636.14,1
TRIS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,34196.67,34196.67,1
TRIS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,21792.53,21792.53,1
TRIS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC ,,,21152.46,21152.46,1
TRIS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC ,,,16609.04,16609.04,1
TRIS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,13373.24,13373.24,1
TRIS-DRG,028,SPINAL PROCEDURES WITH MCC ,,,22732.61,22732.61,1
TRIS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS ,,,13247.72,13247.72,1
TRIS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC ,,,9936.92,9936.92,1
TRIS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC ,,,15965.48,15965.48,1
TRIS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC ,,,10479.98,10479.98,1
TRIS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC ,,,8900.82,8900.82,1
TRIS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC ,,,21484.49,21484.49,1
TRIS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC ,,,11310.05,11310.05,1
TRIS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC ,,,8901.33,8901.33,1
TRIS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC ,,,23321.66,23321.66,1
TRIS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC ,,,11340.55,11340.55,1
TRIS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,8260.27,8260.27,1
TRIS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC ",,,16038.48,16038.48,1
TRIS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE ",,,11933.1,11933.1,1
TRIS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC ",,,8586.3,8586.3,1
TRIS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC ,,,14401.83,14401.83,1
TRIS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC ,,,4275.9,4275.9,1
TRIS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC* ,,,8735.81,8735.81,1
TRIS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC* ,,,4361.91,4361.91,1
TRIS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC ,,,11122.53,11122.53,1
TRIS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC ,,,7536.2,7536.2,1
TRIS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC ,,,13281.23,13281.23,1
TRIS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC ,,,7050.15,7050.15,1
TRIS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC ,,,5041.97,5041.97,1
TRIS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,10223.95,10223.95,1
TRIS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,9573.89,9573.89,1
TRIS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,8161.26,8161.26,1
TRIS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC ,,,11565.08,11565.08,1
TRIS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS ,,,5934.55,5934.55,1
TRIS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC ,,,4369.41,4369.41,1
TRIS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC ,,,8152.26,8152.26,1
TRIS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC ,,,5393.5,5393.5,1
TRIS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC ,,,4144.38,4144.38,1
TRIS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC* ,,,7787.22,7787.22,1
TRIS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC* ,,,4427.91,4427.91,1
TRIS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC* ,,,3387.31,3387.31,1
TRIS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC ,,,8830.32,8830.32,1
TRIS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC ,,,4166.39,4166.39,1
TRIS-DRG,075,VIRAL MENINGITIS WITH CC/MCC ,,,5091.97,5091.97,1
TRIS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC ,,,2487.23,2487.23,1
TRIS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC ,,,5496.01,5496.01,1
TRIS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC ,,,4215.39,4215.39,1
TRIS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC ,,,8911.32,8911.32,1
TRIS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC ,,,6655.12,6655.12,1
TRIS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC ,,,5027.47,5027.47,1
TRIS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC ,,,9470.88,9470.88,1
TRIS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC ,,,5558.52,5558.52,1
TRIS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC ,,,4589.43,4589.43,1
TRIS-DRG,088,CONCUSSION WITH MCC ,,,7503.2,7503.2,1
TRIS-DRG,089,CONCUSSION WITH CC ,,,7829.73,7829.73,1
TRIS-DRG,090,CONCUSSION WITHOUT CC/MCC ,,,8465.29,8465.29,1
TRIS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC* ,,,8017.24,8017.24,1
TRIS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC* ,,,4860.95,4860.95,1
TRIS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC* ,,,4026.87,4026.87,1
TRIS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC ,,,20306.89,20306.89,1
TRIS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC ,,,13049.21,13049.21,1
TRIS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,13074.72,13074.72,1
TRIS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC ,,,15887.47,15887.47,1
TRIS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC ,,,9718.9,9718.9,1
TRIS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC ,,,8426.28,8426.28,1
TRIS-DRG,100,SEIZURES WITH MCC ,,,8206.76,8206.76,1
TRIS-DRG,101,SEIZURES WITHOUT MCC ,,,3754.35,3754.35,1
TRIS-DRG,102,HEADACHES WITH MCC* ,,,8034.25,8034.25,1
TRIS-DRG,103,HEADACHES WITHOUT MCC* ,,,4419.91,4419.91,1
TRIS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC ,,,14913.88,14913.88,1
TRIS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,7509.7,7509.7,1
TRIS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,8519.29,8519.29,1
TRIS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,10312.95,10312.95,1
TRIS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,6021.56,6021.56,1
TRIS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,1871.17,1871.17,1
TRIS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,2957.77,2957.77,1
TRIS-DRG,123,NEUROLOGICAL EYE DISORDERS ,,,3691.34,3691.34,1
TRIS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,7343.68,7343.68,1
TRIS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,3385.81,3385.81,1
TRIS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,12044.62,12044.62,1
TRIS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,5635.52,5635.52,1
TRIS-DRG,137,MOUTH PROCEDURES WITH CC/MCC ,,,5698.53,5698.53,1
TRIS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC ,,,4020.37,4020.37,1
TRIS-DRG,139,SALIVARY GLAND PROCEDURES ,,,6858.64,6858.64,1
TRIS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,2462.73,2462.73,1
TRIS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,1849.17,1849.17,1
TRIS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,8298.77,8298.77,1
TRIS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,6985.15,6985.15,1
TRIS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,4423.91,4423.91,1
TRIS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,2494.23,2494.23,1
TRIS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC* ",,,11752.59,11752.59,1
TRIS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC* ",,,7057.65,7057.65,1
TRIS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC* ",,,4424.41,4424.41,1
TRIS-DRG,149,DYSEQUILIBRIUM ,,,3892.86,3892.86,1
TRIS-DRG,150,EPISTAXIS WITH MCC ,,,7390.69,7390.69,1
TRIS-DRG,151,EPISTAXIS WITHOUT MCC ,,,3087.79,3087.79,1
TRIS-DRG,152,OTITIS MEDIA AND URI WITH MCC ,,,3284.81,3284.81,1
TRIS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC ,,,2170.2,2170.2,1
TRIS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,4652.93,4652.93,1
TRIS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,3053.28,3053.28,1
TRIS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,2463.73,2463.73,1
TRIS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC ,,,7776.72,7776.72,1
TRIS-DRG,158,DENTAL AND ORAL DISEASES WITH CC ,,,3277.3,3277.3,1
TRIS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,2502.73,2502.73,1
TRIS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC ,,,21654.01,21654.01,1
TRIS-DRG,164,MAJOR CHEST PROCEDURES WITH CC ,,,11972.11,11972.11,1
TRIS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,10194.95,10194.95,1
TRIS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,20212.88,20212.88,1
TRIS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,9377.37,9377.37,1
TRIS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,8014.74,8014.74,1
TRIS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,16520.53,16520.53,1
TRIS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,5184.98,5184.98,1
TRIS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC ,,,3322.31,3322.31,1
TRIS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC* ,,,6707.62,6707.62,1
TRIS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC* ,,,3751.35,3751.35,1
TRIS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC* ,,,3032.28,3032.28,1
TRIS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC ,,,8965.83,8965.83,1
TRIS-DRG,181,RESPIRATORY NEOPLASMS WITH CC ,,,5602.52,5602.52,1
TRIS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,4183.89,4183.89,1
TRIS-DRG,183,MAJOR CHEST TRAUMA WITH MCC ,,,4593.93,4593.93,1
TRIS-DRG,184,MAJOR CHEST TRAUMA WITH CC ,,,4290.4,4290.4,1
TRIS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,4370.91,4370.91,1
TRIS-DRG,186,PLEURAL EFFUSION WITH MCC ,,,6556.61,6556.61,1
TRIS-DRG,187,PLEURAL EFFUSION WITH CC ,,,4281.9,4281.9,1
TRIS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC ,,,3053.78,3053.78,1
TRIS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,3773.35,3773.35,1
TRIS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC* ,,,4976.46,4976.46,1
TRIS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC* ,,,3752.35,3752.35,1
TRIS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC* ,,,2759.76,2759.76,1
TRIS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC* ,,,4959.46,4959.46,1
TRIS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC* ,,,3512.33,3512.33,1
TRIS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC* ,,,2496.73,2496.73,1
TRIS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7348.68,7348.68,1
TRIS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC ,,,4594.43,4594.43,1
TRIS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,3975.37,3975.37,1
TRIS-DRG,199,PNEUMOTHORAX WITH MCC ,,,5593.02,5593.02,1
TRIS-DRG,200,PNEUMOTHORAX WITH CC ,,,3454.82,3454.82,1
TRIS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC ,,,2284.71,2284.71,1
TRIS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,3465.82,3465.82,1
TRIS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,2819.26,2819.26,1
TRIS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS ,,,3253.3,3253.3,1
TRIS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,5301.49,5301.49,1
TRIS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,3320.81,3320.81,1
TRIS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,32789.04,32789.04,1
TRIS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,10341.96,10341.96,1
TRIS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES ,,,3877.86,3877.86,1
TRIS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,3749.35,3749.35,1
TRIS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,31676.44,31676.44,1
TRIS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT ,,,33915.64,33915.64,1
TRIS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,52131.84,52131.84,1
TRIS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,39566.67,39566.67,1
TRIS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,36496.39,36496.39,1
TRIS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,34268.18,34268.18,1
TRIS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,25760.39,25760.39,1
TRIS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,25322.85,25322.85,1
TRIS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,28583.15,28583.15,1
TRIS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,18280.69,18280.69,1
TRIS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC ,,,46790.34,46790.34,1
TRIS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,33650.63,33650.63,1
TRIS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,41827.38,41827.38,1
TRIS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,31810.95,31810.95,1
TRIS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,31455.92,31455.92,1
TRIS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,23442.18,23442.18,1
TRIS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,24855.31,24855.31,1
TRIS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,24483.27,24483.27,1
TRIS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,7684.21,7684.21,1
TRIS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,17738.65,17738.65,1
TRIS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,11865.1,11865.1,1
TRIS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,10145.44,10145.44,1
TRIS-DRG,245,AICD GENERATOR PROCEDURES ,,,25323.85,25323.85,1
TRIS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,11739.59,11739.59,1
TRIS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,9107.34,9107.34,1
TRIS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC ,,,21410.99,21410.99,1
TRIS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC ,,,13343.23,13343.23,1
TRIS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,9380.37,9380.37,1
TRIS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,14971.89,14971.89,1
TRIS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,9424.37,9424.37,1
TRIS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,6062.06,6062.06,1
TRIS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,17440.12,17440.12,1
TRIS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,11223.54,11223.54,1
TRIS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,12509.66,12509.66,1
TRIS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,10210.45,10210.45,1
TRIS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7286.68,7286.68,1
TRIS-DRG,263,VEIN LIGATION AND STRIPPING ,,,15785.46,15785.46,1
TRIS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,14662.86,14662.86,1
TRIS-DRG,265,AICD LEAD PROCEDURES ,,,20082.86,20082.86,1
TRIS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,20379.39,20379.39,1
TRIS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,1902.18,1902.18,1
TRIS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,8943.83,8943.83,1
TRIS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,2427.73,2427.73,1
TRIS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,2242.71,2242.71,1
TRIS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,2280.21,2280.21,1
TRIS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,12266.63,12266.63,1
TRIS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,17199.09,17199.09,1
TRIS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,18576.22,18576.22,1
TRIS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,46639.33,46639.33,1
TRIS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,18468.72,18468.72,1
TRIS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,28814.17,28814.17,1
TRIS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,18414.21,18414.21,1
TRIS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,12068.12,12068.12,1
TRIS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,7383.68,7383.68,1
TRIS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,5287.49,5287.49,1
TRIS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,4862.45,4862.45,1
TRIS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,14013.8,14013.8,1
TRIS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,3841.86,3841.86,1
TRIS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,3324.31,3324.31,1
TRIS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,10482.97,10482.97,1
TRIS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,5943.05,5943.05,1
TRIS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,15020.89,15020.89,1
TRIS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,9474.38,9474.38,1
TRIS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,5160.48,5160.48,1
TRIS-DRG,291,HEART FAILURE AND SHOCK WITH MCC* ,,,5077.97,5077.97,1
TRIS-DRG,292,HEART FAILURE AND SHOCK WITH CC* ,,,3148.29,3148.29,1
TRIS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC* ,,,1808.17,1808.17,1
TRIS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,8848.32,8848.32,1
TRIS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,3518.83,3518.83,1
TRIS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,2526.23,2526.23,1
TRIS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,5545.51,5545.51,1
TRIS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,4295.9,4295.9,1
TRIS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,3257.3,3257.3,1
TRIS-DRG,302,ATHEROSCLEROSIS WITH MCC ,,,6264.58,6264.58,1
TRIS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC ,,,2865.27,2865.27,1
TRIS-DRG,304,HYPERTENSION WITH MCC ,,,6278.08,6278.08,1
TRIS-DRG,305,HYPERTENSION WITHOUT MCC ,,,3153.29,3153.29,1
TRIS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7055.65,7055.65,1
TRIS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,4658.93,4658.93,1
TRIS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,4877.45,4877.45,1
TRIS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,2688.75,2688.75,1
TRIS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,2331.22,2331.22,1
TRIS-DRG,311,ANGINA PECTORIS ,,,2905.77,2905.77,1
TRIS-DRG,312,SYNCOPE AND COLLAPSE ,,,3477.82,3477.82,1
TRIS-DRG,313,CHEST PAIN ,,,3296.31,3296.31,1
TRIS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,10183.45,10183.45,1
TRIS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,4176.39,4176.39,1
TRIS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,3044.28,3044.28,1
TRIS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,29590.74,29590.74,1
TRIS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,25650.88,25650.88,1
TRIS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,24771.3,24771.3,1
TRIS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,13350.74,13350.74,1
TRIS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,14481.85,14481.85,1
TRIS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,11743.59,11743.59,1
TRIS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,26283.94,26283.94,1
TRIS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,20650.42,20650.42,1
TRIS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,17819.16,17819.16,1
TRIS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,21494.99,21494.99,1
TRIS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,15030.89,15030.89,1
TRIS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,9871.92,9871.92,1
TRIS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,17931.67,17931.67,1
TRIS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,12412.15,12412.15,1
TRIS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,9847.91,9847.91,1
TRIS-DRG,332,RECTAL RESECTION WITH MCC ,,,20096.86,20096.86,1
TRIS-DRG,333,RECTAL RESECTION WITH CC ,,,12908.2,12908.2,1
TRIS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC ,,,12291.14,12291.14,1
TRIS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13632.76,13632.76,1
TRIS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC ,,,9693.4,9693.4,1
TRIS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7707.22,7707.22,1
TRIS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,14335.83,14335.83,1
TRIS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7720.22,7720.22,1
TRIS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,5519.01,5519.01,1
TRIS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC ,,,12741.68,12741.68,1
TRIS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC ,,,6305.59,6305.59,1
TRIS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,4444.91,4444.91,1
TRIS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13831.29,13831.29,1
TRIS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,9577.39,9577.39,1
TRIS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,9878.92,9878.92,1
TRIS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,12619.67,12619.67,1
TRIS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,9437.87,9437.87,1
TRIS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7565.7,7565.7,1
TRIS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,16618.54,16618.54,1
TRIS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,10483.47,10483.47,1
TRIS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7140.16,7140.16,1
TRIS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,19085.77,19085.77,1
TRIS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,38460.06,38460.06,1
TRIS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC* ,,,5684.03,5684.03,1
TRIS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC* ,,,4086.38,4086.38,1
TRIS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC* ,,,3517.33,3517.33,1
TRIS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC* ,,,6915.14,6915.14,1
TRIS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC* ,,,3906.86,3906.86,1
TRIS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC* ,,,2630.24,2630.24,1
TRIS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC ,,,9866.42,9866.42,1
TRIS-DRG,375,DIGESTIVE MALIGNANCY WITH CC ,,,5722.53,5722.53,1
TRIS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,5130.48,5130.48,1
TRIS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7257.67,7257.67,1
TRIS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,4383.91,4383.91,1
TRIS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,2643.25,2643.25,1
TRIS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC ,,,12206.63,12206.63,1
TRIS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC ,,,5089.97,5089.97,1
TRIS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,3590.33,3590.33,1
TRIS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,7663.71,7663.71,1
TRIS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,4541.42,4541.42,1
TRIS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,6226.08,6226.08,1
TRIS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC ,,,4390.41,4390.41,1
TRIS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,3152.79,3152.79,1
TRIS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC* ,,,4363.4,4363.4,1
TRIS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC* ,,,3038.78,3038.78,1
TRIS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC* ,,,2262.21,2262.21,1
TRIS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,5119.47,5119.47,1
TRIS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,3280.3,3280.3,1
TRIS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,6657.62,6657.62,1
TRIS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,4138.88,4138.88,1
TRIS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,3181.8,3181.8,1
TRIS-DRG,397,APPENDIX PROCEDURES WITH MCC ,,,12690.18,12690.18,1
TRIS-DRG,398,APPENDIX PROCEDURES WITH CC ,,,14481.85,14481.85,1
TRIS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,9697.4,9697.4,1
TRIS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,6114.07,6114.07,1
TRIS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,26491.46,26491.46,1
TRIS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,15558.44,15558.44,1
TRIS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,11958.11,11958.11,1
TRIS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,12719.18,12719.18,1
TRIS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,14743.37,14743.37,1
TRIS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7047.15,7047.15,1
TRIS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,18335.2,18335.2,1
TRIS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,9191.35,9191.35,1
TRIS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,12358.65,12358.65,1
TRIS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,19774.33,19774.33,1
TRIS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,12013.12,12013.12,1
TRIS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,10603.48,10603.48,1
TRIS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,10514.98,10514.98,1
TRIS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,9860.91,9860.91,1
TRIS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,7979.24,7979.24,1
TRIS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,14524.85,14524.85,1
TRIS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,12036.12,12036.12,1
TRIS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,7767.72,7767.72,1
TRIS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,56172.71,56172.71,1
TRIS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,12327.65,12327.65,1
TRIS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,8327.27,8327.27,1
TRIS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,9378.87,9378.87,1
TRIS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,7705.72,7705.72,1
TRIS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,5906.05,5906.05,1
TRIS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,50008.14,50008.14,1
TRIS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,30931.87,30931.87,1
TRIS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC* ,,,10969.02,10969.02,1
TRIS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC* ,,,4486.42,4486.42,1
TRIS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC* ,,,3372.31,3372.31,1
TRIS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC* ,,,9046.34,9046.34,1
TRIS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC* ,,,5134.98,5134.98,1
TRIS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC* ,,,5043.97,5043.97,1
TRIS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC* ,,,8519.79,8519.79,1
TRIS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC* ,,,3688.34,3688.34,1
TRIS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC* ,,,2613.24,2613.24,1
TRIS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC* ",,,8178.26,8178.26,1
TRIS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC* ",,,4806.95,4806.95,1
TRIS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,2947.77,2947.77,1
TRIS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,6769.63,6769.63,1
TRIS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC ,,,4973.96,4973.96,1
TRIS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,3710.34,3710.34,1
TRIS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,40674.77,40674.77,1
TRIS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,23331.16,23331.16,1
TRIS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,23792.21,23792.21,1
TRIS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,16748.55,16748.55,1
TRIS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,33702.63,33702.63,1
TRIS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,27090.51,27090.51,1
TRIS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,21952.03,21952.03,1
TRIS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,30655.35,30655.35,1
TRIS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,13358.24,13358.24,1
TRIS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,24681.79,24681.79,1
TRIS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,17995.17,17995.17,1
TRIS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,11253.04,11253.04,1
TRIS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,23853.22,23853.22,1
TRIS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,19294.79,19294.79,1
TRIS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,14047.8,14047.8,1
TRIS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,17139.09,17139.09,1
TRIS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,9786.91,9786.91,1
TRIS-DRG,471,CERVICAL SPINAL FUSION WITH MCC ,,,17913.67,17913.67,1
TRIS-DRG,472,CERVICAL SPINAL FUSION WITH CC ,,,15169.41,15169.41,1
TRIS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,12682.68,12682.68,1
TRIS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,54254.53,54254.53,1
TRIS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,10202.45,10202.45,1
TRIS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,4573.92,4573.92,1
TRIS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13095.21,13095.21,1
TRIS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,10755.5,10755.5,1
TRIS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,10179.44,10179.44,1
TRIS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,19871.34,19871.34,1
TRIS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,11535.07,11535.07,1
TRIS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,9075.34,9075.34,1
TRIS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13600.76,13600.76,1
TRIS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,17912.16,17912.16,1
TRIS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,9253.86,9253.86,1
TRIS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,6451.6,6451.6,1
TRIS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7043.65,7043.65,1
TRIS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,6643.62,6643.62,1
TRIS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC* ",,,20157.87,20157.87,1
TRIS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC* ",,,15136.9,15136.9,1
TRIS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,10556.48,10556.48,1
TRIS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,20124.37,20124.37,1
TRIS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,11268.05,11268.05,1
TRIS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,6246.58,6246.58,1
TRIS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,14585.35,14585.35,1
TRIS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,10501.47,10501.47,1
TRIS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC ,,,16957.57,16957.57,1
TRIS-DRG,501,SOFT TISSUE PROCEDURES WITH CC ,,,9472.88,9472.88,1
TRIS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7121.66,7121.66,1
TRIS-DRG,503,FOOT PROCEDURES WITH MCC ,,,15491.93,15491.93,1
TRIS-DRG,504,FOOT PROCEDURES WITH CC ,,,8399.78,8399.78,1
TRIS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC ,,,7543.7,7543.7,1
TRIS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES ,,,7488.69,7488.69,1
TRIS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,10026.43,10026.43,1
TRIS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,8405.78,8405.78,1
TRIS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,17399.62,17399.62,1
TRIS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,15037.39,15037.39,1
TRIS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,8099.75,8099.75,1
TRIS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,6962.65,6962.65,1
TRIS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,5425.5,5425.5,1
TRIS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,16317.51,16317.51,1
TRIS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,11458.07,11458.07,1
TRIS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,9985.93,9985.93,1
TRIS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,14388.34,14388.34,1
TRIS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,11321.05,11321.05,1
TRIS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,9035.84,9035.84,1
TRIS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,15930.98,15930.98,1
TRIS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,13136.72,13136.72,1
TRIS-DRG,533,FRACTURES OF FEMUR WITH MCC ,,,8701.31,8701.31,1
TRIS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC ,,,3317.81,3317.81,1
TRIS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7115.66,7115.66,1
TRIS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,3739.35,3739.35,1
TRIS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,5296.99,5296.99,1
TRIS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,3997.87,3997.87,1
TRIS-DRG,539,OSTEOMYELITIS WITH MCC* ,,,8491.29,8491.29,1
TRIS-DRG,540,OSTEOMYELITIS WITH CC* ,,,3936.37,3936.37,1
TRIS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC* ,,,4173.39,4173.39,1
TRIS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,9244.85,9244.85,1
TRIS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,6574.61,6574.61,1
TRIS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,2810.26,2810.26,1
TRIS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,16831.06,16831.06,1
TRIS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC ,,,6965.15,6965.15,1
TRIS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,4810.45,4810.45,1
TRIS-DRG,548,SEPTIC ARTHRITIS WITH MCC ,,,10717.5,10717.5,1
TRIS-DRG,549,SEPTIC ARTHRITIS WITH CC ,,,4272.9,4272.9,1
TRIS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,3062.78,3062.78,1
TRIS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC ,,,5687.03,5687.03,1
TRIS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,3622.84,3622.84,1
TRIS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC* ,,,7195.17,7195.17,1
TRIS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC* ,,,3122.79,3122.79,1
TRIS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7336.68,7336.68,1
TRIS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,3559.83,3559.83,1
TRIS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,5468.51,5468.51,1
TRIS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,2348.22,2348.22,1
TRIS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,8461.78,8461.78,1
TRIS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,8270.27,8270.27,1
TRIS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,5823.04,5823.04,1
TRIS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,6654.12,6654.12,1
TRIS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,3490.32,3490.32,1
TRIS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC* ,,,5853.04,5853.04,1
TRIS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC* ,,,4886.45,4886.45,1
TRIS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC* ,,,3375.31,3375.31,1
TRIS-DRG,570,SKIN DEBRIDEMENT WITH MCC ,,,13138.72,13138.72,1
TRIS-DRG,571,SKIN DEBRIDEMENT WITH CC ,,,7462.69,7462.69,1
TRIS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,8625.8,8625.8,1
TRIS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,36363.87,36363.87,1
TRIS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,19268.29,19268.29,1
TRIS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,9974.43,9974.43,1
TRIS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,27204.02,27204.02,1
TRIS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,17311.1,17311.1,1
TRIS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,9427.88,9427.88,1
TRIS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,9985.42,9985.42,1
TRIS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,11177.53,11177.53,1
TRIS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,12099.62,12099.62,1
TRIS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,15131.9,15131.9,1
TRIS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,14592.85,14592.85,1
TRIS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,19362.8,19362.8,1
TRIS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,14542.85,14542.85,1
TRIS-DRG,592,SKIN ULCERS WITH MCC* ,,,10741.99,10741.99,1
TRIS-DRG,593,SKIN ULCERS WITH CC* ,,,4571.42,4571.42,1
TRIS-DRG,594,SKIN ULCERS WITHOUT CC/MCC* ,,,4810.95,4810.95,1
TRIS-DRG,595,MAJOR SKIN DISORDERS WITH MCC ,,,7366.68,7366.68,1
TRIS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC ,,,2111.7,2111.7,1
TRIS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC* ,,,6761.13,6761.13,1
TRIS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC* ,,,4456.41,4456.41,1
TRIS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC* ,,,4270.4,4270.4,1
TRIS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,2256.21,2256.21,1
TRIS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,1822.67,1822.67,1
TRIS-DRG,602,CELLULITIS WITH MCC ,,,5550.01,5550.01,1
TRIS-DRG,603,CELLULITIS WITHOUT MCC ,,,2969.78,2969.78,1
TRIS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,8170.76,8170.76,1
TRIS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,3717.84,3717.84,1
TRIS-DRG,606,MINOR SKIN DISORDERS WITH MCC ,,,5548.01,5548.01,1
TRIS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC ,,,2136.7,2136.7,1
TRIS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,11742.09,11742.09,1
TRIS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,7561.2,7561.2,1
TRIS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,17535.62,17535.62,1
TRIS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,7760.22,7760.22,1
TRIS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,7872.23,7872.23,1
TRIS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,21626.5,21626.5,1
TRIS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC ,,,9866.42,9866.42,1
TRIS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,9380.37,9380.37,1
TRIS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,25279.84,25279.84,1
TRIS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,7173.17,7173.17,1
TRIS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,6948.64,6948.64,1
TRIS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,16763.06,16763.06,1
TRIS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,7939.24,7939.24,1
TRIS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,7533.2,7533.2,1
TRIS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13593.26,13593.26,1
TRIS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,9669.4,9669.4,1
TRIS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,7975.24,7975.24,1
TRIS-DRG,637,DIABETES WITH MCC ,,,5530.51,5530.51,1
TRIS-DRG,638,DIABETES WITH CC ,,,3081.29,3081.29,1
TRIS-DRG,639,DIABETES WITHOUT CC/MCC ,,,2240.21,2240.21,1
TRIS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,5797.54,5797.54,1
TRIS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,2984.78,2984.78,1
TRIS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM ,,,5677.53,5677.53,1
TRIS-DRG,643,ENDOCRINE DISORDERS WITH MCC ,,,6674.62,6674.62,1
TRIS-DRG,644,ENDOCRINE DISORDERS WITH CC ,,,4058.38,4058.38,1
TRIS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,2635.24,2635.24,1
TRIS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,11124.53,11124.53,1
TRIS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,82752.18,82752.18,1
TRIS-DRG,652,KIDNEY TRANSPLANT ,,,18246.19,18246.19,1
TRIS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC ,,,20348.39,20348.39,1
TRIS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC ,,,14069.31,14069.31,1
TRIS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,9296.86,9296.86,1
TRIS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,22119.55,22119.55,1
TRIS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,11986.11,11986.11,1
TRIS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,9317.87,9317.87,1
TRIS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,8874.32,8874.32,1
TRIS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,6142.07,6142.07,1
TRIS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,5895.55,5895.55,1
TRIS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC ,,,16993.07,16993.07,1
TRIS-DRG,663,MINOR BLADDER PROCEDURES WITH CC ,,,8437.78,8437.78,1
TRIS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,4865.45,4865.45,1
TRIS-DRG,665,PROSTATECTOMY WITH MCC ,,,17324.11,17324.11,1
TRIS-DRG,666,PROSTATECTOMY WITH CC ,,,9709.4,9709.4,1
TRIS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC ,,,6140.07,6140.07,1
TRIS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC ,,,16207.5,16207.5,1
TRIS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC ,,,8614.3,8614.3,1
TRIS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,5424.5,5424.5,1
TRIS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC ,,,9962.93,9962.93,1
TRIS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,5991.56,5991.56,1
TRIS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,19954.35,19954.35,1
TRIS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,11270.55,11270.55,1
TRIS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,8468.29,8468.29,1
TRIS-DRG,682,RENAL FAILURE WITH MCC* ,,,5888.55,5888.55,1
TRIS-DRG,683,RENAL FAILURE WITH CC* ,,,3401.32,3401.32,1
TRIS-DRG,684,RENAL FAILURE WITHOUT CC/MCC* ,,,2194.7,2194.7,1
TRIS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,12789.69,12789.69,1
TRIS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,5402.5,5402.5,1
TRIS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,4386.41,4386.41,1
TRIS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,5339.5,5339.5,1
TRIS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,2974.78,2974.78,1
TRIS-DRG,693,URINARY STONES WITH MCC ,,,7462.69,7462.69,1
TRIS-DRG,694,URINARY STONES WITHOUT MCC ,,,2949.27,2949.27,1
TRIS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,6348.59,6348.59,1
TRIS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,2380.22,2380.22,1
TRIS-DRG,697,URETHRAL STRICTURE ,,,5982.56,5982.56,1
TRIS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,6812.63,6812.63,1
TRIS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,4896.45,4896.45,1
TRIS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,3434.32,3434.32,1
TRIS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,14321.83,14321.83,1
TRIS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,10647.99,10647.99,1
TRIS-DRG,709,PENIS PROCEDURES WITH CC/MCC ,,,12916.7,12916.7,1
TRIS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC ,,,7431.19,7431.19,1
TRIS-DRG,711,TESTES PROCEDURES WITH CC/MCC ,,,11566.08,11566.08,1
TRIS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC ,,,5535.01,5535.01,1
TRIS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,7729.22,7729.22,1
TRIS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,5559.52,5559.52,1
TRIS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,12418.15,12418.15,1
TRIS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,8164.76,8164.76,1
TRIS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,10493.47,10493.47,1
TRIS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,4400.91,4400.91,1
TRIS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,10044.93,10044.93,1
TRIS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,6342.59,6342.59,1
TRIS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,3639.34,3639.34,1
TRIS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,6495.1,6495.1,1
TRIS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,3204.3,3204.3,1
TRIS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,8230.76,8230.76,1
TRIS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,2752.26,2752.26,1
TRIS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,5876.54,5876.54,1
TRIS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,3729.85,3729.85,1
TRIS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,11822.6,11822.6,1
TRIS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,7468.19,7468.19,1
TRIS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,17931.16,17931.16,1
TRIS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,10752.0,10752.0,1
TRIS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,8128.75,8128.75,1
TRIS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,14244.82,14244.82,1
TRIS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,10528.48,10528.48,1
TRIS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,9931.42,9931.42,1
TRIS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,8571.29,8571.29,1
TRIS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,7225.17,7225.17,1
TRIS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,7140.16,7140.16,1
TRIS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,6049.06,6049.06,1
TRIS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,9788.91,9788.91,1
TRIS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,4095.88,4095.88,1
TRIS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,10582.48,10582.48,1
TRIS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,8293.27,8293.27,1
TRIS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,6723.12,6723.12,1
TRIS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,8597.3,8597.3,1
TRIS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,4624.93,4624.93,1
TRIS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5331.49,5331.49,1
TRIS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC* ",,,6832.63,6832.63,1
TRIS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC* ",,,3007.28,3007.28,1
TRIS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC* ",,,2956.77,2956.77,1
TRIS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,3188.8,3188.8,1
TRIS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,2122.2,2122.2,1
TRIS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,2985.78,2985.78,1
TRIS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,6786.13,6786.13,1
TRIS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,4478.92,4478.92,1
TRIS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,1832.17,1832.17,1
TRIS-DRG,779,ABORTION WITHOUT D&C ,,,1993.18,1993.18,1
TRIS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,7104.66,7104.66,1
TRIS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,4687.43,4687.43,1
TRIS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,3901.36,3901.36,1
TRIS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,5750.53,5750.53,1
TRIS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,5872.54,5872.54,1
TRIS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,12366.65,12366.65,1
TRIS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,3746.85,3746.85,1
TRIS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS ,,,1539.64,1539.64,1
TRIS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,1107.6,1107.6,1
TRIS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,23143.64,23143.64,1
TRIS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,15471.93,15471.93,1
TRIS-DRG,795,NORMAL NEWBORN ,,,678.06,678.06,1
TRIS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,6477.6,6477.6,1
TRIS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,5552.51,5552.51,1
TRIS-DRG,799,SPLENIC PROCEDURES WITH MCC ,,,25137.83,25137.83,1
TRIS-DRG,800,SPLENIC PROCEDURES WITH CC ,,,12388.65,12388.65,1
TRIS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,10595.49,10595.49,1
TRIS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,54662.07,54662.07,1
TRIS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,11536.07,11536.07,1
TRIS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,7616.21,7616.21,1
TRIS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,2904.77,2904.77,1
TRIS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,2410.72,2410.72,1
TRIS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,2158.2,2158.2,1
TRIS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,12785.69,12785.69,1
TRIS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,4366.9,4366.9,1
TRIS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,3003.28,3003.28,1
TRIS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC ,,,6089.06,6089.06,1
TRIS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,3254.8,3254.8,1
TRIS-DRG,813,COAGULATION DISORDERS ,,,5735.03,5735.03,1
TRIS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,8143.25,8143.25,1
TRIS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,4184.89,4184.89,1
TRIS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,2667.25,2667.25,1
TRIS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,7901.23,7901.23,1
TRIS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,5885.55,5885.55,1
TRIS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,4535.92,4535.92,1
TRIS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,19434.8,19434.8,1
TRIS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,10483.47,10483.47,1
TRIS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,6811.63,6811.63,1
TRIS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,26202.43,26202.43,1
TRIS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,11462.56,11462.56,1
TRIS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,5886.05,5886.05,1
TRIS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,24646.28,24646.28,1
TRIS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,12266.14,12266.14,1
TRIS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,7869.73,7869.73,1
TRIS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,12302.64,12302.64,1
TRIS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,10699.99,10699.99,1
TRIS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3236.8,3236.8,1
TRIS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,2234.71,2234.71,1
TRIS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,1522.64,1522.64,1
TRIS-DRG,834,ACUTE LEUKEMIA WITH MCC ,,,34602.21,34602.21,1
TRIS-DRG,835,ACUTE LEUKEMIA WITH CC ,,,12005.62,12005.62,1
TRIS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,12220.13,12220.13,1
TRIS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,16000.48,16000.48,1
TRIS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,6901.64,6901.64,1
TRIS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,6462.6,6462.6,1
TRIS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC* ,,,20058.36,20058.36,1
TRIS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC* ,,,8772.31,8772.31,1
TRIS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC* ,,,8099.25,8099.25,1
TRIS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,6234.58,6234.58,1
TRIS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,5282.49,5282.49,1
TRIS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,4726.94,4726.94,1
TRIS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,11708.58,11708.58,1
TRIS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,5107.47,5107.47,1
TRIS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,2813.26,2813.26,1
TRIS-DRG,849,RADIOTHERAPY ,,,15038.9,15038.9,1
TRIS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,43837.06,43837.06,1
TRIS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,21610.01,21610.01,1
TRIS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,7793.22,7793.22,1
TRIS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,4632.93,4632.93,1
TRIS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC* ,,,16800.56,16800.56,1
TRIS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC* ,,,8460.78,8460.78,1
TRIS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC* ,,,7063.16,7063.16,1
TRIS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,5877.04,5877.04,1
TRIS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,3589.83,3589.83,1
TRIS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS ,,,3722.35,3722.35,1
TRIS-DRG,865,VIRAL ILLNESS WITH MCC ,,,8229.26,8229.26,1
TRIS-DRG,866,VIRAL ILLNESS WITHOUT MCC ,,,3349.81,3349.81,1
TRIS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,10055.93,10055.93,1
TRIS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,5033.47,5033.47,1
TRIS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,2590.74,2590.74,1
TRIS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,39539.17,39539.17,1
TRIS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,7660.21,7660.21,1
TRIS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,3867.36,3867.36,1
TRIS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,21460.99,21460.99,1
TRIS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,3368.81,3368.81,1
TRIS-DRG,881,DEPRESSIVE NEUROSES ,,,1981.18,1981.18,1
TRIS-DRG,882,NEUROSES EXCEPT DEPRESSIVE ,,,3007.28,3007.28,1
TRIS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,5569.52,5569.52,1
TRIS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,9537.89,9537.89,1
TRIS-DRG,885,PSYCHOSES ,,,2995.78,2995.78,1
TRIS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,7082.66,7082.66,1
TRIS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES ,,,4946.96,4946.96,1
TRIS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,2771.26,2771.26,1
TRIS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,3115.79,3115.79,1
TRIS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,5510.51,5510.51,1
TRIS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,23293.16,23293.16,1
TRIS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,10366.96,10366.96,1
TRIS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,4485.92,4485.92,1
TRIS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,15751.96,15751.96,1
TRIS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,8233.76,8233.76,1
TRIS-DRG,906,HAND PROCEDURES FOR INJURIES ,,,7562.7,7562.7,1
TRIS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC* ,,,18884.75,18884.75,1
TRIS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC* ,,,8558.79,8558.79,1
TRIS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC* ,,,6067.56,6067.56,1
TRIS-DRG,913,TRAUMATIC INJURY WITH MCC ,,,9072.84,9072.84,1
TRIS-DRG,914,TRAUMATIC INJURY WITHOUT MCC ,,,4125.88,4125.88,1
TRIS-DRG,915,ALLERGIC REACTIONS WITH MCC ,,,8441.28,8441.28,1
TRIS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC ,,,2531.73,2531.73,1
TRIS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC* ,,,6569.61,6569.61,1
TRIS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC* ,,,2975.78,2975.78,1
TRIS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC* ,,,7270.67,7270.67,1
TRIS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC* ,,,3987.87,3987.87,1
TRIS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC* ,,,2277.71,2277.71,1
TRIS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,6661.62,6661.62,1
TRIS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,2466.73,2466.73,1
TRIS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,118506.53,118506.53,1
TRIS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,20232.38,20232.38,1
TRIS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,11384.56,11384.56,1
TRIS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,21615.0,21615.0,1
TRIS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,3414.82,3414.82,1
TRIS-DRG,935,NON-EXTENSIVE BURNS ,,,8114.25,8114.25,1
TRIS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,20139.86,20139.86,1
TRIS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,8769.31,8769.31,1
TRIS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,12575.16,12575.16,1
TRIS-DRG,945,REHABILITATION WITH CC/MCC ,,,8595.3,8595.3,1
TRIS-DRG,946,REHABILITATION WITHOUT CC/MCC ,,,6365.09,6365.09,1
TRIS-DRG,947,SIGNS AND SYMPTOMS WITH MCC ,,,4488.92,4488.92,1
TRIS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC ,,,4220.39,4220.39,1
TRIS-DRG,949,AFTERCARE WITH CC/MCC ,,,10092.94,10092.94,1
TRIS-DRG,950,AFTERCARE WITHOUT CC/MCC ,,,12823.69,12823.69,1
TRIS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,2851.26,2851.26,1
TRIS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,33703.63,33703.63,1
TRIS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,38690.09,38690.09,1
TRIS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,42382.93,42382.93,1
TRIS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,21935.54,21935.54,1
TRIS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,11986.61,11986.61,1
TRIS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC* ,,,14367.83,14367.83,1
TRIS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC* ,,,6818.63,6818.63,1
TRIS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC* ,,,5159.98,5159.98,1
TRIS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,33976.15,33976.15,1
TRIS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,14638.85,14638.85,1
TRIS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,9542.39,9542.39,1
TRIS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,5004.46,5004.46,1
TRIS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,5010.46,5010.46,1
TRIS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,7202.67,7202.67,1
TRIS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,24469.77,24469.77,1
TRIS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,9671.89,9671.89,1
TRIS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,8269.27,8269.27,1
TRIS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,18702.23,18702.23,1
TRIS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,7728.22,7728.22,1
TRIS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,5310.99,5310.99,1